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HomeMy WebLinkAboutalamedamed-project2018-drugsannualreport-revised-archive 2018 ALAMEDA COUNTY, CALIFORNIA MED-PROJECT ANNUAL REPORT Prepared By: MED-Project LLC Submitted To: Alameda County, Department of Environmental Health Date: February 25, 2019; Revised March 22, 2019 Page 2 TABLE OF CONTENTS 1. EXECUTIVE SUMMARY ............................................................. 3 2. REPORTING ON 2018 GOALS ................................................... 4 2.1. Collection Goals .......................................................................................................... 4 2.2. Education and Public Outreach Goals .................................................................... 8 2.3. Take-Back Events ...................................................................................................... 10 2.4. The Collection System ............................................................................................. 11 3. 2019 GOALS ...........................................................................16 3.1. Take-Back Events ...................................................................................................... 16 3.2. Kiosk Drop-Off Sites ................................................................................................ 16 3.3. Education and Public Outreach.............................................................................. 16 4. COLLECTION PRACTICES ........................................................18 5. EDUCATIONAL EFFORTS AND PUBLIC OUTREACH ...................19 6. SAFETY AND SECURITY REPORT .............................................24 7. PARTICIPATING PRODUCERS .................................................24 8. COLLECTION POINTS .............................................................24 8.1. Collection Point Information .................................................................................. 24 9. MAIL-BACK PROGRAMS ..........................................................24 9.1. Mail-Back Services .................................................................................................... 24 10. DISPOSAL FACILITY ..............................................................25 10.1. Disposal Facility Information ................................................................................. 25 10.2. Product Disposal Information ................................................................................ 26 APPENDIX A ...............................................................................27 APPENDIX B ...............................................................................36 APPENDIX C ...............................................................................73 APPENDIX D ...............................................................................79 APPENDIX E ...............................................................................82 Page 3 1. EXECUTIVE SUMMARY Alameda Health & Safety Code, Chapter 6.53.080 – Report. A. and B. Alameda County Safe Drug Disposal Regulations, Section 15 – Annual Reports C.i. Alameda County Safe Drug Disposal Ordinance (“Ordinance”) Section 6.53.080 and Alameda County Safe Drug Disposal Regulations (“Regulations”) Section 15 requires MED-Project LLC (“MED-Project”) to prepare and submit an annual written report describing activities between January 1, 2018 and December 31, 2018. MED-Project submits this 2018 Alameda County, California MED-Project Annual Report (“Report”) on behalf of its participating producers and in compliance with the Ordinance and Regulations. The Alameda MED-Project Product Stewardship Plan (“Plan”) was approved by the Alameda County, Department of Environmental Health (“Alameda County DEH”) on February 25, 2015. In keeping with the Plan, MED-Project is implementing the Product Stewardship Program (“Program”) in phases. During 2018, priority was given to establishing additional kiosk drop-off sites throughout Alameda County (“County”), conducting take-back events in alignment with approved Plan goals, and performing outreach to eligible pharmacies and Law Enforcement Agencies (“LEAs”) throughout the County. As a result of these efforts, MED-Project’s Program collected and disposed of Unwanted Medicine from seventy (70) kiosk drop-off sites (seventy- one (71) kiosks) and twelve (12) take-back events in 2018. Kiosks were activated in pharmacies and LEAs that meet all local, state, and federal requirements and that executed agreements with MED-Project prior to kiosk installation and activation. In addition, outreach and educational materials were distributed to all interested and participating sites, including signage and/or brochures. As outlined in the approved Plan, the ultimate goal of the Program is to provide County residents with convenient, safe, and accessible methods to dispose of Unwanted Medicine. MED-Project anticipates a steady increase in kiosk drop-off sites throughout 2019 as a result of Program activities in 2018. MED-Project continues to communicate with kiosk drop-off site hosts to distribute outreach materials, review procedures as needed, and improve overall Program design. MED-Project submitted revision requests and a revised plan in 2018 to address both improvements in collection efforts and changes in program implementation, such as changes to kiosk signage to address the California Board of Pharmacy Prescription Drug Take- Back Services Regulations, Cal. Code Regs. tit. 16, §§ 1776 et seq. (2017) (the “Board of Pharmacy Regulations”)1. 1 Revisions to the Updated Plan were submitted on February 15, 2019. Page 4 2. REPORTING ON 2018 GOALS Alameda Health & Safety Code, Chapter 6.53.080 – Report. A.8. and A.9. Alameda County Safe Drug Disposal Regulations, Section 15 – Annual Reports C.ii. 2.1. Collection Goals Long-term collection goals, as outlined in the approved Plan, include the expansion of kiosk placement to additional eligible LEAs and pharmacies with a goal of establishing up to one hundred (100) kiosk drop-off sites, assuming viable locations are available. Program goals set an ongoing target of twelve (12) take-back events per year. MED-Project held twelve (12) take- back events in 2018. In 2018, law enforcement oversight of events was performed by the Alameda County Sheriff’s Office (“ACSO”) for all twelve (12) of the events. See Table 1 for more details. # TYPE DATE EVENT NAME CITY 1 Festival 01/27/2018 Highland Hospital Oakland 2 Festival 04/21/2018 San Lorenzo Earth Day San Lorenzo 3 Festival 04/21/2018 Washington Hospital Health System Fremont 4 HHW 04/22/2018 Pleasanton Fairgrounds Pleasanton 5 HHW 05/06/2018 San Leandro Public Works San Leandro 6 HHW 05/20/2018 Alameda Naval Base Oakland 7 HHW 06/24/2018 Golden Gate Fields Berkeley 8 HHW 07/15/2018 Oakland Coliseum Oakland 9 HHW 08/04/2018 Canyon Middle School Castro Valley 10 Festival 09/13/2018 Healthy Living Festival at Oakland Zoo Oakland 11 Festival 09/29/2018 Sunol Clean-Up Day Sunol 12 HHW 10/07/2018 Golden Gate Fields Berkeley Table 1: Take-Back Day Events in 2018 MED-Project plans to conduct up to twelve (12) take-back events in 2019 by collaborating with Alameda County Household Hazardous Waste (“HHW”) drive-through events and LEAs. For more information about this effort, please see Section 3. In 2018, agreements to host kiosk collection services were executed with two (2) LEAs, thirty- three (33) pharmacies, and three (3) healthcare organizations, consisting of a total of thirty-eight (38) kiosk drop-off sites. Kiosks were subsequently installed in thirty-eight (38) sites and became available to the public, providing a total of seventy (70) active kiosk-drop off sites (seventy-one (71) kiosks) in 2018. See Table 2 for more details. Page 5 SITE NAME ADDRESS CITY ZIP ALAMEDA HOSPITAL 2070 CLINTON AVENUE ALAMEDA 94501 ALAMEDA POLICE DEPT 1555 OAK STREET ALAMEDA 94501 BART POLICE DEPT 101 8TH STREET OAKLAND 94607 BERKELEY POLICE DEPT 2100 MARTIN LUTHER KING JR WAY BERKELEY 94707 CAPSULE PHARMACY 2557 MOWRY AVENUE FREMONT 94538 CITY OF NEWARK POLICE DEPARTMENT 37101 NEWARK BLVD NEWARK 94560 CLAYWORTH HLTHCRE PHY2 20353 LAKE CHABOT RD CASTRO VALLEY 94546 CVS PHARMACY # 0331 2000 DRISCOLL ROAD FREMONT 94539 CVS PHARMACY # 0414 14869 E 14TH STREET SAN LEANDRO 94578 CVS PHARMACY # 0816 22501 FOOTHILL ROAD HAYWARD 94541 CVS PHARMACY # 09378 4100 REDWOOD ROAD OAKLAND 94619 CVS PHARMACY # 09397 4405 1st STREET LIVERMOR E 94551 CVS PHARMACY # 09494 35080 NEWARK BLVD NEWARK 94560 CVS PHARMACY # 09553 4349 SAN PABLO AVENUE EMERYVIL LE 94608 CVS PHARMACY # 09600 35720 FREMONT BLVD FREMONT 94536 CVS PHARMACY # 09622 243 W JACKSON STREET HAYWARD 94544 CVS PHARMACY # 09635 1550 E 14TH STREET SAN LEANDRO 94577 CVS PHARMACY # 09678 1500 1ST STREET LIVERMOR E 94550 CVS PHARMACY # 09876 699 LEWELLING ROAD SAN LEANDRO 94579 CVS PHARMACY # 09904 3667 CASTRO VALLEY BLVD CASTRO VALLEY 94546 CVS PHARMACY # 09941 1451 SHATTUCK AVENUE BERKELEY 94709 CVS PHARMACY # 09942 1401 WASHINGTON AVENUE SAN LEANDRO 94577 CVS PHARMACY # 09957 344 THOMAS L BERKELEY WY OAKLAND 94612 CVS PHARMACY # 10119 6750 BERNAL AVENUE PLEASANT ON 94566 CVS PHARMACY # 10121 2655 TELEGRAPH AVENUE BERKELEY 94704 CVS PHARMACY # 10475 2964 BROADWAY OAKLAND 94611 CVS PHARMACY # 3024 7201 REGIONAL STREET DUBLIN 94568 CVS PHARMACY # 3026 2300 SHATTUCK AVENUE BERKELEY 94704 2 Inactivated during calendar year 2018. Page 6 SITE NAME ADDRESS CITY ZIP CVS PHARMACY # 8431 7200 BANCROFT AVENUE OAKLAND 94605 CVS PHARMACY # 9099 4020 FREMONT HUB