Pharmaceutical Program. Laboratory-reagent lab packs- flammables, corrosives, toxic, reactive, poisons

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1 , Inc. Pharmaceutical Program is a provider of off-site waste services to the medical marketplace. We offer several options for a tailored medical waste disposal system and program to the medical communities in which you operate each day. Our full time professional staff offers over 150 years of regulatory experience in the proper management of medical and RCRA waste materials and customizing compliance programs to achieve your compliance goals. EWS will consult and identify each of your facility disposal needs by performing a walk through audit of each medical location, or, specifically respond to the needs you identify. We will structure a compliant waste program for hazardous, universal, recyclable, and regulated wastes shipped off-site. We also offer education to your personnel on the proper segregation and waste minimization techniques that the law allows and mandates. EWS offers assisted waste determinations and formulary review for the correct identification, profile building and choice for your disposal considerations. We are a fully insured medically regulated waste management company (MRW) maintaining a PART B RCRA status, maintaining environmental, professional, general, and automobile liability coverage. Maintaining your facility compliance requires routine management of off-site waste shipments, facility inspections, establishing satellite accumulation areas in strategic locations, and temporary storage within each facility. Typical departments that EWS manages waste from every day are: Pharmacy-chemo therapy drugs and trace chemo, pharmaceuticals- used and unused Laboratory-reagent lab packs- flammables, corrosives, toxic, reactive, poisons Histology/Pathology-xylene & alcohols, B5 solution, mercuric compounds Radiology- barium solutions, fixer & developer, heavy metal solutions Facility Operations- paints, batteries, oils, solvents, light bulbs, oils Nursing Stations- patient medication collections

2 , Inc. Below is program information on hazardous waste disposal, education your employees in collection and compliance to biannual recordkeeping as well as other support services we provide. EWS has selected services for which I hope you will find of interest. We offer the following services by either contract based or a monthly fee based program using a purchase order: Medical Facility Audit & Review- consult to identify and measure compliance with the hazardous waste regulations, as well as mandatory implementation of compliance programs with EPA, RCRA, DOT, TSCA, JSCA, OSHA and AHA Hazardous Waste Disposal Options- chemotherapy pharmaceuticals, packing samples, obsolete pharmaceutical products, specialty solutions, solvents, lab packing services, mercury, and spill removal, specific lab waste and universal waste collection. Non Hazardous/Non-Regulated Waste Disposal Options- oils, greases and cleaners, lab samples, obsolete pharmaceutical products, and electronic removal (e-waste) which falls under HIPPA requirements. Green Recycling Option- implementation of ZERO LANDFILL program Universal Waste Recycling Options- battery sorting, collection and removal, lamp(s) and lighting, mercury metal recycling by retort, and recycling of computer components. Medical Equipment Removal Options- scrap, salvage recycle or resale. Biological treatment & Processing-COMING SOON!

3 , Inc. Service Begin Date: SERVICE AGREEMENT Service End Date: Facility Ownership Name: Hospital Name: Location Address: City/State/Zip: Primary Contact: Phone: Fax: Primary Monthly Service Fee-Please select one: 3 Year Contract-no monthly charge 5 Year Contract-no monthly charge Purchase Order- monthly charge Description of Services: 1. Provide MRW & RCRA waste removal services of materials that are hazardous, non-hazardous, and universal waste as described on Exhibit A waste profile forms. 2. Provide as requested & when required for off-site shipment/container management service (Exhibit E) to allow for the proper collection of waste handling, segregation, packaging & labeling to regulatory standards. 2. Consult & assist in the proper profile completion and waste identification to EWS, manifesting & land band completion, provide labeling systems for all containers shipped. 3. Print & provide off-site shipment reports, whenever requested, of all wastes arriving at EWS facility. 4. Pick up each waste stream properly identified by profile, offering the best available technology (BAT) including but not limited to incineration, chemical treatment, alternate fuel blending, reclamation, reuse, recycling & landfill of non-land band materials. 5. Offer emergency response services-after initial containment; manage complete cleanup and removal of response material based on Exhibit B pricing, eliminating the eminent harm. 6. Offer specified training (RCRA education) of facility personnel to RCRA compliance standards (included with a contract). Purchase order basis includes training with a separate fee structure. 7. Monthly service fee includes all the above plus training on-site, technicians traveling to listed facilities (Exhibit D) for a walk through audit and inspections, as needed, preparing reports annually and updating specified paperwork such as profile updates, manifests by year reporting, land ban forms of record & certificates of disposal or recycle (COD, COR) verification on file. 8. Provide biennial reports & certifications of disposal & recycling for each profile. 9. Establish handling protocols & procedures of waste streams. 10. Establish handling protocols & procedures of waste streams. Exhibits included below are attached to this contract: Exhibit A- Waste Facility Profiles by facility Exhibit B- APO Formulary Review & Sorting by Hazard Class Exhibit C- Pricing & Service Schedule-Master (will be sent to you directly) Exhibit C- Pricing Acknowledgement sign off page and acceptance Exhibit D- Contractual Entity and location listing of facilities under contract Exhibit E- MRW Container Cost Pricing Initials: Initials:

