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Home My WebLink AboutUST-TEST 7/28/2003 "' 805489a JB DEWAR INC e PAGE 02 11/12/2003 09:14 ¡\v/ -X Y SWRCB, January 2002 page_of_ Secondary Containment Testing Report Form l"ñis form is intended fot use by COlrt1'~ton performing periodic testing of UST secondary containment systeTn$. Use the (.rpproprioJe pages 01 this form to report results lor all components tested The compleled /orm, written tè.tl procedures. and printouts from tests (if applicable). should be provickd to the facility owner/operator for ,submittal to the local regJdatory agency. 1. FAClLrtYlNFORMATION Facility Name: Facility Address: Facility Contact: , ,.", 1: Date Local Agency Was Notified 0 Testing: Name of Local Agency Inspector (ef present during testing): Date ofTestÌß : 7... ~"i ~(.~ ¡ Phone: SWRCB Licensed Tank Tester LiCénse Number: 4S¡ ~ Date Tra.inin Ex ires Componel)t Pus F.iI Not Replirs Compo_ellt Pass Filii Not Repairs Tested Made Tmed Made P;....:..- C:;~......n -d / X ¿ 'If 1404, f Jr, Þ<. II-¡;; h Jc A ñl'tvt. lr/ ~ ,/ ')( -S '-'"nð L 0,/ Þt ~J¡J,/\ )( 3. SUMMARY OF TEST RESULTS Ifhylb"ostatic tesbng was performed, destribe wbat was done witb tbe water after compJetion of tests: . fl.......,Þ'C¿ LA4.-¡-r...· JJ;..la dI"'VI""s- awJ /.ilf @ ~-,,,",, ~ I CJì:RTIFtCA TION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING To the /)est olmy knowledge, the facts stilted In this document are accuratl! and '''.fil'l complúmcl! with legal requirements T«_ion', Si""....' &- =- _ D.';¡-"2$ - '" ~ _ 11/12/2003 09:14 805489"- JB DEWAR INC e PAGE 03 SWRCB, lanuary 2002 Page_of_ 9. SPILUOVERFILL CONTAINMENT BOXES Facili is Not E ui ed With S ill/Overfill Containment Boxes S ilL/Overfill Containment Boxes are Present, but were Not Tested Test Method Developed By: Spill Bucket Manufacturer Industry Stan Other (Specify) Test Method Used: Pressure Vacuum Other (Specify) Professional Engineer Equipment Resolution: Spíll Do~ # Spill Do:.: #I SpîU Box # Bucket Diameter: Bucket Depth: Wait time between applying pressure/vacuumJwater and start in test: Test Start Time: Initial Reading (R.):. Test End Tirne: Final Reading (Rf): Test Duradoo: Change in Reading (Rp-R,): Pass/FaiJ Threshold or Criteria: Test Reeudt: ~tfv'lI"'. q.. r)' ç . ,;..,,~ Pais 0 Fall o Pass 0 Fall o Pass 0 Fail o Pass 0 Fail _ Comments - (include in/ormation on repairs made prior to testing, and recommended/aI/ow-up for fatled rests) 11/12/2003 09:14 S'ÇfRCB, January 2002 'I'est Method Developed By: Test Metbod Used: h Tank Exempt From Testing? TIUJk Capacity: Tank Material: TII.I\k Manufacturer: Product Stored: Wait time between applymg pressure/vacuum/water and starting .!_~st: 1rest Start Time: Initial Reading (R): Test End Time: Final Readmg (RI'): Test Duration: Change in Reading (R~RI): J>asslFaiJ Threshold or Criteria: test Result: Was sensor removed for testing? Was sensor propuly replaced and 'ferified functional after testin ? 805489_ e JB DEWAR INC PAGE 04 Page_of_ Professional Engineer Hydrostatic Tank 1# Taak # Yes Taok # Yes No Tank 1# Yes No No ¡CI/N¡¡·...· "ZW KPass o Pan [J Pass o Fail o Pass o Fail DPass o FaD <!.tØ No NA Yes No NA Yes No NA Yes No NA <a¥ No NA Yes No NA Yes No NA Yes No NA ç()øunents - (include information on repairs made prior to testing, and recommended follow-up f(}r failed tests) ,; 1 Secondary containment systems where the continuous monitoring automatically monitors bOÙl the primary and secondary (;I:>ntainment, such as systems that are hydrostatically monitored or under constant vacuum. are exempt from periodic containmeut tf:stiog. (California Code ofReguJatioDS, Title 23, Section 2637(B)(6)} 11/12/2003 09:14 805489_ JB DEWAR INC e PAGE 05 SWRCB. January 2002 Page .___ of ___ Tlest MethQd Used: 6. PIPING SUMP T G Sump Manufaclurer Industry Standard Professional Engineer Other (Specify) Pressure Vacuum Other (Sf'ilcíjj ~ 5- Sí5 £quìpment Resolution: Tc:st Method Developed lJy: Su'np Sump # Sump II Sump D~er: Sump Deplh: Sump Malerial: Height from Tank Top to Top of Hi hest Pi in Penetration: Heighl from 'Tank Top 10 Lowest Electrical Penetration: >Condition ohump prior 10 testing: Pori ion of Sump Tested' [)Qes turbine shut down when sun'p sensor detects liquid (both product und water)?' Turbine shutdown response time Is system programmed for fail-safe shutdQwn?' Was fail-safe verified [0 be o erational?' Wait time between applying pressure/vacuum/water and slarting test: I Test Start Time: Inilial R.ea~iog (R,): Test End Time: Final Reading (Rr): Test Duration: d\8nge in Reading (RrR.): PasslFail Threshold Of Crileda~ Test Result: Was sensor removed for testing? Was ,eosor properly replaced and verified functional aRer testin ., Yes No NA . Yes No ~ YC'$ No NA Yes No NA Yes No NA Yes No ~~ Yes No NA Yes No NA Yes No NA Yes No ~ Yes No NA YÞ> No NA I "5"'w.; 11 . o Pass Yes No ___.r Yes No <3iV NA f!i? No NA o Pass 0 Fail Yes No NA o Pass U Fail Ye~ No NA Yes No NA Yes No NA Comments - (illG'/II(Je injÌJrmalion <III rept.lirs m(lde prior tf) Jesting, ",1<1 1'L'c:otnl1ItmdtJújá/lvlfI-lIpj'oI'jàiled tests) -F:i)t>.<.k($d:1 Co..,I/µ!..; .:J<0 ¡;£';'J r('f.¡{-('.....¡;/Jn.~ "f¡..J:U. I - I I Irthe entire depth or the sLimp is I\ot tested, specify how much was tested. Inhe answer to ill!ï of the qucstionslndicatcd willi an asterisk. (t) is "NO" or "NA". Ihe entire sump must be tested. (See SWRCß LG·160) 11/12/2003 09:14 805489_ JB DEWAR INC e PAGE 06 SWHCB. January 2002 I'aµl' "I' 5. SF-CON nARY PIPE TESTING Test Metfw(j Dt:Vl.doped By: PipÎt1g Mamllå\:!uTl'r ,_._..__._._.m_.._________.~:~ ()U!::LŸ!.:~l~!_ .". . '-:'Únúuslry Standard _~............_ ........... ,'.:.:c.'':'=::<:'':':'::'=-'':::;'::':~_.. . Prufi.·",sj\)r)a (·:nginecr "" . ........." ......_..,_..__"_ ._...~ .. ....." M' "'··H·....._...·_·..._._ 'h:$1 Method CSl'(\: _~ipil1~~~~'::""" Piping Oiameter: . ....-... ...............-...............--..----.. _.~~~_~:..~_Pip~.~_~~~l : I'l'(ducl Stored: ·-Mctl)()dândlõcaiT;:;i)(){--- . p'.i'p.¡,!1.1t_~..!!_~~o 10 tio_~~_._._. Wait lime bC'tweC:J1 applying pre5suI'eivacuurn/walcr and ~- i <1 :;i~;:~~~~i:I;;~~:-" .'- ..-... . ~ ~;. ,I:~;t, ! ...-:,~.: :.'...- .-.-.-.----.---... -- . I~'~~~~ :,~$~-=-+~!F·! .:::==-~ .._~~~~ I -~.~~i~u;r:~:~;PR.~I~.~==· -II~~~~Î, :;-;j~=-~~~~=t~-=~·~~ .~£2.b.. ......... .0-....·1 ...~~==~~=.:.. ._.._.___1 .... ..___.__.._ ..... ........._.... -_.~-----_.._-- ....-..... ·..··..··......-·....·--..-..--·i····-·-Io._--..-.-. .. ..-.-...-.---..-..... .. .+.....-. ....-..---...-. ~·~:~~~:¡;"r~~~~~¿fd(:rI'·R'): .. .J';....r<; ·c.~____ ,;. "--~--:'~"l~-t--- .. --..-.....~-...-----¡..---...-..-_.. ~~:~I'~~SUlt: "~··~;f~:i~;;¡ï-- ··'·-~P~~5 f ~:;;;¡ï-·--..--Lï..p-;!ls --l-I·F~îi----j ·....IJ-P;;---·lJ·¡.~~il- ,.,-a,¿ . .. '. ....__~~~. 'þ(:p,.c~wn~ Other (SJ!I'rW') ··ì-<:sifi~i~~~;;~;;;;lJ.~ed~·--- -..--......-. ....... --..----···--··--·-··-····~=r·ï::4~;¡¡;~;~;~I·-i{~~~j~~'-¡-t~~.~~~~~.:._~~,.~.=",~".:==.",:.,_ ~p'.~r¡'l~ ~î(.:::L~_. ;~~:"~'::~_ P;p;,,~ R~" .~=:=~;~~...~. -:;".. .'.'. l- ........ ..__..~ . ...,,_._ . . ---t.---.-.--..-.--.. '" ...._ ~___..__..._....___...._ ..._~J:...:.:..___.._____..._ ___..._..... ¡ ..-..-.....--.....-....- " ! ,. . '~.' .-......---..... _._'j.~C;..:.._.._..._._._..__...._ ... .......... -..-..---,,--...-.....--.......... i ..ß'K..i G.'.... .___.__..__.__....._ .... . t·? '. ¿'"" ..,. . ,,':' . '.....~~--:;.f--··--· .i.::-!.i:.:'7-. -,,~.!.: ·r..· . ................__._....." HO ........ . ...,,-. --..-....-"-,,....-...--.. Va~lIlIm Ilydl"o<;lat.il' ._~: <» m men (s .::! J!.~~·~lIdE' i'~/(Jrll/a ((Oil 01/ "(:'11(1 ¡,·,\·.!'!~~(!~~1!!~?!~.lot<:.~!i!.!1í~.!!!!.~!..!.·~~~!!.!!~'.'!.?/(!<:!.IjJ.:.!..1.!.).~'~"!!l!.L~!j!~!.!!:.~.1...!.!'·' t.I)_... . .__...._._..... '. ;\. -r-;. J. /4",/ ..J" "..->. ~ .¡ ...' ' t~ . """'">("1" .......L£:.}; ~.. .J~ ~> .~!.-....-.-----.._...---_..-.. ...-.....-....-.....-----.--... ... --... ........-..--.....- .....-....-. ..-..-....... ~'.:~l.lr,., ~\ .j~;.~;·¿~·~~t, I -;"~__]A.L_:!"Q:.::__¡'.'· !~i.~L..~ç··<;"'.~~::"'~~-\·~r.!Lï" -:\...;:~~.:.":. ;~.~:t:~ I~:_.c.~ ~ ~). 1.,'!L__.. ~-·~~:~~~·~~~:~~·~?1__~·· f' l ;7 t =_.___~:~~. .~~~~~.~~~~...-~===~~.~: . _.~-=~~=. - -..:__-=~~:" .---..-.... .. ._-_......,~--._.._---._..-..._.... ..............--.------..-.....-.-... ,... ._..._~-..._...._,...._._-_.... '. ..........- ,-------.. . .-----..--. . -.-.-..-----..-.-., ....-.....--.--....-.-.......--.--....... -"....._._._......~_.__._-_...-. ., --..-,.." -.-.-----..... .----......,.-, .--.....-----....-....-.. ....----.,..........-.-.-....----... .. .-.--.,.-.- .....-...--.-.....-.--.- . ...--........-.....-.-............-... ____..._.._..._._.. ..____.._____'w..._,_.._____ ....H._._....._._..__,.....· .....-.---.--.-., ."-.--"-".. ...-----.-.....--.-.-.--.--..........-... _...........__._..._~.- .. ..........-..-.........." -.---.--....., ......_._...~--- , . ...--.---..-.-........,......--.-.......---.--.-'. ----,'.-.-..... .,.-.-..-.-.--..-...... ., .........-.-.-....... ....-..--......... ....---.---.--....-...-.,-.- .--.-..--.,-----.-.-.-.---..-..... . .-. .-......-............ .. -.--..-----..... ...-...-.--.. . .. ...-.--... .------- .____ ......,.,_..____.__---....................____.. ..... ..-_._._.1....'···....·----·-·--·--·-·...·-.------··..··-·--·-·.,..'-' .,..,------. .-. ."--'..'" .-...-.-....--.... .,.' -.....----........--.-----..-.------......-.--..-..---...-.--..-..-...-....-.......-..... ...--.-.-.--.....-.--.... ,....-..--.-.-... ...., ----... "-.-..-..-.-.-. _ .' ,.....-...-..---..-...--. . .._._______......,'_._.__.._.... .. ... _M'_"',,,,, . _.-._._..~...... -.-....-.-....---,,----.-,.......-.----.-....------...'...-. .-----...--..--.. "-"---.'-'.-."''''-'.'''-'-'. ....._-,-_.... ...-.-......-. . . ,-_..._._-~-,...... ... .-...--.--.-..-... ......--..-...--..-..- .......---...-... . ...._........._, ,_._.______.__ .. u·___._..._ ..... _ ~.___....._ ""_'_..._"'''_'' ......_..__n. 11/12/2003 09:14 805489_ JB DEWAR JNC e PAGE 07 - -- ....~... .... _.._.__.~.__.. .... SWRCB, Janwuy 2002 Page_of_ Secondary Containment Testing Report Form ThiJ' form Is intended for use by CQntractors performi1/8 periodic testing of UST secol1dary containment systems. UStl the apprQpriate pages of this form to report resllltsfor all CDmponents testtld The completed form, written test procedures, arui printout¡ from tests (if applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency. Facility Naw.e: fY\LrC. Facility Address: 0(.) (J Facility Contact: e '-'Q.. '.'w(' .~ Date Local Agency Was Notified of esting; Name ofLoca1 Agency Inspector (tfpresent during testing): r:.<~3 Phone: ~. SWRCB Licensed Tank Tester License Number: Lf~ I,ì~ . .. 'S T:> Date Trainin Ex ires . Not .Repairs Component Pass FaiJ Not Repairs Component "a» F.il Tested Made Tested Made <- . J (J...., f._ 5( -1'-1-:/1 J>( <;" ..",øAa. ~ j fa ~ ç-,..J 1('1 '4e þ( ÇCÇ;~tf>J: p,'Pf ""If :"1~' ~ I- . I I 3 SUMMARY OF TEST RESULTS [f hydrostatic testing was perfonned, describe what was done widl the water after completion of tests: CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS .TESTING . To the best o/my lnowled,e, the facts 5tll1ed in thb docu1IfJ!nt are accurate and lnfull compliance wilh le,al requirements ~ ~ Dl1te;~'-I-" '} Technician's Signature:_ <8 -'- 11/12/2003 09:14 SWRCB, January 2002 T\:st Method Developed By: 1'1:5t Method Used: Test Equipment Used: Piping Material: Piping Manufacturer: Piping Diameter; l.ength of Piping Run: f'roduct Stored.: Method and location of ~i in ·run isolation: Wait time between applyiog pressure/vacuum/water and 5>tartin test: Test Start Time: Initial Reading (R.,): Test End Time: :'inQI Reading (RF): Test Duratiun: (::hange in Reading (RF"R.): l~asslFail Threshold or Criteria: 'fest Result; 805489'- e JB DEWAR INC PAGE 08 Page __.. of Professional Engineer Hydrostatic Vacuum Equipment Resolution: Piping Run ## Piping Run # Piping Run # S""""MIVI . -- <7. Z- /'SZ Pass 0 Fail o Pass 0 Fail o Pass 0 Fall o Pass 0 Fail ~çomments - (include information on repajr.ç made prior to teyting, and I'ecommendedfollow-upfor failed teJI$) -- ..-.....-- . '. 11/12/2003 09:14 SWRCB, January 2002 T'~5t Method Developed By: Test Method Used: Piping Material: Piping Manufacturer: Piping Diameter: Length of Piping Run: Product Stored: Method and location of ,¡ jl'l ·run Isolation: Wajt time between applying pressure/vacuum/water and i¡tanin test: Test Start Time: Initial Reading (R\): Te$t £nd Time: Final Reading (RF): Test Duration: Change in Reading (R,.·R¡): PassIFai/ Thre5hold or Criteria: Test Result: 805489. e JB DEWAR INC PAGE 09 Page ._ of __.. S. SECONDARY PIPE TESTING Piping Manufacturer ~StrfSiãï1ëìA¡:~f::> Other e.cify) '.,.....,,-,~~._.- ~S~· Vacuum Other (Specify) Professional Engineer Hydrostatic Equipment Resolution: ~. - - 'I " _ ¡-~, Piping Run t# Piping J(un # ..--- ð ç).~ P%" P.ss 0 Fail o. z .¡JS;Z Pass 0 Fall o Pass 0 Fail o Pass 0 Fail . Comments - (include information ()n repairs made. prior IQ le~·ting. and recommendedþJJow-upji.Jr failed lesl.r) ,._.--. · Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. · Print your name and address on the reverse so that we can return the card to you. · Attach this card to the back of the mailpiece, or on the front if space permits. 1. .Article Addressed to: (" CHARLIE BOYLE MERCY HOSPITAL 2215 TRUXTUN AVE BAKERSFIELD CA 93301 I I ' I r: I' \"_'. 7002 3150 0004 I PS Form 3811 , August 2001 I " ---- ---~ 3. Service Type o Certified Mail 0 Express Mail o Registered 0 Return Receipt for Merchandise o Insured Mail 0 C.O.D. 4. Restricted Delivery? (Extra Fee) 0 Yes 9985 3912 Domestic Helunl nw-"'Ç"Ip( 2ACPRI-Q3-Z-0985 UNITED STATES POSTAL SERVICE . 