Protect People from Injury;

• protect people from injury;
• prevent further release of pollutants to the environment;
• protect property from damage; and
• report regulated release of pollutant to appropriate agencies.

• fire or explosion;

• toxic gaseous chemical (e.g. ethylene oxide, chlorine) leak;
• petroleum fuel spill;
• uncontrolled spill of chemicals or fuel to the storm drainage system;
• hazardous chemical spill; and
• natural disaster.

SPILL PREVENTION CONTROL AND COUNTERMEASURE PLAN

Prepared For:

Name of Facility

Address of Facility

Prepared By:

Corporate Environmental Engineering

HCA – The Healthcare Company

One ParkPlaza

Nashville, Tennessee37203

Date

CERTIFICATION

The Spill Prevention Control and Countermeasure (SPCC) plan for the Name of Facilityl at Address of Facility will be implemented as herein described in accordance with "Title 40 - Protection of the Environment - Chapter 1 - Environmental Protection Agency; Subchapter D -Water Program - Part -Oil Pollution Prevention". I hereby certify that I am responsible for the operation of the above named facility.

Owner's Signature: ______Date

Name/Title:Name of CEO, Chief Executive Office

Name of Facility

Ooperator's Signature: ______Date

Name/Title:Name of Director of Plant Operation

Name of Facility

ENGINEER'S CERTIFICATION

I have examined the facility and, to the best of my knowledge and belief, certify that this plan has been reviewed and has been prepared in accordance with provisions of the federal regulations (40CFR 112) and good engineering practice. This certification in no way relieves the owner or facility operator from preparing or fully implementing such plan in accordance with the applicable regulations.

Certified By:

Y. Cindy Lin, P.E., Ph.D.

(seal)Manager, Environmental Engineering

1.0 INTRODUCTION

This plan was prepared in accordance with the Federal Regulations 40 CFR Part 112 "Oil Pollution Prevention." Spill events subject to the SPCC plan, as in Federal Regulations 40 CFR Part 110.1, include, but are not limited to, "any spilling, leaking, pumping, pouring, emitting, emptying and dumping of oil of any kind or any form, including, but not limited to, petroleum, fuel oil, sludge, oil refuse, and oil mixed with wastes other than dredged spoil." The SPCC plan identifies potential sources of oil spills and pollution, and develops procedures for corrective spill control and a plan to prevent spill recurrence.

TABLE OF CONTENTS

2.0 GENERAL FACILITY INFORMATION

2.1 Facility Identification

1.Facility Name:Name of Facility

Mailing Address:Address of Facility

Telephone:

Management Contact:Name of CEO, Chief Executive Officer

Emergency Coordinator:Name, Director Plant Operation

2.Corporate Ownership:Name of HCA Subsidiary

Corporate Officer:Name of CEO, Administration

Mailing Address:OneParkPlaza, Nashville, TN37202

Telephone:(615) 344-2288

3.Date operation began at this facility:Date

2.2 Facility Description

1.Location:Give a short description of the facility. For example: The facility is bordered by Illinois Central Railroad, East 31st Street, Martin Luther King Dr. and 26th Street.

2.Site Map:See Figure 1.(attach a map)

3.Facility Layout:See Figure 2.(attach a drawing)

4.Nature of Business:Acute care/psychiatric care facility.

5.Number of Employees:800 (Approximate)

6.Hours of Operation:24 hours

7.Days of operation:7 days a week

3.0 EMERGENCY COORDINATORS

3.1 Facility Emergency Coordinator

The designated emergency coordinator for the facility campus isName of Director of Plant Operation. He can be reached at (telephone number) and Home (Telephone number). Alternative emergency coordinator is Alternate person at (Telephone Number). At all times, at least one of these employees is on the premises or on call, and has the responsibility and authority to coordinate any emergency response measures necessary. This authority includes the ability to commit funds and resources to properly handle the emergency. These emergency coordinators are thoroughly familiar with all aspects of this SPCC plan, all operations and activities of the plan, the location and characteristics of material handled, the location of all records, and the layout of the facility.

