The URL can be used to link to this page

Home My WebLink AboutBUSINESS PLAN _ll f`b ~ a.. Vl ~ H ~~ ~~ ~_.-~ F BAKE~~FIELD MEMORIAL HOSPITAL Manager RODNEY BROWN Location: 420 34TH ST City BAKERSFIELD CommCode: BFD STA 04 EPA Numb: CAL000021754 = SiteID: 015-021-001121 BusPhone: (661) 327-1792 Map 103 CommHaz High Grid: 19D FacUnits: 1 AOV: SIC Code:8062 DunnBrad:95-180-2779 Emergency Contact / Title Emergency Contact / Title RODNEY BROWN / FAC MANAGER / Business Phone: (661) 327-1792x1891 Business Phone: ( ) - x 24-Hour Phone (661) 327-1792x4950 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: RSs Fire Press React ImmHlth DelHlth Contact RODNEY BROWN Phone: (661) 327-1792x4908 MailAddr: 420 34TH ST State: CA City BAKERSFIELD Zip 93301 Owner GREATER BAKERSFIELD MEMORIAL HOSP Phone: (661) 327-1792x Address 420 34TH ST State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs : ! = S'W'od Gal Preparer : TotalUSTs : aL. = J/~c'7 v~v Gal Certif'd: RSs: Yes ParcelNo: Emergency Directives: PROG A - HAZMAT PROG C - COMM HOOD PROG H - HAZ WASTE GEN PROG T - ABOVEGROUND STORAGE TANK PROG U - UST Oared on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that i have personally eramined and am familiar with the information ' submitted and believe the information is true, a t d l t ENT D AUG 7 ® 8 ~~o ccura e, an comp e. e / !~, r l b Si nat D g ur a e -1- 06/29/2007 v ; F BAKERSFIELD MEMORIAL HOSPITAL SiteID: 015-021-001121 ~ ---- - STORAGE CONTAINER DATA (UST FORM A) Last Action Type: - FACILITY/SITE INFORMATION Business Name: BAKERSFIELD MEMORIAL HOSPITAL Cross Street Business Type: Org Type: Total Tanks 2 IndnRes/Trust: No PA Contact: Dsg Own/Oper RICH ENVIRONMENTAL ICC Nbr: PROPERTY OWNER INFORMATION Name Phone: ( ) - x Address: City State: Zip: Type CORPORATION Name Address: City Type CORPORATION BOE UST Fee# 005569 Financ'1 Resp: SELF INSURED Legal Notif Date:l2/15/1999 Name:ROD BROWN State UST # TANK OWNER INFORMATION Phone: State: Zip: - x Phone: (131) 649-52 x Tt1:FACILITY MANAGER 1998 Upg Cert#: 00813 -2- 06/29/2007 F BAKERSFIELD MEMORIAL HOSPITAL ~ Hazmat Inventory ~ MCP+DailyMax Order = SiteID: 015-021-001121 ~ By Facility Unit ~ Fixed Containers on Site ~ Hazmat Common Name... ISpecHazIEPA Hazards) Frm I DailyMax IUnitIMCPI NITROUS OXIDE F P IH G 6742.00 FT3 Hi OXYGEN/ACETYLENE TORCH E P R G 250.00 FT3 Hi --~~Y---C-H3~~I-N~ S .:2:6 ~ LIQUID BLEACH - SUPER IMPEAD R IH DH L 165.00 GAL Hi LAUNCH SOUR IH L 110.00 GAL Hi WASTE MERCURY L GAL Hi JPC DIESEL #2 F IH DH L 20000.00 GAL Mod ASSIST BUILDER/BOOSTER IH L 110.00 GAL Mod RENEW EXTRA - DETERGENT F IH L 110.00 GAL Mod VALID II SOFTNER F IH L 110.00 GAL Mod PHOTOGRAPHIC DEVELOPERS R IH L ~ &0--0~ GAL Mod WASTE XYLENE F IH L 55.00 GAL Mod JPC DIESEL #2 F IH DH L 20000.00 GAL Low OXYGEN F P IH G 5800.00 FT3 Low LIQUID OXYGEN F P IH L 1620.00 GAL Low R 22 FREON F P IH G 558.00 FT3 Low DIESEL L 500.00 GAL Low CARBON DIOXIDE, HYDROGEN, NITRO E F P IH G 300.00 FT3 Low HYDRAULIC FLUID F DH L 110.00 GAL Low WASTE FIXER IH DH L ~~ -F~-0~6 GAL Low LIQUID OXYGEN F P IH L q ~-y,5-.~-~-3 GAL Low NITROGEN F P IH G ~ 4080.00 FT3 Min ETHYLENE OXIDE E F P IH G 3252.00 FT3 Min CARBON DIOXIDE F P IH G 1120.00 FT3 Min HELIUM F P IH G 976.00 FT3 Min ARGON P DH G 280.00 FT3 Min WASTE BATTERIES IH S 40.00 LBS UnR -3- 06/29/2007 -4- 06/29/2007 F BAKERSFIELD MEMORIAL HOSPITAL SiteID: 015-021-001121 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME NITROUS OXIDE Days On Site 365 Location within this Facility Unit Map: Grid: COMPRESSED GAS STORAGE OUTSIDE ENGR CAS# 1002-49-72 ~GasATE TPureE ~AboveSAmbEent AmbientT~E PORTCOPRESSERCYLINDER AMOUNTS AT THIS LOCATION Largest Co250100rFT3 Daily67I42100m FT3 I Daily3500r00e FT3 ru~~t~cLVU~ ~:VrirViv~lvl~ °sWt . RS CAS# 100.00 Nitrous Oxide No 10024972 til-~G.'~tC1J E~J JL' S51~1~1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0037 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME OXYGEN/ACETYLENE TORCH Days On Site 365 Location within this Facility Unit Map: Grid: MAINT SHOP CAS# ~GasATE Mixture ~AboveSAmbEent AmbientT~E PORTCOPRESSERCYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 250.00 FT3 250.00 FT3 250.00 FT3 t1HGL-1tCLVU.7 1.V1~lYV1VtS1V7 J oWt. RS CAS# Oxygen, Compressed No 7782447 Acetylene Yes 74862 171-~Glit<L .HJ .7L' .7~1~1L' 1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies P R / / / Hi -5- 06/29/2007 F BAKERSFIELD MEMORIAL HOSPITAL SiteID: 015-021-001121 ~ ~ Inventory Item 0050 Facility Unit: Fixed Containe.s'on Site ~ C ON NAME / CHEMICAL NAME ~~~^-CHi~ i;' Days On Site ~3i~Y-C-NI,O~23 i~~'rAC-~i• /~•~C' ~C : l~ f'/' L/ ~ ~ 3 6 5 Location wit this Facility Unit Map: Gr LAUNDRY SORTING ~• CAS# STATE TYPE PRES E TEMPERA"f'URE CONTAINER TYPE Solid Mixture Ambient A Sent PLASTIC CONTAINER AMOUNT HIS LOCATION Largest Container aily Ma 'mum Daily Average 100.00 LBS 200. LBS 200.00 LBS GHKLVUJ 1..V1~lYV1VI;1V1J °sWt. RS CAS# 90.00 Sodium H ochlorite o 7681529 riHGrittL EiJ J~JJlnl;lvla TSecret S BioHaz Radioactive/Amount EPA Hazards NFPA OT# MCP No No No No/ Curies / / / Hi ~ Inventory Item 0048 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME LIQUID BLEACH - SUPER IMPEAD Days On Site 365 Location within this Facility Unit Map: Grid: LAUNDRY RESERVE DRUM IN WHSE CAS# Liquid TMixture ~ AmbRient~E ~ AmbientT~E DRUM/BARRELENONMETAL~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 165.00 GAL 165.00 GAL r~taG~tuct~VVJ l..Vl•1rV1V,;1dTS •°sWt . RS CAS# 100.00 Sodium Hypochlorite No 7681529 IltiL~tiiCL 1iJ JP~J J1.1.G1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH DH / / / Hi -6- 06/29/2007 F BAKERSFIELD MEMORIAL HOSPITAL ~ Inventory Item 0033 COMMON NAME / CHEMICAL NAME LAUNCH SOUR Location within this Facility Unit LAUNDRY DEPT RESERVE DRUM IN WHSE SiteID: 015-021-001121 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 1309-45-1 TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Con55100rGAL Daily M10100m GAL ~ Daily A80r00e GAL t11~GHKLVU~ 1:V1~lYV1VL'1V1J oWt. RS CAS# 13.00 Hydrofluorosilicic Acid No 16961834 tiL~GF~L[L A5 5L' S51~1L' lv t a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Hi ~ Inventory Item 0044 COMMON NAME / CHEMICAL NAME WASTE MERCURY Location within this Facility Unit HAZ WASTE CAGE STATE TYPE PRESSURE Liquid Twaste ~-Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient -~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL GAL GAL HAZARDOUS COMPONENTS %Wt RSA CAS# t1HGHKL L-~~7~1"i~J1~11;1V1A TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Hi STATE TYPE PRESSURE Liquid TMixtur~ Ambient -7- 06/29/2007 F.BAKERSFIELD MEMORIAL HOSPITAL ~ Inventory Item 0035 COMMON NAME / CHEMICAL NAME JPC DIESEL #2 Location within this Facility Unit UNDER DRIVEWAY E PARKING LOT BEH ENG STATE TYPE PRESSURE Liquid TMixture~ Ambient SiteID: 015-021-001121 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: R CAS# 68476-34-6 TEMPERATURE CONTAINER TYPE Ambient -~ER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 20000.00 GAL 20000.00 GAL 15000.00 GAL • r1tiGr-~ttLVUa ~:vlnrviV~lV t S oWt. RS CAS# 100.00 Diesel Fuel No. 2 No 68476302 riKGAtCL A5 5L'~5~1~1i51V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod ~ Inventory Item 0030 COMMON NAME / CHEMICAL NAME ASSIST BUILDER/BOOSTER DIVERALK Location within this Facility Unit LAUNDRY DEPT RESERVE DRUM IN WHSE STATE TYPE PRESSURE Liquid TMixture~ Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 1310-73-2 TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-NONMETA~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 110.00 GAL 80.00 GAL I1tiGHiCLVUJ l_.V1~lYV1VL"1V1.7 °swt. Rs cAS# 26.00 Sodium Hydroxide No 1310732 4.50 Trisodium Nitrilotriacetate No 5064313 ri1~GHttL H5 ~L' .7.