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Home My WebLink About0167 CORPORATION STREET - Health tx_��.�,-.tires• - i 1'67 Co rat on Stree ', '`` # 'wt' S A yannls: Se" Acc't`W4628 293 . 044 R �L a II i ° p ° o ° o i A - I;F Date: ( /3o/ 0 y f • TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: i e Pee BUSINESS LOCATION: �� 2 INVENTORY MAILING ADDRESS: " TOTAL AMOUNT- TELEPHONE NUMBER- CONTACT - -7-7$'" 232 $ 3 �a Aa-n-s CONTACT PERSON: EMERGENCY CONTACTTEL�j PHONE NUMBE • MSDS ON SITE? TYPE OF BUSINESS: "Lzy'h r7 No. . •p• INFORMATION/RECOMMENDATIONS: ' o �•, �s�s Fire District: 7tilrn _ �a�- Cah+*rLe,7� a�r�rve s. Gad lN � •s�.jw'a^fie. �7'�[G( i�''LB/1.� � .'6/�'y� 'r i 7 �Q�/.S ..��r ��6►W�r' -r�.. Waste Transportation: e.*- Last shipment of hazardous.waste: (o —ZH —04r Name of Hauler- Destination• Waste Product: ke,OAW� el' Licensed? Yes 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 Observed/Maximum Antifreeze (for gasoline or coolant systems) Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides J�aI NEW USED ✓ (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW 2SED Misc.petroleum products. grease, Photochemicals (Developer) lubricants, gear oil 8v NEW a SED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofeh; A Misc. Combustible Car'wash detergents Leather dyes I- +Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED a Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, .Misc. Flammables hydrochloric acid, other acids) Floor &furniture.strippers Other pr.oducts not listed which you feel Metal polishes r� ,' may be toxic or hazardous (please list): Laundry soil & stain removers 'W�-C. Ci',( eA (including bleach) Spot removers &cleaning fluids �1 ;� 5.f,�., eye h�yi✓i ' (dry cleaners) . I.# 44t _ a 0 Other cleaning solvents P�'.dYYl�yIQ/hc+6 fy � Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS r4r HazMat On-Site Inventory/inspection: tE Oq a e'1 J Records to Review for SQGs and CESQGs DBA: Location: Site visit date: -3d -oti �~ o�vim• Hazardous Waste Manifests: • Employee training documentation (if required): 13,6 e s Hazardous substance spill control and contingency plan: MSDS on site? • HazMat Inventory records (if applicable): • HazMat Waste Shipping documentation: Ll 40,� CrZz � • Spill records (if applicable): /✓6 /4aZ_ , ems.) Hazardous Materials On-Site aInventory/inspection For.ALL Shops and Businesses in the Town of Barnstable : DBA: Lo_C.ation: -Date: Physical Features to. Inspect: Hazardous waste generation/sites (production/manufacturing areas): Waste storage areas: Satellite accumulation points throughout:. V HazMat stored outdoors— CHECK OUTSIDE: Nb Shipping and receiving areas: Run down of shop activities: Housekeeping practices: r Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS J• DBA: Sir Speedy Fax: Corp Name: Mailing Address Location: 12 Enterprise Road,Hyannis Street: 11 Enterprise Road ..._ mappar: City: Hyannis ConTelephone:tact: `7�7(8 2328 C—r�S,,�/7,.Sta Zip: M 02601 Emergency: 760-2609 Person Interviewed: ' V$� 17U/Lc ............... .....................__ _. . Business Contact Letter Date: 6/24/2004 Category: :Printers Inventory Site Visit Date: 6/30/2004 Type: 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 d❑ outdoor catch basin/drywell expir - - ❑ on-site sewage ❑ indoor on-site syste ❑ outdoor onsite system date: ............ MSDS sheets on site. Cannon/kodak recycle toner on site. compliance: Recommended flammable cabnet due to smoker.Chrome Cylinder& Satisfactory Nitric Acid 1 qt. Fixers 5 gals. Developer 30 galons. Printing Ink 35lbs. Blanket Wash 10 gallons-Petroleum Distillates. Fountain Sollution 4 gallons-Gthylene Glycol. Isopropyl Alcohol 2 qts. Notes:2/14/97 See 97 inspection report for current list of chemicals. 6/30/04 Onsite inventory. New location this year. Page 2 W Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ Zero Toxic Waste Materials ❑d gty's>25 Ibs dry or 50 gals liquid but less than 111 gals ❑ gty's 111 gals or more description: . qty: unit of measure photochemicals(fixers&developers) 15gallons Waste Transporter: J.B.Silva Fire District: � C s Last HW Shipment Date: `Z� p Waste Hauler Licensed: Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS ................ .. .................... DBA: ',Sir Speedy Fax: 508-778-1513 . ............................. ................... ................................... .................... Corp Name: Mailing Address ........................................................................................... ..................................................................................... ...............-............A Location: '167 Corporation Road,Hyannis Street: 167 Corporation Road ................... ......................................................... .................. ........................................................................................ ...................... mappar: City: Hyannis Contact: :Mike Enos,Manager State: Ma Telephone: 1508-778-2328 Zip: 026011 Emergency: Person Interviewed: Mike Enos ............................................................................................ Business Contact Letter Date: 6/24/2004 .. ....................... ...........*"*'**'***** **'**'****' Category: 'Printers Inventory Site Visit Date: 6/30/2004 i......................................................................................................................... Type: .......................................................................... ................................ Follow.Up/Inspection Date, public water El indoor floor drains W outdoor surface drains ❑ license required El private water El indoor holding tank mdc El outdoor holding tank mdc ❑ currently licensed W town sewage El indoor catch basin/drywell RJ outdoor catch basin/drywell expir El on-site sewage El indoor on-site syste El outdoor onsite system date: ......................................................... MSDS sheets on site. Cannon/kodak recycle toner on site. compliance: Recommended flammable cabnet due to smoker.Chrome Cylinder& Satisfactory Nitric Acid 1 qt. Fixers 5 gals. Developer 30 galons. Printing Ink 35lbs. Blanket Wash 10 gallons-Petroleum Distillates. Fountain Sollution 4 gallons-Gthylene Glycol. Isopropyl Alcohol'2 qts. Notes: 2/14/97 See 97 inspection report for current list of chemicals. 6/30/04 Onsite inventory. New location this year. Has metal shop rag can with lid. ORDERS: Obtain current MSDS sheets. Store rags and boxes of paper away from flammable chemical storage until flammables cabinet arrives. Label HW storage barrels,keep indoors. Brief staff on hazmat spill plan and the recommendations given. ja M C ry\ 40 CAA-_ Lao 01 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 . '.1 33 .4.4.description ��w&�� [r- �a"rs gty.?� eunit Of m02SUre � Developer _ _33�gallons photochemicals(fixers&developers) _ 251gallons Misc.Poison 21gallons misc.petroleum products:grease,lubricants 2 gallons other cleaning solvents 2;gallons Misc.Acid 1 gallons Misc.Flammable. 19 gallons motor oil____ _ 0.51gallons Misc.Combustible 21gallons -._......................................._..._._..._................._...•...................-- .._._.-__.._.__---_.._, _.__.._........._.__._................._..._._.__ Waste Transporter: J.B.Silva Fire District: ;Hyannis i......................_......_...._.........................................._...:..,............................................_......... ........_......_..............._.__......__.._...........-._........... ............._..._.: Last HW Shipment Date: 6/24/2004 Waste Hauler,Licensed: Yes - r r �r F, Date: 6 1.30/0 TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: BUSINESS LOCATION: INVENTORY MAILING ADDRESS: " TOTAL AMOUNT: TELEPHONE NUMBER: 6-08 —-7-7 9— 232 $ q-1 -4an5 CONTACT PERSON: 22z `A"_.4 EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: No. o y. INFORMATION/RECOMMENDATIONS: Fire District: c — 1 arr,,n�a• J •Ve-S. ��..ee Waste Tra`hsportation: Last shipment of hazardous.waste: Name of Hauler:"S 1 VcA- Destination: Waste Product: -f-1*kew,,MP�/�6r licensed . Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the Genera aws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides 51 at NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW 2rlUSED oZtA Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil 8L NEW 4S �JSED Degreasers for engines and metal V/ Panting ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents TT Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED a Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor &furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers e� (including bleach) Spot removers &cleaning fluids (dry cleaners) ibl Q�at - ✓ Other cleaning solvents YI) Bug and tar removers . Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Massachusetts Fire Incident Report Hyannis Fire Department Date of Time Of Arrival Time In FDID Incident No. Exposure #. Incident Day of week Call Time Service 01922 A230918 0� 8/27/20 Wednesday ® 11 :12 11 : 18 12:30 Address zi p Census Tract 1 6 7 lCorporation Street Hyannis 2 0 Type of Situation Found Type of Action Take Mutual Aid 41 Spill/leak W/o Ignition 41 4 Remove Hazard Fixed Property Use Ignition Factor "uncovered Parking Area." 9 6 5 00 No Fire Found 0� Occupant Name Occupant Telephone Discount . Office Furniture F 508-778-6800 Owner Name Owner Address Owner Telephone Jerry Sheffield Method Of Alarm Shift No Of Alarms # of Personnel Responded Hazardous 1 Telephone A� 0 Materials Engines Tankers Aerial Other Vehicles Present 001 0� 0� 0� Fire Service Other Injuries Injuries U= Fatalities 0� Injuries 0I Fatalities 0I Rescues U1 Mobile Property Use ❑ Is Car Stolen Insurance Company Mobile Property Make