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Home My WebLink About0095 CORPORATION STREET - Health 95 Co Bat owSt eet _ Sewer Acct #4267:. Hyannis A\-r293 -,,D f4 i i i �O(IKE r ti The Town .of Barnstable 1ARMNSCABU * Office of Town Manager 9 MASS. g, , �b i639• A� 367 Main Street, Hyannis, MA 02601 QED MA'S • www.town.barnstable.ma:us Office: 508-862-4610 John C. Klimm,-Town,Manager Fax: 508-790-6226 Email: john.klimm@town.barnstable.nia.us MEMORANDUM TO: Bob Smith, Legal Mark Ells,DPW Director Tom Geiler, Regulatory Services V . FR: John C. Klimm, Town Manager DT: 10/11/06 RE: DEP . For 'your information, I am forwarding you correspondence on the above-mentioned matter. Thank you JCK:lds D C fr-zi EI VE OCT 11 2006 TOWN OF BARNSTABLE CAMMAICENSE/PARVORD-VIOL I ~11y, itinvv VL I COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL,AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION SOUTHEAST REGIONAL OFFICE 20 Riverside Drive, Lakeville, MA 02347 608 946-2700 MITT ROMNEY Governor ROBERT W.GOLL.EDGE,Jr. Secretary BERRY BEALEY Lieutenant Governor ARLEEN O'DONNELL CommiQaioner FAX COVER SHEET FAX # (508) 946-2865. TELEPHONE # (508) • 946-2851 DATE: October 10,12006 FROM: Roberta Edwards PLEASE DELIVER TO: Barnstable Board of Health 508 790 6304 Board of Selectmen 508 790 6226 TOTAL NUMBER OF PAGES: 4 (INCLUDING COVER PAGE) " PLEASE CALL IF YOU DO NOT RECEIVE COMPLETE FAX. Zimmerman Carriers,Notice of Responsibility 9 <``O • C7 ''G CD This information is available in alternate format.Call Donald M.Gomes,ADA Coordinator at 617-556.1057.TDD ScrYlce-1.600-298.2207. MassDEP an the World wide Web: hftp:/Avww.rmss.gov/dep Printed on Recyciad Paper { i v• Lvvu I , vunin Inn00 ucr 1V0. Y, L/4 �\ COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PR SOUTHEAST REGIONAL OFFICE Copy 20 RIVERSIDE DRIVE, LAKEVILLE, MA 02347 508-94(-0900 MITT ROMNEY ROBERT W.GOLLEDGE,Jr. Governor I' Secretary KERRY HEALEY ARLEEN O'DONNELL Lieutenant Governor Commissioner URGENT LEGAL MATTER:PROMPT ACTT N ESSARY September.•2-,200b Zimmerman Carriers RE: HYANNIS-BWSC 786 Glenwood Drive The Iron House Ephrata,Pennsylvania 17522 65 Corporation Road RTN . to NOTICE OFRESPONSZB M-G.L G 21E,310 CMR 40.0000 ATTENTION:Mark Zimmerman On September 28, 2006 at'10:30 am the Department of Environmental Protection ("MassDEP ") received oral notification of a release and/or threat of release of oil and/or hazardous material at the above referenced property which requires one or more.response action. It was reported that 30 gallons of hydraulic oil(oil)was released from a Zimmerman Carriers truck. The oil was released when the hydraulic system oil filter became dislodged from the truck. The oil Was contained to the asphalt surface by sand and speedi dri. The Massachusetts Oil and Hazardous Material Release Prevention and Response Act, M.G.L. c.21E, and the Massachusetts Contingency Plan (the "MCP"), 310 CMR 40.0000, require the performance of response actions to prevent harm to health, safety,public welfare and the.environment which may result from this release and/or threat of release and govern the conduct of such actions. The purpose of this notice is to inform you of your legal responsibilities under State law for assessing and/or remediating the release at this property. For purposes of this Notice of Responsibility, the terms and phrases used herein shall have the meaning ascribed to such terms and phrases by the MCP unless the context clearly indicates otherwise. MassDEP has reason to believe that the release and/or threat of release which has been reported is or may be a disposal site as defined by the M.C.P. MassDEP also has reason to believe that you(as used in' this letter, "you" refers to Zimmerman Carriers)area Potentially Responsible Party(a "PRP")with liability under M.G.L. c.21E §5, for response action costs. This liability is "strict",meaning that it is not based on fault,but solely on your status as owner, operator, generator,transporter, disposer or other person specified This information is available