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Home My WebLink About0735 ATTUCKS LANE UNIT UNIT 1A - Health 7-7777- 735 A;ttuckSeLane Sewer Acct # 3967 Hyannis,�,�ppyy v agc. 91�' e q S 1 �.--w-1�•F-_..\^.-. ,� _. a T ^R • � .,/.r.-ram .Yr..'-fYY.�vr+�r`"+'�R...-+h.+.��..+-R,/-,-� ti.-..r.w. �.'.. � ,.*"-., "-..1. .. _..� r _ . - No. l0 '(� Fee " �• ' V— THE COMMONWEALTH OF MASSACH SETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZippYication for ai.9;po5al p.5t ongtruction Permit Application for a Permit to Construct( ) Repair( ) Upgradi(t (Abart ❑Complete System ❑Individual Components Location'Address or Lot No. 935 C&5 Owner's Name,Address and Tel.No. Assessor'sMap/Parcel �14nniS 17g5S Installer's Name,Address,and Tel.No. l' .4)1k &21W)e Designer's Nam Address and Tel.No. �3��A6�C.�� -E SAr,�micN �r3`S3 75do /Y�A Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder ( ) Other Type of Building�QpTj!K//� k No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided d gP Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when ap licable) VII( `,j In W Date last inspected: Agreement: - The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in i accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of ]]�7 Compliance has been issued by this Board of Health. f �� Si C� Clll Date 3//� 3 Application Approved by Date Application Disapproved y: Date for the following reasons s 00 Permit No. Date Issued Ian _-------_—_ — --------------- -- - - _-- —_-__—__-_ THE COMMONWEALTH OF MASSACHUSETTS 1 BARNSTABLE, MASSACHUSETTS Certificate of Compliance ; `r THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded:,(i )m Abandoned( )by �• at has been cord ucted' accordance . WA the provisions of Title 5 and the for Disposal System Construction Permit No. !�"' % dated Installer Designer #bedrooms Approved design flow gpd The issuance of this permit sh 11 not b construed as a guarantee that the system ill func n si ned. Date �� Inspector -- — ----�— ------ - T------------ .r..._..-.,�, � .•+v.•., p \\1)'}"` _v....'r-:�`bv� ''-r �,;;.,{�jy?�f.4.t:-:.. .. ^^�'y.i• `�a,� 'v s I Fee !� I Entered in`computer: THE COMMONWEALTH OF"MASSACHUSETTS Yes ' PUByC HEALTH DIVISION.-`TOWN OF BARNSTABLE, MASSACHUSETTS «'•- • ., pp Yication fAr mig�ogar p texn- ott6tructiott erm�it Application for a Permit to Construct O i Repai.X O -Upgrade O Abantlo ❑ Complete System ❑Individual Components Location Address or Lot No. /J ��/��k� �A/� Owner's Name,Address and Tel..No.' `i [ �y4,T L (/ ZA, �,/ Assessor's Map/Parcel l�(1 Ail n/f. !�� j ��}}/ G/ %3a/ /C/i r Installer"s Name,Address,and Tel.No., 3 GI`7176R Designer';;AM Address and Tel.No. 3 7A�ilA 6��7C n E SArk/�vA �3 75d D Type,.of Building: } ,Dwelling No.of Bedrooms �,/ Lot Size sq. ft. Garbage Grinder O I Other Type of Building Q6 s /!rW4 No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) AF'ri: v gpd Design flow provided gpd Plan Date Number of sheets Revision Date .s k � T P •�. I Title ., Size of Septic Tank Type of S.A.S. Description of Soil, j Nature of Repairs or Alterations(Answer when a plicable) �^^ & I Date last inspected: Agreement: The.,undersigneil agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in y° ac ordance with the;.provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of -Compliance has beer',idsued by this Board of Health. 4 r i 1 � Si ned , ��S . `�` n Date 3�// O�1] / 'i• 0- Application Approved'by (// U _ Date L1 a Application Disapproved/by: Date l I for the-following reasons U / • '' /� ram' i � % • v I " Permit No. Date Issued, - THE COMMONWEALTH OF MASSACHUSETTS' 1, .. -=' BARNSTABLE, MASSACHUSETTS , Certificate of Compliance . THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgradedf( )' Abandoned( )by -at has been col ructedrn accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. J'- dated - Installer Designer #'-bedrooms Approved design flow gpd The issuance of this permit shall not be construed as a guarantee that the systerriewilll fu ct•o a Nfd\s gned. Date 3 Am/-7 - Inspector ——— —I ———————————————————————— ——— Fee > —, THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS Migpogal *pgtem Congtruction Permit Permission is hereby anted to Construct ) Repair ( ) Upgrade ( ) band System located at and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditionsOprm Provided: Construction Est be completed within three yearsW the date of thi - it. Date Approved by L February 1, 2007 Dear Director, I am concerned with the Commercial business space located at 735 Attcuks Lane, Hyannis, MA 02601 occupied by Cape Cod Rehabilitation and the Barnstable Fitness Center. From what I understand patrons and staff of this company are exposed to building materials such as fiberglass, construction dust, loose electrical wiring and other dangerous elements within this medical setting. If at all possible I would like to have your office investigate and,take action if the property or business:is non-compliant with current codes. Thank you, Concerned Citizen i THE dWONWEALTH OF MASSACHUSETTS. • TOWN OF BARNSTABLE SWRvUVE IG POOL INSPECTION REPORT TYPE OF POOL: PUBLIC ❑ SEMI-PUBLIC ❑ SPECIAL PURPOSE POOL VOLUME: GAL. MAX. BATHER LOAD NAME OF POOL I ` Q ADDRESS UCrL'S L.1 OWNER I I ADDRESS Regulation 105 CMR 435.000 effective date:2/20/98 The items marked below with an"X"indicate the violated provisions.Items marked with a check are satisfactory. f� 0�"athhouse and sanitary facilities adequate lighting,ventilation:sanitary condition.Adequate enclosure around pool.Gate self-latching 4 ft,above ground. � 04 wage disposal cation, structural stability,finish nf'�06,Water circulation&filtration systems.Filter effluent flow meter reading gpm.#of turnovers Suitable automatic equipment for disinfection of pool water. <7��0)2equipment for pH control CO2 cylinders anchored Inaccessible to public Adequate ventilation. 001lets&Outlets-Inlets located to produce uniform circulation.Over rim fill spout 6"above max. water level.Properly shielded&located. ��08 Main drain suction outlets covered w/suitable protective covers/grates.Cannot be removed w/o use of tools.Open area does not provide entrapment of fingers,toes, c...At least one anti-vortex drain provided 08 Each stem outlet protected against user entrapment by anti-vortex cover or by other means.Minimum of 2 suction outlets provided for each pump,properly 1 ated and plumbed. 08 Suction outlet covers in place,unbroken and secure and cannot be removed except w/use of tools.Close pool immediately if outlet covers missing,broken,loose can be removed w/o tools until repairs are made. 08 SS. cial purpose pool&wading pools equipped with emergency shut-off pump switch.Accessible and prominently marked. _L' 09 C s-connections.Potable water supplied through air gap. _ 1� 0 Skimming Facilities.50%of recirculation drawn from surface of pool. I- /✓1��2 Line with floats separates non-swimmer area from deeper water. �ater depth markings on deck and walls.Properly spaced.Bounds line on pool floor and walls. Ste edges marked with contrasting color. P g P Y P rY P P g g _Z alkways&Decks 4 ft.wide. Safe condition. dders,steps-one per 75 feet.Not less than 2 ladders. /(/��5 vmg equipment in safe condition. 17 Pool supervision provided.CPO w/proper training.On staff or on contract,Documentation provided. V21 Pornit issued.Adequate maintenance and testing records. Records initialed by person making tests. 22 Health Regs. Signs posted Warning signs for special purpose pools. `I 23 Lifeguard V-Qual.Swimmer ❑If lifeguard:proper credentials,proper suits and garments worn.Whistle&bullhorn provided.Qual..Swimmer:CPR trained, eZlA approved.Limit bather load to 19 El Red or orange bathing suit with proper lettering for lifeguard El Yellow Qualified Swimmer attire 24 ety Equipment.Ring buoys and rescue hook provided.Rescue tube and backboard w/straps at pools attended by lifeguard.' _ 25 First aid equipment provided. First aid kit complete. 25 Emergency Communication system at the pool and in working order.Emergency communication device in unlocked area and available at all times to staff and the public.Operating instructions and emergency numbers posted. 4o 2'66 Waste&backwash water disposal properly discharged.No direct connection to sewer system.Separation tank provided for diatomaceous earth filter backwash water. LI 29 Chemical Standards. Frequency of Testing: Z POOL SIDE READINGS IN PARTS PER MILLION-ppm Bromine 2.0-6.0 Total chlorine Alkalinity 60-150 70 Free chlorine 1.0-3.0 Cyanuric Acid 30-50,max 100 Comb.chlorine 0.0-0.2 Water temp. 78-84,spa<104 Q' pH 7.2-7.8 30 Water testing equipment DPD kit provided for chlorine&bromine.Unbreakable thermometer for special purpose pools.No test strips 11 32 Water Clarity: Can see 6"black disk at bottom of pool.Water clarity maintained. Filtration operating continuously. '! 32 Special purpose pool drained&cleaned every 14 days minimum It 33 Thermostatic control provided for each SPP.Thermostatic control only accessible to the pool operator. 34 POOL MUST BE CLOSED UNTIL IT MEETS 105 CMR 435.29 THROUGH 435.31.If the p6ol is closed by a Health Inspector or other agent of the B.O.H., the pool shall remain closed until the Health Inspector re-opens pool in writing. COMMENTS: a SIGNED: SI D: DATE:4 RATOR r oard o ea th/Hea Dept. Representative / THE OMONWEALTH OF MASSACHUSETTS. j TOWN OF BARNSTABLE " SWM041NG POOL INSPECTION REPORT TYPE OF POOL: PUBLIC ❑ SEMI-PUBLIC $ SPECIAL PURPOSE ❑ POOL VOLUME: GAL. MAX. BATHER LOAD NAME OF POOL ADDRESS OWNER j S k_b I ADDRESS 7Reg tion 105 CMR 435.000 effective date:2/20/98 The items marked below with an"X"indicate the violated provisions.Items marked with a check are satisfactory. 03 athhouse and sanitary facilities adequate lighting,ventilation:sanitary condition.Adequate enclosure around pool.Gate self-latching 4 ft.above ground. 04. age disposal 0 ocation,structural stability, finish 0 ater circulation&filtration systems.Filter effluent flow meter reading GL2 gpm.#of turnovers �Q 06 Suitable automatic equipment for disinfection of pool water. CO2 equipment for pH control CO2 cylinders anchored Inaccessible to public Adequate ventilation. C 1 O 08, lets&Outlets-Inlets located to produce uniform circulation.Over rim fill spout 6"above max. water level.Properly shielded&located. 08 Main drain suction outlets covered w/suitable protective covers/grates.Cannot be removed w/o use of tools.Open area does not provide entrapment of fingers,toes, tc...At least one anti-vortex drain provided 08 Each system outlet protected against user entrapment by anti-vortex cover or by other means.Minimum of 2 suction outlets provided for each pump,properly ocated and plumbed. 08 Suction outlet covers in place,unbroken and secure and cannot be removed except w/use of tools.Close pool immediately if outlet covers missing,broken,loose can be removed w/o tools until repairs are made. 0 pecial purpose pool&wading pools equipped with emergency shut-off pump switch.Accessible and prominently marked. _ 0 ross-connections.Potable water supplied through air gap. 10 Skimming Facilities.50%of recirculation drawn from surface of pool. `/�LI Vl ._l// ►/ ]2 Line with floats separates non-swimmer area from deeper water. ater depth markings on deck and walls.Properly spaced.Boundary line on pool floor and walls. Step edges marked with contrasting color. `" 13 Walkways&Decks 4 ft. wide. Safe condition. jJg14 Ladders,steps-one per 75 feet.Not less than 2 ladders. iving equipment in safe condition. 0l supervision provided.CPO w/ ro er training.On staff or on contract,Documentation provided. p P P P g Al/ �22Health it issued.Adequate maintenance and testing records. Records initialed by person making tests. / Regs. Signs posted Warning signs for special purpose pools. /[- 3 Lifeguard ❑Qual.Swimmer ❑If lifeguard:proper credentials,proper suits and garments worn.Whistle&bullhorn provided.Qua].Swimmer:CPR trained, ✓/�Safety BOH approved.Limit bather load to 19 ❑Red or orange bathing suit with proper lettering for lifeguard ❑Yellow Qualified Swimmer attire Equipment.Ring buoys and rescue hook provided.Rescue tube and backboard w/straps at pools attended by lifeguard. �25rst aid equipment provided. First aid kit complete. 25 Emergency Communication system at the pool and in working order.Emergency communication device in unlocked area and available at all times to staff and the u "c Operating instructions and emergency numbers posted. 226 Ste&backwash water disposal properly discharged.No direct connection to sewer system.Separation tank prov' for diatomaceous earth filter backwash water. 29 Chemical Standards. Frequency of Testing: 14 POOL SIDE READINGS IN PARTS PER MILLION-ppm Bromine 2.0-6.0 Total chlorine Alkalinity 60-150 Free chlorine 1.0-3.0 • Cyanuric Acid 30-50,max 100 Comb. chlorine 0.0-0.2 Water temp 78-84,spa<104 pH 7.2-7.8 0 Water testing equipment DPD kit provided for chlorine&bromine.Unbreakable thermometer for special purpose pools.No test strips L'_31 & Water rity: Can see 6"black disk at bottom of pool.Water clarity maintained. Filtration operating continuously. 32 S al purpose pool drained&cleaned every 14 days minimum 33 Thermostatic control provided for each SPR Thermostatic control only accessible to the pool operator. 34 POOL MUST BE CLOSED UNTIL IT MEETS 105 CMR 435.29 THROUGH 435.31. If the pool is closed by a Health Inspector or other agent of the B.O.H., the-pool shah'remain closed until the'Heaith inspector re-opens pooi'in'writing. COMMENTS: SI EDUj SIGNE DATE: 11� ERATOR Board of Health/Health Dept. Representative THE COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE SWIMMING POOL INSPECTION REPORT TYPE OF POOL: PUBLIC❑ SEMI-PUBLIC SPECIAL PURPOSE❑ POOL VOLUME: GAL MAX.BATHER LOAD NAME OF POOL S Zb's- Q1,6 ADDRESS S L OWNER I.VpwiniT Acelb ADDRESS S (o Regulation 105 CMR 435.000 effective date:2/20/98 The items marked below with an"X"indica a the violated provisions. Items marked with a check are satisfactory. Y03. Bathhouse and sanitary facilities adequate lighting.ventilation:sanitary condition.Adequate enclosure around pool.Gate self-latching 4 ft.above ground. J04. Sewage disposal O b A.05 Location,structural stability,finish 06 Water circulation&filtration systems.Filter effluent flow meter read' g gp .#of turnovers � /7 _706 Suitable automatic equipment for disinfection of pool water. O A'06 CO2 equipment for pH control CO2 cylinders anchored Inaccessible to public Adequate ventilation. /08 Inlets&Outlets-Inlets located to produce uniform circulation.Over rim fill spout 6"above max.water level.Properly shielded&located. ✓/08 Main drain suction outlets covered w/suitable protective covers/grates.Cannot be removed w/o use of tools.Open area does not provide entrapment of fingers,toes, etc...At least one antivortex drain provided ✓ 08 Each system outlet protected against user entrapment by antivortex cover or by other means.Minimum of 2 suction outlets provided for each pump,properly located �, and plumbed. t/ 08 Suction outlet covers in place,unbroken and secure and cannot be removed except w/use of tools.Close pool immediately if outlet covers missing,broken,loose or can be removed w/o tools until repairs are made. Z08 Special purpose pool&wading pools equipped with emergency shut-off pump switch.Accessible and prominently marked. yo, Cross-connections.Potable water supplied through air gap. Skimming Facilities.50%of recirculation drawn from surface of pool. N 12 Line with floats separates non-swimmer area from deeper water. ,1 P(l2 Water depth markings on deck and walls.Properly spaced.Boundary line on pool floor and walls.Step edges marked with contrasting color. °�/ 13 Walkways&Decks 4 ft.wide.Safe condition. v/14 Ladders,steps-one per 75 feet.Not less than 2 ladders. 0jr15 Diving equipment in safe condition. 17 Pool supervision provided. CPO w/proper training.On staff or on contract,Documentation provided. �2 " Permit issued.Adequate maintenance and testing records.Records initialed by person making tests. IVh(Mn^ _22 Health Regs.Signs posted Warning signs for special purpose pools. *23 Lifeguard ❑ Qual.Swimmer ❑ If lifeguard:proper credentials,proper suits and garments wom.Whistle&bullhorn provided. Qual.Swimmer:CPR trained, �/ BOH approved.Limit bather load to 19 �(I 24 Safety Equipment.Ring buoys and rescue hook provided. Rescue tube and backboard w/straps at pools attended by lifeguard. 25 First aid equipment provided. First aid kit complete. t� 5 Emergency Communication system at the pool and in working order.Emergency communication device in unlocked area and available at all times to staff and the public.Operating instructions and emergency numbers posted. 26 Waste&backwash water disposal properly discharged. No direct connection to sewer system.Separation tank provided ckwash water. 29 Chemical Standards. uency of Testing: POOL SIDE READINGS IN PARTS PER MILLION- Bromine 2.0-6.0 Total-chlorine �,O Alkalinity 60-150 ,f"O Free chlorine 1.0-3.0 Z,O C anuric Acid 30-50,max 100 Comb.chlorine 0.0-0.2 Water temp. 78-84,spa<104 1 102-0 1 pH 7.2-7.8 ,2 / Clk K N ss Zorp•�• A/MUBE ting equipment PD kit provided for chlorine&bromine.Unbreakable thermometer for special purpose pools.No test strips _ V r Clarity: an see 6"black disk at bottom of pool.Water clarity maintained.Filtration operating continuously. J urpo pool drained&cleaned every 14 days minimum / tic control provided for each SPP.Thermostatic control only accessible to the pool operator. i ✓ UST BE CLOSED UNTIL IT MEETS 105 CMR 435.29 THROUGH 435.31.If the pool is closed by a Health Inspector or other agent of the B.O.H.; hall remain closed until the Health Inspector re-opens pool in writing. I/ f COS 1Q// 5p� /QS [jL f,I�O�alil / a l((Gl " i 0/W — K Q�r� l0 '�' 2 in- 4 o. 2 k mil ies 112 3 SIGNED: SIGNED: DATE: / 27 2123. OPERATOR Board of Health/Health .R presentative . THE COMMONWEALTH OF MASSACI IUSETTS. TOWN OF BARNSTABLE SWIMMING POOL INSPECTION REPORT TYPE OF POOL: PUBLIC ❑ SEMI-PUBLIC'�._.SPECIAL PURPOSE El POOL POOL VOLUME: � MAX. BATHER LOAD NAME OF PWL _ ' ADDRESS rj e OWNER nim ADDRESS Re lation 105 CMR 435.000 effective date:2/2 /98 The items marked below with an"X"indicate the violated provisions.Items marked with a check are satisfactory. 03 athhouse and sanitary•facilities adequate lighting"ventilation:sanitary condition.Adequate enclosure around pool.Gate self-latching 4 ft.above ground. 04.Sewagt;-disposal 05 Location,structural stability, finish 06 Water circulation&filtration systems.Filter effluent flow meter reading gpm.#of turnovers e-1� Suitable automatic equipment for disinfection of pool water. K6 06 CO2 equipment for pH control CO2 cylinders anchored Inaccessible to public Adequate ventilation. Z8 lets&Outlets-Inlets located to produce uniform circulation.Over rim fill spout 6"above max. water level.Properly shielded&located. 08 Main drain suction outlets covered w/suitable protective covers/grates.Cannot be removed w/o use of tools.Open area does not provide entrapment of fingers,toes, ��tc...At least one anti-vortex drain provided 08 Each system outlet protected against user entrapment by anti-vortex cover or by other means.Minimum of 2 suction outlets provided for each pump,properly located and plumbed. /08 Suction outlet covers in place,unbroken and secure and cannot be removed except w/use of tools.Close pool immediately if outlet covers missing,broken,loose /or can be removed w/o tools until repairs are made. ,V0,9 Special purpose pool&wading pools equipped with emergency shut-off pump switch.Accessible and prominently marked. ( Cross-connections.Potable water supplied through air gap. 10 Skimming Facilities.50%of recirculation drawn from surface of pool. 12 Line with floats separates non-swimmer area from deeper water. ( - fff"'I"' ater depth markings on deck and walls.Properly spaced.Boundary line on pool floor and walls. Step edges marked with contrasting color. 13 Walkways&Decks 4 ft. wide. Safe condition. 14 Ladders,steps-one per 75 feet.Not less than 2 ladders. QW Diving equipment in safe condition. 17 Pool supervision provided.CPO w/proper training.On staff or on contract,Documentation provided. _ 21 Permit issued.Adequate maintenance and testing records.Records initialed by person making tests. 22 Health Regs. Signs posted Naming signs for special purpose pools. If)23 Lifeguard ❑Qua].Swimmer El If life uard:proper credentials,proper suits and garments worn.Whistle&bullhom provided.Qual.Swimmer:CPR trained, 'T BOH approved.Limit bather load to 19 S Red or orange bathing suit with proper lettering for lifeguard ❑Yellow Qualified Swimmer attire 14 afety Equipment.Ring buoys and rescue hook provided.Rescue tube and backboard w/straps at pools attended by lifeguard. 2 5 First aid equipment provided. First aid kit complete. 1ppublic. mergency Communication system at the pool and in working order.Emergency communication device in unlocked area and available at all times to staff and the Operating instructions and emergency numbers posted. Waste&backwash water disposal properly discharged.No direct connection to sewer system.Separation tank provided for diatomaceous earth filter backwash water. 29 Chemical Standards. Frequency of Testing: POOL SIDE READINGS IN PARTS PER MILLION-ppm Bromine 2.0-6.0 _ Total chlorine Alkalinity 60-150 Q Free chlorine 1.0-3.0 ®. 1 Cyanuric Acid 30-50,max 100 Comb. chlorine 0.0-0.2 Water twr78-84,spa<104 IM7//OLf pH 1 7.2-7.8 30 Water testing equipment DPD kit provided for chlorine&bromine.Unbreakable thermometer for special purpose pools.No test strips 31 32 Water Clarity: Can see 6"black disk at bottom of pool.Water clarity maintained. Filtration operating continuously. Y 32,Special purpose pool drained&cleaned every 14 days minimum 33 It rmostatic control provided for each SPP.Thermostatic control only accessible to the pool operator. 34 POOL MUST BE CLOSED UNTIL IT MEETS 105 CMR 435.29 THROUGH 435.31. If the pool is closed by a Health Inspector or other agent of the B.O.H., the pool shall remain closed until the Health Inspector re-opens pool in writing. It COMMENTS: 1 L) SIGNED. SIGN DATE: OPERATOR BZh-Tr,/ rth ept. Representative THE COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE SWIMMING POOL INSPECTION REPORT i i TYPE OF POOL: PUBLIC❑ 'SEMI-PUBLIC SPECIAL PURPOSE❑ POOL VOLUME: GAL.. MAX,4pATHER LOAD i NAME OF POOL L C ADDRESS s OWNER I .JV $ ADDRESS Regulation 105 CMR 435.000 effective date:2/20/98 The items marked below with an"X"indicate the violated provisions. Items marked with a check are satisfactory. V03. Bathhouse and sanitary facilities adequate lighting.ventilation:sanitary condition.Adequate enclosure around pool.Gate self-latching 4 ft.above ground. V 04. Sewage disposal C.�" n 50we-✓) ,,,��' I�//j p X05 Location,structural stability,finish // _, n/A�%�P 1 ni �N D I OI p i/ur TC r` 1 X06 Water circulation&filtration systems.Filter effluent flow meter re" ading (C� i 0tr C_ V 06 Suitable automatic equipment for disinfection of pool water. Po Am(aA iG -L�" j IT 06 CO2 equipment for pH control CO2 cylinders anchored Inaccessible to public Adequate ion. 08 Inlets&Outlets-Inlets located to produce uniform circulation.Over rim fill spout 6"above max.water level.Properly shielded&located. ./08 Main drain suction outlets covered w/suitable protective covers/grates.Cannot be removed w/o use of tools.Open area does not provide entrapment of fingers,toes, etc...At least one antivortex drain provided J08 Each system outlet protected against user entrapment by antivortex cover or by other means.Minimum of 2 suction outlets provided for each pump,properly located M and plumbed. J08 Suction outlet covers in place,unbroken and secure and cannot be removed except w/use of tools.Close pool immediately if outlet covers missing,broken,loose or can be removed w/o tools until repairs are made. 08 Special purpose pool&wading pools equipped with emergency shut-off pump switch.Accessible and prominently marked. d/09 Cross-connections.Potable water supplied through air gap. / 110 Skimming Facilities.50%of recirculation drawn from surface of pool. V a W a.5 12 Line with floats separates non-swimmer area from deeper water. 12 Water depth markings on deck and walls.Properly spaced.Boundary line on pool floor and walls.Step edges marked with contrasting color. G�v �13 Walkways&Decks 4 ft.wide.Safe condition / . (� 14 Ladders,steps-one per 75 feet.Not less than 2 ladders. (0 r t Se, 6-61 r s Wr oout TDY W 4,,,10) 415 Diving equipment in safe condition. pfar 17 Pool supervision provided. CPO w/proper training.On staff or on contract,Documentation providedt/ka— f,,.b &YV )(21 em t issue equate maintenance and testing records.Records initialed by person making tests. / 122 Health Regs.Signs posted Warning signs for special purpose pools. 23 Lifeguard ❑ Qual.Swimmer ❑ If lifeguard:proper credentials,proper suits and garments worn.Whistle&bullhorn provided. Qual.Swimmer:CPR trained, 'TT BOH approved.Limit bather load to 19 ?l 24 Safety Equipment.Ring buoys and rescue hook provided. Rescue tube and backboard w/straps at pools attended by lifeguard. X/25 First aid equipment provided. First aid kit complete. V 25 Emergency Communication system at the pool and in working order.Emergency communication devi rn unlocked area and available at all times to staff and the public.Operating instructions and emergency numbers posted. (AT_ r'#Z®N T' :DF`j lL� d 26 Waste&backwash water disposal properly discharged. No direct connection to sewer system.Separation tank provided for diatomaceous earth filter backwash water. 29 Chemical Standards. Frequency of Testing: "POOL SIDE READINGS IN PARTS PER MILLION-ppm �• Bromine 2.0-6.0 Total chlorine Alkalinity 60-150 Free chlorine 1.0-3.0 anuric Acid 30-50,max 100 Comb.chlorine 0.0-0.2 Water temp. 78-84,spa<104 PH 7.2-7.8 ,� i'�t 30 Water testing equipment.DPD kit provided for chlorine&bromine.Unbreakable thermometer for special pure se pools. �e strips 31&32 Water Clarity:Can see 6"black disk at bottom of pool.Water clarity maintained.Filtration operating continuously. 