Biomedical Waste PDF
Biomedical Waste PDF
Management
Practices For
Hospital
Waste
Publication Number 05-04-013
October 2005
Best Management Practices
for Hospital Waste
The research and writing of this publication was cooperatively sponsored by Spokane Aquifer Joint Board and
Washington State Department of Ecology, Hazardous Waste and Toxics Reduction Program.
Table of Contentsss
Chapter 1. Environmental Management
Dangerous Waste ..............................................................................................................................................1-1
Getting Started ..................................................................................................................................................1-1
Dangerous Waste Management......................................................................................................................1-4
Air Quality .........................................................................................................................................................1-7
Spills ...................................................................................................................................................................1-7
Underground Storage Tanks ...........................................................................................................................1-7
Solid Waste Management ................................................................................................................................1-7
Biomedical Waste Management .....................................................................................................................1-8
Emergency Planning and Community Right-to-Know Act (EPCRA) .......................................................1-8
Appendix 6. Biography
Appendix 7. Glossary
Introductionnn
This guide is a product of the Washington State Department of Ecology (Ecology) Best
Management Practices (BMPs) for Hospitals Project and financially supported by the Spokane
Aquifer Joint Board and Ecology. The project is part of Ecology’s Mercury Action Plan to
eliminate mercury use in the state of Washington.
This guide suggests ideas and steps you can take to manage wastes generated in your hospital
properly. Hospitals can generate large amounts of dangerous (hazardous) wastes. If not
managed properly, dangerous waste can pose threats to your safety, and public safety, and can
damage the environment. Proper management of chemicals and wastes can help prevent
serious consequences of catastrophic events or accidents. Your hospital is most likely already
doing some, but not all, of the best management practices suggested in this guide.
The information in this guide is not complete and does not address all of the hazards
associated with handling chemicals and dangerous waste. For more information about the
hazards of chemicals, contact a chemical manufacturer or supplier, the American Chemical
Society, a qualified consultant, or an appropriate government agency. Do not consider
information provided about vendors or product suppliers as an endorsement by Ecology.
Contact Ecology’s Hazardous Waste and Toxics Reduction Program for technical assistance at
your nearest regional office.
If you have any questions regarding this publication, please contact: Camille Martin (509) 329-
3551, or Terri Miller (509) 329-3476.
Chapter 1
Environmental Management
Dangerous Waste................................................................. 1
Spills ..................................................................................... 7
For your convenience, the following Ecology publications have been included in Appendix A:
Designating Dangerous Waste (Publication # 96-436)
Counting Dangerous Waste Under the Dangerous Waste Regulations (#98-414)
Satellite Accumulation (#94-120)
Treatment by Generator (#96-412)
Universal Waste Rule for Dangerous Waste Lamps (#00-04-020)
Universal Waste Rule for Batteries and Mercury-Containing Thermostats (98-407)
Focus on Pharmaceutical Waste (#03-04-035)
Pesticide Container Cleaning and Disposal (#01-04-024)
Domestic Sewage Exclusion (#94-136)
Wastewater Discharge Permits in Washington State.(#WQ-R-019)
Guide for Dangerous Waste Generators in Washington State (#98-1252-HWTR)
Getting Started
To determine if a waste is dangerous waste, you need to know its physical and chemical
nature. It is necessary to know all chemical components that make up the specific waste.
Material Safety Data Sheets (MSDS) may tell you something about the properties and
constituents of your waste. Without this type of information, you may have to test each waste
to determine if it is dangerous waste.
The following pages describe a three-step process for waste designation. You will need a copy
of the Dangerous Waste Regulations and Designating Dangerous Waste guidance (located in
Appendix A).
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Each dangerous waste has a four-digit waste number assigned to it. If your waste meets the
definition of a particular type of dangerous waste, write the four-digit waste number in the
“waste number(s)” column of the Waste Inventory Table section of Designating Dangerous
Waste. A single container of dangerous waste may have several different codes.
Using the flow chart, write down all of the waste numbers that apply to each waste on the
Generator Status section of the worksheet. Stop when you reach a box on the flow chart that
reads, “No further designation is required.”
The following six sections provide details on how to count wastes in various situations:
1. Stored and/or Accumulated Dangerous Waste
Dangerous waste counted under the accumulation regulations:
Dangerous waste is counted at the point of generation prior to storage or accumulation
in the generator’s 90- or 180-day accumulation area. Likewise, dangerous waste
accumulated under the satellite accumulation (SA) provisions (WAC 173-303-200) is
also counted toward the generator’s status on a monthly basis.
6. Treatment by Generator
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Dangerous waste counted under TBG:
Dangerous waste intended for treatment under the TBG allowance is counted toward the
generator’s status before it is treated. A TBG activity is considered a separate activity from the
production or cleaning process originally generating the dangerous waste. Therefore,
dangerous waste derived from (generated at) a TBG activity is also counted toward the
generator’s status.
Designating Dangerous Waste, in Appendix A, leads you through the steps you must take to
determine whether you generate a dangerous waste subject to special handling requirements.
The designation process works well for most dangerous wastes. Generators should be aware,
however, that exclusions exist for certain dangerous wastes. Refer to the dangerous waste
exclusions (section -071) of the Dangerous Waste Regulations.
Satellite Accumulation
A “satellite” is defined as a location at or near the point of hazardous waste generation, where
waste is initially accumulated in containers before consolidating it at a designated
accumulation area (i.e., centralized dangerous waste storage/accumulation area). Satellite
accumulation provisions are:
1. 55 gallons of each dangerous waste or 1 quart of each acutely hazardous waste can be
accumulated;
2. The satellite area must be secured and under the control of the process operator;
3. Satellite accumulation is allowed without a permit if the generator complies with these
WAC 173-303 sections:
1-4
• Container labeling/marking requirements -200 (1)(d)
• Condition of containers -630 (2)
• Compatibility of waste with containers -630 (4)
• Containers be closed -630 (5)(a)
• Container handling to prevent leaks -630 (5)(b)
• Special requirements for ignitable or reactive wastes -630 (8)(a), and
• Special requirements for incompatible wastes -630 (9)(a) & (b).
Treatment by Generator
You can treat some dangerous waste generated in your hospital without a permit. Described
below are the “treatment by generator” (TBG) methods that are allowed without a permit.
Before treating a waste you must know if any of the following restrictions apply:
• land disposal restriction standards,
• wastewater disposal limits and restrictions, when “permit by rule” standards apply, or
• when a RCRA “TSD” treatment permit is necessary.
Permission might be necessary when you are doing treatment that does not fit within the
categories below. Contact your local Ecology Regional Office (addresses and phone numbers
listed in back of this guide), and ask for a hazardous waste inspector if you have any questions
about treatment methods, information on treatment permits, or are seeking authorization to
conduct treatment without a permit. Ask for someone from the Water Quality Program if you
have questions regarding disposing wastes down the drain or wastewater discharge permits.
We strongly encourage you to find an alternative to disposing wastes down the drain.
When doing TBG, you must keep a treatment log. Record the date of treatment, hazardous
waste constituents, treatment method(s), and pounds of waste treated. This is very important
because the amount of waste generated before treatment must be reported to Washington
State Department of Ecology in your annual hazardous waste report.
Remember, you may need to do multiple treatment methods to remove all hazardous waste
constituents. Record all methods used on the treatment log.
1. Solidification or Stabilization
Solidification or stabilization reduces the mobility of dangerous waste and/or the toxicity of
pollutants. Solidification reduces or eliminates the free liquids in the waste. Stabilization
1-5
limits the hazard potential of a dangerous waste by converting the constituents into a less
soluble form. The solidified waste must pass the Paint Filter Liquids Test (PFLT). The waste
must be solidified by using non-biodegradable solidification materials. The solidified waste
must be resistant to change due to temperature, wet/dry cycling, radiation exposure, chemical
exposure, and compressive forces.
Elementary Neutralization
Elementary neutralization reduces the corrosivity (acidic or caustic properties) of a waste. The
material’s pH is raised or lowered to a neutral pH range between six and nine. Neutralization
should be done by trained staff. Manage and dispose elementary neutralization treatment
residuals according to state and local regulations. If there are any other dangerous waste
constituents in the waste, the waste must be disposed and coded according to proper disposal
requirements. Obey local wastewater discharge limits and restrictions.
Carbon Adsorption
Carbon adsorption uses molecular attraction to bind soluble and gaseous chemicals to carbon.
The carbon removes the chemical contaminants until it reaches its adsorptive capacity. Use
carbon to remove metals, organic solvents, inorganic, and organic contaminants from wastes.
See the specific TBG guidance on Carbon Adsorption (publication # 96-415) for examples of
how well various chemicals adsorb. Manage effluent, backwash, and spent carbon according
to all regulations. There should be no releases to the environment. Decontaminate all
equipment as needed.
Separation
Accomplish separation by using air flotation, centrifugation, coagulation or flocculation,
decanting, emulsion breaking or demulsification, ion exchange, oil skimming or phase
separation, precipitation, sedimentation, or clarification. See the specific TBG guidance on
Separation (Ecology publication # 96-418) for description and definitions of separation
techniques. Assure that ignitable or reactive waste treatment complies with WAC 173-303-
640(9)(a). The treatment process should not alter chemical structure except to form a
precipitate. No process may emit air pollutants.
Filtration
Filtering dewaters waste effluents, slurries, and sludges, and removes undissolved heavy
metals present in suspended solids. Filtration uses pressure to move water through the filter
media, leaving solids behind. Done correctly, filtering should not pose a threat to the
environment. Appropriately manage filtered liquid and filter/filter cake. Decontaminate all
equipment as needed.
Evaporation
Evaporation removes water from wastes to reduce weight and volume before disposal.
Evaporators are appropriate for concentrating certain inorganic wastes (no organic
evaporation). The process must not pose a threat to the environment or to public health. Do
not allow air pollutants to be emitted during evaporation. Do not “overcook” evaporator
waste. Appropriately dispose of sludge or filter wastes. In most instances, sludges and filters
designate as dangerous waste. Keep the evaporator inside secondary containment around to
catch spills.
1-6
Air Quality
Whenever a new hospital is built, an existing hospital replaces or adds a boiler, ethylene oxide
sterilizer (EtO), or an emergency generator, the hospital may need a Notice of Construction
permit to allow limited releases of air pollution to the environment. Permits are issued by
either Ecology or the local air quality agency (http://www.ecy.wa.gov/programs/air/local.html).
Not all cities, counties, or regions in Washington State have local air quality agencies. Ecology
is the air quality agency for those areas.
When planning for construction at an existing hospital or building a new facility, be sure to
contact Ecology well before construction begins to determine if an air quality permit is
necessary. Permitting staff can explain what circumstances require a permit and provide
technical assistance to make sure the permitting process goes smoothly and quickly.
Existing equipment (boilers, EtO’s or, emergency generators), may require registration with
the local or state (Ecology) air quality agency. Check with the appropriate air quality agency
to make sure that your hospital has all the required permits or registration.
Spills
If you have a spill of oil or a hazardous substance to the environment, you must contact both
the National Response Center (1-800-424-8802) and Ecology (1-800-OILS-911 or 1-800-258-5990).
Be prepared to answer questions about the nature of the spill, the identity and quantity
of material spilled, the potential or actual environmental impact, and plans for clean-up.
For more information, go to Ecology’s Spill Prevention, Preparedness, and Response Web site
at http://www.ecy.wa.gov/programs/spills/spills.html or the federal Environmental Protection
Agency’s (EPA) oil spills Web site at http://www.epa.gov/ebtpages/emeroilspills.html.
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reduction programs. These departments have solid waste specialists to help with reduction
and recycling of non-hazardous solid waste within your facility.
This guide includes solid waste reuse and recycling information in the self audit, department
pages, and in the appendices under vendor and resource lists.
Ecology staff also provides technical and regulatory assistance to businesses, local emergency
planning committees, and the public. Under this regulation, both small and large businesses
are required to plan for possible emergencies and report chemical storage and release
information to Ecology, on behalf of the SERC, to the Local Emergency Planning Committee
(LEPC), and to the local fire department, and sometimes tribal nations. Facilities that store at
least 10,000 pounds of a hazardous substance such as diesel or oxygen are required to report.
Extremely hazardous substances such as chlorine or ammonia are reportable at much lower
thresholds; 100 and 500 pounds respectively. Get more information on reporting requirements
at www.ecy.wa.gov/epcra.
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Chapter 2
Self Audit Form
Hospital Self-Audit Form
Hazardous Waste Yes No
Number of beds? __________ Average number of beds occupied per day? __________
Number of staff) __________ Average number of staff in 24 hour period? __________
Are the collection/satellite areas properly and clearly identified and labeled?
Does your hospital have a centralized collection area for dangerous waste?
Are hazardous waste containers kept closed except when adding disposed waste?
Are all waste containers properly labeled with the type of dangerous waste and
accumulation start date?
Does your dangerous waste storage area have a secondary containment system?
If so, will the floor in your storage area completely contain any spills?
Does your department keep a log of the amounts of dangerous waste generated per
month?
Does your hospital account for all dangerous waste generated hospital-wide?
Does your hospital use a hazardous waste firm to service, properly transport, and
dispose of your dangerous waste?
Does your hospital keep records of hazardous waste shipping manifests (TSD-signed
copy) and other dangerous waste reports/analyses for at least five years?
Do you have a contingency plan with a copy filed at your local fire department?
Has your facility worked to reduce, eliminate, and recycle toxic chemicals, equipment
and materials or use pharmaceutical return programs whenever possible?
2-1
What is your hospital’s hazardous waste generator status?
□ Generates no hazardous waste
□ Generates less than 220 lbs/month and accumulates less than 2200 lbs (Small Quantity Generator)
□ Generates more than 220 lbs/month but less than 2200 lbs/month (Medium Quantity Generator)
□ Generates more than 2200 lbs/month or generates 2.2 lbs or more of an acutely hazardous waste
(Large Quantity Generator)
Do you generate the following hazardous substances or dangerous wastes? (Check all that apply.)
□ Glutaraldehyde □ Alcohols
□ Formaldehyde/Formalin □ Ethers
□ Xylene □ Solvents
□ Stains □ Heavy Metals
□ Dyes □ Germicides/Sterilants
□ Pharmaceuticals □ Disinfectants
□ Mercury-containing devices or pumps □ Caustics
□ Amalgam □ Acids
□ Silver/Fixer □ Other
□ Developer (Hydroquinone) □ Electrical/Computer equipment (heavy
metals)
□ Construction/Maintenance dangerous waste
Does your hospital use or purchase mercury-containing equipment or supplies? (Check all that apply.)
□ Blood pressure units □ Lab chemicals
□ Mercury thermometers □ labs □ patients □ Pharmaceuticals (federally listed or Toxicity
□ Outpatients/newborns Characteristic Leaching Procedure (TCLP)
wastes
□ Dilators □ Cantor tubes
Does your hospital/department generate universal waste? (Check all that apply.)
□ Fluorescent lamps □ Other mercury-containing equipment
□ Thermostats (Mercury) □ Batteries
Does your hospital generate PCB-containing wastes? (Check all that apply.)
□ Ballasts □ Other PCB wastes
□ Transformers
2-2
Universal Waste Yes No
Does your hospital handle universal wastes (batteries, lamps, mercury thermostats, etc.)
separately from your other hazardous waste?
If yes, does your hospital label these wastes and specify type (e.g., “Batteries,”
“Lamps,” etc.?
Does your hospital properly store universal waste in appropriate containers that prevent
releases to the environment?
Does your hospital document the length of time that each universal waste has been
accumulating (maximum of one year)?
Medical Waste Yes No
Does your facility ensure that medical wastes are labeled and managed properly,
segregated from dangerous wastes and solid wastes?
Are sharps segregated from other wastes and kept in a puncture-resistant biomedical
waste containers?
2-3
Does your hospital reuse any of the following? (Check all that apply.)
Dietary Patient Care Surgery Equipment
If so, does your hospital have a Title 5 operating permit or state air permit?
If so, has the incinerator been tested and EPA, the state, or local air authority been
notified?
Back up power generation
Does your facility have emergency power generation back-up?
If yes, type:_____________________________________________________
If yes to above, do you sell power back?
2-5
Refrigeration and air conditioning
Are maintenance, repair and leak-rate records maintained for at least five years?
Do the technicians recover and recycle the CFCs from the units?
Does your facility use ammonia for the refrigeration or air conditioning system?
Is there a leak detection system in use for UST system’s tank and piping?
Emergency Planning and Community Right to Know, SARA Title III “EPCRA”
Does each department keep Material Safety Data Sheets (MSDS) for all hazardous
substances?
Does your hospital have on-site a listed Extremely Hazardous Substance (EHS) in any
amount over the threshold reporting quantity? For more information go to www.epa.gov/tri
If yes, has your hospital submitted a notification letter identifying the EHS and facility
emergency coordinator to the Local Emergency Planning Committee (LEPC)/State
Emergency Response Committee (SERC)?
Do you report hazardous substance use under Toxic Release Inventory (TRI) reporting?
Has your facility worked to reduce, eliminate, and recycle toxic chemicals, equipment
and materials or use pharmaceutical return programs whenever possible?
If your hospital uses your own janitorial employees to apply disinfectants and other
pesticides, do you offer/provide training as to the proper use of pesticides?
Are any “restricted use” pesticides used at your hospital? (See product label.)
2-6
1
Purchasing Yes No
Does your office use a centralized purchasing system so that there is not duplicate
purchasing by individual departments?
Has your hospital called upon vendors and your Group Purchasing Organization (GPO)
to identify and develop alternatives to harmful and/or wasteful products and materials?
Does your hospital use office paper with at least 30% recycled content?
Has your hospital evaluated alternatives to polyvinyl chloride (PVC) and di(2-
ethylhexyl) phthalate (DEHP) – containing products?
Does your hospital purchase non-toxic/less toxic alternatives for janitorial chemicals?
Does your hospital have a central system in place for tracking and quantifying the
amount of chemicals purchased, dispensed, and disposed of?
Does your hospital track the quantity or amount of green products and services used?
Has your hospital instituted purchasing policies in any of the following areas? (Check all that apply.)
□ Green products □ Low volatile organic compound (VOC) products
□ Energy Star products □ Polyvinyl chloride (PVC) products
□ Less toxic materials □ Di (2-ethylhexyl) phthalate (DEHP) products
□ Latex □ Recycled content in products
□ Mercury □ Other (specify) _________________________
2
Energy Conservation Yes No
Have you created a baseline of energy performance for your hospital using EPA’s
benchmarking tool? (http://208.254.22.6/index.cfm?c=eligibility.bus_portfoliomanager_eligibility_hospitals)
Has your hospital done an energy management review within the last three years?
1
Read about green purchasing at http://www.noharm.org/greenpurchasing/issue and http://www.ofee.gov/gp/gp.htm
2
To view EnergyStar information for healthcare, visit http://www.energystar.gov/index.cfm?c=healthcare.bus_healthcare
2-7
Has your hospital implemented any of the following within the last three years? (Check all that apply.)
What environmental topics would you like more training in? (Check all that apply.)
Yes No
Has your hospital taken any action not covered above to improve environmental
performance? (Specify)
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Mercury Yes No
Has your facility assessed and inventoried your facility for mercury devices/sources?
Do you have a mercury spill response plan and have kits on hand?
Notes:
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Chapter 3
Department-specific Pages
Environmental Concerns and Pollution Prevention Opportunities
Also, be sure to check with the local air authority or the Washington State
Department of Ecology’s Air Quality Program for managing the hospital’s
air emissions and air contaminant source registration requirements.
Boilers, water treatment systems, Ethylene Oxide Sterilizers (EtO), back-
up generator systems and fuel tanks may require regulatory oversight.
Do not evaporate volatile organic compounds, oil, or petroleum-based
paint wastes. Water can be evaporated off inorganic wastes (primarily
metals) as long as no air pollutants are emitted. The dried metal waste
would most likely be dangerous waste.
Administration ....................................................................... 1
Anesthesia ............................................................................ 3
Autopsy Services .................................................................. 5
Biomedical Engineering Services ......................................... 7
Central Sterilization Reprocessing and Distribution.............. 9
Clinical Research ................................................................ 11
Construction and Renovation.............................................. 13
Critical Care Services ......................................................... 15
Emergency Care Services .................................................. 17
Emergency Dental Services................................................ 19
Endoscopy Services ........................................................... 21
Food Services..................................................................... 23
Groundskeeping .................................................................. 25
Housekeeping..................................................................... 27
Incineration Services........................................................... 29
Inpatient Care Services ...................................................... 31
Kidney Dialysis Services..................................................... 33
Laboratory Testing, Pathology and Histology Services ...... 35
Laundry Services ................................................................ 37
Maintenance ....................................................................... 39
Morgue................................................................................ 41
Nuclear Medicine ................................................................ 43
Oncology Services .............................................................. 45
Outpatient Services ............................................................ 47
Pharmacy Services ............................................................. 49
Physical Therapy Services.................................................. 51
Radiology............................................................................ 53
Respiratory Care................................................................. 55
Surgery Services ................................................................ 57
Administration and Purchasing Department
Many administrative services such as billing services,
record keeping and documentation, printing and copying,
and shipping and receiving generate large amounts of
municipal solid waste. Recycling items such as paper,
glass, aluminum cans, cardboard, plastics, computer
equipment, printer and copier cartridges, wood waste
and scrap metals will drastically reduce your solid waste
output. Improving waste segregation systems can
increase recycling and reduce solid waste.
Q Buy and use durable products and materials instead of “use-once, throw-away” items.
Recycle and purchase products with recycled content.
Q Avoid excessive and/or unnecessary packaging. Insist that manufacturers reduce, collect,
and/or re-use packaging (containers, foam peanuts, inserts). Use reusable packaging and totes
instead of corrugated shipping containers.
Q Collect and recycle fluorescent bulbs (keep intact), thermostats, mattresses, furniture, and
equipment. Keep furniture, carpet, and equipment out of the dump. Consider having a
reprocessing durable goods center. Sell or donate excess durables to clinics, shelters, and
foreign medical aid.
Q If they haven’t done so already, demand that your vendors start take-/buy-back programs for
computers and peripherals, printer and copier cartridges, etc. Recycle computer equipment
and toner cartridges.
Q Use energy efficient computer equipment, lights, and appliances (Green Star/Lights Programs).
Q Keep batteries out of the trash. Use non-mercury, rechargeable batteries and implement a
battery collection program.
Q Place mercury spill kits in mercury use areas.
Q Start a mercury elimination program. Buy mercury-free products and equipment (digital
sphygmomanometers and thermometers, tilt and float switches, reed or displacement relays,
thermostat probes and plungers).
Q Strive to achieve the Hospitals for a Healthier Environment (H2E)’s Making Medicine Mercury-
Free Award. Find the link to H2E’s Web site in Appendix 3.
Q Choose less- or least-toxic products and materials. Eliminate carcinogenic chemicals, and use
CFC/Freon management systems to avoid releasing CFC’s.
Q Dangerous waste is generated hospital-wide. Know your dangerous waste generator status
and do hospital-wide dangerous waste generation counts monthly.
Q Inventory all chemical, hazardous waste, and spill management systems. Keep all records for at
least 5 years.
*Note: This is the first of 29 department-specific waste information pages. If the Administration Office manages waste for the
entire hospital, the designated personnel are responsible for the information in each of these pages.
Q
R Mercury Light bulbs, lamps, and older
microwaves.
• Low-mercury or energy-
efficient lamps
Check Universal Waste list in
Appendix 1 to find out which can be
Q Greeting cards, gift shop • Newer microwaves
disposed under the Universal Waste
novelty items with motion lights Rules and which ones must be
• Digital thermostats managed as dangerous waste.
• Non-mercury-containing
novelty items
Q
R Batteries:
Mercury, lead, acid, Q
Hearing aids and pacemakers
PDAs and digital cameras
•
•
Rechargeable batteries
Lithium or alkaline
See Appendix 2 for vendor list.
Q
R Toner cartridges
Q
Copiers
Printers
•
•
Recycle
Use vendor take-back programs
Q
R Solvents Several used in print shops • Use digital print system Recycle, distill, or dispose of as
dangerous (hazardous) waste.
Q
R Cleaning chemicals Janitorial supplies • Use least toxic chemicals See vendor list in Appendix 2.
Q
R Electronic waste
Q
Computers
Cathode Ray Tubes (CRTs)
•
•
Recycle
Send for re-use
• Use vendor take-back programs
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Anesthesia Services
Anesthesia services generate dangerous wastes such as nitrous oxide,
halogenated agents: halothane (fluothane), enflurane (ethrane), isoflurane
(forane), and other inhalation anesthetics. Waste anesthetic gases are
generally removed from the site of application by either a scavenging unit
attached to the anesthesia unit which may capture halogenated waste
gases with a charcoal filter or by vacuum lines which vent to the outside.
Charcoal filters will not trap nitrous oxide. Spent charcoal filters and Soda
Sorb must be handled as dangerous waste.
Q
R Liquid and gas
halogenated wastes Q
Anesthetic gases
Containers
Return unused portions and/or containers back to
vendor or dispose of properly. Filters and Soda Sorb
are dangerous waste
Q
R Waste anesthesia
gases Q
Air emissions
Filters
•
•
Use low-leak equipment
Use scavenging units
Routinely check equipment and maintain against
leaks; avoid liquid anesthetic spills. Fit patient mask
Q Soda Sorb properly; turn gas supply off before disconnecting.
Check wall piping and connections routinely. Do leak
tests daily and monitor anesthetic levels in operating
and recovery rooms, emergency dental and
adjacent/other rooms receiving gases quarterly.
R Compressed gas
cylinders
Eliminate gas cylinders not in use or lacking specific
purpose. Return to vendor for recycling when
possible.
Q
R Dangerous waste air
emissions Q
Air pollutants
Halogenated gases
Capture fugitive gases and pollutants.
Q
R Biomedical wastes
Q
Body fluids
Saturated materials
• Separate solid from
biomedical waste
Great cost savings can be achieved by separating solid
from biomedical wastes.
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Autopsy Services
Autopsy services generate biomedical, dangerous, and solid
wastes. Determine the proper disposal methods for all wastes
generated. Bio-hazardous wastes include sharps, blood, or any
material saturated with blood or bodily fluids. Store and dispose
in a labeled biomedical waste red bag or in a leak proof, puncture-
resistant, cadmium-free, hard bio-hazardous waste container.
Sharps need to be stored separately in a rigid, secure container.
When containers are full, use a permitted biomedical waste hauler.
Q Recycle plastics, paper, cardboard, unopened surgical devices, and other items. Don’t throw away items
that can be reused or recycled. Distill and reuse alcohols, solvents and xylene.
Q Instead of using high-level disinfectants like glutaraldehyde, formaldehyde, Bouin’s solution, or formalin,
investigate and use less-toxic alternatives. See the vendor list in Appendix 2 for information on less-toxic
alternatives.
Q Never dispose of still bottoms or other dangerous, pathological, and/or biological wastes down the drain,
sink, or into the air, garbage, sewer, or septic tank.
Q Properly collect, segregate, store, label and dispose of all wastes. Inform staff on proper separation and
disposal of biomedical red bags, dangerous and municipal solid wastes.
Q Use reusable, leak-proof, puncture resistant, cadmium-free sharps containers for needles, syringes,
lancets, etc. only – not for batteries, broken glass, broken thermometers or other non-sharps.
Q Neutralize disinfectants before discharging into drain/sewer. Keep high-level disinfectants, even if
neutralized, out of septic systems.
Q Decant formalin/formaldehyde from pathological specimens prior to packaging for disposal or reuse.
Q Use digital or other mercury-free devices and instruments whenever possible. Manage mercury-
containing devices (thermometers, fluorescent bulbs, etc.) dangerous waste or universal waste.
Q Don’t dispose of mercury down the drain or in the trash. Always wear gloves when handling mercury
and mercury-containing products. Have mercury spill cleanup kits readily available—don’t allow spills
to be cleaned up without proper materials, equipment, and disposal methods.
Q
R Non-hazardous solid
waste
Packaging •
•
Request less packaging
Purchase in bulk when possible
Recycle; minimize use of hard-to-recycle plastics
and glass; follow hauler’s waste separation
specifications.
