HomeMy WebLinkAboutMINUTES - 09201988 - 2.5 9 Uf 1
t`ro-! BOARD OF SUPERVISORS
FROM: William B. Walker, M.D: Contra
i Health Services Medical Director Costa
DATE'. September 6 , 1988 County
SUBJECT: Consent Decree Involving IT Corporation "�
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
RECOMMENDATIONS:
Authorize the Health Services Department to establish the following
funds to receive payments from IT Corporation in accordance with
the CAER Plans for the Vine Hill Facility submitted by IT and
approved by the State Department of Health Services pursuant to
Consent Agreement and Order Number 299190 :
(1) A Contingent Health Care Services Program Fund to receive
payments of $130 , 000 over a five (5) year period and to make
disbursements to the County' s Contingent Health Care Services
program; and
.(2) A Joint Solano-Contra Costa EMS HAZMAT Response Program Fund
to receive payments of $240, 000 over a five (5) year period
and to make disbursements related to the Joint Solano-Contra
Costa EMS HAZMAT Response Program.
FISCAL IMPACT: This recommendation has no General Fund impact.
BACKGROUND:
On September 15 , 1987 , your Board designated me as County Health
Officer to represent Contra Costa County in discussions with the
County of Solano and the cities of Benicia and Martinez on the
implementation of certain aspects of the Consent Decree entered into
between the State Department of Health Services and IT Corporation.
On July 19 , 1988 , your Board approved a status report on the imple-
mentation plan which included a "Proposal to Develop Enhanced EMS
HAZMAT Response Programs in Contra Costa and Solano Counties" ,
which had been developed jointly by the two counties. That proposal
was accepted by IT Corporation for incorporation into their Vine Hill
CAER Plan submitted to the State Department of Health Services on
June 30 , 1988 and approved on August 2 , 1988. A copy of the CAER
Plan for the Vine Hill facility is attached.
CONTINUED ON ATTACHMENT: YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
I If
i
SIGNATURE S
ACTION OF BOARD ON SEP 20 APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
1 HEREBY CERTIFY THAT THIS IS A TRUE
X UNANIMOUS (ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
cc: County Administrator _: ,_.... . _. ATTESTED SEP 2 0 1988 r
Health Services Department PHIL BATCHELOR, CLERK OF THE BOARD OF
Emergency Medical Services
County Health Officer SUPERVISORS AND COUNTY ADMINISTRATOR
M382/7-83 BY DEPUTY
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The Plan provides for:
(1) payments by IT Corporation of $130, 000 each to Contra Costa ,.
and Solano Counties over five (5) years for approved contingent
health care services; and
(2) . .payments by IT . Corporation of $240 , 000 to Contra Costa County
over five (5) years for administration of a joint EMS HAZMAT
Response Program.. The .County' s separate funds will be used
for health/medical- disaster communications equipment ($48,000) ,
disaster first-aid .equipment ($50 , 000)., .and other health/medical
equipment related to management of HAZMAT incidents ($32,00,0) .
The joint program. will focus on training of medical personnel
in responding *to and managing victims of HAZMAT incidents.
t
Od
COMMUNITY AWARENESS AND
EMERGENCY RESPONSE PLAN
IT CORPORATION VINE HILL FACILITY
APRIL 1, 1988
REVISED JUNE 30, 1988
OHS APPROVED
AUGUST 2,1988
b �1
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1.0 INTRODUCTION
The requirement establishing a Community Awareness and Emergency Response
(CAER) program was proposed by IT Corporation (IT) and accepted by Department
of Health Services in lieu of civil penalties ordered by the Consent Agreement
and Order No. 299190 as set forth in paragraphs 2.2, 5.2.1, and 5.2.2. The
goal of the CAER plan is to improve local emergency response planning by
combining the emergency response' capability and plans of IT with those of
other local chemical industry and local public agencies. The program should
benefit the local agencies in two ways: (I)- reduce the reliance of IT on
public agencies for response to environmental incidents, fires, or other
emergencies which occur at the Vine Hill Treatment facility; and (2) enhance
the ability of public agencies to respond to environmental incidents, fires,
or other emergencies in the surrounding community.
Per the Consent Agreement, the CAER plan is to include four elements:
I. EQUIPMENT
A fire truck and emergency response unit are intended for use in
response to on-site incidents; however, these may be made available as
set forth in an approved CAER plan.
II. USE OF EQUIPMENT
The plan will set forth the manner in which vehicles and equipment
procured by IT will be available to respond to emergencies in conjunc-
tion with other industry' s equipment in the local communities.
III. CONTINGENT HEALTH CARE SERVICES
The CAER program is to include a plan in Solano and Contra Costa
Counties to facilitate the provision of contingent health care services
in the event of hazardous materials incidents. IT is to make payments
totaling $100,000 a year to the Contra Costa-.County Contingent Health
Care Services Program, the Solano County Health Care Services Program,
and the Joint Solano/Contra Costa Emergency Medical Services-Hazardous
Materials (EMS-HAZMAT) Response Program for five succeeding years
commencing with implementation of the approved CAER plan. The payments
shall be used for expenditures which are consistent with the CAER plan.
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PAN:0247-A/O81988 (Rev. 3)
.r r
For the purpose of establishing the contingent care services plan, IT
shall consult with the appropriate public officials of the cities of
Benicia and Martinez and the counties of Solano and Contra Costa, offi-
cials of John Muir Hospital in Walnut Creek, Mt. Diablo Hospital in
Concord and Sutter-Solano Hospital in Vallejo, and other industry in the
area.
IV. CONSULTATION
To establish a CAER plan for the Vine Hill facility, IT will consult
with the appropriate public officials in the cities of Martinez and
Contra Costa County, and shall work with other industry in the area.
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PAN;0247-A/081988 (Rev. 3)
2.0 THE CAER PLAN
The formulation of the Vine Hill Treatment facility CAER plan by IT began with
a general meeting between IT, Contra Costa Department of Health Services,
Emergency Medical Services, . and Office of Emergency Services. The process of
consultation has been continuous and ongoing. In March 1988, a draft CAER
plan was distributed to participants in the planning process. Three meetings,
on April 29, May 27, and June 10, 1988, were held to discuss the draft plan
and revise it to the satisfaction of all parties.
The CAER plan provides equipment and funds to increase emergency preparedness
in the communities near IT' s Vine Hill facility. The facility Contingency
plan, required by IT's permit to operate a hazardous waste facility contains
detailed provisions for emergency response planning, including response and
cleanup equipment, incident management procedures, personnel training, and
coordination agreements. This plan is revised and amended whenever conditions
change at the facility. It is under this Contingency plan that arrangements
with emergency response and medical service providers are maintained. The
CAER plan supplements the Contingency Plan by enhancing emergency preparedness
in the surrounding communities.
