Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0075 IYANNOUGH ROAD/RTE 28 - HAZMAT
Iyanough Rd., Hyannis Midas Muffler& Brake i I II 1 i 1 i i O 4 I� Town of Barnstable Hazardous Materials On-Site Inventory and Inspection FACILITY INFORMATION:Business Name: /b S X�AY4 '�t l o D 6 _TE; /Nc) Business Location: Aud u.t; 04-b Mailing Address: A 46'OV Telephone Number: J0 f - 7/ - X 0,3,7 Contact Person: L 09C, /-(& /�§6?C Emergency Contact Telephone Number:,/ A,qV Crc,+f,ArAAJ 5_6e-.ZS16- Type of Business: gAU 7Z �I t 'a i2 4-N6 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 A/V-/7 rW r_� .1d 6 CPq-"4 NS 0✓C 4'edoub%W'K LU/alb5#-6:71-b 6 � I� kOe-P, //� QUO (s�,4-GLANS C��''a c/u1[5 T K 9 J,V0 4 AtZZ uS ,46ovE JJe0uW4 -iA-M �j i//26/�s%,tJS— c,� s 4� -ea! �A, C /fIs «AJ ©ice �S -ce�Ns � srz� car H J57,�v e,d/6u41— A-CA,- 1AJ 30 o�t/r�L $T r.�G /.v�i✓l�v� � .SIV Z. /A)4 /Al / /.�/ ) 7-V0 04_"_0N,4.5T.. 6:--Al614A 014- � S5-64"1J62uA13 77'a1&v>6 U44-Q 04fer $i+6LV i 06-. E al A-+e-Acqr f3ky - 1 - y Misc. Combustibles �Lc-�-,cJE12 Misc. Corrosives Misc.Reactive Misc.Toxics Inventory Total Amount: q 4-u0'Af5 914 ?OaIJIDs Hazardous Materials License Posted?g No Contingency Plan Posted?Ces^o Fire District: 11V,*A1 t 1S Fire Extinguisher Service Date: �L Metal Covered Rag Bin: es No Absorbent Material Available? es No Type of Absorbent• Speedy D a Pigs Other: SP G,t5 MSDS on site?V No tIA-d� C mputerAccess Hazardous Waste Handling Hazardous Waste Generator Identification Number: 673Y'-�-0 Type(s) of hazardous waste product(s): S-nk-iz (" tQjjLAT2JS 61L V-JA-STE Date of last hazardous waste shipment, pe of waste and quantity: AaaU:s r� D/ T� R U TM 61 L T t i-5 4-f/-"1VS 2 S 4*f-s *5 ar Hazardous Waste Transporter(s): A..) O,tc e"RP Designated Hazardous Waste Facility: eXA1 aoc L"o RP S 7-71uGH77N, 11'X- Hazardous Waste Storage Area Description: 961sre DiL is rewe-6 i u ,yK L4G4-7x» r�.1 7?fe A&AZ QF- Z/r C Ie ! FZoaA&b 44LC� ZAJ Z>XuM t I,V R,6,6 rL. vF 4 A7fA4,,. S Try CVAJ 014. S 7U{Co f-ToAc1 Is hazardous waste storage area labele : Yes No a, z- 0-y Are tanks/drums/containers labeled with the words "Hazardous Waste",the 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 - f - FLOOR DRAINS (Chapter 381) Town Sewer Account Number: Indoor floor drains: Yes t!p If yes,circle one,does it discharge to a: holding tank dry well on site septic. Outdoor surface drains. es No 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? Yes Age: 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 6) 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 D/G /::i-72--rk-5 krl-E 2��LALE_l : laa�tcS/tt� A-A. m 5/,o sc"D a¢ iA- A ° , ram oiL CA-bbV-,S .4gk- 73 6,r 4-46n,6b 5 WJA-3 rC " WA-37r-- art." ,F,v h lax f c v S i ° jf - WA37r alL S?DAAQe &e-6t SMrl-0 AiAVE A �� 1/,fa4loDayS 51�� WA S 7� S/��, iT�,�s A PF 7a 6 E A-7- Lt--As r GNP-r4x,- wall. °� Date,�PysAen7E7> Public Health Inspector: Facility Representative: - 3 - TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations, Repair BOARD,OF HEALTH satisfactory 2. Printers 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY � � (see"Orders") 5.Retail Stores \ 6.Fuel Suppliers :ADDRESS _)L( r`/A N\ (,H Q-!� Class: 7. Miscellaneous 4kjC,r-,nVS QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MATERIALSUnderground 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) l� �traydraulic Synthetic Organics: degreasers �V1 - hs� - w Miscellaneo s: T > &A .Trd C,PEEd/t ., &'-t ltd (".t -e - ew� DISPOSALfRECLAMATION REMARKS: ��,�,, � rr__ 1. nitary Sewage 2.Water Supply. - S1C0 ' 7 0Y\ ' I 0b-yX UJ)0-'-�_�_ Town Sewer OPublic 2- 2�(Aj -i R On-site rivate � (C..loL 3. Indoor Floor Drains YES N0 `t O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC No S\A I Sf 0�Catch basin/Dry well O On-site system 5.Waste Transporter I Narne of Hauler Destination Waste Product Licensed? 1. 0137 __d _1TU_I v - OC Person(s) Interviewed Inspector Date v�l��-ri�c S ►s s�lrl � -ll { GVI IVI Hajr�.o��,JVlaterials Inventory Sheet.Ghecklist �Zjj�I SSO ��dale Physical Street Address-Check database to ensure it exists Working Phone Number Actual Amounts -( ie. gas being used to fuel machines,thinner to materi als-no blanks count as hazardous ) /clean brushes all co h Storage Information -location of storage, how long is storage for? b M1 If none, note that. 4 V Disposal Information -where and who? If none, note that. Applicant Signature -understand what is listed and noted Staff Initial -any questions, know who to ask Vehicle Washing/Rinsing? -give a vehicle washing policy and --(explain . l/ Attach.the Business Certificate with your sign off and comments "The tory.form.shoul'd explain what the business:consists of and:the procedures they are doing.: Notes need to be left to explain what you:discussed with them. t YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town(which you must do by M.G.L.- it does not give you permission to operate.) You must first obtain. the necessary signaturi:s on this Conti at. 200 ,Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 +vain St., Hyannis, VIA 02601 (.town Hail) and get the Business, Certificate that is required by law. DATE: 43DI J' Fill in please: APPLICANT'S YOUR NAME/S: r 4R; BUSINESS YOUR HOME ADDRESS:-- J 2z � . TELEPHONE # Home Telephone Number NAME OF CORPORATION: 01,NL�' 2 I 3,L� FL I' o R S S NAME OF NEW;BUSINESS MQAS hj�,tz S'-2u i c.E �'.rrxs TYPE OF BUSINESS &7-0 9c'.Q✓icc= �` /L��iS' �z IS THIS A HOME OCCUPATION? YES NO ADDRESS OF.BUSINESS 2a MAP/PARCEL NUMBER 343. (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM SSIO ER'S OFFI This individu I has e inform df y ermi requirement that pertain to this type of business. Aut orize ignatur * COMMENTS: 2. BOARD OF HEALTH This individual has h ee' eI f the permit requirements that pertain to this type of business. MUST�,OMPLY WITH ALL _._. `u S' ` ':Jt,7p�lnr.:il�t�p.,n,M1Tr-'?�nl Q�rr^.i,� nT±nr•ic, Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: Date: 9 /_ / 12 TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE NAME OF BUSINESS: A4&5- BUSINESS LOCATION: I I j k Zoc - hc,�n► INVENTORY MAILING ADDRESS: VTOTAL AMOUNT: TELEPHONE NUMBER: c7oj '�7`ll 2(#' '`7 CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: a,-'© Se., v, ce, INFORMATION/RECOMMENDATIONS: Fire District: Waste Transportation: P)te-5 Last shipment of hazardous waste: 7 Name of Hauler: 0,co� N� o g Destination: Waste Product: c,.7a n; 1 Licensed Ye No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material 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. Ob erved / Maximum Observed / Maximum 6 ,c Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive `-❑-NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Z lr Road salts (Halite) e� '^� Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) H Diesel Fuel, kerosene,#2 heating oil ❑ NEW ❑ USED L Photochemicals (Developer) Miscellaneous petroleum products: grease, lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine 2� Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous 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 (including carbon tetrachloride) Any other products with "poison" labels - -.LJNEW ❑.0 ED-- - - (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes Laundry soil &stain removers (including bleach) Spot removers &cleaning fluids qc(, (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Staff's Initial n k> / S �5)*0_IDate: ---t/%; /6-�2 TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY t NAME OF BUSINESS: ZZ-1LAS BUSINESS LOCATION: ��/AA/A//.S' INVENTORY MAILING ADDRESS: 14, ego ICE TOTAL AMOUNT: TELEPHONE NUMBE 50e - 29l' g-4�3-7 1/, 0:79 4ku-4n1S CONTACT PERSON: V>/� E'.c/ A� AA/ C,EGt(Ex1i EMERGENCY CONTACT TELEPHONE NUMBER: 26 O MSDS ON SITE? TYPE OF BUSINESS: yeweI&C INFORMATION/RECOMMENDATIONS: 7716- EX7,741601shkV-1 ,4,E aP Fire D'strict: 77 AArr T7lE gVC WAsH Is �Zcax77okyt1_, .4 6dyE7zc-t5,KA-6 Dmi 1f �7//I'lzAt9CE /{ it//S 1we oaooF,1� f'6671SE /S PA/6 +'U/) 7WC A�E7"c6EiU�9 PLA'iU/5 PoSPzl). -K EZOn 7r bAff S or Al A-7WV*-iVCk9 CA-ACK /A/ 7&—r-zooR_ ai( k1j,1Z Oos Nr�s 7�"' v JAI Co�/'77 A114Ea/?' 4 • / [.E• oQ "VIA_. o1L 7ax1C. Este Transportation:/b AA Last shipment of hazardous.waste: m f I r' Dig QrL 7vUCW7a v A Name o Hau e v Destination. Waste Product: W�7 D � /WR-s�A-Aj77r--ate Licensed? es No rA- .- 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 3 Antifreeze (for gasoline or coolant systems) Misc. Corrosive r,Q NEW ?5- USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides 303 NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil %AD Pov'I'os NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout - IrAICV1 Swimming pool chlorine Battery acid (electrolyte)/Batteries zN7ZW"trr Lye or caustic soda bgoj5 oGF kN� Rustproofers t7lt"14 P BNLE Misc. Combustible Car wash detergents Pr 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 (5PP-Al Ca 0S v�e L L GkCu u ��,vC 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 d>L Ti�7� S A-94� C�uS# -_)5/t-,JP (including bleach) bIS0,0sta oG IAJ 4- /e)VA- Pf f Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers,,.,, G zoo CgPAC►i o—Vd Windshield wash A5T VLA517L, /,VbooRO WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Hazardous Materials Inventory Sheet Checklist %/ Q 1pl Date AgOr Physical Street Address-Check database to ensure it exists !