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HomeMy WebLinkAbout1830 FLOWER ST IIlIIIIIIIIII IIIIIII 43 IE 1R '8' �1 WORK PLAN FOR KERN MEDICAL CENTER MAINTENANCE FACILITY UNDERGROUND STORAGE TANK SITE ' SOIL CHARACTERIZATION 1830 FLOWER STREET BAKERSFIELD, CALIFORNIA October 8, 1992 Prepared by Earth Systems Environmental, Inc. 6701 McDivitt Drive, Suite B Bakersfield, California 93313 (805) 836-0901 FAX (805) 836-0911 Project No.: EB-8273-1 IIIIIII IIIII III IIII 44 1 M 1 1 1 1 � � t 1 ' TABLE OF CONTENTS ' KERN MEDICAL CENTER MAINTENANCE FACILITY 1830 FLOWER STREET BAKERSFIELD, CALIFORNIA PURPOSEAND SCOPE......................................................................................................2 ' BACKGROUND.................................................................................................................2 SITE HEALTH AND SAFETY PLAN.................................................................................4 SITECHARACTERIZATION.............................................................................................4 ' Soil Boring Drilling and Sampling................................................................4 Chemical Analysis of Soil Samples................................................................7 ' REPORT OF FINDINGS.....................................................................................................7 SCHEDULE OF COMPLETION...........................................................................................7 ' FIGURE 1 - VICINITY MAP...........................................................................................9 FIGURE2 - SITE MAP.....................................................................................................10 FIGURE3 - GEOLOGY MAP.............................................................................................11 ' APPENDIX A SITE HEALTH AND SAFETY PLAN 1 1 1 1 1 1 1 1 1 1 Earth Systems Environmental, Inc. A Member of The Earth Systems Group 6701 McDivitt Drive, Suite B • Bakersfield, CA 93313 • (805)836-0901 • FAX(805)836-0911 October 8, 1992 Doc. No.:9210-E017.WP Project No.: EB-8273-1 Kern County Resources Management Agency ' Department of Environmental Health Services 2700 "M" Street, Suite 300 Bakersfield, California 93301 ' Attention: Ms. Dolores Gough ' SUBJECT: SOIL CHARACTERIZATION WORK PLAN FOR DIESEL IMPACTED SOILS KERN MEDICAL CENTER ' 1830 FLOWER STREET BAKERSFILD, CALIFORNIA ' Dear Ms. Gough, This communication presents our work plan for soil characterization activities at the Kern Medical Center located at 1830 Flower Street, Bakersfield, California. Earth Systems Environmental, Inc. (ESE) proposes to conduct a Phase I Soil Characterization ' associated with a release from the former 750 gallon underground diesel storage tank removed under Kern County Permit Number A1739-12 from the above referenced ' facility. Total Extractable Petroleum Hydrocarbons (TEPH) as diesel were detected at concentrations of 17,000 mg/kg at two feet, 29,000 mg/kg at six feet, and 21,000 mg/kg at ten feet beneath the former diesel tank. Total Extractable Petroleum Hydrocarbons ' (TEPH) as diesel were also detected at concentrations of 8,000 mg/kg at two feet, and 4,000 mg/kg at six feet beneath the product pipeline. These concentrations are in ' excess of Regional Water Quality Control Board (RWQCB) guidelines for diesel hydrocarbons in the soil, and have resulted in the Lead Implementing Agency (LIA) which is the Kern County Resources Management Agency - Department of Environmental Health Services (KCDEHS) requesting an initial site characterization. ' ESE proposes to conduct a site characterization consisting of four soil borings and laboratory analysis of fourteen soil samples to assess the vertical and lateral extent of diesel impacted soil in the vicinity of the former tank and product pipeline. Upon ' completion of the field investigation, and receipt of the laboratory data, ESE will prepare a report of findings documenting the field activities, analytical results, data analysis, conclusions and recommendations resulting from the soil characterization. ■ � . 1 1 1 1 Kern Medical Center 2 October 8, 1992 �/ ' All methods to be employed are in compliance with regulations and guidelines set forth in California Code of Regulations (CCR) Title 22, Article 11, and Title 23, Chapter ' 3, California Site Mitigation Decision Tree Manual, the Code of Federal Regulations (CFR) Title 29, Part 1910, Section 120, CFR Title 40, Parts 300-399, Kern County Resources Management Agency - Department of Environmental Health Services Handbook #UT-35: "Site Characterization and Site Remediation", Tri-Regional Board Staff Recommendations for Preliminary Evaluation and Investigation of Underground Tank Sites, and Kern County regulations as well as accepted professional environmental/geotechnical engineering procedures. PURPOSE AND SCOPE Subject to your acceptance of this work plan, ESE's plan to investigate the soil includes: • Prepare a Site Health and Safety Plan covering the field operations associated ' with this investigation. • Conduct a Phase I Soil Characterization in the vicinity of the former diesel ' tank and product pipeline including the drilling of four soil borings, sampling and laboratory analysis of fourteen samples from these borings for the presence of total extractable petroleum hydrocarbons as diesel, and fuel constituent volatile aromatics. • Preparation of a Report of Findings documenting the field activities, analytical results, data analysis, conclusions and recommendations resulting from the Isoil investigation. BACKGROUND On September 23, 1992, a 750 gallon underground diesel storage tank, and associated ' product pipeline were removed from the Kern Medical Center maintenance facility by RLW Equipment (Figure 2). Three soil samples were collected from two, six and ' ten feet beneath the former tank and two soil samples were collected at two and six feet beneath the product pipeline. The soil samples were analyzed for TEPH as diesel ' using the California DOHS LUFT Method for diesel, and for the fuel constituent volatile EB-8273-1 9210-E017.WP ■ i Kern Medical Center 3 October 8, 1992 ' aromatic benzene using USEPA Test Method 8015 (modified for benzene). TEPH as diesel were detected at concentrations of 17,000 mg/kg at two feet, 29,000 mg/kg at six feet, and 21,000 mg/kg at ten feet beneath the diesel tank. TEPH as diesel were detected at concentrations of 8,000 mg/kg at two feet, and 4,000 mg/kg at six feet beneath the product pipeline. Table 1 presents a summary of the analytical results for TEPH as diesel, and the fuel constituent volatile aromatic benzene in the four soil samples: TABLE 1. Analytical Results expressed in milligrams per kilogram. Sample No. Depth TEPH Benzene ' Diesel Diesel Tank 2' 17,000* 0.8* Diesel Tank 6' 29,000* 3.1* Diesel Tank 10' 21000* 0.3 Pip eline 2' 8,000* 0.06 ' Pipeline 6' 4,000* 0.2 MRL NA 5 0.005 AL NA 1,000 0.67 ' ND: None Detected at or above Minimum Reporting Level (MRL). NA: Not Applicable *: exceeds current recommended guidelines. A L: Regional Water Quality Control Board recommended guidelines for contaminants in soil. The recommended guidelines were calculated using the LUFT methodology by multiplying the most stringent current federal or state water quality standards by a factor of 1,000 to account for ' attenuation due to soil composition and distance from groundwater. Based on the soil sampling and analysis, concentrations of TEPH as diesel present in the soils at the site exceed current recommended guidelines. Additional site characterization is required by the Kern County Resources Management Agency - ' Department of Environmental Health Services in the vicinity of the former 750 gallon underground diesel storage tank and product pipeline. EB-8273-1 9210-E017.WP ■ Kern Medical Center 4 October 8, 1992 ' HEALTH & SAFETY PLAN A written Health and Safety plan will be implemented for site work conducted during the field investigations conducted for this project. The purpose of the plan is to provide specific safety procedures to be implemented during the handling of petroleum hydrocarbon contaminated materials. The Health and Safety Plan is 1 required under regulations set forth in Federal OSHA CFR 29 1910.120, since the tank removal laboratory reports documented the presence of potentially hazardous materials at the site. This Health and Safety plan is included as Appendix A to the work plan. ' SITE CHARACTERIZATION Soil Boring_Drilling and Sampling Prior to drilling, Underground Service Alert (USA) will be notified a minimum of 48 hours in advance of drilling activities. A total of four soil borings will be drilled within this phase of soil characterization (Figure 2). A soil boring (TH-1) will be advanced through the former diesel tank location to assess the vertical extent of ' impacted soil beneath this probable source. The other three soil borings (TH-2 through TH-4) will be positioned to assess the lateral extent of diesel ' concentrations in the soil. Flexibility will be _maintained to adjust the location of these borings based on observations in the field. Drilling will be accomplished using a truck mounted MobileTM B-53 or CMETM 55 drill rig utilizing 6-inch diameter hollow- ' stem auger. The borings will be drilled to a maximum depth of either 1) 40' at each boring, or 2) first groundwater, if less than 40' from grade, or 3) drilling refusal due ' to impenetrable soil or granite, or 4) ten continuous feet of soils not contaminated (based on screening by PID). If field screening indicates that fuel hydrocarbons are ' present when drilling has reached a depth of 40 feet, then permission will be obtained from the client to continue to drill the borings to a depth where ten ' consecutive feet of unimpacted soil is encountered, or groundwater. The depth to the regional unconfined aquifer is approximately 200 feet below surface ' grade beneath the site with the direction of groundwater flow to the southwest (Kern County Water Agency, 1990 Water Supply Report, May 1991). The nearest known ' occurrence of perched groundwater is six miles to the southwest at a depth of 20 feet EB-8273-1 9210-E017.WP ■ t i 1 1 Kern Medical Center 5 October 8, 1992 ' 1/ ' in the abandoned Kern River channel to the ancient Kern Lake bed (Kern County Water Agency, 1990 Water Supply Report, May 1991). No perched groundwater is known to exist beneath the subject site. If groundwater is encountered in any of the borings, then drilling will be terminated, and a bailer will be lowered into the well to collect a water sample. The sample will be observed for evidence of floating product, ' sheen, odor, and discoloration. The PID will be used to field screen the sample. The results will be recorded on the field boring log. However, ESE does not intend to submit the grab samples for laboratory analysis. ESE will submit grab samples only 1 c at the written request of the County's representative. he results of the laboratory ^ °� ' analysis will be communicated to the Client and County's representative, but will not be included in any written report prepared by ESE. S ESE is pursuing this policy since grab samples from the inside of drill augers which have penetrated impacted soil at shallower depths have a high probability of producing a false reading of impacted groundwater. A bentonite plug will be placed in the bottom of any soil boring which encounters groundwater to protect the integrity of groundwater prior to grouting the hole. Soil samples will be collected at five foot intervals of depth beginning at five feet ' below surface grade. Soil sampling will be accomplished using a split-spoon sampler (ASTM D 3550 with shoe similar to ASTM D 1586) equipped with three 6-inch by 2.5- inch diameter brass sleeves for soil retention. -The soil samples will be obtained by driving the sampler with a one hundred and forty pound hammer dropping thirty inches in accordance with ASTM D 1586. The lowermost sleeve at each sample interval (corresponding to approximately 18 inches below the actual sample interval) will be screened for total organic vapors with a portable photoionization detector (PID). Headspace vapor analysis is ' performed by first discarding a portion of the soil retained at one end of the sleeve to produce a headspace. The sleeve is then capped and the probe of the PID protruded through a hole in the cap and into the headspace for analysis. The PID readings will, ibe recorded on the boring logs. The lowermost and uppermost sleeves will then be observed for lithology. EB-8273-1 9210-E017.WP ■ Kern Medical Center 6 October 8, 1992 The middle sample sleeve will be immediately sealed with TeflonO film, capped, security taped, labeled, and placed on ice for transportation to a California Department of Health Services (DOHS) certified laboratory. Strict chain of custody procedures will be utilized for all samples collected to ensure sample integrity and to document sample possession from the time of collection to the final destination. Laboratory analysis will be performed Qn all of the samples from the vertical assessing boring, except those near surface samples from within the backfilled excavation pit, and those samples which would duplicate the samples retrieved during the tank removal. ESE will analyze the deepest two "clean" samples not only in the vertical assessing borings, but in any lateral boring which field screening indicates the presence of diesel hydrocarbons as well as analyzing the "hottest" sample in each of these borings. Lateral assessing borings will be advanced to a sufficient depth to assess that the plume does not extend laterally to that location. It is estimated that fourteen soil samples will be analyzed depending on the depth of the borings. Laboratory turn around time for this phase will be 10 working days. ' All sampling equipment will be washed with TSP (tri-sodium phosphate) cleanser, and rinsed with tap water and de-ionized water prior to sampling, between sample intervals, and between borings to minimize the possibility of cross-contamination. The drill auger will be steam cleaned between borings, also to minimize the possibility of cross-contamination. Hot pressure washing of the augers will be performed within a containment tub, with the augers positioned on a rack. The resulting rinsate water will be pumped from the tub into DOT 55 gallon barrels for ' storage on the site. The facility operator is then responsible for the disposition of the rinsate, either through laboratory analysis to verify non hazardous constituents, or disposal at the appropriate liquids recycling facility. Contaminated drill cuttings, and soil sample spoils will also be stored in D.O.T. approved 55-gallon drums, sealed, and left on-site pending confirmation from laboratory analysis as to whether the contents are hazardous. Disposal of any contaminated soil is the responsibility of the facility operator. ESE will provide a recommendation in the report of findings as to the appropriate disposition of drill cuttings which are confirmed to be impacted with fuel hydrocarbons. All soil borings shall be backfilled with bentonite and a neat cement slurry through a grout pump with the aid of a tremie pipe. EB-8273-1 9210-E017.WP ■ Kern Medical Center 7 October 8, 1992 ' �/ ' Laboratory Analysis of Soil Samples Soil samples will be sent to a state-certified laboratory for chemical analysis. The soil samples will be analyzed for total extractable petroleum hydrocarbons as diesel (TEPHd) with a minimum detection limit of 5.0 mg/kg, and the fuel constituent volatile aromatics benzene, toluene, ethylbenzene, and total xylenes (BTEX) with a minimum detection limit of 0.005 mg/kg using USEPA Test Method 8015 (modified for diesel), and USEPA Test Method 5030/8020, respectively. REPORT OF FINDINGS ' A report will be prepared which details the field activities, sampling procedures, analytical results, data analysis, conclusions, and recommendations. Based upon the conclusions, Earth Systems Environmental will recommend what further actions, if ' necessary, should be performed. The report will be prepared under the supervision of a Registered Professional. Certified laboratory reports and chain of custody ' documents will be included. ' SCHEDULE OF COMPLETION Earth Systems Environmental can mobilize on-site beginning work described in this work plan within approximately one week upon authorization to proceed from Client, and approval of the work plan by the Kern County Resources Management Agency - Department of Environmental Health Services. The projected time frame for completion of the major tasks is one day for drilling and sampling the borings, two weeks for laboratory analysis, and two weeks for report preparation once the ' laboratory analysis has been completed. EB-8273-1 9210-E017.WP ■ e i Kern Medical Center 8 October 8, 1992 1r Thank you for your consideration of this work plan. If you have any questions, or if we can be of service in any way, please contact this office at your convenience. Respectfully Submitted, R ENVIRONMENTAL, EA TH SYSTEMS IN .C Kenneth Mitchell Mark R. Magarge , R. # 4892 Staff Geologist Senior Hydrogeologist R GFO MAG,ggG No.4892 cc: Addressee - 1 RLW Eqiupment - 2 s� BAK - 1 �p C SLO - 1 EB-8273-1 9210-E017.WP ■ ®11ElE:� Cif uGEtL_TT__ X5.`7 'ytl �""���. �•� .yam•ri Fi ' f :� ;. ,�� ,.>,n.._� �• ° Pill W.,-:Pi cffa M-9410 _ - IMF SH _251 Mor 11 UPI 191,win `d�"-7■rte �AI� miam ,rur P �l.`•��' � ��� 43� •I� ■■©1W='_2; _ � tea:���► ■*k:��n���G.�hS{�J � MUM MOM am m■rJ�o��r� sr �o tip® MITM Him MMO W.—O T701 GiLANDE MM ®y � � �r.•-rte p uu [� M F 5 go Earth Systems TITLE Environmental, Inc. Baker3field.CA • 93313 Aa4AZAMOIAGIC.Pj 4" (OW)838-0901 FAX(806) • : 1.: t L 1 SG1LE/ s Jo� p�oPOsEO gal.V6. LocAr1oNS l 7�p C�LpN QTi,SEL fi1NK 7 v sT r24 ioRM[R ?$o GAUON &955L TANA s ?,=, S 3 Cry U 6EAlERATOR Rom CENTER /CIA 1N7-ENANCE Earth Systems TITLE Figure Environmental, Inc. All e.a n.Erw grow*Oroy lrG�l L CIrNW . am s�o, m o,�,.,sue.s No w 4owIvAR STiR�ET s.kom%W.CA 93313 �Il'ERSf/IE�J C�/FGYPA//� 4M)eIG-Ml JOB No. fAX(M)°36.00" S/TE AfMp i i �I i 1 1 1 1 1 1 1 i 1 1 1 1 1 1 III Mis VA Ulwail6l' ■fir®.- - - 171UNIA.i1 11 M .4g t , •;� � Vt �•Ilse' w�Ji I[., - ! - - : acj ,' ou �' ,Lli' rf • mill✓! _Z ` MAIL MAL- , ~ 5 Loom ad I el •. �� \ i ILI! UP Mlk W— Yom! AP son VIM MIII out JUMIANOREJ HERE am- NAME 1_ � �aisiw�-4tlmiM[�i �:" N.!!!Y•,, Earth Systems TITLE Figure Environmental, Inc. ! All I of"nEwI a" XEj?)V 1*40IC4 4 1 rN W 0701WOMUOrNe.SuNeS BaI,CA 93313 r I / I_ 836-0901 • : FAX 1_ M-01 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 MUFF ' APPENDIX A SITE HEALTH AND SAFETY PLAN 1 1 1 1 1 1 1 SITE HEALTH AND SAFETY PLAN SITE DESCRIPTION ' The site is located at 1830 Flower Street in the city of Bakersfield in Kern County, California. The site was formerly operated as a fueling facility for the Kern Medical Center emergency generator equipment. The site is situated within an area of predominantly commercial and residential properties. The overall site topography is ' essentially flat, with a slight fall to the southwest. ' SITE HISTORY Based on a review of analytical results, and conversations with Bud McNabb representing the RLW Equipment, a ,750 gallon underground diesel storage tank, and ' associated product pipeline were removed on September 23, 1992 by RLW Equipment from the facility under Kern County Permit Number A1739-12 under the the ' oversight of Kern County Resources Management Agency - Department of Environmental Health Services. Reportedly, no soil was removed from the site during removal of the tank and pipeline, and the area displaced by the former tank was filled by backfilling with the excavated soil and additional imported soil. During the UST removal activities soil samples were collected from beneath the tank. Subsequent laboratory analysis of the soil samples indicated that concentrations of total extractable petroleum hydrocarbons (TEPH) as diesel beneath the former tank were in excess of State Water Resources Control Board (WRCB) recommended guidelines for these compounds in soil. ' Based on these analytical results ESE has been retained to perform a site characterization in the vicinity of the former 750 gallon underground diesel storage ' tank.and associated product pipeline. PURPOSE ' The purpose of this plan, which was developed specifically for operations at the referenced site, is to assign responsibilities, establish personnel protection standards ' and mandatory safety procedures, and provide for contingencies that may arise ■ 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Kern Medical Center 4 October 8, 1992 ' 11 ' while field operations associated investigating soil and groundwater are being conducted at the site. This plan complies with, but does not replace, Federal Health and Safety Regulations as set forth in 29 CFR 1910 and 1926, California Health and ' Safety Regulations set forth in Title 8, California Code of Regulations, and guidance established by the California Department of Health Services. This plan is to be used ' by ESE as a supplement to such rules, regulations, and guidance. ' APPLICABILITY The provisions of the plan are mandatory for all on-site ESE employees engaged in activities known to be or potentially associated with the presence of hazardous materials. These activities may include, but are not limited to, mobilization, project operations, and demobilization. Changes and/or unanticipated site conditions may require modification of this Site ' Health and Safety Plan (SHSP) in order to maintain a safe work environment. Any proposed changes to this plan should be reviewed by the Corporate Health and Safety Officer of ESE, prior to their implementation. If this is not feasible, the project team leader may modify the plan and record all changes in the field log book. Under no circumstances will the plan modifications conflict with Federal, state, or local health and safety regulations. Under 29 CFR 1910.120 (b) (15) ESE is required to notify each subcontractor of the ' hazardous materials identified by ESE. The acceptance of such responsibility does not and shall not be deemed an acceptance of responsibility for any other health and ' safety requirements, such as those related to excavating, trenching, drilling or backfilling. Each subcontractor shall perform all work in accordance with a Site ' Health and Safety Plan for its employees, which covers any exposure to hazardous materials which may be present on site. The subcontractor shall hold ESE harmless ' from, and indemnify it against, all liability in the case of any injury or injury of its own employees. ESE reserves the right to review the subcontractor's Site Health and Safety Plan at any time. 1 EB-8273-1 9210-E017.WP ■ 1 1 1 1 1 1 1 1 1 1 1 Kern Medical Center 5 October 8, 1992 ' ESE reserves the right to suspend the subcontractor's site work and ask the subcontractor's personnel to evacuate the hazard area in the event of grossly inadequate health and safety precautions on the part of the subcontractor or the ' belief that the subcontractor's personnel are or may be exposed to an immediate health hazard. ' KEY PERSO NNEL AN D RESPONSIBILITIES ' The key personnel and their responsibilities for this project are as follows: ' Corporate Health and Safety Officer The ESE Corporate Health and Safety Officer (CHSO) for this project is Mr. Robert Motile. It is his responsibility for developing and coordinating the ESE health and ' safety programs. For this project, he is responsible for reviewing and approving this SHSP for accuracy and incorporating new information or guidelines which aid ' the Project Manager and Site Health and Safety Officer in further definition and control of potential health and safety hazards associated with the project. ' Project Manager The ESE Project Manager (PM) for this project is Mr. Mark Magargee. It is his responsibility to report to upper-level management. The duties of the PM are as follows: • Prepare and organize the SHSP which describes all planned field activities that may be encountered at the site. ' • Obtains permission for site access and coordinate field activities. • Brief field team on specific assignments and potential hazards, and ensures that all health and safety requirements are met. • Provides a copy of this SHSP to each member of the project field team. ' Site Health and Safety Officer The ESE Site Health and Safety Officer (SHSO) for this investigation is Mr. Ken Mitchell. He advises the PM on all aspects of health and safety on-site and recommends stopping work if any operation threatens worker or public safety. ' Other duties include: EB-8273-1 9210-E017.WP 1 I 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 Kern Medical Center 6 October 8, 1992 ' IM/ • Implement the SHSP. ' Select personal protective clothing and equipment specific for the project and ensures that they are properly stored and maintained. ' Assure that all personnel assigned to site have appropriate health and safety training and have a current baseline medical examination. ' Assign key safety duties and responsibilities to team members. • Monitor the work parties for signs of stress, and also monitors on-site ' hazards and conditions. • Know emergency procedures, evacuation routes, arranges on-site first aid ' facilities and off-site emergency care. • Conduct daily safety meetings and periodic inspections to determine if SHSP is being followed. • Establish and maintain site record keeping, including reporting accidents, as required. ' Participate in preparation of SHSP and revise it as necessary. • Verify that drilling or excavation locations have been cleared for ' underground utilities and other subsurface structures before subsurface exploration is initiated. Team Members The responsibilities for the team members are as follows; • Take all reasonable precautions to prevent injury to themselves and to their fellow employees; and ' Performing only those tasks that they believe they can do safely, and immediately reporting any accidents and/or unsafe conditions to the client ' and the CHSO. • Implementing the procedures set forth in the SHSP, and reporting any deviations from the procedures described in the Plan to the SHSO and to the CHSO. ' EB-8273-1 9210-E017.WP ■ 1 1 1 1 1 Kern Medical Center 7 October 8, 1992 SITE INFORMATION All field activities will take place on the Kern Medical Center maintenance facility property. All drilling activities will take place in the daylight hours between 7:00 ' A.M. and 7;00 P.M. ' The presence and location of hazardous materials, which are hydrocarbon compounds, has been confirmed through previous investigation. If needed, three blasts of a horn will be sounded for site evacuation. This site information is current and has been verified through analytical testing. ' HAZARD ASSESSMENT Hazardous Materials Hazardous materials may be a health hazard to site personnel via ingestion, skin absorption, or inhalation. Biohazards or accidental ingestion of contaminants may ' occur via hand-to-mouth actions. Dust inhalation may also contribute to ingestion of chemical contaminants. During excavation, soil sample collection, and sample ' preparation, inhalation of contaminant vapors could occur. Skin absorption may occur via contact with contaminated soil and/or ground water. The degree of hazard depends upon the adverse characteristics and toxicity of the chemical contamination, the amount of potential contact, and the exposure time. The greatest potential for chemical hazard to site personnel is during excavation activities. The following substance is potentially a chemical hazard at the subject site: ' Substances Involved Physical State Characteristics Hydrocarbon Fuels Liquid/Absorbed Irritant ' The following materials potentially present at this project site are specified by California Health and Safety Code 25249.5 as recognized and confirmed by the State of California as carcinogenic and/or mutagenic: 1. Diesel fuel containing benzene. EB-8273-1 9210-E017.WP ■ Kern Medical Center 8 October 8, 1992 ' Potential Worker Hazards With hydrocarbon-based liquids, contact may result in dermal irritation due to desiccation. Respiration of air laden with hydrocarbon vapors may result in oxygen ' deficiency and/or mucous membrane irritation. Mixtures of air and hydrocarbon fuels exhibit an explosive range thus presenting an explosion hazard. Diesel fuel may contain minor amounts of benzene, a proven human carcinogen. Potential exposure values and limits for benzene are listed in the table below. TABLE 1 - POTENTIAL EXPOSURE VALUES Chemical Highest Conc. IP1 TLV2 IDLH3 Flammable Detected in (electron (ppm) Level Range Samples m volts) (percent) Benzene 3.1 1 0.9245 10 Carcinogen 1.3 - 7.1 ' IIonization Potential in electron volts (eV) 2Threshold Limit Value as the time-weighted average (TWA) published by the American Conference of Governmental Industrial Hygienists (ACGIH) ' 3lmmediately dangerous to life and health (IDLH) level as published by National Institute of Occupational Safety and Health (NIOSH), Publication Number 85-114, September 1985. ND: non detected 1 Benzene is a colorless liquid with an aromatic odor. It is incompatible with strong oxidizers like chlorine or bromine with iron. The routes of exposure for benzene include inhalation, skin absorption, ingestion, and skin and/or eye contact. ' Symptoms of exposure to benzene include irritation to the eyes, nose, and respiratory system, giddiness, headache, nausea, staggering gait, fatigue, anorexia, lassitude, ' dermatitis, and abdominal pain. The potential health hazard from benzene exposure is slight at this site. 1 Conditions for Suspension of Operations Site monitoring equipment will include a Photo-ionization detector (PID) or a Flame- ionization detector (FID) during drilling and trenching. Field activities at Level D ' will be suspended when the continuous FID or PID level in the breathing zone ' EB-8273-1 9210-E017.WP ■ Kern Medical Center 9 October 8, 1992 ' increases to ten times background levels (assuming an ambient range of five to ten ppm). ' Level of Protection The level of Personal Protection Equipment (PPE) needed for this investigation is Level D. Level D PPE includes coveralls, leather boots with steel toes and shanks, eye protection, safety helmet and gloves. If warranted, this Site Safety Plan can be modified for use of Level C situations. Modification to Level B or Level A is beyond the scope for this Site Safety Plan and is not permitted. The criteria for upgrading to Level C PPE is the detection of unknown gasses or vapors in concentrations greater than 10 times background levels or unknown ' liquids present within the work area. Level C PPE includes Tyvek suits, nitrite gloves and rubber boots, eye protection, hard hat, and a full-face air-purifying respirator ' with Scott 642-OA-H cartridge-filters or equivalent. ' Physical Hazards Drilling equipment will be working near buildings and overhead phone lines. Proper precautions required when working around an operating drill rig will be strictly adhered to. All workers will be positioned upwind from drilling equipment at all times. Slips. Trips and Falls ' All field personnel shall become familiar with the general terrain and potential physical hazards (ravines, potholes, and loose gravel) which would be associated with ' accidental risk to slips, trips and/or falls. ' Splashes and Spills All field personnel shall wear appropriate chemical resistant gloves and goggles to prevent potential dermal exposure to accident splashes and spills that may occur during excavation of contaminated soil and soil sampling. ' EB-8273-1 9210-E017.WP ■ Kern Medical Center 10 October 8, 1992 1/ Sunburn Working outdoors on sunny days for extended periods of time can cause sunburn to the skin. Excessive exposure to sunlight is associated with the development of skin ' cancer. Field staff should take precautions to prevent sunburn by using sun-screen lotion and/or wearing hats and long-sleeved garments. Heat Stress ' Heat stress can he a major hazard, especially for workers donning personnel protective equipment (PPE). The same protective materials that shield the body from chemical exposure also limit the dissipation of body heat and moisture. Heat stress can occur very quickly, depending on the work being performed, the ambient weather conditions, clothing, and the individual characteristics of the worker. ' Because heat stress is probably one of the most common (and potentially serious) . illness at hazardous waste sites, regular monitoring and other preventive ' precautions are vital. Heat stress monitoring should commence when personnel are wearing PPE, including Tyvek-type coveralls, and the ambient temperature exceeds 70°F. If impermeable garments are not worn, monitoring should start when the temperature reaches 85°F. The following monitoring program is for workers wearing semipermeable or impermeable encapsulating ensembles when the temperature in the work area is above 70°F: Heart Rate should be measured by the radial pulse during a 30 second period as early as possible in the rest period. The next work cycle should be shortened by one-third while the rest period is kept the same, if the heart rate exceeds 110 beats per minute. If the heart rate still exceeds 110 beats per minute at the beginning of the next rest period, shorten the following work cycle by one- third. Preventing heat stress is particularly important because once someone suffers from heat stroke or heat exhaustion, that person may be predisposed to additional heat injuries. To avoid heat stress, the following steps may be taken: ' Modify work/rest schedules according to monitoring requirements, and mandate slowdowns as needed. EB-8273-1 9210-E017.WP 1 1 1 1 1 Kern Medical Center 11 October 8, 1992 IM/ • Alternate personnel assigned to particular tasks to minimize over stress at one job function. • Add additional persons to work team, and work during cooler hours, if ' possible. • Provide shelter or shaded areas to protect personnel during rest periods. ' Maintain workers body fluids to ensure that the cardiovascular system functions adequately by having workers drink 16 ounces of fluid (preferably water) before beginning work, and urge workers to drink at ' least 16 ounces of fluid during each rest period. • Encourage workers to maintain an optimal level of physical fitness. ' An initial work/rest cycle on one hour work and fifteen minutes rest is recommended for protection of staff when the heat stress hazard is high. The recommended cycle will be adjusted up or down based upon worker monitoring, environmental conditions, and the judgement of the site safety officer. At any time ' field team members recognize the signs or symptoms of heat stress prior to a scheduled rest period, they will notify the site safety officer immediately in order that a rest period can be called. Some of the signs and symptoms of heat stress are heat rash, heat cramps, heat exhaustion, and heat stroke. . Heat rash is characterized by a decreasing ability to tolerate heat and skin irritation and may result from exposure to heat or humid air. Skin cleanliness and treatment with mild drying lotions are necessary to prevent infection. Heat cramps are caused by heavy sweating with inadequate electrolyte replacement and are characterized by muscle spasms and pain in the hands, feet, and abdomen. Treatment of this disability consists of administering salted liquids orally. Heat exhaustion may result form physical exertion in a hot environment when cardiac output is inadequate to meet increased flow of blood that results from dilation of peripheral blood vessels or dehydration. It is distinguished by pale, cool, moist skin, heavy sweating, dizziness, nausea, and fainting. First aid for heat exhaustion is as follows: 1. Immediately remove victim to support area, or if you are the victim, proceed to the support area. EB-8273-1 9210-E017.WP l M 1 Kern Medical Center 12 October 8, 1992 i ~' 2. Decontaminate, if practical, before entering support area. 3. Start cooling, but be careful not to cause a chill. 4. If conscious and not in shock, give water to drink slowly. 5. If vomiting, and/or signs and symptoms are not lessenin g within an . hour, call for emergency help and/or transport victim to emergency room. 6. If person is a victim of heat exhaustion, they should not work the ' remainder of the day. The most serious form of heat stress is heat stroke. This is caused when the ' temperature regulation fails and the body temperature rises to critical levels. Immediate action must be taken to cool the body before serious injury and death ' occur. Red, hot, usually dry skin, lack of, or reduced perspiration, nausea, dizziness and confusion, strong, rapid pulse, and coma are the signs and symptoms of heat stroke. First aid for heat stroke is as follows: 1. Immediately move victim to cool, uncontaminated area, the support area, and remove and dispose of victim's chemical-resistant clothing, if wearing any. 2. Cool the victim rapidly using whatever means necessary. This can include, but may not be limited to, removing clothing, fanning, and placing in water. 3. Do not give drinking water to victim. 4. Treat for shock, if needed. 5. Transport the victim to a medical facility immediately for further cooling and monitoring of body functions. Cold Stress Cold stress is a particular concern when field activities are performed while the air temperatures at the site are below 40°F. If winds are blowing at 5 mph or grater and/or the weather is damp or wet, cold stress is even more of a potential hazard. Donning of appropriate clothing, having warm shelter readily available, carefully scheduling work and rest periods, and monitoring workers' physical conditions are precautions that will be taken to prevent cold stress. ' EB-8273-1 9210-E017.WP Kern Medical Center 13 October 8, 1992 IM/ Cold injury (frostbite and hypothermia) may occur if cold stress is not prevented. As a preventive measure, the body core temperature must not drop below 96.8°F. Pain in the extremities is the first early sign of cold stress. Severe shivering sets in when the body core temperature drops below 95°F. If this occurs, work will stop immediately and the affected worker(s) will take a warming break of sufficient duration that the signs and symptoms of cold stress go away. Noise Heavy equipment, such as drilling rigs and excavators, may produce loud noise. The effects of noise can include, but may not be limited to: • Physical damage to the ear, pain, and temporary and./or permanent hearing loss. • Communication interference that may increase potential hazards due to the inability to warn of dangers and the proper safety precautions to be taken. OSHA regulation 29 CFR Part 1910.95 describes an effective hearing conservation program that must be administered whenever noise exposures equal or- exceed an 8- hour, time-weighted average sound level of 85 dBA (decibels on the A-weighted scale). In addition, if workers are subjected to noise exceeding an 8-hour, time- weighted average sound level of 90 dBA, feasible administrative or engineering controls must be utilized. Heavy Equipment and Drilling Before beginning any site work, the drilling subcontractor will perform a safety inspection of the drilling equipment. Personnel shall not work with equipment that they judge to be unsafe because of deterioration, missing parts, obvious defects, or improper use for site conditions. All equipment shall be bonded and grounded, sparkproof, and explosion-resistant, as appropriate. ANSI-approved hardhats must be worn at and near the drill rig or any other heavy equipment. Since heavy pieces of equipment will be used during drilling, steel-toed EB-8273-1 9210-E017.WP 1 1 1 1 1 1 1 1 1 1 1 i i 1 1 1 1 Kern Medical Center 14 October 8, 1992 �/ boots/shoes are required during drilling operations, as well as during operation of other heavy equipment. �i The driller must maintain a safe clearance (at least 10 feet) between overhead utility lines and the drill rig at all times. Underground Utilities The general engineering contractor will locate all underground utility locations prior to the starting of drilling activities. Resources used include site plans, utility companies, and Underground Services Alert (USA). In California, USA must be contacted at least two, but not more than fourteen, days prior to drilling on public property. �1 MEDICAL MONITORING All Earth Systems Environmental, Inc. (ESE) employees assigned to the sampling operations must be active participants in ESE Employee Medical Surveillance Program, which meets the requirements of 29 CFR 1910.120. ESE's program requires employees assigned to hazardous waste site investigations and remediation to take pre-assignment, annual, and exit medical examinations. The CHSO will maintain current copies of training certificates and statements of medical program participation for all site personnel. Work-Rest Schedule Depending on the prevailing temperature and humidity, a work-rest schedule may be necessary. Duration and frequency will be at the discretion of the excavator and/or site supervisor. A supply of potable water will be kept available near the site. Safety Training Field personnel must receive 40-hour basic health and safety training, designed to comply with the OSHA/EPA requirements for hazardous waste operations and eight rhours of annual refresher as set forth in 29 CFR 1910.120, and attend a site-specific safety orientation conducted by the project supervisor. The briefing shall include the following: EB-8273-1 9210-E017.WP ■ 1 i 1 1 1 1 1 1 i 1 1 1 1 1 1 Kern Medical Center 15 October 8, 1992 1) A briefing on the work to be performed and the work schedule 2) A discussion of the potential chemical and physical hazards associated with the work to be performed i3) Hazard identification 4) Purpose and limitations of personal protective equipment 5) Decontamination and emergency response procedures 6) Proper on-site conduct. EMERGENCY CONTACT AND PROCEDURES Contacts Should any situation or unplanned occurrence require outside or support services, the appropriate contact from the following should be made: Agency Person to Contact Telephone ' Ambulance dispatcher 911 Kern County Fire Department dispatcher 911 ' Police dispatcher 911 County Health Department Delores Gough (805) 861-3636 Kern Medical Center dispatcher (805)326-2667 Paramedics should be summoned in the event of a serious injury; they will arrange to transport the victim to the nearest appropriate facility. A first aid kit will be available at the site for use in case of minor injuries. If anyone receives a splash or particle in the eye, the portable eyewash will be used to irrigate the eye for 15 minutes. If direct contact with contaminants occurs, affected skin areas should be washed immediately with soap and water. ' At least one person at the site will have current certification in First Aid and CPR. SITE LAYOUT ' The level of hazard associated with the work to be performed does not require dividing the site into formal exclusion, contamination reduction, and support zones. ' However, care will be taken to avoid breathing vaporized diesel fuel. EB-8273-1 9210-E017.WP ■ 1 1 1 1 1 1 Kern Medical Center 16 October 8, 1992 1 ' �/ ' CONTAMINATION MONITORING Organic vapor monitoring of the ambient air shall be conducted at reasonable ' intervals as determined by project personnel. The purpose of monitoring is to determine if vapor levels in the work area are high enough to warrant personal protection measures or evacuation of the site. Organic vapor levels should be monitored using an OVM photoionization meter with an 11.7 eV lamp (probe), calibrated to benzene or a Foxboro® OVA (organic vapor analyzer) 108 flame-ionization detector calibrated for non-methane hydrocarbons. Background should be determined by taking readings before sampling begins. All readings, background and others, must be recorded. If any continuous measurement is observed to be 10 times over background levels in the work area, respiratory protective action will be required. Lesser protective measures are at the field ' geologists or engineers discretion. ' DECONTAMINATION Before leaving the site/work area, personnel must remove all protective equipment ' and wash their hands, faces and necks. These washing procedures shall be observed before all work breaks. To minimize the potential for cross-contamination, all excavation equipment shall be decontaminated before the start of drilling, between borings, and before removal from the site. Sampling equipment shall be decontaminated before sampling and between sampling with washing with laboratory-grade detergent, a water rinse and a contaminant-free distilled water rinse. ' EMERGENCY PROCEDURES Emergency conditions are considered to exist if: ' * Any member of the field crew is involved in an accident, experiences any adverse effects or symptoms of exposure while on-site; or * A condition is discovered that suggests the existence of a situation more ' hazardous than anticipated. ' EB-8273-1 9210-E017.WP 1 Kern Medical Center 17 October 8, 1992 ' In the event of an on-site emergency, the procedures described below are to be immediately followed. 1. Personnel on-site should use the "buddy system" (stay in pairs). In the event of a communication breakdown, i.e. radio malfunction or if radios are not available, "buddies" should use prearranged hand signals or other means of emergency signals as follows: * Hand gripping throat - out of air, can't breath. * Grip partner's wrist or place both hands around waist - leave area immediately, no debate! * Hands on top of head - need assistance * Thumbs down - no, negative. 2. The field engineer or geologist will establish emergency evacuation routes and ' will make all project personnel aware of these routes prior to the first on-site activities. In the event of an emergency, selection other escape route will be based on the nature of the emergency and wind direction. ' 3. Visual contact should be maintained between "buddies" on-site, with the team remaining in close proximity in order to assist each other in case of ' emergencies. 4. In the event that any member of the field crew experiences any adverse effects ' of symptoms of exposure while on site, the entire field crew should immediately halt work and follow the instructions provided the project supervisor. ' 5. Wind indicators visible to all on-site personnel should be provided by the ' project supervisor to indicate possible routes for upwind escape. EB-8273-1 9210-E017.WP � �i Ali � i � ' Kern Medical Center 18 October 8, 1992 11 ' 6. The discovery of any condition that would suggest the existence of a situation more hazardous than anticipated should result in the evacuation of the field team and re-evaluation of the hazard and the level of protection required. 7. In the event an should accident occur, it will be necessary to complete an ' Accident Report Form with the company Safety Officer. STANDARD SAFE-WORK PRACTICES General ' 1. Eating, drinking, chewing tobacco and smoking are prohibited in the contaminated or potentially contaminated area of where the possibility for the transfer of contamination exists. t2. Avoid contact with potentially contaminated substances. Do not walk through puddles, pools, mud, etc. Avoid, whenever possible, kneeling on the ground, ' leaning or sitting on equipment or ground. Do not place monitoring equipment on potentially contaminated surfaces (i.e., ground, etc.). ' 3. All field crew members should be alert to the presence of strong, irritating or nauseating odors that could indicate a potentially dangerous situation. Other senses should be kept alert to possible hazards as well. 4. Precaution should be taken to prevent spillage. In the event a spillage should occur, the liquid should be contained. 5. Prevent splashing of the contaminated liquids. 6. Field crew members shall be familiar with the physical characteristics of ' investigations, including the following: * Wind direction in relation to ground zero area. ' * Accessibility to associates, equipment, and vehicles. * Communications. * Hot Zone (areas of known or suspected contamination). * Site access. ' * Nearest water sources. EB-8273-1 9210-E017.WP ■ i 1 Kern Medical Center 19 October 8, 1992 7. The number of personnel and equipment in the contaminated area should be minimized but only to the extent consistent with work-force requirements of safe site operations. ' 8. All -wastes generated during Earth Systems Environmental, Inc. and/or subcontractor activities at the site remain the property of the client. PLAN ACCEPTANCE FORM The Plan Acceptance Form (attached) should be filled out by all employees working on the site and retained in the job file. ' Corporate Health & Safety Officer Robert Mohle (805) 541-5983 Site Safety Officer Ken Mitchell (805) 836-0901 - office (805) 872 8984 - home Project-Site Safety Plan prepared by Mark Magargee in conjunction with the ' Corporate Health & Safety Officer. ' Signature: r 1 EB-8273-1 9210-E0l7.WP ■ i i i Kern Medical Center 20 October 8, 1992 The undersigned have read and understood the attached safety plan and agree to comply with the provisions of this plan. Name Date Name Date ' Position Position Name Date Name Date ' Position Position Name Date Name Date Position Position r ' Name Date Name Date Position Position Name Date Name Date Position Position EB-8273-1 9210-E017.WP T14'Z ' 1 1 1 1 1 1. 1 1 32) PROJECT MANUAL Kern .Medical .Center Emergency Fuel System Improvements ' 1830 Flower Street, Bakersfield, California Bid Opening December 3, 1998 1 ' Project Number: 8996.8435 Approved: November 10, 1998 Required Contractor's License Classification: A with Hazardous Certification ' Construction Estimate: $110,000.00 ' County Administrative Office General Services ' Construction Services Division ' 1115 Truxtun Avenue • Bakersfield,California 93301 • Telephone 805-868-3000 • Facsimile 805-868-3109 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 PROJECT TITLE: Kern Medical Center Emergency Fuel System Improvements PROJECT NO: 8996.8435 NOMML Vy OM Y31.,M ons ruction Services Manager 1 i t 1 1 1 1 i 1 t 1 1 1 1 1 1 1 1 1 1 1 1 1 PREBID JOB WALK Kern Medical Center Emergency Fuel System Improvements ■ � November 24, 1998 - 9:00 A.M. 1 t INTERESTED CONTRACTORS SHALL ASSEMBLE AT THE KERN MEDICAL CENTER ENGINEERING OFFICE IN THE MAINTENANCE SHOP - 1830 FLOWER STREET BAKERSFIELD, CALIFORNIA 1 ■ 1 1 1 1 1 1 1 1 1 1 PROJECT TITLE: Kern Medical Center Emergency Fuel System Improvements ' INDEX t ' Cover Page Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i-iii Notice to Contractors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NC-1 Instructions to Bidders 1. Proposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IB-1 2. Business Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IB-2 3. Examination of Plans, Specifications and Work Site . . . . . . . . . . . . . . . IB-2 4. Discrepancies and Omissions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IB-2 5. Addenda . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IB-2 6. Bidders Bond . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IB-3 7. Agreement and Bonds : : : : : : : : : : : : : : : : : : : : : : : : : a : : : : : : : : . IB-3 8. Contractors License . IB-4 9. Non-collusion Affidavit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IB-4 10. Subcontractors : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : . IB-4 11. Insurance . IB-4 12. MBE/WBE Compliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IB-5 13. Opening of Bids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IB-5 14. Award of Contract or Rejection of Bids . . . . . . . . . . . . . . . . . . . . . . . IB-5 15. Execution of Contract . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IB-6 I16. Bid Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IB-6 Bid Documents to be completed and submitted with bid: Bid Proposal (B lue) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . BP1 - BP5 List of Subcontractors (Green) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . BP6 - BP7 Bidder's Bond (Green) BP8 Non-collusion Affidavit (Green) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . BP9 MBE/WBE Certification Forms (Ivory) . . . . . . . . . . . . . . . . . . . . . . BP10 - BP12 County of Kern M/WBE Directory (Buff) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D1 - D4 Special Provisions (Beige) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SP-1 i 1/98 GF i General Conditions ' 1. Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . GC-1 2. Preconstruction Construction Conference . . . . . . . . . . . . . . . . . . . . . GC-2 , 3. Access to Work . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-2 4. Architect Visits . . . . . . . . . . . . . . . . . . . . . . . GC-2 5. Drawings and Specifications at the Site . . . . . . . . . . . . . . . . . . . . . . . GC-2 6. Contractor's Representative . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-3 7. Written Notice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-3 , 8. Standard Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-3 9. Code Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-4 10. Drawings and Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-5 11. Permits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-5 12. Temporary Utilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-6 13. Permanent Utilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-6 , 14. Advertising Matter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-6 15. Work on Public Right-of-Way . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-6 , 16. Patents and Royalties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-7 17. Materials (Equal Materials or Products) . . . . . . . . . . . . . . . . . . . . . . GC-7 18. Project and Submittal Schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-8 , 19. Shop Drawings and Samples . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-8 20. Purchase Orders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-9 21. License . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-9 , 22. Bonds . . . . . . . .. . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . GC-9 23. Contractor's Insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-11 24. Subcontractors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-14 , 25. MBE/WBE Non-Discrimination . . . . . . . . . . . . . . . . . . . . . . . . . . GC-15 26. Prevailing Wage and Forfeiture . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-16 27. Record of Hours Worked . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-16 , 28. Books and Records . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-17 29. Access to Records . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-17 30. Assignment of Antitrust Claims . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-18 31. Public Contract Code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-18 32. Notice of Labor Disputes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-21 33. Sanitary Provisions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-22 34. Drinking Water . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-22 35. Hard Hats . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-22 . 36. Controlled Substances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-22 37. Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-22 38. Scaffolding, Ladders, etc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-23 , 39. Enclosures and Barricades . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-23 40. Work . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-23 41. Layout of Work . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-24 42. Work by Others . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-24 43. Changes in the Work . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-24 i 1/98 GF ii General Conditions (con't.) 44. Workmanship and Labor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-27 1 45. Defective or Omitted Work . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-27 46. Preservation, Cleaning and Disposal GC-27 47. Preservation of Property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-28 1 48. Cutting or Patching Under Separate Contracts . . . . . . . . . . . . . . . . . GC-28 49. Inspection of Work of Other Contractors . . . . . . . . . . . . . . . . . . . . . GC-28 50. Cooperation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-28 51. Dust Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-29 52. Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-29 53. Unavoidable Delays - Extension of Time . . . . . . . . . . . . . . . . . . . . GC-29 ' 54. Owners Right to Terminate Contract . . . . . . . . . . . . . . . . . . . . . . . GC-29 55. Loss or Damage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-31 56. Application for Payment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-32 57. Payments Withheld . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-34 58. Payment of Withheld Funds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-34 1 59. Payments by the Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-35 60. Taxes GC-36 61. Final Payment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . GC-36 ' 62. Record Drawings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-37 63. Maintenance Manuals GC-39 64. Guaranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-39 65. Final Inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GC-40 66. Project Type . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .GC-40 ' Agreement for Construction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Al. - A3 Guaranty (Pink)Pink . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G-1 Supplementary General Conditions (if applicable) Table of Contents - Technical Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2 1 (Only projects greater than $ 1,000,000) ' HAGENLCOND\INDEX 1/98 GF iii t 1 1 1 1 1 COUNTY OF KERN ' GENERAL SERVICES DIVISION OF THE COUNTY ADMINISTRATIVE OFFICE ' NOTICE TO CONTRACTORS ' Sealed proposals will be received until 11:00 a.m. on Thursday, December 3, 1998, at the following location: ' 1. Delivered in person or by courier service to the County of Kern, General Services Division of the County Administrative Office, Third Floor, Plans and Specifications Counter,Administrative Center, 1115 Truxtun Avenue,Bakersfield, California. From 10:45 a.m. until 11:00 a.m. on the above specified bid opening date, proposals will also be accepted in the third floor conference room of said ' Administrative Center. 2. Mailed via United States Postal Service to County of Kern, General Services ' Division of the County Administrative Office, 1115 Truxtun Avenue, Bakersfield, California 93301-4639. After which time they will be publicly opened and read on that date in the third floor conference room of the Administrative Center for construction of public work known as: Kern Medical Center Fuel System Improvements. Plans, Specifications and the Bid Proposal form to be used for bidding on this project may be obtained at County of Kern, General Services Division of the County Administrative Office, Third Floor, Plans and Specifications counter, 1115 Truxtun Avenue, Bakersfield, California. No bid will be considered unless it is made on a Bid Proposal form furnished by the Department. The substitution of securities for money withheld by Kern County to ensure performance of the contract is permitted under Public Contracts Code Section 22300. Pursuant to Part 7 of Division 2 of the California Labor Code (Section 1720 et seq.) the Contractor shall pay not less than the prevailing rate of wages to workers on this project as determined by the Director of the California Department of Industrial Relations. The Director's schedule of prevailing rates is on file and open for inspection at County of Kern, General Services Division of the County Administrative Office, Plans and Specifications Counter, third floor, 1115 Truxtun Avenue, Bakersfield, California, and is incorporated herein by this reference. Each bid shall be accompanied by a bidder's bond issued by an admitted sure 1y insurer made payable to the County of Kern in the amount of ten percent (10%) of the amount of the bid. On projects for which the total bid amount is $100,000 or less; cash, cashier's check or certified check, will also be accepted as security. In addition, the successful bidder will be required to 1/98 GF NC-1 furnish a Faithful Performance Bond in the amount of one hundred percent(100%)and a Payment ' Bond in the amount of one hundred percent (100%) of the contract price. With the exception of Bid Bonds, all bonds shall be executed by one sufficient admitted surety ' insurer to two or more sufficient personal sureties or by an combination of sufficient personal sureties and admitted surety insurers. All bonds must be in the form approved by the Kern , County Counsel and must conform to California Code of Civil Procedures Section 995.010 et seq. Subject to the County's right reserved herein to reject all bids, the contract will be awarded to the ' lowest responsible bidder for the entire project by the Board of Supervisors after a complete contract is prepared. The County reserves the right to reject all bids. Each bidder must be licensed as required by law at the time the contract is awarded. The contractor license classification required for.this project is 'A' with Hazardous Certification. Estimated construction cost is 110 000.00. ' GENERAL DESCRIPTION OF WORK , The work to be performed consists, in general,of replacing an existing underground diesel storage , tank system with an above ground system and modifying another existing underground diesel storage tank system. DATED William A. Wilbanks, Assistant County Administrative Officer for General Services r 1/98 GF NC-2 COUNTY OF KERN GENERAL SERVICES DIVISION OF THE COUNTY ADMINISTRATIVE OFFICE ' INSTRUCTIONS TO BIDDERS ' The following items are.highlighted for your reference in the preparation and submission of bid documents. This is to alert you to items where discrepancies have occurred in the past, but it is not ' all inclusive, nor is it to emphasize special importance of any particular requirements. 1. PROPOSAL To receive consideration Bid Proposals shall be made in accordance with'the following instructions: A. Bids shall only be made upon a Bid Proposal form obtained from the office of the General Services Division of the County Administrative Office, with all items completely filled out. The signatures of all persons signing the bid proposal shall be in longhand. The completed bid proposal form should be without interlineations, alterations or erasures. 1 B. Bid shall not contain any recapitulation of the work to be done; alternative P roposals 1 will not be considered, unless called for in the specifications. No oral, telegraphic or telephonic proposals or modifications will be considered. ' C. Before submitting a bid, bidders shall carefully examine the Plans and Specifications and the form of Agreement, shall visit the site of the work and fully inform themselves as to all existing conditions and limitations, and shall include in the bid 1 a sum to cover the cost of all items included in the Contract. D. Bids shall be delivered on or before the day and hour set for the opening of bids in the advertised Notice to Contractors, enclosed in a sealed envelope upon which shall be written the title of the work and the name and business address of the bidder to the following location: Delivered in person or by courier service to the County of Kern, General Services Division of the County Administrative Office, Third Floor, Plans and Specifications Counter, Administrative Center, 1115 Truxtun Avenue, Bakersfield, California. From 10:45 a.m. until 11:00 a.m. on the specified bid opening date, proposals will also be accepted in the third floor ' conference room of said Administrative Center. 1/98 GF IB-1 Mailed via United States Postal Service to County of Kern, General Services Division of the County Administrative Office, 1115 Truxtun Avenue, Bakersfield, California 93301-4639. Late bids will be returned to the bidder unopened. 2. BUSINESS ADDRESS (Communications)' Bidders shall furnish the General Services Division of the County Administrative Office , with their business street address, and any communications directed either to the address so given or to the address listed on bidder's sealed bid envelope and deposited in the United ' States Postal Service shall constitute a service thereof upon the bidder. 3. EXAMINATION OF PLANS, SPECIFICATIONS. CONTRACT AND WORK SITE ' Bidders are required to inform themselves fully of the conditions relating to construction , and labor under which the work will be performed. Each bidder shall examine carefully the site of the work contemplated, the plans and specifications, and the bid and contract forms therefor. The submission of a bid shall be conclusive evidence that the bidder has , investigated and satisfied himself as to the conditions to be encountered, the character, quality and scope of work to be performed, the quantities of materials to be furnished, and the requirements of the plans, specifications and Contract. 4. DISCREPANCIES AND OMISSIONS , Should a prospective bidder find discrepancies in or omissions from the Plans and ' Specifications or contract documents (all of which are by reference made a part hereof) or should he be in doubt as to their meaning, he should at once notify the General Services Division of the County Administrative Office, and thereafter written instructions concerning such discrepancies or omissions will be mailed to all those prospective bidders that evidenced interest in the project by requesting a bid form, if time permits. Neither the County, the Engineer, nor the Architect, if one has been appointed, will be responsible for ' oral instructions. 5. ADDENDA ' Addenda furnished by the Engineer or Architect interpreting or changing Plans and ' Specifications or answering questions of prospective bidders as may arise, including all modifications thereof, shall be incorporated in the Bid Proposal. Bidder shall sign and date the Addenda cover sheets and submit them with his Bid Proposal or: ' 1/98 GF IB-2 f Delivered in person or by courier service to the County of Kern, General Services Division of the County Administrative Office, Third Floor, Plans and Specifications Counter, Administrative Center, 1115 Truxtun Avenue, Bakersfield, California. From 10:45 a.m. until 11:00 a.m. on the specified bid opening date, proposals will also be accepted in the third floor conference room of said Administrative Center. fMailed via United States Postal Service to County of Kern, General Services Division of the County Administrative Office, 1115 Truxtun Avenue, Bakersfield, California 93301-4639. ( 6. BIDDER'S BOND Each bid shall be accompanied by a bidder's bond issued by an admitted surety insurer made payable to the County of Kern in the amount of ten percent (10%) of the amount of the bid. In the case of bids with alternates, the amount of the bidder's security must be equal to at least ten percent (10%) of the base bid only, without regard to any increases or decreases associated with any alternates. A bid will be considered a pledge that the bidder will within ten (10) days after Notice of Award, enter into a contract with the Owner on the terms stated in his Bid and will furnish bonds as described hereunder in this Section 7, covering the faithful performance of the Contractor and the payment of all obligations arising thereunder. fIf the bid amount is less than $100.000: CASH, CASHIER'S CHECK, or CERTIFIED CHECK, will also be accepted as security. ' If the bid amount is more than $100.00 0: A bidder's bond executed by an admitted surety insurer, made payable to the County of Kern. 1 The Bidder's Bond form included in the specifications must be used. 7. AGREEMENT AND BONDS The Contract Documents include, among other items, the Agreement, which the successful bidder, as Contractor, will be required to execute, and the forms of the bonds which he will be required to furnish. All bonds must conform to California Code of Civil Procedure Section 995.010 et. seq. (General Conditions, Section 22, BONDS). Before commencing work on the project, the Contractor agrees to furnish a Faithful Performance Bond and a Payment Bond with good and sufficient sureties acceptable to the County of Kern. The penal sum of said Performance Bond will be in the amount of one hundred percent (100%) of the contract price. The penal sum of said Payment Bond will be in the amount of one hundred percent (100%) of the contract price. 1 1/98 GF IB-3 f 8. CONTRACTORS LICENSE 'Contractors must be properly licensed by the State of California at the time the bid is submitted. 9. NONCOLLUSION AFFIDAVIT t Pursuant to Section 7106 of the Public Contract Code, each proposal shall be accompanied by a noncollusion affidavit executed by the bidder. 10. SUBCONTRACTORS t Each proposal shall have listed therein the name and address of each subcontractor to whom the bidder proposes to subcontract portions of the work in an amount in excess of '/z of one percent of his total bid, in accordance with the Subletting and Subcontracting Fair Practices Act, commencing with Section 4100 of the Public Contract Code. The bidder's attention ' is invited to other provisions of said Act related to the imposition of penalties for failure to observe its provisions by using unauthorized subcontractors or by making unauthorized substitutions. ' Changes will be allowed only in exceptional cases. Any subcontractor change must be approved by the Board of Supervisors and/or the General Services Division of the County t Administrative Office. 11. INSURANCE Insurance certificates must contain a thirty (30) day prior written notice of cancellation or r reduction in coverage (COP projects, sixty (60) days prior written notice). Statements such as "endeavor to" or "but failure to mail such notice shall impose no obligation or liability of any kind upon the company" shall not be included. The bidder's attention is invited to the specifications regarding specific insurance , requirements. The name of the additional insured for liability coverage shall read as follows: "The County of Kern, County's Officers, Agents and Employees are named as additional insureds". The Contractor shall secure and maintain required insurance during the eriod of the ' q g P agreement. 1/98 GF IB-4 1 . 12. MBE/WBE COMPLIANCE Refer to the specifications to ascertain the percentage requirement for the project, if any. ' On MBE/WBE projects, the first and second lowest bidders must submit appropriate compliance documentation by 2:00 p.m., Friday, the day following the bid opening (unless otherwise specified), except those forms which are required to,be submitted with the bid (see the specifications). 13. OPENING OF BIDS Bids will opened at the time and place set forth in the advertised Notice to Contractors. Bidders, or their representatives, and other interested persons, may be present at the opening of bids. 14. AWARD OF CONTRACT OR REJECTION OF BIDS A. The County reserves the right to reject any and all bids. Subject to this right to treject bids, the Contract will be awarded to the responsible bidder submitting the lowest responsive bid on the basis of the bid, combination of bids or alternative bids deemed most advantageous to the County. Each bid proposals must contain all required documents and forms completed, signed and, if required, properly acknowledged. By submitting a bid, a bidder acknowledges that the failure to complete and supply all of the information requested on the bid forms is a sufficient basis for County to reject the bid as non-responsive. The County reserves the right to waive any informality in bids received. B. The award of the work, if it be awarded, will be to the lowest responsible bidder whose proposal complies with all the requirements prescribed. Such award, if made, will be made within 60 days after the opening of the bids. If the lowest responsible bidder refuses or fails to execute the Contract, the Board of Supervisors may award it to the second lowest responsible bidder. Such award, if made, will be made within 75 days after the opening of the bids. If the second lowest responsible bidder refuses or fails to execute the Contract, the Board of Supervisors may award it to the third lowest responsible bidder. Such award, if made, will be made within 90 days after the opening of the bids. These time periods for award of the Contract shall be subject to extension for such further periods of time as may be agreed upon in writing by the County and the bidder concerned. 1 1/98 GF IB-5 1 15. EXECUTION OF CONTRACT The contract shall be signed by the successful bidder and returned together with insurance certificates, contract bonds and other necessary documentation as specified in the General Conditions within ten (10) working days, not including Saturdays, Sundays and County legal holidays, after the bidder has received notice that the contract has been awarded. Should the Bidder refuse to enter into such Contract or fail to furnish such bonds, insurance ' certificates or other necessary documentation, the amount of the bid security may be forfeited to the Owner as liquidated damages, not as penalty. , 16. BID RESULTS Bid results are normally available beginning at 3:00 p.m., the day of the bid opening. Should you have any questions or desire additional information, please call the Contract r Administrator (805) 868-3065. r r G:\COMMON\GENLCOND\ITB r r r • r r t r r 1/98 GF IB-6 1 COUNTY OF KERN GENERAL SERVICES DIVISION OF THE COUNTY ADMINISTRATIVE OFFICE BID PROPOSAL To the Board of Supervisors of the County of Kern: 1 Name of Bidder Business Address Business Telephone ' Place of Residence LOCATION The work to be done is in the County of Kern, State of California, and is to be constructed in accordance with the General Conditions, Special Provisions, Agreement and other Contract Documents attached hereto, and the Standard Specifications of the State of California Business and Transportation Agency Department of Transportation, July, 1992, and as shown on the Plans and Specifications entitled: County of Kern, General Services Division of the County Administrative Office Kern Medical Center Emergency Fuel System Improvements approved November 10, 1998, by the Board of Supervisors. The undersigned, as bidder, declares that: the bidder is duly licensed under the Contractor's State License Law Business and Professions Code Section 7000 et. seq.; the only persons or parties interested in this proposal as principals are those named herein; this proposal is made without collusion with any other person, firm or corporation; the bidder has examined carefully the location of the proposed work,'the attached proposed form of Agreement and the Plans and Specifications therein referred to; the bidder agrees that if this proposal is accepted by the County, bidder will contract with the County of Kern by executing a contract substantially in the form of the Agreement attached hereto, to provide all necessary machinery, tools, apparatus and other means of construction, and to do all the work and furnish all the materials specified in the contract, in the manner and time therein prescribed, and according to the requirements of the Assistant County Administrative Officer, County of Kern, General Services Division of the County Administrative Office as therein set forth, and that the bidder will accept in full payment the following amounts: 1/98 (BLUE) BP-1 t t r r i BID PROPOSAL 1 Item Est. Unit of Item Unit Price Extension No. Quantity Measure (in Price Figures) (in Fi res) 1 1 LS Demolition 2 1 LS Preliminary Site Assessment 3 1 LS Backfill 4 1 LS Site Characterization $ 10,000 $ 10,000 S 1 LS Aboveground Tank Installation 6 1 LS Temporary Tank 7 1 LS Underground Tank Modification 1 Bid Total (in Figures) � i 1 - 1 t COMPLETE AND SUBMIT WITH BID BP-la 1 i 1 1 '. 1 1 1 1 1 1 1 For each item, the Extension Price has been calculated by multiplying the Estimated Quantity by the Unit Price. In the case of lump sum items, the Estimated Quantity shall be unity. The Bid Total is the sum of all Extension Prices. Bidder agrees that in case of any discrepancy between the Unit Price(s) and the respective Extension Price(s) and/or the Bid Total, the Unit Price(s) shall prevail, and the bid submitted shall be the correctly computed sum of all correctly computed Extension Prices, provided, however, if the amount set forth as a Unit Price is unintelligible or omitted, then the amount set forth in the Extension Price column for the item shall be used to determine the correct Unit Price in accordance with the following: 1. As to lump items, the amount set forth in the Extension Price column shall be the Unit Price. ' 2. As to unit basis items, the amount set forth in the Extension Price column shall be divided by the estimated quantity for the item and the price thus"obtained shall be the Unit Price. It is agreed that the liquidated damages provided for in the SPECIAL PROVISIONS are fair and justifiable and therefore accepted by the undersigned. ' It is understood that the Board of Supervisors reserves the right to reject any or all bids and to determine which bid is in its judgement the lowest responsive bid and which bid should be accepted in the best interest of the County of Kern. The Board also reserves the right to waive any informalities in any bid. It is agreed that this Bid shall remain in effect and will not be withdrawn by the undersigned for a period of sixty (60) days after the opening of the bids. . If this proposal is accepted and the undersigned fails to execute the aforesaid Agreement and to provide surety bond and evidence of insurance acceptable to the County as is required within eight days, not including Saturdays, Sundays and legal County legal holidays, after the bidder receives notice from the Department that the Agreement is ready for signature, the Board of Supervisors may at its option, determine that the bidder has abandoned the bid proposal and the bidder's security shall be forfeited and shall become the property of the County of Kern. County shall then be free to accept the bid of another bidder. Accompanying this proposal is in an amount equal to at least ten percent of the Bid Total. Failure to supply the following information and complete the following certificates/ documents shall be grounds for determining the bid as non responsive: iPrincipals The names of all persons interested ** in the foregoing proposal as principals are as follows: 1/98 BLUE ITEM BP-2 r t t t t 1 1 1 1 1 1 1 1 Subcontractor The list of subcontractors to be used on the project is attached to the bid proposal and is incorporated herein by this reference. National Labor Relations Board Compliance No more than one final unappealable finding of contempt of court by a federal court has been issued against the Contractor within the immediately preceding two year period because of the Contractor's failure to comply with an order of a federal court which ordered the Contractor to comply with an order of the National Labor Relations Board. BIDDER'S CERTIFICATIONS Worker's Compensation I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self-insurance in accordance. with the provisions of that Code, and I will comply with such provisions before commencing the performance of the Work of this Contract. Confirmation of Site Inspection I hereby certify.that I or my responsible representative(s) inspected the construction Work site during the Bid period, per the requirements in the Notice to Contractors and the General IConditions. YES NO Statement of Bidder Have you, or any officer of yours, or any employee of yours who may have a proprietary interest in your Bid, ever been disqualified, removed, or otherwise prevented from bidding on or completing any federal, state, or local governmental project because of a violation of law or safety regulations: YES NO 1/98 BLUE ITEM BP-3 t t r i License The bidder is licensed in accordance with California law providing for the licensing of contractors: License Class *** No. Expiration Date Designation of Insurance Company & Agent or Broker The following insurance company and agent or broker will p r ovide policies of insurance e or insurance certificates as required by the General Conditions: Insurance Company: Admitted in California: YES NO Agent or Broker: Address: Phone: ( ) Designation of Bonding Company & Agent or Broker The following surety company and agent or broker will provide Payment and Performance Bonds as required by the General Conditions: Surety Company Providing Bonds: Admitted in California: YES NO Agent or Broker: Address: Phone: ( ) 1/98 (BLUE) (ITEM) BP-4 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 By signature on this proposal, I certify, under penalty of perjury under the laws of the State of California, that the foregoing proposal is true and correct. DATE **** Signature of Bidder * Note: Insert the words "cash($ )," "cashier's check," "certified check," or "bidder's bond," conforming to California Code of Civil Procedure Section 995.010 et. seq., as the case may be. ** Note: If bidder or other interested person is a corporation, state above the legal name of the corporation and the names of the president, secretary, treasurer and manager thereof; if a partnership, state above the true name of the firm and the names of all individual partners composing firm (and if general partner is a corporation, also set out the information required of corporations set out above); if bidder or other interested person is an individual, state above first and last names) in full. *** Note: Insert the Bidder's License Classification (ie. A, B, C32, C42, D19, etc.) and the License Number. **** Note: If bidder is a corporation, the legal name of the corporation must be set forth above together with the signature of the officer(s) authorized to sign contracts on behalf of the corporation and a copy of a resolution of the board of directors designating the person(s) authorized to sign contracts or power of attorneys on behalf of the corporation must be submitted with the bid; if the bidder is a partnership, the true name of the partnership must be set forth above together with the signature of the partner(s) authorized to sign contracts on behalf of the partnership; and if the bidder is an individual, his or her signature shall be placed above. If the signature is of an agent for an individual or partnership, a power of attorney must be submitted; if the signature is of an agent for a corporation, other than a person designated to sign for the corporation by the resolution of the board of directors, both a power of attorney and a resolution of the board of directors indicating that the person who signed the power of attorney is so authorized must be submitted with the bid; otherwise, the bid will be disregarded as "irregular" and.unauthorized and may be rejected as being non responsive. G ACOMMON\GENLCOND\BDPROP.[TM 1/98 (BLUE) ITEM ( ) ( ) BP- S l 1 1 i 1 1 1 1 1 t 1 1 1 t 1 1 ' PROJECT TITLE: Kern Medical Center Emergency Fuel System Improvements CONTRACTOR'S NAME: LIST OF SUBCONTRACTORS TO BE SUBMITTED WITH BID PROPOSAL Pursuant to the requirements of the Subletting and Subcontracting Fair Practices Act (Public Contract Code 4100 et seq.), Bidder hereby certified that he will utilize the subcontractor(s) who are listed below (along with their street addresses and a general description of the portion of the work to be subcontracted) and that each listed subcontractor is to perform work which has a value of at least '/z of I% of Bidder's total bid: Subcontractor's Name and Street Description of portion of P Address (City. State. Zip) work to be subcontracted 1 1/98 (Green) (Attach additional sheets, if necessary.) BP-6 r t 1 1 t 1 1 1 1 1 PROJECT TITLE: Kern Medical Center Emergency Fuel System Improvements CONTRACTOR'S NAME: LIST OF SUBCONTRACTORS TO BE SUBMITTED WITH BID PROPOSAL Subcontractor's Name and Street Description of portion of Address (City, State. Zip) work to be subcontracted r 1/98 (Green) (Attach additional sheets, if necessary.) BP-7 r t 1 1 1 1 1 1 f 1 1 1 1 1 BIDDER S BOND COUNTY OF KERN KNOW ALL MEN BY THESE PRESENTS, That we, as PRINCIPAL, and as SURETY, are held and firmly bound unto the County of Kern (hereinafter Obligee), a political subdivision of the State of California, in the penal sum of ten percent (10%) of the total amount of the bid of the Principal above named, submitted by said Principal to Obligee for the work described below, for the payment of which sum in lawful money of the United States, well and truly to be made, we bind ourselves, our heirs, executors, administrators and successors, jointly and severally,-firmly by these presents. In no case shall the liability of the Surety hereunder exceed the sum of THE CONDITION OF THIS OBLIGATION IS SUCH, THAT WHEREAS THE PRINCIPAL has submitted the above mentioned bid to Obligee for certain construction specifically described as follows, for which bids are to be opened at Bakersfield, California, on the date as indicated on the bid documents for Kern Medical Center Emergency Fuel System Improvements. NOW, THEREFORE, if the aforesaid Principal is awarded the contract and, within the time and manner required under the Specifications, after the prescribed forms are presented to him for signature, enters into a written Agreement, in the prescribed form, in accordance with the bid, and files the two bonds with the Obligee, one to guarantee faithful performance and the other to guarantee payment for labor and materials, as required by law, then this obligation shall be null and void; otherwise, it shall remain in full force and virtue. If suit is brought upon this Bond by the Obligee and Judgement is recovered, the Surety shall pay all costs 1 incurred by the Obligee in such suit, including reasonable costs and Attorney's fees to be fixed by the Court. IN WITNESS WHEREOF, we have hereunto set our hands and seals on this day of A.D. 1998. Correspondence of claims (SEAL) relating to this bond should be sent to the (SEAL) surety at the following address: (SEAL) PRINCIPAL (SEAL) (SEAL) Phone: ( ) (SEAL) SURETY Note: Signatures of those executing for the Surety must be properly acknowledged. 1/98 (Green) BP-8 t 1 t 1 1 1 1 1 1 1 1 1 Project Title: Kern Medical Center Emergency Fuel System Improvements Project No: 8996.8435 NON-COLLUSION AFFIDAVIT The undersigned, being first duly sworn, deposes and says that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company association, organization, or ' corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price or that of any other bidder, or to secure any advantage against the public body awarding the contract or anyone interested in the proposed contract; that all statements contained in the bid are true; and further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. ' By (Signature) ' Typed Name and Title For (Bidder) Business Address Subscribed and sworn to before me this day of ,. 19_ ' Notary Public in and for the County of , State of California. My Commission Expires , 199 COMPLETE AND SUBMIT WITH BID 1/98 (GREEN) BP-9 1 1 1 1 1 1 1 1 i 1 MIWBE Certification Participation by Minority & Women Business Enterprises Instructions: Please Submit with Bid Please check Box A or Box B, and provide the information requested in item C. Note: Failure to-check a Box will be seen as having checked Box A. A). [ ] I DO NOT intend to subcontract any work on this project. B). [ ] I DO intend to subcontract portions of the work on this project. I have taken affirmative action to seek out and consider minority and ' women business enterprises for the portions of the work which are to be subcontracted. These actions are fully documented and these records will be made available to the County of Kern upon request. I also certify that I will take any and all affirmative action steps necessary on any future work that might be needed during the life of this project. C). Category Contacted: Result ' of Work Name / Address / Phone Number of Contact Contractor / Subcontractor' ' Address By: Signature Title: Date: Project Name: Project Number: ' BP-10 M/WBE Certification ' Utlization of Minority&Women Business Enterprises Date: ' Project Name: Project Number: ' Contractor: ' Note: The following information must be submitted with all bids. You must also submit a completed Minority and Women Business Enterprise Questionnaire for each M/WBE which is not currently certified with the.County. Name of Certified Description of Work, $Cash Value of M/WBE w/County? Subcontracted Item MBE? WBE? Subcontracted Item j ' Total ' Bid Amount$ Goal Achieved Goal Assigned Total of all Minority Business Enterprise Sub Bids $ % 8% Total of all Women Business Enterprise Sub Bids $ % 4% 1 Total of all MBE&WBE Sub Bids ' $ % 12% Submit With Bid ' BP-11 1 1 1 1 1 M/WBE Certification Certification Questionnaire 1 , Name of Business 2)• Business Address City State Zip Name of Person to Contact Telephone No. Fax No. 4). Please Check the Box Which Best Describes the Ownership of Your Business. Please Give Ownership %. .. Blac 96. ...