in slternAte format Call Donald M.Gomes,ADA Coordinator at 617.556.1057,TDD Service.1.SW298-2207. MassDEP on the Wortd Wide Web;.httplAwww.mars.gov/dap PrintAd on Racyelea Paper i V. tvvv r . UVnivi IIInJJ vLI No. V I2i Y, i/4 in .M.G.L. c,21E §5. This liability is also "joint and several", meaning that you may be liable for all response'action costs incurred at a disposal site regardless of the existence of any other liable parties. MassDEP encourages parties.with liabilities under M.G.L. c.21E to take prompt and appropriate actions in response to releases and threats of release of oil and/or hazardous materials. By taking prompt action, you may significantly lower your assessment and cleanup costs and/or avoid liability for costs incurred by MassDEP in taking such actions', •You may also avoid the imposition of, the amount of or reduce certain permit and/or annual compliance assurance fees payable under 310 CMR 4.00. Please refer to M.G.L. c.21 E for a complete description of potential liability. For your convenience, a summary of liability under M.G.L. c.21E is attached to this notice. . You should be aware that you may have claims against third parties for damages, including claims for contribution or reimbursement for the costs of cleanup. Such claims do not exist indefinitely but are governed by laws which establish the time allowed for bringing litigation. MassDEP encourages you to take any action necessary to protect any such claims you may have against third parties. At the time of oral notification to MassDEP, you retained Enviro-Safe Corporation to conduct the ` following response actions which were approved as an Immediate Response Action(IRA): • Collection and disposal of oil contaminated sand and speedi dri.. Apply additional speedi dri and absorbents as needed, • All Remediation Waste must be properly stored/handled and disposed of within 120 days from the date!of generation per 310 CMR 40.0030. ACTIONS REOUIRED Additional submittals are necessary with regard to this notification.including,'but not limited to, the. filing of a written IRA Plan, IRA Completion Statement and/or a Response Action Outcome (RAO) ' .. statement, The MCP requires that a fee of$1�00 be submitted to MassDEP when an RAO statement is filed greater than 120 days from the date of initial notification: Specific approval is required from MassDEP for the implementation of all IRAs pursuant.to 310 CMR 40.0420 and 310 CMR 40.0443, ' respectively, Assessment activities,the construction of a fence and/or the posting of signs are actions that are exempt from this approval requirement. In addition to oral notification, 310 CMR 40.0333 requires that a completed Release Notification Form (BWSC-103, attached) be submitted to MassDEP within sixty(60) calendar days of September 28; 2006. You must employ or engage a Licensed Site Piofessional (LSP) to manage, supervise or actually perform the necessary response actions at this site. You may obtain a list'of the names and addresses of these licensed professionals from the Board of Registration of Hazardous Waste Site Cleanup Professionals r- • ,by calling(617)556-1091 or visiting http://www.state.ma:us%lsp.. Unless otherwise provided by MassDEP, potentially responsible parties ("PRP's") have one year h` from the initial date of notification to MassDEP of a release or threat of a release, pursuant to 310 CMR. 40.0300, or_from the'date MassDEP issues a Notice of Responsibility,whichever occurs earlier, to file with.%i, " MassDEP one of the following submittals: (1) a completed Tier Classification Submittal; (2) an RAO, ! 