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Waste Handling

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[[Safety]] | [[Deadly Weapon]] | [[Shipping Hazardous Materials]] | [[Latex Sensitivity]] | [[Bloodborne Pathogens Exposure]] | [[Waste Handling]] | [[Portable Space Heaters]] | [[Children in the Workplace]] | [[Pets in the Workplace]] | [[Tuberculosis Exposure]] | [[Food, Drinks and Cosmetic Use in Laboratory Areas]] | [[Medical Surveillance]] | [[Enterprise Threat Assessment and Management Response Team]] | [[Management of Violent or Aggressive Patients/Visitors]] | [[Youth Safety]] | [[Tours]] | [[Small Appliance]] | [[Unmanned Aircraft]] | [[ Electric Scooter ]]
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Policy No: <strong>2005</strong><br />Effective Date: <strong>08/25/06</strong><br />Revised Date: <strong>0406/1217/1019</strong><br />Reviewed Date: <strong>0406/1517/1019</strong><br /><br /><big>'''Waste Handling Policy'''</big>
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<br big>'''Waste Handling Policy'''</big>It is the policy of ==Basis==The University of Nebraska Medical Center (UNMC) is required to manage waste in a manner designed to protect patients, employees, students, contractors, visitors and volunteers, as well as the environment. Waste handling is accomplished in a cost effective manner in accordance with all applicable local, state and federal regulations and laws. Waste which cannot be reused or recycled will be disposed of in accordance with this policy.==Biohazard WastePolicy==Biohazard UNMC’s first priority is to minimize waste (infectious waste) is defined as material of biological origin capable of producing an infectious disease in humans or animals whenever possible and includes at has set a minimum blood, body fluids, discarded sharps and inoculated culture media.<br /><br />Biohazard waste is composed of two broad categories to include sharps and nonsharps, and can be further subdivided by type. See the definitions outlined in [httphttps://infolivegreennebraska.unmc.educom/mediaupdated-2030-sustainability-goals/safety/2005_waste_handling_attachments_Nov2009.pdf Attachment IZero Waste Goal] for further details.<br /><br />Biohazard waste, except for sharps, shall be contained in disposable plastic bags or containers that are tear-resistant, leak-proof, and secured to prevent leakage or expulsion of solid or liquid waste during storage, handling or transport.#Biohazard waste will be transported in covered containers designated for biohazardous waste.#Bags will meet current tear and impact resistance requirements, will conform to current maximum size and weight restrictions, and will be labeled as biohazardous. The top of the inner bag must be closed by twisting it closed and tying in a single knot. It second priority is preferred that infectious waste be placed directly into rigid reusable containers supplied by the waste contractor at the site of origin.#Prior to transport off campus, all biohazardous recycle as much waste will be placed in an approved leak-proof container such as disposable or reusable pails, reusable sharps containers, cartons, boxes, drums, or portable bins. These containers will be clearly marked and labeled in accordance with DOT and OSHA regulatory requirements. All containers will be closed and completely sealed.#Suction canisters containing blood or other body fluids must be carefully emptied or contents may be sealed and placed in rigid reusable biohazardous waste containers with absorbent material. Personnel must wear appropriate protective equipment possible to minimize exposure to potential pathogens if contents are emptied. The contents may be solidified and discarded using approved methods if emptying divert it from the contents is not practicallandfill. The empty suction canisters must Waste which cannot be handled and discarded as biohazard waste.#Equipment and linen contaminated with biohazard material reused or biological agents recycled must be handled and decontaminated disposed of in accordance with the guidelines established in the Bloodborne Pathogen Exposure Control Plan (See The Nebraska Medical Center Policies and Procedures, IC13, Bloodborne Pathogens Exposure Control Plan; UNMC Policy 2004, [[Bloodborne Pathogens Exposure]] Policy). Equipment and linen are not thrown away as a biohazard. Items are cleaned first and appropriate personnel will determine if an item must be discarded due to contamination.