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Home My WebLink About0381 CAMP STREET (YARMOUTH) - Health 381 CAMP ST. HYANNIS A= 345. 009 1 k� i' o { F' t I I i SOVEREIGN CONSULTING INC . July 25,2013 Thomas A. McKean Town of Barnstable Public Health Division 200 Main Street Hyannis,Massachusetts 02601 John C. Klimm K Barnstable Town Manager 387 Main Street Hyannis, Massachusetts 02601 R , Re: Notice of Availability of Phase V Remedy Operation Status and Remedial Monitoring Report Former Shell-Branded Gasoline Station 381 Camp Street West Yarmouth,Massachusetts , MassDEP RTN 4-1179 To Whom It May Concern: y In accordance with the Massachusetts Contingency Plan (MCP) 310 CMR 40.1403 (3)(e), this correspondence serves as notification that a Phase V Remedy Operation Statu and R'1edi4-6 Monitoring Report (ROS-RMR) was ' submitted to the Massachusetts epartmgnt a Environmental Protection (MassDEP) for the above referenced location (the d"p osal sits)== Theme report summarizes activities conducted between January 2013 and July 2013. c1 Continued activities on site will include: • Quarterly groundwater gauging`and sampling scheduled for August nd Nowmbe 2013;and • Submittal of a ROS-RMR Status Report in January 2014. Copies of the report can be obtained,at the Massachusetts Department of Environmental Protection Southeast Regional Office in Lakeville, Massachusetts. If you have any questions please call the undersigned at(508) 339-3200. Sincerely,. SOVEREIGN CONSULTING INC. Lisa M.Stone Eric D. Simpson, PG,LSP Project Manager Operations Manager cc: MassDEP SERO Annette Dokken,Motiva Enterprises LLC Sovereign File-2R774 16 Chestnut Street, Suite 520 • Foxborough, MA 02035 •Tel: 508-339-3200 • Fax: 508-339-3248 i SOVEI`�_ EIGN CONSULTING INC . July 25,2011 Thomas A. McKean Town of Barnstable Public Health Division 200 Main Street Hyannis,Massachusetts 02601 John C. Khmrn _ Barnstable Town Manager 387 Main Street Hyannis,Massachusetts 02601 Re: Notice of Availability of Phase V Remedy Operation-Status and Remedial Monitoring Report Former Shell-Branded Gasoline Station 381 Camp Street Hyannis,Massachusetts MassDEP RTN 4-1179 To Whom It May Concern: In accordance with the Massachusetts Contingency Plan (MCP) 310 CMR 40.1403 (3)(e), this correspondence serves as notification that a Phase V Remedy Operation Status and Remedial Monitoring Report (ROS-RMR) - was submitted to the Massachusetts Department of Environmental Protection (MassDEP) for the above referenced location (the disposal site). The report summarizes activities conducted between January 2011 and June 2011. Continued activities on site will include: • Quarterly groundwater gauging and sampling scheduled for August and November 2011;and • Submittal of a ROS-RMR Status Report in January 2012. Copies of the report can be obtained 'at'the Massachusetts Department of Environmental Protection Southeast Regional Office in Lakeville, Massachusetts. If you have any questions please call the undersigned at(508)339-3200. Sincerely, SOVEREIGN CONSULTING INC. Lisa M.Stone Eric D.Simpson,P.G.,LSP Ai?L� Project Manager Operations Manager cc: MassDEP SERO Mr. David Weeks,Motiva Enterprises LLC Sovereign File-2R774 905B S. Main Street, Unit 202 • Mansfield, MA 02048 •Tel: 508-339-3200 • Fax: 508-339-3248 x January 28,2010 Thomas A. McKean Town of Barnstable Public Health Division 200 Main Street Hyannis,Massachusetts 02601 John C. Khmm Barnstable Town Manager ` 387 Main Street Hyannis,Massachusetts 02_601 Re: Availability of Inspection &Monitoring Report for Phase V Remedy Operating Status 38ormer Shell-Branded.Gasoline Station T C* Street-'J 'E�Hyan`riis,Massachusetts, j MassDEP RTN 4-1179 To Whom It May Concern: In accordance with the Massachusetts Contingency Plan (MCP) 310 CMR 40.1403 (3)(e), this correspondence serves as notification that a Phase V Remedy Operating Status &Monitoring Report was submitted to the Massachusetts Department of Environmental Protection (MassDEP) for the above referenced location (the disposal site). The report summarizes activities conducted between July 2009 and January 2010. Continued activities on site will include: • Quarterly groundwater gauging and sampling scheduled for February and May 2010; • System reactivation and O&Ms; • Submittal of ROS Status Report on July,2010. i Copies of the report can be obtained at the Massachusetts Department of Environmental Protection Southeast Regional Office in Lakeville, Massachusetts. If you have any questions please call the undersigned at(508) 339-3200. Sincerel , SO E IGN CONSULTING INC. J son Sherburne Eric D.Simpson,P.G.,LSP Senior Project Manager Operations Manager cc: MassDEP SERO Mr.David Weeks,Motiva Enterprises LLC Sovereign File-EQ774 905B S. Main Street, Unit 202 • Mansfield, MA 02048 •Tel: 508-339-3200 • Fax: 508-339-3248 i �O�ERS_H'i_f, ar TANK s) i Omnca Na xa£Ca Per>°a'°ds^°'�1'nbi a rl ?S xcrlD: Sc t sic •ti c i S I vailmg;dam k: i r i State: �1,` t i em ------------ cow 7 O t a;ivc�c$ d°nx Zccoe o`a=ss Sy dc�"'c^-5:a�t=es ad jtncc L I it 7 / 1 ? mnflle:i a!-42.3 6.12 L—I g-85.24.17 7t i Dist and won_cos st�tccscscn*-,sc ins7sc ions i 1 C L., T � F,61k iaw c or Comte Sim idc�c 5�:a znnlicabic S C lA- IN i Sacct?�Cdrss£?.o-Box n roc ac'P> - cnanoas ) + 4 S# City � 'yr i cotmtr t i t CONTACT ON z4 CHARGE Of TANK(S) ?1ffiIIC t �- 4r'�✓ "l Iob Tf1c f 3nsirsss?noec £ sludc Home?L+occ 4,=Ccr£=1nae YLS is a case��store a jesieoT3 ' s hosted an site?FDr FP-2) � Cl No yes an S.-me am�D-.`i3 t � No I 3J i a y is a c:went D-el—?to rz -sim US—,Is posied on site?(Form, FP-290?apt J, i �a No 1 1 Yes 1 s a:r�lser=_er :ratr Dosd�on site?(go—F'-5) No M yes _a vYj ? No i i S Damp �c e FS { Inspection I =z�i .L,cr/opertors T_� = Date -� .,; Page 34 ,. I i 3 AW f TA-5E� TANKW ' i �, 4� � cy�, _fail ss�s e�aa�,NA= Tot i cx�ie. use t s7as�2s:�'=Vass l � J j Rekaw Deme*ica Release Detection(Pi Orly"".., i SpiR Device(71"0; carmslmIIpII tp�a �9 S r?asa1 or.y) Passespertif3II,- ar el3t ♦ i j Tak Rzease jm=tmn$ieear� i -i.=be,r of mO tbs _ti -M SeC'SYS'�S 9 i • gag please Det=fl a lard 'ng ate: Fay.. ed Fa bas c♦.-eet korm - cease; sst Facility bas c��t Foy�-?�' Fart 3(Permit)Posed _ j +F om F?-5 � �) ` s base*111 be Facility bas ct�_ �$�ssr3�7e�3��- e�?e�arlmnant or r1re Her s i�nc rs F,,�, listed in this lr�s ec a report a s #aci3ss�{ r$A�a ,the Ownerl0f)ff for Ecircls 07-4 have teen'tit s ( I,'�e Authored%i: rj Imp.-otor,have ecton Itepoat and haW ben*Old the cot n of 1 performed tb:s US s„ tion and be%�ve the jnclud�g a�deficiencies,caa�oms my�JS 'fcility, a8s a7, I Ca�tents 3fi3S report to be sae and a�a=pie ate and reeoenaladons. ,1 ��;� 'le va time of insFeeu3n. :also have no si east hgdakd and i�sciule i t3�s s��o i?�Ql U eial= tr-rest s t as UST. i -- -I ;��tame { I Facility i ,S`ir3a �` E-Mai: I " 'vial: n° � +,rr t � y. f Ij Pho9: � 1 Phone: _T� } r 1 s:+B eLt�i J T r li matee: 7 Return Pages 14 thru 16 Cif this � � lam than U days ��;.��z , s ate, ??75 I the date of inspectlar and LOCB I i 7d' Date: c Page 15 Dee i F � n. Tie L-_hnd-may use th'ss session to note any deft envy eorrectiMS or s that busts�a�e '3�ie�aa its impection should he a`snapshot'Completed for to any rem*s or adjustments that would affect whether:,r not a 8-5 would pass or fmi. List easy Convdea item s.-,araeiy. If you have any quesaons,please salt the I;S"'c£�eti at�78-5�7- 3375.i:se a o�;s s of�s X.-e�� y- Fax oo8e%eted-%=to 9'8-55 s-3=19. Items L F'n 17� e�e�f�c?e one) Datc of�'O-k: �'ar=ic or Pic T: is now: ��5:R_�-� �� .�, �;�=�o- o: US'"Company Na--. -,: Date UST Worker Sipatu ea item 2. Date of W*Or C: i an=c or Pipe T: is now: PASS OR FAU-a"e �On i-le one/ Dcseripton Of ReraiT©s Dew=ey COm-tio1': UST Company 4a=ne: I9ste UST Worker'SiPa'uTe- Item 3. p, is now: 2 Q'SS DR F 'e-S ua�'c'�cie sane) Date of Work: Tank or: pe;. Deco ssf R.paw. De--e3encr coLe-cuon: UST�,om. pany Namme: Date US-US-1 9A oeke'Z-4cmatere. Item 4. -aat:of Wont: Tank or Pipe is now: De^ o UST W- Orker� Department of Flrz SerAces Return Pages 14 ef this fo= 3aST Pm no lator than 14 days from E of inspection: I and Local Fire DePartm,-rd ,Questions? Contact the DFS UST OMce: 978-567-3375,Fax:978-567-3199 erect 7r<ta?is .,Svc L s C �.3 iv ✓ZTv Date %�-.�� /�_ ae 02-24-2009 10:23 COMPLIANCE 5082784390 Compliance'1'esting Services,Inc. P.Q..Rox 177 Franklin,MA 02038 ' Office: (508)278-3390 Test Location and Address Client.Address,and Phone Number Sav On JayImad 381 Cam Street 508-728-2700 West Yarmouth,MA 02673 Stage I System Type. $tags II System Type: Dual Point Assist Tank Informafton TANK Tank 1 I Tank 2 Tank 3 Tank 4 Tatal Product Grade R ular Su r 15,000 4 000 19 000 Actual Tank Ca 10,206 Gasoline Volume allons 8,799 1,407 6.201 2,593 8,794 Uila allons PIV Vent Ca Test Pressure Deca Test 10 0 Pressure Vacuum Initial Pressure inches water 7 8" Pressure After 1 Minute inches water 10.0 Ca #1 3.0° Pressure After 2 Minutes inches water 10.0 Ca #2 Pressure After 3 Minutes inches water 10.0 Ca Pressure After 4 Minutes inches water 10.0 Ca #4 Pressure After 5 Minutes inches water 10.0 Cap#5 9.115A t Remainin Press in.Water COL) Dynamic Back Preure/LI uid Biocka a Test T GASOLINE NOZZLE MFG.& FLOWMETER(CFH) WETTEST PUMPMOZ 1Q0 60 � NUMBER GRADE MODEL NUMBER 20 40 60 80 Test Results . Test Pass or Fail Comments Pass Pressure Reca Test Pass Va Tie4n Test Pass Pressurelvacuum Vent Ca Test Pass uM FaRm 2,7m.mod Air to U uid Ratio Test/ 4O 'T — NSA namic Back Press/Li uid 6tock Heat Line Ti ht. Test Technic Date of rest .Signature of Technician Shawn Conrad 2117/09 02-24-2009 10:23 COMPLIANCE 5082784390 Y ComplianceTesting Services,Inc. p.0.Box 177 Franklin,MA 02038 ' Office- (508)278-3390 Test Location,and Address Client,Address,and Phone Number . Sav On jayImad 381 Cam Street 508-720 27t10 West Yarmouth, MAstall,is 02873 11 V r Recove Air Over Uliquid Ratio Nozzle Test 118am Type Sfevein imorin Vol Wa ne Vac 3 MPD's,8 Nozzles Test Results or ss Fine) I111Hai Air vol. AkA4 Pa pi¢po" r Gaa08ne No>xb Gallons mped (�NI ReCr Ratio Fared Number Grade MOM 3 1.01 Pass 1 R CATLOW ICVN 20 8.00 1.01 Psi 1 Pius CATLOW ICVN 20 8 1.02 Paaa 1 g CATLOW ICVN 20 8.40 1.05 Pass 2 R CATLOW ICVN 20 7-80 1.05 Pass 2 Phis CATLOW ICVN 2.0 8 5D 1.Og Pe&S 2 CATLOW ICVN 2.0 8.20 1.04 Pass 3 R CATLOW ICVN 20 .7.80 1.00 Pass 3 Phis CATLOW ICVN 2-0 8.2D 8 OD 1.01 Pass 3 CATLOW ICVN 2.0 1.04 Pass 4 Refuter CATLOW ICVN 2.0 7.86 1.01 PEas 4 Phis CATLOW 1CVN 2.0 7.80 1.00 Pass 4 CATLOYV 1CVN 20 800 8.50 too Pam 5 R CATL(W ICVN 20 1.05 Pass 5 Plus CATLOW ICVN 2.0 820 20 850 1.0g Pees . 5 CATLOW ICVN 1.00 PM 6 R CATLOW ICVN 2-0 8.50 1.01 Pass CATLOW ICVN 2.0 8.g0 g Plue 1.02 Pass 8 SuperCATLOW ICVN 20 8.50 . ' pate of Test 8i nature of Technician Test Technician 2/17109 Shawn Conrad 02-24-2009 10:24 COMPLIANCE 5082784390 t .4 ComplianceTesting Services, Inc. P.O.Box 177 Franklin,MA 02038 ' • Office: (508)278-3390 Test Location,and Address Client,Ad d Phone Number dn�ss,an ��OnJa Imad 3S1 Cam Street 508-726-2700 West Yarmouth,MA 02873 Petrotite Line Test Results Product Line Line Line Test Start End Change in Leak PASS/FAIL ID Material Diameter Length Pnare Time Time VoM me Rate NIA Regular DWFlex 1.50 175' WA WA NIA NIA NIA Super DWFIex 1-50 175' NIA NIA NIA NIA NIA NIA, Diesel DWFlex 1.5 175' NIA N!A WA NIA NIA NIA Line Leak Detector Test Results Test Functional Time ni Leak Rate Element Metering PASSIFAIL Product Type/ Resiliency D GPH Holding PSI ID Manufacture Time PSI g 18 10 Pass R ular Fe Petro 138 2 3 21 10 p 130 2 Su r RJFXIV Z1 10 Pass Diesel RJFXIDV 126 2 ' 3 Te111 st Technician; Date of Test noture o TTechnician Shawn Gonrad 2/17/09 02-24-2009 10:24 COMPLIANCE 5082784390 C,'ompli:lnce Testing Services,Inc. p.(). Box 177 Franklin,MA 02038 . office: (51)8)278-3390 Tqt Low and Address Cllen%Add--- arrd Phone Nund►or tart Ja Intact Sav 381 C Street 508-725-2700 West Yartnoulh,MA 02673 ATG TE8TrNG m.kwModel at Monitoring System:Veedot tOOt TLS 350 pPERATIONAL Yea No NIA X Functioni tudibk&visual 0"'a: X Systarn pPD"As Per tllatwfaeturer's EcpjwmmT PROFILE Function Function enk#2 Stm-. 4-=Cralbd Product Yes No Tank ill Sm.. 16AW rigor,Product Yes No Su X bx X X Inventory Probe ar X Inventory Probe g X f�► X X Annular Sensor X Annular Sensor Su x �� X X STP Sump�— X STP Sump Sensor blsp.pan Sensor Disp.Pan Sensor Piping Sump Sensor Poft Sump Eledmnic LLD Ebdronle LLD Otha< Oihet Function Fuwww ank#4 Sh:e: Product Yes NO Tank#S Sao: 4,000i88- Product Yes No �� X Inventory Probe X Inventory Probe Annular Sensor x X Annular SensW tihael STP Sump Sensor Olesel X X STP Sump San— Disp,Pan Sensor Dlap.Pan$a— Pipit Sump Sensor Piping Sump Eledwnic LLD Electronic LLD pyrex Oftr Furwdor+ Function enk f6 Slra: product Yes No To*06 $Ir4' Product Yes NO • Inventory Probe hwwd ry Probe Annular Sensor Annular Sensor STP Sump$moor STP Sump Sensor 0" Par,Sensor Disp.Pan Sensor piping Sump Sens Piping SUMP Eectronic LLD Electronic LLD 0t1w COI�IFN7S Tanks and On are doubWwd with Working sansors. Oda of Tat Tort Technkkn y171Q9 ee echnlul� r Shawn Conrad f 02-24-2009 10:24 COMPLIANCE 5082784390 `y I ComplianceTesting Services,Inc. P.O.Box 177 Franklin,MA 02038 Office: (51?8)278-3390 Test Location,and Address Ghent,Address and Phone Number Ja Imad Sav On 508 726-2700 381 Cam Street We Yarmouth, MA 02673 Site Plan 4K 00 2-VIO s A I (D TG Q Bays Store 1 x b x � A 4K A ^"., psI 15K +r' Res LEGEND A-ATO F-Fill I-IUL&sti1w v.var" X-Ea WOT Camp Street Test Conducted By Shawn Conrad i IIiI t4C�`I i ioV ��1 •. -rJ IiJv.�2/ - '_l�dr�r��`�P.3.tt��i:fir-•v. •irc� //// r �7�•%l�r. =Jfly,t�� f PCl �• 1 Notification for Underground Storage Tanks Regulated Undf�r �27 GItAR 3.0C StateOnly Fo c0mdl tm�d:Orr-iw: fYlassachusett�UST Fr ogram,IIept•of Fire Services' } 4. F_ if,y`�urrib�e' p.O.Box 1025-State gaud,StosN.MA 01775 o- Cats ~ies2u 978-5Fi7-3375 a ke local fire department Foromrd one cony of FP-2_0 to i �BA-�-nded A.r'+iaw �aci3.:v isee,:s uc�ons_Itd5rRUC1iO�t5' --o =Zv fytfcue � kel is tD be Ca rp1 frd fa:each lNSTJR•C r '-qS: .nderar^'gin=storace�n 2c,;tatea tm:,er 5271✓ +L s 9-gi.if mare than nve tanks 2r2 D�ned a:$lic lorzticn.phcY,copv the setJ�:.i a pages and>`taF le pn;ir t~ion sheets to the Corm_The FP- rl nt„ro era not . r natal -hnt�r,,(-*re.. gr3........5..._ S�r(!:^..Er^T:e"liar.72 Zoe mu5 be rang plated i-3tspt.a Q. thcugts lira;oats may be�i atotsed,the iaci;ity o msr or oY mar s representalve must Sagn ear't-:Fy ser?--o ry-29, aegis-won is rto:complete until the b a Permit O-_Mor O,11_1 hOweves i depart-err:+t€€SSif_:tle -_.. �J_iOr7 Lor:'?DIi3nCe!11:,..�li gUES'L'arl5 8R tR15 tO;in are L CE 1 28�:s rexr,2d and chsckea JJ o^i a ; i ansxered_€ncomplete to-n:s: 'be rt*f:-aa. I t .,••gtn_ai d c a Ye:tare ta,�k;„cam rYvi beef i Z•tlIQ-iiSi}�Cdted. oy ar,t+_ 1 1�4__r F� ki-t me2rs z l2;k o: znFs ri+c face?oR of factit/is not pro- I 2"cagy yvec_=t address'-,us md-de both a st�ea number, and a sweet Herne.Pcst office to box is n err are not acce;±tzbte and:s=u ?a t rstrat c,t os re irmea_it geoarap i vrJed,please indicate distance a,-r dre 'Doa�l{iQ �n tton.e_a..(taaiaty at iS9�torth S'reei is i Iccated;4i�a ds southeas3of and 13Caticn ai ian e icT3k,an't^e type and Cr n+_anisl.y of sub=�ces stored !I Notification Re�uirsd iotEication.R2gistr2 k;eased in suctl+ink,or::hiot+Yter=_stored in suchSf rrsccfl eat=fin=`•� e being in erahan if tt tark a2s reMOVeU ..„, €t the tank i-Ge?feLcntfan i-_7n��-��'-�is tG b2 used aS' ; arks an..tank faci€ifies Mau- P ^•s a-> e i ton,and pEtr.i`•G'under-:o-L n ",crSZE , and nor to the submitta of 5�ch^ .•C_ the d D c,°t a^_e submittal of o� i • t d 4� nd..^ ! a was abandoned beneath she susszce of he gmU la ed under Sc�oc2 ofs;?c`�•ss ae;ylabo s fr.�v.to goal a e 1 ur!detgr?s nLt`- ' =z^-•• s..al. :^^ziU'na"Z s d b e• such notice in the deF2�men�such novrP sh31,aLsc s ^fv-tot exert r�d,fred o-ter c,ad:rith u?a re T"t 1 kno.vn to the owner or ope air..'he dale�e anK:'�'a �, n :n tine substarroatly around and art methods used to stabi€ize t-"t2nk a..er ,a.. cease e r. f_Mne^ tie �;an}sicrage facii to the ea-d .,,e to 3i`r iz. �,�the head c;tie,c ai ire department ri r shall within seven wodt,ng days .the name,address,a: yes it epee o and the Gept o`•Flre Sen_-:ces_'a^y� r ct e5 41 cantat:a:fiot t;sL_ate^ =fzss_k ,Dr3Ge,arm• s,stsject M xQgq br'{a}a farm.. o:gas .•5 mow:^tan for telep•rone numcer of n2 c'xne > for storing rto>fuel for no:^ ^'r-ia:o.::rosEs. t�;- reouiabon 3y_I-apte-}`6 t 6ass.e oral'=r end by��t:'.R 9(1L staring h8ating oil for consumptive use^_n the pre.=nises vrhere�stored rotted S o y ?a tcs a><e no,r uled to be registered under it: CMR S_?G_ �_� ��t.:r.•r. on Ot at:'ar J-3,- i o 1n;?lln2- h a ' �' ;to:yr-er_rGynd t ;,•,:rst ,_ a tin, ' 't of:re':.t cr.?'.rma =faiis'c not+':Or brrs fzs_ ?i3? shatt.:rt_hn:n_d_;s attar the inks ri pti into oc ra�o �= c_ r n tt 2�?oarr^e1t c` rE Sery ces{tr,=_ceca�en i of tFte existence tion shalt be suh:eM to a cs p'� :,a' ai +. nt k^Gvr�,tin_o:vrz of the tank date fo:a'hi-h notification is:tot grae::ar f." €�inks ratio. is s h^itrd• Of such-,anK.specFy:na.tG re ex`ei. Y i §GLC'rtapter 14E,secLro?3gB �2. r and.:ses of such tank.3 no ia3r �d h„ Gr l:,rY 'Ocatic..a - r nnL"no ei of installation. _a^ ^o-gin;eta:�2`z u utat way )T.rc comflletec notificatiol t'm-_..y- '�Vrl'19rl�to Notify) + c e-2 `�.. y-,a,,Ian�', ".QC°...;'ri •lY:r'.er�.;ci;:tn^_c�r,z:d3essof-r:he3se:or�Gt e o„_ -ir•c-� zrdttt?sa;:�C i in opera§cn at any :. ,, ?4..r�-1 the tflnk a';rre S.i3rta spy::=i3t ba p=vid2d to t-`a= 'pa^C o' ;s pea. ci the round at an �p;r,� 2 a.+�:�5 - S:r��'t3r:i;SS'a5 rER:G l :.OT G a2rT Tf a rlln'at� _ �' owner stl L -h tank s ecihsno• >Ss.._. z:ss-^.d z sepa -a aFa, b ak r 1 i it x8 shalt no -i+•it !meR J:se?XIS-c£'•Ce^C=slims A ? nrt�f 5l7ran>!Zn"c i..U52 "2:•2 aE'%` a- `d-cia ins af.2;en.caF.a�ty, When to Notify t.Q'-•n_ -v- - j I o nz eXx;,e kn3;Yr.,:^'a:li 8'c`: 'dam r rr ra e a^c=_= ` ot.•:of opCrat;on must notffy f s e locator'.Cf 2•= ... S;7td='s ,r- tip'�:s:-••eta..^..^.es 5`w 6'v in such tan ,:'r::nib rare stored ins+-ch L; i�io:e use ink ceased ; m such in or�rOz w i`t-=e S: O e remaveG:'a^ o pal th'sut'ace a`ti'p Owners and operatorsoiRe�ulated53rageTrarry tettts^tnds'Jg niasn 3i^_t` p stes^arecurrent i -o+sn�pr.Ot tc th=sL�Wirral sure no+ tc ^e departrnent Such ratite P�R.aso u zmentsf artheP.egvtatedS-cYage�arke and ;3t'�rs ss k^:aS removed testing eq _r,respect;an. a aci: to ts7=-=_xsni �''•'n.the�a`�'•TE z ;k,f•,- w -here records must readifY available` Sf all also Sa is rJ ,.. 1 front bar a Lhe s�>fa of - "j t '.'• 'i5t ^a^tenet Or Who Se o ,.a de,ark"?='tie cpsra rr c`arev aln ds2Itrrsent^r se awr,'e:`a c r•e:,atr72d. n�_,. i, ;rrz✓t b2 tf'�i::+=y z5_ an;+in`ormatar ce of sud'tank.saeu'Y:5.to the S)r, :gin`to existen : sr 'la3on. apa�?:.type. gelatine to a:•n.ersn:e;i;j>,,t2'.k.and date c, .._.� t 1 lit+ LOCATION OF TANKS) ♦ lout' r!sl tanks�:r deg!ees ,ems. ,.] :'('rig=ncy.o�v€t%)3r:_.•N'NI Give the geaarzphlc n.: n' r7.*,_ ,...,- i i r?rr Pr Mama:�crx>af On in>;:;d �. i t^ example'Lit.42.3ii e � T f G . ]v '`i { `� -+-'fi! Li , 3"u+ t.� i_d� C°t S'�S Jul ;tlot:-: St vLSL� _41 —,�,p.y�y `�" :� ' l .1 1 ,�.ai:s- :..y:� �.h-•-s-.•ee•a_-•esc LAl �'i V 1 ;' �,�1`� •� s j - 1 'T- y4t=ti'+.t3v��''�`' �t2.I � '�l �ti� 1,mpt;.ress-.='.ms;.•,%�-J�� <�.-....�._� •;`fsP� „';��t CCc, ;J Sz'� i-� L r /ill p•M; ,_er ire_..__.-.as Vic. _ ;c =_,_ -�"r^.:1o2 "_ _ —ace I i i i i I I IV. 1NDIAN LANDS OF OWNER iesa;✓a#�Qr,or or, ; TYPE t or !and with In an Indian ; I Tanks are tocated r^ercial 1 ' i=2derai Gove;nrnent Corn ; other trist lands_ o 'nd: duai. i I ictorage and safe? :,o2ri an nation,trbe.�r t V vemment _ . — _ state�o Tanks are owned by^a,+ private vats .e and use) local Govgr rmert {Stem i V. TYOF OF FACILITY i � I -_i:i}y Descripti^n:(check a{i tl?3t aPPI}'� T ruck➢naTransPort ! Select th;AYproPrat ttssira 1 'ftil"sties I Cos Station Railroad petmle>>m Distrihu'or Federal-(Jiilitay Residential '. - - 1 warm I Airport Industrial i-A 04,ner texplasr; Lr. Aircraft owner Contractor I —~ Vahicle Dealership , ! �gRSfl13 IN jjAIIGE OF TANKS M� I V1. CONTACT ltumi'er tinciude 2,fla 2: 1 Phone ; I _ ' - 1 Adoress: -A s�" Home f 1 (Jame � T I Business� i Q } job T+tle �' - i1 )fu. FINANCIAL RE_SpONSIBILITY P t n Qmenis in accordant Lvi.h�27 it l fe nsibilrty re,u l ha 8 rnet�fl ^ancia s --—— — — Letter of Credit I Check all that applY� —GuaranteeFundI _ Trust i I Sel{ insurance Other Surety Bond ivietncd.Ajiowed-Specify I ,,qGo rner6al insurance _State Fund I -.Sisk pptentior:Group _ I — Ve r:i•t��o•;n�>ai,:ia.r?,1_Q1�.iLn."._t?o-E- „r,.r.�atic,n or other rerit 2o_r t inforrnation,certiticat IIdfO�. -- -- Provide Peitc Y rGL SITS — —---- I r, ,orplanninydeparrnerst. { , or;;iec2i health agent,conservation torrnsssso..,•� r• I I ra snould be available=r Yes No Tt11S 1#3i�iTT3l8tlo• opt-CbOn area ll 1 ;.Tark site io rated in wellhead e, r rotection area yes qNo l 2.Tank site Located in Surface Drinking water suPP{Y P Yes i raig•t within of a wetland 3.`:ank Site 10 - "'.Ye= ":o ithin 30�7 feet of a stream or treater body - 4.Tank site located w n^6a.GH TANX,�.� r_ts_octi�oN} TANKS AND RIpING (COMPLM!a r 'OF SjoFtAGE {�� nk No.�_ lank No._� I �E$CRIpliON rank No..� Tank NO.__ Tank No.� i + ank ideni;ticati r Number i•Tack siatusa Tct-,it`:r,s gam,iai I Currsntly in Us ; ---�" j oil-•CIA ci US-3 T2^ era Y -------------- j �crmangtlit�aLq'r, ;JS� 4 ItuSt uS! i S� UST s�nderarou'td storage tank(tSST) j ST � ,I if e. ; of In Slallation rr;c••1r:av Yr- _ , ji? i Page 2 2. Dat2 � uuJ �apaci Y k- —ns) r' Stit'iatEt�t 1,-i$ I I ()�� Tank Tank N Tank jdenQ'; Last slorel :mv r-er arma ; ------------- Man Me! VN "A' ver -ihe'Use L Fuzi C)i:* as cs 011 Ise- t;sive -'O arcs t st 01 e. Na Soe-:1,,f 4;azalaous SubstViCp- 44 - -------- th!,-,4e T CERCIL4,ra7T_'e AS r, rber �i S,ibstales P!,ease 5�)dify aram_ ------ r0aternai 0, orls) P.. Bares st6i6l pe sip Coln-, --------------- pam, j inn create UnknoWn please Oeclt'y Type Of a (rnark"CHY r ttle-wallt-- _-- = I i L yes N, ."lease s-ecily _s IC tar ? 7 Yes lin c-G --yes Yes tti yes pas -nk!h;:Vs Tank Tank Nn.— Ilk an.k Tank I Tank Noa T -,, I -,L� — lank No— ber fcont." Z T 4r or�y one) pip;ng �7.