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A Product Stewardship Plan
for Sharps from Households
Alameda County, California
Submitted June 26, 2022; Revised August 31, 2022
Table of Contents
I. Introduction .............................................................................................................. 5
II. Contact Information ................................................................................................. 6
III. Plan Definitions ........................................................................................................ 7
IV. Sharps ....................................................................................................................... 9
V. Collection of Consumer Generated Sharps Waste ............................................. 10
A. Sharps Kiosk Collection Program ....................................................................... 10
1. Outreach ....................................................................................................... 10
2. Implementation .............................................................................................. 11
B. Sharps Kiosk Drop-Off Sites ............................................................................... 12
1. Kiosk Drop-Off Site Locations ....................................................................... 12
2. Kiosk Placement and Maintenance Program ................................................ 13
3. Kiosk Specifications ...................................................................................... 13
4. Kiosk Collection ............................................................................................. 14
5. Treatment and Disposal of Kiosk Contents ................................................... 15
6. Procedures if a Kiosk is Full Prior to Scheduled Pick-Up .............................. 15
7. Rapid Response ............................................................................................ 15
C. Sharps Mail-Back Services ................................................................................. 16
1. Sharps Mail-Back Package Specifications .................................................... 16
2. Mail-Back Package Availability ...................................................................... 16
3. Mail-Back Package Collection, Treatment, and Disposal .............................. 17
D. Take-Back Events .............................................................................................. 17
1. Procedures .................................................................................................... 17
2. Treatment and Disposal ................................................................................ 17
3. Fees and Costs ............................................................................................. 18
VI. Patient Privacy ....................................................................................................... 19
VII. Call Center ......................................................................................................... 20
VIII. Training .............................................................................................................. 21
IX. Vendor, Transporter, Transfer, Treatment Facility and Disposal Facility
Information ............................................................................................................. 22
A. Vendor ................................................................................................................ 22
B. Carrier & Transporters ........................................................................................ 22
C. Transfer Facility Information ............................................................................... 24
D. Treatment and Disposal Facilities ....................................................................... 25
X. Sharps Educational and Outreach Programming ............................................... 28
A. Overview ............................................................................................................ 28
B. Audiences ........................................................................................................... 28
C. Messages ........................................................................................................... 28
D. Tools/Communications Channels ....................................................................... 29
1. Phone ............................................................................................................ 29
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2. MED-Project Website .................................................................................... 29
3. Materials ........................................................................................................ 30
4. Social Media .................................................................................................. 30
5. Broadcast Outreach ...................................................................................... 30
E. Collaboration with County Officials and Community Organizations .................... 30
F. Effectiveness ...................................................................................................... 31
G. Disclaimer ........................................................................................................... 31
XI. Compliance with Applicable Federal, State, and Local Legal Requirements ... 32
A. United States Department of Transportation (USDOT) ...................................... 32
B. California Board of Pharmacy ............................................................................. 32
C. California Medical Waste Management Act ........................................................ 32
XII. Annual Report .................................................................................................... 33
Appendix A .................................................................................................................. 34
MED-Project Participants ......................................................................................... 34
Appendix B .................................................................................................................. 35
Potential Kiosk Drop-Off Sites ................................................................................. 35
Appendix C .................................................................................................................. 50
Participating Kiosk Drop-Off Sites ............................................................................ 50
Appendix D .................................................................................................................. 53
Sample Sharps Mail-Back Package ......................................................................... 53
Appendix E .................................................................................................................. 54
Sample Sharps Kiosk Mock-Up ............................................................................... 54
Sample Sharps Kiosk Signage ................................................................................ 55
Appendix F ................................................................................................................... 58
Sample MED-Project Website Home Page .............................................................. 58
Sample MED-Project Website Check the Package Page ........................................ 59
Sample MED-Project Website Convenient Locations Page ..................................... 60
Sample MED-Project Website Mail Back Page ........................................................ 61
Sample MED-Project Website Take-Back Events Page .......................................... 62
Sample MED-Project Website Learn Page .............................................................. 63
Sample MED-Project Website FAQ Page ................................................................ 64
Sample MED-Project Website Contact Page ........................................................... 65
Sample Instruction Brochure/Flyer Mockup ............................................................. 66
Appendix G .................................................................................................................. 68
American Avenue Landfill ........................................................................................ 68
Clean Harbors Aragonite, LLC Penalty Record ....................................................... 82
Curtis Bay Energy, LP Penalty Record .................................................................... 86
Waste Management El Sobrante Landfill Penalty Record ....................................... 88
Appendix H .................................................................................................................. 90
Media List ................................................................................................................ 91
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Appendix I .................................................................................................................... 96
Contact List for Outreach and Education to the Community .................................... 96
Appendix J ................................................................................................................... 97
Sample IVR Flow ..................................................................................................... 97
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I. Introduction
MED-Project LLC (“MED-Project”), on behalf of the participating companies identified in
Appendix A, submits this Product Stewardship Plan (“Plan”) to the Alameda County
Department of Environmental Health (“Department”) in compliance with the Alameda
County Safe Consumer-Generated Sharps Disposal Ordinance, Alameda County Code
Chapter 6.54 (“Ordinance”). The Ordinance requires Producers1 to develop a Product
Stewardship Program to finance and manage the collection, transportation, treatment,
and disposal of Consumer-Generated Sharps Waste within Alameda County (“Alameda
County” or the “County”) including unincorporated areas.
The Program will accept Sharps regardless of who produced them or their compatibility
with Producers’ Drugs, unless excused from this requirement by the Alameda County
Department of Environmental Health. In the event another program operator is
approved by the Department, MED-Project will evaluate short term and long-term Kiosk
Drop-Off Site goals and outreach and educational programming to determine whether
they need to be adjusted to be allocated with any other approved product stewardship
program in a fair and reasonable manner.
1 All capitalized terms used but not otherwise defined herein shall have their respective
meanings set forth in the Ordinance.
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II. Contact Information
The primary contact person for MED-Project is:
Dr. Victoria Travis, PharmD, MS, MBA
National Program Director
MED-Project LLC
4096 Piedmont Ave, Unit 174
Oakland, CA 94611
Phone: (833) 633-7765
Fax: (866) 633-1812
alamedasharps@med-project.org
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III. Plan Definitions
Board of Pharmacy is the California State Board of Pharmacy
Call Center is the MED-Project call center for Residents, which can be reached by
callers at the toll-free number of 1-844-MED-PROJECT or 1-844-633-7765.
Carrier is a carrier used to transport Sharps.
Consumer means any Person who uses Sharps outside a healthcare setting, or any
Person who assists another person in using Sharps outside a healthcare setting.
Consumer specifically includes any Person who uses Sharps to treat a pet or other
animal.
County means Alameda County, California.
DEA is the U.S. Drug Enforcement Administration.
DOT is the U.S. Department of Transportation.
FDA is the U.S. Food and Drug Administration.
HHW is Household Hazardous Waste facilities.
Kiosk Drop-Off Site is a location that is accessible to the public, hosting a MED-Project
kiosk for the collection of Consumer-Generated Sharps Waste.
Kiosk Drop-Off Site Host is the designated contact person or persons at the Kiosk
Drop-Off Site.
Law Enforcement Agency or LEA is a federal, state, tribal, or local law enforcement
office or agency.
Mail-Back Services is the provision of pre-paid, pre-addressed containers, envelopes,
or packages (“Mail-Back Packages”) to Residents for the collection and disposal of
Sharps by Vendor.
MED-Project Website is the internet website located at www.med-project.org/
or www.medproject.org.
Plan or Product Stewardship Plan is the product stewardship plan presented in this
submittal by MED-Project.
Program or Product Stewardship Program is the product stewardship program set
forth in this Plan.
Residents means human beings residing in the County of Alameda, California.
“Residents” does not include business generators of sharps waste, such as hospitals,
clinics, doctor’s offices, veterinary clinics, pharmacies, or airport security and law
enforcement drug seizures.
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Sharps Service Technicians are personnel trained to service Program Kiosks and/or
Take-Back Events and HHW facilities.
Sharps are defined in Section IV of this Plan.
Sharps Container is a rigid, puncture-resistant container meeting the standards of, and
receiving clearance from, the United States Food and Drug Administration as a medical
device used for the collection of discarded Sharps.
