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0200 AIRPORT WAY - Health
200fAirport Way.—, s - H annis A ' 312609 001 - — -- — _ - � o a 0 0 , o a e Massachusetts Department of Environmental Protection Bureau of Resource Protection Well Completion Reports Well Driller Please specify work performed: Address at well location: New Well Street Number: Street Name: E AIRPORT WAY C4 Please specify well type: Building LoW. Assessor's Map#: Irrigation_ _ 313 Assessor's LoW ZIP Code: Number Of Wells: C0097 02630 Cityrrown: Well Location BARNSTABLE In public right-of-way: GPS North: West: 41.67554 70.28533 Subdivision/Property/Description: Mailing Address: click here if same as well location address Property Owner: Street Number: Street Name: CLAY ENTERPRISES 1953 PO BOX City/Town: State: Engineering Firm: FALMOUTH MASSACHUSETTS ZIP Code: 02556 Board of health permit obtained: 67--Yes rj Not Required Permit Number: Date Issued: 20-18-03-1— 110/12/2018 i ' / 1 Massachusetts Department of Environmental Protection 1 Bureau of Resource Protection—Well Driller Program Well Completion Reports(General) Well Driller - General Well Form DRILLING METHOD 1 Overburden Bedrock uger Choose Bedrock— WELL LOG OVERBURDEN LITHOLOGY From(ft) To(ft) Code Color Comment Drop in drill Extra fast or slow Loss or addition stem drill rate of fluid 20 Medium Sand Brown ROCKS YES NO Loss Addition 20 40 Fine To Coarse S Brown YES NO � Loss Addition 40 45 Fine To Coarse S Cry; Brown c; �`°Fast f Slow YES NO � Loss Addition WELL LOG BEDROCK LITHOLOGY Drop in Extra fast or Loss or Visible Rust Extra From(ft) To(ft) Code Comment addition of Large drill stem slow drill rate fluid Staining Chips P Choose Code �, ) EYes r Yes YES NO Fast Slow Loss Addition ADDITIONAL WELL INFORMATION Developed Yes f';No Disinfected t :Yes r No Total Well Depth 45 Depth to Bedrock Surface Seal Type INone �racture Enhancement C"IYes {�No CASING r Is Casing above ground? From: 1 To: 0 From To Type Thickness Diameter Driveshoe 42 Polyvinyl Chloride Schedule 40 J I� Ind, SCREEN r'NoScreen i From To Type Slot Size Diameter I -- 42 45 Stainless Steel Well Point Il:! 0.012 WATER-BEARING ZONES r DRY WEL From To Yield(gpm) 29 45 12 PERMANENT PUMP(IF AVAILABLE) Pump Description Wre Constant Speed Horsepower Submersible 1/ Pump Intake Depth(ft) 41 Nominal Pump Capacity(gpm) 10 I x Massachusetts Department of Environmental Protection Bureau of Resource Protection—Well Driller Program Well Completion Reports(General) ANNULAR SEAL I FILTER PACK From To Material 1 Weight Material 2 Weight Water Batches Method Of (gal) (count) Placement Choose Material 4 Choose Material 1JR Choose One— L';.A. WELL TEST DATA Date Method Yield(gpm) Time Pumped Pumping Level(ft Time To Recover Recovery(ft (HH:MM) BGS) (HH:MM) BGS) 10/26l201 B Constant Rate Pump 12 1:30 30 0:01 29 WATER LEVEL Date Static Depth BGS(ft) Flowing Rate(gpm) Measured 10/28/2018 29 112 COMMENTS WELL DRILLERS STATEMENT This well was drilled or altered under my direct supervision,according to the applicable rules and regulations,and this report is complete and accurate to the best of my knowledge. WILLIAM Monitoring[M] Supervising Driller DESMOND, DrillerUROUHART Registration# 877 Signature PATRICK, DESMOND WELL Firm DRILLING INC. Rig Permit# 0551 Date Job Complete t p1/04/2019 ---�1 (, Y NOTE:Well Completion Reports must be filed by the registered well driller within 30 days of well completion. r I • I CERTIFICATE OF ' ANALYSIS Barnstable County Health Laboratory W-MA009). Recipient: Sally Desmond Order No. 018110743 Desmond Well Drilling Report Dated: 10/3172018 P O Box 2783 Submitter Well Driller Orleans, MA 02653 :Descriptlon: 3 Day RUSH-Rtn M Laboratory IN: 181.10743-01 Matrix: Water-Irrigation Well Sample#: Sampled: 1.0/2612018 11;1 D 5 By; DW Collection Address: 200 Airport.Way Hyannis,.MA Received: 10/26/2018 12:50 By: PalmerP Sample Location: 45729.' Turn Around: 72 Hr'Rush Routine_M ITEM RESULT UNITS L MCL . .METHOD#. ANALYST TESTED TIME. Nitrate as Nitrogen 0.39 mgiL 0.10. 10 EPA 300.0 LAP' 10/26/2018 ' 9:49 Iron ND mg/L 0.fo: 0.3 EPA 200.8. CL, 10/301201& 12:17 Manganese ND mg/L 6.025 0.050, EPA'200.8 CL. 10/30/2018 1217 pH 6.1 PH.AT25C NA 6.5.8Z :SM 4500-1-1-13 DCB 1.0/2612018 15:14 Sodium 7,4 mgiL 2:9 20. EPA200,8 CL 10/30/2018 12:17 Total Coliform 0 /1000 .0 0 SM.9222B RG 10126/2018 14:00 Conductance 47 umohslcm 2:0 SM'2510B DCB. 10/26/2018 15:14 Water sample meets the recommended.limits for drinklr►g water of.all the above tested parameters. _ Attached please find the laboratory certified parameter list; Approved ,B (Lab Director) ` ND=None'Detected RL =: Reporting Limit MCL.=•Maximum Contaminant.Level. 3195 Main Street, PO:Box 427, Banstable, MA 02630 Ph:508-375-6605 Page: 1 of 1 i A No. O �o Fee BOARD OF HEALTH TOWN OF BARNSTABLE 01ppfication _for Yell Construction Permit Application is hereby made for a permit to Construct�Y Alter( ), or Repair( an individual well at: oc) ,T `313 coo� I 602 L cation-Address 4 Assessors Map and Parcel C- 10-),A moo( t r �.v 'g 0'1, 1.C�S 3. 1� • &62- %A, i�A ©2ss Owner Address TleSrnOnd �,� 71 r�l l i�nG , �vIC . 5 P.a�1b x- f2 - `+�� �xi Z3 MA Installer-Driller Address Type of Building Dwelling Other-Type of Building No. of Persons Type of Well 4" S Cyr yy P V c_ Capacity C)* bb••• Purpose of Well No rn —p?o VE}�L Agreement: r The undersigned agrees to install the afore described individual well in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation-The undersigned further agrees not to place the well in operation until a Certi c to of Compliance has been issued by the Board of Health. Signed O 0 � Date Application Approved By D to Application Disapproved for the following reasons: r I Date Permit No. Issued Date -------------------------------------------------------------------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CCERTIFY,that the individual well Constructed; Altered( ), or Repaired( ) by 1.J-es YYl n r\01 W-QJ IV; 1 1 1 n G _ Y1 'Installer at S has been installed in accordance with the4rovisicA of the Town of Barnstable a Health rivate Well Protection Regulation as described in the application for Well Construction Permit No. ated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL:FUNCTION SATISFACTORILY. Date Inspector No. /� Fee , BOARD OF HEALTH TOWN OF BARNSTABLE 2pplicatiou jFor Vern Cougtructiou Permit Application is hereby made for a permit to Construct(40< Alter( ), or Repair( ) an individual well at: i Do Arc floe-Wtw ����.,,;s 313 ooq q02 Location-Address Assessors Parcel 1 nu �►-,-fie�p t� 1 r.` ?.c� .�0�4. 1 �5 3. tl . �I,���t.:.��, 1�11A a Zs�6 erwner M Address T)e'smoy)(1 k q l k 1)1(% IliylG 111( . 15 UnLihQr IZA - Th -Po �-11Z7) 0V Installer-Driller J `� Address2r w J Type of Building < U/ _r Dwelling Other-Type of Building No. of Persons Type of Well S Cat• y(.�; P V C- Capacity Purpose of Well 0 n i Agreement: The undersigned agrees to install the afore described'individual well in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation-The undersigned further agrees not to place the well in operation until a Certificate of Compliance has been issued by the Board of Health. r '~> _ Signed . !i a. i )oh Ilk Date Y/1 Application Approved ByDke r � Application Disapproved for the following reasons: n - 4 Date , Permit No. / . � Issued Date a BOARD OF HEALTH TOWN OF BARNS'TABLE (Certificate of'Compliance i THIS IS TO CERTIFY,that the individual well Constructe d(/f, Altered( ), or Repaired( ) by l�} �,Y1 1 r�� t�-P I ( T)Y t 11 i��rt - 1nr, . J 'Installer �- has been installed in accordance with th4rovisions of the Town of Barnsta le B a d of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. hated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector BOARD OF HEALTH - TOWN OF BARNSTABLE '.! ' Vera Cou5tructiou Permit r a No. , Fee Permission is hereby granted to De (lti' A �,w yicN, nr. Installer to Constructl(fj, Alter( ), or Repair( an individual well at: � No. ,--;�oc7 Yltk Doi -r u'�xltk x J Street 040r ll as shown on the a placation for a Well Construction Permit No. (/ Dated Date / / APP Yroved B v _ . Legend y + 1► _ �r Road Names y tl ' t { x Y t �.71 Y* -.. "o,� ,fit{ Y• N`i ��,.�� e� / !Qr.:.�. r py/ � `31 09H02 �F z ' =s s r I � r -t 31 � t � k a 4 4 n � � x" ea,-01 A r 1s xx fy pa a '��I III' � 1 .t 3130 8 01 1i"313410H01 31 GiD 02 31.2000H00 331 01 Os G #0 #210 Map printed on: 10/1/2018 This map is for illustration purposes only.It is not Parcel lines shown on this map are only graphic Town of Barnstable GIS Unit adequate for legal boundary determination or representations of Assessor's tax parcels.They are Feet regulatory interpretation.This map does not represent not true property boundaries and do not represent 367 Main Street,Hyannis,MA 026o1 0 83 167 an on-the-ground survey.It may be generalized,may not accurate relationships to physical objects on the map 5o8-862-4624 reflect current conditions,and may contain such as building locations. Approx.Scale: 1 inch= 83 feet 0 cartographic errors or omissions. gis@town.barnstable.ma.us �► i « � Legend Road Names lot rw �ZY ♦ f. w ri rxa • f. ,a ya, • . 3t3008600 O Os r _ p .Y. t 4 k , , • u ^ Map printed on: 10/1/2018 This map is for illustration purposes only.It is not Parcel lines shown on this map are only graphic Town of Barnstable GIS Unit adequate for legal boundary determination or representations of Assessor's tax parcels.They are Feet regulatory interpretation.This map does not represent not true property boundaries and do not represent 367 Main Street,Hyannis,MA 026oi 0 42 83 an on-the-ground survey.It may be generalized,may not accurate relationships to physical objects on the map 5o8-862-4624 reflect current conditions,and may contain such as building locations. Approx.Scale: 1 inch= 42 feet 0 cartographic errors or omissions. gis@town.barnstable,ma,us _...._._._._._...._-------.---_-_-._ .__.-------............... . .._...._ ... ..._.-. ... _..... _...._.... ....._.... _... ___ ... _ _-... __ _.....-._.__....__._ ___-__ .. .___..._ • 2 v 040 J-XLJ17 Town of Barnstable P# Department of Health,Safety,and Environmental Services t� Public Health Division Date �7 Q, 367 Main Street,Hyannis MA 02601 HAaxartatB a rEo Date Scheduled )— ✓ -7 Time Fee Pd. 0, N W l.r. Soil Suitability Assessment for Sew ge ispos l CA Performed By: ZCe►q' \UsrG`(,� CAt1 Witnessed By: (/t /r �S � J ;.:•: Location :. »: ................... ......:...............::......:......... ....... o Address � ;;;:oa:„ (r::.ar ::•.r/ Owner's ::.Ms ✓EIJ:: Address I 1 / Assessor's Map/Parcel: 3 17 1 Engineer's Name c1J d r J C_Gape NEW CONSTRUCTION Telephone Land Use d&!uf wtr a I Slopes(%) '� Surface Stones ,t/ Distances from: Open Walcr Body VV Il Possible Wet Area R Drinking Water Well l j lT t-ft Drainage Way_ta2LR Property Line Zft Other R SKETCH:(Street name;dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes) 10 01, ti r Parent material(geologic) IrA Depth to Bedrock Depth to Groundwater: Standing Water In Hole: AI�-rL ��� Weeping from Pit Face Estimated Seasonal High Groundwater :. l:::;;; :..,............:....,.::......:. ,:........... :,.,.........: :: ;•c ::...:.:::...... .................... W. :..:.............. :... :.::.:::::::...............:.: .:::::.. ' '.... .X' ...........:::.:................... %•::::i;;;;;:•;•..:!•;;:•;:'::off.::::•::: :.•::::•:::::r•i:•;:•i;..:::::::::::::.....::...:..... >.............................:... Method Used: �����•.�����•� • Depth Observed standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.(tole: in. Groundwater Adjustment fl. Index Well N _ -Reading Date: Index Well level...___ Adj.factor Adj.Groundwater Level ..........:. . :.............................:......:;::•;:;; :.. . ... :::::::...... .:.:..:... ;.Zi'. Observation Hole N Time at 9" Depth of Perc ��/ Time at 6" r - Start Pre-soak Time Q Time(9"-6") End Pre-soak �(/ rV- Rate Min./inch w,il r I Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back j Copy: Applicant '----'---- ~ ^ . --------- ---- ........... --------- ...... ...... --------- ........ cn ' - ^-" �~ ., � — + ` if Dept Soil Horizon Soil Texture Soil Color Soil 011ie Sur (it (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. ` jC NIB Deptl fro Soil Horizon- Soil T xture oil Color Soil Other I in Surface(in.) (US (Munsell) -mottling (Shicture,Stones,Boulderes. Consistency,%Gravel) Depth from Soil Horizon Soil Texture Soil lor Soil 0iiier, Surface(in.) I (Munsell) Mottling (Structure,Stones,Bouldercs. Consistency.