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tjp tae ly's Medical Center Hazardous Gases and Vapors Handled, used, stored and/or otherwise emitted include, but are not limited to: • Formaldehyde —10% buffered Formalin solution (4% formaldehyde) is used primarily for the purpose of preserving tissue and specimens in Pathology Lab, OR and L&D. • Anesthetic Gases — For example: Nitrous Oxide is commonly used in the OR and OPS for general anesthesia and certain cryogenic processes. Halogenated anesthetics (Desflurane, Halothane, Isoflurane and/or Sevoflurane) may also be used for general anesthesia. • Various compressed gas cylinders, including oxygen, medical air, nitrous oxide and nitrogen. Systems for the identification and management of hazardous gases and vapors include, but are not limited to: • Mechanical ventilation, administrative controls, personal protective equipment and periodic exposure monitoring for operations that involve the handling of solvents, reagents, fixatives and other chemicals that may produce fugitive emissions, volatilize or otherwise off -gas into occupied spaces and/or work areas; • Personnel monitoring, system assessments, local exhaust ventilation/scavenger units and alarm systems for the control of waste anesthetic gases (including nitrous oxide) and harmful sterilant gases (such as ethylene oxide); and • Systems for the proper securing and safe management of compressed gas cylinders. Waste Management Hazardous wastes will be managed from the point at which the material becomes a waste until its final disposition or the point at which it is no longer hazardous. Waste streams include: Chemical Regulated pharmaceutical Chemotheraputic Radioactive and Medical wastes Department managers (in conjunction with the Safety Officer) will evaluate waste streams to ensure waste materials from all processes; procedures and operations are correctly characterized and classified, per regulatory criteria. Department -specific waste determination and classification must be documented and preserved for as long as the waste stream is generated, plus at least three years (22 CCR 66262.11). Department programs include waste source reduction and minimization components, such as procurement and inventory control, encouraging full use and appropriate empty container management, and acceptable/permitted on-site treatment processes. Hazardous wastes are collected and accumulated on site in two main accumulation areas and in satellite accumulation areas near the point of generation. These accumulation areas are provided with structural features, containers, signage, equipment, and supplies conducive to occupational safety, spill prevention and control, and environmental protection. simc 6 Revised 1/10