#Infectious sharpscost-effective manner, medical sharps, broken contaminated glass and pipettes contaminated with infectious material must be disposed of in leak-proof, rigid, puncture-resistant and break-resistant containers. Sharps containers must be approved by Safety Operations and the UNMC Safety Office. These containers must be sealed shut when they are 3/4 full and placed accordance with the biohazard waste for pick up this policy and disposal. Sharps containers should be bagged and sealed as outlined above if they contain liquids in the form of bloodall applicable local, body fluids or medications. Disposable sharps containers 4 gallons or smaller are sealed closed state and placed in the biohazard waste tub for disposalfederal regulations. Larger disposable sharps containers which will not fit into biohazard tubs for shipping must be in a shippable container, approved by DOT for shipment of sharps with no other packaging required. Reusable sharps containers regardless of size are sealed closed and then transported by ==Guidelines==Please follow the vendor to a facility which handles emptying recycling and disinfecting the containers as well as decontamination of the sharps for disposal.#The use of re-usable sharps containers is acceptable with the written approval of the UNMC Safety Manager. Containers will be handled and processed in a manner consistent with acceptable regulatory guidelinesbelow.#Non-EPA regulated chemotherapy ===Recyclable Waste===Recyclable waste (See [http://info.unmc.edu/media/safety/2005_waste_handling_attachments_Nov2009.pdf Attachment 2] for a list of EPA regulated chemotherapy agents), pathological or other waste requiring incineration (human or animal remains or excised tissue) are marked clearly with the "incineration only" stickers provided by the biohazard waste contractor. The stickers are available from the biohazard waste contractor. Information is any material collected on obtaining the incineration stickers campus that can be obtained from UNMC Safety at 9-7315recycled.#Special Circumstances in Handling Biohazard Waste#*Placentas for disposal will be labeled for incinerationThe most common recycled material is listed below.#*Tissue dissected from surgical pathology or autopsy specimens are disposed by incineration. See 8. above.====Paper and Cardboard====#*Biosafety-Level 3 containment laboratories shall have all waste generated in such labs either decontaminated prior to removal from the lab or wrapped It is policy of UNMC and Nebraska Medicine that '''ALL PAPER''' must be placed into in a sealed blue desk-side container prior to removal from lab for decontamination on site.#*Any materials/substances coming out of a laboratory with concentrated infectious agents, such as an HIV/HBV production facilitylarge blue bin, must be decontaminated on site before leaving the facility.#*Biocontainment unit biohazard waste will be handled in accordance with acceptable guidelines. Known locked grey or suspected Risk Group 4 waste ([http://infobeige bin, or locked cart.unmc.eduAll paper is shredded to ensure HIPAA/mediaFERPA/safety/2005_waste_handling_attachments_Nov2009confidentiality compliance.pdf See Attachment]) is autoclaved on site before leaving the facility.#Only trained and certified individuals shall sign Regulated Medical Waste (biohazardous) transport shipping papers. These individuals are signing for the organization and as such are Even if that paper does not held financially responsible for any penalties or fines that may need to be imposed by regulatory agencies shredded (i.e., OSHA, DOT, etcnewspaper) so long as they are acting it is still placed in a reasonable manner, consistent with their training and UNMC policyone of those containers.<br />
==Chemical Virtually all paper products on campus can be recycled: copy paper, envelopes (including plastic windows), scratch paper, glossy paper, construction paper, clean food packaging, newspaper, receipts, post-its, notebook paper, etc. Facial tissues, napkins, paper towels, etc. '''cannot''' be recycled and Hazardous Waste==should be placed in the trash.<br />#Chemical If you have large quantities to recycle, please contact Environmental Services (EVS) (402-559-4073) so they can provide you with a larger bin, making it easier for you and Hazardous Waste is any chemical material safer for disposal your EVS colleague.<br /> All corrugated cardboard (boxes used for shipping) and includes both hazardous and non-hazardous chemicalsstandard cardboard (sometimes referred to as paperboard: facial tissue/cereal/frozen meal boxes) can be recycled on campus. Chemicals Please break all boxes down flat and chemical materials like lead acid batteries place them between your paper recycling bin and aerosol cans are disposed the wall or at the designated location for your building. You do not need to remove labels or tape. Cardboard that has come in direct contact with food can be recycled as long as it is not dirty/soiled. Do not place any grade of cardboard in the blue/paper recycling container.