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0208 BARNSTABLE ROAD - Health
Hyarinis \ 11 = 32;g - 01,2..:a.. e o e 1 c 1 i e V Number Fee 1076 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that A+HARD WOOD FLOOR SOLUTIONS 206 Barnstable Road, Hyannis, MA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------- --------------------------------- ------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2015 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF;D.M.D. 6/30/2014 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health r A�PLUS FLOORING SOLUTIONS, INC R �;, 3008 r s �206 BARNSTABLE ROAD k �d5 P,O BOX I s3a�o� �'" 4 a ORLEANSMA'02653 2113. a HYANNIS, MA 02601 g . wmnuitiry WnkinH 54ac Itl55. - - DATE 7/21/2014 Reference: i x�Touvn'&:'ofiBarnsfable, .� ® �-RK t "� 1.00:0.0 wa ".gr a z `�k i 3 x."Yl•`d One Hundredand 00/100 x i DOLLARS TO-THE ToWn . of Barnstable ORDER Pubhc Health Dlvislon� OF2U0 MalnStfeet p r r' - ^S,h'sY(''Y` s `�5< 'yam v'°s L `fl�- W.AE''' �Hy'annis`�MA. 12601W � • Y .. �� gnu <: Memo riUB.' - pY ICa IOn, ee 8a, SECURITY FEATURES INCLUDED.DETAILS ON BlIrCK 1: 2 L 13 7 LO 781: 86 20 2 2 6881I' 030013 �0 ' Imo" ' Town of Barnstable Barnstable Regulatory Services Department UWUWcaCflY Public Health Division + BARNSI'ABL L I ' MAE& 200 Main Street, Hyannis MA 02601 aA 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANTmacl NAME OF ESTABLISHMENT t 4 ADDRESS OF ESTABLISHMENT TELEPHONE NUMBER ; d I rI 7 C� �?I -- SOLE OWNER: YES NO z IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALLY PARTNERS: =� IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. T 6 7 "D�J "�c STATE OF INCORPORATION FULL NAME A�q)HOME ADDRESS OF: PRESIDENT Lroad �Za hro n q&y 14 44in 5 Croc�f� � l ter ��/rnvc��h TREASURER ✓�'� CLERK SIGNATURE O A,PPLICANT RESTRICTIONS: HOME ADDRESS W 1/Q✓mo u-�H M 1=� d a�� ' HOME TELEPHONE# JAinspection handouts\Haz Mat Application2008.DOC SPILL CONTINGENCY PLAN Emergency Coordinator, Name: C►Y)aJ 2Q k 0- Address: y6 i �'/O d 11 o'M Daytime Phone: J O E - 3 - c/3 Evening Phone: SG 9 - 5a 3 Fire Department: 14 7 7)1- /700 Barnstable Public Health Division: 508-862-4644 DEP 24 Hour Spill Hot Line: 888-304-1133 Waste Hauler: Name: Phone: Building diagram indicating hazardous material/waste storage area, location of absorbent scavenger materials, fire extinguishers, fire alarms (if present), ' and evacuation route (if applicable). I , Actions to betaken to control a spill or release, and preventing it from reaching a catch basin, sewer system or the ground. y t-t� PuRP�S% �Uo�� 5 0 er r� D �t S sD4� y �t4' $2," c91, C4'Y 4,A4Slq Ri �c/000�dIb- \lam; EXISTING BUILDING BY15111G BUILDING v NEW CONSTRUC 101�` O'TICE EXIST. N I NEW C% ( \. 'i "° STORAGE AREA QQ, DCSL LAII COLUMNS(T IP.j j EXIST. c TGR., S 51.IOFE i N- yh o..-tea_ — ———— - — LJ U O -'O-�._�.,0.,- DUST. — I I3'-B't o EXIST. STORAGE AREA 0•4.CARAf{ DOOR GARAGE DOOR I I� EXIST. © i\ STORAGE AREA I .^ LrX15� n %is EXIST. E-S-1 �,.GARAGE DOOR EXISTING LOLNG — NEW SERVICE a OSOS DESK AREA NEW SERVICE DESK I EX15TI4y-BUILDING EXIST. I C.M.U.WALL DISPLAY AREA i EXIST. I STORAGE AREA ry I I EXIST.LALLY (� EXIST.LALLY _O.UMl! ( ) — COWA/N5 i o L.i PAN• I � � I I�NEN'SER`Af2 DESK hA. �-1111 I m EXiS-. e� DISPLAY AREA I I ---------T I I I 1 r---1_� &St SER CE DESK I I EXIST. '•1 �(TO BE REM VED> p DISPLAY AREA 1100 I /l l✓ I `L EXIsT.A C. L PNICL r , rCARL LEMKE CAPE COD HARDWOOD FLOOR SUPPLY INC. 206 Barnstable Rd Phone:508-771-4290 Hyannis,MA 02601 Fax:508-790-8429 '4 - spa-�s��eroR7 Date: TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: )4:�40rsypp�Y BUSINESS LOCATION: X46 13A9ivs�s4Qc-E �41,41VAJIr INVENTORY MAILING ADDRESS: As 43cvg- TOTAL AMOUNT: TELEPHONE NUMBER: Sd�"� � �zg� v1� �(af Gii-uour CONTACT PERSON: e,+9Z EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: 4�A'nweob A-oo��A4 SvprL drM// SA-4.&_S _T S,'Wa46/*rp,i��oj INFORMATION/RECOMMENDATIONS: 21--Z-240-5—°F 17tz ISE�z s;01?