• Use reusable totes rather than
cardboard boxes
Q
R Bio-medical waste
Q
Body fluid
Saturated materials
Make sure waste meets standards to reduce total
volume; store in bio-medical waste “red bags;”
Q Blood separate sharps into a puncture-resistant container
labeled “Bio-medical Wast;.” keep bio-medical
Q Sharps
and solid waste separate to reduce costs.
Q
R Glutaraldehyde,
formaldehyde, Q
Chemiclaves
Tissue preservation
• Use autoclaves or sonic
sterilization (see vendor list in
Waste aldehydes are hazardous. Use glycine,
glutarex or formalex to detoxify them. Never
xylene and alcohols Q Embalming Appendix 2 for alternative discharge into a septic tank; use proper ventilation
sterilization methods) and medical monitoring of staff.
Q
R Mercury
Q
Thermometers
Barometers
•
•
Alcohol thermometers
Digital equipment
Dispose or recycle as dangerous waste or
universal waste (see factsheet in Appendix 1)
Q Chemicals • Non-mercury chemicals
Q
R Mercury
Q
Fluorescent bulbs
Mercury switches
•
•
Low-mercury bulbs
Mercury-free switches and
Dispose or recycle as dangerous waste or
universal waste (see factsheet in Appendix 1)
Q Batteries batteries
Q
R Dangerous waste
discharges
Wastewater Don’t pour untreated dangerous or bio-medical
waste into the sewer system. Contact your local
wastewater facility for regulations for your area.
3-6
Biomedical Engineering Services
Biomedical Engineering services provide support to the
maintenance and supply of equipment and devices used in
patient care. Wastes generated include batteries, used equipment
and devices which contain mercury, degreasers and other
dangerous wastes. Determine the proper disposal methods for all
wastes generated.
Q Improve segregation systems for recycling and disposal; never mix different types of wastes.
Recycle whenever possible.
Q Recycle or dispose of mercury-containing devices (batteries, barometers, etc.) intact, not broken,
as universal or dangerous waste. Keep batteries, switches, thermometers, manometers,
barometers, and other mercury-containing items out of the trash.
Q Handle mercury-containing lamps (fluorescent, mercury vapor, metal halide, high-pressure
sodium vapor, or neon) with care: don’t crush them. See Appendix 2 for vendors.
Q Remove the entire flame sensor unit that contains mercury from the appliance that is going to
be disposed. Remove mercury switches using screwdrivers or wire cutters. Store in an airtight
container that is properly labeled “Mercury Devices for Recycling or Disposal.”
Q Have a mercury spill kit available at all times and clean up spills only with proper materials
and equipment. Use gloves to handle spilled mercury and dispose of properly.
Q Collect and store waste electronic equipment and devices in a safe, dry place until properly
disposed – don’t mix them with regular garbage.
Q Store each kind of solvent and waste separately. Store flammables in a specially-marked
storage cabinet or “H” room. Determine if the solvents are dangerous waste and dispose
properly.
Q Don’t dispose dangerous chemicals and their wastes down the drain or into the garbage.
Q Label all containers of dangerous waste legibly and clearly.
Q Maintain all disposal records on-site for five years.
Q
R Municipal solid waste Packaging •
•
Request less packaging
Segregate wastes
Recycle; minimize use of hard-to-recycle
plastics and glass.
Q
R Electronic/computer
waste (lead, mercury- Q
Cathode ray tubes
Monitors
Universal waste; store in a dry, secure
storage area prior to hazardous waste
containing waste) Q Televisions service disposal or recycle with a reputable
reclaimer (see vendor list in Appendix 2)
Q Hard drives
Q
R Mercury
Q
Thermometers
Barometers
•
•
Alcohol thermometers
Digital equipment
Mercury may be recycled or handled as
dangerous waste.
Q
R Mercury
Q
Fluorescent bulbs
Mercury switches
•
•
Low-mercury bulbs
Mercury-free switches and
Universal waste (see Appendix 1)
Q Batteries batteries
Q
R Solvents (alcohols,
ketones and chlorinated
Equipment maintenance • Aqueous-based cleaners Collect, recycle or dispose as dangerous
waste.
compounds)
Q
R Used batteries NiCad, lithium and
others
•
•
Use rechargeable batteries
Use mercury-free batteries
Create a battery collection area and recycle
when full; separate by type.
Q
R Wastewater Dangerous waste
discharges
Keep untreated dangerous and/or bio-
hazardous wastes out of the sewer system.
Contact your local water treatment facility
for regulations for your area.
3-8
Central Sterile Reprocessing and Distribution
Central Sterile Reprocessing and Distribution services use ethylene
oxide (“EtO”) sterilizers, chemiclaves which use formaldehyde or
glutaraldehyde, autoclaves (steam) and chemical disinfection systems.
Sterilization and high-level disinfection operations should be
centralized in your hospital, if at all possible. Nearly all sterilants and
disinfectants designate as dangerous waste—minimize their use to
reduce cost of products and waste disposal.
Designate all wastes to determine if they are dangerous wastes and to determine proper waste management
and disposal. If high-level disinfection is necessary, neutralize with glycine or another aldehyde neutralizer
(see Appendix 2 for vendors) and dispose down the drain if your hospital’s wastewater discharges go to a
wastewater treatment system. If your hospital’s wastewater discharges to a septic system, collect and
dispose disinfectants as a dangerous waste.
All dangerous waste needs to be properly collected, stored, and recycled, treated or disposed of through a
dangerous waste service firm (see Ecology’s Hazardous Waste Services Directory
http://www.ecy.wa.gov/apps/hwtr/hwsd/default.htm).
Q Use durable items such as, towels, instruments, and stainless steel products.
Q Neutralize high-level disinfectants before discharging to sewer. Keep Chemiclave wastewater out of
septic systems; treat as a dangerous waste. Keep Chemiclaves closed.
Q Use scrubbers, combustion units, or gas collection, when using EtO. Use EtO only in well-ventilated
areas; monitor and dispose filter waste as dangerous waste. Don’t dispose of EtO down the drain or emit
into the air.
Q Recycle or dispose of any mercury-containing device (fluorescent, vapor, metal halide, and high-pressure
sodium vapor, or neon lights and lamps, thermometers, etc.) as dangerous waste. Keep out of the
regular garbage. Switch to mercury-free devices and products whenever possible.
Q Use secondary containment and keep spill kits on hand. Train employees on proper use. Don’t try to
clean up spills without proper materials and equipment.
•
R Municipal solid waste Q
Q
Packaging
Paper •
Use durable instruments
Purchase in bulk
Recycle, reuse. Follow hauler’s waste separation
specifications. Segregation and recycling saves on
disposal costs.
Q Disposable items
R Biomedical waste Q
Q
Sharps
Items soaked with blood
Separate solid waste from biomedical wastes;
separation saves on disposal costs.
and/or bodily fluids
R Glutaraldehyde,
formaldehyde,
Q Used in chemiclaves •
•
Autoclaves/sonic sterilization
See alternatives vendor list in
Aldehydes can be neutralized by using glycine or other
neutralizers. Never discharge to septic system. Use
xylene, and alcohols proper ventilation and staff medical monitoring.
Appendices Count as treated dangerous waste.
R Waste water
containing dangerous
Q Dangerous waste • Reduce generation of
dangerous waste (see vendor
Do not dispose untreated dangerous waste or into the
sewer system. Contact Ecology or local wastewater
wastes list in Appendix 2) facility for exact disposal regulations for your area.
•
R Municipal solid waste Q Packaging Request less packaging Use reusable plastic totes instead of cardboard boxes.
R Biomedical waste Q
Q
Sharps
Blood
• Reduce biomedical waste by
separating out solid waste
Use biomedical “red bags.” Separate sharps into
puncture-resistant, clearly-labeled container.
R Air emissions Q
Q
Lab chemicals
Sterilization and
• See list of air pollutants that can’t be
emitted in Appendix 5
Use charcoal filters in hoods and dispose of as
dangerous waste when spent.
disinfection
•
R Glutaraldehyde,
formaldehyde, xylene
Q Used in
chemiclaves •
Use autoclaves or sonic sterilization
Aldehydes can be neutralized
Dangerous waste. Never discharge into septic system.
Use proper ventilation. (Note: Cidex OPA is not
and alcohols recommended as a substitute in chemiclaves.)
R Mercury Q Thermometers,
barometers
• Digital equipment, alcohol
thermometers
Mercury may be recycled or handled as dangerous
waste or Universal Waste .
Q Fluorescent bulbs, • Use low-mercury bulbs and
mercury switches, mercury-free switches and batteries
batteries
3-12
Construction and Renovation
Construction, renovation, and demolition waste in hospitals mainly consists of
solid waste. Hospitals must identify which materials are dangerous waste
including lead shielding, lead paint peelings, asbestos (contained in some
ceiling tiles, floor tiles or heating systems/boilers), demolished equipment
containing lead, mercury, silver and/or cadmium (residuals in drain traps,
gauges, switches, batteries, fluorescent light bulbs, and computer monitors).
Light ballasts may contain PCB’s.
Determine the proper disposal methods for all wastes generated. Mercury is a
toxic, bioaccumulative substance and needs to be managed as dangerous waste.
All dangerous waste needs to be properly collected, stored, and recycled,
treated or disposed of through a dangerous waste service firm (see Hazardous
Waste Services Directory http://www.ecy.wa.gov/apps/hwtr/hwsd/default.htm).
To reduce disposal costs, identify and separate wastes that are recyclable. Some debris is municipal solid
waste, but the volume may warrant separate disposal in an approved construction and debris landfill.
Check with your county health district and solid waste departments on local disposal requirements.
Q Use recycled materials and energy-efficient design principles. See Resource List for Green Guide to
Healthcare.
Q Prevent saw-cut slurries, dirt, leftover paints (including rinse water), solvents, or toxic chemicals from
getting into storm drains, sewer, or septic tanks, or run-off into streets, alleys, or parking lots.
Q Ensure wastewater meets discharge standards before discharging to any drain. Don’t store chemicals
and other hazardous substances or wastes, above or near any drain.
Q Install separate piping for laboratory and sanitary waste when installing new plumbing.
Q Use an asbestos abatement contractor when removing or disturbing asbestos. Don’t use any asbestos-
containing materials when constructing or renovating a facility, or burn any material containing asbestos.
Dispose of asbestos waste properly.
Q Have spill clean up kits, materials, and neutralizing agents readily available. Train employees in spill
preparedness. Clean up spills of hazardous substances immediately and dispose as dangerous waste.
Never handle spilled mercury with bare hands.
Q Manage waste lead paint & debris, asbestos ceiling or floor tiles, materials/equipment containing lead,
mercury, silver or cadmium, batteries, computer monitors, lighting ballasts and thermostats properly –
never put into trash or sewer.
Q Identify and properly manage all demolition debris. Manage municipal wastes separately. Separate
dangerous wastes from wastes like metal and wood wastes, used mattresses, carpeting, solid waste from
construction debris, and furniture. Sort and recycle, don’t mix wastes.
Q Manage mercury-containing lamps (fluorescent, mercury vapor, metal halide, high-pressure sodium
vapor, and neon) correctly; don’t put into the regular trash. Switch to mercury-free thermostats,
fluorescent lamps, switches, floats, temperature control devices, and cleaning products.
Q Improve segregation systems for all wastes to aid with proper disposal and recycling.
Q Replace all plastic tubing/piping containing DEHP (PVC) with tubes that are DEHP-free.
Q For information on materials containing a PCB, go to: http://yosemite.epa.gov/R10/OWCM.NSF/pcb/pcb and
get in touch with the PCB specialist at your Ecology regional office.
R Municipal solid
waste
Q
Q
Packaging
Disposable, single-use items
•
•
Use durable containers
Request less packaging
Recycle cardboard, paper, newspaper, metals
(including steel and aluminum), glass plastics, and
packaging materials. Follow recycler’s separation
specifications.
R Mercury Q
Q
Lamps, switches
Batteries
•
•
Use low-mercury bulbs
Use rechargeable , non-
Recycle. Dispose of properly as dangerous waste or
Universal Waste. See vendor lists in Appendix 2.
Q Drain traps mercury batteries
Q Cleaning products • Use non-mercury
cleaning supplies
R Polychlorinated
Biphenyl (PCB)
Q Light ballasts • Replace old ballasts
with PCB-free ballasts
Dispose as TSCA/dangerous waste. Avoid using any
material containing PCBs.
R Asbestos Q
Q
Flooring felt
Rollboard, corrugated,
• Use asbestos-free
products
Use a registered asbestos removal and disposal firm.
Dispose of all wastes containing asbestos as a
commercial specialty paper dangerous waste or a special waste. See Ecology’s
Hazardous Waste Services Directory at
Q Ceiling “popcorn”
http://www.ecy.wa.gov/apps/hwtr/hwsd
Q Asbestos-containing products
R Contaminated
storm water
Q Runoff from construction
area, lawns, parking areas
• Use barriers to filter
runoff from site
Keep contaminants out of storm water runoff. Do not
dispose of paint or other wastes down the storm drain.
•
R Lead, petroleum-
based paints,
Q Paint, stains, and lacquers Use latex or waterborne
products
Paint chips containing lead must be managed as
dangerous waste. Dispose of properly. Separate
metals, toxic tints • Donate usable items dangerous and Universal Wastes.
R Construction,
demolition debris
Q
Q
Wood
Flooring, etc.
•
•
Recycle
Donate usable items
Paint chips containing lead must be managed as
dangerous waste. Dispose of properly. Separate
dangerous and Universal Wastes.
3-14
Critical Care Services
Critical care services can include these areas:
Burns Neonatal
Cardiac Pediatric
Intensive Care Surgical
Medical
All dangerous waste, including excess gas cartridges, cylinders and cans, needs to be properly evaluated,
collected, stored, and recycled, treated or disposed of through a dangerous waste service firm (see Hazardous
Waste Services Directory http://www.ecy.wa.gov/apps/hwtr/hwsd/default.htm).
Q Biomedical waste, such as material containing blood and bodily fluids, needs to be stored in clearly
labeled red bags or hard, leak-proof containers. Train staff about proper biomedical waste segregation
and disposal.
Q Manage chemicals and wastes properly. Use closed, clearly labeled and dated containers. Store in a
secure area, keeping incompatibles separate in secondary containment. Dispose of properly.
Q Dangerous wastes must be properly managed, it can’t be disposed into the garbage, poured down the
drain, or evaporated into the air.
Q Air pollutant control devices (filters, scrubbers, etc.) should be used on any equipment that could
potentially release emissions into the air. Contact Ecology’s Air Quality Program or your local Air
Quality Authority on the requirements for air pollution control for your area.
Q Separate trace and bulk chemotherapy waste. Trace chemo waste can go into biomedical waste bags;
bulk chemotherapy waste is classified as dangerous waste.
Q Sharps should be stored in a labeled, secured, puncture-resistant, cadmium-free, container especially
designed for sharps. Use the containers for sharps only - no batteries, broken thermometers, or glass.
Q Consider developing a hospital program that donates or sells used equipment and furnishings.
Q Investigate less-toxic alternatives to high-level disinfectants and reverse osmosis water supply
equipment to reduce formaldehyde usage. Keep formaldehyde, glutaraldehyde out of drains and the
sewer unless thoroughly neutralized. Don’t discharge formaldehyde or glutaraldehyde into septic tank,
even if neutralized. Decant formalin and formaldehyde from pathological specimens prior to reuse or
disposal. Distill and reuse alcohol and solvents. Use an alternative to ethylene oxide (EtO) and Bouin’s
solution when available.
Q Use mercury-free devices (electronic sensors, temperature strips, digital thermometers, air-, water-, or
Tungsten-filled gastrointestinal tubes or bougies). Send patients home with digital thermometers.
Q Keep a container for unused pharmaceuticals. Return them to the pharmacy. Keep out of sewer/septic
and garbage.
Q Maintain all disposal records on-site for three years.
R Lindane, cresols,
saline, preservatives,
Q Dangerous waste
pharmaceuticals, patient care
• Use take-back pharmaceutical
programs (see Appendix 4)
Any waste pharmaceuticals, cleaners or
devices that contain mercury are dangerous
flammables, mercury, wastes. See alternative vendor list in
thimerosal • Use pharmaceuticals that don’t Appendix 2.
contain mercury
• Use thimerosal-free products
•
R Glutaraldehyde,
formaldehyde, xylene
Q Used in chemiclaves
•
Use autoclaves or sonic sterilization
Microwave
Use gloves and/or personal protective
equipment. Use proper ventilation. Never
and alcohols • Electron beam discharge into septic system. Detoxify and
• Gas plasma discharge to a treatment plant. (Note: Cidex
• Hydrogen peroxide OPA is not recommended as a substitute in
chemiclaves.)
R Mercury Q Thermometers,
sphygmomanometers
• Digital equipment, alcohol
thermometers, aneroid sphygs
Mercury may be recycled or handled as
dangerous waste or Universal Waste. See
Q Cantor tubes, feeding tubes, alternative vendor list in Appendix 2.
• Tungsten, air, or water weighted
esophageal dilators esophageal dilators and tubes
R Lead Sterilizer/autoclave tape • Non-lead indicator tape Dangerous waste, dispose properly.
3-16
Emergency Care Services
Emergency departments may perform services which include the
decontamination of patients, use of formalin for specimen
preservation, operation of x-ray equipment, management of
photographic chemicals, wastewater, silver recovery and films,
mercury-containing devices, sterilants, high level disinfectants and
waste pharmaceuticals. Biomedical waste in the form of saturated or
free-flowing blood and bodily fluids needs to be placed in red bags or
puncture-resistant containers and labeled for removal as biomedical
waste. Manage sharps the same way, but store separately.
Dangerous waste cannot be disposed in the garbage, down the drain, or evaporated to the air. All
dangerous waste needs to be properly stored, and recycled, treated, or disposed through a hazardous waste
firm. See Ecology’s Hazardous Waste Services Directory at http://www.ecy.wa.gov/apps/hwtr/hwsd/default.htm.
Q Dangerous waste that is also biomedical waste must be disinfected, then disposed as dangerous waste.
Consider replacing hazardous substances and mercury-containing devices with less-toxic alternatives.
Q Manage regulated biomedical wastes—soiled or blood-soaked non-dangerous wastes, culture swabs,
tissues/organs, sharps, blood products, bodily fluids or isolation waste—properly, in red bags. Keep out
of the garbage or sanitary sewer. Collect sharps separately; don’t place sharps in red bags.
Q Store all chemicals used for preserving tissues (formaldehyde, formalin, etc.) in a separate and secure
area and dispose of as dangerous waste. Keep chemicals out of sinks and sewer system.
Q Segregate each type of waste— dangerous, biomedical, sharps, radioactive, recyclables, or municipal
solid waste. Sort and recycle wastes including solid waste and hazardous wastes.
Q Recycle film and spent fixer or dispose as a dangerous waste, never put down the drain. Comply with
all local and state regulations. Don’t mix spent fixer waste with x-ray processor cleaning agents if they
contain chromic acid, i.e., Kodak’s Liquid Developer System Cleaner. If recycled on-site, use a two or
three-stage silver recovery canister system. Contact your local wastewater treatment facility to make
sure all local discharge limits are met with the silver recovery system used.
Q Collect high-level disinfectants (i.e., glutaraldehyde) and dispose as dangerous waste. Glutaraldehyde,
ethylene oxide, and anesthetic gas waste are a health hazard; don’t release into air or water. Always use
proper ventilation when using these chemicals.
Q Use filtered or separate ventilation system in decontamination areas for hazardous emissions.
Q Contain wastewater in decontaminated areas in a sump tank. Properly store all decontamination waste
water until treated and prior to sewer discharge.
Q Keep chemical cleaning and disinfecting agents, or their respective waste water, and any chemical
containing mercury out of the drains and sanitary sewers. Dispose cleaners and soaps as dangerous
waste if they contain mercury (Alconox soap, Derma scrub).
Q Dispose Miller-Abbot, Cantor tubes or bougies as dangerous waste, not in the trash or red biomedical
waste bags. Close, label and date the container.
Q Manage epinephrine and used epinephrine residual containers as extremely hazardous waste.
Never dispose of pharmaceutical waste into the garbage or down the drain.
Q •
R Glutaraldehyde and
other high level Q
Medical devices
High level disinfection
Hydrogen peroxide, peracetic acid,
acetic acid (Sporox, Cidex OPA, Steris
Glutaraldehyde is dangerous waste and must be
counted toward dangerous waste generation or
disinfectants Q Chemiclaves 20 Sterrad 5, Sterrad 100S, Sterilox neutralized and discharged to the sewer. Use air
Q Cold sterilization 2501, Metrex Compliance) and medical monitoring and proper ventilation.
Q •
R Mercury
Q
Thermometers
Sphygmomanometers •
Use digital devices
Replace GI tubes with air, water, or
Dispose as either Universal or dangerous waste.
Hurst and Malone have mercury and PVC-free
Q Cantor/Miller-Abbot Tungsten-filled tubes gastrointestinal tubes available.
tubes • Use mercury/PVC-free gastrointestinal
tubes
•
R Mercury, NiCad,
lithium, heavy metals
Q Used batteries
•
Use rechargeable batteries
Use non-mercury batteries
Use separate collection bin for each battery type
and dispose as Universal or dangerous waste.
•
R Formaldehyde/
formalin
Q Tissue preservation Use turpine, ethylene, or propylene
glycol-based preservatives
Bio-hazardous waste needs to be disinfected and
neutralized or disposed as dangerous waste.
Q •
R Silver (fixer solution
effluent, steel wool Q
Radiology films
Fixer and developer
New, efficient processors or digital
processors.
Reclaim or dispose as dangerous waste. Recycle
fixer on- or off-site.
filter) Q Silver recovery • Use metallic replacement or electrolytic
materials deposition for silver recovery
•
R Lead Q Shielding from
radiology
Recycle lead from shields; dispose as a dangerous
waste.
•
R Air emissions Q EtO sterilization Switch to Steris or Sterrad (see vendor
list in Appendix 2)
EtO is a known carcinogen.
•
R Chromium (chromic
acid)
Q X-ray processor
cleaning agent
Use cleaners without chromium (see
vendor list in Appendix 2.
Never mix chromium-containing cleaner waste
with spent fixer.
3-18
Emergency Dental Services
Dentistry generates a variety of dangerous (hazardous),
universal, biomedical, and municipal solid waste.
This page provides information on proper waste management
and possible alternatives for using less-toxic products and
reducing the generation of certain wastes.
Q Mercury is toxic and bioaccumulative. Dental amalgam is a concern if discharged into the sewer.
Contact your publicly owned treatment works for local regulations and guidelines. Collect and manage
amalgam for recycling or disposal as dangerous waste. Do not disinfect with bleach.
Q Other dangerous wastes of concern in emergency dentistry include fixer (silver), lead shields and
packaging, high-level disinfectants and sterilizers, waste pharmaceuticals, and mercury-containing
devices.
Q Use precapsulated amalgam alloys, not bulk mercury. Recycle used amalgam capsules, salvage, store,
and recycle non-contact scrap amalgam and recycle salvage contact amalgam pieces from restorations
after removal.
Q Disinfect extracted teeth that contain amalgam restorations. Check with your recycler to see if they will
accept extracted teeth with amalgam restorations. Don’t dispose of used amalgam capsules, non-contact
or contact amalgam waste, nor extracted teeth that contain amalgam in bio-medical containers into
municipal solid waste. Never flush amalgam waste down the drain, or rinse vacuum pump filters, chair-
side traps, or other amalgam collection devices into drains or sinks.
Q Collect and recycle amalgam from separators, chair-side traps, vacuum pump filters or other amalgam
collection devices. Install ISO 11143-approved amalgam separators in your department.
Q Never place uncovered hands directly into cold sterilants—use nitrile gloves and aprons. Sterilants
which contain glutaraldehyde are an inhalation hazard. Use products with ortho-phthalaldehyde that
are glutaraldehyde-free. See vendor list in Appendix 2.
Q Keep cold sterilant containers covered. Neutralize cold sterilants with an appropriate neutralizer before
discharging into drain/sewer.
R Biomedical waste Q Sharps • Separate municipal solid waste Store/dispose biomedical waste in red
Q Materials saturated with blood (sharps in separate container) bags or puncture-resistant containers. Use
and/or bodily fluids biomedical waste hauler and facility.
R Mercury Q Fluorescent bulbs • Low-mercury bulbs Universal Waste: see fact sheet and
Q Mercury switches • Mercury-free switches vendor list in Appendices 1 and 2.
Q Batteries
• Mercury-free batteries
R Dangerous waste
pharmaceuticals
Q
Q
Cresols and Lindane
Mercury-based preservatives
• Return to manufacturer See Ecology pharmaceutical fact sheet in
Appendices.
• Use reverse distributor
R Glutaraldehyde,
formaldehyde, xylene
Q Used in chemiclaves • Autoclaves (neutralize aldehydes
by using glycine, glutarex, or
Never discharge into septic system. Use
proper ventilation. Check if it can be
and alcohols formalex); discharge to a sewer discharged to your POTW. (Note: Cidex
system OPA is not recommended as a substitute
in chemiclaves)
R Glutaraldehyde Q Cold sterilization • Cidex OPA, nitrile gloves and Never discharge into septic system and
personal protection equipment neutralize prior to sewer discharge.
• Use proper ventilation
R Silver Q
Q
X-ray
Fixer
• Recycle on- or off-site Manage as dangerous waste or recycle.
Don’t discharge waste water.
R Lead Q
Q
Lead boxes and foil packets
Aprons
• Recycle (see vendor list in
Appendices)
Dangerous waste.
R Chromium Q X-ray cleaners • Use non-chromium cleaners Dangerous waste. See Appendix 2.
3-20
Endoscopy and Cardiac Catheterization Services
There are several sources for the generation of dangerous
wastes, such as mercury-containing devices,
pharmaceuticals, sterilants, sharps, biomedical,
disinfectants, and chemotherapy wastes. High-level
disinfectants and sterilants such as glutaraldehyde and
ethylene oxide gas (EtO) represent significant health and
environmental hazards when released to water or air.
Mercury-containing products and devices need to be
managed properly.
Q Stop using feeding tubes, Cantor Tubes, Miller-Abbot Tubes, incubators, dilators, refrigerators,
sphygmomanometers, thermometers, and other items that have mercury in them. Recycle or
manage these items as universal waste.
Q Replace plastic tubing & vinyl bags containing DEHP (PVC) with DEHP-free tubes wherever
possible.
Q •
R Municipal solid
waste Q
Packaging
Disposable one-use items •
Request less packaging
Use durable totes
Recycle whenever possible. Dispose properly.
Use proper segregation.
Q
R Dangerous waste
pharmaceuticals
Patient medications (cresols,
lindane, mercury-based
•
•
Send back to manufacturer
Use reverse distributor
Never store over drains. See pharmaceutical
waste information in Appendix 1.
(including those preservatives like thimerosal
containing mercury) and saline)
Q •
R Mercury
Q
Thermometers
Sphygmomanometers and •
Digital monitor devices
Tungsten, air or water-filled
Dangerous waste, recycle or dispose properly.
See resource list in Appendix 3. Hurst and
other monitoring equipment GI tubes Malone have mercury-free and PVC-free GI
Q Cantor and Miller/Abbot tubes
• Mercury/PVC-free tubing tubing.
• Non-mercury devices
Q Esophageal dilators
Q •
R Mercury
Q
Fluorescent bulbs
Mercury switches •
Low-mercury bulbs
Mercury-free switches
Manage as dangerous or Universal Waste.
See fact sheet in Appendix 1.
Q Batteries
• Rechargable batteries
Q
R Glutaraldehyde and
other high-level
Medical device high-level
disinfection: chemiclaves and
• Hydogen peroxide, peracitic
acid, acetic acid (Sporox,
Glutaraldehyde use requires proper
WISHA/OSHA-approved ventilation system
disinfectants cold sterilization Cidex OPA, Steris 20 Sterad 5, and air and medical monitoring.
Sterad 100S, Sterilox 2501, Glutaraldehyde also needs to be counted
Metrex Compliance) See toward your dangerous waste generation. It
vendor list in Appendix 2 can be neutralized and discharged to the
sewer. See list of neutralization products in
the vendor list in Appendix 2.
Q •
R Lead Autoclave indicator tape See Appendix 2 Dangerous waste, manage properly.
