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Home My WebLink AboutBUSINESS PLAN 7/26/2007i II ~- - - ----- ~ ~ ~ KAISER PERMANENTE ~ - 8800 MING AVE. ~~8 m ,'~~~',. ~i ~r'l . `KAISER PERM&1~1~NTE SiteID: 015-021-001841 -P~~?~ ~~ Act .Manager BusPhone: (661) 664-3700 Location: 8800 MING AVE Map 123 CommHaz Minimal City BAKERSFIELD Grid: 05D FacUnits: 1 AOV: CommCode: BFD STA 09 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title / DEPT ADMIN / ASST DEPT ADMIN Business Phone: (661) 664-3810x Business Phone: (661) - 24-Hour Phone - 24-Hour Phone (66L~-- - Pager Phone ( 661) Pager Phone ( 661) ~~ ~~5~.~ Hazmat Hazards: React Contact D J Pa^^'e ~`' C as Phone: (661) 664-3810x MailAddr: PO BOX 12099 State: CA City. BAKERSFIELD Zip 93389-2099 Owner KAISER FOUNDATION HEALTH PLAN INC Phone: (661) 664-3700x Address PO BOX 12099 State: CA City BAKERSFIELD Zip 93389-2099 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG H - HAZ WASTE GEN / ~~ ~~ ~c~ ~' ~ c. ~~ ~ ~-s z ~ 17 F3as2d on my inquiry o f those individuals responsi:;ie for obtaining the information, !certify under penalty of la~v th t ' `eve personally examined ar ~. . fa~,~~lia ,~itii the information . ubmitted a ~F,vevP ~ ~e"information is ;ue, accura ~' c ~ ' ~G ~ ~ ENT°p J U ~. ~ ~ ~~1U/ Signature .date 9 -1- 07/12/2007 i F°KAISER PERMANENTE SiteID: 015-021-001841 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... ISpecHazIEPA Hazards) Frm I DailyMax IUnitIMCPI WASTE FIXER R L 5.00 GAL Minl -2- 07/12/2007 _3_ 07/12/2007 T F`KAISER PERMANENTE ~ Inventory Item 0001 COMMON NAME./ CHEMICAL NAME WASTE FIXER Location within this Facility Unit RADIOLOGY SiteID: 015-021-001841 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: ~ CAS# STATE TYPE PRESSURE Liquid TWaste ~ Ambient Largest Container 5.00 GAL TEMPERATURE CONTAINER TYPE Ambient ~STIC CONTAINER AMOUNTS AT THIS LOCATION Daily Maximum 5.00 GAL Daily Average 3.00 GAL t1HGLiKLV U 5 1:V1~lYV1V1';1V 1 %Wt. RS CAS# Silver No 7440224 riHGAK1J 1',SaL~~1~1L';1V'1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -4- 07/12/2007 F'KAISER PERMANENTE SitelD: 015-021.-001841 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 03/02/2007 DISCOVERY: DISCOVERER MUST DETERMINE WHETHER TO EXTINGUISH OR TO CLOSE OFF AREA AND CALL OPERATOR. WHO TO NOTIFY FIRST: DECISION TO BE BASED ON SITUATION AND SEVERITY OF FIRE. IF COWORKERS ARE PRESENT: CALL OUT FOR HELP AND GIVE SPECIFIC INSTRUCTION. IF ALONE: FIGHT FIRE OR CALL OPERATOR AND GIVE SPECIFIC LOCATION AND TYPE OF FIRE. HOW TO NOTIFY: SAY WASTEBASKET FIRE IN X-RAY ROOM 4 OR ELECTRICAL FIRE IN MAMMO ROOM B. THIS WILL GIVE OPERATOR TERMINOLOGY FOR CALLING 911. PUBLIC ADDRESS ANNOUNCEMENT WORDING: CODE RED IN X-RAY ROOM 4, WHEN DANGER HAS PASSED, ANNOUNCE: CODE RED CLEAR. 