ML20063M320
| ML20063M320 | |
| Person / Time | |
|---|---|
| Site: | San Onofre  |
| Issue date: | 09/03/1982 |
| From: | Pigott D ORRICK, HERRINGTON & SUTCLIFFE, SOUTHERN CALIFORNIA EDISON CO. |
| To: | |
| References | |
| ISSUANCES-OL, NUDOCS 8209100246 | |
| Download: ML20063M320 (35) | |
Text
_
00ft Q\\
D\\ gk j
UNITEDSTATESOFAMERICA0h:
OI T
gtB NUCLEAR REGULATORY COMMISSION BEFORE THE ATOMIC SAFETY AND LICENSING BOARD
)
In the Matter of
)
)
SOUTHERN CALIFORNIA EDISON
)
DOCKET NOS. 50-361 OL COMPANY, et al.
)
50-362 OL
)
(San Onofre Nuclear Generating
)
Station, Units 2 and 3).
)
)
)
APPLICANTS' RESPONSE TO MEMORANDUM AND ORDER CONCERNING WHETHER FURTHER PROCEEDINGS ON THE ADEQUACY OF OFFSITE PLANNING FOR MEDICAL SERVICES SHOULD BE CONDUCTED
)
DAVID R.
PIGOTT EDWARD B.
ROGIN SAMUEL B. CASEY Of ORRICK, HERRINGTON & SUTCLIFFE A Professional Corporation
)
600 Montgomery Street San Francisco, California 94111 Telephone:
(415) 392-1122 CHARLES R.
KOCHER JAMES A.
BEOLETTO
)
SOUTHERN CALIFORNIA EDISON COMPANY P.O.
Box 800 2244 Walnut Grove Avenue Rosemead, California 91770 Telephone:
(213) 572-1212
)
Attorneys for Applicants, Southern California Edison Company, San Diego Gas & Electric Company, City of Anaheim, California and City of Riverside, California
)
Dated:
September 3, 1982.
abo DSOa O
O
UNITED STATES OF AMERICA NUCLEAR REGULATORY COMMISSION
)
BEFORE THE ATOMIC SAFETY AND LICENSING BOARD In the Matter of
)
)
SOUTHERN CALIFORNIA EDISON
)
DOCKET NOS. 50-361 OL E
COMPANY, et al.
)
50-362 OL
)
(San Onofre Nuclear Generating
)
Station, Units 2 and 3).
)
)
e APPLICANTS' RESPONSE TO MEMORANDUM AND ORDER CONCERNING WHETHER FURTHER PROCEEDINGS ON THE ADEQUACY OF OFFSITE PLANNING FOR MEDICAL SERVICES SHOULD BE CONDUCTED D
The Atomic Safety and Licensing Board (" Board") on August 6, 1982 issued " Memorandum and Order (Concerning Whether Further Proceedings on the Adequacy of Offsite Planning for Medical Services Should Be Conducted)."
Said Order asked a number of questions to be responded to by the parties.
Applicants hereby respond to said Order.
D 1.
If further proceedings were directed, what additional evidence, if any, would you produce on the need for medical service arrangements offsite, beyond that recognized by the Appeal Board in ALAB-680?
Describe briefly the thrust of that D
evidence and the qualifications of proposed expert witnesses.
Applicants' position remains that there is no need for further medical services arrangements beyond those D
presently in place.
Applicants' evidence would elaborate on the extent of existing medical service capabilities in D
D
J southern California.
Applicants' witnesses would demonstrate that:
A.
Many hospitals in the area have accredited nuclear medicine departments.
As a part of having such an 3
accredited nuclear medicine department, it is necessary to have the capability to treat persons exposed or contaminated by radiation.
Emergency departments of hospitals having nuclear medicine departments must be capable of handling radiological emergencies.
Emergency department services must relate to:
3 The emergency management of individuals who have actual or suspected exposure to radiation or who are radioactively contaminated.
Such action may include radioactivity monitoring and measurement; designation and any required preparation of space for evaluation of the
,J patient, including, as required, discontinuation of the air circulation system to prevent the spread df contamination; decontamination of the patient through an appropriate cleansing mechanism; and containment, labeling and disposition of J
contaminated materials.
(Accreditation Manual for Hospitals 1982, Joint Commission on Accreditation of Hospitals, pp. 29-30.)
3 Radiation decontamination facilities shall be provided whenever radioactive isotopes are used.
(Ibid., p. 45)
B.
Applicants have surveyed a number of hospitals 3
in the southern California area and have found that at least the following hospitals are accredited and have nuclear medicine services.
As a part of their nuclear medicine l
department, certified oncologists are admitted to practice at 2
O
b the various hospitals.
The hospitals surveyed to date and the number of oncologists admitted to practice at those hospitals is as follows:
a.
San Clemente General Hospital:
g Beds -- 116, oncologists -- 2.
l l
b.
South Coast Medical Center, South Laguna, California:
Beds -- 268, oncologists -- 5.
c.
Mission Community Hospital, Mission Viejo, O
California:
Beds -- 212, oncologists -- 2.
d.
Hoag Memorial Hospital, Newport Beach, California:
Beds -- 467, oncologists -- 3.
g e.
Costa Mesa Memorial Hospital, Costa Mesa, California:
Beds -- 99, oncologists -- 1.
f.
Fountain Valley Community Hospital, Fountain C)
Valley, California:
Beds -- 214, oncologists -- 8.
g.
