(a)

1. (1) Generators of medical waste may transport their own waste to an off-site permitted treatment or disposal facility, or satellite facility in a fully enclosed container designed to prevent leakage of fluids as outlined in 20 CAR § 53-305(a), without having to obtain a transportation permit.

2. (2)

   1. (A) Generators that transport their medical waste shall keep a log of all medical waste transported.
   2. (B) The log shall include the:

(i) Quantity;

1. (ii) Date of transport; and

   1. (iii) Name of the receiving facility.
   2. (C) Logs shall be maintained on file at the generator's facility for three (3) years from the date of shipment.
2. (3) Commercial medical waste transportation must comply with 20 CAR § 53-401 et seq,. requirements for transporters of commercial medical waste.

(b) Medical waste transported off site must be labeled as required in 20 CAR § 53-304.

1. (c)
2. (1) For transport purposes, the generator shall transfer custody of untreated medical waste only to a transporter who has obtained a valid commercial regulated medical waste permit from the Department of Health as required in 20 CAR § 53-401.
3. (2) The department shall maintain a list of all permitted transporters.

4. (3) The list shall be made available by the department’s Medical Waste Program.

   1. (d)
5. (1) The generator of medical waste shall maintain a log of all untreated medical waste transferred to a transporter that is permitted by the department or a department-permitted treatment, storage, and/or disposal facility.

6. (2) The log must include the:

   1. (A) Quantity;
   2. (B) Method used to determine the amount;
   3. (C) Date the shipment was made; and
   4. (D) Name and permit number of the transporter or treatment/disposal facility.
7. (3) The logs shall be maintained on file at the generator's facility for three (3) years from the date of shipment or transfer.
8. (4) If the information is listed on the manifest/tracking paper, then the manifest/tracking paper may be substituted for the log.

(e)

1. (1) The generator shall obtain from the permitted transporter a signed receipt (manifest or tracking paper) for each shipment of medical waste.
2. (2) The requirements of the manifest/tracking paper or papers are listed in 20 CAR § 53-411.
3. (3) These manifests/tracking papers shall be maintained on file at the generators facility for three (3) years from the date of shipment.

(f)

1. (1) Medical waste cannot be transported in open vehicles or trailers.
2. (2) Tarped loads are not permissible.

(h)

1. (1) Generators that transport large quantities of medical waste (not including commercial medical waste) must sign a letter of agreement provided by the department ensuring procedures are in place that will ensure the medical waste is managed during transport to protect the:

   1. (A) Environment;
   2. (B) Waste handlers; and
   3. (C) Public health.

2. (2) Large quantity is defined as fifty (50) pounds or more of medical waste transported in a calendar month.

   1. (i)
3. (1) The United States Postal Service may be used to transport used and unused sharps for disposal.
4. (2) The generator must retain the original receipt and the returned registered or certified mail receipt.
5. (3) The generator shall retain the manifest/tracking paper for each shipment and they shall be maintained on file at the generator’s facility for three (3) years from the date of shipment.