=, taft-,a Te F nd Ba -asphO,,gail�ailzed I 'de;z' " - ------------- afne gy protected SIP-el ------------ Pla L ----------- Ij Please Spec["" I -pin� -IFY 01 C�Onc�T�n p, n,Irnar� L----------- Type walied ailed I DojbieVi ----------- -yet Yes, ;yes '40 1 -No Yes 'No repaired yes yes Has 1) be-an i i I NO Yes itic e ?i -,,P;,r..9 grplv�. Daie ComPLIANCE X. 114!STAL&ATIO" It ar.4 ng c'-Tvie'd Dv A. M. man by the - -------- B. o- irnoerner-11TI9 agenCY -d by a re C'.Ir,,S, nginp,er 14 by d an a. D.I mst ,rn rnarf g ageTT�y '16 pie d oom. plet's — 4- es - -7 1-�� .52. �I anK.d allowe-d by ar-net t ank ran? F. Anoth 9.()o ase SD- ecily Tani( 1 2.T oak Dete-CbOf- lo ank Le (ma*oriklY t7ne) 110rirg jimor' I - . wall tank-Ir"ats!J, IL 7 A- Dr-:L"Clc-- ona belo%'O S v P-p-C!, f It ol GnMMUOUS ,2-7, 0M., ra F,C)t�.er rrelhod allc',IaC. pie 4 ?lease-zPedtY OKI) r T'p e Tank Identification. Number(cont.) Tank No. Tank No.,-_,�— Tank No. Tank No. Tank No. j 3. piping Leak Detection (mark only one) ' Piping Piping Piping ! Piping Piping j A. Pressurized — j I. I a. Interstitial space monitor I I i b. Product line leak detector i— i L (mark all that apply below) � , Automatic flow restrictor i I Automatic shut-off device' . a Continuous a!arm i .. i` Also requires annual test of device and ! `• l piping tightness test or rnonthly vapor monitorino of soil. B. Suction: Check valve at tank only 1 i } (Requires interstitial space monitor or I line tightness test every three years) -:Interstitial space monitor Line tightness test C. Suction: Check valve at dispenser only ', r— - j, (No monitor required) — — i D. Other method allowed by 527 CMR f 9.00. Please specify j 4. Date of last tightness fast(tank& piping) 5. Gravity feed piping — i Tank Tank ! Tank I Tank Tank 6. Spill containment and overfill protection i j i I j I A. Spill containment device installed ; i = I ki B. Overfill prevention device installed ' I , 7. Daily Inventory Control (mark only one) — i A. Manual gauging by stick and records j reconciliation. 0 — _ B. Mechanical tank ga uge e and records I —� reconciliation - - — j C. Automatic gauging system I i 8. Cathodic Protection (if applicable) Tank Piping I Tank Piping Tank j Piping Tank Piping Tank 1 Piping A. Sacrificial Anode Type I — B. Impressed Current Type _J l C. Date of Last Test i,. I• Date of Last Third Party Inspection: i i Xl. CERTIFICATION (Read and sign after completing all sections) NOTE:Both the cocw being sent to the wept.of sire Se^:ices and the copy forwarded to the local`ire department must be signed separately. A&otocop ed signature.vni not be accepted on either document. i I declare under penalty of perjury that I have personalty examined and am familiar with the information submitted in this and all attached documents.and that based on my inquiry of those individuals immediately responsible for obtaining the information,I believe that the submitted information is true.accurate.and complete. j Name and official tare of c:wner or_v.ner's auti,onzed'epreserla've(Print) Signature: :^a_e:! rP-290(revised 0508) �/� Page S l I I i i ' mJ v x, - PERMIT � DIG SAFE NUMBER i City or Town: Yarmouth Date: 02/12/2009 Start Date: I I I - Permit Number(if applicable) rovisions of M.G.L. Chapter 148, as provided in Section 10 .A this In accordance with the p perm!.is gran�d to: SAV-ON j For permission to: To Maintain an Existing/New Storage Tank Facility i i Strict and complete compliance with all federal, state and local laws. rules, regulations and codes. Restrictions: complete. Notify YFD before and after work is At: 381 Camp St[West Yarmouth, MA 02673 This permit will expire on 02/12/2010 Fee Paid S Title r'— %''-� ,; ' I Signature of official Grantinc Permit s This permit must beconspicuously posted upon the premises i i I • I, i I I i I r the Commonwealth of Massachusetts z Department of w Revenue Underground Storage Tank Program 100 Cambridge Street, 7th Floor mac, Boston, Massachusetts 02114 Tel. (617) 62 6-2 600 CERTIFICATE OF COMPLIANCE FOR PETROLEUM DISPENSING FACILITIES Date Issued: 3/13/2009 Date Expires: 3/1.3/2014. Certificate of Compliance Number: . 20610 SAV-ON GAS Facility Name (Corporation,Individual,or Other Entity) SAV-ON GAS INC Owner at Time of Certification 381 CAMP ST & WILLOW ST Street Address of UST Facility ..... ..HYAN N IS, MA. 02601 .. City,State,and Zip Code f Issued By: Gordon H. Bullard, Executive Director This Certificate of Compliance is granted in accordance with the provisions of M.G.L., Chapter 21J.The 21J Fund is approved by the EPA as a state assurance mechanism for demonstrating Financial Responsibility that meets the provisions of 527 CMR 9.07 (N). The maximum reimbursement for eligible costs incurred as a result of releases of petroleum products from UST systems is defined in 503 CMR 2.16 and is summarized as follows: $1.5 million for an Owner or Operator dispensing petroleum products to the public or dispensing more than an average of 10,000 gallons of petroleum products per month based on an annual throughput; or$500,000 for an Owner or Operator not dispensing petroleum products to the public and dispensing less than an average of 10,000 gallons per month based on the annual throughput. The UST Facility identified herein is presumed by the Department of Revenue to have met the full regulatory compliance requirements of 503 CMR 2.00, and as such, is presumed to be eligible to use the 21J Fund as a mechanism of Financial Responsibility. This presumption of compliance is rebuttable. Issuance of this Certificate of Compliance is conditional upon the above identified UST Facility maintaining a valid FP-290 and all other requirements set forth in 503 CMR 2.00, 503 CMR 4.00, 527 CMR 5.00, CMR 9.00, and CMR 15.00. This Certificate Must Be Posted or Available on the Facility Premises. Form 21J-COC1 Rev. 6/13/2007 z�. 9 y LICENSF Cf FEE r: 09-76 1S.QQ " THE COMMONWEALTH Of- . MA S�ACg�I TSB�S ' AV r TOWN OF YAR OUTH � :7 .I`his is t _ 'AV-ON I{:i (," Icyi�i� r• o certify that AS IN , BUSINESS NAME �.--' --• __ ._. ��; AI tea, . r 3$I CAMP S'I"IMET W T YARMOU II`f d{lttwTt - ......_....... _ NC7_ S I'I�EET >, c aca� > VILLAGI: rp 0. r T .'} is hereby granted a license for ! , HANDLING AND STORAGE OF TOXIC OR HAZAROOU MATERIALS 1 �� A in accordance with the Bowd cif Health. „wtnes)rl a � J This license is issued in good faith an the basis that the establishment is operating witluo the eonthrmity of the statute,and gulations relating thereto. This license be sus d�zd nnadih Y modified or rev)► Y a' 3\ .� the Board cafHeaith and is nontransferable. &ice�I b Restrictions. n . ; I:XI'1RA'I'IC?N I)A7`Ir BRUC E G. MURPHY AL'I'II DIRECTOR " �." �. bG�9t,•• �i+'^yrj� r ,'�jt�:rh +py� ' KL'•!J� �y�..a�". "c...9 l w�H' dr .a.. � .. ,yv. yid\• .ay�'krhn M ��iY'S�\ 3 The Commonwealth of Massachusetts Department of public Safety-Division of Fire Prevention 1010 COMMONWEALTH AVE.,BOSTON REGISTRATION UndVn : DB/A Is,000 gallons gasoline Town of Y�u�th 4,000 gallons gasoline PtycrTown) A ril 1. 2009 4,000 gallons diesel (Date) This is to certify that Savon Gas Inc. provisions of Chapter 148,Section 13,of the General Laws,filed with Savon Gas.Inc, has,in accordance,with the is the holder of the license me a certificate of registration setting forth that for the]awful use of the building(s)or other structure(s)situated orgra to sit Tra"ita afen.October 12 2004 June 9 1970 381 C Stree West Yarmouth MA as related to the KEEPING,STORAGE,MANUFACTURE and"""'b°') CTURE OR SALE OF FLAMMABLES OR EXPLOS SVE Note:A certificate of registration re and cialQth of each year. Form9FP-5 ttle) c 9 straGon must be filed on or befor (THIS REGISTRATION MUST B APAI 3 E CONSPICUOUSLY POSTED ON THE PREMISES.) •-� Town of Barnstable ocl E r Regulatory Services Thomas F. Geiler,Director Public Health Division BARNSTABLE, Thomas McKean,Director 9 MASS. OD 1634. 200 Main Street, Hyannis,MA 02601 ATFD MA't A Phone: 508-862-4644 Email: health@town.barnstable.ma.us Fax: 508-790-6304 �� O Office Hours: M-F 8:00-4:30 May 21,2009 JJ Imad Enterprises LLC RE: Underground.Storage Tank Removal 326 West Main Street Order,381 Camp Street,Hyannis,MA Hyannis,MA 02601 Map Parcel 345009 Tank#2,Tag#00884 Tank#3,Tag,#00885 Tank#6,Tag#01129 To Whom It May Concern: The Barnstable Public Health Division is in receipt of copies of tank removal Application and Permits issued by the Yarmouth.Fire Department for the tanks numbered 2 and 3. The Hyannis Fire Department issued the tank removal Application and Permit for tank numbered 6.This documentation demonstrates that the above referenced tanks were removed in 2003 and 1998 respectively. The Public Health Division appreciates your attention to this matter and has updated its data base to reflect this fuel tank status change. Should you have any further questions please contact Cynthia Martin of this office at 508-826-4645. as A.McKean,IRS, CHO Director of Public Health I � _ Barnstable 3ARNSTABM ■ " p$ MASS Town of Barnstable ,4 my, Regulatory Services Department 2007 Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO Date: April 1, 2009 TO: JJ IMAD Enterprises LLC 476 Route 6A /f c Yarmouthport, MA 02675 p RE: Underground Storage Tank at: 381 Camp Street Hyannis, MA Map Parcel: 345009 Tank NO: 2 Tag NO: 00884 Our records indicate that your underground fuel (or chemical) storage tank is over 20 years old, and has not been removed as required by section 326-3: subsection 2 of the Town of Barnstable Code regarding fuel and chemical storage systems. You are directed to remove this tank within sixty(60) days from the date of this notice. After your tank is removed,please furnish this office evidence in the form of a permit from your local Fire Department within ninety(90) days of the receipt of this notice. You may request a hearing provided a written petition requesting same is received by the Board of Health within ten(10) days after this order is served. Per Order of the Board of Health Thomas A. McKean, RS, CHO. Health Agent (3�' (� ' A, * ♦RARNSTABM Town of Barnstable Regulatory Services Department 2067 Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304- Thomas A.McKean,CHO Date: April 1, 2009 TO: JJ WAD Enterprises LLC 476 Route 6A �� O Yarmouthport, MA 02675 `L.! p RE: Underground Storage Tank at: 381 Camp Street Hyannis,MA Map Parcel: 345009 Tank NO: 3 Tag NO: 00885 Our records indicate that your underground fuel (or chemical) storage tank is over 20 years old, and has not been removed as required by section 326-3: subsection 2 of the Town of Barnstable Code regarding fuel and chemical storage systems. You are directed to remove this tank within sixty(60) days from the date of this notice.. After your tank is removed, please furnish this office evidence in the form of a permit from your local Fire Department within ninety(90) days of the receipt of this notice.. You may request a hearing provided a written petition requesting same is received by the Board of Health within ten (10) days after this order is served. Per Order of the Board of Health Thomas A. McKean, RS, CHO Health Agent Barnstable � L4RNf3FABLE. MAC. Town of Barnstable Regulatory Services Department 2007 g Y Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO Date: April 1, 2009 TO: JJ IMAD Enterprises LLC 476 Route 6A Yarmouthport, MA 02675 �� p RE: Underground Storage Tank at. p � g 381 Camp Street Hyannis, MA Map Parcel: 345009 Tank NO: 6 Tag NO: 01129 Our records indicate that your underground fuel(or chemical) storage tank is over 20 years old, and has not been removed as required by section 326-3: subsection 2 of the Town of Barnstable Code regarding fuel and chemical storage systems. You are directed to remove this tank within sixty(60) days from the date of this notice. After your tank is removed,please furnish this office evidence in the form of a permit from your local Fire Department within ninety(90) days of the receipt of this notice. You may request a hearing provided a written petition requesting same is received by the Board of Health within ten(10) days after this order is served. Per Order of the Board of Health Thomas A. McKean, RS, CHO ti Health Agent a 69 Sav-On Gas, Inc 381 Camp St. West Yarmouth, MA 02673 April 28, 2009 To whom it may concern; I have provided documents showing when the tanks were installed as well as permits and testing. If there is anything else that you may need please give me a call at the following phone number: 508-778-4124 Thank you for your time, Jay Imad Sav-On Gas, Inc. Mailing address is: 326 West Main St. Hyannis, MA 02601 ! . Office phone number: 508-778-4124 Fu CD Contact person: Lori to Fax number: 508-771-5733 �, FAX COVER SHEET Sav-On Gas, Inc Route 132 Sav-On Gas, Inc JayMart, Inc Yarmouthport Getty Office Address: 326 West Main St.-Hyannis, MA 02601 Phone: 508-778-4124 Fax: 508-771-5733 DATE: SENT TO: ('I,& FAX: OSa - / 7o (.3 FROM: PAGES: COMMENTS: 4,;& e ct DD b�-- d Yarmouth Fire De `—�IAY/0'S/20G9/TUE 10:51 AM t FAX No, 15087604861 P. 001 p 0 make appnoat)on to local Fire Depamnent. Fire Depertmerd retains original application t. liication and issues duplicate as Permit Rion ��1�GUP�(.ii'l�7/P-D 4 � APPLICATION and PERMIT I Fes. for storage tanK rernoval and transportation to approved tank disposal yard in aecordance'with the provisions of M.Q.L.Chapter 148,Section 38A, 527 CMR 9.00, application is hereby made by. Tank Owner Name(pleaaa prIM Hotiva Lnters.rrises L� X oPr�a Address 520 Allen ve. ,seem ldizxq 2. _ Providence ItI _02905 stele AV Company Name xessler inatallation a Salas Co,or)ndNidual Lnvirot--ac l� D0Addrea 495 Ahitincr AvaLIIedhdMjHA 02026 Address34 ProvidPric� tam NoxodQpfl, � signature plying for'pemit) Sioneute(If applying for permit) ff-IFC)`Cerned other ❑IFC12 Ca ioad ❑LSP Other Tank Locaton ro=er She11. 381 qaM 9t., Walt: Yarmouth, 14A alw f Tenn Capacity(9e110ns) 6,000 8ubstancs Last Stored rxasoliae Tank Dirnensionc(diamolerx length) a, X 19 16° emavk . 16 Firmtransporting waste B• Northeast S�ft Uc,# MA 71 Hezaraous waste manifeW TB E,PA# W008481413 6 Approved tank disposal yard James Grant CO. Tank yard# 008 Type ofinert gas--x Z TdnKyarLIaddreas 28lt Wolcobir St_--geaaville, biA City or Town Yarmouth FD1D# 351 Permll# Date of issue j ~/7 " �� Dais of explrailon _� 4 0-3 Dig safe approval number.90Q3490770/9� 12115�f�a _ Dig Sete Toll Free Tel.Number-800•32e-4844 Slgnalurs ITitle of offlogr granting permit Uf, aitar_rgmovat(e)�Lonaumpllve-Use".#uel•oil�ntcs-exempfe0}send-Fnrm-FP�eOR•signed-by-to�'plre�E�spCto-tJb"I R6pa Compliance Unit,Deparvnent of taro Services,P.O.Box i=,irate Road Stow.MA 01776. _,,,•,„„,,.,, ,,,, .. ._ _. ..____.__.. .._.._ 'Imemaiional Fire Code Institute °-'-MAY/U'b/2UU9/TUE 1U:51 AM Yarmouth Fire Dept FAX No, 15Ud'IbU4861 F. 001 00 Make applioation to local Fire DeparLment. Fire Department retalna orlainal application and Issues duplicate as Permit. APPLICATION and PERMIT Fee: no for storage tank removal and transportation to approved tank disposal yard in accordance with the provisions of M.G.L.Chapter 14B, Section 38A,527 CMR 9.00,application is hereby made by: Tank Owner Name(please print) llptiv& rise LC X Address 52D Allens Ave. , Bixii Ina 2 Providence __ RI O?905 erg piy emh ao company Name Ressler Installation s Sales Co.of Individual Euvirottac gddmlm 495 Whitiner Avg, Dedh Xk 020,76 Addrm 1400 PX-ovid_ nce my- -llorwo-ocl,MA P" 519nalum lying for perdl) 6ignsiu'e(If applying fotpermit) Q'(FCl•Carifled or ❑IM'CerHad ❑LSP# CrtMer Tank Lacalion l e e= Zhell, 3sl caES st. West: Taxxitwxbh, 'Tank Capaedy(9albns) 10,000 _ Substance Last Stored 9aacolirie Tank Dimenslons(diameter%lenoth) 81 x 30'6" Romarks: 7FIrMIranaPartinigWeste E.Q. Not:theast SlateU"i, BdA 71 astemanireu8W T F-P.A.9 iMAU064BI413-k ApprovW tank disposal yard James Grant Co. Tank yard# 008 Type of InertBes WA _Tank yard addreee 28R Holcobt St., Readyille, MA I City or Town Yarmouth FDiD# 01351 Perri tt# y`Q a j Dale of iaeue Date d explragon Dig safe approval number, zD ea49Q209 12/15%03 _ Dig Safe Toll Free Tel.Number-80 49� - 4 Gignature lTltle of Officer granting permit _PQ C r �� e1—��✓ g1r� idGail(i7�'L�rlive el on tan rs exampled)send Forth FP-290R signed by Local Fire Dept.to UST Regulatory .-Compliance Urdt-Depanment-of SMSerolces.P.O.-BOX-tD 6:'6tam'Road-S M.-MA 01778: -•---.... ry ✓� - VI •4AY/M/2UUS/TUi 1U:51 AM Yarmouth Fire Dept FAX No. 15UDbU48b1 F. UU3 Make spplfaatlon to•tocal Fire Depa"Ment Fire Department ratsina original applica tion and issues duplicate as•Perrntt. APPLICATION and PERMIT I"aa: s �o nn for storage tank removal and transportation to approved tank disposal yard in accordance with the provisions of M•f3.L Chapter 148,Section 38A,527 CMR 9.00, application is hereby made by: • Tank Ownar Name(please print) Mvtiya Fat9jRX se !4! — X SOW&& Address ZO ood a&provi�CLGe 0290g • • 1 - - Company Name Respler Installation 8 8a1e5 Co.or Individual _ EnY1101MAc �r vrb,r Address Whi in ?ivz nedham 02026 AddreSS J400']?rocidenoe HOLY- - 1Jnrtannd� Arnt signatur Wng for Permit) %nature Of apphrino for permit) j tFC1°Carded Other ❑IF-Cl,Certified ❑LSP# Other Tank Location Former 3be11 381 Camp St., Wesr rnrmnnih SrwtAOm+� oro T9rrkOapecTiy(gallons) _t o QQO Substance Last Stoned caeoliur Tank Dimenalone(diemeterXlenglh) 81 x 30`60 Remarks. Fan transporting wasle� $ - Northeast _ State Llc.# MA 71 Hazardous waste manTfesw ^TRD EP.A.# MAD084a1413 6 _ Approved lank dlsposal Yard 'Tam-8 Grant Co. Tank yard# 008 Type of inert gas_2j/n Tank yard address 28R 'Wolcott 5t. , &eadville, MA City or Town Yarmc th FDID# 0135 pormho cf+� Oars of 1seUe Dwe of exptration Dig safe approval number, Dig Sale-roll Free Tel.Number-800-322.4844 Slgnature/71de of Officer granting permit . L After rembyall("Consumptive user iijel oU tanks exempted)send Form FP-290R sf road b Loral Fire De t to USTRpAulatory Compliance Unit,Department at Fire Services,P. .Box 1025,State Road,Stow,MA 01776. - 'Int®mational Fire Code Inadtute `__14AY15/2N9/TUF 10:55 AM Yarmouth Fire Dept FAX No, 15087604861 P. 001 V TANK DATA GaUene D (e�� 381. CAMP Sr (T(o.wad SEr�c) previous Contents GA Diameter 8 I.eagth (tatyOrT-►n) Date Received 121 _ Fire Department Per dt Serial#(if available) Wank I.D.#(Form FP 290) Owner/Operator to matg revised copy of Notitication Form OM90,or FP290R)to.UST Compliance, Office of the State Fire Marshal,P.O.Box 1025 State Road,Stow, MA 01775. TANK DATA TANK REMOVER FROM Gallons 10� _ ! /I S'i"� - - Qlo,wad 8traae) predous Contents G Diamttcr .. g Leagth _. .. . .._ Iowa) �.._ Fire Department Permit# — Serial*{if available) Tvnk I.D.#(Form PT-290) Qw�terlDPer_atar_to�ailrxsised ciop�f NntificatloAF�][m!�'P.�2Qs..�Ee22QB�tiL:3ISZC0lnplisnc�s -Office of the State Mae Marshal,-P.O.Boa 1025 State Road,Stow, -MA 01775. TANK DATA TANK REMOVEI?FROM Gallons 10i ()()O 1 ew S— �,^C (No.and strew) PreviousConteutr l.J't.) o Diameter Ungt4l_%__JV CD (0y or Town) _.. ..pate Received ....._.._ Pire•DeparhnentPermit4 0,2 o2, Ser1214(if available)- Tank I.D.#(Form FP-290) Owner/Operator to mail revised copy of NotiBeatlon Form(FP290,or FP290R)to:YJST Compliance, OfUce of the State Fire MarshaL P.O.Box 1025 State Road,Stow, MA 01775. A FAX COVER SHEET Sav-On Gas, Inc Route 132 Sav-On Gas, Inc JayMart, Inc Yarmouthport Getty Office Address: 326 West Main St.-Hyannis, MA 02601 Phone: 508-778-4124 Fax: 508-771-5733 DATE: SENT TO: Y FAX: _ a -&3 y FROM: PAGES: COMMENTS: 09/19/2004 18!36 5087604842 PAGE 01 TOWN OF YARMOUTH' o�ors rowrr c� . 396??31 FAY.. 1011139��s. ..._ . Jane B. Hentinp, CHC FAX ZRN5M1"�TAL FAX: (, 1 FROM: J 4 ry � (.0N TXL: ON)39&2231 EXT. DATE- - -� 0 —O 9UBJZ(,'T: TOTAL PALM INCLUDING COVER PAGE: COMM � lti q �"ti (5 • ,4-d ro rd� �v �°" a Ile �rc7 1° • . . • �• w a . , 1-4 uj be IWO r �• : • � . • � � � � fit'• , � • %# •' haw 45 40 • J • • • : C. �C ; OQ • t)• �•� • - r .Ni • •N z ti ce 49 • : •� • LID w maw JIMU. �md s • ,. . ce W Z Q% 0is IQ 5 oo a J I) a do 46d u to I a o ' o ;R O ti C N w a 09/19/2004 18:36 5087604842 PAGE 02 09/19/2004 17:15 5087604842 PAGE 02 6 � APPLICATION FOR TRANSFER OF GASOLINE STORAGE AND/OR FUEL LICENSE TOWN OF YARMOUTH FEE $1.0.00 . . . . TO THE LICENSING BOARD: /1'Zo�- i rz Fej e Q op/2f S ... ......... ................. ............................ The anderslgned liceosee..........�:�rJ..l... .. ......./.1.:. ..... .. respectfully request for rbe transfer of the Puet Storage and/or Gasoline Storage license now exercised by the said HOM008 an the preinlses located aft......... .f....��!lz .......................... . 1 ....................to._.. Y•• .L? 1._ __ i1�.yr................_..---.............._------------- whose address ls..... .1.....�1nW------.7., f�_7..�..'(, .\ ..�d�ll�'f.'1112c1.�H..11�.t��.., �.r. .............. . Occupancy of use of such buildings---J7X6....Crazzao)., ..�•. ._ J1.T.11.. �1."f�/. . ............•....•. Total capacity of ranks in gallons: Aboveground.............................. Undetgtouad. ..... Kind of Auld to be stored in tanks.....QA.5Q.1.*W 4L ........... /�.Sic. ..............I-,..... .�► .t.. Restrictions- If anyi....................................................................................................................... The above named proposed transferee hereby )Dins In this petition for transfer of said license, and respectfully petitions the Board to gran=-such M88fer. ' 'Si Slgnators of Licensee. .' ... ....................... .................. _.............----..... ........ corpora W. by its authorized representattve)� �,�N c a cz.:-� Lleonm granted ................... 4 D 9 4 els S a tit w� rc�i c -t�A (c , Signatureof Pro Tsansfetno. �!.... P..,?.... ........�_.._� ...................................., . or of , by ire 8uthostzed Y®presentative) Approved.................................. .... l ......... ._... _. ....