>;.. . >: s a di ...;but:: .:::::........:.. .. ...... .... nese,Koear<; American Indratt 96 Pacfic IandecSarErcart. and Fihp�na .......... . % Southeast Astarr Qther Women Owned 96 SpecrfY dtber ' ** Must be at least 51%Owned, Controlled, and Operated by one or more women or minority groups to qualify. 5). Contractor's License Information. License Classifications Numbers Expiration Date Name of License Qualifying Individual 6). Nature of Firm's Business ' I hereby certify that this firm is a M/WBE as defined in Title 2, California Code of Regulation, Section 1896.61. In making this certification, I am aware of Section 12650 et seq. of the Government Code providing for the imposition of treble damages for making false claims against the State or any political subdivision. Signature Date ' County of Kern BP-17- 1 1 1 1 1 1 1 1 1 1 Minority and Women Business Enterprise 03105198 M/WBE Directory County of Kern General Services Department Construction.Services Division Note: It is the Directory users responsibility to verity all pertinent information In this directory.The County of Kem,General Services Department in no way represents or Implies the degree of capability of the MBEs listed. TRADE ETHNICITY UC# NAME OF FIRM ADDRESS CITY ST ZIP PHONE NO CONTACT AEROSOL SUPP. BLACK TOTAL ENERGY 4030 WELL TECH WAY BAKERSFIELD CA 93308 589-5292 WILL GREEN AIR COND/HVAC WOMAN 240778 CIRCULATING AIR,INC. 1109 WEST AVENUE M LANCASTER CA 93534 942-2048 JERRY MORRILL AIR COND/HVAC HISPANIC 402933 CLIMATE CONTROLSYSTEMS,INC. 1313 CHAMBERLAIN AVE BAKERSFIELD CA 93305 323.8059 JESS BRAVO AIR COND/HVAC HISPANIC 378268 CUSTOM AIRE 1210 LAKE ST BAKERSFIELD CA 93305 325-0878 STEPHEN CERVANTES AIR COND/HVAC WOMAN 613680 DELTA AIR 4398 P.O.BOX LANCASTER CA 93539 945-0791 BELLE M.ANDERSON AIR COND/HVAC WOMAN 468853 SOUTHERN AIR CONDITIONING 420 EAST 19TH STREET BAKERSFIELD CA 93305 3222876 ELAINE BROWN AIR COND/HVAC HISPANIC 632908 WESTSTAR ROOFING&AIR CONDIT. 1291 P.O.BOX VISALIA CA 93279 209 635.1453 DAVID LOZANO ARCHITECTURAL WOMAN C 13698 LEACH 6 LEACH ARCHITECTS 5314 SHAKER COURT BAKERSFIELD CA 93308 393.2307 TERESA A.LEACH. ARCHTECTURAL HISPANIC VICTOR R.FABIONAR 921 EAST HAMPTON WAY FRESNO CA' 93704 (209)288.7732 VICTOR FASIONAR ARCHITECTURAL FILIPINO C 14728 ORDIZ-MELBY ARCHITECTS 1608 WESTBOURNE BAKERSFIELD CA 93309 832-5258 DANNY E.ORDIZ BID DATA MGMNT. WOMAN CONTRACTORS!INFO.NETWORK 1180 SPRUCE ROAD EXETER CA 93221 209 592-5406 KARRIE L HIRNI BLUEPRINTING WOMAN BAKERSFIELD BLUEPRINTING CO.. 3700 EASTON DRIVE 012 BAKERSFIELD CA 93309 325-8155 TAMI MOOSIOS BORING HISPANIC 668636 ADVANCED CLEANUP TECHNOLOGIES 4548 WESLEY LANE BAKERSFIELD CA 93308 392-7765 CHARLIE SHERMAN BORING HISPANIC 388577 AYALA BORING,INC. 10150 POPLAR AVENUE FONTANA CA 92335 (714)350-8940 RALPH G.AYALA,JR. CABINETRY HISPANIC SORCI CONSTRUCTION 309 22nd STREET BAKERSFIELD CA 93301 324-8484 BRIAN SORCI CABINETRY HISPANIC CUSTOM HOME CABINETS 4110 WIBLE ROAD BAKERSFIELD CA 93313 832-8232 FRANK YBARRA CABINETRY WOMAN 284018 SUPERIOR MILLWORK 5041 6TH STREET CARPINTERIA CA 93013 684-0233 GARY WIRTH CARPENTRY1FRAMER HISPANIC 697899 ALCON SERVICES 4712 FUCKER DR. BAKERSFIELD CA 93309 831.6911 ALFRED GENE ARMSTRONG CARPENTRY/FRAMER INDIAN 463398 SPECTRUM BUILDERS 719 CYPRESS STREET BAKERSFIELD CA 93304 325.4124 EDMOND R.PARKS III COMM.SYSTEMS ASIAN 621741 ACCELERATED TECHNOLOGIES 3651 PEGASUS DRIVE#102 BAKERSFIELD CA 93308 392-1704 RICHARD A.PELUPESSY COMM.SYSTEMS MINORITY' 298042 AMER.COMMUNICATION&ELECTRIC 407 EAST 19TH STREET BAKERSFIELD CA 93305 324-1824 SARAH.D.MIRANDA CONCRETE WOMAN ARROW READY MIX 507 EAST AVENUE L-12 LANCASTER CA 93535 945-0757 BOB URZUA CONCRETE HISPANIC 253275 BAKERSFIELD CONCRETE 2116 HAROLD WAY BAKERSFIELD CA 93305 323.2328 CHARLES FRANCO CONCRETE WOMAN DELANO ROCK,INC. 103 HIGH STREET DELANO CA 93215 725.1151 JOHN C.GIBSON CONCRETE HISPANIC 602026 ERNIE MARTINEZ CONCRETE 3928 APACHE AVENUE BAKERSFIELD CA 93309 8344296 ERNIE MARTINEZ CONCRETE HISPANIC 324777 FRANK TINOCO CONCRETE 1129 CHELSEA BAKERSFIELD CA 93306 3864849 FRANK TINOCO CONCRETE BLACK 592987 GLOBAL INTERNATIONAL 2506 P.O.BOX BAKERSFIELD CA 93303 324-2480 MARVIN DEAN CONCRETE HISPANIC 732418 KERN COUNTY CUSTOM CONCRETE 4916 COLLEGE AVENUE BAKERSFIELD CA 93306 8724602 CONCRETE HISPANIC 542337 S 6 G CONSTRUCTION • 500 LANGFORD ARVIN CA 93203 8542157 ISAAC GARZA CONCRETE AM.INDIAN 625004 S 6 P EXCAVATION 3202 GENEVA COURT LAKE ISABELLA CA 93240 (619)379-8187 JOHN PRICE CONCRETE HISPANIC 295891 SAMROD CORPORATION 151 E AVENUE H-8 LANCASTER CA 93535 (805)945-3802 MICHAEL S.RODRIQUEZ CONCRETE HISPANIC 610375 SIMMONS CONSTRUCTION 2201 TERRACE WAY BAKERSFIELD CA 93304 838-0953 CHUCK SIMMONS CONCRETE HISPANIC 661320 SOLID FOUNDATION CONCRETE CO. 561 P.O. BOX BAKERSFIELD CA 93308 631-7603 JOHN VASQUEZ CONCRETE WOMAN WASCO CONCRETE COMPANY 1316 WASCO ROAD WASCO CA 93280 758-8421 SCOTT RODGERS CONST.MGMT. WOMAN DUGAN&ASSOCIATES 2318-B MARSHALLFIELD LN. REDONDO BEACH CA 90278 (310)374.7646 DEBORAH DUGAN CONST.MGMT. HISPANIC 654252 G&S CONSTRUCTION CO. 2811 H STREET BAKERSFIELD CA 93302 322-8897 RAUL GALLO JR. CONSULTINGIENGINEER HISPANIC 694455 ABBA ENGINEERING 6307 P.O.BOX BAKERSFIELD CA 93386 (805)363.7020 BUDDY WILUAMS CONSULTING ASIAN BSI CONSULTANTS,INC. 44300 LOWrREE AVE,#124 LANCASTER CA 93534 (619)451-8100 MARY BERRYMAN CONSULTING/ENGINEER BLACK 700136 DELTA ENGINEERING 5313 SHOWER SPRINGS ST. BAKERSFIELD CA 93313 (805)885.1981 FRANK I.ENE CONSULTING BLACK 592987 GLOBAL INTERNATIONAL 2506 P.O.BOX BAKERSFIELD CA 93303 3242480 MARVIN DEAN CONSULTING WOMAN 03079 H.E.R.HIST.&ENVIR.RESEARCH 2012 VALENCIA BAKERSFIELD CA 93306 366.3590 FLORA DARLING CONSULTING WOMAN KAREN NORTHCUTT 2893 P.O.BOX LAKE ISABELLA CA 93240 (619)3794626 K NORTHCUTT CONSULTING MINORITY 705535 KOIYAN INTERNATIONAL LIMITED 4001 STOCKDALE HWY#130 BAKERSFIELD CA 93309 587-9616 JALLAH KOIYAN CONSULTING WOMAN 13352 LARS ANDERSEN d ASSOC 3040 E OLIVE#103 FRESNO CA 93701 (209)485-1300 MARY MOMMER CONSULTING HISPANIC 13229 LEE MORALES ENG.,INC. 2748 P.O.BOX BAKERSFIELD CA 93303 323-8045 LEE MORALES CONSULTING WOMAN LUFT ENVIRONMENTAL CONSULTING 3701 PEGASUS DRIVE BAKERSFIELD CA 93308 399-5838 A SUE LUFT CONSULTING HISPANIC MAX P.BACERRA&ASSOC. 2920 F STREET BAKERSFIELD CA 93301 - 325-2728 MAX P.BACERRA CONSULTING WOMAN TRICIA A.RICHTER,C.M.R.S. 200 H STREET BAKERSFIELD CA 93304 3341970 TRICIA A.RICHTER CONSULTING HISPANIC C 29179 G&S CONSTRUCTION CO. 2811 H STREET BAKERSFIELD CA 93302 326-1324 RAUL GALLO.JR. CONSULTING MINORITY CE44940 SEES CONSULTING&TECH.TESTING 216 WEST OLIVE AVENUE FRESNO CA 93728 (209)498.8105 DAVID SEE CONSULTING WOMAN SIERRA INSPECTION d TESTING 431-8 NORTH GREEN ST. TEHACHAPI CA 93581 822.0616 WANDA L SCOTT �ONT.BONDING BLACK PRINCE ENTERPRISES 1525 10TH STREET BAKERSFIELD CA 93304 322-5830 ALBERT PRINCE ICRANE WOMAN 676078 MARIANNE FRIEDL 616 P.O.BOX LOS ALAMOS CA 93440 (805)349-0314 MARIANNE FRIEDL IRANE WOMAN KERN CRANE INC. 1015 P.O.BOX BAKERSFIELD CA 93302 589.3023 BARBARA J.CLEETON DATA/COMM.CABLE ASIAN 621741 ACCELERATED TECHNOLOGIES 3651 PEGASUS DR.#102 BAKERSFIELD CA 93308 393-5546 RICHARD PELUPESSY DEMOLITION HISPANIC 668636 ADVANCED CLEANUP TECHNOLOGIES 4548 WESLEY LANE BAKERSFIELD CA 93308 392-7765 CHARLIE SHERMAN DEMOLITION AM.INDIAN 732108 CONCRETE CUTTING UNLIMITED 41602 P.O.BOX BAKERSFIELD CA 93384 588.9280 GERALD OGDEN DEMOLITION BLACK 700136 DELTA ENGINEERING 5313 SHOWER SPRINGS ST. BAKERSFIELD CA 93313 (805)665.1981 FRANK I ENE DEMOLITION AM.INDIAN 625004 S E P EXCAVATION - 3202 GENEVA COURT LAKE ISABELLA CA 93240 (619)379-8187 JOHN PRICE DEMOLITION BLACK 592987 GLOBAL INTERNATIONAL 2506 P.O.BOX BAKERSFIELD CA 93303 3242480 MARVIN DEAN Minority and Women Business Enterprise o3ms/9a MTWBE Directory County of Kern General Services Department Construction Services Division Note: It Is the Directory user's responsibility to verify all pertinent information in this directory.The County of Kem,General Services Department In no way represents or Implies the degree of capability of the MBEs listed. TRADE ETHNICITY LIC s NAME OF FIRM ADDRESS CITY ST ZIP PHONE NO CONTACT EARTHWORK HISPANIC 668636 ADVANCED CLEANUP TECHNOLOGIES 4548 WESLEY LANE BAKERSFIELD CA 93308 392-7765 CHARLIE SHERMAN EARTHWORK/PAVING HISPANIC 630080 BIG VALLEY CONSTRUCTION 49560 P.O.BOX BAKERSFIELD CA 93382 837-21/44 GARY J.DIAS EARTHWORK/PAVING WOMAN 628940 C&D CONSTRUCTION 37 SPARKS STREET BAKERSFIELD CA 93307 397-4468 CHERYL BARNETT EARTHWORK(PAVING WOMAN 596735 QUICKIE PATCH PAVING 0450 P.O-BOX BAKERSFIELD CA 93302 322-5302 DEANNA ANDERSON EARTHWORK WOMAN/HISP 620641 ADVANCED ASPHALT&ENGINEER. 3750 NORD ROAD BAKERSFIELD CA 93312 589.2523 CLARA STERNER EARTHWORK WOMAN 554022 BAKERSFIELD GRADING&PAVING 6901 EAST BRUNDAGE LANE BAKERSFIELD CA 93307 366-0596 SHARON SCHMIDT EARTHWORK BLACK 438957 EAGLE ENTERPRISES 400 WATTS DRIVE- BAKERSFIELD CA 93307 832-9716 WILLIE STRONG EARTHWORK BLACK 592987 GLOBAL INTERNATIONAL 2506 - P.O.BOX BAKERSFIELD CA 93303 324-2480 MARVIN DEAN EARTHWORK WOMAN 579951 GOLDEN CONSTR.&EXCAVATION 81318 P.O.BOX BAKERSFIELD CA 93380 589-6126 SANDY SHAFFER EARTHWORK BLACK 463749 HUSTLER'S HAULING BACKHOE 116 DONNA AVE BAKERSFIELD CA 93304 326-1071 ROBERT JONES EARTHWORK HISPANIC 373557 MONSIBAIS ENGINEERING 3013 HIDDEN OAK DRIVE BAKERSFIELD CA 93306 872-0024 ISSAC MONSIBAIS,JR. EARTHWORK AM.INDIAN RED MAN PIPE&SUPPLY 4001 FRUITVALE AVE BAKERSFIELD CA 93308 589-0655 KENT KETCHUM EARTHWORK AM.INDIAN 625004 S&P EXCAVATION 3202 GENEVA COURT LAKE ISABELLA CA 93240 (619)379.8187 JOHN PRICE EARTHWORK HISPANIC SOLOMON PIPELINE 3231 BELLE TERRACE BAKERSFIELD CA 93309 832-9222 SERVIN SOLOMON EARTHWORK WOMAN 516739 VITO'S EXCAVATING 23132 SANJUAN TEHACHAPI CA 93561 821-1020 KATHIFERRIN ELECTRICAL HISPANIC 298042 AMERICAN COMM&ELECTRICAL 407 EAST 19TH STREET BAKERSFIELD CA 93305 324.1824 ROMAN RODRIQUEZ ELECTRICAL WOMAN 563887 CRAFTON ELECTRIC 1510 EAST 19TH STREET BAKERSFIELD CA 93305 395-0974 CAROLYN CRAFTON ELECTRICAL WOMAN 87786 BRYAN ELECTRIC 6130 NORRIS ROAD BAKERSFIELD CA 93308 399-7113 ROSEMARY OR JERRY BRYAN ELECTRICAL BLACK 659168 EVT ELECTRICAL 42064 P.O.BOX BAKERSFIELD CA 93384 8344357 EARL GAYLES ELECTRICAL - BLACK 341481 FRANCIES ELECTRIC 8836 GLENDA STREET BAKERSFIELD CA 93307 397-1659 LEON E FRANCIES,JR. ELECTRICAL AMER INDIAN 190905 GENE GASH ELECTRIC 99 SPRUCE STREET BAKERSFIELD CA 93304 323-2859 GENE GASH ELECTRICAL WOMAN 734366 HILLANS ELECTRIC 6816 NORRIS ROAD BAKERSFIELD CA 93308 393.2272 HERK BEAVAN ELECTRICAL WOMAN 231244 HUMES ELECTRIC 1310 KERN STREET TAFT CA 93268 (805)765.7181 HERK BEAVAN ELECTRICAL HISPANIC 620093 SJO 5416 COLLEGE AVE BAKERSFIELD CA 93308 633.9987 MANUEL ORTIZ ELECTRICAL HISPANIC SNIDER ELECTRIC COMPANY 4757 NORTH ILA FRESNO CA 93779 ELECTRICAL BLACKANOMAN 665219 SOUTH VALLEY ELEC.CONSTR. 42202 P.O.BOX BAKERSFIELD CA 93384 397-5538 ELANDRA B.PERRY ELECTRICAL HISPANIC 546630 STEVE HERNANDEZ 48W NEW HORIZON BLVD. STE.E BAKERSFIELD CA 93313 837-2376 STEVE HERNANDEZ ELECTRICAL ASIAN 613358 WANG DEVELOPMENT COMPANY 501 WORKMAN ST.,0120 BAKERSFIELD CA 93307 324-8218 WILLIAM WANG ELECTRICAL WOMAN 670637 VOWS CONSTRUCTION&ELECTRIC,INC 1301 WASHINGTON ST. BAKERSFIELD CA 93384 325-1865 YVONNE/DON AKERS ELECT.COMMUNICATIONS WOMAN 477083 BURTON TELECOMMICATIONS,INC. 6020 WRIGHT AVENUE BAKERSFIELD CA 93308 399-1521 ROBERT BURTON ELECT.COMMUNICATIONS MINORITY 620093 SJO 5416 COLLEGE AVE BAKERSFIELD CA 93308 6339967 MANUEL ORTIZ ELECT.SUPPLIES MINORITY 298042 AMER.COMMUNICATION&ELECTRIC 407 EAST 19TH STREET BAKERSFIELD CA 93305 324.1824 SARAH D.MIRANDA ENVIR.MGMT. HISPANIC 477083 HOLGUIN,FAHAN&ASSOCIATES 143 S.FIGUEROA ST. VENTURA CA 93301 652-0219 ANDREW H.HOLGUIN EQUIP.RENTAL BLACK 592987 GLOBAL INTERNATIONAL 2506 P.O.BOX BAKERSFIELD CA 93302 324-2480 MARVIN DEAN EROSION CONTROL WOMAN 508089 J&M LAND RESTORATION 1640 JAMES ROAD BAKERSFIELD CA 93308 872-7039 PAMELA JUETTE EXCAVATION BLACK 700136 DELTA ENGINEERING 5313 SHOWER SPRINGS ST. BAKERSFIELD CA 93313 (805)66-c.1981 FRANK 1.ENE EXCAVATION AM.INDIAN 625004 S&P EXCAVATION 913 P.O.BOX LAKE ISABELLA CA 93240 (619)3798187 MIKE SMITH FENCING FEMALE 558420 ACE FENCE COMPANY 15135 SALT LAKE AVENUE INDUSTRY CA 91746 (818)333-0727 SIM N P.LAU FENCING HISPANIC 397784 C&H FENCE&PATIO 930 BRUNDAGE LANE BAKERSFIELD CA 93307 3274786 FELIX MCLAIN FENCING HISPANIC 397784 C&H FENCE&PATIO 1752 GIRARD STREET DELANO CA 93215 725.3600 ERMINIO CHAVEZ FENCING WOMAN 464963 TEL-TECH/CONTROI I F ACCESS 5020 LISA MARIE COURT BAKERSFIELD CA 93313 3934670 JEFF OR ROBERT FENCING WOMANAND. 508089 J&M LAND RESTORATION 1640 JAMES ROAD BAKERSFIELD CA 93308 872-7039 PAMELA/JOHN JUETTE FENCING HISPANIC 252458 TORNADO FENCE&PATIO CO. 1101 EAST TRUXTUN AVE BAKERSFIELD CA 93305 324.7110 MANUEL GONZALES,SR. FENCING HISPANIC 418746 TORRES FENCE CO. 3709 EAST PITT AVE FRESNO CA 93725 (209)2374141 RALPH TORRES FENCING WOMAN VALLEY FENCE COMPANY 2203 INYOKERN ROAD RIDGECREST CA 93555 819 4463100 SHELBY KING FLOOR COVER HISPANIC/WOM BAKERSFIELD FLOOR COVERING 4609 NEW HORIZON BLVD.01 BAKERSFIELD CA '93313 832-2505 MARCIA HALL FLOOR COVER HISPANIC 485572 SUN FLOORS 1825 N STREET BAKERSFIELD CA 93301 395.0985 JACK GARCIA FURNITURE/EQUIP WOMAN JP RODGERS&ASSOCIATES INC. 4083-K OCEANSIDE BLVD. OCEANSIDE CA 92056 (619)728.8126 PATRICIA RODGERS GENERAL HISPANIC 694455 ABBA ENGINEERIN6 6307 P.O.BOX BAKERSFIELD CA 93386 3637020 BUDDYWILLIAMS GENERAL AM INDIAN 304405 AMERICAN MECHANICAL 10027 P.O.BOX BAKERSFIELD CA 93389 327-8253 CHARLES TWIST GENERAL HISPANIC 382566-B ANGEL TURRUSIATES&SONS 450 MT.ARBOR MCFARLAND CA 93250 792-2452 ANGEL TURRUBIHTES GENERAL HISPANIC 289299 AQUA STONE DESIGN 127 DOVER STREET DELANO CA 93215 725-8165 RAUL LOPEZ GENERAL WOMAN 369233 AVID CONSTRUCTION,INC. 1230 GLENWOOD STREET DELANO CA 93215 725.7310 VICENZA DISPOTO GENERAL WOMAN 611665 BUSSARD CONSTRUCTION CO. 313 BIRKDALE WAY BAKERSFIELD CA 93309 836-1D00 JUDY DENISON GENERAL WOMAN 650787 B&L CONSTRUCTION 624 RANCHO MIRAGE BAKERSFIELD CA 93306 363.9301 BONNIE OR LLOYD WATKINS GENERAL WOMAN/BLACK 663579 C.CATS 516 BUTTE AVENUE BAKERSFIELD CA 93305 635-3255 BARBRA CORNELIUS GENERAL BLACK 537604 CRAMER CONSTRUCTION 301 lST STREET 1AKERSFIELD CA 93304 324-6388 NORMANCRAMER GENERAL HISPANIC 336603 D&A CONSTRUCTION -912 P.O.BOX DELANO CA 93216 725-8459 JESSE DIAZ GENERAL HISPANIC 482442 DON BASQUEZ ENGINEERING&WELD 6720 DOWNING BAKERSFIELD CA 93308 588-8625 DON BASQUEZ GENERAL BLACK 438957 EAGLE ENTERPRISES 400 WATTS DRIVE BAKERSFIELD CA 93307 832-9716 WILUE STRONG GENERAL BLACK 597765 E.P.S.ENGINEERING SERVICES 1601 H STREET,0250 BAKERSFIELD CA 93301 322.6675 PATRICK MBABA GENERAL WOMAN 546170 FOTH BUILDERS 1805 TWENTY-EIGHTH STREET BAKERSFIELD CA 93301 327-6448 D.JEANNE FOTH GENERAL WOMAN 676078 MARIANNE FRIEDL 616 P.O.BOX LOS ALAMOS CA 93440 (805)349-0314 MARIANNE FRIEDL GENERAL BLACK 592987 GLOBAL INTERNATIONAL 2508 P.O.BOX BAKERSFIELD CA 93303 324.2480 MARVIN DEAN GENERAL 266270 GREAT WESTERN BUILDERS 1001 MOHAWK BAKERSFIELD CA 93309 327-7616 ROBERT MATSUMOTO Minority and Women Business Enterprise o„DS,ea M/WBE Directory- County of Kern General Services Department Construction Services Division Note: It Is the Directory user's responsibility to verify all pertinent information In this directory. The County of Kem,General Services Department In no way represents or Implies the degree of capability of the MBEs listed. . TRADE ETHNICITY LIC 0 NAME OF FIRM ADDRESS CITY ST ZIP PHONE NO CONTACT GENERAL BLACK 463749 HUSTLER'S HAULING BACKHOE 116 DONNA BAKERSFIELD CA 93301 326-1071 ROBERT JONES GENERAL HISPANIC 297058 J&M CONSTRUCTION ROUTE 2;BOX 84o BAKERSFIELD CA 93307 833-8388 MIKE FRAUSTO GENERAL BLACK JOHN HILL d SONS CONSTR. 504 'K'STREET BAKERSFIELD CA 93304 324.8346 JOHN HILL GENERAL HISPANIC 649220 JUAREZ CONSTRUCTION 4301 GRISSOM.0D BAKERSFIELD CA 93313 83443112 MIGUELJUAREZ GENERAL MINORITY 705535 KOIYAN INTERNATIONAL LIMITED 4001 STOCKDALE HWY 0130 BAKERSFIELD CA 93309 587-9616 JALLAH KOIYAN GENERAL HISPANIC 626166 LUCIANO ESPINOSA CONSTRUCTION 1009 CAROLINE COURT BAKERSFIELD CA 93307 (805)831-3686 LUCIANO ESPINOSA GENERAL HISPANIC 264193 R.BURKE CORPORATION 957 P.0.BOX SAN LUIS OBISPO CA 93406 GENERAL HISPANIC, 436244 RISING SUN COMPANY 1180 SPRUCE ROAD EXETER CA 93221 (209)592-5315 W.L SARIO GENERAL HISPANIC 295891 SAMROD CORPORATION 151 E.AVENUE.H-B LANCASTER CA 93535 (805)945-3602 MICHAEL S.RODRIQUEZ GENERAL WOMAN 700782 SPRINGER CONSTRUCTION 6865 WEST AVENUE W ROSAMOND CA 93560 (805)2562260 ROBERT ROCCA GENERAL HISPANIC 578138 TEJEDA CONSTRUCTION 2618 POTOMAC AVENUE BAKERSFIELD CA 93307 324.1029 RAULTEJEDA GENERAL HISPANIC 847842 TOMMY KEELING CONSTRUCTION 8900 TILLSON WAY BAKERSFIELD CA 93307 832.8081 TOMMY KEELING GENERAL HISPANIC 456976 UNIVERSAL STEEL BUILDERS 376 NORTH'D'STREET PORTERVILLE CA 93257 (209)7816517 LAURA BEHRENS GENERAL HISPANIC 716135 UPLAND CONSTRUCTION COMPANY 1716 STILLMAN AVENUE BAKERSFIELD CA 93304 (805)83543982 MICHAEL LOPEZ ' GENERAL ASIAN 613358 WANG DEVELOPMENT COMPANY 501 WORKMAN ST.,0120 BAKERSFIELD CA 93307 32443218 WILLIAM WANG GENERAL HISPANIC 645252 G d S CONSTRUCTION CO. 2811 H STREET BAKERSFIELD CA 93302 322-8897 RAUL GALLO GLAZING HISPANIC 379507 CARLOS SHOWER DOORS - 300 KENTUCKY STREET- BAKERSFIELD CA 93305 327-5594 LONI AMADQ GLAZING HISPANIC 234660 CENTER GLASS COMPANY 416 SONORA STREET BAKERSFIELD CA 93305 327-7691 CHARLES SALGADO HARDWARE WOMAN SUPPLIER SIGNET HARDWARE,INC. 6247 P.O.BOX BAKERSFIELD CA 93388 805 327.0994 MARCIA SCATENA HYDROSEEDING WOMAN 508089 J a M LAND RESTORATION 1640 JAMES ROAD BAKERSFIELD CA 93308 872-7039 PAMELA JUETTE INDUST.SUPPLIES ASIAN AUTOMATION DYNAMIC SERVICES 1345 RED GUM ST.UNIT 1 ANAHEIM CA 92808 (714)632-7595 STEPHEN LONG INDUST.SUPPLIES ASIAN BORGES 6 MAHONEY CO. 100 LINCOLN ROAD EAST VALLEJO CA 94591 (107)6433300 YOUNG S.LEE INDUST.SUPPLIES ASIAN REHAN INDUSTRIAL SUPPLY 3400 UNICORN ROAD 0106 BAKERSFIELD CA 93308 393-8153 MOE RAFIQ R B R LEASING BLACK _. 592987 _ GLOBAL INTERNATIONAL - __2508 P._O.BOX BAKERSFIELD CA 93302 324-2480 MARVIN DEAN B R LEASING WOMAN 97-39037 CONTINENTAL LABOR RESOURCES 4100 PIERCE ROAD BAKERSFIELD CA 93308 8354335 SHANNON SMITH LANDSCAPE ARCH. HISPANIC 2000 LANDSCAPE ARCHITECTURE 5405 STOCKDALE HWY 0207 BAKERSFIELD CA 93309 39743661 RALPH ADAME LANDSCAPING 302545 FRANCIS BEADLE 8186 P.O.BOX BAKERSFIELD CA 93386 871-2307 FRANK BEADLE - LANDSCAPING HISPANIC 590455 FIMBRES LANDSCAPE SERVICE 9043 EAST WILSON RD. BAKERSFIELD CA 93307 3668255 DAVID FIMBRES LAND RESTORATION WOMAN/IND. 508089 J 8 M LAND RESTORATION 1640 JAMES ROAD BAKERSFIELD' CA 93308 872-7039 PAMELA/JOHN JUETTE LANDSCAPING WOMAN 544270 LANDSCAPE PROT.SERVICES 43983 15TH ST.WEST 0217 LANCASTER CA 93534 942-9712 RICHARD HAHN LATHING AM INDIAN 347858 LEO HUBBLE LATHING 2801 VERDUGO LANE BAKERSFIELD CA 93312 589-9494 LEO HUBBLE JL—IN—ER INS T. HISPANIC 453184 FIELD LINING E VI E INC. 334 N.42ND AVENUE PHOENIX AZ 85019 (SO2)269-1255 PHILLIP V.RAMOS- IMASONRY HISPANIC 341487 ALLSTATE MASONRY 11797 QUIET LANE RIVERSIDE CA 92505 (909)688.8246 ALBERT URRUTIA MASONRY WOMAN/BLACK 663579 C.CATS 518 BUTTE BAKERSFIELD CA 93305 635-3255 MASONRY HISPANIC 389806 SEQUOIA MASONRY 2243 NORTH SEA COURT VISALIA CA 93291 (209)6254521 LEO ORTEGA.JR. MASONRYMLE/BRICK HISPANIC 290938 RAY DE LA CRUZ MASONRY 4609 TOBIN ROAD BAKERSFIELD CA 93311 664-1144 ALICE DE LA CRUZ MODULAR BLDGS. WOMAN 622321 BRANDALL MODULAR CORPORATION 19744 BEACH BLVD.0410 HUNTINGTON BCH CA 92648 14 965-0032 LARRY HARRIS PAIN ING MINORITY 471359 KIM'S PAINTING COMPANY 10451 P.O.BOX BAKERSFIELD CA 93389 665-0767 HYOUNG SEUNG KIM PAIN ING MINORITY 728328 QUICK COAT COATINGS AND PAINTING 1015 N.LAKE AVENUE 0207 PASADENA .CA 91104 818 29843747 JOHN ALLEN PAVING HISPANIC 630080 BIG VALLEY CONSTRUCTION 49560 P.0.BOX BAKERSFIELD CA 93382 837-2744 GARY J.DIAS - PAVING(ASPHALT) WOMAN/IND. SUPPLIER BRENTEX,INC. 2604 CLURA COURT BAKERSFIELD CA 93304 837-1987 BRENDA VICKERY PAVING(MAINT.) WOMAN 663444 CALIFORNIA ASPHALT MAINTENANCE 5606 P.O.BOX BAKERSFIELD CA 93388 392-0299 MARCIA PELL PAVING(b GRINDING) WOMAN 735722 DONRAY ASPHALT 1639 HEATH ROAD BAKERSFIELD CA 93312 5863729 DONNA OR RAY WATSON PAVING BLACK 592987 GLOBAL INTERNATIONAL 2506 P.O.BOX BAKERSFIELD CA 93303 324-2480 MARVIN DEAN PAVING WOMAN 452244 KERN ASPHALT PAVING 3550 FRUITVALE AVE. BAKERSFIELD CA 93308 589-0191 DONNA WATSON PAVING WOMAN 596735 QUICKIE PATCH PAVING 0450 P.O.BOX BAKERSFIELD CA 93302 322-5302 DEANNA ANDERSON PAVING HISPANIC 433279 STAN'S PAVING 3114 SHELLY LANE BAKERSFIELD CA 93306 871-2118 LUPE F.PEREZ PEST CONTROL HISPANIC PR265 DELANO PEST CONTROL 1006 BALBOA DELANO CA 93215 805 721-2855 FRANK GALAVIZ PIPE HISPANIC INTERNATIONAL FABRICATORS 1126 ROCKWOOD HEBER CA 92249 (619)352-1101 MARCIO BOTTA-SILLS PIPE WOMAN 577531 PRESSURE TECHNOLOGIES 2801 JUNIPERO AVENUE SIGNAL HILL CA 90806 (310)424.7828 THOMAS R.ROBERTSON PIPE ASIAN SHERIDEN SALES CO. 531 03-B OAK STREET ROSEVILLE CA 95678 918 782-3688 DENNIS WONG PLASTERING BLACK 346887 H.WEBSTER PLASTERING 405 V STREET BAKERSFIELD CA 93304 872-7826 RICK WEBSTER PLASTERING HISPANIC 649220 JUAREZ CONSTRUCTION 4301 GRISSOM.#D BAKERSFIELD CA 93313 872-7828 MIGUELJUAREZ PLASTERING HISPANIC 626166 LUCIANO ESPINOSA CONSTRUCTION 1009 CAROLINE CT. BAKERSFIELD CA 93307 (805)831-3686 LUCIANO ESPINOSA PLASTERING HISPANIC TONY FRAUSTO&SONS 1111 TERRACE WAY BAKERSFIELD CA 93307 83343884 TONY FRAUSTO PLASTERING HISPANIC 661845 ALREDO RODRIGUEZ PLASTERING 1804 P.O.BOX BAKERSFIELD CA 93307 905 5860981 HECTOR RODRIGUEZ PLUMBING AM INDIAN 304405 AMERICAN MECHANICAL 3255 P.O.BOX BAKERSFIELD CA 93385 327-8253 CHARLES TWIST PLUMBING BLACK 655190 C.RENO PLUMBING 45742 NORTH FIG AVE. LANCASTER CA 93534 8461549 CHARLES RENO PLUMBING HISPANIC 345241 J.D.PLUMBING- 10901 ENGER STREET BAKERSFIELD CA 93308 589.5726 JOE DOMINGUEZ PLUMBING WOMAN 300448 KERN VALLEY PLUMBING,INC. 535 P.O.BOX WOFFORDHEIGHTS CA 93285 19 3766626 SHARON G.JOYNER Minority and Women Business Enterprise 03105198 M/WBE Directory County of Kern General Services Department Construction Services Division Note: It Is the Directory user's responsibility to verify all pertinent Information in this directory.The County of Kem,General Services Department in no way represents or Implies the degree of capability of the MBEs listed. TRADE ETHNICITY UC# NAME OF FIRM ADDRESS CITY_ ST ZIP PHONE NO CONTACT PLUMBING ASIAN 452631 NILES STREET PLUMBING 3810 NILES STREET BAKERSFIELD CA 93308 871-2314 M.S.SIDHU PLUMBING WOMAN 653339 RAM CONSTRUCTION 19219 HIGHWAY 33 MCKITTRICK CA 93251 3343349 DIANNA.MORRIS PLUMBING HISPANIC 589517 SUNSETMECHANICAL 239 BONITA DRIVE BAKERSFIELD CA 93305 324-0487 PATTY BLACKBURN PRECAST CONCRETE HISPANIC 647202 CODE PRECAST PRODUCTS,INC. 1151 - E LOS ANGELES AVE. SHAFTER CA 93263 588-0302 RICHARD H MORALES PROPERTY MAINT. WOMAN 691571 RAM CONSTRUCTION 19219 HIGHWAY 33 MCKITTRICK CA 93251 3343349 D44NNA MORRIS PROTECT COATINGS WOMAN MULTI LINING b COATING 3900 FRUITVALE AVE. BAKERSFIELD CA 93308 589-0850 DARLENE MARTIN REBAR WOMAN 415434 BOWEN REBAR FABRICATORS 1162 SOUTH FOWLER FRESNO CA 93727 (209)255-1&% LORENE WILLS ROOFING HISPANIC SUPPLIER BAKERSFIELD SHINGLES WHOLESALE 4 P STREET BAKERSFIELD CA 93304 327-7663 ERNIE MONTOYA ROOFING HISPANIC 385737 GARCIA ROOFING 200 INYO ST. BAKERSFIELD CA 93305 325.5736 MIKE GARCIA ROOFING HISPANIC 311620 SECURITY ROOFING&WATERPROOF. 3701 CANDLEWOOD DRIVE BAKERSFIELD CA 93306 872-2819 BUD LOPEZ ROOFING HISPANIC 632906 WESTSTAR ROOFING b AIR COND. 1291 P.O.BOX VISALIA CA 93279 09 635-1453 DAVID LOZANO SAWCUTfING MINORITY 732108 CONCRETE CUTTING UNLIMITED 41602 P.O.BOX BAKERSFIELD CA 93384 805 588.9280 GERALD OGDEN SECURITY SYSTEMS BLACK TEL-TEC,INC. 5020 USA MARIE COURT BAKERSFIELD CA 93313 397-5511 MORGAN CLAYTON SIGN EQUIPMENT WOMAN 523594 STATEWIDE SAFETY tL SIGNS INC. 271 FIVE CITIES DRIVE PISMO BEACH CA 93449 7732833 JOAN CORSBY STEAM CLEANING WOMAN 9643549 SUPREME STEAM 2109 DIANE DRIVE BAKERSFIELD. CA 93308 392-1859 RHONDA USSERY STEEL BLACK 438057 EAGLE ENTERPRISES 400 WATTS DRIVE BAKERSFIELD CA 93307 832-9716 WIWE STRONG STEEL HISPANIC 500106 GOLDEN EMPIRE STEEL WELDING 81234 P.O.BOX BAKERSFIELD CA 93380 322-9775 BEN FLORES STEEUPIPE WOMAN 431842 CEC,INC. 4110 WIBLE ROAD BLDG.L BAKERSFIELD CA 93313 835.9048 JUDY CAMENISCH ST RM DRAINS BLACK 592987 GLOBAL INTERNATIONAL 2505 P.O.BOX BAKERSFIELD CA 93303 324-2480 MARVIN DEAN STORM DRAINS HISPANIC 668836 ADVANCED CLEANUP TECHNOLOGIES 4548 WESLEY LANE BAKERSFIELD CA 93308 392-7765 CHARUE SHERMAN SURVEYING AM INDIAN L.S.4335 PIWAREA SURVEYING 3125 19TH STREET BAKERSFIELD CA 93301 861.8909 KEN VALLEY TILE WOMAN 611663 BAKERSFIELD TILE 6 MARBLE 60556 P.O.BOX BAKERSFIELD CA 93386 324-0043 ANNETTE CARSON TILE/BRICK HISPANIC 290938 RAY DE LA CRUZ MASONRY 4609 TOBIN ROAD BAKERSFIELD CA 93311 6641144 ALICE DE LA CRUZ TRAFFIC SIGNAL AM INDIAN ROSE SUPPLY COMPANY 1318 E MISSION RD.,0110 SAN MARCOS CA 92069 (619)747-0606 CHERYL ROSE TRUCKING HISPANIC 830080 BIG VALLEY CONSTRUCTION 49560 P.O.BOX BAKERSFIELD CA 93382 837-2744 GARY J.DIAS TRUCKING WOMAN 148164 CHARLENE'S TRANSPORATATION 863 P.O.BOX GOLETA CA (805)9674486 CHARLENE MILBY TRUCKING WOMAN ELDER WATER TRUCK 4970 E.LEISURE FRESNO CA 93727 (209)251-8800 IVA ELDER _ TRUCKING AM INDIAN 145313 MEL HOUSER TRUCKING 2300 SOUTH CHESTER AVE BAKERSFIELD CA 93304 835.1904 MEL HOUSER TRUCKING AM INDIAN P 6 M TRUCKING 4451 NORTH MANILA FRESNO CA 93727 831.4128 PETE RHODES TRUCKING WOMAN/HISP. RHOADS TRUCKING 2700 CLAIRE STREET LAKE ISABELLA CA 93240 (619)379$080 BEVERLY RHOADS TRUCKING WOMAN 141855 SHARON SCHMIDT TRUCKING 6901 EAST BRUNDAGE LANE BAKERSFIELD CA 93307 - 386-0535 SHARON SCHIMDT TRUCKING HISPANIC SOTO BROTHERS TRUCKING 2604 EARLENE AVENUE BAKERSFIELD CA 93304 - 833-8861 JOE SOTO TRUCKING WOMAN T145,258 - RELIABLE MOVING 4350 WIBLE ROAD BAKERSFIELD CA 93313 397-0765 EILEEN BUCKLEY TRUCKING WOMAN VIRGINIA FORD TRUCKING 4498 WEEDPATCH HWY. BAKERSFIELD CA 93307 366-7298 VIRGINIA FORD TRUCKING 8 CRANE WOMAN C b R TRANSPORTATION 81403 P.O.BOX BAKERSFIELD CA 93380 589 048 COLLEEN MARIE PHARR TRUCKINGSUPPLY WOMAN SOUTH VALLEY TRANSPORT 6005 CLIMIN LANE BAKERSFIELD CA 93309 836.2495 RITA CARSON UNDERGRND TANKS HISPANIC 668838 ADVANCED CLEANUP TECHNOLOGIES 4548 WESLEY LANE BAKERSFIELD CA 93308 392-7765 CHARLIE SHERMAN UNDERGROUND UTIL WOMAN 683266 BECKA CONSTRUCTION 80874 P.O.BOX BAKERSFIELD CA 93380 589-7403 REBECCA STATLER UNDERGROUND UTIL. BLACK 592987 GLOBAL INTERNATIONAL 2506 P.O.BOX" BAKERSFIELD CA 93303 324.2480 MARVIN DEAN UNDERGROUND UTIL HISPANIC 530758 VALENCIA CONSTRUCTION 41300 P.0.BOX BAKERSFIELD CA 93384 295-0942 MARGARET IRIBARREN ULTRAWALL WOMAN 495439 T.I.SERVICES,INC. 2160 MARS COURT BAKERSFIELD CA 93308 392-7021 LEIGH ANN ANDERSON WATERPROOFING HISPIWOMAN SUPPLIER DECORATIVE CONSTR.PRODUCTS 4301 GRISSOM#D BAKERSFIELD CA 93313 834.8112 ERMINIAJUAREZ WINDOWS HISPANIC 574202 ACE WINDOW PRODUCTS 1911 N.GAFFEY ST.#G SAN PEDRO CA 90731 10 831-2112 USA MALDONADO 1WROUGHT IRON HISPANIC 318356 CHAVEZ MANUFACTURING 1800 E.CALIFORNIA AVE. BAKERSFIELD CA 93307 322-1129 PEDRO CHAVEZ,JR. WRT IRONIFENCING WOMAN 464963 TEL-TECH/CONTROLLED ACCESS 5020 USA MARIE COURT BAKERSFIELD CA 93313 393-0670 JEFF OR ROBERT Note: The contractors named above are currently certified with the County of Kem through either the Community Development Program Department or through the Department of General Services. You may be certifed through either department to have your MANBE listed here.You must be certifed with the County of Kam to be included In this Directoryl For Additional Information Please Call: Community Development Program Department: (805)868-5048 Department of General Services: (805)868-3065- Contracts Administrator ' COUNTY OF KERN ' GENERAL SERVICES DIVISION OF THE COUNTY ADMINISTRATIVE OFFICE ' SPECIAL PROVISIONS SECTION 1. OTHER DOCUMENTS Addendum (if any), and the Notice to Contractors, Instructions to Bidders, General Conditions, Bid Proposal, Faithful Performance Bond, Payment Bond, Plans, Specifications, and all documents appurtenant thereto, including the Standard Specifications, and all documents attached hereto are hereby incorporated herein by this reference. Should there be any conflict between the terms of these Special Provisions and any of the above documents, including the bid proposal, these Special Provisions shall control and nothing herein shall be considered as an acceptance of ' any terms of said documents or proposal conflicting herewith(excepting Addendum which modify these Special Provisions). ' SECTION 2. BEGINNING OF WORK, TIME OF COMPLETION AND LIQUIDATED DAMAGES GENERAL-Attention is directed to the provisions of Sections 8-1.03, "Beginning of Work," 8- 1.06 "Time of Completion," and 8-1.07, "Liquidated Damages," of the Standard Specifications and these Special Provisions. ' The first paragraph of Section 8-1.03, "Beginning of Work," of the Standard Specifications, is amended to read: ' As the execution of the Agreement by County is a matter of public record, Contractor will be considered to have received actual notice of the date the agreement was executed by County, on the date the agreement is so executed by County. The County may but is not required to send to Contractor written notice to proceed. Contractor's working days shall begin ten(10)calendar days after the date the agreement has been executed by the County. Contractor shall diligently prosecute the same to completion before the expiration of thirty (30) working days. The Contractor shall pay to the County of Kern the sum of$ 500.00 per day for each and every calendar day's delay in finishing the work in excess of the number of working days prescribed above. SECTION 3. TECHNICAL REQUIREMENTS The specification sections indicated in the index page SP-2 shall comprise Section 3 of these Special Provisions. 1/98 (Beige) SP-1 1 1 1 COUNTY OF KERN GENERAL SERVICES DIVISION OF THE ' COUNTY ADMINISTRATIVE OFFICE GENERAL CONDITIONS Where the following words or phrases are used in any of the contract documents (including but not limited to the Standard Specification) they shall be defined as follows: 1. DEFINITIONS ' A. Owner, Sponsor, County, State: Shall mean the County,of Kern, a political subdivision of the State of California. ' B. Architect: Shall mean the individual, corporation, partnership or joint venture retained by the County to perform architectural services for this project or if no one has been so retained then it shall be the Engineer defined below. ' C. Board of Supervisors: Shall mean the Boa rd of Supervisors of Kern County. D. Contractor: Shall mean the person or persons, partnership or corporation who have entered into a Contract with the County of Kern for the purpose of this project, or ' his or their legal representatives. E. Department: The General Services Division of the County Administrative Office I ' of the County of Kern. F. Director: The Assistant County Administrative Officer of the General Services Division of the County Administrative Office of the County of Kern. G. Department of Transportation: The General Services Division of the County Administrative Office of the County of Kern, except where Department of Transportation publications are cited such cites are to remain as written. ' H. Engineer: The General Services Department Division of the County Administrative Office of the County of Kern, acting either directly or through properly authorized agents, such agents acting within the scope of the particular duties delegated to them. I. Laboratory: The Laboratory of the General Services Division of the County Administrative Office or other laboratories authorized by the Department. ' /98 _ 1 GF GC 1 1 J. The term "Subcontractor" as employed herein includes only those having a direct , contract with the Contractor, and it includes one who furnishes material worked to a special design according to the Plans and Specifications of this project, but does ' not include one who merely furnishes material not so worked. 2. PRECONSTRUCTION CONFERENCE Before the start of construction, the County will schedule a preconstruction conference. It will be mandatory that the prime Contractor and Subcontractor(s) with significant , portions of work to be performed in their trade attend the preconstruction conference. The purpose of the conference is to discuss provisions of the specifications, answer questions either party may have, discuss preliminary project scheduling, and to acquaint ' them with the requirements and provisions for this project. 3. ACCESS TO WORK ' The Contractor and each subcontractor shall permit the Architect and the County and their , authorized agents to have access to the work whenever it is in preparation or progress and shall provide proper facilities for access and inspection. 4. ARCHITECT VISITS '. The Architect will make periodic visits to the site to familiarize himself generally with the ' progress and quality of the. work and to determine in general if the work is proceeding in accordance with the Contract Documents. On the basis of his on-site observations as an Architect, he will keep the County informed of the progress of the work and will endeavor ' to guard the County against defects and deficiencies in the work of the Contractor. 5. DRAWINGS AND SPECIFICATIONS AT THE SITE ' A. The Contractor shall maintain at the site for the County one copy of all Drawings, Plans, Specifications, Addenda, Approved Shop Drawings, Change Orders and all , other modifications to any of the Contract Documents, in good order and marked to record all changes, revisions, additions and deletions made during construction. These shall be available to the Architect/Owner and their designated representatives at all times. The drawings and all other items marked to record all changes, revisions, ' additions, and deletions shall be kept up to date and current during construction. B. At the beginning of the project (preconstruction meeting), the County shall provide , to the Contractor a copy of the drawings, or a drawing to scale of the floor plan and/or site plan, with no information other than the walls, at the option of the County. The drawings and all other items shall be marked by the Contractor to record all changes, revisions, additions, and deletions and shall be kept up to date 1/98 GF GC-2 1 ' and current during construction. The Contractor shall update the Record Drawings at weekly intervals, or at a mutually agreed upon time increment between the County and the Contractor. All of the above items are the property of the County ' and shall be turned over to the County by the Contractor prior to, or concurrent with acceptance of the project by the County. ' 6. CONTRACTOR'S REPRESENTATIVE ' The Contractor shall keep on the job site during the construction of the project, a competent Superintendent and any necessary assistants, all satisfactory to the County. The superintendent shall be required to be present during any work performed at the site by the 1 contractor, his subcontractors or their suppliers or vendors. The Superintendent shall not be changed except with consent of the County unless the Superintendent proves to be unsatisfactory to the Contractor and ceases to be in his employ. The Superintendent shall represent the Contractor in his absence and all directions given to him shall be as binding as if given to the Contractor. Important decisions shall be confirmed in writing to the Contractor. If the Superintendent proves to be unsatisfactory to the Architect or the County, he shall be replaced within ten (10) days after written notice from the County to the Contractor. 7. WRITTEN NOTICE Written notice shall be deemed to have been duly served if delivered in person to the individual or to a member of the firm or to an officer of the corporation for whom it is intended, or if delivered at or sent by registered mail to the last business address known to him who gives the notice. 8. STANDARD SPECIFICATIONS 1 A. The work embraced herein shall be performed in accordance with the Standard Specifications of the State of California, Business and Transportation Agency, 1 Department of Transportation, dated July, 1992, insofar as the same may apply and in accordance with the Special Provisions. ' B. In case of conflict between the Standard Specifications and these General Conditions or the Special Provisions, the General Conditions and Special Provisions shall take precedence over and be used in lieu of the conflicting provisions of the Standard Specifications. C. Section 3-1.03, "Execution of Contract," of the Standard Specification is amended to read: 3-1.03 Execution of Contract - The contract shall be signed by the successful bidder and returned, together with the contract bonds, within 8 1/98 GF GC-3 I , 1 days, not including Saturdays, Sundays and County legal holidays, after the , bidder has received notice that the contract has been awarded. D. The first sentence of Section 3-1.04, "Failure to Execute Contract," of the Standard Specifications is amended to read: Failure of the lowest responsible bidder, the second lowest responsible bidder, or the third lowest responsible bidder to execute the contract and file acceptable bonds as provided herein within eight(8)days,not including ' Saturdays, Sundays and County legal holidays, after such bidder has received notice that the contract has been awarded to him shall be just cause for the forfeiture of the proposal guaranty. E. The first sentence of the third paragraph of Section 8-1.01, "Subcontracting," of the Standard Specifications is deleted and shall not apply to this contract. , F. Section 9-1.10, "Arbitration," of the Standard Specifications is deleted and shall not apply to this contract. , 9. CODE REQUIREMENTS ' The work shall be performed in conformity with the following code requirements as they relate to the work: , A. California Building Code (1995 Edition or latest applicable code) as amended by applicable local ordinances for all'construction work. B. California Electric Code (1994 Edition or latest applicable code). , C. California Plumbing Code (1995 Edition or latest applicable code) as amended by applicable local ordinances for plumbing, sewage disposal and health requirements. , D. California Mechanical Code (1995 Edition or latest applicable code). E. California Fire Code (1995 Edition or latest applicable code). ' F. California Administrative Code Titles 15, 19 and 24 (with California amendments), and Americans with Disabilities Act(ADA)accessibility guidelines, whichever is more stringent. G. All State laws and County Ordinances, rules of the State or County Health Departments, rules of the National Board of Fire Underwriters and National Fire Protection Associations, and local power company regulations for mechanical and electrical work. 1/98 GF GC-4 10. DRAWINGS AND SPECIFICATIONS A. The bidder shall examine carefully the Bid Proposal, Plans, Specifications and Contract Forms. It is intended that all the Contract Documents be complimentary, each with the other, but should any discrepancy occur, the Contractor/bidder shall notify the Architect/Engineer at once so the discrepancy may be clarified. r B. Details and Shop Drawings, either furnished.by or approved by the Architect, are ' considered as amplifying and not as modifying the drawings and specifications on which the proposal was made. C. Misplacement, addition or omission of any word, letter, figure or punctuation mark in no way changes the true spirit, intent or meaning of the drawings and specifications. The Contract Documents are to be taken together, and what is called for by one shall be as binding as if called for by all. Any work or material necessary to complete the work which may be fairly implied as included in the Contract shall be done and provided by the Contractor without extra charge. D. For convenience the Contract Documents of these specifications are arranged in P g ' several sections, but such separation shall not be considered as the limits of the work required of any subcontractor or trade. The terms and conditions of such limitations are wholly between the Contractor and his subcontractors. 11. PERMITS If required, a building permit shall be obtained and paid for by the County. The Contractor shall sign for and be handed the building inspection card and one set of approved drawings at the beginning of the project. Except as provided elsewhere, all other required permits shall be obtained and paid for by the Contractor. Scheduling for and obtaining inspections from the Building Inspection Division of the Engineering and Survey Services Department and all other regulatory agencies shall be the responsibility of the ' Contractor. The Contractor shall provide to the County as a condition for final payment, original ' copies of all required permits, which have been signed off as final by the respective issuing agencies. Prior to the issuance of a Building Permit, the Contractor may be required to obtain a permit from the Division of Occupational Safety and Health pursuant to Chapter 6 of Part 1 of Division 5 of the Labor Code. The requirement for obtaining the permit shall be the responsibility of the Contractor. Permit fees shall be paid for by the Contractor. 1 1/98 GF GC-5 12. TEMPORARY UTILITIES A. Except as may be provided elsewhere, the Contractor shall provide all temporary ' utilities as required for construction, and shall be responsible for removal of same upon completion of the job. B. The Contractor shall make all arrangements for, furnish and pay for all utilities ' required for construction purposes. Contractor and subcontractor requiring such services must provide all necessary piping, wiring, etc., from point of connection, ' the cost of which shall be considered to be a part of the bid price. C. When any portions of the permanent systems are in operating condition, that part of the system may be used as a temporary facility provided that the Contractor: 1. Obtain's the County's approval. ' 2. Assumes full responsibility for the system use. 3. Pays all costs for operation, maintenance, cleaning and restoration of the system. 4. Operates the system under the supervision of the subcontractor responsible for the system installation and ultimate performance. ' a. Provides temporary approved filters to adequately filter all air (including return, transfer and outside air) being distributed through ' the duct-work to the supply outlets. 13. PERMANENT UTILITIES ' Public utility fees and permit costs for permanent utility facilities associated with this project shall be paid for by the County. ' 14. ADVERTISING MATTER No advertisin matter of an kind will be allowed on an art of the work in the field , g Y any approved by the County. ' 15. WORK ON PUBLIC RIGHT-OF-WAY Work within the right-of-way lines of the city and/or County and/or State shall be done in accordance with the standards and specifications of the controlling agency. Permit for such work shall be obtained and paid for by the Contractor before executing the work within such right-of-ways. 1/98 GF GC-6 16. PATENTS AND ROYALTIES ' A. The Contractor shall provide and pay for all licenses and royalties necessary for the legal use and operation of any of the equipment or specialties used in the work. Certificates showing the payment of any such licenses or royalties, and permits for the use of any patented or copyrighted devices shall be secured and paid for by the Contractor and delivered to the County on completion of the work, if required. B. The Contractor shall assume all responsibility for the use of apparatus or devices covered by patents or copyrights, shall defend any suits brought against the County based upon claimed infringements of any such patents or copyrights, and shall hold ' the County free from claims for damages incident to their use. 17. MATERIAL (Equal Materials or Product) ' A. Material shall be new and of quality equal to that specified. When not particularly specified, materials shall be the best of its class or kind. The Contractor shall, if required, submit satisfactory evidence as to the kind, price, fitness and quality of the material used as being equal to that specified. However, if Contractor is to decide between using material of equal price and quality, preference shall be given to products made in California. 1 B. Within 35 calendar days after the signing of the contract, the Contractor shall submit for approval to the Architect or Engineer a complete list of all materials Contractor proposes to use under this contract which are a definite brand or make ' which differ in any respect from materials specified. This list shall include all materials which are proposed by any subcontractor. The list shall also include any material to be used which is not specifically mentioned in the Specifications. (Public Contract Code Section 3400). This list must also include the figures received by the Contractor in bid form for ' the material or materials which are submitted for approval, together with the figures in bid form of the specified material or materials for which substitutions are proposed. In case a substitute is offered and accepted as approved equal to ' materials specified, the cost of which is less than the cost of the material or appliance specified, then a credit may be required for the difference between the ' two costs in order that the County shall obtain whatever benefits may be derived from the substitution. Failure to propose the substitution of any article within 35 days after the signing of the contract may be deemed sufficient cause for the denial of request for substitution. C. Wherever the name or brand of a manufacturer's article is specified on the Plans i ' or in the Special Provisions, it is used as a measure of quality and utility or as a standard. If the Contractor desires to use any other brand or manufacturer of equal quality and utility to that specified, he shall make application to the Architect or 1 1/98 GF GC-7 Engineer in writing and submit samples, if requested, in ample time for Architect's or Engineer's investigation (no delay or extra time will be allowed on account thereof). The Architect or Engineer will then determine whether or not the named ' brand or article is equal in quality and utility to that specified and his decision shall be final. Requests for substitution will only be considered when offered by the Contractor. No deviations from the specification will be allowed unless such written requests are made by the Contractor and approved in writing by the Architect or Engineer. D. All materials shall be delivered so as to insure the speedy and uninterrupted progress of the work. All materials shall be stored so as not to cause an obstruction, and so as to prevent overloading of any portion of the structure, and ' the Contractor shall be entirely responsible for damage or loss caused by overloading, weather or other cause. 18. PROJECT AND SUBMITTAL SCHEDULES ' A. The Contractor shall, within fifteen (15) calendar days of execution of the contract, ' submit to the Architect a comprehensive submittal schedule. Except as provided elsewhere, the construction schedule shall contain a critical path and milestones for ' all items of work to be performed under the contract. The construction schedule shall be updated at the request of the County whenever the project falls behind schedule. Preparation of the original schedule and subsequent updates to the construction schedule shall be at the expense of the contractor and shall be included in the bid/contract amount. The submittal schedule shall include the latest dates that each and every submittal item required by the Contract documents will in fact ' be submitted to the Architect. B. Submittal items shall include, but not be limited to: schedule of values; construction ' schedules, a formal subcontractor listing including name, address, phone and license numbers, samples, shop drawings, colors, guaranties, warranties, ' certifications, notifications, test reports, and any other submittals required by the Architect. The submittal schedule will be reviewed by the Architect for compliance ,with the overall project schedule. Any adjustments necessary to achieve compliance will be made and the submittal Schedule returned to the t Contractor for implementation. 19. SHOP DRAWINGS AND SAMPLES ' A. The Contractor shall submit, in ample time, all shop drawings or setting drawings and schedules where required for the work of the various trades after verifying all job conditions and noting thereon all corrections and all samples. He shall make any corrections required by the Architect/Engineer. The Architect/Engineer ' assumes no responsibility for errors in or deviations from the drawings or specifications, unless the Architect's attention has been called to the subject 1/98 GF GC-8 1 ' deviation, in writing, at the time of submission. The omission of any material from the Contractor's shop drawing that is shown on the working drawings, or called for in the specifications, shall not relieve the Contractor from furnishing such material, even though the Architect reviewed and/or approved the Contractor's shop drawings. Distribution of shop drawings shall be as indicated in all technical ' sections of these specifications, but in no case shall the Contractor supply less than 5 copies of the shop drawings. If excessive corrections are required, additional sets of revised shop drawings shall be supplied to the Architect. The Architect shall return the shop drawings within twenty one (21) working days. B. No portion of the work requiring shop drawings or sample submission shall be commenced until the drawings or submission has been reviewed and/or approved by the Architect. All such portions of the work shall be in accordance with reviewed and/or approved shop drawings, samples, and contract documents. C. The Contractor must review and approve shop drawings and samples in writing before submitting them to Architect. 20. PURCHASE ORDERS (Applies to projects with contract amount greater than$1,000,000) The Contractor and all subcontractors shall file with the Architect two (2) certified copies of all purchase orders for materials, equipment, appliances and rentals thereof within four (4) weeks from the date of the the reviewed submittal is returned to the Contractor if ' requested by the Architect/Engineer. Failure to provide same within the stipulated time shall be deemed sufficient cause for the Architect/Engineer to withhold certificates of ' payment for work completed or materials and equipment provided by the Contractor or his Subcontractors toward the completion of their contracts, until such time as the copies of the Purchase Order have been received by the Architect/Engineer. 21. LICENSE I The Contractor is required to be licensed by the California Contractor's License Board, as specified in the Notice to Contractors for this project. 1 22. BONDS A. Sureties: With the exception of Bid Bonds, all bonds shall be executed by one ' sufficient admitted surety insurer to two or more sufficient personal sureties or by an combination of sufficient personal sureties and admitted surety insurers, all bonds must be in the form approved by the Kern County Counsel and must conform to California Code of Civil Procedure Section 995.010 et. seq. B. Contents of Bond: A bond shall be in writing signed by the sureties under oath and shall include all of the following: 1/98 GF GC-9 I. A statement that the sureties are jointly and severally liable on the ' obligations of the bond. 2. The address at which each surety may be served with notices, papers, and other.documents. 3. Bonds shall be notarized, under oath, (subscribed and sworn to before me CCP 995.320(a)). C. Qualifications of personal sureties: Bonds issued by personal sureties are sufficient if all of the following conditions are satisfied: 1. Each surety is a person other than.the bidder and is not an officer of a court ' or a member of the California State Bar. 2. Each surety is a resident and either an owner of real property or ' householder within California. ' 3. Each surety is worth the amount of the bond in real or personal property, or both, situated in this state, over and above all debts and liabilities (including contingent liabilities), exclusive of property exempt from enforcement of a money judgement. If the amount of the bond exceeds. $10,000 and is executed by more than two personal sureties, the worth of a personal surety may be less than the amount of the bond, so long as the aggregate worth of all sureties executing the bond is twice the amount of bond. , D. Affidavit of personal surety: A bond executed by personal sureties shall be accompanied by an affidavit of qualifications of each surety. The affidavit shall ' contain all of the following information: 1. The name, occupation, residence address, and business address (if any) of the surety. 2. A statement that the surety is a resident, and either an owner of real property or householder, within the State. 3. A statement that the surety is worth the amount of the bond in real or , personal property or both, situated in this State, over and above all debts and liabilities, exclusive of property exempt from enforcement of a money judgement. This requires each surety to submit compiled financial statement from a Certified Public Accountant, dated within the past twelve months, certifying the surety's assets and liabilities, an audited financial statement on each entity in which the surety claims qualifying ownership is optional but recommended. If the surety's Financial Statement includes real 1/98 GF GC-10 1 ' property, the value thereof shall be the estimated current fair market value, but should not exceed 200% of the current County Assessor's assessed value. CCP 995.520(c) (3) & (4). If the amount of the bond exceeds $10,000 and is executed by more than two ' sureties, the affidavit may state that the surety is worth less than the amount of the bond and the bond may stipulate that the liability of the surety is limited to the worth of the surety stated in the affidavit, so long as the aggregate worth of all ' sureties executing the bond is twice the amount of the bond. E. Review and approval of bonds: The County may approve or disapprove such 1 bonds on the basis of the affidavit or certificate of the sureties or may require the attendance of witnesses and the production of evidence and may examine the sureties under oath regarding their qualifications. ' In executing a bond a surety should understand that he may be required to produce evidence and/or testify before the Board of Supervisors and/or other County representatives regarding his or her qualifications. In the event the County determines to require the attendance of a surety, the surety will be notified at least 5 calendar days prior to the time he or she must appear. Failure of a surety to ' produce evidence and/or appear and give testimony when requested to do so, shall be grounds for disapproving a bond. ' 23. CONTRACTOR'S INSURANCE ' The Contractor shall not commence work under this contract, nor shall the Contractor allow a subcontractor to commence work on his subcontract until the Contractor has obtained all insurance required under this section and the required Certificates of Insurance ' have been filed with and approved by the County. The Contractor shall be responsible for any deductible under all required insurance policies. ' A. Workers' Compensation Insurance Requirements - IN ADDITION to the requirements of Section 7-1.01A(6), "Workers' Compensation," of the Standard Specifications, the Contractor shall submit written proof that the Contractor and all subcontractors are insured against liability for workers' compensation in accordance with the provisions of Section 3700 of the Labor Code. rIn signing this Contract, the Contractor makes the following certification, required by Section 1861 of the Labor Law: ' "I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be ' insured against liability for workers' compensation or to undertake self-insurance in accordance with the provisions of that code, and I will comply with such 1/98 GF GC-11 provisions before commencing the performance of the work of this Contract." B. Liability Insurance Requirements - The sixth, seventh and eighth paragraphs of ' Section 7-1.12 "Responsibility for Damage," of the Standard Specifications are deleted. , The ninth paragraph of Section 7-1.12, "Responsibility for Damage," of the Standard Specifications is amended to read: ' 1. The Contractor shall maintain in full force and effect at all times between the signing of the contract and final acceptance of the completed work by the County the following Liability Insurance: a. Commercial General Liability Insurance for liability assumed by the ' Contractor under agreement with the County at the following levels: Limits for Bodily Injury Liability and Property Damage ' Liability of: $1,000,000 each occurrence and ' $2,000,000 aggregate. b. The Liability coverage shall include, but not limited to, Premises- ' Operations, Products/Completed Operations Hazard, Contractual Liability Insurance (specifically concerning the indemnity provision , of this Contract), Broad Form Property Damage, Independent Contractors and Personal Injury. C. If the Contract and Bid documents require earthwork (including but ' not limited to the following types: road work, excavation, footings, slabs, trenching, digging, etc.) the liability coverage shall include ' coverage for damage and injury caused by blasting, collapse, structural injuries or damage to underground utilities. The policy shall not contain exclusions, for explosion, collapse or underground , hazard. d. An endorsement to the liability insurance policy naming the County r of Kern and County's Officers, Agents and Employees as insureds. C. Automobile Insurance Requirements - The Contractor shall maintain in full force , and effect at all times between the signing of the contract and final acceptance of the completed work by the County a combined single limit Automobile Liability ' Insurance coverage for bodily injury and property damage in the amount of: $1,000,000 per occurrence on a business auto or similar insurance form including 1/98 GF GC-12 ' coverage for owned, hired and non-owned vehicles. The required automobile insurance shall include an endorsement naming the Owner, County of Kern, ' County's Officers, Agents and Employees as insureds. D. Cancellation of Insurance - The insurance coverage shall contain provisions that the ' insurance shall not be suspended, voided, canceled, reduced in coverage or in limits except after thirty (30) days prior written notice (COP projects, sixty (60) days prior written notice) by certified mail, return receipt requested, has been given ' to the following: COUNTY OF KERN ' General Services Division of the County Administrative Office 1115 Truxtun Avenue Bakersfield, California 93301 Attention: Contract Administration Also, phrases such as "endeavor to" and "but failure to mail such notice shall ' impose no obligation or liability of any kind upon the company" shall not be included in the cancellation wording of the Certificate of Insurance. ' E. Other Insurance Requirements - None, unless specifically stated otherwise. F. Additional Insurance Cost - The County may require the Contractor to increase the insurance beyond the amounts required to cover cost of architect's fees, supervision inspector's fees and any other fees or costs the County might be obliged to incur. The additional cost of all such insurance coverage in excess of the amount required ' in the above paragraphs, including change orders, if any, shall be borne by the County. G. All insurance shall be issued by a company or companies listed in the current "Best's Key Rating Guide" publication with a minimum of a B+, V rating; or in special circumstances, pre-approved by both the Risk Management Division of the ' Office of County Counsel and the General Services Division of the County Administrative Office. ' H. Insurance coverage in the minimum amounts set forth herein shall not be construed to relieve the Contractor from liability in excess of such coverage, nor shall it ' preclude the County from taking such other actions as are available to it under any other provision of this contract or otherwise in law. i ' I. Failure to maintain all such insurance in effect at all times until final acceptance of the completed work shall be a material breach of the contract by the Contractor. 1/98 GF GC-13 24. SUBCONTRACTORS (Listing and Substitutions pursuant Public Contract Code Section ' 4100 et seq.) A. Any person making a bid on this project shall set forth in his bid the following: ' 1. The name and the location of the place of business of each subcontractor , who will perform work or labor or render service to the Contractor in or about the construction of the work or improvement, or a subcontractor licensed by the State of California who, under subcontract to the , Contractor, specially fabricates and installs a portion of the work or improvement according to detailed drawings contained in the plans and specifications, in an amount in excess of one-half (1/2) of 1 percent (1%) , of the Contractor's total bid. 2. The portion of the work which will be done by each such subcontractor. ' The Contractor shall list only one subcontractor for each such portion as is defined by the Contractor in his bid. B. If the Contractor fails to specify a subcontractor or specifies more than one ' subcontractor for the same portion of the work to be performed under the contract ' in excess of one-half (1/2) of 1 percent (1%) of the Contractor's total bid, the Contractor agrees that he is fully qualified to perform that portion himself, and that he shall perform that portion himself. ' C. No Contractor whose bid is accepted shall, without the consent of the awarding authority, either: 1. Substitute any person as subcontractor in place of the subcontractor designated in the original bid; or , 2. Permit any subcontractor to be assigned or transferred or allow it to be performed by anyone other than the original subcontractor listed in the bid; ' or 3. Sublet or subcontract any portion of the work in excess of 1/2 of 1% of the , general contractor's bid as to which his original bid did not designate a subcontractor. ' D. Subletting or subcontracting any portion of the work as to which no subcontractor was designated in the original bid shall be permitted only in case of public ' emergency or necessity, and then only after a finding made by the awarding authority setting forth the facts constituting such emergency or necessity. 1 1 1/98 GF GC-14 ' E. Substitutions of subcontractors shall be made only in strict compliance with the provisions of the Subletting and Subcontracting Fair Practices Act (Public Contract Code Section 4100 et seq.). ' 25. MBE/WBE - NON-DISCRIMINATION ' The Board of Supervisors has established goals for Minority Business Enterprise (MBE) and Women Business Enterprise (WBE) participation in contracts with the County as .' follows: MBE Goal - 8% ' WBE Goal - 4% It is the policy of the Board of Supervisors that MBE's and WBE's shall have the ' maximum opportunity to participate in the performance of contracts financed by the County. The Contractor shall take all necessary and reasonable steps to ensure the MBE's and WBE's have the maximum opportunity to participate in the performance of work and ' the provision of materials for this project. The Contractor shall not discriminate on the basis of race, color, national origin or sex in the award and performance of subcontracts. For purposes of complying with the MBE/WBE goals for this project, the following definitions shall apply: - ' A. "Minority Business Enterprise (MBE)" means a business concern that is all of the following: 1. At least 51 percent owned by one or more minorities, or in the case of a publicly owned business, at least 51 percent of the stock of which is owned ' by one or more minorities. 2. Managed by and the daily business operations are controlled by, one or ' more minorities. 3. A domestic corporation with its home office located in the United States, which is not a branch or subsidiary of a foreign corporation or firm or other business. 4. MBE prime contractors are considered to have a 100% participation. ' B. "Women Business Enterprise (WBE)" means a business concern that is all of the following: ' 1. At least 51 percent owned by a woman, or in the case of a publicly owned business, at least 51 percent of the stock of which is owned by one or more women. ' 1/98 GF GC-15 2. Managed by and the daily business operations are controlled by, one or ' more women. 3. A domestic corporation with its home office located in the United States, , which is not a branch or subsidiary of a foreign corporation or firm or other business. ' 4. WBE prime contractors are considered to have a 100% participation. C. "Minority" means by ethnic person of color including, but not limited to, American ' Indians, Asians (including but not limited to Chinese, Japanese, Koreans, Pacific Islanders, Samoans and Southeast Asians), Black, Filipinos and Hispanics. ' The Department's DBE Directory identifies MBE/WBE's which have been certified. Others may also qualify for certification but must be certified before bid opening. The ' DBE Directory may be viewed at the County of Kern, General Services Division of the County Administrative Office, Plans and Specifications Counter, Third Floor, County ' Administrative Center, 1115 Truxtun Avenue, Bakersfield, California. Qualified contractors can be certified as MBE/WBE's for County contracts by completing ' and filing a self-certification form with the General Services Division of the County Administrative Office in lieu of obtaining certification as a MBE or WBE from the California Department of Transportation. Self-certification forms are available at the ' County of Kern, General Services Division of the County Administrative Office, Plans and Specifications Counter, Third Floor, County Administrative Center, 1115 Truxtun Avenue, Bakersfield, California. ' Bidders are urged to obtain MBE and WBE participation in this project, although meeting . the goals established by the Board of Supervisors is not a condition for the award of a ' contract at this time. It is the bidder's responsibility to make a sufficient portion of the work available to subcontractors and suppliers and to select those portions of the work or material needs consistent with the available MBE/WBE subcontractors and suppliers in ' order to obtain MBE/WBE participation. Each Bidder shall complete the MIWBE Certification forms regarding the participation and , utilization of minority and women business enterprises contained in these specifications and submit the completed forms with their bid. 26. PREVAILING WAGE AND FORFEITURES A. Pursuant to Chapter 1 of Part 7 of Division 2 of the Labor Code, (commencing , with Section 1720), Contractor agrees that in performing said work, by himself or through any subcontractor, eight hours' labor shall be a day's work and forty ' hours' labor shall be a week's work, and the Contractor shall keep an accurate recording showing the name and actual hours worked of all workers employed in 1 1/98 GF GC-16 ' said work, and that said record shall be kept open at all reasonable hours for inspection pursuant to Section 1812 of the Labor Code. The Contractor and all Subcontractors shall pay not less than the general prevailing rate of per diem wages iand the general prevailing rate for County legal holiday and overtime work to all workers employed in the construction of this project. The prevailing rate for each craft, classification or type of work is determined by the Director of the California Department of Industrial Relations, and his schedule of prevailing rates is on file and available for inspection in the General Services Division of the County ' Administrative Office. The schedule is incorporated herein by this reference. B. Contractor shall forfeit to County for each worker employed for each calendar day or portion thereof: a) Fifty Dollars ($50) pursuant to Section 1775 of the Labor Code, per worker paid less than the amount to which he is entitled under said general prevailing rate of wages; and b) Twenty-Five Dollars ($25.00) pursuant to Section 1813 of the Labor Code, per worker required to work more than eight (8) hours per day or more than forty (40) hours per week, except as provided in Section 1815 of the Labor Code. 26a. For contract awards greater than $30,000 or involving more than 20 working days, the ' Contractor's attention is directed to Section 1777.5 of the California Labor Code. 27. RECORD OF HOURS WORKED The Contractor shall maintain and cause to have all subcontractors maintain records of the hours worked by his employees and all such records shall be open at all reasonable.times ' for inspection by the County or the Division of Labor Law Enforcement, in accordance with Section 1812 of the California Labor Code. 28. BOOKS AND RECORDS Contractor assures that all contracts and subcontracts for work on the project shall require him and all subcontractors to maintain books, records, documents, and other evidence pertinent to the Contractor's or Subcontractors' work on the project in accordance with generally accepted accounting principles and practices, and to retain such matter for final ' audit, if requested. ' 29. ACCESS TO RECORDS A. Contractor assures that all contracts and subcontracts for work on the project shall require him and all subcontractors to make such books, records, documents and other evidence available to the County or their authorized agents during the course of construction and for final audit, if requested, and to provide suitable facilities ' for access, inspection and copying thereof. 1/98 GF GC-17 B. For any Federally funded project the Grantee (County), Federal Grantor Agency, ' the Controller General of the United States or any of their duly authorized representatives shall have access to any books, documents, papers, and records of the Contractor which are directly pertinent to a specific grant program for the f purpose of making audit, examination, excerpts, and transcriptions. Said books, documents, papers and records are to be kept maintained and available for a period of three (3) years after project completion or until after all project audit findings have been resolved, whichever comes last. 30. ASSIGNMENT OF ANTITRUST CLAIMS ' A. "Public Works Contract" means a contract awarded through competitive bids by ' the State or any of its political subdivisions or agencies, on whose behalf the Attorney General may bring an action pursuant to subdivision (c) of Section 16750 of the Business and Professions Code, for the erection, construction, alteration, , repair, or improvement of any structure, building, road, or other improvement of any kind. B. "Public Purchase" means a purchase by means of competitive bids of goods, services, or materials by the State or any of its political subdivisions or public agencies on whose behalf the Attorney General may bring an action pursuant to Subdivision (c) of Section 16750 of the Business and Professional Code. C. "Public Purchasing Body" means the State or the Subdivision or agency making a public purchase. D. "Awarding Body" means the State or the subdivision or agency awarding a Public 1 Works contract. E. In entering into a Public Works contract or a subcontract to supply goods, services, , or materials pursuant to a Public Works contract, the Contractor or subcontractor offers and agrees to assign to the awarding body all rights, title, and interest in and ' to all causes of action it may have under Section 4 of the Clayton Act (15 U.S.C. Section 15) or under the Cartwright Act (Chapter 2 (commencing with Section 16700) of Part 2 of Division 7 of the Business and Professions Code), arising from , purchases of goods, services, or materials pursuant to the Public Works contract or the subcontract. This assignment shall be made and become effective at the time , the awarding body tenders final payment to the Contractor, without further acknowledgment by the parties. F. In submitting a bid to a public purchasing body, the bidder offers and agrees that if the bid is accepted, he will assign to the purchasing body all rights, title, and interest in and to all causes of action he may have under Section 4 of the Clayton ' Act (15 U.S.C. Section 15) or under the Cartwright Act (Chapter 2 (commencing with Section 16700) of Part 2 of Division 7 of the Business and Professions Code), 1/98 GF GC-18 ' arising from purchases of goods, materials, or services by the bidder for sale to the purchasing body pursuant to the bid. Such assignment shall be made and become effective at the time the purchasing body tenders final payment to the bidder. 31. PUBLIC CONTRACT CODE A. Any reference in the Standard Specifications or other contract documents to Government Code sections which have been superseded by sections of the Public ' Contract Code shall be deemed to be a reference to the successor section of the Public Contract Code. Sections 1-1.40, "State Contract Act," and 9-1.10, "Arbitration," of the Standard Specifications are deleted. . This contract is not governed by the provisions of the State Contract Act. The adoption and use of the Standard Specifications in the performance of the work called for in this contract shall not be construed as an election by the County to proceed under the State ' Contract Act. B. Pursuant to Public Contract Code section 20104 et seq., the following procedure ' shall apply to all Public Works claims of three hundred seventy five thousand dollars ($375,000) or less which arise between the Contractor and the County. 1. For purposes of this section, a "claim" means a separate demand by the Contractor for: (A) a time extension, (B) payment of money or damages ' arising from work done by or on behalf of the Contractor pursuant to the contract for a public work and payment of which is not otherwise expressly provided for or the claimant is not otherwise entitled to, or (C) an amount ' the payment of which is disputed by the County. 2. All claims shall be in writing and filed with the Director, or his designee, and shall include the documents necessary to substantiate the claim, and shall clearly indicate that it is being filed pursuant to the provisions of Public Contract Code Section 20104 et seq. Claims must be filed on or ' before the date of final payment. All other time limits and notice requirements applicable to this project shall supersede the claims procedure hereby established. ' 3. For claims of less than fifty thousand dollars ($50,000) the Department shall respond in writing to any written claim within 45 days of receipt of the claim, or may request, in writing, within 30 days of receipt of the claim, any additional documentation supporting the claim or relating to ' defenses or claims the County may have against the claimant. a. If additional information is thereafter required, it shall be requested and provided pursuant to this section, upon mutual agreement of the County and the claimant. 1/98 GF GC-19 b. The Department's written response to the claim, as further , documented, shall be submitted to the claimant within 15 days after receipt of the further documentation or within a period of time no greater than that taken by the claimant in producing the additional information, whichever is greater. 4. For claims of over fifty thousand dollars ($50,000) and less than or equal , to three hundred seventy five thousand dollars ($375,000), the Department shall respond in writing to all written.claims within 60 days of receipt of the ' claim, or may request, in writing, within 30 days of receipt of the claim, any additional documentation supporting the claim or relating to defenses or claims the County may have against the claimant. ' a. If additional information is thereafter required, it shall be requested and provided pursuant to the provisions of this section, upon mutual ' agreement of the County and the claimant. b. The Department's written response to the claim, as further ' documented, shall be submitted to the claimant within 30 days after receipt of the further documentation, or within a period of time no ' greater than that taken by the claimant in producing the additional information or requested documentation, whichever is greater. 5. If the claimant disputes the Department's written response, or the , Department fails to respond within the time prescribed, the claimant may so notify the Department in writing either within 15 days of receipt of the , Department's response or within 15 days of the Department's failure to respond within the time prescribed, respectively, and demand an informal conference to meet and confer for settlement of the issues in dispute. Upon a demand, the Department shall schedule a meet and confer conference within 30 days for settlement of the dispute. If following the meet and confer conference the claim r an portion , 6 g o y remains in dispute, the claimant may file a claim pursuant to Chapter 1 (commencing with Section 900) and Chapter 2 (commencing with Section , 910) of Part 3 of Division 3.6 of Title 1 of the Government Code. For purposes of those provisions, the running of the period of time within which ' a claim must be filed shall be tolled from the time the claimant submits his or her written claim pursuant to subsection 2 above until the time the claim is denied, including any period of time utilized by the meet and confer ' conference. C. The following procedures shall apply to all civil actions filed to resolve claims , subject to the provisions of subsection B above: 1/98 GF GC-20 1. Within 60 days, but no earlier than 30 days, following the filing of responsive pleading, the court shall submit the matter to non-binding ' mediation unless waived by mutual stipulations of both parties. The mediation process shall provide for the selection within 15 days by both parties of a disinterested third person as mediator, shall be commenced within 30 days from the commencement of the mediation unless a time requirement is extended upon a good cause showing to the court. ' 2: If the matter remains in dispute, the case shall be submitted to judicial arbitration pursuant to Chapter 2.5 (commencing with Section 1141.10) of Title 3 of Part 3 of the Code of Civil Procedure, notwithstanding Section 1141.11 of that Code. The Civil Discovery Act of 1986 (Article 3 (commencing with Section 2016) of Chapter 3 of Title 3 of Part 4 of the Code of Civil Procedure) shall apply to any proceeding brought under this ' subdivision consistent with the rules pertaining to judicial arbitration. 3. In addition to Chapter 2.5 (commencing with Section 114 1.10 of Title 3 of ' Part 3 of the Code of Civil Procedure): (A) arbitrators shall, when possible, be experienced in construction law, and (B) any party appealing ' an arbitration award who does not obtain a more favorable judgment shall, in addition to payment of costs and fees under that chapter, also pay the attorney's fees on appeal of the other party. rD. The County is required, pursuant to Public Contract Code Section 20104.6(a) to pay any portion of a claim which is undisputed except as otherwise provided in the ' contract. E. In any suit filed under Public Contract Code Section 20104.4, the County shall pay ' interest at the legal rate on any arbitration award or judgment. The interest shall begin to accrue on the date the suit is filed in a court of law. 32. NOTICE OF LABOR DISPUTES A. Whenever the Contractor has knowledge that any actual or potential labor dispute. is delaying or threatens to delay the timely performance of this contract, the Contractor shall immediately give notice thereof, in writing, including all relevant information with respect thereto, to the Architect and County. B. The Contractor shall insert in all subcontracts he- enters into for work to be ' performed on this project a provision substantially as follows: "If performance of this subcontract is delayed or threatened by any actual or potential labor dispute, the subcontractor shall immediately notify his next higher tier subcontractor, or the ' Contractor if there is no,higher tier subcontractor., and the County of all relevant information with respect to such disputes." 1/98 GF GC-21 33. SANITARY PROVISIONS ' If proper facilities are not otherwise available the General Contractor shall provide temporary toilet conveniences for workers; they are to be maintained at all times in proper sanitary condition and shall be removed from the premises when and as directed by the Architect. Sanitary provisions shall comply with all applicable laws and regulations. ' Facilities locations are to be approved by the Architect. 34. DRINKING WATER ' If proper facilities are not otherwise available the Contractor shall provide drinking water and ice in sufficient quantity for general use at the project site. 35. HARD HATS Hard hats shall be worn b all personnel at all times when the are in areas designated b , Y P Y g Y the contractor as requiring the wearing thereof, and shall be in full compliance with the requirements of the California Division of Occupational Health & Safety. r 36. CONTROLLED SUBSTANCES ' There shall be no alcoholic beverages or controlled drugs allowed on the project site at any time. Likewise, anyone believed to be under the influence of alcoholic beverages or a controlled substance will be asked to leave the project site. 37. SAFETY ' A. The Contractor shall take all necessary measures to provide for public safety and to prevent damage to the work during construction. The Contractor shall comply ' with all safety orders of the California Division of Industrial Safety. B. The Contractor shall take all necessary precautions for the safety of employees on ' the work, and shall comply with all applicable provisions of the Federal, State, County and Municipal Safety Laws and Building Codes to prevent accidents or injury of persons on, about or adjacent to the premises where the work is being r performed. He shall erect and properly maintain at all times, as required by the conditions and progress of the work, all necessary safeguards for the protection of ' the workers and public and shall post danger signs warning against the hazards created by such features of construction as protruding nails, hod hoists, well holes, scaffolding, window openings, stairways and falling materials, and he shall , designate a responsible member of his organization on the work whose duty shall be the prevention of accidents. 1/98 GF GC-22 ' C. The Contractor shall provide sufficient, safe and proper facilities and equipment at all times for the full inspection of the work by the County and Architect, both at the project site and at the various shops where it may be going on. 38. SCAFFOLDING LADDERS ETC All temporary construction, scaffolding, ladders, runways, etc., shall be furnished and installed as required, and shall comply with all laws, ordinances, rules and regulations governing the construction and use of same. 39. ENCLOSURES AND BARRICADES A. The Contractor shall provide, install and maintain for the duration of the work, as required, all lawful or necessary barricades and railings, lights, warning signs and signals, and shall take all other precautions as may be required to safeguard persons, the site and adjoining property including improvements thereon against injuries and damages of every nature whatsoever. The Contractor shall not obstruct required exit-ways of adjacent structures. B. Enclosures and barricades shall be erected or installed so as not to impair or hamper existing security measures. .It is the Contractor's responsibility to assure that all enclosures and barricades used meet this requirement. C. Additional specific instructions for enclosures and barricades, if any are required for this project, are shown on the drawings. ' 40. WORK A. Contractor shall, for the amount set out in his bid, furnish all plant, labor, equipment, materials and transportation and execute the work in every respect in a thorough and workmanlike manner in accordance with the Plans and ' Specifications and to the satisfaction of the Engineer and the Architect. The work shall include all labor, materials and equipment necessary for a complete and functioning facility as required to meet the intent of the Plans and Specifications. B. All work shall conform to and meet all applicable laws, local ordinances and utility company and County requirements. If conflicts between this work and any utility ' structure might occur, the utility company involved shall be notified at least 24 hours prior to any work within the area. C. The Engineer shall be notified 48 hours in advance of any contemplated shutdown of electricity or other utility. The Engineer's approval shall be received before any ' shutdown. 1/98 GF GC-23 41. LAYOUT OF WORK ' A. County surveyors will lay out property corners, baselines and bench marks at the ' beginning of the project (and other survey points), at the discretion of the County, if deemed necessary for the project. The Contractor shall preserve all survey points set by the County. Whenever important survey points are disturbed during , construction, they shall be replaced and reset to their original position at the Contractor's expense. Bench marks or datum points may be shown on the drawings. , B. The Contractor shall lay out the work. Adequate construction staking shall be provided to permit accurate layout and inspection of the work. He shall notify the Architect forty-eight (48) hours before laying it out. The Architect's representative and the Contractor shall review the layout. The Contractor shall be responsible for same. , C. After review of the construction staking by the architect, the contractor shall be ' held responsible for the layout of the work. 42. WORK BY OTHERS , The County reserves the right to do other work and to let other contracts for work in and contiguous to, the work being performed under this contract. The Contractor shall ' cooperate fully and coordinate his work with others working such contiguous jobs at no added cost to the owner. 