9 9 Employee Notif./Evacuation 03/02/2007 RESPONSIBILITIES: USE TEAM APPROACH - CALL THOSE IN IMMEDIATE AREA BY NAME. ONE PERSON CALLS OPERATOR, ONE GETS FIRE EXTINGUISHER OR STARTS PATIENT EVACUATION. OPERATORS/SCHEDULERS: ANNOUNCE OVER PA, CODE RED IN X-RAY ROOM 4. OPERATORS/SCHEDULERS USE TEAM APPROACH AND VERBALLY DESIGNATE DUTIES TO EACH OTHER. ADDITIONALLY, YOU WILL ASSIST IN EVACUATING PATIENTS. CLOSE CONFERENCE, LIBRARY, AND SCHEDULING OFFICE DOORS AFTER CHECKING FOR OCCUPANTS. Public Notif./Evacuation 07/26/2006 NURSE/TECHNOLOGISTS: EVACUATE YOUR AREA OF PATIENTS, VISITORS, AND ASSIST OTHERS. TURN OFF 02 AND MACHINE CONSOLES, SHUT DOWN CRT TERMINALS, CLOSE DOORS AFTER CHECKING X-RAY ROOMS, DRESSING, AND RESTROOMS. L'utGly Gllt.y 1.1C U11~C11 r1CL11 -5- 07/12/2007 F~~KAISER PERMANENTE SiteID: 015-021-001841 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 03/02/2007 ~ KEEP OXYGEN TANKS CHAINED TO WALL. BAG ALL WASTE AND STORE IN LOCKED ROOM. Release Containment 01/19/2001 02 MUST BE TURNED OFF IN NUCLEAR MEDICINE STRESS ROOM, SPECIALS ROOM, NURSES STATION, CT, MRI. Clean Up 05/05/2006 CALIFORNIA IMAGING SOLUTIONS, 3101 16TH ST, 337-9729. BFI MEDICAL WASTE SYSTEMS, MICHAEL K SMITH, 4135 W SWIFT AVE, FRESNO, CA 93722, 559-275-0991; 800-350-0992; 559-275-7469 FAX. v~.iici icc~vui~c til..l~lVCal.1V11 -6- 07/12/200? F~~KAISER PERMANENTE SiteID: 015-021-001841 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .7~JCC:ld1 LldGdIUS Utility Shut-Offs 03/02/2007 GAS - NW CRNR LOADING DOCK ELECTRICAL - 3 ELECT RMS S SIDE MIDDLE BLDG LOADING DOCK, 1 N SIDE NEAR GAS SHUT-OFF NW LOADING DOCK, AND 1 N SIDE E MAIN ENT WATER - MAIN S SIDE BLDG ON BERM NEXT TO SIDEWALK LOCK BOX - YES KNOX BOXES N & W ENTR ON STONE PILLARS Fire Protec./Avail. Water 07/26/2006 FIRE HYDRANT - ONE ON HAGGIN OAKS W SIDE AND TWO ON S SIDE ON MING. I~ ~ Building Occupancy Level 07/26/2006 120 EMPLOYEES -7- 07/12/2007 . .• FA KAISER PERMANENTE SiteID: 015-021-001841 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 07/26/2006 ~ MSDS SHEETS ON FILE IN MULTIPLE LOCATIONS. BRIEF SUMMARY OF TRAINING PROGRAM: ALL KAISER PERMANENTS EMPLOYEES IN KERN COUNTY ARE REQUIRED TO. HAVE ANNUAL SAFETY TRAINING ADMINISTERED BY OUR EDUCATION DEPARTMENT. rciyC a Held for Future Use nciu i.vt r u~.utc vac -8- 07/12/2007 ~~ ~ - - ~,- - ,~-` + KAISER PERMANENTE ___________________________________ SiteID: 015-021-001841 + Manager ANGIE CAVE-BROWN Location: 8800 MING AVE City BAKERSFIELD BusPhone: (661) 664-3766 Map 123 CommHaz Minimal Grid: 05D FacUnits: 1 AOV: CommCode: BFD STA 09 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title DLN BROWN / COMPLIANCE MGR DAVID P SCHALE MD / Business Phone: (661) 32,.2-1981x Business Phone: (661) 322-1981x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React