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0149 NORTH STREET - Health
149 NORTH ST. , A= 309. 226. 001 1 r, e o v i k 0 i i I f i Couto-Management Group, LLC John K.O'Connor Director of Retail Operations 17 Kendrick Road ®�aaoa� Wareham,MA tIDONUTS® f 508.295.9305 ext. 13 —Basldn�Robbins. c:508-958.7348 e:joconnot@coutomanagement.com Date: /27/ oq" TOWN OF BARN STAB ' TOXIC AND HAZARDOUS MATERIALS ON-SIT INVENTORY NAME OF BUSINESS: d..r ear Crotl. ff.�D�/ L BUSINESS LOCATION: )`'t l�crto 5 �k �= INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: SDI" —77�T" 27 1-7 /.5-/* S ctxlml CONTACT PERSON: EMERGENCY CONTACT TFI NUMBER: MSDS ON SITE? TYPE OF BUSINESS: P�t" Z en e * z.�c LA R,96- INFORMATION/RECOMMENDATIONS: Fire District: Waste Transportation: NO • Last shipment of hazardous.waste: 1A _ Name of Hauler-, Destination: Product: AdA Licensed? Yes . No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, age and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS 'r ��'� wow` 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) AaMisc. Corrosive _rl NEW USED Cesspool cleaners Aut Matic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides lF�N EW USED (insecticides, herbicides, rodenticides) asolrne, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED 040 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) Ilk 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 04CU Any other products with "poison" labels Paint&varnish removers, deglossers (including chloroform, formaldehyde, .S 594 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 i (dry cleaners) 2.0 6Q1 Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS f -� r Town of Barnstable-Health Department 60a)g;1 HAZARDOUS MATERIALS INVENTORY SITE VISITS ` .... ....... .......DBA: Mutual Mini Mart Fax: ........ ... y j Cor ame: Mutual Oil Company Mailing Address j Lo tion: 149 North Street,Hyannis Street: 149 North Street ppar: City: Hyannis on tact: �',' S Lei"'t *^ 7 State: Ma Te phone: !(508)778 Zip: 02601. �p Ern rgency: ?/7 Person Interviewed: usiness Contact Letter Date: 8/20 004 Category: Fuel Inventory Site Visit Date: 8/26/20 Type: Retail Follow Up/Inspection Date: \ public water indoor floor drains ❑ outdoor surface drains ❑ license required ❑ private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc ❑ currently licensed town sewage ❑ indoor catch basin/drywell ❑d outdoor catch basin/drywell expir - ❑ on-site sewage ❑ indoor on-site syste ❑ outdoor onsite system date _ Or ers: 2/4/97 Need MSDS sheets on site. ORDERS: compliance: 99 Remove all debris from rear of building. Satisfactory CA l� 6, 41 Z6 � Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ Zero Toxic Waste Materials ❑d gty's>25 lbs dry or 50 gals liquid but less than 111 gals ❑ gty's 111 gals or more »descnpfon qty:,;;. _ u n t�ofi measure gasoline 20000 at ons ......._.._.._..__..._.__._.._....._..........._._......................................................................_........._............................___._...._._.__ motor oil 2cases automatic transmission fluid 1cases misc.petroleum products:grease,lubricants 1'cases ....._......._......._....__..__._.__.__.__.__._..._.._._.__.._........_...__....._._........_......_...._._....... .................._........_..._.............._..;..._.____.___.__.._.____._...._..._....._._...__ antifreeze(for gasoline or coolant systems) 2cases household cleaners _ _ _ 1 cases laundry soil&stain removers(includi each) 1cases Adhesives 1cases _._._..__.___.._....._..__ .._._..............................._..........._........__......._.__...__.___.___.___.. __.._._._......,................_................._......... _.... drain cleaners 1cases other cleaningsolventsvWT 4units Waste Transporter: Fire District: 'Hyannis Last HW Shipment Date: Waste Hauler Licensed: No _ _ .......... .................... r, HazMat On-Site Inventory/Inspection: Records to Review for SQGs and CESQGs Location: �l R /�crv�� � -• Site visit date: S— 2—(0 — opt • Hazardous Waste , Manifests: -AZ/A • Employee training documentation (if required): 11 C'ft� • Hazardous substance spill control and contingency plan: • MSDS on site? • HazMat Inventory records (if applicable): D /,de. /��` • HazMat Waste Shipping documentation: • Spill records (if applicable): Al/ / { �d Hazardous Materials On-Site Inventory/Inspection For ALL Shops and Businesses in the Town of Barnstable : DBA: Location: I !1!2 cmA-11 5�� Date: - 2-6--6�,,, Physical Features to Inspect: Hazardous waste generation sites (production/manufacturing areas): Waste storage areas: .4& Satellite accumulation points throughout: /V HazMat stored outdoors — CHECK OUTSIDE: Shipping and receiving areas: /V//q Run down of shop activities: Housekeeping practices: Date: /2']/ 0cl TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: per' BUSINESS LOCATION: `A 9 INVENTORY MAILING ADDRESS: TOTAL AMOUNT- TELEPHONE NUMBER: 5-0$— -77 S— 2-7 1-7 3Z 5-� j cvLl�rJs CONTACT PERSON: - EMERGENCY CONTACT TELEPH ENUMBER: MSDS ON SITE? TYPE OF BUSINESS: e)e-,k-a INFORMATION/RECOMMENDATIONS: Fire District: s as�r Waste Transportation: NO • Last shipment of hazardous_waste: _ Name of Hauler: Destination: Product: /V/,A Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, age and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS A,A@0 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 rr��qq Antifreeze (for gasoline or coolant systems) 0L Misc. Corrosive L17 NE.W USED Cesspool cleaners AutofTiatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides (7 NEW USED (insecticides, herbicides, rodenticides) 2 asoline, 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 QU 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) 2-0 Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS I` 2 U E Pn@PELqVV SUIRW EV F©IRItv1I STREET ADDRESS OF PROPERTY BEING SURVEYED; 149 North Street - Hyannis, MA OWNER : MUTUAL OIL CO., INC. PHONE:508-583-5777 ADDRESS : 863 Crescent Street - BrocktoTI, MA 02402 OCCUPANT: MON PHONE: ADDRESS : 149 North Street PRESENT FLAMMABLE PERMITTED STORAGE AT PROPERTY; TANK PRODUCT LOCATION AGE CONSTRUCTION SIZE (GAL) j 10,000 gal. Gasoline Underground 1975 Steel 2 -5,000 gal. " TANKS REMOVED FROM THE PROPERTY; TANK PRODUCT LOCATION CONSTRUCTION DATE S I ZE. (GAL) ' REMOVED 1500 gal. Waste Oil Underground Steel 12/14/87 SPILLS / LEAKS AT THE PROPERTY; DATE: MATERIAL • APPROX. SIZE OF RELEASE Various spills of less than 1 - 2 gal. of gasoline Overt l mi ng gas mills from custcsners at pumps. "HYANNIS FIRE PREVENTION BUREAU" INFORMATION PROVIDED BY; DATE ; 9/16/91 95 HIGH SCHOOL RD.D(T • MaNIS,im 02601 t TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD�OF HEALTH � 3.Auto Body Shops d ,Cep O unsatisfactory- 4.Manufacturers p COIVIPAIVY .e (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS /�li "'-A S. Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors; OUT-outdoors) MAJOR MATERIALS Case lots Drums IN OUT IN OUT IN OUT #&gallons Age Test S"o-U O Fuels: ,ova i97 Gasoline,Jet Fuel (A) /p Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) tran smission/hydr-aulic at Synthetic Organics: degreasers cellaneous: 1 lids x ZZI- t:2. 6 L - DISPOSAL/RECLAMATION REMARKS:_ 1. Sanitary Sewage 2.Water Supply Town Sewer blPublic 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 ORDE S: O Holding tank: MDC �zzj O Catch basin/Dry well O On-site system 5. Waste Transporter Name of Hauler Destination Waste Product YES NO 2. .— Per In Inspector Date �Q�q°CLCG/!J6 ��LC�O�U�XGG V� — r?rcC�J. lQ�r�L�iC6��r//uti Notification for Storage Tanks Regulated Under 527 CMR 9.00 Forward completed form,signed by local fire department,to:Mass. UST Program,Dept. of Fire Services,One Ashburton Platte-Room 1;' Use Form FP-290R to notify of tank removals or clo tire's i"'�r��t t t�� � R i ed: Telephone (617)727-8500 � S FIRE DEP�RT6�ENT Fi (Fire Department retains one copy of FP-290) 95 HIGH SCHOOL RD. EXT Fire YANNIS MA 0260 ❑ A. New Facility(see instructions,#1) B.Amended ❑ C. Renewal INSTRUCTIONS: Form FP-290(Notification for Aboveground and Underground Storage Tanks)is to be completed for each location containing underground or aboveground storage'tanks regulated under 527 CMR 9.00. II more than five tanks are owned at this location,photocopy the following pages and staple oo ttlnuatbn streets to the form. The FP-290 must be A. Facility Number completed In duplicate. Although the form may be photocopied,the facility owner or owner's representative must sign each copy separately,photocopied signatures are not sufficient. Both copies of the FP-290 are to be forwarded to the local B. Date Entered fire deportment,who will check all information and certify the forms. The fire department will retain one copy of the FP- 290 for Its records,and the facility owner shall be respanacble for forwarding the other copy to the Dept of Fire C. Clerk's Initials Services at the address above. The local fire department xrill issue the permit portion of the FP-290,however,registration is not complete until the FP-290 Is received and checked by the UST Regulatory Compliance Unit All questions on this form D. Comments are to be answered.Incomplete forms will be returned. 1 New Faclllpf means a tank or tanks located at a she where tanks have not been previously located. 2'Facircty street address^must include both a street number and a street name. Post office box numbers are not acceptable, and will cause a egistrabon to be returned.H geographic location of facility is not provided,please Indicate distance and direction from closest intersection,e.g., (facility at 199 North Street Is located)400 yards southeast of Com_morm Road. (Intersection). e GENERAL • • Notification Required J:xceyQon-(a)a farm or residential tankof 1,100 gallons or less capacity used for storing motor Fire Prevention Form FP-290 Is to be used as Notification,Registration,and Permit for luel for noncommercial purposes,or(b)stank used forstoring heating oil forcorusumptive aboveground and underground storage tanks and tank facilities regulated under 527 use on the prornives where stared we not required to be registered under527 CUR 9.00. Code of Massachusetts Reguiations 9.00.No regulated aboveground or underground Penalties,Any ownerwho knows storage tank faoGfyshag be installed,maintained,replaced substantially modified or Y ngly fails to notifyorsubmits false Information shallbe subject removed without a permit(FP-290)Issued by the head of the local fire deparbnent. to a civil penalty not to exceed$25,000 for each tank for which notification is not given or for The owner of any storage facility shag within seven working days notify the head of the which false information is aubmitted,(MGL Chapter 14a,section 38H,527 CMR 9.00) local fire department and the Dept.of Fee Services of any change In the name, Aboveground Storage Tanks address,or telephone number of the owner or operator of a storage facility subject to 527 CMR 9.00 requiess'the registration of any aboveground storage tank whkAwtrth regulation by Chapter 148,Mass.General Law and by 527 CMR 9.00. following deftnftion:a horizontal or vertical tank.equal to or less than 10,000 gallons- Underground Storage Tanks capacity,Ihal,is intended for fixed Installation without back fill above or below grade; is Each owner of an underground tank first put Into operation on or after Jan.1,1991, used for the storage of Hazardous Substances,Hazardous Wastes,or Flammableor shall,within thirty days after the tank Is first put into operation,notify the Department of Combustible liquids. Fie Services(the department)of the existence of such tank,gwdtying,to the extent Exception#1:Aboveground tanks of more than 10,000 gallons capacity regulated by 520 CM R known,the owner of the tart♦,date of Installation, capacity,type,location,and uses of , 12.00(Requirements for the Installation of Tanks Containing Fluids Other Than Water in such tank By no later than Jan.31,1991,each owner of an underground storage tank Excess of 10,000 Gallons)are not required to be registered under 527 CMR 9.00. that was in operation at any time after Jan.1.1974. regardless of whether or not such Fxcentlan•2 (a)a farts or residential tank of 1,100 gallons or less capacity used for storing tank was removed from beneath the surface of the ground at any time,shall notify the motor fuel fornoncommercial)afarm oresi ores, or department of the existence of such lank,specifying,to the extent known,the owner ofpure (b) a tank used for storing heating oil for the tank,date of Installation,capacity,type,and location of the tank,and the type and consumptive use on the premises where stored are not required to be registered under 527 quantity of substances stored In such tank or which were stored in such tank before CMR 9.00. the tank ceased being in operation if the tank was removed from beneath the surface Penalties-Anyperson who knowingly violates any rule orregulabon made by the Board of Fire of the ground prior to the submittal of such notice to the department Such notice shall Prevention Regulations shall,except as Otherwise provided,be punished by a fine of not less also specify,to the extent known,the date the tank was removed from beneath the than one hundred dollars nor more than one thousand dollars. (MGL,Chapter 14e,section surface of the ground prior to the submittal of such notice to the department The 108,and 527 CMR 9.D0) operator of any tank that has no owner or whose owner cannot be definitely ascertained,shall notify the department of the oxisterme of such tank,specifying,to the Where to Notify?Two completed notification forms should be signed by both the tank owner extent(mown,any information relating to ownership of the tank,and date of and the local fire department.One copy will be retained bythe fire department,and the tank installation,capacity,type,and location of the tank,and the type and quantity of owner shag send a separate copy to the address at the top of this page. substances stored in such tank,or which were stored In such tank before the tank When to Notify?1.Owners of storage tanks In use or that have been taken out of operation ceased being In operation it the tank was removed from beneath„the surface of the must notify within thirty days. ground prior to the submittal of such notice to the department It r�hk,was abandoned beneath the surface of the ground prior to the submittal o[such notice lo Owners and Operators of Regulated Storage Tank Systems must maintain retards the department,such notice shag also specify,to the extent known to the owner or certifying that an leak defection,Inventory control and tightness testing requirements operator,the date the tank was abandoned In the ground and all m used to for the Regulated Storage Tank System are current These records must be readily stabilize the tank after the tank ceased being in operation. available for inspecdoa. 1. OWNERSHIP OF TANK(S) 11. LOCATION OF TANK(S) Owner Name(Corporation,Individual,Public Agency,or Other Entity) If known,give the geographic location of tanks by degrees,minutes,and _Morris Realty Trust seconds.Example:Lat.42,36,12 N Long.85,24.17W Latitude Longitude 863 Crescent Street @ S. Easterly Corner of High Schl Rd. Ext. & Street Address oA wAs ono direction tiro doses Intereecac n few irntr e2) Intersects n P.O. Box 250 0 Hyannis FeNrly Name or Company_Ske Identifier,as apptinble Brockton MA 02303-0250 149 North St. ? m fale Zip Coca SU`dei AGCreae(P.O.Box not acceptable-see -s2)� Plymouth - �� Hyannis MA 02'601 508-583-57.77 04-2583479 car Barnstable s''`a Zip Code Phone Number(Include Area Code) Ownses Employer Federal to a County FP-290(revised 11196) Paoe 1 l III. TYPE OF OWNER IV. INDIAN LANDS O Federal Government C Commercial ❑ Tanks are located on land within an Indian Reservation or on ❑ State Government other and sale) other trust lands. G Private ; <❑ Local GovernmentTanks are owned by native American nation,tribe, or individual., 0sr ge 0 and use) V. TYPE OF FACILITY Select the Appropriate Facility Description: (check all that apply) Z. / v X Gas Station Marina Trucking/Transport . . ... . Petroleum Distributor Railroad Utilities Airport Federal-Military Residential Aircraft Owner Industrial Farm Vehicle Dealership Contractor Other(explain) VI. CONTACT PERSON IN CHARGE OF TANKS Name: Edward A. Rachins Address: P.6:Box 250 Phone Number(include area code): Job Title: President of 863 Crescent Street Home: 508-587-9654 Mutual Oil Co. , Inc. Brockton, MA 02303-0250 Business: 508-583-5777 VII. FINANCIAL RESPONSIBILITY I have met the financial responsibility requirements in accordance with 527 CMR 9.00. Check:allihatapply; ------ --------------T-------------- ....+; I I Q' If insurance ❑ Guarantee ( ❑ Letter of Credit Ci Commercial Insurance ❑ Surety Bond0 Trust Fund O Risk Retention Group 09 State Fund ❑ Other Method Allowed-Specify VIII. ENVIRONMENTAL SITE INFORMATION This information should be available from local health agent, conservation commission, or planning department. 1.Tank site located in wellhead protection area O Yes O No 9 unknown 2.Tank site located in surface drinking water supply protection area G Yes 0 No M Unknown 3.Tank site located within 100 feet of a wetland ❑Yes0ib p 1%Unknown 4.Tank site located within 300 feet of a stream or water body ❑Yes *'1J,No 0 Unknown IX. DESCRIPTION OF STORAGE TANKS AND PIPING (COMPLETE FOR EACH TANK AT THIS LOCATION) Tank Identification Number Tank No. 1 Tank No. 2 Tank No. 3 Tank No. Tank No. 1.Tank status a.Tank mfes serial# (if known) b. Currently in Use C.Temporarily Out of Use (Start Date) d. Permanently Out of Use e.Aboveground storage tank(AST)or C AST IN UST D AST BUST ❑AST CX UST ❑AST ❑ UST O AST O UST Underground storage tank•(UST) 2. Date of Installation (mo./day/yr.) 1975 1975 1975 3. Estimated Total Capacity(gallons) 10,000 -5,000 ._.5,000 FP-290(revised 11/98) Pane 2 f i aa-ik Identification Number(cunt.) Tank No. 1 Tank No. 2 Tank No. 3 Tank No. Tank No. 4. Substance Currently or Last Stored a. Gasoline �X� �_J X Motor vehicle or other use 9 MV O Marina (N MV O Marina rX MV ❑Marina ❑MV ❑Marina O MV ❑Marina ❑other ❑other ❑other ❑other ❑other b. Diesel Motor vehicle Or other use ❑MV ❑Marina ❑ MV ❑Marina ❑MV O Marina ❑ MV ❑Marina ❑MV ❑Marina O other ❑other O other ❑other ❑other c. Kerosene d. Fuel Oil` 'Consumptive Use"tanks need not be registered. 'Consumptive Use'fuel used exclusively for area heating and/or hot water. e. Waste Oil f. Other, Please specify --------------- ---- ----- ---- ----- ---- Hazardous Substance(other than 4a thru 4e above) CERCLA name and/or CAS number Mixture of Substances Please specify 5. Material of Construction-Tank(mark only one) Bare steel (includes asphalt, galvanized and epoxy coated) Cathodically protected steel 0 0 Composite(steel with fiberglass) 0 0 Fiberglass reinforced plastic (FRP) Concrete Unknown �- Other Please specify 6. Type of Construction-Tank (mark only one) Single walled Double walled 0 0 0 0 Unknown Other Please specify Is tank lined? O Yes C No O Yes IN No O Yes CN No O Yes O No ❑Yes O No Does tank have excavation liner? O Yes No O Yes ff No O Yes INNo ❑Yes ❑ No ❑Yes ❑No FP-290(revised 11/96) Page 3 • Tank Identification Number(cont.) Tank No. 1 Tank No. 2 Tank No. 3 Tank No. Tank No. 7. Material of Construction-Piping(mark only one) i Bare steel (includes asphalt,galvanized �----t and epoxy coated) Cathodically protected steel u X (�— Fiberglass reinforced plastic (FRP) Flexible -� Copper Unknown Other Please specify 8. Type of Construction-Piping(mark only one) Single walled X Double walled Unknown Other Please specify Has piping been repaired? 0-Yes :XNo C Yes (N No G Yes (N No ❑.Yes e7 No C Yes C No Is piping gravity feed? C.Yes %No C Yes ff No ❑Yes (K No ❑Yes No C Yes n No Date { X. CERTIFICATION OF COMPLIANCE 1. Installation A. installer certified by tank and piping manufacturers B. Installer certified or licensed by the Implementing agency C. Installation inspected by a registered engineer D.Installation inspected and approved by the implementing agency E. Manufacturers' installation checklists have been completed F. Another method allowed by 527 CMR 9.00. Please specify 2.Tank Leak Detection Tank Tank Tank Tank Tank (mark only one) A. Double-wall tank- Interstitial monitoring B.Approved in-tank monitor a 0 0 C.Soll vapor monitoring (check one below) ❑ Monthly ❑ Continuous E.Inventory record-keeping'and tank testing F. Other method allowed by 527 CMR 9.00. Please specify lknk Identification Number(cont.) Tank No. 1 Tank No. 2 Tank No. 3 Tank No. Tank No. 3. Piping Leak Detection (mark only one) Piping Piping Piping Piping Piping A. Pressurized • ❑ ❑ ❑ ❑ ❑ a. Interstitial space monitor b. Product line leak detector ❑ ❑ 0 ❑ ❑ (mark all that apply below) M Automatic flow restdctor' ❑Automatic shut-off device' ❑ Continuous alarm' ` Also requires annual test of device and piping tightness test or monthly vapor monitoring of sail- a. Suction:Check valve at tank only ❑ ❑ El ❑ 1-1(Requires interstitial space monitor or line tightness test every three years) ❑ Interstitial space monitor ❑ Line tightness test C. Suction: Check valve at dispenser only ❑ ❑ ❑ ❑ (No monitor required) D. Other method allowed by 527 CMR 9.00. Please specify 4. Date of last tightness test(tank& piping) 8/28/98 8/28/98 8/28/98. 