3.2 Local Community Emergency Coordinator

The contact of the Local Emergency Planning Committee (LEPC) as required by 40 CFR 112 regulations for the City Name/ Name County emergency services is coordinated by the State Emergency Services and Disaster Agency and the Metropolitan Water Name of your wastewater district:

The local 24-hour telephone numbers for purposes of emergency notification are:

(800)telephone or telephone

StateEmergency Services and Disaster Agency

Address of agency

(Telephone of POTW (24 hours) (office hours)

Metropolitan Water Reclamation District of City

Address of agency

4.0 FUEL STORAGE DESCRIPTION AND LOCATION

Figure 3 presents the locations where the fuel storage facilities are located.

5.0 EMERGENCY RESPONSE PROCEDURES

Under 40 CFR subparts 110 and 112, a facility owner or operator must maintain an effective emergency spill response system which includes early identification of a release and immediate notification to proper authorities. Not all releases requiring emergency notification will warrant activation of the local emergency plan. The criteria for agency reporting varies with the type of material, amount of release, and the environment of release. A release of fuel exceeding 25 gallons to the ground needs to be reported within 24 hours. However, if an emergency poses imminent danger to the environment or public health, and cannot be controlled by the Facility personnel, the Emergency Coordinator must contact agency immediately.

Whenever an incidental release (other than an authorized and engineered release) of any regulated materials, in a quantity which meets or exceeds the reportable quantity, occurs at the facility, the emergency coordinator in charge, upon discovery or confirmation of such release, should immediately report the release to the LEPC. In City/County, the emergency notice shall be given by telephoning emergency telephone numbers as designated in the check list at the end of this section.

Other pertinent authorities to be contacted during the emergency are also listed below.

State and Local Agencies to be

Contacted During an Emergency

•StateEmergency Services and Disaster Agency: (800) Telephone (24 hour emergency number)

•City Fire Department - 911

•City Metropolitan Water Reclamation District (In-facility spill to sanitary or storm sewer system) (Telephone)

•NationalResponseCenter - (800) 424-8802, if it is necessary to evacuate the nearby community.

Other Pertinent Agencies

•State Environmental Protection Agency, Leaking Underground Storage Tank Section: Telephone

•State Fire Marshal Office, Petroleum and Chemical Safety - (Telephone)

5.2 Implementation of the Emergency Plan

The decision to implement the emergency plan depends upon whether or not an imminent or actual incident could threaten human health or the environment. The purpose of this section is to provide guidance to the emergency coordinator in making this decision by providing implementation criteria.

The emergency plan will be implemented in the following situations:

1.Injury to an employee when the injury is of such a serious nature that medical attention above the level of first aid is required.

2.The spill cannot be contained on-site resulting in off-site soil contamination and/or ground or surface water pollution.

3.Fire/Explosion or other emergency situation. Note: Call Fire Department at 911.

5.3 Spill Emergency Procedures

An emergency procedure checklist is provided at the end of this plan, beginning on page 10. The emergency procedures, which will be followed by the emergency coordinator in implementing the emergency plan, are detailed below:

A.In the event of major emergencies, notify all employee and occupants of the situation. Evacuate personnel, if deemed necessary. For general emergency situations, verbally alert personnel in the area of the emergency. If time allows, proper containment procedures will be initiated under the direction of the Emergency Coordinator.

B.Contact state and local agencies with designated response roles, if their assistance is required. Refer back to the list in Section 5.0 for a list of the emergency telephone numbers for the appropriate agencies.

C.Whenever there is a release, fire, or explosion, the emergency coordinator will immediately identify the character, exact source, and amount of any released materials and the extent of contamination.

D.Concurrently, the emergency coordinator will assess possible hazards to human health or the environment that may result from the release, fire, or explosion. This assessment will consider both direct and indirect effects of the release, fire or explosion (e.g., the effects of any toxic, irritating or asphyxiating gases that are generated, or the effects of any oily surface runoff from water or chemical agents used to control fire and heat-induced explosions).

