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Home My WebLink About0199 FALMOUTH ROAD/RTE 28 - Health 199 Falmouth Rd ;G 1 7 e96"o C��C UPC 17734 iUo.223CF • HASTINOS.UN i W To I 1 oo 2 ' cq r � CP - lCommonwealth of Massachusetts Executive Office of Energy &Environmental Affairs Department of Environmental Protection Southeast Regional Office•20 Riverside Drive, Lakeville MA 02347 .508-946-2700 ( Charles D.Baker Matthew A.Beaton Governor Secretary Karyn E.Polito Martin Suuberg Lieutenant Governor Commissioner October 17,2016 i Mr Rabih Bassil RE: Barnstable:United Gas Bassil Brothers United Trust MassDEP Facility ID#:177283 i 570 Rt.28 DFS Facility ID#1109 Harwich, MA 02646 199 Falmouth Rd. NOTICE OF NONCOMPLIANCE,and i RETURN TO COMPLIANCE i NON-SE-16-UO10 Noncompliance with M.G.L.Chapter(s) 21A,21C,21E,210,310 CMR 80.00 Dear Mr.Bassil, During an inspection conducted on September 20,2016 Department of Environmental Protection ("MassDEP") personnel have observed or determined that activity occurred at United Gas;located at 199 Falmouth Rd, Barnstable, MA,in noncompliance with one or more laws,regulations,orders,licenses, permits,or approvals enforced by MassDEP. On those dates,>MassDEP conducted afield inspection-of the underground storage tank (UST)system at the facility identified above. Enclosed please find a Notice of Noncompliance and Return to Compliance,an important legal document describing the violations:and activities that were in noncompliance and those actions that were completed to achieve compliance. MassDEP's Notice of Noncompliance is based on the observations and information reviewed during the inspection. This Notice.does'not:(1)apply to'actions or other aspects of the facility that were not reviewed during the inspection,(2)preclude future inspections of past,current;or future actions at the facility,(3)in any way constitute a release from any liability,obligation,action or penalty under 310 CMR 7.00,310 CMR 80.00,or any other law, regulation,or requirement,or(4)limit the MassDEP's authority to take,or arrange,or to require any facility to conduct,any action authorized by 310 CMR 80.00 which MassDEP deems necessary,to protect health,safety,public welfare,or the environment. This Information is available in alternate format.Call the MassDEP Diversity Office at 617.556.1139.TTY#MassRelay Service 1.800.439.2370 j MassDEP Website:www.mass.gov/dep i Printed on Recycled Paper i f United Gas NON-SE-16-U010 Page 2 If you have any questions regarding this Notice, please contact Gerry P'odlisny at(508)946-2830.. Sincerely, Daniel DiSalvio Compliance and Enforcement Chief Bureau of Air.and Waste. D/GPP/Ig W:\Document Prep Folder\BAW\C&E\Podlisny\United Gas UST NON 5&16-U010.docx Enclosure CERTIFIED MAIL#7016 0750 00001748 8868 Cc: Barnstable Fire Department 3249 Main St. Barnstable, MA 02630 Ecc: Barnstable Health Department health@town.barnstable.ma.us DEP-SERO ATTN:Lisa Ramos, REO ATTN: Daniel DiSalvio i t Commonwealth of Massachusetts Executive Office of Energy&Environmental Affairs Department of Environmental Protection Southeast Regional Office•20 Riverside Drive, Lakeville MA 02347 508-9463.2700 I Charles D.Baker Matthew A. Beaton Governor Secretary Karyn E.Polito Martin Suuberg Lieutenant Governor Commissioner E qfg d NOTICE Of NONCOMPLIANCE AND RETURN TO COMPLIANCE t Based on the Department of Environmental Protection's ("MassDEP") investigation on,September 20, . 2016 noncompliance occurred at United .Gas 199 Falmouth Rd. Barnstable MA in violation f n r p ,. o one o more laws, regulations,orders,.licenses, permits-or approvals enforced by MassDEP. This Notice of Noncompliance describes (1) the requirement violated, (2) the date and place on which MassDEP asserts the requirement was violated, (3)either'the specific actions which must be taken in order to return to compliance or direction to submit a written proposal describing how and when you plan to return to.compliance,and(4)the deadline for taking such actions or submitting such a proposal. If the required actions are not completed by the deadlines specified below, an administrative penalty may be assessed for every day' after the date of receipt of this Notice that the noncompliance occurs or continues. MassDEP reserves its rights to exercise the full extent of its legal authority in order to obtain full compliance with all applicable requirements; including, but not limited to, criminal, prosecution, Civil action including court-imposed civil penalties, or administrative action, including administrative penalties imposed by MassDEP. i I NAME OF ENTITY(S)IN NONCOMPLIANCE: United.Gas 199 Falmouth Rd. Barnstable, MA02601 (hereinafter referred to as"the Facility".) i LOCATION(S)WHERE NONCOMPLIANCE OCCURRED OR WAS.OBSERVED: United.Gas 199 Falmouth Rd. Barnstable,MA 02601" DATE(S)WHEN NONCOMPLIANCE OCCURRED OR WAS OBSERVED: September 20,2016 This Information is available In alternate format.Call the MassDEP Diversity Office at 617-556.1139.TTY#MassRelay Service 1.800.4392370 MassDEP Website:www.mass.gov/dep Printed on Recycled Paper United Gas NON-SE-16-U010 Page 4 of 4 DESCRIPTION OF NONCOMPLIANCE: The Department's investigation shows that the Facility had the following violations: 1. At the time of inspection the sensor providing interstitial monitoring for leak detection in the pressurized piping from the 10,000.gallon premium tank turbine pump(Tank 6)was,not operational,in violation of 310 CMR 80.19(4)(01.The regulation states: "1.All regulated substance piping shall have a system that continuously monitors.interstitial space..' 2. The facility,which began dispensing operation in June of 2016,could not provide records documenting required monthly visual inspections prior to August of 2016, in violation'of3..10 CMR 80.36(1),which states: "(1) For a minimum of four years,the Owner or O.perator shall maintain records in hard copy or electronically, and shall make them available to the Department as soon as possible following:a request, but in no event more than seven business days after the request.The records shall include, but are not limited to: (a) Results of all turbine, intermediate and dispenser sump inspections and integrity tests in accordance with 310.CIv1R 80.20(4)and 80.27(4)(c), (6)(d),(8)(b)and.(9)(a). ACTION(S)TO BE TAKEN AND THE DEADLINE FOR TAKING SUCHACTION(S): The following action(s) to be taken have individual deadlines associated with them, The Respondent shall take the necessary steps to correct the.violations within the ispecified deadlines as noted and shall return to compliance with the requirements described below. MassDEP's regulations at 310 CMR 5.09 presume that you receive this Notice of Noncompliance, if delivered by regular mail,three business days after it was issued (i.e.,the date of the cover letter). 1. On October 4,2016 the facility provided"documentation that the 104000 gallon premium tank top sensor had been replaced and certified operational by an approved Third Party Inspector as of September 27,2016.No further action is required by the Facility in regards to this.Notice of Noncompliance. 2. On September 29,2016 MassDEP received confirmation that the Facility had implemented a TPI- Return to Compliance Plan that included documentation of monthly A/B operator visual inspections. No further action is required by the Facility in regards to this Notice of Noncompliance. By: Daniel DiSalvio } Compliance and Enforcement Chief Bureau of Air and Waste Date: FALMOUTH ROAD GETTY Comments/Recommendations/Corrective Actions The facility stores, uses, and/or.generates more than one-hundred and eleven gallons of hazardous material and is therefore subject to Town of Barnstable Ordinance Chapter 108. Therefore, the following actions are to be taken: The business is to complete and mail in the attached"Application for Permit to Store and/or Utilize More Than 111 Gallons of Hazardous Materials". The license is to be posted in the building upon receipt. The Hazardous Waste Generator Identification Number MV5087717770 is not registered/listed with the Massachusetts Department of Environmental Protection (DEP). A Hazardous Waste Generator Identification Number is to be obtained by you from the DEP. A"Self Assigning a Hazardous Waste Generator Identification Number" fact sheet has been attached for your convenience. Waste antifreeze should not be disposed of with solid waste in the dumpster. It is toxic to small children and animals. All waste antifreeze is to be disposed of/recycled by a waste transporter. A list of Department of Environmental Protection Hazardous Waste Transporters is attached for your convenience. The fire extinguishers service date is over due, the fire extinguisher(s) should be maintained up to date. All hazardous waste containers are to be labeled as indicated in the attached "A Summary of Requirements for Small Quantity Generators of Hazardous Waste". r i r No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in co uter: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes applitatlon for ;Disposal 6pstem Const rtlon permit Application for a Permit to Construct( ) Repair( ) Upgrade andon( ) ❑Complete System ❑Individual Components Location Address or Lot No. wner's Name,Address,and Tel.No. Assessor's Map/Parcel l l E, 11 t c Installer's Name,Address,and Tel.No. m Designer's N e, ress,and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) keo d OM 'Ca4,, 44A Lj Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of He . d An AP /T Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Date Issued No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in co uteri PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS., Yes 2pplitation for ;Disposal 6pstemlEp. nBtrUttion permit Application for a Permit to Construct( ) Repair( ) Upgrade_—Al5a dory( ) ❑Complete System ❑Individual Components o Location Address or Lot No. r✓ wner's Name,Address,and Tel.No. Assessor's Map/Parcel '3 1 1 - o -1� I` E 11 - h s S + i Installer's Name,Address,and Tel.No. Designer's Name,A dress,and Tel.No. 5101 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures "Design Flow(min.required) gpd Design flow provided gpd Plan "Date Number of sheets Revision Date -Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) L S d 01 he,vr1 Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Hea. ---- ed 'Date Application Approved by Date / a ` Application Disapproved by Date for the following reasons - Permit No. s Date Issued ----•--- ------------- - - - - THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS ` (Certificate of Compliance THIS IS TO CERTIFY that the On-site Se ge Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned(V by at / has been constructed in accord ce with the provisions of Title 5 and the for Disposal System Construction Permit No.L� ate Installer ` Designer #bedrooms ApprovZwa •i flow gpd c The issuance of thi permit shall not beconst ed as a guarantee that the syste on as�'designed. ' Date Inspector �� ..,.�� No. _.--------------- �_-- -----_�� ----- �,�,;;.-_ -; :- --� ;-.. --- ---_ ----- --=-Fee ----=.�.- "�� / THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction permit Permission is hereby granted to Construct( ) Repa r ) glade( ), bat don(/ System located at and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Const cti n jv ebe completed within three years of the date of this permit. Approved by , BAR 80306 NAME OF OFFENDER C P( r4 TOWN OF ADDRESS WOFFENDER _ CITY,STATE ZIP SOD ( 4 �t BARNSTABLE �tNE►qk, ` " 1 ° MVI MB REGISTRATION NUMBER OFFENSE LJ BAR NSMABLE, EOM• M/'i l U..tAs 1 bJ ']�i..•- eC)Y"; d T"s�-A C..'��'C�. .'f ✓� '. W o I TIME AND DATE OF VIOLATION �I .�y CATIO OF VIOLATION LU z NOTICE OF ? 7 (A.M./(P.M,)ON (\ ! 7'5 0 1 SIGNATURE OF ENFORCING.PERSON - / EN CIN'G DEPT. BADGE NO. W VIOLATION �..:— + --- u ,OF TOWN I HEREBY-ACKNOWLEDGE RECEIPT OF CITA ON tea. ORDINANCE Unable to obtain signature of offender. ' ,,� THE NONCRIMINAL FINE FOR THIS OFFENSE IS t ),,a 0'.0 Date mailed _ W LU OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DI OSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS'A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. v ' W REGULATION (�)You may elect to pay the above fine,either by appearing In person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepptted, W before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by malling.a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, —.1 (Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE ggDATE OaaFyyTHIS NOTICE. writtenq a BIRNSTABLE DIVISIONou desire to ,COURT COMPO NrD,MAINrSTREET,BARNSTABLE,do so by 02630,Attu:21 D NoncriminalRHearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or If you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be Issued against you. ❑ I HEREBY ELECT the first option above,confess to_the offenseL charged,and enclose payment in the amount of$ Signature ic@ ism. t' lE POal $ viCwaRTIF E�D, MAILREGEIP',T i �rx (DomesticgMailOnly,LNo,'Insurance Coverage Provided) ... �For;delivery;information visit our,website at www.usps.com® - Sent To ------------------------------------------------------------- City State,ZIP+4 ~ 1 �• PS Form 3800,August 2006 .Sege Reverse.f�or Instructionsa Certified Mail Provides: o A mailing receipt ' • A unique identifier for your mailpiece o A record of delivery kept by the Postal Service for two years Important Reminders: o Certified Mail may ONLY be combined with First-Class Maile or Priority Maile. a Certified Mail is not.available for any class of international mail. o NO INSURANCECOVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPSe postmark on your Certified Mail receipt is required. o For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery': o If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT-Save this receipt and present it when making an Inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 I noP<' © Complete items 1,2,and 3.Also complete A.,Signature item 4 if Restricted Delivery is desired. �(' Agent ® Print your name and address on the reverse X �f ❑Addressee so that we can return the card to you. B. Received by(Prin ed Name) C. Dat of Deliv ry m Attach this card to the back it the.mailpiece, or on the front if space permits. D. Is delivery address different from item 1? Yes 1 Article Addressed to: If YES,enter delivery address below r?j's CL.t 3. Service Type i *Certified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article NumberEli, ��0'0► 2851,� 6 . (Transfer from service label) • ; I PS Form 3811. February 2bN, Domestic Return Receipt 102595-02-M-1540 •f• T G h �: •^YiSrAn%{ f,Ge+erw..: ,aYarcts UNITED STA3 A �ST-6 3.R. Sgnder:t,'lease pri t your name, address, and ZIP+4 in this box • rx~r r� I '-wn of Barnstable alth Division R0 Main Street Hyannis, MA 02601 I r t TOWN OF BARNSTABLE BAR-W 57 6 0 9 Ordinance or Regulation WARNING NOTICE Name of Off ender/Manager Address of Offender MV/MB Reg.# 7- Village/State/Zip K) r) Jj.I Business Name am/pm, on 1 2 0' Business Address # �CkA r\--,cx" Signature of Enforcing Officer Village/State/Zip Location of Offense j , !:�i Y-N Enforcing Dept/Division Offense 'r <�w IT Facts , V 06 0 x This will serve only as a warning. At this time no legal action has 'been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. i Town of Barnstable Barnstable Regulatory Services Department caC j BARNSTABL£. 6'9. ,�� Public Health Division DN` A 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO 7/17/2013 CPD Group 536 Main Street New Paltz,NY 12561 RE: 199 Falmouth Rd. Hyannis MA,02601 Enclosed is a warning ticket regarding several violations at the 199 Falmouth Road property. We have not heard back from your office in a timely fashion following a phone call and several e-mails (see enclosed.) In early June the Getty station tenants abandoned the gas station at 199 Falmouth Road that you own. At the property,the hazardous material inspector saw tires, propane tanks, waste oil containers, a full dumpster and several drums that need to be addressed and cleaned up as soon as possible. Please contact Tim Lavelle re: hazardous material removal, and inspection for the new business. tim.lavellektown.barnstable.ma.us 508-862-4645 Also, my original issue with the property was that it should have been connected to the Town sewer since 2003. Now that the gas station tenants have left, please let me know your progress abandoning the existing septic system (permit required) and your date/plans to connect to Town sewer. Thank you, Karen Malkus Town of Barnstable Coastal Health Resource Coordinator r t karen.malkusgtown.barnstable.ma.us 508-862-4641� Town of Barnstable U.S.POSTAGE>>FITNEY BOWEs - � Public Health Division BARNSfABLE.� 200 Main Street _ MASS. �i°rED rnr+°�0 Hyannis,MA 02601 ZIP 02601 $ Q05.750 _ T 02 11N 0001.3614.75 JUL. 1 1. 2012. �O'gjt- b/'G';' qV �j�c�f 7��6 0810.F.0000 35_ 24 7502 fi '� °F °� . lil °wq��ry G U o f��r`a N til�`F ermor�c� +�� i r. , M��Fa�ik.,a Green Valley Oil U 9 Dexter Rd_ East Provider NIXIE 080 0a 1 00 OW 09. RETURN TO SENDER UNCLAIMED UNADLC TO FORWARD MC C+.aaCaA+4Dt� 00 ''�1304-t.6212-11--41. - , , In �. ------ COMPLETE THIS SENDER: COMPLETE THIS SECTION DELIVERY ■ Complete.items 1,2,and 3.Also complete A. Signature ! _� item 4 if Restricted Delivery is desired. ❑Agent III Print your name and address on the reverse X ❑Addressee I so that we can return the card to you.: ece, . Date B. Received by(Printed Name) C of Delivery ■ Attach this card to the back of the mailpi or on 1he front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes I ' , If YES,enter delivery address below: ❑No i 3. Service Type I Certified Mali ❑Express Mail \ ' I:fCt S} Pry v �v�-tr �.�, ❑Registered ❑Return Receipt for Merchandise i I ) ❑Insured Mail ❑C.O.D. I 4. Restricted Delivery?(Extra Fee) ❑Yes I p Z.q ( I 1 2. Article Number '.• S .... __ , I (Transfer from service label) j 7006 :,0810.. 0000 3524 -7502� I i _{ PS Form 3811,February 2004. i Domestic Return Receipt 10259s oz M-taco y Town of Barnstable Barnstable ��fHE T Board of Health "K eS 200 Main Street, Hyannis MA 02601 ' I. a�� 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi CERTIFIED FAIL# 70060810000035247502 July 9, 2012 it Mike Palermo Joel Despres Green Valley Oil 9 Dexter Rd. East Providence, RI 02914 Re: 199 Falmouth, Hyannis MA, Map and Parcel: 311-079 YOU ARE SCHEDULED TO APPEAR BEFORE THE BOARD OF HEALTH on Tuesday, August 21, 2012 at 3 pm in the Town Hall, Hearing Room, 2nd Floor, 367 Main Street, Hyannis, MA due to your failure to connect your property to sewer by 4/4/2011 as ordered by the Health Division. On served dates including 5/29/2003, 04/04/2011, 11/2/2011, and 1/9/2012, you were directed to connect the building to public sewer. The Massachusetts State general law Chp.83 Section 11 requires occupants to -_ ---comply rvlth4he=Board,of_Hea,lth order to_o-nnect to town-s.ewes and-this-case— has failed to comply within the established deadline. You will be given the opportunity to testify, present witnesses, documentary evidence, and other official information regarding this case. PER ORDER OF THE BOARD OF HEALTH Thomas McKean Agent Q:\Order letters\Sewage Violations\Request to Appear at BOH\199 Falmouth rd7-9-2012.doc Message Page 1 of 2 S - Malkus, Karen From: Malkus, Karen Sent: Friday, July 12, 2013 11:33 AM To: 'cgent@cpdenergy.com' Subject: 199 Falmouth Rd. Hyannis Hi Chris, I have not heard anything back from you regarding the clean up and sewer connection of 199 Falmouth Rd. The hazardous material problem will require the Fire Dept intervention and the start of tickets with fines unless action is taken A.S.A.P. Please call Tim Lavelle 508-862-4645 to discuss your company's plan to remove the propane tanks, empty dumpster, remove old tires and deal with waste oil and drums with unidentified contents. Thank you, Karen Town of Barnstable Coastal Health Resource Coordinator karen.malkus(cDtown.barnstable.ma.us 508-862-4641 508-857-6558 (cell) -----Original Message----- From: Malkus, Karen Sent: Monday, July 01, 2013 10:09 AM To: 'Chris Gent' Subject: FW: 199 Falmouth Rd. Hyannis Hi Chris, I am following up on the 199 Falmouth Rd., Hyannis, MA property. Please let me know what the plan to correct the hazardous-material issues and to connect to sewer. Please contact Tim Lavelle at the Town of Barnstable Health Division (tim.lave Ile(o)town.barnstab le.ma.us or 508-862-4645)ASAP. Thank you, Karen Malkus Town of Barnstable Coastal Health Resource Coordinator karen.malkus(o)town.barnstable.ma.us 508-862-4641 508-857-6558 (cell) -----Original Message----- From: Malkus, Karen Sent: Monday, June 17, 2013 12:40 PM To: 'Chris Gent' Cc: Lavelle, Timothy Subject: RE: 199 Falmouth Rd. Hyannis Hi Chris, As I mentioned in our phone conversation, the Hazardous Material inspector(Tim Lavelle)went out to the 199 Falmouth Rd., Barnstable, MA property today. In the last couple weeks, the property has been abandoned. At the property, Tim saw tires, propane tanks, waste oil containers, a full dumpster and several drums that need to be addressed and cleaned up. Also, my original issue with the property was that it should be connected to sewer. Now that the gas station tenants have left, please let me know your progress abandoning the existing septic system and your date/plans for sewer connection. also please contact Tim Lavelle re: hazardous material removal, and inspection for the new business. (tim.lavelle .town.barnstable.ma.us 508-862-4645) Thank you, 7/17/2013 Message Page 2 of 2 Karen Karen Malkus Town of Barnstable Coastal Health Resource Coordinator karen.malkus(a)town.barnstable.ma.us 508-862-4641 508-857-6558 (cell) 7/17/2013 � ►,- i COMPLETE • ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. !! at re item 4 if Restricted Delivery is desired. Agent ■ Print your name and address on the reverse Addressee so that we can return the card to you. B. Received by(Printed me) C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No ne�P�z s G, - r--, vCd te--,, o. ( 9' 3. Service Type ji�gertlfied Mail ❑Express Mail Ec"S�— Prz v lLk e✓ �+-f tr--c! ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. G Z 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7 011 0470 0001 4525 7109 (tra nsfer from service la beq PS Form 3811r,February 2004 1 {{.j Domestic Return Receipt 102595-02-M-1540 I UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 I � • Sender: Please print your name, address, and ZIP+4 in this box • I TG Y-N o bl P i D1v � 5� i I n►-\i s I I I I I I I; I ,; I a Y rq f�. `� . �_ •- � � � � ,,,a Ln N u'I Postage $ nn Certlfied Fee p Post rk M stm Return Reoelpt Fee (Endorsement Required) He p ResMcted Dey (Endorsemen Fee t liver Required) p Total Postage&Fees $ ' ent o (Yl i IC x, c�(e T rr.o p k P s .Diu¢.n:V a(-.