------- ._ .. .._. _... ._.5tgn.a..ture_ . of licens- .ing- aurhortcy)._ . ............... I O 1 a Consultants Engineers Contractors (ORPORATE ENVIRONMENTAL ADVISORS,INC. January 29,2008 Thomas A.McKean Town of Barnstable—Health Division 200 Main Street Hyannis,MA 02601 RE: Status Report to Maintain Phase V Remedy Operation Status 381 Camp Street,Hyannis,MA DEP RTN 4-1179 CEA No.6105-06 Tier IC Permit No.202387 t Dear Mr.McKean: This letter is to inform the Town of Barnstable—Health Division, in accordance with 310 CMR 40.1403(3)(e), that Corporate Environmental Advisors,Inc._(CEA),on behalf of Motiva Enterprises LLC,has submitted a Status Report to Maintain Phase V Remedy Operation Status (ROS Status report)and Remedial Monitoring Report(RMR)to the Massachusetts Department of Environmental Protection(MADEP)for the above-referenced property. A copy of the submittal may be obtained and/or viewed at the MADEP Southeast Regional Office(SERO) located at 20 Riverside Drive,Lakeville,Massachusetts. The selected remedial alternative of Air Sparge (AS)/Soil Vapor Extraction(SVE) system coupled with monitored natural attenuati6fi,(MNA)operated=during-.this,reportingperiod",.The%ROS Status report and RMR conclude: Theresults t2 of m • omtoring the AS/SUE system.and;groundw,ater-at the site since start-up of the AS/SVE system indicate tkiat the system is effective at..reducirig,the,,concentrations:oflcontaminants of concern (COCs)and the ma ss,9f',,petroleum hydrocarbons.in subsurface;environrnentalinedia • No modifications to the off=gas'treatment system are reeessary to operate the AS/SV&system.T- • During this reporting period, June 1, 2007 to December 31, 2007, the AS/SVE system and the active remedial monitoring program operated in conformance with the MCP. If you have any questions or comments.regarding this submittal please do not hesitate to contact the undersigned-at (401)334-3313. Sincerely, Corporate Environmental Advisors,Inc. I r0 Matthew D.Young Geologist II rr, Cc: Mr.John Khmm,Town of Barnstable Town Manager(Town Hall 2nd floor,367 Main St.,Hy nnis,MA) Mr:;Bruce,Murphy;Town of Yarmouth Health-Division(1.146,Route 28, South,Yarmouth,MA) Mr`Robert C Lawton,rJr.,.Town of Yarmouth Town Administrator-(1146 Route 28 South Yarmouth,MA); MADEP,Southest Regional Offce;(20 RiversTde,Dn' e,:Lakeville Mr.David Weeks,Motiva Enterprises LLC `�• , Mr"Jay-mad,(38'1 Ca'ifi Street;W est=YarinouEli;`'1VIA'02673)" `:`' ? " s" i t L Ji."I:v+} ADDRESS 1725 Mendon Road,Suite 201 Cumberland,RI 02864 TEL 401.334.3313 FAX 401.334.3312 WEB www.cea-inc.com Massachusetts Connecticut Rhode Island New Hampshire Town of Barnstable oF'THE r Regulatory Services Thomas F. Geiler,Director Public Health Division * sexivsrns Thomas McKean,Director 9cb 639. �0� 200 Main Street, Hyannis,MA 02601 prFD N►p'i A Phone: 508-862-4644 Email: health(a)town.bamstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 March 13,2007 Mr. Jay Imad Sav-On Gas Station 381 Camp Street -Hyannis,MA 02601 Dear Mr. Imad: Thank you for your time and cooperation during the hazardous materials site visit at Sav-On Gas located at 381 Camp Street,Yarmouth on March 6, 2007. I have contacted the Yarmouth Health Department in regards to the Hazardous Materials site visits. Mr. Carl Lawson,Hazardous Waste Inspector for the Town of Yarmouth, stated that it is within their jurisdiction to complete the hazardous materials site visits. I appreciate your time during the site visit. I will be in touch with you regarding the other facilities you own within the Town of Barnstable for the hazardous materials site visits. If you should have any questions,please feel free to contact me at any time. Sincerely, __.� � � . Alisha L.Parker Hazardous Materials Specialist Cc Carl Lawson, Hazardous Waste Inspector for the Town of Yarmouth PROUDLY CELEBRATING ❑ g20-- ® 1985-OEOu i Service loss200oo5 fjT ° CORPORATE"ENVIRONMENTAL�=ADVISORS£ ING �sri January- 30,2007 Ti Ti.vA }.ff . ��.S SYl':�� .s= z. Thomas A.McKean`` : 1 s ,... sh Zs lk,i, Y 3 n� cats.A ; E'i,7UE Town ofBamsiable-Health DiVisiOnYx 206 Main Street ,, r Hyannis,MA 02601 n RE: Phase V Remedy.OP eration_ Status { ' s 1=381 Camp_Street,Hyanm's,MAj DEP RTN 4-1179 G .y= CEA No..6105-06 >f Tier IC Permit No.202387. • rxs Dear Mr.McKean: - -- This letter is to inform the Town of Barnstable — Health Division, in accordance with 310 CMR 40.1403(3)(e),that Corporate Environmental Advisors,Inc. (CEA), on behalf of Motiva Enterprises LLC, has submitted a Phase V Remedy Operation Status (ROS) and Remedial Monitoring Report(RMR)to the Massachusetts Department of Environmental Protection (MADEP) for the above-referenced property. A T.Wcopy�of the'submittal may Ve obtained and/or viewed at the MADEP Southeast Regional Office (SERO) located at 20 Riverside Drive,Lakeville,Massachusetts. The selected remedial alternative of operating an Air Sparge (AS)/Soil Vapor Extraction (SVE) system coupled with monitored natural attenuation (MNA) operated during this reporting period. AS/SVE. monitoring and groundwater, sampling indicates the AS/SVE system•has been effective in removing petroleum hydrocarbons from the subsurface. If you have any questions or comments regarding this submittal please do not hesitate to contact the undersigned at(401)334-3313. Sincerely, Corporate Environmental Advisors,Inc. Matthew D. Young. .. - ,-- Geologist II ��- • '�� -n:.�_,.-�----- -- , Cc: Mr.John Klimm,Town of Barnstable Town Manager(Town Hall 2°d floor,367 Main St.,Hyannis,MA) Mr.Bruce Murphy,Town of Yarmouth Health Division(1146 Route 28, South Yarmouth,MA) Mr.Robert C.Lawton,Jr.,Town of Yarmouth Town Administrator(1146 Route 28,South Yarmouth,MA) MADEP Southest Regional Office(20 Riverside Drive,Lakeville,MA) Mr.David Weeks,Motiva Enterprises LLC Mr.Jay Imad(381 Camp Street;West Yarmouth,MA 02673) www.cea-inc.com 1725 MENDON ROAD,SUITE 201 •(UMBERLAND, RI 02864•PHONE: 401-334-3313•FAX: 401-334-3312 Solutions Since 1985 PROUDLY CELEBRATING Over �20 November 30, 2006 Of O—randing Service Estahlished 1985 CORPORATE ENVIRONMENTAL ADVISORS, INC. Thomas A. McKean Town of Barnstable—Health Division 200 Main Street Hyannis,MA 02601 RE: Phase.IV Completion,,As-built& Final Inspection Report 381 Camp Street,Hyannis,MA �DEP RTN 4-1179 CEA No. 6105-06 Tier IC Permit No.202387 Dear Mr. McKean: This letter is to inform the Town of Barnstable— Health Division, in accordance with 310 CMR 40.1403(3)(e), that Corporate Environmental Advisors, Inc. (CEA), on behalf of Motiva Enterprises LLC, has submitted a Phase IV Completion, As-built & Final Inspection Report (FIR) Report to the Massachusetts Department of Environmental Protection (MADEP) for the above-referenced property. A copy of the submittal may be obtained and/or viewed at the MADEP Southeast Regional Office (SERO) located at 20 Riverside Drive, Lakeville, Massachusetts. The selected remedial alternative of an Air Sparge (AS)/Soil Vapor Extraction (SVE) has been installed and was started up on September 27, 2006. SVE operation and maintenance indicates the system has been effective in removing petroleum hydrocarbons from the subsurface. If you have any questions or comments regarding this submittal please do not hesitate to contact the undersigned at(401) 334-3313. { tJ Sincerely, ' Corporate Environmental Advisors,Inc. �Wr l C-j nr /Visce Cpph A. Landyn, SP President C) s— co Cc: Mr.John Klimm,Town of Barnstable Town Manager(Town Hall 2Id floor,367 Main St.,Hyannis,MA) Mr.Bruce Murphy,Town of Yarmouth Health Division(1146 Route 28,South Yarmouth,MA) Mr.Robert C.Lawton,Jr.,Town of Yarmouth Town Administrator(1146 Route 28,South Yarmouth,MA) MADEP Southest Regional Office(20 Riverside Drive,Lakeville,MA) Mr.David Weeks,Motiva Enterprises LLC Hatem Enterprises LLC(914 East Falmouth Highway;East Falmouth,MA) www.cea-inc.com CORPORATE HEADQUARTERS: HARTWELL BUSINESS PARK• 127 HARTWELL STREET•WEST BOYLSTON, MA 01583• PHONE: 508-835-8822•FAX: 508-835-8812 Solutions Since 1985 OFFICES IN MASSACHUSETTS, CONNECTICUT, RHODE ISLAND & NEW HAMPSHIRE YOU WISH TO OPEN A BUSINESS? For Your information: Business Certificates cost $30.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L. - it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1st FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) and 200 Main Street Offices at the Licensing counter. DATE: /O O fib' Y Fill in please: Val.� � �' APPLICANT'S YOUR NAME: 160,�rth�- �/f11l LLC. WIN', BUSINESS YOUR HOME ADDRESS: yakmoa Port (5o5 175-5`77D 2 5 Tr=LEPHONE # Home Telephone Number: aQ8 -04-7 NAME OF NEW BUSINESS,,,` �.(' U7�d TYPE OF BUSINESS SS Q 2 S 1S THIS A HOME OCCUPATION? YES NO_L Have you been given approvalli�fro he bukld�n dives o 7 YES NO ��i0 u ADDRESS Of BUSINESS' 8I lS MAP/PARCEL NUMBE "TS D When starting a new business there are several thin s you iAust do in order to be in compliance with the rulesiknd regulations of t own of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO n t. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has been informed of any permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 2. BOARD OF HEALT This individual I ee informed f th r it requirements that pertain to this type of business. th .zed Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual N P een in rmed of tce in requirements that pertain to this type of business. t Authorized Signature COMMENTS: TOWN OF BARNSTABLE Date: V / la / G(� TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY `NAME OF BUSINESS: �X!-�T��P�� k ��/4 BUSINESS LOCATION: ,yam INVENTORY MAILING ADDRESS Z�--TOTAL AMOUNT: TELEPHONE NUMBER: ��a' CONTACT PERSON: / EMERGENCY CONTACT TELEPHONE NUMBER:&-,:k) IN �Z W) La) MSDS ON SITE? TYPE OF BUSINESS: //�� tfA.rJ� Acrro` S INFORMATION/RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous,waste: 4/,L Name of Hauler: Destination- Waste Product: License a No 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 Oty5erved/Maximum Antifreeze (for gasoline or coolant systems) _ Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants VIA Engine and radiator flushes ff Road Salts (Halite) Hydraulic fluid (including brake fluid) /r Refrigerants Motor Oils y 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) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Caulk/Grout « Swimming pool chlorine Battery acid (electrolyte)/Batteries ff Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers I( EAsphalt & roofing tar �� PCB-s Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, / Lacquer thinners (inc. carbon tetrachloride) NEW USED I/ Any other products with "poison" labels /l Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor&furniture strippers k Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): / Laundry soil & stain removers )� (including bleach) � �Q fiL4 J, Goy Spot removers & cleaning fluids 1 (dry cleaners) l� Other cleaning solvents TIH-- Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS PROUDLY CELEBRATING V J _ V V Of Outstanding Service 1985-2005 CORPORATE ENVIRONMENTAL ADVISORS, INC. June 1,2006 Thomas A.McKean Town of Barnstable—Health Division 200 Main Street Hyannis,MA 02601 Re: Notice of Application for a Tier IC Permit Extension Former Shell-branded Service Station 381 Camp Street `Hyannis,Massachusetts MADEP Release Tracking Number: 4-1179 Dear Mr.McKean: In accordance with the Massachusetts Contingency Plan (MCP) 310 CMR 40.0703(8)(a)(1), this letter serves as notification that a Tier IC permit extension application will be submitted to the Massachusetts Department of Environmental Protection (MADEP) Southeast Regional Office on June 6, 2006 for the above referenced location. Attached is a copy of the legal notice that will appear in the Cape Cod Times on Monday June 5, 2006 regarding the Tier IC permit application and public involvement opportunities. If you have any questions or would like additional information about the site please call the undersigned at(401)334-3313. _ �tYr•�){. €� t "?'i �art ..,,.- ra �;. ..3�. 1- ;t.., � r° .,. Sincerely, Corporate vironmental Advisors,Inc.: - ell C� Matthew D.Young Christopher E. Gill Geologist I Project Manager,. Cc: Mr.John Klimm,Town of Barnstable Town Manager(Town Hall 2nd floor,367 Main St.,Hyannis,MA) Mr.Bruce Murphy,Town of Yarmouth Health Division(1146 Route 28, South Yarmouth,MA) Mr.Robert C. Lawton,Jr.,Town of Yarmouth Town Administrator(1146 Route 28, South Yarmouth,MA) MADEP Southest Regional Office(20 Riverside Drive,Lakeville,MA) Mr.David Weeks,Motiva Enterprises LLC(PMB 301, 1830 South Road—Unit 24,ryryWappingers Falls,NY) ti ^°t :r=, s<' td+ +if+ T .f uk t ;iJ),.^ sv • •i�i 1.1F- l.s.,:lri.G,l_-�;.j w� .s.> � ..<t�3 ..,,� s.i:t:J1F•"`� ,-s'>»z:Tr . - t. ?'��s, �.is{ %:r yI iai_fif«.,':_.'a: yW''xer �ti.r:iS? �° :y? (:; .�.:�a�.,.°,�}`fc.�.�ag?:;•".' Llo^ t ;x - �S «ice #� ( �7a' 4y :r` - [; r 7' t S s uS "L :A �1: is }r v _ ��.,.a..� i�:{,. ��, GIs:«";'t1`;11..�: www.cea-inc.com 1725 MENDON ROAD, SUITE 201 •CUMBERLAND, RI 02864•PHONE:401-334-3313•FAX: 401-334-3312 Solutions Since 1985 NOTICE OF TIER 1 PERMIT EXTENSION FORMER SHELL-BRANDED SERVICE STATION 381 CAMP STREET HYANNIS,MASSACHUSETTS MADEP RTN: 4-1179,PERMIT#202387 Pursuant to the Massachusetts Contingency Plan (MCP) 310 CMR 40.0703 (8)(a)(1), a Tier I Permit Extension, for Tier IC Permit # 202387, will be submitted to the Massachusetts Department of Environmental Protection (MADEP) Southeast Regional Office in Lakeville, Massachusetts by June 6, 2006. The Tier I Permit Extension is being submitted by Corporate Environmental Advisors, Inc. on behalf of Mo iva Enterprises LLC, PlVIB 301, 1830 South Road Unit 24, Wappingers Falls, New York 12590, phone (845) 462-5225. The Tier I MADEP Permit is required to proceed with Comprehensive Remedial Responses at all disposal sites classified Tier 1. Anyone interested in reviewing the permit application should notify the MADEP by writing to the Massachusetts Department of Environmental Protection, Bureau of Waste Site Cleanup, Permitting Section at 20 Riverside Drive, Lakeville, MA 02347 within twenty (20) days of this publication. Anyone who fails to notify MADEP in writing of his/her interest in commenting on the application within the 20 day period may be deemed to have waived his/her rights, if any, to appeal the MADEP's permit decision or to intervene in an adjudicatory proceeding with respect to this application pursuant to 310 CMR 40.0770(2). M.G.L. c. 21 E and the MCP provide additional opportunities for public notice of and involvement in decisions regarding response actions at disposal sites: 1)the Chief Municipal Officer and Board of Health of the community in which the site is located will be notified of major milestones and events,pursuant to 310 CMR 40.1403; and 2)upon receipt of a petition from ten(10)or more residents of the municipality in which the disposal site is located, or of a municipality potentially affected by a disposal site, a plan for involving the public in decisions regarding response actions at the site will be prepared and implemented in accordance with 310 CMR 40.1405. Public involvement opportunities are available under 310 CMR 40.1403(9)and 310 CMR 40.1404. To obtain additional information regarding this disposal site and the opportunity for public involvement, please contact Corporate Environmental Advisors, Inc. in writing at 1725 Mendon Road Suite 201, Cumberland,RI 02864 or by phone at(401) 334-3313. _ ._ t_ •., , o OA a�P 3�y Environmental Services March 31, 2006 Town of Barnstable—Public Health Division Mr. Thomas A. McKeen 200 Main Street Hyannis, Massachusetts 02601 Re: Availability of Phase IV Remedy Implementation Plan (RIP) and Notification of Implementation of Phase IV Former Shell-Branded Service Station 381 Camp Street Hyannis, Massachusetts 02601 RTN 4-1179 Dear Mr. McKeen: In accordance with Massachusetts Contingency Plan (MCP) as set forth at 310 CMR 40.0880, notification is hereby made that a Phase IV Remedy Implementation Plan has been completed for the above-referenced location. Work to be conducted as part of Phase IV activities will begin in the spring/summer of 2006 and includes the installation and operation of an air sparge/soil vapor extraction,(AS/SVE).,at,the site.,,Field activities are expected to be completed in Level D personal protective,equipment;.(the lowest level). A copy of the Phase IV RIP report can be obtained at the Massachusetts Department of.Environmental Protection Southeast Regional Office in Lakeville, Massachusetts. If you have any questions please call the undersigned at (781) 769-5005. Sincerely, EnviroTrac Ltd. ,, Sean P. Kennedy, P.G. �,! Project Manager QO cc: MassDEP SERO D. Weeks, Motiva Enterprises LLC Cn IT, •.J. Klir m;-Town of.Barnstable B,. Murphy Town,of Yarmouth R,Lawton Town,of Yarmouth } 1400 Providence Highway, Suite 2100, Norwood, MA 02062 (781) 769-5005 Fax: (781) 769-9345 Town of Barnstable-Health Department Page 1 t HAZARDOUS MATERIALS INVENTORY SITE VISITS DBA: Willow St.Shell&Tire,Inc. Fax: - Corp Name: Mailing Address __.._..... __ _ ......._...... __ _ ........._ Location: 381 Camp&Yarmouth Street,Hyannis Street: 381 Camp St. ..... ......... mappar: City: Hyannis Contact: State: Ma Telephone: 775-9899 Zip: 02601 Emergency: Person Interviewed: Business Contact Letter.Date: .................. Category: Miscellaneous Inventory Site Visit Date: ........... Type: Gas/Service Station Follow Up/Inspection Date: ............ public water ❑ indoor floor drains ❑ outdoor surface drains ❑ license required ❑ private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc ❑ currently licensed ❑ town sewage ❑ indoor catch basin/drywell 0 outdoor catch basin/drywell expir - W on-site sewage ❑ indoor on-site syste ❑ outdoor onsite system date: ..... ............. REMARKS: 319/99-Recycle Waste Oil,Waste Antifreez,Freon. compliance: 4/11/06 alp-Received paperwork from EnviroTrac to notify that Phase IV Remedy Implementation Plan has been completed. Phase IV will begin in spring/summer of 2006 and includes the installation and operation of an air sparge/soil vapor extraction at the site. i 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 Waste Transporter: 'Clean Harbors Fire District: Last HW Shipment Date: Waste Hauler Licensed: No _.._ ............... . ..._......... ......... a f •r `'NI rig. . v ♦ 1 tzt m� lz a GF 114E 1 ,1 Dat .. TOWN OF BARNSTABLE New Application LICENSE APPLICATION • BAMSTAB>Z. • 0 Renewal MAW." 200 Main Street Transfer Hyannis;MA 02601 508-862-4674 ❑ Other I i I ...NO BUSINESS .MAY OPERATE .WITHOUT A VALID LICENSE ON THE. PREMISES 4 Name of applicant/corporation: X-0 LP � i __ Home phone# Address of applicant/corporation:--- - �- ' x- Business phone#: ..`.... ••••. D/B/A - — ------ Business phone#: --- Business location Business mailing address: - Local business address: Local mailing"address: ---- -- -------- -- --- �_ -_--Annual --- LICENSETYPE Seasonal: uo........_.. . .......... _....: 1 ..:.: .... HOURS OF OPERATION: L jft FID#: email s Name of manager: 51 Localmailing address ............................ ................................................... ............................. ........: ...:,J:... Manager's Permanent mailing address: __ ---- __.._._.._.---.. . --- - -- _ _. Manager's home phone.k 51 __0��._�Business phone# ��:�'��ad Name of.property owner: _ G ASSESSOR'S MAP/PARCEL#: MAPS ......:.:... PARCEL '.... ............ list any flammable substance or,hazardous waste used:in.business.(specify): Applicants- must' contact ahe . Building Commissioner's' Office, (508). 862-4038,. the Board of. Health office, (508) 862-4644, and the appropriate Fire District office to schedule inspections.` Signature of applicant .................... .....................,r.,....................... .. .....:... r....................... ... ......................... owuse only:. REAL ESTATE TAXES PAID IN FULL PAYMENT AGREEMENT IN EFFECT ON IS THIS USE PERMITTED:WITHIN THIS ZONING DISTRICT. YES O NO. O ;r INSPECTORS APPROVAL Capacity set by Building . - -- --------- - -- f` o.Inspection Staff Building/Zoning.------ --_ ---...---_-.--.__ Date ._�._ � Board o ealth-________-- .-_----._-----.- -_ Date _ i .Date- . Wire _ - . .Date ,...---.........-_-.... __:__..__. Plumbing _.._....___..._. ..........__...._.....__-. __.._......:. _.__...______...__ ..._.__ -- __-_._ _...___. - Date --. ---------------.._:.. Fire District �,___.__ -__-- Date I -Gas ----....- --�--- ------ Comments:. _ ....._.............._......................_........_...._...._.__._......_..._...__.........._...._..._.._._....._....._.__..__.........._.._.._.._:.................._.......................................-..... ...............-- — _._.—__..._..__ White-Licensing Authority Canary-Health Division Gold-Building Commissioner Pink-Fire Department i nV 0 TO , Environmental Services August 10, 2004 Town of Barnstable—Board of Health Thomas A. McKeen 200 Main Street Hyannis, Massachusetts 02601 Re: Release Abatement Measure Plan Availability - 'former Shell Service Station 381 Camp Street Hyannis, Massachusetts RTN 4-1179 Dear Mr. McKeen: In accordance with 310 CMR 40.1403(3)(d), notification is hereby made that a Release Abatement Measure (RAM) Plan has been completed for the above-referenced location. Work to be , completed under this RAM will be conducted in August and September 2004 and includes the management of potentially-impacted soil and groundwater during the installation of two petroleum underground storage tanks, associated ancillary piping and product dispensers. A copy of the report can be obtained-at the Massachusetts Department of Environmental Protection Southeast. Regional Office in Lakeville. If you have any questions please call the undersigned at (781) 769 5005. Sincerely, t EnviroTrac Ltd. Sean P. Kennedy, P. Protect Manager cc: MADEP NERO D. Weeks, Shell Oil Products U.S. J. Klimm, Town of Barnstable ... '.., ix., L. - f - tt . ., ... .. .. .., 1400 Providence Highway, Suite 2100, Norwood, MA 02062 (781) 769-5005 Fax: (781) 769-9345 aJ GF THE Tp� * MUM639. 0. The Town of Barnstable 9Q MA&S' -U,pl�D��p�0 Office of Town Manager 367 Main Street, Hyannis MA 02601 www.town.bamstable.ma.us Office: 508-862-4610 John C.Klimm,Town Manager Fax: 508-790-6226 Email: John.klimm@town.barnstable.ma.us MEMORANDUM TO: Tom McKean,Health Dept. Director FR: John C. Klimm, Town Manager DT: June 15, 2004 RE: Envirotrac—Environmental Services—Notice of Application for a Tier IC Permit Extension For your information I am sending a faxed letter from Sean Kennedy on the above said matter. CD Zn cn Thank you, s> - w r� m JCK/smo Attachment 9 . 2004 1 :33PM ENVIROTRAC No -7543 P . 1/3 in '"A'a"h,11,ftm� C-M- I M V IIFIJ Environmental Services 1400 Providence Hwy, Suite 2100 7O - YF ( ?I F Norwood,MA 02062 ph.