3 Special_purpose pool drained&cleaned every 14 days minimum / r J3 Thermostatic control provided for each SPP.Thermostatic control only accessible to the pool operator. : S� POOL MUST BE CLOSED UNTIL IT MEETS 105 CMR 435.29 THROUGH 435.31.If the pool is closed by a Health Inspector or other agent of the B.O.H., the pool shall remain closed until the Health Inspector re-opens pool in writing. COMMENTS: BRokEM IMtssi rLoolz T1LFS 4 WALL n1-ES A)STEv .rLL C}KAtcAl- -rE S TS EA-1 lrF, - EA 0M rER E56'1077-- SIGNk.,- SIGNED: DATE: /� a OPERATOR Boar of Health th Dept.Representative Town of Barnstable 4t` Regulatory Services Thomas F. Geiler, Director Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 September 27, 2002 Dennis Aceto Barnstable Athletic Club 55 Attucks Way Hyannis, MA 02601 NOTICE TO ABATE VIOLATIONS OF 105 CMR 435.000, STATE SANITARY CODE,MINIMUM STANDARDS FOR SWIMMING POOLS The property owned by you located at 55 Attucks Way, Hyannis, was inspected on July 10, 2002 by Lee McConnell, Health Inspector, RS and again on September 19, 2002 by Sam White, Health Inspector, for a follow-up inspection. The following violations of State Sanitary Code were observed: REGULATION 435.08(5): No emergency shut off pump switch located in hot tub area. REGULATION 435.29(2): Chlorine and pH Testing of water in hot tub not recorded 4 times daily. During September 19, 2002 inspection, water test results were not found for that day. REGULATION 435.28 (1) and (2): No bacteriological testing results for coliform or pseudomonas organisms on file. You are directed to correct the above violations of the State Sanitary Code within fourteen (14) days of your receipt of this notice, by installing an emergency shut off pump switch, by ensuring water testing is done four (4) times daily, and by ensuring lab testing is done for coliform and pseudomonas organisms monthly. You may request a hearing before the Board of Health if written petition requesting same is received within ten (10) days after the date the order is served. Non-compliance could result in a fine of up to $500.00. Each day's failure to comply with an order shall constitute a separate violation. PER ORDER OFT BOARD OF HEALTH c ean, R. i Director-of Public Health Town of Barnstable " f �r 'v TFIEi TOWN OF BARNSTABLE HEALTH DEPARTMENT NAM 39. TANNING FACILITY INSPECTION REPORT y NAME � �P�Q� �- � C_ C��J DATE 02 ADDRESS rXA RN-�EL. NO. OPERATOR NCIN-�of DEVICES PERMIT POSTED Regulations of 105 CMR 123.000: TANNING FACILITIES ITEMS %-�1. WARNING SIGNS __ f t--£ TANNING DEVICES '� n�� T`�-ktt w'."3. PROTECTIVE EYEWEAR - l"4, OPERATORS V5. RECORDS l/6. INJURY REPORTS V 7. SANITATION- L., 8. Tanning facility does not claim or distribute promotional material that claims that the use of a tanning device is safe and free from risk. REMARKS: T�-�n.�2 C � 5 Cam_ Q 4S or y 1 SI�kq-- 052 71 G � 79SON INTERVIEWED INSPECTOR'S SIGNATURE ,.. ....:awy: ••x.,, .y$•ti,•�� --,. ..,y,s,rk.(,�wry..+u.:ram �rfe..:a ,yts:n.v.' .«.. sr...,A....,,o.... .- -.. _ _ .. .. .. _. .. :.- .�.;r. . .... 1. WARNING SIGN : Posted within three feet of each tanning device, readily legible, clearly visible, printed in white on a red background, letters at least 3/16 inch high, sign 8 1/2 inches wide by 11 inches long, contains all the information required by sections 1-6 of 105 CMR 123.003 (f). 2. TANNING DEVICES : Manufactured and certified to comply with the Code of Federal Regulations (21 CFR 1040.20), timer provided which does not exceed the manufacturer's recommended exposure time, records available of the recommended exposure time estab- lished by-'the manufacturer, interior temperature of the devices do not'exceed 100 degrees Fahrenheit. Additional Requirements For Stand-up Booths: Physical barriers.to protect.cus- tomers from injury by touching or breaking lamps; construction of booth to withstand the stress and the impact of a•falling person, access to the booth of rigid construction, doors open outwardly, handrails or non-slip floors provided. 3. PROTECTIVE.EYEWEAR : Made available to customers before each tanning session with instructions for mandatory use, sanitized before each use using a sanitizing agent which is registered by the USEPA which is specifically manufactured for use with protective eyewear. - 4. OPERATORS ' Trained and sufficiently knowfedgeable in the correct operation of tanning devices used at a facility including: the requirements of 105 CMR 123.000 and of 21 CFR 1040.20, proper use of USFDA Recommended Exposure Schedule, photosensitizing agents such as foods, cosmetics, and medications that may produce an abnormal or in- creased skin sensitivity, skin type determination, recognition of injuries from overexposure to UV radiation, manufacturer's procedures correct operation and maintenance of a'tanning device, use of protective eyewear, emergency procedures in case of injury, effects of UV radiation, acute and chronic exposure, biological effects, and health risks, electromagnetic �;. spectrum with photobiology and physics within the 200-400 nanometer range; list of operators i' maintained and available; trained operator present all times during operating hours. 5. RECORDS: Written statement of warning as described in 105 CMR 123.003 (A) (1) handed to each customer each time,device is used which is signed acknowledging that he/ she has read and has understood the warning statement, prior written consent of a parent or legal guardian for persons 14 to•17 years•of age, consent form and accompaniment by a parent or legal guardian for persons under 14 years of age, records kept for 12 months for each customer's total number of visits and tanning times, copies of license application and license information. 6. INJURY REPORTS:Submitted to the Board and to the Department with a copy to the injured person or complainant. ` 7. SANITATION: Access to toilet and handwashing facilities, liquid soap provided, paper towels provided, receptacle provided, safe supply of drinking water provided, towels provided, disinfection of toilet facilities, disinfection of surfaces in contact with customers, ventilation provided in each device, interior of facility maintained in good repair in a safe, clean sanitary condition free from rubbish. THE COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE SWIMMING POOL INSPECTION REPORT TYPE OF POOL: PUBLIC❑ SEMI-PUBLIC❑ SPECIAL PURPOSE M POOL VOLUME: GAL. MAX.BATHER LOAD NAME OF POOL ADDRESS OWNE IIV Z C_a='TD I ADDRESS Regulation 105 CMR 435.000 effective date:2/20/98 The items marked below with an"X"indicatelhe violated provisions. Items marked with a check are satisfactory. IZ-03. Bathhouse and sanitary facilities adequate lighting.ventilation:sanitary condition.Adequate enclosure around pool.Gate self-latching 4 ft.above ground. O Sewage disposal _1. 5 Location,structural stability,finish 6� 06 Water circulation&filtration systems.Filter effluent flow meter reading gpm.#of turnovers 7/uo Suitable automatic equipment for disinfection of pool water. N1A�06 CO2 equipment for pH control CO2 cylinders anchored Inaccessible to public Adequate ventilation. Inlets&Outlets-Inlets located to produce uniform circulation.Over rim fill spout 6"above max.water level.Properly shielded&located. i/08 Main drain suction outlets covered w/suitable protective covers/grates.Cannot be removed w/o use of tools.Open area does not provide entrapment of fingers,toes, �etc...At least one antivortex drain provided _✓08 Each system outlet protected against user entrapment by antivortex cover or by other means.Minimum of 2 suction outlets provided for each pump,properly located and plumbed. l/O8 Suction outlet covers in place,unbroken and secure and cannot be removed except w/use of tools.Close pool immediately if outlet covers missing,broken,loose or can be removed w/o tools until repairs are made. v 0088 Special purpose pool&wading pools equipped with emergency shut-off pump switch.Accessible and prominently marked. Nl7 09�Cross-connections.Potable water supplied through air gap. 10 Skimming Facilities.506/o of recirculation drawn from surface of pool. 12 Line with floats separates non-swimmer area from deeper water. kjf T-r 12 Water depth markings on deck and walls.Properly spaced.Boundary line on pool floor and walls.Step edges marked with contrasting color. 13 Walkways&Decks 4 ft.wide.Safe condition. t /_V14 Ladders,steps-one per 75 feet.Not less than 2 ladders. �GiY 15 Diving equipment in safe condition. L117 Pool supervision provided CPO w/proper training.On staff or on contract,Documentation provided. r, Y 21 Permit issued.Adequate maintenance and testing records.Records initialed by person making tests. y . Health Regs.Signs posted Warning signs for special purpose pools. jb3 Lifeguard"❑ Qual.Swimmer ❑ If lifeguard:proper credentials,proper suits and garments wom.Whistle&bullhorn provided. Qual.Swimmer:CPR trained, BOH approved.Limit bather load to 19 Ar—N4 Safety Equipment.Ring buoys and rescue hook provided. Rescue tube and backboard w/straps at pools attended by lifeguard. t/IS"First aid equipment provided. First aid kit complete. v25 Emergency Communication system at the pool and in working order.Emergency communication device in unlocked area and available at all times to staff and the public.Operating instructions and emergency numbers posted. 6 Waste&backwash water disposal properly discharged. No direct connection to sewer system.Separation tank provided for diatomaceous earth filter backwash water. 29 Chemical Standards. Frequency of Testing: POOL SIDE READINGS IN PARTS PER MILLION-ppm Bromine 2.0-6.0 Total chlorine Alkalinity 60-150 MFree chlorine 1.0-3.0 67 C anuric Acid 30-50,max 100 _� Comb.chlorine 0.0-0.2 Water temp. 78-84,spa<104 nH 7.2-7.8 300 Water testing equipment.DPD kit provided for chlorine&bromine.Unbreakable thermometer for special purpose pool o test strips _11�&32 Water Clarity:Can see 6"black disk at bottom of pool.Water clarity maintained Filtration operating continuously. 11 2 Special purpose pool drained&cleaned every 14 days minimum L,1 3 ostatic control provided for each SPP.Thermostatic control only accessible to the pool operator. _34 MUST BE CLOSED UNTIL IT MEETS 105 CMR 43519 THROUGH 435.31.If the pool is closed by a Health Inspector or other agent of the B.O.H., the pool shall remain closed until the Health Inspector re-opens pool in writing. COMMENTS: V►�Le., L+x NIT : - K � \ SIGNED: SIGNED: DATE: OPERATOR Board of Health/Health Dept.Representative - THE COMMONWEALTH OF MASSACHUSETTS a TOWN OF BARNSTABLE >. Board of Health Fee: $75.00 Permit To Operate A Swimming Pool - In accordance with the provisions of Chapter 111,Section 127A of the General Laws,and Regulations established by the Massachusetts Deparment of Public Health( 105 CMR 435.00)permit is hereby issued to DENNIS ACETO/DBA BARNSTABLE ATHLETIC CLUB corporation or individual for the operation of WHIRLPOOL (Public,Semi-Public,or Special Purpose Pool) at 55 ATTUCKS WAY, HYANNIS, MA address Method of water treatment is chlorine-automatically fed Bathing load not to exceed bathers. This permit is valid until December 31, 2002 Susan G. Rask, R.S., Chairman Board Ralph A.Murphy, M.D. of January 1, 2002 Sumner Kaufman, M.S.P.H. Health ' A, POST CONSPICUOUSLY �� By Thomas A. McKean, RS,CHO, Health Agent THE COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE Board of Health Fee: ri $75.00 Permit To Operate A Swimming Pool In accordance with the provisions of Chapter ill,Section 127A of the General Laws,and Regulations established by the Massachusetts Deparment of Public Health(105 CMR 435.00)permit is hereby issued to DENNIS ACETO/ DBA BARNSTABLE ATHLETIC CLUB corporation or individual for the operation of WHIRLPOOL { (Public,Semi-Public,or Special Purpose Pool) at 55 ATTUCKS WAY, HYANNIS, MA address Method of water treatment is chlorine.-automatically fed Bathing load not to exceed bathers. THERE IS A STEAM ROOM COMING This permit is valid until December 31,20 2000 Susan G. Rask, R.S.,Chairman Board Ralph A. Murphy, M.D. of January 1,20 2000 Sumner Kaufman, M.S.P.H. Health POST CONSPICUOUSLY By Thomas A. McKean, RS, CHO, Health Agent ..•� THE COMMONWEALTH OF MASSACHUSETTS C"VLW TOWN OF BARNSTABLE / SWIMMING POOL INSPECTION REPORT ` �cz TYPE OF POOL: PUBLIC❑ SEMI-PUBLI SPECIAL PURPOSE❑ POOL VOLUME: GAL. MAX.BATHER LOAD NAME OF POOL V N G C, ADDRESS OWNER Q(,p ADDRESS Regulation 105 CMR 435.000 effective date:2/20/98 The items marked below with an"X"indicate the violated provisions. Items marked with a check are satisfactory. _03. Bathhouse and sanitary facilities adequate lighting.ventilation:sanitary condition.Adequate enclosure around pool.Gate self-latching 4 ft.above ground. 04. Sewage disposal �J✓� 05 Location,structural stability,finish Water circulation&filtration systems.Filter effluent flow meter reading gpm.#of turnovers 'V0 IAav" "4*_ IV% u'0 ��/_✓06 Suitable automatic equipment for disinfection of pool water. Z i /"J206 CO2 equipment for pH control CO2 cylinders anchored Inaccessible to public Adequate ventilation. 00 Inlets&Outlets-Inlets located to produce uniform circulation.Over rim fill spout 6"above max.water level.Properly shielded&located. ✓ O8 Main d outlets covered w/suitable protective covers/grates.Cannot be removed w/o use of tools.Open area does not provide entrapment of fingers,toes, etc ... least one an rvo ex Xain provided _"08 Each system outlet protected against user entrapment by antivortex cover or by other means.Minimum of 2 suction outlets provided for each pump,properly located and plumbed. 08 Suction outlet covers in place,unbroken and secure and cannot be removed except w/use of tools.Close pool immediately if outlet covers missing,broken,loose or can be removed w/o tools until repairs are made. 0 Special purpose pool&wading pools equipped with emergency shut-off pump sw'ch.Accessible and prominently marked. ' ��Q9 Cross-connections.Potable water supplied through air gap. �O�P/PI �F�P �n �O�Q 7T &OG�J {rn 54ea� �6 ` 10 Skimming Facilities.50%of recirculation drawn from surface of pool. Sc,✓4&_C.1 S&t 1-'W-L- /v 12 Line with floats separates non-swimmer area from deeper water. � 2 Water depth markings on deck and walls.Properly spaced.Boundary line on pool floor and walls.Step edges marked with contrasting color. �p S a"J _V 13 Walkways&Decks 4 ft.wide.Safe condition. Qi�,�{,L• Q(f�Q t}o 1k pQt,t44 /v�4 Ladders,steps-one per 75 feet.Not less than 2 ladders. 101aG4 .A LA15 Diving equipment in safe condition. L i ✓r'AL-VVC 177 Pool supervision provided. CPO w/proper training.On staff or on contract,Documentation provided. _`�21 Permit issued.Adequate maintenance and testing records.Records initialed by person making tests. Health Regs.Signs posted Warning signs for special purpose pools. A* Lifeguard ❑ Qual.Swimmer ❑ If lifeguard:proper credentials,proper suits and garments wom.Whistle&bullhorn provided. Qual.Swimmer:CPR trained, BOH approved.Limit bather load to 19 +1 4 Safety Equipment.Ring buoys and rescue hook provided. Rescue tube and backboard w/straps at pools attended by lifeguard. /4ff5 First aid equipment provided. First aid kit complete. � '1' s.v) �a �4 ,•,--a 49, N�-Pf k I 25 Emergency Communication system at the pool and in working order.Emergency communication device in unlocked area and available at all times to staff and the �public.Operating instructions and emergency numbers posted. `!_'26 Waste&backwash water disposal properly discharged. No direct connection to sewer system.Separation tank provided for diatomaceous earth filter backwash water. V 29 Chemical Standards. Frequency of Testing: POOL SIDE READINGS IN PARTS PER MILLION-ppm Bromine 2.0-6.0 Total chlorine Alkalinity 60-150 Free chlorine 1.0-3.0 -v- C anuric Acid 30-50,max 100 Comb.chlorine 0.0-0.2 Water temp. 78-84,spa<104 PH 7.2-7.8 a Water testing equipment.DPD kit provided for chlorine&bromine.Unbreakable thermometer for special purpose pools.No test strips Loll-02 Water Clarity:Can see 6"black disk at bottom of pool.Water clarity maintained.Filtration operating continuously. �✓2 Special purpose pool drained&cleaned every 14 days minimum Thermostatic control provided for each SPP.Thermostatic control only accessible to the pool operator. `,H �, /�.- �t6i l L 34 POOL MUST BE CLOSED UNTIL IT MEETS 105 CMR 435.29 THROUGH 435.31.If the pool is closed by a Health Inspector or other agent of the B.O.H., the pool shall remain closed until the Health Inspector re-opens pool in writing. �y/J COMMENTS: J i o Q S C" kA; L . ate. w f c�- V1,0 cTn (AAO-wr &A.a^- o�...r�- .��t- G��s • 1�.,;�►�r_ Gam..�1 zG SIGNE SIGNED< e DATE: /Z-2Q OP OR oard of H I r/Heal De {.Representative oFr Town of Barnstable xsrne Department of Health, Safety, and Environmental Services Public Health Division �ED"A0rA P.O. Box 534, Hyannis MA 02601 Office: 508-790-6265 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health RECORD OF VERBAL COMMUNICATION s d�&,D �- -f�•ll� G✓l �Je,� ., �e�� /t;� „ d7 (Jc�.-w�J� l� (n�v!d' C44-0< �Pr� Cam. �/��.-s�� f' .f C'L �q /r�-a o Q f r.�� Gz. (,F Q v� /L✓fn (e/G�J O t 14 reJvr 5 A c y la..a - g kw..-, l Y-4 s�'i -ems �G�a�le Y�4e—s L� 1,.e 94 Led- ;/ov-fa��'/ ' a- S✓�� b 2 I�v� Gde-�t.,e- t�.. t�i 7 /�►-� � Zcu-o 4.-oQ f a i�/ e�.rt.S �� ,.,� }l�.,�_ S�a. �•�=w, ate a'W ao'-Cf _ r . verbcomm.doc • r i FT�ti Town of Barnstable o� > sT" Department of Health, Safety, and Environmental Services ,' ,0 Public Health Division p'FD1iAArA P.O. Box 534, Hyannis MA 02601 Office: 508-790-6265 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health RECORD OF VERBAL COMMUNICATION - ZZ) 2, S oe v - of Me -i ou G ,"r�' ,��/ r<.,.,�(a�.�l 9�ge�-�-�s G��GOYCi Gt� t V✓ tyt. V C,,G�it�. Crc�l1) GAS GQ GQ ce-21� vv�a r cat a 6 r verbcomm.doc : ` E Town of Barnstable • auwsmm • Board of Health P.O. Box 534' Hyannis MA 02601 QED MA'S� Office: 508-790-6265 Susan G.Rask,R.S. FAX: 508-790-6304 Ralph A Murphy,M.D. Sumner Kaufman M.S.P.H. TANNING FACILITY PERMIT JANUARY 1, 2000 Permission is granted to DENNIS ACETO . D/B/A: BARNSTABLE ATHLETIC CLUB Address 55 ATTUCKS LANE, HYANNIS # of Booths or Beds 2 Only at the following location 55 ATTUCKS LANE, HYANNIS Remarks: The operator shall comply with all Regulations contained within MGL Chapter 111, Sections 207-214. APPLICANT MUST CONFORM TO ALL ZONING REGULATIONS. i TOWN OF BARNS ABLE BOARD OF HEALTH Thomas A. McKean Director of Public Health THIS PERMIT EXPIRES DECEMBER.31, 2000 TOWN OF BARNSTABLE TANNING FACILITY INSPECTION REPORT HEALTH DEPARTMENT i NAME ��eY.tvt �� O.11v sel�`�SL�tJC.y' DATE cS ..l�- d U ADDRESS �, n e jc� TEL. NO. `27 J OPERATOR ( $ •Of DEVICES PERMIT POSTED Regulations of 105 CMR 123.000: TANNING FACILITIES ITEMS �1. WARNING SIGNS 2. TANNING DEVICES PROTECTIVE EYEWEAR ../4. OPERATORS v, 5. RECORDS �`. INJURY 'REPORTS SANITATION ,�. Tanning facility.'d*oe.s not. claim-or distribute promo- tional material that claims that the use of a•`tanning device is safe and free from risk. REMARKS: ZHA Ally PERSON RVIEWED SA ITARIAN _ 1. WARNING SIGN Posted within three feet of each tanning device, readily legible, clearly visible, printed in white on a red background.,„. letters at least 3/16 inch high, sign 8 1/2 inches wide by 11 inches long, contains all the information required by sections 1-6 of 105 CMR 123.003 (f) . _ 2. TANNING DEVICES : Manufactured and certified to comply with the code of Federal Regulations (21 CFR 1040.20) , timer provided which does not exceed the manufacturers recommended exposure time, records available of the recommended exposure time established by the manufacturer, interior temperature of the devices do not exceed 100 degrees Fahrenheit. Additional Requirements For Stand-up Booths: Physical barriers to protect customers from injury by touching or breaking lamps, construction of booth to withstand the stress and the impact of a falling person, access to the booth of rigid construction, doors open outwardly, handrails or non-slip floors provided. _ 3. PROTECTIVE EYEWEAR .: Made available to customers before each tanning session with instructions for mandatory use, sanitized before each use using a sanitizing agent which is registered by the USEPA which is specifically manufactured for use with protective eyewear. 4. OPERATORS : Trained and sufficiently knowledgeable in the correct operation of tanning devices used at a facility including: the requirements of 105 CMR 123.000 and of 21 CFR 1040.20, proper. use of USFDA Recommended Exposure schedule, photosensitizing agents such as foods, cosmetics, and medications that may produce an abnormal or increased skin sensitivity, skin type determination, recognition of injuries from overexposure to UV radiation, manufacturer's procedures for correct operation and maintenance of a tanning device, use of protective eyewear, emergency procedures in case of injury, effects of UV radiation, acute and chronic exposure, biological effects, and health risks, electromagnetic spectrum with photobiology and physics within the 20.0-400 nanometer range; list of operators maintained and available; trained operator present all times during operating hours. _ 5. RECORDS : Written statement of warning as described in 105 CMR 123.003(A) (1) handed to each customer each time device is used which is signed acknowledging that he/she has read and has understood the warning statement, prior written consent of a parent or legal guardian for persons 14 to 17 years of age, consent form and accompaniment by a parent or legal guardian for persons under 14 years of age, records kept for 12 months for each customer's total number of visits and tanning times, copies of license application and license information. 6. INJURY REPORTS: Submitted to the Board and ..to the Department with a copy to the injured person or complainant. 7. SANITATION : Access to toilet and handwashing facilities, liquid soap provided, paper towels provided, receptacle provided, safe supply of drinking water provided, towels provided, disinfection of toilet facilities, disinfection of surfaces in contact with customers, ventilation provided in each device, interior of facility maintained in good repair in a safe, clean sanitary condition free from rubbish. Y Town of"Barnstable • �� . • Board of Health 9�,pri6 A� P.O. Box 534, Hyannis MA 02601 ED MA'S Office: 508-790-6265 Susan G.Rask,R.S. FAX: 508-790-6304 Ralph A.Murphy,M.D. Sumner Kaufman M.S.P.H. TANNING FACILITY PERMIT JANUARY 1, 1999 Permission is granted to DENNIS ACETO DB/A: BARNSTABLE ATHLETIC CLUB Address 55 ATTUCKS LANE,HYANNIS #of Booths or Beds 2 Only at the following location 55 ATTUCKS LANE,HYANNIS Remarks: The operator shall comply with all Regulations contained within MGL Chapter 111, Sections 207-214. APPLICANT MUST CONFORM TO ALL ZONING REGULATIONS. TOWN OF BARNSTABLE BOARD OF HEALTH Q• " T omas A. McKean Director of Public Health THIS PERMIT EXPIRES DECEMBER 31, 1999 3, TOWN OF BARNSTABLE TANNING FACILITY INSPECTION REPORT HEALTH DEPARTMENT NAME 4� DATE A— 9G O ADDRESS ��V ��!/j�'� LJ,,—i, yTEL. NO. OPERATOR 2�11�2� � � $ of DEVICES � PERMIT POSTED Regulations of 105 CMR 123.000: TANNING FACILITIES ITEMS V 1. WARNING SIGNS 2. TANNING DEVICES 3. PROTECTIVE EYEWEAR 4. OPERATORS � C !/ 5. RECORDS 6. INJURY REPORTS L 7. SANITATION {� 8. Tanning facility does not claim or distribute promo- tional material that claims that the use of a tanning device is safe and free from risk. REMARKS: PLC c IV 41 ` PE ON INTERVIEWED SANITARIAN _ 1. WARNING SIGN : Posted within three feet of each tanning device, readily legible, clearly visible, printed in white on a red background, letters at least 3/16 inch high, sign 8 1/2 inches wide by 11 inches long, contains all the information required by sections 1-6 of 105 CMR 123.003 ,(f) . . _ 2. TANNING DEVICES : Manufactured and certified to comply with the Code of Federal Regulations' (21 CFR 1040.20) , timer provided which does not exceed the manufacturer's recommended exposure time, records available of the recommended exposure time establib hed'by the manufacturer, interior temperature of the devices.do not exceed 100 degrees Fahrenheit. Additional Requirements For Stand-up Booths: Physical barriers to protect customers from injury by touching or breaking lamps, construction of booth to withstand the stress and the impact of a falling person, access to the booth of rigid construction, doors open outwardly, handrails or non-slip .floors provided. _ 3. PROTECTIVE EYEWEAR : Made available to customers before each tanning session with instructions for mandatory use, sanitized before each use using a sanitizing agent which is registered by the USEPA which is specifically manufactured for use ,with protective -eyewear. 4. OPERATORS : Trained and sufficiently knowledgeable in the .correct operation of tanning devices used at a facility including: the requirements of 105 CMR 123.000 and of 21 CFR 1040.20, proper use of USFDA Recommended Exposure schedule, photosensitizing -agents such as foods, cosmetics, and medications that may -produce an abnormal or increased skin sensitivity, skin type determination, recognition of injuries from overexposure to UV radiation, manufacturer's procedures for correct operation and maintenance of a tanning device, use of protective eyewear, -emergency procedures in case -of injury, effects of UV radiation, acute and chronic exposure, .biological effects, and health risks, electromagnetic spectrum with photobiology and physics within the 20.0-400 nanometer range; list of operators maintained and available; trained operator present all times during operating hours.` _ 5. RECORDS : .Written statement of warning as described in 105 CMR 123.003(A) (1) handed to each customer each time device• is used which is signed acknowledging that he/she has read and has understood the warning statement, prior written consent of a parent or legal guardian for persons 14 to 17 years of age, consent form and accompaniment by a parent or- legal guardian for persons under 14 years of age, records kept for 12 months for each customer's total number of visits and tanning times, copies of license application and license information.. V 6. INJURY REPORTS: Submitted to the Board and to the Department .with a copy to the .injured person or complainant. 