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Home My WebLink AboutBUSINESS PLAN (2ND FILE) ~ ~ ~Jl!~ NUR~NG UNIT ~ 3. ~R. ~. ~BOR AND D~RY j 5. TO~ B. CA~ 7. CEN~ P~NT 0 8. ~UNDRY ~. DIAGNOS~DOSC~Y 10. BU~NE~/ ADMI~NG 11. ~AIN HOSPITAL 1~ ~RST ~ST 13. F~ILY C~E .... 14. ~INIS~A~ON ~D DATA 15. C~IAC ; ~. PH~C~. ~Y ~ 17. F~ND~S HA~ ~ 18. ~RJ~U~ RES. - 9 lO J 11 ~, ~.. 3~ S~T ::---...:.'-.'L....: '.-...~-.. '"'--:5:.:::~.-..'~ :...-'.;./:~:~.~..//~ :...:~-./:.'..'..~...:-:-.'~' '.'."-'-./"--. '.~..:;'..~-~..:.-~...~.:~.;./..:~..~.~.-~:-:~::':/:.::-..'-:.::~.......L':.- 1 J ~. ~BOR AND D~RY j 5. TO~ ~. CA~ 7. CEN~ P~NT 8. ~UNDRY 0 ~. DIAGNOS~DOSC~Y 11. ~AIN HOSPITAL 1Z ~RST ~ST 14. ~INIS~A~ON ~D DATA 1~. PH~C~ 17. F~ND~S HA~ ~. ~gg~ RES. 4 7 < · - ." :..-............'. - . - ...].- . . :......-...'-- ....:.. ....'.............. ...... -...-.;:..:....-... '..: . L ,~v, uT ~-~ ~ ' ' Z~Tame: Memorial Hospital PILOT..~.~"~ ~ "'.~_~:._~._~_'~ "~" ' ~, Lo~a~om 701 34~ SL Wo~ ~er ~o. Io7~ USI for Y~I~' Kern View No Sc~e J Drive~ay I I J ~RI Bu~ ....... zorn s. U~on Dra~ By: Rob~ Broc~m Date: ~-a*-~n B~sfield, C~ , i~i~CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST Chester Ave., 3rd Floor, Bakersfield, CA 93301 .~ //,~/ FACILITY NAME9,'~ ~fVkC-~OCc'[~ .~Ot~t~,c... INSPECTION DATE tAl~/o3 Section 4: HZ~~m EPA ID # [] Routine~ [] Joint Agea~y~ Multi-Agency [] Complaint [] Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made EPA ID Number (Phone: 916-324-1781 to obtain EPA ID #) t:/' id~O d ,~Oaa Authorized for waste treatment and/or storage Reported release, fire, or explosion within 15 days of occurrence /xJ ~'& Established or maintains a contingency plan and training ,,/ Hazardous waste accumulation time frames Containers in good condition and not leaking -,/' Containers are compatible with the hazardous waste ,/," Containers are kept closed when not in use / Weekly inspection of storage area v/' Ignitable/reactive waste located at least 50 feet from property line .,,,," Secondary containment provided Conducts daily inspection of tanks f 7/L~d /"J/9/J~ ? / ? ,)l//)'-)O/~ V Used oil not contaminated with other hazardous waste ~ Proper management of lead acid batteries including labels Proper management of used oil filters 4 ~ Transports hazardous waste with completed manifest ~' Sends manifest copies to DTSC t/," Retains manifests for3 years k"" Retains hazardous waste analysis for 3 years t,,'" Retains copies of used oil receipts for 3 years Ad ~ Determines if waste is restricted from land disposal '/ C=Compliance V=Violation Inspector: ~J [ ~/'~'"~ Office of Environmental'Services (661) 326-3979 ~lu~IYless S'[teX~espons'i'ble-"ffarty White - Env. Sves. Pink - Business Copy · Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. · Print your name and address on the reverse so that we can return the .card to you. · Attach this card to the back of the mailpiece, or on the front if space permits. D. 1. Article Addressed to: If YES, BAKERSFIELD MEMORIAL HOSPITAL 420 34Tn STREET BAKERSFIELD, CA 93301 3. Service 'rype , ~[ Certified Mail [] Express Mail [] Registered [] Return Receipt for Merchandise ~ - - - [] Insured Mail [] C.O.D. 4. Restricted Delivery? (Extra Fee) [] Yes 2. Article Number (r~n$~rf~mse~Jce~abe~) 7002 3150 0004 9985 4971 , PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-1540 · .--~ ', Sender: Please print y6~ess, aha Bakersfield Fire Department Prevention Services 1715 Chester Avenue, Suite 300 Bakersfield, CA 93301 G" Postage $ _-I- Certified Fee ~ Postmark Retum Reclept Fee Here r-'t (Endorsement Required) r--t Restricted Delivery Fee L J3 (Endorsement Required) ~ Total Po,' ~ ~ BAKERSFIELD MEMORIAL HOSPITAL I I? ...... __ 420 34TM STREET ...... r,- [~r~'J~ BAKERSFIF. tr~ c'~ November 4, 2003 CERTIFIED MAIL Bakersfield Memorial Hospital 420 34th Street Bakersfield, CA 93301 FIRE CHIEF RoN F~E NOTICE OF VIOLATION ADMINISTRATIYE SERVICES & SCHEDULE FOR COMPLIANCE 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 Dear Sir or Madam, FAX (661) 395-1349 SUPPRESSION SERVICES Our records indicate that your annual maintenance certification on your leak 21Ol "H' Street detection System was past due ]0-]0-03, Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1 349 You are currently in violation of Section 2641(J) of the California Code of PREVENTION SERVICES Regulations. FIRE SAFETY SER'~CES · ENVIRONMEHTN. SEFNtCE$ 1715 Chester Ave. Bakersfield, CA 93301 "Equipment and devices used to monitor underground storage tanks shall be VOICE (661) 326-3079 FAX (661)326-0576 installed, calibrated, operated and maintained in accordance with manufacturer's instructions, including routine maintenance and service checks at least once per PUBLIC EDUCATION calendar year for operability and running condition." 1715 Chester Av~. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661)326-0576 You are hereby notified that you have fifteen (15) days, November 19, 2003, to either perform or submit your annual certification to this office. Failure to FIRE INVESTIGATION comply will result in revocation of your permit to operate your underground 1715 Chester Ave. Bakersfield, CA 93301 storage system. VOICE (661) 326-3951 FAX (661) 326-0576 Should you have any questions, please feel free to contact me at 661-326-3190. TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 Sincerely yours, VOICE (661) 3994697 FAX (661) 399-5763 Ralph E. Huey Director of Prevention Services Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/db BAKERSFIELD MEMORIAL SiteID: 015-021-001121 Manager : ~%~ BusPhone: (661) 327-1792 Location: 420 34TH ST ~%%%~1 Map : 103 CommHaz : Moderate City : BAKERSFIELDmy Grid: 19D FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 04 SIC Code:8062 EPA Numb: CAL000021754 DunnBrad:95-180-2779 Emergency Contact / Title Emergency Contact / Title MICHAEL WOOD / ASST DIR OF HEA / Business Phone: (661) 327-1792x1891 Business Phone: ( ) - x 24-Hour Phone : (661) 327-1792x 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: RSs Fire Press React ImmHlth DelHlth Contact : Phone: (661) 327-1792x MailAddr: 420 34TH ST State: CA City : BAKERSFIELD Zip : 93301 Owner GREATER BAKERSFIELD MEMORIAL HOSP Phone: (661) 327-1792x Address : 420 34TH ST State: CA City : BAKERSFIELD Zip : 93301 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: Yes ParcelNo: Emergency Directives: THIS SITE CONTAINS UNDERGROUND STORAGE TANKS AND IS A WASTE TREATMENT SITE! A JOINT INSPECTION WITH STEVE UNDERWOOD, HOWARD WINES AND THE ENGINE COMPANY IS REQUIRED. PLEASE GIVE THIS OFFICE AT LEAST 5 DAYS NOTICE PRIOR TO SCHEDULING THIS INSPECTION. I, J~,,t_l¥,~,e_l. Loc,,o~ DO hereby certify that I have ~Type or pdnt name) reviewed the attached hazard, ous mate~'ials manage- ment plan forjS.