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• 1.6 Submittal Reminders <br /> 1 f you arc required to prepare SB 14 documents, did you remember to: <br /> • Prcparc a Summary Progress Report as detailed in Chapter 7? <br /> • Submit your Summary Progress Report to DTSC by September 1, 2003? <br /> You arc not in compliance with SBI 4 unless you prepare a Summary Progress Report, <br /> and submit it to DTSC. <br /> A Source Reduction Success <br /> Children's Hospital Los Angeles <br /> Children's Hospital Los Angeles('CHLA)has been operating:since April], 1901 and is 318 <br /> bed licensed acute care pediatric hospital. The facility supports one of the largest educational <br /> programs of any pediatric institution in the country. The CHLA operates schools of Physical <br /> Therapy,Medical Technology,and X Ray Technology. Because of the research facilities.on. <br /> campus, CHLA has larger and more diversified hazardous waste streams than other area <br /> :.. hospitals. <br /> Children's Hospital Los Angeles continues to implement b innovative source reduction <br /> measures for all of their waste streams. In general,chemical purchases have steadily declined <br /> in the past five years while research and patient loads have increased. The following area few <br /> examples of source reduction measures implemented at their hospital <br /> • Analysis and evaluation was done to assess how oils,lab chemicals,and solventscntered: <br /> • the industrial wastewater clarifier. Analysis showed chemical residues from the labware. <br /> cleaning process entering the wastewater system. All excess waste in the labware was <br /> put through the cleaning systems with disregard to chemicals ending up in the clarifier. <br /> The clarifier had to be pumped and cleaned monthly with hot water and bleach to reduce <br /> hydrocarbon buildup. In fiscal year 1994-95,a program was initiated to train personnel <br /> in the maintenance of the cleaning system,use;of die proper receptacles:for the collection <br /> and disposal of chemical wastes,and use of the autoclave for cleaning and sterilization <br /> of labware. . <br /> In midyear 1995,hydrocarbon-reducing enzymes were introduced into the clarifier <br /> system to reduce hydrocarbons and alleviate the need forto pump and clean the clarifier <br /> monthly. No capital outlay was needed, pumpingcosts were reduced by $1950 per: <br /> month,and contaminated wastewater entering the POTW was reduced by 46,541 pounds' <br /> per year: <br /> • All laboratory:euthanasia now uses carbon dioxide instead of ethyl ether. Thisinput <br /> substitution has improved workersafety and reduced the repormg ofextremety hazardous <br /> substances. In addition,there is a substantial cost difference between chemicals, <br /> • Mercury thermometers, bloodpressure cuffs, and related instruments/devices were " <br /> replaced with non-mercury thermometers,and electronic/chemical piezometric devices. <br /> Replacementof mercury units with new electronic devices tookplace over a long period <br /> to ensure product manufacturers could provide equipment that was suitable foruse in the. <br /> pediatric setting. Electronic devices for blood pressure and thermometer reading are.: <br /> comparable in.cost to instruments containing mercury because they do not have high <br /> disposal costs. In addition,the electronic devices do not pose a hazard to patients and <br /> workers. ' <br /> • <br /> 14 <br />