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Miscellaneous - Exception (232)
DAVID G. COHAN One High Street, North Andover, Massachusetts 01845 Tel.: (978) 682-8708 Fax: (978) 682-8713 1 f 'j TSA-J/f- (:5'7 111A�5� �T � �/a�/dd Z 370 627 493 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse Sent to SiDO' Post Office, tate, IP e Postage s Certified Fee a, S Special Delivery Fee Restricted Delivery Fee Return Receipt Showing to Whom & Date Delivered Q Rdim Receipt Showing to Whom a Date, & Addressees Address 0 TOTAL Postage & Fees a , Postmark or Date 0 v7 a (J9AGd)ee@dy`09c»gS Em« Mn �k )\\0 § -_CO ° 0' $ 7 \0 kk)10 \ 4E) E2 §E - § k{ (� Na _ "0 CIO co 6 _ f 7 2 C - �� Ea 6■ - k/§�f _ 3- 01) .2 : §\§fwf2 / G { &`CU E .2 2 2k /\� $f ± ` �# - k0 £ § k �) k](Ca 0 4) ) k 2/ E )) /jf K\k\}\\§ _ J{# E e- f ICU K(§ £§t\\�/§ §« ' ) �0,0 2\kms \k !n02 C_ D CL �$f \ §202 >m eD 0 «\(�4 f\ } /f&§ arae) cn \-6 �_ k)/ �) 27) \� - Mm // \\� \2 \}\� /\ /� \ ��__�m�moccc_mr2= M OF PHONE & AREA CODE - ��J=,71.1 NUMBER EXTENSION SIGNED .d :t (ffjnlveltal- 48003 facsimile transmittal North Andover Health Dept. 27 Charles Street North Andover, MA 01845 978-688-9540 Fax: 978-688-9542 — -- -- -- ' To: Howard Wensley Fax: 617-983-6770 From: Sandy Starr Date: 05/08/00 Re: Med Waste Complaint Pages: 1 CC: [Click here and type name] ❑ Urgent ❑ For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle Notes: On 5/8/00 Arthur Boukoujos and Dave Cohan of Yale Properties observed an employee from Servicemaster Cleaners remove bags which held some medical waste from the property at 57 High Street, North Andover in his van. The bags were to be taken back to Dr. Steven Halem for proper disposal. John Denise runs Servicemaster; his number is 978-688-1286. The two witnesses, Cohan and Boukoujos can be reached at 978-682-8708. 1' ................. Influenza HMO Medicare Risk (Senior) Reimbursement Project Adult Vaccine Administration Record (Influenza) The doctor or clinic may use this form for the written documentation required for every dose of vaccine, or they may record it in your medical record. They will record what vaccine was given, when the vaccine was given, the address where the vaccine was given, the name of the company that made the vaccine, the vaccine's special lot num- ber, the name and title of the person who gave the vaccine, and the document number. Information about the nersnn to rPrPivP vnrrina (n1a.2ca nr;,iA Name: (Last, First, MI) Birth date: Age: Street address: Ci State: Zip: Phone: Check the source of your healthcare from the following: Medicare #: Blue Care 65 ~` #: Fallon Senior Plan ! #: First Seniority (Harvard Pilgrim) #: Secure Horizons (Tufts Health Plan for Seniors) #: United HealthCare/Medicare Complete #: Other #: Signature of person to receive vaccine, or that person's guardian For Clinic/Office Use Vaccine name: Date vaccine administered: Injection site: Date VIS given: Date on VIS: Vaccine manufacturer: Vaccine lot number: Name and title of vaccine administrator: Clinic/office address: (824/99) w 02 The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health Division of Community Sanitation ARGEO PAUL CELLUCCI 305 South Street, Jamaica Plain, MA 02130-3597 GOVERNOR (617) 983-6761 (617) 983-6770 - Fax )ANE SWIFT. LIEUTENANT GOVERNOR WILLIAM D. O'LEARY SECRETARY May 1, 2000 HOWARD K. KOH, MD, MPH COMMISSIONER Board Of Dental Examiners 239 Causeway Street Boston, MA 02114 RE: Stephen H. Halem, DMD Dear Board Members: Enclosed is a notice of a violation against Stephen H. Halem, DMD, as written by the North Andover Board of Health. It is being forwarded to you in accordance with the requirements of 105 CMR 480.000: Storage and Disposal of Infectious or Physically Dangerous Medical or Biological Waste, State Sanitary Code, Chapter VIII. 480.600(H) If the Department or Local Board of Health issues a notice pursuant to the 105 CMR 480.600(C) or obtains a conviction and/or fine pursuant to 105 CMR 480.600(D) with respect to a registered professional, the Department or the board of health shall notify the appropriate professional registration board. Sincerely, Howard S. Wensley, M.S., C.H.O. cc: Stephen H. Halem, DMD North Andover Board of Health Dept of the Attorney General ti's~ k �v /J A.M. FOR e 4 DATE -TIME -P.M. M ! OF PHONED _ ❑ FAX / �i] ^ JS� RETURNED PHONE D Noelle (SJ Q► '/U YOUR-CALL- AREA OURCALLAREA CODE NUMBER EXTENSION MESSAGOHPLEASE CALL CALL �A3A TO )ISIAlpgns 1e►;uapisaj :puel �o asn papua;ul :2joivmvAD liOS 031- 1U2JDO :2123NION3 SS3�Iaad ��f3NM0 :jaqu.wnu laoied � dew s�ossassy :SiS31 TOS �O NOUVO01 'Diva JOlivollciciv )aNV Hi�JDN BIOS 0c �� �OC.--, De, -%�- =SC O,A%-,Ar- C-e- /11 I SAL S Y;5 l'hAl N , DRAINS, WATERCOURSES , GAS, ELECTRIC LINES, CABLE ZNERS OF HOUSE TO CENTER OF DRIVEWAYS, ETC. INS OF BENCHMARK USED oisintpgns lai�uapsaa :puel �o asn papua}ui -2jOivmvAD IIOS 031=111b]0 N33NIJN3 SSB�Joo ' :63NM0 :jagwnu laojad -2 dew s�ossassy :S1Sl11103 -�0 NO11d001 :Iivo VOliVOI-IddV )ONV H12JON MHOS 0C SnH�r t �}'� •• `S o�R W � \tii�•' et,1•l� ai SENDER: v 'Fa ❑ Complete items 1 and/or 2 for additional services. at Complete items 3, 4a, and 4b. ❑ Print your name and address on the reverse of this form so that we can return this card to you. ` ❑ Attach this form to the front of the mailpiece, or on the back if space does not a, permit. Y ❑ Write "Return Receipt Requested' on the mailpiece below the article number. ❑ The Return Receipt will show to whom the article was delivered and the date p delivered. WRegistered 3. Article Addressed to: ❑ Express Mail ❑ Insured Ea ❑ COD 0 V W 1—, in G may+ �4� z �D r �Jt✓�r', � �18�5 F 5, Received By: (Print Name) W 3 6 ign ture d(dyre1sse('Q�\p`rA PS Form 3811, Decembe"r 1 I also wish to receive the follow- ing services (for an extra fee): 1 • ❑ Addressee's Address 2• ❑ Restricted Delivery 4a. Article Number 77- 376 6 a71/q 4b. Service Type WRegistered 1215ertified ❑ Express Mail ❑ Insured [y Wetum Receipt for Merchandise ❑ COD 8. (Only if requested and fee 102595-99-B-0223 Domestic Return Receipt UNITED STATES POSTAL SERVICE First -Class Mail Postage & Fees Paid USPS Permit No. G-10 • Print your name, address, and ZIP Code in this box • BOAM 27CK SIRS N= MA 118 CAUTION MEDICAL WASTE REPORTED BY TENANTS ON 4/20/00 AFTER BEING DISCOVERED IN THE OPEN ADJACENT TO THE TRASH COMPACTOR - BETWEEN BUILDING NO. 12/12A THIS WASTE BELONGS TO DR. STEPHEN HALEM OF THE DENTISTS COLLABORATIVE 57 HIGH STREET, NORTH ANDOVER, MA 01845 (978) 975-8008 THE CLEANING COMPANY WHO IS CONTRACTED TO DISPOSE OF THIS MATERIAL IS SERVICEMASTER AT THE FOLLOWING ADDRESS - JOHN DENISE, PO BOX 1752, ANDOVER, MA 01810 TELEPHONE NO. (978) 688-1286 SERVICEMASTER HAS BEEN DISPOSING OF THIS WASTE IN THIS MANNER FOR APPROXIMATELY ONE YEAR. w y Town of North Andoverf N°RTW OFFICE OF ��°ett``o e'ti�L COMMUNITY DEVELOPMENT AND SERVICES ° 27 Charles Street ` t North Andover Massachusetts 018454°^••I° •°"` �5 WU,LIAM J. SCOTT 9SSnCHUS Director (978)688-9531 Fax(978)688-9542 NORTH ANDOVER BOARD OF HEALTH NOTICE OF VIOLATION Issued under the provisions of the State Sanitary Code, Chapter VIII, Storage and Disposal of Infectious or Physically Dangerous Medical or Biological Waste 105 CMR 480.000. Date: April 26, 2000 To Tenant of Record: Stephen H. Halem, DMD, PC Property Location: 57 High Street 57 High Street North Andover, MA 01845 N. Andover, MA 01845 Authorized inspections were made of your property at the above address by North Andover Health Department personnel on April 20 and April 25, 2000. These inspections revealed violations of certain regulations of the State Sanitary Code, Chapter VIII, as listed on the attached Violation Form. You are hereby advised that you must comply with the above -noted regulations and all OSHA regulations related to medical waste and that you are being put on notice that a second such violation may result in legal action and significant fines. If you have any questions concerning this notice, please call the Health Department at 978-688-9540. "&/X� I I - Sandra Starr, R.S., C.H.O. Health Director Cc: BOH DPH W. Scott, Dir. CD&S File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 VIOLATION 1. Medical waste, blood contaminated gauze, syringes attached to catheters holding blood in normal trash bags. ♦ Waste generators shall contain and store medical waste at all times in leakproof, rodent proof, flytight containers which ensure that no discharge or release of such waste occurs and that no... nuisance is created. REGULATION 480.100(A) 