COSMED IS A NATIONWIDE STERILIZATION SERVICES PROVIDER HEADQUARTED IN COVENTRY, RHODE ISLAND. REGION 1 IS THE LEAD REGION ALONG WITH REGIONS 2, 5, 6, 9 AND REGION 3 IN A NATIONAL REFERRAL TO DOJ FOR COSMED'S VIOLATIONS OF THE CAA THROUGH ITS USE OF ETHYLENE OXIDE. REGION 1 IS SUBMITTING A PRIMARY CIVIL LITIGATION REPORT TO DOJ.