111111 ~ \ I I First-Class Mail Postage & Fees Paid USPS Permit No. G-10 · Sender: Please print your name, address, and ZIP+4 in this box · Bakersfield Fire Department Prevention Services 1715 Chester Avenue, Suite 300 Bakersfield, CA 93301 ru M IT' T U" c[ IT' IT' :t~.W' S~~'" <l~?~I;~S:~~ :-~ ~.r:'1~ ;;<¡'r I J ~J-";~. > :,:~>:\::;\'<{" '~'i I" ;;':~\~~' '~~;' ,,:: jj'~" "m~W~~ . (~~p~q;}~~r~~~~~Mr~;, of:" ,>'P ',~~J\ ~;t) -¡;J~¿::t;ti:A,~:,' 'i' ,"€'ER) Ir-'IE[)'~MÄI(.TM REC"EIPT ' (Domestic Mail Only; No Insurance Coverage Provided) . .' . : . . "' . . . I OFF i C I A.4- ~J S E I Postage $ CertIfied Fee Return Reclept Fee Postmark (Endorsement Required) Here Restriçted Delivery Fee (Endorsement Required) ( .::r o o o o U" I ,...:¡ T Total f CHARLIE BOYLE MERCY HOSPITAL 2215 TRUXTUN AVE BAKERSFIEW CA 93301 I ru o Sent 0 o I"- §iiëi;? orPOB ëitY;-šii ~- -- FIRE CHIEF ~ON rRAZE ADMINISTRATIVE SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPR ESSION SERVICES 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX. (661) 395-1349 PREVE,NTION SERVICES FIRE SAFE,..,. SERlncES' ENVIROHIlENTAl SERVICES 17'15 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3979 FAX (661) 326H)576 PUBILIC EDUCATION 17i15 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5€42 VIctor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 -- - -~ .] " May 8, 2003 Charlie Boyle Mercy Hospital 2215 Truxtun Ave Bakersfield, CA 93301 CERTIFIED MAIL RE: Failure to Complete SB 989 Secondary Containment Repairs & Retest FINAL REMINDER NOTICE Dear Underground Storage Tank Owner & Operator: Since January 1,2003, this office has sent you monthly reminders advising you of a failed SB 989 test. In that letter, this office also requested an update with regard to repairs of your system. This office further explained that repairs of your system are a condition of your permit to operate. Please be advised that you must have your system repaired and retested by June 15, 2003. Failure to comply may result in further enforcement action up to, and including revocation of your permit to operate. This office has extended every courtesy with regard to sending contractor information as well as one on one visit's Should you have any questions, please feel free to call me at 661-326- 3190. Sincerely, Ralph E. Huey Director of Prevention Services bYj¡ ~ Steve Underwood Fire InspectorlEnvironmental Code Enforcement Officer Office of Environmental Services SBU/dc (,(,y~ ~ tJ::,,,/!//uuu(? .%,,~ L/#t;ope y~ .A ~/lÉu~" ,r=¡ IU"J <:[ U"J : ,:~ÌJ:S: )Rõ'~i;'tS~nÎiè~' : ','; :- '<" ,,;' , ' . CERTH ') MAIL RECEIPT (Ðomest/t; "IIi}¡U Only; No Insurance Coverage Provided) ,..:¡ ::r ..D ,..:¡ '0 ,0 o o '0 ..D I~ , Postage $ Certified Fee Return Receipt Fee (Endorsement Required) Restricted Delivery Fee (Endorsement Required) Postmark Here ,ru Total o ::2 Sent j MERCY HOSPITAL si;ëëi; 2215 TR UXTUN A VB ~:.~~.~ BAKERSFIELD CA 93301 City, 51< " =l ···········i . . & ! t t ~. .. .- -. . . . J .. FIRE CHIEF RON FRAZE ADMINISTI~ATIVE SERVICES 2W1 "W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (1561) 395-1349 SUPPRESSION SERVICES 2101 MH' Streel Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (1)61) 395-1349 PREVENTION SERVICES FIRE SAFm S£RVlCIOS . EIMAOIIIIEIITAI. SERVICES 1715 Chester Ave. Bakerslìeld, CA 93301 VOICE (661) 326-3979 FAX(Eì61)32~576 PUBLIC: EDUCATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE 1:661) 326-3696 FAX (f61) 326-()576 FIRE INVESTIGATION 1715 ,Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX(661)326~76 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 . , ¿. i January 13,2003 Mercy Hospital 2215 Truxtun Ave Bakersfield CA 93301 Certified Mail RE: Recent SB 989 Secondary Containment Testing REMINDER NOTICE Dear Owner/Operator: Our records indicate that you completed your secondary containment testing on October 21,2002. Our records further show a failed test. Therefore you are required to have your system repaired and re-tested as soon as possible. This office requests an update with regard to repairs of your system. Please be advised that repairs involving the replacing of components must be under pennit from this office. The repairs of your system are a condition of your pennit to operate. Should you have any questions, please feel free to contact me at 661- 326-3190. S2~ Steve Underwood Fire InspectorlEnvironmental Code Enforcement Officer Office of Environmental Services SBU/dc ""7~ de W~ S70P ~0Pe.r~ .A W~" - . CITY OF BAKERSFIEl.,D FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Hoor, Bakersfield, CA 93301 FACILITY NAME f:!' Þ L-hr ~ I ~ I INSPECTION DATE 1,1 - "S" ~ Q ""- ADDRESS ,;2?- J 5- Y1.4 ~ .A./ ::}V~ PHONE NO. !.- ~ J - 5""""5'" 7 7- FACILITY CONTACT /1--( y) S..,-6r¡€"c"'1 ø I'¡"'~ r BUSINESS 10 NO. 15-210- o?-¡- 0 QO~ -¿ J INSPECTION TIME 100 0 NUMBER OF EMPLOYEES-L~O (:) - Section 1: Business Plan and Inventory Program ~Routine /EÍ-€embined D Joint Agency o Multi-Agency D Complaint D Re-inspection OPERA TION C V COMMENTS Appropriate pennit on hand OC Business plan contact infonnation accurate ~. Visible address J COtTect occupancy K Verification of inventory materials ~ Verification of quantities v... Verification of location "- Proper segregation of material K Verification of MSDS availability IX if .A- II"" '1 Ad /ß~{!J (';.p Wi r" _ Ver:ification of Haz Mat training K / /I ñ /<:l.r AI£. ðVV'.c JJ?CïkntJJ1!t Veri.fication of abatement supplies and procedures IK " Emt:rgency procedures adequate t\ 7íc...AhJ$/) o~e ØA-- ~g Containers properly labeled lç{ Housekeeping f>( Fire Protection rx Site Diagram Adequate & On Hand 'I>< C=Compliance V=Violation Any hazardous waste on site?: Explain: ~Yes DNo u iness Site Responsib Inspector: )S ~~/:>eÁ(;_ I /;ðlU II1ML I t!- Questiions regarding this inspection? Please call us at (661) 326-3979 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy \ -- . CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 Section 4: Hazardous Waste Generator Program INSPECTION DATE I Â'f,. L. f,l EPAID# CAöqg /4Jo 23f FAC][LITYNAME MGOL\J ~tt'Ort- '"' ~~ o Routine ~combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERATION C V COMMENTS Hazardous waste detennination has been made EP A ID Number (Phone: 916-324-1781 to obtain EP A ID #) Authorized for waste treatment and/or storage Reported release, fire, or explosion within 15 days of occurrence Established or maintains a contingency plan and training Hazardous waste accumulation time frames Containers in good condition and not leaking Containers are compatible with the hazardous waste Containers are kept closed when not in use ~ ~ <:.{a~ ~re 01(.. We(:kly inspection of storage area Ô~ G-.PrV ~~ f1.1Wv1.-'í. Ignitable/reactive waste located at least 50 feet from property line Secondary containment provided Conducts daily inspection of tanks Used oil not contaminated with other hazardous waste Proper management of lead acid batteries including labels Proper management of used oil filters Transports hazardous waste with completed manifest Sends manifest copies to DTSC Retains manifests for 3 years G62h~~7( ?~ K&:P ~().( CcJP,é$ ðÑFí~ Retiins hazardous waste analysis for 3 years Retiins copies of used oil receipts for 3 years Detennines if waste is restricted from land disposal C=Compliance V=Violation Pink - Business Copy y Inspector:_f.rJ 1 N~S Office of Environmental Services (661) 326-3979 White - Env. Svcs. '~.._. f'- . ... . I ~ . ,. .. , .." . . "" . .:;- iF)' """" " ..n \." r I ,..:¡ o o o o Postage $ Certified Fee ,~ jþ- Vi o Return Receipt Fee ..n (Endorsement Required) r::( Restricted Del/vel}' Fee o (Endorsement Required) Total Postage & Fees $ Postmark Here ru ¡O o Sent To f'- MERcY HOSPITAL š;;ëëi;Ãp¡:·Ñõ:¡-..·····.···................................................................. or PO Box No. 2215 TRl1XTDN AVE ëitŸ,-Šiåië;·žiP;·~~;~;i~~···~¡·····~;;~·~·····..................... :..., I. FIRE CHIEF RON FRAZE ADMINI!¡TRATlVE SERVICES 2.101 "H' Street Bakorsfleld. CA 93301 VOICE (661) 326-3941 FA>( (661) 395-1349 SUPPRESSION SERVICES 2101 "H' Street BakElrsfield. CA 93301 VOICE (661) 326-3941 FA>: (661) 395-1349 PREVE!NTJON SERVICES FIlE SAFETY SERI/lCES . EIMAOIIIIEHTAL SERVICES 17 ·15 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBI.IC EDUCATION 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 56.2 VIctor Ave. Bakersfield. CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 e . October 31, 2002 ~>..,.> ;;¡¡ Mercy Hospital 2215 Truxtun Ave Bakersfield CA 93301 CERTIFIED MAIL REMINDER NOTICE RE: Necessary secondary containment testing requirements by December 31, 2002 of underground storage tank (s) located at the above stated address. Dear Tank Owner I Operator, If you are receiving this letter, you have not yet completed the necessary secondary containment testing required for all secondary containment components for your underground storage tank (s). Senate Bill 989 became effective January 1,2002, section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to insure that the systems are capable of containing releases from the primary containment until they are detected and removed. Of great concern is the current failure rate of these systems that have been tested to date. Currently the average failure rate is 84%. These have been due to the penetration boots leaking in the turbine sump area. For the last six months, this office has continued to send you monthly reminders of this necessary testing. This is a very specialized test and very few contractors are licensed to perform this test. Contractors conducting this test are scheduling approximately 6-7 weeks out. The purpose of this letter is to advise you that under code, failure to perform this test, bv the necessary deadline. December 31.2002. will result in the revocation of your permit to operate. This office does not want to be forced to take such action, which is why we continue to send monthly reminders. Should you have any questions, please feel free to call me at (661) 326-3190. Si;t ~ Steve Underwood Fire Inspectorl Environmental Code Enforcement Officer Office of Environmental Services ""Y~ de W~ ~ ~0Pe ff~ ./6 W~" \ Sacralmento (916) 654-3362 FaciliUy: Contractor: OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT Los Angeles _DIVISION OF FACILITIES DEVElOPMW (213) 897-0166 OSHPD FIRE MARSHAL REPORT fJ1¿;ect¡ Hosþ_ t I , ~U$f1£/P Project No. 3..3 '1//68/- /S Date: ~~/,y -G" Sub No. Project % Complete c¡ ¿, % Building Permit .. yes no yes no Pending Approved Inspec:tor & Ph. No. ::¡;#IHNb~ 51/E:."r~5 ·Approved Plans Change Orders Scope: ('.£/J~/ 5~1/íc/~ S¡'¿R;b~ Comments: Ii~ø ~Y~ðY7 ~~~ ~ ~ ~~ d";v¡ brð ß~Ú~. ~ ht/h,.I/;?~ S~~~..r (/<./ER¿: ~ / 1j1~ð~ ' . . t ( ~J& ,¿)tn;:¿/7e1">1 ;"'RtSSV..el- Lrh'5 6.A i /p ~/ ~~ ~ ÍÌ9rlÆ:;:/ 56t/T j)tfWYl >j .5. r /t}'l1/1 C() 7U ~ ç' I rJt~~. J~ ¿6ý¡¿ ,4c'l- -AepC5 :'C.·ð~. ./ tV ~1 Þ¡ jð ð /'ð ~UJ 1-11 ofltÚ'L ¿1""f/7J ¡ð¡ % ,v~/hið ¿~r ¡}~~f?~ æ~ r I~// [/~7 f &¿,~r - l?/j~5¡:;Un' ( ~ tlJ7Zcr; ¡~ --1-é~, ~.4M.5 ~ ~ /~~: ~T .At4"'J µ 5 ~rl~ J $n5C~ / ¡;f). / t7W,,~ / .~ ~:écll~: ìí¿t- ,,/L/~£ 1} / ~~P' /¡/ /f/7vJ W, ~ (H (S:>v'E~_ ~7 as e e FIRE SAFETY ARCHITECTURAL AND ENGINEERING GUIDELINES FOR THE USE OF ETHYLE·NE OXIDE ... -.. . AS STERiliZING AGENT WITHIN OSHPD HEALTH FACiliTIES October 28, 1993 '-. ... ~ ^, 09/08/92 . - IIòJ ~ e ~ u \If ~ fige ~ OCT 8 1992 iY¡ . By / I 1 MERCY HOSPITAL 215-000-000628 Overall Site with 34 Fac. Units General Information I Location: 2215 TRUXTUN AV Community: BAKERSFIELD STATION 01 ~ontact Name Title JACK RESENDEZ SECURITY DIRECTOR PAT JACOBS MANAGER Map: 102 Hazard: Moderate Grid: 25D FlU: 34 AOV: 0.0 Business Phone - 24-Hour Phone ,(805) 327-3371 x (805) 323-9751 (805) 327-3371 x (805) 392-0607 Administrative Data Mail Addrs: 2215 TRUXTUN AV City: BAKERSFIELD Comm Code: 215-001 BAKERSFIELD STATION 01 D&B Number: 95-166-0858 State: CA Zip: 93301- SIC Code: 806 Owner: CATHOLIC HEALTHCARE WEST Address: 2300 ADELINE DR City: BURLINGAME Phone: (805) 327-3371 State: CA Zip: 94010- Summ,ary . . k i~ ~,t/~eYeby œi111y Ihlili ! 1mII~ \ -......... rr!1~ c¡; m fl&mO) . . ~) MlIlewed the a112ched hazardous mal@Ylml$ ii11i!1I¡¡ge- ~ ~ ,MF/1:£/ ~~ ~hat ¡~ ~i@rlg ~i~h M®lnt LOJáìfì ©r~~4Y"" ®,rfU"¡J oor~®dß©In~ ©©n~~Nut~ ~ ©©mpi~® tffirru(Q1 OO~ú"®d man~ ~®m®m ~~1á11n ~©W' m ~®,©m~~. '~ 1\. '\. ~ .. e e 09/08/92 MERCY HOSPITAL 215-000-000628 02 - ENTIRE CAMPUS Page 2 Hazmat Inventory Detail in Reference Number Order 02-001 OXYGEN (2 TANKS) ~ Fire, Pressure, Immed Hlth Gas 3600 Low GAL CAS #: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL 3,6QO I 1,800.00 150,000.00 Storage ABOVE GROUND TANK r Press T Temp -:I Above AmbientA STREET Location - Conc l 100.0% Oxygen, Compressed Components ~ MCP --rList Low I 02-002 DIESEL TANKS ~ Fire, Immed Hlth, Delay Hlth Liquid 8000 Low GAL CAS #: 68476-34-6 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL 8,000 -r Daily Average GAL 4,000.00 I Annual Amount GAL ---- 8,000.00 Storage UNDER GROUND TANK r Press T Temp ~I Location Ambient AmbientSQUTH OF BOILER ROOM - Conc l 100.0% Diesel Fuel No.2 Components r; MCP -:-¡List Moderate ;' -" .. . e 09/08/92 MERCY HOSPITAL 215-000-000628 03 - PAINT/CONSTRUCTION SHOP Page 3 Hazmat Inventory Detail in Reference Number Order 03-001 LIQUID MALGON · ? 59 Unrated GAL CAS #: Trade Secret: No Form: Unknown Type: Mixture Days: Use: SEALER Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL -- 59 I 0.00 I 550.00 Storage DRUM/BARREL-NONMETAL r Press T Temp l Location 1ST FLOOR LIQUID STOR RM - Conc Components MCP --¡List 03-002 COAT 1 UNDERCOATER AND SEALER · ? 