Contact Q~,~~"Zl ~hhheDy Phone: (661) 664-3766x MailAddr: 8800 MING AVE State: CA City BAKERSFIELD Zip 93311 Owner KAISER FOUNDATION HEALTH PLAN INC Phone: (661} 664-3766x Address 8800 MING AVE State: CA City BAKERSFIELD ! Zip 93311 +---------------------------~i~j ~~_"-~~~ -----------------------------------+ Period to ~33~~,~Q~ TotalASTs : = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: ----------------------------- ---------------------------------- + Emergency Directives: ~ a~j + PROG H - HAZ WASTE GEN '~~ E~T'D J ~) ~ 2 6 2006 Based on my inquiry of those individuals responsible for obtaining the information, i certify 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. Signature Date Na~"oia 5~~ -1- 05/05/2006 I ~ , '1 KAISER PE ~ENTE SiteID: 015-021-001841 R ~JGi r~~ ~ Manager BusPhone: (661) 664-3766 Location: 8800 MING AVE Map 123 CommHaz Minimal City BAKERSFIELD Grid: 05D FacUnits: 1 AOV: CommCode: BFD STA 09 EPA Numb: SIC Code: DunnBrad: Emergency Contac Title ~f ~,~ ,'iiFihtergency Contact / Title Business Phone : ( 6 1) 3~-~ 1~~-3-~~ loG ~J-3!~ l Business Phone : ( 6 61) 3 ° ` GG~,3 2 4 -Hour Phone ( (pj ) ~~ - ~9Q~x 2 4 -Hour Phone (~j(// ) 9pp Sai~/x P one Phone (~GI) ~ S - Hazmat Hazards: ~ ~`~ ~~ React Contact DARRELL HARDY Phone: (661) 664-3~6~' MailAddr: PO BOX 12099 State: CA City BAKERSFIELD Zip 93389-2099 Owner KAISER FOUNDATION HEALTH PLAN INC Address PO BOX 12099 City BAKERSFIELD Period to Preparer• Certif' d: ParcelNo: Emergency Directives: PROG H - HAZ WASTE GEN Based on my inquiry of those individuals responsible for obtaining the infcrma4ign, I certify under penalty of law that I have personally examined n am fami ' "ith the information submittP d b '..J ;ttie information is true, occur e, d . mp e. ~~ ~~ S' ' ~ Date Phone: (661) 664-3766x State: CA Zip 93389-2099 TotalASTs: = Gal TotalUSTs: = Gal RSs: No ~N~'~ ~A~ ~ ~QQ~ ~~,, ~-~ y ~ uoJn.,~y~ ~ G -1- 02/01/2007 1 ' 1' , F KAISER PERMANENTS SiteID: 015-021-001841 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP WASTE FIXER R L 5.00 GAL Min -2- 02/01/2007 -3- 02/01/2007 r~ ~~ F KAISER PERMANENTS SiteID: 015-021-001841 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE FIXER Days On Site 365 Location within this Facility Unit Map: Grid: RADIOLOGY CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TWaste -r Ambient ~ Ambient ~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 5.00 GAL 5.00 GAL 3.00 GAL tiAG1~tCUUUa C:U1~lYUlV~1V'1'S gWt. RS CAS# Silver No 7440224 t1HGHKlJ A~~iS551~1t51V'1'S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -4- 02/01/2007 F KAISER PERMANENTE SiteID: 015-021-001841 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 07/26/2006 DISCOVERY: DISCOVERER MUST DETERMINE WHETHER AREA AND CALL OPERATOR. WHO TO NOTIFY FIRST: SITUATION AND SEVERITY OF FIRE. IF HELP AND GIVE SPECIFIC INSTRUCTION. AND GIVE SPECIFIC LOCATION AND TYPE "WASTEBASKET FIRE IN X-RAY ROOM 4" THIS WILL GIVE OPERATOR TERMINOLOGY ANNOUNCEMENT WORDING: "CODE RED IN ANNOUNCE: "CODE RED CLEAR." TO EXTINGUISH OR TO CLOSE OFF DECISION TO BE BASED ON COWORKERS ARE PRESENT: CALL OUT FOR IF ALONE: FIGHT FIRE OR CALL OPERATOR OF FIRE. HOW TO NOTIFY: SAY OR "ELECTRICAL FIRE IN MAMMO ROOM B." FOR CALLING 911. PUBLIC ADDRESS X-RAY ROOM 4" WHEN DANGER HAS PASSED, 9 Employee Notif./Evacuation 07/26/2006 RESPONSIBILITIES: USE TEAM APPROACH - CALL THOSE IN IMMEDIATE AREA BY NAME. ONE PERSON CALLS OPERATOR, ONE GETS FIRE EXTINGUISHER OR STARTS PATIENT EVACUATION. OPERATORS/SCHEDULERS: ANNOUNCE OVER PA, "CODE RED IN X-RAY ROOM 4." OPERATORS/SCHEDULERS USE TEAM APPROACH AND VERBALLY DESIGNATE DUTIES TO EACH OTHER. ADDITIONALLY, YOU WILL ASSIST IN EVACUATING PATIENTS. CLOSE CONFERENCE, LIBRARY, AND SCHEDULING OFFICE DOORS AFTER CHECKING FOR OCCUPANTS. Public Notif./Evacuation 07/26/2006 NURSE/TECHNOLOGISTS: EVACUATE YOUR AREA OF PATIENTS, VISITORS, AND ASSIST OTHERS. TURN OFF 02 AND MACHINE CONSOLES, SHUT DOWN CRT TERMINALS, CLOSE DOORS AFTER CHECKING X-RAY ROOMS, DRESSING, AND RESTROOMS. Emergency Medical Plan -5- 02/01/2007 P KAISER PERMANENTE SiteID: 015-021-001841 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention ~~~ ~ w ~~ ~ s~ ~ ~ ,c ~~~,~ ~~ Release Containment 01/19/2001 02 MUST BE TURNED OFF IN NUCLEAR MEDICINE STRESS ROOM, SPECIALS ROOM, NURSES STATION, CT, MRI. Clean Up 05/05/2006 CALIFORNIA IMAGING SOLUTIONS, 3101 16TH ST, 337-9729. BFI MEDICAL WASTE SYSTEMS, MICHAEL K SMITH, 4135 W SWIFT AVE, FRESNO, CA 93722, 559-275-0991; 800-350-0992; 559-275-7469 FAX. V1~11C1 itC.7VULtrC tip-V1VGL 1.1 V11 -6- 02/01/2007 F KAISER PERMANENTE SiteID: 015-021-001841 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ J~JC x..10.1 nac,aiua Utility Shut-Offs 02/01/2007 A) GAS - NW CRNR LOADING DOCK B) ELECTRICAL - 3 ELECT RMS S SIDE MIDDLE BLDG LOADING DOCK, 1 N SIDE NEAR GAS SHUT-OFF NW LOADING DOCK, AND 1 N SIDE E MAIN ENT C) WATER - MAIN S SIDE BLDG ON BERM NEXT TO SIDEWALK D) SPECIAL - NONE E) LOCK BOX - YES KNOX BOXES N & W ENTR ON STONE PILLARS Fire Protec./Avail. Water 07/26/2006 FIRE HYDRANT - ONE ON HAGGIN OAKS W SIDE AND TWO ON S SIDE ON MING. Building Occupancy Level 07/26/2006 120 EMPLOYEES -7- 02/01/2007 F KAISER PERMANENTE SiteID: 015-021-001.841 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 07/26/2006 ~ MSDS SHEETS ON FILE IN MULTIPLE LOCATIONS. BRIEF SUMMARY OF TRAINING PROGRAM: ALL KAISER PERMANENTE EMPLOYEES IN KERN COUNTY ARE REQUIRED TO HAVE ANNUAL SAFETY TRAINING ADMINISTERED BY OUR EDUCATION DEPARTMENT. rayc ~ nciu i.vL ru~uic u~c nciu ivL ru~.uic ~5c -s- 02/ol/aoo7 REV; 8/05 Pap®1 of 1