Saint Joseph Hospital, Orange, California:
Beds -- 505, oncologists -- 15.
2) h.
Saddleback Community Hospital, Laguna Hills, California:
Beds -- 155, oncologists -- 4.
i.
Western Medical Center, Santa Ana, California:
O Beds -- 307, oncologists -- 21.
j.
Huntington Intercommunity Hospital, Huntington Beach, California:
Beds -- 141, oncologists -- 3.
k.
UCLA Hospital, Los Angeles, California:
Beds -- 715, oncologists -- 25.
1.
University of California -- Irvine, California:
Beds -- 493, oncologists -- 4.
3 9
- O m.
Cedars-Sinai Medical Center, Los Angeles, California:
O Beds -- 1,120, encologists -- 35.
n.
Tri-City Hospital, Oceanside, California:
Beds --297, oncologists -- 2.
o.
Fallbrook Hospital, Fallbrook, Californi a:
O Beds -- 50, encologists -- 2.
p.
Palomar Memorial Hospital:
Beds -- 300, oncologists -- 4.
q.
Scripps Memorial Hospital, La Jolla,
,L)
California:
Beds -- 363, oncologists -- 7.
r.
Naval Regional Medical Center, San Diego, California:
Beds -- 600, oncologists -- 3.
s.
Veterans Administration Hospital, San Diego, California:
Beds -- 745, oncologists -- 2.
t.
Loma Linda University Medical Center, O
Loma Linda, California:
Beds -- 546, oncologists -- 6.
Each of the foregoing hospitals, which are accredited to perform nuclear medicine services, are required to have appropriate emergency facilities to support their nuclear medicine departments.
This is further reflected in the attached correspondence from the above hospitals.
Applicants have also determined that at least four additional hospitals have nuclear medicine departments, but have not determined the number of oncologists admitted to practice at each hospital.
The additional hospitals are:
Canyon General Hospital Anaheim, California Beds -- 142 0
4 0
La Habra Community Hospital La Habra, California Beds -- 299 Mercy General Hospital Santa Ana, California Beds -- 215 Riverview Hospital Santa Ana, California Beds -- 93 St. Jude Hospital Fullerton, California Beds -- 304 Clearly, there exists considerable expertise and facilities capable of treating persons that may be contaminated-by radioactivity.
C.
An Applicant witness would be provided to testify on the specialty of' Oncology, to show that such doctors are competent to treat patients'who-have experienced severe exposure or contamination such as a 150 to 200 rem whole-body radiation dose.
2.
Two witnesses, Drs. Linnem nn and Ehling, testified that hospitalization was indicated for a person who has received a 150 to 200 rem whole-body radiation dose.
Tr. 7728, 9992.
1If that is so, and if it is prudent to assume that perhaps several hundred people offsite could--rec'cive such doses in a serious accident, then is it necessa'ry or'at least prudent, to make advance arrangements for',_.
+-
medical services for such people?
/
l Applicants do not believe that " advance.
arrangements" need be made with hospitals that may'bV called i
l upon to treat contaminated individuals.
A'pplican,ts, maintain i
s I
l a
5 v
G.
that the knowledge of which hospitals can handle excessive O
radiation cases that may occur is sufficient.
It should also be noted that as a part of accreditation, a hospital is required to have a written plan for the 8
handling of casualties arising from disasters.
Hospital disaster plans are to be documented and rehearsed at least twice a year.
Accreditation requirements anticipate h) disasters involving radioactive contamination.
Disaster i
plans are discussed in the manual published by the Joint Commission on Accreditation of Hospitals which sets forth the h) guidelines for accreditation.
With respect to community l
disasters, the manual provides the following guideline:
i External Disaster Plan *.
To meet its
'L-K responsibilities for the care of emergency casualties at Jv the time of disaster, the hospital shall develop a disaster plan based on its capabilities.
A hospital's capabilities may range from providing simple first aid or preparing casualties for transfer elsewhere to administering definite care.
3 The disaster plan should be developed in conjunction with other emergency facilities in the community so that adequate logistical provisions are made for the expansion of the hospital's activities in coordination with the activities of these facilities.
Planning should include consultation with local civil d'
authorities and with representatives of other medical agencies in order to establish an effective chain of command :nd to make appropriate jurisdictional provisions.
Such planning should result in disaster-site triage and distribution of patients that assures the most efficient use of available facilities
)
and services.
The hospital has the responsibility for informing the community of its capabilities and its Used, with permission, from Chapters 2, 3,
and 5, NFPA
)
3M, Hospital Emergency Preparedness, Copyright 1973.
6
)
)
limitations in handling a disaster in the community.
)
The extent of each hospital's capability or resources should be clearly identified for use by local police, rescue squads, and ambulance teams.
The plan shall include coordination with law enforcement agencies, as required, to provide a mechanism for physician identification as well as route access and entrance to
)
the hospital when such are compromised by a disaster situation.
For disaster involving radioactive contamination, refer also to the Emergency Services, Radiology Services, and Nuclear Medicine Services sections of this Manual.
)
The external disaster plan shall be rehearsed at least twice a year.
There should be evidence that a concerted effort has been made to use the plan in a coordinated cxercise in which other community emergency service agencies participate.
Drills should be realistic, and they shall involve the medical staff, as well as administrative, nursing, and other hospital
)
personnel.
Actual evacuation of patients during drills is optional.
There shall be a written report and evaluation of all drills.