#781-169 5005 fx,#781-769-93&S Fax To:� From: t Fa: ,rj —r'g �> (o °a (n Pages: C� (including cover) Phone: Date: R CAF-r cr cL i K'A, r cc-. T i I G �1' �.�'tt� -PY�'�6LS i 8TJ ❑ Urgent ❑For Review E7 Please Comment Please Reply ❑ Please Recycle ,Jun • 9 . 2004 1 : 33PM ENVIROTRAC No ,7543 P , 2/3 Izinvi- Foltsc June 2, 2004 Town of Barnstable—Board of Health Mr. Tom McKeen 200 Main Street Hyannis, Massachusetts 02601 Town of Barnstable—Town Manager Mr. John Kiimm 367 Main Street Hyannis, Massachusetts 0260 Re: Notice of Application for a Tier IC Permit Extension Former Sheii'Service Station 381 Camp Street Hyannis, Massachusetts MADEP Release Tracking Numbers 4-1179 Dear Mr., McKeen and Mr Kiimm: In accordance with the Massachusetts Contingency Plan (MCP) 310 CMR 40 0703(8)(a)(1), this letter serves as notification that a Tier iC permit extension application will be submitted to the Massachusetts Department. of Environmental Protection (MADEP) on June 11, 2004 for the above-referenced location. Attached is a copy of the legal notice that will appear in the Cape Cod Times on Saturday June 5, 2004 regarding the Tier IC permit application and public involvement opportunities. If you have any questions or would like additional information about the site please call the undersigned at (781) 759-5005, Sincerely, EnviroTrac Ltd. Sean P, Kennedy, P,G, Project Manager cc: MADEP NERO D, Weeks, Motiva Enterprises LLC J., Kiimm, Town of Barnstable 1400 Ftov!dencs 'icg Tway, •,`Sui-(e 21010, Nomlood, MA 02062 (781) 769-5005 Fax 1781) 769-934 Jun • 9 . 2004 1 : 34PM ENVIROTRAC No ,1543 P . 3/3 NOTICE OF TIER 1 PERMIT EXTENSION FORMER SHELL SERVICE STATION 381 CAMP STREET HYANNIS, MASSACHUSETTS MADEP RTN: 4-1179 Pursuant to the Massachusetts Contingency Plan (MCP) 310 CMR 40 0703(8)(a)(1), a Tier I Permit Extension will be submitted to the Massachusetts Department of Environmental Protection (MADEP) Southeast Regional Office in Lakeville, Massachusetts by June 11, 2004. The Tier I MADEP permit is required to prcceed with Comprehensive Remedial Responses at all Tier I disposal sites. Anyone interested in reviewing the permit application should notify the MADEP by writing to the Massachusetts Department of Environmental Protection, Bureau of Waste Site Cleanup, Permitting Section at 20 Riverside Drive, Lakeville, MA 02347. If anyone notifies the MADEP of his or her interest in reviewing or submitting comment on the Tier I permit extension, MADEP will conduct a public comment review period of twenty (20) days that shall run concurrently with MADEP's Initial Technical Review of the application. Anyone who fails to notify the MADEP in writing of his/her interest in commenting on the application by the date above may be deemed to have waived his/her rights, if any, to appeal the MADEP's permit decision or to intervene in an adjudicatory proceeding with respect to this application pursuant to 310 CMR 40.0770(2). M.G.L. c. 21 E and the MCP provide additional opportunities for public notice of and involvement in decisions regarding response actions at disposal sites: 1) the Chief Municipal Officer and Board of Health of the community in which the site is located will be notified of major milestones and events, pursuant to 310 CMR 40.1403; and 2) upon receipt of a petition from ten (10) or more residents of the municipality in which the disposal site is located, or of a municipality potentially affected by a disposal site, a plan for involving the public in decisions regarding response actions at the site will be prepared and implemented in accordance with 310 CMR 40,1405. To obtain additional information regarding this disposal site and the opportunity for public involvement, please contact Mr. Donald Maggioli (Licensed Site Professional #3427) of EnviroTrac, Ltd. at 1400 Providence Highway, Suite 2100 in Norwood, MA 02062 at (781) 769-5005. I Environmental Services r June 2, 2004 Town of Barnstable — Board of Health Mr. Tom McKeen 200 Main Street Hyannis, Massachusetts 02601 Town of Barnstable —Town Manager .Mr. John Klimm 367 Main Street Hyannis, Massachusetts 02601 Re: Notice of Application for a Tier IC Permit Extension Former Shell Service Station 381 Camp Street Hyannis, Massachusetts MADEP Release Tracking Numbers 4-1179 Dear Mr. McKeen and Mr. Klimm: In accordance with the Massachusetts Contingency Plan (MCP) 310 CMR 40.0703(8)(a)(1), this letter serves as notification that a Tier IC permit extension application will be submitted to the Massachusetts Department. of Environmental Protection (MADEP) on June 11, 2004 for the above-referenced location. Attached is a copy of the legal notice that will appear in the Cape Cod Times on Saturday June 5, 2004 regarding the Tier IC permit application and public involvement opportunities. If you have any questions or would like additional information about the site please call the undersigned at (781) 769-5005. Sincerely, EnviroTrac Ltd. ' Sean P. Kennedy, P.G. ^, Project Manager p cc: MADEP NERO ` D. Weeks, Motiva Enterprises LLC J. Klimm, Town of Barnstable o O M 1400 Providence Highway, Suite 2100, Norwood, MA 02062 (781) 769-5005 Fax: (781) 769-9345 Jun . 2 . 2004 1 : 19PM ENVIROTRAC No .1455 P .' 2/2 Envirolmc Environmental Services June 2, 2004 Town of Barnstable—Board of Health Mr. Tom McKeen 200 Main Street Hyannis, Massachusetts 02601 Town of Barnstable—Town Manager Mr. John Klimm 367 Main Street Hyannis, Massachusetts 0260 Re: Notice of Application for a Tier IC Permit Extension Former Shell Service Station 381 Camp Street Hyannis, Massachusetts MADEP Release Tracking Numbers 4-1179 Dear Mr.. McKeen and Mr. Klimm: In accordance with the Massachusetts Contingency Plan (MCP) 310 CMR 40.0703(8)(a)(1), this letter serves as notification that a Tier IC permit extension application will be submitted to the Massachusetts Department of Environmental Protection (MADEP) on June 11, 2004 for the above-referenced location. Attached is a copy of the legal notice that will appear in the Cape Cod Times on Saturday June 5, 2004 regarding the Tier IC permit application and public involvement opportunities. If you have any questions or would like additional information about the site please call the undersigned at (781) 769-5005. Sincerely, EnviroTrac Ltd. Sean P. Kennedy, P.G. Project Manager cc_ MADEP NERO D. Weeks, Motiva Enterprises LLC J. Klimm, Town of Barnstable 1400 Providence Highway, Suite 2100, Norwood, MA 02062 (781) 769-5005 Fax: (781) 769-9345 .�4JRN. 27 2004 13: 52 GEOLOGIC SERVICES CORP 19785625080 P. 1 Geologic Services Corporation science,engineering&technology Post-its Fax Note 7671 Date ,a:3 pages� January 27,2004 To r u,� . k_krti,t F►om�; 4 Co.Mepl. Co. Hyannis Board of Health Phone# Phone# Thomas McKean 200 Main Street Fax# j�f -7c�� t 3 G�,f. Fax a Hyannis MA,02601 Re: Private Well Research Former Shell Service Stations#137770,#137772, and Texaco Station#100083 577 Wet Main St., 590 Iyannough Road,and 1140 Iyannough Road Hyannis,Massachusetts Dear Mr.McKean: Geologic Services Corporation GS ,on behalf of Motiva Enterprises LLC otiva ,has prepared this � 1P ( � erp {M ) p eP letter as a request for private well information in the vicinity(within 1/2 mile radius)of the above referenced properties. The enclosed document lists properties within%z mile of each service station that were identified as not being serviced by public water on a GIS Map created approximately 5 years ago. Mr.David Condrey of the Barnstable Water Company has gone through this list and identified which properties are not currently serviced by public water. GSC is requesting that the Hyannis Board of Health(BOH)review the files for the properties that are not currently serviced by public water in order to identify if there are private drinking water wells (active or inactive)on these properties. At this time, GSC is requesting only BOH confirmation on the presence/absence of private wells at the properties in question. If private wells are identified at any of the properties in question then GSC may request copies of pertinent information from those files. It is our understanding that a fee(based on an hourly rate)will be associated with this research. Please contact the undersigned at 1-800-522-8740 with an estimate for the scope of work identified above. Sincerely, Geologic Services Corporation Moira Walker ierenniah M.Smith Senior Environmental Scientist Environmental Scientist Ref.010501 Ltr Private Well Research 01-04 I Providing Environmental Management Solutions to Business and Industry Since 1982 A 100% Employee-Owned ESOP Company 15 Bonazzoll Avenue• Hudson, MA 01749 , Tel: 978.568.8740 1 800.522.8740 • Fax: 978.568.9316 www.gsc-global.com .- IJAN27 2004 13: 52 GEOLOGIC SERVICES CORP 19785625080 p. 2 Potential Private Wells In Area of Hyannist(Ba m stab]a MA Not on municipal BOH has Not on municipal water in Jan 2004 record of water in 1998 according to Water private Map Lot Address according to GIS Company well Confirmed with Property owner 5901yann uah Viciniii 311 102 600 Barnstable Rd 311 104 630 Barnstable Rd ............. .. ............ ......... not o, WA) M 0[fi4:0 n i w -- 0TIMW11- MUMbliv(6a. '60 --p t E 311 115 606 lyannough Rd 311, 9 685 Iyannough Rd x 3111 8 655 lvannough Rd x 311 4,321 tyannounh Rd x 311 47 34 Nightinoale Ln x 311 5 76-Falmouth-Rd x 311 47 34 Nightingale Ln x T. 4 A 7, 311 98 42 Nicjhbnqale Ln x It 311 52 28 Hallett Rd x 311 75 171 Falmouth Rd x R ;TJ 311 79 199 Falmouth Rd 310 299 86 Quaker Rd 7MM 7777 7 SAM 4 A 7,4 in n, 7M 77 310 436 ? x 328 70 425 lvannouah Rd x 328 78 144 Sprina St x 328 56 30 Brookshire Rd x 7- -q.T, 7=7 77�5R,.F.5;tt� 325 2 45 Owen St x M 312 3,127 Alroort Rd x 312 21 15 Plant Rd x 312 24 60 Cit Ave x .i7f 1 4 294 .77 38 Plant Rd x 294 14 120 Airrt Rd x hr 757M= 293 49 63 Warehouse Rd x 293 50 47 Warehouse Rd x 293 52 48 Warehouse Rd x 293 29 306 Falmouth Rd x 293 13 83 Corporation St x 293 31 276 Falmouth Rdj`Rt 28 x 292 13 267 lyannouqh Rd x 292 9 23 Hiramar Rd M x 4 M-dl 4 1 h, 2 1140 lyan ough Road Vicinity 273 23 1225 Iyannou gh Rd 7- 273 80 1120 lvannouah Rd x 295 11 75 Perserverence Dr x /a x 274 26-HI00 11941 nnou h Rd x 77� 17, 274 9-HI00 1156 Ivannough Rd x 294 26 973 Iyannough Rd(Condo E x 294 34 59 Pineneedle Lane x 294 37 35 Pineneedle Lane x ROW-:KiE ; ZW "M 294 22 145 Enterprise Rd x .-�;.J.AN�., 27 2004 13: 54 GEOLOGIC SERVICES CORP 19785625080 p. 3 577 West Main St Vidn1tv 249 94 744 West Main Sl x 249 100 95 Dunns Pond Rd x .2WOW 270 61 88 Lincoln Rd x 269 13 530 West Main St x no well(10/29103) 269 20 44 Tevyaw Rd x no well(10f29/03) 269 23 20 Tevyaw Rd x no well(10/29/03) 269 54 23 Woodland 269 202 29 Peacock Dr- x 269 9B 365 West Main St x E X, r IECC V�r oFt�rgy; SEP 1 1 The Town of Barnstable 2003 *• BARNSPABtiE, = Office of Town Manager TOWN OF gARNSTABLE MASS. HEALTH DEPT.9� se39•,.1�' 367 Main Street, Hyannis MA 02601 AtF p,�vA Office: 508-862-4610 John C.Klimm,Town Manager Fax: 508-790-6226 Joellen J.Daley,Assistant Town Manager MEMORANDUM TO: Mark Ells, Director of DPW Tom McKean, Director of Public Health Chief Finnegan arnstable Police Chief FR: Joellen .: D ssistant Town Manager DT: 9/8/03 RE: Release Abatement Measure Plan Availability Shell Service Station, 381 Camp Street,Hyannis RTN 4-1179 For your information, I am forwarding you a copy of a letter I received from Envirolrac Environmental Services regarding the Release Abatement Measure Plan for the Shell Service Station located on Camp Street,Hyannis. Thank you JJD:mpt Enclosure i A 'E e'ol rac rnvi Environmental Services August29, 2003 T0`j�. '; Town of Barnstable—Town Manager 2 ( j John Klimm •Q3 Sg 367 Main Street Hyannis, Massachusetts 02601 Re: Release Abatement Measure Plan Availability Shell Service Station 381 Camp Street Hyannis, Massachusetts RTN 4-1179 Dear Mr. Klimm: In accordance with.310 CMR 40.1403(3)(d), notification is hereby made that a Release Abatement Measure (RAM) Plan has been completed for the above-referenced location. Work to be completed under this RAM will be conducted in September 2003 and includes the removal of hydraulic lifts, leaching cesspool for the bay drains, current gasoline and fuel oil underground storage tanks, associated ancillary piping and product dispensers and the management of potentially-impacted soil and groundwater. A copy of the..report can be obtained at the Massachusetts Department of Environmental Protection Southeast Regional Office in Lakeville. If you have any questions please call the undersigned at(781)769-5005. Sincerely, EnviroTrac Ltd. Sean P. Kennedy, P. Project Manager cc: MADEP NERO D. Weeks, Shell Oil Products U.S. T. McKeen, Town of Barnstable 1400 Providence Highway, Suite 2100, Norwood, MA 02062 (781) 769-5005 Fax: (781) 769-9345 O i Environmental Services August 29, 2003 Town of Barnstable—Board of Health Tom McKeen 200 Main Street Hyannis, Massachusetts 02601 Re: Release Abatement Measure Plan Availability Shell Service'Station 381 Camp Street Hyannis, Massachusetts RTN 4-1179 Dear Mr. McKeen: In accordance with 310 CMR 40.1403(3)(d), notification is hereby made that a Release Abatement Measure (RAM) Plan has been completed for the above-referenced location. Work to be completed under this RAM will be conducted in September 2003 and includes the removal of hydraulic lifts, leaching cesspool for the bay drains, current gasoline and fuel oil underground storage tanks, associated ancillary piping and product dispensers and the management of potentially-impacted soil and groundwater. A copy of the report can be obtained at the Massachusetts Department.of Environmental Protection Southeast Regional Office in Lakeville. If you have any questions please call the undersigned at(781)769-5005. Sincerely, EnviroTrac Ltd. Sean P. Kennedy, P.G. Project Manager cc: MADEP NERO D.Weeks, Shell Oil Products U.S. J. Klimm, Town of Barnstable 1400 Providence Highway, Suite 2100, Norwood, MA 02062 (781) 769-5005 Fax: (781) 769-9345 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION 20. 0 RIVERSIDE'DRIVE., LAKEVILLE MA 02347,5,08-946-2700 . . C. ARGEO PAUL CELLUCCI '• BOB'DURAND Governor ; Secretary JANE SWIFT LAUREN A.LISS Lieutenant Governor Commissioner August 30, 1999 Mr.Floyd J.Silvia RE: Barnstable--BWSC/ASM 4-14017 LIS Corporation 44 Warren Avenue,Osterville 619 Main Street NOTICE OF AUDIT COMPLETION Centerville,Massachusetts 02632• RETURN TO COMPLIANCE NON-SE-99-3A-036 Dear Mr. Silvia: As you are aware, the Massachusetts Department of Environmental Protection, Bureau of Waste Site Cleanup (the "Department"), ocr June 24, 1999, issued a Notice of Audit Findings (NOAF)/Notice of Noncompliance (NON)that identified violations in response actions conducted at the above referenced site. The NON requested that you take certain. steps to correct.those, violations. On August 3, 1999, the Department received the document entitled Response to Notice of.Audit.Findings and Noncompliance, prepared by LIS Corporation and certified by Geoffrey R. May, the Licensed Site Professional (LSP) of Record. The document contains information:nd data indicating that the.steps requested by the Department have been taken. The Department now considers the audit, initiated for this site on May 10, 1999,. to be complete. The Department acknowledges that the site has achieved a level of No Significant Risk. .The Department also acknowledges that the violations cited in the NON have been corrected. Please be advised that the Department could review the information submitted if it should initiate another audit of this site in the future. LIMITATIONS These findings do not. (1) apply to response actions or other aspects of the site that were not reviewed during Audit, (2) preclude the Department from conducting future audits and/or enforcement actions to address past; current or future response actions conducted at the site, (3) prelude the Department from initiating enforcement actions or conducting inspections at the site to confirm compliance with the applicable ' requirements of.other laws.or regulations.enforced by the Department, (4) in any way constitute a release fzo many liability;.obligation, action,or penalty under M.G.L. c.21E,.310 CMR 40.0000, or any other:law, -regulation, or requirement, or (5) limit the.Department';s_authority:to-take-.or arrange, or to .require:any Responsible Party,or,Potentially Responsible Party to perform any response action authorized by M.G.L. c.21E which the Department deems necessary to�protect health,safety,public welfare orthe environment:' This information is available in alternate format by calling our ADA Coordinator at(617)574-"M 4 DEP on the World Wide Web: http:/MWW.magnetstate.ma.usidep Printed on Recycled Paper 1 of 2 i Department, (4) in any way constitute a release from any liability, obligation, action or penalty under M.G.L. c.21E, 310 CMR 40.00.00, or any other law,'regulation, or requirement, or (5) limit the Department's authority to take-or,arrange,'or to require"any•Responsible Party-or:_Potentially Res onsible P p ifo' any response' 'action authorized by: 1V1:G L': "c:21E which the p arty to e Department deems necessary to protect health; "s ety,'public'welfare or�the,erivirori n'en"t. The Department appreciates your full cooperation`in these matters. If you have any questions regarding this;letter, please contact Bob Murphy at (508) 946-2788. Please reference Release Tracking Number 4-14017 in any correspondence regarding the site. Very truly yours, Mary El Smith,Branch Chief Audit& Site Management Section CERTIFIED MAIL # RETURN RECEIPT REQUESTED cc: Town of Barnstable Board.of Selectmen Town Hall 367 Main Street Hyannis, Massachusetts 02601 Town of Barnstable Board of Health Post Office Box 534 Hyannis, Massachusetts 02601 McCulley,Frick and Gilman .500 West Cummings Park Woburn, Massachusetts 01801 ATTN: Geoffrey R. May,LSP DEP=Boston ATTN: Tom Potter h DEP-SERO ATTN: Regional Enforcement Office P 2 of 2 t� COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENT . W m , d DEPARTMENT OF ENVIRONMENTAL PR^0P Y 20 RIVERSIDE DRIVE, LAKEVILLE, MA 02347 508 9 ARGEO PAUL CELLUCCI BOB DURAND Governor Secretary JANE SWIFT LAUREN A. LISS Lieutenant Governor Commissioner August 27, 1999 Mr.P.Gordon Nelson,Jr. RE: BARNSTABLE--WSC/SMP 4-0716 Nelson Coal and Oil Company Nelson Coal and Oil 180 Iyanough Road 180 Iyanough Road Hyannis,Massachusetts 02601 PHASE H REPORT/REQUEST FOR ADDITIONAL RESPONSE ACTIONS,M.G.L.c.21E and 310 CMR 40.0000 Dear Mr.Nelson: The Department of Environmental Protection, Bureau of Waste Site Cleanup(the Department) is in receipt of a report titled"Unit 3 Group,Barnstable Aquifer Protection Project,Phase II Comprehensive Site Assessment Report" (the Phase II Report) dated March 24, 1997 and prepared by SEA Consultants, Incorporated (SEA).. The Report was accompanied by BWSC Form_108 titled "Comprehensive Response Action Transmittal Form&Phase I Completion Statement"prepared on your behalf by William J.Mallio. The Phase II Report indicated that the site has operated as a fuel oil terminal/bulk oil storage plant since 1924. Kerosene,number 2 fuel oil,diesel fuel and unleaded gasoline are stored at the site in a 130,000 gallon aboveground storage tank (AST), eight (8) 15,000 gallon ASTs and two (2) 275 gallon ASTs. Aviation and white marine gasoline were stored at the site between 1940;.and 1964. .In addition, a 3,000- gallon underground storage tank which contained gasoline was located on the southern portion of the site. The Phase II Report also indicates that groundwater and soil samples were collected at the site in the summer of 1996. The samples were analyzed for Total Petroleum Hydrocarbons(TPH),volatile and semi- volatile organic compounds. A review of the data revealed that TPH, 2-methylnaphthalene and ethylene dibromide are present in the groundwater beneath the site at concentrations up to 51 milligrams per liter (mg/1), 18 micrograms per liter(ug/1), and 0.3 ug/l, respectively. 