Specified Languages are English, Spanish, Chinese, Vietnamese, and Tagalog
(Filipino).
Take-Back Event is a one-day event at a location accessible to the public, conducted
by MED-Project, for the collection of Sharps from Residents.
Unwanted Medicine is defined in the approved MED-Project Product Stewardship Plan
for Unwanted Medicine from Households.
USPS is the “United States Postal Service”.
Vendor is any vendor retained by MED-Project to carry out its obligations under the
Program.
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IV. Sharps
Section 6.54.030 of the Ordinance defines Sharps as “devices with sharp points or
edges that can cut or puncture the skin and includes needles, pen needles, syringes,
lancets, auto-injectors, infusion sets, intravenous catheters, connection needles/sets,
and other devices.” The Ordinance requires the collection of “Consumer-Generated
Sharps Waste” which includes “Sharps that have been used by a Consumer outside a
healthcare setting, such as in a home, at work, or while travelling.” § 6.54.030.
“Consumer” is defined as “any Person who uses Sharps outside a healthcare setting, or
any Person who assists another person in using Sharps outside a healthcare setting.
”Consumer” specifically includes any Person who uses Sharps to treat a pet or other
animal.” § 6.54.030.
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V. Collection of Consumer Generated Sharps Waste
The Plan provides services to collect Consumer-Generated Sharps Waste. The
collection methods and applicable legal requirements are described below.
A. Sharps Kiosk Collection Program
1. Outreach
Per the Ordinance, pharmacies, LEAs, airports, Household Hazardous Waste facilities
(“HHWs”), transfer stations, clinics, schools, and hospitals may serve as Kiosk Drop-Off
Site Hosts to collect Sharps from Consumers. § 6.54.030.
MED-Project will continue to perform outreach to potential Kiosk Drop-Off Sites that
have not yet expressed interest in participating in the Program until MED-Project has
established multiple Kiosk Drop-Off Sites in each supervisorial district that are
geographically distributed throughout the County to provide reasonably convenient and
equitable access. MED-Project will notify all non-participating potential Kiosk Drop-Off
Sites thereafter, on an annual basis. These sites are listed in Appendix B.
A map of existing Kiosk Drop-Off Sites is below, as listed in Appendix C.
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MED-Project will work with interested Kiosk Drop-Off Site Hosts in the County when
requested, to determine whether their participation would have a negative impact on the
efficiency, safety, or scope of collection, see Ordinance § 6.54.080.A, and whether they
comply with MED-Project’s requirements. MED-Project’s requirements for Kiosk Drop-
Off Sites include, for example, that Kiosk Drop-Off Site Hosts:
− Use Vendor;
− Have a current and fully executed agreement in place with MED-Project.
− Post MED-Project kiosk signage with instructions regarding what items may and
may not be dropped off in the kiosk;
− Use MED-Project kiosk(s); and
− Place kiosks in a safe and secure location inside of a building at the Kiosk Drop-
Off Site in an area that is accessible to the public and regularly monitored by
employees and/or where an employee is present.
These requirements are critical to ensuring that Sharps are collected, handled,
transported, treated, and disposed of in a manner that protects the health and safety of
workers and the public in accordance with the underlying objectives of the Ordinance.
Participation in the Program is contingent on complying with all applicable local, state,
and federal laws, regulations, and other legal requirements, in addition to MED-Project’s
requirements.
Once MED-Project has determined that a Kiosk Drop-Off Site Host is able to participate
in the Program and the Kiosk Drop-Off Site Host agrees to abide by MED-Project’s
requirements, MED-Project will issue a contract to the Kiosk Drop-Off Site Host for
signature. Once an agreement is executed with the Kiosk Drop-Off Site Host, MED-
Project will accept the Kiosk Drop-Off Site into the Program.
2. Implementation
MED-Project’s initial implementation short-term goal was to establish a network of 39
Kiosk Drop-Off Sites within the first six months to a year of approval that ensured a
minimum of 95% of Residents live within 5 miles of a Kiosk Drop-Off Site.
During the Program implementation MED-Project established 50 Kiosk Drop-Off Sites
with 95% of Residents within a 5-mile drive, despite the limitations of the COVID
pandemic closures.
MED-Project’s current short-term goal in this Plan is to maintain the 50 kiosks and
continue to send out opportunity to participate letters annually to increase the number to
reach the long-term goal of 55 Kiosk Drop-Off sites.
MED-Project will continue to work to establish additional kiosks and will continue to
accept any interested and eligible sites beyond the goal of 55 kiosks. MED-Project will
continue to target highly populated areas and areas with limited kiosk placement so that
the Program offers convenient collection for Residents that reflects the distribution of
Residents throughout the County.
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Interested Kiosk Drop-Off Site Hosts must sign an agreement with MED-Project to
participate in the Program. Collection of Sharps begins at Kiosk Drop-Off Sites once
agreements have been signed with each location. MED-Project works with Kiosk Drop-
Off Site Hosts that have existing kiosks to transition to the Program, including the use of
MED-Project’s signage, kiosks, and Vendor for the handling, collection, transport,
treatment, and disposal of Sharps.
Once the goal of 55 Kiosk Drop-Off Site locations has been met, MED-Project will
evaluate Take-Back Events and HHW facilities to determine any needed changes in
these services, and additional Kiosk Drop-Off Sites are to be installed to meet the
objective of one per additional 60,000 residents.
If MED-Project should drop to less than two Kiosk Drop-Off sites per district, then Take-
Back Events and collection at HHW facilities will be reimplemented. Mail-Back Services
would still be available to all Residents.
The Program will include as a Sharps drop-off site any County Household Hazardous
Waste (HHW) facilities operated by the County, willing to serve voluntarily, and able to
meet all applicable laws, regulations, and other legal requirements. HHW locations may
participate in the Program by executing an agreement with MED-Project. MED-Project
will work with each HHW to transition to the Program and Vendor. Upon establishment
of agreements with HHW facilities, MED-Project will also sign a collection agreement
directly with Vendor to perform collection, transportation, treatment, and disposal
services for Sharps collected at the HHW facilities.
MED-Project will accommodate the unique requirements of HHWs that wish to
participate in the Program and will sign a collection site agreement with such HHWs
accordingly. MED-Project will contract directly with the Vendor to collect and transport
Sharps from the HHWs that participate in the Program.
B. Sharps Kiosk Drop-Off Sites
1. Kiosk Drop-Off Site Locations
In accordance with Ordinance § 6.54.050.O.i, MED-Project encourages Kiosk Drop-Off
Sites to co-locate Sharps kiosks with existing MED-Project Unwanted Medicine kiosks
for the convenience of Residents. MED-Project will not locate any Sharps or Unwanted
Medicine kiosks behind the counter in a pharmacy.
MED-Project contracts with each eligible Kiosk Drop-Off Site location, as required under
Ordinance § 6.54.080.B.4, and within 3 months of their offer to participate (unless the
Kiosk Drop-Off Site Host requests a longer timeframe) the Program will include as a
Kiosk Drop-Off Site any retail pharmacy or LEA willing to serve voluntarily as a Kiosk
Drop-Off Site provided the site has an executed agreement with MED-Project. All Kiosk
Drop-Off Sites participating in the Program must comply with MED-Project’s
requirements in addition to all local, state, and federal laws, regulations, and other legal
requirements applicable to the Program and its operations. § 6.54.050.D. MED-Project
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also accepts other potential collectors (i.e. HHWs, transfer stations, or public health
clinics) that are willing to serve as drop-off sites if their addition would not negatively
impact the scope, safety, or efficiency of the Program and if the sites are able to meet
MED-Project’s requirements such as a current and fully executed agreement and
maintain compliance with all applicable local, state, and federal laws, regulations, and
other legal requirements.
Under the California Medical Waste Management Act, home-generated Sharps may
only be managed at certain facilities, including “home-generated sharps consolidation
points,” “medical waste generators,” and facilities through Mail-Back Services. Ca.
Health & Safety Code § 118286(b). All Sharps kiosk locations are required to ensure
compliance with the California Medical Waste Management Act. See section XI.C.