The revised CAER plan is presented below. This plan was approved by the DHS
on August 2, 1988.
I. EQUIPMENT
IT purchased a Ford L 350 "Fire Boss," constructed by Chemtron Fire
Systems. The Fire Boss twin agent system is designed especially for
controlling flammable liquid fires. This twin system provides both dry
chemicals to knock down flames and an AFFF premix solution for fire
suppression.
In addition, to satisfy the provision of an--emergency response unit,
five environmental emergency response modules were assembled. The
modules include SCBAs and protective clothing, detection and monitoring
equipment, cleanup supplies, and tools. The inventory of equipment in
the modules is in Appendix A. The modules can be placed in existing
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3AN:0247-A/081988 (Rev. 3)
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site vehicles and transported to an incident command point. IT has
trained its employees, in conformance with the Training Plan, in the use
of the equipment. Presently, with the site closed to outside receipts
and no treatment occurring, there is a reduced risk of incident,
reducing the need for on-site response capability. During closure
activities, additional personnel will be working at the site and will be
trained in the use of the equipment.
II. USE OF EMERGENCY EQUIPMENT
IT will allow use of the fire truck and the modules by Contra Costa
Consolidated Fire District at no cost to the District. The use may be
for any hazardous material or environmental incident at which the
particular equipment would be helpful . To arrange access to the equip-
ment, call IT Dispatch 415/372-9100 and ask for the Site Manager at the
Vine Hill Treatment Complex.
Use of the vehicle and modules will require indemnification from
liability and proof of insurance prior to use. It is understood that
the equipment will be returned to the site at the earliest possible time
and with its full complement of equipment, components, and accessories.
When use of the equipment is requested, the Site Manager will determine
whether the equipment may be allowed off-site. Under the present
status, with no activity occurring, the response equipment may reason-
ably be allowed off-site. When closure or other activities commence,
the off-site availability will be determined on a case-by-case basis.
When the Vine Hill facility is permanently closed, as that term is
defined under the Resource Conservation and Recovery Act Program, the
equipment will be donated to the County.
IT's attempts to become an active participating member of the Contra
Costa County CAER group were not successful , as documented to the
Department of Health Services in a letter dated July 30, 1987.
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PAN:0247-A/081988 (Rev. 3)
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III. CONTINGENT HEALTH CARE SERVICES
The counties of Solano and Contra Costa have developed a proposal to
develop enhanced emergency medical response programs in their respective
counties. The program has three components: Each county will receive
$130,000 over five years for approved contingent health care services
expenditures. . A joint program to develop the EMS HAZMAT Response
Program will receive $240jOOO. The proposal is described briefly below
and presented in Appendix B.
Three committees will be set up to administer the program. Each county
will organize a Steering Committee or Task Force to administer the
separate county funds and participate in the joint program. A Joint
Oversight Committee will be created to administer the joint EMS HAZMAT
program to develop and provide training to emergency medical personnel .
The organization of three committees is considered necessary to
implement the Joint Program and the individual county Contingent Health
Care programs. However, the use of funds for planning, meetings,
assessments, and other overhead activities will be kept to a minimum.
Also, the funds will not be used for positions and activities that are
or should be part of ongoing EMS. programs. The CAER program funds will
be clearly identified in each county' s budget by maintaining separate
bank accounts as described in the proposal . IT will participate as a
nonvoting member of each committee, but will neither control nor be
accountable for their operation.
Annual review of the program is necessary to ensure continued compliance
with the intent of the Consent Agreement. Both county committees will
prepare annual reports of the past year' s expenditures and the proposed
next year' s expenditures and submit them to the Joint Oversight
Committee 60 days prior to the end of the project year. The Joint
Oversight Committee will prepare an annual report for the Joint EMS
HAZMAT program and submit all three reports to IT and OHS 30 days prior
to the end of the project year. As long as the reports document that,
the use of funds continue to meet the intent of the Consent Agreement,
the next year' s funds will be disbursed to the three accounts.
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PAN:0247-A/081988 (Rev. 3)
The DHS approved this plan by letter to IT dated August 2, 1988. To
initiate the program, the first $100,000 allocation will be made after
each county sets up the appropriate mechanism for administering their
part of the program. Three bank accounts will be set up as described in
the proposal . Three checks for the respective amounts will then be
delivered to the counties.
A. Separate County Funds
Contra Costa County' s separate contingent health care services
program will be funded as follows:
Year 1 $ 18,000
Year 2 28,000
Year 3 28,000
Year 4 28,000
Year 5 28,000
Total $130,000
Contra Costa County plans to spend the funds as follows:
1. Health/medical disaster
communications equipment $ 48,000
2. Disaster first aid equipment $50,000
3. Other health/medical equipment $ 32,000
TOTAL $130,000
More specific proposals for purchases will be presented each year for
review and approval by IT and DHS, to ensure that expenditures meet
the intent of the Consent Agreement to improve community hazardous
material emergency preparedness. It is understood by all parties
that the funds may be used for a broad range of emergency response
and medical equipment and training. The first year' s funds will be
used to purchase disaster communications equipment, as noted in the
proposal in Appendix B.
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PAN:0247-A/081988 (Rev. 3)
A County Steering Committee or Task Force will be organized to
oversee the county program. This committee will propose each year.
how the funds will be spent, subject to approval. by IT and DHS. The
mechanism for approval is an annual report that documents the past
year's spending and proposes the next year' s purchases. Purchases
must meet the intent of the Consent Agreement to improve county and
community hazardous material emergency. preparedness.
B. Joint Solano/Contra Costa County EMS HAZMAT Program
The goal of the Joint EMS HAZMAT Program is primarily to provide
training for emergency medical personnel including but not limited to
emergency room staff and ambulance service providers. Development of
training materials may be necessary. Complementary disaster planning
activities are also included in the proposal . The proposal , prepared
by Contra Costa and Solano County Emergency Medical Services.
(Appendix B) , is the result of many discussions among CAER plan
participants. It contains a statement of purposes, a list of
objectives, and a work plan and describes the management approach.
The Joint Oversight Committee, with members from both counties, will
manage the program.
The general level of detail in the proposal is intentional : it is
desired to maintain flexibility in the schedule and work plan. The
Joint Oversight Committee has the authority to revise the work plan
to better meet the objectives of the program. A principal variable
is whether suitable training materials are available or will need to
be developed. If such materials are already or will soon be avail-
able, the program will focus on training more people sooner. If some
or all the desired training must be developed by either in-house
staff or an outside consultant, a detailed scope of work and budget
must be prepared and the development implemented as soon as
possible. Training may not be available until later.
Each year' s activity will include some hard products that could be
used or adapted for use by other agencies. These products have been
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PAN:0247-A/081988 (Rev. 3)
tentatively identified in the work plan. IT will review and comment
on the products and retain the right to distribute the products.