2-methylnaphthalene was also identified in the soil in the area of monitoring well NCO-3 located downgradient of the fuel oil secondary containment area at a concentration of 1,400 ug/l. .The Report indicates that the concentration of these contaminants exceed the applicable Method 1 Groundwater and Soil Cleanup Standards. (Refer to Section 310 CMR 40.0975 for additional information). The Report also indicated that a sheen was observed on the groundwater in monitoring well NCO-3 in the summer of 1996. In addition, SEA observed a dry well in the area of the secondary containment area. -On May 21, 1997, a.Release Abatement Measure(RAM)Plan was submitted to the Department to address petroleum impacted soils encountered during the replacement of the tank farm piping. The RAM consisted of the removal of approximately thirty-five(35)cubic yards of petroleum contaminated soil in the This information is available in alternate format by calling our ADA Coordinator at(617)574-6872. DEP on the World Wide Web: http://www.magnet.state.ma.us/dep — iro Printed on Recycled Paper 2 area of the fuel pumps. The soil was transported and disposed of at Bardon Environmental Services located in Dennis,Massachusetts. On December 3, 1997,two (2) monitoring wells were installed at the site in the area of the fuel oil pumps. A groundwater sample was collected from each well and analyzed for volatile and extractable petroleum hydrocarbons (VPH/EPH). A review of the analytical data revealed that naphthalene, 2-methyl naphthalene, the C9-C10 aromatic hydrocarbon fraction and the CI I-C22 aromatic hydrocarbon fraction exceed the Method 1 GW-1 Groundwater Category Standards at the site. A soil-gas survey was also conducted at the site and revealed that total volatile organic compounds exist in the soil beneath the site at concentrations up to 23 parts per million. On January 6, 1999, groundwater samples were collected from the monitoring wells designated as NCO-3, NCO-97-5 and NCO-97-6 on Figure 2 titled "Monitoring Well Locations —Nelson Coal and Oil Site"contained in the RAM Completion Report dated April 1999 and prepared by Saunders Associates. The samples were submitted for VPH/EPH analysis. A review of the analytical data revealed that naphthalene, 2-methyl naphthalene, the C9-C10 aromatic hydrocarbon fraction and the C11-C22 aromatic hydrocarbon fraction exceeded the Method,I GW-1 Cleanup Standard. Based on this information, Craig Saunders, the Licensed Site Professional of record for the site concluded that a new monitoring well should be installed to replace monitoring well NCO-3 and another round of groundwater samples be collected for analysis to determine the appropriate Response Action Outcome for the site. Based on the information contained in the Phase 11 Report, the RAM Status Reports and the RAM Completion Report, the Department determined that additional,response actions are necessary at the site to delineate the full extent of contamination. The Department requests that a Scope of Work be prepared pursuant to 310 CMR 40.0834 and submitted by September 30, 1999 to describe the activities proposed to delineate the extent of contamination at the site. The Scope of Work should also address the potential impacts associated with the dry well and contain a schedule. In addition, a Risk Characterization should be prepared upon completion of the field activities and either a Phase III Report or a Response Action Outcome Statement submitted to the Department in accordance with 310 CMR 40.0000. If you have any questions regarding this letter,please contact Laura Stanley at the letterhead . future communications regarding address or(508)946 2880. All g g this release must reference the Release Tracking Number 4-0716. Sincerely, 4erard M.R�Mi hief Site Management and Permitting Section MILS/d 1 Cc: Barnstable Board of Health Post Office Box 534 Hyannis,Massachusetts 02601 ATTN- Tom McKearn,Hazardous Waste Coordinator Town of Barnstable 367 Main Street Hyannis,Massachusetts 02601 ATTN: James Tinsley,Town Manager 3 k Barnstable Water Company Post Office Box 326 Hyannis,Massachusetts 02601 ATTN.: George Wadsworth Saunders Associates P.O.Box 959 West Tisbury,Massachusetts,02575 ATTN: Craig Saunders,LSP SEA Consultants,Incorporated 485 Massachusetts Avenue Cambridge,Massachusetts 02139 ATTN: William Mallio,PhD DEP SERO ATTN: Data Entry/File COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS d DEPARTMENT OF ENVIRONMENTAL P itegmegmeN 20 RIVERSIDE DRIVE, LAKEVILLE, MA 02347 508 9 c 0 ARGEO PAUL CELLUCCI BOB DURAND Governor Secretary i JANE SWIFT LAUREN A. LISS Lieutenant Governor Commissioner i i August 25, 1999 Ms.Carol Campagna RE: BARNSTABLE—WSC/SMP 4-01179 Motiva Enterprises LLC Shell Service Station 3 Edgewater Drive,Suite 202 381 Camp Street Norwood,Massachusetts 02602 TIER 1 C PERMIT Permit Number 202387 M.G.L.c.21E and 310 CMR 40.0000 NOTICE OF PERMIT EFFECTIVE DATE I Dear Ms.Campagna: Enclosed please find a copy of the first page of the Permit for the above-referenced site indicating the effective and expiration dates of July 26, 1999 and July 26, 2004, respectively, as applied to Permit Number 202387(i.e.,the effective and expiration dates of the original.Tier IC Permit). The Department of Environmental Protection, Bureau of Waste Site Cleanup (the Department), is urging you to review and familiarize yourself with the Permit's terms and conditions and the Massachusetts Contingency Plan(MCP), 310 CMR 40.0000, in order to complete the required response actions within the timelines set forth therein. Please be advised that if a Response Action Outcome(RAO)can not bed achieved at this site prior to the expiration date of this permit, an application for a Permit Extension i must be submitted to the Department. Such application shall be filed with the Department ninety (90) days prior to the expiration. date of this permit. If you have any questions,please contact Laura Stanley at(508)946-2880. ( Since4M. artin, erra hief Site Management&Permit Section M/LAS/d1 Enclosure This information is available in alternate format by calling our ADA Coordinator at(617)574-6872. DEP on the World Wide Web: http://www.magnet.state.ma.us/d,ep Printed on Recycled Paper i i Mf ' 2 i i CERTIFIED MAIL NO. RETURN RECEIPT REQUESTED Cc: Barnstable Board of Health Post Office Box 534 . Hyannis,Massachusetts 02601 ATTN: Tom McKearn,Hazardous Waste Coordinator F Town of Barnstable 367 Main Street Hyannis,Massachusetts 02601 ATTN: James L.Tinsley,Town Manager Barnstable Water Company Post Officb Box 326 Hyannis,Massachusetts 02601 ATTN: George Wadsworth Envirotrac Environmental Services 125 Washington Street,Suite Number 4 Foxboro,Massachusetts 02035 ATTN: Thomas Williamson,Jr.,,LSP DEP-SERO-BWSC ATTN: Millie Garcia-Surette Mark Jablonski,Branch Chief,Site Management and Permits Section Data Entry I i i 1 Massachusetts Department of Environmental Protection Bureau of Waste Site Cleanup (BWSC) TIER I PERMIT This Permit is issued to: For DEP• Use Ort_(y X One Permittee Effect;;-` Date: 7, 26199 ❑ More than One Permittee* Expirat_z: *A list of all Permittees is attached. Date. 7; /2 0 o t One Permittee: Permittee Name: Carol Campagna, Project Engineer Title or 0o: Motiva Enterprises LLC Street: 3 Edgewater Drive, Suite 202 City/Town: Norwood State MA Zip C6,,de 026021 Telephone: (181) 551-5400 DEP Finding Concerning Tier Classification 4. ❑ Tier IA (BWSC01)_11 Tier 113 (BWSCO2) X Tier IC (BWSC03) Permit No'. 202387 I 'r This permit authorizes the performance of comprehensive remedial response actiors at: Disposal Site Number: BWSC/SMP 4-1179 Disposal Site Name: Shell Service Station Street: 381 Camp Street City/Town: Barnstable State MA Zip code .02601 Unless a request for an adjudicatory hearing is made pursuant to 310 CMR 40.0 -0, this pernii1 shall be effective 21 days after the date of issuance by the Department and the receipt of tht signed Per,ii,i Acceptance Statement, whichever is later. The Permittee has 30.days from the date of -zlance of Tier I Permit to sign and submit the completed Permit Acceptance Statement to the Department. i This permit shall expire 5 years from its effective date. j i i f COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS . DEPARTMENT:OF'ENVIRONMENTAL PROTECTION 20-RIVERSIDE DRIVE, LAKEVILLE,'MA'02347 508-946-2700 ARGEO PAUI;CELLUCCI? r 0 .7BOB DURAND Governor Secretary JANE SWIFT LAUREN A. LISS Lieutenant Governor Commissioner August 20, 1999 Carol Campagna RE: HYANNIS--BWSC/ASM 4-01179 'Motiva Enterprises LLC Shell Service Station 3 Edgewater Drive, Suite 2 381 Camp Street Norwood, Massachusetts 02062 EXTENSION OF INTERIM DEADLINE Dear Ms. Campagna: On February 16, 1999, the Massachusetts Department of Environmental Protection, Bureau of Waste SiteCleanup (the "Department"), issued a Notice of Audit Findings (NOAF) and a Notice of Noncompliance (NON) that identified a deficiency and violations in response actions at the above referenced site. The NON 'requested that---you'(111"this Notice z"yo u"'refers to Motiva -` Enterprises LLC) submit an"Audit Follow-up Plan to address the violation. ` On March 24, 1999, the Department received an AFP prepared and certified by Thomas Williamson, Jr., the Licensed Site Professional (LSP)-of-Record, which addresses the deficiency and violations identified in the NOAF and NON. On April 6, 1999, the Department issued to you an Audit Follow-up Plan/Interim Deadlines/Return To Compliance/Audit Completion letter that included Interim Deadlines. On July 22, 1999, the Department received a request for a 120-day extension of the Interim Deadline for submittal of the Phase II Comprehensive Site Assessment Report. Following a review of the request for extension, the Department requested the submittal of additional information outlining the necessary tasks and a schedule to complete the Phase II Comprehensive Site Assessment. On August 3, 1999, the Department received a task description and schedule in support of the .120-day extension. .The extension is, necessary to complete' additional off-site assessment to rdefine the extent of the release, which will likely include the installation of three or more soil,bor ngs. The Department hereby grants an extension of the deadline for submittal of th&Phase II Comprehensive Site Assessment Report to November 20, a 1999. _ I This information is available in alternate format by calling our ADA Coordinator at(617)574-6872. DEP on the World Wide Web: http://www.magnet.state.ma.us/dep Z"a Printed on Recycled Paper Page 2 If you have any questions regarding this letter; please contact Mark Bartow at 508-946- 2746., The De artment,aPpreciates:Your cooperation in this matter. _ _.. Very truly yours 4 J?sseph F. Kowal, Chief Audits & Site Management Section K/MNB/dl CERTIFIED MAIL #P 148 752 038 RETURN RECEIPT REQUESTED i . cc: Board of Health 367 Main Street Hyannis, Massachusetts 02601 Town Administrator 367 Main Street Hyannis, Massachusetts 02601 Thomas Williamson, Jr., LSP EnviroTrac Environmental Services 125 Washington Street(Rt. 1); Suite 4 Foxboro, MA 02035 DEP-Boston ATTN: Thomas Potter DEP- SERO ATTN: Data Entry Regional Enforcement Office (2 Copies) P:\mbartow\PROJECT$\Hyannis\extension.doc i COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS 1O F W DEPARTMENT OF ENVIRONMENTAL PROTECTION � , d SOUTHEAST REGIONAL OFFICE a She a ARGEO PAUL CELLUCCI BOB DURAND Governor Secretary � JANE SWIFT EDWARD P.KUNCE Lieutenant Governor Acting Commissioner [PY-I 6, 1999 Carol Campagna RE: BARNSTABLE--BWSC/ASM 4-01179 Motiva Enterprises LLC Shell Service Station 3 Edgewater Drive, Suite 2 381 Camp Street Norwood, Massachusetts 02062 AUDIT FOLLOW-UP PLAN APPROVAL/INTERIM DEADLINES/RETURN TO COMPLIANCE/AUDIT COMPLETION NOTICE OF AUDIT COMPLETION Dear Ms. Campagna; On February 16, 1999 the Massachusetts Department of Environmental Protection, Bureau of Waste Site Cleanup (the "Department"), issued a Notice of Audit Findings (NOAF) and a Notice of Noncompliance (NON) that identified violations and a deficiency in response actions at the above referenced site. The NON requested that you (in this Notice "you" refers to Motiva Enterprises LC) submit an Audit Follow-up Plan (AFP) to address those violations and deficiency. On March 24, 1999,the Department received an AFP prepared and certified by Thomas Williamson Jr.,the LSP-of-Record, that addresses the violations and deficiency identified in the NOAF and NON. The Department hereby approves the AFP with the following conditions: 1. The Phase II Comprehensive Site assessment must delineate the full extent of contamination in both the vertical and horizontal direction. 2. The subsurface investigation as outlined in the AFP Plan may not be sufficient to fully delineate the extent of contamination and additional soil borings/monitoring well(s)may be necessary. 20 Riverside Drive•Lakeville,Massachusetts 02347• FAX(508)947-6557-Telephone(508)946-2700 This information is available in alternate format by calling our ADA Coordinator at(617)574-6872. DEP on the World Wide Web: http:Rwww.magnetstate.ma.ustdep Printed on Recycled Paper i 2 3. The deadlines established in the AFP Plan constitute enforceable Interim Deadlines established pursuant to 310 CMR 40.0167. Failure to meet the deadlines in the AFP for the submittal of the revised Phase II Comprehensive Site Assessment and the Phase III — Identification, Evaluation and Selection of Comprehensive Remedial Action Alternatives will be a violation of 310 CMR 40.1160. With this approval of the AFP, the Department considers the Audit initiated on January 13, 1999, to be completed. An AFP Completion Statement form is enclosed with this Notice. The LSP-of-Record for the site must complete and submit this form to the Department when all response actions required by the AFP have been completed. Please be advised that the Department may initiate another audit of this site in the future. LIMITATIONS The Department relies upon the accuracy of the information reviewed during the Audit, including information submitted during the course of the audit, to make these findings. These findings do not: (1) apply to actions or other aspects of the site that were not reviewed in the Audit, (2) preclude future audits of past, current, or future actions at the site, (3) in any way constitute a release from any liability, obligation, action or penalty under M.G.L. c. 21E, 310 CMR 40.0000, or any other law, regulation, or requirement, or (4) limit the Department's authority to take or arrange, or to require any Responsible Party or Potentially Responsible Party to perform, any response action authorized by M.G.L. c. 21E which the Department deems necessary to protect health, safety,public welfare or the environment. If you have any questions regarding this letter, please contact Mark N. Bartow at (508) 946-2746. Please reference the Release Tracking Number 4-01179 in:any correspondence regarding the site. The Department appreciates your cooperation in this matter. Very truly yours, Joseph F. Kowal,Chief Audit& Site Management Section K/MNB/rr Enclosure:Audit Follow-up Plan Completion Statement form CERTIFIED MAIL NO.Z 598 885 126 RETURN RECEIPT REQUESTED cc: Town Administrator 367 Main Street Hyannis, Massachusetts 02601 f 3 r ` cc: Board of Health 367 Main Street Hyannis, Massachusetts 02601 EnviroTrac Environmental Services 125 Washington Street, Suite 4 Foxborough, Massachusetts 02035 ATTN: Thomas Williamson, Jr., LSP DEP-BOSTON-BWSC ATTN: Thomas Potter DEP-SERO ATTN: Regional Enforcement Office Data Entry COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS • Y c DEPARTMENT OF ENVIRONMENTAL PROTECTION SOUTHEAST,RE.GIO,NAL-•OFFICE, ,*,, , .•,, ARGEO PAUL CELLUCCI `� TRUDY COXE Governor _„_. . . rg-o,,. - x. _..-�.,,_ . ,_ �_..: ` '�. '. Secretary DAVID B. STRUHS Commissioner January 1.3, 1999 /'— �L.a�,7 Mr. Richard Reuter RE: Barnstable—BWSC/ASM 4-1179 Shell Oil Products Company Shell Service Station y S Q 3 Edgewater Drive, Suite 2 381 Camp Street Norwood,Massachusetts 02062 NOTICE OF AUDIT/REQUEST FOR SITE INSPECTION NOTICE OF AUDIT , This is an important notice. "Promptly respond to any requests contained herein. Dear Mr. Reuter: Massachusetts General Law, Chapter 21E, requires the Massachusetts Department of Environmental Protection, Bureau of Waste Site Cleanup (the "Department"), to audit response actions not approved by the Department at sites of releases of oil or hazardous material to ensure that these actions are being conducted according to M.G.L. c. 21E, the Massachusetts Contingency Plan (MCP), and other relevant laws and regulations. The MCP at 310 CMR 40.1100 establishes procedures for conducting such audits. The site referenced above has been selected by the Department for an audit. The audit will be conducted by Department staff in the Southeast Regional Office in Lakeville. The audit will initially focus on the Tier Classification documentation prepared for the site by Joseph A. Landyn (LSP#1217)) and other response actions as appropriate. This Notice describes the scope of the audit and the type of audit activities the Department initially intends to perform along with your responsibilities and relevant `deadlines. A fact sheet and flow chart that describe the audit process are enclosed. Note that, during an audit,response actions can proceed as planned unless you are otherwise notified by the Department. 20 Riverside Drive• Lakeville, Massachusetts 02347 • FAX(508) 947-6557 •Telephone(508) 946-2700 This information is available in alternate format by calling our ADA Coordinator at (617) 574-6872. DEP on the World Wide Web: http:/twww.magnet.state.ma.us/dep ��Printed on Recycled Paper 2 REQUEST FOR SITE INSPECTION Pursuant to M.G.L. c. 21E, sections 2, 4, and 8, 310 CMR 40.0166, and 310 CMR 40.1120(1) employees, agents, and contractors of the Department may enter any site or vessel to investigate, sample, or inspect any documents, conditions, equipment, practice, or property as part of the audit. The Department,requests an appointment to inspect the property on January 29, 1999, at 10:00 a.m., to discuss issues relevant to this audit. The inspection will be conducted by Mark N. Bartow of the Audits and Site Management Section. Your present LSP-of-record is requested to attend. Please call Mr. Bartow within seven days of receipt of this Notice at (508) 946-2746 to confirm this appointment or to arrange an alternative date or time. The Audit will initially consist of the following activities: • Review of relevant documents in the Department's file for the subject site along with submitted reports. • Inspection of the site to observe current conditions. Following completion of this phase of the audit,the Department may: (1) Issue a Notice of Audit Findings which may include a statement of violations or defi- ciencies identified during the course of the audit and steps to correct those violations or , deficiencies. (2) Request a meeting with you, and if you choose, a representative,to discuss response actions and other supporting evidence to demonstrate compliance and then issue a Notice of Audit Findings. (3) .Conduct further site investigations and then issue a Notice of Audit Findings. (4) Issue a Notice of Audit Findings that sets an Interim Deadline to correct violations or deficiencies or to prepare an Audit Follow-up Plan. (5) Initiate enforcement actions listed at 310 CMR 40.1140(2) if violations of M.G.L. c. 2 1 E or the MCP have been identified. Please submit any additional documentation associated with the response actions performed at the site not previously submitted to the Department which you would like to be included as part of the audit. Any submittal made in response to this Notice must contain the enclosed certification of the submittal per 310 CMR 40.0009. If you have,any questions regarding this Notice or any of the requirements contained in it, or ' believe that you cannot comply with its requirements, please contact Mark N. Bartow at (508) 946-2746. The Department appreciates your anticipated cooperation in this matter. Very truly yours, Joseph F. Kowal, Chief Audit& Site Management Section 3 K/MNB/ka Enclosures: Fact Sheet Flow Chart Certification of Submittal CERTIFIED MAIL# Z 598 884 890 RETURN RECEIPT REQUESTED cc: Board of Health 36.7 Main Street Hyannis, Massachusetts 02601 Town Administrator 367 Main Street Hyannis, Massachusetts 02601. Thomas Williamson,Jr., LSP EnviroTrac Environmental Services 125 Washington Street, Suite 4 Foxboro, Massachusetts 02035 Joseph A. Landyn Handex of New England 398 Cedar Hill Street ' Marlborough, Massachusetts 01752 DEP- SERO Attn: Data Entry , DEP -BOSTON Attn: Tom Potter,BWSC Make application to local Fire Department. Fire Department retains original application and issues duplicate as Permit. t/1�P VP/!r?1GC86— ✓CIQQYJrQ rY��(/KP� ✓9tP/�lE/�E�GQij'G APPLI s� ;mr'ON and PERMIT Fee: 10.E for storage tank removal and transportation to approved tank disposal yard in accordance with the provisions of M.G.L. Chapter 148, Section 38A, 527 CMR 9.00, application is hereby made by: • Tank Owner Name(please print) V/'TC��/ a( / , ignature i llying orpennrt Address lvbR.2 c:"iJO� / l�? sj — Street City State Zip Rernovall.Cbntractor, HOISTING LICENSE # Q Company Name /-fz OS i�Pi ( iQ O or,6,V Co.or Individual _/,4//// Print 1 Print Address W C2tJ�� Address Print Print Signature(if applying f r permit) Signature(if applying for permit) Z'lFCI Certified Other ❑ IFCI Certified �'LSP# Other rank lnforrnation� 38� Tank Location f v ( -/2 J✓J ,5 Q �� sre ddress— Tank Capacity(gallons) c�1�� /-1 Steer Substance Last Stored Tank Dimensions(diameter x length) Remarks: 106U �j le Aj - / / �l'SS /fad 7 Firm transporting waste State Lic. # Hazardous waste manifest# E.P.A. # Approved tank disposal yard Tank yard# Type of inert gas Tank yard address City or Town ,s/�/�( FDID# ��,7v. Date of issue rS 7/(-- S6F Date of expiration ,c, r r Dig safe approval number: Dig Safe Toll Free Tei r�mf er_ ` -4844 n � Signature/Title of Officer granting permit S No After removal(s) send Form FP-290R signed by Local Fire Dept. o UST Regulatory Compliance Unit, One Ashbu n lace, - Room 1310, Boston, MA 02108-1618. FP-292(revised 9/96) - TOWN OF BARNSTABLE - UNDERGROUND FUEL; AND. CHEMICA STORAGE REGISTRATION MAP NO:`3V ADDRESS-3F TANK:, ,�� . - `^ -. VILLAGE: K inni 1 MAILING ADDRESS ( IF DIFFERENT FROM ABOVE) : . OWNER NAME:-::---,.1,�� PHONE: INSTALLATION DATE: � � BY: INSTALLER ADDRESS: 'CERT.i4O. F *TANK LOCATION: aamoR:aG TANK t.00AT z ON W I TN RCaPuOT TO >U S LD Z Nv) _.CAPAC I TY TYPE OF TANK �lkt, =r AGE-_ YRS.:FUEL/CHEMICAL -�J�)`' �-t-N- �-- - TESTING CERTIFICATION E;�``J�PASS [ ] FAIL DATE4 LEAK DETECTION E ] CHECK IIF N/A TYPE./BRAND ZONE OF CONTRIBUTION E ,'] �YES E ] NO DATE T.0 BE REMOVED FIRE DEPT. PERM I T ISSUED E,./] YES E ] NO DATE 1 i CONSERVATION E ] CHECK IF N/A DATE ' BOARD OF HEALTH-`TAG N0. E ] DATE PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD r CERTIFICATE OF UNDERGROUND STORAGE TANK SYSTEM TESTING T NIIlNOLOGY-NDE TANKNOLOGY-NDE �. 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512)451-6334 FAX(512)459-1459 TEST RESULT SITE SUMMARY REPORT TEST TYPE: VacuTect PURPOSE: COMPLIANCE TEST DATE., 07/14/97 WORK ORDER NUMBER: 7102893 CLIENT: SHELL OIL PRODUCTS SITE: SHELL WIC#220372304-00 --- 3 EDGEWATER DRIVE 381 CAMP S YARMOUTH SUITE 202 HYANNIS, MA 02601 NORWOOD, MA 02062 3 0O ATTN: SANDY MURRAY ` The following test(s)were conducted at the site above in accordance with all applicable portions of Federal,NFPA and local regulations Line and Leak Detector Tests LINE-RESULT = LEAKS LEAK �hTANK � F=fat1 DETECTOR DETECTOR ' NUMBER PRODUCT (gph) gI�ncond t sive}� PRESENT RESULT 1 SUPER Y P 2 REGULAR Y P 3 PLUS Y P Tanknology-NDE appreciates the opportunity to serve you,and looks forward to working with you in the future.Please call any time,day or night,when you need us. TANKNOLOGY-NDE Representative: Services conducted by: TOM PRESNAL se DAVID E. BERBERIAN ft-4%S 95H/Gys R£p�fyr00 Reviewed: - yYq�N/S,MR RD Xec�ian,Certification Number: 0298 26�1 Printed 07/16/97 10:09 KOHLMEYER I INDIVIDUAL TANK/LINE/LEAK DETECTOR TEST REPORT TAN L -ND TEST DATE: 07/14/97 WORK ORDER NUMBER: 7102893 CLIENT: SHELL OIL PRODUCTS SITE: SHELL WIC#22037230400 UwTi Tank ID: 1 Material:FIBERGLASS Bottom to top fill in inches: Product:SUPER Tank manifolded:YES Bottom to grade fill in inches: Capacity in gallons: Vent manifolded: Fill pipe length in inches: Diameter in inches: Vapor recovery manifolded: Fill pipe diameter in inches: 4.0 Length in inches: Impact Valves Operational: Stage I vapor recovery: DUAL Tank age(years): Overfill protection: Stage II vapor recovery: ASSIST Fuel pure rating: Overspill protection: Installed: COMMENTS TANK TES FRESULTS' est MethodyacuTe t BLEAK DETECTOR RESUL; Test method FA tart(m) End(in) New/passed Failed/replaced New/passed Failed/replaced Dipped Water Level: L.D.