MED-Project and Vendor works with participating sites to install and service kiosks and
transport, treat, and dispose of collected Sharps per the processes described in this
section. MED-Project will pay all administrative and operational costs related to the
Program unless specifically excluded by the Ordinance. In addition, administrative and
operational costs related to the Program include but are not limited to those listed in the
Ordinance § 6.54.110.B.
2. Kiosk Placement and Maintenance Program
Kiosk installation is the responsibility of MED-Project at Kiosk Drop-Off Sites once the
Kiosk Drop-Off Site Host has an executed agreement with MED-Project and has
identified a placement location for a MED-Project kiosk. All kiosks in the Program are
securely placed and maintained at a Kiosk Drop-Off Site in a public location to provide a
secure collection point for Sharps. At pharmacies, kiosks are placed inside the physical
location in an area where an employee is present (i.e., an area that is visible from the
counter) but not behind the counter. At a hospital or clinic with an on-site pharmacy,
kiosks are placed inside the physical location in an area regularly monitored by
employees but not near areas of the facility where urgent or emergency care is
provided. MED-Project places Sharps kiosks next to Unwanted Medicine kiosks where
possible. For safety and security reasons, MED-Project requires that Sharps kiosks
follow many of the same protocols as Unwanted Medicine kiosks.
The maintenance program addresses items such as:
− Periodic inspection of kiosks to monitor general wear and tear;
− Sharps Service Technician access to kiosks during regularly scheduled pick-ups and notification of a sharp’s maintenance technician if necessary; and,
− Reporting by Kiosk Drop-Off Site Host of damage to a kiosk or requested maintenance service.
3. Kiosk Specifications
A red kiosk for the disposal of Sharps is offered to all eligible locations.
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All kiosks are specifically designed to receive Sharps in an approved and appropriate
container. The containers may have size restrictions to ensure that they can be safely
disposed of in the kiosk.
Sharps kiosks may include:
− Disposable containers with secure, leak-proof closures;
− ADA compliant handles;
− Lockable chute doors with anti-tamper protection;
− Tamper-resistant container closures;
− Fasteners to affix the kiosk to the wall, floor or another permanent
surface;
− Sloped tops to prevent accumulation; and
− Heavy gauge steel.
4. Kiosk Collection
Pick-ups of Sharps collected at Kiosk Drop-Off Sites are scheduled for all Kiosk Drop-
Off Sites year-round based on regular business hours and volume collected. MED-
Project communicates with the Kiosk Drop-Off Site if the frequency of pick-up needs to
be changed based on the volumes collected over time. Pick-ups are routinely adjusted,
if needed, to better serve each Kiosk Drop-Off Site. Vendor monitors the volumes per
service to ensure that all sites are receiving the appropriate service frequency. Vendor
manages services as frequently as necessary to prevent overflow of the kiosk without
providing unnecessary interruption to the participating Kiosk Drop-Off Site. Moreover,
Vendor monitors the volume of the Sharps collected at each participating Kiosk Drop-
Off Site.
Each kiosk container is assigned a unique identifying number in Vendor’s database that
is used to track the Sharps Containers as they are collected, transported, treated, and
disposed of.
Upon pick up, the Sharps Service Technician will perform the following tasks:
− Inspect the kiosk as part of routine service;
− Unlock the kiosk and remove the container;
− Inspect the container;
− Package the container for transportation;
− Scan the unique identifier on the label of the container;
− Complete and sign the shipping paper documents;
− Weigh the collected Sharps and record the weight; (Upon receipt at transfer
faciality.)
− Place and secure the packages in a truck for transportation to the transfer facility;
and
− Place a new disposable or reusable container into the kiosk and lock the kiosk.
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5. Treatment and Disposal of Kiosk Contents
Vendor manages the disposal of Sharps from Kiosk Drop-Off Sites in compliance with
all applicable laws, regulations, and other legal requirements. Upon collection from a
Kiosk Drop-Off Site, Vendor transports the Sharps to a transfer facility, for subsequent
transport to an autoclave facility for treatment2 before disposal of the treated waste in a
solid waste landfill (see section IX.D). The container full of Sharps waste is tracked from
collection to disposal through the unique identifier.
6. Procedures if a Kiosk is Full Prior to Scheduled Pick-Up
If the kiosk is full prior to the scheduled pick-up, the Kiosk Drop-Off Site Host notifies
MED-Project of the need for service. MED-Project will communicate this request to
Vendor. Vendor directs service to a trained Sharps Service Technician who is in closest
proximity to the Kiosk Drop-Off Site Host requesting the service. This process provides
for a timely response to Kiosk Drop-Off Sites requiring service prior to the scheduled
date.
Service timelines are assessed based on the specific characteristics of the Kiosk Drop-
Off Site’s needs. If necessary, Vendor is able to respond within hours of the request. If
the request does not require an urgent response, Vendor will plan the response within 2
to 3 business days of the request. Vendor will not exceed one business week from the
initial request before responding.
7. Rapid Response
An unplanned event may necessitate a service at a Kiosk Drop-Off Site. A major event,
such as a flood, earthquake, or fire, may jeopardize the security characteristics of the
kiosk as well as the structural integrity of the Kiosk Drop-Off Site. Such events may
require the involvement of law enforcement, fire, or other emergency service personnel.
Kiosk Drop-Off Site employees will be directed to call 911 in situations posing an
immediate threat to the environment or health. Once the area is safe for access, if
needed, Vendor will dispatch Rapid Responders to secure the kiosk and remove its
contents independent of law enforcement availability.
Vendor provides service for Rapid Response that can be contacted in the case of an
incident or other event requiring a Rapid Response. Vendor is able to respond within
two to three hours in most cases when notified of a need for a Rapid Response. Rapid
Responders will bring all necessary equipment to manage the specific needs of the
Kiosk Drop-Off Site requiring a Rapid Response.
2 Autoclaving for treatment was approved in the MED-Project: A Product Stewardship
Plan for Sharps from Households Alameda County California, dated January 31, 2018,
as amended on March 26, 2018; approved by the Department on March 26, 2018.
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Along with major event preparedness, Vendor provides timely responses to events that
may cause an inconvenience to the Kiosk Drop-Off Site. In situations requiring Rapid
Response that do not require the involvement of rapid response personnel, the Kiosk
Drop-Off Site Host will place a service request through the Help Desk. If the request
does not require a Rapid Response, Vendor will typically respond within two to three
business days of the event.
C. Sharps Mail-Back Services
Currently MED-Project offers Mail-Back Services for Sharps, free of charge, to disabled
and homebound Residents. Once the long-term goal of 55 Kiosk Drop-Off Site locations
have been installed, MED-Project will transition away from the limited time services of
Take Back Events and HHW facilities to provide widespread Mail-Back Package
services to anyone via the MED Project Website and Call Center access to 365 days, 7
days a week.
Mail-Back Packages are pre-paid and pre-addressed, and Mail-Back Services comply
with all applicable local, state, and federal laws, regulations, and other legal
requirements. Residents can request Mail-Back Packages through the MED-Project
Website and Call Center.
1. Sharps Mail-Back Package Specifications
A red FDA-cleared Sharps Container and a pre-paid, pre-addressed Mail-Back Package
for returning the Sharps Container is available for disabled or homebound Residents via
MED-Project’s Website and Call Center. An instruction sheet describing how to properly
dispose of Sharps that explains what materials may and may not be placed in a Sharps
Container, how to use the Sharps Container, and how to return the Mail-Back Package,
is included with the Mail-Back Package.
See Appendix D for a sample Mail-Back Package and package specifications.
2. Mail-Back Package Availability
Currently disabled or homebound Residents, or any other Resident may request Mail-
Back Packages by calling the Call Center or through a link on the MED-Project Website.
Home healthcare professionals providing services to disabled or homebound Residents
may also request Mail-Back Packages on behalf of a Resident through the Call Center
or through a link on the MED-Project Website. Upon such a request, Mail-Back
Packages complying with all applicable requirements are sent to qualifying Residents.
Each Mail-Back Package contains an insert with instructions for use and information
about other options for disposing of Sharps in the Specified Languages. Each Mail-Back
package is assigned a unique identifier that is used to track the distribution, return
shipment, and treatment of the Mail-Back Package.