FREMONT 94538 CVS PHARMACY # 9128 2314 SANTA CLARA AVENUE ALAMEDA 94501 CVS PHARMACY # 9130 175 41ST STREET OAKLAND 94611 CVS PHARMACY # 9226 3320 FRUITVALE AVENUE OAKLAND 94602 CVS PHARMACY # 9234 46445 MISSION BLVD FREMONT 94539 CVS PHARMACY # 9250 885 ISLAND DRIVE STE A ALAMEDA 94502 CVS PHARMACY # 9251 3999 SANTA RITA ROAD PLEASANT ON 94588 CVS PHARMACY # 9255 931 MARINA VILLAGE PKWY ALAMEDA 94501 CVS PHARMACY # 10199 26059 MISSION BLVD HAYWARD 94544 CVS PHARMACY # 10924 3010 BERNAL AVENUE PLEASANT ON 94566 DUBLIN POLICE SERVICES 100 CIVIC PLAZA DUBLIN 94568 EMERYVILLE POLICE DEPARTMENT 2449 POWELL STREET EMERYVIL LE 94608 HALLER'S PHY & MEDICAL SUPPLY 37323 FREMONT BLVD FREMONT 94536 HIGHLAND HOSPITAL KIOSK #1 1411 E 31ST STREET OAKLAND 94602 HIGHLAND HOSPITAL KIOSK #2 1411 E 31ST STREET OAKLAND 94602 JADE PHARMACY 34460 FREMONT BLVD FREMONT 94555 KAISER FDN HLT PLAN PHY 115 3801 HOWE STREET OAKLAND 94611 KAISER HEALTH PLAN PHY 162 39400 PASEO PADRE FREMONT 94538 KAISER HEALTH PLAN PHY 118 3505 BROADWAY OAKLAND 94611 KAISER HEALTH PLAN PHY 471 7601 STONERIDGE DRIVE PLEASANT ON 94588 KAISER PERMANENTE PHY 102 3701 BROADWAY OAKLAND 94611 KAISER PERMANENTE PHY 105 3600 BROADWAY OAKLAND 94611 KAISER PERMANENTE PHY 241 3000 LAS POSITAS ROAD LIVERMOR E 94550 KAISER PERMANENTE PHY 101 2417 CENTRAL AVENUE ALAMEDA 94501 KAISER UNION CITY PHY 132 3553 WHIPPLE ROAD UNION CITY 94587 MIDTOWN PHY PROFESSIONAL CORP 2173 HARBOR BAY PKWY ALAMEDA 94502 Page 7 SITE NAME ADDRESS CITY ZIP MISSION PHARMACY 22138 MISSION BLVD HAYWARD 94541 MOWRY MEDICAL PHARMACY 1999 MOWRY AVENUE FREMONT 94538 NEW OAKLAND PHARMACY 333 9TH STREET OAKLAND 94607 NEW OAKLAND PHARMACY 2 388 9TH STREET, #108 OAKLAND 94607 NEW OAKLAND PHY - LAKE MERRITT 250 E 18TH STREET, 3RD FL OAKLAND 94606 NEWARK HALLER'S PHARMACY 6170 THORNTON AVENUE NEWARK 94560 PIEDMONT POLICE DEPARTMENT 403 HIGHLAND AVENUE PIEDMONT 94611 PLEASANTON POLICE DEPARTMENT 4833 BERNAL AVENUE PLEASANT ON 94566 SAN LEANDRO HOSPITAL 13855 EAST 14TH STREET SAN LEANDRO 94578 STANFORD HEALTH CARE 5800 HOLLIS STREET EMERYVIL LE 94608 TEDS DRUGS 27453 HESPERIAN BLVD HAYWARD 94545 TENNYSON PHARMACY 589 W TENNYSON ROAD HAYWARD 94544 UNITED PHARMACY 2929 TELEGRAPH AVENUE OAKLAND 94705 VITACARE PHARMACY 2447 TELEGRAPH AVE OAKLAND 94612 WASHINGTON HOSP HEALTH SYS 2000 MOWRY AVENUE FREMONT 94538 WELLSPRING PHARMACY 4184 C PIEDMONT AVENUE OAKLAND 94611 Table 2: Active Kiosk Drop-Off Sites in 2018 MED-Project intends to increase the number of active kiosk drop-off sites in 2019 by continuing to work with eligible LEAs and pharmacies that express interest in participating in the Program. Although MED-Project has not established up to one hundred (100) kiosk drop-off sites, it anticipates adding new kiosk drop-off sites in 2019 as more options for collection services are incorporated into the approved Plan and Program. For more information about this effort, please see Section 3 and Appendix A. Page 8 2.2. Education and Public Outreach Goals MED-Project conducted twelve (12) take-back events, performed installations at thirty-eight (38) kiosk drop-off sites, performed print advertisements, and distributed materials, including brochures and posters, to all seventy (70) active kiosk drop-off sites in 2018. The toll-free number for the call center continues to be available in both English and Spanish. The MED- Project call center was converted to a 24-hours-per-day by seven-day-per-week (24 by 7) schedule in 2018 to accommodate for calls from residents during non-business hours. In an effort to increase website visits, MED-Project continued outreach in 2018 through social media websites such as Twitter and Facebook. Brochures and materials were distributed to nearby pharmacies, LEAs, clinics, hospitals, and community groups, and other media outlets were contacted to increase outreach prior to events. Website statistics for 2018 can be viewed in Table 3. WEB PAGE NAME WEB PAGE URL VISITS Take-Back Events http://www.med-project.org/locations/alameda/events 1,081 Home Page http://www.med-project.org/locations/alameda 5,063 Convenient Kiosks http://www.med-project.org/locations/alameda/kiosks 4,314 MEDinfo http://www.med-project.org/locations/alameda/info 563 MEDfaq http://www.med-project.org/locations/alameda/faqs 434 Check The Package http://www.med-project.org/locations/alameda/package 428 Contact http://www.med-project.org/locations/alameda/contact 406 Table 3: Number of Unique Web Page Visits During 2018 The MED-Project website is regularly updated to ensure alignment with Program activities. The website provides contact information that County residents, kiosk drop-off site hosts, and community agencies can use to obtain Program information. Information regarding kiosk drop-off sites is available in both map and list formats at http://www.med-project.org/locations/alameda/kiosks. Take-back events are listed at http://www.med-project.org/locations/alameda/events. The Plan’s long-term education and public outreach goals provide that MED-Project may revise and/or add communication materials based on changes to the Plan, and that MED-Project will review media and public outreach and collect feedback to improve operations. The methodology employed by MED-Project utilizes qualitative and quantitative techniques to evaluate outreach and promotional activities, including unstructured interviews, data collection at take-back events, and website statistics. MED-Project is also incorporating information collected, best practices, and lessons learned from other jurisdictions to improve its Program. MED-Project performed unstructured interviews of residents, potential and existing kiosk drop- off site hosts, stakeholders, health systems, and local agencies in various settings. The purpose of these interviews was to elicit feedback regarding Program awareness and activities. Information was gathered during take-back events, site visits, and regularly scheduled meetings. Page 9 Data collection was performed during and after take-back events to capture attendance, collection, transport, and Unwanted Medicine disposal statistics. Website visits were increased compared to the previous calendar year. Through its data collection, MED-Project learned that events held in combination with the County’s HHW events showed increased consumer participation as compared to events hosted at fairs or festivals. While MED-Project advertised its events extensively on social media and the MED-Project website, consumer participation at events was highest when held in combination with HHW events. Events at fairs and festivals collected fewer than 63 pounds of Unwanted Medicine per event on average, while events that were promoted jointly with HHW collected more than 333 pounds of Unwanted Medicine per event on average. As a result of these lessons learned, MED-Project may be able to improve collections at 2019 events by focusing mainly on conducting events in conjunction with planned HHW events. MED-Project is working in collaboration with Alameda County DEH to explore conducting Unwanted Medicine take-back events at all Alameda County HHW events in 2019. MED- Project provides media release templates to host sites, which enable sites to promote events in combination with MED-Project’s efforts. Regarding kiosk drop-off sites, MED-Project will continue to publicize these locations in 2019, and will provide each site with posters, brochures, and media release templates. Upon activation, all existing and new kiosk drop-off sites are promoted on social media and the MED-Project website. Fliers for residents are also produced to increase public awareness. Efforts to recruit additional health systems and chain pharmacy kiosk drop-off sites in 2019 may also increase awareness and allow MED-Project to implement numerous additional kiosk drop- off sites throughout Alameda County. MED-Project continues to increase awareness of its Program in Alameda County and to recruit additional kiosk drop-off sites by performing site visits and distributing outreach materials to potential kiosk drop-off sites. MED-Project is also distributing materials to health associations, systems, and organizations, as described in Appendix E of the approved Plan. For more information regarding outreach activities in 2018, please see Appendix C. Page 10 2.3. Take-Back Events Alameda Health & Safety Code, Chapter 6.53.080 – Report. A.2. Alameda County Safe Drug Disposal Regulations, Section 15 – Annual Reports D.ii. Over 2,643 pounds of Unwanted Medicine were collected at the 2018 events and subsequently incinerated. MED-Project collaborated with ACSO and held events at twelve (12) different venues. Seven (7) of the events were in collaboration with County HHW drive-through events, and five (5) of the events were conducted at festivals or fairs. For more information regarding take-back events conducted by MED-Project in 2018, please see Tables 1 and 4. DATE EVENT NAME CITY POUNDS COLLECTED 01/27/2018 Highland Hospital Oakland 9 04/21/2018 San Lorenzo Earth Day San Lorenzo 33 04/21/2018 WHHS “Let’s Go Green Together” Fremont 193 04/22/2018 Pleasanton Fairgrounds Pleasanton 418 05/06/2018 HHW San Leandro San Leandro 257 05/20/2018 Alameda Naval Base Alameda 184 06/24/2018 Golden Gate Fields Berkeley 237 07/15/2018 Oakland Coliseum Oakland 296 08/04/2018 Canyon Middle School Recycles Day Castro Valley 749 09/13/2018 Health Living Festival at Oakland Zoo Oakland 52 09/29/2018 Sunol Clean-Up Day Sunol 24 10/07/2018 Golden Gate Fields Berkeley 191 Table 4: Take-Back Event Collection Statistics