55 High GAL CAS #: Trade Secret: No Form: Unknown Type: Mixture Days: Use: CLEANING ---- Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL -- 55 I 0.00 I 550.00 Storage r Press T Temp _I Location DRUM/BARREL-NONMETAL 1ST FLOOR LIQUID STOR RM. Components ~ MCP RList Minimal Moderate Extreme Conc 50.0% 30.0% 20.0% Asphalt Mineral Spirits Propane 03-003 SPARQUAT · ? 55 Unrated GAL CAS #: Trade Secret: No Form: Unknown Type: Mixture Days: Use: CLEANING Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL -- 55 I 0.00 I 550.00 Storage DRUM/BARREL-NONMETAL r Press T Temp l Location 1ST FLOOR LIQUID STOR RM - Conc Components MCP --¡List ~'- e e 09/08/92 MERCY HOSPITAL 215-000-000628 03 - PAINT/CONSTRUCTION SHOP Page 4 Hazmat Inventory Detail in Referènce Number Order 03-004 OIL BASE ENAMEL ~ ? 80 Moderate GAL CAS #: Trade Secret: No .1 1 Form: Unknown Type: Mixture Days: Use: PAINTING Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 80 I 0.00 I 800.00 Storage r Press T Temp l METAL CONTAINR-NONDRUM . PAINT LOCKER Location Components ~ MCP ~List Moderate Moderate Moderate Low Cone 25.0% 15.0% 5.0% 3.0% Mineral Spirits Naphtha Methyl Ethyl Ketone Ethylene Glycol 03-005 PAINT THINNER ~ ? 50 High GAL CAS #: Trade Secret: No Form: Unknown Type: Mixture Days: Use: ADDITIVE Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 50 I 0.00 I 500.00 Storage r Press T Temp _I METAL CONTAINR-NONDRUM PAINT LOCKER , Location Components MCP List Moderate Moderate Moderate Moderate Moderate High Cone 30.0% 20.0% 10.0% 10.0% 5.0% 5.0% Acetone Toluene n-Propanol n-Butyl Acetate Xylene, Mixed Methanol ,¡ .. e e 09/08/92 MERCY HOSPITAL 215-000-000628 03 - PAINT/CONSTRUCTION SHOP Page 5 Hazmat Inventory Detail in Reference Number Order 03-006 SPARTAN · ? 55 Unrated GAL CAS #: . Trade Secret: No Form: Unknown Type: Mixture Days: Use: CLEANING Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 55 I 0.00 I 550.00 Storage DRUM/BARREL-METALLIC r Press T Temp _I 1ST Location FLOOR LIQUID STOR RM - Conc Components MCP -¡List 03-007 RESTORIT · ? 55 Unrated GAL CAS #: Trade Secret: No Form: Unknown Type: Mixture Days: Use: CLEANING Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 55 I 0.00 I 550.00 Storage DRUM/BARREL-NONMETAL r Press T Temp l Location 1ST FLOOR LIQUID STOR RM - Conc Components MCP -¡List 03-008 IMAGE 1 · ? 55 Unrated GAL CAS #: Trade Secret: No Form: Unknown Type: Mixture Days: Use: CLEANING Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 55 I 0.00 I 550.00 Storage DRUM/BARREL-NONMETAL r Press T Temp l Location 1ST FLOOR LIQUID STOR RM - Conc Components MCP -¡List e e 09/08/92 MERCY HOSPITAL 215-000-000628 08 - MAIN BLDG 1ST FLOOR Page 6 Hazmat Inventory Detail in Reference Number Order 08-001 DICHLORODIFLOROMETHANE ~ Fire, Pressure, Imrned Hlth Gas 635 Minimal FT3 CAS #: 75-71-8 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: COOLANT/ANTIFREEZE ---- Daily Max FT3 ----r-- Daily Average FT3 ~ Annual Amount FT3 -- 635 I 317.00 I 857.00 Storage r Press T Temp ~ INSUL.TANK / CRYOGENIC Ambient AmbientBOILER ROOM Location - Cone -, Components 100.0% Dichlorodifluoromethane r; MCP -=--rList Minimal I 08-002 TRICHLOROMONOFLUOROMETHANE ~ Fire, Pressure, Imrned Hlth Gas 274 Minimal FT3 CAS #: 75-69-4 Trade Secret: No Form: Gas Type: Pure Days~ 365 Us~: COOLANT/ANTIFREEZE Daily Max FT3 ----r-- Daily Average FT3 ~ Annual Amount FT3 -- 274 137.00 549.00 Storage r Press T Temp ~ PORT. PRESS. CYLINDER Above AmbientBOILER ROOM Location - Cone -\ Components 100.0% Trichlorotrifluoroethane r; MCP ~List Minimall 08-003 FREON 22 ~ Fire, Pressure, Imrned Hlth Gas 670 Low FT3 CAS #: 75-45-6 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: COOLANT/ANTIFREEZE Daily Max FT3 ----r-- Daily Average FT3 ~ Annual Amount FT3 -- 670 335.00 I 3,571.00 Storage r Press T Temp ~ PORT. PRESS. CYLINDER Ambient AmbientlBOILER ROOM Location - Cone l 100.0% Chlorodifluoromethane Components I~ MCP ~List Low I e e 09/08/92 MERCY HOSPITAL 215-000-000628 08 - MAIN BLDG 1ST FLOOR Page 7 Hazmat Inventory Detail in Reference Number Order 08-004 CHLORODIFLOUROMETHANE ~ Fire, Pressure, Immed Hlth Gas 1116 Low FT3 CAS #: 75-45-6 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: COOLANT/ANTIFREEZE Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 -- 1,116 I 558.00 I 1,116.00 Storage r Press T Temp -:-, PORT. PRESS. CYLINDER Ambient AmbientBOILER ROOM Location - Conc l 100.0% Chlorodifluoromethane Components ~ MCP --rList Low I 08-005 NITROGEN 304 . Fire, Pressure, Immed Hlth Gas 6080 Minimal FT3 CAS #: 7727-37-9 Trade Secret: No Form: Gas Type: Pure Days: 365 ·Use: COOLANT/ANTIFREEZE Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 -- 6,080 I 3,040.00 I 6,080.00 Storage r Press T Temp -:ì PORT. PRESS. CYLINDER Above AmbientlBOILER ROOM Location - Conc -I 100.0% Nitrogen Components ~ MCP --rList Low I 08-006 OXYGEN 281 . Fire, Pressure, Immed Hlth Gas 5620 Low FT3 CAS #: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 -- 5,620 I 2,810.00 I 5,626.00 Storage r Press T Temp -:ì PORT. PRESS. CYLINDER Ambient AmbientBOILER ROOM Location - Conc l 100.0% Oxygen, Compressed Components I~ MCP --rList Low \ e e 09/08/92 MERCY HOSPITAL 2L5-000-000628 08 - MAIN BLDG 1ST FLOOR Page 8 Hazmat Inventory Detail in Reference Number Order 08-007 ACETYLENE 130 ~ Fire, Pressure, Immed Hlth Gas 1300 High FT3 CAS #: 74-86-2 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3 -- 1,300 I 650.00 I 1,300.00 Storage r Press T Temp ~ PORT. PRESS. CYLINDER Above AmbientBOILER ROOM Location - Conc l 100.0% Acetylene Components r; MCP ---rList High I 08-010 ALCOHOL ~ Immed Hlth Liquid 10 Moderate GAL CAS #: 67-63-0 Trade Secret: No / Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL -- 10 I 5.00 100.00 Storage PLASTIC CONTAINER r Press T Temp ~ . Location Ambient AmbientRESPIRATORY THERAPY - Conc l 70.0% Isopropyl Alcohol Components r; MCP -:-¡List Moderate 08-011 CARBON DIOXIDE USP, OXYGEN USP ~ Fire, Pressure, Immed H1th Gas 160 Low.) GAL CAS #: 124-35-9 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL 160 80.00 760.00 Storage PLASTIC CONTAINER r Press T Temp ~1 Location Ambient AmbientRESPIRATORY THERAPY Components ~ MCP lIList Minimal Low Conc 5.0% 95.0% Carbon Dioxide Oxygen, Compressed e e 09/08/92 MERCY HOSPITAL 215-000-000628 09 - MAIN BLDG 2ND FLOOR Page 9 Hazmat Inventory Detail in Reference Number Order 09-001 XENON, XE 133 GAS ~ Fire, Pressure, Immed Hlth Gas 250 Minimal FT3 CAS #: 7440633 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3 ~ Daily Average FT3 ~ Annual Amount FT3 250 I 125.00 8,000.00 Storage GLASS CONTAINER r Press T Temp ~ Location Above AmbientHOT LAB NUCLEAR MEDICINE - Conc -, 100.0% Xenon Components r=- MCP --rList Low I " e e 09/08/92 MERCY HOSPITAL, 215-000-000628 10 - MAIN BLDG 3RD FLOOR Page 10 Hazmat Inventory Detail in Reference Number Order 10-001 OXYGEN ~ Fire, Pressure, Immed Hlth Gas 46 Low FT3 CAS #: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3 46 I 23.00 I 120.00 Storage r Press T Temp ~I Location PORT. PRESS. CYLINDER Above AmbientlMED STORAGE ROOM - Cone -, 100.0% Oxygen, Compressed Components ~ MCP --rList Low I , e e 09/08/92 MERCY HOSPITAL 215-000-000628 12 - MAIN BLDG 5TH FLOOR Page 11 Hazmat Inventory Detail in Reference Number Order 12-001 OXYGEN ~ Fire, Pressure, Immed Hlth Gas 46 Low FT3 CAS #: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 46 I 23.00 I 100.00 Storage ABOVE GROUND TANK r Press T Temp ~I Location Above Ambient I SUPPLY CLOSET - Conc l 100.0% Oxygen, Compressed Components ~ MCP --rList Low I e e 09/08/92 MERCY HOSPITAL 215-000-000628 13 - WEST TOWER 1ST FLOOR Page 12 Hazmat Inventory Detail in Reference Number Order 13-001 SUN GLOH ~ Liquid . 48 Unrated GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL ----r-- Daily Average GAL ~ Annual Amount GAL -- 48 I 24.00 96.00 Storage PLASTIC CONTAINER r Press T Temp ~ Location Ambient AmbientDIETARY CLEANING SUPPLY - Conc Components MCP -.-List e e 09/08/92 MERCY HOSPITAL 215-000-000628 14 - WEST TOWER 2ND FLOOR Page 13 Hazmat Inventory betail in Reference Number Order 14-001 OXYGEN ~ Fire, Pressure, Immed Hlth Gas 46 Low FT3 CAS #: 7782-44-7 Trade Secret: No Form: Gas . Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 46 I 23.00 I 120.00 Storage r Press T Temp ~ Location PORT. PRESS. CYLINDER Above AmbientlNURSES STATION SUPPLY RM - Conc l 100.0% Oxygen, Compressed Components I-=- MCP -¡List Low I I 09/08/92 -. MERCY HOSPITAL 215-000-000628 15 - WEST TOWER 3RD FLOOR Page 14 Hazmat Inventory Detail in Reference Number Order 15-001 OXYGEN . Fire, Pressure, Immed Hlth Gas 23 Low FT3 i I . CAS #: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3 23 I 12.00 I 100.00 Storage r Press T Temp ~ Location PORT. PRESS. CYLINDER Above AmbientSUPPLY RM BY NURSING STA - Cone l 100.0% Oxygen, Compressed Components c- MCP ---,-List Low I ¡ II I: . - 09/08/92 MERCY HOSPITAL 215-000-000628 16 - WEST TOWER 4TH FLOOR Page 15 Hazmat Inventory Detail in Reference Number Order 16-001 OXYGEN . Fire, Pressure, Immed Hlth Gas 92 Low FT3 CAS #: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: STRIPPER ---- Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 -- 92 I 41.00 I 120.00 Storage r Press T Temp ~I Location INSUL.TANK / CRYOGENIC Above AmbientEQUIPMENT RM W HALLWAY - Conc l 100.0% Oxygen, Compressed Components r=- MCP -¡List Low I - e 09/08/92 MERCY HOSPITAL 215-000-000628 17 - WEST TOWER 5TH FLOOR Page 16 Hazmat Inventory Detail in Reference Number Order 17-001 OXYGEN . Fire, Pressure, Immed Hlth Gas 23 Low FT3 CAS #: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 23 I 12.00 I 100.00 Storage r Press T Temp -:ì Location PORT. PRESS. CYLINDER Above AmbientlNURSES STATION SUPPLY RM - Conc l 100.0% Oxygen, Compressed Components ~ MCP ---rList Low I _. e 09/08/9,2 MERCY HOSPITAL 215-000-000628 18 - PATHOLOGY LAB/RADIOLOGY Page 17 Hazmat Inventory Detail in Reference Number Order 18-001 ALCOHOL, ISOPROPYL ~ Delay Hlth Liquid 10 Moderate GAL CAS 4t: 67-63-0 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL 10 I 5.001 450.00 Storage PLASTIC CONTAINER r Press T Temp ~ Location Ambient AmbientS WALL STORAGE CLOSET - Conc l 99.0% Isopropyl Alcohol Components r; MCP ~List Moderate 18-002 XYLENE ~ Fire, Irnmed Hlth Liquid 10 Moderate GAL CAS #: 1330-20-7 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: MEDICAL AID OR PROCESS - Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL 10 6.00 I 220.00 Storage PLASTIC CONTAINER r Press 'T Temp ~ Ambient AmbientPATH LAB Location Components 1= MCP ~List Moderate Moderate Conc 80.0% 20.0% Xylene, Mixed Ethylbenzene 18-003 FORMALIN SOLUTION ~ Fire, Irnmed Hlth¡ Delay Hlth Liquid 20 High GAL CAS #: 50-00-0 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: MEDICAL AID OR PROCESS Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL 20 16.00 500.00 Storage PLASTIC CONTAINER r Press T Temp ~ Ambient AmbientlPATH LAB Location - Conc l 10.0% Formaldehyde (EPA) Components \~ MCP --¡List ,High I EPA e e 09/08/9:2 MERCY HOSPITAL 215-000-000628 19 - TREATMENT/DIAGNOSTIC 1ST FLO Page 18 Hazmat Inventory Detail in Reference Number Order 19-004 ALCOHOL ~ Delay Hlth Liquid 32 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 32 I 16.00 I 320.00 Storage PLASTIC CONTAINER r Press T Temp ~ Location Ambient AmbientPURCHASING WAREHOUSE C - Cone l 99.0% Isopropyl Alcohol Components 1-; MCP ~List Moderate 19-005 ALCOHOL ~ Delay Hlth Liquid 48 Moderate GAL CAS #: 67-63-0 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 48 I 24.00 I 480.00 Storage PLASTIC CONTAINER r Press T Temp ~ Location Ambient AmbientPURCHASING WAREHOUSE C - Cone l 70.0% Isopropyl Alcohol Components \ r; MCP ~List Moderate 19-007 HELIUM NON-FLAMMABLE ~ Pressure, Immed Hlth Gas 1250 Minimal FT3 CAS #: 7440-59-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3 ~ Daily Average FT3 ~ Annual Amount FT3 1,250 625.00 I 12,500.00 Storage r Press T Temp ~ Location PORT. PRESS. CYLINDER Ambient AmbientSTORAGE RM NSIDE HALLWAY - Cone -, 100.0% Helium Components r; MCP :-TList Minimal \ e e 09/08/9:2 MERCY HOSPITAL 215-000-000628 19 - TREATMENT/DIAGNOSTIC 1ST FLO Page 19 Hazmat Inventory Detail in Reference Number Order 19-008 NITROGEN NON-FLAMMABLE ~ Pressure, Immed Hlth Solid 500 Minimal LBS CAS :It: 7727-37.:....9 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max LBS ~ Daily Average LBS --r-- Annual Amount LBS 500 I 250.00 I 5,000.00 Storage r Press T Temp ~I Location PORT. PRESS. CYLINDER Ambient AmbientSTORAGE RM NSIDE HALLWAY - Cone l 100.0% Nitrogen Components r::- MCP -¡List I Low I 19-009 HYDROGEN/CARBON DIOXIDE/NITROGEN ~ Fire, Pressure, Immed Hlth ·Gas 100 Extreme FT3 CAS :It: Trade Secret: No Form: Gas Type: Mixture Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3 ~ Daily Average FT3 --r-- Annual AmountFT3 100 I 50.00 I ' 10,000.00 Storage r Press T Temp ~I Location PORT. PRESS. CYLINDER Ambient AmbientSTORAGE RM NSIDE HALLWAY Components I~ MCP ~List Extreme Minimal Low Cone 4.7% 10.3% 84.9% Hydrogen Carbon Dioxide Nitrogen 19-010 OXYGEN COMPRESSED 250 CF ~ Fire, Pressure, Immed Hlth Gas 2500 Low FT3 CAS :It: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3 2,500 I 1,250.00 I 25,000.00 Storage r Press T Temp -:ì Location PORT. PRESS. CYLINDER Ambient Ambient/STORAGE RM NSIDE HALLWAY - Cone -I 100.0% Oxygen, Compressed components c- MCP -¡List Low I - e I 09/08/92 MERCY HOSPITAL 215-000-000628 19 - TREATMENT/DIAGNOSTIC 1ST FLO Page 20 Hazmat Inventory Detail in Reference Number Order 19-011 COMPRESSED GAS NON-FLAMMABLE 250CF ~ Pressure, Immed Hlth Gas 1500 Unrated FT3 CAS #: o Trade Secret: No Form: Gas Type: Pure Days: 365 Use: ~EDICAL AID OR PROCESS Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 1,500 I 750.00 