%Gravel) | / | / ' � Depth from Soil Horizon Soil Texture Soi Color Soil Other Consistency.%Gravel) Flood Insurance Rate Map: ' / | / | | Above 50N year flood boundary No___ Yes��__ ~ Within 5oO year boundary No mes___ Within}oo year flood boundary No/�_ nes____ Depth of Naturally Occurring Pervious Material Does ot least four feet o[naturally occurring p i d }ux|ot|nuUurmmohoonedt600u8hnut the area proposed for the soil absorption,system? .If not,what io the depth o[naturally occurring pervious material? _________ Certification I certify that on SK/15.__(date)I bu�pmm��000i\mm\uNor�um|n�i�approved by the Department u[Bnv|rlonm&nb\Protection and that the above analysis was performed 6vmo consistent with expertisethe required training, i described i 10CK8ll 15.017. Signature Duh: � �� 1 ' 0 + C&I STEEL, INC. JOHN J. PAULDING, SR. PRESIDENT , Phone:508-775-2022 EXT. 132 AISC Certified Fax:508-790-3166 180 Airport Way r IN MA:800-649-IRON. Hyannis,MA 02601 TOWN OF BARNSTABLEOMPLIANCE: CLaSS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH �'Cun 3.Auto Body Shops satisfactory- 4.Manufacturers COMPANY (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) -n-ound Tanks MAJOR MA ALS IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline Jet Fuel (A) -Diesel, Kerosene, h Heavy Oils: at waste motor oil (C) tdyw motor oil(C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: P,Z 0 /J ti DISPOSAIJRECLAMATION REMARKS: 1. Sanitary Sewage 2. ater Supply O Town Sewer j7Public On-site OPrivate 3. Indoor Floor Drains YES NO O Holding tank:MDC � O Catch basin/Dry well i _d_ O On-site system 4. Outdoor Surface drains:YES-NO ORDERS: O Holding tank:MDC Catch basin/Dry well �_. 4. O On-site system 5.Waste Transporter ProductName of Hauler Destination Waste 2. J/--a- �-- s ) Interviewed I11sp6ctor Date i"o—koQ 00LS4 . 0 q fA 4's r i HYANNIS FIRE DEPARTMENT 95 HIGH SCHOOL ROAD EXTENSION HYANNIS, MASS. 02601 Paul D. Chisholm 1 BUSINESS: 775-1300 CHIEF Swloh 1Oetectori Save .&Cived EMERGENCY: 775.2323 VO n� Y I To / Town of Barnstable , Board of Health - T. McKean ;f Town of Barnstable, Conservation Commission - From ; Fire Prevention Bureau, Hyannis Fire Department Subject The installation of above ground storage tanks . Date ; .5192 Persuant to the applicable sections of 527 CMR - Fire Prevention Regulations , this Department has inspected the following location for above ground storage . ADDRESS : 200 Airport Road /j el"2 �� OWNER/OCCUPANT Cape & Islands Steel Islands Steel PHONE 775-2022 SIZE OF TANK (S) 275 gal. Steel/Oval - Inside Garage COMMODITY STORED • : Waste Oil PURPOSE FOR STORAGE : THIS . INSTALLATION IS PRE-EXISTING A REPLACEMENT NEW X This installation complies does not comply with the required installation regulation listed below. FIRE PREVENTION OFFICE For: PAUL D. CHISHOLM, CHIEF HYANNIS FIRE DEPARTMENT SENT BY:Xerox Telecopier 7020 ; 8-19-97 ;.4:04PM ; Barnstable County-4 5087606304;# 1 CAPE COD COMMISSION =3"N S=Wr p a BOX= BARNSTABLIr.MA 02830 • � • 508-�8Z•78Z8 �tA$ FAX:50"2.31W TELE COPIES/T1L4.NS2ldITTAL COVER S=ET DATE: PAGES: r (Including this page) TO: FROM:NAiVIE:1onn 'itin-izar)d; NAME:Ao FAX : 7 qO-- 1�2 0'f I'r1Y #;_ t3O81 362.3136_ LOCATION: rnS�Ctb�¢. � LOCATION: DO HH l on PHONE a: -790 — "65 PHONE • Comments: Af+aa4e& aft ; A co o P OL +oy G V i'1QZ4YA00� gY1 Qn��S p 5{ teA Lf)7)q7) ',(41 -FOrM Lao - 5���, pr .je" and Q A :.",Pl o a T 6+- OF-lno�a Cape mct�er-�a.s a ..gO z bo6,via3-3 prow, L_ +�i 5 Fwj IF L:DO YOT RL•CCIVC ALL'ITi:: I':�l:ES. FLL:A E r.:..\LL BACK AS SOON AS POSSIBLE, THANK YOU I r SENT BY:Xerox Telecopier 7020 i 8-19-97 ; 4:04PM i Barnstable County-4 5087606304;R 2 TOXIC AND HAZARDOUS MATERIALS REGIST RA ON FUHIA �. NAMEOFBUSINESS: /} tp5 ST E yhla� BUSINESS LOCATION:_) R 5.:.-1'�A -- , ""'F""' Mail To: MAILINOADDRESS:.. A O0 A r'3 n WA Board of Health TELEPHONE NUMBER: S'1 0 2°L Town of Barnstable CONTACT PERSON; P,O.Box 534 EMERGENCY CONTACT TELEPHONE NUM .R:,..h- Hyannis,MA 02601 TYPEOFBUSINESS:_ r--^ D„aa yaur firm elor4 any or the tdyir nr hR?nrdou9 MAIg lals listed below,either for sate or for you own use? YES NO This form must be returned to the Board of Health regardless of a yes or no answer.Use the enclosed envelope for your convenience. if you answered YES above,please Indicate lithe materials are stored at asite otherthan yourmalting address: ADDRESS: TELEPHONE; LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istice and must be registered regardless of volume. Please estimate the quantity beside the product that you store.NOTE:LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity •l Quantity Antifreeze(for gattcl►neorcoolantsystems) Drain cleaners NEW ^USED Cesspool cleaners Automatic tranemISSIO t fluid Disinfectants e Engine and radiator flushes , _ ... � Road Salt(Halite) ; 'Hyd?aullc ff6 d(In&uding brake fluid)' Rjidgerants C!Qui1P 0" 00) Motor oils Pestioldes NE o e�0�.NEW _USED (insecticides,herbicides,fodentivIdes) Gasoline,Jet Fuel Photoohemicals(Fixers) Diesel fuel,kerosene,#2 heating oil —NEW —USED c• Other petroleum products:grease, Photochemloats(Developer) to�A lubricants,gear oil ,,,.,_NEW ,USED _ Degreasers for engines and metal Printing Ink `Y Wood preservatives creosolo Degreasers for driveways 8 garages .�.� P t , Battery acid(electrolyte) Swimming pooi chlorine Rustproofere Lye or caustic soda'' Car wash detergents . _. Jewelry cleaners Car waxes and polishes leather dyes Asphalt&roofing ter Fertilizers :Alnts,varnishes,steins,dyes PCS's Lacquer thinners Other chlorinated hydrocarbons, i NEW !USED (Inc.carbon tetrachloride) Point&vamish removers,deglossers ^Any other produota with'polson'labels Paint brush cleaners (Including chloroform;formaldehyde, Floor 6 furniture strippers hydrochloric gold,other acids) Metal polishes Other products not listed whichyou test Laundry sell&blsln removers may a toxic or hazer us(please list): � (including bleach) /if t'91,0JOVAS Spot removers 8 cleaning tlul4e 10 C o -< EAI (dry cleaners) 10 - CO2 ono ^ �J Cf itA•I Other cleaning solvents - PRO r' seal fA• Bug and tar removers I eA�R(;o`fU CARr • 3(o C f rA1I wwt�Cow.,b,1Mo¢PM�et�tr, cos�•�u9iltfd�/� 3.?ln C F) 011• I SENT BY:Xerox Telecopier 7020 ; 8-19-97 ; 4:10PM ; Barnstable County4 5087606304;6 1 8-05-1947 2:24PM FROM HYANVIS FIRE DEPT. 508 778 SAAS P. 2 18/18/1994 14:59 5087903166 C K + MES STEEL PAGE 03 r. 0 YE & ISLANDS STEEL,INC. s �i I�Oodp bad fe.ke Gabt ���• ��•(!dI 79e�l0�!•w�119B9i6i.to M•e�bA to 09k*W 19, 1994 6 7kr Hymis Fine Deptuoug JUL I t The muowft is a list d t 1 kcatad at Cafe 8t blw*Ste d Inc.: PaW Wma: So pum ww _ - t 150011 deed -�'- ��.. E.• Red Oxide Ptimer: LID 013 i lVilacellaaooas Paim:f► 100 Sallons _ G� Dksd feel:f I50 puans geese 50 g u0m Lsbe otl: V $0 x1*aw f 130 Pam steed E Hydivac F1Ad;✓~ S0 P11oss iin Bell-mo in-1 -me bras an (WBtCf ): 30 puons 16011W Iiquld QxyQ - a Aot. Wt. -7 t Ptapene: I 220 5 100d 3 doom' If thane an any questim p1m b do aot hesitate to cal. Tbak you. Post•It°Fax Note 7671 Date I ��► TtboWa VVfWCii FMWAMrp .a Adao • Co.Qaft GA caNN, P o O— 0abSPhone M _ Fax ow Fe:• i i FEs .. �C. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........7Va .O...........oF... Jd .1�6. G E C-rG.................................. Appliration for Disposal Works Tonsumawn Freud# Application is hereby made for a Permit to Construct ( V) or Repair ( ) an Individual Sewage Disposal System at: .............A►Q�?oR .....'-..®�a..... y.r ►Jtts.._........ ............... ---........ 12: Location.Address .� or Lot No :��:.T.E.�e�2r-�x,A. --- W a CN1�1.1R CateTRJ . !oN...C©. Addr : ...... .......0....2.• CpC xrr ..............................0 ............� Installer Address 3 Type of Building Size Lot.10 .8 ...Sq. feet aDwelling—No. of Bedrooms...........................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building«S���FF)�E o. of persons............................ Showers ( ) Cafeteria ( ) 04 Other fixtures ....................................•••---._............... ----•-••---------- ••-------....................--•... ...-••....•-••........--•-• Design Flow............................................gallons per person per day. Total daily flow...........52].......................gallons. w Septic Tank—Liquid capacity! o.gallons Length.,5-.5.... Wldth..5_LC) Diameter................ Depth_.Ca.:O_.. x Disposal Trench—No..................... Width..................... Total Length.....................Total leaching area....................sq. ft. 3 Seepage Pit No..........1......... Diameter......_�fJ........ Depth below inlet---r Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing hank ( ) '" Percolation Test Results Performed by.....`.�! ........ .....���.O.-U p............ Date.... 4.: �1. . ........ Test Pit No. l.. 2.....minutes per inch Depth of Test Pit...---12r........ Depth to ground water_no...pi � i t� Test Pit No. 2... Z...minutes per inch Depth of Test Pit....._.1S.tler .__.... Depth to ground water. lLCCI llll i O .........••... --•••• ....- -•----•-... Description of Soil....-9'F.....1 �.J ....S.Q4�L2._...5_4l.�,_...�.tiY.. C?.?'. _....1 d.+.�.a. ..tam s�.. k�e. �.t.e s�n...S, �V1. ..-�' ,........... .. c�xc.��t _�.. a� ! 1 n ........ w ...............•.......--•--... V Nature of Repairs or Alterations—Answer when applicable........................................................................................... ••.................•------.......----•-----•---......--------•----••--•--•---..........-•----...................-----•---...----•-------...........--•---•---...........-------•••••-•-••••--•.._.._.... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has ei by f :f Signed .... . - f i .............. � � 1. �.... Application Approved B Date Date Application Disapproved for the following reasons:.................................................................................... ._......___ ..........................•---•.........---...........-•---...........•--•••••---......._..-•-........_.......-•--•--•---..........----.....................---•------•-------••---••.............-•-- Date PermitNo.......�5--.?:...5.22. __.................... Issued._.........................................._---...... Date THE COMMONWEALTH OF•'MASSACHUSE-rrs' BOARD OF HEALTH �rlf! �,. ........OF.......A .. �Pl`ft�ttMtP of � , I i '•ENGiNEER••�AUST SUPERVISE � M AND CERTIFY IN WRITING T L ED IN �STRIC( ) THIS I TO CERTIFY, That th Individual Sewage DirYoQsaS'S�I cMt�t� (A 1 j or Repaired —-- Re a' by ...... ... .... r^4 ?ANCE TO PLA .. . cu ----..... •••-•••-•-•...................................•. I�ovisions staller at...................�1,.c .. ..----•--...--•--.......----••-•-----•------.......---•-•----.......---••••----•--......--•-•-----•- has been installed i accordance with the ITIF 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.._S1.:7,....S---7.7....... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CON TRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................... .:-...�..... .........7 .. _....... -..... Inspector........... ... ........................................................... THE COMMONWEALTH.OF MASSACHUSETTS BOARD OF HEALTH ..........'? �ti ..... O,F. .` �.a�ray:. ' ' '4 .'.•--•-•..•........•..•.••... ApAiration."file V. o k Tono�trtion rrutit Application is hereby made for a'P&"Ito Construct or Repair ( ) an Individual Sewage Disposal System at: .».......... :�.�..�. ......» , ......._ q.t.( -z 4-l Y'` »Location-Address ' e .f_ __...... or Lot No. .» •..••.__.... .......... y'':��;_»»..._._... .?\ j�__���!���:.�_':S,7_-nA � •f:./; � .n Y W droner ! t Address '\-r- •.•••».. ..:. .._ ..._ m Installer Addr e �'•• t7-•--.......•_... U Type of Building Size Lot.-?r � ��: ...Sq. feet .-� Dwelling—No. of Bedrooms..........................................."Expansion Attic ( ) Garbage Grinder ( ) pa, Other—Tyl)e_.o Buildiug� !.�! =../ .�- �.STo. of persons............................ Showers a P ( ) — Cafeteria dOther tures .1.................... .......0..._.._........._.... Design Flow:............... . b..........".gallons per person per day. Total daily flow.__.......::`r.............__.---..--gallons. W Septic Tank—Jiquid 6paci4,,i ...gallon Length�sa p.n.. Width_.�!� !!.. Diameter................ Depth.,_ !.. x Disposal Trench—NoI........... . .... Width.........._.___.... Total Length............-.....-Total leaching area....................sq. ft. 3 Seepage Pit No..........�.......... Diameter.....k.n_!___:... Depth belo inlet.,5.�. !.