#1 L.D.#1 L.D.#2 L.D.#2 Dipped Product Level: Make:RED JACKET Probe Water Level: Model:X.L.D. Ingress Detected: Water Bubble Ullage S/N: 40693-97?? Test time: Open time in sec: VacuTect Test Type: Holding psi: VacuTect Probe Entry Point: Resiliancy cc: Pressure Set Point: Test leak rate ml/m: 315.0 Tank water level in inches: Metering psi: Water table depth in inches: Calib. leak in gph: 5.00 Determined by(method): Results: PASS Result: COMMENTS COMMENTS � - Material: FIBERGLASS Diameter(in): 2.0 Length(ft): Test psi: Bleedback cc: Test time(min): Test 1:Start time: Finish psi: Vol change cc: Test 2:Start time: Finish psi: Vol change cc: Test 3:Start time: Finish psi: Vol change cc: Final gph: Result: Pump type: PRESSURE COMMENTS Pump make: RED JACKET 8900 SHOAL CREEK,BUILDING 200,AUSTIN,TEXAS 78757(512)451-6334 Printed 07/16/97 10:09 INDIVIDUAL TANK/LINE/LEAK DETECTOR TEST REPORT AN N -ND TEZT DATE: 07/14/97 WORK ORDER NUMBER: 7102893 QUENT: SHELL OIL PRODUCTS SITE: SHELL WIC#22037230400 Tank ID: 2 Material:FIBERGLASS Bottom to top fill in inches: Product:REGULAR Tank manifolded:YES Bottom to grade fill in inches: Capacity in gallons: Vent manifolded: Fill pipe length in inches: Diameter in inches: Vapor recovery manifolded: Fill pipe diameter in inches: 4.0 Length in inches: Impact Valves Operational: Stage I vapor recovery: DUAL Tank age(years): Overfill protection: Stage II vapor recovery: ASSIST Fuel pure rating: Overspill protection: Installed: COMMENTS 1 AN�K TESTRESULtssfMethodacuT c s LEAKOECTORRESIJLTS"' estmethodF�r r _ Start(in) End(in) New/passed Failed/replaced New/passed Failed/replaced Dipped Water Level: L.D.#1 L.D.#1 L.D.#2 L.D.#2 Dipped Product Level: Make:RED JACKET Probe Water Level: Model:X.L.D. Ingress Detected: Water Bubble Ullage S/N: 40693-986? Test time: Open time in sec: VacuTect Test Type: Holding psi: VacuTect Probe Entry Point: Resiliancy cc: Pressure Set Point: Test leak rate ml/m: 315.0 Tank water level in inches: Metering psi: Water table depth in inches: Calib. leak in gph: 5.00 Determined by(method): Results: PAss Result: COMMENTS COMMENTS Material: FIBERGLAss� Diameter(in): 2.0 Length(ft): Test psi: Bleedback cc: Test time(min): Test 1:Start time: Finish psi: Vol change cc: Test 2:Start time: Finish psi: Vol change cc: Test 3:Start time: Finish psi: Vol change cc: Final gph: Result: Pump type: PRESSURE COMMENTS Pump make: RED JACKET 8900 SHOAL CREEK,BUILDING 200,AUSTIN,TEXAS 78757(512)451-6334 Printed 07/16/97 10:09 INDIVIDUAL TANK/LINE/LEAK DETECTOR TEST REPORT A - D - (7� TEST DATE: 07/14/97 WORK ORDER NUMBER: 7102893 CLIENT: SHELL OIL PRODUCTS SITE: SHELL WIC#22037230400 �' �z,,.a %' -"t' �a,' x ^` ',.,.,, - _tea�a;.a,,,r �... �. ` E Tank ID: 3 Material:FIBERGLASS Bottom to top fill in inches: Product:PLUS Tank manifolded:YES Bottom to grade fill in inches: Capacity in gallons: Vent manifolded: Fill pipe length in inches: Diameter in inches: Vapor recovery manifolded: Fill pipe diameter in inches: 4.0 Length in inches: Impact Valves Operational: Stage I vapor recovery: DUAL Tank age(years): Overfill protection: Stage II vapor recovery: ASSIST Fuel pure rating: Overspill protection: Installed: COMMENTS TANK TEST RESULTS;Test1Methdd y Te LEAFt DETECT OR RESULTS Test method e A� Start(in) End(in) New/passed Failedireplaced New/passed Failed/replaced Dipped Water Level: L.D.#1 L.D.#1 L.D.#2 L.D.92 Dipped Product Level: Make:RED JACKET Probe Water Level: Model:X.L.D. Ingress Detected: Water Bubble Ullage S/N: 40693-972? Test time: Open time in sec: VacuTect Test Type: Holding psi: VacuTect Probe Entry Point: Resiliancy cc: Pressure Set Point: Test leak rate ml/m: 315.0 Tank water level in inches: Metering psi: Water table depth in inches: Calib. leak in gph: 5.00 Determined by(method): Results: PASS Result: COMMENTS COMMENTS � IiVETESTRE3ULTS " es t Pe xiDi Material: FIBERGLASS Diameter(in): 2.0 Length(ft): Test psi: Bleedback cc: Test time(min): Test 1:Start time: Finish psi: Vol change cc: Test 2:Start time: Finish psi: Vol change cc: Test 3:Start time: Finish psi: Vol change cc: Final gph: Result: Pump type: PRESSURE COMMENTS Pump make: RED JACKET 8900 SHOAL CREEK, BUILDING 200,AUSTIN,TEXAS 78757(512)451-6334 Printed 07/16/97 10:09 SITE DIAGRAM T N/rN0[OGr-NDE TANKNOLOGY-NDE 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512)451-6334 FAX(512)459-1459 TEST DATE: 07/14/97 WORK ORDER NUMBER: 7102893 CLIENT: SHELL OIL PRODUCTS SITE: SHELL WIC#22037230400 oar C)�' C-condensate Trap Sup Reg F (F PIUS F M � $V M ST S ST .% M Printed 07/16/97 10:09 KOHLMEYER CERTIFICATE OF UNDERGROUND STORAGE TANK SYSTEM TESTING TANllf I06Y-NOE TANKNOLOGY-NDE 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512)451-6334 FAX(512)459-1459 TEST RESULT SITE SUMMARY REPORT TEST TYPE: VacuTect PURPOSE: COMPLIANCE TEST DATE: 07/14/97 WORK ORDER NUMBER: 7102893 CLIENT: SHELL OIL PRODUCTS SITE: SHELL WIC#22037230400 3 EDGEWATER DRIVE 381 CAMP & YARMOUTH SUITE 202 HYANNIS, MA 02601 NORWOOD, MA 02062 ATTN: SANDY MURRAY The following test(s)were conducted at the site above in accordance with all applicable portions of Federal,NFPA and local regulations Line and Leak Detector Tests VOLUME CHAT '3k a LINE RESULT :.LEAK LEAK,, TANKS PRODUCT s`}f (P=P ,:F—fatly DETECTOR DETECTOR a NUMBER r�� (9Ph� � 1 tnconclustve); PRESENT .RESULT 1 SUPER Y P 2 REGULAR Y P 3 PLUS Y P Tanknology-NDE appreciates the opportunity to serve you,and looks forward to working with you in the future.Please call any time,day or night,when you need us. TANKNOLOGY-NDE Representative: Services conducted by: TOM PRESNAL DAVID E. BERBERIAN Reviewed: Technician Certification Number: 0298 Printed 07/16/9710:09 KOHLMEYER INDIVIDUAL TANK/LINE/LEAK DETECTOR TEST REPORT TAN -ND TEST DATE: 07/14/97 WORK ORDER NUMBER: 7102893 CLIENT: SHELL OIL PRODUCTS SITE: SHELL WIC#22037230400 Tank ID: 1 Material:FIBERGLASS Bottom to top fill in inches: Product:SUPER Tank manifolded:YES Bottom to grade fill in inches: Capacity in gallons: Vent manifolded: Fill pipe length in inches: Diameter in inches: Vapor recovery manifolded: Fill pipe diameter in inches: 4.0 Length in inches: Impact Valves Operational: Stage I vapor recovery: DUAL Tank age(years): Overfill protection: Stage II vapor recovery: ASSIST Fuel pure rating: Overspill protection: Installed: COMMENTS TANKTESTsRESULTSTest Mettlod:vacuTect ,'. .,. :" LEAK'DETECTOR'RESULTS Test;methodFTA,w., ,.. ....: .. .....r ..._.,. _ Start(in) End New/passed Failed/replaced New/passed Failed/replaced Dipped Water Level: L.D.#1 L.D.#1 L.D.#2 L.D.#2 Dipped Product Level: Make: RED JACKET Probe Water Level: Model: X.L.D. Ingress Detected: Water Bubble Ullage S/N: 40693-97?? Test time: Open time in sec: VacuTect Test Type: Holding psi: VacuTect Probe Entry Point: Resiliancy cc: Pressure Set Point: Test leak rate ml/m: 315.0 Tank water level in inches: Metering psi: Water table depth in inches: Calib. leak in gph: 5.00 Determined by(method): Results: PAss Result: COMMENTS COMMENTS Material: FIBERGLASS Diameter(in): 2.0 Length(ft): Test psi: Bleedback cc: Test time(min): Test 1:Start time: Finish psi: Vol change cc: Test 2:Start time: Finish psi: Vol change cc: Test 3:Start time: Finish psi: Vol change cc: Final gph: Result: Pump type: PRESSURE COMMENTS Pump make: RED JACKET 8900 SHOAL CREEK,BUILDING 200,AUSTIN,TEXAS 78757(512)451-6334 Printed 07/16/97 10:09 INDIVIDUAL TANK/LINE/LEAK DETECTOR TEST REPORT - A L - D TEST DATE: 07/14/97 WORK ORDER NUMBER: 7102893 �1. CLIENT: SHELL OIL PRODUCTS SITE: SHELL WIC#22037230400 Tank ID: 2 Material:FIBERGLASS Bottom to top fill in inches: Product:REGULAR Tank manifolded:YES Bottom to grade fill in inches: Capacity in gallons: Vent manifolded: Fill pipe length in inches: Diameter in inches: Vapor recovery manifolded: Fill pipe diameter in inches: 4.0 Length in inches: Impact Valves Operational: Stage I vapor recovery: DUAL Tank age(years): Overfill protection: Stage II vapor recovery: ASSIST Fuel pure rating: Overspill protection: Installed: COMMENTS TANKTEST'RESULT&Test Method yacuTect F„,r � x ,LEAK DETECTOR>RESULTS,a Test method:,.PTp,$ ; a Newl assed Failed/re laced New .,.. Y ._., tart(in) n (m) p p w/passed Failed/replaced Dipped Water Level. L.D.#1 L.D.#1 L.D.#2 L.D.#2 Dipped Product Level: Make:RED JACKET Probe Water Level: Model: X.L.D. Ingress Detected: Water Bubble Ullage S/N: 40693-986? - Test time: Open time in sec: VacuTect Test Type: Holding psi: VacuTect Probe Entry Point: Resiliancy cc: Pressure Set Point: Test leak rate ml/m: 315.0 Tank water level in inches: Metering psi: Water table depth in inches: Calib. leak in gph: 5.00 Determined by(method): Results: PAss Result: COMMENTS COMMENTS x y°UNE TEST RESULTS r 3 es pe TLD lz xr1 x a s !'INE41 .a .. ,. <, Material: FIBERGLASS Diameter(in): 2.0 Length(ft): Test psi: Bleedback cc: Test time(min): Test 1:Start time: Finish psi: Vol change cc: Test 2:Start time: Finish psi: Vol change cc: Test 3:Start time: Finish psi: Vol change cc: Final gph: Result: Pump type: PRESSURE COMMENTS Pump make: RED JACKET 8900 SHOAL CREEK,BUILDING 200,AUSTIN,TEXAS 78757(512)451-6334 Printed 07/16/97 10:09 INDIVIDUAL TANK/LINE/LEAK DETECTOR TEST REPORT A N - D TEST DATE: 07/14/97 WORK ORDER NUMBER: 7102893 S CLIENT: SHELL OIL PRODUCTS SITE: SHELL WIC#22037230400 JAN,;. Tank ID: 3 Material:FIBERGLASS Bottom to top fill in inches:. Product:PLUS Tank manifolded:YES Bottom to grade fill in inches: Capacity in gallons: Vent manifolded: Fill pipe length in inches: Diameter in inches: Vapor recovery manifolded: Fill pipe diameter in inches: 4.0 Length in inches: Impact Valves Operational: Stage 1 vapor recovery: DUAL Tank age(years): Overfill protection: Stage II vapor recovery: ASSIST Fuel pure rating: Overspill protection: Installed: COMMENTS TANK TEST RESULTS Test Method:vacuTect = b, g LEAK.DETECTOR RESULTS :Test method: FTA tart(in) End(m) New/passed Failed/replaced New/passed Failedireplaced Dipped Water Level: L.D.#1 L.D.#1 L.D.#2 L.D.#2 Dipped Product Level: Make:RED JACKET Probe Water Level: Model: X.L.D. Ingress Detected: Water Bubble Ullage S/N: 40693-972? Test time: Open time in sec: VacuTect Test Type: Holding psi: VacuTect Probe Entry Point: Resiliancy cc: Pressure Set Point: Test leak rate ml/m: 315.0 Tank water level in inches: Metering psi: Water table depth in inches: Calib. leak in gph: 5.00 Determined by(method): Results: PAss Result: COMMENTS COMMENTS Material: FIBERGLASS Diameter(in): 2.0 Length (ft): Test psi: Bleedback cc: Test time(min): Test 1:Start time: Finish psi: Vol change cc: Test 2:Start time: Finish psi: Vol change cc: Test 3:Start time: Finish psi: Vol change cc: Final gph: Result: Pump type: PRESSURE COMMENTS Pump make: RED JACKET 8900 SHOAL CREEK,BUILDING 200,AUSTIN,TEXAS 78757(512)451-6334 Printed 07/16/97 10:09 I SITE DIAGRAM TANKNOLOGY—NDE T NI�NOLOGI'—NDE 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512)451-6334 FAX(512)459-1459 TEST DATE: 07/14/97 WORK ORDER NUMBER: 7102893 CLIENT: SHELL OIL PRODUCTS SITE: SHELL WIC#22037230400 oar C,� �a s� C-condensate Trap Sup Reg Fa F Plus 1m Nlk F M V M H ST " S ST " QQ��UENTS Printed 07/16/9710:09 KOHLMEYER CERTIFICATE OF UNDERGROUND STORAGE TANK SYSTEM TESTING T N/rNOLOGY-NDE TANKNOLOGY-NDE tl 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512)451-6334 FAX(512)459-1459 TEST RESULT SITE SUMMARY REPORT TEST TYPE: VacuTect PURPOSE: COMPLIANCE TEST DATE: 07/14/97 WORK ORDER NUMBER: 7102893 CLIENT: SHELL OIL PRODUCTS SITE: SHELL WIC#22037230400 3 EDGEWATER DRIVE 381 CAMP & YARMOUTH SUITE 202 HYANNIS, MA 02601 NORWOOD, MA 02062 ATTN: SANDY MURRAY The following test(s)were conducted at the site above in accordance with all applicable portions of Federal,NFPA and local regulations Line and Leak Detector Tests v � �eir VOLUME CHANGE .> LINE RESULT h•,LEAK LEAK Ks x.yr ,aka t s,a �(p=p�,,F--II g n' DETECTOR DETEGTOR PRODUCT q f� +:(9Ph) y � D A&st Bar C D #1 _aim ayy 1 SUPER Y P 2 REGULAR Y P 3 PLUS Y P Tanknology-NDE appreciates the opportunity to serve you,and looks forward to working with you in the future.Please call any time,day or night,when you need us. TANKNOLOGY-NDE Representative: Services conducted by: TOM PRESNAL DAVID E. BER13ERIAN Reviewed: Technician Certification Number: 0298 Printed 07/16/9710:09 KOHLMEYER INDIVIDUAL TANK/LINE/LEAK DETECTOR TEST REPORT A L -ND TEST DATE: 07/14/97 WORK ORDER NUMBER: 7102893 CLIENT: SHELL OIL PRODUCTS SITE: SHELL WIC#22037230400 t rTANK INFORMATION, Tank ID: 1 Material:FIBERGLASS Bottom to top fill in inches: Product:SUPER Tank manifolded:YES Bottom to grade fill in inches: Capacity in gallons: Vent manifolded: Fill pipe length in inches: Diameter in inches: Vapor recovery manifolded: Fill pipe diameter in inches: 4.0 Length in inches: Impact Valves Operational: Stage I vapor recovery: DUAL Tank age(years): Overfill protection: Stage II vapor recovery: ASSIST Fuel pure rating: Overspill protection: Installed: COMMENTS TANKTEST RESULTS Test Method VacuTectf y LEAK'DETECTOR s RESULTS n y Tet:method; <, Start(m) End(in) New/passed Failed/replaced New/passed Failed/replaced Dipped Water Level: L.D.#1 L.D.#1 L.D.#2 L.D.#2 Dipped Product Level: Make:RED JACKET Probe Water Level: Model:X.L.D. Ingress Detected: Water Bubble Ullage S/N: 40693-97?? Test time: Open time in sec: VacuTect Test Type: Holding psi: VacuTect Probe Entry Point: Resiliancy cc: Pressure Set Point: Test leak rate ml/m: 315.0 Tank water level in inches: Metering psi: Water table depth in inches: Calib. leak in gph: 5.00 Determined by(method): Results: PASS Result: COMMENTS COMMENTS Material: FIBERGLASS Diameter(in): 2.0 Length(ft): Test psi: Bleedback cc: Test time(min): Test 1:Start time: Finish psi: Vol change cc: Test 2:Start time: Finish psi: Vol change cc: Test 3:Start time: Finish psi: Vol change cc: Final gph: Result: Pump type: PRESSURE COMMENTS Pump make: RED JACKET 8900 SHOAL CREEK,BUILDING 200,AUSTIN,TEXAS 78757(512)451-6334 Printed 07/16/97 10:09 INDIVIDUAL TANK/LINE/LEAK DETECTOR TEST REPORT A -ND TEST DATE: 07/14/97 WORK ORDER NUMBER: 7102893 CLIENT: SHELL OIL PRODUCTS SITE: SHELL WIC#22037230400 Tank ID: 2 Material:FIBERGLASS Bottom to top fill in inches: Product:REGULAR Tank manifolded:YES Bottom to grade fill in inches: Capacity in gallons: Vent manifolded: Fill pipe length in inches: Diameter in inches: Vapor recovery manifolded: Fill pipe diameter in inches: 4.0 Length in inches: Impact Valves Operational: Stage I vapor recovery: DUAL Tank age(years): Overfill protection: Stage II vapor recovery: ASSIST Fuel pure rating: Overspill protection: Installed: COMMENTS TANKTEST RESULTSTest Method 3racuTect LEAK DETECTOR;RESULTS =,,-.Test method: FTp, -Y m Start(m) End(in) New/passed Failed/replaced New/passed Failed/replaced Dipped Water Level: L.D.#1 L.D.#1 L.D.#2 L.D.#2 Dipped Product Level: Make:RED JACKET Probe Water Level: Model:X.L.D. Ingress Detected: Water Bubble Ullage S/N: 40693-986? Test time: Open time in sec: VacuTect Test Type: Holding psi: VacuTect Probe Entry Point: Resiliancy cc: Pressure Set Point: Test leak rate ml/m: 315.0 Tank water level in inches: Metering psi: Water table depth in inches: Calib. leak in gph: 5.00 Determined by(method): Results: PASS Result: COMMENTS COMMENTS �a 6 UNE TEST RESULTS � � �� es pe Trti 1 _ r LtNE� .. ,•.. ...... ,. ..D Material: FIBERGLASS Diameter(in): 2.0 Length(ft): Test psi: Bleedback cc: Test time(min): Test 1:Start time: Finish psi: Vol change cc: Test 2:Start time: Finish psi: Vol change cc: Test 3:Start time: Finish psi: Vol change cc: Final gph: Result: Pump type: PRESSURE COMMENTS Pump make: RED JACKET 8900 SHOAL CREEK,BUILDING 200,AUSTIN,TEXAS 78757(512)451-6334 Printed 07/16/97 10:09 INDIVIDUAL TANK/LINE/LEAK DETECTOR TEST REPORT A - D TEST DATE: 07/14/97 WORK ORDER NUMBER: 7102893 CLIENT: SHELL OIL PRODUCTS SITE: SHELL WIC#22037230400 INFORMATION Tank ID: 3 Material:FIBERGLASS Bottom to top fill in inches: Product:PLUS Tank manifolded:YES Bottom to grade fill in inches: Capacity in gallons: Vent manifolded: Fill pipe length in inches: Diameter in inches: Vapor recovery manifolded: Fill pipe diameter in inches: 4.0 Length in inches: Impact Valves Operational: Stage I vapor recovery: DUAL Tank age(years): Overfill protection: Stage II vapor recovery: ASSIST Fuel pure rating: Overspill protection: Installed: COMMENTS TANKTEST RESULTSTest Method:-vacuTect LEAK DETECTOR RESULTSTest.method:'"FTA k �, Start(in) End(in) New/passed Failedireplaced New/passed Failed/replaced Dipped Water Level: L.D.#1 L.D.#1 L.D.#2 L.D.#2 Dipped Product Level: Make:RED JACKET Probe Water Level: Model: X.L.D. Ingress Detected: Water Bubble Ullage S/N: 40693-972? Test time: Open time in sec: VacuTect Test Type: Holding psi: VacuTect Probe Entry Point: Resiliancy cc: Pressure Set Point: Test leak rate ml/m: 315.0 Tank water level in inches: Metering psi: Water table depth in inches: Calib.leak in gph: 5.00 Determined by(method): Results: PAss Result: COMMENTS COMMENTS Material: FIBERGLASS Diameter(in): 2.0 Length (ft): Test psi: Bleedback cc: Test time(min): Test 1:Start time: Finish psi: Vol change cc: Test 2:Start time: Finish psi: Vol change cc: Test 3:Start time: Finish psi: Vol change cc: Final gph: Result: Pump type: PRESSURE COMMENTS Pump make: RED JACKET 8900 SHOAL CREEK, BUILDING 200,AUSTIN,TEXAS 78757(512)451-6334 Printed 07/16/97 10:09 SITE DIAGRAM T NKNOLOGi'-NDE TANKNOLOGY-NDE 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512)451-6334 FAX (512)459-1459 TEST DATE: 07/14/97 WORK ORDER NUMBER: 7102893 CLIENT: SHELL OIL PRODUCTS SITE: SHELL WIC#22037230400 oJr C� C-condensate Trap Sup Reg F F Plus j M F M V ST S ST M OO ,Ei TS Printed 07/16/97 10:09 KOHLMEYER Shell Oil Products Company 400 Blue Hill Drive Westwood,MA 02090 New England Retail District Telephone:(61 7)%I-4600 Fax: (61 7)461-4640 February 13, 1996 Thomas McKean,Director Town of Barnstablei., Board of Health P.O.Box 534 Hyannis, MA 02601 ,pf Dear Mr.McKean: �v��t, Per your recent conversation with John Christopher,a site plan for our ef-vice station le/cated at 381 Camp Street,Yarmouth is enclosed. As you will see,the underground stor is location are not located in Barnstable.Therefore,contrary to your notice dated December 19, 1995 (see attached),we are not obligated to remove these tanks. If you need any additional information,or have any further questions,please contact John Christopher at (617)461-4618 or myself at(617)461-4620. Sincerely, Sandra B.Cormier, Health, Safety and Environmental Representative enclosures cc: John A.Christopher, District Engineer heatth Department Pw ids Box 534 `a��J P�,d�iat^,� � r . ` n '_`.f.. <•, Hyannis MA OZ601. 9,55 Tack 9 4 i i !I) i t SHELL OIL CO i BOX 2099 TAX OEPT 1 HOST T% 7?007 i C . .r t C seatth Department x: Under1roond Tant At 361 CANP ST iYARMO T z �,.. xS Our records indicate that your under rouna fuel for „heMi aL Lar ge tank is aver .204 -yearn otdo and ka ny been' removed Is requlre4 b Section BOOMS ctn O.�c� S c11ca�� of the ��a �.�., arp.S' �.. .� < the t _, You are Virected to rob ove 1491 days t hi,_ Ater your taok- is- regovedAW €eaSO furnish this off0i MAW A thufo& of a Permit from ypur latat five department r wr.�r r�anh�TMW i �ax� ,gr es y� ,ds �3 y� S C 1 S i`.. t `y'gna' 'M1 . ..,e ..i.,1i-Gii�'. r -�'• �i:.' �1 ,axn'.. Fe '.Y': - ' k .' _j¢ Br + ,v' ..�y [[�� : ' •;� 't ` "a'� ":'y'+x�'i. `n.6' -C Is w1 gh .`',if A:•�"✓ t °,�'�, �'�=�!'hVi'�` .'.�•'y �a.-.t�ia,�"°'�` `�L,i�'fir i 'C°a w b��•y,;; r�i,. ` - ff .� } 1` t Oman t a• '+r- a,: $ .t ;. w r4Y� v i x-;y x t '� '2` x t4 5 Yyny,g'"S'e.�'kaS p •"K S ,{ y 'Ea, iL i,`,:g4L Yp]��Y;�q(-4 �{]�A�a9 1rfY� ,$f(y�R9}'lSl • b'Rj i.. �•f�`*R �� ..- I,j, R y �:„F VM9l�J �d V^ Y�"_D .•y t j :5 r J - ...;:,� x n. '' �.s,, 'fc�' rp t.ft ti ,f 7 S t r.,was y*r�q q,t�}• �* �', tt t.�»•�y '`:� 3 r`� •n', � � -�X#+� ��++, 4si''�� d �,-SS4 �" ' ! � ;r�..ti bcE ��c;.`� 22 of Up y " r �D ;w 1 E 4 4 rCt „ - 17 16 to « aS}:tpe #K-s *�" his .�w+iw$9. M z I-- ;isN.,_ �y�� qq aft *w,.�qqs s+� - :.�f..♦P . r ,. e$ �+`�il't+M+ e �� ik d1�C•e."9.FiA i 0 �£ i .r L 1"t} aeio-do e c In :x 41 CL Ul f.asvN OC w—>C G ISP+t p C3 t 0-0, It c W 0 43 1;$s sr at* w -W .j t�3 tv .;zap,.. '�; � _ 1.• ' .Ya. Zt, .�.� � z,3.• �: � �lam. � �� . .. , 4.0 At u ra .k4, +�-c V'� Mkt"'°`+•�ao ,'�., �# - �$�,� 1:t ?o°t i + Aj fo a+ �`4". � ��=�• �e�•., F;� ��+c �fir` .. to t. ?�4�*fit '� *�" ��s`. S3*3ae �§.�' •�'-.<"4 att .ata + .' is y ;.� . . ., ,��=� � �. � •�.,,F. . .. , 4 { S E+ r L _ i a JAN-09—'96 TUE 17:12 ID:SHELL OIL COMP 4670 ##455 P01 SHELL OIL PRODUCTS COMPANY NEW ENGLAND RETAIL DISTRICT 400 BLUE HILL DRIVE WESTWOOD,MA 02090 (617) 461-4600 FAX (617) 461-4670 EN'VIItONMENTAU/ENGINEERING DATZ: l� Y T'0� � e)d, a F FAX#; FROM: �L LJ4 I`P.r ( f PHONE 0: YIY We tranemis#on condah of�pages including cover sheet COMMENTS: �,E(A.Se ri o 4e -at P 9 1 � [� r 4Z kg S� oA a nip Llourmo LAA 4t, an n IZS- ar,� '�S4 6-er al A ss 2a-sb L) �,s -T Is "DEDICATED T10 SUCCESS" TOE 17:13 11):ShitLL U1L UU111" 4U(b UZI= PE'T Department of Public Safety Division of dire Prevention and Regulation Y/ Notification for Underground Storage Tanks STATE USE ONLY D}PAMM taw P=C SAFETY ID NUMBER pta� pEPt. /► .