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DocuSign Envelope ID: 9A9DFCD4-6566-4FAF-A840-81198DF04AC1 <br />Regulated Medical Waste Acceptance Policy <br />Stericycle policy requires compliance with all applicable regulations regarding the collection, <br />transportation and treatment of regulated medical waste. Federal Department of Transportation <br />(DOT) regulations require the generator of regulated medical waste to certify that the packaging <br />and documentation of transported regulated medical waste complies with DOT regulations <br />regarding waste classification, packaging, labeling and shipping documentation. To ensure that <br />neither Stericycle nor the generator of regulated medical waste violates applicable regulations, <br />it is imperative that all parties understand the rules regarding proper identification, classification, <br />segregation and packaging of regulated medical waste. The purpose of this policy is to summarize <br />the minimum requirements for preparing your medical waste for collection, transportation and treatment. <br />Additional facility or state -specific waste acceptance policies may apply based on permit specifications. <br />Please contact your local representative for further information or email customercare®stericycle.com. <br />REGULATED MEDICAL WASTE <br />Stericycle accepts medical waste generated in a broad range of medical, diagnostic, therapeutic and <br />research activities. The term 'medical waste` includes biohazardous, biomedical, infectious or regulated <br />medical waste as defined under federal, state or local laws, rules, regulations and guidelines. Except <br />as defined by specific state regulations, this excludes RCRA hazardous waste pharmaceuticals, all DEA <br />scheduled drugs including -controlled substances, bulk chemotherapy, waste containing mercury or <br />other heavy metals, batteries of any type, cauterizers, non-infectious dental waste, chemicals such as <br />solvents, reagents, corosives or ignitable materials classified as hazardous waste under Federal and/or <br />state -specific EPA Regulations. In addition, Sterirycle cannot accept bulk liquids, radioactive materials, <br />or complete human remains (including heads, full torsos and fetuses). Ste ricycle Cannot accept these <br />excluded materials packaged as regulated medical waste. All lab wastes or materials which contain or <br />have the potential to contain infectious substances arising from those agents listed under 42 CFR Pan 73 <br />(HHSL 7 CFR Par. 331 (USDA -Plant Protection and Quarantine), and 9 CFR Part 121(USDA-Veterinary Services) <br />are strictly prohibited from medical waste by federal law and must be pretreated prior to disposal. Separate <br />protocol and packaging requirements may apply for the disposal of non -hazardous pharmaceuticals. <br />Hazardous waste tramportation services may be offered in certain geographical locations, under separate <br />contract Please contact your local representative for details and packaging specifications. <br />-Un d,;oanmdfrom OFA AegEc 1 <br />WASTE SEGREGATION AND PACKAGING <br />The generator is solely responsible for properly segregating, packaging and labeling of regulated <br />medical wane. Proper segregation and packaging reduces the potential for accidental release of the <br />contents and exposure to employees and the general public DOT regulations (49 CFR 173.197) require <br />that all packages of regulated medical waste be prepared for transport in containers that meet all of the <br />following requirements: rigid, leak resistant impervious to moisture, of sufficient strength to prevent <br />tearing or bursting under normal conditions of use and handling, sealed to prevent leakage during <br />transport and puncture resistant for sharps. All regulated medical waste must be accompanied by a <br />properly completed shipping document (See 49 CFR 172.202). <br />MANAGEMENT OF NON -CONFORMING WASTE <br />As required by regulation and company policy, Stericycle employees may refuse containers that are <br />non -conforming because of their contents or are improperly packaged. leaking, damaged or likely to <br />Create a risk of exposure to employees or the general public. Anywaste found to be non -conforming to this <br />Waste Acceptance Policy identified in route to, or at a.Stericycle location. may be returned to the generator for <br />proper packaging and disposal, or may be rerouted for appropriate destruction: this may include improperly <br />marked regulated medical waste which should have been identified for incineration (i.e. pathological, <br />chemotherapy or on -hazardous pharmaceuticals). Proper segregation and packaging is essential to ensure <br />compliant and safe handling, collection, transportation and treatment of regulated medical waste. <br />STERICYCLE REGULATED MEDICAL WASTE ACCEPTANCE POLICY CHECKLIST <br />• Sharps- Means any object Contaminated with a pathogen or that may become contaminated with a <br />pathogen through handling or during transportation and also capable of cutting or penetrating skin <br />! or a packaging material. Sharps includes needles, syringes, scalpels, broken glass, culture slides, <br />culture dishes, broken capillary tubes, broken rigid plastic and exposed ends of dental wires. <br />• Regulated Medical Waste or Clinical Waste or Biomedical Waste - Means a waste or reusable <br />material derived from the medical treatment of an animal or human, which includes diagnosis <br />and immunization, or from biomedical research, which includes the production and testing of <br />biological products. <br />• Trace Chemotherapy Contaminated Waste: RCRA Empty drug vials, syringes and needles, spill <br />kits, IV tubing and bags, contaminated gloves and gowns and related materials as defined in <br />applicable laws, rules, regulations or guidelines. <br />• Pathological Waste: Human or animal body parts, organs, tissues and surgical specimens (decanted <br />of formaldehyde, formalin or other preservatives as required per hazardous waste rules}. <br />• Non-RCRA Pharmaceuticals: Must be characterized and certified as non-RCRA hazardous <br />material by the generator. Excludes all DEA scheduled drugs, including controlled substances: <br />• California Only - Solidified Suction Canisters: Suction canisters that have been injected with <br />solidifier materials to control liquids or suction canisters made of high heat resistant plastics <br />such as polysuffone. <br />• Untreated Category A Infectious Substances <br />• Complete Human Remains (including heads, full torsos and fetuses) <br />• Bulk Chemotherapy Waste <br />• Mercury -Containing Dental Waste: Non -contact and contact amalgam and products, chairside <br />traps, amalgam sludge or vacuum pump filters, extracted teeth with mercury fillings and empty <br />amalgam Capsules <br />• Mercury Containing Material or Devices; Any mercury thermometers, sphygmomanometers, lab <br />or medical devices <br />• RCRA Hazardous Pharmaceutical Waste and all DEA Federal and state controlled substances <br />• Chemicals: Formaldehyde, formalin, acids, alcohol, waste oil, solvents, reagents, fixer developer, <br />fluorescein <br />• Compressed Gas Cylinders, Canisters, Inhalers and Aerosol Cans <br />• Hazardous or Universal Waste: Any other waste determined by Federal or State EPA regulations <br />including but not limited to batteries, bulbs, heavy metals, etc. <br />• Radioactive Waste: Any containerwith a radioactivity level that exceeds regulatory or permitted <br />limits; lead -containing materials <br />'Consult Siedcycle Represenrarive for spec fc me.. emonts <br />Add,li—t-veaccaptance poM1aes may apply basedon oars or permit spttit requfremenls. 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