- Total leaching area.....:.:-:.........sq. ft. Z Other Distribution box ( ) Dosing tank ( } ,.4 Percolation Test Results Performed by.._ :: ... ,�- -,------"" - Date._. - -� Test Pit No. 1..s- ..__.minutes per inch Depth of Test Pit...... l...._.. Depth to ground water.:-..,....,:....!.:.� t 1lJ w v tAa % L>~ Test Pit No. 2...�.�t »..minutes per inch Depth of Test 'Pit....... �...... Depth to ground water:• _:.:.... .,.. �i ..............•--•--t..l........."............._.....................p Soil..? - .....�• - .......T.ry-•-1....................................:.............--»....--... Description of _;.� ..., ..- . 1 t / _L V ...........-...... 1... l ......... n-.- .. �..L..:- !.....�;.ti,._: _ _... ............................Y.........._...................... W tv�t:C:j 1'r Y �.�r ti r!t G r (G'�+'Y .S- / \J= .-.: �.y t( c;. _y_..`,�. .». �'r l uiC:v". x ................................................................................•-.._......_....••-•--._.............---•----...._ U Nature of Repairs or Alterations—Answer when applicable......-.-- ............................ ...........: ---------- .... ....... .....................................................................••---•"•--•--.........---...---""•----•-"•-•-------•""""••-•"-"-.....----....................----••"...._......_......----•---..... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in }� operation until a Certificate of Compliance has bjr;�by ^ board of hefi. Signed bn r ' ��/a�N�F sQ j.� v v77r CX:jW » "" vt.r/r rr"tfj3iii:v..� r. _..:o....._ C:7 �DaLef r Application Approved By........ - .. '"" `". • - .:. DDate" Application Disapproved for the follortnng reasons:.......................................................................................................... - ......--•...........................•--"----.....---...."--"-••-•---••-"-•---"--•---•---••---_.._...........••-___....... ` -:..---"--..."--"-•--"•"-"-"•"""--..."--"-"-""••". "--•""-•------- Date Permit No.. 5t c Issued. ......................................._ Date -` - THE COMMONWEALTH OF MASSACHUSETTS t _ BOARD OF HEALTH " ..........: ...:......................OF.......1.!?. .................. ?+ .�ln ................................_. (In if irate of Tontpliattrr THIS IS TO CERTIFY, That tbejIndividual Sewage Disposal System constructed ( )''.or Repaired ( ) ........L..�i✓ii'y'i`:.................-•--'Installer + at.............:.......1..._._._:.. I1-.� ..:4.-.-..-.-------•-•-- •"--•--••--•-----..--"--••---"-----••--"---.-....-.---.:.----•--"-""----••-----".----•-••----------•- has been installed id accordance with the pro ns f:TIT IE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No... _. .,_:.: _.. .-�....... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. � f DATE................... ..:.......►...... .. - .. ..........._....... Inspector................ ................................ l THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...... ' OF.-.�:......................... .............j ..... f 6' :. FEE..�.�.� ;. Disposal Works Tonstrudion Prrutit Permission is hereby granted..........A.:/'.............-�. ?................. :.. .4- _ , to Construct ( ) or Repair ( ) an Indio dual Sewage Disposal System atNo.... ?!................ ..1...'?.....:..._.:,.............. Street as shown on the application for Disposal Works Construction Permit No!2,. .7 �. 4 y. Dated. ............... ..................................................................................................... DATE................................... Board of Health FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS , Date: g Y TOXIC AND HAZARDOUS MATERIALS RE ISTRATION FORM NAME OF BUSINESS: Cvt% 4 ZS\"S She l BUSINESS LOCATION: MA 87,f.61 MAILINGADDRESS: SP&ne_ Mail To: TELEPHONE NUMBER: 11is Board of Health 2622- Town of Barnstable CONTACTPERSON: —Ton,.N!)\ �p (�y�VGti► P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: _ C �Uef a 411-��S03 Hyannis, MA 02601 TYPEOFBUSINESS:_ fP,P�� �'•�'Gf 5 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for you own use? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity / ntifreeze(for gasoline or coolant systems) Drain cleaners {" NEW USED Cesspool cleaners A. L Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) ' Hydraulic,fluid (including brake fluid) Refrigerants 3Motor oils Pesticides17 ' NEW-ZIL USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers)`` M' IST Diesel fuel, kerosene, #2 heating oil NEW USED Photochemicals (Developer) Other,petroleum products: grease, ( p ) • lubricants; gear oil NEW USED . Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers aints, varnishes, stains, dyes PCB's thinners ac uer nners y Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers Any other products with "poison" labels Paint brush cleaners AVFloor & furniture strippers (including chloroform, formaldehyde, hydrochloric acid, other Metal polishes acids) Laundry soil & stain removers Other products not listed which you feel L (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers -- WHITE' OPY,HEALTH DEPARTMENT/CANARY COPY-BUSINESS �r Advanced Liquid �-► Recycling Inc. RECEIVED 14-16 West Main Street Meriden,Connecticut 06451 NOV 2 U 1996 PH(203)238-6771 FAX(203)238-6778 F'AGE 1. (•'AGE 1. o ( AI"-'E�]:SLAI�ID SIEI=L CAPE & ISLANDS STEEL! . BA ADVANCED LIJAUTD f:ECYc» CAFE ISL.AND S1Ef�L. D 200 AIRPORT WAY P =ST I'IAIN ST'f�EET CAI'103 f-IYANNIS, CIA 02E01 T MERIDEN, CT 06451. T O O wfjm*vjrjmjjjj��� ORDER DATE SHIPPED VIA TERMS INVOICE NO. 00047 8E" '00047JBG,,NET/30 1/14/96j3301 ADV001�UHA/14/aE "E • • _q L Ll• • • < 0, rid 500.'0000 � 25ADL ST'E .THINNER ; + 5,h i l�P�� �00e.000�10 t RGAI S 1 p`2500 a C,c 5,. CEO. !, hIIIFEST: CTFOE08261 UjbKLNG Ordereci a 00 0 a rT ?$h i �d 1 a 0 UN" IT 240»�0000 i ' c 40» 00 'LICKING CHARGE, PF� 000 . I i PLEASE DETACH-HERE. + AND RETURN WITHf,, 1{ _ 4 ( YOUR PAYMENT: a ti k ttyt I f V w:1_ X.: INVOICE TOT x •. •'N'TAXABLE TAXABLE SALES TA MISCELLANEUS • r Y G��S. 00 240» 00 12» 00 . 00 » 00 • 87! 00. �177 'CrIO : t � -� ,� o r :...� t . :� �: r } �r�,"� � �ti , , 1 i - b � III{ 1 �.a, .. � 4�' -1' I ` �; �� _ � . ._ , _ _ �..•,i, �^,. .�, . ti <��i'�Tq 'e �a � 4�. I. 1 1 _._� �_`- l I • satisfactory 2.Printers • :.. •. 4.Manufacturers rI A • Suppliers6.Fuel • � � 7.Miscellaneous 1 ' W..r.=woiojl ••• 1 ' • Case lots Drums Above Tanks Underground Tanks ONEr� • Is NAINSIM EMER01.0d no Nwomms EMN'A' MEMEME MEN V' � • it • iN', INSIME 1 i i i .•• ,• I� •. ► i •� 1T PIN Name of Hauler Destination Waste Product Licensed? .� ,,. ,� . _ �► �: � �; , .1 � ,.. �,� � raw �T ;��. March 26, 1996 R E S O U R C E Mr•Woman Rutherford Town Manager C O N T R O L S Town of Barnstable 367 Main St. The proven solution to your Hyannis,MA 02601 environmental needs. SUBJECT: Massachusetts Contingency Plan(MCP)Notification Response Action Outcome Statement i Dear Mr.Rutherford: Pursuant to 310 CMR 40.1403 (3)(f)under the MCP,Resource Controls is hereby notifying the Chief Municipal Officer and Board of Health Agent regarding the completion of environmental work conducted on behalf of Mr. Benjamin D.Baxter at the Sea-Star Corporation property at 6 Airport Way,Hyannis,Massachusetts.This site is listed by the Massachusetts Department of Environmental Protection(MADEP),Release Tracking No.:4-11270. The activities recently completed by Resource Controls consisted of an Immediate Response Action (IRA). This IRA included emergency response activities, sampling and analyses of soil and groundwater,risk assessment, and soil excavation. Resource Controls has concluded that the site presents no significant risk of harm to public health,safety,welfare or the environment. The results of our investigation which includes a Remedial Action Outcome(RAO)Statement and supporting documentation may be obtained by contacting the MADEP Southeast Regional Office, Bureau of Waste Site Cleanup,28 Riverside Drive,Lakeville, MA 02347. Should you have any questions,please contact either of the undersigned. Very truly yours, RESOURCE CONTROL ASSOCIATES,INC. Ralph J. Tella,LSP Richard G. Bell,Jr.,LSP Vice President Vice President 474 Broadway cc: MADEP,Bureau of Waste Site Cleanup Thomas Geiler,Board of Health Pawtucket, RI 02860 Donald Henderson,Esq. 401 728-6860 Fax 401 727-1849 RJT:Iap JN#A3390 18 Lincoln Avenue "F:\DOC\#\C\NOTRAO.LET" Scituate, MA 02066 617 545-3908 Fax 617 545-9068 MAY-16-95 TUE 12:27. DRENDERSON FAX NO. 15087751952 P. 01 DONALD r, HENGER30N, P. G. ATTORNEY AT LAW 778 MAIN 9TgEeT HYANNI9, MA99ACHU9[TT9 08601-4389 9�9-��s•lsoa FAX NO. 506-775-1992 PLEA![ R[FtR TO FILE May 16, 1995 NO. VIA FAX 775-3344 Town of Barnstable Health Department 367 Main Street Hyannis, Massachusetts 02601' Re: Notice to Abate Violations of Town of Barnstable Ordinance, Article XXXIX and 310 CMR 30.690 Dear M®nbers of the Board: on behalf of Benjamin D. Baxter, I hereby withdraw the request for a hearing re the above. You were kind enough to place it on the agenda for this evening but as Mr. Baxter is in the process of con plying, there is no reason for us to have a hearing a this time. Very truly .yours, DONAID F. HHMERSM P.C. By Donal F. Henderson DFN:djp Enclosures s Commonwealth of Massachusetts too Executive Office of Environmental Affairs - Department of Environmental Protection Southeast Regional Office William F.Weld Ac330 �OVV JO�1 ' Governor VVV Trudy Coxe Secretary,EOEA Thomas B. Powers Acting Commissioner URGENT LEGAL MATTER: PROMPT ACTION NECESSARY CERTIFIED MAIL: RETURN RECEIPT REQUESTED April 25, 1995Qeal?n YDBaxter RE: HYANNIS--BWSC P.O. Box 701 6 Airport Way (Rear) Hyannis, Massachusetts 02601 RTN: 4-11270 NOTICE OF RESPONSIBILITY M.G.L. c . 21E, 310 CMR 40 . 0000 ATTENTION: Mr. Baxter On April 6 , 1995, at 11 : 50 a.m. the Department of Environmental Protection (the "Department" ) received oral notification of a release and/or threat of release of oil and/or hazardous material at the above referenced property which requires one or more response actions . In addition to oral notification, 310 CMR 40 . 0333 requires that a completed Release Notification Form ('BWSC-003 , attached) be submitted to the Department within sixty (60) calendar days of the date of the oral notification. The Massachusetts Oil and Hazardous Material Release Prevention and Response Act, M.G. L. c . 21E, and the Massachusetts Contingency Plan (the "MCP" ) , 310 CMR 40 . 0000 , require the performance of response actions to prevent harm to health, safety, public welfare and the environment which may result from this release and/or threat of release and govern the conduct of such actions . The purpose of this notice is to inform you of your legal responsibilities under State law for assessing and/or remediating the release at this property. For purposes of this Notice of Responsibility, the terms and phrases used herein shall have the meaning ascribed to such terms and phrases by the MCP unless the context clearly indicates otherwise . The Department has reason to believe that the release and/or threat of release which has been reported is or may be a disposal site as defined by the M.C. P . The Department also has reason to believe that you (as used in this letter, "you" refers to Benjamin D . Baxter) is/are a Potentially Responsible Party (a "PRP" ) with liability under M.G.L. c . 21E §5, for response action costs . 20 Riverside Drive • Lakeville,Massachusetts 02347 • FAX(508)947.6557 9 Telephone (508) 946-2700 -2- This liability is "strict" , meaning that it is not based on fault, but solely on your status as owner, operator, generator, transporter, disposer or other person specified in M.G.L. c . 21E §5 . This liability is also "joint and several" , meaning that you may be liable for all response action costs incurred at a disposal site regardless of the existence of any other liable parties . The Department encourages parties with liabilities under M.G. L. c . 21E to take prompt and appropriate actions in response to releases and threats of release of oil and/or hazardous materials . By taking prompt action, you may significantly lower your .assessment and cleanup costs and/or avoid liability for costs incurred by the Department in taking such actions . You may also avoid the imposition of, the amount of or reduce certain permit and/or annual compliance assurance fees payable under 310 CMR 4 . 00 . Please refer to M.G.L. c .21E for a complete description of potential liability. For your convenience, a summary of liability under M.G.L. c . 