5. Gravity feed piping ,❑ ❑ ❑ El 6. Spill containment and overfill protection Tank., Tank Tank , TankT Tank A. Spill containment device installed ❑X ❑X ❑ ❑ ❑ S.Overfill prevention device installed ❑X ❑ X❑ ❑ ❑ 7. Daily Inventory Control (mark only one) A. Manual gauging by stick and records ❑ ❑ El ❑ reconciliation B. Mechanical tank gauge and records reconciliation C.Automatic gauging system 0 © 0 ❑ ❑ 10 8. Cathodic Protection(d applicable) Tank Piping Tank Piping Tank Piping Tank Piping Tank Piping A. Sacrificial Anode Type ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ B. Impressed Current Type ❑X ❑X ❑X ❑X ❑X ❑X ❑ ❑ ❑ ❑ C. Date of Last Test 10/14/98 10/14/98 r10714/98 Certification of Compliance No.: 001075 x1■ CERTIFICATION (Read and sign after completing all sections) NOTE:Both the copy being sent to the Dept of Rre services and the copy retained by the local fire department must be signed separately. A photocopied signature will not be accepted on either document I declare under penalty of periiury that I have personally examined and am famlllar with the Information submitted In this and all attached documents,and that based on my Inquiry of those Individuals Immediately responsible for obtaining the Inlannatb , lieve that the submitted Information Is true,accurate,ano'61'nplete. Name and official He of owner or owner's authorized representative(Prin Sig lure: Date: /CAL �,�C b✓'�2�° AZ�g/�� FP-290(revised 11/96) Pace 5 A Massachusetts Fire Incident Report Hyannis Fire Department Date of Time Of Arrival Time In FDID Incident No. Exposure #. Incident Day of week Call Time Service 01922 A200593 6/18/20 Sunda 1❑ 12:37 13:39 14:03 Address Zip Census Tract 1 4 9 North Street Hyannis 4 0 Type of Situation Found Type of Action Takff Mutual Aid 41 Spill/leak W/o Ignition IF41 4 Remove Hazard Fixed Property Use Ignition Factor "Public Service Station." F 00 No Fire Found Occu ant Name Occupant Telephone Mutual Mini Mart Owner Name Owner Address Owner Telephone Mutual Oil Company Po Box 250 Brockton Ma —1---8 8 8-3 71 -81 0 0 Method Of Alarm Shift No Of Alarms # of Personnel Responded 1 Telephone 1� © 3 Hazardous Y Materials Engines Tankers Aerial Other Vehicles Present 001 0 0 � SE P Z017 1 Yes Fire Service Other Injuries 7©qNpeaA Injuries 0� Fatalities 0� Injuries 0� FatalitiesL��0 Rescues 0� Mobile Property Use Is Car Stolen I Ws-uan„a Com an IV 11 Mobile Property Make Year Model Color License Number VIN 0 01 7E Complex Area Of Origin �- Estimated Loss Equipment Involved In Ignition Form Of Heat Of Ignition ❑ 0 If Equipment Was Involved In Ignition Material Ignited Year Make Model Equipment Serial Number 0 Method of Extinguishment Level Of Fire Orii ig n Number Of Stories Construction Type Detector Performance Sprinkler Performance ❑ ❑ Extent Of Damage Flame Smoke Material Generating Most Smoke Type Of Material Generating Most Smoke 0 Avenue Of Smoke Travel Weather Conditions Commanding Officer 0 G.I.r1x................................................................ Capt E. Farrenkopf Report By Capt E. Farrenkopf Comment Page for Incident No. IA200593 Address 1149 INORTHSTREET Date of Report 6/18/2000 Commanding Officer Icapt E. Farrenkopf Received a call from the Mutual Mini Mart 149 North Street for fuel coming from a pump with the attendant stating she does not know how to shut the pump off. Response: Engine 822 Capt E. Farrenkopf F/Fs Holigan, Cosmo. Upon arrival found a approx one gallon spill on the tarmac in front of pump # 8. spoke with the station attendant Lura Moriarty and she stated that she had found the switches and shut the pumps off. She also stated that a vehicle had finished pumping gas and had come inside and paid for the gas. The operator got back in the vehicle and when he drove off the hose was still in the tank and the pump was still on. Picked up some of the spill with speedi dri and covered the rest of the spill with janIsol and washed it down. The station assist manger Edward Parsons arrived made sure the power to the pump was secured and is contacting the maintenance department for service Engine 822 to qtrs 14:03 Eric Farrenkopf Captain 6/18/00 1 i MUTUAL #79 149 NORTH ST HYANNI:=;.3 MA 02601 PHONE NUMBER UGC;66 <. 07-17-99 '3�t 1.�.21: LAST FA=_:}ED SLD TESTS TANK/DATE & TIME 1-UNLI EADED 2-P L 0 -1.'-99 14: 10 ?-SUPER �_ 41f-i1-99 05':56 TOWN OF BARNSTABLE MPLIANCE: CLASS: 1.Marine,Gas Stations,Repair;` satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANYMV�!r sr /q (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS ""74A1 ass• 7.Miscellaneous Q ANTITIES 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) G• transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: A�L 4V .fA ' 6k.,e4 DISPOSAIJRECLAMATION REMARKS: -� 1. Sanitary Sewage 2. ater Supply �� °�/` �� •°�' i� Mown Sewer public O On-site OPrivate 8 3. Indoor Floor Drains YES NO O Holding tank:MDC O Catch basin/Dry well O On-site system d 4. Outdoor Surface drains:YES NO b ORDERS: O Holding tank:MDC - O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES NO 1. 2. Z&4�_ 74 2 o�Person( p�nterviewed Inspector Date h wmSklIG r o TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: Mutual oil Co. , Inc Mail To: BUSINESS LOCATION: 149 North St Hyannis Board of Health MAILING ADDRESS: Same Town of Barnstable P.O. Box 534 TELEPHONE NUMBER: (508) 778-4344 Hyannis, MA 02601 CONTACT PERSON: Mike Palermo EMERGENCY CONTACT TELEPHONE NUMBER: (508) 583-5777 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 x 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: 149 North St. , Hyannis TELEPHONE: (508) 778-4344 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 ' _gam 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 Q[SIS� Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, �' ether 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 1 White Copy- Health Department/ Canary Copy-Business f � ; �!11___ .(�_� v Fee——- --- No. ----------- ��®� BOARD OF HEALTH MAP n TOWN OF BARNSTABLE PARCEL LOT Applicat ion-for Veil Congtruct ion Permit Application is hereby jnade for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at: ANYS Location — Address Assessors Map and Parcel -- ---- -------- Owner Address Installer — Driller Address Type of Building Dwelling--------------------------------------------------- Other - Type of Building--------------------- No. of Persons------------------------- Type of Well— Z -- Capacity_�`�-' - ---------- Purpose of Well---- - �-�Z -- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Hea Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until C rtificate of Comp ' nce has been issued by the Board of Health. Signe =- W-- — o ,� date Application Approved By. / ---- date Application Disapproved for the following re s: --------- - - --- -- ----- - ------------- ------ ----------- - -----------date - O -- date Permit No. -I� -- Issued---:� --- ----- d at e�� BOARD OF HEALTH TOWN OF BARNSTABLE C ertif irate Of COMPliance THIS TO CERTIFY, That the Individual Well Constructed Altered ( ), or Repaired ( ) o Gc� L_.C._ L-�-l�� - -- - ----- Installer has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. --------------------Dated----------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE-------- --- — - -- Inspector------ - - - —---—-= * a7k.n`ta Kld ter-• No. -- - ------ Fee BOARD OF HEALTH TOWN OF BARNSTABLE 2pplication-*rWell Con5tructionpermit Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at: Location,— Address Assessors Map and Parcel Pot iLkL"M Owner Address Installer — Driller Address i Type of Building Dwelling __—--- -- - --- - Other - Type of Building------------------ No. of Persons------------------------------------ L�a -r Type of Well—-L�—�v�''--------- Capacity-- -- Purpose of Well---- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of HeaM Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until C rtificate .of Comp . nce has been issued by the Board of Health. Signe �T/ —/3—��o 5 7 /Tet /�i../ date � — Application Approved B / (/ — --- pp pp y `( / date Application Disapproved for the following re S.— --------------------- -------------------- --------------- -- date Permit No. =' D --- Issued---� `- �atl �- _---ate--------- BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed �, Altered ( ), or Repaired ( ) by---5�m o _ l�c.�_�1 — D 2 l L�-l/V - -- - ...,_y � Installer at- �_`l-2= -= -�- 6 ( �'"t �_ _�_ ------ p L �- --- ---- - has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection J j) Regulation as described in the application for Well Construction Permit No. ---------------------Dated-------------------- THE ISSUANCE OF THIS CERTIFICATE-SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE—---- __— ---_ — Inspector------- -- - - —------—-- BOARD OF HEALTH TOWN OF BARNSTABLE Well Con5truct ion Permit No. - ----------- Fee Permission is hereby granted )FS y"0/14 6 Cito Construct (t a!Alter ( ), or Re air ( ) an Individual Well at: -� o�2 { � _1 x_ �s----------------------------------- L No. -- Street as shoj on the ap lication for a Well Construction Permit o3 No.--' ,� ����= -- Date / , / DATE Board of Health !— / ��! —_ i nn STEVENS & NORTH STREET • P.O. BOX 957, HYANNIS. MA 02601 • 1508) 771-3636 N155AN �ar-r-Ou December 2.7, 1999 Town of Barnstable Public Health Division P. 0. Box 534 Hyannis, MA 02601 ATTENTION: THOMAS A. MCKEAN Dear Mr. McKean, Your, letter of December 17, 1999 concerning floor drain regulations has afiready been compl ied'dwith. The oil-water separator system and pump station was installed and inspected by the Engineering Department and Health Department over two years ago. Sincerely, y Paul Bornstein 1 OWN OF BARNSTABLE — UNDFRGHUUND FUEL AND (:FiEh ; l..:lal. S1 ORAGE RF 6 I S1 R!-i ( 1 ON MAP NO, 3 PARCEL. NU. 22 P4 -TAG NO.t3 7 ADDRESS OF TANK:w_ ®4y S JOA llI) Z 6 1 VILLAGE: ��F��`y � MAILING ADDRESS ( IF DIFFERENT FROM ABOVE ) : OWNER NAME: 11 /�a1 �� �LtJlY1�!►Pc PHONE: INSTALLATION DATE: 3BY: INSTALLER ADDRESS`tyg",��- I� �l�9 i'✓/�l� CERT.IVO. *TANK LOCATION: ABOVE BELOW < ocommIDC TANK LOCATION WITH AQOPQL-r TO W—t NCAPACITY-J YPE OF TANK, � AGEjM.L2—YRS. FUEL/CHEMICA �KKC///�KKC//��� TESTING CERTIFICATION [ ] PASS [ ] FAIL DATE LEAK DETECTION [ ] CHECK IF N/A TYPE/BRAND ZONE OF CONTRIBUTION [ ] YES [ ] NO DATE TO BE REMOVED FIRE DEPT. PERMIT ISSUED [ ] YES [ ] NO DATE CONSERVATION [ ] CHECK IF N/A DATE BOARD OF HEALTH TAG NO. [ IST7 ] DATE * 'PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS rARn l OWN OF BARNSTABLE - UNDERGKUUND FLILIsEL AN1.) l;l I(_!•t ; f_/tl.. S 1 Ul-R0GE. RE G I S I RCS 1_ON t MAP NO �'/ PARCEL. NU. —2�� f'AG NO 7-7 v ADDRESS OF TANK: I 4100+ 15 YK I#JA& 15 0 2 6 0 1 VILLAGE 1 MAILING ADDRESS ( IF DIFFERENT FROM ABOVE ) : _ OWNER NAME: i f® cc! rm e PHONE: �u/ INSTALLATION DATE::` BY:l ie4-'j 1F+ V- (.A )4}/y INSTALLER ADDRESS ` 41UL ��/1- iF1�1 ti/=yt� Q_(�7 I y_ CERT :No. *TANK LOCATION: ABOVE BELOW ` 0, j - ( DC®OPQ I aG TANK LOCATION W Z l'H "w=mwCT TO mU Z ) CAPACITY I� YPE OF TAN�K��� ST AGEYRS. FUEL/CHEM I CA Pb vie, (. NPPP TESTING CERTIFICATION '[ ] PASS [ ] FAIL 'ti, DATE LEAK DETECTION [ 1 CHECK IF N/A TYPE/BRAND ZONE OF CONTRIBUTION [ ] YES [ ] NO DATE TO BE REMOVED FIRE DEPT. PERMIT ISSUED J ] .YES [ ] NO DATE CONSERVATION [ ] CHECK IF N/A DATE BOARD OF HEALTH TAG NO. [ ( fir( ] DATE PLEASE PROVIDE A SKETCH_,SHOW I.NG_.,,THE,. TAN K_-LOCAT I ON,:ON':a.THE ,Rar v. ..'nr.-.TL-J T MAP NO. PAPCEL NO. ,-MA I L I NG ADDRESS ( IF DIFFERENT FROM ABOVE ) : OWNER NAME: l7b 51&/,~ h6pod'am 01 lfi'o it-tolme PHONE : *TANK LOCATIQN: ABOVE BELOW TESTING CERTIFICATION I I PASS FAIL DATE LEAK DETECTION C I CHECK IF N/A TYPE/BRAND ZONE OF CONTRIBUTION [ ] YES [ ] NO' ' DATE TO BE REMOVED FIRE DEPT. PERMIT rSSUED [ 1 -YES [ ] NO DATE � CONSERVATION [ ] CHECK IF N/A DATE � BOARD OF HEALTH TAG NO. [ ���^l^� ] DATE ` � PT. ` * 'i OWN OF BARNSTABLE - UNUE_RGHUUND F UEL AND Cl IEM ; l.;Ol_ S I ORAUE RELY I Sl PCO I ON MAP NO. PARCEL. NO . 2240 CO 1 _ TAG NO. ADDRESS OF TANK: /7�/47 Al', VILLAGE : lvumb�r Otr�et MAILING ADDRESS ( IF DIFFERENT FROM ABOVE) : OWNER NAME: ' lv 1,4,q oq gjinmfu,I tP �%Uw1� PHONE: ho l--44619 r 1 ® P _ INSTALLATION DATE: Y: ImfiehS��t�� ;�( hi• INSTALLER ADDRESS:All= 1 b iv i� MA 0 1-6,0I CERT.NO. 713 4w sic vL *TANK LOCATION: ABOVEBELO _. �; < DGOORZDG TANK LOCATION WITH RQOPQCT TO OUZ CAPAC I T PE OF TANK � Q�U& E ,� _YRS. FUEL/CHEMICAL u/1�✓ TESTING CERTIFICATION [ ] PASS [ ] FAIL DATE LEAK DETECTION [ ] CHECK IF N/A TYPE/BRAND ZONE OF CONTRIBUTION [ ] YES [ ] NO DATE TO BE REMOVED FIRE DEPT. PERMIT ISSUED [ ] YES [ ] NO DATE CONSERVATION [ ] CHECK IF N/A DATE BOARD OF HEALTH TAG NO. DATE PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK F THIS r.ARn I OWN OF BARNSTABLE — .UNDERGflUUND FUEL IaNL� 10HA(;E Pf-1 T S1 RCS 1 1, ON MAP NO, 3O9 PARCEL. NU 22(o CO _ TAG NO. ADDRESS OF 'TANK: /I/QN-�e Sl V ILLAGE • �p ` AVLI2 .MAILING ADDRESS ( IF DIFFERENT FROM ABOVE) : OWNER NAME: {mvlty No HIM -e I1C' Cum- re PHONE: 146 19 1 CO INSTALLATION DATE: INSTALLER ADDRESS: 14 4 aST ' ti•p/i5 i-6o I 'CERT.NO. 7/3 t&e s c-oz dG *TANK LOCATION: ABOVE BELO < owwcm x aC YANK LOCATION WITH RGOPQCT TO OU I �D�I�ND�). CAPACIT PE OF TANK --,ND ��X rE r�YRS. FUEL/CHEMICAL TESTING CERTIFICATION [ ] PASS [ ] FAIL DATE LEAK DETECTION [ I CHECK IF N/A TYPE%BRAND ZONE OF CONTRIBUTION [ ] YES [ ] NO DATE TO BE REMOVED FIRE -DEPT. PERMIT ISSUED [ ] YES [ ] NO DATE CONSERVATION [. I CHECK IF N/A DATE BOARD OF HEALTH TAG NO. [ 13 ] DATE >k PLEASE PROV.I,DE A., SKETCH.,:,_,SHOWI.NG.. THE, .:T.ANK...,,L,OCAT.ION;,,,,:ON...T.HF..,Rrac.K,',.nF ,TN.rC,:Z_ f-AMn,-06. . :_ ~� /1AILlN8 ADDRESS ( IF DIFFERENT FROM ABOVE ) : *TANK LOCATION: ABOVE BELO)�u K2/#0SU0&4GE Y a F*7 0r EMr 7C Am LL' kL;3' CAPACITY 9A. TYPE OF 'TANK RS. FUEL CH TESTING CERTIFICATION [ ] PASS [ ] FAIL DATE � LEAK DETECTION [ ] CHECK IF N/A TYPE/BRAND ` ZONE OF CONTRIBUTION [ ] YES [ ] NO DATE TO BE REMOVED ` FIRE DEPT. PERMIT ISSUED [ ] YES [ ] NO DATE CONSERVATION [ ] CHECK IF N/A DATE BOARD OF HEALTH TAG NO, [ / �'�� . '_ / * ] DATE ' * ' ' �o�nvmo�cuecz�t� o�UG`�sccc�tc�eC�i AP �icrrxt„ze�Zta� axe c�9'er�we4 — ;h7o�txc�a� xs ✓"Xauentum® 4 � APPLICATION and PERMIT Fee: for storage tank removal and transportation to approved tank disposal-yard in of M.G.L. Chapter 148, Section 38A, 527 CMR 9.00, application isherbymade by: rdance with the provisions • Tank Owner Name(please print) - MLM4AL 6/L Ca X � vrtnr Address 96-9 i asC6;yr ti'U4 �i�3n sn w S4a X CAY 111014 • Company Name C•YN F_r1Yll /o�1�=�1TA/ Co.or Individual Address 100' r Et - .21Z S7-gQu6H7i!5ti A4A Address �+u SkyTture(lf applying for permit) — Signature(V applying for permit) H'ttD _ IFCI Certified Other G lFC1 Certified ` LSP# _ Other Tank Informatfoll Tank Location A16,vM S 1 A N id/S ——-- Su.r naw.,• A4A Gdr Tank Capacity(gallons) .11. GOC> —. Substance Last Stored Tank Dimenslons(diameter x length) t Remarks: I 7Firmtransporting waste CYAf l/11ZdM Hr �rT/�L State Lk;. # Mn 40 s waste manifest# E.P.A. # M)470 0S( vi () Approved tank disposal yard 4 �N+S1 i=l- Tank yard# ®`a Type of inert gas ('0 21 Tank yard address 1 OW- Uj—r `s- fv i �d/aic City or Town FDID# Permit# Date of issue, �_ r 0 Date of expiration Dig safe approval number. 003 1 B Dig Safe Toll Free Tel. Number-8W;91 Signature/Title of Officer granting permit Elf' ', �' '� After removal(s) send Form FP-29OR signed by Local Fire Dept.to UST Regulatory Complia nit, r7 Room 1310, Boston. MA 02108-1618. FP-292(revised 9196) _"' �po�rrurrao�reu�e�t�o�C�a�la,zceGZ� - ��`i��ime�n-tc���iixe C.Jn��cce� APR 04 F�1'D cp.�ec ctaue ��ce ac��ra CJ� t� - GGCJ�✓Leycr,`atarr� arr�ilccr�rc.ce��linct Notification for Removal or Closure of In Place Storage Tanks Regulated Under 527 CMR 9.00 Forward.completed form,signed by local fire department,to: Mass. UST Compliance Unit, Fire Dept. Use Only Dept. of Fire Services,P.O. Box 1025-State Road, Stow, MA 01775 "HYANNIS FIRE PREVENTION RI�ME6�, ceived: _,�V,3.jlCt3 -- Telephone (978) 567-3710 HYANNIS FIRE OEPARTME -Fire Dept. ID# _ ZY_ (Fire Department retains one copy of FP-290R) 95 HIGH; SCHOOL RD. EXr Fire Dept. Sig.� v u MA 02601 S This form is to be used for notification for removal of Underground Storage Tanks/ - • Piping. If a storage facility has UST's which are to remain in use, an entire amended FP-290 A. Facility Number (long form) must be filed. B. Date Entered Note: "Facility street address"must include both a street number and a street name. C. Clerk's Initials— _____________ Post office box numbers are not acceptable, and will cause a registration to be D. Comments returned. If geographic location of facility is not provided, please indicate distance ------------------------- and direction from closest intersection, e.g., (facility at 199 North Street is located) ------------------------- 400 yards southeast of Commons Road (intersection). ------------------------ I. OWNERSHIP OF TANK(S) II. LOCATION OF TANKS, Owner Name(Corporation, Individual,Public Agency,or Other Entity) If known,give the geographic location of tanks by degrees,minutes,and Mutual Oil Co . Inc . seconds.Example:Lat.42,36, 12 N Long.85,24, 17W j Latitude Longitude ------------- 863 Crescent Street SE corner of High School Rd . Ext . ----Address -------------------------------------- ----------io--------------------e) ---------------- Street Address Distance and direction from closest intersection(see note above) M u`E u a l Oil C o . , Inc .- #,7 3 Facility Name or Company Site identifier,as applicable Brockton MA ____02303-025 r1.49__North_ Street -_-_----__-- ------ ----------------------- - ---------------- City State Zip Code •*Street Address(P.O.Box not acceptable-see note above) Plymouth ..Hyannis _ MA 02601 county `City State Zip Code (508) 583-5777 04-164-7658 Barnstable -------------- Code) -- ---------------------- County ------------------------------------------------- Phone Number(Include Area Code) Owner's Employer Federal ID k County 111. TANKS/PIPING REMOVED OR FILLED IN PLACE Tank Number Tank No. 1 Tank No-2- Tank No, 3- Tank No. Tank No. 1. ank iping removed or filled in place (mark all that apply) A. Substance last stored olive ,olin 0 B. Tank capacity gallons log 000 5,000 5,Wo C. Estimated date last used (mo./day/yr.) 12/26/02 12/26/02 12/26/02 ---------------------------------- ------------- D. Estimated.date of removal (modday/yr.) 1/08/03 1/09/03 1/09/03 E.Tank was removed from ground F. Tank was not removed from ground Tank was filled with inert material 0 �� Describe material used: _ G.Piping was removed from ground H. Piping was not removed from ground I i Mined uraineclraine & I. Other, please specify ram-Capped d FP-290R(revised 11981 OVER Tank Number(cont:) Tank No. Tank No. Tank No.-3- Tank No.__ Tank No.