10 CSR 80-7.010 - Infectious Waste Management
PURPOSE: This rule pertains to the management and treatment of infectious waste.
PUBLISHER'S NOTE: The publication of the full text of
the material that the adopting agency has incorporated by reference in this
rule would be unduly cumbersome or expensive. Therefore, the full text of that
material will be made available to any interested
(1)
Applicability.
(A) Definition. Infectious
waste means waste capable of producing an infectious disease because it
contains pathogens of sufficient virulence and quantity so that exposure to the
waste by a susceptible human host could result in an infectious disease. These
wastes include isolation wastes, cultures and stocks of etiologic agents, blood
and blood products, pathological wastes, other contaminated wastes from surgery
and autopsy, contaminated laboratory wastes, sharps, dialysis unit wastes,
discarded biological materials known or suspected to be infectious; provided,
however, that infectious waste does not mean waste treated to department
specifications.
1. For the purposes of this
chapter, a generator means any single office (doctor's office , dentist's
office , and the like) or facility (hospital, nursing home, mortuary, and the
like), whose act or process first causes an infectious waste. For purposes of
tracking and fees, a transfer station permitted as an infectious waste
processing facility becomes the generator when the infectious waste is
transported for further processing.
2. Small quantity generators, i.e., persons
generating one hundred kilograms (100 kg) or less per month of infectious
waste, shall refer to
19 CSR
20-20.010 for the Department of Health definition of
those categories of waste to be managed as an infectious waste.
3. Except as provided in paragraph (1)(A)2.
of this rule, infectious waste shall include the following wastes from specific
and non-specific sources:
A. Isolation wastes.
Wastes generated by patients who have communicable diseases which are capable
of being transmitted to others via those wastes;
B. Contaminated surgical, dialysis and
laboratory wastes. Wastes generated by surgery, dialysis and laboratory
departments in the process of caring for patients who have communicable
diseases which are capable of being transmitted to others via those
wastes;
C. Cultures and stocks of
infectious agents and associated biologicals. Cultures and stocks of infectious
agents shall be designated as infectious waste when discarded because of the
high concentrations of pathogenic organisms typically present in these
materials. Included in this category are all cultures and stocks of infectious
organisms as well as culture dishes and devices used to transfer, inoculate and
mix cultures;
D. Blood and blood
products. All discarded human blood and blood products, including serum, plasma
and other components known or suspected to be contaminated with a transmissible
infectious agent; except that the term "blood products" does not include
patient care waste such as bandages or disposable gowns that are lightly soiled
with blood or other body fluids, unless such wastes are soiled to the extent
that the generator of the wastes determines that they should be managed as
infectious wastes;
E. Pathology
wastes. These wastes include tissues, organs, body parts and body fluids that
are removed during surgery and autopsy. All such wastes shall be considered
infectious waste. Also included are animal carcasses, body parts and bedding
from animals contaminated with infectious agents capable of being transmitted
to a human host. Nothing in this section shall supersede the disposal
requirements for dead animals as set forth in Chapter 269, RSMo; and
F. Sharps. Discarded sharps, including
hypodermic needles, syringes and scalpel blades. Broken glass or other sharp
items that have come in contact with material considered infectious by
definition are also included.
(B) Disposal of Infectious Waste. All sharps
shall be packaged in rigid, leak-resistant and puncture-resistant containers
and sealed prior to disposal.
1. Infectious
waste treated to render it innocuous may be disposed as a solid waste provided
the treater certifies to the transporter, if other than the generator, and
certifies to the sanitary landfill operator or processing facility operator
that the waste has been rendered innocuous as required by section
260.203, RSMo. (Note: Treated
infectious waste is not required to be transported in accordance with the
requirements of section (4) of this rule.)
2. Certification of treated infectious waste,
at a minimum, shall contain the following information: the name, mailing
address, location (when different from the mailing address) and phone number of
the office /facility treating the infectious waste; the printed name and the
signature of the facility/office manager or person responsible for the
treatment process; a brief description of the treated waste (sharps in metal
containers, sharps in heavy gauge plastic containers, incinerator ash,
laboratory wastes in autoclave bags); and a brief description of the method(s)
of treatment (for example, steam sterilization, incineration, disinfection with
bleach solution). In addition to these minimum requirements, the generator need
only include a statement that the waste has been managed in accordance with the
Missouri Solid Waste Management Law and rules and may legally be placed in a
sanitary landfill. The certification shall be revised when changes in the
operation of the office /facility result in a change to the information required
by this paragraph.