�^/ MM 20: P.O. BOX 490 �tY� Mh 01B75 DATERECEWED �i/ A. Dale Entered Into Computer A.NEW FACILITY B.AMENDED 0 C:,,CLOSURE ——,-- B. Data Entry Clerk Initials No.of tanks at lacility I No.of continuation sheets attached C. Owner Was Contacted to INSTRUCTIONS Clary Responses,Comments Please sew er erinl In ink all Item=except•signature"in section V,This form must be completed for each location containing underground storage tanks.0 more than fire(5)tanks are owned at this location,photocopy the following shoots,and staple continuation sheets to the form. GENERAL INFORMATION Nall ieatlen Is nefullred by Fadaral raw tar of endar4►ouihd tanks that 8.spit:w#* haw been used to stare regulated sulbdanoee olrhoo dar►Mary 1,1664,that a.pipoline facilities onaludbq geswtng love)regulated under e,e Nerural Gu an In the ground as of May a,lass,or that are brou�M NO lase*her May s, feipdne Safety Act of 1 ON,or the Hazardous Liquid PtpalAt Salary Act of 1979,or iaaa.The Infennatlon rpuaatad Is Nqulrad by>t�OlTon mot of the rlesi urce which it rn hrteame pipeline facility reguWad under tiara lawn Conservation and NeOowry Ad,(11110 ),to amonded. S.aurl000"p0uhdmentt,pha,pondo,or la000w: e.slam water or waste water collection systems; The pdn+W purpose of Ono notif cito t program is to locate and&%*W to 7.floor-enugh proans W". underground tanks that tmro a have oara4 petro4um or haurdous substances, s,Iiquld tbpa or al0rdafed cowering Ones directly related to oil a gas tt is espaaad ftl the infornation you provide wul be based on reasonably produdlan old Osetwting OpM Ohl: available faaads,or in the obsonae of such reeorda,your knowledge,belief,or I.atorege tanks alarmed In an underorount area(turn+a a baseo++ent,ally, recollection. nwlno soaking,thrift,ahait,car brw*)11 the storeys link is situate upon of above du who Must Notify?Seddon 9002of RCRA,as wrionded,requires that,unless swim of"Aw• exarnptsd,Owner&Of underground tanks that More regulated substances must Whist aubstbn0aa Are Cowed?The notification requirannents apply to untler notry designalsd$ate or btal agandes of the asiswtw of V*r tanks.Owner Around sto►ago tanks that contain regulated substances,This includes any etlbatbn0a dordwed a hazardous In sedan 101(1q of the Comptehensive a)in f»out of an uncletwound stamps lank in Y$6 On November 6,1144.car Envirortrrtorilal Ras00n{e,Campeetatian AN Liability Act of taa0(CERCLA),with brought info use after Ohat date,any person who owns an underground storage fhe*"tow of f es eubslanaee reguiawd a hatardous waste under Subtitle C Of tank used for the storage,use,or dispensing of rogulated substances,And RCRA.it Also includes ps tawnh,e.g.,elude oil a any Irsao0n O,eraot wh.cM is b)in"oast Of carry underground swap tank in use before Hovsmbor a, liquid at standard conditlorw of fornpwature and pressure(so dogrees Fahrenhea 1264.but n0 longer it use on that date.Warty pelrW who Owned such lank W414.7 pounds per square inch absolute). imrnediaay bafare the diaoontinuatioon of its use. Wbrn To%olf ! ('wwmphhnwf hwilUlwcrttan iarm. .hiould tk, w ni to thr,rddre., c)it rho Stall gin.tit at the lap At i�r.,ha a iadiity hbnnatb�a tank Optem waen(only wills d d taank inb►tna�a0h rows to be included). what Tanks Are Included?Underground storage tank is dokud as arty ono , at combination of Wks flat(1)is used l0 wnainan aocumutation of*joguialed WhOnTO Notify?1.ONhi rt Of underground storage Wks in use or that hsve substances;and(2)whose votunn(inducing amaeted underground piping)is been taken out of aperalOn afW Anw&y 1,1974,but still in to 9,pund,mutt ratify 10%Of mole boneafh to ground,Soma sufross are underground tanka storing: by lrtsy 6,IN4 !.Owners who bA urhdworound storage inks into use after fitly /,Gallttiina.tread oil.or tfiaat fuel,athd>:.lrhdusttal aolranta,pottiodes, 0.ISO,ntWl holy within 30 days Ot bringing Ore tanks into W W. herbicides or lumiganta. What TankO Are baluded?Tanks rongred honk OM ground are not w4gat O nOl fiicalion.other leeks excluded from rodfioolion are: Phmshiss:Any owner whe Movie ftty f+the to redly or aubmhs false I.hen Of rooldaftal tanks of 1,100 Gallons a im sopeclpr used for aloring InlOntralfar shall be wisim to a ehdl penalty rat to noted 110,000 for each n0n0°m - lwrOaM: Walt for whlah na louden Is net i 6'm car ice►which false Informatlon Is i.wanks used for aloAng neatino oil flu a tioumptivs use an fhe pfeffil t �bttnated Owe swt►ad: (.OWNERSHIP OF TANK(S) rpY��q If.LOpAOATION OF TANKS) EMafrpYn144►�41.a!(,12 w Lg a1 t�Mi f4, ferw e11M1�a Mai .ninul�.and r0oondr. O.rw tsar,,.(f�Peertyton.kwlAdOtrrl Pwblk Aaaney,w Otttar irrsq 30ELL (ITL COMPANY Latitude Longitude 400 Blue Hill Dr. «aanw a faslow t erartt lace aw>r.n, i Warr.v c4rprrgf sate itlsraMYr,os sttlpgsaa+e 5 LL SERVICE S TIU Nor folk attest Adorns(PA.an ra assela ) LOW" - 381 Camp and, Yarmouth Yamm�rrtk ,w� MA O2(ifi4 ��. • Yn y JAN-09-'96 TE_f7:14 ID:SHELL OIL COMP 4670 #455 P03 ,J Ill.TYPE OF OWNER IV,INDIAN LANDS j Tanks are located on land whhln an Indian Tribe or Nation: , d t`adaral Government Commercial Reservation or on other trust lands. ! r ❑ State Government Private Tanks am owned by native American Local Government nation,tribe,or Individual. 13 V.TYPE OF FACILITY Select the Appropriate Facility Description ✓Dias Station Railroad TruckingiTtansport Petroleum Distributor Federal•Non-Military Utilities Air Taxi(Airline) Federal-Military —Residential Aircraft Owner Industrial _Farm Auto Dealership Contractor —Other(Explain) VI. CONTACT PERSON IN CHARGE OF TANKS Name deb Ua Address Phone Number(Include Area Cade) VII. FINANCIAL RESPONSIBILITY I have met the financial responsibility requirements in accordance with 40 CFR Subpart H aer w �.®®p. r ace vrR q s--—rr—————------------------ Check All that Apply �G Self Insurance 0 Guarantee State Funds Commercial Insurance ] Surety Bond Trust Fund Risk Retention Group i Letter of Credit Other Method Allowed Specay I - I Vill, CERTIFICATION(Read and sign aster completing all sections) I certify under penalty of law that I have personally examined and am familiar whh the information submitted in this and all Attached documents,and that based on my inquiry of those Individuals Immediately responsible for obtaining the Information, I believe that the submitted information Is true,accurals,and complete. Name and official title of owner or owner's authorized representative(Print) Signature pate Signed byw E 6 EPA estimates public repotting burden for this form to average 30 minutes per response including time for reviewing instructions, 9ethering and maintaining the data,noeded and completing and reviewing the form.Send comments regarding this burden estimate to Chief,Information Policy Branch PM-223,U.S.(environmental Protection Agency,401 M Street,Washington D.C. 20460, marked 'Attention-Desk Officer for EPA.'This form amends the previous notification form as printed in 40 CFR Pan 280,Appendix 1. Page 2 JAN-09-'JS TUE 17 A-ID:SRECL-OICt-unr- • DL DESCRIPTION OF UNDERGROUND STOWAGE YANKS(Complete for each tank at this location.) Tank Identification Number Tank No._J: Yank No, Tank No,-�3 Yank No.!f— Tank No:--'57— 1.Status of Tank (murk only one) Currently in Use Temporarily Out of Use 111r■rr r*r�.wuw�� Permanently Out of Use Amendment cf IMormatbn 2.Date of Installation(mo,yyajq ! 4 3. Estimated Total Capacity(gallons) i s 4.Material of Construction aoa vow (Mark all that apply) AsphaM Coated or ewe steel Cslhodically Protected Steel Epoxy Coated Steel Composite(Stool with Fiberglass) 'al Fiberglass Reinforced Plastic Lined Interior Double Walled poyethyfene Tank Jacket Concrete Excavatlon Liner Unknown Other,Please specify HAS tank tsen repaired? 5.Piping(Material) (Mark sit that apply) Bare Stool ' I Gaivanbo Steel j Fiberglass Reinforced Plastic Copper J Cathodicaily Protected ' Double Walled Secondary Containment + Unknown I Other,Please epeclfy 6.Piping(Type) r (Mark all that apply) Suction:no valve at tank Suction:valve at tank Pressure Gravity Food K��pl�p boos topatir�d? : Tank Identification Number . Tank No.�, Tank No—Z Tank No, Tank No,,� Tank No.: dr' 7.Substance Currently of Last Stored In Greatest Guantily by Volume Diesel Gasohol Kerosene Heating Gi! Used Gil Other,Please specify 71 . Hazardous Substance CERCLA name and/or, CAS number Mixture of Substances Please specify X.TANKS OUT OF USE,OR CHANGE IN SERVICE 1. Closing of Tank A..Estimated date lssl used 8. Estimate date tank closed C.Tank was removed from ground D.Tank was closed In ground E. Tank tilled with Inert malarial Desarlbs F. Change in service 2.Site Assessment Completed Evidence of Is teak detected � f i Pape 4 JAN-09-196 TUE 17:15 ID:SHELL OIL COMP 4670 #455 P06 .. r ^.� �J.+ti3oxpa••nt! anni ' ono*r ,rQwnJ Tank %t 381 CA14P t# i1tAi�MUIiTH) Mas►I++ar�s �.ut ;t,rCurG� Indlcatit tmet Tap p. 3 Yvur and T rt►vna foot (pr :��Nisatl t Gr# ie t dnl is 9vaw . aat!t on nrt ;4re Ov Setttn G C i +Td t b!t Pt�OvldIt butatun Reyarp¢¢ , pulp A # 1�tl a., s 04*6ith You are 4iroas* t cp r+t#Ot►! this Rink sixty tbDi COW; trams hv date of. this r�atic+l. �ttot rout tank is ro�p .r we'd* pte�,e• #Yth{sh this offfcj i+t7 e� �Mnca i� the fora at #rMi t ON ro o a1 1r# ctvpart.otnt• . lit (bin �ein;ty l dabs of r•ta p# v� �� a +tat iCa. You •awy regUe t a a ►�+ ri.ri �r4'+8stin ban s , 4• aravidop a, a►.t Rtt>n peCii r•C* vob b tho bmat.�l q k.ft.ttb ► train ;even t ) ders a toy tis ordl� s sprvl4. +tE. r Thoela if GO pr y�4 ;�uh TX TY(Jdi I liandex QD G WA August 7, 1995 9 Massachusetts Department of Environmental Protection - Southeast Regional Office S' 20 Riverside Drive Lakeville, Massachusetts 02347 Re: Notice of Initial Site Investigation and Tier II Classification - Legal Notice Shell Service Station 381 Camp Street Hyannis, Massachusetts DEP # 4-1179 To Whom It May Concern: As required under the Massachusetts Contingency Plan (MCP) 310 CMR 40.1403 (5)(a) and (b), attached is a Legal Notice pertaining to a Notice of Initial Site Investigation and Tier 11 Classification for the above location. ` The Tier Classification was submitted to the Massachusetts Department of Environmental Protection (The Department) on July 26, 1995. The attached Notice will appear in the Cape Cod Times on August 12, 1995. The Hyannis Board of Health and Town Manager were notified prior to publication. Should you have any questions or require additional information, please do not hesitate to contact our office or Deborah Mangini of Shell Oil Products Company at (617) 461-4608. Sincerely, Handex of New England, Inc. Patrick Korths Hydrogeologist cc: Deborah Mangini, Shell Oil Products Company - Westwood, MA Tom McKean Board of llealth_JH'yannis, MA Warren Rutherford;T6wn-Manager - Hyannis, MA 398 Cedar Hill Street, Marlborough, MA. 01752 • (508) 481-5750 • FAX (508) 481-5159 � 3 NOTICE OF AN INITIAL SITE INVESTIGATION AND TIER II CLASSIFICATION SHELL SERVICE STATION 381 CAMP STREET HYANNIS, MASSACHUSETTS DEP # 4-1179 Pursuant to the Massachusetts Contingency Plan (310 CMR 40.0480), an Initial Site Investigation has been performed at the above referenced location. A release of oil and/or hazardous materials has occurred or may have occurred at this location which is a disposal site (defined by M.G.L. c.21E, Section 2). This site has been classified as Tier II, pursuant to 310 CMR 40.0500. Response Actions at this site will be conducted by Shell Oil Products Company who has employed Joseph Landyn, LSP, to manage response actions in accordance with the Massachusetts Contingency Plan (310 CMR.40.0000). M.G.L.c.21 E and the Massachusetts Contingency Plan provide additional opportunities for public notice of and involvement in decisions regarding response actions at disposal sites: 1)The Chief Municipal Official and Board of Health of the community in which the site is located will be notified of major milestones and events, pursuant to 310 CMR 40.1403; and 2) Upon receipt of petition from ten or more residents of the municipality in which the disposal site is located, or of a municipality potentially affected by a disposal site, a plan for involving the public in decisions regarding response actions at the site will be prepared and implemented, pursuant to 310 CMR 40.1405. To obtain more information on this disposal site and the opportunities for public involvement during its remediation, please contact Deborah Mangini of Shell Oil Products Company in Westwood, Massachusetts at (617) 461-4608. 'QI ander Commonwealth of Massachusetts Executive Office of Environmental Affairs Department of Environmental Protection ' Southeast Regional Office William F.Weld Garomor Trudy Coxe Secretary,EOEA Thomas B. Powers Acting Commissk er June 15, 1994 Shell Oil Company RE: YARMOUTH--WSC/SA-4-1179 Post Office Box 1703 Willow St. Shell Station Atlanta, Georgia 30339 381 Camp Street LOCATION TO BE INVESTIGATED, TRANSITION ATTENTION: Mr. Jamie Keuper M.G.L. . Chapter 21E and 310 CMR 40. 0000 Gentlemen: The Massachusetts Department of Environmental Protection (DEP) has redesigned the Waste Site Cleanup Program. The revised Massachusetts Contingency Plan ("MCP") and related fee regulations (310 CMR 4.00) became effective on October 1,. 1993 . This letter is being sent to you regarding the above- referenced Location to be Investigated which is listed on DEP's August 1993 Transition List of Confirmed Disposal Sites and Locations to Be Investigated, or Addendum thereto. You (as used in this letter "you" refers to the Shell Oil Company) have been previously identified as a "Potential Responsible Party" (PRP) for the above-referenced Location with liability under MGL . c.21E §5. NECESSARY RESPONSE ACTIONS AND APPLICABLE DEADLINES This Location shall not be deemed to have had all the necessary and required response actions taken for it unless and- until all substantial hazards presented by the release and/or threat of release have been eliminated and a level of No Significant Risk exists or has been achieved in compliance. with M.G.L. c. 21E and the MCP. The enclosed MCP Transition Fact Sheet #2 explains the requirements for Locations to be Investigated. The new MCP offers two viable options with deadlines for a responsible party to submit to the Department the necessary submittals. However, because this Location is within an approved zone II for public water supply wells, the Department requests that the required information be submitted to the Department no later than November 21, 1994. 20 Riverside Drive 0 Lakeville,Massachusetts 02347 • FAX(508)947-6557 9 Telephone (508) 946-2700 -2- In addition, the MCP requires persons undertaking response actions to perform Immediate Response Actions in response to sudden releases, Imminent Hazards and Conditions of Substantial Release Migration. Such persons must continue to evaluate the need for Immediate Response Actions and notify the Department immediately if such a need exists. We recognize that there may be difficulties and confusion during the transition of existing sites from the 1988 MCP to the new MCP. The new MCP, however, offers many incentives and opportunities for streamlined timely, and efficient cleanups. PP Y. It is the Department's intent to provide you with as smooth a transition as possible. Please be aware that failure to comply with anv provisions of the revised MCP. may result in the Department taking enforcement action against you. Should you have any questions about this letter, or to inform the Department whether you intend to comply with the Department's requirements, please contact Maria Pinaud or Jonathan Hobiil at' (508) 946-2862 or at the above address. Very truly yours, Gregg %Hnt, Ac ting Regional Engineer for Waste Site Cleanup H/MP/rr Attachment: The 1993 MCP Transition Fact. Sheet #2 Fact sheet on LSPs CERTIFIED MAIL#P337 -626 825 RETURN RECEIPT REQUESTED - f cc: Barnstable Board of Health P.O. Box 534 Hyannis, MA 02601 ATTN: Tom McKean Hazardous Waste Coordinator Town of Barnstable . 367 Main Street Hyannis, MA . 02601 ATTN: Warren Rutherford Town Manager DEP - SERO ATTN: Mark Jablonski DEP - SERO - Data Entry 'TANI.-.'S I 1::--UEL- STORAGE TANI.::.' RECORI."IS HELP FOF� PARCEL N8R,. 3 4!-5 009 MAIN ACTION Action "ran[:: Nbr -rag Nbr Installed Location ificF.At ion Dates--- I o 17 0 B -rest Rem Tel:.;t - -----Aban d on ed..... Removed ---- ---- Varianc-e Fuel Reason Capacity Constr Status Leak: Det Cath-Det G B 60oo FS NT Y N Additional Details RED jACI,.-'.ET I)ETI*---(,*r 1'.ON. 3 8'.' Action 1**an[:: , I\Ibr Tag Nbr Installed Location ]Gates------- Test Rem Z 1 010 170 B Test Removed Variance Fuel. Reason Capacity Constr Status Leak-Det C-ath-Det G B 10000 FS NT Y N Additional Details RED DE-FECTION. Cancel Press Xl*-IIT for more data N 1*':"X T* SCREEN T'ANV*:S ACT I(IN I F-'ARCEL NBR _-:45 001:> T'A 1\1 1\1 B R 3 TAI\Ik'S 21 FUEL STORAGE TANI-::' RECORDS HELP FOR PARCEL NBR" :345 MAIN ACTION I Acti(::)n Tank NI.-)r' Tag Nbr Installed Location ---Notification 3 Ga:5 I o 17 0 B Test Rem Test --Abandoned---- Removed Variance Fue I Reason Capacity COnStr Status Leak-Det Cath-Det G B I Oooc) FS NT y r\l Additional Details RED JACKET DETECTION. (3/:B9) -------------------------------------------------------------------------------------------- Action Tank Nbr 'Tag Nbr Installed Location ------Notification TIates----- 4 5152 010169 B T Rem Test --- --Abandoned-- Variance R" R"�1 * L 0- (T)f; FLte Reason Capacity Constr Sta Leak- et Catl--i-Det WO B 5! F Ltional Details of.: t i Dfl:41 00 L Cancel Press XMT for more data NEXT SCREEN 'TANKS ACTION I PARCEL NBR :3 4 5 009 T A 1\1 I,-' N B R TAN[--::S 3 -1EL FUEL. STORAG-E I*ANI-:'. RECORDS P F 0 R 1:'-"A R CE L. NBR' :':::4t---1 MAIN ACTION Action Tanl.-- Nbr Tag Nbr Installed Location —.-Naitification 5 9 5:-3, 010 16 5Y B Test R a in ---- Test --- ---A b a ri is o n ud V c F,? uel Capacity CariE--,tr C'FA-'k-h ... t B !:550 t i ori. t a 1, Addi. I D e ---------------- Action Nbr, Ta.-.g Nbr, Ins-�,.Alled Lxx-.-ation ---.-Notification Test, Rem Test --Abandoned-- Reii-ioved Variance F ut e 1. Reason Capacity Constr StatUs Leal.::-Det Cath-Det Additional Details END OF DATA NEXT SCREEN HMENU ACTION PARCEI.- NBI'R 'I"ANV.." Commonwealth of Massachusetts Eb � Executive Office of Environmental Affairs Department of Environmental Protection ' Southeast Regional Office William F. Weld Governor Daniel S.Greenbaum Commissioner (;UY May 18, 1993 -may Shell Oil Company RE: YARMOUTH--WSC/SA 4-1179 400 Blue Hill Drive Willow Street Shell Station Westwood, Massachusetts 02090 381 Camp Street, LOCATION TO BE INVESTIGATED, Request for PA/Phase I. Report, ATTENTION: Mr. R.H. Hummel II M.G.L. , Ch.21E and 310 CMR 40.000 Dear Mr. Hummel: The Department of Environmental Protection, Bureau of Waste Site Cleanup, (the "Department") , has determined that the property owned or occupied by Shell Oil Company located at 381 Camp Street, Hyannis, Massachusetts, (the "Location") , is a Location To Be Investigated (LTBI) as a possible disposal site within the meaning of M.G.L. Chapter 21E and the Massachusetts Contingency Plan, (MCP) , 310 CMR 40. 000. Based upon available information, the Department considers this Location reasonably likely to be a disposal site. Because this Location has been identified as an LTBI, it is included on the List of "Locations and Disposal Sites" published by the Department. The Department is investigating the source(s) of contamination affecting the water quality at several public water supply wells serving the Hyannis area. 'The Location falls within the proposed zone II of these wells. The assessment and cleanup of disposal sites areas where oil or hazardous materials have been released, or come to be located, is governed by M.G.L. , Ch. 21E, and by 310 CMR 40.000, the MCP. The information currently available is insufficient to allow the Department to confirm the Location as a disposal site. In order to make this determination, the Department requests that you (as specified in this letter you refers to Shell Oil Company) , as a party potentially liable for the release, take the steps outlined below: 1. Provide the Department with a written response within fourteen (14) days of your receipt of this letter, indicating whether you intend to take the necessary actions. 20 Riverside Drive 9 Lakeville,Massachusetts 02347 • FAX(508)947-6557 b • Telephone (508) 946-2700 f -2- 2. Contract with a consultant knowledgeable in hazardous waste site assessment and abatement to conduct the following work in accordance with the MCP: a. Complete and submit, within forty-five (45) days of receipt of this letter, a Preliminary Assessment Report (copy enclosed) meeting the requirements of 40.541 of the MCP. b. Complete a Phase I-Limited Site Investigation and Report as outlined in 40.543 of the MCP. All items contained in 310 CMR 40.543 must be addressed. Note that in order to determine the source and extent of contamination, observation wells (deep and shallow) may need to be installed. To determine the depth of the wells and the appropriate length/location of the screen, split spoon samples should be taken continuously through the soil strata and be tested for the presence of volatile organic compounds (VOCs) utilizing a field gas chromatograph or similar instrument. The Phase I Report shall include, at a minimum, the following information: 1. Boring logs, well construction specifications, and a description of the drilling method; 2 . A listing of all chemicals (generic names) and quantities used, stored and disposed of at the Location; 3. A site plan drawn to scale showing the location of all observation wells, catch basins, utility lines, septic system components, dry wells, and floor drains; 4. A current ground water and contaminant plume contour map; and 5. Results of laboratory and field testing data. Ground water from all wells should be sampled and analyzed for VOCs utilizing EPA Method 624. In addition, the sampling plan should include the chemicals listed in item 2 for soil and ground water samples. All laboratory data must comply with the Department's "Minimum Standard for Analytical Data for Remedial Response Actions Under M.G.L. , Ch. 21E, Policy #WSC-300-89 (copy, enclosed) . i1 i -3- c. Complete the Interim Site Classification Form (copy enclosed) in accordance with 40.544 of the MCP. The Phase I Report documenting all Phase I activities shall be prepared and submitted, in conjunction with the Interim Site Classification Form, to the Department within ninety (90) days of receipt of this letter. d. The consultant shall also evaluate the need for a Short Term Measure (STM) as defined in 40.542 of the MCP. If at any time an imminent hazard is discovered at the Location, you must immediately notify the Department and submit a proposal for a STM. This evaluation shall continue throughout the assessment process for the Location. Depending on the information generated by the above-referenced work, the Department may require you to perform additional investigations, studies and/or actions. You should be aware that if the Department performs the required assessment activities, you may be held liable for the costs the Department has incurred. If the LTBI is confirmed as adisposal site, you may be named as a party liable for up to three (3) times the Department's response action costs. The Department may also assess interest on the costs it has incurred to date at the rate of twelve percent (12%) , compounded annually. You may also be liable for damages for the impairment of natural resources and for any liability imposed under M.G.L. Ch. 21E, Section 11 and other laws or under M.G.L. Ch. 21A, Section 16, for violations of Ch. 21E and other statues, regulations, orders, or approvals. If you perform the required response actions, the Department will not seek to recover the costs it incurs in reviewing the Preliminary Assessment, Phase I-Limited Site Investigation Report and the Disposal Site Classification Form that you submit to the Department. -4- Should you have any questions regarding this notice, please contact Cynthia Baran at the letterhead address or at (508) 946-2887. In any correspondence to this office, please refer to case WSC/SA 4-1179. The Department looks forward to your cooperation in this matter. Very truly yours, \, j f Ma J. Be 1y� ief Y. Si a Reme iatio Sect on B/CB/rr Enclosures CERTIFIED MAIL #P808 785 265 RETURN RECEIPT REQUESTED cc: Town of Barnstable Town Hall Hyannis, MA 02601 ATTN: Warren Rutherford Town Manager Hazardous Waste Coordinator P.O. Box 534 Hyannis, Massachusetts 02601 ATTN: Tom McKean DEP - BWSC - Boston DEP - SERO - Data Entry TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Rep satisfactory 2.Printers BOARD OF HEALTH 0 3.Auto Body Shops �� / .fir O unsatisfactory- 4.Manufacturers COMPANY/!