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HomeMy WebLinkAboutBUSINESS PLAN (3)_~ j .MERCY (HOSPITAL,~~" jj ~~00 Old River Rd. ~i ~~ / r ~- ~ t 73~ ~~ u ~ `23~~01 - ~i~5 `~; cn - ~ ~ 5 ~ i~ _LI ' ~ i ~ ~_ ~ ~ `~~ I ~ ~ o ~~ ~/ J V(^~,A1 W ~~ ~_ ~ ~ ~ ~ `~ ~ - ~_ .. /b -~ ~ ~'Z P~ t k ~ D e p ~-Ro - lam` ice, /~~~ ~-(~ -~t ~ D 1~-k w ~~Q CAL- ~Q.`~-~'~~. `~ : ~v~~'-t~S~- ~c~~ . . ~~1c~S~:-~-0..Q. ~-~ ~1 ~re~~ v~ ~ p~e-rc~-~ c~nS ~"~~ ~~2~ ~~ E~ B C ~ E FROM :BSSR,INC Fla?i N0. :6615882786 Nov. 06 2006 03:06PM P2 ;:: UNQERGROUNQ STORAGE TANKS BAKERS~'YEY~I} FIRE DEL'I`. '~~ $ .~' F~revention Services AlrrN T 900 Tr•Uxtun Ave., Str. ~ 3 t1 APPI...ICATI4N F~~kersrEela, GA ~a:3:io 1 7q PERFORM f~~0 ~ L{NE TESTING Tel.: (FiG 1 ~ 326-39"i i3 t 5898e SECONDARY CONTAENMI=NT TESStNG F Q,x; {GCS 1) S 52- ~ 1 y 1 .f7ANK TIGkTNESS TE'.S7 qN0 TO PERFORhE FUEL. MONITORING CERTIFICATION Page ~ 01 ? pERMlT NO ~ • ~~~ C] EN1iANCEO LEAK DE'TECTIOk ^ SINE TESTING ^ S8.9E39 SECONOAkY CON?'AINME:N ~ f:~.$'f IN.. © TANK TIGHTNESS TEST ~ 70 PERFQRM FUEL MONITORING CERTlFECATION ___, ITE INF RMATI N ~--'---'-"__.._._ ... FAGI~I~ ~ . ,J ~~~~ NAME 8 F ON@ROF~CONTAC~~~'~ .~ 2Y'U. ~1~~1y~e..~T 1 o..v ~~~~~'` ~ NAME OF 7ESTI,NG COM3, MAILING AODRE2S9 r ~~~ E 8 PHONE NUM ER DATES T! E TEST Td B£ SIGNATVRB OR !~ ____ TANK TESTING COMPANY NAME $ ~" CONTA~yC;Y~Pf R S~fC_N Sw.~ ~ CIAL INSPECTOR ~ CERTIFiCATIQN p ICC n: TEST MEtw06 oaTE ISAT~~.N~~c~nn S..A.PF.13nntr w~E~P_~PBQY~Q_............ lA~ I DATE ~:_ ~ -~- ADDRESS ~ ~ ~ ~~ ~'~.~ *--~J`-~+~ pWNEP.3 NAME <;.~ ^" :~='. + MERCY HOSPITAL SOUTHWEST _____________ _______________ SiteID: 015-021-000428 + Manager ~~ a'~~~' ~=~~~'`~~S BusPhone : ( 661) 6 63 -~~~-6~~~-- Location: 400 OLD RIVER RD Map 123 CommHaz High City BAKERSFIELD Grid: 06B FacUnits: 1 AOV: CommCode: BFD STA 15 SIC Code:8062 EPA Numb: CAD983660127 DunnBrad:94-1660-P58 itl C nt ~~'~ ~}~ Title~^~'~!"' C t t E Emergency o ac e ~°t mergency on ~, ~I ~0 G ' / FACILITY ~1 ~ ' $, Business Phone: (661) 63.2-5~7~~6' " Business Phone: (661) b~ 24-Hour Phone (661) 63.2-5000x 24-Hour Phone (661) 632-5000x Pager Phone ~-6..~..~~--~3~--~"~-5-'~'~~- Pager Phone - ~ d JOUa~- ~-iZ - -+ Hazmat Hazards: RSs Fire Press React ImmHlth DelHlth --- -- ----------- + Contact ~~,~ -------------------- ------------------- 3 Phone : (~J) ~ o~-'~a~~-x MailAddr: PO BOX 119' State: CA City BAKERSFIELD Zip 93302 Owner CATHOLIC HEALTHCARE WEST Phone: ~Y15i~T~ Address •i'~8~8-A""'''"""'"`__ 2} ^'~ 3A~---~ ~ y~° ~'~~`~ State: CA , City SAN FRANCISCO ~ ~~ Zip :.94111 Period to TotalAS.Ts: = Gal Prepares: TotalUSTs: = Gal Certif'd: RSs: Yes ParcelNo: Emergency Directives: II~ 4~ PROG A - HAZMAT `~ ~ " ~ PROG C - COMM HOOD _\ _ PROG H - HAZ WASTE GEN " PROG U - UST THIS SITE CONTAINS UNDERGROUND"STORAGE TANKS AND IS A WASTE TREATMENT SITE. JOINT INSPECTIONS WITH PREVENTION SERVICES AND THE ENGINE COMPANY ARE REQUIRED. PLEASE GIVE THIS OFFICE AT LEAST 5 DAYS NOTICE PRIOR TO SCHEDULING THIS INSPECTION. Based on my inquiry oti those indiuidu~ls responsible for obtaining tha infArmatl~,n, i oc~rtify under penalty of iaw that p haue personally examined and am familiar svrth tn~tnformation submitted and t:e " t •nformation is true, acc rat ,and cpm ~. ~~' ®~e Signature f ate 0~ ~~o~~ ,~ .