<br /> The recycling program at UNMC must comply with the federal requirement, in accordance with the Chemical Safety Manual Health Insurance Portability and are removed Accountability Act of 1996 (HIPAA), that all personal health information (PHI) be protected from the premises by a licensed contractortime it is created to the time it is destroyed. Contact Recyclable paper containing confidential information is safeguarded from the UNMC Chemical Safety Office at exttime of generation through destruction. 9-6356 for disposal For guidelineson the proper destruction of confidential materials in the hospital, see IM.14, and UNMC Policy No. 6056, Retention and Destruction/Disposal of Private and Confidential Information. All paper waste, including medical and personal information, is considered confidential waste.<br />#Aerosol cans are EVS is responsible to secure, transport, and store confidential materials from internal customer departments. All paper in the blue containers marked specifically for recycling is considered confidential in the recycling process. Once picked up , this confidential waste is to be secured in locked containers provided by the vendor and locked containers should not be tampered with by unauthorized personnel. EVS will be the keepers of the keys for unlocking these containers and will have access to the contents of the containers through keys signed in and out daily in compliance with the Environmental Services Key Control Policy.====Plastic and Metal====Recyclable material can include rigid plastic, tin or aluminum. These items should be placed in most locations except labsthe green recycling bins. EVS will empty the bins, where they are tagged collect the waste and prepare it for pick-up disposal by the recycling vendor. See [https://livegreennebraska.com/recycling/ LiveGreen Recycling] for additional information.<br /> Large metal items can be recycled through Facilities Management and Planning and/or [http://info.unmc.edu/procurement/general-supply/ General Supply/Furniture Stores].====Surplus Material===='''Surplus''' is any item that you or your department no longer needs. Common surplus equipment includes:*Computers*Printers and cartridges*Electronic Equipment*Furniture*Chairs*Appliances*EquipmentThese materials may be reused within the organization, sold or properly disposed of. Disposition of all surplus equipment shall be the responsibility of the Manager of General Supply/Furniture Stores (402-559-5899) and must be coordinated with the appropriate director or department head. Surplus equipment valued over $5,000 and entered in the UNMC Chemical Fixed Asset Inventory System must be handled in accordance with UNMC Policy No. 3000, [[General Accounting]].====Technotrash====Electronic trash, such as CD/DVD, barcode lab label printer ribbons, hard drives, and Radiation Safetycopiers are disposed of using an appropriate channel that can handle the chemical hazards of the item and taking into account the presence or absence of personal health information (PHI). Cans Items containing PHI are punctured disposed of in accordance with applicable Nebraska lawUNMC Policy No. 6056, [[Retention and Destruction/Disposal of Private and Confidential Information]]. <br /> For additional information on other recyclable material, see [https://livegreennebraska.com/recycling/ LiveGreen Recycling].====Alkaline Batteries====These are the metal typical non-rechargeable batteries that most people use. They are not EPA regulated and can be recycledthrough the UNMC Alkaline Battery Recycling Program. See [https://livegreennebraska.com/recycling/batteries/ LiveGreen Alkaline Battery (single use) Recycling] for additional information.==Radioactive =Non-Recyclable Waste===Radioactive Non-recyclable waste is any material with detectable radioactivity above background levelswaste, generated at UNMC that cannot be recycled. These materials are handled ====Biohazardous Waste====Biohazardous waste will be managed and disposed of in accordance with Radioactive DOT, EPA, OSHA, and State of Nebraska Regulations. Biohazardous waste (infectious waste or medical waste) is waste contaminated with biological material that is infectious or potentially infectious to humans, animals, or plants. Materials contaminated with recombinant and synthetic nucleic acids, as well as genetically modified organisms are also considered biohazardous. Please contact EVS at (402-559-4073) for biohazardous waste containers. Disposable sharps containers must be purchased by the department.