Conn. Agencies Regs. § 22a-209-15
(a) Definitions. For the purposes of this section: "Air pollution control residue" means unburned particles and air pollution control reactants which become entrained in the stack gases of an incinerator and which are removed and collected by air pollution control equipment. "Antineoplastic agent" means any substance approved for human use which is produced or used to stop or reverse the growth of malignant cells. "Biological" means a preparation made from a living organism or its products, including vaccines and cultures, intended for use in diagnosing, immunizing, or treating humans or animals or in research pertaining thereto. "Biomedical waste" means untreated solid waste, any disposable container thereof and any reusable container thereof which has not been decontaminated, generated during the administration of medical care or the performance of medical research involving humans or animals, including infectious waste, pathological waste and chemotherapy waste, but excluding (1) any solid waste which is a hazardous waste pursuant to Section 22a-115 of the General Statutes or a radioactive material regulated pursuant to Section 22a-148 of the General Statutes;
(4) syringes, hypodermic needles and other medical equipment used by farmers for the treatment of their livestock in the course of conducting farming, provided that such equipment is not excluded when used by a veterinarian or at the direction of a veterinarian; and (5) samples of biomedical waste collected and transported by Department personnel for enforcement purposes. As used in this definition of biomedical waste, the term "multiple family residence" does not include any facility specified in the definition of biomedical waste generator set forth in this section. "Biomedical waste generator" or "generator" means any person who owns or operates a facility that produces biomedical waste in any quantity, including but not limited to the following: general hospitals, skilled nursing facilities or convalescent hospitals, intermediate care facilities, in-patient care facilities for the developmentally disabled, chronic dialysis clinics, free clinics, health maintenance organizations, surgical clinics, acute psychiatric hospitals, laboratories, medical buildings, physicians offices, veterinarians, dental offices and funeral homes. "Biomedical waste incinerator residue" means bottom ash, air pollution control residue and other residuals of the combustion process of an incinerator utilized for the combustion of biomedical waste. "Biomedical waste treatment facility" means a solid waste facility capable of storing, treating or disposing of any amount of biomedical waste, excluding any facility where the only biomedical waste stored, treated or disposed of is biomedical waste generated at the site where such facility is located. "Biomedical waste transporter" or "transporter" means a person engaged in the transportation of biomedical waste by air, rail, highway, or water. "Blood product" means any substance derived from human blood, including but not limited to plasma, platelets, red or white blood cells, and interferon. "Body fluid" means any substance which emanates or derives from the human body, including but not limited to blood, semen, vaginal secretions, cerebrospinal fluid, synovial fluid, pleural fluid, peritoneal fluid and pericardial fluid, but excluding feces, urine, nasal secretions, sputum, sweat, tears, vomitus, saliva, and breast milk, unless any such excluded substance contains visible blood or is isolation waste. "Bottom ash" means unburned or unburnable solid residue from incineration processes that does not become airborne. "Central collection point" means a location, whether located on or off the generator's site, where such generator consolidates biomedical waste accumulated from original generation points before transporting it for treatment, storage, or disposal, provided that such central collection point is operated by such generator. "C.F.R." means the Code of Federal Regulations."Chemotherapy waste" means waste which has come in contact with an antineoplastic agent during the preparation, handling or administration of such an agent. A container which is or has been used to contain such an agent shall be deemed chemotherapy waste even if such container is empty. "Container" means any receptable in which material is placed. "Primary container" means the initial container in which biomedical waste is placed when multiple containers for packaging of biomedical waste are required under subsection (b) of this section. "Secondary container" means a container in which a primary container is placed. "Decontaminate" means to substantially reduce or eliminate, by disinfection or other means, any biological hazard that is or may be associated with biomedical waste. "Etiologic agent" means an organism defined to be an etiologic agent in 49 C.F.R. Section 173.386. "Incinerator" means any device, apparatus, equipment or structure as defined in Sections 22a-174-1 and 22a-174-18 (c) (1) of the Regulations of Connecticut State Agencies. "Infectious agent" means any organism, such as a virus or bacterium, that is capable of being communicated by invasion and multiplication in body tissue and capable of causing disease or adverse health impacts in humans. "Infectious waste" means waste which is capable of causing an infectious disease, is one of the wastes listed below, or is waste identified as infectious by a licensed health care provider. Waste shall be deemed capable of causing an infectious disease if there is reason to believe that it has been contaminated by an organism that is known or suspected to be pathogenic to humans and if such organism may be present in sufficient quantities and with sufficient virulence to transmit disease. The following are listed as infectious waste:
(b) Requirements for Generators of Biomedical Waste.