-r/' Fire District: 4-11y6z- -um co v4-AfCoNUeeM', /S oA) Ta w,cs SeWi:-d A S Piu-Kkr jS Vv,U/S SO�GI. Kij^ 1 r s 1-;s1vUz.,D /mso ge- po.srm /3li 17re 0#0AJE Waste Transportation: ��� Last shipment of hazardous.waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No 1 i NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) Misc. Corrosive NEW USED Cesspo©I cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) i Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) a lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) 4—— Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda .AS poLyLjKcnmp�, Rustproofers Misc. Combustible srxi►�S stN�° FLoo�cohn►x�S. Car wash detergents Leather dyes i-►iRAFrdVkRT&"e-'°F TW Car waxes and polishes Fertilizers is 1r3 56,k2tb;-3 $uu�-rS. TbFE�k�uD� Asphalt & roofing tar I PCB's IS 19$ 1 GA4,L0 ' '-"'D 'ZaL�C�RT IN� �Q,ilk� CoN�k�aO�-S, Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables[was aG Pk hydrochloric acid, other acids) Floor & furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers s� -4-60 P-ovAjD e-N is7v-e— or- PreoPAz5g a� (including bleach) FoRKc/F7. Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents 3 V .W Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Town of Barnstable ZHE rokti Regulatory ServicesTon OF BARNS FABLE Thomas F. Geiler,Directo OOS MAR 11 PM 110 t llA MASSB1.E. • MASS.BM Public Health Division .P i6g9. �0 °leo 39. Thomas McKean,Director eA 200 Main Street, Hyannis,MA 0 o (�I SIGN = • Office: 508-862-4644 Fax: 508-790-6304 UUU Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE - APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT -1Sa^C)\Fl NAME OF,ESTABLISHMENT I ak-n 4'-h, m-+r k—S�.P4' C , ADDRESS OF ESTABLISHMENT blo rY�Y,!/1��►-c� rG (Zc� � an,�S' �� 0a6oi TELEPHONE NUMBER SOS 7-7 I- y aq U SOLE OWNER: YES fN0 IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.Oy -?%A-7 93 STATE OF INCORPORATION MA FULL NAME AND HOME ADDRESS OF: PRESIDENT� el L�l rrv- O is 3 �- TREASURER, : L.Q\.A y Sad 1 U San-,e� CLERK t S 1tV L SIGNATUaOFAPPLICANT RESTRICTIONS: -- -, ,• , -- HOME ADDRESS-_-3•-U-1KNo•S?' evc )-r -ram-c�-.p�j�� HOME TELEPHONE # L 1 MONEY RECEI07 Received of For Dollars 1 _ �1.. $�D . ov . FORM 4161 TOWN PAINT&SUPPLY CO.,INC. ACCOUNT NO. VENDORBARNHE TOWN OF BARNSTABLE CHECK No. ®07030^ VOUCHER* 'INVOICE NUMBER INVOICE DATE INVOICE AMOUNT AMOUNT PAID DISCOUNT TAKEN 1 440 PERMIT 100 . 00 1 IN 00 . 00 . 00 100 . 00 1�. W� TOWN PAINT&SUPPLY CO.,INC. ACCOUNT NO, VENDORBARNHE TOWN OF BARNSTABLE CHECKNO. 007038 VOUCHER INVOICE • DATE AMOUNT • • DISCOUNT 17440 PERMIT 3/08/05 100 . 00 100 . 00 . 00 I (' y4: .r .. - ,. .- • } .. a• � r . 1 r. f ,1 E t s / .l •s 1 ,. x .. ..,. ,a ti .fir ._ �- .,": t + r f :, 5 4 y .- r - r d 7 A r ,,. r,t 1. ' J r _ J, ).. Y'r M1I >— oT `1 -'k L {.r L •i r`°.r o •I I t S rr e i b ; .f i J r i ? ,1 ; jr r y '! lt, •,- r 1 i q r 5 t Z r P . y / ` �' a S *,{ µ i v r 5 5 4 .(� .I L f 4 0 t _;F, ) r D'. p,. f.t S ,: ?t>Z + IV r. 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'r„' ° 4t }, , It v r t'. D .t bI +-.t rr 4 `l. s { S } i s <• e r � '.. r d r y t 7 t, } t i-, , 'i t o f r , I C! 1•i f Y. 1'w`J w + t f 1 X, _~ AL_ a�Dl- d Date: /I Z / o6 TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: fown Nii,4. BUSINESS LOCATION: INVENTORY MAILING ADDRESS: �� TOTAL AMOUNT: TELEPHONE NUMBER: 7-71 - Va90 _an5j CONTACT PERSON: Vafeyt� Oash i:n EMERGENCY CONTACT TELEPHONE NUMBER: n e_* MSDS ON SITE? TYPE OF BUSINESS: � r� ' . aln.� , .StAppidt ,'•IZj±1 -r .h 6uu..tP ,60, v —TT- - INFORMATION/RECOMMENDATIONS: � �� M.�I�S /��»"n'► '� Fire District: 14S X' yt,) , As &Cslhl.j 'fib in d haurd r d4 ' rni4Ad h" �Y t 1 f ana Waste Transportation: Uzi Last shipment of hazardous waste:l9a nLaal Name of Hauler: ,e1 . Destination: Waste Product: ,04 6.1��imr Licensed? Yes o NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA,-hazardous materials use, P storage and disposal of 111 gallons or more a month requires a license from the Public Health Division.. l LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) /CQ melt Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides Atllde40djb 0i NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) AL Caulk/Grout J MhW Vepl 9tas Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers f Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar 1 1 In', A3 PCB's Paints, varnishes, stains, dyes 0rY1 4� Other chlorinated hydrocarbons, Lacquer thinners 7 (inc. carbon tetrachloride) NEW USED L Any other products with "poison" labels Paint & varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor &furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers (including bleach) Pa k SYT_ 10 Spot removers &cleaning fluids IA- (dry cleaners) _ Other cleaning solvents �� .