>1~11;1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Mod -8- 06/29/2007 F BAKERSFIELD MEMORIAL HOSPITAL ~ Inventory Item 0031 COMMON NAME / CHEMICAL NAME RENEW EXTRA - DETERGENT Location within this Facility Unit LAUNDRY DEPT STATE TYPE PRESSURE Liquid Mixture Ambient SiteID: 015-021-001121 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 67-63-0 TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 55.00 GAL 110.00 GAL 80.00 GAL ti.r~~tirct~VUS ~:VinrViv~lvl~ owt. Rs cAS# 5.00 Isopropyl Alcohol No 67630 18.00 Polyethoxylated Nonylphenols No 26027383 riAGAiC1J 1~551'~5J1~11"~1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Mod ~ Inventory Item 0034 COMMON NAME / CHEMICAL NAME VALID II SOFTNER Location within this Facility Unit LAUNDRY DEPT RESERVE DRUM IN WHSE STATE- T TYPE ~~~ PRESSURE Liqui~ Mixture I Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 64-17-5 TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 110.00 GAL 80.00 GAL I1L~GLiCtLV U.7 1.V1~lYV1V L" 1V 15 %Wt. RS CAS# 2.00 Ethyl Alcohol No 64175 3.00 Alkyl Dimethylbenzylammonium Chloride No 8001545 nr~~rjrc~ H~ ~ ~ a ~ri~iv 1 a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Mod -9- 06/29/2007 F BAKERSFIELD MEMORIAL HOSPITAL SiteID: 015-021-001121 ~ ~ Inventory Item 0040 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME PHOTOGRAPHIC DEVELOPERS ~^ ku~~a.K Days On Site 365 Location within this Facility Unit Map: Grid: 1ST FLR ~Z-Mi~~Y-~~E~C-0~2~'- 1~u„~ ~~,k ~~ CAS# c'"` 123-31-9 ~Liquid~ixture Ambient~E AmbientT~E -~ PLASTICTCONTAINERE M I O A N A OUNTS AT TH S L C TIO Largest Container Daily Maximum Daily Average o .1-9~0-0~A• GAL ~ ~ ~1~---0~0 GAL ~ ~y -8-0-: -0~A GAL nt~~r~tcLVU~ ~vrirvl~~ivi~ %Wt. RS CAS# 5.00 Sodium Sulfite No 7757837 5.00 Hydroquinone (EPA) No 123319 ri1~GH.ttL AaJt'~SJ1~11"~1V 1_a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No Yes No No/ Curies R IH / / / Mod ~ Inventory Item 0045 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WASTE XYLENE Days On Site 365 Location within this Facility Unit Map: Grid: MORGUE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Waste Ambient Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 5.00 GAL 55.00 GAL 35.00 GAL nr~~r-ucLV~a ~vinrvlv~lvl,~ $Wt. RS CAS# 100.00 Xylene, Mixed No 1330207 t1E~G1itCL A.7J~5J1~1~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Mod -10- 06/29/2007 F BAKERSFIELD MEMORIAL HOSPITAL SiteID: 015-021-001121 ~ ~ Inventory Item 0028 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME JPC DIESEL #2 Days On Site 365 Location within this Facility Unit Map: Grid: DRIVEWAY E PARKING LOT BEH ENGR CAS# 68476-34-6 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 20000.00 GAL 20000.00 GAL 15000.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Diesel Fuel No. 2 No 68476302 riHG1itCL 1-~J J~5J1~1C,1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: lE,RESP,ER,DIAG,2E,2,PED LAB, XRAY POST PARTOM, NURSERY, 4,5 CAS# 7782-44-7 STATE TYPE PRESSURE Gas Pure ~ Ambient TEMPERATURE CONTAINER TYPE _ Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Co250100rFT3 Daily5800100m FT3 I Daily2900r00e FT3 ruyt,rutLVVa l.Vl•1rV1VL,1V lA oWt. RS CAS# 100.00 Oxygen, Compressed No 7782447 r1tiL~ti1CL L'i ~JL' r7.71•1.G1V 1 ~7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low -11- 06/29/2007 F BAKERSFIELD MEMORIAL HOSPITAL SiteID: 015-021-001121 ~ ~ Inventory Item 0049 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME LIQUID OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: PAD BORDERS E PARKING LOT NEXT TO WOUND CTR CAS# 7782-44-7 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TPure Ambient ~ Ambient INSUL.TANK / CRYOGENIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1500.00 GAL 1620.00 GAL 1620.00 GAL t1L-1GHKIJVUJ 1:V1~lYV1VC;1V1~ °sWt. RS CAS# 100.00 Oxygen, Compressed No 7782447 riE~GY~ttL AJ51'~J51~1~1V 1'J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low ~ Inventory Item 0042 COMMON NAME / CHEMICAL NAME R 22 FREON Location within this Facility Unit ~OMP~t~Ei~~~~3~~^ 3tD ~~ ~b•tiTuwe.- v L S~(o 3 STATE TYPE PRESSURE Gas TPure ~-Above Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Co~~tBa~~rFm~_ ~~ D 5ily. M~a8xim~um~T~^ I Daily ~A~v~~ge~~~^ :3® [60 1'lEiGHtCL V U .7 l.. V 1~1Y V1V ~1V 1.7 oWt. RS CAS# 100.00 Chlorodifluoromethane No 75456 ru~c,tucL r~~ a~aaln~lvla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low -12- 06/29/2007 F BAKERSFIELD MEMORIAL HOSPITAL SiteID: 015-021-001121 ~ ~ Inventory Item 0041 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DIESEL Days On Site 365 Location within this Facility Unit Map: Grid: SW END OF BLDG SKILLED NURSING UNIT CAS# STATE TYPE ~~ PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture I Ambient ~ Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 500.00 GAL 500.00 GAL 500.00 GAL riliGtittlJVUJ l.Vl°lYV1V L'1V1b %Wt. RS CAS# 100.00 DIESEL FUEL NO. 2 No 68476302 riEiGH2C1J a'~. 7.7L' .7J1~1L' 1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low ~ Inventory Item 0011 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME CARBON DIOXIDE, HYDROGEN, NITROGEN Days On Site 365 Location within this Facility Unit Map: Grid: LAB STORAGE MICRO BIOLOGY RM CAS# 128-38-9 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas TMixture ~-Above Ambient. Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 250.00 FT3 300.00 FT3 150.00 FT3 nrauru~vv.7 L.vrlr VLV LilV1A °sWt . RS CAS# 12.00 Carbon Dioxide No 124389 21.00 Hydrogen Yes 1333740 67.00 Nitrogen No 7727379 i1K[~tiiCJJ 1iJ JP.,.7.71~1P~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low -13- 06/29/2007 F BAKERSFIELD MEMORIAL HOSPITAL SiteID: 015-021-001121 ~ ~ Inventory Item 0046 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME HYDRAULIC FLUID Days On Site 365 Location within this Facility Unit Map: Grid: N SIDE OF BLDG TRASH COMPACTORS OUTSIDE LAUNDRY CAS# 0 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~Ambient ~ Ambient IN MACHINE/EQUIP AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 110.00 GAL 110.00 GAL 110.00 GAL tiHGHxUUUJ t.ui~irvlv~ivla %Wt. RS CAS# 100.00 Brake Fluid, Hydraulic (Diethylene Glycol Monob... No 112345 t1HG1~1[L E~.7 .7L" w7.71~1~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low ~ Inventory Item 0039 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WASTE FIXER ,_ ~ ~ ~ Days On Site t-~ u. 365 Location within this Facility Unit Map: Grid: 1ST FLR ~~~'3.'~~-C-Oi~i~- r/V~~,~ aak j~~~~ CAS# 7783-18-8 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Waste Ambient Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average ~ ~=9{~-0b~ GAL ~ G ~6-0~-(a{~ GAL ~ ~ ~•6-6~-(j't~" GAL ns~c~s-uu~vu~ ~.vrirvlv~lv.la oWt. RS CAS# 10.00 Ammonium Thiosulfate No 7783188 riHGfil'CL A.7 a 1:, ~ 51~it',ly i J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / Low -14- 06/29/2007 F BAKERSFIELD MEMORIAL HOSPITAL SiteID: 015-021-001121 ~ ~ Inventory Item 0007 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME LIQUID OXYGEN /~luin d- ~eszr~~.. 