2. Trash bags containing medical waste lying outside the 480.100(B) compacter in an open container. ♦ All onsite storage of containers of waste shall be held in an area away from general traffic flow.... The manner of storage shall restrict access or contact with such waste to authorized persons only. 3. Used syringes included loose in waste. ♦ Sharps shall be segregated from other wastes and aggregated in leakproof, rigid, puncture - resistant, shatterproof containers immediately after use. 4. All waste including teeth still coated with blood enclosed in clear, unmarked, thin plastic bags. Wastes other than free draining blood and blood products, sharps and biotechnology by-products effluents shall be placed in a non -permeable 3 mil or greater polyethylene bag (or equivalent) which is securely sealed to eliminate leaks. ♦ Every container or bag of waste which has not been rendered noninfectious shall be distinctively marked with the international biohazard symbol and colored red to indicate that it contains waste, and in the case of sharp wastes be distinctively labeled to indicate that it contains sharp waste capable of inflicting punctures or cuts. 480.100(C) 480.100(D) 480.100(D) 480.300(A)(1)(2) ♦ Every container or bag which has not been rendered 480.300(B)(1)(a)(d) noninfectious and which will be transported off the premises of the waste generator shall be placed in containers which are rigid and of sufficient strength to prevent tearing or bursting under normal conditions of use and handling. ♦ Bags shall bear a label which states the name, address 480.300(B)(2) and telephone number of the generator. The Dentists Collaborative a dental specialty practice 57 High Street North Andover, Massachusetts 01845 May 1, 2000 Sandra Starr, R.S.,C.H.O. Health Director Town of North Andover Community Development & Services 27 Charles Street No. Andover, MA 01845 Dear Ms. Starr, As per our conversation Friday, April 28, 2000 1 am enclosing an updated Stericycle, Inc. Service . Agreement along with copies of manifests for services rendered this year. If you have any questions please feel free to contact me Sincerel Stephen H. Halem DMD MAY 2 � Telephone: 978-975-8008 888-SMILETOO Fax: 978-975-7788 _. _- --- - _� v%v rrr%T- TT_vjr-%T_ Biomedical Waste azAIr1\.L LL^J%-&%La asv.. Appmxirnatc First Pick U : Service, uenc Size of Container•----� -•- �--- Quantit�' Per Pick Up Number of Con inert Per Year:LPikGp Fee• ( / Price. Per Cont�incs: yc:+rly tt:' Tax: Total Yearly Fee. M - • Pick Up Fac will be dWW M4adlass of MC Mrtnbct o(caMail C% pitta UP. A ro>;imate First Pick U $ervice Frooucn waste Fixer. 2.5 G: 5 G Per Pick U Developer: 2.5 G: 5 G: Peek Un Amal :uttt Lead Foil: Numbcr of Containcrs Pcr Year: Biotnedica! & X Raw Prc�ces^ing W s�,tc Over�es: If your number of CMaincrs pic' ddb j�p exceeds Qte abort number of eomei" s per Year. the' cwela�C [et will bC f for ewgt Ma"&Ago eoeaina and S for each X -Ray praceoing CWAAner. Rcfuaed peal UPS will br rharb-ed a. ONC COMVW' J 1reWs NFP (om' *W6 lin.ro st -) are ant included io contras price ales etMr�Iae Ittdlnted DIRECTIONS: Start Daus: �) Accepted By: X Tide: —. Term of ABrcement: Months: 3 4.8 Date.• Offer Expires: Stericycle: �__ ❑ .28161 North Keith Dr.. bake Forest. IL 60045 ❑ 80 industrial Park Road. Middletown, CZ' 06457 (890)643-0240 (800)231-7233 rrvD,k4C .,...a rl^xrl1iTTA1TC. . _- -- -- r-----=- etsx- 0 R GENERATOF labeled, and I T R A N S v R T E R T R E A T .M E N T 5���ECEIPI PRINT / TYPE N 0AC#9,Vq05St#MV � BROWNING -FERRIS INDUSTRIES Transporte. UENTISIS COLLAPJRAIIVE ADDRESS: DOCUMLN) NUMBER :PD00076927 DELIVERY DATE: 0?/1411999 'I IME; 11:42 TRANSPO DRIVER 10: OGR �}-'6 PRINT/TYPE Transport ADDRES: TRANSP( PRINT/TYP PRUUUCI CODE OTV PhoUUC1 CUBE u1Y SX86 1 RG63 2 f01AL QUANIIIV DELIVERED: 3 POINT ( AUTHORIZED SIGNATURE ADDRE;Medical taste Syst ns& 8140WNING-FERRIS INDUSTRIES 4 D WASTE MANIFEST AIME:.................. I ......... ...--------- ........._ ...... TOT. CONT........./!....... TOT. WT. ........ CONTAINERS REMOVED -Wade -NON HAZARDOUS SPECIAL WASTE 10 gallon BX87 BROWNING -FERRIS INDUS 4.5 cubic ft. BX84 C �t'= T 1) NI SIS COLLAHCfATIVETRIEs dated Medical W BX99 190(" MENI NUMBER : M000076927 G' AGENCY/STAT 'MPPING DATE: 02124/1999 TIME. 11;43 DI.I :d R to: DGR E N.GENERATOR l0l Al I A'.. < ;! 1' OF CON TA INERS , E ADDRESS:.... !DIAL W?_;rr,. (1F SHIPMENT 0.0 R CONT CONT A / CODE IYPL. n'; CODE TYPE WT T PHONE: OOAOOAi OXe.6 f,.0 0 R GENERATOF labeled, and I T R A N S v R T E R T R E A T .M E N T 5���ECEIPI PRINT / TYPE N 0AC#9,Vq05St#MV � BROWNING -FERRIS INDUSTRIES Transporte. UENTISIS COLLAPJRAIIVE ADDRESS: DOCUMLN) NUMBER :PD00076927 DELIVERY DATE: 0?/1411999 'I IME; 11:42 TRANSPO DRIVER 10: OGR �}-'6 PRINT/TYPE Transport ADDRES: TRANSP( PRINT/TYP PRUUUCI CODE OTV PhoUUC1 CUBE u1Y SX86 1 RG63 2 f01AL QUANIIIV DELIVERED: 3 POINT ( AUTHORIZED SIGNATURE ADDRE;Medical taste Syst ns& 8140WNING-FERRIS INDUSTRIES 4 D WASTE MANIFEST AIME:.................. I ......... ...--------- ........._ ...... TOT. CONT........./!....... TOT. WT. ........ CONTAINERS REMOVED Qty. Size Code 10 gallon BX87 30 gallon BX86 4.5 cubic ft. BX84 9.0 cubic ft. BX85 other BX99 NERATOR FACILITY at the above na materials are properly classified, described, packaged, marked and ;cording to the a1$ksb ulations of the Deparl:M�aseacl;ation. AUTHORI ED SIGNATURE DATE TRANSPORTER ►................................... is described above. F T— AUTHORI NATURE ....................................... as described above. I I AUTHORIZED SIGNATURE AANSFER (IF APPLICAB r tt-.r tZ •• . /State I # .....f..,�•,.t,..;.. -...L. s...,.r._r:.�`;:�:r....... r , . _' `1 ':?.5 ..................... DATE . Agency/State ID# ..:................................................... Secondary Manifest # ................................................ Phone: ............................. - DATE Agency/State ID# ...................................................... Transfer Manifest #................................................ Phone: ................. .. ............ ............................... PRINT / T) AUTHORIZED SIGNATURE DATE DESIGNATED: TREATMENT FACILITY ADDRESS:.....1.;.:; Ita.... t a '1.:; jr....:ii..1:........................ .._..................._...... ....... Agency/State ID# ......�' jj - .....' +r r. -�,// .'t ..................................... Phone: : „-. < -1'-,.. , , ,,:r IP1 ClUY.�!f,. �..t,{�:ii• �, �.... �Y'J: 4: 5:!�: ij .l , ......(...1..::. ...,...,:.,....i;-.,...r..,l..................... DESIGNATED TREATMENT FACILITY - Certification of Treatment of materials as described above. PRINT/TYPE NAME' r " ' AUTHORIZED SIGNATURE DATE (If Different Than Above) ALTERNATE #1: ADDRESS.................................................................................................................. Agency/State ID#............... Phone:..................... ................................................. ALTERNATE TREATMENT FACILITY - Certification of Treatment of materials as described above. PRINT / TYPE NAME AUTHORIZED SIGNATURE DATE Special Handling Instructions Discrepancies IN CASE OF EMERGENCY CONTACT 1-800-234-0051 v- —__. .. -.. - -.. .. 1 3 k MP '�' w. -1r {1•" .� x. ^Fs., ' IVIO -filtPUCH.. REGULATED=WASTE--MA-NIF � 4W, BROWNING-KRRISINDUSTRIES r a _ _ t,w»tt�tomer: # 0006`:,851.00 Regul"ated Medical Wastes6 2, UN3291; PG -11 b01 421Z 2 • f CONTAINERS REMOVED` - ';Code': r, = 10tgeillIon 1.5 cubic R: - — BX84 30 gallon ,' B)W i 4.5 cubic ft: 7.j�;'="' B)3-4- 9.0 )34 a' 9.0 cublc ft, h BX85 •other _ B) GENERATOR FACILITY ' v R —� -GENERATOR'S CERTIFICATION: This is to certify that the above named materials are and labeled,, and are in proper condition for transportation according to the applicable regulations of the, Department oi,TransportaGon PRINT/TYPE NAME DODEQA1 RIZ^DATE s TRANSPORTER Transporter 1: T ADDRESS: .:...:...:..Ie.r.cr....'.r. 1.e.�r......�.....................: Agency (state ID#>IJaS.�;�� R..........Law.r...en..ce......M11..01.843000.0...... ..... Phone t s) 3 t TRANSPORTER 1 -_Certificate of receipt of waste as described above.. { w. A M}. M O((G V PRINT/TYPE N ' E" - AUTHORIZE TURE S Transporter 2:'` P .ADDRESS: .. .... r � �bgency/State ID#r O .....:...:................... ati M � s wSecond anlfe t # R TRANSPORTER 2 - Certificate of receipt of waste as described above. _ _ _ { k�, *Phone.. ' �..,A.{. �`f...a: 3+ . .. _ .- { f >,�_....:� -.. df .4r -ewe " Tc t,' PRINT/TYPE NAME AUTHORIZED �Y - '� ` # E � DATE TRANSFER IF APPLICABLE) R POINT OF TRANSFER: - - k N ADDRESS: ...1Z ._..3..