for 2018 Page 11 2.4. The Collection System Alameda Health & Safety Code, Chapter 6.53.080 – Report. A.3. The MED-Project safe drug disposal collection system places emphasis on kiosk drop-off sites at LEAs and pharmacies to best serve County residents. In 2018, additional kiosks were installed and became available to the public at thirty-eight (38) locations throughout the County, providing a total of seventy (70) kiosk drop-off sites and seventy-one (71) kiosks available to County residents. Please see Figure 1 and Table 2 for more information regarding active kiosk drop-off site locations in Alameda County in 2018. Figure 1: Map of Active Kiosk Drop-Off Sites in Alameda County as of 20183 3 http://med-project.org/locations/alameda/kiosks Page 12 Updated signage describes products that are accepted and not accepted in kiosks, with additional information directing residents toward disposal options for items that are not accepted in kiosks. For more information on approved kiosk signage, please see Figures 2, 3, 4, 5, and 6. Figure 2: Graphic of Kiosk With Approved Signage4 4 The updates to kiosk signage were submitted to Alameda DEH on February 22, 2018. Page 13 Figure 3: Signage on Front Door of Kiosk Page 14 Figure 4: Signage Describing Accepted Products on Drawer of Kiosk Figure 5: Signage Directing Residents to Other Disposal Options for Items that are Not Accepted in Kiosks5 5 Hazardous Waste Facilities do not accept illicit drugs. Page 15 Kiosk collection agreements continue to be distributed to interested sites and are under review. The location of each site and the status of the agreements are outlined in Table 5 below. Agreements with the following pharmacies are under review and include sites that have reviewed the documents and provided information to finalize the agreement. SITE NAME ADDRESS CITY ZIP RITE AID PHARMACY #05999 3744 MOWRY AVENUE FREMONT 94538 RITE AID PHARMACY #05920 31091 MISSION BOULEVARD HAYWARD 94544 RITE AID PHARMACY #05922 3848 CASTRO VALLEY BOULEVARD CASTRO VALLEY 94546 RITE AID PHARMACY #05925 968 MURRIETA BOULEVARD LIVERMORE 94550 RITE AID PHARMACY #05937 1355 MACARTHUR BOULEVARD SAN LEANDRO 94577 RITE AID PHARMACY #05942 31836 ALVARDO BOLEVARD UNION CITY 94587 RITE AID PHARMACY #05943 1650 DECOTO ROAD UNION CITY 94587 RITE AID PHARMACY #05944 2819 HOPYARD ROAD PLEASANTON 94588 RITE AID PHARMACY #05952 1991 MOUNTAIN BOULEVARD OAKLAND 94611 RITE AID PHARMACY #06456 1350 NORTH VASCO ROAD LIVERMORE 94551 Table 5: Agreements Under Review by Pharmacies in Alameda County Page 16 3. 2019 GOALS Alameda County Safe Drug Disposal Regulations, Section 15 – Annual Reports C.iii. 3.1. Take-Back Events MED-Project is working closely with Alameda County DEH to continue to conduct take-back events in collaboration with HHW drive-through events throughout the County in 2019. In addition, MED-Project will respond to requests to conduct take-back events in collaboration with LEAs, upon request. Take-back event services agreements will continue to be issued to LEAs that are interested in overseeing take-back events. 3.2. Kiosk Drop-Off Sites MED-Project continues to work closely with LEAs, pharmacies, and hospitals/clinics with on- site pharmacies that are interested in becoming kiosk drop-off sites. Agreements have been distributed to ten (10) pharmacies for review. See Table 5 for more information. MED-Project continues to schedule kiosk installation and activation at eligible sites with executed agreements, with the goal of establishing up to 100 kiosks in Alameda County. Pharmacies that are targeted as potential kiosk drop-off sites via outreach through periodic calls, emails, and site visits, as are listed in Appendix A. 3.3. Education and Public Outreach MED-Project supports kiosk drop-off sites with printed materials, including brochures and posters, as well as posted information on the website. Outreach materials, including brochures and fact sheets, will continue to be provided to sites interested in participating in the Program, as well as selected organizations, in order to further educate the community and pursue kiosk placement at eligible locations. Page 17 Examples of organizations in Alameda County are below. Health Systems: Alameda Health System Alta Bates Summit Health Care Children’s Hospital and Research Center Eden Township Healthcare District Fremont Hospital Kaiser Permanente St. Rose Hospital Sutter Health Valley Care Health System Washington Hospital Healthcare System Health Associations: Alameda County Pharmacy Association California State Board of Pharmacy California Board of Registered Nursing California Board of Vocational Nursing California Department of Health Care Services California Health and Human Services Agency The Medical Board of California Organizations, Districts, and Agencies: Alameda County Public Health Department Alameda County Social Services Agency CalRecycle Municipal Utilities Districts School Districts Sunol Citizen’s and Advisory Council Water Quality and Water Agencies Social media websites for MED-Project, including Facebook and Twitter, will continue to post news and events for Alameda County residents. Events and kiosk information will also be posted to the MED-Project website as they are confirmed and available to the public. MED- Project will run three campaigns throughout 2019 on multiple media platforms including print, radio, television and social media platforms, to further increase awareness of its Program. In an effort to increase awareness of its Program and further evaluate effectiveness, MED-Project also proposes to conduct a biennial survey of residents and health care providers in the County, in conjunction with the survey conducted under MED-project’s stewardship program for the collection of sharps from households, in the revisions to the Updated Plan submitted to Alameda County DEH for review on February 15, 2019 (“Updated Plan”). Page 18 The MED-Project call center was converted to a 24-by-7 schedule in 2018, and MED-Project proposes to add Chinese, Vietnamese, and Tagalog support to the call center, as well as other outreach and education materials, to increase services to Residents, in the Updated Plan. 4. COLLECTION PRACTICES Alameda Health & Safety Code, Chapter 6.53.080 – Report. A.5. Alameda County Safe Drug Disposal Regulations, Section 15 – Annual Reports C.iv. MED-Project provided County residents a combination of take-back events and kiosk drop-off sites for the collection of Unwanted Medicine in 2018. Policies and procedures for collecting, transporting, and disposing of Unwanted Medicine, as described in the approved Plan, were followed during the reporting period, with exceptions as described below and in Appendix D. Take-back events were conducted from January through October with events hosted at 11 separate venues. Over 2,643 pounds in total were collected during 2018, with an average of approximately 220 pounds collected per event. Oversight was performed by ACSO at all events in 2018. MED-Project submitted requests for exceptions to utilize common carrier for the transportation and disposal of Unwanted Medicine, which were granted by Alameda County DEH. Take-back events in 2018 utilized common carrier transport and were disposed of at Heritage Thermal Services in Ohio. Kiosk services agreements were executed with a total of two (2) LEAs and thirty-three (33) pharmacies and three (3) healthcare organizations, representing a total of thirty-eight (38) kiosk drop-off sites. Kiosk drop-off sites were implemented at LEAs and pharmacies in 2018 with a total of thirty-nine (39) kiosk installations (one site has two (2) kiosks) and activations at two (2) LEAs and thirty-six (36) pharmacies and/or hospitals/clinics with an onsite pharmacy. As reported in the 2017 MED-Project Alameda County, California Annual Report, based upon the potential for loose Unwanted Medicine to accumulate in the drop-slot, MED-Project worked with the kiosk vendor to design a retrofit for the drop-slot chute. MED-Project completed the retrofit for all kiosks placed under the Plan in Alameda County on March 1st, 2018. A total of thirty-two (32) drop-slot chute retrofits were performed. All new kiosk installations were equipped with this retrofit. MED-Project continues to capture data from take-back events and kiosk drop-off sites to evaluate performance on a routine basis. Page 19 5. EDUCATIONAL EFFORTS AND PUBLIC OUTREACH Alameda Health & Safety Code, Chapter 6.53.080 – Report. A.7. Alameda County Safe Drug Disposal Regulations, Section 15 – Annual Reports C.v. MED-Project uses a combination of printed materials, online media outlets, public service announcements, and other methods, such as the call center, to increase awareness of the Program, and to educate County residents about safe and available methods for disposal of Unwanted Medicine. In 2018, brochures (Figure 6) and posters were distributed to all active kiosk drop-off sites (Table 2), to ensure materials and information are available for residents. A primary objective of outreach efforts in 2018 was to raise awareness of the Program. Materials will continue to be distributed to active kiosk drop-off sites, community organizations, agencies, associations, and health systems to increase awareness and recruit additional sites for potential kiosk placement. In 2017, MED-Project selected a vendor to produce a 30-second animation that is now utilized as a Public Service Announcement for residents regarding safe and secure methods of disposal of Unwanted Medicine. MED-Project continues to utilize the