^_ 2. Tank closed in accordance with 527 CMR 9.00 M Yes ❑No KI Yes ❑No. ]Yes ❑ No ❑Yes ❑No ❑Yes ❑No A. Evidence of leak detected ❑Yes t1 No ❑Yes CRNo ❑Yes ER No ❑Yes ❑No ❑Yes ❑ No B. Mass. DEP notified ❑Yes )p No ❑Yes (X No ❑Yes ®No ❑Yes ❑No ❑Yes 0 No 1. Mass. DEP tracking number 2. Agency or company performing contamination assessment *527 CMR 9.07(J),see"Commonwealth of Massachusetts,Underground Storage Tank Closure Assessment Manual"April 9, 1996 DEP Policy#WSC-402-96 I declare under penalty of perjury that I have personally examined and am familiar with the information submitted in this and all attached documents, and that based on my inquiry of those individuals immediately responsible for obtaining the informa- tion, I believe that the submitted information is true, accurate, and complete. Name and official title of owner or owner's Signature: Date: authorized representative (Print) Eduard A. Rachins President 1/29/03 a FP-290R(revised 5/98) C/G`czdsackoem • APR 0 ' '�e`tcrrxli�ae�tta�C�v re r'�ea�vicea — ;lOoaa�o��vxe �xeuentcayt4 Eff-D 1 APPLICATION and PERMIT Fey: for storage tank removal and transportation to approved tank dis osa -=® of M.G.L. Chapter 148, Section 38A, 527 CMR 9 00, applications hereby madeby: rdance with the provisions Tank Owner Name(please print) 1_ (ATUAI- OIL_ co x WON IIIa�n Addreas Rag JZFs cEnl7- ST f32ociazt! A�l/4 0�303 srr••r Gy Sun .Zp Company Name GYA1 F-WI Co.or Individual Address l00' r�ot4- D��SToUC.H7anl MA Address SI re(0 ap)tying for &mft) Signature(if applying for permit) - IFCl Certified Other - G IFCI Certified t LSP A Other Tank Informatfoll Tank Location _«9 90K77/ S T f�yA NM/S MA .. Sr••r Aft." Gh' /. Tank Capacity(gallons) -5�'b Substance Last Stored 6ASDLjAfi Il/ Tank Dtmenslons(diameter x length) 3 Remarks: i Firm transporting waste C I tENWk614 mEAJTgt_ State Lic. 11 40 Hazardous waste manifest# - N (o� [� S�,3 E.P.A. # _-- �: ()r6 Z 0 3-72-7 Approved tank disposal yard ABON° -_'7EF-.L Tank yard# �� Type of inert gas - (102, Tank yard address _ tJ'tJ i g&&-l-IT _Lr �pCfCTv�y . ,r fq CI or Town `fVr�l}��� ' y z 2 ry FDID# U � � Permit# �� �3 t� '� - Date of issue ; / f o3 Date of expiration Dig safe approval number. d 003 0 f 0 d 99 ;�� Di afe Toll Free Tel.Number-800-322-4844 Signature/Title of Officer granting permit 1JREAU" EW After removal(s) send Form FP-29OR signed by Local Fire Dept..to UST Regulatory Complian nit, AfflK, �a 3 Room 1310, Boston,MA 02108-1618. FP•292(revised 9196) Jr ,P3 Envimnmental Services October 11, 2017 Paul Canniff, Chairperson silz Town of Barnstable Board of Health 200 Main Street Hyannis, Massachusetts 02601 Re: Availability qf.a,P.ermanent Solution Statement —,,—S-peedway'Stbre'#2429 149,North-Str6et-_ Hyannis, Massachusetts MassDEP RTN 4-26837 Dear Mr. Canniff In accordance with the Massachusetts Contingency Plan (MCP) as set forth at 310 CIVIR 40.1403(3)(0, notification is hereby made that a Permanent Solution Statement was submitted to the Massachusetts Department of Environmental Protection (MassDEP) for the above-referenced location. A release of approximately 10 gallons of gasoline occurred at the Speedway Store on August 25, 2017. Upon notification of the release on August 25, 2017, MassDEP assigned Release Tracking Number 4-26837 to Speedway. Gasoline was removed from concrete surfaces at the store using absorbent materials. As a result of the removal, a Permanent Solution was attained at the Speedway Store. Copies of the Release Notification Form, Locus Map, and Site Plan are attached. A copy o'f.the report can be obtained from EnviroTrac, by calling (781) 793-0074 or by sending a request in writing to 2 Merchant Street, Suite 2, Sharon, Massachusetts 02067-1630. Sincerely, EnviroTraC14�d,_ Patrick D. Corcoran, LSP Senior Project Manager M. MassDEP SERO Speedway LLC 2 Merchant Street, Suite 2, Sharon MA 02067(781)793-0074 Fax: (781)793-7877 www.envirotrac.com �, --- - Massachusetts Department of Environmental Protection BWSC 103 Bureau of Waste Site Cleanup RELEASE NOTIFICATION&NOTIFICATION Release Tracking Number "� RETRACTION FORM 4 J - 26837 Pursuant to 310 CMR 40.0335 and 310 CMR 40.0371(Subpart C) A.RELEASE OR THREAT OF RELEASE LOCATION: 1.Release Name/Location Aid: SPEEDWAY GASOLINE SERVICE STATION 2.Street Address: 149 NORTH STREET 3.City/Town: HYANNIS 4.ZIP Code: 026010000 5.Coordinates: a.Latitude:N 41.65236 b.Longitude:W 70.28777 B. THIS FORM IS BEING USED TO: (check one) {� 1.Submit a Release Notification 2.Submit a Revised Release Notification 3.Submit a Retraction of a Previously Reported Notification of a release or threat of release including supporting documentation required pursuant to 310 CMR 40.0335(Section C is not required) (All sections of this transmittal form must be filled out unless otherwise noted above) C. INFORMATION DESCRIBING THE RELEASE OR THREAT OF RELEASE(TOR): 1.Date and time of Oral Notification,if applicable: 8/25/2017 Time: 08:00 r AM 1✓PM mm/dd/yyyy hh:mm 2.Date and time you obtained knowledge of the Release or TOR: 8/25/2017 Time: 07:00 AM rV PM mm/dd/yyyy hh:mm 3.Date and time release or TOR occurred,if known: 8/25/2017 Time: 06:45 1—AM r PM mm/dd/yyyy hh:mm Check all Notification Thresholds that apply to the Release or Threat of Release: (for more information see 310 CMR 40.0310-40.0315) 4.2 HOUR REPORTING CONDITIONS 5.72 HOUR REPORTING CONDITIONS 6.120 DAY REPORTING CONDITIONS W a.Sudden Release r a. Subsurface Non-Aqueous Phase r a.Release of Hazardous Material(s)to Liquid(NAPL)Equal to or Greater than Soil or Groundwater Exceeding 1/2 Inch(.04 feet) Reportable Concentration(s) f— b.Threat of Sudden Release r b.Underground Storage Tank(UST) (! b.Release of Oil to Soil Exceeding Release Reportable Concentration(s)and Affecting More than 2 Cubic Yards 1— c.Oil Sheen on Surface Water r' c.Threat of UST Release r" c.Release of Oil to Groundwater Exceeding Reportable Concentration(s) r` d.Poses Imminent Hazard r` d.Release to Groundwater near Water r d. Subsurface Non-Aqueous Phase Supply Liquid(NAPL)Equal to or Greater than 1/8 Inch(.01 feet)and Less than 1/2 Inch (.04 feet) e.Could Pose Imminent Hazard I- e.Substantial Release Migration f.Release Detected in Private Well g.Release to Storm Drain h.Sanitary Sewer Release (Imminent Hazard Only) Revised:07/18/2013 Page 1 of 3 Massachusetts Department of Environmental Protection BWSC 103 Bureau of Waste Site Cleanup �{ RELEASE NOTIFICATION&NOTIFICATION Release Tracking Number ti RETRACTION FORM i 4 26837 Lt Pursuant to 310 CMR 40.0335 and 310 CMR 40.0371(Subpart C) C. INFORMATION DESCRIBING THE RELEASE OR THREAT OF RELEASE (TOR): (cont.) 7.List below the Oils(0)or Hazardous Materials(HM)that exceed their Reportable Concentration(RC)or Reportable Quantity(RQ)by the greatest amount. Check here if an amount or concentration i o s unknown or less than detectable. O or HM Released CAS Number, O or HM Amount or Units RCs Exceeded,if Applicable if known Concentration (RCS-1,RCS-2,RCGW-1, RCGW-2) GASOLINE 0 10 GAL N/A Check here if a list of additional Oil and Hazardous Materials subject to reporting,or an other documentation relating to this notification Y g is attached. D.PERSON REQUIRED TO NOTIFY: 1.Check all that apply: a.change in contact name b.change of address r c.change in the person notifying 2.Name of Organization: SPEEDWAY,LLC 3.Contact First Name: JOHN 4.Last Name: ENGDAHL 5.Street: 500 SPEEDWAY DRIVE 6.Title: ENVIRONMENTAL REPRESENTATIVE 7.City/Town: ENON 8.State: OH 9.ZIP Code: 453230000 10.Telephone: 732-738-2923 11.Ext.: 12.Email: jjengdahl@speedway.com 13.Check here if attaching names and addresses of owners of properties affected by the Release or Threat of Release,other than an owner who is submitting this Release Notification(required). E.RELATIONSHIP OF PERSON TO RELEASE OR THREAT OF RELEASE: r-Check here to change relationship r 1.RP or PRP r a.Owner r b.Operator c.Generator r d.Transporter P-e.Other RP or PRP Specify: NON-SPECIFIED PRP f-2.Fiduciary,Secured Lender or Municipality with Exempt Status(as defined by M.G.L.c.21E,s.2) 1—3.Agency or Public Utility on a Right of Way(as defined by M.G.L.c.21E,s.50)) 4.Any Other Person Otherwise Required to Notify Specify Relationship: Revised:07/18/2013 Page 2 of 3 f i Massachusetts Department of Environmental Protection BWSC 103 Bureau of Waste Site Cleanup RELEASE NOTIFICATION&NOTIFICATION Release Tracking Number RETRACTION FORM - 26837 Pursuant to 310 CMR 40.0335 and 310 CMR 40.0371(Subpart C) F.CERTIFICATION OF PERSON REQUIRED TO NOTIFY: 1.I,JOHN ENGDAHL attest under the pains and penalties of perjury(i)that I have personally examined and am familiar with the information contained in this submittal,including any and all documents accompanying this transmittal form,(ii)that,based on my inquiry of those individuals immediately responsible for obtaining the information,the material information contained in this submittal is,to the best of my knowledge and belief,true,accurate and complete,and(iii)that I am fully authorized to make this attestation on behalf of the entity legally responsible for this submittal.I/the person or entity on whose behalf this submittal is made am/is aware that there are significant penalties,including,but not limited to,possible fines and imprisonment,for willfully submitting false, inaccurate,or incomplete information. 2.By: JOHN ENGDAHL 3.Title: ENVIRONMENTAL REPRESENTATIVE Signature 4.For: SPEEDWAY,LLC 5.Date: 10/18/2017 (Name of person or entity recorded in Section D) mm/dd/yyyy f" 6.Check here if the address of the person providing certification is different from address recorded in Section D. 7.Street: 8.City/Town: 9.State: 10.ZIP Code: 11.Telephone: 12.Ext.: 13.Email: YOU ARE SUBJECT TO ANNUAL COMPLIANCE ASSURANCE FEES FOR EACH BILLABLE YEAR FOR TIER CLASSIFIED DISPOSAL SITES.YOU MUST LEGIBLY COMPLETE ALL RELEVANT SECTIONS OF THIS FORM OR DEP MAY RETURN THE DOCUMENT AS INCOMPLETE.IF YOU SUBMIT AN INCOMPLETE FORM,YOU MAYBE PENALIZED FOR MISSING A REQUIRED DEADLINE. Date Stamp(DEP USE ONLY:) Received by DEP on 10/18/2017 1:55:05 PM Revised:07/18/2013 Page 3 of 3 yR--ice of IN MW g ag, AN. ,I: �1 xxUi �'- � i` (tee + � ''WO ���� �4.�"Rs�igq�p{♦�- "�{}��1'�'i�.� Qr � .ii'���CC111 '�� ` r ���� ♦•.l`PR �1r--- 411111 1124 tv +W. �1��✓g ��.�SEY" �.� ��� i��; 1, a��• T' t< s f� •�' IN p"I W ,t• = ON I .1/ 1,000 •000 Feet .. 1. 000 Longitude: 1• ErisO. SPEEDWAY STORE#2429 -o u r-&%- 1 149 NORTH STREET Environmental Services HYANNIS, MASSACHUSETTS Street,2 Merchant El nviroirac Environmental Services December 28, 2009 Thomas A. McKean, Director Town of Barnstable Board of Health 200 Main Street Hyannis, Massachusetts 02601 Re: Class A-1 Response Action Outcome Statement Hess Gasoline Station#21234 149 North Street Hyannis, Massachusetts 02601 MassDEP RTN 4-22310 Dear Mr. McKean: In accordance with the Massachusetts Contingency Plan (MCP) as set forth at 310 CMR 40.1403(3)(f) and 1406(3), notification is hereby made that a Class A-1 Response Action Outcome (RAO) Statement was submitted to the Massachusetts Department of Environmental Protection (MassDEP)for the above-referenced location. A Threat of Release was identified on October 8, 2009 as a result of a leak in the premium gasoline line releasing gasoline into the submersible transfer pump (STP) sump. On December 10, 2009 the UST and dispensers were taken out of service and the line was repaired. A release of gasoline to the environment did not occur from the UST. Copies of the site locus map and site plan are attached. A copy of the report can be obtained from EnviroTrac by calling (781) 793-0074 or by sending a request in writing to 2 Merchant Street, Suite 2, Sharon, Massachusetts 02067-1630. If you have any questions please call the undersigned at (781) 793-0074. Sincerely, EnviroTrac Ltd., CD Cif � � o Patrick D. Corcoran, LSP Senior Project Manager cc: MassDEP SERO N, Michael Matri, Hess Corporation w oro V rn 2 Merchant Street, Suite 2, Sharon MA 02067(781)793-0074 Fax: (781)793-7877 www.envirotrac.com SJ y � �✓ �_ Sri.' ,�e � j t��# � 'tz.w~ .?� S' �� �, , » 01 dew ON A ait } •� k w i.. `rv!`i ., 3. '� ,� ,-.. � � �. s.. *� '�j..Y -,»nr"''«.'� :.,-s„� � *c 4 � ..,�••`uf.,. �r1-'.� t ? •1: t�3? {' �-,.' +�� �„t_' r 3a�' ifJr �y ris �. ,a, 1 4yi. fA ` rr' f � i +. `�r"� �4 •.' "G � �+r +'�,�5 ` •aim�».`'i,�f:�s. ) .• Y .�. � �,� �� � {+ .� �' � a �. ,°��iF. „� say, ,+.. � ..ram» V y, � � a ' •� �'Y • � ...a*t � '�'.� i #,�-� f *�t+' •�t Tay. y � �� ���a FURi.. ,1'r ',fir '� ".,. �`•t °k rt 2,000 1,000 0 2,000 4,000 Feet Scale:1:12,000 Hess Station#21234 FIGURE 1 UTM Coordinates: 149 North Street Hyannis,Mass.02601-3807 SITE LOCUS MAP 4,611,970 m North UNITED STATES GEOLOGICAL SURVEY 392,780 m East HYANNIS,MASS.QUADRANGLE N Contour Interval: 10 ft. W E �q`` fI ®®�� C S Environmental Services l dRayTech, Inc. 5 Howard Drive Plymouth, Massachusetts 02360-4207 Voice: (508) 746-1188 Fax: (508)747-6731 March 30, 1998 4 RESPONSE ACTION OUTCOME REPORT Class A-1 DEP Release Tracking Number 4-13581 Initial Notification Date January 10, 1998 @ 2310 Immediate Response Action January 10, 1998 Verbal Approval Date Conversation between DEP's Mr. Mark Jablonski and RayTech's Mr. Raymond F. Leather Responsible Party Mutual Oil Co., Inc. Post Office Box 250 863 Crescent Street Brockton, Massachusetts 02403-0250 Site Location Mutual Station #73 ' 149 North Street Barnstable (Hyannis), Massachusetts 02601 UTM Coordinates = 4611766N ; 392691E 310 CMR 40.1056 1. Synopsis of Response Action Outcome (RAO) On Saturday night,January 10, 1998, a delivery of premium gasoline was being made to an underground storage tank (UST) at a gasoline dispensing convenience store at 149 North Street in Hyannis. On or about 2035, there was a sudden release of approximately twenty-seven (27) gallons' of the gasoline. A conservative estimate of the quantity released was reached by assuming a uniform layer of gasoline 0.125 inches thick and 2 feet wide along the gutter in High School Road Extension for a distance of 176 feet (all dimensions are approximations only). Tbus; (176 feet * 2 feet * (0.125 inches _ 12 inches)) .* 7.48 gal/ft' = 27 gallons Engineering and Environmental Consultants in America's Home Town The Hyannis Fire Department (HFD) was called and arrived on the scene. The HFD blocked z two catch basins'in the immediate vicinity of the release and simultaneously applied a foam layer to gasoline covered surfaces. Cyn Environmental Services Emergency Response Team (CYN) arrived a few hours later. While the HFD sprayed water on and around the point of release to rinse residual gasoline into the gutter, CYN vacuumed the foam/water/gasoline mixture from High School Road Extension gutter into their vacuum truck. Concurrent with the water spray application,CYN personnel broomed the water layer into the vacuum hose to ensure maximum remediation. After all of the water/foam/gasoline mixture was recovered by the vacuum truck,CYN personnel removed the absorbent material and covers protecting the two catch basins. CYN personnel swept the absorbent material from the gutters and placed it into 55 gallon drums. RayTech's Mr. Ray Leather made a visual and olfactory check of catch basins for gasoline and found them to be clear. A short time later, Mr. Leather screened the catch basins for total volatile ionizable compounds (TVICs)using a portable Photo Ionization Detector (PID)' with negative results. Additionally, no softening of the bituminous concrete was observed indicating insufficient exposure time for the gasoline to attack the integrity of the surface covering. All recovered product and spent absorbent material was removed from the site immediately for disposal by CYN. On Monday afternoon, January 12th, Mr. Leather revisited the site to check for TVICs. Again, using the portable PID', no evidence of gasoline was found in either catch basin or the section of affected gutter. While staining was readily evident on the bituminous concrete,there was still no softening of the material. At the greatest extent of the release, the gasoline had coated or stood in various thicknesses on approximately four hundred (400) square feet of concrete and bituminous concrete. Evidence indicates the gasoline flowed in a westerly direction from the UST fill on a concrete pad until it intersected with the gutter on the eastern boundary of High School Road Extension, a bituminous concrete paved street, where it proceeded in a southerly direction for approximately one hundred and seventy-six (176) feet. 2. 1f the Response Action(s)on which the LSP opinion in BWSC-104,Section H are (were)subject to any order(s),permit(s), and/or approval(s) issued by the Commonwealth of Massachusetts Department of Environmental Protection (DEP) or the United States Environmental Protection Agency (USEPA), identify the applicable provisions thereof. I • On January 10, 1998, RayTech's Mr. Raymond Leather obtained verbal approval from Mr. Mark Jablonski of DEP to conduct an Immediate Response Action (IRA) involving the removal of spilled 2 A sheet of polyethylene was first placed on the grate; followed by a piece of plywood approximately two feet square. Sufficient granular absorbent material was poured on the plywood,the plastic sheeting,and the surrounding area j to impound the water/foam/gasoline mixture and keep it from reaching the catch basin(§). The plastic sheeting extended approximately two to three feet beyond the plywood square. Sufficient absorbent material was placed by the HFD to impound the foani/water gasoline mixture prior to the catch basins within the gutter of High School Road Extension. s The two catch basins have been designated CB-1 and CB-2. CB-1 is located just to;Xbe north of the release (topographically up gradient) at the intersection of North Street and High School Road Extension. CB-2 is located to the south of the release(topographically down gradient)approximately 230.to 250 feet south of the CB-1 in High School Road Extension. R406--*RAO 03/30/98 - RTN N2 4-13581 - Page 2 i My' gasoline and associated spill response materials from the Site. ga P Po 3. Give a clear and accurate description of the location of the site or the location and boundaries of the disposal site or portion of disposal site,as specified in 310 CMR 40.1003(4),to which the RAO applies. Such description shall reference, to the extent practicable, the location of the site, and location and boundaries of the disposal site or portion thereof relative to permanent or semi permanent landmarks, and/or surveyed boundaries. 1310 CMR 40.1056(2)(a)) The Release Site is located on the property at 149 North Street in Barnstable (Hyannis) in Barnstable County. The Site property is on the southeast corner of the intersection of North Street and High School Road Extension. The Response Action Outcome is for the surface spill which occurred on Jan. 10, 1998. The surface spill originated at a point on the western part of 149 North Street,encompassing the western .edge of the property,and extending into the eastern gutter of High School Road Extension. The release is further defined by maps and sketches included in Appendix A and photographs in Appendix C. 4. For all Class A Response Action Outcomes and, where applicable, to Class C Response Action Outcomes,demonstrate that all uncontrolled sources, as specified in 310 CMR 40.1003(5) have been eliminated or controlled.{310 CMR 40.1056(2)(b)} overfill of the UST during The source of the gasoline release was an g Product delivery. There was no vessel or piping failure(s). Documentation (Hazardous Waste Manifests) for the 800 gallons of water/foam/gasoline mixture recovered and 1,200 pounds of spent absorbent material removed from the site is contained in I'd Appendix B. 9 5. For all Class A and B Response Action Outcomes, include information supporting the conclusion that a level of No Significant Risk has been achieved or exists.1310 CMR 40.1056(2)(c)I While there was a sudden release of gasoline to the environment,the material was rapidly and effectively contained and removed. There was no exposure to soil, surface water, or groundwater. Screening of the catch basins, CB-1 and CB-2, with a portable PID°on January 11th at 0305 and, again, on January 12th at 1600 showed no detectable levels of TVICs. 6. For all Class C Response Action Outcomes, include information supporting the conclusion that no substantial hazards remain at the disposal site.{310 CMR 40.1056(2)(d)} N/A .. R406—>RAO 03/30/98 - RTN N2 4-13581 - Page 3 7. For all Class A Response Action Outcomes,document the extent to which levels of oil and/or hazardous material in the environment have been reduced to background,and for all Class A-2 and A-3 RAOs, the results of the feasibility evaluation conducted pursuant.` ty uant to 310 CMR 40.0860 P demonstrating that '7 the achievement of background is not feasible.1310 CMR 40.1056(2)(e)1 Field screening of the catch basins, CB-1 and CB-2, with a portable PID4 on January llth at 0305 and, again, on January 12th at 1600 showed no detectable levels of TVICs. The non-detectable TVIC concentrations arc presumed to be representative of background conditions. These findings are consistent with background levels. Therefore, a risk characterization was nor performed. 8. Document any and all Activity and Use Limitations which have been implemented under 310 CMR 40.1070.1310 CMR 40,1056(2)(f)) None. 9. If the RAO is based upon the implementation of an Activity and Use Limitation, include an Activity and Use Limitation Opinion as specified in 310 CMR 40.1071 or 310 CMR 40.1074, whichever is apphcable;1310 CMR 40.1056(2)(g)} N/A 10. Describe any operation, maintenance, and/or monitoring that will be required to confirm and/or maintain those conditions at the disposal site upon which the RAO is based.(310 CMR 40.1056(2)(h)} None. + IL For all Class C Response Action Outcomes, discuss and include a copy of the plan, as specified in 310 CMR 40.0861(2)(h), which presents definitive and enterprising steps to be taken toward achieving a Permanent Solution at the disposal site.1310 CMR 40.1056(2)(i)I N/A r 4 The screening was conducted using a portable PID,I INU Model-101(serial number A70W..)having a light source energy of 10.2 electron volts (cV)and calibrated to an isobutylenc standard of 57 ppm. The PID was calibrated before each of the screening events. R406—>RAO 03/30/98 - RTN N4 4-13581 - Page 4 March 30, 1998 RESPONSE ACTION OUTCOME REPORT Class A-1 DEP Release Tracking Number 4-13581 Initial Notification Date January 10, 1998 @ 2310 -------------- Immediate Response Action January 10, 1998 Verbal Approval Date Conversation between DEP's Mr. Mark Jablonski and RayTech's Mr. Raymond F. Leather Responsible Party Mutual Oil Co., Inc. Post Office Box 250 863 Crescent Street Brockton, Massachusetts 02403-0250 Site Location Mutual Station #73 149 North Street . i Barnstable (Hyannis), Massachusetts 02601 UTM Coordinates = 4611766N 392691E 310 CMR 40.1056 Appendix A z USGS LOCUS Map MA D EP BWSC Site Scoring Map Property/Site Sketch Y i VIA :r - �' �� � ♦��� .'r � '!'non, �_ � �, ,, � ��- :,. But �n I Y .., •, \ .. VA U.S. DEPARTMENT OF •- 000 metfic NOTE: photo • •• Hyannisuction. During the MA DE - ure o' t Waste Site Cleanup 14 RE fdAME: Site Scoring Asap: 500 feet & 0.5 Mile Radii utual Station 73 The k110mwft rl Owym on thla map �.e,o.9 North Street le te beet available attM mob &B I Syo— Hyannis,MA of priming Plum refer to to4611766n392691ew Site Location mtaeouwdeeor"orind—lent IlberEe GaaseerlAJi. �+ Wig ,�... ..