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HomeMy WebLinkAboutBUSINESS PLAN 2/28/2007 / '. .z;;c:) ,{e ~J ~,E [) ,j [) '~ [') ~~', \ - [ ',il SAN JOAQUIN VALLEY COLl~~EG, E,~ Iii 201 NEW STINE ROAD J -,'-'...--- ---".- -, ==,'-=-:::::- '-"'=--=--__ ::"'--,J '~ I r " '~ .. '1 SAN JOAQUIN VALLEY COLLEGE SiteID: 015-021-001066 Manager : GINA MOORE Location: 201 NEW STINE RD City BAKERSFIELD BusPhone: Map : 123 Grid: 02B (661) 834-0126 CommHaz : High FacUnits: 1 AOV: CommCode: BFD STA 11 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Titlit GINA MOORE / ~rLi Business Phone: (661) 834-012 x 24-Hour Phone : (661) 330-2884x Pager Phone : ( ) - x Emergency DAVE KIRK Business Phone: 24-Hour phone : Pager Phone : Contact / Title / t:ACt'I,'h'{S {f/6-IZ.., (661J. '834-0126x (661) 301-9725x ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Period : Preparer: Certif'd: parcelNo: to Phone: (559) 734-9000x State: CA Zip : 93277 Phone: (559) 734-9000x State: CA Zip : 93277 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Contact : MIKE & MARK PERRY MailAddr: 3828 W CALDWELL AVE City : VISALIA Owner Address : City MIKE & MARK PERRY 3828 W CALDWELL AVE : VISALIA Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN Cassel on my inquiry of th ". respons;t!e ..or obtaining the i f ase ,~ndlvlduals under ponalty of law that r ~~~aIlon, I certify examined and am familiar with th e person~"y suomnted and beli<>ve th . f e..lnformatlon accurate, and comp/;te. e In ormallon is true, ~~ Signature - --.:. -<--. .2 -2 7-tJ7 Date fNf'O rea 2 B 2007 -1- 02/06/2007 " .~ - F SAN JOAQUIN VALLEY COLLEGE p= Hazmat Inventory f== MCP+DailyMax Order SiteID: 015-021-001066 , By Facility Unit , Fixed Containers on Site =, IspecHazlEPA Hazards I Frm I DailyMax lunitlMCP E F P IH G 1160.00 FT3 Hi F IH DH G 2248.00 FT3 Low F DH L 15.00 GAL Low G 952.00 FT3 Min F P IH G 912.00 FT3 Min F DH L 15.00 GAL UnR Hazmat Common Name... ACETYLENE OXYGEN WASTE OIL COMPRESSED AIR NITROGEN WASTE COMPRESSOR OIL -2- 02/06/2007 ~ -3- 02/06/2007 'i' F SAN JOAQUIN VALLEY COLLEGE p= Inventory Item 0003 = COMMON NAME / CHEMICAL NAME ACETYLENE SiteID: 015-021-001066 =, Facility Unit: Fixed Containers on Site, Days On Site 365 Location within this Facility Unit TOOL RM (RACT) Map: Grid: CAS # 74-86-2 STATE - TYPE Gas Pure PRESSURE Above Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 145.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 1160.00 FT3 Daily Average 580.00 FT3 %Wt. I 100.00 Acetylene HAZARDOUS COMPONENTS ~ CAS # 748621 HAZARD ASSES TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi SMENTS f= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME OXYGEN Facility Unit: Fixed Containers on Site=, Days On Site 365 Location within this Facility Unit TOOL RM (RACT) & STORAGE RM (RCP) Map: Grid: CAS # 7782-44-7 STATE Gas TYPE Pure PRESSURE Above Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 281. 00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 2248.00 FT3 Daily Average 1124.00 FT3 HAZARDOUS COMPONENTS %Wt. RS CAS # 100.00 Oxygen, Compressed No 7782447 A ES TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low HAZARD SS SMENTS -4- 02/06/2007 .'" F SAN JOAQUIN VALLEY COLLEGE p= Inventory Item 0006 F= COMMON NAME / CHEMICAL NAME WASTE OIL SiteID: 015-021-001066 , Facility Unit: Fixed Containers on Site=, Days On Site 365 Location within this Facility Unit SW CRNR STORAGE CAGE Map: Grid: CAS # 221 STATE - TYPE Liquid Waste PRESSURE . Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 30.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 15.00 GAL Daily Average 15.00 GAL %Wt. RS CAS # 100.00 Waste Oil, Petroleum Based No 0 HAZARDOUS COMPONENTS HAZ A E TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low ARD SS SSMENTS f= Inventory Item 0004 Facility Unit: Fixed Containers on Site=, F= COMMON NAME / CHEMICAL NAME COMPRESSED AIR Days On Site 365 Location within this Facility Unit MED OXY STORAGE RM Map: Grid: CAS # STATE - TYPE Gas Mixture PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 238.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 952.00 FT3 Daily Average 476.00 FT3 HAZARDOUS COMPONENTS ~ CAS # 01 I l~~~ooIAir HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Min -5- 02/06/2007 F SAN JOAQUIN VALLEY COLLEGE f= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME NITROGEN SiteID: 015-021-001066 , Facility Unit: Fixed Containers on Site=, Days On Site 365 Location within this Facility Unit TOOL RM (RACT) Map: Grid: CAS # 7727-37-9 - TYPE Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 304.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 912.00 FT3 Daily Average 304.00 FT3 %Wt. I 100.00 Nitrogen HAZARDOUS COMPONENTS ~ CAS # 77273791 HAZARD ASSE MENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min SS p= Inventory Item 0005 F== COMMON NAME / CHEMICAL NAME WASTE COMPRESSOR OIL Facility Unit: Fixed Containers on Site, Days On Site 365 Location within this Facility Unit Map: Grid: CAS # STATE - TYPE Liquid Waste PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 30.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 15.00 GAL Daily Average 15.00 GAL %Wt.1 HAZARDOUS COMPONENTS G CAS # TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No NO/ Curies F DH / / / UnR HAZARD ASSESSMENTS -6- 02/06/2007 F SAN JOAQUIN VALLEY COLLEGE I f= Notif./Evacuation/Medical Agency Notification SiteID: 015-021-001066 , Fas t Format =, Overall Site=, 11/02/2000 CALL 911. Employee Notif./Evacuation 11/02/2000 STAFF AND STUDENTS ARE INFORMED OF EVACUATION ROUTES AND MEETING AREAS. Public Notif./Evacuation 11/02/2000 STAFF AND STUDENTS ARE INFORMED OF EVACUATION ROUTES AND MEETING AREAS. Emergency Medical Plan 11/02/2000 HALL MEDICAL EMERGENCY IS NOTIFIED FOR MEDICAL ASSISTANCE. -7- 02/06/2007 F SAN JOAQUIN VALLEY COLLEGE I f= Mitigation/prevent/Abatemt Release Prevention SiteID: 015-021-001066 1 Fast Format '9 Overall Site '9 05/02/2006 ALL REFRIGERANT IS KEPT IN STORAGE ROOM IN CHAINED RESTRAINTS. ALL WELDING SUPPLIES ARE KEPT IN APPROVED CARTS AND STORED IN STORAGE AREA WHEN NOT IN USE. :Release Containment All Refrigerant is kept in storage room in chained restraints. All welding svpplies are kept in approved carts and stored ln storage area when not in use, Clean Up Leave blank per Jeanni Loven. Other Resource Activation -8- 02/06/2007 ~ ~ " ,,' ". ,,', F SAN JOAQUIN VALLEY COLLEGE I . f= Site Emergency Factors /Special Hazards SiteID: 015-021-001066 , Fast Format=, Overall Site =, I Utility Shut-Offs A) GAS - LANDSCAPED AREA W SIDE 20FT FROM PATIO B) ELECTRICAL - RM NEXT TO W MAIN ENTR C) WATER - SIDEWALK 100FT N OF E SIDE OF BLDG D) SPECIAL - NONE E) LOCK BOX - YES FRONT DOOR 12/27/2006 Fire Protec./Avail. Water 02/06/2007 PRIVATE FIRE PROTECTION - HAND-HELD EXTINGUISHERS IN EACH ROOM, SPRINKLER SYSTEM, AND ALARM SYSTEM. NEAREST FIRE HYDRANT - 200FT E OF SITE ON REAL RD AND LANDSCAPE 150FT S OF E SIDE OF SITE. Building Occupancy Level 12/27/2006 115 EMPLOYEES -9- 02/06/2007 / / \.