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Epinephrine Salts – Medicinal Nitroglycerine – P & U Listed Syringe Waste Following is a list of each state and whether or not they are consistent with the EPA’s stance on Epinephrine Salts, Medicinal Nitroglycerine and P & U Listed Used Syringe Waste. Epinephrine Salts

SUMMARY: Epinephrine Salts are not a P-Listed waste.
DETAILS: USEPA Memo Dated 10/07/2007. Subject: Scope of Hazardous Waste Rule Listing (Epinephrine)

This was not an official rule change. Rather it was a memorandum by the EPA giving guidance. States do not adopt such
documents, however, they can concur or agree with the EPA’s stance.

http://www.epa.gov/region1/healthcare/pdfs/EpiMemo_Final.pdf

Medicinal Nitroglycerine

SUMMARY: Medicinal Nitroglycerin is not a P-Listed waste.
DETAILS: On 5/16/2001, the EPA excluded all P and U-Listed wastes listed solely for an ignitability, reactivity or corrosivity
characteristic once they no longer exhibit a characteristic. Since Nitroglycerin (P081) is listed solely for its reactivity
characteristic and medicinal nitroglycerin does not exhibit the reactivity characteristic, this removes Nitroglycerin from the EPA
P-Listed waste.
This was an official rule change by the EPA (Mixture and Derived-From Rules) USEPA Federal Register Environmental
Document, Hazardous Waste Identification Rule ACTION: Final rule. [Federal Register: May 16, 2001 (Volume 66, Number
95)][Rules and Regulations][ Page 27286], 40 CFR 261.3(g)(1).
Note, some states may not have official documentation adopting this rule change, however, their state regulations automatically
accept any rule change by the EPA.
http://www.epa.gov/epaoswer/osw/meeting/pdf02/atagi.pdf
P & U Listed Used Syringe Waste

SUMMARY: Residue in a used syringe is exempt from being a P or U listed Waste.
DETAILS: USEPA Letter Dated 4/18/2008. Subject: Scope of Hazardous Waste Rule Listing
(Epinephrine)

This was not an official rule change. Rather it was a memorandum by the EPA giving guidance. States
do not adopt such documents, however, they can concur or agree with the EPA’s stance.

http://www.epa.gov/region1/healthcare/pdfs/EpiMemo_Final.pdf

* This document serves as a summarization of each states regulatory position on epinephrine salts and medicinal
nitroglycerin. Please consult with your regulatory state agency for additional and more detailed information.
Updated 2/13/2010 – Copyright PharmWaste Technologies EPI NITRO
Alabama Department of Environmental Management PO Box 301463, Montgomery, AL 36130-1463 Phone: (334) 271-7730, Fax: (334) 279-3050, Web: http://www.adem.state.al.us, Alaska Department of Environmental Conservation 410 Willoughby Ave, Juneau, AK 99801-1795 Phone: (907) 465-5162, Fax: (907) 465-5164, Web: http://www.state.ak.us/dec, Arizona Department of Environmental Quality 1110 W. Washington Street, Phoenix, AZ 85007-2935 Phone: (602) 771-2300, 0 Fax: (602) 207-2383, Web: http://www.adeq.state.az.us, Arkansas Department of Environmental Quality 8001 National Drive, Little Rock, AR 72209 Phone: (501) 682-0744, Fax: (501) 682-0611, Web: http://www.adeq.state.ar.us, California Environmental Protection Agency 1001 I Street, Sacramento, CA 95812-2815 Phone: (916) 916-3545, Web: http://www.calepa.ca.gov, Colorado Department of Public Health and Environment 4300 Cherry Creek Drive South, Denver, CO 80246-1530 Phone: (303) 692-3300, 2, 1 Fax: (303) 759-5355, Web: http://www.cdphe.state.co.us, Connecticut Department of Environmental Protection Phone: (860) 424-3000, Fax: (860) 424-4054, Web: http://dep.state.ct.us, Delaware DNR & Environmental Control Phone: (302) 739-9400, Fax: (302) 739-5060, Web: http://www.dnrec.state.de.us, Florida Department of Environmental Protection 3900 Commonwealth Boulevard, Tallahassee, FL 32399 Phone: (850) 245-2118, Fax: (850) 245-2128, Web: http://www.dep.state.fl.us, 2 Martin Luther King, Jr. Drive SE, Atlanta, GA 30334 Phone: (888) 373-5947, Fax: (404) 651-5778, Web: http://www.gadnr.org, 1250 Punchbowl Street, Honolulu, HI 96813 Phone: (808) 586-4400 or (808) 586-4225, Web: http://hawaii.gov/health/ Idaho Department of Environmental Quality 1410 North Hilton Street, Boise, ID 83706 Phone: (208) 373-0502 or (208) 373-0444, Fax: (208) 373-0417, Web: http://www.deq.state.id.us, Illinois Environmental Protection Agency 1021 North Grand Avenue East, Springfield, IL 62702 Phone: (217) 782-3397, Fax: (217) 782-9039, Web: http://www.epa.state.il.us, Indiana Department of Environmental Management 100 North Senate Avenue, Gov. Ctr. N, Indianapolis, IN 46206-6015 Phone: (800) 451-6027, Fax: (317) 233-6647, Web: http://www.in.gov/idem, 900 East 9th Street, Des Moines, IA 50319-0034 Phone: (515) 281-4968 or (515) 281-5385, Fax: (515) 281-6794, Web: http://www.iowadnr.com,