~,~-~,~',~b3me~,a~.;L.: :hx! it a~ong with agement plan for my fadlit¥. · ~l~m~,ure Date -1- 07/15/2003 I--~ Postage $ Certified Fee 1:3 Return Receipt Fe~ Postmark ~ (Endorsement Requlrec Here =13 Restricted Delivery Fe~ E::I (Endorsement Required ~U Total Post/' o ~ MICHAEL WOOD r,-[ .............. BAKERSFIELD MEMORIAL HOSPITAL |1 Street, Apt. TH ...... [~s:r~t'~Px': 420 34 STREET Ib'[~;~//~i~;7 BAKERSFIELD CA 93301 ...... O Postage & Fees Paid ~ USPS . Permit No. G-10 · Sender: Please print your name, address, and ZIP+4 in this box · BAKERSFIELD FIRE DEPAR~?-~r¥ OFFICE OF 1715 Chester Avenue, S~i[e 900 Bakersfield, CA 93301 · Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. [] Agent · Print your name and address on the reverse [] Addressee SO that we can return the card to you. · Attach this card to the back of the mailpiece, or on the front if space permits. D. Ds delivery; different from item 17 [] Yes 1. Article Addressed to: If YES, enter delivery address below: [] No MICHAEL WOOD BAKERSFIELD MEMORIAL HOSPITAL 420 34TM STREET - 3. service Type BAKERSFIELD CA 93301 [] Certified Mail [] Express Maid [] Registered [] Return Receipt for Merchandise [] Insured Mail [] C.O.D. 4. Restricted Delivery? (Extra Fee) '1'-I Ye~' 7002 0860 0000 1641 '5547 PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-0835 December 27, 2002 Michael Wood Bakersfield Memorial Hospital 420 34m Street Bakersfield, CA 93301 CERTIFIED MAIL NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE FIRE CHIEF RON FRAZE RE: Failure to Perform/Submit Annual Maintenance on Leak Detection AOMINtSTRATIVE SERVICES System at the above stated address. 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 Dear Business Owner: FAX (661) 395-1349 ',, SUPPRESSIOn SERVICES Our records indicate that your annual maintenance certification on your leak 2101 "H' Street detection system was past due on September 6, 2002. Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 You are currently in violation of Section 2641(J) of the California Code of Regulations. PREVENTION SERVICES FIRE SAFEW SERYICES . F. N1/IRONIiFaNI'~. SERYICES 1715 ChesterAve. "Equipment and devices used to monitor underground storage tanks shall be Bakersfield, CA 93301 installed, calibrated, operated and maintained in accordance with VOICE (661) 326-3979 FAX (661) 326-0576 manufacturer's instructions, including routine maintenance and service checks at least once per calendar year for operability and running condition." PUBLIC EDUCATION 1715 Chester Av~. Bakersfield, CA 93301 You are hereby notified that you have thirty (30) days, January 27, 2003, to VOICE (661) 326-3696 either perform or submit your annual certification to this office. Failure to FAX (661) 326-0576 comply will result in revocation of your permit to operate your underground FIRE INVESTIGATION storage system. 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661)326-3951 Should you have any questions, please feel free to contact me at 661-326-3190. FAX (661) 3260576 Sincerely, TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 Ralph Huey vOICE (661) 399-4697 Director of Prevention Services FAX (661) 399-5763 by: Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services cc: Walter H. Porr Jr., Assistant City Attorney COi RECTION NqiTICE 04879 BAKERSFIELD FIRE DEPARTMENT Location ~[' ~ '~ ~ ~ f Name Xvt ~,.,~o~.~.. ~sP, You are hereby required to make the foNov~ng corrections at the above location: Cot. No. I Completion Date for Corrections /I/2g/~ Date I [ / t ~/0~ ~~ Ins~or FD ~ 326-3951 CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~.A it ~,~ fjc rt ~ ~ ~g tat ~SPECTION DATE ADD,SS q~O ,~ ~ PHONENO. ~ZT-/~' FACILITY CONTACT.~[~L WoO~ BUSINESS IDNO. 15-210- ~SPECTION TIME ~ ~S NUMBER OF EMPLOYEES JO~O . Section 1: Business Plan and Invento~ Program ~ Routine ~Combined ~ Joint Agency ~ Multi-Agency ~ Complaint ~ Re-inspection OPERATION C V~ COMMENTS Appropriate pe~it on hand ~ ~ ~ ~ Business plan contact info~ation accurate ~ / ~ ~ ~ Visible address Verification of invento~ materials ~ O ~ ~ ~O ~/ Proper segregation of material ~ ~~0 ~ Verification of MSDS availability ~ Verification of Haz Mat training ~ ~,~ ~O, Verification of abatement supplies and procedures ~ U ~ ~ Emergency procedures adequate / ~ g t ~ ~ o Containers properly labeled Y [ I0 gA~ Fire Protection V ~ ~L ,~R~o~ Site Diagram Adequate & On Hand V ~g~t~C~ , a=aompliance V=Violation~ - Any hazardon~ ~a~te on ~ite?: ~Ye~ ~ No Explain: White- Env. Svcs. Yellow- Stltion Copy Pink- ~i~s Cop~ Ins~tor: 1.17R CHW CENTRAL CALIFORNIA POLICY Page 1 of 1 SUBJECT: QUESTIONNAIRES POLICY STATEMENT: Questionnaires may be received from the federal, state, and local government; American, California, and Catholic Hospital Associations; third-party payers; and others. No questionnaire should be completed without prior review by the appropriate director. If there is doubt as to whether or not the information should be submitted, the-.g~r~pri`a`t-e-dire.c~r-~.i~-check-w~ith-the~Ca~if~mia~Ass~ciati~n`ef_ Hospit-afs and Health Systems (CAHHS) or other organization and in certain instances may choose to have the form reviewed by Administration, or others for clearance. PROCEDURE: The following should be observed when completing questionnaires: · Use the data from the annual statistical report. · Complete the statistical information on a work copy or CHW Central California's (CHWCC) file copy of the form in pencil. · Personnel statistics are obtained from the Human Resources Department. Unless otherwise specified, the Sisters are included in the statistics. · When financial information is required, it should be requested from an individual in the Finance Department. Whenever possible, audited financial and statistical figures should be utilized to complete the document. · All questionnaires are to be submitted to the appropriate director for final review and mailing. Administration. August, 2000 REVIEWED REVISED Dngtnat,ng Department(s) Date CHW Central Californih CEO Date CHW Central California Board of Directors Date CITY OF BAKERSFIELD FIRE DEPARTMENT RECEIVED OFFICE OF ENVIRONMENTAL SERVICES ?