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HomeMy WebLinkAbout0081 LOUIS STREET - Health .81 Louis Street Hyannis ❑ A = 309 - 209 I 0 OF MID AND UPPER CAPE 126 B Mid-Tech Drive West Yarmouth, MA 02673 Office 508-778-7378 Toll Free 1-800-581-1944 Fax 508-778-7379 May 17, 2007 Meredith, This is a receipt for the Hazardous Waste removal job we did at 81 Louis Rd. Hyannis, MA. Hernica Williams. Trish @ Servpro of The Mid&Upper Cape aM N cA CD Fire &Water—Cleanup & Restoration www.servproofmid-uppercape.com ......-:�....::�.:.���.�.�.I.-::I--a......%i.I..:::.,:....I.'..I...I.%.�....:'.�.�:...��.I.::�-,:1I.�.::.;:...I.::I.::1.�.:.�....:.�..-:.I..�I�.1.,�I.�..1��1..:.�...p I...''...�I.:��::.....%.�..-:.,.,�i:.:.:'.:.:i.�:�.�:....���-�......1:��:."1.�:..!.,..�'...::.:�;�.����...:,�-..�;I'.:....:..1'..:��::.�'..F-:.'�.�.�.--'��:�.'."...'-���'�c':�-:."1I.-:.�::.I�,:-':�:...�.::—.._�.....�-.�..:.�.:'::I:...b.,.��.,�1.j�..�.,�.��I��.:�:::..-.!..�...:..�:.-1..,.::.�...,,-':::.::.;.':'�'�.�:...���%I.....':��.....���:...::-1:.�.:�..-..'......:.��.�-.�i�.:�.-::....�..:.!.-.�-�...:��..�',�.;;..�,:,,,,,,:�....�::.-�;�..,..��..II,-.�::. c , NATI®N�►!. UVA .. ,NiANAC EiViENT INC. :: •: -476 1900:' ;,-.I:'..'.:`I�t.';�-,..':.'-.,:�.'-:�—,..-.. �,,-%;,r--�.?.-:1".�.",.."�:�"-...�k",..,`',"�,..�'O�7:�;.'�.�.1;.�1';-.:..�..�.�.�.�.1-'4,,�.�.-.�,r�""''-''.-'""�,I��:,,'".1�:._'�.�:..:�",-I-.��..�,i'��-�2�'".'.'��,'._,.�:�:�.��L,"..'��,..�7�.;:.7 1.)�%'�-..!.�II.�.;O���'iV:�:�:-...�...'...��..�'te:'1.,"�."-..���,�.:'.�."��-I.�-.�:%'.�.'�"�,-:. <;r ..; ���, PUTNAM HLLL RUAD •SUTTON 'MA 01590. 508 362 ING FORM .. INSTRUC TONS FOR COMt�LE..-��%..M::;''�,'�-..:-.-:"..,!.:�-�.'.:::�....:.*'..0-%�. TING MEDICAL WASTE TRACKING.1'4�.1 1 FOR..-....,�.-'.:'. MEID�CAL V 1.1IE TI; A► . - ENERATOR COPY Mailed by Destmatton Facility to Generator' .-.:...�.'.1.-.. iI: 1...�.--,'.�- .El.....�:�:�:-�.— -.I..:..�..�..:......:....4:�....'-..�...::.�.., COPY 1;.:.G tuber:::' ,.:.. ,,: nat dn.Faclit 1.:Generator's-Name.and Mainn Address. 2.,:Track111g Form Nu Co 2;-:DESTINATION FACILITY COPY:Retained py Desti „ i Y g x `` », PY ne Short:Haul Trans otter . . T HAU ;TRANSPORT, . PY.Retai _. .. p,.. ": +z A ' a'k ti fit,,::; , � ,.. . N ,Copy 3- SHOR,., L . :Co V 4:=: GENERATOR.COPY Retained by Generatoton pickup; ` �. V p P " : 4;State Permit or ID No p� . ;As required under 40 CFR Part 259 O Nu berg: . nt ot.re ulated medical waste:r:; 3.Teleph ne m (. ).: cc 1.The rriulilcopy shipping document must accompany each:shipme, 9 6.«Tele h.one Number .` € " P ..... ' " leted befor- he enerator can sign the ceitihcaUon. tams 4 T(;.10, 5:.Trans otter s Name and:Mailing Address. Z .2 Items.number 1=14 must be comp 9 P : "'n ti n.faiilit . :J: rn st be cdm lsted 6' the desti a o y ..'�-'...,1�I��I�: 8 476 1900 &19 ate o tionat unless re,quiretl by,the State.'Item 22 u p Y National. Oste 11Aa�nagement,Inc . , .(50 ) :,;: P m;com letin this form contacF,your nearest Department of;Environmental Protection or 369 Putnam Hill Roatl For assistance p 9 - . the De artmentiof,Transpoitation{D,OT)or calfahe Emergency Response number listed below Sutton,MA 01590: 7i State T.ransportec Permit qr ID Na p. MA�O)PU 2869:1 ME B041.= " rib in it 't n of:Recei tst,Medica as a as;desd ,e ..., ems 11,:12 &13)" EPA;ID NO Ri-RIMWTRAN-:1 .O NY 127:.. 16 Transporter:l:(Cerlitica,lo PS NI I A I D i 9 18 1 5 I>3 10 1 s' 1 8 1.5 I CT CT+BMW 0:08 *) '. `::; s m �» . a Destination:Facill ;NameandAddress 9 Teilephone Number. . . s 8 . tY . :f'.r^ :.,•. re.µ 3 S Printed/TYP • t . . *.. .,.. �'. . ed N me §ignature Date r d 't 2 tir::Intermediate;Handier} 18.Telephone'Number yy��,.�.�} .:. w :17 Transporter .. " 1:0 State Permit or)lD No is w. ..,.....::. , ,.. :" .. ....... .. rw.:r...:+ate+^+.... r -A.r r x, ame and address) .. :..., :i ni n3 e. ... ............. _. . A .::.