IT's financial support shall be acknowledged on all products. IT
will approve the form of acknowledgement. These written/video
products shall be of a quality that may be reproduced for use by the
company.
In addition to the written and videotape products, training shall be
provided and drills conducted in each county. These shall be offered
at no charge to those attending the training and at convenient
locations and repeated occasions. It is a high priority of this
program to provide training to as many medical providers as
possible. Where special needs are identified in the vicinity of IT' s
facilities, these should be given priority over needs in other areas
of the two counties.
The budget for the joint program is $240,000 allocated as follows
over the five year term:
Year 1 $ 26,200
Year 2 53,450
Year 3 53,450
Year 4 53,450
Year 5 53,450
Total $240,000
IV. CONSULTATION
Consultation has been a continuous process occurring over the past 15
months. In recent months, three meetings (April 29, May 27, and June
1U) were held to discuss the draft and revise CALK plans. 11 requested
that area hospitals and public agencies name participating representa-
tives for the purpose of the Agreement by registered letter, dated
January 25, 1988. The request and responses to the request appear in
Appendix C. The Contra Costa County Board of Supervisors named William
Walker, M.D. , and the City of Martinez named City Manager, Jack
Garner. The hospitals each named participants also.
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PAN:0247-A/081988 (Rev. 3)
Many additional people have been participating in development of the
plan and have received copies of the draft plan. The mailing list for
those receiving the draft plan is in Appendix D. Their participation
and comments are greatly appreciated and have contributed to making this
plan a useful and practical document.
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PAN:0247-A/081988 (Rev. 3)
APPENDIX A
INVENTORY OF EQUIPMENT
ENVIRONMENTAL EMERGENCY RESPONSE MODULES
INTERNATIONAL TECHNOLOGY CORPORATION
VINE HILL FACILITY
ENVIRONMENTAL EMERGENCY RESPONSE MODULE
INVENTORY
Module Number Item Amount Item Descriotion
ER-1 2 ea SCBA, complete
2 ea Alcohol Wipe Packets
ER-2 6 ea Chemical Goggles
3 ea Scott ;65 Full Face Respirator
(w/nose cup)
3 ea Scott =64 Half Face APR
6 pr Cartridges, Oreanic Vapors/Acid Gas
4 pr Cartridges, Ammonia/Methylamire
3 pr Cartridges, High Efficiency/Acid/
Organic Vapor (642 OAH)
8 pr Pre-Filter, (F)
4 pr Pre-Filter Holders, (Flri)
2 ea Alcohol Wipe Packets
2 ea Tubes, Fogpruf
5 ea Drum Liners, 33" x 64", _1 mil
12 ea Sample Jars w/Teflcn Lid,
16 oz w/ Label_
1 ea Hazard Categor^,ation Kit, C=Dle-:e
1 ea Crum �'larker
20 ea type Labels, DOT
20 ea Labels, Haz Work
ER-2 1 ea Combustible Gas/Oxygen Indicatcr
1 ea First-Aid Kit
1 ea Draeger Pump Kit with following_
detector tubes
1 bx Carbon Monoxide 5/c
1 bx Hydrogen Sulfide 5/b
1 bx Ammonia 5/a
1 bx Hydrogen Fluoride 1,5/b
1 bx Hydrochloric Acid 1/a
1 bx Hydrocyanic acid 1/a
1 bx Sulfur dioxide 0.5/a
1 bx Nitrogen dioxide 2/c
LU.,
1 Un vc. ..Chi .,o n 7
/a
_
EP.-3 6 or Boot Covers, PVC, Disoosable
4 or Boots, 'neoprene, Steel Toe y
Shank (Sz 9, 10, 11, 12)
6 pr Gloves, PVC
4 pr Gloves, Nitrile
4 pr Gloves, Viton
6 pr Suit, Yellow Tyvek (S: 3 XL, 3 L)
tom.
INVENTORY (Continued)
Module Number Item Amount Item Descriotion
6 pr Suit, fully encapsulated Saranex
Tyvek (Sz 3XL, 3L)
3 ea Suit, Heavy PVC, 1-Piece Coverall
(Green Guardian)
(Sz 1 XL, 20
ER-4 1 ea 1 ea8ag of Lint Free Rags, 25 lb
3 rls Duct Tape
4 lbs Trisodium Phosphate
4 lbs Sodium Carbonate
8 lbs Calcium Hypochlorite
1 rl Tape, Barricade/Caution
3 ea Roadwork Vest
1 ea Grounding Rod 5'
2 ea Ground Cables
3 ea Lantern, Explosion Pres-
w/Battery
1 rl Viscueen Plastic
1 cs ROoe, DOT, Nylon,
1 ea Hudson Sprayer (Poly)
2 ea EuCk-et, Plastic, 5 cal w/L
2 ea Brcc-m head 5�,." Er4stle _ "'
2 ea Shovel , Flat ego
2 ea Shovel , Space Heac
2 ea Short Hmale Scr,:o 3rusn
1 ea Tool Box
1 ea Plug and Patch kite
(various glues, patc�es, ar.c
braces)
ER-5 2 ea 5/8 " Orun Bolts w/Tuts
2 ea Utility Knives
1 ea Crescent Wrencn 12"
1 ea Screw Driver rlatead 10"
1 ea Screw Driver Phillips iG"
1 ea Claw Hammer
1 ea Sunq tdrencn Beryllium/Copper .Alloy
I ea Beryl Iiun/Cooper Hammer
— _ 1 ea Beryllium/Cc:Der Chisel
CK-7 10 ea Assor zd roly St- • --1 _ inn C_
1 ea Wire Gush r
1 ea Putty Knife 1-1/2"
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INVENTORY (Continued)
Module Number Item Amount Item Oescr4ot4cn
1 ea Emergency Numbers, Phone List
1 ea VHTC Contingency Plan
1 ea Putty Knife 4"
1 ea Pad Lined Paoer
1 ea Pad, Tailgate Safety Forms
1 ea Map to Hospital
5 ea Emercency Oebrief Forms
5 ea Suoervisor E,-oicyee Injur_; Peccrt
5 ea Internal t:'ercercv De�- rief Fcr-s
1 ea Radio Call 'Iurcer List
E4-5 1 ea CFR, 1119, Parts ICC-177
1 ea Clicbcard
2 ea Ballccint Pens
5 ea Lab Recuest Fcrms
5 ea Chain of Cuszc--y Fcr-s
5 ea Inter-CC7,Can Lao rrai.:sis FCr7s
1 ea Emercency Shower Eyewasn, ie
(JV cal . )
3 ea Vermiculite, i5
(Ins ice
3 ea SafeSte '_C0 ' Ea^
{ 'nsice i 7-C- n 4 n e c z,.,e ry -)
1 ea Drum Co 1 iy
10 ea Traffic Cones
2 ea 55 cal , poly drums
1 ea Bulincrn
4 ea Traffic 2arr�caces
1 ea Inflatanl2 ";iccie �Coi "
2 ea Brea 7in.c Ai,r 1inC�rs .�jr= iat^r
and oic•ail
1 ea Cyiircer Cart (2 �ot_le cacaC -)
2 ea !00 i"t. ;enc'n .resp air
^J52
2 ea' Fresn air '•'asps
-- -3-
HAS:0496
APPENDIX B
PROPOSAL TO DEVELOP ENHANCED
EMS HAZMAT RESPONSE PROGRAMS IN
CONTRA COSTA AND SOLANO COUNTIES
6/30/88
A PROPOSAL TO DEVELOP
ENHANCED EMS HAZMAT RESPONSE PROGRAMS
IN CONTRA COSTA AND SOLANO COUNTIES
Submitted by
Contra Costa County Emergency Medical Services Agency
Solano County Emergency Medical Services Agency
I . SUMMARY
It is proposed that the IT Consent Agreement No. 299190
expenditures for contingent health care services be
divided evenly between Contra Costa and Solano Counties as
follows:
1. Contra Costa County Contingent