(2) A biomedical waste generator shall segregate biomedical waste from other solid waste to the extent practicable prior to placing biomedical waste in primary containers. Biomedical waste shall be segregated into the following categories:
(A) Sharps and any residual substances therein(B) Body fluids in a quantity greater than 20 cubic centimeters(C) Other biomedical waste(3) A biomedical waste generator shall prepare a written biomedical waste management plan for each facility at which he generates biomedical waste. Such plan shall set forth policies and procedures for segregating biomedical waste as required by subdivision (2) of this subsection and for assuring that the following requirements are satisfied:
(4) Before transporting or offering for transport biomedical waste, a generator shall package the waste according to the following requirements:
(i) Rigid;
(8) Before transporting or offering for transport biomedical waste, a generator shall mark containers as follows:
(c) Requirements for Storage of Biomedical Waste.
(d) Requirements For Transfer of Biomedical Waste.
(e) Requirements for Transportation of Biomedical Waste.
(3) A biomedical waste transporter shall ensure that any vehicle used to transport biomedical waste meets the following requirements:
(6) Vehicle surfaces that have had contact with spilled or leaked biomedical waste shall be decontaminated by (A) cleaning with a solution of industrial strength detergent for the purpose of removing visible soil, and (B) one of the following procedures:
(8) Each vehicle shall carry a spill clean-up kit which includes at least the following:
(9) In the event of a biomedical waste spill, personnel wearing clean-up apparel and using equipment described in subparagraph (8) (D) of this subsection shall immediately:
(f) Requirements for Treatment and Disposal of Biomedical Waste.
(3) Biomedical waste shall be disposed of as follows:
(C) Infectious waste shall be disposed of only by (i) incineration;
(4) No person shall:
(6) A steam sterilizer used to decontaminate biomedical waste shall be operated in accordance with the following requirements:
(8) If biomedical waste is treated or disposed of at the site where it was generated, the generator shall develop written procedures for each treatment or disposal method in use at such site and for ensuring compliance with such procedures. Such procedures shall be incorporated into the biomedical waste management plan required by subdivision (b) (3) of this section and shall (A) assure the effectiveness of any treatment method in use and reflect acceptable standards of practice;
(g) Requirements for Biomedical Waste Transporters.
(2) A small quantity generator may transport his own biomedical waste without a permit issued by the Commissioner under this subsection, provided that:
(3) A small quantity generator who causes biomedical waste to be transported by the U.S. Postal Service is exempt from the requirements of this subsection and subsections (h) and (i) of this section, provided that:
(4) An applicant for a permit under this subsection shall file his application with the Department on a form prescribed by the Commissioner. Such application shall include the following:
(i) Shall remain in effect continuously while the permit is in effect;
(9) (A) A permit shall expire two years after the date of issuance. An application to renew a permit made no later than ninety days before the expiration date of such permit shall be deemed timely and sufficient for purposes of Section 4-182 (b) of the General Statutes.
(B) The Commissioner may revoke a permit issued under this subsection if the permittee (i) fails to comply with a statute, regulation or license administered, or order issued, by the Commissioner;
(13) Upon request of the Department, a biomedical waste transporter shall:
(14) A generator who transports his own biomedical waste from its original generation point to a central collection point shall be exempt from the requirements of subsections (e), (g), and (h) of this section, provided that:
(15) A biomedical waste transporter may store biomedical waste in the same vehicle he used to pick up and transport such waste from a generator only if:
(h) Requirements for Tracking Biomedical Waste.
(3) When preparing the tracking form, a generator shall:
(4) Notwithstanding any other provision of this section, when a generator offers or delivers biomedical waste directly to a rail transporter for transport to a non-rail transporter or solid waste facility in Connecticut, such generator shall forward at least three copies of the tracking form, completed in accordance with subdivision (3) of this subsection, to:
(6) (A) A transporter shall not accept biomedical waste unless it is accompanied by a tracking form completed in accordance with Appendix I of this section.
