A healthcare facility operating under Subpart P must notify the Regional Administrator on Form 8700-12 (one per site or EPA ID, Box 10.B not needed), with its next Biennial Report or within 60 days of becoming subject, keeping the notification while subject; withdrawal to VSQG status needs notice before operating under 262.14, kept three years. Personnel managing non-creditable hazardous waste pharmaceuticals must be thoroughly familiar with waste handling and emergency procedures for their duties. The facility must determine whether each non-creditable pharmaceutical is hazardous (or may manage all as hazardous). Containers must be structurally sound, compatible and free of leaks or damage, managed so ignitable, reactive or incompatible contents cannot react dangerously, kept closed and secured against unauthorised access, with non-hazardous pharmaceuticals allowed in the same container except that wastes barred from combustion by the 268.3(c) dilution rule or from lab packs by 268.42(c) go in separate containers labelled with their codes; containers are labelled "Hazardous Waste Pharmaceuticals". Accumulation is limited to one year, shown by dating containers, an inventory system or a dated area. Part 268 applies with the 268.7(a) notice (codes not required). Rejected loads returned may be held up to 90 more days, signing Item 18c or 20, giving the transporter a copy, sending a copy to the returning facility within 30 days and reshipping within 90 days. No Biennial Report is needed for these wastes; if the signed manifest is not received within 60 days, a legible copy with a note on efforts to locate the waste goes to the Regional Administrator (likewise for forwarded rejected loads), and additional reports may be required. Manifests are kept three years (or until the signed copy arrives, then three years from acceptance), exception reports three years and determination records three years (not needed where all non-creditable pharmaceuticals are managed as hazardous), extended during enforcement and readily available. Spills must be contained immediately with clean-up materials managed as non-creditable hazardous waste pharmaceuticals. A healthcare facility may receive such waste from an off-site VSQG healthcare facility under the same control or with which it has a documented supply relationship, if it operates under Subpart P and keeps receipt records for three years.
The graph holds this control, the 0 it maps to, and the evidence behind each claim, over MCP and REST.