The disaster plan should make provision, within the hospital, for:
)
an efficient system of notifying and assigning personnel.
unified medical command, availability of adequate basic supplies, as well as essential medical and supportive materials.
The hospital should be essentially self-sustaining in these areas for a minimum of one week.
This may include preestablished mechanisms for immediate supply of certain major critical items such as
)
water, food, and fuel.
a method of identifying patients who are immediately dischargeable or transferable,'and that includes provision for their expeditious transportation.
A manual method of identification
)
is acceptable.
conversion of all usuable space to provide triage, observation, and treatment areas.
In a small hospital, the emergency services area is usually not best suited for this, and the size of the
)
disaster may dictate that an area outside the 7
)
l hospital is more realistic, particularly for
)
secondary triage and for accessibilitly to large numbers of patients simultaneously.
prompt transfer of patients, when necessary, to the facility most apropriate for rendering definitive care, in accordance with any regional plan in
)
operation.
j the use of a special disaster medical record or medical tag that accompanies the patient at all times and contains specific required information.
establishment of a centralized public information center with a designated spokesman.
security, to minimize the presence of unauthorized individuals and vehicles in or near the triage, observation, and immediate care areas.
Additional O
security measures may be required when the casualties have resulted from riots and civil disobedience.
a preestablished radio communication system for use when telephone communiations are out or overtaxed.
instructions on the use of elevators.
(Accreditation Manual for Hospitals, 1982, Joint Commission on Accreditation of Hospitals, p.
46, emphasis added)
Assuming that accredited hospitals meet the accreditation standards, Applicants do not consider it necessary to make " advance arrangements" for medical services from such facilities.
3.
If such arrangements were to be made, what would they consist of -- beds, decontamination and testing facilities, specially trained personnel, D
special machines, what else?
Would it be possible to make the necessary arrangements on an ad hoc basis?
If so, how long would that take?
Applicants contend that the necessary level of B
facilities and personnel are currently in place and adequate 8
D
(
O to handle large numbers of contaminated individuals.
Such
~
O being the case, further " arrangements," are unnecessary.
Applicants are not insensitive to the welfare of the general public or to its responsibilities to nrotect the C) health and safety of the general public.
Applicants, in conjunction with Orange County and San Diego County officials are in the process of developing procedures for the screening O
of persons who may have received excessive radiation and are in need of medical treatment.
The procedures proposed call for a screening at Red Cross reception centers that would be O
established should an accident occur requiring evacuation or sheltering of the general public.
In the event of such an accident, persons who may O
have been within the affected area would be directed, through Emergency Broadcast System messages, to report to the Red Cross centers for screening.
The Red Cross centers would be O
manned by personnel from the Orange or San Diego County Health Department having expertise in diagnosis of radiological exposure and contamination.
Persons diagnosed O
as having received excessive amounts of radiation would be directed from the Red Cross reception center to one of the hospitals qualified to treat radiation exposures.
O Drs. Linnemann and Ehling both testified that even in the event of excessive radiation, time is not an emergency matter.
(c.f. Initial Decision, p.
132; ALAB-680, pp. 19-20)
O Once diagnosed, ample time would be available to arrange 9
O
i treatment at one of the facilities previously listed.
Such a procedure more than adequately protects the general public and does not require further " arrangements."
4.
In assessing the need for medical services, should one assume that the emergency l
)
plans for evacuation and sheltering will be effective (as suggested at p. 20 of ALAB-680) or ineffective (as suggested in the FEMA letter quoted at p. 36 of the Initial Decision)?
Applicants' position is that emergency plans for
)
evacuation and sheltering must be assumed to be effective.
The Initial Decision of May 14, 1982 concluded that Applicants have met the NRC's emergency planning regulatory
)
requirements and that adequate protective measures can and will be taken in the event of a radiological emergency at San Onofre Units 2 and 3.
(Initial Decision, p. 217)
It is inappropriate to disregard that finding and all the planning and implementation that justifies that finding in assessing a perceived need for additional medical services.
Applicants consider an evaluation of the need for medical services assuming other emergency planning ineffective to exceed the requirements of the NRC's regulations. The NRC has developed the emergency planning criteria to be met and Applicants have proved through the hearing process that such criteria have been met at San Onofre Units 2 and 3.
To now pose a regulatory requirement based on ineffectiveness of such planning goes beyond the regulatory requirements of 10 CFR 50.47(b)(12).
10
)
Legal and Procedural Questions 1.
Could further proceedings be conducted on the basis of affidavits and other written submissions, without a hearing?
Applicants consider the question of whether the
)
questions posed can be disposed of based on written submissions to be premature.
An affirmative answer at this stage would be tantamount to waiving any procedural right of
)
cross-examination or examination generally, without having first seen the case being presented.
Applicants are hopeful that the issue can be resolved without a hearing.
- However,
)
Applicants cannot agree to such a procedure at this time.
2.
Should the Licensing Board certify to the Appeal Board the question whether it should conduct any further proceedings and await an answer before doing so?
If certification can be conducted on an expedited basis, and will not result in Applicants arriving at the end of the six-month license condition period without resolution of the issue, such a procedure may be in order.
It certification is to occur, Applicants submit that the appropriate question to be certified is whether the key phrase of 10 CFR 50.47(b)(12) should be read as
" contaminated and injured individuals" or " contaminated and/or injured individuals."
Such a determination would define the class for which medical services are to be arranged and if, as contended by Applicants, the class is those contaminated and injured, the current record is 11
)
D sufficient to make an affirmative finding in favor of Applicants.