Health Care Services Program $ 130,000
2. Solano County Contingent Health
Care Services Program 130 ,000
3. Contra Costa/Solano County Joint
EMS HAZMAT Response Program 240 ,000
Total $ 500 ,000
Annual expenditures are proposed as follows:
Contra EMS
Costa HAZMAT Solano
County Response County
Program Program Program Total
First year 18 , 000 26 , 200 55 , 800 100 , 000
Second year 28 ,000 53 , 450 18 , 550 100 , 000
Third year 28 , 000 53 , 450 18 , 550 100 ,000
Fourth year 28, 000 53 , 450 18, 550 100 ,000
Fifth year 28 ,000 53 , 450 18,550 100,000
Total 130, 000 240,000 130,000 500, 000
A. Contra Costa County Contingent Health Care Services Program:
1. Health/Medical disaster
communications equipment $ 48, 000
2 . Disaster first aid equipment 50 , 000
3 . Other health/medical equipment 32 , 000
Total $ 130 , 000
EMS HAZMAT Proposal , 6;,30/88 Page 1
Funds received for the first year will be used to pay for
purchase of the following communication equipment to
enhance the Health Services Department's ability to respond
to incidents involving toxic materials and to other
di ,>asters:
Remote (L-3 ) and external antennas for Health
Operations Center
Four portable radios (L-3) for key HSD personnel
and EH emergency response units
Five base stations (L-3 ) for key HSD medical
facilities
Five portable radios (UHF) for EH emergency
response personnel
Specific planned purchases for each subsequent year will
be identified in an annual workplan submitted to IT and
DHS 30 days before the end of the project year.
B. Solano County Contingent Health Care Services Program
1. First year funds for first
responder training and equipment $ 55 , 800
2. Other ( incident command equipment,
disaster communications equipment,
development costs for a South County
Emergency Operations Center) 74,200
Specific planned purchases for each subsequent year will
be identified in an annual workplan submitted to IT and
DHS 30 days before the end of the project year.
C. Joint EMS HAZMAT Response Program
The Joint EMS HAZMAT Response program will include
EMS HAZMAT Proposal, 6/30/88 Page 2
assessment of EMS HAZMAT response capabilities,
establishment of standards for EMS responders and
,receiving facilities, development of field treatment
protocols specific to each of the counties ' EMS systems,
development of response plans as part of each counties '
existing multicasualty and disaster plans, and training of
medical responders - both field responders and hospital
emergency department personnel. Major emphasis of this
program is on the development of training programs and
training medical personnel.
EMS HAZMAT Proposal , 6/30/88 page 3
II. PURPOSE
This is a proposal to develop enhanced Emergency
Medical Services (EMS) HAZMAT response programs in Contra
Costa and Solano Counties. The proposed County EMS HAZMAT
response programs will be Fully integrated with existing
emergency medical response systems within each county and
with the respective counties ' Multicasualty Response.
Plans, Hazardous Materials Area Plans, and Multi-Hazard
Functional Plans. The project will include assessment of
existing capabilities of the medical care systems to
respond to hazardous materials incidents; identification
of deficiencies ; setting of standards for receiving
facilities, development of EMS HAZMAT response plans;
development of treatment protocols; development of
training programs for medical responders, including
hospital emergency department personnel.; provision of
training to medical personnel; and conduct of training
exercises.
EMS HAZMAT Proposal-, 6/30/88 Page 4
III . BACKGROUND
A. Consent Agreement
Under the terms of a Consent Agreement with the State
Department of Health Services (Consent Agreement and Order
#299190) , IT Corporation has agreed to develop a plan to
make payments of $100 , 000 annually over a five year period
for contingent health care services in Contra Costa and
Solano Counties in the event of an environmental episode. ...
In developing this plan, IT is required to consult with
specified county, city, and hospital representatives .
Final approval of the plan is required by the State
Department of Health Services.
B. Organization of Emergency Medical Services
Contra Costa and Solano Counties have each
established emergency medical systems and designated Local
EMS Agencies in accordance with Health & Safety Code
Section 1797. 200 to administer and coordinate the county
_ EMS programs. Contra Costa County has designated its
Health Services Department as the Local EMS Agency.
Solano County has designated its Local EMS Agency within
its Office of Emergency Services . Each County has
designated its Health Officer as Medical Director of its
respective EMS Agency in accordance with H & S Code
EMS HAZMA'^ Proposal , 6/30/88 Page 5
Section 1797.202.
The County EMS Agencies have statutory responsibility
for planning, implementing, and evaluating their emergency
medical service systems "consisting of the organized
pattern of readiness and response services based on public
and private agreements and operational procedures. "
(H & S Code Section 1797.204) The County EMS Agencies
establish policies, protocols, and procedures for
prehospital patient treatment and transport; approve
prehospital training programs and certify emergency
medical technicians (EMT-I ' s) , paramedics (EMT-P' s) , and
hospital-based mobile intensive care nurses (MICN' s) ; and
develop plans for multicasualty and disaster medical
response. The Contra Costa and Solano EMS Agencies work
closely with hospital, ambulance services, fire services ,
law enforcement agencies, and other local organizations to
ensure overall coordination of the counties ' EMS systems.
Both counties have also established Emergency Medical Care
Committees (EMCC ' s ) comprised of health, medical,
educational, public safety, and consumer representatives
appointed by the respective Boards of Supervisors to
provide advice on EMS issues and oversight to the EMS
systems.