animation video on social media websites and other media platforms, such as television. See Appendix C for more information regarding outreach activities in 2018. Page 20 Figure 6: MED-Project Double-Sided Brochure Page 21 MED-Project hosts a robust website for the Program, which was made available in 2015, and is updated periodically. The landing page for the website is located at http://www.med- project.org/locations/alameda. Figure 7: MED-Project Website Landing Page for Alameda County Page 22 Brochures, frequently asked questions (FAQs), and a public service announcement in video format can be viewed and/or downloaded from the website. Figure 8: MED-Project MEDinfo Page for Alameda County Page 23 A call center that provides information about drug disposal options in English and Spanish is available to Alameda County residents at (844) MED-PROJECT. Contact information is provided for current kiosk drop-off sites as well as sites interested in hosting a kiosk. Contact information for residents, pharmacies, LEAs, and producers can be found at https://med- project.org/locations/alameda/contact. Figure 9: MED-Project Contact Page for Alameda County MED-Project utilizes qualitative feedback as well as statistics from the website and call center to monitor and evaluate outreach and Program activities. For more information regarding outreach activities in 2018, please see Appendix C. Page 24 6. SAFETY AND SECURITY REPORT Alameda Health & Safety Code, Chapter 6.53.080 – Report. A.6. Alameda County Safe Drug Disposal Regulations, Section 15 – Annual Reports C.vi. No safety or security problems were identified during the collection, transportation, or disposal of Unwanted Medicine in 2018. 7. PARTICIPATING PRODUCERS Alameda Health & Safety Code, Chapter 6.53.080 – Report. A.1. Alameda County Safe Drug Disposal Regulations, Section 15 – Annual Reports D.i. Information on producers that participate in the MED-Project program is provided to the Alameda County DEH according to the requirements specified in the Ordinance, and is located in Appendix B. 8. COLLECTION POINTS 8.1. Collection Point Information Alameda Health & Safety Code, Chapter 6.53.080 – Report. A.2. Alameda County Safe Drug Disposal Regulations, Section 15 – Annual Reports D.ii For information on kiosk drop-off sites and collected Unwanted Medicine by weight in 2018, please see Section 2.3 and Appendix E. Collection services at kiosk drop-off sites began after kiosk installation and activation, and the frequency of collection services is specified based on the needs at each kiosk drop-off site. The number of times each kiosk drop-off site was serviced for collection and the total pounds collected and disposed of from each kiosk drop-off site in 2018 is included in Appendix E. 9. MAIL-BACK PROGRAMS 9.1. Mail-Back Services Alameda Health & Safety Code, Chapter 6.53.080 – Report. A.2. Alameda County Safe Drug Disposal Regulations, Section 15 – Annual Reports D.iii MED-Project has not implemented mail-back services in Alameda County. Page 25 10. DISPOSAL FACILITY 10.1. Disposal Facility Information Alameda Health & Safety Code, Chapter 6.53.080 – Report. A.4. Alameda County Safe Drug Disposal Regulations, Section 15 – Annual Reports D.iv.a. The disposal facilities6 MED-Project used in 2018 were: Name: Veolia – Port Arthur Phone: (409) 736-2821 Veolia business address: 3.5 miles W Taylor’s Bayou Port Arthur, TX 77640 Veolia-Port Arthur disposal facility: Veolia-Port Arthur 7665 Texas Highway 73 Beaumont, TX 77705 Name: Heritage Thermal Services Inc. Phone: (800) 545-7655 Heritage Thermal Services headquarters address: Heritage Environmental 7901 W Morris St. Indianapolis, IN 46231 Heritage Thermal Services disposal facility: Heritage Thermal Services 1250 Saint George Street East Liverpool, OH 43920 Name: Stericycle, Inc., Warren, Ohio Facility Phone: (330) 393-0370 Stericycle Specialty Waste Solutions, Inc. address: 2850 100th Court N.E. Blaine, MN 55449 Stericycle, Inc. Warren, Ohio disposal facility: Stericycle, Inc. 1901 Pine Avenue, S.E. Warren, OH 44483 6 Notice of change in disposal facility sent to Alameda County DEH on November 26, 2018. Page 26 10.2. Product Disposal Information Alameda Health & Safety Code, Chapter 6.53.080 – Report. A.4. Alameda County Safe Drug Disposal Regulations, Section 15 – Annual Reports D.iv.b. The total weight of collected products in 2018 and incinerated at the Stericycle, Inc. Warren, Ohio disposal facility totaled 623 pounds. The total weight of collected products incinerated in 2018 at the Veolia-Port Arthur disposal facility totaled 2,065 pounds. The total weight of collected products in 2018 and incinerated at the Heritage Thermal Services, Inc. disposal facility totaled 32,402.5 pounds. See Appendix E for more information regarding kiosk servicing and pounds collected in 2018. Page 27 APPENDIX A Licensed pharmacies7 with license status of “CLEAR” in Alameda County as of February 6, 2019. SITE NAME ADDRESS CITY ZIP ACCESS PHARMACY 2693 FRUITVALE AVE OAKLAND 94601 AHF PHARMACY 400 THIRTIETH ST STE 300 OAKLAND 94609 ALTA BATES SUMMIT MEDICAL CENTER-SUMMIT CAMPUS 350 HAWTHORNE AVE OAKLAND 94609 ALTA BATES SUMMIT OUTPATIENT PHARMACY 2001 DWIGHT WAY STE 2182 BERKELEY 94704 BRADFORD PHARMACY INC. 445 8TH STREET OAKLAND 94607 CALIFORNIA STATE UNIVERSITY, EAST BAY 25800 CARLOS BEE BLVD HAYWARD 94542 CAPSULE PHARMACY 2557 MOWRY AVE #11 FREMONT 94538 CENTRAL ADMIXTURE PHARMACY SERVICES INC 48006 FREMONT BLVD FREMONT 94538 CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND 747 52ND ST OAKLAND 94609 CHILDRENS CLINIC PHARMACY 747 52ND STREET OAKLAND 94609 CLEAR CHOICE PHARMACY 3059 HOPYARD RD STE C PLEASANTON 94588 COMMUNITY A WALGREENS PHARMACY #16477 3009 BROADWAY OAKLAND 94611 CORAM CVS/SPECIALTY INFUSION SERVICES 3160 CORPORATE PLACE HAYWARD 94545 COSTCO PHARMACY #1061 28505 HESPERIAN BLVD HAYWARD 94545 COSTCO PHARMACY #146 2800 INDEPENDENCE DRIVE LIVERMORE 94550 COSTCO PHARMACY #778 43621 PACIFIC COMMONS BLVD FREMONT 94538 COSTCO PHARMACY 118 1900 DAVIS STREET SAN LEANDRO 94577 CPP PET CARE 3157 CORPORATE PL HAYWARD 94545 CRESCENT HEALTHCARE 25901 INDUSTRIAL BLVD HAYWARD 94545 CVS/PHARMACY # 10121 2655 TELEGRAPH AVE BERKELEY 94704 CVS/PHARMACY # 10199 26059 MISSION BLVD HAYWARD 94544 7 http://www2.dca.ca.gov/pls/wllpub/wllqryna$lcev2.startup?p_qte_code=PHX&p_qte_pgm_code=7200 Page 28 SITE NAME ADDRESS CITY ZIP CVS/PHARMACY # 10924 3010 BERNAL AVE PLEASANTON 94566 CVS/PHARMACY # 16116 7200 AMADOR PLAZA RD DUBLIN 94568 CVS/PHARMACY # 16275 4300 LAS POSITAS RD LIVERMORE 94551 CVS/PHARMACY # 16764 15555 E 14TH ST STE 400 SAN LEANDRO 94578 CVS/PHARMACY # 16804 2499 WHIPPLE RD HAYWARD 94544 CVS/PHARMACY # 17044 1057 EASTSHORE HWY ALBANY 94710 CVS/PHARMACY # 17265 19661 HESPERIAN BLVD HAYWARD 94541 CVS/PHARMACY # 17592 43950 PACIFIC COMMONS BLVD FREMONT 94538 CVS/PHARMACY # 17624 1555 40TH STREET EMERYVILLE 94608 CVS/PHARMACY # 17628 2800 DUBLIN BLVD DUBLIN 94568 CVS/PHARMACY # 17657 2700 5TH ST ALAMEDA 94501 CVS/PHARMACY # 17673 2187 SHATTUCK AVE BERKELEY 94704 CVS/PHARMACY #0331 2000 DRISCOLL RD FREMONT 94539 CVS/PHARMACY #0414 14869 E 14TH ST SAN LEANDRO 94578 CVS/PHARMACY #0816 22501 FOOTHILL BLVD HAYWARD 94541 CVS/PHARMACY #09378 4100 REDWOOD RD OAKLAND 94619 CVS/PHARMACY #09397 4405 1ST ST LIVERMORE 94551 CVS/PHARMACY #09494 35080 NEWARK BLVD NEWARK 94560 CVS/PHARMACY #09553 4349 SAN PABLO AVENUE EMERYVILLE 94608 CVS/PHARMACY #09595 1382 SOLANO AVE ALBANY 94706 CVS/PHARMACY #09600 35720 FREMONT BLVD FREMONT 94536 CVS/PHARMACY #09622 243 W JACKSON ST HAYWARD 94544 CVS/PHARMACY #09635 1550 E 14TH STREET SAN LEANDRO 94577 CVS/PHARMACY #09678 1500 1ST ST LIVERMORE 94550 CVS/PHARMACY #09876 699 LEWELLING BLVD SAN LEANDRO 94579 CVS/PHARMACY #09904 3667 CASTRO VALLEY BLVD CASTRO VALLEY 94546 CVS/PHARMACY #09929 2000 MOUNTAIN BLVD OAKLAND 94611 CVS/PHARMACY #09941 1451 SHATTAUCK AVE BERKELEY 94709 CVS/PHARMACY #09942 1401 WASHINGTON AVE SAN LEANDRO 94577 CVS/PHARMACY #09957 344 THOMAS L BERKLEY WAY OAKLAND 94612 CVS/PHARMACY #10119 6750 BERNAL AVE PLEASANTON 94566 CVS/PHARMACY #1283 3236 LAKESHORE AVE OAKLAND 94610 CVS/PHARMACY #3024 7201 REGIONAL ST DUBLIN 94568 Page 29 SITE NAME ADDRESS CITY ZIP CVS/PHARMACY #3026 2300 SHATTUCK AVE BERKELEY 94704 CVS/PHARMACY #8431 7200 BANCROFT AVE OAKLAND 94605 CVS/PHARMACY #9099 4020 FREMONT HUB FREMONT 94538 CVS/PHARMACY #9128 2314 SANTA CLARA AVE ALAMEDA 94501 CVS/PHARMACY #9130 175 41ST ST OAKLAND 94611 CVS/PHARMACY #9226 3320 FRUITVALE AVE OAKLAND 94602 CVS/PHARMACY #9234 46445 MISSION BLVD FREMONT 94539 CVS/PHARMACY #9250 885 ISLAND DR STE A ALAMEDA 94502 CVS/PHARMACY #9251 3999 SANTA RITA ROAD PLEASANTON 94588 CVS/PHARMACY #9255 931 MARINA VILLAGE PKWY ALAMEDA 94501 DIRECT PHARMACY 15099 HESPERIAN BLVD STE B SAN LEANDRO 94578 DOLPHIN HEALTH PHARMACY 7400 MACARTHUR BLVD NO A OAKLAND 94605 EAST BAY AIDS CENTER OUTPATIENT PHARMACY 3100 SUMMIT ST OAKLAND 94609 EAST OAKLAND HEALTH PHARMACY 7450 INTERNATIONAL BLVD OAKLAND 94621 EDEN MEDICAL CENTER 20103 LAKE CHABOT RD CASTRO VALLEY 94546 ENTIRELYPETS PHARMACY 34571 SEVENTH ST UNION CITY 94587 FOODMAXX PHARMACY #484 3100 EAST 9TH ST OAKLAND 94601 FREMONT HOSPITAL 39001 SUNDALE DR FREMONT 94538 GARFIELD BEACH CVS LLC CVS/PHARMACY #10475 2964 BROADWAY OAKLAND 94611 GARFIELD BEACH CVS LLC CVS/PHARMACY #17712 1414 UNIVERSITY AVE BERKELEY 94702 HALLER’S LTC PHARMACY 4067 PERALTA BLVD FREMONT 94536 HALLER’S PHARMACY AND MEDICAL SUPPLY 37323 FREMONT BLVD FREMONT 94536 JADE PHARMACY 34460 FREMONT BLVD STE B FREMONT 94555 JOHN GEORGE PSYCHIATRIC PAVILION PHY 