However, if the requirement is interpreted as contaminated and/or injured individuals, the size of such a class has not been determined on the record and it may then 3
be necessary to augment the record to identify both the class and the medical services available for that class.
3.
Question for FEMA only:
Did the Board in g
its Initial Decision (at 35-37) correctly state the FEMA position?
Not applicable.
4.
Please give us any further comments or suggestions you may have on how we should proceed O
in these circumstances.
Applicants do not believe it appropriate, in the event of a certification, to await an answer to that O
certification before at least preparing to proceed on the questions posed by this Board.
Applicants request that l
irrespective of whether there is a certification, the Board 8
set a filing date for any affirmative case on the issue posed in the Initial Decision of May 14, 1982.
All filings should be simultaneous.
Applicants suggest such affirmative case be 8
required to be in the form of affidavits.
If a hearing is required, such affidavits would be deemed the direct testimony of the parties.
O Applicants request that a filing date for such affidavits be set and if a ruling on the certification renders the need for such affidavits or hearing moot, so be 8
it.
If a ruling on the certified question requires 12 D
O augmentation of the record, the Board and the parties can O
accomplish that task within the six-month license condition period.
In the event certification raises further O
questions, a further, short period of time may be allowed to file additional testimony.
Respectfully submitted, O_
oxyro a, picorr EDWARD B.
ROGIN SAMUEL B. CASEY Of ORRICK, HERRINGTON & SUTCLIFFE A Professional Corporation O
CHARLES R. KOCHER JAMES A. BEOLETTO SOUTHERN CALIFORNIA EDISON COMPANY DAVID R. P!GOTT g
David R.
Pigott Counsel for Applicants O
.O O
O 13
.O
.....-..a-_-
,y s
O ClG%
i O
k,r xG ON l
GGOGROL 654 CAMINO DE LOS MARES. SAN CLEMENTE, CA 92672 bospitat 7 w496-ii22 O
June 10, 1982 O
s Jack E. Hauck, M.D.
Corporate Medical Director Southern California Edison Company I
D-2244 Walnut Grove Ave.
Rosemead, California 91770
?
}
Dear Dr. Hauck:
O.
This letter is to certify that San Clemente General Hospital is a fully accredited hospital in accordance with the standards of the Joint Commission on Accreditation of Hospitals and the California Medical Association.
We are also licensed by the State of California Department of D
Health Services to provide Nuclear Medicine services.
Sincer 3
(
R 1ph H. Castleton Administrator SAN CLEMENTE GENERAL HOSPITAL m
,9*'
O RHC/am
"-.,, ;T
~_. *
.~?
2 ;.
~ __
~
g 0
s E
n
. t 1
J Serving the Beach Cities and the Capistrano Valley
b N7bY5k Y
tim D
4:..q 9
Paul McQuade Administrator di usn Coast itghway. South Laguna. Cahfornia 92677 714/499 1560
- 1 1
N.1 3J June 11, 1982
- u Td!4.
~s$
n
- tu~L' Jack E. Hauck, M.D.
E.i 2244 Walnut Grove Y
Rosenead, California 91770 1
Dear Dr. Hauck:
g
)
This is to clarify that South Coast Medical Center is a fully accredited hospital under the regulations of 33 the Joint Comission on Accreditation of Hospitals g's O
6 and that we also have a Nuclear Medicine unit that is 2Yhd also licensed by JCAH.
If I may be of further assistance to you, please do not hesitate to call on me.
DNiII' Sincerely, b
cM Paul McQuade, Administrator O
,,f PbQ:sw I
CI r
n
~
hg M
~
94.
W E-em i
=
0
~.
O r
3 rl
'l r
14 I
O W
MISSION l
COMMUNITY l
HOSPITAL O
June 10,1982 Jack Hauck, M.D.
O Corporate Medical Director Edison Corporation 2244 Walnut Grove Avenue Rosemead, California 91770
Dear Dr. Hauck:
0 I am sorry that I was not available when you called.
Below is a brief outline of our facility, as you requested.
Located approximately 20 miles from San Onofre, Mission Community Hospital is fully accredited by the Joint Commission on Hospital Accreditation, The California Medical Association and the State Department of Health.
We are licensed as a general acute care facility as well as Nuclear Medicine.
We are designated as the South Orange County Trauma Center, and our Emergency Room is staffed twenty-four hours a day with full O
time Emergency Physicians.
The Emergency Room has been accredited by the American Heart Association and holds the designation as a "First Hour" Center, and is also the paramedic base station.
If we can be of any further service to you, please do not hesitate to call.
Sincerely yours,
MISSION COMMUNITY HOSPITAL O
'G.
I Lay, -
$6tive Director
[
GM/cpc
~
O
[
OUR mlSSIOn IS YOU g
27802 Puerta Real + Mission Viejo, California 92691 * (714) 495 4400 / (714) 831-2300
.S.-
~ _-
O
-)
L/
c[
r Y
HOAG MEMORIAL HOSPITAL PRESBYTERIAN 301 NEWPORT BOULEVARD. P O BOX Y. NEWPC.RT BE ACH CALIFORNI A 9266
.]I '
A IN STR A OR 8$9 A.
June 10, 1982 W.
.~g Southern California Edison Company 2244 Walnut Grove Avenue d.