'T~.nlts Days On Site 365 Location within this Facility Unit Map: Grid: REAR OF ENGR DEPT CAS# 7782447 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Pure Above Ambient Ambient ~P-C~R,.r.--RP.ES~--C~~,3~~ AMOUNTS AT THIS LOCATION ~~ Ladrgest Container ^'~ai~ Daily Maximum Daily Average I lTVro q,~.~•-4-:~~-C~Ai,- ~ ~a-~ ~~3-rs3^ GAL ~ S"'~-S"' -~9~3- GAL rlti~xtcLV~~ ~:V1~irViv~ivla $Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 rlti~tucl.~ r~~ ~~aalnlJivt~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME NITROGEN Days On Site 365 Location within this Facility Unit Map: Grid: OUTSIDE MAIN BLDG STORAGE AREA CAS# 7727-37-9 ~GasATE TPureE ~AboveSAmbEent AmbientT~E PORTCOPRESSERCYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average FT3 4080.00 FT3 1080.00 FT3 YlL•iGE~tCLV U w7 1. V l~lr V1V L" 1V 1 ~ %Wt. RS CAS# 100.00 Nitrogen No 7727379 t1L-~GHtCL E'aJ.7L" .7.71"1L" 1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -15- 06/29/2007 F BAKERSFIELD MEMORIAL HOSPITAL ~ Inventory Item 0005 COMMON NAME / CHEMICAL NAME ETHYLENE OXIDE Location within this Facility Unit OUTSIDE MAIN PLANT STORAGE AREA ~ ~GaSATE TYPE ~~~ PRESSURE ~~ TMixture I Above Ambient I SiteID: 015-021-001121 ~ Facility Unit: Fixed Containers on Site ~ Days On.Site 365 Map: Grid: CAS# ,y 75-71-8 LY TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Co250100rFT3 Daily3252100m FT3 I Daily2168r00e FT3 t1HGEiLCLVU~ l.Vl°lYV1V1.',1V7~ ~Wt. RS CAS# 12.00 Ethylene Oxide (EPA) Yes 75218 88.00 Dichlorodifluoromethane No 75718 t1HGHKL I~SJ1;5~P'11;1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No Yes No No/ Curies F P IH / / / Min ~ Inventory Item 0006 COMMON NAME / CHEMICAL NAME CARBON DIOXIDE Location within this Facility Unit OUTSIDE MAIN PLANT STORAGE STATE TYPE PRESSURE _ Gas TPure ~-Above Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 124-38-9 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Co250100rFT3 Daily1120100m FT3 ~ Daily1120r00e FT3 nnc,sjtcl~VUa ~.v1~irVlv~ly l a °sWt. RS CAS# 100.00 Carbon Dioxide No 124389 t'iEiG1~tCL 1-~~JI;~J~1~1r,1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -16- 06/29/2007 F BAKERSFIELD MEMORIAL HOSPITAL SiteID: 015-021-001121 ~ ~ Inventory Item 0013 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME HELIUM Days On Site 365 Location within this Facility Unit Map: Grid: GIFT SHOP CAS# EXTRA CYL IN CYL STORAGE AREA ACROSS FROM ENGR 7440-59-7 STATE T TYPE PRESSURE TEMPERATURE CONTAINER TYPE - ~Gas I Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 250.00 FT3 976.00 FT3 976.00 FT3 HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Helium No 7440597 t11~GH1[L Ha~~~J1~1r,1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min ~ Inventory Item 0029 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ARGON Days On Site 365 Location within this Facility Unit Map: Grid: MAIN PLANT MAINT STORAGE AREA ONE BOTTLE IN MAINT SHOP CAS# 7440-37-1 ATE ~E O T~E R ~ ~Gas Mixture~ Ambient ~ Ambient PORTC PRESSE CYLINDER AMOUNTS AT THIS LOCATION Largest Co250100rFT3 Daily 280100m FT3 -I Daily 140r00e FT3 ns~c~s-~tu~vu~ ~vrirvlV~ly1~ %Wt. RS CAS# 40.00 Argon No 7440371 t1HGtiKL A5 7L' ~ 51~1L' 1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies P DH / / / Min -17- 06/29/2007 F BAKERSFIELD MEMORIAL HOSPITAL ~ Inventory Item 0043 COMMON NAME / CHEMICAL NAME WASTE BATTERIES Location within this Facility Unit HAZ WASTE CAGE ~SolidE I Waste ~- PRESSURE I Ambient SiteID: 015-021-001121 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 40.00 LBS 40.00 LBS 40.00 LBS HAZARDOUS COMPONENTS -- °sWt . RS CAS# riAGKKJJ AaJ~~J1~1~1V 1~~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / UnR -18- 06/29/2007 F BAKERSFIELD MEMORIAL HOSPITAL SiteID: 015-021-001121 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 04/03/2006 ~ CALL 911 AND OFFICE OF EMERGENCY SERVICES 800-852-7550. Employee Notif./Evacuation 04/03/2006 NOTIFY HOSPITAL OPERATOR 327-1792 WHO WILL NOTIFY PERSON IN CHARGE WHO WILL INITIATE EVACUATION PLAN. Public Notif./Evacuation 04/03/2006 NOTIFY HOSPITAL OPERATOR 327-1792 WHO WILL NOTIFY PERSON IN CHARGE WHO WILL INITIATE EVACUATION PLAN. Emergency Medical Plan 06/11/1997 EMERGENCY ROOM, MEMORIAL HOSPITAL: IF UNABLE, WE HAVE A DISASTER PLAN TO RELOCATE AT GARCES HIGH SCHOOL. -19- 06/29/2007 F BAKERSFIELD MEMORIAL HOSPITAL SiteID: 015-021-001121 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 03/10/2000 ~ CHANGE TO PRODUCTS CONTAINING NO HAZARD SUBSTANCES WHENEVER POSSIBLE. TRY TO STOCK MINIMUM QUANTITIES WHENEVER POSSIBLE. TRY TO MINIMIZE RISKS BY EMPLOYEE AWARENESS EDUCATION. Release Containment 01/26/1993 COMPRESSED GAS CYLINDERS CHAINED. Clean Up 04/03/2006 HOSPITAL CLEANS UP SPILLS UP TO 5 GAL BY SPILL TEAM WITH OSHA-APPROVED TRAINING. vl..i1C1 itCAVU1 l:C Cil:L1VGLL1V11 -20- 06/29/2007 F BAKERSFIELD MEMORIAL HOSPITAL SiteID: 015-021-001121 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~ Special Hazards 10/20/1993 ~ RADIOISATOPES ON HAND RADIATION HAZARD. Utility Shut-Offs 01/25/2007 A) GAS - E PARKING LOT E OF PURCH WHSE B) ELECTRICAL - N OF ENG CNTRL PLANT C) WATER - 34TH ST FRONT OF HUMAN RESOURCES & CRNR 34TH & SAN DIMAS D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 12/22/2006 PRIVATE FIRE PROTECTION - KERN SECURITY 588-4357 (FIRE PROTECTION) OR TEL TECH 398-0586 (BLDG SECURITY). Building Occupancy Level 05/16/2006 1500 EMPLOYEES -21- 06/29/2007 _ ~• F BAKERSFIELD MEMORIAL HOSPITAL SiteID: 015-021-001121 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 05/16/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: EACH EMPLOYEE HAS REVIEWED A 20-MINUTE VIDEO ON HAZARDOUS SUBSTANCES, AND HAS RECEIVED A SAFETY GUIDELINE PAMPHLET AT NEW EMPLOYEE ORIENTATION AND THEN AGAIN ON AN ANNUAL BASIS. SPILL TEAM OSHA-TRAINED BY BAKERSFIELD COLLEGE LIST OF SPILL TEAM AT PBX OPERATORS DESK. SPILL TEAM LEADERS DETERMINE SCOPE OF WORK AND SUPERVISE CLEAN-UP: ROD BROWN OR MIKE MORIN. rctyc ~ riciu iv.a, ru~.uic vac -22- 06/29/2007 a ~. y Z F BAKERSFIELD MEMORIAL HOSPITAL SiteID: 015-021-001121 ~ Fast Format ~ ~ Training Overall Site ~ ~ Held for Future Use -23- 06/29/2007 B A ~C E R S F I E L D Alan Tandy • City Manager June 21, 2007 Richard Orduno Via e-mail:. richard orduno{c~rsconst.com Rudolph and Sletten Carpenter Foreman Re: Request for Early .Start of Work at Bakersfield Memorial Hospital Bed Replacement Project - 420 34`h Street Dear Mr. Orduno: I have received your request to begin preheating. structural steel at 5:00 a.m, Monday, June 25, 2007 through Saturday, June 30, 2007 at Bakersfield Memorial Hospital. I hereby approve your request. Please note that this approval is o~ good for 5:'00 a.m. on. Monday, .June 25, 2007 through Saturday, June 30, 2007, and is not transferable to any other date and. time. Should. anything arise and you are not able to perform the work on this day, you will be required to submit another written request. If you have any questions, please feel free to contact me. Sincerely, r' ,. ~~. ~; f i` ~ ,~ Alan Tandy ;~' City Manager cc: .Phil Burns, Building Director William Rector; Chief of Police Ran Fraze, Fire Chief City of Bakersfield • City Manager's Office ®1501 Truxtun Avenue Bakersfield, California ®93301 (661) 326-3.751 • Fax (661 } 324-1.850 ~'~ ~ ~' , ~ Prevention Services UNIFIED PROGRAM INSPECTION CH-ECKLIST'' e e R s F , 0 9ooTruxtun Ave., Suite 210 -----~-~------ _ ~ : ~ ry--=-~ ~~ g ~ ~~ ~ FIRS Bakersfield, CA 93301 SECTION 1: Business Plan and Invento Pro ram ~RrM r Tel.: (661) 326-3979 ! ~ Fax: (661) 872-2171 "---~ `~. FACILITY NAME INSPECTION DATE INSPEC T TIME ~~ ~c~ ~•°n- ~~ l-tos ~~ Z 22 oG - ~ ADDRESS ~ ~.