7. SANITATION : Access to toilet and handwashing-facilities, liquid soap provided, paper towels provided, receptacle provided, safe-supply of drinking water provided, towels provided, disinfection of toilet facilities, disinfection of surfaces in contact with customers, ventilation provided in each device, interior of facility maintained .in good repair in a safe, clean sanitary condition free from rubbish. t THE COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE Fee: Board of Health $75.00 Permit To Operate A Swimming Pool In accordance with the provisions of Chapter 111,Section 127A of the General Laws,and Regulations established by the Massachusetts Deparment of Public Health(105 CMR 435.00)permit is hereby issued to DENNIS ACETO/DBA BARNSTABLE ATHLETIC CLUB corporation or individual for the operation of WHIRLPOOL (Public,Semi-Public,or Special Purpose Pool) at 55 ATTUCKS WAY, HYANNIS, MA address Method of water treatment is chlorine-automatically fed Bathing load not to exceed bathers. This permit is valid until December 31, 1999 Susan G. Rask, R.S., Chairman Board Ralph A. Murphy, M.D. of January 1, 1999 Sumner Kaufman, M.S.P.H. Health POST CONSPICUOUSLY , - BY Thomas A. McKean, RS, CHO, Health Agent C�:� i3 -B A R N S T A B L E DENNIS J.ACETO 55 Attucks Way,Independence Park•Hyannis,MA 02601 (508)771-7734•Fax(508)771-3062 6BA;jR N S T A B L E r- - DENNIS 1.AcEro 55 Attucks Way,Independence Park Hyannis,MA 02601 (508)771-7734•Fax(508)771-3062 R • ti t rb " h � � . Imo...... J .... ........... J THE COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE SWIMMING POOL INSPECTION REPORT OJ TYPE OF POOL: PUBLIC❑ SEMI-PUBLIC❑ SPECIAL PURPOSEY POOL VOLUME: 6 rTo GAL. MAX.BATHER LOAD ` NAME OF POOL I AbbRESS , OWNER WAAVV.0 ADDRESS Regulation 105 CMR 435.000 effective date:2/20/98 The items marked below with an"X"indicate the violated provisions. Items marked with a check are satisfactory. �3. Bathhouse and sanitary facilities adequate lighting.ventilation:sanitary condition.Adequate enclosure around pool.Gate self-latching 4 ft.above ground. Q / C' l 04. Sewage disposal -T'O V"— S-e, a,. QT/ _� L!/Lv�1i� �y�l/- — V Y. �y /G J G X05Location structural stability,finish v S�p 40 Wi_ r � ! ( - � . lx�06 Water circulation&filtration systems.Filtler effluent flow meter readiinng, gpm.^#off turnovers,JI-rO � 06 Suitable automatic equipment for disinfection of pool water. 01�'""�'r'� �/� ^"'" ��`"�V'r_ (mil- � 1'k-A AU6 CO2 equipment for pH control CO2 cylinders anchored Inaccessible to public Adequate ventilation. 0 Inlets&Outlets-Inlets located to produce uniform circulation.Over rim fill spout 6"above max.water level.Properly shielded&located. Main drain suction outlets covered w/suitable protective covers/grates.Cannot be removed w/o use of tools.Open area does not provide entrapment of fingers,toes, etc...At least one antivortex drain provided `✓08 Each system outlet protected against user entrapment by antivortex cover or by other means.Minimum of 2 suction outlets provided for each pump,properly located and plumbed. V 08 Suction outlet covers in place,unbroken and secure and cannot be removed except w/use oftools.Close pool immediately if outlet covers missing,broken,loose or can be removed w/o tools until repairs are made. 08 Special purpose pool&wading pools equipped with emergency shut-off pump switch.Accessible and prominently marked V 0�9 Cross-connections.Potable water supplied through air gap. V1k wo Qtr�aiV•iw7 ` //��5�� l,h j J p C-wr v/ � 10 Skimming Facilities.50%of recirculation drawn from surface of pool. -tJI2 Line with floats separates non-swimmer area from deeper water. Kp � /�or 2 Water depth markings on deck and walls.Properly spaced.Boundary line on pool floor and walls.Step edges marked with contrasting color. w IF�� I V+'I LI 13 Walkways&Decks 4 ft.wide.Safe condition. ./ +Z� W "�Q `�t �/S'Xv- C�� 07 \-., 4 Ladders,steps-one per 75 feet.Not less than 2 ladders. 3?a n Diving equipment in safe condition. 17 Pool supervision provided. CPO w/proper training.On staff or on contract,Documentation provided. &A/1F I' w�I T� (�Z;°A-S V 21 Permit issued.Adequate maintenance and testing records.Records initialed by person making tests. a / 22 Health Regs.Signs posted Warning signs for special purpose pools. !v0 3f�'�� ✓�+ r S�3t^ ` W'�l �"`�� 1 Lifeguard ❑ Qual.Swimmer ❑ If lifeguard:proper credentials,proper suits and garments worn.Whistle&bullhorn provided. Qual.Swimmer:CPR trained, BOH approved.Limit bather load to 19 ��24 Safety Equipment.Ring buoys and rescue hook provided. Rescue tube and backboard w/straps at pools attended by lifeguard. �25 First aid equipment provided. First aid kit complete. C? 4-v-rt+ti VU�25 Emergency Communication system at the pool and in working order.Emergency communication device in unlocked area and available at all times to staff and the public.Operating instructions and emergency numbers posted. i/26 Waste&backwash water disposal properly discharged. No direct connection to sewer system.Separation tank provided for diatomaceous earth filter backwash water. 29 Chemical Standards. Frequency of Testing: /Q t�a'7 �PJ/ -t POOL SIDE READINGS IN PARTS PER MILLION-p m Bromine 2.0-6.0 Total chlorine Alkalinity 60-150 Free chlorine 1.0-3.0 t9 anuric Acid 30-50,max 100 Comb.chlorine 0.0-0.2 Water temp. d"t9 78-84,spa<104 pH 7.2-7.8 30 Water testing equipment.DPD kit provided for chlorine&bromine.Unbreakable thermometer for special purpose pools.No test strips fit Pld V-lyl/ �•7 _✓31&32 Water Clarity:Can see 6"black disk at bottom of pool.Water clarity maintained.Filtration operating continuously. 32 Special purpose pool drained&cleaned every 14 days minimum 33 Thermostatic control provided for each SPP.Thermostatic control only accessible to the pool operator. ' _34 POOL MUST BE CLOSED UNTIL IT MEETS 105 CMR 435.29 THROUGH 435.31.If the pool is closed by a Health Inspector or other agent ofthe B.O.H., the pool shall remain closed until the Health Inspector re-opens pool in writing. COMMENTS: ��S S '+�3 L �--Gl /`��.G� �n�_ _ . 4L AD r-1 .y Zp XJ. firs aka o �AY't'�?, r.H J�iy�i'►Yl�.x r.- L�{,.� ` cl (.vV C ft2 &j d G l t,1 Uzi SIG ED: v SIGNED: - DATE: OPF1rATOR Board of Health/Helilth Dept.Representative 9 O,.t 2. t ✓1-�-� �� 19,E @ zf 1 0 �I.,.r c/l c�,. . r lv��e c� ,_✓ 1� lvzd �� „� r�fib, µ, r 7��^�� `._ r •. o u aA r � Jw�•� THE COMMONWEALTH OF MASSACHUSETTS wr41, r TOWN OF BARNSTABLE Fee: At- Board of Health $75.00 yam `�' {' Permit To Operate A Swimming Pool }} , , �y� q�MF i. , v r� •. In accordance with the provisions of Chapter 111,Section 127A of the General Laws,and Regulations established by the . yr Massachusetts Deparment of Public Health(105 CMR 435.00)permit is hereby issued to DENNIS ACETO I DBA BARNSTABLE ATHLETIC CLUB corporation or individual for the operation of WHIRLPOOL ' (Public,Semi-Public,or Spectral Purpose Pool) at 55 ATTUCKS WAY, HYANNIS, MA • "_ address Method of water treatment is chlorine-automatically fed Bathing load not to exceed bathers. "}',' This permit is valid until December 31,1998 Susan G. Rask, R.S.,Chairman Board Ralph A.Murphy, M.D. of January 1,1998 Sumner Kaufman, M.S.P.H. Health POST CONSPICUOUSLY ' By ' Thomas A.McKean; RS,CHO, Health Agent P � 4 B A R N S T A B L E 0 - DENNIS J.ACETO 55 Attucks Way,Independence Park•Hyannis,MA 02601 _ (508)771-7734•Fax(508)771-3062 COMMONWEALTH OF MASSACHUSE'RS V THE COMM //►7/,. �n � T6SP -ZO �q/K5- 's /�' TOWN of BARNSTABLE �/U(7D HEALTH DEPARTMENT SWIMMING POOL INSPECTION REPORT O POOL CAPACITY - gal. NAMEAAQV DATE Z(2 ADDRESS �� ' OAlie / TEL. NO. 4 V44OPERATOR MAX. BATHING LOAD_ PERMIT POSTED Regulations of the Massachusetts Sanitary Code: Article VI-"Minimum Standards for Swimming Pools". ITEMS: 1. DEFINITIONS, 2. PLAN APPROVAL, 8. SEWERAGE, 11. BATHER LOAD. 12. STRUCTURE, 14. CONSTRUCTION, 15. INLETS AND OUTLETS, 16. CROSS CONNECTIONS, 17. SKIMMERS,, 18. DIMENSIONS, 20. WALKWAYS and 21. LADDERS. These items approved on the construction plan are of permanent nature and need not be checked at each inspection. 3. HEALTH: No employee sick, bathers take showers, clean bathing suits, sick or infected bathers not allowed, spitting prohibited, no glass or dangerous objects. Health and Shower signs posted. 4. LIFEGUARDS: No unsupervised swimming. Trained lifeguards in attendance according to Health Dept. ruling. 5. SAFETY: One shepards crook and one ring buoy with adequate rope for each 2000 sq. ft. water surface. _ 6. FIRST AID: Red Cross first aid kit (24 unit or equivalent), emergency telephone numbers posted, local police, state police, fire dept., and several available physicians. Telephone available (not pay station). 7. BATHHOUSE: Separate dressing and sanitary racilities for each sex, adjacent to pool, adequate, well lighted, drained, ventilated, impervious constructions and light color. One shower and one toilet per 40 bathers (min. 2 ea.), hot and cold water, soap provided, one wash bowl per 60 bathers. No common cups, towels, combs or brushes. Emergency room provided for sick or injured bathers, with cot and blanket. Foot showers (if required). Pool adequately enclosed Approved drinking water facilities. 9. CLOSURE: Operator to close pool when water does not meet the requirements of this code. 10. PERMIT - RECORDS: Permit posted. Written records available of daily operation of the pool, including attendance, water tests, chemicals used, hours of operation, backwashing and other information required. RECIRCULATION - FILTRATION: Purification system capable of maintaining quality of water, turnover every 8 hours, Max. filtration rate 2-3 gal. per min. per sq. ft. filter. Disinfection equipment finely adjustable. I -19. DEPTH MARKINGS: Marked on deck and walls at one foot intervals (shallow end) 25 ft. intervals (deep end). 14 22. DIVING BOARDS: Rigidly constructed, properly anchored, braced for heaviest load, sound, no splinters or cracks, non slip surface. Not over 10 ft. above water level and at least 13 ft. unobstructed head room. _23. WATER SOURCE: Water used in any swimming pool shall be from a source approved by the Health Department. 24. BACTERIOLOGICAL QUALITY: Health Dept.;shall cause water samples to be analyzed as considered necessary. Quality shall meet the USPHS drinking water standards. Untreated water not over 2400 MPN Coliform. _25. CHEMICAL STANDARDS: Treated with chlorine or other effective method. Tests taken daily or more often as required by Health Dept. Chlorine combined 0.0 to 0.2; Free chlorine 1 to 3, pH 7.2 to 7.8, total � � S0 /��/►►►)lCC[[[J�� S -ItWN4 esCi.�g equipment provided, in good repair and complete with fresh reagents. WATER CLARITY: A 6 inch black disc at bottom of deepest part of pool visable at 10 yards away. -�'-_32. WADING P8PLS: Quality of the water shall be the same as swimming pools. Turnover 4 hours or less. a REMAR OvLklkol"" ro/? )1 M- 1 La 4TA e__0_-Lsw-o-,Q,mo-A1A�s Aeg Z2WM S PERSON INTERVIEWED SANITARIA r , 1 U - THE COMMONWEALTH OF MASSACHUSETTS T o V TOWN of BARNSTABLE I HEALTH DEPARTMENT SWIMMING POOL INSPECTION REPORT I POOL CAPACITY - gal. TL �1 NAME n�I=� � � �.,� DATE ' , -7 / In � ADDRESS ` :5 " ' C KS � c TEL. NO.`'77 (_7 OPERATOR Li -s MAX. BATHING LOAD_ PERMIT POSTED Reguiations of the Massachusetts Sanitary Code: Article VI-"Minimum Standards for Swimming Pools". I ITEMS: 1. DEFINITIONS, 2. PLAN APPROVAL, 8. SEWERAGE, 11. BATHER LOAD. 12. STRUCTURE, 14. CONSTRUCTION, 15. 7NLETS AND OUTLETS, 16. CROSS CONNECTIONS, 17. SKIMMERS, 18. DIMENSIONS, 20, WALKWAYS and 21. LADDERS. These items approved on the construction plan are of permanent nature and need not be checked at each inspection. 3. HEALTH: No employee sick, bathers take showers, clean bathing suits, sick or infected bathers not allowed, spitting prohibited, no glass or dangerous objects. Health and Shower signs posted. 4. LIFEGUARDS: No unsupervised swimming. Trained lifeguards in attendance according to Health Dept. ruling. _\5. AFETY: One shepards crook and one ring buoy with adequate rope for each 2000 sq. ft. water surface. 6 FIRST AID: Red Cross first aid kit (24 unit or equivalent), emergency telephone numbers posted, local I police, state olice, fire dept., and everal available physicians. Telephone available (not pay station). �(� 7. BATH OUSE: Separate dressing and sanitary facilities for each sex, adjacent to pool, adequate, well lighted, drained, ventilated, impervious construrtio:i and light color. One shower and one toilet per 40 bathers (min. 2 ea.), hot.and cold water, soap provided, one wash bowl per 60 bathers. No common cups, towels, combs or brushes. Emergency room provided for sick or injured bathers, with cot and blanket. Foot showers (if required). Pool adequately enclosed Approved drinking water facilities. 9. CLOSURE: Operator to close pool when water does not meet the requirements of this code. _10. PERMIT - RECORDS: Permit posted. Written records available of daily operation of the pool, including y;�ttendance, water tests, chemicals used, hours of operation, backwashing and other information required. _13. RECIRCULATION - FILTRATION: Purification system capable of maintaining quality of water, turnover every 8 hours, Max, filtration rate 2-3 gal, per min, per sq. ft. filter. Disinfection equipment finely adjustable. _19. DEPTH MARKINGS: Marked on deck and walls at one foot intervals (shallow end) 25 ft. intervals (deep end). _22. DIVING BOARDS: Rigidly constructed, properly anchored, braced for heaviest load, sound, no splinters or cracks, non slip surface. Not over 10 ft. above water level and at least 13 ft. unobstructed head room. _23. WATER SOURCE: Water used in any swimming pool shall be from a source approved'by the Health Department. BACTERIOLOGICAL QUALITY: Health Dept, shall cause water samples to be analyzed as considered necessary. Quality- shall meet the USPHS drinking water standards. Untreated water not over 2400 MPN Coliform. _25. CHEMICAL STANDARDS: Treated with chlorine or other effective method. Tests taken da`ily or more often P26. required by Health Dept. Chlorine combined 0.10 to 0.2; Free chlorine.l�to 3, pH(7 7.8, total alinity 50 to 150 ppm. C1� I '0 '�l! / \\� L7 v > 1 TING EQUIPMENT: Testi.igequipment provided, in good repair and complece with fresh reagents.ER CLARITY: A 6 inch black disc at bottom of deepest part of. pool visable at 10 yards away. �_3ING POOLS: Quality of the water shall be the same as swimming pools. Turnover 4 hours or less. REMARKS: �2n - 6C�5-- \r�.c ' c�1()n S � O W��r6Ur •-�j W��I raid� ��e d �,�� re�� r �� -Q, PERSON INTERVIEWED SANITARIAN yOFtNETO` The Town of Barnstable } 7 Department of Health, Safety and Environmental Services DAHdT� �s t63 9• �� Public Health Division 'E0 MAY M\ 367 Main Street,Hyannis,MA 02601 Office 508-790-6265 Thomas A. McKc;tn FAX 508-775-3344 Director of Public Health TANNING FACILITY PERMIT • s JANUARY 1, 1997 i Permission is granted to DENNIS ACETO DB/A: THE FITNESS CLUB OF CAPE COD Address 55 ATTUCKS LANE, HYANNIS # of Booths or Beds 2 4 Only at the following location 55 ATTUCKS LANE, HYANNIS Remarks: The operator shall comply with all Regulations contained within MGL Chapter 111, Sections 207-214. APPLICANT MUST CONFORM TO ALL ZONING REGULATIONS. TOWN OF BARNSTABLE BOARD OF HEALTH Thomas A. McKean Director of Public Health THIS PERMIT EXPIRES DECEMBER 31, 1997 i er ISS TOWN OF B ABL TANNING FACILITY INSPECT-ON REPORT HEALTH DEP TMENT �/' r /'� � h NAME TI r(`{Z1 e-�1 ( ��U� (�/ C�J DATE / �o ADDRESS TEL. N0. OPERATOR�ad P �Po of DEVICES 1L PERMIT POSTED Regulations of 105 CMR 123.000: TANNING FACILITIES ITEMS V 1. WARNING SIGNS y 2. TANNING DEVICES IOC -0 Ar� 3. ROTECTIVE EYEWEAR �4. OPERATORS 5.1 RECORDS 6. NJURY REPORTS 7. SANITATION • 8. Tanning facility does not claim or distribute promo- tional material that claims that the use of a tanning device is safe and free from risk. REMARKS: a 144--.f, SON INTE D SANITARIAN _ 1. WARNING SIGN s Posted within three feet of each tanning aOjiee., readily legible, clearly visible, printed in white on a red background, : . letters at least 3/16 inch high, sign 8 1/2 inches wide by 11 long, contains all the information required by sections 1-6 of 1.0:5:?' IrtR 123.003 (f) _ 2. TANNING DEVICES Manufactured and certified to comply with `Che Code of .Federal Regulations (21 CFR 1040.20), timer provided whici;;does not exceed the manufacturer's recommended exposure time, records': available of the recommended exposure time established by the . manufacturer, interior temperature of the devices do•.not exceed �:1bOb�2:- degrees Fahrenheit. Additional Requirements For Stand-up Booths-...-:.:.,.:' Physical barriers to protect customers from injury by touching or; :;''':` breaking lamps, construction of booth to withstand the stress and-,%,:t-be impact of a falling person, access to the booth of rigid constrli� ( doors open outwardly, handrails or non-slip floors provided. _ 3. PROTECTIVE EYEWEAR : Made available to customers before e8cti%: ; tanning session with instructions for mandatory use, sanitized before each use using a sanitizing agent which is registered by the USEPA.which is specifically manufactured for use with protective eyewear. _ 4. OPERATORS Trained and sufficiently knowledgeable in the` poirect operation of. tanning devices used at a facility including: the requirements. of 105 CMR 123.000 and of 21 CFR 1040.20, proper a o,%Of USFDA Recommended Exposure schedule, photosensitizing agents such '." foods, cosmetics, and medications that may produce an abnormal o=_ :;,; ?: increased skin sensitivity, skin type determination, recognition `of injuries from overexposure to UV radiation, manufacturers procedures ` for correct operation and maintenance of a tanning device, use of`-: protective eyewear, emergency procedures in case of injury, effect:s;.of UV radiation, acute and chronic exposure, biological effects, a.., ealth risks, electromagnetic spectrum with photobiology and physics withifi the 200-400_nanometer range; list of operators maintained and avail'ab:,;e; trained operator present all times during operating hours. _ 5. RECORDS : written statement of warning as described in 105`%'O)RR 123'.003(A) (1) handed to each customer each time device is used which is signed acknowledging that he/she has read and has understood the.,.:warning statement,. prior written consent of a parent or legal guardian, o ::'. persons 14 to 17 years of age, consent form and accompaniment parent or legal guardian for persons under 14 years of age, recor,dq"kept for 12 months for each customers total number of visits and ta#nii_" times, copies of license application and license information. _ 6. INJURY REPORTS: Submitted to the Board and to the Departm6nt,with a copy to the injured person or complainant. _ 7. SANITATION Access to toilet and handwashing facilitieej;,;Tquid soap provided, paper towels provided, receptacle provided, safe. .supply of drinking water provided, towels provided, disinfection of toi:],. facilities, disinfection of surfaces in contact with customers, .' ::. ventilation provided in each device, interior of facility maintained in good repair in a safe, clean sanitary condition free from rubbish:::::: < THE COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE Board of Health Fee: $75.00 Permit To Operate A Swimming Pool In accordance with the provisions of Chapter 111,Section 127A of the General Laws,and Regulations established by th Massachusetts Deparment of Public Health(105 CMR 435.00)permit is hereby issued t DENNIS ACETO/ DBA FITNESS CLUB OF CAPE COD corporation or individual for the operation of WHIRLPOOL (Public,Semi-Public,or Special Purpose Pooh at 55 ATTUCKS LANE,HYANNLS address Method of water treatment is chlorine-automatically fed Bathing load not to exceed bathers. This permit is valid until December 31,1997 '- Susan G.Rask, R.S.,Chairman Board .' Brian R.Grady, R.S. of _ - January 1,1997 Ralph A. Murphy, M. D. Heakh{` � POST CONSPICUOUSLY " 13 AGENT r• - ro THE COMMONWEALTH OF MASSACHUSETTS TOWN of BARNSTABLE HEALTH DEPARTMENT SWIMMING POOL INSPECTION REPORT r POOL CAPACITY - gal. NAME DATE _ .a.Q ADDRESS TEL. NO. OPERATOR Yl. '�" '' �' MAX. BATHING LOAD_ PERMIT' POSTED ` Reguiations of the Massachusetts Sanitary Code: Article VI-"Minimum Standards for Swimming Pools". ITEMS: 1. DEFINITIONS, 2. PLAN APPROVAL, B. SEWERAGE, 11. BATHER LOAD. 12. STRUCTURE, 14. 0ONSTRUCTION, 15. INLETS AND OUTLETS, 16. CROSS CONNECTIONS, 17. SKIMMRS, 18. DIMENSIONS, 20, WALKWAYS and 21. LADDERS. These items approved on the construction plan are of permanent nature and need not be checked at each inspection. _A3 HEALTH: No employee sick, bathers take showers, clean bathing suits, sick or infected bathers not allowed, spitting prohibited, no glass or dangerous objects. Health and Shower signs posted. i )A 4. LIFEGUARDS: No unsupervised swimming. Trained lifeguards in attendance according to Health Dept. ruling. v 55.. SAFETY: One shepards crook and one ring buoy with adequate rope for each 2000 sq. ft. water surface. .�""6. FIRST AID: Red Cross first aid kit (24 unit or equivalent), emergency telephone numbers posted, local _ i police, state police, fire dept., and several available physicians. Telephone available (not pay station). ?. -BATHHOUSE: Separate dressing and sanitary facilities for each sex, adjacent to pool, adequate, well lighted, drained, ventilated, impervious constructio:i and light color. One shower and one toilet per 40 bathers (min. 2 ea.), hot and cold water. soap provided, one wash bowl per 60 bathers. No common cups, towels, combs or brushes. Emergency room provided for sick or injured bathers, with cot and blanket. Foot showers (if required). Pool adequately enclosed Approved drinking water facilities. \f 9. CLOSURE: Operator to close pool when water does not meet the requirements of this code. 10. PERMIT - RECORDS: Permit posted. Written records available of daily operation of the pool, including attendance, water tests, chemicals used, hours of operation, backwashing and other information required. �13. RECIRCULATION - FILTRATION: Purification system capable of maintaining quality of water, turnover every 8 hours, Max. filtration rate 2-3 gal. per min, per sq. ft. filter. Disinfection equipment finely adjustable. _19. DEPTH MARKINGS: Marked on deck and walls at one foot intervals (shallow end) 25 ft. intervals (deep end). d 22. DIVING BOARDS: Rigidly constructed, properly anchored, braced for heaviest load, sound, no splinters or %cracks, non slip surface. Not over 10 ft. above water level and at least 13 ft. unobstructed head room. ,023. WATER SOURCE: Water used in any swimming pool shall be from a source approved by the Health Department. .:24. BACTERIOLOGICAL QUALITY: Health Dept. shall cause water samples to be analyzed as considered necessary. Quality 3�all meet the USPHS drinking water standards. Untreated water not over 2400 MPN Coliform. =s25 CHEMICAL STANDARDS: Treated with chlorine or other effective method. Tests taken daily or more often as required by Health Dept. Chlorine combined 0.0 to 0.2; Free chlorine 1 to 3, pH 7.2 to 7.8, total alkalinity 50 to 150 ppm. /�. TESTING EQUIPMENT: Testi.ig equipment provided, in good repair and complete with fresh reagents. tZ 27. WATER CLARITY: A 6 inch black disc at bottom of deepest part of pool visable at 10 yards away. -0_032. WADING POOLS: Quality of the water shall be the same as swimming pools. Turnover 4 hours or less. REMARKS: ,l c aP� ,—� .Q _ " {- -� C'Q7. 19 A C7 t u PERSON INtERVIEWED SANITARIAN JACUZZI PERMIT FEE THE COMMONWEALTH OF MASSACHUSETTS 15 1. .................................................. $75.00 ..........TOWN.................... of......�ARNSTABLE Board of Health This is to Certify that ...DEMN15..MEN... ...OF...CAPE„COP—- NAME 55 ATTUCKS LANE. HYANNIS .......................................................................................................................................................................... ADDRESS IS HEREBY GRANTED A PERMIT To Operate a Public, Semi-Public Swimming or Wading Pool At ........................................................................................................................ ............................................. .METHOD,.QE.X&IgB.TRgATM.ENT.:.......C.HL0.RI.N..E—AU TO.M..A.T..I..0.A..L...L..Y.....FED............................. ...... ........... ............................................................................................................................................................................ This permit is granted in conformity with Article VI of the Sanitary Code of The Commonwealth of Massachusetts, and expires ...........DECE.M.................................................... unless sooner suspended or revoked. ....................... ............8uiih...G'-'Nik Airman ........ Board .........................................I.........'I......................... JANUARY 1,......... .. ............Bdarffl..GradY.R.S�.................................. of ....................................... . .............................. Health .. By ...... ............ ..... ............... FORM S 1712 A.M.SULKIN.INC.-BOSTON (617).542-5858 AGENT ... .. ..... .......... ... .. ..... ^� TOWN OF BARNSTABLE �F TM E OFFICE OF i HAUSTAn s BOARD OF HEALTH rb 9• \$A 367 MAIN STREET % �a MAY r• HYANNIS, MASS.02601 TANNING FACILITY PERMIT JANUARY 1, 1996 Permission is granted to DENNIS ACETO D/B/A: THE FITNESS CLUB OF CAPE COD Address 55 ATTUCKS LANE, HYANNIS #of Booths or Beds 2 Only at the following location 55 ATTUCKS LANE, HYANNIS Remarks: The operator shall comply with all Regulations contained within MGL Chapter 111, Sections 207-214. APPLICANT MUST CONFORM TO ALL ZONING REGULATIONS. TOWN OF BARNSTABLE BOARD OF HEALTH Votmas A. McKean Director of Public Health THIS PERMIT EXPIRES DECEMBER 31, 1996 TOWN OF BARNSTABLE TANNING FACILITY INSPECTION REPORT (F HEALTH DEPARTMENT ti NAME / ( � j/6 ( Coe) DATE � 1 ADDRESS �S �UZ1' L'��_ TEL. NO. OPERATOR � # of DEVICES PERMIT POSTED Regulations 105 CMR 123.000: TANN G FACILITIES ITEMS 1. WARNING SIGNS .