43. CHANGES IN THE WORK ' A. The County, without invalidating the contract, may order extra work or make , changes by altering, adding to, or deducting from the work, the contract sum being adjusted accordingly. All such work shall be executed under the conditions of the original contract except that any claim for extension of time caused thereby shall be adjusted at the time of ordering such changes. In giving instructions, the Architect or Engineer shall have authority to make minor changes in the work not involving extra costs and not inconsistent with the purposes of the work but otherwise, except in an emergency endangering life or , property, no extra work or changes shall be made without prior written order issued by the Architect or Engineer and approved by the Board of Supervisors, and no claim for an addition to the contract amount shall be valid unless so ordered. The value of any such extra work or change and any claim for extension of time for such extra work shall be determined prior to commencement of such work. The ' value of such work shall be determined in one or more of the following ways by agreement between the County and the Contractor: 1/98 GF GC-24 I. By estimate and acceptance in a lump sum. 2. By unit prices named in the contract or subsequently agreed upon. 3. By cost and a fixed fee, but not by cost and a percentage of cost. ' If none of the above methods is agreed upon, the Contractor, provided he received an order as discussed above, shall proceed with the work on a force account basis ' as defined in Sections 4 and 9 of the Standard,Specifications and as modified by these General Conditions.. In such case or if the parties agree to use "A3" above, Contractor shall keep and present in such form as the Architect or Engineer may direct, a correct account of the net cost of labor and materials, together with vouchers. A daily time and material record of all force account or cost and percentage work shall be kept by the Contractor, as directed by the Architect. The ' daily record shall be signed by the Contractor and submitted daily to the Engineer. In any case, the Architect or Engineer shall certify to the amount, including markup, due to the Contractor and any subcontractor submitting for extra under the proposed change. For this purpose, markup shall include, but not be limited to ' overhead, profit, home office overhead, bonds, insurance, labor pool, remobilization, and escalation. In no instance shall mark up to Contractor be more than 15%. Pending final determination of value, payments on account of changes ' shall be made on the Contractor's estimate. B. EQUIPMENT RENTAL (Extra Work Force Account Only) Section 9-1.03A(3), "Equipment Rental," of the Standard Specifications is amended and replaced with the following: 9-1.03A(3) Equipment Rental - The Contractor will be paid for the use of equipment at the rental rates listed for such equipment in; the Department ' of Transportation publication entitled "Labor Surcharge and Equipment Rental Rates" which is in effect on the date upon which the work is accomplished and which is a part of the contract, not to exceed the actual tcost paid for by invoice for the use of such equipment when in fact the equipment used is rented. If it is deemed necessary by the Engineer to use ' equipment not listed in that publication, a suitable rental rate for such equipment will be established by the Engineer. The Contractor may furnish any cost data which might assist the Engineer in the establishment of such ' rental rate. The rental rates paid as above provided shall include the cost of fuel, oil lubrication, supplies, small tools, necessary attachments, repairs and maintenance of any kind, depreciation, storage, insurance, and all incidentals. 1/98 GF GC-25 Equipment which is rented as operated equipment shall be paid for by ' invoice. No mark up will be paid over those allowed for equipment. All equipment shall, in the opinion of the Engineer, be in good working ' condition and suitable for the purpose for which the equipment is to be used. ' Unless otherwise specified, manufacturer's ratings and manufacturer approved modifications shall be used to classify equipment for the , determination of applicable rental rates. Equipment which has no direct power unit shall be powered by a unit of at least the minimum rating recommended by the manufacturer. Individual pieces of equipment or tools not listed in said publication and having a replacement value of $200 or less, whether or not consumed by , use, shall be considered to be small tools and no payment will be made therefor. Rental time will not be allowed while equipment is inoperative due to breakdowns. 1 Sub-sections 9-1.03A(3a), 9-1.03A(3b), and 9-1.03A(3c) are not amended or replaced but rather remain effective as written in the Standard Specifications. , C. When requested by the County, the Architect shall submit to the Contractor a "Price Request" describing the change in work proposed by the County. Within 10 days of the receipt of a price Request form the Architect or when the Contractor requests a Change Order, the Contractor shall submit all of his proposal or quotations to the County through the Architect for his review. In order to facilitate checking of quotations of extras or credits, all proposals (price quotations) shall be accompanied by a complete itemization of costs including ' labor, materials and Subcontractor charges. Changes in the work shall be documented on as-built drawings upon completion of .the work. The Contractor shall deliver to the Architect for transmittal to the Engineer a complete set of corrected prints, in good condition, with every change , in the work indicated thereon. Attention is directed to Section 61, FINAL PAYMENT and Section 62, RECORD DRAWINGS of these General Conditions. 44. WORKMANSHIP AND LABOR ' A. All labor shall be especially.skilled for each kind of work, thorough and first-class in all respects, and under the direction of a competent foreman, regardless of the kind and quality of material specified. 1/98 GF GC-26 1 B. All workers, contractors, or other representatives are admitted to the grounds only for the proper execution of the work, they having no tenancy. Any Contractor's or Subcontractor's employee that the Architect or Engineer deems incompetent or disorderly shall leave the work site at the direction of the Architect or Engineer and the Contractor shall not further utilize said employee on this project. 45. DEFECTIVE OR OMITTED WORK ' A. Work which may be defective in its construction, deficient in meeting the requirements of these Specifications or the Plans, or lacking required equipment or material will not be considered as approved or accepted by the Engineer. This remains so notwithstanding the failure of any officer of the county or inspector connected with the work to point out, whenever discovered, such defect, deficiency, or omission. ' B. Should any discrepancies occur or lack of information appear that should be clarified, the Contractor shall notify the Architect immediately. No deviation shall be made from the plans or specifications, If the work varies from the plans and specifications in form, amount or quality the Architect shall order such improper ' work or materials removed, remade or replaced. In the event that the work is ordered changed, any other work disturbed or damaged by such alteration shall be made good at the Contractor's expense. ' 46. PRESERVATION, CLEANING AND DISPOSAL I ' A. The Contractor shall protect and preserve the work from all damage or accident, providing any temporary roofs, window and door coverings, boxing or other construction as required by the Architect or Engineer. This shall include protecting any adjoining property of the County or others. B. The Contractor shall clean the work site as work progresses. As directed during construction, rubbish shall be removed, and at completion the whole work shall be cleaned and all temporary construction equipment and rubbish shall be removed from the site which shall be left in a clean and orderly condition satisfactory to the tArchitect or Engineer. 1 C. The disposal of any material, waste, effluent, trash, garbage, oil, grease, chemicals, etc. resulting from either demolition or new work shall be in accordance with all applicable laws and shall be subject to the approval of the Architect, and any materials disposed of in an unauthorized place or manner shall be removed and the area restored to its original undisturbed condition at the expense of the Contractor. No open burning on-site shall be permitted, unless otherwise ' provided. 1/98 GF GC-27 1 D. The Contractor shall provide refuse barrels or containers for workers' lunch boxes, ' papers and other debris. 47. PRESERVATION OF PROPERTY A. The Contractor will be held responsible for any damage he may do to existing , installations which are to remain in place. B. All property to remain shall be properly protected by the Contractor from injury , or damage. Should any such property be damaged, it shall be repaired and/or replaced with material, fixtures, or equipment of the same kind, quality and size or better. It shall be the Contractor's responsibility, at the sole expense of ' Contractor, to ascertain the location of all underground facilities which may be subject to damage by reason of his operations. 48. CUTTING OR PATCHING UNDER SEPARATE CONTRACT , The Contractor shall be responsible for any cutting, fitting or patching that may be ' required to complete his work except as otherwise specifically provided in the Contract Documents. The Contractor shall not endanger any work of any other contractors by , cutting, excavating or otherwise altering any work and shall not cut or alter the work of any other contractor except with the written consent of the Architect. 49. INSPECTION OF WORK BY OTHER CONTRACTORS It shall be the duty of the Contractor and each Subcontractor before beginning any of this , work, to examine all construction and work of other contractors and subcontractors that may affect his work, and to satisfy himself that everything is in proper condition to receive his work. He shall notify the Architect in writing of any exception. Failure on his part to do so shall constitute acceptance of the construction as suitable in all ways to receive his work. 50. COOPERATION A. All trades shall conduct their part of the work so as not to interfere with others and , not to injure others' work and they shall severally make good at their own expense any injuries to such work, workers or other trades. Any differences or conflicts which may arise between the trades in regard to their respective works shall be adjusted by the Contractor and if any agreement cannot be reached, the Engineer's decision shall be final. , B. The Contractor shall defend the County and indemnify it against loss in any action or suit for damage alleged to have been sustained as a result of acts committed in ' violation of Paragraph A of this section. '1/98 GF GC-28 ' 51. DUST CONTROL Contractor is especially advised that he shall follow the dust control methods in Section 10, "Dust Control," of the Standard Specifications in all areas of the work site. The second paragraph in Section 10-1.04, "Payment," of the Standard Specifications is superseded by ' the following: No separate payment will be made for any work performed or material used to ' control dust resulting from public traffic within the limits of the project. Full compensation for such dust control will be considered as included in the prices paid for the various items of work. 52. TIME ' The time limits stated in the Special Provisions and in these General Conditions are of the essence of the contract. ' 53. UNAVOIDABLE DELAYS - EXTENSION OF TIME ' A. If the Contractor is delayed in the performance of the work because of acts of God, fire, strikes, unavailability of materials or similar occurrences beyond his control, the Engineer may grant such extension of time to complete the contract as he deems appropriate, providing the contractor has notified the Engineer in writing of the ' causes of the delay within seven (7) days of the beginning of the delay. B. Requests for extensions of time to complete the contract based on delays in the performance of the work due to inclement weather must be submitted in writing to the Engineer with appropriate justification on the number of days of delay. The Contractor and Engineer shall review the inclement weather days weekly. 54. OWNERS RIGHT TO TERMINATE CONTRACT A. Avoidable Delays - Responsibility for Completion The CONTRACTOR agrees that whenever it becomes apparent that the Work on the project is falling behind the schedule established for completion in accordance with the Contract Documents, it shall take some or all of the following actions necessary to bring the project back on schedule: 1. Increase construction manpower in such quantities and crafts as will bring ' the progress of the work into conformance with all other requirements of the Contract Documents. 2. Increase the number of working hours per shift, shifts per working day, work days per week, the amount of construction equipment or any 1/98 GF GC-29 1 1 combination of the foregoing, to bring the scheduling and progress of the ' Work into conformance with all requirements of the Contract Documents. 3. Reschedule the Work under this contract in conformance with all other , contract requirements to demonstrate completion. The Contractor will not be entitled to any extension of contract time or payment for , costs incurred as a result of taking such actions. Failure of the Contractor to take some or all of the actions necessary shall be sufficient grounds for Owners termination of the Contract. If, in the Owner's opinion, the Contractor refuses or fails to prosecute the Work , with such diligence as will insure it's completion within the time specified in this Contract or any extension thereof, or fails to complete said Work within such time, ' or is not complying with the letter and intent of the contract documents, the Owner may, by serving written notice to the Contractor and its surety, notify them of it's intention to terminate the Contract. Such notice shall contain reasons for such ' intention to terminate the Contract, and, unless within ten (10) days after serving of such notice, such violation shall cease and/or satisfactory arrangements for ' correction thereof have been made, the Contract shall, upon the expiration of said ten days, cease and terminate. The Owner will then serve notice on Contractor and its surety as provided in item D of this Section 54 of the General Conditions. , B. Abandonment of Work Should the Contractor abandon the work called for under the plans and , specifications and contract documents, or assign its contract, or if the Contractor unnecessarily and unreasonably delays the work, the Owner shall have the power , to notify the Contractor, and its surety, to discontinue all work or any part thereof under this contract, and thereupon the Contractor shall cease said work or such part thereof as the Owner may designate. The Owner will then serve notice on ' Contractor and its surety as outlined in item D of this Section 54 of the General Conditions. C. Termination for Breach If the Contractor should be adjudged bankrupt or if it should make a general , assignment for the benefit of its creditors, or if a receiver should be appointed on account of its insolvency, or if it or any of its subcontractors should violate any of ' the provisions of the Contract, or if payments are not made to subcontractors in accordance with the contract documents, the Owner may serve written notice upon contractor and its surety of Owners intention to terminate the Contract. Such , notice shall contain the reasons for such intention to terminate the Contract, and, unless within ten (10) days after serving of such notice, such violation shall cease 1/98 GF GC-30 i 1 ' and/or satisfactory arrangements for correction thereof have been made, the Contract shall, upon the expiration of said ten days, cease and terminate. The Owner will then serve notice on Contractor and its surety as outlined in item D of this Section 54 of the General Conditions. ' D. Owner Rights and Remedies Upon Notice of Termination In the event of any such termination, the Owner shall immediately serve written ' notice thereof upon the surety and the Contractor, and the surety shall have the right to take over and perform the Contract provided, however that, if the surety within fifteen (15) days after receipt of notice of termination does not give the Owner written notice of its intention to take over and perform the contract or does not commence performance thereof within thirty (30) days from the date of receipt of such notice, the Owner may take in addition to any other remedies available to Owner in law or equity, over the work and prosecute the same to completion by contract or by any other method it may deem advisable, for the account and at the expense of the Contractor and its surety, and the Contractor and its surety shall be ' liable to the Owner for any costs incurred by Owner in completing the project in excess of the Contract amount. Said liability for any excess costs shall be in addition to, and shall not be limited by, any liquidated damages which may be ' payable by Contractor to Owner pursuant to the terms and conditions of the contract. ' Contractor and its surety shall also be liable to Owner for any and all damages of whatsoever nature incurred by Owner including, but not limited to, any additional ' managerial, administrative,architectural and consulting services, arising out of or in anyway resulting from any breach of contract by Contractor or its surety including, but not limited to, any failure to complete the Work within the time schedule provided by the Contract. Said damages shall be in addition to, and shall not be limited by, any liquidated damages owed by Contractor to Owner. ' 55. LOSS OR DAMAGE A. Notwithstanding Sections 7-1.16 and 7-1.165 of the Standard Specifications, and except as provided in Subsection E. hereinbelow, all loss or damage arising from any unforeseen obstructions or difficulties either natural or artificial which may be encountered in the prosecution of the work, or from any action of the elements, or from any act or omission not authorized by these specifications on the part of the Contractor or any agent or person employed by him, and which occurs prior to acceptance of the project by the County, shall be sustained by the Contractor without charge to the County. 1 B. The Contractor shall protect his work and materials from injury from any cause until completion and final acceptance. Should any injury occur prior thereto, the Contractor shall repair such injury without charge. No portion of the work in place 1/98 GF GC-31 nor any materials on the ground, shall at any time be removed without the order , or consent of the County. C. The Contractor shall indemnify and save harmless the County of Kern and all officers, agents and employees thereof connected with the work from all claims, suits or actions of every name, kind and description brought for or on account of , injuries to or death of any person including but not limited to workers and the public or damage to property, resulting from or in any way connected with the performance of this Contract, except as otherwise provided by statute. The duty ' of the Contractor to indemnify and save harmless includes the duties to defend upon request by County as set forth in Section 2778 of the Civil Code. D. The Contractor waives any and all an type rights to of express or implied g Y YP P P indemnity against the County and County's officers, agents and employees. E. Pursuant to Public contract Code section 7105, nothing in this Section shall require the Contractor to be responsible for the cost of repairing or restoring damage to the work in excess of five percent (5%) of the contracted amount, if such damage is ' caused by an earthquake in excess of a magnitude of 3.5 on the Richter Scale or a tidal wave. 56. APPLICATION FOR PAYMENT A. The Contractor shall submit to the Architect for review and approval a schedule of ' values of the various subdivisions of the work within fifteen (15) working days of the Notice to Proceed. This approved.schedule shall become the basis upon which , all future payments shall be made, and should be supplied to the County with the other submittals outlined in Section 18, paragraphs `a' and W. The total Contract Sum shall be broken down first by the general contractors costs; delineating into ' separtate line items the costs for general conditions, supervision, bonds and insurance, mobilization and site utilities. Following this information the remaining Contract Sum shall be broken into subcontract amounts by trades and by area, , building or system (where applicable) so the Architect may evaluate the amount of work completed by each branch of the work for any given payment period. Quantities of material shall be entered on the schedule whenever practical. Each ' succeeding month, the Contractor shall submit the same schedule with a column added indicating the dollar value of work completed and financial percentage of work completed up to and including that particular payment period. B. Applications for payment shall accompany the schedule of values for each monthly payment period. The Contractor shall submit with the application for payment all vouchers, receipts, payroll records and other information to substantiate his claims if requested by the Architect. 1/98 GF GC-32 ' C. All progress payments by County to the Contractor shall be made within thirty (30) days following the receipt of an undisputed and properly submitted application for payment from the Contractor. If County fails to make such payments within thirty (30) days, it shall pay the Contractor interest equivalent to the legal rate set forth in subdivision (a) of Section 685.010 of the Code of Civil Procedure. D. Upon receipt of each application for payment, the County shall act in accordance with both of the following: 1. Each application for payment shall be reviewed by the County as soon as practicable after receipt for the purpose of determining that the application for payment is a proper payment request. 2. Any application for payment determined not to be a proper payment request suitable for payment shall be returned to the Contractor as soon as practicable, but not later than seven (7) days, after receipt. An application ' for payment returned pursuant to this paragraph shall be accompanied by a document setting forth in writing the reasons why the payment request is not proper. ' E. The County will withhold retention from each monthly progress payment pursuant to Public Contract Code Section 22300. For contracts in amount of$100,000.00 ' or more, the retention held will be 10% of the amount of each progress payment. For contracts in an amount less than $100,000.00, the retention amount will be 5% of the amount of each progress payment. F. The number of days available to the County to make a payment without incurring interest pursuant to subsection C. above shall be reduced by the number of days by which the County exceeds the seven-day return requirement set forth in subsection D.2. above. G. For purposes of this Section, a "progress payment" includes all payments due the Contractor, except that portion of the final payment, as provided in Section 61 designated as the payment of retained earnings. An application for payment shall be considered properly executed if funds are available for payment of the payment request, and payment is not delayed due to an audit inquiry by the financial officer of the County. 57. PAYMENTS WITHHELD A. Retention withholdings as outlined in Section 56, item `E' above. B. The Architect may decline to approve an Application for Payment and may withhold his Certificate in whole or in part, to the extent necessary to reasonably protect the County. The Architect may also decline to approve any Applications 1/98 GF GC-33 for Payment or, because of subsequently discovered evidence or subsequent ' inspections, he may nullify the whole or any part of any Certificate of Payment previously issued to such extent as may be necessary in his opinion to protect the County from loss due to causes including but not limited to the following: 1. Defective work not remedied, 2. Third party claims filed or reasonable evidence indicating probable filing of such claims, , 3. Failure of the Contractor to make payments properly to Subcontractors or for labor, materials or equipment, 4. Reasonable doubt that the work can be completed for the unpaid balance of the Contract Sum, 5. Damage to another contractor, 6. Reasonable indication that the work will not be completed within the , Contract Time, or 7. Unsatisfactory prosecution of the work by the Contractor, 8. Possible Contractor or Subcontractor violations of Federal, State or Local , labor laws including violations of regulations regarding Labor Standards. B. When the above grounds are removed, payment shall be made for amounts , withheld because of them. 58. PAYMENT OF WITHHELD FUNDS A. Release of retention funds shall be made in accordance with Section 61 of the ' General Conditions, entitled FINAL PAYMENT, and Section 65 of the General Conditions, entitled FINAL INSPECTION. B. The second ara ra P h of Section 9-1.065, "payment ment of Withheld Funds," of the , P g Standard Specifications is amended to read: ' Upon the Contractor's request, the County will make payment of funds withheld from progress payments pursuant to the; requirements of Public Contract Code Section 22300 if the Contractor deposits in escrow with the Kern County Treasurer or with a bank acceptable to the County, securities eligible for the investment of state funds under Government Code Section 16430 or bank or savings and loan certificates of deposit, upon the following conditions: 1/98 GF GC-34 ' A. The Contractor shall bear the expense of the County and the escrow agent, either the Kern County Treasurer or the bank, in connection with the escrow deposit made. B. Securities or certificates of deposit to be placed in escrow to be paid to the Contractor pursuant to this section. C. The Contractor shall enter into an escrow agreement satisfactory to the County, which agreement shall include provisions governing inter alia: 1. the amount of securities to be deposited, 2. the providing of powers of attorney or other documents necessary for the transfer of the securities to be deposited, 3. conversion to cash to provide funds to meet defaults by the Contractor including, but not limited to, termination of the Contractor's control over ' the work, stop notices filed pursuant to law, assessment of liquidated damages or other amounts to be kept or retained under the provisions of the contract, ' 4. decrease in value of securities on deposit, and 5. the termination of the escrow upon completion of the contract. D. The Contractor shall be the beneficial owner of any securities substituted hereunder and shall receive any interest thereon. E. The Contractor shall obtain the written consent of the surety to such agreement. 59. PAYMENTS BY THE CONTRACTOR A. The Contractor shall make payments to subcontractors, material and equipment suppliers and others as follows: 1. For all transportation and utility services, not later than five (5) days after he, the Contractor, receives payment from the County. 2. For all materials, tools and other expendable equipment not later than five P (5) days after he, the Contractor, receives payment from the County. 3. To each of his subcontractors, not later than ten (10) days after he, the Contractor, receives payment from the County. i 1/98 GF GC-35 Notwithstanding the above, in the event that the County or the Architect declines to approve an application for payment pursuant to paragraph A of Article 57, "PAYMENTS WITHHELD". the Contractor shall remain responsible for making timely payments, as set forth in subparagraphs 1, 2, and 3 above, to its f subcontractors, material and equipment suppliers, and transportation and utility service providers. Thus the Contractor may be required to pay its subcontractors, material and equipment suppliers and transportation and utility service providers , even though payment has been withheld by the County. B. The Contractor shall submit to the Architect evidence of compliance with paragraph ' 57A with each application for payment. Failure of the Contractor to comply with the above requirements will be grounds for the Architect to withhold approval of ' succeeding monthly payments until such claims for payments are satisfied. C. Neither the County nor the Architect shall have any obligation to pay or see to the , payment of any moneys to any Subcontractor except as may otherwise be required by law. 60. TAXES ' All Contractors submitting bids or estimates for any work called for in this project shall include•therein any and all Federal, State and Local Taxes of whatever nature in connection with materials purchased. No extras will be allowed for such by the County. The County , will furnish Excise Tax Exemption Certificates to the Contractor for any articles which are required to be furnished under the. Contract and which are exempt from Federal Excise Tax. 61. FINAL PAYMENT Thirty-five (35) calendar days after final acceptance of the work and after all exceptions to compliance with applicable regulation have been resolved, the County shall pay the Contractor the balance due under this contract after deducting all sums which the County ' may or is required to withhold. The General Services Division of the County Administrative Office may withhold funds or, because of subsequently discovered facts, nullify the whole or any part of any Certificate for Payment to such extent as may be , necessary to protect the County from loss due to causes including but not limited to the following: A. Defective work not remedied; B. Claims filed or information reasonably indicating probable filing of claims; , C. Failure of Contractor to make payment due for materials and/or labor; 1/98 GF GC-36 ' D. Failure to submit to the Engineer complete as-built drawings, reviewed and approved by the County, as required by these General Conditions; E. Information causing reasonable doubt that the Contract can be completed for the unpaid balance; or 1 F. Damages to another Contractor. When such causes are removed, certificates shall be issued for amounts withheld. 62. RECORD DRAWINGS A. The County will furnish the Contractor one extra complete set of blue-line prints of all drawings which form a part of the Contract, including scale background drawings of floor plans or site plans at the County's option. These prints shall be maintained in good order in the field at the site of the work and shall be used only for the purpose intended. Drawings shall be kept up to date by the Contractor as the work progresses and shall be available at all times for inspection by the County and the Architect. B. The intent of this procedure is to obtain an accurate record of the work upon completion of the project. The following information shall be carefully and correctly drawn in red ink or red erasable pencil on the prints, background sheets, or a sketch and all items shall be accurately located and dimensioned from building walls and/or datum on all record drawings: 1. Any work not installed as indicated on drawings. 2. The exact locations and elevations of all covered work. 3. Change order information with identifying item number where applicable. 1 All change orders will be re-drawn completely on the reproducibles. 4. Addendum information with identifying number. 5. Structural changes, whether made by addendum, change order, shop drawing or not. This would include, but not be limited to: sizes of Istructural members, dimensions from other permanent facilities and between members, and methods of connection. ' 6. Mechanical changes, whether made by addendum, change order, shop drawing or not. This would include, but not be limited to: sizes, gauge and cross sectional dimensions of duct work; dimensions from other permanent facilities such as walls and structural members to locate pipelines and duct work; height above floor level or some other acceptable vertical datum to 1/98 GF GC-37 l locate pipelines and duct work; dimensions and locations of plenums, , dampers and other mechanical appurtenances; specifications, locations, dimensions, and other methods and sizes of connection of mechanical equipment. ' 7. Plumbing changes, whether made by addendum, change order, shop drawing or not. This would include, but not be limited to: dimensions from other permanent facilities such as walls and structural members to locate plumbing piping; height above floor level or some other acceptable vertical datum to locate plumbing piping; dimensions and locations of manual valves, automatic control valves, access panels and other plumbing appurtenances; specifications, locations, dimensions, and methods and sizes of connection for plumbing fixtures and equipment, such as pumps. 8. Electrical changes, whether made by addendum, change order, shop , drawing or not. This would include, but not be limited to: dimensions from other permanent facilities such as walls and structural members to locate conduit; height above floor level or some other acceptable vertical datum to locate conduit; dimensions and locations of pull boxes, junction boxes, receptacles, switches and other electrical appurtenances; specifications, locations, dimensions, and loyout of circuit breakers, in switchboards, main ' panels, subpanels, load centers and other electrical equipment. 9. All other information that, in the opinion of the County, is necessary for t knowledge of the construction, layout and future maintenance of the site and/or building. ' C. If, in the opinion of the County, the corrected prints or sketches are not perfectly legible, the Contractor shall employ a competent draftsperson, satisfactory to the County, to make any new drawings required to indicate the required information properly. D. Periodically, throughtout the progress of the work, and as a prior condition to , approval of each application for payment, the Contractor shall obtain the construction Inspector's approval of the progress of the as-built drawings. E. Upon completion of the work, and as a condition precedent to approval of final payment, Contractor shall obtain Construction Inspector's approval of corrected prints and employ a competent draftsperson to transfer "as-built" information onto a complete set of a reproducible medium, provided by County. When completed ' and approved, Contractor shall have one complete set of Kronars delivered to the Architect. The Architect will review the Kronars for completeness and accuracy and will deliver the complete set of Kronars to the County. 1/98 GF GC-38 ' 63. MAINTENANCE MANUALS A. Prior to final inspection, or as set forth elsewhere in the contract documents, 4 copies of complete operational and maintenance manuals shall be submitted to the Architect for review. It is the intent of this procedure that Maintenance Manuals consist of pertinent date and information as described in this section, not simply copies of catalog sheets or a reproduction of submittals already provided. In the event that preprinted manufacturer supplied information is not adequate, the ' Contractor shall draft the information or instructions needed. B. All installation, operating and maintenance information and drawings shall be bound in 8-1/2" x 11" binders. Each manual shall provide a table of contents in front and all items shall be indexed with tabs. Each manual shall also contain a list of subcontractors, with their street addresses, telephone numbers, and the names of persons to contact in case of emergencies. C. Identifying labels shall provide the names, addresses and telephone numbers of manufacturers, and the ratings and capacities of their equipment and machinery. D. Manuals shall be submitted for mechanical and electrical equipment having wearing Iparts for which the manufacturer has printed maintenance recommendations. Manuals shall also contain manufacturer's maintenance directions for all fixtures and equipment. 64. GUARANTY A. In addition to guaranties required elsewhere in the contract documents, Contractor shall guaranty the work in general for one year from the date of final acceptance of the completed project by the County. Contractor shall be held responsible for, and must make good and repair at his own expense, any defects arising or discovered in any part of his work within this one year period after completion and acceptance of the project; and in certain other parts, as required by the Specifications, for a longer period. Where the Specifications call for longer guaranties they shall cover the special features called for by the Specifications. B. All guaranties must be submitted to the Architect or Engineer before the final payment will be approved for payment. C. All guaranties shall be properly and fully executed on the form approved by the County which is included in these bid documents. 65. FINAL INSPECTION tThe Contractor shall notify the Architect and Engineer in writing when the work is completed and he desires final inspection of the work. The architect and Engineer will, 1/98 GF GC-39 as soon as practical, make the necessary examination. If deficiencies are found in the ' work, a "punch list" of such deficiencies will be written and given to the Contractor. The Contractor shall complete the deficiencies within fifteen (15) working days of receipt of the "punch list" or such longer time as may be agreed upon in connection with any plan to ' complete the deficiencies. The Contractor shall notify the Architect and Engineer when all of the deficiencies have been brought into conformance with the plans and , specifications. Another final inspection will then be scheduled. If the work is found to be completed in compliance with the plans and specifications, the Engineer will file with the Kern County Recorder a Notice of Completion. If the Contractor does not complete the , deficiencies identified in the punch list within the fifteen (15) working days, or the otherwise applicable time period as agreed, the County may elect to have the deficiencies completed by other means and deduct the reasonable costs to complete such deficiencies ' from any remaining contract funds not yet released to the Contractor. 66. PROJECT TYPE This is a Kern County General Fund funded project. sg/GENLCOND.GF 1/98 GF GC-40 ' AGREEMENT FOR CONSTRUCTION THIS AGREEMENT made , 1998,between the COUNTY OF KERN, a political subdivision of the State of California (herein, "County") and a (herein, "Contractor"), whose address is WITNESSETH: ARTICLE I. In consideration for the promises and payment to be made and performed by County, and under the conditions expressed in the incorporated Bid Proposal (Bid), bonds and related papers, Contractor agrees to do all the work and furnish all the materials at the expense of Contractor (except such as the Specifications state will be furnished by County) necessary to construct and complete in a good and workmanlike manner to the satisfaction of the County Administrative Officer of General Services Division of the County Administrative Office all the 1 work shown and described in the plans and specifications entitled: Kern Medical Center Emergency Fuel System Improvements approved December 3, 1998, by the Board of Supervisors. The work, for which Contractor submitted and County accepted a Bid total of $ will be completed within the time limit specified in the Special Provisions, in conformity with the incorporated Notice to Contractors, Instructions to Bidders, General Conditions and Special Provisions and the other contract documents attached hereto, and in conformity with the Standard Specifications of the State of California Business and Transportation Agency, Department of Transportation, July, 1992. ARTICLE II. Contractor agrees to accept the price(s)as listed in the accepted Bid as full payment for all materials and all work embraced in this Agreement and all loss and damage arising out of the work or the action of the elements or any unforeseen difficulties or obstructions which may arise or be encountered in the prosecution of the work until its acceptance by the Board of Supervisors of County and for all risks of every description connected with the work and for all expenses incurred by or in consequence of the suspension or discontinuance of work, and for well and faithfully completing the work in the manner and time set forth in the Plans and Specifications and according to the requirements of the Director and any changes in the Plans and Specifications the Board of Supervisors may authorize. County employs Contractor to provide the materials and do the work according to the terms and conditions of this Agreement, for the prices stated, and will pay the agreed price(s) in the manner set out in the General Conditions, Special Provisions ' and Standard Specifications. County and Contractor, for themselves and for the heirs, executors, administrators, successors and assigns of Contractor, agree to full and timely performance of these covenants. 1 1/98 A-1 ARTICLE M. The provisions of Section 3700 of the Labor code require Contractor to secure the ' payment of Workers' Compensation for all employees, and by signing this Agreement Contractor certifies awareness and understanding of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for Workers' Compensation or to undertake self-insurance in accordance with the provisions of the Labor Code and that Contractor will comply with such provisions before commencing the performance of work under this Agreement. , ARTICLE IV. Pursuant to Chapter 1 of Part 7 of Division 2 of the Labor Code, (commencing with 1720), Contractor agrees that in performing said work, by himself or through any subcontractor, eight hours' labor shall be a day's work and forty hours' labor shall be a weeks's work, and that Contractor shall keep an accurate recording showing the name and actual hours worked of all workers employed in said work, and that said record shall be kept open during all reasonable hours for inspection pursuant to 1812 of the Labor Code. The Contractor and all Subcontractors shall pay not less than the general prevailing rate of per diem wages and the general prevailing rate for County legal holiday and overtime work to all workers employed in the 1 construction of this project. The prevailing rate for each craft, classification or type of work is determined by the Director of the California Department of Industrial Relations, and his schedule �. of prevailing rates is on file and available for inspection in the General Services Division of the County Administrative Office. The schedule is incorporated herein by this reference. Contractor shall forfeit to County for each worker employed for each calendar day or portion thereof: a) ' Fifty Dollars ($50) pursuant to 1775 of the Labor Code, per worker paid less than the amount to which he is entitled under said general prevailing rate of wages; and b) Twenty-Five Dollars ($25) pursuant to 1813 of the Labor Code, per worker required to work more than eight (8) hours per day or more than forty (40) hours per week, except as provided in 1815 of the Labor Code. ARTICLE V. The Notice to Contractors, Bid Proposal, Instructions to Bidders, General , Conditions, Special Provisions, Plans Specifications, Standard Specifications, Bonds conforming to California Code of Civil Procedure Section 995.010 et. seq. and Labor Code provisions mentioned in this Agreement (copies of all of which are on file in the offices of the Director and of the Clerk of the Board of Supervisors) are by these references incorporated in this Agreement. 1 1/98 A-2 IN WITNESS WHEREOF County and Contractor have set their hands on the date first above written. COUNTY OF KERN BOARD OF SUPERVISORS 1 By Chairman "County" RECOMMENDED AND APPROVED AS TO CONTENT: GENERAL SERVICES DIVISION OF THE COUNTY ADMINISTRATIVE OFFICE By William A. Wilbanks, Assistant Contractor's Name County Administrative Officer ' APPROVED AS TO FORM: OFFICE OF THE COUNTY COUNSEL Type of Entity (corporation, partnership, sole proprietorship) By By Signature Typed Name Title of Individual Executing Document on behalf of Firm "Contractor" NOTICE: CONTRACTORS ARE REQUIRED BY LAW TO BE LICENSED AND ARE REGULATED BY CONTRACTORS' STATE LICENSE BOARD. QUESTIONS CONCERNING A CONTRACTOR MAY BE REFERRED TO THE REGISTRAR OF THAT BOARD, WHOSE ADDRESS IS: CONTRACTORS' STATE LICENSE BOARD, 1020 "N" STREET, SACRAMENTO, CALIFORNIA 95814. 1/98 A-3 t 1 1 1 1 1 1 1 ' COUNTY OF KERN GENERAL SERVICES DIVISION OF THE COUNTY ADMINISTRATIVE OFFICE GUARANTY ' Project Name: Kern Medical Center Emergency Fuel System Improvements Project No: 8996.8435 For a valuable consideration, the receipt of which is hereby acknowledged, we guaranty that the LABOR AND MATERIALS which we have supplied and/or furnished and/or constructed and/or installed and/or ' performed at the Kern Medical Center Emergency Fuel System Improvements are in accordance with Specifications and Plans for said construction project prepared by County of Kern, General Services Division of the County Administrative Office and conform to the specific requirements, performances, and capacities set forth in all of the contract documents, Plans and Specifications for said project and will fulfill the requirements of the guaranties included in the said Specifications, Plans and contract documents. We further guaranty the same to be free from imperfect workmanship and/or materials and we agree to ' repair and/or replace at our own cost and expense any and all such work and/or materials which may prove defective in workmanship or materials within a period of one year from the day of acceptance of the above named construction project by the County of Kern, ordinary wear and tear, unusual abuse or neglect excepted. We also agree to repair and/or replace at our own cost and expense any work and/or materials that we may disturb or displace in making good such defects. Within twenty-four(24)hours after being notified in writing by the County of Kern of any defects in said work or materials we agree to commence and prosecute with due diligence all work necessary to fulfill ' the terms of this guaranty and to complete the work within a reasonable period of time and in the event of our failure to so comply we collectively and expressly do hereby authorize the County of Kern to proceed to have such work done at our expense and we will honor and pay the cost and charges therefore ' upon demand. This guaranty is made expressly for and runs to the benefit of the County of Kern and shall be enforceable by the County of Kern. DATED ' Contractor By ' Signature Typed Name and Title For maintenance, repair or replacement service. contact: ' Name Address Phone No. 1/98 G-1 1 1 1 1 1 1 1 1 1 1 1 KERN MEDICAL CENTER EMERGENCY FUEL SYSTEM IMPROVEMENTS ' 1830 FLOWER STREET BAKERSFIELD, CALIFORNIA INDEX ' SPECIFICATIONS DIVISION 1 - GENERAL REQUIREMENTS page 01010 - Summary of Work . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 01019 - Contract Considerations . . . . . . . . . . . . . . . . . . . . . . . . 4 ' 01025 - Measurement and Payment . . . . . . . . . . . . . . . . . . . . . . 2 01039 - Coordination and Meetings . . . . . . . . . . . . . . . . . . . . . . 3 01090 - Reference Standards . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 ' 01300 - Submittals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 01400 - Quality Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 01500 _ Construction Facilities and Temporary Controls . _ . . . . . . . 3 01550 Access Roads and Parking Areas . . 2 01560 - Temporary Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 ' 01600 _ Material and Equipment . . . . . . . . . . . . . . . . . . . . . . . . 4 01600A Substitution Warranty 3 01650 - Starting of Systems . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 01700 - Contract Closeout . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 DIVISION 2 - SITE WORK ' 02222 - Excavating . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 02223 - Backfilling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 02225 _ Trenching . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 02510 Asphalt Concrete Paving . . . . . . . . . . . . . . . . . . . . . . . . 1 02520 - Portland Cement Concrete . . . . . . . . . . . . . . . . . . . . . . . 4 ' DIVISION 15 - MECHANICAL 15140 - Supports and Anchors . . . . . . . . . . . . . . . . . . . . . . . . . 4 15484 - Tank and Piping System . . . . . . . . . . . . . . . . . . . . . . . . 7 DIVISION 16 - ELECTRICAL 16010 _ General Electrical Conditions . . . . . . . . . . . . . . . . . . . . 4 16100 Basic Electrical Materials and Methods . 7 INDEX SP-2 � . � , s 1 1 1 1 1 1 SECTION 01010 ' SUMMARY OF WORK PART GENERAL 1.1 SECTION INCLUDES A. Contractor use of site and P remises. ' B. Work sequence. C. Owner occupancy. 1.2 CONTRACTOR USE OF SITE AND PREMISES A. Limit use of site and premises to allow: 1. Owner occupancy. ' 2. Work by Others and Work by Owner. 3. Use of site and premises by the public. B. Emergency Building Exits During Construction: Shall not be blocked at any time. C. Construction Operations: Limited to area actually under construction. 1 D. Time Restrictions for Performing Work: No restrictions. ' E. Utility Outages and Shutdown: Shall be allowable only for the boiler emergency fuel system supplying the existing boilers and the `D' wing mechanical yard day tank. No ' other utilities will be allowed to be disrupted or disconnected at any time. 1. Outages and shutdown for the fuel system to the boilers and `D' wing mechanical yard day tank may only occur after 8:00 a.m. of a week day and must be fully operational by 12:00 Noon the same day. 2. The Contractor shall make connection of temporary piping to the existing `D' wing mechanical yard day tank in a manner that no disruption of flow of diesel shall occur from the day tank to the generator. During the time that the temporary tank is being connected to the existing day tank if a need for diesel from the day tank occurs the Contractor shall provide diesel for the day tank and keep the day tank ' filled. Full compensation for this requirement shall be included in the various items of work and no additional compensation will be allowed. ' The Contractor shall take whatever measures are necessary to maintain the diesel flow and pressure, electrical power, and control systems that the County requires ' for it's facilities outside of the specified times for outage and shutdowns. This would include, but not limited to, temporary tanks, piping, wiring, panels, pumps ' SUMMARY OF WORK 01010-1 i and valves installed in a manner safe for the use of the County. Failure to maintain flow and pressure, power, and controls, for the use of the County within the i specified time and period shall be considered as refusal on the part of the Contractor to comply with the provisions of this contract, in which case the Contractor shall immediately suspend all work in conformance with Section 8-1.05 ' Temporary Suspension of Work, of the Standard Specifications. The County will then perform the work to connect the utilities, or may execute another contract ' to perform this work, and the cost thereof will be deducted from the monies due or to become due the Contractor. No extra work days will be allowed for the time of this suspension. These requirements pertain to all utilities, including electrical, , telephone, potable water, irrigation systems and all other systems. F. Obstructions:. Attention is directed to Section 8-1.10, "Utility and Non-Highway i Facilities," and Section 15, "Existing Highway Facilities," of the Standard Specifications and these special provisions. At least 48 hours prior to beginning ork, the Contractor shall notify Underground ' g Y g Service Alert-North (USA) at 1-800-642-2444. , The Contractor will be required to work around public utility facilities and other improvements that are to remain in place within the construction area, or that are to be relocated and relocation operations have; not been completed. In accordance with the provisions of Section 7-1.11, "Preservation of Property," and 7-1.12, "Responsibility for Damage," of the Standard Specifications, he will be liable to owners of such facilities i and improvements for any damage or interference with services resulting from his operations. The exact location of underground facilities and improvements within the construction area shall be ascertained by the Contractor before using equipment that may , damage such facilities or interfere with the services. Other forces may be engaged in moving or removing utility facilities or other improvements or maintaining services of utilities and the Contractor shall cooperate with such forces and conduct his operations , in such a manner as to avoid any unnecessary dely or hindrance to the work being performed by such other forces. Existing bandoned utility and non-highway facilities shall be considered to be existing g Y g Y g highway facilities as specified in Section 15, "Existing Highway Facilities," of the i Standard Specifications. Attention is directed to the fact that nuisance water may be present at all times along the i project. It will be the responsibility of the Contractor to provide for handing of said water and any expense involved shall be considered as included in the prices paid for the various contract items of work and no separate payment will be made therefor. ' SUMMARY OF WORK 01010-2 , SECTION 01019 CONTRACT CONSIDERATIONS ' PART GENERAL ' A. SECTION INCLUDES A. Contingency allowance. ' B. Schedule of values. ' C. Application for payment. D. Change procedures. ' B. RELATED SECTIONS A. Section 01025 - Measurement and Payment. B. Section 01600 - Material and Equipment: Product substitutions. C. CONTINGENCY ALLOWANCE ' A. Include in the contract, a stipulated sum/price of $10,000 for use upon Architect/ Engineer's instruction for Site Characterization. This Site Characterization Contingency Allowance will be established for additional soil sampling and reports as required by the Kern County Environmental Health Services Department. Only work that is authorized in advance by the Engineer may be paid for by the Site Characterization Contingency Allowance. B. Contractor's costs for Products, delivery, installation, labor, insurance, payroll, taxes, bonding, equipment rental, overhead and profit will be included in Change Orders authorizing expenditure of funds from this Contingency Allowance. ' C. Funds will be drawn from the Contingency Allowance only by Change Order. D. At closeout of Contract, funds remaining in Contingency Allowance will be credited to Owner by Change Order. ' D. SCHEDULE OF VALUES A. Submit a printed schedule on County's authorized form. Contractor's standard form or ' electronic media printout will be considered. Contract Considerations 01019-1 B. Submit Schedule of Values in duplicate within 10 working days after date of Notice to Proceed. ' C. Format: Utilize the Bid Proposal of this Project Manual. ' D. Include in a line item, the amount of Allowances specified in this section. E. Include within each line item, a direct proportional amount of Contractor's overhead and ' profit. F. Revise schedule to list approved Change Orders, with each Application For Payment. ' E. APPLICATIONS FOR PAYMENT ' A. Submit three copies of each application on County authorized form. B. Content and Format: Utilize Schedule of Values for listing items in Application for Payment. C. Payment Period: Monthly. ' Y F. CHANGE PROCEDURES ' A. The Architect/Engineer will advise of minor changes in the Work not involving an adjustment to Contract Sum/Price or Contract Time as authorized by the General Conditions by issuing supplemental instructions. B. The Architect/Engineer may issue a Price Request which includes a detailed description of a proposed change with supplementary or revised Drawings and specifications, a change in Contract Time for executing the change. Contractor will prepare and submit , an estimate within seven days. C. The Contractor may propose changes by submitting a request for change to the Engineer, 1 describing the proposed change and its full effect on the Work. Include a statement describing the reason for the change, and the effect on the Contract Sum/Price and Contract Time with full documentation. Document any requested substitutions in accordance with Section 01600. D. Stipulated Sum/Price Change Order: Based on Price Request and Contractor's fixed , price quotation or Contractor's request for a Change Order as approved by Engineer. E. Unit Price Change Order: For pre-determined unit prices and quantities, the Change ' Order will be executed on a fixed unit price basis. For unit costs or quantities of units of work which are not pre-determined, execute Work under a Work Directive Change. Contract Considerations 01019-2 ' Changes in Contract Sum/Price or Contract Time will be computed as specified for Force Account Change Order. F. Work Directive Change: Architect/Engineer may issue a directive, signed by the ' Owner, instructing the Contractor to proceed with a change in the Work, for subsequent inclusion in a Change Order. Document will describe changes in the Work, and designate method of determining any change in Contract Sum/Price or Contract Time. Promptly execute the change. ' G. Force Account Change Order: Submit itemized account and supporting data each day and after completion of change. Engineer will determine the change allowable in Contract Sum/Price and Contract Time as provided in the Contract Documents. H. Maintain detailed records of work done on Force Account basis. Provide full information required for evaluation of proposed changes, and to substantiate costs for ' changes in the Work. I. Change Order Forms: The County's authorized form. J. Execution of Change Orders: Architect/En ineer will issue Change Orders for g g g ' signatures of parties as provided in the Conditions of the Contract. 1.7 UNAVOIDABLE DELAYS - EXTENSION OF TIME A. Extension of time to the contract shall be granted in conformance with Section 53 of the General Conditions. B. In order for the Contractor to be granted an extension of time for unavailability of materials, they shall order those materials within ten calendar days of execution of contract. No extension of time shall be granted for working days that transpire between execution of contract and ordering materials. No extension of time shall be granted for unavailability of materials ordered more than ten calendar days after execution of contract. The Contractor shall pay all expedite fees that re required by suppliers, distributors and manufacturers, to have the materials be delivered to the work site, and the Contractor take possession, within ten days of ordering. A maximum of ten working ' days extension of time shall be granted for unavailability of materials that are delivered more than ten working days after ordering. C. In order for an extension of time for unavailability of materials to be granted, the Contractor shall bear the burden of proof to show that an actual delay in the progress of ' the work caused by the unavailability of that material. PART B. PRODUCTS Not Used ' Contract Considerations 01019-3 PART C. EXECUTION Not Used ' END OF SECTION G:\8996\8434MISC\Specs\01019.WPD ' Contract Considerations 01019-4 , SECTION 01025 ' MEASUREMENT AND PAYMENT ' PART1 GENERAL 1.1 SECTION INCLUDES A. Measurement and payment criteria applicable to items of work listed in the Bid Proposal. 1.2 RELATED SECTIONS ' A. Section 01019 - Contract considerations. 1.3 DEMOLITION ' A. The contract lump sum price paid for demolition shall include full compensation for furnishing all labor, materials, tools,equipment and incidentals for excavation; removing and disposing of the existing concrete, manholes, piping (as necessary for tank removal and new tank installation), the existing tanks and other appurtenances; and other items of work, as shown on the plans or required by the Special Provisions for construction of new installation, as directed by the Engineer. Disposal of contaminated soil is not included in the contract. 1.4 PRELIMINARY SITE ASSESSMENT A. The contract lump sum price pad for preliminary site assessment shall include full compensation for furnishing all labor, materials, tools, equipment and incidentals for sampling under the existing tank and piping, and furnishing the required reports, and other work as required by the Kern County Environmental Health Services Department ' for preliminary site assessment. 1.5 BACKFILL A. The contract lump sum price pad for backfill shall include full compensation for labor, ' materials, tools, equipment and incidentals to furnish, place and compact clean soil to grade, and construct asphalt concrete/concrete over the compacted subgrade as shown on the drawings. 1.6 SITE CHARACTERIZATION CONTINGENCY ALLOWANCE ' A. Include in the contract a stipulated sum/price of $10,000 for use upon Architect/ Engineer's instruction for site characterization. The Architect/Engineer shall make a price request to the contractor for site characterization. The County shall allow an extension of time for the delay while the County solicits proposals and proceeds with the Measurement and Payment 01025-1 site characterization under separate contract. Upon receiving a Work Directive Change the Contractor shall proceed with the Site Characterization. ' 1.7 ABOVE GROUND TANK INSTALLATION ' A. The contract lump sum price paid for above ground tank installation shall include full compensation for labor,materials,tools,equipment and incidentals to install the tank and day tank, install new piping, valves and appurtenances, construct concrete work, electrical, controls and alarms, clean the site, and other items of work involved for a completed system, as shown on the plans and as required by the Special Provisions, and , as directed by the Engineer. The Contractor shall include in the contract lump sum price paid for above ground tank ' installation, all expedite fees required by suppliers, distributors and manufacturers for the new above ground fuel tank and all other equipment, materials and components; to have the tank and other equipment, materials and components delivered to the site, and the Contractor take possession, within ten (10) working days after ordering. 1.8 TEMPORARY TANK , A. The contract lump sum price paid for temporary tank installation shall include full , compensation for labor, materials, tools, equipment and incidentals to install the temporary tank, including temporary piping, valves and appurtenances, connected to the existing facilities removal of the tank and system; and other items of work necessary for ' a complete system, as shown on the plans and as required by the Special Provisions, and as directed by the Engineer. 1.9 UNDER GROUND TANK MODIFICATIONS , A. The contract lump sum price paid for labor, materials, tools, equipment and incidentals 1 to install the new containment collars, turbine enclosures and fittings to the existing under ground tank, install the day tank, install new piping, valves and appurtenances, backfill, construct concrete work, electrical, controls and alarms, clean the site, and ' other items involved for a complete system, as shown on the plans and as required by the Special Provisions, and as directed by the Engineer. ' PART B. PRODUCTS Not Used , PART C. EXECUTION , Not Used END OF SECTION G:\8996\8434M1SC\Specs\01025.WPD Measurement and Payment 01025-2 SECTION 01039 COORDINATION AND MEETINGS ' PART GENERAL ' 1.1 SECTION INCLUDES A. Coordination. B. Preconstruction meeting. C. Prebid Conference meeting. ' D. Examination. E. Preparation 1.2 RELATED SECTIONS A. Instructions to Bidders- Examination of plans, specifications, contract and work site. 1.3 COORDINATION A. Coordinate scheduling, submittals, and Work of the various sections of the Project Manual to assure efficient and orderly sequence of installation of interdependent construction elements , with provisions for accommodating items installed later. ' B. Verify utility requirements and characteristics of operating equipment are compatible with building utilities. Coordinate work of various sections having interdependent responsibilities for installing, connecting to, and placing in service, such equipment. C. Coordinate space requirements and installation of mechanical and electrical work which are indicated diagrammatically on Drawings. Follow routing shown for pipes, ducts, and conduit, as closely as practicable; place runs parallel with line of building. Utilize spaces efficiently to maximize accessibility for other installations, for maintenance, and for repairs. D. In finished areas, conceal pipes, ducts, and wiring within the construction. Coordinate locations of fixtures and outlets with finish elements. ' E. Coordinate completion and clean up of Work of separate sections in preparation for Completion. Coordination and Meetings 01039-1 1 1 F. After Owner occupancy of premises, coordinate access to site for correction of defective Work and Work not in accordance with Contract Documents, to minimize disruption of Owner's activities. 1.4 FIELD ENGINEERING A. Contractor to locate and protect survey control and reference points before starting work , on the site. B. Preserve permanent reference points during progress of the work. Do not change or ' relocate reference points or items of the work without the specific approval from the Architect/Engineer. C. Control datum forsurvey is that shown on Drawings. , D. Verify set-backs and easements, confirm drawing dimensions and elevations. ' E. Provide field engineering services. Establish elevations, lines, and levels, utilizing ' recognized engineering survey practices. 1.5 PRECONSTRUCTION MEETING ' A. Owner will schedule a meeting after Execution of Contract. B. Attendance Required:County Inspector,Architect/Engineer,and Contractor along with all his/her Subcontractors. C. Agenda: 1. Distribution of Contract Documents and review of pertinent sections of the , specifications and drawings. 2. Designation of personnel representing the parties in Contract, and the County. 3. Procedures and processing of field decisions, submittals,substitutions,applications , for payments,proposal request, Change Orders, and Contract closeout procedures. 4. Scheduling. D. Record minutes and distribute copies within two days after meeting to participants, with three copies to County of Kern and all participants,and those affected by decisions made. 1.6 PREBID CONFERENCE A. On November 24, 1998, at 9:00 a.m. a Pre-Bid Conference will be held at Kern Medical I Center. All interested parties shall meet at the Engineering Office in the maintenance shop. The plans and specifications will be discussed and questions may be asked. Contractors are not required to attend the Pre-Bid Conference. ' Coordination and Meetings 01039-2 1 PART 2 PRODUCTS Not Used rPART 3 EXECUTION ' 3.1 EXAMINATION A. Verify that existing site conditions and substrate surfaces are acceptable for subsequent ' Work. Beginning new Work means acceptance of existing conditions. B. Verify that existing substrate is capable of structural attachment of new Work being applied or attached. ' C. Examine and verify specific conditions described in individual specification sections. D. Verify that utility services are available, of the correct characteristics, and in the correct location. E. If the Contractor discovers, in the course of the work, any latent or unknown physical ' conditions of an extraordinary nature that differ materially from those indicated in the contract documents, they shall report those conditions to the engineer no later than two days after first observance of the conditions. The Engineer shall promptly investigate the ' conditions and make a determination if the existence of those conditions constitutes extra work. The Contractor shall complete the work during a dispute regarding those conditions. r3.2 PREPARATION A. Clean substrate surfaces prior to applying next material or substance. 1 B. Seal cracks or openings of substrate prior to applying next material or substance. ' C. Apply any manufacturer required or recommended substrate primer, sealer, or conditioner prior to applying any new material or substance in contact or bond. i END OF SECTION GA8996\8434M1SC\SPECS\0I039.WPD r r r Coordination and Meetings 01039-3 1 1 1.3 WORK SEQUENCE ' G. Construct Work in stages to accommodate Owner's occupancy requirements during the construction period, coordinate construction schedule and operations with Architect/ Engineer: 1. Stage 1: Complete and obtain the tank removal and installation permits from the Kern County Environmental Health Services Department. Order the new tank and pay expedite fees. 2. Stage 2: Construct the new aboveground diesel tank system. Construct the temporary tank and piping system for the `D' wing mechanical yard and the `D' wing boilers. 3. Stage 3: Connect the new aboveground diesel tank system to the boilers. Construct new `D' wing facilities. Make modifications to the existing underground tank. 4. Stage 4: Excavate and remove the existing emergency diesel tank system. ' Perform Preliminary Site Assessment. 5. Stage 5: Perform backfill if agreed to by the Engineer. Perform Site Characterization if agreed to by the Engineer. Complete the project. 1.4 OWNER OCCUPANCY ' A The Owner will occupy the site and premises during the entire period of construction for the conduct of normal operations. ' B. Cooperate with Owner to minimize conflict, and to facilitate Owner's operations. ' C. Schedule the Work to accommodate this requirement. PART 2 PRODUCTS Not Used PART 3 EXECUTION Not Used ' END OF SECTION GA8996\8434M1SC\SPECS\01010.WPD 1 SUMMARY OF WORK 01010-3 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 SECTION 01090 REFERENCE STANDARDS rPART GENERAL 1.1 SECTION INCLUDES A. Quality assurance. ' 1.2 QUALITY ASSURANCE ' A. For Products or workmanship specified by association, trade, or other consensus standards, comply with requirements of the standard, except when more rigid 1 requirements are specified or are required by applicable codes. B. Conform to reference standard by date of issue current on date for receiving bids. C. Should specified reference standards conflict with Contract Documents, request clarification from the Architect/Engineer before proceeding and Contractor shall perform ' work as directed at no additional cost to County. D. The contractual relationship, duties, and responsibilities of the parties in Contract nor those of the Architect/Engineer shall not be altered from the Contract Documents by mention or inference otherwise in any reference document. ' PART 2 PRODUCTS Not Used PART 3 EXECUTION ' Not Used END OF SECTION GA8996\8434MISOSPECS\0 1090.wPn r r r Reference Standards 01090-1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 ' SECTION 01300 SUBMITTALS ' PART1 GENERAL 1.1 SECTION INCLUDES A. Submittal Procedures. ' B. Construction Progress Schedules. C. Proposed Products List. ' D. Shop Drawings. E. Product Data. F. Manufacturer's Installation Instru ctions. ' G. Manufacturers' Certificates. 1.2 RELATED SECTIONS ' A. Section 01400 - Quality Control. B. Section 01600 - Material and Equipment : Substitutions. ' C. General Conditions: Information in the General Conditions relating,to these items. 1.3 AVAILABILITY OF SPECIFIED ITEMS tA. Prior to bidding Contractor shall verify that all specified items in this project will be available in time for installation during orderly and timely progress of the work. 1 B. In the event specified items will not be so available, notify the Architect/Engineer five working days prior to bid opening. C. Costs of delays because of non-availability of specified items, when such delays could have been avoided by the Contractor, will be back charged as necessary and shall not be borne by the County. ' 1.4 QUALITY ASSURANCE ' Submittals 01300-1 A. Prior to each submittal, carefully review and coordinate all aspects of each item being ' submitted. B. Verify that each item and the submittal for it conform in all respects with the specified , requirements. C. By affixing the Contractor's signature to each submittal, certify that this coordination has been performed. D. The Contractor may require his/her subcontractors to provide drawings, setting diagrams, , and similar information to help coordinate the Work, but such data shall remain between the Contractor and his/her subcontractors and will not reviewed by the ' Architect/Engineer. E. Do not substitute materials, equipment, or methods unless such substitution has been specifically approved in writing for this Work by the Architect/Engineer as specified in Section 01600. PART 2 PRODUCTS , 2.1 SUBMITTAL SCHEDULE AND PROPOSED PRODUCTS LIST ' A. Within 15 calendar days after date of Notice to Proceed, Contractor shall compile a complete and comprehensive schedule of all submittals anticipated to be made during ' progress of the Work. 1. Omissions from the schedule as approved shall not constitute a waiver of the ' requirement for timely submittal of the required documents. 2. Include a list of each type of item for which Contractor's drawing, shop Drawings, Certificates of Compliance, material list with name of manufacture and samples, guarantees, or other types of submittals are required. 3. Upon approval by the Architect/Engineer, the Contractor will be required to adhere to the schedule except when other wise specifically permitted. B. Coordinate as necessary to ensure full understanding of all parties of the importance adhering to the approved schedule and to so adhere. Coordinate as required to ensure the grouping of submittals as described in this Section. C. Make only those revisions to the approved schedule as are approved in advance by the ' Architect/Engineer. 2.2 SHOP DRAWINGS A. Scale and measurements: Make shop drawings accurately to a scale sufficiently large to show all pertinent aspects of the item and its method of connection to the Work. Submittals 01300-2 ' B. Submit the one vellum reproduction which Contractor requires, plus four (4) copies o of blueprints which will be retained by Architect/Engineer. C. Shop Drawings: Review comments of the Architect/Engineer will be shown on the vellum when it is returned to the Contractor. The Contractor shall make copies and distribute in accordance with the General Conditions as well as SUBMITTAL PROCEDURES article listed in this Section and for record documents purposes described in General Conditions. ' D. Indicate special utility and electrical characteristics, utility connection requirements, and location of utility outlets for service for functional equipment and appliances. 2.3 MANUFACTURER'S LITERATURE AND DATA A. Submit the number of copies which the Contractor requires, plus four copies which will be retained by the Architect/Engineer. B. Where contents of submitted literature from manufacturers includes data not pertinent to the submittal, clearly indicated which portion of the contents is being submitted for review. Provide Supplement manufacturers' standard data to provide information unique to this Project. C. Indicate Product utility and electrical characteristics, utility connection requirements, and ' location of utility outlets for service for functional equipment and appliances. D. After review, the Contractor shall distribute in accordance with the Submittal Procedures article in this Section and provide copies for record documents described in General Conditions. 2.4 SAMPLES A. Submit samples to illustrate functional and aesthetic characteristics of the Product, with integral parts and attachment devices. Coordinate sample submittals for interfacing work. ' B. Submit samples of finishes from the full range of manufacturers' standard colors, or in custom colors selected as noted on the Drawings, textures, and patterns for Architect/ Engineer selection. C. Include identification on each Project information.J sample, with full Proj P D. Submit the number of samples specified in individual specification sections; two of which will be retained by Architect/Engineer. ' E. Reviewed samples which may be used in the Work are indicated in individual specification sections. rSubmittals 01300-3 2.5 MANUFACTURER INSTALLATION INSTRUCTIONS ' A. When specified in individual specification sections, submit printed instructions for ' delivery, storage, assembly, installation, start-up, adjusting, and finishing, to Engineer in quantities specified for Product Data. B. Indicate special procedures, perimeter conditions requiring special attention,and special , environmental criteria required for application or installation. 2.6 MANUFACTURER CERTIFICATES , A. When specified in individual specification sections, submit certification by manufacturer to Engineer, in quantities specified for Product Data. F. Indicate material or Product conforms to or exceeds specified requirements. Submit ' supporting reference data, affidavits, and certifications as appropriate. G. Certificates may be recent or previous test results on material or Product, but must be acceptable to Architect/Engineer. PART 3 EXECUTION , 3.1 SUBMITTAL PROCEDURES A. Accompany each submittal with a letter of transmittal showing all information required for identification and checking. ' B. Sequentially number the transmittal form. Revise submittals with original number and ' a sequential alphabetic suffix. C. Identify Project, Contractor, Subcontractor or supplier; pertinent drawing and detail number, and specification section number, as appropriate. D. Apply Contractor's stamp, signed or initialed certifying that review, verification of ' Products required, field dimensions, adjacent construction Work, and coordination of information, is in accordance with the requirements of the Work and Contract Documents. E. Schedule submittals to expedite the Project, and deliver to Engineer at business address. Coordinate submission of related items. F. For each submittal for review, allow 10 working days for review by the Architect/Engineer following his/her receipt of the submittal excluding delivery time to ' and from the contractor. Submittals 01300-4 G. Identify variations from Contract Documents and Product or system limitations which may be detrimental to successful performance of the completed Work. H. Provide space for Contractor and Architect/Engineer review stamps. 1. Revise and resubmit, identify all changes made since previous submission. J. Distribute copies of reviewed submittals as appropriate. Instruct parties to promptly ' report any inability to comply with provisions. K. Submittals not following the specified requirements will not be reviewed and will return to the Contractor. The Contractor shall be held liable for delays for not following the submittal procedures. tL. Review by the Architect/Engineer shall not construed as a complete check, but only that the general method of construction and detailing is satisfactory. Review shall not relieve the Contractor from responsibility for errors which may exist in the submitted data. 3.2 CONSTRUCTION PROGRESS SCHEDULE ' A. Submit initial schedule in duplicate whin 10 working days after date of County- Contractor Agreement. B. Revise and resubmit as required. ' C. Submit revised schedules with each Application for Payment, identifying changes since previous version. ' D. Submit a horizontal bar chart with separate line for each section of work, identifying first work day of each week. ' E. Show complete sequence of construction by activity, identifying Work of separate stages and other logically grounded activities. Indicate the early and late start, early and late finish, float dates, and duration. F. Indicate estimated percentage of completion for each item of Work at each submission. G. Indicate submittal dates required for shop drawing, product data, samples and product delivery dates, including those furnished by County and required by Allowances. 3.3 GROUPING OF SUBMITTALS A. Unless otherwise specified, make submittals in groups containing all associated items to assure that information is available for checking each item when it is received. Submittals 01300-5 1 1. Partial submittals may be rejected as not complying with the provisions of the ' Contract documents and the contractor may he held liable for delays so occasioned. 3.4 REVISIONS AFTER APPROVAL A. When a submittal has been reviewed by the Architect/Engineer, re-submittal for substitution of materials or equipment will not considered unless accompanied by an 1 acceptable explanation as to why the substitution is necessary. Material non-availability is not a reason for revisions if Contractor did not follow the requirements of paragraph 1.3. , B. In the event substitutions are proposed to Architect/Engineer after a submittal has been ' approved the Contractor shall reimburse the County the direct cost for the time spent by the Architect/Engineer in evaluating of each such proposed substitution. END OF SECTION G:\8996\8434MISC\SPECS\0I300.WPD ' 1 r Submittals 01300-6 ' SECTION 01400 QUALITY CONTROL PART1 GENERAL 1.1 SECTION INCLUDES A. Quality assurance - control of installation. B. Tolerances C. Inspecting and testing laboratory services. ' 1.2 RELATED SECTIONS A. Section 01090 - Reference Standards. B. Section 01300 - Submittals: Submission of manufacturers' instructions and certificates. ' C. Section 01600 - Material and Equipment: Requirements for material and product quality. D. Section 01650 - Starting of Systems. 1.3 Q UALITY ASSURANCE - CONTROL OF INSTALLATION A. Monitor quality control over suppliers, manufacturers, Products, services, site conditions, and workmanship, to produce Work of specified quality. B. Comply with manufacturers' instructions, including each step in sequence. C. Should manufacturers' instructions conflict with Contract Documents, request clarification from Engineer before proceeding. D. Comply with specified standards as minimum quality for the Work except where more ' PY P q Y P stringent tolerances, codes, or specified requirements indicate higher standards or more precise workmanship. ' E. Perform work by persons qualified to produce workmanship of specified quality. ' F. Secure Products in place with positive anchorage devices designed and sized to withstand stresses, vibration, physical distortion, or disfigurement. 1.4 TOLERANCES 1 Quality Control 01400-1 A. Monitor tolerance control of installed Products to produce acceptable Work. Do not permit tolerances to accumulate. B. Comply with manufacturers' tolerances. Should manufacturers' tolerances conflict with ' Contract Documents, request clarification from Engineer before proceeding. C. Adjust Products to appropriate dimensions; position before securing Products in place. 1.5 INSPECTING AND TESTING LABORATORY SERVICES A. Owner will appoint, employ, and pay for specified services of an independent firm to perform inspecting and testing, except for Preliminary Site Assessment and pipe in-situ ' pressure testing, which will be the responsibility of the Contractor. B. The independent firm will perform inspections, tests, and other services specified in , individual specification sections and as required by the Engineer or the Owner. C. Inspecting, testing, and source quality control may occur on or off the project site. ' Perform off-site inspecting or testing as required by the Engineer or the Owner. D. Reports will be submitted by the independent firm to the Engineer, in indicating ' observations and results of tests and indicating compliance or non-compliance with Contract Documents. E. Cooperate with independent firm; furnish samples of materials, design mix equipment, tools, storage, safe access, and assistance by incidental labor as requested. 1. Notify Engineer and independent firm 48 hours prior to expected time for operations requiring services. 2. Make arrangements with independent firm and pay for additional samples and tests ' required for Contractor's use. F. Testing or inspecting does not relieve Contractor to perform Work to contract requirements. G. Retesting required because of non-conformance to specified requirements shall be , performed by the same independent firm on instructions by the Engineer. Payment for retesting will be charged to the Contractor by deducting-inspecting or testing charges from the Contract Sum/Price. PART 2 ' PRODUCTS Not Used PART 3 EXECUTION Not Used END OF SECTIONc:\8996\8434MISC\SPECS\01400.wPD Quality Control 01400-2 1 SECTION 01500 CONSTRUCTION FACILITIES AND TEMPORARY CONTROLS PART 1 GENERAL 1.1 SECTION INCLUDES A. Temporary Controls: Barriers, enclosures and fencing, protection of the Work and water control. B. Construction Facilities: Access roads, parking, progress cleaning. C. Temporary Utilities: Diesel fuel. 1.2 RELATED SECTIONS A. Section 01550 - Access Roads and Parking Areas. ' B. Section 01560 - Temporary Controls. 1.3 TEMPORARY DIESEL FUEL A. Cost: By Contractor; provide and pay for 1000 gallons aboveground temporary diesel tank for the `D' wing facilities. Install in a manner acceptable to regulatory authorities ' and convenient for refueling by the County. Contractor shall fill the tank with the initial diesel fuel. County shall refuel thereafter, until the completion of the project. Contractor shall dispose of unused fuel. B. Provide temporary pumps, piping, valves, electrical and controls from the existing facilities to the temporary tank. Do not disrupt Owner's need for continuous service. ' 1.4 BARRIERS A. Provide barriers to prevent unauthorized entry to construction areas to allow for Owner's use of site and to protect existing facilities and adjacent properties from damage from construction operations and demolition. B. Provide protection for plant life designated to remain. Replace damaged plant life. C. Protect non-owned vehicular traffic, stored materials, site, and structures from damage. ' Construction Facilities and Temporary Controls 01500-1 1.5 PROTECTION OF INSTALLED WORK A. Protect installed Work and provide special protection where specified in individual r specification sections. B. Provide temporary and removable protection for installed Products. Control activit y in immediate work area to prevent damage. C. Provide protective coverings at walls, projections, jambs, sills, and soffits of openings. D. Protect finished floors, stairs, and other surfaces from traffic, dirt, wear, damage, or movement of heavy objects, by protecting with durable sheet materials. E. Prohibit traffic from landscaped areas. 1.6 SECURITY , A. Provide security and facilities to protect Work and Owner's operations from unauthorized entry, vandalism, or theft. B. Coordinate with Owner's security program. 1.7 PROGRESS CLEANING AND WASTE REMOVAL , A. Maintain areas free of waste materials, debris, and rubbish. Maintain site in a clean and , orderly condition. B. Collect and remove waste materials, debris and rubbish from site daily and dispose off- r site. C. Demolition materials may not be stored such that paved access roads will be blocked. 1.8 REMOVAL OF UTILITIES, FACILITIES AND CONTROLS A. Remove temporary utilities, equipment, facilities, materials, prior to Final inspection, after the new facilities are operative. ' B. Remove underground installations to a minimum depth of one foot. C. Clean an repair damage au ed b y installation or use of temporary work D. Restore existing and permanent facilities used during construction to original condition. ' Restore permanent facilities used during construction to specified condition. Construction Facilities and Temporary Controls 01500-2 , PART 2 PRODUCTS Not Used ' PART 3 EXECUTION Not Used ' END OF SECTION G:\8996\8434MISC\Specs\01500.WPD 1 II , ' Construction Facilities and Temporary Controls 01500-3 r 1 SECTION 01550 ACCESS ROADS AND PARKING AREAS ' PART1 GENERAL 1.1 SECTION INCLUDES ' A. Access roads. ' B. Parking. C. Existing pavements and parking areas. D. Permanent pavements and parking facilities. ' E. Maintenance. F. Removal, repair. 1.2 RELATED SECTIONS A. Section 01010 - Summary of Work: Work sequence, Owner occupancy. ' B. Section 01039 - Coordination and Meetings: Project Coordination. C. Section 01500 - Construction Facilities and Temporary Controls: Temporary ' Construction. PART 2 PRODUCTS ' 2.1 MATERIALS ' A. Temporary Construction: Sandy material suitable for traffic. ' PART 3 EXECUTION 3.1 PREPARATION ' A. Clear areas, provide surface drainage of road, parking, area premises, and adjacent areas. 3.2 ACCESS ROADS ' A. If, after reviewing the results of the preliminary site assessment, Kern County Environmental Health determines that a site characterization is required, Contractor tAccess Roads and Parking Areas 01550-1 shall, with the approval of the Engineer backfill the tank excavation to grade. Compact to firm density suitable for traffic. Existing uncontaminated soil may be used in the , backfill. B. Provide unimpeded access for emergency vehicles. Maintain 20' width driveways with , turning space between and around combustible materials. C. Provide and maintain access to fire hydrants and control valves free of obstructions. ' 3.3 PARKING ' A. Arrange for temporary parking areas to accommodate use of construction personnel. B. When site space is not adequate, provide additional off-site parking. 1 C. Contractor's personnel may utilize public parking areas. ' 3.4 EXISTING PAVEMENTS AND PARKING AREAS A. Use of existing on-site streets and driveways for construction traffic is permitted. , Tracked vehicles not allowed on paved areas. B. Do not allow heavy vehicles or construction equipment in parking areas. ' C. Do not park equipment and vehicles in non public areas without authorization of Kern ' Medical Center. 