'i, � '•_ "' • .. F .. ` - ;, 1` .. + •fin �. v� L. IV. Lvuv 1 VVnlll IYO00 ULF wo, U 3 Statement or, if applicable, (3) a Downgradient Property Status. The deadline for either of the first two submittals for this disposal site is September 28,2007. If required by the MCP, a completed Tier I Permit Application must also accompany a Tier Classification Submittal. This site shall not be deemed to have had all the necessary and required response actions taken unless and until all substantial hazards presented by the release and/or.threat of release have been eliminated and a level of No'Signif cant Risk exists or has been achieved in compliance with M.G.L. c.21E and the MCP. If you have any questions relative to this Notice,please contact Michael Whiteside at the letterhead address or at (508) 946-2704: All future conuxiunications'regarding this release must reference the following Release Tracking Number: 4-.20088. Very truly yours, . p � Richard F.Packard,Chief Emergency Response/Release Notification Section ti P/MCW/ Attachments: Release Notification Form;BWSC-103 and Instructions Summary of Liability under M.G.L,c.21E MassDEP's guide to hiring a Licensed Site Professional. cc: Board of Selectmen Fire Dept fc; Hyannis Board of Health,David Stanton,Health Inspector 508-790-6304 p- �ct. 10. 2006 6:40AM� MAS DEP No. 0123 P. 2/4 � c OMMONWEALTH OF MASSACHUSETTS a`) EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PR C(yn y SOUTHEAST REGIONAL OFFICE 20 RIVERSIDE DRIVE, LAKEVILLE, MA 02347 508-94 MITT ROMNEY ROBERT W.GOLLEDGE,Jr. Governor Secretary KERRY HEALEY ARLEEN O'DONNELL Lieutenant Governor Commissioner URGENT LEGAL MATTER:PROMPT ACTION NECESSARY mber 29 2006 urvt Septe �Cpr� Zimmerman Carriers RE: HYAI MS-BWSC S 786 Glenwood Drive The Iron House Ephrata,Pennsylvania 17522 95 Corporation-Road l° RTN#4-20089PI I NOTICE OF 1tESPONSI8IZITY (y3t, - AlM.G.L c-21E,310 CMR 40.0000 � �~ ATTENTION:Mark Zimmermanl- On September 28, 2006 at 10:30 am the Department of Environmental Protection ("MassDEP ") received oral notification of a release and/or threat of release of oil and/or hazardous material at the above referenced property which requires one or more response action. It was reported that 30 gallons of hydraulic oil(oil)was released from a Zimmerman Carriers truck. The oil was released when the hydraulic system oil filter became dislodged from the truck. The oil was contained to the asphalt surface by sand and speedi dri. The Massachusetts Oil and Hazardous Material Release Prevention and Response Act, M.G.L. c.21E, and the Massachusetts Contingency Plan (the "MCP"), 310 CMR 40.0000,require the performance of response actions to prevent harm to health, safety,public welfare and the environment which may result from this release and/or threat of release and govern the conduct of such actions. The purpose of this notice is to inform you of your legal responsibilities under State law for assessing and/or remediating the release at this property. For purposes of this Notice of Responsibility, the terms and phrases used herein shall..have the meaning ascribed to such terms and phrases by the MCP unless the context clearly indicates otherwise. MassDEP has reason to believe that the release and/or threat of release which has been reported is or may be a disposal site as defined by the M.C.P. MassDEP also has reason to believe that you(as used in this letter, "you" refers to Zimmerman Carriers)are a Potentially Responsible Party(a"PRP")with liability under M.G.L. c.21E §5, for response action costs. This liability is "strict",meaning that it is not based on fault,but solely on your status as owner, operator, generator,transporter,disposer or other person specified This information is available in alternate format Call Donald M.Gomes,ADA Coordinator at 611-556-1057.TDD Service.1-800-29&2207. MassDEP on the World Wide Web: http:/A~.mass.gov/dap Printed on RaeyrJad Paper ;:Oct, 10. 