�.ao t,,.. �,:. .::I "":" 'u .`ate . " u a , ,.�. d ;�""�-.�, +.w..;'.' �d �„°D`.:' rt'!w :#. .a�. ,st':;a kt YJ ,. a s ' ~ ,t xr $ orter K) d.• .. 19.State Transp .: lit. p ox. :: 12:::Total No;'. 13. TotalWeig 4.' i ter: `Kermit or 10:No. 11..US DOT Waste Descnptton 8 «. o� , O` Size...i Containers or Volume N A.,,-, � c. <_ �� t� Z EPA Me; Waste ID N� � r k d t Re ul tad Medicat,VUaste Untreated) , - . . 6 W a ..g a ( .. ' I I 1' I I I I I':`I I I< 1 I F� a,' s'z 6 2 UN3291 PG TT: ~.:. _ Medical.Waste as W ....:: 2WTrans oher 2 or Intermediate Handler(Certification of Receipt w. C7. Re ulated Medical Waste;{Treated) P b.. .,.9 described in items 11 2 &13) Groti Trk.kin Forme_`Consolidation 14.Special Handling antl p _ 9 Printed/: ped Name Signature Date :> t w as e ...:.:: 21 Neuv;Trackiri` Forrn Number(for consolifated or remanifested ); 9 ins 1 1 12''8 13 - 22 De.Stination F.. y(Certlfication of Receipt of Medical Wasteras described i n.ite ) ;;;* ❑`Received'.in accordance with items 11 -12 &13 -` ;. PrintediTyped Name Signature tarot s C. ttiheation.:. ; 15..Gene D' I`.. rations or.:;., r other than::destinarion Iacili ,indicate address; hone,and permitor ID no in box m kin ;or::submission offalse statement represen, . > ciypF rosecutlon;iprthe., a,.._g ....::,: :of.cnminaland_.......P a;'; (f . Underpena,ty.: '.-"-'�:- ;•,c" k Z.::;; ::::;::: . ::: initials I��.:I.�I"%...;.I�:...I.,.::I".I%.:.... bar and r t� x:An :discre ancies gfiduld be noted by dam:num ) I.of.ihe. enerator.,-. 23.Discrep' ...;: o (;,,..Y A.... omissions:tdeclare,.on;ohaf .. .9 ) _„-;t, k...+:< _. re:classifledr. a ke ed marked;:°:. Y r fll .and:accuralel;describedabovaend.a-. P ,.::..:9... Vy' " ` ::ahatahe conlente of this;consignmen,a e u y Y W<?:,::. h d In writin t nd Fedetaiiaws:and:re ulations,and lhat;khave been aul orize ,. 9,, s r and labeled in;accordanee:with aIL,Sta e a 9. r '. �.., . ""r he'e of the: eneor.s:oparerion m auch,deciaratlons b�tthe;person in c,(9:. , .9:,;:. % " �':< to dke f ..✓.; ✓ r :.Yd Printed/Type Neme H .9tgnatute f .: .,�..._. .... . Date _. ":: ' ion Shl ers Certrficat.._. PP Or1S@ d materfals:are ro erl classihed;:.described,packaged r E171ergenCy Rasp Thi to:cetti tha4ahe aboyerWarne., . . . p ,p ,y .. s.is h/ ercondlfion for trans ortation;according to the:.apphcable 6 marked and..labeled,and are:In prop ..,.. .. .. P ; 8%A 472 7828 w regulations of the Department;of Transportation " pF1HE Toq, Town of Barnstable Regulatory Services 9 BAax :LE,�• Thomas F. Geiler, Director MASS. a i63q. �0 A'Eo��A Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Certified Mail: 7006 0810 0000 3525 2735 4/19/07 Hernica Williams 81 Louis Steet Hyannis, MA, 02601 t EMERGENCY CONDEMNATION AND ORDER TO VACATE - Finding of Unfitness for Human Habitation and Determination of Immediate Danger In accordance with M.G.L. c.I 11, sec. 127A and 127B, 105 CMR 400.000: State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000: State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human, Meredith E. Morgan, Health Inspector for the Town of Barnstable, on March 21, 2007, conducted an inspection of the dwelling located at 81 Louis Street,Massachusetts. The owner's name in this dwelling is Hernica Williams. Based on the results of that inspection, the Barnstable Health Department finds that the dwelling is unfit for human habitation. Pursuant to M.G.L. C. 127B and 105 CMR 410.831 (D), the Health Department further finds that the conditions within the dwelling are such that the danger to the life or health of the occupants of the subject dwelling is so immediate that no delay may be permitted in making this finding. Conditions found within the dwelling, which give rise to the emergency finding of unfitness and determination of immediate danger, include: 410. 