EMS HAZMAT Proposal, 6/30/88 Page 6
IV. PROJECT MANAGEMENT
A. The County Health Officer in each county shall
appoint a County Steering Committee or Task Force to
establish local priorities and to oversee the
operation of the program within its respective
county. Each county group shall include
representatives of those agencies and hospitals
within the county identified in the Consent Agreement
and other persons deemed appropriate by the County
Health Officer. IT Corporation shall designate a
nonvoting representative to serve on each county
Steering Committee or Task Force. Each county group
shall select its own chair.
B. A Joint Oversight Committee shall provide overall
management of the Joint EMS HAZMAT Response Project
and shall prepare annual budgets, approve
expenditures , make decisions regarding contracts, and
issue an annual report for both the County Contingent
Health Care Services Programs and the Joint EMS
- HAZMAT Response Program.
The Joint Oversight Committee shall consist of
seven voting members , including the health officers
and EMS directors of each county, a representative of
each County' s hospitals chosen by the county' s local
EMS HAZMAT Proposal , 6;'30;88 Page 7
Steering .Committee or Task Force, and one individual
selected jointly by the two- health officers. IT
Corporation shall designate .a .representative to serve
- as a nonvoting member of the Joint Oversight
Committee... The Joint Oversight Committee shall
choose its own chair.
The role and responsibilities of the Joint Oversight
Committee shall be set forth in an exchange of
letters or other suitable mechanism of agreement
between the counties.
C. The Joint Oversight Committee shall select a staff
Project Director with appropriate technical expertise
to oversee all aspects of the Joint EMS HAZMAT
project.
D. The Joint Oversight Committee shall submit an -annual
report for the preceding year and a detailed
workplan and budget for the forthcoming year to IT
Corporation and the State Department of Health
_ Services for approval. . The annual report and.
workplan shall be submitted 30 days prior to the end
of the project year.
E. Each County Task Force or Steering Committee shall
submit an annual report 60 days prior to the end of
EMS HAZMAT Proposal , 6/30/88 Paae 8
the project year to the Joint Oversight Committee
summarizing the accomplishments and status of the
project within it' s county and proposing the next
year' s plan for use of funds. The Joint Oversight
Committee shall include these reports in its annual
report to IT Corporation and to the State Department
of Health Services.
F. Each county shall establish a special Contingent
Health Care Services Program fund to receive payments
from IT Corporation and to make disbursements related
to the county' s individual Contingent Health Care
Services Programs. Contra Costa County shall, in
addition to its Contingent Health Care Services
Program fund, establish a Joint Solano-Contra Costa
EMS HAZMAT Response Program fund to receive payments
from IT Corporation and to make disbursements related
to the Joint Program. Interest on funds held in
these accounts shall be credited to the respective
account and shall be available for project expenses.
Disbursements related to each County's individual
Contingent Health Care Services Program shall be made
by the respective County steering committee or task
force. All disbursements from the joint fund shall
be regulated by the Joint Oversight Committee.
EMS HAZMAT Proposal , 6/30%88 Page 9
V. OBJECTIVES
A. Establish EMS HAZMAT Planning Task Forces in each county
representing local government (including cities proximate
to IT sites) , health and medical, consumer, public
safety, emergency service, and industry representatives
to oversee the planning process in each. county.
B. Assess the existing capabilities of the EMS systems to
respond to hazardous materials incidents. This
assessment will focus on hospitals, ambulance services,
and first responders and will include assessment of .
facilities and equipment, planning, and training
programs .
C. Establish standards for receiving hospitals.
D. Develop and/or approve field treatment protocols for
victims of hazardous materials incidents.
E. Develop an EMS HAZMAT Response Plan in each county.
These plans will be consistent with existing
Multicasualty Response Plans, Hazardous Materials Area
Plans, Multi-Hazard Functional Plans and will include .
checklists for hospital and ambulance personnel.
F. Develop a training program for hospital emergency
department. personnel in handling victims of hazardous
materials incidents . This program will utilize existing
materials where available, but will include training with
EMS HAZMAT Proposal, 6/30/88 Page 10
respect to local procedures, resources, and hazards. The
training program will include materials for live
presentation as well as a video presentation suitable for
independent viewing.
G. Conduct periodic training sessions at area hospitals for
emergency department personnel.
H. Develop a medical response training program for ambulance
and public safety personnel. This program too will make
use of available training materials but will focus on
local procedures, resources, and hazards. In addition to
materials for live presentation, a video will be made
available.
I . Conduct periodic training programs for ambulance and
public safety personnel. (Priority shall be given to
assuring that responders in the vicinity of the Panoche
and Vine Hill sites have the opportunity to receive
adequate training. )
J. Conduct periodic functional field exercises involving
including hospitals, cities, field response agencies, and
industry representatives.
K. Establish within each county a high level of medical
preparedness to respond to hazardous materials incidents
which will be sustained on a permanent basis.
EMS HAZMAT Proposal , 6!30%88 Page 11
VI. WORKPLAN
A. First Year
1. . Establish EMS HAZMAT. Planning Task Forces in each
county. -
Product: Minutes of meetings; annual reports.
2. Survey literature on medical standards for HAZMAT
response.
Product: Written report summarizing the literature
survey and providing reference lists and other
specifics as appropriate.
3 . Develop plan for and conduct assessment of
hospital, ambulance service, and public safety
medical response capabilities and develop data
collection instruments.
Product: Written assessments of the medical
response capabilities within each county and an
evaluation of each county's needs to enhance
- medical- response to hazardous materials
incidents.
4 . Review existing training materials for medical
personnel and begin developing training programs .
Product: A written review of existing training
EMS HAZMAT Proposal, 6/30/88 Page 12
materials; a list compiling existing training
programs ; an evaluation of the applicability of
existing training programs to Contra Costa and
Solano Counties; recommendations for the purchase
of training materials; and, if any development of
training materials is required, a detailed scope
of work for such development. If a consultant is
required to develop training materials, a request
for proposals shall be issued and the selection
process concluded within the first year.
B. Second year
1 . Recommend standards for receiving hospitals .
Product: Written standards for receiving
hospitals.
2. Develop and approve field treatment protocols.
Product: Written field treatment protocols for
each county to be incorporated into the
counties ' existing EMS protocols.
3 . Complete development of training materials and
initiate training for hospital emergency
department personnel.
Product : Course syllabus and other course
materials ; course video tape suitable for
EMS HAZMAT Proposal- , 6/30/88 Page 13
independent viewing.
4. Complete development of training materials and
initiate training for ambulance and public safety
personnel.
Product: Course syllabi-is and other course
materials; course video tape suitable for
independent viewing.
5. Complete EMS HAZMAT response plans for field
responders and hospitals.