3.5 MAINTENANCE ' A. Maintain traffic and parking areas in a sound condition free of excavated material, t construction equipment, Products, mud, snow, and ice. B. Maintain existing and permanent paved areas used for construction; promptly repair t breaks, potholes, low areas, standing water, and other deficiencies, to maintain paving and drainage in original, or specified, condition. 3.6 REMOVAL AND REPAIR ' A. Remove temporary materials and construction when acceptable to the County. ' B. Repair existing facilities damaged by use, to original condition. END OF SECTION G:\8996\8434MISC\Specs\01550.WPD ' Access Roads and Parking Areas 01550-2 ' ' SECTION 01560 TEMPORARY CONTROLS iPART1 GENERAL ' 1.1 SECTION INCLUDES A. Water control ' B. Dust control. rC. Erosion and sediment control. ' D. Noise control. E. Pollution control. ' 1.2 RELATED SECTIONS ' A. Section 01010 - Summary of Work: Contractor use of premises. Owner occupancy. Maintenance of operations. B. Section 01500 - Construction Facilities and Temporary Controls: Temporary water control, construction cleaning. PART 2 PRODUCTS Not Used PART 3 EXECUTION 3.1 WATER CONTROL A. Grade site to drain. Maintain excavations free of water. Provide, operate, and maintain pumping equipment. B. Protect site from puddling or running water. Provide water barriers as required to protect site from flooding. ' 3.2 DUST CONTROL A. Execute Work by methods to minimize raising dust from construction operations. ' B. Provide positive means to prevent air-borne dust from dispersing mg into atmosphere. ' Temporary Controls 01560-1 i 1 3.3 EROSION AND SEDIMENT CONTROL , A. Plan and execute construction by methods to control surface drainage from cuts and fills, from borrow and waste disposal areas. Prevent erosion and sedimentation. B. Minimize amount of bare soil exposed at one time. C. Provide temporary measures such as berms, dikes, and drains, to prevent water flow. , D. Construct fill and waste areas by selective placement to avoid erosive surface silts or ' clays. E. Periodically inspect earthwork to detect evidence of erosion and sedimentation; promptly apply corrective measures. 3.4 NOISE CONTROL , A. Provide methods, means, and facilities to minimize noise produced by construction ' operations. 3.5 POLLUTION CONTROL ' A. Provide methods, means, and facilities to prevent contamination of soil, water, and atmosphere from discharge of noxious, toxic substances, and pollutants produced by construction operations. END OF SECTION 01560.2 Temporary Controls 01560-2 ' i SECTION 01600 MATERIAL AND EQUIPMENT 1 PART 1 - GENERAL ' 1.1 SECTION INCLUDES A. Products. B. .Transportation and handling. g ' C. Storage and protection. ' D. Product options. E. Substitutions. ' 1.2 RELATED SECTIONS A. General Conditions: Information in the General Conditions relating to these items. B. Instructions to Bidders: Product options and substitution procedures. 1.3 PRODUCTS ' A. Do not use materials and equipment removed from existing premises, except as specifically permitted by the Contract Documents. B. Provide interchangeable components of the same manufacture, for components being replaced. r1.4 TRANSPORTATION AND HANDLING A. Transport and handle products in accordance with manufacturer's instructions. B. Promptly inspect shipments to ensure that products comply with requirements, ' quantities are correct, and products are undamaged. C. Provide equipment and personnel to handle products by methods to prevent soiling, disfigurement, or damage. D. Provide protection for finished floor surfaces in traffic areas prior to allowing equipment or materials to be moved over such surfaces. ' Materials and Equipment 01600-1 E. Protect finished surfaces, including jambs and soffits of openings used as passageways, through which equipment and material are handled. 1.5 STORAGE AND PROTECTION ' A. Except as otherwise approved by the Architect/Engineer, store and protect products in accordance with manufacturers' instructions, with seals and labels intact and , legible. B. Store sensitive products in weather tight, climate controlled enclosures. , C. For exterior storage of fabricated products, place on sloped supports, above , ground. D. Provide off-site storage and protection when site does not permit on-site storage or , protection. E. Cover products subject to deterioration with impervious sheet covering. Provide , ventilation to avoid condensation or potential degradation of product. F. Store loose granular materials on solid flat surfaces in a well-drained area. Prevent ' mixing with foreign matter. G. Provide equipment and personnel to store products by methods to prevent soiling, r disfigurement, or damage. H. Arrange storage of products to permit access for inspection. Periodically inspect , products to verify that products are undamaged and are maintained in acceptable condition. ' 1. In event of damage to the product, promptly replace to the approval of the Architect/Engineer and at no additional cost to the County. J. Additional time required to secure replacements will not be considered by the Architect/Engineer for any extension in the contract time of completion. 1.6 PRODUCT OPTIONS A. Products Specified by Reference Standards or by Description Only: Any product ' meeting those standards or description. ' B. Products Specified by Naming One or More Manufacturers: Products of manufacturers named and meeting specifications, no options or substitutions are allowed. Materials and E quip 01600-2 , q P ' C. Products Specified by Naming One or More Manufacturers with a Provision for Substitutions: Submit a request for substitution for any manufacturer not named in accordance with the following article. ' 1.7 SUBSTITUTIONS 1 A. Proposed Substitutions: Submit proposed substitutions in writing to the Architect/ Engineer not more than 20 calendar days after awarding of the contract. 1. Approval or Rejection of proposed substitutions is at the County's ' discretion, whose judgements will be final and will include consideration of the following factors among others in comparing equality of proposed substitutions with indicated or specified requirements: a. Quality of materials, structural strength, and details of construction or fabrication. ' b. Performance and function;mechanically and technically. c. Appearance and finish, or characteristics'permitting required finish to be applied. ' d. If proposed substitutions require altering the arrangement of adjoining or related Work, resulting arrangement must be equal in convenience and practicality to original arrangement. e. Products equal in in quality and utility are generally competitive products and are generally equal in price. If approval is requested for materials or equipment more economical than the specified products, County may require the specified product. f. An inequality in availability of replacement parts or maintenance services may be a determining factor. g. Code approvals and service history. 2. Re-submittal of Proposed Substitutions: Do not resubmit proposed substitutions that are rejected in modified form. Upon rejection of a proposed substitution, Bidder may submit another proposed substitution within the time limit stated above. If the second proposed substitution is ' rejected or not received by the Architect/Engineer within the specified time, Contractor shall provide only the indicated and specified product/work at no additional cost to the County. 3. Compliance: Use of Approved Substitutions does not relieve the Contractor from compliance with the Contract Documents. Contractor shall bear all extra expense resulting from the approved substitutions where substitutions affect adjoining or related Work. 4. Unauthorized Substitutions: If substituted materials are installed without prior approval from the Architect/Engineer, the Contractor shall remove all unauthorized materials and install those indicated or specified, at no extra cost to the County. ' B. Substitutions may be considered when a product becomes unavailable through no fault of the Contractor. Materials and Equipment 01600-3 C. Document each request with complete data substantiating compliance of proposed ' Substitution with Contract Documents. D. A request constitutes a representation that the Contractor: , 1. Has investigated proposed product and determined that it meets or exceeds the quality level of the specified product. 2. Will provide the same warranty for the substitution as for the specified product. 3. Will coordinate installation and make changes to other Work which may be required for the Work to be complete with no additional cost to County. ' 4. Waives claims for additional costs or time extension which may subsequently become apparent. 5. Will reimburse County for review or redesign services associated with ' re-approval by authorities. E. Substitutions will not be considered when they are indicated or implied on shop , drawing or product data submittals, without separate written request, or when acceptance will require revision to the Contract Documents. ' F. Substitution Submittal Procedure: 1. Submit six copies of request for Substitution for consideration. Limit each request to one proposed Substitution. 2. Submit completely signed "Substitution Warranty" (01600A), shop drawings, product data and certified test results attesting to the proposed r product equivalence. Burden of proof is on proposer. 3. The Architect/Engineer will notify Contractor in writing of decision to ' accept or reject request. PART 2 - PRODUCTS Not Used PART 3 - EXECUTION Not Used END OF SECTION G:\8996\8434MISC\SPECS\01600.WPD r r 010 -4 Materials and Equipment 01600-4 i SPECIAL PROVISION OF MATERIAL IMPORTANCE rSPECIAL PROVISION RELATING TO ENFORCEMENT OF CONTRACTOR'S RESPONSIBILITY FOR SHOP DRAWINGS, SUBMITTALS, SAMPLES, CUTS AND ANY ' OTHER PRELIMINARY DATA, MODELS OR HARDWARE WHEN SUCH SUBMITTALS ARE TO BE SUBSEQUENTLY UTILIZED IN FINAL CONSTRUCTION OF THIS PROJECT. THE CONTRACTOR NOTES THE CONSPICUOUS NATURE OF THIS PROVISION. THE CONTRACTOR AGREES THAT THESE PROVISIONS ARE MATERIAL PROVISIONS AND ' SHALL BE ENFORCED IN THE EVENT OF CONTROVERSY (IF LEGALLY PERMISSIBLE AND CONSISTENT WITH THE INTENT OF THIS SPECIAL PROVISION) IN SUCH A MANNER AS TO PLACE UPON THE CONTRACTOR FULL, COMPLETE AND TOTAL RESPONSIBILITY FOR THE SUBSEQUENT USABILITY AND/OR COST OF REALIZING USABILITY OF ANY AND ALL PRELIMINARY SUBMISSIONS BY THE CONTRACTOR, WITHOUT REGARD TO ANY ACTION, OR FAILURE TO ACT IN CONNECTION ' THEREWITH, BY THE COUNTY OR HIS DULY AUTHORIZED REPRESENTATIVE. TO FACILITATE THE ASSUMPTION OF RESPONSIBILITY BY THE CONTRACTOR UNDER THIS PARAGRAPH, EACH PRELIMINARY SUBMITTAL BY THE CONTRACTOR SHALL CONTAIN AS A COVER PAGE THERETO, THE FOLLOWING SUBSTITUTION WARRANTY. THIS COVER PAGE SHALL BE SIGNED OR INITIALED BY A rREPRESENTATIVE OF THE CONTRACTOR PREVIOUSLY DESIGNATED BY THE CONTRACTOR TO THE COUNTY, IN WRITING, FOR SUCH PURPOSE. 1 r r r r .. r r ' Substitution Warranty 0160OA-1 r Subcontractor and/or Supplier Letterhead Project Name: Kern Medical Center- Emergency Fuel System Improvements Project No: 8996.8434 ' SUBSTITUTION WARRANTY ' 1. This submittal is made under the provision of Section 01600 of the Contractor Documents. Contractor makes an express warranty to the County, by express affirmation, that if ' installed into the project, the work which forms the basis of this submittal will conform to the design requirements of the Contract, as that design has been contractually agreed to and which is the basis of the bargain between the parties hereto. , 2. It is the purpose of this submittal to describe the goods proposed for use by the Contractor and to demonstrate conformance of the description to the contract requirements. , 3. To the extent necessary, the Contractor by making this submittal, warrants that the whole ' of the goods shall conform to the submittal. 4. At the time of this submission, the Contractor acknowledges that he is aware that the ' purpose of this submission is to induce the County to authorize the use of this work for purposes of Contract compliance by the Contractor, and further that the County, in doing so, relies upon the skill, judgement.and integrity of the Contractor as to the compliance of ' this submitted work to the requirements of the Contract. Contractor hereby acknowledges that he has by his own resources found and selected the work submitted herewith and that it is suitable for the purpose of being fit and suitable for use in the final construction under the Contract. We propose to provide for in lieu of, and as an equivalent to as indicated on the Drawings and described in Section of the Specifications. We agree to assume all costs for testing, research, etc. and any modifications to other portions of the work as necessary to accommodate our material(s) and system(s) including all appurtenances required for proper installation and functioning of said material(s) and system(s). ' Substitution Warranty 01600A-2 r We hereby warrant that is the equivalent of in every aspect and will perform satisfactorily under the conditions and use indicated in the Drawings and described in the Specifications. g P 5. The Contractor hereby notifies the County that the following features are not in conformance with the Contract requirements and nevertheless asks approval thereof: ' A. B. r C. D. E. r Signed: Date: (Manufacturer/Supplier/Other) r ' Signed: Date: (Contractor) r Signed: Date: r (Subcontractor) Ir 1 1 r 1 Substitution Warranty 01600A-3 �, r 1 i 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 ' SECTION 01650 STARTING OF SYSTEMS PART1 GENERAL 1.1 SECTION INCLUDES A. Starting systems. ' 1.2 STARTING SYSTEMS iA. Coordinate schedule for start-up of various equipment and systems. ' B. Notify Engineer seven days prior to start-up of each item. C. Verify that each piece of equipment or system has been checked for control sequence or for other conditions which may cause damage. D. Verify that tests, meter readings, and specified electrical characteristics agree with those required by the equipment or system manufacturer. E. Verify wiring and support components for equipment are complete and tested. F. Execute start-up under supervision of applicable Contractors' personnel in accordance with manufacturers' instructions. ' G. When specified in individual specification Sections, require manufacturer to provide authorized representative to be present at site to inspect, check, and approve equipment or system installation prior to start-up and to supervise placing equipment or system in operation. H. Provide and install temporary gages, flow meters and instrumentation to verify correct operation. Remove temporary facilities after start-up. I. Demonstrate operation and maintenance of Products to Owner's personnel one week prior to date of final inspection. PART 2 PRODUCTS Not Used PART 3 EXECUTION ' Not Used END OF SECTION 01650.1 ' Starting of Systems 01650 71 1 1 1 1 1 1 1 1 1 ' SECTION 01700 CONTRACT CLOSEOUT 1 PART 1 - GENERAL 1.1 SECTION INCLUDES A. Closeout procedures. B. Final cleaning. g ' C. Adjusting. ' D. Project record documents. 1.2 RELATED SECTIONS 1 A. General Conditions: Information in the General Conditions relating to these items. ' B. Section 01500 - Construction Facilities and Temporary Controls: Progress cleaning. C. Section 01650 - Starting of Systems: System start-up, testing, adjusting, and balancing. 1.3 Q UALITY ASSURANCE ' A. Prior to requesting inspection by the Architect/Engineer, use adequate means to assure that the Work is completed in accordance with the specified requirements and is ready for the requested inspection. 1.4 CLOSEOUT PROCEDURES A. Submit written certification that Contract Documents have been reviewed; Work has been inspected, and that Work is complete in accordance with Contract Documents and ready for Architect/Engineer's review. B. Provide submittals to Architect/Engineer that are required by governmental agencies having jurisdiction. C. Submit Project Record Documents described in Paragraph 1.7 of this Section. D. Submit Final Application for Payment identi ing total adjusted Contract Sum, P revious ' payments, sum remaining due, evidence of payment and release of liens. 1.5 FINAL CLEANING ' Contract Closeout 01700-1 1 A. Execute final cleaning prior to final project assessment. r B. Visually inspect interior surfaces and remove all traces of soil, waste materials, smudges, ' and other foreign matter. Remove paint dropping, spots, stains and dirt from finished surfaces. C. Clean equipment and fixtures to a sanitary condition with cleaning materials appropriate ro riate ' to the surface and material being cleaned. D. Clean site; swee p p aved areas on the site and public p aved areas adjacent to the site; rake clean landscaped surfaces. . r E. Remove waste and surplus materials, rubbish, and construction facilities from the site. 1.6 ADJUSTING ' A. Adjust operating Products and equipment to ensure smooth and unhindered operation. ' 1.7 PROJECT RECORD DOCUMENTS A. Maintain on site, one set of the following record documents; record actual revisions to r the Work: 1. Drawings. ' 2. Specifications. 3.- Addenda. 4. Change Orders and other modifications to the Contract. ' 5. Reviewed Shop Drawings, Product Data, and Samples. 6. Manufacturer's instruction for assembly, installation, and adjusting. B. Ensure entries are complete and accurate, enabling future reference by County. C. Store record documents separate from documents used for construction. r D. Record information concurrent with construction progress. E. Specifications: Legibly mark and record at each product section description of actual products installed, including the following: 1. Manufacturer's name and product model and serial number. 2. Product substitutions or alternates utilized. 3. Changes made by Addenda and modifications. F. Record Documents and Shop Drawings: Legibly mark each item to record actual construction including: ' Contract Closeout 01700-2 ' 1 1. Measured horizontal and vertical locations of underground utilities and appurtenances, referenced to permanent surface improvements. 2. Measured locations of internal utilities and appurtenances concealed in construction, referenced to visible and accessible features of the Work. 3. Field changes of dimension and details. 4. Details not on original Contract drawings. ' G. Remove County title block and seal from all documents. tH. Submit Project Record Documents to the Architect/Engineer with claim for final Application for Payment. PART 2 - PRODUCTS Not Used PART 3 - EXECUTION Not Used END OF SECTION G:\8996\8434MISC\SPECS\01700.WPD 1 r Contract Closeout 01700-3 ' SECTION 02222 EXCAVATING PART 1 - GENERAL 1.1 SECTION INCLUDES A. Excavating for slabs-on-grade. B. Excavatin g for site structures and new construction. C. Existing tank removal. D. Preliminary site assessment. E. Site characterization. 1.2 RELATED SECTIONS ' A. Section 01400 - Quality Control: Inspection of bearing surfaces. B. Section 01500 - Construction Facilities and Temporary Controls: Dewatering excavations and water control. ' PART 2 - PRODUCTS Not Used. PART 3 - EXECUTION 3.1 PREPARATION A. Identify required lines, levels, contours, and datum. B. Locate, identify and protect utilities that remain, from damage. C. Notify utility company to remove and relocate utilities. D. Protect plant life, lawns and other features remaining as a portion of existing ' landscaping. ' E. Protect bench marks, existing structures, fences, sidewalks, paving and curbs from excavation equipment and vehicular traffic. Excavating 02222-1 3.2 EXCAVATION , A. Underpin adjacent structures which may be damaged by excavation work. B. Excavate subsoil required to accommodate slabs-on-grade and site structures, construction operations and pipelines. C. Construct shorin g to stabilize banks. r D. Do not interfere with 45° bearing splay of existing foundations. ' E. Grade top perimeter of excavation to prevent surface water from draining into excavation. I I F. Hand trim excavation. Remove loose matter. ' G. Notify Engineer of unexpected subsurface conditions and discontinue affected Work in area until notified to resume work. , H. Correct areas over-excavated in a manner approved by the tank manufacturer and pipe manufacturer. , I. Stockpile excavated material in area designated on site and remove excess material not being reused, from site. ' 3.3 EXISTING TANK REMOVAL A. Contractor shall obtain all required tank removal and installation permits from the Kern County Environmental.Health Services Department. The Contractor shall pay all permit fees and provide all information required by pertinent agencies. Kern County shall provide information required of the Owner. B. All products must be neutralized, removed, properly disposed of from tank and ' piping system observing Kern County Environmental Health Services and Kern County Fire Department requirements for explosion and fire safety. County shall have first right to product remaining in tank at beginning of this construction. C. Rinse the interior of all pipes into the tanks. Rinse the tanks to remove residual , hazardous waste. Provide documentation to regulating agencies. Remove and properly dispose of rinsate. D. After decontaminating the tank, the Contractor shall prove complete removal of sludge and waste using an appropriate,explosivity meter that measures lower explosive limit. Excavatin g 02222-2 E. Inert tanks prior to removal by displacement using an inert gas, such as carbon ' dioxide. ' F. The Contractor shall be responsible for complying with all Kern County Environmental Health Services Department and Kern County Fire Department regulations and permit requirements, whether specifically listed in these Special Provisions, or not. Contractor shall investigate to ascertain specific requirements. All tolerances for LEL and oxygen levels shall be as required by the enforcing agencies. G. After removal, all tanks and piping shall be disposed of in a manner, and at locations approved by the Kern County Environmental Health Services Department and Kern County Fire Department. 3.4 PRELIMINARY SITE ASSESSMENT A. The Contractor shall perform sampling under all existing tank sites, at the time of ' removal. Such sampling shall conform to the following guidelines, including any requirements of the enforcing agencies: 1. All samples shall be obtained by personnel of companies qualified by the Kern ' County Environmental Health Services Department. 2. Sampling procedures shall conform to EPA policy ##SW846. 3. All samples shall be analyzed by a state certified hazardous waste laboratory. 4. Samples shall be analyzed for the following constituents: a. Diesel: Benzene and Total Petroleum Hydrocarbons (Diesel). . 5. After removal of the existing tanks, the Contractor shall ascertain if either ' side of the existing concrete anchorage pad shows evidence of contamination, utilizing a photoionization detector to assist in the evaluation. The Contractor shall also ascertain if the existing anchorage pad is sloped to one side. With ' the agreement of the Kern County Environmental Services, obtain samples from the sides of the pad approved by that agency. 6. Take a total of four samples under the 7,500 gallon tank, two at 2' depth below the bottom of the tank and two at 6' depth below the bottom of the tank. The samples shall be taken at the point opposite the points one-third of the length in from each end, alongside the concrete anchorage pad. 7. Samples shall be obtained for every 20 linear feet of each pipeline, maximum at depth of 2' and 6' below the pipeline. Exact sampling locations shall be ' approved by the Kern County Environmental Health Services Department. 3.5 SITE CHARACTERIZATION ' A. If contamination is found in the preliminary site assessment and the Kern County Environmental Health Services Department requires that further soil sampling be 1 made to determine the extent of contamination, the Contractor shall be asked to provide a proposal for additional soil sampling as needed and provide reports and 1 Excavating 02222-3 1 recommendations as required by the Kern County Environmental Health Services ' Department in handbook UT #35. See Section 01025 Measurement and Payment. 3.6 FIELD QUALITY CONTROL , A. Field inspection will be performed under provisions of Section 01400. B. Provide for visual inspection of bearing surfaces. 3.7 PROTECTION A. Protect excavations by methods required to prevent cave-in or loose soil from , falling into excavation. B. Protect bottom of excavations and soil adjacent to and beneath foundation, from freezing. C. Prevent soil and deletorious material from falling onto pea gravel envelop , surrounding the existing underground tank. END OF SECTION , Excavatin g 02222-4 SECTION 02223 ' BACKFILLING PART1 GENERAL 1.1 SECTION INCLUDES A. Site filling and backfilling. B. Fill under slabs-on-grade and paving. 1 C. Backfill as required for new construction and demolition. 1.2 RELATED SECTIONS A. Section 02222 - Excavating. 1.3 REFERENCES ' A. ANSI/ASTM D1557 - Test Methods for Moisture-Density Relations of Soils and Soil-Aggregate Mixtures Using 10 lb Rammer and 18 inch Drop. A. California Test No. 202- Grading (Sieve Analysis). B. California Test No. 217- Sand Equivalence. ' C. California Test No. 301 Resistance (R- value) PART 2 PRODUCTS 2.1 FILL MATERIALS A. Fill Type : As specified below. B. Concrete: Approved lean concrete may be used in lieu of imported borrow, Contractor to submit mix design prior to use. 2.2 SOIL MATERIALS ' A. Excavated Material: Excavated and reused material, including loosened material disturbed in excavation, graded, free of lumps larger than 3 inches, free of rocks larger than 2 inches, and debris. Excavated material may be used in backfill if it is re- ' compacted and tested. Contaminated material may not be used in backfill. Backfilling 02223-1 B. Aggregate Subbase: Class 3 Aggregate Subbase conforming to Section 25 of the Standard Specifications. ' C. Existing pea gravel may be used in backfill of the existing under ground tank to remain ' if it has not been contaminated with soil or other deletorious material. New pea gravel shall not be less than 1/8";nor more than 1/2" (crushed) or 3/4" (rounded); no more than 5% may pass a #8 sieve ' PART 3 EXECUTION 3.1 EXAMINATION ' A. Verify basement material is ready for construction of subbase. 3.2 PREPARATION A. Scarify, water and compact the basement material in re aration for subsequent backfill P P q materials. B. Cut out soft areas of basement material not capable of in site compaction. Backfill with P P Aggregate Subbase and compact to density as required on the plans. , 3.3 BACKFILLING A. Backfill areas to contours and elevations with unfrozen materials. B. Systematically backfill to allow maximum time for natural settlement. Do not backfill over porous, wet, frozen or spongy subgrade surfaces. C. Aggregate Subbase: Place and compact materials in continuous layers not exceeding 8 , inches compacted depth. D. Employ a placement method that does not disturb or damage other work. E. Maintain optimum moisture content of.backfill materials to attain required compaction density. Backfill against supported foundation walls. Do not backfill against , unsupported foundation walls. F. Remove surplus imported materials from site. , G. Place 12" (minimum) pea gravel over the existing underground tank to remain. Install filter fabric over the pea gravel before backfilling. Backfilling 02223-2 ' . 1 3.4 TOLERANCES A. Top surface of Aggregate Subbase: The surface of the finished aggregate base at an Y point shall not vary more than 0.05 foot above or below the grade established on the plans. 1 3.5 FIELD QUALITY CONTROL A. Field testing will be performed under provisions of Section 01400. 1 B. Compaction testing will be performed in accordance with ANSI/ASTM D1557. C. If tests indicate Work does not meet specified requirements, remove Work, replace and request retest when deficiencies have been corrected, at no additional cost to the County. ' 3.6 PROTECTION OF FINISHED WORK A. Protect finished Work under provisions of the General Conditions. B. Reshape and recom act fills subjected to vehicular traffic. P P J 1 END OF SECTION G:\8996\8434MISC\Specs\02223.WPD i 1 i 1 Backfilling 02223-3 1 1 ' SECTION 02225 TRENCHING PART GENERAL 1 1.1 SECTION INCLUDES ' A. Excavating trenches for utilities. B. Compacted fill from top of utility bedding to finished grade. ' C. Backfilling and compaction. ' 1.2 RELATED SECTIONS A. Section 01400 - Quality Control: Testing fill compaction. ' B. Section 01500 - Construction Facilities and Temporary Controls: Water control in excavations. C. Section 15484 - Tank and Piping System: Diesel piping and bedding. ' 1.3 REFERENCES ' A. ANSI/ASTM D1557 - Test Methods for Moisture-Density Relations of Soils and Soil-Aggregate Mixtures Using 10 lb (4.54 Kg) Rammer and 18 inch (457 mm) Drop. B. ASTM D2922 - Test Methods for Density of Soil and Soil-Aggregate in Place by Nuclear Methods (Shallow Depth). C. California Test No. 202 - Grading (Sieve Analysis). D. California Test No. 217 - Sand Equivalence. E. California Test No. 301 - Resistance (R-value). ' 1.4 DEFINITIONS A. Utility: Any buried pipe, conduit, or cable. 1.5 FIELD MEASUREMENTS ' A. Verify that survey bench mark and intended elevations for the Work are as shown on drawings. Trenchin g 02225-1 1.6 COORDINATION A. Coordinate work under provisions of Section 01039. B. Verify work associated with lower elevation utilities are complete before placing higher ' elevation utilities. PART 2 PRODUCTS , 2.1 FILL MATERIALS , A. Excavated Materials (Above the Pipe Embedment Zone): Excavated and reused material, ' including loosened material disturbed in excavation, graded, free of lumps larger than 3", rocks larger than 3" and debris. Excavated material may be used in backfill if it is re- compacted and tested. ' B. Excavated Materials (Within the Pipe Embedment Zone): Excavated and reused material, including loosened material disturbed in excavation, graded free of rocks larger than 1" , and debris. Excavated material may be used in backfill if it is re-compacted and tested. C. Aggregate Subbase: Class 3 Aggregate Subbase conforming to Section 25 of the ' Standard Specifications, with the following modification: No material may be in excess of 1". D. Class 2 Aggregate Base: Shall conform to Section 26 Aggregate Bases of the Standard I Specifications. , E. Asphalt Concrete Paving: Shall conform to the requirements for Type B asphalt concrete as specified in Section 39 Asphalt Concrete of the Standard Specifications. , F. Concrete Paving: Shall conform to the requirements for Minor Concrete as specified in Section 90 of the Standard Specifications. , PART 3 EXECUTION 3.1 PREPARATION , A. Identify required lines, levels, contours, and datum. , B. Protect plant life, lawns and other existing features to remain. C. Protect bench marks, existing structures, fences, sidewalks, paving, and curbs from excavation equipment and. vehicular traffic. ' D. Maintain and protect above and below grade utilities which are to remain. Trenchin g 02225-2 ' ' E. Cut out soft areas of subgrade not capable of in situ compaction. Backfill with Aggregate Subbase and compact to density equal to or greater than requirements for subsequent backfill material. 3.2 EXCAVATION A. Excavate subsoil required for utilities. B. Cut trenches sufficiently wide to enable installation and allow inspection. C. Do not interfere with 45 degree bearing splay of foundations. D. Hand trim excavation. Hand trim for bell and spigot pipe joints. Pipe shall be continuously supported along its entire length. Remove loose matter. E. Remove lumped subsoil boulders and rock not conforming to the specifications for material allowable in backfill. F. Correct areas over excavated. 1 G. Stockpile excess excavated material in area designated on site. 3.3 BACKFILLING ' A. Backfill trenches to contours and elevations with unfrozen materials. ' B. Systematically backfill to allow maximum time for natural settlement. Do not backfill over porous, wet, frozen or spongy subgrade surfaces. ' C. Place and compact materials in continuous layers not exceeding 8 inches compacted depth. D. Employ a placement method that does not disturb or damage pipe in trench. Rolling equipment may not be used in compaction until a minimum of 30" of backfill material has ' been placed over the top of the pipe. E. Maintain optimum moisture content of fill materials to attain required compaction ' density. ' F. Import Class 3 'aggregate subbase to replace excavated material removed for noncompliance with Section 02225.2.1. 1 3.4 TOLERANCES Trenchin g - 02225-3 A. Top Surface of Backfilling Under Paved Areas: Plus or minus 0.05 feet from required t elevations. 3.5 FIELD QUALITY CONTROL , A. Field inspection and testing will be performed under provisions of Section 01400. B. Compaction testing will be performed in accordance with ANSI/ASTM D1557. ' P g P C. If tests indicate Work does not meet specified requirements, remove Work, replace, ' compact, and retest. 3.6 PROTECTION OF FINISHED WORK ' A. Protect finished Work under provisions of Section 01500. , B. Reshape and re-compact fills subjected to vehicular traffic during construction. 3.7 SCHEDULE ' A. Diesel Fuel Piping: Cover pipe and bedding with acceptable excavated material or t aggregate subbase, in 8 inch lifts, compacted to 90 percent. See plans for additional compaction in asphalt concrete paved areas. See Plans for restriction in turf areas. END OF SECTION G:\8996\8434MISC\SPECS\02225.WPD , Trenchin g 02225-4 ' ' SECTION 02510 ASPHALT CONCRETE PAVING ' PART1 GENERAL 1.1 Asphalt Concrete Paving: A. Asphalt concrete shall be Type B and shall conform to the provisions in Section 39, ' "Asphalt Concrete," of the Standard Specifications and these special provisions. B. Asphalt concrete shall be produced from commercial quality asphalt and aggregates. The spreading and compacting requirements in Sections 39-6.02, "Spreading," and 39-6.03, "Compacting," of the Standard Specifications will not apply. ' C. The asphalt concrete shall conform to the following requirements: 1. Asphalt concrete shall be produced at a central mixing plant. ' 2. Aggregate shall conform to the 1/z" maximum medium grading specified in Section 39-2.02, "Aggregate," of the Standard Specifications. 3. The amount of asphalt binder to be mixed with the aggregate shall be between 5.0% and 6.5% by weight of the dry aggregate as determined by the Engineer. The fifth through the eighth paragraphs in Section 39-3.03, "Proportioning," of the Standard Specifications shall not apply. ' 4. Spreading and compacting shall be performed by methods that will produce an asphalt concrete surfacing of uniform smoothness, texture and density. 5. Compaction shall be performed with a tandem roller weighing not less than 8 tons. ' 6. The finished surface shall meet the straightedge requirements of Section 39-06.03, "Compacting," of the Standard Specifications. ' D. Where new asphalt concrete pavement is to conform to existing paved surfaces, the existing pavement shall be saw cut. E. Full compensation for providing and constructing asphalt concrete paving shall be included in the various items of work and no additional compensation will be provided therefor. ' END OF SECTION GA8996\8434MISMSPEM02510.WPD Asphalt Concrete Paving 02510-1 SECTION 02520 ' PORTLAND CEMENT CONCRETE ' PART 1 GENERAL ' 1.1 SECTION INCLUDES A. Concrete parking areas and tank slabs and other miscellaneous concrete. 1.2 REFERENCES A. ACI 301 - Specifications for Structural Concrete for Buildings. B. ACI 304 - Recommended Practice for Measuring, Mixing, Transporting and Placing Concrete. ' C. ANSI/ASTM D1751 - Preformed Expansion Joint Fillers for Concrete Paving and Structural Construction. D. ASTM A615 - Deformed and Plain Billet-Steel for Concrete Reinforcement. E. ASTM C33 - Concrete Aggregates. F. ASTM C94 - Ready Mix Concrete. ' G. ASTM C150 - Portland Cement H. ASTM C260 - Air-Entraining Admixtures for Concrete. I. ASTM C309 - Liquid Membrane-Forming Compounds for Curing Concrete. J. ASTM C494 - Chemical Admixtures for Concrete. I� ' K. FS TT-C-800 - Curing Compound, Concrete, for New and Existing Surfaces.. 1.3 SUBMITTALS A. Submit under provisions of Section 01300. B. Product Data: Provide data on joint filler, admixtures and curing compounds. C. Submit mix design. Portland Cement Concrete 02520-1 1.4 QUALITY ASSURANCE A. Perform work in accordance with requirements of Standard Specifications, Section 90; ' with the exception that mix proportions shall be designed by the Contractor and submitted ' to be reviewed for conformance by the Engineer. B. Obtain cementitious materials from same source throughout. ' 1.5 ENVIRONMENTAL REQUIREMENTS A. Do not place concrete when base surface temperature is less than 40'F, or surface is wet ' or frozen. PART 2 PRODUCTS 2.1 FORM MATERIALS t A. Form Materials: Conform to ACI 301. , B. Joint Filler: ANSUASTM D 1751 non-extruding and resilient bituminous type; 3/a " thick. 2.2 REINFORCEMENT A. Reinforcing Steel: ASTM A615; 40 ksi yield grade; deformed billet steel bars; ' unfinished. 2.3 CONCRETE MATERIALS , A. Concrete Materials: Provide in accordance with Section 90 of the Standard Specifications. , B. Water: Potable, not detrimental to concrete. 2.4 ACCESSORIES A. Curing Compound: ASTM C309, Type 2, Class A or B. ' 2.5 CONCRETE MIX - BY PRESCRIPTIVE CRITERIA ' A. Mix and deliver concrete in accordance with Section 90 of the Standard Specifications. B. Provide concrete to the following mix designs: ' 1. Footing and Tank Slab: Minor concrete. However, in accordance with section 02520.3.7.B. of these Special Provisions, Minor Concrete containing seven sacks of cement per cubic yard may be substituted. Portland Cement Concrete 02520-2 ' 2. Concrete Paving: Minor concrete. C. Use accelerating admixtures in cold weather only when approved by Engineer. Use of admixtures will not relax cold weather placement requirements. D. Calcium chloride may not be used in the concrete. ' E. Use set retarding admixtures during hot weather only when approved by Engineer. 2.6 SOURCE QUALITY CONTROL A. Provide mix design under provisions of Section 01400. ' PART 3 EXECUTION ' 3.1 EXAMINATION ' A. Verify base conditions under provisions of General Conditions. B. Verify compacted subgrade is acceptable and ready to support paving and imposed loads. C. Verify gradients and elevations of base are correct. ' 3.2 PREPARATION A. Moisten base to minimize absorption of water from fresh concrete. B. Notify Engineer minimum 48 hours prior to commencement of concretin g operations. erations. 3.3 REINFORCEMENT A. Place reinforcement at height of slabs-on-grade indicated on the plans. 3.4 MIXING AND PLACING CONCRETE A. Place concrete in accordance with Section 90 of the Standard Specifications. B. Ensure reinforcement, inserts, embedded parts, formed joints are not disturbed during concrete placement. C. Place concrete continuously between predetermined construction joints. D. All concrete shall be homogeneous and thoroughly mixed, and there shall be no lumps or ' evidence of un-dispersed concrete. ' Portland Cement Concrete 02520-3 1 E. The slump of the concrete shall not exceed 4". The penetration shall not exceed 2". ' Batches of concrete with a slump or penetration exceeding the acceptable value shall not be used in the work.. F. The temperature of the mixed concrete immediately before placing shall not exceed 90 , degrees F. G. When a truck mixer or agitator is used for transporting concrete to the delivery point, , discharge shall be completed within I lh hours, or before 250 revolutions of the drum or blades, whichever comes first, after the introduction of the cement to the aggregates. 1 Under conditions contributing to quick stiffening of the concrete, or when the temperature of the concrete is 850F., or above, a time less than 1 1/2 hours may be required. 3.5 FINISHING ' A. Tank Slab: Heavy broom. ' B. Concrete Paving: Medium Broom ' C. Place curing compound on exposed concrete surfaces immediately after finishing. Apply in accordance with manufacturer's.instructions. ' 3.6 FIELD QUALITY CONTROL A. Field inspection and testing will be performed under provisions of Section 01400. ' B. Testing firm will perform slump tests in accordance with ASTM C143, or penetration ' tests in accordance with California Test No. 533. C. One slump test or penetration test will be taken for every truck load of concrete delivered. ' D. Maintain records of placed concrete items. Record date, location of pour, quantity, air temperature, and test samples taken. 3.7 PROTECTION A. Immediately after placement, protect pavement from premature drying, excessive hot or cold temperatures, and mechanical injury. B. Except as hereinafter provided the Contractor shall not place the tank or his equipment on the concrete for a period of seven calendar days after the concrete has been placed. At the option of the Contractor, Minor Concrete containing a minimum of seven sacks of cement per cubic yard may be used and the time required for protection of the concrete ' will be reduced to five calendar days. END OF SECTION G:\8996\8434MISC\SPECS\02520.WPD Portland Cement Concrete 02520-4 ' SECTION 15140 SUPPORTS AND ANCHORS ' PART1 GENERAL 1.1 SECTION INCLUDES A. Pipe and equipment hangers and supports. ' B. Equipment bases and supports. C. Sleeves and seals. D. Flashing and sealing equipment and pipe stacks. 1.2 RELATED SECTIONS ' A. Section 02520 - Cast-In-Place Concrete: Equipment bases. I ' B. Section 15484 - Tank and Piping System: Diesel fuel piping. 1.3 REFERENCES ' A. ASME B31.2 - Fuel Gas Piping ' B. ASTM F708 - Design and Installation of Rigid Pipe Hangers. ' C. MSS SP58 - Pipe Hangers and Supports - Materials, Design and Manufacturer. D. MSS SP69 - Pipe Hangers and Supports - Selection and Application. E. MSS SP89 - Pipe Hangers and Supports - Fabrication and Installation Practices. ' 1.4 SUBMITTALS A. Submit under provisions of Section 01300. 1 B. Shop Drawings: Indicate system layout with location and detail of trapeze hangers. C. Product Data: Provide manufacturers catalog data including load capacity. D. Design Data: Indicate load carrying capacity of trapeze, multiple pipe, and riser support hangers. Supports and Anchors 15140-1 E. Manufacturer's Installation Instructions: Indicate special procedures and assembly of components. , 1.5 REGULATORY REQUIREMENTS ' A. Conform to Office of Statewide Health Planning and Development requirements for support of diesel fuel piping. , PART 2 PRODUCTS 2.1 PIPE HANGERS AND SUPPORTS ' A. Manufacturers: 1. Power-Strut system; OSHPD #R-0242. 2. Other acceptable manufacturers offering equivalent products. B. Diesel Fuel :Pi in , P g 1. Conform to NFPA 30. ' 2. Hangers for Pipe Sizes '/z to 1-1/2 Inch: Carbon steel, adjustable swivel, split ring. 3. Hangers for Pipe Sizes 2 Inches and Over: Carbon steel,.adjustable, clevis. ' 4. Multiple or Trapeze Hangers: Steel channels with welded spacers and hanger rods. 5. Wall Support for Pipe Sizes to 3 Inches (75 mm): Cast iron hook. 6. Wall Support for Pipe Sizes 4 Inches (100 mm) and Over: Welded steel bracket and wrought steel clamp. 7. Vertical Support: Steel riser clamp. 8. Floor Support: Cast iron adjustable pipe saddle, lock nut, nipple, floor flagge, and ' concrete pier or steel support. 2.2 ACCESSORIES A. Hanger Rods: Mild steel threaded both ends, threaded one end, or continuous threaded. 2.3 INSERTS ' A. Inserts: Malleable iron case of galvanized steel shell and expander plug for threaded ' connection with lateral adjustment, top slot for reinforcing rods, lugs for attaching to forms; size inserts to suit threaded hanger rods. , 2.4 SLEEVES A. Sleeves for Pipes Through Non-fire Rated Floors: 18 gage galvanized steel. , B. Sleeves for Pipes Through Non-fire Rated Beams, Walls, Footings, and Potentially Wet , Floors: Steel pipe or 18 gage galvanized steel. Supports and Anchors 15140-2 ' B. Sleeves for Pipes Through Non-fire Rated Beams, Walls, Footings, and Potentially Wet Floors: Steel pipe or 18 gage galvanized steel. ' C. Sleeves for Pipes Through Fire Rated and Fire Resistive Floors and Walls, and Fire Proofing: Prefabricated fire rated sleeves including seals, UL listed. ' D. Sleeves for Round Ductwork: Galvanized steel. E. Sleeves for Rectangular Ductwork: Galvanized steel. F. Fire Stopping Insulation: Glass fiber type, non-combustible. G. Sealant: Acrylic. PART 3 EXECUTION 3.1 INSTALLATION ' A. Install in accordance with manufacturer's instructions. 3.2 INSERTS A. Provide inserts for placement in concrete formwork. B. Provide inserts for suspending hangers from reinforced concrete slabs and sides of ' reinforced concrete beams. C. Provide hooked rod to concrete reinforcement section for inserts carrying pipe over 4 inches. D. Where concrete slabs form finished ceiling, locate inserts flush with slab surface. E. Where inserts are omitted, drill through concrete slab from below and provide through-bolt with recessed square steel plate and nut above slab. 3.3 PIPE HANGERS AND SUPPORTS A. Support horizontal piping as scheduled. B. Install hangers to provide minimum 1/2 inch space between finished covering and adjacent ' work. C. Place hangers within 12 inches of each horizontal elbow. D. Use hangers with 1-1/2 inch minimum vertical adjustment. ' Supports and Anchor 15140-3 pp s E. Support vertical piping at every floor. ' F. Where several pipes can be installed in parallel and at same elevation, provide multiple or trapeze hangers in accordance with the approved OSHPD system. ' G. Support riser piping independently of connected horizontal piping. H. Design hangers for pipe movement without disengagement of supported pipe. , I. Prime coat exposed steel hangers and supports. Hangers and supports located in crawl ' spaces, pipe shafts, and suspended ceiling spaces are not considered exposed. 3.4 EQUIPMENT BASES AND SUPPORTS A. Provide pads of concrete, minimum 8 inches thick and extending 1' beyond supported ' equipment. Refer to Section 02520. B. Provide templates, anchor bolts, and accessories for mounting and anchoring equipment. , 3.5 SLEEVES A. Set sleeves in osition in formwork. Provide reinforcing around sleeves. ' P g B. Size sleeves large enough to allow for movement due to expansion and contraction. ' Provide for continuous insulation wrapping. C. Extend sleeves through floors 2 inches above finished floor level. Calk sleeves. , D. Where piping or ductwork penetrates floor, ceiling, or wall, close off space between pipe or duct and adjacent work with fire stopping insulation and calk air tight. Provide close fitting metal collar or escutcheon covers at both sides of penetration. E. Install chrome plated steel escutcheons at.finished surfaces. , 3.6 SCHEDULES HANGER ROD PIPE SIZE Inches MAX. HANGER SPACING Feet DIAMETER Inches 1/2 to 1-1/4 6.5 3/8 1-1/2 to 2 9 3/8 , 2-1/2 to 3 10 1/i 4to6 10 5/8 END OF SECTION Supports and Anchors 15140-4 SECTION 15484 TANK AND PIPING SYSTEM PART 1 GENERAL 1.1 SECTION INCLUDES ' A. Pipe and pipe fittings. ' B. Valves. C. Above ground diesel storage tanks. rD. Accessories. ' 1.2 RELATED SECTIONS A. Section 02222 - Excavating. B. Section 02223 - Backfilling. ' 1.3 REFERENCES A. ANSI B31.1 - Power Piping. ' B. ANSI B31.4 - Liquid Petroleum Transportation Piping Systems. ' C. ANSI B31.9 - Building Service Piping. D. ASME B16.3 - Malleable Iron Threaded Fittings. E. ASME B36.10 - Welded and Seamless e.Wrought Steel Pipe. P F. ASTM A53 - Pipe, Steel, Black and Hot-Dipped Zinc Coated, Welded and Seamless. G. ASTM A120 - Pipe, Steel, Black and Hot-Dipped Zinc Coated (Galvanized), Welded and Seamless, for Ordinary Uses. ' H. ASTM A234 - Pipe Fittings of Wrought Carbon Steel and Alloy Steel for Moderate and Elevated Temperatures. ' I. ASTM D2310 - Machine-Made Reinforced Thermosetting Resin Pipe. J. ASTM D2996 - Filament-Wound Reinforced Thermosetting Resin Pipe. rK. ASTM D3839 - Underground Installation of Fiberglass Pipe. L. NFPA 30 - Flammable and Combustible Liquids Code. Tank and Piping System 15484-1 r M. NFPA 31 - Installation of Oil-burning equipment. N. UFC Article 79. O. UL 2085 Protected Tank. 1.4 SUBMITTALS A. Submit under provisions of Section 01300. ' B. Shop Drawings: Indicate tanks, system layout, pipe sizes, location, and elevations. For tanks indicate dimensions and accessories.' , C. Product Data: Provide data on pipe materials,pipe fittings,valves and accessories. Provide manufacturers installation information. Indicate valve data and ratings. D. Certification of approved backfill material. F. Signed Installation Checklist for warranty. 1.5 PROJECT RECORD DOCUMENTS A. Submit under provisions of Section 01700 and the General Conditions. r B. Record actual location of piping system, storage tanks, and system components. r 1.6 REGULATORY REQUIREMENTS A. Conform to applicable EPA Regulations, Kern County Environmental Health Services ' Department, California Office of Statewide Health Planning and Development, and the State Fire Marshal for installation of diesel system. ' B. Provide certificate of compliance from Kern County Environmental Health Services , Department, California Office of Statewide Health Planning and Development, and the State Fire Marshal indicating approval of installation of diesel system. 1.7 DELIVERY, STORAGE AND HANDLING ' A. Deliver, store, protect and handle products to site under provisions of Section 01600. , B. Provide temporary end caps and closures on piping and fittings. Maintain in place until installation. , PART 2 PRODUCTS r Tank and Piping System 15484-2 r r 2.1 DIESEL AND TANK PIPING, BURIED A. FRP: Smith Fiberglass Red Thread II (double containment) conforming to ASTM D2310 and ASTM D2996, designation code RTRP-11AF1-2211 UL listed filament wound fiberglass reinforced epoxy pipe. 1. Fittings: Compression molded, filament wound fiberglass reinforced epoxy. 2. Joints: Threaded and bonded(threading manufactured in factory wherever possible); tapered bell and spigot adhesive bonded allowable. 2.2 DIESEL AND TANK PIPING, ABOVE GROUND ' A. Steel Pipe: ASTM A53 or A120, or ASME B36.10, Schedule 40 black. 1. Fittings: ASTM B16.3, malleable iron, or ASTM A234, forged steel welding type. 2. Joints: NFPA 30, threaded or welded to ANSI B31.4. 2.3 FLANGES, UNIONS AND COUPLINGS ' A. Pipe Size 2 Inches (50 mm) and Under: 1. Ferrous pipe: 150 psig (1 034 kPa) malleable iron threaded unions. ' B. Pipe Size Over 2 Inches (50 mm): 1. Ferrous pipe: 150 prig (1 034 kPa) forged steel slip-on flanges; 1/16 inch (1.6 mm) thick preformed neoprene gaskets. 2.4 FLEXIBLE CONNECTORS A. Bronze inner hose and braided exterior sleeve, suitable for minimum 200 psi (1380 kPa) WOG and 250 degrees F (121 degrees Q. 2.5 FOOT VALVES A. Manufacturers: 1. OPW Model 86. 1 2. Plated cast iron body, bronze seats and monel screen rated for a maximum suction pressure of 25 psi. 2.6 BALL VALVES A. Manufacturers: 1. Conbraco Model "Apollo" 72-100. 2. Other manufacturers offering equivalent products. t B. Carbon steel one piece body, chrome plated steel ball, teflon seats and stuffing box ring, lever handle, threaded ends. 2.7 PISTON CHECK VALVES Tank and Piping System 15484-3 A. Manufacturers: 1. Conbraco Model "RP&C" F90D. 2. Other manufacturers offering equivalent products. , B. Forged steel body, stainless steel disc, threaded ends. 2.8 PRESSURE REDUCING VALVES A. Manufacturers: 1. Cla-Val Model CRD control valve. ' 2. Other acceptable manufacturers offering equivalent products. , B. Cast bronze ASTM B-62 body and cover. Brass and 303 stainless steel trim. Viton rubber diaphgram, disc and 0-ring. Valve shall reduce pressure from the pump to five p.s.i. 2.9 RELIEF VALVES A. Manufactures: ' 1. Cla-Val Model "CRL-1/2" 2. Other acceptable manufacturers offering equivalent products. ' B. Bronze body, viton rubber seat, automatic, direct pressure actuated at maximum 75 p.s.i. 2.10 EXISTING UNDERGROUND FUEL STORAGE TANKS A. Containment collar, turbine enclosure, 4" fitting. ' 1. Manufacturers: Fluid Containment 2.11 ABOVEGROUND FUEL STORAGE TANKS ' A. Manufacturers: , A. Enviro-Vault 2000 gallon capacity. B. Other acceptable manufacturers offering equivalent products, approved by the State Fire Marshal. Submitted tank may not exceed any of the overall dimensions given below. Capacity may not be less than that in specified tank. B. Capacity: 1. Volume: 2000 gallons. 2. Overall Width: 6'- 8". C. Overall Length: 13'-0". ' D. Overall Height: 5'- 0". C. Tank: UL 2085, UL listed and labeled, concrete encased double steel tank, fittings, lifting lugs, and tappings for accessories. D. Accessories: Tank fill, vent to required height above grade, emergency vent, fuel return, , secondary outlet connection, level gauge, fuel inventory, low fuel alarm system, low fuel pump stop, seismic tie downs. Tank and Piping System 15484-4 E. Diesel Fuel: Fill-up for testing and refill after test. ' 2.12 FUEL STORAGE DAY TANKS A. Manufacturers: 1. Simplex Model SST-100B and SST-325B 2. Other acceptable manufacturers offering equivalent products. B. Capacity: 100 gallons and 325 gallons B. Tank: UL 142 welded steel, overflow basin with capacity of 150% primary tank capacity, tappings for accessories, threaded connections. ' C. Accessories: Supply and return pumps as shown on the plans, tank fill, gage, vent, and outlet connections. D. Control/Alarm panel: SST level controller. 2.13 FUEL OIL PUMPS A. Manufacturers: 1. Simplex Model 420 ' 2. Other manufacturers offering equivalent products. B. Performance: ' 1. Flow: 2.5 gal/min, at 288 feet head. 2. Motor: 3/4hp, 120 volt, single phase, 60 Hz. ' C. Casing: Cast Iron D. Rotor: Steel, internal gear rotary r PART C. EXECUTION 3.1 EXAMINATION 1 A. Verify site conditions under provisions of Section 01039. 3.2 PREPARATION A. Ream pipe and tube ends. Remove burrs. Bevel lain end ferrous pipe. ' B. Remove scale and dirt, on inside and outside, before assembly. C. Prepare piping connections to equipment with flanges or unions. 3.3 PIPING INSTALLATION A. Install in accordance with manufacturer's instructions. Tank and Piping System 15484-5 B. Provide non-conducting dielectric connections wherever jointing dissimilar metals. Install ' to NACE RP-01-97. C. Route piping in orderly manner and maintain gradient. Route shown on the P lans is , schematic. Contractor shall install in a route to avoid conflict with existing tank removal. D. Install piping to conserve building space and not interfere with use of space. ' E. Group piping whenever practical at common elevations. , F Install piping to allow for expansion and contraction without stressing pipe, joints, or , connected equipment. G. Field tapering of FRP pipe shall be done with tools and methods to ensure matched taper angles for bell and spigot joints, in conformance with manufacturer's installation r instructions. H. Provide access where valves and fittings are not exposed. I. Establish elevations of buried piping outside the building to ensure not less than 3' of cover. ' J. FRP joints shall be connected by methods to ensure "locking-up" of joints and adhesive thickness that is not too thick or thin. K. Mechanical force as recommended by the manufacturer shall be used to ensure "lock-up" of joints. , L. Once a pipe joint is connected it shall not be disturbed until the adhesive has cured in accordance with the pipe manufacturer's recommendations. r M. Contractor shall modify the installation methods to account for hot or cold weather in ' conformance with manufacturer's recommendations. N. Install valves with stems upright or horizontal, not inverted. O. Protect piping systems from entry of foreign materials by temporary covers, completing sections of the work, and isolating parts of completed system. P. Connect the joints of the pipe secondary containment (including fittings) as recommended by the pipe manufacturer. , Q. Install centralizers between the primary piping and secondary containment in accordance with pipe manufacturer's recommendations. R. Apply a 15 psi air test to the fiberglass secondary containment piping. Pipe shall be backfilled, with only the joints exposed. Apply soap to each joint in the presence of the Engineer, as often as requested. Repair any joints that fail and retest. Minimum duration of test shall be one hour. Primary piping shall not be capped. Tank and Piping System 15484-6 S. Apply a 15 psi air test to all steel piping, both above ground and underground. Apply soap to each joint in the presence of the Engineer, as often as requested. Repair any joints that fail and retest. Minimum duration of test shall be one hour. T. Contractor may combine the above tests with tests required by the State Fire Marshal, if granted approval by the Fire Marshal and the Engineer. Where tests are combined, utilize the most stringent requirements. 3.4 ABOVE GROUND FUEL TANK INSTALLATION A. Install tanks in accordance with manufacturer's instructions, NFPA 30 and applicable ' requirements of the Office of Statewide Health Planning and Development, and the State Fire Marshal. B. Clean and flush tank prior to delivery to site. Seal until pipe connections are made. C. Provide piping connections to tanks with unions and swing joints. 1 D. Mount tank to concrete pad with anchor bolts through the seismic tie downs. A minimum ' of two full threads of anchor bolt shall be exposed above each tightened nut. E. Each tank tie down bolt shall be tightened to 205 ft/lbs of torque. The torque shall be measured in the presence of the Inspector with a torque wrench. F. Tank shall be fully supported while transported, before and during installation. 3.5 UNDERGROUND FUEL TANK MODIFICATIONS A. All work shall be performed by a company certified by Owens-Corning as acceptable for modifying an existing tank without voiding existing warranties. ' B. After installation of new containment collars and 4" tank fittings, pressure test the tank to 5 psi and confirm with soap that no leak is occurring at the new collars and fittings. If any leaks are found, remove the entire faulty tank containment collar or fitting and install a new 1 containment collar or fitting. C. All modifications shall be conducted in conformance with Owens-Corning requirements for modifications to existing tanks. ' END OF SECTION G:\8996\8434MISC\Specs\I5484.WPD Tank and Piping System 15484-7 t 1 1 1 1 1 1 1 1 Boom ISECTION 16010 -GENERAL ELECTRICAL CONDITIONS PART 1 -GENERAL ORDINANCES, REGULATIONS AND CODES: ' All work must conform to the requirements which fall within the scope of the regulations in the Codes or under the jurisdiction of any of the governing bodies listed. The California Administrative Code, Titles 19 thru 25. The National Electric Code as applicable under current state and local regulations, if any, (latest edition and supplements.) State Board of Health. CAL-OSHA Regulations. Nothing in these Specifications or shown on the plans, shall relieve the Contractor from full compliance with applicable portions of any of the above regulations pertaining to work which he is installing under this Contract. EXAMINATION OF DRAWINGS AND SITE: ' Before submitting his bid, the Contractor shall carefully examine the Structural, Mechanical, Plumbing and Engineertural Drawings for this work, along with the Specifications for same in addition to the drawings and specifications governing the work of this trade. He shall also visit the site of the proposed construction and familiarize himself with all the site conditions:No subsequent allowances will be made to the Contractor because of his negligence in complying with the above or his alleged inability to understand the requirements. CONDUCT OF THE WORK: ' The Contractor shall.maintain on the job a competent foreman or a superintendent at all times to superintend the work. CONTRACTOR'S RESPONSIBILITY: The Contractor shall be responsible for the safety and good condition of all materials and equipment until final acceptance by the Owner. He shall erect and maintain suitable barriers, protective devices, lights and warning signs where required for the protection of the public and employees about the buildings. He shall be fully responsible for any loss or injury to persons or property resulting from his neglect or the carelessness and 1 neglect of his employees. PART 2 - PRODUCTS SUBMITTAL: Refer to Division 1 for requirement. Shop drawings of power and signal service and distribution equipment and lighting fixture catalog cuts shall be submitted for approval in seven (7)copies. ' Equipment or material furnished or incorporated in construction without prior approval of the Engineert may be rejected and if rejected shall be removed from the structure and replaced with approved equipment or material at the Contractor's expense. GENERAL ELECTRICAL CONDITIONS 16010 -1 CATALOG DATA AND OPERATING INSTRUCTIONS: ' Upon completion of the work in this Contact, the Engineert shall be furnished with a complete set of catalog ' data which describes each piece of equipment installed under this Contract. The catalog shall be bound in a set and shall be clearly labeled as to each item of equipment used. PART 3 -EXECUTION RECORD DRAWINGS: Refer to Division 1 for requirement. , LOCATIONS: ' The work as laid out is to some extent diagrammatic, and the location thereon indicated may be approximate only. The Contractor, therefore, shall install all the equipment, apparatus, conduit runs and the like as follows: Adhere to the location indicated as far as possible. ' Maintain ample head room in all rooms and passageways, clearance around all apparatus and equipment and under pipe lines for unrestricted passage and for easy servicing of all apparatus, equipment, devices and the like. In the event there is interference between this Contractor's work and the work of other trades, the Contractor , may move or offset the work of any of.the trades if specifically approved by the Engineert. Verify the exact locations of all fixtures and other apparatus or devices as indicted on the drawings. In the event these drawings do not sufficiently indicate the locations for all such fixtures, apparatus or devices, the Contractor shall obtain the exact locations from the Engineert. VERIFICATION OF DIMENSIONS: The Contractor shall, as work progresses,verify the dimensions of the spaces available for the installation of the work and he shall assume full responsibility for the proper locations and grading of each portion thereof. Where the work requires connections to be made to equipment that is furnished and set in place by others, the Contractor shall obtain exact rough-in dimensions from the manufacturer of such equipment and he shall install the connections in a neat and workmanlike manner. CUTTING AND PATCHING: This Contractor shall do all cutting and patching of the work for the installation of the equipment and materials i as approved by the Engineer. All patching shall accurately match the adjoining work. 1 GENERAL ELECTRICAL CONDITIONS 16010 -2 FOUNDATIONS AND SUPPORTS: ' This Contractor shall provide all foundations, supports and hangers, etc., as required to install the equipment as specified or shown on the drawings. All equipment shall be supported, braced and cross-braced in such manner as to prevent sway and/or lateral movement. ' EXCAVATION AND BACKFILLING: Excavating required for the installation of the work shall be done by this Contractor. Underground lines outside the buildings shall be installed with a minimum cover of 24", except depth of utility services shall comply with respective utility company requirements. The conduit shall be laid on firm soil cut true and even to afford bearing for the full length of the barrel of the pipe. Any part of the trench excavated below grade shall be corrected with thoroughly compacted material approved by the Engineert. When the bottom uncovered at subgrade is soft and, in the opinion of the Engineert, cannot support the conduit, a further depth shall be excavated and refilled to pipe foundation grade as required by the Engineert. Trenches and other excavations shall be backfilled in six inch (6")layers of dampened earth, each layer tamped in a manner approved by the Engineert, to the density of the surrounding undisturbed earth. Any surplus excavation resulting from these excavations shall be distributed over the site as directed by the Engineert. Puddling will not be permitted where electrical conduits occur. ' No excavation below the level of, or adjacent to, foundations of footings shall be made except in a manner approved by the Engineert. Electrical conduit shall not be run in excavations provided for plumbing or heating pipes, unless separated by a minimum of 12 inches. Verify location of all underground lines with Owner and utility companies before starting excavation. CLEANING UP: The Contractor shall keep the premises free from accumulations of his waste material or rubbish. At the completion of the work, he shall remove all his rubbish, tools, scaffolding and surplus materials from and about the buildings, leaving the premises in a clean condition. ' All exterior surfaces of exposed equipment and material shall be thoroughly cleaned of all dirt, cement, plaster and other debris, including the exterior surfaces of all conduit, conduit fittings, conduit hangers, insulation and ' the like. All surfaces to be painted shall be carefully wiped or otherwise cleaned; cracks and corners scraped out clean, grease and oil spots removed so that surfaces may receive paint without further preparation. All fixtures and plated materials shall be thoroughly cleaned and polished. DAMAGE BY LEAKS: 1 The Contractor shall be responsible for all damage to any part of the premises caused by breaks in conduit or fixtures furnished and/or installed by him under this specification for a period of one (1)year from date of acceptance of the project by the Owner. GENERAL ELECTRICAL CONDITIONS 16010 -3 SITE CONDITIONS: Where existing utilities are shown on the plans, extreme care shall be exercised in excavating near these utilities to.avoid any damage thereto, and the Contractor shall be held responsible for any such damage caused by this operation. The general location and arrangement of conduit piping, apparatus, etc., as shown in the drawings or herein ' specified and all installations shall be made in accordance therewith. Information on the drawings relative to existing services is approximate only. Minor deviations required to conform to actual locations shall be made without additional cost to Owner. Should utilities not shown on the plans be found during excavations, the Contractor shall promptly notify the Engineert for instructions as to further action. Failure to do so will make the Contractor liable for any damage there arising from his operations after discovery of such utilities not shown on the plans.These utilities shall be removed or relocated as directed by the Engineert.An equitable adjustment in the Contract will be made for the additional work involved. The Contractor shall use special precautions where excavations are made in the areas near electrical ducts ' since they may be high voltage ducts. All such ducts shall be exposed by careful hand excavation so as not to damage the ducts or cause injury to personnel and shall be suitable marked with warning signs, barricades, , etc. as required. STANDARD PRACTICE: All work not shown in complete details shall be installed in conformance with the best standard practice for the ' trade. INTENT: ' It is the intention to provide systems that are complete in every respect without further cost to the Owner. Anything not shown in drawings, or indicated in the specifications, but required for complete operating systems , shall be included as part of this Contract. This shall include all connections to existing services. SPECIAL NOTE: Attention of Contractor is hereby called to all work covered by notes,on the drawings. Work covered by notes , must be furnished and installed whether it is specifically mentioned in these specifications or not. GUARANTEE: Except as otherwise specified, all materials, apparatus equipment furnished and installed under the Electrical Section of this specification shall be new and free from al defects. Should any trouble develop within a period , of one (1)year from date of acceptance of the work, due to inferior or faulty material and/or workmanship, the trouble shall be corrected and material and equipment replaced by the Contractor without expense to the Owner. SERVICES: The location of any existing utility services shown on the drawings is approximate and shall be checked by this ' Contractor for exact location. END OF SECTION 16010 GENERAL ELECTRICAL CONDITIONS 16010 -4 ' SECTION 16100 - BASIC ELECTRICAL MATERIALS AND METHODS PART 1 -GENERAL RELATED DOCUMENTS: Drawings and general provisions of Contract, including General and Supplementary Conditions, Division 1 and section 16010 specifications apply to work of this section. SCOPE OF WORK: This portion of the work includes the furnishing of all labor and materials necessary for the complete wiring system ' to outlets and all equipment shown on the drawings or covered by this Section of the Specifications. In general, the work, includes the following: Complete system of branch circuit wiring, conduit and distribution equipment for power. All hangers, anchors, sleeves, chases and supports for all electrical equipment. I Furnish, install and connect wire, conduit and switches, etc. required for other equipment covered by other sections of these Specifications. All excavating and backfill as required for electrical work. ' The patching and repair of all work modified or damaged by the installation of work under this contract. Complete conduit and wiring/cable system for tank monitoring and control system. The Contractor shall furnish and install all work necessary to make complete systems, whether or not such details are mentioned in these Specifications or shown on the drawings, but which are necessary in order to make complete working systems, excepting only those portions that are specifically mentioned therein or plainly marked on the accompanying drawings as being installed by other Contractors. Electrical Contractor must coordinate his work with the work of other trades so as to provide raceways, conductors and outlets in the correct location for the equipment served, including all mechanical, and signal equipment and connect same. Electrical Contractor must provide power of the correct voltage and phase to each item of equipment. The above list is given for the convenience of the contractor and is not considered all-inclusive. TEMPORARY CONSTRUCTION POWER: Provide a temporary construction power system that is adequate for this project. Coordinate requirements and details with the General Contractor. All 120V, 15A and 20A receptacles shall have ground fault circuit interrupter protection. WORK NOT INCLUDED: ' The furnishing and installation of motors. PART 2 - PRODUCTS MATERIALS: All materials, appliances and equipment except that furnished by the Owner shall be new and the best of their respective kinds, free from all defects, bear U.L. Label and of the make, band or quality specified or as accepted 16100 - 1 b the Architect as herein provided. This shall also apply to all parts of the work whether or not this articular Y P paragraph is referred to by number. All apparatus, conduit systems, etc., shall be installed and interconnected so as to form complete systems as herein specified and/or shown on all the accompanying drawings. This Contractor shall furnish and install all work necessary to make complete working systems, excepting only those portions that are specifically mentioned herein or plainly marked on accompanying drawings as being furnished by other Contractors. RACEWAYS AND FITTINGS: Shall be as manufactured by Triangle Conduit and Cable Company, Allied Tube and Conduit Corporation, American Flexible Conduit Company, Carlon or approved. Galvanized rigid steel conduits (RSC)- May be used in all location. For underground runs in direct contact with earth, conduit shall be factory wrapped with PVC tape or shall have factory applied PVC coating. Galvanized intermediate metallic conduit (IMC) - May be used in indoor locations not in direct contact with earth. Galvanized electrical metallic tubing (EMT)- May be used in indoor dry locations in which it is: Not subject to physical damage. Not in direct contact with earth. Not in concrete slabs. Not in hazardous areas. In masonry walls, not in same cells as rebars. Flexible steel conduit- , May be used in dry locations for final connections to: Motors, transformers and other mechanical equipment, not to exceed 36 inches. Lighting fixtures, not to exceed 72 inches. Facilitate wiring in tight locations,when approved by.Engineer. Liquid-tight flexible steel conduit- Shall be used in outdoor or wet locations for final connection to motors or other mechanical equipment, not to exceed 36 inches. Fittings- Shall be threaded type only for rigid and intermediate steel conduits. For electrical metallic tubing (EMT), fittings shall be: Set-screw with steel housing or compression type for sizes 1/2"through 1", in dry locations. Compression type for sizes larger than 1"or in wet locations and in masonry walls. Flexible metallic conduits: Compression type. 16100 -2 , Liquid-tight flexible metallic conduits: Liquid-tight, compression type. Explosion-proof conduit seal fittings and drains: Seal fittings shall comply with Class I Division 1 requirement, shall be as manufactured by Crouse Hinds, Appleton or approved equal. Use of the following is prohibited: Aluminum conduit. Crimp-on, tap-on, indenter type fittings: Spray (aerosol) PVC cement. PULL BOXES: Pull.Boxes shall meet all code requirements as to size for conduits terminating therein and to thickness of material used in fabrication. Fabricated sheet steel pull boxes shall be installed only in dry, protected locations and shall be furnished with knockouts and removable screw cover. Box shall be finished with one coat of zinc chromate and a coat of primer sealer and where exposed to public view shall be painted to match the surrounding surface. Weatherproof sheet steel pull boxes shall be fabricated of code gauge galvanized sheet steel with two coats of ' rust resistant finish and shall be furnished with gasket and made completely weathertight. Approved manufacturers for metal boxes are RACO, Crouse Hinds, Steel City or equal. ' OUTLETS: All outlets boxes shall be standard one or two piece galvanized knock-out outlet boxes, RACO, Steel City, Appleton, Bowers or approved equal. M All outlet box covers rings or other fittings shall be standard galvanized, National Steel City, Appleton, Bowers or 9 9 9 � PP approved equal. ' No outlet box shall be smaller than four inches (4") square and 1-1/2" in depth, except in concrete block construction where Bowers concrete block boxes are approved. Floor outlets on grade shall have fully adjustable cast type Hubbell or equal with flush or surface service fittings, as noted on drawings. All visible finish to be brass. Provide carpet flange in carpeted areas. Above grade, "stamped" boxes may be used. All special outlets shall be as hereinafter specified or as shown on drawings. Through boxes are not permitted. Any unused boxes shall be equipped with a cover plate. CONDUCTORS: All wire installed in this contract shall be of a standard manufacturer as approved by the National Board of Fire Underwriters and be of the size as indicated on the drawings.All wire shall bear the Underwriters's label and shall be brought to the job in unbroken packages and approved by the Job Inspector before same is installed. All feeder and branch circuit wiring conductors shall be type THHN or THWN copper, unless otherwise noted. 16100 -3 Number 12 AWG gauge wire shall be the smallest gauge wire used, except for signal circuits which shall be as shown on plans or as specified under other sections of these specifications. All wire#8 AWG gauge or larger shall be stranded. All neutral conductors shall be of the same size as the phase conductors of the same feeders or branch circuits. All wire size#6 AWG and smaller, shall be factory color coded. All wires of size#4 and larger shall be coded with color tapes at each pull,junction, splice and termination locations. Colors for each phase and neutral shall be consistent throughout system. Color code shall be as follows: 120/208V Phase A Black ' Phase B Red Phase C Blue Neutral White Equip. Ground Green Green Splices on all wire less than 8 gauge shall be with insulated Ideal "Wing Nuts", "Scotchlock", or equal, coil spring connectors. Wire-nuts without coil springs are not permitted. Splices in wires 8 gauge and larger shall be made with crimp-on solderless connector; Scotch, Burndy or equal. Connectors to switches or bus bar shall be made with one piece lugs for all wires, sized for conductors as shown on plans.There shall be one lug for each conductor. Each branch circuit shall be marked with the circuit number at the panel and at the first outlet nearest the panel. E- ' Z Code Markers or equal shall be used to mark the circuits. MOTOR DISCONNECTS: Shall be fused switch with dual element fuses. Horse power rated and quick-make quick-break type. Fuse rating shall comply with motor manufacturer's recommendations as indicated on unit's nameplate. Switch shall be UL listed and shall have external operating handles. , Provide disconnects for all motors if not provided by others. PART 3.00 - EXECUTION INSTALLATION CONDUIT SYSTEMS: A concealed conduit system shall be installed for all interior wiring including controls. Conduits shall be run in attic, in walls and partitions and below slab on grade. Conduit shall be run continuous between outlets, etc., and with the , minimum number of bends. All conduit shall be delivered to the site of construction in their original bundles. Each length of conduit shall bear the label of the National Board of Fire Underwriters. All conduit subjected to rough usage while on the job before installation and not acceptable to the Architect shall be removed from the premises upon notice. PVC 40 or rigid steel factory wrapped with PVC tape shall be used for underground runs. Where conduits rise up into combustible walls convert to metallic ell and extend with metallic conduit above floor. Rigid steel galvanized conduits factory wrapped with PVC tape shall be used for all underground runs within and into Class 1 Division I areas. All conduits for classified ares shall have explosion-proof conduit seals with drain. 16100 -4 I The joints in all conduits installed under concrete slabs on the ground, or underground, or exposed to the weather, shall be made liquid and gas tight. All underground conduit outside of the buildings shall be buried to a depth of not less than 24"below finish grade.Two or more conduit runs installed in a common trench shall be separated horizontally by at least four inches (4"). Electrical conduit runs installed in a common trench with other utility lines shall be separated horizontally from such lines by at least twelve inches (12"). Changes in direction shall be made with conduit sweep elbows or long radius bends made on the job. Where two or more conduits are grouped in exposed locations, the sweeps shall be struck from the same center forming concentric arcs. IAll joints in conduit shall be made with standard coupling. In making joints, conduits must be truly and accurately cut and threaded (where applicable)with straight thread, smoothly reamed and squarely butted. All conduit shall be kept corked and dry during construction, using plastic caps or conduit pennies held in place with conduit bushings. Should dirt or moisture collect in any conduit, the Contractor shall swab them out to the satisfaction of the Architect. Conduits ending at the motors shall be carried as close as possible to the terminal blocks making allowance for the movement of the motors when they are equipped with slide rails. The connection between the conduit terminals on the motor and the conduit shall be made with liquid-tight flexible conduit using the proper fittings. All conduits where they enter panel boxes, pull boxes, or outlet boxes shall be secured in place by galvanized locknuts and bushings -one (1) locknut inside and one (1) locknut outside of box with bushing on end of conduit. Bushing shall be plastic where conductors are#4 or larger. ,. Where conduits are run exposed, the same shall be installed straight and true with reference to the adjacent construction. Conduit 1"and above shall have plastic insulated grounding bushings. Any conduit installed under building shall be under the slab. All empty conduit shall be equipped with a nylon pull cord, with a tensile strength of minimum 500 pounds, continuous from outlet to outlet. Flexible connections in outdoor and damp locations shall be made with flexible liquid-tight metal conduit or non- corrosive seamless metallic tubing with water-tight connections. The maximum allowed length of flex conduit at equipment connections is 36". Expansion joints for conduit shall be provided where required to compensate for thermal expansion and contraction. No conduit smaller than 112 inch electrical trade size shall be used. CONDUCTOR IDENTIFICATION & INSTALLATION: The drawings indicate the arrangement of outlets on each branch circuit and the circuit tags show the number of the circuit, and the board to which it will be connected. Circuits indicated with the same numbers shall be connected to the same breaker on the panelboard. All feeders and branch circuits shall be tagged in all pull boxes and in the gutters of all panels to which they connect. All wiring shall be done with identified neutrals. 16100 -5 No wire shall be installed until all work of other contractors that might cause injury to the said wire has-been completed. Care shall be used to pull wires to insure that no damage occurs to the insulation. Powdered soapstones or wire ease shall be used for pulling in wires. In making the connection of all branch circuits to the terminals of switches, base plugs, etc., the wires shall be looped around the binding screws or be fitted with connecting lugs. At the ceiling outlets, this Contractor shall leave not less than 6"of free ends on each wire for connections to the fixtures. No splices shall be permitted except in outlet boxes, and in panelboard gutters. Switches and receptacles shall be securely fastened to the outlet box. Where the outlet box covers are back of the finished walls the switch or receptacle shall be built out from the same with washers so that it is rigidly held in place to the box. The floating of any switch or receptacles will not be permitted. All wiring inside panelboards shall be neatly bundled and tied with nylon cord or plastic straps. All wiring inside pull or junction boxes underground or exposed to weather shall be made watertight. GROUNDING: The conduit system supports, cabinets, switchboards, etc., and neutral conductors must be permanently and effectively grounded by means of approved ground clamps, accordance with Title 24 of the California Administrative Code. This Contractor shall exercise every precaution to obtain good contacts at all panel boxes, pull boxes, etc.; where it is not possible to obtain good contacts, the conduits shall be bonded around the boxes with a#6 AWG gauge, THWN wire with ground clamps. All equipment cases, motor frames, etc. shall be completely grounded to satisfy applicable code requirements. All flexible conduits, regardless of length, shall be equipped with a code sized equipment ground wire. IDENTIFICATION OF SWITCHES AND APPARATUS: All switchboard circuits, externally operated switches and apparatus used for the operation of or control of circuits, , appliances, or equipment shall be properly identified with bakelite nameplates 1"x 3".All such nameplates shall be submitted to the Architect before being secured on the apparatus by screws. Card holders in any form are not acceptable. MISCELLANEOUS EQUIPMENT: Contractor shall be responsible for electrical hook up and connections to all electrical equipment whether furnished by this Contractor or others, including wiring, conduit, disconnects, circuit breakers, etc., even if not shown on drawings. Verify all requirements with equipment supplier before rough in. CHANGES: ' Should it be necessary to change any of the sizes, dimensions, or locations of any of the equipment from those shown on the plans, the same shall be made with the approval of the Architect but without any additional expense to the Owner. Electrical Contractor shall consider the number of outlets for electric equipment shown on plans as final, but the Architect reserves the right to shift same, within reason, to a location and position which will meet more completely final requirements. 16100 -6 GUARANTEE AND TESTS: ' Equipment of all kinds installed by this Contractor shall be tested to determine whether it fulfills the requirements of these specifications. The Contractor shall furnish all labor necessary to adjust the operation of the apparatus and made the connections for the tests.After the tests have been completed, the Contractor shall restore all connections, apparatus, etc., to their original condition. Should any piece of apparatus or any material or work fail in any of these tests, it shall be immediately removed and be replaced by perfect material by this Contractor at his expense and the portion of the work replaced be again tested by the Contractor. The entire installation shall be free from short circuits and improper grounds. Test shall be made in the presence of the Architect, his Engineer or his representative. Panels and circuits shall be tested for grounds and shorts with ' mains disconnected from the feeder, branches connected, lamps removed or omitted from the sockets and all wall switches closed. Each individual circuit shall be tested at the panel with the equipment connected for proper operation. Ground tests shall meet the requirements of the National Electrical Code. Upon completion of the work, a final inspection of the Architect and other interested authorities shall be conducted. This Contractor shall guarantee to repair or replace at his expense any material or equipment that develops defects or is determined not to be in conformance with the plans and specifications, during a period of one year after work is accepted by the Owner. END OF SECTION 16100 1 16100 -7 t 1 1 1 1 i 1 i 1 1 1 1 1 1 • B A a TF R S F I ?'L D FIRE M A R TME �' Kill OFFICE OF ENVIRONMENTAL SERVICES (805)326-3979 DO NOT USE THIS UNTIL IT HAS BEEN MADE TO CONFORM TO CODE REQUIREMENTS THIS TAG SHALL NOT BE REMOVED BY PERSONS OTHER THAN MEMBERS OF ENVIRONMENTAL SERVICES DIVISION OF THE BAKERSFIELD FIRE DEPT. Signature Date z c�,,,1��arl�^�� �S� UM ' Soil Sampling F HoWing Removal of Underground Storage..Tank Kern County.Medical Center;1.830 Flower Street, Bakersfield, California AGE Project No..CV.227D2.652 20 April 1999 PREPARED.FOR:. California.-Hazardous•Services; Inc., b . ' SURMITTED TU . County of Kern - Environmental Health, Services Department ; - PREPARED BY..• , Advanced-GwEnvironmental, Inc. 3315.East Miraloma Avenue; Suite 117, Anaheim,•California 92806, Phone(714)996-515;1:.Fax(714)996-5182, 4005 North.Wilson Way, Stockton, Californiq,95205, Phone(209) 467-1006 Fax(209)467=1118. 2318 Fourth Street, Santa.Rosa, California 95404,.Phone(707)570-1418.Fax(707)'570-1461 i 1 1 1 ' 1 J 7 1 1 1 1 • . Advanced ' . . , . � - , i G eoEnvironmental, Inc. -N 20 April 1999, 1 ` AGE Project No: CV 227D2.652 ."' Mr.:Greg McLucas California Hazardous-Services, Inc: . 1431}East:Saint Andrew Place ' Santa.Ana; Cali"f6rnia•92705;: •Subject: Soil SainplingFollowing Removal of Underground Storage Tank- 1 :Kern Goun Medical Center 1830.Flower Street Bakersfield' California �. Dear Mr.. McLucas: ' In accordance with your request;we have collected and analyzed soil-samples following the removal' of a single,u_n d ergroun,d storage tank (UST)at the above referenced address:.The;enclosed report . describes the procedures and'findings of this sampling-program . . The opportunity to provide this"service.is greatly appreciated. If you have any questions regarding 'this matter;please feel free to call our office-at(714) 996-515.1 , Sincerely, RED`G�pY Advanced'Geo nvironment"al,I c. f . No 6709 �D C. Dian e Becker Robert D: effl A. ; Staff Geologist Project G" 1 ist ;1. . Califoriu egist d Geolo i' o. 6709 Enclosures cc:.,- (2) addressee -Mr. Marty"Brownfield,County of Kern/Environmental Health Services Department 3315 E.Miir 16nfa Avenue;Suite 117,Anaheim,California 92806: Telephone(714)996 75151 , FAX.