2060 FAIRMONT DRIVE SAN LEANDRO 94578 KAISER FDN HLT PLAN FABIOLA 1 PHY 94538115 3801 HOWE ST 1ST FLR OAKLAND 94611 KAISER FOUNDATION CPP PHARMACY 251 300 G PULLMAN STREET LIVERMORE 94550 KAISER HEALTH PLAN NILES 3 PHY 164 39400 PASEO PADRE PARKWAY FREMONT 94538 Page 30 SITE NAME ADDRESS CITY ZIP KAISER HEALTH PLAN NILES PHY 161 39400 PASEO PADRE PARKWAY FREMONT 94538 KAISER HEALTH PLAN NORTH 1 PHY 473 5600 STONERIDGE MALL ROAD PLEASANTON 94588 KAISER HEALTH PLAN OHLONE PHY 162 39400 PASEO PADRE PARKWAY FREMONT 94538 KAISER HEALTH PLAN PEDIATRIC PHY 118 3505 BROADWAY OAKLAND 94611 KAISER HEALTH PLAN SOUTH 1 PHY 471 7601 STINERIDGE DRIVE PLEASANTON 94588 KAISER HEALTH PLAN SOUTH 2 PHY 472 7601 STINERIDGE DRIVE PLEASANTON 94588 KAISER HLTH PLAN SLEEPY HOLLOW PHY 143 27303 SLEEPY HOLLOW AVENUE SOUTH HAYWARD 94545 KAISER ONCOLOGY PHARMACY #104 3701 BROADWAY FLR 3 OAKLAND 94611 KAISER ONCOLOGY PHARMACY #165 39400 PASEO PADRE PKWY NILES BLDG 2ND FL FREMONT 94538 KASIER PERMANENTE PHARMACY #102 3701 BROADWAY FLR 1 OAKLAND 94611 KASIER PERMANENTE PHARMACY #105 3600 BROADWAY FL 1 OAKLAND 94611 KASIER PERMANENTE PHARMACY #181 1795 SECOND ST, SUITE B BERKELEY 94710 KASIER PERMANENTE PHARMACY #241 3000 LAS POSITAS RD LIVERMORE 94550 KASIER PERMANENTE PHARMACY #921 2500 MERCED ST FL 1 SAN LEANDRO 94577 KASIER PERMANENTE PHARMACY #922 2500 MERCED ST 2NF FL RM 2966 SAN LEANDRO 94577 KASIER PERMANENTE PHARMACY NO 101 2417 CENTRAL AVE ALAMEDA 94501 KASIER UNION CITY MAIN MOB 2 PHY #132 3553 WHIPPLE RD UNION CITY 94587 LA CLINICA DE LA RAZA 3451 E 12TH ST OAKLAND 94601 LA CLINICA DE LA RAZA, INC. 1030 INTERNATIONAL BLVD OAKLAND 94606 LIFESCRIPT PHARMACY 7700 EDGEWATER DR #220 OAKLAND 94621 LIRX 1860 MOWRY AVE STE 102 FREMONT 94538 LUCKY PHARMACY #711 40055 MISSION BLVD FREMONT 94539 LUCKY PHARMACY #712 34101 FREMONT BLVD FREMONT 94555 Page 31 SITE NAME ADDRESS CITY ZIP LUCKY PHARMACY #714 5000 MOWRY AVE FREMONT 94538 LUCKY PHARMACY #715 22555 MISSION BLVD HAYWARD 94541 LUCKY PHARMACY #716 25151 SANTA CLARA ST HAYWARD 94544 LUCKY PHARMACY #721 2000 PORTOLA AVE LIVERMORE 94550 LUCKY PHARMACY #722 1951 HOLMES ST LIVERMORE 94550 LUCKY PHARMACY #736 247 E 18TH ST OAKLAND 94606 LUCKY PHARMACY #744 6155 W LAS POSITAS BLVD PLEASANTON 94588 LUCKY PHARMACY #767 1300 FAIRMONT DR SAN LEANDRO 94578 LUCKY PHARMACY #768 15840 HESPERIAN BLVD SAN LORENZO 94580 LUCKY PHARMACY #782 32300 DYER ST UNION CITY 94587 MASONIC HOME PHARMACY 34400 MISSION BLVD UNION CITY 94587 MAXOR CORRECTIONAL PHARMACY SERVICES 5325 BRODER BLVD DUBLIN 94568 MAXOR CORRECTIONAL PHARMACY SERVICES 550 6TH ST OAKLAND 94607 MEDICAL ARTS PHARMACY 13847 E 14TH STE 103 SAN LEANDRO 94578 MIDTOWN PHARMACY PROFESSIONAL CORPORATION 2173 HARBOR BAY PARKWAY ALAMEDA 94502 MISSION PHARMACY 22138 MISSION BLVD HAYWARD 94541 MOWRY MEDICAL PHARMACY 1999 MOWRY AVE FREMONT 94538 MOWRY PLAZA PHARMACY 668 MOWRY AVE FREMONT 94536 MY LAN PHARMACY 401 EAST 18TH STREET - SUITE B OAKLAND 94606 NEW CHINA TOWN PHARMACY 719 EAST 12TH STREET OAKLAND 94606 NEW OAKLAND PHARMACT – LAKE MERRITT 250 E 18TH ST 3RD FL OAKLAND 94606 NEW OAKLAND PHARMACY #1 333 9TH ST OAKLAND 94607 NEW OAKLAND PHARMACY#2 388 9TH ST #108 OAKLAND 94607 NEW TIBURCIO VASQUEZ HEALTH CENTER PHY 33255 9TH STREET UNION CITY 94587 NICHOLS HILL PRESCRIPTION PHARMACY 2844 SUMMITT STREET OAKLAND 94609 OAKLAND PHARMACY 5220 CLAREMONT AVE OAKLAND 94618 OMNICARE OF HAYWARD 20967 CABOT BLVD HAYWARD 94545 Page 32 SITE NAME ADDRESS CITY ZIP ONE POINT PATIENT CARE LLC 1599 FACTOR AVE STE B SAN LEANDRO 94577 PACIFIC PHARMACY 650 E. 14TH STREET OAKLAND 94606 PERALTA OUTPATIENT PHARMACY 3300 WEBSTER ST GROUND FL OAKLAND 94609 PETNET SOLUTIONS INC DBA PETNET PHARMACEUTICAL 26563 CORPORATE AVE STE 102 HAYWARD 94545 PHARMACA INTEGRATIVE PHARMACY 5729 COLLEGE AVE OAKLAND 94618 PHARMACA INTEGRATIVE PHARMACY 1744 SOLANO AVE BERKELEY 94707 PHARMERICA 32980 ALVARADO- NILES RD STE 836 UNION CITY 94587 PLEASANT CARE PHARMACY 1652 B ST HAYWARD 94541 POSTMEDS INC 31123 MISSION BLVD #201 HAYWARD 94544 RALEYS PHARMACY #315 39200 PASEO PADRE PARKWAY FREMONT 94538 RALEYS PHARMACY #316 5420 SUNOL BLVD. PLEASANTON 94566 REDWOOD LTC PHARMACY 3160 CASTRO VALLEY BLVD STE 101 CASTRO VALLEY 94546 RITE AID 5918 3744 MOWRY AVENUE FREMONT 94538 RITE AID 5920 31091 MISSION BLVD HAYWARD 94544 RITE AID 5922 3848 CASTRO VALLEY BOULEVARD CASTRO VALLEY 94546 RITE AID 5925 968 MURRIETA BLVD LIVERMORE 94550 RITE AID 5937 1355 MAC ARTHUR BOULEVARD SAN LEANDRO 94577 RITE AID 5942 31836 ALVARADO BLVD UNION CITY 94587 RITE AID 5943 1650 DECOTO ROAD UNION CITY 94587 RITE AID 5944 2819 HOPYARD ROAD PLEASANTON 94588 RITE AID 5952 1991 MOUNTAIN BOULEVARD OAKLAND 94611 RITE AID NO 6456 1350 N VASCO RD LIVERMORE 94551 SAFEWAY PHARMACY #0676 1500 SOLANO AVE ALBANY 94706 SAFEWAY PHARMACY #0691 1444 SHATTUCK PLACE BERKELEY 94709 SAFEWAY PHARMACY #0768 20629 REDWOOD RD CASTRO VALLEY 94546 SAFEWAY PHARMACY #0908 3550 FRUITVALE AVE OAKLAND 94602 SAFEWAY PHARMACY #0951 867 ISLAND DR ALAMEDA 94502 SAFEWAY PHARMACY #0971 22280 FOOTHILLS BLVD HAYWARD 94541 Page 33 SITE NAME ADDRESS CITY ZIP SAFEWAY PHARMACY #0993 3902 WASHINGTON BLVD FREMONT 94538 SAFEWAY PHARMACY #1197 1790 DECOTO RD UNION CITY 94587 SAFEWAY PHARMACY #1257 4495 FIRST ST LIVERMORE 94551 SAFEWAY PHARMACY #1931 46848 MISSION BLVD FREMONT 94539 SAFEWAY PHARMACY #1932 4440 TASSAJARA RD DUBLIN 94568 SAFEWAY PHARMACY #1953 7499 DUBLIN BLVD DUBLIN 94568 SAFEWAY PHARMACY #2708 2227 S SHORE CENTER ALAMEDA 94501 SAFEWAY PHARMACY #2856 6790 BERNAL AVE PLEASANTON 94566 SAFEWAY PHARMACY #2870 6310 COLLEGE AVE OAKLAND 94618 SAFEWAY PHARMACY #3125 3889 SAN PABLO AVE EMERYVILLE 94608 SAFEWAY PHARMACY #3132 5100 BROADWAY OAKLAND 94611 SAFEWAY PHARMACY #3281 2600 5TH ST ALAMEDA 94501 SAN LEANDRO HOSPITAL 13855 EAST 14TH ST SAN LEANDRO 94578 SKILLED NURSING PHARMACY 21150 CABOT BLVD HAYWARD 94545 SOLEO HEALTH INC 1324 W WINTON AVE HAYWARD 94545 ST ROSE HOSPITAL PHARMACY 27200 CALAROGA AVENUE HAYWARD 94545 STANFORD EMERYVILLE HEALTH CENTER PHARMACY 5800 HOLLIS ST RM 2325 EMERYVILLE 94608 SUTTER INFUSION & PHARMACY SERVICES 1105 ATLANTIC AVE STE 102 ALAMEDA 94501 TEDS DRUGS 27453 HESPERIAN BLVD HAYWARD 94545 TENNYSON PHARMACY 589 WEST TENNYSON ROAD HAYWARD 94544 THE MEDICINE SHOPPE 5860 OWENS DR STE 130 PLEASANTON 94588 TIB PHARMACY LLC 5886 MOWRY SCHOOL RD NEWARK 94560 UNITED PHARMACY 2929 TELEGRAPH AVE BERKELEY 94705 UNIVERSITY HEALTH SERVICE PHARMACY 2222 BANCROFT AVE RM 1115 BERKELEY 94702 VALLEY CARE MEDICAL CENTER PHARMACY 5555 WEST LAS POSITAS PLEASANTON 94588 VALLEY MEMORIAL HOSPITAL PHARMACY 1111 EAST STANLEY BOULEVARD LIVERMORE 94550 VERSAILLES PHARMACY 2801 ENCINAL AVE ALAMEDA 94501 VIBRANT CARE PHARMACY INC 7400 MACARTHUR BLVD STE B OAKLAND 94605 VITACARE PHARMACY 2447 TELEGRAPH AVE OAKLAND 94612 Page 34 SITE NAME ADDRESS CITY ZIP WAL MART PHARMACY 10 2031 30600 DYER STREET UNION CITY 94587 WAL-MART PHARMACY 10- 1972 2700 LAS POSITAS RD LIVERMORE 94551 WAL-MART PHARMACY 10- 5434 15555 HESPERIAN BLVD SAN LEANDRO 94579 WAL-MART PHARMACY 10- 5611 3112 SANTA RITA RD PLEASANTON 94566 WALGREEN CO D/B/A WALGREENS #15330 5809 FOOTHILL BLVD OAKLAND 94605 WALGREENS #00101 3382 CASTRO VALLEY BLVD CASTRO VALLEY 94546 WALGREENS #01536 3434 HIGH STREET OAKLAND 94619 WALGREENS #01537 3232 FOOTHILL BLVD OAKLAND 94601 WALGREENS #01625 5055 TELEGRAPH AVE OAKLAND 94609 WALGREENS #02150 1763 SANTA RITA RD PLEASANTON 94566 WALGREENS #02306 1138 W TENNYSON RD HAYWARD 94544 WALGREENS #02314 1050 GILMAN ST BERKELEY 94710 WALGREENS #02366 3860 DECOTO ROAD FREMONT 94555 WALGREENS #02401 21463 FOOTHILL BLVD HAYWARD 94541 WALGREENS #02426 15500 WASHINGTON AVE SAN LEANDRO 94579 WALGREENS #02609 2995 SAN PABLO AVE BERKELEY 94702 WALGREENS #02660 41400 BLACOW RD FREMONT 94538 WALGREENS #03170 3400 TELEGRAPH AVE OAKLAND 94609 WALGREENS #03295 8102 INTERNATIONAL BLVD OAKLAND 94621 WALGREENS #04050 1916 WEBSTER ST ALAMEDA 94501 WALGREENS #04517 2600 MOWRY AVE FREMONT 94538 WALGREENS #04614 2801 ADELINE ST BERKELEY 94703 WALGREENS #04659 164 W JACKSON ST HAYWARD 94544 WALGREENS #06502 23958 HESPERIAN BLVD HAYWARD 94541 WALGREENS #07274 1456 136TH AVE SAN LEANDRO 94578 WALGREENS #09248 2300 OTIS DRIVE ALAMEDA 94501 WALGREENS #10045 2310 TELEPGRPAH AVE BERKELEY 94704 WALGREENS #10526 3250 LAKESHORE AVE SUITE B OAKLAND 94610 WALGREENS #11706 301 EAST 18TH STREET OAKLAND 94606 WALGREENS #13595 1333 BROADWAY OAKLAND 94612 WALGREENS #13858 1607 SHATTUCK AVE BERKELEY 94709 WALGREENS #15025 2190 SHATTUCK AVE BERKELEY 94704 WALGREENS #15163 1620 FIRST STREET LIVERMORE 94550 Page 35 SITE NAME ADDRESS CITY ZIP WALGREENS #15666 1600 PARK ST ALAMEDA 94501 WALMART PHARMACY #10- 2989 44009 OSGOOD RD FREMONT 94539 WALMART PHARMACY #10- 5426 40580 ALBRAE ST FREMONT 94538 WALMART PHARMACY 10 2161 4501 ROSEWOOD DRIVE PLEASANTON 94588 WALMART PHARMACY NO 10 2648 1919 DAVIS STREET SAN LEANDRO 94577 WELLSPRING COMPOUNDING PHARMACY 2461 SHATTUCK AVE BERKELEY 94704 WELLSPRING PHARMACY 4184 C PIEDMONT AVE OAKLAND 94611 WEST OAKLAND HEALTH CENTER PHARM 700 ADELINE ST OAKLAND 94607 Page 36 APPENDIX B A list of participants in the MED-Project program in Alameda County is provided to Alameda County DEH on a regular basis. The list below includes those producers participating during the reporting period. PARENT COMPANY COMPANY NAME ADDRESS CITY STATE ZIP COUNTRY 3M Corporation 3M Corporation 3M Center 275-5W-06 Saint Paul MN 55144 United States 3M Corporation 3M Critical and Chronic Care 3M Center 275-5W-06 Saint Paul MN 55144 United States 3M Corporation 3M Drug Delivery Systems 3M Center 275-5W- 06, 275-3E-02 St. Paul MN 