Product: Written EMS HAZMAT Response Plans for
each county integrated, as appropriate, into
existing hospital disaster plans, county
multicasualty response plans, multi-hazard
functional plans, and area plans .
C. Third year
1 . Continue training of hospital emergency department
personnel.
Product: Updated version of course syllabus
- and video tapes.
2. Continue medical response training of ambulance and
public safety personnel.
Product: Updated versions of course syllabus and
video tapes .
EMS HAZMAT- Proposal, 6/30/88 Pace 14
3 . Hold two functional field exercises.
Product: Written critiques of exercises ; video
tapes of exercises.
D. Fourth year
1. Continue training of hospital, ambulance, and
public safety personnel.
Products: Updated course materials and video
tapes, as appropriate.
2 . Hold at least two functional field exercises in
each county.
Product: Written critiques of exercises ; video
tapes of exercises.
E. Fifth year
1 . Continue training of hospital, ambulance, and
public safety personnel. ' '
Product: Updated course materials and video
tapes, as appropriate.
2. Hold additional functional field exercises .
Product: Written critiques of exercises ; video
tapes of exercises.
EMS HAZMAT Proposal , 6/30/88 Page 13
3 . Conduct a reassessment of hospitals and medical
responders.
VI. PROJECT COST
Total cost of the Joint EMS HAZMAT Response will be
$240,000 over a five year period. Expenditures will be made
to provide equal benefit to the two counties as may be
reasonably determined by the Joint Oversight Committee.
EMS HAZMAT Proposal, 6%30%88 Page 16
APPENDIX C
REQUEST FOR CONTACTS AND RESPONSES
FROM NAMED CAER PLAN PARTICIPANTS
INTERNATIONAL
TECHNOLOGY
CORPORATION
January 25, 1987
Mr. Michael Warren Mr. Jack Garner
City Manager City Manager
250 East %" Street 525 Henrietta Street
Benicia, CA 94510 Martinez, CA 94553
Mr. Richard Watson, Administrator Mr. Philip Batchelor
County of Solano County Administrator
Court House Contra Costa County
Fairfield, CA 94553 651 Pine Street, 11th Floor
Martinez , CA 9,1553
RE: Community Awareness and Emergency Response Programs (CAER)
Dear Sirs:
With reaard to the development CAER programs established in Consent Agreement
and Order 299190, IT Corporation is to "consult with the approoriate public
officials." (Paragraphs 5.2.1 and 5.2.2. , attache^) 5y way of this letter,
we are requesting that you inform us in writing wno your contact will be for
each paragraph of this order.
We would appreciate your response at your earliest convenience.
Sincerely,
r�-
G. Douglas Cla '
Gene7al Manager
GDC:sh
cc: M. Douglas Krause, Department of Health Services
•9585 Pacheco Beulevcr- t�;�.,.,..._. C ... t•1-53 I 3 �1C�
1i corporation u a of(nt<lrnchcnoi ;��;nr.;:�,^•C.rcorc%cn
INTERNATIONAL
TECHNOLOGY
CORPORATION
January 25, 1987
Mt. Diablo Medical Center Sutter Solano Medical Center
2540 East Street 300 Hospital Drive
Concord, California 94520 Vallejo, California 94589
Attn: Michael Wall , Attn: Joseph Stewart,
Administrator Administrator
John Muir Medical Center North Bay Medical Center
1601 Ygnacio Valley Boulevard 1800 Pennsylvania Avenue
Walnut Creek, California 94598 Fairfield, California 94533
Attn: Kendall J. Anderson, Attn: Mike Marini ,
Administrator Adninistrator
Kaiser Permanente Medical Center Kaiser Permanente Medical Center
200 Muir Road 975 Sereno Drive
Martinez, California 94553 Vallejo, California 94589
Attn: Barbara West, Attn: Steve Williams ,
Administrator Administrator
RE: Community Awareness and E.rerSency Response Programs (CAER)
Dear Sirs and Madam:
IT Corporation, in Consent Agreement and Order 299190, has agreed to develop a
program to assist medical facilities in defining and providing health care
services in the event of an environmental episode in Solano and Contra Costa
Counties, as defined in Paragraph 5.2.2 (attached). By way of this letter, we
are requesting that you inform us in writing who your contact will be for the
purpose of consulting with your hospital .
We would appreciate your response at your earliest convenience.
.Sincerely,
PQ7�,92T�
G. Douglas Clark( ,
General Manager v
GOC:sh
Reaton:,1 Cahce
4555 Pecheco Bou?aver Tvtar :nes. Cc;;:om: 04553 • 415-372-QJC0
17 Ccr;orcr:cn?s a wholly ownna suosuficry e!In<<m tuc•nol.'.•chnc.oqy wr�cral cn
5. 2. 1 With respect to the purchase by IT of a j
2 fire tuck and an emergency response unit (ERU) identified in
3 paragraph 2.2 , IT shall consult with the appropriate public .
4 officials of the cities of Benicia and Martinez and the counties
5 of Solano and Contra Costa, and shall work with ct`:er industry
6 the area to establish a Ccmn.unity Awareness and Emergency
i
7 ! Response (CAER) plan for each facility. The goal cf the CAER
g � plans described in paragraphs 5.2.1 and 5 .2 .2 is to imvrcve lccall
9 emergency responseplanning by combining the emergency respcnse :
1
10 1 capability and plans of IT with those or otter local c e. ica_
i
11 industry and local public agencies. The overall coal is the
12 creation of an integrated ccn�munity e.ercenc,: re_=_case :lan. Th e
13 plan will set fort's the ri,anner in which vehicles and ecui ment
14 _ 'ocured by 1_ will be available to re==oral to e-ercenc:es in
15 ccnjuncticn with ether _ndustr_r ' s ecu_r:en_ _n t e lecM_
10' ; communities. A. e zrec_ra- p"reposed by IT should tenetit the local
17 !� agencies In t'r!O wa�'� . (1) redUCe -he reliance cf _- cn
` s
1sl agencies for response to environmental incidents, fires or of::er
191 emergencies which occur at Vine Hill
201 or Fanoche and (2) enhance the ability of public agencies to
211 respond to environmental incidents, fires or other eme:eencies in
221 the surrounding community by making IT' s onsite emergency
23j response units and fire trucks available. for such offsite
24I incidents. IT shall make bimonthly reports to DCSS concerning
2s progress in establishing alan for each facility. IT and DOHS
i
F _
26i shall meet at least once during the four weeks following the
27submittal of the third bimonthly report to discuss the reports
39 .