- .< .' ~ 'i F SAN JOAQUIN VALLEY COLLEGE I /.. p= Tral.nl.ng ;Employee Training I BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES RECEIVE / FIRE PREVENTION AND EMERGENCY ACTION. SPECIFIC EMPLOYEES RECEIVE ANNUAL TRAINING ON USE OF COMPRESSED GASSES. SiteID: 015-021-001066 1 Fas t Format=, Overall Site, 05/02/2006 ANNUAL TRAINING ON (RACT, RCP, & DA) Page 2 Held for Future Use Held for Future Use -10- 02/06/2007 1:- J HEALTHSOUTH/SOUTHWEST SURGICAL Manage;r-: 'Ll~ 6."'- g,'GO~"'~\ ~I. , Location: 201 NEW STINE~D 130 City BAKERSFIELD SiteID: 015-021-000311 BusPhone: Map : 123 Grid: 03B (661) 396-8900 CommHaz : Extreme FacUnits: 1 AOV: CommCode: BFD STA 11 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title LINDA BLOOMQUIST / ADMINISTRATOR SHELLEY HATCHER / SAFETY OFFICER Business Phone: (661) 396-8900x Business Phone: (661) 396-8900x 24-Hour Phone : (661) 589-6256x 24-Hour Phone : (661) 589-6603x Pager Phone : (661) 333-0612x Pager Phone : ( ) - x Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact : 'O€~ ~~l~C\ MailAddr: 201 NEW STINE RD 130 City : BAKERSFIELD Period : Preparer: Certif'd: parcelNo: to Phone: (661) 396-8900x State: CA Zip : 93309 Phone: (800) 765-4772x State: AL Zip : 35243 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Owner Address : City HEALTH SOUTH CORP 1 HEALTHSOUTH PKWY : BIRMINGHAM Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN Based on my inquiry of those individuals responsible for obtaining the information, I certify unde: penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true accurate, and complete, ' &~ jdo.8,1l'Dl Signature U Date ENrv FEB 26 2007 -1- 01/31/2007 F HEALTHSOUTH/SOUTHWEST SURGICAL p= Hazmat Inventory p== MCP+DailyMax Order SiteID: 015-021-000311 , By Facility Unit 9 Fixed Containers on Site =, !specHaz!EPA Hazards! Frm ! DailyMax lunitlMCP E F P IH G 1500.00 FT3 Hi F P IH G 564.00 FT3 Hi F IH DH G 2000.00 FT3 Low F P IH G 1100.00 FT3 Min R L 5.00 GAL Min Hazmat Common Name... PROPANE NITROUS OXIDE OXYGEN NITROGEN WASTE FIXER -2- 01/31/2007 -3- 01/31/2007 F HEALTHSOUTH/SOUTHWEST SURGICAL p= Inventory Item 0005 = COMMON NAME / CHEMICAL NAME PROPANE SiteID: 015-021-000311 =, Facility Unit: Fixed Containers on Site=, Days On Site 365 Location within this Facility Unit NW CRNR OF BLDG BARNYARD Map: Grid: CAS # 74-98-6 - TYPE Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 1500.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 1500.00 FT3 Daily Average 750.00 FT3 ~Wt I l~O.OO Propane HAZARDOUS COMPONENTS G;] CAS # 749861 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi f= Inventory Item 0004 F= COMMON NAME / CHEMICAL NAME NITROUS OXIDE Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit NW CRNR OF BLDG GAS STORAGE RM Map: Grid: CAS # 10024-97-2 - TYPE Pure PRESSURE Above Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 282.