~~ ~~ 'F 5~ ~~` ENS ~~~, z ~ zoos -1- 03/30/2006 `'/°~ LD ~l4~So Ff~ ~i4 ~ ~ C[TY OF BAKERSFIELD FIRE DEPARTMENT 16e ~ ~ b; OFFICE OF I<+',NVIRDNR~TENTAI. SERVICES (~ `~`~ y.' UNIFIED PROCpRAM INSPEC'T'ION CHECKLIST ~~-p \=_w ~g~,~~~~~ 1715 Chester Ave., 3r~ Floor, Bakersfield, CA 93301 ~.~ii FACILITY NAME~I'~e.cc~ SOt,>+ti«xS~ INSPEC"1-ION DATE 3 '' ~ ~~ ~, Section 2: Underground Storage Tanks Program ^ Routine ~ombined ^ Joint Agency ^Mult1-Agency ^ Complaint ^ Re-inspection Type of Tank ~J4=C 5 Number of Tanks o~~ Type of Monitoring Cf~LV~ Type of Piping 1,~ CyC OPERATION C V COMMENTS Proper tank data on the Proper owner'operator data on the Permit tees cun-ent 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 CAPACITI~' Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection ENT'D ® ~ 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 (661) 326-3979 1~'hitc - Gnv. Svcs Business Site Resp nsible Party Pink - F3usiness C~~Py ~~~~ Bakersfield Fire Dept. UNIFIE® PROGRAM INSPECTION CHEC!'(LIST ~ Enironmental Services . _ ~ ~~ __ - - _ ~.. 1715 Chester Ave SECTION 1 Business Plan and Inventory Program ~ Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME ~y/ (~~ INSPECTI+O~JN DATE INSP CTION TIME ADDRESS t PHONE No. No. of Employees - -- FACILITYCONTACT ~ Business ID Number 15-021- 4~yZ$~ Section 1: Business Plan and Inventory Program Routine ^ Combined O Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection C V ~ V=V o ationnCe ~ OPERATION COMMEPITS ^ APPROPRIATE PERMIT ON HAND ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ---- - -- ~ 1LO~~~ ~~~ ~~ SSJJ ^ ISIBLE ADDRESS ORRECT OCCUPANCY ^ ~ --- - -- - VERIFICATION OF INVENTORY MATERIALS ~J..--- --- _ _ // /~~ ~ ~,~-,/ ~j~~ ///f ~~ ^ VERIFICATION OF QUANTIT{ES ^ VERIFICATION OF LOCATION r ----- -- ---- --- ------------ __._..__ _..------ - --------- _. ._ _ _ _ __. ..-- _._ ..------- _ ...... -- - ---- -- ----- _ -- - ^ PROPER SEGREGATION OF MATERIAL ^ -- VERIFICATION OF MSDS AVAILABILITYE -- ----_ -_- ~ .- --- - --- - - L ^ . VERIFICATION OF HAT MAT TRAINING -- -- ----. _... ___ __ _ _..___ _- --- ._.... ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES - -~-- - "-- ----- - (""~~ ,~y nn~` EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ ------- HOUSEKEEPING --------------------------- - ------- -- - - ^ ... - --.. -- --- FIRE PROTECTION ._ i_.....----------- - _..__._......--- - - ~ ^ SITE DIAGRAM ADEQUATE Hi ON HAND ANY HAZARDOUS WASTE ON SITE?: YES EXPLAIN: ~ ,f (/(y"" G S ~ ~~~5 ~ ~~~ !l C °-' ~ ~J/ivPAfr/L ~ ~..b L~~2~~ ~GIP~/_l~~~IILT~( ~J~~Ja.~~~~ tr~a,5 ~! QUESTIO CARDING THIS I P CTION?