Rosemead, California 91770 Attention:
Dr. Hauck, Medical Director Gentlemen:
i This letter will certify that Hoag Memorial Hospital
.a,,
Com-1 Presbyterian is fully accredited by the Joint V
mission on Accreditation of Hospitals and licensed
%i as a general acute care hospital by the State of 31 I
California, Department of Health.
Additionally, Hoag Hospital is licensed by the State Department of Health to provide Nuclear "i
u Medicine services.
$,f-Sincerely yours, f
T*
h
?
%Q t
.I!
MDS/ alt i
j
'(
gg*
DCOSlA yLu:.e:n c c-3 idEMORIAL HOSPITAL D
June 10, 1982 3
Jack E. Hauck, Corporate Medical Director Southern California Edison Company 2244 Walnut Grove l
Rosemead, CA 91770
Dear Dr. Hauck:
O We are happy to advise you that Costa Mesa Memorial Hospital has been granted a three-year accreditation by the Joint Commission on Accreditation of Hospitals and California Medical Association as a result of our recent Consolidated Accreditation and Licensure Survey.
This accreditation will l
be in effect until February of 1985.
Costa Mesa Memorial Hospital is a fully licensed 99-bed acute care facility with nuclear medicine approved services.
If we may provide you with any additional information, we 3
will be happy to do so.
Yours very truly, a
Omad p
Controller OM:mjt D,
i D
k-s 301 VICTORI A STREET
=
COSTA MES A, CAllFORNI A 92627 e
PHONE (714) 642 2734 Fu!!) Accrcli:cdby the Joint Commission on Accrcht.: tion afHospi:als
I Servang Western Orange County with Escellence l
Fountain Valley Community Hospital j
O June 11, 1982 O
Jack Hauck, M.D.
Southern California Edison Company 2244 Walnut Grove Rosemead, California 91770
Dear Dr. Hauck:
O As you are aware Fountain Valley Community Hospital (FVCH) is one of five trauma centers in Orange County.
With this designation we receive the most acutely injured patients in our immediate area.
FVCH is fully accredited by the Joint Commission on Accreditation of Hospitals.
O E
Further, we are a full-service 214 bed general acute care hospital.
Our hospital license includes a nuclear medicine service which is extremely well-utilized.
We are prepared to receive and treat a wide variety of O
emergency patients including radiation injuries.
If I can provide further information, please do not hesitate to e ntact me.
S' c rel 1
ig i
ers A
in' t.rator O
O D
o 17100 EUCLID AT WARN ER, FOUNTAIN VALLEY, CALIFORNI A 92708 * (714) 9791211
O m
.?.l.' SiIATIOSEPilll0 SPITAL.
r
' N 2-O i
s O
June 10, 1982 O
l Doctor Jack E. Hauck Corporate Medical Director Southern California Edison Company 2244 Walnutgrove Avenue Rosemead, California 91170 O
Dear Doctor Hauck:
Saint Joseph Hospital will be pleased to respond to your needs as a back-up facility in the event of a disaster at San Onofre.
g The Hospital is fully accredited by the Joint Commission l
on Accreditation of Hospitals and is licensed by the State of California for its Nuclear Medicine Department.
- erely, 9
M
,k Jelin C. Goldtho e Egecutive Vice Pr ident and Administrator O
kl O
O C
O WHERE EXCELLENCE IS A TRADITION 1100 WEST STEWART DRIVE / P.O. BOX 5600 / ORANGE, CALIFORNIA 92667 / (714) 633-9111
d,
~
$ n $ g % 5 f m..
.-4 y
n sM Q... [>_,
1
=
e e,
Ag-f o..'
y' g r..
ggp* g]j SADDlEDACR COMMUNrCy DOSprCAL 1, ~ 3 24451 VIA ESERADA LAGUNA hill.S CAllFORNIA 92653 h
744n-45oo June 21,1982 fh
,1u
..4 e.
cp rF, $'<,- %w,.~
.-a
<y"'hk N,
3-
.,, ph,g(.g)
,?4& us ya Jack Hauck, M.D.
-4 p
Corporate Medical Director M~ @%.,l 8.#M
.'2 f
Edison Company p
.. ;. g 2244 Walnut Grove f
"*j A Q Rosemead, CA 91770 b
..W( ~
g.p:
i,
Dear Dr. Hauck:
g y
dkdN In response to your request, this will confirm that N
4 4
. A,y d M y' %'" N Saddleback Community Hospital is accreditated by the
'~
Ygp6'$$p Joint Commission on Accreditation of Hospitals. We are N'h.'h,;yeq.[JAq$
k
,Le1:
also licensed for Nuclear Medicine (No. 2652-30).
l 2lb. Nd* W?tj 7
4 Jk%[j,
?
Please let me know if you need any further information.
a
=
s
}j cerely,
l
'ibT pg.gsj t
MNs
- glh 4
h.' k" @,?'k-~ N @'t i,p3 Q
R.
J; mes L. Ray lExecutive Vice President 4(,
n@Mj
.:. nizn.ww e" c~a.mx., -
e e p*/W W
" W ;'y,,7
, T' c
9
~ E-wa..k,,..mc, c. n T;- m$ 4 h Y' ***'
m E [S455
'W f f&G2$
W
- C
-m x
IYJ.
