Chapter 6. Medical Waste Haulers of California Health And Safety Code >> Division 104. >> Part 14. >> Chapter 6.
(a) Medical waste shall only be transported to a permitted
medical waste treatment facility, or to a transfer station or another
registered generator for the purpose of consolidation before
treatment and disposal.
(b) Facilities for the transfer of medical waste shall be annually
inspected and issued permits in accordance with the regulations
adopted pursuant to this part.
(c) Medical waste transported out of state shall be consigned to a
permitted medical waste treatment facility in the receiving state.
If there is no permitted medical waste treatment facility in the
receiving state or if the medical waste is crossing an international
border, the medical waste shall be treated in accordance with Chapter
8 (commencing with Section 118215) prior to being transported out of
the state.
All medical waste shall be hauled by a registered hazardous
waste hauler, the United States Postal Service, or by a person with
an exception granted pursuant to Section 117946 for small quantity
generators or pursuant to Section 117976 for large quantity
generators.
A person who is authorized to collect solid waste, as
defined in Section 40191 of the Public Resources Code, who
unknowingly transports medical waste to a solid waste facility, as
defined in Section 40194 of the Public Resources Code, incidental to
the collection of solid waste, is exempt from the provisions of the
Medical Waste Management Act with regard to that waste. If a solid
waste transporter discovers that he or she has hauled untreated
medical waste to a landfill or materials recovery facility, he or she
shall contact the originating generator of the medical waste to
respond to the landfill or recovery facility to provide ultimate
proper disposal of the medical waste. The solid waste facility
operator may, at its discretion and after contacting the generator,
make arrangements for the proper treatment and disposal of the
medical waste at a facility approved by the department. Title to the
waste remains with the generator. Reimbursement costs for the proper
management of discovered waste shall be the originating generator's
responsibility.
(a) Haulers of medical waste in California, with the
exception of those using a materials of trade exception as specified
in Sections 117946 and 117976, and United States Department of
Transportation licensed common carriers hauling pharmaceutical waste,
shall meet all United States Department of Transportation
requirements for transporting medical waste and shall be hazardous
waste haulers in California. On or before July 1 of each year, a
registered hazardous waste hauler that transports medical waste shall
so notify the department, and provide, in a format that conforms to
the protocol requirements for submission of data to the department,
the following information:
(1) Business name, address, and telephone number.
(2) Name of owner, operator, and contact person.
(3) Hazardous waste transporter registration number.
(4) The number of vehicles and trailers transporting medical waste
within the state as of that date.
(5) Types and quantities of medical waste collected, in pounds.
(6) The names of the generators whose waste has been transported
by the hauler and the amounts of medical waste transported, by waste
type category.
(b) Each registered hazardous waste hauler shall provide to the
department a list of all medical waste generators serviced by that
person during the previous 12 months. That list shall include the
business name, business address, mailing address, telephone number,
and other information as required by the department to collect annual
fees pursuant to Section 117924. The list shall be provided to the
department within 10 days of the close of the earliest calendar
quarter ending September 30, December 31, March 31, or June 30, or as
otherwise required by the department.
A pharmaceutical waste generator or parent organization
that employs health care professionals who generate pharmaceutical
waste is exempt from the requirements of subdivision (a) of Section
118000 if all of the following requirements are met:
(a) The generator or parent organization has on file one of the
following:
(1) If the generator or parent organization is a small quantity
generator required to register pursuant to Chapter 4 (commencing with
Section 117925), a medical waste management plan prepared pursuant
to Section 117935.
(2) If the generator or parent organization is a small quantity
generator not required to register pursuant to Chapter 4 (commencing
with Section 117925), the information document maintained pursuant to
subdivision (a) of Section 117945.
(3) If the generator or parent organization is a large quantity
generator, a medical waste management plan prepared pursuant to
Section 117960.
(b) The generator or health care professional who generated the
pharmaceutical waste transports the pharmaceutical waste himself or
herself, or directs a member of his or her staff to transport the
pharmaceutical waste to a parent organization or another health care
facility for the purpose of consolidation before treatment and
disposal, or contracts with a common carrier to transport the
pharmaceutical waste to a permitted medical waste treatment facility
or transfer station.
(c) Except as provided in subdivision (d), all of the following
requirements are met:
(1) Prior to shipment of the pharmaceutical waste, the generator
notifies the intended destination facility that it is shipping
pharmaceutical waste to it and provides a copy of the tracking
document, as specified in Section 118040.