3. In addition
to the requirements of paragraphs (1)(B)1. and 2. of this rule, incinerator
residue from a permitted infectious waste processing facility shall be
considered to be a special waste. and handled accordingly. Prior to
departmental approval, and at a minimum, every six (6) months after that, the
incinerator residue shall be tested for hazardous waste characteristics as per
40 CFR part 261 subpart C, as incorporated in
10 CSR
25-4.261, as applicable.
(C) Exemptions.
1. Any person who treats infectious waste
generated on-site to render the waste innocuous or a hospital exempted from the
requirements of a permit in paragraph (1)(C)5. of this rule may dispose of the
treated waste as specified in subsection (1)(B) of this rule.
2. This rule shall not apply to generators of
infectious waste at a single-family residential premise or a single-family
dwelling unit provided those wastes are generated on-site and disposed with the
generator's residential solid waste and provided sharps are packaged as
required in subsection (1)(B) of this rule.
3. A person generating one hundred (100) kg
or less per month of infectious waste as defined by
19 CSR
20-20.010 and who transports his/her own infectious
waste for processing is exempt from the transportation and fee requirements of
this rule, except that the vehicle used for transport of the infectious waste
shall be a closed and secured vehicle.
4. A generator of infectious waste who
operates a single or multiple site research facility for research and
experimental activities as defined in section 174 of the 1986 Internal
Revenue Code, who generates such waste as a part of research and
experimentation activities, who manages such waste on-site and who accepts no
infectious waste from off-site, is exempt from the infectious waste processing
facility permit requirements of this rule. The generator may accept infectious
waste from other sites of the parent research company located in Missouri but
shall not accept infectious waste from other sources and shall comply with all
other requirements and provisions of the Missouri Solid Waste Management Law
and the rules and regulations promulgated thereunder. The University of
Missouri Ellis Fischel Cancer Center and the other facilities of the University
of Missouri-Columbia shall be considered a multiple site research facility for
the purposes of this rule.
5.
Hospitals. Hospitals as defined in section
197.020, RSMo are exempted from
the infectious waste processing facility requirements of this rule as long as
all infectious waste generated, managed and treated on-site is done so in
accordance with requirements established in
19 CSR
30-20.021 and no infectious waste is accepted from
off-site for treatment except as specified in this paragraph.
A. Hospitals as defined in Chapter 197, RSMo
may accept infectious waste for treatment from generators of one hundred
kilograms per month (100 kg/month) or less and from other hospitals as defined
in Chapter 197, RSMo and located in Missouri without being required to obtain a
solid waste processing facility construction and operating permit or a solid
waste processing facility construction and operating permit for the treatment
of infectious waste except as provided in
19 CSR
30-20.021. Hospitals may accept infectious waste from
those generators as provided by 260.203.9, RSMo upon approval of the Department
of Natural Resources and the Department of Health. A notice of intent to accept
the waste for treatment shall be hand delivered or sent by certified mail to
the Department of Natural Resources and to the Department of Health. Failure of
either department to respond to such a request by issuing a certification of
approval or a denial within ninety (90) days constitutes approval. The request
for approval shall include a report containing at a minimum the following
information:
(I) A copy of the infectious
waste management plan for the handling and treatment of infectious waste as
required by 19 CSR 30-20.021;
(II) A clause that infectious waste shall be
accepted at the hospital only if it is properly packaged and labeled in
accordance with section (2) of this rule;
(III) A clause that infectious waste shall
only be accepted as provided by section 260.203.9, RSMo. The report shall
include a summary of the system utilized to track the quantity by weight of
infectious waste received per month by generator; and
(IV) A summary of the system utilized to
track the quantity by weight of infectious waste treated per hour and per
month.
B. Hospitals as
defined in Chapter 197, RSMo and located in Missouri that transport their own
infectious waste for processing are exempt from the transportation and fee
requirements of this rule provided the infectious waste is transported using
the hospital's employees and vehicles to a hospital as provided in paragraph
(1)(C)5. of this rule or to an infectious waste processing facility and
provided the vehicle used to transport the infectious waste is a closed and
secured vehicle.
