The collection of treated medical waste intended for transport off-site shall comply with the following requirements:

1. (1) Treated medical waste shall be managed in accordance with applicable requirements for solid waste management.
2. (2) Containers not meeting the requirements of 335-17-6-.01 shall not be placed into a container used for shipment of treated medical waste.
3. (3) Containerized treated medical waste may be mixed with other solid waste for transportation to an approved disposal facility in vehicles where compaction of the waste will take place.
4. (4) Treated medical waste shall be delivered to an approved municipal solid waste landfill for disposal.
5. (5) Written certification that all treatment requirements contained in 335-17-6-.01 have been met, shall be provided to the permittee of the disposal facility utilized at least on an annual basis or as specified by the Department or the permittee of the disposal facility being utilized. When written certification is required on a per load basis, transporters shall deliver the certification, signed by the person who treated the waste, to the permittee or his designee of the disposal facility utilized at the time of disposal. Appropriate documentation to confirm this certification may be required from the treatment facility.
6. (6) Pursuant to the provisions of Code of Alabama 1975, §22-22A-4(i), additional regulations addressing the storage of solid waste remain within the function of the State Health Department pursuant to Code of Alabama 1975, §22-22A-5, §22-22A-8, and §22-27-9.

Author: James L. Bryant. Ashley S. Powell

Statutory Authority: Code of Ala. 1975, §§22-27-9, 22-27-12.

History: New Rule: Filed December 12, 2011; effective January 16, 2012. Amended: Published December 31, 2024; effective February 14, 2025. Amended: Published June 30, 2025; effective August 14, 2025.