750: Conditions Deemed to Endanger or Impair Health or Safety 410.750 (P) Any other violation of 105 CMR 410.750(A) through (0) shall be deemed to be a condition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. QAOrder Letters\Condemnations\Condemnation Sample Form.doc The occupant, Lisa King, was injured during an altercation in the apartment resulting in heavy blood splatter throughout the unit. In order for any future tenants to reside in this apartment all biohazardous waste materials, such as blood, must be removed and properly disposed of as medical waste. All cleanup and removal of hazardous materials should follow the strict guidance provided by the Centers for Disease Control (CDC), OSHA and following the federal regulation 29CFR1910:1030. Based upon these findings any and all occupants are hereby ordered to vacate and the landlord/owner is ordered to secure the subject dwelling within 48 hours of receipt of this order. If any person refuses to leave a dwelling or portion thereof, which was ordered vacated she may be forcibly removed by the local Board of Health(Massachusetts General Laws C. 127B), or by local police authorities at request of the Board of Health. Furthermore, anyone who fails to comply with any order of the board of health may be subject to fines ranging from $10-$500. Each day's failure to comply with an order shall constitute a separate violation. Once vacated this unit may not be occupied without the written approval of the Board of Health. Note: This is an important legal document. It may affect your rights. Signed Cc: Hernica Williams, Owner Lisa King, Occupant Mr. Tom Perry, Building Commissioner Chief Harold Brunelle, Hyannis Fire Department Robert Smith, Town Attorney Chief Macdonald, Barnstable Police Chief Q:\Order Letters\Condemnations\Condemnation Sample Form.doc Citizen Web Request Page 1 of 2 Citizen Request Management - ,' Request ID: 20792 Created: 3/21/2007 9:56:14 AN Morgan, Meredith Status: Closed Assigned To: Health Office Anonymous: Yes Category: Body Miscellany f E.C. Date: 3/23/2007 1 Created By: Fontaine, Tina Citations: ! Health Office Time Worked: 3.00 Response Time: 0.50 j . Request Location: 81 LOUIS STREET Hyannis, Ma 02601 Parcel Number: Map: 000 Block: 000 Lot: 000 Request: police department called a domestic dispute happened at said location(stabbing). Police stated they need health department to shut down house. Due to blood. Request Work History: Entered on 3/21/2007 11:29:32 AM 3/21/07 9:40 a.m. Inspected by MM, TO, TM at the request of the Barnstable Police dept. Apartment condemned by TO due to unsanitary conditions caused by a domestic dispute resultinc in significant blood splatter throughout the apartment. Apartment must remain vacant until Town of Branstable grants permission to resume use as a living space after proper cleanup has occured and rental inspected has been conducted. Property is currently not a regisitered rental. Entered on 4/13/2007 4:18:10 PM 4/5/07 4:45 p.m. inspected by MM. Accompained by two Barnstabe police patrol officers, gained access to the condemned apartment with the former tenant Lisa King in order for her to collect her belongings. The apartment is still unhabitable and will remained condemned until the owner properly cleans the apartment and the health department deems it habitable. Unit is still unregistered and believed to be illegal. Owner must provide receipt from the cleaning and for the disposal of all contaminated trash that is considered to be biohazardous. Entered on 4/20/2007 8:47:38 AM 4/19/07 2:45 p.m. inspected by MM. Driving by property and saw a Serv-Pro cleaning van in