~j,EASE CALL US AT ~6F)'I ~ 326-3979 _ _ ~,~ _~`l11__~__ ___ __ ~_~_ i3 __ 1 pector (PI se Print) Fire Prevention 1st-In/Shift of Site White -Environmental Services Yellow -Station Copy Business a esp ible P (Please Print) rn N Pink -Business Copy 3~~~ MERCY.HOSPITAL SOUTHWEST Manager YVONNE CHAMBERS Location: 400 OLD RIVER RD City BAKERSFIELD CommCode: BFD STA 15 EPA Numb: CAD983660127 SiteID: 015-021-000428 BusPhone: (661) 663-6252 Map 123 CommHaz High Grid: 06B FacUnits: 1 AOV: SIC Code:8062 DunnBrad:94-1660-P58 Emergency Contact KEN LABRECQUE Business Phone: 24-Hour Phone Pager Phone Hazmat Hazards: / Title / ADM DIRECTOR (661) 632-5642x (661) 632-5000x ( ) - x RSs Emergency Contact KEN STONECIPHER Business Phone: 24-Hour Phone Pager Phone / Title / FACILITY DIR (661) 632-5642x (661) 632-5000x (661) 337-1914x Fire Press React ImmHlth DelHlth Contact KEN LABRECQUE Phone: (661) 632-5642x MailAddr: PO BOX 119 State: CA City BAKERSFIELD Zip 93302 Owner CATHOLIC HEALTHCARE WEST Phone: (415) 438-5550x Address 185 BERRY ST 300 State: CA City SAN FRANCISCO Zip 94107 Period to Preparers Certif ' d: ParcelNo: Emergency Directives: PROG A - HAZMAT PROG C - COMM HOOD PROG H - HAZ WASTE GEN PROG U - UST Ciased on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that ! have personal{y examined and am familiar with the information submitted and beliE ve the information is true, ccurate, and comp) te. ~~ 5 ~~~~~ Si nature 9 ~ Date TotalASTs: _ TotalUSTs: _ RSs: Yes ~~G~~ ~N~~ MA ~ ~ ~ ~~07 Gal Gal -1- 05/03/2007 F MERCY HOSPITAL SOUTHWEST SiteID: 015-021-000428 ~ STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: MERCY HOSPITAL SOUTHWEST Cross Street Business Type: Org Type: Total Tanks 2 IndnRes/Trust: No PA Contact: Dsg Own/Oper BRETT A TACKETT ICC Nbr: 5243805-UC PROPERTY OWNER INFORMATION Name KEN STONECIPHER Phone: (661) 632-5642x Address: City State: Zip: Type CORPORATION TANK OWNER INFORMATION Name KEN STONECIPHER Address: City Type CORPORATION BOE UST Fee# Financ'1 Resp: Legal Notif Date: Name: State UST # Phone: (661) 632-5642x State: Zip: Phone: ( ) - Ttl: 1998 Upg Cert#: x -2- 05/03/2007 F MERCY HOSPITAL SOUTHWEST SiteID: 015-021-000428 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP NITROUS OXIDE F P IH G 100.00 FT3 Hi DIESEL F P IH DH L 2600.00 GAL Mod DIESEL F IH DH L 6000.00 GAL Low OXYGEN, LIQUID F P IH L 3550.00 GAL Low OXYGEN F IH DH G 3000.00 FT3 Low DEVELOPER L 55.00 GAL Low NITROGEN F P IH G 100.00 FT3. Min HELIUM F P IH G 100.00 FT3 Min WASTE FIXER R L 25.00 GAL Min -3- 05/03/2007 -4- 05/03/2007 F MERCY HOSPITAL SOUTHWEST SiteID: 015-021-000428 ~ ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME NITROUS OXIDE Days On Site 365 Location within this Facility Unit Map: Grid: EXT E SIDE CAS# 10024-97-2 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas, TPure -Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Co872100rFT3 Daily 100100m FT3 I Daily AOOr00e FT3 riHGH2CLVU.7 1..V1~lYV1VJ;1V 1 ~ awt. Rs cAS# .100.00 Nitrous Oxide No 10024972 riHGHKL 1-»JJ;JJI~IJ;1V15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0006 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DIESEL Days On Site 365 Location within this Facility Unit Map: Grid: N OF STERILIZER GRASS AREA W OF PAVED DEAD END CAS# 68476-34-06 Liquid TMixtur~ Ambient~E ~ AmbientT~E UNDER GROUNDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 2600.00 GAL 2600.00 GAL 2600.00 GAL rar~urucuvvo ~.vrlrvlvnly 1 a %Wt. RS CAS# Aromatic Hydrocarbon No 8030306 rit-~c~ru~t~ ri. 7a>;.