� Working Phone Number Actual Amounts -( ie. gas being used to fuel machines,thinner to clean brushes all count as hazardous materials), Storage Information - location of storage, how long is storage for? If none, note that. - Disposal Information -where and who? If none, note that. Applicant Signature - understand what is listed and noted Staff Initial -any questions, know who to ask " Vehicle Washing/Rinsing? -provide a vehicle washing policy and ' xplain it-note that it was given L�ZAttach 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. TO ALL NEW BUSINESS OWNERS DATE: � "V x Fill in please: s 1 APPLICANT'S � � YOUR NAME: LOYP5 14UTZ) SV'57 S BUSINESS YOUR I{ /�}• v ' YOUR HOME ADDRESS Tim/�S2S/ L�i9� . TELEPHONE ` Telephone Number (Home) Z21 2 Z S NAME OF NEW BUSINESS TYPE OF'BUSINESS ✓4ciZ�/JDL� IS THIS A HOME OCCUPATIONS YES NO Have you been;given approval from the buIldmg d1vaion� YES NO ADDRESS OF BUSINESS ':r/,c�CI tip MAP/PARCEL NUMBER When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, listed below, you may apply for a business certificate at the Town Clerk's Office (Ist floor- Town Hall) or if you get the business certificate first you MUST go to the following office to make sure you have all the required.permits and licenses.. GO TO 200 Main St. — (corner of Yarmouth Rd. & Main Street) and you will find the following offices: 1. BUILDING COMMISSIONER'S OFFICE This individual has formed of y permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 2. BOARD OF HEALTH This individual s b en in o med of th rmit requirements that pertain to this type of business. Authorized gignature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual hare' for ed of the licensing requirements that pertain to this type of business. +Authorized Signature" COMMENTS: © A-j o� Business certificates (cost $30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. - it does not give you permission to operate -you must get that through completion of the processes from the various departments involved. . **SIGNIFIES APPROVAL FOR A BUSINESS CERTIFICATE ONL.y. fr AV TOWN OF BARNSTABLE Date: . � l6 TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: /y/ei,�,f' BUSINESS LOCATION: oy� /ems �,�,�" INVENTORY MAILING ADDRESS: TOTAL AMOUNT- TELEPHONE NUMBER: CONTACT PERSON: y9�/°�'y EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: elge /✓0 INFORMATION/RECOMMENDATIONS:7,6ig-,6Wc �o Fire District: ,�'yE'- .� �s F�,�eril.�.� � .4 co tea- �-o .Q.� Z6 /g,�,v,Cf' 6FW2,4 f` ,9U.Ai«fit ' 7746!5- d9_ ld A Ana&f tE /,P a&gP 19,60 Aisvw ae- GYL Waste Transportation: 6�7(;?A42 ooyo Last shipment of hazardous waste: Name of Hauler: 0-YV 0/4- Destination:�yt e��l__CJ'7TIrJ rz�.c>�iYi4 Waste Product: U,r 'DiG/�e, ,��r��Licensed Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material 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) Miscellaneous Corrosive Cl.F�ci�/.0 ANEW/JVYUSED �'r Cesspool cleaners a::Z4X My Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides CYNEWcW 'GSEDo4-'S4 (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ,626 <.c ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries /04 Lye or caustic soda Rustproofers �2t/prG� Miscellaneous Combustible Car wash detergents ��CXI'fl,D'D.t 'E Leather dyes i9 i'1G.v7�l Y Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&-varnish removers, deglossers hydrochloric acid, other acids)-- Miscellaneous. Flammables4 - Other products not listed which you feel Floor&furniture strippers `'4e' may be toxic or hazardous (please list): Metal polishes Laundry soil &stain removers L'/�11r/c1i�-Q p (including bleach) Spot removers&cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers �d Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature is Initials Town of Barnstable CF'THE r, Regulatory Services �• 'L Thomas F. Geiler,Director Public Health Division BARNSTABLE, Thomas McKean,Director '71 e3. 1�� 200 Main Street, Hyannis,MA 02601 ArFD MA'S Ott Phone: 508-862-4644 Email: health@town.bamstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 February 20, 2007 Mr. Chris Watson Midas Muffler and Brake 74 Iyannough Road 'Hyannis,MA 02601 Dear Mr.Watson: Thank you for your time and cooperation during the hazardous materials inventory and site visit at Midas Muffler and Brake on February 12, 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,the Toxic and Hazardous Materials On-Site Inventory form from the site visit, and a sample contingency plan that must be utilized at your facility. Please note the problems and observations identified at your place of business during the hazardous materials inspection and their orders or recommendations listed below. PROBLEMS: • Upon arrival, smoking was taking place inside one of the service bays by a customer. Under the Town of Barnstable Code 371: Smoking, "smoking shall be prohibited in all public places as of June 1, 1996". Under Code 371-8 Violations and penalties, "Any person(s) in charge of a public place or workplace,who fail(s)to comply with these regulations shall be subject to the following actions for each offense: (1) A warning shall be issued for a first offense. A fine of$100 may be issued for the second offense, $200 for a third offense, and$300 for any subsequent offense". • Place absorbent pads on top of the drums to catch any drips or releases immediately. Do not use shop rags as absorbents. • Contingency plan not posted in areas throughout the facility. Post contingency plan in areas throughout the facility that have high risk potential. (copy enclosed) • Small releases of petroleum products observed on floor inside service bay areas. Observed absorbents were used. Dispose of absorbents in a closed container. • Shop rags are not in metal can with lid. Place all unused rags into metal container with a lid. • Put all waste solvent from the floor cleaning into a 55 gallon drum and dispose of with a licensed hauler. • Ensure all cylinders are chained at all times. There was a cylinder that was not chained at the time of the site visit. OSERVATIONS: • Hazardous Materials Permit has been obtained for 2006-2007 • MSDS present. Must be available for all employees. • All manifests are kept on site at the building next door. On Site Inventory Total The Toxic and Hazardous Materials On-Site.Inventory from February 12, 2007 shows that you have approximately 227 gallons of toxic and hazardous materials being used, stored, generated and disposed of at Midas Muffler&Brake, 74 Iyannough Road,Hyannis,MA(Please see enclosed Toxic and Hazardous Materials On Site Inventory sheet). 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. %ner;,,y Hazardous Materials Specialist All orders to correct violations of Chapter 108 of the Town of Barnstable Ordinance: Hazardous Materials shall be completed upon receipt of this letter. Thomas A. McKean,RS, CHO Director of Public Health Enc. On-Site Inventory (copy) Chapter 108 Ordinance (copy) Contingency plan sample(copy) TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SIVEINVENTORY NAME OF BUSINESS: k-ARer f BUSINESS LOCATION: 2 r ,1 6 u Rd,-, INVENTORY MAILING ADDRESS: '� �� TOTAL AMOUNT: TELEPHONE NUMBER: 09 -77I cRP-3-7 CONTACT PERSON: J)A R EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: VWu 6U Addj l i4tA ,a_�_ INFORMATION/RECOMMENDATIONS: dFire (strict: _ nULAA19 Imo►f J �� � f�,u� l����� imo L shipment f hazardous. ®� Waste Transportation: -Last nt s p e o waste: Name of Hauler• Destination: Waste Product: Licensed? Ye No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) Misc. Corrosive A NEW 5-5-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 (insecticides, herbicides, rodenticides) 3 •� Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's d 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) _ fil6iQ Spot removers & cleaning fluids _ b. (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash i WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS DBA: Midas Muffler&Brake Fax: Corp Name: Mailing Address Location: 74 lyanough Road,Hyannis Street: 74 lyanough Rd. mappar: City: Hyannis Contact: Dave Litchman State: Ma Telephone: :508-771-2637 Zip: 02601 Emergency: Person Interviewed: Dave Litchman ............................ ...._...... ....... ........_..... Business Contact Letter Date: 6/16/2005 Category: VehicleMaintenance Inventory Site Visit Date: 6/29/2005 Type: Auto Repair Follow Up/Inspection Date: ❑ public water ❑ indoor floor drains 0 outdoor surface drains Fv] license required ❑ private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc ❑d currently licensed ❑ town sewage ❑ indoor catch basin/drywell outdoor catch basin/drywell expir - - - ❑ on-site sewage ❑ date: 6/30/2006 indoor on-site syste outdoor onsite system - -------- 1 Electric lift&7 Hydraulic Lifts(pre-cast) Recent 21 E-Clean (3 wells compliance: onsite) Recycles oil filters. Oils listed below are broken down in the Satisfactory following manner: 275 gallons waste,150 motor. Also,55 gallons of wd-40 Remarks:3/31/97 Recycle antifreeze,MSDS sheets on site,rags for spills-Acme apparel,rags in can with cover.Note:3/31/97 see 97 inspection report for current list of chemicals. 