Disposal of untreated medical waste shall be by one (1) of the following:

1. (1) Discharged from the healthcare-related facility into a POTW;
2. (2) Interment. The disposition of pathological waste by burial or cremation according to standards and practices of the mortuary industry;
3. (3) Other available technology. If approved by the Department of Health and meeting the intent of this part;

4. (4)

   1. (A) Table 1 describes which methods are approved for treatment and disposal of each specific category of medical waste.
   2. (B) Alternate technologies are approved individually for treatment and disposal for each specific category of medical waste.

   3. (C) Note.

      1. (i) Not all methods of treatment and disposal are approved for all categories of medical waste.
      2. (ii) Medical waste which may no longer serve to transmit an infectious disease and is not recognizable may be disposed of in the regular solid waste stream and/or in a permitted landfill as outlined in the Division of Environmental Quality’s Solid Waste Management Code, 8 CAR pt. 60, without any labeling requirements.
      3. (iii) 20 CAR § 53-312 outlines the requirements for treated medical waste that is still recognizable; or

5. (5)

   1. (A) Untreated medical waste cannot be disposed of in a landfill.
   2. (B) Treated medical waste may be disposed of in a permitted sanitary landfill in accordance with the division’s Solid Waste Management Code, 8 CAR pt. 60.
   3. (C) Solid waste landfills cannot accept liquid wastes.
   4. (D) Treated medical waste, where applicable, must be packaged and labeled as in 20 CAR § 53-304 prior to land filling.