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3. Mail-Back Package Collection, Treatment, and Disposal
Requests for Mail-Back Packages are received through the Call Center and the MED-
Project Website. Residents are directed to follow the instructions provided in the Mail-
Back Package and to place their Sharps in the pre-addressed/pre-paid package. The
USPS estimates up to three business days for delivery of First-Class Mail.
Mail-back Packages are sent to a treatment facility listed in section IX.D. Upon arriving
at a treatment facility, the Mail-Back Packages are scanned for receipt verification.
Sharps returned in Mail-Back Packages are sterilized using high-heat sterilization at an
autoclave facility. Treated Sharps waste is disposed of at a facility listed in IX.D.
D. Take-Back Events
Once the goal of 55 Kiosk Drop-Off Site locations have been installed, MED-Project will
evaluate Take-Back Events and HHW facilities to determine any needed changes in
these services.
In general, MED-Project works to conduct the Take-Back Events in coordination with
other scheduled events (i.e., Earth Day celebrations, Health and Wellness Fairs) to
maximize convenience to Residents.
Due to the continuously changing schedule of Take-Back Events, the list of Take-Back
Event dates and locations is maintained on the MED-Project Website as events are
confirmed. MED-Project attempts to hold Sharps Take-Back Events in conjunction with
HHW Take-Back Events to maximize convenience and participation of Residents.
1. Procedures
Take-Back Events are typically staffed by at least two Vendor employees. Vendor works
in coordination with MED-Project to ensure collection of all material at Take-Back
Events is compliant with all applicable local, state, and federal laws, regulations, and
other legal requirements and meets the expectations of the planned event. Vendor
works in conjunction with MED-Project to ensure all Sharps are placed in compliant
collection receptacles and are securely transported in accordance with all applicable
laws, regulations, and other legal requirements applying to the collection and
transportation of Sharps. Sharps that are not appropriately contained in a Sharps
Container or do not otherwise meet legal requirements are rejected.
Events are promoted and communicated to the public through local communication
channels as outlined in Appendix H.
2. Treatment and Disposal
Vendor manages the treatment and disposal of Sharps from Take-Back Events in
compliance with all applicable local, state, and federal laws, regulations, and other legal
requirements. Upon collection at a Take-Back Event, Vendor transports the Sharps to a
transfer facility, with subsequent transport to an autoclave facility for treatment (see
sections IX.B) before disposal in a solid waste landfill (see section IX.D).
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3. Fees and Costs
MED-Project pays all administrative and operational costs and fees associated with the
Take-Back Events.
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VI. Patient Privacy
All MED-Project promotional and educational materials encourage Residents to protect
their personal information by ensuring that identifiable information is not present before
depositing Sharps Containers into kiosks or Sharps into Mail-Back Packages. Examples
of MED-Project brochures, signage, and website materials are available in Appendix E
and Appendix F.
Vendor has additional protections available for keeping personally identifiable
information safe and secure. Sharp Service Technicians are trained to manage items
containing sensitive patient information. Privacy training is part of a Service
Technician’s prerequisite for field services. Containers in the kiosk will be solid red or
another solid color, and therefore, no personally identifiable information will be visible
through the container. This prevents anyone, including the Sharps Service Technician,
from seeing any information on the Sharps Containers placed in the kiosks.
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VII. Call Center
MED-Project has established a toll-free telephone number for Residents to obtain
information about Kiosk Drop-Off Sites, Mail-Back Services, educational materials, and
other aspects of the Program. Callers with medical emergencies are directed to call
911. Patients with medication-related questions are directed to contact their health care
provider(s).
The Call Center provides information about:
− Items that can be disposed of;
− Disposal options;
− Kiosk Drop-Off Sites and disposal options in the caller’s specified zip code;
− The MED-Project Website; and
− How to obtain Mail-Back Packages.
To increase access to the Program for Residents, MED-Project has included dialing
options for TTY and 711 services.
A sample Call Center Interactive Voice Recognition (IVR) flow is included in Appendix J.
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VIII. Training
Operational procedures, including training, are the responsibility of the Kiosk Drop-Off
Site Host. Vendor provides an orientation and training for participating Kiosk Drop-Off
Sites. During installation, MED-Project provides training materials to the site on kiosk
usage, provide support contact information, and provide examples of documentation to
hold onsite. Additionally, MED-Project will provide sample procedures as a reference
and manage a support hotline to answer questions and monitor comments from
participating Kiosk Drop-Off Sites Hosts. The sample procedures include a template to
log when keys are used to access the kiosk.
Vendor will comply with all applicable local, state, and federal laws, regulations, and
other legal requirements with respect to annual employee training. The Sharp Service
Technicians collecting and transporting Sharps are required by Vendor to complete
comprehensive training that includes instruction on:
− DOT Hazardous Materials Regulations (“HMR”);
− Health Insurance Portability and Accountability Act (“HIPAA”);
− Occupational Safety and Health Administration’s (“OSHA”) Bloodborne
Pathogens Standard;
− OSHA’s Hazard Communication Standard; and
− OSHA’s Hazardous Waste Operations and Emergency Response
Standard.
At a Kiosk Drop-Off Site, operational procedures, including annual training, are the
responsibility of the Kiosk Drop-Off Site Host. MED-Project provides a Help Desk to
answer questions and monitor comments for participating Kiosk Drop-Off Sites.
22
IX. Vendor, Transporter, Transfer, Treatment Facility and
Disposal Facility Information
A. Vendor
Record (5
Compliance, Inc. 16225 Park Ten Place, Ste 830, Houston, TX
3030
Sharps Solutions,
LLC
23575 Cabot
Blvd. Suite 205, Hayward, 8449 solutions.com/contact/
B. Carrier & Transporters
Permits Record (5
Environmental Services Inc.
42 Longwater
Drive, Norwell, MA 02061
792-
5000
harbors.co
m
s Waste
Transporter
180743 reported
case closed 12/10/20
Daniels Sharpsmart, Inc. 4144 East
Therese Avenue, Fresno, CA
834-6252 sinternational.com/ Carrier 1295076
HealthWise Services 4800 E Lincoln Ave, Fowler, CA
246-9473 .healthwiseus.com/ Carrier 2810973
MEDSharps, LLC 17340 Bell N. Dr., Schertz, TX
78154
800-6981 dsharps.com/
Carrier 2209601
23
Name Address Phone Website Type Issued Permits Record (5
Solutions, LLC 23575 Cabot Blvd. Suite 205
Hayward,
409-1963 s-solutions.co
m/contact/
Carrier 2810784
Trilogy MedWaste 8554 Katy Freeway Suite 200
Houston,
977-3420 ymedwaste.com/
Carrier 3322114
Union Pacific d.b.a. Union Pacific Railroad Company
Union Pacific Railroad,
1400 Douglas Street,
Omaha, NE 68179
870-8777 m Railroad Carrier 53433 enforcement
history,
see Union
Pacific SEC
United States Postal Service 475 L’Enfant
Plaza SW, Washington, DC
268-
2000
.com/ Carrier See USPS
SEC filings
24
C. Transfer Facility Information
Permits Record (5
years)
Environmental Solutions
1021 Berryessa Road, San Jose, CA 95133
729-3379 nharbors.com Facility 51
Daniels
Sharpsmart,
Inc.
3670
Enterprise
Avenue,
Hayward,
CA 94545
834-
6252
elsinterna
tional.co
m/
Medical
Waste
Transfer
Station
Waste
Permit
No: TS-
125
HealthWise Services 4800 E Lincoln
Ave, Fowler, CA
246-
9473
ww.2gowi
se.com/
Processing
Facility
No:
CAL000370179
25
D. Treatment and Disposal Facilities
Name Address Phone Website Type Issued
Permits Record
(5
years)
Avenue
Landfill
18950 W American
Avenue,
Kerman, CA 93630
600-
6138
w.co.fresn
o.ca.us/de
partments/public-works-planning/d
ivisions-of-
public-works-and-planning/r
esources-
and-parks-division/landfill-operations
Waste
Landfill
10-SS-0009
SeeAppendi
x G
Clean Harbors
Aragonite,
LLC
11600
North
Aptus Rd,
Grantsville,
UT 84029
884-
8900
harbors.co
m
Waste
Incinerator
UTD9815521
77
Title V
Operating
Permit No:
4500048003
See
Appendi
x G
Curtis Bay
Energy, LP
3200
Hawkins
Point Road,
Baltimore,
MD 21226
228-
1715
bayenergy.
com
Waste
Incinerator
MDD985404
318
Refuse
Disposal
Permit No:
2017-WMI-
0036
See
Appendi
x G
26
Name Address Phone Website Type Issued
Permits Record
(5
years)
Sharpsmart Inc.