http://issgl2/intemalwrs/WRequestPrintPub.aspx?ID=20792 12/28/2007 Citizen Web Request Page 2 of 2 the driveway and condemned_apartment being cleaned. Workers informed me that they had removed the contaminated carpet and moved it to the basement of the house. I asked them wha they were going to do with the trash and they did not know. I spoke to Barry of Serv-Pro when I returned to the office and informed him that we would need receipts from the cleaning, what services were rendered and materials used for the cleanup and also a receipt from the disposal of all trash which is considered to be contaminated medical waste. Entered on 5/17/2007 9:24:36 AM 5/17/07 complaint closed. Ms. Williams came into 200 Main Street on May 7 and informed TF that she will no longer be renting the apartment. Zoning will be informed of the situation and ensure that the apartments will be removed. http://issgl2/intemalwrs/WRequestPrintPub.aspx?ID=20792 12/28/2007 ,e Zt-&- z —a- h--&f— i Message Page 1 of 2 Parker, Alisha From: Parker,Alisha Sent: Thursday, February 02, 2006 8:41 AM To: 'Hutcheson, Julie (DEP)' Subject: RE: Follow-up on 81 Louis Rd, Hyannis Good Morning Julie, I have not heard back from the owner as far as who paid the bill. I had the same telephone number for Hernica Williams, so I will see if I can locate a different one, or see if I can stop back to the house. I can also check with the realtor, Danny Griffin, to see what has become of the payment as well. I will try to contact Hernica first. She may have had difficulty getting him to pay her back I have a feeling. As for"Bill", word thru the grapevine is he is not an entrepreneur, he is just a regular guy doing dirty work under the table. I will do some more digging on this end and get back to you next week hopefully! Have a great weekend! Alisha -----Original Message----- From: Hutcheson, Julie (DEP) [mailto:Julie.Hutcheson@state.ma.us] Sent: Wednesday, February 01, 2006 11:36 AM To: Parker, Alisha Cc: Stanton, David Subject: Follow-up on 81 Louis Rd, Hyannis FOR INTER/ INTRA POLICY DELIBERATIONS ONLY Hello Alisha, Hello Dave I'm trying to follow-up with the owner of the property, Hernica Williams, at 81 Louis Rd in Hyannis and am having trouble reaching her. The phone number I have is not working; 774-810-0176. This was the release from an AST being removed from the basement - you remember Alisha that lovely rainy Friday night 12/30/05?! I want to confirm that the AST was removed and see if the Real Estate agent who hired "Bill" to remove it ever stepped up to the plate and paid for Enviro-Safe? Any information from your end on Hyannis ? Have to get the paper off my desk!!! Dave - update on Osterville - Wianno Circle. The UST under the front landing was removed; not a leaker. NORs are being sent to the owner and to Loud Fuel... Oil did get under the basement floor. The floor and soil is or has been removed.... Groundwater is approx 30'BGS which is great for the cleanup but not for obtaining insurance coverage.... Thank you Julie Julie J. Hutcheson Branch Chief- Emergency Response MassDEP - Southeast Region 2/2/2006 Follow-up on 81 Louis Rd, Hyannis Parker, Alisha From: Hutcheson, Julie (DEP)[JuIie.Hutcheson @state.ma.us] Sent: Wednesday, February 01, 2006 11:36 AM To: Parker, Alisha Cc: Stanton, David Subject: Follow-up on 81 Louis Rd, Hyannis FOR INTER / INTRA POLICY DELIBERATIONS ONLY Hello Alisha, Hello Dave I'm trying to follow-up with the owner of the property, Hernica Williams, at 81 Louis Rd in Hyannis and am having trouble reaching her. The phone number I have is not working; 774- 810-0176. This was the release from an AST being removed from the basement - you remember Alisha that lovely rainy Friday night 12/30/05?! 