�. \ \ V01,4� -,?. X t � a "yi 1 Eik \ is i 'Fri �� C,� n� I� ��..4"---t.� �"£c,�+.t• i �DrQ�i1� 4 ,� B, .� \��:T N E-n ��•,y �.\ �'� ~� e4.3 \ f�'r':•^,pp� r�iw�r O a � i c'4S a " d1 � � * � . vtN Y p" I F -1 � � � I Ft t I � XAN� I � ''z;�t1` 1t�#t'�7'sf,,, p I i c �* �I � � � I 1�� �I r 9 ''� x �,�,�r. F i, 1�j" _.y,��n rY�� ' �ts a' '��t_• fi f is r •^fwv tl p it I =' I{��I'� �,� �►:� �s �.I`;'��a t `�"�'' ��' � � '` tit im�#� +t A I � I ( I �"•__- � - °:.''�. I ;` ,_ �t;R. ...�,. .wE�J'�, �;. _ ,. , I ��...4i tin't•a '/ 1 v �iIi��I6xf �a a � S tti ;f3 c ,� � �• z- - N .: s ��; � { �ii' ., `�' ;�t! r it �I a � � I- Isa- O VV a• PPO c t k m t M t4q t j s nS SJi ; W i •F �O C v� I I`t'' '`� uHi t;.�"�,'Y'rr�� �"'�.�'�j'�E � � � � 1' F• �� ��' �' '�:' �' •�' .I I I.I . j,.. � �I � , yD.•� � I t�1�S���} ����D E "'�+�;'Y war, n o NAI yy'wq. T LII�`I I 3 S � O I ��' e ;t��a.�"•�5 �4 r� '��� "'ttP �' / � 9 I it �. "fai,�.:,�a�"'r�� iS Lam€ i{ ;� II Iil. I I III� (( (I#IIIiiYti .:1��� Xj Roads:kltastate,US,State,SSttroet Trai �^"""� ---- t3'A Deegnated Sole Source Aquifer N............................... [FT IT Boundaries:Municipal,Cou nty,DEP Rn&n.......... — — reeau■ "ic water Su ppies:Gound,Suface Non Community © © O Train:Powertine:Pipeline ......................... Approved Zone2:IWPA:.................................. Drainage Banns:Maior,Stb ...............................m Hydrography:Water FeahimPtbic Surface Water Su ppty ... Streans-fierannial,kntermitterd — — W9tlands•Fresh,Satt.N-IESP Wetlands Habitat Aqueduct .......... ...... Potentially Productive Aquifers:h4ediurn YAd,Hgh Yield .... '`4i=r3i Protected Open Space:ACEC ........................... Non-Pbtential Drirkig Water Source Area:Madium,High Yield '*t H DEP Permitted Solid Waste Facilities:Certified Vsnel fools .. S MILE CALE 1:15000 0 '�Z 112 KILOMETERS' �' March 31, 1998 I AS I RayTech I site sketch Muta1 Station #73 149 North Street 03/30/98 1^ = 35 ` A I ® ; iQ Fenoe 7 j c _- I 0 • I o � C FL o f� • I x Premium a FIII o General i o< Extent C rCB-1 of Release j COD a �CB-2 n High School Road Extension 1 y March 30, 1998 RESPONSE ACTION OUTCOME REPORT Class A-1 V DEP Release Tracking Number 4-13581 _ Initial Notification Date January 10, 1998 @ 2310 t Immediate Response Action January 10, 1998 Verbal Approval Date Conversation between DEP's Mr. Mark Jablonski and RayTech's Mr. Raymond F. Leather Responsible Party Mutual Oil Co., Inc. Post Office Box 250 863 Crescent Street Brockton, Massachusetts 02403-0250 Site Location Mutual Station #73 '- 149 North Street Barnstable (Hyannis), Massachusetts 02601 I UTM Coordinates — 4611766N ; 392691E 310 CMR 40.1056 w v P %e radix Dig owl DoWment tion a i ,. r,)MMONWEALTH OF MASSACHUSETTS DEF. .rMENT OF ENVIRONMENTAL PROTE( )N DIVISION OF HAZARDOUS MATERIALS — One Winter Street r,p Boston, Massachusetts 02108 (� 9ss print or type.(Form designed for use on elite 0 2-pitch)typewriter.) 1 UNIFORM HAZARDOUS 1.Generator US EPA ID No. Manifest 2.Page 1 Information in the shaded areas WASTE MANIFEST �/ ' U 7 Ci/_,' �Pq�umpntN o i of is not required by Federal law. 3.Generator's Name and Mailing Address �I���6�:7` (,L. �C •�rlf/, A.State Manifest Document Number. M A J 18 4 5 9 5 ; B.State Gen.ID 9! . c 4.Generator's Phone 1 5.Transporter 1 Company Name 6. US EPA ID Number C.State Trans,ID l CYV OIL CURPLI ATION f1A ID © � 12 13 1) 13 1 11 17 1 1 1 1 1 1 e' 7.Transporter 2 Company Name 8. US EPA ID Number D.Transporter's Phone 1 61 1 State Trans.ID t 9.Designated Facility Name and Site Address 10. US EPA ID Number NW'1:!LAND ENv': (v CeTi+: , ZtiC. F.Transporter's Phone ( ) r 275 Al-;.ENS AVE. G.State Facility's ID Not Required .::. h ?F0V1.1)1::10E, R1. 02905--5003 il P J t4 i? 10 9 j8 13 15 H.Facility's Phone l4 0 1 ) 7 1-6340 - 12.Containers 13. 14. 1,. E 11.US DOT Description(Including Proper Shipping Name,Hazard Class,end lD Number) Total Unit 'Waste No.. , No. Type Quantity WtNol a L✓!/,lice f'G../Ii/h�l,!fik_. 7f•�i.J J.c /.i e.,� l/ t / ;. ee a� G b. r r N , . r R c. _< A ` 4f 6•'��R�,, C j T 0 d. F r Y..,, t4t,,, 6 r J.Additional Descriptions for Materials Listed Above/include physical state and hazard code./ K.Handling Codes for Wastes listed Above ," - 'r'' c a.PROFILE IF 3D C. a. . c. t r b, d. b. d. F 15.Special Handling Instructions and Additional Information E LhERGENCY RESPONSE GUIDE If /33 4K9RGLXCY hiONE NO. 26 RRS. (800) .2_4-1-•5818 Its MASS. (800) 622--63E5 OUTSIDE XASS. 16.GENERATOR'S CERTIFICATION:I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name and are classified,packed,marked,and labeled,and are in all respects in proper condition for transport by highway ` 0 according to applicable international and national government regulations. If I am a large quantity generator,I certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined to be economically practicable and that I have selected the practicable method of treatment,storage,or disposal currently available to me which minimizes the present and future threat to human health and the environ- ment;OR,if I am a small Quantity generator,I have made a good faith effort to minimize my waste generation and select the best waste management method that is available tome and that i r can afford. E Date Pdnted/TypedName Signatuta -- Month Day Yeer N. RT 17.Transporter 1 Acknowledgement of Receipt of Materials Date N Ptinted/T dN��e Signature �, Mo th Day Ygar 0 18.Transporter 2 Acknowledgement of Receipt of Materials Date R E Ptinted?ypedNano Signature Month Day Year R 19.Discrepancy Indication Space F � I A C 20.Facility Owner or Operator:Certification of receipt of hazardous materials covered by this manifest except as noted in Item 19. 1 T Date Printed/TypedName Signature Month Day Year orm Approved OMB No.2050-0039,Expires 9-30-96 PA Form 8700-22(Rev.9-94)Previous editions are obsolete. COPY>6 : GENERATOR MAILS TO DESTINATION STATE COMMONWEALTH OF MASSACHUSETTS OIL DEF rMENT OF ENVIRONMENTAL PROTE( )N DIVISION OF HAZARDOUS MATERIALS One Winter Street Boston, Massachusetts 02108 .,see print ortype.(Form designed for use on elite 11 -pitch)typewriter.) i ( UNIFORM HAZARDOUS pGegt ar for Manifest 2,Page 1 Information in the shaded areas WASTE MANIFEST '/ Document No. of is not required by Federal law. w. 3.Generator's Name and Mailip _/�ddre;s , / D/ / / �G A.State Manifest Document Number ,I 6 C•4 MA'" 'J183292 Y on.ID��)) 4.Generator's Phone(' '.Jr ~/( �' i+/ �{ Irv/ 1�'fi� CIsLIO? rC.Stat, lit C k 5.Trans rter 1 Company Name 6. S EPA ID Number a. C /► z yl 10 L 7.Transporter 2 Company Name 8. US EPA ID Number D.Transporter's Phone QIi E.State rang, I t 9.Desigrtat d Facility Name and,S)te Address r 10. US EPA ID Number G%f.17 �v ��- a�,C �� ' F.Transporter's Phone( 1 r ��" � G.State FaoaitysID Not Required � l J 211 !_i .^ {� H.Facility's Phone_ 12.tontainers 13. 14. 11.US DOT Description(Including Proper Shipping Name,Hazard Class,and ID Number) Total Unit No. Type Quantity WtNol ~` " a. (� I,CaS;.� -.rJ.SD t n�C 31 t✓�ti I2c 3 ( �� 6111,Y31 di(ZF 4WU�Ioui--_ 64)11 C Lb. Yer r N ✓a 4 �✓�r" 2 { r C. _ t d. J.Additional Descriptions for Materials Listed Above(include physical state and heirard code.) K.Handling Codes for Wastes Listed Above'' — C c a r* b. d. I b. d. t- 15.Special Handlin Instruct ons and Additional Inform n �trj'tcn>c�R3�"nlcy %�jd �Z8' 1• 12 - IV147.4 A IF---:;* r t— c 16.GENERATOR'S C CATION:I here declare that the contents of this consignment are fully and accurately described above by proper shipping name and are classifidb,packed,marked,and labeled,and are in all respects in proper condition for transport by highway according to applicable international and national government regulations. v If I am a large quantity generator.I certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined to be economically practicable D and that 1 have selected the practicable method of treatment,storage,or disposal currently available to me which minimizes the present and future threat to human health and the environ- ment;OR,if I am a small quantity generator,I have made a good faith effort to minimize my waste generation and select the best waste management method that is available to me and that I rr can afford. Date Pnnted/Typed Name % Signature.. % Month De e 17.Transporter 2 Acknowled ment of Receipt of Materials r Date a A h ypedName Si ne re/" Month Day Yeei Q N C� f it 18.Transporter pf Acknowledgement of Recei t of Materials Date E P to vlrvgre ` * Si r nth s av I S.Discrepancy Indication Space C• 1 c I 20.Facility Owner or Operator:Certification of receipt of hazardous materials covered by this manifest except as noted in Item 19. Date Y Printed/TypedName Signature Month Day Yea rm Approved OMB No 2050-0039.Expires 9-30-96 A Form 8700-22(Rev.9-94)Previous editions are obsolete. COPY>6 : GENERATOR MAILS TO DESTINATION STATE March 30, 1998 RESPONSE ACTION OUTCOME REPORT Class A-1 DEP Release Tracking Number 4-13581 Initial Notification Date. January 10, 1998 @. 2310 Immediate Response Action January 10, 1998 Verbal Approval Date Conversation between DEP's Mr. Mark Jablonski and RayTech's Mr. Raymond F. Leather Responsible Party Mutual Oil Co., Inc. Post Office Box 250 863 Crescent Street Brockton, Massachusetts 02403-0250 Site Location Mutual Station #73 149 North Street Barnstable (Hyannis), Massachusetts 02601 UTM Coordinates = 4611766N ; 392691E 310 CMR 40.1056 Appendix C Photographs ' l i i •,i Photo 1: Looking North from High School Road Extension to the intersection of High School Road Extension and North Street. 1) Premium gasoline UST fill. Point of release. 2) Direction of flow from Point of Release towards High School Road Extension, 3) Direction of flow after intersecting with High School Road Extension gutter. 4) Location of catch basin CB-1. a ' Photo 2: Looking North towards CB-1 ( item 4 at arrow�. - �- Js . _ a _ '4 Photo 3: Looking South down High School Road Extension. Catch basin, C1372, is ' indicated as item 5. • �+ate }}l�'U ��:F'� �K 1 k.�yEt � �� .� � -- •'J� ru ' � 1 1 i w RayTech, Inc. 5 Howard Drive Plymouth, Massachusetts 02360-4207 Voice: (508) 746-1.188 Fax: (508) 747-6731 May 6, 1998 CERTIFIED Priority Return Receipt Mr. James Tinsley Town Manager . . . . . . . . . . . . . . . . . . . . . . . . . . P 396 711 210 Mr. Jerry Dunning Health Inspector Health Department . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P 396 711 211 TOWN OF BARNSTABLE 367 Main Street Hyannis, Massachusetts 02601 RE: DEP RTN 4-13581 Mutual Station #73 149 North Street, Hyannis Dear Mr. Dunning: In accordance with The Massachusetts Contingency Plan, 310 CMR 40.0000,the following documentation is submitted herewith. Ns Document Status 1 F iate Response Action Plan dated.March 13, 998 with appendices. ORIGINAL nse Action Outcome dated March 30, 1998 with appendices ORIGINAL Very tru yours, Richard Holloway cc (w/o encl): Mr. Richard F.Packard,DEP SERO Mutual Oil Co., Inc. Mr. Raymond F. Leather,RayTech, Inc. File R406 Engineering and Environmental Consultants in America's Home Town RayTech, Inc. 5 Howard Drive Plymouth, Massachusetts 02360-4207 Voice: (508) 746-1188 Fax: (508)747-6731 z i t. 1•r March 12, 1998 IMMEDIATE RESPONSE ACTION PLAN DEP Release Tracking Number 4-13581 Initial Notification Date January 10, 1998 @ 2310 Verbal Approval Date January 10, 1998 Conversation between DEP's Mr. Mark Jablonski and RayTech's Mr. Raymond F. Leather Responsible Party Mutual Oil Co., Inc. Post Office Box 250 863 Crescent Street Brockton, Massachusetts 02403 Site Location Mutual Station #73 149 North Street Barnstable (Hyannis), Massachusetts 02601 Ulm Coordinates = 4611766N ; 392691E 310 CMR 40.0424 1. Name,address,telephone number,and relationship to the site of the person assuming responsibility for j conducting the Immediate Response Action (IRA) d Mutual Oil Co., Inc. ` Post Office Box 250 863 Crescent Street Brockton, Massachusetts. 02403 Imm (508) 583-5777 Operator R406-LIRA 03/12/98,- RTN N24-13581 - Page 1 r-- Engineering and Environmental Consultants in America's Home Town ,1 ��._e..v:vrv....+.a+r.-iwvaC.wra l -.ci:H... Juee w..-.. .. .•• .+-• •.,+ •... I ' z Description of the release or threat of release, site conditions, and surrounding receptors. On January 10, 1998 on or about 2035,while a quantity of premium gasoline was being transferred from a bulk gasoline tanker truck to an underground storage tank(UST)at the above Site, there was a sudden release of approximately twenty-seven (27)gallons' of the gasoline. At the greatest extent of the release, the gasoline had coated or stood in various thicknesses on approximately four hundred(400)square feet of concrete and bituminous concrete. Evidence indicates the gasoline flowed in a westerly direction from the UST fill on a concrete pad until it intersected with the gutter on the eastern boundary of High School Road Extension where it proceeded in a southerly direction for approximately one hundred and seventy-six (176) feet. The Site is located on property at the intersection of North Street and High School Road Extension in the Village of Hyannis in the Town of Barnstable. The site is bounded to the North by North Street and a medical building (Cape & Island Orthopedic and Sport Medicine); to the West by High School Road Extension and a McDonalds Restaurant with a large,unused commercial building(possibly a supermarket at one time) and parking lot immediately to the South of the McDonalds Restaurant; to the South by a graveyard; and to the East by an empty business building and, further, a Courtyard Hotel. A USGS locus map, Massachusetts Department of Environmental Protection (DEP), Bureau of Waste Site Cleanup (BWSC) site scoring map, and a property/site sketch are enclosed in Appendix A. Photographs are enclosed in Appendix C. A conservative estimate of the quantity released was reached by assuming a uniform layer of gasoline 0.125 inches thick and 2 feet wide along the gutter in High School Road Extension for a distance of 176-feet (all dimensions are approximations only). Thus; (176 feet * 2 feet * (0.125 inches _ 12 inches)) *:7.48 gal/ft' = 27 gallons R406,IRA 03/12/98 - RTN N44-13581 - Page 2 3. Description of any Immediate Response Actions undertaken to date at the site. _ Date Timez Action Comment Hyannis Fire Department (HFD) arrives on scene, blocks3 two catch 01/10/98-2040 basins° in the immediate vicinity of the release, and, applies a foam Conducted under layer to gasoline covered surfaces. authority of ' MCP 40.0421 01/11/98-0034 HFD re-applies foam layer. Cyn Environmental Services Emergency Response Team (CYN) vacuums foam/water/gasoline mixture from High School Road Extension gutter while Hyannis Fire Department sprays water on and 01/11/98-0100 around point of release to rinse residual gasoline into gutter. Concurrent with the water spray application, CYN personnel broom the water layer into the vacuum hose to ensure maximum remediation. After all water/foam/gasoline mixture is recovered by vacuum truck, Conducted under CYN personnel remove absorbent material and covers protecting verbal approval of 01/11/98-0200 catch basins. CYN personnel sweep absorbent material from gutters DEP's Mark and place in 55 gallon drums. Visual and olfactory check of catch Jablonski basin for gasoline is negative. Catch basins are screened for total volatile ionizable compounds 01/11/98-0305 using a portable Photo Ionization Detector (PID). Results are & negative. No softening of the bituminous concrete was observed 01/12/98-1430 indicating insufficient exposure time for the gasoline to attack the integrity of the surface covering. 2 Times are approximate. 3 A sheet of polyethylene was first placed on the grate, followed by a piece of plywood approximately two feet square. Sufficient granular absorbent material was poured on the plywood,the plastic sheeting,and the surrounding area to impound the water/foam/gasoline mixture and keep it from reaching the catch basin(s). The plastic sheeting extended approximately two to three feet beyond the plywood square. 4 'The two catch basins have been designated CB-1 and CB-2. CB-1 is located just to the north of the release (topographically up gradient) at the intersection of North Street and High School Road Extension. CB-2 is located to the south of the release (topographically down gradient)approximately 230 to 250 feet south of the CB71 in High School Road Extension. 06-LIRA 03 12 98 - RTN N24-13581 - Pa e 3 R4 / / g i' 4. Reason why an Immediate Response Action is required. A sudden release of gasoline had occurred which required notification to the Department under the "2 Hour"notification provisions of 310 CMR 40.0311(4). Specifically,a onetime release to the environment of gasoline equal to or greater than the applicable Reportable Quantity specified in the Massachusetts ContingoU Plan, (MCP) 310 CMR 40.0000.. I I S. Objective(s), specific plan(s),and proposed schedule for the Immediate Response Action, including,as appropriate, plans and/or sketches of the site and any proposed investigative and/or remedial installations. Objective Specific Plans Approx. date(s) 1 Remove contaminant source. Gasoline bulk tanker driver closed drop valve Prior to on truck. notification 2 Contain release. Remove or block contaminant pathways by Prior to building absorbent material dams between notification release site and catch basins. 3 Recapture released material. Vacuum foam/rinse water/gasoline mixture into 01/11/98 vacuum tanker for disposal. Cleanup gasoline contaminated absorbent material(s). 4 Confirm extent of release. Screen for total volatile ionizable compounds in 01/11/98 catch basins after removing absorbent material dams by using a portable PID. Verify integrity of bituminous concrete exposed to the gasoline. 6. Statement as to whether Remediation Waste will be excavated, collected, stored, treated or re-used at I the site. All contaminated materials were collected and transported off-site for recycling and/or disposal by CYN. 7. Proposed environmental monitoring plan, for implementation during and/or after the Immediate Response Action (where appropriate). Field screening of the catch basins was conducted on 01/11/98 and 01/12/98 using a portable PID, HNU Model-101 (serial number A70013)having a light source energy of 10.2 electron volts(eV)and calibrated to an isobutylene standard. R406"IRA 03/12/98 - RTN N44-13581 - Page 4 8. Listing of federal, state or local permits that will likely be needed to conduct the Immediate Response Action. None. 9. Such other information as the Department may deem appropriate and necessary,based on site specific conditions, in order to review and evaluate the Immediate Response Action Plan in question. No other information, other than that specifically enumerated by 310 CMR 40.0424, was requested by DEP. 10. Except as exempted pursuant to 310 CMR 40.04I1(2), the seal and signature of the Licensed Site Professional who prepared the Immediate Response Action Plan. 1• And F. a, n Massachusetts Licensed Site Professional N4 3211 r This Immediate Response Action Plan shall be updated and modified, if necessary,based upon the acquisition and evaluation of significant new information and data on release,threat of release and/or site conditions. Each significant modification of an Immediate Response Action Plan shall be resubmitted to the Massachusetts Department of Environmental Protection (the Department)for review and approval. i R406—►IRA 03/12/98 - RTN N24-13581 - Page 5 March 12, 1998 IMMEDIATE RESPONSE ACTION PLAN DEP Release Tracking Number 4-1358.1 Initial Notification Date. January 10, 1998 @ 2310 Verbal Approval Date January 10, 1998 Conversation between DEP's Mr. Mark Jablonski and RayTech's Mr. Raymond F. Leather Responsible Party Mutual Oil Co., Inc. Post Office Box 250 863 Crescent Street Brockton, Massachusetts 02403 Site Location Mutual Station #73 149 North Street Barnstable (Hyannis), Massachusetts 02601 UTM Coordinates = 4611766N ; 392691E 310 CMR 40.0424 Appendix A USGS Locus Map MA DEP BWSC Site Scoring Map Property/Site Sketch I! .. 1 A fMA ® � ♦�► v 1011 -� p �.�;� � t ,��� •� � � Lam- r� - IM U.S. DEPARTMENT OF THE INTERIOR �, .. 000 - scale metric NOTE: photo reproduction. MA ®EP - Bureau of Waste Site Cleanup SITE NAME: Site Scoring Map: 500 feet & 0.5 Mile Radii ' Mutual Station73 7belrft"mil nstlo�rrlZonthfemep s1..z►.oeu 149 North Street Is Au boat avatiebkr at cam p Hyannis,MA otprnaPknacerebrbtlle �sy Mi 4611766n392691ew Owsourced*swVJoredDwr*rL Site Location -_-`�tE O. )I I,I'�wtrr .,+.w 4 _ t \ •� c a , _• F:t�@Y '7. \ \\t z? ./t1• I tt c( .64 �TE.• +�,.., y "S_J ,-! •T ,..1, ¢ �e Sc r� ME '^ \t ,,i, �c�CJ a:t },,t'"r� r ,"P. ,'q�-`' -,.t�`T,0..-- s r, ` g �r k q ,<.\ ! �'2`�,-`,c a ♦.i, F `.� s <cE- - �•713riab�e ��n.. � -� �.�=r � 1, \ �..vxt r \`r�� ♦`'�`�� r_� t1 .., a <�ti�.0�4.t ''4rf.`2 -r �� .L..?+ ��� i'Yi7`- s*. �L�r:,Si�r. �E \r �\ t� -ti� d e. .�' C r Z`t t i2.r, �tw. �.zz<, �iY; •�`-. _ III �'��`� -«i�,� �-� •�y b i°a h°'a�.