5P h,
IXCICATED TO CONSERVING TfE GIFT OF llFE h
ht?,
WF$gy#sn gp
]5 a,, v
- '{ f i Y h ? G ? f W '
,GRQ^$8bf QG3FTi2??RYlTCl&7%!$'m
% ~e g e S R $[ k k k@ W A Ci? W L h $ hkk[h;g,RQVRD 9nrh5 hk!
l'[df /fIS if Idkihlip dd nGN muerm$waagezem
,n
=H
D g
t E
p m rt?i'
"-'t WESTERN MEDICAL C,eENTER I
w, sarvo wr. c-e 1001 Nortti Tustin Avenue. Santo Ana, CA 92705 (714) 835-3555 3
- #"db June 10, 1982 r
O Jack Hauck, M.D.,
Corporate Medical Director Southern California Edison Company 2244 Walnut Grove Avenue Rosemead, California 91770
)
Dear Dr. Hauck:
We would be happy to assist Southern California Edison Company should there be a need for our services in the time of crisis or disaster.
As the first Trauma Center and Comprehensive Emergency Service in Orange County, k) we not only have a fully equipped center, but we have the highest tertiary care kv level.
I have asked Rand Hardy, M.D., Trauma Director, and Carolyn R. Nelson, M.D., Director of Emergency Services, to make contact with you so that we can incorporate whatever your procedures are into our plan. There is also an inde-pendent MED-AIR Helicopter Service, staffed by emergency room physicians and critical care nurses to be utilized in times of disaster. Perhaps you would O
like to visit our facility and meet with Drs. Hardy and Nelson.
We look forward to completing an emergency crisis plan with you.
Sincerely, I
WESfERN MF. DICAL CENTER n
An Wayne D. Schro er, Executid 2 Director WDS:da cc: Rand Hardy, M.D., Director of Trauma Services Western Medical Center Carolyn R. Nelson, M.D., Director of Emergency Services, Western Medical Center N '
L' W(A
) Unt'ed Westem Medico! Centers. A non-proht heotthcore corporc+icn dedica'ad to comMty service g b
An Aff. hate Of
. e Hpp t ! CWpaa, dumaria 17772 Beach Houlevard Huntington Beach. Cahforr a 9?647
( <./842-1473 0
t Huntington Intercommunity O
Hospital June 10, 1982 O
Jack Hauck, M.D.
Southern California Edison 2244 Walnut Grove O
Rosemead, California 91770
Dear Dr. Hauck:
Per your request, this letter is to clarify the questions you raised.
Huntington Intercommunity Hospital has been accredited y-by the Joint Commission for many years.
Our most recent survey was in January of this year and we recently received notifica-tion the maximum three year accreditation had been achieved.
We also offer a fully staffed and equipped nuclear medicine department.
In fact, within sixty days we will be accepting o
delivery on nuclear equipment that will further enhance our capabilities in this area.
Should you have any additional questions, please do not hesi-tate to call me.
O Sincerely, wMd f
Michael B. McCallister Executive Director lO MBM/db o
K-p l
UNIVERSITY OF CALIFORNIA, LOS ANGELES UCLA 15 cscuruv. 04vis. inviar. ins A%ccus nnusior san oirco s4= r Ascisco_
,3 sA A BARBARA
- SAND CRUZ UCLA HoSPTTAL & CUNICS CENTER FoR THE HEALTH SCIENCES tos ANGELES, CAUFORNIA 90084
)
June 11, 1982 D
Dr. Jack Hauck 2244 Walnut Grove Rosemead, California 91770 Dr. Dr. Hauck:
In response to your inquiry, UCLA Hospital & Clinics is fully accredited by the Joint Commission on Accreditation of Hospitals, and is licensed by the Department of Health Services to operate a Nuclear Medicine Service.
Please contact me at (213) 825-9331 if you have any ques-tions.
Sincerely, D
% (> m W
~
~
k86M Barbara Langland-0 an I
Accreditation & Licensing UCLA Hospital & Clinics BLO/cm e
i
- O UNIVERSITY OF CALIFORNIA, IRVINE nRxtur non imNE. im ANGEUS
- RIVERMIX
- MN DIGO. MN MAN MMA MRMRA
- MMA N O
OFFICE OF li!E DIRECTOR MEDICAL CENTER CUNICAL SERVICES 101 THE CITY DRIVE 4
ORANGE, CAUFORNIA 92668
- O June 11, 1982
- O Dr. Jack Hauck Corporate Medical Director Southern California Edison Company 2214 Walnut Grove Avenue
- O Rosemead, California 91770
Dear Dr. Hauck:
This will confirm that the University of California, Irvine Medical Center is fully accredited according to the Joint Commission on g '
Accreditation of Hospitals with a licensed Nuclear Medicine Division.
l Sincerely,
/
'O WILLIAM G
ZALEZ Director, Hospital and Clinics WGG:pd
'O 10 4
O
D JCAH l f*"
Joint Commission on Accreditation of Hospitals 875 Nof th Michigan Avenue
}
Chicago. Illinois 00611 312/642-6061 John E. Affeb1t, MD President JCAH Date:
June 10,1982 Respondent:
Sharon Henilton i
Facili ty Name :
Cedar Sinai Medical Center Facility Location:
Los Angeles, CA a
X Thie fr.rtiftv is c.wrontly z..cre ditec by the Joint. Cormission c Ac:reditatier.
