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                 Iowa  
                  Infectious
                    Waste 
                  
                    
                      Managing Infectious
                        Waste 
                        Application for Special Waste Authorization
                          (SWA)  
                        Special Waste Authorization
                          (SWA) Restrictions 
                        OSHA Regulations 
                        Statutes,
                          Regulations and Guidelines 
                        Contacts 
                        More Information 
                        
                     
                     
                   
Definition of Infectious Waste 
                  In Iowa, infectious waste can potentially be   considered a "special waste," and is managed by the state's solid waste  department. Special waste is any industrial process waste, pollution control  waste, or toxic waste which presents a threat to human health or the  environment or a waste with inherent properties which make the disposal of the  waste in a sanitary landfill difficult to manage. Infectious waste is waste that is infectious, including but  not limited to the following: 
                  
                    - Contaminated sharps are all discarded sharp items derived from patient care in medical, research, or industrial facilities including glass vials containing materials defined as       infectious, suture needles, hypodermic needles, scalpel blades, and Pasteur pipettes. 
 
                    - Cultures and stocks of infectious agents are specimen cultures collected from medical and pathological laboratories, cultures and stocks of infectious agents from research and industrial       laboratories, wastes from the production of biological agents, discarded live and attenuated vaccines, and culture dishes and devices used to       transfer, inoculate or mix cultures. 
 
                    - Blood and blood products. 
 
                    - Pathological wastes are human tissues and body       parts that are removed during surgery or autopsy. 
 
                   
                  Contaminated animal  carcasses are wastes including carcasses, body parts and bedding of animals  that were exposed to infectious agents during research, production of  biologicals, or testing of pharmaceuticals. 
                  Managing  Infectious Waste 
                  Medical  waste management is regulated under the state's solid waste program, if it is  treated properly. Infectious solid waste which  is generated and treated at a medical clinic, doctor's office, nursing care  facility, health care facility, dentist's office or other similar facility may  be placed with municipal solid waste and not handled in a special way if it is  rendered nonpathological, does not contain free liquids, and sharps are  shredded, blunted, granulated, incinerated or mechanically destroyed.  
                  Application for Special Waste Authorization (SWA)  
                  Generators of special waste shall make application for an SWA  by submitting the form Request for  Special Waste Authorization, accompanied by required supporting data. Three  copies shall be submitted to the landfill, and the landfill will forward two of  the copies to the department  for  review.. The application shall include the following information when  applicable:  
                  
                    - Appropriate chemical analysis of the waste; 
 
                    - Physical form of the waste; 
 
                    - Weight or volume of the waste; 
 
                    - Material safety data sheet (MSDS) for the waste       or for the materials from which the waste is generated, if applicable; 
 
                    - Toxicity characteristic leaching procedure       (TCLP) test results when appropriate, which show that none of the federal       limits in 40 CFR Part 261 are exceeded, and 
 
                    - Any other information requested by the       department. 
 
                   
                  In addition:  
                  
                    - The waste shall not contain free liquids as       defined in 567- 100.2(455B, 455D). The point of compliance shall be the       working face. 
 
                    - The waste shall not be a listed hazardous waste       or meet the criteria for characteristic hazardous waste pursuant to the       federal RCRA regulations. 
 
                    - Wastes with PCB concentrations equal to or       greater than 50 ppm shall not be authorized for disposal at a landfill. 
 
                    - Polynuclear aromatic hydrocarbon (PAH) (SW 846       Method 8270) contaminated soil shall not be authorized for disposal at a       landfill if the total PAH level exceeds 1600 ppm for listed compounds,       pursuant to chapter 109.
 
                    - Special waste authorizations may be issued for       a period not to exceed three years. 
 
                   
                  Special Waste Authorization (SWA) Restrictions 
                  
                    - The department may revoke an SWA for cause at       any time. Such cause may include, but is not limited to, evidence that       indicates that the characteristics of the authorized quality of the waste       vary from the authorized values, evidence that the continued disposal of       the waste as authorized may pose a threat to the public health or the       environment, or failure to comply with any condition in the SWA or the       landfill's SWAC. 
 
                    - The holder of an SWA must apply for a renewal       at least 30 days prior to the expiration of the SWA. 
 
                    - The issuance of an SWA does not obligate any       waste disposal facility to accept the waste nor does it preclude the       facility from imposing conditions or restrictions other than those listed       in the SWA. 
 
                    - The issuance of an SWA does not exempt the       party disposing of the waste from any local, state, or federal laws or       regulations. 
 
                   
                  IAC 6/11/03Generator Responsibilities for Special WasteSpecial waste responsibilities for generators shall include,  but are not limited to, the following: 
                  
                    - Prior to submission of an SWA application, the       generator shall adhere to the solid waste management hierarchy.       Alternatives include volume reduction at the source; recycling and reuse,       including composting and land application; and other approved techniques       of solid waste management including, but not limited to, combustion with       energy recovery and combustion for waste disposal. 
 
                    - The generator shall include, as part of the SWA       application, a description of the review of the alternatives to       landfilling for each waste for which an SWA is requested. The description       should detail to what extent the waste could be recycled, reduced or       reused so that landfilling is not necessary. 
 
                    - The generator shall follow the guidelines for       submission of an SWA application as given in the regulations. 
 
                    - The generator shall ensure that special waste       coming into the landfill shall arrive as a separate load and not be       commingled with any other waste. 
 
                    - The generator shall submit analytical results       supporting an SWA at a frequency to be determined by the landfill. 
 
                    - After receiving an SWA, the generator must       contact the designated landfill for instructions on delivering the waste and       instructions for adhering to the landfill's Special Waste Acceptance Criterial or SWAC. 
 
                    - The generator shall notify the department and       landfill, prior to disposal, of any change in the characteristics of the       special wastes being disposed. 
 
                    -  Generators shall notify the       landfill in writing when a one-time disposal under an SWA has been       completed. This requirement is for one-time disposals only. 
 
                   
                  OSHA Regulations: VetCA OSHA State Page 
                  In addition to the state medical waste environmental  regulations there are some Occupational Safety and Health Administration (OSHA)  rules that apply to medical/infectious waste. Iowa is one of 21 states  operating an approved occupational safety and health program. This program is  operated by the Labor Services  Division. The Labor Services Division is responsible for about a dozen  programs designed to protect the safety, health and economic security of all  Iowans. Their programs protect people who ride on elevators, escalators and  amusement rides. They protect anyone who enters a building with an asbestos  abatement project or a public building with a boiler. They protect employees  from dangers in the workplace and protect employees' rights to be paid wages.  They protect Iowa's children from dangers in workplaces and enhance their  educational experiences. The Division enforces safety in the workplace,  provides consultation to employers on occupational safety health compliance and  maintains statistical information of workers' illness and injuries.  
                  Statutes, Regulations and Guidelines 
                  Iowa  Infectious Waste Definition (IAC 567, Chapter 100) 
                  Iowa  Special Waste Authorizations - Infectious Waste Management (IAC, Chapter 109,  567-109.9-455B, 455D) 
                  Contacts 
                  Iowa DNR,  Solid Waste SectionIowa DNR, Air  Quality Bureau 
                  More Information 
                  Iowa - Request for  Special Waste Authorization Form 
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