6/17/04 MSDS and manifests onsite. Annual training for staff. Unifirst takes rags,uniforms,fender covers. ORDERS: don't smoke in the shop. Designate an area outside. Dispose of small tire pile outback. Pay Hazmat permit fee for 2003-2004 AND 2004-2005.6/29/05 alp-msds and manifests onsite.No tires stored outside,keep eyewash station nozzles covered at all times,replace all oily absorbent pads,keep parts cleaner lid closed at all times,cap all open containers and catchpans must be emptied,put waste solvent in drums after floor cleaning,label all containers with contents if not in original container,spill kit is available,cylinders are chained, 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 Q gty's 111 gals or more � descn Lion -u. :�. ems„ _� ��. '�'� _ .__..qty,___�_.����;unit of measure�•,,; motor oil ` 376 gallons _...._._.. ....._...---._.._...........--.......--.................___--_.............._......................_.__......._..._._.,...._....._................_._......................_.__........._..._......._...................... ........._.. Windshield Wash i 55 gallons waste oil 320 gallons Misc.Flammable 6 gallons .........._.... _ ___..........__.............. .... misc.petroleum products:grease,lubricants i 131 gallons automatic transmission fluid 60 gallons other cleaning_solvents � 4`gallons antifreeze(for gasoline or coolant systems) ( 231 . gal paint,varnishes,stains,dyes 20;gallons Batteries 18 gallons __._.._.....__.__............._.._...._..__..._........._..____.......__.._____._.._............_......_._.__..__.........___.._............... .__._..._._............................__._.......___...._....__.__.........._......,......._....._....._ gasoline 32.5 gallons hydraulic fluids(including break fluid) 6 gallons _.....___.....__._.._.....__......_...._..__..._.________.__.__..._______..__.....---.............._.._._._........._._._.__...._...._.......___..__...._____-.._._...__...._..._.__.....__...____..._...__... waste antifreeze 55 gallons Freon 6.5 gallons ............ ._..__ _...._..._ . _ . �...... __•_ ..__ ........ ...... ... ._........... ......._...y._. .... .......__ ....,_..._..._ .......................... ...................... . oil filters i 10 gallons Waste Transporter: Clean Harbors Fire District: Hyannis Last HW Shipment Date: 6/21/2005 Waste Hauler Licensed: Yes k Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS DBA: Midas Muffler&Brake Fax: = r Corp Name: Mailing Address .......... _.. . .. . __........ Location: 74 lyanough Road,Hyannis Street: 74 lyanough Rd. mappar: City: Hyannis Contact: rHenFyVAfHams,Manager State: Ma p Telephone: .508-771-2637 Zip: 02601 \ Emergency: Person Interviewed: ONV t� � _... Business Contact Letter Date: 6/9/2004 Category: VehicleMaintenance Inventory Site Visit Date 6/17/2004 �pl Type: :Auto Repair Follow Up/Inspection Date: public water ❑ indoor floor drains outdoor surface drains license required mom) ' private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc currently licensed town sewage ❑ indoor catch basin/drywell. 0 outdoor catch basin/drywell expir 6/30/2006 ►N on-site sewage 0 indoor on-site syste ❑ outdoor onsite system date V� NO N6Kft'4 i.l St l ,/ 1 Electric lift&7 Hydraulic Lifts(pre-cast) Recent 21E-Clean (3 wells compliance: on site) Recycles oil filters. Oils listed below are broken down in the incompl¢fe following manner: 275 gallons waste,150 motor. Also,55 gallons of wd-40 Remarks:3/31/97 Recycle antifreeze,MSDS sheets on site,rags �� w for spills-Acme apparel,rags in can with cover.Note:3/31/97 see 97 �Y n�r !& mid _LZcf'1 l G�'b6 inspection report for current list of chemicals. 1 6117/04 MSDS and manifests onsite. Annual training for staff: Unifirst takes rn Lj (/LA-4 k Q ✓°� °� rags,uniforms,fender covers. ORDERS: don't smoke in the shop. 0,bec -t4A---A- Designate an area outside. Dispose of small tire pile outback. Pay '�J Hazmat permit fee for 2003-2004 AND 2004-2005. YD/ akf Oc,P gLl'aGam► 6 D - a X 5 �` 3 A x 5-5f a x 5 �> �,b� -� LAB." wee,o-� Dlcun43 1Ml�e .�cc�� fir►�' oil��-c�b� OD r f v oc� Vol 0/C I�K I CqO-W yj sr n P pwr ? roCjs GSozd fv-ab�ab 4VMAVVy fi t' o f 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 of M_pasure �__m_ motor oil 140 gallons __..-------._..__..__.___._.._.__._._ ._........_............._................_..... .._._.._......._._.........................._...._.........._._...... Windshield Wash 111 gallons waste oil 1000 gallons Acetylene 11 gallons __._..______........................._....___.._..._._.._..._......._.....__...__._ . --------- --------- ..___.._........____...._......._...__..............._._.._..... . Misc.Flammable 0.5 gallons gear oil 25 gallons ...__ .. ____ ___.____.__._.._...._____ automatic transmission fluid 119 gallons Soaps&Cond. 6 gallons .......................__._._...._.______ ...__ _ __......_...__..__..__ _.__.__....._.........._._..._._._..._._.._.__.._.._ Ice Melt 2 gallons other cleaning solvents 1 gallons antifreeze(for gasoline or coolant systems) 35.5 gallons paint,varnishes,stains,dyes 16 gallons misc.petroleum products:grease,lubricants ! 18 gallons Misc.Poison I 2 gallons ....._.._ ___._._._._.._...... ____._. .._.____._.___ ___.___...._...._....__.__..___ ____....._ .___....__............._....... _ Batteries ( 29 gallons — —__ Waste Transpre r: ;Clean Har _bor Fire District: ;Hyannis Last HW ShipmerirDate:—---- Waste Hauler Licensed: Yes Town of Barnstable9, °Fz roy, Regulatory Services Thomas F. Geiler,Director ' �'AW.LE, Public Health Division 639. i Thomas McKean Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 { Application Fee: $100.00 ® o -,c C: N ASSESSORS MAP AND PARCEL NO. DATE ✓ > � ua r V APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE ORE`CHAc�T 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT /I NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT 2Z .vv 41-VA4T—' TELEPHONE NUMBER G ' SOLE OWNER:_XYES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: . PRESIDENT 2 3 So & Alcry�Cv� �� li✓ '7.4i1�ly d TREASURER- CLERK //RdNATUR06F APPLICANT RESTRICTIONS: HOME ADDRESS ��Q�"�-- HOME TELEPHONE# SOd'•7 w D Z Haz.doc/wp/q ---- Z Date: TOWN OF BARNSTABLE � g�pp TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: L Idg5 (14 ijiTl er 4 b-akt-- BUSINESS LOCATION: b &' INVENTORY MAILING ADDRESS: " TOTAL AMOUNT: TELEPHONE NUMBER: CONTACTPERSON: ns iva;i�m i � Cj EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: UMI& w2.C14~I' yiGt nc L INFORMATION/RECOMMENDATIONS: dA7Md± ofrfti (20 bed Vireistrict: (,IruM5 a Pbs' a- CA9-Yht7eio-,ii 1 L�lfl.lf3 V Waste Transportation: Last shipment of hazardous waste: Name of Hauler- 01, Destination: Waste Product: n' Licensed Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division, LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum 1 Antifreeze (for gasoline or coolant systems) Misc. Corrosive NEW 110 USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants 00 Motor Oils Pesticides 3 NEW N 0 USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries 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 f OIL WASTE OIL OIL FILTERS ANTIFREEZE WASTE ANITF ZE J Tri�� U �� ��� -- r 6 GASOLINE WASTE GAS DIESEL FUEL W/W FLUID ATF ' IIII g HYDRAULIC/ MISC. MISC7 C.MISC. MIS BRAKE FLUID COMMBUSTIBLE FLAMMABLE CORROSIVE PETROLEUM (GEAR OIL/GREASE/ / LUBRICANTS) 15 FREON ACETYLENE CAR WASH CAR WASH PAINTS/ WAX DETERGENTS NNERS c�s SEALANT CLEANING BATTERIES/ P SOLVENTS BATTERY OISION/TOXIC CAULK/GROUT ACID FERTALIZERS WASTE SOLVENT \MSDS V� ANIFES CZ a co.'o- /n "'I' s-Ii ovL w � s COPY TOWN OF BARNSTABLE Oq TOXIC AND HAZARDOUS MATERIALS O -S NV NTORY NAME OF BUSINESS:. BUSINESS LOCATION: r1 y AhAa-►z - INVENTORY r� sr MAILING ADDRESS: TOTAL AMOUNT' TELEPHONE NUMBER: 5-08a -7-7/ — 2637 CONTACT PERSON: &L ��� ' EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: _ �� �iC.e✓ e_s INFORMATION/RECOMMENDATIONS: el ec,c+-e- Oa'(A `\o- kt- Fire District: w+d cru s -s Celt e 5 2"3 — 2 &V'Lf AIVL> Cam- eav��' •5 S' /�� Waste Transportation: Last shipment of hazardous.waste: 2 Name of Hauler: w-ii Destination• Waste Product: ►AI erg Licensed? Ye No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) Misc. Corrosive 35, S-NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Z Road Salts (Halite)/.rcA-/heA+ Hydraulic fluid (including brake fluid) Refrigerants Motor Oils / &0® Pesticides /a0 PEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED. Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Bat teries 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 f Any other products with "poison" labels I� Paint &varnish removers, deglossers (including chloroform, formaldehyde, S 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 , / Cd (including bleach) cif Spot removers &cleanina fluids (dry cleaners) Other cleaning solvents Bug and tar removers 1 f Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS D � Henry Williams Manager 74 Iyannough Road Hyannis,MA 02601 (508)771-2637 c { Mufflers•Brakes•Shacks•Alignment Oil Changes Town of Barnstable-Health Department Page HAZARDOUS MATERIALS INVENTORY SITE VISITS DBA: .Midas Muffler&Brake Fax: Corp Name: Mailing Address Location: 74 lyanough Rd.,H arm s Street: 74 lyanough R . mapparzAkvl �� �n� City: Hyannis Contact: — PiWL y ��f��°T S State: Ma Telephone: 508-771-2637 Zip: 02601, Emergency: Person Interviewed.