�;F,�.i®�`. �� i r'4as�'�+�`{ �``4�"b� �l�.\+itQ, � �r3'' ,•"i- �' 4t x �,Q ���� •"'r'} ST������t.� � ti er S "'.�� A � \+ ',K 'lt°i � e`+ .� A -s"`, � r �ID"r � 1� / ���� r ��+. �"r kt'�7� �� �v � � �D� ''a. �C r •,�,t� t t ,�� A l����t t e , � � •� at%Uiug Lr- '•� 's. `ct \ V b, h \.' i ` ',,3:' i I .C. I I IrI� I I I I .. 5�' ci.•. -'TIu;�;} �t'�� cV` r taL \ \ \c.'`t �.d °Y�F �� `- r _ y� `"-�,. ��I I IOSil �( � � t�tt. .,s' ..�'.� •wro ,p` 1 :'x. �zeO � a'�a ;s i �"1`•r�r 1 � t,1�r`���'��'_`;�"'��� ,:2.>,;`� �`i'. �l�kL�p'�y(y'`�e -� b'� � Ir e,� fir i �k-'� � , $�,�/ t I(I ( I t it��+41��`'l'�" /r�`�J�� b>'� vr� �7s.a)N.t�'r� q .�•r � I I I� ` '� � ' ' - __ I \ I � -"ji'����e r h���0 �2��ut�' \9p9B. �� �ri7� I " ( I •I I 4,3 i � I rt,A c �.,.{7 Y x ii+aj�","'rl '�F!�,'� ��,�/"�1 :, 4• r.; I � I 1^l tr clyyi±t r ( .* t r• ; ��A \ �. �..s -;.,. C :�� r. �k{j �� �i �� � � ��r==.� 6�U i *��,,rtf, �Yi�t ,�,�i I I ,. �• I to se ..,,., w i� r a '' ty 4!. 1k �'i� � FI•S;'. i I 'i`-_t t. +. i t" � ';-t��,�t� `�;.k �T •�' a' 3r�1�r��:'-�x 'a N3�`�c Cj} ��� I �� r r(��� I '°�� ,:�I ,�, � .` - I�I - RS 4 '� � .. y {ty�1�},f��rri j + a1y Fl rF� to i 4 . fv ,�Vp4 ' b >=a C _f ti l� F I I ! - oRWq+y + s g k l7 d 'R Da �'aLr .p p E tft y_ ` s 5.� . 70 F .cif' Jt'�{{� 1' l.,Ptr "h�'�J �.•r:'""'ry: rti: t rt irks /,,. ` _ c k I 4: Ft 1 _M J7 w � NAU7IGL►yAY'I' �I�I_�I :� _ 1' (I TI 2! ,� �, I I I t- 1 � I I• I I�I I I I I I��I I'i � '��I.l�'�� 6(I�I�I I I �W-°,�� � � - `" - Roads:Interstate US,State.StraeR Trai ---- 6A Designated sole Source Aglifer............................... FITP N Boundaries:M r icipd,CouTty,DM Rein Pubic Water Supplies:CYoud,Suface Non Co....U*Y © �\© O R' E Train:Pbw a .............. erline;Mpaine ......................... •I••I-q 8 e Approved Zone2:MRA;................. .... \ �t l Drainage Basins:Maw Sub ..o Hyr1'ogaphy:Water Feature P bic Surface water Supply ...=0 Streams:Pbrennial,Intermittent,Agstedct ..........--- — —~ands:Frash,Sdt,NHESP Wetlands Habitat .......=,. Non-Pbtentid Drink' Water Source Area:Me�umH' Yield• ,t tt �.ice Protected Open Space:ACEC ............................ � Poterdially Productive Aquifers:Medim YIdd,Hgh Ydd 0 Inn M� DO'Avnr tted Solid Waste Facilities:Certified\Aernd Hoots .. M % S 1/2 ml1.E51 SCALE 1:15000 a v: IUIOAIETEaSt March 31, 1998 S 1L I RayTech I site Sketch Muta1 Station #73 1 149 North Street I - 03/30/98 A l I 1" = 3 5 I � r+ Z i m m m ❑ ❑ ❑ ® 0 ra Fence ` t � I � 1 " � • I cc OI c o • I ate. Q F-j I Premium X a I o I O FIII General i `o W Extent I o �CB-1 /�of Release i �= o �CB-2 13 High School Road Extension March 12, 1998 IMMEDIATE RESPONSE ACTION PLAN DEP Release Tracking Number 4-13581 Initial Notification Date January 10, 1.998 @ 2310 Verbal Approval Date January 10, 1998 Conversation between DEP's Mr. Mark Jablonski and RayTech's Mr. Raymond F. Leather Responsible Party Mutual Oil Co., Inc. Post Office Box 250 863 Crescent Street Brockton, Massachusetts 02403 Site Location Mutual Station #73 149 North Street Barnstable (Hyannis), Massachusetts 02601 UTM Coordinates = 4611766N ; 392691E 310 CMR 40.0424 Appendix B Disposal Documentation i r7MMONWEALTH OF MASSACHUSETTS DEF. .rMENT OF ENVIRONMENTAL PROTEL )N DIVISION OF HAZARDOUS MATERIALS One Winter Street �•;� Boston, Massachusetts 02108 vse print or type.(Form designed for use on elite(I -pitch)typewriter.) 1.Generator US EPA ID No. Manifest 2.Page 1 Information in the shaded areas UNIFORM HAZARDOUS /. - mp-)nt Nod of is not required by Federal law. WASTE MANIFEST ) '> 7% J 5/% -a� 3.Generator's Name and Mailing Address �)�v)�/: C!L. 4�, nJ/. A.State Manifest Document Number, MA J184595..... B.State Gen.to y AW4-• " 4.Generator's Phone 1 aL"1f 1 7 i J ' 7 7 rTratnsporter's 5.Transporter 1 Company Name 6. US EPA ID Number ans.IDGYti GIL CUTi?:iE:ATICti I '? 0 3 4 1 77.Transporter 2 Company Name 8. US EPA ID Number Phone 161 )341-5108 Trans.10 9.Designated Facility Name and Site Address 10. US EPA ID Number NOIXI&JLAND E,%V1!L)!i .Z;'1tTA_, 1SC. F.Transporter's Phone I 1 r 275 ALLENS AV[-,. G.State Facility'sID Not Required .` FROVi1)iit10E, NI. 02905--5003 11 1p 10 A 10 IC, 19 16 3 H.Facility's Ph"(4 0 1 ) 7 1-6340 11.Containers 13. 14. I. II.US DOT Description(Including Proper Shipping Name,Hazard Class,and 1D Number) Total Unit ';Weals No. No. Type Quantity WtNol 0`F I b. r: r J.EN 1. ,. ): 0 d. 345r�J�g�- r J.Additional Descriptions for Materials Listed Above(include physical state and hazard code.) K.Handling Codes for Wastes Listed Above ' i a.PROFLLE .0 '30 C. Lb. C. r b. d Ld. f 15.Special Handling Instructions and Additional Information j MRCE`CY RESPONSE GUIDE It /33 l e..K&AGMCY PHONE NO. 24 HRS. (800) 242- 5818 IN ?LASS. (SUO) 622--6365 OUTSIDE ;;ASS. � 16.GENERATOR'S CERTIFICATION:I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name and are classified,packed,marked,and labeled,and are in all respects in proper condition for transport by highway L according to applicable international and national government regulations. — I It I am a large quantity generator,I certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined to be economically practicable = and that Ihave selected the practicable method of treatment,storage,or disposal currently available to me which minimizes the present and future threat to human health and the environ• r ment;OR,if I am a small quantity generator,I have made a good faith effort to minimize my waste generation and select the best waste management method that is available to me and that I can afford. Date Pdnted/Typed Name Signature _—�-�r Month Dey Year 17.Transporter 1 Acknowledgement of Receipt of Materials Date A Printod/T N Signature -2 Mo tit .a y/ 4ga N ///e.+� + .�J �/r S IS.Transporter.2: Acknowledge ant of Receipt of Materials Date E PMted/TypedrUame Signature Month Day Year R 19.Discrepancy Indication space C ... 20.FaciBty Owner or Operator:Certification of receipt of hazardous materiels covered by this manifest except as noted in Item 19. ( Date Prfnted/TypedNeme Signature Month Day YW rm Approved OMB No.2050.0039,Expires 9.30.96 PA Form 8700-22 (Rev.9-94)Previous editions are obsolete. COPY>6: GENERATOR MAILS TO DESTINATION STATE COMMONWEALTH OF MASSACHUSETTS DEF TMENT OF ENVIRONMENTAL PROTE( )N DIVISION OF HAZARDOUS MATERIALS - One Winter Street ' Boston, Massachusetts 02108 t' '•%se print or type.(Form designed for use on elite 112-pitch)typewriter.) ( UNIFORM HAZARDOUS PQ a for Manifest 2.Page 1 Information In the shaded areas WASTE MANIFEST 5 E2A� y Document No. of is not required by federal law. 3.Generator's Name and Maili ddrt /1 / �G A.State Manifest Document Number ?c:l� il��pV L a �r 1 MA J183292 r d �i C rr'�CC Yl ! if �V/J y� (1191 en.IDw X"r 4.Generator's Phone 1 1✓Y, /"I / ,..� �' :ram' v1,> cl�l n' l, . 5.Trans r rter 1 Company Name 6. EPA ID Number C.State Ti / ` ) /;/ �:is;' r Yj '� 7.Transporter 2 Company Name 8. US EPA ID Number D.Transporter's Phone 6,10 1.State T11M.lU t 9.Designatgd Facility Name and,Siite Address - 10. US EPA ID Number I I I F.Transporter's Phone ( ) ' / Jh G.State Facility's ID Not Required 6 �r� �f/ �J.� {~ H.Facility's Phone 12. ontainers 13. 14. 11.US DOT Description(Including Proper Shipping Name,Hazard Class,and ID Number) Total Unit Waste No.,, No. Type Quantity WtNol t.,•<-.: ° Q dick*.�.' ! F - /-�.So , n�G 3l UI f�� IvIlXr i � itlin_I' lt)j;� '-N 91,110 ROD E b N t,L C. , I— T p ` d. { i •,, F r I A L J.Additional Descriptions for Materials Listed Above(include physical state end hazard code.) K.Handling Codes for Waste;Listed Above c C. a. c. b. d. b. d. JLF 15.Special Handlinlinstruc3tons and Additional Inform n = vE12r - I—0' r r -, 16.GENERATOR'S C CATION:I here declare that the contents of this consignment are fully and accurately described above by proper shipping name and are dassifi0b,packed,marked•and labeled,and are in all respects in proper condition for transport by highway L _ according to applicable international and national government regulations. _ 'I If I am a large quantity generator,I certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined to be economically practicable = and that 1 have selected the practicable method of treatment,storage,or disposal currently available to me which minimize$the present and future threat to human health and the emriton- r ment;OR,if 1 am a small quantity generator,I have made a good faith effort to minimize my waste generation and select the best waste management method that is available tome and that I can afford. Date Pnnted/TypodName Signature..; % Month aIf R 17.Transporter Acknowledgement of Receipt of Materials / Date w A n ypedName Si na /� Month ay Yaa fJ N G' f P if 0 18.Transporter Acknowledgement of Receipt of Materials Date T P rs a E y r WhiTc 19.Discrepancy Indication Space F A c 20.Facility Owner or Operator:Certification of receipt of hazardous materials covered by this manifest except as noted In Item 19. Date T Printad%TYpedNama signature Month ay raw Y rm Approved OMB No 2050-0039.Expires 9.30-96 PA Form 8700-22(Rev.9-94)Previous editions are obsolete. COPY>6: GENERATOR MAILS TO DESTINATION STATE March 12, 1998 IMMEDIATE RESPONSE ACTION PLAN DEP Release Tracking Number 4-13581 Initial Notification Date January 10, 1998 @ 2310 Verbal Approval Date January 10, 1998 Conversation between DEP's Mr. Mark Jablonski and RayTech's Mr. Raymond F. Leather Responsible Party Mutual Oil Co., Inc. Post Office Box 250 863 Crescent Street Brockton, Massachusetts 02403 Site Location Mutual Station #73 149 North Street Barnstable (Hyannis), Massachusetts 02601 UTM Coordinates = 4611766N ; 392691E 310 CMR 40.0424 t , r . Appendix C E i A Photographs J .A iy n T f 1 t� ■ IuOwu� y a. ^M :. I v, P q4 o . ,. a y .. "iw. .:rr. ��� ,aG era ;•. � �:, t � ".. ' r 4 -7 Photo 1: Looking North from High School Road Extension to the intersection of High School Road Extension and North Street. 1) Premium gasoline UST fill. Point of release. 2) Direction of flow from Point of Release towards High School Road Extension. 3) Direction of flow after intersecting with High School Road Extension'gutter. 4) Location of catch basin CB-1. �/{1 ! "`tom'°.` °rwot '�� 'Y t� ■ li "'�O i�:s.. d.w�d.---�--•— - 'fie,`. i:�_ �,.�. L I 1.;J 7-7777777 1�1413 t-il! t �! �7!i f Cy7W_ • p7tf1.t �. i , ! t rn' C °6 r •..(f F 'IV a. '�-gad. � �—'_-�.. °,���� `3� .d E. tt � ,r�'�� ,,j �,�1• — ; 9f `� F ti w aI� Tpn j 0 0- +L:w�=�= +tom r..�.4.:'`Ft+-.•� �. it ENWROTECHLABORATORIES,INL: 3L4 CERT.NO.:Af ALI 063 8 Jan Sebastian Drive-Unit#12 Smidivich ALA 02561 508(888-6460) 1-800-3394460 FAX(508)888-6446 CLIENT., Desmond Well Drilling LOCA77ON: 149 North St ADDRESS: Hyannis MA COLLECTED BY. Desmond Well Drilling SAMPLE DATE: 12/4/2003 SAMPLE TIME: 11:00 WATER SAMPLE TYPE. New Well- Irrigation DATE RECEIVED: 12/4/2003 LAB I.D. #: 0312085 WELL SPECS.: 4"SUb 4G-24/45`_` -- RESULTS OF ANALYSIS: Parameters emits Recommended Results Method Date Analyzed Limits Coliform bacteria /100ml 0 0 9222 6 12/4/2003 PR pH units 6.5-8.5 4.71 4500 H+ 12/4/2003 Conductance umhos/cm 500 306 120.1 12/4/2003 Nitrate-N mg/L 10.0 12.5 300.0 12/4/2003 Nitrite-N mg/L 1.00 <0.004 300.0 12/4/2003 Sodium mg/L 20.0 35.1 200.7 12/5/2003 Iron mg/L 0.3 < 0.1 200:7 12/5/2003 Manganese , 0.899 mg/L 0.05 200.7 12/5/2003 COMMENTS: Low pH indicates high corrosive characteristics. Nitrate level exceeds maximum contaminant level. Sodium level is not a health hazard. Manganese is not a health hazard, but may cause staining and/or give water an odor or taste. WATER IS NOT SUITABLE FOR DRINKING PURPOSES FOR PARAMETERS TESTED. <=less than ` ,1� Date4� vd >=greater than R. ald J. Saar TNTC=too numerous to count La rafory D r for K... .. .,, - ... .t Massachusetts Department of Environmental Management127092 Office of Water Resources - %' TYPE OR PRINT ONLY Well Completion Report " i 1.WELL LOCATION GPS (OPTIONAL) LATITUDE LONGITUDE c Address at Well Location 0A, Property Owner.` b►-ahaw%. U t .� 4 •k .'z1 k•ilia ,ir ar_a`.�4 5 1•a lw� K •• 4 F *' Subdivision Name ° � °�� Mailing Address n/� .: �, . a,y ti � '� +• r' '� ? �S., f �ky ,�� ,;;.ntt a '�✓ CIty�TOWnAhA �, !Z S ,".,� n 4 z a. CItyITOWn / 1. .. 'T .t".. 411, * 1 ...s,� .a4 •. ! - •eb ,,e£ Assessors Map _ ' K ;Assessors Lot#' �'aNOTE Assessors Map and1ot #,mandatory rf,no s#reet`address 'v table., tE Board of Health permit obtained Yes -� Not Required-❑ ,. Permit Number 1Lt ate Issued' z }. 2.WORK PERFORMED 3. PROPOSED USE 4.'DRILLING METHOD New Well . ❑ Abandon ❑ Domestic EX Irrigation ❑ Cable [X,,Auger ' ❑ Deepen ❑ Recondition ❑ Monitoring ❑ Municipal ❑ Air Hammer -0 Direct Push ' ❑ Replace ❑ Other ❑ Industrial ❑ Other ❑ Mud`Rota ❑ Other 5. WELL LOG oC Unconsolidated Consolidated 6. SITE SKETCH (use permanent landmarks with distances), W Permeability d d From (ft) To(ft) High Low m Other Rock Type �.. o Z LOAM ® — I Xi xi C1s 7�'WELLCONSTROCTION. 8.:CASING,. ; w rwR 4 �d..• F..s ) F Total Depth Drilled , From (ft)r' To`(ft) r ,,, • Casing Type and Material = Slze O.D (inWell Seal>Type <s a Date Drilling'Complete 9. SCREEN -� From (ft) To (ft) Slot Size Screen Type.and Material Screen Diameter _N ` I —`y1 .6I2 STAWLVS',S STEEL. /114 10. FILTER PACK I GROUT/ABANDONMENT MATERIAL 11. ADDITIONAL WELL INFORMATION Developed? Pq Yes ❑ No From (ft) To (ft) Material Description d Purpose Fracture Enhancement? ❑.Yes No Method 3 Disinfected? Yes ❑ No 12.WELL TEST DATA(PRODUCTION WELLS) 13.'STATIC'WATER LEVEL(ALL WELLS) Yield-",Time,Pumped Drawdown to Time Recovery to Depth Below Date. Method (GPM)- (hrs'&min) (Ft. BGS) (hrs& min) (Ft. BGS) Date Measured Ground Surface (FT) IH10 14. PERMANENT PUMP(IF AVAILABLE) _ _ _ _ 15.NAMEIADDRESS OF PUMP INSTALLATION COMPANY Pump ��+�ti S"GSI© Description P Horsepower's �Q SIr'1' Pump Intake Depth - {ft) Nominal Pump Capaaty 5 (gpm) RAL((f Q rCRCt�1S 16. COMMENTS 17.WELL DRILLER'S STATEMENT IThis well was drilled and/or abandoned under my supervision, according to applicable rules and regulations, and this report d complete and correct to the best of my knowledge. 7 , Driller: a` c L33'J�Sr1Y�{��� ( Supervising Driller Signature: Registration #: I 6 Firm: NY ,wl w l���tr }� n� Date: Rig Permit#:• 3 NOTE: Well Completion Reports;must be filed by the registered well driller within 30 days of well completion. + BOARD OF.HEALTH COPY aZ INVOICE #ST000299 TEST DATE: 08/18/97-N SURE-TEST OF NEW ENGLAND INC. 141 INDUSTRIAL DR. P.O.BOX 1092 SLATERSVILLE,RI 02876 401-766-1116 FAX # 401-766-1008 TANK STATUS EVALUATION REPORT ----------------------------- ***** CUSTOMER DATA ***** ***** SITE DATA ***** MUTUAL OIL CO. MART 863 CREASCENT STREET qjEU�UA TH=SIREET P.O. BOX 486 v- Z2 47 BROCKTON,MA HYANNIS,MA. Mt�� 02403 02601 CONTACT: GRENDAL, MIKE CONTACT: GRENDAL, MIKE PHONE # : 508-583-5777 PHONE # : 508-778-4344 ***** COMMENT LINES ***** THIS PRECISION TEST IS A USTEST 2000\P UNDERFILL, ON THREE STEEL UNLEADED FUEL STORAGE TANKS . A SEPARATE LINE TEST WILL BE PERFORMED ON EACH PRODUCT LINE. USTEST SYSTEM IS CERTIFIED UNDER CURRENT EPA STANDARDS WHICH DICTATE THAT FOR UNDERGROUND FUEL TANKS, THE MAXIMUM ALLOWABLE LEAK/GAIN RATE OVER THE PERIOD OF ONE HOUR IS .10 GALLONS . THE NATIONAL FIRE PROTECTION ACT CODE, NFPA 329, STATES A VOLUME OF LESS THAN .05 G.P.H. QUALIFIES A TANK TO BE CONSIDERED "TIGHT" . TANK #1 : REG UNLEADED TYPE: STEEL S\W RATE: .011862 G.P.H. LOSS 10, 152 GALLON TST. 3 SOL 4 TANK IS TIGHT. 60 MIN. TANK #2 : SUPER UNLEADED TYPE: STEEL S\W RATE: . 016335 G.P.H. GAIN 5, 044 GALLON TST. 2 SOL 4 TANK IS TIGHT. 60 MIN. TANK #3 : PLUS UNLEADED TYPE: STEEL S\W RATE: .034203 G.P.H. GAIN - 5, 044 GALLON TST. 2 SOL 4 TANK IS TIGHT. . 60 MIN. HYANNIS FIRE PREVENTION BUREAU HYANNIS FIRE DEPARTMENT 95 HIGH SCHOOL RD. EXT HYANNIS,MA 02601 x OPERATOR: DONALD P GONYON SIGNATURE. �^ DATE:08 18 97 -------------------- -------------------- -------- INVOICE #ST000299 TEST DATE: 08/18/97 -SURE-TEST OF NEW ENGLAND INC. 141 INDUSTRIAL DR. P.O.BOX 1092 SLATERSVILLE,RI 02876 401-766-1116 FAX # 401-766-1008 TANK STATUS REPORT -- ULLAGE TEST --------------------------------- ***** CUSTOMER DATA ***** ***** SITE DATA ***** MUTUAL OIL CO. MUTUAL MART 863 CREASCENT STREET 149 NORTH STREET P.O. BOX 486 BROCKTON,MA HYANNIS,MA. 02403 02601 CONTACT: GRENDAL, MIKE CONTACT: GRENDAL, MIKE PHONE # : 508-583-5777 PHONE # : 508-778-4344 ***** COMMENT LINES ***** THIS PRECISION TEST IS A USTEST 2000\U UNDERFILL, ON THREE STEEL UNLEADED FUEL STORAGE TANKS . A SEPARATE LINE TEST WILL BE PERFORMED ON EACH PRODUCT LINE. USTEST SYSTEM IS CERTIFIED UNDER CURRENT EPA STANDARDS WHICH DICTATE THAT FOR UNDERGROUND FUEL TANKS, THE MAXIMUM ALLOWABLE LEAK/GAIN RATE OVER THE PERIOD OF ONE HOUR IS .10 GALLONS . THE NATIONAL FIRE PROTECTION ACT CODE, NFPA 329, STATES A VOLUME OF LESS THAN . 05 G.P.H. QUALIFIES A TANK TO BE CONSIDERED "TIGHT" . THE ALLOWANCE ON THE ULLAGE TEST IS .2 OVER THE BACKGROUND. TANK #1 : REG UNLEADED TYPE: STEEL S\W SN: - .11 10, 152 GALLON TANK IS TIGHT. TANK #2 : SUPER UNLEADED TYPE: STEEL S\W SN: - . 02 5, 044 GALLON TANK IS TIGHT. TANK 43 : PLUS UNLEADED TYPE: STEEL S\W SN: - .01 5, 044 GALLON TANK IS TIGHT. OPERATOR: DONALD P GONYON SIGNATURE: .DATE: 08/18/97;. ******* T A N K D A T A ******** JOB # ST000299 TANK NO. TANK NO. TANK NO. TANK NO. 1 2 3 4 TANK DIAMETER (IN) 96 96 96 LENGTH (FT) 27 .00 13 .41 13 .41 VOLUME (GAL) 101-52 504A 5044 TYPE ST SST ST FUEL LEVEL (IN) 72 .5 55 74 FUEL TYPE REG UNLD SUP UNLD PLS UNLD dVOL/dy (GAL/IN) 115 .78 66 .18 56 .23 CALIBRATION ROD DISTANCE 1 10 .6563 6 .9688 10 .6563 2 26 .9531 13 .4531 26 . 9531 3 41 . 9375 19 .9531 41 . 9375 4 56 .9375 26 .4531 56 .9375 5 74 . 9375 32 .9531 74 .9375 6 . 0000 39 .4375 . 0000 7 .0000 45 . 9375 . 0000 8 . 0000 52 .4375 . 0000 ******* C U S T O M E R D A T A ******** JOB NUMBER : 000299 CUSTOMER (COMPANY NAME) : MUTUAL OIL CO. CUSTOMER CONTACT(LAST, FIRST) : GRENDAL, MIKE ADDRESS - LINE 1 : 863 CREASCENT STREET ADDRESS - LINE 2 : P.O. BOX 486 CITY, STATE : BROCKTON,MA ZIP CODE (XXXXX-XXXX) : 02403 PHONE NUMBER (XXX)XXX-XXXX : 508-583-5777 ******* C 0 M M E N T L I N E S ******* THIS PRECISION TEST IS A USTEST 2000\P UNDERFILL, ON THREE STEEL UNLEADED FUEL STORAGE TANKS . A SEPARATE LINE TEST WILL BE PERFORMED ON EACH PRODUCT LINE. ******* S I T E D A T A ******** SITE NAME (COMPANY NAME) : MUTUAL MART SITE CONTACT(LAST, FIRST) : GRENDAL, MIKE ADDRESS - LINE 1 : 149 NORTH STREET ADDRESS - LINE 2 CITY, STATE : HYANNIS,MA. ZIP CODE (XXXXX-XXXX) : 02601 PHONE NUMBER (XXX)XXX-XXXX : 508-778-4344 GROUND WATER LEVEL (FT) : 0 NUMBER OF TANKS 3 LENGTH OF PRE-TEST (MIN) 30 LENGTH OF TEST (MIN) 300 15 Cr AN]( I START TIME:14:39:00:00 CURRENT TIME:15:39:00:00 ,--, 10 L w Z Q 0 W ' S' •p 1tF,j u w y„w, J w - 0: -.00010 z Cl: -.00010 _10 LEAX RATE: .01186 GPN LOSS PTALL, VERSION 3.00 -15 0 30 60 90 120 ST000299.TST,3 TIME (MINUTES) 08/10/97 10 Cr: ANY' 2 START TIME:12:43:00:00 CURRENT TIME:13:43:00:00 10 L t) z o J f t w• w,. lJ ,a J z - 0: .00046 z Cl: .00025 _10 LEAX RATE: .01634 GPH GAIN PTALL, VERSION 3.00 _15 0 30 60 90 120 ST000299.TST,2 TIME (MINUTES) 00/18/97 15 Cr: $'f== _' START TIME:12:43:00:00' CURRENT TIME:13:43:00:00 10 cn w U (a A IV f J �' 7 (3 E € E •'d J w —� , 0: .00218 z Ci: .00061 —10 --LEAX RATE: .03420 'GPH GAIN PTALL, VERSION 3.00 —15 0 30 60 90 120 ST000299.TST,2 TIME (MINUTES) 08/18/97 I 10 Cr: `AINK l START TIME:12:43:88:88 CURRENT TIME: '13.43.88.88 `ANX 2' w a� w 5 r w f .5 w U' z PTALL, VERSION 1.26 —10 0 15 30 45 60 75 90 105 120 ST000299.TST,2 TIME (MINUTES) 08/18/97 i Cr: 10 TANX I START TIME:14:39:00:88 CURRENT TIME:15:39:88:88 `ffi 2 w T ANH w :_. w w r 0 t�J W <..n'rt... ...:..." rfty. ..r r rrri .. .. .::r 4tf'rrn•N.:'<^'.r rr.`rc`.l:Y/f y�4LY...,..��., .�.� �.:• ..`w� ... r...r+:.�..../y,/rrrc,✓'4..M....r ... ... nW A V'�•w•+• a- W z -5 rW v z PTALL, VERSION 1.20 -10 0 15 30 45 60 75 90 105 120 ST000299.TST,3 TIME (MINUTES) 00/18/97 i Cr 5.0 TIME -- 15:45:37 2.5 J J s :ssjjj 'sSi 3 10, f s 3 £ ss.' j 'I1° !4{{ �•j':t $f / £yy����' k itk' c s��£ l dlh s Sfk£s` :}£'�i• � �S� �£'�j �YGk '�' �• .fr �; —Lrryy,5 �#�rfk ,�� ➢ji5. 3t�jl�io AMS VOLTAGE: . 7\ VOLTS j ;r j£,14 `pe( �s z t� i. r � ■ S 1 s 3f s3 �' r xz k s< 333 rr +ykp'.BACXGROUND 2 UTA, VERSION 1.08 —5.0 50 500 50O0 50000 ST888299.80N FREQUENCY (HZ) 08/18/97 i_ cr: 5.0 TINE -- 15:57:42 2,5 w J 5 spi i £> g 2 s "lu v<. f<y- ..:•f,•: j {j{•"x t H E<€lgyzii"3a. RNR UOLTAOE■ .284 VOLTS: € xx � £�� l �, �£ f: E ::m(�s a,�G�.k..:: �,.z£•dj?x.r�•£�•.££�x:•�<ia £ ( x .F' F iii )•� o;: :j E � � �C� E i� xx E�j:�„£.I'x>��zz"�z'.' :zxx X'�<�•;: i �S E{5:3:1'£ 3>«> 4x(�zf•< :j€x',3' (3'{,'�rj��yx __ 3. s E; UTA, UERS ION 1,.88 €" . „ " _'� r x I,, 3 s: Lr � i —JEST LL � � —5,0 E 50 5500 5000 50000 ST888299.SON FREQUENCY (Hz) 08/18/97 3,0 Cr: TINE -- 15:57:42 a� LJ 2.0 z 0 J 7 Lo Lo'' 1 .0 �- SN: PEAK SN: 4.42 �...3,� 2 UTA! VERSION 1.08lh h n , I, I l y 50 50i 5000 50000 ST000299.SON FREQUENCY (HZ� 00/10/97 i 5.0 Cr: TAME 2 TIME -- 15:59:09 2.5 Wall W J # fl} ; t :(t € tE , 3 {j m .a €3 5�)#y� fj� Y 6�,'$f� s t Lit!# ]kid: !¢,jcgi�� frtL tt /R# 2C2 Y jj ?N 2. sSS E5 �.s }'i:£ - #� .;: r 1 � ;� t 7 I�#, -t ;s:;�•'ut.,z:;, iz'fi�#i:, t�N 6„•#:i<,'nx.