Q
R Air emissions Sterilization (EtO) • See vendor list in Appendix 2
for Steris, Sterrad sterilizers
EtOs must be registered as an air pollution
source.
3-22
Food Services
Large amounts of meat, vegetables, and canned goods are used in
hospital food service departments. This can generate substantial
quantities of solid and organic wastes. Special wastes such as grease
from fryalators need special collection and disposal systems to avoid
disposing down the drain or as solid waste. Wastewater from
dishwashing and food preparation must be monitored to avoid
excess grease, harsh chemicals, or an excessive amount of organic
substances being discharged into the sewer.
Q Investigate food recovery programs to reduce food waste going to landfills and reduce waste costs.
Consider giving food waste to farmers as feed stock. Be sure that meat and other animal products are
not used in feed stock. Check with your County Health Department for guidelines.
Q Avoid preparing excessive amounts of food and garnishes. Donate excess food to charitable
organizations.
Q Consider on or off-site composting programs, for vegetative food wastes. Consider working with other
local businesses in your area to combine composting efforts to reduce costs.
Q Use durable food service items (trays, covers, utensils, cups, plates, glasses, napkins, etc.). Eliminate
individual condiment packaging. Use bulk milk dispensers, not individual milk cartons. Ask suppliers
to reduce packaging.
Q Recycle glass, cans, cardboard, plastics, and paper, whenever possible. Keep food waste out of
containers you want to recycle. Avoid throwing away items that can be reused. Recycle kitchen
greases—don’t throw them into garbage, septic, sewer, or down the drain.
Q Store, label, maintain, and dispose of chemicals properly. Use secondary containment. Replace toxic
chemicals with less-toxic alternatives. Don’t store toxic/hazardous chemicals near drains or above sinks.
Keep chemicals to be discarded out of the trash; don’t discharge into any drain, sewer, or septic tank.
Q Keep area clean and free of unnecessary items and food debris that will attract unwanted pests. Reduce
the use of chemical pesticides and seek non-chemical or less-toxic products and methods for pest control.
Implement an Integrated Pest Management Plan.
Q Avoid the purchase and/or use of mercury-containing devices or products. Keep mercury devices out
of the trash—recycle or manage as dangerous or Universal waste.
Q Maintain all disposal records on-site for five years.
Q •
R Municipal solid
waste Q
Packaging
Disposable items
Request less packaging from
suppliers
Compost food waste or donate to farms for feed stock.
Check for local restrictions for donating feed stock.
Q Food and kitchen • Use durable materials
waste • Compost food waste
• Donate excess food to charities
Q •
R Dangerous waste
chemicals Q
Decalcifiers
Cleaners
Use least-toxic chemicals
available
See vendor information in Appendix 2.
Q Degreasers/solvents
Q •
R Pesticides Pest control Use Integrated Pest
Management (IPM) practices,
See resource list in Appendix 3 for more information on
IPM.
including non-chemical
alternatives
•
R Mercury-containing
devices, such as
Q
Q
Refrigerators
Ovens
Use digital devices Eliminate mercury-containing devices or manage as
dangerous or Universal waste.
thermometers
Q Other heating units
Q Temperature
monitoring devices
•
R Kitchen grease Q Cooking/frying food Recycle through waste kitchen
grease and oil recycler
Don’t dispose in the trash or down the drain.
Q •
R Wastewater
Q
Washing food
Dishwashing
Reduce the fats, grease and
organic materials going down
Check with your local publicly owned wastewater
treatment facility for requirements. Discharge only when
Q Cooking the drain wastewater meets local discharge limits.
R Electronic waste Q
Q
Computers
Equipment
Dangerous waste: Recycle, reuse. Dispose properly.
See vendor list in Appendix 2.
3-24
Grounds Keeping
Conventional grounds keeping uses a variety of fertilizers and pesticides
(herbicides, fungicides, insecticides, rodenticides, and anti-bacterial
agents) to promote healthy plant growth and eliminate pests, molds, and
bacteria. Many pesticides are extremely hazardous or dangerous, and
emit volatile organic compounds into the air during and after application.
Many fertilizers cause unwanted environmental side-effects.
Because all dangerous waste needs to be collected, stored, and recycled, treated or disposed appropriately, it
pays to reduce the generation of these wastes. Contact a hazardous waste firm to assist you in Ecology’s
Hazardous Waste Services Directory at http://www.ecy.wa.gov/apps/hwtr/hwsd/default.htm.
Q Compost yard wastes on- or off-site. Use compost and mulching for pest reduction.
Q Limit or eliminate copper-based root control products.
Q Follow state regulations for on-site daycares.
Q Avoid high-maintenance, pest-attracting, invasive, or non-native plant species. Use drought-tolerant,
slow-growing, native plants to reduce chemical and water use. Use a timed watering system during the
night; don’t use sprinklers during the day.
Q Don’t over-treat/use excessive amounts of pesticides to the point of runoff. Avoid mixing excess
fertilizer or pesticide material resulting in “leftovers.”
Q Use less-toxic products for pest control, post notices/flags at entrances and application sites. Implement
an Integrated Pest Management Plan. Identify and eliminate the causes of a pest population, rather than
just treating the symptom.
Q Establish preventive measures: coarse mulch for weed control, trim vegetation away from buildings,
mow grass to 2 inch height, etc.
Q Label waste pesticide name and storage date on containers. Clean and dispose of pesticide containers in
accordance with Appendix 1.
Q Clean up spills immediately and properly, and report them if necessary. Use secondary containment.
Q Dedicate equipment for compatible spraying. Don’t mix incompatible chemicals or rinse water. Use
container rinse water as make-up water for compatible pesticide spray solutions.
Q “The Label is the Law”—read pesticide labels carefully. Never mix materials which have labels
indicating they cannot be legally applied to the same site.
Q Protect outside environment from your operation’s pollutants; provide environmental protection and
waste reduction training to employees annually.
Q Keep disposal records on-site for five years.
Q •
R Municipal solid
waste Q
Packaging
Disposable items •
Request less packaging
Use reusable totes/ containers
Recycle and reuse whenever possible. Manage pesticide
containers appropriately.
Q •
R Green waste Grounds maintenance Reduce waste by using IPM Compost green waste. See resource list in Appendices.
Q •
R Organophosphates,
chlorinated or heavy
Pesticides and
fertilizers for pest and
Use Integrated Pest
Management practices (see
Use pest-resistant and native species. Use organic
gardening methods. Use non-chemical/least toxic
metals, other weed control, ground resource list in Appendix 3) alternatives (Appendix 3). Minimize use of dangerous
chemicals maintenance waste chemicals. Follow special state regulations for on-
site daycare centers.
•
R Pressurized canisters
and containers
Q
Q
Sprayers
Pesticide containers
Use refillable containers
(always triple rinse before
Rinsates may designate as dangerous waste. Return
pressurized canisters or containers for refill or reuse to
using another product) distributor.
Q Fertilizer containers
•
R Contaminated
pesticide containers
Q
Q
Pesticides
Fertilizers •
Rinse/wash
Return for recycling
Dangerous waste: manage properly.
•
R Dangerous waste
contaminated
Q Drains, washing
equipment and cleaning
Use rinse water as part of
pesticide application
Avoid creating contaminate rinsewater. Reuse as make-
up water for compatible sprays. Contaminate
wastewater out containers wastewater can be a dangerous waste. Contact your
local POTW for disposal requirements.
Q •
R Air emissions Chemical pesticide
spraying or evaporation
Minimize use of volatile
organic pesticides
Avoid creating dust and don’t allow material to blow
around. Cover containers to avoid evaporation.
•
R Pesticide or fertilizers
contaminated storm
Q The application of
pesticides and fertilizers
Use pest resistant native
vegetation species that require
Do not allow runoff of pesticides and fertilizers.
Minimize the use of water pesticides and fertilizers by
drain runoff Q Vegetation watering less use of pesticides and using IPM and Xeriscape techniques.
watering
3-26
Housekeeping and Facility Services
Housekeeping duties in a hospital involve a variety of techniques
and equipment to maintain surfaces such as floors, using strippers,
waxes, and cleaners. Housekeepers are also often in charge of
collecting, transporting, and overseeing the storage of all wastes
generated including solid, bio-hazardous, and dangerous wastes.
The operation of equipment which employs hydraulic fluids may
be involved as well. Many cleaning agents, disinfectants, and
detergents may contain formaldehyde or other toxic chemicals. It is
important employees learn how to work safely with the products
they use and how to use safer alternatives when available.
Q Keep items that can be recycled or that must be disposed of as a dangerous waste out of the
garbage/sewer/septic. Wastes and recyclables should be stored separately.
Q Segregate and store biomedical, solid, and dangerous wastes and recyclables. Segregate non-compatible
materials. Dangerous waste needs safe, clearly labeled containers with secondary containment.
Q Use only zinc-free floor waxes or strippers and tri-butyltin-free toilet cleaners, disinfection products, and
carpet and upholstery cleaners. See vendor list in Appendix 2.
Q Have spill preparedness procedures clearly posted, and spill cleanup materials and neutralizing agents
easily available at strategic locations. Provide spill-preparedness training for employees. Clean up
hazardous waste spills immediately and dispose properly. Have Material Safety Data Sheets (MSDS) for
all chemicals available to staff. Don’t throw spilled dangerous or biomedical waste in the garbage.
Q Minimize packaging by buying chemicals in bulk, in concentrated form, to dilute at time of use.
Q Keep concentrated disinfectants out of sanitary sewer. Thoroughly neutralize cold sterilants before
discharge into drains/sewer.
Q Use less-toxic disinfectants. See vendor list in Appendix 2. Don’t use phenolic disinfectants unless
required for certain pathogens.
Q Use refillable, automatic soap and lotion dispensers, bulk containers for cleaning chemicals. Use air
hand-dryers instead of paper towels. Avoid using hand soaps with disinfectants (anti-microbial) unless
necessary—disinfectants become less effective when overused.
Q
R Municipal solid waste
Q
Packaging
Disposable items
•
•
Request less packaging
Use vendor take-back programs
Recycle glass, cardboard, aluminum cans,
scrap wood and metal, etc., whenever
possible.
Q
R Mercury
Q
Fluorescent bulbs
Batteries
• Use rechargeable batteries, non-
mercury batteries
Universal waste: keep bulbs and lamps intact;
recycle. Clean up mercury spills properly and
Q keep spill kits readily available. See Appendix
Monitor devices • Use low-mercury, green tip
2 for vendor alternative list.
Q Mop water from fluorescent bulbs
cleaning floors
Q
R Chemicals, waxes
Q
Cleaning
Disinfecting
• Eliminate strippers and waxes
containing zinc.
Use least-toxic products, avoid spills, prepare
only needed amount. Store in secondary
Q containment. Never discharge concentrated
Maintaining surfaces • See vendor list in Appendix 2
disinfectant into sewer.
for alternatives.
Q
R Pesticides Pest control • IPM (see resource list in
Appendices)
Use non-chemical pest control.
Q
R Glutaraldehyde Cidex,
Glutarex, Sonacide Phenolic Q
Cold sterilization
Preservation
• Consider quaternary amine
disinfectants, Cidex OPA,
Avoid glutaraldehyde (inhalant hazard) use;
use ventilation hood and personal protective
disinfectants Q Disinfection peracitic acid gear. Never discharge into septic. Neutralize
and discharge to sewer.
Q
R Tributyltin (chloride,
neoeconate, bis tributyltin
Mildew control in
shampoos, lavatory and
• See vendor list in Appendix 2 Pesticide wastes are dangerous wastes.
Q
R Biomedical wastes Body fluid, parts or
tissue
• Separate solid waste from bio-
hazardous
Great cost savings can be achieved by
separating wastes.
Q Body fluid saturated
3-28
Incineration/Boilers
Biomedical waste including pathological waste, waste contaminated
with trace amounts of chemotherapy products and sharps are likely
candidates for incineration. Incineration of hospital municipal solid
waste is also a concern for good reason: PVC plastics make up a large
part of the hospital’s waste stream, and are converted to toxic dioxins
when burned. Improper incineration temperatures and incineration of
mercury-containing wastes are other air pollution concerns.
Your hospital is responsible for how its waste is managed and disposed.
Take dioxin and mercury emission concerns into account when
managing waste incineration on-site. To reduce toxic air emissions,
incinerate only required bio-hazardous wastes and attempt to use non-
combustion methods such as autoclaves and microwaves for the rest of
the biomedical waste. Always use proper waste segregation methods to
decrease contaminants being emitted to the environment.
Boiler air emissions are also a concern. Follow the new source performance standards for operation
requirements for industrial boilers. Store and manage boiler treatment chemicals, keeping
incompatibles separated and stored in secondary containment. Boilers, fuel tanks, and back-up
generators also need to be registered with the local air authority or Department of Ecology.
The following section provides information on proper waste management and possible alternatives for
using less-toxic products and reducing the generation of certain wastes.
Q Monitor air emissions (i.e., dioxins, mercury, and cadmium) and hazardous substances
(formaldehyde, glutaraldehyde, etc.) with inhalation concerns used for disinfection (i.e.,
autoclaves, incinerators).
Q Regulate PM10 (particulate), nitrogen oxides and sulfur dioxides from new boilers. Use
scrubbers/filters to keep nitrogen oxide and sulfur dioxide from boilers out of the atmosphere.
Don’t release air emissions and residual wastes into the environment until properly removed or
treated.
Q Replace incinerators with alternative types of equipment for sterilization of biomedical wastes.
Q Keep metals and suspended solid waste from incinerators out of the public sewer system.
Q Ensure that all hazardous waste containers are closed, clearly labeled, and stored properly with
secondary containment.
Q
R Municipal solid
waste Q
Packaging
Disposable items
•
•
Recycle
Request less packaging
Follow hauler’s waste separation specifications.
Q
R Biomedical waste
incineration Q
Pathological waste
Chemotherapy
• Consider non-combustion
methods (autoclaves and
Store biomedical waste in non-cadmium “red bags;”
never throw them in the garbage.
substances microwaves)
Q Contaminated waste
Q Sharps
Q
R PVC (gas dioxins) Incineration • See vendor list in Appendix 2 Use non-PVC products. Don’t incinerate on-site.
Q
R Cadmium
Q
Pigment/colorant
Incineration
• Use cadmium-free red bags Use of cadmium-free red bags.
Q
R Formaldehyde used
as a tissue fixative
Incinerator emissions •
•
Don’t incinerate.
Use alternative fixatives
See vendor list in Appendix 2. Direct all departments
to separate formaldehyde and neutralize or dispose as
a dangerous waste.
Q
R Dangerous and
biomedical waste
Sewer disposal • See vendor list of safer
alternatives in Appendix 2
Do not pour dangerous or bio-hazardous wastes into
the sewer system. Contact your local wastewater
being discharged in facility for local regulations. Implement condensing
the sewer system hot water boilers.
Q
R Hydrochloric acid,
dioxin/furan, lead,
Air emissions • Non-combustion equipment
such as autoclaves, or
Incinerate only those bio-hazardous substances that
are required to be incinerated. Use other disposal
cadmium, mercury microwave treatment methods for other bio-hazardous waste.
3-30
Inpatient Care Services
Surgical, orthopedic, neurology, urology, cardiac, psychiatric/behavioral
health, geriatric, palliative care, maternal/child care (labor &
delivery/birthing, postpartum care, and nursery), pediatrics, and
rehabilitative care are all part of inpatient care services. Services such as
dialysis and oncology may be administered in this department as well.
The following section provides information on proper waste management, less-toxic alternatives, and
reducing the generation of certain wastes.
Q Use a system to collect “soft” trace chemotherapy wastes in biomedical bags and “sharp” trace
chemotherapy wastes in rigid, leak-proof containers (must be labeled “for incineration only” at
time of generation).
Q Replace all plastic tubing and vinyl bags containing DEHP (PVC) with tubes that are DEHP-free.
Q Store radionuclide waste properly for the designated time period to allow for proper decay to non-
hazardous levels, then dispose of properly—not into the trash.
Q Collect all reverse osmosis system and dialysis equipment disinfection waste containing
formaldehyde, and dispose of as dangerous waste.
Q Keep chemiclaves, etc. covered.
Q Recycle old lead shields as dangerous waste.
Q •
R Biomedical waste
Q
Blood, body fluids
Specimens
Reduce volumes by segregating
out solid waste
Store in biomedical “red bags.”
Separate sharps into a puncture-
Q Sharps resistant, clearly labeled container.
Q •
R Dangerous waste
pharmaceuticals and chemo
Medical procedures
(epinephrine)
See list of dangerous waste
pharmaceuticals in Appendix 1
Label/store according to requirements.
Segregate non-compatible materials.
Q •
R Mercury
Q
Fluorescent bulbs
Mercury batteries/switches •
Use low-mercury bulbs
Mercury-free batteries/switches
Universal wastes, see fact sheet in
Appendix 1.
Q •
R Mercury-containing devices
Q
Thermometers
Sphygmomanometers •
Use digital devices
Air or water, or Tungsten-filled
Dangerous waste, keep separate from
other types of dangerous waste. Hurst
Q Cantor/Miller-Abbot tubing GI tubing and Malone have GI tubing that is
Q Other devices • Alcohol thermometers mercury and PVC free (Appendix 2).
Q •
R Cleaning solutions and
high-level disinfectants Q
Sanitizing
Disinfecting
Acetic acid, peracetic acid and
hydrogen peroxide
Do not use halogenated hydrocarbon
solvents. Never release into the septic
(glutaraldehyde, • Aqueous reagents and alcohols system. Consider sonic rather than
formaldehyde) chemical sterilization. Neutralize
aldehydes prior to disposal in sewer.
Q •
R Chemicals used in
leatherwork /plastic-casting
Rehabilitation/prosthesis
devices product settings
Minimize the amount of
dangerous waste generated
Evaluate wastes to determine if they
designate as dangerous wastes.
Q •
R Air emissions Sterilization and disinfection Consider sonic sterilization Use local exhaust ventilation. Use
personal protective equipment.
Q
R Radionuclides (Nuclear
medicine) Q
Tritium
Iodine-125
• Use less-radioactive isotopes Hold radionuclides in a safe place until
they are considered non-radioactive,
Q Carbon-14 then dispose of the remaining material.
Q
R Lead Lead radiation shields • See vendor list for alternatives
(Appendix 2)
Make sure old lead shields are recycled
or disposed as dangerous waste.
3-32
Kidney Dialysis Department
The Kidney Dialysis Department generates wastes such as
biohazardous, hazardous and municipal solid waste. Staff in this
department need to determine the proper management and disposal
methods for all their wastes. The following section provides
information on proper waste management and possible alternatives for
using less-toxic products and reducing the generation of certain wastes.
Q Collect all waste from reverse osmosis and dialysis equipment. Neutralize or dispose as dangerous
waste.
Q Manage glutaraldehyde and other high-level disinfectants properly. Keep away from drains.
Q Find ways to reduce formaldehyde use such as reverse osmosis equipment and reusing redistilled
solutions. Keep liquid waste out of the drain or sink.
Q •
R Municipal solid
waste Q
Packaging
Disposable, single use •
Request less packaging
Use reusable totes, recycle
Recycle; minimize use of hard-to-recycle plastics and
glass. Follow hauler’s waste separation specifications.
items Purchase in bulk.
Q •
R Biomedical waste
Q
Blood, body fluids
Sharps
Separate solid waste from
biomedical waste
Make sure waste meets standards to reduce total
volume. Store in biomedical “red bags.” Separate
sharps into a puncture-resistant, clearly labeled
container.
Q •
R Dangerous waste
pharmaceuticals
Patient care
•
Send back to manufacturer
Use reverse distribution
Dangerous waste: Label/store according to
requirements.
Q •
R Mercury
Q
Thermometers
Sphygmomanometers •
Use digital equipment
Low- or non-mercury bulbs and
Dangerous waste: keep separate from other types of
hazardous waste. Don’t handle with your bare hands.
Q Other monitoring devices batteries Know the location of the nearest mercury spill kit.
Q Fluorescent bulbs • Non-mercury cleaning agents
Q Batteries • Alcohol thermometers
Q •
R Glutaraldehyde,
formalin, Q
Cold sterilization
Disinfection
Alternative sterilization
equipment
Use other chemicals or processes to avoid using
glutaraldehyde (e.g., reverse osmosis equipment,
formaldehyde, • Bleach, acetic acid, peracetic recycle/reuse solution). Enclose operation areas. Use
cleaning solutions acid or hydrogen peroxide local exhaust ventilation. Hand and store properly.
• Neutralize with deactivation Use personal protective equipment. You cannot
compound legally dilute to meet discharge limits. Dilution is not
an allowed treatment method. Only discharge to
sewer if meets local limit of 1% or less.
Q •
R Wastewater
containing dangerous Q
Patient care
Disinfection
See vendor lists in Appendix 2 Don’t dispose dangerous waste into the sewer.
Contact your local public wastewater facility for
waste regulations for your area.
3-34
Laboratory Services: Testing, Pathology & Histology
Laboratory testing involves many different processes which generate
dangerous waste such as halogenated hydrocarbon-containing
solvents, xylene, alcohols, formalin, disinfectants, mercury-containing
chemicals and devices, stains and other hazardous substances.
Q Dispose of wastes from cell culture and stains as biomedical/infectious waste unless approved to
discharge to your wastewater treatment facility.
Q Don’t dispose of: - microbiological or xylene waste generated from cleaning slides, solvents used
for thin-layer or gas chromatography (i.e., chloroform, methylene chloride, etc.), waste from the
titrametric analysis of chloride in sweat, copper or chromium reagents used in protein, stool, or
albumin testing down the drain or into the trash. Dispose of as dangerous waste.
Q Store radionuclides in a safe place for the designated time period for proper decay to non-
hazardous levels, then dispose of properly as dangerous waste. Never dispose of radionuclides in
the trash. Dispose of dangerous waste generated by atomic absorption spectrophotometer analysis
properly.
Q Store all staining supplies in a secure storage area and dispose of as dangerous waste.
Q Dispose/recycle cathode tubes, bubbler traps and other mercury-containing devices as dangerous
waste or universal waste, never into the regular trash.
Q •
R Municipal solid waste Packaging Request less packaging from
suppliers
Follow hauler’s waste separation
specifications. Purchase in bulk.
• Minimize use of hard-to-
recycle plastics and glass
Q •
R Mixed biomedical waste Preserved tissue specimens Reduce by separating solid and
biohazardous waste
Dispose of as required by law. Keep sharps
separate.
Q •
R Chemical wastes:
alcohols, xylene, toluene,
Laboratory testing and cleaning Use premixed testing kits
involving solvent fixation, non-
Dangerous waste. Never dispose of
chemicals to a septic system. Recycle
n-butyl acetone, picric halogenated compounds, xylene, formaldehyde, alcohol and acetone.
acid, acids and bases, simple alcohols or ketones, Reuse or recover solvents through
phenols and other aqueous reagents (Alconox), distillation. Consider sonic sterilization
dangerous waste replace xylene with Histosolve. instead of chemical sterilization.
•
R Mercury Q
Q
Calibration manometer
Thermometers •
Use digital equipment
Alcohol thermometers (see
Recycle mercury or dispose as dangerous
waste.
vendor information in
Q Incubators
Appendix 2)
•
R Mercury Q
Q
Fluorescent bulbs
Mercury switches
Use low-mercury bulbs (T-5, T-
8) and mercury-free batteries
Universal waste. See fact sheet in Appendix
1.
and switches
Q Batteries
•
R Mercury, mercuric
nitrate, sulfate or oxide;
Q Zenker’s, B-5 solution, tissue
fixatives and process chemicals
Use mercury-free fixatives and
other chemicals (see vendor
Dangerous waste. Don’t dispose of
chemicals or testing wastes down the drain
sodium iodate, silver (formalin, still bottoms), filter paper, information on less-toxic or in the trash. Many chemicals contain
nitrate, copper sulfate, B-5 recovery supernatant, rinsate, alternatives in Appendix 2) minute amounts of mercury, but don’t list it
Zenker’s, B-5 and Helley’s alcohol, pigment removal waste, as an ingredient. Please contact supplier
fixative: zinc formalin section shavings, and tissue blocks and request mercury-free products.
Q •
R Chromic acid Cleaning glassware See vendor list for alternatives
in Appendix 2
Dispose as dangerous waste.
3-36
Laundry and Linen Services
Hospitals that provide laundry services on-site may have
concerns, such as water and energy use, wastewater discharges,
boiler chemical use, industrial detergents, disinfectants, chemicals,
metals, and biomedical wastes.
Q •
R Municipal solid
waste Q
Packaging
Disposable items
Request less packaging Recycle and reduce packaging. Use reuseable
totes/containers when possible.
Q •
R Solvents, decalcifiers,
degreasers, Q
Cleaning
Disinfecting
Use least-toxic chemicals
whenever possible
Only use non-chlorinated solvents, recycle, consider
automated bleach pump to machines to prevent
disinfectants, bleach, Q Decalcifying spillage, use most dilute form hydrogen peroxide.
hydrogen peroxide
Q •
R Mercury Temperature control and
monitoring devices and •
Use digital equipment
See vendor lists in Appendix 2
Mercury is dangerous waste. Recycle. Replace all
mercury-containing devices with non-mercury
switches devices. Be sure wastewater meets local POTW
Q Bleach standards.
Q Sodium hydroxide
Q •
R Water usage and
wastewater
Cleaning linens Use energy and water
conserving equipment
Make efforts to reduce wastewater. Conserve by
recycling gray water and purchase water efficient
discharges • See vendor lists in Appendix 2 equipment (tunnel washers and other automated
systems).
Q •
R Dangerous waste
contaminated Q
Disinfectants
Cleaners •
Use less-toxic products
See vendor lists in Appendix 2
No dangerous waste can be disposed down the drain.
Check with your local POTW about discharge limits
wastewater Q Detergents for your area.
Q •
R Dry cleaning solvents
(PERC)
Air emissions Use non-solvent dry cleaning
methods
Most dry cleaning solvents and filters are dangerous
waste.
Q •
R Electronics and
electrical equipment
Computers and other
equipment •
Recycle
See vendor lists in Appendix 2
Dangerous waste if not recycled. Use a reputable
company for recycling.
3-38
Maintenance
Maintenance services includes water treatment systems
management, collecting dangerous, biomedical, and
solid waste; maintaining equipment and facilities, and
janitorial services. Many of these services generate
wastes. Maintenance services may generate solvents,
degreasers, paints, boiler water treatment chemicals,
CFC’s, mercury-containing devices and lighting, PCB-
containing ballasts, batteries, flammable products, and
other hazardous substances and dangerous wastes.
Encourage recycling of paper, glass, aluminum cans, cardboard, plastics, computers and other
equipment, furniture, printer, and copier cartridges, kitchen grease, wood waste, and scrap metals.
Improving waste segregation systems can increase recycling, reduce solid and biomedical waste, and
save money.
Dangerous waste cannot legally be thrown in the garbage, disposed down the drain, or evaporated
into the air. Wherever possible, replace hazardous substances with less-toxic alternatives. See less-
toxic vendor lists in Appendix 2.
Q Re-use solvents as long as possible before disposal and never dispose into sewer or storm drains.
Q Properly store ion exchange resin and reverse osmosis treatment system chemicals, separate acids
and bases. Use secondary containment, plug drains.
Q Don’t use electrolysis to introduce chromium, tributyltin, copper and silver into water disinfection.
Wastewater ends up metal-loaded.
Q Either replace water vacuum pumps with non-water systems, or use mechanical pumps without
water seals (water seals cause solvents to be carried out with the waste water).
Q Don’t use water aspirators, single-pass cooling water, or seal water for vacuum pumps -replace
with re-circulating systems.
Q Remove mercury buildup from sewer pipes, sumps, and sink traps.
Q Save money and reduce municipal solid waste by recycling metals, paper, cardboard, plastic and
glass.
Q Waste oil from vacuum pups and lubricants can be re-refined. Don’t mix solvents in waste oil.
Q Be sure air emissions from HVAC systems, boilers and fueling meet local standards.
Q Waste generated hospital-wide will determine your generator status monthly. Complete hospital-
wide dangerous waste generation counts.
Q
R Mercury Thermometers, lamps,
switches, batteries
• Use digital equipment
whenever possible
Eliminate mercury-containing devices.
Recycle or dispose of as dangerous waste.
