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Kaiser Permanente opened its new $20-million emergency department and decontamination unit in Walnut Creek in mid-November, 2004. Tripling the size of the existing ER, the expansion increased the number of emergency rooms from 31 to 52, with a cardiac monitor and computer in each room. The 32,000-sf facility includes a small lab station for blood or urine samples which channels the samples through a tube at sixty miles per hour to a lab in the medical center within two seconds. The permanent mass decontamination unit includes eight decontamination showers. Construction on the project began in December 2002.