�� K �AAA0 Bug and tar removers c� o� JT Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS DBA: :Town Paint 8 Supply Fax: / Corp Name: Mailing Address Location: 208 Barnstable Road,Hyannis Street: 208 Barnstable Road mappar: City: Hyannis Contact: Ro p VAltrit, a8`/11A State: Ma Telephone: 7714290 Zip: 02601 Emergency: Person Interviewed: Business °�Cell Contact Letter Date: C I.foi� Category: Retail Store Inventory Site Visit Date: f 2..b5'. /►�..LpS Type: House Painters Follow Up/Inspection Date: ❑ public water ❑ indoor floor drains ❑ outdoor surface drains ❑ license required —No pt-sy%L4 ❑ private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc ❑ currently licensed _ ❑ town sewage ❑ indoor catch basin/drywell ❑ outdoor catch basin/drywell expir - - - ❑ on-site sewage ❑ indoor on-site syste ❑ outdoor onsite system date: _. . . lil qa-� Check inspection when it comes in for quantities below.cm compliance: U REMARKS: '10/20/98-No MSDS at this location. Requests are presed Satisfactory on to main office in Northboro. Waste paint returned to warehouse in same containers. Full service paint. No4outside storage of liquid chemicals/paint. No waste products. ORDERS: Maintain MSDS for all chemicals at this location. M Lys iD M V, cat N&Mbcy moon atl �rztFF? �,� "U V V.k IDA o�4. �gto--'L, 1 ' ., I r � 1 • � � i1 r Z►�� � 1 r I rl - II - -- — ` 1 sp f 1 _ y r Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ Zero Toxic Waste Materials ❑d gty's>25 lbs dry or 50 gals liquid but less than 111 gals ❑ gty's 111 gals or more description: qty unit of measure antifreeze(for gasoline or coolant systems) 201gallons automatic transmission fluid 0.5gallons / engine and radiator flushes 1.51gallons hydraulic fluids(including break fluid) 31gallons _ diesel fuel,kerosene,#2 heating oil 41gallons degreasers for engines and metal 0.5igallons degreasers for driveways and garages 41gallons rustproofers junknown car wash detergents 41gallons car waxes and polishes __ 6gallons —� asphalt&roofing tar 40'gallons acquer thinners __ _ _ 16,gallons varnish removers,deglossers AF 20001gallons paint,varnishes,stains,dyes 9001unknown Misc.paint product _ 24igallons floor&furniture strippers 48Tgallons metal polishes 21gallons laundry soil&stain removers(including beach) 60'gallons spot removers&cleaning fluids(dry cleaners) _ 21gallons other cleaning solvents ��— — Oiunknown bug and tar removers 1gallons Household cleaners,oven cleaners 40'gallons - drain cleaners _ _ 6'gallons Ito toilet cleaners a 6gallons cesspool cleaners 61gallons disinfectants 15;gallons =: road salt 4000pounds pesticides 90'gallons � swimming pool chlorine 241gallons fertilizers 3600'pounds Waste Transporter: Fire District: Last HW.Shipment Date: Waste Hauler Licensed: No CJU I b w) a'Y',d cc 1°' Sor 6,4— Ca Kbb,� M viafic /h�gdr�,lonc �� ��`•`f � .4o DI) CP sm Clea.�wvS XZ l d � 10 +� mot�ir rvu c. a u O`^ CAV N Ra"1 I &ea.CA Io vJ ic� 5A ORS ter► ems: a K..e. - h•� w o �1 ss !XOCA4e-4� 01 ry% w o o Stbr,W tb ri off~ a-A+ .��, (�{ o Z = I Ib 'I. 6 I�j = I wP �l :. �. jg a P/9-1-"A't— too o. �h NO 7(0 qe �Z7 � I (sur►t �� 8� 433 U�► o� � ��jn(oY�K dam) .� , cAold ,w r � � l i t ✓ ` Tad lb bags - qp M*C& imp � b�ca� ✓ naafuroi� C�rtuaa� waK ols� 0 �I ✓ 12 � U Zva 5� 03 oZ � ois�1 TV �o_�`' cat) ��, �,(�a,vcou-Q✓ to t h' Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS DBA: Town Paint&Supply Fax: Corp Name: Mailing Address Location: :200arnstable Road,Hyannis Street: 1208 Barnstable Road j mappar: City: Hyannis Contact: :Valerie Cashin State: :Ma Telephone: ;771-4290 Zip: 02601' Emergency: , Person Interviewed: Business Contact Letter Date: Category: :Retail Store Inventory Site Visit Date: 1/12/2005 Type: House Painters Follow Up/Inspection Date: ❑ public water. ❑ indoor floor drains ❑ outdoor surface drains ❑d license required ❑ private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc ❑ currently licensed ❑ town sewage ❑ indoor catch basin/drywell ❑ outdoor catch basin/drywell expir ❑ on-site sewage ❑ indoor on-site syste ❑ outdoor onsite system date: . Check inspection when it comes in for quantities below.Cm compliance: REMARKS: 10/20/98-No MSDS at this location. Requests are presed Unsatisfactory on to main office in Northboro. Waste paint returned to warehouse in same containers. Full service paint. No outside storage of liquid chemicals/paint. No waste products. ORDERS: Maintain MSDS for all chemicals at this location. 