Year Model Color License Number VIN 0 � 0 Complex Area Of Origin Estimated 0 0 Loss Equipment Involved In Ignition Form Of Heat Of Ignition 0 If Equipment Was Involved In Ignition Material Ignited Year Make Model Equipment Serial Number 0 Method of Extinguishment Level Of Fire Ori in Number Of Stories Construction Type Detector Performance Sprinkler Per q Extent Of Damage Flame I J= Smoke Material Generating Most Smoke Type Of Material Generating Most Smoke 0 Avenue Of Smoke Travel Weather Conditions Commanding Officer C.I.eax.................................................................. Lt Cadrin Report By JLt Cadrin HYANNIS FIRE DEPARTMENT - INCIDENT REPORT COMMENT PAGE Incident No. A230918 Address 167 CORPORATION STREET Date of Report 8/27/2003 commanding Officer JU Cadrin Report By JU Cadrin Received a call from Mr. Sheffield reporting a diesel spill behind his store. We responded with E-826 to investigate and found an area approx 4x6 to the rear of the store amounting to approx 5-6 gallons. We used speedi-dry to contain the spill that was caused by a delivery truck that had filled its fuel tank prior to delivering furniture to this store. While parked behind the store the truck was at an angle where the fuel tank was on the low side of the truck, this caused diesel fuel to leak from the tank onto the ground. When the spill was discovered Mr. Sheffield call this station to report it. We spoke with the delivery company Spets Associates Inc. by phone and explained the situation to them. They agreed to cover the cost of a clean up company to remove the spill. We then called Enviro Safe Corp. and arranged to have then clean up and dispose of the fuel spilled. Mr James Guillet from Enviro Safe arrived on scene within the hour and used additional speedi-dry to pick up and remove the fuel. There were no drains or other environmentally safe areas affected, there was no fire involvement and no injuries. La.tJ y- C-9 ac iJ ski (�uJ h Q�f� , :, 21 / TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Re r 2.Printers satisfactory BOARD OF HEALTH - 3.Auto Body Shops (� _ Q unsatisfactory- 4.Manufacturers COMPANY j,,,tom (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS Class: 7.Miscellaneous 1 QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR RIALS Case lots Drums Above Tanks Underground d !ham IN OUT IN OUT IN OUT #&gallons Age Test ►'p Fuels: � v - Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) �6L Heavy Oils: waste motor oil (C) 3 fin — / ` new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers o z Miscellaneous: 1 �LG y- 1 Z lac i-bV-v�h �c�vl2.�li -c,x► e 4 if lac .�atiY /STo� DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply O Town Sewer ublic Xn-site Q rivate 3. Indoor Floor Drains YES NO,;,V O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES__XNO ORDERS: s O Holding tank: MDC Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES NO 2. Person(s) Interviewed Inspector Date — Hoag TOWN OF BARNSTABLE 6'l LOCATION �� dN>� -/w RSD SEWAGE�-f----'O' � VILLAGE ASSESSOR'S MAP & LOT O-5�y Se.a� Co SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size)- NO.OF BEDROOMS BUILDER OR OWNER ��'. PERMITDATE: COM P LIANCE DATE: Separation Distance Between the:C-7-Rs 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 Furnished by ,yoas� TOWN OF BARNSTABLE LOCATION A'E ��' � -n'L 72rZ SEWAGE # VILLAGE y 9 ASSESSOR'S MAP & LOTa93 SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO. OF BEDROOMS ) R-AR OWNER op aldsv PERMITDATE: COMPLLkNCE DATE: Separation Distance Between the: S //T L/je-t" /�P Maximum Adjusted Groundwater Table tot e Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (1f 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 Furnished by ��' ( TOWN O (tNSTABLB _ LOCATION 3 .. 44 Co r p o!3!¢,SEWAGE # VILLAGE - ASSESSOR'S MAP & LOT Zcy 3 ` INSTALLER'S NAME & PHONE NO.. 04( N e e Z� C,,&h S4r c, o h SEPTIC TANK CAPACITY LEACHING FACILITY:(type) mw s NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER !j&6 BUILDER OR OWNER IM 6 fi)A f2 CA T/Z VS T DATE PERMIT ISSUED: 1 — O - 8S DATE COMPLIANCE ISSUED;.- Z ' 2 - 85 VARIANCE GRANTED: Yes 7C. No f_ V w �x r O L u; I ; TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH O satisfactory 2. Printers 3.Auto Body Shops q tij'E unsatisfactory- 4.Manufacturers COMPANYC / �a�IL� (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS 11,01 1bg0o"N O), Class: 7. Miscellaneous } ' NN1S QUANTITIES AND STORAGE (IN= indoors; OUT-outdoors) MAJOR MATERIALS 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: SO S Ica_4- 3 0 .10S rL&hv I jaa//L DISPOSALIRECLAMATION REMARKS: 1,_Sitary Sewage 2.Wader Supply 1 N ,Town Sewer ublic O On-site OPrivate 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: 0 Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product Licensed?' YES NO 1. 2. .31rgl /01 Person(s) Interviewed Inspector Da e