I 15,000.00 Storage r Press T Temp ~ Location PORT. PRESS. CYLINDER Ambient Ambient I STORAGE RM NSIDE HALLWAY - Conc Components MCP -¡List 19-012 COMPRESSED AIR 250CF ~ Fire, Pressure, Immed Hlth Gas 2000 Minimal FT3 CAS #: o Trade Secret: No Form: Gas Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 2,000 I 1,000.00 I 20,000.00 Storage r Press T Temp ~ Location PORT. PRESS. CYLINDER Ambient AmbientlSTORAGE RM NSIDE HALLWAY - Conc l 100.0% Air Components r; MCP :-rList Minimal I 19-013 NITROUS OXIDE ~ Fire, Pressure, Immed Hlth Gas 200 High FT3 CAS #: 10024-97-2 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 200 I 100.00 I 2,000.00 Storage . r Press T Temp ~ Location PORT. PRESS. CYLINDER Ambient AmbientSTORAGE RM NSIDE HALLWAY - Conc l 100.0% Nitrous Oxide Components 1-= MCP-¡List High I e e 09/08/92 MERCY HOSPITAL 215-000-000628 20 - TREATMENT/DIAGNOSTIC 2ND FLO Page 21 Hazmat Inventory Detail in Reference Number Order 20-001 COMPRESSED GAS CYLINDERS ~ Fire, Pressure, Immed Hlth Gas 209 Extreme FT3 CAS #: Trade Secret: No Form: Gas Type: Mixture Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3 ~ Daily Average FT3 ~ Annual Amount FT3 209 I 104.00 I 627.00 Storage r Press T Temp ~ Location PORT. PRESS. CYLINDER Ambient AmbientlLAB CENTER RM MICRO RM Components ~ MCP llList Extreme Minimal Low Cone 72.0% 10.3% 17.7% Hydrogen Carbon Dioxide Nitrogen 20-002 C02/02/N2 ~ Fire, Pressure, Immed Hlth Gas 209 Low FT3 CAS #: Trade Secret: No Form: Gas Type: Mixture Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3 ~ Daily Average FT3 ~ Annual Amount FT3 209 I 104.00 I 836.00 Storage r Press T Temp -:-:-1 PORT. PRESS. CYLINDER Ambient AmbientLAB MICRO Location Components Œ MCP 1List Minimal Low Low Cone 5.0% 20.0% 75.0% Carbon Dioxide Oxygen, Compressed Nitrogen e e 09/08/92 MERCY HOSPITAL 215-000-000628 20 - TREATMENT/DIAGNOSTIC 2ND FLO Page 22 . Hazmat Inventory Detail in Reference Number Order 20-003 C02 ~ Fire, Pressure, Immed Hlth Gas 437 Minimal FT3 CAS #: 124-38-9 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3 ~ Daily Average FT3 ~ Annual Amount FT3 437 I . 218.00 I 4,370.00 Storage r Press T Temp ~ PORT. PRESS. CYLINDER Ambient AmbientlLAB Location - Conc l 100.0% Carbon Dioxide Components r; MCP :-TList Minimal I 20-004 C02/H2/N2 ~ Fire, Pressure, Immed Hlth Gas 209 Extreme FT3 CAS #: Trade Secret: No Form: Gas Type: Mixture Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3 ~ Daily Average FT3 ~ Annual Amount FT3 209 I 104.00 I 627.00 Storage r Press T Temp ~ PORT. PRESS. CYLINDER Ambient AmbientILAB-MAIN Location Components Œ MCP fìList Minimal Extreme Low Conc 5.0% 10.0% 80.0% Carbon Dioxide Hydrogen Nitrogen 20-00!¡ C02/N2 ~ Fire, Pressure, Immed Hlth Gas 209 Minimal FT3 CAS #: Trade Secret: No Form: Gas Type: Mixture Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3 ~ Daily Average FT3 ~ Annual Amount FT3 209 I 104.00 I 836.00 Storage r Press T Temp ~ PORT. PRESS. CYLINDER Ambient Ambient/LAB-MAIN Location - Cone -I 10.0% Carbon Dioxide 90.0% Nitrogen Components ~ MCP llList Minimal Low e e 09/08/92 MERCY HOSPITAL 215-000-000628 22 - TREATMENT/DIAGNOSTIC 4TH FLO Page 23 Hazmat Inventory Detail in Reference Number Order 22-001 NITROUS OXIDE . Fire, Pressure, Immed Hlth Gas 700 High LBS CAS #: 10024-97-2 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max LBS ~ Daily Average LBS --r-- Annual Amount LBS 700 1 350.00 I 1,250.00 Storage r Press T Temp -:I PORT. PRESS. CYLINDER Ambient Ambient 1 STORAGE RM Location - Conc l 100.0% Nitrous Oxide Components I~ MCP -¡List High 1 22-002 OXYGEN COMPRESSED . Fire, Pressure, Immed Hlth Gas o Low FT3 CAS #: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3 01 0.00 1 0.00 ,Storage r Press T Temp -:I Location PORT. PRESS. CYLINDER Ambient AmbientTHRU OUT SURGERY AREA - Conc l 100.0% Oxygen, Compressed Components r=- MCP -¡List 1 Low I e e 09/08/92 MERCY HOSPITAL 215-000-000628 27 - CARDIAC REHAB CENTER Page 24 Hazmat Inventory Detail in Reference Number Order 27-001 ALCOHOL, ISOPROPYL .. Delay Hlth Liquid 1 Moderate GAL CAS #: 67-63-0 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL ----r-- Daily Average GAL ~ Annual Amount GAL -- 1 I 0.50 I 60.00 Storage PLASTIC CONTAINER r Press T Temp ~ Location Ambient AmbientNWALL COUNTER & CLOSET - Conc l 70.0% Isopropyl Alcohol Components r; MCP -:-¡List Moderate e e 09/08/92 MERCY HOSPITAL 215-000-000628 31 - MRI Page 25 Hazmat Inventory Detail in Reference Number Order 31-001 NITROGEN ~ Pressure, Reactive, Immed Hlth Gas 6312 Minimal FT3 CAS #: 7782-37-9 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 6,312 9,468.00 I 227,232.00 Storage r Press T Temp ~ Location PORT. PRESS. CYLINDER Above AmbientMRI UNIT TRUXTUN & A ST - Conc l 100.0% Nitrogen Components r=- MCP --rList Low I 31-002: HELIUM Gas ~ Fire, Pressure, Immed Hlth, Delay Hlth 22407 Minimal FT3 CAS #: 7440-59-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 22,407 I . 22,407.00 I 766,800.00 Storage r Press T Temp l Location PORT. PRESS. CYLINDER Below Below MRI UNIT TRUXTUN & A ST - Conc -I 100.0% Helium Components r; MCP ~List Minimal I e e 09/08/92 MERCY HOSPITAL 215-000-000628 33 - HAZARDOUS WASTE ROOM Page 26 Hazmat Inventory Detail in Reference Number Order 33-001 WASTE XYLENE ~ Fire, Immed Hlth Liquid 55 Moderate GAL CAS #: 1330-20-7 Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: WASTE Daily Max GAL ~ Daily Average GAL ~. Annual Amount GAL -- 55 I 55.00 I 220.00 Storage , DRUM/BARREL-METALLIC r Press T Temp ~ Location Ambient AmbientlHAZARDOUS WASTE ROOM - Conc l 100.0% Xylene, Mixed Components MCP ~List [;oderate I 33-002: WASTE FORMALIN ~ Fire, Immed Hlth Liquid 55 High GAL CAS #: Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: WASTE Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 55 I 55.00 I 220.00 Storage DRUM/BARREL-METALLIC r Press T Temp ~' '. Location Ambient AmbientlHAZARDOUS WASTE ROOM - Conc l 100.0% Formalin Components MCP --rList I~igh I EPA ~ e e 09/08/92 MERCY HOSPITAL 215-000-000628 34 - DECONTAMINATION ROOM Page 27 Hazmat Inventory Detail in Reference Number Order 34-001 STERILANT MIXTURE . Fire, Pressure, Immed Hlth Gas· 1026 Extreme FT3 CAS #: Trade Secret: No Form: Gas Type: Mixture Days: 365 Use: STERILIZER Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 -- 1,026 I 684.00 I 8,892.00 Storage r Press T Temp -:I Location PORT. PRESS. CYLINDER Above AmbientDECONTAMINATION ROOM Components ~ MCP ~List Extreme EPA Minimal Conc 12.0% Ethylene Oxide (EPA) 88.0% Freon 12 · e e 09/08/92 MERCY HOSPITAL 215-000-000628 35 - GAS STORAGE ROOM Page 28 Hazmat Inventory Detail in Reference Number Order 35-001 STERILANT MIXTURE ~ Fire, Pressure, Immed Hlth Gas 1539 Extreme FT3 CAS =It: Trade Secret: No Form: Gas Type: Mixture Days: 365 Use: STERILIZER ----.Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 -- 1,539 / 1,368.00 / 17,784.00 Storage r Press T Temp ~I Location PORT. PRESS. CYLINDER Above Ambient/GAS CYLINDER STORAGE ROOM Components ~ MCP llList Extreme EPA Minimal Conc 12.0% Ethylene Oxide (EPA) 88.0% Freon 12 .. e e 09/08/92 MERCY HOSPITAL 215-000-000628 00 - Overall Site Page 29 <D> Notif./Evacuation/Medical I <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation NOTIFICATION AND EVACUATION PROCEDURES IN ALL UNITS INITIATED BY FIRE ALARM SYSTE]~S AND OVERHEAD PAGING SYSTEM. AREAS NOT REACHED BY OVERHEAD PAGING ARE NOTIFIED OF ALL ALERTS VIA LAND OR MESSENGER FROM COMMAND CENTER IN EVENT OF INTERNAL DISASTER DECLARATION. <3> Public Notif./Evacuation ¿\ R6¡.~ /If'.M#7"( /Ø7/~~ 4n~ß/ .5&V~6./V~,o/6JC'Þ!fv <4> Emergency Medical Plan MERCY HOSPITAL EMERGENCY DEPARTMENT .. e e 09/08/92 MERCY HOSPITAL 215-000-000628 00 - Overall Site Page 30 <E> Mitigation/Prevent/Abatemt <1> Release Prevention ON GOING FIRE SAFETY PROGRAM FOR ENTIRE FACILITY WHICH INCLUDES MONTHLY FIRE DRILLS - FIRE EXTINGUISHER INSPECTIONS MONTHLY INSPECTIONS OF FIRE SPRINKLERS AND STANDPIPES. INSPECTIONS FOR OPERATIONS OF ALL FIRE AND SMOKE BARRI:ER DOORS. PREVENTIVE MAINTENANCE ON ALL FIRE PROTECTION RELATED EQUIP]~ENT. FIRE PLANS, DISASTER PLANS, ETC. AVAILABLE 24 HOURS TO ALL EMPLOYEES. HOUSEKEEPING AGENTS ISOLATED IN DESIGNATED ROOM, EXCEPT FOR SMALL AMOUNTS USED BY PERSONNEL IN HOUSEKEEPING DUTIES. PAINTS AND FLAMMABLES KEPT IN SAFETY STORAGE CABINET LOCKER IN PAINT SHOP. FORMALIN KEPT IN SPECIAL CONTAINERS IN AMBULATORY SERVICES. SPILL KIT AVAILABLE FOR CONTROL OF SPILLS. INFECTIOUS WASTE CONTAINED IN UTILITY CLOSET, PICKED UP DAILY, TAKEN TO HAZARDOUS STORAGE AREA. <2> Release Containment þ ~~// M- ~#~ /~ ~// #t?sg~//;? e~~ff 5/7// /GÆ: /Þð//~ ~.9'µ ~. B/>// ~~ /lP#--:#~ /& .~a-?cJ~ -.; _ ¡/U/m&/4 /?P'ø~ .~ /# ~~~~ /P //i4ffilladk>~~ C'~~/,r- <3> ~~~#~~ ~~ . PP/~~ ýrA- ¿?4ð#~ p/, ~ $~./? . 5'/itZi//C/{;J /Í:J/Z- e4#~ V;P ~# ø/Ý/l Ø?'/,t/(3. f41Ù)tJ,-¿ C!/hðPV/7 '0/ f~I/;'¿-r/ </)¥~#ds- {!~W-¿/;Þ ~ j)/~ð/ S6/4//C6S /3 7 $/~ ,;W~¿Ø/ S/;'Æ//~ Æi.¡¿ þ,,~C1o/ ~. / <4> Other Resource Activation ~ ~'/¿ Ø/;'71~,e/~ ~ {!.4ff#-V~ ~.e . ff b. . . _ ~/~~ ~~.u~ 9~C6~ ~ &//£ ~p~ S'e~/c~ ~A/;z. /7J1~~ 5'ut/I~s ~ &L ø.:t/blP?A1~/ 3ÆW.-cÇr . ~Ø/f,.>~'p/~/ if ~ /,/5 /;'t/C. - u e e 09/08/92 MERCY HOSPITAL 215-000-000628 00 - Overall Site Page 31 r <E> Mitigation/Prevent/Abatemt <4> Other Resource Activation (Continued) è e e ~ 09/08/92 MERCY HOSPITAL 215-000-000628 00 - Overall Site Page 32 <F> Site Emergency Factors <1> Special Hazards RADIOISATOPES ON HAND RADIATION HAZARD I <2> Utility Shut-Offs A) GAS - SOUTH WALL EXTERIOR BOILER ROOM B) ELECTRICAL - SOUTH WALL INTERIOR BOILER ROOM C) WATER - SOUTH OF SOUTH EXTERIOR WALL ADJACENT TO BOILER ROOM D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVA.TE FIRE PROTECTION - FIRE EXTINGUISHERS THROUGHOUT ENTI~FACILITY. WEST TOWER AND TREATMENT DIAGNOSTIC BUILDING FULLY SPRINKLERED. MAIN BUILDING PARTIAL SPRINKLERED. DRY STAND PIPES IN MAIN BUILDING - WEST TOWER, EAST WING AND TREATMENT/DIAGNOSTIC BUILDINGS IN HOUSE RESPONSE TEAM TO ALL AREAS. WET STANDPIPES IN SKILLED NURSING FACILITY. FIRE HYDRANT - CITY FIRE HYDRANTS SURROUND ENTlER FACILITY. FIRE DEPARTMENT CONNE:CTIONS ON SOUTH WALL ON ER RAMP FOR WEST TOWER FD. FDC FOR MAIN BLDG NEAR MAIN ENTRANCE TO HOSPITAL AT TRUXTUN AVE. FDC FOR BUSINESS OFFICE LOCA,]~ED ON A STREET PARKING LOT ENTRANCE. <4> Building Occupancy Level 276 PATIENT BEDS 1400 EMPLOYEES ROTA'J?ING SHIFTS .; 1f. ." 09/08/92 e e MERCY HOSPITAL 215-000-000628 00 - Overall Site Page 33 <G> Training <1> pagH 1 WE HAVE 1400 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: EACH EMPLOYEE TAUGHT TO USE MSDS AND SAFETY. ALL EMPLOYEES REQUIRED TO ATTEND GENERAL ORIENTATION WHICH COVERS FIRE SAFETY, HAZARD COMMUNICATIONS, GENERAL SAFETY AND MSDS. ALL EMPLOYEES ATTEND DEPAR~r~ENT ORIENTATION. ALL EMPLOYEES REQUIRED TO ATTEND ANNUAL EDUCATION DAY C;( HRS) . -::1' -~ <2> PagH 2 as needed <3> Held for Future Use <4> Held for Future Use ,- --~... (~~ ce J/ ~ 02/11/94 MERCY HOSPITAL 215-000-000628 Overall Site with 34 Fac. Units Page 1 General Information Location: 2215 TRUXTUN AV Community: BAKERSFIELD STATION 01 Map: 102 Hazard: Moderate Grid: 25D F/U: 34 AOV: 0.0 BusJ. efs"'" k'e0 v 24- G3~ ~jY{i}e ~ -' ( 805) ..27 33 n x ( 805) ~ J !t .,. 51 (805 ~~;:c"J):-~ /. (805 ~~(g(gt78~ .' Administrati ve Data -' _ _ -- l I Mail Addrs: 2215 TRUXTUN AV D&B Number: 95-166-0858 City: BAKERSFIELD State: CA Zip: 93301- . Corom Code: 215-001 BAKERSFIELD STATION 0 1 ~IC Code: Bð~ ~:0'~~~ /' Owner: CATHOLIC HEALTHCARE WEST ~vdæ. 'Sf) phone: ¡- Address: ..J.300 ADELINE ÐR-I'lOC> ~O~cP.m~ff /State: City: BURLINœ\~4E "S'A"~#C/y~tj ð..4- 9~//1·- Zip: .,.!@iO 9'YIJr Title SECURITY DIRECTOR MANAGER êontact Name JACK RESENDEZ PAT JÞ..COBS Summary RECEIVED !f.MR 1 0 '99i1 Z ~¿ 1J.s~¿6e hereby certify that I have (Type or print name) reviewed the attached hazardous materials manage· ment plan for (Name of Business) and that it along with any corrections constitute a complete and correct man- agement plan for my facility. , Y. " ~ ~. Jt 02/11/94 MERCY HOSPITAL 215-000-000628 Hazmat Inventory List in MCP Order Page 2 02 - ENTIRE CAMPUS I PIn-Ref Name/Hazards Form Max Qty MCP 02-002 DIESEL TANKS Liquid 8000 Low ~ Fire, Immed H1th, Delay H1th GAL 02-001 OXYGEN (2 TANKS) Gas 3600 Low ~ Fire, Pressure, Immed H1th GAL 03 - PAINT/CONSTRUCTION SHOP I 03-002 COAT 1 UNDERCOATER AND SEALER ? ()i " / 55 High ~ j./~ GAL I ' 03-005 PAINT THIN:NER ? ¡) ,[I /' 50 High ~ ~¡p GAL 03-004 OIL BASE ENAMEL ? ~¡ / 80 Moderate ~ ~ t;íJl GAL 03-008 IMAGE 1 J -,j / 55 Unrated ~ !/¡OiJ GAL 03-001 LIQUID MALGON J(¡J;)/ 59 Unrated ~ GAL 03-007 RESTORIT I)~/ / 55 Unrated ~ GAL 03-003 SPARQUAT ¡JQv;/1 55 Unrated ~ GAL 03-006 SPARTAN úþ;¡)/ 55 Unrated ~ GAL 08 - MAIN BLDG 1ST FLOOR 08-007 ACETYLENE 130 Gas 1300 High ~ Fire, Pressure, Immed H1th FT3 08-010 ALCOHOL Liquid 10 Moderate ~ Immed H1th GAL 08-011 CARBON DIOXIDE USP, OXYGEN USP Gas 160 Low ~ Fire, Pressure, Immed H1th GAL 08-004 CHLORODIFLOUROMETHANE Gas 1116 Low ~ Fire, Pressure, Immed H1th FT3 '" ~ l. - ~, 02/11/94 MERCY HOSPITAL 215-000-000628 Page 3 Hazmat Inventory List in MCP Order 08 - MAIN BLDG 1ST FLOOR PIn-Ref Name/Hazards Form Max Qty MCP 08-003 FREON 22 Gas 670 Low ~ Fire, Pressure, Immed Hlth FT3 08-006 OXYGEN 281 Gas 5620 Low ~ Fire, Pressure, Immed Hlth FT3 08-001 DICHLORODIFLOROMETHANE Gas 635 Minimal ~ Fire, Pressure, Immed Hlth FT3 08-005 NITROGEN 304 Gas 6080 Minimal ~ Fire, Pressure, , Immed Hlth FT3 08-002 TRICHLOROMONOFLUOROMETHANE Gas 274 Minimal ~ Fire, Pressure, Immed Hlth FT3 09 - MAIN BLDG 2ND FLOOR 09-001 XENON, XE 133 GAS ~ Fire, Pressure, Immed Hlth Gas 250 Minimal FT3 10 - MAIN BLDG 3RD FLOOR 10-00,1 OXYGEN ~ Fire, Pressure, Immed Hlth Gas 46 Low FT3 12 - MAIN BLDG 5TH FLOOR 12-001 OXYGEN ~ Fire, Pressure, Immed Hlth Gas 46 Low FT3 13 - WEST TOWER 1ST FLOOR 13-001 SUN GLOH ~ Liquid 48 Unrated GAL 14 - WEST TOWER 2ND FLOOR 14-001 OXYGEN ~ Fire, Pressure, Immed Hlth Gas 46 Low FT3 .. , ,e \' . 