~arlAly 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH DH / / / Mod -5- 05/03/2007 F MERCY HOSPITAL SOUTHWEST SiteID: 015-021-000428 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DIESEL Days On Site 365 Location within this Facility Unit Map: Grid: SW CRNR NEAR OPS SE CRNR CAS# 68476-34-6 Liquid TMixtur~Ambient~E ~ AmbientT~E ~EROGROUNDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 6000.00 GAL 6000.00 GAL 6000.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Diesel Fuel No. 2 No 68476302 t1AL,tixL .'~~~L' Sai~1~1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low ~ Inventory Item 0009 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME OXYGEN, LIQUID Days On Site 365 Location within this Facility Unit Map: Grid: SEPARATE ENCL AREA BY EMPL PARKING LOT OUTSIDE URGENT CARE CAS# Liquid TPureE -~AboveSAmbEent CryogenicRE INSULOTANKN/RCRYOGENIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 3550.00 GAL 3550.00 GAL 3550.00 GAL I1HGli[CL V U ~7 1. V 1~1Y V1V ~1V 1 .7 %Wt. RS CAS# 100.00 Oxygen, Cryogenic Liquid No 7782447 i'1HGHICL H. 7A~.7.7P'l~1Vlb TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low -6- 05/03/2007 F MERCY HOSPITAL SOUTHWEST SiteID: 015-021-000428 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: EXT E SIDE STORAGE AREA CAS# 7?82-44-7 ~GaSATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE TPure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 3000.00 FT3 3000.00 FT3 3000.00 FT3 riljGtiKLVUJ ~v1nrU1v1J1viJ %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 tiHL,Ei2CL L~,7.7J;.7.71~lr,1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No Noj Curies F IH DH / / / Low ~ Inventory Item 0008 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DEVELOPER Days On Site X-RAY DEVELOPER SOLUTION 365 Location within this Facility Unit Map: Grid: OR MAMO 2ND FLR MOB ALON OLD RIVER CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Liquid Mixture~mbient ~ Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL _ 55.00 GAL 30.00 GAL IlE~GKCCLUUJ L.U1~lYUlVL'1V1.7 °sWt. RS CAS# Potassium Sulfite No 10117381 Potassium Hydroxide No 1310583 Hydroquinone (EPA) No 123319 I1LiGHiCL H. 7.7P~J.71~1L~1V 1 .7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No Yes No No/ Curies / / / Low -7- ~ 05/03/2007 F MERCY HOSPITAL SOUTHWEST ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME NITROGEN Location within this Facility Unit EXT E SIDE STATE TYPE PRESSURE _ Gas TPure -Above Ambient SiteID: 015-021-000428 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 7727-37-9 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Co255100rFT3 Daily MOOl00m FT3 I Daily AOOr00e FT3 riHGHtCLVUJ 1..V1~lYV1VI;1Vl~ %Wt. RS CAS# 100.00 Nitrogen No 7727379 t1HGHtCL tiJ J 1J J Jl~tJ;ly -t ~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min ~ Inventory Item 0004 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# 7440-59-7 STATE T TYPE T PRESSURE ~ TEMPERATURE ~~ CONTAINER TYPE Gas I Pure I Above Ambient I Ambient I PORT_ PRESS_ CYLTNI~FR I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 244.00 FT3 100.00 FT3 100.00 FT3 HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Helium No 7440597 rlL'iGtiRL ti J JP.