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 564.00 FT3 Daily Average 282.00 FT3 %Wt. RS CAS # 100.00 Nitrous Oxide No 10024972 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi HAZARD ASSESSMENTS -4- 01/31/2007 F HEALTHSOUTH/SOUTHWEST SURGICAL f= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME OXYGEN SiteID: 015-021-000311 9 Facility Unit: Fixed Containers on Site=, ~ Days On Site 365 Location within this Facility Unit NW CRNR OF BLDG GAS STORAGE RM Map: Grid: CAS # 7782-44-7 - TYPE Pure PRESSURE - TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 337.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 2000.00 FT3 Daily Average 1000.00 FT3 ZARDO COMP NEN %Wt. RS CAS # 100.00 Oxygen, Compressed No 7782447 HA US o TS Z TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / I / Low HA ARD ASSESSMENTS f= Inventory Item 0001 F= COMMON NAME / CHEMICAL NAME NITROGEN Facility Unit: Fixed Containers on Site, Days On Site 365 Location within this Facility Unit NW CRNR BLDG GAS STORAGE RM Map: Grid: CAS # 7727-37-9 STATE - TYPE Gas Pure PRESSURE Above Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 228.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 1100.00 FT3 Daily Average 550.00 FT3 %Wt. I 100.00 Nitrogen HAZARDOUS COMPONENTS ~ CAS # I 7727379 TSecret RS BioHaz . Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH I / / Min HAZARD ASSESSMENTS -5- 01/31/2007 F HEALTHSOUTH/SOUTHWEST SURGICAL p= Inventory Item 0003 = COMMON NAME / CHEMICAL NAME WASTE FIXER SiteID: 015-021-000311 , Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit X-RAY DEVELOPING MACH IN OR Map: Grid: CAS # STATE - TYPE Liquid Waste PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 5.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 5.00 GAL Daily Average 5.00 GAL %Wt. I Silver HAZARDOUS COMPONENTS ~I CAS # I 7440224 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min HAZARD ASSESSMENTS -6- 01/31/2007 F HEALTHSOUTH/SOUTHWEST SURGICAL I f= Notif./Evacuation/Medical Agency Notification SiteID: 015-021-000311 , Fast Format 9 Overall Site 9 05/30/2006 jV\X:~ X-RAY DEVELOPER FIXATIVE IS SUPPLIED AND MONITORED BY ~Igt~ IMAGING INC. DAILY SAFETY ROUNDS ARE MADE OF MEDICAL GASES, PROPANE TANK AND/OR X-RAY PROCESSOR CHEMICALS. NO MONITORING EQUIPMENT IS LOCATED AT OUR FACILITY. Employee Notif./Evacuation 05/30/2006 911, CHEMTREC 800-424-9300, POISON CONTROL, OFFICE OF ES 326-3979, MANUFACTURER OF PRODUCT, SUPPLIER OF PRODUCT, OES 800-852-7550 AND/OR ADMINISTRATOR HEALTHSOUTH, LINDA BLOOMQUIST, 396-8900/589-6256133~-G\tt'l. Public Notif./Evacuation 05/30/2006 IN THE EVENT OF A DISASTER, THE PERSON IN CHARGE OF THE FACILITY SHALL NOTIFY, AS NEEDED: APPROPRIATE EXTERNAL AUTHORITY (FIRE, POLICE, ETC), ADMINISTRATOR, SAFETY OFFICER, NURSE MANAGER, RN ON DUTY, MEDICAL DIRECTOR. ANY STAFF MEMBER BECOMING AWARE OF A DISASTER SHOULD NOTIFY THEIR IMMEDIATE SUPERVISOR. IN THE ABSENCE OF THE ADMINISTRATOR, THE INDIVIDUALS LISTED ABOVE WILL ACT AS ADMINISTRATOR. Emergency Medical Plan 05/30/2006 EQUIPMENT AVAILABLE: SPILL KIT, EMERGENCY EYE WASH STATION, EMERGENCY SHOWER, FIRST AID, EMERGENCY MEDICAL CART, MALIGNANT HYPERTHERMIA BOX AND VENTILATORS. IN THE EVENT OF A MEDICAL