1t 02/11/9~1 MERCY HOSPITAL 215-000-000628 Hazmat Inventory List in MCP Order Page 4 14 - WEST TOWER 2ND FLOOR PIn-Ref Name/Hazards Form Max Qty MCP 15 - WEST TOWER 3RD FLOOR 15-001 OXYGEN ~ Fire, Pressure, Irnmed Hlth Gas 23 Low .FT3 16 - WEST TOWER 4TH FLOOR 16-001 OXYGEN ~ Fire, Pressure, Irnmed Hlth Gas 92 Low FT3 17 - WEST TOWER 5TH FLOOR 17-001 OXYGEN ~ Fire, Pressure, Irnmed Hlth Gas 23 Low FT3 18 - PATHOLOGY LAB/RADIOLOGY 18-003 FORMALIN SOLUTION Liquid 20 High ~ Fire, Irnmed Hlth, Delay Hlth GAL 18-001 ALCOHOL, ISOPROPYL Liquid 10 Moderate ~ Delay Hlth GAL 19 - TREATMENT/DIAGNOSTIC 1ST FLO 19-009 HYDROGEN/CARBON DIOXIDE/NITROGEN Gas 100 Extreme ~ Fire, Pressure, Irnmed Hlth FT3 19-013 NITROUS OXIDE Gas 200 High ~ Fire, Pressure, Irnmed Hlth FT3 19-00~~ ALCOHOL Liquid 32 Moderate ~ Delay Hlth GAL 19-005 ALCOHOL Liquid 48 Moderate ~ Delay Hlth GAL 19-010 OXYGEN COMPRESSED 250 CF Gas 2500 Low ~ Fire, Pressure, Immed Hlth FT3 ~ Ie ~ \ 02/11/94 MERCY HOSPITAL 215-000-000628 Page 5 Hazmat Inventory List in MCP Order 19 - TREATMENT/DIAGNOSTIC 1ST FLO PIn-Ref Name/Hazards Form Max Qty MCP 19-012 COMPRESSED AIR 250CF Gas 2000 Minimal .. Fire, Pressure, Immed Hlth FT3 19-007 HELIUM NON-FLAMMABLE Gas 1250 Minimal .. Pressure, Immed Hlth FT3 19-008 NITROGEN NON-FLAMMABLE Solid 500 Minimal .. Pressure, Immed Hlth LBS 19-011 COMPRESSED GAS NON-FLAMMABLE 250CF Gas 1500 Unrated .. Pressure, Immed Hlth FT3 20 - TREATMENT/DIAGNOSTIC 2ND FLO 20-004 C02/H2/N2 Gas 209 Extreme .. Fire, Pressure, Immed Hlth FT3 20-001 COMPRESSED GAS CYLINDERS Gas 209 Extreme .. Fire, Pressure, Immed Hlth FT3 20-002 C02/02/N2 Gas 209 Low .. Fire, Pressure, Immed Hlth FT3 20-003 CO2 Gas 437 Minimal .. Fire, Pressure, Immed Hlth FT3 20-00~1 C02/N2 Gas 209 Minimal .. Fire, Pressure, Immed Hlth FT3 22 - TREATMENT/DIAGNOSTIC 4TH FLO 22-00JL NITROUS OXIDE Gas 700 High .. Fire, Pressure, Immed Hlth LBS 22-002 OXYGEN COMPRESSED Gas 0 Low .. Fire, Pressure, Immed Hlth FT3 27 - CARDIAC REHAB CENT~R 27-001 ALCOHOL, ISOPROPYL .. Delay Hlth Liquid 1 Moderate GAL e ~ 02/11/9,' MERCY HOSPITAL 215-000-000628 Hazmat Inventory List in MCP Order Page 6 31 - MRI PIn-Ref Name/Hazards Form· Max Qty MCP 31-002 HELIUM Gas 22407 Minimal ~ Fire, Pressure, Immed Hlth, Delay Hlth FT3 31-001 NITROGEN Gas 6312 Minimal ~ Pressure, Reactive, Immed H!th FT3 33 - HAZARDOUS WASTE ROOM 33-002 WASTE FORMALIN ~ Fire, Immed Hlth Liquid 55 High GAL 33-001 WASTE XYLENE ~ Fire, Immed Hlth Liquid 55 Moderate GAL 34 - DECONTAMINATION ROOM 34-001 STERILANT MIXTURE ~ Fire, Pressure, Immed Hlth Gas 1026 Extreme FT3 35 - GAS STORAGE ROOM 35-001 STERILANT MIXTURE ~ Fire, Pressure, Immed Hlth Gas 1539 Extreme FT3 e . 02/11/94 MERCY HOSPITAL 215-000-000628 02 - ENTIRE CAMPUS Page 7 Hazmat'Invehtory Detail in MCP Order 02-002 DIESEL TANKS ~ Fire, Immed Hlth, Delay Hlth Liquid 8000 Low GAL CAS #: 68476-34-6 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL 8,000 ----r Daily Average GAL 4,000.00 I Annual Amount GAL -- 8,000.00 Storage UNDER GROUND TANK r Press ·T Temp ~ Location Ambient AmbientlSOUTH OF BOILER ROOM - Cone l 100.0% Diesel Fuel No.2 Components r; MCP ----rGuide Moderate 27 02-001 OXYGEN (2 TANKS) ~ Fire, Pressure, Immed Hlth Gas 3600 Low GAL CAS #: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL 3,600 I . 1,800.00 I 150,000.00 Storage ABOVE GROUND TANK r Press T Temp -:-1 Above AmbientA STREET Location - Cone l 100.0% Oxygen, Compressed Components fî MCP ----rGuide Low I 14 e 02/11/94 . MERCY HOSPITAL 215-000-000628 03 - PAINT/CONSTRUCTION SHOP Page 8 Hazmat Inventory Detail in MCP Order 03-002: COAT 1 UNDERCOATER AND SEALER ~ ? 55 High GAL CAS =It: Trade Secret: No Form: Unknown Type: Mixture Days: Use: CLEANING Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 55. I 0.00 I 550.00 Storage r Press T Temp l Location DRUM/BARREL-NONMETAL 1ST FLOOR LIQUID STOR RM Components I~ MCP ~Uide Minimal 27 Moderate 27 Extreme 22 Cone 50.0% 30.0% 20.0% Asphalt Mineral Spirits Propane 03-005 PAINT THINNER ~ ? 50 High GAL CAS =It: Trade Secret: No Form: Unknown Type: Mixture Days: Use: ADDITIVE Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 50 I 0.00 I 500.00 Storage r· Press T Temp l METAL CONTAINR-NONDRUM PAINT LOCKER Location Components MCP Moderate Moderate Moderate Moderate Moderate High uide 26 27 26 26 27 28 Cone 30.0% 20.0% 10.0% 10.0% 5.0% 5.0% Acetone Toluene n-Propanol n-Butyl Acetate Xylene, Mixed Methanol e \ . 02/11/94 MERCY HOSPITAL 215-000-000628 03 - PAINT/CONSTRUCTION SHOP Page 9 Hazmat Inventory Detail in MCP Order 03-004: OIL BASE ENAMEL þ> ? 80 Moderate GAL CAS #: Trade Secret: No Form: Unknown Type: Mixture ·Days: Use: PAINTING Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 80 I 0.00 I 800.00 storage r Press T Temp l METAL CONTAINR-NONDRUM PAINT LOCKER Location Components MCP ~Uide Moderate 27 Moderate 27 Moderate 26 Low 27 Cone 25.0% 15.0% 5.0% 3.0% Mineral Spirits Naphtha Methyl Ethyl Ketone Ethylene Glycol 03-008 IMAGE 1 þ> ? 55 Unrated GAL CAS #: Trade Secret: No Form: Unknown Type: Mixture Days: Use: CLEANING Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 55 I 0.00 I 550.00 Storage DRUM/BARREL-NONMETAL r Press T Temp l Location 1ST FLOOR LIQUID STOR RM - Cone Components MCP -,-Guide 03-001 LIQUID MALGON þ> ? 59 Unrated GAL CAS #: Trade Secret: No Form: Unknown Type: Mixture Days: Use: SEALER Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 59 I 0.00 I 550.00 Storage DRUM/BARREL-NONMETAL r pre.ss T Temp l Location 1ST FLOOR LIQUID STOR RM - Cone Components MCP -,-Guide e \ - 02/11/94 MERCY HOSPITAL 215-000-000628 03 - PAINT/CONSTRUCTION SHOP Page 10 Hazmat Inventory Detail in MCP Order 03-007 RESTORIT ~ ? 55 Unrated GAL CAS #: Trade Secret: No Form: Unknown Type: Mixture Days: Use: CLEANING Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 55 I 0.00 I 550.00 Storage DRUM/BARREL-NONMETAL r Press T Temp l Location 1ST FLOOR LIQUID STOR RM - Conc Components MCP ---,-Guide 03-003 SPARQUAT ~ ? 55 Unrated GAL CAS #: Trade Secret: No Form: Unknown Type: Mixture Days: Use: CLEANING Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 55 I 0.00 I 550.00 Storage DRUM/BARREL-NONMETAL r Press T Temp l Location 1ST FLOOR LIQUID STaR RM - Conc Components MCP ---,-Guide 03-006 SPARTAN ~ ? 55 Unrated GAL CAS #: Trade Secret: No Form: Unknown Type: Mixture Days: Use: CLEANING Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 55 I 0.00 I 550.00 storage DRUM/BARREL-METALLIC r Press T Temp l Location 1ST FLOOR LIQUID STOR RM - Conc Components MCP ---,-Guide e \ -- 02/11/94 MERCY HOSPITAL 215-000-000628 08 - MAIN BLDG 1ST FLOOR Page 11 Hazmat Inventory Detail in MCP Order 08-007 ACETYLENE 130 ~ Fire, Pressure, Immed Hlth Gas 1300 High FT3 CAS #: 74-86-2 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 -- 1,300 650.00 1,300.00 Storage r Press T Temp ~ PORT. PRESS. CYLINDER Above AmbientBOILER ROOM Location - Conc -I 100.0% Acetylene Components r; MCP -¡Guide High I 17 08-010 ALCOHOL ~ Immed Hlth Liquid 10 Moderate GAL CAS #: 67-63-0 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 10 I 5.00 I 100.00 Storage PLASTIC CONTAINER r Press T Temp -:ì Location Ambient AmbientRESPIRATORY THERAPY - Conc l 70.0% Isopropyl Alcohol Components ,-; MCP ---rGuide Moderate 26 08-011 CARBON DIOXIDE USP, OXYGEN USP ~ Fire, Pressure, Immed Hlth Gas 160 Low GAL CAS #: 124-35-9 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL 160 I 80.00 I 760.00 Storage PLASTIC CONTAINER r Press T Temp ~ Location Ambient AmbientlRESPIRATORY THERAPY Components ~ MCP lfuide Minimal . 21 Low 14 Conc 5.0% 95.0% Carbon Dioxide Oxygen, Compressed e \ - 02/11/94 MERCY HOSPITAL 215-000-000628 08 - MAIN BLDG 1ST FLOOR Page 12 Hazmat Inventory Detail in MCP Order 08-004 CHLORODIFLOUROMETHANE ~ Fire, Pressure, Immed Hlth Gas 1116 Low FT3 CAS #: 75-45-6 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: COOLANT/ANTIFREEZE Daily Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3 -- 1,116 558.00 I 1,116.00 storage r Press T Temp ~ PORT. PRESS. CYLINDER Ambient AmbientlBOILER ROOM Location - Cone l 100.0% Chlorodifluoromethane Components ri: MCP ----rGuide Low I 12 08-003 FREON 22 ~ Fire, Pressure, Immed Hlth Gas 670 Low FT3 CAS #: 75-45-6 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: COOLANT/ANTIFREEZE Daily Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3 -- 670 I 335.00 I 3,571.00 Storage r Press T Temp ~ PORT. PRESS. CYLINDER Ambient AmbientBOILER ROOM Location - Cone -I 100.0% Chlorodifluoromethane Components I~ MCP ----rGuide Low I 12 08-006 OXYGEN 281 ~ Fire, Pressure, Immed Hlth Gas 5620 Low FT3 CAS #: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3 -- 5,620 ~ 2,810.00 I 5,626.00 Storage r Press T Temp ~ PORT. PRESS. CYLINDER Ambient AmbientBOILER ROOM Location - Cone l 100.0% Oxygen, Compressed Components I~ MCP ----rGuide Low I 14 e \ - 02/11/94 MERCY HOSPITAL 215-000-000628 08 - MAIN BLDG 1ST FLOOR Page 13 Hazmat Inventory Detail in MCP Order 08-00JL DICHLORODIFLOROMETHANE ~ Fire, Pressure, Immed Hlth Gas 635 Minimal FT3 CAS =It: 75-71-8 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: COOLANT/ANTIFREEZE ---- Daily Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3 -- 635 I 317.00 857.00 Storage r Press T Temp -:ì INSUL.TANK / CRYOGENIC Ambient AmbientBOILER ROOM Location - Conc l Components 100.0% Dichlorodifluoromethane r; MCP ----p3uide Minimal I 12 08-005 NITROGEN 304 ~ Fire, Pressure, Immed Hlth Gas 6080 Minimal FT3 CAS =It: 7727-37-9 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: COOLANT/ANTIFREEZE Daily Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3 -- 6,080 3,040.00 I 6,080.00 Storage r Press T Temp -:ì PORT. PRESS. CYLINDER Above AmbientBOILER ROOM Location - Conc -, 100.0% Nitrogen Components ~ MCP ----p3uide Low I 21 08-002 TRICHLOROMONOFLUOROMETHANE ~ Fire, Pressure, Immed Hlth Gas 274 Minimal FT3 CAS =It: 75-69-4 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: COOLANT/ANTIFREEZE Daily Max FT3 ~ Daily AverageFT3 --r-- Annual Amount FT3 -- 274 I 137.00 I 549.00 Storage r Press T Temp ~ PORT. PRESS. CYLINDER Above AmbientBOILER ROOM Location - Conc l . Components 100.0% Trichlorotrifluoroethane r; MCP -¡Guide Minimal I 58 -.. .' - e 02/11/94 MERCY HOSPITAL 215-000-000628 09 - MAIN BLDG 2ND FLOOR Page 14 Hazmat Inventory Detail in MCP Order 09-001 XENON, XE 133 GAS ~ Fire, Pressure, Immed Hlth Gas 250 Minimal FT3 CAS #: 7440633 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 250 I 125.00 I 8,000.00 Storage GLASS CONTAINER r Press T Temp ~ Location Above AmbientlHOT LAB NUCLEAR MEDICINE - Cone l 100.0% Xenon Components ~ MCP ---rGuide Low I 12 -- - e 02/11/94 MERCY HOSPITAL 215-000-000628 10 - MAIN BLDG 3RD FLOOR Page 15 Hazmat Inventory Detail in MCP Order 10-001 OXYGEN ~ Fire, Pressure, Immed Hlth Gas 46 Low FT3 CAS #: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3 ~ Daily Average FT3 ~ Annual Amount FT3 46 I 23.00 I 120.00 Storage r Press T Temp -:I Location PORT. PRESS. CYLINDER Above AmbientlMED STORAGE ROOM - Conc l 100.0% Oxygen, Compressed Components I~ MCP -¡Guide . Low I 14 " - e 02/11/94 MERCY HOSPITAL 215-000-000628 12 - MAIN BLDG 5TH FLOOR Page 16 Hazmat Inventory Detail in MCP Order 12-001 OXYGEN . Fire, Pressure, Imrned H1th Gas 46 Low FT3 CAS #: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 46 I 23.00 I 100.00 Storage ABOVE GROUND TANK or Press T Temp ~I Location Above AmbientlSUPPLY CLOSET - Conc _I 100.0% Oxygen, Compressed Components ~ MCP -----p;uide Low I 14 - e 02/11/94 MERCY HOSPITAL 215-000-000628 13 - WEST TOWER 1ST FLOOR Page 17 Hazmat Inventory Detail in MCP Order 13-001 SUN GLOH ~ Liquid 48 Unrated GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL ----r-- Daily Average GAL ~ Annual Amount GAL -- 48, I 24.00 I 96.00 Storage PLASTIC CONTAINER r Press T Temp ~ Location Ambient AmbientDIETARY CLEANING SUPPLY - Conc Components MCP -,-Guide (~ e 02/11/94 MERCY HOSPITAL 215-000-000628 14 - WEST TOWER 2ND FLOOR Page 18 Hazmat Inventory Detail in MCP Order 14-001 OXYGEN ~ Fire, Pressure, Immed Hlth Gas 46 Low FT3 CAS #: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3 ---r- Daily Average FT3 ---r- Annual Amount FT3 46 I 23.00 I . 