—� va �.,vT ` D�-Ov . _ Business Contact Letter Date: 6/9/200.. __ U 4 Category: .VehicleMaintenance Inventory Site Visit Date: 6/17/2004 Type: Follow Up/Inspection Date: ❑ public water El indoor floor drains 91 outdoor surface drains ❑ license required �L— ❑ private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc ❑ currently licensed ❑ town sewage ❑ indoor catch basin/drywell outdoor catch basin/drywell expir - - - 91 on-site sewage W indoor on-site syste ❑ outdoor onsite system date: .............. 1 Electric lift&7 Hydraulic Lifts(pre-cast) Recent 21 E-Clean (3 wells compliance: on site) Recycles oil filters. Oils listed below are broken down in the Satisfactory following manner: 275 gallons waste,150 motor. Also,55 gallons of wd-40 Remarks:3/31/97 Recycle antifreeze,MSDS sheets on site,rags for spills-Acme apparel,rags in can with cover.Note:3/31/97 see 97 inspection report for current list of chemicals. ID g 0 0- 5 b�'1 s4 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 descri tion ' p_. U.. � gtyi Oral Qt measure motor of 25 gatldns ..__..__..__.._.._... ._....._.._..,..__.�._._._....._.....__.._��.._ hydraulic fluids(in g break fluid) 55gallons motor oil 2cases aste oil _ 250cases _.................. ........._.........._............_..............__........._. .. ....._....._.._..._......._.__..............._..... _ ...._..._...._._..._._.................................._............._. antifreeze(for gasolin oolant systems) allons waste antifree 55gallo Waste Transporter. r es Fire District: Last HW Shipment Date jam,• L Waste Hauler Licensed: C/1 eGj/J�e S HazMat Inventory/Inspection: Records to Review for LQGs DBA: Date: & Location: G( Si�•,G�mru� • Notification of Hazardous Waste Activity (EPA ID No.): • Hazardous waste manifests: �ij wiz_ • Manifest exception reports: yr -9-� g. -l.a�per�iea-legs: . . Speculative acriimiilatb racQrds: • ions: • Employee training documentation: • Hazardous substance spill control and contingency plan: • Material Safety Data Sheets (MSDSs): • Inventory records: • Shipping papers: • Hazardous Communication Plan: • he bs): • Spill records: GI HazMat On-Site Inventory/Inspection: Records to Review for SQGs and CESQGs DBA: Location: Site visit date: • Hazardous Waste Manifests: • Employee training documentation (if required): • Hazardous substance spill control and contingency plan: • MSDS on site? • HazMat Inventory records (if applicable): • HazMat Waste Shipping documentation: • Spill records (if applicable): �b r 4 I Town of Barnstable Fi s cat tee s ' Regulatory Services • °� Thomas F. Geiler,Director Z�" S.„ Public Health Division 9 1639 � 11 Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 ZD0. Op F Application Fee:$ �v ASSESSORS MAP AND PARCEL NO. DATE 36 G APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT U Y- ��5 -� C NAME OF ESTABLISHMENT /'V/019 S J'911/O `S P2 ( cc ADDRESS OF ESTABLISHMENT 7 / Y/`9")t-70 U 6 • TELEPHONE NUMBER 32)0 — y SOLE OWNER:-�--YES NO : E IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF AI.L C= 0 PARTNERS: cn N > p � > IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATIONNO. Dey _6- / 0 STATE OF INCORPORATION / ' i/9 S FULL NAME AND HOME ADDRESS OF: �� � ��J Ou PRESIDENT Fitt /A 2 �D` .3 TREASURER CLERK S AhNe -- SIGNA OF AP ANT RESTRICTIONS: HOME ADDRESS '+ �f • HOME TELEPHONE# �D 9A- 7,4C Se Haz.doc/wp/q MAIL-IN REQUESTS Please mail the completed application form to the address below. Also include a copy of your contingency plan (to handle hazardous waste spills, etc). In addition, please include the required fee oft* Make check payable to: Town of Barnstable. Allow five to seven (7) working days for in- house processing. Our mailing address is: Town of Barnstable Public Health Division 200 Main Street s Hyannis,MA 02601 r FOR'FAXED REQUESTS Our fax number is (508) 790-6304. Please fax a completed application form. Also, please fax us a copy of your contingency plan (to handle hazardous waste spills, etc). In addition, please mail the required fee amount o Please make the check payable to: Town of Barnstable. The check must be mailed to the address`lisT6d above. Allow up to four days for in-house processing. For further assistance on any item above, call (508) 862-4644 .. li .il.Z • i t r TOWN OF BARNSTABLE OMPLIANCE: CLASS: 1.Marine,Gas Stations,Rep it satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops �7 O unsatisfactory- 4.Manufacturers COMPANY ! �' I!R (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors; OUT_outdoors) MAJOR MATERIALSUnderground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Ga line Jet Fue A) , Ie e , ose Heavy Oils: � waste motor oil (C) new motor oil(C) � B 4 transmission/hydraulic Synthetic Organics: degreasers 'Z 2 /W V_Vi,45:,0 Miscellaneous: 14 X v � 44414 X_ f-lovi Rievigh DISPOSALIRE(;LAMATION REMARKS: 1. §pitary Sewage 2.Water Supply Town Sewer ublic O On-site " QPnvate 3. Indoor Floor Drains YES NO O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES_L/NO ORDERS: Q Holding tank:MDC 4Catch basin/Dry well -On-site system 5.Waste Transporter ggName of Hauler Destination Waste Product , NO AV- 2. 01 Person(s)-me Inspector Date Town of Barnstable °ENE ro Regulatory Services Thomas F. Geiler,Director MASS. ' Public Health Division i639• ♦0 Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE X, APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT C/9�� �(��0 �y.t✓PAS .��C . NAME OF ESTABLISHMENT /'79/Z) y S 0� ,SC ADDRESS OF ESTABLISHMENT S� ..Z /I1717011611 1(119�) TELEPHONE NUMBER SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. ® 3 Y16,51 STATE OF INCORPORATION C li VJ e �S FULL NAME AND HOME ADDRESS OF: PRESIDENT -7-g�dC17C6- h:f-L-O/lele %>1 TREASURER CLERK A- 00000��Itt:;�� SIGNAT PLICANT RESTRICTIONS: HOME ADDRESS .93 S NTH 1-1i9WS�Ao,0I HOME TELEPHONE# 29c) -moo 9P- L7/�'Sl Haz.doc/wp/q t 741yanough Road Hyannis,MA 02601 ►" !.I a (508)771-2637 MIDAS AUTO SYSTEMS EXPERTS DAVID LITCHMAN Manager Mufflers • Brakes • Shocks Alignments • Oil Changes 1 TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH satisfactory 2.Printers 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS 4 aG..ta Class: _� 7.Miscellaneous ""�' 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: �N waste motor oil (C) /b zy o OC new motor oil(C) transmission/hydraulic Synthetic Organics: degreasers CA al &o�.d�- Miscellaneous: -2 ,3p dj /a"fi6-qZk_ 1 �,rsSd� SS I -F'es, Cv e.G. �y DISPOSAL/RECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply S D 3 kaez` O Town Sewer (Xublic S j �� e- V"N b 91n-site OPrivate -0 U�f J ootr�r" a S 3. Indoor Floor Drains YES NO 0 Holding tank:MDC =S r` 6 s C' iv, &� 40 -,94/i 0 Catch.basin/Dry well 5 ,�,2L r�� • G- C ► 0 On-site system k�c,P/ ,(�_1 �,� , � �C e� L pd w W ktt• 4. Outdoor Surface drains:YES `l"'NO ORDERS: 0 Holding tank:MDC k.o. if O Catch basin/Dry well On-site system 5.Waste Transporter Name of Hauler Destln!;ati�n'�-. o wense 1. 1 -0--1 2. Person( me d Inspector a e TOWN OF BARNSTABLE OMPLIANCE: CLASS: ' 1.Marine,Gas Stations,Repair satisfactory .. 2.Printers BOARD OF HEALTH 3.Auto Body shops unsatisfactory- 4.Manufacturers COMPANY `NnAe,".n A—z-S_( (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS Class: 7.Miscellaneous c� QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Undergi-ound 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 iseellaneo s: e UV� J- � .e, / 01 9fi-C tea? 6a-ae DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply Down Sewer Public XOn_site Q Private 3. Indoor Floor Drains YES-NO O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES_,Y NO ORDERS: Q Holding tank:MDC 0Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product 1. YES NO �S ,Q 2. ` r X Person (s) Interviewed Inspector Date TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: /v/W,U,, 1A�V 41 Mail To: BUSINESS LOCATION: /-1/AAIWAf // 6�a .fie Board of Health MAILING ADDRESS: 93 Town of Barnstable P.O. Box 534 TELEPHONE NUMBER: SoB�-77, Hyannis, MA 02601 CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totall' g, at any time, more than 0 allons liquid volume or 25 pounds dry weight? YES NO V c� , 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) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal �2 Photochemicals (fixers and developers) Degreasers for driveways & garages r(9 dAL Printing ink Battery acid (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 I White Copy- Health Department/ Canary Copy-Business r TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY� ,B (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS ' Class: 1 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS i Case lots Drum' 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) q 7 0 -MUL3 7SAI transmission/hydraulic Synthetic Organics: degreasers Mi cellaneous: DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply O Town Sewer ublic t,On-site OPrivate 3. Indoor Floor Drains YES N0_ _ O Holding tank:MDC CA O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO D S: O Holding tank:MDC ` atch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler 1 ' � �uc 1. 