(2) The generator and the facility receiving the pharmaceutical
waste maintain the tracking document, as specified in Section 118040.
(3) The facility receiving the pharmaceutical waste notifies the
generator of the receipt of the pharmaceutical waste shipment and any
discrepancies between the items received and the tracking document,
as specified in Section 118040, evidencing diversion of the
pharmaceutical waste.
(4) The generator notifies the enforcement agency of any
discrepancies between the items received and the tracking document,
as specified in Section 118040, evidencing diversion of the
pharmaceutical waste.
(d) (1) Notwithstanding subdivision (c), if a health care
professional who generates pharmaceutical waste returns the
pharmaceutical waste to the parent organization for the purpose of
consolidation before treatment and disposal over a period of time, a
single-page form or multiple entry log may be substituted for the
tracking document, if the form or log contains all of the following
information:
(A) The name of the person transporting the pharmaceutical waste.
(B) The number of containers of pharmaceutical waste. This clause
does not require any generator to maintain a separate pharmaceutical
waste container for every patient or to maintain records as to the
specified source of the pharmaceutical waste in any container.
(C) The date that the pharmaceutical waste was returned.
(2) The form or log described in paragraph (1) shall be maintained
in the files of the health care professional who generates the
pharmaceutical waste and the parent organization or another health
care facility that receives the pharmaceutical waste.
(3) This subdivision does not prohibit the use of a single
document to verify the return of more than one container to a parent
organization or another health care facility, provided the form or
log meets the requirements specified in paragraphs (1) and (2).
The pharmaceutical waste that is separated from medical
waste by the generator shall be maintained in a manner to secure the
pharmaceutical waste contents from access by unauthorized
individuals. Any suspected or confirmed tampering of, unauthorized
access to, or loss of this pharmaceutical waste shall be reported to
the appropriate state licensing authority.
For the purpose of transferring medical waste prior to
reaching a permitted medical waste treatment facility, medical waste
shall not be unloaded, reloaded, or transferred to another vehicle at
any location, except at a permitted medical waste transfer station
or in the case of a vehicle breakdown or other emergency.
(a) Except with regard to sharps waste consolidated by a
home-generated sharps consolidation point approved pursuant to
Section 117904, a hazardous waste transporter transporting medical
waste shall maintain a completed tracking document in compliance with
subdivision (b) for the purpose of tracking the medical waste from
the point when the waste leaves the generator facility until it
receives final treatment. At the time that the medical waste is
received by a hazardous waste transporter, the transporter shall
provide the medical waste generator with a copy of the tracking
document. The transporter transporting medical waste shall maintain
its copy of the tracking document for three years.
(b) The tracking document shall include, but not be limited to,
all of the following information:
(1) The name, address, telephone number, and registration number
of the transporter, unless transported pursuant to Section 117946 or
117976.
(2) The type of medical waste transported and the quantity or
aggregate weight of medical waste transported.
(3) The name, address, and telephone number of the generator.
(4) The name, address, telephone number, permit number, and the
signature of an authorized representative of the permitted facility
receiving the medical waste.
(5) The date that the medical waste is collected or removed from
the generator's facility, the date that the medical waste is received
by the transfer station, the registered large quantity generator, or
point of consolidation, if applicable, and the date that the medical
waste is received by the treatment facility.
(c) A hazardous waste transporter transporting medical waste in a
vehicle shall have the tracking document in his or her possession
while transporting the medical waste. The tracking document shall be
shown upon demand to any enforcement agency personnel or officer of
the Department of the California Highway Patrol. If the medical waste
is transported by rail, vessel, or air, the railroad corporation,
vessel operator, or airline shall enter on the shipping papers any
information concerning the medical waste that the enforcement agency
may require.
(d) A hazardous waste transporter transporting medical waste shall
provide the facility receiving the medical waste with the original
tracking document.
(e) Each hazardous waste transporter and each medical waste
treatment facility shall provide tracking data periodically and in a
format as determined by the department.
(a) The department shall charge an application fee for a
permit for a transfer station equal to one hundred dollars ($100) for
each hour which the department spends on processing the application,
but not more than ten thousand dollars ($10,000), or as provided in
the regulations adopted by the department, not to exceed the
reasonable regulatory costs of the department.
(b) In addition to the fee specified in subdivision (a), the
annual permit fee for a transfer station is two thousand dollars
($2,000), or as provided in the regulations adopted by the
department, not to exceed the reasonable regulatory costs of the
department.