Q Barometers, pressure • Use non-mercury devices
gauges, thermostats
• See vendor lists in Appendix 2
Q Traps, bubblers, seals
Q
R Solvents, paints, turpentine,
strippers, oils, decalcifiers, Q
Cleaning
Painting
•
•
EcoSafe
BioKleen
Don’t use chlorinated products. Use
reusable or recyclable tote drums. Manage
disinfectants, hydraulic Q Pest Management used oils, sludges, and other dangerous
fluids, pesticides • See vendor lists in Appendix 2 wastes appropriately.
Q
R Solvents Cleaning • Use aqueous or non-chlorinated
solvents. See vendor list.
Segregate solvent wastes, distill, reuse or
dispose as dangerous waste.
Q
R Caustics, ions, cat ions
Q
Boilers
Water treatment
• Use ozonation or filtration
systems
Segregate reactive and incompatible
chemicals.
Q
R Disinfectants, sulfuric acid,
sodium hydroxide
Water treatment
systems
• Use sodium hypochlorite
systems, bomine, peracetic acid
Waste treatment chemicals may be
dangerous waste.
Q
R Batteries: mercury, lead,
acid, cadmium and nickel Q
Pagers
Cell phones
• Rechargeable, lithium, zinc air,
or alkaline batteries
Recycle or dispose as dangerous or
universal waste.
Q
R Metals Cooling tower sludges
and sediments
• Eliminate single-pass systems. Determine if sludges are a dangerous waste.
Q
R Acids, caustics, pesticides Janitorial supplies • See vendor lists in Appendix 2 Dangerous waste; neutralize acids/bases.
Q
R Biomedical/infectious
wastes
Body fluid saturated
materials
• Separate solid wastes from
biomedical
Great cost savings can be achieved by
separating wastes.
Q Specimens/tissue
Q
R Pesticides Pest control • Use IPM methods See vendor lists in Appendix 2.
3-40
Hospital Morgue Services
The chemicals of concern within this area include
formalin, formaldehyde, glutaraldehyde, and other high-
level disinfectants and preservatives, solid (SW) and
biomedical waste (BW) and mercury. Formaldehyde and
glutaraldehyde may be recycled as dangerous waste or
neutralized. See vendor lists in Appendix 2 for
substitutes and neutralizers. If your hospital does not
already have central sterilization please consider having a
central sterile department. It will reduce costs and the
use of sterilants and high-level disinfectants used in the
hospital.
Your department needs to determine the proper disposal methods for all wastes. The following section
provides information on proper waste management and possible alternatives for using less-toxic
products and reducing the generation of certain wastes.
Q Tissue samples preserved in formalin need to be separated and properly managed for disposal.
Q Mercury, found in various equipment and cleaning agents within the facility such as thermometers,
batteries and lighting, is extremely toxic even in small amounts and must be disposed of as
hazardous waste.
Q Donate items that are no longer used at the hospital but are still usable by others.
Q •
R Municipal solid
waste
Packaging
•
Request less packaging
Recycle
Minimize the use of hard to recycle plastics and glass.
Follow hauler’s waste separation specifications.
• Purchase in bulk
Q •
R Biomedical waste
Q
Body preparation wastes
Sharps
Separate solid waste from
biomedical waste
Store in red bags or hard containers (sharps) and dispose
of when full to the appropriate waste hauler.
Q •
R Formaldehyde
Q
Tissue preservation
Embalming
Neutralize prior to
discharging to sewer
Mixed waste (formaldehyde and tissue) needs to be
separated, disinfected and disposed as dangerous waste.
•
R Glutaraldehyde,
formaldehyde,
Q Used in chemiclave Use autoclaves or sonic
sterilization
Dangerous waste; never discharge into septic system.
Use proper ventilation. Cidex OPA is not recommended
xylene and alcohols • Neutralize aldehydes prior as a substitute in chemiclaves. Consider sonic
to sewer disposal sterilization instead of chemical.
•
R Glutaraldehyde Q Cold sterilization Cidex OPA, Sporox,
Metrex Compliance, other
Use gloves or PPE. Use proper ventilation. Never
discharge into septic systems. Can be detoxified and
similar products discharged to a treatment plant.
•
R Mercury Q
Q
Thermometers
Barometers •
Digital equipment
Alcohol thermometers
Mercury may be recycled as universal waste or handled
as dangerous waste.
Q •
R Mercury
Q
Fluorescent bulbs
Mercury switches
Use low-mercury bulbs (T-
5, T-8)
Universal waste (see fact sheet in Appendices).
•
R Dangerous waste Q Wastewater See vendor list in
Appendix 2
Don’t dispose dangerous or bio-hazardous waste into the
sewer system. Contact your local wastewater facility for
exact regulations for your area.
3-42
Nuclear Medicine
Various radionuclides are used in Nuclear Medicine for a
variety of processes and need to be managed with care until
they are at safe enough radioactive levels for disposal. It is
important to know how they must be managed.
Low-level radioactive waste storage containers need to have labeling clearly stating the isotope and its
form, the volume, laboratory origin, activity, and chemical composition. Use central processing if
possible. Have long-lived radioactive waste removed to an off-site location for proper storage and
decay. When the material is considered non-radioactive, properly dispose the waste. Determine if it
designates according to the Dangerous Waste Regulations.
When biomedical waste such as sharps are included with the material, maintain the material until
proper decay level has occurred, then dispose of as biomedical waste. Use less hazardous isotopes
whenever possible. Because radioactive waste cannot be treated or neutralized, source reduction and
substitution are the main strategies to minimize such wastes.
Your department needs to determine the proper disposal methods for all wastes. The following section
provides information on proper waste management and possible alternatives for using less-toxic
products and reducing the generation of certain wastes.
Q Investigate nuclear byproduct materials’ proper handling requirements from the Nuclear
Regulatory Commission (NRC).
Q Properly segregate label and store radioactive wastes. Isolate wastes for the designated time
period to allow for proper decay and dispose properly.
Q Determine if the remaining properly decayed waste is regulated as a dangerous waste. Make sure
it is properly stored and disposed.
Q Properly manage dangerous waste that is also biomedical. Disinfect, then decay radioactive
materials, then dispose as a dangerous waste.
Q Use silver recovery equipment or have reclaimed off-site. Never dispose of photochemical wastes,
including silver-bearing, down the drain.
Q
R Municipal solid waste
Q
Packaging
Disposable items
• Recycle metals, paper,
cardboard, plastic and glass
Recycle and minimize use of hard-to-recycle
plastics and glass. Follow hauler’s waste
Q separation specifications. Purchase in bulk.
Single-use items • Request less packaging
Q
R Radionuclides
Q
Tracers
Diagnostic
• Use less radioactive isotopes
whenever possible
Isolate radionuclides until considered non-
radioactive; properly dispose of remaining
Q Treatment procedure material. Replace iridium-192 and cesium-
137 with radium-226.
Q
R Wastewater
contaminated with Q
Chemicals
Solvents and disinfectants
• See list of less-toxic alternatives
in Appendix 2
Do not dispose dangerous waste into the
sewer system. Contact your local
dangerous waste disposed in drains wastewater facility for exact regulations for
your area.
Q
R Biomedical waste
Q
Sharps
Blood/bodily fluid
• Separate solid and biomedical
wastes
Store in a non-breakable, sealable, sturdy
container; dispose of appropriately when
saturated materials full.
Q
R Glutaraldehyde and other
high-level disinfectants Q
Disinfection
Sterilization
• Hydrogen peroxide, peracetic
acid, acetic acid (Sporox, Cidex,
Label and store according to requirements.
Segregate non-compatible materials. Never
Steris 20, Sterrad 50 and store over sink. MSDS should be readily
Sterrand 100S, Sterilox 2501, available.
Metrex Compliance)
Q
R Radioactive contaminated
personal protective
Personal protective
clothing
• See vendor information in
Appendix 2
A new line of biodegradable product
engineered specifically for the nuclear
clothing Q Cloths and sheeting industry called Orex is available. After
treatment (decay), Orex products may be
disposed down the drain.
Q
R Silver Imaging • Use digital imaging Silver-bearing waste can be recycled or
disposed as dangerous waste.
3-44
Oncology Services
Oncology services include the administration of chemotherapy
medications. It is important to know how to manage wastes
generated when preparing and administering chemotherapy
medication and disinfecting equipment. Evaluate all wastes to
determine if they are dangerous waste. Many wastes from
chemotherapy pharmaceuticals, mercury-containing devices,
disinfectants, and sterilants are dangerous waste (DW).
Q Keep radionuclides, chemotherapy contaminated clothing, gloves, etc. out of the regular trash.
Q Use cadmium-free red bags for biomedical waste. Educate staff about proper segregation of
biomedical waste (only trace, not bulk, chemotherapy drugs can be placed in biomedical waste
containers).
Q Isolate, segregate, label and store radioactive wastes properly for the amount of time needed to
decay to non-hazardous levels. Dispose properly.
Q Determine whether nuclear byproduct materials generated are regulated by the Nuclear Regulatory
Committee (NRC) or state agencies. Follow the regulations.
Q Reduce biomedical waste (blood, bodily fluids, sharps) by separating from solid waste. Store in
biomedical red bags. Separate sharps into a puncture-resistant, clearly-labeled container.
Q Avoid the use and disposal of pharmaceuticals from medical procedures that are dangerous waste,
such as epinephrine. Label and store according to requirements. Segregate incompatible materials.
Q Waste water contaminated with dangerous waste can contain solvents, disinfectants,
pharmaceuticals and chemotherapy wastes. Keep untreated dangerous and/or biohazardous
waste out of the sewer system. Contact your local water treatment facility for regulations in your
area.
Q Releasing dangerous wastes into the sewer is illegal except for NPDES-permitted facilities. Always
check local requirements.
Q
R Municipal solid waste
Q
Packaging
Single-use items
•
•
Request less packaging
Use reusable totes
Recycle/minimize the use of hard-to-recycle
plastics and glass. Follow hauler’s waste
separation specifications. Purchase in bulk.
Q
R Mercury
Q
Thermometers
Sphygmomanometers
•
•
Digital devices
Alcohol thermometers
Universal or dangerous waste. Segregate
from other types of dangerous waste. See
Q Other monitoring devices vendor list in Appendix 2 for alternatives.
Q
R Chemotherapy
dangerous waste Q
Trace chemo
Bulk chemo
• Use premixed chemo drugs to
reduce waste generated
Dispose of bulk chemo wastes as dangerous
waste. Trace chemo wastes can be disposed
as biomedical waste.
Q
R Radioisotopes Nuclear medicine • Use less hazardous isotopes Once considered non-radioactive, determine
if the waste is dangerous waste.
Q
R Glutaraldehyde,
formaldehyde, xylene Q
Cleaning and sanitizing
Disinfecting
• Sonic sterilization, acetic acid,
hydrogen peroxide, peracetic
Never release into the septic system.
Neutralize aldehydes or dispose as
Q Sterilizing acid, (Sporox, Cidex, Steris, dangerous waste. Keep MSDSs on hand
Sterrad, Sterilox) and available.
Q
R Lead Radiation shields • Use less-toxic alternatives. See
vendor list in Appendix 2
Make sure old lead shields are reused,
recycled or disposed as dangerous waste.
3-46
Outpatient Care Services
Services in this area include surgery, diagnostics,
oncology, women’s health/gynecology, general
medicine, family practice, orthopedics, pulmonary,
allergy, urology, pediatrics and rehabilitative
services. There are several sources for the
generation of dangerous wastes, such as mercury-
containing devices, pharmaceuticals, sterilants,
disinfectants and chemotherapy wastes.
Q Sharps need to be segregated from other biomedical wastes and stored in cadmium-free, sealed,
properly-labeled, puncture-resistant containers.
Q Use a system to collect “soft” trace chemotherapy wastes in biomedical red bags and “sharp” trace
chemotherapy wastes in rigid, leak-proof biomedical containers.
Q Keep bulk chemotherapy waste out of biomedical bags. Bulk chemotherapy waste will designate as
a dangerous waste. Implement a management program to separate bulk chemo wastes from trace
chemo wastes. That way, most of the waste generated in chemotherapy administration areas can be
categorized as “trace” chemotherapy wastes, which can be packaged and disposed of with
biomedical waste. Residuals include contaminated vials, bottles, syringes, IV bags and tubing,
packaging, personal protective equipment and linens.
Q Use and provide non-metallic medications and shampoos, not selenium-containing shampoo unless
necessary.
Q Do not dilute waste water containing dangerous waste to meet discharge limits. Contact your local
POTW and follow their requirements.
Q
R Municipal solid waste
Q
Packaging
Single-use items
•
•
Request less packaging
Use reusable totes
Recycle. Follow hauler’s waste separation
specifications.
Q
R Mercury
Q
Fluorescent bulbs
Mercury switches
•
•
Low-mercury bulbs
Mercury-free switches and
Manage as universal wastes, see fact sheet in
Appendix 1.
Q Batteries batteries
Q
R Mercury
Q
Thermometers
Monitoring devices
•
•
Use digital equipment
Tungsten-filled G.I. tubing and
Mercury can be recycled or managed as
dangerous waste. Phase out mercury-
Q Miller-Abbot tubing containing devices or equipment. Hurst and
bougies
Malone have mercury/PVC-free tubing.
Q
R Chemotherapy and
antineoplastics
Patient treatment •
•
Reduce volumes used
Centralize chemo compounding
Use pre-made compounds.
Q
R Glutaraldehyde,
formaldehyde Q
Cleaning and sanitizing
Disinfecting
•
•
Recycle, reuse, autoclave
Microwave, electron beam
Never release into the septic system.
Neutralize aldehydes or dispose as
Q Sterilizing dangerous waste. Check with POTW. Use
• Gas plasma, hydrogen peroxide gloves, personal protection equipment and
Q Chemiclaves
1
proper ventilation.
Q
R Lead Autoclave indicator tape • Use non-lead autoclave tape Dangerous waste; dispose of properly.
Q
R Dangerous waste
pharmaceuticals
Patient medications
(cresols, lindane, mercury
•
•
Send back to manufacturer
Use reverse distributor
Dangerous waste; do not discharge to sewer.
See Ecology pharmaceutical fact sheet in
preservative) Appendix 1.
Q
R Ethylene oxide (EtO) Sterilization (heated) • Consider using steam or sonic
sterilization
Steris, Sterad, Sterilox
1
Cidex OPA is not recommended as a substitute in Chemiclaves.
3-48
Pharmacy Services
Pharmacies may accumulate unused or expired
medications and chemicals which need to be
disposed of properly. Some pharmaceuticals and
other generated wastes may designate as
dangerous/ hazardous waste.
Separate bulk from trace chemotherapy waste; use a system to collect trace chemotherapy
wastes in biomedical bags and “sharp” trace chemo wastes in rigid, labeled, leak-proof
containers. Manage bulk chemotherapy wastes as dangerous waste.
Use single-dose, not multiple-dose vials of chemotherapy drugs. Don’t purchase and
prepare chemotherapy drugs in excess when pre-formulated, pre-mixed preparations are
available.
Work with radiation safety officer to establish protocols for radioactive waste decay and
find ways to minimize generation of radioactive wastes.
Maintain an ongoing inventory of pharmaceutical and chemical stores. Use first in – first
out system for pharmaceuticals. Don’t allow unused, outdated, or spoiled chemicals or
medications to sit on shelves. Inventory often and use take back programs.
Q
R Dangerous waste
generated hospital- Q
Compounding
Corrosives, reactives,
• See vendor list of less-toxic
substitutes in Appendix 2
Take monthly counts of hospital-
wide dangerous waste generation.
wide acids/bases and solvents
Q
R Dangerous waste
pharmaceuticals
Unused/outdated
medications, controlled
• Return to manufacturer before end
date or use reverse distribution
Inventory often. Use first in – first
out system. Pharmaceutical disposal
substances to garbage or sewer is not acceptable.
Q
R Chemotherapy and
antineoplastics
Patient treatment and wastes • N/A Reduce excess and centralize chemo
compounding locations. Use pre-
formulated compounds. Bulk chemo
wastes are dangerous wastes.
Q
R Mercury (thimerosal)
and mercury- Q
Pharmaceuticals
Mercurochrome, ophthalmic
• Use non-mercury-containing
medications, devices and
Hazardous waste. Collect, recycle,
reuse, or dispose of as dangerous or
containing items and products, nasal sprays, equipment universal waste.
monitoring devices vaccines, preservatives
Q Batteries, lamps, switches
Q
R Silver nitrate Burn medicines • Use alternative anti-bacterial
creams
Dispose silver concentrations of 5
ppm or more as dangerous waste.
Q
R Radionuclides Radioactive wastes • Decay waste Manage and dispose properly.
Q
R Selenium Dandruff shampoos • Apple cider vinegar rinse Minimize use of medicated shampoo.
Q
R Waste water with
dangerous waste
Drains, sinks • Recycle or dispose as dangerous
waste
Meet local limits for metals and other
wastes.
3-50
Physical Therapy Services
If prosthetic devices are made on-site, leather-
working chemicals and plastics-molding chemicals
may be used. Mercury containing devices may also
be used. Biomedical waste such as sharps, blades,
forceps, and lancets may be generated if
debridement or treatment of burns or wounds takes
place. It is important for you to know how they
must be managed and disposed of properly. Be sure
that you are meeting all labeling, storage, and
disposal requirements.
Tanning chemicals and adhesives from plastic-molding and leather-making wastes may
need to be separated and disposed of as dangerous waste.
Disinfection can use highly toxic chemicals such as formaldehyde and glutaraldehyde.
Less toxic forms are available including acetic acid, peracetic acid, hydrogen peroxide, and
simple alcohols and ketones. Central sterilization may be the best option.
All sharps or materials contaminated with blood or bodily fluids need to be disposed of as
biomedical waste.
Q
R Municipal solid waste Packaging •
•
Purchase in bulk
Request less packaging
Recycle paper, cardboard, metals
(aluminum cans), glass, newspaper and
plastics. Follow hauler’s waste
separation specifications.
Q
R Dangerous waste
related to leatherwork, Q
Rehabilitation
Production of prosthesis
• See vendor list of less-toxic
substitutes in Appendix 2
Dangerous waste. Separate chemicals
appropriately while in storage.
plastic casting, etc. devices
Q
R Dangerous wastes Waste water • See vendor list of less-toxic
substitutes in Appendix 2
Do not pour dangerous or biomedical
wastes into the sewer system. Contact
your local waste water facility for the
regulations for your area.
Q
R Glutaraldehyde Cold sterilization • Cidex, OPA, Sporox, Metrex
Compliance or other similar
Use gloves or personal protective
equipment. Use proper ventilation.
product Never discharge into septic system.
Can be detoxified and discharged to a
treatment plant.
Q
R Mercury
Q
Thermometers
Barometers
• Digital equipment and
alcohol thermometers
Mercury can be recycled or handled as
dangerous waste.
Q
R Mercury
Q
Fluorescent bulbs
Mercury switches
•
•
Use low-mercury bulbs
Mercury-free switches
Dangerous or universal wastes – see
fact sheet in Appendix 1.
Q Batteries • Rechargeable batteries
Q
R Biomedical waste
Q
Sharps
Forceps
• Use source separation to
reduce waste
Place in cadmium-free puncture-
resistant clearly labeled container.
Q Blades and lancets
3-52
Radiology Services
Radiology and X-ray services may generate
dangerous waste with the use of lead shields,
film processing (silver), and other activities. Film
and fixer from the developing processes will
contain silver.
Q Silver from the fixer waste can be reclaimed off-site or on-site by being passed through a filter
or silver recovery system. Recycle silver and film.
Q Biomedical waste, including sharps and blood-saturated materials need to be disposed in
puncture-resistant, leak proof (preferably cadmium-free) red bags and disposed of properly.
Q Use “dry” developing methods, switch to digital imaging.. Facilities that switched to PAX
systems and digital x-rays have reduced their pollution output of fixer/developer and silver.
Q Check with your local waste water treatment facility for requirements for developer and other
chemical discharges into the sewer.
Q Use low silver content film, implement an on- or off-site silver recovery program.
Q Recycle or handle fixer and other spent photographic waste as dangerous waste, don’t
discharge into sewer into the sewer or on-site septic system.
Q Identify lead-containing supplies and equipment and designate for reuse, recycling, or
dangerous waste disposal. Consider adapting lead shielding material for other uses within
Radiology. Consider lead-free aprons without vinyl coverings.
Q Keep spent developer, chromic acid, selenium-bearing solutions, and spent fixer separate, never
mix. Manage chromic acid solutions and waste water properly and seek less-toxic substitutes.
Q Use less-toxic developers and fixers. Extend fixing bath life, add ammonium thiosulfate, use an
acid stop bath prior to fixing bath, add acetic acid to keep pH low, and use squeegees. Use
closed-loop recirculation systems.
Q Store chemicals, film, and paper properly for longer shelf-life, and don’t throw photographic
film and paper into regular garbage —recycle it.
Q Keep fixer/developer tanks covered (fewer evaporation and oxidation problems). Never use
off-spec developer.
Q Designate radioactive wastes before disposal. Most need to be disposed of as dangerous waste.
Properly decay radioactive materials prior to disposal. Work with radiation safety officer to
establish protocols for radioactive waste decay. Minimize radioactive waste generation.
Reduce, Reuse, Recycle 3-53
Alternatives to and Management of Hazardous Substances found in Hospital Radiology Services Departments
Hazardous wastes and substances Use or Source Available Alternatives Additional Management Comments
often found in this department
Use or Manage?
Q
R Municipal solid
waste Q
Packaging
Disposable, single-use
•
•
Request less packaging
Buy in bulk
Recycle paper, cardboard, metals and glass.
items
• Use durable items
Q
R Silver
Q
Spent x-ray fixer
Processor solution
•
•
Use digital systems
Collect/recycle on- or off-site
Use cation exchange, electrolytic recovery, steel wool
filtration for silver recovery. Recycle x-ray film.
Q
R Mercury
Q
Fluorescent bulbs
Mercury switches
•
•
Use low-mercury bulbs
Use non-mercury switches
Handle as dangerous or universal waste. See fact
sheet in Appendix 1.
Q Batteries and batteries
Q
R Mercury
Q
Thermometers
Sphygmomanometers
• Use digital equipment and
devices
Mercury can be recycled or disposed as dangerous
waste.
Q Monitoring devices • Use Anderson tubes
Q
R Chromium chromic
acid Q
X-ray developer
Glassware
• Use non-chromium tank
cleaners
Dangerous waste.
Q
R Collodion ether Developing processes • Use less-toxic preservative Dangerous waste.
Q
R Selenium Toners • Use sodium selenate, not
cysteine broth
Replace with selenium-free version. Dangerous waste
– don’t discharge into sewer or septic tank.
Q
R Lead Shielding (aprons,
blocks)
• Use non-lead alternatives (see
vendor list in Appendix 2)
Recycle or dispose as dangerous waste.
Q
R Radioactive waste,
radionuclides Q
Tracers
Other diagnostic
• Use less-toxic radioactive
compounds with short half
Keep wastes in isolation until decay permits disposal.
Most decayed wastes are dangerous waste. Check
treatment procedures lives with Health Department to discharge to sewer.
3-54
Respiratory Care Services
High level disinfectants and sterilants are used in this department.
Mercury-containing products and devices may also be used. Used
batteries may be generated. Proper management of pressurized
tanks such as oxygen is also a concern. Make sure all oxygen and
other tanks are secured. Send back empty and partially full tanks
and canisters to the distributor.
Q
R Municipal solid waste
Q
Packaging
Disposable items
•
•
Use reuseable totes
Ask for less packaging
Recycle cardboard, paper, metals, glass,
batteries, solvents, and lamps.
Q
R Biomedical waste
Q
Sharps
Blood and/or bodily fluid-
• Reduce and separate solid
waste from biomedical
Store in biomedical “red bags.”
Separate sharps into a puncture-
soaked materials waste resistant, clearly-labeled container.
Send to a biomedical waste-accepting
facility.
Q
R Dangerous waste
pharmaceuticals
Patient medication (cresols,
Lindane, Hg preservatives)
• Use reverse distributors See Ecology Pharmaceutical fact sheet
in Appendix 1.
Q
R Mercury
Q
Thermometers
Sphygmomanometers
• See vendor list in the
Appendix 2 for alternative
Mercury can be recycled or disposed as
dangerous waste. Use mercury-free
Q Other monitoring equipment products devices and equipment. Use take-back
programs.
Q
R Mercury
Q
Fluorescent bulbs
Mercury switches
•
•
Use low-mercury bulbs
Mercury-free switches
Universal wastes – see fact sheet in
Appendix 1. Also see vendor lists in
Q Batteries • Rechargeable batteries
Appendix 2.
Q
R Ethylene Oxide (EtO) Sterilization • Sterrad, Steris, carbon
dioxide, electron beam, gas
Routine checks on EtO cylinders and
equipment for leaks. Ensure venting to
plasma, microwave outside. Return cartridges/cylinders to
supplier.
Q
R Formaldehyde,
glutaraldehyde,
Cleaning solutions and high-
level disinfectants, chemiclaves
• Use autoclaves, microwave
technologies, Cidex OPA
2
Hazardous waste. Recycle. Never
discharge into septic system. Use
xylene, alcohols proper ventilation. Neutralize
• Steam or sonic sterilization
aldehydes using Glycine, Glutarex or
Formalex.
2
Cidex OPA is NOT recommended as a substitute in chemiclaves.
3-56
Surgery Services
Surgery services generate dangerous/hazardous
waste, biomedical waste, and solid waste. Many
substances used in surgery become dangerous
wastes at the end of use. These include
disinfectants, sterilants, tissue fixatives, solvents
and other hazardous substances. Waste gases
produced during surgical anesthesia must be
managed carefully, too. Be sure that you are
meeting all labeling, storage, and disposal
requirements.
Cleaning solutions and high level disinfectants and sterilants such as phenol, formalin,
xylene toluene may be replaced with less-toxic chemicals such as Sonic sterilization, Sporox,
Cidex, Steris, Sterad, Sterilox, and Metrex Compliance.
Properly manage and store all hazardous chemicals used by surgical pathology units.
Keep pathological waste out of the sewer.
Employ a scavenging system to anesthetic unit to collect waste anesthetic gases, such as
nitrous oxide, halothane, enflurane, isoflurane, etc. Minimize leakage and replace
equipment more than 10 years old. Properly manage spent filter cartridges for anesthetic
gas wastes as dangerous waste or recycle. Properly manage compressed gas cylinders and
return to distributor.
Never dispose merbromin/water solution waste down the drain, dispose as dangerous
waste.
Separate preserved tissues from formaldehyde, neutralize and dispose as dangerous waste.
Manage and dispose epinephrine and any residuals as extremely hazardous waste, never
into the trash or down the drain.
Q
R Municipal solid waste
Q
Packaging
Disposable items
• Recycle metals, paper,
cardboard, plastic, glass
Minimize use of hard-to-recycle plastics
and glass. Follow hauler’s waste
separation specifications.
• Buy in bulk
• Request less packaging
Q
R Biomedical waste
Q
Sharps
Blood
• Reduce and separate solid
waste from biomedical
Store in biomedical “red bags.”
Separate sharps into a puncture-
Q Blood-soaked materials waste resistant, clearly-labeled container.
Q
R Dangerous waste in
waste water
Sterilants and solvents • See list of vendors in
Appendix 2
Dangerous waste. Check your local
waste water facility regulations.
Q
R Formaldehyde Tissue preservation • Neutralize or use substitute
See list of vendors in
Dangerous waste. Dispose of according
to RCRA guidelines.
Appendix 2
Q
R Glutaraldehyde Cold sterilization • Cidex OPA, Sporox, Metrex
Compliance
Use gloves and personal protection
equipment. Use proper ventilation.
Never discharge into septic system.
Neutralize and dispose to sewer.
Q
R Mercury
Q
Thermometers
Barometers
• Digital equipment, alcohol
thermometers
Mercury may either be recycled or
handled as universal waste or
dangerous waste.
Q
R Mercury Fluorescent bulbs, mercury
switches, batteries
• Use low-mercury bulbs and
mercury-free batteries and
Dispose as universal waste or
dangerous waste (See fact sheet in
switches Appendix 1)
3-58
Appendix 1
Guidance Documents
Designating Dangerous Waste, #96-436,
www.ecy.wa.gov/biblio/96436.html
Washington State Department of Ecology (Ecology) is providing this information as a free and
open service to the public. Ecology does not endorse any company or product identified on
this or any subsequent pages listed and makes no claims regarding the accuracy, validity or
effectiveness of this or any other product or service represented by the provided information.