4 kAjcCe YES I NO 2. A-4`P4ejrson ) nterviewe Inspector Date t TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: ���ds &���e/ 4f attk Mail To: I BUSINESS LOCATION: ?l�. t. ,L RV Board of Health MAILING ADDRESS: d L deel Town of Barnstable P.O. Box 534 TELEPHONE NUMBER: At Hyannis, MA 02601 CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMB R: Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: 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) 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 Battery acid (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 TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas'Stations,Repair BOARD OF HEALTH satisfactory 32..Printers 3.Auto Body Shops COMPANY O unsatisfactory- 4.Manufacturers (see"Orders") 5.Retail Stores � 6.Fuel Suppliers ADDRESS 0064 We Class: 7.Miscellaneous 0AI/S QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground IN OUT IN OUT IN OUT #&gallons Age ITest Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) �motor new motor oil.( transmiss'on/hydraulic ` Synthetic Organics: degreasers Miscellaneous: C-1a 15 W-0 --go i DISPOSALIRECLAMATION REMARKS: 1. Sanitary Sewage 2. ater Supply L RN _g Town Sewer public `bQ On-site OPTNID e TT�� 3. Indoor Floor Drains YES �. O Holding tank: MDC C J 6tf6r�::t3 O Catch basin/Dry we I *n-site system 4. Ouutdoor Surface drains:YES NO ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination/_ ,r ' , 2. ©/L ay��� Person (s me ed Ins oI)AtLj �f i.� Commonweotth or Mossocnusefts Executive Office of Enwonmental Affoirs Department of Environmental Protection Will$m F.weld rr�er co:e 7•uwy.tOCs Thomas 8, Polatq �e�w,CM�'r•rtuoiv, �.�r,� FVK WSJ Notice of Plumbing Inspector Approval to Seal floor Drain April 1992 note: This App)icnLion Does Not Apply To Any Foci Whose Floor Drain Is Connected To A Municipal Sewer System. To: Plumbing Inspector for the City/Town ofTs7.t"/Il� Company Name. f �T Nature of Mailing Addt ess: Location: Phone Number: ( 7d3 ) /_ -• a,7 6� ---------- Facility Owner: requests to seal _ floor drains. of draw Any additions or alterations to the system are not permissible without the approval of the local plumbing itil5pector. All seals must be in compliance with 248 CMR. This form must show both signatures before copy may be filed with DEP. a Upon approval• a completed copy of this notice shall be filed immediately with the DEP Under- ground In e^ i n Control P l am ( ,i 617/556.116a) at the address below. Upon completion of ork. the an all tie tl DEP 1C Nudricat•on Form to the same address. yl:� s- 5116—Ature of F eili D () a Appro.'aL,Sip.jturt•f�'XA1 Plwnbing lt�'Mpor ate PbMbrtwg Perm L a Owtn.r •hal) •end a eornpleted D>E,P/Divinion of Water Supply copy of this form to: Underground InJeetion Control Program �qr:fla �axf/ One Winter Street, 9th floor ^1 _91rd y Boston, MA 0210S One Winter stte,�t • Boslon,Massochusetts 0?108 • FAX(617)SU.1049 • 70ephom(81I)2q?SSOO PVrww• u,r4rrnyrlrn mn..l,.. ©:SO'd 6L6q tr£:�i ZZ-s©'S66T Sc91 tza SOS T '(r1a'3'll'1hJ1 SC01tl: 1,1081 I TOWN OF BARNSTABLE PLUMBING PERMIT kRCEL ID 343- 013 GEOBASE ID 24976 )DRESS 64 IYANNOUGH ROAD/RTE28 PHONE Hyannis ZIP )T 17 & 18 BLOCK LOT SIZE 3A DEVELOPMENT DISTRICT HY 3RMIT 3 DESCRIPTION 7 FLOOR DRAINS 3RMIT TYPE TITLE PLUMBING PERMIT )NTRACTORS: GAGNE, DENNIS M. 2CHITECTS: )TAL FEES: $40.00 )ND $.0 0 )NSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE #NER LITCHMAN, JOSEPH L TR DDRESS 74 IYANOUGH RD HYANNIS MA DATE ISSUED 08/29/1995 EXPIRATION DATE Department of Health, Safety and Environmental Services o�t"E � ti • � a�xsrasi,E, MASS. BUILDING DIVISION BY GENERAL.DOC REVISED 4/26/9S TOWN OF BARNSTABLE C MPLIANCE: CLASS: 1.2.Pri Marine, Gas Stations,Repair BOARD OF HEALTH satisfactory 3.Auto Body Shops Ounsatisfactory- 4.Manufacturers (see"Orders") 5.Retail Stores COMPANY 1�l� /141 �J �-�?" 6.Fuel Suppliers ADDRESS Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJORMIATERIALS mm _ 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 f��lV� 9(-VII � Miscellaneous: Cyr.-✓�. �� .c� �� DISPOSAL/RELLAMATION .REMARKS: 1. Sanitary Sewage 2.Water Supply O Town Sewer VPublic I On-site OPrivate �• T 3. Indoor Floor Drains YES VNO O Holding tank:MDC K � O Catch basin/Dry well 0 On-site system 4. Outdoor Surface drains:'YES-NO ORDERS: 0 Holding tank:MDC "��'��L l!' Catch basin/Dry well 0 On-site system 5.Waste Transporter Name of Hauler esti � YES NO 2. 74 erson nt ed nspector Date j at '� I / .• f 1 i .s a Date: ( / m /o y TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: 1411 t%a",�2_ BUSINESS LOCATION: 7 V --Z Aa,4- u" JqD Qd AA4Q-f� INVENTORY MAILING ADDRESS: " TOTAL AMOUNT: TELEPHONE NUMBER: 5_29— -7s7/ -- 2-63'7 J�s (0 �viGto-�s CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: INFORMATION/RECOMMENDATIONS: P-1 ems- Oxt.\ Fire District: Pa z o,,td sL'a.( arum S 5 2 op 3 — 2 b-o 41VP 2 &V —Z 0-0,5 jr Z O p ov S eat-►"�n 1 is s %ram Waste Transportation: - Last shipment of hazardous.waste: 2 • Name of Hauler: CA ate►-► cum-ors Destination, Waste Product: w - Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) __ Misc. Corrosive 351-5-1—NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes 2 Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils /1 Pesticides 1Lf 0 NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries 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) i NEW USED Any other products with "poison" labels f 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 , J (including bleach) 6 ad Spot removers &clean_ ina fluids (dry cleaners) y ) at Other cleaning solvents Bug and tar removers I Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS ! 1 A) "tiantoce ENVIRONMENTAL TECHNOLOGIES, INC. 1 I f. 1 f - 1 ! Engineers & Environmental Scientists ! f i AD Atlantic ENVIRONME b�VOLOGIES,INC. ENGINEERS&ENVIRONMENTAL SCIENTISTS '. k EIJfQ S EF 2 5 1995 ' MDC TRAP CLOSURE ' Midas Muffler and Brake Shops 74 Iyanough Road Hyannis, MA Prepared For: ' Mr. Robert Cook Midas Realty Corporation 61 Robert T. Paine Drive ' Taunton,MA ' Prepared B : p Y ' Atlantic Environmental Technologies P.O. Box 1051 ' Sandwich, MA 02563 ' September 15, 1995 AET Project# 5285 1 ' Faunce Corner Office Park 221 E. Main St. • Suite 205 P.O. Box 1051 86 Faunce Corner Rd. • Suite 410 Milford,MA 01757 Sandwich,MA 02563 ' N. Dartmouth,MA 02747 (508)478-2206 • FAX 478-0327 (508)888-9282 • FAX 888-5859 (508)997-5422 • FAX 999-4060 ' a O a n C ' ENVIRONMENTAL TECHNOLOGIES,INC. ENGINEERS&ENVIRONMENTAL SCIENTISTS September 15, 1995 Mr. Robert Cook ' Midas Realty Corporation 61 Robert T. Paine Drive Taunton,MA 02780 ' RE: MDC Trap Closure Midas Muffler and Brake Shop 74 Iyanough Road ' Hyannis,MA ' Dear Mr. Cook: Atlantic Environmental Technologies(AET)has completed the sampling and analysis of soil samples from the above referenced site as contracted. Laboratory analyses of soils revealed petroleum and Volatile Organic Compound (VOC) concentrations within allowable Reportable Concentrations as defined in the Massachusetts Contingency Plan, 310 CMR 40. Hence no further action is required at ' this time with regard to environmental investigation or remediation at the specific areas as tested through this investigation. On behalf of AET, it is a pleasure to be able to offer our professional environmental consulting, engineering, and analytical services. Feel free to call with any questions or comments. ' Sincerely, -Il �Gtiaic. ' NAaniel L. Finsness Environmental cie tist 1 - . Robert P. Warren tLicensed Site Professional cc: DEP/Division of Water Supply ' Barnstable Board of Health Barnstable Plumbing Inspector ' Encl: Soil Sampling Summary Analytical Results Site Plans Closure Documentation Faunce Corner Office Park 221 E. Main St. • Suite 205 P.O. Box 1051 86 Faunce Corner Rd. • Suite 410 Milford,MA 01757 Sandwich,MA 02563 ' N. Dartmouth,MA 02747 (508)478-2206 • FAX 478-0327 (508)888-9282 • FAX 888-5859 (508)997-5422 • FAX 999-4060 Atlantic ' SOIL SAMPLING SUMMARY ' Atlantic Environmental Technologies (AET)was contracted by Mr. Robert Cook of Midas Realty Corporation to perform collection and testing of soil samples from two separate locations where floor drain effluent was discharged into the ground. Excavation and floor drain closure operations were ' performed by Enviro-Safe Corporation of Sagamore Beach, MA. On August 30, 1995, Enviro-Safe Corp. excavated and exposed the exterior portions of the MDC ' oil/water separator (trap) on the western portion of the Midas property. One discharge pipe was observed at 6 feet depth below surface elevation, leading out from the south side of the MDC trap, directly into surrounding soils(see detail A). Soil samples were collected from 7.0 feet(S-IA) and ' 7.5 feet(S-1B)depth,below the outfall pipe, and field screened for the presence of Volatile Organic Compounds(VOC)by standard headspace methodology utilizing an H-NU Photoionization Detector ' (PID). Two soil samples were also collected from the base of a stormwater collection and distribution ' manhole,located adjacent to the MDC trap. Samples were collected from 7.0 feet(S-2A) and 7.5 feet (S-2B)from surface elevation in the earthen base of the manhole and field screened by PID. Manhole locations and sampling points are shown on the accompanying Site Plan and Detail A. The following ' table represents PID field screening results: ' Table 1 Field Screening Results 8/30/95 Sample Depth PID Comment tfeet Concentration S-1 A 7.0 ND No Odor ' S-IB 7.5 ND No Odor S-2A 7.0 ND No Odor ' S-2B 7.5 ND No Odor Notes: ND-Not Detected -1- . 