~ 0 2 2001 ROLLING POWER OUTAGE ENVIR~ qFRVICEs SURVEY Memorial Hospital 420 34th Street Name of Business Address 1. - - Does-your~facility-ha.v.e a-back_up po~er~supply2__ ....... Yes~ No'[] ...... 2. If yes, does back up generatOr supply power to all critical systems, valves, vents, alarms, monitor, phones? Yes 1~ No O Other, explain 3. Could electrical power loss cause a fire, explosion, or unplanned release of a chemical? Yes [] No 1~ 4. Would electric power, or telecommunication loss prevent the business from contacting emergency responders? Yes ~l No 5. Has your business prepared a contingency plan in the event of a rolling power outage? Yesl~ No [] 6. What percentage of your business is electrical dependant? [] less than 5% [] 5% to 10% ~ 26% to 50% ~{~l_ 5~_o t__o_.7_5°_./0. [] ove__r 75% ~ 100% Authofiz~t R~e~sentative Date Please complete .and return this survey no later than February 12, 2001, to the following address or fax number. Bakersfield City Fire Department Office of Environmental Services 1715 Chester Avenue, Suite 300 Bakersfield, Ca 93301 Fax: 661-326-0576 1.17R CHW CENTRAL CALIFORNIA POLICY Page 1 of 1 SUBJECT: QUESTIONNAIRES POLICY STATEMENT: Questionnaires may be received from the federal, state, and local government; American, California, and Catholic Hospital Associations; third-party payers; and others. No questionnaire should be completed without prior review by the appropriate director. If there is doubt as to whether or not the information should· be submitted, the appropriate director will check with the California Association of Hospitals and Health Systems (CAHHS) or other organization and in certaininstances may choose to have the form reviewed by Administration, or others for clearance. PROCEDURE: The following should be observed when completing questionnaires: · Use the data from the annual statistical report. · Complete the statistical information on a work copy or CHW Central California's (CHWCC) file copy of the form in pencil. · Personnel statistics are obtained from the Human Resources Department. Unless otherwise specified, the Sisters are included in the statistics. · When financial information is required, it should be requested from an individual in the Finance Department. Whenever possible, audited financial and statistical figures should be utilized to complete the document. · All questionnaires are to be submitted to the appropriate director for final review and mailing. Administration. August_, 2000 REVIEWED REVISED Or,gmatmg Departmentl, s) Date CHW Central Califormh CEO Date ('",&.--~c.? t. -6 ~....--L~- CHW Cen~al California Board of Directors Date .' CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES ROLLING POWER OUTAGE SURVEY Memorial Hospital 420 34th Street Name of Business Address 1. Does your facility have a back up power supply? Yes lEI No lEI 2. If yes, does back up generator supply power to all critical systems, valves, vents, alarms, monitor, phones? Yes [] No [] Other,- explain 3. Could electrical power loss cause a fire, explosion, or unplanned release of a chemical? Yes [] No [] 4. Would electric power, or telecommunication loss prevent the business from contacting emergency res. ponders? Yes El No El 5. Has your business prepared a contingency plan in the event of a rolling power outage? Yes [] No [] 6. What percentage of your business is electrical dependant? · [] less than 5% El 5% to 10% [] 26% to 50% [] 51% to 75% El over 75% El 100% Authorized Representative Date - Please complete and return this survey no later than February 12, 2001, to the following address or fax number. Bakersfield City Fire Department Office of Environmental Services 1715 Chester Avenue, Suite 300 Bakersfield, Ca 93301 'Fax: 661-326-0576 January 23, 2001 Kitty Ringer Frae C.~EF Mercy Hospital RON FR~E 2215 Truxtun Ave ADMINISTRATIVE SERVICES Bakersfield Ca 93301 2101 'H" Street Bakersfield, CA 93301 IJ,J..----~ VOICE (661) 326-3941 ~ FAX (661) 395-1349 Dear M SUPPRESSION SERVICES Within California, approximately 130,000 businesses are involved in the 2101 "H" Street Bakersfield, CA 93301 manufacturing, use, storage and/or transport of hazardous materials. In the VOICE (661) 326-3941 FAX (661)396-1349 ' event of a rolling power outage, a hazardous materials facility or handler may experience an operational event that could potentially result in the PREVENTION SERVICES accidental release of a hazardous substance. Such a release could cause or 1715 Chester Ave. Bakersfield, CA93301 contribute to the loss of life, serious injury, environmental pollution or VOICE (661) 326-3951 FAX (661) 326-0576 property damage. ENVIRONMENTAL SERVICES To assess the potential for a accidental release, the Bakersfield Fire 1715 Chester Ave. Bakersfield, CA 93301 Department Office of Environmental Services is requesting your VOICE (661) 326-3979 FAX (661) 326-0576 assistance in completing the enclosed survey and returning the survey no later than February 12, 2001. TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 Sincerely, , FAX (661) 399-5763 Ralph E, Huey, Director Office of Environmental Services REH/dm enclosure CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME f~C"~~C. /--l~n~,'r'etu INSPECTION DATE Section 4: Hazardous Waste Generator Program EPA ID # ~AL. OoOo'Z( 7 5-,4. [] Routine 1~2 Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made EPA ID Number (Phone: 916-324-1781 to obtain EPA ID #) Authorized for waste treatment and/or storage Reported release, fire, or explosion within 15 days of occurrence Established or maintains a contingency plan and training ? Hazardous waste accumulation time frames Containers in good condition and not leaking Containers are compatible with the hazardous waste Containers are kept closed when not in use / Weekly inspection of storage area Ignitable/reactive waste located at least 50 feet from property line Secondary containment provided Conducts daily inspection of tanks Used oil not contaminated with other hazardous waste Proper management of lead acid batteries including labels Proper management of used oil filters Transports hazardous waste with completed manifest Sends manifest copies to DTSC ) Retains manifests for 3 years Retains hazardous waste analysis for 3 years Retains copies of used oil receipts for 3 years Determines if waste is restricted from land disposal C=Compliance V=Violation Inspector: ~kJ l Office of Environmental Services (661) 326-3979 Business Site Responsible Party White - Env. Sves. Pink - Business Copy O CITY OF BAKERSFIEI~ O~CE OF ENVIRONMENTAL S~ERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 *'~'~" ~ H~RDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one ~ per ma~al per building or ama) ~ NEW ~DO ~ DELVE ~ REVISE ~ Page ~ of BUSINESS ~ME (~me ~ FACILI~ ~ ~ D~ - ~ng BuNn~ ~) 3 201~ CHEMI~L LO~TION ~ CONFIDENTIAL (EPC~) ~ Y~ O NO ~2 CHEMI~L LO~TION ~5 ~ T~E SECRET 207 I COM~N ~ * EHS' 210 ~PE ~URE O m "~RE D w WA~ 211 ~DIOA~ DY= aND 212 J CURIES 213 PHYSI~LSTA~ ~ S SOLID ~UID ~ g ~S 214 ~RGEST~AINER ~ 215 FED ~RD ~TE~RIES ~ 1 FIRE ~ 2 ~ ~ 3 P~SSURE REL~SE D 4 AC~ H~L~ ~ 5 ~RONIC H~L~ ~6 (~ ~1 that apply) ANNU~WAS~ 217 ~I~M 218 ~ A~ 219 STA~W~DE A~U~ DAILY ~U~ ~ ~ILY A~U~ UN.S* ~ ~ ~ D d CU ~ D lb LBS ~ m TONS 221 DAYS ON * ~ EHS, ~nt must ~ in lbs. STOOGE ~AINER (Check all ~at apply) VEGROUND T~K ~ · ~ffiNM~LIC DRUM D t FIBER DRUM ~ m G~SS BO~LE ~ q ~IL ~ b UNDERGROUND TANK ~ f ~N ~ j ~G ~ n P~TIC SO~ ~ r O~ER D c T~K INSIDE BUILDING D g ~Y ~ k ~X ~ o TO~ ~ d S~EL DRUM ~ h SILO ~ I CYLINDER ~ p T~K WA~N STOOGE P~SSURE ~ A~IE~ ~ ~ A~VEA~IE~ Dba BELOWA~IE~ ~4 STOOGE ~RE ~ A~IE~ D ~ ~VE ~1~ Dba BELOW A~IE~ D c CRYOGENIC 226 227 [] Yes [] No 228 229 230 231 [] Yes [] No 232 233 234 235 [] Yes [] No 236 237 238 239 [] Yes' [] No 240 241 242 243 [] Yes [] No 244 245 SIGNATURE UPCF (7~99) S:\CUPAFORMS\OES2731.TV4.wpd ~ CITY OF BAKERSFIEI~ OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 *"~'*"~"'""* HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per mate#al pet building or ama) (-] NEW '~..DD r'] DELETE O REVISE 200 Page ~ of · *' ..'.~:,:*'.~¢~*~'-"*'.'~ :*' ,~:~"~.. ,,., ~.,.~:.~,~.*~¥~,~,=:%~,~:c~?;,~:~*.'~,~-~ '~;~ ~ ,c...,~,~ ~...,c,~,~.,,:~ .~,~ ~.,~,~,,. .~,~ .... ~ .~, .,, ,.~ . BU~INE~ ~ (~e ~ FACILI~ ~ ~ D~ - ~ng B~n~ ~) 3 c.E.,~o~. ~~ ~ C~ ~.1 ~..,~LO~,o. ~ T~E SE~E ~7 ~s ~ .... ~ ~ ~ FI~ ~DE ~ ~ES (~e ~ ~ by ~ ~ ~ 210 ~PE ~ ~ ~ m ~ ~ w WA~ 211 ~ ~A~ ~ Y~ ~ No 212 CURIES ~3 PHYSI~LSTA~ ~ s ~UD ~1 ~UID ~ ~S 214J ~ST~NNER FED ~RD ~ES ~ 1 FI~ ~ 2 ~ ~3 P~U~ ~E ~ 4 A~ H~ ~ 5 ~RONIC H~ (~ ~t ~at ~pN) --U~WAS~ ~7 I ~M 218 I A~ 219 STA~ W~ ~ ~U~ DAILY ~U~ ~ILY ~U~ DAYS ON S~ UNffm ~ ~ ~L ~ d ~ ~ ~ ;~ ~S ~ m TONS * ff~S,~t m~ ~In ~. STOOGE ~AINER ~ a ~U~ T~K ~ · ~N~IC ~UM D i FlOR DRUM ~ m G~S BO~E ~ q ~IL (C~ck a8 ~at ap~) ~b UNDER~OUNDT~ ~f ~N DJ ~e ~n ~CBO~ ~r O~ER ~ c T~ INSI~ ~i~iNG ~ g ~Y ~ k ~X ~ o TO~ SiN ~ d S~ ~UM ~ h S~LO ~~EE ~ p T~K WA~. STO~GEP~SSU~ ~ a ~IE~ ~ A~VE~I~ ~ ~ BELOW~IE~ ~4 22~ 227 [] Yes ~ No 228 22g 230 231 I--] YeS [] No 232 233 234 235 [] Yes [] NO 236 237 238 239 r-1 Ye~ [] NO 240 241 242 243 [] Yes r-I No 244 245 UPCF (7199) . S:\CUPAFORMS\OES2731.TV4.wpd CITY OF BAKERSFIEI~ O CE OF ENVIRONMENTAL S'ERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 "'~-'"~~"'"" ~'" H~RDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one ~ per ma~al ~r bu~di~ or ama) ~ NEW ~ ADD ~ DELETE ~ REVISE ~ Page , BUSINESS ~E (~me ~ FACILI~ ~E ~ D~ - ~ng Bu~n~ ~) 3 ~ [ CONFIDENTIAL (EPCRA) [] Yes [] No 202 FACILITY ID # I 1 MAP # (opgonal) 203 GRID # (optional) 204 ~5 T~DE SECR~ CHEMI~L ~ME ~7 COM~N ~ EHS* FIRE ~OE ~ ~ES (~ae ff ~u~t~ ~y I~ tim ~ 210 FEO ~RD ~TE~RIES ~ 1 FIRE ~ 2 ~ ~ 3 P~U~ ~L~SE ~ 4 AC~ H~L~ ~ ~RONIC H~ 216 (~ ~l ~at ap~) ~u~NU~ WAS~ 217 I --I~MDAiLY ~U~ ~ 218 I A~GEDAILY ~U~ 219 STA~ W~ ~DE UN.S* D ~ ~L ~ ~ CU ~ ~lb LBS ~ ~ TONS ~1 DAYS ON * ff EHS, ~nt mu~ be in I~. STOOGE ~AINER ~ a A~VE~UND T~K ~ P~STI~ON~IC DRUM ~ i FIBER DRUM ~ m G~SS BO~E D q ~IL (Check all ~at apply) ~ b UNDER~OUND TANK D f ~N ~ j BAG ~ n P~TIC BO~LE ~ r O~ER ~ c T~K ~NSIDE BUlLDI~ ~ g ~Y ~ k BOX ~ o TO~ BIN ~d S~EL DRUM D h SILO D I ~LINDER ~ p T~K WA~N STOOGE PRESSU~ ~ ~IE~ ~ ~ A~VE A~IE~ ~ ba BELOW A~IE~ ~4 STOOGE ~RE ~a A~IE~ ~ ~ A~VE ~1~ Dba BELOWA~IE~ ~ c CRYOG~IC 226 227 [] Yes [] No 228 229 230 231 [] Yes [] No 232 233 i 2'34 235 [] Yes [] No 236 237 238 239 [] Yes [] No 240 241 242 243 [] Yes [] No 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246 i UPCF (7~99) S:\CUPAFORMS\OES2731.TV4.wpd O~CE CITY OF BAKERSFIEI~ OF ENVIRONMENTAL S~RVICES 1715 Chester Ave., CA 93301 (661) 326-3979 "~-'"~~'*'*'""' HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one ~ per ma~al per building or ama) ~ NEW ~DD ~ OE~E ~ REVISE ~ Page ~ of BUSINESS ~E (~e ~ FACILt~ ~UE ~ D~ - ~ng 8~n~ ~) 3 Z~t~~ ~~ ~ ~1t CHE~LLO~TION ~Y~ ~No ~2 CHE~I~L LO~TION ~ CONFIDENTIAL (EPC~) FACILI~ ID ~~ ~~ ~~ 1 ~ ~ (O~eO ~3 ' GRID = (Op~eO ~ T~E SECR~ ~ Y~ ~7 COM~N ~ EHS* ~ y~ FIRE ~OE ~ O~ES (~pl~e if ~u~ by I~ ~re ~ 2~0 .PE ~ U m MI~ ~WA~E 211 ~D~A~ ~Y~ ~No 212 I CURIES 213 PHYSI~L STA~ . ~ s SOLID ~ LIQUID D g ~s 214 ~RGEST ~AINER 215 FED ~RD ~TE~RIES D 1 FIRE ~ 2 ~ ~ 3 P~U~ ~SE ~ 4 AC~ H~L~ ~ 5 ~RONIC H~L~ ~6 (~ ~1 ~at apply) ANNU~WAS~ 217 [ ~I~M 218 I A~ 219 STA~W~DE A~U~ ~ILY A~U~ DAILY ~U~ UN.S* D ~ ~L ~ ~ CU ~ ~ ~S ~ ~ TONS 221 DAYS ON SITE * ff EHS, ~nt m~t ~ in lbs. STOOGE CO~AINER ~ a A~VE~OUND T~K ~STI~NM~LIC DRUM ~ i FIBER DRUM ~ m G~SS BO~LE ~ q ~IL ~ (Check all ~at ap~) ~ b UNDER~OUND TANK D f ~N ~ j ~G ~ n P~C BO~LE ~ r O~ER ~ c T~K INSIDE BUILDING ~ g ~R~Y ~ k 8OX ~ o TO~ BIN D d S~EL DRUM ~ h SILO ~ I CYLINDER ~ p TANK WA~N STOOGE P~SSU~ ~a ~IE~ ~ ~ A~VE ~IE~ ~ ba BELOW A~IE~ S~GE ~MPE~ ~ · A~IE~ ~ ~ A~VE ~1~ ~ ba BELOWA~IE~ ~ c CRYOGENIC 226 227 [] Yes [] No 228 229 2 ; 230 23~ []Yes []No232 233 3 [ 234 235 [] Yes [] NO 236 237 238 239 [] YeS [] No 240 24'1 ~ [] Yes [] NO 244 245 ~,;~,~,,, ~:':,. *.<~,,. ,,.~,? ,,;~ ~,'~, .:~ ',~ ; "~:~2-;:,';:' ~¢:;,4~, ',, %%::~ 'LL~":,:.::'~' ." ' .:" PRINT NA~ & TI~E OF AU~OR~D COMPA~ REPRE~E~ATIVE ' 81G~TU~ DA~ 2~ UPCF (7/99) S:\CUPAFORMS\OES2731.TV4.wpd O CITY OF BAKERSFIEI.~ OI~CE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 "'-'"'~'"*' ~-" H~RDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one ~ per ma~al per budding or ama) ~ NEW ~ ADD ~ DELETE ~ REVISE ~ Page ~ of ' ~ '~.;,~,~'.-'~*~73~;' '~..~....* ~`~`~::~`~*:"~`~:~ ~:~*~.,~.~.~..:~. ;,. .' ~:.. % .: .": :%. : ....:..~ ...... :...~.~ BUSINESS ~E (~me ~ FACILI~ ~E ~ D~ - ~ng Bu~n~ ~) 3 I ~NFIDENTIAL (EPC~) ~ Y~ ~ No ~2 FACILI~ ID * ~ ~ 1 ~ * (op~naO ~3 GRID * (op~naO T~DE SECRET CHEMI~L ~E ~7 ~M~N ~ EHS' FIRE ~DE ~D ~ES (~pl~e ~ ~u~t~ by I~ fire ~ 210 ~PE ~ p PURE ~ m M~RE ~ WASTE 211 ~DIOA~ ~ Y~ ~ No 212 CURIES 213 PHYSI~L STA~ ~ s SOUD ~1 L~UID ~ g ~S 214 ~RGEST~AINER ~ 215 FED ~RD ~TE~ES (~ ~1 ~a apply) IRE ~ 2 R~ ~ 3 P~SSURE ~E ~ 4 AC~ H~L~ ~ 5 ~RONIC H~ 216 ANNU~ WAS~ ~ 217 I ~,~M A~ 219 STA~W~DE ~ DAYS ON u.~s- ~L D~CU~ D~LBS D~TO.S · ff ~S, am~nt mu~ be in lbs, STOOGE CO~AINER ~ a A~VE~UND T~K ~ · ~TI~NM~LIC DRUM ~ i FIBER DRUM ~ m G~SS BO~LE ~ q ~IL (Check ag ~at apply) D b UNDERGROUND T~K ~ f ~N ~ j ~G ~ n ~C BO~LE ~ r O~ER ~ c T~ INSI~ BUILD/~ ~ g ~Y ~ k ~X ~ o TO~ BIN S~EL DRUM ~ h SILO ~ I CYLINDER ~ p TANK WA~N STOOGE PRESSU~ ~a ~IE~ ~ ~ A~VEA~IE~ ~ ~ BELOWA~IE~ ~4 STOOGE ~RE ~ A~I~ ~ ~ A~VE ~E~ ~ ba B~OW~IE~ ~ c CRYOGENIC 2 ~ ~0 231 ~Y~ ~No 232 3 ~ 235 ~ Y~ ~ ~ ~6 ~ ~9 ~Y~ ~No 240 241 242 243 ~ Y~ ~ ~ 2~ 2~ PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE UPCF (7/99) S:\CUPAFORMS\OES2731.TV4.wpd CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIEDPROGRAMINSPECTIONCHECKLIST 1715 Chester Ave., 3'~ Floor, Bakersfield, CA 93301 FACILITY NAME g~qk'¢~St~tt;~/) I'v/tfl/~ap-lp'/' ~o~ ,~A ~ msPaCT ON Da S /I-- ADDRESS ~ZO ~q ~ ~ PHONENO. ~Z~-/~& FACILITY CONTACT ~L ~~0~ BUSINESS ID NO. 15-210- INSPECTION TIME ~ ~ NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program [] Routine [~ombined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection Appropriate pemlit handon }/ Business plan contact intbrmation accurate 1/ Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection / Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: s ~ No Explain: Questions regarding this inspection? Please call us at (805) 326-3979 le Party White-Env. Svcs. Yellow-Station Copy Pink-Business Copy Inspecxor: l-- BAKERSFtELD MEMORIAL HOSPtTAn i--w'~IVD3D SiteID: 215-000-001121 Manager : I Bu~Phone: (805) 327-1792 Location: 420 34TH ST | Ma~ : 103 CommHaz : Moderate City : BAKERSFIELD |BY: ---~-~e~d: 19D FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 04 SIC Code:8062 EPA Numb: CAL000021754 DunnBrad:95-180-2779 Emergency Contact / Title Emergency Contact / Title MICHAEL WOOD / ASST DIR OF HEA PETE ARMSTRONG / ENG SUPERVISOR Business Phone: (805) 327-1792x1891 Business Phone: (805) 327-1792x1891 24-Hour Phone : (805) 327-1792x 24-Hour Phone : (805) 327-1792x Pager Phone : ( ) - x Pager Phone t ( ) - x Hazmat Hazards: RSs Fire Press React ImmHlth DelHlth Contact : Phone: ( ) - x MailAddr: 420 34TH ST State: CA City : BAKERSFIELD Zip : 93301 Owner GREATER BAKERSFIELD MEMORIAL HOSP Phone: ( ) - x Address : 420 34TH ST State: CA City : BAKERSFIELD Zip : 93301 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: Yes Emergency Directives: WASTE TREATMENT SITE & UNDERGROUND TANK SITE: CONTACT 326-3979 FOR JOINT HAZ-MAT INSPECTION. I, hl,cP~,~L L~o~ .. Do hereby certify that I have (Type er p~int name) reviewed ~he a~ached h~a~s matedals manage- ment plan for ~t$~,~ ~e~.' .a~ that it alo~ ~th (Na~ of ~si~) any corre~ions constitute a ~mplete and ~ffect man- agement plan for my ~cili~. 1 02/29/2000 ~ BAKERSFIELD MEMORIAL HOSPITAL SiteID: 215-000-001121 ~ Hazmat Inventory By Facility Unit --Alphabetical Order Fixed Containers on Site Hazmat Common Name... ISpooHazlEPA Hazardsl Frm DailyMax lunitIMcP ARGON P DH G 280 00 FT3 Min ASSIST BUILDER IH L 110 00 GAL Mod CARBON DIOXIDE F P IH G 1120 00 FT3 Min CARBON DIOXIDE, OXYGEN, NITROGE F P IH G 300 00 FT3 Low COMPRESSED AIR F P IH G 4316 00 FT3 Min ETHYLENE OXIDE F P IH G 3252 00 FT3 Min FS01 BAC SOFTNER F IH L 110 00 GAL Mod JPC DIESEL #2 F IH DH L 20000 00 GAL Low JPC DIESEL %2 F IH DH L 20000.00 GAL Mod LAUNCH SOUR IH L 110.00 GAL Hi LIQUID HELIUM F P IH G 976.00 FT3 Min LIQUID NITROGEN F IH L 61.00 GAL Min NEOSUDS PLUS - DETERGENT F IH L 110.00 GAL Mod NITROGEN F P IH G 4080.00 FT3 Min NITROUS OXIDE F P IH G 6742.00 FT3 Hi OXYGEN F P IH G 5800.00 FT3 Low OXYGEN F P IH G 450240.00 FT3 Low OXYGEN/ACETYLENE TORCH P R G 250.00 FT3 Hi PHOTOGRAPHIC DEVELOPERS R IH L 60.00 GAL Mod PHOTOGRAPHIC FIXER IH DH L 60.00 GAL Low SANACOR L 250.00 GAL UnR SANAMINE 8963 R DH L 110.00 GAL Hi SANATHERM 8116 F S 600.00 LBS Hi SANATHERM 8203-D R DH L 110.00 GAL Mod SANATHERN 8329 R DH L 110.00 GAL Hi SANATOX 2080 R DH S 200.00 LBS Low TRIAX DESTAINER IH L 110.00 GAL Hi -2- 02/29/2000 BAKERSFIELD MEMORIAL HOSPITAL SiteID: 215-000-001121 ~ Inventory Item 0029 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME ARGON Days On Site 365 Location within this Facility Unit Map: Grid: MAIN PLANT, MAINTENANCE STORAGE AREA CAS# 7440-37-1 FSTATE -- TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas Mixture Ambient I Ambient PORT. PRESS. CYLINDER I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 250.00 FT3 280.00 FT3 140.00 FT3 40.00 Argon N 7440371 TSecret S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No N No No/ Curies P DH / / / Min ~ Inventory Item 0030 Facility Unit: Fixed Containers on Site ASSIST BUILDER Days On Site 365 Location within this Facility Unit Map: Grid: LAUNDRY DEPT CAS# 1310-73-2 F STATE i TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 60.00 GALI 110.00 GAL 80.00 GAL %Wt. RS CAS# 26.00 Sodium Hydroxide No 1310732 4.50 Trisodium Nitrilotriacetate No 5064313 HAZARD ASSESSMENTS TSecret ~SIBioHazI Radioactive/Amount I EPA HazardsI NFPA USDOT# MCP No N No No/ Curies IH / / / Mod 3 02/29/2000 BAKERSFIELD MEMORIAL HOSPITAL SiteID: 215-000-001121 ~ Inventory Item 0006 Facility Unit: Fixed Containers on Site ~UlV~VlU~ NY.-~lVl~ / ~I~A.~ NZ--~IvI~ CARBON DIOXIDE Days On Site 365 Location within this Facility Unit Map: Grid: OUTSIDE MAIN PLANT STORAGE CAS# 124 -38-9 F STATE i TYPE PRESSURE ~ TEMPERATURE CONTAINER TYPE Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 250.00 FT3I 1120.00 FT3 1120.00 FT3 100.00 Carbon Dioxide N 124389 TSecret RS I HAZARD AiSESSMENTS I BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min ~ Inventory Item 0011 Facility Unit: Fixed Containers on Site CARBON DIOXIDE, OXYGEN, NITROGEN Days On Site 365 Location within this Facility Unit Map: Grid: LABORATORY STORAGE CAS# 128-38-9 F STATE i TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Gas Mixture Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container ! Daily Maximum Daily Average 250.00 FT3L 300.00 FT3 150.00 FT3 %Wt. RS CAS # 12.00 Carbon Dioxide No 124389 21.00 Oxygen, Compressed No 7782447 67.00 Nitrogen No 7727379 HAZARD ASSESSMENTS TSecret oRS I BioHaz Radioactive/Amount I EPA HazardsI NFPA USDOT# MOP No N No No/ Curies F P IH / / / Low -4- 02/29/2000 BAKERSFIELD MEMORIAL HOSPITAL SiteID: 215-000-001121 ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME COMPRESSED AIR Days On Site 365 Location within this Facility Unit Map: Grid: STORAGE BEHIND KITCHEN RESPIRATORY THERAPY KITCHEN STORAGE CAS# ~ STATE ~ TYPE i PRESSURE i TEMPERATURE I CONTAINER TYPE Gas /Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average 250.00 FT3I 4316.00 FT3 I 2150.00 FT3 HAZARDOUS COMPONENTS 100.00 Air N HAZARD