C. Hospitals
accepting infectious waste for treatment from the following sources are
required to obtain a solid waste processing facility construction and operating
permit for operation of an infectious waste processing facility as provided in
sections 260.200-260.345, RSMo and 10 CSR 802.020,
10 CSR
80-5.010 and 10 CSR 807.010:
(I) Generators of more than one hundred
kilograms per month (100 kg/month), except other Missouri hospitals;
(II) Other hospitals not located in Missouri;
and
(III) Off-site in quantities as
provided in 19 CSR 30.
6. Pharmacies, as defined in Chapter 338,
RSMo, and home health agencies, as defined in Chapter 197, RSMo, are exempt
from the infectious waste processing facility permitting requirements of this
rule provided that the only waste accepted is single dose hypodermic units
presented in person by small quantity generators as defined by paragraph
(1)(A)2. of this rule. Pharmacies and home health agencies operating under this
exemption shall be limited to a maximum of ten (10) kilograms of infectious
waste on-site at any time and process no more than one hundred (100) kg of
infectious waste per month. All waste received under this exemption must be
managed in accordance with this rule.
7. For the purpose of this rule, a person
working on behalf of a home health agency and who transports infectious waste
from the patient's residence to the agency (as a central collection point) will
be considered an extension of that agency and exempt from the transportation
and fee requirements of this rule, except that the vehicle used for transport
of the infectious waste shall be a closed and secured vehicle.
(2) Packaging of
Infectious Waste. Prior to transport, all infectious waste shall be placed in
rigid or semi-rigid, leak-resistant containers clearly marked with the
universal biohaz-ard symbol prominently displayed and labeled Infectious Waste
or Biohazard Waste and sealed. All containers shall be closed in such a manner
as to completely contain all waste and the outside of the container shall be
kept free of contamination. For the purpose of this rule, leak-resistant
containers are defined as containers that are closable with a tight fitting lid
and are leakproof on the bottom and sides. Containers meeting the requirements
of
29 CFR
1910.1030 are acceptable.
(A) Plastic bags. Plastic bags shall be tear
resistant and leak resistant. Plastic bags shall not be used as primary
containers for transportation of infectious waste. Infectious waste contained
in plastic bags shall be placed within rigid or semi-rigid containers prior to
transport.
(B) Sharps containers.
Sharps shall be packaged in rigid, leak-resistant and puncture-resistant
containers and sealed.
(C) Glass
Containers. Glass containers shall not be used as primary containers for
transportation of infectious waste. Glass containers must be placed into a
rigid or semirigid leak-resistant container and protected from
breakage.
(D) Reusable containers.
Reusable containers shall be constructed of either heavy wall plastic or
noncorrosive metal. Each container shall be cleaned and sanitized before it is
reused.
(3) Tracking
Documents.
(A) Generators. The generator of
infectious waste that is to be transported to a permitted infectious waste
processing facility shall-
1. Prepare tracking
documents which shall include, at a minimum, the following information:
A. The printed or typed name, mailing
address, location (when different from the mailing address) and telephone
number of the generator;
B. The
printed or typed name and address of the designated facility which is permitted
to process the waste. The name and address of an alternate facility may also be
designated to which the waste may be transported in the event an emergency
prevents delivery of the waste to the primary designated facility;
C. The printed or typed name, address and
Missouri Transporter identification number of the transporter's company, if
other than the generator;
D. The
quantity, in volume or weight, of waste to be transported;
E. A name and signature block for the
transporter, if other than the generator; and
F. A name and signature block for the
receiving facility;
2.
Sign the tracking document by hand. The name of the generator signing the
document shall also be printed or typed on the tracking document;
3. Obtain the handwritten signature of the
transporter, if other than the generator, and date of acceptance on the
tracking document. The name of the transporter signing the document shall also
be printed or typed on the tracking document;
4. Retain one (1) copy of the tracking
document with the signatures required in this subsection; and
5. Give the transporter the remaining copies
of the tracking document.
(B) Transporters.
1. A transporter shall not accept infectious
waste from a generator unless it is accompanied by a tracking document
completed in accordance with the requirements of subsection (3)(A) of this
rule.
2. Before transporting the
infectious waste, the transporter, if other than the generator, shall sign and
date the tracking document acknowledging acceptance of the waste from the
generator. The name of the transporter signing the document shall also be
printed or typed on the tracking document.