�d1...:.F.e_r..r...Y.._ �'tics.acl....................................... ............ ... ..... A enc /StaAe}ID p 1.11a -ver I -ii I :l. ,....._MA........_01.8 5 ;�.. ..�. 1,' � k � Aar � �»� rt IM ........... ........... .......................................................................... «,. .r � „ a7'rarisfer Manifest # �.,. , , _ } ...Phone PRINT/ TYPE NAME AUTHORIZED 1IGNATURE. DATE -° TREATMENT F a A } T AGILITY DESIGNATED: ' R ADDRESS: Y enc /Stat1D ME I":90MC009 ........ ...................... .. .... J... .. ......... _- Lawrence Mfa.....0..�.0... OOtS.b... $Ph 978'i x58 7.75�� ,9F, ..................................................................................................................................... ...:.... , . E one:„, r DESIGNATED TREATMENT FACILITY - Certification of Treatment of materials as described above - t �• v �Y ri%•” it Y.. a� i'• f � +� '!�}� s"', - E I - ':I: -Was to -SX-Ei tenis> of N.A. PRINT /TYPE NAME AUTHORIZED SIGNATURE i s f itfr + "`DATE + " F i h «' +a+ ; V If Diff t Th r TERNA RESC NA E .11V; �.. V, ( I even an Above) --�--- E#1: 369 Pat E'C st Dri.ve a 5 ...._ L. Agency/State_# 005 .Woodsock.et, RI 02895 fl - ,; one: O ,7 .............._..........................................................._.................................................................................... _ $ ph. <. :TREATMENT FACILITY - Certification of Treatment of materials as`des"bribed .above~ AME AUTHORIZED SIGNATURE 4r, .+. ~DATE Instructions :RGENCY CONTACT 1-800-234-0651 COPY 1 - GENFP,,Trip .s E, its+. g }''•.'�. �.: a��� ' REGULATED �� N��U�U������ Medical -----'- -° n��~�����~��u �~�� WASTE MANIFESTBROWNING-FERRIS INDUSTRIES rmr��1 ''^65851OO AGENCY/STATE |D# G N GENERATOR NAME: DFHTlSTS COi!ABOi�ATIVE E ADDRESS:9,0 cubic 57 HIGH STR�ET U�| HO AyDOVER MA O18�5 A other ][ PHONE: 8OO8 0 . GENERATOR FACILITY R GENERATOR'S CERTIFICATION: This is to certify that the abov n�amed materials are properly classified, described, pack gtoy r transportation accordin plicable regulations c e Department of Transportation. labeled, and are in proper condition fo PRINT/ TYPE NAME 'AUTHORIZED SIGNATURE 0\|8�0U@��\���NX�0 0D 111111 �U0VN\���0K�� |NU� TOT QUAk*1TY-" # MD30147116�� CONTAINERS REMOVED Size Code 1.5 cubic ft. B)G4 30 gallon- BA86 4.5 cubic It. BXB4 ft. BA85 A TRANSPORTER marked and PRINT /TYPE AUTHORIZED SIGNATURE 2ATE TREATMENT FACILITY n ~^~-' ADDRESS:—' -- Ag*noy/State|D# 'MBR9OIHCOO1 Phone: (978) 687-2775 Law1�nce-�A O1843O00O uno� DES|GNATEDTREATMENT FACILITY 'Codifioahon of Treatment mma�nalaaodoonhu�u above. .. T .10 i4 DATE %A PRINT /TYPE NAME--:. AUTHORIZED SIGNATURE _--_---- y/ Different =""^/ ALTERNATE #11: ' Agoncy/SKate|D#,3053 ADDRESS �k�p'-Par1�1�a��t-l>ri��e ][ - --- --- - Phone:(4{>1)-Z69-5O08 — -----'--'--- Ca��oa�on��Tn*atn���dmah*ha�aadoaohbodabovo |ALTERNATETREAT��N|�*uu//,' . I TVDr KJAKAP AUTHORIZED SIGNATURE DATE, Discrepancies Special Handling Instructions -800-234-0051 IN CASE OF EMERGENCY CONTACT 1 T ADDRESS: TRANSPORTER1 - Certificate of receipt of waste as described above. A A0 N DATE PRINT/TYPE NW:'� 1.j AUTHORIZED SIGNATU S Transporter 2: Manifest #. 0 Second ....^``^ Certificate_ - of receiptwaste —_ - R..".... T DATE PRINT /TYPE NAME AUTHORIZED SIGNATURE POINT OF TRANSFER: ,R Agency/State ID#. E, Transfer Manifest PRINT /TYPE AUTHORIZED SIGNATURE 2ATE TREATMENT FACILITY n ~^~-' ADDRESS:—' -- Ag*noy/State|D# 'MBR9OIHCOO1 Phone: (978) 687-2775 Law1�nce-�A O1843O00O uno� DES|GNATEDTREATMENT FACILITY 'Codifioahon of Treatment mma�nalaaodoonhu�u above. .. T .10 i4 DATE %A PRINT /TYPE NAME--:. AUTHORIZED SIGNATURE _--_---- y/ Different =""^/ ALTERNATE #11: ' Agoncy/SKate|D#,3053 ADDRESS �k�p'-Par1�1�a��t-l>ri��e ][ - --- --- - Phone:(4{>1)-Z69-5O08 — -----'--'--- Ca��oa�on��Tn*atn���dmah*ha�aadoaohbodabovo |ALTERNATETREAT��N|�*uu//,' . I TVDr KJAKAP AUTHORIZED SIGNATURE DATE, Discrepancies Special Handling Instructions -800-234-0051 IN CASE OF EMERGENCY CONTACT 1 _Med'' Vftsle Systems BROWNING -FERRIS INDUSTRIES REGULATED WASTE MANIFEST 1f?6!58!5100 Regulated Medical'iws:�te G E N E R A T 0 R T R A N S P 0 R T E R T R E A T M E N T AGENCY/STATE ID # _ . . . . ....... . ..... .. ... 'GENERATOR NAME: D!::*I-,1*1'.*I, C. J, 'Ci C(l] 1 (-,iB0I:;'(>i*T.I.'VI::.' ADDRESS: C'. 1:3 1.40 Pik PHONE: (97'C:3)... 97!i'-..# .0O;3 III III IIIIIIIIIIIIIIIIIIIII 11111111111 - 11111 * IIIIIIIIIII ToTAP869 ' tt 11DO0152107 C.F. CONTAINERS REMOVED Qty. Size Code 10 gaIllon BX87 1.5 cubic It. BX94 30 gallon BXB6 4.5 cubic ft. B)(84 9.0 cubic ft. B)(85 other BXS9 GENERATOR FACILITY J GENERATOR'S CERTIFICATION: This is to certify that the above named materials are properly classified, described, packaged, marked and labeled, and are in proper condition for transportation according to 1"plicable regulatioAs of theDepa-ItmAnt of Transportation. PRINT/ TYPE NAME Transporter 1: TRANSPORTER ADDRESS: Zer-c-) F*ixr-*1ey .......... lylo 018430000 TRANSPORTER 1 - Certificate of receipt of waste as described above. PRINT/TYPEN)WP� Transporter 2: ADDRESS: TRANSPORTER 2 - Certificate of receipt of waste as described above. L 10 _L? DATE Rate ID# .. ... D FU 3 0 34 (_74Z/00 DATE ' Agency/State ID# Secondary Manifest # . .......... ................... Phone: PRINT/TYPE NAME AUTHORIZED SIGNATURE DATE POINT OF TRANSFER: TRANSFER IF APPLICABLE) ADDRESS: R,.oad ... ..... .. ... . ........ Agency/State ID4%11: SW "T*",:,)--:-.04.�',*-.),,., . . . ..... . ... . ..... Transfer ManifestV Phone: ... B)....:?:1.....064 ," ) ..." ........... PRINT/ TYPE NAME AUTHORIZED SIGNATURE DATE DESIGNATED: TREATMENT FACILITY ADDRESS: F*ar-*.I.ey '31. Agency/State ID# IYIBR90 J* I%K,001 I.- r e ri e 11 if 4.w000 ... .. ......... ............................... . Phone: (978) 6� 1" DESIGNATED TREATMENT FACILITY - Certification of Treatment of materials as described above. - c).f: 11"A., PRINT/ TYPE NAME AUTHORIZED SIGNATURE (If Different Than Above) DATE ALTERNATE #11: ADDRESS EAst Driv(-:� Agency/State ID# 00',3*,`.') F,* **,*I* 02#9L5 * w. j 7* 6 9 5f36*0 Phone: o ALTERNATE TREATMENT FACILITY - Certification of Treatment of materials as described above. PRINT/ TYPE NAME AUTHORIZED SIGNATURE DATE Special Handling Instructions Discrepancies IN CASE OF EMERGENCY CONTACT 1-800-234-0051 1 COPY 1 - r,FNFRATOP Town of North Andover of NORTH OFFICE OF �� ly «. 16 ° ti00L COMMUNITY DEVELOPMENT AND SERVICES 27 Charles Street► North Andover, Massachusetts 01845 WILLIAM J. SCOTT Director (978)688-9531 Fax(978)688-9542 NORTH ANDOVER BOARD OF HEALTH NOTICE OF VIOLATION Issued under the provisions of the State Sanitary Code, Chapter VIII, Storage and Disposal of Infectious or Physically Dangerous Medical or Biological Waste 105 CMR 480.000. Date: April 26, 2000 To Tenant of Record: Property Location: Stephen H. Halem, DMD, PC 57 High Street 57 High Street North Andover, MA 01845 N. Andover, MA 01845 Authorized inspections were made of your property at the above address by North Andover Health Department personnel on April 20 and April 25, 2000. These inspections revealed violations of certain regulations of the State Sanitary Code, Chapter Vill, as listed on the attached Violation Form. You are hereby advised that you must comply with the above -noted regulations and all OSHA regulations related to medical waste and that you are being put on notice that a second such violation may result in legal action and significant fines. If you have any questions concerning this notice, please call the Health Department at 978-688-9540. Sandra Starr, R.S., C.H.O. Health Director Cc: BOH DPH W. Scott, Dir. CD&S File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 VIOLATION 1. Medical waste, blood contaminated gauze, syringes attached to catheters holding blood in normal trash bags. ♦ Waste generators shall contain and store medical waste at all times in leakproof, rodent proof, flytight containers which ensure that no discharge or release of such waste occurs and that no... nuisance is created. REGULATION 480.100(A) 2. Trash bags containing medical waste lying outside the 480.100(6) compacter in an open container. ♦ All onsite storage of containers of waste shall be held in an area away from general traffic flow.... The manner of storage shall restrict access or contact with such waste to authorized persons only. 3. Used syringes included loose in waste. ♦ Sharps shall be segregated from other wastes and aggregated in leakproof, rigid, puncture - resistant, shatterproof