55144 United States 3M Corporation 3M ESPE 3M Center 275-5W-06 Saint Paul MN 55144 United States 3M Corporation 3M Health Care 3M Center 275-5W-06 Saint Paul MN 55144 United States 3M Corporation 3M Infection Prevention 3M Center, 275-3E-02 St. Paul MN 55144 United States 3M Corporation 3M Oral Care 3M Center, 275-2W- 08 St. Paul MN 55144 United States 3M Corporation 3M Personal Care 3M Center 275-5W-06 Saint Paul MN 55144 United States AbbVie Inc. AbbVie Inc. 1 North Waukegan Road North Chicago IL 60064 United States AbbVie Inc. Pharmacyclics, subsidiary of AbbVie Inc. 999 East Arques Avenue Sunnyvale CA 94085 United States ACADIA Pharmaceuticals Inc. ACADIA Pharmaceuticals Inc. 3611 Valley Centre Drive, Suite 300 San Diego CA 92130 United States Accord Healthcare Inc. Accord Healthcare Inc. 1009 Slater Road, Suite 210-B Durham NC 27703 United States Acorda Therapeutics, Inc. Acorda Therapeutics, Inc. 420 Saw Mill River Road Ardsley NY 10502 United States Acorda Therapeutics, Inc. Civitas Therapeutics, Inc. 420 Saw Mill River Road Ardsley NY 10502 United States Actelion Pharmaceuticals US, Inc. Actelion Pharmaceuticals US, Inc. 5000 Shoreline Court, Suite 200 South San Francisco CA 94080 United States Page 37 PARENT COMPANY COMPANY NAME ADDRESS CITY STATE ZIP COUNTRY Actelion Pharmaceuticals US, Inc. Ceptaris Therapeutics, LLC 5000 Shoreline Court Suite 200 South San Francisco CA 94080 United States Actelion Pharmaceuticals US, Inc. CoTherix, Inc. 5000 Shoreline Court Suite 200 South San Francisco CA 94080 United States Aegerion Pharmaceuticals, Inc. Aegerion Pharmaceuticals, Inc. One Main Street, Ste. 800 Cambridg e MA 02142 United States Afaxys Inc. Afaxys Inc. PO Box 20639 Charleston SC 29413 United States Afaxys Inc. Afaxys Pharmaceuticals (a division of Afaxys Inc.) PO Box 20639 Charleston SC 29413 United States Akorn, Inc. Advanced Vision Research Inc. d.b.a. Akorn Consumer Health C/O Akorn, Inc., 1925 West Field Court, Suite 300 Lake Forest IL 60045 United States Akorn, Inc. Akorn Animal Health, Inc. C/O Akorn, Inc, 1925 West Field Court, Suite 300 Lake Forest IL 60045 United States Akorn, Inc. Akorn, Inc. 1925 West Field Court, Suite 300 Lake Forest IL 60045 United States Akorn, Inc. Clover Pharmaceuticals Corp. C/O Akorn, Inc., 1925 West Field Court, Suite 300 Lake Forest IL 60045 United States Akorn, Inc. Hi-Tech Pharmacal Co., Inc. 369 Bayview Avenue Amityville NY 11701 United States Akorn, Inc. Oak Pharmaceuticals, Inc. C/O Akorn, Inc., 1925 West Field Court, Suite 300 Lake Forest IL 60045 United States Akorn, Inc. Olta Pharmaceuticals Corp. C/O Akorn, Inc., 1925 West Field Court Suite 300 Lake Forest IL 60045 United States Akorn, Inc. Versapharm, Incorporated C/O Akorn, Inc., 1925 West Field Court,Suite 300 Lake Forest IL 60045 United States Page 38 PARENT COMPANY COMPANY NAME ADDRESS CITY STATE ZIP COUNTRY Akrimax Pharmaceuticals, LLC Akrimax Pharmaceuticals, LLC 11 Commerce Drive, First Floor Cranford NJ 07016 United States AKRON COATING & ADHESIVES AKRON COATING & ADHESIVES 367 Stanton Ave Akron OH 44301 United States Alembic Pharmaceuticals Inc. Alembic Pharmaceuticals 750 Highway 202, Suite 410 Bridgewat er NJ 08807 United States Allergan, Inc. Actavis Pharma, Inc. (only for labeler code 52544) 400 Interpace Pkwy Bldg A Parsippan y NJ 07054 United States Allergan, Inc. Allergan Sales, LLC 5 Giralda Farms Madison NJ 07940 United States Allergan, Inc. Allergan USA, Inc. 5 Giralda Farms Madison NJ 07940 United States Allergan, Inc. Allergan, Inc. 2525 Dupont Dr Irvine CA 92612 United States Allergan, Inc. Aptalis Pharma US, Inc. 5 Giralda Farms Madison NJ 07940 United States Allergan, Inc. Durata Therapeutics US Limited c/o Durata Therapeautics, Inc., 200 S. Wacker Drive, Suite 2550 Chicago IL 60606 United States Allergan, Inc. Forest Laboratories, LLC Corporation Trust Centre, 1209 Orange St Wilmingto n New Castle DE 19801 United States Allergan, Inc. Forest Laboratories, LLC (formerly Inc.) Corporation Trust Centre, 1209 Orange St Wilmingto n New Castle DE 19801 United States Allergan, Inc. Pacific Pharma, Inc. 5 Giralda Farms Madison NJ 07940 United States Allergan, Inc. Warner Chilcott (US), LLC 5 Giralda Farms Madison NJ 07940 United States Allergan, Inc. Watson Laboratories Inc. (only for labeler code 52544) 400 Interpace Pkwy Bldg A Parsippan y NJ 07054 United States Allergan, Inc. Watson Laboratories, Inc. (only for labeler code 52544) 400 Interpace Pkwy Bldg A Parsippan y NJ 07054 United States Page 39 PARENT COMPANY COMPANY NAME ADDRESS CITY STATE ZIP COUNTRY Alva-Amco Pharmacal Companies, Inc. Alva-Amco Pharmacal Companies, Inc. 7711 N Merrimac Avenue Niles IL 60714 United States Alvogen Pharma US, Inc. Almatica Pharma, Inc. 10 Bloomfield Ave Pine Brook NJ 07058 United States Alvogen Pharma US, Inc. Alvogen Pharma US, Inc. 10 Bloomfield Ave Pine Brook NJ 07058 United States Alvogen Pharma US, Inc. Alvogen, Inc. 10 Bloomfield Ave Pine Brook NJ 07058 United States Alvogen Pharma US, Inc. County Line Pharmaceuticals LLC 10 Bloomfield Ave Pine Brook NJ 07058 United States Alvogen Pharma US, Inc. Norwich Pharmaceuticals, Inc. 6829 State Highway 12 Norwich NY 13815 United States AMAG Pharmaceuticals, Inc. AMAG Pharma USA, Inc. 1100 Winter Street, Suite 3000 Waltham MA 02451 United States AMAG Pharmaceuticals, Inc. 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Honore Avenue, Suite 211 Sarasota FL 34243 United States Welmedix Consumer Healthcare Welmedix Consumer Healthcare 103 Carnegie Center, Suite 200 Princeton NJ 08540 United States West-Ward Pharmaceuticals, Inc./A Hikma Company Al Jazeera Pharmaceutical Industries Ltd 2 Esterbrook Lane Cherry Hill NJ 08003 United States West-Ward Pharmaceuticals, Inc./A Hikma Company Hikma Americas 2 Esterbrook Lane Cherry Hill NJ 08003 United States West-Ward Pharmaceuticals, Inc./A Hikma Company Hikma Farmaceutica, S.A. 2 Esterbrook Lane Cherry Hill NJ 08003 United States Page 71 PARENT COMPANY COMPANY NAME ADDRESS CITY STATE ZIP COUNTRY West-Ward Pharmaceuticals, Inc./A Hikma Company Hikma International Pharmaceuticals LLC 2 Esterbrook Lane Cherry Hill NJ 08003 United States West-Ward Pharmaceuticals, Inc./A Hikma Company Hikma Pharmaceuticals LLC 2 Esterbrook Lane Cherry Hill NJ 08003 United States West-Ward Pharmaceuticals, Inc./A Hikma Company Hikma Pharmaceuticals PLC 2 Esterbrook Lane Cherry Hill NJ 08003 United States West-Ward Pharmaceuticals, Inc./A Hikma Company Thymoorgan Pharmazie GmbH 2 Esterbrook Lane Cherry Hill NJ 08003 United States West-Ward Pharmaceuticals, Inc./A Hikma Company West-Ward Pharmaceutical Headquarters & Orals Manufacturing 2 Esterbrook Lane Cherry Hill NJ 08003 United States West-Ward Pharmaceuticals, Inc./A Hikma Company West-Ward Pharmaceutical— Distribution Warehouse 2 Esterbrook Lane Cherry Hill NJ 08003 United States West-Ward Pharmaceuticals, Inc./A Hikma Company West-Ward Pharmaceutical— Injectable Manufacturing Facility 2 Esterbrook Lane Cherry Hill NJ 08003 United States West-Ward Pharmaceuticals, Inc./A Hikma Company West-Ward Pharmaceuticals Corp.— Non-Injectables Manufacturing Facility 2 Esterbrook Lane Cherry Hill NJ 08003 United States West-Ward Pharmaceuticals, Inc./A Hikma Company West-Ward Pharmaceuticals International Limited 2 Esterbrook Lane Cherry Hill NJ 08003 United States West-Ward Pharmaceuticals, Inc./A Hikma Company West-Ward Pharmaceuticals, Inc./A Hikma Company 2 Esterbrook Lane Cherry Hill NJ 08003 United States Page 72 PARENT COMPANY COMPANY NAME ADDRESS CITY STATE ZIP COUNTRY West-Ward Pharmaceuticals, Inc./A Hikma Company West-Ward Pharmaceuticals— Research & Development 2 Esterbrook Lane Cherry Hill NJ 08003 United States Wisconsin Pharmacal Company, LLC Lake Consumer Products, Inc. (subsidiary of Wisconsin Pharmacal) 1 Pharmacal Way Jackson WI 53037 United States Wisconsin Pharmacal Company, LLC Wisconsin Pharmacal Company, LLC 1 Pharmacal Way Jackson WI 53037 United States Wockhardt USA LLC Morton Grove Pharmaceuticals, Inc. 6451 Main Street Morton Grove IL 60053 United States Wockhardt USA LLC Wockhardt Limited Wockhardt Towers, Bandra Kurla Complex Bandra (E) Mumbai 40005 1 India Wockhardt USA LLC Wockhardt USA LLC 20 Waterview Blvd., 3rd Floor Parsippan y NJ 07054 United States X-GEN Pharmaceuticals, Inc. X-GEN Pharmaceuticals, Inc. 300 Daniel Zenker Drive Horsehead s NY 14845 United States Xttrium Laboratories, Inc. Xttrium Laboratories, Inc. 1200 E. Business Center Dr Mount Prospect IL 60056 United States Zoetis Zoetis One Pfizer Way Lee's Summit MO 64081 United States Zydus Pharmaceuticals USA Inc Zydus Pharmaceuticals USA Inc 73 Route 31 North Penningto n NJ 08534 United States Page 73 APPENDIX C Information regarding outreach activities in 2018. TYPE PRINT/AI R DATE AIR TIME / AD PAGE PUBLICATION/STATION SOCIAL MEDIA 2-Jan-18 Announcement for Kiosks at Emeryville PD (FB, Twitter) Social Media Websites SOCIAL MEDIA 2-Jan-18 Announce Kiosk at Clayworth Healthcare Pharmacy (Twitter) Social Media Websites SOCIAL MEDIA 5-Jan-18 Announce Kiosk at Kaiser 3505 Broadway Pharmacy (Facebook) Social Media Websites SOCIAL MEDIA 8-Jan-18 Announce Kiosk at Kaiser 3701 Broadway Pharmacy (FB, Twitter) Social Media Websites SOCIAL MEDIA 10-Jan-18 Announce Kiosk at Kaiser 3801 Howe Street Pharmacy (FB, Twitter) Social Media Websites SOCIAL MEDIA 19-Jan-18 Announce Kiosk at Jade Pharmacy (FB, Twitter) Social Media Websites SOCIAL MEDIA 23-Jan-18 Announce Kiosk at Midtown Pharmacy (FB, Twitter) Social Media Websites SOCIAL MEDIA 24-Jan-18 Announce Alameda TBE at Highland Hospital (Facebook) Social