21E is attached to this notice . You should be aware that you may have claims against third parties for damages, including claims for Contribution or reimbursement for the costs of cleanup. Such claims do not exist indefinitely but are governed by laws which establish the time allowed for bringing litigation. The Department encourages you to take any action necessary to protect any such claims you may have against third parties . At the time of oral notification to the Department, the following response actions were approved as an Immediate Response Action (IRA) : 1 . Stabilization and segregation of all drums and containers impacted by the fire and/or improperly stored on site; 2 . Characterization of the contents of the drums and containers; In addition to the above actions the Department also requires that you perform the following response actions : 1 . Within twenty-one (21) days from receipt of this notice, submit an IRA Assessment Plan to address the assessment of soil and groundwater in the area impacted by the fire; and, where storage, usage and/or management of oil and/or hazardous material have occurred. This deadline constitutes an enforce- able interim deadline established pursuant to 310 CMR 40 . 0167 . Additional submittals are necessary with regard to this notification including; but not limited to, an IRA Plan, an IRA Completion Statement and/or a Response- Action Outcome (RAO) statement . The MCP requires that a fee of $750 . 00 be submitted to the Department when an RAO statement is filed greater than 120 days from the date of initial notification. r -3- You must employ or engage a Licensed Site Professional (LSP) to manage, supervise or actually perform the necessary response actions at this site . You may obtain a list of the names and addresses of these licensed professionals from the Board of Registration of Hazardous Waste Site Cleanup Professionals at (617) 556-1145 . If you have any questions relative to this notice, please contact Spence T. Brennan. at the . letterhead address or at 508-946- 2854 . All future communications regarding this release must reference the following Release Tracking Number: 4-11270 . Very truly yours, Richard F. Packard, Chief Emergency Response/Release Notification Section P/SB/jt CERTIFIED MAIL #Z 001 192 597 RETURN RECEIPT REQUESTED Attachments : Release Notification Form; BWSC-003 and Instructions i Summary of Liability under M.G.L. c . 21E CC : Town- of Barnstable Town Hall 367 Main Street Hyannis, MA 02601 ATTN:. Warren J. Rutherford, Town Manager Board of Health Town Hall 367 Main Street Hyannis, MA 02601 ATTN: Brian R. Grady, R. S . , Chairman Board of Fire Commissioners Hyannis, MA 02601. Donald F. Henderson, - P .C. Attorney at Law 776 Main Street Hyannis, MA 02601-4389_ Vinal Haven Lobster Company 12 Bray Street Gloucester, MA ATTN: Robert H. Brown i. I ' -4- 1 I . cc : Bro Cote. 32 Frothingham Street Milton, MA 02186 Albert Bellgardt 32 Fenner Avenue Newport, RI 02841 Peter Brown 18 Hawthorne Road Marblehead, MA 01945 DEP - SERO ATTN: Andrea Papadopoulos, Deputy Regional Director i 1 Irk a-AL . Allow, I United States office of Pestleldds end Toxlo Subatenws ' Vwironmentel Protection offloe of Pestidde Prorprem>f 1TS•78t3C1 - Aiieney Washington, PC 20460 A Pesticide '���Pl�► Fact Sheet I Name of Chemical: Tr f butyl.t i n Reason for issuance: Preliminary Determination Date Issued: October 11 1987 Fact Sheet Number: 143 1 . Description of chemicals EPA Common Chemical Abstract Shaughnessy Chemical Name Name Service Number Code i bis(tributY ltin) none 7437-35-6 083117 bisdiate (tributyltin) none . 12379-54-3 083101 dodecenyl succinate bis(tributyltin) TBTO 56-35-9 083001 oxide biS( tributyltin) .none -4804--3.0--4. 083113 sulfide tributyltin acetate none 56-36-0 - 083105 tributyltin acrylate none 13331-52-7 083121 . tributyltin fluoride TBTF 1983-10-4 083112 tributyltin meth- TBTM 2155-70-6r 083120 acrylate and i copolymer TBTM 26345-187 083119 i tributyltin resinate none none assigned 083114 i chemical family: Organotins Pesticide type: biocide, antifo.ulant, and disinfectant.. The Special Review is being conducted for• the use of these chemicals in antifoulant paint registrations. . Twenty TBT compounds are registered as pesticidal.'. active.... ingredients and . nine. of the compounds:. are registered,-2 fora urje;>in Anti fou1.0%, paints. The major..T87,' pesticide...'is-,,tributyltin. oxide. A. OPTIONAL FOAM 99(7.90) �•� '�' ,.{, E. C FAX TRANSMITTAL a Pw,fron. ► � I 161 r b (i47 N8N 7 01-317-7368 v099-101 GENLKAL ShNVICLS AVMINISI NAI IUN � '" i 04i07i95 08:56 US EPA AIR DIV 002 _2- Reg15LcaLions ; Antitoulant paints containing tributyltin (TBT) compounds wera initially registered in the early 1960 ' s. At the initiation of the Special Review there were 364 TBT- anti- fouling paint formulations and 20 formulating intermediates with a total of 61 manufacturers. Since January; 1986, 162 products have been voluntarily .cancelled and some companies have merged such that there are now 210 registered antifouling paint formulations and 12 formulating intermediates with 34 manufacturers, although nearly half of the paint formulations have been suspended for non -compliande with a Data Call In Notice issued in July,. 1986 . 2. Use patterns and formulations -- W. Application sites: TBT' s are used in antifoulant paints . applied to ship and boat hulls as .wel-1 as buoys, crab pots, fish nets , etc. TBT' s are also registered as wood preserva- tives, disinfectants, and biocides for use in cooling towers, pulp and paper mills, breweries, leather processing facilities, . and textile mills. Paint formulations: TBT ant.ifouling.. paints may be Classified into three categories according to the way the TBT moiety is incorporated into the paint coating and subsequently released. ° Free association paints: In these conventional coatings the TBT is physically incorporated into the paint matrix (which contains the pigments water.- soluble resins, and inert substances ) . The TST leaches from the paint surface by diffusion. Gradually, the paint matrix becomes clogged with - insoluble materials trapping some of the toxicant while leaving the surface unprotected. ° Copolymer paints: In this category the- TBT- moiety is chemically bonded to a polymer matrix. The biocide is released only by chemical hydrolysis of the TBT itself. These paints are characterized by slow dissolution from ship hulls and thus achieve a constant but prolonged, release of antifoulant toxicant. ° Ablative-.-paint 1,;>'-•Thesef, paints.:haves characteristics; of both of' the-other two', types ofa paint: ;M The.; TB7viW'not bound to a polymer,-" but--; is, incoxporatedl.intoa' theypaint matrix. Ablative paints are soft paint fiims with the rosin portion of the paint slightly, water soluble so that the surface slowly sloughs or ablates away as the painted vessel moves through the water. This allows new toxicant layers to be exposed and prevents the buildup of insoluble materials. 04/07/95 08:57 US EPA AIR DIV 003 `3- A TBT antifouling paint formulation can have a single TBT active ingredient , can be combined with one or more of the other eight TBT antifoulants , can be combined alone with copper compounds ( especially cuprous oxide ) , can be combined with triphenyltin fluoride ( another organotin antifoulant) , or can be combined with copper and other 'organotin compounds. Products are formulated with 0. 5 to 41 percent active ingredient. TBT. Application rates are commonly from 150 to 400 square feet per gallon of paint . 3. Science Findings Chemical characteristics: Tributyltin compounds are chemically characterized by a tin (Sn) atom covalently bonded to three - butyl (C4H9-) moieties. When released from the paint matrix or polymer into the aqueous environment, TST exists mainly as a mixture of TBT hydroxide, TBT chloride, and TBT carbonate species from reaction with carbonates in seawater. Environmental fate : The 'environmental chemistry and fate of tributyltin in aquatic environments are complex and not com- pletely understood. Studies indicate . that photolysis and microbial action are potential mechanisms of degradation from tri- to di- to monobutyltin and finally to inorganic tin. Studies indicate the half-life of TBT may be;•• 116 days in aerobic soils, 815 -days in anaerobic soils, 6 to 1.2 days in sea water, and up to 238 days in fresh water . TBT accumulates in sediment at levels that are one to four orders of magnitude greater than the concentration found in the respective water column. This amassing of toxicant can have serious consequences for organisms living and feeding in the benthos. Low concentrations of elemental or- inorganic forms of tin appear to cause negligible toxicological effects in man or wild- life. However , when carbon groups, such as . butyl units, are added to the tin, there is an increase • in fat solubility, ability to penetrate biological membranes , and 'consequently, toxicity. As the number of butyl groups is increased from one to three, there is a corresponding increase in lipophilieity and toxicity to aquatic organisms. However, the addition of a .. fourth butyl group decreases the toxicity of the molecule. Ecological= cheracteristicsi'O-The TBT compoU idb.Jdtb toxic to aquatic organisms atz-the116w parts per billion (ppb) level. A summary of aqua Eic''TBT:'tozicity values;`arerpresenfed below: 04/07/95 08:57 US EPA AIR DIV 004 j -4- Fish . Acute Toxicity: 0. 96 - 24 . 0 ppb Chronic Toxicity: > 0. 2 ppb Bioaccumulati.on : 200- L•o 4300-fold Behavioral Toxicity: Avoidance occurred at 1. 0 to 24 . 0 ppb. Fish may not detect harmful sublethal levels. ° Bivalves Acute Toxicity: 0. 9 to 2. 3 ppb Chronic Toxicity: 0. 02 to 0.-05 ppb B•ioaccumulotion : . 20.00- to 6000^fold - Bioavailable: Yea# even with high silt loads. ° Gastropods Acute Toxicity; > 0. 01 ppb Chronic Toxicity: 0. 002. to 0. 02 ppb B,ioavailable; Yes, was promoted as a molluscicide against schisto- somiasis because it readily adsorbed to organic matter; snails preferentially ingest organic matter. (Lowest value is an extrapolation. ) ° Crustaceans Acute Toxicity: 0. 42 to 2..2 ppb Chronic Toxicity: > 0. 09 ppb Bioaccumulation : 4400-fold B.ioavailable: Yest more from food than from water . Behavioral Toxicity: 0. 5 'ppb- caused. positive photo- taxis in ddphnids. Algae . Acute and Chronic L Toxi((city. growth •inhibityions at..0:1 `•:%J. :.2 Z ri A.lr..� (i ° �.± t:.e� .o.. ' .l.01.35,1 ppb F.T P•i MV Bioaccumulation: , 800-!: tor3Q,000-gold Bioavailable: Yes, since filter feeders readily consume algae it can be assumed that phytoplankton. laden with TBT can be con- summed by aquatic organisms. 04/07/95 08:58 US EPA AIR DIV 005 TZT concentrations are reported to be highest in areas of heavy boating and shipping activity. Before recoating, old paint containing the remaining TBT residue is scraped from the vessel hull and sometimes the scrapings are washed into. the water adjacent the boat or shipyard (despite TBT labels prohibiting this practice ) . TBT has been measured in - mar'ine and fresh water environrients at levels indicated below. Note that ND means non-detectable or below the level of detection of the analytical method used. Chesapeake Bay: NO to 0.8 ppb San Diego Bay: NO to 1. 0 ppb San Francisco Bay: NO to 0. 16 ppb Honolulu Harbor 0.045 to 0'. 27 ppb Los Angeles/ Long Beach Harbor: ND to 0. 12 ppb Narragansett Bay: NO to- 0. 13 ppb Thames River (CT) : NO to 0.009 ppb Mayport Florida: NO to 0. 016 ppb Lake Superior: 0.02 ppb Lake Ontario: 0. 05 to 0. 84 ppb ' Population Effects: In. France, a correlation has been found between TBT in the water- column of certain estuaries and gross malformations in pacific oysters grown in commercial oyster beds in and around areas of heavy boating activity. Following a ban on TBT antifouling paints on vessels less than 25 meters in length, the degree of shell deformities has decreased and the regeneration rate. of juvenile oysters (spat) has improved.. In England TBT has been reported causing similar shell deformities in Pacific oysters and reproductive abnormalities ( imposex) in dogwelk snails. The Department of Fish and Wildlife of Oregon recently have found shell deformities in commercial Pacific oyster beds in Coos Bay which are near a small shipyard applying and removing TBT antifouling paints. 4. TBT Release Rates The Tributyltin Data Call In Notice .