3. The transporter shall ensure that the
tracking document accompanies the infectious waste.
4. A transporter who delivers infectious
waste to the designated facility shall-
A.
Obtain the date of delivery and the handwritten signature of an authorized
agent of the designated facility on the tracking document. The name of the
authorized agent signing the document shall also be printed or typed on the
tracking document;
B. Retain one
(1) copy of the tracking document which has been completed as required by
subsections (3)(A) and (B) of this rule; and
C. Provide a copy of the tracking document to
the accepting facility.
5. A transporter shall deliver the entire
quantity of infectious waste which s/he has accepted from a generator to-
A. The designated facility; or
B. The alternate designated facility if the
waste cannot be delivered to the designated facility because an emergency
prevents delivery.
6. If
the infectious waste cannot be delivered in accordance with paragraph (3)(B)5.
of this rule, the transporter shall contact the generator for further
directions and shall revise the tracking document according to the generator's
instructions.
(C)
Processing Facility.
1. A facility shall not
accept infectious waste which is not accompanied by a tracking document
completed in accordance with subsections (3)(A) and (B) of this rule.
2. Upon receipt of infectious waste, an
authorized agent of the facility shall-
A.
Sign and date the accompanying tracking document. The name of the authorized
agent signing the document shall be printed or typed on the tracking document;
and
B. Note any significant
discrepancies in the tracking document on each copy of the document.
3. An authorized agent of the
infectious waste processing facility shall note on each tracking document
whether the location of the generator is a distance of more than a three
hundred (300)-mile radius of the facility.
4. An infectious waste processing facility
permitted for the treatment of infectious waste shall record on the tracking
document the date the shipment is treated.
5. An infectious waste processing facility
permitted as an infectious waste transfer station shall record on the tracking
document the date the shipment is transported for further processing.
6. Within thirty-five (35) days after the
date the waste was accepted by the transporter, the processing facility shall
send a copy of the completed tracking document to the generator.
7. A transfer station shall initiate a
tracking document as generator prior to transporting infectious waste shipments
for further processing and shall comply with the generator requirements of this
rule.
(4)
Transportation of Infectious Waste. Except as provided by paragraph (1)(C)3.
and subparagraph (1)(C)5.B. of this rule, infectious waste shall only be
transported from the point of generation by transporters who are licensed by
the department in accordance with
10 CSR
25-6.263(2)(A) 3. Sharps, as defined
previously in subparagraph (1)(A)3.F. of this rule, in addition to the
provisions of this section and paragraph (1)(C)3. of this rule, may be
transported for treatment by the United States Postal Service, provided that
the requirements of 39 CFR 111 are met. The standards for transporters shall be
defined in 10 CSR 25-6.263 with the
following exception:
49 CFR
172.101 and 49 CFR 173.386-173.388, which are
incorporated by reference in 10 CSR 25-6, are not applicable to wastes defined
in this chapter. In addition, vehicles that transport infectious waste shall be
closed and secured vehicles, shall be cleaned and sanitized following leakage
or spills and shall be cleaned and sanitized prior to using the vehicle for any
other purpose. Any infectious waste transferred from the premises of the
generator unless exempted by paragraph (1)(C)2. of this rule shall be taken to
a hospital as provided in paragraph (1)(C)5. of this rule, an infectious waste
processing facility permitted by the department or to an out-of-state facility.
Infectious waste shall be managed in accordance with the laws and regulations
of any state and local government in which jurisdiction it is transported,
treated/processed or disposed.
(5)
Permitted Infectious Waste Processing Facility. This section sets forth
requirements for solid waste processing facilities permitted for the treatment
or other processing of infectious waste. A report shall be submitted to the
department containing plans, as defined in
10 CSR
80-2.010, addressing the requirements of sections
260.200-260.345, RSMo and 10 CSR 80.
(A)
Treatment Facility. An infectious waste processing facility permitted for the
treatment of infectious waste means a facility that has received a solid waste
processing facility permit as provided in sections 260.200-260.345, RSMo and 10
CSR 80-2.020, 10 CSR 80-5.010 and this rule.
The solid waste processing facility construction and operating permit shall
specifically allow for the treatment of infectious waste as provided by this
rule. Two (2) treatment technologies are approved for the treatment of
infectious waste by permitted facilities-incineration and steam sterilization.