2006 6:40AM MASS DEP No, 0123 P. 3/4 2 in M.G.L. c.21E §5. This liability is also "joint and several", meaning that you may be liable for all response action costs incurred at a disposal site regardless of the existence of any other liable parties. MassDEP encourages parties with liabilities under M.G.L. c.21E to take prompt and appropriate actions in response to releases and threats of release of oil and/or hazardous materials. By taking prompt action, you may significantly lower your assessment and cleanup costs and/or avoid liability for costs incurred by MassDEP in taking such actions. You may also avoid the imposition of, the amount of or reduce certain permit and/or annual compliance assurance fees payable under 310 CMR 4.00. Please refer to M.G.L. c.21E for a complete description of potential liability. For your convenience, a summary of liability under M.G.L.c.21E is attached to this notice. You should be aware that you may have claims against third parties for damages, including claims for contribution or reimbursement for the costs of cleanup. Such claims do not exist indefinitely but are governed by laws which establish the time allowed for bringing litigation. MassDEP encourages you to take any action necessary to protect any such claims you may have against third parties. At the time of oral notification to MassDEP, you retained Enviro-Safe Corporation to conduct the following response actions which were approved as an Immediate Response Action(IRA): • Collection and disposal of oil contaminated sand and speedi dri. • Apply additional speedi dri and absorbents as needed. All Remediation Waste must be properly stored/handled and disposed of within 120 days from the date of generation per 310 CMR 40.0030. ACTIONS REQUIRED Additional submittals are necessary with regard to this notification including,but not limited to, the filing of a written IRA Plan, IRA Completion Statement and/or a Response Action Outcome (RAO) statement. The MCP requires that it fee of S1,200 be submitted to MassDEP when an RAO statement is filed greater than 120 days from the date of initial notification. Specific approval is required from MassDEP for the implementation of all IRAs pursuant to 310 CMR 40.0420 and 310 CMR 40.0443, respectively, Assessment activities, the construction of a fence and/or the posting of signs are actions that are exempt from this approval requirement. In addition to oral notification, 310 CMR 40.0333 requires that a completed Release Notification Form (BWSC-103, attached) be submitted to MassDEP within sixty(60) calendar days of September 28, 2006. You must employ or engage a Licensed Site Professional (LSP)to manage, supervise or actually perform the necessary response actions at this site. You may obtain a list of the names and addresses of these licensed professionals from the Board of Registration of Hazardous Waste Site Cleanup Professionals by calling(617)556-1091 or visiting httpHwww.state.ma.us/lsR- Unless otherwise provided by MassDEP, potentially responsible parties ("PRP's") have one year from the initial date of notification to MassDEP of a release or threat of a release, pursuant to 310 CMR 40.0300, or from the date MassDEP issues a Notice of Responsibility,whichever occurs earlier,to file with MassDEP one of the following submittals: (1) a completed Tier Classification Submittal; (2) an RAO r No, 0123 P. 4/4 Oct, 10. 2006 6:40AM MASS DEP 3 Statement or, if applicable, (3) a Downgradient Property Status. The deadline for either of the first two submittals for this disposal site is September 28,2007. If required by the MCP,a completed Tier I Permit Application must also accompany a Tier Classification Submittal. This site shall not be deemed to have had all the necessary and required response actions taken 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. 1f you have any questions relative to this Notice,please contact Michael Whiteside at the letterhead address or at (508) 946-2704. All future communications'regarding this release must reference the following Release Tracking Number:4-20088. Very truly yours, Richard F.Packard,Chief Emergency Response/Release Notification Section P/MCW/ Attachments: Release Notification Form;BWSC-103 and Instructions Summary of Liability under M.G.L.c.21E MassDEP's guide to hiring a Licensed Site Professional. cc: Board of Selectmen Fire Dept fc: Hyannis Board of Health,David Stanton,Health Inspector 508-790-6304 01922 MA 9/28/2006 001 A261012 ❑ Delete NFIRS - 1 �0� ❑ Change State * Incident Date �11� Station incident Number Exposure ❑ No Activity BASIC Location Check this box to indicate that the address for this incident is provided on the wildland Fire I 20 Module in Section B"Alternative Location Specification".Use only for wildland fires. Census Tract ® Street Address ❑ Intersection 95. 