~ ~~ s ~ ~ PHONE NO. ~~-~y NO F E PL EES FACILITY CONTACT ~ BUSINESS ID NUMBER 15-021- 6 `0"' _ ~ Section 1: Business Plan and Inventory 'Program ^ ROUTINE /~ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ 'COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ~ri~c~4 ~ G `°"'~ ~~~ -~ ^ BUSIfIeSS PLAN CONTACT INFORMATION ACCURATE ^, VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ~ ~g Q O ~ ~ ~ ~ ~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~~ ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND rtnr-Dula ANY HAZARDOUS WASTE ON SITE? YES ^ NO EXPLAIN: ~ 6 O ~~~~ ~~ t - A- s~ ,. QUESTIONS REGARDING THIS INSPECTION? PLEASE CA~ US AT((.b67) 326-3979 _ Inspector (Please Print) Fire Prevention / 151 In /Shift of Site/Station # B ess Site /Responsible Party ( lease Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09105 ;p • .n- V4y` T~ " CITY OF BAKERSFIELD FIRE DEPARTMENT w ~e d ~~~ FACILITY NAME~,PkE~. IEc.b f~En~Q~.t~ l-~~S~a,~,LINSPECTIONDATE~-~`'Z-~a~ Section 4: Hazardous Waste Generator Program EPA ID # C ~ z-- O OOC~ Z 17 S +-) ^ Routine ~j Combined ^ Joint Agency ^hulti-Agency ^ Complaint ^ Re-inspection OPERATION C V .COMMENTS Hazardous waste determination has been made EPA ID Number Authorized for waste treatment a d/or storage Reported release, fire, or explosion within 15 days of occurcence 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 aze kept closed when not in use Weekly inspection of storage area Ignitable/reactive waste located at least 50 feet from property line Secondary containment provided Conducts daily inspection of tanks Used oil- not contaminated with other hazardous waste Proper management of lead acid batteries including labels Proper management of used oil filters Transports hazazdous waste with completed manifest Sends manifest copies to DTSC Retains manifests for 3 years Retains hazazdous waste analysis for 3 years Retains copies of used oil receipts for 3 years Determines if waste is restricted from land disposal ~=~ompuance ' v=vtotanon Inspector: ~ rG ~'~ 1 ~'~'~' L-~ Office of Environmental Services (661) 326-3979 White -Env. Svcs. ~ OFFICE OF ENVIRONMENTAL SERVICES .ti •y UNIFIED PROGRAM INSPECTION CHECKLIST '~''gti 1715 Chester Ave., 3~d Floor, Bakersfield, CA 93301 Pink -Business Copy .~ ~ usiness Site Responsible Party ^ ~ INSPECTIONS BUSINESS PLAN & INVENTORY PROGRAM UNIFIED PROGRAM INSPECTION CHECKLIST B ~ E R S F I L D F/RE ~RrM r FACILITY NAME: (~>:~~.~-6~~1~ ~~ r...oclg~ ~ as~~'~~~ Section 2: Underground Storage Tanks Program INSPECTION DATE:I Z.'L- _ 2s<, ^ Routine ~ Combined ^ Joint Agency ^ Multi-Agency ^ Complaint ^ Re-Inspection Type of Tank ~'a ~~by~slcs ~ Number of Tanks ~-- Type of M nitori g L."7'~ Type of Piping ~C-.ss kr^- ~ ~ i ~~t ~ •!'~Pl. OPERATION C V COMMENTS Proper tank data on file Proper owner /operator data on file Permit fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? ^ Yes-_._.~ No Section 3: Aboveground Storage Tanks Program Tank Size(s) Type of Tank Aggregate Capacity Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF?) If yes, does tank have overfill /overspill protection? C =Compliance V =Violation Y =Yes N = No Inspector: C ~G' ~~L`~. J" -7 Questions regarding this inspection? Please call us at (661) 326-3979 White -Prevention Services BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 1 -~ ~~ us~Site Responsible Party Pink -Business Copy KBF-7335 FD 2156 (Rev. 09/05) UNIFIE4 PROGRAM INSPECT~I®N CHECKLIST SECTION :1: Business Plan and inventory Program BAKERSFIELD FIRE DEPT H A a p, D Prevention ~~rvices ,~~e~ 900 Truxtun Ave., Suite 210 ~~>1M r Bakersfield, CA 933 Tel.: (661) 326'39 ~ s?QQ§ Fax: (661) 872=2171 FACILITY NAME ~.~ ~:~-~.~~ r ~ t ~ ~vt.r.~ d,e rat ~drP ~.~C. INSPECTION DATE I ~...~ 0~ INSP ION TIME 6 ~ eN~ ADDRESS ~ ~O ~ ~ .~ ~'--~' S HONE NO. O OF EMPLOYEES FACILITY CONTACT USINESS ID NUMBER 15-021- (3~ C ~~ Section 1: Business Plan and Inventory Program ^ ROUTINE ^ COMBINED JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ~_ ^ BUSIn@SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES '~. ^ VERIFICATION OF LOCATION '~ ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? YES ^ NO EXPLAIN: _ _ _. •~ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (861) 326-3879 ~~s~~~ 3 inspector (Please Print) Fire Prevention / 16t in 1 Shift of SitelStation # Bu ess Site/School S e esponsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02105) ~:. ~~ ~; ,. ~. ° ,, ..35 + BAKERSFIELD MEMORIAL HOSPITAL _______________________ SiteID: 015-021-001121 + Manager BusPhone: (661) 327-1792 Location: 420 34TH ST Map 103 CommHaz High City BAKERSFIELD Grid: 19D FacUnits: 1 AOV: L~,,a,~.e, T° CommCode: BFD STA 04 3 ~eu,-N SIC Code:8062 EPA Numb: CAL000021754 ~~ DunnBrad:95-180-2779 0~ Emergency Conte / Title~uu.-a.~er Emergency Contact / Title _.. _ / / Business Phone: (661) 327-1792x1891 Business Phone: ( ) - x 24-Hour Phone (661) 327-1792x~{95ro 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: RSs Fire Press React ImmHlth DelHlth Contact Phone: (661) 327-1792x MailAddr: 420 34TH ST State: CA City BAKERSFIELD. Zip 93301 Owner GREATER BAKERSFIELD MEMORIAL HOSP Phone: (661) 327-1792x Address 420 34TH ST State: CA City BAKERSFIELD Zip 93301 Period to Preparers Certif'd: ParcelNo: TotalASTs: = Gal TotalUSTs: = Gal RSs: Yes Emergency Directives: PROG A - HAZMAT PROG C - COMM HOOD PROG H - HAZ WASTE GEN PROG ~ - UST -~ !\,6 THI SITE CONTAINS UNDERGROUND STORAGE TANKS AND IS A WASTE TREATMENT SITE! A JOINT INSPECTION WITH FIRE PREVENTION SERVICES AND THE ENGINE COMPANY IS REQUIRED. PLEASE GIVE THIS OFFICE AT LEAST 5 DAYS NOTICE PRIOR TO SCHEDULING THIS INSPECTION. Based on my inquiry of th9se inc~l~-Ittuals responsible for obtaining the information, I eartify under penalty of law that I have personally examined and am familiar with the Information submitted and believe the information is true, (~`~ pp accurate, and complete. '~ r U IYI~,~ ~ ~' ~~~1~ Date r ~~~~ Signature -1- 04/03/2006 • ~ ., -, C`~~`'~. ~A~, T 1'sT 420 34th Street Bakersfield, CA 93301 Engineering Dept. 661-327-1792 Ex[. 4908 661-327-5806 Fax 1. The Magnetic Resonance Imaging building that was located in front and east of the main portion of the hospital is no longer in service. This building has been remodeled. The building now serves as a wound care center using hyperbaric technology. Two new liquid oxygen tanks have been put into place for the operation of the hyperbaric chambers. The main oxygen tank holds 1,500 gallons of liquid oxygen and the reserve tank holds 120 gallons. The tanks are located east of the building on a pad that borders the east parking lot. 2. SANACOR is the old company Bakersfield Memorial Hospital used for supplying water treatment chemicals to our facility. BMH no longer uses SANACOR. The company we presently use is AQUA-BERN. All water treatment chemicals come in five gallon containers. 