EMERGENCY, PT OR STAFF MEMBER WOULD BE STABILIZED, 911 WOULD BE ACTIVATED AND INJURED PERSON WOULD BE TRANSPORTED VIA AMBULANCE AS NECESSARY. TRANSFER AGREEMENT IN PLACE WITH SAN JOAQUIN HOSPITAL: IF SAFE TO DO SO, EVACUATE ANYONE IN IMMEDIATE AREA OF THE SPILL OR VAPOR RELEASE, ADMINISTER IMMEDIATE MEDICAL ATTENTION TO ANYONE EXPOSED, NOTIFY DEPT ADMINISTRATOR AS QUICKLEY AS POSSIBLE, OBTAIN MSDS FOR SPILLED MATERIAL TO DETERMINE IMMEDIATE HAZARD AND PRECAUTION, PREVENT SPREAD, CONFINE, DISPOSE AS PER MSDS OR CALL APPROPRIATE AGENCY FOR -7- 01/31/2007 ;, F HEALTHSOUTH/SOUTHWEST SURGICAL I p= Mitigation/Prevent/Abatemt Release Prevention SiteID: 015-021-000311 , Fast Format =, Overall Site 9 05/30/2006 ALL FLAMMABLE LIQUIDS ARE SEGREGATED AND SECURED IN LOCKED METAL CABINET. BIOHAZARDOUS WASTE IS STORED IN SEALED CONTAINERS THAT ARE STORED IN LOCKED SHED IN GATED AREA ADJACENT TO OUR BLDG. MEDICAL GASES ARE SECURED WITH CHAIN AND LOCKED IN STOREROOM ADJACENT TO BLDG. NUMBER OF TANKS ARE KEPT TO A MINIMUM. Release Containment 05/30/2006 X-RAY DEVELOPER FIXATIVE IS STORED IN CLOSED CONTAINERS WITH SPILL TRAY BENEATH. HAZARDOUS MATERIALS ARE KEPT TO A MINIMUM, AS POSSIBLE. ZERO STORAGE OF MERCURY THERMOMETERS, ETC. Clean Up 05/30/2006 SMALL SPILLS ARE CLEANED UP USING SPILL KIT. LARGER SPILLS WOULD BE CONTAINED/CONFINED AND, IF NON-EMERGENY, WOULD CONTACT OFFICE OF ENVIRONMENTAL SERVICES. IF EMERGENCY, WE WOULD CALL 911 AND 800-852-7550 FOR CLEAN-UP. HAZARDOUS WASTE REMOVAL, STERICYCLE MEDICAL WASTE SYSTEMS ON WEEKLY BASIS AND AS NECESAARY. X-RAY DEVELOPER FIXATIVE EXCHANGE PERFORMED BY ~~C1tl. IMAGING INC. (t'\W'.j ')(-(""~ ( I'v\)LJ2 ') Other Resource Activation -8- 01/31/2007 M F HEAL~HSOUTH/SOUTHWEST SURGICAL I p= Site Emergency Factors Special Hazards SiteID: 015-021-000311 1 Fast Format =, Overall Site =, Utility Shut-Offs A) GAS - SW CRNR OF BLDG FLOWER BED ADJ TO GATED AREA B) ELECTRICAL - ELECT RM INSIDE PACU RECOVERY RM C) WATER - ABOVE CEILING PANEL FRONT LOBBY D) SPECIAL - MED GASES MAIN SHUT-OFF VALVE CORRIDOR OF SURGERY AREA E) LOCK BOX - NO 01/31/2007 SPRINKLER MAIN STE 300 OFFICE SE END OF COMPLEX. Fire Protec./Avail. Water 07/10/2006 PRIVATE FIRE PROTECTION - FIRE SPRINKLER SYSTEM SHARED WITH ENTIRE COMPLEX. WATER TAMPER/ALARM MONITORED BY TELTEC ALARM CO; CURRENTLY RENEGOTIATING 24HR FIRE MONITORING SYSTEM. 3 FIRE EXTINGUISHERS, FIRE ALARM CONTROL PANEL, 4 MANUAL PULL STATIONS, 2 DUCT SMOKE DETECTORS, 8 AUDIO VISUAL SIGNAL DEVICES, 4 STROBE DEVICES, 1 VALVE TAMPER SWITCH/WATER FLOW DEVICE. FIRE HYORANT - NEW STINE RD NEXT TO HEALTHSOUTH SIGN. Building Occupancy Level 12/26/2006 15 EMPLOYEES -9- 01/31/2007 .,1 t-. ii-- .. I , F HEALTHSOUTH/SOUTHWEST ( I , p= Training , Employee Training / / / MATERIALS SAFETY DATA I SURGICAL SiteID~ 015-021-000311 =, Fas t Format 1 Overall Site, 05/30/2006 SHEETS ON FILE KEPT IN YELLOW BINDER IN PRE-OP. BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES ON HIRE AND ANNUALLY THEREAFTER IN EDUCATION DAY. INSTITUTING SELF-PACED MODULE FOR ANNUAL REVIEW. AS NEEDED, WHEN NEW ITEM IS USED, IE, NEW MSDS. AGENDA ATTACHED. RECEIVE INITIAL TRAINING CURRENTLY WORKING ON ALL EMPLOYEES ARE TRAINED, ANNUAL SAFETY EDUCATION DAY Page 2 Held for Future Use Held for Future Use -10- 01/31/2007