-=�{ d' - r,- Street .No.; or PO Boar No. i C� ;z ------- ----------------- ---- ------- ,{ Pl%v wr.c Q-✓1 2�L Z. 1 y: Certified Mail Prpidd. o A mailing receloil!,� r o A unique identifier for your mailpiece ® A record of delivery kept by the Postal Service for two years Important Reminders: © Certified Mail may ONLY be combined with First-Class Mailm or Priority Mail®. o Certified Mail is not available for any class of international mail. o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. a For an additional fee,a Retum Receipt may be requested to provide proof of delivery.To obtain Retum Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece'Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a LISPS®postmark on your Certified Mail receipt is required. o For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement°RestdctedDelivery". o If a postmark on the Certified Mail receipt is desired,please present the arti-` cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT.Save this receipt and present it when making an inquiry. PS Forrn 3800,August 2006(Reverse)PSN 7530-02-000.9047 JX Town of Barnstable Barnstable Board of Health ` BARNST 200 Main Street, Hyannis MA 02601 1639. �� 2007 ED Mfd s Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi CERTIFIED MAIL# 70110470000145257109 April 18, 2012 Mike Palermo Joel Despres Green Valley Oil 9 Dexter Rd. East Providence, RI 02914 Re: 199 Falmouth, Hyannis MA, Map and Parcel: 311-079 YOU ARE SCHEDULED TO APPEAR BEFORE THE BOARD OF HEALTH on Tuesday, May 8, 2012 at 3 pm in the Town Hall, Hearing Room, 2"d Floor, 367 Main Street, Hyannis, MA due to your failure to connect your property to sewer by 4/4/2011 as ordered by the Health Division. On served dates including 5/29/2003, 04/04/2011, 11/2/2011, and 1/9/2012 you were directed to connect the building to public sewer. The Massachusetts State general law Chp.83 Section 11 requires occupants to comply with the Board of Health order to connect to town sewer and this case has failed to comply within the established deadline. You will be given the opportunity to testify, present witnesses, documentary evidence, and other official information regarding this case. PER ORDER OF THE BOARD OF HEALTH Thomas McKean J Agent Q;\Order letters\Sewage Violations\Request to Appear at BOH\199 Falmouth rd.4-13-2012.doc ,y Town of Barnstable Barnstable "°" Board of Health u4imedaft B"A MASS.LZ� 200 Main Street, Hyannis MA 02601 SOT%639. A`0 2007 f0 A1f►� Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi CERTIFIED MAIL # 70110470000145257109 April 13, 2012 Mike Palermo Joel Despres Green Valley Oil 9 Dexter Rd. East Providence, RI 02914 Re: 199 Falmouth, Hyannis MA, Map and Parcel: 311-079 YOU ARE SCHEDULED TO APPEAR BEFORE THE BOARD OF HEALTH on Tuesday, May 8, 2012 at 3 pm in the Town Hall, Hearing Room, 2nd Floor, 367 Main Street, Hyannis, MA due to your failure to connect your property to sewer P.y 4/4/2011 as ordered by the Hgalth Division. r, � C. '1 � � j Ci,' Jk'� The Massachusetts State general law Chp.83 Section 11 requires occupants to � - comply with the Board of Health order to connect to town sewer and this case has failed to comply within the established deadline. You will be given the opportunity to testify, present witnesses, documentary evidence, and other official information regarding this case. PER ORDER OF THE BOARD OF HEALTH Thomas McKean Agent Q:\Order letters\Sewage Violations\Request to Appear at BOM199 Falmouth rd.4-13-2012.doc •N' COMPLETETHIS SECTIONON DELIVERY ■ COmplete.,fems 1,2,and 3.Also complete A. Sig t e item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse X J�/� 1 ❑Addressee I so that we can return the card to you. B. R eiv by(Printed, C. Date of Delivery ■ Attach this card to the back of the mailpiece, p r l or on the front if space permits. l� :D. Is delivery addres different from item 1? ❑Yes 1. Article Addressed to: If YES,enter deli Very address below: ❑No Lrr ze r1 A+h, • MI'V-,, lie, ,rrL i iJC( ,vv_ `1 -� C.rA 3. Service Type 1 nn ( Certified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ` ❑ Insured Mail ❑C.O.D. 0 2 CA ( � ( 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number i i;; ;s,7 0 0 0i (Transfer from sery ce'iabei)` ;i i 4i D 8 l'O i iO U;O 0 3;5 2;4 555$4' i �i I PS Form 3811,'February 2004 Domestic Return Receipt 102595-02-M-1540 I UNITED ,ft st-CI'a' 9sMall :fdstagFees Fid • • Sender: Please print your name,address, and ZIP+4 in this box •v.,, F-_ �t. /d!"r ! �r \'?\ Pub., n ie:Health Divisio ; Town of•.Barnstable -200:Main Street ` Hyannis,MA 02601 - I A r � � •. CO Ln Ln w ru frl Postage $ M Certified Fee 0 Return Receipt Fee (Endorsement Required) 0 Restricted Delivery Fee �!W rl (Endorsement Required)CO O 6 Total Postage&Fees $ O Sent To I e r v-a C3 �eer� VQI( Apt. O l tr, --- --------- -=` ---- - -- N Street N or PO Box No.. ---------_ �� City State,ZIP+4 Certified Mail Provides: • A mailing receipt (eWanay)3W 0WO-4 Sd p A unique identifier for your mailpiece �"/ • A record of delivery kept by the Postal Service for two years'' Important Reminders: o Certified Mail may ONLY be combined with First-Class Maile or Priority Mai le. to Certified Mail is not available for any class of international mail. p NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. © For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,pease complete and attach a Return ReceipC(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse maiipiece,"Retum Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPSe postmark on your Certified Mail receipt is required: y r •For an;addition fee, , delivery may be restricted to the addressee or addressee!&2uthorized agent.Advise the clerk or mark the mailpiece with the endorsement"RestdctedDel)very" • If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post;offics,for postmarking. if a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. tMP.ORTANT:Save this receipt and present it when making an inquiry. tnternet access to delivery information is not available on mail addressed to AROs and FPOs. Town of Barnstable Barnstable y Regulatory Services Department SAmakaCj 9 BMWSTASM 9 ," : ,� Public Health Division FDNA 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO 1/9/12 Dear Green Valley Oil, , Enclosed are documents sent to Leemilts Petroleum Inc., who is listed as the owner of the property at 199 Falmouth Rd. Hyannis, MA in the Town of Barnstable Health Division and Assessor records. The Health Division has not received any response to the sewer connect order sent 4/4/11. In turn, a warning ticket was sent to Leemilts Petroleum Inc.11/.2/11, after the September 30, 2011 deadline past for the sewer connection. Our goal is to work cooperatively with property owners to get properties in compliance with Health orders. If efforts are made by your company by February 15, 2012 to begin the sewer connection process, no further orders or tickets will be generated. There are two steps to start connection to the Town sewer: 1) Abandon the current septic system (abandonment permits obtained at Health Division 200 Main.St. Hyannis, 508-862-4644) 2) Get a sewer connection permit from DPW(DPW-Water pollution control Division (508)790-6335) Also, you may request a hearing before the Board of Health. If you would like a hearing please send a written petition requesting a hearing on this matter within seven(7) days of receipt of this letter. If you should have any questions, please call 508-862-4644 or Karen Malkus at 508-862-4641. Thank you, Karen Malkus Coastal Health Resource Coordinator Town of Barnstable Health Division C3. u) LIU I• • • . . • • . N - M Postage $ "Ie"� S Certified Fee C3 O OReturn Receipt Fee r;•., a ark O (Endorsement Required) e M Restricted Delivery Fee rl (Endorsement Required) 1 CO M Total Postage&Fees O Sent To M C v eta 0 �`' Street.Apt No � '-•- --`^--��-�' orPOBoxNo. Cj Cpk„- Qyy City State,ZfP+4 Certified Mail Provides: �a� a/a nr'ooae W,o� d • Amailing receipt ,. O A unique identifier for your mallpiece : a A record of delivery kept by the Postal Service for two years important Reminders: (w; 4 Certified Mail may ONLY be combined with First-Class Maile or Priority Mail®. o Certified Mail is not available for any class of international mail. o NO INSURANCE COVERAGE IS PROVIDED"`with Certified Mail. For valuables,please co(sider Insured or Registered Mail. • For an additional;fee;a Return Receipt may be requested to provide proof of delivery.To obtain^Retum Receipt service,please complete and attach a Return Receipt(PS.Form 38111 to the article and add applicable postage to cover the fee.Endorse�&Ipiece Return Receipt Requested".To receive a fee waiver for a duplicatiVum receipt,a USPS®postmark on your Certified Mail receipt is required. O For an additional fee, delivery may be restricted to the addressee or addressee's authorized ag9�ent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". c If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a.postmark on 4he Certified Mail receipt is not needed,detach and affix label with postage 'and mail. IMPORTANT:Save this receipt and ppresent it when making an inquiry.' Internet access to deliveryry information.fs not available on mail addressed to APOs and FPOs. 6 t� -- Town of Barnstable Barnstabt'e Board of Health �RN9TABLE: k M 200 Main Street, Hyannis MA 02601 ��i61.i639 pub 2007 fD MA't ice: 508-862-4644 Wayne Miller,M.D. hAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi 'CERTIFIED MAIL # 70060810000035247502 ,lU/y 9, 2012 Mike Palermo Joel Despres Green Valley Oil 9 Dexter Rd. East Providence, RI 02914 Re: 199 Falmouth, Hyannis MA, Map and Parcel: 311-079 YOU ARE SCHEDULED TO APPEAR BEFORE THE BOARD OF HEALTH on Tuesday, August 21, 2012 at 3 pm in the Town Hall, Hearing Room, 2nd Floor, 367 Main Street, Hyannis, MA due to your failure to connect your property to sewer by 4/4/2011 as ordered by the Health Division. On served dates including 5/29/2003, 04/04/2011, 11/2/2011, and 1/9/2012, you were directed to connect the building to public sewer. The Massachusetts State general law Chp.83 Section 11 requires occupants to comply with the Board of Health order to connect to town sewer and this case has failed to comply within the established deadline. You will be given the opportunity to testify, present witnesses, documentary evidence, and other official information regarding this case. PER ORDER OF THE BOARD OF HEALTH Thomas McKean Agent Q:\Order letters\Sewage Violations\Request to Appear at BOH\199 Falmouth rd7-9-2012.doc I ��°F SHE tp�y Town ®f Barnstable Barnstable Board ®f Health As-Am e'c j # `sA$g' 200 Main Street, Hyannis MA 02601 r639. ♦� Fo►ud a 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canni$,D.M.D. Junichi Sawayanagi CERTIFIED MAIL 9 70110470000145257109 April 18, 2012 Mike Palermo Joel Despres Green Valley Oil 9 Dexter Rd. East Providence, RI 02914 Re: 199 Falmouth, Hyannis MA, Map'and Parcel: 311-079 YOU ARE SCHEDULED TO APPEAR BEFORE THE BOARD OF HEALTH on Tuesday, May 8, 2012 at 3 pm in the Town Hall, Hearing Room, 2"d Floor, 367 Main Street, Hyannis, MA due to.your failure to connect your property to sewer by 4/4/2011 as ordered by the Health Division. On served dates including 5/29/2003, 04/04/2011, 11/2/2011, and 1/9/2012 you were directed to connect the building to public sewer. The Massachusetts State general law Chp.83 Section 11 requires occupants to comply with.the Board of Health order to connect to town sewer and this case has failed to comply within the established deadline. You will be given the opportunity to testify, present witnesses, documentary evidence, and other official information regarding this case. PER ORDER OF THE BOARD OF HEALTH Thomas McKean Agent i Q:\Order letters\Sewage Violations\Request to Appear at BOH\199 Falmouth rd.4-13-2012.doc 1 � • e e • e � A. a re ® Complete items 1,2,and IAlso complete Agent item 4 if Restricted Delivery is desired. Addressee ® Print your name and address on the reverse C. Date of Delivery so that we can return the card to you. B. Received by(Printed me) a Attach this card to the back of the maiipiece, f/ or on the"front if space permits. D. Is delivery address different from item 1 Q Nos 1..Article Addressed to: if YES,enter delivery address below: S v-z 1 (7z sQ�-c,s cd t z'� G , 3. Service Type �Certffied Mail ❑Express Mail nn II � r` ❑ Registered ❑ Return Receipt for Merchandise I ❑ Insured Mail ❑C.O.D. G ( 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7O11 0470 OOO1r 4525 7>,09 i (Transfer from service label) 102595-02-M-1540 PS Form 3811, February 2004 Domestic Return Receipt I rr � I a ru F I I ry Postage $ Certified Fee EM Return Receipt Receipt Fee He C� � l� (Endorsement Required) � p Restricted Delivery Fee b. [%- (Endorsement Required) � I C3 Total Postage&Fees Sent To r� Street Apt.No.; t or PO Box No. ----------------------- ------- —--- `— City,State,ZIP+4 �.c a Pry i Mcx IZ L v Z- I y I �F THE Tp� Town of Barnstable Barnstable Regulatory Services Department "4Ww"cacf + EARNSTABLE. " 9 MASS. g 1639. , Public Health Division m fD"' A 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO 1/9/12 Dear Green Valley Oil, Enclosed are documents sent to Leemilts Petroleum Inc., who is listed as the owner of the property at 199 Falmouth Rd. Hyannis, MA in the Town of Barnstable Health Division and Assessor records. The Health Division has not received any response to the sewer connect order sent 4/4/11. In turn, a warning ticket was sent to Leemilts Petroleum Inc.11/2/11, after the September 30, 2011 deadline past for the sewer connection. Our goal is to work cooperatively with property owners to get properties in compliance with Health orders. If efforts are made by your company by February 15, 2012 to begin the sewer connection process, no further orders or tickets will be generated. There are two steps to start connection to the Town sewer: 1) Abandon the current septic system (abandonment permits obtained at Health Division 200 Main St. Hyannis, 508-862-4644) 2) Get a sewer connection permit from DPW (DPW-Water pollution control Division(508)790-6335) Also, you may request a hearing before the Board of Health. If you would like a hearing please send a written petition requesting a hearing on this matter within seven (7) days of receipt of this letter. If you should have any questions, please call 508-862-4644 or Karen Malkus at 508-862-4641. Thank you, Karen Malkus Coastal Health Resource Coordinator Town of Barnstable Health Division 7,77 e Complete items 1,2,and 3.Also complete ❑Agent item 4 if Restricted Delivery is desired. ❑Addressee �. am ® Print your name and address on the reverse C. Date of Delivery so that we can return the card to you. (Printed Name) f ® Attach this card to the back of the maiipiece, or on the front if space permits. s different from item 1? � No I 1. Article Addressed to: , Yes li.ery address below:, j r � j 3. Service Type �•JC tc� _ '[ Certified Mall ❑Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. L 4. Restricted Delivery?(Extra Fee) ❑Yes j 2. Article Number 7006 087,0 0000 3524 5584 (Transfer from service label PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 l o I' � C ° ro tt;a, Ln la frl Postage $ O ED Certified Fee O O Return Receipt.Fee (Endorsement Required) CO Restricted Delivery Fee +r r-R (Endorsement Required) p tj �� „y Total Postage&Fees $ O 7To '�1--- -- �V �^/ -` :- s G� "'� ti `"'' M1 r7'E' :!. � i^�` I'e't n n T a'•'�I�^W , ;, J� "r ^��o- ,-�d(G'f153�p1 .�Z"N 77—'^f�' 'F �aa',. r'', '�H ail; k lT" ;ap .r F-r+ 9 ��- r TOWN OF BARNSTABLE B77 P,R Ordinance or. Regulation WARNING . NOTICE ,; Name of Offender/Manager I .:,:, ..,. �; _ `; Address of Offender t `> ► is MV/MB Re g.# Village/State/Zip i ;f _ Business Name am/pm, on jl ! :. Business Address Signature of Enforcing Officer Village/State/Zip Location of Offense it Enforcing Dept/Division Offense D C •.. '. �i►! - 1. , ' a... ; t � Facts This will serve .only as. a warning. At :this time no legal action .has been taken.- It is, the goal of Town agencies to;.;`achieve voluntary compliance of Town Ordinances, Rules and Regulations., Education, efforts. and warning notices are attempts to gain voluntary, compliance Subsequent violations will result in appropriate legal action by the Town WHITE'-OFFENDER CANARY-ORD./REG.-PROG PINK-ENFORCING OFFICER '..GOLD ENFORCING DEPT. - I EMMA, e a f a o a a i M Co r plete items 1,2,and 3.Also complete A. Sig ture item 4 if Restricted Delivery is desired. -' ❑Agent 11 Print your name and address on the reverse ❑Addressee so that we can return the card to you. -- M Attach this card,to the back of the mailpiece, B. Receiv' I e) i C. Date of Delivery or on the front.q space permits. 1. Article ed to: D. Is delivery address different.ftom-item 1? ElYes If YES,enter delivery address below: El No Z 5 �iZlno i iJ'r,--N J 3. Service Type kX;er ified Mail ❑Dress Mail i ❑Registered ❑Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number » (Transfer from service/abed 7 011 0470 0001 4525 6287 PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 I .0 o ® e o ru n N F 5 L Postage $ Certified Fee p .Post ark' co Return Receipt Fee Here ED (Endorsement Required) ? p �t`� Restricted Delivery Fee _.! !jON (Endorsement Required) l p Total Postage&Fees Sent T. rq ��fy ; I }-��P +� 1 gym + --------------------- � Street Apt No.;`` •�-- T or PO Box NO. 1 Z �t_I Li'1 D l��n !_ --- ---------- y state,ZIP I G n v N Y i 1 3 i a� r Town of Barnstable Barnstable ?�pf THE Tp� , ;y Re gulatory Services Department At-M,tricaMV BAM"Ass. ]Public Health lbz9. ,�� Division m rEb MAt a 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geder,Director FAX: 508-790-6304 Thomas A.McKean,CHO . 04/04/2011 Leemilts Petroleum, Inc. 125 JerichoTurnpike Jericho, NY 11937 IMPORTANT NOTICE Re: 199 Falmouth Rd._Hyannis, MA. 02601 Map & Parcel: 311-079 Dear Property Owner: According to our records, your property at 199 Falmouth Rd., Hyannis, MA has a septic system (last inspected in 2003) and is not connected to the public sewer system. Public sewer lines have been available in your neighborhood since May, 2003. The property owner was previously notified of the obligation to hook up and establish a sewer account with the town. This letter directs you to connect your building located at 199 Falmouth Rd., Hyannis, MA, to public sewer on or before Sept. 30, 2011. Sewer connection permits are available from DPW-Water Pollution Control Division, 617 Bearse's Way, Hyannis MA 02601 (508) 790-6335. You may request a hearing before the Board of Health. If you would like a hearing please send a written petition requesting a hearing on this matter within seven (7) days of receipt of this letter. If you should have any questions, please call 508-862-4644. PER ORDER OF THE BOARD OF HEALTH o c ean, R.S., C.H.O. Agent of the Board of Health M CO ete items 1,2,and 3. so Complete a S m item 4 if Restricted Deiiv is desired. ❑Agent ® Print your name and ad* ss on the reverse ❑Addressee so that we can return the card to you. Receiv P ted ameJ C. Date of Delivery M Attach this card to the back of the mailpiece, 1 or on the front if space permits. • D. Is delivery address.different from item 17 Dyes 1. Article Addressed to: If YES,enter delivery address below: ❑ No av- 1 I Z5 Jeri Gho I�f J e V--r C_�'v N y 3. Service Type V�Eertifled Mail ❑Express Mail r ❑Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7006 0810 0000 35,25 5132 ' (Transfer from service label) I PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540�. rrurl i A m u7 U-) ru Ln rrl Postage $ C3 O Certified Fee EDED 4 (Endorsement Receipt equi Fee OOstmark Here Restricted Delivery Pee I� r-q (Endorsement Required) rO c?: Totaf'Postage&Fees yr W O Sent To Lnnm; � {� Pei _ ` n �- � Streef,Apf No ------ "----•---------- _. - .. or PO Hox No. - ---------- --- Ciry,.Sfate,�IP+4 i ; ._ , . . Town of Barnstable of SHE T� o Regulatory Services BAxxSTnB Thomas F. Geiler, Director 9�A MASS. ••� Public Health Division TfD MA'S A Thomas McKean, Director 200 Main St, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-79M304 May 29, 2003 Marane Oil Corp. C/o Getty Petroleum Corp. 120 Jericho Tpke Jericho, NY 11753 IMPORTANT NOTICE RE: Map & Parcel 311-079 Dear Addressee: You are directed to connect your building located at 199 Falmouth Road, Hyannis, MA to public sewer on or before August 29, 2003. The Department of Public Works, Engineering Division, has notified us that your property abutts recently installed vacuum sewer lines. The lines were extended because of the density, and the size of the lots in the area, and the potential for serious health problems. Failure to comply with this order will result in a complaint against you, in a court of law, due to your failure to comply with a Board of Health Order. If you should have any questions, please telephone me at 862-4644. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S. CHO Health Agent for: TOWN OF _BARNSTABLE BOARD OF HEALTH Wayne Miller, M.D., Chairperson Susan G. Rask, RS. Sumner Kaufman, M.S.P.H. Return receipt requested Cc: Barbara Childs, Water Pollution Control Mark Giordano, Engineering Q:Sewerorder.doc ----------...., _ 777771-11 i ® Complete Items 1 2 and 3 Afso complete ❑ A. Si:: re. u item 4[f Restricted Delivery is desired Agent Pnnt,your name and address-on the reverse ❑Addressee so that we Can return the card fo you B. Received by(Printed Name) C. Date Delivery. ® Attachth[s card to the`baok of'the mailpiece, S or on the frontif space permits D. Is delivery address different from item I L3/ Yes 1 Article Addressed to If YES,enter delivery address below: El No Marane Oil Corp. t C/o`Getty Petroleum Corp. 120 Jericho Tpke : { 3. Smervice Type Jericho , NY 11753 l�&rtified Mail ❑Ex s Mau ❑ Registered e m Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2 Article Number ! 7001 1940 0004 9042 1990 (transfer from service/abeq PS Form 3811.,August 2001 Domestic Retum Receipt 102595-02-M-1eao.1 fi 6a p s o I p— ' Ir ru 37 Postage S O Certified Fee Er , erk Return Receipt Fee (Endorsement Required) Aey 0 � 9 C3 Restricted Delivery Fee p (Endorsement Requtred) \ Total Postage&Fees $ �. Marane Oil Coro. �SPs � se FT C/o Getty Petroleum orp. ...........:... ,� Street,Apt 120 Jericho Tpke or PO sox ' Jericho , NY_11753 " _.__.- ._. o cfry,srare, .- tti • � L# I� � .. . m Postage M Certified Fee Return R eceipt Fee Bostmark Z O (Endorsement Required) Here M Restricted Delivery Fee ra (Endorsement Required) ED 0 o �09Z Total Postage&Pees Sent To m( I [`- 3Yreet Apt No or PO Box No. -.I Z Q(1G�o Tvfn :r� �r Certified Mail Provides: • A mailing receipt (as�'anaa)Z E-oJ Sd o A unique identifier for your mailpiece • A record of delivery kept by the Postal Service-for two years Anportent Reminders: a Certified Mail may ONLY be combined with First-Class Maile or Priority Maile. a Certified Mail is not available for any class of international mail. 4 NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. in For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPSe postmark on your Certified Mail receipt is required. a For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted-Delivery". ® If a postmark on the Certified Mail.receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. _IMPORTANT:Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. i SENDE -'JOMPLETE TI-01S SECTION COMPLETE THIS SECTION ON DELIVERY I ■ Complete items 1,2,and 3.Also complete A. S re item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and aO;Jmss on the reverse ❑Addressee so that we can return fhe card to you. I Receiv P ted ame) C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from item 17 ❑Yes 1. Article Addressed to: D If YES,enter delivery address below: ❑No LQ,e,M x y}" Z�" �2�( C (•o I�rr? J r C-hd I v Y 3. Service Type Pf6ertif ed Mail ❑Express Mail I ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number= y I;i 11 1 111?01 U 10 8 IM 1 0 0 0 a ', 5 2,5 1513 2, ^( 1 (Tianster iroiri service IabeQ 4��^ PSForm 3811,IFebruary 2004 i. j domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICE First;Cla ail Postage r Fees Pald LISPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • Town of Barnstable Health Division t7 200 Main Street Hvannis, MA 02601 zz 3- till 111111 lJ1111111 fill 111111111ifillf 111111111P"ll....1,1;1,:: �p THE Tp� Town of Barnstable Barnstable AN-Ainea�ica City B AFLV Regulatory Services Department y t ABLE, i "M;S. Public Health Division v�AlFD ' 7 W 200 Main Street, Hyannis MA 02601 Zn 0 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO . 04/04/2011 Leemilts Petroleum, Inc. 125 JerichoTurnpike Jericho, NY 11937 IMPORTANT NOTICE Re: 199 Falmouth Rd._Hyannis, MA. 02601 Map & Parcel: 311-079 Dear Property Owner: According to our records, your property at 199 Falmouth Rd., Hyannis, MA has a septic system (last inspected in 2003) and is not connected to the public sewer system. Public sewer lines have been available in your neighborhood since May, 2003. The property owner was previously notified of the obligation to hook up and establish a sewer account with the town. This letter directs you to connect your building located at 199 Falmouth Rd., Hyannis, MA, to public sewer on or before Sept. 30, 2011. Sewer connection permits are available from DPW-Water Pollution Control Division, 617 Bearse's Way, Hyannis MA 02601 (508) 790-6335. You may request a hearing before the Board of Health.:If you would like a hearing please send a written petition requesting a hearing on this matter within seven (7) days of receipt of this letter. If you should have any questions, please call 508-862-4644. PER ORDER OF THE.BOARD OF HEALTH o c ean, R. C.H.O. Agent of the Board of Health Town of Barnstable Hazardous Materials On-Site Inventory and Inspection FACILITY INFORMATION:Business Name: 'J5�'ql"4/UT)y 6�m Business Location: ZJJ )r:5UZ_Ae0V7N 16k�, Mailing Address: 4S A-6p t/ Telephone Number: .::57 Contact Person: Emergency Contact Telephone Number: Type of Business: 1 A;sou,u&- :5 1-;f-T7,OA/ AV,) 4ul-'Z) ffCf%41 `Alb HA-1 t112�11*'v1—*6 HAZARDOUS MATERIALS (CHAPTER 108) Virgin Product Total Quantity Container Size(s) Storage Location Major Materials Gallons or Pounds Quarts,gallons, Shed,retail store, drums,tank,etc... cabinet,closet,etc I/4-S77-E 0/L 80 CiA-/�,'S A6ovC 4�&60A)a A ie Ne-w Al a7-o< !0 4 '4-4",J 4'*u,-1ei 4NRi 61 L. 411A.I JWC_7c,4� 0&C_ 44_LL.4W � l.0Ar*IAJ'5pj ®,)r ,J r v 6f V id vx-e- (� A-re4e c PeOP*A/c 1 G z�6�IS (16) HC77tde�,C /�-�-VrM61bi - 1 - Town of Barnstable Hazardous Materials On-Site Inventory and Inspection FACILITY INFORMATION: Business Name: 12771ff_0Ab 661 T1/ Business Location: / �A L'- 'o 0/y &A 1� ��L/A-X)N15 Mailing Address: S A 6e VC Telephone Number: Contact Person: � Emergency Contact Telephone Number: ` Type of Business: d ASo _1A.) 5 xy-n oAJ AA16 All-D elf e.Zd �.vd �.ftat7�iFN�� HAZARDOUS MATERIALS (CHAPTER 108) Virgin Product Total Quantity Container Size(s) Storage Location ' Major Materials Gallons or Pounds Quarts,gallons, Shed,retail store, drums,tank,etc... cabinet,closet,etc VA S i E 014. / YU Ce.444-0AJ S (,/) /SSG G,+,W J C8�� A 6 G V6 'Or/ 611— V/iA/Ih.VC,/4,40 da1lG Csf L G6�/ W,(5#,6x 6v/! 6 41d-aA)S 1!0 N 7W I JEP--S W AS7r el)& 4 4-L' 64) P/rD�4,vE G ALLbNS 1 IZBEt/ C' e L/Al6&yZ A6,TI3 4C A/7 - 1 - Misc. R.K 6 CWC44 Misc. Corrosives Misc.Reactive Misc.Toxics Inventory Total Amount: GAU-PA/s h MA 86 Cr/l2ZoAJS Pi2.0®AAJC Hazardous Materials License Posted?Yes Contingency Plan Posted? Yes (9 Fire District: ` .+A>AI A Fire Extinguisher Service Date: Z-0 Metal Covered Rag Bin: Yes (>' Absorbent Material Available?(ire No Type of Absorbent: peedy D Pads Pigs Other: MSDS on site? Yes 6) Hard Copy Computer Access Hazardous Waste Handling Hazardous Waste Generator Identification Number: Type(s) of hazardous waste product(s): e4tl u.Si? tF Z—li&JjA Date of last hazardous waste shipment,type of waste and quantity: & R yS��CE Hazardous Waste Transporter(s): Tetj bf L- Designated Hazardous Waste Facility: (,fez-757EMAJ 0/4-f LIAye-At-Af / ,l• Hazardous Waste Storage Area Description: /F 3o y't C.ROVA16 X•/ ,qE-41 6,4: (:� 4,146E Z3.4y. Is hazardous waste storage area labeled: Yes Are tanks/drums/containers labeled with the words "Hazardous Waste" e type of waste and the associated hazard(i.e. ignitable,corrosive,reactive or toxic) es No If hazardous waste is stored out of doors is it covered from the elements? Yes No A114 Is it in 110% containment? Yes No If hazardous waste is stored indoors is it on an impervious floor? es No - 2 - ° I Misc. Combustibles_ _ t/ R IOU-S g"CH A C1-4"1(.43[.ES - � `j�LLD�S �}L RDSOL ��S �Aa2A�E 15/4 Misc. Corrosives Misc.Reactive Misc.Toxics Inventory Total Amount: a2 7� GgA1.1,0A S A Nn 96 (ALIGNS PROP�4�E Hazardous Materials License Posted?Yes 0 Contingency Plan Posted? Yes Fire District: ,W-.,1.4 AINIJ Fire Extinguisher Service Date: 61 Metal Covered Rag Bin: Yes Absorbent Material Available? es No Type of Absorbent: Cp-e-e�dyDPads Pigs Other: i MSDS on site? Yes o) Hard Copy Computer Access Hazardous Waste Handlings Hazardous Waste Generator Identification Number: AV.3-d 7-1/ 7-7D Type(s) of hazardous waste product(s): CO,P &2 S ZZ= ,C t LaW g/l Date of last hazardous waste shipment,type of waste and quantity: Zjayih -zfx OIL JQQ 404"Ai-T & - ga -o-L611 Hazardous Waste Trans orter s : - /4.. Designated Hazardous Waste Facility: E-5,72r7eAJ 6/L L stye-,ol-Al ff 17• Hazardous Waste Storage Area Description: A 6&y.- ,R''®u�ld T ,dam/A/ REAR&5 G IWAZ E &A V. Is hazardous waste storage area labeled: Yes Are tanks/drums/containers labeled with the words "Hazardous Waste" e type of waste and the associated hazard(i.e. ignitable,corrosive,reactive or toxic) es No If hazardous waste is stored out of doors is it covered from the elements? Yes No Is it in 110% containment? Yes No If hazardous waste is stored indoors is it on an impervious floor? es No - 2 - i I FLOOR DRAINS (Chapter 381) ��1i��s �c 77EoetzcK �h - Town Sewer Account Number: L&17�- issctds �o L� Indoor floor drains: Yes No If yes,circle one,does it discharge to a: holding tank dry well on site septic. Outdoor surface drains: Yes (9 If yes,circle one,does it discharge to a: holding tank dry well on site septic. FUEL AND CHEMICAL STORAGE TANKS 326 (Chapter ) Underground Storage Tank(s) on site? es No Age: —&445.Is removal required? Yes No If yes,when? Is testing required? Yes No If yes,when? Out of doors above ground storage tank on site? Yes & If yes,is it protected from the elements? Yes No If yes,how? Is it on a foundation larger in size than the tank? Yes No COMMENTS/RECOMMENDATIONS/CORRECTIVE ACTIONS Date: Jlo�;'T, Z;Z &!v Public Health Inspecto Facility Representative: - 3 - FLOOR DRAINS (Chapter 381) c�Ni�� /7c 77eoLtZtk /- -�/ o reht72- Town Sewer Account Number: L e x i s 5u4b w L T ._. ivG 77a '/N 7a Pvr�[/GSEWN• Indoor floor drains: Yes No If yes,circle one,does it discharge to a: holding tank dry well on site septic. Outdoor surface drains: Yes o If yes,circle one,does it discharge to a: holding tank dry well on site septic. ��..��// FUEL AND CHEMICAL STORAGE TANKS (Chapter 326) Underground Storage Tank(s) on site? es No Age: I�IVRS.Is removal required? Yes No If yes,when? Is testing required? Yes No If yes,when? Out of doors above ground storage tank on site? Yes 0 If yes,is it protected from the elements? Yes No If yes,how? Is it on a foundation larger in size than the tank? Yes No COMMENTS/RECOMMENDATIONS/CORRECTIVE ACTIONS Date: J& r, ZZ Public Health Inspector: Facility Representative: i - 3 - FALMOUTH ROAD GETTY Comments/Recommendations/Corrective Actions The facility stores, uses, and/or generates more than one-hundred and eleven gallons of hazardous material and is therefore subject to Town of Barnstable Ordinance Chapter 108. Therefore, the following actions are to be taken: The business is to complete and mail in the attached"Application for Permit to Store and/or Utilize More Than 111 Gallons of Hazardous Materials". The license is to be posted in the building upon receipt. The Hazardous Waste Generator Identification Number MV5087717770 is not registered/listed with the Massachusetts Department of Environmental Protection(DEP). A Hazardous Waste Generator Identification Number is to be obtained by you from the DEP. A "Self Assigning a Hazardous Waste Generator Identification Number" fact sheet has been attached for your convenience. Waste antifreeze should not be disposed of with solid waste in the dumpster. It is toxic to small children and animals. All waste antifreeze is to be disposed of/recycled by a waste transporter. A list of Department of Environmental Protection Hazardous Waste Transporters is attached for your convenience. The fire extinguishers,service date is over due,the fire extinguisher(s) should be maintained up to date. All hazardous waste containers are to be labeled as indicated in the attached"A Summary of Requirements for Small Quantity Generators of Hazardous Waste". v YOU WISH TO.OPEN A BUSINESS? For mu Information: Business certificates (cost$30.0o for 4-years). A business certificate ONLY REGISTERS YOUR NA You mus el by M.G.L.-it does not�iye you permission'to operate.) Business Certificates are available at the Town Clerk's ❑ E in town (which Main Street, Hyannis, MA.02601 (Town Hall) office, 1=` FL., 367 11� Fill in lease. oa0.�6 APPLlGANT'S YOUR NAME: �'��y`'` �•' BUSINESS YOUR HOME ADDRESS:/ Q �a,�l/G �J � C T'-©� �- 77710 TELEPHONE # Home Telephone Number U G7 NAME OF tVEW' BlJ61Nts*s 1S THIS A-HOME OCCURATIOIV? ' T�(PE'OF RUSINESS: r U _.__YE5 ADDRESS OF BLJ'S11VES5 - U :MAP/#PARCEL NUMBER' U When starting a new business there are several things you must do in order.to be in compliance with the rules and regulations bf the Barnstable. This form is intended to 8ssist you'in obtaining the information you [nay need.. You MUST GO TO 200 Main St, - cornero f of Rd. & Main Stireet).to make sure you have the appropriate.permits and licenses.required to legally operate your business (n 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 HEALTH' This individual has be nformed of t ermit r irements that pertain to this type of business. uthorize Signature* MUST COMPLY WITH ALL d * �' COMMENTS: l HAZARDOUS MAT�OJ04LS REGULATIONS 3: CONSUMER AFFAIRS LICENSING AUTHORITY) This individual ha n 'nfor th licen ' r�Uts that pertain to this type of business. uthorized Signature.* COMMENTS: S Hazardous Materials Inventory Sheet Checklist e ' hysical Street Address-Check database to ensure it exists >� �Alorking Phone Number Actual Amounts-(le.gas being used to fuel machines,thinner to clean brushes all count as hazardous materials)- d�Storage Information-location of storage,how long Is storage for? If none,note that. posal Information-where and who?If none,note that. Applicant Signature-understand what is listed and noted staff Initial-any questions,know who to ask 1'//J1=)- Vehicle Washing/Rinsing? -provide a vehicle washing policy and explain it-note that it was given Attach the Business Certificate with your sign off and comments "The inventory form should explain what the business consists of and the procedures they are doing. Notes need to be left to explain what you discussed with them. .f Date: 3 QXl o f TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: u BUSINESS LOCATION: = INVENTORY / MAILING ADDRESS:�R,4 Im -� TOTAL AMOUNT: TELEPHONE NUMBER: CONTACT PERSON: L - EMERGENCY CONTACT TELEPHONE NUMBER:. ,7 MSDS ON SITE? TYPE OF BUSINESS: INFORMATION/RECOMMENDATIONS: Fire District: �r Waste Transportation: Last shipment of hazardous.waste: Name of Hauler: _ __ Destination: Waste Product: Licensed? Yes No MOTE: 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 NEW USED �ASr S � (insecticides, herbicides, rodenticides) / n Gasoline, Jet fuel, Aviation gas 6" Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil p/1 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) d Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes v Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) — - -- NEW - USED _ - Any.other-.products_with "poison'_labels 471- Paint &varnish removers, deglossers (including chloroform, formaldehyde, v Misc. Flammables hydrochloric acid, other acids) Floor &furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers (including bleach) Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents , Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS U.�:PostalServiceTM ; ��y � , �� • vER 1-IFIED IUTAILTM RECEIPT K4 '' (Domestic�MailbOnty;1No Insurance Coverage�Provtded) r Foi,delivery,informatwn,visit our`websitF-st;www usps:como r F r MEO I _ '^ram. -� :• I PS,Porm 3800.August 2006 .See Reverse fkorGln'rtructions Certified Mail Provides: • �` r o A mailing receipt a A unique identifier for your mailpiece a A record of delivery kept by the Postal Service for two years <, Important Reminders: a Certified Mail may ONLY be combined with First-Class Mail®or Priority Maile. o Certified Mail is not available for any class of international mail. a NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o Fo(an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a LISPS®postmark on your Certified Mail receipt is I required: ` a For"an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted-Delivery`. o If a postmark on the Certified Mail receipt is desired,please present the aili= cleat the post office for postmarking.,If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT.Save this receipt and present it when making an inquiry.r' PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 7-71 R 77 COMPLETE THIS SECT/OJV ON DELIVERY SENDER: COMPLETE THIS SECTION ■ Cmplete items 1,2,and 3.Also complete A. Sig ture item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. B. Receiv C. Date of Delivery a Attach this card to the back of the maiipiece, I n„,� ly or on the front if space permits. 1 - - D. Is delivery aifdress different fromAitem 1? ❑Yes 1. Article Addressed to: it If YES,enter delivery address•below: ❑ No . k 3.�S..e/rvice Type idXA tified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee), ❑Yes 2. Article Number (Transfer fom seiyfoe(shag't l t i I t 701,1 t 47 0�{ 1 4526 y6 2 8 7 ' PS Form 3811,February 2004 ', ! Domestic Return Receipt' 102595-02-M-1540 UNITED STATES POSTAL SERVICE First-Class Mgil 111111 Postage&Feet,P.aid LISPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • � i�� Public Health Division a/�( l Town of Barnstable 200 Main Street I Hyannis, MA 02601 I I ` I TOWN OF BARNSTABLE BAR-W Ordinance or Regulation WARNING NOTICE Name of offender/Managerr'. _,C'_ _ �}` w. i -" Address of Offender l `" <. i + . c' MV/MB Reg.# Village/State/Zip 1•. - e kit i r Business Name am/pm, on } f; 20 ; i Business Address Signature of Enforcing Officer Village/State/Zip Location of Offense � +. ' Enforcing Dept/Division Offense / (.t/ !tom (70, C- .M,r"%" -:v't� b�4 Facts This will serve only as a warning. At- this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. zk Town of Barnstable �F'THE t Regulatory Services Thomas F. Geiler,Director Public Health Division, BARNSTABLE, Thomas McKean,Director 9� M�; ,e� 200 Main Street, Hyannis,MA 02601 ArFD MA'i A Phone: 508-862-4644 Email: health@town.bamstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 June 12,2007 Mr. Brian Perry Hyannis Getty 199 Falmouth Road Hyannis,MA 02601 Dear Mr.Perry: Thank you for your time and cooperation during the hazardous materials inventory and site visit at Hyannis Getty, 199 Falmouth Road,Hyannis on April 23, 2007. This letter contains information from that visit that will help you become compliant with Chapter 108 of the Town of Barnstable Ordinance: Hazardous Materials. Enclosed are copies of Chapter 108: Hazardous Materials ordinance, a copy of the Toxic and Hazardous Materials On-Site Inverrtory form from the visit, a sample contingency form, and an application to obtain the hazardous materials permit for the fiscal year 2007-2008. Please note the problems identified at your place of business during the hazardous materials inspection and their corresponding recommendations or orders listed below: PROBLEM: • Small holes in the floor remain after the removal of a hydraulic ramp. ORDER: • Please seal all holes in the floor immediately. PROBLEM: • No MSDS (Material Safety Data Sheets)on site. ORDER: • Please obtain the MSDS for the products being used at your facility. All vendors shall be able to supply you with MSDS of the products being delivered to your facility. There are I` also many internet sites that can aid you in getting the correct MSDS as well. PROBLEM: • No contingency plan posted. f ORDER: • Please post a contingency plan in the facility near all phones to be in compliance with Chapter 108-6 License and Contingency Plan. A sample is enclosed. PROBLEM: • No hazardous materials permit obtained. RECOMMENDATION: • Please obtain a hazardous materials permit for the fiscal year 2007-2008 at this time. This facility was ordered to obtain a permit in 2004 and has not done so. On Site Inventory Total The Toxic and Hazardous Materials On-Site Inventory from April 23, 2007 shows that you have approximately 312 gallons of toxic and hazardous materials being used, stored, generated and disposed of at Hyannis Getty, 199 Falmouth Road,Hyannis,MA(Please see enclosed Toxic and Hazardous Materials On Site Inventory sheet). A representative from the Public Health Division will re-visit your business during the next 30 days as a follow up to further advise you on your compliance. If you have any questions about these problems,the orders and recommendations, or you need further information, guidance or assistance,please do not hesitate to contact the Public Health Division. Sincerely, Alisha L. Parker Hazardous Materials Specialist All orders to correct violations of Chapter 108 of the Town of Barnstable Ordinance: Hazardous Materials shall be complet upon receipt of this letter. Thomas McKean,RS, CHO Director of Public Health Enc. Chapter 108 (copy) On-Site Inventory(copy) Contingency Plan(copy) Application 4, Date: TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: s BUSINESS LOCATION: I INVENTORY MAILING ADDRESS: �� TOTAL AMOUNT: TELEPHONE NUMBER: jhw CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUM ER: MSDS ON SITE? TYPE OF BUSINESS: 444,02,-Kffv� �b I FORMATIO /RECOMMENDATIONS: Fir istrict: b 5 0• Waste Transportation: U el Last shipment of hazardous.waste: -- Name of Hauler: I,U,L�iVl 0 (at"l�l� -Destination- Waste Product: Licensed? 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 ✓� A—NEW USED u q (insecticides, herbicides, rodenticides) ®L Gasoline, Jet fuel, Aviation gas Ojol inciu 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 i 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 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 Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor&furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS OIL WASTE OIL FILTERS ANTIFREEZE WASTE ANITFREEZE 6�U-k-n° GASOLINE WASTE GAS DIESEL FUEL W/W FLUID ATF 010,00 # b 16D° HYDRAULIC/ MISC. MISC. MISC. MISC. BRAKE FLUID COMMBUSTIBLE FLAMMABLE CORROSIVE PETROLEUM (GEAR OIL/GREASE/ LUBRICANTS) I I(l/ (3� VI/ FREON ACETYLENE CAR WASH CAR WASH PAINTS/ WAX DETERGENTS THINNERS SEALANT CLEANING BATTERIES/ POISION/TOXIC CAULK/GROUT SOLVENTS BATTERY ACID FERTALIZERS WASTE SOLVENT BLEACH DISH WASH AND MSDS DETERGENTS MANIFESTS . P ®kAAA-&L A-d-rx f -- K 6fi U./�- m d Lp4 1Ac au oul vvrw L-�- t at cam" Vj t- Town of Barnstable Regulatory Services Thomas F. Geiler,Director C�V '�' Oq Public Health Division / Thomas McKean,Director MASS 9 ,e i9 1 200 Main Street, Hyannis,MA 02601 Phone: 508-862-4644 Email: health(otown.bamstable ma us Fax: 508-790-6304 Office Hours: M-F 8:00—5:00 Hyannis Getty II Attention: Steve Morgan June 28,2004 199 Falmouth Road Hyannist,MA 02601 RE: Hazardous Materials License Required and OVERDUE, Dear Mr. Morgan: The Toxic and Hazardous Materials Inventory conducted on May 20,2004 shows that you have approximately 20,024.25 gallons of toxic and hazardous materials being. used/stored/generated/disposed of at your place of business(Please refer to your copy of the Toxic and Hazardous Materials Onsite Inventory). The Town of Barnstable Board of Health has determined that using, storing, generating and/or disposing of over 111 gallons of hazardous materials per month requires businesses in the Town of Barnstable to obtain an annual Hazardous Materials Permit.You were informed verbally and in writing on your inventory form(mailed to you on May 21,2004)to obtain your permit as soon as possible. Please obtain your permit. You have 14 days to comply. After this time,you may be issued a warning or non-criminal ticket citation in the amount of$75.00 for the first violation and $25.00 for each additional violation. Each day's failure to comply with an order shall constitute a separate violation. Please refer to Article 39: Control of Toxic and Hazardous Materials,Section 13,and Section 14-1, 14-2, 14-3,and 14-4(copy enclosed). Passing your Hazardous Materials Inspection and obtaining your license will keep your business compliant,prevent contamination of Barnstable's existing and future drinking water supply, prevent environmental contamination which can bankrupt site owners, lead to future regulatory, and possibly, legal problems,lower or destroy land values, drive out residents and industry, depress local economies and endanger public health. You will receive your Hazardous Materials License certificate after you have passed your inspection and paid the license fee. Your continued cooperation is greatly appreciated. If you '4 have any questions or need further information,please do not hesitate to contact the Public Health Division. Thank you, 7 Thomas A.McKean, RS, CHO Director of Public Health enc. Hazmat license application Article 39,Sect.13,14 Date:C OPY �- 1 u TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAMEOFBUSINESS: C � BUSINESS LOCATION: MAILING ADDRESS: �� INVENTORY TELEPHONE NUMBER: � 8 — ` 7 TOTAL AMOUNT: CONTACT PERSON: by/. I f fe EMERGENCY CONTACT TELEPHONE NUMBEIQ FWE Q(57IC-T TYPEOFBUSINESS: ii/,d- � 1cJrt OTHER INFORMATION: Waste Transportation: Name of Hauler: /IO ,� Destination: Waste Product: —� Licensed? Yes No 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. . NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Observed (gallons): Antifreeze(for gasoline or coolant systems) Drain cleaners 41a .NEW USED Cesspool cleaners �-` Automatic transmission fluid Disinfectants Engine and radiator flushes.... Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants _c,-,- Motor oils Pesticides 0A NEW USED (insecticides, herbicides, rodenticides) 2v Gasoline, Jet Fuel Photochemicals (Fixers) - Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car wakes and polishes Leather dyes Asphalt& roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride)- Paint&varnish removers, deglossers Paint brush cleaners Any other products with "poison" labels Floor&.f.urniture strippers (including chloroform, formaldehyde, Metal polishes hydrochloric acid, other acids) Laundry soil &stain removers Other products not listed which you feel .(including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids Misc.' (dry cleaners) Other cleaning solvents Bug and tar removers Hazardous Materials On-Site Inventory/Inspection 1 For ALL Shops and Businesses: Y5 DBA: 5 s Location: � R �t�1, �iA, Date: /Zo �6 y Physical Features to Inspect. 1. Hazardous waste generation sites (production/manufacturing areas): IA 2. Waste storage areas: 'vim l 3. Satellite accumulation points throughout: t 4. HazMat stored outdoors — CHECK OUTSIDE: 5. Shipping and receiving areas: 6. Run down of shop activities: 7. Housekeeping practices: y�C, • 20 HazMat On-Site Inventory/Inspection: Records to Review for SQGs and CESQGs DBA: Location: . Site visit date: • Hazardous Waste Manifests: (/I • Employee training documentation (if required):: • Hazardous substance spill control and contingenq, ,y plan: ZVIA • MSDS on site? 41 e& � • HazMat Inventory records (if applicable): - G • HazMat Waste Shipping documentation: • Spill records (if applicable): /U6 r a A Town of Barnstable-Health Department Page 1 !lam HAZARDOUS MATERIALS INVENTORY SITE VISITS ... DBA: DON'S HYANNIS GETTY Fax: Corp Name: Mailing Address Location: 199 FALMOUTH RD.,HYANNIS Street: 199 FALMOUTH RD. mappar: City: Hyannis Contact: State: Ma Telephone: '771-2294 Zip: 02601 Emergency: ! Person Interviewed: Business Contact Letter Date: Category: Fuel Inventory Site Visit Date: Type: iGas/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 0 currently licensed ❑ town sewage d❑ indoor catch basin/drywell ❑ outdoor catch basin/drywell expir --- -- - --- -- ❑d on-site sewage ❑ indoor on-site syste ❑ outdoor onsite system date: .-.................... _......__ Spedi dry-spills; rags-Apparel Master; recycle oil filters MSDS compliance: sheets. Batteries-9 units, No car services are done here only Satisfactory inspections. Vapor recovery nozzle.U1st for rags&uniforms. Orders: Please keep rags in metal container with lid.Update fire extingishers. IVe,, _ 07 a4,1L 1 tl 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 descriptibn: gty: 4 unrtofineasure antifreeze(for gasoline or coolant systems) 0 _...____.___...._.... .-----..._____...._........_..._._._....._._____....._._...._...... ..............—_........._.__.;........._.._...........................__....._........... ..