1 AHanko 1 One composite sample from the MDC trap (S-1 Composite) was analyzed by Groundwater Analytical, a State certified laboratory, for Total Petroleum Hydrocarbons(TPH)by EPA Method ! 418.1 and Volatile Organic Compounds(VOC)by EPA Method 8260. One composite sample from the stormwater manhole (S-2 Composite) was analyzed for TPH by EPA Method 418.1. The following table offers a summary of analytical results: 1 Table 2 Soil Analytical Results 1 Samples Collected 8/30/95 1 Sample TPH VOCs S-1 Composite 310 BRL S-2 Composite 180 NT RC-Sl 500 NA 1 Notes: Results in arts er million m p p (pP ) BRL-Below Reportable Limit ' NT -Not Tested RC-S1 -Reportable Concentration, Soil Category S-1, 310 CMR 40 1 All concentrations of contaminants are below applicable Reportable Concentrations as defined in the 1 Massachusetts Contingency Plan,310 CMR 40. As such, no further action is required at the specific locations as tested at this time with regard to environmental investigation or remediation. All testing and environmantal evaluation included in this report is limited to the specific areas of soil sampling as specified within this report and on attached site plans. 1 ! 1 1 1 -2_ 1 1 N MIDAS MUFFLER A130 C DUMPSTER DUMPSTER O-4*---MDC TRAP STORM DRAIN O-4*-MANHOLE ASPHALT PARKING SAFEWAY STORAGE WINDSONG MGMT. LANDSCAPED AREAS LEGEND IYANOUGH ROAD }-MONITORING WELL SITE PLAN SCALE: 1" = 30' 39 PLEASAT STREET AHanHc © SAGAMORE, MAS ACHUSETTS MIDAS MUFFL_Eiz SHOP DRAWN BY: N L F 74 IYANOUGH ROAD Environmental Technologies, Inc. (508) 888-9282 HYANNIS, MA PROJECT#: 5285 DATE: 8/3 0/9 5 m m EEL LEGEND E� —SOIL SAMPLING LOG,ATION EAGH OUTLET Qf SEALED BASE S-1A EARTHEN BASE -2A —S-2B MDC TRAP (OIL/WATER SEPARATOR) STORMWATER MANHOLE DETAIL A SCALE: NTS AHanH © 39 PLEASANT STREET MIDAS MUFFLER SHOP c SAGAMORE, MASSACHUSETTS OUG 4 IY N H RD. DRAWN BY: NLF 7 A Environmental Technologies, Inc. (508) 888-9282 HYANNIS, MA PROJECT&285 DATE: �/1/95 9-14-95 13:48 ;GROUNDWATER ANALYTICAL ATLANTIC—DES 508 759 4475;4 1/ 6 ' Groundwater Analytical, Inc. GROUNDWATER 228 Main Street ANALYTICAL Buzzards Bay, MA 02532 Telephone(508)759-4441 FAX(508)7594475 September 14, 1995 ' Mr. Nat Finsness Atlantic Environmental Technologies, Inc. ' P.O. Box 1051 Sandwich, MA 02563 Dear Nat: Enclosed are the Volatile Organics and Total Petroleum Hydrocarbon Analyses performed for the Midas Hyannis project, number 5285/P01259, sampled on 08-30-95. This project was processed for Standard Two Week turnaround. A brief description of the Quality Assurance/Quality Control procedures employed by Groundwater Analytical , and a statement of our state ' certifications are contained within the report. This letter authorizes the release of the analytical results and should be considered a part of this report. Should you have any questions concerning this report, please do not hesitate to contact me. Sincerely, Jonathan R. Sanford Vice President JRS/adw 1 Enclosures 9-14-95 13:48 ;GROUNDWATER ANALYTICAL ATLANTIC—DES 508 759 4475;9 2/ 6 GAVIUNEWArER ANALrrrcac EPA METHOD 8260/TCL Volatile Organics (GC/MS) Field ID: S-1 Composite Lab ID: 11674-01-E Project: Midas Hyannis/5285/PO1259 Batch ID: VM2-10Sampled: 08-30-5959 Client: Atlantic 95 Received: 08-30-95 Cont/Prsv: 125mL Glass/Cool Analyzed: 09-07-95 Matrix: Soil Percent Moisture: 4 METER CONCENTRATION REPORTING LIMIT PARAMETER (ug/Kg) (ug/Kg) Chloromethane BRL 500 500 Vinyl Chloride BRL Bromomethane BRL 500 Chloroethane BRL 500 1,1-Dichlorethene BRL 250 Acetone BRL 2,500 Carbon Disulfide BRL 250 ' Methylene Chloride BRL 250 trans-.l,2-Dichloroethene BRL 250 BRL 250 1,1-Dichloroethane cis-1',2-Dichloroethene BRL BRL 2 500 0 ' 2-Butanone BRL 2,25 Chloroform 50 1,1,1-Trichloroethane BRL Carbon Tetrachloride BRL 250 ' Benzene BRL 250 1,2-Dichloroethane BRL 250 Trichloroethene BRL 250 1,2-Dichloroproppane BRL 250 ' Bromodichloromethane BRL 250 cis-1,3-Dichloropropene BRL 250 4-Methyl-2-Pentanone BRL 2,500 ' Toluene BRL 250 250 trans-1,3-Dichloropropene BRL 1,1,2-Trichloroethane BRL 250 Tetrachloroethene BRL 250 ' 2-Hexanone BRL 2,500 Dibromochloromethane BRL 250 Chlorobenzene BRL 250 Ethylbenzene BRL 250 ' meta-and para-Xylene BRL 250 ortho-Xylene BRL 250 Styrene BRL 250 Bromoform BRL 250 r1,1,2,2-Tetrachloroethane BRL 250 QC SURROGATE COMPOUNDS SPIKED MEASURED RECOVERY QC LIMITS . Dibromofluoromethane 2,500 2,200 90 % 80 - 120 % Toluene-d8 2,500 2,500 101 % 81 - 117 % 4-Bromofluorobenzene 2,500 2,300 93 % 74 - 121 % ' BRL s Below Reporting Limit. Concentrations reported on dry sample weight basis. Method Reference: Method 8260 volatile Organic Compounds by Gas Chromatography/Mass Spectrometry: Capillary Column Technique, High concentration Methanol Extraction Method, Test Methods for Evaluating Solid Waste, US EPA SW-846, Third Edition (Revised 1992). Parameter list is specified by the Target Compound List (TCL) of the US EPA Contract Laboratory Program. 9-14-95 13:48 ;GP.OUNDWATER ANALYTICAL ATLANTIC—DES 508 759 4475:9 3/ 6 ' GROUNDWATER ANALYTICAL EPA METHOD 418.1 (Modified) Total Petroleum Hydrocarbons (IR) Field ID: S-1 Composite Lab ID: 11674-02 ' Project: Midas Hyannis/5285/PO1259 Batch ID: HI-0750-X Client: Atlantic Sampled: 08-30-95 Cont/Prsv: 500m1 Glass/Cool Received: 08-30-95 Matrix: Soil Percent Moisture: 4 % Extracted: 09-06-95 Analyzed: 09-11-95 CONCENTRATION REPORTING LIMIT PARAMETER (mg/Kg) (mg/Kg) Total Petroleum Hydrocarbons 310 30 1 ' 8RL 8e Reporting= low Re ortin Limit. Calculations based on dry sample weight. Method Reference: Method 418.1 (Spectrophotometr1c, Infrared) - Petroleum Hydrocarbons, Total Recoverable. Methods for Chemical Analysis of Water and Wastes, US EPA EPA-600/4-79-020, Revised (1983). Adapted for solids by Method 3540 ' (Modified) - Soxhlet Extraction, Test Methods for Evaluating Solid Waste, US EPA SW-846, Third Edition (1986). r 9-14-95 13:48 ;GROUNDWATER ANALYTICAL ATLANTIC—DES 508 759 4475;4 4/ 6 G'ROUNDWA-MR ANALYTICAL EPA METHOD 418.1 (Modified) ' Total Petroleum Hydrocarbons (IR) ' Field ID: S-2 Composite Lab ID: 11603075 Project: Was Hyannis/5285/PO1259 Batch ID: HI- Client: Atlantic Sampled: 08-30-95 Cont/Prsv: 500ml Glass coal Received: 08-30-95 Matrix: soil percent Moisture: 5 % Extracted: 09-06-95 Analyzed: 09-11-95 REPORTING LIMIT PARAMETER CONCENTRATION (mg/Kg) (mg/Kg) ' Total Petroleum Hydrocarbons 180 30 BRL = Below Reporting Limit. Calculations based on dry sample weight. Method Reference: Method 418.1 . (Spectrophotometric, Infrared) - Petroleum Hydrocarbons. Total Recoverable, Methods for Chemical Analysis of Water and wastes, US EPA EPA-600/4-79-020, Revised (1983). Adapted for solids by Method 3540 (Modified) - Soxhlet Extraction, Test Methods for Evaluating Solid Waste, US EPA SW-846, Third Edition (1986). 9-14-95 13:48 ;GROUNDWATER ANALYTICAL ATLANTIC-DES 508 759 4475;# 5/ 6 r 13ROUNE WATER ANALYTICAL QUALITY ASSURANCE Project Narrative Project: Midas Hyannis/5285/P01259 _ Lab ID: 11674 Client: Atlantic Received: 08-30-95 ' A. Physical Condition of Sam e s t This project was received by the laboratory in satisfactory condition. The sample(s) were received undamaged in appropriate containers with the correct preservation. ' B. Project Documentation This project was accompanied by satisfactorye Chain Chainof Custody Custody. ' All sample container label (s) agreed C. Analysis of Samale(sl o analytical anomalies or non-conformances were noted by the laboratory during the processing of these samples. All data contained within this report are released without qualification. 1 WWWOMTER &ww&eater.MAO� CHAIN-OF-CUSTODY RECORD Ns .16673 ANALYTICAL FAX 5(fio9V759"41 AND WORK ORDER PraleaName: Fhm- ' TURNAROUND ANALYSIS REQUEST atrtr. „m arrr.et ota.r � y/I(Lf s lys/1NalIS An i-nc evil. fir.. �di STANDARD(10 Business Days) tAe1°" a"'eOMtl� "' cn co Plundler Addnaee: 0 PRIORITY(5 business Days) SAS Od /a Ro•/fir ros-1 SampMr Name Clly/Shp/ap: Please FAX 0 YES Q NO o a o 0 0 a a a a o n a o03 lvdrK u S�wA►e%1GI//4 FAX Wmber. PloW • 9ETL 81LLQiiO a a 17� PWdtsao Order No.: GWAReferenceNo.. INSTRUCTIONS:Use separate Ire for eseh Co WkW(elal:epl AlpSraha). 