(714)996-5]82 ,: �' . . �: `� ,, ., .. - , , ' � , . . _ ,. .., _ F ' • � `: *: '., .. � t �: ' '. :. � � � s 1 . . : � � _, . � � ,f. ,� !. - � � _ �. ,. �r _ ' f _ / ' � ' 1 ' � {. _ t � ,r �f ' ' i � ,,1 .. i � _ Soil Sampling Following.Removal of Underground Storage Tank ,Kern County Medical Center ' 1830 Flower Street, Bakersfield, California 1.0. INTRODUCTION 1.1. BACKGROUND Advaneed GeoEnvironmental,-Inc. (AGE) was retained by California Hazardous Services, Inc. (CHS).to collect soil samples following the removal of one underground storage tank'(UST) at the -,' above referenced address.The site is located in a.cornmercial and residential area of.low topographic , relief (Figure 1 Location Map; 7.5 Minute Oil Center Quadrangle, USGS Topographic Series, 1992) at an approximate elevation of 500 feet above sea level: which w for h ra e'of diesel-fuel was a'7 500- allon sin`'le-walled steel tank.: The UST, loch as used o the sto g " g g The.location of the former UST and the immediately surrounding features are depicted on Figure 2 - Site Plan. 1:2. DEPTH TO GROUND WATER INFORMATION According to Mr. Tom Haslebacher of the Kern County Water Agency,the-ground,water elevation in the vicinity of the site is approximately 250;to'270 feet below ground surface,-flowing to.the southeast.•The presence of groundwater was not observed in the excavation during the.soil santpling ; activities. . 2.0.. PROCEDURES 2.1. REMOVAL OF UNDERGROUND STORAGE TANK ' The UST was removed by California,Hazardous.Services(CHS)on 02,,Apri1 1999.•Prior to removal the UST,wag-triple-rinsed and the=rinseate was transported to Crosby;&.Overton, Inc. by CHS for ' recycling (manifest .attached).The tank was subsequently transported by Valley Tree and Construction to be cut up'and disposed,of at,their yard(documentation.attached). The tank removal was witnessed by Mr.Marty Brownfield, inspector for the Kern'County - Environmental Health- ' Services-Department(KC-EHSD). 2.2; SOIL SAMPLING AT UST LOCATION A concrete'pad was located.beneath-the former UST. Soil samples.were collected from.soil located above the pad. The samples obtained from the excavation were collected from the bucket of a. backhoe.The soil for each sample was transferred mto a brass,sleeve, which was.filled entirely to , Advanced GeoEnvironmental,.Inc. .. I t � _ •. i � � '. ' l � v , �S' a . _ ' �. �: . - �� � � '� � 20 April 1999. AGE Project,No.,CV,227D2.652 Page 2 of 2 minimize head space: The endsofthc-sleeve were sealed.with aluminum.sheets arid-plastic end.caps. ! ' The samples were then'labeled and placed in a chilled container.The sampling locations'are depicted on Figure;2:'The`soil sampling was directed by Mr. Brownfield. The.samples were collected by Ms: Diane Becker; staff geologist,,working!under,the supervision of Mr. Robert Loeffler, California ' Registered Geologist No..•.6709. Fallowing the fieldwork, the samples-were transported under chain-of-custody to KYH Company. Analytical Laboratory(KYH);a.state-certified laboratory. All of the.samples wereanalyzed for total.- petroleum hydrocarbons as diesel (TPH-d) and purgeable,aromatic hydrocarbons: benzene, toluene, ethylbenzerie and total xylenes'(BTE&X),by EPA methods'8015 modified for diesel fuel and 8020,` respectively. . 3.0. FINDINGS_ No discolored" soil and/or hydrocarbon odor were observed during the tank removal .and soil. sampling procedures: ' TPH-d:and BTEX were.not detected in the samples collected form the excavation.,The analytical report (KYH Report'No. 90418R) and chain-of-custody form are attached-. CONCLUSIONS Based on field,'.,observations and analytical- 'results, no unauthorized release` of petroleum hydrocarbons_has.impacted the soil ,beneath the removed waste oil iJST;This'report,will.be submitted to the KC-EHD for closure consideration., 5:0 LIMITATIONS ' O ur professional se rvice were performed u sin .that degree of care and skill ordinarily`exercised b Y . environmental consultants practicing in this or similar localities:The findings were based mainly upon,.analytical:.,results provided .by independent laboratories. ;Interpretations of.the subsurface conditions -at..the site for the purpose,of this investigation are.made from a.limited,,-number of available data`points (i.e. soil samples) and subsurface*conditions may vary away from these data.., ' points. No other-warranty, expressed:or�implied, is made as to the professional recommendations contained.in,this report. Advanced Geo.Environmenfal;Inc. . . � �, I, .. .. � .. < .. t � � ... _ � f. .. t � ' �, ,. , 1 1 1 1 FIGURES J[n is , � . 1 1 MN `r�J�� /' l �/ � /✓- � Komi-�; ��1�.I f %>° ��1 '1/��iJ '�}�`\1\i 11� �`' � � /// —-- "a"a"'"°� •''assn \~t r _ \��/-L�v�l'�\\a�>\ /j �� rh P 7�.._�.._, �� `"i ;< '\,y4 I ��`I ......,,��� ..r"'.. \ Rakerafeld._ r,T �,t l �;,..,.'' «...,....... .....: College Tll .w .............xn ,.y.,.... �A�y, iii �� � �c}> c° i i� c�p h./ ...•.��'� r�._:�1..° �` a. 16 .� I�NI�E�r 15e„a�E f t'.a NO te "t' \,... ..1..."`h',4.,.... "Z' l hnrk �.i- (�"/'�i--..� -/c-•r^"' 'T 2_�..` �i. e�i<w�a•rc..�.. Y Q 1 h"a.�,.,.�Rr{.1... r \.,� \r- f Palk � •. J / ��C � `��_I\. �7� /��(� � i��jr Vv- SITE �• t _ P 'Y j It ~"`��.."',f.•��...rr,, �� �'w.jj,,, jj� �l _! r,{j,'` lfI �� ��"J/ �� t '✓ L� Reference: _ 0 1/4 1/2 1 MILE 7.5-Minute Oil Center Quadrangle — mmff-°s- USGS Topographic Series, 1992 500 0 soo 1000 1500 2000 2500 3000 FEET FIGURE 1 - LOCATION MAP Project No.: ® CV 227C2.652 Kern County Medical Center Advanced 1830 Flower Street Date: Bakersfield,California 20 GeoEnvironmental, Inc. April 1999 p 1 rg 7F ' ° C t+1 124 . IJ C � 0. V N. O '7y '` Am m o 4 0 L c. co i i C ;pap,' W\ d a. 3 0•�, cu o c c" O . u a ' v ENCLOSURES ' State of Colifornio—Environmentol Protection Agency Form Approved OMB No.2050-0039(Expires 9-30.99) See Instructions on back of page 6. Department of Toxic Substances Control Ple se print or.type. •Porn designed for use on elite(12-pitch)typewriter. Sacramento,Colifornio UNIFORM HAZARDOUS 1 Generator's US EPA ID No. Manifest Document No. 2. Page 1 Information in the shaded areas WASTE MANIFEST snot required by Federal low. CAC001492432 0 2 2 8 6 of 1 3. Generator's Name and Moiling Address State,Manifest Document Number KERN MEDICAL CENTER ag 9 8 7 0 2 2 8 6 ' 1830 FLOWER ST. BAKER.SFIELD, CA. 93301 B State Getieratcr s ID LO 4. Generator's Phone ( 805) 868-3000 N 5, Transporter 1 Company Name 6. US EPA ID Number G:State Traasporler's ID Ln a? D Trans rters Phone o CALIFORNIA HAZARDOUS SERVICES CAR 0 0 0 0 3 1 2 1 1 T P° ; �-� � x(714) 434-9995 = o 7. Transporter 2 Company Nome 8. US EPA ID Number £%State—Transporter's ID J' F Transporters Phone t , x x V 9. Designated Facility Name and Site Address 10. US EPA ID Number Gofe fauhy�s 1D ty Y t Z Crosby & Overton, Inc. , C' A D 0 2 8 4 0 9 0 1 9 - 1630 W. 17th St. H` Foctby a Phone sr d , ' -4 , Long Beach., CA 90813 1C1A1D101218141n1q1n111q J Q 12. Containers 13 Total 14. Unit 3 V 11. US DOT Description(including Proper Shipping Name,Hazard Class,and ID Number) No. Type Quantity Wt/Vol 1: Waste-Number_ WASTE FLAMMABLE LIQUID, N.O.S. state 3 G (#2 DIESEL) 3 UN 1993 PG II h EPA/°'tier r O N b' 3iatoi co '00Q R gfEPA/Other. � < A o T C. StoteN f co O w d. -State t�"+y�k' w s'L yI:iAdditibnel Descnpfions for Materials Usted Above 'TT' s c r,, ' r r Ks Ffandbn Codes forlNastes itsled Above h°dT xu Z a'.-. 'y.:n'�•{ Ta�rp� s-. p- -' 0 �J11r'r`'F112,�I-E,SEL.. �10$- ±�C d {..,_` .?,'Lsx :r sm• """-'e�trs?:o 1.;yi r,5r• t7z- i•tst-";,a'Vii.:• sa---'.Yt=,✓ " ,ir y v"c''rs _ i. '`,��ci{;..2"' S..sas''' �,,, 'Sf L i,�* ,R '�..G..�d �e� '' `5:']i Mr=i-:r,ti4 i.»l>�,f`-i - � s r +�-oa i r a � rt a "'�•.rS .,. W ,{-.,,.?b :WATE,R90 v!iirS +.rX ;t4 ,�,x^f,4''4v r v yam+ ate- z} ,ri-r�= .� }-''t"c'It ^'`�' �tr ^iec, `„+:•� vta �,�'; 3,� � ,TyYS •sue.-. tyo- ly� ,Y _ -y`s.•. ["•v ,`�` ,,,;4. ysr.r'�' ,c,. . . `t`'.s'"'-' ar ..�+mss 7ti• ^yam .y. z=.:-c fit` ]`t Q Z .+ _ - ..S_. .. s,. -- .`•'�_.. _3! ~�����. � "F'��� � _ u^:'xr_ L .f. .- ruF•sa'N.,•�2`.�t��h����' ..a,`ry 's-._. . 15. Special Handling Instructions and Additional Information 'Q APPROPRIATE CLOTHING PQS #— 17929 APPROVAL #— z i 24 HOUR EMERGENCY CONTACT — CHEMTREC Q 16 �N: 1 hereby declare that the contents of this consignment are fully and occurately described above by proper shipping none and ore classified,pocked, V rTra-deed,6ndToTieTed;and ore rn all respects in proper condition For transport by highway according to applicable international and national government regulations. J J If I am o large quontiy generator,I certify that I hove o program in place to reduce the volume and toxicity of waste generated to the degree I have determined to be economically practicable and that I hove selected the rracticable method of treatment,storage,or disposal currently available to me which minimizes the present and future threat to humors heolth and the env' ent;OR,if I am a small quantity generator,I hove made o good faith effort to minimize my waste generation and select the best waste management method that is 100- etomeon t icon ctf } inted/T n S ature Month Day Year W l N 5�/ (.D TR 17. Trans ter 1 Ackno ed a ent of Receipt of Materials W t, Printed/Typed Name Signature Month Day Year W s Is ILL- 0 0 18. Transporter 2 Ackno*ecl ement of Recei t of Materials 1 : Printed/Typed Nome Signature Month Day Ye r w E Q R V 19. Discrepancy Indication Space Z F A C 1 , L 1 20. Facility Owner or Operator Certification of receipt of hazardous materials covered.b Abs monifes e e t as npfecLon Item 19. ' T Printed Typed Nome Sig Monl Day eo ! Y DO NOT WRITE BELOW THIS LIN . DTSC 8022A (e/97) White: TSDF SENDS THIS COPY TO DTSC WITHIN 30 DAYS. EPA 8700-22 To: P.O. Box 3000, Sacramento, CA 95812 i ' 4-20-1999 8:26AM FROM VALLEY TREE CONST. 805 399 5376 P. 2 ' Non hazardous Manifest Y ' Source, Address and Location Yexn ical Center Data: 4 / 2 / 99 1830 Fioex Street CConsignment no. CA 93301 Consignor or Material -- Name and Address Tranaporter of Material -- Name and Address Valley Tree & Ctnstrumicn Valley Tema.& Qx>stnx bm P.O. s:c 6275 P.O. ECK 6275 ' &ikemfield, CA 93386 lac�ld, Ok 933% Telephone mo. < 661) 399 - 1783 Telephone No. ( 661 ) 399 - 1783 Description of Consignment 1 - 7500 Gallm Steel Tark K Cosignor's Certification �. + I hereby declare that the contents of this consignment are fully and accurately described above and are not considered hm-.ardous ' waste or material as defined by 40 CFR 261.8 or 49 CFR".71.8 of Federal Regulations and CAC Title 22,Article 66084. 1 further declare Un t the consignment does not contain a void space which has an atmosphere of combustible gas that em eeds S%of the Lower Explosive Limit(L.E.L.),and that the consignment is legally transported without a hazardous manifest in ' accordance with goverriDient regulations. The cosigns shall be held harmless from liability arising from misrepresentations by the cosignor. Printed Name, Signature: Date; smxtez 4/2/99 Cosia'nee For Material Valley Tree and Construction 4233 Quinn Road bakerslield, Ca. 93308 Final Disposition -- Method sad Place ab he cut up and dim cf in Valley Tree & 0x st=Uc n yard. ' Printed Name Signature Date Tasha 4Z2/99 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 t LABORATORY ' RESULTS 1 1 1 1 1 1 1 1 1 KYH Co. Analytical Laboratory 3621 W. MacArthur Blvd., #118, Santa Ana, CA 92704 Tel: (714) 549-5824 Fax: (714) 549-8375 ANALYTICAL REPORT 1 California Hazardous Services Date Sampled: 04/02/99 I ' 1431 East Saint Andrews Place Date Received: 04/05/99 Santa Ana, CA 92705 Date Analyzed: 04/06/99 ' Attn.: Mr. Greg McLucas Date Finished 04/06/99 Project ID: Kern Co. Medical Center Report Number: 90418R Laboratory Certificate No.: 2136 Method: 8015m-d; 8020 Benzene Toluene Ethyl Total TPH-d Customer Lab benzene Xylene Sample ID ID ( mg/k9) m9/k9) mg/k9) ( m9/k9) mg/k9) 1 T1 - 8" 6459 ND ND ND ND ND T1 - E8" 6460 ND ND ND ND ND ' DLR 0.005 0.005 0.005 0.005 10 ND=Not Detected(below DLR,Detection Limit Reported). A, April 6, 1999 Aut�or' ed Signature Report Date Page 1 of 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 KYH Co. Analytical Laboratory ' 3621 W. MacArthur Blvd., #118, Santa Ana, CA 92704 Tel: (714) 549-5824 Fax: (714) 549-8375 QA - QC REPORT ' California Hazardous Services Date Sampled: 04/02/99 1431 East Saint Andrews Place Date Received: 04/05/99 Santa Ana, CA 92705 Date Analyzed: 04/06/99 ' Attn.: Mr. Greg McLucas Date Finished 04/06/99 Project ID: KernCo. Medical Center Report Number: 90418QC Laboratory Certificate No.: 2136 Method: 8020, 8015m QA - QC RESULTS ' Blank Calibration Spike Spike Dup RPD Component % recovery recovery Recovery ° Ong) N N N � Benzene ND 90.8 97.4 105.3 7.8 Toluene ND 91.5 99.0 108.1 8.8 tChlorobenzene ND 91.2 97.6 106.7 . 8.9 Ethyl Benzene ND 96.6 100.3 112.5 11.5 TPH-d ND 102.03 99.0 103.5 4.4 ' ND= Not Detected. ' �- April 6, 1999 Auth rized Signature Report Date Page 1 of 1 1 KYH Company Analytic al Laboratory 3621 W. N,acArthur Blvd., #118, Santa Ana, CA 92704 Tel: (714) 549-5824 Fax: (714) 549-8375 CHAIN OF CUSTODY ' LABORATORY INFORMATION Name KYH Company AnalAical Laboratory ' Address 3521 W. MacArthur Blvd.,Suite 118, Santa Ana. CA 92704 Telephone 714 549.5824 I Fax 714 549-5375 ' CUSTOMER INFORMATION. Name California Hazardous Services I Contact Mr. Dan Arhart ' Address 1431 East Saint Andrews Place, Santa Ana, CA 92705 Project ID grio Co. vL4e c/ Project# Telephone (714)434-99G5 I Fax (714)434.9958 ' SAMPLE INFORMATION 1 Sampling Customer Sample Type' # of Analysis/test Required Dale Time Sample ID A L I S G C Cont. and/or Comment B7�x I I I I I I I I I I II A=Air Sample; L= Liquid Sample; S= Solid Sample; G=Grab Sample; C=Composite Simple. SAMPLE TRAnSFERR'I�IG AND RECEIVING INFORMATION ' Sampler �' ' I Sampler(Print) O'Cko/-- Relin wished b ! I Date `� 5 Time ' l Deliverer I Date Time I Lab Receiver Date 4/- S 7 Time ' SWIM. RECEIVING CONDITION Breakage Seal Intact Chi 4d U Yes No Yes ( No Yes []No ' Pace of 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 r. Earth Systems Environmental, Inc. A Member of The Earth Systems Group 6701 McDivitt Drive, Suite B • Bakersfield, CA 93313 • (805)836-0901 • FAX(805)836-0911 ' October 16, 1992 Doc. No.:9210-E035.RPT Project No.: EB-8273-1 Kern County Resources Management Agency Department of Environmental Health Services 2700 "M" Street, Suite 300 Bakersfield, California 93301 ' Attention: Ms. Dolores Gough ' SUBJECT: PRELIMINARY SITE CHARACTERIZATION KERN MEDICAL CENTER 1830 FLOWER STREET ' BAKERSFIELD, CALIFORNIA ' Reference: Soil Characterization Work Plan, Kern Medical Center, ESE, October 8, 1992. 1.0 INTRODUCTION This report presents the results of a preliminary site characterization performed by ' Earth Systems Environmental, Inc. (ESE) at the above referenced site. The purpose of the characterization was to assess the lateral and vertical extent of soil impacted by diesel hydrocarbons associated with a release from the former 750 gallon underground diesel storage tank removed under Kern County Permit Number A1739-12 from the above referenced facility. Total Extractable Petroleum Hydrocarbons (TEPH) as diesel were detected at concentrations of 17,000 mg/kg at two feet, 29,000 mg/kg at six feet, and 21,000 mg/kg at ten feet beneath the former diesel tank. Total Extractable Petroleum Hydrocarbons (TEPH) as diesel were also detected at concentrations of 8,000 mg/kg at two feet, and 4,000 mg/kg at six feet beneath the product pipeline. These concentrations are in excess of Regional Water Quality Control Board (RWQCB) guidelines for diesel hydrocarbons in the soil, and have ' resulted in the Lead Implementing Agency (LIA) which is the Kern County Resources Management Agency - Department of Environmental Health Services (KCDEHS) requesting an initial site characterization. ESE subsequently has conducted ' a preliminary site characterization consisting of four soil borings and laboratory analysis of fourteen soil samples to assess the vertical and lateral extent of diesel ' impacted soil in the vicinity of the former tank and product pipeline. ■ 1 . .. . ; ,` ,. . .. � . .. .' , �. ., . .. R , . � . , .. . . t . .. � � .... .,. . - � � -. ,. � . . ... 1,, ,. ,.. i � � � � ■ 1 1 ZA- ' PRELIMINARY SITE CHARACTERIZATION KERN MEDICAL CENTER ' MAINTENANCE FACILITY UNDERGROUND STORAGE TANK SITE ' SOIL CHARACTERIZATION 1830 FLOWER STREET ' BAKERSFIELD, CALIFORNIA ' October 16, 1992 1 Prepared by Earth Systems Environmental, Inc. ' 6501 McDivitt Drive, Suite B Bakersfield, California (805) 836-0901 FAX (805) 836-0911 Project No. EB-8273-1 ■ 1 1 1 1 101 W7 ' TABLE OF CONTENTS ' PRELIMINARY SITE CHARACTERIZATION KERN MEDICAL CENTER ' 1830 FLOWER STREET BAKERSFIELD, CALIFORNIA 1.0 INTRODUCTION......................................................................................................1 ' 1.1 Site Description..........................................................................................2 1.2 Background................................................................................................3 2.0 METHODS OF INVESTIGATION..............................................................................4 ' 2.1 Drilling and Soil Sampling......................................................................4 2.2 Laboratory Analysis. .5 3.0 FINDINGS...............................................................................................................6 3.1 Geologic Conditions.....................................................:.............................6 3.2 Subsurface Conditions. .7 3.3 Hydrogeology.............................................................................................7 ' 3.4 Soil Vapor Monitoring. .............................................................................8 3.5 Laboratory Analytical Results. .9 4.0 CONCLUSIONS.........................................................................................................10 4.1 Remedial Alternatives..............................................................................11 5.0 RECOMMENDATIONS .13 6.0 CLOSURE.................................................................................................................13 ' REFERENCES............................................................................................15 ' Figure 1 Vicinity Ma p...............................................................................16 Figure 2 Site Map. .17 Figure3 Geology Map...............................................................................18 Figure 4 Cross Section...............................................................................19 ' APPENDIX A Boring Logs ' APPENDIX B Laboratory Reports and Chain-of-Custody ■ 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Kern Medical Center 2 October 16, 1992 ' All methods employed were in compliance with regulations and guidelines set forth in California Code of Regulations (CCR) Title 22, Article 11, and Title 23, Chapter 3, ' California Site Mitigation Decision Tree Manual, the Code of Federal Regulations (CFR) Title 29, Part 1910, Section 120, CFR Title 40, Parts 300-399, Kern County Department of Environmental Health Services Handbook #UT-35: "Site Characterization and Site Remediation", Tri-Regional Board Staff Recommendations for Preliminary Evaluation ' and Investigation of Underground Tank Sites, and Kern County regulations, as well as accepted professional environmental/geotechnical engineering procedures. The scope of work for this project was developed in conjunction with Mr. Bud McNabb of RLW Equipment representing the Kern Medical Center and Ms. Dolores ' Gough of the Kern County Resources Management Agency - Department of Environmental Health Services. In addition, remedial action alternatives are presented. Work performed to date includes the following: ' Development of site health and safety, and technical work plans. • Drilling and sampling of four exploratory soil borings to a maximum depth of 41 feet below surface grade. • Laboratory analysis of 14 selected soil samples for Total Extractable ' Petroleum Hydrocarbons as diesel and the fuel constituent volatile aromatics • Preparation of this report presenting our results, conclusions, and ' remedial action alternatives for the site. 1.1 Site Description The site is located at 1830 Flower Street in the city of Bakersfield in Kern County, California (Figure 1). The site was formerly operated as a fueling facility for the Kern Medical Center emergency generator equipment. The site is situated within an ' area of predominantly commercial and residential properties. The overall site topography is essentially flat, with a slight fall to the southwest. E$-8273-1 9210-E035.RPT ■ -,°`� . � � ._ . , , ;( '_� ...----� �, �: ,. `` _�-- 1. _ A__.__ _.___--_� �---- . . , , � ,. ..,, . ,.. . . ,- ', 1 .. i . ,. ,. . , .. . . .e.....,.-..-��----- - �-- �� �� ', .. � .. . ` 1 Kern Medical Center 3 October 16, 1992' I' ' 1.2 Background On September 23, 1992, a 750 gallon underground diesel storage tank, and associated product pipeline were removed from the Kern Medical Center maintenance facility by RLW Equipment (Figure 2). Three soil samples were collected from two, six and ' ten feet beneath the former tank and two soil samples were collected at two and six feet beneath the product pipeline. The soil samples were analyzed for TEPH as diesel using the California DOHS LUFT Method for diesel, and for the fuel constituent volatile aromatic benzene using USEPA Test Method 8015 (modified for benzene). TEPH as diesel were detected at concentrations of 17,000 mg/kg at two feet, 29,000 mg/kg at six ' feet, and 21,000 mg/kg at ten feet beneath the diesel tank. TEPH as diesel were detected at concentrations of 8,000 mg/kg at two feet, and 4,000 mg/kg at six feet ' beneath the product pipeline. Table 1 presents a summary of the analytical results for TEPH as diesel, and the fuel constituent volatile aromatic benzene in the five soil samples: ' TABLE 1. Analytical Results expressed in milligrams per kilogram. Sample No. Depth TEPH Benzene Diesel Tank 2' 17,000- 10. Diesel Tank 6' 29,000- N%,3.1-$V- Diesel Tank 10' 21000 0:3 ' Pipeline 2' 8—,000* 0.06 Pipeline 6' 4,000* 0.2 MRL NA 5 0.005 A L NA 1'0 0 1.0 ND: None Detected at or above Minimum Reporting Level (MRL). ' NA: Not Applicable *: exceeds current recommended guidelines. A L: Regional Water Quality Control Board recommended guidelines for contaminants in soil. The recommended guidelines were calculated using the LUFT methodology by multiplying the most ' stringent current federal or state water quality standards by a factor of 1,000 to account for attenuation due to soil composition and distance from groundwater. ' EB-8273-1 9210-E035.RPT 1♦ i 1 1 1 1 1 1 Kern Medical Center 4 October 16, 1992 �/ Based on the soil sampling and analysis, concentrations of TEPH as diesel present in ' the soils at the site exceed current recommended guidelines. Additional site characterization is required by the Kern County Resources Management Agency - ' Department of Environmental Health Services in the vicinity of the former 750 gallon underground diesel storage tank and product pipeline. 2.0 METHODS OF INVESTIGATION 2.1 Drilling, and Soil Sampling rPrior to commencing field operations, a technical work plan was reviewed and approved by Kern County Department of Environmental Health Services personnel. ' Underground Service Alert was notified 48 hours in advance of the site activities. Drilling commenced on October 13, 1992 using a Mobile B-53 truck mounted drill rig, operated by Melton Drilling of Bakersfield, California and equipped with 6-inch diameter hollow-stem augers. The augers were steam cleaned prior to use to minimize the possibility of cross-contamination. ' A total of four soil borings were drilled within this phase of soil characterization (Figure 2). A soil boring (TH-1) was advanced through the center of the former diesel tank location to a depth of 41 feet to assess the vertical extent of impacted soil beneath this probable source. Three additional soil borings (TH-2, through TH-4) were positioned to assess the lateral extent of diesel concentrations in the soil. Soil ' boring TH-2 was advanced at a location 20 feet west of TH-1 to a depth of 26 feet. Soil boring TH-3 was advanced at a location 12.5 feet east southeast of TH-1 to a depth of 26 ' feet. Soil boring TH-4 was advanced at a location 12.5 feet north northeast of TH-1 to a depth of 26 feet. A California Registered Geologist was on site to log the borings, monitor soils during drilling for contamination, and collect soil samples. Boring logs are presented in Appendix A. Soil samples were collected at 5-foot intervals in each of the borings using a split- spoon sampler (ASTM D 3550 with shoe similar to ASTM D 1586) equipped with three 6- ' inch by 2.5-inch diameter stainless steel sleeves for soil retention. The soil samples were obtained by driving the sampler with a 140-pound hammer dropping 30 inches ' in accordance with ASTM D 1586. ' EB-8273-1 9210-E035.RPT ■ 1 1 1 1 1 1 1 1 1 1 1 Kern Medical Center 5 October 16, 1992 ' 1/ ' The lowermost sleeve at each sample interval was screened for total organic vapors with a photo-ionization detector (PID). Headspace vapor analysis was performed by first discarding a portion of the soil retained at one end of the sleeve to produce a headspace. The sleeve was then capped and the probe of the PID was inserted ' through a hole in the cap and into the headspace for analysis. The PID readings are recorded on the boring logs and in Table 2 (see section 3.5, Soil Vapor Monitoring). The middle sample sleeve was immediately sealed with TeflonO film, capped, and placed on ice at less than 40C for transport to a California Department of Health ' Services (DOHS) certified laboratory. The temperature within the ice chest was recorded at each sampling interval and recorded on the chain of custody document. ' Strict chain-of-custody procedures were utilized for all samples collected to ensure sample integrity and to document sample possession from the time of collection to the final destination. The temperature within the ice chest was recorded at the time that the ice chest is delivered to the laboratory and recorded on the chain of custody ' document. Sampling equipment was washed with TSP (tri-sodium phosphate) cleanser, and rinsed with tap water and de-ionized water prior to sampling, between sample intervals, and between borings to minimize the potential of cross contamination. ' The augers were steam cleaned prior to drilling and between borings to minimize the potential of cross contamination. The borings were backfilled with a cement- bentonite slurry. ' 2.2 Laboratory Analysis Twelve soil samples were sent to BC Laboratories of Bakersfield, California, a state- certified laboratory for chemical analysis. The soil samples were analyzed for Total ' Extractable Petroleum hydrocarbons as diesel (TEPHd) with a minimum detection limit of 5.0 mg/kg using the DOHS LUl~T Method, and the fuel constituent volatile ' aromatics benzene, toluene, ethylbenzene, and total xylenes (BTEX) with a minimum detection limit of 0.005 mg/kg using USEPA Test Method 5030/8020. 1 ' EB-8273-1 9210-E035.RPT ■ Kern Medical Center 6 October 16, 1992 ' Or 3.0 RESULTS OF ENVIRONMENTAL ASSESSMENT 3.1 Geologic Conditions Regional Geology: The site is located in the southern part of the Great Valley geomorphic province. The Great Valley is a north-south trending valley, t approximately 400 miles long by 50 miles wide. Surface and groundwater in the San Joaquin Valley is derived predominantly from the Sierra Nevada mountain range to the east, and is transported by five major rivers, the southern most being the Kern River. The subject site is located approximately three miles south of the Kern River. ' The surface of the San Joaquin Valley is composed primarily of unconsolidated Pleistocene (1.6 million to 11,000 years ago) and 'Recent (11,000 years ago to the ' present) alluvial sediments. Beneath the alluvial sediments are older, predominantly lake bed deposits. These lie unconformably on Mio-Pliocene marine sediments which extend to crystalline basement at approximately 20,000 feet. ' Site Geology: Geologic deposits in the . study area include Pleistocene alluvial sediments which form a homocline dipping gently to the southwest (Figure 3). The deposits are alluvium consisting of poorly indurated and dissected fan deposits j (CDMG,1964). The depth to the regional unconfined aquifer is approximately 200 feet below surface grade beneath the site with the direction of groundwater flow to the southwest (Kern County Water Agency, 1990 Water Supply Report, May 1991). Groundwater was not encountered in boring TH-1 which penetrated to a depth of 41 feet. The nearest ' known occurrence of perched groundwater is six miles to the southwest at a depth of 20 feet in the abandoned Kern River channel to the ancient Kern Lake bed (Kern County Water Agency, 1990 Water Supply Report, May 1991). No perched ' groundwater is known to exist beneath the subject site. ' EB-8273-1 9210-E035.RPT ■ .. .' �. . � ,�, .� _. ', ._ �. .. .� .r. ,.. Kern Medical Center 7 October 16, 1992 ~' 3.2 Subsurface Conditions Subsurface material encountered during drilling was alluvium to the total depth of each boring. The alluvium was characterized by unconsolidated, moderate to high permeability, slightly moist, brown, silty fine grained sand (SM) to a depth of approximately 8 feet, overlying unconsolidated, high permeability, very slightly moist, tan, well graded sand (SW) to a depth of approximately 19 feet. Between the depths of 19 feet to 27 feet is a zone of tight, low permeability, dry, tan, silt (ML) with minor clay and a trace of fine grained sand. This is underlain by unconsolidated, moderate to high permeability, dry, tan, silty fine to medium grained sand (SM/SW) to a depth of 33 feet. Underlying this is loose, high permeability, dry, light tan, well graded, fine- to coarse- grained sand and angular gravel (SW/GW) to a depth of 41, ' which is the greatest depth penetrated in this investigation. A Cross Section has been prepared which integrates the geology, the location of the former tank and ' product pipeline, and the distribution of diesel hydrocarbons in the subsurface to yield an interpretation of limit of diesel hydrocarbons in excess of RWQCB recommended guidelines (Figure 4). 3.3 Hydrogeology Groundwater was not encountered in any of the borings drilled during this project. The depth to the regional unconfined aquifer is approximately 200 feet below surface grade beneath the site with the direction of groundwater flow to the southwest (Kern County Water Agency, 1990 Water Supply Report, May 1991). Groundwater was not ' encountered in boring TH-1 which penetrated to a depth of 41 feet. The nearest known occurrence of perched groundwater is six miles to the southwest at a depth of 20 feet in the abandoned Kern River channel to the ancient Kern Lake bed (Kern County Water Agency, 1990 Water Supply Report, May 1991). No perched groundwater is known to exist beneath the subject site. EB-8273-1 9210-E035.RPT ■ Kern Medical Center 8 October 16, 1992 3.4 Soil Vapor Monitoring ' Soil samples collected during drilling were monitored with a photo-ionization detector (PID) to evaluate organic vapor concentrations. The PID was calibrated with ' an isobutylene standard of 100 parts per million (ppm) and contained an 11.8 electron volt (eV) lamp, capable of detecting benzene (9.25 eV). Table 2- Soil Organic Vapor Concentrations, graphically presents the PID readings. Appendix A - Boring Logs, presents the PID readings as they were recorded in the field. TABLE-2 SUMMARY OF SOIL ORGANIC VAPOR CONCENTRATIONS values in parts per million ' Sample Depth feet TH-1 TH-2 TH-3 TH-4 5 500 ND 2 ND 10 1,500 10 20 10 15 1,500 5 30 50 ' 20 10 ND ND ND 25 . ND ND ND ND L30 ND 35 ND 40 ND ND: Not detected. ' As Table 1 indicates, concentrations of soil vapors were detected in boring TH-1 to a depth of 20 feet. Trace concentrations of soil vapors were detected in lateral borings ' TH-2, TH-3, and TH-4 in the samples at depths of 10 and 15 feet. Soil vapors were not detected below a depth of 20 feet in any of the fouur soil borings. The field screening ' indicates that impacted soil is present within the high permeability soils beneath the location of the former tank and product pipeline, and attenuates very rapidly at the top of the underlying low permeability zone. The impacted soil appears to extend laterally within the soil from 7 to 19 feet below surface grade, and is marginally ' detected a radius of 12.5 feet from the location of the former tank. These field readings are collaborated by the analytical results presented below. EB-8273-1 9210-E035.RPT Kern Medical Center 9 October 16, 1992 1/ 3.5 Laboratory Analytical Results Three of the fourteen soil samples analyzed contained detectable levels of Total ' Extractable Petroleum Hydrocarbons as diesel (TEPHd). The fuel constituent volatile aromatics were not detected in any of the soil samples. TEPHd was not detected in the ' samples from boring TH-1 at depths of 20, 25, 30, 35, and 40 feet. TEPHd was detected in boring TH-2 located 20 feet west of TH-1 at a depth of 10 feet at a concentration of 35 mg/kg. TEPHd was detected in boring TH-3 located 12.5 feet east southeast of TH-1 ' at a depth of 15 feet at a concentration of 41 mg/kg. TEPHd was detected in boring TH-4 located 12.5 feet north northeast of TH-1 at a depth of 15 feet at a concentration of 116 mg/kg. TEPHd was not detected in borings TH-2, TH-3, and TH-4 in the soils samples from 20, and 25 feet below surface grade. ' Regional Water Quality Control Board recommended guidelines for diesel and the fuel ' constituent volatile aromatics, benzene, toluene, ethylbenzene, and total xylenes have been calculated using the LUFT methodology by multiplying the most stringent current federal or state water quality standards by a factor of 1,000 to account for ' attenuation due to site-specific parameters including vertical separation to ground water, soil lithology, fractures in subsurfaces, annual average precipitation, and any direct conduits to ground water. The recommended guidelines are 1,000 mg/kg for TEPH as diesel, 1.0 mg/kg for benzene, 4.0 mg/kg for toluene, 3.0 mg/kg for ethylbenzene, and 2.0 mg/kg for total xylenes. ' Laboratory analytical results for the fourteen selected soil samples from the four borings are summarized in Table 3 - Summary of Analytical Results. Copies of the analytical reports and chain of custody documentation are presented in Appendix B - ' Laboratory Analytical Results. EB-8273-1 9210-E035.RPT 1 1 1 1 1 Kern Medical Center 10 October 16, 1992 1/ TABLE-3 ' values in milli rams er kilo ram Sample Depth TEPH Benzene Toluene Ethyl- Total No, Dies—el ienzene X 1 nes ' TH-1 20' - ND ND ND ND ND TH-1 25' ND ND ND ND ND TH-1 30' ND ND ND ND ND TH-1 35' ND ND ND ND ND ' TH-1 40' ND ND ND ND TH-2 10' 35 ND ND ND ND TH-2 20' ND ND ND ND ' TH-2 25' NQ ND ND ND ND TH-3 15' 41 ND ND ND ND TH-3 20' ND ND ND ND ' TH-3 25' ND ND ND ND TH-4 15' 116 ND ND ND ND TH-4 20' ND ND ND ND ' TH-4 25' ND ND ND ND ND AL NA 1,000 1.0 4.0 3.0 2.0 MRL NA 10 0.001 0.001 0.001 0.001 ' ND: None Detected at or above minimum reporting level (M RL . NA: Not Applicable. A L: Regional Water Quality Control Board recommended guidelines for concentrations in soil. Recommended guidelines were calculated using the LUFT methodology by multiplying the most stringent current federal or state water quality standards by a factor of 1,000 to account for ' attenuation due to soil composition and distance from groundwater. 4.0 CONCLUSIONS ' The data obtained from the tank removal operations suggested that soil impacted with diesel hydrocarbons at concentrations greater than RWQCB recommended guidelines ' exist at the subject site beneath the former location of the diesel tank and product pipeline. ESE's subsequent drilling activities indicated that diesel hydrocarbons exist ' in excess of their respective recommended guidelines and extend to a depth of 19 feet below surface grade within the high permeability soils beneath the location of the former tank and product pipeline, attenuating very rapidly at the top of the underlying low permeability zone, and radially less than 12.5 feet from the former tank location within the soil from 7 to 19 feet below surface grade. The hydrogeology ' of this site suggests that there is no risk to groundwater. The field information and analytical data indicates that remedial measures other than natural biodegradation (i.e. no-action) would involve approximately 100 cubic yards of soil. ' EB-8273-1 9210-E035.RPT ■ 1 Kern Medical Center 1 I October 16, 1992 ' �W7 4.1 Remedial Action Alternatives At least three options for remediation of the soil are applicable to the site; 1) natural in-situ biodegradation (no-action), 2) excavation and surface bioremediation, and 3) ' excavation and transportation of soil to an approved landfill or recycling facility. Option 1: Natural In-Situ Biodegradation In view of the facts presented at this site, natural in-situ biodegradation (i.e., no action) can be appropriate at this site. This option is appropriate in these r circumstances and is protective of the environment given the following facts: (1) the small volume of contamination; (2) the nearly 200 foot distance of vertical separation ' between the impacted soil and the first occurrence of groundwater (at approximately 200 feet); (3) the existence of intervening sedimentary barriers to migration; and (4) ' the ability of natural processes to biodegrade the contamination without risk to groundwater or people. Furthermore, because this option will not require ' contamination to be exposed to the atmosphere, transported long distances to a hazardous materials landfill, occupy scarce hazardous waste landfill space, or become ' exposed to people or the environment, this option poses a low risk to the environment and human health. If the Kern County Resources Management Agency - Department of Environmental Health Services requires further confirmation of our analysis, we would recommend ' that the Kern Medical Center offer to commission a contaminant fate risk assessment to document that the diesel constituent hydrocarbons do not present a risk of ' affecting the public health at the site. Such a risk assessment would cost approximately $5,000, and would likely confirm our analysis by estimating the ' potential for release of hazardous constituents from the site, and by assessing the potential for contaminants to migrate off site. Such a risk assessment would be based on USEPA-HRS 1985, USEPA-HRS 1988, and NYDOH TR-847-ZC. All probability ' equations would be based on these recognized scoring systems used by and developed for state and federal regulatory agencies. The migration pathways assessed would be: on site contact, surface water transport, groundwater contamination, air vapor transport, and soil vapor transport. EB-8273-1 9210-E035.RPT ■ t 1 Kern Medical Center 12 October 16, 1992 ~, " Option 2: Excavation and Surface Bioremediation ' In Option 2, the impacted soil would be excavated using a backhoe to a depth of 20 feet where the site assessment has indicated that the limits of concentrations in excess of ' the recommended guidelines would be reached, and laterally 12.5 feet from the diesel tank, and then would be treated on-site to non hazardous concentrations through the ' process of bioremediation. Surface bioremediation has been shown to be particularly successful in the San Joaquin Valley given the high temperature, and low relative humidity, with a probable time frame of less than nine months. The cost for excavation and backfilling would be approximately $12,500. The cost for soil treatment would be approximately $10,000. Management fees including work plans, ' regulatory liaison, site supervision, soil sampling, and the closure report would be approximately $5,000. The overall cost is estimated to be $27,500. This option would be ' available at this site if the facility has available land to treat the soil. If an area can not be set aside to treat the soil which is away from the general public and hospital ' employees, then ESE does not recommend this option. Option 3: Excavation and Off Site Disposal or Recycling In option 3, contaminated soil would be excavated using the backhoe method described in option 2. The cost for excavation and backfilling would again be approximately $12,500. The decision whether the soil may be transported to a recycling facility or requires disposal at a hazardous waste landfill depends on the concentration of contaminants in the soil after it is stockpiled. If the concentrations exceed the recycling facilities' permit specifications, then disposal at a hazardous ' waste landfill would be required. The cost for transporting 100 cubic yards would be approximately $2,000. The disposal cost would be approximately $20,000. ' Management fees including work plans, regulatory liaison, site supervision, soil sampling, and the closure report would again be approximately $5,000. Thus, the cost is estimated to be $39,500. This does not include $52.50/ton in state and federal ' generator taxes which amounts to an additional $7,500, for an overall cost of $47,000. 1 EB-8273-1 9210-E035.RPT ■ Kern Medical Center 13 October 16, 1992 IM/ Judging from the findings of this study, however, it appears that the soil might ' qualify to be recycled at one of several approved facilities. The cost for transportation of the estimated 100 cubic yards would again be approximately $2,000. ' The cost for recycling would be approximately $12,500. Management fees including work plans, regulatory liaison, site supervision, soil sampling, and the closure report would again be approximately $5,000. The overall cost is estimated to be $32,000. If ' the soil is recycled this option eliminates the Client's future liabilities for the ' material, and no state and federal generator taxes are incurred. 5.0 RECOMMENDATIONS ' Having considered all three of the options outlined above, ESE recommends approval of Option 3, the excavation and off site recycling option. We reached this ' recommendation because of the ready ability to excavate the soil economically, the elimination of environmental liability at the site, the ability through recycling to eliminate future liability for the impacted soil, and the avoidance of state and federal generator taxes. In light of the advantages of Option 3, ESE recommends the Kern ' County Management Resources Agency - Department of Environmental Health Services approve Option 3. ' 6.0 CLOSURE This report has been prepared for the exclusive use of the Kern Medical Center as it ' pertains to the location of the former diesel tank at the 1830 Flower Street, Bakersfield, California. The results contained in each verbal or written report are based upon the information acquired during the assessment. It is possible that variations could exist beyond points explored during the course of the investigation. Also, changes in conditions found could occur at some time in the future due to contaminant migration, variations in rainfall, temperature, and/or other factors not apparent at the time of the field investigation. This report should not be regarded as ' a guarantee that no further contamination, beyond that which may have been detected within the scope of this study, is present on or beneath the site. If additional ' information. regarding the possible presence or past use of hazardous materials at the site becomes available, then the need for further .field investigation should be re- ' evaluated. Similarly, if suspected contamination is encountered during earthwork or ' BB-8273-1 9210-E035.RPT ■ Kern Medical Center 14 October 16, 1992 ' 1/ construction activities, a qualified engineer or geologist should be on-site to monitor ' the soils and collect samples for laboratory analysis. The services performed by ESE were conducted in a manner consistent with the level of care and skill ordinarily ' exercised by members of our profession currently practicing under similar conditions in the state of California. No other warranty is expressed or implied. Thank you for this opportunity to be of service. If you have any questions regarding this report or the information contained herein, please contact this office at your ' convenience. ' Respectfully Submitted, ' EARTH SYSTEMS ENVIRONMENTAL, INC. Mark R. Magargee, R. # W92 No.4892 Senior Hydrogeologist T a cc; 1 - Addressee 1 - Mr. Lee Willeford, Kern Medical Center 1 - Mr. Andy Richter, Kern County Public Works ' 1 - Mr. Bud McNabb, RLW Equipment 1 - Bakersfield File 1 - San Luis Obispo File EB-8273-1 9210-E035.RPT ■ Kern Medical Center 15 October 16, 1992 1/ ' REFERENCES ' California Division of Mines and Geology, 1964, Geologic Map of California, Bakersfield Sheet. ' Kern County Water Agency, 1990, Water Supply Report, September 1991. • Kern County Water Agency, 1990, Report on Water Conditions-Improvement District No. 4, February 1991. 1 Tri-Regional Board Staff Recommendations for Preliminary Evaluation and Investigation of Underground Tank Sites • California Water Resources Control Board, 1989, LUFT Manual Guidance Document. • California Water Quality Control Board-Central Valley Region, Compilation of Water Quality Goals, October 1990. rEB-8273-1 9210-E035.RPT 1 1 1 1 1 r M_ -_ M / -- UR �t':Z rr Lea r_r RUPP A MID �gm SOW Wav ®� _ 11:3 � � i•'� Sam in r--I worm 2 IM ,, .1, A f� ��;�®• ri•i a �©cif Q�� - - � - , , �: UO MAIN- ■_-�:nc���: � �u i ! �1r AbiI log Ell ■: _ _ �■�+� : ■�+ a yep. ■■■� �if �!►®� � � ® , - ► All SEIM MISS MILIM ='VI ■t3'� .fit: f®®Iii�I�'��• ._ 11 --- V■M0. 4t�. —+ I _ ° NO INS V_O� Mal ........... 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XERN �L CEI�/��Q r,OURF A Yeas.d Tb.9"syaw om aroma 6701 McDMU Od".sub a /M FLDI�c/�/? STIQ�ET UkomfWN.CA 93313 A4AT o0 94 DJ CAU/FA4�//4 FAX teo e�11 cROSS SECT/OM AA" dGe Mo. EB y�73-I � I � . APPENDIX A ' Boring Logs 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 r CHEMICAL ANALYSES 1 AMPLE Labomtot+ 1 rigid � t _ WELL o� d i o o M CONSTRUCTION PIS o c v SOIL DESCRIPTION ' rtPp„4D; o 1 1 1 1 1 1 1 1 1 • w.v 1 I 1 I 1 r 1 I I sw 1 I ISeb 71 1 r 1 1 1 I • I I 1 I • 1 I 1 1 I 1 I 1 1 1 A 1 r 1 1 1 I 1 I i 1.9 1 &7 Z' 1 1 1 1 1 1 1 1 1 I I 1 1 j!6 oelAPAS 1 O -1 A16 1 �su/ e r1 1 1 1 1 1 1 r 1 ski�w .,r f .�D Malt 1 1 1 I sw�Gw .v I A1,0 I I ZJ S a -1 s MA161&P, 1 I I I 1 I I I I 1 1 r I 1 I i II 1 r 1 1 1 I 1 1 i 1 I 1 1 ' /o�;s7:•fSE_.srwr.SC./,�i�,��p�iP.�s. Br://L°r:.o�e./rb✓ O-://..v� PLATE f��rrv � / Gf�r LOG of. BORING 1 _ Project Number EB-g27 TH , Inge 01 3-/ ro/ ■ 1 1 1 1 1 CHEMICAL ANALYSES 1 AJ•IFLl: Lsbonter► 1 rieid ♦ ^ t z 3 �,�► O CONSTRUCTION f Pie o uu ON SOIL DESCRIPTION TtP/�{a,lO� 1 1 1 1 s r 1 I 1 1 1 sw 1 1 I If 1 1 1 I ' 1 • 1 sw t 1 1 t r 1 1 ra t 1 I 1 1 1 Sdll IA f 34 ��- 1 1 � 1 1 1 1 I t 1 t 1 1 1 1 1 1 1 1 I 1 1 I I 1 1 - 1 1 1 1 1 1 I 1 1 1 1 ' 1 . 11 1 1 1 1 1 1 i 1 1 1 1 ��% .'E Stt_.�a.r/C.I.'.r�„�pip���<s. Or:/its r:.ise./�b�✓ Or://.w� PLATE LOG of. BORING T p'�' ' Project Number.E 8-8273/ �i n — � '� ' CHEMICAL ANALYSES AMPLb . WELL t.a°°"""' t i<i.le c� -: = CONSTRUCTION 7l Pp p� Pt o a o v .; SOIL DESCRIPTION 1 1 1 1 1 ' 1 1 1 IV C/ 1161 11 A W 5"1 pi wq 1 I 1 I 1 1 I S w I y 1 f I 1 t 1 1 f ' 1 1 41.0 1 M L t.r.• r e.A 1 1 f 1 1 I 1 1 1 1 1 1 1 ! 1 1 1 1 I f 1 1 1 1 1 1 1 ! 1 1 1 1 1 1 1 1 1 1 1 1 ! 1 1 1 I 1 1 I 1 f 1 1 1 f 1 II 1 I 1 1 1 i 1 1 1 I PLATE L0Gof. 60RING Proiect Number"-WZ7J-/ TH — ipase � 't � I � ', CHEMICAL ANALYSES 1 AMPLS . WELL Lsborston► ►i�ld O S. h: r a CONSTRUCTION .�f P10 S uO o,., !W SOIL DESCRIPTION �PH..dO, I ' 1 1 N ti ' 1 1 1 i 1 i I 11 1 1 I I 13 S W 1 0 1 1 1 1114 I I 1 I n Iq A In 1. t .F r ae�x&ftwc I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 " .✓o IL I 1 J 1 1 1 1 t 1 1 1 1 1 1 1 1 i 1 1 1 1 1 r ' 1 1 1 . 1 1 1 1 EA1 1 1 1 1 i 1 ' 1 . 11 1 1 1 1 1 i I I I 1 ".-A. _sra..-.�C./�i�=, o�.�ii'.G. Or://L r:.�s�.//b�✓ Or://•w�, PLATE /f��ry � Ge„rf�r LOG of. BORING Project Number Xf-I Z7,y-/ A:711 �n � � Inge I't I I W7 APPENDIX B Laboratory Reports and Chain-of-Custody ■ 1 1 i Nevada hf a&& 49M. Arizona 5327 Wingfoot Drive Bakersfield, CA 93306 (805) 872-4750 Laboratory Results For : Date Received : 10/13/92 Kern Medical Center Date Analyzed . 10/14/92 1830 Flover Street Analyst : J. S . Johnson Baxersfield , CA Lab No . 9201.71 Sample Matrix Soils Benzene Toluene Ethylbenzene Xylenes Tot Pet Hyds mg/kg mg/kg mg/kg mg/kg mg/kg TH-1 020 , ND ND ND ND ND TH-1 @25 ' ND ND ND ND ND ' TH-1 030 ' ND ND ND ND ND TH-1 835 , ND ND ND ND ND TH-1 C40 ' ND ND ND ND ND TH-2 X10 ' ND ND ND ND 35 TA-2 020 ' ND ND ND ND ND TH-2 C25 ' ND ND ND ND ND QA/QC Spikes % Recovery 93 92 95 91 87 Diesel All Results Reported in Milligrams per Kilogram ND = Non Detectable EPA 8020 ( . 001 mg/'kg ) EPA 8015 Modified for Diesel ( 10 mg/kg) Analysis of volatile Aromatics EPA_ 8020 *Analysis of Total Petroleum Hydrocarbons ; EPA 8015 Modified for Diesel The TPH Method for Diesel is the Calif DOHS Recommended Procedure Certificate Number : E739 Je to � n, Chemist Certified Full Service On-Site Analytical Laboratories i 1 1 1 1 1 Nevada A40 r&4 .2n/• Arizona ' 5327 Wingfoot Drive Bakersfield, CA 93306 (805) 872-4750 Laboratory Results For Date Received : !0/13/92 ' Kern Medical Center Date Analyzed : 10/14/92 1830 Flower Street Analyst : J . S . Johnson Bakersfield , CA Lab No . 920171 Sample Matrix ; Soils ' Benzene Toluene Ethylbenzene Xylenes Tot Pet Hyda mg/kg mg/kg mg/kg mg/kg mg/kg 1 tTH-3 @15 ' ND ND ND ND 41 TH-3 020 ' ND X,D ND ND ND ' TH-3 @25 ' ND ND ND ND ND TH-4 X15 ' ND ND ND ND 116 ' TH-4 020 ' ND ND ND ND ND TH-4 @25 , ND ND ND ND ND QA/QC C S ikes % Recovery 95 96 92 97 88 Diesel ' All Results Reported in Milligrams per Kilogram ND = Non Detectable ; EPA 80.20 ( . 001 mg/kg) EPA 8015 Modified for Diesel ( 10 mg/kg ) Analysis of volatile Arometics ; EPA 8020 *Analysis of Total Petroleum Hydrocarbons ; EPA 8015 Modified for Diesel *The TPH Method for Diesel is the Calif DOHS Recommended Procedure Certificate Number : E739 J III nr�Chemist Certified Full Service On-Site Analytical Laboratories 1 1 1 1 1 1 1 1 ' W W Q � ' N _W Q Q m m ' a Z m ¢ > W o W W ' J Q cc cc a Q V w w t J . Q Z Q Q ~ ~ W a Z • p a Q v a < c 1 N in w � w i J � o o w � J ! t Q 3: _ ►- �' V N T D a ' W Sa3NIV1NOO O O W V- LL JO'ON j a ~ cc w CC Z W O U a m z } Ir a O • in N m m OR ul V 9L a o a � ) + U w ? r i i ENVIRONMENTAL HEALTH SERVICES DEPARTMENT STEVE McCALLEY, R.E.H.S. 2700 "M" street, suite 300 DIRECTOR Bakersfield, CA 93301 (8 05) 861-3636 (805) 861-3429 FAX ��f10 December 9, 1992 Lee Willeford Kern Medical Center 1830 Flower Street Bakersfield, CA 93305 SUBJECT: Location 1830 Flower Street, Bakersfield, CA Known As Kern Medical Center Permit # 120003 Dear Mr. Willeford: This letter confirms the completion of site investigation and remedial action at the above site. With the provision that the information provided to this agency was accurate and representative of existing conditions, it is the position of this office that no further action is required at this time. Please be advised that this letter does not relieve'you of any liability under the California Health and Safety Code or Water Code for past, present, or future operations at the site. Further, it does not relieve you of the responsibility to clean up existing, additional, or previously unidentified conditions at the site which cause or threaten to cause pollution or nuisance or otherwise pose a threat to water quality or public health. Additionally, be advised that changes in the present or proposed use of the site may require further site characterization and mitigation activity. It is the property owner's responsibility to notify this agency of any changes in report content, future contamination findings, or site usage. If you have any questions regarding this matter, please contact Dolores Gough at (805) 861-3636, Extension 545. Sincerely, Joe Caiias, R.E.H.S. Interim Program Supervisor Hazardous Materials Management Program JC:DG:ch cc: Andy Richter, General Services Department colt%120003.b RAMSERVICES ENVIRONENTAL INC. r November 24, 1992 01 1 Dolores Gough Kern County Environmental Health Service Departmentn _-_��_ 2700 "M" Street --- Bakersfield, CA 93301 Dear Ms. Gough: RAM Environmental has examined the concentrations of diesel fuel and benzene in the soil at the Kern Medical Center Maintenance Facility in Bakersfield, CA. Based upon our calculations, we feel that "no-action" is the most appropriate option for this site. The plume contains very low levels of benzene with the highest being 3.1 ppm directly beneath the tank. The plume will not be a threat to groundwater or biological receptors. We base this conclusion upon the following: Highest Concentrations (10 feet) Benzen 3.1 ppm TPH asoline �i'�Se 29,000 ppm A = surface area involved 371,600 cm2 ( I/ �) L = soil cover 305 cm Pl = total porosity 0.25 P. = air filled porosity 0.15 Di = diffusion coefficient (benzene) 0.088 cm2/sec Ci = concentration in soil vapor Ci = VP (MW)/RT = (95.19)(78.11)/(6.23 x 104)(298°K) Ci = 0.0004 g/cm3 3 Q = emission rate (g/sec) Q = Di (PA 10/3/PT2)(CVL)A 5-76 1 2 , Q = 0.088 cm2/sec 0.15 10/3 • 0.0004 s/cm3 * 371,600 cm' (0.25)2 305 cm Q = 0.00123 g/sec total emissions for TPH diesel and benzene 1A20226\200289.01 3333 Gibson St., Suite 200 • Bakersfield, CA 93308 (805) 324-6152 FAX (805) 325-8942 csa�a.m+.aa......_.....5 7 OwnOWN VWYA IN 1 PIN ;� T t Dolores Gough 3 � )e c� 0"V002 s November 24, 1992 page 2 3.1 ppm benzene 29,000 ppm TPH gas = 0.0107% benzene THEREFORE: Q Hmzm = 0.00123 g/sec x 0.000107 1 x 10-7g/sec ✓ Q aenzw = 1 x 10'' s/sec (78.11)/(24860 cm3/mole) = 3.18 x 1075 cm3/sec , Assuming the maintenance building is 300 feet by 100 feet in size at a height of 10 feet, the total volume of the building is 300,000 feet3 or 8.5 x 109 cm3. If the benzene were to be emitted constantly, it would require 309 days to build up to a level of 0.1 ppm in the building. This is based on the following: 3 h kAv TL / (r2." '/01 8.5 x 109 cm3 total area o, --850 cm3 benzene o qual 0.1 ppm�✓✓_P 850 cm3 3.18 x 10-5 cm3/sec = 2.6 x KV sec = 309 days This assumes the following: 1) No fresh air enters building over the 309 day period; 2) 100% of plume including most highly contaminated zone located directly below building; 3) All ground above the plume is exposed and not covered with an impermeable layer such as concrete or asphalt. As you know by the site description and site characterization, only a portion of the plume lies below the building. In addition, majority of the plume is covered with an impermeable layer. The emission rate shown above does not include losses due to downward migration or biodegradation. Biodegradation losses would be the following: ll j(47% loss in 10 weeks - (Handbook of Environmental Fate and Exposure Data) assume a 1st order: Calculate fdr K tnz0226VM289.01 --- D I f -kC I►� - �h co - k�t C� = 0.0 Dolores Gough c {C� _ ,- November 24, 1992 G — "60) U _ k C p,l y page 3 !✓ , !�� (� , ' `1�`'° i do / dt = -KC Ci = initial conc. `� t = 10 weeks = 0.19 yrs. C(t) = Cie k` C(t) = 1 - 0.47 K = 3.34/?,,, Benzene left after 1 year: �" � C 3' L') '( yr` C = 3.1e'-N" =0.0213ppm 3 `k Losses due to biodegradation would be over 145% in the first year with an associated drop in emissions far below those predicted above. There is absolutely no threat to biological receptors due to benzene emissions from the plume. If 100% of all pore space contained free product it would have a capacity of 7482 gallons as follows: b = thickness A = area 0 = porosity (assumed 25%) V = bA0 Of V = (10 ft)(400 fe)(0.25) = 1000 fe or 7482 gallons The volume of product which would be held in residual saturation is shown below, RAM assumed that the soil had a porosity of 20%, 15% of which is filled with water. Sr = residual saturation (5%) ZY A = area b = thickness (or length to groundwater) Vimm _ (Sr)(A)(b) Vimm _ (0.05)(400 fe)(180 ft) = 3600 fe or 26,936 gallons The volume of soil below the plume could easily retain the product in residual saturation. Dolores Gough IM226QDM9.01 November 24, 1992 page 4 If the contamination were to move downward, it would do so at the following rate: VC = velocity of contaminant VOW = rainfall WC = water content (20%) b = bulk density of soil foc = fraction of organic carbon (0.2%) Kd = (Koc)(foc) Kd _ (649.8) (0.002) = 1.2996 cm3/g VC = VOW (WC + bKd)-' VC _ (6.5 in/yr)(0.2 + (1.32 g/cd)(1.2996 cm3/g))-' VC = 6.5 in/yr or 0.2 ft/yr at this rate, it would take 900 years to reach groundwater. With an impermeable cap on top of the plume it would move at a rate of 0.0435 ft/yr and require 4137 years to reach groundwater. RAM has shown by some basic contaminant transport calculations that there is no threat to biological receptors or groundwater due to the diesel contamination present at the Kern Medical Center Maintenance Facility. RAM, therefore, believes that the no action option should be adopted for this site. If you have any questions regarding these calculations please contact me at (805) 324-6152. Sincerely, Kathleen Roush, R.G. Mo.5420 Geologist KR:tbh cc: Andy Richter, Kern County General Services 020226\200289.01 I!UV- Kern Medical Center North Fence ( Block Wall ) 7500 Gallons Diesel UST Sump Fill 1750 Gal. Diesel New F.G.Lines U„dPry,� REMOVED Sidewalk L 5 ..kNUM ................. ------ . ......... ........ ........ ...... .. ..............1-1... T — I ------------ V U, K �3.� H.H. H- ........ ............ ........... ......... ........... ........... .......... ......... . n"� ............ ..... ... ...... ...:.. ....::...... :.;:: 4 "WIF�Nmlll- ................. ............. -... -'z�t!�;-!V l:............. .............. Generator . Roam ]Existing Pipelines ` .........:.. To Boilers .. . KMC Maintenance Bld .... .. . .. ... 9 New Pipelines: 2” Fiberglass with Total Containment Secondary. Lines Slope 1/4"per Foot from Generator Room to existing 7,500 Gal.UST. 1 Steel Lines above ground to Generator. New Sump and Secondary Containment water tested. W 12 0003 N1 RLW Equipment Inc. Drawn By: Bud McNabb Bakersfield, CA. 4 ENVIRONMENTAL HEALTH SERVICES DEPARTMENT STEVE MCCALLEY, R.E.H.S. 2700 "M" Street, Suite 300 DIRECTOR Bakersfield, CA 93301 (805) 861-3636 (805) 861-3429 FAX Mr. Lee Willeford Kern Medical Center 1830 Flower Street Bakersfield, CA 93305 SUBJECT: Site Characterization Workplan Kern Medical Center, Bakersfield, CA Permit #: 120003 Dear Mr. Willeford: We have reviewed the subject workplan prepared by Earth Systems Environmental. The work described to assess the vertical and lateral extent of diesel contamination is acceptable and must be started within thirty (30) days from the date of this letter. Please notify this office at least forty-eight (48) hours prior to starting work. If you have any questions regarding this matter, I can be reached at (805) 861-3636, Extension 545. Sincerely, 'Do I teems CPO 00 Dolores Gough Hazardous Materials Specialist II Hazardous Materials Management Program DG:ch cc: Mark Magargee, Earth Systems Environmental gough\willefonlet i N � 0 Office Memorandum * KERN COUNTY GENERAL SERVICE - DEPARTMENT r DATE: October 61� 92 TEL: 861-2491X3029 'ile #:8997. 70017 Project :KMC Site Characterization TO: Mike Chapman, Chief of Field Services Environmental Health Services Department FROM: Andrew E. Richter, Division Head Construction Services Division SUBJECT: Site Characterization Just a short memo to update you on the status of the tank removal and characterization at this site. The tank has been removed and soil samples taken under the tank and delivery lines. It appears that some contamination exists and KMC has requested this Department pursue an appropriate course of characterization/ remediation action. This Department has contracted with RLW to conduct the necessary site characterization. RLW has indicated a one week turn around for this study and as soon as results are available and a plan of action formulated, I would like to meet and discuss the available options. The remediation of and closure of this site are of a critical nature at this time if we are to proceed with several projects in the immediate area. Any consideration you may provide in expediting your review of the study and proposed remedial action will be greatly appreciated. Thanks. cc: SGL/FILE/LEE WILLEFORD/JANE BAILEY, KMC/ARLO THOMPSON/MEL WESTFALL ENVIRONTAL HEALTH SERVODES DEPARTMENT STEVE McCALLEY, R.E.H.S. 2700 "M" Street, Suite 300 DIRECTOR Bakersfield,CA 93301 (805) 861-3636 (805) 861-3429 FAX October 5, 1992 Mr. Lee Willeford KERN MEDICAL CENTER 1830 Flower Street Bakersfield, CA 93305 SUBJECT: Location: 1830 Flower Street, Bakersfield, CA Known As: Kern Medical Center Permit #: 120003 Dear Mr. Willeford: The intent of this letter is to inform you of the necessary deadlines for work required at the property described above. As a responsible party for a leaking underground storage tank, you have previously received a letter from this Department notifying you of the required work necessary to identify the extent of the contamination. We are now requesting that this work, outlined in Handbook UT-35, be done in a timely manner. In accordance with California Health and Safety Code, Chapter 6.7, and Kern County Ordinance Code, Chapter 8.48, the Kern County Environmental Health Services Department requires a determination of the threat to the environment. Accordingly, you must select an environmental contractor and submit a site characterization workplan proposal to this office by November 13, 1992. The workplan must be approved by this Department before any work is started. If you should have any questions regarding this matter, please contact me immediately at (805) 861-3636 ext. 545. Sincerely, Do/N'-L, 6-0"�A Dolores Gough Hazardous Materials Specialist Hazardous Materials Management Program DG:7g i�+�n'M ` ' ''•3'',.. 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Fo at(;6rWicdtdn of i J� Y,I pt. !D6 Not-Write Be ditkm &,Qa) Nh*j PF- 'UNDSITHIS t(5pYL TO DOHS iW1T?1W 30�DA1'S ;4 ;„ OCT _ 1 1992 -'A :jL� 10 ` V- JS 4W 4e -leg, 4t, 40 J4 A, 0, 77 V V, T,N, 7"'� ,osz 77 -�K V OCT - i �s2 U WATER RESOURES CONTROL BOARD DIVISION OF WATER QUALITY UST CLEANUP PROGRAM SITE SPECIFIC QUARTERLY REPORT CONTRACTOR NO: 15000 SOURCE OF FUNDS: SUBSTANCE: 12034 SITE NO: 120003 FEDERAL EXEMPT: N PETROLEUM: Y SITE NAME: KERN MEDICAL CENTER DATE REPORTED: 09/25/92 ADDRESS: 1830 FLOWER STREET DATE CONFIRMED: 09/25/92 CITY/ZIP: BAKERSFIELD, CA 93305 MULTIPLE R.P's: N ----------------------------- SITE STATUS ---------------------------- CASE TYPE: S CONTRACT STATUS: 4 EMERGENCY RESPONSE: RP SEARCH: S DATE UNDERWAY: 09/25/92 DATE COMPLETED: 09/25/92 PRELIMINARY DATE UNDERWAY: 09/23/92 DATE COMPLETED: 10/01/92 ASSESSMENT: C REMEDIAL DATE UNDERWAY: / / DATE COMPLETED: INVESTIGATION: REMEDIAL ACTION: DATE UNDERWAY: / / DATE COMPLETED: POST REMEDIAL DATE UNDERWAY: / / DATE COMPLETED: ACTION MONITORING: ENFORCEMENT ACTION TYPE: DATE TAKEN: TAKEN: LUFT FIELD MANUAL CONSIDERATION 2, S, C, A. (CATEGORY 1, 2, 3, PLUS H, S, C, A, R, W, G, OR 0 AS APPLICABLE) CASE CLOSED: DATE CLOSED: DATE EXCAVATION STARTED: / / REMEDIAL ACTIONS TAKEN: --------------------------RESPONSIBLE PARTY -------------------------- CONTACT NAME: LEE WILLEFORD SPECIALIST: 9 COMPANY NAME: KERN MEDICAL CENTER SENSITIVITY: NES ADDRESS: 1830 FLOWER STREET ABANDONMENT #: A1739-12 CITY/ZIP: BAKERSFIELD, CA 93305 DATE OF REPORT: 10/01/92 PHONE #: (805) 326-2482 LEAK REPORT: Y CONTACT NAME: CONTACT NAME: COMPANY NAME: COMPANY NAME: ADDRESS: ADDRESS: CITY/ZIP: CITY/ZIP: PHONE #: ( ) - PHONE #: CONTACT NAME: CONTACT NAME: COMPANY NAME: COMPANY NAME: ADDRESS: ADDRESS: CITY/ZIP: CITY/ZIP: PHONE #: PHONE #: CONTACT NAME: CONTACT NAME: COMPANY NAME: COMPANY NAME: ADDRESS: ADDRESS: CITY/ZIP: CITY/ZIP: PHONE #: ( ) - PHONE #: UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE (LEAK)/CONTAMINATION SITE REPORT EMERGENCY HAS STATE OFFICE OF EMERGENCY SERVICES FOR LOCAL'AGENCTUSE ONLY ❑ YES ® NO REPORT BEEN FILED 7 YES No EEPORTED T##tS tNFQE#MAT10N TO ATEMIDOYFANW AL5 T. uAer�°oSECTwN 261 o z o TH EALTH REPORT DATE CASE i EH AND 5Aff1!iADE:>::>s:: ::::>;:>::::>:::: <:>::::i::::>::::>>::i?;:>::!<::::is;:;::i:>::::>::::<::::<:::>::::>::>::>::>:%i::::: 1 9 2 120003 MI 0 0 1 Di X ON;::: NAME OF INDIVIDUAL FILING REPORT /P-HONE SIGNATURE m LYDIA V. VON YDO (805 861-3636 a REPRESENTING ❑ OWNERIOPERATOR ❑ REGIONAL BOARD COMPANY OR AGENCY NAME o LOCAL AGENCY E OTHER KERN CO. ENVIRONMENTAL IiEALTH SERVICES DEPT. Lu a ADDRESS 2700 "M"ST. , STE, 300, BAKERSFIELD, CA 93301 STREET CITY STATE ZIP NAME CONTACT PERSON PHONE zCOUNTY OF KERN ❑ UNKNOWN a: g a ADDRESS Q 1415 TRUXTUN AVE. , BAKERSFIELD, CA 93301 STREET CITY STATE ZIP FACILITY NAME(IF APPLICABLE) OPERATOR PHONE Q KERN MEDICAL CENTER a ADDRESS 1830 FLOWER ST. , BAKEERSFIELD, KERN, 93305 . cm courJry ZIP yCROSS STREET TYPE OF AREA ❑COMMERCIAL❑INDUSTRIAL RURAL TYPE OF BUSINESS ❑ RETAIL FUEL STATION MT. VERNON RESIDENTIAL OTHER ❑ ® HOSpTTAT, E] FARM ❑ OTHER LOCAL AGENCY AGENCY NAME CONTACT PERSON PHONE F=W KERN CO. ENVIRONMENTAL HEALTH LYDIA V. VON SYDOW (805 ) 861-3636 REGIONAL BOARD PHONE rn (1) NAME QUANTITY LOST(GALLONS) wo DIESEL ® UNKNOWN (2) �+ ❑ UNKNOWN z DATE DISCOVERED HOW DISCOVERED ❑ INVENTORY CONTROL ❑ SUBSURFACE MONITORING ❑ NUISANCE CONDITIONS 0 M 9 M 2 D 5 D 9 y 2 y ❑ TANK TEST Q TANK REMOVAL ❑ OTHER DATE DISCHARGE BEGAN METHOD USED TO STOP DISCHARGE(CHECK ALL THAT APPLY) w MI MI D1 DI Yl Y 0 UNKNOWN ❑ REMOVE CONTENTS ❑ REPLACE TANK ® CLOSE TANK HAS DISCHARGE BEEN STOPPED? REPAIR TANK ❑ REPAIR PIPING CHANGE PROCEDURE p ® YES ❑ NO IFYES,DATE OM 9 ml 2 DI 3 D 1 9yj 2 y ❑ OTHER t� SOURCE OF DISCHARGE TANKS ONLY/CAPACITY MATERIAL CAUSE(S) TANK LEAK X❑ UNKNOWN 750 GAL. ❑ FIBERGLASS ❑ OVERFILL E:] RUPTUREIFAILURE ❑ PIPING LEAK AGE YRS 4L-� STEEL ❑ CORROSION ® UNKNOWN ❑ OTHER ❑ UNKNOWN ❑ OTHER ❑ SPILL ❑ OTHER w ILM CHECK ONE ONLY v ❑ UNDETERMINED Q SOIL ONLY ❑ GROUNDWATER ❑ DRINKING WATER- (CHECK ONLY IF WATER WELLS HAVE ACTUALLY BEEN AFFECTED) CHECK ONF:ONLY Q a ® SITE INVESTIGATION IN PROGRESS(DEFINING EXTENT OF PROBLEM) ❑ CLEANUP IN PROGRESS ❑ SIGNED OFF(CLEANUP COMPLETED OR UNNECESSARY) U rn ❑ NO ACTION TAKEN ❑ POST CLEANUP MONITORING IN PROGRESS ❑ NO FUNDS AVAILABLE TO PROCEED ❑ EVALUATING CLEANUP ALTERNATIVES CHECK APPROPRIATE ACTION(S)(SEE BACK FOR DETAILS) ❑ CAP SITE(CD) ❑ EXCAVATE&DISPOSE(ED) ❑ REMOVE FREE PRODUCT(FP) ❑ ENHANCED BIODEGRADATION(IT) ❑ CONTAINMENT BARRIER(CB) ❑ EXCAVATE&TREAT(ET) ❑ PUMP&TREAT GROUNDWATER(GT) REPLACE SUPPLY(RS) ❑ TREATMENT AT HOOKUP(HU) ❑ NO ACTION REQUIRED(NA) ❑ OTHER(OT) w 8 Hsc 05(4AM INSTRUCTIONS EMERGENCY CURRENT STATUS Indicate whether emergency response personnel and equipment were involved at ndicatL the category which best describes the current status of the case. any time, if so, a Hazardous Material Incident Report should be filed with Check one box only. The response should be relative-to the case type. .For the State Office of Emergency Services (DES) at 2800 Meadowview Road, example, if case type is "Ground dater,", then "Current Status" should refer to . . Sacramento, CA.. 95832. Copies of the DES report form may be obtained at your the status of the ground water investigation or cleanup, as opposed to that of local underground storage tank permitting agency. Indicate whether the DES soil. report has been filed as of the ,ate of this report. IMPORTANT: THE INFORMATION PROVIDED ON THIS FORM IS INTENDED FOR GENERAL LOCAL AGENCY ONLY STATISTICAL PURPOSES ONLY AND IS NOT TO BE CONSTRUED AS REPRESENTING THE To avoid duplicate notification pursuant to Health and Safety Code Section OFFICIAL POSITION OF ANY GOVERNMENTAL AGENCY 25180.7, a designated.government employee should sign and date the form in this block. A signature here does not mean that the leak has been determined REMEDIAL ACTION! .to pose a significant threat to uman health or safety, only that notification ndicatewhin actions have been used to cleanup or remediate the leak. procedures have been followed if required. Descriptions of options follow: REPORTED BY Ca Site - install horizontal impermeable layer to reduce rainfall ntr your name, telephone number, and address. Indicate which party you infiltration. represent and provide company or agency name. Containment Barrier - install vertical dike to block horizontal movement of contaminant. RESPONSIBLE PARTY Excavate and Dispose - remove contaminated soil and dispose in approved Enter saris, telephone number, contact person, and address of the party site• responsible for the leak. The responsible party would normally be the tank Excavate and Treat - remove contaminated soil and treat (includes owner. spreading or and farming). Remove Free Product - remove floating product from water SITE LOCATION table. Enter i_nTormation regarding the tank facility and surrounding area. At a Pump and Treat Groundwater - generally employed to remove dissolved minimum, you must provide the facility name and full address, contaminants. Enhanced Biodegradation - use of any available technology to promote IMPLEMENTING AGENCIES aaccterii al decomposition of contaminants. Enter names of the l6cal agency and Regional dater Quality Control Board Replace Supply - provide alternative water supply to affected involved. parties. Treatment at Hookup - install water treatment devices at each dwelling or SUBSTANCES INVOLVED other place-c use Enter the name and quantity lost of the hazardous substance involved. Room is No Action Required - incident is minor, requiring no provided for information on two substances if appropriate. if more..than two remedial action. substances leaked, list the two of most concern for cleanup. COMMENTS - Use this space to elaborate on any aspects of the incident. DISCOVERY/ABATEMENT SIGNATURE - Sign the form in the space provided. Provide information regarding the- discovery and abatement of the leak. DISTRIBUTION SOURCE/CAUSE If the form is completed by the tank owner, or his agent, retain the last copy ndicete sources) of leak. Provide details on tank age; capacity and and forward the remaining copies in tact to your local tank permitting agency material if known. Check box(es) indicating cause of leak, for distribution. 1. Original - Local Tank Permitting Agency CASE TYPE 2. State Water Resources Control Board, Division of Water Quality, Indicate the case.type category for this leak. Check one box only. Case type Underground Tank Program, P. 0. Box 100, Sacramento, CA 95801 is based on the most sensitive resource affected. For example, if bath soil 3. Regional dater Quality Control Board and ground water have been affected, case type will be "Ground Water". 4. County Board of Supervisors or designee to receive Proposition 55 Indicate "Drinking Water" only if one or more municipal or domestic water notifications. wells have actually been affected. A "Ground Water" designation does not S. Owner/responsible party. imply that the affected water cannot be, or is not, used for drinking water, but only that water wells have not yet been affected. It is understood that case type may change upon further investigation. 1- Iipo l f ; / i WrAMJMMA EFORRIMAll ON • • • 16- • • • • • • • • • • • 1 Illfl��_��l'�`'.�/��/�J//!./� _ jai_�✓ /�'� �a �l��� /L ., /� � WOO .O, / m ! , r�� • r . . - • • • , MR L 3. A MA I./ r i / 1110I 111111F,P,' Ib i %'.tom Ow 0 FOR III ff al WA ME WE M Mm i /� / r / !.1 loAl / • • • • IV - • • 1' 1 ffA led W � . 5 _ - / ./ M, T • • • • • 0 ok, ISO 1' / l / L�� .01 L� �/.�: �� Ali/ VA IPAi .Yip i/IL.i 1' i � OOAF Al man- - • . , - • - • IIIF r � / i i it /�/////f' r / i ivA WWROW M lo WA OF ME r • - • • • 1 Lam! ,� `rl�°t% ., .��, t' i� `/ - ♦ . _ ..�.,� t W, • • - • • • , 1° i will W-ran Iwo Now %i • 1" i _ l �._s,i�� .i _iii/ 1, ,/1 I /�✓�: � !'.._,r `.i y �" /�. 1. Apo MW w/ate..r/ ��i J W,d ame will IM Al. • • ,s 1° i ♦,,il�.�_/�✓ � / Ali � /Ji � i . 4 740- ..B tee- - ��- _ L� ,/ /-ice« Twd WE I INIM, _ Yu ' r � l • t °--�-��,,o�� __.�1��--�� -a (mod\---�� �-_ _. ._ _ TIP -- __ - -a - - • _ _ _ - --- � I, • • -� - -- - - - - - -- - - - - - -- -- - - - __ ___-_,a...���_� _..4._...�_ ___ n__ ----_—�----_----- — - -- - -- - -- -- E�i �� f� �� �� ,', 1 REOaURCE MANACEMENTOGENCY 033 8,�// Enuiram mW Wealth Sevion Deperunerd RANDALL L ABBOTT' STEVE WCAU", RE RS.DIRECTOR DIRECTOR AN Adrftl+Canrd Dot DAVID PRICE M WQIJAM J. RODDY. APCO ASSMTAW DIRECTOR Plammg&Deuefopnleilt Sevion Deparoment TED JAMES.ATCP.DBIECTOR ENVIRONMENTAL HEALTH SERVICES DEPARTMENT Facility Name: /„ „ Ker ��ty�permit #: �0 ��.y%tee A=dess:, County #: 15 * v1 N^ RrR UIND T INK OT&SPOS71 10N TRACVms Prncnn."- This form is to be 'returned to the Kern County Environmental Health Services Department within 14 days of acceptance of the tank(s) by an approved disposal or recycling facility. The holder of the permit with the number noted above is responsible for insuring that this form is completed and returned. Section 1 To be filled out by tank removal contractor: Tank Removal Contract r: Address: Phone #: gyros— Zip:-- Date Tank(s) Removed: No. of Tank(s): gAl e. r Section 3 To be filled out by contractor "decontaminating" tank s): Tank "Decontamination" Co tractor:_ Address: wo(u-E £; Phone S r Zip: 9. 30 Tank Size L.E.L. Tank Size L.E.L. Authorized representative of the contractor certifies by signing below that the tank(s) have been decontaminated in accordance with Kern County Environmental Health Services Department, requirements. ' Y 1 Signature/ Title Section 3 To be filled out and signed by an authorized representative of the _ approved disposal or recycling facility accepting the tank(s): Facility Name: - Ad ress:-, Phone #• zip:— Date Tanks) eceived: — No. •of T nk(s): Signature: Title: (Authorized Representative) 2700 "v, STREET. SU17B 300 BAKERSFMD, CALIFORNIA 93301 (805) 861-3636 t UATi TNG TNSTR1irTTnPjQ- Fri!-4 and cTanla_ =AV. tone% cci ownn m 0CT�0'OIl 0 A 1 33 01 OCr '° I FA Aviv, 5,g-c-fuj 805-327-5749 GOLDEN STATE METALS _ 154 P05 SEP 28 192 16:50 ©©0 3 GOLDEN•STATE / Sax 7otsa . M�rALS, 2000 j 130erafield, California 93387 , k Phone(805)327-3568 • g I:ane ;'.�. . atA. /$p0 107 f. Scrap Metals, Fax{805)327-5749 I'rouassing�,Recycling � Co nt b. AL PO ; Lice- CONTRACTOR, r'_1� � .rg ADDRESS: 408 SITE; , ADDRESS: 1 J DESI7NATION: G.S. M. 2000 E•BRUNDAGE LANE BAKERS 4 HAULER: FISi.D, CA 93387 WEIGHT CERT. N0: LICENSE NaJ, i� r EHSD PERMIT NO: r �' QTY GALLONS SERIAL NO f COUNTY; nl,. sac .Y. � Y��rti i.•r SERVICES r4T RENDERED COST r as�:<, .. ,.,�.:::.; 1000•B h ,.l ,: ..... t ;i�l,i 5f:;::•\r."•.L it$''„S'�S!,.A;:l:.+,Y; 5in::,;F IG„ :.^y^�!!+n�rt :.,:.•rx.,Y T NK INSPECTION ;, .:!,,..1:::3s,?�.,Y3``;N„i:5':! �•s:;w' '�,:.;;; :!:�!,,,,.,!., .;:a; �kdi;;ic;•zis,•.,y..:�sara.,:„,,,e,>::r,•;;:,;:.; ;yakyo�0 CLEAN&DR Y(ACCEPT),, OR .97 i;l'•��+'••;.; r5=eai.!p:..,:..•.�.,'., r� .�.n�tv,.�.c:,+;,vi?�5.!�;�i;tv�fix,�a;� $�r"';; '`•>>'�!';:*rr, ,llS,�..iis.`!' �!�� i [] RESIDUALS PRESENT(REJECT) 3000 r"�'••!!.^^.r.;<��:.M„',.,;...:r� ,.321. " :Ynt•..r.a;�ir•;;:.;:�;;"�!k;!.`'e'°` :;e,:�.g!;� ..y�.y��.cs�+.:�!::o,•.•yS:gc:;,;::;;:.,;»„x .J .,�ll:e; �{{� :{:'v,:i•:��:ni:s,.,••�,•;;,:vs!!.,..,.1}{}..e,,,y11 I 'f. .,i•Y`•.:���i: :�;'Mte�l�%'fi°Sd'i; �y.e.l. l:e.;: Y f�� „! :+\'��ti5!a�'a. "�•�+"';�.�l.,YtiY::i .iiM�:'.ly:.\„ 'O\..l :i�(.l !:yli�. f�ii:t' �J LEL READING � ••>'.:,,,”„l<:a::!.,<:�:: ;;:�:r;:,,;;� •Y;,��>,�i;;'s,.:;.>:.;,`�:,,:�1�, i - $000 2.42. X58:.:Y>!•.p. ILL OXYGEN CONTENT 7son DISPOSAL FEE Roca 3,82:........ 4' RR f yJ�n _ VALUE --'-�---��•- y,y���ttpp !:!,zoos .4.6.3 OTHMA TOTAL. ql! as Incurred are per load unless specified, Terms are net 30 days from receipt of tank. Contractor's signature represents acceptance of terms for payment,and confirms that tank removal complies with State laws. CONTRACTOR'S SIGNATURE ,1'11,D\v \v...r...,, -.,.--.��aa•,.+.. �aw.��_r-�o A1',G.�4�,TA4.+vr- v�e�4\Qo•� I ^let 40 t, .r."....�..w. ��—h++•: �n.VV'��. :..r ."H���••,\ �.p,�,V}.d V-I\VL Mw. C�.�L'I DESTROYED FOR SCRAP RECYCLING~PURPOSES ONLY. "' �� "0A1ZC0 i1CD. 805-327-5749 *DEN STATE METALS � 154 P02 SEP 2e 192 16:48 R CaCtden State Meta ts, InC, Scrap Metals.Processing&Recycling Post Office Box 70168 Bakersfield,California 93387 (805) 327-3559•FAX (805) 327.5749 September 28, 1992 CARRIE GEORGI Environmental Health Services Department 2700 "M" Street, Suite 300 Bakersfield, California 93301 Dear Carrie: We are very sorry for the mistakes that were made on our disposal. forms. We went back to double check the previous forms and found the following: County Disposal Permit # Form # ,A,1778-60 10334 marked as 5000 lbs. should be 500 A1779-63 10335 marked as 10000 lbs. should be 1000 A1739-12 10337 marked as 7500 lbs- should be 750 Again, we are very sorry and assure you there will be no more mistakes in the future. Thank yoty; t ... .. Qhisa� iyake Executive Vice President RODURCE MANAGEMENT AWNCY Environmental Health Services Department RANDALL L. ABBOTT STEVE McCALLEY, REHS,DIRECTOR DIRECTOR Air Pollution Control District DAVID PRICE III WILLIAM J. RODDY, APCO ASSISTANT DIRECTOR Planning&Development Services Department TED JAMES, AICP,DIRECTOR ENVIRONMENTAL HEALTH SERVICES DEPARTMENT PERMIT FOR PERMANENT CLOSURE PERMIT NUMBER A 1739.12 OF UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY FACILITY NAME/ADDRESS: OWNER(S) NAME/ADDRESS: CONTRACTOR: Kern Medical Center County of Kern RLW Equipment Company 1830 Flower Street 1415 Truxtun Avenue 2080 S. Union Avenue Bakersfield, CA 93305 Bakersfield, CA 93301 Bakersfield, CA.93307 License #294074 Phone: (805) 326-2481 -24-?7- Phone: (805) 861-2111 Phone: (805) 834-1100 PERMIT FOR CLOSURE OF PERMIT EXPIRES December 1. 1992 1 TANK(S) AT ABOVE APPROVAL DATE Santember 1 19 LOCATION APPROVED BY C J06- Bill Sch de Hazardous Materia ecialist ...............................................................................................POST ON PREMISES..................................................................................... ........... CONDITIONS AS FOLLOWS: 1. It is the responsibility of the Permittee to obtain permits which may be required by other regulatory agencies prior to beginning work(i.e.,City Fire and Building Departments). 2. Permittee must a2fift the Hazardous Materials Management Program at(805)861-3636 two working days prior to tank removal or abandonment in place to arrange for required inspections(s). 3. Tank closure activities must be per Kern County Environmental Health and Fire Department approved methods as described in Handbook UT-30. 4. It is the contractor's responsibility to know and adhere to all applicable laws regarding the handling,transportation or treatment of hazardous materials. 5. The tank removal contractor must have a qualified company employee on site supervising the tank removal. The employee must have tank removal experience prior to working unsupervised. 6. If any contractors other than those listed on permit and permit application are to be utilized,prior approval must be granted by the specialist listed on the permit. Deviation from the submitted application is not allowed. 7. Soil Sampling: a. Tank size leas than or equal to 1,000 gallons-a minimum of two samples must be retrieved from beneath the center of the tank at depths of appro:dmately two feet and six feet. b. Tank size greater than 1,000 to 10,000 gallons-a minimum of four samples must be retrieved one-third of the way in from the ends of each tank at depths of approximately two feet and six feet. C. Tank size greater than 10,000 gallons-a minimum of six samples must be retrieved one-fourth of the way in from the ends of each tank and beneath the center of each tank at depths of approximately two feet and six feet. 8. Soil Sampling(piping area): A minimum of two samples must be retrieved at depths of approximately two feet and six feet for every 15 linear feet of pipe run and under the dispenser area. 2700 "M" STREET, SUITE 300 BAKERSFIELD, CALIFORNIA 93301 (805) 861-3636 FAX: (805) 861-3429 i f � , PERMIT FOR PERMANENT CLOSURE PERMIT NUMBER A 1739-12 OF UNDERGROUND HAZARDOUS ADDENDUM SUBSTANCES STORAGE FACILITY 9. Soil Sample analysis: a. All soil samples retrieved from beneath gasoline(leaded/unleaded)tanks and appurtenances must be analyzed for benzene,toluene,xylene,and total petroleum hydrocarbons(for gasoline). b. All soil samples retrieved from beneath diesel tanks and appurtenances must be analyzed for total petroleum hydrocarbons(for diesel)and benzene. C. All soil samples retrieved from beneath waste oil tanks and appurtenances must be analyzed for total organic halides,lead,oil and grease. d. All soil samples retrieved from beneath crude oil tanks and appurtenances must be analyzed for oil and grease. e. All soil samples retrieved from beneath tanks and appurtenances that contain unknown substances must be analyzed for a full range of substances that may have been stored within the tank. 10. The following timetable lists pre-and post-tank removal requirements: ACTIVITY DEADLINE Complete permit application submitted At least two weeks prior to closure to Hazardous Materials Management Program Notification to inspector listed on permit of date Two working days and time of closure and soil sampling Transportation and tracking forms sent to Hazardous No later than 5 working days for transportation and 14 working Materials Management Program. All hazardous waste days for the tracking form after tank removal manifests must be signed by the receiver of the hazardous waste Sample analysis to Hazardous Materials Management No later than 3 working days after completion of analysis Program 11. Purging/Inerting Conditions: a. Liquid shall be pumped from tank prior to purging such that less than 8 gallons of liquid remain in tank. (CSH&SC 41700) b. Tank shall be purged through vent pipe discharging at least 10 feet above ground level. (CSH&SC 41700) C. No emission shall result in odors detectable at or beyond property line. (Rule 419) d. No emission shall endanger the health,safety,comfort or repose of any person. (CSH&SC 41700) e. Vent lines shall remain attached to tank until the inspector arrives to authorize removal. RECOMMENDATIONS/GUIDELINES FOR REMOVAL OF UNDERGROUND STORAGE TANKS This department is responsible for enforcing the Kern County Ordinance Code, Division 8 and state regulations pertaining to underground storage tanks. Representatives from this department respond to job sites during tank removals to ensure that the tanks are safe to remove/close and that the overall job performance is consistent with permit requirements,applicable laws and safety standards. The following guidelines are offered to clarify the interests and expectations for this department. 1. Job site safety is one of our primary concerns. Excavations are inherently dangerous. It is the contractor's responsibility to know and abide by CAL-OSHA regulations. The job foreman is responsible for the crew and any subcontractors on the job. As a general rule,workers are not permitted in improperly sloped excavations or when unsafe conditions exist in the hole. Tools and equipment are to be used only for their designed function. For example,backhoe buckets are never substituted for ladders. 2. Property licensed contractors are assumed to understand the requirements of the permit issued. The job foreman is responsible for knowing and abiding by the conditions of the permit. Deviation from the permit conditions may result in a stop-work order. 3. Individual contractors will be held responsible for their post-removal paperwork. Tracking forms,hazardous waste manifests and analyses documentation are necessary for each site in order to close a case file or move it into mitigation. When contractors do not follow through on necessary paperwork, an unmanageable backlog of incomplete cases results. If this continues,processing time for completing new closures will increase. Acce red BE. �- WNER OR AGENT DATE BS:cas \1739-12h.m88 'LOSURE APPLICATION CWCKLIST /Z 000 3 FACILITY em Rea;1C4l 6,wer PERMIT f 441,739-12- ADDRESS I F'-3D ` `oaey 57f APPLICATION FOR TANK: ✓ REMOVAL CLOSURE IN PLACE A. FACILITY INFORMATION: APPROVED ✓ DISAPPROVED _ COMMENTS: B. CONTRACTOR INFORMATION: APPROVED DISAPPROVED 1. ALL LICENSES CURRENT/CORRECT? YES / NO 2. ALL WORKERS' COMPENSATION/GENERAL LIABILITY INSURANCE CURRENT/CORRECT?.YES /NO 3. LABORATORY STATE-APPROVED S CIFIED ANALYSES?©%NO 4. ALL PREQUAL)FICATIONS MET? (S ' O COMMENTS: e'nvAgr 66 v /g,eg P i Yo Vick C... CHEMICAL INFORMATION: APPROVED DISAPPROVED COMMENTS: 0. ENVIRONMENTAL INFORMATION: APPROVED DISAPPROVED COMMENTS: E. DISPOSAL INFORMATION: APPROVED DISAPPROVED COMMENTS: A?mK deroti. to- Sic above. F. PLOT PLAN: APPROVED DISAPPROVED COMMENTS: SUMMARY: PLEASE SEE ALL .DISAPPROVED ITEMS AND COMMENTS ABOVE BEFORE RESUBMITTING CORRECTED APPLICAT ON. REVIEWED BY DATE �Z SITE INSPECTION: APPROVED . DISAPPROVED COMMENTS: INSPECTOR DATE KERN COUNTY RESOURCE 1VIANAGEME GENCY INTERNAL USE Y: jq ENVIRONMENTAL HEALTH SERVICES DL ,,RTMENT APPLICATION OF .jATE: h,Al 2700 "M" STREET, SUITE 300 # OF TANKS TO ABANDON: BAKERSFIELD, CALIFORNIA 93301 (805)861-3636 PIPING FT. TO ABANDON: PTO:izoa�� (FILL OUT ONE APPLICATION PER FACILITY) APPLICATION FOR PERMIT FOR PERMANENT CLOSURE/ABANDONMENT OF UNDERGROUND HAZARDOUS SUBSTANCE STORAGE FACILITY THIS APPLICATION IS FOR®REMOVAL, OR El ABANDONMENT IN PLACE A: FACILITY INFORMATION Project Contact: Phone: t T/R/SEC (Rural Locations): Facility Name: �,,, „� Address: 0 ,1 Nearest Cross Phone #: G! � City: •�.��Zip: Street: Y.-rivoxi ALI Owner: 4 Address: – t, State: le Phonc: pm ° �G City: ,/J Zip: B: CONTRACTOR INFORMATION Tank Removal Contractor: L w g Address: _v fro S., Un►io� date: L°i� Phone #: P&S City: Li,,, Zip: o Proposed Start Date: California License Type & #: Worker's Compensation #: 7 9 5i o7 C'-. low Pz” l Contractor Retrieving Samples: �mR,,�,� ss v...� s Address: 4412 Carr►ek. G • State: e*4L Phone #: PoS- 3- city' Di���� _ rL I Zip: g3 Worker's Compensation #: ;_ Insurer: 0110 jc; Laboratory that will analyze samples: jj �[s b Address:y/oo 4t/'y G State: �a- Phone #: F04;7- City: 7�z�.ti.g�;=/� Z1P' 0e C: CHEMICAL INFORMATION Chemical Composition of Materials Stored: Tank# Volume Chemical Stored Dates Stored Chemical Formerly Stored To To _ To D: Environmental Information Water to facility provided by: Is groundwater within 50 feet? Y or N o Nearest water well-Give distance if within 500 feet: Soil type at facility: Basis for soil type and groundwater depth determination: 4,, A4 _ ••,� v.•w r Total number of samples to be analyzed: - ,r Samples to be analyzed for: _ VOW Z E: Disposal Information Decontamination procedure: a { a , Decontamination Contractor: $a,/ 4 Va e u i dyl Disposal location for rinseate: e�;';ho o o e:G -1 Phone #: f05--3 ,73 ' — S J a Disposal method for tank(s):' 'r jc Disposal location for tank(s): M cm. sAot Disposal method for piping: m 'Disposal location for piping: "Please Complete the Reverse Side of This Application Before Submitting For Review" This form has been complete under enalty of perjury and to the best of y knowledge is true and correct. .�� Signature: Title: -.e Date: �;�' See Attached Drawing of Physical Layout of Facility ' All of the following information MUST BE included in order,for.the application to be processed: Tank(s), piping and dispenser(s), including lengths and dimensions Proposed sampling locations designated by this symbol Nearest street or intersection t Po Any water•wells of-surface waters within 100'.radius of facility North arrow, w. . ... �� BUSINES NER/OPERATOR IDENTI. ,-ATION Kern County Environmental Health Services Department 2700 M Street,Suite 300 Unified Program Consolidated Form(UPCF) Bakersfield,CA 93301 FACILITY INFORMATION (661)862-8700 Fax(661)862-8701 I. IDENTIFICATION rage 1 or 1 FACILITY ID# I BEGINNING DATE loo 101 FA0003356 1 5 - 0 1 101 - 0 0 4 4 5 3 08/22/2007 ENDING DATE 08/22/2008 BUSINESS NAME(Same as FACILITY NAIVE or DBA-Doing Business As) 3 BUSINESS PHONE 102 KERN MEDICAL CENTER 661 326-2468 BUSINESS SITE ADDRESS 103 BUSINESS FAX Iota 1830 FLOWER ST BUSINESS CITY 104 ZIP CODE 105 COUNTY log BAKERSFIELD CA 93305 Kern County DUN&BRADSTREET 106 PRIMARY SIC 107 PRIMARY NAICS 107a 8062 None specified BUSINESS MAILING ADDRESS 108a 1830 FLOWER ST BUSINESS MAILING.CITY 1 108b STATE loco' ZIP CODE load BAKERSFIELD CA 93305 BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE 110 GILBERT MARTINEZ II. BUSINESS OWNER OWNER NAME I I I OWNER PHONE 112 KERN COUNTY MEDICAL CENTER ()_ OWNER MAILING ADDRESS 113 1830 FLOWER ST OWNER MAILING CITY 114 STATE 115 ZIP CODE 116 BAKERSFIELD CA 93305 III./ENVIRONMENTAL CONTACT CONTACT NAME 117 CONTACT PHONE 118 Gilbert Martinez (661)326-2468 CONTACT MAILING ADDRESS 119 CONTACT EMAIL 119a 1830 Flower St. MARTINEG@KERNMEDCTR.COM CITY 120 STATE 121 1 ZIP CODE 122 Bakersfield Ca 93305 -PRIMARY- IV.EMERGENCY CONTACTS -SECONDARY- NAME 123 NAME 128 Daryl Hevle GILBERT MARTINEZ TITLE 124 TITLE 129 FAC MANAGER LABORATORY MANAGER BUSINESS PHONE 125 BUSINESS PHONE 130 (661)326-2400 (661)326-2468 24-HOUR PHONE 126 24-HOUR PHONE 131 (661)326-2000 (661)326-2000 PAGER# 127 PAGER# 132 ADDITIONAL LOCALLY COLLECTED INFORMATION: 133 APN: 12802003 Certification: 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 OF OWNERIOPERATOR OR DESIGNATED REPRESENTATIVE DATE 134 1 NAME OF DOCUMENT PREPARER 135 03/07/2008 NAME OF SIGNER(print) 136 TITLE OF SIGNER 137 I Gilbert Martinez i. BUSINES.