�— 2. TANNING DEVICES 3. PROTECTIVE EYEWEAR • F 4. OPERATORS X 5. RECORDS 6. INJURY REPORTS 7. SANITATION 8. Tanning facility does not claim or distribute promo- tional material that claims that the use of a tanning device is safe and free from risk. REMARKS: kk ue— L,�Y/1wd V � ' . i PERS N IFOERVIEWED SANITARIAN s _ 1. WARNING SIGN Posted within three feet of each tanning device, readily legible, clearly visible, printed in white on a red background, letters at least 3/16 inch high, sign 6 1/2 inches wide by 11 inches long, contains all the information required by sections 1-6 of 105 CMR 123.003 (f) . _ 2. TANNING DEVICES : Manufactured and certified to comply with the Code of Federal Regulations (21 CFR 1040.20) , timer provided which does not exceed the manufacturer's recommended exposure time, records available of the recommended exposure time established by the manufacturer, interior temperature of the devices do not exceed 100 degrees Fahrenheit. Additional Requirements For Stand-up Booths: Physical barriers to protect customers from injury by touching or breaking lamps, construction of booth to withstand the stress and the impact of a falling person, access to. the booth of rigid construction, doors open outwardly, handrails or non-slip floors provided. _ 3. PROTECTIVE EYEWEAR : Made available to customers before each tanning session with instructions for mandatory use, sanitized before each use using a sanitizing agent which is registered by the USEPA which is specifically manufactured for use with protective eyewear. _ 4. OPERATORS : Trained and sufficiently knowledgeable in the correct operation of tanning devices used at a facility including: the requirements of 105 CMR 123.000 and of 21 CFR 1040.20, proper use of USFDA Recommended Exposure Schedule, photosensitizing agents such as foods, cosmetics, and medications that may produce an abnormal or increased skin sensitivity, skin type determination, recognition of injuries from overexposure to UV radiation, manufacturer's procedures for correct operation and maintenance of a tanning device, use of protective eyewear, emergency procedures in case of injury, effects of UV radiation, acute and chronic exposure, biological effects, and health risks, electromagnetic spectrum with photobiology and physics within the 200-400 nanometer range; list of operators maintained and available; trained operator present all times during operating hours. _ 5. RECORDS : Written statement of warning as described in 105 CMR 123.003(A) (1) handed to each customer each time device is used which is signed acknowledging that he/she has read and has understood the warning statement, prior written consent of a parent or legal guardian for persons 14 to 17 years of age, consent form and accompaniment by a parent or legal guardian for persons under 14 years of age, records kept for 12 months for each customer's total number of visits and tanning times, copies of license application and license information. _ 6. INJURY REPORTS: Submitted to the Board and to the Department with a copy to the injured person or complainant. _ 7. SANITATION : Access to toilet and handwashing facilities, liquid soap provided, paper towels provided, receptacle provided, safe supply of drinking water provided, towels provided, disinfection of toilet facilities, disinfection of surfaces in contact with customers, ventilation provided in each device, interior of facility maintained in good repair in a safe, clean sanitary .condition free from rubbish. 'I i FEES RETAIL FOOD STORE: FOOD SERVICE ESTABLISHMENT: $100.00 NOT VALID UNLESS ISSUED IN CONJUNCTION WITH A COMMON VICTUALERS LICENSE RESIDENTIAL KITCHEN FOR RETAIL SALE: RESIDENTIAL KITCHEN FOR BED+BREAKFAST: SEATING: 45 MOBILE FOOD UNIT: ANNUAL: Yes TEMPORARY FOOD ESTABLISHMENT: SEASONAL: CATERER: TEMPORARY: FROZEN DESSERT: MILK: TOWN OF BARNSTABLE BOARD OF HEALTH PERMIT TO OPERATE A FOOD ESTABLISHMENT PERMIT NO: 246 JANUARY 1, 1996 In accordance with regulations promulgated under authority of Chapter 94, Section 395A and Chapter 111, Section 5 of the General Laws, a permit is hereby granted to: DENNIS ACETO D/B/A: FITNESS CLUB OF CAPE COD Whose place of business is: 55 ATTUCKS LANE , HYANNIS, MA 02601 Type of business and.any restrictions: FOOD SERVICE ESTABLISHMENT To operate a food establishment in the TOWN OF BARNSTABLE Permit expires: December 31, 1996 BOARD OF HEALTH Susan G. Rask, R.S., Chairperson Brian R. Grady, R.S. ' RESTRICTIONS IF ANY: Ralph A. Murphy, M.D. Thomas A. McKean, R.S.,CHO fe ' Director of Public Health ?I „ dqh BARNSTABLE COUNTY M f ti �a DEPARTMENT OF HEALTH AND THE ENVIRONMENT SUPERIOR COURT HOUSE 0 ic, , '• POST OFFICE BOX 427 n t1c s BARNSTABLE, MASSACHUSETTS 02630 Phone:(508)362-2511 Ext.330 '7 ASS Public Health Administration 333 Environmental Health 383 Water Quality Analysis 337 TDD 362-5885 LETTER OF INITIAL LEAD INSPECTION COMPLIANCE DATE: _ 8/16/95 Growing Investments 70 Perseverance Way $yannis, .MA 02601 . Dear Sirs• . This letteris to--certify that I inspected located at 155 Attucks Lane >� your property --areas, apartment-no. , and relevant common areas, in the City or Town of )Hyannis for dangerous levels of lead according to 105 CMR 4-6-6.730 (A) through (F) : Proceduvres for Initial Insozaticn Regulations for Lead Poisoning Prevention and Control, and determined that there were no violations. The inspection was conducted on 8/15/95 Please be advised that Massachusetts law requires that onl y certain residential surfaces be free of lead paint. Thus, this letter does not mean that .your property contains no lead paint. The premises or dwelling unit and relevant common areas shall remain 'in compliance only as long as there continues to be no peeling, chipping, or flaking lead paint or other accessible materials and as long as coverings forming an effective barrier over such paint and materials remain in place. Sincerely, nspector DPR LicEnse-NO: Should you have any question about this letter, call the Department Of Public Health at (617) 522-3700. LOI - 03/30/93 i `y Lead I1�sl�ecti.on/ Surf cc- �.s�e�sil�en� l�orrn Barnstable County Health and CIIildhuo11 Lead Poisoning Prevcnlilln I'logran► slide I.ah, I?ighlll Floor Environmental Department 305 Smith slIcel 3 Inspector��.AA erlcy Jillllilica I'laill, Mn 02130 Page JuWerlCtl Court House (G 17)983_09(N) t\'lcll1nl Used: / s I'YNa2S cxpiroliun dolt y mod_ Barr stable MA 02630 I'yX-Ray Fluorescence License 11 - N'locicl_Xje.3 Serial It Address nlrt. 11 C'ily Child's Naine (Last, First, Init.) Ifir(hda(e (WIVY) Sex 1'arclll/Cuar(lian's Last Name 1'arcnt/ (;u:u diill►'s First Name Owner's Namc: .77 Owner's ALI►Iress: 1 "/q' f731r D/ ripos CAPcapped rlen►arksl Calihralirnl: I�SeG/ /� � covered p�C, /Inn clipped encapsulalnd /✓et<J C6�Sfi'vG¢j Qi(J made inlact NAnot accessible negative Scales:(snores of 0 0l I pass,stoles of 2 tail): positive PRE prepared surface!subsurface 0=nn painll all paint inlncl 1=<10"/.paint not n)1ac1 2=>17fb pain)not inlact REM removed subsllale 0=intact t=<10^:needslepair 2=>10%needslepair REP replacement Initial Tape rest 11=in paint temoved t=<1/1r;paint removed 2=>1115'pain)removed REV reversed SCR scraped Io bare subslrale X-CullapeTest o=no paint removed I=<I/Ifi'pairs Iwnuved 2=>Utfi'paint removed Floor It Flour 11 -__-_-- I I 1 I I I C I I I I I I 1 I I 1 I I I I C I 1 I 1 1 1 I - 1 - r - T - r - r - .r - 1 - 1 - .1 .. 1 - I r - r ' r - r - r - r ... r _ i. _ 1 _ .T _ 1 - � - 1 1 I I 1 1 I I 1 1 I 1 I I I I 1 I I I I I I I I I I - - r - r - I - „ Tt -'rV I �__ .r .- •r - I - .r _ I I 1 1 r 1 - r - r - r - r - r - i - T - 'r - 1 - 1 I- - I I I I I 1 1 � I •�-f� 1 I I I 1 I I I I I I I 1 I I I - - r - r - r - r - r - r r r l I 1 - r - r - r - I - J. I I I I IV-�P' - r - -- 1rI r - r - 6-. 1 - , r , D Q I I 1 1 I I I I I I I I I I D - - - f- - r - I- - 1- ._ I. ._ I .. , _ I .. I _ •!! -- 1 -- - -• 1- - 1-_- 1� - r - r - r - r - 1- - 1' - + - 'I - 't - -r - -t - I - - 1- - 1' 1- i- - F� P - 1' - '1. - - - - - h - 1 - I- -' 1- - h - 1� - 1. - 1. _ .1. _. .h - �1 - •r - '{ - -{ - 1 ., - , 1 - I - �yy�, 1 I I I 1 1 I I I 1 I 1 1 I 1 1 -�T-t/ 1• - 1- - - 1 - - ._ 1- 1" ( ._ 1' - 1. _. 1. _ 1. .. 1. _ 1. _ .1 _ .1. _ .1 _ -1 - -1 - - I I � I 1 I 'p�w�VI•_ ' I r 1 I I 1 1 1 1 I 1 1 1 t _ L _ 1� I- - 1- _ 1_ •_ _ 1. _ _ -LC-(,rVJ• l -. - _ 1. _ 1. .. 1- -_ 1. - 1. _ 1. _ 1_ _ I. _ 4 _ 1 - l _ .l _ .1 - .1 _ I 1 I 1 I I I I 1 I I I I 1 1 I I I 1 I I I I I A (street side) A (street side) 1 Pb (lea(I) 11iore than 1 .2 mb/C1112 willl.x-ray lltic)rcsccllCC or pos.111ve with NaZ,S is Illegal. in compliance INSP. DATE FIEINSf_DATE_ 2.wnikinprngress -- I (Y or 14 - �- 9.reocm:pancy '1.no wak done in cnngdianre I.III CbIuIIIImIfP. _ nr_W sP. DATE 2.work in proyness REINSP. DATE 2.w111k III IIWlf1a99 �r- - J.no oik icydon --- �.110 eordlpency L A.t o woik done work done -- -.. -- I incompliance 1:1III (compliance Dale REINSP. DATE 2.wank in piogtoss 9 loorcupancy 77= 4.no work done Inspector Uas the Property Owner read I)ccicling Whether to Ia Ica lisulatc'l Y or N Does the Property Owner want an assessment for alcapsulalion'? Y or N l SEATING: 45 FEE SEASONAL: NO RETAIL: FOOD: $125.00 MILK: DESSERT: TOWN OF BARNSTABLE BOARD OF HEALTH PERMIT TO OPERATE A FOOD ESTABLISHMENT PERMIT NO. 246 JANUARY 1, 1995 In accordance with regulations promulgated under authority of Chapter 94, Section 305A and Chapter 111, Section 5 of the General laws, a Permit is hereby granted to: DENNIS ACETO D/B/A: FITNESS CLUB OF CAPE COD Whose place of business is: 55 ATTUCKS LANE , HYANNIS, MA 02601 Type of business and any restrictions: . FOOD SERVICE ESTABLISHMENT To operate a food establishment in the TOWN OF BARNSTABLE Permit Expires: December 31, 1995. BOARD OF HEALTH Brian R. Grady, RS, Chairman Susan G. Rask, RS Joseph C.Snow, MD Thomas A. McKean Director of Public Health r e JACUZZI PERMIT FEE THE COMMONWEALTH OF MASSACHUSETTS 118 75.00 ...............TOWN...---... of ....BAMSTABLE................................ Board of Health DENNIS ACETO This is to Certify that ....MAJACY, INC, D/B(A THE FITNESS...CLUB--OF... APE.-COD__... NAME 55 ATTUCKS LANE, HYANNIS ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ADDIMSS IS HEREBY GRANTED A PERMIT To Operate a Public, Semi-Public Swimming or Wading Pool METHOD OF WATER TREATMENT: CHLORINE —AUTOMATICALLY FED. ----------------------------------------------------------------------------------------------------- --------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------- This permit is granted in conformity with Title 2 of the Sanitary Code of The Common- wealth of Massachusetts, and expires -------------DECEMBER-_31.,___1995----------------_-----------------unless sooner suspended or revoked. ...........Bdan.R:GradyiA;SvC1Wri=........................ -----------SusarvG:-Rask-R.S:.......................................... Board ------------- ------....-19-.95. ...........JCS • --, of ................eph know;-M:D:-------------...---.......---------.. - ------------------------------------------------------------ Healtli -------------------------------------------------------------------------------------- By ............................................... ------ FORM 1712 HOBBS& WARREN. INC. WENT p r c� THE COMMONWEALTH OF MASSACHUSETTS TOWN of BARNSTABLE HEALTH DEPARTMENT SWIMMING POOL INSPECTION REPORT POOL CAPACITY - gal. 01 NAME i r c ' . k DATE — -- �•�1 ADDRESS TEL. NO. 7/- -7 7 3 OPERATOR ,,, n 11 . MAX. BATHING LOAD_ PERMIT POSTED Reguiations of the Massachusetts Sanitary Code: Article VI-"Minimum Standards for Swimming Pools". ITEMS: 1. DEFINITIONS, 2. PLAN APPROVAL, 8. SEWERAGE, 11. BATHER LOAD 12. STRUCTURE, 14. ZONSTRUCTION, 15. INLETS AND OUTLETS, 16. CROSS CONNECTIONS, 17. SKIMMERS, 18. DIMENSIONS, 20. WALKWAYS and 21. LADDERS. These items approved on the construction plan are of permanent nature and need not be checked at each inspection. HEALTH: No employee sick, bathers take showers, clean bathing suits, sick or infected bathers not allowed, � � spitting prohibited, no glass or dangerous objects. Health and Shower signs posted. fld 4. LIFEGUARDS: No unsupervised swimming. Trained lifeguards in attendance according to Health Dept. ruling. _0 5. SAFETY: One shepards crook and one ring buoy with adequate rope for each 2000 sq. ft. water surface. _ 6. FIRST AID: Red Cross first aid kit (24 unit or equivalent), emergency telephone numbers posted, local police, state police, fire dept., and several available physicians. Telephone available (not pay station). 7., BATHHOUSE: Separate dressing and sanitary facilities for each sex, adjacent to pool, adequate, well lighted, drained, ventilated, impervious constructions and light color. One shower and one toilet per,40 bathers (min. 2 ea.), hot and cold water, soap provided, one wash bowl per 60 bathers. No common cups,Ntowels, combs or brushes. Emergency room provided for sick or injured bathers, with cot and blanket. Foot showers (if required). Pool adequately enclosed Approved drinking water facilities. 9. CLOSURE: Operator to close pool when water does not meet the requirements of this code. I 10. PERMIT - RECORDS: Permit posted. Written records available of daily operation of the pool, including attendance, water tests, chemicals used, hours of operation, backwashing and other information required. j13. RECIRCULATION - FILTRATION: Purification system capable of maintaining quality of water, turnover every �//�+ 8 hours, Max, filtration rate 2-3 gal, per min, per sq. ft. filter. Disinfection equipment finely adjustable. ,N�19. DEPTH MARKINGS: Marked on deck and walls at one foot intervals (shallow end) 25 ft. intervals (deep end). AIA22. DIVING BOARDS: Rigidly constructed, properly anchored, braced for heaviest load, sound, no splinters or cracks, non slip surface. Not over 10 ft. above water level and at least 13 ft. unobstructed head room. 1 233.. WATER SOURCE: Water used in any swimming pool shall be from a source approved by the Health Department. _ 24. BACTERIOLOGICAL QUALITY: Health Dept, shall cause water samples to be analyzed as considered necessary. Z25. Quality shall meet the USPHS drinking water standards. Untreated water not over 2400 MPN Coliform. CHEMICAL STANDARDS: Treated with chlorine or other effective method. Tests taken daily or more often as required by Health Dept. Chlorine combined 0.0 to 0.2; Free chlorine 1 to 3, pH 7.2 to 7.8, total alkalinity 50 to 150 ppm. 26 TESTING EQUIPMENT: Tesii.ig equipment provided, in good repair and complete with fresh reagents. V27. WATER CLARITY: A 6 inch black disc at bottom of deepest part of pool visable at 10 yards away. r...32 W-WAD3-NG=P-OOLS -Quality of the water shall be the same as swimming pools. Turnover 4 hours or less. Is REMARKS: G` PERSON INTERVIEWED SANITARIAN /-gv PERMIT FEE THE COMMONWEALTH OF MASSACHUSETTS 58 .$75.00 ...............TOWN.................. of....BARNSTABLE .................................................. Board of Health DENNIS ACETO This is to Certify that ....MA! Kj...jN.C.....D/.A?A THE FITNESS CLUB.OF CAPE COD ... ............................................................................... NAME ......................................................55...ATU.CK.S...L.ANEi...HYANNIS............................................................ ADDRESS IS HEREBY GRANTED A PERMIT To Operate a Public, Semi-Public Swimming or Wading Pool At ..................................................................................................................................................................... ........M110...QF...WATER..T.REATMENT:......C.HLORINE.-.AU.TOMAT.ICALLY.-FED............................ .. ............ ...................... . ................................................ ........ ........................................................................................................................................................................... This permit is granted in conformity with Title 2 of the Sanitary Code of The Common- wealth of Massachusetts, and expires DECEMBER 31.--1994 sooner suspended or revoked. ..........a-L— IM#f%- d P ----------------------- .......... ......................................... Board -06 fb*4A&- ...........J. .MARY...1-2.............199�... ..........J of ........*-----------------*...... ...................................................................................... Health ........................................... .................... ......... FORM 1712 Hoses& WARREN. INC. AGENT X .......... THE COMMONWEALTH. OF MASSACHUSETTS 0 1 TOWN of BARNSTABLE PAID HEALTH DEPARTMENT SWIMMING POOL INSPECTION' REPORT a POOL CAPACITY - gal. NAME DATE ADDRESS �l y ,� C NZV1V1;Z1,-> TEL. NO. OPERATOR MAX. BATHING LOAD PERMIT POSTED Reguiations of the Massachusetts Sanitary Code: Article VI-"Minimum Standards for Swimming Pools". t ITEMS: 1. DEFINITIONS, 2. PLAN APPROVAL, 8. SEWERAGE, 11. BATHER LOAD. 12. STRUCTURE, 14. ;ONSTRUCTION, 15. INLETS AND UTLETS, 16. CROSS CONNECTIONS, 17. SKIMMERS,, 18. DIMENSIONS, 20. WALKWAYS and 21. LADDERS. These items approved on a construction plan are of permanent nature and need not be checked at each inspection. 3. HEALTH: No employee sick, bathers take showers, clean bathing suits, sick or infected bathers not allowed, spitting prohibited, no glass or dangerous objects. Health and Shower signs posted. 4. LIFEGUARDS: No unsupervised swimming. Trained lifeguards in attendance according to Health Dept. ruling. Vi 5. SAFETY: One.shepards crook and one ring buoy with adequate rope for each 2000 sq. ft. water surface. 6. FIRST AID: Red Cross first aid kit (24 unit or equivalent), emergency telephone numbers posted, local i, police, state police, fire dept.. and several available physicians. Telephone available (not pay station). 7. BATHHOUSE: Separate dressing and sanitary facilities for each sex, adjacent to pool, adequate, well lighted, drained, ventilated, impervious constructio:i and light color. One shower and one toilet per 40 bathers (min. 2 ea.), hot and cold water, soap provided, one wash bowl per 60 bathers. No common cups, towels, combs or brushes. Emergency room provided for sick or injured bathers, with cot and blanket. Foot showers (if required). Pool dequately enclosed Approved drinking water facilities. NT6ST�lCa t l� 9. SURE: erat�r—t�'o d�'ose-pool when wa � r does�not meet the requirements of this code. 10. PERMIT - RECORDS- Permi�d. Written records available of daily operation of the pool, including `` attendance, water tests, chemicals used, hours of operation, backwashing and other information required. _13. RECIRCULATION - FILTRATION: Purification system"rcapable of maintaining quality of water, turnover every & 8 hours, Max. filtration rate 2-3 gal, per min. per sq. ft. filter. Disinfection equipment finely adjustable. 9. DEPTH MARKINGS: Marked on deck and walls at one foot intervals (shallow end) 25 ft. intervals (deep end). 2. DIVING BOARDS: Rigidly constructed, properly anchored, braced for heaviest load, sound, no splinters or , cracks, non slip surface. Not over 10 ft. above water level and at least 13 ft. unobstructed head room. V23- WATER SOURCE: Water used in any swimming pool shall be from a source approved by the Health Department. fACE-24. BACTERIOLOGICAL QUALITY: Health Dept. shall cause water samples to be analyzed as considered necessary. ZQuality shall meet the USPHS drinking water standards. Untreated water not over 2400 MPN Coliform. 25. CHEMICAL STANDARDS: Treated with chlorine or other effective method. Tests taken daily or more often as required by Health Dept. Chlorine combined 0.0 to 0.2; Free chlorine 1 to 3, pH 7.2 to 7.8, total _Zalkalinity 50 to 150 ppm. 26. TESTING EQUIPMENT: Testi.ig equipment provided, in good repair and complece with fresh reagents. #—A-32. 27. WATER CLARITY: A 6 inch black disc at bottom of deepest part of pool visable at 10 yards away. WADING POOLS: Quality of the water shall be the same as swimming pools. Turnover 4 hours or less. /A REMARKS: U �rt� �lEI < J elJ N �s T f)A 1/,;, D N4LV_COL 4(n Ok PS(---41X017)0A1AS PERSON INTERVIEWED / 1 SANITARIAN `f THE COMMONWEALTH OF MASSACHUSETTS TOWN of BARNSTABLE HEALTH DEPARTMENT SWIMMING POOL INSPECTION REPORT POOL CAPACITY - gal. NAMEr'7l Pam. i%,� v / �' DATE ADDRESS TEL. NO. r OPERATOR MAX. BATHING LOAD_ PERMIT POSTED Regulations of th/-Massachusetts Sanitary Code: Article VI-"Minimum Standards for Swimming Pools". ITEMS: 1. DEFINITIONS, 2. PLAN APPROVAL, 8. SEWERAGE, 11. BATHER LOAD 12, STRUCTURE, 14. CONSTRUCTION, 15. INLETS AND OUTLETS, 16. CROSS CONNECTIONS, 17. SKIMMERS,, 18. DIMENSIONS, 20, WALKWAYS and 21. LADDERS. These items approved on the construction plan are of permanent nature and need not be checked at each inspection. 3. HEALTH: No employee sick, bathers take showers, clean bathing suits, sick or infected bathers not allowed, spitting prohibited, no glass or dangerous objects. Health and Shower signs posted. (LIFEGUARDS: No unsupervised swimming. Trained lifeguards in attendance according to Health Dept. ruling. ..... 5. SAFETY: One shepards crook and one ring buoy with adequate rope for each 2000 sq. ft. water surface. t//6. FIRST AID: Red Cross first aid kit (24 unit or equivalent), emergency telephone numbers posted, local police, state police, fire dept., and several available physicians. Telephone available (not pay station). n -- 7. BATHHOUSE: Separate dressing and sanitary facilities for each sex, adjacent to pool, adequate, well lighted, drained, ventilated, imperviou9 constructio�i and light color. One shower and one toilet per 40 bathers (min. 2 ea.), hot and cold water, soap provided, one wash bowl per 60 bathers. No common cups, towels, combs or brushes. Emergency room provided for sick or injured bathers, with cot and blanket. Foot showers (if required). Pool adequately enclosed Approved drinking water facilities. CLOSURE: Operator to close pool when water does not meet the requirements of this code. 'f : [ 10. PERMIT- RECORDS: Permit posted. Written records available of daily operation of the pool, including attendance, water tests, chemicals used, hours of operation, backwashing and other information required. 1 13. RECIRCULATION - FILTRATION: Purification system capable of maintaining quality of water, turnover every 8 hours, Max, filtration rate 2-3 gal, per min. per sq. ft. filter. Disinfection equipment finely adjustable. �_►-19. DEPTH MARKINGS: Marked on deck and walls at one foot intervals (shallow end) 25 ft. intervals (deep end). R ti ft! 22. DIVING BOARDS: Rigidly constructed, properly anchored, braced for heaviest load, sound, no splinters orL" cracks, non slip surface. Not over 10 ft. above water level and at least` 13 ft unobs�truc£ed,head room: room: WATER SOURCE: Water used in any swimming pool shall be from a source approved by the Health Department. i _24. BACTERIOLOGICAL QUALITY: Health Dept. shall cause water samples to be analyzed as considered necessary. /� Quality shall meet the USPHS drinking water standards. Untreated water not over 2400 MPN Coliform. y 25. CHEMICAL STANDARDS: Treated with chlorine or other effective method. Tests taken daily or more often as required by Health Dept. Chlorine combined 0.0 to 0.2; Free chlorine 1 to 3, pH 7.2 to 7.8, total alkalinity 50 to 150 ppm. V 26. TESTING EQUIPMENT: Testi.ig equipment provided, in good repair and complete with fresh reagents. V 27. WATER CLARITY: A 6 inch black disc at bottom of deepest part of pool visable at 10 yards away. e�2. WADING POOLS: Quality of the water shall llobe the same as swimming pools. Turnover 4 hours or less. PERSON INTERVIEWED SANITARIAN 1 ` THE COMMONWEALTH OF MASSACHUSETTS TOWN of BARNSTABLE I HEALTH DEPARTMENT A4- SW-&MM -NG POOL INSPECTION REPORT i POOL CAPACITY - gal. 4 NAME DATE /`` �`�•.!✓,�' f s �� t�'• �trl-z-a' J --� ADDRESS L y TEL. NO. OPERATOR ��lr r�/� � � MAX. BATHING LOAD_ PERMIT POSTED �` "� Reguiations of the Massachusetts Sanitary Codes Article VI-"Minimum Standards for Swimming Pools". ITEMS: 1. DEFINITIONS, 2. PLAN APPROVAL, 8. SEWERAGE, 11. BATHER LOAD 12. STRUCTURE, 14. ;ONSTRUCTION, 15. INLETS AND OUTLETS, 16. CROSS CONNECTIONS, 17. SKIMMERS,, 18. DIMENSIONS, 20, WALKWAYS and 21. LADDERS. These items approved ont the construction plan are of permanent nature and need not be checked at each inspection. j/ 3. HEALTH: No employee sick, bathers take showers, clean bathing suits, sick or infected bathers not allowed, spitting prohibited, no glass or dangerous objects. Health and Shower signs posted. 4. LIFEGUARDS: No unsupervised swimming. Trained lifeguards in attendance according to Health Dept. ruling. Tf,5. SAFETY: One shepards crook and one ring buoy with adequate rope for each 2000 sq. ft. water surface. f 6. FIRST AID: Red Cross first aid kit (24 unit or equivalent), emergency telephone numbers posted, local police, state police, fire dept., and several available physicians. Telephone available (not pay station). r �= 7. BATHHOUSE: Separate dressing and sanitary facilities for each sex, adjacent to pool, adequate, well lighted, drained, ventilated, impervious constructio-i and light color. One shower and one toilet per 40 bathers (min. 2 ea.), hot and cold crater, soap provided, one wash bowl per 60 bathers. No common cups, towels, combs or brushes. Emergency room provided for sick or injured bathers, with cot and blanket. Foot showers (if required). Pool adequately enclosed Approved drinking water facilities. �f 9. CLOSURE: Operator to close pool when water does not meet the requirements of this code. i Z10. PERMIT - RECORDS: Permit posted. Written records available of daily operation of the pool, including attendance, water tests, chemicals used, hours of operation, backwashing and other information required. v/13. RECIRCULATION - FILTRATION: Purification system capable of maintaining quality of water, turnover every 8 hours, Max. filtration rate 2-3 gal. per min. per sq. ft. filter. Disinfection equipment finely adjustable. ./'`�19. DEPTH MARKINGS: Marked on deck and walls at one foot intervals (shallow end) 25 ft. intervals (deep end). i -0""12. DIVING BOARDS: Rigidly constructed, properly anchored, braced for heaviest load, sound, no splinters or l�/}�cracks, non slip surface. Not over 10 ft. above water level and at least 13 ft. unobstructed head room. .�,�t23", WATER SOURCE: Water used in any swimming pool shall be from a source approved by the Health Department. 24. BACTERIOLOGICAL QUALITY: Health Dept. shall cause water samples to be analyzed as considered necessary. Quality shall meet the USPHS drinking water standards. Untreated water not over 2400 MPN Coliform. ;—'^-25. CHEMICAL STANDARDS: Treated with chlorine or other effective method. Tests taken daily or more often as required by Health Dept. Chlorine combined 0.0 to 0.2; Free chlorine 1 to 3, pH 7.2 to 7.8, total ¢� alkalinity 50 to 150 ppm. f6` 26. TESTING EQUIPMENT: Testi.ig equipment provided, in good repair and complete with fresh reagents. e 27. WATER CLARITY: A 6 inch black disc at bottom of deepest part of pool visable at 10 yards away. .k='2. WADING POOLS: Quality of the water shall be the same as swimming pools. Turnover 4 hours or less. REMARKS• AV Za &e".ed Z-^ .-, f2C PEA'ON INTERVIEWED SANITARIAN !`�` OWN OF BARNSTABLE OFFICE HOURS: Item No. In the space below describe all violations checked Pa a of � , V'pt� r0/p� 8:15 9:30 A.M. , g ! OARD OF HEALTH 12:45 2:00 P.M. �� . 'qh 7=- 367 MAIN STREET Eow+ HYANNIS, MASS. 02601 790-6265 EXT.265 FOOD _ ESTABLISHMENT INSPECTION REPORT AF .