4 , Inc. TERMS & CONDITIONS The Service Customer/Generator agrees to the attached terms and conditions herein. The Service Customer/Generator agrees to the attached service pricing schedule marked as Exhibit B. The Service Customer/Generator agrees to sign off on the pricing acknowledgement and has reviewed all prices and service as they apply marked Exhibit C. Contract price schedule attached does not reflect a volume discount. Universal Waste price schedule and Lab Pack price schedule attached in Exhibit B are invoiced as listed without discounts. Payment of invoice is due 30 days from the invoice date. All late charges are 1.5% per month added to the statement. The State of Alabama shall have final jurisdiction over legal matters requiring law determinations. Inc. is a service & disposal company that provides custom waste disposal programs to the medical community, commercial and industrial sectors for business. The Generator signs all waste profiles with completions assistance from EWS personnel. The Generator understands that non-conforming waste or off specification waste streams are subject to additional charges. The Service Customer agrees to pay additional fees incurred for non-conforming wastes. The Service Customer agrees to collect, store, and transport all waste in a safe, responsible manner, not jeopardizing human health, life and/or the environment. Waste containers not packaged by EWS personnel are subject to charges for repacking at the TSDF, if not in compliance with DOT regulations. All Scheduling must be made in advance, preferably 7-10 working days. Delays in loading the truck on a waste pickup can incur demurrage charges of $95.00 per hour after the first hour on-site. Firm scheduled dates for waste pickup must occur, or you will be subject to a no load fee of $ for cancellation without 24 hours notice. Transportation pick up cost & stop fee is based on a 4'x4'x3' (one cubic yard of material) pallet dimension. Pallet pricing is each, per drum. Stop fee is per facility. Service routes are established for LTL (less than truckload quantities) in location(s). In order to increase service pickup, the following fuel surcharge is required: per pallet, per drum. Monthly LTL transport pick up of waste is no charge unless the national fuel index climbs past present freight publication standards. EWS reserves the privilege to postpone work for any unsafe conditions that could pose a threat to drivers, technicians, the medical facility, environment or consultants. This agreement is valid for a 3 year, 5 year, or monthly charge. Cancellation of the agreement is permissible with 60 days written notice by either party, however, work in progress, including schedules in route will be charged out at published rates from Exhibit B. Initials: Initials:

5 , Inc. EWS will maintain all permits, insurance, disposal contracts and service agreements for the proper management of your wastes. EWS and the Service Customer, in good faith, enter into this agreement for service as listed herein and confirm by hand signature a full understanding of this written agreement. EWS offers a limited compliance service for part of the RCRA regulations for generators and understands that the customer has other responsibilities as well affecting facility compliance. EWS offers information and suggestions that are based on regulatory requirement, not cost value to the generator. It is the generators duty to weigh out the information it collects and advise EWS as a service provider, as to the course of action that shall be followed for facility compliance. This facility, at a minimum, is under the regulatory control of RCRA, DOT, JCHA, SARA, OSHA and the Clean Water Act. This agreement is not transferable and required updated terms and conditions upon mergers and acquisitions by either party. EACH PAGE OF THIS AGREEMENT MUST BE SIGNED AS WELL AS INITIALED BELOW CLIENT: DATE: (PRINT) CLIENT: DATE: (SIGNATURE) EWS DIRECTOR: DATE: (SIGNTURE)