The vendor list provides numerous alternatives for specific purposes. Please review the pages
to find alternatives for activities occurring in your hospital. The vendor information provided
is not all inclusive but attempts to give the best information gathered, to date. We plan on
continuing to add useful vendor information to the list. You may find additional vendor
information on the Internet.
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Steam Autoclave Indicator Tape • Autoclave tape is less hazardous than those
containing metals such as lead or materials such
Nadco, Inc. as PVC.
PO Box 130
Dover, NH 03820 • Tape will darken at 273°F (134° C) at steam
800-839-9018 pressure of 1.02kg/cm2 following a 5 minute
Fax: 603-692-0794 period.
E-mail: sale@nadcoinc.com
http://www.nadco-inc.com
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
1
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
ASDEX Amalgam Separator with: • Separates amalgam using wet or dry vacuum
ASDEX Premium Filter (No.: AS-9) systems.
American Dental Accessories, Inc. • Maximum flow rate is 250 ml/min (ISO 11143
7310 Oxford Street testing).
Minneapolis, MN 55426
800-331-7993 • It has been tested to remove over 97.3% of the
Fax: 888-729-1016 suspended amalgam in wastewater.
E-mail: info@amerdental.com
http://www.amerdental.com/catalog/pdf%20files/pg • Made for use by one dentist.
48.pdf
Air Techniques, Inc. • Maximum flow rate is 2.5 L/min (ISO 11143
70 Cantiague Rock Road testing).
PO Box 870
Hicksville, NY 11802 • It has been tested to remove over 99% of the
800-Air-Tech suspended amalgam in wastewater.
Fax: 516-433-7684
E-mail: info@airtechniques.com • The collector and separation tank must be
http://www.airtechniques.com/products_amalgam.h positioned to drain using gravity.
tm
• Uses a sedimentation process to separate
amalgam (heavy amalgam settles out of the
wastewater and collects in the collection
container.
King County Approved Amalgam Separators • Please visit this site for further listings of
http://dnr.metrokc.gov/wlr/indwaste/sep_table.doc certified amalgam separators.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
2
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
3
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
PowrKut® and Mark 7™ 0-10 Volt Ballasts • PowrKut is a hybrid ballast, while Mark 7™ is
an electronic ballast.
Advance Transformer Co.
10275 West Higgins Road
Rosemont, IL 60018-5603 • Both are made of materials without hazardous
800-372-3331 or 800-322-2086 PCBs or mercury.
tech.service.rosemont@philips.com
http://www.advancetransformer.com • PowrKut® is good for hospital situation where
electrical interference is a concern.
Ultralux Electronic Ballasts • Metal casing is less toxic than those containing
PCBs.
Full Spectrum Solutions, Inc.
PO Box 1087 • Less toxic than ballasts containing mercury.
Jackson, MI 49204
888-574-7014 • Comparable in quality to more toxic ballasts.
Fax: 866-366-4029
shannon@fullspectrumsolutions.com
http://www.fullspectrumsolutions.com
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
4
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Allivan marketing, LLC • Two types: one measures in both millibar (mb)
P.O. Box 320 and inches mercury, the other measures in
Tyngsboro, MA 01879 millimeters and inches mercury.
978-649-8547
Fax: 978-649-8547 • Mercury-free model E038 uses a non-toxic, red
E-mail: info@allivanmktg.com or silicone fluid and gas.
sales@allivanmktg.com
http://www.allivanmktg.com/E038501.htm • Contains a blue color methyl-alcohol
thermometer.
Dingens Barometers
Beverlo-Beringen, Belgium • Room temperature expands or contracts red
+32 (0)11 340550 silicon fluid and sliding scale between tubes
Fax: +32 (0)11 342814 compensates for and measures the expansion
E-mail: info@barometers.com which translates into an accurate air pressure
http://www.barometers.com measurement.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
5
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Model 2400 and Model 2104 Precision Barometers • Electronic barometers used for healthcare
atmospheric pressure monitoring.
Mensor Corporation
201 Barnes Drive • Have front panel switch for choice concerning
San Marcos, TX 78666 units of pressure including mmHg.
800-984-4200
Fax: 512-396-1820 • Calibrated with NIST-traceable primary
E-mail: sales@mensor.com standards.
http://www.mensor.com
• Temperature range for 2104 is 15°C -45°C and
pressure range is 22-34 inHg abs.
Duracell EasyTab™ Hearing Aid Batteries • Zinc air batteries with 1.4V nominal voltage.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
6
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Rayovac CochLear Plus, Loud N’ Clear and Ultra • Zinc air batteries for hearing aids
Proline Hearing Aid Batteries
• CochLear is for cochlear implants and comes in
Rayovac Corporation a 60 pack carton of size 675 batteries
PO Box 44960
Madison, WI 53744
800-237-7000 or 608-275-3340 • Vendor claims Ultra Proline lasts longer than
Fax: 608-275-4967 any other hearing aid battery on the market and
E-mail: consumers@rayovac.com is for high power battery uses.
http://www.rayovac.com
• Collect batteries separately according to
chemical contents and dispose of as indicated by
local state guidelines; batteries should never be
incinerated.
Renata Hearing Aid Batteries • Zinc air button-style batteries for hearing aids.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
7
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Gold Peak Industries Ltd Many sizes available for each type of rechargeable
97 Pioneer Road. Singapore 639579 battery.
E-mail: gpbi@gpbatteries.com.sg
http://www.gpbatteries.com/ Lithium ion (LiIon) do not contain mercury, lead,
nickel or cadmium and LiIon will not suffer
memory alterations if recharged after a partial
discharge (unlike NiCd batteries).
Renata Rechargeable Lithium Ion Batteries Used in portable electronic devices including
digital cameras.
FUTURE ELECTRONICS (Seattle)
12100 Norteast 195th St (Suite 150) High energy density and low self discharge rate.
Bothell, WA 98011
425-489-3400 Operating voltage of 3.7V.
Fax: 425-489-3411
E-mail: sales@renata.com 3hr recharge time recommended.
http://www.renata.com or
http://www.futureelectronics.com/ Operational temperature range from -20°C to
60°C.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
8
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Boiler Controllers and Other Accessories • Mercury-free boiler accessories and competitive
prices.
McDonnell & Miller
3500 North Spaulding Avenue • Comparable to mercury.
Chicago, IL60618
773-267-1600
Fax: 773-267-0991
http://www.mcdonnellmiller.com
Bryan Steam Water Boilers • Water boilers and steam boilers are available
mercury-free.
Proctor Sales, Inc.
20715 50th Avenue West • Comparable to mercury.
Lynnwood, Washington 98036
425-774-1441
Fax: 425-771-2590
Contact: Richard Newkirk
E-mail: dnewkirk@proctorsales.com
http://www.bryanboilers.com
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
9
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
10
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Advanced Sterilization Products: Johnson & Johnson High level disinfection in 12 minutes and may be
33 Technology Drive reused for 14 days.
Irvine, CA 92618
800-755-5900 or (206) 230-0970 Less of an inhalation hazard than glutaraldehyde.
Fax: (206) 230-0974
Michael Black (Ext 7868) or Dave Hess (Tri-cities, Must purchase Klenzyme (enzymatic precleaner)
Pullman, Clarkston) and Cidex OPA test strips for proper function.
E-mail: aspservices@aspus.jnj.com,
mblack4@aspus.jnj.com Can be neutralized with glycine; however,
http://www.sterrad.com neutralized product may be subject to HW
and/or WQ requirements.
Omega Pro Series Industrial Parts Washers Uses sound waves to excite sterilizing chemicals.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
11
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
12
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
STERIS System 1 Processor Uses 0.2% peracetic acid (diluted from 35%)
solution.
Steris Corporation
5960 Heisley Road Completes high level disinfection in 12
Mentor, OH 44060 minutes at 50-55C and is patient ready in
440-354-2600 or 800-548-4873 less than 30 minutes.
E-mail: Webmaster@STERIS.com
http://www.steris.com Only sterilizes equipment for use immediately
after process is finished and is good for single
use only.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
13
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Sterrad 50, 100, 100S and 200 Generates H2O2 gas plasma from 58% H2O2 and
sterilizes in 45 minutes (St 50) and 72 min (St
Advanced Sterilization Products: Johnson & Johnson 100S).
33 Technology Drive
Irvine, CA 92618 Quicker processing time and leaves no toxic
800-755-5900 or 206-230-0970 residue.
Fax: 206-230-0974
Michael Black (Ext 7868) or Dave Hess (Tri-cities, Depending on vendor, may not be approved to
Pullman, Clarkston) sterilize all equipment.
E-mail: aspservices@aspus.jnj.com,
mblack4@aspus.jnj.com Less toxic than EtO and glutaraldehyde.
http://www.sterrad.com
Vendor claims hydrogen peroxide is less
Cirm Pharmaceuticals & Medicals (Sterrad 100) damaging to instruments than peracetic acid and
17672 Laurel Park Drive N. steam.
Livonia, MI, 48152
734-459-0082 or 734-564-5200
Fax: 734-459-0220 or 203-387-5911
info@cirmcorp.com
http://www.cirmcorp.com/cirmpharm/cirmpharm.h
tml
ADD-2 PREVENT MILDEW™ Mildewcide Used as an additive in paints, stains and wallpaper
Additive adhesive films to prevent mildew growth.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
14
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Jomax House Cleaner and Mildew Killer Contains mildewcide, ChlorRelease® bleach
activator and detergents with the active
Zinsser Co, Inc. ingredient acetic acid.
173 Belmont Drive
Somerset, NJ 08875 Should not damage painted surfaces and may be
732-469-8100 applied close to plants but not on them.
Fax: 732-563-9774
E-mail: bullseye@zinsser.com Must add bleach such as Clorox® to activate and
http://www.zinsser.com remains effective for 3 hours after mixing.
• Sterilizes microorganisms.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
15
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Unsmoke Microban Disinfectant Spray Plus • 5-10% 2-Propanol and is an EPA registered
pesticide.
Microban Systems, Inc.
4660 Elizabeth Street • Skin and eye irritant with a flash point of 102
Coraopolis, PA 15108 degrees Fahreneit.
412-264-8340 or 800-332-6037
Fax: 412-262-7150 • Suitable for hospital and health care institutions
http://www.unsmoke.com and may be used in operating rooms, labs,
morgues, shower stalls, etc.
McDowell Supply
4508 8th Avenue NW • Decontaminates textiles, mattresses, bedding,
Seattle, WA 98107 etc.
206-784-4370
E-mail: tim.wessels@mcdowellsupply.com • Used to be called Hospital Spray.
http://www.mcdowellsupply.com
• Microban is EPA registered for use in clear, gray
Cleaning Systems and black water floods.
3810 Auburn Way North, #407
Auburn, WA 98002
• Composed of compounds less toxic than tributyl
800-824-3151
tin.
http://www.cleaningsystems.com
Cleaning Agents (No Styrene, Sodium Hydroxide, Hydrochloric Acid or Phosphoric Acid)
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
16
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
BioKleen Janitorial Products: Spray Magic, BKP • The janitorial products include an all-purpose
1204 Laundry Detergent, BKP 810 Citrus Kleen cleaner, laundry detergent, degreaser, etc.
and BKP 130 Neutral Cleaner Degreaser
• They are less toxic then traditional products.
Bio-Kleen
810 Lake Street • The laundry detergent does not contain
Kalamazoo, MI 49001 phosphates and is not compatible with strong
800-240-5536 acids.
Contact: Tim Kowalski
E-mail: sales@bioklee.com • Spray Magic is less toxic than traditional
http://www.biokleen.com cleaners, but make sure to wear a mask to avoid
inhalation of spray mist.
Cleaning Agents (No Styrene, Sodium Hydroxide, Hydrochloric Acid or Phosphoric Acid)
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
17
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Enviro Care All Purpose Cleaner • Cleaner/degreaser that is less toxic than
conventional cleaning agents at the
Rochester Midland Corporation recommended dilutions.
333 Hollenbeck Street
Rochester, NY 14621 • Contains an alkyl polyglysoside, has a neutral
800-836-1627 pH and is readily biodegradable.
http://www.rochestermidland.com
Foaming Citrus Oven Cleaner • Cleans ovens, grills, hoods, broilers and
rotisseries.
Healthy Clean Buildings
4 Wilmington Drive • Contains sodium metasilicate, alkanolamide,
Melville, NY 11747 propane/isobutane prepellant blend and d-
631-643-1882 limonene.
Fax: 1-631-643-4649
Contact: Stan Halpern • D-limonene may be a sensitizing agent.
E-mail: cleaning@fnol.net
http://www.cleaningpro.net • Does not contain sodium hydroxide.
Cleaning Agents (No Styrene, Sodium Hydroxide, Hydrochloric Acid or Phosphoric Acid)
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
18
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Laundry and Other Cleaning Supplies • Carry products that do not contain acids, bleach
or ammonia for doing laundry and are less toxic.
Healthy Clean Buildings
4 Wilmington Drive • Have soaps that do not release odor that may
Melville, NY 11747 trigger allergies.
631-643-1882
Fax: 1-631-643-4649
Contact: Stan Halpern
E-mail: cleaning@fnol.net
http://www.cleaningpro.net
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
19
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
20
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Quiet Module Cooling Towers • Uses evaporative cooling and may be expanded
to match the amount of water increases.
Pioneer Air Systems, Inc.
210 Flatfork Rd. • Filtration and chemicals to control bacteria
Wartburg, TN 37887 growth are necessary to run towers properly.
800-264-1AIR
Fax: 423-346-3865 • Small design and does not have any belts or
E-mail: sales@pioneerair.com pulleys to replace.
http://www.pioneerair.com/coolingtowers.htm
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
21
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Z1™ Series COULTER COUNTER Cell and Single and dual threshold models for absolute cell
Particle Counter counts or concentration.
Z2™ COULTER COUNTER® Cell and Particle In addition to reporting both count and
Counter concentration results, it provides size distribution
of the cell population.
Beckman Coulter, Inc.
4300 N. Harbor Boulevard Averages counts and channelyzes data from a
P. O. Box 3100 series of up to 10 consecutive analyses.
Fullerton
CA 92834-3100 User test functions built-in and storage of up to 5
800-742-2345 instrument settings for different cell lines.
FAX: Support 714-773-8283; Service 714-773-8426
http://www.beckman.com Mercury-free components.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
22
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Apple Cider Vinegar Recipe Apple cider vinegar may be purchased at most
grocery stores.
Compomer, Alloy (Gold), Composite and Glass • They offer a variety of filling material including
Ionomer Filling Materials compomer, alloy, composite and glass ionomer
options.
NM Supplies
1, Rosedale Court • Contact the company through their website for
Bishop Caruana Street more information on individual filling material.
Msida MSD05
Malta (Europe) • Less toxic than amalgam.
(00356) 2131 6070 or (00356) 7942 4721
Fax: (00356) 2131 6070
http://www.nmgroup.biz/nmsupplies/index.php
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
23
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
FX-50 Black & White Film Developer • Film developer that uses sodium ascorbate
instead of hydroquinone.
Paterson Photographic Inc
4680-A Industrial Access Road • Less toxic than formulas containing
Douglasville, GA 30134 hydroquinone; however, this product needs to be
770-947-9796 disposed of as hazardous waste.
Fax: 770-949-5917
E-mail: paterphoto@aol.com • Produces fine grain picture comparable to
http://www.patersonphotographic.com products containing hydroquinone.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
24
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
EcoTru/Steri-Safe Disinfectant Cleaner • Less toxic effects than phenols, yet still effective
at killing many types of microbes.
ECOSAFE Products
180 Newport Center Drive, Suite 180 • Contains smaller amount of active ingredient
Newport Beach, CA 92660 parachlorometaxylenol (PCMX, 0.20%) than
949-285-6525 previously formulated solutions.
Fax: 949-640-8536
E-mail: johnmac@ecosafeproducts.com • PCMX is known to cause contact dermatitis.
http://www.ecosafeproducts.com
• May release chlorine gas at high temperatures, so
use caution and do not store in high temperature
area.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
25
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
E-SAFE® Relay, Solid State Relay and QPAC-SCR Comparable alternative to mercury relays for
processing applications.
Watlow Electric Manufacturing Company
12001 Lackland Road, St. Louis Low cost and long heater life with no wearable
Missouri, USA 63146 moving parts.
800-WATLOW
For local sales agent : 800-4WATLOW Vendor states correct air temperature
E-mail: info@watlow.com and flow is essential to properly operate a solid
http://www.watlow.com state relay.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
26
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Single Phase Solid State Relay Comparable alternative to mercury relays in high
amperage or harsh environments (10 to 75
TEMPCO Electric Heater Corporation Amps).
607 North Central Avenue
Wood Dale, Illinois 60191 No wearable moving parts.
630-350-2252
Fax: 630-350-0232 CE or CSA certified.
E-mail: info@tempco.com
http://www.tempco.com Vendor states correct air temperature
and flow is essential to properly operate a solid
state relay.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
27
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
28
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
PROTO-Fix Parasitology Fixative • Single vial PVA fixative; permanent stain and
concentrator for procedures including EIA, IFA
Alpha-Tec Systems and PCR. Permanent stain in 10 min.
P.O. Box 5435
Vancouver, WA 98668-5435 • No mercury or other heavy metals.
360-260-2779 or 800-221-6058
Fax: 360-260-3277 • Less hazardous than mercury fixatives.
E-mail: info@AlphaTecSystems.com
http://www.alphatecsystems.com • Comparable to mercury.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
29
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
30
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Remel
12076 Santa Fe Drive
Lenexa, KS 66215
800-255-6730
Fax: 800-621-8251
ISales@remel.com
http://www.remel.com
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
31
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Fixative/Preservative For Tissues: Alternatives For Formalin and Bouin’s Solution (No Formaldehyde)
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
32
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Fixative/Preservative For Tissues: Alternatives For Formalin and Bouin’s Solution (No Formaldehyde)
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
33
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Fixative/Preservative For Tissues: Alternatives For Formalin and Bouin’s Solution (No Formaldehyde)
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
34
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Aleph Reed and Opto Sensor Switches • Mercury-free level sensors in single and twin
options.
Aleph International
1026 Griswold Avenue • Dry and vacuum reed switches.
San Fernando, CA 91340
818-365-9856 or 800-423-5622 • Avoid wetted switches (wetted with mercury).
Fax: 818-365-7274
Http://www.aleph-usa.com
Temco Northwest
19310 North Creek Parkway
Building 2 Suite 112
Bothell, WA 98011
425-481-6150
Fax: 425-481-6073
Contact: Tracy Williams
E-mail: tracyw@temconorthwest.com
http://www.gei-inc.com
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
35
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
FS 90 316 Stainless Steel Float Switch 316 Stainless Steel with a 5.5" diameter.
Kari and Kari Mini Float Switches Control device for filling and discharging pumps,
motor and magnetic valves and may be used as
Quality Monitoring Instruments Ltd. an alarm device at certain predetermined surface
5 Hampstead West, levels.
224 Iverson Road,
London. Kari mini float switch is 80mm in diameter and is
NW6 2HL capable of fitting into narrow spaces.
E-mail: qmi@oilmist.com or tech@oilmist.com
http://www.oilmist.com 24V is recommended with flammable liquid,
otherwise approved for use at 250V.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
36
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Level Switches and Level Sensors • All Madison products are mercury-free.
Liquid Level, Liquid Flow and Air Flow Switches • All three types are offered in mercury-free
options.
McDonnell & Miller
3500 North Spaulding Avenue • Competitive pricing.
Chicago, IL60618
773-267-1600
Fax: 773-267-0991
http://www.mcdonnellmiller.com
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
37
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Mighty Mack 1944 series Float Switches Model LS-1944-1 and model LS-1944-2 have been
ABS & epoxy pressure tested to 30 PSI (830
Custom Switches, Inc. inches water).
P.O.Box 111
Manvel, TX 77578 Designed for holding tanks, sumps, lift stations,
281-489-7844 cooling towers and sewage systems.
Fax: 281-489-7521
E-mail: sales@customswitches.com Used as high level alarms, low level alarms,
http://www.customswitches.com starting or stopping pumps, motors and heaters.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
38
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
NWS Vibrating Level Switch • Works with many liquids and unaffected by
vibrations.
Kobold Instruments, Inc.
1801 Parkway View Drive • Tuning fork that triggers alarm when liquid
Pittsburgh, PA 15205 causes the fork to vibrate at a different
412-788-2830 frequency.
412-788-4890
E-mail: info@koboldusa.com • Mercury-free.
http://www.koboldmessring.com
PAC™ Series Pressure Activated Control Systems All settings and adjustments made outside the
container and is mercury-free.
Ballagh Liquid Technologies, Inc
121 North Street W., R R 2, CSI Submersible pressure bell.
Wingham, Ontario Canada N0G 2W0
877-312-4600 or 519-357-4600 25 feet of heavy duty polyurethane interconnect
519-357-4630 tubing.
E-mail: info@bliquidtech.com
http://www.bliquidtech.com Low level and loss of pressure alarms.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
39
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Pump Down to Empty Tank Float Switches Product # 10-0032, 10-0033 and 10-0034 are
mercury-free.
Dean Bennett Supply
1770 East 69th Ave Piggy-back plug for use with up to 13 amps
Denver, CO 80229-7327 maximum for the junior switches and 15 amps
800-621-4291 or 303-286-1500 maximum for the super switches.
Fax: 303-286-0001
E-mail: pumpsdbs@aol.com 115V and 230V use options.
http://www.deanbennett.com
Series FSW Free-Floating Level Switch • Dual level switch designed to control the liquid
or slurry levels in filling or draining reservoirs
Dwyer Instruments Inc. and tanks.
PO Box 373
102 Indiana Hwy. 212 • Mercury-free inverter microswitch housed in a
Michigan City, IN 46361 polypropylene cover.
219-879-8000
Fax: 219-872-9057
E-mail: info@dwyer-inst.com
http://www.dwyer-inst.com
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
40
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
SJE SIGNALMASTER® and SJE Mechanically activated, narrow angle float switch.
SIGNALMASTER® SPDT Control Switches
Activates pump control panels and alarms.
SJE Rhombus Controls
PO Box 1708 Do not use for controlling electric loads less than
Detroit Lakes, MN 56502 100 mAmps or for controlling non-arcing
888-DIAL-SJE or 218-847-1317 electric loads.
Fax: 218-847-4617
E-mail: sje@sjerhombus.com Polypropylene float that is capable of withstanding
http://www.sjerhombus.com temperatures up to 140°F.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
41
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Adenna NPF Nitrile Powder Free Exam Gloves • Powder-free nitrile gloves with textured surface
for better grip.
Adenna, Inc.
12216 McCann Drive • Ambidextrous gloves.
Santa Fe Springs, CA 90670
888-323-3662 • Material is less likely to cause an allergic
http://www.adenna.com reaction.
Maxxim SensiCare™ Nitrile and Sensicare NXP • Nitrile gloves available with or without powder.
Exam Gloves
• Passed ASTM F1671 viral penetration and has
Maxxim Medical been tested for barrier protection against
One Medline Place chemicals (contact vendor for details).
Mundelein, Illinois 60060
800-727-7951 • Standard nitrile glove is less durable and thinner.
Fax: 1-800-351-1512
E-mail: Maxximhelp@medline.com • Material is less likely to cause an allergic
http://www.maxximmedical.com reaction.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
42
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Tillotson Dual Advantage Exam Gloves • Nitrile rubber exterior and a PolyGlide™ latex-
free interior to allow for easy pull on and
Tillotson Healthcare Corporation removal.
10 Glenshaw Street
Orangeburg, NY 10962 • Passed ASTM F1671 viral penetration test for
800-445-6830 or 888-335-7500 resistance to bloodborne pathogens and verified
Fax: 603-627-8000 barrier protection against glutaraldehyde,
E-mail: info@thcnet.com formaldehyde and Cidex 7 using ASTM test
Contact: Debi Moline, John Moulden or Joe Kastner methods. Contact vendor for specifics.
E-mail: moline@thcnet.com, john@dynarex.com,
dynatill@aol.com respectively • Latex-free material is less likely to cause an
http://thcnet.com allergic reaction.
Ansell-Perry Derma Prene® Surgical Glove • Neoprene gloves that contain chlorine (potential
for hazardous incineration byproducts).
Ansell-Perry
Red Bank, NJ 07701 • Available with or without powder.
800-321-9752
Contact: Dan Grant (ext 7760) • No report on resistance to bloodborne pathogens
E-mail: infousa@ansellhealthcare.com or or chemicals using ASTM methods.
dgrant@ansell.com
http://www.ansellhealthcare.com • Latex-free material is less likely to cause an
allergic reaction.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
43
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Regent Biogel® Surgical Gloves Powder-free, neoprene gloves that contain chlorine
(potential for hazardous incineration byproducts).
Regent Hospital Products
800-763-6364 No report on resistance to bloodborne pathogens or
http://www.regentmedical.com chemicals using ASTM methods.
Adenna NPF Nitrile Powder Free Exam Gloves • Powder-free nitrile gloves with textured surface
for better grip.
Adenna, Inc.
12216 McCann Drive • Ambidextrous gloves.
Santa Fe Springs, CA 90670
888-323-3662 • Material is less likely to cause an allergic
http://www.adenna.com reaction.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
44
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Allerderm® Nitrile Exam Gloves • Powder-free nitrile gloves with textured grip.
Ansell-Perry Nitra-Tex™ and Nitra-Touch® Exam • Nitrile gloves available with or without powder.
Gloves
• No report on resistance to bloodborne pathogens
Ansell-Perry or chemicals using ASTM methods.
Red Bank, NJ 07701
800-321-9752 • Nitra-Tex™ has textured wet-grip surface.
Contact: Dan Grant (ext 7760)
E-mail: infousa@ansellhealthcare.com or • Material is less likely to cause an allergic
dgrant@ansell.com reaction.
http://www.ansellhealthcare.com
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
45
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
ECI Elastyren® Examination Gloves • Non-sterile procedure glove that passed the
ASTM viral penetration test for bloodborne
ECI Medical Technologies, Canada pathogens.
2 Cook Road, Bridgewater Nova Scotia, Canada B4V
3W7 • They do not contain powder, accelerator, latex,
800-668-5289 chlorine or PVC.
Fax: 866-668-5289
http://www.ecimedical.com • Material is less likely to cause an allergic
reaction and is less hazardous than other glove
Allerderm Laboratories, Inc. materials.
PO Box 2070
Petaluma, CA, 94953-2070
707-765-6868
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
46
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Safeskin Blue Nitrile and Purple Nitrile™ • Nitrile gloves available with or without powder.
Examination Gloves
• Passed ASTM F1671 viral penetration test for
Safeskin Corporation resistance to bloodborne pathogens and verified
(Division of Kimberly-Clark) barrier protection against glutaraldehyde, various
1400 Holcomb Bridge Rd chemicals and various chemotherapy drugs using
Roswell, GA 30076 ASTM test methods. Contact vendor for
800-462-9993 or 800-255-6401 specifics.
Fax: 800-579-3555
E-mail: safety.cust.support@kcc.com • Purple nitrile gloves intended to be similar in fit
http://www.safeskin.com and comfort to latex.
Tillotson True Advantage Accelerator Free Nitrile • Purple nitrile gloves available with or without
Exam Gloves powder.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
47
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Maxxim Neolon™ Surgical Glove • Neoprene gloves that contain chlorine (potential
for hazardous incineration byproducts).
Maxxim Medical
One Medline Place • Available with or without powder.
Mundelein, Illinois 60060
800-727-7951 • Passed ASTM F1671 viral penetration test for
Fax: 1-800-351-1512 resistance to bloodborne pathogens and passed
E-mail: Maxximhelp@medline.com barrier protection against various chemicals.
http://www.maxximmedical.com
• Latex-free material is less likely to cause an
allergic reaction.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
48
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Regent Biogel® Surgical Gloves Powder-free, neoprene gloves that contain chlorine
(potential for hazardous incineration byproducts).