Chemical sterilization and other types of treatment may be approved by the
department on a case-by-case basis.
1.
Permitted infectious waste incinerators shall be multi-chambered and be
designed to provide complete combustion for the type of waste introduced into
the incinerator. The incinerator shall achieve a minimum temperature of one
thousand eight hundred degrees Fahrenheit (1800oF)
in the secondary chamber with a minimum retention time of one-half (1/2) second
in the secondary chamber. Automatic controls that lock out the load system if
the secondary chamber is not up to the minimum temperature and automatic,
continuous temperature recording charts for the secondary chamber shall be
equipped on the incinerator and utilized during any infectious waste treatment
process.
A. The operator shall visually
inspect each batch of ash from batch-type ash removal systems prior to
disposal. The operator shall visually inspect the ash from continuous ash
removal systems a minimum of once per hour during operation.
B. Any partially combusted organic materials
observed will be noted in the facility log. The facility manager shall be
notified and corrective action taken. The corrective action and new ash
observations shall be noted in the facility log.
C. Amount of waste treated each hour shall be
recorded in the facility log by weight.
D. The plans shall include a statement
quantifying the maximum amount, by weight, of infectious waste to be accepted
each month.
E. The plans shall
contain procedures for the handling of spills during unloading, storage and
processing of the infectious waste.
F. A solid waste technician trained in the
handling of infectious waste and in the operation of the incinerator shall be
on-site during any treatment process. Evidence of training shall be maintained
on-site. The plans shall contain an outline of the training, including the name
and qualifications of the person (s) providing the training.
2. Steam sterilization by
permitted facilities using autoclaves is an acceptable means of treating
infectious waste when operated at sufficient temperatures for adequate periods
of time to kill infectious agents present in the waste. Automatic continuous
time and temperature recording charts shall be utilized on each unit during
operation. Units shall be operated according to manufacturer's recommendations.
A. During initial operational testing, four
(4) waste charges representing the maximum amount of waste to be processed in
any charge shall be treated. Each charge shall contain all types of waste that
are to be treated at the facility and shall be packaged as the waste will be
packaged for treatment during normal operations. For each of the four (4) waste
charges, three (3) biological indicators approved by the department (such as
three (3) vials of Bacillus stearothermophilus), shall be
placed inside separate containers of simulated waste (that is, sharps
containers, autoclaveable bags), distributed throughout the waste charge prior
to treatment, recovered after treatment, cultured and analyzed. Any positive
reading constitutes a failure of the treatment process and shall require
corrective action and retesting in accordance with this subparagraph.
B. Each sterilizer shall be tested each week
by placing one (1) department -approved biological indicator inside a waste
container prior to treatment. The biological indicator shall be recovered,
cultured and analyzed. A positive indicator constitutes a failure of the
treatment process. The sterilizer shall not be used to treat infectious waste
until corrective action has been taken and results verified. Upon completion of
corrective action, the sterilizer shall be retested in accordance with
subparagraph (5)(A)2.A. of this rule. Results of biological indicator tests and
any corrective action shall be recorded in the facility log.
C. Amounts of waste treated each load shall
be recorded in the facility log by weight.
D. Sharps that were treated by steam
sterilization shall be packaged in rigid, leak-resistant and puncture-resistant
containers and sealed prior to disposal.
E. Sharps that have been rendered innocuous
by an approved method and that have been shredded so as not to pose a puncture
hazard are not required to be transported, packaged, or stored in rigid,
semi-rigid, leak-resistant or puncture-resistant containers. Such sharps may be
disposed of in a sanitary landfill as a solid waste .
F. The plans shall include a statement
quantifying the maximum amount, by weight, of infectious waste to be accepted
each month.
G. The plans shall
contain procedures for the handling of spills during unloading, storage and
processing of the infectious waste.
H. A solid waste technician trained in the
handling of infectious waste and in the operation of the steam sterilizer shall
be on-site during any treatment process. Evidence of training shall be
maintained on-site. The plans shall contain an outline of the training,
including the name and qualifications of the person (s) providing the
training.
(B)
Transfer Stations. To facilitate consolidation of shipments prior to further
transport, infectious waste may be transported to a transfer station as defined
in 10 CSR 802.010. A solid waste processing facility permitted as a transfer
station for infectious waste means a facility that has received a solid waste
processing facility construction and operating permit as provided in sections
260.200-260.345, RSMo and 10 CSR 802.020,
10 CSR
80-5.010 and this rule. The solid waste processing
facility construction and operating permit shall specifically allow for the
acceptance of infectious waste.