containers immediately after use. 4. All waste including teeth still coated with blood enclosed in clear, unmarked, thin plastic bags. ♦ Wastes other than free draining blood and blood products, sharps and biotechnology by-products effluents shall be placed in a non -permeable 3 mil or greater polyethylene bag (or equivalent) which is securely sealed to eliminate leaks. ♦ Every container or bag of waste which has not been rendered noninfectious shall be distinctively marked with the international biohazard symbol and colored red to indicate that it contains waste, and in the case of sharp wastes be distinctively labeled to indicate that it contains sharp waste capable of inflicting punctures or cuts. 480.100(C) 480.100(D) 480.100(D) 480.300(A)(1)(2) ♦ Every container or bag which has not been rendered 480.300(B)(1)(a)(d) noninfectious and which will be transported off the premises of the waste generator shall be placed in containers which are rigid and of sufficient strength to prevent tearing or bursting under normal conditions of use and handling. ♦ Bags shall bear a label which states the name, address 480.300(B)(2) and telephone number of the generator. RTIy 0Town of North Andover f NO , OFFICE OF 3? °4t `o �°°L COMMUNITY DEVELOPMENT AND SERVICES ° x 27 Charles Street : ^9 ,°^: North Andover, Massachusetts 01845 �9c �••o ^°;t</ WILLIAM J. SCOTT Director (978)688-9531 Fax(978)688-9542 NORTH ANDOVER BOARD OF HEALTH NOTICE OF VIOLATION Issued under the provisions of the State Sanitary Code, Chapter VIII, Storage and Disposal of Infectious or Physically Dangerous Medical or Biological Waste 105 CMR 480.000. Date: April 26, 2000 To Tenant of Record: Stephen H. Halem, DMD, PC Property Location: 57 High Street 57 High Street North Andover, MA 01845 N. Andover, MA 01845 Authorized inspections were made of your property at the above address by North Andover Health Department personnel on April 20 and April 25, 2000. These inspections revealed violations of certain regulations of the State Sanitary Code, Chapter VIII, as listed on the attached Violation Form. You are hereby advised that you must comply with the above -noted regulations and all OSHA regulations related to medical waste and that you are being put on notice that a second such violation may result in legal action and significant fines. If you have any questions concerning this notice, please call the Health Department at 978-688-9540. Sandra Starr, R.S., C.H.O. Health Director Cc: BOH DPH W. Scott, Dir. CD&S File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 VIOLATION 1. Medical waste, blood contaminated gauze, syringes attached to catheters holding blood in normal trash bags. ♦ Waste generators shall contain and store medical waste at all times in leakproof, rodent proof, flytight containers which ensure that no discharge or release of such waste occurs and that no... nuisance is created. REGULATION 480.100(A) 2. Trash bags containing medical waste lying outside the 480.100(6) compacter in an open container. ♦ All onsite storage of containers of waste shall be held in an area away from general traffic flow.... The manner of storage shall restrict access or contact with such waste to authorized persons only. 3. Used syringes included loose in waste. ♦ Sharps shall be segregated from other wastes and aggregated in leakproof, rigid, puncture - resistant, shatterproof containers immediately after use. 4. All waste including teeth still coated with blood enclosed in clear, unmarked, thin plastic bags. ♦ Wastes other than free draining blood and blood products, sharps and biotechnology by-products effluents shall be placed in a non -permeable 3 mil or greater polyethylene bag (or equivalent) which is securely sealed to eliminate leaks. ♦ Every container or bag of waste which has not been rendered noninfectious shall be distinctively marked with the international biohazard symbol and colored red to indicate that it contains waste, and in the case of sharp wastes be distinctively labeled to indicate that it contains sharp waste capable of inflicting punctures or cuts. 480.100(C) 480.100(D) 480.100(D) 480.300(A)(1)(2) S ♦ Every container or bag which has not been rendered 480.300(B)(1)(a)(d) noninfectious and which will be transported off the premises of the waste generator shall be placed in containers which are rigid and of sufficient strength to prevent tearing or bursting under normal conditions of use and handling. ♦ Bags shall bear a label which states the name, address 480.300(B)(2) and telephone number of the generator. Town of North AndoverTH Of NOR .o OFFICE OF �� y`t t ° COMMUNITY DEVELOPMENT AND SERVICES ° . 27 Charles Street AL s 1.' North Andover, Massachusetts 01845 �9� ' •P;tt/ WILLIAM J. SCOTT Director (978) 688-9531 Fax (978) 688-9542 NORTH ANDOVER BOARD OF HEALTH NOTICE OF VIOLATION Issued under the provisions of the State Sanitary Code, Chapter VIII, Storage and Disposal of Infectious or Physically Dangerous Medical or Biological Waste 105 CMR 480.000. Date: April 26, 2000 To Tenant of Record: Stephen H. Halem, DMD, PC Property Location: 57 High Street 57 High Street North Andover, MA 01845 N. Andover, MA 01845 Authorized inspections were made of your property at the above address by North Andover Health Department personnel on April 20 and April 25, 2000. These inspections revealed violations of certain regulations of the State Sanitary Code, Chapter VIII, as listed on the attached Violation Form. You are hereby advised that you must comply with the above -noted regulations and all OSHA regulations related to medical waste and that you are being put on notice that a second such violation may result in legal action and significant fines. If you have any questions concerning this notice, please call the Health Department at 978-688-9540. Sandra Starr, R.S., C.H.O. Health Director Cc: BOH DPH W. Scott, Dir. CD&S File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 VIOLATION 1. Medical waste, blood contaminated gauze, syringes attached to catheters holding blood in normal trash bags. ♦ Waste generators shall contain and store medical waste at all times in leakproof, rodent proof, flytight containers which ensure that no discharge or release of such waste occurs and that no... nuisance is created. REGULATION 480.100(A) . 2. Trash bags containing medical waste lying outside the 480.100(B) compacter in an open container. ♦ All onsite storage of containers of waste shall be held in an area away from general traffic flow.... The manner of storage shall restrict access or contact with such waste to authorized persons only. 3. Used syringes included loose in waste. ♦ Sharps shall be segregated from other wastes and aggregated in leakproof, rigid, puncture - resistant, shatterproof containers immediately after use. 4. All waste including teeth still coated with blood enclosed in clear, unmarked, thin plastic bags. ♦ Wastes other than free draining blood and blood products, sharps and biotechnology by-products effluents shall be placed in a non -permeable 3 mil or greater polyethylene bag (or equivalent) which is securely sealed to eliminate leaks. ♦ Every container or bag of waste which has not been rendered noninfectious shall be distinctively marked with the international biohazard symbol and colored red to indicate that it contains waste, and in the case of sharp wastes be distinctively labeled to indicate that it contains sharp waste capable of inflicting punctures or cuts: 480.100(C) 480.100(D) 480.100(D) 480.300(A)(1)(2) ♦ Every container or bag which has not been rendered 480.300(B)(1)(a)(d) noninfectious and which will be transported off the premises of the waste generator shall be placed in containers which are rigid and of sufficient strength to prevent tearing or bursting under normal conditions of use and handling. ♦ Bags shall bear a label which states the name, address 480.300(B)(2) and telephone number of the generator. 