6 , Inc. PROPOSAL FOR SERVICE MEDICAL WASTE FACILITY SERVICES WASTE MANAGEMENT PHARMACEUTICALS/UNIVERSAL/RECYCLING What we offer EWS Companies share over 150 years of waste management experience and has managed waste safely and successful for the last 7 years at our facility. We are experts in RCRA pharmaceutical waste management and total medical facility recycling to a sustainable future goal. EWS provides full training choices for waste management. We provide certificates of training for education, disposal, recycle and compliance. We are facility direct service, increasing the value of the program. EWS terminates the manifest Cradle to Grave. We will GUARANTEE a 1 year fixed disposal price with a signed contract. We believe we can guarantee a disposal savings EWS is EXCLUSIVE in offering a full detailed State biennial reports to Generators. We want to earn your business!

7 , Inc. MEDICAL FACILITY QUOTATION-CONTRACT BASIS Exhibit C (3 year minimum requirement) GENERATOR NAME: West Georgia Health Systems LOCATION: LaGrange, Georgia FACILITY ID PROGRAM COST/FACILITY Corporate Contract Only: Facility Compliance Audit Report Training options 1, 2, 3 cost) 1x/year Provide container labels, DOT marking, manifests, Instruction aids Consult/Program Development (SARA, RCRA, DOT) Biennial reports as requested Profile completion& notebook set up after audit Pharmaceutical, Lab Pack, Universal Waste recycle-disposal Lab Pack container Labor (Certified Technician/chemist) to prep shipments Disposal Freight Pharmaceutical Containers-18 gallon/black & Yellow Monthly Service Fee (except notebooks) -up to 25 hours See schedule provided N/C (cost included in disposal) See Schedule provided See Schedule Provided Insurance, Energy, Security Fee 15% All shipping costs are the responsibility of the Customer Disposal Prices are NOT subject to variation annually * Minimum order required ** Waste discrepancies must be resolved within 24 hours of notification by law. warrants that it is qualified to handle the waste described above and that it will transport, store, treat, recycle and dispose of the described waste in full compliance with all applicable laws and regulations. EWS Warrants that it is qualified to handle the waste described in this quotation form, it has secured all required permits for handling the waste above and it will dispose, recycle, store and transport waste in full compliance with Georgia and Alabama state regulations.

8 , Inc. in the pricing set forth above is the provision by Vendor, IF UNDER CONTRACT, to provide training as follows: 8 Hour DOT HM126F training annually for designated medical facility employees that shall satisfy the requirements of 49 CFR (1)-(4) and shall include the following: HAZWOPER Overview 704 Marketing System Hazardous Material Classes Hazard Communication Container Markings Emergency Response Guidebook Loading & Unloading Personal Protective Equipment Hazardous Material Tables Hazard Communication Glossary Hazardous Materials Exercise 49 CFR Attachments Uniform Hazardous Waste Manifest HAZMAT Transportation Security Awareness Course Review & Final Test Note: All training not done under contract will be quoted separately. All training notebooks are charged out at cost. If you have any questions or concerns, please feel free to contact our program director: Bob Blom Director of Medical Programs, Eastern USA Toll Free: Office: Cell: bobb@ewsalabama.com

9 , Inc. MEDICAL FACILITY QUOTATION-PURCHASE ORDER Generator Name: Location: Facility ID Program Cost/Facility Facility Compliance Audit & Report Training Options 1, 2, 3 cost) 1x/ year Provide Container Labels, DOT Marking, Manifests & Instruction Aids Consult/Program Development Annual Reports/Biennial Profile Completion and Notebook set up after Audit Pharmaceutical, Lab Pack, Universal Waste Recycle-Disposal Cost for L/P Containers (included in disposal) Labor (Certified Technician/Chemist) as required by customer Disposal Freight Pharmaceutical Containers -18 gallon/black & Yellow) Monthly Service Fee Insurance, Energy, Security Fee No Minimums Required All shipping costs are the responsibility of the Customer Disposal Prices are subject to variation annually *Waste Discrepancies Must be Resolved within 24 hours of notification by law ** Minimum Order Required warrants that it is qualified to handle the waste described above and that it will transport, store, treat, recycle and dispose of the described waste in full compliance with all applicable laws and regulations.