3.There are several carts with "H" tanks that are used in emergency situations to zone feed medical gas to critical areas of the hospital. Each critical area has two carts. Each cart has two cylinders of oxygen and two cylinders of compressed breathable air. The carts are located in the following areas: Third floor Critical Care Unit storage room, 1st Floor NICU hallway in Labor and Delivery dept, and 2nd floor surgery storeroom. Extra breathable air and oxygen cylinders are kept in the compressed gas storage area across form the engineering dept. 4.The laundry no longer uses Triax Destainer. However, the laundry now uses a dry chlorine bleach in addition to liquid bleach. The powered bleach comes in 1001b. containers. One container is located in the dirty laundry sorting room; another is kept in the warehouse. On the second floor in surgery there is a tank that holds approximately 1601iters of liquid nitrogen used for the tissue cyro-freezer. (s2~ (~ ?` ~T~ ~ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES s y UNIFIED PROGRAM INSPECTION CHECKLIST ~,~~,~~ 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 ~ ~,/~/ FACILITY N. V,~~ 1rv~~~va..tA~ >~~ Section 4: Hazardous Waste Generator Program ^ Routine ~S. ~ d ^ Joint Aeencv~ INSPECTION DATE t ~ l i~ 0 3 EPA ID # ~~~~. ~~OZ j ?S~ Multi-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made EPA ID Number (Phone: 916-324-1781 to obtain EPA ID #) FC,( 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 ~~ 5 Containers are compatible with the hazardous waste !8 Containers are kept closed when not in use ~T~ ~t/ry1 of a ~2. /V v1 0 ~ Weekly inspection of storage area Ignitable/reactive waste located at least 50 feet from property line Secondary containment provided Conducts daily inspection of tanks ~ N/yJ C7 ~ / Jl/ TYj p !8 Used oil not contaminated with other hazardous waste ff TE ,' ,~ J 3a $ Proper management of lead acid batteries including labels / Proper management of used oil filters // Transports hazardous waste with completed manifest Sends manifest copies to DTSC Retains manifests for 3 years Retains hazardous waste analysis for 3 years Retains copies of used oil receipts for 3 years /~ Determines if waste is restricted from land disposal C=Compliance - Iv=Violation Inspector: t/" r ~~ Office of Environmental Services (661) 326-3979 White -Env. Svcs. Pink -Business Copy c Business Site esponsible Party o~ ;0 !~ ~'u3,',-::. .; '`~4~s. ~~c~ ~~ CITY OF BAKERSFIELD FIRE DEPARTMENT ~~~"~, ~ ~ ~~ OFFICE OF ENVIRONMENTAL SERVICES `~' ~' , y.` UNIFIED PROGRAM INSPECTION CHECKLIST \~=~wE~g~,~~aa 1715 Chester Ave., 3~d Floor, Bakersfield, CA 93301 . FACILITY NAME ~ f YICIM® ~'ad.l ~~5~~ INSPECTION DATE ~ 8 Section 2: Underground Storage Tanks Program Routine ~ombined ^ Joint A enc ^ Multi-A enc ^ Com laint ^ Re-ins ection ^ g Y g Y 1 p p Type of Tank .~~a1I=Cs Number of Tanks Type of Monitoring C~[ UY~ Type of Piping _,~,)~ OPERATION C V COMMENTS , Proper tank data on the Proper owner/operator data on file Permit tees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No -Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGATE CAPACITY Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance V=Violation Y=Yes N=NO Inspector: Office of Environmental Services (805) 326-3979 " ~ '~.`' White - inv. Svcs. Business Site Responsible Party Pink -Business Copy . ~ ~ FIRE PREVENTION INSPECTION BAKERSFIELD FIRE DEPT. n7j >, E R 5 P I D Prevention Services ,~/~ ~_ 1 F/IPE 900 Truxtun Ave., Ste. 210 ~'j, ~"~ ARTM T Bakersfield, CA 93301 Tel.: (661) 326-3979 ^ Fax: (661) 852-2171 DISTRICT BLOCK NO. DATE J EE FACILITY ADDRESS ~ ~ ~- 11 /~ CITY, STATE, ZIP t 4~~c i S~i ~'tl 1. FACILITY NAME ~ -~` ~ MANAGER' ME FACILITY PHONE NO. 2 ,i~.. or ~ as ~ ~ 1 ~ BUSINESS OWNER'S NAME AND ADDRES ~~~~ ~,r i~+~' S ~~"S CITY, STATE, ZIP OWNER'S PHONE NO. BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS ~~' I~t ~ ~ ~ CITY, STATE, ZIP, ~~`' I Yll t, d BILLING PHONE NO. OCC TYPE OCC LOAD NO. OF FLOORS HIGH RISE BLDG RISER DATE ^ YES ^ NO CORRECT ALL VIOLATIONS wo~~Tiox REQUIREMENTS CHECKED BELOW xo. COMBUSTIBLE WASTE /DRY 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) VEGETATION 2 Provide non-combustible containers with tight fitting lids for the storage of combustible waste and rubbish pending its safe disposal. (U.F.C.) COMBUSTIBLE STORAGE 3 Relocate combustible storage to provide at least 3 feet clearance around motor fuse box/fire door (N.E.C.) (U:F.C.) 4 Relocate fire extinguisher(s) so that they will be in a conspicuous location, hanging on brackets with the top to the extinguisher not more than 5 feet above the floor. (N.F.P.A. No. 10) EXTINGUISHERS 5 Provide and install (amount) _____ approved (type & size) _ _____ portable fire extinguisher to be ----------- immediately accessible for use in (area) _____________________________ (U.F.C.) g Re-charge all fire extinguishers. Fire extinguishers shall be serviced at least once each year, and/or after each use, by a person having a valid license or certificate. (U.F.C.) 7 Provide and maintain "EXIT" sign(s) with letters 5 or more inches i/t~ t over each required exit (door/window) to SIGNS fire escape. (U.F.C.) C g Provide and maintain appropriate numbers on a contrasting background and visible f h ~~ to indicate the correct address of the building. (B. M.C.) (U.F.C.) g Repair all (cracks/holes/openings) in plaster in (location) ______________________________________. Plastering FIRE DOORS/ FIRE SEPARATIONS Shall return the surface to its original fire resistive condition. (U.B.C.) 10 Remove/repair (item & location) ________________________________________________________. Self-closing doors shall be designed to close by gravity, or by the action of a mechanical device, or by an approved smoke and heat sensitive device. Self-closing doors shall have no attachments capable of preventing the operation of the closing device. (U.F.C.) ExlTS 11 Remove all obstruction from hallways. Maintain all means of egress free of any storage. (U.F.C.) 12 Provide a contrasting colored and permanently installed electric light over or near required exit (location) ______________________________ to clearly indicate it as an exit. (U.F.C.) STORAGE 13 Remove all storage and/or other obstructions from fire escape landings and stairways stair shafts. (Fire escapes/stair shafts are to be maintained free from obstructions at all times.) (U.F.C.) 14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical outlets ELECTRICAL APPLIANCES where needed. (N.E.C.) (U.F.C.) 15 Remove multiple attachment cords from specific electrical convenience outlet (one plug per outlet) (N.E.C.) (U.F.C.) OUTDOOR BURNING 16 Violation of Section 1102 dealin with recreational fires or o en burnin U.F.C. FIREWORKS 17 Violations of Section 7802 U.F.C. or 8.49.040 of the Bakersfield Munici al Code B.M.C. re ardin fireworks. OTHER 18 a 1 0 1 c A ~ t d~ ` _ s E?.. C ro" - O C A , Ol ~ 4 C G a- ~ ,a , -. ~ ~,, ~.. . __ a - e i~ CU$TOIVIER: LEGEND: C.F.C. CALIFORNIA FIRE CODE (Signature) (Please Print Name Legibly, Title) U.B.C. UNIFORM BUILDING CODE ~~, ~~ B.M.C. BAKERSFIELD MUNICIPAL CODE r S INSPECTOR: AP NO.:~~.