/!'�h!'` 41 `� ��• (see"Orders") 5.Retail Stores , 6.Fuel Suppliers ADDRESS �8 e � �.� v`?I1 ass: 7.Miscellaneous ,40'°Yy� UANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS 7`7.✓'' 4 G7 IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,'eTet-la'r PIl M Heavy Oils: waste motor oil (C) � new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers 4 Miscellaneous: � s �La icy Gr/'tfl �6 As, F4) z' OXY V-_;; ' h?__4 ty,�z Z%� 14� DISPOSALIRECI AMATION REMARKS: 1. Sanitary Sewage 2. Water Supply O Town Sewer 'ublic el � ,'On-site OPrivate / 3. Indoor Floor Drains YES NO h✓ O Holding tank:MDC_ O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank: MDC Catch basin/Dry well On-site system 5.Waste Transporter � � � // c YES NO 2. Person (s) Interviewed Inspector Date TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH `��y_satisfacto 2.Printers 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY �J¢Zp (see"Orders") 5.Retail Stores t� / 6.Fuel Suppliers ' ADDRESS J 9� y�te tMoc , i /' lass' _L 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALSUnderground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: `3 �o 600 9� Gasoline,Jet Fuel (A) l6i ®� Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) SS _ l - k Sab ac' new motor oil (C) -? l < transmission/hydraulic Synthetic Organics: degreasers Misce n ous: / u 2- A S,tee_ ss' aQI�h - — , !tr l �jpv-e, /�vZ DISPOSAL/RECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply Qe, t O Town Sewer Public av ✓ c�,� On-site OPrivate 3. Indoor Floor Drains YES NO x- O Holding tank: MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES X NO O Holding tank:MDC Catch basin/Dry well O On-site system a 5.Waste Transporter Name of Hauler Destination Waste Product bq;-"yre7 YES I NO 2. d/6 Ul ' G � �— Q Person (s) Interviewed Inspector r Date TOWN• OF DAAN8TAO E> UNUERQROI:AND FUEL AJvO C ILMI�Cipl.'STgRA'I3E; ,REGa;$TRATION 'Not "� �` = E!A1�CEL A06RE58. 'OF TIA�iK s ` t �F I LIjAO['s' r 7 r MA I'L Y NO: ADDRESS (11.0 D I`F'FERE OWNER, NAME e, r n :, HONtt• I NSTA -I AT I ON' DATE a l& -BY s YNETAL'LER ADpRSOS s "GERT.WO. *TAN-K :LOCAT ID <Db�rtt�R t s1.IR .to ri 4eilb+�4' +dint K+1 �`t1 IM �PIR�J.h' 9 iy'lLig 4: O t PE T O F 'TANK' AO YR$'. CAPAGITY � Y 'U L✓ HEM`ICA .• ; LEST+ENO CERT I F jtAt.lON [ r -PAEfi LEAK, DETECTION ` :1. ] .CHECk! F N1q TY1 IUMANQ rr .TONE OF'.'' NTF4Ib ITYON • 'J 1fE8: [ • N0 'pq`TE 1'0 B 'NE RVED PIRt D&T.. 'PERMIT ISSUAD t °°YE8 . c '7 No". -OATt �..._,:�... .,.� • r CONA RtfiA`��IbN, rt CJ 1'1 N CK f.R T ✓7` �� C E I N!A' O,,p HRA �A Lf,TH . "' •��,.7—.Rsscc-,ct,.ri, .a,w:dasM,+k ^^f66»»» fc. ..r.- �7 �.,. ti xv - • , "SKETCH, -msHTANX �.QCAiT;OK M THE BACK. pF THIS GF►NDr'PLS E; jR0 XD A kw , " .OW OF BARN$'TT18k,E. �- UNpIMO"q NO FUEL "ANC CMEMI'CAL $; 0"W�E ;RSOIS:1'f�AT�pIW ��Hq ' e MAP,;NO.. F'gRG L :NO. ADDRESS OF TANK a LLW(98• ` ri MAIL'tNti AD ESS .(;F DIF'FEt't FROM'L ABOVE) t NEA NAMES !'�l�lV�r �� 'INSTALL I ON, 'iA "E, ., ;81f I NSTAI.LER Aipb �$5�. "CERT w AD ee *TAN.X 'LOCATIO _ ;'. .42 iw sa" wzarkt OR ammo or,ca su. �..JpsNblli / CAPAC$T TYPE OF' Y'AN ' _AGE 1fR5. FUEL/CHEMICAL TESTING -URT1 ICA'TYON ,. C 1�A `3 `C 7. FAIL., DA--L� . , LEAK DE ECfiIO. T 3, CHECK 'IF W�l�;. TYIElRpp ;. ° w MI�1 t y!�y+ 111 ��vif li z 'zONE p C_NT01 BU-I. ["� YLJ N� b ' IT• �i 1 t��+d vy+-� r� y'L�v F i RC DE T M l--. I S`SUS `� ` r' �� {, •, u � �� 6PiT' a •' i / w {�y '' .�" aa(• l ytf ;' yj .y 'Gi `fir• ry..py tK. �•,•/� �' •^c s f�'�P"ti � e'F, 5,, fb M1} rtt►\ fl�, ir'L� }•,!• fh F+,C i,1' 1]/,FT• u"^ e a `"pd Y L ` '.'.N Qi c n " t F}K5yF13ai.r BOARD OF {'HE,A6�TH TA fiV0 ,` ( '��&7 D 7E a I � .. J Q A` MC_ r: 1 s (ry 1i4 tk{ ✓• -, 1 , * P :`EASE ROVED .p' 8KrTCH? SHd I�I13 htN :t Department of Public Safety Division of Fire Prevention and Regulation Notification for Underground Storage Tanks STATE USE ONLY ID NUMBER FIRE 0Pp1. Submit to: DATE RECEIVED ) LOCAL FIRE DEPARTMENT ' X Date Entered Into Computer A.NEW FACILITY B.AMENDED C.CLOSURE B. Data Entry Clark Initials No.d tatlks at facility _4_No-:;continuation shoots attached C. Owner Was Contacted to INSTRUCTIONS Clarify Responses.Comments Please trDe or orint in ink all items except•signaturo•in section V.This form must be completed for each location containing underground storage tanks.If more than five(5)tanks are owned at this location,photocopy the following sheets,and staple continuation shoots to the form. GENERAL • • • Netl9eafton Is requited by Fsdarsi Iste fair 0 underground tanks that 1"pft ems; have been used to More regulated substances since January 1,1994,that A.pipeline toditin(Including gathering flea)regutsted under the Natural Gas are in the ground ere of May 8,1986.a that are brought Into use after May s, tsipoHno Safety Act of INS,or the Hazardous Liquid pipeline Safety Act of 1979,a 19N.The Mfortnatton requested its required by Seellon 9002 of the Resource which Is an Intrastate pip line Wily regulated under State laws; Conaervelbn and Recovery Ad,(RCRA),se annended. d surface impoundments.pits,ponds,or lagoons; 9,am"water or waste waw collection systems; The primary purpose of ft notification program is to locate and mhAte 7.9ow-tfhrough process tanks; underground tanks that sane or have stored petroleum or hazardous substances. s.Hod traps or atsoo&led gathering inns diracty related to oif or gas It is expected that the information you provide will be based on reasonably production and gathering operations: available records,or in the absence of such records,your knowledge,belief,or 9.storage tanks situated in an underground area(such as a basement.caner, recollection. nlinewoi Ing,drift,shah,or tunnat)if the storage tank is situate upon or above the Who Must NoIV Section 9002 of RCRA,as arrnended,requires that,unless surface of the floor• exempted,owners of underground tanks that store regulated substances mutt What Substances Are Covered?The notification requirements so*to under notify designated State or local agencies of the existence of their tanks.Owner ground storage tanks that contain regulated substances.This ixludes any nano— substance defined as hazardous in section 101(14)of the Comprehensive a)In de case of an underground storage tank in use on November 8,1964,or EnNronrtental.Response,Compensation and Liability Act of 1980(CERCLA),with brought Into use after that date,any person who owns an underground storage the exception of those substances regulated as hazardous waste under Subtitle C of tank used for the storage,use,or dispensing of regulated substances,and RCRA.h also includes petroleum,a.g.,crude oil or any fraction thereof which is b)In the cue of any underground storage tank In use before November 8, liquid at standard conditions of temperature and pressure(60 degrees Fahrenheit and/1.7 pounds per square heft absolute). 1984.but no longer is use on that data,any person who owned such tank cati inmWiatey before the discontinuation of its use. Where To Notifi' Compieatl notification larm..hould t>< Bann to the eddn%% e)it the State agency so requires,any facility that his un ne dergo any changes ;t%cn at the top of thh%paste ID facility Information or tank system status(only amended tank Information needs ID be Included). Whet Tanks Are Included?Underground storage tank it delved as any one or combination of tanks that(1)is used to contain an accumulation of'regulated When To Notify?1.Owrnws of underground storage tanks in use or that have substances'and(2)whose volume(including omnecied underground piping)is been taken out or operation after January 1,1974,but still in the ground,must notify 10%or more beneath the ground.Some examples are underground tanks storing: by May 8,1986.2.owners who bring underground storage tanks into use after May 1.Gasoline,used oil.or diesel fuel,and L industrial solvents,pesticides, 9,1986.must notify within 30 days of bringing the tanks into use. herbicides or fumigants. Whet Tanks Are Excluded?Tanks removed from the ground are not subject to notification.Oder tanks excluded from notification are: Penalties:Any owner who knowingly falls to notify or submits feiea 1.form or residential tanks of 1,100 gallons or Isss capacity used tar storing Intfortnst{oni shall be subject to a civil penalty not to exceed 110,000 for each motor isle lax noncommercial purposes; Unit fa which notification is not given or for which false Information Is L tank usid for storing heating oil for caeuntptive ues on fe prennites submitted where awed; L OWNERSHIP OF TANK(S) 11.LOCATION OF TANKS) a re4ui by steer,phi the ao Zhlc bo alm of tinfe by degrees,reinsure.end oawndr:. Exanplee lal.42,3ti,12 N long.aS,24.17W z- OerwH Agency.a Other Eny) 5ELOj1T' A(Nh Latitude ..Longitude asset Atiorm 400 Blue Hill Dr of sine as Sect be t tern'bo t here") Westwood MA 02090 F� Owo" rNewwp $M'- ,dn"'asapDicable She11. Service Station Norfolk asset Mors"(P.O.Boa no now") 381. Camp and Yarmouth Yarmouth MA 02090 my Municipally i Page FORM F.P.290(rev. to/go) • �Ill.TYPE OF OWNER IV. INDIAN LANDS _,., Tanks are located on land within an Indian ❑ Tribe or Nation: ❑ Federal Government tLd' Commercial Reservation or on other trust lands. ❑ State Government O Private Tanks are owned by native American ❑ - 'r ❑ Local Government nation,tribe,or individual. V.TYPE OF FACILITY r Select the Appropriate Facility Description Railroad Trucking/Transport , Gas Station E Petroleum Distributor ' Federal-Non-Military. Utilities Air Taxi(Airline) Federal-Military Residential Aircraft Owner Industrial Farm Auto Dealership Contractor Other(Explain) VI. CONTACT PERSON IN CHARGE OF TANKS Is Address Phone Number(Include Area Code) Job Tit Name VII.FINANCIAL RESPONSIBILITY have met the financial responsibility requirements in accordance with 40 CFR Subpart H ———————— ------------7-------------- ---- Check All that Apply ' ' � � �State Funds i 1 Self Insurance Guarantee Commercial Insurance I C� Surety Bond Trust Fund •_] Risk Retention Group I L� Letter of Credit Other Method Allowed Specify Vill. CERTIFICATION(Read and sign after completing all sections) n submitted in this and all ched I certify under penalty of law that I have inquiry Hof hose individuals immediately responsible fo examine,d.,and am familiar willi the �btan ng he information. I believe that he documents,and that based on my inq ry submitted information is true,accurate,and complete. 4 Name and official title of owner Date Signed or owner's authorized representative (Print) Signature E � EPA estimates public reporting burden for this form to average 30 minutes per response including time for reviewing instructions, ompleting and reviewing the form. Send comments regarding this burden estimate to gathering and maintaining the data needed and c ntal Protection Agency,401 M Street,Washington D.C. 20460, marked Chief,Information Policy Branch PM•223,U.S. Environme "Attention Dask Officer for EPA."This form amends the previous notification form as printed in 40 CFR Part 280,Appendix I. S ' t i Page f IX. DESCRIPTION OF UNDERGROUND STORAGE TANKS(Complete tot each tank at this location.) Tank Identification Number Tank No. . Tank No. 7i Tank No.3 Tank No. Tank No. 1.Status of Tank (mark only one) Currently in Use Temporarily Out o1 Use �—� F— 1p� Permanently Out of Use i Amendment of Information ! 2. Date of Installation(mo.year) cf-3 p Cf 4-0 3. Estimated Total Capacity (gallons) 60 `C2 4. Material of Construction (Mark all that apply) Asphalt Coated or Bare Steel Cathodically Protected Steel Epoxy Coated Steel, Composite (Steel with Fiberglass)i I I Fiberglass Reinforced Plastic' I ' Lined Interior Double Walled Polyethylene Tank Jacket: Concrete r l Excavation Liner Unknown li ' �• Other. Please specify. Has tank been repaired? S. Piping (Material) (Mark all that apply) Bare Steel Galvanized Steel. f —� Fiberglass Reinforced Plastic' Copper F7777I Cathodically Protected Double Walled I �— Secondary Containment : Unknown i Other,Please specify 6. Piping(Type) (Mark all that apply) Suction:no valve at tank Suction:valve at tank Pressure Il Gravity Feed Has piping been repaired?! ! ' Page 3 JI- a Tank Identification Number Tank No. I Tank No. Tank No.3 Tank No. I Tank No. 7. Substance Currently or Last Stored In Greatest Ouantity by Volume Gasoline K —� Diesel �r Gasohol Kerosene Heating Oil i Used Oil i�— I, Other,Please specify ! ` ———————————— —— Hazardous Substance CERCLA name and/or. CAS number —————————————-————— ———— ————— ———— ——— Mixture of Substances I I FIF Please specify i i X.TANKS OUT OF USE,OR CHANGE IN SERVICE t. Closing of Tank j A. Estimated date last used I (mo./day/year) I I ———————— B. Estimate date tank closed I I (mo./dayyear) C. Tank was removed from ground I D. Tank was closed in ground E. Tank filled with inert material ! i Describe F. Change in service —� 2. She Assessment Completed ------------ --- -----1----- ---------- Evidence of a leak detected II ' Paoe 4 f IX. DESCRIPTION OF UNDERGROUND STORAGE TANKS(Complete for each tank at this location.) Tank Identification Number Tank No.—�Z- Tank No. Tank No. Tank No. Tank No. 1.Status of Tank C �� (mark only one) Currently in Use Temporarily Out of Use (P-6w to/e A Ncfm DO Permanently Out of Use (n�tw to■wA"Csm W Amendment of Information 2.Date of Installation(mo.year) tR fj�j C( 3.Estimated Total Capacity(gallons) 570 4.Material of Construction : (Mark all that apply) Asphalt Coated or Bare Steel . i Cathodically Protected Steel Epoxy Coated Steel —71 Composite(Steel with Fiberglass) Fiberglass Reinforced Plastic Lined Interior Double Walled Polyethylene Tank Jacket Concrete Excavation Liner Unknown Other. Please specify Has tank been repaired? 5. Piping(Material) (Mark all that apply) Bare Steel Galvanized Steel Fiberglass Reinforced Plastic Copper Cathodically Protected Double Walled Secondary Containment Unknown Other,Please specify i. 6.Piping(Type) (Mark all that apply) Suction:no valve at tank Suction:valve at tank Pressure -71 1----J Gravity Feed Has piping been repaired? f I -i Page 3 Tank Identification Number Tank No.� Tank No:� Tank No. Tank No. Tank No. 7.Substance Currently or Last Stored In Greatest Ouantity by Volume -1 Gasoline J Diesel Gasohol ' Kerosene Heating Oil Used Oil Other,Please specify v F(`[lZiP�tr.t L HY,0 A44 , ———————————— -- -- O/(, -- ---- ---- a Hazardous Substance CERCLA name andior. CAS number r Mixture of Substances - Please specify X.TANKS OUT OF USE,OR CHANGE IN SERVICE t.Closing o1 Tank A. Estimated date last used (moJday/year) ---- L———— ----- -------------------- ----- B. Estimate date tank closed . -- (mo./dayyear) ----- - -- — -- ----- ---- , --- C.Tank was removed from ground D.Tank was closed in ground " E. Tank filled with inert material L= Describe F. Change in service 2.Site Assessment Completed ' ———————————— ———— —— ————— ——————— — Evidence of a leak detected Page 4 is sD Assessor's office(1st Floor): tT a- _, D O Assessor's map and lot number c 0 Isa / o w o i ! . p. f Conservation(4th Floor): ; '� )� '� �; •, r) • � �., Board of Health(3rd floor): j 4 `'�� s. E f ( >tu»rataL i Sewage Permit number 1 ' i out Engineering Department(3rd floor): ' .r' '� ny ��e House number Definitive Plan;Approved by Plenning Board 9 19 APPLICATIONS PROCESSED8:30;9:30 A.M?and 1n00-2:00 P.M.only I i a TOWN ' O!F BA I NSTABLE IBUI61!iG I ' SPECTORN j APPLICATION FOR PEFIMIT TO p%L�'�� Gk�S,\ PUtN'-P=3=-Stti.Q—s�7 i ; l l R TYPE OF CONSTRUCTION ` Gt S 19 9—3, _ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location -3 y, �i"Lr STCL�� • `C �il�Cx-��c� Proposed Use Zoning District Fire District ��c Name of Owner Address ��LuL nzo-TC) 6GS DCs��C-�z.S 333 � � 1 Name of Builder Address SLAIX ZI�- CL OZ. p•O-C� Z Name of Architect � �� k C— Address JAPI;.S DL7.3$ Number of Rooms ti'L4� Foundation Exterior— Roofing Floors POC'C?.EV cz>14 C., µ , CS Interior N �(-A Heating �P' Plumbing Fireplace t' it Approximate Cost. Area �i Diagram of Lot and Building with Dimensions Fe _ —� L { - ��C�-� p n�P�� Zb tZ.�•�� (�)�.s�G� purer ' Cyr-�C��- �� ..�( t�a5c�� ,tr*�.�� C�A�-�►�1.�-�CL� P� ✓ TOWN OF ARNSTABLE U'q!ERGROUND FUEL AND CHEMICAL ST RAGE REGISTRATION I DVA fm) �9AP N0. �. PARCEL N0. ®� ADDRESS OF TANK: t ACO" �- ',!\ .art r"-; 'ri7 VILLAGE: NumbMr ftr��t MAILING ADDRESS ( IF DIFFERENT FROM ABOVE) : 46r7 T OWNER NAME: PHONE: E _ INSTALLATION DATE: a/ � ! BY: r T NSTALLER ADDRESS:- �ds, Ertl�i ;ter" i �.,,� � . .CERT.NO. *TANK LOCATION: `�,<i" 72 r�".. �:i`'_� :> 1 ray.• ; :i T (oKoOR I=K TANK LOCATION WITH MKORCCT TO HU Z LD S NO) CAPACITY TYPE OF TANK i'` �,t- �'L r\�SAGE MRS. FUEL/CHEMICAL V.,A51z er:>1 t— TESTING CERTIFICATION C ] PASS C ] FAIL DATE LEAK DETECTION [ ] CHECK IF N/A TYPE/BRAND r ZONE OF CONTRIBUTION [ YES [ ] NO DA, TE=wT-0—BE REMOVED �I�RE DEPT. PERMIT ISSUED C ] YES C ] NO DATE ��ONSERVATION C ] CHECK IF N/A DATE BOARD OF HEALTH TAG NO. [ ,I ] DATEIfi PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD TOWN OF BARNSTABLE — UNDERGROUND FUEL AND CHEMIC/AAL STORAGE REGISTRATION / AP NO. .�%� � PARCEL N0. I � p - ADDRESS OF TANK: S/i€iv 114 VILLAGE: H^!/-,`a `F Number ®tr40do! --- MAILING ADDRESS ( IF DIFFERENT FROM ABOVE) : ��C i�.ab u i-ti�i_ f�s� �y- 5you -v v21:>-rc� OWNER NAME: PHONE: �o 1-7 - 3. 'tom* - LI (I ®p1`67 INSTALLATION DATE: 1i1�,`48YeC _r •#�'t�,.;...�t _�l��t.2�atl titir rr; ri I NSTALLER ADDRESS: ` 1 tit C�i �t l ��I`! �i t.t i'r"y Ltd CERT.NO. *TANK LOCATION: r 1/»ac;' s r= .�y1- c 7,f- =t C C.itiJ - (DKSORX=K TANK LOCATION WITH MKMMWCT TO BUILDING) CAPACITY -;=.NCO TYPE OF TANK AGE YRS. FUEL/CHEMICAL TESTING CERTIFICATION C ] PASS [ ] FAIL DATE LEAK DETECTION [ ] CHECK IF N/A TYPE/BRAND e ZONE OF CONTRIBUTION [ ] YES [ ] NO DAJT E-----TO BE REMOVED x FIRE DEPT. PERMIT ISSUED C ] YES C ] NO DATE CONSERVATION C ] CHECK IF N/A DATELql;?l n L�IAJSXY e / BOARD OF HEALTH TAG NO. [ 7 DATE A .._ A ,., .- PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD -vw+'+"'`1fnr01'wi*•M.ia!"^. - R9..'�... ....-. .�,:-- .+',nf"Ya+'*,rrf.w.v.. 'r. TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION ..g PARCEL NO. i1 f ADDRESS OF TANK: �` ��) jl JPf k�tir. a% � VILLAGE: Number ,� mtr�•t - i MAILING ADDRESS ( IF DIFFEREN'�F-FROM ABOVE) : ' OWNER NAME: ! ( ( r _. �� .�`''� PHONE INSTALLATION DATE: ` c � BY: ' INSTALLER ADDRESS: ` 'CERT.,40. *TANK LOCATION: 1 f f <DCmOFY I me TANK "OQAT I ON W S-rm mmwmwCT TO mu 2"m4 N1O) j .---CAPAC•ITY 'TYPE OF TANK he�v_-1 AGE YRS. FUEL/CHEMICAL1ti'-t TESTING CERTIFICATION [ ]',PASS C ] FAIL DATE � C LEAK DETECTION C ] CHECK IF N/A TYPE/BRAND ZONE OF CONTRIBUTION [ ]] YES [ ] NO DATE TO BE REMOVED FIRE DEPT. PERMIT ISSUED C Ql"YES C ] NO DATE I" CONSERVATION [ ] CHECK IF N/A DATE BOARD OF HEALTH TAG NO. [ ] DATE PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON. THE BACK ,OF THIS CARD K Q0 417po � ti;rz�^..r.:Tr°'r�s�-�-w— - ..rtr+.n+v,7Y*..+i-..•.....--,.,.-.r .-,..-.-.-`._--"y<yty�.r'Arr'ti,l'f'"O"�..M`+C`nt^"-'„y�,x...::,. TOWNcOF ,BAR_NSTABL--E — UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION MAP NO. q c> PARCEL N0. '~ t� ADDRESS OF TANK: o c� �' '�') VILLAGE: j MAILING ADDRESS ( IF DIFFERENT FROM ABOVE) : OWNER NAME: <_tAr t '��:, n PHONE: /"(Ql INSTALLATION DATE: 19 BY: INSTALLER ADDRESS: 'CERT.iJO. STANK LOCATION': f OW 0 d 2 OR TANK LOOAT I ON WITH Pi¢OPCCT TO UU I LO I NO) CAPACITY50 TYPE OF TANK, AGE YRS. FUEL/CHEMICAL TESTING CERTIFICATION Ell PASS [ ] FAIL DATE 4 {' LEAK DETECTION [ ] CHECK IF N/A TYPE/BRAND t ZONE OF CONTRIBUTION [ A YES [ ] NO DATE TO BE REMOVED FIRE DEPT. PERMIT ISSUED [ 1 YES [ ] NO DATE j CONSERVATION [ ] -CHECK IF N/A —___DATE`A BOARD OF HEALTH TAG NO. [ ] DATE PLEASE 'PROV,IDE A SKETCH -SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD �� ®� ,�u.�,ti� �� ' � � �� b -� C�A�`�' TOWN C'�A.A;�i+iSTABLE LOCATION '-a;ef Camp ., VILLAGE ASSESSOR'S MAP & LOT IN LEER'S NAltE-&-PHDlqE-lW. &TIC TANK CAPACITY EACHING FACILITYA ype) (size) N - . PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER E DA-TE-PY.RJGj-L5SjLW- DATE StTD: V ANTED:Yes Now— 1�i�Q-lv�sft�D -6y �` E IN O - Ij `Q 1. i 4.. i 7 4C VA V— V *CA oA Alt U% ot- 77 -91m, '711 140AP Ll tk� !�Jf r)-rA,L TO f 14�N L. T,4 10 A'uh lf;�Ao VL fit- s t4 A-1 N, ore)A,&V-1 0�0 '1�'"f7 7— ........... �klp v�llw vx-1 11-5-T A 4o' w�o VIP. Ic 4;7,&F- 14-4 P6Ti amv�, b a. r. I-Tbf� (o t z r)��j N& FPCV I r,-W 5 #A Al 0 P�e-rA'b MA tv P roj 2 004- 3 C-1 U 6,A,NA P e Drwn. 3- 'A NATIONWIDE MEDICAL DENTAL BLDG. CORP. DWG . N 0. P. 0. 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