��:<; i �,:> � ( jj t 3 {QI t I� s s#' z£ r �'{siii�#r3€i,.�rg`§' u•i£•• irs:.,. £ ' � s E 3 { 3. £ E # a��y £�3'� �{���ai�'�3 a e'$F # 23•r�Z� z E€�f['S,�'f;. #�.: ' y � t £, t i z 5 t �f .af�,a `�rr��- ��£fF; 3 d'fi'1� ��£. �`•:ii•:� RMS VOLTAGE• ... .-2 S UOLTS BACKGROUND -- 4 U TA, UERS I ON 1 'UB 50 5500 5000 50000 ST000299.80N FREQUENCY (H2) 00/10/97 I I 5,0 Cr' Alf 2 TIME -- 16:89:85 2.5 w J r � ��.J ! IC i 7jtsktt ¢p'�I + t d"sS?� ftEy� # loft c€£is>y�223 "l�:�af,.x i,Z 3.Fj `�Ya"���,�°,,i3�y rE „t . �.<>s. HMS UOLTAGE. .292 DOLTS r - `� ,? £ { ¢ # £ : 1 `i � _ #_ ;: : . . so;l ,€ TEST 5 UTA, UEHS ION 1.00 —5.0 50 500 5000 50000 ST888299.SON FREQUENCY (HZ� 08/10/97 3,0 Cr: TANY. 2 TIME -- 16:09:05 ry w 2.0 J U} 1 .0 SN: -.02 PEAS SM: 10.05 Al kkkk ; 5/ 4 UTAj VERSION 1.00 ` it Egtyst s, L3l1 :K 3x xt i 50 500 5000 50000 ST000299.SON FREQUENCY NZ� 08/18/97 i 5.0 Cr: TIME -- 16:09:30 2,5 AwJ J ,0 € � a �3 a � f € j s tt #' S# .E '# sI s t I'01= r I=f &it7Ex3 t = ii iE ( 33 ' �' ' s";f£{ffy✓ fi Dz,,sue �,.>e££>xs.f.U,� — ,� ,i�i{� .�' 4 {. Kv ,�#-h t✓� EE ? E l ''s rd'�#As • #s �j -�f } € €€ "` zY= #Ii# srl' <F.z tas;ex4:' h HMS VOLTAGE .302 UBLTS'� i�; ► h ' #. • {s jzz£ zt.`3i 3E tf z hq s,u,xi`,�<yf. {r�F r ,'f€,j#'' =nA 9r`5IN i. �`�i'Ex €# 4` #fit'{� tf�' BACXGROUND -- 6 UTA, VERSION i.00 .. -5.0 ► i i i 3 i i 50 500 5000 50000 ST000299.80N FREQUENCY (HZ� 08/18/97 r Cr: 5.0 T' =#> ":= TIME -- 16:20:22 2.5 ij W J J t� E � E# t x; RMS VOLTAGE: .291 VOLTS P.;fl tiE1{Z{.� f``.,. rtW fEf"tk ^x3 � TEST -- 7 3 `' UTA VERSION 1.8e ; ` z.E l g� f £ E. 50 500 5000 50000 ST000299.80N FREQUENCY (HZ) 88/18r97 3.0 Cr: =s' _ TIME -- 16:20:22 � 2,0 0 z i J Lo SM: —.01 —� PEAR SH: 4.30 7 6 U TA, VERSION 1.08 J5 I ft f! .s I 3 ' S�„•% : 3 f S. �YYi� � i, ��t 1, �L 50 500 5000 50000 ST000299.SON FREQUENCY (HZ� 08/10/97 61 16 i ll. l.,i rl 9._ .tl !1� t._�rT lt\ L+•�_ L(� I Uk 'I Est DATA c1.1ART cL - .Locat ion: N.. r- -isNpiii�.. . _.�?_ -- 1- -. .Gt�c�� t7 •.. 3...�`� � � N,l�{ c( di�l(vt lot I et A Nome ncttr,.t� h0htasptdpEt Vd 3. Opetatori -01i .E z p� hoetllori t6 77 Md cl'� f; Ilntnb benlbr . 11�t ul ter — -nddr P Ost t l.bif(8rdht I hilt Lbbil tbh 111 b►+ roh4 lo. A. COnirator or Company 1laking lest Hechanic(s) C `-0 WK D�1�C10R l. MAKE! : c�t�.. TYPE or IMUEL: TYPE or 110DL,_' � SERIAL MU11<�Eh: 1�G I �, SERIAL tiUtimot (Jk' 10�. a cv..{ , MAKE, \C F c�• ;J C,I C �� 1 f 1Ak II K �� s� C ...' TYPE or 110UELt _ 1'�-C , , �-,� _ TYPE.or NUbW t Eull ` opehlnd Functional bleed 116(brihd test; LAAk t fio, operating lime Element , BAck Prbbbute Rate Wit hENAhks: Pressure holding liL/lllhutb -- "�—= psi seconds PSl HL Psi MLAM 4Es NO I A) ,K Al r-1 p�Ifto Vitt" 1 1„ 1(rll 'tSlk2�1; �urc: Icy L of N(-,W I:ngland Inc. DATA CHART TEL:401-232-3530 FAX:.401-231-8250 For Use With STATION NUMBER ^�3 P1ftTJI! DATE � �� 1 LOCATION: I 1`1" o .1 ) �_16 - 50 \',,y^` Saeat No aM.a�cv�rer 1 /\ -1D^ 1CCs, //� S.I. . /T..0_W'.�j 2 OWNER: I \�.1:t+�J` 0, 1 1.EJ . 1✓`.Y � \ f c+.d rs'�1 5 V�O \1 O `y�/^1 Name A-- Repe9pXelNe Pofewn TNaypne No. g OPERATOR: ' `U` Noma Deekr,Mp.a Qhar A4dreee IX dXlerwd XMn Laceeonl Telephone No. 4 REASON FOR TEST -1 5 TEST REQUESTED By -_ 1 . 1 7 �aJd✓L THama L POa'nion ,�.�,}i[ tt [, TXIepMna No. B SPECIAL INSTRUCTIONS. `� fC)A"1�" 15,!0 �d`� t/"�S Il/'1< II('� 0— T CONTRACTOR OR COMPANY MAKING TEST ` r e}�... MECHANICIS)NAME i�y SV�.r L-_ TC'7` o ` ^ I I 1 B MA TANK TEST E TES Ir I YES 9 HAKE AND TYPE OF SE 1�4 c_O -C a,(c,�.. MADE WITH THIS LINE TEST? PUMP OR DISPENSERS(SUCTION OR SUBMERSIBLE) 1"` (n ) ` NO ir 10 WEATHER __ TEMPERATURE IN TANKS °F_-C OVERCOVLINES Co�1i� L� APR O, BURIAL DEATH AL DEPTH Cmcme,Bun Tap.er:. 14 PRESSURE 15 VOLUME 1s REMARKS 11 IDENTIFY 13 LOG OF TEST PROCEDURES. 12 TIME EACH LINE AMBIENT TEMPERATURE,' Psi OR kPe READING AS TESTED (M IUTARY) WEATHER.ETC, NET SIZE.CLENGTH CLUSTNS.REPAIRS IRSA DCOMLEX CONNECTORS ...}--}---- BEFORE AFTER BEFORE AFTER CHANCE CONCLUSIONS,REPAIRS AND COMMENTS Q 11_ �'�1 t55 �. ''O 1 s� 111 icar� 0 S` 05tio ,03 1,00a0 O 53 SO3 o iS o39� 1 ooi� GPN 1aoo "� +, S d Sa .0396 ,vveo _i xefu f5)L<< 5U v 01(cv .05,1 +,ott ' �a S(.P _11co SCA r�ss1��_ _so S5 � 5}- 1115" r em_ SO 5 a a60 oa�a 4-r olol o 1130 S-0 Sa oa-)o loago + doto 0Oq 11(( 3 t - v Sa oasdo lv ,-\' +f0015 Gp 1300 O 5a o a`ls l 0305 1 roo 10 — 3 cf R-CK_ plgq r o-170 o 16 P s Pt"k) \130 Sep. (C)5 VL SO 11tt6 5`fi lcs-(- Sv 09G5 o`I?5 4 tO 1�00 �"� o -5 oE►"�S ,e�1�b f ocn5 rats 3 r v S C+hv .01-/`65 y!O00, Ia30 �� 5t� L{�i och5 ,r;`i`�o - rocs Tests were made on the above line systems In accordance with test procedures prescribed for it, CONTRACTOR CERTIFICATION TEST RESULTS as detailed on attached test charts with the results as follows: Lme IdenNwahon Meese Ontena Net Volume Change Per Hour Dale Tested hnrc�em ttT \ p 1,71 �t Va a i e t. G Fs r �t CadXKalen e y 2e 13G&3v5 T� Make application to local Fire Department. Fire Department retains original application and issues duplicate as Permit. I �e�u%rn�nG`ta� �'r�xe ���icea — �aa��a� G'�ixe �x�uein�i2 APPLICATION and PERMIT Se:e :;� for storage tank removal and transportation to approved tank disposal yard in accordance with the provisions of M.G.L. Chapter 148, Section 38A, 527 CMR 9.00, application is hereby made by: • Tank Owner Name(please print) _i1' `����-�O�`d X (�.Q� Sign ature apllying orp it Address `h ' C—;e5Cz'A )bCJCA0'''X Street city State Zip Ret'ni • • . HOISTING LICENSE # • C)�'1L JrIL Company Name F�5�e 1J������" Cr�� Co. or Individual 1-�, Tr�Y'1 P'nt Pnnt (� Address V'Ul -� r r G� Address 6`�'�"G� �' C� Print Print Signa if applying for er it) Signature(if applying for permit) 8 IFCI Certified Other, ❑ IFCI Certified 0 LSP# Other 0 Tank Location Steet Address city Tank Capacity(gallons) `©DO Substance Last Stored Tank Dimensions(diameter x length) L� Remarks: Disposal • • Firm transporting waste State Lic. # Hazardous waste manifest# E.P.A. # Approved tank disposal yard Tank yard# y Type of inert gas k V4 'nf- Tank yard address 7safe �. �ti/� , FDID# l� /��� ��/���� Date of expiration .�S,r oval number: t O c)1 g� Di Safe Toll Free Te Signature/_Title of Officer granting permit 'f,Q D F��T 9A, -V/ After removal(s) send Form FP-290R signed by Local Fire Dept. to US4f Regulatory Compliance Unit, One Ashburton Place, Room 1310, Boston, MA 02108-1618. �— FP-292(revised 9/96) ^� / �\ � r-- � � ) u r COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION SOUTHEAST REGIONAL OFFICE ARGEO PAUL CELLUCCI TRUDY COXE Secretary Governor DAVID B. STRUHS Commissioner URGENT LEGAL MATTER:. PROMPT ACTION NECESSARY RTIFIED. MAIL: RETURN RECEIPT RE UESTED 0 D January 30 , 1998 Mutual Oil Co . , Inc . RE : BARNSTABLE--BWSC P .O. Box 250 , 863 Crescent St . 149 North St . Brockton, Massachusetts 02403 RTN: 4-13581 NOTICE OF RESPONSIBILITY 'M' G L, c . 21E, 310 CMR 40 . 0000 ATTENTION: Edward A. Rachins - On January 10 , -1998 at 11 : 21- - p.m. , - the Department of Environmental Protection (the "Department",) received oral notification of a release and/or threat of release of oil and/or hazardous material at the above referenced property which requires one I or , more response actions . The overfill of an underground storage tank while transferring fuel from a tanker truck resulted in a 15 gallon gasoline spill . The Massachusetts Oil and Hazardous Material Release Prevention and Response Act, M.G.L. c . 27_E, and the Massachusetts Contingency Plan (the "MCP" ) , 310 CMR 40 . 0000 , require the performance of response actions to prevent harm to health, safety, public welfare and the environment which may result from this release and/or threat of release and govern the conduct of such actions . The purpose of this notice is to inform you of your legal responsibilities under State law for assessing and/or remediating . the release at this property. For purposes of this Notice of Responsibility, the terms and phrases used herein shall have the meaning ascribed to such terms and phrases by the ' MCP unless the context clearly indicates otherwise. The Department has reason to believe that the release and/or threat of release which has been reported is or may be a disposal site as defined by the M.C-.P-: The Department also has reason to believe that you (as used in this letter, "you" and "your" refers to Mutual Oil Co. , Inc . ) are a Potentially Responsible Party (a 20 Riverside Drive • Lakeville, Massachusetts 02347 0 FAX(508) 947-6557 0 Telephone (508) 946-2700 -2- "PRP" ) with liability under M.G.L. c . 21E §5, for response action costs . This liability is "strict" , meaning that it is not based on fault, but solely on your status as owner, operator, generator, transporter, disposer or other person specified in M.G.L. c . 21E §5 . This liability is also "joint and several" , meaning that you may be liable for all response action costs incurred at a disposal site regardless of the existence of any -other liable parties . The Department encourages parties with liabilities under M.G.L. c.21E to take prompt and appropriate actions in response to releases and threats. of release of oil and/or hazardous materials . By taking prompt action, you may significantly lower your assessment and cleanup costs and/or avoid liability for costs incurred by the Department in taking such actions . You may also avoid the imposition of, the amount of or reduce certain permit and/or annual compliance assurance fees payable under 310 CMR 4 . 00 . Please refer to M.G.L. c .21E for a complete description of potential liability. For your convenience, a summary of liability under M.G.L. c . 21E is attached to this notice. You ' should be aware that you may have claims against third parties for damages, including claims for contribution or reimbursement for the costs of cleanup. Such claims do not exist indefinitely but are governed by laws which establish. the time allowed for bringing litigation. The Department encourages you to take any action necessary to protect any such claims you may have against third parties. 1 At the time -of verbal notification to the Department, the following response actions were approved as an Immediate Response Action (IRA) : • Removal of Absorbents/Containment Materials and Washwater. • Proper Storage/Disposal/Recycling of All Contaminated Media. • All Remediation Waste Must be Properly Handled and Disposed of Within 120 Days From the Date of Generation Per 310 CMR 40 . 0030 . ACTIONS REQUIRED Additional submittals are necessary with regard to this notification including, but not limited to, the filing of a written IRA Plan, IRA Completion Statement and/or an RAO statement . The MCP requires that a fee of $750 .00 be submitted to the Department when an RAO statement is filed greater than 120 days from the date of initial notification. Specific approval is required from the Department for the implementation of all IRAs and Release Abatement Measures (RAMS) . Assessment activities, the construction of a fence and/or the posting of signs are actions that are exempt from this approval requirement . -3- In addition to oral notification, 310 CMR 40 . 0333 requires that a completed Release Notification Form (BWSC-103 , attached) be submitted to the Department within sixty (60) calendar days of January 10, 1998 . You must employ or engage a Licensed Site Professional (LSP) to manage, supervise or actually perform the necessary response actions at this site . You may obtain a list of the names and addresses of these licensed professionals from the Board of Registration of Hazardous Waste Site Cleanup Professionals at (617) 556-1145 . Unless otherwise provided by. the Department, potentially responsible parties ("PRP' s" ) have-one year from the initial date of notification to the Department of a release or threat of a release, pursuant to 310 CMR 40 . 0300, or from the date the Department issues a Notice of. Responsibility, whichever occurs earlier, to file with the Department one of the following submittals : (1) a completed Tier Classification Submittal; (2) a . Response Action Outcome Statement or, if applicable, (3) a Downgradient Property Status . The deadline for either of the first two submittals for this disposal site is January 10, 1999 . If required by the MCP, a completed Tier I -Permit Application must also accompany a Tier Classification Submittal . This site shall not be deemed to have had all the necessary. and required response actions taken unless and until all substantial hazards presented by the release and/or threat of release have been eliminated and a level of No Significant Risk exists or has been achieved in compliance with M.G.L. c .21E and the MCP. If you have any questions relative to this notice, please contact Dan Crafton at the letterhead address or at (508) 946-2721. All future communications regarding this release must reference the following Release Tracking Number: 4-13581 . Very truly yours, Richard F. Packard, Chief Emergency Response / Release Notification Section P/DC/re CERTIFIED MAIL #Z 333 584 089 RETURN RECEIPT REQUESTED Attachments : Release Notification .Form; BWSC-103 and Instructions_ Summary of Liability under M.G.L. c . 21E -4- CC : Board of Selectmen Town Hall, 367 Main St . Hyannis, MA 02601 Board of Health Town Hall, 367 Main St . Hyannis, MA 02601 Fire Department 95 High School Road Hyannis, MA 02601 I t .._:._,; ^ -.---'i""�:^^R-�f�;'.-wt=+.r-^--��.,-. '°^-_.'^Kn• G�'"_.°w.+xv.c:1,�.,F:^;�...rt/�..,`--r'.r".-•''..-.--« .... T`bWN OF BAR STABLE - UNDERGROUND FUEL AND CHE.MICCA�L STORAGE REGISTRATION MAP NO. PARCEL NO.' ;C-- ODDRESS OF TAN1K: / �1�A 1 VILLAGE: 14XAiv'0(7 MA I LlI NG ADDRESS ( I F `D IF�ERE�N�T�FRO A OVE) OWNS NAME: //Motel/-sAxL-ry PHONE: 't � J ✓� I NSTALL•AT I O.N D TE: �I`� Y:� I NST LL�E�R AI)'DR SS: CERT.NO. *TANK LOCATION: - -� (OQOCR S DQ TANK LOCAT O W I TM MMOMKCT TO-,WU I LO I Nm) CAPA s I TX%'/:1 TYPE OF TANK !TL'` AGE N 1rRS:--FLtEL/E'HEM I C-A� rl/G' '' .TEST ING�CERTIFI ATION [ ] PASS [ ] FAIL DATEZ" LEAK DETECTION [ ] CHECK IF N/A TYPE/BRAND �c� �J ✓ c`` L `�. ZONE �OF CONTRIB TION [ ] YES [ ] NO DATE TO BE REMOVED FIRE DEPT. PERMIT ISSUEDXj--YESt-1—N0—DA-T-E-- CONSERVATION [ ] CHECK IF N/A DATE jBOARD OF HEALTH TAG NO. [ ] DATEy a ' PLEASE PROVIDE A SKETCH S�iOW'I"N'G"TH'E" TANK OCATION ON THE HACK OF THIS CARD C� ` _� ,. cam. —`_ �`� �_ �� �� ��� ����� • • �_ ,r TOWN OF BARNST!ABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION MAP NO. m20 / PARCEL NOS. DDRESS OF TANK: % N 7� S / VILLAGE:- � MA I L I,NG ADDRESS ( IF D F ERENT�FROM ABOVE) : OWNER NAME: f e .S' "+ AIL. �4`' PHONE: . - 5X 3 \77~I I NSTALLA ,.N DATE: B� I^ISTAd ER ADDRESS: CERT.NO. 4 \A *TANK LOCATION /�i i-0 Z0 f 7V MZ W�=S T e),r ZNE; U� V,4 ,,I ����,,---- (DUCCRIOU TANK LOCATION WITH FR@-16 WC' -f. WUILDINm) CAPACI Ydt V'TY �E OF TANK S%-Z,- AGE YRS. FUEL/CHEMICAL TEST I N CERTIFICATION [X PASS [ ] FAIL DATE-- LEAK DETECTION [ CHECK IF N/A TYPE/BRAND Ni�c i� -;%/ �',�C` ?" o,',,ZONE OF CONTRIBUTION [ ] YES [ ] NO DATE. TO BE-REMOVED-- FIRE DEPT. PERMIT ISSUED 01 YES [ DATE CONSERVATION [ ] CHECK IF N/A DATE BOARD OF HEALTH TAG NO. [ ] DATE PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD Ala 1v Mee 9 7 -7 .. .....__`tia,.�.-tF--4,....f•_"" rV",'^^. .. �...�r....;_s+*�v+.erw.+.:.'n•^F�..:...r- e,.J'^"T"_____. t ' TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION R t MAP NO. PARCEL NO. DDRESS OF TANK: VILLAGE: i NumbertBtr��,fi4 r it 1 MAILING ADDRESS ( IF DIFFERENT FROM' ;BOVE^) :.OWNER NAME: A �i s �.,�� �' F s f � 1 PHONE: I 4 INSTALLATION DATE; � '� BY: INSTALLER ADDRE55 CERT.NO. *TANK LOCATION,: rz,90 i /'� ' (DQ6ORIIDES TANK LOCATION WITH RMOMKCT TO WUILDINO) CAPACITY �y TY/.PE OF TANK `:��Z-- AGE YRS. FUEL/CHEMICAL 1G ' TESTING CERTIFICATION,i` [ .` PASS [ ] FAIL DATE ? l LEAK DETECTION [ ] CHECK IF„N/A TYPE/BRAND , -A 7/�i�/6 ZONE OF CONTRIBUTION [ ]' YES [ j-NODATE T'0�"BE--REMOVED FIRE DEPT. PERMIT ISSUED �i)� YES [ ] NO DA-TE CONSERVATION [ ] CHECKhF N/A D,6,TE-,— I B BOARD OF HEALTH TAG N0. [ ., ] DATE T �� r / *. PLEASE PROVIDE A ,SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD / c� � _ � 1 �� � � � OOOO Mutual Oil Co., Inc. 863 Crescent Street P0.Box 486 Brockton;MA 02403-0486 (508)583 5777 O U u U T UA L Fax(508)580-1859 June 30, 1993 Ms. Donna Miorandi Health Department 367 Main Street Hyannis, MA 02601 RE: Exxon Station 149 North Street Hyannis, MA 02601 Dear Ms. Miorandi: In response'to a.letter received from the Board of Health concerning the underground tanks at the above named location and our subsequent conversation on June 29, 1993, enclosed are the following: 1 ` Completed Town of Barnstable Underground Fuel and Chemical Storage Registrations for the three (3) existing underground tanks. 2. The last tank tightness test results dated March 1992. 3. A copy of the F.P. 290 forms dated March of 1987 and May of 1991 verifying the installation dates of the underground tanks. 4. A listing of the existing tanks received from your office. 5. A copy of the letter sent by your Department on June 28, 1993. We understand that by completing these registration cards and proving the tanks are not over thirty (30) years old, we will not be required to have a hearing with the Board of Health nor will we be subject to remove these tanks in sixty (60) days. We thank you for your cooperation in this matter.. Sincerely, Michael F. Grendal Project Engineer MFG:dms enclosures New England's Leading Distributor E ON e a ® �� Gulf circo r - - DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION PERMIT Q ps 19 ,97 to y r' TO MAINTAIN AN EXISTING/NEW UNDERGROUND STORAGE FACILITY In accordance with the provisions of 527CMR9.24 this permit to maintain an existing/new underground storage facility is granted to: Location of property: 149 North Street, Hyannis, MA street address Owner of property: Morris Realty Trust Full name of person, firm or corporation Restrictions: A- ro A., �,v ; Fee Paid:$ /a (M.G.L.A. Chapt. 148 Sec. OA) Form 290 Part F.P.F This permit will expire D3 as1992 �---- Date gnat re of Head of Fire Dept. or a*,tedddeignes (Owner' s Copy to be posted at the storage facility with F.P.290 Part 3) Natifk4at*ion for Underground Stora e Tanks PT FIRE DEPT. STATE USE ONLY litilGii0k Copy to be certified by local fire departrnen '."'umber and: POSTED AT STORAGE FACILITY Date Received GENERAL INFORMATION Notification is required by Federal law for all underground tanks that have been 4. pipeline facilities(including gathering lines) regulated under the Natural (ia, used to store regulated substances since January 1.1974,that are in the ground as of Pipeline Safety Act of 1968.or the Ha.-ardous Liquid Pipeline Sal'et%Act of 1979.or May 8.1986,or that are brought into use after May 8,1986.The information requested which is an intrastate pipeline facilit%regulated under State law.: Is required by Section 9002 of the Resource Conservation and Recovery Act,(RCRA), S.surface impoundments.pits,ponds,or lagoons: as amended. 6.storm water or waste water collection s)-stems. The primary purpose of this notification program is to locate and evaluate under- 7•flow-through process tanks: ground tanks that store or hose stored petroleum or hazardous substances. It is 8.liquid trips ora%sociatcd gathering linc%dirccily related to oil orps productionand expected that the information you provide will be based on reasonably available gathering operations: records.or.in the absence of such records,your knowledge.belief.or recollection. 9. storage tanks situated in an underground area (such as a basement. cellar. mineworking.drift,shaft,or tunnel)it the storage tank is situated upon or above the Who Must Notify' Section 9002 of RCRA.as amended. requires that. unless surface of the floor. exempted,owners of underground tanks that store regulated substances must notify designated State or.local agencies of the existence of their tanks.Owner means— What Substances Are Covered' The notification requirements appl% to under- (a) in the case of an underground storage tank in use on November 8. 1984.or ground storage tanks that contain regulated substances.This includesan%substance brought into use after that date.am person who owns an underground storage tank defined as hazardous in section 101 (14) of the Comprehensisc Environmental used for the storage,use,or dispensing of regulated substances,and Response.Compensation and Liability Act of 1980(CERCI_A).with the exception of (b) in the case of any underground storage tank in use before NoNcmher 8.1984. theist substances regulated as hazardous waste under Subtitle C of RCRA. It also but no longer in use on that date,any person who owned such tank immediately before includes petroleum.e.g..crude oil or any fraction thereof which is liquid at standard the discontinuation of its usc. conditions of temperature and pressure(60 degrees Fahrenheit and 14.7 pounds per What Tanks Are Included* Underground storage tank is deline.d as any one or square inch absolute). combination of tanks that(1)is used to contain an accumulation of-regulated sub- Where To Notify' Completed notification forms should be.