1/12/2005 alp follow up on a complaint, has not been inventoried since 98,no permit. Observations: housekeeping in rear stockroom in wallpaper shop needs maintaining,(23 grill size)empty propane tanks underneath wooden tables with a seperator of 4x4 piece of wood,(65-14oz.propane tanks on shelves),(15-1.4oz.Oxygen tanks on shelves),(5-51b.Fire extinguishers on shelves),(10-16oz mapp gas on shelves),means of egress at second entrance is blocked by a chain and empty boxes, f� empty 5 gallon waste on wooden pallet to be shipped,wrapped in v celophane,no manifest and not a licensed hauler.No more than 55 gal at a time being shipped.Sprinkler system in stockroom?Items stocked Q to ceiling and insulation is hanging down.No MSDS on site. Order:obtain MSDS sheets for all products in facility asap. V �J' n� - -IJV i 1 d Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ Zero Toxic Waste Materials ❑ gty's>25 Ibs dry or 50 gals liquid but less than 111 gals ❑� gty's 111 gals or more description: qty. unit of measure antifreeze(for gasoline or coolant systems) 31 gallons✓ paint,varnishes,stains,dyes 6542 gallons caulk/grout 134 gallons Misc.Combustible 2871 gallons Acetone 14 gallons Adhesives 63 gallons t/ Lacquer/Sealer 700 gallons o/ new lacquer thinner 192 gallons vej car wash detergents 12 gallons car waxes and polishes 2 gallons a/ asphalt&roofing tar 24 gallons Misc.Flammable 306 gallons o/ road salt 505 gallons drain cleaners 10 gallons 7;7— motor oil 21 gallons Detergent 68 gallons Misc.Poison 64 gallons laundry soil&stain removers(including beach) 590 gallons propane 8 gallons other cleaning solvents 173 unknown _ p Misc.Corrosive 127 gallons 02 tank 2 gallons fertilizers 396 gallons Windshield Wash 75 gallons charcoal 24 gallons Kerosene 12 gallons pesticides 23 gallons V Rodenticide 5 gallons V Misc.paint product 80 gallons V ADgnf.Vp"` .&y65V,,K z4c, Insecticide 62 gallon Ve misc.petroleum products:grease,lubricants 12 gallons V Waste Transporter: f _ _ Fire District: hyanrns _ Last HW Shipment Date: _-__ _ _ r Waste Hauler Ucensed: NoJ r IOT Tb W' Tr I'2— daAA ,s ow6tk . , afo M Coss ®v. Vkj ern O'e .+� ern �oc��- w Ri o C�- - °t �a w� I TeX G,,l L,o 0 t I •-RU d-[-Irtd�q m+t-ku ht)ff QmOv i ram, C �,�- r O � U bio u cu alk \6 �� V O A� U �J_ �J m o mj V3 Toa 4) C� J,(-D Olk I-KA d uV`-e.X lb Gko l -• aASo in vm.el� I i 1 Town of Barnstable IME t Regulatory Services Thomas F. Geiler,Director /] Public Health Division V� BARNSrABLE, Thomas McKean,Director 9 MASS. _ qj 1639. 200 Main Street, Hyannis,MA 02601 Phone: 508-862-4644 Email: healthna,town.barnstable.ma.us \ Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 V March 1, 2005- Town Paint and Supply Attn: Valerie Cashin 206 Barnstable Road Hyannis, MA 02601 .................... RE.:-Hazardous.Materlals:License.Required.and,O.VE.RDU1�...........,..,........ ::;.. ..' ',:..::.. . Dear.Ms: Cashin: '.:.. ..... It has been 45 days since your Toxic and Hazardous Materials Onsite Inventory was conducted. The inventory total from January 12, 2005 and January 13, 2005 indicates that you have approximately 13,148 gallons of toxic and hazardous materials being j used/stored/generated/disposed of at your place of business(Please refer to your copy of the Toxic and Hazardous Materials Onsite Inventory). The Town of Barnstable Board of Health has determined that using, storing, generating and/or disposing of over I I I gallons of hazardous materials per month requires businesses in the Town of Barnstable to obtain an annual Hazardous Materials License. A permit to store/handle 111 gallons or more of hazardous materials a month shall be purchased by your business. You have 14 days to comply. A follow up inspection will take place to ensure your compliance. Passing your Hazardous Materials Inspection and obtaining your license will keep your business compliant with the General Ordinance Chapter 108: Hazardous Materials. Following the recommendations given after your annual inventory can prevent