j
I
— I ;
t i and a draft plan. IT shall procure the fire truck and 'c RU fer
I
2 ' each facility and will report such procurer,.ent to DCHS in a
I I
3 ; bimonthly report. Such CASR plans shall be submitted to DOHS `or '
4 I review within twelve (12) months of the signing of this consent
5 I agreement and order. The DOES will review and comment upon these I
6 ' plans within thirty (30) days of receipt. If DOTS rejects the
7 ' proposed CAER plan for a facility, it shall specify in a written
. 8 Initial Notice . of Deficiency (IMOD) why the plan fails to meet
9 the criteria set forth in this paragraph. Upon receipt of DOaS ' s
i
10 1NOD, IT shall have thirty (30) days in which to . sup-lit a revised ;
11 plan which addresses DOES ' s INOD. If, for a facility, 77 fa_1s
12 ij o s it a p} an within twe_ve (12) .7cnzhs cf t:e s.cr._nC o� this
13 ,I consent acreement or fa_15 to sut.mit a sat_E=actor =' an in
1 : I - esponse t0 the I:ICD, I'_ s all pay .a 5200 , 000 c.•7 ..ii pen= `V 1a
- - - --
}, .I lumz sun to .,J +J wit:in fifteen (I E) days after DC*Hs :as :Ovidec '
10 ;;
.ts final notice of def lciency. in t.^.e event a plan .Cr a
17 i� -aClllty 15 SL'b.:lt`eC by IT anC apprOVEd - r'C:.S b .t fails tC
.. i
18 becin implement-inc the plan within ninety (90) days after
is approval , then, on the 91st day after: approval by DO S, IT shall
zo ;
instead Fav a $200 , 000 civil penalty in a lu.:,p s;:-1 to DOSS fcr
21i each facility at which the respective flan has net becun to to
22 fI implemented. If other acencies or industry fail to participate
23 i) in the formulation of the plan (s) or the prcpesed plan (s) called
2•1i for in paragraphs 5 . 2 . 1 or 5 . 2 .2 despite IT' s best efforts to
25 ., secure their participation, the Department shall not :eject the
26plan (s) on that basis.
i
27
O�w�. w it 40.
—r
it
it
i
! 5 . 2 .2 With respect to the develcp=ent c- t: e
� Community Awareness and Emergency Response (C:,ER) prccrams
2
3 identified in paragraph 2. 3 , IT shall consult with the
4 appropriate public officials of the cities . cf Benicia a.nd
1
5 Martinez and the counties of Solano and Contra Costa, of:icials
6 ! of John Muir Hospital , in Walnut Creek , Mt. Diablo Hospital in �
7 Conccr. and Sutte.°-Solano' F:ospital in Vallejo, and other industry
8 in the .area. Such consultation shall be for the purpose of
9 establishing a plan to assist medical facilities in the counties
of Solano and/or Contra Costa in defining and !
10 i - p�rCVidiac
t1 contingent health care services in the event cf en envirermental !
12 ! episode as defines in the CHER plans. I7' i5 tc make - =vments
i
13 i totalling $100 , 000 a year to one or more ri edical faci'_ities for
14 I f,ve succeed;._ years cc- e c,r.c wit` e
1 ' appro'red C:.ER plans Gesc.- fitted in this paracra_ . le pav—eats
s -
16 shall be used for expenc_tures which are cons_s:er.c wit' the C'%_R
17 IfI plan (s). I^ sna-1 .._.... ..:hly recor __ tc DC,..S ccncerninc
18 progress in the establish ins of a CAE: plan for Panoche and Vine
I,
19 Hill. IT and DOES shall meet at least once during the four weeks
20 following the submittal of the third bimonthly report to discuss
21 the reports and draft plans. Such Cn=Z plans shall be submitted
22 to DOES for review wit:in twelve months of the sicning of this
f .
231 consent agreement. DOES will review and comment on these plans
z4i within thirty (30) days cf receipt. If DOHS rejects the proposed
25 ; CAER plan for a facility, it shall specify in a written Initial
i -
261 notice of Deficiency (I110D) why the plan fails to meet the
27 criteria set forth in this paragr_nph. Upon receipt of DOF:S ' s
� f
I 41 .
COvo♦.�.ra
i
IVCD, IT shall have thirty
y (20) cat's . in which to submit a :ev:sec
2 i plan whichaddresses DOHS ' s INOD. If, for a facility, fairs
I
3 i to submit a plan within twelve (12) months of the sicr.i-c of _..:s
4 consent agreement or fails to submit a satisfactory plan in
5 response to the I.NOD, IT shall pay a $250, 000 civil cenalty in a
6 lump sum. to DOHS within fifteen (15) days after DOES has provided
i
7 I its final notice of deficiency. In the evert a CCIIEH plan fc: an i
i
8 IT facility is approved by DOHS, but IT fails to imnplement the
9 plan within ninety (90) days after approval, IT shall instead pay
10 a civil penalty of $250 , 000 in a lump sv--n to DOES for each
i
11 facility at which the res_ect_ve plat: has not been ^v'_emertec. `
12 e : ec- to a cc-^-ehers_ve :
ecoid and i
13 data manage.m.,ent syste^ for both V::T? and Fanoc e ident_=ied in !
1
1. I paraCLapn 2 . 4 Of t: _S CC^.5e: ^.eement and orde:, ?- s.^.all make
15 bimnonthly reports to DOHS ccnce:n4ng the _. _e::,er.tat_eh. o tine
i
toi system for each f_=c_4 I i ty « Such sySte7, descrited herein is rot
li Ii 4,;;plementeC at boli �aC�__ __eS � : t: e Cc' :e H'i:iC.^. _T C: :es ^v=�
j
1sl pursuant to the next sentence of this paracraca, 1T sinal! pay a
191 civil penalty of $100, 000 in a lump sum to DOHS on October 2,
201 1988. Within sixty (60) days of entr:, of this consent agreement
I
21 i IT will notify DOHS of the date on- which the coin!_:e er.sive reco:d
22 and data management systems will be implemented at both
23I� facilities, provided that date may not be late: than October 1,
— , O G U„
C+ �I 1.3; .
1
25i 5 .2 . 4 In the event that the fences referred to in
261 paragraphs 3 . 4 . 1 and 4 .13 .1 of this -consent agreem nt and order
{ 27i are not completely installed by twenty-six (26) weeks from ent:v
42.
COi,w,►.�.q I -
I
Contra
The Board of supervisors Costa Health Service,- ,epartment
Torn Poi ws,tst District County ` L
Nancy C.Fohdan,2nd District
Robe"1.Schroder,3rd District ,.. L OFFICE{GFTHEDI$IRCTOR
Sunno W ftht MCPeak,4th District
Tom Torlakson,stn District - Mark Finurane,Director
/ •' Administrative Qttices
20 Allen street
County Administrator . -
:,..4
Martinez.California 94553
Ph9 OaleANor (415)646-4416
County Administrator 't'�..(oi'�<`
February 12, 1988
D. Douglas Clark
General Manager
International Technology Corporation
4585 Pacheco Boulevard
Martinez, Ca. 94553
Dear Mr. Clark:
The Contra Costa County Administrator, Mr. Philip Batchelor, has forwarded
to me your letter of January 25, 1988 regarding Community Awareness and
Emergency Response Programs.