__._ floor waxes and polishes 0 motor oil 2 cases waste oil 0 ,�� ...._. Waste Transporter: /� �./� Fire District: Last HW Shipment Date: �/ Waste Hauler Licensed: No Date: 9 -,V-041 TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAMEOFBUSINESS: I: s - BUSINESS LOCATION: CL t MAILING ADDRESS: " �� INVENTORY TOTAL AMOUNT: TELEPHONE NUMBER: -9 — `7-7/— Z�� CONTACT PERSON: d y / 2�a� EMERGENCY CONTACT TELEPHONE NUMBE . TYPEOFBUSINESS: crn Ff%�E ptSICT OTHER INFORMATION: Waste Transportation: . Name of Hauler: /10 A Destination: Waste Product: 7 Licensed?-Yes No 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. . NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity,Observed (gallons): Antifreeze(for gasoline or coolant systems) Drain cleaners 41 NEW USED Cesspool cleaners l- Z� Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants _t-,- Motor oils Pesticides 13 NEW USED (insecticides, herbicides, rodenticides) 20 00c, Gasoline, Jet Fuel Photochemicals (Fixers) - Diesol fuel, kerosene, 42 heating oil NEW USED Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid'(electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car wakes and polishes Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride)- Paint & varnish removers., deglossers Any other products with "poison" labels Paint brush cleaners Floor&furniture strippers (including chloroform, formaldehyde, Metal polishes hydrochloric acid, other acids) Laundry soil &stain removers Other products not listed which you feel (including bleach) may be toxic or,hazardous (please list): Spot removers & cleaning fluids Misc.: (dry cleaners) Other cleaning solvents Bug and tar removers -Conmigg Up Er ti-I L U S 7E . , IU Postage $ v C3 certified Fee o91 -� Return Receipt 'dorsemerd Regained) p Fee (EesbfCtndmwme eIRegryutred) i AY O Total Postage&Fees I$ . \ __ _ n' Sent To _.Marane Oil CorS I C/o Getty Petroleum orp. ` rq siest,IP! ,120 Jericho Tpke ... or PO Box III o �;�sraee' Jericho,-NY 11753 i Certified Mail Provides: o A mailing receipt - r� o A unique identifier for your mailpiece a A signature upon delivery a A record of delivery kept by the Postal Service for two years i Important Reminders: a Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. a Certified Mail is not available for any class of international mail., o NO INSURANCE COVERAGE IS PROVIDED.with 4G' 'tified Mail. For valuables,please consider Insured or Registered'Mail(l' F' '" a For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable:posrfage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive�a fee waiver for a duplicate return receipt,a USPS po onAour.Certified Mail receipt is required. a For an additional fee, delivery marestricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery'. - a If a postmark on the Certif,-Mail receipt is desired,please present the arti- cle at the post office fr � ':ng. If a postmark on the Certified Mail receipt is not needea;detac,. affix label with postage and mail. IMPORTANT:Save this risceipt and present it when making an inquiry. PS Form 3800,January 2001 (Reverse) 102595-M-01-2425 ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. SijurEF- item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse X ❑Addressee so that we can return the card to you. B. Received by(Printed Name) C. Date Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1 - D. Is delivery address different from item 1? Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No I Nlarane Oil Corp. C/o°Getty Petroleum Corp. 1 120 Jericho Tpke 3. STer�viceType Jericho , NY 11753 l:d'Certified Mail �®Ex ss Mail ❑Registered tfd'Return Receipt for Merchandise 1 I ❑ Insured Mail ❑C.O.D. I 4. Restricted Delivery?(Extra Fee) ❑Yes I I 2. Article Number 7001 1940 0004 9042 1990 (Transfer from service labeq PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540 UNITED STATES PdS�rAL SVI First-Class Mail RECEI Postage&Fees Paid USPS Permit No.G-10 I • Sender: Please pant your name, address, a d ZIP+4 in this box • j I (M ,,: oANNSTABLE Town of Barnstable Division of Health 200 Main Street I Hyannis, MA 02601 i I I I i i � Town of Barnstable o Regulatory Services • Thomas F. Geiler,Director MUMSens[.e, MAN1639n. Public Health Division rED MA'S s Thomas McKean, Director 200 Main St, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 May 29, 2003 Marane Oil Corp. C/o Getty Petroleum Corp. 120 Jericho Tpke Jericho, NY 11753 IMPORTANT NOTICE RE: Map & Parcel 311-079 Dear Addressee: You are directed to connect your building located at 199Falmouth-Road,-Hyannis,_ MA to public sewer on or before August 29, 2003. - - -- - The Department of Public Works, Engineering Division, has notified us that your property abutts recently installed vacuum sewer lines. The lines were extended because of the density, and the size of the lots in the area, and the potential for serious health problems. Failure to comply with this order will result in a complaint against you, in a court of law, due to your failure to comply with a Board of Health Order. If you should have any questions, please telephone me at 862-4644. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S. CHO Health Agent for: TOWN OF BARNSTABLE BOARD OF HEALTH Wayne Miller, M.D., Chairperson Susan G. Rask, RS. Sumner Kaufman, M.S.P.H. Return receipt requested Cc: Barbara Childs, Water Pollution Control Mark Giordano, Engineering Q:Sewerordendoc TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1. Marine,Gas Stations, Repair BOARD OF HEALTH 2. Printers Q satisfactory 3.Auto Body Shops 1 t IX unsatisfactory- 4.Manufacturers COMPANY HY�Na`-�(ET .� (see"Orders") 5. Retail Stores 6. Fuel Suppliers 1 ADDRESS LCPG-��k � Glass: 7. Miscellaneous C�171 S QUANTITIES AND STORAGE (IN= indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground 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: i DISPOSAL/RE(:LAMATIONREMARKS: �r 1. Sanitary Sewage 2.Water Supply V D &e-C�.60 I O Town Sewer _,Vublic `) _)Rf On-site OPrivate 3. Indoor Floor Drains YES NO,Y O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES N0—X— ORDERS: O Holding tank:MDC . O Catch basin/Dry well O On-site system iQC ifx NI&64)MS 5.Waste Transporter Narne of Hauler Destination Waste Product Licensed?i YES NO 2. :��11�_ :Yj j , 1 Person(s) Irrte ed Inspector at . I / TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOAROF EAT O satisfactory 2.Printers 3.Auto Body Shops NS yY�N 1 unsatisfactory- 4.Manufacturers (see"Orders") 5.Retail Stores COMPANY � 6.Fuel Suppliers ADDRESS 1�"I �LM6011 3DD Class; 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline Jet Fuel(A) kj Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) 3v yD new motor oil(C) 0 transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: DISPOSAVRECLAMATION REMARKS: 1. Sanitary Sewage 2.',Water Supply R O Town Sewer Public %On-site OPnvate 3. Indoor Floor Drains YES N0Y_ O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO M ERS: Q Holding.tank:MDC O Catch basin/Dry well i O On-site system 0 5.Waste Transporter lee S YES INO 1. 2. Lid Pe son nterviewed Inspector ate TOWN OF BARNSTABLE OMPLlANCE: ECLASS: 1. ne,Gas Stations,Repair satisfactoryers BOARD OF HEALTH Body Shops /� O unsatisfactory- facturers COMPANY, L'S/ll � bf�/i'�l��s (see"Orders") l Stores Suppliers ADDRESS f � Z./i1� Class; llaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS ,. , IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline Jet Fuel (A) Ajel 'e �#2 (B) Heavy Oils: ! waste motor oil (C) `;,1 ? new motor oil (C) 49�; ,---7 fWv transmission/hydraulic..!�r 0� jj Synthetic Organics: degreasers Miscellaneous: pr s � I a DISPOSALIREC:LAMATION REMARKS.- 1. Sanitary Sewage 2.W ter Supply A&dd4t O own Sewer Public n-site OPrivate 3. Indoor Floor Drains YES NO y O Holding tank:MDC 71' O Catch basin/Dry well / O On-site system a• 4. Outdoor Surface drains:YES NO ORD S. O Holding tank:MDC O Catch basin/Dry well O On-site system g 5.Waste Transporter Name of Hauler Destination Vaste od f YES NO 2. r Person (s) Interviewed Inspector Date - >'S'4•c?"; f . ��+sy„Y�Y�+r.+M'r`�S r' �.. a p .. W...� .,r. , .. _. � t,a' ,..j TOWN OF BARNS�TABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair a 2.Printers BOA-1�-D OF .F i ' ALTH � '`satisfactory 3.Auto Body SHops . E O unsatisfactory- 4.Manufacturers COMPANYCS�tI �,Si1il '� � �rill ' (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS /'71` � dd Class: 7.Miscellaneous ` IUAI�TTIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATEt S Case lots Drums Underground Tanks IN OUT IN OUT IN OUT #&gallons Age. Test Fuels: Gasoline,Jet Fuel (A) iesel Yke �, #2.(B) Heavy Oils: j I. waste motor oil(C) l new motor oil (C) " a transmission/hydrau ie Synthetic Organics i degreasers P ' Miscellaneous: f aeyy 44,-rill? -ws 7�. V^, '�f �*s fir.d� ��#�/ �"r✓� � 14"' �.. ( DISPOSAURECLAMATION REMARKS: i 1.Sanitary Sewage 2.Water Supply .� o O Town Sewer rPublic t On-site QPrivate ' 3. Indoor Floor Drains YES N0 O Holding tank:MDC O Catch basin/Dry well 711,44-111( O On-site.system .e°' �' 4. Outdoor Surface drains:YES N0 ORDE ` S: O Holding tank:MDC O'Catch basin/Dry well O,On-site system - 5.Waste Transporter ProductName of Hauler Destination Waste •d 1. Y� 0 s No 2. I Date Person'W Infei-�iewed Inspector F' • e GETTY PETROLEUM MARKETING INC. • 27 MAIN STREET• SOUTH PORTLAND, ME 04102 • (207)799-8518 December 8, 1998 Town of Barnstable Health Department P.O. Box 534 Hyannis, MA 02601 Attn: Thomas McKean, Director RE: Underground tanks at 223 Falmouth Rd/Rte 28, Hyannis Tag # 311079 Dear Mr. McKean, In response to the notice concerning the.above referenced Getty Property, I am enclosing FP290R, FP290 and Permit to Maintain for your records. If I can be of further assistance or if you have any questions please feel free to give me a call at(207) 799-8518 ext. 211. Sincerely, Nancy Morton Engineering Department Enclosures .Ouse r��;� s44 indicate that y � �� r� �� :� � 1 ( r dA i -at) d'4. # It, 1 k t?k t T vor t yv'+*r% qt do #�R �. ,¢sa „ a b Pr .ion f th Town of ek:i 4.r.rgzt6 , x€ . net . ^ r � stow _ ' th o form of a Oermit froo your t tut fire :sqp, rv�t, t. -. ar st q V -14,6 • . itr t.r"Tk ga pe t pi - z t o ni s.a m 4 a _ r iv4,4. �$ .• A. dt 1 x .. x 9-�b4-1996 11 :04AM FROM HYANNIS FIRE DEPT. SOB 778 6448 P 3 '-A-�'4 (L0/il�7pllalG[I,rBC�L�JL a�f�/G' z IUGB �� y �� ..:�•n�i�//�Ci/��i�C��.:,•ii�r/� �lrr/'.rJ ��l'�n n. /�� tJ/<rf��r�� (-'/��r'r1 ��i� y APPLICATION FOR PERMIT" To Maintain an Existing/New Storage Tank Facility Regulated under 527 CMR 9.00 To. Head of Fire Department City, town or district: Hyannis pate: 6/19/96 Application is hereby made for permit to maintain an existing/new storage tank facility as required by 527 CMR 9.00: Location of property: Getty Provercy No. 30664, Falmouth Road, Rte. 28, llyam s, MA Streel address Owner of property: Maw Oil Q=Wratim, a/o Getty Fetroler<m Corp. Pull name o1 person.firm crcomorarron _ Number of storage tanks: _ 1 aboveground 2 LergroundSignature of owner or authorized representative: Fee paid: S 10-W (M.G.L. Chapter 148, section 10A) (Fire Department's copy—ro be filed with FP-29o, Pact 1) ---- - -----,_._ ------- ---------------------------- 91r fi.�<.� /�r,��fo/ycGl c PERMIT To Maintain an Existing/New Storage Tank Facility for Storage Tanks Regulated under 527 WAR 9.00 In accordance with the provisions of 527 CMR 9.00 this permit to maintain an existing/new storage tank facility is granted to,- Location of property:Getty Pmpexty No- 30664, Falmouth Road, Rte. 28, Hy=is, MA Sheet address Ovvner of property: Huane Oil Corporatim,c%o Getty Petmle=Corp- Furi Nome or person.hrm or corpotalicn Number of storage tanks: 1 aboveground 2 underground Facility to be maintained in accordance with the restrictions described below: MAINTAIN (2) 10,000 GALLON GASOLINE UST & (1) 180 GALLON ABOVEGROUND.WASTE OIL TANK Fee paid: LQ QQ _ (Al G.L. Chapter 148: section 10A) i This permit will excire 12/31/2000 C i C OJtd 5 gnaru of Heac cl Fire Decarmenr or B orn.e9 cesignee �_.. _t'':net S C_ -�t� :..CS JC•i! Vic'Sioraco"Still!") �\ o Notification for Removal or Closure of Storage Tanks Regulated Under 527 CMR 9.00 Forward completed form, signed by local fire department, to: Mass. UST Program, ' • Office of the State Fire Marshal, 1010 Commonwealth Ave., Boston, MA 02215 (Fire Department retains one copy of FP-290R) Date Received: 7 ig 96 Fire Dept. ID# This form may be used for notification for removal of Underground Storage Tanks/ Fire Dept. Sig. Piping, when all previously registered tanks/piping at an Underground Storage TankL Facility are taken out of use: State UseOnly If a storage facility has UST's which are to remain in use, an entire amended FP-290 A. Facility Number must be.filed. B. Date Entered Note: "Facility street address"must include both a street number and a street name. C. Clerk's Initials Post office box numbers are not acceptable, and will cause a registration to be D. Comments returned. If geographic location of facility is not provided, please indicate distance and direction from closest intersection, e.g., (facility at 199 North Street is located)400 yards southeast of Commons Road (intersection). i I I. OWNERSHIP OF TANK(S) II. LOCATION OF TANK(S) Owner Name(Corporation,Individual,Public Agency,or Other Entity) If known,give the geographic location of tanks by degrees,minutes,and seconds.Example:Lat.42,36, 12 N Long.85,24, 17W Latitude Longitude (Getty Petroleum Corp. 1/2 mile West Route 132 Street Address Distance and direction trom closest intersection(see note above) Massasoit Ave. & Domer Rd. Getty Property No. 30664 Facility No. 0-001109 Facility Name or Company Site identilier,as applicable _ Fast Providence, RI M 14 Falmouth Road, Route 28 City State Zip Code Street Address(P.O.Box not acceptable-see note above) Providestoe Hya m s, MA OM I County City State Zip Code 401-434-1322 04 158 0218 Barnstable Phone Number(Include Area Code) Owner's Employer Federal ID• County Ill. TANKSIPIPING OUT OF USE 1. Tank/Piping closed or removed (mark all that apply) - 1 ' A. Estimated date last used (mo./day/yr.) 4/18/95 4/18/95 4/18/95 4/18/95 4/18/95 I_ _ ———————————————_____———————————_ ________ B. Estimated date of removal 4/18/95 4/18/95 4/18/95 4/18/95 4/18/95 (mo./day/yr.) ------------------------------------------- C.Tank was removed from ground D.Tank was not removed from ground Tank was filled with inert material Describe: ——————————————————————————————————————————— j E. Piping was removed from ground 0 X 0 F. Piping was not removed from ground G.Other, please specify =P-290R(revised 11/94) OVER Tank Identification Number(cont.) Tank No. f Tank No. Z Tank No. 3 Tank No. 4 Tank No.. 5 2.Tank closed in accordance ' with 527 CMR 9.00 Yes O No X Yes =No X Yes ^No X Yes ^ No L' Yes = No A. Evidence of leak detected 71 Yes [X No C Yes 3 No a Yes X No a Yes X No Yes A No B. Mass. DEP notified Yes O No El Yes 2 No Yes 0i No ^ Yes No �: Yes -- No 1. Mass. DEP tracking number 2. Agency or company performing assessment I declare under penalty of perjury that I have personally 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 informa tion, I believe that the submitted information is-true;-accurate, and complete. -- --- Name and official title of owner or owner's Signature: Date: authorized representative (Print) ++�� /' q James E. Stewart YJ (0 L C GmW HaRi FP=290R(revised 11/94) Notification for Storage Tanks Regulated Under 527 CMR 9.00 Forward completed form, signed by local fire department,to: Mass. UST Program, " • • Office of the State Fire Marshal, 1010 Commonwealth Ave., Boston, MA 02215 -Date Received: 7'1 8-96 (Fire Department retains one copy of FP-290) Fire Dept. ID# _ A. New Facility(see instructions,#1) g B. Amended J C. Renewal Fire Dept. Sig. 3 No. of tanks at facility NO. of continuation sheets attachedState _ • INSTRUCTIONS: Form FP-290(Notification for Aboveground and Underground Storage Tanks)is to be completed for eacrAF location.containing underground or aboveground storage tanks regulated under 527 CMR.9.00. If more than five tanks are owned at thu location,photocopy the following pages and staple continuation sheets to the torn. The FP-290 must bety Number compteled in duplicate. Although the form may be photocopied,the factlity:owner or owner's representative must sign eaeh copy separately;.photocopied signatures are not sufficient. Both copies of the FP-290 are to be forwarded to the localEntered fire department,who will chock ail Information and certify the forum. The fire department will retain one copyof the F290 for its records,and the facility owner shall be responsible for forwarding the other copy to the Office of the State C. Clerks Initials Fire Marshal at the address above. The local fire department will issue the permit portion of the FP-290.however, regtstra•ton is not complete until the FP•290 is received and checked by the Office of the State Fire Narshat. AN questions on D..Comments this loan are to be answered.Incomplete forms will be returned. -New F3ality-means a tank or tanks located at a site where tanks have not been previously located -Facifiry sleet address-must include both a street number and a street name. Post office box rxanbers are not acceptable, and will cause a registration to be returned.If geographic location of facility is not provided,please indicate distance and direction from closest Intersection,e.g., (facility at 199 Morth Street Is located)400 yards southeast of Commons Road (inters-crony 4. NF NERAL • • Noti'',;etion Required. Egyp'=(a)a farm or resklentlal tank of 1,100 gallons or less capacity used for storing mote Fire,revention Form FP-290 is to be used as Notificabon,Registration,and Permit for fuel to aortcatvnercisl purposes,or(b)a tank used for storing hearing ON for consumptive us; abovground and underground.storage tanks and tank facilities regulated under 527 on the itemises where stored are not required to be registered under 527 CMR 9.00. Code of Massachusetts Regulations 9.00.No regulated aboveground or underground storage tank facility shall be installed,maintained,replaced,stbstarrtiady modified or P ;Artyowiot to exceedho in5.00 is r each tank br which notification is riot i e n or tc removed without a permit(FP-290)issued by the head of the local fire department. b which Civil penalty not io exceed fitted. 0 br each tank far which notification is not given or fir The owner of any storage facility shall within seven working days notify the head of the1d�e Information is submitted (MGL Chapter 148,section 38H,527 CMR 9.00) local rue department and the State Fre Marshal of any change in the name.address, Aboveground Storage Tanks. or to apnone number of the owner or operator of a storage faculty sub)ect to regulation 527 C'-fR 9.00 requires ffte registration of any aboveground storage tank which meets the by Chapter 148.Mass.General Law and by 527 CMR 9.00. following defuvtion:a horizontal or vertical tank equal to or Was than 10,000 gallons Und-rground Storage Tanks capac..j,that Is intended for fixed installation without back fill above or below grade.and L Each owner of an underground tank first put Into operation on or attar Jan.1.1991, used i,.r the storage of Hazardous Substances,Hazardous Wastes,or Flammable or shalt within thirty days attar the tank is first put into operation,notify the Department of Comix-stible I k0ds' Public Safety(the department)of the existence of such tank,specifying,to the extent Exception#I:AbovegroundtanksofmoreVan10,000gallonscapacityregulatedby520CM krwwn,the owner of the tank.date of Installation, capacity,type,location,and uses of 12.00(Requirements for the Installation of Tanks Containing Fluids Other Than Water i such tank.By no Eater than Jan.31,1991.each owner of an underground storage tank E=a-of 10,000 Gallons)are not required to be registered under 527 CMR 9.00. that was in operation at any time after Jan.1,1974, regardless of whether or not such tank was removed from beneath the surface of the ground at any time,shall notify the Ftiracton A2(a)a farm or residential tank of 1,100 gallons or less capacity used for storir department of the existence of such tank,specifying,to the extent known,the owner of motor fuel for. noncommercial purposes, or (b) a tank used for storing heating oil I, i the tank.date of instatation,capacity,type,and location of the tank,and the type and corntrnptive use on the premises where stored are not required to be registered under 52 quantity of substances stored in such tank,or which were stored In such tank before CMR$'00' the tank ceased being in operation if the tank was removed from beneath the surface Any person who knowinigiy violates any rule or reputation made by the Board of Fo of the ground prior to the submittal of such notice to the department Such notice shall prevention Reputations snail,except as otherwise provided.be punished by a Fite of not le! also specify,to the extent known,the date the tank was removed from beneath the than one hundred dollars nor more than one thousand dollars. (MGL,chapw 148,sectic surface of the ground,prior to the submittal of such notice to the department.The I a and 527 CMR 9.00) operator of any tank that has no owner or whose owner cannot be definitely Where to Notify?Two corn pleted notification forms should be signed by both the tank owrx ascertained.shall notify the department of the existence of such tank specifying,to the and the local fire deparbtntwtt One copywiN by reef sd by 7+e fire-d°p* hert d e t - extent known,any information relating to ownership of the tank and date of installation,capacty,type,and location of the tank and the type and quantity of owner small send a separate copy to the address at the top of this page. substances stored in such tank,or which were stored in such tank before the tank When to Notify?1.Owners of storage tanks in use or that have been taken out of operatic ceased being m operation if the tank was removed from beneath the surface of the must notify wtr MM thirty days. ground prior to the submittal cf such notice to the department If the tank was abandoned beneath the surface of the ground prior to the submittal of such notice to Owners and Operator of Regulated Storage Tank Systems rust maintain reeorc fie departrnem,such notice shall also specify,to the extent known to the owner or crying that all leak detection,Inventory control and tightness testing requiremerr operator,the date the tank was abandoned in the ground and all methods used to for the Regulated Storage Tank System are current These records must be readi stabilize the tank after fie tank ceased being in operation. ayeilable for Fnspeetlort. I. OWNERSHIP OF TANK(S) II. LOCATION OF TANK(S) Owner Name(Corporation,Individual,Public Agency,or Other Entity) If known,give the geographic location of tanks by degrees,minutes,and seconds.Example:Lat 42,36, 12 N Long.85,24, 17W Getty Petroleum Corp. Latitude Longitude Massasoit Avenue & Dexter Road 1/2 mile .West Route 132 Street nodress Distance aria direction from ctosau intersection(see instructions 02) Getty Prop. 130664, Facility No. 0-001109 Facility Nam.or Comperl Site identArr.as awlicabb East Providence, RI 02914 Falmouth Road, Route 28 try btats zip code Street Address(P.O.Box not accaptaoas-ses instructions 02) Providence Hyannis MA 02601 County City state zip Cade 401-434-1322 11-2232705 Barnstable Phone NLwnDw ttnctuos Area Code) owner's Emproyer Feoeral ID M County P= . I z; Ill. TYPE OF OWNER IV. INDIAN LANDS Federal Government a Commercial C Tanks are located on land within an Indian Reservation or on - State Government Private and sale) other trust lands. _. Private C Tanks are owned by native American nation,tribe,or individual. Local Government (storage and use) V. TYPE OF FACILITY Select the Appropriate Facility Description: (check all that apply) % Gas Station Marina Trucking/Transport Petroleum Distributor Railroad ~ Utilities Airport Federal-Military Residential Aircraft Owner Industrial Farm Vehicle Dealership Contractor Other(explain) V1. CONTACT PERSON. IN CHARGE OF TANKS - .Name: James E. Stewart Address: Phone Number(include area code): Job Tdle: Group Engineer Rear 27 Main Street fie: 207-799-8518 South Portland, ME. 04106 Business:800-289-4388 or. VIL FINANCIAL RESPONSIBILITY = I have met the financial responsibility requirements in accordance with 527 CMR 9.00. ---------- ------------- Check all that apply: � r-------------- = Self Insurance ❑ Guarantee [9 State Fund - Commercial Insurance E Surety Bond ( ❑ Trust Fund Risk Retention Group' C Letter of Credit ❑ OtherMethod Allowed -Specify Vill. ENVIRONMENTAL SITE INFORMATION This information should be available from local health agent, conservation commission,or planning department. 