120.00 Storage r Press T Temp -:I Location PORT. PRESS. CYLINDER Above AmbientlNURSES STATION SUPPLY RM - Cone l 100.0% Oxygen, Compressed Components ~ MCP ----rGuide Low I 14 · e 02/11/94 MERCY HOSPITAL 215-000-000628 15 - WEST TOWER 3RD FLOOR Page 19 Hazmat Inventory Detail in MCP Order 15-001 OXYGEN ~ Fire, Pressure, Immed H1th Gas 23 Low FT3 CAS #: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3 ~ Daily Average FT3 ~ Annual Amount FT3 23 I 12.00 I 100.00 Storage r Press T Temp -:ì Location PORT. PRESS. CYLINDER Above Ambient I SUPPLY RM BY NURSING STA - Cone -I 100.0% Oxygen, Compressed Components ~ MCP ----re;uide Low I 14 ~ e 02/11/94 MERCY HOSPITAL 215-000-000628 16 - WEST TOWER 4TH FLOOR Page 20 Hazmat Inventory Detail in MCP Order 16-00JL OXYGEN . Fire, Pressure, Immed Hlth Gas 92 Low FT3 CAS #: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: STRIPPER ---- Daily Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3 -- 92 I 41.00 I 120.00 Storage r Press T Temp ~ Location INSUL.TANK / CRYOGENIC Above AmbientlEQUIPMENT RM W HALLWAY - Cone -, 100.0% Oxygen, Compressed Components 1-:- MCP ~uide I Low 1\ 14 ~ e 02/11/94 MERCY HOSPITAL 215-000-000628 17 - WEST TOWER 5TH FLOOR Page 21 Hazmat Inventory Detail in MCP Order 17-001 OXYGEN ~ Fire, Pressure, Immed Hlth Gas 23 Low FT3 CAS :It: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 23 I 12.00 I 100.00 Storage r Press T Temp ~ Location PORT. PRESS. CYLINDER Above AmbientNURSES STATION SUPPLY RM - Conc l 100.0% Oxygen, Compressed Components ~ MCP ---,-Guide Low I 14 · e 02/11/94 MERCY HOSPITAL 215-000-000628 18 - PATHOLOGY LAB/RADIOLOGY Page 22 Hazmat Inventory Detail in MCP Order 18-003 FORMALIN SOLUTION ~ Fire, Immed Hlth, Delay Hlth Liquid 20 High GAL CAS #: 50-00-0 Trade Secret: No Form: Liquid Type: Mixture Days,: 365 Use: MEDICAL AID OR PROCESS Daily Max GAL ----r-- Daily Average GAL --r--. Annual Amount GAL 20 I 16.00 I 500.00 Storage r Press T Temp ~ PLASTIC CONTAINER Ambient Ambient PATH LAB - Cone l Components 10.0% Formaldehyde (EPA) 18-001 ALCOHOL, ISOPROPYL Liquid ~ Delay Hlth CAS #: 67-63-0 Trade Secret: No Location ~ MCP --rGuide High I 29 10 Moderate GAL Form: Liquid Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL 10 I 5.00 I 450.00 Storage PLASTIC CONTAINER 'r Press T Temp ~ Location Ambient AmbientlS WALL STORAGE CLOSET Cone l 99.0% Isopropyl Alcohol Components r; MCP --rGuide Moderate 26 · e 02/11/94 MERCY HOSPITAL 215-000-000628 19 - TREATMENT/DIAGNOSTIC 1ST FLO Page 23 Hazmat Inventory Detail in MCP Order 19-009 HYDROGEN/CARBON DIOXIDE/NITROGEN ~ Fire, Pressure, Immed H1th Gas 100 Extreme FT3 CAS #: Trade Secret: No Form: Gas Type: Mixture Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3 ----r-- Daily Average FT3 ~ Annual Amount FT3 100 I 50.00 I 10,000.00 Storage r Press T Temp -:ì Location PORT. PRESS. CYLINDER Ambient AmbientSTORAGE RM NSIDE HALLWAY Components ~ MCP 1Uide Extreme 22 Minimal 21 Low 21 Cone 4.7% 10.3% 84.9% Hydrogen Carbon Dioxide Nitrogen 19-013 NITROUS OXIDE ~ Fire, Pressure, Immed Hlth Gas 200 High FT3 CAS #: 10024-97-2 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3 ----r-- Daily Average FT3 ~ Annual Amount FT3 200 I 100.00 I 2,000.00 Storage r Press T Temp -:-1 Location PORT. PRESS. CYLINDER Ambient AmbientSTORAGE RM NSIDE HALLWAY - Cone l 100.0% Nitrous Oxide Components r; MCP -¡Guide High I 14 19-004, ALCOHOL ~ Delay Hlth Liquid 32 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL ----r-- Daily Average GAL ~ Annual Amount GAL -- 32 . I 16.00 I 320.00 Storage PLASTIC CONTAINER r Press T Temp -:ì Location Ambient AmbientPURCHASING WAREHOUSE C - Cone l 99.0% Isopropyl Alcohol Components r; MCP ~uide Moderate 26 ~ e 02/11/94 MERCY HOSPITAL 215-000-000628 19 - TREATMENT/DIAGNOSTIC 1ST FLO Page 24 Hazmat Inventory Detail in MCP Order 19-00~. ALCOHOL ~ Delay Hlth Liquid 48 Moderate GAL CAS =It: 67-63-0 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- ·48 I 24.00 I 480.00 Storage PLASTIC CONTAINER r Press T Temp ~I Location Ambient AmbientlPURCHASING WAREHOUSE C - Conc -, 70.0% Isopropyl Alcohol Components r; MCP -:-¡Guide Moderate 26 19-01Q OXYGEN COMPRESSED 250 CF ~ Fire, Pressure, Immed Hlth Gas 2500 Low FT3 CAS =It: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 2,500 I . 1,250.00 I 25,000.00 Storage r Press T Temp -:-1 Location . PORT. PRESS. CYLINDER Ambient AmbientSTORAGE RM NSIDE HALLWAY - Conc -, 100.0% Oxygen, Compressed Components ~ MCP -¡Guide Low I 14 19-012 COMPRESSED AIR '250CF ~ Fire, Pressure, Immed Hlth Gas 2000 Minimal FT3 CAS =It: o Trade Secret: No Form: Gas Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 2,000 I 1,000.00 I . 20,000.00 Storage r Press T Temp -:r Location PORT. PRESS. CYLINDER Ambient Ambient/STORAGE RM NSIDE HALLWAY - Conc l 100.0% Air Components 1-; MCP -¡Guide Minimal I 12 . e 02/11/94 MERCY HOSPITAL 215-000-000628 19 - TREATMENT/DIAGNOSTIC 1ST FLO Page 25 Hazmat Inventory Detail in MCP Order 19-007 HELIUM NON-FLAMMABLE ~ Pressure, Immed Hlth Gas 1250 Minimal FT3 CAS :It: 7440-59-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3 ----r-- Daily Average FT3 ~ Annual Amount FT3 1,250 I 625.00 I 12,500.00 Storage r Press T Temp ~ Location PORT. PRESS. CYLINDER Ambient Ambient I STORAGE RM NSIDE HALLWAY ....:. Conc -I 100.0%- Helium Components r; MCP --rGuide Minimal I- 12 19-008: NITROGEN NON-FLAMMABLE ~ Pressure, Immed Hlth Solid 500 Minimal LBS CAS :It: 7727-37-9 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max LBS ----r-- Daily Average LBS ~ Annual Amount LBS 500 I 250.00 I 5,000.00 Storage r Press T Temp ~ Location PORT. PRESS. CYLINDER Ambient AmbientSTORAGE RM NSIDE HALLWAY - Conc l 100.0% Nitrogen Components ~ MCP --rGuide Low I 21 19-01]. COMPRESSED GAS NON-FLAMMABLE· 250CF ~ Pressure, Immed Hlth Gas 1500 Unrated FT3 CAS :It: o Trade Secret: No Form: Gas Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3 ----r-- Daily Average FT3 ~ Annual Amount FT3 . 1,500 I 750.00 I 15,000.00 Storage r Press T Temp ~ Location PORT. PRESS. CYLINDER Ambient AmbientSTORAGE RM NSIDE HALLWAY - Conc Components MCP ---rGuide ,~ e 02/11/94 MERCY HOSPITAL 215-000-000628 20 - TREATMENT/DIAGNOSTIC 2ND FLO Page 26 Hazmat Inventory Detail in MCP Order 20-004 C02/H2/N2 ~ Fire, Pressure, Immed H1th. Gas 209 Extreme FT3 CAS 4t: Trade Secret: No Form: Gas Type: Mixture Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3 ~ Daily Average FT3 ~ Annual Amount FT3 209 . I 104.00 I 627.00 Storage r Press T Temp ~I PORT. PRESS. CYLINDER Ambient AmbientLAB-MAIN Location Components Œ MCP .ffuide Minimal 21 Extreme 22 Low 21 Conc 5.0% 10.0% 80.0% Carbon Dioxide Hydrogen Nitrogen 20-001 COMPRESSED GAS CYLINDERS ~ Fire, Pressure, Immed Hlth Gas 209 Extreme FT3 CAS 4t: Trade Secret: No Form: Gas Type: Mixture Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3 ~ Daily Average FT3 ~ Annual Amount FT3 209 I 104.00 I 627.00 Storage r Press T Temp ~I Location PORT. PRESS. CYLINDER Ambient AmbientLAB CENTER RM MICRO RM Components ~ MCP iTUide Extreme 22 Minimal 21 Low 21 Conc 72.0% 10.3% 17.7% Hydrogen Carbon Dioxide Nitrogen . - 02/11/94 MERCY HOSPITAL 215-000-000628 20 - TREATMENT/DIAGNOSTIC 2ND FLO Page 27 Hazmat Inventory Detail in MCP Order 20-002 C02/02/N2 · Fire, Pressure, Immed Hlth Gas 209 Low FT3 CAS#: Trade Secret: No Form: Gas Type: Mixture Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 209 I 104.00 836.00 Storage r Press T Temp ~I PORT. PRESS. CYLINDER Ambient AmbientLAB MICRO Location Components ¡~ MCP 1Uide Minimal 21 Low· 14 Low 21 Cone 5.0% 20.0% 75.0% Carbon Dioxide Oxygen,. Compressed Nitrogen 20-003 C02 · Fire, Pressure, Immed Hlth Gas 437 Minimal FT3 CAS #: 124-38-9 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 437 I 218.00 I 4,370.00 Storage r Press T Temp ~ PORT. PRESS. CYLINDER Ambient AmbientlLAB Location - Cone l 100.0% Carbon Dioxide Components r; MCP --rGuide Minimal I 21 20-0051 C02/N2 · Fire, Pressure, Immed Hlth Gas 209 Minimal FT3 CAS #: Trade Secret: No Form: Gas Type: Mixture Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 209 104.00 I 836.00 Storage r Press T Temp ~I PORT.. PRESS. CYLINDER Ambient Ambient LAB-MAIN Location - Cone l 10.0% Carbon Dioxide 90.0% Nitrogen Components Œ MCP IfUide Minimal 21 Low 21 - -- 02/11/94 MERCY HOSPITAL 215-000-000628 22 - TREATMENT/DIAGNOSTIC 4TH FLO Page 28 Hazmat Inventory Detail in MCP Order 22-00JL NITROUS OXIDE ~ Fire, Pressure, Immed Hlth Gas 700 High LBS CAS #: 10024-97-2 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily MaxLBS ----r-- Daily Average LBS --r-- Annual Amount LBS 700 I 350.00 I 1,250.00 Storage r Press T Temp -:ì PORT. PRESS. CYLINDER Ambient Ambient I STORAGE RM Location ~ - Conc l 100.0% Nitrous Oxide Components 1-= MCP -¡Guide IHigh I 14 22-002 OXYGEN COMPRESSED ~ Fire, Pressure, Immed Hlth Gas o Low FT3 CAS #: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT30 ----r-- Daily Average FT3 --r-- Annual Amount FT3 I 0.00 I 0.00 Storage r Press T Temp -:I Location PORT. PRESS. CYLINDER Ambient AmbientTHRU OUT SURGERY AREA - Conc l ·100.0% Oxygen, Compressed Components r=- MCP -¡Guide Low I 14 · - 02/11/9'4 MERCY HOSPITAL 215-000-000628 27 - CARDIAC REHAB CENTER Page 29 Hazmat Inventory Detail in MCP Order 27-001 ALCOHOL, ISOPROPYL ~ Delay Hlth Liquid 1 Moderate GAL CAS #: 67-63-0 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL ---- 1 I 0.50 I 60.00 Storage PLASTIC CONTAINER r Press T Temp ~ Location Ambient AmbientlNWALL COUNTER & CLOSET - Cone l 70.0% Isopropyl Alcohol Components r; MCP ---p;uide Moderate 26 · - 02/11/94 MERCY HOSPITAL 215-000-000628 31 - MRI Page 30 Hazmat Inventory Detail in MCP Order 31-002 HELIUM Gas ~ Fire, Pressure, Immed Hlth, Delay Hlth 22407 Minimal FT3 CAS =It: 7440-59-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3 ----r-- Daily Average FT3 ~ Annual Amount FT3 22,407 I 22,407.00 I 766,800.00 Storage r Press T Temp l Location PORT. PRESS. CYLINDER Below Below MRI UNIT TRUXTUN & A ST - Conc l 100.0% Helium Components 1-; MCP -¡Guide Minimal I 12 31-001 NITROGEN ~ Pressure, Reactive, Immed Hlth Gas '6312 Minimal FT3 CAS =It: 7782-37-9 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3 ----r-- Daily Average FT3 ~ AnnUal Amount FT3 6,312 I 9,468~00 I 227,232.00 Storage r Press T Temp ~ Location PORT. PRESS. CYLINDER' Above AmbientlMRI UNIT'TRUXTUN & A ST - Conc l 100.0% Nitrogen Components C" MCP -¡Guide I Low I 21 · e 02/11/94 MERCY HOSPITAL 215-000-000628 33 - HAZARDOUS WASTE ROOM Page 31 Hazmat Inventory Detail in MCP Order 33-002: WASTE FORMALIN ~ Fire, Immed Hlth Liquid 55 High GAL CAS =It: Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: WASTE Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL -- 55 55.00 220.00 Storage DRUM/BARREL-METALLIC r Press T Temp ~ Location Ambient AmbientHAZARDOUS WASTE ROOM - Conc -I 100.0% Formalin Components r= MCP --,-Guide I High I· 29 33-001 / / Moderate Form: Liquid Daily Max Amount GAL -- 220.00 Press T Temp Ambient Ambient HAZARDOUS - Co l 1 .0% Xylene, Mixed Components r; MCP --,-Guide Moderate 27 - - 02/11/94 MERCY HOSPITAL 215-000-000628 34 - DECONTAMINATION ROOM Page 32 Hazmat Inventory Detail in MCP Order 34-001 STERILANT MIXTURE ~ Fire, Pressure, Immed Hlth Gas 1026 Extreme FT3 CAS #: Trade Secret: No Form: Gas Type: Mixture Days: 365 Use: STERILIZER Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 -- 1,026 684.00 I 8,892.00 Storage r Press T ·Temp -:ì Location PORT. PRESS. CYLINDER Above AmbientDECONTAMINATION ROOM Components ~ MCP ITuide Extreme 69 Minimal 12 Cone 12.0% Ethylene Oxide (EPA) 88.0% Freon 12 - e 02/11/94 MERCY HOSPITAL 215-000-000628 35 - GAS STORAGE ROOM Page 33 Hazmat Inventory Detail in MCP Order 35-001 STERILANT MIXTURE ~ Fire, Pressure, Immed Hlth Gas 1539 Extreme FT3 CAS =It: Trade Secret: No Form: Gas Type: Mixture Days: 365 Use: STERILIZER Daily Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3 -- 1,539 I 1,368.00 17,784.00 Storage r Press T Temp -:I Location PORT. PRESS. CYLINDER Above AmbientGAS CYLINDER STORAGE ROOM Components ~ MCP ITuide Extreme 69 Mini.mal 12 Conc 12.0% Ethylene Oxide (EPA) 88.0% Freon 12 "- ~/. - 02/11/94 MERCY HOSPITAL 215-000-000628 00 - Overall Site Page 34 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation NOTIE'ICATION AND EVACUATION PROCEDURES IN ALL UNITS INITIATED BY FIRE ALARM SYSTE:MS AND OVERHEAD PAGING SYSTEM. AREAS NOT REACHED BY OVERHEAD PAGING ARE NOTIFIED OF ALL ALERTS VIA LAND OR MESSENGER FROM COMMAND CENTER IN EVEN,]~ OF INTERNAL DISASTER DECLARATION. <3> Public Notif./Evacuation REPORTED THROUGH EMERGENCY MEDICAL SERVICES (KERN COUNTY). <4> EmE~rgency Medical Plan MERCY HOSPITAL EMERGENCY DEPARTMENT e e 02/11/94 MERCY HOSPITAL 215-000-000628 00 - Overall Site Page 35 <E> Mitigation/prevent/Abatemt , <1> Release Prevention ON GOING FIRE SAFETY PROGRAM FOR ENTIRE FACILITY WHICH INCLUDES MONTHLY FIRE DRILLS - FIRE EXTINGUISHER INSPECTIONS MONTHLY INSPECTIONS OF FIRE SPRINKLERS AND STANDPIPES. INSPECTIONS FOR OPERATIONS OF ALL FIRE AND SMOKE BARRIER DOORS. PREVENTIVE MAINTENANCE ON ALL FIRE PROTECTION RELATED EQUIPMENT. FIRE PLANS, DISASTER PLANS, ETC. AVAILABLE 24 HOURS TO ALL EMPLOYEES. HOUSEKEEPING AGENTS ISOLATED IN DESIGNATED ROOM, EXCEPT FOR SMALL AMOUNTS USED BY PERSONNEL IN HOUSEKEEPING DUTIES. PAINTS AND FLAMMABLES KEPT IN SAFE'I'Y STORAGE CABINET LOCKER IN PAINT SHOP. FORMALIN KEPT IN SPECIAL CONT~.INERS IN AMBULATORY SERVICES. SPILL KIT AVAILABLE FOR CONTROL OF SPILLS. INFECTIOUS WASTE CONTAINED IN UTILITY CLOSET, PICKED UP DAILY, TAKEN TO HAZARDOUS STORAGE AREA. <2> Release Containment SPILL KITS AVAILABLE IN ALL HOUSEKEEPING CLOSETS. SPILL KITS AVAILABLE THROUGHOUT LABORATORY. SPILL KITS AVAILABLE IN RADIOLOGY DEPT. VERMICULITE AVAIl.ABLE IN SECURITY VEHICLE. VERMICULITE AND OTHER ABSORBING PRODUCTS AVAIl.ABLE IN ENGINEERING DEPT. <3> ClE~an Up MINOH SPILLS CLEANED UP BY HOUSEKEEPING SERVICES FOR CLEAN UP CONTRACTED WITH CALPI INC. MINOR CLEANUP BY INDIVIDUAL DEPARTMENTS. CLEAN-UP AND DISPOSAL SERVICES BY SIERRA MEDICAL SERVICES FOR RADIOLOGY AREAS. <4> Other Resource Activation AIR l~ONITORING BY CLEAN-UP CONTRACTOR. AIR MONITORING SERVICES BY COHR ENGINEERING SERVICES. AIR MONITORING SERVICES BY CTL ENVIRONMENTAL SERVICES. WASTE DISPOSAL BY CONTRACT PFS INC. e e - ! I 02/11/9j~ MERCY HOSPITAL 215-000-000628 00 - Overall Site Page 36 <E> Mitigation/prevent/Abatemt <4> Other Resource Activation (Continued) l' -, e e 02/11/94 MERCY HOSPITAL 215-000-000628 00 - Overall Site Page 37 <F> Site Emergency Factors <1> Special Hazards RADI()ISATOPES ON HAND RADIATION HAZARD I <2> Utility Shut-Offs A) G1~~S - SOUTH WALL EXTERIOR BOILER ROOM B) ELECTRICAL - SOUTH WALL INTERIOR BOILER ROOM C) W1\.TER - SOUTH OF SOUTH EXTERIOR WALL ADJACENT TO BOILER ROOM D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS THROUGHOUT ENTIRE FACILITY. WEST TOWER AND TREATMENT DIAGNOSTIC BUILDING FULLY SPRINKLERED. MAIN BUILDING PARTIAL SPRINKLERED. DRY STAND PIPES IN MAIN BUILDING - WEST TOWER, EAST WING AND TREATMENT/DIAGNOSTIC BUILDINGS IN HOUSE RESPONSE TEAM TO ALL AREAS. WET STANDPIPES IN SKILLED NURSING FACILITY. FIRE HYDRANT - CITY FIRE HYDRANTS SURROUND ENTIRE FACILITY. FIRE DEPARTMENT CONNECTIONS ON SOUTH WALL ON ER RAMP FOR WEST TOWER FD. FDC FOR MAIN BLDG NEAR :MAIN ENTRANCE TO HOSPITAL AT TRUXTUN AVE. FDC FOR BUSINESS OFFICE LOCATED ON A STREET PARKING LOT ENTRANCE. <4> Building Occupancy Level 276 P~P\TIENT BEDS 1400 JEMPLOYEES ROTATING SHIFTS "> e e 02/11/94 MERCY HOSPITAL 215-000-000628 00 - Overall Site Page 38 <G> Training <1> paqe 1/~1,e> WE HAVE .J,.4..9-(r EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIE]~ SUMMARY OF TRAINING: EACH EMPLOYEE TAUGHT TO USE MSDS AND SAFETY. ALL EMPLOYEES REQUIRED TO ATTEND GENERAL ORIENTATION WHICH COVERS FIRE SAFETY, HAZARD COMMUNICATIONS, GENERAL SAFETY AND MSDS. ALL EMPLOYEES ATTEND DEPARTMENT ORIENTATION. ALL EMPLOYEES REQUIRED TO ATTEND ANNUAL EDUCATION DAY I[ 3 HRS). <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use e e PREFACE SCOPE OF GUIDELINES: The scope of these guidelines is limited to the fire and life safety aspects of regulatory standards to permit the use of a hazardous material sterilizing agent, ETHYL!