�n�e: ln Out Address F t S d .• Telephone � wr'J Type oV tablishment: Purpose: - e;✓Food Service Owners Name - Retail Food Routine Residential Kitchen Follow-up Person In Charge Mobile Unit Complaint Temporary Food Service Investigation Inspectors Name Caterer Other - e } Based on an inspection today,the items checked below indicate the! lolated provisions%of 10.5 CMR 590.000. Each item is followed by the applicable section of the Massachusetts regulation. on-critical violations are marked under column"N"and critical violations are marked under column"C". Descriptions of!jeach.item appear on•the back of this form. Each violation checked requires an explanation on the narrative page(s). This report serves as official notice of violated provisions and _ official notice to Correct said violations. WT ,r Food N C 'Sanitary Facilities N C WT. N 1. Food Supply .002�4 29. Water Source .015 4 r� 2. Food Containers 002 1 30. Sewage .016 4 Q 31. Cross-Connections .017 4- Food Protection 32. Toilets/Handwashing .018 8.019 4 3. PHF Temperatures .004 33. Insects/Rodents 021 2 4. Facilities. Hot 8 Cold Storage 004 34. Plumbing 017' 1 ti 5 PHF Re-service .006 4 r t. � 35. Toilet Rooms O1 2 6. Spoiled/Damaged Foods .003 4 36. Handwashing Areas 019 2 or.of ti l` 7. Food Protected .003 37. Garbage/Refuse .02 2 8. Food Thermometers .004 2 38. Outside Disposal .020 1 9. Cross Contamination .005 2 39. Outer Openings .021 2 10. PHFs thawed,cooked 8 cooled .005 2 w f 40. Pesticide/Rodenticide Application 021 1 � it. Food Handling .005 2 i 12. Dispensing Utensils .006 1 Physical Facilities 41. Floors .022 2 Personnel 42 Walls. Ceiling .022 2 13. Employee Infections .008 4 41 Lighting .023 1 14. Employee Hygiene .009 4 44. Ventilation .024 20 15. Employee Clothing .010 u� 1 45. Dressing Rooms .025 1 ' 0 Equipment 8 Utensils Other 16. Equipment/Utensil Clean 8 Sanitized .013 2 46, Toxics .026 4 17. Food Contact Surfaces .013 1 47. Premises .027 1 18. Non-Food Contact Surfaces .013 1 48. Living Areas .027 1 19. Food Contact Surfaces Clean .013 2 49. Linen .027 1 Discussion with Management 20. Non-Food Contact Surfaces Clean .013 1 50. Pets .027 1 21. Wiping Cloths .013 1 51. BulklFoods .031 1 .22. Dish/Warewashing Facilities .013 1 52 Salad Bars 032 1 23 Pre-Scraped. Soaked .013 1 24 Wash/Rinse Water .013 1 No. of 13 Critical Items Violated _ 25 Thermometers/Test Kits .013 1 These items require immediate attention. 26 Equipment/Utensil Storage 014 1 i 27 Single Service Articles .014 1 I ' 28 Single Service Re-Use .012 1 Grease Trap:In(around: In Line: Capacity: - ( ' SCORE Inspected b Received by Seating:�_ Frozen Dessert Machines: ` Pumped: 1 r-- 13 CRITICAL FOOD HANDLING VIOLATIONS v 1. Food from an unapproved or unknown source or food which is or may be Foos F911 Item Descriptions • adulterated, contaminated or otherwise unfit for human consumption CI Food Source, approved, wholesome is found in a food establishment. 2 Containers, properly labelled Food Protection 2. Potentially hazardous food that is held longer than necessary for C3 Potentially hazardous roods at proper temperaturest 100OF or above, 450E or below, ooF; rapld _poling of cooked foods within 4 hours preparation or service at a temperature which is greeter than 450 F c� Facilities to maintain product temperature (`=70 C) (in the case of cold food) or less than 1400 F (600C) (in CS Unwrapped and potentially hazardous roods not re-served the case of hot Fccd F Damaged, spoiled, returned foods segregated T Food protected during storage, preparation, display, dispensing, service, transportation F. Thermometers provided, conspicuous, accurate 3. The food establishment's facilities are insufficient to maintain 9 No erosa-eont.minatlpn 10 Potentially hazardous foods properly !hared, cooked, and cooled product temperature. 11 Food handling minimized 12 Dispensing utensils stored 4. Potentially hazardous food or unwrapped food that has been served to Personnel customers is re—served unless such re—service is allowed under 14 C13 Hands was wish ashed d clean; g restricted section 105 CMR 590.006(G). C15 Clean clothes. hairrestraintsygienic practices Equipment &.Utensils 5. A person infected with a communicable disease that can be C16 Equipment, utensils sanitized (automatic and menu/1 methods) transmitted by food is working as a food handler in a food 17 Food contact surfsees: design, constructed. Installed, maintained, located establishment. 1g Non-food contact surracest design, constructed, installed, maintained. located 19 Food contact surfaces clean, free of all cleansers 20 Non-food contact surfaces clean, free of all cleansers 6. A person not practicing strict standards of cleanliness and personal 21 WipinD1:h/ sloths; _lean, use restricted 22 sh/Herpwaahing facilities: designed, constructed, maintained. Snstalled, locate_, hygiene which may result in the potential transmission of illness operated through food is employed in a food establishment. 23 Pre-rlushed, scraped, soaked 24 Hash/Rinse rater clean, temperature 25 Accurate thermometers, chemical test kits provided; instructions posted 7. Equipment, utensils and food—contact surfaces are not cleaned and 26 Storage, handling or clean equipment/utensils 27 Single service articles, storage, dispensing sanitized effectively and may contaminate food during preparation, 28 No re-use or ,ingla service articles storage or service. Sanitary Fae111t1as C29 Hater source: approved, hot&cold under pressure 8. Sewage or liquid waste is not dispoead of in an approved and C30 Sewage .nd waste water di:oosal sanitary manner, or the sewage or liquid waste contaminates 'or may C31 No cross-connections, back er. accessible, ble, dew y C32 Toilets A Handvashingt number, accessible, design, installed contaminate any food areas used to store or prepare food, or any C33 NO insects or rodents; harborage prevented areas frequented by customers or employees. 3e Plumbing; Installed, maintained 35 Toilet rooms enclosed, self-closing doors, fixtures good repair, clean, signs - 36 Nandwashing areas supplied with soap and towel dispensers, proper waste receptacles 9. Toilets and facilities for washing hands are not provided, properly 37 Garbage and refuse: containers covered, adequate number, insect/rodent resistant, frequency, clean installed or designed, accessible or convenient. 3e Outside area: dumpster covered, construction. clean 39 Outer openings protected 10. The supply of water is not from an approved source or is not under e0 Pesticides and rodenticldes. proper application pressure and the food establishment does not. use single service Pbysiesl Facilities e1 Floors constructed, maintained, clean articles and/or bottled water from an approved source. 42 Halls, ceiling, attached equipment; constructed, maintained, clean l 43 Lighting provided as required, fixtures shielded 11. A defect exists in the system supplying potable water that may :4 Rooms and equipment rented as required result in the contamination of the water. 5 Dressing, locker areas provided used, clean - � Other 12. Insects, rodents `or other animals are present on the premises C46 rpxi_s properly stored, labelled, •,mid (unless allowed by Section 105 CMR 590.027(F)(3)). 47 Premises litter-free, unnecessarl articles, cleaning maintenance equipment properly stored. Authorized personnel ig Living/sleeping quarters and laundry separate 49 Linen properly stored 13. ' Toxic items are improperly labeled, stored or used. 50 No pets or other lire animals except guide dogs 51 Bulk foods stored, labelled, dispensed Note: In sddltion to the items listed above, any other violation of the 5f Salad bar operations prepared, refrigerated, displayed. protected Massachusetts Food ' Establishment Regulations determined . by local health officials to have the potential to seriously affect the public health shall after written notice to the permit holder constitute a critical violation. TOWN OF BARNSTABLE OFFICE HOURS: Item No. In the space below describe all violations checked page of CF THE/p 8:15 9:30 A.M. BOARD OF HEALTH 12:45 2:00 P.M. 367 MAIN STREET I` . " '""""� HYANNIS, MASS. 02601 790-6265 ExT.265: NT IN P= FOOD EST'148LISHME PECTION REPORT S p Establishment Name Date _q Address Time: In Out Telephone Type of Establishment: purpose: Food Service Owners Name Routine s Retail Food Residential Kitchen Follow-up ) - Person In Charge Mobile Unit Complaint Temporary Food Service investigation j I Inspectors Name Caterer Other Based on an inspectio oday,t items checked below Indicate the violated provisions of 105 CMR 590.000. Each item is-,, !fS followed by the applicable section of the Massachusetts regulation. Non-critical violations are marked under column"N••.an`d ✓� critical violations are marked under column'•C••. Descriptions of each item appear on the back of this form. Each violation R. checked requires an explanation or.the narrative page(s). This report serves as official notice of violated provisions and official notice to correct said violations. r Food N C WT'Sanitary Facilities, N C WT. ��, t. 002 Food Supply 29. WaterSou a .015 4 IF 2. Food Containers 002� 1 _ �.a30. Sewage 016 4 31. Cross-Connections .017 4 Food Protection �w^" 32. Toilets/Handwashing 0189 .019 4 3. PHF Temperatures . 004 33. Insects/Rodents .021 2 ,q/ 4. Facilities. Hot 8 Cold Storage .004 4 34 Plumbing .017 H 1 -PF Re-service .006 35. Toilet Rooms .018 2 6. Spoiled/Damaged Foods .003 4 36. Handwashing Areas .019 2 7 Food Protected .003 - 37. Garbage/Refuse .020 2 F 101 t 8. Food Thermometers .004 - 38. Outside Disposal .020 1 ' 9. Cross Contamination .005 2 39. Outer Openings .021 2 2 � 10. PHF's thawed, cooked& cooled .005 40. Pesticide/Rodenticide Application 021 1 it. Food Handling .005 2 It 12. Dispensing Utensils .006 1 Physical Facilities 41. Floors .022 Personnel 42. Walls. Ceiling .022 2 13. Employee Infections .008 4 43. Lighting .023 1 14. Employee Hygiene .009 4 44. Ventilation .024 2 w 15. Employee Clothing .010 1 45.. Dressing Rooms .025 1 - Equipment 3 Utensils Other 16. Equipment/Utensil Clean 8 Sanitized .013 2 46. Toxics .026 4 17. Food Contact Surfaces .013 1 47. Premises .027 1 18. Non-Food Contact Surfaces .013 - 1 48. Living Areas A27 1 19. Food Contact Surfaces Clean .013 2 qg. Linen 027 11 I Discussion with Management Kk 20. Non-Food Contact Surfaces Clean .013 1 50. Pets .027 1 , r 21. Wiping Cloths .013 1 p 9 51. Bulk Foods 031 1 22. Dish/Warewashing Facilities .013 1 52. Salad Bars .032 1 23. Pre-Scraped. Soaked .013 1 P 24 Wash/Rinse Water .013 1 No. of 13 Critical Items Violated e 25 Thermometers/Test Kits 013 1 These items require immediate attention. U 26 Equipment/Utensil Storage .014 1 ' 27 Single Service Articles .014 1 ! 28. Single Service Re-Use .Ot 2 1 Grease Trap: In Ground: In Line: Capacity: L - tA,yy SCORE Inspected by Received•by• a Seating: Frozen Dessert Machines: Pumped: r _ - 13 CRITICAL FOOD HANDLING VIOLATIONS Full Item Descriptions 1. Food from an unapproved or unknotm source or food which is or may be Food• adulterated, contaminated or otherwise unfit for human consumption CI Food Source, approved, wholesome is found in a food establishment. 2 Containers, properly labelled Food Protection 2. Potentiallyhazardous food that is held longer than necessary for C3 Potentially hazardous foods at proper temperetures: 140OF or above, 450F or below, O°F; rapid cooling of cooked foods within 4 hours preparation or service at a temperature which is greeter then 450 T C4 Facilities to maintain product temperature 0=70 C) (in the case of cold food) or less than 1400 F (600C) (in C5 Unwrapped and potentially hazardous foods not re-served tom.` CeSe of hnt f_-.7 6 Damaged, spoiled, returned foods segregated .�. T Food protected during storage, preparation, display, dispensing, service, transportation 8 Thermometers provided, conspicuous, accurate 9 No cross-contamination 3. The food establishment's facilities are insufficient to maintain 10 Potentially hazardous foods properly thawed, cooked, and cooled product temperature. 11 Food handling minimized 12 Dispensing utensils stored 4. Potentially hazardous food or unwrapped food that has been served to Personnel customers is re—served unless such re—service is allowed under C14 Hands wasees with Infections g od restricted section 105 CMR 590.0O6(G). C15 Hands washed and clean; good hygienic practises 15 Clean clothes, heir restraints s Equipment 6 Utensils , 5. A person infected with a communicable disease that can be C16 Equipment, utensils sanitized (automatic and manudl methods) transmitted by food is working as a food handler in a food 17 Food contact surf.aces: design, constructed, installed, maintained, located 19 Non-food contact surfacest design; constructed, installed, maintained, located establishment. 19 Food contact surfaces clean, free of all cleansers 20 Non-food contact surfaces clean, free of all cleansers 21 Wiping cloths; clean, use restricted 6. A person not practicing strict standards of cleanliness and personal 22 Dish/Werpwashing facilitiesi designed, constructed, maintained, installed, located, hygiene which may result in the potential transmission of illness operated through food is employed in a food establishment. 23 Pre-flushed, scraped, soaked F 24 Wash/Rinse water clean, temperature ! 25 Accurate thermometers, chemical test kits provided; instructions posted 7. Equipment, utensils and food—contact surfaces are not cleaned and 1 26 Storage, handling of clean equl oenllutenslls 27 Single service articles, storage, dispensing sanitized effectively and may contaminate food during preparation, 28 No re-use of single service articles storage or service. Sanitary Faculties C29 Water source; approved, hot&cold under pressure 8. Sewage or liquid waste is not disposed of in an approved and C30 sewage and waste water dienossl C31 No cross-connections, back aiphonage, backflow sanitary manner, or the sewage or liquid waste contaminates or may C32 Toilets A Handwashingt number, accessible, design, installed j. contaminate any food areas used to store or prepare food, or any C33 No Insects or rodents; harborage prevented areas frequented by customers or employees. 34 Plumbing; Installed, maintained 35 Toilet rooms enclosed, self-closing doors, fixtures good repair, clean, signs 36 Handweshing areas supplied with aosp and towel dispensers, proper waste receptacles 9. Toilets and facilities for washing hands are not provided, properly 3T Garbage and refuse: containers covered, adequate number, Inseat/rodent resistant, frequency, clean installed or designed, accessible or convenient. 38 Outside area: dumpster covered, construction, clean 39 outer openings protected - 40 Pesticides and rodenticides, proper application 10. The supply of water is not from an approved source or is not under pressure and the food establishment does not. use single service Physical Facilities at Floors constructed, maintained, clean articles and/or bottled water from an approved source. 42 Walls, ceiling, attached equipment; constructed, maintained, clean 43 Lighting provided as required, fixtures shielded 11. A defect exists In . the system supplyingotable water that me as Roems .nd equipment anted as required Y P Y a5 Dressing, locker areas provided uaod, clean result in the contamination of the water. Other 12. Insects, rodents Or other animals are present on the premises C46 Toxics properly stored, labelled, used T Premises le. unnecessar, articles, cleaning maintenance equipment properly stored. (unless allowed by Section 105 CMR 590.027(F)(3)). a Authorized personnel 48 Living/sleeping quarters and laundry separate 13. Toxic items are improperly labeled, stored or used. 49 Linen properly stored50 No pets or other live animals except guide doge 51 Bulk foods stored, labelled, dispensed Note: In addition to the items listed above, any other violation of the sz salad bar operations prepared, refrigerated, displayed, protected Massachusetts Food Establishment Regulations determined by local health' officials to have the potential to seriously affect the public health shall aftef written notice to the permit holder constitute a critical violation. Item No. in the space below describe all violations checked Page-/-of • J; t`� .� FOOD ESTABLISHMENT. INSPECTION REPORTmAeAddme FAddress hment Name � Date �� 1 /� " : In Outne Type of Establishment: 4<rpose. Food ServiceRoutine f t Owners Nam �. �✓ Retail Food Follow-up eggourewva Residential Kitchen , -� Person In Charge Mobile Unit Complaint i Temporary Food Service Investigation ' 7 Inspectors Name Caterer Other,QZ . ., ., ` ! ems► Based on an inspection today,the items check d below indicate the violated provislons of 105 CMR 590.000. Each,item is. . t followed by the applicable section of the Massachusetts regulation. Non-critical violations are marked under column"N"and critical violations are marked under column"C". Descriptions of each item appear on the back of this form. Each violation " y checked requires an explanation on the narrative`page(s). This report serves as official notice of violated provisions and ! , ? official notice to correct said violations. Food c�N. C�I --7 low, %_$2_9 4u�a& "Sanitary Facilities N C WT. 1. Food Supply .0021 4 29. Water Source .015 4 2. Food Containers .002 1, 30. Sewage 016 4 i31. Cross-Connections .017 4 Food Protection 4 32. Toilets/Handwashing 018&.Ot 9 4 -. 3. PHF Temperatures .004 33' Insects/Rodents .021 . : 2 _ 4 Facilities. Hot 8 Cold Storage .004 4 ''34' Plumbing .017 1 5. PHF Re service .006 35.. Toilet Rooms .018 2 J 6y Spoiled/Damaged Foods .003 4 136.1.-Handwashing Areas" .019 2 e, 7. Food Protected .003 2 '37. Garbage/Refuse .020 2 8. Food Thermometers .004 38" Outside Disposal .020 1 9. Cross Contamination .005 .2 39. Outer Openings .021 2 T 2H r 10. PH thawed,cooked 8 cooled .005 40. Pesticide/Rode nticide Application '' a .021 1 fit+ 11. Food Handling ..005 2 f 12. Dispensing Utensils .006 1 Physical Facilities ^� 41. Floors .022 2 r "Personnel 42. Walls,Ceiling .022 2 13. Employee Infections .008 M 4 43' Lighting .023 1 14. Employee Hygiene .009 4 44. Ventilation .024 2 LI .' ` 15. Employee Clothing .010 1 45.. Dressing Rooms .025 1 G Equipment 3 Utensils Other 16. Equipment/Utensil Clean 8 Sanitized .013 ` 2 46. Toxics .026 4 17. Food Contact Surfaces .013 " 1 47. Premises .027 1 �� 18. Non-Food Contact Surfaces 013 1 48. Living Areas .027 1 Disculssio th'Management ,t 19. Food Contact Surfaces Clean .013 �2 49. Linen 027 1 �� 20. Non-Food Contact Surfaces Clean .013 1 �1` • 50. Pets 027 7 1 "` ' ' - • 21. Wiping Cloths .013 '-1 51. Bulk Foods .03 - i 1 22. Dish/Warewashing Facilities .013 1 52. Salad Bars .032 A + 23. Pre Scraped,Soaked 013 1 -\ 1 _ 24. Wash/Rinse Water .013 1 No.of 13 Critical Items Violated - 7 25. Thermometers/Test Kits .013 1 These items require immediate attention. 26. Equipment/Utensil Storage 014 1 I F 27. Single Service Articles .014 28. Single Service Re-Use .012 t ' I Inspected t� , r .. Full Item Descriptions Food i e C1 Food Source, approved, wholesome 2 Containers, properly labelled Food Protection C3� Potentially hazardous foods at proper temperatures: 140OF or above, -450F or below, .OoF; ' rapid cooling of cooked foods within 4-hours 04 Facilities to maintain product temperature ' C5 Unwrapped and potentially hazardous foods not re-served = 6 Damaged, spoiled, returned foods segregated 7 Food protected during stora e, _pee aration display, dispensing, service transportation P g 8 P P Y, P g� , . P 8. Thermometers provided', conspicuous, accurate 9 No cross=contamination 10 Potentially hazardous foods properly thawed, cooked, and cooled 11 Food handling minimized .12 Dispensing utensils stored t Personnel C13 Employees with 'infections restricted i' C14 Hands weshed and clean; good hygienic practices 15 Clean clothes, hair restraints Equipment & Utensils; I C16 Equipment, utensils-isanitized (automatic and manual methods) 17 Food. contaet surfaces: design,: constructed, installed, maintained, located ` 18 Non-food contact surfaces: design, constructed, installed, maintained,.located _ t 19 Food contact surfaces 'clean, free of all cleansers 20 Non-food contact' surfaces clean, free.,of all cleansers , 21 Wiping cloths; -clean,'use restricted �! 22 Dish/Warewashing facilities: designed, constructed, maintained, installed, located,, operated i 23 Pre-flushed, scraped, soaked 24 Nash/Rinse water clean, temperature ; 25 Accurate thermometers,,chemical. test kits provided; instructions posted 26 Storage, handling of clean equipment/utensils 127 'Single service articles, storage, dispensing r 28 No re-use of single service articles Sanitary Facilities C29 water' source; approved, hot&cold under pressure C30 Sewage and waste dater disposal C31 No cross-connections, back siphonage, baekflow C32 Toilets & Handwashing: number, accessible, design, installed C33'., No insects or rodents; harborage prevented 34 Plumbing; installed, maintained 35 Toilet rooms enclosed, self-closing doors, fixtures goodlrepair, clean, signs 36 Handwashing areas supplied 'with soap and towel dispensers, proper Waste receptacles 37 Garbage and refuse: containers covered, adequate number, insect/rodent resistant, frequency, clean 38 outside area: dumpster covered, construction, clean 39 outer openings protected - 40 Pesticides and rodenticides;, proper application Physical Facilities, 41 Floors constructed, maintained, clean 42 Walls, ceiling, attached equipment; constructed, maintained, clean . 43 Lighting provided as required, fixtures shielded 44 Rooms and equipment vented as required 45 Dressing, locker areas provided used, clean a other � • ' C46 Toxics properly stored, labelled, used . { 47 Premises litter-free, unnecessary articles, cleaning maintenance equipment properly stored. Authorized personnel 48 Giving/sleeping quarters and laundry separate 49 Linen properly stored ` 50 No pets or other live animals except guide dogs .51 Bulk foods stored, labelled,, dispensed ; 52 Salad bar ;operations prepared, refrigerated, displayed, protected • i r.. PERMIT FEE THE COMMONWEALTH-OF MASSACHUSETTS 4 $75.00 ............ OWN of ......BARN STABLE ••--..... ... ............................................ Board of Health This is to Certify that ...�WACY.,...INC....D_(B/A THE FITNESS CLUB OF CAPE COD .......................................................... NAME 55 ATTUCKS LANE, HYANNIS ..••-•-••-•-•••••-••-••••..................•-•--•-•-•-••••...---.....--••-•---•-••-••••-•-•---•........................................--•-•-••............................. ADDRESS IS HEREBY GRANTED A PERMIT To Operate a Public, Semi-Public Swimming or Wading Pool At ....................•--•---••-•-•--.........-••-............•••.......................................--••--•.......................••-••--••......•--..•---•-........ METHOD OF WATER TREATMENT: CHLORINE—AUTOMATICALLY FED. ..........................................................................................••...........••-•--•............................--•-••----••..........•----•...... .........................................................................................................................................................•-..........•--••-- This permit is granted in conformity with Title 2 of the Sanitary Code of The Common. wealth of Massachusetts, and expires .____—----- DECEMBER 31_, 1993_ unless -- ------------------- sooner suspended or revoked. ...........►Sugar-f°`.RBgk ........... Jose 1i1C. oar JANUARY.......-•••••--•-.19_93 �..p. 'I�lui�j��' of ...................................--- -•••••------- ----------------•--•-•-•.. .......... .........=' �2 Health c. ............. .......................•. FORM 1712 HOBBS 8 WARREN. INC. AGENT t. . t� THE COMMONWEALTH OF MASSACHUSETTS OF.. .......... ......... s HEALTH DEPARTMENT SWIMMING POOL INSPECTION REPORT NAME DATE ADDRESS � NO.TEL s — , OPERATOR i . -" � MAX. BATHING LOAD_ PERMIT POSTED'v''i Regulations of the Massachusetts Sanitary Code: Article VI-"Minimum Standards for Swimming Pools". ITEMS: 1. DEFINITIONS, 2. PLAN APPROVAL, 8. SEWERAGE, 11. BATHER LOAD. 12. STRUCTURE, 14. OONSTRUCTION, 15. INLETS AND OUTLETS, 16. CROSS CONNECTIONS, 17. SKIMMERS, 18. DIMENSIONS, 20. WALKWAYS and 21. LADDERS. These items approved on the construction plan are of permanent nature and need not be checked at each inspection. 3. HEALTH: No employee sick, bathers take showers, clean bathing suits, sick or infected bathers not allowed, spitting prohibited, no glass or dangerous objects. Health and Shower signs posted. -_ 4. LIFEGUARDS: No unsupervised swimming. Trained lifeguards in attendance a9cording to Health Dept. ruling. 5. SAFETY: One shepards crook and one ring buoy with adequate rope for each 2000 sq. ft. water surface. 6. FIRST AID: Red Cross first aid kit (24 unit or equivalent), emergency telephone numbers posted, local police, state police, fire dept., and several available physicians. Telephone available (not pay station). 7. BATHHOUSE: Separate dressing and sanitary facilities for each sex, adjacent to pool, adequate, well lighted, drained, ventilated, impervious construction and light color. One shower and one toilet per 40 bathers (min. 2 ea.), hot and cold water. soap provided, one wash bowl per 60 bathers. No common cups, towels, combs or brushes. Emergency room provided for sick or injured bathers, with cot and blanket. Foot showers (if required). Pool adequately enclosed Approved drinking water facilities. 9. CLOSURE: Operator to close pool when water does not meet the requirements of this code. _10. PERMIT - RECORDS: Permit posted. Written records available of daily operation of the pool. including attendance, water tests, chemicals used, hours of operation, backwashing and other information required. =�13. RECIRCULATION - FILTRATION: Purification system capable of maintaining quality of water, turnover every 8-hours, Max. filtration rate 2-3 gal. per min, per sq. ft. filter. Disinfection equipment finely adjustable. 19. DEPTH MARKINGS: Marked on deck and walls at one foot intervals (shallow end) 25 ft. intervals (deep end). 22. DIVING BOARDS: Rigidly constructed, properly anchored, braced for heaviest load, sound, no splinters or cracks, non slip surface. Not over 10 ft. above water level and at least 13 ft. unobstructed head room. ` /L` 3. WATER SOURCE: Water used in any swimming pool shall be from a source approved by the Health Department. = 4. BACTERIOLOGICAL QUALITY: Health Dept. shall cause water samples to be analyzed as considered necessary. Quality shall meet the USPHS drinking water standards. Untreated water not over 2400 MPN Coliform. 