10A 06 OFREALIV 27 CHARLES STREET NORTH ANDOVER HEALTH DEPARTMENT NORTH ANDOVER, MA 018 • North Andover, MA 01845 Telephone ( C17�� Complaint Investigation/Inspection Report OWNE ADDRI DATE INSPECTOR (66/�ye) :jagwnu jol aui»Pn Sln uo KeG :Uanig SIA aTPQ :paaaISIUlwpP aUIDDEA a11?0 :ssaappP GD�40/DIUIID :JoTPJISIUIwpP aui»En Jo OWT PUL' awPN :JajnlDPjnUPw aUiDDPn :@T!S u0.4Da(uI :awEu aUIDD?A asn aay}p/Diu!]D JOJ S,UOSaad TPHI ao 'aui»Pn aniaDaa of uosiad }o aaqEAiS # aaq;o :# aIaldwoD aaEDipaW/aaP:)HjiEaH P@wn :# (sjoivaS joj uqd HlIEaH s-4ni) suozuOH ajnaaS :# (wiaBlid PRAJUH) /uoivaS;said :# uPld aoluaS uollPd Sq aaED anl8 :# f aaPDIpaW uinnolIOJ Gql WOJJ aJUDgJJPGq ano jo aDanos ;)qj ID@gD :auogd :SsaappP Jaaa}S :a2y :GTep gl,i8 (IW 'Isiid 'Jsu�) :awPN t{L�uv vJco/U) dU1JJC/\ d/\IdJdJ U� UUS)J6U JHS 41luHE UO4L'wJO}UI •aagwnu ivawnDop aqj puE 'aUi»En aqi anEB oqM uosjad aql jo api pa aweu aqj 'jaq -wnu jol IPinds s,aui»En agT'aupDLIn aql ap>?w }Eql XuEdwoD aql jo awEu agl'uaniB SLIM aUi»En aqj aJagM ssaappE aqj 'Uan12 SEM aui»LIn aqj UagM 'UaniB SLIM aUODPA jPgM paoDaj ll!m X()q1 'pao'Daa lEDipaw ano/ ui }i p.io�aa �(Ew �(aql ao '9UI»EA jo asop /lana aoj paambaj uoilLIuawnDop U@PJM aql aoj w.loj Slgl asn ,(Ew :)iugD *Jo aopop agl (mangul) pao:)aH uollEalsiuiwpd auE:):)'BA jjnpd Pa10ad }uawaungwiq (aoivas) IsW aaB:)ipaW OWH uzuanpl (66/i,U8) :Jagwnu jol aui»En :ssaJppE aD!}o/DiuyD :J0 E4SIuIwpE au!»I?n Jo alIll puE aweN :JaJnlDejnUEw auI»En SIA uo KeG :uan12 SIA aTEQ :ads uoi�DafUl :paJa4.S!UiwpE GUIDDEA GTeQ :awEU aU1D7En asn @Dgo/D!uil:) Jo j UEIpJEnB S,uosJad IEgj JO 'aUl»EA @AI;D@J of uosJad jo aJ :# Jaq�p :# aTaldwoD aJE:)lpaW/aJE:)gTlEaH p@wn :# (sJoivaS JOJ uEld gllEaH s-4n_o suozuoH aJnaaS :# (wiJBl!d pJenJeH) /4iJo!uaS I.SJIJ :# ueld Jo!uaS uolled :# Sq aJED anl8 :# aJEa!paW U!MolloJ aq} WOJ} aJeaglleaq jnoX jo aaJnos aqj � D NJ :auogd !Z :/,;!D :ssaJppe IaaJTS :a2y :@Iep pip(fW ' J!d 'iseq) :aweN Vv,. v�cv/v) vuiuucn dnidJda U4 uVJJdu dq�411V(.ie UU4EUJJO}Ul •Jagwnu luawnDop aq} puE 'aUI»En aql aneB oqM uosjad aql jo allil PUP aweU aqj '.aaq -wnu job lEiDads s,aUDDEn aqj 'aui»En aql @pew iEgi /uEdwo:) aql jo awEu aql 'UaniB sEM aUi»En aql aJagM ssaJppE aqj 'Uanl2 SEM auI»En aqj UagM 'Uani2 SEM auDDEn IEgM pJODW llIM /(aql •pJOD@J lEDlpaw JnoX UI jI pJOD@J XEw Xagl Jo 'aUDDEn }o asop i,J;)A@ JOJ paJinbaJ uawnuawmop Ua}}I.IM aqj Jo} wJo} slgl asn XEw DIUq:) JO JOIDOp aql (emangul) p,10:)aH uoillaisiuiwpd aui:):)PA jjnpd Pa.foad ivawasangwiaH 001uaS) lsiH aaB:)ipaW OWH ezuanpl (66ibZ/8) asaJppE aaY}o/DIUIID :JOTEJISIUiwpE auI»En }o @1TR puE awEN :aagwnu jol aUIJJEn :JaJnlDEjnUEw aUIDDEn :SIA uo a1EQ :uaniB SIA aTEQ :ads uoiIDa(Ul :paJaIsiuiwpE aui»En alEQ :awEU aUi»En asn @Dyjo/DIuIl:) JOJ s,UOSJad lleq JO 'aUIDDEn a/\IDDaJ Oi UOsJad }o :# Jay:p :# alaldwoD aJEaIpal,,l/aJE:)yTIEaH pawn :# (sJOIUaS Jot ULId gllEaH s4ni) suozuoH aJnD@S :#(wiJ2Iid pJPnJEH) X41JoivaS IsJid :# ULId JoluaS UoIIEd :# S9 wee anlq :# aJEDipaW UIM0110j ayl wOJJ aJeDgTIEay jnoX jO aDJnos ayj �aauD :auoyd iZ : a}ESS iD :ssaJppu JaaJjs :any :aTPp 41!8 (IW 'IsJ!d 'IsL'�) :awEN F{ui✓v ""/ dUIJJCn d/\Id,da U� uuS)JdU dye 41IQqu U04EWJOJUI •Jagwnu juawnDop ay} PUP 'aUi»En ayl ane2 oqm uosJad ayl jo allij puE aweu ayj 'Jaq -wnu }ol IelD@ds s,aUi»en ayj 'aw»en ayj ap>?w iLgl Xuedwoa ayj jO aweU ay} 'UaniS SEM aUi»En ay; aJayM ssaJppE ayj 'uaniB seM aw»En ay} UGgM 'UaniB sEM aui»En IeyM pJODW piM X@qi •pJODaJ IEJipaw JnoX ui j! pJoaaJ �(ew X@qj JO 'aui»en }O asop lana JO} p iinbw uoi'iEivaU.wnaop Ua�UM ayl Jo} wJoj sly} asn XEw aiuy:) Jo Jopop ayl (nuanijul) paonH uollwisiuiwpd aui»LA linpd Pa.10ad juawasangwiaa (aoivaS) Isi11 aaB:)ipaW OWH 2zuanpl 4 (66i VS) :ssaapp? 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NO.: ADDRESS: ENGINEER: CERTIFIED SOIL EVALUATOR: TEL. NO.: Intended Use of Land: Residential Subdivision Single Family Home Commercial Repair Testing: Undeveloped lot testing: THE FOLLOWING MUST BE INCLUDED WITH THIS FORM 1. Proof of land ownership Tax bill, or letter from owner permitting test) 2. Plot plan 3. Fee of $275.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee of $75.00 per lot for repairs or u�rades. GENERAL INFORMATION 1. Only Certified Soil Evaluators may perform deep hole inspections. 2. Only Mass. Registered Sanitarians and Professional Engineers can design septic plans. 3. At least two deep holes and two percolation tests are required for each septic system disposal area. 4. Repajrs require at least two deep holes and at least one percolation test, at the discretion of the :BOH representative. 5. Full payment will be required for all additional tests within two weeks of testing. 6. Within 45 days of testing, a scaled plan (no smaller than 1"-100') shall be submitted to the Board of Health showing the location of all tests (including aborted tests). 7. Within 60 days of testing soil evaluation forms shall be submitted. Please Do Not Write Below This Line N.A. Conservation Commission Approval: Date Received: Check Amount: Check Date: j PW Individual Collection Summary For 04-07-00 through 04-20-00 Stephen Halem, DMD Page 1 Printed on 04-21-00 at 1:03p Abbreviation Description Count Total amount CASH Cash payment: thank you! 7 541.00 CHK Check pmt: thank you! 53 10,867.10 IP Insurance payment 55 7,149.56 MCHK Check recv'd - Thank you! 50 15,520.15 DISC Discover card payment 3 949.94 MC MasterCard payment:thanks 15 7,379.21 VISA VISA card payment: thanks 16 3,967.89 199 46,374 85 Total collections: ----- 199 ----- 46,374.85 Page 1 of 1 file://C:\WINDOWS\temp\—mvc-00l .jpg 4/25/00 NORTH ANDOVER BOARD OF HEALTH NOTICE OF VIOLATION Issued under the provisions of the State Sanitary Code, Chapter VIII, Storage G - --and Disposal of Infectious or Physically Dangerous Medical or Biological Waste 105 CMR 480.000. qu., r ` � 'Date: ' April 21, 2000 ` To Tenant of Record: Stephen H. Halem, DMD, PC 57 High Street 'North Andover MA 01845 Property Location: 57 High Street N. Andover, MA 01845 + ' An authorized inspection was made of your property at the above address "by North Andover Health Department personnel on t This inspection revealed violations of certain regulations of the State Sanitary Code, Chapter VIII, as listed on the attached Violation Form. You are thereby advised that you must comply with the above -noted regulations and all ,OSHA Regulations related to medical waste and that you are being put on notice - -that a second such violation may result in legal action and significant fines. CIL,� : If you have any questions concerning this notice, please call the Health ; u,,rrDepartment at 978-688-9540. M - Sandra Starr, R.S., C.H.O. Health Director Cc:. BOH DPH W. Scott, Dir. CD&S ' ^ - File _ ;J >IN310 NMOL:>INld''1d30:MO113A'AdO0 S .N30N3dd0 :311HM am;euB!S S;o;unowe 94; u!;uawAod asoloue pue'paBjep asuayo 04101 ssa;uoo 'anoge uol;do;sig a4;10313 ASM13H I •nog(;su!eBe ponss! aq Aew;uleldwoo leulwuo e'pagloods se ieedde o; ao aug anoge a4; Aed o; l!e; nog(;I '£ •pag!oads awl; 941 ul41!m pled sl aoWo ;e4; Aq posodw! aug AUB pap!noid 'pjooai leu!wuo 6ul;lnsai ou qp.m 'uog!sods!p leug a se a;ejado Ilan jj910;ue;s!ssy to a;e4s!BeIN -Mj910 'a6pnr a Aq uo!;euma;ap y -6uljea4 a jo; 'leulwuo-uou OLZ:Nlld'0b810W 'aoualmel'•;S uowwo008£'lino0;o!4s!O oommel 'a;eipBew-lial0 941 0; 30110N Sl HI d0 SAVO lZ NIH11M;sanbai uapim a Bulew Aq os op Aew noA'6u!paooad leu!wuo-uou a u! jauew s!4;;sa;uoo o; aj!sap nog(;I .Z -pjooai leu!wuo 6uginsaa ou 4;!m'j90ew a4;;o uo!usodslp leug a se a;ejado IHM S141 '30110N SIHl d0 SAVO lZ NIH11M NJ910 UMol a4; o; iapio �auow jo 4oa4o a 6u!l!ew 1Iq jo gyg 10 dW 'U3AOOMd HINON '133NIS NIdW 0 1 'IIVH NMOL NH310 NMOL :aao;aq'pa;daoxa sAepllo4 le6al 'Aepud 4Bnoj4; AepuoW "IN'd 0£:ti PUB 'W'b 0£:8 uaam;aq uosiad u! Buueadde Aq ja4v.a 'aug anoge a4; Aed o; kala Aew not -1 :N311dW SIHl d0 NOI11SOdS10 Ol ONVEGN H11M S3AIIVNN311V JNIMOIIOd 3Hl 3AVH no), aapuago;o ain;eu6!s u!e;qo o; algeu0 (japuay0;o am;euB!S) NOI1Nll0 ON1003HOA 3Hl d01dI303N 30031MONN0d A83a3H I bda0) (uosaad Bu!oa00310 ain;euft) (u01;e101n10 a;ep pue awq) uo ('W'd) VVTV) 3NId 1tl101 '0 .0 '8 V au1d DOS 40 S NOIIVIOIA (apo0 d!Z'9lelS'/4!0) (lapuau0;o ssaippy) (aapu8JJ010 aweN) 800 :ol (aol;oN sl4l10 Wd NOIIVIOIA dO 3O11ON b3AOON`d HINON d0 NMOI W000 'ON VIOLATION 1. Medical waste, blood contaminated gauze, syringes attached to catheters holding blood in normal trash bags. ♦ Waste generators shall contain and store medical waste at all times in leakproof, rodent proof, flytight containers which ensure that no discharge or release of such waste occurs and that no... nuisance is created. 