ASSESSMENTS TSecretINO NoRS I BioHazNo Radioactive/AmountNo/ Curies EPAF P HazardsiH NFPA/// IUSDOT# MinMCP ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~ ETHYLENE OXIDE Days On Site 365 Location within this Facility Unit Map: Grid: LIQUID 02 RM & TOWER BASEMENT CAS# 75-'71-8 F STATE TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Gas Mixture Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 250.00 FT3I 3252.00 FT3 2168.00 FT3 HAZARDOUS COMPONENTS %Wt. y~ CAS# 12.00 Ethylene Oxide (EPA) 75218 88.00 Dichlorodifluoromethane No 75718 HAZARD ASSESSMENTS ITSecret RS BioHazl Radioactive/Amount~ EPA Hazards NFPA I USDOT# MOP No Yes~ No No/ Curies F P IH / / / Min -5- 02/29/2000 BAKERSFIELD MEMORIAL HOSPITAL 8~88~88~8~888~888~ SiteID: 215-000-001121 i8 Inventory Item 0034 ~6~66666~ Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME ~~~~~i~~~ FS01 BAC SOFTNER o Days On Site o 365 Location within ~is Facility U~t Map: Grid: LAUNDRY DEPT o CAS~ o o 64_17_5° i~ STATE ~i~ TYPE ~i~ PRESSU~ ~i TEMPE~TURE Liquid o Mixture o Ambient o Ambient o DRUM/BA~L-NONMETAL i88888888888888888888888888i AMOUNTS AT THIS LOCATION Largest Container o Daily Maximum o Daily Average o 60.00 6AL o 110.00 6AL o 80.00 6AL o {~a~i~~ HAZA~OUS COMPONENTS %Wt. o o RSo CAS~ o 2.00OEthyl Alcohol ONo o 64175° 3.00°Alkyl Dime~ylbe~yla~oMum Chloride ONo o 8001545° i~i~i~i~~ ~ZARD ASSESSMENTS °TSecret° RS°BioHaz° Radioactive/Amount o EPA H~ards No ONoONo o No/ Curies°F IH o /// o Inventory Item 0028 EE~ggEEEg~EEE~ Facility Unit: Fixed Containers on Site i i~ COMMON NAME / CHEMICAL NAME ~~~~~i~~~i ~C DIESEL ~2 o Days On Site o o 365 Location within ~is Facility U~t Map: Grid: IN D~VEWAY FROM E PA~NG LOT (BEHIND ENGINEE~NG) o CAS~ o 68476_34_6° STATE ~i~ TYPE ~i~ P~SSU~ ~i TEMPE~TU~ ~i~ CONTAINER TYPE Liquid o ~re o Ambient o Ambient o UNDER GROUND TANK o i~6~~~6~i AMOUNTS AT THIS LOCATION ~~fi~~~i Largest Container o Daily Maximum o Daily Average 20000.00 GAL o 20000.00 GAL o 15000.00 GAL i6~666~66666666666666 HAZA~OUS COMPONENTS %Wt. o ~ RS° CAS~ 100.00°Diesel Fuel No. 2 ONo o 68476302° i~~~~~ ~ZARD ASSESSMENTS °TSecret° RSOBioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOTf o MCP o No ONoONo o No/ Curies°F IHDH° /// o OLow -6- 02/29/2000 BAKERSFIELD MEMORIAL HOSPITAL ~/~/~5/~/~/5~5/~/~/~ SiteID: 215-000-001121 i~ Inventory Item 0035 ~~~ Facility Unit: Fixed Containers on Site i i~ COMMON NAME / CHEMICAL NAME ~~~~~i~~~ JPC DIESEL ~f2 o Days On Site o o 365 o Location within this Facility Unit Map: Grid: UNDER DRIVEWAY FROM E PARKING LOT (BEHIND ENGINEERING) o CAS# o 68476_34_6° iE STATE ~i~ TYPE ~iE~ PRESSURE ~i TEMPERATURE EEiEEE~ CONTAINER TYPE Liquid o Pure o Ambient o Ambient o UNDER GROUND TANK o i~~~~i AMOUNTS AT THIS LOCATION Largest Container o Daily Maximum o Daily Average o 20000.00 GAL o 20000.00 GAL o 15000.00 GAL o i~i~~ HAZARDOUS COMPONENTS %Wt. o o RSo CAS# o 100.00ODiesel Fuel No. 2 ONo o 68476302° i~i~i~i~~ HAZARD ASSESSMENTS °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o No ONoONo o No/ Curies°F IH DH° /// o OModO Inventory Item 0033 EEEEEEEEEEEEEEE Facility Unit: Fixed Containers on Site i~6 COMMON NAME / CHEMICAL NAME LAUNCH SOUR o Days On Site o o 365 o Location within this Facility Unit Map: Grid: LAUNDRY DEPT o CAS# o o 1309-45-1 o STATE ~i~ TYPE ~i~ PRESSURE ~i TEMPERATURE ~i~ CONTAINER TYPE Liquid o Mixture o Ambient o Ambient o DRUM/BARREL-NONMETAL o i~a~a~a~a~~i AMOUNTS AT THIS LOCATION Largest Container o Daily Maximum o Daily Average o 60.00 GAL o 110.00 GAL o 80.00 GAL.° i~i~~ HAZARDOUS COMPONENTS %Wt. o o RSo CAS# o 13.000Hydrofluorosilicic Acid °No ° 16961834° i~6~i~i~i~~ HAZARD ASSESSMENTS ~6i~~i~~i~i °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o No ONoONo o No/ Curies° IH o /// o OHio -7- 02/29/2000 BAKERSFIELD MEMORIAL HOSPITAL ~~6~~ SiteID: 215-000-00112 i~ Inventory Item 0013 ~6~~ Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME LIQUID HELIUM o Days On Site o o 365 o Location within this Facility Unit Map: Grid: MAIN BLDG MARKETING,ICU,4,5,6 FLOORS o CAS# o o 7440_59_7° i~ STATE ~i~ TYPE ~i~ PRESSURE ~i TEMPERATURE ~i~ CONTAINER TYPE Gas o Pure o Ambient o Ambient o PORT. PRESS. CYLINDER o iEEEEEEEEEEEEEEEEEEEEEEEEEEi AMOUNTS AT THIS LOCATION Largest Container o Daily Maximum o Daily Average o 250.00FT3 o 976.00 FT3 o 976.00 FT3 o i~i~~ HAZARDOUS COMPONENTS %Wt. o o RSo CAS# o 100.00OHelium ONo o 7440597° i~SEi~i~i~~ HAZARD ASSESSMENTS ~E~i~SE~i~SEi~ °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o No ONoONo o No/ Curies°FP IH o /// o OMinO i6 Inventory Item 0012 ~E~6~6~ Facility Unit: Fixed Containers on Site i i~E COMMON NAME / CHEMICAL NAME EEEEEEEEEEEEE~EEEEEEEE~E~EEEEEiEEEEEEEEEEEEEEEEi LIQUID NITROGEN o Days On Site o o 365 o Location within this Facility Unit Map: Grid: MAGNETIC RESONANCE IMA o CAS# o O o STATE ~i~ TYPE ~i~ PRESSURE ~ TEMPERATURE ~i~ CONTAINER TYPE Liquid o Pure o Ambient o Ambient o OTHER- SPECIFY o ~~~~ AMOUNTS AT THIS LOCATION Largest Container o Daily Maximum o Daily Average o 500.00 GAL o 61.00 GAL o 30.00 GAL ° i~i~~ HAZARDOUS COMPONENTS %Wt. o °RS° CAS# o 100.00ONitrogen ONo o 7727379° iEEEEEEEiEEEiEEE~Egi~EE~EEE HAZARD ASSESSMENTS EEEiEEEEE~E~iEEEEEEEEiEEEEEi °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o No ONoONo o No/ Curies°F IH o /// o OMinO -8- 02/29/2000 BAKERSFIELD MEMORIAL HOSPITAL/~5/~/~/~/~/~ SiteID: 215 o000-00112 i~ Inventory Item 0031 ~6~~ Facility U~t: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ~~~~6~~~~i NEOSUDS PLUS - DETERGENT o Days On Site o o 365 o ~cation wi~ this Facility U~t Map: Grid: LAUNDRY DEPT o CASff o 67_63_0o iE STATE EiE TYPE EEEiEE P~SSURE EEEi TEMPE~TURE Liquid o Mixture o Ambiem o Ambiem o DRUM/BA~L-NONMETAL o Largest Container o Dai¢ Maximum o Dai¢ Average o 60.00 GAL o 110.00 GAL o 80.00 GAL i~EEEEiEEEEE~EEEEEE ~ZA~OUS COMPONENTS %Wt. o °RS° CASg o 5.00°Isopropyl Alcohol ONo o 67630° 18.00Opolye~oxylated Nonylphenols ONo o 26027383° iEEEEEEgi~i~EEEEiEE~EEE ~ZARD ASSESSMENTS °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOTg o MCP o No ONoONo o No/ Curies°F IH o /// o OModO Inventory Item 0003 ~~~ Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME NITROGEN o Days On Site o 365 o Location wi~in ~is Facility Uffit Map: Grid: OUTSIDE MAIN BLDG STOOGE A~A o 7727-37-9 STATE 8i8 TYPE 888i88 P~SSURE 888i TEMPE~TU~ 88i88~ CONTAINER TYPE Gas o ~re o Above Ambient o Ambient o PORT. P~SS. CYLINDER o i~86~8~~~88~i AMOUNTS AT THIS LOCATION Largest Container o Daily Max~um o