-sent to the address stances. and(2)whose volume(including cc-mnected underground piping)is f0ri or given at the top of this page. more beneath the ground.Some examples are underground tanks storing:1.gasoline. used oil,or diesel luel.and 1.industrial sohents.pesticides.herbicide.•%or fumigants. When To Notify' 1.Ow ners of underground storage tanks in use or that hasc been What Tanks Are Excluded' Tanks temosrd from the round arc not subject to taken out tit operation after Jamaar\ f. 1974.but still in the ground.must notify bs notification.Other tanks excluded from notification are: g Mau X.1986.2.Owrnn who bring underground storage tanks into use after Mac It, 1.farm or,residential tanks tit 1.100 gallom or lesscapacit%used forstoring motor I'ucl 19xn.must notify within zU day s of bringing the tanks into use. for noncommercial purposes: Penalties: Any owner who knowingly fails to notify or submits false Information 2.tanks used torstoringheatingoillorconsumptise use on the premiseswhcrestored. shall be subject to a civil penalty not to exceed$10.000 for each tank for which 3.septic tanks. notification is not given or for which false information is submitted. INSTRUCTIONS Please type or print in ink all items except"signature-in Section V.This form must by completed for Indicate number of each location containing underground storage tanks.If more than S tanks are owned at this location, continuation sheets photocopy the rcvetx side,and staple continuation sheets to this form. attached • •FTANK(S) 11.LOCATION Owner Name(Corporation,Individual,Public Agency,or Other Entity) (If same as Section 1,mark box here❑) MUTUAL OIL CO., INC. Facility Name or Company Site Identifier,as applicable Street Address 863 CRESCENT STREET MUTUAL OIL CO. , INC. County Street Address or State Road,as applicable PLYMOUTH 149 NORTH STREET City State ZIP Code County BROCKTON MA 02402 BARNSTABLE Area Code Phone Number City(nearest) State ZIP Code 617 583-5777 HYANNIS MA 02601 Type of owner (Mark all Unt apply(2) ® Current ❑ State or Local Gov't ® Private or Indicate Mark box here if tank(s) Corporate number of are located on land within ❑ Former ❑ Federal Gov't ❑ Ownership tanks at this 3 an Indian reservation or ❑ (GSA facility I.D.no. uncertain location on other Indian trust lands IILCONTACT PERSON • • Name(If same as Section 1,mark box here ❑) t Job Title Area Code Phone Number CHARLES GILMETTE SUPERVISOR 617 992-1118 IV.TYPE OFNOTIFICATIO14: ® Mark box here only if this is an amended or subsequent notification for this l)cation. CERTIFICATIONV. om I certify under penalty of law that I have personally examined and am familiar with the information submitted in this and all attached documents,and that based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the Submitted information is true,accurate,and complete. Name and official title of owner or owner's authorized representative Signature Oate Signed Edward A. Rachins - President2/23/87 CONTINUE ON REVERSE SIDIE'. .Form F.P. 290 Part 3 Page 1 Owner Name(from Section f) Mutual 0 i 1 Cn , T nc-Location(froni Simon tl) Hyannis, MA Page No. of papas DESCRIPTION •. STORAGE TANKS(Complete foreach tank at this location.) Tank Identification No.(e.g.,ABC-123),or Tank No. Tank No. Tank No. Tank No. Tank No. Arbitrarily Assigned Sequential Number(e.g.,1,2,3...) 1 1.Status of Tank Currently in Use (Mark all fhaf apply M) Temporarily Out of Use Q Q Q Q Q Permanently Out of Use Q Q Q] Q Q Brought into Use after 5/8/86 2.Estimated A (Years) 11 11 11 3.Estimated Total Capacity(Gallons) 4.Material of Construction Steel (Mark one M) Concrete Fiberglass Reinforced Plastic Q Q Q Q Q Unknown Q Q Q Q Q] Other,Please Specify S.Internal Protection (Mark all that apply®) Cathodic Protection [Q Q Q Q Q Interior Lining(e.g.,epoxy resins) Q Q Q Q 0 None ® ® ® Q Q Unknown Q Q Q Q Q Other,Please Specify 6.External Protection Cathodic Protection Q Q Q Q Q (Mark apfhatapplyM) Painted(e.g.,asphaltic) Fiberglass Reinforced Plastic Coated Q Q Q Q Q None Unknown Q Q Q Q) Q Other,Please Specify T(a� tlra Bare Steel Q Q Q Q Q (Mark all t apply®) Galvanized Steel Fiberglass Reinforced Plastic Q Q Q Q Q Cathodically Protected Q Q Q Q O Unknown Q Q Q Q Q Other,Please Specify 8.Substance Currently or Last Stored a. Empty ® IB In Greatest Ouantity by Volume b. Petroleum (Mark all that apply M) Diesel Q Q Q O O Kerosene Q Q Q Q Q Gasoline(including alcohol blends) ® ® ® Q] Q Used Oil Q O O Q O Other,Please specify c. Hazardous substance Q O O O Please Indicate Name of Principal CERCLA Substance OR Chemical Abstract Service(CAS)No. Mark box I8 if tank stores a mixture of substances Q Q Q Q Q d. Unknown 9.Additional Information(for tanks permanently taken out of service) a. Estimated date last used(mo/yr) b. Estimated quantity of substance remaining (gal.) f c. Mark box®if tank was filled with inert material (e.g:,sand,concrete) Q Q Q Q Q s k Department of'Public Safety Division of Fire Prevention and Regulation PERMIT May 29 1991 _ I�L Date TO MAINTAIN AN EXISTING/NEW UNDERGROUND STORAGE FACILITY In accordance with the provisions of 527 CMR 9.26 this permit to maintain an existing/new underground storage facility is granted to: Location of property: 149 North Street Street address Owner of property: MUTLaL OIL CO., INC. Full name of person, firm or corporation Restrictions: Permit to maintain (2) 5000ga1, gasoline underground tanks and (1) 10,0009a1, gasoline underground tank I Fee Paid:$ 10.00 (M.6.L.A. Chapt. 148 Sec 1OA) This permit will expire Jan- 1 19 96ZZ FORM F.P.290 Date Signatu a of Mead o Fire Dept. r appointed designee crev. lo/sod (Owner's copy to be posted'at the storage facility) Department of Public Safety Division of Fire Prevention and Regulation . Notification for Underground Storage Tanks STATE USE ONLY DEPAMMU OF PUBLIC SAFETY ID NUMBER FIRE DEPT. MAIL TO: P.O. BOX 490 DATE RECEIVED TEWKSBURY, MA 01876 A. Date Entered Into Com er ED A. NEW FACILITY ® B.AMENDED C.CLOSURE B. Data Entry Clerk Initials :�_No.of tanks at facility No.of continuation sheets attached C. Owner Was Contacted to INSTRUCTIONS Clarify Responses.Comments Please lyOe or print in ink all items except'signature"in section V.This form must be completed for each location containing underground storage tanks. If more than five(5)tanks.are.owned at this location,photocopy the following sheets,and staple continuation sheets to the form. GENERAL - Notification Is required by Federal taw for all underground tanks that A septic tanks: have been used to store regulated substances since January 1.1964,that 4.pipeline facilities(including gathering lines)regulated under the Natural Gas are In the ground as of May 8,1986,orthat are brought Into use after May 8, Pipeline Safety Act of 1968,or the Hazardous Liquid Pipeline Safety Act of 1979,or 1986.The Information requested Is required by Section 9002 of the Resource which is an intrastate pipefine facility regulated under State laws; Conservation and Recovery Act,(RCRA),as amended. 6.surface Impoundments,pits,ponds,or lagoons; 6.storm water or waste water collection systems; The primary purpose of this notification program is to locate and evaluate 7.flow-through process tanks. underground tanks that store or have stored petroleum or hazardous substances. 8.liquid Caps or associated gathering lines directly related to oil or gas It is expected that the information you provide will be based on reasonably production and gathering operations: available records,or in the absence of such records,your knowledge,belief,or 9.storage tanks situated in an underground area(such as a basement,cellar, recollection. mineworking,drift,shah,or tunnel)if the storage tank is situate upon or above the Who Must Notify?Section 9002 of RCRA,as amended,requires that,unless surface of the Moor. exempted,owners of underground tanks that store regulated substances must What Substances Are Covered?The notification requirements apply to under notify designated State or local agencies of the existence of their tanks.Owner ground storage tanks that contain regulated substances.This includes any means— substance defined as hazardous in section 101(14)of the Comprehensive a)in the case or an underground storage tank in use on November 8,1984.or Enviro ig ypr r • Act of 1980(CERCLA),with brought into use after that date,any person who owns an underground storage the exc s ri to dour waste under Subtitle C of tank used for the storage,use,or dispensing of regulated substances,and RCRA. elJ�,e a e i y fraction thereof which h b)in the case of any underground storage tank in use before November 8, liquid a sure(60 degrees Fahrenheit 1984.but no longer is use on that date,any person who owned such tank and 14. s per square inch absolute). immediately before the discontinuation of its use. µ' otay�/j p�elat�r liri .hould br.cnl ht� the adJrr. c)if the State agency so requires,any facility that has undergone any changes gi%cn at of tlt'i.' c to facility information or tank system status(only amended tank Information needs to be included). FIRE PREVENTION DIVISION What Tanks Are Included?Underground storage tank is defined as any one N IS IRE DEP Tfd1ENT or combination of tanks that(1)is used to contain an accumulation of regulatedrage tanks in use or that have substances:and(2)whose volume(including connected underground piping)is been taken out of operation after January 1;1974,but still in the ground,must notify 10%or more beneath the ground.Some examples are underground tanks storing: by May 8,19W.2.Owners who bring underground storage tanks into use after May 1.Gasoline,used oil,or diesel fuel,and 2.industrial solvents,pesticides, 8,1986,must notify within 30 days of bringing the tanks into use. herbicides or fumigants. What Tanks Are Excluded?Tanks removed from the ground are not subject to notification.Other tanks excluded from notification are: Penalties:Any owner who knowingly falls to notify or submits false 1.farm or residential tanks of 1.100 gallons or less capacity used for storing Information shall be subject to a civil penalty not to exceed$10,000 for each motor fuel for nonicommeroal pubes; tank for which notification Is not given or for which false Information Is 2.tanks used for storing heating oil for consumptive use on the premises submitted. where stored; (.OWNERSHIP OF TANK(S) II. LOCATION OF TANK(S) M reputed by Slats.9tva the pa<g,Z,ic Iowion of tams by degrees.minuiee.and seconds. Exarphs Lat 42,36.12N Lora.85.24,17W Owner Nara(Corporation,Individual.Public Agerxy,or other Emily) Mutual Oil Co. , Inc. Latitude Longitude Stnee(utddreas 8 6 3 Crescent Street (If same as Sea ion 1,mark box here m) Facltty Name or Carpany She ldentMisr.as appilcable city SUM Brockton MA 024p� Mlltna1 (lit Co- , Tnr. ("?�GIrJ'7S Street Address(P.O.Box nat aoaprable) i Ymniith 149 North Street y Hydonis MA 0260 zp oDde CA nod u ry uncpalny FOR/d F.P. 290 (rev. 10190) Page 1 III.TYPE OF OWNER IV. INDIAN LANDS Tanks are located on land within an Indian Tribe or Nation: ❑ Federal Government ❑ Commercial Reservation or on other trust lands. ❑ ' ❑ State Government ® Private Tanks are owned by native American ❑ Local Government nation,tribe,or individual. ❑ V.TYPE OF FACILITY Select the Appropriate Facility Description P _X Gas Station Railroad TruckinglTransport Petroleum Distributor Federal-Non-Military Utilities Air Taxi(Airline) Federal-Military Residential Aircraft.Owner Industrial Farm Auto Dealership __Contractor Other.(Explain) VI. CONTACT PERSON IN CHARGE OF TANKS Name Job Title Address .Phone Number(Include Area Code) Edward A. Rachins President 863 Crescent Street (508) 583-5777 Brockton, MA 0240.2 VI1. FINANCIAL RESPONSIBILITY have met the financial responsibility requirements in accordance with 40 CFR Subpart H —————— ----------- Check All that Apply SO Insurance, 0 Guarantee State Funds —� Commerci0lnsu(ance ( O 'Surety Bond .0 Trust Fund Risk Retention Group .0 f Letter of Credit 0 Other Method Allowed Specify Vill. CERTIFICATION (Read and sign after completing all seclions) 1 certify under penalty of law that I have personally examined and am familiar with the information submitted in this and all attached documents,and that based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the submitted information is true,accurate, and complete. Name and official title of owner or owner's authorized representative (Print) Signature Date Signed Kenneth L. Howard, Engineer EPA estimates public reporting burden for this form to average 30 minutes per response including time for reviewing instructions, gathering and maintaining the data needed and completing and reviewing the form. Send comments regarding this burden estimate to Chief, Information Policy Branch PM-223, U.S. Environmental Protection Agency,401 M Street, Washington D.C. 20460, marked "Attention Desk Officer for EPA."This form amends the previous notification form as printed in 40 CFR Part 280,Appendix I. Page 2 Tank Identification Number Tank No.�_ Tank No. 2 Tank No... Tank No. Tank No, 7.Substance Currently or Last Stored In Greatest Quantity by Volume Gasoline Diesel U r Gasohol Kerosene (� i Heating Oil Used Oil Other, Please specify Hazardous Substance CERCLA name and/or, CAS number i ————————————— — ———— ————— - ---- Mixture of Substances I Please specify X.TANKS OUT OF USE,OR CHANGE IN SERVICE 1. Closing of Tank A. Estimated date last used ———— I —————�————— —— —— —— — ——— (mo./day/year) B. Estimate date tank closed I I (mo./day.year) ———————————— ————— ———— ———— ——— —— C. Tank was removed from ground D. Tank was closed in ground E. Tank filled with inert material I Describe . F. Change in service 2. Site Assessment Completed , I' i' ---------------- --- --- - --- -- - — — ——— ——— — — Evidence of a leak detected �� I�- IX. DESCRIPTION OF UNDERGROUND STORAGE TANKS(Complete for each tank at this location:) Tank Identification Number Tank No. .1 Tank No. 2 Tank No. 3 Tank No. Tank No. 1. Status of Tank X X X (mark only one) Currently in Use I Temporarily Out of Use Q i Permanently Out of Use (p. bW 1D000—C6—IXJ Amendment of Information U ' 2. Date of Installation(mo.year) 1975 1975 1975 3. Estimated Total Capacity(gallons) 5000 10,000 5000 4. Material of Construction (Mark all that apply) Asphalt Coated or Bare Steel X X X Cathodically Protected Steel! Epoxy Coated Steel! Composite (Steel with Fiberglass) Fiberglass Reinforced Plastic! Lined Interior Double Walled Polyethylene Tank Jacket Concrete: I �� Excavation Liner, Unknown) Other, Please specify I i I Has tank been repaired? 5. Piping (Material) i (Mark all that apply) Bare Steel Galvanized Steel X X X Fiberglass Reinforced Plastic' Copper Cathodically Protected Double Walled Secondary Containment ` Unknown Other, Please specify 6. Piping(Type) (Mark all that apply) Suction:no valve at tank Suction:valve at tank: X X X 1 ! Pressure) I it l ; Gravity Feed I j Has piping been repaired. I I ! Paoe 3 XI: CERTIFICATION OF COMPLIANCE (COMPLETE FOR ALL NEW AND UPGRADED TANKS AT THIS LOCATION) Tank Identification Number Tank No. I Tank No. 2 Tank No.�_ Tank No. I Tank No. 1. Installation A. Installer certified by tank and piping manufacturers U B. Installer certified or licensed by the implementing agency C. Installation inspected by a �I registered engineer D. Installation inspected and approved by implementing agency E. Manufacturer's installation check- lists have been completed F. Another method allowed by State agency. Please specify. I i 2. Release Detection(Mark all that apply) I TANK PIPING. TANK PIPING : TANK PIPINGI TANK I PIPING TANK PIPING A. Manua!tank 9 au in 9 9 77-1 B. Tank tightness testing C. Inventory controls D. Automatic tank gauging E. Vapor monitoring F. Groundwater monitoring � E G. Interstitial monitoring double walled U I U I ( U\• t___! I L—I tank/piping H. Interstitial monitoring/secondary containment I l I I. Automatic line leak detectors J. Line tightness testing K. Other method allowed by U I L Implementing.Agency. Please specify. 3. Spill and Overfill Protection A. Overfill device installed X B. Spill device installed x� OATH: I certify the information concerning installation that is provided in section X is true to the best.of my belief and knowledge. Installer: Name Signature Date Position Company Pa0c S Uala It Ptem iigntness iest USING PETRO-TITE CORPORATION TANK TIGHTNESS TESTER MODEL 1000 PLEASE INT Copyright O Kent-Moore Corporation 1977 1. OWNER Property Mutual Oil- Co 863 Crescent Street Brockton MA . 02403 Name Address Representative Telephone Tanks( ) Name Address Representative Telephone 2. OPERATOR E xxon Mutual 149 North Street Hyannis, MA Address Telephone 3. REASON FOR Routine teating. Post phi xurtion- TEST (Explain Fully) 4. WHO REQUESTED 0ohn Parmentier Engineer Mutual Oil Co TEST AND WHEN Name This Company or Affiliation Data Addtass Telephone 5. WHO IS PAYING _ _ 5777 FOR THIS TEST? Company.Agency or indivlduN Person Authoriting Tide Telephone Billing Address City State Zip Attention of:. Order No. Othat Instructions Identify by Direction Capacity Brand/Supplier Grade Approx.Ape Stsel/Fiberglass 8. TANK(S) INVOLVED #1 10000 Mutual Reg. Unl . Steel #2 5000 Mutual Super Unl . Steel From office #3 5000 Mutual Unl . Plus Steel Location Cover Ftlls Vents Siphons Pumps 7. INSTALLATION DATA North Inside driveway. Concrete.Black Top. Site.Theall make.Drop Suction.Remote. Rest of station,etc. Earth,etc. tubes.Remote Fine Site.Manifolded Which tanks T Make N known 8. UNDERGROUND Q Is the water over the tanks WATER DepthtotheWatertablr elow tank bottomEl Yes No Tanks to be filled hr. Date Arranged by 9. FILL-UP Name Telephone ARRANGEMENTS Extra product to"top of",and run TSTT. Now and who to provide? Consider NO Lead. Terminal or other contact for notice or inquiry Company Name Telephone 10. CONTRACTOR. Sure Test CorD, 333 Washington Highway, Smithfield RI 02917 MECHANICS. any other contractor Involved 11. OTHER W INFORMATION OR REMARKS Additional Information on any Items.above.Officiafs or others to be vised when testing Is in program or completed.Vishors or observers present during test etc. Tests were made on the above tank systems in accordance with test procedures prescribed for Petro-Tate Tank Systems Tightness Tester 12. TEST RESULTS Model 1000 as detailed on attached test charts with results as follows: Tank Identification Tight Leakage Indicated Date Tested 1 yes - 4 2 yes +.0393-16-92 3 This le to codify that titese tank systems wen tested on site dete(s)shown.Those Indicated as"Tight'meet the. aria ish by 13. CERTIFICATION fffe National Fla Protection Asodadon Pamphlet 329. ; y n / March_ 16, 1992 D. Moreau 110710274 Sure Test, Corp Date sstin0 rt r or Com Y• . S n s/n391 J. Bickmore 110711321 333 Washington ig way,D�mit 'isl RI 0291 Send No,of Thermal Technicians Addrsse Sensor 401-232-3530 WNER: MUTUAL OIL CO INC MUTUAL OIL CO 863 CRESCENT ST 149 NORTH ST BROCKTON MA C_)2402 HYANNIS MA C)26(-)l CONTACT: CHARLES GILMETTE PHONE: 508-5873-5777 P1HONE: 5108-992--1118 NUMBER OF TANk%`.S: 3. A N I-'.' # STATUS INST. DATE SIZE MADEOF IN-T. F*-RO EXT PRO PIPE STORES 1 IN USE 1975 100()o STEEL NONE PAINTED GAL-.STEEL GASOLINE .DMMENTS: IN USE 1975 50C)o STEEL NONE PAINTED GAL. STEEL GASOLINE -.OMNENTS: IN USE 1975 C C STEEL NONE PAINTED GAL. STEEL- GASOL.11,1E.OMMENTS: THE LIST ABOVE CONTAINS INFORMATION FROM THE FP #290 FORMS ON FILE IN 1989 CONCERNING YOUR UNDERGROUND TANKS -. PLEASE MAKE ANY NECESSARY - CHANGES, NEATLY, ON THE LIST. IF THE '. TANKS HAVE BEEN REMOVED AND REPLACED, YOU NEED TO FILL OUT A NEW 290 FOR YOUR LOCAL FIRE DEPARTMENT. THE U.S. EPA HAS ADVISED US TO INFORM YOU OF FINES UP TO $10. 