4144 East
Therese
Avenue,
Fresno, CA
93725
834-
6252
sinternation
al.com/ Processing
Facility
Waste
Permit: TS-
55
Fairmead Landfill 21739Road 19 Chowchilla, CA 93610
665-1310 .maderacounty.com/government/public-works/solid-waste-management
Waste Facility CAH111000191
Title V Operating Permit No: C-2913-0-2, C-2913-1-9
HealthWise
Services
4800 E
Lincoln
Ave,
Fowler, CA
93625
246-
9473
.2gowise.c
om/
Processing
Facility
CAL0003701
79
MEDSharps,
LLC
17340 Bell
N. Dr.,
Schertz, TX
78154
800-
6981 dsharps.c
om/
Processing
Facility
Tessman Road Landfill 7000 E IH
10, San
Antonio, TX
78219
661-
7558
.republicser
vices.com/c
ustomer-
support/faci
lities
Waste
Landfill
Operating
Permit No:
81173
Storm water
Permit No:
TXR05AR09
27
Name Address Phone Website Type Issued
Permits Record
(5
years)
Management El Sobrante Landfill
10910
Dawson
Canyon
Road,
Corona, CA
92833
963-
4776
om/location
/california/i
nland-
empire/san
-
bernardino/
el-
sobrante.js
p
Waste
Landfill
Permit No:
33-AA-2017
See
Appendi
x G
Trilogy MedWaste West Vernon
4280 Bandini Blvd, Vernon, CA 90058
977-3420 .trilogymedwaste.com/
Processing Facility Waste Permit No: TSOST-159
28
X. Sharps Educational and Outreach Programming
A. Overview
MED-Project will perform public education and outreach to educate Residents about the
collection and disposal of Sharps from households.
B. Audiences
To effectively educate the public about the Program, MED-Project will continue to
implement a comprehensive communications campaign featuring both broad
communications tactics as well as targeted outreach to audiences directly involved in
the distribution and use of Sharps to Residents. These audiences may include:
− General public.
− Pharmacies, including education for dispensers of Sharps.
− Retailers of sharps and medications injected outside a healthcare setting
− Health care providers and their patients.
− Veterinary providers and animal owners.
− Public health facilities; and/or
− LEAs.
The Program will include efforts to reach the varied cultural, linguistic, geographic, and
age demographics, including through outreach to ethnic, community, and alternate-
language media; outreach to community organizations serving a broad range of
audiences; availability of alternate language phone lines and availability of educational
information through a broad range of media platforms.
Survey results will be utilized in order to inform improvements to the design of the
outreach program and educational materials where necessary.
C. Messages
MED-Project anticipates that messaging will:
− Educate Residents about the appropriate use, storage of Sharps,
− Educate Residents about available Mail-Back Services; and
− Provide Residents with information about available locations and events in their area that offer disposal of their Sharps,
Key points of emphasis might include:
− The importance of taking medicines as prescribed by your health care provider.
− The importance of adhering to and completing your provider-prescribed therapy.
− The importance of properly and securely storing Sharps;
− The importance of promptly and properly disposing of Sharps;
− How to find and use Kiosk Drop-Off Sites.
− How to properly dispose of Sharps; and
− Privacy issues (removing personally identifiable information).
29
D. Tools/Communications Channels
The MED-Project Program will include a number of components designed to reach
Consumers and provide consistent access to timely and relevant information.
Distribution of materials will likely include audiences such as LEAs, retail pharmacies,
health care providers and systems, health associations, local government agencies, and
other community organizations.
MED-Project will continue to design and execute a measurable public education and
outreach strategy aimed at driving awareness of take-back and in line with the MED-
Project Sharps outreach and education Program. MED-Project will evaluate, and plan
media tactics based on the needs of the campaign and media usage within the target
audience, and these may include a combination of digital media campaigns, print ads,
out-of-home ads, digital video, and traditional broadcast media based on budget. The
quantity and frequency will be confirmed as activities are completed.
MED-Project expects that the tools and communication channels will include:
1. Phone
The Program will provide a toll-free telephone number for Residents to obtain
information about Kiosk Drop-Off Sites, Take-Back Events, Mail-Back Services,
educational materials, and other aspects of the Program for Sharps. This toll-free
number will provide:
− A Call Center in the Specified Languages. The telephone line will also provide an option for callers to be transferred to a staffed Call Center. Live operators will be available in English and Spanish. If a caller requires assistance in Chinese,
Vietnamese or Tagalog, an operator will be available to provide additional assistance. Operators providing services in over 200 languages are available 24 hours a day, seven days a week.
− Basic information about the Program, such as where to obtain more information
(e.g., the MED-Project Website) and an option to talk with an agent to find or
utilize Kiosk Drop-Off Sites, Mail-Back Services, and/or Take-Back Events, if applicable, in the caller’s zip code or local area.
− A recorded call script directing callers with medical emergencies to call 911 and
directing callers with medication-related questions to contact their health care
provider(s).
Please see Appendix J for the Call Center IVR flow.
2. MED-Project Website
MED-Project will update the mobile-friendly MED-Project Website with translations in
the Specified Languages. MED-Project expects information available to users will
include pages to help Residents find locations of Kiosk Drop-Off Sites, Mail-Back
Services, as well as educational materials, frequently asked questions and responses,
and Take-Back Event dates and locations.
30
− The Plan currently includes a mockup of the types of information a MED-Project Website and its supporting pages might contain. Appendix F provides proof of
concept samples for a possible MED-Project Website with subpages.
− The MED-Project Website may also include access to a public relations toolkit in a printable format and contact information for Residents. A toolkit could include items such as a flyer/brochure (See Appendix F) for an example) and a
frequently asked questions (FAQ) document. Translations of the brochure and
FAQ will be available in the Specified Languages.
− Community and government organizations and other public interest groups seeking materials to promote the Program will be encouraged to access these
resources.
3. Materials
Educational materials about the Program and how to properly dispose of Sharps will be
available through the MED-Project Website, through potential third-party partners,
community organizations, and at Kiosk Drop-Off Sites. MED-Project will make materials
covering the proper disposal of Sharps available through the Help Desk and the MED-
Project Website to local governments.
4. Social Media
The Plan includes the information and educational brochure (Appendix F). Educational
materials will use plain language and explanatory images to promote Consumer
education and collection options to Residents with limited English proficiency.
Educational materials will be made available in Specified Languages.
MED-Project has established social media accounts to communicate outreach
information. Outreach is based on the establishment of Kiosk Drop-Off Sites, Mail-Back
Services, and the scheduling of Take-Back Events. Posts will be utilized as needed to
reflect the most up-to-date information.
5. Broadcast Outreach
Outreach through local print, online, radio, and television outlets, including through
outlets specifically targeting the diverse demographic communities within the County,
will continue upon Plan approval. Please see Appendix H for a media list of key outlets.
Broadcast outreach will be scheduled to reflect the learnings and needs of the
campaign based on the biennial survey outcomes and budget.
E. Collaboration with County Officials and Community
Organizations
MED-Project expects that the Program will work in collaboration with the County as
appropriate to build on existing community outreach resources, such as local
organizations, media lists, available public media outlets, etc. Activities like the following
will continue upon Plan approval:
− Briefing Materials Provided to Support Coordination with County Officials:
31
o The Program will provide access to updated educational and outreach materials, including the brochure (see Appendix F), to relevant departments and officials.
− Outreach through Community Organizations:
o The Program will engage relevant stakeholders and community organizations by providing selected community organizations identified in Appendix I with the updated brochure included in Appendix F.
F. Effectiveness
MED-Project will conduct a biennial survey of Residents and pharmacists, veterinarians,
and health professionals in the County who interact with patients to measure awareness
of the take-back of Sharps from households and to evaluate the effectiveness of its
education and outreach activities. The survey will be conducted in conjunction with the
biennial survey conducted under MED-Project’s stewardship program for the collection
of Unwanted Medicine from households.