Regent Hospital Products
800-763-6364 No report on resistance to bloodborne pathogens or
http://www.regentmedical.com chemicals using ASTM methods.
AmeriClear or Citrus Clearing Solvent • Xylene-free D-limonene based solvent that can
replace xylene in all applications, but it may
Richard Allan Scientific require process modification.
(Cat No. 8301)
4481 Campus Drive • Less toxic than xylene.
Kalamazoo, MI 49008 .
800-522-7270 • Do not need to place in flammable storage
Fax: 269-372-2809 cabinet.
Contact: Tyna Smith Ext. 634
E-mail: tsmith@rallansci.com • Limonene may be a sensitizing agent.
http://www.rallansci.com
• Greasy.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
49
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
50
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
51
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Voigt Global Distribution LLC • Stain kits produce less waste than larger bottles
P.O. Box 412762 of stains sold separately.
Kansas City, MO 64141-2762
816-471-9500
Fax: 816-471-9502
E-mail: tech-support@VGDLLC.com,
sales@VGDLLC.com
http://www.vgdllc.com
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
52
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Hematology and Histology Stain Kits • Have a variety of stain kits (e.g. gram).
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
53
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
HVAC Heating, Ventilation and Air Conditioning Systems and Components (No Mercury)
Heating, Air Conditioning, Ventilation and • All of their components contain material less
Refrigeration Units toxic than mercury.
Heating and Air Conditioning Units • Mercury-free systems are available upon request.
HVAC Heating, Ventilation and Air Conditioning Systems and Components (No Mercury)
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
54
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Trane Air Conditioning and Heating • Air Conditioning and Heating Systems are
available with mercury-free components when
715 N. Hogan requested.
Spokane, WA 99220
509-535-9057 • Systems equivalent to those with mercury
Fax: 509-535-4353 components; however, they are less hazardous.
http://www.trane.com/Spokane
or • No mercury may reduce the disposal cost.
2021 152nd Avenue NE
Redmond, WA 98052
425-643-4310
Fax: 425-643-4314
http://www.trane.com/Seattle
Honan Intraocular Pressure Reducer • Uses air pressure to soften the eyes instead of
mercury.
Lebanon Corporation
1700 N. Lebanon St. • Applies up to 60 mmHg pressure.
Lebanon, Indiana 46052
800-428-2310 or 765-482-5284 or 765-482-7273 • Use before and/or after retrobulbar, peribulbar or
FAX: 765-482-5660 subtenons anesthesia.
http://www.honanballoon.com
• Contains latex (may cause allergic reaction).
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
55
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Less cost.
Stericycle Red Biohazard Bags and Liners All bags and liners are cadmium-free.
Stericycle
28161 North Keith Drive
Lake Forest, Illinois 60045
800-643-0240 or 800-355-8773
Fax: 847-367-9493
E-mail: customercare@stericycle.com
http://www.stericycle.com
Tyco Plastics (A Tyco International Ltd. Company) • Available in high-density and low-density can
800-873-3941 or 800-551-5036 liners with or without printing.
http://www.tycoplastics.com
Laboratory Analyses: Colorimetric Chloride and Sequential Multiple Analysis Alternatives (No
Mercury)
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
56
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
ION450 and ION570 Ion Selective Electrodes (ISE) • The ION570 measures pH, conductivity and ISE.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
57
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
58
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Sun Wave Super Watt Reducer Full Spectrum • Full spectrum fluorescent bulb available in a 32
Fluorescent Lights watt with a length of 48 inches.
ParaLite Full Spectrum Fluorescent Bulbs • Offer a variety of low mercury fluorescent bulbs
at reasonable prices.
Full Spectrum Solutions, Inc.
PO Box 1087 • Vendor claims bulbs contain 70% less mercury
Jackson, MI 49204 than traditional fluorescent bulbs.
888-574-7014
Fax: 866-366-4029
shannon@fullspectrumsolutions.com
http://www.fullspectrumsolutions.com
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
59
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Copper Catalysts • Have cuprous (I) oxide and cupric (II) oxide
reagents that may be used as less toxic
Sciencelab.com, Inc. alternatives for mercury (II) oxide assay.
1407 North Park Dr.
Kingwood, Texas 77339 • Less toxic than mercury.
1.800.901.7247 or 281.354.6400
Fax: 281-354-6789
E-mail: orders@sciencelab.com
http://www.sciencelab.com
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
60
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Clean House Microfiber Cleaning Products • Have microfiber mops and cloths.
Clean System US • Use less chemicals and water than wet loop
2301 Kerner Blvd, Suite B mops, therefore reduces cleaning time and
San Rafael, CA 94901 chances for possible injury.
415-939-0301
415-454-1740 • Light weight and last longer than loop mops.
E-mail: contact@cleansystem.com
http://www.cleansystem.com • Need to be laundered after each use and should
not laundered in industrial machines where
temperatures raise above 160 degrees Fahrenheit.
Edge Tech Industries Microfiber Products • Have microfiber mops and cloths.
Edge Tech Industries • Use less chemicals and water than regular mops,
800-250-2440 therefore reduces cleaning time and chances for
possible injury.
Ross Products Amazing Cloth Microfiber Products • Have microfiber mops and cloths.
Ross Products • Use less chemicals and water than regular mops,
888-440-0480 therefore reduces cleaning time and chances for
http://www.amazingcloth.com possible injury.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
61
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Swedish Cleaning System MIKROkleen Microfiber • Have microfiber mops and cloths.
Products
• Use less chemicals and water than regular mops,
Redco therefore reduces cleaning time and chances for
16520 Harbor Blvd, Suite F possible injury.
Fountain Valley, CA, 92708
800-794-7047 • Limitations are the same as Clean House
E-mail: info@dustneversleeps.com Microfiber Cleaning Products.
http://www.dustneversleeps.com
The Rag Company Microfiber Products • Have microfiber mops and cloths.
The Rag Company • Use less chemicals and water than regular mops,
11939 Musket Dr. therefore reduces cleaning time and chances for
Boise, ID 83713 possible injury.
866-344-4703 or 208-322-4703
Fax: 208-955-2014 • Limitations are the same as Clean House
E-mail: theragco@aol.com Microfiber Cleaning Products.
http://www.theragcompany.com
Neonatal Products: Feeding Tubes, Catheters and Positioning Aids (No PVC or DEHP)
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
62
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Axiom Medical, Inc Neonatal & Pediatric Catheters • Neonatal/Pediatric silicone catheters.
CORPAK CORFLO Neonatal and Pediatric • DEHP-free, polyurethane neonatal and pediatric
Feeding Tubes feeding tubes.
Neonatal Products: Feeding Tubes, Catheters and Positioning Aids (No PVC or DEHP)
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
63
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Colombia Medical, Inc. • PVC-free and less toxic than PVC and DEHP.
(Division of Utah Medical Products, Inc.)
1830 S.E. First St. • Available in single, dual or triple lumen.
Redmond, OR 97756
800-548-8667 or 800-533-4984 • Comparable to PVC and DEHP.
Fax: 541-548-8066
http://utahmed.com
Neonatal Products: Feeding Tubes, Catheters and Positioning Aids (No PVC or DEHP)
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
64
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Arrow International, Inc. • Silicone plastic tube with or without oral dose
PO Box 12888 connector (40cm-90cm).
Reading, PA 19612 USA
800-640-6428 or 800-523-8446 • Comparable to PVC and DEHP but less toxic.
http://www.neocare.com
Neonatal Products: Feeding Tubes, Catheters and Positioning Aids (No PVC or DEHP)
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
65
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Neonatal Products: Feeding Tubes, Catheters and Positioning Aids (No PVC or DEHP)
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
66
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Specialty Medical Products’ Feeding Tubes and • DEHP-free connection and extension sets used in
Enteral Sets neonatal and pediatric applications.
Specialty Medical Products • Made of silicone and comes in various sizes (40-
103 Springfield Center Dr. Suite 101 90cm).
Woodstock, Georgia 30188
800-633-4360 • Comparable to PVC and DEHP.
Fax: 770-517-5853
http://www.gopreemie.com • Less toxic than PVC and DEHP.
Neonatal Products: Feeding Tubes, Catheters and Positioning Aids (No PVC or DEHP)
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
67
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Umbilical Vessel Catheter Series 1270 and • Non-PVC, polyurethane catheter for parenteral
1272/1274 nutrition.
Vygon DEHP-Free PVC Feeding Tubes • DEHP-free TOTM infant feeding tube.
Neonatal Products: Feeding Tubes, Catheters and Positioning Aids (No PVC or DEHP)
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
68
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
69
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Glycine, Aminoacetic Acid, Glycocoll • Neutralizes CIDEX OPA and other aldehyde
solutions with concentrations as low as 25 g of
City Chemical LLC (Catalog # A392) glycine per gallon of aldehyde solution
139 Allings Crossing Road, depending on aldehyde concentration and contact
West Haven, CT 06516 period.
203-932-2489 or 800-248-2436
Fax : 203-937-8400 • Purchasable quantities from 250 g to 12 kg.
E-mail: sales@citychemical.com
http://www.citychemical.com • Less expensive than other products made
specifically for aldehyde neutralization.
Fisher Scientific (Catalog # G48 series)
800-766-7000 • Should neutralize aldehyde within one hour if
Fax: 800-926-1166 the proper procedure is followed.
http://www.fisherscientific.com
• Neutralized product may be subject to local
Sigma-Aldrich (Catalog # G7126) water quality regulations if poured into the
800-558-9160 sanitary sewer.
http://www.sigmaaldrich.com
• Do not release neutralized product into any
Spectrum Chemical and Laboratory Products (Catalog septic system.
# AM125-13 and AM125-18)
310-516-8000
http://www.spectrumchemical.com
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
70
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Neutralex Starter Kit (Cat# 7905) • Neutralizes 10% formalin and 2% glutaraldehyde
in 15 minutes.
BBC Biochemical
8510 Cedarhome Dr. • Contains 16 neutralizing packs and 100 test
Stanwood, WA 98292 strips.
800-635-4477 or 360-629-4477
Fax: 360-629-4479 • More expensive than glycine.
E-mail: info_washington@bbcus.com
http://www.bbcus.com • Neutralized product may be subject to local
water quality regulations if poured into the
sanitary sewer.
Acro and Super Acro Interior Paints • Water-based latex paint with no toxic VOCs
and no mercury preservative.
Miller Paint Co.
http://www.millerpaint.com • Green seal certified.
Find local distributor from website.
• Contains Microban® which inhibits microbial
growth.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
71
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Horizon Series Rodda Paint • Green seal interior and exterior paints.
Pest Control
Perma Guard Diatomaceous Earth • Kills insects without the use of toxic chemicals.
Bio-Ag Consultants & Distributors Inc. • Avoid breathing in the dust. It may irritate the
1400 Greenwood Hill Rd. lungs and eyes.
P.O. Box 189
Wellesley, Ont. Canada N0B 2T0 • Kills most insects, so apply carefully to avoid
800-363-5278 killing helpful insects.
Fax: (519) 656-2534
E-mail: info@bio-ag.com
http://www.bio-
ag.com/products/feedsupplements/diatomaceous.ht
ml
Weed Prevention Plus • 5 pound bag of 100% corn gluten for use in weed
control.
Interior Gardens
2727 Lyndale Ave. S. • Helps stop new seed growth from weeds.
Minneapolis MN, 55408
800-498-4178 or 612-870-9077 • One bag covers up to 250 square feet.
Fax: 1-612-870-8901
order@interiorgardens.com • Less toxic than traditional weed killers.
http://www.hydroponics-
garden.com/weedprevplus.html
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
72
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
800-461-1145
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
73
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
74
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Kodak Developer System Cleaner and Neutralizer • Three part cleaning system that does not contain
(#1012079) chromium.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
75
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Universal Processor Cleaner (Cat. #720-77 and Cat. • Removes sludge including silver from
#720-90) developers.
Plastic Equipment For Plastic Tubing, Blood Bags, Electrodes and Other Plastic Equipment ( No
DEHP and PVC)
B. Braun Peritoneal Dialysis Solution Containers • Dialyte® solution available in plastic containers
that are PVC-free and DEHP-free.
B. Braun McGaw, Inc.
Dialysis Products
824 Twelfth Avenue
Bethlehem, PA 18018
800-621-0445 or 610-691-5400
http://www.bbraunusa.com
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
76
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Plastic Equipment For Plastic Tubing, Blood Bags, Electrodes and Other Plastic Equipment ( No DEHP
and PVC)
Baxter All-In-One TPN Containers • Made of ethyl vinyl acetate (EVA) with PVC
spike ports.
Baxter Healthcare Corporation
One Baxter Parkway • PVC is plasticized with trisoctyl trimellitate
Deerfield, IL 60015 (TOTM) instead of DEHP.
800-422-9837
http://www.baxter.com
Baxter Blood Bags • DEHP-free packed red blood cell bags made of
PVC, but there is no substitute for the PVC bag
Baxter Healthcare Corporation from this company yet.
Fenwall Division
One Baxter Parkway • Bags for platelet rich plasma, platelets and fresh
Deerfield, IL 60015 frozen plasma and are made from polyolefin.
800-766-1077
http://www.baxter.com • Those bags with the label PL 732, PL 1240, PL
209 or PL 2410 DO NOT contain DEHP.
BioTac® Ultra Series • PVC- and latex-free foam and tape adult
conductive adhesive gel ECG electrodes.
The Ludlow Company LP (Kendall-LTP)
Two Ludlow Park Drive • Two year shelf life.
Chicopee, MA 01022 USA
800-962-9888 • Less toxic than DEHP and PVC.
http://www.kendall-ltp.com
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
77
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Plastic Equipment For Plastic Tubing, Blood Bags, Electrodes and Other Plastic Equipment ( No DEHP
and PVC)
CORPAK Farrell Gastric Relief System • DEHP-free system made from EVA.
CORPAK MedSystems
VIASYS Healthcare Medsystems Division
100 Chaddick Dr
Wheeling IL 60090
800-323-6305 or 847-537-4601
Fax: 847-541-9526
E-mail: corpak@corpakmedsystems.com
http://www.corpakmedsystems.com/home.asp
CORPAK Polar Feeding Bag & Pump Set • DEHP-free system made from EVA.
CORPAK MedSystems
VIASYS Healthcare Medsystems Division
100 Chaddick Dr
Wheeling IL 60090
800-323-6305 or 847-537-4601
Fax: 847-541-9526
E-mail: corpak@corpakmedsystems.com
http://www.corpakmedsystems.com/home.asp
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
78
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Plastic Equipment For Plastic Tubing, Blood Bags, Electrodes and Other Plastic Equipment ( No DEHP
and PVC)
Dow MDF 7200 Metallocene Polyethylene Film • This may be used for a variety of medical
applications (e.g. bags).
UCAR Emulsion Systems International
(Division of Dow Medical Device Film) • Made with Affinity ethylene polymer resins
19206 Hawthorne Boulevard (metallocene polyethylene).
Torrance, California 90503
800-441-4369 or 310 214 5300 • Combustion products mainly carbon dioxide and
Fax: 310 542 3898 water.
http://www.dow.com/medfilm/
Excel® and PAB® IV Solution Containers • Biologically inert, non-toxic plastic that is PVC-
free and DEHP-free.
B. Braun McGaw, Inc.
Dialysis Products • Excel container’s incineration byproducts are
824 Twelfth Avenue carbon dioxide and water.
Bethlehem, PA 18018
800-621-0445 or 610-691-5400 • Features rigid ports.
http://www.bbraunusa.com
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
79
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Plastic Equipment For Plastic Tubing, Blood Bags, Electrodes and Other Plastic Equipment ( No DEHP
and PVC)
Kendall Kangaroo DEHP-Free Pump Set • DEHP-free PVC pump set made for all
Kangaroo 224, 324, PET and CONTROL enteral
Kendall-LTP feeding pumps.
The Ludlow Company LP
Two Ludlow Park Drive • Internal Anti-Free Flow (AFF) Device to
Chicopee, MA 01022 eliminate a free flow accident.
800-962-9888 or 800-669-1009
Fax: 800-637-9775
http://www.kendall-ltp.com
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
80
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Plastic Equipment For Plastic Tubing, Blood Bags, Electrodes and Other Plastic Equipment ( No DEHP
and PVC)
M312 Film and IV Style Bags • Polyester modified polypropylene film and
tubing.
Cryovac Division, Sealed Air Corporation
864-433-2922 • PVC-free material is compatible with various
Contact: Ralph Sizemore pharmaceutical solutions including a variety of
E-mail: ralph.sizemore@sealedair.com lipids and amino acids.
http://www.sealedair.com
• Takes less time to sterilize in an autoclave than
in thicker plasticized PVC and is less than half
the mass of PVC possibly reducing the amount
of waste generated.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
81
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Plastic Equipment For Plastic Tubing, Blood Bags, Electrodes and Other Plastic Equipment ( No DEHP
and PVC)
Non-PVC Bags for TPN • Drug delivery and IV nutrition PVC-free bags.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
82
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Plastic Equipment For Plastic Tubing, Blood Bags, Electrodes and Other Plastic Equipment ( No DEHP
and PVC)
Polyurethane Film, Sheet, Tubing and Custom • Supplies the PVC alternative, thermoplastic
Profiles polyurethane to OEM’s and end product
converters.
Steven Urethane
Nine Sullivan Road
Holyoke, MA 01040-2800
877-878-3456
Contact: Tim Falcetti
E-mail: tafalcetti@stvure.com
http://www.stevensurethane.com
RadioTrace™ RT600 Series and Excel® • RadioTrace™ radiolucent ECG electrodes used
Radiolucent Series for x-ray procedures and all monitoring
applications and do not contain any toxic heavy
The Ludlow Company LP (Kendall-LTP) metals.
Two Ludlow Park Drive
Chicopee, MA 01022 USA • Excel® foam and cloth radiolucent adult
800-962-9888 conductive adhesive gel diagnostic ECG
http://www.kendall-ltp.com electrodes used for all applications.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
83
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Plastic Equipment For Plastic Tubing, Blood Bags, Electrodes and Other Plastic Equipment ( No DEHP
and PVC)
Tekni-Plex SurePath Medical Tubing • For anesthesia monitoring lines and it does not
contain PVC or phthalate.
Natvar
800-395-6288 • Consists of Ecdel outer layer, proprietary middle
Contact: Bob Donohue layer and polyethylene inner layer.
http://www.natvar.com
• Can withstand PVC solvent or adhesive binding
and is ethylene oxide and gamma stable.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
84
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Plastic Equipment For Plastic Tubing, Blood Bags, Electrodes and Other Plastic Equipment ( No DEHP
and PVC)
ZEVEX DEHP-Free Delivery Set • DEHP-free enteral feeding pump delivery set.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
85
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
86
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Welding & Compressed Gas Regulator Gauges • Mercury-free gauges made of brass or stainless
steel used for oxy-fuel gas welding, compressed
AMETEK U.S. Gauge gas or medical gas regulators.
820 Pennsylvania Boulevard
Feasterville, PA 19053 • Available for high pressure and low pressure
215-355-6900 uses.
Fax: 215-354-1802
E-mail: usg@ametek.com • Comparable to mercury containing devices, but
http://www.ametekusg.com material is less hazardous.
• No rinsing necessary.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
87
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
EarthSafe™ and EarthSafe Plus Lead Free Aprons • Comes with a vinyl and non-vinyl coating (non-
vinyl is less toxic).
Bar-Ray Products
P.O. Box 36 • Equivalent to 0.5mm Pb at 100 kVp.
95 Monarch Street
Littlestown, PA 17340 • EarthSafe Plus is of traditional weight and
888-442-7729 EarthSafe is 10-15% lighter.
Fax: 800-359-6977
E-mail: info@bar-ray.com • Both materials are less hazardous than lead.
http://www.bar-ray.com/ppfg.html
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
88
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
MarShield™ Lead-Free Aprons • Comes with a vinyl and non-vinyl coating (non-
vinyl is less toxic).
MarShield™ Products
4130 Morris Drive • Lightweight lead-free option available for all
Burlington, Ontario L7L 5 L6, Canada aprons.
800-381-5335
Fax: 905-637-8841 • Both materials are less toxic than lead.
E-mail: sales@marsmetal.com
http://www.marshield.com
Protech NL-Ply Non-Lead Apron • Lead-free and lighter than standard lead 0.5mm
at 100KVP.
Protech
4087 Burns Road • Less toxic than material containing lead.
Palm Beach Gardens, FL 33410
561-627-9769 or 888-672-9769
Fax: 561-627-0923
E-mail: info@protecheyewear.com
http://www.protecheyewear.com
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
89
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Canon Medical Imaging Systems • The medical systems create digital x-rays
eliminating the need to purchase and dispose of
Canon toxic chemical fixers and other photographic
850 Greenbrier Circle solutions.
Chesapeake, VA, 23320
800-OK-CANON • Uses an amorphous silicon flat panel sensor.
http://www.canon.com
• Reduces radiation exposure.
Kodak Dental and Laboratory Digital Systems • The dental systems create digital x-rays
eliminating the need to purchase and dispose of
Eastman Kodak Company toxic chemical fixers and other photographic
343 State Street solutions.
Rochester, NY 14650
800-242-2424 • Dental systems produce extraoral and intraoral
http://www.kodak.com digital images.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
90
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Aerosolv ® Aerosol Can Recycling System • Safely empties aerosol cans and allows cans to
be recycled as scrap steel.
Katec Incorporated
800-843-6808 • Collects liquid and filters out volatile organic
http://www.aerosolv.com compounds.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
91
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
SolmeteX® Reagent Management System Made for clinical, research, pathology and
histology labs.
SolmeteX™
800-216-5505 Resins remove mercury and other heavy metals.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
92
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
CBG Biotech Solvent Recycler • Processes (separates, purifies and recovers for
reuse) xylene, xylene substitutes, alcohols,
CBG Biotech formalin, acetone and other solvents.
2211 Lake Club Drive (Suite 205)
Columbus, OH 43232 • Offer a range of sizes down to a compact
800-941-9484 capacity for 2 gallons per day producers.
Fax: 614-863-1676
E-mail: info@cbgbiotech.com • About 95% recovery and high purity.
http://www.cbgbiotech.com
• Recycles many types of solvents in one machine.
CMT Solvent Distillation Systems • Made for hospital labs and recycles xylene,
alcohol and formalin.
CMT Environmental Services, Inc.
3035 Bravo Ct.
Orange Park, FL 32065
800-749-1008
E-mail: cmt@cmtchemmaster.com
http://www.epa.state.oh.us/opp/solvents/fact9.html#
vend
Creative Waste Solutions Solvent Filters • Recycles alcohol, xylene and formalin.
Creative Waste Solutions, Inc. • Removes stains, dyes and cellular debris from
2595 Remington Drive alcohol and formalin using gravity filtration.
West Linn, OR 97068 Pads remove alcohol and water from xylene.
888-795-8300 or 503-963-8037
Fax: 503-963-8047 • Recycles the formalin without removing the
E-mail: info@cwsincorp.com buffered salts or altering the formalin
http://www.cwsincorp.com concentration.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
93
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
S&G Enterprises, Inc. Vyleater Vial Crusher • Removes methanol from vials, crushes the vials
and destroys the labels.
S&G Enterprises, Inc.
888-726-3528 • It will process one quarter to two inch vials made
of plastic or glass with plastic coating (can have
metal tops or ornamental closures).
Suncycle Technologies Inc. Alcohol Recycling • Gravity filters alcohol. Processes one gallon
Cartridges within 45-75 minutes and 100 to 150 gallons per
cartridge.
Suncycle Technologies Inc.
866-786-2925
Triangle Biomedical Sciences Solvent Recyclers • Recovers xylene, alcohol and formalin.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
94
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
95
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Inkjet and Laser Cartridge Recycler • Purchase empty inkjet and laser cartridges.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
96
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Waste Recovery and Recycling • Recover and recycle: refrigeration and HVAC
equipment, CFC, HCFC, and HFC refrigerant
Total Reclaim gases, refrigerant, compressors and compressor
PO Box 24996 oils, computer monitors and other computer
Seattle, WA 98124-0996 equipment, batteries, fluorescent light bulbs and
206-343-7443 lighting ballasts.
Fax: 206-343-7445
E-mail: pkeller@totalreclaim.com
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
97
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Temco Northwest
19310 North Creek Parkway
Building 2 Suite 112
Bothell, WA 98011
425-481-6150
Fax: 425-481-6073
Contact: Tracy Williams
E-mail: tracyw@temconorthwest.com
http://www.gei-inc.com
Reed and Electromechanical Relays and Reed • 200 styles of relays and reed switches.
Switches
• Mercury-free.
Hasco
906 Jaricho Turnpike • Avoid mercury wetted reed switches.
New Hyde Park, NY 11040
516 328 9292
E-mail: info@hascorelays.com
http://www.hascorelays.com
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
98
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Reed Relays and Dry-Reed Switches • Device used in sensors, relays, pulse counters,
etc.
Coto Technologies
55 DuPont Drive • Mercury-free switch may be actuated by an
Providence, RI 02907-3105 electromagnet, a permanent magnet or a
401-943-2686 combination of both.
Fax: 401-942-0920
E-mail: sales@cotorelay.com • Relays used in IC testers, in-line relay testers,
http://www.cotorelay.com/index.htm memory testers, mixed signal testers and high
bandpass applications.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
99
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Selective Enrichment Broth for Salmonella spp.: Alternatives to Sodium Selenite Cysteine Broth
Rappaport-Vassiliadis Broth (R-V Broth) • Replaces sodium selenite cysteine broth for
selective enrichment of Salmonella spp. in food
Remel except for guar gum.
12076 Santa Fe Drive
PO Box 14428 • It is not intended for IVD use.
Lenexa, KS 66215
800-255-6730 or 913-888-0939 • Less toxic than sodium selenite, however, it is
Fax: 800-621-8251 irritating to eyes, respiratory system and skin.
E-mail: remel@remel.com
http://www.remel.com • If overheated, magnesium chloride may
decompose and emit toxic hydrochloric acid
vapors and chlorine gas fumes.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
100
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Selective Enrichment Broth for Salmonella spp.: Alternatives to Sodium Selenite Cysteine Broth
Rappaport-Vassiliadis R10 Broth (7512) • Used for selective enrichment of Salmonella spp.
from food and is recommended to replace
Neogen Corporation sodium selenite cysteine broth for analysis of all
Food Safety Division, Acumedia foods except guar gum.
620 Lesher Place
Lansing, MI 48912 USA • Consists of sodium chloride, magnesium
800-234-5333 or 517-372-9200 chloride, potassium dihydrogen phosphate,
Fax: 517-372-1086 malachite green oxalate and an enzymatic digest
E-mail: foodsafety@neogen.com of casein.
http://www.neogen.com
• Less toxic than sodium selenite, however, it is
irritating to eyes, respiratory system and skin.
ADC® DIAGNOSTIX™ series 700, 703, 720 and • Palm/pocket style aneroid sphygmomanometers.
760 Sphygmomanometers
• Mercury-free with 300mmHg no-pin stop
ADC manometer.
55 Commerce Drive
Hauppauge, NY 11788 • Latex-free options for bulbs and bladder.
800-ADC-2670 or 631-273-9600
Fax: 631-273-9659 • Made for heavy use.
E-mail: info@adctoday.com
http://adctoday.com • Comparable to mercury sphygmomanometers.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
101
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
ADC® DIAGNOSTIX™ series 750, 750W and • Wall and mobile units.
752M Sphygmomanometers
• Mercury-free aneroid sphygmomanometer.
ADC
55 Commerce Drive • Large luminescent dial for easy-viewing under
Hauppauge, NY 11788 low light conditions.
800-ADC-2670 or 631-273-9600
Fax: 631-273-9659 • Mobile unit adjusts from 40 to 54in.
E-mail: info@adctoday.com
http://adctoday.com • Wall unit has 110 degrees swivel capabilities.
ADC® PHOSPHYG™ series 770 and 775 • Mercury-free aneroid sphygmomanometers with
Sphygmomanometers 300mmHg no-pin stop manometer.
Caliber Series Aneroid Sphygmomanometers • Designed for hospital, nursing and EMT use with
a 20-year calibration warranty.
Mabis Healthcare
1931 Norman Drive • Available in a nylon or cotton cuff although
Waukegan, IL 60085 nylon comes in more sizes.