1CORPORATION STREET ST U ❑ In front of Number/Milepost Prefix Street or Highway t treat ype Suffix ❑ Rear of 1 1Hyannis I ' MA II 02601 El Adjacent to Apt./Suite/Room utty // �.; tate ZpCode ❑❑ Directions iron house Cross street or directions,as applicable � ) �s- C Incident Type E1 Dates&Times �Mi&nightis0000 E2 Shifts&Alarms 413 IOil or other combustible Local Option Incident Type liquid shill Check boxes if Month Day Year Hour Min dates are the ® Aid Given—Received same as Alarm ALARM always required u Still u Date. Alarm 09 28 2006 09:57 ' ifton No OfAlarm�istrict .1 ❑ Mutual aid received I I I I ARRIVAL required,unless canceled or did not arrive 2 ❑ Automatic aid recv. Their DID I Their I I�r�II w ® Arrival 09 28 2006 10:03 E3 Special Studies p Mutual aid given State I �--', Local Option ❑ Automatic aid given `"�/// CONTROLLED optional,except for wildland fires 50 Other at given ❑ Controlled u u U I --N ®.None Their Incident Number ® Last Unit LAST UNIT CLEARED,required except wildland fire Special Special Cleared 09 28 2006 11:10 smdylD# Study value F Actions Taken G1 Resources G2 Estimated Dollar Losses &Values ❑ Check this box and skip this section if an LOSSES: Required for all fires if known. Optional for non fires. 43 Hazardous materials spill control and I Apparatus or Personnel form is used. None Primary Action Taken(1) Apparatus Personnel Property I I El 82 11Notify other agencies. I Suppression 1J �1 1 Contents I ❑ ._.Additional Action Taken(2) EMS L 0 I U PRE-INCIDENT VALUE: optional u I Other Property I I ❑ Additional Action Taken(3) ❑ Check box if resource counts include aid received resources. Contents I I ❑ completed Modules H1 Casualties ® None H3 Hazardous Materials Release Mixed Use Property Deaths Injuries Fire-2 Fire N❑ None N N H Not mixed I ;Structure-3 Service. I .0 I I 0 I 1 ❑ Natural gas:slow leak,no evacuation or HazMat actions 10 ❑ Assembly Use E:Civilian Fire Cas.-4 u u 2 ❑ Propane gas: <21 lb.tank(as in home BBo grill) 20 ❑ Education use 1Fxre Serv. Casualty Civilian p 3 Gasoline:vehicle fuel tank or portable container 33 ❑ Medical use =3 � ❑ {]:EMS-6 �0 0� 40 ❑ Residential use 4 ❑ Kerosene:fuel burning equipment or portable storage 51 ❑ Row of stores Q`HazMat-7 5 ❑ Diesel fuel/fuel oil:vehicle fuel tank or portable storag 53 ❑ Enclosed mall Detector❑ 6 Household solvents:Home/office spill,cleanup only 58 ❑ Business&residential;Wildland Fire-8 H2 Required forconfinnedfires. ❑ ❑Apparatus-9 7 ® Motor oil:from engine or portable container 59 ❑ Office use 1 ❑ Detector alerted occupants 8 Paint:from paint <55 allons 60 ❑ Industrial use Personnel-10 p ❑ p g g 2❑;Detector did not alert them 0 ❑ Other:Special HazMat actions required or spill>55 gal., 65 El Farm 63 ❑ Military use use U❑I Unknown Please complete the HazMat form 65 ❑ Other mixed use p Property Use Structures .aJ 341 ❑ Clinic,Clinic Type infirmary 539 ❑ Household goods,sales,repairs 131 ❑ Church,place of worship 342 ❑ Doctor/dentist office 579 ❑ Motor vehicle/boat sales/repairs 161 ❑ Restaurant or cafeteria 361 ❑ Prison orjail,notjuvenile 571 ❑ Gas or service station 162 ❑ Bar/tavern or nightclub 419 ❑ 1-or 2-family dwelling 599 ❑ Business office 213 ❑ Elementary school or kindergart. 429 ❑ Multi-family dwelling 615 ❑ Electric generating plant 215 ❑ High school or junior high 439 ❑ Rooming/boarding house 629 ❑ Laboratory/science lab 241 ❑ College,adult ed. 449 [1 Commercial hotel or motel 700 ❑ Manufacturing plant fi 311 ❑ Care facility for the aged 459 ❑ Residential,board and care 819 ❑ Livestock/poultry storage(barn) 331 ❑ Hospital 464 ❑ Dormitory/barracks 882 ❑ Non-residential parking garage 519 ❑ Food and beverage sales 891 ❑ Warehouse 3 Outside 936 ;` .; ❑ Vacant lot 981 124 . Playground or park 938 ❑ Graded/cared for lot of land ❑ Construction site 655 Crops or orchard P ❑ Industrial plant yard 669 ❑ Forest(timberland) �6 ❑ Lake,river,stream ~" 807 ❑ Outdoor storage area 951 ❑ Railroad right of way '• 960 ❑ Other street Look u and enter a 919 ❑ Dump or sanitary landfill 961 ❑ Highway/divided highway Property v y if Property Use 807❑ Pro a Use code only } 931 Open land or field you have NOTchecked a 962 ❑ Residential street/driveway Property Use box: Outside material storage NFIRS1 ReAsicn QY11,99 A261012 - EXP 0, 912812006 PAGE 1 OF 2 HYANNIS FIRE DEPARTMENT - MFIRS REPORT Person/Entity Involved K1 (Zimmerman Carriers I 1717-733-8330 Local Option Business name(if applicable) Phone Number 3 Check this box if �� I Mark I U I Zimmerman I L� same address ass incident location. Mr.,Ms.,Mrs. First Name MI Last Name Suffix Then skip the three 786 I U u duplicate address lines. Number/Milepost Prefix Street or Highway Street Type Suffix Ephrata Post Office Box Apt./Suite/Room City PA I 17522 State Zip Code More people Involved? Check this box and attach Supplemental Forms(NFIRS-1S)as necessary. ` Owner ®Same as person involved? P� Then check this box and skip (Mark I I717-733-8330 Local Option the rest of this section. Business name(i applicable) Phone Number Check this box if0 same address as I Mark I u I Zimmerman incident location. Mr.,Ms.,Mrs. First Name MI Last Name Suffix Then skip the three 6 duplicate address 78 �—J lines. Number/Milepost Prefix Street or Highway Street Type Suffix I I < .� I Ephrata I 7. Post Office Box Apt./Suite/Room City ��: PA I 17522 State Zip Code e Remarks: Local Option r r=: I ® More remarks?Check this box and attach Supplemental Forms LTEMS WITH A MUST ALWAYS BE COMPLETED! (NFIRS-IS)as necessary. M Authorization a 09 28 2006-. Officer in charge ID Signature Position or rank Assignment Month Day Year Check box if same as Officer in charge.=> ® 7702 1 (Roger E Cadrin I I Lieutenant i I Suppressionj L09 128112066 Member making report ID Signature Position or rank Assignment Month Day Year .4261012 - Exp 0, 912812006 page 2 of 2 HYANNIS FIRE DEPARTMENT- MFIRS REPORT A 01922 11 AI 1 9/28/2006 001 I A26101.2 I 0 !] Delete NFIRS - 1S F961D State* Incident Date Station Incident Number Exposure n Change Supplemental Person/Entity Involved (Zimmerman Carriers I I717-733-8330 I S�_•,� Local Option r� net' Business name(f applicable) Phone Number 3: u El,Check this box if same address as I Mark I I-I I Zimmerman . incident location. Mr.,Ms.,Mrs. First Name MI Last Name Suffix Then skip the three v. duplicate address I I lines. 786 Number/Milepost Prefix Street or Highway Street Type Suffix Ephrata I { Post Office Box Apt./Suite/Room City PA I 17522 State Zip Code K2 Person/Entity Involved (Town Of Barnstable I I508-862-4644 Local Option Business name(if applicable) Phone Number .Board of Health Che k this box if same addr ss as (David I u I Stanton I �� incident location. Mr.,Ms.,Mrs. First Name MI Last Name Suffix Then skip the three duplicate address I I I I IMam Street lines. L_ I L1 `. . Number/Milepost Prefix Street or Highway Street Type Suffix I I I I Hyannis I I Post Office Box -Apt./Suite/Room City State Zip Code iKPerson/Entity Involved 3 IZimmerman Carriers I I717-733=8330 I r; Local Option Business name('If applicable) - -rnployee Phone Number I El Check this box if I Mike I U I Hoch I �� same address if incident location. Mr.,Ms.,Mrs. First Name MI Last Name Suffix Then skip the three 786 u I I U u duplicate address lines. Number/Milepost Prefix Street or Highway Street Type Suffix Ephrata Post Office Box Apt./Suite/Room City PA I 17522.. . I - State Zip Code 4.4 Person/Entity Involved (Mass EPA I I508-946-2855 Local Option Business name(if applicable) Phone Number rl p a Check this box if same address as I Mike I U I Moran I L� ••"� incident location. Mr.,Ms.,Mrs. First Name MI Last Name Suffix r Then skip the three I I u u duplicate address ILII lines. I . y" Number/Milepost Prefix Street or Highway Street Type Suffix Post Office Box I Apt./Suite/Room City State Zip Code -31 NFIRS71 Revision 69M A2MO17 - Fyn n- FSC- <c,Fgr q,.1v.