(7) Before accepting biomedical waste that is accompanied by a tracking form, a transporter shall:
(9) When a transporter, other than a rail transporter, delivers biomedical waste to another transporter or a solid waste facility in Connecticut, the delivering transporter shall:
(10) When a transporter, other than a rail transporter, delivers biomedical waste to a transporter outside Connecticut or facility outside Connecticut, the delivering transporter shall:
(12) When a rail transporter delivers biomedical waste to a solid waste facility in Connecticut, such transporter shall:
(13) When a non-rail transporter accepts biomedical waste from a rail transporter, such non-rail transporter shall:
(14) A transporter who accepts biomedical waste from a small quantity generator who does not voluntarily use the tracking form need not comply with the requirements of subdivision (6) of this subsection, provided that:
(i) The generator's name and address;
(15) Except as provided in subdivision (14) of this subsection, a transporter shall deliver the entire quantity of biomedical waste that he accepts from a generator or prior transporter to:
(16) When biomedical waste cannot be delivered in accordance with subdivision (15) of this subsection, a biomedical waste transporter shall:
(18) (A) A transporter may consolidate multiple shipments of biomedical waste on a single tracking form, provided that each such shipment weighs less than 220 pounds and such transporter initiates a new tracking form for such consolidated waste in accordance with the provisions of subdivisions (2) and (3) of this subsection.
(i) Attach a copy of the tracking form received from the solid waste facility to the copy of the tracking form originally prepared by the generator;
(19) For each tracking form initiated pursuant to subparagraph (18) (A) of this subsection, a transporter shall compile a consolidation log reflecting all shipments of biomedical waste consolidated on that form. The consolidation log shall accompany the tracking form during transportation of the waste and shall contain the following information for each shipment:
(20) When a solid waste facility accepts biomedical waste accompanied by a tracking form, the operator of such facility shall:
(i) Any variation between the number of containers reportedly shipped by the generator and the number actually received by such solid waste facility;
(21) (A) When a solid waste facility accepts biomedical waste from a rail transporter before receiving the tracking form forwarded by the generator or first non-rail transporter, the operator of the solid waste facility shall:
(i) provide on the tracking form the information described in subparagraphs (20) (A) and (B) of this subsection, (ii) within 15 days of receiving such tracking form send a copy of the signed and dated tracking form to the generator or first non-rail transporter who initiated the tracking form, and (iii) retain a copy thereof.
(i) Recordkeeping and Reporting Requirements for Generators, Transporters, and Solid Waste Facilities.
(2) A generator who seeks under subdivision (g) (14) of this section to be exempt from the requirements of subsections (e), (g), and (h) of this section shall comply with the following requirements:
(i) The date the biomedical waste is transported from the original generation point;
(i) The date the biomedical waste is received at the central collection point;
(3) A small quantity generator who uses the services of a transporter to transport biomedical waste and who does not voluntarily prepare the tracking form is subject to the following recordkeeping requirements:
(i) The transporter's name and address;
(4) A small quantity generator who transports biomedical waste pursuant to subdivision (g) (2) of this section shall comply with the following requirements:
(i) The name and address of the solid waste facility to which the biomedical waste is transported;
(5) A small quantity generator who seeks under subdivision (g) (3) of this section to be exempt from the requirements of subsections (h) and (i) of this section shall:
(i) The weight of (1) untreated and (2) decontaminated biomedical waste mailed;
(6) A generator who treats his own biomedical waste on his site shall compile an operating log which includes an entry for each treatment cycle. Each such entry shall be maintained for three years from the date the waste is treated and shall consist of:
(7) A generator who accepts for treatment at his site biomedical waste generated by another generator or generators shall compile an operating log which includes an entry for each shipment of biomedical waste accepted. Each such entry shall be maintained for three years from the date the waste is accepted and shall consist of:
(9) A generator who treats his own biomedical waste on his site or who accepts for treatment at his site biomedical waste generated by another generator or generators shall prepare an annual report based on entries recorded in the operating log described in subdivision (6) of this subsection, and stating the total number of treatment cycles performed and the total weight of biomedical waste treated. The annual report shall be submitted to the Commissioner no later than February 15 of each year and shall cover the preceding calendar year. In addition to providing the said information, the generator shall include in the annual report the following information:
(i) Type of generator (for example, acute-care hospital or clinical laboratory); and(ii) Name and telephone number of a contact person.
(11) A generator who does not, within 45 days of the date he delivers biomedical waste for transport, receive a copy of a signed tracking form from the solid waste facility to which such waste is to be delivered shall submit an exception report to the Commissioner. Such exception report shall be postmarked on or before the 46th day after the date the generator delivered the waste for transport and shall include:
(15) A transporter who accepts biomedical waste that is accompanied by a generator-initiated tracking form and who subsequently consolidates the waste to a single tracking form pursuant to subdivision (h) (18) of this section shall:
(16) A transporter who accepts biomedical waste that is generated in Connecticut or transported to Connecticut for storage, treatment or disposal shall, by each February 15, submit to the Commissioner a report identifying for the previous calendar year: each generator from whom the transporter accepted such waste and each solid waste facility to which the transporter delivered biomedical waste. Such report shall also include the following: