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Home My WebLink AboutBUSINESS PLAN CUST E & NO. '~..-- ~-~ MISCELLANEOUS RECEIVABLES ADJUSTMENT DATE %-\'z'o- C~ NEWACCOUNT CLOSE ACCT ~ FINANCE CHARGE I ~ OTHER ADJ \ MAILING ADDRESS ~,(,o\~ SITE ADDRESS PARCEL NUMBER (IF APPMCABLE) ADJUSTMENT ! CHG DATE CHARGE CODE I ADJUSTMENT AMOUNT REMARKS: May 3, 2001 San Joaquin Community Hospital 2615 Eye Street Bakersfield, CA 93301 Dear Business Owner: Enclosed, please find the Site and Facility Diagram Instructions packet. When your FIRE CHIEF Hazardous Materials Management Plan and Inventory were submitted it was lacking RON FRAZE the diagram portion. Please draw and submit the diagram(s) of your facility by ADMINISTRATIVE SERVICES June 8, 2001. 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661)395-1349 The diagram should include the follow, ing: SUPPRESSION SERVICES 1) name of your business; 2101 "H" Street Bakersfield, CA 93301 2) business address; .VOICE (661) 326-3941 3) indicate which direction is North; FAX (661) 395-1349 4) the cross streets neighboring business addresses (within 300 feet) PREVENTION SERVICES 5) entrances and exits 1715 Chester Ave. Bakersfield, CA 93301 6) location of utility shut-offs; VOICE (661) 326-3951 FAX (661)326-0576 7) location of the nearest fire hydrant; 8) portions of the building protected by automatic sprinkler system; and most ENVIRONMENTAL SERVICES importantly 1715 Chester Ave. Bakersfield, CA 93301 9) the location of the hazardous material(s). VOICE (661)326-3979 FAX (661) 326-0576 If you have any questions, please feel free to call me at (661) 326-3658. TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 Thank you for your assistance. VOICE (661) 399-4697 FAX (661) 399-5763 Sincerely, RALPH E. HUEY, DIRECTOR OFFICE OF ENVIRONMENTAL SERVICES Esther Duran, Accounting Clerk II Office of Environmental Services ED\db Enclosures · ' PLRNT QPER/CME/TMR RE6 ID:6615215807 JRN 25'01 10:52 No.O05 P.01 CITY OF BAKERSFIELD FI'RE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES ROLLING POWER OUTAGE SURVEY Name oi' Business ess 1. Does your facility have a back up power supply? Yes']~ No ~ 2. If yes, does back up generator supply power to all critical systems, valves, vents, alarms, monitor, phones? .. Yes]~ No O Other, explain 3. Could electrical power loss cause a fire, explosion, or unplanned rclease of a chemical? Yes ~ No~ 4. Would electric power, or telecommunication loss prevent the business fi'Om contacting emergency resp. onders? Yes I~ No'~ 5. Has your business prepared a contingency plan in the event of a rolling power outage? Y~s~ ~o ~ 6. What percentage of your business is electrical dependant? I~l less than 5% CI 5% to 10% [~ 26% to 50% I~ 51% to 75% ID owr 75% ~ 100% Date Please complete and rcturn 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 Awnue, Suite 300 Bakersfield, Ca 93301 Fax: 661-326-0576 D /. January 23, 2001 Bob Easterday mE C.~EF San Joaquin Hospital RON FRAZE 2615 Eye Street ADMINISTRATIVE SERVICES Bakersfield Ca 93301 2101 'H" Street Bakersfield, CA 93301 ~ · VOICE (661) 326-3941 FAX (661) 395-1349 Dear Mr 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)395-1349 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. CA 93301 contribute to the loss of life, serious injury, environmental pollution or VOICE (661) 026-3951 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, VOICE (661) 399-4697 .~ ./ FAX (661) 399-5763 Ralph E. Huey, Director Office of Environmental Services REH/dm enclosure CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES ROLLING POWER OUTAGE SURVEY Name of Business Address 1. Does your facility have a back up power supply?. Yes [3 No El 2. If yes, does back up generator supply power to all critical systems, valves, vents, alarms monitor, phones? Yes Gl No Gl Other,-explaln 3. Could electrical power loss cause a fire, explosion, or unplanned release ofa. chemical? Yes Gl No Gl 4. Would electric power, or telecommunication loss prevent the business fi.om contacting emergency responders? - Yes Gl No Gl 5. Has your business prepared a contingency plan in the event of a rolling power outage? Yes Gl No Gl 6. What percentage of your business is electrical dependant? - El less than 5% El 5% to 10% El 26% to 50% ~ 51% to 75% ' 0 over 75% El 100% . Authorized Representative Date Please complete and remm 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 SAN JOAQUIN COMMUNITY HOSPIT~DIL- ' '~'~'-:~:~ ' SiteID: 215-000-000552 / ]999 ~usPhone: (805) 327-1711 1 Manager : ~.~ Location: 2615 EYE ST ~" ~" ,~..~. ~ap : 103 CommHaz : High City BAKERSFIELD //[~-!~.I' ~rid: 30A FacUnits: 1 AOV: : CommCode: BAKERSFIELD STATION 01 SIC Code:8062 EPA Numb: CAD074328048 DunnBrad:07-432-8042 Emergency Contact / Title ~ Emergency Contact / Title ~%4~aR6~I4~ / DI~ S~C~-~ BOB EASTERDAY ~r~-~ / DIR PLANT OPERA Business Phone: (805) 395-3000x Business Phone: (805) 395-3000x 24-Hour Phone : (805) 872-5291x 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: RSs Fire Press React ImmHlth DelHlth Contact : Phone: ( ) - x MailAddr: 2615 EYE ST State: CA City : BAKERSFIELD Zip : 93301 Owner SAN JOAQUIN COMMUNITY HOSPITAL CO Phone: ( ) - x Address : 2615 EYE ST State: CA City : BAKERFIELD Zip : 93301 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: Yes Emergency Directives: WASTE TREATMENT SITE & UNDERGROUND TANK SITE: CONTACT ENV SVCS FOR A JOINT INSPECTION WITH HOWARD WINES AND STEVE UNDERWOOD. = Hazmat Inventory One Unified List -- As Designated Order Ail Materials at Site Hazmat Common Name... ISpecHazlEPA HazardsI Frm DailyMax IUnitIMCP HELIUM P G 192 FT3 Min OXYGEN F P G 322 FT3 Low NITROUS OXIDE F P DH G 560 FT3 Hi NITROGEN 3600 FT3 Min XYLENE F R L 5 GAL Mod PAINT F L 60 GAL Mod PAINT THINNER F R IH G 55 GAL Hi BROCIDE CC 300-T R IH DH S 100 LBS OXYGEN F P G 4096 FT3 Low DIESEL #2 F IH DH L 15000 GAL Low MACHINE OIL F DH L 55 GAL Low WASTE FIXER R L 30 GAL Min COOLING WATER TREATMENT IH L 200 GAL UnR -1- 12/29/1998 F SAN JOAQUIN COMMUNITY HOSPITAL SiteID: 215-000-000552 ~ Hazmat Inventory One Unified List --As Designated Order Ail Materials at Site Hazmat Common Name... ISpecHazlEPA HazardsI Frm I DailyMax Iunit MCP WASTE LIQUID E IH L 500 GAL Mod WASTE OIL F DH L 110 GAL Low BOILER WATER TREATMENT CHEMICAL R IH L 165 GAL Mod I, B ~ ~ ~~ Do hereby certify that I have -2- 12/29/1998 SM JOAQUIN COMMUNITY HOSPITAL SiteID: 215-000-000552 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME HELI~ Days On Site 365 Location within this Facility Unit Map: Grid: 2ND FLOOR SW CORNER CAS# 7440-59-7 FSTATE I TYPE PRESS~E --~ TEMPE~T~E CONTAINER TYPE Gas Pure Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average FT3 192.00 FT3 192.00 FT3 HAZ~DOUS COMPONENTS 100.00 Helium N 7440597 HAZED ASSESSMENTS ITSoorotN~SIBioHazNO No Radioactive/AmountNo/ Curies EPAHazardsp NFPA/// IUSDOT# MinMCP ---- Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ -- COMMON NAME / CHEMICAL NAME ! 'OXYGEN I Days On Site 365 Location within this Facility Unit Map: Grid: . 2ND FLOOR SW CORNER · CAS# 7782 -447 Gas /Pure Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average FT3 322.00 FT3 230.00 FT3 HAZARDOUS COMPONENTS 100.00 Oxygen, Compressed N 7782447 HAZARD ASSESSMENTS iTSecretl RSIBioHaz Radioactive/Amount I EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P / / / Low -3- 12/29/1998 SAN JOAQUIN COMMUNITY HOSPITAL SiteID: 215-000-000552 ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site NITROUS OXIDE Days On Site 365 Location within this Facility Unit Map: Grid: 2ND FLOOR SW CORNER CAS# 100-24-972 F STATE ~ TYPE i PRESSURE i., TEMPERATURE CONTAINER TYPE Gas I Mixture Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average FT3I 560.00 FT3 168.00 FT3 HAZARDOUS COMPONENTS %Wt. RN~oRS CAS# 100.00 Nitrous Oxide 10024972 HAZARD ASSESSMENTS TSecretl ~S Bi°HaZNo N No Radi°active/Am°unt I EPA HazardsINO/ Curies F P DH NFPA/// USDOT#. HiMCP ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site NITROGEN Days On Site Location within this Facility Unit Map: Grid: 2ND FLOOR SW CORNER CAS# STATE ~ TYPE PRESSURE TEMPERATURE CONTAINER TYPE ~Mixture I I IPORT' PRESS' CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average FT3I 3600.00 FT3 I FT3 HAZARDOUS COMPONENTS o %Wt. RS CAS# 100.00 Nitrogen N 7727379 HAZARD ASSESSMENTS TSecretl ~SIBioHaz Radioactive/Amount EPA Hazards NFPA I USDOT# I MCP No N No No/ Curies / / / Min -4- 12/29/1998 SAN JOAQUIN COMMUNITY HOSPITAL SiteID: 215-000-000552 = Inventory Item 0006 Facility Unit': Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME XYLENE Days On Site 365 Location within this Facility Unit Map: Grid: NW CORNER HISTOLOGY CAS# 7610-2 F STATE ~ TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Liquid /Waste Ambient Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 5.00 GAL 6.00 GAL HAZARDOUS COMPONENTS %Wt. ~S CAS# 100.00 Xylene, Mixed N 1330207 HAZARD ASSESSMENTS TSecret ~S BioHaz Radioactive/Amount I EPA HazardsI NFPA USDOT# I MOP No N No No/ Curies F R / / / Mod F Inventory Item 0010 Facility Unit: Fixed Containers on Site q -- COMMON NAME / CHEMICAL NAME PAINT Days On Site 365 Location within this Facility Unit Map: Grid: ~STO~ ~R~=B~- CAS# Liquid Mixture Ambient Ambient METAL CONTAINR- NONDRUM AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average GALI 60.00 GAL 40.00 GAL HAZARDOUS COMPONENTS %Wt. Waste Acids o ~S 25.00 N 0 15.00 Naphtha INo 8030306 5.00 Methyl Ethyl Ketone IN° 78933 3.00 Ethylene Glycol No 107211 HAZARD ASSESSMENTS I TSecret oRS I BioHaz Radioactive/Amount EPA Hazards NFPA I USDOT# MOP No N No No/ Curies F / / / Mod -5- 12/29/1998 SAN JOAQUIN COMMUNITY HOSPITAL SiteID: 215-000-000552 ~ ~ Inventory Item 0011 Facility Unit: Fixed Containers on Site -- CO5~4~N NAME / CHEMICAL NAME PAINT TF~%~NNER Days OR Site Location' ~%wi~thin this Facility Unit Map: Grid: ,/ SE STORAGE BLDG~ CAS# ~, /~ 64742-88-7 FSTATE T TYPE 2 '~P~SSURE TEMPERATURE ~,/CONTAINER TYPE Gas ~ Mixture I Ambient. % AmbientI J//M~TAL CONTAINR- NONDRUM '1 ~O~S AT THIS ~T~N ~ ~----- Largest Contai~J, r f~ ~ ~ity~,;<a~ ,~ im~'~ ~ /~l~ Daily Average %Wt ~ RS CAS# 30.00 Acetone ~, No 67641 15.00 Toluene c~',~ IN° I 108883 10.00 n-Propanol ~ ~JNo I 71238 10.00 n-Butyl Ace:~a~e <~No 123864 5.00 Xylene ,~Mlxed N~ ~ ~ 1330207 5.00 Met~/a~n~l No I~ 67561 / HAZARD ASSESSMENTS ~ TSoc~I RS BioHazI Radioactive/Amount EPA Hazards NFPA USDOT#~I~.~ No I No No No/ Curies F R IH / / / ~ Inventory Item 0012 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME BROCIDE CC 300-T Days On Site 365 Location within this Facility Unit Map: Grid: BASEMENT CAS# 126-067 F STATE TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Solid Pure Below Ambient Above Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average LBS 100.00 LBS 50.00 LBS HAZARDOUS COMPONENTS HAZARD ASSESSMENTS TSecret ~S BioHaz Radioactive/AmountNo N No No/ Curies EPA HazardsIR IH DH NFPA/// USDOT# I MCP -6- 12/29/1998 SAN JOAQUIN COMMUNITY HOSPITAL SiteID: 215-000-000552 ~ Inventory Item 0013 Facility Unit: Fixed Containers on Site OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: NW CORNER ~ & H CAS# Above Ambient Above Ambient PORT. PRESS. CYLINDER Pure Gas AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average FT3I 4096.00 FT3 444.00 FT3 HAZARDOUS COMPONENTS %Wt. RINoR8~ CAS# 100.00 Oxygen. Compressed 7782447 HAZARD ASSESSMENTS TSecret, RS BioHaz, Radioactive~Amount, EPA HazardsI NFPA USDOT# MCP NoI ° I I IN No No/ Curies F P / / / Low ~ Inventory Item 0015 Facility Unit: Fixed Containers on Site DIESEL #2 Days On Site 365 Location within this Facility Unit Map: Grid: NW of main bldg. off of H st. CAS# 68476-34-6 Liquid Pure Above Ambient Above Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average 15000.00 GALI 15000.00 GALI GAL HAZARDOUS COMPONENTS wt.I CAS# 100.00 Diesel Fuel No. 2 N 68476302 HAZARD ASSESSMENTS TSoorot ~S BioHaz Radioactive/Amount EPA HazardsI NFPA USDOT# I MCP No N No No/ Curies F IH DH / / / Low -7- 12/29/1998 SAN JOAQUIN COMMUNITY HOSPITAL SiteID: 215-000-000552 ~ Inventory Item 0016 Facility Unit: Fixed Containers on Site ~v~v~ ~v~ / ~£ ~%.1~ MACHINE OIL Days On Site 365 Location within this Facility Unit Map: Grid: CAS# F STATE ~ TYPE i PRESSURE i TEMPERATURE i CONTAINER TYPE Liquid /Pure Ambient Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average 55.00 GAL I 55.00 GAL I 55.00 GAL HAZARDOUS COMPONENTS 100.00 Light Machine Oil N 8020835 HAZARD ASSESSMENTS TSecretl oRS BioHaz Radioactive/Amount EPA Hazards NFPA I USDOT# I MCP No N No No/ Curies F DH / / / Low = Inventory Item 0017 Facility Unit: Fixed Containers on Site ~lV~Vl~ ~Vl~ / ~ ~Z-.k~ ~Vl~ WA~W~FIXER Days On Site 4%~ PHOTOGRAPHIC FIXER 365 Location within this Facility Unit Map: Grid: MAIN DARKROOM X-RAY CAS# FSTATE TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Liquid Waste Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION I Largest Container I DailyMaximum Daily Average 30.00 GAL 30.00 GAL 30.00 GAL I I HAZARDOUS COMPONENTS I %Wt. N~S CAS# Silver 7440224 TSecret S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No N No No/ Curies R / / / Min 8 12/29/1998 SAN JOAQUIN COMMUNITY HOSPITAL SiteID: 215-000-000552 ~ Inventory Item 0018 Facility Unit: Fixed Containers on Site ~tv~v~ ~v~ / ~ ~ ~.,'-~a.l~ ~v~ COOLING WATER TREATMENT Days On Site 365 Location within this Facility Unit Map: Grid: BOILER ROOM - 3 LOCATIONS CAS# FSTATE 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 200.00 GALI 200.00 GAL 200.00 GAL HAZARDOUS COMPONENTS %Wt. RNo~ CAS# Potassium Hydroxide 1310583 HAZARD ASSESSMENTS TSecretI ~StBioHazI Radioactive/Amount I EPA Hazards NFPA USDOT# MCP No N No No/ Curies IH / / / UnR ~ Inventory Item 0019 Facility Unit: Fixed Containers on Site ~lVUVl~ ~vl~ / ~± ~ ~Vl~ WASTE LIQUID Days On Site WASTE LAB LIQUIDS 365 Location within this Facility Unit Map: Grid: HAZ MAT STORAGE AREA CAS# F STATE i TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 55.00 GALI 500.00 GAL 275.00 GAL %Wt. RS CAS# Xylene, Mixed No 1330207 Formalin Yes 50000 HAZARD ASSESSMENTS TSecret RSIBioHaz Radioactive/Amount I EPA HazardsI NFPA USDOT# MCP No Yes No No/ Curies IH / / / Mod -9- 12/29/1998 SAN JOAQUIN COMMUNITY HOSPITAL SiteID: 215-000-000552 ----- Inventory Item 0020 Facility Unit: Fixed Containers on Site t.;t~iVllVi~l~ l~-~lvi~, / t.;rl~iVi.L ~Z-~L~ l~i41vi~; WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: HAZ MAT STORAGE AREA CAS# 221 Liquid Waste Ambient Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 55.00 GALI 110.00 GAL 55.00 GAL HAZARDOUS COMPONENTS %Wt. RN~oRS CAS# 100.00 Waste Oil, Petroleum Based 0 HAZARD ASSESSMENTS TSecret oRS BioHaz Radioactive/Amount I EPA HazardsI NFPA USDOT# I MCP No N No No/ Curies F DH / / / Low = Inventory Item 0021 Facility Unit: Fixed Containers on Site BOILER WATER TREATMENT CHEMICAL Days On Site 365 Location within this Facility Unit Map: Grid: BASEMENT BOILER ROOM CAS# STATE = TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid I Mixture I Ambient I Ambient I DRUM/BARREL - NONMETAL AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average 165.00 GALI 165.00 GALI 165.00 G~J~ %WL. RS CAS # Sodium Hydroxide No 1310732 Tetrapotassium Pyrophosphate No 7320345 HAZARD ASSESSMENTS MCP TSecret oRS BioHaz Radioactive/Amount EPA Hazards NFPA I USDOT#I No N No No/ Curies R IH / / / Mod -10- 12/29/1998 F SAN JOAQUIN COMMUNITY HOSPITAL SiteID: 215-000-000552 Fast Format ~ Notif./Evacuation/Medical Overall Site --Agency Notification 05/04/1992 CALL 911 -- Employee Notif./Evacuation 05/04/1992 ET~~-I4~E~~E--PERF~DNAH~L~I~I~N~4ED~A~E~AR~ED~CQN~A~T M~iNT_ENANCE~NQT~i_-F_¥~F~R4E=DE~kRTMEAp~==~ ~ ~ ~. MEDICAL GASSES - EVACUATE PERSONNEL IN IMMEDIATE AREA IF POSSIBLE, CONTACT MAINTENANCE NOTIFY FIRE DEPT IF NECESSARY. UNDERGROUND DIESEL - IN CASE OF RUPTURED TANK NOTIFY MAINTENANCE IMMEDIATELY, THEN CONTACT FIRE DEPARTMENT. XYLENE - EVACUATE PERSONNEL IN IMMEDIATE AREA, CONTACT MAINTENACE NOTIFY FIRE DEPT. ANTINEOPLASTIC DRUGS - NOTIFY FIRE DEPT, EVACUATION PROCEDURES IN ACCORDANCE WITH INDIVIDUAL MATERIAL SAFETY DATA SHEETS. GASOLINE - EVACUATE IMMEDIATE PERSONNEL, NOTIFY FIRE DEPARTMENT, CONTAIN SPILL UNTIL ARRIVAL OF FIRE DEPT. Public Notif./Evacuation 05/04/1992 FIRE RELATED INCIDENT: OPERATOR ANNOUNCE DR. FIRESTONE OVER THE P.A. SYSTEM ALL PERSONNEL RESPOND PER POLICY AND OUR PERSONNEL WILL EVACUATE THE PUBLIC. CHEMICAL DISASTER: OPERATOR ANNOUNCE CODE ORANGE OVER THE PA SYSTEM. ALL PERSONNEL WILL THEN ACCORDING TO POLICY EVACUATE THE PUBLIC. Emergency Medical Plan 05/04/1992 SAN JOAQUIN COMMUNITY HOSPITAL, EMERGENCY ROOM. -11- 12/29/1998 F SAN JOAQUIN COMMUNITY HOSPITAL SiteID: 215-000-000552 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site --Release Prevention 01/07/1990 ETHYL-ENE~OX~I~DE-------TANKS~-~RE~IN~ENGHHSED~AR~EA~~-. MEDICAL GASSES - HELIUM, OXYGEN, NITROGEN, NITROUS OXIDE, CHAINED. UNDERGROUND DIESEL - STORED IN UNDERGROUND STORAGE AREA (BOTH TANKS) XYLENE - STORED IN THE FLAMMABLES CABINET IN LAB ON FIRST FLOOR. ANTINEOPLASTIC DRUGS - ALL DRUGS STORED IN THE HOSPITAL PHARMACY. C4%S~i~NE~HNT~-NED~i~-UNDER~R~UN~,~ .... . PAINT - CONTAINED IN WELL VENTILATED AREA IN METAL CONTAINER. PAINT THINNER - CONTAINED IN METAL CONTAINER, WELL VENTILATED AREA REGULAR INSPECTION WILL BE MADE OF THE STORAGE SITE BY ENGINEERING TO INSURE THERE ARE NO LEAKING OR SPILLED CONTAINERS. IF A SPILL OR LEAK IS FOUND THE FOLLOWING ACTIONS WILL BE TAKEN: SEE CONTAINMENT -- Release Containment 01/07/1990 A) BEFORE ATTEMPTING TO CLEAN UP ANY CHEMICAL SPILL OR SPLASH DETERMINE WHAT CHEMICAL(S) HAS SPILLED. B) FOLLOW DIRECTION ACCORDING TO ESTABLISHED PROCEDURES ON THE MSDS FOR CLEANING UP THAT TYPE OF CHEMICAL SPILL OR LEAK C) EVACUATE ALL PERSONNEL FROM THE AREA D) INSURE ADEQUATE VENTILATION E) CONTACT THE HAZARDOUS WASTE COORDINATOR AND THE ENGINEERING DEPARTMENT F) WAIT BY THE SPILL AREA, WELL OUT OF DANGER, UNTIL HELP ARRIVES. AVOID TRACKING THROUGH THE SPILL G) OBTAIN APPROPRIATE PROTECTIVE SAFETY EQUIPMENT H) CLEAN UP THE SPILL ACCORDING TO ESTABLISHED PROCEDURES PER MSDS I) COMPLETE AN INCIDENT REPORT REGARDING THE SPILL OR LEAK J) ANY MAJOR SPILLS FROM A CHEMICAL SUBSTANCE WILL BE REPORTED TO THE HAZARDOUS MANAGEMENT COORDINATOR VIAL THE HOSPITAL OPERATOR DIALING O -- Clean Up 01/07/1990 FIRST AID: REMEBER TO KEEP IT SIMPLE AND IDENTIFY THE MOST IMMEDIATE ACTION TO BE TAKEN UNTIL PROFESSIONAL MEDICAL HELP IS AVAILABLE. CLEAN UP: PROCEDURES SHOULD REFLECT THE CONTAINER SIZE USED IN YOUR DEPT AND THE MATERIALS AVAILABLE TO YOU. fOR EXAMPLE: FOR A MERCURY SPILL, DO NOT INSTRUCT THE USE OF A MERCURY CLEANUP KIT IF NO KIT IS AVAILABLE IN YOUR DEPT. PROCEDURES SHOULD BE COMPATIBLE WITH THE SPILLED DISPOSAL INSTRUCTION GIVEN IN THE NEXT SECTION SPILLED MATERIALS: USE THE DRAIN WHENEVER POSSIBLE GIVEN SAFETY AND LEGAL CONSIDERATIONS. IF SPECIAL HANDLING, STORAGE AND DISPOSAL INSTRUCTIONS ARE REQUIRED, MORE DETAILED PROCEDURES CAN BE LISTED ON A SEPARATE PAGE AND ATTACHED. -12- 12/29/1998 SAN JOAQUIN COMMUNITY HOSPITAL SiteID: 215-000-000552 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site Other Resource Activation -13- 12/29/1998 SAN JOAQUIN COMMUNITY HOSPITAL SiteID: 215-000-000552 Fast Format Site Emergency Factors Overall Site -- Special Hazards 06/17/1997 RADIOISATOPES ON HAND - RADIATION HAZARD --Utility Shut-Offs 08/12/1991 A) GAS - WEST SIDE, BACK DOCK & EAST SIDE EQUIPMENT AREA B) ELECTRICAL - MAIN POWER BOILER ROOM BASEMENT MAINTENANCE AREA C) WATER - MAIN SHUTOFF, BACK DOCK WEST SIDE, ALSO EAST SIDE ALLEY ~)~SPEC--I-kL--~-E~¥LENE--O~IDE_BASEMEN~4A-I~N-POWER~T -- Fire Protec./Avail. Water 06/17/1997 PRIVATE FIRE PROTECTION - MAINTENANCE FIRE BRIGADE AND PRIVATE FIRE PROTECTION. FIRE HYDRANT ?????????????? ~~ ~ ~ Building Occupancy Level -14- 12/29/1998 SAN JOAQUIN COMMUNITY HOSPITAL SiteID: 215-000-000552 Fast Format ~ Training Overall Site -- Employee Training 12/12/1990 WE HAVE 60~~ EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE EMPLOYEES ARE TO ATTEND A HEALTH AND SAFETY INSERVICE SET UP BY THEIR DEPT. PRIOR TO FIRST DAY OF EMPLOYMENT AND ON AN ANNUAL BASIS THEREAFTER FOR THE PURPOSE OF REVIEW. TRAINING WILL INCLUDE THE FOLLOWING: I. AN OVER VIEW OF THE HAZARD COMMUNICATION REGULATIONS A. HAZARD COMMUNICATION REGULATION REQUIREMENTS B. EMPLOYEES RIGHTS UNDER THE REGULATIONS C. A DESCRIPTION OF THIS FACILITY'S HAZARDOUS COMMUNICATION PROGRAM D. LOCATION AND AVAILABLILITY OF THE REGULATIONS, MSDS'S, AND OTHER INFO II. TRAINING ON THE READING OF LABELS AND MSDS'S III. TRAINING ON IDENTIFIED HAZARDOUS MATERIALS ENCOUNTERED IN THE WORK PLACE ON THE INFORMATION FOUND ON THE HAZARDOUS SUBSTANCE POLICY SHEET -- Page 2 12/12/1990 A. COMMON AND GENERIC NAMES FOR THE MATERIAL. B. IDENTIFICATION OF MATERIALS BY APPEARANCE AND OTHER PROPERTIES. C. EFFECTS OF PARTICULAR HAZARDS ON THE ENVIRONMENT AND PERSONAL HEALTH D. HANDLING PRECAUTIONS. E. PROPER USAGE. F. EMERGENCY SPILL PROCEDURES INCLUDING IMMEDIATE FIRST AID AND CLEAN UP PROCEDURES. DOCUMENTATION OF ALL TRAINING IS TO INCLUDE INSERVICE MATERIALS; SIGN-IN SHEETS WILL BE SUBMITTED TO THE SAFETY COORDINATOR AND REVIEWED ANNUALLY BY THE HOSPITAL SAFETY COMMITTEE AND HOSPITAL QUALITY ASSURANCE COMMITTEE. IV. TRAINING ON THE ~AZARDS ASSOCIATED WITH NON-ROUTINE DUTIES: A. AVOID CONTACT WITH OR EXPOSURE TO UNFMAILIAR SUBSTANCES. THIS INCLUDES -15- 12/29/1998 / F SAN JOAQUIN COMMUNITY HOSPITAL SiteID: 215-000-000552 Fast Format ~ Training Overall Site --Held for Future Use 12/12/1990 ALL SUBSTANCES ON WHICH PERSONNEL HAVE NOT RECEIVED TRAINING OR ARE OTHERWISE UNAWARE OF ITS PROPERTIES. B. ASKING QUESTIONS OF APPROPRIATE PERSONNEL REGARDING HAZARDS BEFORE WORKING IN A NON-ROUTINE OR UNFAMILIAR AREA. C. RELAYING HAZARD INFORMATION TO OTHER WORKERS WHO ARE NOT ROUTINELY PERFORMING DUTIES IN YOUR DEPARTMENT. D. HOW TO RECOGNIZE UNLABELED PIPES WHICH MAY CONTAIN HAZARDOUS MATERIALS V. DEPENDING ON THE AREA, EITHER THE CHIEF ENGINEER OR CONSTRUCTION UNIT MANAGER IS RESPONSIBLE FOR INSURING THAT ALL CONTRACTORS, MAINTENANCE COMPANIES, ETC., ARE INSTRUCTED IN POTENTIAL HAZARDS THEY MAY BE EXPOSED TO WHILE WORKING AT THE FACILITY. THE MANAGER WILL ALSO REVIEWALL PRODUCTS THE CONTRACTOR MAY INTRODUCE TO INSURE FACILITY PERSONNEL ARE NOT EXPOSED TO ADDITIONAL UNFAMILIAR HAZARDS. Held for Future Use 12/12/1990 VI. THE SAFETY COORDINATOR IS RESPONSIBLE FOR COORDINATING AN ANNUAL AUDIT OF THE HAZARDOUS SUBSTANCE PROGRAM. THE AUDIT WILL BE CONDUCTED DURING THE MONTH OF FEBRUARY EACH YEAR. THE AUDIT WILL BE PERFORMED AS PART OF THE ANNUAL SAFETY AUDIT. THE FOLLOWING FEATURES WILL BE AUDITED: A. IDENTIFICATION OF HAZARDOUS SUBSTANCES AND THE AVAILABILITY OF MSDS'S B. POSTED NOTICE OF HAZARDOUS SUBSTANCES IN THE WORK PLACE. C. COMPLETION AND DOCUMENTATION OF TRAINING FOR ALL EMPLOYEES IN THE DEPARTMENT. D. EMPLOYEE KNOWLEDGE OF HAZARDOUS SUBSTANCES AND LOCATION AND USE OF MSDS'S -16- 12/29/1998 CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT N°_ 902 Location ~" C-(t'~ Sub Div. Blk. . Lot You are hereby required to make the following corrections at the above location: T~tO~,(s AS Completion Date for Corrections OOoO Inspector 326-3979 CORRECTION NOTICE .'~. -BAKERSFIELD FIRE DEPARTMENT ~'~ ,.',~,~ 902 Sub Div. Blk. Lot You are hereby required to make the following corrections at the above location: Cot, No tt Completion Date for Corrections. c,/~u,~ (~Cff,er ~ t¢~.,,,~l'~.,~'f' Inspector 326-3979 CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME INSPECTION DATE 1 2.--~ .Z~, ADDRESS -:~0 t ~ ~ ~e.r~--'r PHONE NO..~.2.? - l ~ / / FACILITY CONTACT ~o,*, /:?r45~ nY BUSINESS ID NO. 15-210- ooo INSPECTION TIME i ', ! ~ t~ r~ ~, NUMBER OF EMPLOYEES l Section 1: Business Plan and Inventory Program ~f~Routine [] Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection o OPERATION C V COMMENTS Appropriate permit on hand Q. Business plan contact information accurate Visible address ~' o 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 C Fire Protection C., Site Diagram Adequate & On Hand C=Compliance ' V=Violation Any hazardous waste on site?: ~es [] No Explain: Questions regarding this inspection? Please call us at (805) 326-3979 Business Site Responsi l~e Pa~y~ White - Env. Svcs. Yellow - Station Copy Pink - Business Copy - I n s p e c t o r '_~_~_ ~/~~-~ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakerstield, CA 93301 FACILITY NAME ~ .3o.O~[:lrd,,,,J -1/.4:~p..r..r, qt.... INSPECTION DATE Section 4: Hazardous Waste Generator Program EPA ID # ~ [] Routine [] Combined ,~'Joint Agency [] Multi-Agency [] Complaint [] Re-inspection OPERATION C V COMMENTS d Hazardous xvaste determination has been made EPA ID Number (Phone: 916-324-1781 to obtain EPA ID#) Authorized Ibr waste treatment and/or storage Reported release~ fire. or explosion xvithin 15 days of occurance Established or maintains a contingency plan and training Hazardous waste accumulation time fi-ames Containers in good condition and not leaking Containers are compatible with the hazardous waste Containers are kept closed when not in use i/ 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 of lead acid batteries including labels Proper management Proper management of used oil filters Transports hazardous waste with completed manifest Sends manifest copies to DTSC Retains manifests tbr 3 years Retains hazardous xvaste analysis for 3 years Retains copies of used oil receipts for 3 years Determines it' waste is restricted fi'om land disposal C=Compliance V=Violation Inspector: ~]' Office of Environmental Services (805) 326-3979 ~u~in~ss S~e P,Tespf~sible"~l~ty \Vhite - Env. Svcs. Pink - Business Copy CITY OF BAKERS, ;LD OFFICE OF ENVIRONMEN'~L SERVICES 1715 Chester Ave., CA 93301 (805) 326-3979 HAZARDOUS MATERIALS INVENTORY Chemical Description Form (one form ~er materfal l~er buil(ting or area) '~ADD 1'3. DELETE I'-I REVISE 200 Page ~ of __ · .. I. FACILITY INFORMATION ~'' BUSINESS NAME (Same as FACILITY NAME ~' DBA - Doing Business As) 3 201 CHEMICAL LOCATION CONFIDENTIAL (EPCRA) ~ '.. "' I1.' CHEMICAL INFORMATION 205 TRADE SECRET r'~ Yes [] No 206 CHEMICAL NAME ~ ~ ~~.,~.~ ~ ! /~. ~"-4~ If Subject to EPCRA, refe,' to iinsttuctio~s COMMON NAME EHS° [] Yes [] No 208 CAS# 209 'If EHS is'Yes' atl amounts betow must be in FIRE CODE HAZARD CLASSES (Complete if requested by local fire c~ief} 210 TYPE [] 9 PURE [] m MIXTURE ~' w WASTE 211 RADIOACTIVE [] Yes [] No 212 CURIES 213 PHYSICAL STATE [] s SOLID ~'1 LIQUID [] g GAS 214 LARGEST CONTAINER "~'~) 215 FED HAZARD CATEGORIES [] 1 FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH ~ 5 CHRONIC HEALTH 216 (Chec~ all that apply) AN.UALW^STE 2~'.1 ~,MUM 2~S I ^V~RAGE AMOUNT I DAILY AMOUNT I DAILY AMOUNT DAYS ON SITE 222 UNITS' ~ ga GAL E] cf cu FT [] lb LBS [] tn TONS 221 * If EHS, amount must be in lbs. STORAGE CONTAINER [] a ABOVEGROUND TANK ~ e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check all that apply) [] b UNDERGROUND TANK [] f CAN [] j BAG [] n PLASTIC BOTTLE [] r OTHER ' - [] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN [] d STEEL DRUM [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE ~ a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT 224 STORAGE TEMPERATURE j~ a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 1 226 227 [] Yes [] No 228 229 230 231 [] Yes [] No 232 233 234 235 [] Yes [] NO 236 237 :-4: 238 239 []yes []No 240 241 242 243 I-I yes [] NO 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246 OES FORM 2731 (7/98) P:~OES2731 .TV4.wod / CITY OF BAKERS~LD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (805) 326-3979 HAZARDOUS MATERIALS INVENTORY Chemical Description Form (one form per material per building or area) I~fADD [] DELETE r'l REVISE 200 Page __ of __ · "FoRMA iD,' '. ::',.. :. '" ':': "' "' '" 'i I I T ..i *' ". BUSINESS NAME_ (S{Ime as FACILITY NAME or DBA - Doing Business As) 3 201 CHEMICAL LOCATION [] Yes [] No 202 CHEMICAL LOCATION . ~ j/,...~_....~ ~ ~ ~'3 ~,,~"TI.~J 5 CONFIDENTIAL (EPCRA) ............. ~ 1 GRID # (optional) 204 FACL:I~b~'l~i,,~ iii~?:I;[,~-~, ---- MAP # (optional) 203 :. L EMiCAL Nj:OR. ON .' .:' ...:., . '" ':':: .... · ' : :. "I CH I ATI 205 TRADE SECRET [] Yes [] No 206 CHEMICAL NAME C(...~ ~..~ ~ ~J~ ~/'~'~ m~v~'/'~t~.J if subject to EPCRA, refer to iinstructions 207 COMMO..m 14 ,.0 E.S' []Yes [].o 208 CAS # 20g 'If EHS is'Yes', all amounts below must be'in :' 'lbs. FiRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE [] p PURE ~ m MIXTURE [] w WASTE 211 RADIOACTIVE [] Yes [] NO 212 j CURIES 213 LARGEST CONTAINER 215 PHYSICAL STATE [] s SOLID ~1 LIQUID [] g GAS 214 FED HAZARD CATEGORIES []1 FIRE El2 REACTIVE []3 PRESSURE RELEASE ~4 ACUTE HEALTH El5 CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 217 MAXIMUM ,~,,~,~ 218 J AVERAGE 219 STATE WASTE CODE 220 AMOUNT DALLY AMOUNT~l~,/f~ J DALLY AMOUNT . UNITS' ,~ ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE 222 · If EHS, amount must be in lbs. STORAGE CONTAINER [] a ABOVEGROUND TANK J~e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] rn GLASS BO'I-rLE [] q RAIL CAR 223 (Check all that apply) [] b UNDERGROUND TANK [] f CAN [] j BAG [] n PLASTIC BOTTLE [] r OTHER [] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN [] d STEEL DRUM [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE -~ a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT 224 STORAGE TEMPERATURE ,,~ a AMBIENT [] aa ABOVE AMBIENT [] ba BELOWAMBIENT [] c CRYOGENIC 225 230 231 [] Yes [] No 232 233 234 235 [] Yes [] No 236 237 238 239 [] Yes [] No 240 241 242 243 [] Yes [] No 244 245 I I ' I J''' II I: II:~'' ': : I' '' : ' I ~ ' I~ ~ ' I I :'.;'ILL SIGNATURE :I' I I I ' ' ' : I PRINT NAME & TITLE OF AuTHoRIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246 DES FORM 2731 (7/98) P:~OES2731.'I'V4.wpd CITY OF BAKERSI LD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (805) 326-3979 HAZARDOUS MATERIALS INVENTORY Chemical Description Form (one form per rnatehal per building or area) '~ ADD [] DELETE I-I REVISE 200 Page __ of __ '" .': ' '.'.. i. FAci~.ITY INFORMATION .. ',' :'"" "" '" ' BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 i'~r'~' ~ --~I'~T ~ '~ ~a 2011 CHEMICAL LOCATION [] Yes [] No 202 CHEMICAL LOCATION CONFIDENTIAL (EPCRA) ' '-F~'I"[~'~'~-D- #~!]:~ Ii~'i:~: :~]1 "-~1 MAP # (optional) 203 GRID # (optional) 204 · . :.:.. :' :.' '-: .'!.i. ' .:' :' · i.:" II. CHEMICAL INFORMATI°N .. .. .. 205 TRADE SECRET [] Yes [] No 206 CHEMICAL NAME ~j~.~ T (~ L ~-C~:~ ~ i ~ U IP5 ,, Subject ,o EPCRA. refer to ,instructions 207 COMMON NAME EHS* m [] Yes [] No 208 CAS # 209 .*If EHS is'Yes", all a ou ts below' lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE [] p PURE [] m MIXTURE ~ w WASTE 211 RADIOACTIVE [] Yes [] No 212 CURIES 213 PHYSICAL STATE [] s SOLID ~1 LIQUID [] g GAS 214 LARGEST CONTAINER ~-~"'"' 215 FED HAZARD CATEGORIES ~ 1 FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE ~'4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 (Check all that apply) AMOUNT DAILY AMOUNT DAILY AMOUNT UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ~SlTE 222 · If EHS. amount must be in lbs. '~ '~"~ STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BO'I-rLE [] q RAIL CAR 223 (Check all that apply) [] b UNDERGROUND TANK [] f CAN [] j BAG [] n PLASTIC BOTTLE [] r OTHER [] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN [] d STEEL DRUM [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE ~r a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT 224 STORAGE TEMPERATURE [~ aAMBIENT D aa ABOVE AMBIENT [] ba BELOWAMBIENT [] c CRYOGENIC 225 1 226 ~X' Y ~, (::?~J'~., 227 [] Yes [] No 228 229 2 230 ~it~.~,~,//~J 231 [] Yes [] No 232 233 3 234 235 [] Yes [] No 236 237 4 I 238 239 [] Yes [] No 240 241 5 / 242 243 [] Yes [] No 244 245 PRINT NAME & TITLE OF AUTHORIZED COI~IPANY I~EpR'EsENTATIVE SIGNATURE DATE 246 OES FORM 2731 (7/98) P:\OES2731 .TV4.wpd CITY OF BAKERS~LD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (805) 326-3979 HAZARDOUS MATERIALS INVENTORY Chemical Description Form (one form per material per building or ama) ~'ADD [] DELETE [] REVISE 200 Page __ of __ BUSINESS NAME (Same as FACILI~ ~ME or DBA - Doing Busin~ ~) 3 ~ ' ~A~ ~'C ff~ CONFIDENTIALCHEMICALLOCATION(EPC~) DY~ DNo 202 ~ ID ~ I J ~[t [~ 1 ~P ~ (opt~naO 203 GRID ~ (opt~naO 204 205 T~DE SECRET ~ Yes ~ No 206 CHEMICAL NAME ~A ~ 'T~ ~ I b If Subj~ ,o EPC~, refer to iinst~ctions 207 EHS* COM~N NAME CAS ~ 209 '.fir EHS i~'y FIRE CODE H~RD C~SSES (~mplete if r~u~t~ by I~1 fire ~ieB 210 ~PE ~ p PURE ~ m MI~URE ~ w WASTE 211 ~DIOACTIVE ~ Y~ ~ No 212 CURIES 213 PHYSICAL STATE ~ s SOLID ~1 LIOUID ~ g ~S 234 ~RGEST CO~AINER ~ 215 FED H~RD CATE~RIES '~1 FIRE ~ 2 R~CTIVE D 3 PRESSURE RELISH ~ 4 ACUTE H~LTH ~ 5 CHRONIC H~LTH 216 (Check all that apply) AMOuNTANNUAL WASTE 217 DAILy~IMUMA~uNT //0 218 AVE~GEDAILY A~U~ 219 ~ STATE WASTE CODE 220 UNITS' ~ ga ~L ~ d CU ~ ~ lb LBS ~ tn TONS 221~ DAYS O~ SITE 222 * If EHS, am~nt must be in lbs. STOOGE CONTAINER ~ a ABOVEGROUND TANK ~ e P~STIONONMETALLIC DRUM ~ i FIBER DRUM ~ m G~SS BO~LE ~ q ~IL CAR 223 (Check all that apply) ~ b UNDERGROUND TANK ~ f ~N ~ j BAG ~ n P~STIC BO~LE ~ r OTHER ~ c TANK INSIDE BUILDING ~ g CARBOY ~ k BOX ~ o TOTE BIN ~d STEEL DRUM ~ h SILO ~ I CYLINDER ~ p TANKWAGON STOOGE PRESSURE ~ a AMBIENT D aa ABOVE AMBIENT Dba BELOWAMBIENT 224 STOOGE TEMPE~TURE ~ a AMBIENT ~ aa A~VE AMBIE~ ~ ba BELOWAMBIENT ~ c CRYOGENIC 225 I 226 227 ~ Y~ ~ No 228 22g 2 230 231 ~ Y~ ~ No 232 233 3 I 234 235 ~ Y~ No 236 237 4 238 239 ~ Y~ ~ No 240 241 24 5 j 2 243 ~Yes ~No 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246 DES FORM 2731 (7~98) P:\OES2731.TV4.wpd CITY OF BAKERS ELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (805) 326-3979 HAZARDOUS MATERIALS INVENTORY Chemical Description Form (one fon'n per material l~er budc/ing or area) ~1 ADO C].OELETE (-I REVISE 200 Page BUSINESS NAME (Same as, FAC, ILITY NAME or DBA - Doing Business A~) 3 [:]Ye, []No CONFIDENTIAL (EPCRA) 202 .. : . II. CHEMICAL INFORMATION 1 / 205 TRADE SECRET [] Ye, [] No 206 CHEMICAL NAIVlE ~:~ C -- / ~ l "~ 6// [ ~"~ / ff Sul~jec~ ,o EPCRA, tel'et to iin$lruc~ion$ 207 CAS# 209 .'ff EHS is'Yes', all amounls below must be Ir~. FIRE CODE HAZARD CLASSES (Complete if reque,ted I~y local fire cttieO 210 TYPE [] p PURE ~J~ m MIXTURE [] w WASTE 211 RADIOACTIVE [] Ye, [] No 212 I CURIES 213 . ' PHYSICAL STATE [] s SOLID []i~'l LIQUID [] g GAS 214 LARGEST CONTAINER 215 FED HAZARD CATEGORIES [] 1 FIRE ,,~'2 REACTIVE [] 3 PRESSURE RELEASE ,~4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 217. I IVlAXIMUM ~ 218 I AVERAGE 219 STATE WASTE CODE 220 AMOUNT DAILY AMOUNT DAILY AMOUNT UNFI'S* I~ ga GAL [] Cf CU FT [] lb LBS [] m TONS 221 DAYS ON SITE 222 * If EHS. amount must be in lbs. STORAGE CONTAINER [] a ABOVEGROUND TANK ~e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BO'VI'LE r"] q RAIL CAR 223 (Check a~t that apply) [] b UNDERGROUND TANK [] f CAN [] j BAG [] n PLASTIC BOTTLE [] r OTHER -- [] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] 0 TOTE BIN [] d STEEL DRUM [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT 224 STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba 8ELOWAMBIENT [] c CRYOGENIC 225 234 235 [] Ye, [] No 236 237 238 239 [] Ye, [] NO 240 241 242 243 [] Yes r-] No 244 245 .:. -, ,.... ...:: : .. :.. PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246 DES FORM 2731 (7/98) P;~OES2731.TV4.wp(~ JUN 17 1997 IU/ Manager : kJ:'~usPhone: (805) 327-1711 Location: 2615 EYE ST [ap : 103 CommHaz : High City : BAKERSFIELD 'By ;rid: 30A FacUnits: 1AOV: CommCode: BAKERSFIELD STATION 01 SIC Code:8062 EPA Numb: DunnBrad:07-432-8042 Emergency Contact / Title Emergency Contact / Title BILL MARTIN / DIR SECURITY ~ .._ ~ / DIR PLANT OPERA Business Phone: (805) 395-3000x Business Phone: (805) 395-3000x 24-Hour Phone : (805) 872-5291x 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press React ImmHlth DelHlth Agency-Defined Topic Title ~ Hazmat Inventory One Unified List -- MCP+DailyMax Order Ail Materials at Site Hazmat Common Name... ISpeoHazlEPA Hazardsl Frm DailyMax IUnitIMCP NITROUS OXIDE F P DH G 560 FT3 Hi PAINT THINNER F R IH G 55 GAL Hi PAINT F L 60 GAL Mod XYLENE F R L 5 GAL Mod DIESEL #2 F IH DH L 15000 GAL Low OXYGEN F P G 4096 FT3 Low DIESEL F IH DH L 3000 GAL Low OXYGEN F P G 322 FT3 Low NITROGEN 3600 FT3 Min HELIUM P G 192 FT3 Min BROCIDE CC 300-T R IH DH S 100 LBS / i, ~_/~,,~ Do hereby certify that 0 have / ~ ~r pdnt name) " reviewed the attached hazardous materials manage- ment plan ~or~~and ~hal ~ alon~ wi~h -' (N~ ot u~mo~r any corrections constitute a completo and ~ect man- ag~mont plan ~or my ,, /~na~r~ SAN JOAQUIN COMMUNITY HOSPITAL SiteID: 215-000-000552 ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site NITROUS OXIDE Days On Site 365 Location within this Facility Unit 2ND FLOOR SW CORNER CAS# 100-24-972 ~ STATE TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Gas Mixture Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS STORED AND IN USE Lrgst Cont.this Loc FT3 DailyMax this Loc FT3 DailyAvg this Loc FT3 560.00 168.00 DailyMax Stored FT3 DailyMax Open Use FT3 DailyMax Closed Use FT3 HAZARDOUS COMPONENTS %Wt. EHS CAS# 100.00 Nitrous Oxide No 10024972 -2- SAN JOAQUIN COMMUNITY HOSPITAL SiteID: 215-000-000552 ~ Inventory Item 0011 Facility Unit: Fixed Containers on Site PAINT THINNER Days On Site 365 Location within this Facility Unit SE STORAGE BLDG CAS# 64742-88-7 ~ STATE -- TYPE PRESSURE TEMPERATURE CONTAINER TYPE I Ambient METAL Ambient CONTAINR-NONDRUM Mixture I Gas AMOUNTS STORED AND IN USE Lrgst Cont.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 55.00 55.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL ~DUU~ ~U~U~'i'~ %Wt. EHS CAS# 30.00 Acetone No 67641 15.00 Toluene No 108883 10.00 n-Propanol No 71238 10.00 n-Butyl Acetate No 123864 5.00 Xylene, Mixed No 1330207 5.00 Methanol No 67561 SAN JOAQUIN COMMUNITY HOSPITAL SiteID: 215-000-000552 ~ Inventory Item 0010 Facility Unit: Fixed Containers on Site PAINT Days On Site 365 Location within this Facility Unit SE STORAGE BLDG CAS# 64742-898 Liquid MixtureIi Ambient Ambient METAL CONTAINR-NONDRUM AMOUNTS STORED AND IN USE Lrgst Cent.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 60.00 40.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL ~UUU~ ~U~U~'I'~ %Wt. EHS CAS# 25.00 Waste Acids No 0 15.00 Naphtha No 8030306 5.00 Methyl Ethyl Ketone No 78933 3.00 Ethylene Glycol No 107211 -4- SAN JOAQUIN COMMUNITY HOSPITAL SiteID: 215-000-000552 = Inventory Item 0006 Facility Unit: Fixed Containers on Site XYLENE Days On Site 365 Location within this Facility Unit NW CORNER HISTOLOGY CAS# 7610-2 F STATE -- TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Waste I Ambient I Ambient METAL CONTAINR-NONDRUM AMOUNTS STORED AND IN USE Lrgst CoLt.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 5.00 6.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL HAZARDOUS COMPONENTS %Wt. EHS CAS# 100.00 Xylene, Mixed No 1330207 5 SAN JOAQUIN COMMUNITY HOSPITAL SiteID: 215-000-000552 ~ Inventory Item 0015 Facility Unit: Fixed Containers on Site DIESEL #2 Days On Site 365 Location within this Facility Unit NW of main bldg, off of H st. CAS# 68476-34-6 STATE -- TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Pure I Above Ambient I Above Ambient I UNDER GROUND TANK AMOUNTS STORED AND IN USE Lrgst Cont.this Loc GAL DailyMax this, Loc GAL DailyAvg this Loc GAL 15000.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL HAZARDOUS COMPONENTS %Wt. EHS CAS# 100.00 Diesel Fuel No. 2 No 68476302 -6- SAN JOAQUIN COMMUNITY HOSPITAL SiteID: 215-000-000552 ~ Inventory Item 0013 Facility Unit: Fixed Containers on Site OXYGEN Days On Site 365 Location within this Facility Unit NW CORNER 2TH & H CAS# 7782-44-7 F STATE TYPE PRESSURE TEMPERATUREI CONTAINER TYPE Gas PureIi Above AmbientIi Above Ambient PORT. PRESS. CYLINDER AMOUNTS STORED AND IN USE Lrgst Cont.this Loc FT3 DailyMax this Loc FT3 DailyAvg this Loc FT3 4096.00 444.00 DailyMax Stored FT3 DailyMax Open Use FT3 DailyMax Closed Use FT3 HAZARDOUS COMPONENTS %Wt. EHS CAS# 100.00 Oxygen, Compressed No 7782447 -7- SAN JOAQUIN COMMUNITY HOSPITAL SiteID: 215-000-000552 ~ Inventory Item 0009 Facility Unit: Fixed Containers on Site DIESEL Days On Site 365 Location within this Facility Unit SE CORNER OB CAS# 68476-34-6 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Pure I Above Ambient I Above Ambient I UNDER GROUND TANK AMOUNTS STORED AND IN USE Lrgst Cont.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 3000.00 1500.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL HAZARDOUS COMPONENTS %Wt. EHS CAS# 100.00 Diesel Fuel No. 2 No 68476302 -8- SAN JOAQUIN COMMUNITY HOSPITAL SiteID: 215-000-000552 = Inventory Item 0003 Facility Unit: Fixed Containers on Site OXYGEN Days On Site 365 Location within this Facility Unit 2ND FLOOR SW CORNER CAS# 7782-447 Gas Pure Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS STORED AND IN USE Lrgst Cent.this Loc FT3 DailyMax this Loc FT3 DailyAvg this Loc FT3 322.00 230.00 DailyMax Stored FT3 DailyMax Open Use FT3 DailyMax Closed Use FT3 HAZARDOUS COMPONENTS %Wt. Oxygen EHS CAS# 100.00 , Compressed No 7782447 SAN JOAQUIN COMMUNITY HOSPITAL SiteID: 215-000-000552 = Inventory Item 0005 Facility Unit: Fixed Containers on Site NITROGEN Days On Site Location within this Facility Unit 2ND FLOOR SW CORNER CAS# Mixture PORT. PRESS. CYLINDER AMOUNTS STORED AND IN USE Lrgst Cont.this Loc FT3 DailyMax this Loc FT3 DailyAvg this Loc FT3 3600.00 DailyMax Stored FT3 DailyMax Open Use FT3 DailyMax Closed Use FT3 HAZARDOUS COMPONENTS %Wt. EHS CAS# 100.00 Nitrogen No 7727379 -10- SAN JOAQUIN COMMUNITY HOSPITAL SiteID: 215-000-000552 = Inventory Item 0002 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME ~ HELIUMI Days On Site 365 Location within this Facility Unit 2ND FLOOR SW CORNER CAS% 7440-59-7 rSTATE -- TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas Pure I Ambient I Ambient PORT. PRESS. CYLINDER AMOUNTS STORED AND IN USE Lrgst CoLt.this Loc FT3 DailyMax this Loc FT3 DailyAvg this Loc FT3 192.00 192.00 DailyMax Stored FT3 DailyMax Open Use FT3 DailyMax Closed Use FT3 HAZARDOUS COMPONENTS EHS CAS# %Wt. No 7440597 100.00 Helium -11- SAN JOAQUIN COMMUNITY HOSPITAL SiteID: 215-000-000552 ~ Inventory Item 0012 Facility Unit: Fixed Containers on Site BROCIDE CC 300-T Days On Site 365 Location within this Facility Unit BASEMENT CAS# 126-067 Solid Pure Below Ambient Above Ambient DRUM/BARREL-NONMETAL AMOUNTS STORED AND IN USE Lrgst Cent.this Loc LBS DailyMax this Loc LBS DailyAvg this Loc LBS 100.00 50.00 DailyMax Stored LBS DailyMax Open Use LBS DailyMax Closed Use LBS %Wt. HAZARDOUS COMPONENTS IEHS CAS# -12- SAN JOAQUIN COMMUNITY HOSPITAL SiteID: 215-000-000552 Fast Format ~ Notif./Evacuation/Medical Overall Site -- Agency Notification 05/04/1992 CALL 911 -- Employee Notif./Evacuation 05/04/1992 ETHYLENE OXIDE - EVACUATE PERSONNEL IN IMMEDIATE AREA, CONTACT MAINTENANCE, NOTIFY FIRE DEPARTMENT IF NECESSARY. MEDICAL GASSES - EVACUATE PERSONNEL IN IMMEDIATE AREA IF POSSIBLE, CONTACT MAINTENANCE NOTIFY FIRE DEPT IF NECESSARY. UNDERGROUND DIESEL - IN CASE OF RUPTURED TANK NOTIFY MAINTENANCE IMMEDIATELY, THEN CONTACT FIRE DEPARTMENT. XYLENE - EVACUATE PERSONNEL IN IMMEDIATE AREA, CONTACT MAINTENACE NOTIFY FIRE DEPT. ANTINEOPLASTIC DRUGS - NOTIFY FIRE DEPT, EVACUATION PROCEDURES IN ACCORDANCE WITH INDIVIDUAL MATERIAL SAFETY DATA SHEETS. GASOLINE - EVACUATE IMMEDIATE PERSONNEL, NOTIFY FIRE DEPARTMENT, CONTAIN SPILL UNTIL ARRIVAL OF FIRE DEPT. -- Public Notif./Evacuation 05/04/1992 FIRE RELATED INCIDENT: OPERATOR ANNOUNCE DR. FIRESTONE OVER THE P.A. SYSTEM ALL PERSONNEL RESPOND PER POLICY AND OUR PERSONNEL WILL EVACUATE THE PUBLIC. CHEMICAL DISASTER: OPERATOR ANNOUNCE CODE ORANGE OVER THE PA SYSTEM. ALL PERSONNEL WILL THEN ACCORDING TO POLICY EVACUATE THE PUBLIC. Emergency Medical Plan 05/04/1992 SAN JOAQUIN COMMUNITY HOSPITAL, EMERGENCY ROOM. -13- SAN JOAQUIN COMMUNITY HOSPITAL SiteID: 215-000-000552 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site -- Release Prevention 01/07/1990 ETHYLENE OXIDE - TANKS ARE IN ENCLOSED AREA, CHAINED. MEDICAL GASSES - HELIUM, OXYGEN, NITROGEN, NITROUS OXIDE, CHAINED. UNDERGROUND DIESEL - STORED IN UNDERGROUND STORAGE AREA (BOTH TANKS) XYLENE - STORED IN THE FLAMMABLES CABINET IN LAB ON FIRST FLOOR. ANTINEOPLASTIC DRUGS - ALL DRUGS STORED IN THE HOSPITAL PHARMACY. GASOLINE - CONTAINED IN UNDERGROUND STORAGE TANK. PAINT - CONTAINED IN WELL VENTILATED AREA IN METAL CONTAINER. PAINT THINNER - CONTAINED IN METAL CONTAINER, WELL VENTILATED AREA REGULAR INSPECTION WILL BE MADE OF THE STORAGE SITE BY ENGINEERING TO INSURE THERE ARE NO LEAKING OR SPILLED CONTAINERS. IF A SPILL OR LEAK IS FOUND THE FOLLOWING ACTIONS WILL BE TAKEN: SEE CONTAINMENT -- Release Containment 01/07/1990 A) BEFORE ATTEMPTING TO CLEAN UP ANY CHEMICAL SPILL OR SPLASH DETERMINE WHAT CHEMICAL(S) HAS SPILLED. B) FOLLOW DIRECTION ACCORDING TO ESTABLISHED PROCEDURES ON THE MSDS FOR CLEANING UP THAT TYPE OF CHEMICAL SPILL OR LEAK C) EVACUATE 'ALL PERSONNEL FROM THE AREA D) INSURE ADEQUATE VENTILATION E) CONTACT THE HAZARDOUS WASTE COORDINATOR AND THE ENGINEERING DEPARTMENT F) WAIT BY THE SPILL AREA, WELL OUT OF DANGER, UNTIL HELP ARRIVES. AVOID TRACKING THROUGH THE SPILL G) OBTAIN APPROPRIATE PROTECTIVE SAFETY EQUIPMENT H) CLEAN UP THE SPILL ACCORDING TO ESTABLISHED PROCEDURES PER MSDS I) COMPLETE AN INCIDENT REPORT REGARDING THE SPILL OR LEAK J) ANY MAJOR SPILLS FROM A CHEMICAL SUBSTANCE WILL BE REPORTED TO THE HAZARDOUS MANAGEMENT COORDINATOR VIAL THE HOSPITAL OPERATOR DIALING O -- Clean Up 01/07/1990 FIRST AID: REMEBER TO KEEP IT SIMPLE AND IDENTIFY THE MOST IMMEDIATE ACTION TO BE TAKEN UNTIL PROFESSIONAL MEDICAL HELP IS AVAILABLE. CLEAN UP: PROCEDURES SHOULD REFLECT THE CONTAINER SIZE USED IN YOUR DEPT AND THE MATERIALS AVAILABLE TO YOU. fOR EXAMPLE: FOR A MERCURY SPILL, DO NOT INSTRUCT THE USE OF A MERCURY CLEANUP KIT IF NO KIT IS AVAILABLE IN YOUR DEPT. PROCEDURES SHOULD BE COMPATIBLE WITH THE SPILLED DISPOSAL INSTRUCTION GIVEN IN THE NEXT SECTION SPILLED MATERIALS: USE THE DRAIN WHENEVER POSSIBLE GIVEN SAFETY AND LEGAL CONSIDERATIONS. IF SPECIAL HANDLING, STORAGE AND DISPOSAL INSTRUCTIONS ARE REQUIRED, MORE DETAILED PROCEDURES CAN BE LISTED ON A SEPARATE PAGE AND ATTACHED. -14- SAN JOAQUIN COMMUNITY HOSPITAL SiteID: 215-000-000552 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site Other Resource Activation -15- SAN JOAQUIN COMMUNITY HOSPITAL SiteID: 215-000-000552 Fast Format Site Emergency Factors Overall Site -- Special Hazards 08/12/1991 RADIOISATOPES ON HAND RADIATION HAZARD --Utility Shut-Offs 08/12/1991 A) GAS - WEST SIDE, BACK DOCK & EAST SIDE EQUIPMENT AREA B) ELECTRICAL - MAIN POWER BOILER ROOM BASEMENT MAINTENANCE AREA C) WATER - MAIN SHUTOFF, BACK DOCK WEST SIDE, ALSO EAST SIDE ALLEY D) SPECIAL - ETHYLENE OXIDE BASEMENT MAIN POWER VAULT E) LOCK BOX - NO -- Fire Protec./Avail. Water 08/12/1991 PRIVATE FIRE PROTECTION - MAINTENANCE FIRE BRIGADE AND PRIVATE FIRE PROTECTION FIRE HYDRANT - ? Building Occupancy Level -16- SAN JOAQUIN COMMUNITY HOSPITAL SiteID: 215-000-000552 Fast Format ~ Training Overall Site -- Employee Training 12/12/1990 WE HAVE 600 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE EMPLOYEES ARE TO ATTEND A HEALTH AND SAFETY INSERVICE SET UP BY THEIR DEPT. PRIOR TO FIRST DAY OF EMPLOYMENT AND ON AN ANNUAL BASIS THEREAFTER FOR THE PURPOSE OF REVIEW. TRAINING WILL INCLUDE THE FOLLOWING: I. AN OVER VIEW OF THE HAZARD COMMUNICATION REGULATIONS A. HAZARD COMMUNICATION REGULATION REQUIREMENTS B. EMPLOYEES RIGHTS UNDER THE REGULATIONS C. A DESCRIPTION OF THIS FACILITY'S HAZARDOUS COMMUNICATION PROGRAM D. LOCATION AND AVAILABLILITY OF THE REGULATIONS, MSDS'S, AND OTHER INFO II. TRAINING ON THE READING OF LABELS AND MSDS'S III. TRAINING ON IDENTIFIED HAZARDOUS MATERIALS ENCOUNTERED IN THE WORK PLACE ON THE INFORMATION FOUND ON THE HAZARDOUS SUBSTANCE POLICY SHEET -- Page 2 12/12/1990 A. COMMON AND GENERIC NAMES FOR THE MATERIAL. B. IDENTIFICATION OF MATERIALS BY APPEARANCE AND OTHER PROPERTIES. C. EFFECTS OF PARTICULAR HAZARDS ON THE ENVIRONMENT AND PERSONAL HEALTH D. HANDLING PRECAUTIONS. E. PROPER USAGE. F. EMERGENCY SPILL PROCEDURES INCLUDING IMMEDIATE FIRST AID AND CLEAN UP PROCEDURES. DOCUMENTATION OF ALL TRAINING IS TO INCLUDE INSERVICE MATERIALS; SIGN-IN SHEETS WILL BE SUBMITTED TO THE SAFETY COORDINATOR AND REVIEWED ANNUALLY BY THE HOSPITAL SAFETY COMMITTEE AND HOSPITAL QUALITY ASSURANCE COMMITTEE. IV. TRAINING ON THE HAZARDS ASSOCIATED WITH NON-ROUTINE DUTIES: A. AVOID CONTACT WITH OR EXPOSURE TO UNFMAILIAR SUBSTANCES. THIS INCLUDES -17- SAN JOAQUIN COMMUNITY HOSPITAL SiteID: 215-000-000552 Fast Format ~ Training Overall Site Held for Future Use 12/12/1990 ALL SUBSTANCES ON WHICH PERSONNEL HAVE NOT RECEIVED TRAINING OR ARE OTHERWISE UNAWARE OF ITS PROPERTIES. B. ASKING QUESTIONS OF APPROPRIATE PERSONNEL REGARDING HAZARDS BEFORE WORKING IN A NON-ROUTINE OR UNFAMILIAR AREA. C. RELAYING HAZARD INFORMATION TO OTHER WORKERS WHO ARE NOT ROUTINELY PERFORMING DUTIES IN YOUR DEPARTMENT. D. HOW TO RECOGNIZE UNLABELED PIPES WHICH MAY CONTAIN HAZARDOUS MATERIALS V. DEPENDING ON THE AREA, EITHER THE CHIEF ENGINEER OR CONSTRUCTION UNIT MANAGER IS RESPONSIBLE FOR INSURING THAT ALL CONTRACTORS, MAINTENANCE COMPANIES, ETC., ARE INSTRUCTED IN POTENTIAL HAZARDS THEY MAY BE EXPOSED TO WHILE WORKING AT THE FACILITY. THE MANAGER WILL ALSO REVIEW ALL PRODUCTS THE CONTRACTOR MAY INTRODUCE TO INSURE FACILITY PERSONNEL ARE NOT EXPOSED TO ADDITIONAL UNFAMILIAR HAZARDS. Held for Future Use 12/12/1990 VI. THE SAFETY COORDINATOR IS RESPONSIBLE FOR COORDINATING AN ANNUAL AUDIT OF THE HAZARDOUS SUBSTANCE PROGRAM. THE AUDIT WILL BE CONDUCTED DURING THE MONTH OF FEBRUARY EACH YEAR. THE AUDIT WILL BE PERFORMED AS PART OF THE ANNUAL SAFETY AUDIT. THE FOLLOWING FEATURES WILL BE AUDITED: A. IDENTIFICATION OF HAZARDOUS SUBSTANCES AND THE AVAILABILITY OF MSDS'S B. POSTED NOTICE OF HAZARDOUS SUBSTANCES IN THE WORK PLACE. C. COMPLETION AND DOCUMENTATION OF TRAINING FOR ALL EMPLOYEES IN THE DEPARTMENT. D. EMPLOYEE KNOWLEDGE OF HAZARDOUS SUBSTANCES AND LOCATION AND USE OF MSDS'S -18- 08/15/96 SAN JOAQUIN COMMUNITY HOSPITAL 215-000-000552 Page 1 Overall Site with 1 Fac. Unit General Information Location: 2615 EYE ST Map:103 Haz:4 Type: 3 City : BAKERSFIELD Grid: 30A F/U: 1 AOV: 0.0 Contact Name Title Contact Name Title IBILL DENNIS GARDNER / DIR PLANT OPERA MARTIN / DIR SECURITY Business Phone: (805) 395-3000x Business Phone: (805) 395-3000x 24-Hour Phone : (805) 872-5291x 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Pager Phone : ( ) - x Administrative Data Mail Addrs: 2615 EYE ST D&B Number: 07-432-8042 City: BAKERSFIELD State: CA Zip: 93301- Comm Code: 215-001 BAKERSFIELD STATION 01 SIC Code: 8062 Owner: SAN JOAQUIN COMMUNITY HOSPITAL CO Phone: ( ) - Address: 2615 EYE ST State: CA City: BAKERFIELD Zip: 93301- Summary RECEIVED HAZ, MAT. OIV~ I, ~51LL_y ~. ~]./?]'/~Oo hereby certify'that I have reviewed the attached hazardous materials ma;age- merit plan for ~ C,..-. l~,~? and that it along with -- (Name of B~/ness) any corrections constitute a complete and correct man- agement plan for my facility. '~ .'/~l~~~ ' ------ 08/15/96 SAN JOAQUIN COMMUNITY HOSPITAL 215-000-000552 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed ~gntainers on Site / Pln-Ref Name/Hazards / Form Max Qty MCP 02-014 --ET~~--~IXJ&~r%=~TS~)N- ~ ~_~/~ V3~ Gas 13388 Extreme · Pressure, Immed Hlth, Delay Hlth FT3 02-004 NITROUS OXIDE Gas 560 High · Fire, Pressure, Delay Hlth FT3 02-01i PAINT THINNER Gas 55 High · Fire, Reactive, Immed Hlth GAL 02-010 PAINT Liquid 60 Moderate · Fire GAL 02-006 XYLENE Liquid 5 Moderate · Fire, Reactive GAL 02-009 DIESEL Liquid 3000 Low · Fire, Immed Hlth, Delay Hlth GAL 02-003 OXYGEN Gas 322 Low · Fire, Pressure FT3 02-013 OXYGEN Gas 4096 Low · Fire, Pressure FT3 02-015 DIESEL ~2 Liquid 15000 Low · Fire, Immed Hlth, Delay Hlth GAL 02-002 HELIUM Gas 192 Minimal · Pressure FT3 02-005 NITROGEN ? 3600 Minimal · FT3 02-012 BROCIDE CC 300-T Solid 100 Unrated · Reactive, Immed Hlth, Delay Hlth LBS 08/15/96 SAN JOAQUIN COMMUNITY HOSPITAL 215-000-000552 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-014 ETHYLENE OXIDE/FREON ~0 ~~Z V56~ Gas 13388 Extreme ~ Pressure, Immed Hlth, Delay' Hlth FT3 CAS #: Trade Secret: No Form: Gas Type: Mixture Days: 365 Use: STERILIZER Daily Max FT3 I Daily Average FT3 I Annual Amount FT3 13,388 ~ 6,500.00 53,500.00 Storage Press T Temp~ Location PORT. PRESS. CYLINDER Above I Ambientl --Cons[ Components ] MCP ---~uide 12.0% Ethylene Oxide (EPA) Extreme I 69 88.0% Freon 12 Minimal I 12 02-004 NITROUS OXIDE Gas 560 High ~ Fire, Pressure, Delay Hlth FT3 CAS #: 100-24-972 Trade Secret: No Form: Gas Type: Mixture Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3I Daily Average FT3 I Annual Amount FT3 560 ~ 168.00 2,016.00 Storage~~Press T Temp Location PORT. PRESS. CYLINDER IAmbientlAmbientl2ND FLOOR SW CORNER -- Cons Components MCP ..Guide 100.0% INitrous Oxide IHigh 14 08/15/96 SAN JOAQUIN COMMUNITY HOSPITAL 215-000-000552 Page 4 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-011 PAINT THINNER Gas 55 High · Fire, Reactive, Immed Hlth GAL CAS #: 64742-88-7 Trade Secret: No Form: Gas Type: Mixture Days: 365 Use: OTHER Daily Max GAL I Daily Average GAL I Annual Amount GAL 55 ~ 55.00 55.00 Storage ~lPress T Temp Location METAL CONTAINR-NONDRUMIAmbient~AmbientlSE STORAGE BLDG - Conc Components MCP Guide 30.0% !Acetone Moderate 26 15.0% iToluene Moderate 27 10.0% n-Propanol Moderate 26 10.0% n-Butyl Acetate Moderate 26 5.0% Xylene, Mixed Moderate 27 5.0% Methanol High 28 02-010 PAINT Liquid 60 Moderate · Fire GAL CAS #: 64742-898 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: PAINTING Daily Max GALI Daily Average GAL I Annual Amount GAL 60 ~ 40.00 500.00 Storage Press T Temp Location METAL CONTaXNR-NONDRUMIambient~AmbientlSE STORAGE BLDG -- ConcI Components I MCP ---TGuide 25 0% IWaste Acids .. IModeratel 31 15.0% INaphtha IModeratel 27 5.0% IMethyl Ethyl Ketone IModeratel 26 3.0% IEthylene Glycol ILow ! 27 08/15/96 SAN JOAQUIN COMMUNITY HOSPITAL 215-000-000552 Page 5 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-006 XyLENE Liquid 5 Moderate · Fire, Reactive GAL CAS #: 7610-2 Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: OTHER Daily Max GAL I Daily Average GAL I Annual Amount GAL 5 I 6.00 200.00 Storage IIPress T Temp Location METAL CONTAINR-NONDRUMIAmDient~AmbientlNW CORNER HISTOLOGY -- Conc~ Components I MCP ---/Guide 100.0% IXylene, Mixed IModeratel 27 02-009 DIESEL Liquid 3000 Low · Fire, Immed Hlth, Delay Hlth GAL CAS #: 68476-34-6 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL I Daily Average GAL I Annual Amount GAL -- 3,000 ~ 1,500.00 18,000.00 Storage I Press T TempI Location UNDER GROUND TANK IAbove ~Above ISE CORNER OB -- Conc Components MCP ---TGuide 100.0% IDiesel Fuel No. 2 IModeratel 27 02-003 OXYGEN Gas 322 Low · Fire, Pressure FT3 CAS #: 7782-447 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3I Daily Average FT3 I Annual Amount FT3 322 i 230.00 2,760.00 StorageI~Press T Temp Location PORT. PRESS. CYLINDER IAmbient~Ambientl2ND FLOOR SW CORNER -- Conc Components MCP iGuide 100.0% [Oxygen, Compressed ILow I 14 08/15/96 SAN JOAQUIN COMMUNITY HOSPITAL 215-000-000552 Page 6 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-013 OXYGEN Gas 4096 Low · Fire, Pressure FT3 CAS #: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3 I Daily Average FT3 I Annual Amount FT3 4,096 ~ 444.00 5,331.00 Storage I Press T Temp I Location PORT. PRESS. CYLINDER Above ~Above NW CORNER 2TH & H -- Conc Components MCP ---TGuide 100.0% IOxygen, Compressed ILow ! 14 02-015 DIESEL #2 Liquid 15000 Low · Fire, Immed Hlth, Delay Hlth GAL CAS #: 68476-34-6 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GALI Daily Average GAL I Annual Amount GAL - 15,000 ~ 0.00 0.00 Storage~ Press T Temp~ Location UNDER GROUND TANK IAbove ~Above INW of main bldg, off of H st. -- Conc ~ Components ~ MCP ---TGuide 100.0%IDiesel Fuel No. 2 IModeratel 27 02-002 HELIUM Gas 192 Minimal · Pressure FT3 CAS #: 7440-59-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3I Daily Average FT3 I Annual Amount FT3 -- 192 ~ 192.00 840.00 Storage Press_~T Temp Location PORT. PRESS. CYLINDER Ambient~Ambientl2ND FLOOR SW CORNER -- Conc Components MCP ---~Guide 100.0% IHelium [Minimal ~ 12 08/15/96 SAN JOAQUIN COMMUNITY HOSPITAL 215-000-000552 Page 7 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-005 NITROGEN ? 3600 Minimal ~ FT3 CAS #: Trade Secret: No Form: Unknown Type: Mixture Days: Use: MEDICAL AID OR PROCESS Daily Max FT3 I Daily Average FT3 I Annual Amount FT3 3,600 ~ 0.00 10,800.00 Storage Press Temp Location PORT. PRESS. CYLINDER I T 12ND FLOOR SW CORNER -- Conc Components MCP ---TGuide 100.0% INitrogen ILow ~ 12 02-012 BROCIDE CC 300-T Solid 100 Unrated ~ Reactive, Immed Hlth, Delay Hlth LBS CAS #: 126-067 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: ADDITIVE Daily Max LBSI Daily Average LBS I Annual Amount LBS -- 100 ~ 50.00 600.00 Storage Press T Temp~ Location DRUM/BARREL-NONMETAL Below tAbove IBASEMENT -- Conc ~ Components ~ MCP ---rGuide 08/15/96 SAN JOAQUIN COMMUNITY HOSPITAL 215-000-000552 Page 8 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation ~ ETHYLENE OXIDE - EVACUATE PERSONNEL IN IMMEDIATE AREA, CONTAC MAINTENANCE, NOTIFY FIRE DEPARTMENT IF NECESSARY. MEDICAL GASSES - EVACUATE PERSONNEL IN IMMEDIATE AREA IF POSSIBLE, CONTACT MAINTENANCE NOTIFY FIRE DEPT IF NECESSARY. UNDERGROUND DIESEL - IN CASE OF RUPTURED TANK NOTIFY MAINTENANCE IMMEDIATELY, THEN CONTACT FIRE DEPARTMENT. XYLENE - EVACUATE PERSONNEL IN IMMEDIATE AREA, CONTACT MAINTENACE NOTIFY FIRE DEPT. ANTINEOPLASTIC DRUGS - NOTIFY FIRE DEPT, EVACUATION PROCEDURES IN ACCORDANCE WITH INDIVIDUAL MATERIAL SAFETY DATA SHEETS. GASOLINE - EVACUATE IMMEDIATE PERSONNEL, NOTIFY FIRE DEPARTMENT, CONTAIN SPILL UNTIL ARRIVAL OF FIRE DEPT. <3> Public Notif./Evacuation FIRE RELATED INCIDENT: OPERATOR ANNOUNCE DR. FIRESTONE OVER THE P.A. SYSTEM ALL PERSONNEL RESPOND PER POLICY AND OUR PERSONNEL WILL EVACUATE THE PUBLIC. CHEMICAL DISASTER: OPERATOR ANNOUNCE CODE ORANGE OVER THE PA SYSTEM. ALL PERSONNEL WILL THEN ACCORDING TO POLICY EVACUATE THE PUBLIC. <4> Emergency Medical Plan SAN JOAQUIN COMMUNITY HOSPITAL, EMERGENCY ROOM. 08/15/96 SAN JOAQUIN COMMUNITY HOSPITAL 215-000-000552 Page 9 00 - Overall Site <D> Notif./Evacuation/Medical <4> Emergency Medical Plan (Continued) 08/15/96 SAN JOAQUIN COMMUNITY HOSPITAL 215-000-000552 Page 10 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention ETHYLENE OXIDE - TANKS ARE IN ENCLOSED AREA, CHAINED. MEDICAL GASSES - HELIUM, OXYGEN, NITROGEN, NITROUS OXIDE, CHAINED. UNDERGROUND DIESEL - STORED IN UNDERGROUND STORAGE AREA (BOTH TANKS) XYLENE - STORED IN THE FLAMMABLES CABINET IN LAB ON FIRST FLOOR. ANTINEOPLASTIC DRUGS - ALL DRUGS STORED IN THE HOSPITAL PHARMACY. GASOLINE - CONTAINED IN UNDERGROUND STORAGE TANK. PAINT - CONTAINED IN WELL VENTILATED AREA IN METAL CONTAINER. PAINT THINNER - CONTAINED IN METAL CONTAINER, WELL VENTILATED AREA REGULAR INSPECTION WILL BE MADE OF THE STORAGE SITE BY ENGINEERING TO INSURE THERE ARE NO LEAKING OR SPILLED CONTAINERS. IF A SPILL OR LEAK IS FOUND THE FOLLOWING ACTIONS WILL BE TAKEN: SEE CONTAINMENT <2> Release Containment A) BEFORE ATTEMPTING TO CLEAN UP ANY CHEMICAL SPILL OR SPLASH DETERMINE WHAT CHEMICAL(S) HAS SPILLED. B) FOLLOW DIRECTION ACCORDING TO ESTABLISHED PROCEDURES ON THE MSDS FOR CLEANING UP THAT TYPE OF CHEMICAL SPILL OR LEAK C) EVACUATE ALL PERSONNEL FROM THE AREA D) INSURE ADEQUATE VENTILATION E) CONTACT THE HAZARDOUS WASTE COORDINATOR AND THE ENGINEERING DEPARTMENT F) WAIT BY THE SPILL AREA, WELL OUT OF DANGER, UNTIL HELP ARRIVES. AVOID TRACKING THROUGH THE SPILL G) OBTAIN APPROPRIATE PROTECTIVE SAFETY EQUIPMENT H) CLEAN UP THE SPILL ACCORDING TO ESTABLISHED PROCEDURES PER MSDS I) COMPLETE AN INCIDENT REPORT REGARDING THE SPILL OR LEAK J) ANY MAJOR SPILLS FROM A CHEMICAL SUBSTANCE WILL BE REPORTED TO THE HAZARDOUS MANAGEMENT COORDINATOR VIAL THE HOSPITAL OPERATOR DIALING O <3> Clean Up FIRST AID: REMEBER TO KEEP IT SIMPLE AND IDENTIFY THE MOST IMMEDIATE ACTION TO BE TAKEN UNTIL PROFESSIONAL MEDICAL HELP IS AVAILABLE. CLEAN UP: PROCEDURES SHOULD REFLECT THE CONTAINER SIZE USED IN YOUR DEPT AND THE MATERIALS AVAILABLE TO YOU. fOR EXAMPLE: FOR A MERCURY SPILL, DO NOT INSTRUCT THE USE OF A MERCURY CLEANUP KIT IF NO KIT IS AVAILABLE IN YOUR DEPT. PROCEDURES SHOULD BE COMPATIBLE WITH THE SPILLED DISPOSAL INSTRUCTION GIVEN IN THE NEXT SECTION SPILLED MATERIALS: USE THE DRAIN WHENEVER POSSIBLE GIVEN SAFETY AND LEGAL CONSIDERATIONS. IF SPECIAL HANDLING, STORAGE AND DISPOSAL INSTRUCTIONS ARE REQUIRED, MORE DETAILED PROCEDURES CAN BE LISTED ON A SEPARATE PAGE AND ATTACHED. <4> Other Resource Activat~n 08/15/96 SAN JOAQUIN COMMUNITY HOSPITAL 215-000-000552 Page 11 00 - Overall Site <E> Mitigation/Prevent/Abatemt <4> Other Resource Activation (Continued) 08/15/96 SAN JOAQUIN COMMUNITY HOSPITAL 215-000-000552 Page 12 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards RADIOISATOPES ON HAND RADIATION HAZARD <2> Utility Shut-Offs A) GAS - WEST SIDE, BACK DOCK & EAST SIDE EQUIPMENT AREA B) ELECTRICAL - MAIN POWER BOILER ROOM BASEMENT MAINTENANCE AREA C) WATER - MAIN SHUTOFF, BACK DOCK WEST SIDE, ALSO EAST SIDE ALLEY D) SPECIAL - ETHYLENE OXIDE BASEMENT MAIN POWER VAULT E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - MAINTENANCE FIRE BRIGADE AND PRIVATE FIRE PROTECTION FIRE HYDRANT - ? <4> Building Occupancy Level 08/15/96 SAN JOAQUIN COMMUNITY HOSPITAL 215-000-000552 Page 13 00 - Overall Site <G> Training <1> Employee Training WE HAVE 600 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE EMPLOYEES ARE TO ATTEND A HEALTH AND SAFETY INSERVICE SET UP BY THEIR DEPT. PRIOR TO FIRST DAY OF EMPLOYMENT AND ON AN ANNUAL BASIS THEREAFTER FOR THE PURPOSE OF REVIEW. TRAINING WILL INCLUDE THE FOLLOWING: I. AN OVER VIEW OF THE HAZARD COMMUNICATION REGULATIONS A. HAZARD COMMUNICATION REGULATION REQUIREMENTS B. EMPLOYEES RIGHTS UNDER THE REGULATIONS C. A DESCRIPTION OF THIS FACILITY'S HAZARDOUS COMMUNICATION PROGRAM D. LOCATION AND AVAILABLILITY OF THE REGULATIONS, MSDS'S, AND OTHER INFO II. TRAINING ON THE READING OF LABELS AND MSDS'S III. TRAINING ON IDENTIFIED HAZARDOUS MATERIALS ENCOUNTERED IN THE WORK PLACE ON THE INFORMATION FOUND ON THE HAZARDOUS SUBSTANCE POLICY SHEET <2> Page 2 A. COMMON AND GENERIC NAMES FOR THE MATERIAL. B. IDENTIFICATION OF MATERIALS BY APPEARANCE AND OTHER PROPERTIES. C. EFFECTS OF PARTICULAR HAZARDS ON THE ENVIRONMENT AND PERSONAL HEALTH D. HANDLING PRECAUTIONS. E. PROPER USAGE. F. EMERGENCY SPILL PROCEDURES INCLUDING IMMEDIATE FIRST AID AND CLEAN UP PROCEDURES. DOCUMENTATION OF ALL TRAINING IS TO INCLUDE INSERVICE MATERIALS; SIGN-IN SHEETS WILL BE SUBMITTED TO THE SAFETY COORDINATOR AND REVIEWED ANNUALLY BY THE HOSPITAL SAFETY COMMITTEE AND HOSPITAL QUALITY ASSURANCE COMMITTEE. IV. TRAINING ON THE HAZARDS ASSOCIATED WITH NON-ROUTINE DUTIES: A. AVOID CONTACT WITH OR EXPOSURE TO UNFMAILIAR SUBSTANCES. THIS INCLUDES <3> Held for Future Use ALL SUBSTANCES ON WHICH PERSONNEL HAVE NOT RECEIVED TRAINING OR ARE OTHERWISE UNAWARE OF ITS PROPERTIES. B. ASKING QUESTIONS OF APPROPRIATE PERSONNEL REGARDING HAZARDS BEFORE WORKING IN A NON-ROUTINE OR UNFAMILIAR AREA. C. RELAYING HAZARD INFORMATION TO OTHER WORKERS WHO ARE NOT ROUTINELY PERFORMING DUTIES IN YOUR DEPARTMENT. D. HOW TO RECOGNIZE UNLABELED PIPES WHICH MAY CONTAIN HAZARDOUS MATERIALS V. DEPENDING ON THE AREA, EITHER THE CHIEF ENGINEER OR CONSTRUCTION UNIT MANAGER IS RESPONSIBLE FOR INSURING THAT ALL CONTRACTORS, MAINTENANCE COMPANIES, ETC., ARE INSTRUCTED IN POTENTIAL HAZARDS THEY MAY BE EXPOSED 08/15/96 SAN JOAQUIN COMMUNITY HOSPITAL 215-000-000552 Page 14 00 - Overall Site <G> Training <3> Held for Future Use (Continued) TO WHILE WORKING AT THE FACILITY. THE MANAGER WILL ALSO REVIEW ALL PRODUCTS THE CONTRACTOR MAY INTRODUCE TO INSURE FACILITY PERSONNEL ARE NOT EXPOSED TO ADDITIONAL UNFAMILIAR HAZARDS. <4> Held for Future Use VI. THE SAFETY COORDINATOR IS RESPONSIBLE FOR COORDINATING AN ANNUAL AUDIT OF THE HAZARDOUS SUBSTANCE PROGRAM. THE AUDIT WILL BE CONDUCTED DURING THE MONTH OF FEBRUARY EACH YEAR. THE AUDIT WILL BE PERFORMED AS PART OF THE ANNUAL SAFETY AUDIT. THE FOLLOWING FEATURES WILL BE AUDITED: A. IDENTIFICATION OF HAZARDOUS SUBSTANCES AND THE AVAILABILITY OF MSDS'S B. POSTED NOTICE OF HAZARDOUS SUBSTANCES IN THE WORK PLACE. C. COMPLETION AND DOCUMENTATION OF TRAINING FOR ALL EMPLOYEES IN THE DEPARTMENT. D. EMPLOYEE KNOWLEDGE OF HAZARDOUS SUBSTANCES AND LOCATION AND USE OF MSDS'S / / STATEMENT OF ACCOUNT CITY OF BAKERSFIELD 1501TRUXTUN AVE BAKERSFIELD, CA 93301-0000 (805) 326-3979 DATE: 9/01/95 TO: SAN JOAQUIN COMMUNITY HOSPITAL CUSTOMER NO: 3851 CUSTOMER TYPE: ES/ 3851 CHARGE DATE DESCRIPTION REF-NUMBER DUEDAT~ TOTAL AMOUNT 1/01/95 BEGINNING BALANCE .00 8/01/95 PAYMENT 132.00- NEW STATEMENTS! Please call 326-3979 if you have questions or changes regarding your account. CURRENT OVER 30 OVER 60 OVER 90 DUE DATE: 9/01/95 PAYMENT DUE: 132.00- TOTAL DUE: $132.00- PLEASE DETACH AND SEND THIS COPY WITH REMITTANCE 9/01/95 DUE DATE: 9/01/95 REMIT AND MAKE CHECK PAYABLE TO: CITY OF BAKERSFIELD P.O. BOX 2057 BAKERSFIELD CA 93303-2057 CUSTOMER NO: 3851 CUSTOMER TYPE: ES/ 3851 TOTAL DUE: $132.00- NOTE TO FILE: SAN JOAQUIN COMMUNITY HOSPITAL Reported 7-15-94 Spill in Emergency Room of one pint of 33% formaldehyde solution on the midnight shift at approximately 11:00. p.m. Spill cleaned up; OSHA informed and took air samples after cleanup. No one was injured, situation handled. BAKERS[- [LD CITY FIRE DEPARTMENT HAZARDOUS MATERIALS INVENTORY Page of RECEIVED Business Name 4~.~'-(.~ Address ~o! ~ ~ ~ CHEMICAL DESCRI~ION e HAT. ~aA . 1) IN~NTORY STA~S: New [ ] Addition ~ vision [~Deletion [ ] Check if chemic~ is 2) Common N~.: ~ ~ ~~/~/~~ 3) ~T * (option.) Chemic~ Name: AHM [ ] CAS H~RD CATEGORIES Fire [.] Reactive [ ] Sudden Relate of Pressure [ Immediate He.th (Ac~e) [~ Delayed He~h (Chronic) [ 5) WAS~ C~SSIFICA~ON (3-digit code Eom DHS Fo~ 8022) USE CODE 6) PHYSICALSTA~ Solid [ ] Liquid [ ] G~ [~ Pure [] Mi~ure [ ~W~te [] Radioe~Ne [ ] 7) AMOUNT AND TIME AT FACILIW ~..,-~- I~UNITS OF M~SUREff3 / 8) STOOGEd)Contaner:CODES M~imum D~lyAmount: ~~ [ ] g~ [ ] [~ Average Daily Amount: ~' - - ~ ~. curies [ ] b) Pressure: Annu~ Amount: ~~~ ~~ ', c) T emper~ure: ~gest Size Cont~ner: Circle~ich Months: ~AIIYe~J. F. M, A, M. J, J, A, S. O. N. D Days On Site 9) MI~URE: ~st COMPONENT CAS ~ % ~ ~H~ thethreemosth~ardous 1) ~ T~IV ~ ~ I ~ chemical components or ~y AHM components 2) ~~ [.] 3) [ ] 10) Location CHEMICAL DESCRI~ION 1) IN~NTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check E chemic~ is ~ NON T~DE SECR~ [ ] ~DE SECR~ [ ] 2) Common Name: 3) ~T ~ (option~) Chemic~ Name: AHM [ ] CAS 4) PHYSICAL & H~L~ PHYSICAL H~L~ H~RDCATEGORIES Fire [ ] Reactive[ ] SuddenRele=eofPmssum [ ] Immediate Heelth (Acute) [ ] DelayedHe~th(Chmnic) [ ] 5) WASTE C~SSIFICATION (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] Liquid [ ] G~ [ ] Pure [ ] Mi~ure [ ] W~te [ ] Radioa~ive [ ] 7) AMOUNT AND ~ME AT FAClU~ UNITS OF M~SURE 8) STOOGE CODES M~imum Daily Amount: lbs [ ] g~ [ ] ~3 [ ] a) ContNner: Average Daily Amount: curies [ ] b) Pressure: Annu~ Amount: c) Temper~ure: ~gest Size Container: · Days On Site Cimle~ich Months: AllYe~, J, F, M, A, M, J, J, A, S. O, N, D 9) MITRE: Ust COMPONENT CAS · % ~ AHM the throe most h~dous 1) [ ] chemi~com~nen~ or ~y AHM com~nents 2) [ ] 3) [ ] 10) Lo~ion ~.. ~elieve PRI~ N~me & Ti~e of Auto,zed Company ~epresen~ve Si~n~m · " . BAK FIELD CITY FIRE DEPARTMENT BAKERSFIELD, CA. 93301 (805) 326-3979 HAZARDOUS MATERIALS INVENTORY FACILITY DESCRIPTION CHECK IF BUSINESS IS A FARM [ ] BUSINESS NAME FACILITY NAME SITE ADDRESS CITY STATE ZIP NATURE OF BUSINESS SIC CODE DUN & BRADSTREET NUMBER OWNER/OPERATOR PHONE MAILING ADDRESS CITY STATE ZiP r EMERGENCY CONTACTS NAME TITLE BUSINESS PHONE 24-HOUR PHONE NAME TITLE BUSINESS PHONE 24-HOUR PHONE Se~ember 30, 1992 REGIONV LEPC STANDARD FORM RETURN PAYMENTS TO: PLEHSE/Vba~KF CHECKS PHYHBLE TO: c tY OF BAKE.SF,ELD P.O. BOX 2057 HAZARDOUS MATERIALS DIVISION CITY OF BAKERSFIELD BAKERSFIELD, CA 93303-2057 ACCOUNT NO. HM 407601 HAZARDOUS MATERIALS HANDLING FEE Site Addr: 2615 Eye Street PLEASE NOTE: THIS IS A CORRECTED BILLING FOR FISCAL YEAR 7/1/92 - 6/30/93 HAZ MAT HANDLING FEE ' ':"'~340 TOTAL CURRENT CHARGES 340.00 Current Charges 340.00 BILLING DATE 01/01/93 '., TOTAL BALANCE DUE 340.00 ANNUAL FEE '~ THIS BILL IS DUE UPON RECEIPT. 2 MONTHS FROM THE' BILLING DATE A 10% ADMIN SERV CHG AND FINANCE CHG OF 1% PER MONTH WILL-BE ASSESSED. O INQUIRIES CONCERNING THiS BILL, PLEASE PHONE: 326-3979 SAN JOAQUIN COMMUNITY HOSPITAL [ L L [ '~c .~ INVOICE NUMBER 2615 EYE STREET ~ ;," .," BAKERSFIELD, CA 93301 CITY COPY FAX. COVER SHEET CITY OF BAKERSFIELD FIRE DEPARTMENT- IIAZARDOUS MATERIAIJS DIVISION 2130 "G" Street Bakersfield, Ca. 93301 -.. Fax Phone (805)326-0576 Office (805)326-3979 Date: ~-~.- ~ , 19___~% PLEASE ROUTE AS SOON AS POSSIBLE TO: Name:. ~/~~o~ -.~_.c~. ~.~o.~,,o~9.. Company/Organization: ~4J¢,. ,~3 ~ _CoY~ ~%~u~_~ ~-~~~c~ Fax No. Sending Message to: ~_%~- '. FROM: Contact Person: Number of Pages (~ncludin~ cover sheet): Description of Materials Sent/Special Instructions: ~- ' k& -~ ~' ~ .~L~ ~z~ous ~~ ~v~s~o~ k. -.-~ .,,' 2130 G Street, Bakersfield, CA 93301 ~ (805) 326-3979 FEB 1 P~T TO OP~T~ ~ OP~TORS N~E 5~ OWNERS ~E .D~m( N~BER OF T~KS TO BE TESTED ~ IS PIPING GOING TO'BE, TESTED TANK TESTING COMPANY/~ 'ADDRESS/DO ~' ~o TEST ~ETHOD /q~53 ~?57C--/Y: ~ N~E o~ TESTE~ TO~ ~,~/ C~Z~C~ON ~ ~/~O9 s~ ~s~o~ ~ 9/-/0~ 'I"ES'I' DEL_AY / CAi',.tCEI..LATIOi',.I REC[]RD /7¢%...Y_. i,,,IORK ORDER 'l~l~ .............. O A "1" E _ ~-_ _ ._~'_ _ .,Z~ .................... - ......................... "" ' r',j:'/~/.~ v~',~ ~ I'~ T~ME SCHEDULED ............. CtER'T' ~ _.~=_/_.~ ...................... DELRY REASON FQR DEL~Y= 'TO'T~L HRS [_RTE FUEL DELZVERY ............... 'I"ZME DELZVERED i ACKNOWLEDGE THE ABOVE 'rEST WAS. ]]ELAYED FOR REASONS E{E'FDhii:) THE CON'T'F~OL OF AES OR THE AES FIELD TECHNICIAiXl. ACKNOWLEDGED BY: .............................................................................. TITLE: DATE: ................................................ CANCELLAT I ON R E A S O N _ ~_~_ _~?/~_ _ ~ 6 ~_ ~_ ~_7~__ _~22Z~/~-/~- - - -/~.~~ - -~ - CANCELLATION AUTHORIZED BY:~~ THE ABOVE ZNFORMATZON IS ONLY FOR THE PURPOSE OF AES TRACKING C)F THE TECHNICIANS TIME. ~ssoc±ated Environmental Systems, Inc. pm. Box AES -- SYSTEM II PRECISION TANK & LINE TEST RESULTS SUMMARY Invoice Address: Tank Location: / W.O.'i~: !~F954 ~=~:=.~ -~ n.~.~,~ ~. ~.~_ ~ g. Number .::,-~ ~ JOAQUIN tRC!SPlTAL SAN '~"~'~"~ 'T" '','--z~-~T'F~ ... BAKERSFIi~EL.D, CA. BAKERSFi~LD, CA. Te~h. ~:~':~ Date: '2-1>:'-9.3 Time Start: 08:0~D End: !.Z,:EuD County: KE Facility Phone~: Groundwater Depth: 20' Blue Prints: Contact: BOB PA'TWEELL OatelTime system was filled: 2-it--93 Tank Fill/Vent Product Type Of Vapor Inches of Pump Tank Tank Capacity P~oduct Tank Vapor Lines Line Recovery Water/Tank Type Material I 70Q gSL PASS PASS PA~S N/A u'~ ~i ~r'~ ~'i ,= ~ 3500 DSL PASS PASS e'~St: N/A 0 SUCT. A~'~ i~i.._~ WI'TH THE 'TANK. Additional Information: ::'/'L FLCODED AND iNCLUDED IN THE ':"-'"~1 ~ n .... ~ .... ' "!~ =' -:" SITE LOG TIME Set Up Equip: 08~0o Bled Product Lines: Bled Vapor Lines: N/A Bled Vent lines: Bled Turbine: N/A Bled Suction Pump: N/A Ri ~..ers Installed: N/A a) ALL PRODUCT LINES WERE TESTED USING THE PLT-100R b) This system and method meet~ the criteria set 'Forth in NFPA #~9. c) Any failure listed a~ov~ may require further action, check wi'~h all ~egulatory agencies. Copyright (c> 1989 by AES~ Inc. California O.T.T.L. NumOer : 91-1302 P~ATRiCK N~ ~ARRIS Certified Technician Signature : /~~~~ Date : ~_/~-~ Site Lasout For I SA~ JOgOHI~ HOSP, 2515 EYE ST, BgKERSFIELD Cfi Associat ed vironmental st ems, Inc. AES/SysSem II Precision le~k Tes~ Graph (OverFill) Invoice No. : 17954 Date: 02/12/9S Time : 09:19:S~ Technician: P~H 'Tank: 1 Tank Diameter(in): 64 Volume(gal): 7~ Grade Level(in>: 94 Product Level<in>: 92 Water Level On Tank(in): 0.~7~ Specific Gravity: .83 Coefficient Of Expansion: 0. ~04788 Calibration Value(mi>: 200 Channel: 1 Level Segment From: 20 To 28~ Temp Segment From: 20 To 280 Change In Calibration Zone = 56 Calibration Unit(gal/unit) = 0.0~094 Starting Temperature (F): 63.920 Head Pressure(psi (Btm)): 2.76 Surface Area(s~. in): 19.7 Temp. Change(F/h) : -0.006 Product Line(gph): FLOODED Level volume(gph): -0.02 Temp. volume(gph): 0.00 Net change (gph) : -0.02 Copy~-igln~ (c> 1991 by AES, ~nc. SA~,I J'OA~UIN HOSPITAL, 2516 EYE ST, BAKERSFIELD, CA. TWO HOUR HiGH E~¥EL FULC SYSTEM TEST. CAL = 200ML. A?~,so¢iat ed E v i'~onment~l st ems, Inc, AES/Sys~em II Precision leak Test Graph (OverFill) Invoice No. : 17954A Date: 02/12/93 Time : II:42:03 Technician: PNH Tank: 2 Tank Diameter(in): 74 Volume(gal): 3500 Grade Level(in): 112 Product Level(in): 112 Wa~er Level On Tank(in): 0 Specific S~avi~y: .83 Coefficien~ Of ~x~ansion: 0. 0004788 Calibration Value(mi): 500 Channel: Level ~egment From: 75 To 275 Temp Segmen~ From: 75 To 275 Change In Calibration Zone = 226 Calibration Unit(gal/unit) = 0.00058 Starting Temperature (F): 63.641 Head Pressure(psi (Btm>): 3.36 Surface Area<sq. in): 12.2 Temp. ~hange(F/h) : 0.002 P~o~uCt Line(gph): FLOODED Level volume(gph): 0.00 Temp. volume(gph): 0.00 Net change (gPh) : 0.00 Re s ~ 1 ~ ~A~ ~oDyright (c> 1991 by AES, inc. ** Not es ** SAN JE~AQUIN HOSPITAL~ ~16 EYE ST, BAKERSFIELD~ CA. TWO HO~R HIGH LEVEL FULL SYSTEM TEST CAL = 500ML CITY of BAKERSFIELD "WE CARE" FIRE DEPARTMENT 2101 H STREET S. O. JOHNSON November 16, 1992 BAKERSFIELD, 93301 FIRE CHIEF ' 326-3911 Mr. Kevin Fisher San Joaquin Community Hospital 2615 Eye Street Bakersfield, Ca. 93301 Dear Kevin; I am pleased to hear we are about to put San Joaquin Hospital on line with our Hazardous Materials Information System. Per your request I have check with data processing to determine what modem you would have to obtain to make your system compatible. Any Hayes compatible 2400 BAUD modem attached to a standard touch tone phone line (a dedicated line is best, but not necessary) is satisfactory.' We use a practical peripherals PM 14400 FXSA external modem at this end and this would perhaps give you the best performance, but any compatible modem would be satisfactory. The computer should be a IBM compatible personal computer with DOS 2.2 or higher and 640 K of RAM. You will also need a copy of PC anywhere software version 4.5. We look forward to helping you with training on our system, as well as providing you with the information available. Please call me when you would like us to complete a training program on the access and use of our remote area network system. Sincerely .,Yours// _ /Ralpl;r'E. Huey ', HazArdous Materials Coordinator REH:vp ~ 1~ yap pr~ 1~ tbaa 0.01 ~ (2~, fl~b U~ Ia~te ~monomet for ~el o~ a~ ' p 2~0F (121~, ph~ol 0.3% (~), bu~ d 9.2 lub~t r~g, m~ch~g:, prot~tive.coa~ lb/~. ~mb~fibl~ ~ p~ufi~ a~v~, ~lymer s~. ~: I 1 I-~. C~H~C~(~)~O~ ~yl~e o~d~ (~~ o~e). ~ va~ ~d mo~ or~c ~lvm~, aumi~ ~e 612F (322~. e~yi~ep~pyl~e monom~. S~ e~yle= ~: Fr~ ~yl~e ~cMo~de ~d nmm~ ~ylme t~l~. Ha~ ~osiv~. a~ by s~ ~ m- e~ylenep~pylene mb~. ~PR). ~ ell ~ ~ure shoed ~ minimize, a ~ ~ ~e by the st~c ~l~enz g~ ~g~o~ ~e ~d expl~on ~ ~- fi~ ofethylmie and propyl~e. H~ no u~tur ~ ~i~ ~ ~r 3.~%. ~V: 0.5 ppm ~ fi~ ~mot ~ ~ ~th s~fur but c ~ ~ ~ ~th ~ro~d~ 1592 (19~2L -- - Heavy liquid; chloroform odor. d~ 2.172. bp 131-132'. Metakn)lism ofJndust~ial $ol~ents~s~n~, ~ ~ii~f +9'. n~ 1.5379. ~'a~r pr~. at 2~: 11 ~ Hg. pp 5~-~; 686-6~; Patty s l~l ~ene and ~1 in ~ut 250 ~ wat~; mi~ ~ ~cohol, ether. ~ ~l~ vol 2C, G. D. Cla~on, F. E. ~on, ~. tect~ lighL LD~ i.p. in mi~: ~0 rog/kg, G. W. Fisher lnt~, N~ York, 3rd ~, 1982) pp 3817-3832. et a~ Z ~kt. Che~ 3~, 133 (1978). vs~: ~tifr~ in ~lmg ~d hm~ng syst~s. In N~ ~s ~u~n~ ~ ~ iis~ ~ a ~r~nog~ in the dm~ic b~e Bmr. lnd~t~ h~t. 1981)~ 112-114. ~d ~d ~). ~lv~t in ~e ~nt ~d pl~u~ ~ ~gant; in ~ti-kn~k ~lin~. ~ut~' ~ t~. In the ~o~ati~ of p~' in~, a~p ~ skin i~t; may ~e blist~ng, ln~a6on ~ d~ay~ ~d inks for b~]-~int ~s. ~g ag~t.tor P~ l~ions. Prolong~ ~u~ ~y r~t ~so m Smbili~ ~or soy~ f~ ~ to ~un~a~ oil ~d liv~ ~ ~ey inju~, line fi~. In the a~th~s of ~y ~pl~iv~, ~yo~ ~. ~ylene Di~lofid~ 1,2.Dichlo~n~' s~i. ~etic ~ (T~I~ Dacron), ~d s~eac w~. chlo~c; ethyl~e ~lofid~ ED~ Dutch liq~d; Bro- ~de. %HtCI~; mol ~ 98.~. C 24.27%, H 4.07%, Cl 374~. E~yl~e Giy~l D~m~ 1,2-~n~t m~' gly~l ~mte; ethyl~e ~m~. C~H~Oa; mol 71.~ CICH,CH,CI. Made fr~ e~yl~c ~d chio~ 146.14. C 49.31%, H 6.~, O43.7~. CH~COOCH~cH~ F~ K~ & Oark's lndu~l ~emica~ F. A. ~w~- ~CCH~. Pr~ from ethylme braid& ~a~ ~e btam, M. K. Mo~, ~. (Wiley-lnte~ N~ York, ~d ~ ~tc: Hm~', Bul~ ~ Chi~ [3] 1~, 4~ ~, 1975) pp 392-396. R~ew of ~r~nog~i~ty stud- (1897); ~tte~n-Wi~d, ~ d~ o~an~hen kern(de G~, ~lin. ~h ~., !~1) p 107; ir~ s~. i~: ~RC Mon~vap~ 20, 429~ (1979). sis ~s ~a homog~us m~mi~ ~is: J. F. ~ H~ liq: bums ~th smoky fl~e; plant ~or; sw~t Che~ ~mmu~ 1981, 188. ~t~ ~ are i~mting, d~ 1.2569. ~p 83-~'. Solidif Liquid. d 1.1~. bp 1~-19V. m~ --31'. about ~. ~h pt, el~ cup: 56~ {13'C); o~ cup: 65~ {1WG). n~ 1.~3. Sol in a~ut 120 ~a~ water; mi~ ~ash ~t, o~ sup: 20~ {96'C). ~1 in 7 ~ns mi~ble ~th ~c, ether. LD~ o~ly in mrs: 6.86 ~ ~hol. chlorofo~, ether. LD~ o~ly in ~ts: 770 Smyth et aL. d. I~. ~. To~L ~, 259 (1~1). mg/~,~mmn:Sm~hva~o~et.aL, produce~ lnd.immtionH~. A~of J'r~pi~to~30' 470 (1969).tract OSE: Solver tor oils, ~lul~ ~e~, ~pl~i~, ~. and ~junctiva, ~m~l clouding, muilibnum distur~n~ 37~. Ethylene Glye01 Monoacemte. 1,2-Etha~ nar~. a~omina} c~mps. This su~ce ~as ~ hst~ mon~m;glycol-mon~tin. C,H,O~: mol wt 1~,10~ as a ~nog~ by the EPA: ~nd ~nnual Rein on ~r- 46.15%, H 7.75%, O 46.1 I%. CH~COOCH,CH,OH. cin~(~ 8143. ~. 1981) pp 118-120. L~quid. d 1.108. bp 182'. M~ble ~t~ wa~er, ~: Solv~t for la~. oils. waxy, ~ms, r~ins, an~ pa~c- LD~ orally in ~ta: 8.25 g/gg, Sm~b et ~, ~. ~ u~rly tot ~b~r: manuf a~tyi ~lui~, toba~ ext~l, Tox~l. ~, 259 etc. ~ ~ ~ fumi~t. 3747. Ethylene Oxide. Ox~ne: ~rol~e. 37~. E~yiene Glycol 1,2-~n~iol. ~HeO:: mol wt mol wt ~.05. C ~.53%, H 9.15%, O 36.32%. P~ 62.07. C 38.7~, H 9.7~%, O 51.56%. HOCH,CH,OH. ethyl~e chlorohyd~n ~d KOH: Wu~ An~ 110, Pre~ on a large s~e by the hydration of elhyt~ne ~xide. {1859). Manuf by ~l~ic o~tion of ethyi~e: ~o~h~ts: Ulimann's Encvkio~'die der techn~chen Che- M~omey. U.S. ~at. 2.960.511 (19~ to S~ell Oil). mie. 3 (3rd ed., 1953) p 13~; M. Sittig, O~anic Chemical mia in workers exposed to ethyi~e o~de: C. Hogst~t ~ Enc~lo~ia (Noy~ Dev. ~., Park Ridge. NJ., aL, ~. Am. Med. A~. ~l, 1 I32 (1979). Reeie~v H. 1967) p 265. ~uI trom ethyl~e ~d oxyg~: F~, ~h~ in G(~. G. O. Cu~ Jr., ~. {R~nhold, Key~ & ~ark's lndust~l Chemi~ F. A. ~w~h~m, York, 1952) pp 7~-113: J. N. ~ et aL. in M. K. Mo~, ~s. (Wiiey-lnte~, N~ York. 4th ~., Enc~to~d~ of Chem~l Technoi~ val. 9 (Wiley-In~ 1975) pp 397~2. Monograph: G. O. Cu~c, F. Johnston, ~, New York, 3rd ~., 1980) pp 432~71. G(~ (R~nhold. N~' York, 1952). Slightly ~ liq. S~t ~te (Po~no~ ~ not s~l- o lowO. ~nside~biv hygro~opic: A~orbs t~ its w~ght ~ ~ of ~ter at 1~% r~ative humidity, d~ 1.1274. dl° 1.12~. d~ 1.1135. d~ 1.1~5. ~e ~lon woghs 9.3 lbs. ~h ~t, o~p: 2~(I15'C). mp --13'. b~ 197.6': b~ }~; Colorl~s, ~ammabieg~al o~a~ r~ ~p~dp~: bP~ l~;bpa.o7~;bp0.~2W, n~S 1.43312; n~1.43~3. Vis- su~; liquid ~low 12'. bp 10.~. ~ --11I'. d~0.891,~C~ c~ty m ~ti~i~: 26 at 15'; 21 at 2~; 17.3 at 2~. ~e- 0.86~, d~ 0.8~. n~ 1.3597. ~1 in water, ~hol, l~t~c ~na~t at 2~ ~d 150 met~ wav~: 38.~ K~u~ AgNOs. ~u. ~pole mom~t 2.20. S~ hint at 20': 0.561 ~l/g/'C. Danger: ~plos~w? H~r& ~d ~ing: L. ~. H~t of fo~ation --108.1 k~lmol. H~t of ~sion ~.7 V.V. Tilton, Ind. Eng. Che~4~ 1251 (~950). ~/g. ~t of vapo~tion 191 ~/g. H~t of soln --6.5 ~: F~ig~t for [~t~s ~d t~l~. ~o s~.' ~/g of ~ln at 1~ wh~ 37 pa~s are mix~ ~ 63 pa~s surgi~ inst~. Agnc~t~ ~de. In o~. H:O (w/w). Pamchor 148.9 (th~ 15~2). Su~aee t~sion s~tb~, ~p in the producOon of ethyl~e gly~l- at 2W ~ 48.4 d~/~. Mis~ble ~th water, lower alipha- mate~ tot the manuf of ac~lonitfile ~d nonionic tic ~hola, glycerol a~tic add, a~tone and similar kc- rants. ~ution: Highly imping to eye, mu~ ton~, aldehyde, pyfidine and similar co~ mr baa~. Slight- br~. High conchs ~ ~e p~mona~ ~a- ly sol in ether (I:2~}. Praati~llv inso~ in ~e and its ' homologs, chlonnated hydr~r~ns, ~tr eth~, o~s. De~i- 37~. E~yle~mme. ~ine: ~eycloprop ty and freezing point of ethylene g,~col-water m~xtures: methvl~imine. ~H~N; mol ~ 43.07. C 55.77x~ 10.15% ~hylme gly~l by wt (dg, ~): 1.013, --3.5'; 20.~% 11.76%, N 32.53%.' gre~ by t~ng 2.ehlor~thYl~' ethyl~e giy~l: 1.027,--8'; 29.88%ethyl~egly~l: 1.~, ~;~;~~ y~?~: ~r~r&~:&~t ~ 15'; ~.23% ethyl~e glycol: 1.0~, --24"; 50.18% cthvl~e ) 6 i h gly~l: 1.067, --36~; 58.37% ethylene glycol: 1.0770, ~48". fu~c a~d by r~ction ~th NaOH: ~1~ et aL ~'.~$- LD~ orally in rats, guin~ pigs: 8.~, 6.6l g/kg, Smyth e~ coil vol, IV, 433 (1963). ~o~cologv. Woghtman, Hoy' al.. Z ln~. Hyg. Tox?eo/. ~, 259 (}~l); in mice: 13.~9 ~. Med. ~. 189, ~3 (19~). mi/kg, Bo~mann. A~nefm~t~e/- Fomeh. 4, ~3 (1954). ~uman Toxicity: Constitutes a h~rd when ingested: e.g., dnnking of antifr~e fluid. Transient stimulanon of CNS followed by ~epr~sion: vomiting, drowsin~s, coma, respiratory failure, convulsions: renal damage, which may 03/04/92 SAN JOAQUIN COMMUNITY HOSPITAL 215-000-000552 Page 1 Overall Site with 1 Fac. Unit General Information Location: 2615 EYE ST Map: 103 Hazard: High Community: BAKERSFIELD STATION 01 Grid: 30A F/U: 1 AOV: 0.0 Contact Name Title Business Phone - 24-Hour Phon~ IDIR SECURITY (805) 395-3000 x (805) 872-57.91 BILL MARTIN Administrative Data Mail Addrs: 2615 EYE ST D&B Number:07-q33-~60~ City: BAKERSFIELD .State: CA Zip: 93301- Comm Code: 215-001 BAKERSFIELD STATION 01 SIC' Code:.: ~ .Owner: SAN JOAQUIN COMMUNITY HOSPITAL CO Phone: Address: 2615 EYE ST State: CA City: BAKERFIELD Zip: 93301- Summary RECEIVED '4PR 0 992 HA7. ~,~4T, DIV. 03/04/92 SAN JOAQUIN COMMUNITY HOSPITAL 215-000-000552 Page 2 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-001 ETHYLENE OXIDE Gas 8925 Extreme · Pressure, Immed Hlth FT3 CAS #: 75-21-8 Trade Secret: No Form: Gas Type: Mixture Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3 Daily Average FT3 1 Annual Amount FT3 8,925 I 743.00 53,550.00 Storage ~ Press_~T TemD Location PORT. PRESS. CYLINDER IAmbient~AmbientlBASEMENT NW CORNER -- Conc Components ~ MCP ..i..List 12.0% IEthylene Oxide (EPA) IExtreme EPA 88.0%I Dichlorodifluoromethane IMinimal 02-002 HELIUM Gas 192 Minimal · Pressure FT3 CAS #: 7440-59-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3I Daily Average FT3 I Annual Amount 840.00FT3 -- 192 ~ 192.00 Storage ~. Press T.~Temp Location PORT. PRESS. CYLINDER IAmbientlAmbientl2ND FLOOR SW CORNER -- Conc Components MCP List 100.0% IHelium IMinimal I 02-003 OXYGEN Gas 322 Low · Fire, Pressure FT3 CAS #: 77'82-447 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3I Daily Average FT3 ----~ Annual Amount FT3 -- 322 ~ 230.00 2,760.00 Storage ~ Press T Temp ~ Location PORT. PRESS. CYLINDER I Ambient~Ambient12ND FLOOR SW CORNER -- Conc Components ! MCP List 1Q0.0% IOxygen, Compressed ~Low I 03/04/92 SAN JOAQUIN COMMUNITY HOSPITAL 215-000-000552 Page 3 02 - Fixed Containers on.Site Hazmat Inventory Detail in Reference Number Order 02-004 NITROUS OXIDE Gas 560 High · Fire, Pressure, Delay Hlth FT3 CAS #: 100-24-972 Trade Secret: No Form: Gas Type: Mixture Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3560 I Daily Average168.00FT3 I Annual Amount2,016.00FT3 -- Storage~~Press T Temp Location PORT..PRESS. CYLINDER IAmbient~Ambientl2ND FLOOR SW CORNER -- Conc Components · MCP ---[List 100.0% INitrous Oxide IHigh 02-005 NITROGEN ? 3600 Minimal · FT3 CAS #: Trade Secret: No Form: Unknown Type: Mixture Days: Use: MEDICAL AID OR PROCESS Daily Max FT3 Daily Average FT3' Annual Amount FT3 3,600 I 0.00 [ 10,800.00 Storage Press Temp Location PORT. PRESS. CYLINDER i T 12ND FLOOR SW CORNER -- Conc Components .. MCP List 100.0% INitrogen ]Minimal 02-006 XYLENE. Liquid 5. Moderate · Fire, Reactive GAL CAS #: 7610-2 Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: OTHER Daily Max GAL5 I Daily Average6.00GAL I Annual Amount200.00GAL " Storage~!Press I Temp ~ Location METAL CONTaINR-NONDRUMIAmbient~lAmbientlNW CORNER HISTOLOGY -- Conc Components ~ MCP . .[.List 100.0% IXylene, Mixed IModeratel 03/04/92 SAN JOAQUIN COMMUNITY HOSPITAL 215-000-000552 Page 4 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-007 UNDERGROUND DIESEL ? 700 Low · GAL CAS %: Trade Secret: No Form: Unknown Type: Mixture Days: Use: FUEL Daily Max GAL700 I Daily Average0.00GAL 1 Annual Amount350.00GAL Storage -Press Temp Location UNDER GROUND TANK -I T INE CORNER BEHIND OB -- Conc Components MCP ----[List 100.0% IDiesel Fuel No.2 ILOw 02-008 GASOLINE Liquid 100 Moderate · Fire, Reactive, Immed Hlth, Delay Hlth GAL CAS #: 71-43-2 . Trade Secret: No Form: Liquid Type: Pure Days: '365' Use: FUEL Daily Max GAL100 I Daily Average50.00GAL I Annual Amount600.00GAL Storage ~.. Press T Temp Location UNDER GROUND TANK ~Above ~Above INE CORNER BEHIND OB -- Conc Components ,.- MCP .,List 100.0% IGasoline IM°deratel 02-009 DIESEL Liquid 3000 Low · Fire, Immed Hlth, Delay Hlth GAL CAS #: 68476-34-6 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL Daily Average GAL 3,000 I 1,500.00 18,000.00 · Storage Press T Temp Location UNDER GROUND TANK IAbove ~Above ISE CORNER OB -- Conc Components - MCP --~List 100.0% IDiesel Fuel No.2 03/04/92 SAN JOAQUIN COMMUNITY HOSPITAL 215-000-000552 Page 5 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-010 PAINT LiqUid 60 Moderate · Fire GAL CAS #: 64742-898 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: PAINTING Daily Max GAL60 I Daily Average40.00GAL I Annual Amount500.00GAL-- Storage Press T Temp Location METAL CONTAINR-NONDRUMIAmbientlAmbientlSE STORAGE BLDG -- Conc Components MCP ~List I [Moderate 25.0% Waste Acids ' 15.0% INaphtha Moderate 5.0% IMethyl Ethyl Ketone Moderate 3.0% ~Ethylene Glycol Low 02-011 PAINT THINNER Gas · Fire, Reactive, Immed Hlth GAL5 ~5 High CAS #: 64742-88-7 Trade Secret: No Form: Gas Type: Mixture Days: 365 Use: OTHER Daily Max GAL55 I Daily Average55.00GAL I Annual Amount55.00GAL ~ Storage .~ Press T Temp~ Location METAL CONTAINR-NONDRUM~Ambient~AmbientlSE STORAGE BLDG - Conc Components MCP List 30.0% Acetone Moderate 15.0% Toluene Moderate 10.0% n-Propanol Moderate -~'10.0% n-Butyl Acetate 'Moderate 5.0% Xylene, Mixed Moderate 5.0% Methanol High 03/04/92 SAN JOAQUIN COMMUNITY HOSPITAL ' 215-000-000552 Page 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-012 BROCIDE CC 300-T Solid 100 Unrated · Reactive, Immed Hlth, Delay Hlth LBS CAS #: 126-067 Trade Secret: No Form: Solid Type: Pure .Days: 365 Use: ADDITIVE Daily Max LBS100 I Daily Average50.00LBS I Annual Amount600.00LBS Storage Press T Temp Location DRUM/BARREL-NONMETAL IBelow |Above IBASEMENT -- Conc I Components I MCP .~List 02-013 OXYGEN Gas 4096 Low · Fire, Pressure FT3 CAS #: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max4,096FT3 I Daily Average 444.00FT3 I Annual Amount 5,331.00FT3 --. Storage .Press T Temp Location PORT. pREss. CYLINDER IAbove I~ove I~ ¢ORNE~ 2T. & ~ -- Conc ComPonents '1' MCp List 100.0% IOxygen, Compressed ILOw I DRAFT CHEMICAL SPILL AND CONTINGENCY PLAN RESPONSE TO CHEMICAL SPILLS If anyone detects a hazardous substance release, the following measures are to be implemented immediately: 1. Ensure the safety of patients, staff and visitors. A. Then dial 700 and report the incident to the operator. Give exact location, nature and quantity of spill, if known. Operator will announce Code Orange and give location. B. Operator will contact all emergency response personnel including Bakersfield Fire Department, CALPI at 589-5648, ~ our on call Haz-Mat Emergency Response Team. NOTE: If anyone is exposed to any chemical which is an immediate danger to life or health: CALL CHEMICAL EMERGENCY HOTLINE AT 1-(800)424-9300111! In the event of a chemical' related fire, extreme precautionary measures must 'be implemented when extinguishing a fire involving hazardous substances. The fumes are usually 10 times more concentrated and more toxic than a regular structural type fire. DO NOT ENDANGER YOURSELF; EVACUATE!!~I~!!!!I!! For more information, refer to Policy 19.0 in the Haz-Mat Manual. 03/04/92 SAN JOAQUIN COMMUNITY HOSPITAL 215-000-000552 Page 7 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation ETHYLENE OXIDE - EVACUATE PERSONNEL IN IMMEDIATE AREA, CONTACT MAINTENANCE, NOTIFY FIRE DEPARTMENT IF NECESSARY. MEDICAL GASSES - EVACUATE PERSONNEL IN IMMEDIATE AREA IF POSSIBLE, CONTACT MAINTENANCE NOTIFY FIRE DEPT IF NECESSARY. UNDERGROUND DIESEL.- IN CASE OF RUPTURED TANK NOTIFY MAINTENANCE IMMEDIATELy, THEN CONTACT FIRE DEPARTMENT. XYLENE - EVACUATE PERSONNEL IN IMMEDIATE AREA, CONTACT MAINTENACE NOTIFY FIRE DEPT. ANTINEOPLASTIC DRUGS - NOTIFY FIRE 'DEPT, EVACUATION PROCEDURES IN ACCORDANCE WITH INDIVIDUAL MATERIAL SAFETY DATA SHEETS. GASOLINE - EVACUATE IMMEDIATE PERSONNEL, NOTIFY FIRE DEPARTMENT, CONTAIN SPILL UNTIL ARRIVAL OF FIRE DEPT. <3~ Public Notif./Evacuat~on. <4> Emergency Medical. Plan SAN JOAQUIN COMMUNITY HOSPITAL, EMERGENCY ROOM. · GUIDELINE 69: XYLENE SUBSTANCE IDENTIFICATION: Colorless liquids with a faint ether- like or pleasant odor. Used as solvents, degreasers, wetting agents, agricultural chemicals and anti-freezes. Also used in the application and manufacture of varnishes, lacquers, paints and detergents. ROUTES OF EXPOSURE: Skin and eye contact, inhalation, ingestion, and skin absorption. LIFE THREAT: Arrhythmias, respiratory failure, pulmonary edema, and paralysis. .Can also cause brain and kidney damage. SKIN AND SYMPTOMS BY SYSTEM: Cardiovascular: Cardiovascular collapse and tachy-arrhythmias, especially ventricular fibrillation. Respiratory: Acute pulmonary edema, dyspnea and tachypnea. Respiratory failure. Cough, hoarseness and substernal chest pain may be found. CNS: Headache, drowsiness, dizziness, weakness, tremors and seizures. CNS depression to coma. Paralysis may be present. Disturbances in vision and hearing. A transient euphoria may be present. Psycho-organic Syndrome of Solvents (neurobehavioral effects)(See description in "OTHER" section below). Gastrointestinal: Nausea, vomiting, and stomach pain. Excessive salivation may be present. Eye: Chemical conjunctivitis. Skin: May cause drying and cracking of the skin. Other: May affect bone marrow and cause cancer. NOTE: Prolonged exposure to hydrocarbon solvents can cause organic brain dysfunction knownas the Psycho-organic Syndrome of Solvents. In severe cases of exposure, this may progress to toxic neuroencephalopathy (dementia). This can produce permanent brain damage. Even breathing relatively small amounts of solvent fumes can produce this syndrome. DECONTAMINATIONS: Wear positive pressure self-contained breathing apparatus and special protective equipment. Delay entry until equipment is available. Remove patient from contaminated area. Gently blot, with absorbent material, any excess liquids that are present. Rinse patient with water and remove all clothing, jewelry and shoes. Wash patient with Tincture of Green soap and large quantities of water. Refer to decontamination protocol on MSDS. BASIC TREATMENT: Assist ventilation as needed. Administer oxygen by nonrebreather mask at 6-12 L/min. Monitor for pulmonary edema and treat as necessary. Monitor for shock and treat as necessary. Flush eye immediately with available water for eye contamination. In adults, if lid and globe are intact and without edema, eye irrigation lens may be used. Do not force lens; if unable to insert easily, do not use. For children, and if unable to use irrigation lens in adults, flush eyes using large bore IV tubing. Irrigate each eye with a minimum of 1000 ccs of normal saline. Administer 4-8 cz of water for dilution if product was ingested'and the patient can swallow, has a good gag reflex, and no drooling. Do not use emetics. ADVANCED TREATMENT: Consider orotracheal or nasotracheal intubation for airway control in the unconscious or respiratory arrest patient. Use positive pressure ventilation techniques; they may be beneficial Monitor Cardiac rhythm and treat arrhythmias as necessary. Start with IV with D5W TKO. Consider drug therapy for pulmonary edema. Treat seizures with diazepam (Valium). Dosage 2-10 mg in 2 mg increments slow IV push. SPECIAL CONSIDERATIONs: Products may cause acidosis; hyperventilation may be beneficial. Avoid epinephrine and related compounds. GUIDELINE 75: ETO SUBSTANCE IDENTIFICATION: Colorless liquid or gas. High fire and explosion hazard. Used as fumigants, hospital sterilizerS, and rocket propellants. ROUTES OF EXPOSURE: Skin and eye contact, inhalation and ingestion edema. LIFE THREAT: Irritant to respiratory tract, can cause pulmonary edema. SIGNS AND SYMPTOMS BY SYSTEM: Cardiovascular: Arrhythmias. Respiratory: Acute pulmonary edema and dyspnea. Irritant to respiratory tract and mucous membranes. CNS: Headache, drowsiness, weakness, and incoordination. Loss of taste and smell. Gastrointestinal: Nausea and protracted vomiting. Eye: Chemical conjunctivitis. Skin: Irritation, chemical burns, frostbite and cyanosis. Other: May be a teratogen and cause kidney/liver damage. DECONTAMINATION: ~ear positive pressure self-contained breathing apparatus and special protective equipment. Delay entry until equipment is available. Remove patient from contaminated area. ~Gentty blot, with absorbent material, any excess liquids that are present. Rinse patient with water and remove all clothing, Jewelry and shoes. Wash patient with Tincture of Green Soap and large quantities of water. BASIC TREATMENT: Assist ventilation as needed. EYE IRRITATION MECHANISM OF INJURY: Chemical exposure may cause damage to the eyes, ranging from chemical conjunctivitis to severe burns. SIGNS AND SYMPTOMS: Eyes - local pain, visual disturbances, lacrimation, edema and redness. BASIC TREATMENT: Flush with available water. Use a mild flow from a hose, or pour water from a container in order to irrigate. Remove contact lenses with a lens removal suction bulb. Gently place bulb cap end against the contact lens, then pull the bulb away from the eye in a straight line. Be sure not to touch the cornea with the suction bulb, as it may cause permanent damage. If you encounter difficulty, slide the lens onto the sclera and continue irrigation. Save each lens in a separate sterile container with sterile saline solution. In adults, if globe and lid are intact and without edema, eye irrigation lens may be used. Flush each eye with a minimum of 1000 ml of NS during transport. Do not force lens; if unable to easily insert, do not use. Lens insertion: Have advanced personnel install topical anesthetic. Attach IV tubing. Start flow. Have patient look down, insert lens under upper lid. Have patient look up, retract lower lid and drop lens into place. Lens removal: Have patient look up, retract lower lid behind the interior border of the lens, and hold that position. Have the patient look down, retract the upper lid and the lens will be extruded. If unable to use lens, irrigate each eye with a minimum of 1000 ml of NS and large bore IV tubing. In children, irrigate each eye using a minimum of 1000 ml of NS and large bore IV tubing. ~ Use caution not to flush chemical into an unaffected eye. Flush from the medial eye to the lateral eye. ADVANCED TREATMENT.' Check for allergies to "caine" drugs and administer 1-2 drops of proparacaine hydrochloride in each eye to facilitate the use of irrigation lens. SPECIAL CONSIDERATION: Advise the patient not to rub his eyes. Do not force irrigation lens; if you encounter difficulty inserting them, do not use them. SHOCK HYPOVOLEMIC MECHANISM OF INJURY: Chemical exposure may cause abnormal permeability of the blood vessel walls and leakage of plasma (water) across cell membranes and out of the vascular system causing hypovolemia. Dehydration and hemorrhage may also occur. SIGNS AND SYMPTOMS: Cardiovascular: Usually pulse is greater than 120 beats/minute and weak (may be bradycardiac or normal). BP less than 90 systolic and Jugular venous pressure is decreased. Positive orthostatic changes are present (pulse increase of 20 or more, or a blood pressure decrease of 20 or more, or a combination of'20 or more when a patient is moved from a supine to.a standing position). Respiratory_: Increased rate with shallow respirations. CN~: Anxiety, restlessness, confusion, decreased LOC, and coma. Skin: Pale, sweaty, cool or, in cases of dehydration, warm and dry. BASIC TREATMENT: Assure an open airway and support ventilations as necessary. Administer oxygen by nonbreather mask at 6-12'L/min. Control any external bleeding. Elevate legs 10-12 inches. Splint fractures. Maintain body temperature. Apply pneumatic antishock garment and inflate, by direct physician order. Monitor vital signs every 5 minutes. ADVANCED TREATMENT: Consider orotracheal or nasotracheal intubation for airway control. Start an IV of LR or NS. Use pneumatic antishock garment and fluid resuscitation to maintain blood pressure. SPECIAL CONSIDERATIONS: Hypotension is a late sign. Be prepared to institute treatment before the blood pressure falls. After IV fluids are started during initial resuscitation efforts, watch for signs of fluid overload and pulmonary edema. The elderly and patients with chronic hyertension may be hypovolemic with vital signs that appear normal. Look for cardiogenic signs of traumatic shock, such as cardiac tamponade and tension pneumothorax. Do not use vasoconstrictor drugs. Rapid transport to an appropriate treatment center is essential. Do not waste time on scene. 03/04/92 SAN JOAQUIN COMMUNITY HOSPITAL 215-000-000552 Page 8 00 - Overall Site <D> Notif./Evacuation/Medical <4> Emergency Medical Plan (Continued) 03/04/92 SAN JOAQUIN coMMUNITY HOSPITAL 215-000-000552 Page 9 00 - Overall Site ~ <E> Mitigation/Prevent/Abatemt <1> Release Prevention ETHYLENE OXIDE - TANKS ARE IN ENCLOSED AREA, CHAINED. MEDICAL GASSES - HELIUM, OXYGEN, NITROGEN, NITROUS OXIDE, CHAINED. UNDERGROUND DIESEL - STORED IN UNDERGROUND STORAGE AREA (BOTH TANKS) XYLENE - STORED IN THE FLAMMABLES CABINET IN LAB ON FIRST FLOOR. ANTINEOPLASTIC DRUGS - ALL DRUGS STORED IN THE HOSPITAL PHARMACY. GASOLINE - CONTAINED IN UNDERGROUND STORAGE TANK. PAINT - CONTAINED IN WELL VENTILATED AREA IN METAL CONTAINER. PAINT THINNER - CONTAINED IN METAL CONTAINER, WELL VENTILATED AREA REGULAR INSPECTION WILL BE MADE OF THE STORAGE SITE BY ENGINEERING TO INSURE THERE ARE NO LEAKING OR'SPILLED CONTAINERS. IF A SPILL OR LEAK IS FOUND THE FOLLOWING ACTIONS WILL BE TAKEN: SEE CONTAINMENT <2> Release Containment A) BEFORE ATTEMPTING TO CLEAN UP ANY CHEMICAL SPILL OR SPLASH DETERMINE WHAT CHEMICAL(S) HAS SPILLED. B) FOLLOW DIRECTION ACCORDING TO ESTABLISHED PROCEDURES ON THE MSDS FOR CLEANING UP THAT TYPE OF CHEMICAL SPILL OR LEAK C) EVACUATE ALL PERSONNEL FROM THE AREA D) INSURE ADEQUATE VENTILATION E) CONTACT THE. HAZARDOUS WASTE COORDINATOR AND THE ENGINEERING DEPARTMENT F) WAIT BY THE SPILL AREA, WELL OUT OF DANGER, UNTIL HELP ARRIVES. AVOID TRACKING THROUGH THE SPILL G) OBTAIN APPROPRIATEPROTECTIVE SAFETY EQUIPMENT H) CLEAN UP THE SPILL ACCORDING TO ESTABLISHED PROCEDURES PER MSDS I) COMPLETE AN INCIDENT REPORT REGARDING THE SPILL OR LEAK J) ANY MAJOR SPILLS FROM A CHEMICAL SUBSTANCE WILL BE REPORTED TO THE HAZARDOUS MANAGEMENT COORDINATOR VIAL THE HOSPITAL OPERATOR DIALING O <3> Clean Up FIRST AID: REMEBER..TO KEEP IT SIMPLE AND IDENTIFY THE MOST IMMEDIATE ACTION TO BE TAKEN UNTIL PROFESSIONAL MEDICAL HELP IS AVAILABLE. CLEAN UP: PROCEDURES SHOULD REFLECT THE CONTAINER SIZE USED IN YOUR DEPTAND THE MATERIALS AVAILABLE TO YOU. fOR EXAMPLE: FOR A MERCURY SPILL, DO NOT INSTRUCT THE USE OF A MERCURY CLEANUP KIT IF NO KIT IS AVAILABLE IN YOUR DEPT. PROCEDURES SHOULD BE COMPATIBLE WITH THE SPILLED DISPOSAL INSTRUCTION GIVEN IN THE NEXT SECTION SPILLED MATERIALS: USE THE DRAIN WHENEVER POSSIBLE GIVEN SAFETY AND LEGAL CONSIDERATIONS. IF SPECIAL HANDLING, STORAGE AND DISPOSAL INSTRUCTIONS ARE REQUIRED, MORE DETAILED PROCEDURES CAN BE LISTED ON A SEPARATE PAGE AND ATTACHED. <4> Other ReSource Activation 03/04/92 SAN JOAQUIN COMMUNITY HOSPITAL 215-000-000552 Page 10 00 - Overall Site <E> Mitigation/Prevent/Abatemt <4> Other Resource Activation (Continued) 03/04/92- SAN JOAQUIN COMMUNITY HOSPITAL 215-000-000552 Page 11 00 - Overall Site <F>-'Site Emergency Factors <1> Special Hazards RADIOISATOPES ON HAND RADIATION HAZARD > <2> Utility Shut-Offs A) GAS - WEST SIDE, BACK DOCK & EAST SIDE EQUIPMENT AREA B) ELECTRICAL - MAIN POWER BOILER ROOM BASEMENT MAINTENANCE AREA C) WATER - MAIN SHUTOFF, BACK DOCK WEST SIDE, ALSO EAST SIDE ALLEY D) SPECIAL - ETHYLENE OXIDE BASEMENT MAIN POWER VAULT E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - MAINTENANCE FIRE BRIGADE AND PRIVATE FIRE PROTECTION FIRE HYDRANT - ? · <4> Building Occupancy Level IDENTIFICATION OF RADIOACTIVE WASTE AND THEIR SOURCES A. Radioactive materials and wastes that are generated from their use are localized in the following departments: 1. Nuclear Medicine 2. Radiology B. Radioactive waste materials constitute those waste isotopes and those materials contaminated by those isotopes, as defined by the Nuclear Regulatory Commission. These materials may be categorized in one of three forms for disposal purposes: solid, liquid, and gases. GENERAL PROCEDURES A. All federal, state and local regulations governing the use of radioisotopes shall be met. B. User must submit a formal written request to the Committee for authorization under the broad license for every specific radioactive by-product use involving the combination of chemical or physical form and usage. Ail usage shall be documented by user. C. A caution sign stating: "CAUTION RADIOACTIVE MATERIAL" is to conspicuously posted in areas accessible to patients, staff and the public. D. The authorized individual will be expected on a day-to-day and hour-to-hour basis to keep. a constant check on the possibility of radioactive contamination andspills through surveying and monitoring of work areaswith appropriate monitor/n~ devices. Whenever evidence of the possibility of some ~pread of the material, such as deposition of droplets on a work area, spread of dust and the like is apparent, the ~--~-~~n~i~td~f'~er--is'expected to carry out i~mediate survey procedures. Where warranted, the Radiation Safety Officer (RSO) may be called in to aid in this. The constant Iow- level monitoring of the work area is the full responsibility of the authorized individual. When this day-to-day check of the radioactive work area and review for possible contami- nation~s~ows contamination areas, record should be made and t~ dO f~u~ediately consulted in terms of the level of contamination. E. All contamination should be approached with the logic that they must, if possible, be reduced to background levels. This rule should apply for equipment, facilities, clothing skin and the like. 03/04/92 SAN JOAQUIN COMMUNITY HOSPITAL 215-000-000552 Page 12 00 - Overall Site <G> Training <1> Page 1 WE HAVE 600 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE EMPLOYEES ARE TO ATTEND A HEALTH AND SAFETY INSERVICE SET UP BY THEIR DEPT. PRIOR TO FIRST DAY OF EMPLOYMENT AND ON AN ANNUAL BASIS THEREAFTER FOR THE PURPOSE OF REVIEW, TRAINING WILL INCLUDE THE FOLLOWING: I. AN OVER VIEW OF THE HAZARD COMMUNICATION REGULATIONS A. HAZARD COMMUNICATION REGULATION REQUIREMENTS B. EMPLOYEES RIGHTS UNDER THE REGULATIONS · C. A DESCRIPTION OF THIS FACILITY'S HAZARDOUS COMMUNICATION PROGRAM D. LOCATION AND AVAILABLILITY OF THE REGULATIONS, MSDS'S, AND OTHER INFO II. TRAINING ON THE READING OF LABELS AND MSDS'S III. TRAINING ON IDENTIFIED HAZARDOUS MATERIALS ENCOUNTERED IN THE WORK PLACE ON THE INFORMATION FOUND ON THE HAZARDOUS SUBSTANCE POLICY SHEET <2> Page 2 as needed A. COMMON AND GENERIC NAMES FOR THE MATERIAL. B. IDENTIFICATION OF MATERIALS BY APPEARANCE AND OTHER PROPERTIES. C. EFFECTS OF PARTICULAR HAZARDS ON THE ENVIRONMENT AND PERSONAL HEALTH D.'HANDLING PRECAUTIONS. E. PROPER USAGE. F. EMERGENCY SPILL PROCEDURES INCLUDING IMMEDIATE FIRST AID AND CLEAN UP PROCEDURES. DOCUMENTATION OF ALL TRAINING IS TO INCLUDE INSERVICE MATERIALS; SIGN-IN SHEETS WILL BE SUBMITTED TO THE SAFETY COORDINATOR AND REVIEWED ANNUALLY BY THE HOSPITAL SAFETY COMMITTEE AND HOSPITAL QUALITY ASSURANCE-COMMITTEE. IV. TRAINING ON THE HAZARDS ASSOCIATED WITH NON-ROUTINE DUTIES: A. AVOID CONTACT WITH OR EXPOSURE TO UNFMAILIAR SUBSTANCES. THIS INCLUDES '<3> Held for Future Use ALL SUBSTANCES ON WHICH PERSONNEL HAVE NOT RECEIVED TRAINING OR ARE OTHERWISE UNAWARE OF ITS PROPERTIES. B. ASKING QUESTIONS OF APPROPRIATE PERSONNEL REGARDING HAZARDS BEFORE WORKING IN A NON-ROUTINE OR UNFAMILIAR AREA. C. RELAYING HAZARD INFORMATION TO OTHER. WORKERS WHO ARE NOT ROUTINELY PERFORMING DUTIES IN YOUR DEPARTMENT. D. HOW TO RECOGNIZE UNLABELED PIPES WHICH MAY CONTAIN HAZARDOUS MATERIALS V. DEPENDING ON THE AREA, EITHER THE CHIEF ENGINEER OR CONSTRUCTION UNIT MANAGER IS RESPONSIBLE FOR INSURING THAT.'ALL CONTRACTORS, MAINTENANCE COMPANIES, ETC., ARE INSTRUCTED IN POTENTIAL HAZARDS THEY MAY BE EXPOSED 03/04/92 SAN JOAQUIN COMMUNITY HOSPITAL 215-000-000552 Page 13 00 -'Overall Site <G> Training <3> Held for Future Use (Continued) TO WHILE WORKING AT THE FACILITY. THE MANAGER WILL ALSO REVIEW ALL PRODUCTS THE CONTRACTOR MAY INTRODUCE TO INSURE FACILITY PERSONNEL ARE NOT EXPOSED TO ADDITIONAL UNFAMILIAR HAZARDS. <4> Held for Future Use VI. THE SAFETY COORDINATOR IS RESPONSIBLE FOR COORDINATING AN ANNUAL AUDIT OF THE HAZARDOUS SUBSTANCE PROGRAM. THE AUDIT WILL BE CONDUCTED DURING THE MONTH OF FEBRUARY EACH YEAR. THE AUDIT WILL BE PERFORMED AS PART OF THE ANNUAL SAFETY AUDIT. THE FOLLOWING FEATURES WILL BE AUDITED: A. IDENTIFICATION OF HAZARDOUS SUBSTANCES AND THE AVAILABILITY OF MSDS'S B. POSTED NOTICE OF HAZARDOUS SUBSTANCES IN THE WORK PLACE. C. COMPLETION AND DOCUMENTATION OF TRAINING FOR ALL EMPLOYEES IN THE DEPARTMENT. D. EMPLOYEE KNOWLEDGE OF HAZARDOUS SUBSTANCES AND LOCATION AND USE OF MSDS'S 0 /%~ ~BakersfieldFireDept' e ~ ~ '-' HAZARDOUS MATERIALS DIVISION Date Completed //-- .Z ..<-'- ? / Location: ~/~5'" ,,~zT'/~,<F .~'/. Business Identification No. 215-000 (Top of Business Plan) 2 199~ Station No. / Shift ,~ Inspector ~ ~ ~ r -"/- 5 .4//8'd ............ Ade~J/e Inadequate Verification of Inventory Materials Verification of Quantities Verification of Location ~Materia'--"---~-_ ~ C0mment~ _~,..~'~. x~//e'~e ,~:~'J/,~ ,~/~,'~ /'~F'/-.oo,~./(/~$~'£ /~ comments: Verification of Abatement Supplies & Procedures Comments: / Emergency Procedures Posted Containers Properly Labeled ~'~ I~ /~ ~./ Comments: Special Hazards Associated with this Facility: ,,~ Violations: , i /v_- ).z/ Correction Needed ]~] Bus~ h'~/~'nager ( ~ FD 1652 (Rev. 1-90) White-Haz Mat Biv. Yellow-Station Copy Pink-Business Copy Memorandum · .... To ~ "OSHPO Dam..- "''~ 1600 Ninth St;; Ste. 410 RECEIVED Sacramento, CA 9581¢ ~I~ No.: J ~ns'~ ............ .. No~hern Regional Divlsian ATSS 4433 ~arin Road, Suite Sacrmmenta, ~ 95823 (916) ~27-~186 __~.]_i~_:__F~.NA~ _~N~_T~U~TZ]B__[~.PE]T~ 6P~R~ ................ ~____ ~?~cZ?Z.~~) ......... A final inspection has been cond'ucted at the facility listed below to determine conformance with construction plans and specifications. Fire clear, ance is granted for all construction covered under the listed OSHPD project and does not extend to any construction or facilities hOC included ''- in the construction permitted under this single OSHPD number. Nothing in our review shall be construed as encompassing .the structural integrity of the building or equipment contained therein. / , ROBERT McNEZLL Supervisor, Plan Review dc: [{]~cility Administrator [~cal Fire Aui:hority f'),l,Z'vr,~ ¢,'~/~t ' [~'SFM-Field Operations (OSHPD 02/88) . RECEIYEO t FORM 4A-I Page 1 of ' ] NON--TRADE SECRETS ~{~ ............ '. · HAZARDOUS MATER I ALS I NVENTOR~ S)N~SS NA~I~: San Joaquin Co,unity Hospital OWNER NA~E: San Joaquin Co~. Hospital Corp. FACILITY UNIT OR~SS: 2615 Eye Street ADDRESS: 2615 ~ye Street FACiliTY ~NIT NAME: TY ZIP: Bakersfield California CiTY Z~P: Bakersfield California ring ,.. 805-327-1711 Pi)OnE ,: 805-327-1711 [OFF~C~AC USg CF~RS CODE m ONLY 2 3 4 5 6 7 8 9 10 g MAX ANNUAL CONT llS~ LOCATION IN THIS % BY HAZARD )D.O.T g.., AMOUNT AMOUNT UNIT CODE 'CODE FACIL)TY UNIT WT. CHgq~GAL OR COMMON NAME CODE GUIDE M 67',68LBS 2~8,~: LB,;LBS 04 36 BASEMENT NW CORNER "1~' E HYLENE OXIDE (SEE ATTACHED MSDB) NFLG M 192.5~3 840 FT3 ~3 04 27 2ND FLOOR SW CORNER 100~ HEL,UM (SEE ATTACHED MSDS) NFLG M 322FT3 2760FT3 ~3 04 27 2ND F~OOR SW CORNER. 100% ~ (SEE ATTACHED MSDS) NFLG M 560FT3 2016FT3 FT3 o4 27 2ND FLOOR SW CORNFR lnn~ NTT~n)mg n~nF {SEE A~ACHED MSDS) NFLG M...3600FT3 )0,800 FT3 04 27 2ND FLOOR SW CORNER 100% NITROGENk(SEE ATTAgHED MSDS) NFl ~ ~s GAL. ~00 GAL GAL. 06T~ST. ~W CO~E~ ~[STOCOGV ZO0~. XVLE~E (SEE ATTAC~[D ~SDS) O~E ~, S GAL. ~S ~L GAL. 0740 SE CO~E~ PHArmACY 100~ A~TI~EOPLAST~C nmms ~s~'.sns) M 700GAL:.. 350 GAL.GAL, 01 19 NE CORNER BEHIND O.B. 100~ UNDERG. UND DIESEC (SEE MBDS) 2 FLGS ~ 100 GAL. 50 GAL. GAL. 01 19 NE CORNER BEHIND O.B. 100~ GASOLINE (UNDERGROUND TANK) {MSDS) FLGS M 3000GAL. IO00GAL. GAL. 01 19 NW CORNER BY GENERATO', 100~ U~D~h~R~U~DDIESEL 2ND TANK (MSDS) FLGS ~ 60..GAL. 500 GAL.GAC, O1 29 SE STORAGE BUILDING 100~ PAINT (SEE MSDS) ORCA ~M 55 GAL. 55 GAL. GAL. 01 29 S~ STQRAGE BUILDING lO0~ PAINT THINNF~-<MSn~) ORMA .~' _._ _ , ,~/ ,~ .~C _ ~ , , BILL MARTIN T[T[,g: DIR. of SECURITY SIGNATURE: DATE: 'NCY CONTACT: BILL MARTIN TITI, E: DIR. of SECURITY ' PIIONE { BUS HOURS: 327-1711 AFTER BUS HRS: 872-5291 ,, ~n~,~ .... VD~IT~ DT(HDD Trmt c. fl~gT~T A~MT~ ~ DTMA~IP~;~n~ · n~o un,,~o. ' 22721711 ~?- APR-ii-"90 WED 09:39 I£OPHAGAZ LONG BEACH TEL N0:213 .~15 PO1 ~..~, ,,.., APR-ii-'90 WED 09:40 I~ _PHAGAZ LONG BEACH TEL N0:213 5.349 tLT15 P02 ALPHAGAZ r~storaa~ ~c~.~,~.,'~t, ~,.,, rconglnded on ~'ast pege~) of euc~ Iflfor~o~Ofl g~ 8~h~oo {0 ~rOhCXo(2r'~ intOn~OO ~ur:~., ' ,f t~ MM, S(~cs , '.~ ~ ~ h~ no ~10YM ~l ~ ~f ~it ~t~u~ it ~ror phys(c~) d~8 of pure compoumds see Sheets for Ethy!ene Oxide and HaIoc~rbon ~P~OIAL PROLCON I~ORMA~ON P~ ~ _ [~?~{~ ~' _--. - ..............~ffS'~ ' '"-'"'-~" ','- when ~Onnectin9 cylinder to ~ower pressure (<200 psig} plp~n~ or .... ~,~,~:6~d oa~ cy,!t~dnr which ~'~.8 not b.,..~ ........ y ~r with Sh!pmet-tt nf ct ,..,, ,,>. ,~:~>~ .... ~... e'~ e~'~';~d h the ~ "~<~ ~P~-11-'90 UED 09~,4R ! LL~B BEOCH TSL N0:2_1~ 4 ~49 ~S1,5 PO5 TO: BUILDING DEPT. LOCATION / 5-~ ~ ~Z~7 rY~ ~E STATUS OF HAZ MAT REGULATIONS I. I'~ Required to complete a Hazardous Materials Business Plan I--] HczarCous Materials Busine~ Plan Complei'e II.' i"-! Risk Management & ?reventicn Program Required E~ Risk Management & Prevention Program Requirements are being met - OK ia issue permit [] Risk Management c~nd Prevention Program has been a.~proveC. OK to issue Certificate of Ccou~cnc'/. III. ~No HczarCous Material Requirements. IV. r-] All Hazardous Materials Reporting 'Requirements Complete ,,'.'_¢,~° *;;9% ~. '~,'~ HAZARDOUS MATERIALS COMPLIANCE STATEMENT ~', (To be completed by 5uilding Permit Applicant ~nd /or Site Plan ~&~. ~&T. ~IV. ReviewApplio~nt end returned to the 8uilding Dept. or Plonmng Dept.) ,~As~ ~SAa Aa O~ mE ~N,O.MA~ON CA,E~mY. ~U,E ~O COM,~Y W~H ~HE H*ZA~aOUS MA~mA~S MAY ~SUtf ~N C~W~ UA,mRS O~ U. ~O S2~0.O0 ¢O, ~ACH ~AY ~N WHICH ~H~ V~O~A~ON OCCU,S. YES NO Will ~e Applicant or ~ture building occupant be required to complete a H~ardous Matefia~ Business Plan? (NOI~ If you hondle, store, me or dgpose of. repo~oble quontifle~ of cng h~ordom substonce, you ~re required by Ooli¢ornio tow to complete ~ H~ordou~ Moteriols Bu,ine~ Plan. Form~ con be obtoined from ~he Boke¢~fie~ . ' ~re ~p~¢ment H~ordom M~ferio~ B~ion. 2130 e Street. '" · . Igpicol evew dog hozordom moteriog you meg find in your focil~e~ meg include. . but not lim~ed to: compre~ed go~m; lue~ - oll Wpe~; ~o~enf~; oi~ (new ' woste); ~inners; comfit or co,o~e molefiol~; poisonom of toxic motedog; end ' - ': rodloocflvo moteriol~. Will the applicant or fu~re building occupaht be required to complete a Rgk Manag~ YES NO ment and Prevention Program? (NQf~ If you h~ndle. ~tore. u~e or di~¢o~e of ,o~orfoble quonffiie~ of cng e~reme~ h~ordou~ ~ub,tgnce you mu~ develop o Rgk Monogement end Prevention Progrom. ~IS PLAN MUST gE APPRQVED 8Y THE LOCAL ADMINISIERIN~ A~NOY BEFORE YOU CQMMENC~ OPERA~ONS AT TMlS FACILIW. lhe list ofreguloted c~emic~ls ~ contoined in Appendix A of p~ 355 of Subohopfer J ct Ch¢~ter I of TiMe ~ of the Code of Federal ~egul~fion~. l~t of chemicots ~ovoiloble ¢ the Bokersfield Fire Dep~rtment, M~teri~ Division, 2130 G Street. Will the applicant or future building occupant be required to obtain a permit from the YES NO Kern County Air Polution Control District? Location within 1.000 feet of outer boundry of the following: YES NO School -(any school, public or private used for the purposes of education of D r~ children Kindergarten or any of grade 1 to 12. inclusive) Hospital- Check here if none of the above apply to this project. ,/ (Owner, Priniple or icer of B~iness) FD' i6,54 BAKERSFIELD FIRE DEPARTMENT .2./.2 ~. / ~ ! BUREAU OF FIRE PREVENTION ~- ~ 7 ~ ~te APPLICATION Appfication No. In conformi~ with provisions of pertinent ordinances, codes and/or regulations, application i~ rnade by: N~me of Com~ny '/' ' / [ Address to display, store, install, use, o~rate, sell or handle materials or pr~esses involving or creating con- ditions deemed hazardous to life or pro~r~ as follows: d RESOURCE MANAGEMENT AGENCY Environmental Health Seduces Department RANDALL L. ABBOTT STEVE McCAll Fy, REHS, DIRECTOR DIRECTOR Air Pollution Control District DAVID PRICE ill W~UA~ J. RODDY, APCO ASSIST~ DIRECTOR Planning & Develol~mem Semites Department TED J.~UVlES, AICP, DIRECTOR ENVIRONMENTAL HEALTH SERVICES DEPARTMENT PERMIT FOR PERMANENT ~ PERMIT NUMBER A ~ OF UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY FACILITY NAME/ADDRESS: OWNER(S) NAME/ADDRESS: CONTRACTOR: San Joaquin Hospital San Joaquin Hospital Groundwater Resources, Ine. 2801 Chester Ave. 2615 Eye St. 1500 S. Union Bakersfield, CA 93301 Bakersfield, CA 93301 Bakersfield, CA 93307 License #609572 Phone: 805-326-4140 Phone: 805-835-7700 PERMIT FOR CLOSURE OF PERMIT EXPIRES Mav 26, 199~ LOCATION APPROVED BY Laurel Funk Hazardous Materials Specialist ....... : ....................................................................................... POST ON PREMISES ..... '. .......................................................................................... CONDITIONS AS FOLLOWS: 1. It is the responsibility of the Permittee to obtain permits which may be required by other regulatory agencies prior to beginning work (i.e., City Fire and Building Departments). 2. Permittee must noti~, the Hazardous Materials Management Program at (805) 861-3636 two working days prior to tank removal or abandonment in place to arrange [or required inspections(s). 3. Tank closure activities must be per Kern County Environmental Health and Fire Department approved methods as described in Handbook UT-30. 4. It is the contractor's responsibility to know and adhere to all applicable laws regarding the handling, transportation or treatment of hazardous materials. 5. The tank removal contractor must have a qualified company employee on site supervising the tank removal. The employee must have tank remOval experience prior to working unsupervised. 6. If any contractors other than those listed on permit and permit application are to be utilized, prior approval must be granted by the specialist listed on the permit. Deviation from the submitted application is not allowed. 7. Soil Sampling: a. Tank size less than or equal to 1,000 gallons - a minimum of two samples must be retrieved from beneath the center of the t. ank at depth~ of approximately two feet and six feet. b. Tank size greater than 1D00 to 10,000 gallons - a minimum of four samples must be retrieved one-third of the way in [rom the ends of each tank at depths of approximately two feet and six feet. c. Tank size greater than 10,000 gallons - a minimum of six samples must be retrieved one-fourth of the way in Rom the ends of each tank and beneath the center of each tank at depths of approximately two feet and six feet. 8. Soil Sampling (piping area): . A minimum of two ~amples must be retrieved at depths of approximately two feet and six feet for every 15 linear feet of pipe run and under the dispenser area. 2700 "M" STREET, SUITE 300 BAKERSFIELD, CALIFORNIA 93301 (805) 861-3636 FAX: {805) 861-3429 .MIT FOR PERMANENT CLC,iUi',~ PERMIT NUMBER A 144~o16 F UNDERGROUND HAZARDOUS ADDENDUM SUBSTANCES STORAGE FACILITY 9. Soil Sample analysis: a. All soil samples retrieved from beneath gasoline (leaded/unleaded) tanks and appurtenances must bc analyzed for benzene, toluene, xylenc, and total petroleum hydrocarbons (for gasoline). b. All soil samples retrieved from beneath diesel tanks and appurtenances must be analyzed for total petroleum hydrocarbons (for diesel) and benzene. c. Ail soil samples retrieved [rom beneath waste oii tanks and appurtenances must be analyzed for total organic halides, lead, oil and grease. d. Ail soil samples retrieved from beneath crude oil tanks and appurtenances must be analyzed for oil and grease. e. Ail soil samples retrieved from beneath tanks and appurtenances that contain unknown substances must be analyzed for a full range of substances that may have been stored within the tank. 10. The following timetable lists pre- and post-tank removal requirements: Complete permit application submitted At least two weeks prior to closure to Hazardous Materials Management Program Notification to inspector listed on permit of date Two working days and time of closure and soil sampling Transportation and tracking forms sent to Hazardous No later than 5 working days for transportation and 14 working Materials Management Program. All hazardous waste days for the tracking form after tank removal manifests must be signed by the receiver of the hazardous waste Sample analysis to Hazardous Materials Management No later than 3 working days after completion of analysis Program 11. Purging/Inerting Conditions: a. Liquid shall be pumped from tank prior to purging such that less than 8 gallons of liquid remain in tank. (CSH&SC 41700) b. Tank shall be purged through vent pipe discharging at lea~t 10 feet above ground level. (CSH&SC 41700) c. No emission shall result in odors detectable at or beyond property line. (Rule 419) d. No emission shall endanger the health, safety, comfort or repose of any person. (CSH&SC 41700) e. Vent lines shall remain attached to rank until the inspector arrives to authorize removal. RECOMMENDATIONS/GUIDELINES FOR REMOVAL OF UNDERGROUND STORAGE TANKS This department is responsible for eniorcing the Kern County Ordinance code, Division 8 and state regulations pertaining to underground storage tanks. Representatives from this department respond to job sites during tank removals to ensure that the tanks are safe to remove/close and that the overall job performance is consistent with permit requiremenL~, applicable laws and safety standards. The following guidelines are offered to clarify the interesus and expectations for this department. 1: Job site safety is one of our primary concerns. Excavations are inherently dangerous. It is the contractor's responsibility to know and abide by CAL-OSI--I~A regulations. The job foreman is responsible for the crew and any subcontractors on the job. Aa a general rule, workers are not permitted in improperly sloped gxcavations or when unsafe conditions exist in the hole. Tools and equipment are to be used only for their designed function. For example, backhoe buckets are never substituted for ladders. 2. Properly licensed contractors are assumed to understand the requiremen.ts of the permit issued. '~hc job foreman is responsible for knowing and abiding by ' the conditions of the permit. Deviation from the permit conditions may result in a stop-work order. 3. Individual contractors will be held responsible for their post-removal paperwork. Tracking foTM, hazardous waste manifests and analyses documentati°n are necessary for each site in order to close a case file or move it into mitigation. When contractors do not follow through on necessary paperwork, an unmanagea~n~mp~te cases results. If this continues, processing time for completing new closures will increase. funk\1446-16.pta '~ LIQUID AIR CORPORATION ALPHAGAZ ALPHAGAZ DIVISION Specialty Gas Material Safety Data Sheet PRODUCT NAME Ethylene Oxide TELEPHONE (415) 977-6500 EMERGENCY RESPONSE INFORMATION ON PAGE 2 · ~-'~"{.LIQUID AIR CORPORATION TRADe[ NAME AND SYNONYMS Epoxyethane, CAS NUMBER ALPHAGAZ DIVISION One California Plaza, Suite 350 Ethyl ene 0xi de, Ox i rane 75-21-8 2121 N. California Blvd. CHEMICAL NAME AND SYNONYMS Ethyl ene Walnut Creek, California 94596 Oxide, 1,2-. Epoxyethane, 0x. irane ISSUE DATE OCTOBER 1, 1985 FORMULA MOLECULAR WEIGHT CHEMICAL FAMILY A.D REVlSIO.S CORPORATE SAFETY DEPT.C2H40 44.0 Epoxide HEALTH HAZARD DATA TIME WEIGHTED AVERAGE EXPOSURE LIMIT 1.0 Molar PPM (ACGIH, 1984-85) Please see note on Page 4. SYMPTOMS OF EXPOSURE Low concentrations inhaled will cause delayed nausea. Inhalation of high concentrations results in a narcotic and possible neurotoxic effect--possibly followed by coughing, vomiting and irritation to the respiratory passages which will eventually lead to emphysema, bronchitis and pulmonary ede~la. It has been reported '~L~_~':~:~-- to cause rapid olfactory fatigue. (Continued on Page 4.) TOXICOLOGICAL PROPERTIES Inhalation: The neurotoxic or narcotic effect results in respiratory failure with acute pulmonary edema. Comas with metabolic acidosis and oxaluria have also been observed. It has been known to cause chronic intoxication in humans. Frostbite is a change in the color of the skin to grey or white, possibly followed by blistering. Listed as Carcinogen National Toxicology Yes [] I.A.R.C. Yes [] OSHA Yes [] or Potential Carcinogen Program No [] Monographs No [] No [] RECOMMENDED FIRST AID TREATMENT PROMPT MEDICAL ATTENTION IS MANDATORY IN ALL CASES OF OVEREXPOSURE TO ETHYLENE OXIDE. RESCUE PERSONNEL SHOULD BE EQUIPPED WITH SELF-CONTAINED BREATHING APPARATUS AND BE COGNIZANT OF EXTREME FIRE AND EXPLOSION.HAZARD. Inhalation: Conscious persons should be moved to an uncontaminated area, made to recline, kept warm, and given warm water in amounts adequate to purge their stomachs of the ethylene oxide contamination. In the event of severe exposure, oxygen should also be administered by a competent person. The physician should look for signs of lung congestion. (Continued on Page 4.) Judgements as to the suitability of information here n for purchaser's purposes are necessarily purchaser's responsibility. Therefore although ressonable care has been taken in the preparation oi such information, Liquid Air Corporation extends no warranties, makes no representations, and assumes no responsibility as to the accuracy or suitability of such intormation for application to purchaser's intended purposes or consequences of its use. Since Liquid Air Corporation has no control over the use of this product, it assumes no liability for damage or loss of product resulting from proper (or improper) use or application of the product. Data Sheets may be changed from time to time. Be sure to consult the latest edition. AG 05233 HAZARDOUS MIXTURES OF OTHER UOUIDS. SOLIDS, OR GASES Ethylene oxide is flammable over an extremely wide range in air. Its vapors also react violently with caustic soda, hydrated lime (or quicklime), magnesium chloride, ammonia, alcohols and amines. PHYSICAL DATA BOILING POINT LIQUID DENSITY AT SOILING POINT 50.81°F (10.45°C) 55.37 lb/ft3 (887 kg/m3) VAPOR PRESSURE GAS DENSITY AT 70°F I atto 20.7 psia (143 kPa) @ 70°F (21.1°C) .130 lb/ft3 2.08 kg/m3 SOLUSILITY IN WATER Very sol ubl e. Reacts to form FREEZING POINT a solid hydrate below 50°F (10°C). --170.6°F (-112.55°C) APPEARANCE AND ODOR Colorless gas with a sweet odor. Specific qravit)/ @70°F (Air = 1.0) is 1.74. FIRE AND EXPLOSION HAZARD DATA Gas 806°F (430°C.) LEL = 3 UEL = 100 EXTINGUISHING MEDIA Water mist or spray. C02, dry chemicals andlELECTmCALC~SSIFICA~O" foams. (Continued on Paqe 5.)IClass 1, Group not specified. SPECIAL FIRE FIGHTING PROCEDURES In order to reduce the risk of fire and explosion, ethylene oxide is employed mixed with inert gases such as carbon dioxide and nitrogen. (Continued on Page 5.) UNUSUAL FIRE AND EXPLOSION HAZARDS The decomposition temperature of ethylene oxide is 1060°F (571°C). This reaction is highly exothermi c wi th the temperature rising from 1060°F (571°C) to 2190°F (1200°C) in only 2 milliseconds. REACTIVITY DATA STABILITY CONDITIONS TO AVOID High temperatures. Ethylene oxide should be u,,~o X stowed at temperatures less than 54F (12C). Stable INCOMPATISILITY(MalerialsIoavold) Most metals other than stainless steel or niCkel will cause polymerization or decomposition. HAZARDOUS DECOMPOSITION PRODUCTS HAZARDoUS POLYMERIZATION CONDITIONS TO AVOID High temperatures and the use of materiai's"othel MayOccur X than stainless steel or nickel. Will Hot Occur SPILL OR LEAK PROCEDURES STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED Evacuate all personnel from affected area. Use appropriate protective equipment. If leak is in user's equipment, be certain to purge piping with an inert gas prior*to attempting repairs. If leak is in container or container valve, contact the closest Liquid Air Corporation location. WASTE DISPOSAL METHOD Do not attempt to dispose of residual or unused quantities. Return in the shipping container properly labeled, with any valve outlet plugs or caps secured and valve protection cap in place to Liquid Air Corporation for proper disposal. For emergency disposal contact the closest Liquid Air Corporation location EMERGENCY RESPONSE INFORMATION IN CASE OF EMERGENCY INVOLVING THIS MATERIAL, CALL DAY OR NIGHT (800) 231.1366 OR CALL CHEMTREC AT (800) 424-9300 ;'~ ....'~ ~p ~ Page3 ECIAL PROTECTION INFORMATI RESPIRATORY PROTECTION (Speclfy type) Positive pressure air line with mask or self-contained breathinq apparatus should be available for emeroencv VENTII~TION LOCAL EXHAUST TO prevent ac~umu'~ ati on I ~ECIAL ' Hood with forced above the TWA. ventilati MEC.^,~CA'(G.,.) In accordance with oTHE, on electrical codes. P,OTECTIVEG'OVES Caution: Ethylene oxide softens most plastics and produces surface blisters on most rubber-based compounds. EVEP,OTECTION Safety glasses, goggles and transparent face shield. OTHER PROTECTIVE EQUIPMENT Safety shoes, safety shower: eyewash "fountain." SPECIAL PRECAUTIONS* SPECIAL LABELING INFORMATION DOT Shipping Name: Ethylene Oxide DOT Hazard Class: Flammable Liquid DOT Shipping Label: Flammable Liquid I.D. No.: UN 1040 SPECIAL .ANDUNG RECOMMENDATIONS Use only in well-ventilated areas. Valve protection caps must remain in place unless container is secured with valve outlet piped to use point. Do not drag, slide or roll cylinders. Use a suitable hand truck for cylinder movement. Use a pressure reducing regulator when connecting cylinder to lower pressure (<50 psig) piping or systems. Do not heat cylinder by any means to increase the discharge rate of product from the cylinder. Use a check valve or trap in the discharge line to prevent hazardous back flow into the cylinder. For additional handling recommendations consult L'Air Liquide's Encyclopedia de Gaz or Compressed Gas Assoc~fion Pamphlet p-l. SPECIALSTORAGERECOMMENDATIONS Protect cylinders from physical damage. Store in cool, dry, well-ventilated area of non-combustible construction away from heavily trafficked areas and emergency exits. Do not allow the temperature where cylinders are stored to exceed 130F (54C).* Cylinders should be stored upright and firmly secured to prevent falling or being knocked over. Full and empty cylinders should be segregated. Use a "first in- first out" inventory system to prevent full cylinders being stored for excessive periods of time. Post "No Smoking or Open Flames"signs in the storage or use area. There should be no sources of ignition in the storage or use area. *DOT requirement. To prevent polymerization, store at temperatures less than 54F (12C). For additional storage recommendations consult L'Air Liquide's Encyclo~dia de Gaz or Compressed Gas As~ciaflon Pamphlet P-1. SPECIAL PACKAGING RECOMMENDA~ONS Metals acting as catalysts for the decomposition of ethylene oxide include copper, silver, mercury, magnesium and their alloys. Potassium, tin, zinc, aluminum and iron oxides tend to accelerate the polymerization of ethylene oxide. OTHERRECOMMENDATIONSORPRECAUTIONS Earth-ground and bond all lines and equipment associated with the ethylene oxide system. Electrical equipment should be non-sparking or explosion proof. Compressed ~gas cylinders should not be refilled except by qualified producers of compressed gases. Shipment of a compressed gas cylinder which has not been filled by the owner or with his (written) consent is a violation of Federal Law (49CFR). *Va~ous G~ernment a~ies ~.~, ~rtment of Tra~po~fion, Occu~fio~l ~ a~ H~ Adminis~afion, Food and Drug Adminis~a~n a~ o~ers) may have specific r~ulefions c~c~ni~ ~e ~an~o~fion. ~li~, storage or u~ ~ ~is pr~uct wh~h may ~t ~ c~in~ herein. The cushier ~ user ~ ~is pr~u~ should ~ familiar with ~ese r~ulafions. Page 4 lLIQUID AIR CORPORATION ALPHAGAZ DIVISION ADDmONAL DATA TIME WEIGHTED AVERAGE EXPOSURE LIMIT: (Continued) Note: The American Conference of Governmental Industrial Hygienists has continually reduced t) e TWA for ethylene oxide; e.g., from 50 molar PPM to 10 molar PPM in 1983 to I molar PPM in 1984. 'Further, in the 1984-85 ACGIH, it is listed in Appendi~ A2 as being adopted to that list in 1984. Appendix A2 lists compounds which are "Industrial Substances Suspect of Carcinogenic Potential for MAN. Chemical substances or sub- stances associated with industrial processes, which are suspect of inducing cancer, based on either (1) limited epidemiologic evidence, exclusive of clinical reports of single cases, or (2) demonstration of carcinogenesis in one or more animal species by appropriate methods." Accordingly,Ethylene Oxide is considered to be a cancer and reproductive hazard. Ethylene Oxide is a regulated carcinogen in California. SYMPTOMS OF EXPOSURE: (Continued). The vapor is irritating to the eyes and the liquid can cause delayed burns if it con- tacts the skin or eyes. Aqueous solutions of ethylene oxide are also irritating. It is also reported that rapid evaporation of the liquid on contac~ with the skin can cause a type of frostbite. RECOMMENDED FIRST AID TREATMENT: (Continued) Unconscious persons should be moved to an uncontaminated area, given mouth-to-mouth resuscitation and supplemental oxygen. Once respiration has been restored, treatment should be as above. Eye Contact: PERSONS WITH POTENTIAL EXPOSURE TO ETHYLENE OXIDE SHOULD NOT WEAR CONTACT LENSES. Flush contaminated eye(s) with copious quantities of water. Part eyelids to assure complete flushing. Continue for a minimum of 15 minutes. Repeat for subsequent 15- minute periods if irritation returns. Dermal Contact or Frostbite: Remove contaminated clothing and flush affected areas with lukewarm water. DO NOT USE HOT WATER. A physician should see the patient promptly if the cryogenic "burn" has resulted in blistering of the dermal surface or deep tissue freezing, Page 5 EXTINGUISHING MEDIA: (Continued} It must be diluted 22 times by volume in water before it is no longer flammable. SPECIAL FIRE FIGHTING PROCEDURES: (Continued) A gas mixture containing I part of ethylene oxide with 9 parts of carbon dioxide is not flammable in air. Gas mixtures of ethylene oxide with nitrogen are only explosive for ethylene oxide gas concentrations in excess of 75%, at room temperature. Ethylene oxide stored in the liquid state can be maintained free of explosion hazard in the gaseous phase by the introduction of nitrogen at sufficient pressure. As an example, at 70F (21.1C) a nitrogen pressure of 32.6 psia (225 kPa) is required; while at 104F (40C) a nitrogen pressure of 63.1 psia (435 kPa) is required. For additional safe nitrogen pressures at other temperatures, refer to L'Air Liquide's Encyclopedie des Gaz. Page 6 LIQUID AIR CORPORATION ALPHAGAZ DIVISION -.' ':'~'.'- ' · ............... "~' ' ."' '.i.."~ "' '.~',,~' ..... - ~ '-~'~ ·" ~ -. ~ '- ' .. ::~'-'~'v,'..~-. . p ~'N S yIL V~ I~ CO~~ y '~ 'r~ 1~10'7-21 N, Howard Street, Philadelphia, Pa, '19123.1697 ~p~[ 9, [990 .. . '.:'.~:. San Joaquin Community Hospital P. O. Box' 2615 Bakersfield, C~lif. 93303 ~'~ Att: Jim Chef y · Pollowlng are specifications on our Penn,as ster- ilizing gas: . · ':';. CONTENTS 12% E~hyle~]e Oxido (12..0% + .5%) by wei~h% .~-.¥/-?. Balance -. Dichlorodifluoron~ethane -' · ".~:.'~? ~ . ~p~rtt~es.' Nil .:.:....:.-....:: :?,?.?~ .'~-..,-:.. ..... .. (?..'. "~::?'?:;::.~:::P'a:nngas:is polymer froe so i~ will nos .stop Up Your lines. .. · ~, ~. _-,t[~>~':;~:z-:~:.':~8~?~i~a . . .' ~'additives or inh~bito~s':are used ~o cause C0n~ ?"" :':'?t-'"-'?['Q~?:'l~'a(~"~-~a~ti0n.'of products sterilized. ~'pe~ngas ~$ green label Penngas is the trade name of iZ% E2h'ylet:e Oxide and balance CFC-12 which is ,ct toxic. The label on Penngas s~a~es "Do not breathe vapors. ', unusually high exposure ~ives eye irri.tation. If vapors are .bred%hod in over long.ex~ended periods of zime, it may cause nausea. Froth air in both cases brings relief. Rest in the case of nausea helps. -San J~oaqU. in ,C0mmuni%y Hospital April 9, 19'90~: If liquid sprays on skin, wash with water; if eyes, see a physician. It is unlikely a spill will. occur to require cleanup since EO liquid vaporizes above 50OF. In case of gas spill, %urn off valve on cylinder ~f reliable mask is available and permit %ilati.on to clear the area, with no one standing nearby. If no mask is available, allow ventilation %o clear the area. Adequate~ventila%ion enables low levels of concen- tra%ion permitting safe use. 12/88 is nonflammable, non-explosive and non-reactive. Please let us know if you need furthe~ information. Best -regards. Sincerely, PENNSYLVANIA ~NGINEERING COMPANY MANUFACTURER'S NAME- "'" Pennsylvania Engineering Company Address (~omplele msilin9 address): 1107-21 N. Howard Street, Philadelphia, PA 19123 Phone number for additional i~fOrmation: (2~5) 627-3636 . Date prepared or revised Name of preparer~ 1/5/90 .... ......... I!. HA~RDOUS ~NGREDIENTS .............. , Chemical Names CA~ Numbers Percent' Exposure Limits in Air (give ~its) ACGIHTLV OSHAPEL E~hylene Oxide TWA ) - ., . ..... - OSHA EL ....... !11 PHYSICAL PROBERTtES- ': ..... V~por densi~ (air~ ~) Melting point o~-(ange; 'F . : ..-,.~. Solubili~ in water Evaporation rate (bU~l acetate. 2 '1) Vapor pressure, mmHgat 70oF = ?0 psJg Appearance and odor CoZorZess; s~eet HOW TO DETECT THI~.SUBSTANCE' (warning properties of substenoe ~s a gas, v~Dor, du¢~, or mist) A vapor' at atmospheric p~essure: s~ee~ 'Not a required category. '--- ................ 'IV; FIRE AND EXPLOSION' ' ................... Flash Point,.°F {give method) . NonfZammab].e AutOi.gnitiontemperature'°F US DOT approved as green label I:l,mmsble.limit$' in air, volume %: Nonflammable iower'(LEL)__ upper Fire ext,ngu~shmg materials: I ' ~.'water spray I carbon dioxide other: ~ fc~arn ..... dry chemiC:al I S~ecialfireflghtingprocedures: Helps %o extinguish a f±re Unusualfireandexpt3sionhazarcls: Not flammable or explosive .............. .... ---.::-..~ .............. V. HEALTH HAZARD INFORMATION ................... . ......... SYMPTOMS Ct~ OVER£XPOSURE for each potential routeofexposure, Inhaled' with high exposure, nausea an~ irritation .of mucous membranes. Contact with skin oi'e,ye'$;'.i' .~.~'h'"~f~i~."'as ,ffrostbite due ~'6 "l'd~ "~6iIl"~t~'"."'Po"i'rt~; '"'~i'l'l' Absorbed through skin: Due %o low boiling point, ~,ill vaporize .quickly and ~ill .not absorb into skin... Swallowed: 'Can't swallow; it is a vapor at atmospheric pressure. HEALTH EFFECTS OR RISKS FROM EXPOSURE. Expt~in in lay terms. Attach extra page ~f more space is nee0ed. Acute' Breathing high concentration ~nd long exposure - Nausea, vomi'.tinc_. and lung irritation. If very high exposure, for long periods, lttng irritation and edema. · Chronic: Irritation of mucous membranes. FIRST AID: EMERGENCY. PROCEDURES EyeContect: F~ush with wazer and see a physician. Skm Contact: Flush ~'ith t,'arm ','at;er; treat as fo~s'~bite': see a physician. innaled' Remov~ from .exposure; fresh air and rest. $,~lluwe~' Can't. sWal'lo%,; it is. a vapor at-at~ospheric pressure. ., .. Federal EPA Science Advisory Board State~ no-evidence 5USP~CTSD CANCSP, AGENT7 of human cancer has been found. Federal OSHA states EO may be possible carcinogen at high and long levels ...... NO: ThJsproOuc~'s;ngredienzsarenotfounO,ntheiistsbetOw. of exposure based, on at~imal, studie~ YF..S. _... FeOeralOSHA . NTP ~IARC AP~ 9--.90 r,lON 1 ~=; : 54 P - , '~-C°ndition~ to avoid: . ..: Incompatibili~'(materia~s to avoid): Non-reactive ': '~¢(.:::': ' '~' H~rdou~ d~eomposifion ~roOucts {includi~ combustion pro~uet~): ~0 Hazardous polymerization: __May occur _X._Will not occur . - Conditions to avoid: ......... VII. SPILL, LF_AK, AND DISPOSAL PROCEDURES ..... - : .... - .... Spill response procedures (include employeeprotection measures)- Sp±ll wilZ not: occur as a ii.o-bid, If it occurs, will be vapor; use approved mask or respirator; remove employes from nearby source of spill and allow ventilation near eq6ipment to dissipate the vapors. Preparing waste~ for dispOsa~ {conta,ner types, nedt~ai[zat,on, et(;j. ' No waste - it is a vapor at a~mospheric pressure. NOTE.: Dispose of all wastes in accordance with federal, state and Iaea[ regulations. " · Ventilation and engineering comrois Adequa.be vent. i.ta.t, ion should.be use¢ as ctescribea(' in Appendix A of Federal OSHA Document Vol.49, No. 122. dated 6/2'2/84. Also i.n Appendix A ~ork practices. '" Respiratory protection (type; -' .. If vont. ilation not. adequate, use mask or respirator with back pack. Eye protection (type) :.. GoGgles or mask while connecting or disconnecting cylJ. nders. Gloves (specify material) · Rubber or vinyl gloves ~hile connecting5 or disconnecting cylinders and %~hen handling packages by hand immediately after s~erilization, Other clothin9 ~nd equipment Work practices, hygienic practices Do not breathe vapors ,.~ ~.~..,~.._ ~ CITY of BAKERSFIELD---,~---I .... (ty~e or prin~ name) Do hereby certify that I have reviewed attached Hazardous Materials business plan name of business) and that it along with the attached additions er corrections Constitute a complete and correct Business Plan for my facility. ' - s~gn~ure ...... '~ date ' BUSINESS NAME SAN JOAQUIN COMMUNITY HOSPITAL ID NU]~BER 215-000-000552 LOCATION 2615 EYE ST HIGH HAZARD RATING 4 1. OVERVIEW LAST CHANGE 05/16/88 BY ESTER JURIS CODE 215-001 JURIS BAKERSFIELD STATION 01 MAP PAGE 103 GRID 30A FACILITY UNITS 1 HAZARD RATING 4 RESPONSE SUMMARY 2A SEC 4) MAINTENANCE FIRE BRIGADE SECURITY DEPARTMENT FEB 2 8 EMERGENCY CONTACTS 2A SEC 2) HAZ. MAT. D~. BILL MARTIN, DIR OF SECURITY - ~1 OR ~ UTILITY SHUTOFFS 2A SEC 3) A) GAS - W SIDE, BACK DOCK & E SIDE EQUIPMENT AREA B) ELECTRICAL - MAIN POWER BOILER ROOM BASEMENT MAINTENANCE AREA C) WATER - MAIN SHUTOFF, BACK DOCK W SIDE, ALSO E SIDE ALLEY D) SPECIAL - ETHYLENE OXIDE BASEMENT MAIN POWER VAULT 2 . NOTIFICATION / PUBLIC EVACUATION LAST CHANGE / / BY. < NO INFORMATION RECORDED FOR THIS SECTION PAGE 1 02/22/89 08:23 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME SAN JOAQUIN COMMUNITY HOSPITAL ID N ER 9.15-000-000559. LOCATION 9.615 EYE ST HIGH HAZARD RATING 4 3 . HAZ MAT TRAINING SUMMARY LAST CHANGE / / BY < NO INFORMATION RECORDED FOR THIS SECTION > 4 . LOCAL EMERGENCY MEDICAL ASSISTANCE LAST CHANGE 05/16/88 BY ESTER 3A SEC 5) SAN JOAQUIN COMMUNITY HOSPITAL, EMERGENCY ROOM. PAGE Z 02/22/89 08:23 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME SAN JOAQUI OMMUNITY HOSPITAL ID N ER 215-000-000552 LOCATION 2615 EYE ST HIGH HAZARD RATING 4 FACILITY UNIT 01 A. OVERALL HAZARDOUS MATERIALS INVENTORY LAST CHANGE 10/1'3/88 BY ESTER ID .TYPE NAME MAX AMT UNIT HAZARD LOCATION CONTAINMENT USE 1 PURE ETHYLENE OXIDE 8925 FT3 EXTREME BASEMENT NW CORNER PORTABLE PRESS. CYL. STERILIZING ID PERCENT COMPONENTS HAZARD LISTS 1204.00 100.0 ETHYLENE OXIDE (EPA) EXTREME EPA 2 MIXTURE HELIUM 192 FT3 UNKNOWN 2ND FLOOR SW CORNER PORTABLE PRESS. CYL. MEDICAL AID OR PROCESS ID PERCENT COMPONENTS HAZARD LISTS 2027.00 100.0 HELIUM UNKNOWN 3 PURE OXYGEN 322 FT3 HIGH 2ND FLOOR SW CORNER PORTABLE PRESS. CYL. MEDICAL AID OR PROCESS ID PERCENT COMPONENTS HAZARD LISTS 2359.00 100.0 OXYGEN, COMPRESSED HIGH 4 MIXTURE NITROUS OXIDE 560 FT3 MODERATE 2ND FLOOR SW CORNER PORTABLE PRESS. CYL. MEDICAL AID OR PROCESS ID PERCENT COMPONENTS HAZARD LISTS 2345.00 100.0 NITROUS OXIDE MODERATE MIXTURE NITROGEN 3600 FT3 MODERATE 2ND FLOOR SW CORNER PORTABLE PRESS. CYL. MEDICAL AID OR PROCESS ID PERCENT COMPONENTS HAZARD LISTS 2324.00 100.0 NITROGEN MODERATE 6 WASTE XYLENE 5 GAL HIGH NW CORNER HISTOLOGY DRUMS OR BARRELS MET.. OTHER ID PERCENT COMPONENTS HAZARD LISTS 1118.00 100.0 XYLENE, MIXED HIGH 7 MIXTURE UNDERGROUND DIESEL 700 GAL MODERATE NE CORNER BEHIND OB UNDERGROUND TANKS FUEL ID PERCENT COMPONENTS HAZARD LISTS 1179.01 100.0 DIESEL FUEL NO.2 MODERATE 8 PURE GASOLINE 100 GAL HIGH NE CORNER BEHIND OB UNDERGROUND TANKS FUEL ID PERCENT COMPONENTS HAZARD LISTS 1182.00 100.0 GASOLINE HIGH 9 PURE DIESEL 3000 GAL MODERATE NW CORNER BY GENERATOR UNDERGROUND TANKS FUEL ID PERCENT COMPONENTS HAZARD LISTS PAGE 3 02/22/89 08:23 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME SAN JOAQUIN COMMUNITY HOSPITAL ID N ER 215-000-000552 LOCATION 2615 EYE ST HIGH HAZARD RATING 4 FACILITY UNIT 01 A . OVERALL HAZARDOUS MATERIALS INVENTORY ( * CONTINUED * ) LAST CHANGE 10/13/88 BY ESTER ID TYPE NAME MAX AMT UNIT HAZARD LOCATION CONTAINMENT USE 9 PURE DIESEL 3000 GAL MODERATE ( * CONTINUED * ) ID PERCENT COMPONENTS HAZARD LISTS 1179.01 100.0 DIESEL FUEL NO.2 MODERATE 10 MIXTURE PAINT 60 GAL EXTREME SE STORAGE BLDG UNDERGROUND TANKS PAINTING ID PERCENT COMPONENTS HAZARD LISTS 2291.00 25.0 WASTE ACIDS UNKNOWN 1203.00 15.0 NAPHTHA EXTREME 1140.00 5.0 METHYL ETHYL KETONE HIGH 2802.00 3.0 ETHYLENE GLYCOL UNKNOWN 11 MIXTURE PAINT THINNER 55 GAL HIGH SE STORAGE BLDG UNDERGROUND TANKS PAINTING ID PERCENT COMPONENTS HAZARD LISTS 1006.00 30.0 ACETONE HIGH 1130.00 15.0 TOLUENE HIGH 2465.01 10.0 PROPANOL UNKNOWN 1168.00 10.0 n-BUTYL ACETATE HIGH 1118.00 5.0 XYLENE, MIXED HIGH 1145.00 5.0 METHANOL HIGH PAGE 4 02/22/89 08:23 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME SAN JOAQUI ',OMMUNITY HOSPITAL ID ER 215-000-000559. LOCATION 9.615 EYE ST HIGH HAZARD RATING 4 B . FIRE PROTECTION / WATER SUPPLIES LAST CHANGE 05/16/88 BY ESTER 3A SEC 4) MAINTENANCE .FIRE BRIGADE AND PRIVATE FIRE PROTECTION 3A SEC 5) D . EMPLOYEE NOTIFICATION / EVACUATION LAST CHANGE 05/16/88 BY ESTER 3A SEC 2) ETHYLENE OXIDE - EVACUATE PERSONNEL IN IMMEDIATE AREA, CONTACT MAINTENANCE, NOTIFY FIRE DEPARTMENT IF NECESSARY. MEDICAL GASSES - EVACUATE PERSONNEL IN IMMEDIATE AREA IF POSSIBLE, CONTACT MAINTENANCE NOTIFY FIRE DEPT IF NECESSARY. UNDERGROUND DIESEL - IN CASE OF RUPTURED TANK NOTIFY MAINTENANCE IMMEDIATELY, THEN CONTACT FIRE DEPARTMENT. XYLENE - EVACUATE PERSONNEL IN IMMEDIATE AREA, CONTACT MAINTENANCE, NOTIFY FIRE DEPT. ANTINEOPLASTIC DRUGS - NOTIFY FIRE DEPT, EVACUATION PROCEDURES IN ACCORDANCE WITH INDIVIDUAL MATERIAL SAFETY DATA SHEETS. GASOLINE - EVACUATE IMMEDIATE PERSONNEL, NOTIFY FIRE DEPARTMENT, CONTAIN SPILL UNTIL ARRIVAL OF FIRE DEPT. PAGE 5 02/22/89 08:23 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME SAN JOA(~UIN COMMUNITY HOSPITAL ID N ER 215-000-000552 LOCATION 2615 EYE ST HIGH HAZARD RATING 4 E . [vi -[ T -[ GAT -[ ON / PREVENT ]- ON / ABATEMENT LAST CHANGE 05/16/88 BY ESTER 3A SEC/I~ ETHYLENE OXIDE - TANKS ARE IN ENCLOSED AREA, CHAINED. /MEDICAL GASSES - HELIUM, OXYGEN, NITROGEN, NITROUS OXIDE, CHAINED. k~UNDERGROUND DIESEL - STORED IN UNDERGROUND STORAGE AREA (BOTH TANKS) ~XYLENE - STORED IN THE FLAMMABLES CABINET IN LAB ON FIRST FLOOR. '/ GASOLINE - CONTAINED IN UNDERGROUND STORAGE TANK. ./~ / ANTINEOPLASTIC DRUGS - ALL DRUGS STORED IN THE HOSPITAL PHARMACY. ~ PAINT - CONTAINED IN WELL VENTILATED AREA IN METAL CONTAINER. AINT THINNER - CONTAINED IN METAL CONTAINER, WELL VENTILATED AREA. PAGE 6 02/22/89 08:23 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 CITY of BAKERSFIELD NO N-- TRADE S E C RETS BUSINESS NAME NAME OF T~'~ FACILITY cITY, ZIP: Bakersfield, Calif CITY, ZIP: Bakersfield, ~lth of P~ ~lth k ~ll tMt a~ly) ~lth of P~ ~lth ..... N~lth of P~su~ ~lth Hfllth of Pr~sure Health ~t C~rtlficati~ (Read and sikh after coapJetJng a]] sectJons) CITY of BAKERSFIELD "~ ,-~ l~V~- N~.O I~Y' NO N-- TRADE S E C R ETS ' BUSINESS NAME:_SAN JOAOUIN CO~UNTmV OWNER NAME: ADVENTIST HRAT.~N gVg_ NAMZ OF T~ FaClLITYSAN JOAOUIN' HOS LOCATION: 2615 EYE STREET ADDRZSS:2615 EYE STREET STANDARD IND. CLASS CODE CITY, ZIP: BAKERSFIELDt 93301 CITY, ZIP: BAKERSFTRI,D qqq~] DUN AND BRADSTRg~T NUMBER PHONE ~: 395-3000 PHONE ~: 395-3000 __ - ___ - c~e C~e Mt Mt Est ~*ts m Stte T~ ~s I~ ~ St~ In f~illty~' ~ I~t~tt~ Ph~ical~H~lth~ze~ C.A.S.~ ~310-58-3 ~tll ~iC.A.S.~ 5 ~lth of P~ ~lth P~ical ~ ~lth HIzi~ C.A.S. ~ NYA ~t II ~ & C.l.S. - r-~ r-~ ~t I~ ~&C.A.S. ~lth of P~ ~lCh ~t 13 ~&C.A.S. P~lcal ~ ~lth ~za~ C.l.S. ~ ~t II ~ & C.A.S. (C~k all t~t ~ly) ~ ' - - - r--~ ~t 12 N~&C.A.S. H~lth 0f P~su. ".lth 1310-732 ]qoq_q~_4, 5,,, SODIUM HYDROXIDE ~ 2 P~ic~l ~ HHIth ~,1~ C.l.S. ~ ~t II ~ & C,l.S. ~-~ -- r--~ -- -- C~t 12 ~& C.A.S. H~lth of Pr,surl HliJth ''--- .......... ~t 83 ~&C.A.S. NERGENCY C~TACTS I1Ri~--~--~~. ............ ~[-~[~~21-RF.~=2~ 0 12~G.~~~ ......... Tlt~~ ~~.. C.~1ficatim (Read and sJEn after coepJetJnE ali sectJons) I certify ~der ~lty of l~ t~t I ~ve ~nsm~i]yexaain~ and aa f~iliar .tth t~ tnfor~ttm su~itt~ Jn th~. ~jl] Itt~ for (otaining tM iLl--tim, I Mlfeve tMt tM suMitt~ info. tim is t~, ~ccurate, ~d c~plete. ~ .................... ................ N O N-- 'r R AD E S E C R E T S BUSINESS NAME: gA~ ,IOA~, ...... ~.p. OWNER NAME: ADVRNTI'ST ~A ...... CE_ · NAME OF T~ FACILITY: S.J.C.H. ' LOCATION: -- - S~4E .... STANDARD IND. ~S~ODE _ 26]q RVR STREET ADDRESS: CITY, ZIP: ~w~Dc~ a~ CITY, ZIP: · ~AMR DUN AND BRADSTREET NUMBER PHONE ~: Rhq- qQq_~ ..... PHONE ~:_ e~ __ - - ,,,,, ,,. ., ,~,,, ~, .,. ,~, ~., ~,~ ~., -~"--- ,., ~.~-~,, al ~ Hslth ~z*~ C.l.S. ~ ~t II ~ i C.l.S. ~-. ~-, ~-] ~-~ ~-, ~t. ~s c.i.s. ~ I. ~i~,~ ~ ~t~ ,,,,~ c.~.S. ~ THIN PA~m~742-88-7-"- .fi4 [--J Fire ~Zlrd ~--a ~Ctivlty [--J ~l~'hU--a--,, ~0f P~I~ ~--~ I~lltl~lth . 67,264_1 ~ ca_aB_3 10 pROPANQ~ . ..... L_t L I __] [ [ [ ] ] { C_AS~ 1}ou.19_o . lO n BUTYL ACETATE : . P~tcal ~ ~lth ~z~ C.A.S. ~ ~t II ~ & C.l.S. .... r-~ ~t 12 Nm i C.A.S. H~lth of P~su~ H~lth ~t ~ ~&C.A.~.~ .... l__t.,~ ...... ~ .......... i .......... i ' l__l .... ~ t tL}_ l ': _ . ' .... P~ic,1 ~ HHlth ~ C.A.$. ~ ~t Il ~ S C,A.S. (C~k ~ll t~t - r--~ [--] ~--~ r--~ C~t 12 ~&C.A.S. ~lth of Prflsure H~alth ............ ~NERGENCY C~TACTS I1Rj~.~.__~Z~.~~ ......... Hii~URi~' ....... H_~]~nn ~ [Irtlflcati~ (Re~d and sJEn after coepletinE ail sections/ certify ~der ~lty e~ 1~ t~t I ~ve ~rsmellye~amin~ ~d am f~iliar e~th t~ Inter.tim su~itt~tn th~s~' .. a ~.. o . _a s~2 ............................ ~ ......................./ CITY of BAKERSFIELD N O N -- T R A D E LOCaTION:2615 CITY, ZIP: B~ERSFIELD 93301 CITY, ZIP: .BAKERSFIET,D qqq~] DUN AND BRADSTREET NUMBER PHONE ~: ~.q.~.TqQO0 PHONE ~: 395-~000 __ - ___ - C~e C~e ~t ~t Est Units m Site T~ ~l I~ ~ St~ In F~tllty ~ ~ I~t~tt~ k ell ~lth of P~ ~lth H~lth of P~su~ ~lth ' H~lth of Pr~sure Health ....... ~t ~ certify ~der ~lty of 1~ t~t I ~ve ~rsmellyexamn~ ~ le fNJlJlr sJth tM tnforMtJm su~t~ In t~ell ittKM ~ts, ~ t~t ~s~ ~ ~ of t~l 1M1vJ~ls ~s~bll for O%t ainin9 CITY of BAKERS~ NO N-- TRADE S E C R ETS NAME OF T~ FACILITY: S.~,C.H ' LOCATION: ~5 ~ ~ ........ ADDRESS: RRM~ ................... STANDARD IND. CLASS CODE C:TY, ZIP: R~~T~T,~ ~ CITY, ZZP: o~ DUN AND BRADSTREET NUMBER C~e C~e ~t ~t Est Units m Site I~ ~ I~ ~ .. St~ In F~ltty~ ~ I~t~tt~ IC~k all t~t e~ly) of P~ ~lth (C~k ell t~t ............ VEPESiD ~lth of ~ ~Jth 00147-94-4 ~.. Hfllth of P~su~ ~lth I t L Z i i I l~ l (C~k all t~t e~ly) 59-05-02 ~- M~mUORRT~T~ ..... Hfllth of Prasur, Health 5 3-19 - 0 ~mrtlficati~ (Remd and sJ~ after compJet~nE a]] sections] certlfy ~der ~lty of 1~ tMt. I Mve ~rsmallyexaein~ I~ aa fHiliir vtth t~ tnforNt~m su~itt~ IF CITY of BAKERS~ NON--TRADE SECRETS ' Pige .~. of ~ BUSINESS NAME: SAN JOAOHTN HO,~ OWNER NAME: ADVENTYE~ HE~T.~ ~V'~ NAME OF T~ r~.~gI~: LOCATION: 26~ EYE ~T.- ADDRESS:g~ME STANDARD I~D. GLASS CODE CITY, Z~P: P~D~PT~.n 93301 CITY, ZIP: E$~I~ DUN AND SRADSTREET NUMBER (~e C~e ~t ~t Est Units m Site I~ ~s Tm ~ St~ in F~tllty ~ I~t~tt~ [ ] Fire Hazard u--~ i~ttvtty ~l~thu-~ ~ ~1~ ~] I~tate 552-407 of P~ ~lth icon oil t~t apply) 304 ~lth of Pm~ ~Ich .... ..... L-I [ I __1 !~ I ! '1 I ! (C~k ill tMt e~ly) ' fl~lth of Pr~sure Nealth Certtfic~ti~ (Read and sign after cospJetJnE a11 sections) CITY of BAKERSFIELD bu~zu~:_ ~(~/~ ~ .~T~E~ ADDRESS: T /~/~ ~y~ ~ STANDARD IND. CLASS CODE C~e ~e ~t ~t Est Units ~ Site I~ ~ I~ ~ . $t~ In F~Jllty ~elth of P~ ~lth ...... .......... (C~k ill tnt ~lth of P~ ~lth ~C~k ell t~t e~ly) Health of P~surt M~lth ' -.,,' I / Health of Pr~sUrl Health ~t 13 ~ i C.A.S. ~e Certlficat~ ~ead an~ ~n after coap/efJn~ a// sections/ for ~OClinin9 t~ tflf~tt~. I ~liwve t~t t~ su~itt~ info~:im is tM, accurate. ~d c~plttl. BAKERSFIELD CITY FIRE DEPART~IENT · BAKERSFIELD, CA 9330 JUL 1 0' 1987 (805) 326-3979 Ans'd ............ l OFFICIAL USE ONLY USINESS N~ HAZARDOUS ~TERI ALS BUSINESS PLAN AS A WHOLE FORM ~A ooo55 INS~UCTIONS: 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. SECTION 1: BUSINESS IDE~IFICATION DATA A. BUSINESS NAME: Sa, doaq,Hn Cnmmueq~y Hn~n~*n] B. LOCATION / STREET ADDRESS: 2615 Eye Street CITY: Bakersfield ziP: 93301 BUS.PHONE: ( 805 ) 3P7-1711 SECTION M: E~RGENCY NOTIFICATIONS In case of an emergency involving the release or threatened release of a hazardous msterial, call 911 and 1-800-852-7850 or 1-918-427-4841. This will notify your local fire department and the State Office of Emersency Services as requi~ed by law. EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME AND TITLE DURING BUS. HRS. AFTER BUS. HRS. A. BJ]] Martin, Director of Security Ph~ ~1t'/ Ph~ 872-5291 B. Kevin Fisher, Assit. Administrator Ph~ 327-1711 Ph~ 871-~607 SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A NHOLE A. NAT. GAS/PROPANE: West Side, Back Dock [~st Side Equipment Arum B. ELECTRICAL: Main Power Boiler RoLm Ra~mept Maintenance Area C. WATER: Main Cutoff. Back Dock We~ ~id~ ~l~n East Side Alley D. SPECIAL:EthYlene 0x~de- Basement Main Pmw~r Va.l* E. LOCK BOX: YES / NO IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? YES./ NO MSDSS? YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO - 2A - SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE Maintenance Fire Brigade Security Department SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE San 4oaquinjCommunity Hospital Emergency Room SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS. CIROLE~ 0R N0 INITIAL REFRESHER A. METHODS FOR SAFE HANDLING OF HAZARDOUS ~ (j~ MATERIALS:...' .................................... NO NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... ~ NO ~NO C. PROPER USE OF SAFETY EQUIPMENT: .................. NO NO D. EMERGENCY EVACUATION PROCEDURES: ................. NO NO E, DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... NO NO SECTION ?: HAZARDOUS 1WATERIAL CIRCLF~OR NO DOES YRYo~ BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POUNDS OF A SOLID, 5§ GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... YES NO I, /z~!/ I Ma~/A/ ~ , certify that the above information is accurate. I understand that this information will be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95 Sec. 25500 Et Al.) and that inaccurate information constitutes perjury. BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL USE ONLY iD# BUSINESS NAME: BUSI NESS PLAN SINGLE FACILITY UNIT FORM SA INSTRUCTIONS 1. To avoid fu1~ther action, this form must be returned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as .possible. FACILITY UNIT# FACILITY UNIT NAME: San Joaquin Community Hospital SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDURES Ethy]ene.0xide- Tanks are in enclosed area, chained Medical Gasses- Helium, Oxygen, Nitrogen, Nitrus Oxide, All Chained Underground Diesel- Stored in Underground Storage Area- (Both Tanks) Xylene- Stored in the f]amables cabinet in Lab 1st. Floor. Antineop]astic Drugs- All Drugs Stored in the hospital Pharmacy Gasoline- Contained in Underground Storage Tank 'Pa~nt- Contained in We]]-Venta]ated Area in Metal Container PPaint Thinner- Contained in Metal Container, We]] Ventilated Area SECTION 2: NOTIFICATION g2qD EVACUATION PROCEDb~RES AT THIS UNIT ONLY Ethylene Oxide- Evacuate Personnel in Immediate Area,' Contact Maintenance, Notify Fire Department if Necessary Medical Gasses- Evacuate Personnel in immediate area if possible, Contact Maintenance Notify Fire Department if necessary Underground Diesel- In case of ruptured tank notify maintenance immediatly, then contact Fire Department Xylene- Evacuate Personnel in Immediate Area, Contact Maintenance, Notify. Fi re Department Antineoplastic Drugs- Notify Fire Department, Evacuation Procedures in Accor- dance with individual Material Safety Data Sheets Gasoline. Evacuate Immediate Personnel, Notify Fire Deptartment, Contain spill until arrival of Fi re Department - 2A - SECTION 3: ~ZARDOUS MATERIALS FOR THIS UNIT ONLY A. Does this Facility Unit contain Hazardous Materials? ...... YES NO If YES, see B. If NO, continue with SECTION 4. B. Are any of the hazardous materials a bona fide Trade Secret YES NO If No, complete a separate hazardous materials inventory . form marked: NON-TRADE SECRETS ONLY (white form #4A-l) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (yellow form #4A-2) in addition to the non-trade secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION Maintenance Fire Brigade ' SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS Fresno, Knudsen Dairies--Contact Maintenance Engineer SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY. A. NAT. GAS/PROPAN~ Back Dock West Side, Also East Side Equipment Area B. ELECTRICAL: Main Power,Basement Boiler Room C. WATER: Main Cutoff Back Dock West Side Also East aide Alley D. SPECIAL: £'fHYLENE OXIDE Basement Main Power Vault E. LOCK BOX: YES / NO IF YES, LOCATION: IF YES, SITE PLANS? YES / NO MSDSs? YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO - 38 - .SECTION 2 cont' Paint- Remove all sources of ignition, Contact Maintenance for Clean up and Removal Paint Thinner- Remove all sources of ignition, Contact Maintenance Dept for Clean up and Removal BAKERSFIELD CITY FIRE DEPARTMENT # FORM 4A-I Page 1., .Of NON--TRADE SECRETS HAZARDOUS MATERI ALS INVENTORY SINESS NAME: San doaquin Community Hospital OWNER NAME: San doaquin Comm. Hospital Corp. FACIL1TY UNIT #: DRESS: 2615 Eye Street ADDRESS: 2615 Eye Street FACILITY '~INIT NAME: TV, ZIP: Bakersfield California CITY,ZIP: Bakersfield California ONE ~: 805-327-1711 PHONE ~: 805-327-1711 OFFICIAL USE CFIRS CODE ONLY 2 3 4 5 ~ ? 8 9 I '0 E MAX ANNUAL CONT USE I, OCATION IN THIS ,~ BY HAZARD D.O.T E AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON HA,ME, , CODE GUIDE,. .M S ~t~B~B~ 04 36 BASEMENT NW CORNER 100% E YLENE OXID[ (SEE ATTACHED..MSDM) NFLG ~'M 192.5F13 840 Fl3 Fl3 04 27 2ND FLOOR SW CORNER 100% HE~ U~IM~ (SEE ATTACHED MSDS) NFLG M 322FT3 2760FT3 FT3 04 27 2NO ..FLOOR SW CORNER 100% OXYGEN (SEE ATTACHED.. MSDS) NFLG ?M 560FT3 2016FT3 FT3 04 27 2ND FLOOR SW £ORNFR lnn~ NTTRnUS OXIDE (SEE ATTACHED MSDS) NFLG 2)M 3600FT3 10,800 FT3 04 27 2ND FLOOR SW CORNER 100% NITRO .SEE ATTACHED MSDS~ NFl C, _.,.:) W 5 GAL. 200 GAL.,GAL. 06 TEST. NW CORNER HISTOLOGY 100% (SEE ATTACHED MSDS) ORME M ! Flq, o [ ' ' 700GAL. 350 GAL.GAL. O1 19 NE CORNER BEHIND O,B, 100% UNDERGROUND DIESEL {SEE MBDS) 2 [ FLGS 300Q,GAL. iO00GAL. GAL. O1 19 . NW..CORNER B_Y GENERATOI~ 100% UNDERGROUND DIESEL 2ND TANK (MSDS) FLGS 60 GAL. 500 GAL.GAL. 01 29 SE STORAGE BUILDING 100% PAINT (SEE MSDS) ORMA M 55 GAL. 55 GAL. GAL. 01 29 SE STORAGE BUILDING 100% PAINT THINNFR (M.qn_q) ORMA --"'- '~ .......... DIR. of ×'~.~, c..)~~ ..i · '~[!,,:~ ~B,!LL MARTIN TITLE: SECURITY SIGNATURE: ~--/~A. . DATE: ~i.R~,E,~cY CONTACT: BILL MARTIN TITI, E: DIR. of SECURITY PHONE # Bus HOURS: 327-1711 ,,, \ AFTER BUS HRS: 872-5291 .. · ]RGENCV CONTACT: KEVIN FISHER TITLE: ASSIST. ADMIN. of FINANC[PHONE ~ BUS HOURS: 327-1711 [NCIPAL'XxgU$INESS ACTIVIT-Y: MEDICAL FACILITY AFTER BUS. HRS: 871-2607 \ BAKERSFIELD CITY FIRE DEPARTMENT ~ FORM 4A-1 Page 1 of NON--TRADE SECRETS HAZARDOUS MATERI ALS INVENTORY SINESS NAME: San Ooaquin Community Hospital OWNER NAME: San Joaquin Comm. Hospital Corp. FACIL1TY UNIT #: DRESS: 2615 Eye Street ADDRESS: 2615 Ese Street FACILITY UNIT NAME: TV ZIP: Bakersfield California CITY ZIP: Bakersfield California ONE ~: 805-327-1711 PHONE ~: 805-327-1711 [OFFICIAL USE CFIRS CODE I ONLY 2 3 4 5 6 7 8 9 1 0 E MAX ANNUAL CONT USE [,OCATION IN THIS .~ BY HAZARD D.O.T E AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEqICAL OR COMMON NAME CODE GUIDE M 1020 LBS 4080 LB,<;LBS 04 36 BASEMENT NW CORNER 100% ETHYLENE OXIDE (SEE ATTACHED MSD~I) NFLG M 192.5FT3 840 FT3 FT3 04 27 2ND FLOOR SW CORNER 100% HELiUM{SEE ATTACHED MSDS) NFLG M 322FT3 2760FT3 FT3 04 27 2ND FLOOR SW CORNER 100% oX~N~(SEE ATTACHED MSDS) NFLG M 560FT3 2016FT3 FT3 04 27 2ND FLOOR SW CORNFR lflfl~ NTT~))tq n~TnF (SEE ATTACHED MSDS) NFLG M 3600FT3 '~ 10,800 FT3 04 27 2ND FLOOR SW CORNER 100% NITROGEN\¢SEE ATTAlZHED MSDS~ NFl 99 W 5 GAL. 200 GAL GAL. 06 TEST. NW CORNER HISTOLOGY 100% XyLENE (SEE ATTACHED MSDS) ORME W 5 GAL. 188 GAL GAL. 07 40 SE CORNER PHARMACY 100% ANTINEOPLASTIC DRUGS (SE~ MSDS) M 700GAL. 350 GAL.GAL. O1 19 NE CORNER BEHIND O,B, 100% UNDERG UND DIESEL (SEE M~DS) 2 FLGS M 100 GAL. 50 GAL. GAL. 01 19 NE CORNER BEHIND O.D. 100% GASOLINE (UNDERGROUND TANK~ (MSDS) FLGS [4 3000GAL, IO00GAL. GAL. O1 19 NW CORNER BY GENERATOI~ 100% UN UND DIESEL 2ND TANK (MSDS) FLGS M 60 GAL. 500 GAL.GAL. 01 29 SE STORAGE BUILDING 100% PAINT ~SEE MSDS) ORMA M 55 GAL. 55 GAL. GAL. O1 29 SE STORAGE BUILDING 100% PAINT THTNN~[~ (Mqn_g~ ORMA BILL MARTIN TITLE: DIR. of SECURITY SIGNATURE: ~~{z~ ~*/~V~'~-~c -> DATE: 'NCY CONTACT: BILL MARTIN TITI, E: DIR. of SECURITY ' PHONE $~ BUS HOURS: 327-1711 AFTER BUS HMS: 872-5291 ,, V CONTACT: KEVIN FISHER T~TLg: ASSIST. ADMIN. of FINANC$~ONE ~ BUS HOURS: 327-1711 nUS [ NF, SS ACT IV ~ T-Y :__.MEDICAL FACILITY AFTER BUS. HRS: 871-2~07 BAKERSFIELD CITY FIRE DEPARTMENT ~ FORM 4A-1 Page 1 of 1 NON--TRADE SECRETS HAZARDOUS MATERI ALS I NVENTORY SINESS NAME: San doaquin Community Hospital OWNER NAME: San doaquin Comm. Hospital Corp. FACILITY UNIT #: DRESS: 2615 E~ye Street ADDRESS: 2615 Eye Street FACILITY UNIT NAME: TV, ZIP: Bakersfield California CITY,ZIP: Bakersfield California ONE ~: 805-327-1711 PHONE ~: 805-327-1711 OFFI~IAL USE CFIRS CODE ONLY 2 3 4 5 6 '7' 8 9 1 0 ~:" E MAX ANNUAL CUNT USE [,OCATION IN THIS ,~ BY '-HAZARD, D.O.T E AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. ,. CHEMIC. Ar. OR COMMON NAME ~ CODE GUIDE ..' '~< '~ .x.~ '.":..,' ..M 1020. LBS 4080 LB.~LBS 04 36 BASEMENT NW CORNER 100% I 'ETHYLENE OXIDE (SEE ATTACHED MSDM} NFbG . ., M 192.5FT3 840 FT31 FT3 04 27 2ND FLOOR SW CORNER. 100% HELIUM (SEE ATTACHED MSDS) NFLG), · M 322FT3 2760FT3 FT3 04 27 2ND FLOOR SW CORNER 100% OXYGEN (SEE ATTACHED MSDS) NFLG M 560FT3 2016FT3 . .FT3. 04 27 2ND FLOOR SW CORNFR ~nnc. NTTI~OI~ n~n~ (SEE ATTACHED MSDS) NFLG -'.". M 3600FT3. 10,800 FT3 04 27 2ND FLOOR SW.CORNER 100% N!IROGEN (SEE ATTA~ZHED MS,S/ NFl ~ W 5 GAL. 200 GAL.GAL. 06 TEST. NW... CORNER HISTOLOGY 100~ XyLENE (SEE ATTACHED MSDS) ORME W 5 GAL. 188 GAL.GAL. 07 , , 40 SE CORNER PHARMACY 100% ANTINEOPLASTIC DRUGS (SE~ MSDS) ORMF '...:' IIM I 700GAL. 350 GAL.GAL. . 01 19 NE CORNER BEHIND O,B, 100% UNDERGROUND DIESEL .... [SEE.MSDS1 2 FLGS _M 100 GAL. 50 GAL. GAL. O1 ...19 NE CO.RNER BEHIND O.B. 100% GASOLINE (UNDERGROUND TANK) (MSDS) FLGS M 3000GAL. IO00GAL. GAL. O1 19 NW CORNER BY GENERATOi 100% UNDERGROUND DIESEL 2ND TANK {MSDS) FLGS ~'~: M 60 GAL. 500 GAL.GAL.. 01 29 SE STORAGE BUILDING 1QQ%. PAINT (SEE MSDS) ORMA M 55 GAL. 55 GAL. GAL. 01 29 SE STORAGE BUILDING. 100% PAINT TNTNNFR fMgn_q) ORMA ) BILL MARTIN TITLE: DIR. of SECURITY SIGNATURE: ~z~(~'~ ¢~z~-----~ DATE: "'NCY CONTACT: BILL MARTIN TZTLE: DIR. of SECURITY PHONE ~ BUS HOURS: 327-1711 AFTER BUS HAS: 872-529~ v CONTACT: KEVIN FISHER T~TLE: ASSIST. ADMIN. of FINANC~HONE ~ BUS HOURS: 327-1711 ~IU.qINESS ACTIVIT-Y: MEDICAL FACILITY AFTER BUS. HAS: ....... 871.-2607 . -C-~VEflI~NT U~;E OM.Y- ( Impe~lar~ ~ ): STATE OF CALIFORNIA--HEALTH AND WELFARE AGENCY GEORGE DEUKMEJIAt~, Governor OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT ~ 1600 9TH STREET SACRAMENTO, CA 9581,4 (916) 324-9963 March 13, 1989 Fire Department of Bakersfield 1729 22nd Street Bakersfield, CA 93301 Attn: Captain R. H. Harger Subject: San ~oaquin Community ETO Review Dear Captain Harger: The review ,of the San Joaquin Community Hospital was beneficial. The following report and attachments point out the problems that were observed. The attachments are included as part of the report to help explain the seriousness of them. I. ETHYLENE OXIDE STERILIZER INSTALLATION: A.The ETO sterilizer installation does not comply with the various codes and standards. (T24. TS-Sec. ~220) B. Installation of cap,~ure boxes. '" C. Ventilation of aeration uni~. D. Ventilation during cylinder changes. E. Ventilation of sterilizer door area. F. Ventilation of sterilizer relief valve. G.Installation of alarm system. This includes an exhaust system air flow sensor. H. The exhaust fan is located in the middle of the duct. I. The exhaust duct terminates in the air shaft outside of the mechanical room. This is where the maintenance people keep materials. These materials should be reviewed and kept in compliance with the Fire Codes. The door separating the two air shafts was open letting the ETO gases back into the mechanical room. J. The ETO drain was piped into the drain in the mechanical room and it was not labeled. K. The ETO supply bottles were in the electrical switch gear room in-between two rows of switch rear. This violates the clearances of the electric code. 3441F/sm Captain R. H. Harger March 13, 1989 L. The PVC exhaust line in the switchgear room is to be removed. M. The ETO sterilizer evacuation pump is leaking on the floor. N. The room where the sterilizer is located has holes and ducts of unknown types or kinds. The amount of air being removed is not up to code requirements. O. The alarm monitor system is apparently not detecting the ETO in the water from the pump even though the exhaust cfm is low. II. ESTABLISH: A. Dedicated Exhaust System. CAC, T8, Sec. 5220., EPA., CAC-T24, Sec. 4-2103., T24, Sec. T8-5143., HEW-Construction & Equipment for Hospitals. B. ETO exhaust discharge to be 25 feet'from any opening. __ CAC-T24, SeC.~T8-S143., HEW-Construction ~.Equipment for C. Air Conditioning Heating and Ventilation systems-as per CAC-T24, Chapter 4-21, note Table 4-2110A., HEW Construction & Equipment for Hospitals...Spec. note Chapter 7...NFPA 90A. D. Filters for air supply as per CAC T24, Sec. 4-2104. E. Electrical Installation; NEC. note Sec.'s llO-16(a)., (b)., llO-17., 110-34., HEW., T8-Sec. 5220., B.II. (9). "class I". F. Evacuation Pump; Replace the double packing seal with a self contained, no water to the drain unit. UPC -Sec.'s 321, Chapter 6. G. Monitor; cfm-T8, Sec. 5220., ETO-alarm level-.Sppm & action at lppm, EPA., Keep Records. H. Maintenance Procedures and Records; CAC T24, Sec. T8-5143. I. Signs and Labeling; EPA., CAC T8-5220. The people working in the area of the ETO equipment may be in danger of being exposed to ETO gases in excess of the lppm limit. (weighted average) 3441F/sm Captain R. H. Harger March 13, 1989 It is my hope that this report will be of assistance, I know it will be in this office. If you have any questions, please call me, I am here to help. Sin~rely, y/ ~Construction Advisor Division of Facilities Development & Financing 3441 F/sm STATE OF CAI. IFORNIA---I-IEALTH AND WELFARE AGENCY .~; GEORGE DEUKN'~EJIAN, C, overnor OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT 1600 9TH STREET ·- ,, SACRAMENTO. CA 95814 .; Fire Department of Bakersfield Feb.29,1989 1729 -22nd Street Bakersfield, Ca. 93301 Attn: Captain R.H.Harger. Subj; San Joaq. Comm. ETO Review Dear Sir: The rewview of the San Joaquin Community Hospital was benifical. The following report and attachments point out the problems that were observed. The attachments are included as. part of the report to help explain the seriousness of them. I. ETHYLENE OXIDE STERILIZER INSTALLATION: a. The ETO sterilizer installation does not comply with the various codes and standards. (T24,TS-Sec5220) b. Installation of capture boxes c. Ventilation od aeration unit d. Ventilation during cylinder changes e. Ventilation of sterilizer door area f. Ventilation of sterilizer relief valve h. Installation of alarm system. This includes an exhaust system air flow sensor. i. The exhaust fan is located ~in the middle of the duct. j. The exhaust duct terminate~in the air shaft out side .. of the mechanical-room. Th!? is-where the maintenance 'people' ~p ~aterial$. These materials should'be reviewed and kept in compliance with the Fire Codes. The door seprating the two air shafts was open letting the ETO gases back into the mechanical room. k. The ETO drain was piped into the drain in the mechanical room and it was not labeled. 1. The ETO supply bottles were in the electrical switch gear room in between two rows of switch gear. This violates the clearances of the electric code. m. The PVC ezhaust line in the switchgear room is to be removed. n. The ETO sterilizer evacuation pump is leaking on the floor. o. The room where the sterilizer is located has holes and ducts of unknown types or kinds. The amount of air being removed is not up to code requirements. p. The alarm monitor system is apparently not detecting the ETO in the water from the pump even through the exhaust cfm is low. II. ESTABLISH: A. Deicated Exhaust System. CAC,T8,Sec5220.,EPA.,CAC- T24,Sec4-2103.,T24,Sec TS-5143.,HEW-Construction & Equipment for Hospitals. B. ETO exhaust discharge to be 25 feet from any opening. CAC-T24,Sec TS-5143.,HEW-Construction & Equipment for Hospitals. C. Air Conditioning Heating and Ventilation systems-as per CAC-T24,Chapter 4-21, note Table 4-2110A.,HEW- Construction & Equipment for Hospitals...spec note chapter 7...NFPA 90A. D. Filters for air supply as per CAC T24,Sec 4-2104. E. Electrical Installation; NEC.note Sec's l10- 16(a)., (b).,l10-17.,l10-34.,HEW.,TS-Sec 5220.,B.II.(9)."classI". F. Evacuation Pump; Replace the double packing seal with a self contained,no water to the drain,unit. UPC-Sec's 321,Chapter 6. G. Monitor; cfm-TS,Sec 5220.,ETO-alarm level-.5ppm & action at lppm,EPA.,Keep Records. H. Maintenance Procedures and Records; CAC T24,Sec T8-5143. I. Signs and Labeling; EPA., CAC T8-5220. The working in the area of the ETO equipment appear people to be ~in danger of being exposed to ETO-~gases in excess of ........... · the lppm--limit. IT"is my hope that this report will be of assista~-~, I know it will be in this office. If you have any questions please call me,I am here to help. Sincerely ~olm M~/s~son ,~onstruction Advisor. May 23, 1989 City of Bakersfield Fire Dept. ATTN: R.H. Harger 2101 "H" St. Bakersfield, CA 93301 Dear Capt. Harger: Subject: San Joaquin Community Battery, Sewer Sump Area; also, Boiler Room This is the second part of our inspection tour of this facility. Batteries in l~rge numbers are preferably put into a separate room for secu- rity and safety (NEC Sec. 480-7, and Sec. 110-17). The batteries located in the sewer pump/equipment room present a problem of access for the work activity that could result from working on the sewer pumps. The battery terminals should be covered in a manner so that tools or.metal cannot come in contact with them and cause an accident (NEC 110-17). The ventilation in the area appeared to be sufficient to disperse the off gassing of the batteries. The major concern is that the hydrogen off gas and the sewer gas, from leaks and at times opening into the sewer sump, are being discharged into the occupant area of the store room. Some means have to be established to exhaust the area to the outside atmosphere. The open grill between the store room and the equip- ment area has to be closed. The store room ventilation will need to be estab- lished and balanced. We have to assume that the sewer sump and/or drain system may be collecting ETO discharge water,'laidened with ETO gas, maybe off gassing and getting into the equipment area and, at least, presently going into the store room when peo- ple are present. The medical air intake: the air intake for the patient medical air compressors is located in the boiler room near a hot water heater flue. The patient medical air intake shall be located where not contamination from engine exhausts, fuel storage vents, vacuum system discharges, particulate matter or flues from fuel burning sources (NFPA 4-3.1.9.2). The medical vacuum discharge shall be discharged outdoors in a manner that will minimize the hazards of noise and contamination to the hospital. The exhaust shall be located remove from any door, window, air intake or other open- ings in building (NFPA 4-7.1.1.1(h). Other items noted were electrical code violations due to equipment and/or materials being placed and/or stored directly in front of the electrical devices. Some arrangements need to be taken to correct all electrical infractions (NEC 110-16, T24, Sec. 3-110-16). U'sing the equipment area for a trades storage and work area is not in the best interest of the employee(s). This is due to the cluttered condition, sewer gas potential and that.ETO gases may be present in the sewer sump. Please call if you have a question. Sincerely, Malcolm McKisson 'cc: Glen Ruddell Phil Foster -2- CITY of BAKERSFIELD "WE CARE" FIRE DEPARTMENT 2101 H STREET D. S. NEEDHAM BAKERSFILED, 93301 FIRE CHIEF May 22, 1989 326-3911 Mr. Fred Mancher, President San Joaquin Community Hospital 2615 Eye St. Bakersfield, CA 93301 Dear Sir: On February 9, 1989, Mr. Malcolm McKisson, OSHPD, and I reviewed San Joaquin Community Hospital. Mr. McKisson is the Construction Advisor for this area of California and knowledgeable in the State codes for compressed gases. During our survey, several deficiencies were noted. Included is a list of the deficiencies that I found as the local enforcing agency and a copy of the reports from Mr. McKisson, regarding the facility's ethylene oxide installation and, battery, sewer sump area and boiler room areas. 1. First floor a. X-ray office: doors blocked open - UFC 12.104(e). b. X-ray room #2 needs self closer. c. X-ray corridor - UFC 12.103(e). d. Lab: refrigerator's flex conduit broken - UFC 85.104. 2. Door and closure to histology lab - UFC 10.102(e)~ 3. Portable heaters through facility - BMC NFPA 101. 4. Medical records area: doors and exit signs missing - UFC 12.112; 12.108(b). 5. Exit sign in medical records not illuminated - UFC 12.114(c). 6. Medical records has illegal double keyed dead bolts; missing ceiling tiles - UFC 12.104(b); copy machine and supplies in exit way - UFC 12.103(e). 7. Respiratory therapy room has microwave blocking fire exit - UFC Std. 10-1 4-3.2.2; NFPA 10-1-6.5. 8. Pharmacy office door to corridor pinned and blocked. 9. Basement storage area distance to exit exceeds 200 ft. - UBC 33.03. 10. Linen storage room #202: fire extinguisher discharged. 11. Boiler room: fire extinguisher needs mounting; compresSed gas cylinders need securing; combustible storage in ventilation pit; poor housekeeping in ventilation pit; clearance around lockers; Hazardous Materials signing for entrance doors. 12. Innerspace area: above the ducting, combustible storage blocking sprin- kler heads; sprinkler pipe used for cable raceways; compressed gas cylinders need securing; travel distance to fire extinguisher exceeded. 13. Cafeteria: needs occupancy signs; walk-in boxes need no-knowledge hardware; sprinklers blocked; need protection devices for sprinkler head - NFPA 13.3-4. Mr. Fred Mancher May 22, 1989 14. Maintenance office has paper in vents. 15. Pantry area of kitchen missing electrical covers, light fixtures; jani- tor closet missing ceiling tiles; electrical wires in storage area need junction boxes closed. 16. All floors: remove storage in hallways and .exit ways. Third floor blower room: remove combustible equipment - UFC 11.203(c). Please contact my office regarding a plan to correct these deficiencies within ten days. These are violations of local and State laws and can result in the prosecution of yourself and the license forfeiture of San Joaquin Community ~Hospital. I will try to work with you at every opportunity to correct these deficiencies. Yours truly, R.H. Harger,~ Fire Safety Control RHH/d -2- REC~-!~CFJ ~~ SAN JOAOUlN 0 CT 2 0 1~B8 A' COMMUNITY HOSPITAL ,~ d ............ 2615 Eye Street · Post Office Box 2615 · Bakersfield, California 93303-2615 · 805/395-3000 MEMORANDUM , TO: Ralph Huey, Haz/Mat. Division DATE: October 3, 1988 FROM: BilI Martin, Director, Safety/Securit~ SUB3ECT: BUSINESS PLAN Please find enclosed the additional items that are to be. included in our business plan, but were accid- ently left off the original copy submitted. Also the appropriate facility drawings have been included. Please feel free to call me at 395-3000 Ex. 2287 if there are any questions. BARERSFIEI, D CITY FIRE DEPARTMENT I.D. f FORM 4A-! Page ~of NON--TRADE SECRETS HAZARDOUS I~IATERI ALS I NVENTORY BUSINESS NAME: gAN JOAQT]TN ~M~_ ~gPT~AT. OWNER NAME: San Joaau~n ~nmm..~a~p ~or~FACILITY UNIT #: ADDRESS: 2~5 EYE STREE~ ADDRESS: 2615 ~¥~ g~r~ FACILITY 0NIT NAME: CITY, ZIP:BAKERSFIELD qqRn~ CITY,ZIP: Bakersfieldr Ca]ff. [ .... PllflNE ~: 395-3000 PHONE #: 805-3~5-309Q ., OFFICIA~ USE CFIRS CODE ONLL,, , 'rYn~ ~AX ANNUAL CeNT USE ~OCATION IN THIS ~ By HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITy UN[? WT~ CREMI~AL OR COMMON NAME CODE GUIOE , M 100LB 150 LB. LB ~ ~ BASEMENT ~0~ ~T~CTDE ~ q~ .O~TD M.. 30GAL. 90GAL. ~aT a7 Jl mAg~)~ 300 ~ORQTgT~ CONTROL 5110 M 30GAT,. 60~AT, ~AT, h7 nl B'ASENENT lh~ SCALE CONTROL ~R-160 CDM~ M 30GAL. 60GAL, GAL 07 4] BASEMenT l~a CORRTgTON ~ONT~T,- COg - 10 CP~T M 40q6~f 5qq199~ C~F_ 03 27 N/W Corner/°utside t0.0 LIOUID AIR _ M 4~q~;. 212.q~2 C_F ~4 77 $ /E~ Cn~O~ BY AL!,EY !O OXYGEN ~FLG ii~'~____B/j~I~ARTIN TITLE: DTRECTOR/S~CT~TT~IONATURE: naT~: E~{ERGENCY CONTACT: ~EVT~ ~w~u~ TI~I,E: CO~Dm~nT.T.~ PHONE # BUS HOURS:. 395-~00~ ..... ' ........ AFTER BUS HRS: E~ERGENCY CONTACT: TITLE: PHONE # BUS HOURS:. PRINCIPAL BUSINESS ACTIVITY: AFTER BUS HRS: , 87]-2607 liana Armstrong Supervisor, Mat. Mgmt. 2788 Barbara Long Social Services 2229(549) Dorothy Beckham VP, Nursing 2291 (502) Fred Manchur President 2221 Larry Bentley Dir., Data Processing 2825 Bill Martin Dir., Security 2287 Linde Breadmont Supervisor, Cen. Supply 2247 Bill McBride Dir., Pharmacy 2277 Diane Briley Unit Mgr., Ortho/Onc 2386 Sue Miller Supen/isor, Admitting 2237 Annette Brink Unit Mgr., ICU 2392 FIo Morgan Dir., Pat. Business Office 2144 Sandra Broughton Unit Mgr., Recovery 2370 Susan Morgan Supervisor, Env. Svcs. 2310 Rheta Carter Dir., Laboratory 2244 Deanna Nakamura Dir., Nutrition Svcs. 2378 Jim Cherry Dir., Construction 2415(505)' Marie Nix Dir., Med. Records 2288 Pat Daniel Dir., Environ. Svcs. 2214(536) ' Adela Osteen Chief Accountant 2129 Mark Duckett Din, Phys. Therapy 2110 Dennis Parks Chaplain 2295(591) Jeff Eller Adm. Dir., Human Res. 2388(568) Cinda Lea Pitts Dir., Child Care 2817 Chris Enns Dir., Resp. Therapy 2118 Lena Puryear Asst. Super, Admitting 2106 Will Evert Adm. Dir., Facilities 2140(575) Rick Rawson Dir., Budget Reimb. 2133 Mei-Ling Fang Medical Library 2284 Welter Sackett General VP 2221 Kevin Fischer Controller 2221 Carrie Scolt Asst. VP, Nursing 2888(513) Curt FEint Foreman,. Engineering 2311 ('505) Kent Simmons Asst. VP, Nursing 2889(574) Smoki Francisco Unit Mgr., Surgery 2701 Ardie Smith Coord., QA/Risk Mgmt. 2404(565) Ken Gibb VP, Finance 2221 Barbara Smith Unit Mgr., Cath Lab 2255 Mary Harris Unit Mgr., Peds/OP 2369 Inez Smith Dir., Linen Services 2310 Klm Hashim Unit Mgr., Obstetrics 2821 Paula Snlder Supervisor, Nuc. Med. 2394(524) Glen Hawkins Dir., Radiology 2300 Candy Soule Asst. DIr., Pat. Bus. Office 2144 Earlenne Hunt Dir., Volunteer Svcs. 2209 Herb Stanley Supervisor, Biomed. 2314(534) Roy Hunt Dir., Mat. Mgmt. 2271 (548) Anita Tripp Dir., Nsg. Education 2780(564) Ann Jensen Unit Mgr., Med/Surg 2325 Lynn Valos Dir., Pt. Support Svcs. 2318(576) Jane King Supervisor, Telecomm. "O" Gwen Zumwalt Super.; EFL/OP Billing 2144 ) on Larrabee Adm. Dir., Marketing 2202(525) ebra Lewis Unit Mgr., Telemetry 2365 Attached please' find your department copy of the Hazardous Waste Management Program for San Joaquin Community Hospital. Please place this in the front of the.Safety Policies and Procedures Manual in your department as soon as you have read it. This is now a permanent program as mandated by Federal OSHA and as such we will be requiring all department heads to become familiar with the material provided. If you have any questions regarding this program please feel free to call x 2287 or dial '0' to page me. Thank you for your cooperation~ Billy G. Martin, Director Hazardous Material Program :jb MEMORANDUM TO: All Unit Managers D~E: Sept. 1, 1988 FROM: Billy G. Martin, Coordinator ~.~ Hazardous Materials Program SUbJeCT: OCCUPATIONAL HEALTH HAZARDS In recognition of the possible occupation health hazards which in some instances cause long term diseases and, in some cases., death, the State of California enacted the Hazardous Substance Information and Training Act (Senate Bill 1874) and CAL/OSHA General Industry Safety Order 5194. Additionally, Federal OSHA has adopted parallel requirements, 29CFR 1910-1200. The act specified that for any material designated as hazardous on the Director of Industrial Relations Hazardous Substance List, the employer (all department heads) shall: 1. Inform employees who use or may be exposed to the substance about the hazards of that substance. 2. Train employees in the precautions to take to prevent or minimize exposure to the hazardous substance, and 3. Train employees in what procedures to follow if they are accidentally exposed to such substance. After implementing training, all information shall be documented and a copy shall be forwarded to the Safety committee. Material safety data sheets, which are provided with the chemical or by the chemical manufacturer, shall be maintained by the department head in a 3-ring binder with the label in order for employees to easily view the material. Employees must be informed regarding the location of the "Material Safety Data Sheets" prior to working with potentially hazardous chemicals in order for'the employer to comply with the Hazardous Substances and Information Training Acts. HAZARD COMMUNICATION PLAN EMPLOYEES TRAINING PROGRAM Employees are to attend a Health and Safety Inservice set up by their department prior to first day of employment and on an annual basis thereafter for the purpose of review. Training will include the following: I. AN OVER VIEW OF THE HAZARD coMMUNICATION REGULATIONS A. Hazard Communication Regulation Requirements. B. Employees rights under the regulations. C. A description of this facility's hazardous communication program. D. Location and availability of the regulations, MSDS's, and. other information.~ II. TRAINING ON THE READING OF LABELS AND HSDS'S III. TRAINING ON IDENTIFIED HAZARDOUS MATERIALS ENCOUNTERED IN THE WORK PLACE ON THE INFORMATION FOUND ON THE HAZARDOUS SUBSTANCE POLICY SHEET A. Common and generic names for the material. B. Identification of materials by appearance and other properties. C. Effects of particular hazards on the environment and personal health. D. Handling precautions. E. Proper usage. F. Emergency spill procedures including immediate first aid and clean up procedures. Documentation of all training is to include inservice materials; sign-in sheets will be submitted to the Safety Coordinator and reviewed annually by the hospital Safety Committee and hospital Quality Assurance Committee. 'IV. TRAINING ON THE HAZARDS ASSOCIATED WITH NON-ROUTINE DUTIES: A. Avoiding contact with or exposure to unfamiliar substances. This includes all substances on which personnel have not received training or are otherwise unaware of its properties. B. Asking questions of appropriate personnel regarding hazards before working in a non-routing or unfamiliar area. C. Relaying hazard information to other workers who are not routinely performing duties in your department. D. How to recognize unlabeled pipes which may contain hazardous materials. V. Depending on the area, either the Chief Engineer or Construction Unit Manager is responsible for insuring that all contractors,' maintenance companies, etc., are instructed in potential hazards they may be exposed to while working at the facility. The manager will also review all products the contractor may introduce to insure facility personnel are not exposed to additional unfamiliar hazards. Documentation of such activity will be maintained by the Director of Plant Operations or the Construction Manager, depending on the area. See documentation statement provided (attachment B). VI. The Safety Coordinator is responsible for coordinating an annual audit of the Hazardous Substance Program. The audit will be conducted during the month of February each year. The audit will be performed as part of the Annual Safety Audit. The following features will be audited: A. Identification of hazardous substances and the availability of MSDS's. B. Posted notice of hazardous substances in the work place. C. Completion and documentation of training for all employees in the department. D. Employee knowledge of hazardous substances and location and use of MSD$'s. A sample audit form is provided (attachment C). A follow-up audit of any problems identified will be completed within 90-days from issuance of report. Results of all audits and re-audits will be submitted to and reviewed by the hospital Safety Committee. HAZARD MATERIAL PROGP. AM TABLE OF CONTENTS RESPONSIBILITIES 1.0 COMMITTEE MEMBERS 2.0 RESPONSIBILITIES FOR MATERIAL MANAGEMENT 3.0 RESPONSIBILITIES OF THE SAFETY/SECURITY DIRECTOR 4.0 RESPONSIBILITIES OF THE SECRETARY 5.0 RESPONSIBILITIES OF NURSING EDUCATION 6.0 RESPONSIBILITIES OF THE ADMINISTRATI~'E ASSISTANT 7.0 RESPONSIBILITIES OF THE LAB REPRESENTATIVE 8.0 RESPONSIBILITIES OF THE MAINTENANCE REPRESENTATIVE 9.0 RESPONSIBILITIES OF THE HAZARDOUS WASTE AND 10.0 COMMUNICATION COMMITTEE HAZARDOUS MATERIALS PROGRAM 11.0 MSDS REQUEST LETTER - SAMPLE 12.0 HAZARD COMMUNICATION - INFORMING CONTRACTORS 13.0 ATTACHMENT A- 2 14.0 SAMPLE INVENTORY 15.0 HAZARDOUS SUBSTANCE POLICY SHEETS - SAMPLE 16.0 LESSON PLAN: HAZARDOUS SUBSTANCE' RECOGNITION COMMUNICATION 17.0 ETHYLENE OXIDE: EMPLOYEE TRAINING AND COMMUNICATION PROGRAM 18.0 CONTINGENCY PLANNING AND EMERGENCY RESPONSE TO CHEMICAL SPILLS 19.0 POLICY Manu~l HAZARD MATERIAL MANAGEMENT Number I. 0 W Subjm RESPONSIBILITIES It is the responsibility of each committee member to be thoroughly familiar with the hazard communications standard requirements. Every committee member is required to read The Hazard Material Program in order to understand the governing requirements of this program. Meetings will be conducted whenever deemed necessary, however, not less than quarterly. 8~0-601 POLICY M~.~I HAZARD MATERIAL MANAGEMENT Number 2.0 ~'~ ~-,i,, Dg,~ 1 / 88 ~ R~ Da~ ~~~ ~se I or 1 ADNINI~T~TION ~ EVERT ~AFETY/~ECURI~Y BILLY G, ~RTIN RISK ~AGENENT ARDIE SNITH~ R,N. ~WERIA~S ~AGENENT ; ROY HUNT NURSING EDUCATION ANITA TRIPP ~NGINEERING ~EONARD TRUNKEY ~ SUE ~HITNORE CENT~ SERVICES ~INDA BRE~NONT HOUSEKEEPING PAT CONPUTERIZED I~ENTORY ~E BEN~IN 8650-601 POLICY Number M~nu~l HAZARD HA?KRTAL 14ANAGEMKN~ 3.0 ~ ~~ ~v~ D~/1/88 ~a~n~n on 1. New Chemical Purchasing Request Form (with Material Safety Data Sheet attached) prior to any suggested new material being brought onto the facility. A copy of the data sheet must also be forwarded to the Hazardous Waste Coordinator. 2. A list of chemicals purchased in alphabetical order and the departments in which they are stored or used. 3. Record keeping data and all audit system information. 86~0-601 POLICY M~u~ HAZARD MATERIAL MANAGEMENT Numar 4.0 S~ RESPONSIBILITIES FOR THE ~cwDatc ~[[~~IW SAFETY/SECURITY DIRECTOR The Safety/Security Director, who is also to be the Hazardous Material Coordinator, will be responsible for assuring that all aspects of the Hazard Communication Standards are met. The Safety Director does not perform each and every task required but works with management and other individuals to assure that all areas are addressed. Following are the Director's main responsibilities: 1. Implement a written program. 2. Provide employee education and training programs and keep current information incorporated in the training programs. 3. Annual program review established an monitored to determine compliance 4. Assist with chem±cal inventory. 5.~ In the event of a chemical sp±11, the Hazard Material Coordinator or designee will evaluate whether or not to notify the following: A. Maintenance B. Administration on-call C. Bakersfield City Fire Department D. Hazard Waste Hauler of X¥1ene and Formalin: P.S.S. - (805) 399-4620 g. Hauler for chemo and infectious waste W.D. B±ngham Co. (714) 474-0220 POLICY ~ N~mber M~nu-~ HAZARD MATERIAL MANAGEMENT 5.0 ~~ Bffec~v¢ D~/1/88 ~ Review Date Subject RESPONSTBTLT?TES OF THE · A~ ~~IW SECRETARY COMMUNITY The main responsibilities of the Committee Secretary will be as £ollows: 1. Take, maintain, and appropriately disperse copies of minutes of all meetings. 2. Assist the Coordinator ~ith implementation off Hazardous ~aste and Communication Plan in ~hatever ~ays deemed necessary by the Committee. 86.50-601 POLICY Number Manual HAZARD MATERIAL MANAGEMENT 6.0 ~~ Effec~ve Date ~ e/l/ss Re%4ew Date Sob~.~t RESPONSIBILITIES OF ~l~lf.W~l~lJlf NURSING EDUCATION COMMUNITY ~~ ~s~ 1 of 1 The ~aln responsibilities of the Nursing ~.ducation Department will be as follows: 1. Scheduling and documentation of training programs. 2. Assuring that all necessary training programs are completed in a timely manner for new employees as well as existing employees. POLICY Numt~r M~.u,~ HAZARD MATERIAL MANAGEMENT ? .0 ~~_ Effective Dam W Review Date Sub~ RESPONSIBILITIES OF THE ~~~W ADMINISTRATIVE ASSISTANT COMMUNrI HO~k~T~ 1~8e I of 1 The main responsibilities of the Administrative Representative will be as follows: 1. Attend all meetings. 2. Review and endorse all programs prior to implementation. 3. Assist the Committee in enforcing all approved programs. 8650-601 POLICY Number M~.u.~ HAZARD MATERIAl. MANAGEMENT 8.0 W Review Date Subject RESPONSTBILT?TES OF TttE ~.~B · 4N.IOAOUlIM REPRESENTATIVE COMMUNITY ~AL P~s= ! of The main responsibilities of the representative from the Lab w±ll be as follows: 1., Monitoring of laboratory chemicals and their use. 2. Assisting with laboratory inventory and proper labeling of chemicals. 3. Assist with the Annual Review program in order to determine compliance. 8650-~01 POLICY Number M~u~ HAZARD MATERIAL MANAGEMENT 9.0 ~~ Effective Date -- 8/~/88 W R~4ew Date $~-~ RESPONSIBILITIES OF THE ~~~lW MATNTENANCE REPRESENTATIVE COMMUNITY ~~g~ ,P~ge 1 of 1 The main responsibilities of the representative from the Haintenance .Department will be as follows: 1. Responsibility for monitorinq all inservice maintenance personnel; to make certain they are in compliance and are working safely with all aspects of handling hazardous chemical material and its disposal. 2. Be responsible for researching and implementing a plan to determine what types o£ equipment and apparel are necessary for all personnel who will be working directly with hazardous chemicals. POLICY Numl~r M~nu-~ HAZARD MATERIAL MANAGEMENT 10.0 ~~ Effective Date S/l/SS W' P.t~4ew Date Sub~.c~ RESPONSIBILITIES OF THE ~./O~UlM HAZARDOUS WASTE AND COl&lMUllfrry COMMUNICATION COMMITTEE HOSP/TAL. P. se 1 of 1 The Hazardous Waste and Communications Committee has the over-all responsibility to assist all departments in maintaining a safe environment for all work areas. Maintain±rig these standards will be accomplished when each committee member completes his or her as s ignment. 86~0-601 POLICY M~ual [N~r HAZARD MATERIAL MANAGEMENT 11.0 ~~ Effec~e Da~ W 8 / 1/8 8 Renew Dale S~je~ COMMUNITY PROGRAH HOSPITAL ~sc of PURPOSE: The purpose o£ the Hazardous Substance Management Plan is to establish, implement, monitor, and document evidence of an ongoing program for the management of hazardous chemicals. To ensure that there is minimal risk to patients, personnel, visitors, and the community environment within the confines of San Joaquin Community Hospital. OBJECTIVES: X. To develop a system that addresses the identification of hazardous chemicals from the point of entry to the point of final disposal. 2. To develop a system for managing hazardous chemicals safe~y after identification. 3. To ensure the policies and procedures re~ated to the var±ous hazardous chemicals are re¥iewed, revised and approved at least annually by ~he appropriate committees. 4. To enhance adequate supervis±on of institutional personnel. ~. To enhance coordinat±on and communication among departments, services, and the committees of the facility. AUTHORITY AND RESPONSXB~LXTY: The Governing Body has final legal and moral author±ty and responsibility for the assurance of a comprehensive, fle×ible, integrated hazardous chemica~ program. The Governing Body is respons±ble for providing the financial support necessary for the specific services, equipment, and personnel required to maintain the hazardous chemical program. The governing Body delegates authority and accountability for the management of the Hazardous Material Program to the facility Administrator. 8650-601 POLICY M~u~ Numar ~~ HAZARD MATERIAL MANAGEMENT ~ffec~eDa~ W 8 / 1 / R R Renew Date Subject ~ANJOAOUIN HAZARDOUS MATERIALS COMMUNITF PROGRAN 2 11 The Chief Executive Officer (CEO) is responsible for assuring that the Hazardous Material Program is compatible with Federal, 'State, and local requirements. The CEO will determine to what extent, if any, outside aid (consultants, review bodies, etc.) will be needed to identify and/or assess hazardous materials and wastes. The CEO delegates specific responsibilities to each department head for the management of the hazardous materials and wastes generated in that department. The CEO delegates overall coordination for hazardous waste management to the Safety/Security Director who reports directly to Administration concerning all hazardous waste management matters. The Safety Committee is responsible for establishing priorities for the investigation or resolution of identifying problems with hazardous materials and wastes, and shall refer the priority setting to the appropriate department, committee(s), or individuals(s) as needed. The Safety Committee is responsible for reviewing all policies and procedures relating to the operation of the Hazardous Material Program and for evaluating the effectiveness of the program, at least annually. The Safety Committee is responsible for reporting its findings and recommendations to Administration. The Hazardous Material Coordinator is responsible for assuring the annual review of all policies and procedures related to the management of hazardous materials and wastes, and for informing the departments of the results of these reviews. The Coordinator is responsible for maintaining a file of all reports submitted and for preparing an annual summary for the Administrator, Executive Committee, and the Governing Body. 8650-601 POLICY Numar M~u~ HAZAI~D MATERIAL MANAGEMENT 11.0 ,~s~ ~f¢~ve Da~ s/i/ss W ~ Da~ s~je~ HAZARDOUS MATERIALS ~ JO, qi~llW PeCXmaa~ Hsl:lFd~r~ ~ ~se 3 of 11 POLICY 8?A?EHEN~: The Hazardous Material program has been developed to ensure the health and safety of employees. Through this program, information about chemical hazards will be provided by way of proper labeling, Haterial Safety Data Sheets, and training to employees who normally work with the material and those to whom exposure is reasonably likely. This program covers all aspects of dealing with hazardous materials: Proper usage, handling techniques and precautions, emergency procedures, and waste disposal. PROCEDURE:' I. IDENTIFICATION, ?RACKING, AND EVALUATION To ensure that procedures and other information is kept up- to-date, the following system has bee employed. This system helps to ensure that new information about materials is considered and incorporated into policies and procedures. It also ensures that new materials are evaluated for their hazards. The Hospital Safety Committee is responsible for overseeing this system. A. An inventory of all materials considered to be hazardous to employees is to be compiled by each department. Substances to be considered for coverage under this program include those hazardous substances listed in: 1. The Director's List of Hazardous Substances (Section 339 of-Title 8, CAC). 2. 29 CFR Part 1910, Subpart Z, Toxic and Hazardous Substances, Occupational Safety and Health Administration (OSHA). 3. ?hreshold Limit Values £or Chemical Substances in the Work Environment, American Conference of Governmental Industrial Hygienists (ACGIH), 1984. 8~0-601 I POLICY M~u~ N~r ~~ HAZARD MATERIAL MANAGEMENT 1 ~ - 0 __ Effc~vc Da~ ~ ~ew Da~0/1/88 s~ F~Y~ 2OA~IW HAZARDOUS ~ATSRIALS ~UW/TF PROGRA~ 4 11 4. National Toxicology Program (NTP), Third Annual Report on Carcinogens, 1983. I 5. International Agency for Research on Cancer (IARC), Monographs, Volumes 1-34' Also included are any other substances which present a physical or health hazard(s) as determined by scientific evidence. The inventory will consist of a complete listing, by department, of all names and alternate names in alphabetical order of all identified hazardous substances. After each name, the Hazardous Substance Policy Number (see I.B) will be listed. B. Excluded from this particular program are: 1. Radioactive materials which are handled under separate policies and programs overseen by the Area Radiation Safety Subcommittee. 2. Chemotherapeutic agents which are handled under separate policies and programs overseen by the Pharmacy and Therapeutics Committees. C. A Hazardous Substance Policy as dictated by OSHA (and an optional policy numbering system) will be maintained by the department for each material. The number will identify the substance, the department, and the date of the policy. The pol. icy will be compiled on the Hazardous Substance Policy Sheet (Attachment A-l). Instructions for completing this policy sheet are also provided (Attachment A-2). The complete policy for each substance will consist of: 1. The Hazardous Substance Policy Sheet; 2. The MSDS; and 865O6O1 POLICY M~u~ Numar ~~ HAZARD MATERIAL MANAGEMENT ll ~ ~fe~ve Da~ Renew Da~ s~j~ ~4N~OUIN HAZARDOUS MATERIALS 4 M MUN PROGRA /~TF~I~ mgc of 5 11 3. Any attachments describing more detailed procedures and warnings concerning the materials as needed. Complete policies of all identified substances will make up the department's Hazardous Substance Policy File. D. All Hazardous Substance, Policies with attached MSDS and other pertinent information will be submitted to the Hazardous Materials Coordinator to be reviewed and kept in a master file. E. Each Policy must be re-evaluated annually by the department,, taking into account the following factors: 1. New information about the material and its hazards. 2. New regulations or changes in the regulations. 3. New procedures to reduce the hazards of exposure. 4. Alternative materials as methods are discovered. 5. New procedures available/required for waste disposal. Any additions or changes are to be submitted to the Safety Coordinator. F. For a hazardous material which is used by or otherwise affects more than one department, the Safety coordinator may, depending on the degree/nature of the hazard, choose to assign One qualified department to oversee all purchases, use and disposal. 86~0~601 POLICY N~r M~ud HAZ~D M~?ERIAL HAN~GEHENT ~ 1 . 0 ~~ F_~ecfive Da~ Renew Date ~Q~/JO~4~UI/If HAZARDOUS MATERI~S 6 11 II. CO~AINER ~ELING Labels provided by the manufacturer on primary containers are not to be removed, must be readable, and must contain the following information: A. Contents; B. Appropriate hazard warnings; and C. Name and address of the manufacturer. III. POLI~ ~ MSDS FILES The master file of the Hazardous Substance Policies and attached MSDSs is to be compiled and maintained by the Hazard Material Coordinator and located in the Hazardous Materials Coordinator's office. Sub-master files of MSDSs for all identified substances are to be available for study by the employees and located in the following places: A. Emergency Receiving Department (MSDSs only). B. Each department (complete procedures for each hazardous substance identified by the department). C. Library.(MSDSs only). IV. EMPLOYEE INFO~TION ~ T~INING Employees are to attend a health and safety inservice set up by the Department prior to beginning work and on an annual basis thereafter for the purpose of review. Training will include the following: 8650-601 POLICY M~u~ Numar ~~ HAZARD MATERIAL MANAGEMENT 11.0 ~fecfive Da~ i 8 / 1 Renew .Tul~g ~~1~ HAZARDOUS MATERIALS 4~gllgUNrr~ PROGRAM ? 11 A. An overview of the Hazard Communication Regulation: 1. Hazard Communication Regulation requirements. 2. Employee rights under the regulation. 3. A description of this facility's Hazardous Substance Program. 4. Location and availability of the regulation, MSDS's and other information. B. Training on the reading of labels and MSDSs. C. Training on identified hazardous materials encountered in the workplace on the information found on the Hazardous Substance Policy Sheet: 1. Common and generic names for the material. 2. Identification of materials by appearance and other properties. 3. Nature of the hazard including physical and health effects. 4. Handling precautions. 5. Proper usage. 6. Emergency/spill procedures including immediate first aid and cleanup procedures. 