25. CHEMICAL STANDARDS: Treated with chlorine or other effective method. Tests taken daily or more often as required by Health Dept. Chlorine residule .4 to 1.6, pH 7.0 to 7.5. =26. TESTING EQUIPMENT: Testing equipment provided, in good repair and complete with fresh reagents. _27. WATER CLARITY: A 6 inch black disc at bottom of deepest part of pool visable at 10 yards away. �2. WADING POOLS: Quality of the water shall be thesame as swimming pools. Turnover 4 hours or less. REMARKS: PERSON INTERVIEWED SANITARIAN r FORM 170E A. M. SULKIN, INC. SEATING: 45 FEE RETAIL: FOOD: $125.00 MILK: TOWN OF BARNSTABLE BOARD OF HEALTH PERMIT TO OPERATE A FOOD ESTABLISHMENT PERMIT NO. 272 JANUARY 1, 1993 In accordance with Regulations promulgated under authority of Chapter 94, Section 305A and Chapter 111, Section 5 of the General Laws a Permit is hereby granted to: DENNIS ACETO j D/B/A FITNESS CLUB OF CAPE COD/ Whose place of business is at 55 ATTUCKS LANE, HYANNIS, MA Type of business and any restrictions FOOD SERVICE ESTABLISHMENT To operate a food establishment in the TOWN OF BARNSTABLE Permit Expires DECEMBER 31, 1993 BOARD OF HEALTH Susan G. Rask, Chairman Joseph C. Snow, M.D.. Brian R. Grady Thomas A. McKean Director of Public Health .; SEATING: 45 NUMBER FEE THE COMMONWEALTH OF MASSACHUSETTS 240 $125.00 TOW114 of B4RNSTABLE Board of Health of PERMIT TO OPERATE A FOOD ESTABLISHMENT Permit No. 240 JANUARY 1, 19 92 In accordance with Regulations promulgated under authority of Chapter 94,Section 305A and Chapter 111, Section 5 of the General Laws a Permit is hereby granted to: MAJACY, INC. D/B/A THE FITNESS CLUB OF CAP ' COD Whose place of business is 55 ATT.UCKS LANE, HYA'1Q3IS a Type of business and any restrictions FOOD SFPVICE ESTAP.LISHRENT To operate a food establishment in T011111 OF BAYNSTABLIK • * (City or Town) k Permit Expires DEC.r21BER 31, 19 92. Board of n� Health FORM 738 Rev.19W AGE T .. .. ._ .:. .. .. e:. .r-r`. .-. ... _ .. - i ... r � .. .. S ..,a .. a_a r. .Y� �,_ Y...t ... .v .. .....).ram. �� r.✓ .n .. .,i-�✓ tw ..- .:Ff!fJ� - TOWN OF BARNSTABLE OFFICE HOURS: . 1.1HE70 . /Poi 8:30 - 9:30 A.M. (• f I2:as 2:0o F.M. Item No. In the space below describe all violations checked 1 I ;I'� ` - BOARD OF HEALTH 367 MAIN STREET j 7 HYANNIS, MASS. 02601 790-6265 EXT.265; ' FOOD ESTABLISHMENT; INSPECTION REPORT Establishment Name � fs �� Date y~ �- / �/^-�' �,� // Time: n Out Address �� / 7 �1�i ,$ /��r; (* 1`�✓ AV-1 h - Telephone `7 171- � `� ,(r/ Type of Establishment: ,purpose: y� Food Service I. - -r/� Owners Name Retail Food Routine Residential Kitchen Follow-up t Person In Charge 19�� Mobile Unit Complaint Investigation Inspectors Name Temporary Food Service Other ( -� Caterer Based on an inspection today,the items checked below i�d' icate the violated provisions of 105 CMR 590.000. Each item is followed by the applicable section of the Massachusetts regulation. Non Critical violations are marked under Column"N"and critical violations are marked under column"C". Descriptions of each item appear on the back of this form. Each violation { checked requires an explanation on the narrative page(s). This report serves as official notice of violated provisions and official notice to correct said violations. Food [[[N CC�II WT.Sanitary Facilities N C NT. 1. Food Supply .002 4 29. Water Source .015 "' 4 2. Food Containers .002u 1 30. Sewage .016 4 31. Cross-Connections .017 " 4 Food Protection 32. Toilets/Handwashing .018 8 .019 2 3. PHF Temperatures .004 4 33. Insects/Rodents .021 2 4. Faci'ities. Hot 8 Cold Storage .004 4 34. Plumbing .017 1 5. PHF Re-servicf' .006 4 35. Toilet Rooms .018 1 6. Spoiled/Damaged Foods .003 l 36. Handwashing Areas .019 2 7. Food Protected .003 4 37. Garbage/Refuse .020 2 8. Food Thermometers .004 1 38. Outside Disposal .020 2 9. Cross Contamination .005 2 39. Outer Openings .021 1 10. PHF's thawed,cooked 8 cooled .005 4 40. Pesticide/Rodenticide Application .021 1 11. Food Handling .005 2 12. Dispensing Utensils .006 ] Physical Facilities 41. Floors .022 1 Personnel 42. Walls,Ceiling .022 1 13. Employee Infections .008 4 43. Lighting .023 1 14. Employee Hygiene .009911 4 44. Ventilation .024 1 15. Employee Clothing .O1 O 45. Dressing Rooms .025 1 Equipment 8 Utensils Other 16. Equipment/Utensil Clean 8 Sanitized .013 ' 4 46. Toxics .026 4 17. Food Contact Surfaces .013 1 47. Premises .027 1 18. Non-Food Contact Surfaces .013 1 48. Living Areas .027 1 Discussion with Management 19. Food Contact Surfaces Clean .013 2 49. Linen 027 1 20. Non-Food Contact Surfaces Clean .013 1 50, Pets .027 1 21, Wiping Cloths .013 1 51. Bulk Foods .031 I ' 22. Dish/Warewashing Facilities .013 1 52. Salad Bars .032 2 23. Pre-Scraped, Soaked .013 1 p 24. Wash/Rinse Water .013 1 No.of 13 Critical Items Violated _ 25. Thermometers/Test Kits .013 ] These items require Immediate attention. 26. Equipment/Utensil Storage .014 1 27 Single Service Articles .014 1 28. Single Service Re-Use .012 ] J SCORE � 7 i �� Inspected bye 1 yReceived by � 13 CRITICAL FOOD HANDLING VIOLATIONS Full Item Descriptions 1. Food from an unapproved or unknown source- or •food which is or may be Food• adulterated contaminated or otherwise unfit for human consum ti C1 Food Source, approved, wholesome • pon 2 containers, properly labelled is found in a- food establishment. Food Protection 2. Potentially. hazardous food that is held longer .than necessary for C3 Potentially hazardous foods at proper temperatures: 140°F or above, 45°F or below, 0°F; y. ., ` g Y rapid cooling of cooked foods within 4 hours preparation• or service at i temperature which is' greeter then 450 F C4 Facilities co maintain product temperature (-7o 0 (in the case of cold food) or less than 1400 F (600C) (in c5 unwrapped and potentially hazardous foods not re-served 6 Damaged, spoiled, returned foods segregated 7 Food protected during storage, preparation, display, dispensing, service, transportation 8 Thermometers provided, conspicuous, accurate 9 No cross-cbntaminaticn ` t' I 3. The- food • establishment's facilities are, insufficient to maintain - 10 Potentially hazardous foods properly thawed, cooked, and cooled - .. - product temperature. 11 Food handling utensils nsils stored _ - 12 Dispensing utensils stored � 4 , Potentially Hazardous food or unwrappedC13 E food that has been served to m _ • 13 Employees with Infections restricted' customers -is re—served- unless such re—service is allowed under C14 Hands washed and clean; good hygienic practices section 105 CMR 590.006(G). 15 clean clothes, heir restraints Equipment i Uteasils ` c16 Equipment, utensils sanitized (automatic and menudl methods) 5. A person infected with a communicable disease that can be transmitted by food is working as a food handler in a food 17 Food contact act surf design, constructed, installed, maied. maintained. located 18 Non-food contact surfaces: design, constructed, installed, maintained, located establishment. 19 Food contact surfaces clean, free of all cleansers 20 Non-food contact surfaces clean, free of all cleansers- " 1 21 Wiping cloths; clean, use restricted r 6. A person not practicing strict standards of cleanliness and personal i 22 Dish/warpwashing fac111tiea: designed. constructed, maintained, Installed, loosed, hygiene which may result in the potential transmission of illness. operated 23 Pre-flushed, scraped, soaked through food is employed in a food establishment. 24 Mash/Rinse water clean, temperature 25 Accurate thermometers, chemical test kits provided; instructions posted 26 Storage, handling of clean equipment/utensils 7. Equipment, utensils and food—contact surfaces are not cleaned and 27 Single service art!°lea, storage, dispensing sanitized effectively and may contaminate food during preparation, 2e No reuse of single service articles storage or service. sanitary Facilities C29 Water source; approved, hot8cold under pressure 8. Sewage or liquid waste is not disposed of in an approved and C30 Sewage Pnd waste water dievosal C31 No cross-connections, beck aiphonege, backflow sanitary manner, or the sewage Or liquid waste contaminates or may C32 Toilets 8 Hsndwashing: number. accessible, design, Installed contaminate any food areas used to store or prepare food, or any C33 No Insects or rodents; harborage prevented areas frequented b customers or employees. 34 ToilePlumbt Ss encloseed. maintained Q y � 35 Toilet rooms enclosed, self-closing doors, fixtures good repair, clean, signs 36 Handwashing areas supplied with soap and towel dispensers, proper waste receptacles 37 carnage and refuse: containers covered, adequate number. insect/rodent resistant. frequency, 9. Toilets and facilities for washing hands are not provided, properly clean installed or designed, accessible or convenient. 38 Outside area: dumpster covered, construction, clean 39 Outer openings protected 40 Pesticides and rodenticidea; proper application 10. The supply of water is not from an approved source or is not under . pressure and the food establishment 41 does not. use single service P F■i Facilities Floors Constructed. maintained, clean articles and/or bottled water from an approved source. 42 Walls, ceiling, attached equipment; constructed, maintained, clean 43 Lighting provided as required, fixtures shielded 44 Roams and equipment vented as required 11. A defect exists in the system supplying potable water that may 45 Dressing. locker areas provided used, clean result in the contamination of• the water. other 12. Insects, rodents or other animals are resent on the remises C46 Tories properly stored. labelled, :see D v P P 47 Premises litter-free, unnecessarl articles, cleaning maintenance equipment pro stored. (unless allowed by Section 105 CMR 590.027(F)(3)). Authorized personnel 48 Living/sleeping quarters and laundry separate 49 Linen properly stored 13. Toxic items are improperly labeled, stored'or used. so No pets or other live animals except guide dogs 51 Bulk foods stored, labelled, dispensed . 1 52' Salad bar operations prepared, refrigerated, displayed, protected Note: In addition to the items listed above, any other violation of the Massachusetts Food Establishment Regulations" ,determined by local health officials to have the potential to seriously affect the •public• health shall after" written notice to the permit holder constitute a critical violation. ti HOT—TUB PERMIT FEE THE COMMONWEALTH OF MASSACHUSETTS $75.00 89 TOWN. ........ of ....BARNSTABLE.:................. Board of Health This is to Certify that ............ HE• FITNESS.CLUB. OF _CAPE COD NAME 55 ATTUCKS LANE, HYANNIS -----------------------------------•----.....----------...--------..........-----------•---------------•----.............................-------------•........-•---...... ADDRESS IS HEREBY GRANTED A PERMIT To Operate a Public, Semi-Public Swimming or Wading Pool .... ........ .................. .. .... ............. At ........ . METHOD. . OF WATER. ..TREATMENT:. . . . CHLORINE— AUTOMATICALLY FED ...............................................................................................................................................•------•-•--.....-•--------• This permit is granted in conformity with Title 2 of the Sanitary Code of The Common. wealth of Massachusetts, and expires -------__----_-__-_-DECEMBER 31, 1992 ----_unless -- 1- — sooner suspended or revoked. JANUARY 1, • ........SUMM-G.Ruk---------•------------------------------- Board ........... ....•-----19---92 ----....... . of ----- --------------------------------------------------------------•---•......-••---. Health. ------------------------•••• ------------------- By -----------• FORM 1712 HOBBS & WARREN. INC. AGENT TOWN OF BARNSTABLE OFFICE HOURS: pf ENE/p - %P%} c. 8:30 9:30 A.M. Item No. In the space below describe all violations checked w ,�:(•- - ;�.I BOARD OF HEALTH 12:45 - 2:00 P.M 367 MAIN STREET HYANNIS, MASS. 02601 790-6265 EXT.265 ', FOOD ESTABLISHMENT INSPECTION REPORT Establishment Name r f- � �0/1 �^ /`_�F + Date G �-- - 4./ ( _ 1 r�sx I/5-/-,f� //'.,vim•.,t.._.- �^'° AddressTime: In Out (J Telephone '�� ' 7 A ' v Type of Establishment: Purpose: Owners Name Food Service Routine k Retail Food Follow-up + Residential Kitchen Person In Charge A � Mobile UnitWin Complaint r Inspectors Name �\y/�� (\�\ Cateperary Food Service Other investlgation 1 Based on an inspection today,the items checked below indicate the violated provisions of 105 CMR 590.000. Each item is r� n followed by the applicable section of the Massachusetts regulation. Non-critical violations are marked under column"N"and L 1 ./'-u� - - - ' critical violations are marked under column"C". Descriptions of each Item appear on the back of this form. Each violation x checked requires an explanation on the narrative page(s). This report serves as official notice of violated provisions and. official notice to correct said violations. Food N C Mi.Sanitary Facilities N C AT. 1 1. Food Supply .002� 4 29. Water Source .015 " 4 2. Food Containers 002 1 30. Sewage .016 rJ14 4 31. Cross-Connections .01707 4 Food Protection 32. Toilets/Handwashing .018 8.019 2 3. PHF Temperatures .004 4 33. Insects/Rodents .021 _ 2 s.. sr 4. Facilities, Hot 8 Cold Storage .004 4 34. Plumbing .017 1 5. PHF Re-service .006 1 35. Toilet Rooms .018 1 6. Spoiled/Damaged Foods .003 1 36. Handwashing Areas 2 7. Food Protected .003 4 37. Garbage/Refuse 0.019 19 2 8. Food Thermometers .004 1 38. Outside Disposal .020 2 9. Cross Contamination .005 2 39. Outer Openings .021 1 10. PHFs thawed,cooked 8 cooled .005 4 40. Pesticide/Rodenticide Application .021 1 it. Food Handling .005 2 12. Dispensing Utensils .006 1 Physical Facilities 41. Floors .022 E I Personnel 42. Walls.Ceiling .022 1 13. Employee Infections .008 4 43 Lighting .023 1 14. Employee Hygiene .009 s 4 44. Ventilation .024 1 15. Employee Clothing .010 1 45. Dressing Rooms .025 1 Equipment 8 Utensils Other 16. Equipment/Utensil Clean 8 Sanitized. .013 4 46. Toxics 17. Food Contact Surfaces .013 1 47. Premises .027 %1 18. Non-Food Contact Surfaces .013 1 48. Living Areas .027 1 Discussion with Management 19. Food Contact Surfaces Clean .013 2 49. Linen .027 I 20. Non-Food Contact Surfaces Clean .013 1 56. Pets .027 1 21. Wiping Cloths .013 1 51. Bulk Foods .031 I 22. Dish/Warewashing Facilities .013 1 52. Salad Bars .032 2 23. Pre-Scraped, Soaked .013 1 24, Wash/Rinse Water .013 I . No.of 13 Critical Items Violated _ 25. Thermometers/Test Kits .013 I These items require immediate attention. 26. Equpment/Utensil Storage .014 I 27 Single Service Articles .014 1 ` r 28. Single Service Re-Use .012 I 7� SCORE \ _}1 - I Inspected by ,�� ---� Received`by R .t1e'w� L �_,•,r 13 CRITICAL FOOD HANDLING VIOLATIONS Full Item_ Descriptions 1. Food from an unapproved or unknown source or food which is or may be Food• adulterated, contaminated or otherwise unfit for human consumption C1 Food source, approved, wholesome is found in a food establishment. 2 Containers, properly labelled Food Protection 2. Potentially hazardous food that is held longer than necessary for C3 Potentially hazardous foods it proper temperatures: 140°F or above, 45°F or below, 0°F; Y g Y rapid cooling or cooked foods within 4 hours preparation or service at a temperature- which is greater than 450 F C4 Facilities to maintain product temperature 0``=70 C) (in the Cabe Of Cold food) or less than 1400 F (600C) (in C5 Unwrapped and potentially hazardous foods not re-served 0;•C ..nac of hot f_s 6 Damaged, spoiled, returned foods segregated • - ••/• 7 Food protected during storage, preparation, display, dispensing, service, transportation 8 Thermometers provided, conspicuous, accurate 9 No cross-contamination 3. The- food establishment's facilities are insufficient to maintain 10 Potentially hazardous foods properly thawed, cooked, and cooled product temperature. 11 Food handling minimized 12 Dispensing utensils stored 4. Potentially hazardous food or unwrapped food that has been served to Personnel C13 Employees with infections restricted customers is re—served unless such re—service is -allowed under C14 Hands washed and clean; good hygienic practices -section 105 CMR 590.006(G). 15 Clean clothes, heir restraints Equipment i Utensils 5. A person infected with a communicable disease that can be C16 Equipment, utensils sanitized (automatic and manudl methods) 17 Food contact.surfaces: design, constructed, Installed, maintained, located transmitted by food is working as a food handler in a food „ 16 Non-food contact surfaces: design, constructed, Installed, maintained, located establishment. 19 Food contact surfaces clean, free of all cleansers 20 Non-food contact surfaces clean, free of all,cleansers 21 Wiping cloths; Clean, use restricted 6.- A person not practicing strict standards of cleanliness and personal 22 Dish/Warpwashing facilities: designed, constructed, maintained. Installed, located, hygiene which may result,, in the potential transmission of .illness operated , soaked through food is employed in a food establishment. 24 Nash/Rinsedwateraped clean, temperature 25 Accurate thermometers, chemical test kits provided; Instructions posted 7. Equipment, utensils and food—contact surfaces are not cleaned and 26 Storage, handling of e equipment/utensils 27 Single service articless,. storage, dispensing sanitized effectively and may contaminate food during preparation, 28 No re-use of single service articles i - storage or service. Sanitary Facilities C29 Water source; approved, hot&cold under pressure, 8. Sewage or liquid waste is not disposed of in an approved and C30 Sewage rnd waste water diED0381 C31 No cross-connections, back 31phonese, backflow sanitary manner, or the sewage or liquid waste contaminates -or may C32 Toilets 8 Handwashing: number, accessible, design. Installed contaminate any food areas used to store or prepare food, or any C33 No insects or rodents; harborage prevented 34 Plumbing; Installed, maintained areas frequented by customers or employees. 35 Toilet rooms enclosed, self-closing doors, fixtures good repair, clean, signs 36 Handwashing areas supplied with soap and towel dispensers, proper waste'receptscles -9. Toilets and facilities for washinghands are not provided, properly 37 Garbage and refuse: containers covered, adequate number. Insect/rodent resistant, frequency, p • p p Y clean installed or designed, accessible or convenient. 38 Outside area: dumpster covered, construction, clean 39 Outer openings protected 40 Pesticides and rodenticides, proper application 10. The supply of water is not from an approved source or is not under 65 pressure and the food establishment does not, use single service P41 Floors rs constructed. 41 Floors constructed, maintained, clean. articles and/or bottled water from an approved source. 42 Walla, calling, attached equipment; constructed, maintained, clean 43 Lighting provided as required, fixtures shielded 44 Rooms and equipment vented as required 11. A • defect exists in the system supplying potable -water that may 45 Dressing, locker areas provided used, clean result in the contamination of the water. Other 12. Insects rodents or other animals are resent on the remises c46 Toemi properly stored, nnecesslabellea, ,see ( � Y 5 590.027� )�3))• p 47 Premises litter-free, unnecesserl articles, cleaning maintenance equipment properly stored. unless allowed b Section 10 CMR £ Authorized personnel 48 Living/sleeping quarters and laundry separate 49 Linen properly stored 13. Toxic items-are improperly labeled, stored or used. 50 No pets or other live animals except guide dogs 51 Bulk foods stored, labelled, dispo:nsed Sf Salad bar operations prepared, refrigerated, displayed, protected Note: In addition to the items listed above, any other violation of the Massachusetts Food Establishment Regulations determined by local health officials to have the potential to seriously affect the public health shall aftet written notice to the permit holder constitute a critical violation. I r S.ATMG: 45 NUMBER FEE THE COMMONWEALTH OF MASSACHUSETTS 194 $125.00 . .. .. .. .. . . . . . . . . . of . .BARNS AF3LE. . .. .. .. . . . . .. .. . . . . . Board of Health.of PERMIT TO OPERATE A FOOD ESTABLISHMENT Permit No. .194. . . . . . . J�a?ua'y 1, 1990 .. In accordance with Regulations promulgated under authority of Chapter 94, Section 305A and Chapter 111, Section 5 of the General Laws a Permit is hereby granted to: WALLBANGF�t OF -Iff PaIS INC. d b a . . . . 7 !. . . .C . . ... . . ..'tom F I. .. ..S, CLUB OF.CAPE_COS. .. . . . .. .. . .. . ... .. . . . . . . Whose place of business is . . . . I . .. . . . . . . . . . . .. .. . . . .55 Attu. . .. Lane, NyanniS FOOD SMVICE F;S'iABMSMgM Type of business and any restrictions . . .. . . . . . . .. . . . . . . . . .. . . . . .. . .. . .. .. . . . . . . .. . . . . . . . .. To operate a food establishment in . . . . . . . . . . . . . . . . .. T.. ,Q..B.... ..� 3. . .. . . . . . . . . . . . .. (City or Town) Permit Expires . . . . � ??x 31r. . . . 19.90, , Grover C.M. Farrish, M.D. Ciairnan Copy 'Marie' 1_;Shbauch. . . . . . . . . Board Ja�rte5 ..Crocker;' 5r;. of This Copy To Be Retained By Local , ,, ,, ,, ,, , , ,, , , , , , Board of Health. Health . . . . . . . . .. . . . . . . .. .. . . . . . . . . . . . . . . . . . . . FORM 738 HOBBS 8 WARREN,INC.•1986 ny.. r Item No. In the space below describe all violations checked page of r FOOD ESTA13LISHMENT NSPE5TI.0N REPORT C �13 Establishment Name �e Dots��-5 Address �/ f � Time: In Out Telephone � � _ '��3 1.r' a V Type of Establishment: Purpose: Food Service Owners Nams Retail Food Routine iy Residential Kitchen Follow-up Person In'Charge iil Mobile Unit Complaint S Investigation ` Inspectors Name � � Caterer ary Food Service Other { 't � U v Based on an inspection today,the items checked below indicate the violated provisions of 105 CMR 590.000. Each item is followed by the applicable section of the Massachusetts regulation. Non-critical violations are marked under column"N"and x critical violations are marked under column"C". Descriptions of each item appear on the back of this form. Each violation r, checked requires an explanation on the narrative page(s). This report serves as official notice of violated provisions and official notice to correct said violations. 1 Food N C sanitary Facilities N C e 1. Food Supply .002 29. Water Source 2. Food Containers .002 30. Sewage 016 :# f Food Protection 31. Cross-Connections. - ' .017 32. Toilets/Handwashing .018 8.019 ' 3. PHF Temperatures .0041113 33. Insects/Rodents .021, 11 i 4. Facilities. Hot 8 Cold Storage .004 34. Plumbing 01 7 t 5. PHF Re-service ,.006 35. Toilet Rooms .018 6. Spoiled/Damaged Foods .003 36. Handwashing Areas .019 7. Food Protected .003 37. Garbage/Refuse f .020 8. Food Thermometers .004 '` 38. Outside Disposal f .020 9. Cross Contamination .005 39. Outer Openings i .021 "• 10. PHFs thawed,cooked 8 cooled .005 40. Pesticide/Rodenticide Application .021 .11. Food Handling .005 12. Dispensing Utensils .006 ,physical Facilities 41. Floors .022 Y Personnel 42' Walls.Ceiling .022 13. Employee Infections .008 43. Lighting .023 14. Employee H Hygiene. .009 Y9 44. Ventilation .024 _ l 15. Employee Clothing .010 45. Dressing Rooms .025 Equipment A Utensils Other t 16. Equipment/Utensil Clean ii Sanitized .01-3 46. Toxics .026 17. Food Contact Surfaces .013 47. Premises .027 18. Non-Food Contact Surfaces .013 48. 'Living Areas .027 Discussion with Management 19. Food Contact Surfaces Clean .013 49. Linen 027 ; + I 20. Non-Food Contact Surfaces Clean .013 50. Pets .027 21. Wiping Cloths .013 51. Bulk Foods .031 22. Dish/Warewashing Facilities .013 52. Salad Bars .032 t 23. Pre-Scraped, Soaked .013 ' 24. Wash/Rinse Water .013 No.of 13 Critical Items Violated 1 _ 25. Thermometers/Test Kits .013 These items require immediate attention. 26. Equipment/Utensil Storage .014 27' Single-Service Articles .014 r 28. Single Service Re-Use .012 Inspected by Received by PERMIT 1 THE COMMONWEALTH OF MASSACHUSETTS FEE TOM $75.00 .................................. of..........BARNSTABLE ..................... Board of Health This is to Certify that .....THE FITNESS CLUB OF CAPE COD ..................... .......................... NAME -•--•••.. ....................................................... Attucks Lane, Hyannis ADDRESS ......- ............ IS HEREBY GRANTED A PERMIT To Operate a Public, Semi-Public Swimming or Wading Pool Hot Tub At ...............Method of water treatment .. Chlorine-automatically fed. This permit is granted in conformity with Title 2 of the Sanitary Code of The Common- wealth of Massachusetts, and expires .-__ '-c nber_31r 1990 sooner suspended or revoked. _ _ --------_-unless Grover C.M. Famish M.D. Chairman Ann' Jane Eshbau h ..-- ..-- January 1, _ 19.9Q-. James_H. Crocker Sr. . Board t.....-------•-•......................... of ................................ - � ............................. Health ........................... FORM 1712 HOBBS @ WARREN, INC. By :.... Agent ... i i r ' .NUMBER' THE COMMONWEALTH OF MASSACHUSETTSI`'. FEE TOWN. BARNSTABLE t Board'of Health ofi, j Y .. PERMIT To-Op ERATE AA.FOOD�ESTABLISHMENT. . °Permit�No. 341 - _ t t `J�nu�ry, o , 1989 Iri. accordance with~Regulations iproinulgated under authority of Chapter 94, Section and.Chapter 111-,Section 5 of.the`General Laws a,Permit�is�hereby;granted to., WALLBANGER `OF .HYANNIS INC; d/b:/a THE FITNESS :CLUB OF' CAPE. COD r Whose place of business'.is L ,55 Attucks Laney Hyannis Type of business and any restrictions , FOOD SERVIC)r' ESTABLISHINENT To operate a food establishment'in :; TOWN .. ,OF'_BARNSTABLK Permit�Expires ;December ,31,+ 9 gg (Gty�or Town) t 1 �Grov�er C.M. Farrish,M:D Chairman` Mn Janet'.Eshbaugh . ., `Board , ;James 'Crockeri !Sr of Health FORM 738, HOBBS S WARREN INC.-1966 - - Agent' I • I NUMBER FEE THE COMMONWEALTH OF MASSACHUSETTS 157 $75.00 T.OW. .. . . . . .. . of .. .$arnstab�e. .. . . . . . . .. .. . . .. . Board of Health of PERMIT TO OPERATE A FOOD ESTABLISHMENT Permit No. .157 . . . . . .. .ember 21, , In accordance with Regulations promullggaa- un autho *ty of C pter 94, Section 305A and Chapter I 11, Section 5 of the Generaha s a P rm�,it is herd', grant to: D. M, andPaul Sullivan dba ze1 FFlisti e s Club. of Cape.Cod. .. . . . . .. .. . Whose place of bust' ess is . . . . . . . . . . !1-773 A.tucks Ways Hyan�a, Ma. �. . . od eryce E t b ishment Type of business and y restriction . . . . . . . . .