800-728-6811
Fax: 800-747-9646 • Comparable to mercury sphygmomanometers.
http://www.mabis.net
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
102
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
DynaPulse® Electronic Blood Pressure Monitors • Versions available for ambulances and clinics.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
103
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Large Face Aneroid Sphygmomanometers • Offered in wall, mobile and desk models with
copper beryllium diaphragm.
Trimline Medical Products
34 Columbia Road • Less toxic than mercury but need to recycle
Branchburg, NJ 08876 copper.
or
P.O. Box 40 • “Shadowbox” frame added to help resist damage
Raritan, NJ 08869-0040 if dropped.
800-526-3538 or 908-429-0590
Fax: 908-429-0536 • Mercury- and latex-free.
E-mail: info@trimline.us
http://www.trimlinemed.com • Comparable to mercury sphygmomanometers.
Mabis® Legacy™ and Signature™ Series Aneroid • Signature™ Series available palm style as well.
Sphygmomanometers
• Lifetime warranty.
Kom Kare Company
Products For Physical Medicine • 3-year parts warranty.
1002 North University Blvd.,
Middletown, Ohio 45042 USA • Legacy™ offers adult size only.
800-273-1768 or 513-727-8299
Fax: 513-727-8408 • Signature™ available in all sized and is latex-
E-mail: komkare@sbcglobal.net free.
http://www.komkare.com
• Comparable to mercury sphygmomanometers.
Omron® MARSHALL™ Professional Aneroid • Adult cotton cuff and a one-year warranty on
Sphygmomanometers parts.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
104
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
105
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Welch Allyn® Tycos® 509-Series Aneroid • Available as mobile and wall units.
Sphygmomanometers
• Certified accurate to ±3mmHg.
Welch Allyn Medical Products
Thermometry Products • Most are latex-free and all are mercury-free.
8500 S.W. Creekside Place
Beaverton, OR 97008 • Comparable to mercury sphygmomanometers.
800-854-2904503-530-7500
Fax: 503-526-4200
http://www.welchallyn.com
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
106
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Autoclaves and Dry Heat Sterilizers • Offers steam autoclaves and dry heat sterilizers.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
107
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Omron Basal Thermometer (Model MC-3L) Compact digital thermometer with accuracy of +/-
0.1°F.
Omron Healthcare, Inc.
1200 Lakeside Drive Approximately 60 second temperature recording is
Bannockburn, Illinois 60015 faster than glass basal thermometers.
877-216-1333 or 800-216-1333
Fax: 847-918-6707 Peak temperature indicated by beeping noise.
http://www.omronhealthcare.com
Recalls last temperature reading.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
108
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Distributors include Burrows, Gulf South, McKesson, • Custom probe cover and wall attachment storage
Medline, Owens & Minor, PSS, CVS, Rite Aid, and case available.
Walgreen
• Meets ASTM E1112 accuracy requirements.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
109
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
110
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
111
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
112
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
113
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
114
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
FlashCheck Pocket Probe Digital Thermometers Made to check core food temperatures and is in
Model No. 11025 compliance with FDA, and US Public Health
Services Food Code section 4-203-11.
DeltaTRAK, Inc.
P.O. Box 398 Composed of less toxic material than mercury.
Pleasanton, CA 94566
(925) 249-2250 or (800) 962-6776
Fax (925) 249-2251
E-mail: salesinfo@deltatrak.com
http://www.deltatrak.com
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
115
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Pocket Digital Thermometer #9878 It has a max/min memory and a two-stage off
button with timer.
Taylor Precision Products LP
Customer Service Temperature range is -58° to 500°F (-50° to
2220 Entrada del Sol 260°C).
Las Cruces, NM 88001
Telephone - 866-843-3905 Measures the core temperatures of food.
Fax - 505-526-4347
Email: info@taylorusa.com Composed of less toxic material than mercury.
www.taylorusa.com
FlashCheck Digital Veterinary & Laboratory • Temperature range of -40°C to 150°C (-40°F to
Model No. 11026 302°F).
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
116
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
NexTemp™ and Traxit™ • Dot matrix thermometer that have a grid of dots
used to indicate temperature.
Medical Indicators, Inc.
1589 Reed Road • Non-toxic dots turn black with the last darkened
Pennington, NJ 08534 dot as the final temperature.
888-930-4599 or 609-737-1600
Fax: 609-737-0588 • Meets ASTM E1299 standard for accuracy.
E-mail: customerservice@medicalindicators.com
http://www.medicalindicators.com • Traxit: heart-shaped sticker placed under the
arm with adhesive for axillary temperature
measurements.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
117
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
118
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
119
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
R.G. Medical Diagnostics • 4 second readings with alarms for high and low
Manufacturer’s Distributor temperatures.
21130 Bridge Street
Southfield, MI 48034 • Stores up to 70 day/time/temperature readings
888-596-9498 for recall purposes at your specified interval.
Fax: 248-750-0187
http://www.rgmd.com • Designed for burn, hypothermia, hyperthermia
and febrile seizure patients.
Distributors include Burrows, Gulf South, McKesson,
Medline, Owens & Minor, PSS, CVS, Rite Aid, and • Converts Fahrenheit to Celsius.
Walgreen
• Composed of less toxic material than mercury.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
120
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
• Option of 4 or 9 ft cord.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
121
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Precision Thermostat Probe Packages • Thermostat probes that contain metals less
hazardous than mercury.
Texas Instruments Precision Products
34 Forest Street, MS 1–38 • Offer different packages including hermetic and
Attleboro, MA 02703 non-hermetic probes.
508-236-3287
Fax: 508-236-1598 • Have probes for HVAC units, small appliances
E-mail: klixon@ti.com and other applications.
http://www.ti.com/snc
• Comparable to mercury probes.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
122
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Robert Shaw Digital and Mechanical Thermostats • Thermostats for heat pump, electric, gas and oil.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
123
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
124
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Topical Antimicrobial Ointment: Burn Wound Care (No Silver Nitrate or Gentamycin)
King Pharmaceuticals®, Inc. • Typically used for 2nd or 3rd degree burn victims.
501 Fifth Street
Bristol, Tennessee 37620 • Less toxic than silver nitrate, however care needs
888-840-5370 to be taken when applying to large areas of
Fax: 866-990-0545 burned skin. Silver may be cytotoxic increasing
http://www.kingpharm.com the healing time. Aloe vera (moist wound) may
prevent the healing time from increasing.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
125
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
126
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Tuthill Vacuum and Blower Systems • No mercury is present within vacuum systems
4840 West Kearney Street and pumps.
Springfield, MO 65803-8702
800-825-6937
Fax: 417-865-2950
or
31805 Hwy 79 South, Suite 160
Temecula, CA 92653
Contact: Dick Mathey
951-308-1754
Fax: 951-506-9437
E-mail: vacuum@tuthill.com
http://vacuum.tuthill.com
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
127
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Fisher & Paykel 3.7 Cu. Ft. EcoSmart Clothes • ENERGY STAR® qualified.
Washer
• Has a stainless steel drum.
Lowe’s Companies, Inc.
Customer Care (CON8) • 5 temperatures, 3 spin speeds and 5 wash cycles.
Lowe's Companies, Inc.
P.O. Box 1111 • Largest energy efficient washer available at
North Wilkesboro, NC 28656 Lowe’s at the lowest price.
800-445-6937
Check site for store nearest you. • Must use approximately 1/3 the electricity and
http://www.lowes.com/energy the water of a regular washing machine to
qualify as ENERGY STAR®.
• Agitator washer.
GE® 3.5 Cu. Ft. Capacity King-size Washer with • Electronically controlled.
Stainless Steel Basket Model WHRE5260EWW
• Has a stainless steel basket.
Home Depot
800-430-3376 • Least expensive washer from home depot with
http://www.homedepot.com/ the largest capacity possessing an ENERGY
Search: Save energy STAR® rating.
• Agitator washer.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
128
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
129
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Waste Water Treatment Systems: Boilers and Dialysis Chemical Disinfection (No Mercury)
Air and Waste Ozone Water Disinfection Systems • Air and wastewater treatment systems with no
hazardous byproducts.
BIOzone Corporation
11026 East Crestline Circle • May use large amounts of energy depending on
Englewood, Colorado 80111 necessary application.
303-770-2095
Fax: 303-689-0065 • Creates ozone from oxygen which breaks open
E-mail: ozone@biozone.com cell wall of microorganisms creating cell death.
http://www.biozone.com/index.html
• Ozone is hazardous so monitor for leaks
carefully.
MED-RO™ Reverse Osmosis (RO) Medical • Reverse osmosis water treatment system for
Systems RX Series hemodialysis equipment.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
130
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Waste Water Treatment Systems: Boilers and Dialysis Chemical Disinfection (No Mercury)
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
131
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Waste Water Treatment Systems: Boilers and Dialysis Chemical Disinfection (No Mercury)
Portable Dialysis Ozone Disinfection System • Destroys bio-film, bacteria, endotoxins, viruses
and algae.
AmeriWater®
1303 Stanley Avenue • Eliminates need to use disinfectants.
Dayton, Ohio 45404
937-461-8833 or 800-535-5585 • Waste water treatment system with no hazardous
Fax: 937-461-1988 byproducts.
E-mail: watertech@ameriwater.com
http://www.dayton.net/~watertech/ozone.html • May use large amounts of energy depending on
necessary application.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
132
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Waste Water Treatment Systems: Boilers and Dialysis Chemical Disinfection (No Mercury)
Waste Water Treatment Systems • Water treatment systems are available mercury-
free per request.
Norwalk Wastewater Equipment Company, Inc.
220 Republic Street • Systems equivalent to those with mercury
Norwalk, Ohio 44857-1196 components.
419-668-4471
Fax: 419-663-5440
http://www.norweco.com
AN20 Andersen Long Weighted Sump Tube • For intestinal intubation and vacuum aspiration
of patients with ileus (intestinal blockage) and
H.W. Andersen Products of California hypoactive bowel sounds.
Health Science Park
3151 Caroline Dr. • Weighted with ten, less toxic tungsten pellets
Haw River, NC 27258-9575 instead of mercury and is latex-free.
800-524-3455 or 336-376-0157
Fax: 336-376-3088 • Considered as effective as mercury.
E-mail: kathy@andcal.com
http://www.andcal.com • Alternative to Rhefus and Einhorn tubes (passed
http://www.anpro.com transnasally) for diagnostic duodenal aspirations.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
133
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
AN21 Andersen Miller-Abbot Type Intestinal Tube • Unweighted gastrointestinal tract aspirating tube.
AN22 Pre-Weighted Andersen Miller-Abbot Type • Weighted with less toxic tungsten instead of
Intestinal Tube mercury.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
134
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Andersen Nasogastric Tubes: AN 10, AN11, AN13, • Vented bilumenal gastric tube that keeps the
AN14 and AN18 stomach continuously empty.
H.W. Andersen Products of California • Tubes weighted with less toxic tungsten instead
Health Science Park of mercury.
3151 Caroline Dr.
Haw River, NC 27258-9575 • Considered as effective as mercury.
800-524-3455 or 336-376-0157
Fax: 336-376-3088 • Made of vinyl (may not be DEHP-free).
E-mail: kathy@andcal.com
http://www.andcal.com • Has placement marks at 40, 50, 60 and 70cm
http://www.anpro.com above the most proximal aspirating port.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
135
Less Hazardous Products and Waste Management Vendors
Product and Manufacturer Comments
Medovations WEIGHTRIGHT™ Mercury-Free • Maloney and Hurst style bougie tubes weighted
Bougie with less toxic tungsten instead of mercury.
The Department of Ecology does not assume any liability for the accuracy or completeness of the information presented in the Vendor List of Less Hazardous
Products. A listing of a firm does not constitute a recommendation. Proper handling and disposal of waste is the responsibility of the generator.
136
Appendix 3
Resources
Air Pollution Information Agencies ........................................................ 1
Clean Air Agencies In Washington State................................................ 2
Cleaning Supplies (less toxic) ................................................................... 3
Composting and Composting Systems Information ............................ 3
Digital Photography Equipment.............................................................. 3
Disinfectants and Antiseptics ................................................................... 3
Distillation Equipment .............................................................................. 4
Formaldehyde-free and Glutaraldehyde-free Sterilants ...................... 4
Pollution Prevention and Waste Reduction Information..................... 4
Green Building............................................................................................ 5
Hazardous Waste Management............................................................... 5
Health and Safety ....................................................................................... 5
Mercury Refineries..................................................................................... 6
Neonatal Tubing (PCB- and DEHP-free)................................................ 6
Pesticides ..................................................................................................... 6
Pharmaceuticals Management ................................................................. 7
Radionuclides.............................................................................................. 9
Recycling...................................................................................................... 9
Spill Kits and Equipment .......................................................................... 9
Used Equipment ....................................................................................... 10
Xylene Alternatives.................................................................................. 10
Material Exchanges .................................................................................. 10
Sources of Information About Air Pollution in Washington State
1. Olympic Region Clean Air Agency 2. Department of Ecology - NW Regional Office
(Clallam, Grays Harbor, Jefferson, Mason, Pacific, (San Juan County)
Thurston Counties) 3190 160th Ave SE
2940 B Limited Lane NW Bellevue WA 98008-5452
Olympia WA 98502 Telephone: (425) 649-7000
Richard Stedman, Executive Director Fax: (425) 649-7098 TTY: (800) 833-6388
Telephone: (360) 586-1044 or (800) 422-5623
Fax: (360) 491-6308 E-mail: info@orcaa.org
Internet: http://222.orcaa.org
3. Northwest Clean Air Agency 4. Puget Sound Clean Air Agency
(Island, Skagit, Whatcom Counties) (King, Kitsap, Pierce, Snohomish Counties)
1600 South Second Street 110 Union Street, #500
Mount Vernon WA 98273-5202 Seattle WA 98101-2038
James Randles, Air Pollution Control Officer Dennis McLerran, Air Pollution Control Officer
Telephone: (360) 428-1617 Telephone: (206) 343-8800 or (800) 552-3565
Telephone: (800) 622-4627 (Island & Whatcom) Burn Ban Recording: (800) 595-4341
Fax: (360) 428-1620 E-mail: info@nwair.org Fax: (206) 343-7522 E-mail: info@pscleanair.org
Internet: http://www.nwair.org Internet: http://www.pscleanair.org
5. Southwest Clean Air Agency 6. Department of Ecology - Central Regional Office
(Clark, Cowlitz, Lewis, Skamania, Wahkiakum Counties) (Chelan, Douglas, Kittitas, Klickitat, Okanogan Counties)
11815 NE 99th Street #1294 15 West Yakima AVE #200
Vancouver WA 98682-2394 Yakima WA 98902-3401
Robert Elliott, Executive Director Telephone: (509) 575-2490
Telephone: (360) 574-3058 or (800) 633-0709 Fax: (509) 575-2809 TTY: (800) 833-6388
Fax: (360) 943-2060
E-mail: webmaster@swcleanair.org
Internet: http://www.swcleanair.org
7. Yakima Regional Clean Air Authority 8. Department of Ecology - Eastern Regional Office
6 S Second Street #1016 (Adams, Asotin, Columbia, Ferry, Franklin, Garfield, Grant,
Yakima WA 98901 Lincoln, Pend Oreille, Stevens, Walla Walla, Whitman
Les Ornelas, Director Counties)
Telephone: (509) 834-2050 or (800) 540-6950 4601 N Monroe Street
Fax: (509) 574-1411 E-mail: info@yrcaa.org Spokane WA 99205-1295
Internet: http://www.co.yakima.wa.us/cleanair Telephone: (509) 329-3400
Fax: (509) 329-3529 TTY: (800) 833-6388
9. Spokane County Air Pollution Control Authority 10. Benton Clean Air Authority
1101 W College Ave #403 114 Columbia Point Dr #C
Spokane WA 99201 Richland WA 99352-4387
Telephone: (509) 477-4727 Dave Lauer, Director
Fax: (509) 477-6828 Telephone: (509) 943-2232
E-mail: publicinfo@scapca.org Burn Ban Recording: (509) 945-4489
Internet: http://www.scapca.org Fax: (509) 943-0505 E-mail: email@bcaa.net
Internet: http://www.bcaa.net
1
2
Resource List
PAX System
http://www.paxit.com
DISINFECTANTS/ANTISEPTICS
Clorox Company Decon Labs Inc (See vendor list)
1221 Broadway 890 County Line Road
Oakland CA 94612 Bryn Mawr PA 19010
(510) 271-7000 (800) 332-6647
(888) 797-7225 Fax: (610) 964-0650
http://www.cloroxprofessional.com http://www.deconlabs.com
3
This resource list should not be interpreted as a product endorsement by the Washington State Department of
Ecology nor should it be considered all inclusive.
DISTILLATION EQUIPMENT
Pope Scientific Inc
PO Box 495
Menomonee Falls WI 53051
(414) 251-9300
Fax: (414) 251-7387
4
This resource list should not be interpreted as a product endorsement by the Washington State Department of
Ecology nor should it be considered all inclusive.
GREEN BUILDING
Better Bricks Building Design & Construction
(888) 216-5357 http://www.bdcmag.com/
www.betterbricks.com
5
This resource list should not be interpreted as a product endorsement by the Washington State Department of
Ecology nor should it be considered all inclusive.
MERCURY REFINERIES
Adrow Chemical Company Bethlehem Apparatus Company
2 Lines Avenue 890 Front Street
Wanaque NJ 07465 Hellerstown PA 18055
(201) 839-2372 (201) 838-7034
Fax: (201) 244-9448 Fax: (610) 838-6333
Info@bethlehemapparatus.com
www.bethlehemapparatus.com
PESTICIDES
Beyond Pesticides Integrated Pest Management Institute of
701 E Street SE #200 North America
Washington DC 20003 1914 Rowley Avenue
(202) 543-5450 Madison WI 53705
info@beyondpesticides.org (608) 232-1528
www.beyondpesticides.org www.ipminstitute.org
6
This resource list should not be interpreted as a product endorsement by the Washington State Department of
Ecology nor should it be considered all inclusive.
PESTICIDES
Northwest Coalition for Alternatives to NorthWest Ag Plastics
Pesticides www.nwagplastics.com
PO Box 1393
Eugene OR 97440-1393
info@pesticide.org
www.pesticide.org
PHARMACEUTICALS MANAGEMENT
Capital Returns Inc Certified Returns (L.L. Horizon)
(800) 950-5479 (800) 461-1145
www.capitalreturns.com
7
This resource list should not be interpreted as a product endorsement by the Washington State Department of
Ecology nor should it be considered all inclusive.
PHARMACEUTICALS MANAGEMENT
PharmEcology Phillip Services
200 S Executive Drive #101 (800) 228-7872
Brookfield WI 53005 www.philipnow.com
(262) 814-2635
info@pharmecology.com
www.pharmecology.com
USF Processors
(800) 967-5952
www.usfc.com/usfprocessors/
8
This resource list should not be interpreted as a product endorsement by the Washington State Department of
Ecology nor should it be considered all inclusive.
RADIONUCLIDES
Medical Isotope Applications List at http://www.cbvcp.com/nmrc/mia.html is a list of short-
life radio isotopes used in nuclear medicine for the diagnosis and treatment of cancer
including their specific application.
RECYCLING
Batteries Fluorescent Lamps
Allied Battery Co Earth Protection Services
(206) 762-5522 7272 SW Durham Road #100
Tigard OR 97224
Batteries Plus (800) 414 0443
7704 N Division #3 www.earthpro.com
Spokane WA 99203
Ecolights Northwest
Budget Batteries 4400 4th Avenue S
(253) 922-3737 PO Box 94291
Seattle WA 98124
City of Spokane (206) 343-1247
Solid Waste Management
1225 E Marieta Avenue Emerald Services
Spokane WA 99207 9010 E Marginal Way S
Seattle WA 98108
Toby’s Battery & Auto Electric LLC (206) 832-3000
3003 N Crestline Street www.emeraldnw.com
Spokane WA 99218
9
This resource list should not be interpreted as a product endorsement by the Washington State Department of
Ecology nor should it be considered all inclusive.
USED EQUIPMENT
A To Z Medical LLC ICS Medical Services
2802 NE 65th Avenue 6060 N Central Expressway #560
Vancouver WA 98661 Dallas TX 75206
(360) 576-1792 (972) 935-0851
www.icsmedical.net/
XYLENE ALTERNATIVES
Anatech Ltd Richard—Allen Scientific
1020 Harts Lake Road www.rallensci.com
Battle Creek MI 49015
(800) 262-8324
email@anatechltdusa.com
www.anatechltdusa.com
MATERIAL EXCHANGES
2 Good 2 Toss Industrial Materials Exchange (IMEX)
PO Box 47775 First Interstate Center
Olympia WA 98504-7775 999 Third Avenue #700
(360) 407-6398 Seattle WA 98104-4039
Fax: (360) 407-6305 (888) 879-4639
www.2good2toss.com www.metrokc.gov/hazwaste/imex
10
This resource list should not be interpreted as a product endorsement by the Washington State Department of
Ecology nor should it be considered all inclusive.
Appendix 4
Waste and Air Pollutants Found in Hospitals
Dangerous Waste in Hospitals ........................................................ 1
WA Department of Ecology makes no guarantee as to the completeness or accuracy of this list. Designation is the responsibility of the generator.
Individuals should consult multiple sources and not rely solely on this list.
4
A List of Dangerous Waste in Hospitals
WA Department of Ecology makes no guarantee as to the completeness or accuracy of this list. Designation is the responsibility of the generator.
Individuals should consult multiple sources and not rely solely on this list.
7
A List of Dangerous Waste in Hospitals
WA Department of Ecology makes no guarantee as to the completeness or accuracy of this list. Designation is the responsibility of the generator.
Individuals should consult multiple sources and not rely solely on this list.
9
A List of Dangerous Waste in Hospitals
WA Department of Ecology makes no guarantee as to the completeness or accuracy of this list. Designation is the responsibility of the generator.
Individuals should consult multiple sources and not rely solely on this list.
11
A List of Dangerous Waste in Hospitals
WA Department of Ecology makes no guarantee as to the completeness or accuracy of this list. Designation is the responsibility of the generator.
Individuals should consult multiple sources and not rely solely on this list.
13
A List of Dangerous Waste in Hospitals
WA Department of Ecology makes no guarantee as to the completeness or accuracy of this list. Designation is the responsibility of the generator.
Individuals should consult multiple sources and not rely solely on this list.
14
A List of Dangerous Waste in Hospitals
WA Department of Ecology makes no guarantee as to the completeness or accuracy of this list. Designation is the responsibility of the generator.
Individuals should consult multiple sources and not rely solely on this list.
15
A List of Dangerous Waste in Hospitals
WA Department of Ecology makes no guarantee as to the completeness or accuracy of this list. Designation is the responsibility of the generator.
Individuals should consult multiple sources and not rely solely on this list.
16
A List of Dangerous Waste in Hospitals
WA Department of Ecology makes no guarantee as to the completeness or accuracy of this list. Designation is the responsibility of the generator.
Individuals should consult multiple sources and not rely solely on this list.
18
A List of Dangerous Waste in Hospitals
WA Department of Ecology makes no guarantee as to the completeness or accuracy of this list. Designation is the responsibility of the generator.
Individuals should consult multiple sources and not rely solely on this list.
19
A List of Dangerous Waste in Hospitals
WA Department of Ecology makes no guarantee as to the completeness or accuracy of this list. Designation is the responsibility of the generator.
Individuals should consult multiple sources and not rely solely on this list.
22
A List of Dangerous Waste in Hospitals
WA Department of Ecology makes no guarantee as to the completeness or accuracy of this list. Designation is the responsibility of the generator.
Individuals should consult multiple sources and not rely solely on this list.
23
A List of Dangerous Waste in Hospitals
WA Department of Ecology makes no guarantee as to the completeness or accuracy of this list. Designation is the responsibility of the generator.
Individuals should consult multiple sources and not rely solely on this list.
25
A List of Dangerous Waste in Hospitals
WA Department of Ecology makes no guarantee as to the completeness or accuracy of this list. Designation is the responsibility of the generator.
Individuals should consult multiple sources and not rely solely on this list.
27
A List of Dangerous Waste in Hospitals
WA Department of Ecology makes no guarantee as to the completeness or accuracy of this list. Designation is the responsibility of the generator.
Individuals should consult multiple sources and not rely solely on this list.
32
A List of Dangerous Waste in Hospitals
WA Department of Ecology makes no guarantee as to the completeness or accuracy of this list. Designation is the responsibility of the generator.
Individuals should consult multiple sources and not rely solely on this list.