~NE QXIDE (ETO), in health care facilities. . This document is intended to provide the architectural and engineering communities with construction and installation guides tor fire safety only and does not supersede or control the use of ETo. as regulated by other federal, state or local agencies such as but not limited to the; a. California Environmental Protection Agency (CAEPA) for environmental issues, b. California Air Resources Board for air pollution and air quality, c. California Waste Management Board (CAWMB) for the disposition of disposable canisters, and the d. California o.ccupational Health & Safety Agency (CAL-OSHA) for employee protection, or any other regulatory agency not addressed here. .- -. . References California Code of Regulations, Title 8, Section 5220 California Building Code (CBC) California Mechanical Code (CMC) California Plumbing Code (CPC) California 8ectrica! Code (CEC) California Fire Code (CFC) National Fire Protection Association (NFPA) "Ethylene Oxide Use in Hospitals" a manual for Health Care Personnel "Ethylene o.xide Sterilizers in Health Care Facilities", Engineering Controls and Work Practices, by Nlo.SH Any conflict, duplication and overlap of any building regulations under the regulatory development responsibility of o.SHPO and the building standards adoption responsibility of the California Building Standards Commission will be addressed for any safety measures under appropriate standards adoption procedures. In a effort to provide a support base for any recommendations made herein, it is necessary to provide product data and engineering evaluations for all related disciplines. Paramount to our analysis is the recognition of the beneficial and functional use of Ethylene Oxide (ETO) as an antimicrobial chemical sterilizer, albeit, having severe toxic effects to humans when exposed to very limited quantities of gaseous vapors. Octo her 28. 1993 -2- It e This evaluation of ETa in both 100% pure product ·sterilant gas· and diluted mixtures of 12% ETa with 88% FREON (diChlorodifluoromethane) 'sterilant mixture 12%-88%" will include: 1. The chemical and physical properties of ETa and ETa gas mixtures, 2. Building design for use and storage areas (Central Supply vs. designated sterilizing areas) and (gas tanks vs. disposable canisters), 3. Electrical safety wiring methods, 4. Mechanical ventilation of use and storage areas 5. Piping methods for ETa/Freon gas supply and waste disposal via water waste isolation, 6. And fire prevention practices and standards to reduce the risk of ETa use. This guideline incorporates the provisions of the applicable state code adoptions of the 1992 editions of the California Code of Regulations. APPLICATION OF CAUFORNIA FIRE SAFETY STANDARDS: The application of State building regulations (Title 24, Parts 2, 3, 4, 5, 9,& 12 CCR) is based upon the requirements of the principle use of the building (hospitals are Group I, Division 1.1 occupancies) and the accessory use of ETa. Use and/or storage areas, within -hospitats;-for ETa are NOT treated herein as a mixed occupancy under the provisions of Chapter 5, CSC. Since the application of the CFC and the CBC stipulate that the examination of the product for all classifications is necessary, it follows that the most restrictive limit of exempt quantity will govern the proper application of these regulations. The most restrictive classifications are the UFC HEALTH HAZARDS, toxic for liquid ETO and toxic for compressed gas.,;. which·. limits the exemct auantity to ZERO of ETa in "I" occupancies. The OSHPD modified "exempt" amount shall be the aggregate. of storage and. use of ETO and shall not exceed 6 gallons liquid measure. By limiting the quantities of storage and use of ETa within the "I" occupancy, OSHPD recognizes the functional needs for the proper administration of health care, yet fulfills its obligation to provide a fire safe environment. Quantities not exceeding 6 gallons liquid measure shall be considered as the 'exempt' amount for the purpose of applying these guidelines. Quantities in excess of this "exempt" amount shall be used and stored as stipulated in Table 9-A (for physical hazards) and Table 9-8 (for health hazards) of Chapter 9 of the CaG. NOTE: THE "EXEMPT" QUANTITIES LISTED IN THE TABLES ARE LIMITED TO THE AGGREGATE QUANTITIES OF USE AND STORAGE AND SHALL NOT EXCEED THE AMOUNTS SHOWN FOR STORAGE. (SEE NOTE # 2 UNDER TABLE 9-A AND NOTE # 3 UNDER TABLE 9-B). Octobt'r 28, 1993 -3- e e Since the cac references the safety standards of the CFC, the hazard classifications (physical & health) was also used to determine the "exempt" amounts for each classification as noted in the appropriate tables referenced in the related Section of Chapter 80, Divisions I, II, III and IV of the UFC. Product classifications listed in the classification table are based upon the CSC, Chapter 4 & 9 and the CFC, Articles 9, 74, 79, 80 and Part VIII, Division VI-A. The evaluation of ETO for applicable fire safety requirements is therefore based upon the nature of the materials used and stored within the primary building, (i.e. hospital use). The proper references for ETa, as a flammable liquid (Chapter 79 of the CFC) are in Chapter 10, Section 1008(a) of the CSC, and for other physical and health hazard classifications Chapter 9, Section 901 (a). See Division VII under Chapter 9, CSC. For storage quantities, shown in the appropriate hazardous material tables, in excess of the ·exempt amounts· permitted in "I" occupancies, the provisions of the CSC, Chapter 9 for "H" occupancies shall apply as well as the provisions of the CFC. Quantities in excess of this amount, according to the applicable codes, would require the appUcation of occupancy separations, Chapter 5, CSC, and mandate the storage and use of ETO in hospital sterilizer rooms that are separated from the remainder of the facility by not less than 4 hour occupancy separations. (No openings permitted) The aggregate amount (storage and use) of ETa shaU not exceed 6 gallons liquid measure, when the design conditions for all disciplines are provided in compliance with the· . requirements stated in this guideline. A "1-1.1" occupancy shall have not more than one control area with that portion of the building designated as a hospital. This quantity provides for the functional use of 100% ETO marketed in 5 oz. canisters and 12%-88% ETO/Freon marketed in liquified .gas cylinders. Since the OSHPD modified "exempt" amount exceeds the regulatory limits of the quantities specified for "exempt" amounts specified in the cac and the CFC, applicable provisions for fire safety referenced herein include the requirements intended to be applied for quantities exceeding· the specified amounts as referenced in the CFC, Division III, Section 89-.301 (a)(2). For aggregate amounts that exceed 6 gallons liquid measure, provision will be made to provide "H" occupancy fire resistive separations (4 hr.) as well as all related design conditions for all disciplines. [CFC 79.202, 80.108(b)] October 28, 1993 -4- e e PART 2 CCR BUILDING CONSTRUCTION GUIDELINES FOR ETO STERILANT (100% OR 12%/88% GAS MIXES) GENERAL-USE: 1. For purposes of this guideline the "exempt" amount for ETO shall be the aggregate amount for storage and use of 6 gallons or less, liquid measure. °H" occupancy separations shall be required for quantities in excess of 6 gallons liquid measure. [CaC - see Table 9-A, Footnote 2, Chapter 5 - CaC] 2. Storage and use shall mean "control area" and shall be separated from the remainder of the building by a 1 hr. occupancy separation. [CFC 79.202, 80.103(b), cac Table 9-A, Footnote 1J 3. All ETO indoor control areas shall be protected with automatic fire sprinklers installed per NFPA 13 for light hazard. [CFC Table 79.203C] 4. Inventory quantities allowed by the guideline shall not be located near exit doorways, stairs, or any location that may impede egress from the control area. [CFC 79.201 (d)] 5. The term -ETO System- used in this guideline shall mean the sterilizer, with or without attachment to an aerator and may include direct attachment to vapor emission and/or vapor processing equipment, as designed. 6. No open flame heat source shall be permitted in any use area housing a ETO sterilizer. [CFC 79.114, 79.805 (i) I 80.401 (h), 80.301 (f)] 7. All ETO equipment shall be tested and listed by a nationally recognized testing agency for the type and class of the equipment installed. [CaC 402(r); CFC 79.105(a},80A01(b){2)] 8. All ETO components and equipment shall be enclosed in a room provided with exhaust ventilation required by the mechanical provisions and provided with the installation of electrical equipment and wiring as required. by the electrical provisions of this guideline. [CMC 1002(a), GFG aO.108(b) & CaG Table 9-A, Footnote 1] October 28, 1993 -5- e e USE AREAS FOR 12%-88% ETO SYSTEMS: A. ETO cylinders located in 12%-88% ETO use areas shall be secured in racks or other means to prevent accidental overturn and discharge. [CFC 74.107(a)] 8. Not more than 2 cylinders for primary supply to a single or manifolded unit may be connected to the sterilizing cabinets in a "control" area. Each cylinder shall have a capacity not to exceed 140 Ibs of 12%-88% gas mix and shall not contain more than 2.55 gallons liquid measure of ETO. GENERAL-STORAGE: (100% OR 12%-80% GAS MIXES) A. No open flame heat source shall be permitted in any ETO storage area of any quantity. [CFC 79.114, 80.301 (fj] 8. ETO may not be stored with any other incompatable material or chemical. (CFC 80.301 (a)(3)(D) & Table 80.309(a) Footnote] HC. Storage of ETO in excess of the exempt amounts in basements or. cellars is not permitted. [C8C 901 (e)(3), CFC 79.201 (n, 79.203(e), 79.805(b) 80.309(a)(8)] D. A vapor leak detection and monitoring system shall be installed in all ETO indoor storage areas. [CFC 80.301 (u)] .... -. . E. ETO cylinders located in indoor store rooms shall be secured in racks or other means to prevent accidental overturn and discharge. [CFC 74.107(a)] October 28, 1993 -6- e e CEC ELECTRICAL CONSTRUCTION GUIDELINES FOR ETO STERJLANTS GENERAL: USE AND INTERIOR STORAGE (100% or 12% - 88% Gas Mixes) A. All non-fire emergency monitoring systems 10r ETO ventilation power supplies 10r fan units, ETa-leak systems, and any other ETO related emergency monitoring system shall annunciate a AUDIBLE and VISUAL signal at a location continuously attended by Staff. The signals shall not be self restoring. [CFC 80.401 (m), 80.301 (u)] B. An approved emergency alarm shall be provided in buildings, rooms, and areas used 10r storage of hazardous materials. Emergency alarm signal device shall be installed outside of each interior exit door ot storage building, rooms or area. AcUvation of the emergency alarm-initiating device shall sound a local alarm to alert occupants of and emergency situation involving hazardous materials. [CFC 80.301 (u)J C. A. power-interlock between ETa systems and the exhaust ventilation system shall be designed to prevent the operation ot the sterilizer when the exhau~t ventilating system is not operating, or when any aerator and/or emission control device fails to provide the sterilizer with the functions intended by these devices. [CMC 1103(a)] D. Smoke detectors, products 01 combustion type, shall be installed in all ETa use and storage rooms. Smoke detectors shall be 01 the ·open area· type and shall·be connected to the fire alarm system serving the ETa system area. [CFC 80.301 (v), 80.306(a)(10) 80.402(b)(3)(G){VI)] E. Emergency power to all ETO fire safety systems shall be interconnected to the ·life safety branch" of the emergency distribution panel of the emergency power generator. [CFC Section 80.401 (I) & 80.301 (5); CEC 517-32] F. Emergency power to all equipment of ETO systems and ETa ventilating equipment shaH be interconnected to the ·critical branch· of the emergency distribution panel ot the emergency power generator. [CEC 517-34(b){3); CBe 902(g); CFC 80.301 (s); CMC 2102(1)(4)] G. The operation of all equipment in a ETO system shall be interlaced with all alarm systems such that the ETO system shall be interrupted upon the activation 01 an alarm. The interruption of any ETO system equipment shall not cause 1ailure 01 the safety features contained within approved equipment. [CMC 1103(a), CEC 701-2] H. A ventilation alarm shall annunciate the loss 01 negative duct pressure serving the ETa ventilation ~stem. Ventilation alarms may be activated by pressure differential sensors or sail switches. [CFC 80.401 (m); CBC 1005E(e)] I. The presence of ETa vapor in a ETa use or storage area shall cause a vapor detection sensor alarm. [CFC 80.401 (m)] October 28, 1993 -7- e e J. limit control temperature sensors shall be placed within ETO storage areas and shall alarm when the ambient temperature exceeds the maximum temperature recommended by the manufacturer or the temperature shown on the MSDS, whichever is lower. [CFC 80.301 (t)(3)J K All fire safety alarm systems (fire alarm and automatic fire sprinkler) shall transmit both audible and visual supervisory annunciation at a constantly attended on-site location. [CFC 80.301 (u)] (12%-88% GAS MIXES) ALL USE AND INTERIOR STORAGE AREAS: A. .12%-88% Cylinders and cylinder racks shall be effectively grounded. [CFC 80.401 (i)] 8. Loss of power to the ventilating exhaust system shall cause the 12%-88% ETO supply tank motorized ball vatves to close automatically. [CFC 80.401 (c)(2)(D)] ~- -... . Cktobrr 28, 1993 -8- e e CMC (UMC) MECHANICAL HEATING AND VENTILATING GUIDELINES FOR ETO STERlLANTS (100% OR 12%-88% GAS MIXES) GENERAL-USE & STORAGE: . 