E.If the emergency coordinator determines that the facility has a release, fire or explosion which could threaten human health or the environment outside the campus, he/she will report the findings as follows:

1. If the assessment indicates that evacuation of local areas may be advisable, he/she will immediately notify local authorities. He/she will be available to help appropriate officials decide whether local areas should be evacuated.

1. The emergency coordinator will immediately notify either the government official designated as the on-scene coordinator for the geographical area of the LEPC. Reports to these agencies must include:

1. Name and telephone number of the reporter;
2. Name and address of the facility;
3. Time, date, location and type of incident (e.g., release, fire);
4. Name and quantity of material(s) involved, to extent known;
5. Exact location of the release/spill;
6. The extent of injuries, if any;
7. The possible hazards to human health or the environment outside the plant; and
8. Actions taken for containment or cleanup.

F.During an emergency, the emergency coordinator will take all reasonable measures necessary to ensure that fires, explosions and releases do not occur, recur or spread to other areas. These measures will include, where applicable, stopping operations, collecting and containing released fuel, and removing or isolating the source of the spill.

G.Immediately after an emergency, the coordinator will provide the means for treating, storing or disposing of recovered materials, contaminated soil, or surface water, or any other waste material that results from a release, fire or explosion at the plant. Depending on the quantity of the material released, the emergency coordinator will select the proper disposal means and obtain approval from state and local officials.

H.The Emergency Coordinator will ensure that, in the affected area(s) of the facility:

1. No materials that may be incompatible with the release material are treated, stored or disposed until cleanup procedures are completed; and

1. All emergency equipment listed in the contingency plan is cleaned following the proper decontamination procedures for its intended use before operations are resumed. Any contaminant should be removed from the equipment before the maintenance work is performed. The subsequent equipment cleanup, repair and maintenance tasks should carefully follow the instruction manuals furnished by the manufacturers of that particular equipment. The Emergency Coordinator will inspect the equipment and sign the incident report.

I.The Emergency Coordinator should notify, in writing, the appropriate state and local authorities that the area is in compliance with the pertinent ordinance before operations are resumed in the fuel storage tank facility.

J.The Emergency Coordinator will log the time, date, and details of any incident that requires implementing the contingency plan in the operating record.

K.Within fifteen days after the incident, a written report will be submitted to the LEPC and State agencies. The report will include:

1. Name, address, and telephone number of the company;
2. Date, time, location and type of incident (e.g., fire explosion);
3. Name and quantity (by weight or volume) of material(s) involved;
4. The extent of injuries, if any;
5. An assessment of actual or potential hazards to human health or the environment, where applicable;
6. Countermeasure action taken during and after the incident; and
7. Estimated quantity and disposition of recovered material that resulted from the incident.

In addition to these reporting requirements for State and Federal authorities, the Company also has internal reporting requirements. The following incidents require that an incident report be completed and returned to the Risk Management Department (615)344-5854 within one (1) working day and made part of the operating record:

1.All fires;

2.Hazardous liquid or oil spills;

3.All injuries-NO MATTER HOW SLIGHT;

4.All major equipment damage due to malfunction or operating error; and

5.All "near misses" of the above variety that could have had serious consequences.

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5.4 A list of emergency Oil Spill Response Capability

5.4.1 Emergency Equipment List

A list of the location of safety and emergency equipment available on campus is located at the Plant Operations Department and Environmental Service Department. Available equipment includes communications equipment (not shown on the facility plan since they are located in many areas around the campus), fire extinguishers, first aid kits, emergency showers and eyewash stations, and spill control equipment.

The Safety Equipment List is a list of equipment available for spill control. Inspection, inventory, and operational checkouts of this unit and all equipment should be performed monthly. At the conclusion of the use of spill control equipment, materials should be restocked. It should be noted here that dry chemical fire extinguishers are provided in accordance with pertinent state guidelines and local codes.

As seen in the Safety Equipment List, there are various types of personnel protection equipment in the spill control unit such as a first aid kit, disposable coveralls, boots, gloves, and visors with face shields.

Personnel protection equipment is provided in accordance with OSHA regulations for all employees. Container Room personnel are provided with respirators, disposable coveralls, gloves, and goggles.