~1 N.F.P.A. NATIONAL FIRE PROTECTION ($IgnatUre) ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05) ~, _ ~: `~ :. BAKERSFIELD MEMORIAL HOSPITAL SiteID: 015-021-001121 Manager RODNEY BROWN BusPhone: (661) 327-1792 Location: '420 34TH ST Map 103 CommHaz High ' City BAKERSFIELD Grid: 19D FacUnits: 1 AOV: CommCode: BFD STA 04 SIC Code:8062 EPA Numb: CAL000021754 DunnBrad:95-180-2779 Emergency Contact j Title Emergency Contact / Title RODNEY BROWN / FAC MANAGER / Business Phone: (661).327-1792x1891 Business Phone: ( ) - x 24-Hour Phone (661) 327-1792x4950 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: RSs Fire Press React ImmHlth DelHlth Contact Roth ~ra~./ Phone: (661) 327-1792x ~~o~ MailAddr: 420 34TH ST State: CA City BAKERSFIELD Zip 93301 Owner GREATER BAKERSFIELD MEMORIAL HOSP Phone: (661) 327-1792x Address 420 34TH ST State: CA City BAKERSFIELD Zip 93301 Period to ; TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: Yes ParcelNo: Emergency Directives: PROG A - HAZMAT PROG C - COMM HOOD PROG H - HAZ WASTE GEN PROG T - ABOVEGROUND STORAGE TANK PROG U - UST EN~~ ~ ~ ~ ~ ~ ~~~1 Based on my inquiry of these individuals r obtaining the information, I certify f l o e responsib under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. A ~ --~~° Dat Signa u -1- 01/26/2007 .~ ~. _ ,+ F BAKERSFIELD MEMORIAL HOSPITAL SiteID: 015-021-00111 ~ STORAGE CONTAINER DATA (UST FORM A} Last Action Type: -•• FACILITY/SITE INFORMATION Business Name: BAKERSFIELD MEMORIAL HOSPITAL Cross Street Business Type: Org Type: Total Tanks 2 IndnRes/Tru t: No PA Contact: Dsg Own/Oper : ~~8!n ai~~• ~ic{- ~,,n,i„$~,re.~r~•r ICC Nbr PROPERTY OWNER INFORMATION Name Phone: ( ) - x Address: City State: Zip: Type ~ CORPORATION TANK OWNER INFORMATION Name Phone: Address: City State: Zip: Type CORPORATION - x BOE UST Fee# 005569 Financ'1 Resp: SELF INSURED Legal Notif Business Mailing Address Date:12/15/1999 Phone: (316) 647-4952x Name:ROD BROWN- Ttl:FACILITY MANAGER State UST # 1998 Upg Cert#: 00813 -2- O1/25/~007 F BAKERSFIELD MEMORIAL HOSPITAL ~ Hazmat Inventory ~ MCP+DailyMax Order = SiteID:.015-021-001121 ~ By Facility Unit ~ Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MAP ............. NITROUS OXIDE ~- F P IH G 6742.00 FT3 tai OXYGEN/ACETYLENE TORCH ~ E P R G 25-0.04 FT3 Q(P~ti ~" DRY CHLORINE S 200.00 LBS Hi _ LAUNCH SO~~.~''' IH L 110.00 GAL LIQUID BLEACH t~•~' R IH DH ~-8-~-4~8 L %`j r_nr. 1~t WASTE MERCURY / L g GAL tai JPC DIESEL #2 / F IH DH L 20000.00 GAL Mod ASSIST BUILDER/ IH L 110.00 GAL Mod RENEW EXTRA - DETERGENT Ii" F IH L 110.00 GAL Mod VALID II SOFTNER ~''° F IH L 110.00 GAL Mod PHOTOGRAPHIC DEVELOPERS ~ R IH L 60.00 GAL Mod WASTE XYLENE /- F IH L 55.00 GAL Mod OXYGEN ,~~.~~de'or ~ F P IH G 342900.00 FT3 Low JPC DIESEL #2 ~" F IH DH L 20000.00 GAL Low OXYGEN ~ F P IH G 5800.00 FT3 Low LIQUID OXYGEN/"- F P IH L 1620.00 GAL Low R 22 FREON F P IH G 558.00 FT3 Low ~ DIESEL ~ y ~~e~ L 500.00 GAL Low ~ ~ CARBON DIOXIDE, ~~: NITROGE / F P IH G 300.00 FT3 Low HYDRAULIC FLUID F DH L 110.00 GAL Low WASTE FIXER IH DH L 60.00 GAL Low NITROGEN / F P IH G 4080.00 FT3 Min ETHYLENE OXIDE / E F P IH G 3252.00 FT3 Min CARBON DIOXIDE ~ F P IH G 1120.00 FT3 Min HELIUM ~" F P IH G 976.00 FT3 Min ARGON / P DH G 280.00 FT3 Min WASTE BATTERIES ~ IH S 40.00 LBS UinR -3- 01/25/2007 .~ -4- Ol/25/~007 F BAKERSFIELD MEMORIAL HOSPITAL ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME NITROUS OXIDE Location within this .Facility Unit COMPRESSED GAS STORAGE OUTSIDE ENGR STATE TYPE PRESSURE _ Gas Pure Above Ambient SiteID: 015-021-001121 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# .. 1002-49-72 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION _ Largest Container Daily Maximum Daily Average 250.00 FT3 6742.00 FT3 I 3500.00 FT3 - t1HGAtC1JVU.7 1.V1~lYV1VP,1V1~ oWt. RS CAS# 100.00 Nitrous Oxide No 10024572 t1E~GKKL Aa ~L"~551~1G1V 1'S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MSC No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0037 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME "" OXYGEN/ACETYLENE TORCH ~ - Days On Site - 365 Location within this Facility Unit Map: Grid: MAINT SHOP CAS# ~GasATE ~Mixtur~AboveSAmbEent AmbientT~E PORTCOPRESSERCYLINDER AMOUNTS AT THIS LOCATION Largest Co250100rFT3 Daily 250100m FT3 I Daily 250r00e FT3 I1HGL'iCCLVU.7 1.V1~lYV1VI;1V 1.7 %Wt. ~ RS CAS# Oxygen, Compressed _ No 778247 Acetylene Yes 74052 IIHGHKL ,H J.7iS.7J1`7r,1V 1A TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies P R / / / Hi -5- 01/25/2007 F BAKERSFIELD MEMORIAL HOSPITAL SiteID: 015-021-001121 ~ ~ Inventory Item 0050 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DRY CHLORINE Days On Site DRY CHLORINE BLEACH _ 365 Location within this Facility Unit Map: Grid: LAUNDRY SORTING RM V CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid TMixture ~ Ambient ~ Ambient ~ LASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 100.00 LBS 200.00 LBS 200.00 LBS tit~~r~tcLVU~ wriruiv~ivl5 %Wt. RS CAS# 90.00 Sodium Hypochlorite No 7681529 t11~GE~1.CL 1~~J~~51~11"~1V 1 TSecret RS BioHaz Radioactive/Amount. EPA Hazards NFPA USDOT# M No No No No/ Curies / / / Hi ~ Inventory Item 0033 COMMON NAME / CHEMICAL NAME LAUNCH SOUR Location within this Facility Unit LAUNDRY DEPT RESERVE DRUM IN WHSE STATE TYPE PRESSURE Liquid TMixture Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 1309-45-1 _...... TEMPERATURE Ambient CONTAINER TYPE _ DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average S^S:~ ~.00 GAL 110.00 GAL 80.00 GAS ntiatstcLUUa ~.vrirvl~nlvt~ %Wt. RS CAS# 13.00 Hydrofluorosilicic Acid No 1696134 t1HG1~KL 1~~~~JJ1~1~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Hi -6- Ol/25/2n07 F=BAKERSFIELD MEMORIAL HOSPITAL ~ Inventory Item 0048 COMMON NAME / CHEMICAL NAME LIQUID BLEACH -- Simper ~'~,peo..d Location within this Facility Unit LAUNDRY RESERVE DRUM IN WHSE SiteID: 015-021-00111 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur_=mbient ~ Ambient ~ PLASTIC CONTAINER Dru.. AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average Soo -~~8~ 0 GAL ~~ r ~ 1~(. 0 0 GAL ~ ` ~ ~ ~ . 0 0 GAS HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Sodium Hypochlorite No 7681529 riAL,XKU AJ JL,JJl~li'~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH DH / / / Hi ~ Inventory Item 0044 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WASTE MERCURY /"" Days On Site 365 Location within this Facility Unit Map: Grid: HAZ WASTE CAGE CAS# STATE - TYPE ~ PRESSURE TEMPERATURE CONTAINER TYPE Liquid Waste I Ambient ~ Ambient -~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL ~ GAL ~ GAL °sWt . RSA CAS# riHGHKL 1~Jw7L" J~1~1L" 1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCA No No No No/ Curies / / / Hi HAZARDOUS COMPONENTS -7- 01/25/2007 ,; F=BAKERSFIELD MEMORIAL HOSPITAL SitelD: 015-021-00111 ~ ~ Inventory Item 0035 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME JPC DIESEL #2 ~_ Days On Site 365 Location within this Facility Unit Map: Grid: UNDER DRIVEWAY E PARKING LOT BEH ENGR CAS# 68476-34=6 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture Ambient ~ Ambient -~ER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 20000.00 GAL 20000.00 GAL 15000.00 GAL ........ HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Diesel Fuel No. 2 No 68476302 t11~G1~K1J AS a~~~1~1tS1V 1"5 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# Mph No No No No/ Curies F IH DH / / / Mod ~ Inventory Item 0030 COMMON NAME / CHEMICAL NAME ASS~ST BUILDER - ,~~vera~k , ~ UoSTCr Location within this Facility Unit LAUNDRY DEPT RESERVE DRUM IN WHSE STATE TYPE PRESSURE Liquid TMixture ~ Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: -- CAS# 1310-73-2 TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average S-~; p.-p ~6.0 0 GAL 110.0 0 GAL I 8 0. 