1 . All rooms containing ETO systems shall have a dedicated exhaust system providing not less than 10 air changes per hr. The ventilation system shall run continuously and shall be of the non-recirculating type. All ETO rooms shall be maintained at a negative air balance. fCMC 2111 (a), CMC Table 2110 AJ 2. The room ETO ventilation system shall be designed to provide exhaust duct opening with the capacity to exhaust (1/2) half of the required ventilation within 6 inches of the floor level and 1/2 within 12 inches of the ceiling (flat ceiling or highest point of sloped ceilings). [CFC 80.303(a){6){c), 80.301 (m){5)] 3. All air from ETO sterilizer equipment and storage rooms shall be exhausted to the outside by a dedicated exhaust system. fCMC Table 2111 (b)] 4_ All ErO ducts shall be of the non-flexible type and shafl conform t9 Chapter 10 & 11 of the CMC. For ETO exhaust ducts carrying ETO vapors, (which have not been processed by emission control devices or vapor recovery systems) extending through floors shall be enclosed in a shaft enclosure of fire-resistive construction having the time period set forth in Table No. 17-A at the 1992 Cafifornia Building Code [CMC 1706]. . Steel or copper pipes (up to 4 inch in diameter) may be used in lieu of ducts carrying ETO vapors from the aerator to the emissions control device. Where continuous leak free pipes are utiJized, rated shafts will not be required. [CaC, Section 4304J 5. The exhaust fan for the dedicated system shall be located at the discharge point of the system. The discharge point shall be not less than 25 feet from any openabie window, air intake, ignition source or exitway. Prevailing wind direction shall be taken ¡ñto-consideration. [CMC 2103 (b), 2111 (c)] 6. Exhaust ducts from emission contra! devices and/or vapor recovery systems may be located within shafts or chases containina environmental air ducts. When the temperature of the emissions are below 250°F. 7. Fans used on exhaust systems using 100% ETO shall be spark proof, with the motor separate from the blower and located outside of the air stream. [CMC 11 03J 8. Ventilating exhaust hoods connected to the proprietary ETO exhaust system shall be located over each, ETO sterilizer chamber and/or aerator, access doors, and ETO gas cylinder manifolds supplying ETO to the sterilizer. Non-proprietary hoods shall extend not less than six(S) inches beyond the area served. Hood exhaust ducts may be manifolded with the room ventilation system. [CMC 2111 (d){2) , 1106; CFC 80.402(b) (3) (c), 80.402(b) (2) (C)] Octobt'r 28, 1993 -9- e e 9. Emission control equipment may be installed at exterior locations. Emission control devices located indoors should be placed in the same location as the sterilizer. For the purposes of installation, emission control devices shall be considered as industrial low heat appliances and shall comply with the applicable provisions of CMC Chapter 9. The vent (chimney) from emission control systems shall be enclosed within a fire- rated shaft. fCMC 914(a)J 10. Vents (chimneys) handling exhaust over 250°F from emission control devices processing ErO vapor shall be metal and shall be enclosed in a fire resistive shaft as required by CMC Section 914(a)(8). 11. Vents/chimneys for emission control devices shall not be manifolded or interconnected with any other vent or chimney serving any heat producing appliance of any type. EXCEPTION: Vents/chimneys for 2 or more ETO emission control devices may be manifolded. 12. The mechanical exhaust fan shall be controlled by a switch outside of the ErO use area and shall be located adjacent the use room access door. The switch shall be of the -break-glass· type and shall be identified as ·exhaust system emergency shut-ofr. [CBC 905(b)] 13. Existing facilities subject to ETO emissions control shall eliminate sterilizer exhaust vacuum pump discharge into wastewater streams. [ARB Staff Report, 3/23/90].':' -. . 14. Cylinder changes shall be made under a hood and duct connected to the exhaust system. The hood shall be located not more than one (1) foot above the point where the change of cylinders takes place. [CMC 2111 (d) (3)] . 15. Motorized ban valves shall be installed on ETO gas supply lines at the point of connection to the ErO gas cylinders to minimize leakage during cylinder exchange. Remote controls should be located at the Fire Control Panel to shut off the cylinders iñ case of a spill, and a second switch shall be installed adjacent to the c)ÚÍnders to be used when exchanging cylinders. [Ethylene Oxide Use in Hospitals· Second Edition, Engineering Controls, UFC 80.401 (c) (3){D)) October 28, 1993 -10- e e CPC (UPC) PLUMBING AND PIPE GUIDELINES FOR ETO STERILANTS GENERAL: 1. No ETO piping shall pass under any building or be contained in or under concrete floors. {CFC 80.402 (b) {3} (B)] 2. No piping carrying ETO as a liquid or as a gas, including pressure relief valve piping from ETO systems shall be installed in any plenums, or any shaft used for elevators, laundry chutes, refuse/trash chutes, chimney or HVAC appliance vent shaft, nor shall any ETO piping pass through any circulating air duct. All sterilizer relief valves shall exhaust directly to the exterior or be connected to tne dedicated -exhaust system. [CMC 2111 (d)(4)] 3. ETO piping installed in combustible partitions shall be protected against physical damage by installation within metallic pipe or conduit. Protection for dissimilar metals shall be provided. Openings for piping installed in concealed spaces shall be fire- stopped with construction having a fire resistance equal to or greater than the original construction. [NFPA 99, 4-4.1.2.1 (Q] 4. ETO gas piping shall be copper or stainless steel. Fitting connections to pipe or tube shall be brazed or welded. Flared fitting connections for ETO systems are prohibited. [CFC 80.401 «c)(3)(A)] 5. All exposed ETO piping shall be tagged or signed at 30 foot intervals. Separate floor zone valves for each control area shall be provided and each valve shall be identified -ETO VALV~. CFC 80.401 (c)(2)(B) 6. All piping, valves and fittings shall be designed from ETO compatible materials and shall be of adequate strength and durability to withstand pressure, structural and seismic stress and exposure to which they may be subjected. [CFC 80.301 (c)] October' 28, 1993 -11- e e RECOGNIZED FIRE PREVENTION PRACTICES 1. All indoor ETa use and storage areas shall contain a sign conspicuously located and visible reading: · ETHYLENE OXIDE IS USED OR STORED IN THIS AREAl NO SMOKING OR OPEN FLAME PERMITTED. DO NOT INCINERATE OR PUNCTURE LEAKING ETO CARTRIDGES." [CFC 80.301 (d)] 2. For storage and use areas for 100% ETO, a flammable liquid sign reading: " DANGER· FLAMMABLE UQUIDS" shall be required. Letters shall be not less that 3" high with a .5 inch stroke. [CFC 79.109(b}] 3. Not less than one (1) portable fire extinguisher having a rating of 20 B.C. shall-be located not more than 10 feet from the exit door of an ETa storage room. [CFC 79.205(8)(2)] 4. - The connection of the sterilizer to ETO supply cylinders and the transfer of ETa to the sterilizer shall be from factory filled and U.S.D.a.T. approved shipping containers. The transfer of ETO in liquid or gaseous form from factory fiUed containers to other containment vessels is prohibited. [NFPA-99 4-6.2.1.5J October 28, 1993 -12- The classifications of ETO based upon the CBe and the CFC are as follows: CLASSIFICATION TABLE I I I I I . PRODUCT: CLASSIFICA TION: EXEMPT AMOUNT FOR "H" acc CLASS FOB. CODE REFERENCE: "I" acc: ...... .' <i QUANTITIES IN tl = PHYSICAL .... «:«/.. ...... .... .... EXCESS OF EXEMPT II. = HEALTH ....<...., ............... ......., AMOUNT / 12%-88% ETO and to I;LAMMABLE LIQUID. ZERO (0) gallant H-3 CBC-gOlla) 100% ETO. Both product. meet CLASS 1 A CFC Table 79.202 and clauification'& as shown Footnote 112 except 100% ETO also cla66ified a8 8 Flammable liquid, Class 1 A. BOTH . UNSTABLE REACTIVE LIQUiD, ZERO (0) LBS except H-2 CBC-90l (a) 5 LBS = .5 Gallant for stor8ge. CLASS 3N (non-detonable) CFC Table 80.309(al and .1 G/Jllons in closed svstem for footnotes /I 1 8. 2 use Se/J Tablo 9A lor Physical Hazards) 100% ETO whon .. TOXIC LIQUID ZERO 10) Amount H-7 CBC·gOlla) ingested See Table 80.303-A. Footnote CFC 80.312(al. Exception 111 112 lliee dolinition, CFC 9.122 lall 12%/88% .. COMPRESSED GAS ZERO 10) H-2 CFC Table 80.303-A Same 8S for 100% ETa BOTH .. CARCINOGEN Not Defined in CBC or CFC H-7 CBC-901(o) Defined under OSHA·IARC-NPT lue Table 9-81 80TH .. IRRITANT 600 LBS .. 50 Gallons H-7 CBC-901/s) lather health hszmd) Except toxic classification lets Isea hl>le 9-8 and CFC Table the exempt amount at zero. 80-315-A) ootnote: Since the E H I exempt amount for both phY¡Slcal and health hazard' classifications IS zero . the allowances for additional e e quantities in storage cabinets and/or building protected by automatic fire sprinkler systems shall not apply. , . : October 28, 19')) -13- e e CHEMICAL AND PHYSICAL PROPERTIES OF ETHYLENE OXIDE AND ETO GAS MIXTURES: 100% PURE ETO PHYSICAL DESCRIPTION: o ETO is a colorless gas at room temperature above 51 degrees F. o Sweet odor in concentrations between 500-700 ppm. o Molecular weight: 44.06 o Boiling point: 10.7 degrees C. 51 degrees F. at atmospheric temperature and pressure (14 Ibs/sq. in. sea level). o Freezing point: minus 168.3 degree's F. o Vapor pressure: ·1094-A4M.of Mercury @ 20 degrees C. = 7.3.pounds per squar.e inch gage (PSIG) o VaDor Dressure as determined by the UFC Standard 9-5 Is for flammable liquids onlv. therefore does not aDDlv to ETO. Vapor pressure more than 40 PSI at 100 degrees F. classed as a compressed gas. (See definitions, compressed gas) [UFC 9. ~05(c)J ._ _. . o Vapor density compared to air: 1.49 (air = 1.0) o Vapor air density: 1.2 @ 100 degrees F. o Soluble in water: 100% o Spëcific gravity: 0.87 @ 20/20 C (water = 1) o Volatility: 100% o Flammable limits (% of gas in air) tor ignitable mixture: 3% to 100% o Flash point (ignition temperature of vapor): 20 degree F. (open cup method) Octob~r l8, J 993 -14- e e CHEMICAL AND PHYSICAL PROPERTIES OF ETHYLENE OXIDE AND ETO GAS MIXTURES: o Marketed in ·unit-dose· canisters/cartridges: wt. per canister range: 67 ·140 grams wt. capacity per canister range: 2.24 oz. . 4.9 oz. vol. capacity per canister range: 2.95 oz. . 5.63 oz. 4.9 oz. (wt) canister .087 gallons (vol) 25 Ibs. annual discharge means 81.63 ETO cycles (one canister per cycle) [16/4.9 x 25]. o Sterilizing cabinet concentrations: 1000 mgjliter of cabinet volume. o ETa cartridge storage temperature: 59 degrees F. to 86 degrees F. o ETa - toxic 1 ppmjmillion average 8 hour exposure (CAL-OSHA) CLASSIFICATIONS: o Classified as a CLASS I Flammable Uquìd by U.S. D.O.T. for packaging and shipping. Also classified as an ·unstable reactive· liquid. o CEC (NEC) Hazardous Atmosphere Classification is equal to Class I, Divišion 1 òr 2. Group "S" in NEC table of vapors for flammable liquids. o NFPA Hazard Classification for: Fire Protection (requires seJf-contained breathing unit) Fire Classification· very flammable Reactivity (detonation/explosive) Health - 2 Fire - 4 Reactivity - 3 o UFC Classifications: .class 1 Uñstable Toxic Uquid A Flammable Uauid Reactive - CJass '3 Carcinogen Irritant Other Health Hazards Octoht'r 28, 1993 -15- e . 12% - 88% ETHYLENE OXIDE/FREON MIXTURES: o TANKS/CYLINDERS: 12% ETO AND 88 % FREON - by weight 27.3% ETO and 72.7% FREON - by volume o ETO Tank capacity (cu.ft.) - 532 cubic feet @ 0 degrees C. o UFC Classification: Compressed gas (unstable-reactive) See UFC Appendix VI-A, (2) (a) (2) (H) Carcinogen Irritant Other health hazards o D.C.T. classification of ETO gas mixtures: "non-flammable" gas o Capacity of portable tanks (ETO-12%, FREON-88%): 1401bs. (16 Ibs. ETO and 123 Ibs. FREON) o Net ETO liquid measure = 2.55 gallons 12% - 88% mix = 3.8 cubic feet/lb. o 140 Ib gas cylinder: ETO; 145 cubic feet and FREON; 387 cubic feet o Tank/cylinder use temperature: min. 70 degrees F. o Tank/cylinder storage temperature: max. 130 degrees F. o Vapor pressure @ 70 degrees F.: 65 Ibs/square inch PSIG. [vapor pressure to be determined by UFC Standard 9-5 Nj Ä. UFC Standard 9-5 for Flammable Uquid only. See definitions for compressed gas - UFC 99.105(c}J o Boiling point: n/ a Specific gravity: 1.24 (water @1.0) Solubility in water: moderate Gas mixture/cabinet concentrations: 450 + mg/liter of cabinet volume o Restricted flow from tank may cause gas mix to become flammable. Freezing point: nja Vapor density: 2.82 (air = 1.0) o ETO/Freon mix "tank spill" may be flammable. Octobl'f 28. 1993 -16-