contamination of Barnstable's existing and future drinking water supply,prevent environmental contamination which can bankrupt site owners, lead to future regulatory, and possibly, legal problems, lower or destroy land values, drive out residents and industry, depress local economies and endanger public health. You will receive your Hazardous Materials License certificate after you have passed your inspection and paid the license fee. Your continued cooperation is greatly appreciated. If you have any questions or need further information,please do not hesitate to contact the Public Health Division. Thank ou, Thomas A. McKean,RS, CH Director of Public Health Ali a L. Parker Hazardous Materials Specialist 23 SOUTH MAIN STREET 667 MAIN STREET NATICK 01760 TEATICKET 02536 (508)653-6932 (508)540.1933 101 206 BARNSTABLE ROAD 25 EASTERN AVENUE HYANNIS 02601 MALDEN 02148 (508)771-4290 (617)324-5368 3095 CRANBERRY HIGHWAY 21 HOWE STREET EAST WAREHAM 02538 MARLBOROUGH 01752 TOWN PAINT & SUPPLY CO. `50 I295-7881 (508)485-0538 E.137 - RTE. 37 319 CABOT STREET EAST HARWICH 02645 BEVERLY01915 HARDWARE- PAINTS- WALLPAPERS (508)432-3669 (508)922-1107 ELECTRICAL AND PLUMBING SUPPLIES 41 MEETING HOUSE LANE BUZZARDS BAY 02532 WAREHOUSE&OFFICE (508)888.8237 P.O. BOX 1010 35 LYMAN STREET NORTHBORO, MA 01532 WAREHOUSE OFFICE (508) 393-7746 (617) 237-2296 FAx(508) 393-7842 Mr.Glen E.Harrington,RS Health Inspector Town of Barnstable Dept.of Health,Safety,&Environmental Services 367 Main St. Hyannis,MA 02601 October 29, 1998 Dear Mr.Harrington, As I understand it you have requested we maintain a complete MSDS file'at our Hyannis store. Town Paint &Supply Co.has 10 locations including its warehouse in Northboro MA. We maintain extensive MSDS files at our office and warehouse in Northboro.Over the years we have found that handling MSDS forms from our central office for all stores has been the most effective method of dealing with requests. Since we have no copy facilities at our stores we could not give out the forms we kept at the stores. By centralizing the files we have people whom are responsible for maintaining these files and are familiar with them and their location. With the high employee turn over that is part of the retail business this would not be possible at store level. Requests for MSDS sheets are now handled quickly by faxing the sheets to the store or the location of the individual or business requesting the information. I I hope this explanation of how Town Paint&i Supply handles its MSDS responsibilities addresses your concerns.Please feel free to call if this is not satisfactory or,you need more information. Re and ... .. .-. _ . . Stephen.Sandler . ;r.; ..... ti! ;va, TOXIC AND HAZARDOU MATERIALS REGISTRATION FORM NAME OF BUSINESS: -ro. a oe Su 1v Mail To: BUSINESS LOCATION: Z0 4, &1A S Board of Health MAILING ADDRESS: �gUt/l r IS f}e Qo�(o ( Town of Barnstable P.O. Box 534 TELEPHONE NUMBER: �Q rl 6 Hyannis, MA 02601 CONTACT PERSON: u EMERGENCY CONTACT TELEPHONE NUMBER: Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: nn ADDRESS: Q 0 b TELEPHONE: 25 -0 S'- 7?/— 19V 9W LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store: Quantity/Case Quantity/Case Antifreeze (for gasoline or coolant systems) 47s Drain cleaners � A5. Automatic transmission fluid -2y a s.Toilet cleaners C S: Engine and radiator flushes /,Z CATS Cesspool cleaners 12 QTS- Hydraulic fluid (including brake fluid) 60 QTs Disinfectants Motor oils/waste oils Md Salt (Halite) m-�s , Gasoline, Jet fuel Refrigerants Diesel fu erosene, 2 heating oil 3'60 0R.Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) ts,Degreasers for engines and metal —46-- Photochemicals (fixers and developers) y Degreasers for driveways & garages — Printing ink Battery acid (electrolyte) Wood preservatives (c, te) Rustproofers Swimming pool chlorine $ QT•s.Car wash detergents Lye or caustic soda QTS .Car waxes and polishes Jewelry cleaners ® YN-1 sphal�t oofing tar Lgtt er yes 9®d� •�- arnishe stains dyes `� ��iA Fertilizers (if stored outdoors) l wa 1• Paint acquer thinners �� PCB's cd, aint varnls removers, deglossers --,(:!!9—Other chlorinated hydrocarbons, Iy (_�� Paint brush cleaners ' (inc. carbon tetrachloride) �T al, Floor & furniture strippers yy,9� ' Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, 