2. Trash bags containing medical waste lying outside the dumpster. ♦ All onsite storage of containers of waste shall be held in an area away from general traffic flow.... The manner of storage shall restrict access or contact with such waste to authorized persons only. 3. Used syringes included loose in waste. ♦ Sharps shall be segregated from other wastes and aggregated in leakproof, rigid, puncture - resistant, shatterproof containers immediately after use. 4. All waste enclosed in clear, unmarked, thin plastic bags. ♦ Wastes other than free draining blood and blood products, sharps and biotechnology by-products effluents shall be placed in a non -permeable 3 mil or greater polyethylene bag (or equivalent) which is securely sealed to eliminate leaks. ♦ Every container or bag of waste which has not been rendered noninfectious shall be distinctively marked with the international biohazard symbol and colored red to indicate that it contains waste, and in the case of sharp wastes be distinctively labeled to indicate that it contains sharp waste capable of inflicting punctures or cuts. REGULATION 480.100(A) 480.100(6) 480.100(C) 480.100(D) 480.100(D) 480.300(A)(1)(2) ZO ' d -ldl01 =_••••--J1-�L•►- _ t..� -..._ - �.�-�"ate - - M LO 0 © .J �•s Efm�T" .n � E a LL O - z ul m `O ; O C O 0 s E z O 0 Z 6 2LLLWmKxxA 0 O Z .i Z } O L F `o n LO r L r+ Z0'd QV m w v W 0 S _ � �•s Efm�T" .n � E - N� C `O ; 2LLLWmKxxA I ` iMEdmfo-1 6 -=14.3 aa� �m-m mg!2Q00�-.. aii2 i Q� a. c W L LL y e C y 3 Lu —ca C� m} n a ya Ix ,.,_1 0 �1-�mS tE:L0 6661-01-Nnf ♦ Every container or bag which has not been rendered 480.300(B)(1)(a)(d) noninfectious and which will be transported off the premises of the waste generator shall be placed in containers which are rigid and of sufficient strength to prevent tearing or bursting under normal conditions of use and handling. ♦ Bags shall bear a label which states the name, address 480.300(B)(2) and telephone number of the generator. AdOO 1dn00 :0100 Ad00 30110d :NNId AdOO NOIIVA83SN00:M0113A Ad00 S,H3ON3330:311HM amleubis '10uew s141 uo 6ulleay leulwuo-uou a 1S3nO3H A8383H 1 •8 ❑ i g jo lunowe ayl ul luawAed asoloua pue 'pa6leya asuago ay1 of ss0Ju00'enoge uo4do lsly 04110313 A83d3H I •V ❑ a -noA Lsule6e pans! aq Aew luleldwoo leulwuo a 'payloads se leadde o1 to ouy enoge aLg Aed 01 11eJ noA 11 (£) leu!wuo-uou 0 LZ :N.UV OVO LO M 'aouajmel '7S uowwo0 og£ �.I 11no0 Iollis!O aouaimel 'elelisl6eyl-Nial0 941 " :01301ION SIHl 30 31VO 3H130 SAVO (LZ) 3NO-A1N3Ml NIHIJM uohello slyl Jo Adoo a 6ulsoloue pue 'lsenbei ueuuM a 6uhlew Aq os op A= ;+ noA '6ulp0000ld leulwuo-uou a uj jauew slyl lsoluoo of ansep noA 11 (Z) •piooai leulwuo 6wllnsai ou L4!m -mew e41 Jo uoplsodslp leuy a se aleiedo ll!M slyl '30110N SIHl 30 31VO 3H1 30 SAVO (LZ) 3NO-A1N3Ml NIH11M B0140 U011enlasu00 ayl 01 alou lelsod jo laplo Aauow 'Xoayo a 6ulllew Aq 80 S48Lo VW 'JenopuV y1JoN'7S S91Je40 LZ'IIeH um0l '001,40 uolleAlasuo0 e41:ajolaq 'paldeoxe sAepyoy le6al 'Aepu3 y6no1y1 AepuOw "IN'd o£:y pup •W.V O£:8 uwAgaq uosiad ul 6uueadde Aq 1a4ile 'ouy anoge ayl Aed of polo Aew noA (l) '831.LM SIH130 N0I11SOdSIO Ol O8VJ3H HIM S3AI1VN8311V ONIM01103 3H1 3AVH f10A ' I $ SI 3SN3330 IVNIWI80-NON SIHl 803 3N13 3Hl ^� iapua,4o 01 Pol!ew u011e110 ❑ paileVq oleo -japue4o Jo amleu6ls ulelgo of algeun ❑ N0I1Vll0 JNIOJ3803 3H130 ld13038 3J031MONNOV A8383H I 1N3W18Vd30 VNIOUWN3 NOSH3d DN10HOAN3 d0 38niVNDIS 1V • � N0I1V10IA 30 NOUV001 NO (W'd) ('W'V) , NOUY101A d0 31VO ONV Will :3SN3330 • si( H3Bnf1N N011VH1903H GVVAn H38nnN 3SN3On HO1VH3dO An '- 830N3dd0d0 N18I0 JO 31VO 3000 dlZ'31VlS'All0 _.• ,. . � H30N3dd0 40 SS3800V 830N3dd0 d0 3nVN 4. ria 30110N SIHl dO 31V0 Fi mnAB aNVU3M =10 NOLLV'IOIA :10 331ION a3A6aNV HIHON d0 NMOl 04-20-00 10:36pm From -D P H FOOD AND DRUG +6179836770 T-556 P.08/14 F-557 HIS CMA; 0EPARTMI%7 QF PUBLIC HLALLTH 105 CMR 480.000 STORAGE AND DISPOSAL OF INFECnOL'S OR PHYSICALLY 0AACER0L'S ME131CAL OR BIQWCICAL WASTE STATE SANITARY CODE CHAPTER VIII Section 480.001: Purpose 480.0M: AuMarny 480.007: Citation 480.004: Scope +$0.010: Gefitattofa 480.020: Who haste is Subiect to 105 CMR 480.000 4130.100: Stoup 480.200: tliapoaal 480.4W. Po and Procedures. Records 480.500: Mamfem 480.530: Appteval of Addiuotiai Mem a of Tresitseat. Storage W 131spossi 080.600: Administnuan am woreement 480.700: Sererabi>ity - 4aa.a The pwpoar of 105 CMA 480.000 is to at f0ft the r94WMM% ate for the 310" &ail diMmU of infecuoat or piymcady 1 Meth medical or biological WNW 480.002: Authenty 403 CMR 480.000 a adoptoo coder autaornty of M.G.L C.111. as. 3. 5 and use►. 480.00: Cltatieg 206 C WR MCM sh0 be ionwa and may be cited as. -SUN Saattsry Cade. Chwer VM $totags std of bdecuM of Phytmily Owen= Mediad or )3ialosical waste'. 103 CWR 480A00. The short form of .edtattoA is 'State Satatary Case. Chapter Vtlt'. 103 MR 4140.000. 480.004• SCOW 105 01A 480.000 shah appir to &a generators of Wfai tWlts or pfigstraiiy . 11=0 ratit ttiedicsl or atologicst waste ucmn for pstvate reatdimces. 480.020: DefWtitta: Arum"t ter:tturi Fes_ A faWitlr appsvved sad tlssufied by the Ae- partmsat of &aviramttemat Fratectlou for iataaanitaa of areata+ or an ottt-of-state amnerator appmeo for inc aeraimo of waste by the appropriate regi u"T agw=y. 1811 of He Jt1The approonate and legally dempoted health authority of tha asp. :owm ar aider isgaily consitsutea govenmmud mi within use etth having the usual powers tad dotes of the hoard of health of a MY or town or Itis or its autharized agent or reprwentstive. f]eV MR1,eli[: Department of Public HealtA IneiOesacdlecirierattorr The coetraHed flame cambiistiaa of materials in an 9=90500 il3tern to toermatly borax down ..= 'z:...ut the wute tioi=fe9t3o9& In eetioits or Phni� calk, Qantemus Medici}or MOOS 91 Wall Waste whitrt becuse of its cnaracttristirs may, cause. or sigtufttamt) coutnbute to an uiaease us mortality or an sricrease w smo= irreversible or aicapacttating re"Mote silna= Or pose a SMI&Atial prCS=t Potential JIM to ftiiMM "A"n or the environmestr wticti rmpmpers} created. stored. iransported: disposed of_ or otaeranse mattaeca. 04-20-00 10:37pm From -D P H FOOD AND DRUG +6179836770 T-556 P.09/14 F-557 +54.OiC: conttrhueo the follovcany %I_pes of w"le are idenzlfled and defom as miacuaias or ppysacaliv sweerow meatclu or baaogacai wash:• and stall be sumect to tae requirements of sub CMR 450.000: and blood lal Biwa ano Biwa Prnaecis D'asc ayf1burl ntami ateddwitst"o0 praa"%s to tree Gramm$. u4tua State: Way �t�Q�eGrita:natta bmx= up maltnats SaTuratea/W99W8 o "goes WA bray (bf P,tnoio¢icai tiaste: 813;0311 anatantical Pau. rows' Uds rumvea and atcarded 4=39 stugar} or autopsy. or other titeaaaeal tue0ouPt �ms ofbwnMA tour n�� ted p `msK All arse ca Guaira am scam at inteeuara nv"&� qts biologaeahs. bias et>btaoloftteat by -per effiumim - � Of infp:im Etas meotraa WA Pstdota�tal bomtonas. Canna am .ataa of tdobYt a" s=pats fmm teatuca iaparatonp; rrMS feta tool Pip°"`' ad aiscartted live atad attauntsd vaGonaa WtVA" tar gasman tats. 1M so- "-Mos. o- "ntaCa o tass>;A 10=215tatowataa carGi�SW ado Y "M M luwsn to be esrase I to P81001"L tthrQ of citta. (e� . DAwrded men" strides that rihty came Pwe� wt trot haraated to so used and d i canted byriwalwe n°anini acid synap& pasteu! Ptpsttes wow memoal slassv+om Scaml 1164' dijpmiaw rima- and squats prepsrstzosts Dist iolpau athms ptottnc M ��ateur r uteteo living o y� Q kali be Infects" c- Phwteadv Doletersat Mtadica at fliOWIWsl Mum to u - rite' tin trio X=11t111Ant ptaysstons of ills CMR 450.000. l;AtvTMMj Borw an a cssttetm. ao tapas Pare- tom' as- vraste Cenentor_tG:erstosl' w Pew W" palet of tTia soaaaatioa. society. otgatttsao 83p� of Psi aieasY. aotrionty, aepartmatt. offiaa �ar�at this da%itma aril RIM6 ww wentviamt tes wasito. Ptvvitied ie Tem wbb* is wt tiled two poducswarts tit a pva . to tit = -lwao>'tt �tisratot + bow faealth 14et0111 ga"dina su vtca iA private r 480.Oz0: When Wute is Saieet to 12j 241L 460. waste- as dsiised in 1050W 480.010. sura (Al 0= aaatarm De res be ta*0= to t08 toRwaemcau of tAataAal dull lRastaiit wails std : in wim 103 CMR 480.000 tWleis and ritual it );rasa boss both With sI CUR 48=00 as 105 CMR 480.300 Vid disposed of in 6 (9) rite rsmtatsanents of 10s CMR 480•A00 to Weare which is at ousts taalLgA f• is 1ect w�tion ass a " in a t � trarsd to we r e- 4at0-loo_ SAM shall caatain and state medical wa►sto at iii Hanes (A) �Kasts Bedetamrs (A)leaWWII redtant Proof. flytight. caauwer4 which potato that that no tbsc wTo or mica" of suras baste aetars said that no odAr of outer thtaasastce is eteated. (BI All ormte storage of coniamt o of rape Shill be field in ars arta away from a main (or tw e. ed The taaet SwulA traffic a tf is flow pat seal! Mila'A r contactt trite svdt �s`O asthonsed Petsoat arils. (C1 hltarps sitaa3l be segregated, other Meares and a=presassd in leakpmot. rigid. peracturc-resistant. mattttrProa# ceausders unmeasata3 a#tet use. 103 CLfft • 56:0 615/9= 04-20-00 10:37pm From -D P H FOOD AND DRUG 480.100: construed +6179836770 T-556 P.10/14 F-557 