Why Regulated Waste Compliance Matters for Fire Departments

Most fire-based EMS units carry and administer medications such as:

• Schedule II opioids (e.g., morphine, fentanyl)

• Schedule III–V sedatives or pain relievers

• Epinephrine, atropine, and other injectables

• Non-controlled drugs and IV fluids

• Syringes, lancets, and sharps containers

• Trauma supplies contaminated with blood or body fluids

Improper disposal of these items can lead to:

• DEA violations for improper Schedule I–V drug destruction

• OSHA citations related to bloodborne pathogen exposure

• DOT fines for illegal transport or improper containerization

• Increased risk of diversion, contamination, or public exposure

We provide fire departments with the tools, documentation, and support to properly destroy all expired and used pharmaceutical and medical waste, including DEA Form 222 and 41 coordination.

Waste Types We Handle for Fire Departments

We provide compliant destruction and removal of:

Controlled Substances (Schedule I–V)

• Expired or partially administered narcotics

• Damaged or leaking containers

• DEA Form 41 documentation and witness coordination

• Secure chain-of-custody and transport

Expired Non-Controlled Medications

• Over-the-counter and prescription drugs

• Oral, topical, and injectable medications

• Field-dispensed meds and return stock

Sharps & Biohazardous Waste

• Used syringes, IV sets, needles, and scalpels

• Gauze, PPE, airway adjuncts, trauma dressings

• Infectious waste generated during medical calls or rescue

Flexible Service Options for Fire-Based EMS

We understand that fire stations vary in volume and infrastructure. That’s why we offer both mail-back and scheduled pickup options.

Mail-Back Kits

• DOT-approved return kits (1–5 gallons)

• Prepaid shipping with tracking

• Accepts sharps, expired drugs, and controlled substances

• Includes DEA Form 41 support

• Ideal for rural or low-call-volume departments

Scheduled Pickup

• On-site pickup at department HQ or central supply

• Licensed transporter and DOT manifesting

• Regular or on-demand pickups

• Certificate of Destruction provided for all loads

Who We Serve

We provide waste services to:

• Municipal fire departments (ALS/BLS)

• Volunteer fire/EMS services

• Wildland and forestry response teams

• Rescue squads and rapid response units

• Combination and career fire departments

• State and federal fire/EMS agencies

• Hazardous materials and technical rescue teams

Whether you’re running a single-engine house or managing regional medical squads, we provide cost-effective, scalable waste solutions.

Regulatory Compliance Guaranteed

All services are fully compliant with:

• DEA 21 CFR Part 1317 – Destruction of non-recoverable controlled substances

• DEA Form 222 and 41 for Schedule I–V medication disposal

• OSHA Bloodborne Pathogens Standard (29 CFR 1910.1030)

• DOT 49 CFR regulations for packaging and transport

• EPA and state medical waste rules under RCRA

• Local EMS, health department, and Board of Pharmacy requirements

We provide documentation for audits, inspections, and accreditation.