� NER/OPERATOR IDENTI ATION Kern County Environmental Health Services Department 2700 M Street,Suite 300 Unified Program Consolidated Form(UPCF) Bakersfield,CA 93301 FACILITY INFORMATION (661)862-8700 Fax(661)862-8701 El NEW BUSINESS O OUT OF BUSINESS REVISEIUPDATE(EFFECTIVE 08/22/2007) Page 1 of 1 I. IDENTIFICATION FACILITY ID# BEGINNING DATE ENDING DATE FA0003356 1 5 - 0 1 0 - 0 0 4 4 5 3 08/22/2007 08/22/2008 BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 1 BUSINESS PHONE 102 KERN MEDICAL CENTER (661)326-2468 BUSINESS SITE ADDRESS 1830 FLOWER ST CITY 1 ZIP CODE 10 BAKERSFIELD CA 93305 DUN&BRADSTREET 106 SIC CODE(4 digit#) 8062 COUNTY 108 Kern County BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE 110 1 GILBERT MARTINEZ ' II. BUSINESS OWNER OWNER NAME 111 OWNER PHONE KERN COUNTY MEDICAL CENTER Q- OWNER MAILING ADDR SS 113 1830 FLOWER ST CITY 11 STATE 1 ZIP CODE 6 BAKERSFIELD CA 93305 III. ENVIRONMENTAL CONTACT CONTACT NAME 117 CONTACT PHONE 118 Gilbert Martinez (66.1)326-2468 CONTACT MAILING ADDRESS 119 1830 Flower St, ' CITY 1zo TE 12 ZIP CODE 122 Bakersfield STA Ca 93305 -PRIMARY- IV.EMERGENCY CONTACTS -SECONDARY- NAME 123 NAME Daryl Hevle GILBERT MARTINEZ TITLE 124 TITLE 129 FAC MANAGER LABORATORY MANAGER BUSINESS-PHONE 125 BUSINESS PHONE 130 (661)326-2400 (661)326-2468 24-HOUR PHONE 126 24-HOUR PHONE 131 (661)326-2000 (661)326-2000 PAGER# 127 PAGER# 132 O- O- ADDITIONAL LOCALLY COLLECTED INFORMATION: 113 APN: 12802003 Environmental Contact E-Mail Address: MARTINEG@KERNMEDCTR.COM Certification: 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 OF OWNER/ PERATOR OR DESIGNATED REPRESENTAT DATE 134 1 NAME OF DOCUMENT PREPARER ad. 08/22/2007 NAME OF SIGNER(print) 136 TITLE OF SIGNER 137 Gilbert Martinez BUSINE _ . WNER/OPERATOR IDENTOCATION Kern County Environmental Health Services Department 2700 M Street,Suite 300 Unified Program Consolidated Form(UPCF) Bakersfield,CA 93301 FACILITY INFORMATION (661)862-8700 Fax(661)862-8701 ❑ NEW BUSINESS 0 OUT OF BUSINESS ❑ REVISE/UPDATE(EFFECTIVE 04/18/2006) Page I of I I. IDENTIFICATION FACILITY ID# 5 - 0 - I BEGINNING DATE 00 ENDING DATE 101 FA0003356 1 0 1 0 0 4 4 5 3 04/17/2006 04/17/2007 BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 BUSINESS PHONE 102 KERN MEDICAL CENTER (661)326-2468 BUSINESS SITE ADDRESS 103 1830 FLOWER ST CITY ZIP CODE 10 BAKERSFIELD CA 93305 DUN&BRADSTREET 106 SIC CODE(4 digit#) 107 8062 COUNTY log Kern County BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE 110 GILBERT MARTINEZ 11. BUSINESS OWNER OWNER NAME 1I OWNER PHONE KERN COUNTY MEDICAL CENTER ()- OWNER MAILING ADDRESS 1830 FLOWER ST CITY 114 1 STATE I I ZIP CODE BAKERSFIELD CA 93305 111. ENVIRONMENTAL CONTACT CONTACT NAME 117 CONTACT PHONE Gilbert Martinez (661)326-2468 CONTACT MAILING ADDRESS 119 1830 Flower St. CITY 20 1 STATE 121 1 ZIP CODE lzz Bakersfield Ca 93305 -PRIMARY- IV.EMERGENCY CONTACTS -SECONDARY- NAME 123 NAME BOB KINSELLA GILBERT MARTINEZ TITLE 124 TITLE 129 FAC MANAGER LABORATORY MANAGER BUSINESS PHONE 125 BUSINESS PHONE 130 (661)326-2400 (661)326-2468 24-HOUR PHONE 126 24-HOUR PHONE (661)326-2000 (661)326-2000 PAGER# 127 PAGER# O' O ADDITIONAL LOCALLY COLLECTED INFORMATION: 133 APN: 12802003 Environmental Contact E-Mail Address: MARTINEG@KERNMEDCTR.COM Certification: 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 OF OWNER/OPERATOR OR DESIGNATED REPRESENTAT DATE NAME OF DOCUMENT PREPARER 135 �Pocliwvuc $�nwluna 04/18/2006 NAME OF SIGNER(print) 136 TITLE OF SIGNER 137 Gilbert Martinez i BUSINES WNER/OPERATOR IDENTS CATION Kern County Environmental Health Services Department 2700 M Street,Suite 300 Unified Program Consolidated Form(UPCF) Bakersfield,CA 93301 FACILITY INFORMATION (661)862-8700 Fax(661)862-8701 1:1 NEW BUSINESS 0 OUT OF BUSINES ID REVISE/UPDATE(EFFECTIVE 04/29/2005) Page 1 of 1 I. IDENTIFICATION FACILITY ID# BEGINNING DATE ENDING DATE FA0003356 1 5 - 0 1 101- 101 0 4 4 5 3 03/01/2005 02/28/2006 BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 1 BUSINESS PHONE KERN MEDICAL CENTER (661)326-2468 BUSINESS SITE ADDRESS 1830 FLOWER ST CITY ZIP CODE BAKERSFIELD CA 93305 DUN&BRADSTREET 106 SIC CODE(4 digit#) 8062 COUNTY Kem County BUSINESS OPERATOR NAME BUSINESS OPERATOR PHONE GILBERT MARTINEZ II. BUSINESS OWNER OWNER NAME 111 OWNER PHONE KERN COUNTY MEDICAL CENTER 0- OWNER MAILING ADDRESS 1830 FLOWER ST CITY 114 1 STATE ZIP CODE BAKERSFIELD CA 93305 III. ENVIRONMENTAL CONTACT CONTACT NAME CONTACT PHONE O CONTACT MAILING ADDRESS CITY 12U I STATE 12170DE -PRIMARY- IV.EMERGENCY CONTACTS -SECONDARY- NAME 123 NAME BOB KINSELLA GILBERT MARTINEZ TITLE 124 TITLE FAC MANAGER LABORATORY MANAGER BUSINESS PHONE BUSINESS PHONE (661)326-2400 (661)326-2468 24-HOUR PHONE 126 24-HOUR PHONE (661)326-2000 (661)326-2000 PAGER# PAGER# O' O ADDITIONAL LOCALLY COLLECTED INFORMATION: APN: 128 020 03 9 Environmental Contact E-Mail Address: MARTINEG @KERNMEDCTR.COM Certification: 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 OF OWNER/OPERATOR OR DESIGNATED REPRESENTAT DATE 134 1 NAME OF DOCUMENT PREPARER 04/29/2005 NAME OF SIGNER(print) 136 TITLE OF SIGNER Gilbert Martinez BERN COUNTY E&RONMENTAL HEALTH SERVICS DEPARTMENT HAZARDOUS MATERIALS BUSINESS PLAN CERTIFICATION - FEBRUARY 2004 FACILITY INFORMATION: Site ID: 004453 Facility Name: KERN MEDICAL CENTER, FA0003356 Physical Location: 1830 FLOWER ST City: BAKERSFIELD,CA Facility Phone: (661)326-2468 OWNER INFORMATION FOR MAILING CORRESPONDENCE ONLY: Name: KERN COUNTY MEDICAL CENTER In Care of: GILBERT MARTINEZ Address: 1830 FLOWER ST City, State,Zip: BAKERSFIELD, CA 93305 Contact's Phone: Environmental Contact's E-Mail Address: BILLING INFORMATION ONLY: Name: KERN COUNTY MEDICAL CENTER In Care of: GILBERT MARTINEZ Address: 1830 FLOWER ST City,State,Zip: BAKERSFIELD,CA 93305 0e ,Contact's Phone: (661) 326-2468 EMERGENCY CONTACT INFORMATION: NAME: TITLE: NAME: TITLE: BOB KINSELLA, FAC MANAGER GILBERT MARTINEZ, MANAGER DIAGNOSTI Day Phone: (661)326-2400 Ext: Day Phone: (661) 326-2468 Ext: Night Phone: (661) 326-2000 Ext: Night Phone: (661)326-2000 Ext: REGULATED ACTIVITIES AT THIS FACILITY: Aboveground Petroleum Storage Tank Program Hazardous Material Business Plan Small Quantity Hazardous Waste Generator EPA ID#: CAD 982 020 315 1 Underground Storage Tank(s); BOE#: All facilities with underground storage tanks are required to provide a valid Board of Equalization (BOE) Tank Account number to this Department. If a.BOE number is not listed above,please provide the number or contact the BOE at(916) 322-9669 and obtain one. CERTIFICATION: PLEASE CHECK ALL THAT APPLY: ie most recently submitted hazardous materials business plan and inventory are complete, accurate, and current. There have been no changes in the quantity of any hazardous materials as previously reported. No hazardous materials subject to the inventory requirements are being handled that are not currently listed. r-1 I have enclosed a business plan and inventory for the facility described above. C:l Other: I certify,under penalty of perjury,that the information provided above is correct. Printed Name Title Signature Date Report#7000 KERN COUNTY VIRONMENTAL HEALTH SERVIRES DEPARTMENT HAZARDOUS MATERIALS BUSINESS PLAN UPDATE FEBRUARY 2002 FACILITY INFORMATION: Site ID: 004453 Facility Name: KERN MEDICAL CENTER, #003356 Physical Location: 1830 FLOWER ST City: BAKERSFIELD,CA Facility Phone: (661)326-2000 OWNER INFORMATION FOR MAILING CORRESPONDENCE ONLY: Name: KERN COUNTY MEDICAL CENTER In Care of: GILBERT MARTINEZ Address: 1830 FLOWER ST City, State,Zip: BAKERSFIELD,CA 4339 9 330 S— Contact's Phone: (661) 845-2540 --- BILLING INFORMATION ONLY: 1E- C E O V E Name: KERN COUNTY MEDICAL CENTER D L In Care of: GILBERT MARTINEZ Address: 1830 FLOWER ST F E B 1 9 2002 City,State,Zip: BAKERSFIELD,CA X66 933v S` Contact's Phone: 661 a ygrg' EMERGENCY CONTACT INFORMATION: NAME: TITLE: NAME: TITLE: BOB KINSELLA, FAC MANAGER GILBERT MARTINEZ, MANAGER DIAGNOSTI Day Phone: (661)326-2400 Ext: Day Phone: (661)326-2468 Ext: Night Phone: (661)326-2000 Ext: Night Phone: (661)326-2000 Ext: REGULATED ACTIVITIES AT THIS FACILITY: Hazardous Material Business Plan 1 Underground Storage Tank(s) If this facility generates hazardous waste and does not have an EPA ID number, Call 1-800-618-6942 and obtain one. Please provide this department with that number when it is available. ADDITIONAL INFORMATION REQUESTED: PLEASE CHECK ALL THAT APPLY: There are no changes to my business plan and inventory. I have enclosed a business plan and inventory for the facility described above. r-1 Other: I certify,under penalty of perjury,that the information provided above is correct. Printed Name Title ,Ie� 112 —/,C- Signature Date Report#7000 KERN COUNTY ENVIRONMENTAL HEALTH SERVICES DEPARTMENT HAZARDOUS MATERIALS BUSINESS PLAN UPDATE February 1999 FACILITY INFORMATION: Site ID: 015-010-004453 Facility Name: KERN MEDICAL CENTER, #003356 Physical Location: 1830 FLOWER ST City: BAKERSFIELD, CA Facility Phone: 661-326-2000 E P A ID Number. FACILITY CONTACT AND ADDRESS USED TO MAIL CORRESPONDENCE: /q0V Name: KERN COUNTY MEDICAL CENTER In Care of: Address: 9830 FLOWER ST City, State Zip: BAKERSFIELD, CA 93306 Contact's Phone: 661-845-2540 INFORMATION FOR BILLING ONLY: Name: KERN COUNTY MEDICAL CENTER In Care of: Address: 1830 FLOWER ST City, State Zip: BAKERSFIELD, CA 93306 Phone: 661-845-2540 EMERGENCY CONTACT INFORMATION: BOB KINSELLA DeT 4GV' h Business Phone: 661-326-2400 Business Phone: 464-326-25M6 24-Hour Phone: 661-326-2000 24-Hour Phone: 661-326-2000 PLEASE,CHECK ALL THAT APPLY: ❑ There are no changes to my business plan and inventory. ❑ . . I am unable to find a copy of my current plan and inventory.. Please send me a copy. 4 I have enclosed a business plan and inventory for the facility described.* Other xy 7 r�c'H�=� ,�L�i� �v�r�Y ai,�av i✓aai� .v�,�.�t�S, I certify, under penalty of perjury, that the information.provided above is correct. �/.(I.��iZT` ti��s'r�1-i�.�'� /r/1�9d/r'6'E� liF ai�6•r/oslic ��iy�y,�.�+r�y Printed Name Title sta vi�.�s Signature Date * Please check if you are submitting a new plan, because you have either changed your plan, or you were provided a business plan application by the Department. hm129 �� ,.�-,� ,� �� rte, • Farm and Agriculture ( ] KERN COUNTY ENVIRONMENTAL HEALTH SERVICES DEPARTMENT HAZARDOUS MATERIALS INVENTORY DUN AND BRADSTREET NUMBER Standard Business [` �] FORM 4 f BUSINESS NAME: N U C I e aA OWNER NAME: !C M LOCATION: k ADDRESS: 1 V R-6 F nn Page I of CITY,ZIP: CITY, ZIP: PHONE#: - 2,6 _ ,-(0 1 PHONE#: �'63r - 3 2.6 l�"D ID# STANDARD IND.CLASS CODE: NAME OF THIS FACILITY: k e-i M ccu o A Map Grid REFER TO INSTRUCTIONS FOR PROPER CODES 1 2 3 4 5 6 7 8 9 10 11 12 Trade Trans Type Max Average Annual Measure Cont Cont Cont Use % by NAMES OF MIXTURE/COMPONENTS Secret Code Code Amt Amt Est Units Type Press Temp Code Wt SEE INSTRUCTIONS Y/N , PRODUCT NAME r9_ 13 3 .1-e 6 9,T tj [ ] Immediate Health Location YTrJ 16V-L A A 3 Component& CAS [ ] Fire [ ] Delayed Health CAS Number Component& CAS [ ] Reactivity [ ] Sudden Release of Pressure # Days on Site [ ] Component& CAS PRODUCT NAME [ ] Immediate Health Location Component& CAS [ ] Fire [ ] Delayed Health CAS Number Component& CAS [ ] Reactivity [ ] Sudden Release of Pressure # Days on Site [ ] Component& CAS PRODUCT NAME [ ] Immediate Health Location Component& CAS a [ J Fire [ ] Delayed Health CAS Number Component& CAS [ j Reactivity [ ] Sudden Release of Pressure # Days on Site [ j Component& CAS EMERGENCY CONTACTS #1 i d • d - N as Q,`6' t✓ Q„t:(w�--_ Q��,t 3 2 L - of•�2-d ame Title ,P �4 Hr #2 1✓l . Q . fa, TC L ' ' t eA ue. WCA 272 - �R1 B 11 Name Title 24 Hr Phone Certification(Read and sign after completing all sections) I certify under penalty of law that I have personally examined and am familiar with the information submitted in this and all attached documents, and that based on my inquiry of those individuals responsible for obtaining the information, I believe that the submitted information is true, acc e, an f 2 7 cLQ Name and official title of owner operator or owner operators authorized representative r nature Date Signed INVENTORY CODE SHEET Trans Code (Column 1) Use Codes (Column 10) A = Add this item 01. Additive D = Delete this item 02. Adhesive R = Revised information 03. Aerosol/Inflation 04. Anesthetic Type Code (Column 2) 05. Bactericide P = Pure Material 06. Blasting 07. Catalyst M = Mixture of Substances 08. Cleaning W = Waste (Must Also: Add Appropriate 09. Coolant/Antifreeze Waste Code from "Waste Code 10. Cooling Sheet") 11. Drilling 12. Drying Measure Units (Column 6) 13. Emulsifier/Demulsifier 14. Etching LBS = Pounds 15. Experimental/Analytical TON = Tons (2,000 Ibs) 16. Fabrication GAL = Gallons 17. Fertilizer BBL = Barrels (42 gals) 18. Formulation/Manufacturing Ft3 = Cubic Feet 19. Fuel CUR = Curies 20. Fungicide 21. Grinding Container Tyoe (Column 7) 22. Heating 23. Herbicide 01. Underground Tank 24. Insecticide 02. Aboveground Tank 25. Instructional 03. Fixed Pressurized Cylinders 26. Lubricant 04. Portable Pressured Cylinders 27. Medical Aid or Process 05. Insulated Tank (Includes Cryogenics) 28. Neutralizer 06. Drums or Barrels - Metallic 29. Painting 07. Drums or Barrels - Non-Metallic 30. Pesticide 08. Carboy(s) 31. Plating 09. Glass Container(s) 32. Preservation 10. Plastic Container(s) 33. Refining 11. Box(es) 34. Sealer 12. Bag(s) 35. Spraying 13. Metal Containers (Not Drums) 36. Sterilizer 14. In Machinery or Processing Equipment 37. Storage/In Storage 15. Bin(s) 38. Stripper 16. Unlined Sumps 39. Washing 40. Waste Container Pressure (Column 8) 41. Water Treatment 42. Welding Soldering 1. = Ambient Pressure 43. Well Injection or Service 2. = Greater than Ambient Press 44. Oil Treatment 3. = Less than Ambient Press 45. Resale 46. Aircraft Systems Container Temperature (Column 9) 47. Battery/Electrolyte 48. Breathing Air 4. = Ambient Temperature 49. Drafting Aid 5. = Greater than Ambient 50. Finished Product 6. = Less than Ambient Temp but not 51. Fire Protection Cryogenic 52. Hydraulic Equipment 7. = Cryogenic Conditions 53. Road/Hwy Maintenance 54. Testing HM127 55. Wholesale Chemicals 99. OTHER - Specify on another page • Farm and Agriculture [ ] KERN COUNTY ENVIRONMENTAL HEALTH SERVICES DEPARTMENT HAZARDOUS MATERIALS INVENTORY Standard Business [ ] FORM 4 Page of BUSINESS NAME:—k'4 JQV eJL� G 1A L, -A.�7 ID# J 1 2 3 4 5 6 7 8 9 10 11 12 Trade Trans Type Max Average Annual Measure Cont Cont Cont Use % by NAMES OF MIXTURE/COMPONENTS Secret Code Code Amt Amt Est Units Type Press Temp Code Wt SEE INSTRUCTIONS Y/N PRODUCT NAME ` [ ] Immediate Health Location �( (nf i _ 2 3 3 7 Component& CAS [ ] Fire [ ] Delayed Health CAS Number Component& CAS [ ] Reactivity [ ] Sudden Release of Pressure # Days on Site [ ] Component & CAS PRODUCT NAME [ ] Immediate Health Location Component& CAS [ ] Fire [ ] Delayed Health CAS Number Component& CAS [ ] Reactivity [ ] Sudden Release of Pressure # Days on Site [ ] Component & CAS PRODUCT NAME [ ] Immediate Health Location Component& CAS [ ] Fire [ ] Delayed Health CAS Number Component& CAS [ ] Reactivity [ ] Sudden Release of Pressure # Days on Site [ ] Component& CAS PRODUCT NAME [ ] Immediate Health Location Component & CAS [ ] Fire [ ] Delayed Health CAS Number Component & CAS [ ] Reactivity ( ] Sudden Release of Pressure # Days on Site [ ] Component& CAS PRODUCT NAME [ ] Immediate Health Location Component& CAS [ ] Fire [ ] Delayed Health CAS Number Component& CAS [ ] Reactivity [ ] Sudden Release of Pressure # Days on Site [ ] Component& CAS MB:ch HM 126 0 INVENTORY CODE SHEET Trans Code (Column 1) Use Codes (Column 10) A = Add this item 01. Additive D = Delete this item 02. Adhesive R = Revised information 03. Aerosol/Inflation 04. Anesthetic Type Code (Column 2) 05. Bactericide P = Pure Material 06. Blasting 07. Catalyst M = Mixture of Substances 08. Cleaning W = Waste (Must Also: Add Appropriate 09. Coolant/Antifreeze Waste Code from "Waste Code 10. Cooling Sheet") 11. Drilling 12. Drying Measure Units (Column 6) 13. Emulsifier/Demulsifier 14. Etching LBS = Pounds 15. Experimental/Analytical TON = Tons (2,000 Ibs) 16. Fabrication GAL = Gallons 17. Fertilizer BBL = Barrels (42 gals) 18. Formulation/Manufacturing Ft3 = Cubic Feet 19. Fuel CUR = Curies 20. Fungicide 21. Grinding Container Type (Column 7) 22. Heating 23. Herbicide 01. Underground Tank 24. Insecticide 02. Aboveground Tank 25. Instructional 03. Fixed Pressurized Cylinders 26. Lubricant 04. Portable Pressured Cylinders 27. Medical Aid or Process 05. Insulated Tank (Includes Cryogenics) 28. Neutralizer 06. Drums or Barrels - Metallic 29. Painting 07. Drums or Barrels - Non-Metallic 30. Pesticide 08. Carboy(s) 31. Plating 09. Glass Container(s) 32. Preservation 10. Plastic Container(s) 33. Refining 11. Box(es) 34. Sealer 12. Bag(s) 35. Spraying 13. Metal Containers (Not Drums) 36. Sterilizer 14. In Machinery or Processing Equipment 37. Storage/In Storage 15. Bin(s) 38. Stripper 16. Unlined Sumps 39. Washing 40. Waste Container Pressure (Column 8) 41. Water Treatment 42. Welding Soldering 1. = Ambient Pressure 43. Well Injection or Service 2. = Greater than Ambient Press 44. Oil Treatment 3. = Less than Ambient Press 45. Resale 46. Aircraft Systems Container Temperature (Column 9) 47. Battery/Electrolyte 48. Breathing Air 4. = Ambient Temperature 49. Drafting Aid 5. = Greater than Ambient 50. Finished Product 6. = Less than Ambient Temp but not 51. Fire Protection Cryogenic 52. Hydraulic Equipment 7. = Cryogenic Conditions 53. Road/Hwy Maintenance 54. Testing HM127 55. Wholesale Chemicals 99. OTHER - Specify on another page 12/03/1998 11: 38 7146989034 NATIONAL VISUAL SYS PAGE 01 i KERN MEDICAL CENTER ROOM NUMBERS New 4 Old it New# Old# New# Old# 001 ! -- 1031 1 1114 1112 002 002 1033 B105A 003. 003 1034 A13S 1116 B123 004: 004 1035 A149 1118 6125 005 005 1036 A136 1118A 8125 006; 006 1037 A148 i118B 8125 1 007: 007' 1038 A137 1119' 6116 008 008 ' 1039 A147 1119A 5116A 009 009 1040 A138 1120 6127 010 010 1041 A146 1121 B118 011. 011 1042 A139 1121A B118 011A --- 1043 A144 1121B 8118 012 012 . 1044 A140 1122 8129 013 013 1045 A143 1124 8131 014 014 1046 A141 1126 8133, 015 015 1047 Al 42 1127 8118 016 016 1051 A103 1127A 017 - 1056 A107A 1129 8122 1000 1057 A107B 1131 8141 1001 A101 1058 A107 1132 B137&139 1002 A112 1059 11328 B135 1003 A102 1060 A107D 1134 8143 1005 A134 1062 A108 1135 . ' B124 1006 1083 A109 1135A 8124 1007 A133 1063A A109A 1135B 8124 1008 1064 A110 1136 8145 1009 1065 Al 07C 1136A 8145A . 101;0 1067 A152 1137 1011 1069 A153 1138 B147 1.01:2 1071 A164 1139 8126 1013 1073 A155 1140 8149 1015 1073A A155 1141 8128 1017 1075 A155 1142 8153 1019 1077 1143 8130 1021 1101 1144 B155 1022 1102 C120 1145 8132 1023 A132 1104 C119 1146 B157 1024 1104A C119A 1147 6134 1025 A131 11048 C119B 1147A B134A 1026 A127 1106 C115 1149 8114 10'17 A130 1108 1150 8105 1028 A128 1110 1150A 8105 1029 A129 11508 B105 Revised - December 3, 1998 - Page 1 12/03/1998 11;38 71489890?4 NATIONAL VISUAL SYS • PAGE 02 KERN MEDICAL CENTER ROOM NUMBERS New. # Old# New* Old# New it Old# � 1150C B105 + 12168 C101A 1319 G108 11'51 8103 C 1218 C102 1319A G109 1154 8107 1219 C160 1321 G110 1155 8102 1219A C161 ( 1323 G107 1 1156 B109 1220 . C100 1324 G103 1157 B104 1220A C1 00D 1325 G106 1157A B104A 12208 C100C 1326 G105 1156 8111 1221 C100E 1327 G104 1159 8106 1222 C1008 1328 G104A 1160 8113 1223 C100A 1329 G119 1161 B108 .1225 C144 1329A 6120 1161A 8108 1225A C144A 1330 0111 1162 8115 1227 C145 1 M G111A 1162A B115A 1228 C158 13308 G111B 11626 B1158 1228A C159 1331 G1 12A 1163 6110 1229 C148 1332 G112 116 A 8110A 1230 C157 1333 G116. 11639 "B1108 1231 C147 1333A G116A 1164 1232' C156 13338 G116B I 1165 8112 1233 C148 1334 G118 I1165A -B112A 1234 C155 1334A G118A j11655 5112B 1235 C149 1335 G117 1166 5117 1236 C154 1336 G118C 1108 8119 1237 C150 1337 G115 117!0 8121 1239 C151 1338 G118D 1200 8104 1241 C152 1339 G114 1201 C121 1243 C153 1340 G118E . 1202 C106 1300 C127 1341 G113 1202A C105 1301 G136A 1342 G118D 1203 C122 1302 1344 G118B 1204 C104 1303 G136 1350 G122 12136 C103 1304 1350A G122A 1247 C142 1305 G135 13506 G1228 1208 C124A 1306 C129 1350C G122C 1209 C141 1307 G134 1351 G123 1210 C123 1308 C130 1351A G123A . 1211 C.137 1308A C130A 1352 G124 1211A C140 1310 C131 1353 G125 12118 C137A 1312 C132 1353A G125A 1212 C124 1314 C133 1354 G126 1214 C126 1316 G100 1355 G126A 1216 C10t 1318 G102 1358 G127 121:6A C1018 1318A G101 1357 G128 Revised December 3, 1998 - Page 2 12/03/1998 11: 36 71469890'4 NRi"IONAL VISUA YS PAGE 03 KERN MEDICAL CENTER ROOM NUMBERS New.# Old# New# Old-# New# Old# .1358: . G129 1444 D104 1538C El 34D 1358A G129 1446 D103 1538D E134C 13588 G129 1448 D102 1538E E134B 1400 0136 1450 D101 1535F El 34A 1402; D137 1451 D100 1S39 E130 1402A D137A 1500 E164 1540 E127 1403 D135 1500A E163 1541 E129 1405 D.13SC 1502 E162 1542 E126' � 1405A D135D 1504 E161 1543 El 28 1407 01358 1506 E158 1544 E125 1407A D135A• 1507 E157 1548 8124 1409 0134 1506 E159 1547 E122 1416 D133 1509 E156F 1548 E123 1412 D132 1510 E160 1549 E121 1414 D131 1511 E156E 1550 E111 1416 D130 1512 E153 1551 E120 .1417 D110 1513 E156D 1552 E112 1418 D129 1514 F-152C 1553 El18- ' 1419 D112 1515 E155 1554 E113 1420 D128 1516 E152B 1555 E138 1422 D127 1517 1556 E114 1423 D128 1518 E152A 1557 El 32 1424 D125 1520 E148 1558 E11S 1425 D124 1521 E151 1559 E140 1426 D122. 1522 E146 1560 E116 1427 D123 1522A E146A 1581 E12 1428 D119 1523 E149 1562 8101 1428A 0119A . 1524 E146 1563 E150 14288 D1198 1526 E144 1564 E110 1429• D121 1527 E13 1564A E110A 1430 D118 1528 E143 1565 E147- 1431 D120- 1529 E141 1566 E108 1432 0117 1530 E13S 1568 E107 1435 D115- 1530A E135A 1570 E104/106 1436. D114&116& 1530B E1358 1572 E102&105 113 1531 E142 1572A E103 1437 D111 1533 E137 1574 1438' D108, 1535 E133& 117 1574A 1440 D107 1536 E13l& 132 1575 1440A D107A 1537 8119 1576 14408 01076 1538 8134 1577 1441 D138 1538A E134F 1578' 1442 D108 15388 E134E 1578A Revised-'December 3, 1998 - Page 3 1.2/03/1998 11: 38 71489890'4 NATIONAL VISUA YS PAGE 04 . i � KERN NIEDICAL CENTER ROOM NUMBERS New Old# New# Old New# Old-4 15788 2047 A232 2201 C207 1578C 2048 A236 2203 1578D 2049 A233 2204 C204 2000: A200 2049A .2205 C208 2001: A202 2050 2206 C203 2002 2052 A235 2206A C203A 2003 2101 8220 2207 C209 2004' 2102 B222 2208 C200 i 2005 A206 2103 2208A C202 2006 2104 8200 2209 C210 200 A208 2105 8219 2210 C211 2006 2106 8201 2211 C222 2009 2107 2212 2010 A205 2108 2213 C221 2011 A212 2109 8217 2213A 201 A207 2110 8202 2214 C213 2014 2111 8216 2215 C220 2016 A209 2112 8203 2215A 2018 A211 2113 8215 2216 C214 2020 A213 2114 8205 2216A 4 2022 A215 2115 B214 2217 C218 2024 A217 2116 8206 2217A 2025 2117 8213 2218 C215 2026 A219 2118 B207 2218A 2027 2119 6212 2220 C217 2028 2120 8208 2220A 2029 A218 2121 B211 2222 2030 A221 2122 B209 .2224 C229 203.2 A223 2123 8210 2224A 2033 2125 B221 2225 C224 2034 2126 B223 2225A 1 2035 A222. 2127 B229 2226 C228 lI 2036 A22% 2127A 8229 2226A l 2037 A224; 2128 8224 2227 C225 2038 A227- 2131 8236 2229 C226 2039 2133 6235 2229A 2040 A229 2135 B234 2231 C227 2041 A228 •2137 2231A ' 2042- A239 2139 8230 2300 G231 2043 A230 2141 8227 2302 G242 1 2044 A238 2142 8226 2304 G241 2045 A231 2143 8228 2306 G240 2046 A237 2200 C206 2307 G232 Revised - December 3, 1998 - Page 4 1 • 12/03/1998 11:38 7148989034 NATIONAL VISUAL SYS PAGE 05 KERN MEDICAL CENTER ROOM NUMBERS New 9 Old 4 New# Old# New# Old # 2308; G239 2401 D243 2438A D209A 2309: G233 2402 D246 2440 0208 2310 G238 2403 D244 2440A D208A 2310A 2404 0245 2442 D207 2311 G234 2404A D2458 2442A 0207A 2312 G237 24048 D245A 2443 D217 -2312A 2405 2444 D206 2313 G235 2407 D223 2444A. 0206A 2314 G236 2408 D242 2445 0218 2316. G228 2408A D242A 2446 D205 2317 0229 2410 D241 2446A 0205A 2319 G214 2410A D241A 2448 0204 i 2320 G225 2411 D229 2448A D204A 2320A- G226 2412 D240 .2450 0203 2321 G215 2412A D240A 2451 0222 2323 G216 .2413 D230 2452 2324 2414 D239 2454 0215. 2325 G223 2414A D239A 2455 D216 2326 G219 2416 D238 2456 D231 2327 _ G222. 2416A D238A 2457 D216 2326 G220' 2418 D237 2458 0228 2330 G221 2418A D237A 2459 D225 2331 G217 2420 D236 2460 D227 2332 G217A 2420A D236A 2461 D226 2334 G213 2422 0235 2462 D219 2336 G200 2422A D2358 2463 D221 2337 G200A 2422B 0235A 2485, D220 2338 G212 2424 D234 2468 D248. 2340. G209 2424A D234A 2468 D249 2342 G208 2426 D233 2470 0200 2344 G207 2426A D233A 2470A D200A 2348 G2068 2427 D232 24708 02008 2348 G206 2428 D213 2472 D250 . .2348A 2428A D213A 2500 E200&215 2349 G210 2429 0214 2500A E216 23$0 G205, 2430 D212 2501 E217 23$2 G204 2430A D212A 2502 2354 G203 2432 D211 2503 2356 G202 2432A D211B 2504 2357 G211 24328 D211A 25% E222&223' 2338 3201 2435 D210 2505A E220 2361 G227 2436A 0210A 2507 E205&227 2400 0247 2438 D209 2508 E228 Revised - December 3, 1998 - Page 5. 12/03/1998 11: 38 7148989024 NATIONAL VISUAL SYS PAGE 06 • KERN MEDICAL CENTER ROOM NUMBERS New 4 Old# New# Old# New# Old# 2509 E229 2562 3039 A312 2511 8231 2564 E225 3040 06 1 2512 E237 2570 E235 3041 A311 2513 E204i233 2572 E210 3042 A307 2514 E238 2573 E211 3043 2515 2574 3044 2516 E213&239 2575 E207' 3045 A309 2517 ' 2577 E204 3046 A308 2518 E241 2579 E203 3048 A340 2519 . 2581 E202 3049 A331 2520 'E242 2583 E201- 3050 A338 2521 E243 3000 A324 3051 A332 2522 E245 3002 3052 ' A337 2523 3004 3053 2524 E246 3005 A323 3054 A336 2525 E251 3008 A325 3055 A333 2527 E252,253,254 3007 A322 3057 A334. 2529 E255 3008 A326 3059 A335 253.0 E257 3009 3100 8341 2532 E258 3010 3101 8336 2533 3011 A320 3102 B340 2534 E259 3012 A327 3103 2535 3013 A319 3104 8300 2537 3014 A328 3105 6334 2539 3015 A318' 3106 6301 2540 E265 3016 3106A 8302 2542 E264. 3017 A317 3107' 2543 E260 3018 A329 3108 8303 2544 E261 3020 A330 3109 2545 E262 3022 A300 3110 B304 2547 E263,247 3024 3111 8332 2547A, 3026 A301 3111A B332A 2549 E234 3028 A302 3112 8305 2551 3029 A316 3112A 8305A 2552 3030 A303 3113 8331 2554 3031 A315 3113A 6331A 2554A E269 3032 3114 8307 2555 E270 3033 A314 3114A 8307A 2556 E268 3034 A304 3115 8330 2557 E270 3035 3116 8308 2558 E265' 3036 A305 3116A 8308A 2559 3037 A315 3117 B329 250 3038. 3117A B329A Revised- December 3, 1998 - Page 6 . 12/03/199E 113E 714E9E9034 NATIONAL VISUAL SYS PAGE 07 KERN MEDICAL. CENTER ROOM NUMBERS New 4 Old# New# Old# New# Old# `'3118. 8310 3218 0318 3315 G308 �•.3118A 8310A 3219 C328 3317 0309 3119 B328A 3220 C319 3319 6307 3119A 8328 3221 C327 3319A G307A 3121 6327 3221A C327A 3321 G306 3123 B326 3222 C320 3323 G305 . 3123jA B326A 3222A C320A 3400 D366 3125 6325 3223 C326 3400A D355A 3127 B321 3223A 0326A 3401 0329 31VA 3224 C321 3402 D354 31278 3224A C321A 3402A D354A 31270 B321B 3225 C325 3403 D330 3127D 5321A 3226 C322 3404 0353 3128 3227 C324 3404A D353A 312.9 8320 3227A C324A 3405 D332 313'0 8312 3228 C323 3406 0352 3131 5319, 3228A C323A 3406A D352A 3132 8313 . 3231 C329 3407 D333 3133 ..5318, 3231A C329A 3408 D351 3134 B314 3232 C334 3408A 0351A 3135 8317 . . 3232A C330 3409 D334 3136 8315 3233 C334A 3410 D350 3137 B31'6 3234 C333 3410A D350A 3138 8339 3234A C333A . 3412 0349 3140 B338 3235 0331 3412A D349A 3141 8335 3535A C331A 3414 0348 3142 5.337 3236 C332 3414A D348A 3200. C308 3236A C332A 3415 D338 3201 -C309 3300 G320 3415A D338A 3202 C307A&305A 3302 G319 3416 D347 3203 C312,308A8 3303 6318 3416A D347A 310A 3304 G300 3417 D339 3204 C307 3304A G300A 3418 D346 3205 C310 3305 6317 3418A 0348A 3266 C3 3306 G303 . 3420 D345 3207 C3111 1 3307 6316 3420A D345A 3228 C304A&306A 3209 C312 3308 G302 3422 D344 32:10 C304 3309 G314 3422A D344A 3211 C31.3 3311 6312 3423 D340 32-1.2. C303 3311A G313 3424. 0343 3213. C315 3313 6310 3424A 0343A 3215 C316 3313A G310A 3425 D341 3 16 0317 3314 G304 3426 0312 Revised December 3, 1998 -'Page 7 12/03/1998 11: 38 7148989. NATIONAL VISUA#S PAGE 08 ;. KERN MEDICAL CENTER ROOM NUMBER_ S New# Old# New# Old#. New# Old # 3426A 0312A 3458 0336 4035 A411 3427 3460 D318 40365 3428 0311 3462 0317 4037 342BA D311A 3464 D327 . 4038 A406 3429. D315 3464A 0327A 4039 A410 3436- 0310, 34648 D327B 4040 3430A 0310A 3485 D356 4041 A409 3431 4000 A424 4042 A408 3432- 0309 A001 • A423 4044 A407 . 3432A D309A 4002 4046 A444 3433 0316 4003 A422 4047 A433 3434 , 0308 4004 A425 4047A A433A 3434A 0308A 4005 4048 ' A443 3436 0307 4006 A426 4049 A434 3436A D307A 4007 A421 4050 A442 3430 D306 4008 - ' 4051 A435 3438A D306A 4009 A420 4052 A441 3440 D305 4010 A427 4053 A436 3440A D305A 4011 A419 4054 A440 3441 4012' A428 4055 A437 3482 D304 4013 4056 A439 3442A D304A. 4014 A429 4058 A438 3443 4015 A418 4101 8423 3444 D303 4016. A430 4102 B424 3444A D303A 4017 A417 4102A 8424A 3445 D320 4018 A431 4104 8400 3418 D362 4020 A432 4104A B400A 3446A •0302A 4020A A432A 4105 6421 3447 D321 : • 4020E A432B 4105A 8421A 3448 D301 40200. 4106 8401 3448A 0301A 4022 A400 4106A 8401A 3449A' 13324 4024 A401 4107 6420 34498 0325 4025 A416 4107A 6420A. 34490 0329, 4026 A402 4108 8402 3450' D300 4027 A415 4108A 8402A 340A D300A• 4028 A403 4109 8419 3462 D322 4029 A414 4109A 8419A 3452A D322B 4030 4110 6403 34526 0322A 4031 A413 4110A 8403A 3454 . D331 4031 4111 . 8418 3455 D335 4032 A404 4111A B418A 3456 0337 4033 A412 4112 3467 0319 4034 A405 4113 5417 Revised December 3, 1998 .Page 9 �I ,12/03/1998 11:38 71489890' NATIONAL VISUALrYS PAGE 09 KERN MEDICAL CENTER ROOM NUMBERS Now;4 Old## New# Old# New# Old # � 4113A B417A 4212 C413 4408 D443 4114 4213 C414 4408A 0443A 4115 6416 4213A C414A 4410 0442 4116 8406 4214 C411 4410A 0442A 4117 B4148415 4215 C412 4412 D441 41.18 4216 C409 4412A 0441A 4119 B413 4217 C410 4414 0440 4120 8407 ` 4218 d407 4414A D440A '4120A 9407A 1 4219 C408 4415 D434 4121 6412 1 4220 C425 4416 0439 4121A B412A 4222 C427 4416A D439A 4122 8408 4223 C426 441.8 D438 4123 8411 4224 C429 441 BA D438A 4124 4225 C428 4420 D437 4126 B409 4225A C428A 4420A 0437A 4128 4226 C429B8431B 4422 D436 i4130 B410 4227 C430 4422A 0436A 4130A B415 4228 C429A8431A 4424 0435 4132 . 4229 C432A&430A 4424A 0435A 4133 8422 4230 C431 4425 0415 4134. 6427 4231 C430B&4328 4426 D414 4135. C424 4232 C433 , 4426A D414A 4136 C425 4233 C432 4428 0413 4137 C422A&424A 4234 C433B&4358 4428A 0413A 4238A C405A 4235 C434 4429 D416 4138 C423 4236 C435A8433A 4430 0412 4138A C423A 4237 C436 4430A D412A 4139 C42.2 4238 C435 4432 D411 4140 C421 ' 4240 0405 4432A 0411A 4200 C423 4240A C405A 4434 D410 4200A C423A 4241 C406 4434A D410A 4201. 0424 4242 C403 4436 0409 4202 0421 , 4242A C403A 4436A D409A 4203 C422A8424A 4243 C404 4437 4204 C419 4244 0401 4438 D408 4205 C422 4245 C402 443BA D408A 4206 C417 4245A C402A 4440 0407 4207 C420 4400 0447 4440A 0407A 4207A C420A 4400A D447A 4442 0406 4208 C415A8419A 4402 D446 4442A D406A 4209 C418 4404 D445 4444 0424 4210 C415 4406 D444 4446 0425 4211 C416 4406A D444A 44 4 6A D425A Revised- December 3; 1998 -Page 9 12/03/1998 11:38 71489690='4 NATIONAL tIISUA YS PAGE 10 KERN NEDICAL CENTER ROOM NUMBERS New4 Old# 4448 D426 4450; 0428 ` 4452, 0429' 4453: D430 4454 0433 4454A 0432 4455 D421 4456 0431 4457 0422 4458 D420 4459 D423 4460 D419 4462. 0418 4476 D400 4472 0405 4474 D404 4476 D403 4478 D402 .4480 0401 4482 4483 D449 Revised- DecembeT 3, 1.998 - Page 10 r { KERN COUNTY FIRE DEPARTMENT 5642 VICTOR STREET BAKERSFIELD, CA 93308 APR 1 (805) 861-2761 KCFD HIACU OFFICIAL USE ONLY KERN MEDICAL CENTER ID* 41-53 BUSINESS NAME HAZARDOUS MATERI ALS BUSINESS PLAN AS A WHOLE FORM 2A INSTRUCTIONS: 1 . To avoid further action, return this form by 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA A. BUSINESS NAME: KERN MEDICAL CENTER B. LOCATION / STREET ADDRESS: 1830 Flower Street CITY: Bakersfield zip: 93305 BUS.PHONE: (805 ) 326-2000 SECTION 2: EMERGENCY 'NOTIFICATIONS In case_of�an erner n y involving the .release' or, threatened release &f a f * "hg7,ardou,s rateria'l r' c Ali}� 1-800,-852-7550 or 1­9-16,-A-27-4341. , 4ig,,will notify yr ,local fire department andAkhe;.Sta W' .Iffice of Emerge. rfV.,,•Services�,aA :requj-red.,by EMPLOYEES TO NQTIFY^'IN, CASE OF EMERGENCY: NAME AND TITLE ';,;x :'«. - r ; DURING;HUS, tHRS: AFTER BUS. HRS':'' ` A. Floyd Fdr1ev;='CE"O: +' Ph# 326=2101 Ph#:., 326-2000 B. Gary Eggert- .000'Y -Ph* 326-2105::. .. Ph* 325-2000 ,a SECTION 3: LOCATION. OF UTILITY SHUT-OFFS FOR BUSINESS AS A,NRQLE A. NAT. SAS/ y �O '�n PJL 1-m "F C*c d, e0=0V))0(' B. ELECTRICAL: .nIpI�FCr o�' Mar.�(e�ance Slop.. ?owN\ 40 beSh,ntoPF a�.S.v6mairs ovlgy,. T.. C. WATER P1Li ronH �:v+p )isepnv@cl uw ,� to•+nols a:A, kML';' 'ses D. SPECIk t": -VJIVg LQCCJQkAk\fQ c.IpSQ} kWA2-,, a0 s n-pit e D E . LOCK BOX: YES- 'N0`` I'F YES,• LOCATION: - If YES„ DOES IT CONTAIN':_S.ITE PLANS?.-.,,.. YES / NO MSgSS? ._YES ! NO FLOOR PLANS? YES / NO KEYS? YES NO -Over- HMCU-4 1. 1 SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE Any minor emergency can be handled capably by the Medical Center' s Housekeeping or Maintenance Division personnel . SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE All medical emergencies will be taken to the ,.Kern Medical Center' s Emergency Medical Services Department for care . Department is staffed and operational 24hours per day. SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR NO INITIAL REFRESHER A. METHODS FOR SAFE HANDLING OF HAZARDOUS MATERIALS: . . . . . . . . . . . . . . . . . . .1YES NO YES NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: . . . . . . . . . . . . . . . . . . . . . . YES NO YES NO C. PROPER USE OF SAFETY EQUIPMENT: . . . . . . . . . . . . . . . . . . ES NO YES NO D. EMERGENCY EVACUATION PROCEDURES: . . . . . . . . . . . . . . . . . YES NO YES NO E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: . . . . . . . YES NO ES NO I , JOHN CANNING certify that the above information is accurate. I understand that this information will be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95 Sec. 25500 Et Al . ) and that- inaccurate information constitutes perjury. STGNATUR C', I twvJl TITLE Assoc . Admin. DATE 3-2-88 HMCU-4 SITE/FACILITY DIAGRAM FORM 5 NORTH SCALE: BUSINESS NAME: FLOOR: OF KERN MEDICAL CENTER DATE: / / FACILITY NAME: UNIT #: OF 3/2/$$ KERN MEDICAL CENTER (CHECK ONE) SITE DIAGRAM X FACILITY DIAGRAM See Attached (Inspector's Comments) : -OFFICIAL USE ONLY- HMCU-13 i .. �'� I. SECTION 3: HAZARDOUS MATERIALS FOR'THIS,::VNITV'ONLY` A. Does this Facility Unit contain Hazardous Materials?. . . . . .1 YES NO If YES, see B. If. NO, continue with .SECTION 4 . B. Are any of the hazardous materials a bona fide Trade Secret as defined by Section 6254.7 of the Government Code?. . . . . . . . .. YES NO If No, complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form #4A-1) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (yellow form *4A-2) in addition to the non-trade secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION �"V l�t,�e.�.c� . �,,;,..�Q ,�j�c.�.�,lv� � �¢.p�,�5„w.,e,Q �...¢.2,�-�.� 6•� � � a.G.z,...,�� SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY. A. NAT. GAS/PROPANE: B. ELECTRICAL: C. WATER: ^� D. SPECIAL: E. LOCK BOX: YES /0 IF YES, LOCATION: IF YES, SITE PLANS? YES / NO MSDSs? YES / NO - FLOOR PLANS? YES / NO KEYS? YES / NO H1MCU-6 BAKERSFIEI.D A FIRE DEPARTMENT i I . D . # FORM 4A-1 Page 1 of 1 T R A D E S E C R E T S —' HAZARDOUS MATERIALS INVENTORY BUSINESS NAME : Q_d_kCO &Ade/l. OWNER NAME: CQ,-,Xj4 ta/41 FACILITY UNIT # : ADDRESS : (93o �1OMAA ADDRESS :_ I'ttl FACILITY UNIT NAME : CITY , ZIP : _ � k9��,� ` CITY, ZIP: PHONE # : 3Zk- 2-Ap CD PHONE # : OFFICIAL USE CFIRS CODE ONLY l 2 3 4 5 6 7 8 9 10 TYPE. MAX ANNUAL. CONT USE LOCATION IN THIS % BY HAZARD D . O. T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT . CHEMICAL OR COMMON NAME CODE GUIDE M 6.5 lb 26 lb lb 04 27 Nurses Station 100% Nitrous Oxide NFLG Emergency Department 0 3 3 322 ft 2300 ft ft.3 04 27 Emergency Department 100% Oxygen FLGS Guernies P 92 ft 644 ft ft 04 27 T « R Room, ED 100% Oxygen FLGS NAME : F✓AAr COLE- TITLE : Mrlc SIGNATURE : DATE : 18 May 88 EMERGENCY CONTACT : Carolyn Edwards TITLE : rp .? PHO # BUS HOURS : 326-2275 AFTER BUS HRS : 535-8299 EMERGENCY CONTACT : e,Jt ) ,10 �c.Gnl S - _S TITLE : Head I:urse, ED PHONE # BUS HOURS : 326-2667 (24 hrs) - PRINCIPAL BUSINESS ACTIVITY' :_ N.4S�r�_�@,�_E�..Q..ctT4%yae., CP.�..w AFTER BUS HRS : '• - 4A-I - • L *.A RESPIRATORY THERPY 4LCOUNTY FIRE DEPARTMENT 5842 VICTOR STREET BAKERSFIELD, CA 93308 APR OFFICIAL USE ONLY Mir[) I-1�r1CU ID* — BUSINESS NAME: BUS I NESS ]PLAN SINGLE FACILITY UNIT FORM SA INSTRUCTIONS 1 . To avoid further action, this form must be returned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as possible. FACILITY UNIT* 8997-C FACILITY UNIT NAME: Medical Technical Services SECTION 1 : MITIGATION, PREVENTION, ABATEMENT PROCEDURES Employees shall exercise extreme care in performing work around hazardous material. They shall use proper methods of handling, transporting, and storing same. Defective or damaged equipment will not be used and will be reported to supervisor. All hazardous material will be stored in original containers and secured in area of use. If a spill or exposure should occur, the MSDS will be referred to. Maintenance or housekeeping will be called. r SECTION 2r NOTIFICATION AND EVACUATION PROCEDURES AT THIS UNIT ONLY For immediate action, the operator will be notified by dialing 5. Evacuation will be via the staircases at either end of the hall. r-: o � C� CUM' C D 4w KERN D KERN MEDICAL CENTER ADMINISTRATIVE CENTER .v HMCU-6 05,1 SECTION 3: HAZARDOUS .MATERIM ALS FOR THIS UNIT ONLY Y f• A. Does this Facility unit contain Hazardous Materials?. . . . . . YES NO If YES, 'see B. If NO, continue with SECTION 4 . B. Are any of the hazardous materials a bona fide Trade Secret as defined by Section 6254.7 of the Government Code?. . . . . . . . . YES NO If No, complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form #4A-1) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (yellow form *4A-2) in addition to the non-trade secret form. List only the tra a secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION There are smoke detectors and over ad sprinklers in the hallway; a fire alarm at South end of hall, a B-C fire re tinguisher in. Room A-322', an ABC extinguisher at the North end of hall; and ABC tinguisher with fire hose in mid hallway. I SECTION 5: LOCATION OF WATER SUPP FOR USE BY EMERGENCY RESPONDERS Mid hallway SECTION 6: LOCATION OF UTILI SHUT-OFFS AT THIS UNIT ONLY. A. NAT. GAS/PROPANE: B. ELECTRICAL: 5 Iry rh �,,� .v 4 A c moss R.�rn A4VyA A 3 a 3 X972 ND7Z 7� WeNG C. WATER: �e D. SPECIAL: 'y�nQ E. LOCK BOX: �X- ES NO IF' YES, LOCATION: IF YES, SITE PLANS? YES / NO MSDSs? YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO RMCU-6 SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY' A. Does this Facility Unit contain Hazardous Materials?. . . . . .6ES NO If YES, see B. If NO, continue with SECTION 4 . B. Are any of the hazardous materials a bona fide Trade Secret as defined by Section 6254.7 of the Government Code?. . . . . . . . . YES NO If No, complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form #4A-1) If Yes , complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (yellow form #4A-2) in addition to the non-trade secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE• PROTECTION There are smoke detectors and overhead sprinklers in the hallway; a fire alarm at South end of hall,, a B-C fire extinguisher in Room A-322, an ABC extinguisher at the North end of hall; and ABC. extinguisher with fire hose in mid hallway. SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS Mid hallway SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY. A. NAT. GAS/PROPANE: YL4,n B. ELECTRICAL: �.cl�zc_.; l�9C.B,%-� recGfZO55 (�f2d�'✓l �J7!`rv1, � ��-p 4 kG2o-�,5 Pvm ft_vU,,j A 30 E Z Nt7L7" C. WATER: �e D. SPECIAL: haY.Q E. LOCK BOX:�y;YES NO IF YES, LOCATION: IF YES, SITE PLANS? YES / NO MSDSs? YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO IUICU-6 c KERN COUNTY FIRE DEPARTMENT I . D . * FORM 4A-1 page / of I �' N O N — T R A D E S E C R E T S �- H A Z A R D O U S M A T E R I A L S I N V E N T O R Y BUSINESS NAME : KERN MEDICAL CENTER OWNER NAME : COUNTY OF KERN FACILITY UNIT * $997-C ADDRESS : 1830 Flower -Street ADDRESS : 1415 Truxtun FACILITY UNIT NAME Med Tech ery CITY, ZIP: Bakersfield 93305 CITY. ZIP: Bakersfield PHONE * : 8 05) 326-2000 PHONE * : -T8-0-5-T-8--0-2371 OFFICIAL USE CFIRS CODE ONLY 1 2 3 4 5 6 7 8 9 10 TYPE MAX JANNUAL CONT USE LOCATION IN -THIS % BY HAZARD' D . O . T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE . 26 Gal 10 08 Room A-322 100 Cidex PSNB P 2 6 100 9 03 Room A-322 100 Methacholine Chloride ma 2 10 .5 lb 10 10 Room A-326 100 Xerox 1025 Black dry ink Z � 27 3-A South Corridor 100 Oxygen 27 Room A-326 Diagnostic test gas containing: 50.3 Carbon Monoxide 7-10 Helium 21 Oxygen balan a Nitrogen 1 2 �. S 3 27 Room A322 Calibration gas containing: NFLG _ OWAIA"256 Carbon Monoxide —� 7.19 Helium 21 Oxygen alanc Nitrogen NAME : Pamela Bradford TITLE : Director SIGNATURE : DATE :__3-14--88- EMERGENCY CONTACT: Pamela Bradford TITLE : Director PHONE US HOURS : 05) 396-2000 AFT&EV BUS HRS : same EMERGENCY CONTACT Floyd Farley TITLE : Chief Exective Officer PHONE * BUS HOURS : (805) 326-2101 PRINCIP* BUSINESS ACTIVITY: Hospital AFTER BUS HRS : (805) Alik326- 0 HMCU-9 CONTAINER CODES TYPE CODES 01 . Underground Tank P = Pure 02. Aboveground Tank M = Mixtures of pure 03. Fixed Pressurized Tank substances • 04. Portable Pressurized Cylinders W - Wastes (Also add 05. Insulated Tank (Includes Cryogenics) appropriate waste 06. Drums or Barrels - Metallic code) 07. Drums or Barrels - Non-Metallic 08. Carboy(s) 09. Glass Container(s) 10. Plastic Container(s) 11 . Box(es) UNIT CODES 12. Bag(s) 13, Metal Containers (Not Drums) LBS = Pounds 14 . In Machinery or processing equipment TON = Tons (2,000 lbs,) 15. Bin(s) GAL = Gallons 99. OTHER - Specify on separate sheet BBL = Barrels (42 gals) Ft3 = Cubic Feet CUR - Curies USE CODES 01 . Additive 23. Herbicide 02. Adhesive 24. Insecticide 03. Aerosol 25. Instructional 04. Anesthetic 26. Lubricant 05. Bactericide 27. Medical Aid or Process 06. Blasting 28. Neutralizer 07. Catalyst 29. Painting 08. Cleaning 30. Pesticide 09. Coolant 31. Plating 10. Cooling 32. Preservative 11 . Drilling 33. Refining 12. Drying 34. Sealer 13. Emulsifier/Demulsifier 35. Spraying 14. Etching 36. Sterilizer 15. Experimental 37. Storage 16. Fabrication 38. Stripper 17. Fertilizer 39. Washing 18. Formulation 40. Waste 19. Fuel 41 . Water Treatment 20, Fungicide 42. Welding Soldering 21 . Grinding 43. Well Injection 22. Heating 44. Oil Treatment 99. OTHER-Specify on HAZARD CODES ENPL - Explosive ORMA - Anesthetic, Irritant CMLQ - Combustible Liquid ORME - Hazardous Waste CMSL - Combustible Solid ORMS - Other regulated Material B,C,and D CRMT - Corrosive Material PSNA - Poison A (Gas) . FLGS - Flammable Gas PSNB - Poison B (Liquid or Solid) • FLLQ - Flammable Liquid RADI - Radioactive FLSI. - Flammable Solid WATR Water Reactive NFLG - Non-Flammable Gas ETIO - Etiological Agent OG='R - Organic Peroxide PYRO - Pyrophoric, Hypergolic or spontaneously combustible CNID - Oxidizer Y*CRSO�- Cryogenics M l � .fn, Pharmacy 9RN COUNTY FIRE DEPARTMENT Utz D 5642 VICTOR STREET APR -1 BAKERSFIELD, CA 93308 r OFFICIAL USE ONLY <<'' ID# - BU'SINESS NAME: BLJSI NESS PLAN SINGLE FACILITY UNIT F 0 n SA INSTRUCTIONS 1 . To avoid further action, this form must be returned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as possible. FACILITY UNIT* 8991-1D FACILITY UNIT NAME: Kern Medical Center Pharmacy SECTION 1: MITIGATION. PREVENTION. ABATEMENT PROCEDURES Anesthesia items stored in foam containers until ready for dispensing. Any spill would require evacuation of dept. Corrosives are kept to very minimum and on shelving with restrainers. Eye flush kits and hazardous chemical kits available for spills. Podophylli_n mixed in a vertical flow chemotherapy hood. .The majorit.* of flammable stock is kept in a fire/explosion room. (c 7108) SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES AT THIS UNIT ONLY Employees will be instructed to evacuate to the outside of hospital by the Emergency dept. Door will be closed. HMCU-6 77` t y SECTION 3: HAZARDOUS*ATERIALS FOR THIS UNIT ONLY A. Does this Facility Unit contain Hazardous Materials?. . . . . . YES NO If YES, see B. If NO, continue with SECTION 4. B. Are any of the hazardous materials a bona fide Trade Secret as defined by Section 6254.7 of the Government Code?. . . . . . . . . YES ONO If No, complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form s4A-1) . If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (yellow form *4A-2) in addition to the non-trade secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EI4ERGENCY RESPONDERS SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS OMIT ONLY. A. NAT. GAS/PROPANE: B. ELECTRICAL: C. WATER: e D. SPECIAL: E. LOCK BOX: YES / NO IF YES, LOCATION: IF YES, SITE PLANS? YES / NO MSDSs? YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO HMCU-6 BAKERSFIELD CITY FIRE DEPARTMENT I . D . # FORM 4A-1 Page of / N O N — T R A D E S E C R E T S H A Z A R D O U S M A T E R I A L S I N V E N T O R Y BUSINESS NAME : Kern Center OWNER NAME : Kern County FACILITY UNIT # :g997"D ADDRESS : 1830 Flower Street ADDRESS : 1415 Truxtun Ave. FACILITY UNIT NAME : l?ko-am(xcY CITY, ZIP : Bakersfield,Ca 93305 _ CITY, ZIP: PHONE # : 326=2504 PHONE # : OFFICIAL USE CFIRS CODE ONLY 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN THIS % BY HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT . CHEMICAL OR COMMON NAME CODE GUIDE 60ml 09 27 C-108 100 Acetone MLQ 100ml 09 04 C-110 100 Forane (Isoflurone) ORMA P 48 125m 09 04 C-110 100 Hal6thane ORMA M 6 24 Pint 10 27 C-110 70 Methanol MLQ P 24 36 125ml 09 04 C-110 100<,. Ethrane (Enflurane ORMA P 500ml 09 27 C-110 38% HC1 RMT P 500ml 09 27 C-110 95% Acetic Acid CRMT P 12 60 09 27 C-110 95% Ethanol P 4 4 30qm 09 27 C-110 100 P6dQpbyllin Resin -pmrp jilik 24 96 Pint 09 ° NAME : Hal Stewart, Pharm.D. TITLE :Dir. of Pharmacy SIGNATUR ATE : 3 p 18 EMERGENCY CONTACT: Rarrp TITLE : HONE # BUS HOURS : 326 2509 AFTER BUS HRS : EMERGENCY CONTACT : Floyd Farley TITLE : Chief Executive Off iCWONE # BUS HOURS : S26--M1 _ PR_INCIPAL BUSINESS ACTIVITY :_Hospital AFTER BUS HRS : 326-2100 4A-1 - f y 1 i SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY A. Does this Facility Unit contain Hazardous Materials?. . . . . . �JE NO If YES, see B. If NO, continue with SECTION 4. B. Are any of the hazardous materials a bona fide Trade Secret as defined by Section 6254.7 of the Government Code?. . . . . . . . . YES NO If No, complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form 04A-1) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (yellow form s4A-2) in addition to the non-trade secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION CQ32teQIA n �c?�( �0 5•( l� 4•�.�eti..�+�.�c ld�K- m(�e o� f a�-e� SECTION 5: LOCATION OF MATER SUPPLY FOR USE BY ENSROENCY RESPONDBR8 Qv aA s E JI P_w,,-Nd (am.. ) SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT Tmis UNrT ONLY. • A. NAT. GAS/PROPANE: B. ELECTRICAL: cogftk C. WATER: D. SPECIAL: �IQ ' A-1 1,4e,, Fs CeL'. E. LOCK BOX: YES / 0I0 IF YES, LOCATION: IF YES, SITE PLANS? YES / NO MSDSs? YES / NA FLOOR PLANS? YES / NO KEYS? YES / NO HHCU-6 l t 'BERN COUNTY FIRE DEPARTMENT 5642 VICTOR STREET BAKERSFIELD, CA 93308 OFFICIAL USE ONLY IDa BUSINESS NAME: BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1 . To avoid further action, this form must be returned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as possible. ,.. FACILITY UNIT! WSW . 4- FACILITY-UNIT NAME: Wr- --0VTPPMgi4-r oE'F'ACL-r rr%J-r SECTION 1: MITIGATION, PREVENTION. ABATEMENT PROCEDURES s a \e. cane�wP.�y c,e� �w•e�(, � `�-�. ""` ��`�''" SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES AT THIS UNIT ONLY (10 LAI r v.Q.X,�.a*'�••o� do ,�,.0-•��`C �Q '�^'�c�,�.�.1, , :£c4.ecil�-,,��K��., a.�/,yi.P.l.a.v�GLo kA& �Q•o �.e� ko� k4L &J,. -f A^^-�• � a :of .�-a a-bh+�.� • HMCU-6 KERN MEDICAL CENTER Symbols OGas Location (Main) ( E )Electric Location (Main) Water Location (Main) pg Automatic Sprinklers Qs Unsprinkled Area/Risk Area Fire Hydrant 2k" Outlet Fire Hydrant 4" Outlet _Jt__ Fire Hydrant 2k" & 4" Outlets + v 4 t Fence - - --r Evacuation Route qq Attic Access < Flammable • >Corrosive OWater Reactive OWaste Explosive Oxidizer OToxic OEtiological OLiquid OGas OSolid ORadiological OPoison O .Cryogenic Symbols • �✓ == Fire Wall and Fire Door Standard Door F� Fire Phone Jack V✓ Standpipe Fire Dept . Wet (2nd, 3rd , 4th Floors) D �z� Standpipe Fire Dept . Dry (2nd , 3rd , 4th Floors) Ordinary Gate valve M5�5 Main Location Open Stairs Closed Stairs Fire Hose • • E-WING FIRST FLOOR LAUNDRY .. Stair 8 BOILER ROOM F!OUSE- MAINTENANCE I KEEPING SHOP f--E-Wing Elay. 3 WI NG E M E • R G AWING N Stair Y Stair A I 7 U TRIAGE C I R K E D-WING D LABOh Stair w I M O H R POOL 9 WAITING T L N A AREA. I star - FEI av otars 2 I stair 5 0 stair6 DISCHARCELL- � t ftfi 1 A-Ming Elay. ° ®S-Wing Elay. Y AIL Wing Elw• ADMINISTRATION C-WING — _ I PHARMACY �— INFORMATIO CPO ND n CENTER A I CL NICS O MEDICAL R 7 CL N C RECORDS T Z L . d R � Y y� t'' b H M {� stair 8 SCALE N FLOWER STREET $101,10 b p t—fT_T1 W E Ir1 0 20 40 FEET S t ftl H U1 H • • • 0 E-WING SECOND FLOOR • a 8-WING f—E-Wing Elev. Stair 4 • A-WING,,,,, Stab 1 T M S E u c G D-WING N R stair 9 I E Y .4 w C ' I I Stoir Stair N 2 rj Stairs 0-Wing Eievotorc C C-WING A-Wing Elev. a- In Elev. AC-:Wing Elev. M r e 9 t1 z i ` �Z c c � El 1 J C C M - . r Stair 3 U U p N �° n SCALE stair 10 to o^0 4O W E FLOWER STREET FEET S 1 U) • M n • o z . d E-WING THIRD FLOOR Slc&81 F-P 6-WING E-wing Elev. Stair 4 • A-WING 7L Stair Stale 1 T P S Y ,c, D—WING T Stair 9 l R w Y r Stolr � Stair l 2 5 Stalr6 D Wing Eiewton C—WING A-Wing Elev. t3-Wing Elew. AC-Wing Elev. MED/SURG - NURSING UNIT th z Stoir3 ~ N � SCALE Stair 10 r--r-1 W E FLOWER STREET w n 0 20 40 --�-- b FEET S M y 7D x S FOURTH FLOOR 8-WING Stair 4 L A A-WING B E-WING Sloir 1 a Stair D N E o a° D-WING Ea stair 9 R I Y Stair Stair I ' t 2 �j C Stair 6 o-Wing Elevators w u 1 * p Conference C—WING A-Wing Elev. B-Wing Elev. AC-Wing Elev. D Room A T Lti� S � Stair 3 d H N stair 10 [Y�� SCALE 0' 2'0 4o W E FLOWER STREET b z FEET S H M SO 1 O C H x • LAburs t-%v- IRN COUNTY FIRE DEPARTMEN1.91 [ �• 5642 VICTOR STREET D U BAKERSF I ELD, CA 83308 'APR 12 t988 OFFICIAL USE ONLY KCFD 0!'ACU ID* — — — BUSINESS NAME: BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1 . To avoid further action, this form must be returned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. S. Answer the questions below for THE FACILITY UNIT LISTED BELOW 4 Be as BRIEF and CONCISE as possible. FACILITY UNIT* eR q1- E FACILITY UNIT NAME: KeYh NeXcs t Ce-Je, Louko"A-1 SECTION 1: MITIGATION. PREVENTION, ABATEMENT PROCEDURES Pr0� v)lw� 0;' �ertohhC� 'ON 4"e- 1�A>1oi1'c�� 0� kAyr-aQ04S ® s'� Ira, e.. o 'j c o e--,r e--,r 0 4 4th' .� SECTION 2: NOTIFICATION AM EVACUATION PROCEDURES AT THIS UNIT OKLLY �ttC. Dl(�StdC� O C ALP_ 1C� 1ia�,,u� L4 'It� o � 100 V%CA,L4-e. � °LLa U O r. L S�'\3%toV-j e� 204c".-L . L-" T STS+ -Q►1 ►�l ti �h►'4 D41` 1�� afro HMCU-6 SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY A. Does this Facility Unit contain Hazardous Materials?. . . . . . YES NO ft YES, see'"B. If NO, continue with SECTION 4. B. Are any of the hazardous materials a bona fide Trade Secret as defined by Section 6254.7 of the Government Code?. . . . . . . . . YES NO If No, complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form *4A-1) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (yellow form #4A-2) in addition to the non-trade secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION + "yYL e*-It�v)v_%%a tvc �.Y� ��0.w1Ce'CS \ �t�CreeHC� Sower I ��C.waT� , SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS &IT ONLY. A. NAT. GAS/ E: B. ELECTRICAL: 32-1 jeaa,h U-c f39 - R C. WATER:� � — 2a 3 ��. � ' 33 � Pt�y�,,. a— �►p y D. SPECIAL: �=�rc,�. sP•2 itil�L�-,� �y s;�- �s�e. ,a.rrri-cr��� Pco�—Pclv,v E. LOCK BOX: YES � O IF YES, LOCATION: IF YES, SITE PLANS? YES ! NO MSDSs? YES ! NO FLOOR PLANS? YES / NO KEYS? YES / NO HMCU-6 BAKERSFIELD CITY FIRE DEPARTMENT I . D . # FORM 4A-1 NON — TRADE SECRETS Page t of 3 HAZARDOUS MATERI ALS I NVENTORY BUSINESS NAME : Kevh `",qq,��1Q4ta � t �tv '.OWNER NAME : S2L�-� 4 Ktszr FACILITY UNIT # :y'f97-L- ADDRESS : /9?,o F-J �vj212. Sn-p4t `ADDRESS : 1T1S- FACILITY UNIT NAME :_ZA6o(/nmoky CITY, ZIP : gkprs �iplcA� q) 3ID 17 CITY, ZIP: �eR �l Sal PHONE ?2L -2_c3oo PHONE # : (_`60�_) Y/6t - 2 371 OFFICIAL USE CFIRS CODE ONLY 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN THIS % BY HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT . CHEMICAL OR COMMON NAME CODE GUIDE 691 p 9 ° i g -11� 99 t1 Ce'To�1l.. �Ll,f 5S l000 G-41 01 18' loo Sgo �co tt��ol�.a F LL(� 5- abev` �4 i I u ! -D-t� 1 too L CIL 0 ----{o. G.g.I 09 LL C; 04 0 (11_�4Ss t.,w. oLwy ��Q{ CK T S 10 l -1 1 7 �1 S o off►b �,e- c eh T° i z , o. ) , gl 10 09 0q 1 y ''D-131 64 i D4 I -118 Oil SL V%4r,lt_ c tok c_le_P IT \00 LA- t qce 949__ LLCk _�, � � �_.. o°t i � "`°�a 117 I o° 'Z�► �,�h t et�+'tlw ��CU NAME : C(3MP8C- TITLE : d:L'• � �iSIGNATURE : C w. DATE : EMERGENCY CONTACT : s TITLE PHONE # BUS HOURS : (Eros-) 3-2 AFTER BUS HRS : (&251 0 ,EMERGENCY CONTACT : p(z)ti0 TITLE :Qi6-� &)Q,,x14p 891cph PHONE # BUS HOURS : IM5i z_/01 P-RI`N•CIPAL BUSINESS ACTIVITY : 3P(-rAL. AFTER BUS HRS: xos) 316 -z-co. 4A-1 - • - - - - -� � - , ; . _ _ r BAKERSFIELD CITY FIRE DEPARTMENT I . D . # FORM 4A-1 Page Z- of ,. NON — TRADE S E C R E T S HAZARDOUS MATERI ALS I NVENTORY BUSINESS NAME :�ew� M��Ca � 04h42v - ". OWNER NAME : FACILITY UNIT # : ADDRESS : ADDRESS : FACILITY UNIT NAME : CITY , ZIP : CITY , ZIP : PHONE # : PHONE # : OFFICIAL USE CFIRS CODE ONLY I 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN THIS BY HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE °1 0 Cis 1 —117 �oD Pro qn'o LL0, Cog I 09 1 k -ti7 98 h— Ne ± ,-\e. I to 1SS -►I� q5 �eq �,,�- Arc��,� � �LL(33 09 It -D-117 100 09 I is; —It7 9S fllC0� hin 10 4s Z z 1 to OR 1lt 55 2!50 Gr I D-7 ( g 4R � ej, �`OY� /� levm ��'L"� P 6� 1 �o ► $' Ng3, a-r. SfoYs 3� `1'orr�glo�e.� ��. PSuj& M k��+Ok� I i� 1 $ �-�3► � a} i-6ArQ, areas 10 �rw.a, PS'N2 NAME : TITLE S IG NAT URE : T. DATE : EMERGENCY CONTACT : TITLE : PHONE # BUS HOURS : AFTER BUS HRS : EMERGENCY C.ONTACT : TITLE : PHONE # BUS HOURS : PRINCIPAL BUSINESS ACTIVITY: AFTER BUS HRS :' 4A-1 - BAKERSFIELD CITY FIRE DEPARTMENT I . D'_ # FORM 4A-1 Page 3 of 3 NO N — T R A DIE S E C R E T S HAZARDOUS MATERI ALS I NVENTORY BUSINESS NAME : Cilm Mejpl�C I CoIA-tom ° (- u: OWNER NAME: FACILITY UNIT # : ADDRESS : , ADDRESS : FACILITY UNIT NAME : CITY, ZIP : CITY, ZIP: PHONE # : PHONE # : OFFICIAL USE CFIRS CODE ONLY 1 . 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN THIS % BY HAZARD D .O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT . CHEMICAL OR COMMON NAME CODE GUIDE A-*QC 004- ¢o or•Sa� Gal . 10 dal i\o o Ar -v- Iz3 boo P11eV"A ps�v 3 t t L S ot e- V L(o� e 04 1� LG4 NAME : K4.yy)v-. , Caavw.i Dbol TITLE : CIi►,.,- g�,'-14 71V.— SIGNATURE : i DATE : q-'7-?,R EMERGENCY, CONTACT : TITLE : PHONE # BUS HOURS : AFTER BUS HRS : EMcRGENC.Y CONTACT : TITLE : PHONE # BUS HOURS : F-RINCIPAL BUSINESS ACTIVITY: AFTER BUS HRS : 4A-1 - r 1 - _ D-100 _- 4�,AS — — LOBBY rr- s D-1 3 D-142 D-107 D- D-144 D-195 105 .¢104 D-103 D-108 Conference SPECIMEN D-109 D-139 140 COLLECTION D-105 GIFT SHOP D=102 D-101 LOUNGE D-136 D-137 D-138 ❑ D-141 " LIBPARY OFFICE D-110 CLERICAL D-113 D-135 D-134 i SECRETARIES D-112 D-111 OFFICE OFFICE LEVEL I D-132 D-133 D-114 D-115 BLOOD BANK a 8 12 16 20 HEMATOLOGY D-131 • CYTO [1 URINALYSIS • Fire Extinguisher D-130 D-116 D-129 �- & Fire Alarm o-lza D-117 D-127 N r Fire Blanket Ift D-12 w N CHEMISTRY D-123 D-126 V, Eye Wash/Shower D-125 , MICRO_BIOLOGY r12�SPRJNIr14�C D- ': —� D-122 119 D-118 SPECIAL CHEMISTRY m �E' ,v �' KERN COUNTY FIRE DEPARTMENT 5842 VICTOR STREET BAKERSFIELD. CA 93808 OFFICIAL USE ONLY IDs _ _ - _ - - BUSINESS NAME: 8 US I NE S S PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS I . To avoid further action, this form must be returned by: 2. TYPE/PRIN'T YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY- UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as possible. FACILITY UNITS 8997-F FACILITY UNIT NAME: KMC - Rgdiolnnv PPnart-mPnt SECTION 2: MITIGATION. PREVENTION. ABATEMENT PROC®O M To dilute spilled solutions, flush floor or spill area with plain water. The only possible hazard is. in contact with undiluted .fixer or breathing the fumes which smell like amonia for an extended period. - The radioactive material is covered by Nuclear .Regulatory Commission regulation's , which are attached for spills and contamination. • SECTION 2: NOTIFICA 1,2 EVAQkTION PROCEDOR88 T ;'CIS QII� �fLY :.Notify housekeeping to come and vacuum up any spills. If it is a small amount, just mop~ it up. There is no need to notify anyone of the spill, just treat it as a potential fall hazard from a wet spot. The fumesare not hazardpus, just annoying. See attachedregulations • HMCU•6 t SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY A. Does this Facility Unit contain Hazardous Materials?. . . . . . YES NO If YES, see B. If NO, continue with SECTION 4. B. Are any of the hazardous materials a bona tide Trade Secret as defined by Section 6254.7 of the Government Code?. . . . . . . . . YES NO If No, complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form 04A-1) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (yellow fora s4A-2) in addition to the non-trade secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION We do not have sprinklers in the department. A fire hose is located in the ' main corridor. f SECTION S: LOCATION OF MATER SUPPLY FOR USE BY ENERGENCY RESPOlQNOZS A fire hose and water supply is located in the main x-ray corrider • which can reach the entire department. SECTION Q: LOCATION 0! OlILI 7 SNOT-O!!S AT THIS UNIT ONLY. A. NAT. GAS/PROPANE: B. ELECTRICAL: Each room by the operator's console. C. WATER: Each source,. D. SPECIAL: E. LOCK BOX: YES I v0 IF YES. LOCATION: IF YES. SITE PLANS? YES / NO MSDSs? YES / NA • FLOOR PLANS? YES / NO KEYS? YES I NO RNCU-8 ' I KERN COUNTY F� DEPARTMENT I ' D C FORM A-1 page 1 of t ® N — T R A D E S E C R E T S HAZAR][)O LIS MATERI ALS INVENTORY BUSINESS NAME : Kern Medical Center ONNER NAME• County of Kern FACILITY UNIT # 8997-F kDDRESS : 1830 Flower Street ADDRESS: ruxton FACILITY UNIT NAME: R,diolo. �" CITY, ZIP: Bakersfield, Ca.;, 93305 CITY. ZIP: a ers ie a. , 93302 PHONE is 326-2000 PHONE FICIAL USE CFIRS CODE 1 2 3 8 5 8 q 8 ONLY 9 10 TYPE MAX ANNUAL CONS' USE LOCATION IN •THIS % BY HAZARD D.O. T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT NT. CHEMICAL OR COMMON NAME CODE GUIDE 4(=: 1200 gal GAL 10 27 X-ray dark room 12% Fixer solution CRMT M ral 1100 gal GAL 10 27 X-ray dakr room 13% eveloper solution CRMT under 5o . CUR 13 27 Nu clear Medicine HotLa .05% Technitium, Thalium, Iodine 131 RADI k i r :s. a io ogy anager NAME : ra;g H rPr hP� TITLE : SIGNATURE : DATE EMERGENCY CONTACT: BarDara McGoy TITLE :Asst Manager PHONE i BUS HOURS : 326-2522 AFTER BUS HRS . g71-3522 EMERGENCY CONTACT : Frank Herrera TITLE :Nite Shift Leader PHONE i BUS HOURS: 326-2920 _PR"INCIPAL BUSINESS ACTIVITY: Ding x -a7--_4Epar'tcff3eY.�_i I— AFTER BUS HRS : 589-2944 HMCU -9 SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY A. Does this Facility Unit contain Hazardous Materials?. . . . . . YES NO ' If YES, see B. If NO, continue with SECTION 4. B, Are any of the hazardous materials a bona fide Trade Secret as defined by Section 6254.7 of the Government Code?. . . . . . . . . YES NO If No, complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form #4A-1) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (yellow form #4A-2) in addition to the non-trade secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION SECTION '5:` LOCATION OF WATER SUPPLY FOR USE EMERGENCY RESPONDERS Aav-t ct+ �j b L7 SECTION 6: 'LOCATION OF UTILITY SHUT-0 S AT THIS UNIT ONLY. ' • A. NAT. GAS/PROPANE: �-JYLQ� B. ELECTRICAL: C. WATER: D. SPECIAL: ' E. LOCK BOX: YES /0 IF YES, LOCATION: IF YES, SITE PLANS? YES / NO MSDSs? YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO HMCU-6 � t COUNTY FIRE DEPARTMENT 5642 VICTOR STREET BAKERSFIELD, CA 93308 • OFFICIAL USE ONLY IDS BUSINESS NAME: BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1 . To avoid further action, this form must be returned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as possible. FACILITY. UNIT# W01-7 - 5 FACILITY UNIT NAME: /Y'^ C �MF��CNcy t i SECTION 1: MITIGATION, PREVENTION, 'ABATEMENT PROCEDURES SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES AT THIS UNIT ONLY ,'���lam.. � c,�.�.w,r��-�2... �-•..--�rP 1�f �A-�-e.� wz "�-e ".���--��-- � 1 c�•, 4Z4 V-4 wo a Ott P e� D�F,Q �-• d- rte►e HMCU-6 i Y • ,_ CONTAINER CODES CO= 01 . Underground Tank P = Pure 02, Aboveground Tank M - Mixtures of pure 03. Fixed Pressurized Tank substances 0 Portable Pressurized Cylinders W - Wastes (Also add, Insulated Tank (Includes Cryogenics) appropriate waste 06. Drums or Barrels - Metallic code) 07. Drums or Barrels - Non-Metallic 08. Carboy(s•) 09. G1ass' .Container(s) 10. Plastic Container(s) 11 . Box(es) UNIT CODES 12. Bag(s) 13. Metal Containers (Not Drums) LBS - Pounds 14. In Machinery or processing equipment TON - Tons (2,000 lbs) 15. Bin(s) GAL - Gallons 99. OTHER - Specify on separate sheet BBL - Barrels (42 gals) Ft3 - Cubic Feet CUR - Curies USE CODES 01 . Additive 23. Herbicide 02. Adhesive 24. Insecticide 03. Aerosol 25. Instructional 04. Anesthetic 26. Lubricant 05. Bactericide 27. Medical Aid or Process 06, Blasting 28. Neutralizer 07. Catalyst 29. Painting 08. Cleaning 30. Pesticide W9. Coolant 31. Plating . Cooling 32. Preservative 11. Drilling 33. Refining 12. Drying 34. Sealer 13. Emulsifier/Deeulsifier 35. Spraying 14. Etching 36.' Sterilizer 15. Experimental 37. Storage 16. Fabrication 38. Stripper 11. Fertilizer 39. Washing 18. Formulation �_. 40. Waste 19. Fuel 41. Water Treatment 20. Fungicide 42. Welding Soldering 21 . Grinding .43. Well Infection 22. Heating 44. Oil Treatment 99. OTHER-Specify on HAZARD CODES EXPL - Explosive ORMA - Anesthetic, Irritant CMLQ - Combustible Liquid ORME - Hazardous Waste CMSL - Combustible Solid ORMS - Other regulated Material B,C,and D CRMT - Corrosive Material PSNA - Poison A (Gas) FLGS - Flammable Gas PSNB - Poison B (Liquid or Solid) FLLQ - Flammable Liquid RADI - Radioactive S:. Flammable Solid WATR - Water Reactive ..r'LG - Non-Flammable Gas ETIO - Etiological Agent OGFX - Organic Peroxide PYRO - Pyrophoric, Hypergolic or OXID - Oxidizer spontaneously combustible CRYO - Cryogenics KERN COUNTY I* DEPARTMENT FORM 4A-1 a e of P g L— 1 ._. N O N — T R A D E S E C R E T S HAZAFtI30US MATERIALS INVENTORY BUSINESS NAME : t<,PJIvq o►WgLCg C OWNER NAME: COvv�4 4 o.f I<V*zX FACILITY UNIT * ;P74?— ADDRESS : 1130 pnkinA 411 ADDRESS : ZKi Tiu.enkm e2ee FACILITY UNIT NAME : opp CITY , ZIP : 5&CAA Pl�OLA caapo CITY, ZIP: -A mAwLg G&W PHONE t : 7,2(oa Lee„ PHONE is OFFICIAL USE CFIRS CODE ONLY 1 2 3 4 5 8 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN •THIS % BY HAZARD D.O. T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE M 6.5 lb 39 lb .lb 04 27 F 'Ward (1 ea) 100% Nitrous Oxide NFLG • P 46 ft 460 ft ft 04 27 Roeomstl2 &liO3ic (2 ea 100% Oxygen FLGS P 3 3 3 Medical Clinic (2 ea) 1000 Oxygen FLGS 46 ft 460 ft ft 04 27 Roo 21 P 23 ft 230 ft ft 04 3 3 3 27 Endoscopy Clinic (1 ea 100% Oxygen FLGS P 46 ft 3 460 ft3 ft 04 27 Family Practice (2 ea) 100% Oxygen FLGS NAME : C-_UAW Gw 4 4 - TITLE : SIGNATURE: DATE : 1 RFjy_g$__ -EMERGENCY CONTACT : Louise Kolar _ TITLE :Nursina SUporvisor P * BUS HOURS : 3q6_277Z - AFTER BUS HRS : 331-0425 -EMERGENCY CONTACT: �a-r2' TITLE : uPa,� �?12rfP� nPC PHONE i BUS HOURS : 326-277o PRINCIPAL BUSINESS ACTIVIT : Outpatient Clinic AFTER BUS HRS : — _H - HMCU -9 SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY A. Does this Facility Unit contain Hazardous Materials?. . . . . . YES • If YES, see B. If NO, continue with SECTION 4. B. Are any of the hazardous materials a bona fide Trade Secret as defined by Section 6254.7 of the Government Code?. . . . . . . . . YES NO If No, complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form 44A-1) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (yellow form s4A-2) in addition to the non-trade secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION x SECTION ,5: LOCATION OF MATER SUPPLY FOR OSE BY IMMOENCY RESPONDERS /-'2-- ,/,/`, r /c�/ 57. OF .1 �•�/02 j �o d2 Cv22% DU'a- SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT TSIS UNIT ONLY. • A. NAT. GAS/PROPANE: B. ELECTRICAL: p�N��• A 7SZ IN /Yl,4iaJ . C. WATER: D. SPECIAL: E. LOCK BOX: YES / v0 IF YES, LOCATION: • IF YES, SITE PLANS? YES / NO MSDSs? YES / NA FLOOR PLANS? YES / NO KEYS? YES / NO RMCU-6 KERN COUNTY FIRE DEPARTMENT 8842 VICTOR STREET BAKERSFIELD, CA 93308 • - OFFICIAL USE ONLY ID* BUSINESS NAME: BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1 . To avoid further action, this form must be returned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as possible. FACILITY UNIT* 99 ` FACILITY UNIT NAME: Zgay,s/D/L,� SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDURES Y WV w-4 L W'6-50'"9 ►a2�� QLj WU9,�rES N+�SnRJ& 41--1,(!J ,¢Q�a1 3 �7 rN�ix's'1.r3;G XJo�i�rryrC !7rsc.F• 0 .�=4 s K wa<< w a-7'L-4—, SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES AT THIS UNIT ONLY : lG'7r i c "F,/,4 C,' Ew-,r/ W-2''qq 'F-U'4 c 0o A) /iii--� JaoeL- • HMCU•6 57 •CHAPTERVII. NUCLEAR MEDICINE PagF. 720. 3. Preventing Spread If . accidental contamination-is from the patient ' s ex- creta, or vomitus , spillage or rupture of sealed container , immediate steps should be taken to prevent the contamination from spreading . An area should be marked off large enough to contain all the area of potential contamination . No unautho- rized person shalll be permitted to enter the region of con- tamination , nor should anyone be allowed to leave the region without- being monitored first. If the. patient has been evacuated, lock the room if it is possible to do so . Otherwise, make and place a temporary "DO NOT ENTER" sign on the door or entrance -to to the area . Do not allow anyone who has become contaminated to leave the area until monitored and decontaminated. Within the contaminated zone , paper towels should be dropped on the spill and allowed to remain there . If contam- inated clothing is removed from an individual , store it in an area of contamination. Wash contaminated skin using washroom facilities in the region. Do not remove any contaminated article from the area nor proceed with any other cleanup un- til -the arrival of Nuclear Medicine personnel or the Radia- tion Safety Officer. Special precautions to follow while awaiting assistance are : 4V If contamination arises from a pure beta emitter, such as P 32 , the only immediate concern is to pre- vent the spread of contamination. If necessary be- cause of traffic , the region of the spill should be covered with J inch of soft , absorbent material (two thick blankets) and a plastic sheet. This is to be left in place until expert assistance arrives . ♦ If contamination arises from a mixed beta-gamma emit- ter o-f medium .energy and short half-life , such as I 131 , protection against the beta radiation can be effected as described above . If personnel remain at Revised 12-76 NEW 'CHAPTER VII . NUCLEAR MEDICINE Page 53 717 . 2 . Disposal By Decay ` All used syringes , needles , vials , contaminated swabs , _gloves , puddle pads , etc. . shall be placed in a plastic bag in a lead lined container and the container shielded . When the bag becomes full , it shall be sealed and stored behind lead• shielding. The bag shall be periodically monitored for activity . When no activity. is measurable , the bag shall then be placed in a container labeled "Hot Waste" . After 10 half-lives , the bag is- considered safe for dis- .. posal. The. bag' should be delivered to a sanitary landfill and buried immediately.. The storage of "Hot Waste" containers shall be in a se- cured room or area removed from the general public and the Medical Center personnel, and shall be posted with suitable warning signs . 717 . 3 . Transfer to Authorized Agency Any radioactive material which cannot be disposed of by any other means shall be transferred to a commerical disposal service authorized to handle the disposition of such material 717 . 4 . Atmospheric Disposition Procedures utilizing radioactive gases (Xenon 133 ) shall include a method of venting to the atmosphere any exhaled gases through the use of face masks or tubing connected to exhaust vents to the outside of the building . Quantities of such gases expelled shall be limited to amounts permitted by regulation. 718 . RADIATION EXPOSURE In the event of unexpected exposure of personnel to higher than usual levels of radiation from radioisotopes in any area of Revised 12-76 � 1 � � • • 55 CHAPTER VII . NUCLEAR MEDICINE Page ''.'a : '.,:. • Prevent liquids from spreading ." Contain by placing any ` absorbing material over the liquid . • Monitor the spill , equipment or persons involved to deter- mine the amount of radiation being emitted . • All persons not involved and not contaminated should be removed from the area. v Contaminated clothing should be removed before the contam- inated individual leaves the area. Thorough washing, pre- feraUly showering, should be accomplished immediately . r Personnel ' sh'ould be monitored after washing . Washing is to be repeated if necessary . However, excessive scrubbing of the body should be avoided becauses this increases cir- culation to the contaminated area and enhances the absorp- tion of radioactivity into .1 the blood . Warm water is recom- mended. • Radioactive particles are more easily removed from hard ' surfaces , such as stainless steel , than from more porous materials . a Minor cuts should be encouraged to bleed , thereby reducing absorption. The treatment of major cuts should be con- sidered before decontamination. Do not use brushes to remove contamination as the bristles . tend to scatter ,and spread contamination . Place all trash and waste in moisture-proof containers for subsequent removal from the contaminated area . • Wash and monitor yourself thoroughly. This is essential . Contamination under the fingernails becomes the major pro- blem in the decontamination of the hands . f# • Report the incident as required by regulatory agencies . •720 . DECONTAMINATION PROCEDURES - PATIENTS AND NURSING STAFF The following' are guidelines for the management. of accidents involving radioactive materials which may occur on patient wards or rooms . Revised 12-76 ': .CHAPTER VII . NUCLEAR MEDICINE Page 58 least 6 feet away from the covered spill , further protection against gamma -radiation is not required . • In the case of a spill of a highly radioactive sub- stance, the patient and personnel. should be evacuated from the contaminated area . Avoid walking through spilled material as this will spread radioactive con- tamination. Turn off all air -conditioning in the area. Close all vents and doors . r 720 . 4 . Radium .Needle Breakage If contamination is caused by breakage of a radium nee- . dle , the order of steps to be taken for protection will de- pend upon several factors : whether the patient is involved, whether , personnel are contaminated, and where the accident occurred:" When a sealed radium . source is broken , radon in the form of a gas and radium salts in the form of powder are released . These are airborne and can get into the ventilation system. The air conditioning system should be turned off , any fans shutoff , and doors and windows closed . Select a container with a lid and , using forceps , tweezers , or tongue depressor , push parts - of the broken needle into the container . If no one has become contaminated with radium powder , the room should be closed as above , All persons should go to the nearest vacant room and wait for the decontamination per- sonnel to arrive. No one should be- allowed to leave until declared "not contaminated" . If possible , persons should re- move all clothing and shower while waiting for decontamina- tion . If radium powder is in evidence on the skin , clothing or bedding, the powder should be wiped off the skin with wet tissue or sponge . Contaminated clothing and bedding should be left in the room at the doorway . Individuals evacuated Revised 12-76 BAKERSFIELD CITY FIRE DEPARTMENT I . D . # FORM 4A-1 Page of '- NON — TRADE SECRETS I/ HAZARDOUS MATERIALS I NVENTORY BUSINESS NAME : Kmy, MfijAw (&40- OWNER NAME : FACILITY UNIT # :5(957-K ADDRESS : ADDRESS : FACILITY UNIT NAME : CITY , ZIP : CITY, ZIP: PHONE # PHONE # : rol CIAL USE CFIRS CODE NLY 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN THIS % BY HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT . CHEMICAL OR COMMON NAME CODE GUIDE Cf-NT/2AL 7:SuPPLY AAZ SDI �1oo FT-3 0 .3(0 AW,,MA&c-.- Z>LP% (oo PYAI,4 A Alb 200 12.00 O 1V,41Al1-7 -AAA--E APT, iso A2Ep cj // C'i2/0 • (� o ) /21,00 1,35 0 /o 01fiN1-37. 4A eS bfPT 13 A26 �AiN �NCr �CPi. iv c f�/v2oc,�2r3d,�J &<�, e- 12-60 Ln v o v r'1 3 0q c)7 6P92A-M06 i2c ►-, i acs 6f1Z 3aAJ - -2>/0XIDF- Geyv `i DD I COO D CA G 13 029 tMMk-ilA W.3� !)gP/ . ASS&Z-r£-b �PA,/J-M � oAl-WC-S lem-4 NAME : LRe le Cc TITLE : As nt,4 SIGNATURE . DATE : 3 - 2-7 EMERGENCY CON ACT : TITLE : PHONE # US HOURS : AFTER BUS HRS : EMVRGENCY CONTACT : TITLE : PHONE # BUS HOURS : PRINCIPAL BUSINESS ACTIVITY: AFTER BUS HRS : - 4A-1 - 'v. • • J BAKERSFIELD CITY FIRE DEPARTMENT I . D . >t FORM 4A-1 Page / Of NON - TRADE SECRETS HAZARDOUS MATERI AIL I NVENTORY BUSINESS NAME : K.cRN WDUAI. CENTE2 OWNER NAME : CawA}y o! (<tMi FACILITY UNIT * : gtiq7-K ADDRESS : (Sl3r ) «vLjea � ADDRESS : /y /� -2.,YF„N ,q_ve FACILITY UNIT NAME : CITY, ZIP : _r����n 17;09-' CITY, ZIP: 9 PHONE * :-jaq --21„ -10-0 PHONE * : (105') Z;-f r OFFICIAL USE CFIRS CODE �- ONLY 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN THIS % BY HAZARD D . O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT . CHEMICAL OR COMMON NAME CODE GUIDE 2D GAC. 39 MA �c112"mCc- DeP •• ►o0 3�r�z�N� ` X), PIIr jk,,3 CAI- Itil Logo Soo v F r3 0 4 4L N p(ur2wkuc,. D�._d'i r o ck Ac_-i__-v Y -F--_ PL, s . P [500 2,2 00o GAL 03 27 f\AA►A17-EAuAA.)C4 6SP7- /ao Z Nr" Lao U 12,000 i 3 0 27 F- WAOZ- 100 N l T-fzou s- Oxi 2)1- tir c.G p 12,06 ce of coo FF 3 64 27 M AI to ?z'0ka 113 a lob 02, - A 3oT Lzs 01:7c q 27 ,1 Pao,(_'b !N4 100 0 Z - 0 30 iO--S 1200 Z 000 0-3 0 L 1 X7 too A.3 1T2dGF_A-j NFLCs Z-0 0 (v 000 F-3 04 t7 A u x i ctAi -L C 04 VkL( vft4 �UFLC �o GAIL 13 '511e-PNf.2 �cL _10-10 507, U" iM 4*6 GaL 3 0 ( 3ofLie_ ROOWX /- io PorA-SSrurn b. Su(fV Q2WiA z ;� 50 Dt um Rcyzv�La2fsrN� 50� u�• l ql) 6A L I� I.701L`Li2- l�Cyd7✓1 SQ Pr)(_VRCeV(AT�& 30blUM Sulr .oi`L �lHl� '4 0 U 4o6 Cv%L 13 D l 3orl e L k6c7vv�, r�o_-rWV r E 1 trnA -r o t r ►Krruo KAUd 02 5o0rti a c MA-6v-1 . t) 1" 000 CAL 01 ( ci raw kQt4� ► 00 Nz2Aj f FLL --�' 5'- (yA L 13 3`l An.YitAJANc£ 6sixf /ac) IVAP14Tif:AAf_S # 3 sz + `� No r2TH W es T r-OONC-e- t� a<,lv d % D o0 r 3 0 q T� Fri WAS TAN(c._ L02/ �o/} ?SIU A NAME : L-Qe Ll//fje_Q nr- TITLE : Xs_sf . Pir,..A Sc.neAti.-(SIGNATURE DATE : 3-z9-kK EMERGENCY CONTACT : TITLE : PHONE # BUS HOURS : (koSJ 37 6 - 2yXo AFT R BUS HRS : EMERGENCY CONTACT : 19! TITLE : -5) PRINCIPAL BUSINESS ACTIVITY: sn.A'd F AFTER BUS HRS : 4A-1 - . 'CHAPTER 'VII . NUCLEAR MEDICINE page 54 the Nuclear Medicine Unit,' the Radiation Safety Officer shall be notified immediately . An evaluation shall be made of the route and degree of exposure, an immediate reading of film badges taken , or excreta samples taken for analysis . Incase of spills of any radioactive material , the Radiation Safety. Officer shall be notified immediately . The area shall be „ blocked off or- locked to prevent access to anyone except personnel involved in monitoring and decontamination. A decontamination kit shall be maintained at all times in any' erea, using radioactive .. ; substances . A complete written report of any spill shall be sub- mitted to the Department Chairman within 24 hours . The report shall include the following information : j • Date of. accident • Location of spill (building, room number, etc . ) • Name of person involved (or persons) • Radionuclide U'lj " • Amount spilled • Objects or area contaminated (floor, wall , counter, equip- ment, etc. ) • Radiation survey before decontamination 0 Radiation survey after decontamination 0 Method of decontamination Any potential or actual radiation hazard with respect to use or possession of radionuclides that comes to the attention of any user should be transmitted to the Radiation Safety Officer as soon as possible to allow correction and proper radiation safety pro- " cedures to be instituted. 719 . BASIC DECONTAMINATION PROCEDURES The following are the basic procedures in .the decontamination .process : 0 Put on rubber or plastic gloves (and boots `if necessary before entering the area or room. Revised 12-76 i i� • • 1 � ' CHAPTER" VII. NUCLEAR MEDICINE Page 56 .720 . 1. Instructions to Nursing Personnel Nursing supervisors , the Nuclear Medicine Unit , and the Radiation Safety Officer' shall be notified in the event of a spillage of radioactive material in ward areas . The Nuclear Medicine Unit personnel or the Radiation Safety Officer may give instructions when on duty . The guidelines below will outline the immediate action to be taken before they arrive . e Obtain the name (s) 'of the patient (s) and the room num ber(s) and estimate the exte,,nt •of the potential haz- ard. • Attempt to determine what happened, i . e . , urine spill patient vomited, syringe leakage , etc .{ a Determine amount of isotope the patient has received and the date and time given . a Determine the type of procedure in which the isotope was given, i .e . , injection of gold into prostate , in- tracavitary gold, thyroid therapy , etc . 0 Determine whether contact of individuals with radio- active isotope is suspected or if there is contamina- tion of inanimate objects . 720 . 2 . Immediate Care of Individuals For individuals involved , flush contaminated skin area immediately with water. The wash thoroughly with soap and water. Avoid hard rubbing or brushing which may injure the skin. Gloves should be worn by anyone assisting a patient or employee with cleanup. Work efficiently and quickly but try to avoid alarming the patient. If shoes or other clothing items are suspected of con- tamination, remove them and isolate them in the contaminated area (in the patient' s bathroom or in a corner of the room) . Revised 12-76 CONTAINER CODES TYPE CODES 01 . Underground Tank P = Pure 02. Aboveground Tank M = Mixtures of pure 03. Fixed Pressurized Tank substances • 04 . Portable Pressurized Cylinders W = Wastes (Also add 05. Insulated Tank (Includes Cryogenics) appropriate waste 06. Drums or Barrels - Metallic code) 07. Drums or Barrels - Non-Metallic 08. Carboy(s) 09. Glass Container(s) 10, Plastic Container(s) 11 . Box(es) UNIT CODES 12. Bag(s) 13. Metal Containers (Not Drums) LBS = Pounds 14. In Machinery or processing equipment TON = Tons (2,000 lbs) 15. Bin(s) GAL = Gallons 99. OTHER - Specify on separate sheet BBL = Barrels (42 gals) Ft3 = Cubic Feet CUR - Curies USE CODES O1 . Additive 23. Herbicide 02. Adhesive 24. Insecticide 03. Aerosol 25. Instructional 04. Anesthetic 26. Lubricant 05. Bactericide 27. Medical Aid or Process 06. Blasting 28. Neutralizer 07. Catalyst 29. Painting 08. Cleaning 30. Pesticide • 09. Coolant 31. Plating 10. Cooling 32. Preservative 11. Drilling 33. Refining 12. Drying 34. Sealer 13. Emulsifier/Demulsifier 35. Spraying 14. Etching 36. Sterilizer 15. Experimental 37. Storage 16. Fabrication 38. Stripper 17. Fertilizer 39. Washing 18. Formulation 40. Waste 19. Fuel 41 . Water Treatment 20. Fungicide 42. Welding Soldering 21 . Grinding 43. Well Injection 22. Heating 44. Oil Treatment 99. OTHER-Specify on HAZARD CODES ERPL - Explosive ORMA - Anesthetic, Irritant CMLQ - Combustible Liquid ORME - Hazardous Waste CMSL - Combustible Solid ORMS - Other regulated Material B,C,and D CRMT - Corrosive Material PSNA - Poison A (Gas) . FLGS - Flammable Gas PSNB - Poison B (Liquid or Solid) FLLQ - Flammable Liquid RADI - Radioactive • FLS:. - Flammable Solid WATR - Water Reactive NFLG - Non-Flammable Gas ETIO - Etiological Agent OG''R - Organic Peroxide PYRO - Pyrophoric, Hypergolic or spontaneously combustible T�D - Oxidizer . 10 ► Cryogenics Ls. KERN COUNTY FIRE DEPARTMENT I . D. # FORM 4A-1 page u N O N— T R A D E S E C R E T S H A Z A R D O U S MA T E R I A L S I N V E N T O R Y BUSINESS NAME : Kern Medical Center OWNER NAME : County of Kern FACILITY UNIT # : 8997M ADDRESS : 1830 Flower St . ADDRESS : 1415 Truxtun Ave , FACILITY UNIT NAME :Houskeeping CITY. ZIP: BakersfielU 93305 CITY. ZIP : Bakerstield , 9330 PHONE # : (805) 326-2000 PHONE # : (805) 861-2371 1OFFICIAL USE CFIRS CODE ONLY 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN ,THIS % BY HAZARD D.O. T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE M 75 900 Gal 06 32 Room E-114 30 "Sprint" CRMT �.- M 75 900 Gal 06 38 Room E-114 22 "Bravo" Heavy Duty Stripper CRMT S NAME : Terry Harris TITLE : Consultant SIGNATURE : W DATE : _ EMERGENCY CONTACT : Frank Gurrola TITLE : Asst . Direc or PHO E # US HOURS :(An 5)326-2575 AFTER BUS HRS : EMERGENCY CONTACT : Floyd Farley TITLE : Chief Exec . Officer PHONE # BUS HOURS : (805) 326-2101 PRINCIPbBUSINESS ACTIVITY : Hos ital AFTER BUS HRS : _ New HMCU-9 ' CHAPTER VII . NUCLEAR MEDICINE Page 59 (.11 JO� may still .be contaminated, but the°major portion of the hazar will be .left behind in the room under this procedure . Direct contaminated persons to the closest vacant room in the area. Place a "Danger, Do Not Eneter" sign on the door of the evacuated room, and post someone at the corridor en- trance to the area to prevent anyone from leaving or entering the area. 720 . 5 . Radium and Iridium Implants If the radioactive needles, capsules or plastic tubing used for radium or iridium therapy become loose or fall out, the radiotherapist should be notified immediately . If any are completely dislodged and the radiotherapist so orders , the nurse may obtain the patient ' s implant carrier , cut any attached• threads , and place the implant in the carrier using 10 to 14 inch forceps . The radiotherapist ' s order should be r written on the treatment order form and a notation made on the nursing notes and on the radium receipt . The time of the incident should be recorded in the patient ' s medical chart . The Radiation Safety Officer should be notified if there are any questions of contamination. 720 . 6 . Use of the Geiger Counter A Geiger Counter from the Nuclear Medicine Unit may be used to determine the presence of contamination , or to moni- tor an area. Any. patient contaminated with radioactive sub- stance or implanted with such must be removed from the area before contamination of the area can be measured . To use the instrument, turn . it on and check to see that it is operating (instructions are on the lid of the contain- er) and hold the metal tube several inches from the suspec ted. contaminated object. Do not allow the instrument to touch the source of contamination as this might contaminate the tube . If the reading is full scale on the X 10 scale , Revised 12-76 'J 1 � � � ' , � � � ti 9-RN COUNTY FIRE DEPARTMENT d b 5642 VICTOR STREET Q BAKERSFIELD, CA 93308 ApR 1 198 OFFICIAL USE ONLY BUSINESS NAME: B U S I NE S S P LAN SINGLE FACILITY UNIT FORM 31A INSTRUCTIONS 1 . To avoid further action, this form must be returned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as possible. FACILITY UNIT* $997- J FACILITY UNIT NAME: Kern Medical Center - Dietary SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDURES All products can be flushed with eater in case of a spill . Allproducts are stored in a seperate area from the food products . SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES AT THIS UNIT ONLY Evacuation procedures will be followed upon the order of the fire department or ranking Administrator . Employees will evacuate through eother of the two exits from the kitchen. M _ HMCU•6 , I SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY A. Does this Facility Unit contain Hazardous Materials?. . . . . . YES NO > If YES, see B. If NO, continue with SECTION 4. B. Are any of the hazardous materials a bona fide Trade Secret as defined by Section 6254.7 of the Government Code?. . . . . . . . . YES If No, complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form i4A-1) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (yellow form e4A-2) in addition to the non-trade secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION 3 fire extinguishers and one fire hose . A hood and cooking equipment fire protection system. SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY ENEROENCY RESPONDERS fire hose in kitchen SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY. A. NAT. GAS/PROPANE: behind deep fat fryer B. ELECTRICAL: Panel boxes are located at the end of the trayline . C. WATER: No main shut off valve in the kitchen D. SPECIAL: 1 Lo�^Q E. LOCK BOX: YES /(' O) IF YES, LOCATION: IF YES, SITE PLANS? YES / NO MSDSs? YES / NO FLOOR PLANS? YES / NO ' KEYS? YES / NO KKCU-6 r KERN COUNTY FIRE DEPARTMENT I . D. s FORM 4A-1 page of N O N — T IRA D E S E C R E T S H A Z A R D O U S M A T E R I AE S I N V E N T O R Y BUSINESS NAME : Kern Medical Center OWNER NAME : County of Kern FACILITY UNIT s :8997J ADDRESS : 1830 Flower St . ADDRESS : 1415 Truxtun Ave . FACILITY UNIT NAMEKitchen CITY, ZIP: Bakersfield 93305 CITY, ZIP: Bakersfield 93301 PHONE is (805) 326-2000 PHONE is (805) 861-2371 OFFICIAL USE CFIRS CODE ONLY 1 2 3 4 5 6 7 a 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN •THIS % BY HAZARD D.O. T CODE AMOUNT AM UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON MAKE CODE GUIDE Oxr a M 6 312 gal 10 08 soap room / dishroon 100 bleach 3 . 5 SODIUM HYDROXIDE 4 52 GAL 10 08 10 butox ethanol CRMT M al 10 08 30 Dhosphoric acid CRMT 1 .75 Iodine M gal 10 08 " " " 6 . 5 Phosphoric Acid 2 Butoxyethanol 5 Sodium ethylenediaminetetraacetate M g a 1 10 08 ri n n M m rr rr - ------ 50 Sodium Hydroxide M 150 10 08 " " " 1 sodium Hypoehlorite CIRMT na 12 9 NAME : Michael McDevitt TITLE : Director SIGNATURE : DATE : - - _ EMERGENCY CONTACT: Michael McDevitt TITLE : Director PHONE It BUS HOURS :(805) 326-2564 Floyd Farley Chief Exec . O'fficer AFTER BUS HRS : (805) 326-2000 EMERGENCY CONTACT: y y TITLE : PHONE = BUS HOURS :(805) 326-2101 - zRINCIPr' BUSINESS ACTIVITY : Hospital AFTER BUS HRS : (05) 326-2000 HMCU-9 CONTAINER CODES i CODES 01 . Underground Tank P = Pure 02. Aboveground Tank M - Mixtures of pure 03. Fixed Pressurized Tank substances 04. Portable Pressurized Cylinders W - Wastes (Also add 05. Insulated Tank (Includes Cryogenics) appropriate waste 06. Drums or Barrels - Metallic code) 07. Drums or Barrels - Non-Metallic 08. Carboy(s) 09. Glass Container(s) 10. Plastic Container(s) 11 . Box(es) UNIT-CODES 12. Bag(s) 13. Metal Containers (Not Drums) LBS - Pounds 14. In Machinery or processing equipment TON - Tons (2,000 lbs) 15. Bin(s) GAL - Gallons 99. OTHER - Specify on separate sheet BBL - Barrels (42 gals) Ft3 - Cubic Feet CUR - Curies USE CODES 01 . Additive 23. Herbicide 02. Adhesive 24. Insecticide 03. Aerosol 25. Instructional 04. Anesthetic 26. Lubricant 05. Bactericide 27. Medical Aid or Process 06. Blasting 28. Neutralizer 07. Catalyst 29. Painting 08. Cleaning 30. Pesticide 09. Coolant 31. Plating 10. Cooling 32. Preservative 11. Drilling 33. Refining 12. Drying 34. Sealer 13. Emulsifier/Demulsifier 35. Spraying 14. Etching 36. Sterilizer 15. Experimental 37. Storage 16. Fabrication 38. Stripper 17. Fertilizer . 