105 CMR: DEPARTMENT OF PUBLIC HEALTH (D) tastes outer than free ccatnmg blood sato blood products. sharps area ba9tetAtilotog5 bv-ptodue:t effluents small be placed to a stoic -permeable 1 mu or greater polywaviene Dag for eguratenil which is scc=1Y sealed to tiasrstnate teats. i8) Free dratmng blood and blow products &W biote0:no109y bt--Proonci effluents sere be stores at ail tuna m letatptoof comae rs that are secart ty sealer. (F) Compactors c r grmu s shall not be tried to psoccu waste ar=il it has been rendarab noninfectious and safe for dispoia. The foHowt119 metstods of treatment 04 be am as apptopasale: (al Stento stwazation. @) C" stardizatum (cl Cbemual disinfection (d) is cmeraswo at an approved kzmeratwu facility lei Otter Methods approved by tee Department 480.200 Dimerd (A) p1w and Blood III it ate wu&4 gearator a contacted to a mvWdval sewaraga system or some syste= free dramutg Wood and blood ptodwo z=M bi<ad saturated materials may be dissniad of directly into these system Unless tact disposal is oth"w%se n!stneted by tete ausaamen approvtog agency. (2) if tte wute generator u pmttibiteo by cue auum u=d agpttrvutg agatcY feat= duaiwn of blood ata blood pwamts into the M=Ucspai sewerage syatsrrt or sept= system blood and blood podacM aaxeal 1 bigod satt:rated matenw& snail be sent to as appnaved wZzeraumt faduts for ioetneration or sfisli be rendered ne> =tfec ors by ga& cM=Cg of steam stenhzauot pttor to disposal ani dbpwW of !a a smdtwy la dIM appawetd by tha Gepument of Emmm uttental Protwa= or in ata of aln-af--state disposal. appmved by the ajppmptute tegdatery a;eataey essprotz;ible for laudfiil 91MMM+L (H) Sl ra Consamers of sham sil=l! eitber bC til atspasea of by mcmarattoo at as appmved istaoeratioa facility: or M reouvea wraMe cumn as set forth ut JIM CMR 480=01F'1 and ptoeessed oY gnndirtg or otter effective method to aiOttsta tug phystcat hazard of the snaM ard diposd of iii a saeatM islttdilll appttmved by tete Department of Ermttaamesttal Pmteatm or isa tan cm of oui-of-state by the apptsrpriate regalatary 48MCT for law" apra"L Reatee fi o gait Diaivins Waste LaboEltoM W e. TABU wastes It Bitter oe: (it Rendered tiosvafectiotec eo site by steam staxeizaUGM uKuteratiott_ thmataai utacuntiaL or chmatcia disistfecium and dilMod of iu a ssnturY latedtill approved by tae Dgmraamtt of FMrorat a nsi PMT=t= or sn tete ease of mn-cf-state dsspo=L apptvved by the apptaprtste regotatory agency s+Moosibla for isadfil! approveL or 121 disposed of omit at tett 4pproved incmerstiem faCilit4. 07 Placed in a second 3 mil bag for irwopert to an approved me an rarion facility cif -site. (0) Mot- 1"mieer Bv-O!etdnest Effluents (11 These wastes stat! trot Det De removed from the site of the waste StrMtor ="a its rtabie orgaat n c octwom re:co:ltoutant 01A snodaeules nava Lem' nettleted ti0t nfeCtum of a vaitdatea meatoo. (21 The following mettods stall be used as appropriate: (a) Steam stanlizatton MI Clteriueal dtsttfectum lel lnenneration at an approved irtctneration facility (4) Other methods approved by the Department 04-10-00 10:36pm From -D P H FOOD AND DRUG +6179836770 T-556 P.11/14 F-557 iSO.'_00: cantttauea be 131 The metha4s %%httxt TEIy an �essr►omal aeer and wAdieato � �roorga�usm anIC311V Via ptola8tcally by usurp a rec+ptdttt8 witri a dctiactl belt staceottbiiity Oat nfeettous tK chemicalduasfeetton. the tyi if these wastes ars Masted ttrr- oru target or chemical um stall be of dw=nsiratea effteac3 agautse I" ,mstcatarOrgatissta. t>tatatasrtolottY by-poduct e(fivents malt 15) Once fel: me hontttfetttous• .hate 8erterator. s WIMcuan to tae be disclosed of dIreatty tate the tt<tte� sora disposal hs otherwise attauctpu sawerass s!'stsin or septic system Mttteted by the authorized apptovut8 e8tttt7•MS4 a8� fmm 161 if the generator is ptppibited by the def uMIS tMo Ica mtttt:apat of broteehaota97 bv-A tt � tbsle Asa lam b0 rovA61e0 sstanrais systew sa— m ed by Me aattasa mus and Of ut a SMIU9' tine a Cam of toot -State 01411SUMM11 of Baettatimehtal prote t �� rsspottstbit for &pppl, apprvres by the ipptt�pstuo Sane4flil apptaltai. im PsMelasicsi Waste arse cwtarnttsated snirttal cst+essiu t;lhsll por, 4Wthat at an approw-C iaeu>erettoa facl3ty or by intertnm ptoer•ds9d t�tsa 108 CMR.. . uOuld pstastlefpGu waste May actio be digu ed � f bt s 105 CUR a60.2001A) artd.otscstttee teeth arcs ums tsis� a. .nth lab GLIA 4 3030WCAIU Thus tratu aMB be 0nd 119 t 0MA 3 testi bag if their are to be transported off -All for dispoesi. :ao.soo: La (Ai ��' c�ieslaet or b:i of wares W"batt spot baett nmdetsrsa ttantnf eeuOu�s '; syrrttaol and (1) ba blahs uvaiT MS*W v#i* tine sth:et:ssttortal brobst coignst rtes to indicate ttsattt1,11114i" wtogr' be �� lab" to "Cale that It tri (2) in o case Of am of � =am= gaup %van ecspsbis of iAllie m* 'les (� Eve" tmntainer orb" of waste vWCb Sias rm beech MiSTOd =1Wf ecuo>is ad which viii be transported off the pretrttses of the waste Se"Fator shall sn aodittoa to eta requstsssieots Of 108 CMa MAMA)- (i) be placed is caatasaeoe tt+i� ata ((b) Moak tnstsat (C) toMWW1t or bos%ft under Menai (d) of t st =01 pmt aatditiasmt of use sad btodiini. arA (a) saaied to prumt Inkese 110:01 tr&upm' Mmoor of the (2) bees a lsbei wnuCh statst titre It"o' adotrm sstd � w" �a that it a pm w. no- Sabel situ be afft0d a s nttmasr cont -t be eas* :sota• tsaste wldds ills been "' dored (Cl Frhtr to trumatt for orf -sue � tart slash be libelee air othc *nu is adecums by a methad Othet:.i W Or co)pgtCal waste toas#ed so as to cteerlF Wasitay it as ntsotttf ttcet for the taloe� waste ad to identify she waste %%molar me for the irastaeat. sum waste to rhss to dim of in ate¢ same msmtser as ++rastO v+ittet is not ac�aonsance 103 CMR 4SO.000. except fat stsaros. wnicb Sisaii be dtiposed wttb ate requtMthents of as CMit-$o.na(s). e0.soa• Pelices atsa ts�ac Accords :'rittert pOisches Me fat Torwartng waste tfecttotta sash be (dMiOPed trial asses etfeeuvemtss ad � "'� the �sOrements set forth in 103 CMR 46C.00a. S>i31 Zito ne waste gerator attail muntsut recpt�s at temper+tere and dwell cgs o towm ns esen itance %%=re waste has been ratosroe �fectiotr bf - S steam Steruzatton and retards of am Owlass� �rt test eOtttue esiutSuet rewras said ae retatneo far at least three ears. 103 C�tA - ;6 415192 04-20-00 10:39pm From -D P H FOOD AND DRUG +6179836770 T-556 P-12/14 F-557 105 C11L: DEPARIMM OF PUBLIC HEALTH ,T#nbMR 21 n ,.. (A) Written policies and procedures for rendering wase noninfectious shaA be aeveloped that assure effectiveness and compliance with the requirements set forth in I05 CMR 480.000. (8) The waste generator shall maintain records of temperature and dwell times used in each instance where waste has bees rendered nornnfecdous by gas or steam st"ilization and records of each biological spore test mhure result. Such records shall be retained for as least three years. (C) The waste generator shall maintain records of volume and type of waste rendered noninfectious on-site which shall be available for Department review_ Such records shall be retained for at least three years. (A) Generators shall prepare mud= before shipping waste which has not been rcndaed noninfectious o$ site. The matnifest is a tracidag document designed to record the movement of waste fiom the generator through its trip with a transporter to an approved disposal facility and final disposal. The generator shall appoim a designee to prepare. sign and'Mainmin such maaifeats. (13) The manifest must include the following information: (1) description of waste to be shipped; (z) total quantity of wan m and (3) type of cantaina in which wast is transported. (C) A gaaaator shag dcsigaau on the manifest the address of the site to which the waste is to be delivered and sigh iL The vusponter ofthe waste or an agent of the transporter shall sign the manifest to indicate that the transporter has received the waste and will comply wide the gave wws traasportui= instructions. When the waste arrives at the approved off-site disposal facility, and has been disposed a& the disposal facility owner or agent of the owner shall sign the manifest and return rho original to ire generator. (D) Iftise generator does not receive the masufest from the disposal iaaty within 30 days after shipmernt of waste by the getwmror, the generator shall report this fact to the Department of Public Health. M The getnerator shall rmaaawun a copy ofthe manifest both as initially sent out and as re med by the disposal facUity for a period of three years. (F) In the absence of any restriction concerning individuals who are cut wftcd to transport wwr, itndu&S but not limited to those imposed by boards of health or the Department of Environmental Protec oro generators who transport their own waste shall follow the manifest requirements sa forth in 105 C49 480.500. f 1 .. ♦ .1 . u ...... MY�: a r. • r- - . 