0 0 GAL t1HGL-itCLVU.7 1..U1~lYV1V~1V 15 %Wt. RS CAS# 26.00 Sodium Hydroxide No 1310732 4.50 Trisodium Nitrilotriacetate No 5064313 I1HGHiCL H. 7.7J;J.71~11;1V-15 TSecret RS BioHaz .Radioactive/Amount EPA Hazards NFPA USDOT# MAP No No No No/ Curies IH / / / Moti -8- Ol/25/Z007 9_~ F BAKERSFIELD MEMORIAL HOSPITAL ~ Inventory Item 0031 .COMMON NAME / CHEMICAL NAME RENEW EXTRA - DETERGENT /- Location within this Facility Unit LAUNDRY DEPT STATE TYPE PRESSURE Liquid TMixtur~mbient SiteID: 015-021-001121 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 67-63-0 TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily',Maximum Daily Average 5...- C~v ~ . 0 0 GAL 110.0 0 GAL 8 0 . 0 0 GAL t1HGf1t~C1JVUJ 1:V1~lYV1VL''1V"1"~ %Wt. RS CAS# 5.00 Isopropyl Alcohol No 67630 18.00 Polyethoxylated Nonylphenols No 26027303 riAGKttL AJSL"~5,51~1t;1V"1"5 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCA No No No No/ Curies F IH / / / Mod ~ Inventory Item 0034 COMMON NAME / CHEMICAL NAME VALID II SOFTNER Location within this Facility Unit LAUNDRY DEPT RESERVE DRUM IN WHSE STATE TYPE PRESSURE Liquid TMixture ~mbient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 64-17=5 TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION "" Largest Container Daily Maximum Daily Average 5~--~ 6.0-r$ 0 GAL 110.0 0 GAL 8 0. 0 0 GAL t1tiGLjttLVUa lrV1~lYV1V~1V 1"a %wt. Rs cAS# 2.00 Ethyl Alcohol No 64175 3.00 Alkyl Dimethylbenzylammonium Chloride No 800155 riEiGtitC1J 1~.7 J L" J b1~1L' 1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# M~1 No No No No/ Curies F IH / / / Mod -9- 01/25/2007 y, ,• FGBAKERSFIELD MEMORIAL HOSPITAL SiteID: 015-021-001121 ~ ~ Inventory Item 0040 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME PHOTOGRAPHIC DEVELOPERS / Days On Site 365 . Location within this Facility Unit Map: Grid: 1ST FLR HAZMAT INNER CORE CAS# 123-31-9 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture I Ambient ~ Ambient ~LASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maxi um Daily Average . 0 GAL 10 0. 0 0 GAL ~ 0 0 GAL '~(~ .... riAGLitCLVUJ l.:Vi~lYV1VL'1V"15 ~Wt. RS CAS# 5.00 Sodium Sulfite - No 775737 5.00 Hydroquinone (EPA) ~ No 123319 ri.°.GKKL A7 5J;5~J1~11;1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No Yes No No/ Curies R IH / / / Mad ~ Inventory Item 0045 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WASTE XYLENE Days On Site 365 Location within this Facility Unit Map: Grid: MORGUE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TWaste -~ Ambient ~ Ambient ~ .BR-~-B-~nD~r~~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average. 0 GAL ~5 . 0 0 GAL 3 5. 0 0 GAL Il[-~GL-1tCLVU.7 1.V1~lYUlVtS1V 1 J owt. Rs cAS# 100.00 Xylene, Mixed No 1330207 riE1GL-1KL E~.7~~.7.71~1JJ1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCA No No No No/ Curies F IH / / / Mr~c3. -10- ~~ \~, Ol/25/2b07 F~BAKERSFIELD MEMORIAL HOSPITAL SiteID: 015-021-00111 ~ ~ Inventory Item 0007 Facility Unit: Fixed Containers on Sites ~ COMMON NAME,/ CHEMICAL NAME o~ . L-g„id Oxy~e.~ ... Ma~,v s-Qeservc Towks~ y~~~-5- ~,I. Tv7~i Days on sit+ 365 Location within this Facility Unit Map: Grid: REAR OF ENS in e8'rinaJ AtPT, ~ ~' CAS# ~~ 778247 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Pure Above Ambient Cryogenic INSUL.TANK / CRYOGENIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 342900.00 FT3 342900.00 FT3 225120.00 FT3 HAGA}.LJ~UUS CUMYUN~N'1'S %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 t11'~GKKL tiJ Jl;JJP71J1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MC1~ No No No No/ Curies 'F P IH / / / Lbw ~ Inventory Item 0028 COMMON NAME /CHEMICAL NAME Facility Unit: Fixed Containers on Sits ~ JPC DIESEL #2 Location within this Facility Unit DRIVEWAY E PARKING LOT BEH ENGR Map: Grid: Days On Site 365 CAS# 68476-34=6 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture~Ambient ~ Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 20000.00 GAL 20000.00 GAL 15000.00 GAfl -- riHGHlCLVUJ 1.U1~lYUlV1;1V 1.7 %Wt. RS CAS# 100.00 Diesel Fuel No. 2 No 684763b2 t11~GH.CCL 1~JJ~JJ1~1151V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCA No No No No/ Curies F IH DH / / / LC~N -11- 01/25/2007 F'BAKERSFIELD MEMORIAL HOSPITAL SiteID: 015-021-001121 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME OXYGEN ~- Days On Site 365 Location within this Facility Unit Map: Grid: lE,RESP,ER,DIAG,2E,2,PED LAB, XRAY POST PARTOM, NURSERY, 4,5 CAS# 7782-44=7 STATE T. TYPE PRESSURE TEMPERATURE ~1~ CONTAINER TYPE ~GaS I Pure .Ambient ~ Ambient I PORT_ PRESS_ CYLINDER I AMOUNTS AT THIS LOCATION - Largest Container Daily Maximum Daily Average 250.00 FT3 5800.00 FT3 2900.00 FT3 HAZARDOUS COMPONENTS %Wt• RS CAS# 100.00 Oxygen, Compressed No 7782447 I1tiGtiiCL EiJ JP~JJP7LS1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards, NFPA USDOT# MSC No No No No/ Curies F P IH / / / Ltvv ~ Inventory Item 0049 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME LIQUID OXYGEN / Days On Site ~ 365 Location within this Facility Unit Map: Grid: -- PAD BORDERS E PARKING LOT - Meyt ~'o wovn~ Ce~7er, CAS# 7782-44-7 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TPure -~mbient ~ Ambient _~T,Ab-E@N~I~R-I~?1~DR~31~# L./Zrf v/. ~oAl~ / sei:~er ~n ' ~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1500.00 GAL 1620.00 GAL 1620.00 GAL aic'auaz[u~vV.7 ~.vrirVlVLilV1a oWt. RS CAS# 100.00 Oxygen, Compressed No 7782447 I]liL~ti1CL HJ JP~J J1"181V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCA No No No No/ Curies F P IH / / / Lo+ly -12- 01/25/2007 FIBAKERSFIELD MEMORIAL HOSPITAL SiteID: 015-021-00111 ~ I ~ Inventory Item 0042 Facility Unit: Fixed Containers on Site ~ ~ COMMON NAME / CHEMICAL NAME R 22 FREON .-, ~~-S •/6 ~ N ?~nlC Days On Site ~~ 365 Location within this Facility Unit Map: Grid: COMPRESSED GAS CAGE CAS# 30 ~b ~unll i~ tl•V.A. c. S~,e 75-45-6 _.. ~ ~GaSATE T TYPE ~AboveSAmbEent AmbientTURE ~ CONTAINER TYPE Pure PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 558.00 FT3 558.00 FT3 558.00 FTC riL~GAtCLVU~ C:V1~lYV1V~1V'15 %Wt. RS CAS# 100.00 Chlorodifluoromethane No 75456 _ YlE~GAtCL L~aal'~JSl~lt;1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Lt7`+u ~ Inventory Item 0041 Facility Unit: Fixed Containers on Site ~ COMMON NAME j CHEMICAL NAME DIESEL ~ Days On Site 365 Location within this Facility Unit Map: Grid: SW END OF BLDG SKILLED NURSING UNIT CAS# Liquid TMixture~ Ambient~E ~ AmbientT~E ABOVEOGROIUNDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 500.00 GAL 500.00 GAL 500.00 GAL riEiGL~tC.LV U .7 1. V1"lY V1V L" 1V 1.7 oWt. RS CAS# 100.00 DIESEL FUEL NO. 2 No 684763b2 t11~G1'iKL H~J1",.7J1~1t51V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Ldvu -13- Ol/25/2b07 FiBAKERSFIELD MEMORIAL HOSPITAL SiteID: 015-021-001121 ~ ~ Inventory Item 0011 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME CARBON DIOXIDE, ~, NITROGEN ~- Days On Site Nydro'.e~ 365 Location within this Facility Unit Map: Grid: LAB STORAGE MICRO BIOLOGY RM CAS# 128-38-9 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas TMixtur~Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 250.00 FT3 300.00 FT3 150.00 FT3 TTT ATR'1T1I1TTA /Y /~T IrT /~'~TTl1TTA """""" til~GtiCCLVU.7 ~vrirvivl,iv 1 a oWt. RS CAS# 12.00 Carbon Dioxide ~ ~ No 124389 21.00 ~~d ff~ch No 7782447 67.00 Nitrogen ~ No 7727379 nr~~tucL ~ J~1;Jal~il;ivlJ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Love ~ Inventory Item 0046 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAM~_ HYDRAULIC FLUID ~ Days On Site 365 Location within this Facility Unit Map: Grid: N SIDE OF BLDG TRASH COMPACTORS OUTSIDE LAUNDRY .CAS# 0 Liquid TMixture~ Ambient~E ~ AmbientT~E IN MACHINE/EQUIPPE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 110.00 GAL 110.00 GAL If 110.00 GAL rltic,rilxuvua wl~lrvlvl=,ivla °sWt. RS CAS# 100.00 Brake Fluid, Hydraulic (Diethylene Glycol Monob... No 112345 t1tiGE~1KL HJ.71=,JJ1~1~1V 1.7 TSecret RS BioHaz Radioactive/Amount. EPA Hazards NFPA USDOT# MC1~ No No No No/ Curies F DH / / / Low -14- 01/25/2007 :tl FjBAKERSFIELD MEMORIAL HOSPITAL SiteID: 015-021-001121 ~ ~ Inventory Item 0039 Facility Unit: Fixed Containers on Site ~ ,COMMON NAME / CHEMICAL NAME To~AS'I`E' FIXER ~- Days On Site Q~ea~o~raphiv ~ 365 Location within this Facility Unit Map: Grid: 1ST FLR HAZMAT INNER CORE CAS# 7783-18-8 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TWaste Ambient ~ Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 100.00 GAL 60.00 GAL 60.00 GAL H ZARDOUS COMPONENTS oWt. RS CAS# 10.00 Ammonium Thiosulfate No A 778318 ilt~GtiRL tiJ JL~.7.71~1P~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MRCP No No No No/ Curies IH DH / / / LC~vv ~ Inventory Item 0003 _ Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL N NITROGEN Days On Site 365 Location within this Facility Unit Map: Grid: --- OUTSIDE MAIN BLDG STORAGE AREA CAS# 7727-37-9 STATE TYPE PRESSURE -~ TEMPERATURE ~~ CONTAINER TYPE ~GaS Pure Above Ambient I Ambient I PORT_ PRFGG CVT,TNTIRR I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average FT3 4080.00 FT3 I 1080.00 FT3 ricauraiu~v~a ~.v1•irvlv~lV t ~ °sWt. RS CAS# 100.00 Nitrogen No 7727379 TSecret RS BioHaz ilti[~tiRL ti. Radioactive/Amount 7 .J P~J J1°1P~1V 1 iJ EPA Hazards NFPA USDOT# MCA No No No No/ Curies F P IH / / / Min -15- Ol/25/2b07 ..~ F~BAKERSFIELD MEMORIAL HOSPITAL SiteID: 015-021-00111 ~ ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME """ ETHYLENE OXIDE. ~-- Days On Site 365 Location within this Facility Unit Map: Grid: -- OUTSIDE MAIN PLANT STORAGE AREA CAS# 75-7i-8 ~GaSATE TYPE ~~ PRESSURE ~~ TEMPERATURE ~~ CONTAINER TYPE TMixture I Above Ambient I Ambient I PORT_ PRESS. CYLINDER I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 250.00 FT3 3252.00 FT3 2168.00 FT3 nsiarucLVU~ ~.vrtrvlvr~ty t ~ °s~^1t • RS CAS# 12.00 Ethylene Oxide (EPA) Yes 753.8 88.00 Dichlorodifluoromethane No 75718 ntiatit~t~ H. 7iJ~.7.71"1P~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No Yes No No/ Curies F P IH / / / Mi ~ Inventory Item 0006 Facility Unit: Fixed Containers on Side ~ COMMON NAME / CHEMICAL NAME CARBON DIOXIDE Days On Site 365 Location within this Facility Unit Map: Grid: -- OUTSIDE MAIN PLANT STORAGE CAS# 124-38-9 STATE T TYPE T PRESSURE ~~ TEMPERATURE ~ CONTAINER TYPE ~G3S I Pure I Above Ambient I Ambient I pnRT _ PRESS _ (''YT~TTTI~F.R I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 250.00 FT3 1120.00 FT3 1120.00 FT3 riraL~ti[<LVIJJ ~.vl-lrvlvL~lvtJ - %Wt• RS CAS# 100.00 Carbon Dioxide No 1243$9 TSecret RS BioHaz rla"~L~L'iCCL tiJ Radioactive/Amount JL1J J1.1L'1V 1~7 EPA Hazards NFPA USDOT# MC$ No No No No/ Curies F P IH / / / Mini L -16- Ol/25/Zb07 .,, . F~BAKERSFIELD MEMORIAL HOSPITAL SitelD: 015-021-001121 ~ ~ Inventory Item 0013 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME --- HELIUM ~f Days On Site 365 Location within this Facility Unit Map: Grid: GIFT SHOP CAS# EXTRA CYL IN CYL STORAGE AREA ACROSS FROM ENGR 7440-59-7 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 250.00 FT3 976.00 FT3 976.00 FT3 rat'~t~tiRLV V iJ l,Vl•!t'V1Vr,1V 1 J °Wt• RS CAS# 100.00 Helium No 744057 HAZARD AS SESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# M~C1~ No No No No/ Curies F P IH / / / Midi ~ Inventory Item 0029 Facility Unit: Fixed Containers on Side ~ COMMON NAME / CHEMICAL NAME ---- ARGON ~~ Days On Site 365 Location within this Facility Unit Ma : Grid ---- p : MAIN PLANT' MAINT STORAGE AREA ONE BOTTLE IN MAINT SHOP CAS# 7440-3'7=1 STATE TYPE ~ PRESSURE TEMPERATURE CONTAINER TYPE Gas Mixture Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 250.00 FT3 280.00_ FT3 I 140.00 FT3 ........_... °Wt• RS CAS# 40.00 Argon No 7440371 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MC1~ No No No No/ Curies P DH / / / Min -17- Ol/25/2b07 "e F^BAKERSFIELD MEMORIAL HOSPITAL SiteID: 015-021-001121 ~ ~ Inventory Item 0043 Facility Unit: Fixed Containers on Side ~ COMMON NAME / CHEMICAL NAME WASTE BATTERIES ! Days On Site V 365 Location within this Facility Unit Map: Grid: HAZ WASTE CAGE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid TWaste ~ Ambient ~ Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION - Largest Con40100rLBS Daily M40100m LBS I Daily A40r00e LBS oWt. RS.I CAS# t1E~GE~tCL L~5 .5L' J~1~1~1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCA No No No No/ Curies IH / / / Un1 HAZARDOUS COMPONENTS -18- O1/25/2b07 `a F`'BAKERSFIELD MEMORIAL HOSPITAL SiteID: 015-021-001121 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 04/03/2006 ~ CALL 911 AND OFFICE OF EMERGENCY SERVICES 800-852-7550. Employee Notif./Evacuation 04/03/2006 NOTIFY HOSPITAL OPERATOR 327-1792 WHO WILL NOTIFY PERSON .IN CHARGE WHO WILL INITIATE EVACUATION PLAN. Public Notif./Evacuation 04/03/2006 NOTIFY HOSPITAL OPERATOR 327-1792 WHO WILL NOTIFY PERSON IN CHARGE WHO WILL INITIATE EVACUATION PLAN. Emergency Medical Plan 06/11/1957 EMERGENCY ROOM, MEMORIAL HOSPITAL: IF UNABLE, WE HAVE A DISASTER PLAN TO RELOCATE AT GARCES HIGH SCHOOL. -19- 01/25/2007 F'BAKERSFIELD MEMORIAL HOSPITAL SiteID: 015-021-001121 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 03/10/2000 ~ CHANGE TO PRODUCTS CONTAINING NO HAZARD SUBSTANCES WHENEVER POSSIBLE. TRY TO STOCK MINIMUM QUANTITIES WHENEVER POSSIBLE. TRY TO MINIMIZE RISKS BY EMPLOYEE AWARENESS EDUCATION. Release Containment COMPRESSED GAS CYLINDERS CHAINED. 01/26/1993 Clean Up 04/03/20016 HOSPITAL CLEANS UP SPILLS UP TO 5 GAL BY SPILL TEAM WITH OSHA-APPROVED TRAINING. Vl.i1Ci KCSUUI-C:e 1-~C:L1VcLL1UI1 -20- 01/25/2007 F~BAKERSFIELD MEMORIAL HOSPITAL SiteID: 015-021-001121 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~ Special Hazards 10/20/1993 ~ RADIOISATOPES ON HAND RADIATION HAZARD. Utility Shut-Offs O1/25/20C17 A) GAS - E PARKING LOT E OF PURCH WHSE B) ELECTRICAL - N OF ENG CNTRL PLANT C) WATER - 34TH ST FRONT OF HUMAN RESOURCES & CRNR 34TH & SAN DIMAS D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 12/22/20(76 PRIVATE FIRE PROTECTION - KERN SECURITY 588-4357 (FIRE PROTECTION) OR TEL TECH 398-0586 (BLDG SECURITY). Building Occupancy Level 1500 EMPLOYEES 05/16/20(76 -21- O1/25/2b07 b .~: L: F'BAKERSFIELD MEMORIAL HOSPITAL SiteID: 015-021-00117. ~ Fast Formdt ~ ~ Training .Overall Site ~ ~ Employee Training 05/16/20175 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUP~II~IARY OF TRAINING PROGRAM: EACH EMPLOYEE HAS REVIEWED A 20-MINUTE VIDEO ON HAZARDOUS SUBSTANCES, AND HAS RECEIVED A SAFETY GUIDELINE PAMPHLET AT NEW EMPLOYEE ORIENTATION AND THEN AGAIN ON AN ANNUAL BASIS. SPILL TEAM OSHA-TRAINED BY BAKERSFIELD COLLEGE LIST OF SPILL TEAM AT PBX OPERATORS DESK. SPILL TEAM LEADERS DETERMINE SCOPE OF WORK AND SUPERVISE CLEAN-UP: ROD BROWN OR MIKE MORIN. rage ~ Held for Future Use -22- O1/25/~007 ~ C ~~: F $AKERSFIELD MEMORIAL HOSPITAL SiteID: 015-021-b0112]. Fast Format ~ Training Overall Sites n~iu tvi rul.ulC U5C -23- Ol/25/2b07