1 want to confirm that the AST was removed and see if the Real Estate agent who hired "Bill" to remove it ever stepped up to the plate and paid for Enviro-Safe? Any information from your end on Hyannis ? Have to get the paper off my desk!!! Dave - update on Osterville - Wianno Circle. The UST under the front landing was removed; not a leaker. NORs are being sent to the owner and to Loud Fuel... Oil did get under the basement floor. The floor and soil is or has been removed.... Groundwater is approx 30'BGS which is great for the cleanup.but not for obtaining insurance coverage.... Thank you Julie Julie J. Hutcheson Branch Chief- Emergency Response MassDEP - Southeast Region 20 Riverside Dr., Lakeville, MA 02347 508-946-2852 2/1/2006 ❑ Delete A . s � ��� � � �I NFIRS - 1 01922 12/30/2005 001 I A251343 I, ppp ❑ Change rIL State * Incident Date Station incident Number Expos— ❑ No Activity BASIC B Location ❑ Check this box to indicate that the address for this incident is provided on the Wldland Fire Module in Section B"Alternative Location Specification".Use only for wildland fires. Census Tract 40 ® Street Address 81 �� lLOUIS STRE ET ( WINTER ST TO BARNSTABLE ST u ❑ Intersection _ Number/Milepost Prefix Street or Highway ` `"" -. Street Type Suffix ❑ In front of ❑ Rear of l�`IHyannis 4 1�f � ,^ I MA I 02601 ❑ Adjacent to Apt./Suite/Room "City (L r r 4 oy`� State Zip Code ❑ Directions BARNSTABLE ROAD ❑ Cross street or directions,as applicable C Incident Type ' E1 Dates&Times �.! Midnightis0000 E2 Shifts&Alarms 410 Flammable gas or liquid Local Option Incid (condition, .other I Check boxes if Month Day Year Hour Min dates are the I I Still u D Aid Given Received same as Alarm ALARM always required LC Date. Alarm `JI' 12 30 2005 18:20 platoon Shift r No OfAlarm�istrict 1 Mutual aid received I I I I LS ARRIVAL required,unlesscanceledordidnotarrive 2 ❑ Automatic aid recv. u u ® Arrival * 12 30 2005 18:23 E3 Special Studies Their FDID Their 3 ❑ Mutual aid given State Local Option CONTROLLED optional,except for wildland fires 4 ❑ Automatic aid given 5 ❑ er al given ❑ ,ControlledLLI L—J IJ N ® None Last Unit LAST UNIT CLEARED,required except wildland fire Special Special Their Incident Number ® � � � Study ID# Study Value i Cleared 12 30 2005 20:46 F Actions Taken G1 Resources G2 Estimated Dollar Losses&Values Check this box and skip this section if an LOSSES: Required for all fires if known. Optional for non fires. 45 I Remove hazard I ❑ Apparatus or Personnel form is used. None Primary Action Taken(1) Apparatus Personnel Property I, I ❑ Suppression 1 1 3 Contents I I ❑ Additional Action Taken(2) EMS 0 1 PRE-INCIDENT VALUE: optional I I I I I � Other L 1 J Property I ❑ Additional Action Taken(3) Check box if resource counts include aid I I ❑ ❑ received resources. Contents Completed Modules H1 Casualties ® None- H3 Hazardous Materials Release Mixed Use Property I Deaths Injuries N❑ None El Fire-2 Fire NNE] Not mixed ❑ Service o o 1 Natural gas:slow leak,no evacuation or HazMat actions 10 ❑ Assembly Use Structure-3 0 0 ❑ Y 2 Propane gas:<21 lb.tank(as in home BBQ grill) 20 ❑ Education use Civilian Fire Cas.-4 ❑ 33 ❑ Medical use ❑Fire Serv. Casualty- I 3'❑ Gasoline:Ine vehicle burning tank met or container Civilian, 0 � 4 Kerosene:fuel burning equipment or portable storage `� ® Residential use ❑EMS-6 5 Diesel fUelifuel OII:vehicle fuel tank or portable storag 51 ❑ Row of stores ❑HazMat-7 Detector. ® ❑ Enclosed mall 6 ❑ Household Solvents:Home/office spill,cleanup only 58 ❑.Business&residential l Wildland Flre-8 H2 Required for confirmed fires. 