G. Disclaimer
The written and verbal educational materials and public outreach tools that are required by the Ordinance and disseminated under this Product Stewardship Plan will include a disclaimer similar to the following: “This material has been provided for the purpose of compliance with legislation and does not necessarily reflect the views of MED-Project or
the Producers participating in the MED-Project Product Stewardship Plan.”
32
XI. Compliance with Applicable Federal, State, and Local
Legal Requirements
The Ordinance requires that a Product Stewardship Plan describe how all entities
participating in the Plan will “comply with all local, state, and federal laws and
regulations applicable to its operations, including laws and regulations governing the
treatment and disposal of Unwanted Products.” § 6.54.090.A. As described in more
detail below, the Plan is designed such that all entities participating in the Plan shall
comply with the laws and regulations listed below and all other applicable federal, state,
and local laws, rules, and other legal requirements.
A. United States Department of Transportation (USDOT)
When transporting Sharps, Vendor will ensure compliance with the DOT HMR.
Shipments of Sharps will comply with applicable shipping papers, packaging,
placarding, and other DOT HMR requirements associated with shipment by ground.
B. California Board of Pharmacy
In the event that the California Board of Pharmacy promulgates rules regarding the
collection of Sharps, MED-Project will submit an update to this Plan.
C. California Medical Waste Management Act
California comprehensively regulates the transportation, storage, treatment, and
disposal of Sharps under the Medical Waste Management Act, Ca. Health & Safety
Code § 117600 et seq. Many of these requirements apply to “home-generated sharps
waste,” meaning “[h]ypodermic needles, pen needles, intravenous needles, lancets, and
other devices that are used to penetrate the skin for the delivery of medications derived
from a household, including a multifamily residence or household.” § 117671. Among
other requirements, the Medical Waste Management Act requires that home-generated
Sharps shall “be transported only in a sharps container, or other containers approved by
the enforcement agency . . ..” § 118286(b). These home-generated Sharps may only be
managed at certain facilities, including but not limited to a “home-generated sharps
consolidation point[s]” or facilities through mail-back services. See id. The Medical
Waste Management Act also requires specific “treatment” methods for Sharps to render
them non-infectious before disposal. See CMWMA § 118225(a) (requiring treatment by
incineration, steam sterilization, or another approved method).
33
XII. Annual Report
MED-Project will submit a report annually to the Department describing Program
activities during the previous reporting period. Ordinance § 6.54.120.A. The report will
include the following:
− A list of producers participating in the Plan;
− The amount by weight of Sharps collected, including the amount by weight
from each collection method used, including Kiosk Drop-Off Sites, Take-
Back Events, and Mail-Back Services;
− The weight of Sharps collected, number of pickups, and the number of
containers (if applicable), for each Kiosk Drop-Off Site;
− A list of Kiosk Drop-Off Sites;
− The number of mail-back packages provided to Residents, and how many
were returned during the reporting period;
− The dates and locations of Take-Back Events held, if applicable, and the
quantities by weight returned at those events;
− The transporters used and the disposal facility or facilities used for all
Sharps;
− A statement of whether any safety or security problems occurred during
collection, transportation, or disposal of Sharps and, if so, what changes
have or will be made to alleviate these problems and improve safety and
security;
− A description of public education, outreach, and evaluation of activities
implemented;
− A summary of the Product Stewardship Plan's goals, the degree of
success in meeting those goals in the past year, and, if any goals have not
been met, what effort will be made to achieve the goals in the next year;
and
− The total expenditures of the Product Stewardship Plan during the
reporting period.
34
Appendix A
MED-Project Participants
The list of participating Producers in MED-Project’s Program in the County is provided to the County on a periodic basis to satisfy Ordinance requirements.
35
Appendix B
Potential Kiosk Drop-Off Sites
Per Opportunity to Participate letter submitted September 16, 2021
SITE NAME STREET ADDRESS CITY ZIP CODE
Aborn Pet Hospital
Ace Animal Hospital
Adobe Pet Hospital
Aenlivon Pet Care - Veterinary House Call
Ahf Pharmacy
Airport Police Services
Alameda Adult School
Alameda County Industries
Alameda County Sheriff's Office 2425 E 12th St Oakland 94601
15001 Foothill Boulevard San Leandro 94578
2275 Buena Vista Ave Alameda 94501
1555 Oak Street Alameda 94501
2060 Challenger Drive Alameda 94501
601 San Gabriel Ave. Albany 94706
1000 San Pablo Avenue Albany 94706
1200 Solano Ave. Albany 94706
819 Bancroft Ave. Berkeley 94710
5480 Sunol Blvd Pleasanton 94566
2001 Dwight Way Berkeley 94704
2450 Ashby Ave Berkeley 94705
350 Hawthorne Ave Oakland 94609
36
SITE NAME STREET ADDRESS CITY ZIP CODE
Alta Bates Summit Outpatient Pharmacy
Alta Bates Summit Perinatal Center
Alta Vista Veterinary Clinic
Altamont Cat Hospital
Amador Pet Hospital
Amador Valley Adult & Community Education
Animal Medical Center Of Livermore Inc
Animal Medical Center Of Pleasanton
Animus Inc Dba Petsvet Milpitas
Arroyo Veterinary Clinic
Asian Health Services Inc
Axis Community Health
Axis Community Health
Axis Community Health
Axis Community Health
Bart Police Department
Bay Area Animal Eye Care
Bay Area Animal Eye Care
Bay Area Endoscopy Center Llc
Bay Cities Animal Hospital
Bay Surgery Center
Bcare Pharmacy Llc
Beacon Veterinary Specialists
37
SITE NAME STREET ADDRESS CITY ZIP CODE
Berkeley Adult School
Berkeley Animal Care Services
Berkeley Dog And Cat Hospital
Berkeley High School Health Center
Berkeley Mental Health
Berkeley Primary Care Access Clinic
Berkeley Public Health Clinic
Berkeley Technology Academy Health Center
Berkeley USD
Berkeley-East Bay Humane Society Veterinary Hospital, Inc.
Boulevard Pet Hospital
Bradford Pharmacy Inc.
Broadway Pet Hospital
CA Department of Toxic Substances Control
700 Heinz Ave #200 Berkeley 94710
3100 Diablo Ave Hayward 94545
25800 Carlos Bee Blvd Hayward 94542
25800 Carlos Bee Blvd Hayward 94542
1807 Martin Luther King Jr
Way
Berkeley 94709
733 Allston Way Ste 2 Berkeley 94710
605 Greeley Court Hayward 94544
15555 E 14th St Ste 500 San Leandro 94578
38
SITE NAME STREET ADDRESS CITY ZIP CODE
Castro Valley Adult School
Castro Valley Animal Hospital
Castro Valley Companion Animal Hospital, Inc.