Media Websites SOCIAL MEDIA 24-Jan-18 Announce Kiosk at Mission Pharmacy (Facebook) Social Media Websites SOCIAL MEDIA 27-Jan-18 Event Post – Highland Hospital (Facebook) Social Media Websites EVENT SITE 27-Jan-18 Announce Alameda TBE at Highland Hospital (Event Brite/SF Station) Social Media Websites WEBSITE POST 27-Jan-18 Event Post – Highland Hospital Website Post EVENT 27-Jan-18 Take-Back Event Highland Hospital MATERIALS 29-Jan-18 BART Police Department Materials SOCIAL MEDIA 30-Jan-18 Announce Kiosk at Newark Haller’s Pharmacy (Facebook) Social Media Websites SOCIAL MEDIA 1-Feb-18 Announce Kiosk at New Oakland Pharmacy #2 (Facebook) Social Media Websites SOCIAL MEDIA 1-Feb-18 Announce Kiosk at New Oakland Pharmacy #1 (Facebook) Social Media Websites SOCIAL MEDIA 12-Feb-18 Announce Kiosk at New Oakland – Lake Merritt Pharmacy (FB, Twitter) Social Media Websites SOCIAL MEDIA 15-Feb-18 Announce Kiosk at BART Police Station (FB, Twitter) Social Media Websites SOCIAL MEDIA 19-Feb-18 Announce Kiosk at Newark Police Station (FB, Twitter) Social Media Websites SOCIAL MEDIA 22-Feb-18 Announce Kiosk at Piedmont Police Station (FB, Twitter) Social Media Websites Page 74 TYPE PRINT/AI R DATE AIR TIME / AD PAGE PUBLICATION/STATION PRINT 25-Feb-18 Print Advertisement (p.B7) East Bay Times ONLINE AD 25-Feb-18 Online Digital Advertisement with 50,000 Impressions EastBayTimes.com SOCIAL MEDIA 26-Feb-18 Announce Kiosk at Stanford Emeryville Health Center (FB, Twitter) Social Media Websites SOCIAL MEDIA 26-Feb-18 Announce Kiosk at Ted’s Drugs (FB, Twitter) Social Media Websites PRINT 4-Mar-18 Print Advertisement (p.B5) East Bay Times SOCIAL MEDIA 5-Mar-18 Announce Kiosk at Tennyson Pharmacy (FB, Twitter) Social Media Websites SOCIAL MEDIA 8-Mar-18 Announce Kiosk at Vitacare Pharmacy (FB, Twitter) Social Media Websites SOCIAL MEDIA 12-Mar-18 Announce Kiosk at Washington Hospital Health System Pharmacy (FB, Twitter) Social Media Websites SOCIAL MEDIA 14-Mar-18 Announce Kiosk at Alameda Hospital (FB, Twitter) Social Media Websites MATERIALS 14-Mar-18 Alameda Hospital Materials MATERIALS 14-Mar-18 Berkeley Police Department Materials MATERIALS 14-Mar-18 Highland Hospital Outpatient Pharmacy Materials MATERIALS 14-Mar-18 San Leandro Hospital Materials SOCIAL MEDIA 20-Mar-18 Announce Kiosk at Berkeley Police Station (FB, Twitter) Social Media Websites SOCIAL MEDIA 20-Mar-18 Announce Kiosk at Alum Rock Pharmacy (FB, Twitter) Social Media Websites SOCIAL MEDIA 21-Mar-18 Announce Kiosk at Mowry Medical Pharmacy (FB, Twitter) Social Media Websites SOCIAL MEDIA 21-Mar-18 Event Announcement – WHHS “Let’s Go Green” (4/21) (Facebook) Social Media Websites SOCIAL MEDIA 21-Mar-18 Event Announcement – San Lorenzo Earth Day (4/21) (Facebook) Social Media Websites SOCIAL MEDIA 21-Mar-18 Event Announcement – HHW Pleasanton Fairgrounds (4/22) (Facebook) Social Media Websites SOCIAL MEDIA 26-Mar-18 Announce Kiosk at Highland Hospital (FB, Twitter) Social Media Websites SOCIAL MEDIA 29-Mar-18 Announce Kiosk at San Leandro Hospital (FB, Twitter) Social Media Websites SOCIAL MEDIA 2-Apr-18 Announce Kiosk at United Pharmacy (FB, Twitter) Social Media Websites EMAIL 2-Apr-18 Event Announcement – San Lorenzo Earth Day (4/21) Community Contacts SOCIAL MEDIA 4-Apr-18 Announce Kiosk at Wellspring Pharmacy (FB, Twitter) Social Media Websites Page 75 TYPE PRINT/AI R DATE AIR TIME / AD PAGE PUBLICATION/STATION DIGITAL 15-Apr-18 Started 1-month Digital Campaign Various Websites EVENT SITE 21-Apr-18 Announce Alameda TBE at San Lorenzo Earth Day (Event Brite, SF Station) Social Media Websites EVENT SITE 21-Apr-18 Announce Alameda TBE at “Let’s Go Green Together” (Event Brite, SF Station) Social Media Websites EVENT 21-Apr-18 Take-Back Event - San Lorenzo Earth Day Flyer Distribution EVENT 21-Apr-18 Take-Back Event -WHHS “Let’s Go Green Together” WHHS Flyer Distribution WEBSITE POST 21-Apr-18 Event Post – San Lorenzo Earth Day MED-Project Website WEBSITE POST 21-Apr-18 Event Post – “Let’s Go Green Together” MED-Project Website EVENT 22-Apr-18 Take-Back Event - Pleasanton Fairgrounds Flyer Distribution WEBSITE POST 22-Apr-18 Event Post – HHW Pleasanton Fairgrounds MED-Project Website SOCIAL MEDIA 4-May-18 Event Post – HHW San Leandro (5/6) (Facebook) Social Media Websites SOCIAL MEDIA 4-May-18 Event Post – HHW Alameda Naval Base (5/20) (Facebook) Social Media Websites SOCIAL MEDIA 4-May-18 Event Post – HHW Golden Gate Fields (6/24) (Facebook) Social Media Websites SOCIAL MEDIA 4-May-18 Event Post – HHW Oakland Coliseum (7/15) (Facebook) Social Media Websites EVENT 6-May-18 Take-Back Event- HHW San Leandro Flyer Distribution WEBSITE POST 6-May-18 Event Post – HHW San Lorenzo MED-Project Website SOCIAL MEDIA 18-May-18 MED-Project PSA (FB, Twitter) Social Media Websites EVENT 20-May-18 Take-Back Event - Alameda Naval Base Flyer Distribution WEBSITE POST 20-May-18 Event Post – Alameda Naval Base MED-Project Website EMAIL 21-May-18 Announce Unwanted Meds Kiosk Program Community Contacts SOCIAL MEDIA 16-Jun-18 Kiosk Site Post (FB, Twitter) Social Media Websites TV BROADCAST 17-Jun-18 Started 6-week long Television Advertisement Campaign Various Programs SOCIAL MEDIA 22-Jun-18 Kiosk Site Post (FB, Twitter) Social Media Websites WEBSITE POST 24-Jun-18 Event Post – Golden Gate Fields MED-Project Website EVENT 24-Jun-18 Take-Back Event - Golden Gate Fields Flyer Distribution SOCIAL MEDIA 28-Jun-18 Kiosk Site Post (FB, Twitter) Social Media Websites SOCIAL MEDIA 7-Jul-18 Kiosk Site Post (FB, Twitter) Social Media Websites EVENT 15-Jul-18 Take-Back Event - Oakland Coliseum Flyer Distribution Page 76 TYPE PRINT/AI R DATE AIR TIME / AD PAGE PUBLICATION/STATION SOCIAL MEDIA 25-Jul-18 Kiosk Site Post (FB, Twitter) Social Media Websites SOCIAL MEDIA 31-Jul-18 Event Announcement – HHW Canyon Middle School (7/31) (Facebook) Social Media Websites DIGITAL 1-Aug-18 Started 1-month Digital Campaign Various Sites WEBSITE POST 4-Aug-18 Event Post – HHW Canyon Middle School MED-Project Website EVENT 4-Aug-18 Take–Back Event - Canyon Middle School Flyer Distribution SOCIAL MEDIA 12-Aug-18 Kiosk Site Post (FB, Twitter) Social Media Websites SOCIAL MEDIA 23-Aug-18 Kiosk Site Post (FB, Twitter) Social Media Websites EMAIL 28-Aug-18 Announce Unwanted Meds Kiosk Program Community Contacts SOCIAL MEDIA 3-Sep-18 Event Announcement – Healthy Living Festival at Oakland Zoo (9/13) (Facebook) Social Media Websites MATERIALS 10-Sep-18 CVS/PHARMACY # 09378 Materials MATERIALS 10-Sep-18 CVS/PHARMACY # 09957 Materials MATERIALS 10-Sep-18 CVS/PHARMACY # 8431 Materials MATERIALS 10-Sep-18 CVS/PHARMACY # 9128 Materials MATERIALS 10-Sep-18 CVS/PHARMACY # 9130 Materials MATERIALS 10-Sep-18 CVS/PHARMACY # 9226 Materials MATERIALS 10-Sep-18 CVS/PHARMACY # 9250 Materials MATERIALS 10-Sep-18 CVS/PHARMACY # 9255 Materials MATERIALS 11-Sep-18 CVS/PHARMACY # 09397 Materials MATERIALS 11-Sep-18 CVS/PHARMACY # 09678 Materials MATERIALS 11-Sep-18 CVS/PHARMACY # 10119 Materials MATERIALS 11-Sep-18 CVS/PHARMACY # 10475 Materials MATERIALS 11-Sep-18 CVS/PHARMACY # 3024 Materials MATERIALS 11-Sep-18 CVS/PHARMACY # 9251 Materials MATERIALS 11-Sep-18 CVS/PHARMACY # 10199 Materials MATERIALS 11-Sep-18 CVS/PHARMACY # 10924 Materials MATERIALS 12-Sep-18 CVS/PHARMACY # 0331 Materials MATERIALS 12-Sep-18 CVS/PHARMACY # 0816 Materials Page 77 TYPE PRINT/AI R DATE AIR TIME / AD PAGE PUBLICATION/STATION MATERIALS 12-Sep-18 CVS/PHARMACY # 09494 Materials MATERIALS 12-Sep-18 CVS/PHARMACY # 09600 Materials MATERIALS 12-Sep-18 CVS/PHARMACY # 09622 Materials MATERIALS 12-Sep-18 CVS/PHARMACY # 9099 Materials MATERIALS 12-Sep-18 CVS/PHARMACY # 9234 Materials WEBSITE POST 4-Aug-18 Event Post – Healthy Living Festival at Oakland Zoo MED-Project Website EVENT 13-Sep-18 Take-Back Event – Healthy Living Festival at Oakland Zoo Flyer Distribution MATERIALS 13-Sep-18 CVS/PHARMACY # 0414 Materials MATERIALS 13-Sep-18 CVS/PHARMACY # 09553 Materials MATERIALS 13-Sep-18 CVS/PHARMACY # 09635 Materials MATERIALS 13-Sep-18 CVS/PHARMACY # 09876 Materials MATERIALS 13-Sep-18 CVS/PHARMACY # 09904 Materials MATERIALS 13-Sep-18 CVS/PHARMACY # 09941 Materials MATERIALS 13-Sep-18 CVS/PHARMACY # 10121 Materials MATERIALS 13-Sep-18 CVS/PHARMACY # 3026 Materials EMAIL 18-Aug-18 Event Announcement – Sunol Clean Up Event (9/29) Community Contacts SOCIAL MEDIA 20-Sep-18 Kiosk Site Post (FB, Twitter) Social Media Websites SOCIAL MEDIA 21-Sep-18 Event Announcement – Sunol Clean Up Event (9/29) (Facebook) Social Media Websites SOCIAL MEDIA 21-Sep-18 Event Announcement – HHW Golden Gate Fields (10/7) (Twitter) Social Media Websites WEBSITE POST 29-Sep-18 Event Post – Sunol Clean Up Event Flyer Distribution EVENT 29-Sep-18 Take-Back Event - Sunol Clean Up Event Flyer Distribution RADIO BROADCAST 1-Oct-18 Started 1-month Long Radio Campaign Various Stations SOCIAL MEDIA 7-Oct-18 Kiosk Site Post (FB, Twitter) Social Media Websites WEBSITE 7-Oct-18 Event Post – Golden Gate Fields MED-Project Website EVENT 7-Oct-18 Take-Back Event - Golden Gate Fields Flyer Distribution MATERIALS 24-Oct-18 CVS/PHARMACY # 09942 Materials Page 78 TYPE PRINT/AI R DATE AIR TIME / AD PAGE PUBLICATION/STATION SOCIAL MEDIA 12-Nov-18 Kiosk Site Post (FB, Twitter) Social Media Websites SOCIAL MEDIA 4-Dec-18 Kiosk Site Post (FB, Twitter) Social Media Websites EMAIL 18-Dec-18 Announce Unwanted Meds Kiosk Program Community Contacts SOCIAL MEDIA 21-Dec-18 Kiosk Site Post (FB, Twitter) Social Media Websites SOCIAL MEDIA 24-Dec-18 Kiosk Site Post (FB, Twitter) Social Media Websites Page 79 APPENDIX D Event: Notice of