(TBT.DCI) required all registrants of TBT., antifouling, paints,, to' measure' TBT�.,releaso' from. registered . paintss: followings ai tiesCmehod, devecpeda in , cooperation.,,with., they,American,,Society.. iorfi;,Tesking- aod ;Ma e"tials (ASTM).p,,In-.;addition, eachlaboratorysconducting ', TB release test'.was;; required..;to;: test;:a;..;Standard.,copolymer:",tio paint.,; .s Release rate data were submitted' foi, 96 TBT antifouling`' paint products by July 1, ' 19870- From a review of these data, it was determinedthat at least 57 of the tests were conducted .satis- factorily and all data were normalized according to adjustments. made using the standard test paint results. Two release rate 04i07i95 08:58 US EPA AIR DIV 006 values wece determined for each product : 1) a short term cumulative release measured over the first 14 days of the test period and 2) an avacage daily release rate ( average of the daily release over weeks 3 to 5 of the test ) . Details of release rate data are available in the Tributyltin Technical Support Document. Generally, the release rates start high (short term cumulative release ranged from 1 to 1128 ug/cm2) and .gradually decrease over the course of the test period (average dai.ly ' release rate. ranged from 0.02 to 21. 53 ug/cm2/day) . Some paints with- a high percentage of TBT have a much higher short term cumulative release than do other paints tested. It was concluded that while there was a strong statistical correlation between the- percent active ingredient and the average daily release rate, the data points were too scattered for the percent active ingredient alone to be useful for regulating TBT paints. The scattered data points indicated that other Eactors, such as the type and quality of the inert ingredients (resins, rosins , binders, etc. ) may be. important in determining the release, rate of a paint and that regulating' on percent active ingredient woul.d not necessarily reduce environmental loading. Results of the release rate tests also showed . that some TBT ablative and free. association paints have lower release rates than many copolymer paints. The free association plaints with release rates lower than copolymer paints generally had a low percentage of* TBT in their. formulations. 5. summary of regulatory position and rationale The Agency initiated a Special: Review of TBT products used as antifoulants . in January, 1986, based on concern of possible adverse effects of TBT to nontarget aquatic organisms. The Agency recognized that additional data were required and issued a Data Call In Notice (DCI ) for TBT products registered for use as antifoulants or registered as formulating intermediates used to produce antifoulant products. The DCI required information on product chemistry data, TBT release rate data, usage data, worker exposure data,. ecological effects data, and environmental fate data. The DCI also required submission of any available efficacy` data. For many products,' product' chemistry data;, TBT release-rate' data:;; and" usage data h0i ei been''received: Although thii Age �cy'*wL l nod' have; the ecological�jaad envixonme'ntalf gaffe:` dada" from;khe DCi' fsor��another�;one' to fourr O#rs;�the' Agency] believes sufficfen data are, available= toW proposei a>,set 'of �A' ? regulatory actions. In 1985, the Agency issued a DCI on tributyltin oxide requiring .data on chronic toxicity to mammals. These data are not due into. the Agency until 1990. I 04/07/95 08:59 US EPA AIR DIV 007 The Agency examined a cange of regulatory options to reduce TBT loading into the environment . The Agency considered: 1) Can- celling all TST antifouling paint registrations, 2) proposing a restriction on the maximum permitted percent TBT active ingredient in registered products, 3) regulating the type of paint formulation, 4) regulating the release rate., 5) restrict- ing the size of vessel treated, and 6) classifying TBT antifoul- ing paints as restricted use pesticides and requiring additional wording- on the label giving directions concerning application , removal , and disposal of. TBT paints to reduce the amount of TBT entering the aquatic environment from these act"ivities. The Agency is proposing continued registration of TBT antifouling paint products with certain regulatory restrictions: 1) limit' the maximum organotin release rate from paint formulations, 2) prohibit use of TBT on non-aluminum vessels under 65 feet in length, and 3) classify TBT antifouling paints as restricted use pesticides and require additional wording on the label - regarding application, removal, and disposal of TBT paints to prevent introduction of TBT paint wastes into the. aquatiC environment. Specifically, the Agency is • proposing a maximum short term cumulative release (days 1 to 14 of test period) of 160 ug organotin (calculated as TBT cation )/cm2 and an average daily release rate (averaged over weeks 3 to 5 of the test) of 4.0 ug organotin (calculated as TBT cation )/cm2/day. The: Agency believes that the proposed. release rate restrictions would reduce loading five-fold from its estimated average daily release rate of 20 ug/cm2/day before initiation of the Special Review (calculated 'for 411. TBT paint formulations from the submitted release rate data) . The prohibition of use on vessels under 65 feet should reduce by 37 percent (the estimated volume of TBT paint used on this size class by a boat and shipyard survey) the total amount of 'TBT antifoulant currently used and potentially available for environmental contamination. This limitation in use will result in a reduction in TBT concentration primarily in estuarine and fresh water areas where these small vessels are used and moored and where the risk from TBT effects is the greatest. The restricted use classification and additional wording on the label regarding size restriction and directions for applying, removing , and disposing of TB'f paints without introducing paint wastes into the water will help ensure that TBT paints are not used on vessels under 65 feet and that TBT paints will be applied and disposed in a manner which will reduce the risk of inadvertent aquatic contamination. Monitoring and efficacy data will be required separately which will be used to evaluate . the effectiveness of these proposals. Upon receipt and evaluation of additional data, the. Agency may determine that further regulatory action is warranted. 04/07/95 09:00 US EPA AIR DIV 008 6. Contact person at EPA Dr. Janet L. Andersen Environmental Protection Agency Office of Pesticide Programs Registration Division (TS-757C) 401 M Street, S.W. Washington# D.C. 20460 v • ca:. ;t. •r; 1 i a..f�G ..;fi'•.:•1• ,'. ., ...•a:. 1[):., .; t.: E'%:. .: � ,i•�?ri1: ;-�."•. . >•;S t ,• >f° C'i s'3'•* �,i.s.,_. f. .. b'•ti;:''f` t>�.'91.f�E:1:�� �S• St. Z. S� s, 04/07/95 09:00 US EPA AIR DIU 009 TRI13U MTIN Criteria of Concern Acute and chronic toxicity to nontarget organisms Action/Use Affected in order to avoid cancellation of their TBT,paint products, registrants must: 1.) Comply with the Organotin Antifouling Paint Control Act (OAPCA) of 1988 average daily release rate limit of 4.0 ug organotin/cm8/day. 2.) Comply with OAPCA's prohibition on the use of TBT antifouling paints on all nonaluminum vessels under 82 feet (25 meters) in length (on deck). 3.) Are classified as restricted-use pesticides, restricting their sale to certified commercial applicators and their use to persons under the direct supervision of an on-site certified commercial applicator (except for products packaged in 18 ounce or less spray-can containers that are labeled for use only on outboard motors, propellers, and other nonhull underwater aluminum components): This 'restricted-use classification of TBT begins March 1, 1990. 4.) Do not have labeling that requires compliance with applicable OSHA regulations and with the following directions for use: During and after paint removal and or application of new TST point, employ methods designed to prevent introduction of TBT.paints into aquatic environments. Following removal of T13T paint and/or application of new TBT paint, all paint chips and spent abrasives, paint containers, unused paint,and any other waste products from paint removal or application must be disposed of in a sanitary landfill. 5.) Umh certain uses for some types of products, as specified herein. The Agency is requiring that the registrants develop and submit a prototype training program for the use, disposal, and removal of TST paints and paint wastes within 180 days from the date of application for conditional registration. 04/07/95 09:00 US EPA AIR DIU 010 TRIBUTYLTIN (TBT) _ Existing Stocks Provisions_ The sale, distribution, and use of existing stocks.of . cancelled tributyitin products is prohibited in the U.S. Reference 53 FR 39022 October 4, 1988; 50 FR 778 January 8, 1986; 52 FR 37510 October 7, 1987. . i i MAY-16:95 TUE 12:27 DRENDERSON FAX NO. 15087751952 P. 01 DONALD P. HCNOMR50N, P. C. ATTORNEY AT LAW 778 MAIN STREET HYANNI9, MASSA[HU9E'TTS Od6O1-4369 9 C9-9 7 S-I SO4 FAX NO. SO8-775-1552 PLEASE REFER TO FILE May 16, 1995 NO. VIA FAX 775-3344 Town of Barnstable Health Department 367 Main Street Hyannis, Massachusetts 02601' Re: Notice to Abate Violations of Tom of Barnstable Ordinance, Article XXXIX and 310 CMR 30.690 Dear Members of the Board: On behalf of Benjamin D. Baxter, I hereby withdraw the request for a . hearing re the above. You were kind enough to place it on the agenda for this evening but as Mr. Baxter is in the process of ccn plying, there is no reason for us to have a hearing a this time. Very truly yours, DCNAID F. HIMatSw, P.C. By: " Donalct F. Henderson DFH:djp Enclosures r ,4�L& o DONALD F. HENDERSON, P. C. ATTORNEY AT LAW 776 MAIN STREET HYANNIS, MASSACHUSETTS 0 2 601-43 8S SOB-77S-IS04 FAX NO. SOB-77S-ISS2 PLEASE REFER TO FILE May 2, 1995 NO. Town of Barnstable Health Department 367 Main Street Hyannis, Massachusetts 02601 Re: Notice to Abate Violations of Town of Barnstable Ordinance, Article XXXIX and 310 CMR 30.690 Gentlemen: I represent Benjamin D. Baxter named in the above referenced notice and Mr. Baxter hereby requests a hearing on this matter as soon as possible. Very truly yours, DWED F. BENDE SONff P.C. By: Donald F. Henderson DFH:djp Enclosures MAY 2. 1995 � w e S APR 07 '95 12:00PM ELF ATO NA (215) 419.7575 P.2i7 MATERIAL SAFETY ELF ATOCHEM NORTH AMERICA EMERGENCY TELEPHONE DATA SHEET 2000 MARKET NUMBER PHILADELPHIA, PA 19103 8:30AM - 5:OOPM EST (215) 419-7917 CHEMTREC - 24 HOURS 1-800-424-9300 NAME USED ON LABEL: BioMeT* TBTO CHEMICAL- NAME (if single substance) : bis (tri-n-butyltin) oxide CHEMICAL FAMILY: Organotin Compound FORMULA: (C4H9) 6 Sn20 INGREDIENTS OSHA OSHA ACGIH Identity CAS No. PEL STEL TLV tributyltin oxide 56-35-9 >95 0.1 mg/m3 0 . 2 mg/m3 0 . 1 mg/m3 as Sn as Sn as Sn *skin *skin *"Skin" notation means that skin absorption of this material may add to the overall exposure. Avoid skin exposure. *ALL INGREDIENTS ARE LISTED ON THE TSCA INVENTORY PHYSICAL DATA Boiling Point: 180 C at 2mm Freezing Point: -45 C Specific Gravity: 1. 17 Vapor Pressure @ 20 C: 1. 1x10-5mm Hg @ 25 C Vapor Density: N/A Solubility in Water: slight % Volatiles: N/A Evaporation Rate: N/A Molecular weight: 596. 0 other: melts at <-45 C Appearance and Odor: Clear, straw-color liquid; strong odor. FIRE AND EXPLOSION DATA Flash Point (Test Method) Autoignition Temperature Flammable Lts. 168-170 C (Seta) N/A LEL= UEL= Extinguishing Media: Water spray, foam, carbon dioxide, dry chemical . Fire fighters should be equipped with self-contained breathing apparatus and protective clothing. = Special Fire Fighting Procedures: Avoid eye and skin contact. Do not breathe fumes or inhale vapors from solution. Unusual Fire and Explosion Hazards: Irritating fumes or vapors may develop if product is exposed to elevated temperatures or open flame. Combustible at elevated temperatures. PCODE: RDO Page: 1 of 6 APR 07 '95 12:01PM ELF ATO NA (215) 419.7575 P.3i7 MATERIAL SAFETY ELF ATOCHEM NORTH AMERICA DATA SHEET PHILADELPHIA, PA 19103 NAME USED ON LABEL: BioMeT* TBTO ENVIRONMENTAL INFORMATION Spill Response: This pesticide is toxic to wildlife and aquatic life. Keep out of lakes, streams, or ponds. Do not contaminate water by cleaning of equiment or disposal of wastes. Absorbed spilled material with inert absorbant such as sand or clay. Using non-sparking tools, place in container for disposal. Flush area of spill with large quantities of water. Contain rinsate. Place in container for further evaluation, treatment or disposal. Recommended Disposal: Dispose of material as solid waste in a closed container. Follow all chemical. pollution control regulations.Pest- icide: Pesticide, spray mixture or rinsate that cannot be used or chemically reprocessed should be disposed of according to procedures approved by Federal, State or local disposal authorities. Container: Reseal container and offer for reconditioning or triple rinse (or equivalent) and offer for recycling, reconditioning, or disposal in an approved landfill or bury in a safe place. EPA Haz . Waste Designation (for virgin product) : other: HEALTH HAZARD DATA SEE MISCELLANEOUS FOR OVERVIEW . Eye Contact: May cause immediate or delayed severe eye irritation. The onset of irritation may not occur until several hours after exposure. Eye irritation score = 75/110 (severely irritating) . Skin Contact: May produce irritation or contact dermatitis which may be delayed several hours. Prompt and thorough washing with soap and water will minimize or eliminate any potential dermal effects. or- ganotins may be absorbed through the skin. (See Miscellaneous) skin irritation score = 3 .0/8. 