(C)
Storage. In addition to the requirements of
10 CSR
80-5.010, infectious waste at infectious waste
processing facilities shall upon receipt be placed in a storage area or
processing area as approved by the department in the operational report and
plans. Where conflicting storage requirements exist in 10 CSR 80, the more
stringent shall control.
1. Processing area.
Infectious waste at an infectious waste processing facility may be placed into
the processing area provided the facility is operational and no infectious
waste shall be stored in the processing area at the end of the operating day.
For those facilities operating continuously, no infectious waste shall be
stored in the processing area for more than twenty-four (24) hours.
A. The plans shall contain procedures for the
handling of spills in the processing area.
B. The processing area shall have a floor
impervious to liquids and a floor sloped to drains connected to the sanitary
sewage system or a collection device.
C. The processing area shall be clearly
posted INFECTIOUS WASTE PROCESSING AREA, or BIOHAZARD WASTE PROCESSING AREA, or
BIOHAZARD, AUTHORIZED PERSONNEL ONLY and shall display the universal biohazard
symbol. Access shall be restricted and limited to authorized
personnel.
2. Storage
area. Infectious waste at an infectious waste processing facility may be placed
into a storage area approved by the department provided the storage area meets
the following minimum requirements:
A. The
storage area shall be a locked, vermin-free, dry area that shall not be used
for any other purpose;
B. The plans
shall contain procedures for the handling of spills in any storage
areas;
C. The storage area shall
have a floor impervious to liquids with a perimeter curb. The floor shall slope
to a drain connected to the sanitary sewage system or a collection device. The
floor and perimeter curb shall be capable of containing potential spills and
shall be designed to facilitate cleaning of the storage area; and
D. The storage area shall be clearly posted
INFECTIOUS WASTE STORAGE AREA, or BIOHAZARD WASTE STORAGE AREA, or BIOHAZARD,
AUTHORIZED PERSONNEL ONLY and shall display the universal biohazard symbol.
Access shall be restricted and limited to authorized personnel.
(D) Fees. Any person
who transports infectious waste to a permitted infectious waste processing
facility shall pay a fee on any infectious waste so delivered as provided in
sections 260.200-260.345, RSMo. A person generating one hundred kilograms (100
kg) or less of infectious waste per month and hospitals as defined in section
197.020, RSMo and located in
Missouri are exempt from the fees requirement of this rule provided the
infectious waste is transported using the generator's employees and vehicles.
1. An infectious waste processing facility
shall collect a fee of two dollars per ton ($2/ton ) of infectious waste
delivered to the facility.
2. In
addition to the requirements of paragraph (5)(D)1. of this rule, an infectious
waste processing facility accepting infectious waste transported from a
distance of more than a three hundred (300)-mile radius of the facility shall
collect a fee of ten percent (10%) of the total dollar amount charged by the
facility for the management of that waste.
3. Fees assessed by an infectious waste
processing facility as provided in sections 260.200-260.345, RSMo shall be
transmitted quarterly to the department within thirty (30) days of the end of
each calendar quarter. A quarterly report shall be submitted with the fees.
A. The quarterly report shall specify the
quantity of infectious waste received during that calendar quarter that was
subject to fees. The report shall include a breakdown of the quantity of
infectious waste, by weight, transported more than a distance of a three
hundred (300)-mile radius of the facility and the quantity of infectious waste,
by weight, transported from a radius of three hundred (300) miles or less from
the facility.
B. The quarterly
report shall specify the total dollar amount charged by the facility during the
calendar quarter for infectious waste transported from a distance of more than
a three hundred (300)-mile radius of the facility.
C. An authorized representative of the
facility shall sign and date the report and certify that the submitted
information is true, accurate and complete for the quarterly accounting of
infectious waste delivered to the facility and subject to fees.
(6) Record
Keeping. All tracking documents, operating logs, quarterly fees reports,
records, test results and process monitoring records shall be kept for a period
of at least three (3) years. The period of record retention extends upon the
written request of the department or automatically during the course of any
unresolved enforcement action regarding the regulated activity. These records
shall be made available for inspection by the department upon
request.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.