59 ❑ Office use 7 Motor oil:from engine or portable container El Apparatus-9 ❑ 60 ❑ Industrial use 1 ❑ Detector alerted occupants H Paint:from paint cans totaling<55 gallons ❑Personnel-10 ❑ 63 El Military use 2❑;Detector did not alert them 0 ❑ Other:Special HazMat actions required or spill>55 gal., 65 ❑ Farm use U❑I Unknown Please complete the HazMat form 00 ❑ Other mixed use `J.Property Use Structures 341 ❑ Clinic,Clinic Type infirmary 539 ❑ Household goods,sales,repairs. 31 Church,place of worship 342 ❑ Doctor/dentist office 579 ❑ Motor vehicle/boat sales/repairs 1 11 ❑ Restaurant or cafeteria 361 [1 Prison or jail,not juvenile 571 ❑ Gas or service station ❑ 419 ❑ 1-or 2-family dwelling 599 ❑ Business office 162 Bar/tavern or nightclub ❑ 429 ❑ Multi-family dwelling 615 ❑ Electric generating plant 213 ❑ Elementary school or kindergart. 439 ❑ Rooming/boarding house 629 ❑ Laboratory/science lab 215 ❑ High school or junior high 449 ❑ Commercial hotel or motel 700 ❑ Manufacturing plant W ❑ College,adult ed. 459 ❑ Residential,board and care 819 ❑ Livestock/poultry storage(barn) 311 Care facility for the aged ❑ 464 ❑ Dormitory/barracks 882 ❑ Non-residential parking garage 331 ❑ Hospital 519 ❑ Food and beverage sales 891 ❑ Warehouse Outside 936 ❑ Vacant lot 981 ❑ Construction site ❑ Playground or park 655 938 ❑ Graded/cared for plot of land 984 ❑ Industrial plant yard 669 Forest(timberland)❑ Crops or orchard 946 ❑ Lake,river,stream ❑ 951 ❑ Railroad right of way 807 Outdoor storage area❑ }960 ❑ Other Street Look up and enter a Property Use 919 ❑ Dump or sanitary landfill 961 ❑ Highway/divided highway Property Use code only if 419 931 Open land or field you have NOT checked a ❑ 962 ❑ Residential street/driveway Property Use box: I 1 or 2 family dwelling NFlR3-1 Revision 03111W A251343 - EXP 0, 1213012005 PAGE 1 OF 2 HYANNIS FIRE DEPARTMENT- MFIRS REPORT -,Person/EntityInvolved 1 I508-292-4582 Local Option 3usiness name(if applicable) Phone Number ❑ Check this box f u I Hernlca I u same a ddress if I Williams incident location. Mr.,Ms.,Mrs. First Name MI Last Name Suffix Then skip the three I duplicate address 432 11 (Pitchers Way lines. Number/Milepost Prefix Street or Highway Street Type Suffix I J 114yannis Post Office Box Apt./Suite/Room City Ma 02601 State Zip Code ❑More people Involved? Check this box and attach Supplemental Forms(NFIRS-1S)as necessary. . K2 Owner ®Same as person involved? Then check this box and skip IHermca I 1508-292-4582 Local Option the rest of this section. Business name(if applicable) Phone Number Check this box if J IHemica 11� IW1111aT11S 11_� same address as incident location. Mr.,Ms.,Mrs. First Name MI Last Name Suffix Then skip the three I duplicate address lines. 432 �J(Pitchers Way Number/Milepost Prefix Street or Highway Street Type Suffix 3 a I I U 1Hyannis Post Ma Box Apt./Suite/Room City i t�� JI 02601 State Zip Code L Remarks: Local Option M i. ITEMS WITH A MUST ALWAYS BE COMPLETED! ® More remarks?Check this box and attach Supplemental Forms (NFIRS-1S)as necessary. M Authorization 8501 (Dean L Melanson I I Deputy /EMT I Suppression 12 30 2005 Officer in charge ID Signature Position or rank Assignment Month Day Year Check box if "t same as Officer in charge. 7702 1 (Roger E Cadrin I Lieutenant I Suppression 12 30 2005 Member making report ID Signature Position or rank Assignment Month Day Year i A251343 - ExP 0, 1213012005 page 2 of 2 HYANNIS FIRE DEPARTMENT- MFIRS REPORT A 01922 1 U 1 12/30/20C 001 1 A251343 I ❑ Delete NFIRS - 1S FDID JL State�Jl-, Incident Date Station Incident Number �JL Exposwe ❑ Change Supplemental Person/Entity Involved I I 1508-292-4582 1 Local Option Business name rfa applicable)Ot�-ner C PP ) I .Phone Number ❑ Check this box if same address as I IHemica I I_J 1 Wllllanls I J LLLIII incident location. Mr.,Ms.,Mrs. First Name MI Last Name Suffix Then skip the three i lines. teaddress 432 1 � (Pitchers Way _ lines. f Number/Milepost Prefix Street or Highway Street Type Suffix FLN (Hyannis Post Office Box Apt./Suite/Room City Ma 1 02601 State Zip Code Person/Entity Involved I I Local Option 1774-487-1828 past Owner - - Business name(if applicable) - .Phone Number ❑ Check this box if u I Bruce 1 u 1 canepa u same address as incident location. Mr.,Ms.,Mrs. First Name MI Last Name Suffix Then skip the three I I u duplicate address lines. Number/Milepost Prefix Street or Highway Street Type Suffix I I Post Office Box Apt./Suite/Room (City sc 1 I - State Zip Code .K3 Person/Entity Involved I 1508-364-1499 Local Option �,011 tr3CfOr - Business name(if applicable) Phone Number ❑ Check this box if I I 1`7 ilium 1 �1 1Aldr same address as LJ incident location. Mr.,Ms.,Mrs. First Name MI Last Name Suffix Then skip the three duplicate address lines. Number/Milepost Prefix Street or Highway Street Type Suffix � I II II Post Office Box Apt./Suite/Room City � I I State Zip Code K4 Person/Entity Involved ITOB Board of Health I 1508-862-4644 Local Option Business name(if applicable) Phone Number I�cpt. Head ❑ Check this box if I I Alisha I I� 1 Parker 1 same address as u ncident location. Mr.,Ms.,Mrs. First Name MI Last Name Suffix Then skip the three duplicate address I I I I 1 Maln St I u �� lines. I�I Number/Milepost Prefix Street or Highway Street Type Suffix Hyannis I Post Office Box Apt./Suite/Room City Ma State Zip Code NRKS I Rev¢gn 6998 A751.34.3 - Fyn n. FSl- <<,Fqr *.,N >>. 1213012nns HYANNTS FTRF DFPT. nanP 1 of A 01922 MA 12/30/20C 001 A251343 I ❑ Delete NFIRS - 1 El Change Supplemental S FDID State�/l Incident Date<JL Station Incident Number L�Exposure Person/Entity Involved K5 Local option IMasS D.E.P. I508-946-2852 Dept. Head Business name(if applicable) Phone Number ❑ Check this box if same address f I J I Juhe I u I HutChesOri I u incident location. Mr.,Ms.,Mrs. First Name MI Last Name Suffix Then skip the three I I duplicate address 20 I I River St I I I lines. L�� ..JJJ LLII Number/Milepost Prefix Street or Highway Street Type Suffix I L J (Lakeville Post Office Box Apt./Suite/Room City Ma 02347 State Zip Code `K6 Person/Entity Involved IEnvivo Safe I I508-833-1808 Local Option i -Con I.ractot' Business name(if applicable) I Fratus Phone Number Check this box if I Rob I I same address as U incident location. Mr.,Ms.,Mrs. First Name MI Last Name Suffix Then skip the three u I I U U — duplicate address lines. Number/Milepost Prefix Street or Highway Street Type Suffix I I Post Office Box Apt./Suite/Room I City State Zip Code Person/Entity Involved K7 Local option IEnvivo Safe I508-833-1808 Contractor Business name(if applicable) Phone Number 4 0 check this box if L � I Heather I u I Atwood same address if incident location. Mr.,Ms.,Mrs. First Name MI Last Name Suffix Then skip the three I I u duplicate address lines. Number/Milepost Prefix Street or Highway Street Type Suffix I I Post Office Box Apt./Suite/Room I City State Zip Code NFIRS-II R.V.i.n GWB A7171.34.3 - Fxn n. F'S(- <<Fsr qa N >>. 121.3n12nns HYANNTS FTRF DFPT nane 2 of 2 L1 01922 12/30/200' 001 A251343 L ( ❑ Delete NFIRS - 1S f. Change Supplemental State Incident Date �L Station Incident Number Expos':_= KRemarks We received a call from the home owner stating that there is a possible fuel spill in her basement at 81 Louis St. We responded with E-823 to investigate, when we arrived the home owner stated that she discovered fuel from the oil tank in the basement after she began to smell fumes. We checked the basement and found and old 250 gal heating oil fuel tank that is no longer in use, the tank is located on the C/D corner in a small room. The-tank is leaking 4 fuel from the bottom area what.looks to be a rusted out area. There.was approx 20 gallons on ithe basement.floor contained.mostly in this room. We checked the tank