=====General Biohazardous Waste policies Categories=====*Microbiological waste includes but is not limited to cultures and proceduresdisposable culture materials, stocks of infectious agents and associated biologicals, discarded live and attenuated vaccines. Contact *Human blood and blood products (dripable or dried blood that can be dislodged during handling). *Human tissues, body fluids or other potentially infectious materials including but not limited to unfixed human cell lines, tissues, pathology specimens, and used specimen containers. *Contaminated animal waste including carcasses, blood and body fluid, body parts, and excrement/bedding from animals infected with a pathogen. *Synthetic or recombinant nucleic acid materials. '''All biohazardous waste must be rendered non-infectious prior to final disposal per State law [http://deq.ne.gov/RuleAndR.nsf/pages/PDF/%24FILE/T132_5.17.16.pdf (NDEQ Title 132)].''' =====Liquid Biohazardous Waste=====Decontaminate liquid biohazardous waste (such as human blood, aspirated culture media, infectious human or animal body fluids, and liquid bacterial cultures) by steam sterilization (i.e. autoclave) or treatment with an appropriate chemical disinfectant (such as freshly-prepared bleach) for the UNMC Radiation recommended contact time (20 minutes for 1:10 final dilution with bleach). After decontamination, liquids may be poured down the drain to the sanitary sewer while flushing with cold water. See [sehttps://www.unmc.edu/ehs/FactSheets/SanitarySewerDisposal.pdf Sewer Disposal Fact Sheet] for guidance. Please note: solutions containing biological toxins must be decontaminated in a manner that also inactivates the toxin. Contact Environmental Health & Safety Office Department (EHS) at 9402-559-6356 for prior to drain disposal guidelinesif using disinfectants other than bleach.==Recyclable ===Solid Biohazardous Waste=====Recyclable Solid biohazardous waste is composed of two broad categories to include sharps and non-sharps. ======Sharps======*Biohazardous sharps waste includes mixed paperbut is not limited to needles, cardboardsyringes, scalpels, glass microscope slides, cover-slips, glass blood vials, Pasteur pipettes, plasticsharps (serological pipettes and pipette tips), tinrazor blades, scrap metal and aluminumcontaminated broken glass. Recyclable material containing confidential '''Uncontaminated medical/research sharps (such as needles, syringes, scalpels, serological pipettes, pipette tips, etc.), although not contaminated, may be perceived as infectious when presented for disposal and must be handled as biohazardous sharps waste.'''*Biohazardous sharps must be disposed of in leak-proof, rigid, puncture-resistant and break-resistant sharps containers. These containers must be closed when they are 3/4 full. Sharps containers should be bagged and sealed as outlined above if they contain liquids in the form of blood, body fluids or medications. Disposable sharps containers four (4) gallons or smaller are sealed closed and placed in the biohazard waste tub for disposal. Larger disposable sharps containers which will not fit into biohazard tubs for shipping must be in an approved container. Contact EHS for additional information . *The use of reusable sharps containers is safeguarded acceptable with the approval from EHS. Reusable sharps containers regardless of size are closed and then transported by the time vendor to a facility which handles emptying and disinfecting the containers, as well as decontamination of generation through destructionthe sharps for disposal. See UNMC Policy 6056 Retention *Pipettes and Destructionpipette tips readily puncture biohazard waste bags and must be disposed of in a rigid container (biohazard bag lined cardboard box). Lining pipette disposal box with plastic keeps residual liquids from soaking the box and seeping onto the floor/Disposal counter. Once pipette disposal boxes are full, they must be taped shut and placed into biohazard waste bin. ======Non-Sharps======*Solid (non-sharps) biohazardous waste including contaminated disposable PPE, culture materials, samples, specimens, shall be placed into tear-resistant, leak-proof, and secured red biohazard bags to prevent leakage or expulsion of Private solid or liquid waste during storage, handling or transport. Bags will meet current tear and Confidential Information for guidelines on impact resistance requirements will conform to current maximum size and weight restrictions and will be labeled with the proper destruction universal biohazard symbol (reference requirements in 49 CFR 173.134, 49 CFR 173.197, 49 CFR 173.24, 49 CFR 173.24a). The top of confidential materialsthe inner bag must be closed by twisting and tying in a single knot. Questions concerning recycling can The infectious waste bags should be addressed placed directly into rigid reusable containers supplied by calling ext. 9-4100the waste contractor at the site of waste generation.