Castro Valley USD
Central Admixture Pharmacy Services Inc
Chabot Veterinary Clinic
Chabot-Las Positas Community College District
Childrens Clinic Pharmacy
Children's Hospital & Research Center At Oakland
Children's Hsp Med Ctr Ambulatory Care
City Of Fremont Police
Department/Tri-City Animal
1950 Stevenson Blvd Fremont 94538
20353 Lake Chabot Rd Ste 101 Castro Valley 94546
3059 Hopyard Rd Ste C Pleasanton 94588
1515 Fruitvale Ave Oakland 94601
974 Stannage Ave Albany 94706
15400 San Leandro Blvd San Leandro 94577
384-14th Street Oakland 94601
3157 Corporate Pl Hayward 94545
25901 Industrial Blvd Hayward 94545
39
SITE NAME STREET ADDRESS CITY ZIP CODE
CSU East Bay University Police Department
25800 Carlos Bee Boulevard Hayward 94542
2615 Davis Street San Leandro 94577
3760 Mowry Ave Fremont 94538
1172 Murrieta Blvd Livermore 94550
3095 Independence Dr Ste A Livermore 94551
3012 Summit St Oakland 94609
15099 Hesperian Blvd Ste B San Leandro 94578
7185 Homewood Dr Oakland 94611
363 Mullin Ct Pleasanton 94566
7400 Macarthur Blvd No A Oakland 94605
2625 Alcatraz Ave Berkeley 94705
7 California Ave Pleasanton 94566
6361 Clark Avenue Dublin 94568
7471 Larkdale Ave. Dublin 94568
7410 Amador Valley Blvd Ste D Dublin 94568
3100 Summit St_2447a Oakland 94609
5858 Horton St Ste 100 Emeryville 94608
300 Frank Ogawa Plaza
Ste 135
Oakland 94612
17930 Lake Chabot Road Castro Valley 94546
8323 Baldwin St Oakland 94621
4651 Gleason Drive Dublin 94568
40
SITE NAME STREET ADDRESS CITY ZIP CODE
East Bay Spca Spay/Neuter Clinic
East Bay Veterinary Clinic
East Bay Veterinary House Calls
East County Animal Shelter And Field Services
East Oakland Health Pharmacy
Eastmont Wellness
Eden Medical Center
Emery USD
Emeryville Police Department
Emeryville Veterinary Hospital
Entirelypets Pharmacy
Equine Performance Veterinary Services
Eye Md Laser And Surgery Center
Fairmont Hospital Pharmacy
For Paws
Four Paws Veterinary Center Inc
Frank Kiang Medical Center
Fremont Adult School
Fremont Hospital
Fremont Police Department
Fremont USD
Friends Of The Alameda Animal Shelter
Fuente Wellness Center
41
SITE NAME STREET ADDRESS CITY ZIP CODE
Gentle Care Veterinary Hospital
Groveway Veterinary Hospital
Hacienda Outpatient Surgery Center Llc Dba Hacienda Surgery 4626 Willow Rd Ste 100 Pleasanton 94588
4626 Willow Rd Ste 100 Pleasanton 94588
4067 Peralta Blvd Fremont 94536
261 Joaquin Ave San Leandro 94577
25886 Mission Blvd Hayward 94544
1390 66th Ave Oakland 94621
1700 28th Ave Oakland 94601
22100 Princeton St. Hayward 94541
56 Benmore Dr Hayward 94542
777 B Street Hayward 94541
300 West Winton Avenue Hayward 94544
16 Barnes Ct Hayward 94544
27200 Calaroga Ave Rm A1-108 Hayward 94545
3458 Enterprise Avenue Hayward 94545
24411 Amador St. Hayward 94544
664 Southland Mall Hayward 94545
2001 Dwight Way Rm 2113 Berkeley 94704
4248 Macarthur Blvd Oakland 94619
1411 East 31st Street Oakland 94602
1411 E 31st St Oakland 94606
22163 Redwood Rd Castro
Valley
94546
42
SITE NAME STREET ADDRESS CITY ZIP CODE
Hillview Pet Hospital
House Calls
Integrative Veterinary Care
Ironhorse Vetcare
Irvington Pet Hospital
Jade Pharmacy
John George Psychiatric Pavilion Phy
Kabafusion Llc
La Clinica De La Raza
La Clinica De La Raza, Inc.
Lawrence Livermore National Laboratory Health Services
Lifelong Ashby Health Center
Lifelong Medical Care - Howard Daniel Clinic
Lifelong Medical Care Inc
Lifescript Pharmacy
Livermore Adult Community Education
Livermore Muni Airport
Livermore Police Department
Livermore Sanitation Transload
Livermore Valley Joint USD
Livermore Veterinary Hospital
Logan Health Center
43
SITE NAME STREET ADDRESS CITY ZIP CODE
Marina Veterinary And Integrative Care, Inc
Masonic Home Pharmacy
Maxor Correctional Pharmacy Services
Medical Arts Pharmacy
Med-Plus Pharmacy Inc
Metropolitan Oakland International Airport
Midtown Pharmacy Professional Corporation
Midtown Veterinary Hospital
Mission Valley Veterinary Clinic
Mountain House ESD
Mowry Medical Pharmacy
Mowry Plaza Pharmacy
My Lan Pharmacy
New China Town Pharmacy
New Harmony Veterinary Acupuncture
New Haven Adult School
New Haven USD
New Tiburcio Vasquez Health Center Phy
Newark Adult Education Center
Newark Police Department
Newark USD
Newark Wellness
44
SITE NAME STREET ADDRESS CITY ZIP CODE
Nichols Hill Prescription Pharmacy
Noble Veterinary Clinic
Nova Surgical Institute Inc
Nowrx Inc
Nowrx Inc
Oakland Animal Services
Oakland City Housing Authority Police Department
1540 Webster St Oakland 94612
5220 Claremont Ave Oakland 94618
455 7th Street Oakland 94607
1000 Broadway, Suite 680 Oakland 94607
1000 Broadway, Ste. 680 Oakland 94607
4258 Mac Arthur Blvd Oakland 94619
1133 7th St Oakland 94607
2844 Las Positas Rd Livermore 94551
43600 Mission Blvd. Fremont 94539
43600 Mission Blvd, Bldg 20 Fremont 94539
20967 Cabot Blvd Hayward 94545
1599 Factor Ave Ste B San Leandro 94577
1237 B Street Hayward 94541
3260 Sacramento St Berkeley 94702
1860 Alcatraz Avenue Berkeley 94703
10700 Macarthur Blvd Suite 14b Oakland 94605
600 International Blvd
#105
Oakland 94606
45
SITE NAME STREET ADDRESS CITY ZIP CODE
Pacific Racing Association
Paws Of Pleasanton, A Veterinary
Corporation
Pawsitive Mobility
Peralta Community College
District
Peralta Outpatient Pharmacy
Petcura Animal Hospital
Petcura Animal Hospital Of Livermore
Petnet Solutions Inc Dba Petnet
Pharmaceutical
Petsvet
Petvet Care Centers (California), Inc. Dba Newark Pet Clinic
Pharmaca Integrative Pharmacy Inc
Pharmaca Integrative Pharmacy Inc
Pharmerica
Piedmont Adult School
Piedmont USD
Planned Parenthood
Planned Parenthood
Planned Parenthood Mar Monte Inc "west Oakland"
Plastic & Reconstructive Surgery Center
Plaza Veterinary Hospital
Pleasant Care Pharmacy
46
SITE NAME STREET ADDRESS CITY ZIP CODE
Pleasanton / BART Police Services Center
Pleasanton Garbage Transfer Station
Pleasanton Police Department
Pleasanton Surgery Center
Pleasanton USD
Pleasanton Veterinary Hospital
Prime Health Pharmacy
Providence Veterinary Clinic
Providence Veterinary Hospital
Redwood Animal Hospital
Roosevelt Health Center
San Leandro Adult School
San Leandro Police Department
San Leandro Surgery Center
San Leandro USD
San Leandro Veterinary Hospital
San Lorenzo Adult School
San Lorenzo Adult School Community Education Center
San Lorenzo High Health Center
San Lorenzo USD
47
SITE NAME STREET ADDRESS CITY ZIP CODE
San Lorenzo Veterinary Hospital, Inc
Skilled Nursing Pharmacy
Soleo Health Inc
St Louis Veterinary Clinic
Stanford Emeryville Health Center Pharmacy
Sunol Glen USD
Surgery Center Fremont
Sutter Infusion & Pharmacy Services
Techniclinic
Thc - Orange County Llc Dba Kindred Hospital San Francisco 2800 Benedict Dr San Leandro
The Grand Lake Veterinary Hospital
The Medicine Shoppe
The Surgery Center Of Alta Bates
Thornhill Pet Hospital, Inc
Tib Pharmacy Llc
Tiburcio Vasquez Health Center
Tiburcio Vasquez Health Center - Silva Campus
Tiburcio Vasquez Health Center Inc
Tiburcio Vasquez Health Center Inc
Tiburcio Vasquez Health Center Inc - Chabot College Campus
Tiburcio Vasquez Health Center
Inc Firehouse Clinic
48
SITE NAME STREET ADDRESS CITY ZIP CODE
Tiburcio Vasquez Health Center Inc Hayward High School
Tiburcio Vasquez Health Center Inc Tennyson High School
Tiger Health Clinic
Town & Country Veterinary Hospital
Tri-City Health Center
Tri-City Health Center Mowry II Clinic
Tricity Veterinary Hospital
Truepill
UC Berkeley Police Department 1 Sproul Hall (Basement) Berkeley 94720
3100 Summit St Oakland 94609
32280 Alvarado Blvd Union City 94587
34009 Alvarado Niles
Road
Union City 94587
1641 Industrial Pkwy W Hayward 94544
2929 Telegraph Ave Berkeley 94705
3670 Nevada St Pleasanton 94566
1111 East Stanley Boulevard Livermore 94550
5555 W Las Positas Blvd 1st Fl Pleasanton 94588
2461 Shattuck Ave Berkeley 94704
2801 Encinal Alameda 94501
1569 Solano Ave Berkeley 94707
7660 Amador Valley Blvd Dublin 94568
33663 Mission Blvd Union City 94587
5205 Armani Court Pleasanton 94588
49
SITE NAME STREET ADDRESS CITY ZIP CODE
Vetncare Alameda Inc
Vetncare Walnut Creek
Vetncare, Brentwood, Inc.