39. Washing 18. Formulation 40. Waste 19. Fuel 41. Water Treatment 20. Fungicide 42. Welding Soldering 21 . Grinding 43. Well Injection 22. Heating 44. Oil Treatment 99. OTHER-Specify on HAZARD CODES EXPL - Explosive ORMA - Anesthetic, Irritant CMLQ - Combustible Liquid ORME - Hazardous Waste CMSL - Combustible Solid ORMS - Other regulated Material B,C,and D CRMT - Corrosive Material PSNA - Poison A (Gas) FLGS - Flammable Gas PSNB - Poison B (Liquid or Solid) FLLQ - Flammable Liquid RADI - Radioactive FLS1. - Flammable. Solid WATR - Water Reactive NFLG - Non-Flammable Gas ETIO - Etiological Agent OGFR - Organic Peroxide PYRO - Pyrophoric, Hypergolic or spontaneously combustible ONID - Oxidizer CRYCI - Cryogenics V ' KERN COUNTY FIRE DEPARTMENT 5642 VICTOR STREET r� BAKERSFIELD, CA 93308 APR OFFICIAL USE ONLY ,,i KGgp vigetj ID* 4L _ BUSINESS NAME: BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1 . To avoid further action, this form must be returned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as possible. FACILITY UNIT* F207, K FACILITY UNIT NAME: SECTION 1: MITIGATION. PREVENTION. ABATEMENT PROCEDURES AA C'ovc froi �.� i9 A4 l�Gt�w�f-�A•v�e c /�/���l�L�c�r�°J` � �U4naSdrV�l4i( W kL',e- SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES AT THIS UNIT ONLY `I� aVi 01 'A� °i b f�/+I`c o'��•a f�4, Li� 5 �av ld �cva�`-i��J v �/ 7 tom' po1f 4. P - /./-'v.itsa/r C Arid A) !S e-01" Ivc-7' Gv> 7`� 4�� �i'Wr 6 S�Jf��cv � .v l0 1' y am_ d�'IA/Nt -#Aoo(e.-z.- Glip��G-v A �M `zr ''�ti I r't-�..5 /o(�"/�!!^���-1, l'�"�i•g/� �NT �ARa?!fA� 3T�. U72 ��--.-�-� /fin.,�-�.a�� �P �®,e ��f/�f�� w•/� :�'�,�¢.?` fv G�/��P �r.� �A.7 C.�4,/3�.� 7� �JA w�� Vic..dbl'M•�+.� � v 1/vG �d�L.�ric��OV-S V`�`+•?`�rR-l��.S ��c.-��r�n.c� �"-�"-� '� �� .w ��-�ti.� HMCU-6 •' �r SECTION."1: HAZARDOUS MATERIALS FOR THIS UNIT ONLY A,. .Does this Facility Unit contain Hazardous Materials?. . . . . . ES NO If YES, see B. If NO, continue with SECTION 4. B. Are any of the hazardous materials a bona fide Trade Secret as defined by Section 6254.7 of the Government Code?. . . . . . . . . YES If No, complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form *4A-1) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (yellow form 44A-2) in addition to the non-trade secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION / P11c✓1_SO/NAM4 t �I •/ I/ANOI Nx/t T N re'p ✓ `L 2�. jdSc �al7S/�w�•5. / SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS •�IMC l s tom,,c.,�,erz.c�..L_ �. a� �c..mac.., L�-�� � S ('z�+^-^ SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT On Y. A. NAT. GAS/PROPANE: T, 's lb I- ! "e ItA.) -Sn C4-f I-el B. ELECTRICAL: p2 c C-r' �. Ajo- MO. IL ( a,&.v 'S'cv") p A,,A i tJ 1b cs cd v _Z� PAS-(�s . tom= 71-b 6-�- vIM, T s4 h'Ia�u pa C. WATER: A`i- ce-2eu iA ��hcMn 0e� C.�'tf2¢IZ.. s � P -✓t ®�Vo c� 0 D. SPECIAL: AtiTh 157*02/.vlcGart -5 s� 4 J-� y Fi9/L D-�.u..v6 Go-GF7�a /,v �GSStiT o�J f/.AC.L w,4 y r3,..j��a/ t7-�LZ .4.v tb =LtIAqb E. LOCK BOX: YES / v0 IF YES, LOCATION: IF YES, SITE PLANS? YES / NO MSDSs? YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO HMCU-6 KERN COUNTY FIRE DEPARTMENT I . D . i FORM 4A-1 page � of _ N O N — T R A D E S E C R E T S —" HAZARDOUS MATERIALS I NVENTORY BUSINESS NAME : OWNER NAME : FACILITY UNIT x : ADDRESS : ADDRESS : FACILITY UNIT NAME : CITY, ZIP: CITY, ZIP: PHONE : PHONE : OFFICIAL USE CFIRS CODE ONLY . 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN -THIS % BY HAZARD D. O. T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE 251r-✓k XFvn 2 �C� r Arl'fGnh��s fir.o t7e AL- 131 D cr A -WIA-3& vac,c.7%- IU-0 ASKh2 f-L 5N8°= 7Se-oh xFAl/L ETi O fM 0 /�5 KA 2 Psou 3 NAME : ��0►21� TITLE : 7P ; = S IGNATURE : DATE : EMERGENCY CONTACT : TITLE : PHONE BUS HOURS -2-Wyo AFTER BUS HRS : EMERGENCY CONTACT : TITLE : PHONE * BUS HOURS : 905 3210 -240 PRINCIPOBUSINESS ACTIVITY: Allk AFTER BUS HRS : C�o - 26u9 HMCU-9 CONTAINER CODES 'YPE CODES 03 . Underground Tank P = Pure 02. Aboveground Tank M = Mixtures of pure 03. Fixed Pressurized Tank substances • 04. Portable Pressurized Cylinders W = Wastes (Also add 05. Insulated Tank (Includes Cryogenics) appropriate waste 06. Drums or Barrels - Metallic code) 07. Drums or Barrels - Non-Metallic 08. .Carboy(s) 09. Glass Container(s) 10. Plastic Container(s) 11 . Box(es) UNIT CODES 12. Bag(s) 13. Metal Containers (Not Drums) LBS = Pounds 14. In Machinery or processing equipment TON = Tons (2,000 lbs) 15. Bin(s) GAL = Gallons 99. OTHER - Specify on separate sheet BBL = Barrels (42 gals) Ft3 = Cubic Feet CUR = Curies USE CODES 01 . Additive 23. Herbicide 02. Adhesive 24. Insecticide 03. Aerosol 25.. Instructional 04. Anesthetic 26. Lubricant 05. Bactericide 27. Medical Aid or Process 06. Blasting 28. Neutralizer 07. Catalyst 29. Painting 08. Cleaning 30. Pesticide 09. Coolant 31. Plating • 10. Cooling 32. Preservative 11. Drilling 33. Refining 12. Drying 34. Sealer 13. Emulsifier/Demulsifier 35. Spraying 14. Etching 36. Sterilizer 15. Experimental 37. Storage 16. Fabrication 38. Stripper 17. Fertilizer 39. Washing 18. Formulation 40. Waste 19. Fuel 41 , Waxer Treatment 20. Fungicide 42. Welding Soldering 21 . Grinding 43. Well Injection 22. Heating 44. Oil Treatment 99. OTHER-Specify on HAZARD CODES EXPL - Explosive ORMA - Anesthetic, Irritant CMLQ - Combustible Liquid ORME - Hazardous Waste CMSL - Combustible Solid ORMS - Other regulated Material B,C,and D CRMT - Corrosive Material PSNA - Poison A (Gas) FLGS - Flammable Gas PSNB - Poison B (Liquid or Solid) FLLQ - Flammable Liquid RADI - Radioactive • FLSI, - Flammable Solid WATR - Water Reactive NFLG - Non-Flammable Gas ETIO - Etiological Agent OG':X - Organic Peroxide PYRO - Pyrophoric, Hypergolic or spontaneously combustible OXID - Oxidizer � • CR1•'n - Cryogenics KERN COUNTY FIRE DEPARTMENT I . D. # FORM 4A-1 page of NON — TRADE SECRETS HAZARDOUS MATERI ALS I NVENTORY BUSINESS NAME : fCZrw" Y" a C-&x C„Jvl— OWNER NAME : FACILITY UNIT # : 9?- ADDRESS : �� _' ��,►.t� -tUlLk-- ADDRESS : �r/ FACILITY UNIT NAME : t CITY. ZIP: CITY, ZIP: PHONE # : — - o v PHONE # : OFFICIAL USE CFIRS CODE ONLY 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN •THIS % BY HAZARD D . O. T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE soo twR XF,+�9 0�1 a�7 6 a?Lp Gtk c /3 09 C-/,vi.v6 8�M f� /`3 v P/iZ,4XAD 4. �C SNP I°/ ,1.? tv h X F.v,R- If w,-'LjG ?')AsSmgNi io-o A��tA2�L Ps.� GAL 09 C- &4-SS -..:T too ENV L I oo t<v.R ,C F-%R- 7� 79 GA- L is 07 C- w',u6 tZ'0stmuj ,° /vJ ? ZAA)6 s.013 rod i��a Xr-rn� c"TrU M '] 7F SAL 1 3 o g -W I NG i3t�S�w�fN i wo ��/jz�N� L PSAJ a (M G 2 Co 2 6 / (- 13 0 r3-ww Prs'q'vu E-,vr / ?Y2ANa ?sue, ,T-- IcU.t XOC7AI4C ��O ►M �v 2 (02- 64c 13 (03, $-w•N C B AISScM&I M r°O P Y 2A N O L. i�SN 3 you kuA )eCnn2 vt� ?8 -7 &' GAL '3 O 9 - w.N hse.w S#jr P VOrAJ b L a �0 �f F Gl9�L 13 09 loa ►c-ur� xG�2 /vo �''� 'g/0- 3P•S4w,� err P /U6 L �SNa no KVit- xd=w�►� ��c� M 7 7 g G,4rL I3 0`� -w,Ax 3�s���a.� �� o � rz L a _ 17 1/7 (AC- /3 09 3-w,1j6 PYRA,ua-L N 4 $o KU A xr-m 2 M -3 3� GAL / 0r7 - W,N6 ✓PVC raa ZA�Uc1 Svc3 � my /cv q X�+Q �T U P A/ 7 2 GP�L /3 01-) N V A-dl.— /Lrw R I2AAJ v N !S'o eC�li4 X�,n 2 ETi v Vin �l 3 GAL 13 a A -Gvr.tJ /JA v 4 i— i0-0 S ,tr/A XFMR- 7 /3 007 L4-pum)a — /40 NAME LiulC.LS-izzo /2.A TITLE : PsSi. Pct, Su l• SIGNATURE :6 DATE : 3-2;;-:W EMERGENCY CONTACT : SOw,.o TITLE : PHONE # US :(�vY 3Zlo-2 �'O AFTE BUS HRS : EMERGENCY CONTACT : �C,gn^ � "�- TITLE : Ah••I- PHONE # BUS HOURS :CP°s� 3Z&- 2/b/ PRINCIPS BUSINESS ACTIVITY : AFTER BUS HRS : _ 3 - ° HMCU-9 CONTAINER CODES CODES O1 . Underground Tank �, P = Pure 02, Aboveground Tank M = Mixtures of pure 03. Fixed Pressurized Tank substances • 04. Portable Pressurized Cylinders W = Wastes (Also add 05. Insulated Tank (Includes Cryogenics)' appropriate waste 06. Drums or Barrels - Metallic code) 07. Drums or Barrels , - Non-Metallic 08, Carboy(s) 09. G1ass 'Container(s) 10. Plastic Container(s) 11 . Box(es.) UNIT CODES 12. Bag(s) 13. Metal Containers (Not Drums) LBS = Pounds 14. In Machinery or processing equipment TON = Tons (2,000 lbs) 15. Bin(s) GAL = Gallons 99. OTHER - .Specify on separate sheet BBL = Barrels (42 gals) Ft3 = Cubic Feet CUR = Curies USE CODES O1 . Additive 23. Herbicide 02. Adhesive 24. Insecticide 03. Aerosol 25. Instructional 04 . Anesthetic 26. Lubricant 05. Bactericide 27. Medical Aid or Process 06. Blasting 28. Neutralizer 07. Catalyst 29. Painting 08.. Cleaning 30. Pesticide 09. Coolant 31. Plating 10. Cooling 32. Preservative 11. Drilling 33. Refining 12. Drying 34. Sealer 13. Emulsifier/Demulsifier 35. Spraying 14. Etching 36. Sterilizer 15. Experimental 37. Storage 16. Fabrication 38. Stripper 17. Fertilizer 39. Washing 18. Formulation 40. Waste 19. Fuel 41 . Water Treatment 20. Fungicide 42. Welding Soldering 21 . Grinding 43. Well Injection 22. Heating 44. Oil Treatment 99. OTHER-Specify on HAZARD CODES EXPL - Explosive ORMA - Anesthetic, Irritant CMLQ - Combustible Liquid ORME - Hazardous Waste CMSL - Combustible Solid ORMS - Other regulated Material B,C,and D CRMT - Corrosive Material. PSNA - Poison A (Gas) FLGS - Flammable Gas PSNB - Poison B (Liquid or Solid) FLLQ - Flammable Liquid RADI - Radioactive • FLS:. - Flammable Solid WATR - Water Reactive NFLG - Non-Flammable Gas ETIO - Etiological Agent OGPR - Organic Peroxide PYRO - Pyrophoric, Hypergolic or spontaneously combustible ONID - Oxidizer . • CRY,0 - Cryogenics KERN COUNTY F DEPARTMENT I .D. i FORM-1 page / of j N O N — T R A D E S E C R E T S H A Z A R D O U S M A T E R I A L S I N V E N T O R Y BUSINESS NAME : �ylv1 M'kmco,Q CQ,wIQa- OWNER NAME: C-.)t"� FACILITY UNIT ADDRESS : ( �3nr-'-L4&a-llwPA ADDRESS : lb45 ,AA't-v FACILITY UNIT NAME : Goa CITY, ZIP : -,:WOE CITY, ZIP: (60 3v i PHONE PHONE is OFFICIAL USE CFIRS CODE ONLY 1 2 3 4 S 8 7 8 9 - . 10 TYPE MAX ANNUAL CONT USE LOCATION IN -THIS % BY HAZARD D.O. T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE ` n R-M A �5�9� ri r�lv Sa UV D A, Z' vim • NAME : 2�; �5 TITLE : IQV0,•s;2✓. SIGNATURE : DATE EMERGENCY CONTACT: (!: C&a gf0AJ TITLE :X4vtvAR4 PHONE S BUS HOURS: T.26,9-07V,1 -. AFTER BUS H R S : -71sf EMERGENCY CONTACT: . S � TITLE : s�""^� PHONE i BUS HOURS : sz ^ .` 'PRINCIPAL BUSINESS ACTIVITY: 2&& Qo, X 7- AFTER BUS HRS : 32� - 2oB � HMCU-9 CONTAINER CODES � �tYPE CODES , 01 . Underground Tank P = Pure 02• Aboveground Tank M = Mixtures of pure 03. Fixed Pressurized Tank substances 40Portable Pressurized Cylinders W ■ Wastes (Also add . Insulated Tank (Includes Cryogenics) appropriate waste 06. Drums or Barrels - Metallic code) 07. Drums or Barrels - Non-Metallic 08. Carboy(s) 09. Glass Containers) 10. Plastic Container(s) 11 . Box(es) UNIT CODES 12. Bag(s) 13. Metal Containers (Not Drums) LBS - Pounds 14. In Machinery or processing equipment TON - Tons (2,000 lbs) 15, Bin(s) GAL - Gallons 99. OTHER - Specify on separate sheet BBL - Barrels , (42 gals) Ft3 = Cubic Feet CUR - Curies USE CODES 01 . Additive 23. Herbicide 02. Adhesive 24. Insecticide 03. Aerosol 25. Instructional 04. Anesthetic 26. Lubricant 05. Bactericide 27. Medical Aid or Process 06. Blasting 28. Neutralizer 07. Catalyst 29. Painting 08. Cleaning 30. Pesticide 09. Coolant 31. Plating � Cooling 32. Preservative . Drilling 33. Refining 12. Drying 34. Sealer 13. Emulsifier/Demulsifier 35. Spraying 14. Etching 36." Sterilizer 15. Experimental 37. Storage 16. Fabrication 38. Stripper 17. Fertilizer 39. Washing 16. Formulation 40. Waste 19. Fuel 41. Water Treatment 20. Fungicide .42, Welding Soldering 21. Grinding 43. Well Injection 22. Heating 44. Oil Treatment 99. OTHER-Specify on HAZARD CODES EXPL -. Explosive ORMA - Anesthetic, Irritant CMLQ - Combustible Liquid ORME - Hazardous Waste CMSL - Combustible Solid ORMS - Other regulated' Material B,C,and D CRMT - Corrosive Material PSNA - Poison A (Gas) FLGS - Flammable Gas PSNB - Poison B (Liquid or Solid) FLLQ - Flammable Liquid RADI - Radioactive Si. Flammable Solid WATR - Water Reactive LG - Non-Flammable Gas ETIO - Etiological Agent OGPX - Organic Peroxide PYRO - Pyrophoric, Hypergolic or spontaneously combustible OXTD - Oxidizer CR1O Cryogenics i 4� V 9 N COUNTY FIRE DEPARTMENT 5642 VICTOR STREET BAKERSFIELD, CA 93308 'APR 12 ,;. • OFFICIAL USE ONLY KCf'D d=1MCU ID# _ 9J4 � _ BUSINESS NAME: B U S I NE S S PLAN SINGLE FACILITY UNIT FORM 31A INSTRUCTIONS 1 ., To avoid further action, this form must be returned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as possible. FACILITY UNIT# 8997-M FACILITY UNIT NAME: Housekeeping SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDURES Materials used are generally non-hazardous . In the event of a spill , the area would be blocked off , the spill confined by .use of diatomaceous earth or other absorbent material , and the spill wiped up. If solid material is spilled , area may be washed down iafter the material is wiped up . A Wet Vacuum may be used to clean up liquid material . Material would be disposed of through the sewer system with copious amounts of water . SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES AT THIS UNIT ONLY Telephone operator notified of any spill of hazardous material . . Evacuation of employees would be through the loading area ad- jacent to the Housekeeping Office. and storage area . HMCU-6 SECTION 3.: ..HAZARDOUS MATERIALS FOR THIS UNIT ONLY z1. Does this Facility Unit contain Hazardous Materials?. . . . . . ES NO • If YES, see B. If NO, continue with SECTION 4. B. Are any of .the hazardous materials a bona fide Trade Secret as defined by Section 6254.7 of the Government ,Cade?. . . . . . . . . YES NO If No, complete a separate hazardous materials .inventory form marked: NON-TRADE SECRETS ONLY (white form #4A-1) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (yellow form *4A-2) in addition to the non-trade secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION Use ' of fire extinguishers . Use of fire brigade team if necessary. SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS On loading dock located adjacent to Housekeeping areas . EECTION: 6 ' LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY. • A:. NAT GAS/PROPANE None B. ELECTRICAL: Directly outside Housekeeping Office door C.: WATER: In laundry room D. :SPECIAL: none E. LOCK BOX: YES / N IF YES, LOCATION: IF YES, SITE PLANS? YES / NO MSDSs? YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO HMCU-6 j ENVIRONMENTAL HEALTH A"CES DEPARTMENT RES&CE MANAGEMENT AGENCY MATTHEW CONSTANTINE,R.E.H.S.,Director DAVID PRICE III,RMA DIRECTOR 2700"M"STREET,SUITE 300 Animal Control Department BAKERSFIELD,CA 93301-2370 Community and Economic Development Department Voice: (661)862-8700 ' °r Engineering and Survey Services Department Fax: (661)862-8701 Environmental Health Services Department TTY Relay: (800)735-2929 Planning Department Web: www.co.kern.ca.us/eh Roads Department E-mail: eh @co.kern.ca.us December 08, 2008 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Date: 12/05/2008 Facility ID: FA0003356 File#: 004453 Facility Name: KERN MEDICAL CENTER Inspection Type Site Address: 1700 MT VERNON AVE BAKERSFIELD, CA 93305 0 Routine ❑ Reinspection ❑ Complaint Phone: (661)326-2468 PROGRAMS INSPECTED: ❑ Business Plan ❑ HW Generator O UST ❑ AGT ❑ CalARP REINSPECTION REQUIRED: ❑ Business Plan ❑ HW Generator ❑ UST ❑ AGT ❑ CalARP COMMENTS: Go to http://WWW.Co.kern.ca.us/eh/cupaprogram.asp for forms and information. GPS Coordinates: Latitude: Longtitude: INSPECTOR: VICKY CHEUNG DATE: 12/05/2008 Page 1 of 3 a • , FACILITY NAME: KERN MEDIC ENTER ADDRESS: 1700 MT VON AVE FA ID: FA0003356 BAKERSFIELD, CA 933 FILE ID: 004453 VIOLATION YES NO/NA VIOL.# UNDERGROUND STORAGE TANK(UST) INSPECTION REQUIREMENTS ❑ © UT01 Facility has a site certificate of financial responsibility for Underground Storage Tanks on file with regulatory agency[HSC 25292.2(a)] O ❑ UT02 Facility has an approved designated operator and that operator is performing the required inspections and training [CCR 2715]. Z ❑ UT03 Facility has a written monitoring and response plan for USTs on site and on file with regulatory agency[CCR 2632(d)(1)&2641(h)]. ❑ R UT05 Facility completed an annual monitoring system certification for an underground storage tank system and submitted it to the regulatory agency[CCR 2630(d)26410)]. ❑ 19 UT06 Cathodic Protection systems for underground storage tank systems(where appropriate) certified every three years. Facility provided certification results to regulatory agency [CCR 2635(a)2662(b)]. ❑ ❑o UT07 Secondary containment systems for undeground storage tank systems tested every three years. Facility provided results to the agency[CCR 2637(a)]. ❑ 1@ UT08 Underground storage tank systems(with single walled components) within 1000'of a drinking well must be tested with enhanced leak detection methods(ELD)every three years. Facility provided results to regulatory agency[CCR 2635(a)&2662(a)]. ❑ UT11 Facility's underground storage tank monitoring system is functioning as designed [CCR 2632]. ❑ 19 UT12 The underground storage system at the facility is monitored according to site's monitoring plan or permit[HSC 25293]. ❑ 19 UT13 Monitoring records for the undeground storage tank system are available upon request [CCR 2712(b)]. ❑ 10 UT14 Overspill and overfill equipment for underground storage tank(s) is present, properly installed,and functioning [CCR 2635]. ❑ 91 UT16 Change of ownership or monitoring method reported to the permitting agency within 30 days of change(HSC 25284(c); CCR 2712). ❑ 9 UT22 Under Dispenser Containment(UDC) installed. [HSC 25284.1 (a)(5)(c)]. ❑ 9 UT23 Under Dispenser Containment(UDC) has approved and functional monitoring equipment. [CCR 2636(f)(1)and(g)]. ❑ 0 UT24 Leak detection sensors are properly secured at lowest point in sumps and annular spaces. [CRR 2641(a)]. 0 ❑ UT25 Monitoring system shuts down the pump if a release is detected or the monitor fails or is disconnected(Positive Shut Down(PSD)).Annual line integrity testing completed if no PSD. [CCR 2636(f)] . ❑ O UT26 Automatic line leak detectors installed on pressurized piping that detects a 3.0 gph leak. [CCR 2636(f)(2)]. ❑ 9 UT27 Secondary containment&overspill containers are liquid/debris free. [CCR 2631(d)(4)& 2635(b)(1)] ❑ O UT28 No liquid leaks visible. [CCR 2632] ❑ 9 UT29 Fuel filters managed properly. [HSC 25189(a)] ❑ 10 UT30 Documentation of hazardous and designated waste disposal. [Title 22 CCR 66262.23] INSPECTOR: VICKY CHEUNG DATE: 12/05/2008 Page 2 of 3 FACILITY NAME: KERN MEDIC ENTER ADDRESS: 1700 MTV ON AVE FA ID: FA0003356 BAKERSFIELD, CA 93 FILE ID: 004453 SUMMARY OF OBSERVATIONS/VIOLATIONS ❑ No violations of underground storage tank, hazardous materials, or hazardous waste laws/regulations were discovered. KERN CUPA greatly appreciates your efforts to comply with all the laws and regulations p Violations were observed/discovered as listed below. All violations must be corrected by implementing the corrective action listed by each violation. If you disagree with any of the violations or corrective actions required, please inform the CUPA in writing. ALL VIOLATIONS MUST BE CORRECTED WITHIN 30 DAYS OR AS SPECIFIED. CUPA must be informed in writing with a certification-that compliance has been achieved. A false statement that compliance has been achieved is a violation of the law and punishable by a fine of not less than$2,000 or more than$25,000 for each violation. Your facility may be reinspected any time during normal business hours. If a second reinspection becomes necessary due to non compliance,a reinspection charge of$100.00 per hour may be charged to the facility. You may request a meeting with the Program Manager to discuss the inspection findings and/or the proposed corrective actions. The issuance of this Summary of Violations does not preclude the CUPA from taking administrative,civil, or criminal action. FACILITY NAME: KERN MEDICAL CENTER ADDRESS: 1700 MT VERNON AVE FA ID: FA0003356 BAKERSFIELD, CA 93305 FILE ID: 004453 VIOLATIONS VIOL. NO VIOL.TYPE CORRECTIVE ACTION REQUIRED UT02 CLASS II VIOLATION Contract with an approved designated operator and/or have that operator perform the required monthly inspections and employee training. DESIGNATED OPERATOR NEEDS TO PERFORM ANNUAL TRAINING TO FACILITY EMPLOYEES. D.O.WAS PERFORMING TRAINING THE SAME DAY. , UT25 CLASS II VIOLATION Complete line integrity testing (0.1 gph)or reprogram monitor to provide PSD. PLEASE PERFORM ANNUAL LINE TEST. LAST LINE TEST WAS COMPLETED IN 1996 WITHIN 30 DAYS. UT03 MINOR VIOLATION File written monitoring and response plan for USTs with regulatory agency and keep a copy on site. PLEASE SUBMIT UPDATED COPIES OF TANK REGISTRATION FORMS A, B,AND C TO OUR OFFICE WITHIN 30 DAYS. INSPECTION COMMENTS: INSPECTOR: VICKY CHEUNG SIGNATURE OF FACILITY REP: DATE: 12/05/2008 Certification: I certify under penalty of perjury that this facility has complied with the corrective actions listed on this inspection form. Signature of Owner/Operator: Title: Date: Page 3 of 3 ENVIRONMENTAL HEALTH SERVICES DEPARTMENT RESOURCE MANAGEMENT AGENCY MATTHEW CONSTANTINE, R.E.H.S., Director DAVID PRICE 111, RMA DIRECTOR 2700"M"STREET,SUITE 300 • Community and Economic Development Department BAKERSFIELD,CA 93301-2370 Engineering&Survey Services Department Voice: (661)862-8700 Environmental Health Services Department Fax: (661)862-8701 Planning Department TTY Relay: (800) 735-2929 • r Roads Department e-mail:eh @co.kem.ca.us UNIFIED HAZARDOUS MATERIALS PROGRAM Date -5,--wcO Facility I.D. # F'Pt oo D S3 (o Facility Name I__ VO-n Mcei ieG l E ery iR- EPA I.D. # Facility Address 103,0 r-'1OwiF­9- G4 . Program Type ❑ CB ❑ CG ❑ CA ' KCS fa:I l[•P�K�Fi p,�cl , C►9' ❑ Other Mailing Address Person Interviewed ' IeiilP� Title DOL I NOTICE OF VIOLATION AND ORDER TO COMPLY The following conditions or practices are violations of one or more sections of the California Health and Safety Code or the California Code of Regulations, Title 22, relating to the "storage, handling, transportation, and disposal of hazardous material" or the Ordinance Code of Kern County, Division 8, "Underground Storage of Hazardous Substances." � De-c-jana+e ne&ois -b a-r)n.I,tAj tre4-��-,t 1141M �,rhl�ltxgs ple S& su.brn -I- l t.polG( ?Gvn leegis �t fi ,,�►•,s �3, G. V 161-,0 -cal V_�m eo(e -Z-- G� SP1eXj wAsr�PC� I/15 �-zoy8 . Your signature acknowledges receipt of a copy of this report and is not an admission of guilt. Failure t fully mply with this "Notice and Order" may result in further legal action. ner or Au orize epresentative s a erla s Sp list/inspector White-Original Canary-Facility File Pink-Specialist ENVIRONMENTAL HEALTH 580 4113 2086(4/06) ENVIRONMENTAL HEALTH SLICES DEPARTMENT RESOU&MANAGEMENT AGENCY MATTHEW CONSTANTINE, R.E.H.S., Director DAVID PRICE 111, RMA DIRECTOR 2700"M"STREET,SUITE 300 Community and Economic Development Department BAKERSFIELD,CA 93301-2370 Engineering&Survey Services Department Voice: (661)862-8700 Environmental Health Services Department Fax: (661)862-8701 Planning Department TTY Relay: (800)735-2929 Roads Department e-mail:eh @co.kem.ca.us November 15, 2007 CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Date: 11/12/2007 Facility ID: FA0003356 File#: 004453 Facility Name: KERN MEDICAL CENTER Inspection Type Site Address: 1830 FLOWER ST BAKERSFIELD, CA 93305 0 Routine ❑ Reinspection Phone: (661)326-2468 ❑ Complaint. PROGRAMS INSPECTED: 0 Business Plan 0 HW Generator 0 UST O AGT ❑ CaIARP REINSPECTION REQUIRED: ❑ Business Plan ❑ HW Generator 0 UST ❑ AGT ❑ CalARP VIOLATION YES NO/NA VIOL.# BUSINESS PLAN REQUIREMENTS ❑ 0 BP01 Inventory of hazardous materials is accurate, up to date,and complete[HSC 6.95, 25504, Title 19 CCR 2729]. ❑ 0 BP02 Site layout/facility maps are accurate[HSC 6.95,25504;Title 19 CCR 2729]. ❑ 0 BP03 Hazardous materials are stored in properly labeled and non-detoriated containers[HSC 25124(b)(3)(A&B)]. ❑ O BP04 The hazardous materials inventory shall be submitted annually on or before March 1 [Title 19 CCR 2729.4(b)]. ❑ 0 ER01 Contingency Plan is complete, updated,and maintained on site[HSC 6.95,25504;Title 19 CCR 2731 Title 22 CCR 66265.53-54]. ❑ 0 ER02 Facility is operated and maintained to prevent/mitigate fire,explosion,or releases of hazardous material or waste which could threaten human health or the environment[Title 22 CCR 66265.31;Title 19 CCR 2731]. ❑ O ER03 Business has equipment required to,or appropriate for,safely handling hazardous materials[Title 22 CCR 66265.32&.341. ❑ 0 TR01 Facility has a training program appropriate for the size and complexity of business and nature of hazardous materials handled[Title 19 CCR 2732;Title 22 CCR 66265.16]. ❑ 0 TR02 Training documentation is maintained on site for current personnel. [Title 19 CCR 2732;22 CCR 66265.16]. VIOLATION ABOVE GROUND STORAGE TANKS ❑ 0 AT01 SPCC Plan prepared, reviewed,and certified by a registered engineer within last 5 years [HSC 6.67 S25270]. COMMENTS:Go to http:l/www.co.kern.ca.us/eh/HazMatPage.asp for forms and information. GPS Coordinates: Latitude: Longtitude: INSPECTOR: MICHAEL P ARANDA DATE: 11/12/2007 Page 1 of 5 • • f FACILITY NAME: KERN MEDI CENTER ADDRESS: 1830 FLO ST FA ID: FA0003356 C BAKERSFIELD, CA 93� FILE ID: 004453 HAZARDOUS WASTE GENERATOR EPA ID NUMBER: CAD 982 020 315 VIOLATIONS YES NOMA VIOL.# GENERATOR REQUIREMENTS ❑ © GR01 Generator has an EPA Identification number to treat,store, dispose,transport,or transfer hazardous waste[Title 22,CCR 66262.12]. ❑ © GR02 The facility has made an appropriate waste determination for hazardous based on own knowledge or analysis or other[Title 22,CCR 66262.11] ❑ 19 GR03 Facility Personnel demonstrate awareness of proper(legal) hazardous-waste handling procedures. [Title 22,CCR,66262.34(d)(2)]. ❑ 9 GA01 Hazardous waste has not accumulated for more than 901180/270 days(depending upon volume/circumstances)without the facility having a hazardous waste storage permit [Title 22,CCR,66262.34(a).] ❑ 9 GA02 Empty containers or inner liners greater than 5 gallons have dates when emptied and are managed properly within one year of date emptied[Title 22,CCR, 66261.7(f)]. ❑ 9 GA03 Universal waste is not accumulated at facility for more than one year[Title 22,CCR, 66273.15(a);66273.35(a)]. ❑ 9 GA04 The facility disposes used oil filters within 180 days of generation(or one year if less than 1 ton are accumulated)[Title 22,CCR,66266.130(c)(4)]. ❑ 0 GA05 The facility disposes lead-acid batteries within 180 days of generation(or one year if less than 1 ton are accumulated)[Title 22,CCR,66268.81(a)(6)] ❑ 10 GC01 Hazardous waste storage containers are in good condition [Title 22,CCR,66262.34(a)(1) (A)]. ❑ 19 GCO2 Containers holding hazardous waste are closed/sealed except when adding/removing waste[Title 22,CCR,66262.34(a)(1)(A)].] ❑ O GC03 The facility documents weekly inspections of hazardous waste storage area/containers [Title 22,CCR,66265.15(d)and 66262.34(a)(1)(A)]. ❑ © GC04 The facility documents daily inspections of tanks where hazardous waste is stored [Title 22,CCR 66262.34(a)(1)(A)]. ❑ N GC05 The facility has adequate secondary containment for hazardous waste tank systems [Title 22,CCR 66262.34(a)(1)(A)]. ❑ 0 GC06 Containers utilizing satellite accumulation rules are at or near the point of generation [Title 22, CCR 66262.34(e)(1)(A)]. ❑ © GC07 Satellite wastes are managed according to the regulations(complete labeling, accumulation times,55-gallon or 1 quart volume limits,etc.). [Title 22,CCR,66262.34(e)]. ❑ 19 GR04 Manifests or LDRs are properly completed and/or retained by generator for 3 years[Title 22,CCR 66262.23(a)(1); 66263.42;66263.24;66262.34(a)(4)]. ❑ © GR05 The facility filed an exception report to DTSC after not receiving the signed TSDF copy of a manifest within 35 days[Title 22,CCR,66262.42]. ❑ 19 GR06 The facility has copies of bills of lading or receipts for removal of hazardous wastes[HSC 25160.2-Consolidated manifests/66266.81(a)(6)(B)-lead acid batteries/66266.130-oil filters].The facility shall maintain copies of receipts for at least three years. ❑ 9 GR07 The facility submitted a hazardous waste recycling report[HSC 25143.10] ❑ 19 GT01 The facility is conducting on-site treatment of hazardous waste with a tiered permit[HSC 25189.5(d)] ❑ GT02 Authorized, licensed,and certified hazardous waste haulers are used to transport hazardous waste to appropriate facilities[H&S Code Chapter 6.5 Section 25163]. ❑ GT03 Hazardous wastes are sent to authorized disposal facilities [HSC 25189.5]. ❑ GT04 Hazardous waste is not disposed to ground,water,or air[HSC 25189.5]. INSPECTOR: MICHAEL P ARANDA DATE: 11/12/2007 Page 2 of.5 FACILITY NAME: KERN MEDIC ' CENTER ADDRESS: 1830 FLOW ST FA ID: FA0003356 BAKERSFIELD, CA 933110 FILE ID: 004453 VIOLATIONS YES NO/NA VIOL.# GENERATOR REQUIREMENTS © ❑ GL01 Containers of hazardous waste are properly labeled(includes appropriate accumulation date,the words"HAZARDOUS WASTE,"the waste composition/physical state,the hazardous properties,and name/address of generator)[Title 22, CCR,66262.34(f)]. ❑ © GL02 Containers of excluded recyclable materials are properly labeled[HSC 25143.9(a)]. ❑ O OL03 Containers of universal waste are properly labeled. [Title 22,CCR,66273.14 for SOH or 66273.34 for LQH]. ❑ 19 GL04 Containers of drained used oil filters are labeled with the words"DRAINED USED OIL FILTERS"[Title 22,CCR,66266.130(c)(3)]. ❑ 9 GL05 Accumulation dates are marked on spent lead-acid batteries[22CCR 66266.81] ❑ 9 GL06 Tanks/containers of used oil destined for recycling are clearly marked with the words "USED OIL"[HSC 25143.9(a)]. ❑ 9 GL07 Empty contaminated containers are clearly marked with the date they were emptied [Title 22,CCR, 66261.7(f)]. INSPECTOR: MICHAEL P ARANDA DATE: 11/1212007 Page 3 of 5 0 FACILITY NAME: KERN MEDICENTER ADDRESS: 1830 FLOW�ST FA ID: FA0003356 BAKERSFIELD, CA 933 FILE ID: 004453 VIOLATION YES NO/NA VIOL.# UNDERGROUND STORAGE TANK(UST) INSPECTION REQUIREMENTS ❑ 0 UT01 Facility has a site certificate of financial responsibility for Underground Storage Tanks on file with regulatory agency[HSC 25292.2(a)] ❑ 0 UT02 Facility has an approved designated operator and that is performing the required inspections and training [CCR 2715]. ❑ UT03 Facility has a written monitoring and response plan for USTs on site and on file with regulatory agency[CCR 2632(d)(1)&2641(h)]. 0 ❑ UT05 Facility completed an annual monitoring system certification for an underground storage tank system and submitted it to the regulatory agency[CCR 2630(d)26410)]. ❑ UT06 Cathodic Protection systems for underground storage tank systems(where appropriate) certified every three years. Facility provided certification results to regulatory agency [CCR 2635(a)2662(b)]. 0 ❑ UT07 Secondary containment systems for undeground storage tank systems tested every three years. Facility provided results to the agency[CCR 2637(a)]. ❑ O UT08 Underground storage tank systems(with single walled components) within 1000'of a drinking well must be tested with enhanced leak detection methods(ELD)every three years. Facility provided results to regulatory agency[CCR 2635(a)&2662(a)]. ❑ ❑D UT11 Facility's underground storage tank monitoring system is functioning as designed[CCR 2632]. ❑ 0 UT12 The underground storage system at the facility is monitored according to site's monitoring plan or permit[HSC 25293]. ❑ 0 UT13 Monitoring records for the undeground storage tank system are available upon request [CCR 2712(b)]. ❑ 0 UT14 Overspill and overfill equipment for underground storage tank(s) is present, properly installed,and functioning [CCR 2635]. ❑ 0 UT16 Change of ownership or monitoring method reported to the permitting agency within 30 days of change(HSC 25284(c);CCR 2712). ❑ 0 UT22 Under Dispenser Containment(UDC)installed. [HSC 25284.1 (a)(5)(c)]. ❑ 0 UT23 Under Dispenser Containment(UDC)has approved and functional monitoring equipment. [CCR 2636(f)(1)and(g)]. ❑ 0 UT24 Leak detection sensors are properly secured at lowest point in sumps and annular'spaces. [CRR 2641(a)]. ❑ 0 UT25 Monitoring system shuts down the pump if a release is detected or the monitor fails or is disconnected(Positive Shut Down(PSD)).Annual line integrity testing completed if no PSD. [CCR 2636(f)] . ❑ 0 UT26 Automatic line leak detectors installed on pressurized piping that detects a 3.0 gph'leak. [CCR 2636(f)(2)]. ❑ 0 UT27 Secondary containment&overspill containers are liquid/debris free. [CCR 2631(d)(4)& 2635(b)(1)] ❑ 0 UT28 No liquid leaks visible. [CCR 2632] ❑ 0 UT29 Fuel filters managed properly. [HSC 25189(a)] ❑ O UT30 Documentation of hazardous and designated waste disposal. [Title 22 CCR 66262.23] INSPECTOR: MICHAEL P ARANDA DATE: 11/12/2007 Page 4 of 5 • • .i FACILITY NAME: KERN MEDI CENTER ADDRESS: 1830 FLO ST FA ID: FA0003356 BAKERSFIELD, CA 93V FILE ID: 004453 SUMMARY OF OBSERVATIONS/VIOLATIONS ❑ No violations of underground storage tank, hazardous materials,or hazardous waste laws/regulations.were discovered. KERN CUPA greatly appreciates your efforts to comply with all the laws and regulations p Violations were observed/discovered as listed below. All violations must be corrected by implementing the corrective action listed .by each violation. If you disagree with any of the violations or corrective actions required, please inform the CUPA in writing. ALL VIOLATIONS MUST BE CORRECTED WITHIN 30 DAYS OR AS SPECIFIED. CUPA must be informed in writing with a certification that compliance has been achieved. A false statement that compliance has been achieved is a violation of the law and punishable by a fine of not less than$2,000 or more than$25,000 for each violation. Your facility may be reinspected any time during normal business hours. If a second reinspection becomes necessary due to non compliance,a reinspection charge of$85.00 per hour may be charged to the facility. You may request a meeting with the Program Manager to discuss the inspection findings and/or the proposed corrective actions. The issuance of this Summary of Violations does not preclude the CUPA from taking administrative,civil,or criminal action. FACILITY NAME: KERN MEDICAL CENTER ADDRESS: 1830 FLOWER ST FA ID: FA0003356 BAKERSFIELD, CA 93305 FILE ID: 004453 VIOLATIONS VIOL. NO VIOL.TYPE CORRECTIVE ACTION REQUIRED GI-01 CLASS II VIOLATION The facility shall clearly mark all containers with the following: 1)the words "Hazardous waste," 2)composition and physical state,3)hazard. property,4) name and address of the generator,and 5)accumulation start date. Satellite waste collection container in histology lab is not properly labeled. UT07 CLASS II VIOLATION Test secondary contanment system or if recently tested provide written results to regulatory agency. Secondary containment testing was due by 2119/06. UT05 CLASS II VIOLATION Complete annual monitoring system certification and provide written results to regulatory agency. Last monitoring certification performed on 12/22/05, per file review. Facility does not have any records on site to indicate a monitoring certification was performed during the 2006 calendar year. INSPECTION COMMENTS: INSPECTOR: MICHAEL P ARANDA SIGNATURE OF FACILITY REP: DATE: 11/12/2007 Certification: I certify under penalty of perjury that this facility has complied with the corrective actions listed on this inspection form. Signature of Owner/Operator: Title: Date: Page 5 of 5 ENVIRONMENTAL HEALTH SERVES DEPARTMENT RESOURCEMANAGEMENTA GENIC Y STEVE McCALLEY, R.E.H.S., Director DAVID PRICE III, RMA DIRECTOR 2700"M"STREET,SUITE 300 Community and Economic Development Department BAKERSFIELD,CA 93301-2370 " Engineering&Survey Services Department Voice:(661)862-8700 "ffi ��€r Environmental Health Services Department Fax:(661)862-8701 Planning Department TTY Relay:(800)735-2929 Roads Department e-mail:eh @co.kern.ca.us CERTIFIED UNIFIED PROGRAM AGENCY INSPECTION REPORT Date: leg Type of Inspection: x Routine ❑ Re-inspection ❑ Complaint Programs Inspected: ❑ Business Plan/UFC Article 80 ❑ AST ❑ HW Generator U T 000 8 ❑ Cal ARP Envision Facility ID#: Business Plan#: D s3 Facility Name: Facility Location: 'g 0 ��UItiJ Pi✓' -. City: C-Com liant NA-Not Applicable I-Class I Violation II-Class 11 Violation M-Minor Violation C NA Code GENERAL REQUIREMENTS I II M COMMENTS TRAINING Facility has training program appropriate for size of busi- TROI ness and nature of hazardous materials handled(Title 19, §2732). . TR02 Training documentation is maintained for current personnel (Title 19,§2732). CONTINGENCY/EMERGENCY PLAN Contingency plan is complete,updated and maintained on ERO1 site(HSC 6.95,§25504,Title 19 CCR,§2731,Title 22 CCR,§66265.53-54). Maintains and operates facility to minimize a release of ER02 hazardous waste to the environment which could threaten human health(Title 22 CCR,§66265.31). ER03 Maintains all required or appropriate equipment(Title 22 CCR,§66265.32-.34). BUSINESS PLAN BPOI Inventory of hazardous materials is complete(HSC 6.67, §25504,Title 19 CCR§2729). BP02 Site layout/facility maps are accurate(HSC 6.67,§25504, Title 19 CCR§2729). ABOVE GROUND STORAGE TANKS #of Tanks: Total Volume: bbls or gal Product Stored: ❑ Diesel ❑ Gasoline ❑ Crude Oil ❑ AT01 1 SPCC Plan prepared as required(HSC 6.67,§25270) Re-inspection Required:XNo ❑ Yes ❑ Business Plan/UFC ❑ HW Generator ❑ UST ❑ AST ❑ Cal ARP CONSENT: Consent to conduct inspection, which may involve obtaining photographs,review and pying of records,and sampling to determine compliance with the Certified Unified Program Agency requirements. L GT/C FigC/L l ry 114&4, Facility Rep Signature Title Insp i re POST INSPECTION INSTRUCTIONS: • Within five days of correcting all violatioyS sign and return to the above Agency address,Attention:C7 O a— Signature(Violations have been corrected as noted) Date ENVIRONMENTAL HEALTH 580 4113 2097(8/03) . '�. , { : ; _ \, 'c • � -', ,. � i t . � T ._ . � x , . r -� �`, ���� -� i 0 • Permit#: I 02 00 0 BP#: UNDERGROUND STORAGE TANK(UST) �s-3 � Number of Tanks: C -CoMpliant NA-Not Lk2plicable I-Class I Violation II Class II Violation M-Minor Violation C NA Code I I I M COMMENTS PILE REVIEW(Review Date: O UTO1 Statement of Financial Responsibility submitted(HSC 25292.2(a)) UT02 Copy of Owner/Operator Agreement submitted(HSC 25284) UT03 Written Monitoring Plan submitted and approved(CCR 2632(d)(1),2641(h)) UT04 Written Response Plan submitted and approved(CCR 2632 (d)(2),2641 (h)) UTOS Annu 1 Mon'oring System Certification completed on •i . — Z and submitted(CCR 2630(d),26410)) Cathodic Protection System tested on UT06 (every three years)and the results submitted(CCR 2635(a), 2662(b)) UT07 Secondary Containment Systems tested on OL 9 V1E 2 - d ro . (every three years)and the results submitted(CICR 2 7(a)) Enhanced Leak Detection completed on UT08 (every three years)and the results submitted(CCR 2635(a), 2662(b)) SITE INSPECTION UT09 Written Monitoring Plan on site(CCR 2632(d)(1),2641(h) UT10 Written Response Plan on site(CCR 2632(d)(2),2641(h)) UTl l Monitoring equipment functioning as designed(CCR 2632) UT12 UST Systems monitored according to Written Monitoring Plan(HSC 25293) UT13 Monitoring records are provided upon request(within 36 hours)(CCR 2712(b)) Ldo Spill/Overfill equipment installed and maintained properly UT14 (CCR 2635) Type of overfill equipment: '41,7111% 90 UT15 60-day inspection log maintained for impressed cathodic protection systems(CCR 2635(a)(2)(A)) Changes in usage/conditions to operate/monitoring UT16 procedures of the UST system or ownership changes reported within 30 days(CCR 2712) 17 All unused tanks are properly closed(HSC 25298) UT18 Any unauthorized release was properly reported within 24 hours(HSC 25295) Dispenser pan(s)installed ❑ Yes No Type of monitoring: Comments: POST INSPECTION INSTRUCTIONS: • Within five days of correcting all violations, sign and return to the Agency at: Kern Co. Environmental Health Services Signature(Violations have been corrected as noted) Dept., 2700 "M" Street, Suite 300, Bakersfield, CA 93301, Attention: f° Date ENVIRONMENTAL HEALTH 580 4113.2088(8/03) • �Ri ; . , i- . � __ t; ENVIRONMENTAL HEALTH SEOCES DEPARTMENT SOURCE MANAGEMENT AGENCY STEVE McCALLEY, R.E.H.S., Director DAVID PRICE III, RMA DIRECTOR 2700"M"STREET,SUITE 300 Community and Economic Development Department BAKERSFIELD,CA 93301-2370 ® Engineering&Survey Services Department Voice:(661)862-8700 c. H Environmental Health Services Department Fax:(661)862-8701 Planning Department TTY Relay:(800)735-2929 Roads Department e-mail:eh @co.kern.ca.us CERTIFIED UNIFIED PROGRAM AGENCY INSPECTION REPORT J /C)3 Date: l Type of Inspection: Routine ❑ Re-inspection ❑ Complaint Programs Inspected: Business Plan/UFC Article 80 AST P,OOaZ�a;Lo HW Generator-P9,C 71nZ53 l`( UST P&C07 Ck Cal ARP Envision Facility ID#: A00 Business Plan#: �`l3 Facility Name: K cc v` , ` vw� Facility Location: N3Cn City: C-Comp liant NA-Not Lkp2licable I-Class I Violation II-Class II Violation M-Minor Violation C NA Code GENERAL REQUIREMENTS II I M COMMENTS TRAINING Facility has training program appropriate for size of busi- TRO1 ness and nature of hazardous materials handled(Title 19, §2732). TR02 Training documentation is maintained for current personnel (Title 19,§2732). CONTINGENCY/EMERGENCY PLAN y Contingency plan is complete,updated and maintained on /X ERO1 site(HSC 6.95,§25504,Title 19 CCR,§2731,Title 22 CCR,§66265.53-54). Maintains and operates facility to minimize a release of ER02 hazardous waste to the environment which could threaten human health(Title 22 CCR,§66265.31). xi I ER03 Maintains all required or appropriate equipment(Title 22 CCR,§66265.32-.34). BUSINESS PLAN 13P01 Inventory of hazardous materials is complete(HSC 6.67, \/ U °t +� Nil I'm c §25504,Title 19 CCR§2729). 'C o BP02 Site layout/facility maps are accurate(HSC 6.672§25504, Title 19 CCR§2729). ABOVE GROUND STORAGE TANKS #of Tanks: Total Volume: a c( r(&' bbls olo Product Stored: J!g Diesel ❑ Gasoline ❑ Crude Oil ❑ xi I ATO1 I SPCC Plan prepared as required(HSC 6.67,§25270) Re-inspection Required: ❑ No Yes ❑ Business Plan/UFC ] HW Generator jo UST El AST E] Cal ARP CONSENT: Consent to conduct inspection,which may involve obtaining photographs,review and cop 'ng of recor s,and sampling to determine compliance with the Certified Unified Program Agency requirements. 12acility Rep Signature Titl Inspector Signature POST INSPECTION INSTRUCTIONS: • Within five days of correcting all violations,sign and return to the above Agency address,Attention: Signature(Violations have been corrected as noted) Date ENVIRONMENTAL HEALTH 580 4113 2097(8/03) r �; � � ��_ r UNDERGROUND STORAGE TANK(UST) Permit#: ar (3 BP#: t u li5"W� N umber of Tanks: I C -Com liant NA-Not Applicable I-Class I Violation II-Class II Violation M-Minor Violation C NA Code I II M COMMENTS FILE REVIEW(Review Date: W 1 n UTO1 Statement of Financial Responsibility submitted(HSC 25292.2(a)) S 31—1 9 5 Y x UT02 Copy of Owner/Operator Agreement submitted(HSC 25284) UT03 Written Monitoring Plan submitted and approved(CCR i� 2632(d)(1),2641(h)) �C }�A Qnfl UT04 Written Response Plan submitted and approved(CCR 2632 (d)(2),2641 (h)) o r� UT05 Annual Monitoring System Certification completed on and submitted(CCR 2630(d),2641(j)) u Cathodic Protection System tested on t4h UT06 (every three years)and the results submitted(CCR 2635(a), 2662(b)) UT07 Secondary Containment Systems tested on .03 (every three years)and the results submitted(CCR 2637(a)) Enhanced Leak Detection completed on X UT08 (every three years)and the results submitted(CCR 2635(a), 2662(b)) SITE INSPECTION UT09 Written Monitoring Plan on site(CCR 2632(d)(1),2641(h) X UT10 Written Response Plan on site(CCR 2632(d)(2),2641(h)) X ALA_ c UTl 1 Monitoring equipment functioning as designed(CCR 2632) 1414r,- 711 UTl2 UST Systems monitored according to Written Monitoring Plan(HSC 25293) UT13 Monitoring records are provided upon request(within 36 hours)(CCR 2712(b)) )) l Spill/Overfill equipment installed and maintained properly �rinsa r r3�.-f }� /a C'{t.� t e O F ok UT14 (CCR 2635) Type of overfill equipment: �-ci,��r. A r c( O T�`t(ICCA PoG {.Z t dOD A UT15 60-day inspection log maintained for impressed cathodic protection systems(CCR 2635(a)(2)(A)) Changes in usage/conditions to operate/monitoring UT16 procedures of the UST system or ownership changes reported within 30 days(CCR 2712) UT17 All unused tanks are properly closed(HSC 25298) ,C UT18 Any unauthorized release was properly reported within 24 hours(HSC 25295) A Dispenser pan(s)installed ❑ Yes ❑ No Type of monitoring: Comments: POST INSPECTION INSTRUCTIONS: • Within five days of correcting all violations, sign and return to the Agency at: Kern Co. Environmental Health Services Signature(Violations have been corrected as noted) Dept., 2700 "M" Street, Suite 300, Bakersfield, CA 93301, Attention: Date ENVIRONMENTAL HEALTH 580 4113 2098(8/03) i t • • �t 1 SHAZARDOUS WASTE GENERATOR Waste Type Amount Lbs/Gal Montb/Year BP#: oil q & I Antifreeze EPA ID#: C-A\V C(!qoa )S F�feas ' Solvent . g p ( lMm Tiered Permit: F1 CESW E] CESQT ❑ CA ❑ PBR Sludge LJ s e- L -Gen r C-Com li t NA-Not A licable I-Class I Violation II-Class II Violation M-Minor Violation C NA I Code HAZARDOUS WASTE REQUIREMENTS I II M COMMENTS Recordkeeping/Docu mentation GR01 Generator has an EPA ID number k GR02 Hazardous waste determination made for all wastes ❑Analysis Generator knowledge ❑Other GR03 Facility personnel demonstrates training/awareness GR04 Manifests/LDR complete/retained for three years GR05 TSDF signed copy of manifest available within 35 days of waste'shipment GR06 Bills of lading/receipts available GR07 I On-site recycling reported using Recyclable Materials Report Container/Tank Management GCOI Containers are in good condition (,: GCO2 Containers are closed except when adding/removing —t&4p-a r 1. �1�GC03 Containers inspected and documented weekly ('a-r-'LJ 4t ` GC04 Tanks inspected and documented daily { GC05 Tanks have appropriate secondary containment GC06 Satellite containers at or near point of generation GC07 Satellite wastes managed as required Accumulation Time Limits GA01 Waste is accumulated less than 90/180/270 days ?X,--(—I, r x' GA02 Empty containers managed within one year GA03 Universal waste accumulated less than one year GA04 Used oil filters off site within 180 days(1 year if<1 ton) GA05 Lead-acid batteries off site within 180 days(I year if<1 ton) Labeling/Marking GL01 Containers are properly labeled X ce Y_ l we,4 C,� GL02 Excluded recyclable materials marked properly �C GL03 Universal waste container properly labeled GL04 Used oil filters marked"drained used oil filters" GL05 Date written,on spent lead-acid batteries GL06 "Used oil'marked on all used oil tanks/containers �Q GL07 Empty containers are marked properly Treatment,Transport and Disposal GTOI Treatment conducted with authorization/permit �( ' o l..Jro GT02 Waste sent with authorized transport(gen.eligible) , 3f GT03 Waste disposed of to authorized point/party I R.5�1 POST INSPECTION INSTRUCTIONS: • Refer to the back of this inspection report for regulatory citations and corrective actions Signature(Violations have been corrected as noted) • Within five days of correcting all violations, sign and return to the Agency at: Kern Co. Environmental Health Services Dept., 2700 "M" Street, Suite 300, Bakersfield, CA 93301, Attention: Date ENVIRONMENTAL HEALTH 580 4113 2081(8103)PAGE 1 CODE Description of violation[Regulatory/statutory citation]Corrective actions to be taken for minor violations(marked in the V'column on front) GRO1 The facility failed to obtain an EPA ID number[Title 22,CCR,66262.12]. For d California EPA ID#, contact"the Department of Toxic Substances Control at 1-800-618-6942 or download the application form at www.disc.ca.gov/PublicationsForms/GISS FORM 1358.nd1. For an EPA ID#, call 415-495-8895. GR02 The facility failed to make a waste determination for the waste noted on the front of this form[Title 22,CCR,66262.11]. Make a determination of the waste based on your knowledge(you can use MSDS or other documents for help)or have the waste sampled and sent to a state,-certified laboratory for analysis. GR03 Facility p ersonnel d id n ot d emonstrate that t hey w ere f amiliar with p roper w aste h andling procedures. [Tide 22,CCR, 66262.34(d)(2)]. Provide appropriate training to personnel. GRO4 The facility failed to complete or maintain hazardous waste manifests and/or Land Disposal Restriction notifications as required[Title 22, CCR, 66262.23(a)(1), 66262.34(a)(4)]. The facility shall complete and maintain manifests as required by law. The facility shall determine if its waste is subject to LDR requirements and,if so,ensure that a LDR is prepared and submitted with each shipment of waste. GR05 The facility failed to file an exception report to DTSC after not receiving the signed TSDF copy of a manifest within 35 days [Title 22, CCR, 66262.42]. Make a copy of the manifest and send it with a letter to DTSC,PO Box 400, Sacramento, CA 95812-0400 stating what you are doing to find out why you have not received the final,signed copy of the manifest. Include a signature and your findings in the cover letter. GR06 The facility failed to have copies of receipts for the removal of hazardous wastes[HSC 25160.2-Consolidated manifests/66266.81(a)(6)(B)-lead acid batteries/66266.130-oil filters]. The facility shall maintain copies of receipts for at least three years. GR07 The facility did not submit a recycling report[HSC 25143.10]The facility shall complete and submit the form 'Recyclable Materials Report."The form can be found at: www.co.kern.ca.us/eh/pdfs/GeneratorForms/KCForm2732Recvc lableMaterials.�d[ GCO1 The facility failed to maintain containers holding hazardous waste in good condition [Title 22, CCR, 66262.34(a)(1)(A)]. The contents of the containers noted shall immediately be transferred to a container in good condition. GCO2 The facility failed to keep containers closed except when adding/removing waste[Title 22,CCR,66262.34(a)(1)(A)]. The facility shall immediately close all containers and ensure that containers remain closed except when adding or removing waste. GC03 The facility could not demonstrate that containers were being inspected weekly[Title 22,CCR,66265.15(d)and 66262.34(a)(1)(A)]. The facility shall develop and implement a plan that ensures that all containers holding waste are inspected weekly and the inspections are documented. GC04 The facility could not demonstrate that tanks were being inspected daily[Title 22,CCR,66262.34(a)(1)(A)]. The facility shall keep a log showing that tanks holding waste are inspected daily. GC05 The facility failed to provide adequate secondary containment for waste tank systems[Title 22,CCR,66262.34((a)(1)(A). Submit a schedule for the construction of or engineering assessment of a secondary containment system that meets the requirements of Section 66265.193(b fi. GC06 Containers utilizing satellite accumulation rules were not at or near the point of generation[Title 22,CCR,66262.34(e)(1)(A)]. The facility shall move the satellite container to a location that is at or near the point of generation. GC07 Satellite wastes were not managed according to the regulations [Title 22, CCR, 66262.34(e)]. The facility shall ensure that the waste is handled, labeled and/or removed as required in the regulations.The waste shall be removed within one year or within 90/180/270 days of waste being added. GA01 The facility accumulated waste for greater than allowed time limits (Storage without a permit) [Title 22, CCR, 66262.34(a)]. The facility shall immediately arrange for the removal of the waste,and shall submit a copy of the manifest or bill of lading to KCERSD,demonstrating removal within the stated time frame. GA02 The facility failed to properly handle contaminated containers within 1 year[Title 22,CCR,66261.7(f)]. See GAO]above for corrections. GA03 The facility held universal wastes for greater than one year[Title 22,CCR,66273.15(a)or 66273..35(a)]. See GAO]above for corrections. GA04 The facility held drained used oil filters for,greater than 180 days/one year[Title 22,CCR,66266.130(c)(4)]. See GA01 above for corrections. GA05 The facility held lead acid batteries for greater than 180 days/one year[Title 22,CCR,66268.81(a)(6)]. See GAO]above for corrections. GLO1 The facility failed to properly label all containers. Containers,contents and missing information are noted on the front of this page[Title 22,CCR, 66262.34(f)]. The facility shall clearly mark all containers with the following: 1)the words Hazardous waste,"2)composition and physical state, 3) hazard property,4)name and address of the generator,and 5)accumulation start date. GL02 The facility failed to mark tanks/container(s)of excluded recyclable materials properly[HSC 25143.9(a)]. The tanks/containers of materials shall be clearly marked with the words 'Excluded recyclable material"instead of'hazardous waste." GL03 The facility failed to mark a container of universal waste properly [Title 22, CCR,66273.14 for SQH or 66273.34 for LQH]. The facility shall immediately mark all containers holding universal waste with the words Vniversal Waste-"and the appropriate contents. GL04 The facility failed to mark a container of drained used oil filters with the words"drained used oil filters"[Title 22,CCR,66266.130(c)(3)]. The facility shall mark all filter containers with the words drained used oil filters." GLO5 The facility failed to mark the date on which the battery was received[Title 22,CCR,66266.8 1(a)(6)(D)]. The facility shall immediately mark the date on each battery. GL06 The facility failed to mark a tank/container of used oil destined for recycling with the words"used oil"[HSC 25143.9(a)). Clearly mark all tanks and containers with the words 14sed oil." GL07 The facility failed to mark contaminated containers with the date emptied [Title 22, CCR, 66261.7(f)]. Clearly mark all containers with the date emptied. GT01 The facility failed to obtain a permit or other authorization for treatment of hazardous waste[HSC 25189.5(d)]. GT02 The facility failed to use a registered transporter/used a transporter or consolidated waste when they were not eligible[HSC 25165(a)/25160]. GT03 The facility disposed of hazardous waste at an unauthorized point[HSC 25189.5(a)]. ENVIRONMENTAL HEALTH 580 4113 2081(8/03)PAGE 2 COMMENTS PAGE (Optional) Envision Facility ID#:�t',mo 33S(o BP#: � Violation COMMENTS/NOTES Code# f/ LWrIg F-'- s G [.tToS �e�C Two L.t S Q ,' S o cc 0 C--4'q- r T S A [ 5'T . I o � C.a.IOG o� r^ rT � 7)o✓� C-9 (V- c-r C—*':- lid e T t obi`{ Co wr4d,, 'Dare a/^1 ✓ �cav c.�e 7 fGO �ic ��-- e'. � _ wra�{�•� l ��Gkc �.� k� r�O��..L .� A��ez, 77 G 2,2a Violations were observed/discovered as listed above. All violations must be corrected by implementing the action 1 isted by each violation. If you disagree with any of the violations or proposed action,please inform KCEHSD in writing. All minor violations must be corrected within 30 days or as specified. KCEHSD must be informed in writing, certifying that the violations have been corrected. A false statement that the violations have been corrected is a violation of the law and is punishable by a fine of not less that$2,000 or more than$25,000 for each violation. Your facility may be reinspected at any time. . You may request a meeting with the KCEHSD Program Manager to discuss the inspection findings and/or proposed corrective actions. The issuance of this Inspection Report does not preclude KCEHSD from taking administrative, civil, or criminal action as a result of the violations or that have not been corrected within the time specified. acility Rep Signature TWe Inspector Signature Date ENVIRONMENTAL HEALTH 580 4113 2081(8/03)PAGE 3 F KERN MEDICAL CENTER SiteID: 015-010-004453 9 Hazmat Inventory By Facility Unit 9 As Designated Order NUCLEAR MED r:F�LO2 Hazmat Common Name. . . SpecHaz EPA Hazards Frm DailyMax Unit MCP IODINE 123 R B IH DH L 99 . 00 MCI Ext CESIUM-133 k R B IH DH L 99 . 00 MCI Ext S art- l - S eP r Q 6--4-( � -2- 12/16/2003 y'V .. • J .. �.� f Eb�ERED 'F KERN MEDICAL CENTER SiteID: 015-010-004453 9 f== Hazmat Inventory By Facility Unit 9 f== As Designated Order LABORATORY 9 I jHazmat Common Name. . . SpecHaz EPA Hazards Frm DailyMax Unit MCP ISOPROPYL ALCOHOL F L J.-3 55 .8 GAL Mod XYLENE F DH L 55 . 00 GAL Mod wor6 ow `zjo -3- 12/16/2003 • .. ,;.i . . -, • E �RF KERN MEDICAL CENTER SiteID: 015-010-004453 9 Hazmat Inventory By Facility Unit 9 F=== As Designated Order MAINTENANCE DIVISION 9 Hazmat Common Name. . . SpecHaz EPA Hazards Frm DailyMax Unit MCP FREON 11 P IH DH G 200 . 00 LBS Min FREON 12 P IH DH G 200 . 00 LBS Min FREON 22 P IH DH G 200 . 00 LBS Low HYDROCARBON OIL F IH DH L 55 . 00 GAL Low CARBON DIOXIDE P IH G 1200 . 00 FT3 Min PAINT F P IH DH L 400 . 00 GAL Low ACETYLENE F P R IH G 600 . 00 FT3 Hi OXYGEN LIQUIFIED F P IH L 172500 . 00 FT3 Mod NITROUS OXIDE - K BOTTLES P IH DH G 18096 . 00 FT3 Hi 02 - H BOTTLES F P G 12000 . 00 FT3 Low 02 - E BOTTLES F P G 966 . 00 FT3 Low NITROGEN P IH G 5676 . 00 FT3 Min HELIUM P IH G 1200 . 00 FT3 Min SODIUM R IH DH L 55 . 00 GAL Mod ODIUM ACRYLATE RESIN-f,, V\)A(r,lo, R IH DH L 55 . 00 GAL Min YCLOHEXYLAMINE-----Vv6ck- oL F IH DH L 400 . 00 GAL Hi DIESEL - SOUTH TANK F IH DH L 10000 . 00 GAL Low CHEVRON 350 F R IH DH L 55 . 00 GAL UnR OXYGEN LIQUIFIED F P IH L 632500 . 00 FT3 Mod NITROUS OXIDE - E BOTTLES P IH DH G 702 . 00 FT3 Hi DIESEL - 0p2/fR F IH DH L 1500 . 00 GAL Low IESEL - ESC Id0 F IH DH L 1000 . 00 GAL Low RED BAG WASTE B F IH DH S 750 . 00 LBS Min 1 4 gee 1 'D�o� 1�=g„krr ra 1j, So �� fc, -4- 12/16/2003 ♦ , j}r a �t -. +` ,i 1 a' - State of California—Environmental Protection Agency See Instructions on back of d Form Approved OMB No.2050-0039(Expires 9.30.991 P Department of Toxic Substances Conlral', Please print or type. Form designed for use on elite f 12-pitch riter. Sacramento,California UNIFORM HAZARDOUS 1• Generator's US EPA ID No. Manifest Document No. 2. Page 1 Information in the shaded areas is not required by Federal low. WASTE MANIFEST 1 of 1 a 3. Generator's Name and Moiling Address A.State Manifest Document Number 22,213057 Kern ledical Center/County of Kern. 1930 Plover st. samrstleld, Cl' '91305 B. state Generators ID Ln LO 4. Generator's Phone( 66b 726-2322 r N 5. Transporter 1 Company Name 6. US EPA ID Number :C. State Transporter's ID[Reserved.] i N c Technologies Cl Al D 918121014-11191 6 0 ° Tra"'pane''`Phone (559) 441-1335 7. Transporter 2 Company Name B. US EPA ID Number E. State Transporter'sID[Reserved.) ® F. Transporter's Phone 9. Designated Focili Nam an Site Address 10. US EPA ID Number G. State Facility's ID d Souideone re, Technologies Z ZZ3 licoadwaY H. Fatah s Phone Q� y. (� 9 . '441-1335 C�o Fresno, CA 93721 C AND 191412101411191' ' 9 0 12. Containers 13. Total 14. Unit V 11. USLDOT Description(including Proper Shipping Nome,Hazard Class,and ID Number) No. Type Quantity Wt/Vol I. Waste Number Z o. Slate 541 ' Hazardous Baste Liquid., .H:O.S::.: (Silver).. 9 3 G 1A3082, PGIII D 71 O G. EPA/Other DO11• E b. State o N ao E -4 R EPA/Other A C. State o T 0 a R EPA/Other w d. State H Z W V EPA/Other W sn J. Additional Descriptions for Materials Listed Above, K. Handling Codes The Wastes listed Above Z no a-.• Spent:Photographic Fixer °` 01 b W c. d.. Q • Z 15. Special Handling Instructions and Additional Information Rear Rubber Gloves. and Goggles Z D.O.T. ERG •31 Emergency Contact (SS9)441-1335 W ' H 16. GENERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name and ore classified,packed, Umarked,and labeled,and are in all respects in proper condition for transport by highway according to applicable international and notional government regulations. s If I am a large quantity generator,I certify that I have a pro ram in place to reduce the volume and toxicity of waste generated to the degree i have determined to be economically d predicable and that I have selected the practicable method of treatment,storage,or disposal currently available to me which minimizes the present and future threat to human health and the environment;OR,if I am a small quantity generator,I have made a good faith effort to minimize my waste generation and select the best waste management method that is ad available to me and that I can afford. O } ntod d Na e ` i atu oMontb Day Yea V J /t(�! (N^ U Z W RT 17. Transporter 1 A knowled ement of Receipt of Materials oc A Printed yped Na Signatur �on D nl'e w tl f(/Jd W 5 , =�a OR U U. 0 18. Transporter 2 Acknowled ement o Rece t o Materia s 0 i Printed/Typed Name Signature Month Day Year W E N p U 19. Discrepancy Indication Space Z F A C I L 1 20. Facility Owner or Operator Certification of receipt of hazardous materials covered by this manifest except as noted in Item 19. T Print Typed Name Sigma Month Day Year If r 1616 ( 6 0 D040T WRITE BELOW THIS LINE. DTSC 8022A(1/99) White: TSDF SENDS'THIS COPY TO DTSC WITHIN 30 DAYS. EPA 8700-22 To: P.O. Box 3000, Sacramento, CA 95812 4 i , c� i VIA Aw `k. 12/18/2003 THU 09:12 FAX 661 326 2528 KMC LABORATORY la 001 ® KERN CLINICAL MEDICAL LABORATORY ■ CENTER SERVICES FAX, TRANSMITTAL FORM DATE: FAX # ._...7 0 �O TO: FROM: TELEFAX: (661) 326-2528 TELEPHONE: (661) 326-2442 PAGES:/r/ (including transmittal) Comments: .......C.G � O ........ ._..._._...3..__........._........ ._.._......._. ---- ..., �. ... .......fo .�✓ ��t/...... art ../2 'P CONFIDENTIALITY NOTICE This message is intended only for the use of the individual or entity to whom it is addressed. It contains information that is privileged, confidential or otherwise protected from use and disclosure. If you are not the intended recipient, or the employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify us immediately by telephone TELECOMMUNICATIONS (CARE OF) KERN MEDICAL CENTER 1830 FLOWER STREET BAKERSFIELD CA 93305 1'/16!:.003 1Ht 09: 12 FAX 661 026 2528 MIC LABORATORY 1 002 i PROCEDURE: 1. Refer to manufacturer's MSDS for the safe handling of 10% formalin or 2% glutaraldehyde utilizing OSHA mandated protective equipment such as safety goggles,gloves, and an impervious apron. 2. For aldehyde neutralization, first separate all of the identifiable tissue specimens from the liquid hazardous waste. This shall be performed using an appropriate screen mesh(#30 mesh is recommended) and collecting the aldehydic waste in a calibrated reaction vessel such as the Tissue Tek'o Reaction Container(Sakura Product Code 4276)_Volumetric calibration can be in gallon or liter diNisions. 3. Mote: The neutralization procedure should be performed in a well-ventilated room or under an adequate hood. The reaction vessel should be placed in any receptacle providing secondary 2 containment such as a plastic tub, closed sink, etc.A counter top lined with Tissue Tee NEUTRA- WIPES'a (Sakura Product Code 4279) would also suffice as an acceptable means of secondary containment. 4. Determine the total volume of Tissue Tek-0 NEUTRALEX"required for the detoxification of the aldehyde waste by using the following procedure: Determine the total volume of 10%formalin or 2% glutaraldehyde waste present. Use one pouch of Tissue Tee NEUTRALEX'�for each gallon of 10% formalin or two gallons of 2% glutaraldehyde waste. Pour the complete contents of each pouch into the calibrated reaction vessel containing the waste. Shake, stir, or swirl the mixture for five to ten seconds. 1 5. Cap the vessel and let it stand for 15 minutes. Swirl once again before testing. 13 6. Using a pipette, extract 5 ml of treated waste from the vessel and transfer it to the plastic cuvette that is supplied in the Tissue Teko Aldehyde Test Kit (Sakura Product Code 4050).There is a 5-ml line already printed on the cuvette. Test the pH by using ordinary laboratory pH strips. Record the results i in a Hazardous Waste Log(refer to step 9). After completing this,save the contents of the cuvette and test for residual aldehyde using the Tissue Tek"'Aldehyde Test Kit. The procedure is discussed in step 7. " 7. Using the same cuvette from step 6 that is still filled with the treated waste perform the residual aldehyde test as follows; a. Add 20 drops to the test cuvette from the brown squeeze bottle labeled"Aldehyde Test Reagent". Mix the solution thoroughly. b. Remove a strip from the vial provided in the ldt. _ c. Immerse the reaction zone of the test strip into the solution for 1 second. d. Shake off the excess liquid from the strip and after 60 seconds compare the reaction zone color of the strip to the color scale on the side of the vial. e. The matching color will designate a number. This is the residual aldehyde content in ppm of the treated formalin. f. Record these results in the Hazardous Waste Log that is discussed in step 9. S. If your aldehydic waste solution contains zinc ions, a precipitate consisting of zinc hydroxide and other oxides will form. The concentration of these precipitates will be measured in ppms.Although these precipitates are generally considered non-hazardous for disposal,they should be removed by filtration. This can be accomplished by using glass wool or a coffee filter.The precipitate may be discarded or recycled. .1T l 12!18!2003 THU 09:13 FAX 661 326 2328 KMC LABORATORY 16 003 9. Discard detoxified aldeh y die waste to a sanitary sewer system in accordance with your local Publicly Owned Treatment Works (POTIV)discharge requirements.It is important that you keep a log i indicating the date of neutralization, the employee that performed the procedure, the volume of �- - aldehydic waste treated, and the analytical results of the neutralization. A sample copy of this log can I be found in the NEUTRALEX0"User's Manual". l RESULTS: After the 15-minute neutralizarion period is complete, the resulting solution will have been detoxified and ready for disposal in accordance to the institutions wastewater permit or the local POTW. QUALITY CONTROL: The neutralized solution should be verified for pIl and residual aldehyde concentrations. Aldehyde 2 concentrations can be verified by using the Tissue Teko Aldehyde Test Kit described in steps 6 and 7 of the procedure section. REFERENCES: r i Luna,Lee G.,Histopathological Methods and Color Atlas of Special Stains and Tissue Artifacts, ff' American Histolabs, Inc.,Publishing Division, 1992 i i California En,,ironmental Agency, Department of Toxic Substances Control, Hazardous Waste Performance Certificate, July, 1995 r 3 *a=*For additional work practices in neutralizing formalin spills and eliminating harmful vapors while I performing grossing procedures, contact your local Sakura Finerek sales representative for information on NTEUTRA-PADS''',NEUTRA-WIPES`, AND NEUTRA-FORNe. i r l - 4 f I t �t X:' .id.,.,'o L--2 STATE OF CALIFORNIA T E C -1�1-14� a st I)eParti-nent of Toxic Substances Control 0 CERTIFICATION No. 97-01 -024 OliN, �vt ISSUED TO: SCIGEN, fric.. Gardena, California The SCIGEN NEUTRALEX technology Is ceollied as a Ha4atdous Wzisto Treatment Technology pkirsua nt to Califorida Hualth and V*1 I SAinty GO(lo Section 2i200. I.b. skiliject to %he conditions includino OIL- cailification limilationsidisclaimer set fovill in the cer(iflcaftri slatemellf 8!; polyllsited 4) the CallkjwI3 Rvvulawry NoticQ RoUlsiot on May 30. 1997, Augister 97, Volute No. 22- Z, pages 1109-1 116, The patented SCJGEN NEUTRALEX technolo�jy is a batch chemical trvaliot�jit proces:� (10sluntid to lr&141 0)), in 10% itout(iji bu(furud Fuionalin (10% N8FI waste from histopalhology flaskja apacirnen preservation •4f- Jilld from 1116 oplainflon of atlionlowl hib(opalllolouy tiKbue ►proc"Isisurs in the hua(lh care industry. Use of the SCIGEN NEUTRALEX technology on 100,16 NBF waste no directed ha6 the potential to reduce Alit., expoewe to formaldehyde vapors and allow SIVI'v( tnunztflemtittt and tfisvoaal of the treated %vastes. The technology can achieve reductions in formaldehyde Cj-zltl concentrations in the 10% NBF wastes to less lhaii 10 ppm tosidwil formaldohydo whon used in accordance with SCIGEN's r.-P n standard opsiaiing ptocedures. Condii(ons Imposed on the usei as part of this CertiflIcat(on 1110(ide loquItILItIonts for oppratioll of the lechnotop, testing each batch of It'00ted wzStos, validation of the test method used, and documentation and recordkeeping. 0 The term of the Ceftl0cation shall be for a period of thine 131 yeaft; from ifioz (0foctivu daw unless utherwiso specified III Title 22, Calilarnla Code of Regulations oc revoked prior to that date for cause. Wilt Effective Date; June 29, 1997 Peter M. Rooney Jesse R. Huff Actin g Secfetafy for Environmental Protection Director, Department of Toxic Substances Control I......... t. 1W iz. k. ........... ....... 12/13!2003 THti 09:15 FAX 661 326 2523 KMC LABORATORY Z005 Performing a Distillatioia 1. Using a hand pump (or similar device), fill the pot flask with waste solvent. The flask should not be filled more than 80 percent because when heated, the liquid will expand. Observe the MAN FIZL line on the pot flask — WARNING Always fill the flask just before operation_ Never leave waste material to be recycled in the flask for extended periods. If waste material of significant volume (more than one liter) was left in the flask from a previously uncompleted procedure, this must be removed prior to beginning another dis ihatiom This has occasionally caused bumping during operation due to thermal layering. CAUTION Fluids, such as solvents, reagents, and water, should not be spilled on the surface of the mantle. Instrument failure may occur. 2. Add one package of boiling chips (BC-24) to a 12 liter flask (one half package for 5 liter flask). Boiling chips should never be used for more than one solvent, but may be used several times with the same solvent_ Boiling chips introduce surface area which creates stirring action and prevents thermal layering of the solvent in the pot. You should replace the boiling chips at least every 5 runs. WARNING Lf an insufficient number of boiling chips, if no boiling chips are added to the pot flask, or if the boiling chips have become saturated with debris, thezna.l layering will take place. This could cause a sudden buildup of pressure in the pot flask 'xith a subsequent release of vapor and or soivem from the system- 3. Replace and secure the till port ping after filling the pot flask, check to ensure they pot flask and column joints remain secure. Raise the lab-jack to ensure a proper seai between the pot flask and column. 4. Inspect the two-way receiver hose adapter to ensure the proper valve positioning. Also, inspect the integrity of the hoses and connections, and verify that the receivers are in place and are empty. Always use receivers large enough to contain the entire contents of the pot flask. Performing a,Distillation 5-1 12!1312005 THti 09: 15 FAX 661 126 2528 KMC LABORATORY Z006 5. Make sure you have the thermowell and temperature probe in the pot flask Check the thermowell and temperature probe in the head for proper placement. Replace1` - door for safe and proper operation. 6. Turn on the water to the condenser. 7. Turn on the power to the microprocessor controller. The switch is located on the rear panel on the left side when viewed from the front. NOTE Always perform daily maintenance and diagnostic 448 before a distillation. S. When power is applied, the console will sound a brief audible alarm test and scroll a title message which contains the model number and version of the system. "ENTER CON'L1LIAND" will appear on the display. 9. You may now press one of the stored procedures (1-8). 0 is for a manual run which is not stored in memory. (Refer to the section on Store (or Modify) a Distillation Run in Memory to review these prompts.) 10. After entering your response, the console will display the following questions: A- (OPTIONAL) "USE 2 - WAY VALVE ?" - verify if you will be using your Automatic 2 - Way Changer and Press ENTER ESCAPE will default to a manual procedure for exchanging receivers. This message will not appear if you do not have the optional Automatic 2-Way Distillate Changer (P/N 7725A). B. "CHECK TETN1P PROBES" - check the head and pot temperature probes for correct placement. Make sure they are completely inserted into the thermowells, and press ENTER C. "CHECK BOILING CHIPS" - make sure the boiling chips have been added prior to beginning operation and press ENTER- D_ "CE ECK POT FILL PLUG" - make certain that the pot fill plug is in placd and is secure. E. "CHECK RECEIVERS" - :heck receivers and two-way changer for proper placement and press ENTER- After you have responded to this last question, the distillation begins if all functions are working properly. If malfunction messages appear on the display, refer to the appropriate section of this manual for the cause and solution. -t Peryo ng a Distillation 5-2 12/13/2003 THU 09: 16 FAX 661 326 2523 K)IC LABORATORY 16007 11. The head and pot temperatures in degrees Centigrade will appear in the display window, 12. These temperatures will be updated as the console checks all operating functions. 13_ The solvent in the pot flask will begin to heat. Once sufficient heat is generated to boil the contents, vapors will begin to rise through the distillation column. 14. When sufficient vapor has entered the condenser and condensed into liquid, the head temperature will at that point rise above room temperature. There is no source of heat in the head other than the vapors from the solvent, therefore, the head temperature will not change until liquid is in the head. 15. When the head temperature reaches 35°C, the following will occur: A The motor will automatically turn on, causing the band to spin, and B. If EQUIL TIME was entered, the clock will begin counting and will display "EQUILIBRATION XX" (where XX is the equilibration time remaining). The display will alternate between "EQUILIBRATION XX" and the head and pot temperatures. 16_ When the head temperature reaches the programmed OPEN CUT the reflux valve will open and allow Cut 91 to be collected. aA.UTION The reflux valve will not open unless the head temp is between the OPEN CUT and i CLOSE CUT. The EQUIL TEN E must-also be satisfied for the valve to open. If you find that the head temperature does not fall within the open and close cuts, you will need to modify the parameters for this distillation. To do this you must first abort the distillation_ Refer to Store or Modify a Distillation Run in Memory (page 28) for the procedure. 17. If more than one cut was programmed, the following will occur: - A. The head temperature will rise above the programmed CLOSE CUT and the valve wiL close. B. An intermittent audible alarm will sound and the message "EXCHANGE RECEIVERS" will be aisplayed if you are not using the automatic 2-way changer. If you are using the automatic 2-way changer, no additional Performing a Distillation 5-3 1?!13,/'?003 THL 09: 16 FAX 661 3-96 2523 KMC LABORATORY L]003 attention is needed at this time. The system will automatically change the solvent pathway from the lower hose to the upper hose. 18. The message will continue to display until the operator attends to the system. The alarm will silence after approximately one minute, however, the message will continue to scroll. The reflux valve will remain closed as long as the head temperature remains above the CLOSE CUT for Cut #1_ If the temperature drops below the CLOSE CUT; the valve will open again, and also the system will _ alarm again when the head temperature rises above the CLOSE CUT. THIS MAY HAPPEN SEVERAL T:1ZV11ES. 19. To continue the process and collect further fractions, the operator must: A Change the receiver flask or switch the two-way receiver hose adapter, and B. PRESS AND HOLD ENTER when the head and pot temperatures are displayed or the console will ignore you. 20. The reflux valve will opera to collect the second fraction. 21. If you have programmed a third cut, refer back to step 917. If you are using the automatic 2-way changer, you must return to the system and exchange the receiver container under the lower hose and press the enter key. The system will then open the reflux valve to take the third cut. 22. After collecting the last fraction of your procedure, the following will occur: A The head temperature will rise above the programmed CLOSE CUT and the valve will close, and/or B. The pot temperature will rise 15 degrees to the shutdown temperature and the system will alarm and display RUN COMPLETE alternately with the head and pot temperatures. It is possible for A to occur without B occurring if you have a large amount of waste in your solvents. If this happens, you may shut power off to the console after approximately 8 hours from starting your run because you have removed virtually all the solvent from the waste mixture. Consult B/R Instrument for more details on your application_ - 23. To shut down your Recycling System, press PAUSE, then ABORT. 24. If you are going to make another run immediately after the first, do not turn off power. You can now observe the temperatures in the system. Wait until the pot temperature has cooled to room temperature prior to emptying and refilling the pot flask for the next nm. If the next run is for a different material, changing or cleaning the pot flask is advisable. Pe7:orming a Distillation 5-4 12/13/2003 THU 09: 16 FAX 661 326 2523 K)IC LABORATORY 16009 Uneven Boiling "Bumping" Uneven boiling, otherwise known as bumping, can occur for several reasons in a solvent recycling system. The typical scenario for bumping is that the pot contents will heat up but there will be no evidence of boiling. The surface of the liquid will remain calm and no bubbles will foan. The temperature of the pot contents will rise till it is near or above the boiling point of the pot contents_ Boiling will then begin suddenly and violently. If the bump is violent enough the pot and/or head thermowells may be displaced and there may be some release of vapor through the side arrn vent. If this occurs, pause the distillation and allow the system to cool. Once cool, replace displaced thermowells and clean up any liquid solvent in the cabinet. Mix the por contents as described below. Add new boiling chips and begin the distillation again. Fresh clean boiling chips are the best defense against bumping. Change boiling chips often. Do not let boiling chips soak in -solvent overnight. If a pot does sit overnight with boiling chips and solvent in it, simply add more boiling chips before beginning the distillation. Another common cause of bumping is starting, stopping, and restarting a distillation_ If a distillation is stopped during a run and the boiling action has ceased, let the pot contents cool to room temperature. Once cool, stir the pot contents and add a bag of fresh boiling chips_ Performing a Distillation 5-; 12/18/2003 THU 09: 17 FAX 661 126 2528 KMC LABORATORY Z010 Solvent Recycling Protocols The following protocols are included for your convenience. Protocols may need to be optimized for your particular waste. Reflux ratios may need to be raised if the recovered materials are not of sufficient purity. Temperature for the open and close cuts may vary slightly. You should verily temperatures with the `- manufacturers specifications. All temperatures are at sea level. Other materials may be recycled. Check the material safety data sheet for the product boiling points. You may phone B/R Insuument Corp. for assistance in prograrnming other products. Toluene 9EQUM lene EQUII_ TI1�IE - 0 TIlviE = 0 OPEN CUT= 60.0 OPEN CUT = 60.0 CLOSE CUT = 108 CLOSE CUT = 133 REFLUX RATIO = 1 REFLUX RATIO = 1 CON RgUE CONTENUE CLOSE CUT = 112.0 CLOSE CUT = 145.0 REFLUX RATIO = 0 REFLUX RATIO =0 DONE DONE Ethanol 95 - 100% Ethanol 70 - 95% E QUEL TIME = 3 0 E Q UIL TRviE = 330 OPEN CUT = 60.0 OPEN CUT = 60.0 CLOSE CUT = 80.5 CLOSE CUT = 80.5 REFLUX RATIO = 1 REFLUX RATIO = 2 DONE IDONE Methanol Flex 100 EQUI L TIIv1E = 30 EQUIL TMB = 60 OPEN CUT= 60.0 OPEN CUT = 60.0 CLOSE CUT = 66.0 CLOSE CUT = 82.0 ' REFLUX RATIO = 2 REFLUX RATIO = 2 CONTINUE DONE This product is a blend of alcohols with isopropanol being the major component Therefore, when recycled it may yield only 88% Flex 100 with 12%water due to the azeotroi)e. I Performing a Distillation S-6 • r Solvent Recycling- Solvent Re gler- Solvent Recovery-xylene substitutes Pagel of 3 B/R INSTRUMENT CORPORATION Laboratory DIS bf —,service FAQ's Crude Oil Distillation B/R Instrument 9600 High Efficiency Distil IatOriS�I n Payback nalysis Fractional Distillation Facilities&History This high efficiency, fractional distillation system is an ideal tool for automaticall Histology Solvent purifying or analyzing a wide range of materials. Common app f(aTlons indlud' Recycling General Solvent Recycling ■ High Purity Solvent Recycling HPLC Solvent Recycling • HPLC Solvent Recycling • GPC Solvent Recycling GPC Solvent Recycling * Extraction Solvent Recycling Flavor,Fragrance, ! General Lab Solvent Recycling Essential Oil and Natural Product Purification ■ Petroleum Distillation Micro-Distillation ■ Solvent Purification General Fractional ■ High Purity Fractional Distillation Distillation ■ Essential Oil Purification Other Applications ■ Vacuum Distillation Fractional Distillation ■ Crude Oil Distillation and Solvent Recycling Home Page This high efficiency distillation system can be equipped with two different types such as spinning band columns and packed columns. The 9600 spinning band distillation system features: ■ All Glass and Teflon Components ■ 50 Theoretical Plate Distillation Column (maximum at atmosphere) ■ 1 to 50 liter boiler capacities ■ Automatic and Manually Operated Distillation Systems The spinning band distillation is used for applications that require the highest pt Column Specifications: Column Length Diameter Max. Plates Standard Flasi, 9600 Spinning 90 cm 21 mm (Teflon Band) 1, 5, 12, 22 and Band The 9600 packed column distillation system features: ■ 15-20 Theoretical Plate Distillation Column (maximum at atmosphere) ■ http://www.brinstrament.com/fractional-distillation/fractional-distillation-96.html 12/18/2003 Solvent Recycling- Solvent Re cler- Solvent Recovery - xylene substitutes Page 2 of 3 1 to 500 liter boiler capacities • A variety of packing materials • Automatic and Manually Operated Distillation Systems Traditional packed distillation columns are used for applications that require hig that require boiler sizes larger than 50 liters. A variety of distillation column pacl available including various random and structured packing. Packing materials c ceramic or glass. Column Diameter Max. Plates Boiler S 9600 25 to 100 mm 15-20 1 to 500 Packed Column Automation and Accessories: All our distillation equipment is available in fully automatic or manually operated models. Manually operated distillation systems are inexpensive and simple to operate. Automatic models are microprocessor controlled. All the distillation functions are fully automated to make the distillation process easy and efficient from beginning to end. M690 Microprocessor Controller The microprocessor minimizes the amount of operator time required for each di stored program from one of 19 available memory locations and let the micropro distillation. Each program can store up to eight distillation fractions. Each fractic open and close temperature cut points, heat rates, reflux ratio and equilibration Programmable shut down at the end of the distillation run. The microprocessor each of the parameters while the distillation is in progress. VAC-1000 Vacuum Regulation System Materials that have very high boiling points or are subject to thermal degradatio should be distilled at reduced pressures. The VAC-1000 is a complete, stand alone, vacuum system that can provide regulated vacuum to any distillation system. It features a 5 decade pressure sensor, proportional control valve, vacuum manifold/trap, 2 stage mechanical pump, all mounted on a roll around cart for easy maneuverability in the laboratory.The VAC-1000 can be used with automated or manually operated columns. Automatic and Manually Operated Fraction Collectors Two and four place fraction collectors are available to direct distilled material to the desired receiver. Automated versions allow distilled fractions to be collectec unattended. Manually operated versions are also available. Various size receivf glass, stainless steel and plastic. http://www.brinstrument.com/fractional-distillation/fractional-distillation-96.html 12/18/2003 3 .; n, 1 I I t as 1 i 3 rr 1 r- s 1 Solvent Recycling - Solvent Rec cler- Solvent Recovery-xylene substitutes Page 3 of 3 Cabinets and Mounting B/R offers a variety of mounting options for your distillation column. The B/R 46 is an aluminum enclosure cabinet with Plexiglass door which protects the distillation column and boiler. The microprocessor is attached to the side of the cabinet. The B/R 464 is an open frame support structure for mounting the distillation system. The open frame is portable and allows easy access to all areas of the distillation column. The distillation column, microprocessor and fraction collecto are mounted in the framework. Recirculating Baths The distillation equipment requires cooling for the column condenser. Cold tap I attached to the column's condenser. B/R offers heated and refrigerated recircul precise control of the condenser temperature. Spare Parts A spare parts kit is available which includes the parts necessary to keep your distillation system operating. B/R Instrument stocks all parts for fast deliveries. Contact Us • Site Map - 02003,B/R Instrument Corporation http://www.brinstrument.com/fractional-distillation/fractional-distillation-96.html 12/18/2003 .,. I 1, r � j a I R �� II jjj i I . v :a Environmental Technology Cer-Hiication- SCIGEN, Inc.; Batch chemica treatment proce... Page 1 of 8 California Home Thursday, Dec g1Ne come to, � ......................................................... Home '� �►* , (7, . .. ...... Toxics Questions? +� �., My CA (: Public Notices _ _ . _ Searc Calendar DTSC: Science and Technology Laws,Regulations,and Policies Final Decision to Certify Hazardous Wa: Site Cleanup Environmental Technology Managing Hazardous Waste Pollution Prevention Science and Technology_ SCIGEN, Inc. News Releases Publications and Forms Batch chemical treatment process designed to treat aqueous forn Employment wastes How to Contact DTSC Site Map The California Environmental Protection Agency, Department of Toxic Substances Control(DTSC)t I decision to certify the following hazardous waste environmental technology: ^� The SCIGEN NEUTRALEX technology for treating formaldehyde in waste neutral buffered Formalin histopathology specimen preservation and use of automated histopathology tissue processors. OepartmAaltaxic Applicant: StbammCcmd PP SCIGEN, Inc. 333 East Gardena Blvd. Gardena,CA 90249 Chapter 412,Statutes of 1993,Section 25200.1.5, Health and Safety Code,enacted by Assembly B 2060 by Assemblyman Ted Weggeland)authorizes DTSC to certify the performance of hazardous H environmental technologies.Only technologies which are determined to not pose a significant poterr the public health and safety or to the environment when used under specified operating conditions, be operated without specialized training and with minimal maintenance,may be certified. Incineratio are explicitly excluded from the certification program. The purpose of the certification program is to provide an independent technical evaluation of technol those meeting applicable quality standards,so as to facilitate regulatory and end-user acceptance ai and foster growth of California's environmental technology industry. DTSC makes no express or implied warranties as to the performance of the manufacturer's product The end-user is solely responsible for complying with the applicable federal,state,and local regulatc requirements.Certification does not limit DTSC's authority to require additional measures for protect health and the environment. By accepting certification,the manufacturer assumes,for the duration of certification, responsibility f the quality of the manufactured equipment and materials and their operation at a level equal to or be provided to obtain certification and agrees to be subject to quality monitoring by DTSC as required b under which certification is granted. http://www.dtsc.ca.gov/ScienceTechnology/scigen-batch-treat-formaldehyde-techcert.html 12/18/2003 �.. r� c • �. � 1 d t i ! ',s .. ��"� �� j �. � .. .. � � i _*,`, i it I t .. � ��� �, I ', .' .. .