of Hospitsen (JCAH) as a result of a survey performed by the:
10-17-81 2 years X Hospital Accreditation Prograr (HAP)
Accreditation Program for Long Ter Care Facilities (AV/LTCF)
)
Accreditation Program for Arbulatory Health Care Facilitie: (AP/ABC)
Accrer'd tation Program fer P:geh$ ntric Facilities (AP/PF); this facility was surveyed as a(n):
Adult Treatt:ent Progrc=
Cornunity Mental Health Svc Prgu
_ Alcoholism Treatment Program Drug Abuse Treatment Program Children's & Adolescents' Treatment Program This facility is not currently sectedited by the JCAB as a(n):
Hospital Psychiatric Facility Long Term Care Facility Acbulatory Health Care Facility 9
ADDITIONAL INIDRMATION:
9 9
9
- ^s w.l 's
/
Member organizations American College of Surgeons American Hospital Association American College of Physicians American Dental Association American Medical Association
l l
h<.
fly tij b
.~.
t a6-% Guy N. Cantrell, Administrator Car /sbad i Ocaenside h\\T p '/f 4002 Vista Way, Oceanside, California 92056 VistaY *6ow,o Y (714) 724-8411 499T June 11, 1982 D
D Dr. Jack Hauck Southern California Edison 2244 Walnut Grove Avenue Rosemead, California 91770 D
Dear Dr. Hauck:
This letter is to inform you that Tri-City Hospital is fully accredited by the Joint Commission on Accreditation of Hospitals, the last award being g
October 23, 1980 for a two-year accreditation.
We are, this date, completing a JCAH survey and will know the results of it at a later date.
We are also licensed by the State of California for Nuclear Medicine and have an active department in g
this specialty.
Sincerely, g
Guy Cantrell Administrator GNC:bp D
e e
Follbrook MospitolDistrict 624 East Elder. Fallbrook, California 92028 (714) 728-1191
)
A Nonfrofit District Hospetal Established 1950 ACCR E DITED By the Joint Commission On Accrediation of Hospitals June 14, 1982 O
uemdor:
Association of California Hospital Districts American Hospital Association Association of Western Hospitals California Hospital Association Heisoital Council of Son Diego County O
Dr. Jack Hauck 2244 Walnut Grove Avenue Rosemead, California 91770 0
Dear Dr. Hauck:
This note is in response to your request for verification that Fallbrook Hospital District is accredited.
Fallbrook Hospital District was awarded a Certificate of Accreditation by the Joint Commission on Accreditation of Hospitals (JCAH) on November 26, 1981.
Enclosed is a copy of Fallbrook Hospital's radioactive material license.
D Yours very tru y,
==, -
William E.
- Smikahl, Administrator
- O l
l
/mf i
Enclosure lO I
l C
h b
l l
huim e'un$
l Nor1hern Ln Diego n
County Eluspital District N-June 10, 1982 1
A Purr. Enty BoARDof DIRECTORS KENNETH H LOUNSBERY. ESQ
$$',l5@33 Jack Hauch, M.
D.
o rec eemac Medical Director vce Prescent c
O$i$8l$5d' Y-Southern California Edison Co.
ggqL 2244 Walnut Grove Avenue
Rosemead, California 91770 CreCtor Lo e Son Macos s
WILLIAM E. HU'CHINGS Dreco Pm
Dear Dr. Hauch:
DORIS THURSTON. R.N, M A.
Crector Er m ao This is to verify that we are a 300-bed, ETH R; DILlARD general acute care hospital accredited by E
t D
,g the Joint Commission on Accreditation of
~550 E Grond Avenue Hospitals with a licensed Nuclear Medicine Escondoo. CA 92025 Department.
(714)485-6511 Sincerely, ALOMAR PALOMAR MEMORIAL HOSPITAL 1EMORIAI.
~
OSPITAL THEODORE E..uEITER T.
E. Kleiter, Administrator
-550 E. Grand Avenue
-Esecreedo. CA 92025 rsg (714)489-4764 POMERADO eHOSPITAI.
ROBERT J. MAWNSKl Adre, stator 1561b PuTerado pood Pcway. CA 92064 f 714) 4%6511 O
O jtu. $ w.> cc usca me a YO t Gro u Aven e a
%conodo CA 92025 0 15615 Poneo00 pcxu Powov. CA C2064 O
"Your Health is Our Concern"
j
/e ScrippsMemorial Hospital O
LaJolla o t O f ce Box 2 La Jolla. Cahfornia 92038 O
June 10, 1982 (714) 453-3400 Dr. Jack Hauck Corporate Medical Director O
So. California Edison Co.
2244 Walnutgrove Avenue Rosemead, CA 91770 0
Dear Dr. Hauck:
Per your request, this letter will stand to verify that Scripps Memorial Hospital-La Jolla has a current two-year accreditation status with the Joint Comission on Accreditation of hospitals, and that the hospital's Nuclear Medicine Department is licensed by the State of California g
(#1093 expiration date of Septemaer, 1983).
If you require further information, please do not hesitate to call (714)457-6100.
Sincerely, SVYh&
Karen L. Romero Administration Secretary 0
O Kl.R O
4 O
DEPARTMENT OF THE N AVY AjS-NAVAL REGIONAL MEDICAL CENTER r-SAN DlEGO. CALIFORNIA 92134 m nosty naren vo;
-M 16A:DCB:1dh 6010/2 11 June 1982 Jack Hauck, M. D.
2244 Walnut Grove Rosemead, California 91770
Dear Dr. Hauck:
I am forwarding the information you requested during our phone conversation yesterday. The Naval Regional Medical Center, San Diego was awarded a two-year accreditation in January 1981.
g This medical center does have an organized nuclear medicine service.