0 (slightly to moderately irritating) . Acute dermal LD/50 = 750-900 mg/kg (moderately toxic) . Inhalation: Inhalation of particulates or vapors of organotins may irritate the upper respiratory tract. Overexposure may also produce coughing, headache, and nausea. The onset of these symptoms may be delayed until several hours after exposure. Oral Toxicity: Acute oral LD/50 (Rat)=170-500mg/kg (moderately toxic) Liver and kidney pathology was observed at all doses in the acute feeding study. Chronic Toxicity: There are no known chronic effects related to this compound. Not listed as a carcinogen by NTP, IARC or OSHA. PCODE: RDO Page: 2 of 6 APR 07 '95 12:01PM ELF ATO NA (215) 419.7575 P.4i7 MATERIAL SAFETY ELF ATOCHEM NORTH AMERICA DATA SHEET PHILADELPHIA, PA 19103 NAME USED ON LABEL: BioMeT* TBTO Suggested First Aid: EYES: In case of contact, immediately flush eyes with flowing water for at least 15 minutes. Get medical attention. SKIN: Flush with water, then wash with soap .and water. INHALATION: Move exposed .individual to fresh air. Call a physician. INGESTION: Never give fluids or induce vomiting if patient is unconscious or having convulsions. Get medical attention. NOTE TO PHYSICIAN: Application of a' corticosteroid cream has been effective in treating severe. skin irritation. If blisters develop, they may require abrasion to promote healing. REACTIVITY DATA Stability: Stable Conditions To Avoid: Combustible. Avoid elevated temperatures. Incompatibility (Materials to Avoid) : Acids and oxidizers. Hazardous Polymerization: Will not occur conditions To Avoid: N/A Hazardous Decomposition Products: tin oxide compounds SPECIAL PROTECTION INFORMATION Ventilation: Local Exhaust is recommended. Mechanical (general) is required.. Respiratory Protection: Air-supplied or combination organic vapor acid gas respirator with a dust and mist prefilter (if necessary) if. exposure exceeds the TLV. Eye and Face Protection: Chemical workers goggles. Do not wear contact lenses, Other Clothing and Equipment: Rubber, neoprene or nitrile gloves. An eyewash and emergency shower should be readily available. Launder contaminated clothing before reuse. . PCODE: RDO Page: 3 of 6 APR 07 '95 12:02PM ELF ATO NA (215) 419.7575 P.5i7 MATERIAL SAFETY ELF ATOCHEM NORTH AMERICA DATA SHEET PHILADELPHIA, PA 19103 NAME USED ON LABEL: BioMeT* TBTO *********************************************************************** SPECIAL PRECAUTIONS Precautionary Label Information: Warning! Keep Out Of Reach Of Children. Causes severe eye damage. May be fatal if swallowed. May cause skin irritation. Corrosive; causes severe eye damage and skin irritation. Do not get in eyes, on skin, or clothing. Wear gaggles or face shield and rubber gloves when handling. May be fatal if swallowed. Wash thoroughly after handling. It is a violation of Federal laws to use this product in a manner inconsistant with its labeling. DO NOT USE IN INTERIOR PAINTS OR COATINGS. To determine proper application procedure, read the Tech- nical Data Bulletin No. 223, 226, and 330 on the end-use prior to use MARINE POLLUTANT Storage and Handling: Normal warehouse handling and storage in a cool, dry area. Prohibitions: Do not contaminate water, food or feed by storage or disposal. Open burning and dumping is prohibited. TRANSPORTATION Department of Transportation (DOT) DOT Proper Shipping Name: Organotin Pesticides, liquid, toxic, (tributyltin oxide) DOT Hazard Class: 6. 1 DOT Label: Keep Away From Food DOT ID #: UN3020 PGIII MISCELLANEOUS OVERVIEW: On the basis of many years. of human experience, it is evident that the principal potential health effects of organotins are related to acute exposure. The effects which are described in this MSDS have been observed to be transient in nature. GENERAL: Consult Federal, State, or local disposal authorities for approved alternative procedures. OTHER PRECAUTIONS: For industrial use only. Read technical data bulletin about this product prior to use. REVISION(S) 1. Revised SARA III, Section 313 status. PCODE: RDO Page: 4 of 6 APR 07 '95 12:02PM ELF ATO NA (215) 419.7575 P.6i7 MATERIAL SAFETY ELF ATOCHEM NORTH AMERICA DATA SHEET PHILADELPHIA, PA 19103 NAME USED ON LABEL: SioMeT* TBTO Prepared by Safety & Environmental Affairs Issued: 02/27/95 Supersedes: 11/10/92 The information set forth herein has been gathered from standard reference materials and/or ELF ATOCHEM N.A. test data and is to the best knowledge and belief of ELF ATOCHEM N.A. accurate and reliable. Such information is offered solely for your consideration, investigation and verification, and it is not suggested or guaranteed that the hazard precautions or procedures mentioned are the only ones which exist. ELF ATOCHEM N.A. makes no warranties, express or implied, with respect to the use of such information or the use of the specific material identified herein in combination with any other material or process, and assumes no responsibility therefor. I PCODE: RDO Page: 5 of 6 APR 07 '95 12:03PM ELF ATO NA (215) 419.7575 P.7i7. ,M,ATERIAL SAFETY ELF ATOCHEM NORTH AMERICA DATA SHEET PHILADELPHIA, PA 19103 NAME USED ON LABEL: BioMeT* TBTO ADDITIONAL INFORMATION CLASSIFICATIONS RATINGS SARA TITLE III HMIS Flamm: 2 NFPA Flamm: 1 Acute: Y React: 1 React: 1 Chron: N Health: 2 Health: 2 Press: N PPE: H React: N Fire: N Components of this product which appear in the ingredients section of this MSDS are identified below if they are present in excess of de minimus reporting levels. Components which are not required to be identified by specific chemical name may have a generic description. SARA Title III Section 302 Extremely Hazardous Substance(s), : i None SARA Title III Section 313 Toxic Chemicals: Tributyltin Oxide STATE RIGHT-TO-KNOW Components of this product which are specifically identified in the ingredients section of this MSDS may listed on the following: . 1. Pennsylvania Hazardous Substance List - None , 2 . Massachusetts Hazardous Substance List - None 3. California Proposition 65 List - None PCODE; RDO Page: 6 of 6 • 02601 rYob own of Barnstablc f'flf"ll�f�f Health vepart:ment 367 Main Street,Hyannis MA 02601 ilm nas A.McKean Office: 508-790-6265 Dbectorof Public Health FAX: 508-773-VU Mr.Benjamin D. Baxter April 23, 1993 Sea-Star Corporation Pleasant Street Hyannis,MA 02601 NOTICE TO ABATE viOLATIONS OF TOWN OF BARNSTABLE ORDINANCE,ARTICLE XXXiX AND 310 CM R 30.690. Dear Mr. Baxter: I On'lluirsday,April 6, 1995,Donna Miorandi,Health Inspector for the Town of Barnstable,performed an on-site inspection due to an explosion causing a release of toxic and hazardous materials at your property located on Airport Way, Hyannis listed as Assessor's Map 312 and known as Parcel 009-1102&B02. While on site,the following violations were observed: 4-5 No valid registration form(s)received at the Health Division Office in compliance with Article XXXIX. 5-1.5-2.5-3 Approximately 150 barrels containing chemicals stored outdoors on the ground. 310 CMR 30.690 Unlocked containers of hazardous materials stored outdoors on the ground. 8-1.8-2 Hazardous materials were handled outdoors. 9-1 Hazardous materials were released upon the ground. You are directed to remove and properly dispose of all chemicals from this property within thirty(30)days of receipt of this order. You may request a hearing if written petition requesting same is received within 7 days of this order. Any person who shall fail to comply with any order issued pursuant to the sections of this Ordinance shall,upon conviction,be fined 300 dollars. Each days failure to comply with an order shall constitute a separate violation. In the alternative to criminal prosecution,the Health Department may elect to utilize the non-criminal disposition procedure set forth in MGL c.40,s.21 d. Non-criminal ticket citation for any violation of any section of this Ordinance shall be in die amount of$75.00 for the first violation and $25.00 for each additional violation. Each day's failure to comply with our order shall constitute a separate violation. PER ORDER OF THE OARD OF HEALTH Thomas McKean Director of Public Health RA TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair nters BOAR OF HEALTH O satisfactory 3.2.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY Y n, �� (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS 0 < � �� lass: 7.Miscellaneous `a I v f QUANTI IES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MATEft S Case lots Drums Above Tanks Underground Tanks IN OUT IN JOUTI IN OUT #&gallons Age Test Fuels: 6 *1 Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: C waste-m.ot. r oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: -,A / ) degreasers Miscellaneous: tn A l ' UJ , � L61VI ` CA611 1l I c L DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply 17, f OLL 1 0 MJ Or 1 6yC O Town Sewer OPublic 0/Vc O On-site OPrivate l ` 3. Indoor Floor Drains YES NO 11(� O Holding tank: MDC !< O Catch basin/Dry well i s5- o t.-,o wr wrm ri a p O On-site system ;< � � �: v O` 4. Outdoor Surface drains:YES NO O Holding tank:MDC — • G O Catch basin/Dry well / J (Al- 0 On-site system r� � —QUORC- ). o c 5. Waste Transporter / `1 Name of Hauler I Destination Waste Product 2. Person (s) Interviewed,- 9?0w, —U,/ /A/, nector Da -_ .-_ '.. !T-,A.l.f•,... - . .i l��•r1.ri�-•. .-� ..w�i1.r r � .•I.- .-r"Y - - - y .s I r I r r TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair Q satisfactory 2.Printers BOARD1', OF+\� HEALTH 3.Auto Body Shops COMPANY rii�1 If) ���L unsatisfactory- f4.Manufacturers (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS ��r"C /�1 -0�►� � � �h Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN- indoors;OUT-outdoors) 1-� y�; {�(''� ; MAJOR MATERIALS Case lots Drums IN OUT IN OUT IN OUT #&gallons 777 Test Fuels: • � . Gasoline,Jet Fuel (A) I Diesel, Kerosene, #2 (B) Heavy Oils: / waste motor oil (C) new motor oil (C) transmission/hydraulic ' Synthetic Organics: y L '19 tip! degreasers -(=>.L_J iz Miscellaneous:LkUOf__� Or— R C16 m DISPOSAIJRE(;LAMATION REMARKS: (,M rn //a�/ '/�r/ ( UL1 9v ! 11� 0r l ! I/lU (�C&,` 1. Sanitary Sewage 2.Water Supply O Town Sewer.:'{ OPublic �, Ic-%t\S //V DP/- Al O On-site-•""s OPrivate 41 L�/V Lk A4L-�� Q �-i )� 3. Indoor Floor Drains YES NO r 0� , I� IVOO }n l iPkQ1)J, ., I O Holding tank:MDC V�VK /I v t/C./� O Catch basin/Dry well �'' 19 ()L oo , So1� W rM Pk9l)Duc O On-site system Iofa6n HIV s �,.5 otJn .l)(:� rOu,) 4. Outdoor Surface drains:YES NO ORDERS', O Holding tank:MDC � I r�� - A t' ml 1)wm O O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination n 1. Product:..o /— el`11)A 2• Person (s) Interviewed I �-., r- U.'i- „ Inspector ( Date f 04/06/95 12:52 TRAFFIC FAX 4 5087753344 004 elect !-I�T , E""^N MATERIAL. SAFETY DATA SHEET 5 Gourl"elect CH EIV CAL EXXON CHEMICAL AMERICAS, P.O. BOX 3=72, HOUSTON, TEXAS 77001 A D.vsslon of EXXON CHEMICAL COMPANY, A Oiv�.ion of EXXOH CbAPOAAT10N rr PAGE ! 1 VARSOL 1 SOLVENT DATE PREPARED: OCT 18, 1994 MSOS NO: : 92890627 SECTION 1 PRODUCT IDENTIFICATION & EMERGENCY INFORMATION PRODUCT NAME : VARSOL 1 Solvent CHEMICAL NAME : Not Applicable: Blend CAS 8052-41-3 CHEMICAL FAMILY : Petroleum Hydrocarbon PRODUCT DESCRIPTION: Clear colorless liquid with a petroleum odor . EMERGENCY TELEPHONE NUMBERS : EXXON CHEMICAL AMERICAS 800-726-2015 CHEMTREC 800-424-9300 SECTION 2 HAZARDOUS INGREDIENT INFORMATION The composition of this mixture may be proprietary information. In the event of a medical emergency, compositional information will be provided to a physician or nurse. This product is hazardous as defined in 29 CFR1910. 