and found that there was still approx 50 - 60 gallons left in the tank. We could not stop the leak so we placed a catch pan under it and covered the spill with speedi dry. The home owner was stating that realtor Dan Griffin was responsible for removal of the oil tank and was going to have someone remove the tank for her, she believed that person was at the home prior to her arriving home and may have caused the spill. We could not determine if any one had been working on the tank today however we could see that the tank had worn on the bottom and was now leaking fuel on the basement floor. When I questioned her about having someone that she could call to clean up the spill and remove the tank she stated she did not know of anyone, I then informed her that we could not leave the fuel on the basemen : door and that it needed to be cleaned up asap. Mrs williams was informed that a clean up company would need to be called to remove the hazardous condition properly, she agreed have enviro safe clean up Co. come to the home and remove the spill u immediately. n This department contacted Enviro Safe and requested haz mat clean up, The owner agreed to make a deposit of five hundred dollars to enviro safe for the clean up cost. The company dispatched a crew to remove the hazard. Lt. Cadrin requested Deputy Melanson to the scene so that he could be aware of the situation and follow up accordingly with the proper authorities. We also call the TOB Board of Health to the scene for proper documentation of clean up, Alisha Parker arrived shortly there after and inspected the scene and will follow up with a report. Mass DEP was advised and called to the scene to also inspect and approve all clean up was completed. Enviro safe arrived on scene and pumped out the remaining fuel in the tank. They also cleaned up all speedi ,dry and fuel oil on the floor and contained it in a sealed drum, this will be removed at a later date. F: The total fuel removed from the tank was approx 70 gallons. Julie Hutcheson inspected the clean up along with TOB rep Alisha Parker and determined that the spill appeared to be isolated in the basement and did not penetrate into the soil or other sensitive areas. The home owner was informed of the completed work and the property was turn over to her to secure. There is no one living at this home at this time, it had recently been purchased and is under going renovation. We used four bags of speedi dry to contain the spill in the basement. and vented the home continuously while on scene. zi A251343 - EXP 0, 1213012005 HYANNIS FIRE DEPARTMENT MFIRS REPORT PAGE 1 rttxpnonc: Phone: 1.508-862-4645 CC: -- Fax phone: 1-509-790-6304 REMA FM: © Urgent or your review ❑ Rgly ASAP please comment Linda, I will keep you posted on my findings. Have a great day! Allsha w NOI193NNOO 3-IIWISOd3 ON (b-3 d3MSNd ON (E-3 AsnE (2-3 3Id3 3NI-I JO do OWUH (Z-3 d0dd3 d03 NOSU3d z ---------------------------------------------------------------------------------------------------- 1 ---9i9--cj----------->1 ----------------------S9829b680SZ6-----------------------------Xi ANOW3W--TGO 39dd i-inS3d (dnod9) SS3dQQd NOIldO 3QOW TUA Hi-ld3H d0 QdUOS 339d1SNdUE Ill * ( WdV2:2Z 9002'L 'dUW ) 1dOd3d rinS3d NOI uoiw 1WW0O T 'd TOWN OF BARNSTABLE Health Division— 200 Main Street - Hyannis, MA 02601 �t►+e ram, FAXDate: March 7 2006 * BMWSTABLE, « 9 MASS. Number of pages including cover sheet: s 1639. ♦0 prFD N1A'�A F To: Linda Hutcheson From: Alisha Parker Town of Barnstable Health Division r Mail to: 200 Main Street Phone: Hyannis,MA 02601 Fax phone: 508-946-2865 Phone: 1-508-862-4645 CC: Fax phone: 1-508-790-6304 REMARKS: ❑ Urgent or your review ❑ Reply ASAP ❑ Please comment Linda, I will keep you posted on my findings. Have a great day! Alisha