4 . Laundry soil & stain removers hydrochloric acid, other cids A J" / (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents c`4 Bug and tar removers /!UQTs- Household cleansers oven cleaners White Copy'- Health Department/ Canary Copy-Business I_ � 5 TOXIC AND HAZARDOUS MATERIALS R GISTRATION FORM NAME OF BUSINESS: `� `'( pa '�� c S " p y Mail To: BUSINESS LOCATION: 07� �a�a �� e WV, Board of Health Sam Town of Barnstable MAILING ADDRESS: P.O. Box 534 TELEPHONE NUMBER: ? / _ �� Hyannis, MA 02601 CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMB R: ` Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quan .les totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing-address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibitbtoxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store: Quantit ase Quantity/Case Antifreeze (for gasoline or coolant systems) 1 y / Drain cleaners Automatic transmission fluid /Z Toilet cleaners ,engine and radiator flushes jam/ / Cesspool cleaners r Hydraulic fluid (including brake fluid) Z V Disinfectants Motor oils/waste oils Road Salt (Halite) G Gasoline, Jet fuel Refrigerants o /Diesel fuel, rosene 2`l:rating'oil !� 'i Pesticides (insecticides, herbicides, =1f( Degreasers _for engines and metal Photochemicals (fixers and developers) ,__-z !� degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) 6 r �ustp roof ers f wimming pool chlorine Lye or caustic soda �yCar wash detergents Y Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes I'kT/Paints, varnishes, stains, dyes o Fertilizers (if stored outdoors) D � e 1C,--'Paint & lacquer thinners PCB s 1(,C� Paint & varnish removers, deglossers Other chlorinated hydrocarbons, a Paint brush cleaners (inc. carbon tetrachloride) 02 i1 � Floor & furniture strippers Any other products with "Poison" labels (including chloroform, formaldehyde, /oLJ / Metal polishes (� 9 y e�///j Laundry soil & stain removers hydrochloric acid, other acids) including bleach) Other products not listed which you feel may , Spot.removers & cleaning fluids be toxic or hazardous (please list): /dry cleaners) i d Other cleaning solvents P ).2f f Bug and tar removers ' i ( Household cleansers, oven cleaners I,. White Copy-Health Department/ Canary Copy-Business . +-�. __,i, � .. . ._._ .�•. .,� �. -.-a,: .. �._..- .- ,- - .. ---ram^-:.-r, i �r-.1-, . . TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair. O satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops _ 64 unsatisfactory- 4.Manufacturers COMPANY o-wv� � ;,,/LL (see"Orders") 5.Retail Stores i 6.Fuel Suppliers ADDRESS '7.e Class: 7•Miscellaneous Gwv►�u%� QUANTITIES AND STORAGE (IN=indoors;OUT=ou(doors) MAJOR MATER S Case lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil(C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: l pq DC DISPOSALIRECLAMATION REMARKS: r�) 1. Sanitary Sewage 2.Water Supply �o M SO 3 � �-c�.d��Y, a.u. Owdeel• � . O Town Sewer JPublic til aA�'_ p " AOn-site OPrivate 3. Indoor Floor Drains YES NO O Holding tank:MDC Cc-" m"191_f G�Je""v�V1 O Catch basin/Dry well Sda► `u� d (.f.Q,u�.�Za �� o t,.,Pj k O On-site system w 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC I'" &- .S`6S �rn'— rza� ' O Catch basin/Dry well hCa 4^ O On-site system 5. Waste Transporter Name of Hauler Destination Waste Product ' YES NO 1. 2. 4L� Person(s) Inte ewed Ins ector Dat V TOWN OF BARNSTABLE MPL/ANCE: CLASS: 1.Marine,Gas Stations,R air satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops Ounsatisfactory- 4.Manufacturers COMP L/� < � n (see"Orders") Retail Stores 6.Fuel Suppliers ADDRESS G � Class- ! 7.Miscellaneous /�' TANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MARSUnderground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Jet F Heavy Oils: �-- tr io c Synthetic Organics: degreasers Miscell neo s: &4 DISPOSALIRECLAMATION ROE j : 1. Sanitary Sewage 2.Water Supply �='h O Town Sewer .Public On-site OPrivate 3. Indoor Floor Drains YES NO O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Niinie of Hauler Destination Waste i Product YES NO 1. 2. 9 ' mil/ Person(s) Interviewed Inspector Date ' `2, '-i TOWN OF BARNSTABLE C MPL/ANCE: CLASS: 1. Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMP ' O (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS Class: 7.Miscellaneous /44j, QUANTITIES AND STORAGE (IN= indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks IN OUT IN OUT I IOUT I#&gallons Age - Test Vaels: � I /Yp Biesel, Kerosene, '3C. Heavy Oils: waste motor oil (C) �e� c transmission/hydra c Synthetic Organics: Miscellaneous- 6-e;_ DISPOSALIRECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply O Town Sewer OPublic O On-site OPrivate 3. Indoor Floor Drains YES NO O Holding tank: MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Nifnie of Hauler Destination Waste Product 1• YES NO 2. Person (s) 16terviewed Inspector Date l LOCATION SEWAGE PERMIT NO. 06 g BAROSTkAZE ,q 3q V I L L A G E 3,zg 0�1 I N S T A LLER'S NAME A ADDRESSlag Z. K- (,Ut 5 u -t so�9S # L B U I L D E R OR OWNER Nlo+ t-- . s() L DATE PERMIT ISSUED DATE COMPLIANCE ISSUED � .—� ',� ✓ ,� �. , ` GWN � �ir�\ _. �� � � ,e,. �. • ' �) ,�� V �� 1 r � r � /��'� l 1;• � � � �. 1 i'? � � ��..(( V` + "`� O t +, �.. nA` f� a. / �,.: � o � . —1 � .�; � ;r. i � � �� u „J � � � %•`'' �,,° " s - � � �{� ,r. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........................................O F......-...........................-..... {App iratinn for Disposal Murks Tonstrnrtion amit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage*Bisposal System at: ........r QI� ......... .........•-------...------....---..................................•......:... Location-Address or Lot No. ,. -•--.7Q:'✓N '..:�1 '?..__.e�` ��a ',P ................ ...?../.. �o y,�.----r?r...... . /9 Ts Get �.!`I/... Owner Address a •------•---•------------•............................•-•----.._.....__... ................ --.......--•---.............................t...........................---•- Installer Address AQ U Type of Building vr--r*/j- :5-Tv R "" Size Lot...._ 007G'.l._Sq. feet �_4 Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) a`4 Other—T e of Building No. of persons............................ Showers YP g ---------------------------- P ( )--- -Cafeteria ( ) Otherfixtures -------------------------------•---------------.....--•--------••••-•-----------------•--••-•--••--•--......-•••--• ---------- 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. I................minutes per inch Depth of Test Pit.................... Depth to ground water......................... (X, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.......................... . P4 •---•-----•-•---••-------------------•------------..........--------.....•----------••..........._._...._....-•••------•------..........__.._... •----- 0 Description of.Soil......................... x w x ---•----•-•-----------------•--•--•------•-•--------------•---•-•--•------•--...-----•---------•••......-•--•----•------ ----••----•------•......•--•--•-•-•••. • •. ................................ U Nature of Repairs or Alterations—Answer when applicable.. _ov'....................t"- ?.l_.S_................................. ............... ` 7 ?-•------ v o a G �' ?`!y+-riv s..�"�..�►. r 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 beeri/1"`ss ued�board of health. Signed......�---..-•------•--.....- --•••• .-- •---•-•-------------------...-- /� ,( Application Approved By............-•-;�=�-r=�-•-��--'.......,�� ............................ --•----•Z.............................. Date Application Disapproved for the following reasons:_ ...----••••----•-------•-------------•------•--........•---•--•-•-------------•---••--•--••......•....._... .......................•--••-----•-•----...--•-----------.....------------•--•--------.......-----------------------------•-•••••--•---------. ---•-••----•-•-----------•---••----•-----•-•-----•...•-- _ Permit No.._._-�4_......�.�. -. Issued.----x.�.—� __-9 L� .Dau Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH- . ..........................................OF..................................................................................... %Tertif iratr of ToutpliFatta THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired bY•••--•---•••....................•--...._•--•.... ._........- --------------•------.................-•-•-•------------------...............-•--•---- --••-. ��� / aller / p , /�.. has been installed in accordance with the provisions of TIT" 5 of The State SanitaryCode as described in the application for Disposal Works Construction Permit No----- < :��-�)y......... dated ...1'._--_I3..