Daily Average o FT3 o 4080.00 FT3 o 1080.00 FT3 f8~8~8i~88~888~888 ~ZARDOUS COMPONENTS ~Wt. o °RS° CAS~ o 100.00ONitrogen ONo o 7727379o °TSecret° RS°BioHaz° Radioactive/Amoum o EPA Hazards o NFPA o USDOT~ o MCP o No ONoONo o No/ Curies°FP IH o /// o OMinO -9- 02/29/2000 i BAKERSFIELD MEMORIAL HOSPITAL ~~~~ SiteID: 215-000-001121 i6 Inventory Item 0001 ~~~ Facility Unit: Fixed Containers on Site i i~ COMMON NAME / CHEMICAL NAME ~~~~~i~~~ o NITROUS OXIDE o Days On Site o o o 365 o Location within this Facility Unit Map: Grid: ° STORAGE BEHIND KITCHEN SURGERY C-SECTION ROOM #1 BEHIND KITC° CAS# o o o 1002_49_72° ~ STATE ~i~ TYPE ~ PRESSURE ~ TEMPERATURE ~i~ CONTAINER TYPE o Gas o Pure o Above Ambient o Ambient o PORT. PRESS. CYLINDER o i~~~~i AMOUNTS AT THIS LOCATION ~~~~i o Largest Container o Daily Maximum o Daily Average o o 250.00FT3 ° 6742.00 FT3 o 3500.00 FT3 o i~i~~ HAZARDOUS COMPONENTS ~~i~i~~~i o %Wt. o oRSo CAS# o o 100.00ONitrous Oxide ONo o 10024972° i~i~i~i~~ HAZARD ASSESSMENTS ~i~~i~~i~i °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o o No ONoONo o No/ Curies°FP IH o /// o OHio i~ Inventory Item 0002 ~~~ Facility Unit: Fixed Containers on Site i i~ COMMON NAME / CHEMICAL NAME OXYGEN o Days On Site o o 365 o Location within this Facility Unit Map: Grid: 1E,RESP,ER,DIAG,2E,2,PED LAB, XRAY POST PARTOM, NURSERY, 4,5° CAS# o o 7782_44_7° STATE ~i~ TYPE ~i~ PRESSURE ~i TEMPERATURE ~i~ CONTAINER TYPE Gas o Mixture o Ambient o Ambient o PORT. PRESS. CYLINDER o i~~ee~~i AMOUNTS AT THIS LOCATION ~~~fi~~i Largest Container o Daily Maximum o Daily Average o 250.00FT3 o 5800.00 FT3 o 2900.00 FT3 o i~i~~ HAZARDOUS COMPONENTS %Wt. o o RSo CAS# o 100 . 00 O Oxygen, Compressed °No o 7782447° i~i~i~a~i~~ HAZARD ASSESSMENTS ~i~~i~~i~i °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o No ONoONo o No/ Curies°FP IH o /// o OLowO -10- 02/29/2000 BAKERSFIELD MEMORIAL HOSPITAL ~~6~~ SiteID: 215-000-001121 ~ Inventory Item 0007 ~~~ Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME ~~~~~i~~~ OXYGEN o Days On Site o o 365 o Location within this Facility Unit Map: Grid: REAR OF MAIN HOSPITAL BLDG o CAS// o o 7782447° i~ STATE ~i~ TYPE ~i~ PRESSURE ~ TEMPERATURE Gas o Pure o Above Ambient o Cryogenic o INSUL.TANK / CRYOGENIC o i~6~6~6~6~i AMOUNTS AT THIS LOCATION Largest Container o Daily Maximum o Daily Average o 450240.00FT3 o 450240.00 FT3 o 225120.00 FT3 o ~i~i~/~i~i~/~i~i~ HAZARDOUS COMPONENTS %Wt. o o RSo CAS# o 100.00OOxygen, Compressed ONo o 7782447° i~i~i~i~~ HAZARD ASSESSMENTS °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o No ONoONo o No/ Curies°FP IH o /// o OLowO iE Inventory Item 0037 EE~E~g~ Facility Unit: Fixed Containers on Site i iE~ COMMON NAME / CHEMICAL NAME OXYGEN/ACETYLENE TORCH o Days On Site o o 365 o Location within this Facility Unit Map: Grid: MAINTENANCE SHOP o CAS# o o o STATE ~iE TYPE EEEiEE PRESSURE EEEi TEMPERATURE ~EiEEEE CONTAINER TYPE Gas o Mixture o Above Ambient o Ambient o PORT. PRESS. CYLINDER o ff~/~/~/~/~/~/~/~/~/~/~/~/~/~/~/~~i AMOUNTS AT THIS LOCATION Largest Container o Daily Maximum o Daily Average o 250.00FT3 o 250.00 FT3 o 250.00 FT3 o iEEE~EEEiEEE~~ HAZARDOUS COMPONENTS %Wt. o o RSo CAS# o °Oxygen, Compressed ONo o 7782447° OAcetylene o Yes o 74862 o i~i~i~i~~ HAZARD ASSESSMENTS °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o No ONoONo o No/ Curies° PR o /// o OHio - 11- 02/29/2000 BAKERSFIELD MEMORIAL HOSPITAL eeeeeeeeeeee~eeeeee~ SiteID: 215 -000-00112 ~ Inventory Item 0040 6~~ Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME PHOTOGRAPHIC DEVELOPERS o 365 o Location within this Facility Unit Map: Grid: 1ST FLOOR HAZ MAT INNER CORE o CAS# o o 123_31_9° i~ STATE ~i~ TYPE ~i~ PRESSURE ~i TEMPERATURE ~i~ CONTAINER TYPE Liquid o Mixture o Ambient o Ambient o PLASTIC CONTAINER o i6~~EEEEE~E~i AMOUNTS AT THIS LOCATION ~~EEEEEEEEE~EE~i Largest Container o Daily Maximum o Daily Average o 100.00 GAL o 60.00 GAL o 60.00 GAL o i~i~~ HAZARDOUS COMPONENTS ~~i~i~~~i %Wt. o o RSo CAS# o 5.00°Sodium Sulfite ONo o 7757837° 5.00°Hydroquinone (EPA) ONo o 123319° iEEEEEEEiEEEiEEEEEEiEEEEEEEEEEE HAZARD ASSESSMENTS °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o No °Yes°No o No/ Curies° RIH o /// o OModO Inventory Item 0039 ~g~~ Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME PHOTOGRAPHIC FIXER o Days On Site o o 365 o Location within this Facility Unit Map: Grid: 1 ST FLOOR HAZ MAT INNER CORE o CAS# o o 7783_18_8° STATE EiE TYPE EEEiEE PRESSURE EEEi TEMPERATURE EEiEEEE CONTAINER TYPE Liquid o Waste o Below Ambient ° Below Ambient o DRUM/BARREL-NONMETAL i~6~~~i AMOUNTS AT THIS LOCATION Largest Container o Daily Maximum o Daily Average o 100.00 GAL ° 60.00 GAL ° 60.00 GAL o i~i~~ HAZARDOUS COMPONENTS ~~i~i~~~i %Wt. o °RS° CAS# o 10.00OAmmonium Thiosulfate ONo o 7783188° iEE~Ei~E~i~E~i~~ HAZARD ASSESSMENTS ~i~EEEE~i~E~i~i °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP No ONoONo o No/ Curies° IH DH° /// o -12- 02/29/2000 BAKERSFIELD MEMORIAL HOSPITAL ~~~~ SiteID: 215-000-00112 ~ Inventory Item 0038 ~~~ Facility Unit: Fixed Containers on Site i i~ COMMON NAME / CHEMICAL NAME SANACOR o Days On Site o o 365 o Location within this Facility Unit Map: Grid: MAIN PLANT (BOILER RM) o CAS# o O o i~ STATE ~i~ TYPE ~i~ PRESSURE ~i TEMPERATURE ~i~ CONTAINER TYPE Liquid o Mixture o Ambient o Ambient o o i~6~6~gg~~g~i AMOUNTS AT THIS LOCATION Largest Container o Daily Maximum o Daily Average o 55.00 GAL o 250.00 GAL o 250.00 GAL o i~i~~ HAZARDOUS COMPONENTS %Wt. o o RSo CAS# o i~i~i~i~~ HAZARD ASSESSMENTS °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o No ONoONo o No/ Curies° o /// o OUnRO i~ Inventory Item 0024 ~~~ Facility Unit: Fixed Containers on Site i i~ COMMON NAME / CHEMICAL NAME SANAMINE 8963 o Days On Site o o 365 o Location within this Facility Unit Map: Grid: MAIN PLANT BOILER ROOM o CAS# o o 108_91_8° STATE ~i~ TYPE ~i~ PRESSURE ~i TEMPERATURE ~i~ CONTAINER TYPE Liquid o Mixture o Ambient o Ambient o DRUM/BARREL-NONMETAL o i~~~~i AMOUNTS AT THIS LOCATION ~i~i~i~i~i~i~i~~i Largest Container o Daily Maximum o Daily Average o 55.00GAL o 110.00 GAL o 55.00 GAL o i~E~EiEEEEEEEEEEEEEE HAZARDOUS COMPONENTS ~EE~EEEEEEEE~¢iEEEi~EEEEE~EEEEEEEEi %Wt. o o RSo CAS# o o Hexahydroaniline o Yes o 108918 o o Diethylaminoethano1 ONo o 100378° o 2_Hydroxytriethylamine ONo o 100378° i~i~i~i~~ HAZARD ASSESSMENTS ~E~i~E~EEiEEEEEEEEiEEEEEi °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o No °Yes°No o No/ Curies° R DH° /// o OHio -13- 02/29/2000 