00 ZDAY FOR FAILURE TO PROVIDE A NEW 290 FOR NEW USTS. INFORMATION WAS CORRECT CORRECTIONS HAVE BEEN MADE NEW 290 ENCLOSED BECAUSE OF NEW REGULATIONS, ADDITIONAL INFORMATION ON YOUR FACILITY IS REQUIRED. PLEASE COMPLETE THE QUESTIONNAIRE ON THE OPPOSITE SIDE AND RETURN COPIES TO: Ms. Charlotte Stiefel Barnstable County Health & Environmental Dept. Superior Court House, Route 6a Barnstable, MA 02630 .AND Lt. Hubler . Hyannis Fire Department 95 High School Road Ext.' Hyannis, MA 02601 kealch Department p. o, jox 534 Hyannis MA 02601 underground tank at 144 NORTH ST _'3�42t6G�1 Tag Uur records indicate that your underground fuel for chemical ) ,rage Lank is overn3 years oldp ano has not been removed as iuired ay Section n ..Subsection 2 of the town of d4rns.t.a.bU Mgalth tutation Regarding Fuel and Chetical Stordg,e .,Sysftims. you are directed to remove this tank sixty (LC) bays �m the- irate of this notice. :.leer your tank is reRoveco pleasQ furnish this office eYicence the. form of a permit from your local fire cepartment thin ninty t9r ) days of receipt of this notice. You may request a hearing prcvioed a written petition -:Iueseiny same is received by the 8carc of Healtn twin .even (l) days after this order is sLrvec:. Per Croer of the ooaro of healtn nriCNl���i cJiMR � A 3 Tina tnomaS ricaean. director 2 4 C 7 1ihe Tow of Barnstable -o health Department 1 DAD EMIL : 367 Main Street, Hyannis, MA 02601 y AOfl � n,t639. Office 508-790-6265 Thomas A. McKean FAX 508-775-3344 Director of Public Health November 19, 1993 Michael F. Grendal Mutual Oil Co. , Inc. 863 Crescent Street P.O. Box 486 Brockton, MA 02403-0486 Dear Michael: Enclosed are the brass valve tags for the underground fuel storage tanks located at 149 North Street, Hyannis. Please attach these to the fill caps of each. tank. Please continue with your testing of the tanks as you have done in the past. with Sure-Test. I apologize for the delay in getting these tags to you. If you have any further questions or needs please feel free to call this office. S inc rely, ,/ /'*� /11 ' Donna Z. Miora Health Inspector ii I �Qq o0oO Mutual Oil Co., Inc. 863 Crescent Street P.O. Box 250 Brockton,MA 02403-0250 Fax(508)580-1859 RA U U AL November 27, 1998 Mr. Thomas McKean, Director Town of Barnstable Health Department P.O. Box 534 Hyannis, TIA 02601 RE: MUTUAL OIL CO., INC. 149 NORTH STREET �- HYANNIS, MA 02601 Dear Mr. McKean: We have again received notification from your department that the underground storage tanks at the above named location are over thirty years old and must be removed. In 1997 we received similar notifications. At that time a package(copy of cover attached)was sent to your office indicating these tanks were installed in 1975. It appears your department may still have incorrect computer information. I trust this issue will be resolved. If you require my assistance, please call. Sincerely, TUAL OIL CO., INC. Michael F. Grendal Project Engineer MFG/dr Enclosure 0 00 LNewEngland's Leading Distributor SONQCQ E N [�T� Gulf MUTUGL `O CITGO Mutual Oil Co., Inc. 863 Crescent Street P.O. Box 250 Brockton,MA 02403-0250 Fax(58)580- MUTUAL Fax(508)580-1859 February 24, 1997 Ms. Donna Miorandi Health Department 367 Main Street Hyannis, MA 02601 RE: MUTUAL OIL CO., INC. 149 NORTH STREET HYANMS, MA 02601 Dear Ms. Miorandi: As per our conversation this date, attached is the package that was previously sent to your office in 1993. In 1993 as in February 1997 we received notice from your office that the tanks at the above location are over (30) thirty years old and have to be removed. The attached package was sent to show the tanks were not over thirty (18 at the time) and were tight. I understand from our conversation this information may not have been entered into your computers. I hope all will be clarified. Please also note that in 1993 the station was "Exxon". It has currently been rebranded to "Mutual". I trust this clarifies the situation. S incerely, MUTUAL OIL CO., INC. j Michael F. G enda Project Engineer MFG/dr Attachment /ew England's Leading Distributor MUTUAL Gulf ` CITGO TANKS] 21 FUEL STORAGE TANK RECORDS ] HELP [ ] FOR PARCEL NBR: 3091 2261 0021 ] MAIN ACTION C] Action Tank Nbr Tag Nbr Installed Location ----Notification Dates----- [ ] [ 11 [ 11361 [0101751 [B ] Test 0916941 Rem ] ---- Test --- --Abandoned-- -- Removed -- -- Variance - [ ] [0808941 [ ] [ ] [ ] [0101871 [ ] [ ] Fuel Reason Cops Constr Status Leak-Det Cath-Det [G ] [B ] 5000 IS ] [ ] [ ] [ ] Additional Detai [TESTED TIGHT/LT CHASE ] -------------------------------------------------------------------------------- Action Tank Nbr Tag Nbr Installed Location ----Notification Dates----- [ ] [ 2] [ 11371 [0101751 [B ] Test 0916941 Rem ] ---- Test --- --Abandoned-- -- Removed -- -- Variance - [ ] [0808941 [ ] [ ] [ ] [ ] [ ] [ ] Fuel Reason Constr Status Leak-Det Cath-Det [G ] [B ] ��[ac 0000] IS ] [ ] [ ] [ ] Additional Details [TESTED TIGHT/LT CHASE ] -------------------------------------------------------------------------------- Cancel [ ] Press XMT for more data NEXT SCREEN [TANKS] ACTION [C] PARCEL NBR [309] [226] [002] ] TANK NBR [ 31 [ ] TANKS] 31 FUEL STORAGE TANK RECORDS ] HELP [ ] FOR PARCEL NBR: 3091 2261 0021 ] MAIN ACTION C] Action Tank Nbr Tag Nbr Installed Location ----Notification Dates----- [ ] ( 31 [ 11381 [0101751 [B ] Test 0916941 Rem ] ---- Test --- --Abandoned-- -- Removed -- -- Variance - [ ] [0808941 ] [ ] [ ] [ ] [ ] Fuel Reason Capacity, )nstr Status Leak-Det Cath-Det [G ] [B ] [ 500"0]Additional De TIGHT LT CHASE ] -------------------------------------------------------------------------------- Action Tank Nbr Tag Nbr Installed Location ----Notification Dates----- [ ] [ ] ( ] [ ] [ ] Test ] Rem ] ---- Test --- --Abandoned-- -- Removed -- -- Variance - Fuel Reason Capacity Constr Status Leak-Det Cath-Det [ ] [ ] [ ] [ ] [ ] [ ] [ ] Additional Details [ ] -------------------------------------------------------------------------------- Cancel [ ] END OF DATA NEXT SCREEN [HMENU] ACTION [ ] PARCEL NBR [ ] [ ] [ ] ] TANK NBR [ ] [ ] TANKS] 31 FUEL STORAGE TANK RECORDS ] HELP [ ] FOR PARCEL NBR: 3091 2261 0021 ] MAIN ACTION C] Action Tank Nbr Tag Nbr Installed Location ----Notification Dates----- [ ] [ 31 [ 11381 [0101751 [B ] Test 0916941 Rem ] ---- Test --- --Abandoned-- -- Removed -- -- Variance - [ ] [0808941 [ ] [ ] [ ] [ . ] [ ] [ ] Fuel Reason Capacity Constr Status Leak-Det Cath-Det [G ] [B ] [ 50001 IS ] [ ] [ ] [ ] Additional Details [TESTED TIGHT LT CHASE ] - ------------------------ ------------------------- ----------------------- -- Action Tank Nbr Tag Nbr Installed Location ----Notification Dates-- [ ] [ ] [ ] [ ] [ ] Test ] Rem ] ---- Test --- --Abandoned-- -- Removed -- -- Variance - Fuel Reason Capacity Constr Status Leak-Det Cath-Det [ ] [ ] [ ] [ ] [ ] [ ] [ ] Additional Details [ ] -------------------------------------------------------------------------------- Cancel [ ] END OF DATA NEXT SCREEN [HMENU] ACTION [ ] PARCEL NBR [ ] [ ] [ ] ] TANK NBR [ ] [ ] PAR ] Real Estate System - General Property Inquiry] Help [ ] Parcel Id: 309 226-001- Account No: 326748 Parent : 225198 Location: 149 NORTH ST Neighborhood: HY09 Fire Dist : HY Devel Lot : 1 Lot Size : . 27 Acres Current Own: RACHINS, EDWARD A & State Class : 333 SHAER, STEPHEN B TRS No. Bldgs : 1 Area: 704 863 CRESCENT ST Year Added: 85 BROCKTON MA 2403 Deed Date : 110186 Reference : 5407/310 January 1st : RACHINS, EDWARD A & Deed MMDD: 1186 Deed Ref : 5407/310 Comments : Values : Land: 129600 Buildings : 30000 Extra Features : 8000 Road System: 149 Index: 1100 (NORTH STREET ) Frntg: Index: ( ) Frntg: Control Info: Last Auto Upd: 050695 Status : C Last TAGS Update : 080687 Land Reviewed By: Date : 0000 Bldgs Reviewed By: Date : 0000 Tax Title : Account : Taken: Account Status : Hold Status : Cancel [ ] Press XMT for more data Next screen [PAR ] Action [ ] Owners Name [ ] Road Index [ ] Road Name [ ] Parcel Number [309] [226] [002] [ ] [ ] PAR ] Real Estate System - General Property Inquiry] Help [ ] Parcel Id: 309 226-002- Account No: 326766 Parent : 225198 Location: 147 NORTH STREET HYANNIS Neighborhood: HY09 Fire Dist : HY Devel Lot : 2 Lot Size : . 21 Acres Current Own: RACHINS, EDWARD A & State Class : 325 SHAER, STEPHEN B TRS No. Bldgs : 1 Area: 2800 863 CRESCENT ST Year Added: 85 BROCKTON MA 2403 Deed Date : 110186 Reference : 5407/310 January 1st : RACHINS, EDWARD A & Deed MMDD: 1186 Deed Ref : 5407/310 Comments : Values : Land: 82200 Buildings : 32700 Extra Features : Road System: 147 Index: 1100 (NORTH STREET ) Frntg: Index: ( ) Frntg: Control Info: Last Auto Upd: 050695 Status : C Last TAGS Update : 080687 Land Reviewed By: Date : 0000 Bldgs Reviewed By: Date : 0000 Tax Title : Account : Taken: Account Status : Hold Status : Cancel [ ] Press XMT for more data Next screen [PAR ] Action [ ] Owners Name [ ] Road Index [ ] Road Name [ ] Parcel Number [309] [227] [ ] [ ] [ ] I TANKS] 41 FUEL STORAGE TANK RECORDS ] HELP [ ] FOR PARCEL NBR: 3091 2261 0011 ] MAIN ACTION C] Action Tank Nbr Tag Nbr Installed Location ----Notification Dates----- [ ] [ 1] [ ] [ ] [B ] Test ] Rem 0916941 ---- Test --- --Abandoned-- -- Removed -- -- Variance - [ ] [ ] [ ] [ ] [ ] [010187] [ ] [ ] Fuel Reason Capacity Constr Status Leak-Det Cath-Det [G ] [B ] [ 389001 [ ] [ ] [ ] [ ] Additional Details [HYA FIRE ] -------------------------------------------------------------------------------- Action Tank Nbr Tag Nbr Installed Location ----Notification Dates----- [ ] [ [ ] [ ] [A ] Test ] Rem ] ---- Test --- --Abandoned-- -- Removed -- -- Variance - (� [ ] L ] L l [ ] [ ] [ ] [ ] [ ] Fuel Reason Capacity Constr Status Leak-Det Cath-Det [ ] [B ] [ 4001 [ ] [ ] [ ] [ ] Additional Details [ ] -------------------------------------------------------------------------------- Cancel [ ] Press XMT for more data NEXT SCREEN [TANKS] ACTION [C] PARCEL NBR [309] [226] [001] ] TANK NBR [ 31 [ ] TANKS] 01 FUEL STORAGE TANK RECORDS ] HELP [ ] FOR PARCEL NBR: 3091 2261 001] ] MAIN ACTION C] Action Tank Nbr Tag Nbr Installed Location ----Notification Dates----- [ ] [ 31 [ ] [B ] Test ] Rem 1123981 e -Abandoned-- -- Removed -- -- Variance - [2] [081897-1- ] [ ] [ ] [ ] [ ] [ ] Fuel Reason C pacity Constr Status Leak-Det Cath-Det [G ] [B ] [ 100001 [ ] [ ] [ ] [ ] Additional Details [SURE-TEST OF NEW ENGLAND ] -------------------------------------------------------------------------------- Action Tank Nbr Tag Nbr Installed Location ----Notification Dates----- [ ] [ 41 [ ] [B ] Test ] Rem 1123981 Abandoned-- -- Removed -- -- Variance - CZ:!R! �[,� [ ] [ ] [ ] [ ] [ ] C acity Constr Status Leak-Det Cath-Det [G ] 5000] [ ] [. ] [ ] [ ] Additional Details [SURE-TEST OF NEW ENGLAND ] -------------------------------------------------------------------------------- Cancel [ ] Press XMT for more data NEXT SCREEN [TANKS] ACTION [C] PARCEL NBR [309] [226] [001] ] TANK NBR [ 51 [ ] TANKS] 11 FUEL STORAGE TANK RECORDS ] HELP [ ] FOR PARCEL NBR: 3091 2261 0011 ] MAIN ACTION C] Action Tank Nbr Tag Nbr Installed Location ----Notification Dates----- [ ] [ 51 [ [ ] [B ] Test ] Rem 1123981 =Reason - --Abandoned-- -- Removed -- -- Variance - ]- -'� ] [pacity Constr Status Leak-Det Cath-Det [ 50001 [ ] [ ] [ ] [ ] Additional Details [SURE-TEST OF NEW ENGLAND ] -------------------------------------------------------------------------------- Action Tank Nbr Tag Nbr Installed Location ----Notification Dates----- [ ] [ ] [ ] [ ] [ ] Test ] Rem ] ---- Test --- --Abandoned-- -- Removed -- -- Variance - Fuel Reason Capacity Constr Status Leak-Det Cath-Det [ ] [ ] [ ] [ ] [ ] [ ] [ ] Additional Details [ ] -------------------------------------------------------------------------------- Cancel [ ] END OF DATA NEXT SCREEN [HMENU] ACTION [ ] PARCEL NBR [ ] [ ] [ ] ] TANK NBR [ ] [ ] TOWN OF BARNSTABLE LOCATION /141 SEWAGE # Zoo 3 VILLAGE ��?��^''~ ASSESSOR'S MAP& LOT 309 2"-o l INSTALLER'S NAME&PHONE NO. R"k SEPTIC TANK CAPACITY LEACHING FACILITY: (type) NL4h' (size) /V NO. OF BEDROOMS / 4 n BUILDER OR OWNER 66 PERMIT DATE: // ! Z,/0 3 COMPLIANCE DATE: ZO G3 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility (If any wetlands.exist within 300 feet of leaching facility) Feet Furnished by r, vl ^� . r T 11 N C 1 v� - eS9pP LEGEND FS ROUTE 28 SYMBOL- DESCRIPTION R EXIST. BLDG. GENERAL NOTES: 0 IT SHALL BE Ti CONTRACTORS SOLE RESPONSIBILITY TO OBTAIN ANY EXIST- SEWER LINE AND ALL PERMITS REOUIRED BY THE STATE OF MASSACHUSE77S AND THE TOWN OF BARNSTABLE PRIOR TO COMMENCING ANY WORK. -W --- EXIST. WATER LINE 2. LOCATION OF EXISTING U71LMES ARE APPROXIMATE AND SHOWN FROM THE BEST ----G---- EXIST, GAS LINE AVAILABLE INFORMATION. THE CONTRACTOR SHALL NOTIFY DIG SAFE TO DETERMINE SITE ❑ CB EXIST. CATCH BASIN A __ _ PROPERTY ` EXACT LOCATION OF UTILITIES PRIOR TO ANY EXCAVATION. y O �4 ❑ DMH EXIST. DRAINAGE MANHOLE 3. THE CONTRACTOR SHALL BE REPONSIBLE TO REVIEW THE CONSTRUCTION DRAWING & O SMH EXIST. SEWER MANHOLE DIMENSIONS SHOWN & NOTIFY THE ENGINEER WITH ANY DISCREPANCY BETWEEN THE �( EXIST. CONCRETE WALL PLANS&THE ACTUAL FIELD CONDITIONS PRIOR TO CONSTRUCTION. �`7'• S' EDGE OF'PAVEMENT AT CURB EXIST. CONCRETE WALL � 4. THE ISLAND BOLLARD SHALL BE A MINIMUM C DIAMETER, SCHEDULE 40 STEEL PIPE U-SHAPED �O� O HYDRANT FILLED WITH CONCRETE THE PIPE SHALL BE SET IN 3000 PSI CONCRETE FOOTING, 24" IN UP EXIST. UTILITY POLE _ 3 DIAMETER AND 3'-6` DEEP. 5. THE CONTRACTOR SHALL CONFINE HIS OPERATIONS AND ACTIVITIES WITHIN THE PROPERTY RIGHT OF WAY. NO PROPOSED WORK IS ANTICIPATED ON PUBLIC STREETS. ® Thy S TR� '�' LOCUS MAP: NOT TO SCALE 1 '� �R \ 6. PROPERTY INFORMATION. BASE MAPPING AND UTILITIES SHOWN ARE TAKEN FROM SITE PLANS PREPARED BY DOWN CAPE ENGINEERING, INC., 939 YARMOUTHPORT, MASS. (POBLIC— 40' WIDE) / 7. IT SHALL BE THE OWNER'S RESPONSIBILITY TO PRESENT AND REVIEW THIS PLAN WITH THE LOCAL -------"S----------- --------------- BUILDING OFFICIALS TO INSURE COMPLIANCE WITH LOCAL SETBACK REQUIREMENTS AND TO OBTAIN ---------G---------- ------------------ ANY VARIANCES OR SPECIAL PERMITS IN CONNECTION WITH THE PROPOSED WORK ON THIS PLAN. II I I EXISTING CURB - - e. THE CONTRACTOR SHALL MAINTAIN ALL EXCAVATION IN DRY CONDITIONS. '------------ 9. ALL EXISTING UTILITIES,WATER, GAS, DRAINS.& ELECTRIC SHALL BE PROPERLY LOCATED J ____ --- -� PROTECTED AND MAINTAINED BY THE CONTRACTOR AT ALL TIMES DURING THE CONSTRUCTION PERIOD. 10. ANY DEVIATION FROM THE CONTENT OF THESE PLANS WITHOUT WRITTEN CONSENT OF THIS ENGINEER WOULD MAKE R NULL AND VOID. 11. THE CONTRACTOR SHALL SHORE, BRACE, SHEET PIE OR OTHERWISE SUPPORT I I EXISTING BUILDINGS, UTILITIES AND STREETS NEXT TO THE PROPOSED UNDERGROUND OBSERVATION WELL I STORAGE TANKS DURING EXCAVATION. I I TYPICAL(2 AtIN.) APPROXIMATE PROPERTY STORAGE I I LINE(REFER TO SITE PLANS) - 1 12. THE CONTRACTOR SHALL RELOCATE EXISTING UTILITIES THAT MAY BE IN CONFLICT OR IN THE WAY A I I PROPOSED 12K UST _ ' OF THE NEW TANKS, PUMPS IN ACCORDANCE VAT14 THE LOCAL AND APPROPRIATE UTILITY COMPANY SPUN'DOUBLE.WALL TANK REQUIREMENTS. I I (10'DIAM. X 20.5') I I ug 8K SUPER GAS AND 1 13. THE CONTRACTOR SHALL BE RESPONSIBLE FOR THE SECURITY AND JOB SAFETY ON THE - 6K DIESEL'FUEL(SEE DETAILS) SITE.THE CONSTRUCTION SHALL BE PERFORMED IN ACCORDANCE WITH"OSHA AND THE I I I 1 LOCAL MUNICIPALITY CONSTRUCTION STANDARDS. 14. THE CONTRACTOR SHALL BE RESPONSIBLE TO DISPOSE OF ANY UNSUITABLE OR SURPLUS MATERIALS fG.VAPOR - 1 PROPERLY OFF SITE IN ACCORDANCE WITH LOCAL AND STATE ENVIRONMENTAL CODES. I I I 1 y RECOVERY LINE 15. PROPOSED UNDERGROUND STORAGE TANKS AND PIPING SYSTEM SHOWN ARE SCHEMATIC - ._ H BOARD OF FIRE PREVENTION REGULATIONS, 5 7 MR 9 00. THE FIRE PIPE SIZING SHALL 8E W ACCORDANCE WITH 111 I L ONLY. TANKS INSTALLATION, LAYOUT AND I _ T I SAFETY.-COL DEE AND.THE TOWN,OF BANRNSTABLE FIRE,DEPARTMENT, THIS DRAWING IS NOT INTENDED TO SHOW'EVERY JOINT..FRTiNG.�AND CONSTRUCTION DETAIL CO f8: THE CONTRACTOR.SHALL.BE CERTIFIED BY THE MANUFATURERS.TO INSTALL THE PROPOSED SYSTEM AND CONCRETE PAD - u 1 COMPONENTS IN ACCORDANCE WITH THE MANUFACTURES' REQUIREMENTS &MASS. FIRE PREVENTION CODES. WITH SCORES (REFER I \\\ I F TO DETAILS)" 17. PROPOSED UNDERGROUND STORAGE TANKS AND PIPING SHALL BE TESTED PER THE o \d II II I 1 20' _ I 1 Vo{fi I a; REQUIREMENTS OF THE MANUFACTURERS,THE STATE FIRE MARSHALL AND MASSACHUSEITS I PROPOSED PUMP 1 BOARD OF FIRE PREVENTION REGULATIONS,527 CMR 9.00 PRIOR TO OPERATION. O I I I es i'. (TYPICAL'SEE DETAILS) 1 COPIES OF THE RESULTS SHALL BE SUMBITTED TO THE FIRE DEPARTMENT AND OWNER. I-I I 1 D Yen4 I - T SIDEWALK 18. THE CONTRACTOR SHALL CONSTRUCT A 4000 PSI, AIR ENTRAINED, REINFORCED CONCRETE PROPOSED ' PAD IN THE AREA SURROUNDING THE FUEL DISPENSING ISLAND AND OVER THE UNDERGROUND t STORAGE TANKS THE CONCRETE PAD SHALL BE SIX INCH THIGH OVER 8 INCH COMPACTED GRAVEL BUILDING I I I Ggee C I li i. 19. THE CONTRACTOR SHALL INSTALL A MONITORING SYSTEM TO DETECT ANY LEAK IN THE PRESSURIZED ASSESSORS MAP 3O9 = PIPING SYSTEM,AND SHALL TEST TO NO LESS THAN 60 PSI THE PRODUCT LINES AND PRESSURE W I I I ` TEST THE FUEL DISPENSERS/SUMPS.AND THE UNDERGROUND STORAGE TANKS,SUMPS, OUTER v°nt .i i PARCELS 226-1, 226 2j: 1 AND INNER WALLS PRIOR TO RESTART OF OPERATION. 20. T14E CONTRACTOR SHALL NOT TERMINATE THE WENT PIPE' FROM THE UNDERGROUND STORAGE o u O II II 1 n Ge uf°rill 1 I TANKS AT THE FILLING LOCATION OF THE TANK OR FIVE FEET FROM THE OPENING OF DOORS n. I AND WINDOWS. THE VENT PIPE SHALL BE FITTED WITH AN APPROVED WEATHER HOOD SCREEN. aVeRt• I I 11' - . 1 21. THERE WILL BE ONE 20.000 GALLON DOUBLE WALL TANK AND ONE 12.000 GALLON DOUBLE WALL i I SPLIT TANK INSTALLED. THE 20.000 GALLON TANK WILL CONTAIN REGULAR UNLEADED GASOLINE THE 12.000 GALLON SPLIT TANK WILL CONTAIN 6.000 GALLONS OF SUPER UNLEADED GASOLINE 1 AND 6.000 GALLONS OF DIESEL"FUEL 22. ALL TANKS SHALL BE EQUIPPED WITH CONTAINEMENT MANHOLES AND OVERFILL PROTECTION. ALL I I I 1 Ir CONCRETE PAD PROPOSED CANOPY - .a.: ' PIPING SHALL BE DOUBLE WALL FEXIBLE TOTAL CONTAINMENT.OVER . -_-- _ '- _- - 1 23. IN CASE OF A CONFLICT BETWEEN THE PROPOSED WORK SHOWN ON THIS PLAN AND THE APPLICABLE eo COOLER LOCAL AND STATE FIRE PREVENTION CODES. THE APPLICABLE CODES OF SECTION 9.00. 527 CMR I I I PROPOSED 20K UST m ' SHALL GOVERN. I I I 1 DOUBLE WALL TANK PROPOSED BOLLARD I I I (10-DIAM. AR GAS VENT S FG (TYPICAL) 24. REFER TO SITE PLANS BY"DOWN CAPE ENGINEERING' FOR LAYOUT OF PROPOSED BUILDING 1 CANOPY, PUMPS AND PROPOSED UTILITIES. VENT LINE. _ ' � � - I I I NEW CURB LINE 4. . I I I 1 vieeel Zcas PROPOSED LANDSCAPE AREA(REFER TO SITE PLAN) _ I I I _Vent - - - - _,-__ _._ _ - I I SITE LAYOUT NO. DATE BY SCALE I"=10' REVISIONS PROJECT Ni P R O J E C T T I T L E P R E P A R E D 8 Y -r R E P A" R E D F 0 R: S H E E T O E S C R I P T 1 0 N DESIGNED BY_Hc___ PROPOSED UNDER GROUND STORAGE TANKS HAL CHOUBAH, P.E. `Ki DRAWN BY_HC ___ CONSULTING ENGINEER ABRAHAM PETROLEUM, INC. UNDER GROUND STORAGE CHECKED BY_HC___ 147 & 149 "NORTH STREET 2 PURPLE WING LN. 4a 147 & 149 NORTH STREET �MneCH 2DQ3__ ,HYANNIS MASSACHUSETTS NO. DARTMOUTH, MASS 02747 P°BTU TANKS LAYOUT PLAN OAT ` � HYANNiS, MA 02601 SCALE- _NOTED t-Q � SHEET__'__OF__?__ } 10 W CONCRETE PAD PEA STONE FILL PER - _ ASPHALT MANUFACTURES SPECS. .may '""d, -,P„ %-ems. `- � ��r,-.- _ 3' SPLIT12, DOUBLE GALLON WALL 2' 20.ODO GALLON ,3, DOUBLE WALL 10'-0' I I TANK (8.000 SUPER TANK (REGULAR UNLEADED I I GASOLINE UNLEADED GASOLINE AND 6. -j! PROPOSED CANOPYBACK I I 0I0I0,DIESEL.) [:- MMA F PER SUPPLIER ACCTUUREERs : '�e I( I I Ii II II SLOPE EXCAVATION PER OSHA ANCHORING STRAP PER TURNBUCKLE MANUFACTURERS SPECS. - �. I I I I I I 1 I If CONCRETE SLAB PER DEADMAN ANCHOR PER I I I I I I DOUBLE WAILED UST PER MANUFACTURERS SPECS. MANUFACTURERS SPECS. MANUFACTURERS SPECS. ___ PROPOSED BUMPER I I I I PROPOSED PUMP PROPOSED 6"PER SUPPLIER CONIC. SLAB SECTION THRU NEW LIST'S PROPOSED CANOPY & MDP ISLAND ELEVATION (NOT TO SCALE) NOT TO SCALE r 3/4 4S' 3 MIN. 4'-O" 1" TOPCOAT GROOIZI 4 3 - 4 DIA. SCH 80 PIPE /4" 00 2" BINDER COURSE fryp� G CONCRETE PAD b I - ^ 12 GRAVEL BASE TpO�p> THE POSITIVE LIMITING BARRIER TO BE 5' CONTINUOUS FpC SQUARE.OR "V' GROOVES 3/4" WIDE X 3/4" DEEP ONmm F Op is 4 3/47 CENTER WITH CROSS INTERCONNECTING SQUARE P) (q�p OR "V GROOVES EQUALLY SPACED ON MINIMUM 41r CENTERS. GROOVES MAY BE SAW CUT OR SCORED INTO CONCRETE MAT. GROOVES MUST BE KEPT CLEAN AT 6" ALL AROUND (TYP.) ALL TIMES. PAVING DETAIL 1 - NOT TO SCALE - TYPE "U" BUMPER DETAIL POSITIVE LIMITING BARRIER DETAIL NOT TO SCALE NOT TO SCALE I ND. GATE [SY REVISIONS PROJECT NO z003-o3 P R C. P A R E D F 0 R: S H E E T D E S C R I P T I O N DESIGNED PROPOSED UNDER GROUND STORAGE TANKS HAL CHOUBAH, P.E. DRAWN BY_HLC_____ 147 & 149 NORTH STREET CONSULTING ENGINEER ABRAHAM PETROLEUM, INC. CHECKED BY_HS___ 2 147 & 149 NORTH STREET D ETAI LS MARCH 2003 ed��/ HYANNIS, MA 02601 2 PURPLE WING LN. DATE__-S NOTED N0. 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CRAW-5PC) '+ VIL Ff _ ABRAHAM PETROLEUM. INC. - ', LAND SURVE)`ORS I REVISED 4-30-03(REDO EN1Re"CES REDUCE BUA DINC 41) '$ rC 4/LISI 1\ plu7 i g149 NORTH STREET HYANNIS, MA 02601 r�3>Ot141 i?ca '•'%r4, s� 939 a7ola Street - Y:�IRMOU I!-/PO.h'7 :NABS. 01-067.DWG REVISED. 5-28 03 (ADDroNNL _. .. ,�;, ., p ,.. ._ - - � � " � - . E j ��.- 1 t i� - r i 1 t ;FF 1 1 � (� R rr. 1 v(� � ` � / � } X i �. G Y d r� 1 N I 6 Ip 1 / \ 6 AA / (IF \ y. / o E o pN�c'GPP�O BASED ENVIROTRAC OBSERVATIONS SPEEDWAY STORE #2429 \ 1 ALL LOCATIONS APPROXIMATE. MATE \ I NOT FOR CONSTRUCTION PURPOSES. CANOPY \ € LEGEND: O® \ } PROPERTY LINE (APPROX.) DISPENSER ENCLOSED DUMPSTER AREA (TYP.)UST \ PAD °:,� LOCATION OF SURFACE SPILL (APPROX.) 55-GALLON DRUM OF CATCH BASIN SPENT ABSORBENT MATERIAL 0 y / DMH DRAIN MANHOLE O / 0 10 FT 20 SO / F O< OSCPQE APPROX. SCALE \ CB-1 �PtJ / FIGURE: O / DRAWN BY: PDC/JC A 7 \ ® / DRAWING DATE: 09/01/2017 LJ Cn?�A pMH CB-2 / DRAWING T111E / SITE PLAN d PROJECT NAME SPEEDWAY STORE#2429 149 NORTH STREET HYANNIS, MASSACHUSETTS - d - d o o�® - � ENVIRONMENTAL SERVICES 2 MERCHANT PHONE: (81)E793ET 50074 FAX:ARON (781)A793-7877630 1 F CAPE COD ORTHOPAEDICS & CVS SPORTS NORTH STREET limmll mm k � LANDSCAPED AREA UST PAD j BASED ON FIGURE ENTITLED "DETAIL SHEET" ' CAPE ENGINEERING INC., DATED 08/01/01. MCDONALDS - _ LIMP LEGEND: I I ISLANDS - " — PROPERTY LINE (APPROX.) H ES S STATION � � I RTN 4-22310 (APPROX.) _ #21234 c:::= _ 0 I ( ' ALL LOCATIONS APPROXIMATE. I II ' NOT FOR CONSTRUCTION PURPOSES. 0 4 ' DRAWN BY: RP FIGURE: d = DRAWING DATE: 12/22/2009 2 ' DRAWING TITLE SITE PLAN DRIVE THRU / - s � PROJECT NAME MESS STATION#21234 149 NORTH STREET HYANNIS,MASSACHUSETTS DUMPSTER nvi ro ENVIRONMENTAL SERVICES PHONE. (7��793E 074 FAX:2(787 93-877