9 pg�y$ +egg �jyJ C I11tllydbl0 ; Cerrlaltter(a) PpeNrvtMleR RaerM = u a O a o6 Q " d a s � LAROFMTORr is fl m W tM nON y .gat (a.b Um�o"Iri � � 3 3 a 3 1 € o a `aaa c o a o a o a o 0 0 0 0 o a c o a z Scull _ l y-ol aImlr t K o3bd . .a iL r a r a z REMARKS I SPECIAL INSTRUCTIONS DATA QUALITY OBJECTIVES CHAIN-OF-CUSTODY RECORD I� Reyulelay Pwyram Prclw Specift CC NOTE All sample abmand eubled to Slandud Terms and Condbom on rwsse treraof. Shlpping/Alrblil Number i M Many n>9�O�Y pmR+�ud EPA neeade raWlra prgea epottac OC. y$ampler: Oaro Time Received by: ❑Sak OhiYq water Am Project apedlle OC itdides,I EPA Otplioalaa.Match SpUs,andlar ❑NPOESfCIea t watarAd Mash Spin Oupaam.Laboratory OC le na project apar�ac tnleae praerrartpee P Died eptaao CC saute.cAaread an a par aanpM LJOE ORCRAMAL Waele Ohar. baeb.Pot vra0rr eampa,each MS.NSD and Stenpb Oupiraaa ragYraa R01 by: Date Tines by. custody Seal Number. ❑MA MCP(atO CNR ae) an addilbnal sample ailquoL .. Rytort"Oor edralons Proleotapeaft GORWAIMea eereaaon ofQCSrttpb ❑RCOW-1 ❑RCS•1 ❑ Relitgtdahed : Date Tine eived Laboratory mpN Qtykala ❑Sekoted try tebarebrY � Coder Serial Number: ❑Rcaw-i 17 ace-a ❑Matrix Spire ❑Please we sm"; 3u U�' O Meter.r ❑Matra SPIN ovkafe Method cd Shipment:O OWA {C Mail ❑Fede Express ❑UPS and O m 0 rn co a a a) Ol Uf Commonweann or Mossacnusetts ' Executive 00ice of Environmental Affoirs Department of ' Environmental Protection Willson F.Wele A ep � rr�e�co:• Fq' J � ,Q>wv«.y.coca Thom wt as 8. pors /� 19S FORM wS 1 � Notice of Plumbing Inspector Approval to Seal Floor Dra'�'f � ' April 1992 ' Note: This Applicntion Does Not Apply To Any Facility Whose Floor Drain Municipal Sewer System. Is Connected To A ' To: Plumbing Inspector for the City/Town of Company Dame. Nature of Business: . y7, Mailing Addi ecs: ' Location: Phone Number: ag ) 7 „ 0763 Facility Owner: (7dff �i,T.es, -;fr ' requests to seal �_ noor drains. or MSuw ' Any additions oc• alterations to the system are not permissible without the approval of the local Plumbing incpfc:ol. All seals must be in complitmce with 248 CMR. 'Phis form must show both signatures before copy may be filed with DEN. Upon approval, a completed copy of this notice shall be filed immediately with the DEP Under- ground Jn'c^ i n Control P ram ( ,i617/656.116a) at the address below. Upon completion of ' ark. the an all ile tl DEP 1 N rira 'on Fo to the same address. ' 6t►�1uR of F eiuc. 0,� r D ' Appro.•a65ip.oturr .Loral Plumbing In'��ro► ate . Pbaobiag prmL • Ow"or Rhall nand a eornpleted DEP/Dlvioior of Water Supply ' cop.' of this form to: Underground Injection Control ProV*m V, 9�� �X// One Winter Street, 9th floor /1 _17P y Boston, MA 0210S One Winttr steett • 8oalen,Msssachus•Rs 02108 • FAX 617 SU-1049 • TAM ( 1 .phone(817)292 5500 PVmn.-u.rLMq..�rinm.r.l... 90:50'� E::Eq b£:ZT ZZ-t30'SE6T SZ91 bZ8 SOS T f�IQ 3'tl'lllt SCQi41: 4lOrld 1 TOWN OF BARNSTABLE ' PLUMBING PERMIT IRCEL ID 343 013 GEOBASE ID 24976 DRESS 64 IYANNOUGH ROAD/RTE28 PHONE Hyannis ZIP T 17 & 18 BLOCK LOT SIZE A DEVELOPMENT DISTRICT HY RMIT _ 999 DDESCRIPTION 7 FLOOR DRAINS I.RMIT TYPE B TITLE PLUMBING PERMIT N-TRACTORS: GAGNE, DENNIS M. 2CHITECTS: TAL FEES: $40.00 ND $.00 INSTRUCTION COSTS $.00 ' 753 MISC. NOT CODED ELSEWHERE ER LITCHMAN, JOSEPH L TR DRESS 74 IYANOUGH RD ' HYANNIS MA . DATE ISSUED 08/29/1995 EXPIRATION DATE Department of Health, Safety and Environmental Services tHE T4�, y0 � SARNgTABI.E, � KAM s639. 'OrED Mph a - BUILDING DIVISION ' BY ' GENERAL.DOC REVISED 4/26/9S f 4 ' APPENDIX V Commonweafth of Massachusetts ' Executive Office of Environmental Affairs Department of Environmental Protection WilGam 1,Weld Governor Trudy . oxe EOE cretary.EOE SeA Thomas B. Powers Aeung Cornmits.oner - UIC NOTIFICATION FORM DIVISION OF WATER SUPPLY The Underground In)ection Control (UIC) program protects drinking wa ter by regulating discharges to the ground via injection wells such as dry wells, septic systems tied to industrial processes, and other subsurface leaching systems. Pursuant to UIC regulations (310 CMR 27.00), where the poten- tial exists for pollutants to enter an injection well (e.g. by means of a floor drain) and the presence of the pollutants causes or is likely to cause a violation of any Massachusetts Drinking Water Regula- tion or N&•hich adversely affects or is likely to adversely affect the health of persons, the use of the well is prohibited. With the exception of discharges authorized under the Department's Ground Water Discharge Permit program, the Department considers this prohibition to include the use of any injection well at facilities which have in the past or currently use, store, or otherwise manage hazardous materials and/or wastes as defined in 310 CMR 30.000 and 310 CMR 40.0000. This form shall serve as-notice to the DEP of the elimination of the use of an unauthorized injection well. The structural option which has been chosen to bring the system into compliance should be noted under item I. Submit all information and attachments for that option, as well as for item II. as noted. This form should be submitted after completing the closure of the injection well. 1. Option chosen for discharge system when eliminating the use of the injection well: _XA. Sealing: Plug point of entry, if applicable (see 248 CMR 2.09). _( 1. Copy of Form WS1: Notice of Plumbing Inspector Approval to Seal Floor Drain, (where applicable), and Plumbing Permit Number: # 9QQ3 K2. Date of plugging: 8 /SO /3f B. Tank: Connect discharge to holding tank meeting appropriate DEP requirements. _1. Floor plan with tank location ' _2. Type of tank: _ Pre-Cast Tight Tank (DEP Permit BWP IW 01) _ Converted System (e.g. Converted MDC Trap) (DEP Permit BWP IW 28) _ Containment Basin (specified attachments required) _3. DEP permit & permit/transmittal #, where applicable: # _4. Date of connection: C. Sewer: Connect discharge to municipal sanitary sewer. _1. Sewer discharge permit & permit/transmittal # (from DEP and/or othe administrative entity): # _2. Date of hookup: SEE REVERSE SIDE One Winter Street • Boston,Massachusetts o21os 0 FAX(617) 556.1049 • Telephone(617)792.SWO ':1111TJ.AS® A Whitman Company Midas Realty Corporation Robert C.Cook 61 Robert T.Paine Drive Construction Manager Taunton,MA 02780 Northeast Division (508)824-1600 Fax(508)824-1625 -i II D. Other: Certain other options may also apply (e.g. closed loop recirculating system, clos, tand removal of entire operation, surface water discharge permit). Specify (attach a sheet if r space necessaryl: I1. The following information must be submitted with this form as noted: ' -A. Screening and Analytical Results: This information must be submitted in accorda with criteria specified in the document entitled "Massachusetts Closure Requirements Shallow Injection Wells." ' B. Waste Management Plan: When required via the issuance of an enforcement order f; the DEP's UIC program, a waste management plan specifying methods to be used to p: erly collect, store, and dispose of all potentially hazardous wastes shall also be submit System's Previous Final Point of Discharge: AWC -7-R4P Number of Points of Entry to Svstem: before closure: after closure: Name of Business: --A/1).4S l fVEFLE►Z Mailing Address: ZI 1 6 0 ' Location: KJLI ll/5 - Facility Owner: CcaAfIC EAJr612,04JS ES Phone: Nature of Business: AMC 12E-P-Aq le- EPAHazardous Waste Generator ID Number: I HEREBY CERTIFY UNDER PENALTY .OF LAW THAT I HAVE PERSONA EXAMINED AND AM FAMILIAR WITH THE INFORMATION SUBMITTED IN 'I DOCUMENT AND ALL ATTACHMENTS AND THAT, BASED ON MY INQUIRY bF TH INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING THE INFORMATI( BELIEVE THAT THE INFORMATION IS TRUE, ACCURATE, AND COMPLETE. I AWARE THAT THERE ARE SIGNIFICANT PENALTIES FOR SUBMITTING FA INFORMATION, INCLUDING POSSIBLE FINES AND IMPRISONMENT: I UNDERSTAND THAT I MUST HANDLE, STORE,AND DISPOSE OF ALL HAZE OUS WASTES IN ENVIRONMENTALLY SOUND MANNER IN ACCORDANCE `' ALL APPRO T ION ' IG 19R 6POWN R DATE ' Any questions may be directed to the UIC Program at (617)292-5770. Complete and sign thk and submit it and all required attachments for items I (only the attachments for the option cl and II, to the following address: Underground Injection Control Program DEP/Division of Water Supply One Winter Street, 9th floor ' Boston, MA 02108 Send duplicate copies of all forms to: Local Board of Health Local Plumbing Inspector 07125/94; p:\jmoss\uicforms\ntfction.fm7 TOWN OF BARNSTABLE c0 PL[ANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY S,��QA'�/` 0 �Gr (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS Class: 7.Miscellaneous )ER QUANTITIES AND STORAGE (IN= indoors;OUT=ou doors) MAJOR MAT I ALS IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gaso m , ), lessee,I�szosene-, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Al Miscellaneous: 'I DISPOSAL✓RECLAMATION REM/,4RKS-: 1. Sanitary Sewage 2.Water Supply G O Town Sewer Public ;Yon-site OPrivate 3. Indoor Floor Drains YES N0_z O Holding tank:MDC_ O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES N01 ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter _ YES NO 4 i Person(s) Intltoed Inspector Date BENNETT & ®'REI L1LX, INC. Engineering& Environmental Services LETTER OF 1573 Main Street,P.O.Box 1667 TRANSMITTAL Brewster,MA 02631 (508) 896-6630 FAX(508)896-4687 TO: DATE: JOB NUMBER: Town of Barnstable 11/17/03 Health Department 367 Main Street Hyannis,MA 02601 REGARDING: 75 Iyannough Road Hyannis,Massachusetts We are sending you: COPIES DATE DESCRIPTION 11/15/03 Application for 2 1 E Information Search Check Number 14507 in the amount of Forty($40.00)and 00/100 as fee payment FIV D8 2003STABLE H¢DEPT. For review and comment: ❑ For approval: ❑ As requested:® For your use:❑ REMARKS: t i i From: Kara Risk If enclosures are not as noted,kindly notify us at once TOWN OF BARNSTABLE OMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH satisfactory 2. Printers 3.Auto Body Shops Qunsatisfactory- 4.Manufacturers (see"Orders") 5.Retail Stores COMP 6. Fuel Suppliers ADDRESS /.sZ� k Pi+�.