1200, based on the following compositional information: COMPONENT OSHA HAZARD etroleum hydrocarbons Combustible Stoddard Solvent OSHA PEL; ACGIH TLV Trimethylbenzene OSHA PEL: ACGIH TLV For additional information See Section 3. SECTION 3 HEALTH INFORMATION & PROTECTION NATURE OF HAZARD ' EYE CONTACT : Slightly irritating but does not injure eye tissue. SKIN CONTACT - Frequent or prolonged contact may irritate and cause dermatitis. Low order of toxicity, Skin Contact may aggravate an existing dermatitis condition, INHALATION: . High vapor/aerosol concentrations (greater than approximately 1000 ppm) are irritating to the eyes and the respiratory tract , may cause headaches, dizziness, anesthesia, drowsiness, unconsciousness, and other central nervous System effects, including death, INGESTION : Small amounts of this product aspirated into the respiratory system during ingestion or vomiting may cause mild to Severe pulmonary injury, possibly progressing to death. Minimal toxicity, 04/06/95 12:52 TRAFFIC FAX 5087753344 D05 E-ZFP%N MATERIAL SAFETY DATA SHEET CHEMICAL EXXON CHEMICAL AMERICAS. P.O. BOX 3212, NOU5TON TEXAS 77001 A 0"1 910n of EXXON CHEMICAL COMPANY, A D1r,tion eF EXXON CORPORATION PAGE : 2 VARSOL 1 SOLVENT DATE PREPARED: OCT 18, 1994 MSDS NO. : 92890627 FIRST AID EYE CONTACT : Flush eyes with large amounts of water until irritation subsides . If irritation persists, get medical attention, SKIN CONTACT : Flush with large amounts of water; use soap if available, Remove grossly Contaminated clothing, including shoes, and launder before reuse. INHALATION: Using proper .respiratory protection, immediately remove the affected victim from exposure. Administer artificial respiration if breathing is stopped. Keep at rest. Call for prompt medical attention. INGESTION: If swallowed, DO NOT induce vomiting. Keep at rest. Get prompt medical attention, WORKPLACE EXPOSURE LIMITS OSHA REGULATION 29CFRISIO. 1000 REQUIRES THE FOLLOWING PERMISSIBLE EXPOSURE LIMITS : A TWA o'f 100 ppm (525 mg/m3) for Stoddard Solvent. A TWA of 25 ppm 025 m9/m3) for Trimethyl Benzene, The recommended permissible exposure levels indicated above reflect the levels revised by OSHA in 1989 or in subsequent regulatory activity. Although the 1989 levels have since been vacated by the filth Circuit Court of Appeals, Exxon Chemical recommends that the lower exposure levels be observed as reasonable worker protection, THE ACGIH RECOMMENDS THE FOLLOWING THRESHOLD LIMIT VALUES : a TWA of 100 ppm (525 mg/m3) for Stoddard Solvent . a TWA of 25 ppm ( 123 mg/m3 ) for Trimethyl Benzene. EXXON RECOMMENDS THE FOLLOWING OCCUPATIONAL EXPOSURE LIMITS : 100 ppm total hydrocarbon based on composition, PRECAUTIONS SPECIAL PRECAUTIONS: Health studies have shown that many petroleum hydrocarbons pose potential human health risks which may vary from person to person. As a precaution, exposure to liquids, vapors, mists or fumes should be minimized. PERSONAL PROTECTION: For open systems where Contact is likely, wear safety glasses with side shields, long sleeves, and chemical resistant gloves. Where Contact may Occur, wear safety glasses with side shields. Where concentrations in air may exceed the limits given in this Section and engineering, work practice or other means of exposure reduction are not adequate, NIOSH/MSHA approved respirators may be necessary to prevent overexposure by inhalation, VENTILATION: The use of local exhaust ventilation is recommended to control process emissions near the source. Laboratory samples should be stored and handled in a tab hood. Provide mechanical ventilation of confined spaces . See respiratory protection recommendations . 04/06/95 12:53 TRAFFIC FAX i 5097753344 006 E�oN MATERIAL SAFETY DATA SHEET CHEMICAL EXXON CHEMICAL AMERICAS, P.O. BOX 3271, HOUSTON. TEXAS 7700 6 A Division of BXXON CHEMICAL COMPANY, A Oivi;ion of EXXON CORPORATION VARSOL 1 SOLVENT DATE PREPARED: OCT 18, 1994 MSO5 NO. : 92890627 SECTION 4 FIRE & EXPLOSION HAZARD FLASHPOINT: 104 Deg F . METHOD: TCC NOTE: Minimum FLAMMABLE LIMITS : LEL: 2. 1 UEL: 13 .3 :0 77 Deg F , NOTE: Approximate AUTOIGNITION TEMPERATURE : 490 peg F , NOTE: Approximate GENERAL HAZARD : Combustible liquid, can form combustible mixtures at temperatures at or above the flashpoint , Static Discharge, material can accumulate static .charges which can Cause an incendiary electrical discharge . "Empty" Containers retain product residue ( liquid and/or vapor) and can be dangerous. DO NOT PRESSURIZE, CUT, WELD, PRAZE, SOLDER, DRILL, GRIND, OR EXPOSE SUCH CONTAINERS TO HEAT, FLAME, SPARKS, STATIC ELECTRICITY , OR OTHER SOURCES OF IGNITION; THEY MAY EXPLODE AND CAUSE INJURY OR DEATH. Empty drums should be completely drained, properly bumped and promptly re- turned to a drum reconditioner ,. or properly disposed of . FIRE FIGHTING : Use water spray to cool fire exposed surfaces and to protect personnel . isolate "fuel " supply from fire, Use foam, dry chemical , or water spray to extinguish fire. Avoid spraying water directly into storage containers due to danger of boilover . This liquid is volatile and gives off invisible vapors. Either the liquid or vapor may settle in low areas or, travel some distance along the ground or surface to ignition Sources where they may ignite or explode. HAZARDOUS COMBUSTION PRODUCTS : No unusual SECTION 5 SPILL CONTROL PROCEDURE LAND SPILL: Eliminate sources of ignition. Prevent additional. discharge of material , if possible to do so without hazard. For small spills implement cleanup procedures: for large spills implement cleanup procedures and, if In public area, keep public away and advise authorities . Also, if this . product is subject to CERCLA reporting (see Section 7) notify the National Response Center. Prevent liquid from entering sewers, watercourses, or low areas. Contain spilled liquid with sand or earth. Do not use combustible materials such as sawdust , Recover by pumping (use an explosion proof or hand purnp) or with a suitable absorbent . Consult an expert on disposal of recovered material and ensure Conformity to local disposal regulations . WATER SPILL: Eliminate sources of ignition. Warn occupants and shipping in surrounding and downwind areas of fire and explosion hazard and request all to stay 04/06/95 12:53 TRAFFIC FAX 4 5097753344 907 EgWN MATERIAL SAFETY DATA SHEET CHEMICAL EXXON I A Ot—s lonCofNEXXONAC145MICAL COMPANYO,XA3Oi-i*snonSoOfNEXXONACORPORATION VARSOL I SOLVENT DATE PREPARED: OCT 18, 1994 MSOS NO, : 92890627 clear , Remove from surface by Skimming or, with suitable adsorbents.. If allowed by local authorities and environmental agencies, sinking and/or suitable dispersants may be used in non-confined waters. Consult an expert on disposal of recovered material and ensure conformity to local disposal regulations, SECTION 6 NOTES HAZARD RATING SYSTEMS: This information is for people trained in: National Paint & Coatings Association's .(NPCA) Hazardous Materials Identification System (HMIS) National Fire Protection Association (NFPA 704) Identification of the Fire Hazards of Materials NPCA-HMIS NFPA 704 KEY HEALTH ' 1 0 a = Severe FLAMMABILITY 2 2 3 = Serious REACTIVITY 0 0 2 Moderate 1 = Slight 0 a Minimal SECTION 7 REGULATORY INFORMATION DEPARTMENT OF TRANSPORTATION (DOT) : DOT SHIPPING DESCRIPTION: NAPHTHA. SOLVENT, COMBUSTIBLE LIQUID, UN 1256, III Note: In containers of 119 gallons capacity or less this product i,s not regulated by DOT . FLASHPOINT: 104 peg F . METHOD: TCC NOTE : Minimum TSCA: This product is listed on the TSCA Inventory as a UVCB (Unknown, Variable Composition or Biological ) Chemical at CAS Registry Number 8052-41 -3 CERCLA: If this product is accidentally spilled, it is not subject to any special reporting under the requirements of the Comprehensive Environmental Response, Compensation, and liability Act (CERCLA) . We reCommend you Contact local authorities to determine if there may be other local reporting requirements, SARA TITLE III : Under the provisions of Title III , Sections 311/312 of the Superfund Amendments and Reauthorization Act, this product is classified into the following hazard categories: Delayed Health, Fire, 04/06/95 12:53 TRAFFIC FAX 4 5097753344 D08 EA`*9Z(0N MATERIAL SAFETY DATA SHEET CHEMICAL EXXON CHEMICAL AMEAICAS, P.O. BOX 3272, Ho $TON, TEXAS 77001 A Oivisio. of EXXON CHEMICAL COMPANY, A Oivision of EXXON CORPOORAT10N PAGE: 5 VARSOL 1 SOLVENT DATE PREPARED: OCT 18, 1994 MSOS NO. ; 92890627 This information may be subject to the provisions of the Community Right-to-Know Reporting Requirements (40 CFR 370) if threshold quantity criteria are met. This product contains the following Section 313 Reportable Ingredients: COMPONENT CAS NO. MAXIMUM 1 . 2,4 Trimethylbenzene 95-63-6 4.0 SECTION 8 TYPICAL PHYSICAL .'& CHEMICAL PROPERTIES SPECIFIC GRAVITY : VAPOR PRESSURE , mmHg at 'F : 0.80 at 60 . 2 at 68 Approximate SOLUBILITY IN WATER, WT . % AT OF : VISCOSITY OF L.IOUID, CST AT OF : Less than 0.01 at 77 1 .3 at 77 Approximate SP . GRAV . OF VAPOR, at 1 atm (Air=1 ) : FREEZING/MELTING POINT, °F : 3.50 Calculated 1 EVAPORATION RATE, n-Bu Acetate=1 ; BOILING POINT, OF : Less than 0. 1 31S to 394 SECTION 9 REACTIVITY DATA STABILITY : HAZARDOUS POLYMERIZATION: Stable Will not occur ;ONDITIONS TO AVOID INSTABILITY : Not Applicable MATERIALS AND CONDITIONS TO AVOID INCOMPATIBILITY : Halogens, molten sulfur, strong oxidizing agents . HAZARDOUS DECOMPOSITION PRODUCTS: None SECTION 10 STORAGE AND HANDLING ELECTROSTATIC ACCUMULATION HAZARD: Yes, use proper grounding procedure STORAGE TEMPERATURE , °F ; LOADING'/UNLOADING TEMPERATURE, OF : 1 Ambient Ambient STORAGE/TRANSPORT PRESSURE. mmHg: VISC. AT LOADING/UNLOADING TEMP . , GST ; Atmospheric 1 .2 04/06/95 12:54 TRAFFIC FAX 4 5087753344 1?09 EvON MATERIAL SAFETY DATA SHEET CHEMICAL, EXXON CHEMICAL AMERICAS, P.O. BOX 3272, HOUSTON TEXAS 7700, m A 01r1tion of EXXON CHEMICAL COMPANY., A Olvltlon of EXXON CORPORATION PAGE; 6 VARSOL 1 SOLVENT DATE PREPARED: OCT 18, 1994 MSDS NO. : 92890627 Iw- - I• l REVISION SUMMARY : Since JANUARY 12, 1994. this MSDS has been revised inSection(s) ; 7 REFERENCE NUMBER; DATE PREPARED : SUPERSEDES ISSUE DATE; HOHA-C-25038 October 18, 1994 January 12, 1994 FOR ADDITIONAL PRODUCT INFORMATION, CONTACT YOUR TECHNICAL SALES REPRESENTATIVE FOR ADDITIONAL HEALTH/SAFETY INFORMATION., CALL 713-870-6884 THIS INFORMATION RELATES TO THfi SPECIFIC MAT£gIAL DESIGNATED AND'MAY NOT Bfi VALID FOR SUCH MATERIAL VSEO IN COMBINATION WITH ANV OTHER MATERIALS OR IN ANY PROCESS. SUCH INPOAMATION ($ TO THE BEST OF OUR KNOWLEDGE AND BELIEF, ACCURATE AND RELIABLE A$ OF THE DATE COMPILED. HOWEVER, NO REPRESENTATION, WARRANTY OR GUARANTEE 1$ MADE AS TO ITS ACCURACY, RELIABILITY OR COMPLETENESS, IT I$ THE USEA'S AESPONSIOILITV TO SATISFV HIMSELF AS TO THE SUITABILITY AND COMPLETENESS OF SUCH INFORMATION FOR HIS OWN PARTICULAR USE, WE 00 NOT ACCEPT LIABILITY FOR ANY LOSS OR DAMACE THAT MAY OCCUR FROM .THE USE OF THIS INFORMATION NOR 00 WE OFFER WARRANTY AGAINST PATENT INFAINCEMENT, TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS: �-� S -� ; a Board of Health MAILING ADDRESS: Town of Barnstable TELEPHONE NUMBER: P.O. Box 534 CONTACT PERSON: 17a Hyannis, MA 02601 Does your firm tore any of the toxic or hazardous materials listed below, either for sale or for your own use, in q ities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered when stored in quantities totalling more than 50 gallons liquid volume or 25 pounds dry weight. Please put a check beside each product that you store: Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids ,��I �be toxic or hazardous (please list): (dry cleaners) eel,(krr AM ,," _M Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business s TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS: +- r-� Board'of Health MAILING ADDRESS: G Town of Barnstable TELEPHONE NUMBER: P.O. Box 534 CONTACT PERSON: Hyannis, MA 02601 op Does your firm store any of the toxic or hazardous materials listed below, either for sale or for : your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO - ;.;This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: t ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered when stored in quantities totalling more than 50 gallons liquid volume or 25 pounds dry weight. Please put a check beside each product that you store: h Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel . Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides,,herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wadi detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons; Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) ��, '� � A-W4 1 �44� 4 Other cleaning solventsoy Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business i TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair O satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline Jet Fuel(A) Diesel, Kerosene, #2 (B) "�aZ Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: DISPOSAIJRECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply O Town Sewer OPublic O On-site OPrivate 3. Indoor Floor Drains YES—NO- 0 Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC Q444 OfLl -'L� — O Catch basin/Dry well O On-site system C7 V lvg _ 5.Waste Transporter DestinationName of Hauler YES NO 1. 2. Person (s) Interviewed Inspector Date TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair O satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops �' , � fJ unsatisfactory- 4.Manufacturers C0MPANY.rAA •rl .'1 t.1tr, �i�fi�ri'' O (see"Orders") 5.Retail Stores t 6.Fuel Suppliers ADDRESS i Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test v Fuels: " Gasoline,Jet Fuel(A) Diesel, Kerosene, #2 (B) Heavy Oils: *a waste motor oil (C) I i new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers ' � a Miscellaneous: r t DISPOSALIRECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply O Town Sewer OPublic � O On-site OPrivate y C 3. Indoor Floor Drains YES NO O Holding tank:MDC O Catch basin/Dry well O On-site system y 4. Outdoor Surface drains:YES NO ORDERS: f F� O Holding tank:MDC ,4'$ 41:41 !�CV�, ,hr•t :. r -;1 :s,. O Catch basin/Dry well b /s 11,�!^�rgf��.,i rS. A�,/9° , ..�� -�- ,I •. �;'•f, f'.ti O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES NO 1. 2. Person (s) Interviewed Inspector Date , . ram Make appiicat 6ti to-ioca1:Fire De at`tnment. . Fire Department retains original application and issues-duplicate as Permit. ' 1J8�4� V�—✓f7ol�XlL 4�(�1f� �l�2leyttvly APPLICATION and PERMIT F": for.storage tank removal and transportation to approved tank disposal yard in a000rdance with the provisions of fv AL. Chapter 148, section 38A, 52.7 CMR 9.00,application Is hereby made by: Tank Owner Name(please print)i'gwyy2 hlo,M;ve c; T s J^ X Address. CJe fs�0��'� LCJac-1 d 0,v3uc%� .2 /G T�es2ie,Jo.T/ n2- �/yI7tiw�f /1l/3 G 36�/ Suva o?Y &rare rQ • Company Name Frank Corp. Environmental Services Co or Individual ~ Address 615 Tarklin Hill Rd., New Bedford, MA 02745 Address Signature If apoying for null Signature(if-applying forpermit) Certified other' . ❑-IFCI Certified O LSP 1t Other -171 Tank Location o y %�%ti Oo li�i`� A �� S CKY Tank Capacity(gallons) -a-7 S - Substance Last Stored- 4-s Tank Dimensions(diameter x length) ` Remarkr A b o u _c o u •v /�E�T/�/G- or 1. T�y/c Firm transporting waste F R g— k. C a.� N',�• ,� State.Lk;.1f 3 `f Hazardous waste manifest# EPA# Approved tank disposal yard ri_ C s l S c 1 .r Tai*,.yard 0 l z eA-7 Type of Inert gas d^'4 Tank yard address T p T 2 d t.v e.c i City or Town_— H y14 Al N l S FDID#_ O PenNt# 0G72+ Date of issue�'-6=o 7=O lei_ `' Date of expiration Dig safe approval number. FDin Safe Toll Fr el.Number-W?322-4844 Signature/Tide of Officer granting permit 9 After removal(s)send Form FP-29OR signed by Local Fire Regulatory CompC lnit,'Off' .� 'ton Place. Room 1310,Boston,MA02-108-1618. "41 '. FP-292(revised 9/96) 41' Tow of Ba n ' rnsta`nil Fmd�MaplPareel ��313009001 _ - '" Health Department Wealth System �� Map/P,arcel 313009001 Tank Nbr .1� T€ag Nbr; Installed: £ location: A Test Not�ificatwon Date � es Removal Notification Date: Tt: Abandon: Removal: �,ariance' Fuel Stored: FO Fuel S,torageReason. _ _ it - Capacity� ' Construction Leak Detection Cathodic Qetestion .:, dditional Details ' ��' z Adti� '� Change�Record�? d I { I i `moo l� W j/35.6 + { •,. ;•„43.6 2.5 i,32°8 8B STANDARD LEGEND ; " ��57.6 /\ X 55.1 ; 58°2 note: not all symbols will appear on a map X 57°6 \1/59. 1� 59°6 GOLF COURSE FAIRWAY `60° '� °3 DECIDUOUS TREES X59 54.5 EDGE OF BRUSH i/59.3 ' ti 58.2 58.5 z >/47. _-? , 4 .7 1 , 57°4 - , ORCHARD OR NURSERY \ •�59°7 59°0 ' '1 ��58°3CD CONIFEROUS TREES i�63°5 �/62°7 �, 59.0 ; ++1 ''•ry� MARSH AREA X 53.2 ; 60.5 �57.7 1 1 - r t��2•� - - - - - - - -- -- - - - - - 8 /6 ;/ 51°8 �� EDGE OF WATER , , 5 8.8 61°0 1 53.7 ; ~ ~ _ DIRT ROAD ?/58.7 �� }�58. 56.2 ` , _ate_ DRIVEWAYS ,•�60°2 / \60.7 , 51.2 A - PARKING LOT �\ PAVED ROAD 3B .� 59.1 <55°7 ,�5 2 , { DITCHES >/58. >\52.2 �/ i 52.6 � 55.1 4 - \ -' PATH/TRAIL 60° /� 61°� }/ °8 I i�47.8 \/60. . f `60 9 Q ROAD LAYOUTS -- _ _ _ - ._._ _ _ _ ._.._ _ ._.... _ .._. _ _._. _ _ ...._ �., .�,. . � �.. ,� _ � _ � � ._.. _ � _ 5$°7 _.. _... .� - _ __ _ PROPERTY LINES • R-�� i , � � _SL_� 36.1 X58.7 \60°2 }/46°9 `53 ; ; ~- WATER PROPERTY LINE L f� 1 r`5$ 50°5 _ \44 1°4 w?' MAP AND PARCEL NUMBERS >1 44°6 �� 59°1 �/54°6 �� '� r�43. 2 FOOT CONTOUR LINE 3H `'�37°6 10 FOOT CONTOUR LINE 57.3 !' i/37.6 /39.8 `��`�\ .3 X58.8 8H1 v X4.9 SPOT ELEVATION 51.7 l ` .4 V 44°3 , cx STONE WALL 7 X56.8 1� I :58. }� .32. i\45° /56.8 \/57.7 ���/ 4.3 �___, \ FENCE 8H2 }/ 51.2 f� ys \ /47.2 >/46.6 �� 31.6 �,� RETAINING WALL 4 1 ' >/57°0 RAIL ROAD TRACKS . ' }�577 35•� TELEPHONE POLE / 1 57.7 r�47.4 / /56.8 �/ \/36.2 ' 2.5 r/45.8 �� ��32 5 / ,,,` , , STONE JETTY 57.0 E;.2 >/35.9 �� SWIMMING POOL � , 43.6 }/54.2 %' ' 9H , 33.1 PORCH/DECK 507 gH r ;•;38.7 ,� ~ ~ ~ -~ ~ - BUILDINGS/STRUCTURES 43.0 DOCK PIER JETTY 54.3 C / �.4 l� 49.1 /'\47°4 0.1\• f/49°4 i� �,/50°6 3 3 \ 51.8 � 48.8 5 2°9 i/44.2 MAP 312 PAR 009 � 48.3 0(0 } �, T.O.B.GEOGRAPHIC INFORMATION SYSTEMS UNIT E9- 51.6 �`6 �/40.9`'/48.7 �� •4'- • ,� __ ~� r/54°5 4° SCALE: in feet ......:::: .1 `Q t too r� 3.5 \�• %/3 •2 52.7 r/50.9 40.8 + 4 40. `2 .3 f�46.6 �•�54.4 / FILE:HEALTH.DGN • r� m1e 4-7-95 }/52°6 , / / NOTE:THE PARCEL LINES ARE ONLY GRAPHIC REPRESENTATIONS OF •�39°2 f\ f 47°1 �48°4 PROPERTY BOUNDARIES,THEY ARE NOT TRUE LOCATIONS cmh B-3-94 49.1 VEGETATION,TOPOGRAPHY AND PLANIMETRIC DATA INTERPRETED \•/46.2 \39°$ FROM 1989 AERIAL OVERFLIGHTS,PHOTOGRAPHY AT 1"=800' /52.2 }�40°3 \ 43.1 MAPPED AT 1"=100'. PARCEL DATA DIGITIZED FROM 1"=100' f \/4 ` / ��4 2.8 ENGINEERING ASSESSORS MAPS 1989 \ / A A A A r L r-ti t,v L./-1 I l v l v l c�I 1_v u ..- -- ► R Project Name Ucf E'c.tP�+C cal' E 1- Loc�t+r>n�/M_R'NT tt'f�0 �l'i'INti/r:1 O SEP-t 1 C -De�+�rt Co\culct��o nS PeoleCl No .—Date__ '_2_..�-:-8 7----V*athe.-c�.A'•+r:. 75 ✓ J /i: + l CA P ec�u,rocdcl �n (o• lLoggedbY DSC DmSbn B Gonttatror - v"1'"c"Of Woteho�se So c3czl Per toot, S•�, �ser do- • REMARKS TP No._-L__ T.PNo. TPNo �.— pf +Ce -16 ICO per IOoo S•�. per da. 1 I GIRD.EL _ GRD EL GRO.EL { G W E G,W EL G. L. .W EL � � E.�1,.•.\�•4ed Ely droul;c L�� rr, ' D -T'oV olu 6 �e 42o G.P.D. / svesot_ ►•lew corset-ue�,on {Wc�Tet�ouse� 8400S•'F. >c___5� Ingo 1 3 al& FINE ExrS{,vr4 �C>C�,c2� t4. -Ss . ,c �S 101 G.P.D . U 1'1Gn r FI.JC c I EI I t ) I o00 1 ter, %a.�o ! 5 21 G.P.D �iAA v(+L Car ps,VFi.., A h0 n t! ATe� - I.C..2 t,r~ 33o L A In /.� � rd6� Co F V t vre•{AMA , ,•C cam, (,�a'? /�' (� Tf' I t0 1' C �t 1r=o,Tut nutty.see 4 , JeP`_-C�Cnt- 31'�G i� n1[ 6r[F T 12 ►Jo v->A*le�.- E P _ /0(1� � L ac.,J'2 t[APwcotstlor TestTIME TIME TIME Start Presoak VUAbL! TO One G lj'10 tgo0 9�•�. �ePktc-���k.ErW PespakareaTte,*M 12-or l ) -4 )e-t3n PereCACL�%01% 2 Tme at 9'tx( ) Tune at6-or( ) S Itic�.•.�ctl� `04�1n•� �.Oo 9`t ,�"• s .� I2fic �r T3p1��M I ald,t, o. c)c11, s. SDI -� Z° Elapsed rune 9--t)' q % = •� d( I-t — Ratetaut kv 2 YllN ,U S.LG aGin,v\ ) CArc 4 / B rock Pertxilalan xCsa9t ,El�r-t Legend EtealsnlR Tow And 31"-50% ( // T.P No--Test Pit Numt,er Location M`" modkim`+ Nth 25-35% !J`Ae$ 1T(1 O)((p) /� GRp El-Grourvi E*Rt on Seasonal G W Max. D: D ftuM Some 15-25y. O j( /8\� /O,�' � - `�� / - / `/a v�T t'^I 4 \r— P 0WEL.-Ground�arerFeAIK)r �ObservedElevetan TraLftce 5-t5.4 ` J l St} 2 Qt X 1O�4 cj4�. f \ / _ TraCe D-sx `� hI -T- ---- Sneer_ _dam_ > 52"t Cjc11. 04-• til >2o(�r�n .�,}+ �,r tin !2.6 t kw h/r{'�} 6t.6AN_�1�D 4 ,'(C'�- lip .. � � -. , r.ofW4ue.+..w'M.r:K.r,':. wF'eeaY*1.1✓,tt.:'•,sea'M1' - .-wa.awz....Mww.+ •.,.own. �.w.M�.�'aY .....w.w+ ' �01��L l�I �. V #.� 1 . .00' i. C .A.V..1.-r.a rv•rA. l L�f�Li�i((�JCa C.. . k3- U� I HIL. ' 1P NOT TO SCALE N2oGPA15 MANHOLE COVER -LOAM 8SEED OR PAVEMENT � � � /�� � � ,�i•� �.;x �j F ec¢ f BROUGHT TO FINISH GRADE-, � F;. ' �i11 :it0CM luar �CY 1c� �'JC Corer>�v�ed orti �� t'C I - Fi •� �/ 2"MIN.OF 1/8' ` / a b �, ha.111 �,0 2�o S,F. � �.23 A � t2"MI7. = �FILt_ l� TO ), 2 11 A rLe� w� s 1 STON WASHED � ' i i 2 t / OB . 7 [� O O D r\ TE T T ^' - a ° � c 4V'T►+SA�'U IM-t0 LOA(1{N' a o 0 o t� 0 0 0 t�� � � Q - ► ,o X 2 ><o , 23 c� c� 2"I, 60 _c /Y\11c"I I �'' �0 PRFCncT �„ ro . ,c UNLcSS 0^ . \� It�j ,�' Q ED � "I I }� PAVEMK"NT C•1 V t E OR / �[. Y > 3/4 To 1` 2" O o ^ C7 r� '� o ci a TRAVF F ` v + WMF EIN �0 `n -�, t1tct �tc�t� ��rcc4 utreA � 4 1 t VA,L . � Ot c CNtt.G p.. � � � I �.. -R wn-HCn • o, ham-°—� -. A LL - a rs o �� c� :� -, r, o � 0• � A L ��+� ►- l P,l I { 2 2 0 5 aL W ,/,` p�A r �► ti o '7 � ram, IAj o� `\ o c�c lr�c� 2 .o o �c>, l �, o c� r 111D -4 R y I i h` � / L e a C � ,,o ct r-e c,., �c>r t Cc+ )C G I � I ' Q ___.__ Co/91 A-- - -¢ --•-I \_a` � I �- c A G fir, ,�;� � �,, -�-�'- G 1~- • � U �� Q y 2' c� ` c� l l r�d -) / fir)`✓'� r-- 10 �,� �_ \ j �Q � �►� >jl �, �� �Icte T1; �ta>1(,Ga� C2 •o�� *� `�j�`( S'—e _ ,M '-I-- r 5 d- 3 G A L, > 205 C>L \ �\\ .... ,, y / T•--..+. -.. ..v.. .... .•+rwr•.,..,w w..sr+.c+..a...,.wrrerwr,w.. - .� w: __- �` -• - -__. ._........�-.+.-CS.Z'�1.� ...«,.. a.+atlrwwrrw•rw,+.. , j _ r G! ,�,EA G/y/NCB C N TG SBA-611V6 This drawl g is the property of THE WILLIAMS INVERT ELEVATIONS- COMPANY, DESIGNERS & BUILDERS INC. and \ f�, II Jy _� to anothy not er without ptlhe writtenced or divulged of �. _-.�, INVERT AT Bl„LDING `,, -- INVERT AT SEPTIC TANK(in) z SEPTIC TANK DETAIL. /����� �;,q��� , DISTRIBUTION BOX DETAIL. LEACHING PI-i CET!all_' I HE: WILLIAMS NOT TO SCALE NOT TO SCALE INVERT AT SEPTIC TANK(out) _3�Lu" NOT TO SCALE \ NOTES I SEPTIC TANK SHALL BE STEEL 4 INLET AND OUTLET TEES TO Of CAST IRON OR NO. OF OUT L[T;_8 _ _ MANHOLE COVER LOAM B SEEP INVERT AT DIST BOX(in) �� ,i REINFORCEOCONCRETE SCHEQeOPVC. TEES TO BE CENTERED UNOELI -- '� ON PAVEMENT I BROUGHT TO FINISH GRADE \ �, MANHOLE COVER. NOTES INVERT AT DIST. 80X(outt) I L/ �_t 2 SEPTIC TANK TO WITHSTAND H-10 LOADING _ -y_ UNLESS UNDER PAVEMENT,DRIVES OR - ' L DIST BOX TO WITHSTAND H.10 LOADING _ , t 2 MIN OF 1/8 INVERT AT LEACHING , TRAVELED WAYS,WHEREIN M-20 LOADING rJr- TO I/2 12"MtN �FtLL ��flQ f 1 I UNLESS UNDER PAVEMENT, DRIVES OR SMALL APPLY U PR CAST ' TRAVELED WAYS WHEREIN H-20 LOADMIG WASHED 1 E t SHALL APPLY STONE 60TTOM OF LEACHING - ©,�i ,' S ALL PIPE CONNECTIONS AND CONCRETE rArsore covtR t0" 1 I DIST I I U s.G s MAXIMUM GROUND CONSTRUCTION TO BE WATERTIGHT eROusNr To FINIS. $R+ot ) Box 2 PRMDE IWET TEE ORBAFF-E WHERE SLOPE OF INLET PIPE EXCEEDS o.O#FT/FT OR IN PVC INLET PIPE, 0 �y ° r i �lJ I{�//�'. ' `I �., WATER ELEVATION L--- ---J S PUMPED RST SO FEET OUT OF GIST o c� ct cn o o D fl TW OF PIPE 0 tp 4 ' NOTE' OBSERVED GROUNDWATER t- -" '��G' -"I _._-_.� Box TO BE IAtO LEVEL, o LEACHING LOADING o -+� - r PIT TO / PLAN VIEW �OO� o o o C� cz) n ° e WITHSTAND H-10 L iN ELEVATION �/ I \ J S T UNLESS UNDER /ff---YYY roRrwt rar[R tvtt AOLE PRECAST PAVEMENT DRIVE OR T- - - COVER w 3/4"TO I-I/2" o o cm cD oSa o o a PAVEME T, WAY WHEREIN � -� DOUBLE 4 t LEACHING PIT o N- 1 20 LOADING SHc'u; wL[r rcl I 1 PROVIDE — Is. STONED O APPLY -L-- f wATERTIG"T to , 1 Jl'6• no r�nst �jvlit�I t�� G�� i I �/1� `/ • C�xl��( I��; , - PwAul. - SEE �-Nils �, iotNTsltrP) t I' '1• W O o Cl o 0 0 ® o o L �� 4 INLET 1J' MOTE t ..j 'J 1 _ / ISSUED si.0 "y t�k /� Do 1101R0 DEPTH 0`e�[r I � �E 4.rUTt.E T� �..__.. . L. .1 — _ o o O o a o a c 0 a 1 � °'t•.A L,Aif9`.V _ _ bIJG bottom On LEVEL [TABLE SAS[ �:'� -��Q � V� -�T TOM ON , w J' • __ - LEVEL STABLE _ ___ I ' r J�Tiz' I� r��� �t� ! +�,r�/�-• {� --�%.dtr3 { ,L.,L...,.G .. ---�--------Y— � � •� f-'"9.%'K--11 T �h�''�iv� t/, Pt AN vtEw CROSS-SECT" vlEw �- I �O aA -.... . __ � �T�; ., , -►"_O �� G•"� s�i i 'A'"�. CROSS-SECTION BAi'E boo b,G — �' I% r Q - loX(/ � !'l � sss � rsz�� e , 1- R i. f a -- i`� DANIEL E. PROJECT N O. DATEBRAMAN THE _-COMPANY t _ _� CIL,- — CIYIL`� �1�/� iv No.32686C,T �I ILLIA1 � 1 ��'� ��_� _L�L� �`�! 1 _ -�'�_�i � �F y DRAWING NO. SCALE I _ oFSS/pNAIE�G �•- 1019 IYANOUGH RD., RTE. 132, HYANNIS, MA.02601 { --- DRAWN PLANNE RS DESIGNERS BUILDERS APP'D BY; NO. DATE REVISION --�/ TIT t. E : I