BAKERSFIELD MEMORIAL HOSPITAL ~~~~ SiteID: 215-000-001121 i~ Inventory Item 0023 ~~~ Facility U~t: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME SANATHERM 8116 o Days On Site o 365 Location within this Facility U~t Map: Grid: MAIN PLANT BOILER ROOM o CASff o o O f~ STATE ~i~ TYPE ~]~ PRESSURE ~i TEMPE~TURE ~i~ CONTAINER TYPE Solid ~ Mixture o Ambient ~ Ambient o DRUM/BA~EL-NONMETAL {~~5~~~i AMOUNTS AT THIS LOCATION Largest Container o Daily Maximum o Daily Average 55.00LBS o 600.00 LBS o 300.00 LBS o i~i~~ HAZARDOUS COMPONENTS %Wt. o o RSo CAS~ o 10.00oSodium Sulfite ONo o 7757837° i~i¢~i~¢~i~~ ~ZARD ASSESSMENTS ~i~~i~~i~¢~i °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOTff o MCP o No ONoONo o No/ Curies°F o /// o OHio Inventory Item 0026 EEEEEEEEEE~E~ Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME SANATHE~ 8203-D o Days On Site o o 365 o ~cation wi~in this Facility U~t Map: Grid: ~IN PLANT BOILER ROOM o CAS~ o o STATE ~ TYPE ~ PRESSU~ ~ TE~E~TURE ~ CONTAINER TYPE Liquid o Mixture o Ambient o Ambient o DRUM/BA~EL-METALLIC ~~~~ AMOUNTS AT THIS LOCATION Largest Container o Daily Maximum o Daily Average o 55.00 GAL o 110.00 GAL o 55.00 GAL i~i~~ HAZARDOUS COMPONENTS %Wt. o °RS° CAS~ o 25.00oSodim Hydroxide, Solution ONo o 1310732° i~E~EEEiEEEiEEEEE~iEEEEEEEEEEE HAZARD ASSESSMENTS EEEiEEEEEEEEEiE~EEEEEEiEEEEEi °TSecret° RS°BioH~° Radioactive/Amount o EPA Hazards o NFPA o USDOTg o MCP o No ONoONo o No/ Curies° R DH° /// o OModO -14- 02/29/2000 BAKERSFIELD MEMORIAL HOSPITAL ~~~g~ SitelD: 215-000-00112 i~ Inventory Item 0025 666~~ Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME SANATHERN 8329 o Days On Site o o 365 o Location within this Facility Unit Map: Grid: MAIN PLANT BOILER ROOM o CAS# o o o i~ STATE EiE TYPE EEEi~ PRESSURE E~i TEMPERATURE Liquid o Mixture o Ambient o Ambient o DRUM/BARREL-METALLIC 0 Largest Container ° Daily Maximum o Daily Average o 55.00 GAL o 110.00 GAL o 55.00 GAL o i~i~~ HAZARDOUS COMPONENTS %Wt. o o RSo CAS# o 5.00oSodium Sulfite ONo o 7757837° i~i~i~i~~ HAZARD ASSESSMENTS °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o No ONoONo o No/ Curies° R DH° /// o OHio Inventory Item 0027 ~6E~66~666~E Facility Unit: Fixed Containers on Site i i~ COMMON NAME / CHEMICAL NAME ~EEEEEEEE~EEEEEEEE~EEEEiEEEEE~EEEEEEi SANATOX 2080 o Days On Site o o 365 o Location within this Facility Unit Map: Grid: MAIN PLANT, CHILLER ROOM o CAS# o o 16079_88_2° STATE ~i~ TYPE ~i~ PRESSURE ~i TEMPERATURE ~i~ CONTAINER TYPE Solid o Mixture o Ambient o Ambient o PLASTIC CONTAINER o i~~~~i AMOUNTS AT THIS LOCATION Largest Container o Daily Maximum o Daily Average o 250.00 LBS o 200.00 LBS o 100.00 LBS o iEE~EEEEiEEEEE~E~E~EEE~ HAZARDOUS COMPONENTS %Wt. o °RS° CAS# o 92.500Bromochlorodimethylhydantoin ONo o 126067° ieeeeeeeieeeieeeeaeieeeeeeeeeee HAZARD ASSESSMENTS ~i~~i~~i~ °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o No ONoONo o No/ Curies° R DH° /// o OLowO -15- 02/29/2000 BAKERSFIELD MEMORIAL HOSPITAL ~6~~6~~ SiteID: 215-000-001121 i~ Inventory Item 0032 ~~~ Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME TRIAX DESTAINER o Days On Site o o 365 o Location within this Facility Unit Map: Grid: LAUNDRY DEPT o CAS// ° o 64_02_8° i~ STATE ~i'~ TYPE ~i~ PRESSURE ~i TEMPERATURE ~i~ CONTAINER TYPE Liquid o Mixture o Ambient o Ambient o DRUM/BARREL-NONMETAL o i~~~~i AMOUNTS AT THIS LOCATION Largest Container o Daily Maximum o Daily Average o 60.00 GAL o 110.00 GAL o 80.00 GAL o i~i~~ HAZARDOUS COMPONENTS %Wt. o o RSo CAS// o 9.00 °Hydrogen Peroxide °No ° 7722841 o 2.00°Sodium Polyethacrylate ONo o 0o i~i~i~i~~ HAZARD ASSESSMENTS ~i~~i~~i~ °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o No °Yes°No o No/ Curies° IH o /// o OHio -16- 02/29/2000 BAKERSFIELD MEMORIAL HOSPITAL ~/~/~/5~/5~/~/~/~/~ SiteID: 215-000-001121 i i~ Notif./Evacuation/Medical ~~~~~~ Overall Site i i~ Agency Notification ~~~~~~~ 02/02/1998 i O CALL 911. o OFFICE OF EMERGENCY SERVICES 1-800-852-7550. o O i~ Employee Notif./Evacuation ~~~~~ 05/02/1991 i o NOTIFY HOSPITAL OPERATOR - 327-1792 - SHE WILL NOTIFY PERSON IN CHARGE o WHO WILL INITIATE EVACUATION PLAN. ° O i~i~ Public Notif./Evacuation ~/~/~/~5/5/~~5~~ 05/02/1991 i o NOTIFY HOSPITAL OPERATOR - 327-1792 - SHE WILL NOTIFY PERSON IN CHARGE ° WHO WILL INITIATE EVACUATION PLAN. o O i~ Emergency Medical Plan ~~~~~~ 06/11/1997 i o EMERGENCY ROOM, MEMORIAL HOSPITAL: IF UNABLE, WE HAVE A DISASTER PLAN TO ° RELOCATE AT GARCES HIGH SCHOOL. o 0 -17- 02/29/2000 BAKERSFIELD MEMORIAL HOSPITAL ~~~~ SiteID: 215-000-001121 i~ Mitigation/Prevent/Abatemt ~~~~~ Overall Site i i~ Release Prevention ~~~~~~~ 06/11/1997 i O CHANGE TO PRODUCTS CONTAINING NO HAZARD SUBSTANCES WHENEVER POSSIBLE. TRY o TO STOCK MINIMUM QUANTITIES WHENEVER POSSIBLE. TRY TO MINIMIZE RISKS o BY EMPLOYEE AWARENESS EDUCATION. O i~ Release Containment ~~~~~~ 01/26/1993 o COMPRESSED GAS CYLINDERS CHAINED. o o i~ Clean Up ~~e~e~e~~~~~e~e~e 01/26/1993 o HOSPITAL CLEANS UP SPILLS UP TO 5 GAL BY SPILL TEAM WITH OSHA APPROVED o TRAINING. o o ii~i~i~ Other Resource Activation o o -18- 02/29/2000 BAKERSFIELD MEMORIAL HOSPITAL ~~~~ SiteID: 215-000-001121 i~ Site Emergency Factors ~~~~~~ Overall Site i i~ Special Hazards ~~~~~~~ 10/20/1993 O RADIOISATOPES ON HAND RADIATION HAZARD. o O i~6~ Utility Shut-Offs E~EEE~EEEE~EEEE~EEEEE~EEEE~EE~E 10/20/1993 O A) GAS - EAST PARKING LOT EAST OF PURCHASING WAREHOUSE o B) ELECTRICAL - NORTH OF ENG. CENTRAL PLANT o C) WATER - 34TH STREET IN FRONT OF NUC MEDICINE & CORNER OF 34TH & SAN DIMAS o D) SPECIAL - NONE o E) LOCK BOX - NO o O i~ Fire Protec./Avail. Water ~~~~~ 06/11/1997 o PRIVATE FIRE PROTECTION - IMPERIAL ALARM - 325-8825 OR TEL TECH - 398-0586. o O O o FIRE HYDRANT - ??7777 o O i~ Building Occupancy Level o o -19- 02/29/2000 BAKERSFIELD MEMORIAL HOSPITAL i~ Training ~/~/~/~/~/~/~/~~~~~~ Overall Site i~ Employee Training ~/~/~/~/~/~/5/5/~/~5/~/~~~~ 02/02/1998 o WE HAVE 1100 EMPLOYEES AT THIS FACILITY. o O WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. o o BRIEF SUMMARY OF TRAINING PROGRAM: EACH EMPLOYEE HAS REVIEWED A 20 MINUTE o VIDEO ON HAZARDOUS SUBSTANCES, AND HAS RECEIVED A SAFETY GUIDELINE PAMPHLET ° AT NEW EMPLOYEE ORIENTATION AND THEN AGAIN ON AN ANNUAL BASIS. o O SPILL TEAM OSHA TRAINED BY BAKERSFIELD COLLEGE LIST OF SPILL TEAM AT PBX o OPERATOR'S DESK. SPILL TEAM LEADERS DETERMINE SCOPE OF WORK & SUPERVISE ° CLEAN-UP. MIKE WOOD OR PETE ARMSTRONG. o O O O O O O i~O~ Held for Fumre Use O o i/~i~/~/~ Held for Fumre Use o o -20- 02/29/2000