Updated 2/13/2010 – Copyright PharmWaste Technologies EPI NITRO
Kansas Department of Health & Environment Phone: (785) 296-1500, 0 Fax: (785) 368-6368, Web: http://www.kdhe.state.ks.us, Kentucky Environmental & Public Protection Phone: (502) 564-6716, Fax: (502) 564-3354, Web: http://www.eec.ky.gov/ Louisiana Department of Environmental Quality 602 N. Fifth Street, Baton Rouge, LA 70802 Phone: (866) 896-5337, Fax: (225) 219-3971, Web: http://www.deq.louisiana.gov, Maine Department of Environmental Protection 17 State House Station, Augusta, ME 04333-0017 Phone: (207) 287-7688 or (800) 452-1942, Fax: (207) 287-7826, Web: http://www.maine.gov/dep, 1800 Washington Blvd., Baltimore, MD 21230 Phone: (410) 537-3000, Web: http://www.mde.state.md.us, Massachusetts Department of Environmental Protection Phone: (617) 292-5500, Fax: (617) 556-1049, Web: http://www.state.ma.us/dep, Michigan Department of Environmental Quality 525 West Allegan St., Constitution Hall, Lansing, MI 48909-7973 Phone: (517) 373-7917, Fax: (517) 241-7401, Web: http://www.michigan.gov/deq, 520 Lafayette Road North, Saint Paul, MN 55155 Phone: (651) 296-7340 or (651) 296-6300, Fax: (651) 296-9707, Web: http://www.pca.state.mn.us, Mississippi Department of Environmental Quality 2380 Highway 80 West, Jackson, MS 39209-1305 Phone: (888) 786-0661, Fax: (601) 961-5349, Web: http://www.deq.state.ms.us, Missouri Department of Natural Resources 205 Jefferson Street, Jefferson City, MO 65102 Phone: (800) 361-4827, Fax: (573) 751-7869, Web: http://www.deq.state.ms.us Montana Department of Environmental Quality 1520 East Sixth Avenue, Helena, MT 59620-0901 Phone: (406) 444-2544 or (406) 444-2409, Fax: (406) 444-1499, Web: http://www.deq.state.mt.us, Nebraska Department of Environmental Quality Phone: (402) 471-2186, Fax: (402) 471-2909, Web: http://www.deq.state.ne.us, Nevada Department of Environmental Protection 333 West Nye Lane, Carson City, NV 89710 Phone: (775) 687-4670, 3 Fax: (775) 687-5856, Web: http://ndep.nv.gov/ New Hampshire Department of Environmental Services Phone: (603) 271-3503, Fax: (603) 271-2867, Web: http://www.des.state.nh.us, New Jersey Department of Environmental Protection 401 E State Street, Trenton, NJ 08625-0402 Phone: (609) 984-6650 or (609) 984-6880, Web: http://www.state.nj.us/dep, Updated 2/13/2010 – Copyright PharmWaste Technologies EPI NITRO
1190 St. Francis Drive N4050, Santa Fe, NM 87502-0110 Phone: (800) 219-6157, Web: http://www.nmenv.state.nm.us, New York State Department of Environmental Conservation Phone: (518) 402-9401, Fax: (518) 402-9016, Web: http://www.dec.state.ny.us, North Carolina Department of Environment & Natural Resources 1601 Mail Service Center, Raleigh, NC 27699-1601 Phone: (919) 508-8400, 0, Fax: (919) 715-3060, Web: http://www.enr.state.nc.us, North Dakota Department of Health, Division of Waste Management