This letter is to reaffirm with you that I have been' designated by our
Board of Supervisors to be the official contact for Contra Costa County in
negotiating the terms of Consent Agreement and Order 299190 (Paragraphs
5.2.1 and 5.2.2) . I have been representing Contra Costa County in our
negotiations to date and will continue to do so.
Sincerely,
William B. Walker, M.D.
Contra Costa County Medical Director
and Health Officer
WW:hh
cc: Phil Batchelor, County Administrator
Mark Finucane, Health Services Department
M. Douglas Krause; Department of Health Services
�J�S nv87t
City of Martinez (� --- -
525 HENRIETTA STREET. MARTINEZ
U
CALIFORNIA 94553•(415)372-3505
February 17,- 1988
Mr. G. Douglas Clark.
General Manager
International Technoloy Corp.
4585 Pacheco Blvd.
Martinez, .CA 94553
Dear Mr. Clark:
I am writing in response to your letter of January 25, 1988, in which
you request a local representative for development of a C.A.R.E.
program. Please use my name and office as the City of Martinez'
contact point for the development of your C.A.R.E. program.
Sincerel
Jack E. Garn r
City Manager
JEG:hn
cc: Mayor and City Council
..r
JACK E. GARNER, CITY MANAGER
m
MAR
. DIABLO HOSPITAL MEDICAL CENTEUlR
MI heel L. Wall BOARD OF DIRECTORS
pay:c..o Harry F. Bowen
Chairman
John J. Baia
Vice-Chainmen
Mary Louise Mahoney
Secretary-Treasurer
Jason Appel, M.D.
March 1 , 1988 Director
Dione Mustard
Director I
i
G. Douglas Clark
General Manager
INTERNATIONAL TECHNOLOGY CORP. 4
4585 Pacheco Blvd. V
Martinez, CA 94553
RE: Community Awareness and Emergency Response Program
` Dear Mr. Clark:
I
i In response to your letter of January 25 , 1988 , Mt. Diablo
Hospital Medical Center ' s contact person for purposes of
I consulting with us will be Barbara Weimholt. Ms . Weimholt
can be reached in our Nursing Administration office at 674-2530 .
Sincerely ,
David Taylor
Vice President
gdm
cc: Anita Stranik, Vice President
Barbara Weimholt
-,
1 I
I
I
I
i
2540 Eas; Street. Concord. CA 94520 19C�j 415-682-a200
Facsimile 0674-2012
I
OPERATED E TSE MT DIABLO HOSFI'AL D.STR!--T
_ JOHN
M^H 160. Y;nacio `.-allev Road -'Xalnu Creek, California 91698.319.1 - :1161 939-3000 .
IR
1 VMEIDICAL
CE`ITER
-R 3 PPI
March 1, 1988 - - -
G. Douglas Clark
General Manager
International Technology Corporation
4585 Pacheco Boulevard
1-Iartinez, CA 94553
Dear 'Mr. Clark:
Your letter regarding Community A%%Iareness and Emergency Res-
ponse programs (CAER) to J. Kendall Anderson, President/CEO of
John Muir Medical Center, has been referred to me fir reply.
The contacts from our Medical Center will be , Barbara Dorton,
Director of Education, and me.
Please keep us informed of your progress with this program.
Sincerely,
Joselle Howard
Assistant Vice President,
Professional Services
JH/ks
_ Joselle Howard (947-5345)
Barbara Dorton (947-5018)
• • Kaiser Permanence %Iedical Center Barbara West. 1ICA ��??([l1
2
) 00"
?00 Muir Road ddmmisvator
1lanmez. C,alifomis N553—+696
(415) 372•1W) John T. Igo, M.D.
ftwian-m-Chief
6
wa1SG-7 PER.m Ad C--*1J T- iti1r Q 3 "I°88
larch 2 , 1988
Mr. G. Douglas Clark
General Manager
International Technology Corporation
4585 Pacheco Blvd.
Martinez , Calif . 94553
Dear Mr. Clark,
The contact for CHER develoament at Kaiser
Permanente Medical Center- '-=rtinez is Michael
Tully-Cintron . I can be reached at 372-1095.
Sincerely,
Michael Tully-Cintron
Administrative Assistant
KPMC-Martinez
MT-C/jaw
in „
APPENDIX D
MAILING LIST FOR DRAFT CAER PLAN REVIEW
CAER PLAN MAILING LIST
Anita Stranik Douglas Krause
MT. DIABLO MEDICAL CENTER Erwin Koehler
2540 East Street Denise Tsuji
Concord, California 94520 DEPARTMENT OF HEALTH SERVICES
2151 Berkeley Way, Annex 7
Mariann Cosby Berkeley, California 94704
NORTH BAY MEDICAL CENTER
1800 Pennsylvania. Avenue Tom Scheidel
Fairfield, California 94553 Frank Schober
DEPARTMENT OF EMERGENCY SERVICES
Steve Williams 600 Texas Street
KAISER PERMANENTE MEDICAL CENTER Fairfield, California 94533
975 Sereno Drive
Vallejo, California 94539 Robert Pendoley
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
Lou Cuneo 601 Texas Street
KAISER PERMANENTE MEDICAL CENTER Fairfield, California 94533-6376
200 Muir Road
Martinez, California 94553 Kent Taylor, Administrator
COUNTY OF SOLANO
Jo Howard Court House
JOHN MUIR MEDICAL CENTER Fairfield, California 94533
1601 Ygnacio Valley Road
Walnut Creek, California 94598 Marci Coglianese
COUNTY OF SOLANO
P. Timm Court House
Judith A. Smith Fairfield, California 94533
Judy Sullivan
Joseph Stewart Jack Garner
SUTTER SOLANO MEDICAL CENTER CITY MANAGER
300 Hospital Drive 525 Henrietta Street
Vallejo, California 94589 Martinez, California 94553
Michael Warren Art Lathrop
CITY MANAGER HEALTH SERVICES DEPARTMENT
250 East "L" Street 20 Allen Street
Benicia, California 94510 Martinez, California 94553
Ed Lopez, M.D. , Director William Walker, M.D.
DEPARTMENT OF PUBLIC HEALTH CONTRA COSTA COUNTY
Y 355 Tuoloumne Street HEALTH SERVICES DEPARTMENT
Vallejo, California 94590 20 Allen Street
Martinez, California 94553
Sue Bertken
DEPARTMENT OF HEALTH SERVICES TSCD
714/744 "P" Street
Sacramento, California 95814
ENV:0256/081788