If you require further information, please do not hesitate to contact me.
g Sincerely, p. e.
D. C. BERRY LT, MSC, USh3 Ass't Chief, Patient Affairs Service g g-G e
S S
e 11ND NRMC-SD 5216/1 (1040)
M:dic:t C:ntIr 3350 La Jolb Vittge Drive g
San Diego, CA 92161 K Veterans O N Administration e
in Reply Refer To: 664/001 3
June 11, 1982 Dr. Jack Hauk
'3 Southern California Edison 2244 Walnut Greve Rosemead, CA 91770
Dear Dr. Hauk:
3 In accordance with your request this is tc advise that we were fully acemdited by the Joint Commission on Accreditation of Hospitals on July 22, 1981.
k '.,
Sincerely yours,
/
,A
)
sociate Director b
b be'
\\
S. betM Printing Office: 1981 - 783-058/6
Loma Linda University Medical Center 11234 Anderson St.
- P.O. Box 2000
- Loma Linca, CA 92354
- 714-796-7311 wnirca s oinect otAL NUMBER 714: 824a4302
)
June 10, 1982 m
Jack E. Hauck, M.D.
y Southern California Edison Company 2244 Walnut Grove Avenue Rosemead, CA 91770
Dear Doctor Hauck:
)
In response to your telephone call this morning, this is to certify that Loma Linda University Medical Center is licensed by the State of California to operate a Department of Nuclear Medicine.
In February, 1981, we were surveyed by the Joint Commission on y
Accreditation of Hospitals and awarded a two-year accreditation.
Sincerely, 1
- /
)
John D. Ruffcorn President rb
)
b 1
1 8
A Seventh-day Adventist institution
)
DECuk:AAAON OF SERVICE BY MAIL
)
I am over the age of eighteen years and not a party to the above-entitled cause.
My business address is 600 Montgomery Street, 12th Floor, San Francisco, California
)
94111.
I served the foregoing APPLICANTS' RESPONSE TO MEMORANDUM AND ORDER CONCERNING WHETHER FURTHER PROCEEDINGS
)
ON THE ADEQUACY OF OFFSITE PLANNING FOR MEDICAL SERVICES SHOULD BE CONDUCTED dated September 3, 1982, by depositing a true copy thereof in 3
the United States mail in San Francisco, California, on September 3, 1982, enclosed in a sealed envelope with postage thereon fully prepaid, addressed as follows:
)
Stephen F. Eilperin, Esq.
Dr. Cadet H. Hand, Jr.
Chairman, Atomic Safety and Administrative Judge Licensing Appeal Board c/o Bodego Marine Laboratory U.S. Nuclear Regulatory Commission University of California Washington, D.C.
20555 P.O.
Box 247 Bodega Bay, CA 94923
)
Dr. Reginald L.
Gotchy Atomic Safety and Licensing Mrs. Elizabeth B. Johnson Appeal Board Administrative Judge U.S. Nuclear Regulatory Commission Oak Ridge National Laboratory Washington, D.C.
20555 Oak Ridge, TN 37830 p
Dr. W. Reed Johnson Robert Dietch, Vice President Atomic Safety and Licensing Southern California Edison Co.
Appeal Board 2244 Walnut Grove Avenue U.S. Nuclear Regulatory Commission P.O. Box 800 Washington, D.C.
20555 Rosemead, CA 91770
)
James L. Kelley, Chairman Charles R. Kocher, Esq.
}
Administrative Judge James A. Beoletto, Esq.
Atomic Safety and Licensing Board Southern California Edison Co.
U.S. Nuclear Regulatory Commission 2244 Walnut Grove Avenue Washington, D.C.
20555 P.O. Box 800 Rosemead, CA 91770 Lawrence J. Chandler, Esq.
Donald F. Hassell, Esq.
Mrs. Lyn Harris Hicks Nuclear Regulatory Commission GUARD Office of the Executive Legal Director 3908 Calle Ariana i
Washington, D.C.
20555 San Clemente, CA 92801 l
Richard J. Wharton, Esq.
Mr. Lloyd von Haden University of San Diego 2089 Foothill Drive School of Law Vista, CA 92083 Alcala Park
)
San Diego, CA 92110 James F. Davis State Geologist Janice E. Kerr, Esq.
Division of Mines and Geology J. Calvin Simpson, Esq.
1416 Ninth Street, Room 1341 Lawrence Q. Garcia, Esq.
Sacramento, CA 95814 California Public Utilities
)
Commission Phyllis M. Gallagher, Esq.
5066 State Building 1695 W. Crescent Avenue San Francisco, CA 94102 Suite 222 Anaheim, CA 92801 Charles E. McClung, Jr., Esq.
23521 Paseo de Valencia Atomic Safety and Licensing
)
Suite 308 Appeal Board Laguna Hills, CA 92653 U.S. Nuclear Regulatory Commission Alan R. Watts, Esq.
Washington, D.C.
20555 Rourke & Woodruff California First Bank Building Atomic Safety and Licensing
)
10555 North Main Street Board Santa Ana, CA 92701 U.S. Nuclear Regulatory Commission Gary D. Cotton Washington, D.C.
20555 Louis Bernath San Diego Gas & Electric Co.
)
101 Ash Street P.O. Box 1831 San Diego, CA 92112
)
Executed on September 3, 1982, in the City and County of San Francisco, State of California.
I declare under penalcy of perjury that the
)
foregoing is true and correct.
KAREN ANDRESEN 4
I t
l l