-R-4............... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CO STRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE----....... a.:J..... ........................................ Inspector-------- - ------ �- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..............OF..................................................................................... ff No.......... .......•... FEE........................ Disposal arks (Ionotrurtion Uprrinit Permission is hereby ran ed_..... •. 1'` CAJM. ....................................... to Construct . or.Repair an Individual Sew Disposal System / `ti at No. -... ..............._-.- /- � yrl ----;42- G�G� v ...--- . Street as shown on the application for Disposal Works Construction Permitt No._ .4-31.3°f Dated.......11-11.79 ...........` Board of Health DATE �5... :............•---••--------........................ FORM 1255 A. M. SULKIN, INC., BOSTON No...... 1.' 03 '� � e3 Z� ��� Fxs.....)..�-_.............. THE COMMONWEALTH OF MASSACHUSETTS e, BOAR® OF \'HEALTH ' co-J.01A0 ...........................................O'F.:......................................................................................... Appliration for Dispniial Works Ti n itrnr#iun fumit Application is hereby made for a Permit to Construct ( ) or Repair (}() an Individual Sewage Disposal System at: / ........ .....3Aa #Y-�T-�I._k..± .._.. .i7.......... 4Y .5---------------------- ---- --•--..........-----------•--...•.........---- ,p Location Address or Lot �1.✓s`f_ {� . No. fl �-7 ___.r1; -•----•-••----•- ... ? .� f Tn � ........��.�� Owne� ......•....................•---.Address Insta(ler Address �T � �� Size Lot....... �_y`�Sq. feet Type of Building � y � ��i U 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........................................ aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ---------------------------- •-••----••---------•----........-------------------- ............... 0 Description of Soil-•------------------------------------------•----•--••------..._..-----•---...-------------------....................................................................... U --••----•--•-••-••------•----•----------------•------------•--•:...................---.........•-•------...-•---•---•-••.....-•-•----•-•-•----••---••----•-•-•---•••••..........--•-•-•----••-•-------- ---------------------------------------------------------------------------------------------------------------------------------------•--------------------••----------------------------.............. 14 U Nature•of Repairs or Alterations—Answer when applicable_.A0_en_ -o-.t�. ........... ,G�.......___. _77AS.-----••---•A.-P.P.......... ....... ....... -:,il..... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITI.% 5 of the State Sanitary Code—The undersigned further agrees not to place the system in ope ation i/. ificate gr Co pliance has been issued by the board of health. l /" Signed----- .__ ✓ ---`/ ' Date Application Approved BY ••• --•• •. i` . . . -•--• �v Date \ Application Disapproved for the following reasons:-- -•------••-----------•------•••--••-•---•----•---•----•---•••--•••-•••••••-•-----•----••••-••-•------------- ----------------------------------•---------•------•-----•--•--------------------•-•-•--_-___-------•--•----•----•--•---_------------------------------------------------------•------------------...... Date Permit No.--- 4...-.113M------•-----••-•--•-•--- Issued......... — 1� . 4 . ... .................• Date -- - — - - -- - - -- -� --__.._____------- -- t Town of Barnstable °Ft royti Regulatory Services Thomas F. Geiler,Director . B"'MA.W. ' ' Public Health Division 9� 16 9 `0�' 39 Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS, FULL NAME OF APPLICANT L a�)r -Y�' SQ C'- NAME OF ESTABLISHMENT �c- ADDRESS OF ESTABLISHMENT PC% ?,dnST�)C, Itr) +'un,.n ►r)c, O_)-(oU I TELEPHONE NUMBER 3 Cj o SOLE OWNER: YES ✓NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.C)'-( - 21,I-7 7qclu STATE OF INCORPORATION h'10\ FULL NAME AND HOME ADDRESS OF: PRESIDENT \ 36 L. m n.St /Ucr?vlbcu Mom. O13�. TREASURER �- Sq 1 C- C CLERK SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# Haz.doc/wp/q