1.Tank site located in wellhead protection arsa C Yes zi No z unknown 2.Tank site located in surface drinking water supply protection area o Yes o No a Unknown 3.Tank site located within 100 feet of a wetland o Yes ❑No M Unknown 4.Tank site located within 300 feet of a stream or water body o Yes 01 No 3 Unknown IX. DESCRIPTION OF STORAGE TANKS AND PIPING (COMPLETE FOR EACH TANK AT THIS LOCATION) Tank Identification Number Tank No. 6 Tank No. 7 Tank No. 8 Tank No. Tank No. 1.Tank status a. Tank mfr's serial # (if known) b. Currently in Use ® ® x c.Temporarily Out of Use _j ��— d. Permanently Out of Use U _ 1 e. Aboveground storage tank(AST) or AST -_X11ST AST UST X_AST C UST CAST UST !AST ❑UST Underground storage tank (UST) 2. Date.of Installation.(moJday/yr.) 4/24/95 4/24/95 4/24/95 3. Estimated Total Capacity (gallons) 10,000 10,000 180 FTank Idenclication Number(coat.) Tank No._fi_ Tank No.-L- Tank No. 8 Tank Na Tank Na____ 4. Substance C.,urrendy or Last Stored a. Gasoline Motor vehicle or other use ❑MV ❑other 0 MV. other O MV C]other 0 MV ❑other '-I MV ❑other b. Diesel Motor vehicle or other use G MV O other O MV a other O MV C other 0-MVV-Oother O MV O other c. Kerosene �� L_--•--� �� d. Fuel Oil e. Waste Oil 0 —] ® 771 f. Other, Please specify Hazardous Substance -- (other than4?thru 4e above) CERCLA name and/or CAS number ;lixture of Substances Please specify 5. Material of ConsMeon -Tank (mark ali that apply) Asphalt coated or bare steel [_-7� C� C-- --� Cathodically protected steel Epoxy coated steel Composite (steel with fiberglass) �--�- Fiberglass reinforced plastic (FRP) Concrete J Other, Please specify 6.Type of Construction-Tank (mark all that apply) r---I �--] _ Lined interior Double walled X Single walled Polyethylene tank jacket Excavation liner Unknown Other, please specify Has tank been repaired? C Yes O No O Yes O No O Yes O No. O Yes O No Dyes O Nc Date a Tank Identification Number(conQ Tank No. 6 Tank No. 7 Tank No. 8 Tank No.,,r , Tank Nr., ' 7.Material of Construction!*:Piping (mark aA that apply) Bare steel 0 U Galvanized steel Fiberglass reinforced plastic X ® —J Flexible Copper Cathodically protected Secondary containment Unknown F Other, please specify 8.Type of construction-Piping (mark all that apply) ` Double walled ® X Single walled Suction:Check valve at tank only Suction:Check valve at dispenser only 0 [� Pressure X T 0 [� Gravity feed Other, please specify Has piping been repaired? 0 Yes 0 No 0 Yes ❑No 0 Yes 0 No O Yes C No ❑Yes C No Date X. TANKS/PIPING OUT OF USE 1.Tank/Piping closed or removed (mark all that apply) A. Estimated date last used (moJday/yr.) B. Estimated date of removal (moJdaytyr.) C.Tank was removed from ground D.Tank was not removed from ground Tank was filled with inert material 1 Describe: E. Piping was removed from ground F. Piping was not removed from ground 0 0 0 G.Other, please specify' I - J:ank Ida3ntification Number(cons) Tank No. 6 Tank No. 7 Tank No. 8 Tank No. Tank No. 2.Tank closed in accordance with$27 CMR 9.00 with 71 No O Yes No MYes O No ElYes 0No Yes Z No A.Evidence of leak detected O Yes 0 No O Yes O No :]Yes ^_No 01 Yes C No Yes C No B.Massa DEP notified Yes O No O Yes O No O Yes ;No C Yes O No 7 Yes O No 1. Mass. DEP tracking number 2.Agency or company,performing assessment XI. CERTIFICATION OF COMPLIANCE 1. Installation A. Installer certified by tank and piping manufacturers B. Installer certified or licensed by the C771 implementing agency C.Installation inspected by a registered engineer U In..allatioh inspected and approved by ® x 0 th-i implementing agency E.Manufacturers'installation checklists x have been completed F.Another method allowed by 527 CMR -- 9.u0.Please specify 2.Tank Leak Detection Tank Pipirq Tank Ptphp Tank Piping Tank Pipng Tank Pfp� (mark all that apply) A.Double-wall tank, Interstitial monitoring g❑ g❑ ❑ ❑ ❑ B.Approved in-tank monitor %❑ ❑ ❑ C.Continuous vapor monitoring in soil ❑ D.Monthly vapor monitoring in soil ❑ E.Inventory record-Keeping and tank testing ❑ ❑ ❑ ❑ F.Other method allowed by 527 CMR 9.00. Please specify 3. Piping Leak Detection (mark all that apply) A.Pressurized ® ❑ ❑ ❑ ❑ Interstitial space monitor ❑g g❑ ❑ ❑ C y Automatic flow restrictor' ❑ ® ❑ ❑ C Automatic shut-off device' ❑ ❑ ❑ ❑ C Continuous alarm' ❑ ❑ ❑ ❑ C ' Also requires annual tank tightness test or monthly vapor monitoring of soil. Pa' FP-M(revised fim4) Tank Identification Number(cont.) Tank No. 6 Tank No. Tank No. 8 Tank No. a Tank 46. B.Suction Check valve at tank only ❑ ❑ Interstitial space monitor ❑ ❑ a C.Suction: Check valve at dispenser only ❑ ❑ ❑ ❑ ❑ None required D. Tightness tested = tyr. =3 yr. O tyr. 3 yr. Z tyr. Z 3 yr. tyr. 3 yr. = tyr. Z 3 yr. E.Other method allowed by 527 CMR 9.00. Please specify 4. Spill containment and overfill protection A.Spill containment device installed ❑X a ❑ ❑ ❑ B.Overfill prevention device installed ❑ ❑ ❑ ❑ ❑ 5. Daily Inventory Control ❑ ❑ ❑ ❑ ❑ A. Manual gauging by stick and records a g❑ El El ❑ reconciliation - B. Mechanical tank gauge ❑ ❑ ❑ ❑ ❑ C. Automatic gauging system 0 ❑ ❑ ❑ ❑ X11. CERTIFICATION (Read and sign after completing a9 sectmns) NOTE:Both the copy being sent t,;the State Fire Marshal's Office and the copy retained by the mcal fire department mL.st be signed separately. A photo- copied signature wilt not be accet•:sd on either document I declare under penalty of redury that I have personally 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 Informa- tion, I believe that the submitted information is true, accurate,and complete. Name and official title of owner or owner's Signature: Date: authorized representative(Print) James E. Stew= Group &gweer N FP•290(rewsed 6/94) r ie'�y'+6e- r'i4'°,k. t`' -{.,,#"r "'s' tc.: s3•i�y`7 '"� ':.�Saif,.. .� Y _ �' `. � >A. �amg �� 7- VCR� r/i.��i<Cii�n,��Co�G✓i�G�c r Cr, - 9 tce olae, PERMUT To Maintain an Existing/New Storage Tank Facility for Storage Tanks Regulated under 527 CMR 9.00 In accordance with the provisions of 527 CMR 9.00 this permit to maintain an existing/new storage tank facility is granted to: Location of property:Getty Property No. 30664, Falmouth goad, Rte. 28, Hyamis, N& Street address Owner of property: MR-ane Oil tian,c% Getty Petrole=Corp. Furl name W person,firm or corporation Number of storage tanks: t aboveground 2 underground Facility to be maintained in accordance with the restrictions described below: MAINTAIN (2). 10,000 GALLON GASOLINE UST & (1) 180 GALLON ABOVEGROUND WASTE OIL TANK Fee paid: $ 10-00 _ M.G.L. Chapter 148, section 10A) This permit will expire 12/31/2000 ✓ C��r, Dare Sig4naruot ad ct Fire Deparment or dmred designee (O:vner's cc--,.,- To tre tested,jt the storaee laeililvf c TANKS] 01 FUEL STORAGE TANK RECORDS ] HELP [ ] FOR PARCEL NBR: 3111 0791 ] ] MAIN ACTION C] Action Tank Nbr Tag Nbr Installed Location ----Notification Dates----- [ ] [ 1] [ 9181 (0331661 [B ] Test ] Rem 0916941 ---- Test --- --Abandoned-- -- RZF - -- Variance - [ ] [ ] [ ] [ ] [ ] 951 [ ] [ ] Fuel Reason Capacity Constr Staak- et Cath-Det [G ] [B ] [ 50001 IS ] [N N] [N] Additional Details [FIBERGLASS LINED-REMOVAL 1995 . ] -------------------------------------------------------------------------------- Action Tank Nbr Tag Nbr Installed Location ----Notification Dates----- [ ] [ 21 [ 9191 [0331661 [B ] Test ] Rem 0916941 ---- Test --- --Abandoned-- -- move - -- Variance - [ ] [ ] [ ] [ ] [ ] [0414951 [ ] [ ] Fuel Reason Capacity Constr Stat Leak et Cath-Det [G ] [B ] [ 50001 IS ] [N ] N] [N] Additional Details [FIBERGLASS LINED-REMOVAL 1995 . ] -------------------------------------------------------------------------------- Cancel [ ] Press XMT for more data NEXT SCREEN [TANKS] ACTION [C] PARCEL NBR [311] [0 7 9] [ ] ] TANK NBR [ 31 TANKS] 11 FUEL STORAGE TANK RECORDS ] HELP [ ] FOR PARCEL NBR: 3111 0791 ] ] MAIN ACTION C] Action Tank Nbr Tag Nbr Installed Location ----Notification Dates----- [ ] [ 31 [ 9201 [0331661 [B ] Test ] Rem 0916941 ---- Test --- --Abandoned-- -- R ed - -- Variance - [ l [ l [ l [ l [ ] 7[:0414951 [ l [ l Fuel Reason Capacity Constr Statu ea et Cath-Det [G ] [B ] [ 50001 IS ] [N ] [N] [N] Additional Details [FIBERGLASS LINED-REMOVAL 1995 . 1 -------------------------------------------------------------------------------- Action Tank Nbr Tag Nbr Installed Location ----Notification Dates----- [ ] [ 4] [ 921] [0331661 [B ] Tes ] Rem 0916941 ---- Test --- --Abandoned-- -- emoved -- -- Variance - [ ] [ ] [ ] [ ] [ ] [041495] [ ] [ ] Fuel Reason Capacity Constr Statu -Det Cath-Det [D ] [B ] [ 50001 IS ] [N ] [N] [N] Additional Details [FIBERGLASS LINED-REMOVAL 1995 . ] -------------------------------------------------------------------------------- Cancel [ ] Press XMT for more data NEXT SCREEN [TANKS] ACTION [C] PARCEL NBR [311] [0 7 9] [ ] ] TANK NBR [ 51 [ l I TANKS] 21 FUEL STORAGE TANK RECORDS ] HELP [ ] FOR PARCEL NBR: 3111 0791 ] ] MAIN ACTION C] Action Tank Nbr Tag Nbr Installed Location ----Notification Dates----- [ ] [ 51 [ 922] [0331661 [B ] Test ] Rem ] ---- Test --- --Abandoned-- -- Removed -- -- Variance - [ ] [ ] [ ] [ ] [ ] [1102891 [ ] [ ] Fuel Reason Capacity Constr Status Leak-Det Cath-Det [FO] [B ] [ 5501 IS ] [N ] [N] [N] Additional Details [? LINING-MUST REMOVE. ] ------------------------------------------------------------------------=------- Action Tank Nbr Tag Nbr Installed Location ----Notification Dates----- [ ] [ 61 [ ] [ ] [B ] Test ] Rem ] ---- Test --- --Abandoned-- -- em e - -- Variance - [ ] [ ] [ ] [ ] [ ] [041495] [ ] [ ] Fuel Reason Capacity Constr St Lea et Cath-Det [WO] [B ] [ 5001 [SS] [N ] [ ] [ ] Additional Details [ ] -------------------------------------------------------------------------------- Cancel [ ] Press XMT for more data NEXT SCREEN [TANKS] ACTION [C] PARCEL NBR [311] [0 7 9] [ ] ] TANK NBR [ 71 [ ] TANKS] 31 FUEL STORA TANK RECORDS ] HELP [ ] FOR PARCEL NBR: 3111 0791 ] ] MAIN ACTION C] Action Tank Nbr Tag Nbr Instal, d Location ----Notification Dates----- [ ] [ 71 [ ] [0424951 [B ] Test ] Rem ] ---- Test --- --Abandoned-- -- Removed -- -- Variance - [1] [0518951 [ ] [ ] [ ] [ ] [ ] [ ] Fuel Reason Capacity Constr Status Leak-Det Cath-Det [G ] [B ] [ 10000] [DF] [ ] [Y] [ ] Additional Details [NDE ENVIRO. CORP. ] Action Tank Nbr Tag Nbr Instal d Location ----Notification Dates----- [ ] [ 81 [ ] [04249 [B ] Test ] Rem ] ---- Test --- --Abandoned-- -- Removed -- -- Variance - [1] [0518951 [ ] [ ] [ ] [ ] [ ] [ l Fuel Reason Capacity Constr Status Leak-Det Cath-Det [G ] [B ] [ 100001 [DF] [ ] [Y] [ ] Additional Details [NDE ENVIRO. CORP. ] -------------------------------------------------------------------------------- Cancel [ ] Press XMT for more data NEXT SCREEN [TANKS] ACTION [C] PARCEL NBR [311] [0 7 9] [ ] 1 , TANK NBR [ 91 I [ ] I� TANKS] 41 FUEL STORAG TANK RECORDS ] HELP [ ] FOR PARCEL NBR: 3111 0791 ] ] MAIN ACTION C] Action Tank Nbr Tag Nbr Install d Location ----Notification Dates----- [ ] [ 91 [ ] [0424 ] [A ] Test ] Rem ] ---- Test --- --Abandoned-- -- Removed -- -- Variance - Fuel Reason Capacity Constr Status Leak-Det Cath-Det [WO] [B l [ 180] [SS] [ l [ ] [ l Additional Details [ ] -------------------------------------------------------------------------------- Action Tank Nbr Tag Nbr Installed Location ----Notification Dates----- [ ] [10] [ ] [ ] [B ] Test ] Rem 1123981 ---- Test --- --Abandoned-- -- Removed -- -- Variance - k� ^ [1] [0518951 [ J [ ] [ ] [ ] [ ] [ ] l Fuel Reason Capacity Constr Status Leak-Det Cath-Det 6 [HO] [B ] [ 5501 [ ] [ ] [ ] [ J Additional Details [NDE ENVIRO. CORP. ] -------------------------------------------------------------------------------- Cancel [ ] END OF DATA NEXT SCREEN [HMENU] ACTION [ ] PARCEL NBR [ ] [ ] [ ] ] TANK NBR [ ] ti �s BAR � a��. �: � a� ,� �t �u�� ": ,� �• �_ �� arL�I �- r�� ^. rst✓-� '" YT .�. �' F.� - � -„�f„�'�FI �OM.��"�,u f� �n � ��f � � �,.', � .�: ffia-M i'aD'E�� f� TAM , �° �� #�`• � �� ,t�-��-� �'�, mod:_. _ �� r� �`:�� " � _.� _ a � Em K f f } WE Q . HYix IN.IS :FIRE DLPAIZTM�, T kx kz ` r 95 HIGH SCHOOL ROAD EXTENSION HYANNIS, MASS 02601 a RICHARD R. FARRENKOPF BUSINESS: 775.1300 CHIEF , - r Swohe �etectvzd -Save .C'ivei spy�s r EMERGENCY: 775-2323 jJ3 a , } , PERMIT FOR; MA M ,y FOR REMOVAL AND TRANSPORTATION OF ,STORAGE TANKS y FDID"�NUMBERr 01922 ` DATE OF APPLICATION , ►NOtJ1 , IgYl �( PROPERTY OCCUP IED x BYa O dl ��1ca ram ' pH ONE �`f f l-Z?4�1 LOCATION r �Z33 " �almn.�rh 0 PROPERTY OWNER t- zra nP 11 . PHONE RW;rol a a xir;� TANKS; TO . BEREMOVED ALL TANKS `SHALL 'BY °INERTED BY THE USE ;OF DRY `ICE' AT 1.51bs er ,,100 'gal QUANITY», SIZE (GALLONS) FORMER PRODUCT: STORED �-4st 55 d � �-Pc�l c� c► .. _ .. PROJECT SUPERVISOR 14 1 1 a-n Z�IG PHONE Fs�S�IZ35 COMPANY NAME ;. t`-tavan Cat ( ADDRESS- 3Sl n41e Term Due, U14nf\ M A EXCAVATION COMPANY $c�hlor `�� PHONE :ADDRESS. �e 5 . DIG SAFE NUMBER 99 4 1 Z31-1 START DATE . 1ti. COMPANY,' REMOVING('`USABLE PRODUCT FROM THE TANK(S) NAME : " M Jra no, gD c l PHONE : 8'0 5 - 1�3s .:` ADDRESS..:- 5arne "�s abo� . COMPANY CLEANING THE TANK(S) AND REMOVING THE HAZARDOUS WASTE NAME :` I-1 �n� nd PHONE Fos -1Z35 ADDRESS :' Sterne �5 abay� �D E.Q.E. LICENSE. NUMBER: EXPIRES: MANIFEST NUMBERN If COMPANY TRANSPORTING THE TANK(S).` , ; Y 3, NAME. A :•,.r ;'.'IJ{ ran PHONE ,:Carl PHONE S6s Z35 THE .:TANKS : SHALL '.BE. TRANSPORTED TO YARD NAME I� d PHONE " _ADDRESS ' : oe- zo rsF S . MASS FIRE .MARSHAL' S APPROVAL NUMBER 401 DATE OF ISSUANCE 1JOtl 1 , i q8q HYANNIS FIRE DEPARTMENT USE ONLY DATE OF EXPIRATION �,1n11. 31 6�.Y , HAZARD FOUND - SEE LEAK REPORT 1 `j7 , REMOVAL WITNESSED - NO HAZARD q r. SIGNAT OF APPLICAN aF ' SIGNATU OF MIANNIS F.D. OFFICIAL 4 TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marme,Gas Stations, a air satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY /J ��. (see"Orders") 5.Retail Stores ��---- 6.Fuel Suppliers ADDRESS /'mac Clam: 7.Miscellaneous UANTITIES AND 9TORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots 1Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel,�erosene, #2 (B) Heavy Oils: waste motor oil (C) new motor,oil.(C) �, l G -- transmission/hydraulic Synthetic Organics: degreasers WVLA. ,,&J �v X U DISPOSALIRELLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply g O Town Sewer 'Z'Public �.On-site OPrivate . 3. Indoor Floor Drains YES NO k- O Holding tank: MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES„—>—eNO ORDERS' ,. O Holding tank: MDC (�atch basin/Dry well S' (' O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES NO 2. -_ Person (s) Interviewed Inspector Date / Sit M� ification for Removal or Closure of Storage Tanks Regulated Under 527 CMR 9.00 Forward completed form, signed by local fire department, to: Mass. UST Program, 7-- Piping,Office of the State Fire Marshal, 1010 Commonwealth Ave., Boston, MA 02215 (Fire Department retains one copy of FP-290R). eceived:pt. ID#This form may be used for notification for removal of Underground Storage Tanks/ pt. Sig. when all previously registered tanks/piping at an Underground Storage TankCiL Facility are taken out of use. e'only If a storage facility has UST's which are to remain in use, an entire amended FP-290 A. Facility Number must be filed. B. Date Entered Note: "Facility street address" must include both a street number and a street name. C. Clerk's Initials Post office box numbers are not acceptable, and will cause a registration to be D. Comments Ireturned. If geographic location of facility is not provided, please indicate distance and direction from closest intersection, e.g., (facilIL at 199 North Street is located) 400 yards southeast of Commons Road (intersection). I. OWNERSHIP OF TANK(S) II. LOCATION OF TANK(S) Owner Name(Corporation,Individual, Public Agency,or Other Entity) If known, give the geographic location of tanks by degrees,minutes,and i seconds.Example:Lat.42,36, 12 N Long.85,24, 17W Latitude Longitude Getty Petroleum Corp- 1/2 mik West Route 132 Street Address Distance and direction from closest intersection(see note aoove) Massasoit Ave. & Defier Rd. Getty Property No. 30664 Facility %D 0-001109 Faculity Name or Company Site identifier.,as applicable East Providence, RI 02914 FalmouthRoad gea",•- City State Zip ooe Street Address(P.O.Box not acceptable-P see 2!a PrProvidenceflyarf�S, MA 02601 0,�,�ve I County city q t Zip Code 1 401-434-1322 04 158 0218 Barnstable . Phone Number(include Area Code) Owner's Employer Federal to County Yyy�spy oFAq jj®� Ill. TANKS/PIPING OUT OF USE 1. Tank/Piping closed or removed (mark all that apply) A. Estimated date last used (mo./day/yr.) 4/18/95 4/18/95 4/18/95 4/18/95 4/18/95 i ———————————————————— —————————————————————— B. Estimated date of removal (mo./day/yr.) 4/18/95 4/18/95 4/18/95 4/18/95 4/18/95 C. Tank was removed from ground - g x D.Tank was not removed from ground Tank was filled with inert material Describe: ————————————————— ————————————————— E. Piping was removed from ground ' x L " x X F. Piping was not removed from ground G.Other, please specify =�-29OR lrevised 11:94) 0`1=.. Tank enld--Tiicat)on Number(cont.) Tank No. 1 Tank No. 2 Tank No. 3 Tank No. 4 Tank No. 5 2. Tank closed in accordance with 527 CMR 9.00 X Yes O No .3 Yes 7.7 No X Yes '-] No z Yes = No g Yes No Ali _ ,,A. Evidence of leak detected 2 Yes 7 No ` Yes X No ElYes X No = Yes z No :: Yes it No B. Mass. DEP notified El Yes ❑ No El Yes �] No =Yes �--i No Yes -- No Yes = No 1. Mass. DEP tracking number 2. Agency or company performing assessment I declare under penalty of perjury that I have personally 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 informa- tion, I believe that the submitted information is true, accurate, and complete. Name and official title of owner or owner's Signature: . Date: authorized representative (Print) James E. Stewartw Grasp Engineer FR-290R(revised 11,94) 3// D :2 y l/ O a�1`ymac e0� - &Are 0� �` Notification for Storage Tanks Regulated Under 527 -CMR 9.00 r-' Forward completed form, signed by local fire department,to:Mass. UST Program, • Office of the State Fire Marshal, 1010 Commonwealth Ave., Boston, MA 02215 (Fire Department retains one copy of FP-290) Date Received: Fire Dept. ID# Vi 755- - A. New Facility(see instructions,#1) g B. Amended El C. Renewal Fire Dept. Sig. k t r✓F- 3 No. of tanks at facility No. of continuation sheets attached _ • INSTRUCTIONS: Form FP-290(Notification for Aboveground and Underground Storage Tanks)is to be completed for each location containing underground or aboveground storage tanks regulated under 527 CMR 9.00. If more than five tanks are owned at this location,photocopy the following pages and staple continuation sheets to the form. The FP-290 must be A. Facility Number completed in duplicate. Although the form may be photocopied,the facility owner or owner's representative must sign each copy separately;photocopied signatures are not sufficient. Both copies of the FP-290 are to be forwarded to the local B. Date Entered fire department,who will check all information and certify the forms. The fire department will retain one copy of the FP- 290 for its records,and the facility owner shall be responsible for forwarding the other copy to the Office of the State C. Clerk's Initials Fire Marshal at the address above. The local fire department will issue the permit portion of the FP-290:however, registration is not complete until the FP-290 is received and checked by the Office of the State Fire Marshal. All questions on D. Comments this form are to be answered.Incomplete forms will be returned. ''New Facility"means a tank or tanks located at a site where tanks have not been previously located. ='Facility street address'must include both a street number and a street name. Post office box numbers are not acceptable, and will cause a registration to be returned.If geographic location of facility Is not provided,please indicate distance and direction from closest Intersection,e.g., (facility at 199 North Street is located)400 yards southeast of Commons Road (inter:-ction). INFORMATION, Not``cation Required Ex='-=(a)a farm or residential tank of 1,100 gallons or less capacity used for storing motor Firer revention Form FP-290Is to be used as Notification,Registration,and Permit for fuel lot aoncommercial purposes,or(b)a tank used for storing heating oil for consumptive use aboveground and underground storage tanks and tank facilities regulated under 527 on the premises where stored are not required to be registered under 527 CMR 9.00. Code of Massachusetts Regulations 9.00.No regulated aboveground or underground storage tank facility shall be installed,maintained,replaced,substantially modifiador j�enalUsy�;AnyownerwhoknowinglyfatlstonotilyorsubmitsfalselnforfnaUonshallbesubject removed without a permit(FP-290)issued by the head of the local fire department. to a civil penalty not to exceed$25,000 for each tank for which notification is not given or for The owner of any storage facility shall within seven working days notify the head of the which false information is submitted.(MGL Chapter 148,section 38H,527 CMR 9.00) local fire department and the State Fire Marshal of any change in the name,address, Above3round Storage Tanks or W-itphone number of the owner or operator of a storage facility subject to regulation 527 C;f R 9.00 requires the registration of any aboveground storage tank which meets the by Chapter 148,Mass.General Law and by 527 CMR 9.00. following definition:a horizontal or vertical tank,equal to or less than 10,000 gallons Und-rground Storage Tanks capac:.y,that Is intended for fixed installation without back fill above or below grade,and is Each owner of an underground tank first put Into operation on or after Jan.1,1991, used fa the storage of Hazardous Substances,Hazardous Wastes,or Flammable or shall within thirty days after the tank Is first put Into operation,notify the Department of Combi-stible Uquids. Public Safety(the department)of the existence of such tank,specifying,to the extent Exception rt:Aboveground tanks of more than 10,000 gallons capacity regulated by 520 CMR known,the owner of the tank,date of Installation, capacity,type,location,and uses of 12.00(Requirements for the Installation of Tanks Containing Fluids Other Than Water in such tank.By no later than Jan.31,1991,each owner of an underground storage tank Excess of 10,000 Gallons)are not required to be registered under 527 CMR 9.00. that was in operation at any time after Jan.1,1974, regardless of whether or not such tank was removed from beneath the surface of the ground at any Ume,shall notify the rixca `en 92*(a)a farm or residential tank of 1.100 gallons or less capacity used for storing department of the existence of such tank,specifying,to the extent known,the owner of motor fuel for noncommercial purposes, or (b) a tank used for storing healing oil for the tank,date of installation,capacity,type,and location of the tank,and the type and consumptive use on the premises where stored are not required to be registered under 527 quantity of substances stored In such tank,or which were stored In such tank before CMR 9.00. the tank ceased being in operation 0 the tank was removed from beneath the surface Pen8gfas;Any person who knowingly violates any rule or regulation made by the Board of Fire of the ground prior to the submittal of such notice to the department.Such notice shall Prevention Regulations shall,except as otherwise provided,be punished by a fine of not less also specify,to the extent known,the date the tank was removed from beneath the than one hundred dollars nor more than one thousand dollars. (MGL,Chapter 148,section surface of the ground prior to the submittal of such notca to the department.The 108,and 527 CMR 9.00) operator of any tank that has no owner or whose owner cannot be definitely Whereto Notify? ascertained,shall notify the department of the existence of such tank,specifying,to the hf?Two completed p eted notification forms should be signed by both the tank owner extent known,arty information relating to ownership of the tank,and date of and the local fire department.One copy will be retained by the fire department,and the tank installation,capacity,type,and location of the tank,and the type and quantity of owner shall send a separate copy to the address at the top of this page. substances stored in such tank,or which were stored in such tank before the tank When to Notify?1.Owners of storage tanks in use or that have been taken out of operation ceased being in operation if the tank was removed from beneath the surface of the must notify within thirty days. ground prior to the submittal of such notice to the department.If the tank was abandoned beneath the surface of the ground prior to the submittal of such notice to Owners and Operators of Regulated Storage Tank Systems must maintain records the department,such notice shall also specify,to the extent known to the owner or certifying that all leak detection,inventory control and tightness testing requirements operator,the date the tank was abandoned in the ground and all methods used to for the Regulated Storage Tao System are current.These records must be readily stabilize the tank after the tank ceased being In operation. available for inspection. Ya� I. OWNERSHIP OF TANK(S) II. LOCH blot A& 401L, � "W, tb Owner Name(Corporation,Individual,Public Agency,or Other Entity) If known,give the geographic locatio rs.anseconds.Example:Lat.42,36, 12 N 2RO r Getty Petroleum Corp. Latitude Longitude Massasoit Avenue & Dexter Road 1/2 mile West Route 132 Street Address Distance and direction from closest intersection- _ (see-mstructrons-a2)_ Getty_P.rop-.