Phone: (701) 328-5166, Fax: (701) 328-5200, Web: http://www.ndhealth.gov/wm, 122 S. Front St, Lazarus Government Ctr, Columbus, OH 43216-0149 Phone: (614) 644-2782, Fax: (614) 644-3184, Web: http://www.epa.state.oh.us, Oklahoma Department of Environmental Quality 707 N Robinson, Oklahoma City, OK 73101-1677 Phone: (405) 702-1000, Fax: (405) 702-1001, Web: http://www.deq.state.ok.us, Oregon Department of Environmental Quality 811 SW Sixth Avenue, Portland, OR 97204-1390 Phone: (800) 452-4011, Fax: (503) 229-6124, Web: http://www.deq.state.or.us, Pennsylvania Department of Environmental Protection Rachel Carson State Office Building, Harrisburg, PA 17105-2063 Phone: (717) 787-2814, Fax: (717) 705-4980, Web: http://www.dep.state.pa.us, Rhode Island Department of Environmental Management 235 Promenade Street, Providence, RI 02908-5767 Phone: (401) 222-2771, Fax: (401) 222-6802, Web: http://www.state.ri.us/dem, South Carolina Department of Health & Environmental Control Phone: (803) 896-4000, Fax: (803) 896-4001, Web: http://www.scdhec.net, South Dakota Department of Environment and Natural Resources Phone: (605) 773-4222, Fax: (605) 773-6035, Web: http://www.state.sd.us/denr/denr.html, Tennessee Department of Environmental Conservation 401 Church Street, Nashville, TN 37243-0435 Phone: (888) 891-8332, Fax: (615) 532-0120, Web: http://www.state.tn.us/environment, Texas Commission on Environmental Quality Phone: (512) 239-1000, Fax: (512) 239-5533, Web: http://www.tceq.state.tx.us, Utah Department of Environmental Quality PO Box 144810, Salt Lake City, UT 84114-4810 Phone: (801) 536-4400 or (800) 458-0145, Fax: (801) 536-0061, Web: http://www.eq.state.ut.us, Vermont Department of Environmental Conservation 103 South Main Street, Waterbury, VT 05671-0301 Phone: (802) 241-3800, Fax: (802) 244-5141, Web: http://www.anr.state.vt.us/dec/dec.htm, Updated 2/13/2010 – Copyright PharmWaste Technologies EPI NITRO
Virginia Department of Environmental Quality Phone: (804) 698-4000, 0 Fax: (804) 698-4019, Web: http://www.deq.state.va.us, Phone: (360) 407-7001, Fax: (360) 407-6989, Web: http://www.ecy.wa.gov, West Virginia Department of Environmental Protection 1356 Hansford Street, Charleston, WV 25301 Phone: (304) 926-0499, 0 Fax: (304) 558-0256, Web: http://www.wvdep.org/ Wisconsin Department of Natural Resources 101 South Webster Street, Madison, WI 53703 Phone: (608) 266-2111, Fax: (608) 267-2768, Web: http://dnr.wi.gov, Wyoming Department of Environmental Quality 122 West 25th Street, Cheyenne, WY 82002 Phone: (307) 777-7937, Fax: (307) 777-7682, Web: http://deq.state.wy.us/ • The states of Michigan and Florida incorporate universal waste rules for pharmaceuticals. • The state of Washington incorporates “Dangerous Waste” rules for pharmaceuticals. • The state of Minnesota incorporates “Minnesota Lethal” rules for pharmaceuticals. PharmWaste Technologies, Inc. (PTI) specializes in providing cost effective solutions to help pharmacies identify which pharmaceuticals are RCRA (EPA) and BMP (Best Management Practices) waste when discarded. For more information, go to www.pwaste.com or call 515-276-5302. Updated 2/13/2010 – Copyright PharmWaste Technologies

Source: http://pwaste.com/websitePDFs/State%20Regs(2).pdf

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Pakistan Vet. J., 2008, 28(1): 17-20. OCCURRENCE OF LANCEFIELD GROUP C STREPTOCOCCAL SPECIES IN STRANGLES CASES OF FOALS IN PUNJAB, PAKISTAN S. MANZOOR, M. SIDDIQUE, SAJJAD-UR-RAHMAN AND M. ASHRAF1 Department of Microbiology, University of Agriculture, Faisalabad; 1Remount Veterinary School, Sargodha, Pakistan ABSTRACT Three equine rearing districts of Punjab, Pakistan including

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