�'�J Class: 7. Miscellaneous QUANTITIES AND STORAGE (IN= indoors;OUT-outdoors) MAJOR MATERIALS IN OUT IN I OUTI IN 0 UT1#&gallons I Age Test Fuels:_� gkl � c-,-Gasoline,d-et-FM14AX, :. Heavy Oils. ,fir waste motor oil (C) new motor oil(C) transmission/hydraulic ,0 Synthetic Organics: degreasers e . rk G" ; f �iklla pv Ze S/ DISPOSAVRECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply O Town Sewer Public kon-site 0Private zo 3. Indoor Floor Drains YES NO� O Holding tank:MDC O Catch basin/Dry well d< v t O On-site system � r 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Narne of"aul Destination -Rx""r47 YES NO 2. /_dj� Person(s) riterviewed Inspector Date ALISON _8PYP)5 MIKE UPTON (508)778-1070 Buy,Sell,Trade CAR QUU� kQrr AUTO SALES ' O Buy Here&Pay Her 75 lyanough Rd. e - Hyannis, MA 02601 Financing Available i TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH satisfactory 2.Printers 3.Auto Body Shops n ,�I ' 0 unsatisfactory- 4.Manufacturers COMPANY C� Ul lc �/ / (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS 7S j jt&A^vv S Li ( Class: 7.Miscellaneous • A�Vj U 40L^ QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS 61se lots 1Underground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: •3"-S-:5 Y. Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) 3C� ransmissi ydraulic Synthetic Organics: degreasers Miscellaneous: vld Q1u✓ 7 + I L S`AxtvW. 01�0 30 vt -rkvts ('tom (U X DISPOSAL/RECLAMATION REMARKS: p 1. Sanitary Sewage 2.Water Supply e/v O Town Sewer qWublic OLA� r,Q Z 3 G P-lOn-site OPrivate 0 1� Cc,.r E i r Q 4id i�✓►� r 3. Indoor Floor Drains YES N0-A 0 Holding tank:MDC .I S ✓ S °-��t�-r 0 Catch basin/Dry well bo C,d- Z�✓"G` n��. e_�i 0 On-site system /(0p 4. Outdoor Surface drains:YES N0-)L- RDERS: 0 Holding tank:MDC r i �vt+ Can �1 O Catch basin/Dry well h-�2b "' + 0 On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES NO 1. 2. 30-22 Person(s) Interviewed Insp for Date ,h ,tf TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: Cftg ®0�_.rr AU-T0- S:A-1e-i Mail To: v BUSINESS LOCATION: 74" y, 1aj&Vj Board of Health /- Town of Barnstable v MAILING ADDRESS: P.O. Box 534 TELEPHONE NUMBER: VON -7_1 t 0-1 0 Hyannis, MA 02601 CONTACT PERSON: '1�`M, , EMERGENCY CONTACT TELEPHONE NUMBER: Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, I f l 1'IT��ici rririr i I�I�'P9��r- ■ �� tom, lijipt? YES r� / 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 GS Antifreeze (for gasoline or coolant systems) Drain cleaners Q Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners t ,ORS, Hydraulic fluid (including brake fluid) Disinfectants e.-1 Motor oils/waste oils Road Salt (Halite) 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 Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine l qw1 Car wash detergents Lye or caustic soda a Cpq 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 •kZ Household cleansers, oven cleaners White Copy- Health Department f Canary Copy-Business i • • C ' ' COMPLIANCE: .ep . .• • 1 • 0 satisfactory Printers2. 3. • Body Shops unsatisfactory- 4.Manufacturers 6isee"Orders")- 5.Retail Stores 6.Fuel Suppliers • • jill A • 1 • •• •1 1 • 1 1 1 1 Case lots Drums Above Tanks Underground Tanks r# dt A4k MENEEMEM • 1 1 1 MENINEEMIN 1 1 • it /� '} I�• �,� a i i III �p • _v�: • � �. .il� lf_ 1./'._jell ft Name of Hauler Destination Waste Product Licensed? TOWN OF BARNS ABL COMPLIANCE: CLASS: 1.Man ,Gas Stations7Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANYe�L Juioll4v�a O (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS ®vyh Q` Class: 7 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) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply L L� O Town Sewer Public ,�VOn-site OPrivate 3. Indoor Floor Drains YES NO 17/ O Holding tank:MDC_ O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter YES NO 2. Person(s) Interviewed Inspector Date Dater / TOXIC AND , AZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: BUSINESS LOCATION: MAILINGADDRESS: 0P Mail To: TELEPHONE NUMBER: 2 0 Board of Health Town of Barnstable CONTACTPERSON: ��i =N .�✓ ? P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: .��� '92g.• J�6 3 Hyannis, MA 02601 TYPEOFBUSINESS: Does your firm store any of the toxic or hazardous materials listed below, either for sale or for you own use? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site otherthan your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity,-3 '] Antifreeze(for gasoline or coolant systems) Drain cleaners NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor oils Pesticides NEW USED (insecticides, herbicides, rodenticides) 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 waxes 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 (including chloroform, formaldehyde, Floor & furniture strippers hydrochloric acid, other acids) Metal polishes Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS L SEPTIC SYSTEM/SEWER INFORMATION ❑ There is no as-built card record on file regarding the existing onsite sewage disposal system. ❑ The property is connected to Town Sewer. ❑ The attached onsite sewage disposal system information is enclosed. WATER SUPPLY INFORMATION ❑ The Health Departmet has no record of a private water supply well location onsite, if there is a well onsite at this property. It is suggested you contact the appropriate Water Department to determine whether the building is connected to Town water. ❑ The Health Department records indicate there are private water supply wells at the following location: Please forward me a copy of the 21E report after your completion of the report. My mailing address is: Barnstable Health Division 200 Main Street Hyannis, MA 02601 Sincerely, Thom c can Director of Public Health I Q:/health/wpfiles/21 Eresponse TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1. Marine,Gas Stations,Repair BOARD OF HEALTH satisfactory 2. Printers 3.Auto Body Shops O unsatisfactory- 4.Manufacturers (see"Orders") 5.Retail Stores COMPANY n 6.Fuel Suppliers 2J 7.Miscellaneous ADDRESS -5 �/F��y Class: 4_jC.fYlls QUANTITIES AND STORAGE (IN= indoors; OUT=outdoors) MAJOR MATERIALSUnderground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2(B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: DISPOSAIJRECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply O Town Sewer OPublic l O On-site OPrivate 3.Indoor Floor Drains YES NO O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Narne of Hauler Destination Waste Product YES NO 1. 2. P rson(#4&erviewed tate w May 21, 1998 f i I 75 Iyanough Road, Hyannis Selling office furniture on left side of building, selling cars on right side. No repairs now. Spray cleaners, waxes, and polishes. Oil stains on surface of driveway by bay door. Septic system 1000 gallon ST, D-Box and Pit. Cast iron covers to grade. • Homemade sump by garage bay door to catch run-off from street. There are oil stains on grate. There is a hose connected to sump pump in basin that pumps run-off to gutter of street. Mike Upton stated that 5 gallon pail used as sump basin has holes with pea stone around it. • No industrial sinks in shop area that attach to septic. Possible Site Concerns (1) Septic system-Just because of long term use of toxic and hazardous materials. (2) Homemade sump basin-Possible route of entry of contamination into sub-surface. (3) Surface staining- Appear to be just that - on surface but again long-term use could have a affected subsurface. Off-Site Concerns (1) Midas across street - Check to see if contamination left their property and came across Route 28. /l/Ow�' �Yw i glem 140 t tw F orn., R.S. J �Z���a V��./�l Na.rr'�ngt'Oh� R•S. t Y R,r.ov� k MJ 14 yOh47S ! wc.tf' Sidt 9I 7S ryaK''o�,! it RAJ 7S � E4y0.Kbs; S. "'t t'"R " nt` Y b r� R - s S-u-To G(a r. E{wrri n5t-p-., R•S. S%ea 4 hF Ya.,.,i S- I Ft lati Town of Barnstable Regulatory Services * BARNSI'ABLE, v MASS. g Thomas F. Geiler, Director 4� ie39. �• A�EDMA'tA public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 DATE: �yrLoa TO: ` RE: RESPONSE TO YOUR REQUEST FOR SITE INFORMATION IN IN COMPLIANCE WITH MGL 21E The Health Department files were searched for information regarding the property at t., Hyannis listed as Parcel number on Assessor's map and adjacent properties listed in the application form submitted by you on The following items, if checked, apply to the property or adjacent properties: UNDERGROUND FUEL TANK INFORMATION ❑ There are no records on file concerning underground fuel and chemical storage tanks at this property or any of the other adjacent properties. ❑ The attached underground fuel and chemical storage information concerns the tank(s) located at: RELEASE/SPILL INFORMATION ❑ No hazardous material releases were reported to the Health Division regarding the subject property or any of the adjacent properties. u The attached release information concerns the properties located at: Q:/health/wpfiles/21 Eresponse