� axs., ,,: —� .:� .. Environmental Technology Cei6cation - SCIGEN, Inc.; Batch chemicitreatment proce... Page 2 of 8 DTSC's notice of intent to certify was published on April 18, 1997 in the California Regulatory Notice Volume No. 16-Z,pp.846-852.Written comments in relation to the proposed certification received d review and comment period have been duly considered in the final certification as presented here. C certification shall become effective on June 29, 1997. Additional information supporting DTSC's final decision, including the DTSC technology certification report,are available for review. Requests for additional information or comments concerning this de( submitted to the following address: California Environmental Protection Agency Department of Toxic Substances Control Office of Pollution Prevention and Technology Development P.O.Box 806 301 Capitol Mall,1st Floor Sacramento,CA 95812-0806 Attn:Dr.Bruce La Belle(916)324-2958 A description of the technology to be certified,the certification statement,and the certification condit limitations follows. CERTIFICATION PROGRAM(AB 2060) FOR HAZARDOUS WASTE ENVIRONMENTAL TECHNOLOGIES FINAL NOTICE OF CERTIFICATION TECHNOLOGY SCIGEN NEUTRALEX Technology for Treatment of Aqueous Formaldehyde Wastes From the Heal APPLICANT SCIGEN, Inc.;Gardena,California Technology Description The patented SCIGEN NEUTRALEX technology is a batch chemical treatment process designed to formaldehyde wastes.The technology is based on the reaction of formaldehyde with a sulfuric reduc certification evaluation is specific to its use for treating the formaldehyde in waste 10%neutral buffer, (10%NBF)from histopathology tissue specimen preservation and from the operation of automated I tissue processors.The technology consists of: • NEUTRALEX reagents as a powder prepackaged in a foil packet.The currently available pa designed to contain sufficient ingredients to treat one gallon of 10%NBF waste per packet. • A container in which the reagents are mixed with the waste Formalin;SCIGEN supplies a fiv container,but other suitable containers may be used. • Instructions for the proper use of the technology. • A Material Safety Data Sheet(MSDS). • A master copy of a log sheet for recording the results of each batch treatment. Formaldehyde is commonly prepared in industry as approximately a 37%aqueous solution by weigl formaldehyde solution is referred to as Formalin(formerly trademarked).Commercial formulations so the health care industry are typically prepared by the tenfold dilution of Formalin along with the addit maintain a neutral pH and 1.0-1.5%methanol to stabilize the formaldehyde. It is referred to as"10% buffered Formalin(10%NBF)."10%NBF contains approximately 3.7%formaldehyde by weight.The 10%NBF waste generated at a health care facility typically ranges from a few gallons per week to a day. Formaldehyde is toxic to humans and other species by ingestion, inhalation,and other exposur. Practices for managing 10%NBF waste include shipment off-site as a hazardous waste,on-site tree disposal to sewer(where legal).SCIGEN's NEUTRALEX technology is intended to provide a safe ar option for on-site treatment of these wastes. http://www.dtsc.ca.gov/ScienceTechnology/scigen-batch-treat-formaldehyde-techcert.html 12/18/2003 • • I� i I Iii Environmental Technology Ceram' ication- SCIGEN, Inc.; Batch chemic6eatment proce... Page 3 of 8 After removal of any residual tissue from the waste by filtration with an 80-mesh or smaller filter,the into the reaction container. For each gallon of waste to be treated,one packet of NEUTRALEX is op. contents poured into the reaction container.The container is closed,stirred,and allowed to stand for while the reaction occurs.After being tested with an appropriate test method to ensure that the form; been satisfactorily treated,the solution may be suitable for disposal to the sanitary sewer where it m local and/or state discharge requirements. Along with the technology,SCIGEN supplies a screening test kit for field-testing treated solutions for formaldehyde;however,SCIGEN's screening test kit is not considered part of the technology underc certification evaluation,and is not a certified or a standard test method. Certification Statement The SCIGEN NEUTRALEX technology is hereby certified by the Department of Toxic Substances C to California Health and Safety Code Section 25200.1.5,as a hazardous waste treatment technolog! monitored,and maintained according to the manufacturer's standards and specifications and the cot imposed by this Certification.The certified technology has been determined to be effective for treatn from use of 10%neutral buffered Formalin(an aqueous solution containing approximately 3.7%forn weight,with added buffers to maintain a neutral pH and about 0.5-1.5%methanol as a preservative) histopathology tissue specimen preservation and automated tissue processors in the health care ind technology is a batch process that treats wastes in increments of liters or gallons.The technology hi to be capable of achieving reductions in formaldehyde concentration in the wastes to less than 10 pl formaldehyde when used in accordance with SCIGEN's standard operating procedures.The effectiv treatment for each treated batch must be verified using an appropriate test method.The appropriate SCIGEN screening test kit or other non-standard test method must be verified for each wastestream to a standard test method. By treating the formaldehyde in the waste 10%neutral buffered Formalin solution, use of the SCIGE technology as directed has the potential to reduce the exposure to formaldehyde vapors and allow s management and disposal of the treated wastes.The technology does not generate insoluble polym products.Conditions imposed on the user as part of this certification include requirements for worker training,operation of the technology,testing of treated wastes,validation of the test method used,at documentation and recordkeeping.Conditions imposed on the manufacturer include requirements fc quality and providing assistance to the user.The conditions of this certification are specified in detail Specific Conditions This certification is conditioned upon conformance with the following specific conditions imposed on the manufacturer of the technology: A.Conditions Imposed on the User of the Technology. Users of the SCIGEN NEUTRALEX technology shall conform to the following conditions: 1.Safety.The user shall carefully read the Material Safety Data Sheets(MSDSs)for the NEUTRAL[ and the screening test kit,and understand safe work practices and precautions. Persons using thesf use adequate eye,face,and hand protection and know the location of the nearest eyewash.Treatm. performed in a hood or other area with adequate ventilation,and with-secondary containment.The I facility shall document how it determines that adequate ventilation is provided. 2.Training.All users shall be trained in the proper use of the technology.Training shall be documen 3.Compliance with discharge requirements.The user shall maintain adequate records to demonstra compliance with all applicable pretreatment standards and with all applicable industrial waste discha requirements issued by the agency operating the publicly owned treatment works(POTW)into whicl are discharged. 4.Standard operating procedures.The user shall follow the standard operating procedures provided 5:Testing.The user shall test each batch of treated waste for residual formaldehyde concentration e Residual formaldehyde shall be measured using a screening test kit or by a U.S. EPA approved star for determination of formaldehyde(e.g.,U.S. EPA SW-846 Method 8315). 6.Validation of test method. If the user uses a screening test kit or other non-standard method for th treatment testing of residual formaldehyde in the wastes,the user shall establish and implement a pi http://www.dtsc.ca.gov/ScienceTechnology/scigen-batch-treat-formaldehyde-techcert.html 12/18/2003 Environmental Technology Ce�fication - SCIGEN, Inc.; Batch chemicieatment proce... Page 4 of 8 validate the applicability of the test method.The user shall validate the non-standard test method for stream treated by comparison to a U.S. EPA approved standard method for formaldehyde.At a mini program shall include analysis of a sufficient number of split samples by the U.S. EPA approved anE to represent the variability of the waste streams and test methods.The user shall maintain records c logs,split sample results from the reference method(including identifying what samples were analy2 description of the verification program under which the data were collected for the duration of the cei request by DTSC or other applicable state or local regulatory agencies,the user shall provide copies required by this certification. 7. Identification of problems and corrective action.The user shall notify SCIGEN and DTSC of any p encountered with use of the NEUTRALEX technology,and work with SCIGEN,as appropriate,to re: user shall maintain a record of any problems encountered from use of the technology and the correc taken. 8.Compliance with conditions under Conditional Exemption.A user operating the NEUTRALEX tech conditional exemption as specified in Title 22,California Code of Regulations, Section 67450.20,an( Safety Code,Section 25201.5,shall comply with all the conditions of Section 25201.5 of the Health Code. 9. Recordkeeping.The user shall maintain a record of all treatments using NEUTRALEX, including t quantity treated,pH, residual formaldehyde concentration,and identification of the person conductin All records specified under these conditions shall be maintained on-site for a period of not less than B.Conditions Imposed on SCIGEN,the Manufacturer of the Technology. SCIGEN shall conform to the following conditions: 1. SCIGEN shall maintain the quality of the technology at a level equal to or better than that used as certification. 2. SCIGEN shall assist users,as appropriate,to incorporate SCIGEN's standard operating procedur facility's management System. 3.SCIGEN shall maintain their own management system at a level equal to or better than that in us( evaluation.This includes,but is not limited to,maintaining their self-assessment,contingency plan,c action,and training system. 4. SCIGEN shall assist users to train operators of the technology to perform the treatment operation: with the standard operating procedures. 5. SCIGEN shall provide users with copies of the standard operating procedures for their technology 6.SCIGEN shall provide users with copies of material safety data sheets conforming to the requirerr Code of Federal Regulations 1910.1200 29 CFR 1910.1200). 7.SCIGEN shall assist users,as appropriate,to resolve any problems that the users encounter with technology. Certification Limitations/Disclaimer This Certification is specific to the treatment aspects of the technology.The Certification does not su authority of applicable regulatory agencies to regulate the technology for a particular use or at a part Where appropriate,the U.S. Environmental Protection Agency,the State Water Resources Control I Regional Water Quality Control Boards, local water districts,and/or other federal,state,and local ag be contacted for information on regulatory requirements related to the use of NEUTRALEX at a parti This Certification is not intended to infringe upon or otherwise affect the activities of the Joint Commi Accreditation of Healthcare Organizations(JCAHO),the College of American Pathologists(CAP),or independent health care facility or laboratory accreditation bodies.Where applicable,such organizat contacted for more information on their requirements. The Department makes no express or implied warranties as to the performance of SCIGEN product: Nor does the Department warrant that the SCIGEN NEUTRALEX products are free from any defect: workmanship or material caused by negligence,misuse,accident,or other causes.Other than as de hq://www.dtsc.ca.gov/ScienceTechnology/scigen-batch-treat-formaldehyde-techcert.html 12/18/2003 fl. i r 3 ' r 3 hX. i i Environmental Technology Certification - SCIGEN, Inc.; Batch chemical treatment proce... Page 5 of 8 document,the Department has not conducted independent testing to confirm the information submit published in the literature,or gathered from other sources. DTSC has not reviewed SCIGEN's MSM conformance to 29 CFR 1910.1200. The Department does believe,however,that the manufacturer's product or equipment can achieve t levels set out in this Certification when used in accordance with the manufacturer's specifications.S; based on a review of 1)data and information submitted by SCIGEN,2)a field demonstration conduc health care facility laboratories,and 3)information gathered from independent sources. This Certification is issued as part of a pilot project for the California Environmental Technology Cert Program,which has been established under the authority of the Health and Safety Code, Division 2( 25200.1.5.The pilot project's purpose is to delineate the practical aspects of the program that will be regulations.This Certification may be subject to additional conditions that will be required in these re including, but not limited to,the duration of the Certification,continuing monitoring and oversight req Certification amendment procedures,including those for decertification. This Certification is specifically limited to the treatment of liquid 10% NBF waste from pathology labs preservation and from automated tissue processors.The scope of this Certification does not include other waste streams,or treatment of formaldehyde formulations containing ingredients other than ac formaldehyde, inert buffering agents and methanol stabilizer.The MSDS should be reviewed for spe on incompatibilities. Basis for Certification The certification evaluation included a consideration of the scientific principles behind the technology studies conducted by SCIGEN;participation in field demonstrations at two health care facilities;and with end users. Detailed results of the certification evaluation are presented in the DTSC Certificatioi Report for this technology. Scientific Principles NEUTRALEX is a proprietary mixture of specific ingredients combined in proportions optimized to ac observed results.The reaction chemistry,and thus the adequacy of the treatment,depends on the e present in the reaction mixture and the amounts of each chemical used. The underlying scientific principles are based on the patented reaction of a particular sulfuric reducir aqueous formaldehyde at near-neutral pHs.SCIGEN asserts a proprietary interest over their formul, containing this reducing agent plus other key ingredients.The scientific basis for the reactions are di more detail in the DTSC technology certification evaluation report. There is substantial literature precedent for reactions of this particular sulfuric reducing agent with fo related aldehydes.The reaction of the reducing agent with aqueous Formalin to produce sodium hydroxymethanesulfonate has been patented. It has been studied as a reagent in a method for air s formaldehyde. Its addition to urea resins used in the manufacturer of resin-bonded particle board ha as a way to reduce formaldehyde emissions from the board.The reducing agent has also been idea as a way to prepare a sulfonated melamine-formaldehyde resin with very low free formaldehyde con reaction with dilute aqueous glutaraldehyde has been patented as a way to prevent turbidity and pre also been studied as a reagent for the titrimetric analysis of glutaraldehyde. SCIGEN provided DTSC with a mechanistic pathway and experimental data on major reaction prodL from the mechanism.The mechanism predicts specific products,and a ratio in which they could be I support the mechanism SCIGEN submitted data including a melting point and a C,H,N, and S analyi the formation of a major product expected by the mechanism.They reported the results from an exp which they isolated approximately 75%of the amount of this compound predicted by the mechanise• where they did not attempt to optimize their isolation method, provides good support for the propose Existing Data and Information DTSC staff visited SCIGEN's facility to discuss SCIGEN's management and operations and to revie% documents.SCIGEN maintains documented procedures for handling, storage,packaging, preservat delivery of the product,and other customer services.SCIGEN also documents procedures to review operations and perform internal audits,calibrations,and testing,and to collect,track,and resolve us product failures.A toll-free telephone number is available for customers to request information or as! present complaints. http://www.dtsc.ca.gov/ScienceTechnology/scigen-batch-treat-formaldehyde-techcert.html 12/18/2003 Environmental Technology Ceitcation- SCIGEN, Inc.; Batch chemic*eatment proce... Page 6 of 8 During the site visit, DTSC staff confirmed that experiments from product research,development,an retained in notebooks and available for review.The notebooks predated SCIGEN's entry into the cat program.The notebooks showed the progression of the development of the technology. SCIGEN's i and experiments used SCIGEN's modification of ASTM Method D-2194 and the SCIGEN screening determine formaldehyde concentrations. SCIGEN submitted a summary of an internal experiment to demonstrate the repeatability of the treal They treated ten batches of unused 10%NBF according to their standard operating procedures.The treated over a period of twelve weeks.Post-treatment pHs were between 6.4 and 6.5.The post-treat formaldehyde concentrations were between 49 and 58 ppm according to their modification of ASTM 2194,and between 10 and 20 ppm by SCIGEN's Screening Test Kit.The data are consistent with S, statements that the reaction repeatably gives low residual formaldehyde concentrations. No quality assurance/quality control(QA/QC)data were submitted for the experiment. In the absence of QA/Q( are best considered as qualitative or semiquantitative.They were used to help identify objectives for demonstrations,and reviewed for consistency with the results of the field demonstrations and inform users. SCIGEN also submitted laboratory data from aquatic bioassay 96-hour LC50 tests performed on two two treated wastes collected from each of two health care facility wastes.An independent California Health Services Certified Laboratory performed the bioassays.The results showed no fish mortality treatment wastes,indicating an aquatic LC50>750 mg/kg.The pH during the bioassay was approxin compared to a pH of 7.5 for a control tank. Field Demonstrations As part of the evaluation, DTSC participated in a short-term demonstration of the technology at two I laboratories,Kaiser-Berkeley and Kaiser-Bellflower.The purposes of the demonstration were to: • Observe the use of the technology under field conditions, • Obtain confirmatory data from an unbiased laboratory independent from SCIGEN, DTSC's f Materials Laboratory(HML), • Generate data using three analytical methods to provide complementary data related to SCI and to support the utility of existing data previously generated by SCIGEN and end users.TI methods are: EPA Method 8315,using derivalizalion followed by analysis by High Performance Liquid Chromatography-performed by HML; ASTM Method D-2194,using derivatization followed by titrimetric analysis to measure base released during the derivatization-per SCIGEN; SCIGEN's field screening lest kit for residual formaldehyde-performed by HML,SCIGEN,and the Kaiser laboratory. A summary of these methods is included in the DTSC Certification Evaluation Report for this techno provided the two Kaiser pathology laboratories with the NEUTRALEX technology,and demonstratec technology's use. Kaiser pathology laboratory staff performed the treatment,while DTSC staff obser operations.The two Kaiser pathology laboratories are regional facilities that prepare pathology spec number of hospitals. The Kaiser-Berkeley facility typically generates about five gallons of tissue processor waste and abo gallons of histopathology waste per day.At the Kaiser-Berkeley facility,a staff technician treated the wastestreams,and poured the samples into the pre-labeled sample jars.The same technician condi operations each week.After 15 minutes,the technician tested the pH,then used SCIGEN's screenir for residual formaldehyde.At the Kaiser-Bellflower facility,the demonstration was carried out in a m: that at Kaiser Berkeley, however insufficient tissue processor waste was available for treatment. DT; were present during the demonstration activities. Samples of the wastes before and after treatment were shipped to HML and to SCIGEN from the Ka HML treated an aliquot of the untreated wastes with the NEUTRALEX according to the directions ac technology,with the following modification:since less than one gallon was treated,the package of N was weighed,and a proportionate amount to achieve the same ratio as one package per gallon of w Samples analyzed at HML included samples generated at Kaiser-Berkeley during both field study tre and at Kaiser-Bellflower during the second study treatment day.Analyses were performed in accord HML's quality assurance and quality control procedures.The EPA Method 8315 analyses were run analyses.The analysts were advised of the presence of buffering agents that could influence the del formaldehyde during this analytical method.Treatment of samples with NEUTRALEX and SCIGEN, http://www.dtsc.ca.gov/ScienceTechnology/scigen-batch-treat-formaldehyde-techcert.html 12/18/2003 Environmental Technology Ce#cation- SCIGEN, Inc.; Batch chemic eatment proce... Page 7 of 8 . kit analyses were run as a special project,since the procedures used did not follow standard methoc screening tests and pH measurements were run according to the directions and equipment supplied technology. HML staff noted that during treatment the temperature of the solution rose from room tei recorded)to 33 degrees Celsius. SCIGEN analyzed the samples that they received using their modification of ASTM Method D-2194. relies on the reaction of formaldehyde with excess sodium bisulfite,followed by titration of the hydro: released as part of the reaction.SCIGEN analyzed each sample using this method. In addition,eact sample was analyzed for pH using a pH meter and for formaldehyde using the SCIGEN screening to did not submit any QA/QC data associated with their analyses. Data from the three test methods gave consistent results. Blanks,with and without NEUTRALEX,sh detectable formaldehyde.The detection limit for EPA Method 8315 was 0. 1 mg/L for treated sample: Samples known to contain 10%NBF(approximately 37,000 ppm formaldehyde)gave readings of be and 41,000 by EPA Method 83 15,and between 34,400 and 43,200 by SCIGEN's modification of A: 2194.Samples that had been treated gave readings of between<O. I mg/L and 2 mg/L by EPA Metl between 28 and 76 mg/L by SCIGEN's modification of ASTM Method D-2194.According to SCIGEN Method 2194(and their modification)is biased high for determination of formaldehyde in 10% NBF c presence of the buffers that interfere with the titration(i.e.,it requires more acid to titrate the solution initial pH). Because of the limited data,statistical tests were not performed.The results are also con: results from SCIGEN's internal studies on other wastes. The results from EPA SW-846 Method 8315,a standard analytical method,were considered the mo: accurate of the three methods used to provide data for the evaluation.The results from use of this rr the field demonstrations consistently gave results showing less that 10 ppm formaldehyde in treated However,since the data are limited,a condition of the certification is that each end user validate the of the technology on their wastes. Discussions With End Users The NEUTRALEX technology was discussed with representatives from eight health care facilities.S facilities use the technology and are satisfied with the product.The other two do not currently use th administrative reasons unrelated to its performance.One of the two stated that they had conducted the technology, and that it appeared to work well.They stated that they may decide to use the techn future.The six users did not identify any problems with use of the NEUTRALEX. Four of the six treat and five gallons per week,while the other two treat 10-15 gallonstweek. Four of the users treat both while the others treat only histopathology tissue specimen preservation wastes. Four of the six state prefer the technology to competing technologies that generate a precipitate. Five of the six users sta SCIGEN visited their facility to train them on use of the technology.The other user stated that they e demonstration at a trade show.All users said that they felt the technology was easy to use,and worl three of the six users test the wastes following treatment. SCIGEN submitted copies of log sheets frc Memorial Hospital recording four months of treatment with NEUTRALEX.During the four-month peri Memorial Hospital treated a total of 116 gallons.Treatment was usually carried out in two-gallon bat, working days.The log shows a range of recorded residual formaldehyde concentrations of 0-10 pprr using SCIGEN's screening test kit.The post-treatment pHs ranged from 5.5 to 7.75.The other two u their wastes indicated that the test kit showed similar low levels of residual formaldehyde in their trei Regulatory Considerations Title 22,California Code of Regulations,Section 67450-20,specifies that treatment of formaldehyde facilities using any technology certified as effective for that purpose is authorized for operation under conditional exemption.The treatment must be operated pursuant to the conditions imposed on the c addition,the generator conducting the treatment must comply with the conditions of Section 25201.E and Safety Code.The reader should refer to these statutory and regulatory sections for additional in- Duration of the Certification This certification will remain in effect for the period of three years from the date of issuance, unless it cause or unless a duration for certification different from that.specified in this certification is adopte( If a different duration is specified in regulations,the duration of this certification will be that provided regulations,beginning from the date of issuance of this certification. TOP hq://www.dtsc.ca.gov/ScienceTechnology/scigen-batch-treat-formaldehyde-techcert.html 12/18/2003 Environmental Technology Ce ' .><cation - SCIGEN, Inc.; Batch chemicteatment proce... Page 8 of 8 Cal/EPA I Air Resources Board I California Integrated Waste Management Board I Department of Pesticide Regulatio Office of Environmental Health Hazard Assessment I State Water Resources Control Board Conditions of Use I Privacy Policy I E-mail Webmaster The content found herein may not necessarily represent the views and opinions of the Schwarzenegger Administratioi ©2003 State of California. http://www.dtsc.ca.gov/ScienceTechnology/seigen-batch-treat-formaldehyde-techcert.html 12/18/2003 i • FOR IMMEDIATE PRESS RELEASE SCIGEN AWARDED CALIFORNIA ENVIRONMENTAL TECHNOLOGY CERTIFICATION SCIGEN a worldwide leader in design and manufacture of Reagents for the medical industry has been awarded the prestigious California Environmental Technology Certification for its new NEUTRALEX product for the batch chemical treatment of aqueous formaldehyde in 10%neutral buffered Formalin. SCIGEN's patented NEUTRALEX reduces formaldehyde vapors, allows for safer management and disposal of treated wastes and reduces formaldehyde concentrations by as much as 98%. Edwin Lowry Director of The Department of Toxic Substances Control said that NEUTRALEX is certified as a Hazardous Waste Treatment Technology and follows the California Health and Safety Code for the disposal of formaldehyde in 10% neutral buffered Formalin. Failure to dispose of formaldehyde in a proper manner could result in a fine of$25,000 per incident under current law. This Certificate was awarded to SCIGEN's CEO Steve Wheeler by Winston Hickox Agency Secretary California Environmental Protection Agency. Mr. Wheeler stated "The State of California has identified formaldehyde as a carcinogen. In doing so this has created legal liability issues for all users of formaldehyde, especially for those that generate formaldehyde waste. It's now possible for audit trails to be put together linking a waste generator to a contamination of water and other sources. This can create huge liability issues. SCIGEN is proud to provide Health Care Facilities with the NEUTRALEX formaldehyde treatment technology that is specially designed to address these potential liabilities issues". NEUTRALEX is the only State Certified product to address these concerns. SCIGEN's President Ted Bryan "Our clients are finding exceptional value in the NEUTRALEX product both from a time and functionality standpoint. This allows our clients to disposal of formaldehyde in a safe and approved manner, not only protecting the employees of those that use formaldehyde but in providing for a safer environment by disposing and neutralizing a very toxic substance. ABOUT SCIGEN: SCIGEN is a world leader in the design and manufacturing of reagents. SCIGEN's product are offered through a network of distributors and suppliers throughout the world. For more information contact SCIGEN at 310-324-6576 or visit the web site at scigenus.com Editorial/Press Contact Darryl Wheeler SCIGEN 333 East Garden Blvd Gardena, CA 90248 (949) 858-1918 dwheeler @cox.net FOR IMMEDIATE PRESS RELEASE SCIGEN RELEASES NEW PRODUCT THAT IS BACKED BY CALIFORNIA DEPARTMENT of TOXIC SUBSTANCE CONTROL SCIGEN a worldwide leader in design and manufacture of Reagents for the medical industry has just released its new product called NEUTRALEX for the batch chemical treatment of aqueous formaldehyde in 10%neutral buffered Formalin. SCIGEN's patented NEUTRALEX reduces formaldehyde vapors, allows for safer management and disposal of treated wastes and reduces formaldehyde concentrations by as much as 98%. It is the only product that has been certifiyed to be used in the state of California.. SCIGEN's CEO Steve Wheeler stated"The State of California has identified formaldehyde as a carcinogen. In doing so this has created legal liability issues for all users of formaldehyde, especially for those that generate formaldehyde waste. It's now possible for audit trails to be put together linking a waste generator to a contamination of water and other sources. This can create huge liability issues. SCIGEN is proud to provide Health Care and Lab Facilities with the NEUTRALEX formaldehyde treatment technology that is specially designed to address these potential liabilities issues". Failure to dispose of formaldehyde in a proper manner deemd by the state will could result in a fine of$25,000 per incident under current law. ABOUT SCIGEN: SCIGEN is a world leader in the design and manufacturing of reagents. SCIGEN's product are offered through a network of distributors and suppliers throughout the world. For more information contact SCIGEN at 310-324-6576 or visit the web site at scigenus.com Editorial/Press Contact Darryl Wheeler SCIGEN 333 East Garden Blvd Gardena, CA 90248 (949) 858-1918 dwheeler @cox.net { '! i i j �� �, '*4 j ,� i W. j i� i j .. II d d^` .. ,, .., ^�. r- i � ... ,t. - _ �, �' .:, ,. -.^.K.wR�..,.^.,?"+�..'+..�ia;Mi'�C:.___..._�_..____�..� _ ��-.�..__.�._---•.-�� .- ...._-.__.__. �_..�_.•..-�A�r�_Ar__..f7L•Y�,_._.__.�_ ...,.�. FILE NO. - - � i'-.• RE DEPARTMENT,' • � .• • .� Q .1 '.f '1 fl' 0 Rg;-.<._ .� •:, , : N.REPbRT . 4;, 1 FDA a p . :r nn '.ka ti. r<b�ni ^✓ � e �r a ✓t 'New Inspection rr x' M Achveb t .f p Purge Y : Generol Use �._r x wcw .sr r'l+Y+y rc,-,.,: } yn-°rc+.�-cTiR"."w.?OS.4 a'c•}.s -:w: v- •wr,&'r r�`tvr KERN =MEOIGAL :CENTER HOSPITAL _ I'M RE �X W eax* nt h?y$.g} { wt 8 a� pti w t ;Ja-> ;�. * ;R:> .'wf'1,yn�" d - > �:''� �Yt� I"f±h•'aa 3h' ,rnJ• Y -r,•i� iS.' ,v.;'?;� ,�"y, . 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A i' t r kY., ,� f }�. �� •sr 51 r E��/�/G ( Y7� �Crt�� K (7✓4 sx���M:�!� �ra�KO�I� il?OQ�.1" C9, 0K rY�Q� 161?8rIL iP�•`<;>7.'.` T:it ttistyr c4% ; R d s spa 6 F �rr�N I S%/ rriQ c `il�Al , / 3��Atul ... : ':Qe-Ne.oite o;�a� �oN h� S�r� V C. : ear (boa .cQ'd' �i'(.e Ao/dv,-s aK Y�5• . `:;_; .._:. :4) Tr' ; �c�ll -oU`�. .', U Sr Lam, �c�a� c (1✓ �a.k cc ' .M.J•,Y' .'1 . I' t ..11.',x...yW.rb., l'':4C.�.✓�rh. 1NY_EXCEPTIONS NOTED'ABOVE"MUST;BE.CORRECTED BEFORE CLEARANCE IS GRANTED JM F Y�" Y Y f i ��r rr t :'fk w",;3 5'. t3'�,{yL�• id .t,:� - ig` '` ,}•x y: ">CI.EAR;4NCE ,v...f s �::+-.•.s.Date;of Next Inspection �(Imk •A:.�::U`.53x#. A •71,x,;;G P R/mm NS ECTOR' I C . 'eN.• a•:iiF$f�'l.,.y,�.( -.c,• :rl�....�,•ir,.. .,('k�"�`..i• Y a �'�.. - �+ F I�r <r.? 'i ' a ' `Total time to'can ete ' .• y 7 t' r R ..t+• iR a s � u r RE-I1�jSPECT10N,, wT�T l rf Granted Kp 9 .� �,:t:?li N x,. w• *t 4 x... , r .: tl�'�,'i .4.' w_ lx^ i'+.n 1,''1In3p d1- '. } 6 i• �l �r.T ^>F4.�ti t .+- .` .. � •.,a $i'' M14 .�-. 'iri3". ; �. r M1SC'INSP yr 4 i r ikd1, L n r4 r t Denred �p 07 ',xir 4ureai•v�ur)r 1}i�"�> :3 ,.sic tKYAj Impaction ti r ro (Bureau Only) ,`, OWNER/MANAGER 1115.0581' jt PRMEDONREDENESISTM POST CONSUMER RECY=OPOPER INSPECTION UNIT 0l [ r KERN COUNTY FIRE DEPARTMENT PREPLAN / IMMECTION REPORT FILE MISC.0 H=HAZ/MAT TARGET HAZARD (`j r a v '4 5 New Inspection❑ Purge ❑ E=EXEMPT s=SEICONDARY D=DELETE D-DELETE 'A A �p GENERAL USE D.B.A. Ke.f v, 1M-e_cJ .c�L l�v�-lam.r 3 "02" LOCATION 0 le CITY 'B A k �. OCCUPANCY PROPERTY ry CLASS CLASS BUSINESS . � � BUSINESS 3 a6 M NO.OF NO.Of Y JURIS- MANAGER PHONE — BLDGS. STORIES :: BSMI(B) DICTION DICTION RESPONSIBLE ❑ SHIFT BUSINESS HOME EMERGENCY 3ar 9_000 -DATE OF OWNER PHONE — PHONE , LAST INSP. Disposition Sym. 1 -Corrected 2-Will Correct 3_'V.N.Issued.Call Back Necessary 4-Citation Issued 5-Referred BUILDING APPROVED DISP REMARKS: YES NA NO SYM 1. Exit Doors-Hardware Exit Signs-Lighted 1 d`Z�{} KGaIaG2. RAJ A 0 4CjiJf, i..JA r,1i'—f S X�,,LS 2. Exit Corridors 2 ff 3. Aisle Spacing-Seating 3 LI� boors o� -Bto 4K�P J S t_roAS.,e_ 4. Occupant Load Signs 4 Cdict bay 1,L1 4 A oted (Aflt'" 5. Vertical Openings 5 r— COMMON HAZARDS ���� 5 �1•�s �aa� Sr2e 6. Electrical 6 Tt 1 k 044e- 14'�t,JAN1^1—( RAItL.C— J-C, 7. Furnace/Boiler Rooms-Heating Equipment 7 ee 1 8. Cooking Equipment 8 `^- y'ti •0 c.L.� 5►C>I c, .(�{at� A cwt 1.Aa,•ev1."t 9. Decorations-Curtains-Drapes 9 to Ci�oc- �e.�gcPir.e ��•• �tbt,�-( 's Lip f� 10. Housekeeping-Trash-Weeds k 10 FIRE PROTECTION EQUIPMENT O�U �i° "11. Fire Extinguishers. 11 12. Automatic Extinguishing Systems 12 13. Wet-Dry Standpipes 13 14. Alarm Sysytem 14 15. Fire Assemblies-Fire Walls 15 16. Fire Sprinkler Records )XC 16 OTHER HAZARDS 17. Grease Hoods&Ducts 17 18. Warning Signs 18 19. Compressed Gas 19 20. Other(see Remarks) x 20 HAZARDOUS MATERIALS 21. Training Records 21 22. MSDS'S Available 22 23. Chemical Inventory 23 24. Labeling 24 �( TOTAL TIME TO REGULAR INSP. COMPLETE INSPECTION . ` 12-'3() OWN /MANAGER RE-INSPECTION ❑ MISC..INSPECTION =I :_L Id• _ �� (PREVENTION ONLY) INSPECTOR SHIFT DATE MISC.INSP. ❑ MONTH A=ANNUAL y• (PREVENTION ONLY) O=ODD YEAR INSPECTION DUE E =EVE NYEAR CLEARANCE SCHEDULED DATE _— GRANTED OF RE-INSPECTION � ;/ I V DENIED ® X-PREPLAN UPDATED KCFD#97 CATALOG#9215 OFFICE s. • ' � .. �' �` r ,F. r KERN COUNTY FIRE DEPARTMENT 5642 VICTOR STREET BAKERSFIELD, CA 93308 ID#_ _ _ _ _ _ e e'-'Ac r BUSINESS NAME I NSPECTOR QUEST,I ONNAI RE BUSINESS PLAN AS A WHO L E FOR USE WITH THOSE BUSINESSES COMPLETING A BUSINESS PLAN (2A) . INSTRUCTIONS: 1. Complete this form only once for each occupancy. 2. Attach this form to BUSINESS PLAN (2A) and forward to Data Entry. BUSINESS PLAN VERIFIED ON: SECTION 1: RESPONSE SUMMARY (Limit to 4-5 lines) r ��vC yr T �o�°rn x-e.c� ,l,-iOY///�( l/ ,. jj C SECTION 2: NOTIFICATION / EVACUATION OF AFFECTED PUBLIC (Limit to 13 lines T �' k4e) �--� 1,Q r co- HMCU-.5 ' � 4 i '� N RADIOACTIVE MATERIALS REGISTRATION FORM Y5 3 Attention: Radiation Safety Officer . The Kern County Fire Department Hazardous Materials Bureau is requesting information on the types of radiological devices, sources, amounts, and levels of radiation being handled by your business. This information is required in order to satisfy State law and County ordinance regarding the hazardous material release response plan and inventory program administered locally by the Kern County Fire Department. (Section 25503.564 California Health and Safety Code; and Section 80.103c, Kern County Ordinance Code G-5232) NOTE: Promptly fill out and return within seven (7) days of receipt. Business Name Kern Medical Center BuAinmsR Site Address 1830 Flower Street Business Mailing Address (if different) _ Radiation Safety Officer M. J. Naderi , M. D. Business Phone 326-2534 RADIOLOGICAL SOURCES OR DEVICES-HANDLED - Use Additional Pages if Necessary DEVICE NAME ELEMENT/ISOTOPE MAX. OUANTITY (curies) 1 Vial Tc' 99 50/mti , J Tc 99 :is in -the Nuclear Medicine Hot lab behind leedl brick 25 Cesium needles CS 137 570 mCi Cesium is located in therapy storage in Radium Safe GENERAL DESCRIPTION OF PROCESSES, EQUIPMENT, AND STORAGE: SIGNATURE TITLE 4-411 NAME PRINTED Lucky Sells DATE August 19, 1991 � CC� 6 � d � U Mau to KCFD Hau sous Materials Bureau,5642 victor Sboet, BakenficK CA 9mm 1 19 91 G KCFD HMCu Al = MP O RT ANT PLEASE READ THIS AFTER YOU HAVE READ THE COVER LETTER Dear Business Owner or Manager : If your business does not handle hazardous materials like gasoline, crude oil , motor oil , etc . , or handles them in a quantity that is below the limits stated in the cover letter, and you do not handle any "acutely hazardous materials" listed on the last pages of the cover letter, you are exempt from the requirements of Chapter 6.95 of the Health and Safety Code. This exemption applies oniv while you remain tirC.6r. rht!% ninimur for hazardous materials . If you exceed the limits at any time during the year, then you must comply with the provisions of the lava. Failure to comply with these requirements may subject you to civil or criminal action. To prevent further action by the administering agency, you must certify that you are currently exempt from this law. To accomplish this, you must complete and mail the bottom portion of this notice to the address listed on the form. THERE IS NO FEE OR CHARGE TO FILE THIS EXEMPTION FORM ----------------------------------------------------------------------------- � � c� � od � p MAIL �q5,,S Kern County Fire Department �T'f Hazardous Materials Bureau SEP 171991 $642 Victor Street Bakersfield, CA 93308 KCFD HMCU certify, under penalty of perjury, that I have read the information regarding Chapter 6 . 95 of the Health and Safety Code and that my business is exempt front. these requirements. I understand that random checks will be conducted to ensure exemption status . Meg e i Haan is ovennt hae-MIL;glj I do Tint hv.nd 7.e hazardous materials The quantity of hazardous materials used are below the minimum requirements, BUSINESS NAME BUSINESS MAILING ADDRESS / -700 BUSINESS •LOCATION (STREET OR GEOGRAPHICAL) Ze? dos:U4 _ _� PRINTED NAME TITLE PHONE SIGNATURE ( IN �LL) Fir6 580 2415 424(2/891 ENVIRONMENTAL HEALTH SEk`VICES DEPARTMENT REOURCE MANAGEMENT AGENCY MATTHEW CONSTANTINE, R.E.H.S., Director DAVID PRICE III; RMA DIRECTOR 2700"M"STREET,SUITE 300 Community and Economic Dcvelopment Department BAKERSFIELD,CA 93301-2370 Engineering&Survey Services Department Voice: (661)862-8700 Environmental Health Services Department Fax: (661)862-8701 Planning Department TTY Relay: (800)735-2929, Roads Department e-mail:eh @co.ker, ca.us August 20, 2007 GILBERT MARTINEZ r KERN COUNTY MEDICAL CENTER 1830 FLOWER ST BAKERSFIELD, CA 93305 Owner ID: OW0000550 Password: tbdgjaxh NOTICE OF VIOLATION HAZARDOUS MATERIALS_BUSINESS PLAN AND CHEMICAL INVENTORY ANNUAL REVIEW The mandatory annual review of your business plan and chemical inventory was due by March 1,2007. In accordance with Section 25505(3)(d) of Chapter 6.95 of the California Health& Safety Code (HSC), businesses that use, handle,store, or generate hazardous materials are required to review and report any changes to their hazardous materials inventory on an annual basis. As of this date, this Department has not received the information required by law. Failure to comply with the requirements outlined in Section 25514(b) and 25514.5(b)may subject you and/or your business to civil or administrative penalties up to $5,000.00 per day for each day the violations exist. If you have closed or sold your business you must notify the Department in writing and provide the -following information: • Date of sale or transfer • The name of the new owner or operator • New owner or operator's mailing address • New owner or operator's telephone number In addition, if you have closed the business, please provide date of closure and documentation demonstrating that all hazardous materials and hazardous wastes were properly disposed. Instructions for Completing Your Annual Business Plan and Inventory Update: 1) Review your existing plan. A copy of a facility's business plan is required to be kept onsite. 2) Make necessary revisions. You may complete your review online or by submitting a hard copy. For hard copy submittals, revisions may be made on the printout. Federal(Tier II) reporting forms are NOT acceptable. (over �) 1 Notice of Violation—Hazardous Materials Business Plan Review and Chemica11n entory Annual Review Page 2 August 20, 2007 3) Submit revisions. You may submit your revisions online or via hard copy. To submit your revisions via hard copy, please mail them to the Department at the address shown at the top of the first page. 4) ALL facility information must be reviewed and submitted even if there are no changes. 5) TO AVOID ENFORECEMENT PENALTIES YOU MUST SUBMIT YOUR UPDATE TO THE DEPARTMENT WITHIN THIRTY(30) DAYS OF RECEIPT OF THIS NOTICE. Online: Access the Department's website at htty://www.co.kern.ca.us/eh/and click on the "Business Plan . Update" link located under the Hot Topics section in the left navigation bar. To login, use the Owner ID and Password assigned to you, located in the top right corner of the first page of this letter. Upon login, a list of all the linked facilities will be available for updating. After you have reviewed your information and made any necessary changes, click the "Submit Facility" button and follow the prompts to submit your update to the Department. You must follow all of the prompts in the "Submit Facility"portion of the update in order for your electronic submission to reach the Department. Hard Copy: The Department strongly recommends that you complete your updates online. Doing so will expedite your return to compliance. You may request a hard copy by checking the box on the enclosed facilities list and returning it to the Department. Utilizing this method of updating your information extends your length of non- compliance. The violation will not be abated until the update is actually received, reviewed and accepted by the Department. As always, the Department is available to assist you. If you have any questions, please call (661) 862-8700. Sincerely, Joe Canas Hazardous Materials Specialist IV Unified Hazardous Materials/Waste Program Enclosure(s) 004453 1 _ STATE OF I.,ALiFORNIA O-fJC�CJi�i ©s- L/-fib—o G0. ° :NOR'S OFFICE OF EMERGENCY SERVICES CALIFORNIA ACCIDENTAL REL E PREVENTION 4 PROGRAM REGISTRATION bf Z�p#' 053 OES 2735.6(NEW 6/97) PAGE / OF REGISTRATION TYPE 7UPDATE TYPE Read instructions on reverse before completing. NEW UPDATE ADD Z DELETE E] REVISE I. Business Owner/Operator Information BUSINESS NAME IGQI ce e r f ADDRESS (Number and Street) t CITY , `J COUNTY STATE ZIP CODE v5 � �e (G/ '' - 1p K�r C11 933 eS OWNER/OPERATOR NAME PHONE NUMBER e r I �bI 3,D q-a II. Regulated Substance List A. Name of Each Regulated Substance Process Max. / Quantity(Ibs) CAS# p r ✓L e Gi S — a r/ q C �(rr C'/� .S^f 2. 3. 4. 5. 6. 7. 8. B. Name of Each Regulated Substance in a Mixture Percent Process Max. CAS# Weight Quantity(Ibs) y. 2. III. Certification I, the owner or operator of the aforementioned business, hereby certify that the registration information provided above is true, accurate, and complete to the best of my knowledge, based upon reasonable inquiry. 1 am fully aware that this certification, executed on the date indicated below, is made under penalty of perjury under the laws of the State of California. OWNER/OPERATOR NAME(PRINT KERN MEDICAL CENTER ROBERT F. KINSELLA, MEDICAL-CENTER FACILITY MANAGER OWNER/OPERATOR SIGNATURE DATEOIECUTED fx:-�;P 04/05/00 r STATE OF CALIFORNIA CALIFORNIA ACCIDENTAL RELAE PREVENTION PROGRAM REGISTRATION OES 2735.6(NEW 6/97)(REVERSE) PLEASE READ CAREFULLY BEFORE COMPLETING FORM GENERAL INFORMATION This registration form is to be completed by an owner or operator of a stationary source that handles one or more regulated substances in a process in excess of the threshold quantity(see definition below). To complete this form,the registrant should refer to the California Accidental Release Prevention(CalARP)program regulations. The regulations are codified in the California Code of Regulations(CCR),Title 19,Division 2,Chapter 4.5, Sections 2735.1 through 2785.1. The list of regulated substances and thresholds are in Section 2770.5. Information on the CalARP program and the regulations are located on the Governor's Office of Emergency Service's(OES) internet home page at http://www.oes.ca.gov. The completed registration form must be submitted to the registrant's local Certified Unified Program Agency(CUPA)or administering agency(AA). The following definitions of specific terms are included to assist the registrant in completing this form. "Process"means any activity involving a regulated substance including any use,storage,manufacturing,handling,or on-site movement of such substances,or combination of these activities. For the purpose of this definition,any group of vessels that are interconnected,or separate vessels that are located such that a regulated substance could be involved in a potential release,shall be considered a single process. "Regulated substance" means any substance,unless otherwise indicated, listed in CCR,Title 19,Section 2770.5. "Stationary source" means any buildings,structures,equipment, installations,or substance emitting stationary activities which belong to the same industrial group,which are located on one or more contiguous properties,which are under the control of the same person(or persons under common control),and from which an accidental release may occur. A stationary source includes transportation containers that are no longer under active shipping papers and transportation containers that are connected to equipment at the stationary source for the purposes of temporary storage, loading,or unloading. The term stationary source does not apply to transportation, including storage incident to transportation,of any regulated substance or any other extremely hazardous substance under the provisions of CCR,Title 19,Chapter 4.5. Transportation includes,but is not limited to, transportation subject to oversight or regulations under Title 49 of the Code of Federal Regulations,Parts 192, 193,or 195. Properties shall not be considered contiguous solely because of a railroad or gas pipeline right-of-way. A stationary source does not include naturally occurring hydrocarbon reservoirs. "Threshold quantity"means the quantity specified for a regulated substance pursuant to CCR,Title 19,Section 2770.5 and determined to be present at a stationary source as specified in Section 2770.2. INSTRUCTION FOR COMPLETING THE CaIARP PROGRAM REGISTRATION FORM Please indicate the number of pages to be submitted in the upper right corner of each form completed. Use additional pages,if the number of regulated substances handled exceeds the space available on one page. Indicate if this is a"new"registration or a registration "update"by checking the appropriate box. If this form updates a previously submitted registration indicate the type of update as follows: check"add" if a regulated substance is being added; check"delete" if a regulated substance is being deleted;check"revise" if any other information is being revised. I. Business Owner/Operator Information: Complete business name, address(number and street),city,county,state,and zir code;and owner or operator name and phone number. IL Regulated Substance List: A.Name of Each Regulated Substance-Provide the chemical name and Chemical Abstracts Service(CAS)number for each regulated substance held above the threshold quantity in a process,and the maximum quantity of each regulated substance in the process(in pounds),to two significant digits(refer to CCR,Title 19,Section 2770.2 and 2770.5); B.Name of Each Regulated Substance in a Mixture-Provide the chemical name and CAS number for each regulated substance in the mixture held above the threshold quantity in a process,the percent weight of the regulated substance in the mixture,and the maximum quantity of each regulated substance in the process(in pounds),to two significant digits(refer to CCR,Title 19,Sections 2770.2 and 2770.5). (Note: Specifically identify any information on this form which is classified information or trade secret.)' M. Certification: Read the certification statement and provide the owner or operator name,signature,and date when executed. If you have any questions regarding the completion of this form,please contact the local CUPA or AA. a ENVIRONMENTAL HEALTH SAICES DEPARTMENT �!!�ESOURCE MANAGEMENT AGENCY STEVE McCALLEY, R.E.H.S., Director DAVID PRICE 111, RMA DIRECTOR 2700"M".STREET,.SUITE 300 Community Development Program Department BAKERSFIELD,CA 93301-2370 a' Engineering&Survey Services Department Voice: (661)862-8700 Fax: (661)862-8701 , Environmental Health Services Department TTY Relay:(800)735-2929 Planning Department e-mail: eh@co.kern.ca.us November 5, 1999 Roads Department KERN MEDICAL CENTER 1830 FLOWER STREET BAKERSFIELD, CA 93305 Attention: SUBJECT: SECOND REQUEST FOR INFORMATION ON Y2K RISK OF HAZARDOUS MATERIALS RELEASE FACILITY: 015-010-004453 KERN MEDICAL CENTER 1830 FLOWER ST BAKERSFIELD Ladies and Gentlemen: Recently,you were sent a Y2K readiness evaluation form to complete and return to this agency. The form is important in order to assess the readiness of facilities that handle certain hazardous materials that could have significant health impacts if an accidental release occurs at your facility. Our records indicate that you have not submitted the requested information. Within the next 30 days an inspection will be scheduled by our staff to review your facility Y2K readiness status. This inspection may also include a review of your hazardous material release contingency plan. The information collected will then be analyzed and provided to emergency response agencies for Y2K event planning purposes. Should you have any questions regarding the planned inspections,please contact either Dan Starkey or Dale Heineman at(661) 862-8700. Sincerely, Steve McCalley, Director By: /Hazardous as, R.E.H.S. Material Specialist IV Unified Hazardous Materials/Waste Program b KERN MEDICAL CENTER CLINICAL LABORATORY SERVICES FAX Or'9anCzatton: Jax numlwr: Mne I' umier: 3 6 - 9 X4E --41: -Aern a ica enter a oratorcy .AP #23576-01 �ax: (661)326-2,528 late: // /� �•� llumler olPayei: Wei iary. e: f l jam/ 1830 FLOWER STREET, BAKERSFIELD , CA 93305 (661)326-2442 ZO "d 8Z5Z 9Z£ L99 saZ>L^-AEi S quaff LO OWN V6Z = tt 66-91-^C)N Percent Complete Communication Systems Te lephone/vo ice-mai 1/PBX Wireless radio/paging systems Call center equipment _ Moderns/multiplexers Satellite/microwave equipment/systems Hazardous Materials Systems Databases and tracking systcros 100 1 Containment systems 100 100 Monitoring systems IOU 100 IDD 100 Pumping/extraction systems. N/A Treatmendpurification systcros I M) 100 100 Release/transfer systems Emergency notification systems 100 100 Transportation Systems Pipelines,flow controllers Vehicles(operability) Vehicle monitoring/tracking system Specialized equipment on vehicles Elevators,escalators, lifts,conveyors Maintenance Systems(machine,vehicles) Diagnostic equipment Repair equipment Shipping/Receivittg Systems Weighing systems/equipmcnt Packaging systems/equipment Labeling sysrerns/equipment Bar code readers/generators Dock and door control systems Material inspection systems Scheduling systems Comments: LITLLITY SYSI'1:M Pw)V 11)TNG POWER & STEAM FOR 1.Nh'h:CTTOUS WASTE PROCESS ARE Y_'K COMPLIANT. BIO11AZAR1) WASTE IS REMOVED BY li.h'. f. . CII -1MICAI, STORAM; SYSTKMS ARE AI.L MANUAL WITH Tllr h;XCFPTION OF ME1)1C:A1.' CAS PRESSURE MONITORING WHICH IS NOT A Y2K RISK ZO'd 8Z5Z 9ZE: 199 saZ3LA-AOS -4uaLLO OWN lf6Z = 11 66-9t -A0N M KERN COUNTY CUPA YEAR 2000 (Y2K) HAZARDOUS MATERIALS BUSINESS QUESTIONNAIRE BUSINESS INFORMATION FACILITY ID: 015-010-004453 Business Name: KERN MEDICAL CENTER Contact Person: Signature: Facility Address: 1830 FLOWER ST Contact/Inspection Date: E-Mail Address: QUESTIONNAIRE Telephone Interview Facility Inspection 1. Has your business considered the Y2K problem? YES / NO 2. Does your business have a Y2K action plan? YES / NO 3. Which of the following apply at your facility: A. Manual chemical processes YES / NO / UNK B. Computer automated chemical processes YES / NO / UNK. C. Processes containing embedded chips YES / NO / UNK 4. If computers or embedded chips are used to operate a chemical processes are they Y2K compliant? YES / NO / UNK 5. Has your business developed a Y2K contingency plan to prevent accidental releases of hazardous materials? YES / NO / UNK Have you considered or does your plan discuss the following: A. Release prevention B. Disrupted normal operating procedures C. Automated controls for temperature,pressure, flow& containment D. Loss of power,water, communication f If the business has answered"yes"or"unknown"to questions 2. (B)(C) or 3 then continue with the Evaluation Form and include comments to fully describe facility and status. DS/yRquest.non.response.word ENVIRONMENTAL HEALTH SAICES DEPARTMENTESOURCE MANAGEMENT AGENCY STEVE McCALLEY, R.E.H.S., Director DAVID PRICE 111, RMA DIRECTOR 2700"M"STREET,SUITE 300 Community Development Program Department BAKERSFIELD,CA 93301.2370 "r�` Voice: (661)862-8700 Engineering&Survey Services Department Fax: (661)862-8701 • Environmental Health Services Department TTY Relay: (800)735-2929 Planning Department e-mail: eh@cakern.ca.us October 8, 1999 Roads Department KERN MEDICAL CENTER 1830 FLOWER STREET BAKERSFIELD, CA 93305 SUBJECT: Y2K RISK OF HAZARDOUS MATERIALS RELEASE FACILITY: 015-010-004453 KERN MEDICAL CENTER 1830 FLOWER ST BAKERSFIELD Ladies and Gentlemen: Your immediate assistance is needed by local agencies to verify the Y2K readiness of your hazardous materials facility. This information is needed for emergency response planning purposes. Only information on chemical processes that could be impacted by a Y2K related problem is necessary. Based on previous information provided to this Department and other State agencies we have selected your facility to complete the enclosed evaluation forms. One or more of the following reasons was used to select your facility: ➢ The type and/or volume of hazardous materials you handle ➢ The processes your facility uses to control hazardous materials ➢ The systems your facility uses to control hazardous materials ➢ The history of your facility's hazardous materials incidents Your cooperation in completing the evaluation form within 14 days is greatly appreciated. If a response is not received, a site visit may be scheduled to determine your readiness. Based on information provided in your evaluation, further information will follow. Thank you in advance for taking the time to complete the evaluation forms. The forms may be returned to this Department by fax at (661) 862-8701. Future correspondence can be provided electronically if an e-mail address is provided in your reply. If you have any questions or concerns regarding your Y2K readiness or the evaluation, please contact myself or Dan Starkey immediately at (661) 862-8700. Sincerely, Steve McCal y, Direct By: /Joe Canas, R.E.H.S. Hazardous Materials Specialist IV Unified Hazardous Material/Waste Program r KERN COUNTY ENVIRONMENTAL HEALTH SERVICES UNIFIED HAZARDOUS MATERIALS PROGRAM OFFICE MEMORANDUM TO: Patrick Hall, Kern Medical Center February 3, 1998 FROM: Marty Brownfield 862-8719 SUBJECT: Hazardous Materials Business Plan and Chemical Inventory for KMC. Per our conversation of last week please find attached to this memo a copy of the hazardous materials business plan previously submitted by KMC. Please review the information provided and make the needed changes directly to the printout. In the event that you need to add new materials to the inventory I have enclosed the required forms and their instructions. Please remember that you must report quantities in excess of the following; 55 gallons or more for liquids, 500 pounds or more for solid materials, and two hundred ft3 for compressed gasses. The exception of this rule is for radioactive materials,these must be reported without regard of the quantity used,handled, or stored. In reviewing the file it appears that materials may have inadvertently omitted from the inventory. These materials are those that would commonly be found in the house keeping department, {cleansers, disinfectants, floor waxes and strippers), also items that would be found in the laundry, {soaps and bleaches}, are absent from the inventory as well. Please take close look at these areas to ensure that reportable materials are included on the inventory. The information collected on the inventories is of vital importance to emergency responders. If you has any questions as you make revisions to the printout and the adding of inventory items, please contact me at the number,shown above. cc: File#4453 ACUTELY H A � RDOUS MATERIALS REGISTRATION FORM THIS FORM MUST BE COMPLETED BY THE OWNER OR OPERATOR OF EACH BUSINESS IN CALIFORNIA WHICH AT ANY TIME HANDLES ANY ACUTELY HAZARDOUS MATERIAL IN QUANTI'T'IES GREATER THAN "r P STP.I THIS FORM SHALL BE COMPLETED AND SUBMITTED TO YOUR LOCAL ADMINISTERING AGENCY. (§25533 &25536 Health & Safety Code) Note Instructions on reverse Business Name A,�E klv M E-D l Chj_ CEN 7E Business Site Address 3 a F l o w ER J r. Business Mailing Address(it different) SAM E Business Phone 3 26 - Z o v G Business Plant Submission Date2 Pro=e Designation3 "zS ACUTELY HAZARDOUS MATERIALS HANDLED4 -USE ADDITIONAL PAGES IF NECESSARY- CHEMICAL NAME QUANTITY C'/-le- ofZiN,E -- 6,A S ,Z- loo ►b , Cyl r,,derr GENERAL DESCRIPTION OF PROCESSES AND PRINCIPAL EQUIPMENTS: .�— Cyli'^,4er qax a t; J ,2ej r ✓1 � re afr,nq „Weil water a>c sTorage Cdr\k a.A orf�n - wGS � corv►cr of ( o'` . �}/l ,n o�tv, 6{ C� Ior�He as ke' lo t of SawAe locat;o,n as a r are . Cy16v\ders are secArej W �t� cY1ai✓► iorr ale a /ocker' & ye�f�la�ec� sheo� c�► �,c� rt {e,nce su,j,roLAkA ✓�q 4c we-if Jl4 �+_, . SIGNATURE TITLE -Z1vf6e1M FA<iQ7j MAIA&OR PRINTED NAME -9oB DATE Califomia Office of Emergency Services FORM HM 3777(1.15-88) RECEIVED APR 2 01995 KCFD HMCU INSTRUCTIONS: ,Superscripts: 1. Quantities for RMPP compliance are"equal to or greater than"the minimum criteria and apply to chemicals handled "at any one time". 2. Businesses handling reportable quantities of Acutely Hazardous Materials that have not submitted a business plan MUST contact local Administering Agencies. The business plan submission date will assure the Administering Agency that a business plan has been submitted and is on file. This will also immediately identify businesses that have not submitted business plans. 3. "Process Designation"is provided as a reporting option(with the approval of the Administering Agency)for facilities that can most easily report by process. Thus,facility RMPP registration data could be submitted in a similar format to a business plan that is divided by process. "By process"data can initiate an emergency response to a process incident rather than a general emergency response to a major facility. Process designation can simplify inspections for major facilities and improve future emergency response. 4: Refer to the EPA list of Extreinely Hazardous Substances from the Fedrrai Register(Volume 52,No.77,p, 13397 et.mg.,April 22, 1987). Each chemical has a threshold planning quantity. This list may be changed by EPA on an annual basis. Updates of this list may be available early in 1988. To comply with this element,you may attach a copy of the inventory submitted to your Administering Agency from your business plan and highlight all Acutely Hazardous Materials. It is recommended that facilities list all extremely hazardous chemicals handled in quantities equal to or in excess of 1)500 pounds,and 2)any EPA threshold planning quantity less than 500 pounds. 5. Do not include Trade Secret information in these descriptions. General: For emergency response purposes,it would be desirable to describe the following to the Administering Agency: 1.Batch Process: L What raw materials? b. What operating presstue range? c. What operating temperature range? d. Batch capacity rating? e. Product mss? (e.g.,chemical state,flammability,toxicity,etc.) f. Critical process paints and characteristics?, 2.Continuous process:(similar information as above.) NOTE: "Pursuant to 125534.die Administering Agency may require the submission of a Risk Management Preventi on Program (RMPP),if the Administering Agency determines that the handles operation may present an acutely hazardous materials accident risk. The handler shall prepe the RMPP in accordance with subdivision(c)(of 125534]. The RUPP shall be prep fired within 12 months Wowing die m wA made by the Administering Agency pursuant to this section." (¢25534(a)Health and Safety Code) An amendment to the RMPP must be submitted to.dw Administering Agency within 30 days of: 1. Any additional handling of acutely hazardous materials. 2. Any material or substantial alterations to business activities. 3. Change of address.business ownership,or business name. (¢25533(c)Health&Safety Code) •EVERY BUSINESS REQUIRED TO SUBMIT AN RMPP SHALL PffLEMENT THE APPROVED RMPP ' California 0( w of Ernowncy 3*tvicaa FORM HM 3777(1.15.88) FIRE SAFETY ARCHITECTURAL AND ENGINEERING GUIDELINES FOR THE USE OF ETHYLENE OXIDE AS STERILIZING AGENT WITHIN OSHPD HEALTH FACILITIES • October 28 1993 � • r • PREFACE SCOPE OF GUIDELINES: The scope of these guidelines is limited to the fire and life safety aspects of regulatory standards to permit the use of a hazardous material sterilizing agent, ETHYLENE OXIDE (ETO), in health care facilities. This document is intended to provide the architectural and engineering communities with construction and installation guides for fire safety only and does not supersede or control the use of ETO as regulated by other federal, state or local agencies such as but not limited to the; a. California Environmental Protection Agency (CAEPA) for environmental issues, b. California Air Resources Board for air pollution and air quality, C. California Waste Management Board (CAWMB) for the disposition of disposable canisters, and the d. California Occupational Health & Safety Agency (CAL-OSHA) for-employee protection, or any other regulatory agency not addressed here. • References California Code of Regulations, Title 8, Section 5220 California Building Code (CBC) California Mechanical Code (CIVIC) California Plumbing Code (CPC) California Electrical Code (CEC) California Fire Code (CFC) National Fire Protection Association (NFPA) "Ethylene Oxide Use in Hospitals", a manual for Health Care Personnel "Ethylene Oxide Sterilizers in Health Care Facilities", Engineering Controls and Work Practices, by NIOSH Any conflict, duplication and overlap of any building regulations under the regulatory development responsibility of OSHPD and the building standards adoption responsibility of the California Building Standards Commission will be addressed for any safety measures under appropriate standards adoption procedures. In a effort to provide a support base for any recommendations made herein, it is necessary to provide product data and engineering evaluations for all related disciplines. Paramount to our analysis is the recognition of the beneficial and functional use of Ethylene Oxide (ETO) as an antimicrobial chemical sterilizer, albeit, having severe toxic effects to humans when • exposed to very limited quantities of gaseous vapors. October 28, 1993 -2- • • lip • This evaluation of ETO in both 100% pure product "sterilant gas" and diluted mixtures of 12% • ETO with.88% FREON (dichlorodifIuoromethane) "sterilant mixture 12%-88%" will include: 1. The chemical and physical properties of ETO and ETO gas mixtures, 2. Building design for use and storage areas (Central Supply vs. designated sterilizing areas ) and (gas tanks vs. disposable canisters), 3. Electrical safety wiring methods, 4. Mechanical ventilation of use and storage areas 5. Piping methods for ETO/Freon gas supply and waste disposal via water waste isolation, 6. And fire prevention practices and standards to reduce the risk of ETO use. This guideline incorporates the provisions of the applicable state code adoptions of the 1992 editions of the California Code of Regulations. APPLICATION OF CALIFORNIA FIRE SAFETY STANDARDS: The application of State building regulations (Title 24, Parts 2, 3, 4, 5, 9,& 12 CCR) is based upon the requirements of the principle use of the building (hospitals are Group I, Division 1.1 • occupancies) and the accessory use of ETO. Use and/or storage areas, within hospitals, for ETO are NOT treated herein as a mixed occupancy under the provisions of Chapter 5, CBC. Since the application of the CFC and the CBC stipulate that the examination of the product for all classifications is necessary, it follows that the most restrictive limit of exempt quantity will govern the proper application of these regulations. The most restrictive classifications are the UFC HEALTH HAZARDS, toxic for liquid ETO and toxic for compressed gas, which limits the exempt quantity to ZERO of ETO in "I" occupancies. The OSHPD modified 'exempt" amount shall be the aggregate of storage and use of ETO . and shall not exceed 6 gallons liquid measure. By limiting the quantities of storage and use of ETO within the "I" occupancy, OSHPD recognizes the functional needs for the proper administration of health care, yet fulfills its obligation to provide a fire safe environment. Quantities not exceeding 6 gallons liquid measure shall be considered as the 'exempt' amount for the purpose of applying these guidelines. Quantities in excess of this "exempt" amount shall be used and stored as stipulated in Table 9-A (for physical hazards) and Table 9-B (for health hazards) of Chapter 9 of the CBC. NOTE: THE 'EXEMPT" QUANTITIES LISTED IN THE TABLES ARE LIMITED TO THE AGGREGATE QUANTITIES OF USE AND STORAGE AND SHALL NOT EXCEED THE AMOUNTS SHOWN FOR STORAGE. (SEE NOTE # 2 UNDER TABLE 9-A AND NOTE # 3 UNDER TABLE 9-13). • October 28, 1993 -3- 0 • Since the CBC references the safety standards of the CFC, the hazard classifications • (physical & health) was also used to determine the•'exempt" amounts for each classification as noted in the appropriate tables referenced in the related Section of Chapter 80, Divisions I, II, III and IV of the UFC. Prcduct classifications listed in the classification table are based upon the CBC, Chapter 4 & 9 and the CFC, Articles 9, 74, 79, 80 and Part VIII, Division VI-A. The evaluation of ETO for applicable tire, safety requirements is therefore based upon the nature of the materials used and stored within the primary building, (i.e. hospital use). The proper references for ETO, as a flammable liquid (Chapter 79 of the CFC) are in Chapter 10, Section 1008(a) of the CBC, and for other physical and health hazard classifications Chapter 9, Section 901 (a). See Division VII under Chapter 9, CBC. For storage quantities, shown in the appropriate hazardous material tables, in excess of the 'exempt amounts" permitted in "I" occupancies, the provisions of the CBC, Chapter 9 for 'H" occupancies shall apply as well as the provisions.of the CFC. Quantities in excess of this amount, according to the applicable codes, would require the application of occupancy separations, Chapter 5, CBC, and mandate the storage and use of ETO in hospital sterilizer rooms that are separated from the remainder of the facility by not less than 4 hour occupancy separations. (No openings permitted) The aggregate amount (storage and use) of ETO shall not exceed 6 gallons liquid measure, • when the design conditions for all disciplines are provided in compliance with the requirements stated in this guideline. A 81-1.1' occupancy shall have not more than one control area with that portion of the building designated as a hospital. This quantity provides for the functional use of 100% ETO marketed in 5 oz. canisters and 12%-88% ETO/Freon marketed in liquified.gas cylinders. Since the OSHPD modified 'exempt" amount exceeds the regulatory limits of the quantities specified for "exempt' amounts specified in the CBC and the CFC, applicable provisions for fire safety referenced herein include the requirements intended to be applied for quantities exceeding the specified amounts as referenced in the CFC, Division 111, Section 80.301(a)(2). For aggregate amounts that exceed 6 gallons liquid measure, provision will be made to provide "H" occupancy fire resistive separations (4 hr.) as well as all related design conditions for all disciplines. [CFC 79.202, 80.108(b)] • October 28, 1993 -4- PART 2 CCR • BUILDING CONSTRUCTION GUIDELINES FOR ETO STERILANT (100% OR 12%/88% GAS MIXES) GENERAL-USE: 1. For purposes of this guideline the 'exempt" amount for ETO shall be the aggregate amount for storage and use of 6 gallons or less, liquid measure. 'H" occupancy separations shall be required for quantities in excess of 6 gallons liquid measure. [CBC - see Table 9-A, Footnote 2, Chapter 5 - CBC] 2. Storage and use shall mean 'control area' and shall be separated from the remainder of the building by a 1 hr. occupancy separation. [CFC 79.202, 80.103(b), CBC.Table 9-A, Footnote 1] 3. All ETO indoor control areas shall be protected with automatic fire sprinklers installed per NFPA 13 for light hazard. [CFC Table 79.203C) 4. Inventory quantities allowed by the guideline shall not be located near exit doorways, stairs, or any location that may impede egress from the control area. [CFC 79.201(d)] 5. The term "ETO System' used in this guideline shall mean the sterilizer, with or without attachment to an aerator and may include direct attachment to vapor emission and/or vapor processing equipment, as designed. • 6. No open flame heat source shall be permitted in any use area housing a ETO sterilizer. [CFC 79.114, 79.805(i), 80.401(h), 80.301(f)] 7. All ETO equipment shall be tested and listed by a nationally recognized testing agency for the type and class of the equipment installed. [CBC 402(r); CFC 79.105(a), 80.401(b)(2)] 8. All ETO components and equipment shall be enclosed in a room provided with exhaust ventilation required by the mechanical provisions and provided with the installation of electrical equipment and wiring as required by the electrical provisions of this guideline. [CMC 1002(a), CFC 80.108(b) & CBC Table 9-A, Footnote 1] • October 28, 1993 -5- USE AREAS FOR 12%-88% ETO SYSTEMS: • A. ETO cylinders located in 12°/-88% ETO use areas shall be secured in racks or other Y o means to prevent accidental overturn and discharge. [CFC 74.107(a)] B. Not more than 2 cylinders for primary supply to.a single or manifolded unit may be connected to the sterilizing cabinets in a 'control' area. Each cylinder shall have a capacity not to exceed 140 Ibs of 12%-88%.gas mix and shall not contain more than 2.55 gallons liquid measure of ETO. GENERAL-STORAGE: (100% OR 12%-80% GAS MIXES) A. No open flame heat source shall be permitted in any ETO storage area of any quantity. [CFC 79.114, 80.301(f)] B. ETO may not be stored with any other incompatable material or chemical. [CFC 80.301(a)(3)(D) & Table 80.309(a) Footnote] C. Storage of ETO in excess of the exempt amounts in basements or cellars is not permitted. [CBC 901 (e)(3), CFC 79.201(f), 79.203(e), 79.805(b) 80.309(a)(8)] D. A vapor leak detection and monitoring system shall be installed in all ETO indoor storage areas. [CFC 80.301(u)] • E. ETO cylinders located in indoor store rooms shall be secured in racks or other means to prevent accidental overturn and discharge. [CFC 74.107(a)] • October 28, 1993 -6- CEC ELECTRICAL CONSTRUCTION GUIDELINES FOR ETO STERILANTS GENERAL: USE AND INTERIOR STORAGE (100% or 12% - 88% Gas Mixes) A. All non-fire emergency monitoring systems for ETO ventilation power supplies for fan units, ETO-leak systems, and any other ETO related emergency monitoring system shall annunciate a AUDIBLE and VISUAL signal at a location continuously attended by Staff. The signals shall not be self restoring. [CFC 80.401(m), 80.301(u)] B. An approved emergency alarm shall be provided in buildings, rooms, and areas used for storage of hazardous materials. Emergency alarm signal device shall be installed outside of each interior exit door of storage building, rooms or area. Activation of the emergency alarm-initiating device shall sound a local alarm to alert occupants of and emergency situation involving hazardous materials. [CFC 80.301(u)] C. A power-interlock between ETO systems and the exhaust ventilation system shall be designed to prevent the,operation of the sterilizer when the exhaust ventilating system is not operating, or when any aerator and/or emission control device fails to provide the sterilizer with the functions intended by these devices. [CMC 1103(a)] D. Smoke detectors, products of combustion type, shall be installed in all ETO use and storage rooms. Smoke detectors shall be of the 'open area' type and shall be • connected to the fire alarm system serving the ETO system area. [CFC 80.301(v), 80.306(a)(10) 80.402(b)(3)(G)(VI)] E. Emergency power to all ETO fire safety systems shall be interconnected to the 'life safety branch" of the emergency distribution panel of the emergency power generator. [CFC Section 80.401(1) & 80.301(s); CEC 517-32] F. Emergency power to all equipment of ETO systems and ETO ventilating equipment shall be interconnected to the "critical branch' of the emergency distribution panel of the emergency power generator. [CEC 517.34(b)(3); CBC 902(8); CFC 80.301(s); CMC 2102(f)(4)] G. The operation of all equipment in a ETO system shall be interfaced with all alarm systems such that the ETO system shall be interrupted upon the activation of an alarm. The interruption of any ETO system equipment shall not cause failure of the safety features contained within approved equipment. [CMC 1103(a), CEC 701-2] H. A ventilation alarm shall annunciate the loss of negative duct pressure serving the ETO ventilation system. Ventilation alarms may be activated by pressure differential sensors or sail switches. [CFC 80.401(m); CBC 1005E(e)] I. The presence of ETO vapor in a ETO use or storage area shall cause a vapor detection sensor alarm. [CFC 80.401(m)] October 28, 1993 -7- J. Limit control temperature sensors shall be placed within ETO storage areas and shall • alarm when the ambient temperature exceeds the maximum temperature recommended by the manufacturer or the temperature shown on the MSDS, whichever is lower. [CFC 80.301(t)(3)] K. All fire safety alarm systems (fire alarm and automatic fire sprinkler) shall transmit both audible and visual supervisory annunciation at a constantly attended on-site location. [CFC 80.301(u)] (12%-88% GAS MIXES) ALL USE AND INTERIOR STORAGE AREAS: A. 12%-88% Cylinders and cylinder racks shall be effectively grounded. [CFC 80.401(i)] B. Loss of power to the ventilating exhaust system shall cause the 12%-88% ETO supply tank motorized ball valves to close automatically. [CFC 80.401(c)(2)(0)] • • October 28, 1993 -8- i CMC (UMC) MECHANICAL HEATING AND VENTILATING GUIDELINES FOR ETO STERILANTS (100% OR 12%-88% GAS MIXES) GENERAL-USE & STORAGE: 1. All rooms containing ETO systems shall have a dedicated exhaust system providing not less than 10 air changes per hr. The ventilation system shall run continuously and shall be of the non-recirculating type. All ETO rooms shall be maintained at a negative air balance. [CMC 2111(a), CMC Table 2110 A] 2. The room ETO ventilation system shall be designed to provide exhaust duct opening with the capacity to exhaust (1/2) half of the required ventilation within 6 inches of the floor level and 1/2 within 12 inches of the ceiling (flat ceiling or highest point of sloped ceilings). [CFC 80.303(a)(6)(c), 80.301(m)(5)] 3. All air from ETO sterilizer equipment and storage rooms shall be exhausted to the outside by a dedicated exhaust system. [CMC Table 2111(b)] 4. All ETO ducts shall be of the non-flexible type and shall conform to Chapter 10 & 11 of the CMC. For ETO exhaust ducts carrying ETO vapors, (which have not been processed by emission control devices or vapor recovery systems) extending through floors shall be enclosed in a shaft enclosure of fire-resistive construction having the time period set forth in Table No. 17-A of the 1992 California Building Code [CMC 1706]. • Steel or copper pipes (up to 4 inch in diameter) may be used in lieu of ducts carrying ETO vapors from the aerator to the emissions control device. Where continuous leak free pipes are utilized, rated shafts will not be required. [CBC, Section 4304] 5. The exhaust fan for the dedicated system shall be located at the discharge point of the system. The discharge point shall be not less than 25 feet from any openable window, air intake, ignition source or exitway. Prevailing wind direction shall be taken into consideration. [CMC 2103 (b), 2111(c)] 6. Exhaust ducts from emission control devices and/or vapor recovery systems may be located within shafts or chases containing environmental air ducts. When the temperature of the emissions are below 250°F. 7. Fans used on exhaust systems using 100% ETO shall be spark proof, with the motor separate from the blower and located outside of the air stream. [CMC 1103] 8. Ventilating exhaust hoods connected to the proprietary ETO exhaust system shall be located over each, ETO sterilizer chamber and/or aerator, access doors, and ETO gas cylinder manifolds supplying ETO to the sterilizer. Non-proprietary hoods shall extend not less than six(6) inches beyond the area served. Hood exhaust ducts may be manifolded with the room ventilation system. [CMC 2111(d)(2), 1106; CFC 80.402(b)(3)(c), 80.402(b)(2)(C)] i October 28, 1993 -9- 9. Emission control equipment may be installed at exterior locations. Emission control devices located indoors should be placed in the same location as the sterilizer. For the purposes of installation, emission control devices shall be considered as industrial low heat appliances and shall comply with the applicable provisions of CMC Chapter 9. The vent (chimney) from emission control systems shall be enclosed within a fire- rated shaft. [CMC 914(a)] 10. Vents (chimneys) handling exhaust over 250°F.from emission control devices processing ETO vapor shall be metal and shall be enclosed in a fire resistive shaft as required by CMC Section 914(a)(8). 11. Vents/chimneys for emission control devices shall not be manifolded or interconnected with any other vent or chimney serving any heat producing appliance of any type. EXCEPTION: Vents/chimneys for 2 or more ETO emission control devices may be manifolded. 12. The mechanical exhaust fan shall be controlled by a switch outside of the ETO use area and shall be located adjacent the.use room access door. The switch shall be of the 'break-glass' type and shall be identified as 'exhaust system emergency shut-off'. [CBC 905(b)] 13. Existing facilities subject to ETO emissions control shall eliminate sterilizer exhaust vacuum pump discharge Into wastewater streams. [ARB Staff Report, 3/23/90] • 14. Cylinder changes shall be made under a hood and duct connected to the exhaust system. The hood shall be located not more than one (1) foot above the point where the change of cylinders takes place. [CMC 2111(d)(3)] 15. Motorized ball valves shall be installed on ETO gas supply lines at the point of connection to the ETO gas cylinders to minimize leakage during cylinder exchange. Remote controls should be located at the Fire Control,Panel to shut off the cylinders in case of a spill, and a second switch shall be installed adjacent to the cylinders to be used when exchanging cylinders. [Ethylene Oxide Use in Hospitals - Second Edition, Engineering Controls, UFC 80.401(c)(3)(D)] • October 28, 1993 -10- CPC (UPC) • PLUMBING AND PIPE GUIDELINES FOR ETO STERILANTS GENERAL: 1. No ETO piping shall pass under any building or be contained in or under concrete floors. [CFC 80.402(b)(3)(B)] 2. No piping carrying ETO as a liquid or as a gas, including pressure relief valve piping from ETO systems shall be installed in any plenums, or any shaft used for elevators, laundry chutes, refuse/trash chutes, chimney or HVAC appliance vent shaft, nor shall any ETO piping pass through any circulating air duct. All sterilizer relief valves shall exhaust directly to the exterior or be connected to the dedicated exhaust system. [CIVIC 2111(d)(4)] 3. ETO piping installed in combustible partitions shall be protected against physical damage by installation within metallic pipe or conduit. Protection for dissimilar metals shall be provided. Openings for piping installed in concealed spaces shall be fire- stopped with construction having a fire resistance equal to or greater than the original construction. [NFPA 99, 4-4.1.2:1(f)] 4. ETO gas piping shall be copper or stainless steel. Fitting connections to pipe or tube shall be brazed or welded. Flared fitting connections for ETO systems are prohibited. [CFC 80.401((c)(3)(A)] 5. All exposed ETO piping shall be tagged or signed at 30 foot intervals. Separate floor zone valves for each control area shall be provided and each valve shall be identified "ETO VALVE". CFC 80.401(c)(2)(B) • 6. All piping, valves and fittings shall be designed from ETO compatible materials and shall be of adequate strength and durability to withstand pressure, structural and seismic stress and exposure to which they may be subjected. [CFC 80.301(c)] • October 28, 1993 .11- • RECOGNIZED FIRE PREVENTION PRACTICES 1. All indoor ETO use and storage areas shall contain a sign conspicuously located and visible reading: " ETHYLENE OXIDE IS USED-OR STORED IN THIS AREAL NO.SMOKING OR OPEN FLAME PERMITTED. DO NOT INCINERATE OR PUNCTURE LEAKING ETO CARTRIDGES." [CFC 80.301(d)] 2. For storage and use areas for 100% ETO, a flammable liquid sign reading: ' DANGER- FLAMMABLE LIQUIDS' shall be required. Letters shall be not less that 3" high with a .5 inch stroke. [CFC 79.109(b)] 3. Not less than one (1) portable fire extinguisher having a rating of 20 B.C. shall be located not more than 10 feet from the exit door of an ETO storage room. [CFC 79.205(a)(2)] 4. The connection of the sterilizer to ETO supply cylinders and the transfer of ETO to the sterilizer shall be from factory filled and U.S.D.O.T. approved shipping containers. The transfer of ETO in liquid or gaseous form from factory filled containers to other containment vessels is prohibited. [NFPA-99 4-6.2.1.5] • • October 28, 1993 .12- 1 �aJ• • • 1 The classifications of ETO based upon the CBC and the CFC are as follows: CLASSIFICATION TABLE PRODUCT: CLASSIFICATION: EXEMPT AMOUNT FOR. ;_ "H" OCC CLASS FOR CODE REFERENCE: "I" OCC: QUANTITIES IN = PHYSICAL EXCESS OF EXEMPT .. = HEALTH _. AMOUNT 12%-88% ETO and • FLAMMABLE LIQUID, ZERO (0)gallons H-3 CBC-901(a) 100% ETO. Both products meet CLASS 1 A CFC Table 79.202 and classification's as shown Footnote #2 except 100% ETO also classified as a Flammable Liquid, Class 1A. BOTH • UNSTABLE REACTIVE LIQUID, ZERO (0) LOS except H-2 CBC-901 (a) 5 LOS = .5 Gallons for storage. CLASS 3N (non-detonable) CFC Table 80.309(a) and .1 Gallons in closed system for Footnotes # 1 & 2 use (See Table 9A for Physical Hazardsl 100% ETO when •• TOXIC LIQUID ZERO (0)Amount H-7 CBC-901(a) ingested See Table 80.303-A, Footnote CFC 80.312(x), Exception i1. #2 (see definition, CFC 9.122 (all 12%188% •' COMPRESSED GAS ZERO (0) H-2 CFC Table 80.303-A Same as for 100% ETO BOTH •' CARCINOGEN Not Defined in CBC or CFC H-7 CBC-901(a) Defined under OSHA-IARC-NPT Isee Table 9-13I BOTH •• IRRITANT 500 LBS = 50 Gallons H-7 CBC-901(a) (other health hazard) Except toxic classification sets Isee Table 9-B and CFC Table the exempt amount at zero. 80-315-AI ootnote: Since the ETO exempt amount for both physical and health azar c ass( lcatlons Is zero 0 , the allowances for additional quantities in storage cabinets and/or building protected by automatic fire sprinkler systems shall not apply. October 28, 1993 -13- CHEMICAL AND PHYSICAL PROPERTIES OF ETHYLENE OXIDE AND ETO GAS MIXTURES: 100% PURE ETO PHYSICAL DESCRIPTION: • ETO is a colorless gas at room temperature above 51 degrees F. • Sweet odor in concentrations between 500-700 ppm. • Molecular weight: 44.06 • Boiling point: 10.7 degrees C. 51 degrees F. at atmospheric temperature and pressure (14 lbs/sq. in. sea level). • Freezing point: minus 168.3 degree's F. • Vapor pressure: 1094 MM of Mercury @ 20 degrees C. = 7.3 pounds per square inch gage (PSIG) • Vapor pressure as determined by the UFC Standard 9-5 is for flammable liquids only, therefore does not apply to ETO. Vapor pressure more than 40 PSI at 100 degrees F. classed as a compressed gas. (See definitions, compressed gas) [UFC 9.105(c)] • Vapor density compared to air: 1.49 (air=1.0) • Vapor air density: 1.2 @ 100 degrees F. • Soluble in water: 100% • Specific gravity: 0.87 @ 20/20 C (water =1) • Volatility: 100% o Flammable limits (% of gas in air) for ignitable mixture: 3% to 100% o Flash point (ignition temperature of vapor): 20 degree F. (open cup method) I • October 28, 1993 .14- CHEMICAL AND PHYSICAL PROPERTIES OF ETHYLENE OXIDE AND ' • ETO GAS MIXTURES: • Marketed in `unit-dose' canisters/cartridges: wt. per canister range: 67-140 grams wt. capacity per canister range: 2.24 oz. - 4.9 oz. Vol. capacity per canister range: 2.95 oz. - 5.63 oz. 4.9 oz. (wt) canister .087 gallons (Vol) 25 lbs. annual discharge means 81.63 ETO cycles (one canister per cycle) (16/4.9 x 25]. • Sterilizing cabinet concentrations: 1000 mg/liter of cabinet volume. • ETO cartridge storage temperature: 59 degrees F. to 86 degrees F. • ETO - toxic 1 ppm/million average 8 hour exposure (CAL-OSHA) CLASSIFICATIONS: • Classified as a CLASS I Flammable Liquid by U.S. D.O.T. for packaging and shipping. Also classified as an 'unstable reactive" liquid. • CEC (NEC) Hazardous Atmosphere Classification is equal to Class I, Division 1 or 2. • Group 'B' in NEC table of vapors for flammable liquids. • NFPA Hazard Classification for: Fire Protection (requires self-contained breathing unit) Health - 2 Fire Classification - very flammable Fire - 4 Reactivity (detonation/explosive) Reactivity - 3 • UFC Classifications: Class 1 A Flammable Liquid Carcinogen Unstable Reactive - Class 3 Irritant Toxic Liquid Other Health Hazards • October 28, 1993 -15- i • • • 12% - 88% ETHYLENE OXIDE/FREON MIXTURES: • o TANKS/CYLINDERS: 12% ETO AND 88 % FREON - by weight 27.3% ETO and 72.7% FREON - by volume o ETO Tank capacity (cu.ft.) - 532 cubic feet @ 0 degrees C. o UFC Classification: Compressed gas (unstable-reactive) See UFC Appendix VI-A, (2)(a)(2)(H) Carcinogen Irritant Other health hazards o D.O.T. classification of ETO gas mixtures: "non-flammable' gas 0 Capacity of portable tanks (ETO-12%, FREON-88%): 140 lbs. (16 lbs. ETO and 123 lbs. FREON) 0 Net ETO liquid measure = 2.55 gallons 12% - 88% mix = 3.8 cubic feet/lb. 0 140 lb gas cylinder: ETO; 145 cubic feet and FREON; 387 cubic feet 0 Tank/cylinder use temperature: • min. 70 degrees F. 0 Tank/cylinder storage temperature: max. 130 degrees F. 0 Vapor pressure @ 70 degrees F.: 65 lbs/square inch PSIG. [vapor pressure to be determined by UFC Standard 9-5 N/A. UFC Standard 9-5 for Flammable Liquid only. See definitions for compressed gas - UFC 99.105(c)] 0 Boiling point: n/a Freezing point: n/a Specific gravity: 1.24 (water @1.0) Vapor density: 2.82 (air= 1.0) Solubility in water: moderate Gas mixture/cabinet concentrations: 450+ mg/liter of cabinet volume o Restricted flow from tank may cause gas mix to become flammable. 0 ETO/Freon mix "tank spill" may be flammable. • October 28, 1993 -16-