<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".06" citation="COMAR 10.06.06.06" title_num="10" subtitle_num="06" chapter_num="06" heading="Alternative Treatment Systems.">
  <paragraph num="A.">
    <text>Except as provided in §B of this regulation, a person may not use a method for treatment of special medical waste other than those set forth at Regulations .04A(2) and .05B of this chapter.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Criteria for Alternative Treatment System. A person may use a method for treatment of special medical waste that complies with the following standards for treatment and microbial test procedures:</text>
    <paragraph num="(1)">
      <text>The method inactivates vegetative bacteria, fungi, parasites, lipophilic or hydrophilic viruses, and mycobacteria at a 6 log reduction or greater;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The method inactivates bacterial spores at a 4 log reduction or greater; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The tests have been performed on a representative from each of the following microbial groups:</text>
      <paragraph num="(a)">
        <text>Staphylococcus aureus (ATCC 6538) or Pseudomonas aeruginosa (ATCC 15422);</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Candida albicans (ATCC 18804) or Penicillium chrysogenum (ATCC 24791);</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Polio 2 or Polio 3 or MS-2 Bacteriophage, (ATCC 15597-B1);</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Cryptosporidium spp. oocysts or Giardia spp. cysts;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Mycobacterium terrae, Mycobacterium phlei, or Mycobacterium bovis (BCG) (ATCC 35743); and</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Bacillus stearothermophilus (ATCC 7953) or Bacillus subtilis (ATCC 19659).</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>A person may not use a method for treating of special medical waste that:</text>
    <paragraph num="(1)">
      <text>Creates a threat to health or safety; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Violates applicable federal and State environmental laws or regulations.</text>
    </paragraph>
  </paragraph>
</regulation>