==General ===Special Circumstances in Handling Biohazardous Waste=====General *Before generating any biohazardous waste is anything which does not fit into other waste categories that requires incineration, contact EHS. *Prion and is transported prion-like wastes require special treatment before disposal, contact EHS for additional information. *BSL-3 and disposed via ABSL-3 containment laboratories must decontaminate all wastes using agent-appropriate methods prior to removal from the lab. *Any materials/substances coming out of a contracted service laboratory with a larger volume of concentrated infectious agents, such as an HIV/HBV production facility, must be decontaminated on-site before leaving the facility. *Wastes generated from diagnostic sample analysis containing a known or suspected Risk Group 4 organism must be decontaminated using normal waste handling agent-appropriate methodsbefore leaving the facility and then subsequently incinerated. #Uncontaminated glass is *Suction canisters containing blood, other body fluids, or other infectious materials must be carefully emptied, or contents may be sealed and placed in rigid reusable biohazardous waste containers and labeled as with absorbent material. Personnel must wear appropriate protective equipment to minimize exposure to potential pathogens if contents are emptied. The contents may be solidified and discarded using approved methods if emptying the contentsis not practical. The empty suction canisters must be handled and discarded as biohazardous waste.#Compressed gas cylinders *Non-disposable or reusable items such as equipment, glassware, or linens that are returned contaminated with biohazardous material must be handled and decontaminated in accordance with the guidelines established in UNMC Policy No. 2004, [[Bloodborne Pathogens Exposure]]. Items are decontaminated as appropriate for the specific biohazardous material and personnel will refer questions to managers or leads to determine if an item must be discarded due to contamination. *Biohazardous waste that is decontaminated on-site via steam sterilization (i.e., autoclave) before disposal must undergo a process that includes quality assurance testing to verify that the vendor when emptydecontamination process is adequate. Please see the IBC Autoclave Operation and Safety policy for additional information. *Biohazardous waste that has been mixed with a radioactive material or a regulated chemical (mixed waste) requires additional guidelines for disposal. Contact EHS prior to generating these types of waste.======Extracted Teeth======Extracted Teeth at the College of Dentistry are handled as follows:*Virgin teeth are placed into a sharps container and disposed of as biohazardous waste.*Teeth with gold restoration are placed into a sharps container and eventually sent to a gold recovery company.*Teeth with amalgam restoration are placed into a sharps container and eventually picked up and handled as hazardous waste by UNL Environmental Health and Safety Ext 9-7315 due to arrange disposal the mercury content.*Extracted teeth stored at the College of single Dentistry for use disposable cylindersby students in pre-clinic laboratory are stored in dilute hypochlorite solution (generally a 1:10 dilution). This leaches the mercury from the restorations and the solution is picked up by UNL Environmental Health and Safety when the teeth are disposed of at the end of the year.#Asbestos must =====Shipping Biohazardous Waste=====Prior to transport off campus, all biohazardous waste will be placed in covered, leak-proof containers designated for biohazardous waste. These containers will be clearly marked and labeled in accordance with DOT and OSHA regulatory requirements. Only trained and certified individuals shall sign Regulated Medical Waste (biohazardous) transport shipping papers. <br /> These individuals are signing for the organization and as such are not held financially responsible for any penalties or fines that may be imposed by regulatory agencies (i.e., OSHA, DOT, etc.) so long as they are acting in a reasonable manner, consistent with their training. For information on training, please contact EHS at (402) 559-6356.<br /> Biohazardous waste is disposed of through a licensed biohazardous waste contractor. Final disposal of biohazardous waste is in accordance with all applicable statelocal, state and federal regulations and local applies a process which renders the biohazardous waste non-infectious. For further questions, please contact EHS.====Chemical Waste====Chemical waste is any chemical or chemical material that is used or no longer needed and destined for disposal. Chemicals and chemical materials are disposed of in accordance with the EPA regulations. UNMC is also required by EPA to have a [https://www.unmc.edu/ehs/_documents/UNMCWasteMinimizationPlan10_2018.pdf Waste Minimization Plan] for hazardous waste. Use the [https://www.unmc.edu/ehs/FactSheets/ChemicalDisposal.pdf Chemical Disposal Fact Sheet] for guidance on disposing chemicals. For information on some specific chemical waste streams, please see the [https://www.unmc.edu/ehs/chemical-safety/hazardous-materials-fact-sheets.html Hazardous Material Fact Sheets]. Nebraska Public Service Laboratory waste will be handled per internal guidelinesand chain-of-custody requirements. Contact Facilities Management For additional information on chemical disposal, please contact EHS at (402-559-6356). =====Liquid Chemical Waste=====Certain non-hazardous liquid chemicals can be disposed to arrange the sanitary sewer. Please see the Hazardous Material Fact Sheet [https://www.unmc.edu/ehs/FactSheets/SanitarySewerDisposal.pdf Sanitary Sewer Disposal] for a list of these chemicals. All other liquid chemicals and chemical waste must be tagged and given to EHS for proper disposal .