>>. gi2Rl2nnr, HYANNTS FTRF DFPT r,a„A r „f 9 °< 01922 u 1 9/28/2006 001 1 A261012 I �0 Delete NFIRS - 1S FEA AIL State* Incident Date Station Incident Number Exposure Change Supplemental lS � Person/Entity Involved 5 (Iron House I I508-771-4799 Local Option O ner Business name(•f applicable) Phone Number Check this box if J same address as I John I u I Webb I L� incident location. Mr.,Ms.,Mrs. First Name MI Last Name Suffix Then skip the three I duplicate address 95 �J (CORPORATION I ST ST lines. Number/Milepost Prefix Street or Highway Street Type Suffix I (Hyannis Post Office Box Apt./Suite/Room City L MA I 02601 I. State Zip Code 4 .� Person/Entity Involved Cs Local Option IEnvirosafe I I508-888-5478 I ..:. �li h I y ee Business name(if applicable) Phone Number „ Check this box if u I Heather I u I Atwood I L same address as incident location. Mr.,Ms.,Mrs. First Name MI Last Name Suffix Then skip the three I I u duplicate address .lines. Number/Milepost Prefix Street or Highway Street Type Suffix s V Sagamore I Post Office Box Apt./Suite/Room City Ma State Zip Code Person/Entity Involved .�7 IEnvirosafe Local option I I I Business name(if applicable) Phone Number P'niployee 1 I Check this box if I I I Darryn I LJ LFrye same address f I incident location. Mr.,Ms.,Mrs. First Name _ MI Last Name Suffix Then skip the three I I u u duplicate address ILII :.: lines. —,� Number/Milepost Prefix Street or Highway Street Type Suffix ISagamore I Post Office Box Apt./Suite/Room City State Zip Code ,ask. it NFlRS11 Revision"M1 A26>n» - Fyn n. F.Sr. <<F�� aP N�>>. 912R12nnis HYANNTS FTRF DFPT „a„A 9 „f 7 Li1 01922 1 u 9/28/2006J 1 001 1 A261012 0 ❑ Delete NFIRS - IS State * Incident Date r/l� Station Incident Number Exposure rll� ❑ Change kupplemental .. ;R L.( 7rS j,�j • e K2 Remarks 95 CORPORATION STREET Received a call from Dean of Cape Way Towing requesting our assistance at the Iron House on Corporation Rd for a hydraulic fluid spill due to a faulty filter on a Tractor Trailer. Dean reported that the spill was covered with dirt and speedi dry. Dean was called to repair the trucks filter when he saw the amount of oil on the ground he called the FD to notify appropriate agencies and contact a clean up Co. Lt Cadrin responded with Car 800 to investigate, upon arrival I spoke with the truck driver and property owners as to what took place, I observed approx 30 gallons of hydraulic oil had spilled onto the driveway ,to the Iron House and was already covered with sand and speedi dry when I arrived. The truck was still in place when I arrived, the driver was delivering coal to the Iron House when he attempted to lower the dump body on the truck the filter let go causing the oil to leak onto the ground. The truck driver and Iron House employees attempted to cover the spill with dirt, preventing it from reaching a nearby storm drain. The trucking company owner agreed by phone to pay Enviro-Safe Corp and do the clean up, They were F contacted directly and dispatched a crew to the scene. I notified the town of Barnstable Board of Health of the situation, inspector David Stanton responded to the scene to document cleanup. Department of Environmental Protection will send a rep to survey the situation and over see cleanup. The spill is approx 10x30 and is isolated to the driveway for the Iron House. Deputy Melanson was also called to the scene by Lt Cadrin. There were no other sen hive areas effected and no one injured in the incident. The truck was moved �� _ 'T. o from the scene to allow for cleanupi.,�Truck�Info Peterbuilt With Pennsylvania Reg # �.. \�/ AE-70693 �. - A2'61012 - EXP 0, 912812006 HYANNIS FIRE DEPARTMENT MFIRS REPORT PAGE 1 TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine;Gas Stations,Repair BOARD OF HEALTH O satisfactory 2.Printers 3.Auto Body Shops unsatisfactory- 4.Manufacturers (see"Orders") 5.Retail Stores COMP D 6.Fuel Suppliers ADDRESS kpopjcofv KD. Class: 5 7.Miscellaneous K S QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MATEItil4IALS IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil(C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: p� 0V 1 l cep aAll, 1 J { DISPOSALIRECLAMATION J REMARKS: 1. nary Sewage 2. ater Supply Town Sewer ublic O On-site OPrivate 3. Indoor Floor.Drains YES NO O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter ProductName of Hauler Destination Waste YES NO 2. 