1 1.�• Notwithstanding the rcquiremans of the pinions sections, the Departaan may approve additional methods for the weatmesn4 storage or disposal of infectious or physically dangerous medical or biological waste under the following conditions: (A) the method has bean validated through sciende stadia acceptable to the Departmernt. and (A) tithe waste is to be transported off-site, the waste treatment fkTuy bas been approved by the Department of Environmental Protection. or (C) if the waste is to be VWnsported out state. the waste treaunent faality has been approved by the appropriate regntiatory agency in that stat. 311194 Inc r%a .,!mi c 04-20-00 10:40pm From -D P H FOOD AND DRUG +6179836770 T-556 P.13/14 F-557 40 60 L—AdMMM=6an andEdh (A) 5= The following provisions shall cover the admiai=u on and enforcement of 105 CMR 480.000 in Gcu of 105 CMR 400.000', N State Srcutary Code, ChaPrer 1: General Provisions_ In order to pmp" Carry out their respective responsl-bihnes under 105 CMR x80.-000 and �) nd to prvpaiY !�ett tthe health and wcg4)eing of the people of the 000 Conunotrwealrh. the Depattrrrent, ill the cast of generators which are health care faa Ues licensed by the Depaz<ment, and the boards of health. and the Dgpartn m in the cait of all other genesatars, or the authorized ag= or repro mmlive of eitha are amhonaed snd otherwise eater, ise to e. or survey at airy reasonable time such places as they mer mcg'' a conduct such cxmi auion or survey as is rtquircd to =TY out the provisions of 105 CMR 480.000. (C) =i= If as a train of any inspcction the board of health or the Department finds a Vmhgion of 105 CMr R480.0oo, the board of health or the Deparv= shall sate $ notice to Ume waste gersaator which sets faith the natiui: of the violation and warns said 3 sewed violation may result in legal action. However, the board of Malth and the Depattntem sW have the &deo* to k ioam proce�$s to enfara 103 GMR 4�.Oo0 without price notice in diose drauastances is winch the board of health or Departr = dotertnines thaz mediate proceedings are wimmud �) ?Si1 M Any pc='0h0 vicim any provision of 105 CMR x80.000 other than per ay O 480.200 shall, upon conviction, be fined not less than S100 nor more than E300 per day of violation The penalty for viaiatton of arm proviaon of 105 CMR 480.200of Correction. Pon conviction. be a fine of not more than S25,000 or up to two Years in a h (37 IaDttzW= The Dg=netrt r=Y secic:a egOM viohtdotts of 105 CMR 480.000 pursuant but not bia0d to M C&L a IMA and m M.G.I.• G 214, § 3(12 Boards ofham not oto MG I.. y seek ry enjoin such violations in =ordance with applicable law, indult c.127A. ycati0a of airy provision of 105 CMR 480.000 (1) The boards of health racy vary aP with respect to any gatttwiar ease wheat, in its opieuon, the enforcement thereof would do manifest injuAice; Provided that the da esiost of the board of healdi SW Act eon>dict �► the spirit of arty mind a SWANd escabGshed by 105 Ma 480-000. No such vazia>ue shad be effecdve Wd it has also been tilrpmved by the Depanrnent. If the Depatttnent does not dupprovo the variance within 30 days of mcdpt it shall be deemed to be approved_ Any variance grarued by a board of ham be it writing. A copy of any such variance shall, while a is in efts, be available m the public at 211 rasoliabte bouts is The o of the board of health other modi105 CMR 480.000 MY (2) Arty variance or ficaIIan authorized to be made by be subject to such quali&mdO . revocation. moo='' or apirwoa as the board of health etprmm in ins g= A variance or other motion authorized to be spade by 105 C.X 480.000 may otherwise be mvokmL modified, or suspus" in whole or in part, onlY UW the holder thereof bas bow noded, in weemg and has bees given an opportunity to be heard• (G) puts'"I to the provisions of K01- c. 1 I §§ 122 through 125, a board of i edth MY also set to abam any nuisance which o R sed. y a faa= to comply with the provisions of 105 CMR 480.000 thereby endanrg f impairing the health and safety and well-being of the public, and to charge the responsible person or persons with any and all expenses inattred- Vjdafioy, by n R Professioflals. if the Departmcm or local board of health issues a riodcc purvi attt to 105 CMR 480.600(0) or obtains a conviction and/Or fine pursuant w 105 Ma 480.600(D) with respect to a reSisteted professional, the Department or local board of health shall notify the appropriate profesaonal reesu-adon boand- 105 C\Rt - 2016 1110197 155-1 N/Vi'd 955-1 0119&$8119+ Dnd0 ONY 0001 H d 0 -woad Wd W E 00 -OZ -VO I a �aA_) AQZL ,0, ol n -(om)(-I H Y -F6 , /on 6 r6,e"4c C- - i� fti 04-20-00 10:32pm From -D P H FOOD AND DRUG +6179836770 T-556 P.01/14 F-557 The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health Division of Community Sanitation 305 South Street, Jamaica Plain, MA 02130-3597 To: Sandy Starr FMIM Howard S. Wensley, Director fan: 78.688-9542 ages: Phone: te: Apni 21, 2000 Re: 05 CMR -4$0.000 CC: ❑ Urgent For Review Q Please Comment ❑ Please Reply 0 Please Recycle • Comments: Please feel free to give us a call at 617-983-6761, if you require additional assistance. 04-20-00 10:31pm From -D P H FOOD AND DRUG +6179636770 T-556 P.02/14 F-557 THE COMMONWEALTH OF M4SSA=SR7TS Office of the Secretary ofStare Regulation Filing To be completed byfd ng agency CHAPTER NUMBER 105 CMR 480.000 Storage and Disposal of lafectious or Physically Dangerous CHAPTER TITIN. Medical or Biological Waste, State Sanitary Code, Chapter VIII AGENCY: Department of Public Health SUMMARY OF REGULATION Stare rbe genera! requiremenu and purposes of ibis regulation: This amendment is to bring the penalty provision into compliance with statutory language providing a penalty of #25;000 or two years imprisonment for the Improper disposal of medical. waste. REGULATORY AtTTHORI7Y: M- c.I. • c- ill, 653 and -5: c. 127A-_ AGENCY CONTACT: Howard uensiev PHONE. 617-727-2660 ADDRESS: 305 Sourh Street Jamaica P14in. KA 02 0 Compliance with M.G-L_ C. 30A BIERGENCY ADOPTION If tW regulation is adopted as an emergency regulation, sum ibe nature of rbe emer- gency. N/A PRIOR NOTIFICATION AND/OR APPROVAL Ifprior notification to and/or approval of the Gouerrror, legislature or orbers was re- quired, list each notification, approval and dare, including notice to rbe Local Govern- ment Advisory Commission: EOCD - 10/17/96 MMA - 10/17196 PUBLIC REVIEW r: Was notice of rbe bearing or comment period filed u6itb the Secretary of State published in appropriate newspapers and sear to persons to wbom specific notice must be given at Least 22 days prior to sucb bearing or comment period,' Yes Q Date of public hearing or comment period: November 15, 1996 04-20-00 10:33pm From -D P H FOOD AND DRUG +6179636770 T-556 P.03/14 F-557 FISCAL EFFECT Estimate lbe focal effect on the public and private sectors. For the first and second year For tbf:rst f ve years ' No fiscal effect: xx SMALL BUSINESS IMPAC -r non o rt State the imparl of Ibis regulation on sown business• Iruls e a = he f in r record keeping and other compliance requirements as well appy sort duplicates or of performance versus dastn =ndards and whether Ibis ieg�t. otber ulation. If the purpose of Ibis Mull' is to set rates for conflicts wirb any re8 the state Ibis section does not apply. No additional reporting or recordkeeping req"remeacs; uo performance or design standards are relevauz; uo dupiicaciou or conflict with any ether regulation. CODE OF MASSACHUSETTS REGUTA"IIONS INI)a ulaticrn: 'List key subjects entries tbat are relevant to Ibis reg 105 CHR 480.000 PROMULGATION Code State the amort taken by Ibis regulation and its effect o r �cismend °� nu number of Massacbuseas Regulations (COW to repeal Ce o Amend 105 Chit 480.000 ATTEST'ATiON ITie regulation described herein and auacbed hereto is a true copy of the regu t:on adopted by this cy. A pate: 12-18-96 Signature: Publication 808 D 1/10/97 Iy�SSACHUSETTS REGISTER NUMBER - To be completed by the Regulations Division EFFECTIVE DAL I11a!"�- MDE Of MASSACHUSETTS REGULATIONS Remove these pages: Insert tbese pages CIMR: VOL 2015 - Z016 2015 - 2016 ' A r U '= COPY ASST C tzr;r_+AFF �fitJ�iS C-�,�.Vl►d L 15K 34 _ _