Vetncare, Vacaville, Inc.
Vibrant Care Pharmacy Inc
Vnc Ardenwood Pet Hospital, Inc.
Vnc Romie Lane Pet Hospital
Warm Springs Pet Hospital
Washington Hospital Pharmacy
Washington Outpatient Surgery Center
Webster Surgery Center, Lp
West Berkeley Family Practice
West Oakland Health Center Pharm
Youth Heart Health Center
Zen-Pet, Inc.
50
Appendix C
Participating Kiosk Drop-Off Sites
MED-Project will provide the County with a list of participating Kiosk Drop-Off Sites on a
periodic basis, as requested by the County.
Site Name Street Address City Zip/Postal Code
Access Pharmacy
Alameda Health System - San Leandro Hospital
Alameda Hospital
APEB
Berkeley Police Department
Capsmart Pharmacy
Clover Pharmacy
CVS Pharmacy 09128
CVS Pharmacy 09251
CVS Pharmacy 09600
CVS Pharmacy 09941
CVS Pharmacy 09942
CVS Pharmacy 00331
CVS Pharmacy 00816
CVS Pharmacy 03024
CVS Pharmacy 08431
CVS Pharmacy 09099
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Site Name Street Address City Zip/Postal Code
CVS Pharmacy 09255
CVS Pharmacy 09378
CVS Pharmacy 09397
CVS Pharmacy 09494
CVS Pharmacy 09595
CVS Pharmacy 09622
CVS Pharmacy 09635
CVS Pharmacy 09678
CVS Pharmacy 09876
CVS Pharmacy 09904
CVS Pharmacy 10119
CVS Pharmacy 10121
CVS Pharmacy 10199
CVS Pharmacy 10924
Haller's Pharmacy and Medical Supply
Highland Hospital Outpatient Pharmacy
Kaiser Dublin MOB Pharmacy 061
Kaiser Livermore OP Pharmacy 241
52
Site Name Street Address City Zip/Postal Code
Kaiser Pleasanton South 1 Pharmacy 471
Mission Pharmacy
Native American Health Services
New Oakland Pharmacy - Lake Merritt
New Oakland Pharmacy 1
New Oakland Pharmacy 2
Piedmont Police Department
San Leandro Senior Community Center
Teds Drugs
Tennyson Pharmacy
University of California (UC) Berkeley University Health 2222 Bancroft Way Berkeley 94720
3382 Castro Valley Castro Valley 94546
3434 High Street Oakland 94619
2801 Adeline Street Berkeley 94703
4184 C Piedmont Avenue Oakland 94611
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Appendix D
Sample Sharps Mail-Back Package
Description:
Mail-Back Packages include an FDA-cleared Sharps Container with mail-back
packaging, return label, instructional flyer, and unique identifier enabling tracking from
collection through final disposal.
Package Sizes:
1.4-quart mail-back system
Mail-Back Services are an example of complete, turnkey systems to provide for the safe return of Sharps via USPS.
MED-Project may choose to change its Vendor for Mail-Back Services at any time,
subject to requirements in the Ordinance.
54
Appendix E
Sample Sharps Kiosk Mock-Up
55
Sample Sharps Kiosk Signage
Front of Kiosk Signage
56
Sample Side of Kiosk Signage
57
Sample Kiosk Drawer Signage
58
Appendix F
Sample MED-Project Website Home Page
59
Sample MED-Project Website Check the Package Page
60
Sample MED-Project Website Convenient Locations Page
61
Sample MED-Project Website Mail Back Page3
3 The MED-Project Website combines information for disposal of Sharps and Unwanted
Medicine in Alameda County.
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Sample MED-Project Website Take-Back Events Page
63
Sample MED-Project Website Learn Page
64
Sample MED-Project Website FAQ Page
65
Sample MED-Project Website Contact Page
66
Sample Instruction Brochure/Flyer Mockup
67
68
Appendix G
American Avenue Landfill
69
70
71
72
73
74
75
76
77
78
79
80
81
82
Clean Harbors Aragonite, LLC Penalty Record
83
84
85
86
Curtis Bay Energy, LP Penalty Record
87
88
Waste Management El Sobrante Landfill Penalty Record
89
90
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Appendix H
Media List
The following is a representative list of key media outlets to help educate Residents
about proper disposal of Sharps. The list includes local print, online, television and radio
outlets, including outlets specifically targeting the diverse demographic communities
within the County.
Print Outlets Coverage Area
92
Television Outlets Network
BAVC
KDTV
KEMO
KGO
KNTV
KPIX
KQED
KRON
KSTS
KTVU
Radio Outlets City/County/Coverage Area
KALW FM 91.7
KCBS AM 740
KCSF (College app radio)
KGO AM 810
KQED FM 88.5
KSFO AM 560
KUSF (College online radio)
KPFB FM 89.3
KALX FM 90.7
KNGY FM 92.7
KPFA FM 94.1
KKIQ FM 101.7
KBLX FM 102.9
93
KNEW AM 910
KKGN AM 960
KMKY AM 1310
KVTO AM 1400
KPIG AM 1510
KACR FM 96.1
KCRH FM 89.9
KPOO 89.5
KSMC 89.5
KCSM 91.1
KKDV 92.1
KRZZ 93.3
KYLD 94.9
KBWF 95.7
KOIT 96.5
KLLC 97.3
KISQ 98.1
KSOL 98.9
KMVQ 99.7
KBRG 100.3
KVVZ 100.7
KIOI 101.3
KDFC 102.190.3
KKSF 103.7
KFOG 104.5
KITS 105.3
KVVF 105.7
94
KMEL 106.1
KFRC 106.9
KSTN 107.3
KSAN 107.7
KSFO 560 AM
KEAR 610 AM
KSTE 650 AM
KNBR 680 AM
KFIA 710 AM
KCBC 770 AM
KTRB 860 AM
KATD 990 AM
KIQI 1010 AM
KTCT 1050 AM
KFAX 1100 AM
KHTK 1140 AM
KLOK 1170 AM
KDYA 1190 AM
KNTS 1220 AM
KSRO 1350 AM
KZSF 1370 AM
KEST 1450 AM
KFBK 1530 AM
KLIV 1590 AM
KDIA 1640 AM
KEBR 88.1
KECG 88.1
95
KXPR 88.9
KOHL 89.3
KREV 92.7
KSFN 1510 AM
96
Appendix I
Contact List for Outreach and Education to the Community
The following Associations, Agencies, and Organizations may be contacted for
assistance with outreach and education to the community.
Health Systems:
− Alameda County Medical Center
− Children’s Hospital and Research Center
− Fremont Hospital
− Kaiser Foundation Hospital
− St. Rose Hospital
− Sutter Health
− Stanford Health
− Washington Hospital
Health Associations and Societies:
− California State Board of Pharmacy
− California Pharmacists Association
− The Medical Board of California
− California Nurses Association
− National Association of Social Workers California Chapter
− California Board of Registered Nursing
− California Board of Vocational Nursing
− California Department of Health Care Services
− California Health and Human Services Agency
Organizations, Districts, and Agencies:
− Alameda County Public Health Department
− Alameda County Department of Environmental Health
− Alameda County Public Works Agency
− Alameda County Board of Supervisors
− Alameda County Fire Department
− American Medical Response Alameda County
− CalRecycle
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Appendix J
Sample IVR Flow
Thank you for calling the information line for the Medication Education and Disposal
Project, or MED-Project.