$. . . $ �. 1 .. .. .. .. . . . . . .. To operate a food estab",hment in j. . . . . . . . .T4 a� . . . . . .. .. . . . . . . . . . . .. .. (City or Town) Decembe , 31, 1 89 Permit Expires .. . . .. .. .. . . . . . . 19. . . . . Brove+d C. M. Farrish, M.D., Chairman Copy Ann, ,lane. 'Eshbauh. . . . . . . . .. .. .. . Board This Copy To Be Retained By Local .lames H. Crocker, 8r. Of Board of Health. Health FORM 738 HOBBS 8 WARREN,INC.-1986 Lam'- Agent JG-5 �,5 Item No. In the space below describe all violations checked Page _ � /-�r sir� �-1,/,!/..,/,'-�f ! _,�i-= •�'�Pi-L/../ x' "�� 1,+J, i! �✓.:,✓ ice: .. FOOD ESTABLISHMENT • INSPECTION REPORT �� _,ow"eW Establishment Name 4-;rLl �� L �..- s y �,�, Date�f Address � � � �'�f ,�.�� /,l1i11 si►�f i�Y: Lss jj�7 s Time: In Out Gafi.E L'! .1/k'/�✓.� -/l.!♦f' Telephone i Type of Establishment: Purpose: �y Food Service Owners Name 1 Retail Food Routine �l'+ � f. Follow-up f n .,� f r / w 1"/d!'�f��• `7"Or�rr� Residential Kitchen , J Person In Charge .��i9i �7ri Mobile Unit Complaint It _,� Temporary Food Service Inspectors Name Caterer Other / Based on an inspection today,the items choked below indicate the violated provisions of 105 CMR 590.000. Each item is s �� followed by the applicable section of the Massachusetts regulation. Non-critical violations are marked under column"N"and critical violations are marked under column"C". Descriptions of each item appear on the back of this form. Each violation checked requires an explanation on the narrative page(s). This report serves as official notice of violated provisions and official notice to correct said violations t�y-!�' 1�.• J lr/:- � O"r3t+ !f 1�"�.�.�> �r N C ��l�.�_..0 nts�-�, .�� fra 1 �* �•�afuJ.�J�� Food N C Sanitary Facilities 1. - Food Supply .002� 29. Water Source .015 l►rsr/ /-1�-�4%1� 7 �17 %^�'" 2. Food Containers .002 30. Sewage .016 /1144 Al4e,"_ / F 31. Cross-Connections .017 '_ Food Protection 32. Toilets/Handwashing .018 8.019 - 3. PHF Temperatures .004 33. Insects/Rodents .021 4. Facilities. Hot&Cold Storage .004 34. Plumbing .017 5. PHF Re-service .006 35. Toilet Rooms .018 6. Spoiled/Damaged Foods .003 36. Handwashing Areas .019ie 7. Food Protected .003 37. Garbage/Refuse .020 8. Food Thermometers .004 't 38. Outside Disposal .020 9. Cross Contamination .005 39. Outer Openings .021 10. PHFs thawed.cooked 8 cooled .005 40. Pesticide/Rode nticide Application .021 it. Food Handling .005 12. Dispensing Utensils .006 Physical Facilities 41. Floors .022 Personnel 42. Walls.Ceiling .022 13. Employee Infections .008 43. Lighting .023 14. Employee Hygiene .009 r 44. Ventilation .024 15. Employee Clothing .010 :k 45. Dressing Rooms .025 v Equipment&Utensils Other 16. Equipment/Utensil Clean 8 Sanitized .013 46. Toxics .026 17. Food Contact Surfaces .013 47. Premises .027 �" 18. Non-Food Contact Surfaces .013 48. Living Areas .027 Discussion with Management 1 19. Food Contact Surfaces Clean .013 49. Linen .027 �\ 20. Non-Food Contact Surfaces Clean .013 50. Pets .027 \ 1. Wiping Cloths .013 51. Bulk Foods .031 22. Dish/Warewashing Facilities .013 52. Salad Bars C .03211 23. Pre-Scraped, Soaked .013 v�'i 24. Wash/Rinse Water .013 No.of 13 Critical Items Violated _y / 25. Thermometers/Test Kits .013 These items require immediate attention. 26. Equipment/Utensil Storage .014 27. Single Service Articles .014 28. Single Service Re-Use .012 !/, Inspected by ��9 '' / Received by //l ` NUMBER FEE THE COMMONWEALTH OF MASSACHUSETTS 341 $100.00 TOWN. . . . . of .. .BARNSTABLE. .. . . . . . . . . . . .. .. .. . Board of Health of PERMIT TO OPERATE A FOOD ESTABLISHMENT 341 JANUARY 1 . . . . 1989. .. Permit No. . . .. . . .. .. . . In accordance with Regulations promulgated under authority of Chapter 94, Section 305A and Chapter 111, Section 5 of the General Laws a Permit is hereby granted to: WALLBANGER OF HYAN"NIS INC. d/b/a THE FITNESS CLUB OF CABE COD Whose place of business is . . . . . . . . . . .. . . . . . . .. S5 At tucks Lane, Hyannis Type of business and any restrictions FOOD SERVICE ESTABLISHMENT To operate a food establishment in . . .. . . . . . . , TOWN OF BARNSTABLE (City or Town) Permit Expires , _ December 31, . 19.. . . . Grover C.M. Farrish,M.D. Chairman Copy . . .Ahli-Jarie- Eghbaugh... . .. .. ... . .. . Board This Copy To Be Retained By Local J333�3: :Ii:. cfdelceIf; 'Sy: ''' '' . . . . ' Of Board of Health. Health FORM 738 HOBBS 8 WARREN,INC.-1986 .. . . . . . . . A9ent • • •• •• •. . . . . . . .. .. . . . . Item No. In the space below describe all violations checked Page / of ,f .FOOD ESTABLISHMENT INSPECTION REPORT r�r» 4a Establishment Name / d _ � / 6 �dt/ A d 'ri7 Date ,/ Time In Outer Address . 'J+-� P��`7 '!! �i'� -lY i �/A/ if/�.� / i r/� �'::I n C / 'ij7��ay�� . rz- .r✓ f a.�� c Telephone i �'��'/ •.�' ��!,!' �+ �,� �f/�lw-,c Type of Establishment: ,Purpose: �� Food Service Owners Name Retail Food Routine Residential Kitchen Follow-up Person in Charge Mobile Unit Complaint Temporary Food Service Investigation Inspectors Name Caterer Caterer Other Based on an inspection today,the items checked below indicate the violated provisions of 105 CMR 590.000. Each item is followed by the applicable section of the Massachusetts regulation. Non-critical violations are marked under column"N"and critical violations are marked under column"C". Descriptions of each item appear on the back of this form. Each violation checked requires an explanation on the narrative page(s). This report serves as official notice of violated provisions and official notice to correct said violations. s Food N C sanitary Facilities N C 1. Food Supply •002 29. Water Source .015 `=' 2. Food Containers .002 30. Sewage .016 31. Cross-Connections .017 Food Protection IBM 32. Toilets/Handwashing .018 8.019 3. PHF Temperatures .004 33. Insects/Rodents .021 s 4. Facilities..Hot 8 Cold Storage .004 34. Plumbing .01 7 5. PHF Re-servicje .006 35. Toilet Rooms .018 6. Spoiled/Damaged Foods .003 36. Handwashing Areas .019 7. Food Protected .003 37. Garbage/Refuse .020 8. Food Thermometers .004 38. Outside Disposal .020 9. Cross Contamination .005 39. Outer Openings .021 10. PHFs thawed,cooked 8 cooled .005 40. Pest icide/Rodenticide Application .021 11. Food Handling .005 12. Dispensing Utensils .006 Physical Facilities 41. Floors .022 Personnel 42. Walls,Ceiling .022 13. Employee Infections .008 43. Lighting .023 14. Employee Hygiene .009 ' 44. Ventilation .024 15. Employee Clothing .010 45. Dressing Rooms .025 Equipment d Utensils Other 16. Equipment/Utensil Clean 8 Sanitized 013 46. Toxics .026 17. Food Contact Surfaces .013 47. Premises .027 18. Non-Food Contact Surfaces .013 48. Living Areas .027 Discussion with Management 19. Food Contact Surfaces Clean .013 49. Linen .027 20. Non-Food Contact Surfaces Clean .013 50. Pets .027 21. Wiping Cloths .013 51. Bulk Foods .031 22. Dish/Warewashing Facilities .013 52. Salad Bars 032 23. Pre-Scraped.Soaked .013 / 24. Wash/Rinse Water .013 No.of 13 Critical Items Violated _Z5 1. 25. Thermometers/Test Kits .013 These items require immediate attention. 26. Equipment/Utensil Storage .014 27. Single Service Articles .014 28. Single Service Re-Use .012 �^ ` Inspected by Received by ��-� �✓% Item No. In the space below describe all violations checked Page / of / FOOD ESTABLISHMENT INSPECTION REPORT �' �- •� `� ' �' Establishment Name ur Date, y J'f Address �-• n r� �i'. /� Time: to Out '11er ��7 /�1 ��Li� ^r�s.#�il✓.�! ��-tr�l '7•!. r Telephone 7 7-/- 72',3r4- J Type of Establishment: � Purpose: t Food Service Routine Owners NameFoodne,/jJ ( 9 Retail ou / t �d�' �6tsr� 1��1-i.��i+ /��t �J Residential Kitchen Follow-up A9 Person In Charge Mobile Unit Complaint / ►' �� (' C� �{�� /,� ``. ysy�p� Investigation Temporary Food.Service � • � �� Inspectors Name Other rT�o.�� Caterer s y � /1 1r' � .�Q.+r/1' �� ? Based on an inspection today,the items checked below indicate the violated provisions of 105 CMR 590.000. Each item is followed by the applicable section of the Massachusetts regulation. Non-critical violations are marked under column"N"and critical violations are marked under column"C". Descriptions of each item appear on the back of this form. Each violation checked requires an explanation on the narrative page(s). This report serves as official notice of violated provisions and p official notice to correct said violations Food N C Sanitary Facilities N C 1. Food Supply .002ffJ 29. Water Source .015 / z �rX�1il G�ir'J✓1-i �r 1i1 �! i/.l �i�T.wr 2. Food Containers .002 30. Sewage .016 c� 31. Cross-Connections .017 ,-> Food Protection 32. Toilets/Handwashing - .018 8.019 3. PHF Temperatures .004 33. Insects/Rodents .021 4. Facilities..Hot 8 Cold Storage .004 34. Plumbing .017 �( 5. PHF Re-servicre .006 35. Toilet Rooms .018 6. Spoiled/Damaged Foods .003 36. Handwashing Areas .019 7. Food Protected .003�( 37. Garbage/Refuse .020 8. Food Thermometers .004 1C 38. Outside Disposal .020 9. Cross Contamination '.005 39, Outer Openings .021 � 10. PHFs thawed,cooked 8 cooled .005 40. Pesticide/Rode nticide Application .021 11. Food Handling .005 12. Dispensing Utensils .006 X Physical Facilities s- 41. Floors .022 Personnel 42 Walls,Ceiling .022 13. Employee Infections .008 P; P 41 Lighting .023 14. Employee Hygiene .009 44. Ventilation .024 15. Employee Clothing .010 45. Dressing Rooms .025 Equipment 8 Utensils Other 16. Equipment/Utensil Clean 8 Sanitized .013 46. Toxics :026 17. Food Contact Surfaces .013 47. Premises .027 18. Non-Food Contact Surfaces .013 48. Living Areas .027 Discussion with Management 19. Food Contact Surfaces Clean .013 49. Linen .027 20. Non-Food Contact Surfaces Clean .013 50. Pets .027 21. Wiping Cloths .013 51. Bulk Foods .031 22. Dish/Warewashing Facilities .013 52. Salad Bars .032 Li 23. Pre-Scraped,Soaked .013 24. Wash/Rinse Water .013 No.of 13 Critical Items Violated 25. Thermometers/Test Kits .013 These items require immediate attention. 26. Equipment/Utensil Storage .014 27. Single Service Articles .014 28. Single Service Re-Use .012 457 G �7! Inspected by, ""� Ly Received by'�/ t• 411 Item No. In the space below describe all violations checked Page of 1 - • i FOOD ESTABLISHMENT INSPECTION REPORT ` a�a �� r�n �I 1 �'r - � � Establishment Name ��, C'L1.1 A�. Date In Ou Time: . t _ V Address addsa �.-S j-A I4e .IJ V-A AA 1, !�� 1 n V__ � J�� ✓ �-� Telephone / Type of Establishment: / I! 1 ~ Purpose:� _� �_ll / 1I Food Service / � / f �� _ � // Owners Name Retail Food 1. Routine Residential Kitchen Follow up Person In Charge Mobile Unit Complaint � ) /V Temporary Food Service Investigation I Inspectors Name 01\/A , `r I J � � Caterer Other Y Based on an inspection today,the items checked below indicate'the violated provisions of 105 CMR 590.000. Each item is followed by the applicable section of the Massachusetts regulation.Non-critical violations are marked under column"N"and 4 critical violations are marked under column"C". Descriptions of each item appear on the back of this form. Each violation checked requires an explanation on the narrative page(s). This report serves,as official notice of violated provisions and official notice to correct said violations. Food N C Sanitary Facilities N C 1. Food Supply •002 29. Water Source .015 �_ 2. Food Containers .002� 30. Sewage .016 31. Cross-Connections .017 I Food Protection 32. Toilets/Handwashing 018 8.019 3. PHF Temperatures .004 33. Insects/Rodents- .021 >x 4. Facilities..Hot&Cold Storage 004 34. Plumbing .017 _ 5. PHF Re-servicje .006 35. Toilet Rooms .018 t 6. Spoiled/Damaged Foods .003 36. Handwashing Areas .019 7. Food Protected .003 37. Garbage/Refuse .020 8.. Food Thermometers .004 38. Outside Disposal 020 9: Cross Contamination 005 39. Outer Openings .021 ,r. 10. PHFs thawed,cooked&cooled .005 40. Pesticide/Rode nticide Application .021 I1. Food Handling .005 12. Dispensing Utensils .006 Physical Facilities 41. Floors .022 Personnel 42. Walls,Ceiling .022 13. Employee Infections• .008 43. Lighting .023 _ 14. Employee Hygiene .009 4 . Ventilation .024 n//�� /� /d r 15. Employee Clothing .O1 O 45. Dressing Rooms .025 f�l ( _ "] J r r> I ^ O Equipment&Utensils Other 16. Equipment/Utensil Clean& Sanitized .013 46. 'Toxics .026 ' �^�/-�1 7 1/U f /� A�IA 17. Food Contact Surfaces .013 47. Premises .027 18. Non-Food Contact Surfaces .013 48. Living Areas .027 Discussion with Management 19. Food Contact Surfaces Clean .013 49. Linen .027 _/1 20. Non-Food Wiping g Cloths tact Surfaces Clean .0013 Bulk Foods .027 031 1" "&M (y//V 22. DishMarewashing Facilities .013 52. Salad Bars .032 El _o 23. Pre Scraped,Soaked 013 /l-f- rZ V, AZ LZ-004_- f I Lfl Y�_- ," 24. Wash/Rinse Water .013 No.of 13 Critical Items Violated a -- 25. Thermometers/Test Kits .013 These items require immediate attention. 26. Equipment/Utensil Storage .014 27. 'Single Service Articles 0/4 � �v�1,( Y 28. Sin le Service Re-Use .012 / Inspected by / Received by . I Item No. In the space below describe all violations checked Pagej_of '4 f 2 C e t t' t La ►%�,'>>�� FOOD ESTABLISHMENT INSPECTION REPORT y l L u-�c Establishment Name nY1��JUC'�r�� ( u Date Address G S ` TI e: In ane S�Yrv �af Telephone Type of Establishment: ! rS `'�'( j ��C-E-I' Z O 1 1= Purpose: i� f Food Service Owners Name GAY., t'_� -�2 [-o Retail Food Routine Residential Kitchen Follow-up l e Person in Charge / Mobile Unit Complaint U� O A 1 (CA- a c` �� •`�c 1 r _r Temporary Food Service Investigation Inspectors Name ec Caterer Other PK 2- Based on an inspection today,the items checked below indicate the violated provisions of 105 CMR 590.000. Each item is followed by the applicable section of the Massachusetts regulation. Non-critical violations are marked under column"N"and critical violations are marked under column"C". Descriptions of each item appear on the back of this form. Each violation checked requires an explanation on the narrative page(s). This report serves as official notice of violated provisions and official notice to correct said violations. Food N C Sanitary Facilities N C 1. Food Supply .002 29. Water Source ` 2. Food Containers .002 30. Se 016 Sewage '016 31. Cross-Connections .017 sip Food Protection 32. Toilets/Handwashing .018 9 .019 > ' 3. PHF Temperatures .004K] 33, Insects/Rodents 021 4. Facilities..Hot 8 Cold Storage .004 34. Plumbing .017 5. PHF Re-service .006? 35. Toilet Rooms .018 6. Spoiled/Damaged Foods .003 36. Handwashing Areas .019 7. Food Protected .003 37. Garbage/Refuse .020 B. Food Thermometers .004 38. Outside Disposal .020 9. Cross Contamination .005 39. Outer Openings .021 10. PH Fs thawed,cooked 8 cooled .005 40. Pesticide/Rodent icide Application .021 11. Food Handling .005 12. Dispensing Utensils .006 Physical Facilities 41. Floors .022 Personnel 42. Walls,Ceiling 022 ff�, 13. Employee Infections 008 41 Lighting .023 14. Employee Hygiene .009 44. Ventilation .024 15. Employee Clothing .010 45. Dressing Rooms .025 Equipment& Utensils Other \ 16. Equipment/Utensil Clean& Sanitized 013 g, 46. Toxics 026 u 17. Food Contact Surfaces .013 47. Premises .027 18. Non-Food Contact Surfaces .013 48• Living Areas .027 Discussion with Management 19. Food Contact Surfaces Clean .013 49. Linen .027 20. Non-Food Contact Surfaces Clean .013 50. Pets .027 21. Wiping Cloths .013 51. Bulk Foods .031 22. Dist i/Warewashing Facilities .013 52. Salad Bars f 23. Pre-Scraped, Soaked .013 24. Wash/Rinse Water .013 No.of 13 Critical Items Violated l 25. Thermometers/Test Kits .013 These items require immediate attention. 26. Equipment/Utensil Storage .014 A 27. Single Service Articles .014 _ 28. Single Service Re-Use .012 �- 1 Inspected by \� -' "/oz y \Received b �n NLM J I Iq Ss . I 1 I Item No. In the space below describe all violations checked Page of � l FOOD ESTABLISHMENT INSPECTION RA PORT u _ o Establishment Name Dats Address U �l )� /l� Time: frt (OOu y o iV►v I 1 Telephone Type of Establishment: Purpose: r o Food Service Owners Name Retail.Food Routine • Residential Kitchen Follow-up Person In Charge Mobile Unit Complaint Temporary Food Service Investigation Inspectors Name I Caterer Other _ ' �Ft , Based on an inspection today,the items checked below indicate the violated provisions of 105 CMR 590.000. Each item is followed by the applicable section of the Massachusetts regulation. Non-critical violations are marked under column"N"and critical violations are marked under column"C". Descriptions of each item appear on the back of this form. Each violation 7 checked requires an explanation on the narrative page(s). This report serves as official notice of violated provisions and official notice to correct said violations. ` �� i / / ' Food N C Sanitary Facilities N C 1. Food Supply .002(µ 29. Water Source 2. Food Containers .002LJ .015 30. Sewage 016 31. Cross-Connections .017 " 1 Food Protection 32. Toilets/Handwashing .018&.019 ":, 3. PHF Temperatures .004 33. Insects/Rodents .021 4. Facilities..Hot&Cold Storage .004 34. Plumbing .01 7 5. PHF Re servicie 006` 35. Toilet Rooms .018 6. Spoiled/Damaged Foods .003 36. Handwashing Areas .019 7. Food Protected .003 37. Garbage/Refuse .020 8. Food Thermometers .004 38. Outside Disposal .020; f 9. Cross Contamination .005 39. Outer Openings .021 10. PHFs thawed,cooked&cooled .005 40. Pesticide/Rodenticide Application .021 it. Food Handling .005 12. Dispensing Utensils .006 Physical Facilities '= 41. Floors .022 e Personnel 42. Walls, Ceiling .022 13. Employee Infections .008 43. Lighting .023 14. Employee Hygiene .009 024 44. Ventilation 15. Employee Clothing .01091 45. Dressing Rooms .025 Equipment& Utensils her 16. Equipment/Utensil Clean& Sanitized .013 9 Other Toxics 026 `d 17. Food Contact Surfaces .013 47. Premises .027 18. Non-Food Contact Surfaces .013 48. Living Areas .027 Discussion with Management 19. Food Contact Surfaces Clean .013 49. Linen ID , „ t , d { 20. Non-Food Contact Surfaces Clean .013 50. Pets .027 21. Wiping Cloths .013 51. Bulk Foods .031 c 22. Dish/Wa rewash i ng Facilities .013 52. Salad Bars 032 23. Pre-Scraped, Soaked .013 24. Wash/Rinse Water .013 No.of 13 Critical Items Violated /Ll 25. Thermometers/Test Kits .013 These items require immediate attention. L 26. Equipment/Utensil Storage .014 1 2 . Single Service Articles .01 28. Single Service Re-Use .012 f iiL�G2��i Inspected byy ® ✓ Received bye Item No. In the space below describe all violations checked Page Hof 2- A-)•D -{ C T✓yl u n�t° 'i, J VNYC �� r1 �n,cc ! d QA,, ` c Ja,- FOOD ESTABLISHMENT INSPECTION REPORT nor\ Q'�.c D�C:�� 6 `-- C Establishment Name Date • n r� t�"� L� C'y. ur1 Address Out Telephone !'- "7 / - �`r3 L.r Type of Establishment: purpose: 2 �cC� Food Service 7 �. OwnersNeme �Q Retail Food Routine Residential Kitchen Follow-up Person In Charge ! Mobile Unit Complaint �� > r-r a d5 -1/0l- Temporary Food Service Investigation Inspectors Name Caterer Other � )nJ r r;tA -1 a 7��v tx-s ' C\ Nn Based on an inspection today,the items checked below indicate the violated provisions of 105 CMR 590.000. Each item is �- �' i N IC followed by the applicable section of the Massachusetts regulation. Non-critical violations are marked under column"N"and critical violations are marked under column"C". Descriptions of each item appear on the back of this form. Each violation checked requires an explanation on the narrative page(s). This report serves as official notice of violated provisions and t official notice to correct said violations. Food N C Sanitary Facilities N C 1. Food Supply 002 29. Water Source .015,_ 2. Food Containers .002 30. Sewage 9 O 16 '' 31. Cross-Coonnnection� 017 k " Food Protection 32. Toilets/Handwashing .018 9.019 3. PHF Temperatures 004 't 33. Insects/�bdii i 021 >: 4. Facilities..Hot 8 Cold Storage .004 11 34. Plumbing .017 5. PHF Re-servicje - .006.y 35. Toilet Rooms .018 6. Spoiled/Damaged Foods .003 36. Handwashing Areas .019 7. Food Protected .003 37. Garbage/Refuse .020 8. Food Thermometers .004 38. Outside Disposal .020 r 9. Cross Contamination '.005 t 39. Outer Openings .021 10. PHF's thawed,cooked 8 cooled .005 40. Pest icide/Rode nticide Application .021 11. Food Handling .005 12. Dispensing Utensils .006 Physical Facilities 41. Floors .022 Personnel 42. Walls,Ceiling .022 13. Employee Infections .008 43. Lighting .023 14. Employee Hygiene .009 44. Ventilation .024 15. Employee Clothing .010 45. Dressing Rooms .025 Equipment 8 Utensils Other 16. Equipment/Utensil Clean 8 Sanitized .013 46. Toxics .026 ELI 17. Food Contact Surfaces .013 47. Premises .027 18. Non-Food Contact Surfaces .013 48. Living Areas .027 Discussion with Management 19. Food Contact Surfaces Clean .013 49. Linen .027 20. Non-Food Contact Surfaces Clean .013 50. Pets .027 21. Wiping Cloths .013 51. Bulk Foods .031 22. Disli/Warewashing Facilities .013 52. Salad Bars .032 23. Pre-Scraped, Soaked .013 24. Wash/Rinse Water .013 No.of 13 Critical Items Violated , 25. Thermometers/Test Kits .013 These items require immediate attention. 26. Equipment/Utensil Storage 014 27. Single Service Articles .014 28. Single Service Re-Use .012 0 Inspected by- 1 /��/` Received by - v 1. - f Seatligo 52 NUMBER FEE THE COMMONWEALTH OF MASSACHUSETTS 34 $100.00 . .. .. . . . ... o .. of .. .. Barnstable.. ...... ...... .. ... Board of Health of # 41 PERMIT TO OPERATE A FOOD ESTABLISHMENT Permit No. .. .. .. .. .... .. j`O Ye.;n aT7.L.. .. 19. 87. In accordance with Regulations promulgated under authority of Chapter 94, Section 305A and Chapter 111, Section 5 of the General Laws a Permit is hereby granted to: G�?:��.7;Ia *�aer .a`.Hti ax nis, Inc.;;ci/b/a TheuFitne.ss:tC1 ib QfCQ4pe, Qqr<i,,, ,, Whose place of business is .. .. . .. . .. .. . .. ... .. .. .55 Atttack,. I Line.,, ,Hyannip,. .. , ,,. ... k Type of business and any restrictions .. . .. . .. .. .. .K od.service .F,f;t;abiighm(�r_t; To operate a food establishment in . .. ... .. .. .. . . ..T.Qv ?. Rf .81 r?^ ?b 0'. .... .. .. ... .. .... (City or Town) Permit Expires . . .. 31., .... 19M.. Grover C.M.. Farftsh I1.D. Chairman Copy Ann J.1".e.Fghbaiivh.. .... .. ... . .. .. . Board This Copy To Be Retained By Local ;orn'? CX q? !'7;•,, ,, , ,,, ,, ,,, , ,,, of Board of Health. Health .... . ... .... .. . . .. .. . ... .. .... .. .. ..... • , FORM 738 HOBBS&WARREN,INC.-1986 Agent 5 SEATING: 52 NUMBER FEE —74 THE COMMONWEALTH OF MASSACHUSETTS $100.00 ._....__'T.OWN.......... of •-•-•-----•--•-•--BARNSTABLE Board, of Health of 'PERMIT TO OPERATE A FOOD SERVICE ESTABLISHMENT Permit No. ............................ _September 15, 1086 In accordance with Regulations promulgated under authority of Chapter 94, Section 305A and Chapter 111, Section 5 of the General Laws a Permit is hereby granted to: ..-____WALLBAXGER..0F.HYA.N1S,--INC,...dlb/a..-HYAIYNIS RAQUETBALL CLUB_.____ Whose place of business is .................................55 ATTUCKS LANE, HYANNIS Type of business end.any.:xe�t�l4tioBS.................EUOD--SER.Y-ICE.ESTABLISHMENT.............. To operate a food service establishment in-_._.-TO-WN.OF-.B.ARNSTABLE.................................. (City or Town) Permit Expires ._.._.DECLh1BER 31, 1�V? f) Robert L. Childs, Chairman ------------- -------------- Copy _ _Ann Jane Eshbaugh Board GroverC.tA. Parrish, ....................This Copy To Be Retained By Local •..............................•----.._....--•-•----•--......----••......•••- of Boardof Health. -----------•--------------•-••--•-•-----------•----------------•-•----••......• Health FORM 73'B HOBBS @ WARREN. INC. AGENT• •' QyoFTHE> TOWN OF BARNSTABLE OFFICE OF i seaasT.sra :MAD• BOARD OF HEALTH � �p 1639. e� °gyp all 1.` 367 MAIN STREET HYANNIS, MASS. 02601 December 5,.1986 . Mr. Dennis Aceto, manager of the Hyannis Racquetball Club proposed . renovations at their facility on November 21, 1986. Thomas McKean, Health Inspector for the Town of Barnstable, visited the facility on November 26, 1986 and substantiated the following information: (1) Three (3) racquetball courts were dismantled: (2) Nautilus and Universal equipment will be moved_onto the racquetball courts. (3) Aerobic classes that were held on these courts will be held upstairs-. (4) Two tanning booths will be added at the facility but will be available to members only. The Town of Barnstable, Board of Health approved this renovation at a Public Hearing on December 2, 1986, because there will be no additional sewage generated by the renovation. There will be no additional space authorized. No additional staff or club members are authorized. UNITEQ STATES POSTAL SERVICE OFFICIAL BUSINESS PENALTY FOR PRIVATE SENDER INSTRUCTIONS uSE TO AVOID PAYMENT Print your name,address,and ZIP Code in the space below. Of POSTAGE f300 • Complete items 1,Z and 3 an the reverse. • Attach to front of article if space permits. otherwise affix to bait of article. • Endorw article"Retum Receipt Requested' adjacent to number. RETURN TO BOARD OF HEALTH (Nam of Sender) TOWN OF BARNSTABLE P. 0. Box 534 F (Street or P.O.Pax) HYANNIS MA 02601 A (City,State,and ZIP Code) ®SENDER: Complete items 1,2,and 3. o Add yew address in 0e"RETURN To"spans an reverse. The f (lowing service is requested(check one.) X97 Show to whom and date delivered..........._g ❑ Shaw to whom,date and address of delivery...._. ❑ RESTRICTED DELIVERY Show to wham and date delivered:...........�_g ❑ RESTRICTED DELIVERY. Show to whom,date,and address of delivery.$." (CONSULT POSTMASTER FOR FEES) y 2 ARTICLE ADDRESSED TO: m Mr,-'-George D. Caisse, Hyannis Racquetball Club z Attucks Lane, HYANNIS,MA. 9. AfMCLL--OESCRIPTiON: REGISTERED NO. CERTIFIED NO. . W4911REO No. :4 � 0019871 I I (Always obtain signature of;addresm or agent) I have received the article described above. 