7. Disposal procedures. Documentation of all training to include inservice materials and sign-in sheets will be submitted to the Hazardous Materials Coordinator and reviewed annually by the Hospital Safety Committee and the Hospital Standards Compliance Committee. POLICY M~u~ N~r HAZARD MATERIA~ MANAGEMENT 11.~ ~~ ~fecfive , ~ew Date ~~~/IN ~ HAZARDOU8 I~,?ERIALB ~.Oj~q~UNg/~e PROG~ 8 11 D. Training on the hazards associated with non-routine duties: 1. The importance of avoiding contact with or exposure to unfamiliar substances. This includes all substances on which the employee has not received training or is otherwise unaware of its properties. 2. The importance of asking questions of appropriate personnel about hazards before working in a non- routine or unfamiliar area. 3. The importance of relaying hazard information to other workers who are non-routinely performing duties in your own department. 4. The occurrence of unlabeled pipes which may contain hazardous materials. i~NNUAL AUDI? The Safety Coordinator is responsible for coordinating an annual audit of the Hazardous Haterial Program. The audit will be performed as part of the annual safety audit. The following features will be audited: ~. Identification of hazardous substances and the availability of B. Posted notice of hazardous substances in the workplace. C. Completion and documentation of training for all employees in the department. D. Employee knowledge of hazardous substances and location and use of MSDSs. A sample audit form is provided (attachment C). POLICY M~u~ i Numar ~~ HAZARD MATERIAL MANAGEMENT P~fe~veDa~ i~ew Date s~ject .T~f ~~l~f HAZARDOUS HA?ERIALS ~'"O~Z~U~ f/l~' PROGRAN A followup audit of any problems identified will be completed within 90 days from issuance of report. Results of all audits and re-audits will be submitted to and reviewed by the Hospital Safety Committee. VI. OUTSIDE CONTRACTORS The facility's Construction Project Manager (and/or departmental managers or supervisors, when applicable) is responsible for ensuring that all contractors are instructed in the potential hazards they may be exposed to while working at the facility. The manager will also review all products the contractor may introduce to the work site to ensure facility personnel are not exposed to hazards. Documentation of such activity will be maintained by the Director of Construction (and/or department manager). A. Contractor's Responsibilities 1. Provide the Construction Project Manager with a copy of their written Hazardous Material Program. 2. Provide the construction Project Manager with a list of any hazardous materials which the contractor will be bringing into the facility (or on the site) in addition to copies of the appropriate MSDSs. 3. Sign the facility's documentation form indicating that the contractor has been properly notified of any potential workplace hazards and indicating that the contractor has met the requirements in (1) and (2) above. B. Facility's Responsibilities 1. Inform outside contractors of any hazardous materials to which the contractor's employees might be exposed. 8650-601 POLICY Numar Mmu~l HAZARD MATERIAL MANAGEMENT 1 ~ O ~~ F~fecfiv¢ Da~ W 811188 Renew Date s~je~ W~~IN HAZARDOUS MATERIALS CCMMgUNITY PROGRAH 10 11 2. Inform contractors of the precautions their employees should take to lessen the possibility of exposure through the use of proper protective measures.. 3. Evaluate the hazardous materials to be brought on site as well as the safeguards to be taken by the contractor to minimize exposures to the facility's employees (i.e., posting of warning signs, keeping the work area off limits, providing the necessary personal protective equipment, etc.) 4. Evaluate the compatibility of the contractor's operations and hazardous materials with existing hazardous materials in the area and with overall operations being conducted in that area. 5. Provide the contractor's MSDSs to the affected departments so that they can be used in any employee training that may be necessitated as a result of the contracted operations. VII. RECORDKEEPING Records of the following must be maintained for thirty years from date of termination: A. Medical evaluations. B. Exposure or injury information. C. Documentation of environmental/occupational inspections and monitoring. D. Material Safety Data Sheets. E. Records documenting employee training. F. Records documenting contractor notification. 8650-601 POLICY Manual Number ~~ HAZARD MATERIAL MANAGEMENT 11.0 Effective Da~ Subject ~~~$W HAZARDOUS MATERIALS ~fllfUNITY PROGR~H 11 11 Access to these records shall be provided to the occupational sa£et¥ and Health Administration, State Department of Labor, the employee, the employees ts physician, and/or the employee's representative. Records shall be maintained in the Hazardous Mater±als Documentation File. 86~0-601 POLICY M~u~l Numar ~~ HAZARD MATER~AL MANAGEMENT 1~_ 0 Effective Da~ Renew Da~ S~jea COMMUNIT~ SAMPLE 1 Date Facility Name Re: MSDS for Please send a copy of your Material Safety Data Sheet for your product listed above. The MSDS is needed to achieve compliance with the Occupational Health and Safety Administration's Hazard Communication Standard (29 CFR 1910.1200). Please send the MSDS to: San Joaquin Community Hospital P.O. Box 2615 Bakersfield, CA 93303. Attn: Roy Hunt, Materials Management If this product does not require an MSDS, please notify us in writing. If you have any questions regarding our request, please contact Billy G. Martin, Director of Safety/Security or Roy Hunt, Director of Materials Management. Thank you for your prompt attention to this matter. Sincerely, Billy G. Martin Hazardous Material Coordinator 8650-601 POLICY M~u~ N~r 13:n ~~ HAZARD MATERIAL MANAGEMENT ~e~vcDa~ W ~ew Da~ SAMJOAOUlM HAZARD COMMUNICATION COMIWUM~ INFORMING CONTRACTORS ! It is the intention of the facility that both the facility's employees and those of.the outside contractor are made aware of the potential hazards found in the facility and those which are introduced as a result of contracted work. To this end, the facility has provided (outside contractor) with the following information: 1. The hazardous materials to which contracted employees may be exposed while at the facility. 2. Requirements for providing the facility with information pertaining to materials provided by the contractor. 3. Precautions the employee may take to minimize the possibility of exposure through the use of appropriate protective measures. CONTRACTOR'S SIGNATURE DATE PROJECT MANAGER'S SIGNATURE DATE 86~0-601 ~ ~ POLICY Nm~r Mmu~ HAZARD MATERIAL MANAGEMENT 14.0 s~j~t I 4 INSTRUCTIONS TO DEPARTNENTS HEADS FOR CONPLETING HAZARDOUS SUBSTANCE POLICIES FOR IDENTIFIED HATERIALS I. GENERAL INSTRUCTIONS A. Do not simply copy from the NSDS. Always complete items in a way that they specifically apply to the way you use a material, the volumes you use, and the procedures you employ. See the line-by-line instructions below for examples. B. Use easy-to-remember responses. Nobody will be able to remember everything about a material, so keep responses to important information only. C. Use simple, easy-to-understand responses. Do not use technical chemical or.medical terminology unless all employees in your department can understand such terms. D. Supply all information that is known and/or applicable. II. LINE-BY-LIME INSTRUCTIONS A. Policy Number: Assign the number as follows. The first four digits should be your department. The second two'digits specify the substance (assigned by you, each substance should have a different code). The last four digits should specify the date (MMYY) on which the policy was prepared or last updated. B. Department: Your department name. 86~0-601 POLICY M~ ' Numar ~~ HAZARD MATERIAL MANAGEMENT ~fec~eDa~ ~ Date 2 4 C. Bubstance Name: Use the most common name recognized by the employees in your department. D. Trade/Common Names(s) of Material: List all other known names for the material. E. Chemical/Generic Name(s) of Hazardous Substance and Concentration: Use the HSDS to identify all hazardous components and their percent (%) concentration. -' F. Nature and Degree of Hazard(s): Identify why the material is listed as hazardous. Give specific health effects, both acute and chronic. The list should reflect the degree of probable exposure. For example, a material may be harmful if swallowed, but the probability of accidental swallowing is quite low so list it last. Remember to use non-technical language. G. Handling Precautions: Only include those that are specific to the way that you use the material. Only include precautions that you actually take. For example, do not instruct user to use safety goggles if they are not going to be supplied. Do not instruct the use of rubber gloves if you have determined that they are unnecessary given the amounts you use. H. Use of the Material: Keep the response specific to your department. POLICY M~u~ ~~ HAZARD MATERIAL MANAGEMENT ~f~eDa~--- I. Rate of Use: Always include both quantity and time interval (e.g. two gallons per week). If it is highly variable, estimate an average use over a year. Numbers should reflect the size container used if possible (e.g., 300 4oz bottles per month). J. Storage Location(s): Be specific. Identify all major locations. K. Department Responsible for Overseeing Purchase, Use, and Disposal: If a different department than yours has been assigned the task of overseeing the handling of a material, this should be completed. In most cases, it can be left blank. III. ACCIDENT OR SPILL PROCEDURES~ A. First Aid: /~ Remember to keep it simple ~nd identify the most immediate action to be taken until professional medical help is available. B. Clean Up: · Procedures should reflect the container size used in your department and the materials available to you. For example: for a mercury spill, do not instruct the use of a mercury cleanup kit if no kit is available in your department. Procedures should be compatible with the spilled disposal instructions given in the next section. 8650-601 POLICY Number Manual HAZARD MATERIAL MANAGEMENT 14 _ f~ ~-~ Effective Date Review Date Subje~ S~Af JO~l~ ATTACHMENT A- 2 .. COAMIUN171' Ht::I~r~IL hse of C. Spilled Material: Use the drain whenever possible given safety and legal considerations. If special handling, storage and disposal instructions' are required, more detailed procedures can be listed on a separate page and attached. D. Used Material: In many cases, the material may be consumed, diluted, neutralized, evaporated or otherwise destroyed during use. Please specify. Also indicate where and how the material is to be recycled if applicable. Otherwise, follow the same instructions as for the spilled material. E. Container: Indicate where and how the container is to be recycled/reused if applicable. Otherwise, give disposal instructions. 86~0-601 POLICY Manual Number ~~ HAZARD HA?ERTAL MANAGEMEN~ 15.0 Effective Date W / !/88 Date~ Review Subjext MJOAOUlN SAMPLE TNVENTORY COMMUNITY ~AL ~8, of The following is a Hazardous Substance Tnventory established for san Joaquin Community Hospital by asking each department to identify five (5) hazardous substances used in the department which are of the greatest concern. This inventory is not complete, but was established in order to identify materials. As the hazardous substance program is established, this inventory will be modified as necessary. Tn its final form~ such an inventory would also include an additional column listing the Hazardous Substance Policy Number for each material. 86~0-601 *HAZARDOUS CHENTCAL INVENTORY CHEHTCAL .NANE -~ L~ URER~S NANE AND AD, DRE DS? POLICY Number M~nutl HAZARD MATERIAL M~NAGEMENT 16.0 ~h--.~ Effective Date 8/1/88 Re~4ew Date Sub~ ,,T~%N ~~'N HAZARDOUS SUBSTANCE ~O~f~f~N~ POLICY SHEETS - SAMPLE The following are sample Hazardous Substance Policy Sheets for some of the materials identified at san Joaquin community Hospital. They serve as an example of the type of information to be included on such a policy sheet. Since the responses on your actual policy must reflect actual department procedures and peculiarities, these policy Sheets cannot automatically be plugged into your Hazardous Substance Program. 8650-601 Attachment. A- 1 ~ZARDOUS SUBSTANCF. POLICY SHEET DEPARTMENT: SUBSTANCE NAME: TRADE/COMMON NAME(S) OF MATERIAL CHEMICAL/GENERIC NAME(S) ~F HAZARDOUS INGREDIENTS AND CONCENTRATION IN MATERIAL: NATURE AND DEGREE OF HAZARD (S) USE(S) OF THE MATERIAL RATE OF USE .... STORAGE LOCATION(S) DEPARTMENT RESPONSIBLE FOR OVERSEEING PURCHASE, USE AND DISPOSAL (if applicable) ACCIDENT OR SPILL PROCEDURES: FIRST AID CLEANUP WASTE HANDLING AND DISPOSAL PROCEDURES: SPILLED MATERIAL USED MATERIALS CONTAINER POLICY M~u~ Numar 17_~ ~ HAZARD MATERIAL MANAGEMENT ~qecfiveDk2 ~ew COMMUNITY SUBSTANCE RECOGNITION COMMUNICATION ~~4~ ms= of ! 7 I. NEW EMPLOYEE ORIENTATION A. Upon completion of the New Employee Orientation, the employee will be able to: 1. Describe, in general, the facility Hazardous Substance Program. 2. State their rights. 3. State what MSDS stands for. 4. State what should be included in labeling. B. Hazardous Communication Regulation 1. State regulation under CAL/OSHA 2. Describes how and what employers should include in their own Hazardous Communication Program. C. San Joaquin Community Hospital Hazardous Substance Program 1. The policy statement. 2. The function and nature of the Hazardous Material Committee. 3. The roles of the Hazardous Material Coordinator and the Hospital Safety Committee. D. MSDS's 1. MSDS stands for Material Safety Data Sheet. 2. Each department has an MSDS included in its Hazardous Substance Policy file. Check with your Department Head as to where it is located. 86~0-601 POLICY M~u~ Nm~r F_,f'fe~v c Dab W s/l/ss ~ew Date S~je~ ~[~[~O~[~N LEssON PLUg: HAZZ~II)OUS COIqI~JNICATION ~*[F~q~ ~s¢ o~ 2 ? 3. The ~SDS should cover 14 ma~or elements. If there is no relevant or applicable information, it should be so stated on the NSDS. The mandatory ~tems for inclusion are: a) Trade name (product ~dent~ty, same as used on the label). b) Chemical and common name and CAS numbers of each hazardous ingred±ent. c) The physical and chem±cal properties such as vapor pressure, flash point and solubil±ty of chemicals. d) The physical, hazards such as f~re, explosion, and dangerous chem±cal reactions. e) The specific acute (short term) and chron±c (long term) health hazards, ±nclud~ng the signs and symptoms of ~llness and medical conditions (use simple or lay terms) whlch may be aggravated by exposure. f) The potential routes of entry of the hazardous substance(s) ±nto the body. g) The permissible exposure llmi~s published and/or recommended l~m±ts for the hazardous substance(s) [OSHA Perm±ss±ble Exposure L~m~t (PEL) and the ~aner±can Conference of Governmental Industrial Hyg±en±sts (AGGIH) Threshold L~m±t Value (TLV) l~st~ngs] and any other lim±t recommended by the manufacturer. h) If the hazardous substance(s) ~s l~sted as a carcinogen by Nat±onal Tox±cology program (NTP), the International ~gency for Research on Cancer (IARC) or the Occupat±onal Safety and Health ~dm~n~strat~on (OSHa). 8650,.601 POLICY M~u~ N~r ~~ HAZARD MATERIAL MANAGEMENT ~ 7 o ~¢c~c D~ - - - ~ ~o~ D~o8/~/~ ~~M$1N LESSON PLAN: HAZARDOUS ~UN~ SUBSTANCE RECOGNITION COMMUNICATION J~T2~. ~s~ of 3 ? i) The precautions necessary for safe handling, use and storage, including the protective measures for repair and maintenance of equipment. j) The known control measures, including engineering methods for clean up and personal protective equipment necessary to protect against the~hazards. k) Emergency and spill cleanup procedures. 1) First aid procedures. m) The date of preparation of the MSDS or the date of last change in contents. n) The name, address, and phone number of the party responsible for preparing the MSDS. E. Labeling 1. A product label on both the original and secondary containers should be reviewed prior to working with the material.. Each label will have two important pieces of information you should be familiar with: a) The identity of the hazardous substance; and b) hazard warnings. 2. The label on the original container will also state the name and address of the manufacturer. 3. The label should act as a visual reminder of the information we haVe presented in this training session and of the information found in more detail on the MSDS. POLICY M~u~ Numar ~~ HAZARD MATERIAL MANAGEMENT 17.0 , Effe~ve D~ W ~ew D~8/1/88 WJ~IN LESSON PLAN: HAZARDOUS ~g~UN~ SUBSTANCE RECOGNITION C~MMUNICATION 4 7 4. It is essential for safety that you read the Hazard Warning and only the Hazardous Substance(s) within the guidelines prescribed on the label. Questions concerning the label should be directed to your supervisor. F. Employee Rights 1. Work in a healthy, safe environment. 2. Information regarding hazardous substance including physical and health hazards. 3. Information regarding protection and first aid matters. 4. Apparent violations should be directed to Regional Director of Safety and Workers Compensation and/or CAL/OSHA. II. DEPARTNENT ORIENTATION A. Upon completion of Department Orientation, the employee will be able to: 1. Locate the department Hazardous Substance Policy File (Hazardous Substance Policy Sheets and MEDE's). 2. Identify specific hazardous substances, including identifying characteristics, protective measures, emergency or spill measures, and disposal procedures. 3. Identify the hazards associated with non-routine duties. POLICY M~u~ Numar 17_0 ~~ HAZARD MATERIAL MANAGEMENT ~ffecfiveDa~ Renew Date S~ject .F~W.~O~O~IW LESSON ~se of 5 ? B. Hazardous Substance 1. The Depar~men~ (Each depar~men~=pr~n~ or c. Hazardous S~s~ances 1. Rev~e~ ¢on~en~s of ~he depar~men~ hazardous substance po~¢y 2. ~or each hazardous substance on ~he depar~men~ ~nven~or¥, rev~e~: a) Observa~ionand de~e¢~on me~hods. b) A~ ~nfforma~on ffound on ~he Hazardous Substance Po~¢¥ D. 1. Labe~ contains: a) b) ~arn~n~ (sho~ a ~abe~). ¢) Nanufa¢~urer address. N. Non-roue±ne Du~es 1. The dan~ers of work±n~ ~h unfamiliar substances. 2. The ~mpor~ance o£ ask~n~ ~ues~ons abou~ hazards before perform~n~ non=routine du~es ~n your department. 86~0-601 POLICY M~u~ Numar ~~ HAZARD MATERIAL MANAGEMENT 17.0 ~ew D~e s~j~ ~~~l/I/ LESSON PLAN: HAZARDOUS CO~XCATXON 6 3. The i~portance o~ ralayinq hazard information to other ~ork~rs ~ho are parformin~ non-routine ~uties in ~our department. 4. The occurrence of unlabeled pipes which may contain hazardous material. III. DEPAR~E~ UPDATE A. Upon completion of Update, the employee will be able to: 1. Locate MSDS manual. 2. Identify hazardous substances used in the department. 3. Identify new hazardous substances added. 4. Identify procedures associated with the use of the identical hazardous materials. 5. Identify the hazards associated with non-routine duties. B. Review 1. Hazard Communication: We have a written program that outlines how we will provide information and control your exposure to hazardous substances. This plan is available for your review during your training and at the location for reviewing during your work shift. 2. Hazardous Substance Policy File: Review contents of the department Hazardous Substance Policy File. a) Location; 8650-601 POLICY Numar M~ual HAZARD MATERIAL MANAGEMENT 17.0 '~~ Eff¢~ve Da~ Renew $~je~ ~ESSON P~AN: HAZARDO~ g:~:N~/A~JV/T~ COMMUNICATION 7 7 b) Observation and detection method for identified hazardous substances. c) Ail information found on the'Hazardous Substance Policy Sheets. 3. New Hazardous substances: For each new substance include: a) Location; b) Observation and detection method. c) All information found on the Hazardous substance Policy Sheets. 4. Non-routine Duties: The dangers of working with unfamiliar substances: ~ a) The importance of asking questions about hazards before performing a non-routine task or working on a non-routine area. b) The importance of relaying hazard information to other workers who are performing non- routine duties in your department. c) The occurrence of unlabeled pipes which may contain hazardous material. 8650-601 POLICY M~u~ N~r ,~,~ HAZARD IqA?ERIAL MAR~GE~ Date S~ject SANJOAOUlN OXiDe: ~~N~ SMP~OYSE T~NrNG ~ ~~XCA~XON PROG~ ~~ ~Se of 1 3~ PURPOSE: ?he g~hy~ene Ox~e Program has ~een ~eve~ope~ ~o ensure hea~h an~ sa~e~ o~ employees ~ho are po~en~a~ expose~ E~h~ene Ox~e: Proper usage, ~and~n~ ~e~hn~ues an~ Upon an offer of emp~o~en~ and ~e~ore ~e~nn~n~ first day of work in Central Service, each employee will be informed of the fact that Central Service uses Ethylene Oxide as a means of sterilization and each employee may be potentially exposed. At the time of initial assignment and at least annually thereafter each employee shall be provided with information and training on Ethylene Oxide. This training will include the proper use of the sterilizer, handling techniques and precautions, emergency procedures, and the right to medical surveillance. II. EMPLOYEE MONITORING San Joaquin Community Hospital shall employ an ongoing exposure monitoring program. If the monitoring reveals employee exposure at or above the action level, but at or below the 8 hour T.W.A., the employer shall repeat such monitoring for each such employee at least every six months. Monitoring results shall be kept in a file in the C.S. Office, and shall be accessible to affected employees. S~O~OI POLICY M~u~ N~r W 8 / ! / 8 8 Date ~ew ~./~/1~ ETHYLENE OXIDE: ~UWFFF EMPLOYEE TRAINING AND COMMUNICATION PROGRAM 2 3 III. EMERGENCY SPILL OR LEAK In the event of a spill or leak, the following procedures are provided as a guide to proper handling of an emergency: A. Turn the master switch on gas autoclave to off. B. Evacuate all personnel. C. Notify the Maintenance Department. The maintenance Department will notify the Fire Department. D. Notify the following personnel: C.S. Manager, Security/Safety director, and Assistant Administrator. A respirator is located on the east wall behind the entrance to C.S. clean area. A Material'Safety Data Sheet on Ethylene oxide is located in the MSDS Manual in the C.S. Office, and is accessible to each employee. There is a Gas Alarm System located on the south wall in the clean area. IV. MEDICAL SURVEILLANCE San Joaquin Community Hospital will employ a Medical Surveillance program for all employees who are or may be exposed to Ethylene Oxide at or above the action level for at least 30 days per year. Medical exams and consultations are available to each employee prior to assignment and at least annually and at termination of employment or re- assignment to an area where exposure to Ethylene Oxide is not at or above the action level for at least 30 days per year. V. SIGNS AND LABELS Legible signs communicating ethylene oxide hazards to employees are posted in the following places: 86~0-601 POLICY M~u~l Number HAZARD MATERIAL MANAGEMENT 18.0 W Review Dat~8 / 1 / 88 Subp.~ SANJO~42(IIN ETHYLENE OXIDE: COVI~IgUN~ EMPLOYEE ?RAINING AND COMMUNICATION PROGRAM 3 3 A. In the C.S. clean area directly in front of the sterilizers. B. On the door entrance way to the area behind the sterilizers. ¢. On the door entrance to the Maintenance boiler room. VI. PREVENTIVE MAINTENANCE San Joaquin Community Hospital has a preventive maintenance contract with the Amsco Company. Routine inspection of the Gas Sterilizer is conducted bi-monthly. POLICY N~r M~u~ HAZARD MATERIAL MANAGEMENT 1 o _ ~ ,~t~ Fdfcc~¢ D~ Date ~~~lW CONTINGENC~ PLANNING AND ~UW~ EMERGENC"/RESPONSE TO CHEMICAL SPILLS 1 4 INTRODUCTION Each emergency response to a chemical spill or release will be dependent on the ehem±eal, physical, and toxicological properties of the chemical(s) spilled. It is therefore imperative that the chemical is properly identified.before any inactivation or disposal procedure is initiated. Emergency response planning is necessary to reduce the magnitude of the spill, environmental damage~ and number of people exposed. Everyone working with known or potentially hazardous chemicals must be familiar with the chemical, physical and toxicol0gical properties of those chemicals and be adequately trained to properly respond to a chemical emergency situation. Further assistance can be provided through the Hazardous Materials and Waste Coordinator. PURPOSE To describe procedures for the identification and disposal of chemical wastes within the confines of San Joaquin Community Hospital. To insure that these wastes are handled and disposed of in accordance with the Environmental Protection Agency (EPA), Department of Transportation (DOT), and state and local regulations and guidelines. To insure that ail drums, buckets, jugs, pails, or any other container containing a hazardous chemical substance will have a clear, complete., conspicuous and durable label identifying the chemical used. I. IF A FIRE OCCURS While handling a flammable chemical the following with be implemented: 650~1 POLICY M~u~ Numar ,~~ HAZARD MATERIAL MANAGEMENT lq n ,, _ Effcc~vc Renew Date s~j~t ~4N~OUIN CONTINGENCY PLANNING AND COMMUNrl7 EMERGENCY RESPONSE TO CHEMICAL SPILLS 2 4 A. Activate the 5-Step Plan via operator by dialing 700. B. Wear full protective clothing and a N.I.O.S.H. approved self-contained breathing apparatus (this .can be located in the Hazardous Waste Storage area at,27th and Chester) with full face piece operated in the pressure demand or other positive pressure mode. Vapors can flow along,surfaces to a distant ignition source and flash back. II. STORAGE AND HANDLING Hazardous chemicals being saved for recycling will be stored in appropriately labeled drums maintained for this purpose. III. INSPECTIONS Regular inspections will be made of the storage site by engineering to insure there are no leaking or spilled containers. If a spill or leak is found the following actions will be taken: A. Before attempting to clean up any chemical spill or splash determine what chemical(s) has spilled. B. Follow directions according to established procedures on the MSDS for cleaning up that type of chemical spill' or leak. C. Evacuate all personnel from the area. D. Insure adequate ventilation. E. Contact the Hazardous Waste Coordinator and the Engineering Department. F. Wait by the spill area, well'out of danger, until help arrives. Avoid tracking through the spill. HAZARD MATERIAL MANAGEMENT 19.0 POLICY M~u~ N~r ~~ HAZARD NATER~AL MANAGEME~ ~ ~ec~c Da~ ~ew Date · u/[~f~g~/~J~f CONTINGENCY ~~ E~RGEN~ RESPONSE ~~ ~ of 3 4 G. Obtain appropriate protective safety equipment. H. Clean up th~ spill accordin~ to established procedure~ per NSDS. I. Complete an ~NC~DENT REPORT re~ardin~ the spill leak. ~. Any ma~or spills, splazhe~, leaks, burns, etc., from a hazardous chemical substance ~ill be reported to ~he Hazardou~ Nana~emen~ Coordinator via the hospital operator by dialin~ .0, / IV. FL~LE MATERIALS Materials which ignite easily under normal conditions (flammable) are considered fire hazards and will be stored in a cool, dry, well ventilated storage space, well away from areas of fire hazard. V. EXPLOSIVES Highly flammable materials will be kept in an area separate from oxidizing agent (materials susceptible to spontaneous heating. Explosives, etc.) VI. STOOGE FOR FL~LE ~TERIALS The storage area for flammable material will be supplied with fire-fighting equipment. There will be "NO SMOKING OR STRIKING ~TCHES" signs posted in and around the storage area. 8650-601 - POLICY Numar M~u~ ~~ HAZARD MATERIAL MANAGEMENT ~f~veDa~ Re~ Date S~jeet SANJD~42~IN CONTINGENCY PLANNING AND ~UNFF~ EMERGENCY RESPONSE TO CHEMICAL SPILLS HOSP/F~ mse of 4 4 VII. OXIDIZERS Oxidizers will not be stored close to liquids of low flash point. VIII.ACIDS Acids (acid fumes) and sensitive materials will be stored in a cool dry location. IX. TOXIC MATERIALS Materials which are toxic as stored or which can decompose into toxic components from contact with heat, moisture, acids, or acid fumes will be stored in a coo, well ventilated location out of the direct rays of the sun. Incompatible toxic materials will be isolated from each other. X. CORROSIVE MATERIALS Corrosive materials will be stored in a cool, well ventilated area (above their freeze point). The containers will be inspected at regulars intervals (by the department using the chemical) to insure that they are kept properly labeled and safely closed. XI. PROTECTIVE EQUIPMENT Protective clothing and equipment will be provided by the department using hazardous chemicals and will be available for. use when personnel are handling these materials. ~6~0~01