- 30664;Facility-No—O 001109 Facility Name or Company Site identifier,_as_applicable East Providence, RI 02914 3-Falmouth Road_,_Route-28----- `� aY State Zip Code Street Address(P.O.Boz not acceptable-see instructions♦2) Providence Hyannis, MA 02601 ounty City Slate Zip Code 401-434-1322 11-2232705 Barnstable Phone Number lInclude Area Code) Owner's Employer Feoeral ID tr County FP-290(revised 6r94) Pang 1 111. TYPE OF OWNER IV. INDIAN LANDS ` Federal Governmentz.Commercial ❑ Tanks are located on land within an Indian Reservation or on State Government (storage and sale) other trust lands. Private ❑ Tanks are owned b native American nation,tribe, or individual. - Local Government (storage and use) y V. TYPE OF FACILITY Select the Appropriate Facility Description: (check all that apply) % Gas Station Marina Trucking/Transport Petroleum Distributor Railroad Utilities Airport Federal-Military. Residential Aircraft Owner Industrial Farm Vehicle Dealership Contractor. Other(explain) VI. CONTACT PERSON IN CHARGE OF TANKS Name: James E. Stewart Address: Phone Number(include area code): Job Title: Group Engineer Rear 27 Main Street Home: 207-799-8518 South Portland, ME 04106 Business:800-289-4388 or VII. FINANCIAL RESPONSIBILITY I have met the financial responsibility requirements in accordance with 527 CMR 9.00. ------------- -------------- -------------- Check all that apply: I I Self Insurance ❑ Guarantee 2 State Fund Commercial Insurance ( ❑i Surety Bond ❑ Trust Fund Risk Retention Group E. Letter of Credit ( ❑ Other Method Allowed - Specify VIII. ENVIRONMENTAL SITE INFORMATION This information should be available from local health agent, conservation commission,or planning department. 1.Tank site located in wellhead protection area ❑Yes 2 No 2 Unknown �2 rank site located in surface drinking water supply protection area a Yes o No 3 Unknown 3.Tank site located within 100 feet of a wetland ❑Yes D No 2 Unknown 4.Tank site located within 300 feet of a stream or water body ❑Yes No 29 Unknown IX. DESCRIPTION OF STORAGE TANKS AND PIPING (COMPLETE FOR EACH TANK AT THIS LOCATION) Tank Identification Number Tank No. 6 Tank No. 7 Tank No. 8 Tank No. Tank No. 1. Tank status a. Tank mfes serial # (if known) b. Currently in Use ® ® X 0 0 c. Temporarily Out of Use 0 0 0 0 d. Permanently Out of Use 0 0 0 0 0 e. Aboveground storage tank(AST) or -: AST _RUST AST UST YZI AST u UST 0 AST UST AST 0, UST Underground storage tank (UST) - 2. Date of Installation (mo./day/yr.) 4/24/95 4/24/95 4/24/95 3. Estimated Total Capacity (gallons) 10,000 10,000 180 r Tank Identification Number(cont.) Tank No. 6 Tank No. 7 Tank No. 8 Tank No. Tank No. 4. Substance Currently or Last Stored a. Gasoline ® X Motor vehicle or other use ❑ MV ❑other 0 MV n other ❑ MV C other ❑ MV ❑other —_1 MV 0 other b. Diesel Motor vehicle or other use ❑MV a other ❑ MV a other ❑ MV C other ❑MV ❑other ❑ MV C other i c. Kerosene d. Fuel Oil e. Waste Oil f. Other, Please specify Hazardous Substance (other than 4a thru 4e above) (:ERCLA name and/or CAS number fixture of Substances Please specify 5. Material of Construction -Tank (mark all that apply) Asphalt coated or bare steel X C� Cathodically protected steel u u Epoxy coated steel Composite (steel with fiberglass) Fiberglass reinforced plastic (FRP) ® �� Concrete Other, Please specify 6.Type of Construction-Tank (mark all that apply) Uned interior 0 U Double walled ® ® X Single walled Polyethylene tank jacket 0 [� Excavation liner 0 �� Unknown Other, please specify Has tank been repaired? C Yes C No O Yes :]No ❑Yes ❑ No D Yes O No ❑ Yes ❑ No Date i Tank Identification Number(cont.) Tank No. 6 Tank No. 7 Tank No. 8 Tank No. Tank Nn. 7. Material of Construction- Piping (mark all that apply) Bare steel Galvanized steel U [� Fiberglass reinforced plastic ® x 0 [� :Flexible Copper [� Cathodically protected Secondary containment Unknown C� 0 Other, please specify 8.Type of construction- Piping (mark all that apply) Double walled Single walled Suction:Check valve at tank only Suction: Check valve at dispenser only �� 0 Pressure Gravity feed Other, please specify Has piping been repaired? O Yes ❑No O Yes ❑ No ❑Yes ❑No O Yes O No O Yes D No Date X. TANKS/PIPING OUT OF USE 1.Tank/Piping closed or removed (mark all that apply) A. Estimated date last used (moJday/yr.) B. Estimated date of removal (moJday/yr.) --------------------- ------------------------ C.Tank was removed from ground D.Tank was not removed from ground Tank was filled with inert material Describe: E. Piping was removed from ground F. Piping was not removed from ground 0 0 0 �� 0 G.Other, please specify f Tank Identification Number(cont.) Tank No. 6 Tank No. 7 Tank No. 8 Tank No. Tank No. .2.Tank closed in accordance with 527 CMR 9.00 0 Yes -Z No 0 Yes ZI No O Yes No ❑Yes ZI No Z Yes D No A. Evidence of leak detected ❑Yes 0 No ❑Yes ❑No :3 Yes ^ No ❑Yes 2 No Yes ❑No B. Mass. DEP notified Z Yes :) No Yes 0 No O Yes 0 No G Yes =No Yes ^No 1- Mass. DEP tracking number 2.Agency or company performing assessment XI. CERTIFICATION OF COMPLIANCE 1. Installation A. Installer certified by tank and piping ® ® x manufacturers B. Installer certified or licensed by the implementing agency C.In:tallation inspected by a registered engineer � u D. h,� iae inspected and approved by ® C� ® �� the implementing agency E.Manufacturers'installation checklists ® ® have been completed ® F. At method allowed by 527 CMR 9.u0. Please specify 2.Tank Leak Detection Tank Piping Tank Piping Tank Piping Tank Piping Tank Piping (mark all that apply) A. Double-wall tank-Interstitial monitoring g� ❑ B.Approved in-tank monitor X a ❑ a C.Continuous vapor monitoring in soil D.Monthly vapor monitoring in soil El 1-1E-1Inventory recordkeeping and tank testing —— —— —— — El — F. Other method allowed by 527 CMR 9.00. Please specify 3. Piping Leak Detection (mark all that apply) A.Pressurized IT 0 D ❑ ❑ Interstitial space monitor 7 a ❑ 11 ❑ Automatic flow restrictor' 7 ® ❑ 0 7 Automatic shut-off device' 5 ❑ Continuous alarm" ' Also requires annual tank tightness test LJ El 0 or monthly vapor monitoring of soil. FP•290(revised 6/94) Page 5 r- 1- Tank Identification Number(cont.) Tank No. 6 Tank No. Tank No. 8 Tank No. Tank No. B.Suction: Check valve at tank only ❑ ❑ ❑ ❑ ❑ . Interstitial space monitor ❑ ❑ ❑ ❑ . '" C.Suction: Check valve at dispenser only ❑ ❑ ❑ ❑ ❑" None required D.Tightness tested Z 1yr. =3 yr. ❑ 1yr. Z_3 yr. C 1 yr. E 3 yr. Z tyr. 3 yr. = 1yr. Z 3 yr. --------------- ---- ----- ---- ----- ---- E.Other method allowed by 527 CMR 9.00. Please specify 4. Spill containment and overfill protection A.Spill containment device installed 0 ❑ ❑ ❑ ❑ B.Overfill prevention device installed ❑ ❑ ❑ ❑ ❑ S. Daily.lnventory Control ❑ ❑ ❑ ❑ ❑ A. Manual gauging by stick and records a a E] E] ❑ reconciliation B. Mechanical tank gauge ❑ ❑ ❑ (❑ ❑ C. Automatic gauging system ❑g ❑ ❑ ❑ ❑ X11. CERTIFICATION (Read and sign after completing all sections) NOTE:Both the copy being sent t%;the State Fire Marshal's Office and the copy retained by the local fire department mvst be signed separately. A photo- copied signature witi not be accer'.ed on either document I declare under penalty of rerjury that I have personally 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 informa- tion, I believe that the submitted information is true, accurate,and complete. Name and official title of owner or owner's Signature: Date: authorized representative(Print) James E. Stuart Grata Engineer FP•290(revised 6/94) Page 6 apll//G//GUI/GLlfp(U�L.ffG�/ ,l/J/1.QU0Q6U(ifGrl6('if(C�4/f- -r-1r�!/J/jy/!7Z(//ZG // _/ UO C a( ,- V &Y - ,e&00 r C78QlGkAw y gam t4 .l:P qC/m Notification for Storage Tanks Regulated Under 527 CMR 9.00 Forward completed form,signed by local fire department,to:Mass UpSrPproogram,Dept. rkatle - Wire Services,OneAshhurtonP/ace-Room 1 �0 Pt��VE Use Form FP-290Rto notify of tank removals orclosur Received: Telephone(617)727 8500 VIRE DEPARTPOENT Dept.ID# (Fire Department retains one copy of FP-290) �� HIGH SCHOOL RD, i Fire Dept.Sig. MYAiVIV ❑ A. New Facility(sfaeinstructions,#1) ('-Qg.Amended ❑ C. Renewal INSTRUCTIONS:Form FP•290(Notification for Aboveground and UndergroundStorage Tanks)istobe comp letedfor each location containing underground or aboveground storagetanks regulated under 527 CMR 9.00.If more than five tanks are owned at this location,photocopy thefollowing pages and staple continuation sheets to theform.The FP-290must A. FacilityNumber be completed in duplicate.Although theform maybe photocopied,thefacility owner or owner's representative must sign each copy separately;photocopied signatures are not sufficient. Both copies of the FP•290 are tobe forwarded tothe B. Date Entered local fire department,who will check all information and certify the forms. The fi►edepartment will retain one copy of the FP-290for its records,and the facility owner shall be responsible for forwarding the other copy to the Dept of C. Clerk's Initials Fire Services at the address above. The local fire department will issue the permit portion of the FP•290;however, registration is not complete until the FP-290is received and checked by the UST Regulatory Compliance Unit.Allquestions D. Comments on this form are to be answered.Incomplete forms will be returned. . T'New Facility"means a tank or tanks located at a site where tanks have not been previously located. 2"Facility street address"must include both a street number and a street name.Post office box numbers are not acceptable,and will cause a registration to be returned.If geographic location of facility is not provided,please indicate distan -and direction from closest intersection,e.g.,(facilityat 199 North Street is located) 400yards southeast 91 "Read(intersection). 1 ' MATI ON Notification Required Exception:(a)a farm orresidential tank of1,100gallonsorlesscapacityusedforstoringmotor Fire Prevention Form FP-290istobeusedas Notification,Registration,and Permit for fuel for noncommercial purposes.or(b)a tank used for storing heatingoll for consumptive aboveground and underground storagetanksandtankfacilities regulated under527 use on the premises where stored are not required to be registered under 527CIIIR9.00. Code of Massachusetts Regulations 9.00.No regulated aboveground or underground storage tank facility shall be installed,maintained.replaced,substantially modified or Penalties:Arry owner who knowingly fa ils to notifyor subm its fa Ise information shall besubjec removed without a perm it(FP-290)issued by the head of the loca I fire department. to a civil penalty not to exceed$25,000 for each tank for which notification is not given olfor Th e owner of any storage faci I ity sha 11 with in seven working days notify the head of the which false information is subm!tied.(MGL Chapter 148,section 38H,527 CMR 9.00) local fire department and the Dept.of Fire Services of any change in the name, Aboveground Storage Tanks address,or telephone number of the owner or operator of a storage faci lity subject to 527CMR9.00requires the registration ofany aboveground storage tank which meets the regu lat ion by Chapter 148,Mass.General Law and by 527 CMR 9.00. followingdefinition:a horizontal orverticaftank,equaltoor lessthan 10,000gallons Underground Storage Tanks capacity,that is intended for fixed installation without back fill aboveor below grade,and is Each owner ofanundergroundtankfirst put into operation onorafter7an.1,1991, used forthe storage of Hazardous Substances,Hazardou's Wastes,or Flammable or shall,within thirty days after thetank isfirst put intooperation,notifythe Department of CombustibleLiquicis. Fire Services(the department)of the existence of such tank,-specifying,to the extent Exception#1:Aboveground tanks of more than 10,000 gallons capacity regulated by 520CM R known,the owner of the tank,date of insta llation,capacity,type,location,and uses of 12.00(Requirements for thelnstaIlationofTanks Containing Fluids other Than Water in such tank.By no later the n Ja n.31,199 1,each owner of a n underground storage tank Excessof 10,000 Gallons)are not required to be registered under 527 CMR 9.00. that was in operation at anytime after Jan.1,1974,regardless of whetheror not such tank was removed from beneath the surface of the ground at anytime,shall notifythe Exception#2:(a)a farm or residential tank oft,100 gallons or less capacity used for storing department of theexistence of such tank,specifying,to the extent known,the owner of motor fuel for noncommercial purposes,or(b)a tank used for storing heating oil for thetank,dateof installation,capacity,type,and location of the tank,and the type and consumptive use on the premises where stored are not required to be registered under 527 quantity of substances stored in such tank,or which were stored in such tank before CMR9.00. thetank ceased being in operation if thetank was removed from beneath the surfacePenalties:Arry person who knowingfyviolates arty ruleor regulation made bythe Board of Fire of the ground priortothe submittal of such noticeto the department.Such noticeshall Prevention Regulations shall,except as otherwise provided,be punished by a fine ofnotless also specify,to the extent known,the date the tank was removed from beneath the than one hundred dollars nor morethan onethousand dollars.(MGL,Chapter 148,section surface of theground prior to the submittal of such notice to the department,The 10B,and527CMR9.00) operator of any tank that has no owneror whose owner cannot be definitely ascertained,shall notilythe department of the existence of such tank,specifying,to the WhereloNotlly?Two completed notification forms should besigned by both thetankowner extent known,any information relatingto ownership of the tank,and date of and the local fire department Onecopy will be retained bythefire department,and thetank installation,capacity,type,and location of thetank,and thetypeandquantityof owner shall send a separate copy to the address at the top of this page. substances stored in such tank,or which were stored in such tank beforethe tank WhentoNotity?1.Owners of storage tanks in useor that have been taken out of operation ceased being in operation if the tank was removed from beneath the surface of the mustnotifywithinthirtydays. ground priortothesubmittal of such noticeto the department.If the tank was abandoned beneath the surface of theground priorto the submittal of such notice to Owners and Operators of Regulated Storage Tank Systems must maintain records thedepartment,such notice shall also specify,to the extent known to the owner or certiffingthatall leakdetection,Inventory control and tightness testing requirements operator,the datethetankwas abandoned inthegroundanciall methods usedto for the Regulated Storage Tank System are current.These records must be readily stabilizethe tank afterthe tank ceased being in operation. available for inspection. 1. OWNERSHIP OF TANK(S) II. LOCATION OF TANK(S) Fowr erName(Corporation,Individual,Public Agency,or Other Entity) Getty Petroleum Marketing,Inc. 1/2 mile west Route 132 Dexter Road&Massasoit Avenue (Getty Station#30664(Facility n-10) East Providence RI 02914199 Falmouth Road``" city state Zip Code Hyannis,MA 02601� C) Providence County �a(n, Pd County Barnstable ZZ 3 r 4 01)434-1322 11-3339235 L. Phone Number(Indude Area Code) Owner's Employer Federal ID tt County FP-290(revi sed 11/96) Page 1 x III. TYPE OF OWNER IV. INDIAN LANDS ❑Federal Government [@Commercial ❑Tanks are located on land within an Indian Reservation or on LIState Government (storage and sale) other trust lands. ❑Local Government y ❑Private ❑Tanks are native American nation,tribe,orindividua1. (storage and use) V. TYPE OF FACILITY Select the Appropriate Facility Description:(check all that apply) ® Gas Station 11 Marina ❑ Trucking/Transport ❑ Petroleum Distributor ❑ Railroad ❑ Utilities ❑ Airport ❑ Federal.Military ❑ Residential ❑ Aircraft Owner ❑ Industrial ❑ Farm O Vehicle Dealership ❑ Contractor ❑ Other(explain) VI. CONTACT PERSON IN CHARGE OF TANKS Name: James E.Stewart Address: Phone Number(include area code): Getty Petroleum Marketing, Inc. JobTitle:Group Engineer Dexter Road&Massasoit Avenue Business:(401)434.1322 East Providence,RI 02914 VII. FINANCIAL RESPONSIBILITY ©1 have metthefinancial responsibility requirements in accordancewith527 CMR9.00. Check all that apply: ----_-T---------------T-------------- ❑ Self Insurance I ❑ Guarantee ( ❑ Letter of Credit ❑ Commercial Insurance I ❑ Surety Bond I ❑ Trust Fund ❑ Risk Retention Group [@ State Fund I O Other Method Allowed-Specify Vill. ENVIRONMENTAL SITE INFORMATION This information should beavailablefrom local health agent,conservation commission,or planning department. 1.Tank site located in wellhead protection area ❑Yes ❑No ©Unknown 2.Tank site located in surface drinking water supply protection area OYes ❑No OUnknown 3.Tank site located within 100 feet of a wetland ❑Yes ❑No [@Unknown 4.Tank site located within 300 feet of a stream or water body ❑Yes ❑No ®unknown IX. DESCRIPTION OF STORAGE TANKS AND PIPING (COMPLETE FOR EACH TANK AT THIS LOCATION) Tank Identification Number Tank No. !v Tank No. 7 Tank No. 8 Tank No. Tank No. 1.Tank status a.Tank mfr's serial#(if known) b.Currently in Use c.Temporarily Out of Use(Start Date) d.Permanently Out of Use e.Aboveground storage tank(AST)or Underground storage tank(UST) ❑AST OUST OASTOUST XAST GUST OAST OUST OAST OUST 2. Date of Installation(mo./day/yr.) 5l Zql r5 95 zL/ 9S 3. Estimated Total Capacity(gallons) FP-290(revised11/96) Page 2 Tank Identification Number(cont.) Tank No. G, Tank No 'i Tank No. E, Tank No. Tank No. 4.Substance Currently or Last Stored a.Gasoline C C� �MV ❑ Marina MV ❑Marina ❑ MV ❑Marina O MV ❑Marina ❑ MV ❑ Marina Motor vehicle or other use o other o other o other o other o other b.Diesel I 1 :1 1 :1 1 —1 Motor vehicle or other use ❑MV ❑Marina ❑MV ❑Marina ❑ MV ❑ Marina ❑ MV ❑Marina ❑MV ❑ Marina o other o other o other o other o other c.Kerosene �] 0 d.Fuel Oil •"Consumptive Use"tanks neednot be registered.. "Consumptive Use"fuel used exclusively for area heating and/orhot water. e.Waste Oil f.Other,Please specify ( than 4ath Hazardous Substance other than 4a thru 4e above CERCLA name and/or CAS number Mixture of Substances Please specify 5. Material of Construction-Tank(mark onyone) Bare steel(includes.asphalt,galvanized andepoxycoated) Cathodically protected steel Composite(steel with fiberglass) Fiberglass reinforced plastic(FRP) Concrete Unknown Other 0 Please specify 6. Type of Construction-Tank (mark onlyone) Singlewalled Doublewalled Unknown Other �] Please specify Is tank lined? ❑ Yes OO No ❑ Yes [@No ❑ Yes ONo ❑ Yes ❑No ❑ Yes ❑ No Does tank have excavation liner? ❑ Yes ©No ❑ Yes ONo ❑ Yes ONo ❑ Yes ❑No ❑ Yes ❑ No FP-290(revised11/96) Page 3 Tank Identification Num ber(cont.) Tank No. La-0—RN-0-4j Tank No. I✓; Tank No. , Tank No. 7. Material of Construction-Piping(markonyone) Bare steel(includes asphalt,galvanized and epoxycoated) Cadiod��d del _7 FbeijhssMhfDmedphst:b ARP) Capper Unifftown �_� �� A otter Phase apecify 8 1ypeofCCaistsxiin-PiD:hg(n aka ) Singlewalled Doublewalled Unknown Other 0 U Please specify Has piping been repaired? Ayes IXINo Oyes IRINo ❑Yes ®No Oyes ONo ❑Yes ONo Is piping gravity feed? OYes ®No OYes ®No XYes 13No OYes ONo OYes ONo Date X. CERTIFICATION OF COMPLIANCE 1. Installation A.Installer certified bytank and piping p p manufacturers B.I nstaller certified or licensed by the implementing agency C.Installation inspected bya registered engineer D. Installation inspected and approved by the implementing agency E. Manufacturers'installation checklists have been completed F. Another method allowed by 527 CMR 9.00.Please specify 2_ Tank Leak Detection Tank Tank Tank Tank , Tank (mark onlyone) A.Double-walltank-Interstitial monitoring B.Approved in-tank monitor ❑ C.Soil vapor monitoring(check one below) oMonthly oContinuous E. Inventory record-keeping and tank testing F. Othermethod allowed by527 CMR 9.00. Please specify FP-290(revisedll/96) Page 4 a.Interstitial space monitor ■ e A. Splbmtiin en tdev tefotobd 4� � ■ I � TOWN OF BARNSTABLE ypF TH E T�� OFFICE OF Hsaa9TOBL i BOARD OF HEALTH MAD D. p� �o 039. �e� 367 MAIN STREET HYANNIS, MASS.02601 December 19, 1995 Joseph P. Macomber, Jr. Box 66 Centerville, MA 02632 RE: 199 Route 28, Hyannis Dear Mr. Macomber: You are granted variances, on behalf of your client the Tyree Organization Ltd, N.E., to construct a replacement onsite sewage disposal system at 199 Route 28, Hyannis, Massachusetts. The system will be located only five (5) feet from the property line and only nine (9) feet from a slab foundation. The variances are granted because the existing cesspools malfunctioned and had to be removed. Also, there is no other location on the site to install a replacement septic system according to the applicant. Sincerely yours, �k. Susan G. Rask, R.S. Chairman Board of Health Town of Barnstable SGR/bcs macjr i IIU. w oiii r 70WFJ or dAfJNSTAdLE DATE �J a orrm or FEE rrrr�tinx ! BOA11d OF NCALT11 RFCF,IVF.n ftA;::fV' e 361 MAIN s7nEET �tr MAI A• IIYANNIS,MASS.02601INS S VARIANCE REQUEST FORM RfcE .`--- Nov 1 'l 19:9�- �- ALL VARTANCES MUST ilE SUnMTTTPTI FIFTEEN 15 B 0 THE SCIIE DULE,I) 11OA111) OF HEALTH MEETING. n NAME OF APPLICANT-Joseph P. Macomber Jr. TBL. NO* 50,87)7'S3338' ADDRESS OF APPLICANT Box 66 Centerville,Mass . 02632 NAME OF OWNER OF PROPERTY—The Tyree Organization, Ltd. N.E. SUBDIVISION NAME Hyannis Getty DATE APPROVED ASSESSORS MAP AND PARCEL NUMBER 311 -79 LOCATION OF REQUEST 199 Route 2'8 Hyannis,Mass . 02601 SIZE OF LOT .35 Acres SQ.FT WETLANDS WITHIN 200 FT.YBS N(JEX� VARIANCE FROM REGULATION(List Regulation) 1 . 5 ' from property line. 2. Builing on slab. 9' from garage REASON FOR VARIANCE(May attach if more apace is needed) 1 . To Replace caved in cesspools. 2. No other area for septic system. 3 . Using same area that cesspools were located. P1,AN - FOUR COPIES OF PLAN MUST BE SUBMITTED CLEARLY 00TbINING VARIANCE REQUEST. VARIANCE APPROVED • NOT APPROVED REASON FOR DISAPPROVAL BRIAN R. GRADYt R.S. r CHAIRMAN SUSAN G. RASK, R.S. JOSEPH C. SNOW, M.D. BOARD OF HEALTH TOWN OF BARNSTABLB ail 74 o No... ... / ... . TH E COMMONWEAILIT OF MASSACHUSETTS j BOARD OF HEALTH TOWN OF BARNSTABLE j Appliratiott for Dio}roonl Worlm Tott,utrurtinn rprutit Application is hereby made for a Permit to Construct ( ) or Repair XXX) an Individual Sewage Disposal System at: li •--1.9.9...Raute...2$... Hyannia..Ma.0........................ -----........-- - -.............._............---... Location-Addn•ss or L.ot No. .............................................................. ............................................. - --............... ........... Owner Address aJ..E._Macomber....Jx•-------------- .----- Installer �� Address U Type of Building '1 Size Lot............................S feet � Dwelling— No. of Bedrooms. . - Yll�..� xpansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. offpersons............................ Showers ( ) — Cafeteria ( ) dOther fixtures W Design Flow............................................gallons per person per day. Total daily flow......................................,......gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench— No. .................... Width.................... Total Length.................... Total leaching area...................sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area...................sq. ft. Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.....................•--•--•---........-•----------...................:... Date...........a............................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to'ground water........................ LX. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 ..--•-------------------------------------------------•----...............................:.... - ................................ zv .0 Description of Soil.....Laa ... nd-.-to...to.... and...&-grayel_____________ W ..........•--•--•.....................................•-----..................................------........---........... ...............------.......................------........................ x ............................:................................................................................................. ...... .............._........ .......... U Nature of Repair r Alterations—Answer when a lica e1 -1500_ _Xallon tangy —c%s ri u£ion box :.:: > ',,/ j M� Agreement: V� _Fi�LM U l�L' �/rV� MOO /Vl� ��1/V The undersigned agrees to install the afored�ed Individual Sewage Dispos ystem >n a ance with the provisions of TITLE 5 of the State Environmental Code=The undersigned further agrees not to place the system in operation until a Certificate of Compliance has ew issued by the board f health. Signe .... ......... .... . 1 1 /16/95 . ........................................ Darr Application Approved By ......... .. ..... ....... ... ..... ....0....... . .... .. ... ..... «.................. Da Application Disapproved for the following ream . ......................... .............................................../Je ......... ....................................... ................................................... .. ........................................ ...... .. Permit No. ....... ... ...... ...... Issued ... ..f/ ire -------- -------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Te rtifirate of Tompliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired�txx ) by ..J...P....Ma.e.a.m.be.x....&....S.on....Inc........................................ . ..................................................................................... .......................:....... Installer 199 Route. 28 Hyannis Mass . at ..................................................................................................................................................................................................................................:................... has been installed in accordance with the provisions of TITLE 5 f e t nv' onmental Code as de cribed in the application for Disposal Works Construction Permit No. dated ...�� ... '..... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT B ON T S A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. - DATE....::.:. .............. ............................................................... Inspector ._... .. .: :....................................... ......... . ... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH r TOWN OF BARNSTABLE $ 30.00 No.. .... ........ FEE--...................... Disposal Endo 'TItnntrudlott Hermit Permission is hereby granted...J.,. '..hlACom lee J.;n................................................................................................ to Construct( ) or Repair VT an Individual Sewage Disposal System at No......1.9.9...R.Q.Ut.e... $...I�yaa?� , }Ma s e.............. Street 0-0 as shown on the a/'N. ation f Disposal Works Constru ip a it No.. ....... . ed - - �''...................... I .a---- • ---- . _ . ....................... Boa HealthDATE---••--••------.. .._:�------- FORM 38308 HOBBS a W INC..PUBLISHERS r gy��w� . TOWN OF B NSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair 0 satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANYflVtA991SCJ1 (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS O lass: 7.Miscellaneous Q5QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MATER S I j Case lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: N r J(S-, Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) He a waste motor oil�(C) new motor transmissio ydraulic Synthetic Organics: degreasers Miscellaneous: -rlrff�6 zi G OD ca DISPOSAURE(CLAMATION REMARKS: o 1. Sanitary Sewage 2. ater Supply (0 -14 OMUL�L' O Town Sewer Public On-site OPrivate �P V1._1 o 3. Indoor Floor Drains YES NO _ O Holding tank:MDC O Catch basin/Dry well Wpiv 1110,16c,"'im O On-site system 4. Outdoor Surface drains:YES NO O Holding tank: MDC wop_6 O Catch basin/Dry well ) n-site system 5: Waste Transporter Name of Hauler1Product C © I NO 1. L/ 2. Person (s) nterviewed Inspector oate TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: DON'S HYANNIS GETTY Mail To: BUSINESS LOCATION: 199 Falmouth Road Board of Health MAILING ADDRESS: Hyannis, MA 02601 Town of Barnstable P.O. Box 534 TELEPHONE NUMBER: Hyannis, MA 02601 CONTACT PERSON: , EMERGENCY CONTACT TELEPHONE NUMBER: 0 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in qu.a tities totalling, at any time, more than 50 ,gallons liquid volume or 25 pounds dry weight? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store: Quantity/Case Quantity/Case Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) 000 Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink 1 Battery (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's. Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed,which you feel may Spot removers & cleaning fluids be toxic or hazardous.(please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business C> TOWN OF BARNSTABLE LOCATION �i 1Z ' 2 "3 EWAGE # VILLAGE rav►vn t S ASSESSOR'S MAP&LOTA/ _ 021 INSTALLER'S NAME&PHONE NO. .-'1 , lrh amwbe.r son-.E'o c SEPTIC TANK CAPACITY I S'D O LEACHING FACILITY: (type) Y 7�:h F (size){ NO.OF BEDROOMS 1WI-!DH BUILDER OR OWNER PERMTTDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 Y t , x � � ell I j i 311 7 1 o kc No... . _. . $ 3 0. 0 0 THE COMMONWETH OF RNASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliratiou for Di!jpwial Murkq C owitrurtinrt Frrutit 4 Application is hereby made for a Permit to Construct ( ) or Repair �XX) an Individual Sewage Disposal h System at: I� ...1.9.9...RO.Ut e..28... --------------------- Location-Address or Lot No. ...axe.t ty...Fatx 0.1-------------•-----•------...--------------------------•----- .................................................................................................. owner Address a ,T_.P._Mato_mber---Sr-- -- ----------------------------------------- Installer � YO Address UType of Building lv Size Lot............................Sq. feet P., Dwelling—No. of Bedrooms. . -I�.. - ,xpansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building --------------------_----- No. of persons.-..--.--..-.-.------------- Showers ) — Cafeteria p' Other fixtures ( ( ) W Design Flow............................................gallons per person per day. Total daily flow.....................................,.-....gallons. WSeptic Tank—Liquid capacitv------.-....gallons Length.............._ Width---------------- Diameter.--------------- Depth--.----------_- x Disposal Trench—No. ------.-----.------ Width-------------------- Total Length-------------------- Total leaching area....................sq. ft. 3 Seepage Pit No..-------__-------- Diameter...-------_----.-- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by................ '-'-'--•-------••---•---•----•--------•-••--------------- Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit..-.-.------.-.----- Depth to ground water............---......--. <s, Test Pit No. 2................minutes per inch Depth of Test Pit.---------..--.-.--- Depth to ground water....--.................. tx .........-•-----------------•----..........-•-•-----------.....--••--------......------------•----••............................................... O Description of Soil.....Loamy---Agn!U_-to...to_--sand.-&__.gravel.............................................................................. x W 1 1500 gallon tank 1 -distr1 union V Nature of Repair§--99r Alterations—Answer when ap lica e.._.-..............g. ..--....-...-.....---.--.......-.....-......--------.----------------- box_.._._. .. . ` iC ? ..�!o"� t��lr?� � 1 �� . MMJG��IJ_ .&� L�',,Q/ �,�- Z 1rt �/ on! Agreement: Veeao'�re b �� /[�� U��9J�The undersigned agrees to install tded Individual Sewage Dispos ystem in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has e issued by the board f health. 11 /16/95 . Signe .... P .................................. .................... Dace 0 Application.Approved By ......... .. -- ---'® -- --- ..... ----- ---- --......---'-'.. ---.........--Dace................. Application Disapproved for the following reaso ------------------- --------------------- Dare Permit No. _.. ' Issued ............../ �n ..... I P �y v e + 1 THE COMMONWEALTH OF MASSACHUSETTS •- BOARD OF -HEALTH,- TOWN OF BARNSTABLE Appliration for Di-tip t ial Wlark,6 C owitrurtinit Valfiff Application.is hereby made for a Permit to Construct ( ) or Repair ;(,X.) an Individual Sewage Disposal System at 1 ....1.99_._ Qu t.e... 8...�v�.nn Location-:\ddrcss or Lot No. ty.__P®tr.Ql,•.......................................................... •-•--•---------••-•-----•--------•--•-•-•-•-ndares5....------•---•----•••--------------------- owner ..... r.a---•-------....•--••----- - Installer Address UType of Building Size Lot____________________________Sq. feet a _ Dwelling—No. of Bedrooms. y.30dlc.�__expansion Attic (. ) Garbage Grinder ( ) a `"-.Other—Type of Building ______________________ ____ No. of/persons--_------__--_-_._--_.___- Showers ( ) = Cafeteria ( ) 04 Other fixtures ----------------------------- -------------------•--------------•----------•••---------- -------•-•-••------•---••---------••-----•------------------- W Design Flow...............'...........................gallons per person per day. Total daily flow.....................................,------gallons. W - Septic Tank—Liquid capacity............gallons Length--.:--_-__---_ Width---------------- Diameter.-__-._-__--- Depth............ x Disposal Trench—No. .................... Width.................... Total Length-------------------- Total leaching area....................sq. ft. Seepage Pit No............... ..... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by_--------_------- ----------------------------------------------------- Date........................................ Test Pit No. 1----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ (N Test Pit No. 2................minutes per inch Depth of Test Pit___._.___----Ir_ Depth to ground water........................ O Description of Soil.....Loamy---aand-••to...to---sand & gravel T I x ---•------------------------------------------------- .....•-............ U -------------------•••---•-•---•---•••--•----•--------•----------•---•--•--•-----•-•-•---••---•-----•-•------••----------•--•••---•-•--••-----••-------. .-•••---•--••------- W U Nature of Repairs or Alterations—Answer when applica�, 1_1 500 gallon tank 1—d14 s_tri butiOn box- three 1!I '9'gr� j'S � � � �!/ ®�,"�/ �/ '� f. 1�.ec. � Agreement. F&M dl �describe�d/14h/dividual � 4100 /V>�/Vb � �0--` ,�V�j The undersigned agrees to install the Sewage Disposal System In accordance with the provisions of TITLE 5 of the State Environmental Code —The undersigned further, agrees not to place the system in operation until a Certificate of Compliance has bee issued by the board f health. Slgne .-- ^ ..................... 9 5 .. --. Dare........ A Application.Approved B --- --.- D PP PP Y �.. ... - . - --------------- Dare.- Application.Disapproved for the following rearou .. ...... ..... :. --- - _..-... . ---- - ------ .1-10,Dare � Permit No. -----.. � -.. Issued y D re 1 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE • C�E>C�I�iC2x�E II� �Qrit��t?XtiCE THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired.-�xx by ._J_..P....Ma.c..o.mber._.&....Son--Inc._........._----------------------- 199 Route 28 Hyannis Massa lnsriller at ... ............._....._..has been installed in accordance with the provisions of TITLE 5yf he t� e nvi onmental Code as de cribed in the application for Disposal Works Construction Permit No. ...--+./-j.---.- ."'. c .»' THE ISSUANCE =F THIS CERTIFICATE HALL NOT Bf¢ ON TE dated ../�.....-. � O S C C S U S A GUARANTEE THA��THE SYSTEM WILL FUNCTION SATISFACTORY. DATE " Inspector . ",_ .................. ........................................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH t TOWN OF BARNSTABLE No.. : r FEE ......................0. �i �ttl �l` � �ua� t�lxrtiult rrutit Permission is hereby granted--- -,_P-._MA.comb±er--- r................................................................................................. to Construct ( ) or Repair �XT an Individual Sewage Disposal System at No......1-9.9...R1Q.Ut@••� �Street .i as shown on the application for Disposal Works Constru ,ttiOVPe mit No._ L_ ___...:_��edvf►...±. �'' •-- �-- -_ �y �r DATE................. . .. - -'--g-----•-•-•-••.................... .........�. Boar Health�-- v,_..---•- -_— ` FORM 38808 HOBBS&W RREN.INC.,PUBLISHERS L CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT(WITHOUT DESIGNED PLANS) e I, Joseph P. Macomber Jr , hereby certify that the application for disposal works construction permit signed by me dated 11 /16/9 5 , concerning the property located at 199 Route 28 Hyannis ,Mass . meets all of the following criteria: • There are no wetlands within 300 feet of the proposed septic system • There are no private wells,within 150 feet of the proposed septic system • The observed groundwater table is 14 feet or greater below the bottom of the leaching facility • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. SIGNED DATE: 11 /1 6/05 L ED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER [Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan, • this plan should be submitted]. 1 v TOWN OF J3ATJNSTAEILEDATE �( o OrrICE OF FEE ' ,AIFITanv _ BOARD' OF HEALTH nl:cFmn goes MAY �r 367 MAIN S1nEET IIYANNIS.MASS.02601 VARIANCE REQUEST FORH ALL VARIANCES MUST TIP, SUTIMTTTRD FIFTEE_ N (15). DAYS PRIOR TO THE S(:IIEUULED 110AHU OF III;Af,I'il MEETING. — n NAME OF APPLICANTJoseph P. Macomber Jr. TEL. NO. 508-7753338 ADDRESS OF APPLICANT Box 66 Centerville,Mass . 02632 NAME OF OWNER OF PROPERTY The Tyree Organization, Ltd. N.E. SUBDIVISION NAME Hyannis Getty DATE APPROVED ASSESSORS MAP AND PARCEL NUMBER 311 -79 LOCATION OF REQUEST 199 Route 2*8 Hyannis ,Mass . 02601 SIZE OF LOT .35 Acres SQ.FT WETLANDS WITHIN 200 FT.YES VARIANCE FROM REGULATION(List Regulation) NQXXX 1 . 5 ' from property line . 2. Builing on slab. 91 from garage REASON FOR VARIANCE(May attach if more space is needed) 1 ._ To Replace • caved in cesspools . 2. No other area for septic system. 3 . Using same area that cesspools were located. PLAN FOUR COPIES OF PLAN MUST BE SUBMITTED CLEARLY OUTLINING VARIANCE REQUEST. VARIANCE APPROVED NOT APPROVED REASON FOR DISAPPROVAL BRIAN R. GRADY, R.S. , CHAIRMAN SUSAN G. RASH, R.S. ..JOSEPH C. SNOW, M.D. r BOARD OF HEALTH TOWN OF BARNSTABLE Commonwealth of Massachusetts Executive Office of Environmental Affairs Department of Environmental Protection ' Southeast Regional Office William F. Weld o Governor Daniel S.Greenbaum , � I Commissioner September 10, 1992 Getty Petroleum Corp. RE: BARNSTABLE--WSC/SA 4-1198 1 Dexter Road Hyannis Texaco Station East Providence, Rhode Island 02914 , Route 28 LOCATION TO BE INVESTIGATED M.G.L. c.21E and MCP, ATTENTION: Mr. Mark Smith 310 CMR 40. 000 Gentlemen: The Department of Environmental Protection, Bureau of Waste Site Cleanup (the "Department") , has determined that Hyannis Texaco Station located on Route 28, Hyannis, Massachusetts (the "Location") is a Location To Be Investigated ("LTBI") as a possible disposal site as defined in M.G.L. c. 21E and the Massachusetts Contingency Plan (the "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 will appear on the next "List of Confirmed Disposal Sites and Locations to be Investigated" published by the Department. The Department received a letter dated May 11, 1992 written by Mr. John H. Ankiewicz of Zecco, Inc. of Northboro, Massachusetts which documents- that petroleum hydrocarbons have been detected in. the subsurface soil and the groundwater. Therefore, a petroleum hydrocarbon release may have occurred at the Location. The information currently available is insufficient to allow the Department to fully evaluate the Location. M.G.L. c. 21E and the MCP require that the following be completed and submitted to this office within ninety (90) days of receipt of this letter: 1. Preliminary Assessment ("PA") , as designated in 310 CMR 40. 535, 40. 541. ` 2 . Phase I - Limited Site Investigation, as designated in 310 CMR 40. 535, 40. 543 . 3 . Interim Site Classification Form with sufficient supporting evidence, referenced by document and page, in accordance with 40. 544 of the MCP. Lakeville Hospital 9 Route 105 9 Lakeville,Massachusetts 02347 FAX(508)947-6557 9 Telephone(508)946-2700 e -2- i i i These documents will provide the information needed to determine if the Location is a disposal site and to decide if further remedial response actions are necessary. The tasks that should be completed for a Phase I report are outlined in 310 CMR 40.543 . A blank PA form and a blank Interim Site Classification Form are enclosed. If you perform the activities noted above, the Department will not seek to recover the costs it incurs in reviewing the Phase I - Limited Site Investigation report and the Interim Site I Classification Form that you submit to the Department. You should be aware that if the Department performs these assessment activities, you may be held liable for costs incurred by the Department in doing so. If the Phase I - Limited Site Investigation indicates that the Location is a non-priority disposal site, you may apply for a waiver of Department approvals. If a waiver application is approved by the Department, most response actions may be completed at the site without further Department approval. Waiver applications can be obtained by writing to the Waiver Unit, Department of Environmental Protection, Bureau of Waste Site Cleanup, One Winter Street, 5th Floor, Boston, Massachusetts 02108 . If at any time an "imminent hazard", as defined in 310 CMR 40.542, is discovered at the Location, you must immediately notify the Department, and submit a proposal for a Short Term Measure (STM) . No STM may be commenced without prior Department approval. If the STM is not performed in a timely manner, the Department is authorized to perform the STM and recover the costs for performing this work. If the LTBI is confirmed as a disposal site, you may be named as a potentially responsible party ("PRP") , with liability for up to three (3) times all response action costs incurred by the Department. Response action costs include the cost of direct hours spent by Department employees arranging for response actions or overseeing work performed by PRPs or their contractors, expenses incurred by the Department in support of those direct hours, and payments to the Department's contractors. For more details on cost liability, see 310 CMR 40. 600: Cost Recovery. The Department may assess interest on costs incurred at the rate of twelve percent (12%) , compounded annually. You may be liable for damages to natural resources and liable under M.G.L. c.21E, Section 11 and other laws for each violation of c. 21E or other laws, or under M.G.L. c.21A, Section 16, for violations of c.21E and other statutes, regulations, orders, or approvals. -3- Your cooperation in this matter is appreciated. If you have any questions, please contact Henry Cui at (508) 946-2882 . In any correspondence to this office, please refer to case number WSC/SA 4-1198. Very truly yours, C Jo ph Kowal, Chief Si a Support Section K/HC/rr ENCLOSURES: PA form Interim Site Classification Form CERTIFIED MAIL NO. P656 836 014 RETURN RECEIPT REQUESTED cc: DEP-BWSC ATTN: Div. of Response and Remediation Board of Health Town Hall 367 Main Street Hyannis, MA 02601 Board of Selectmen Town Hall 367 Main Street Hyannis, MA 02601 ATTN: Mr. Warren Rutherford Town Manager Marane Oil Company 501 Park Avenue Worcester, MA 01601 ATTN: Mr. Thomas Renihan DEP-SERO ATTN: Data Entry 1 501 PARK AVENUE UL/U p Ln5[J�]W LS OO �� WORCESTER, MASSACHUSETTS 01610 TELEPHONE 15081 791-7161 April 22, 1991 1 Mr. Edward Barry Board of Health 367 Main Street Hyannis, MA 02601 Dear Mr. Barry: Please find enclosed the accutest underground tank results that were completed at our Hyannis Texaco Station on Route 28, Hyannis, MA on May 16, 1989. I havA so enclosed a copy of the warranty showing that the tanks were fiberglass lined on August 16, 1985. The 527 CMR Board of Prevention regulations, Section 921, subparagraph 3, requires lined tanks to be tested at two (2) year intervals for ten (10) years after lining. We have scheduled testing in the month of May and I will forward to you the results when completed. If I can be of further assistance, please do not hestate to call. Very truly yours. Thomas W. Hannigan Vice President TWH/amc enc. 501 PARK AVENUE M w RAM E OIL WO CESTER, MA SACHUSETTS 01610 ' TELEPHONE (508)791-7161 October 16, 1989 Ms Charlotte Stiefel Barnstable County Health & Environmental Superior Court House Route 6A Barnstable, MA 02630 RE: Don' s Texaco, 223 Falmouth Rd, Hyannis Dear Ms Stiefel, I am in receipt of your letter of October 6, 1989 requesting test results for the above location which I have enclosed. If I can be of further assistance please contact me. Very trq�}ours, Tho4/s/ W. Hannigan Vide President i Encl . -u.tuvaa-w.na .nnW.W il.>lY' L1L1 'll 1w1.1uL]i.fl ..- u 1 -tN a OF BALM sa BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT SUPERIOR COURT HOUSE BARNSTABLE, MASSACHUSETTS 02630 O v A 55 PHONE:362-2511 October 6, 1989 EXT.330 LAB 337 CLINIC 340 Marane Oil Corporation 501 Park Avenue Worcester, MA 01610 Re: Don's Texaco, 223 Falmouth Rd, Hyannis Dear Underground Tank Owner: In cooperation with the Hyannis Fire Department under the auspices of an Environmental Protection Agency grant, we are currently reviewing the underground storage tank records submitted to the State Fire Marshal 's Office (Form 290 - Notification for Underground Storage Tanks) . These records indicate you as the owner of the following underground tanks which need testing: four 23 year old 5000 gallon CMR 9. 13 requires tightness testing of tanks at the ages of 10, 13, 15, 17, 19 and annually thereafter. There are no available Fire Department records indicating that all such tests were performed on your tanks. If you have such records, please forward copies immediately to: Charlotte Stiefel Barnstable County Health & Environmental Dept. Superior Court House Route 6A Barnstable, MA 02630 We are currently involved in a proj-ect. to_ computerize the town' s records and will, after entry into the file, forward your results to the Hyannis Fire Department. If you have not completed the required tightness tests, please notify us by October 31 with your plans to comply with this state/federal regulation. Your cooperation in this matter is greatly appreciated. Sincerely, Charlotte Stiefel Program Coordinator Underground Storage Tanks r S 5 �. - u >•'w- '>✓ F;<�cw, ?. s ••.