Change in Disposal Facility for Unwanted Medicine Boxes and Liners Date: November 7 and 12, 2018 Description: MED-Project notified the Department that kiosk boxes and inner liners containing unwanted medicine (“Unwanted Medicine Liners”) managed as part of the Plan would need to be destroyed at a back-up destruction facility because of cancelled appointments at the primary facility, Heritage Thermal Services, located at 1250 Saint George Street in East Liverpool, Ohio. Unwanted Medicine Liners were destroyed at the Veolia -Port Arthur permitted hazardous waste facility located at 7665 Texas Highway 73, Beaumont, Texas 77705 (“Veolia - Port Arthur Facility”) on November 7, 2018, and also at the Stericycle United States Drug Enforcement Administration (“DEA”) registered collector medical waste incinerator located at 1901 Pine Ave SE, Warren, Ohio 44483 (“Stericycle, Inc. Warren Ohio Facility”) on November 12, 2018, because of scheduling and logistical issues at the Veolia - Port Arthur Facility. • 58 Unwanted Medicine Liners were destroyed at the Veolia - Port Arthur Facility; and • 29 Unwanted Medicine Liners were destroyed at the Stericycle, Inc. Warren Ohio Facility Vendor reported that the action to send Unwanted Medicine Liners to the Veolia - Port Arthur Facility and the Stericycle, Inc. Warren Ohio Facility was due to destruction appointment cancellations at Heritage Thermal Services—Liverpool in October 2018. In some cases, these cancellations delayed the destruction of Unwanted Medicine Liners beyond what MED-Project policies require. Vendor reported that Heritage Thermal Services-Liverpool could not provide a confirmed destruction appointment before November 16, 2018, making it necessary to send Unwanted Medicine Liners to the Veolia - Port Arthur Facility and the Stericycle, Inc. Warren Ohio Facility for destruction as soon as possible. Corrective Action: Upon being notified of these issues by Vendor, MED-Project immediately; (1) confirmed with Vendor that Unwanted Medicine Liners remained securely stored; (2) requested the complete inventory of impacted Unwanted Medicine Liners and retention dates; and (3) approved Vendor proposed plans to destroy Unwanted Medicine Liners as soon as practicable at either the Veolia- Port Arthur Facility, or at the Stericycle, Inc. Warren Ohio Facility, if the Veolia - Port Arthur Facility was unavailable. Stericycle notified MED-Project that capacity limits was a contributing factor to the destruction appointment cancellation and that the Heritage Thermal Services-Liverpool facility had reached capacity for taking Unwanted Medicine Liners. MED-Project requested Department approval for additional disposal facilities in the revised Product Stewardship Plan for Unwanted Medicine from Households submitted on February 15, 2019. Page 80 Event: Notice of Change in Disposal Facility for Unwanted Medicine Boxes and Liners Date: December 11, 2018 Description: MED-Project was notified on November 30, 2018 that a Heritage Thermal Services December destruction appointment was cancelled. As a result of the cancellation, Unwanted Medicine Liners managed as part of the Plan needed to be destroyed at a back-up destruction facility. Unwanted Medicine Liners were destroyed at the Veolia - Port Arthur Facility on December 11, 2018. • 31 Unwanted Medicine Liners were destroyed at Veolia-Port Arthur Facility on December 11, 2018. Vendor reported that the action to send Unwanted Medicine Liners to the Veolia-Port Arthur Facility was due to destruction appointment cancellations at Heritage Thermal Services in December 2018. Corrective Action: Upon being notified of these issues by Vendor, MED-Project immediately: (1) confirmed with Vendor that Unwanted Medicine Liners remained securely stored; (2) requested the complete inventory of impacted Unwanted Medicine Liners and retention dates; and (3) approved Vendor proposed plans to destroy Unwanted Medicine Liners as soon as practicable at either the Veolia - Port Arthur Facility, or at the Stericycle, Inc. Warren Ohio Facility, if the Veolia - Port Arthur Facility was unavailable. Stericycle notified MED-Project that capacity limits is a contributing factor to the destruction appointment cancellation and that the Heritage Thermal Services facility has reached capacity for taking Unwanted Medicine Liners. MED-Project requested Department approval for additional disposal facilities in the revised Product Stewardship Plan for Unwanted Medicine from Households submitted on February 15, 2019. Page 81 Event: New Model Kiosk Installations Date: September 2018 Description: The Department inspected a new kiosk prototype design at an in-person meeting on July 26, 2018 and, subsequently, these kiosks were ordered and installed at eight kiosk drop-off sites in September 2018. The new kiosks have several improvements, including removal of indicator lights. Removing the indicator lights alleviates the burden on kiosk drop-off sites to charge indicator light batteries and, based on MED-Project and vendor experience managing collection frequencies, does not affect Collection Site convenience. Corrective Action: MED-Project reviewed change procedures with staff and submitted a written change request for the new kiosk prototype design on January 17, 2019 (revised and submitted on February 23, 2019). Event: Unwanted Medicine Kiosk Service Procedure Date: August 14, 2018 Description: Overfilled Unwanted Medicine inner liner was serviced by transferring the overflow contents to a second Unwanted Medicine box and inner liner. The original Unwanted Medicine inner liner was sealed and packaged for transport. The second partially filled Unwanted Medicine box and inner liner were placed back into the Unwanted Medicine kiosk. Corrective Action: MED-Project notified vendor of the discrepancy and directed vendor to take corrective action. MED-Project monitored performance with no recurrence reported in 2018. Page 82 APPENDIX E The number of times each kiosk drop-off site was serviced for pick-up and the total pounds collected and disposed of from take-back events and kiosk drop-off sites in Alameda County during 2018 is provided below. Because the disposal of Unwanted Medicine occurs several days after pick-up at a kiosk drop-off site, disposal of some Unwanted Medicine collected in late 2018 did not occur until early 2019 and is not reflected in the disposal figures below. Unwanted Medicine collected at kiosk drop-off sites in 2018 was incinerated at Heritage Thermal Services – Ohio, Veolia – Port Arthur, and Stericycle, Inc., Warren, Ohio disposal facilities. All Unwanted Medicine collected at Take-Back Events was incinerated at Heritage Thermal Services – Ohio. DATE EVENT NAME CITY POUNDS COLLECTED 1/27/18 Highland Hospital Oakland 9 4/21/18 San Lorenzo Earth Day San Lorenzo 33 4/21/18 WHHS “Let’s Go Green Together” Fremont 193 4/22/18 Pleasanton Fairgrounds Pleasanton 418 5/6/18 HHW San Leandro San Leandro 257 5/20/18 Alameda Naval Base Alameda 184 6/24/18 Golden Gate Fields Berkeley 237 7/15/18 Oakland Coliseum Oakland 296 8/4/18 Canyon Middle School Recycles Day Castro Valley 749 9/13/18 Health Living Festival at Oakland Zoo Oakland 52 9/29/18 Sunol Clean-Up Day Sunol 24 10/7/18 Golden Gate Fields Berkeley 191 TOTAL 2,643 Page 83 KIOSK DROP-OFF SITE POUNDS COLLECTED SERVICES Alameda Hospital 139.25 6 Alameda Police Department 1,177 25 Bart Police Department 69.55 12 Berkeley Police Department 269 18 Capsule Pharmacy 151.2 11 City of Newark Police Department 123 6 Clayworth Healthcare Pharmacy 184 11 CVS Pharmacy #10199 74 7 CVS Pharmacy #10924 58.95 8 CVS/Pharmacy #0331 103 6 CVS/Pharmacy #0414 65 7 CVS/Pharmacy #0816 122 8 CVS/Pharmacy #09378 105.15 10 CVS/Pharmacy #09397 101 7 CVS/Pharmacy #09494 159.9 7 CVS/Pharmacy #09553 93 7 CVS/Pharmacy #09600 53.45 6 CVS/Pharmacy #09622 94 8 CVS/Pharmacy #09635 128.55 8 CVS/Pharmacy #09678 61 4 CVS/Pharmacy #09876 80.7 8 CVS/Pharmacy #09904 304 13 CVS/Pharmacy #09941 171.1 7 CVS/Pharmacy #09942 77 5 CVS/Pharmacy #09957 37.6 7 CVS/Pharmacy #10119 97 7 CVS/Pharmacy #10121 71.45 7 CVS/Pharmacy #10475 36 5 CVS/Pharmacy #3024 137.25 9 CVS/Pharmacy #3026 29 4 CVS/Pharmacy #8431 67.6 8 CVS/Pharmacy #9099 235 7 CVS/Pharmacy #9128 70.25 7 CVS/Pharmacy #9130 88 7 CVS/Pharmacy #9226 56.45 6 CVS/Pharmacy #9234 58 7 CVS/Pharmacy #9250 94.15 7 CVS/Pharmacy #9251 111 8 CVS/Pharmacy #9255 83.1 6 Dublin Police Services 907 37 Emeryville Police Department 218.5 7 Haller's Pharmacy and Medical Supply 707 26 Highland Hospital Pharmacy 346.1 36 Jade Pharmacy 91 9 Page 84 KIOSK DROP-OFF SITE POUNDS COLLECTED SERVICES Kaiser Health Plan Ohlone Pharmacy #162 2571 97 Kaiser Health Plan Pediatric Pharmacy #118 128 8 Kaiser Permanente Pharmacy #101 1008.25 50 Kaiser Permanente Pharmacy #102 1,394 44 Kaiser Permanente Pharmacy #105 1784.15 66 Kaiser Permanente Pharmacy #241 1,539 54 Kaiser Pharmacy #115 1294.65 50 Kaiser Pleasanton South #471 1,787 63 Kaiser Union City Pharmacy #132 2808.95 98 Midtown Pharmacy Professional Corp 171 10 Mission Pharmacy 343.9 14 Mowry Medical Pharmacy 216 15 New Oakland Pharmacy - Lake Merritt 166 9 New Oakland Pharmacy #1 102 9 New Oakland Pharmacy #2 356.5 12 Newark Haller's Pharmacy 195 10 Piedmont Police Department 463.8 16 Pleasanton Police Department 2,557 101 San Leandro Hospital Pharmacy 385.2 36 Stanford Health Care in Emeryville 303 13 Teds Drugs 449.4 15 Tennyson Pharmacy 189 10 United Pharmacy 511.5 20 Vitacare Pharmacy 76 8 Washington Hospital Health System Pharmacy 3522.8 99 Wellspring Pharmacy 622 26 TOTALS 32,447.5 1,385