51 m SJ TURF QAddrrsree OAatfe agmt 4. P N N t, AT OF D£L POS UARX', A ® $. ADD.RFSS tCornytato aMy It eapu 7987 1 0 8. UNAGLE TO DELIVER BECAUSE: �a� r (CL ��t` ---------------------- .P GVO:t8�9 9 TOWN OF BARNSTABLE � OFFICE OF i BAH E, M"S.. : BOARD OF HEALTHy AB B.. .j vo i639- � 367 MAW STREET ,o�,a aa�a• HYANNIS, MASS. 02601 June 308 .1981 . Mr. George D. Caisse Executive Vice President . Wallbanger, Inc. d/b/a Hyannis Racquetball Club Attucks Lane Hyannis, Ma. NOTICE OF VIOLATION _OF. 31-0....CMR 16...0.0_ .MINIMUM STANDARDS-FOR SWIMMING POOLS , HOT TUBS , WHIRLPOOLS AND SIMILAR BATHING FACILITIES The whirlpool operated by you at the Hyannis Racquetball Club, Attucks Lane, Hyannis, was inspected on May 14, June 2 , June 25, 1981', by John Jacobi, Health Inspector for the Town of Barnstable, and on each occasion it was in violation of 310 CMR 16.001 Minimum Standards for Swimming Pools, Hot Tubs, Whirlpools and Similar Bathing Facilities. The following violations were observed: REGULATION 16.25: There was a zero chlorine reading on all three occasions. REGULATION 16.09: On all three ,occ`asions, the operator did not close the whirlpool as required by .Article VI, when the chemical standards were-not met. Your attention is also directed to Paragraph (1) of Regulation 16.09 that states, "The operator shall be familiar with the provisions of Article VI and every other applicable law and regulation pertaining to swimming and bathing f acilities Please be advised that any further violations will result in a hearing before the Board of Health for possible suspension or revocation of your Board of Health permit. We recently had an incident in Town where thirty-four persons were afflicted with a rash that was traced directly to improper disinfection of as ..shirlpool. Your immediate attention to this recurring problem is requested. Please call if you have any questions. PER ORDER OF THE BOARD OF HEALTH air n M. Keiector of Publ ' c Health 6 JMK/mm G --' I_ �. CSC � -._. `� I, V (� b .. � © � V � � � � � � � / � � � 4 ° � r ' N � �' � s r � � E ?��cQu��- 8.��c. C�u3 - STEt.�I�1�1.-E .SiA15 ATru, c.<5 . Lk-4F- }+YA,n�►.��S' 11 Z5 8�0 _.. �Y /�l..�:A�.'�.E :::•�X�.STI ►-A� �v STEM 5 �.--/•��P�.�.'_`� S D Z W Arlk. C=714. _ �r7. L r=A lC,{A l G-,J.ela-1 Z\-J S>Ti-f► n� T'rt C►.�t,N _� - �2:x 38 t 2 x�� 7 = S88 b F. : (2xg5 Z*,A) ? <o 8G s t= q = '(ZX38 rt' ZxA? 7 6a8 s _ ( x 4qoT 2xq 3 7 B05 f'Ta t-/l tte.�r4 L.E�6rT'F-�at �P�1 H OF Mqs s PETER :=Z . '�►Ox.y lc o SULLIVAN No. 29733 so i6p - o�FssrONAIL Ee�f� C"'ALIC-T Y S-r� O . � .. .. .. .M —7i �,Eat Q-ATs- 2 wt env 3780 Gv 2•S z 99 SO :c cvwe un� 10$:.:1 1A� 2.. ��d�D 11•S�Gr,S �f c.0 a C., r- a aT ooc ) 703 000 4, 33, COO Y P, Ly kV i 2 C-AWN>1 LA 60,' 15�'l F. ova = 9.� 8o FxiN L.. H YA, ()6 SC) G---aim `ToT4t��s 7'y c rri lL TJ�1�f�K �S �'� �l/fit ASS PF2 CV E 9!- 7-K f,.��1 S �. �Cm C� K f.. . . . . . . 1 TOWN OF BARNSTABLE Bpi THE Taw OFFICE OF Deaa9TeDr, 'r BOARD OF HEALTH NAB& °moo MpY 367 MAIN STREET HYANNIS, MASS.02601 APPLICATION FOR PERMIT TO OPERATE A TANNING FACILITY Full Name Of Applicant MAJAC.INC_ d/b/a The Fitness Club of Gape W Address of Applicant 55 ATTUCKS LANE HYANNIS,MA 02601 Name Of Establishment Address of Establishment # Of Booths Or Beds Telephone Number Sole Owner: Yes No If Applicant Is A Partnership, Full Name And Rome Address Of All Partners: If Applicant Is A Corporation: State Of Incorporation q . Full Name And ome Address Of: \ 1 1 t President es Treasurer , Clerk Federal Identification No. Signature Of Applii '4n t _ _ Pro I Home Address a- 4S e -tv ,,�` Home Telephone No. THE /Zess R,C, AiUBj,=.= at independence park November 24 , 1986 Barnstable Board of Health Barnstable Town Hall 367 Main Street Hyannis , MA 02601 Gentlemen: The following will " be our policy for our tanning salon. There will be two tanning units located in the area currently occupied by the office. Tanning will be available only to our members . We will go by all of the manufacturers recommendations for safeguards when using the tanning unit. Safety eyewear will be mandatory. A cleaning supply station will be located in each of the cubicles . A schedule for cleaning the units adequately during the day, will be:-.strictly .adhered. ,to. There will be a maximum time limit when using the -tanning units If there is any further information you may require, please call . Respectfully submitted, k Dennis J. Aceto _ General Manager/Owner DJA/jmq .55 Attucks Lane, Independence Park, Hyannis, MA 02601 • (617) 771-7734 THE /Z ess RkcjiUB�, at independence park November 21 , 1986 - Gentlemen: . I would like to clafify my first letter to you on renovations at our facility. In the area where the three racquetball .courts were dismantled, a second level will be added adjoining the second level corridor currently in existence. This area ( 2 , 400 sq.` ft. ) will accomodate our aerobic and dance programs . We will- b.e relocating our fitness center to the first level of the area previously utilized by the three ,racquetball courts . The existing fitness center will accomodate new office space and the existing office space will be utilized as a tanning salon. As before- mentioned all remaining renovations will be aesthetic in nature. Please .contact me if there is any additional'information you-:-, may require. Respectfully submitted, 1/71 Dennis J!� Aceto - DJA/jmq 55 Attucks Lane, Independence Park, Hyannis, MA 02601 • (617) 771-7734 THEE-tress W�=_wciUBwim at independence park November 12, 1986 Barnstable Board of Health. Barnstable Town !Hall M7 Main Street Hyannis, MA 02601 Gentlemen: I am the General Manager-,.and .part owner of. The Club at Independence,- Park, Inc. The renovations that are currently taking place at the fac'i 1 i ty. are as follows: Dismantling and elimination of three racquetball courts (2,400 square feet) . Moving fitness equipment .(nauti.lus, universal , cardiovascular) from second floor to .fi:r.st floor. Arobics classes that were being held on the racquetball courts will be moved to the proposed second floor above the fitness center. Front door glass will .be enlarged to create a brighter, more formal entrance. The remaining renovations .will be .aestheti:c- in .nature i .e. painting, wallpaperl..ng; car.peti.ng, .tiling, .etc. All the renovations will be done on the .interior of the .building to provide a convenience to 'our members and a more efficient use of the building. They do not represent any expansion or change of :use of the existing facility. .Respectfully submitted, Den.ni.s A.ceto General* Manager./.Owner RA/Jm cc:. Stephen C.. Jones, .Esquire 55 Attucks Lane, Independence Park, Hyannis, MA 02601 • (617) 771-7734 Y - NORTHSIDE DESIGN 141 MAIN STREET " YARMOUTHPORT, MA 02675 3622210 November 12, 1986 I Barnstable Board Of Health Barnstable. Town Hall Main Street Hyannis, MA. 02601 Gentlemen: The interior renovation for The Club, at Independence Park, Inc. as per plans dated August 11, 1986, should constitute no change or expansion of the use of the existing facility as follows : A. No change -in Septic Design flow as per original site plan and as per original septic design recorded on file at the Barnstable Health Department B. No increase in .lounge and seating area C. No increase in lockers D. No increase in initial membership The design, as proposed, is an interior renovation and .redistri- bution of interior space usage. ' Resp tfully submitted cc : Stephen Cam.--JJo"nes I FERN, ANDERSON, DONAHUE, ,ONES & SABATT, P- A- ATTORNEYS AT LAW DANIEL J. FERN P. O. Box SIB RICHARD C.ANDERSON 436 MAIN STREET ROBERT J. DONAHUE HYANNIS, MASSACHUSETTS 02601 STEPHEN C. JONES C HARLES M. SABATT AREA CODE 517 77S-S62S November 17, 1986 Board of Health Town Hall 367 Main Street Hyannis, MA 02601 . Attention: John Kelly Dear John: I enclose herewith application submitted to the Building Inspector for a renovation permit together with plans and two letters authorizing the project. As you will see, there is no expansion of the building; the plan is to remove the three courts and put an exercise room in their place and a nautilis room. No lockers will be added, nor.will ther a any expansion of the operation, merely a reduction in the racketbal cou t and a sub- stitution of more arobic and health equipment. ' ) Very truly yours, . j' /Stephen C. Jones SCJ -/ SEATING: 52 NUMBER FEE THE COMMONWEALTH OF MASSACHUSETTS tom _........:!�?l??["'--'...... of .............. &R,\cSg ABT F--------------------------- Board. of Health of PERMIT TO OPERATE A FOOD SERVICE ESTABLISHMENT Permit No. ............................ ...85. In accordance with Regulations promulgated under authority of Chapter 94, Section 305A and Chapter 111, Section 5 of the General Laws a Permit is hereby granted to: !MA.1 1 "BETRALL rIM...._...----'--'-------"- Whose place of business is .................................... 5..ATTIT('L?S--T_,ATJr_ _•_EYA?�! TS........................... Type of business ........................................................F DA a •vv 17n*n±.. ,s ,., To operate a food service establishment in'....._.T4T_TrI..OE... !A pr?UTT,-. (City or Town) r Permit Expires ................XCFM?tFtz...'21.....19_.R6. .................'•"-"....'---'---'...._...'---'....----...................-- Copy '- ---••----•••-•-•--••-•••••••--....--••-•-•••-.......•''-".................. Board This Copy To Be Retained By Local ...................................--.......................................... of Board of Health. ...................••- l Health FORM 73B HOBBS&WARREN, INC. - - AGENT zzJR l : THE COMMONWEALTH OF MASSACHUSETTS > BOARD OF HEALTH ...........................................O F..........................................------..........------..........._..........---- Appliratiun for BiuVusttl Works Tonstrurtiun Frrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ..._.....41T..0 k::g......-- .......................... �2� .J... LLc atiio Address .�.. �. Clu or Lot ................................................_....__^_^........................... w r Address Y ........................... ._..__.........._......................._..__. Installer Address QType of Building Size Lot............................Sq. feet V Dwelling— No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons_..._._....__.__._.__._.___. Showers ( ) — Cafeteria ( ) a' :Other fixtures ................................. . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid'capacity___._._.__._gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No----------------_---- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) ~' Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. ]................minutes per inch Depth of Test Pit.................... Depth to ground water......................... 40 Test Pit No. 2................minutes per inch Depth of Test Pit..................... Depth to ground water........................ P4 •-----•-------------------------------------------------------------•---••------••----•-----__---•-•......................................................... 0 Description of Soil......................................................................................................................................................................... �1 ..............................................................-----------------...-----•-•--------•----•- .......... U Nature'of Repairs or Alterations—Answer when applicable_.J'S a� ._P_ iL ___"..___ y.... /.d j._'� c ;.---- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITL% 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been,isslaed b the bo of health. Signed- --- -� -- �f . eee��eee�� Da,? Application Approved By....................... ... ...-• �,/ ...... .......---•---• Date Application Disapproved for the following reasons:............................................................................................................... ---------------------------------•-•---------------•----_._...--•--------••--.._..-•----...._........................._...--•------------------------------------•-•-----=------------------•---••-_-•••- Date PermitNo....................................-------........_.... Issued.........................................-...... ......: Date ---------------- N .; ................. .......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF- HEALTH .................... ........................OF-.. Appliration fox i usal Works (foustrurfialit. erm V Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: ..........A. T,...C,.k.-*1........ ............................ ..........La.1.....-.6................................................. Locatio Address or Lot No. ...cf�j .................................................................................................. Address ................................................................................................. Installer Address Type of Building Size Lot................i...........Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder ( ) PL4 Other—Type of Building ............................ No. of persons_...___._.._._....__.__...__ Showers Cafeteria ( ) A Other fixtures ................................................................................................... ............... ............................ W Design Flow............................................gallons per person per day. Total daily flow..__._......_____.....____'_...._____.._...gallons. 04 Septic Tank—Liquid'capacitv------------gallons Length________________ Width._..__._.__..__. Diameter................ Depth._..__......_:.. Disposal Trench—No_ .................... Width_._......_.__...._._ Total Length...._.....______._._ Total leaching area....................sq. f t. Seepage Pit No_______________-_-____ Diameter_._...._.___.__.._._ Depth below inlet__._._._.___._______ Total leaching area..................sq. f t. Z Other Distribution box ( ) . Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I....:...........minutes per inch Depth of Test Pit._.__._....__._..___ Depth to ground water..___....._:_...__...-_. 44 Test Pit No. 2................minutesper inch Depth of Test Pit._.__._....__._.__._ Depth to ground water_.____.___..___..__._._. 9 .............................................................................................................................................................. 0 Description of Soil.................. ...................................................................................:............................................................ U ........................................................................................................................................ j,.......I........................................................ -----------*-------------------------------*-------------------*----------------*----------------------------- ........ .................................. ------------ .......... Nature of Repairs or Alterations—Answer when applicable. 4....4 U ...... 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 bee qissiLed b the bo of health. .................. ........Signed ... ..A ®r. .. . : I D t Application Approved By..... A.. ... . .......... �.. " ................... ........... Date Application Disapproved for the following reasons:.................................................................................... . \ ..... ..................... ......................................................................................................................................................................................................... Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF.............................................*........................................ (Intifiratp of Tompliattrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired by------------------- ......................................................................................................................................................... n 11 ..... .. .... .......................... . . ........ ... ........ at.............. . . ...... ........ . ........ "E 5 of The State Sanitary Code as described in the has been installed in accordance with he provisions of TITLE -application for Disposal Works Construction Permit No.______ ?I.--5 1 S....... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT'BE CONSTRUED A A GUARANTEE THAT THE SYSTEM WI�e,,�FIINCTION SATISFACTORY. DATE..10,13"AU' ........................................................ Inspector..... ....... ............... ............................. ...... ------------------- ...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......................I.....................OF..................................................................................... ............. FEE.__ .. ........... Disposal Works Tonstrurtion "rrmit - V Permission is hereby granted... .......... .................................................................................................. to Construct or Repair In idual Sewage Dis 0 al Systm atNo............;�n�6....... . ;W------- ............................................................ Street as shown on the application for Disposal Works Construction Permit No........... Dated__________________________________________ ................. ......I....... ..............ool Board of Health DATE.. ,:�- ..................... FORM 1255 A. M. SULKIN, INC., BOSTON 1' l v 11 i �. _ . � `�° _ gib' �:_v.._.�_�- _•�_-�� , � � _ �.�' ._-..�,_� ��...c......1f:•.., a'y«- �� •.TV.7... •-••.,r�!�`�M'�•+-^M'14.. �11;_,....�».+�..-�MIIr��.j/ .-*rMI.L.. �( ��••►►�. (\�`%�L� „ �`1 raj � ..y. � �` �� •'••l� .'V C.I`[� l gaSo, �, �I�.r "rG •c--r1 No..V..,.v.... Fsa.. ��.......... • THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH-' . N I TOWN............0F.....BARN.STABLE..:. ................... Appltral0an -for Disposal forks Tottotrur#tnn Vrrnt #. Application is hereby made for a Permit to Construct ( ) or Repair ( ) an individual Sewage Disposal System at: Attucks Lane, Independence Park, Hyannis Lot .#6 .... ...................................................... Location-Address or Lot No. Wall banger_d.b.a. Hyanni Racquetball gg Owne {Address � �- W Insta le, Address 117 504 `. UType of Building Size hot—..?._..I.................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder( ) p-, Other—Type of Building Rec-re.atimal..No. of persons9...cwrta........ Showers.( ) .— Cafeteria ( ) a. Otl er xtur s .•--Fa l •-t ........ \ d ..... ..........,„--....,.....,...............,........,........................-,,. ......... W d g� i� "s 2� gal..per OC dons per person per flay. Total dail flow...2.,.tZQ�:..:..................:.......fall ns. WSeptic Tank—Liquid capacity-40.00-galIons Length.....17r�.,...Widtli,V.70...... Diameter:.- llelit1�..'9�� x Disposal Trench—No. .................... Width............... Length Total Leth........ Total leaching area..........--...-. ..sq. ft} 3 Seepage Pit No....5..UlAtS. Diameter......1Q......... Depth below inlet'S --8.... Total leaching area...-,584.3.(1. fc<< Z Other Distribution box ( ) Dosing tank ( ) � Percolation Test Results Performed bY--•..........:.............••• Date....:. ,..,. .....:., a Test Pit No. 1..1.5,1secmirrutes per inch Depth of "Pest.Pit........12........ Depth to ground water.Non-.enco.untered 44 Test Pit No. 2..15./S.eCrnintrtes per inch Depth of Test Pit/�nme .....1�....... Depth to ground water.Not1""encogntered G d....HT nckT6•- --raveA-..roam----sand ' a- Description of Soil--------------- -•-----------'y•-9•--------•-_._ yd Sdndy grdVeT - .......... /. x _ (/ U �Jd 14 / ..._. '.4..----- --.... .. ..... .... . ..................... .. W �� U Nature of Impairs or ......... AXterations—Answer when applicable....................................:...---......,.--•...:...........I...................-,.... Agreement The undersigned agrees to install the aforedescribed Individual Sewage. Disposal System in accordance with the provisions of Article \I of the State Sanitary Co The undersigned further agrees not to place the system it) operation until a Certificate of Compliance has been sued by the board of h ...t . ............:.Sign e ..... ......... Application Approved By.. % ,� �D�....--.-•--•- 'Date Application Disapproved for the following reasons:---•-•------•-••••• •-• ......•. ••-••........................................................... Date LV_ - ------- Permit No....................................................... Issued_................................. ,.........,.......... Date No. ..�: "a.... Fs .' :..::........... n THE COMMONWEALTH OF MASSACHUSETTS BOARD OFk*HEALTH 6'1 60. .....;;;�� r TOWN...........OF.....BARNSTABLE..... ..................I...........s•�"..3.' Appliftttibi -fur Disposal Works (Onstrurtion Wrmix . Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: 4 ` Attucks Lane�,-Independence--Park,--Hyannis,--.,-.-,- __ Lot #6 , r , Location-Address or Lee No. Irl�l..lk�ln9�x..d..k.,.a....Hxanjats. ....-•....................................................r......,.....7....................--•--• . Owner r.. Address + �ter' , ....... .............• .... .- installer Address UType of Building Size Lot..117.W..._..•_.Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( V) Garbage Grinder ( ) per, Other—Type of Building Recreational. No. of personb9.xourts.......... Showers ( ) r Cafeteria ( ) a Other fixtur�s ....Fa�i.l�ity 1�n t J, 0 ---•-•••••-... .._.......--•-•-•-----•............................................. .......................... 1�51 lolek . ens er erson er da Total dai] flow.. g ,; ...14--••Per•••• P P P Y YI ��OQ-....,,....T... ............gallons. WSeptic Tank—Lignid cahacity_4OOA.gallons Length..... 1...... Width. ...-D....,. Diameter.......... DeptlJ'. -9...... xDisposal Trench—No............ ....... Width.................. Total Length....,..............: Total leaching area.............._.....sq. ft. 3 Seepage Pit No...F1..11111tS. Diameter......iQ1....... Depth below inFet.S.�.- �....... Total Icaching area.,-.-584t81g, ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.............................................. Date.... a Test Pit No. I.1.5/Sevi-tiv ttes per inch .,Depth of Test Pit........1.2........ Depth to ground water.lion---eacountered Test Pit No. 2--15/Sp6)imkes per inch jDepth'of Test Pith 1Z....... Depth to ground W4er.Xoa_.enc untered .L o FfiinckTey...gravel "1 arily sail - med: sandy""gravel ' ' Description of Soil -••.......................•-•..... .._ �..._.. •---- V W !� -..... . �. -- ow ............................. .�...... ......... UNature of R pair q AZtions—Answer when applicable.............................{, ,. •--•------------------------------•-•--..._...._.....--------------•----•----------..................:.....,...................................••. ... Agreement: t - The undersigned agrees to'install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Co —The undersigned further agrees not to place the system`in�' operation until a Certificate of Compliance has b tssued by the board of he . ..... .. ............................ ....... . ApplicationApproved BY ........................... ..........I........ ........ `.......... .... ......,...............,,... Hate Application Disapproved for the following reasons:....................................................:..................... .............I........................ t Date PermitNo......................................................... Issued............,..,...,.,._r....,......,.....,...•-„ Date THE COMMONWEALTH OF MASSACHUSETTS 1 BOARD, Or HEALT G� r Teriifirntr of Tompliann TH ERTI ; That the Individual Se 'ge Disposal System constructed`( ') or Repaired X by.�..... �° V----a at: ......................................L.......................................... -• ... ...............� r v'... .............. ••.. .,...... leas been installed in accordance with the provisions of Ar I (6 Tfie State Sanitary Codas Qeurn the application for DisposaP Works Construction Permit No..... .................................. dated:............................................... THE ISSUANCE OF THIS CERTIFICATE SHAD NOT BE CONSTRUED AS A GUARANTE THAT E SYSTEM WILL FUNCTION SATISFACTORY. / ~ DATE.••••//.......-.......... ......•.••••• Inspector..,,. ...... .....�,..��'4 THE COMMONWEALTH OF MASSACHUSETTS - ,, � �h BOAF2D HEALT � OF ' ...... No..............•••....._.. 1. FEE,....................... �i��u�ttl fur C�un�tr�r#iun �rrm� PeAc �reb ranted---•••••• .� .... :... . .. .. ..................... to Con /) oya�r a an dividual S` isposa Sys,,at No.. •l•---•--......................................................../ ....... .............. ".............,�....... ........... , —Sneer as shown on the application for Disposal Works Construction .P Io... !.... .................. ............. ................ ..... -.......... ._ Hoard•of Health FORM 1295 HOSDS & WARREN. INC.. rUS{.ISHERIF ATLANTIC DESIGN & CONSTRUCTION, INC. October 28, 1980 Town of Barn-stable Board of Health_ r Town Office Building Main Street _ Hyannis, Massachusetts 02601 Att: . Mr. Paul Murray Re : Hyannis Racquetball Club Attucks Lane Hyannis, Massachusetts Dear Mr. ' Murray: This letter.,i.s to certify that I was present and did observe the instailation. the septic-.system at the above referenced site. This . ins.talla.tion .was performed'. in .accordance with our .plans. . which are on file-in your 'office.. . All work was done per code. r Very truly yours; ATLA IC DESIGN .&. CONSTRUCTION, INC.. - /George S. Peter- ;son . Q E. 1 li�,�` GSP/kp Industrial Park Road Extension • Plymouth,,Massachusetts 02360 • 617/746-8700 7ru S - .,, ,101�,.r Ate'; 12 r . AN fi REVISIONS BY . R r I mrA A t 5e� '}AA,Q �i �i� - `', �� .. _ aM1. YES ; ,, + , .' _`�,�� l+ :,: ✓, , _ r_� 4- ".._._�_�_:.__ = .. _::.-_. ,�e t t` tAs fp A s- r :_ C) : t ` •SSG (Jl r ___ . ._� � � � \,�;,, .� "`�,.-_ r: _ ;�,�,,+ >< �' _�' +fit,.i k;� :�' ,_�r•; -- — — __ r _- , wV '�jn'. •r^_^_._ --"^�•-- .i. t it � _ _ 1 L.. InI � .�4=,/ ,�C•r' ' �} i�..._..T.��--t ',. af' =r. r•��'•�� F:�'� �� ✓t�r:.C"��f""1 N:1} • LA L Y •fit c { ,�yr f`�-', '' -w jr $ 1 _, - - _ ___ _ _ _ __ __ - _ _ __ j 4 4 1 �, Y� _ t � _ __...... "`� YES fir' (a t.A �At;X>;r.. -� �N. �— � : _—•.'Ly'� fijCk- b 1G, I ( _.,. � .� , i :i=-:�:;:�:.__� 2t13;:i,::I:'.�ffi9.Sr.iT4�'•,F�?+�Li��,T,G'�i%L'�'.Qi'..�.'.,.',.Teilt 1c1"....i•�.0 ,/ -., i tni IT • s '' °rt�t _ y 1 :t 4 , r A b i rs i J , i i r; II I� II { . , �� ' r< fi + ><jla` II�! !� It� "t `}�' � !;•,(� li III: ,t �.� cr: , ,r� • ; 'x''c �` ,C �l� � ,'� _.__ _ v' . f r t l.-Yi It \' l s , I >m�1CcGl"sC } t - LYE DRAW _ r + t ray� - ` r 1 � ! ' � ,. _.. _ �.�..�...t. ,�•c -+�.,,�.. `,� ,K �{ >, y t y CHECKED DATE t , SCALE r , JOB NO, SHEET 14, OF SHEETS 1ITMJMYENX11ON&TRACNOAM'S NO. 166A-24X360'"' REVISIONS BY �`f 1 f 1 I i � r : ucT Gov�7 43 tz7 ` ; r t>t - i GXF�tc. I - { •7�`�« X qb r)n ZD'-[y�i� �� i � Z.t):t'�'�-�e'[�'--(,J" � -fir'. ' ,1,r.��'-�J" �D�i'V'� �'�: \ f t + .. f I i..�..2-k-3...._. L�_. 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