� ';vt: r ... ~.2 17 u a 77 1_C- ZBP.1C Comp u t r - Chu i c k Lc. C:�, N: RF p t Test Numb er : .8905.1621 .DO4 . , .. ' ♦V 1• 1 W, .._......_...... 4._:Md ... .. - .. .. .... ........_. .._ ... .. ..._. .. .. • N 11 1 . RAJ�.__._.._.._._.._.... .. .... ._....... ... ..... ..... �. ....... ..............- .-... ...- 1 i11 FOR: 5000 . gal . DIESEL Tank �1, _LOCATION: HYANNIS TEXACO ROUTE 28 N DATE OF TEST: 05/16/89 LEAK COMPUTER S/N: 88041501 4 Inches� AB OVE Tank To �,• ,� Test - Level 0 P -Data-fr-om--Channel.. D.- -. .. _... __ _ - ---_.._.__._.........._._._. ..... Man,i.f01 di ng: -None COE: A0.0 000458 Y`Spec _Gr .� _ ;0 83_`Tank< Temp �__66.0_� Y _ _. _...._..- -a Leak Rate Average of 45 Cycles Total Test Time : 1 :43 hours Il 01 /J 'TEST-RESUL-TS Final Average Leak Rate : less than 0 .05 gal/hr . " -Ra•fe-of:T-,emperat•ure-change':--'0 .01-93 o•Flr�r-.— ----- _ -- --- !1 11 Ra"tefof' Vol ume .change . -0 040.8 gal/hr Erpob Eland 0 .02 a1/hr . Tank and System: TIGHT �D 04 inches ABOVE Tank Top . -•• Test Tech`n i c i an / oT� r� t�J4 S�%Yrf �rk'F'�2�'^H'r�.+R�ya.a't '� t t. �*'art ix t _• � ,N � ' � t �y]s�`i?S��`,ti} sact`r� "yl; �`��•�+Stt�tAl�Yp!cp`F� � n�+� Rr��py�,�,+�1�`�`t'kt .r J' +3 }�+ 7�?)�3a�•i•�''��i r�'t�'�'f+'�"�'t£��E jiT�2�tr3'��"�`r t � xs � w �V ! y�t a tp > d?X f .�„x.9 a wt bt.WS �!' fl S•''"t a �ML.f Scr�_ .. ol L• O. �ampf u t o--.ro . — Q.0 i c 1-C LcDc)k Roa- p cor t z ,,tt a.• i PaGE 2 > .�ZX N e5tR1b�r89k05 .E?21 .; r04 . '' _� "t-.'':X�P�CS•�;�fr`� .��, .,'S.,r + t D5 fix .'L..�s.'Y��y� rt��"n"�r'2.�F'Y� �'�f'r'kf+�'ri`.��s•p3�Y:�Jyi'�� ",t`nhr i tom• — .... —_�_ -. —._...�_...__..... �f .______ -- --------- Leak Rate - GAL/HR One Division = 0A gal/hr. 77'f 7 7��`r'Td`r'T i. +� T k 1 ff,, > > �r E { cn AIJr � I I : � - 75 .1° ' t•�`{`4�f�}+1 �CR'a� r 't 7-t 42 �Y x j"_L} - � ✓ � i 14:12 5 �r �'e, v,,i � ?�.i!'L'f1`r� 1�}"Y r'1;1r�'�;��J"`�T•�'.��Y`'..,.. .-.- '.... Y �`. ��Sf�*�?��M �K_tr�r ( _� _ _ _ ..� , ".15:�12- rt i I tt I rC"It.r �°f2X R'R.5 :R frt�t .,� �, '!,'��•A�,�;,[ �L�T�'a�� ;rr� „ ti-' vt f� t i"'s a G•'�.3 <-: ♦�cx Y eaxf Z .�! Aa x ��"` r ' � z� ` .. :� F s�`� 4 �i*'c� ��.Aa��'!..,r�7 •�`. ..��. ,fi ��r�v.l� ar�!i��"+',�a",`��,$�xctbrt`t• �,� r I t` '>< "�' � �rr•T _{{{. i- x r ,1r }3 ;;1 .<'4S3' k`rs {{{ O 3 t '' �V�'�'SzR ��' �� rr"^ti�st z,��', t . E . 0 , g .,f �f ,� ,ti� p�1'LLE�K + . . Dashed Lines Represent ±0.05 gal/hr. i I t i. • 1 - 6,1 T w T 1 -• r+t it r.!)i3 f+2�f f^ ��^,l /�.��C °,T/ /,A �} ' 'r yti•�,� �.1N �1�•1,1��rV r*.e Zt • -V�+.il�i'�`I-1 * ±,t LJ� i"IS . 'ti ?ls$ � } �•�. t,r ,;�)`^7 e �a �/ ''S 1. L ) { m� .E. �a tcw� �Yt' ...._._.._�_.-.__._._..._�.._-......._.�.J K :iKr.3La.....:.•rit�4?.:.ka.7:> -.✓J.h.L�]+.':.�r�..L.._ .. -_ 'uri—'�•-..'^ , n Te.st .Numbei• : 89051617.DI8 er ' w _ 7k w t r a Y-.• t - i i.: FOR: 5000 gal . DIESEL 'Tank LOCATION: HYANNIS TEXACO ROUTE 28 /. bR7 E_�l F- :TEST: 0 5/16lS9 �' '� •• ._. ..: . . : �' i `:'LEAK COMPUTER S/N: .88041501 or w — w CI Te,s t ,Le�e1 18---I-nch`es ABOVE. TanK _Top - Ir. ..;D_a_ta from Cha_nnel .. D ! Mani folding: None ° COE: 0 .000458 Spec . Gr . : . 0 .85 Tank Temp : 66•.4 Leak Rafe Aiierage of 45 Gycl:e .. 'Total Test Time : 1 : 41 hours TEST RESULTS F.i.nal `Average. Leak Rate : less ahan 0 05 gaI/hr . Rate of Tem erature than e :-0 02 9 F/hrl Rate of Volume change : 0 .0565 gal/hr . ,1 " 0 . 99 Error Band: ± 0 .05 gal/hr . tl �TanlC.s•.and-...System- --T•I GHl' .a l5.;,.;i:richEs "ABOVE TdnK.,',To p r � h f f ' Test Technician : M I CHAEL COOKS - ° aFMi . Y k � . �.',. x r y �.•^'�'i'Y ` ��. 'tiSF 17^l It - r 1.cr>'F�(�w} S t � a 4 ' _...._.{-.�..1.._....._•..>- -. .._..._- S_.�:.[..:.•t�f.i`.`t'�i�I fA+S�t,) l j k liwl7=•4�f Y Ld.•t S.a .�__G��...y�..'.««.,...: ... _ ., a_._... - +. jr 'y �`' G-��ryY A.Sx•:�Y��tkf S� F,7;, k,.f!r>y..S}, . � � � 5...• •,1 -o la I••C- ..R Tes•t 'Number. : 89051617.D18 ° c � (`C '!!:1} 7 wh., ySpy�;:Y.�.�h«��`4zL�� .,`r ,s .. F�•�) •C '�4f}Q, y�±��^ '►1tC5��'�'`. � •�t n j 1 11 M r Leak-Ra{c vAL71•IR �•.I t ',:�� 5<h'4� te} v,zOneDlyilSion` : 0.i gal/hr.. �N �` • „> Jr�d''?�. ;3�. `�`�'r lxu�"4!!�} R`N J �,ti,.�: � �s s -z 9:28 I I - T I I J `Y7� -l .1 YYi '✓d: �t')k Mom. 6 3' .1 � � ,rG 'e• 'i'r!^-Y. '^.x. �,,4' tiS ? rsr �xS.� g y, ' � ,ra' °- r}kw}i. I _,� -._.. ^I a ffl r-t st t t�, 1. r+p,�§ ,'+„FC�_ a}.i. y�',; -�r�,j.�a��,:,ys.• •b?�:• Z•c gk y P fix! M �Y•�A 3$5F.3i'�• i., _ .�,. ,,,.; .-.'�. ,, ,..y{: { i -4� z a !£,ST�I .3?:i 2 v'",�!F,i' +t'T`IJ t z,� •I I �E_ sf 77 . I _... _ . 10:29 I j • ............__....__-.-__-____...__._..__ ___._�. _—... ___.___.__._ __._._._----.__.._.. i I • ..i 1:29. 1 I� I I �Ilj • 1; 1 I . : a L I i 1?:30 -- -0.5 IN LEAK OUT LEA + .5 - ---- ---- �,___ Dashed-Lines—. wo Represent ,0.05 g11/hr - _... i2 tr aryw6wY�yiy��¢ �tt�ryw.xre .P � ) tY� s t ° ' �...' - t- fu fix.ar�,y z-` ��a• '�y$��yl M,fa� ,fiti{•r �'z�� r��i�r y1.(,tom.��t L�t�'s �� .. 1.,+...,.: ( «:q. li'T)'t.t Z��xh� ta. �6'�f? s7�.. �•sr"�':. YY�u3 tS�_Yy.�,4'�'�S� .K•�` . u Comp u t -- u i c K LC�o K RF- p or tz C F''A G E 1 1• 89051620' C04 t a nor Test Number . ° K i. . n }v T .. tq . t,' a �. t ,.�$♦ a ,dyr,.��r'rye ..c s y » FO•R". __._ _ _, --:; 50.0.0. 9a1. -UNLEADED TanK> �.. LOCATION! , HYANNIS TEXACO ROUTE 28 a AT-E=OF-TEST: 0 5/•1'6/89 LEAK COMPUTER S/N: 88041501 "I Test Level 04 Inches ABOVE Tank Top 11 ` . -' Data from Channel C Man i fol�di ng None — �. ozi COE• 0, 000943 Spec . Cr .` . 0 ,72 Tank Temp ° 64 ' I j Leak Rate-Average-:..of•-45--Cyc l es-�. ..._.. Total Test Time : 1 :42 hours ,1 - i TEST RESULTS Final Average Leak Rate : less than 0 .05 gal/hr . 9 Rate of Temperature change : 0 .0219 OF/hr . __Rate- of Vol ume change.. 0 .G799 gal%hr 0, '. 0 .99 Error Band: ± 0 . 02 gal/hr . / Tank--arid-System: TIGHT' a1 '04 ' inches 'ABOVE--T-anK- T'op : _. _._. .: . ._. , Test Techn.i c i a ; :MICHAEL COOK � I • i f1\ l.r ' 1 i � ,� �7s-fl��,_1 n �� v{ f 'rift �,�� r .�.x�»•�r� � s.`f'vh�r (..+ 4'9�71;ca`4.�' ...�{rry i :e;' J.i;• �.+ i r.7 t z � •r� f *•t. rt ►w+�k�. `'QS�� .Ji�r'*i; lit (� L_� ak Comp u t � r- ' -- Qu i c k' Lir--+O:nit F,+3 pp rnr- t i C F='AGE 2 )l ! - :n9051:�i20 .G��M�� r .. � 5 a t"��5i"'.rnP's'.r r J '� n ti tiN� itls'Aw •L�,J§✓i+ rc� ;ze rt,'��. {.. rr "4 t a :: „a:( s + � '�.- ;a � � ,d+ + "°(.sa ar"',',F .t&r"'�•d <. � 4 .xa t 'rt r.".,; • d`<* 1,}, r' ',�'r. rt .A .fsxx.T 3t t �"+ *t,�t.r tt _-.,� H "kr .tk "fit. � •5 j . One Division= 0A gal/hr. + .5 rr 13 11. tr -{' c C F x,11>R n �1�. t • s'ix3}}�� . dry^\t t,� �I.wxt"' tg� ,+ su#.I,',d K yF �,� i��`r��+ qx t _--.__..-_.___.--- -- - I <,�'-•, .r a.ch'tl.rry ,1 tt nl�m. ., «,m+xl� � r�,l".�. �? . a�. .C_x. a MJ. I I W {: � a 1 .. t }j ;s,� z; - J ��,R�'`\Y` ,,�� ,��je (, t.rsF�' �,✓' `}?+''�'�, '��It £Y °S M12 l a>� 8 "x4M,L. r 1 r-; p r i 1 r , IN LEAK �wi, `s y ik r ; OUT LEAK 1�--...-_......._...-r�4r._ {.4. _....._•._.......__ + r Dashed Lin"es epresent±6:05 eAlMr. I - • 1 i • i I E i}fir d r � / 1 11 - ./ • L_' .aFC Camp u:t -- C;lu :c K: L_o.. EG . . Pep 4r.t. . 1 . 'I C: PAGE 1' ? � Test• Ndmber a 89051616%C18' -` 1 "FOR_:•_:_-.:. .. _.. _..500.0 .gal, . 1 LOCATION: HYANNIS TEXACO ROUTE 28 DATE OF TEST: 05/16/89 f ; -LEAKt'COMPUTER S/N. �88041501 - a r Test Level 18-Inches ABOVE Tank Top - � ' _ :. " xData from .Channel CIc y• Man-i:f.o :d i.n g.-- Non e._.�..�---------=-=-----=•- <..:r� °. « COE: • 0 .000943 Spec . Gr . : 0 .73 Tank Temp : 64 .7 l_ ,r Leak Rate Avera e of 45 Cycles _ _............. K Total Test Time 2:_ 13 '.hours « TEST RESULTS F,i nal AOerage Leak Pate : • 1 e�s, ,than. 0 .05 gal .r_._-'- - - I�.,� Pate of Temperature change : 0 .0230 OF/hr . i 11 _RA te-Lof=-Vo.l�ume-change :. .._ ._..:...0•.071-3- ga-1/h r..:......... .'.._:.._;=- ..._. ,. _.._._....._ .. .. .. .. . - VI • 0 .99 Error Band: ± 0 .05 gal/hr . Tank and SvstEmp TIGHT a 18_inches ABOVE Tank Top . _ F ' Test Technician : _.._._::__.:_ _.. . . ' MICHAEL COOK • • i � w....�r............. L..d � _�C F7 �h 3{,'.. .�J iyi`� •t 4'i ..'-' \ .)� 4 ........-. � •v� , t•)+�i. � 5 'iWtr a' 7 r'�Y is x�f+3,} \ty�rw 3,�1 u t �i y2 l .� _.._5�� wt<` i,14 4 , N/Y�Ify a.t?�a �r~.•'F• IAN u t ' ,`<Cto u•.� 'rr�.,, + � G 0,�-1f�'c�{ R�e,R o r t ?✓yILI R0, � * x tM M�ii.,M"wON � � .�atx Cr-�8` Test Num er : �YutI1610- j" ,�.—.r.«r-Y-7.�'s ':�l t .1K\� P�.+f..._1} �T ♦ �a ai�P�S�#a`"�' ._ '�_.t.Y � S; F'.r 11. 7 •Y� - t Ji `+; y�:C - Y �t>''-.9 ��„J;`r"�4t�, �t3'i��h t;` Y .t> ts. .. I .. � '', SI ) i � v�,�.. � r ;_� (�jY!y��",t.�.4 ��'j�a� l t sJ4ZiJ�a'A,.'•'t - i tt, .f! c 1.. 5 _ r�ks, r ix)t r�v •kb%Yz ibdi I„ I Leak Rate - GAt/HR 1 " e bi ision 0 ga 1-ir.- + 0a5 r T (: :,i f 8 4 9 I --i 0 29 I. ¢ K ^y '' 4. �.. � - ��`•A ,.q., ?t f< d.i l`nckt 'h��'�" P �. f � t ,' 1: �� •ttr tr s. �' f� , �.�rF [�� .�..k�� ) }� �� Yf�i ,�•y>.�\� .!*' > •�. . .. f ),. ay � s+. Y Sk:� 'K -' � �k rp� T" .�' a 'f's;'• a « „ it i i:29 t AI7-7 i 77 ....... UT LEAK_...._ +..0.5 I IN LEAK r Dashed Lines Represent tM5 gal/hr. !' I • � M .. ,p^ - . - r.� r St�•( Yp j 'c. a�� 2 -:.d ,t 3 %'s i� t: r �'' '" .J i " ( ?"t Z'1 ~-•A." a L� - ;NC= Cam p u_.t.el C u t r_ {t.._.. L�o 4C:...... R .�.p .� r t.. ., !r. C Pfi+GE 1 .. - .......... ... •N ry ry . ..-._.._._._..._..._.Y_..___, ._....._. _. •[':1: ). M lh 1. 1 N S. FOR: _ 50.00 gal . SUPER UNLE Tank LOCATION: HYANNIS TEXACO ROUTE 28 DATE OF TESTf.. 05/1.6/89 « LEAK COMPUTER S/N 88041501 rr N n Te:s.t-Le.v.e1... 0.4..Inches::.ABOVE. Tan k...Top t_ w Data -from Channel B u Mani folding: None _ " COE. 0 000668 . YSpec . Gr .` 0. 7.,— TanK Temp : 64 .6 yy r - L*eak Rate A�era.ge `of 45 Cycles I. _ _ . .L Total Test Time : 2:0 5 hours et " TEST• RESULTS ; is ..�)4,t^K t) P• n_ LAv er ag.e_L'e_ak_ft.a_t.e : - Le-s.sth an. 0_._Q 5.'g.d llhr_.__ _.`_. ° Rate of Temperature change : 0 .0027 OF/hr . Rate of Volume change : 0 .0423 gal/hr . _ " `0 99 Error, :Band + 0 .03 ,gal/ hr �t TanN and System TIGHT .ol 04 inches ABOVE Tank Top t t Te'chnIcran: 1 I CHAEL C00I • ,7 �1�3S ats "'rjnnl�r x� slf: .5f 'y «. .. ^.. a . oa r,tiv p•3� �"+$7 ri"y �.u' t sc �7 ¢'�fir��r3krt 6�C•'�`a r;. - r $rJ y f•�`Y;t�ti'N"">JFY Viy�ra��M1�,7�1�A -L - --..�..r- - ..__.. „ 4 'ri ra •� s L fn=m, . T•i.: t* '.� ,.: •Y Z .i l ,a{ ``• j, •. :P i► I r t I.`.`F. f 3^; 3., a. [. - r ? R . .�_ P �r-* o C PAGE > ...� t p. Y•v. J a>'7F- •� i(i y1 T}1 .� y��j1,��;� , �' ,y,< s 4 t� k3 �•k iY�k*s"�:ai},�� '��..�+'� ,� •� Y �" ��.�Ch�.r`!�'s ti� f`� _... ... 1 ";rx 1 .r, � > � Ylyf q�-t 43— �tvr �' __•_—. i Leak Rate - GAUHR Division = 0:i gal/1�r: + 0.5 ~ -0.5 -- ;il 3a: •.;x - Y :..; y;;>ra 7; f:} 12"4r f>x j�_:I.•Pe a i t' rif s:�' �tr 1 F i , I E I +/ 11 I 1 1 ` I 0, Y - - I i Y - �. - i 5•I _ ... _.. . _ __ Ix_L"EAK7 0 T;LEAK- Dashed Lines ne"(�r�So !'�C .FS gal/l r I1r� r4 _`�• ^,F1'� t a az`�l�n✓`�T'r �la - r ,`�� ., r • a K C6M u t e s� — Chu i Ic Ltr aK R ar P x --C'P A G:E r -.1• y— ' t --� Test Numbers "89051 .81.6 „, .r, ��' __-._•-.__•�.� iw 615 _. 1 � W �,�.-. , t�,�.Pj�,�.1F�% 17je.�F'tF �dan- tY .t��y:,`S t :...;�Fl tyx -.ti: t x ��i'Sa��x�}r♦��.t Y +e�.e,y.�,f t e.. � � /n ! f� 93�..<u`�t�^>�.. T r $S�')1 � ' x;k f 3♦�H y t �d'•i{fa^�l��t� P i"`ty,f > ! S s � dt , v�,,. �c -�,t,.•. � p•��Y�7\"` 1z R �� '� >%�` .-it 3 t Y xr.0 Jb•Ra St. +�+ x'��,�; a � „ ...•<l4rQ�-g lx•"s �"�'•C'C R.Jt♦r -,p � M �:x,�,S:'�rM a, t - .t� �. s. ,�a�l•r_y` �-�� n ,,�! t � �s .k,K •;u.� r 13°;xFC-J,' '.. :.� E�'I r.K''Y.��53.i,Y .s :.� t•.a ' � - �. YY n FOR 5000 gal . SUPER U1JLE xTdnK LOCAT'I ON c-- -- ` ' -'HYANNI S TEXACO-ROUTE-22^� DATE OF TEST: 05/16/89 " LEAK COMPUTER S/N - 88041501 - — - --- - N r.... 11 4r yr. ° Test Le.vel 16 Inches ABOVE Tank Top It " Data from Channel B 1� Manifo;ldingc None t� C-OE a�-0.0066.8---"--Spec. Gr:. -�@:-73----Tank -Temp• �64�8._._..—._._-...-. - . Leak • Rate Aver age of 45 Cycle=_• .Total:Test:T-ime - '•2:2.1---hours ....... ......- „ 'I _-- ..........._..__ _..__. tt TEST RESULTS Final Average Leak Rate : less than 0 .05 gal/hr . .Rate of Temperature change : .0_.0180 eF/hr: R. ate. of. Vo.lume"change 0 .1024 qa1%hr 11 .. .:. - 0`r9.9_ErrorrBah.a + 0--.-05--gal/hr Tank and System: TIGHT 2 16 inches ABOVE Tank Top • • s'Te�st�Te_chn-i_c.i._an::_r MICHAEL COOK � � f. "• ,!{ h�^ i ` �,3 ♦ :, P�k.��i�•✓t� �:;•.4.t _:e y"s'J• - 1,� •�,�P pC -J , Y t S r t ° E ��f_. 'A'T1 Y��'(�'%T,c�:�hW�e, y♦ .j• j�, :;?, s GY�f, 1, r �r, A'"`;+" 'qv[•� rf. 1�•�, TNli;i'E' F.l-•yA bfS 3il.� L� �• 1 M} �"�f } ;. v./ .r� 7�' N•xF_'.•�qi !'�Mr ,�,G r 1 yi. 's( ��" rf y. ��'�?s2�,t %"�bx } �„�,stz�,,• C,C '�I • t " �a `R t �s` ::n r L' e s 3 x ..; i x5�-e'w'�3.�F-w�._,�.:�'!`.. .«'fs ..•�c.»:;. ..-,. F ;+-.C�.a 2•,' .:-<ta...t �i.. •t .n�. t .,Er,e[.�»a,s..''pf s r i I - ��_flt -w.e+n'.e.xxx� ..LiLitii]t]Y-i_wwer.sa�mm�+m¢h C1Y.Lv]U' .0 Lc- •aP.: C-c-mP u t e r" -=- u i E, Lo �rk Rc p aer• +_ :. _ _....__... Test:':Number 8905;f��5.B'16 .: z i : c` . i t C a'..,>Grrtt•F� '�* t1y i• y,,('(Sl.�'t '! jp.S,�i y�t.._..z((Jf Leak Rate - GAL/NR One Division = 0.1 gal/hr. fi 7. .. 1 .r `. rr I � for 10:29 i t, • I I � r _1i:29 .y> E4 _ _ °.. ,� Y� jr�is•`; �. . kyty .�,f �. $ 'F�'rE �"_X i�6� - - rt) .. z 7 t -X * --.,��Ff o�`�?r /Cr . y (.S•„'��J��'"� v,�� zYy I"� s i ri r b�lye�ry� s .. .. vi .f 12:29 -0.5 IN LEAk Dashed.Lines OU + 0. =-- - 7' LEAK' Represent ±0.05 gal/hr. i t l - � � 1'� ,e`4 .r• a, ,,cS..y P �;.� t �tf 5� � .. ' i., 7"'y"�--a 2 t _ `r.ti -♦ � _...,v.—+rt i'_•'' _ �*^ L _�.�'Z'7�'[^ rr^ '!'.._ -^— �f t r�-••ter CC)rnp u .t — Qu' i c 1C [ L.00IC R� p otr-- t t•, 1,....-_..., ..::._..:.._.. . C FAA G E:4—.. .-:.> .__........::... Test Number : 89051618.A04 t � n _ — p t ii�r 3 n•A; l j , c F�F a.�s ,r i �••:�; s �.�. �- Y- '! f ;1'�<ot y 'L! �f�stir Sf.F--: y. FOR: 5000 gal . UNLEADED P Tank K —LOCATI-ON - -------HYANNIS•'TEXACO ROUTE 2877 - -- ` ; DATE "OF"TEST:. 05/16/89 Y °LEAK COMPUTER`S/N: 88041501 w K r t- st L'evel . 04 "Inches ABOVE -Tank Top et a Data f-rom�-•�Cfi-an`nel A•- � � ' It L K Man i fol di ng: None . -- GOE:_-0 .06N.667. - _..._...Spec:....Gr..,.:... . 0 ..76.- •-Tank--Temp.:_.... 65.4 i Leak Rate Average of 45 Cycles K ,To:tal ;Test._Time.:. -2:_14;hours. H rt t • Lu "f TEST RESULTS na1 Ave:rage' Leak Rate : 1 ess,;than 0 05 gal/hr t .t Rate`df`T"emp era tu're`"change c 0 . 0041'" OF/hr..--._-. Rate of Volume change : 0 .0442 gal/hr . n .0-.,..9.9--E r-r-,o r--.Band:...±....0-.0 3 -gal/hr . ---_........_.____,._.—_._:_._....._......._._.....__..._....._---....-•----......__..._.•_._.. .. ---.. .' `Tank and System: TIGHT 2 04 inches. ABOVE Tank Top . or_ i. __:�...._. ...�_.__..__..._ ..._._..:__. . .... ._�__ - - - Test Technicia MI.CHAEL COOK. ............... _ ........... 11 t" 4,1 y'11t 6 `/d'. r 1` t ^h+ �✓� �, ?,:, s+ ": yr c `•� i 2p1!•Zi P}t i, N ni z" r L�rr ,.• '� o r-�' � + �'• wf�� °� '�2 rt% ei �� 5•° N :.��y� 'Yk.� f .r r t }'. .tljx�'�.��lrwK+�crtt4.� i•�^Y - � ....... o r ......�—Y.'_' :,. k Y. x _•4'L - '. ff l 1 i P C Cnr-n U _ z Test Number : 89051618.A04 - -T y,�t • * ••�' R :G S��"S sue''}l�G�, +4 _ �..r '. > f r r % i,�%. Ylr��`��ju�P''4� +s � �i"Six�k�d7 tK dx•�.e . o. '__ _-.r-Z- „�; ` /-.w:'r S•,r{'f •A:ta '� dX F "7 iA»fit biK Rate -DAL:/HR .One Division 0.1 allhr.' , �',"d:. 0'.5` } K 13 i i � .•.�--� � tt. w+• :�� s { t�a � Yx i r f`rt jt s•f.>� ��f P'1Y` } � < 2 a��Cy �Y '�- �� .•+4 ��F < ! mgs, � '{,��Li'i • `s ty-rG t S �::',ri .� g.3�f1'li yr q ,:Y'0• n:. t•s ZI''#"' !`.'i',�k.sFn �.} :..I..IY:'t tb3.aih..� n.. L:•' E I y rr ��. s ✓.Y a .x I .ris�71 '�;} .f 9Ki/ rr P.. ( ,— L_:_— u I r f--- k't�' �-e'? ` P F. .l'�vT.da Xrti: �'4 t•.�i° 7x�, tie - ` ...-�....Y-__- .-.._.__...._ _...... ...__. .__.. ... .}r _. x II os i 77777777777777 1_ I IN LEAK OUT L -0 5 Dashed Lines -- s R#ekpresent f � ';'((.�e4'''«,1• cP+�x ` zt y F�Fy«�K t. f I } ........... all C;j U i t< L-c:,c>t< R p c:)r% t L� alb CC)MP.0 t -L- <..R44(3 .'Test ---Number,:.!-,89051-'-61A 8. 1 . to to tq FOR: 5000 gal . UNLEADED P Tank ' LOCATION: ; : HYANNI.S. 7EXACO . ROUTE 28 DATE OF TEST: 05/16/89 LEAK COMPUTER S/N: 88041501 -4 Test Level 18 Inches ABOVE Tank TOP Man f ol ckf n g None :- .7 - GoE- Leak Rate Average of45 Cycies Total Test Time : 2:53 hours .......... .......... -------- `T--ES-JR E- SULTS":` Final Average LeAk Rate : less than 0 . 05 gal/hr . R a.t.e.-o.f--T.e m p e r...a t u re-c h a n g e 0 0 0 4 2..-IR F/h.r-;. !,,Rate , of Volu, me change : 0 1135 ga 1 A a +> 0 .05 gal/hr . ........... Tank and System: TIGHT Tank Top . est .'Technician : 1-11 C HA'E L--C 0 0 K �v 000066 -Spec ............ r C.;_ t I.. •; Z {y..t 't. {a � :�'} :•,n �� ,�th�rcti }� } ,t s�,s '� Est• j ,+. � '�}yl�r ♦ !t d (YY T-,t R rya •;7 i 1riEs-r fit �!• �t 1- 1 r�f F r• - wN - L_ � aIC Camp u.t o-- -- u i .![ L_o.c 4k R p or t P tT * d' ht z.v s :•C x t • k . � i;-s#?' �Y �S � *t rf �'ta7,t.x!ri r. a . rtt:-�• �- Jt - � � Test��,. umber,.;; �, . ..�8�� ... p a:Nt -1 • • •� fil ,r Z > ` ', ;k...�7 .r' s �% -3= ''•t1x 'li ''3':b) ft �6� t �'tf t 'F 0 ys;7c ; rs i�? f +«� s ...,y.'� ;;�. � „Yi F 3�z'��Ia z"sF a � .r `r• - • .. 'fs�f. s t f�iF7, I a y tra�� kva�� v ' �,�,'.at+�'• ��_ a ! h t rFs�.sr' ,��,, >r �� +y ¢a Y �e��+"yxp�4f�r�rw � :.F( A� „<� ____ ' w •-_j a^L°L)^{- *I ��;re.Y 4a:r-J•e',)Y:s.:•ri �� ,,Mr.��` �.{x.'i',erik'�r;{ bn '`�....._—_.._...__—......._.....___. .._. ... Leak Rate - GAL/HR One Division = 0A gal/hr. " -0.5 0_.. _._ _.. _ - + .5..1- 9:2 �. m I I 10:29 I .) �• �,a a �'Pv-••.gi'r`�'S's'i. s)u .yxrl.raF''� 3,r szjy �`. 4+ y. i{° 3t? ,t- ,r ' 1 a .•{, ± Zr •" w?,}� '�µ�'` r,S9.,4 3y' a�xr� 9,�' trl.d•-x sF.,. � ir' F ?t K ei��.�� y < �•+:a ��«ert�ex'xn�'�w �(�;d�rx i��t`2at* �� rl�� Syr �zy�� f _ i re C�-.�i S � 4•,x -f�G`x H-'S•� R�, ':r za� .-.., r Y +tx wyl.�H^teS ..A, '+ ?� ,t F r° � z¢ �t'� ,: ��s� <t �� r•t�•�IYEp�k� �`-�gy� ��1 s�}. Z rsv rciT}�i. ^�a�✓ -. L 1 t4r A t Y� t �i -�tr• =:�'ts r,;"rt ri� �Y�� •K^H .•�..F.�+ � +��.+ ' r � ty.r' �� ,�"'.ta er 4 .,z ` `t .. � ' •. •'I +tr .- a ;��` I }d">} I r. a. rn'•.v r K (§.s >, :i 29 _ t��,>dtir,:'z.ynt.3a`��•fkw��''*5f4°tN�r;,{�i: •rr _p--, :�•''T+.kl4:.:d5._ ° � Rr+ �,'n — -------" -- 61 i.. Mx) ` i �) ::'�, S.. ;o-�i��i?`r�`y�'�.K:hY�4er �s-�-�:"�'�; iT'r�;.�.^�':k'zi:"l:�Tl, ?s"r ilt+`i'.t:.r�;A�`.t3+>•,� ...i, �r.---• II r1 „ e 7 r IN(LEAK y ass rrt3�0: ° F ` OUT LEAK + 0.5 �. ,- --------- --=Represent .4:g5.galLhr_r Nw t�s<. 7 ,�'�n �.�.,..) ::� J'p�` rx"�• �tv'4 �?'vJl� ,r�. al+'� `�� k a'� � -_ .. ��h lw°+rz .al'1� .,nii<ikt'x_:a i�23 •tt. a " ; 3a ` n1i'9f 7�4}• �h�y .nr it. �i9 S .Si _ �?. $ ♦� rYr�4r xfa�.a dr- ddir, Y ,a:: Y ..W ........ Elm El Q' ............ N011. Warrantg 7239 S The Armor Shield Authorized Applicator,certifies that the Armor Shield-lining system --- ----- ...... as indicated on the reverse side is hereby warranted for a period of-1—0years against defects in material and workmanship. Said defects will be repaired by the installing Authorized Applicator provided the tank is made available and accessible. There will be a charge for travel, labor, lodging, excavation,fuel transfer, permits, andlor testing.Any and all incidences regarding damage,structural failure,maintenance,or change of product,which alters the structural support, or structure of the Armor Shields lining, releases the Authorized Applicator nullifies this Warranty.from any liability, direct or indirect and nullif • The liability of the Authorized Applicator is limited to the repair of the tank lining.In ........... no event, including in the case of negligence, shall the Armor Shields Authorized Applicator licator be liable for incidental or consequential damages.This warranty is expressly NMI in lieu of any other warranties expressed or implied including any implied warranty of ....Rog merchantability of fitness for a particular-purpose. This warranty is non-transferable without the expressed written approval of the Armor Shields Applicator,and is not valid unless authenticated by Armor Shield®of Ohio,Inc. �4 • ............... The licensed Applicator further certifies that said lining system has been done by the Armor Shields lining process which includes: 1. Surface Preparation-(white metal blast, 3112mil profile min.) 2. Lining Application-.(125 mil) 3. Final Inspection-(Holiday 12,500 volts-Barcol 935 hardness, 80 Minimum.) Relative humidity 85%less on surface to be lined. Dated: August 16, 1985 ARMOR SHIELD OF MASSACHUSETTS Authorized Applicator: Address: P.O. Box 24 S. Chelmsford, Ma. 01824 Authentication: The above Applicator is certified as a license Ap licator by rmorShi Ids of Ohio,Inc. JIU Seal Armor Shields of Ohio, Inc. Page I of 2 579 IND ilia i Mi"G" 1� AMOUNT OF ARMOR SHIELD'S SPRAY MATERIAL TO BE USED WHEN COATING A TANK CAPACITY IN GALLONS DIMENSION SO.FT. GALLONS NEEDED 150 30" X 48" 41.23 3.22 200 36" X 48" 51.83 4.05 275 29" X 95" 69.28 5.41 280 42" X 48" 63.22 4.94 300 38" X 60" 65.49 • 5.12 345 46" X 48" 71.24 5.57 560 42" X 8' 107.20 8.37 560 48" X 6' 100.54 7.85 860 48" X 9' 138.24 10.80 1,000 48" X 10'8" 159.17 12.44 1,000 64" X 6' 145.21 11.34 1.500 64" X 9' 195.47 15.27 2,000 64" X 12' 245.74 19.20 2,500 64" X 15' 296.01 23.13 3,000 64" X 18' 346.27 27.05 3,000 72" X 14' 320.44 25.03 4,000 64" X 24' 446.80 34.91 4,000 72" X 19' 414.70 32.40 4,000 84" X 14' 384.85 30.07 4,000 96" X 11' 452.38`- 35.34 5,000 96" X 13'6" 439.82 34.36 5,000 72" X 23'8" 502.66 39.27 6,000 96" X 16' 502.65 39.27 6,000 72" X 29'1" 604.77 47.25 8,000 96" X 21'6" 640.88 50.07 8,000 120" X 14" 596.91 46.63 10,000 96" X 27' 77.9.11 60.87 10,000 126" X 15'9" 692.72 54.12 12,000 96" X 31'11" 902.67 70.52 12,000 126" X 187' 786.18 61.42 15,000 126" X 23'2" 937.37 73.23 20,000 126" X 31 1,195.76 93.42 K Installation N, 723 T` -4 New Invoice No. __41-�____ ARMOR SHIELD@ INSTALLATION RECORD DATE COMPLETED AUguS-t 16, 1985 Job Name: THOMAS TEXACO STATION Address: 1�ou-te 028 (Cape Code Mat)HyanrLU Station Manager: John Thomas APPLICATING COMPANY:__ Ma. 17 t►AI I RFu�-TANK f TNTJr(,- CORp The Authorized Applicator certifies that said lining has been done with Armor Shields materials, recommended amount of Spray material was used referenced on back side and meets Armor Shields®lining specifications, which includes surface preparation, lining application and final inspection and further requests that the Armor Shield® Warranty number indicated above,be issued to the below named customer by Armor Shield of Ohio,Inc.,representing said certifications. CORPORATE OFFICER'S SIGNATURE: Mail Warranty to: Mad e.i.ne J. Ducote.aux, Conponate C'te k MARANE OIL COMPANY COMPANY 501 Pak Avenue ADDRESS woncuten, Ma. 01610 CITY STATE and ZIP Mx. Tom Hannigan ATTENTION Name TANK# SIZE NAME OF SPRAY GALLONS USED NAME OF TROWEL NAME OF BASE RESIN ,.Reg. 5M TL-300 35 AG-300 2•Su ex 5M TL-300 35 3.Reg.N/L 5M TL-300 35 AG-300 020it 5M TL-300 35 AG-300 5. 6. SKETCH OF TANK LOCATIONS 13 E�" PUMP E =�� =03 xu=�,S'hirjh I PUMP ISLAND I ch11784 Applicator: Mail to Armor Shield of Ohio, Inc., for Authentication signature and seal. t ,T. } A _ K , n ��,�.� 'max # ,� �+ �'a�g �••' �� "u' � $''�, �' (v, e � t e _ � 4 j •' f c a � �. t��"':,} 5 u•„, e a :$`ems-K as T ".� Y ,g, _' ,' r } j t' 'y. '.'. ',z* s = ;vG'` AR� M � J WKaix`.-+a Ms a ` �" ixti � s,. - -. 4�-`�i` '•. aaiv'e. ,+a. `.glx" v��v .'•�@y r .'S„„�.-i"A_ ,�^� x�.F"5 a� ,� E",�� ` '� � �„W e ;,� � .q. 4� "s��'Y�'^�'�`�w ,. ��# f r ; zr _ �- ... -•�. r Y "�.."'$'-� +s.,:.. ,4. _ � z �ar Y` .'� {�.x'° '"'� ter'' - _. r dt r � A, Xftki ? '� x e r <; yA, An 'F✓' s'fF a2' ., • h: :'�' a -!. p r ^* 5 •' '''`` 'r 3�s $ ,,�" ,� ro }v - * �f 1,110 N� 13W�a K1 -i x'u '�} 5r�� t.v yr "�'� � ^�r�� ,a• c.�� •k4�'�f., e t w - � r_ 'Al -t x"4W" Sf +` 2'S'`"Sx rr at"#t• .n, d`'Y,t `' y" NO 3 a _ tir q �..��,� ;,,� * �e F , -mac ' --4 4 � .x..t`.. A Vo ' ' . - 4� ,� 8 �� `•- §'�ss �' rS �-`�''` � t`3 '�1�+ fc i"� "�.�"S�ife, �; �^F y tz, * r s> 2 rr a' hR* ,0 wd`ir`- 0,:'� 5 gaMr- sTWtea* `3r u a. _ram t n 7.