=====Solid Chemical Waste=====Solid chemicals and chemical waste must be tagged and given to EHS for proper disposal. Chemical waste cannot be disposed of items containing asbestosin the trash.=====Empty Chemical Containers=====Empty containers must be properly handled to ensure the safety of laboratory and EVS staff. Please see the Hazardous Materials Fact Sheet [https://www.unmc.edu/ehs/FactSheets/EmptyChemicalContainerDisposal.pdf Empty Chemical Container Disposal].=====Universal Waste=====Universal wastes are any of the following hazardous wastes subject to the State of Nebraska universal waste requirements. Questions concerning disposal of universal waste can be addressed by calling 9-6356. #*Batteries - Nickel -cadmium (rechargeable), button (calculator, watch) or lithium batteries.#*Mercury containing lamps - light -emitting bulbs containing mercury, including fluorescent, high -pressure sodium, mercury vapor and metal halide lamps.#*Mercury containing items (thermostats, switches, manometers, sphygmomanometers, etc.).#*Electronic items (circuit boards, computer monitors)#*Pesticides<br />For additional Additional informationcan be found online in the Hazardous Material Fact Sheet, please see [httphttps://infowww.unmc.edu/mediaehs/safetyFactSheets/2005_waste_handling_attachments_Nov2009UniversalWasteStorage_Disposal.pdf Attachment I Universal Waste]. Questions concerning disposal of universal waste can be addressed by contacting EHS at (402-559-6356).====Radioactive Waste====Radioactive waste is any material with detectable radioactivity above background levels. These materials are handled in accordance with Radioactive Materials and Attachment 2Waste policies and procedures. Contact EHS/Radiation Safety at (402-559-6356) for disposal guidelines or see Section B-8 of the [https://www.unmc.edu/ehs/Manuals/RSM2014updated.pdf Radiation Safety Manual] .=====Mixed Waste =====Mixed waste (radioactive, biohazardous, and/ or contact chemical) must be disposed of in accordance with the state regulations as outlined in the Hazardous Materials Fact Sheet, [httphttps://www.unmc.edu/ehs/FactSheets/MixedRadioactiveChemicalWasteDisposal.pdf Mixed Waste Disposal].====Construction Waste=========Asbestos =====Asbestos must be disposed of in accordance with all applicable state, federal and local guidelines. Contact Facilities Management to arrange for disposal of items containing asbestos. A Construction Risk Assessment is required for asbestos removal in hospital areas.=====Construction/Demolition Waste=====Construction/demolition waste must be disposed of in accordance with State regulations. Facilities Management and Planning will manage the disposal of non-hazardous construction waste and will communicate all requirements to any contractors.====General Waste====General waste is anything which does not fit into other waste categories outlined within this plan. General waste is transported and disposed of via a contracted service using normal waste handling methods.It is the responsibility of EVS to empty all trash and recycling receptacles as scheduled based on customers’ needs. Timing of trash removal is generally on a predetermined schedule but can be upon request, based on customer needs.In order to avoid mistakenly disposing of items of value, anything which is to be considered ‘trash’ and taken to a dumpster, must be:*Placed directly in a trash can.*Verbally indicated by the customer, to EVS management or staff, that the item(s) is trash and may be disposed of.*The following will not be disposed of by Environmental Services::*Items placed next to or near a trash can without contacting EVS office.:*Items marked with a sign as “Trash”, unless request has been submitted to the EVS office.:*Broken uncontaminated glass which is not placed in rigid containers, sealed shut, and labeled as “Broken glass”.==Additional Information==*Contact [mailto:jhauserunmcehs@unmc.edu UNMC Environmental Health & SafetyDepartment], 402-559-6356*UNMC Policy No.2004, [[Bloodborne Pathogens Exposure]]<br *UNMC Policy No. 3000, [[General Accounting]]*UNMC Policy No. 6056, [http:/>/wiki.unmc.edu/index.php?title=Confidential_Information Retention and Destruction/Disposal of Private and Confidential Information] <br *[https:/>/livegreennebraska.com/recycling/ LiveGreen Recycling]. This policy maintained by [http://mailto:dpanowic@unmc.edu dkp].

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