33
Toxic Air Pollutants
CAS # Substance Class Average Concentration Time
Allowed (μg/m3) Period
71-55-6 1,1,1-Trichloroethane B 6400 24 hour
79-00-5 1,1,2-Trichloroethane B 180 24 hour
120-82-1 1,2,4-Trichlorobenzene B 120 24 hour
95-50-1 1,2-Dichlorobenzene B 1000 24 hour
107-06-2 1,2-Dichloroethane (ethylene chloride) A
106-46-7 1,4-Dichlorobenzene A 1.50 1 year
95-95-4 2,4,5-Trichlorophenol B 24 hour
111-76-2 2-Butoxyethanol B 400 24 hour
75-07-0 Acetaldehyde A 0.45 1 year
60-35-5 Acetamide B 24 hour
64-19-7 Acetic acid B 83.0 24 hour
108-24-7 Acetic Anydride B 67.0 24 hour
67-64-1 Acetone B 5900 24 hour
79-06-1 Acrylamide A 0.00077 1 year
309-00-2 Aldrin A 0.0002 1 year
7429-90-5 Aluminum, as AL metal dust B 33.0 24 hour
7664-41-7 Ammonia B 100 24 hour
628-63-7 n-Amyl acetate B 1800 24 hour
626-38-0 Sec-Amyl acetate B 2200 24 hour
62-53-3 Aniline A 6.30 1 year
62-53-3 Aniline & homologues B 1.00 24 hour
C7440-36-0 Antimony & compounds as Sb B 1.70 24 hour
1309-64-4 Antimony trioxide, as Sb B 1.70 24 hour
C7440-38-2 Arsenic and inorganic arsenic compounds A 0.00023 1 year
1332-21-4 Asbestos A 0.0000044 (fibers/mL) 1 year
C7440-39-3 Barium, soluble compounds Ba B 1.70 24 hour
71-43-2 Benzene A .012 1 year
50-32-8 Benzo(a)pyrene A 0.00048 1 year
205-99-2 Benzo(b)fluoranthene A
205-82-3 Benzo(j)fluoranthene A
94-36-0 Benzoyl Peroxide B 17.0 24 hour
C1303-96-4 Borates, anhydrous B 3.30 24 hour
7726-95-6 Bromine B 2.20 24 hour
7440-43-9 Cadmium and compounds A 0.00056 1 year
1305-62-0 Calcium hydroxide B 17.0 24 hour
1305-78-8 Calcium oxide B 6.70 24 hour
1333-86-4 Carbon black B 12.0 24 hour
75-15-0 Carbon disulfide B 100 24 hour
56-23-5 Carbon tetrachloride A 0.067 1 year
120-80-9 Catechol B 77.0 24 hour
7782-50-5 Chlorine B 5.00 24 hour
107-20-0 Chloroacetaldehyde B 11.0 24 hour
75-45-6 Chlorodifluoromethane B 12000 24 hour
67-66-3 Chloroform A 0.043 1 year
108-43-0 Chlorophenols A
C7440-47-3 Chromium (II) compounds as Cr B 1.70 24 hour
C7440-47-3 Chromium (III) compounds, Cr B 1.70 24 hour
35
CAS # Substance Class Average Concentration Time
Allowed (μg/m3) Period
7440-47-3 Chromium (metal) B 1.70 24 hour
C7440-47-3 Chromium, hexavalent metal and A 0.000083 1 year
compounds
C7440-50-8 Copper, Dusts and mists, as Cu B 3.30 24 hour
7440-50-8 Copper, Fume B 0.67 24 hour
51-12-5 Cyanides, as CN B 17.0 24 hour
110-82-7 Cyclohexane B 3400 24 hour
106-93-4 Dibromethane A 0.0045 1 year
95-50-1 o-Dichlorobenzene (1,2- B 1000 24 hour
Dichlorobenzene)
106-46-7 1,4-Dichlorobenzene A 1.50 1 year
107-06-2 1,2-Dichloroethane (ethylene chloride) A
75-09-2 Dichloromethane (methylene chloride) A
109-89-7 Diethylamine B 100 24 hour
528-29-0 Dinitrobenzene, all isomers B 3.30 24 hour
64-17-5 Ethyl alcohol B 6300 24 hour
74-96-4 Ethyl bromide B 3000 24 hour
60-29-7 Ethyl ether B 4000 24 hour
107-06-2 Ethylene chloride A
106-93-4 Ethylene dibromide (dibromethane) A 0.0045 1 year
75-21-8 Ethylene oxide A 0.01 1 year
50-00-0 Formaldehyde A 0.077 1 year
64-18-6 Formic acid B 31.0 24 hour
111-30-8 Glutaraldehyde B 2.50 24 hour
58-89-9 Hexacyclohexane (Lindane) gamma A 0.0026 1 year
BHC
100-54-3 Hexane (n-Hexane) B 200 24 hour
Hexane, other isomers B 5900 24 hour
7647-01-0 Hydrogen chloride B 7.00 24 hour
74-90-8 Hydrogen cyanide B 37.0 24 hour
7664-39-3 Hydrogen fluoride, as F B 8.70 24 hour
7722-84-1 Hydrogen peroxide B 4.70 24 hour
123-31-9 Hydroquinone B 6.70 24 hour
7553-56-2 Iodine B 3.30 24 hour
75-47-8 Iodoform B 33.0 24 hour
123-92-2 Isoamyl acetate B 1700 24 hour
123-51-3 Isoamyl alcohol B 1200 24 hour
110-19-0 Isobutyl acetate B 2400 24 hour
67-63-0 Isopropyl alcohol B 3300 24 hour
Lead compounds A 0.50 24 hour
58-89-9 Lindane A 0.0026 1 year
C7439-97-6 Mercury, as Hg Alkyl compounds B 0.33 24 hour
C7439-97-6 Mercury, vapors except alkyl B 0.17 24 hour
67-56-1 Methyl alcohol B 870 24 hour
74-87-3 Methyl chloride B 340 24 hour
36
CAS # Substance Class Average Concentration Time
Allowed (μg/m3) Period
71-55-6 Methyl chloroform (1,1,1- B 6400 24 hour
Trichloroethane)
78-93-3 Methyl ethyl ketone (MEK) B 1000 24 hour
75-09-2 Methylene chloride A
628-63-7 n-Amyl acetate B 1800 24 hour
8032-32-4 Naphtha (VM & P) B 4600 24 hour
91-20-3 Napthalene B 170 24 hour
C7440-02-0 Nickel and compounds (as nickel A
subsulfide or nickel)
54-11-5 Nicotine B 1.70 24 hour
7697-37-2 Nitric acid B 17.0 24 hour
10102-43-9 Nitric oxide B 100 24 hour
98-95-3 Nitrobenzene B 1.70 24 hour
95-50-1 o-Dichlorobenzene (1,2- B 1000 24 hour
Dichlorobenzene)
95-53-4 o-Toluidine A 0.14 1 year
56-38-2 Parathion B 0.33 24 hour
82-68-8 Pentachloronitrobenzene B 1.70 24 hour
(quintobenzene)
87-86-5 Pentachlorophenol A 0.33 1 year
127-18-4 Perchloroethylene A 1.10 1 year
(tetrachloroethylene)
108-95-2 Phenol B 63.0 24 hour
7664-38-2 Phosphoric acid B 3.30 24 hour
7723-14-0 Phosphorus B 0.33 24 hour
88-89-1 Picric acid B 0.33 24 hour
Polyaromatic hydrocarbons (PAH) A 0.00048 1 year
1336-36-3 Polychlorinated biphenyls (PCBs) A
79-09-4 Propionic acid B 100 24 hour
106-51-4 Quinone B 1.50 24 hour
82-68-8 Quintobenzene B 1.70 24 hour
626-38-0 Sec-Amyl acetate B 2200 24 hour
C7782-49-2 Selenium compounds, as Se B 0.67 24 hour
7803-62-5 Silicon tetrahydride B 22.0 24 hour
7440-22-4 Silver, Metal B 0.33 24 hour
C7440-22-4 Silver, soluble compounds as Ag B 0.033 24 hour
26628-22-8 Sodium azide B 1.00 24 hour
1310-73-2 Sodium hydroxide B 6.70 24 hour
7664-93-9 Sulfuric acid B 3.30 24 hour
127-18-4 Tetrachloroethylene A 1.10 1 year
7440-31-5 Tin, Metal B 6.70 24 hour
C7440-31-5 Tin, Organic compounds, as Sn B 0.33 24 hour
7440-31-5 Tin, oxide & inorganic except SnH4 B 6.70 24 hour
108-88-3 Toluene B 400 24 hour
95-53-4 o-Toluidine A 0.14 1 year
76-03-9 Trichloroacetic acid B 22.0 24 hour
37
CAS # Substance Class Average Concentration Time
Allowed (μg/m3) Period
120-82-1 1,2,4-Trichlorobenzene B 120 24 hour
71-55-6 1,1,1-Trichloroethane B 6400 24 hour
79-00-5 1,1,2-Trichloroethane B 180 24 hour
79-01-6 Trichloroethylene A 0.59 1 year
75-69-4 Trichlorofluoromethane B 19000 24 hour
2551-13-7 Trimethyl benzene B 420 24 hour
C7440-33-7 Tungsten, Insoluble compounds B 17.0 24 hour
C7440-33-7 Tungsten, Soluble compounds B 3.30 24 hour
8006-64-2 Turpentine B 1900 24 hour
8032-32-4 VM &P Naphtha B 4600 24 hour
1330-20-7 Xylenes (m-,o-,p-isomers) B 1500 24 hour
38
Appendix 5
Biomedical Regulations
Summary of Biomedical Waste Requirements
in Washington State........................................................................ 1
• Contact: Wayne Turnberg, Washington State Department of Health - (206) 522-0132, [wayne.turnberg@doh.wa.gov]
• Policy Contact: Wayne Turnberg, Washington State Department of Health - (206) 522-0132
• List of Pharmacies Contact: Randy Martin, Washington Department of Ecology - (360) 407-6136
Local Programs: Please note that in addition to this listing, other local health departments may have adopted
locally initiated biomedical waste management requirements. To be certain, check with the environmental health
office of the applicable local health jurisdiction to ensure the latest update on requirements. Phone numbers of the
state's local health jurisdictions are included at the end of this summary document.
1
BLOODBORNE PATHOGEN SAFETY STANDARDS IN THE WORKPLACE
Washington State Department of Labor and Industries (L&I)
Reference: .Occupational Exposure to Bloodborne Pathogens. Chapter 296-62 Part J WAC, WAC 296-62-
08001 through WAC 296-62-08050.
Compliance/Consultation Information: Contact your regional Department of Labor and Industries Service
Center. Check the blue pages of your phonebook for local listings.
Summary: The standards, which incorporate those published by Federal OSHA at 29 CFR Part 1910.1030,
prescribe occupational handling, packaging and labeling requirements for regulated waste.
Reference: Rules relating to the safe transportation of biohazardous or biomedical waste. (WAC
480-70-050, -500, -510, -530, -540, -550, -560, and -570).
Summary: The standard prescribes operational, training, packaging and containment, shipping
paper, insurance, and accident reporting requirements for commercial transporters of biomedical
waste under WUTC regulatory authority.
Reference: WAC 480-14-390, incorporates federal transportation rules published at Title 49, Code
of Federal Regulations, Parts 170-189 into State rule by reference
Summary: Enforced by the WUTC, the Washington State Patrol, and the US Department of
Transportation (USDOT), the USDOT rules relate to the safe transportation of hazardous materials,
including regulated medical waste, over the highways. The rules establish packaging, hazard
communication, and tracking requirements.
Reference: Chapter 70.95D RCW [Solid Waste Incinerator and Landfill Operators]; Chapter 173-300 WAC
[Certification of Operators of Solid Waste Incinerator and Landfill Facilities]
Summary: Chapter 70.95D RCW requires that all owners or operators of a solid waste incineration facility
employ an operator that has been certified by the Department of Ecology. Chapter 173-300 WAC
implements the statute.
2
INCINERATOR BURN REQUIREMENTS
Reference: RCW 70.95.710, Incineration of Medical Waste
Summary: RCW 70.95.710 requires that medical waste incineration be conducted so that no portion of the
combustible material is visible in its uncombusted state.
Summary: This USEPA standard promulgates new source performance standards and emission guidelines to
reduce air emissions from hospital/medical/infectious waste incinerator(s) (HMIWI) by adding subpart Ec,
standards of performance for new HMIWI, and subpart Ce, emission guidelines for existing HMIWI, to 40
CFR part 60.
Rule Reference: Oregon Administrative Rules, Chapter 333, Division 18; Chapter 340, Division 61; and
Chapter 860, Division 66.
Summary: The Oregon biomedical waste requirements must be observed by Washington State communities
exporting waste to Oregon landfills, such as the City of Seattle. Oregon requirements apply to biomedical
waste generated from medical facilities and from homes (e.g. insulin syringes).
Contacts:
Summary: The federal rule prescribes packaging and mailing requirements for used sharps and other used
medical devices when mailed via the U.S. Postal Service.
3
Chapter 70.95K of the Revised Code of Washington
Biomedical Waste
RCW 70.95K.010 Definitions. Unless the context clearly requires otherwise, the definitions in this section apply
throughout this chapter.
(1) "Biomedical waste" means, and is limited to, the following types of waste:
(a) "Animal waste" is waste animal carcasses, body parts, and bedding of animals that are known to be
infected with, or that have been inoculated with, human pathogenic microorganisms infectious to humans.
(b) "Biosafety level 4 disease waste" is waste contaminated with blood, excretions, exudates, or secretions
from humans or animals who are isolated to protect others from highly communicable infectious diseases
that are identified as pathogenic organisms assigned to biosafety level 4 by the centers for disease control,
national institute of health, biosafety in microbiological and biomedical laboratories, current edition.
(c) "Cultures and stocks" are wastes infectious to humans and includes specimen cultures, cultures and stocks
of etiologic agents, wastes from production of biologicals and serums, discarded live and attenuated
vaccines, and laboratory waste that has come into contact with cultures and stocks of etiologic agents or
blood specimens. Such waste includes but is not limited to culture dishes, blood specimen tubes, and
devices used to transfer, inoculate, and mix cultures.
(d) "Human blood and blood products" is discarded waste human blood and blood components, and materials
containing free-flowing blood and blood products.
(e) "Pathological waste" is waste human source biopsy materials, tissues, and anatomical parts that emanate
from surgery, obstetrical procedures, and autopsy. "Pathological waste" does not include teeth, human
corpses, remains, and anatomical parts that are intended for interment or cremation.
(f) "Sharps waste" is all hypodermic needles, syringes with needles attached, IV tubing with needles attached,
scalpel blades, and lancets that have been removed from the original sterile package.
(2) "Local government" means city, town, or county.
(3) "Local health department" means the city, county, city-county, or district public health department.
(4) "Person" means an individual, firm, corporation, association, partnership, consortium, joint venture, commercial
entity, state government agency, or local government.
(5) "Treatment" means incineration, sterilization, or other method, technique, or process that changes the character or
composition of a biomedical waste so as to minimize the risk of transmitting an infectious disease.
(6) "Residential sharps waste" has the same meaning as "sharps waste" in subsection (1) of this section except that the
sharps waste is generated and prepared for disposal at a residence, apartment, dwelling, or other noncommercial
habitat.
(7) "Sharps waste container" means a leak-proof, rigid, puncture-resistant red container that is taped closed or tightly
lidded to prevent the loss of the residential sharps waste.
(8) "Mail programs" means those programs that provide sharps users with a multiple barrier protection kit for the
placement of a sharps container and subsequent mailing of the wastes to an approved disposal facility.
4
(9) "Pharmacy return programs" means those programs where sharps containers are returned by the user to designated
return sites located at a pharmacy to be transported by a biomedical or solid waste collection company approved by
the utilities and transportation commission.
(10) "Drop-off programs" means those program sites designated by the solid waste planning jurisdiction where sharps
users may dispose of their sharps containers.
(11) "Source separation" has the same meaning as in RCW 70.95.030.
(12) "Unprotected sharps" means residential sharps waste that are not disposed of in a sharps waste container. [1994 c
165 § 2; 1992 c 14 § 2.]
NOTES: Findings--Purpose--Intent--1994 c 165: "The legislature finds that the improper disposal and labeling of sharps
waste from residences poses a potential health risk and perceived threat to the waste generators, public, and workers in the
waste and recycling industry. The legislature further finds that a uniform method for handling sharps waste generated at
residences will reduce confusion and injuries, and enhance public and waste worker confidence.
It is the purpose and intent of this act that residential generated sharps waste be contained in easily identified containers and
separated from the regular solid waste stream to ensure worker safety and promote proper disposal of these wastes in a
manner that is environmentally safe and economically sound." [1994 c 165 § 1.]
(3) It is not a violation of this section to place a sharps waste container into a household refuse receptacle if the utilities
and transportation commission determines that such placement is necessary to reduce the potential for theft of the
sharps waste container. [1994 c 165 § 3.]
NOTES: Effective date--1994 c 165 § 3: "Section 3 of this act shall take effect July 1, 1995." [1994 c 165 § 6.] Findings--
Purpose--Intent--1994 c 165: See note following RCW 70.95K.010.
5
RCW 70.95K.040 Residential sharps waste collection.
(1) A public or private provider of solid waste collection service may provide a program to collect source separated
residential sharps waste containers in conjunction with regular collection services.
(2) A company collecting source separated residential sharps waste containers shall notify the public, in writing, on the
availability of this service. Notice shall occur at least forty-five days prior to the provision of this service and shall
include the following information: (a) How to properly dispose of residential sharps waste; (b) how to obtain sharps
waste containers; (c) the cost of the program; (d) options to home collection of sharps waste; and (e) the legal
requirements of residential sharps waste disposal.
(3) A company under the jurisdiction of the utilities and transportation commission may provide the service authorized
under subsection (1) of this section only under tariff. The commission may require companies collecting sharps
waste containers to implement practices that will protect the containers from theft. [1994 c 165 § 4.]
RCW 70.95K.900 Section headings. Section headings as used in this chapter do not constitute any part of the law. [1992 c
14 § 5.]
RCW 70.95K.910 Severability-1992 c 14. If any provision of this act or its application to any person or circumstance is
held invalid, the remainder of the act or the application of the provision to other persons or circumstances is not affected.
[1992 c 14 § 6.]
RCW 70.95.710 Incineration of medical waste. Incineration of medical waste shall be conducted under sufficient burning
conditions to reduce all combustible material to a form such that no portion of the combustible material is visible in its
uncombusted state. [1989 c 431 § 77.]
6
Jurisdictional Environmental Health Offices in Washington State
Clallam County Health and Human Services Department Lincoln County Health Department
Department of Community Development 507 7th Street
223 East Fourth Street PO kBox 215
Port Angeles WA 98362 Davenport WA 99122
(360) 417-2415 (509) 725-2501
7
San Juan County Health and Community Services Tacoma-Pierce County Health Department
145 Rhone Street 3629 South D Street
PO Box 607 Tacoma WA 98408
Friday Harbor WA 98250-0607 (253) 596-2857
(360) 378-4474
8
Appendix 6
Bibliography
Bibliography
Best Management Practices for Agricultural Chemicals, A Guide for Secondary Containment;
Washington State Department of Ecology; Publication #94-189, 1994.
Best Management Practices for Dental Office Waste; Washington State Dental Association and
Washington State Department of Ecology
Brooks, T.; Medical Waste Management: It’s Not Just for Hospitals, ACSs Can Investigate
Alternatives to Hauling, Incineration; SurgiCenter Online www.surgicenteronline.com
Chemical Registry for the Chemical Safety Day Program: EPA Chemical Registry; University of
Minnesota http://www.hehs.umn.edu/csdp/registry.pdf (Visited March, 2005)
CHEMINFO: Chemical Profiles Created by CCOHS, hydrogen peroxide less than 8%; Canadian
Center for Occupational Health and Safety (Accessed on 2/10/05)
Concentrations of Iodine-131 Released from a Hospital into a Municipal Sewer; RSO Magazine;
January/February 2001, Vol. 6, No. 1.
Conroy, Suzanne; Nickerson, Ron; Sheu, Min-Shyan; Plasma Cleaning of Medical Devices
Understanding the Most Environmentally Friendly Industrial Cleaning
www.a2c2.com/articles/00june_051.asp?pid=97 ; 2000
Designating Dangerous Waste, Ecology Fact Sheet; Washington State Department of Ecology;
Publication #96-436, revised October, 2004
Ekelman K. and D. Benz; 750 Limonene (WHO Food additives Series 30): First Draft; US Food &
Drug Administration http://www.inchem/org/documents/jecfa/fecmono/v30je05.htm ;
11/02/04
Empty Pesticide Container Disposal; Washington State Department of Ecology; Publication #92-
BR-8, 1992
Eliminating Mercury in Health Care Environmental Best Practices for Health Care Facilities; United
States Environmental Protection Agency; November 2002
Focus on Pharmaceutical Waste; Washington State Department of Ecology Hazardous Waste and
Toxics Reduction Program; Publication #03-04-035
Focus: Universal Waste Rule for Dangerous Waste Lamps WAC 173-303-573; Washington State
Department of Ecology; Publication #00-04-020
1
Guides to Pollution Prevention for Selected Hospital Waste Streams; United States Environmental
Protection Agency Office of Research and Development, Risk Reduction Engineering
Laboratory, Center for Environmental Research Development
Hospitals, Hospital Waste Products Elimination; MedNets and United States Environmental
Protection Agency;
http://www.mednets.com/index/cfm/fuseaction/articles_waste_disposal_in_american_hospitals_i
n_the_united_states_hospitalwaste
Hospital Waste Reduction Checklist; Solid and Hazardous Waste Education Center Cooperative
Extension University of Wisconsin; United States Department of Agriculture, and
Wisconsin counties; Publication #425.SB9602
King County Minor Discharge Authorization Draft; King County Industrial Waste Program;
http://dnr.metrokc.gov/wlr/indwaste/hospauth/htm
Mercury in Eye Surgery Settings; Sustainable Hospitals; Lowell Center for Sustainable
Production; University of Massachusetts Lowell, 2004
Mercury Reduction Best Management Practices for Mercury-Containing Products in the Hospital;
Sustainable Hospitals; Lowell Center for Sustainable Production; 1998
Neonatal Products; Sustainable Hospitals; Lowell Center for Sustainable Production; University
of Massachusetts Lowell, 2004
Pesticide Container Cleaning and Disposal; Washington State Department of Ecology; Publication
#01-04-024, September 2001
Pesticide Ecolotoxicity Database: Aqcuire #344; United States Environmental Protection Agency,
Office of Pesticide Management, Environmental Fate and Effects Division, 2000
Peterson, Linda; Attention Businesses: Now you can reduce your garbage bill AND conserve
resources; Sonoma County’s Food Waste Web Site
http://cesonoma.ucdavis.edu/PUBS/hortrpts/brochure.html
Pilot Study of Alternatives to the use of Xylene in a hospital Histology Laboratory; Sustainable
Hospitals Project, 2003
Pollution Prevention for Hospitals and Medical Facilities; City of Palo Alto Regional Water Quality
Control Plant
2
Products and Resources for Category: Laboratory Chemicals and Equipment; Sustainable Hospitals;
www.sustainablehospitals.org
Product Names Containing Sterilox; Sustainable Hospitals; Lowell Center for Sustainable
Production; www.sustainablehositals.org/cgi-bin/DB_report.cgi , 2000
Product Names Containing Sterrad; Sustainable Hospitals; Lowell Center for Sustainable
Production; www.sustainablehositals.org/cgi-bin/DB_report.cgi , 2000
Profile of the Healthcare Industry; United States Environmental Protection Agency Office of
Compliance; EPA/310-R-02-002, February 2004
Satellite Accumulation; Washington State Department of Ecology Hazardous Waste and Toxics
Reduction Program; Publication #94-120, revised 2003
Torke, Ken; 1994; Best Management Practices for Hospitals and Medical Facilities; Palo Alto
Regional Water Quality Control Plant; September 1994
Treatment by Generator; Washington State Department of Ecology Hazardous Waste and Toxics
Reduction Program; Publication #96-412, revised May 2004
Universal Waste Rule for Batteries and Mercury-Containing Thermostats WAC 173-303-573;
Washington State Department of Ecology; Publication #98-407, 1998
Veteran’s Affairs Hospital and Hospital Waste Minimization Case Studies; United States
Environmental Protection Agency Office of Research and Development Risk Reduction
Engineering Laboratory
What devices and building materials contain mercury?; Purdue University, Agricultural and
Biological Engineering; https://engineering.purdue.edu/ABE (last updated April 5, 2005
3
Appendix 7
Glossary
Acronyms
DEHP Di(2-ethylhexyl) phthalate (CAS No [117-81-7], also known as di-octyl
phthalate (DOP)
DW Dangerous waste (hazardous waste)
EtO Ethylene oxide, a sterilizer
FOG Fats, Oils and Greases
Hg Chemical symbol for mercury
JCAHO Joint Commission on Accreditation of Healthcare Organizations
PBR Permit-by-Rule
POTW Publicly owned treatment works
RCRA Resource Conservation and Recovery Act
SPCC Spill Prevention, Control, and Countermeasures
TBG Treatment by Generator
TSD Treatment Storage and Disposal
TTO Total Toxic Organics
Definitions
Accumulate To temporarily store hazardous waste at your place of business for a limited
amount of time (180 days if you typically generate between 220 and 2200
pounds of waste per month, 90 days if you generate more).
Acute Certain listed hazardous wastes or discarded chemical products that are
hazardous very dangerous and strictly regulated in quantities of more than 2.2
waste pounds.
Annual report A yearly summary of your hazardous waste activities submitted to Ecology
by March 1 of each year. Required of businesses with RCRA Site
Identification Numbers.
Batch An amount of waste which is generated less frequently than once a month.
Biomedical A Washington State term that includes biohazardous and infectious wastes.
waste
Biohazardous Medical wastes that can include blood, bodily fluid, and/or tissue, as well
waste as materials saturated with blood or bodily fluids.
Characteristics There are four characteristics that can cause a waste to be hazardous:
of hazardous ignitability, corrosivity, reactivity, and toxicity.
wastes
Community Title III of the Superfund Amendments and Reauthorization Act (SARA)
right-to-know establishes requirements for government and industry regarding
emergency response planning and everyone’s right to know about
hazardous chemicals in their community. Many hazardous waste
generators have requirements under community right-to-know.
1
Corrosive A solid or liquid that is a strong acid (pH less than 2), such as battery acid,
or a strong caustic (pH greater than 12.5), like drain cleaner (see
characteristics).
Criteria waste Wastes that are hazardous in Washington State because they are toxic or
persistent in the environment.
Dangerous waste Same thing as the federal term “hazardous waste” but with additional
“Washington only” wastes, such as criteria wastes. Generators typically
become regulated under the Dangerous Waste Regulations when more than
220 pounds are generated per month OR they accumulate more than 2200
pounds on-site at any one time.
Dangerous Waste Chapter 173-303 WAC; regulations that implement the state’s Hazardous
Regulations Waste Management Act and parts of the federal Resource Conservation
and Recovery Act.
Dangerous waste Specific and generic operations that create dangerous wastes that are
sources “listed” in the Dangerous Waste Regulations, Chapter 173-303-9904.
Designate The act of determining whether your wastes are hazardous and if so, why
(i.e., are they “listed” waste, characteristic wastes, etc?)
Discarded Pure unused products that you intend to dispose of that are regulated as
chemical products hazardous waste (many pesticides for example). See the list in the
Dangerous Waste Regulations, Chapter 173-303-9903.
Empty Containers are legally empty when less than one inch of waste remains on
the bottom or the volume of waste remaining is less than three percent of
the container’s total capacity.
Extremely EHWs are those dangerous wastes that are especially dangerous to the
hazardous waste environment and require greater control. Many solvents are EHWs.
EHWs cannot be land disposed.
Hazardous waste The term used by the Environmental Protection Agency to identify those
(dangerous waste) solid wastes with properties that could pose dangers to human health and
the environment (i.e., spent solvents, ink sludges, cyanide wastes, etc.).
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Ignitable Liquid wastes with a flashpoint of less than 140º F, such as paint thinner
or waste easily capable of causing a fire, such as dirty shop rags (see
characteristics).
Land disposal Federal land disposal restrictions (LDR) restrict wastes from being land
restriction disposed unless certain treatment standards or limits have been met.
State land disposal restrictions restrict extremely hazardous waste (EHW),
such as dry cleaner PERC from land disposal to encourage more favorable
management options such as waste reduction, recycling, or treatment.
Legend drugs Prescription drugs. Drugs that are prescribed for you by your physician
and filled at a pharmacy.
Listed wastes These are regulated hazardous wastes that are listed in the Dangerous
Waste Regulations, Chapter 173-303-9903 and -9904. Checking the lists is
the first step in designating your waste.
Manifest A shipping document that accompanies your hazardous waste from point
of generation to the final destination. Required of all but small quantity
generators and universal waste handlers.
Moderate risk Hazardous waste that is exempt from most state and federal regulations
waste because it is generated in households, or by businesses in quantities
typically less than 220 pounds per month. Such businesses are known as
small quantity generators.
MSDS Material Safety Data Sheet, provides health risk information, and what to
do in case of exposure or spill. Information can also be helpful in
determining if a waste is hazardous. Manufacturers are required by law
to provide MSDSs on all products they manufacture and sell.
Notify State and federal regulations require you to notify Ecology if the amount
of hazardous waste you generate per month or batch is more than 220
pounds OR if you accumulate more than 2200 pounds on-site at any one
time. 220 pounds is roughly one half of a 55-gallon drum. You can satisfy
this requirement by requesting a Site Identification Form, completing it
and returning it to Ecology.
Permit-by-rule Businesses that want to treat wastes on-site to make them less hazardous
and/or discharge the treated wastes to the sewer, must notify Ecology by
filling out a Site Identification Form and get permission from their sewer
authority.
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QEL Quantity Exclusion Limits are used to distinguish whether a hazardous
waste is subject only to the small quantity generator requirements or the
more stringent fully regulated generator requirements. The most
common QEL is 220 pounds per month or batch (about one half of a 55-
gallon drum). The QEL for some wastes is 2.2 pounds (about a quart).
RCRA The Resource Conservation and Recovery Act is federal legislation passed
in 1976 that initiated regulation of hazardous wastes. Washington State
implements parts of RCRA through its Dangerous Waste Regulations.
Red bag waste Medical wastes that are saturated with blood or other bodily fluids.
Biohazardous waste.
Small quantity Typically, a business (auto repair, printing, etc.) or institution (park, school,
generator etc.) that always generates less than 220 pounds of hazardous waste per
month and accumulates less than 2200 pounds of hazardous waste at any one
time. Small quantity generators are subject to fewer requirements.
Solid waste Any material that you no longer use which you either throw away,
recycle, or store temporarily until you have accumulated enough to
recycle or dispose of it economically.
Special wastes State-only dangerous wastes in solid form that are corrosive, slightly
toxic, and/or persistent but not extremely hazardous, or have
polychlorinated biphenyl components (PBCs). These wastes may be
disposed of in solid waste landfills if certain requirements are met.
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Toxic A substance is toxic if it is poisonous or harmful to plant or animal life.
characteristic Examples include used antifreeze, paint booth washwater (see criteria
waste waste).
TSD Treatment, storage and disposal facilities are the final destination of
hazardous waste. All TSDs must be permitted and have RCRA
Identification Numbers.
Transfer facility Any transportation related facility including loading docks, parking areas,
storage areas, buildings, piers, and other similar areas where shipments of
dangerous waste are held, consolidated, or transferred within a period of
ten days or less during the normal course of transportation.
Triple rinse Rinsing a container three times to ensure that it is legally empty. Applies
to pesticides and acutely hazardous wastes. Rinse water should be reused
in a manner consistent with the original intended purpose.
Worker right-to- The Department of Labor and Industries administers worker right-to-
know know. The rules require all Washington State employers to inform and
train employees about hazardous chemicals in the workplace.