'WILL 3)z of Person(s) Interviewed Inspector Da e een 7 TOWN OF BARNSTAB/--�LE tOMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair 2.Printers BOARD OF HEALTH satisfactory 3.Auto Body Shops C TT0 unsatisfactory- 4.Manufacturers COMPANY (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS 95' Ga hob:;2 Class: 7•Miscellaneous 01.av�p!s' QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil(C) transmission/hydraulic Synthetic Organics: degreasers k1PZ6'P- 0 l Miscellaneous: V.&` -Y-t A&V"V- s f oxy - � t DISPOSALIRECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply O Town Sewer NPublic XOn-site OPrivate 3. Indoor Floor Drains YES—NO—)( O Holding tank:MDC O Catch basin/Dry well O On-site system yy,�� 4. Outdoor Surface drains:YES %�NO' ORDERS: 1 O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter DestinationName of Hauler '' YES NO 2. ,9- � rs (s) Interviewed Inspector I5ate Date: TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: _Z-RD/V Homes �y� BUSINESS LOCATION: MAILINGADDRESS: 95 Co1fPoRgTian1 RlJ /1YIVNN�cs m,3 41 o/Mail To: ' Board of Health TELEPHONE NUMBER: 6a�_ �7/-H7 99 Town of Barnstable CONTACTPERSON: 0 1W,4 P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: Hyannis, MA 02601 TYPEOFBUSINESS: Does your firm store any of the toxic or hazardous materials listed below, either for sale or for you own use? YES ✓ NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity Antif reeze(for gasoline or coolant systems) Drain cleaners NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes mob, Road Salt (Halite) Hydraulic fluid (including brake fluid) -4 ` Refrigerants Motor oils �� Pesticides NEW USED (insecticides, herbicides, rodenticides) 6 Gasoline, Jet Fuel Photochemicals (Fixers) ,Diesel fuel, kerosene, #2 heating oil NEW USED -D Other petroleum products: grease, 4 Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink 4 Degreasers for driveways & garages —G Wood preservatives (creosote) Battery acid (electrolyte) -0 Swimming pool chlorine i Rustproofers 4 - Lye or caustic soda n" Car wash detergents 4 Jewelry cleaners Car waxes and polishes �4_ Leather dyes 4 Asphalt & roofing tar Fertilizers L Paints, varnishes, stains, dyes PCB-s Lacquer thinners ��' (J Other chlorinated hydrocarbons, V'NEW USED (inc. carbon tetrachloride) �b � Paint & varnish removers, deglossers I/ Any other products with "poison" labels Paint brush cleaners �() (including chloroform, formaldehyde, Floor& furniture strippers hydrochloric acid, other acids) Metal polishes -() Laundry soil & stain removers l/ Other products not listed which you feel (including bleach) may be toxic,or hazardous (please list): Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents �� 61 A Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Rep satisfactory 2.Printers BOARD OF HEALTH 'y 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMP (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS 7� D �ti Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) Underground MAJOR M RAIN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: Ale DISPOSAURECLAMATION RE S• �/ 1. Sanitary Sewage 2.W er Supply 4 ` ��G --- - el Y O Town Sewer OPublic Von-site OPrivate � S 3. Indoor Floor Drains YES ' N0 O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC O Catch basin/Dry well _ O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES NO 1. 2. Per &(sl Interviewe Inspector Date TOWN,OF BAFNSTABLE -�4a67 LOCATION �-4 ZC&- 1�� SEWAGE # VILLAGE ASSESSOR'S MAP & LOT OZ9,3 01 iA1�'pAL o SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) s NO. OF BEDROOMS OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) - Feet Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of leaching facility) Feet r Furnished by