~J J1"1.G1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -8- 05/03/2007 F MERCY HOSPITAL SOUTHWEST SitelD: 015-021-000428 ~ ~ Inventory Item 0007 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WASTE FIXER Days On Site 365 Location within this Facility Unit Map: Grid: OR MAMO 2ND FLR MOB ALONG OLD RIVER CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TWaste ~ Ambient ~ Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 10.00 GAL 25.00 GAL 25.00 GAL tlAGHK1JVUJ wt~lrvlv~lvl~ oWt. RS CAS# Silver No 7440224 riAGL-1KL A5~1";551~1t;1V'1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -9- 05/03/2007 F MERCY HOSPITAL SOUTHWEST SiteID: 015-021-000428 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 12/20/2000 ~ BAKERSFIELD FIRE DEPT, MERCY HOSPITAL SAFETY & SECURITY DEPT, FACILITIES MANAGER AND ADMINISTRATION 632-5000. Employee Notif./Evacuation 07/21/2006 FIRE ALARM SYSTEMS NOTIFY EVERYONE IN THE BLDG BY OVERHEAD PAGE. EVACUATE TO NW OF BLDG. Public Notif./Evacuation 02/09/1996 QUANTITY NOT SUFFICIENT TO REQUIRE EVACUATION OF SURROUNDING AREAS. Emergency Medical Plan 07/21/2006 EXPOSED EMPLOYEES WILL BE TRIAGED AWAY FROM ANY INCIDENT ON MERCY SOUTHWEST HOSPITAL PROPERTY. A DECONTAMINATION SHOWER IS AVAILABLE OUTDOORS AND ADJACENT TO URGENT CARE CENTER. TREATMENT MAY. BE ACCOMPLISHED IN URGENT CARE AS A PHYSICIAN IS AVAILABLE. SERIOUSLY INJURED EMPLOYEES WILL BE TRANSPORTED TO ANOTHER FACILITY, DEPENDING ON TYPE AND SERIOUSNESS OF INJURIES. -10- 05/03/2007 F MERCY HOSPITAL SOUTHWEST SiteID: 015-021-000428 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 02/09/1996 ~ ALARMS INSTALLED ON ALL UNDERGROUND TANKS, ALARMS FOR ACCIDENTAL RELEASE OF OXYGEN. Release Containment 07/21/2006 SPILL KITS FOR SMALL SPILLS AVAILABLE THROUGHOUT FACILITY. UNDERGROUND CONTAINMENT FOR DIESEL IF A LEAK OCCURS IN THE DOUBLE WALL. Clean Up 07/21/2006 DEPENDING ON THE MATERIAL AND SIZE OF THE SPILL. NEED TO REVIEW MSDS, RECOVER IF IT CAN BE DONE SAFELY, USE OF OUTSIDE AGENCY FOR CLEAN-UP OR CONTROL IF NEEDED. Other Resource Activation 02/09/1996 DISASTER PLAN ACTIVATION IF NECESSARY. -11- 05/03/2007 F MERCY HOSPITAL SOUTHWEST SiteID: 015-021-000428 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ w7~)C l:1al na~cai u~ Utility Shut-Offs A) GAS - NE SIDE OF FAC B) ELECTRICAL - 2ND FLR OF FAC C) WATER - ENTR BY SHANLEY CT D) SPECIAL - NONE E) LOCK BOX - NO 12/29/2006 Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - EXTINGUISHERS AND SPRINKLERS. NEAREST FIRE HYDRANT - SEVERAL HYDRANTS. 12/29/2006 Building Occupancy Level 03/30/2006 200 DAY EMPLOYEES; 30 NIGHT EMPLOYEES -12- 05/03/2007 F MERCY HOSPITAL SOUTHWEST SiteID: 415-021-000428 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 07/21/2006 ~ MSDS SHEETS VIA COMPUTER, MASTER FILE IN SECURITY DEPT. BRIEF SUNIMARY OF TRAINING PROGRAM: HAZARDOUS COMMUNICATION AND SAFETY ORIENTATION FOR ALL NEW EMPLOYEES. MANDATORY ANNUAL EDUCATION CLASS FOR ALL EMPLOYEES (8 HOURS). DEPT ORIENTATION AND INSERVICE TRAINING. REQUIRED FOR NEW EMPLOYEES, WHEN AN EMPLOYEE CHANGES JOBS OR DEPARTMENTS, WHEN NEW CHEMICALS ARE INTRODUCED OR NEW HAZARDS ARE IDENTIFIED. ALL EMPLOYEES INVOLVED IN FIRE DRILLS AND DISASTER DRILLS. rayc ~ Held for Future Use nciu ivi ru~.utc ~~c -13- 05/03/2007