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HomeMy WebLinkAbout0100 RIDGEWOOD AVENUE - Health (2) 100 Ridtewpad Ave Hvanni - (�VI Buckler Auto Body W 1 G ^ " yy 1 A ^ e a " TOWN OF BARNSTABLE - Date: TOXIC AND HAZARDOUS MATERIALS FORM NAME OF BUSINESS: 1&cin frod.;cF BUSINESS LOCATION: i oD , INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: -SDS - Y2-8 93.5•8 Ste© 9 v/on's CONTACT PERSON: Cj-4of-q Ljvel,f-j,-,(- EMERGENCY CONTACT TELEPHONE NUMBER: 5-08-1128o- V6 3a M`SDS ON SITE? TYPE OF BUSINESS: / I sir.b��o r �gtor-,�s,e ors�V l I es INFORMATION / RECOMMENDATIONS: /Uo Fire District: Waste Transportation: NLA Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum p Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive 114NEW ❑ USED Cesspool cleaners 10 Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts(Halite) Hydraulic fluid (including brake fluid) Refrigerants q00 Motor Oils Pesticides L�'NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED / Miscellaneous petroleum products: grease, Photochemicals (Developer) /25 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 Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt&roofing tar PCB'S Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes Laundry soil &stain removers (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials �J I_ Dater3 Rq / 1 '3 TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS R GI TRATION FORM NAME OF BUSINESS: '�""`r"`'� BUSINESS LOCATION: l60 INVENTORY MAILING ADDRESS: DaC _� -?C� �+� zCG TOTAL AMOUNT- TELEPHONE NUMBER: S y CONTACT PERSON: clff- EMERGENCY CONTACT TELEPHONE DUMBER: MSDS ON SITE? TYPE OF BUSINESS: I FO&MATIO / RECOMMENDATIOTS- Fir District: ��Q�•(J Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No vt NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. e LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive al EW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts(Halite) Hydraulic fluid (including brake fluid) Refrigerants Motto/or Oils Pesticides �TIEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) -IT? Caulk/Grout Swimming poolllchlorine wa Battery acid (electrolyte)/Batteries Lye or caustic soda W a o Rustproofers MiscellaneousµCombustiblel Car wash detergents Leather dyes -; Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's � Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels _ �.^._ : _ . __ _ _ (including chloroform, formaldehvde,�__ Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes Laundry soil &stain removers (including bleach) Spot removers&cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS PPlicaASicS/ ature t 's Initials Hazar Materials,Inventory SheetChecklist /Date Physical Street Address-Check database to ensure it exists W ing Phone Number Actual Amounts -( ie. gas being used to.fuel machines, thinner to lean brushes all count as hazardous materials-no blanks) Storage Information - location of storage, how long is storage for? If none, note that. Disposal Information -where and who? If none, note that. Applicant Signature - understand what is listed and noted Staff Initial -_any.__guestions, know who:to ask Vehicle Washing/Rinsing? -give a vehicle.washing policy and # .explain it Attach the Business Certificate with your sign off and comments ventory form should explain.what the business consists of and the procedures Ning. Notes need to be left to explain what you discussed with them. 160 1� YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates(cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's.Office, 1"FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) -a3- �o DATE: Fill in please: £n p APPLICANT'S YOUR NAME/S:i a i'r1'".'1 F aI xh t j BUSINESS YOUR HOME ADDRESS: C.0'r TELEPHONE # Home Telephone Number 5 6 g— 2 z) ! 0 NAME OF CORPORATION: NAME OF NEW BUSINESS TYPE OF BUSINESS 7 1 S r u IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS c�c� �vL' -�� Ct�n!S /AMAP/PARCEL NUMBER ���a (� [Assessing] When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO MISSIO ER'S OFFICE This individ al h s n info f a y p rmit requirements that pertain to this type of business. Au orized Signat a** COMMENTS: 61 2. BOARD OF HEALTH This individual has bee ' ormed of the ' nit requ ents that pertain to this type of business. Authorized Signature* MUST COMPLY WITH ALL COMMENTS:_ HAZARDOUS MATERIALS REGI 11 ATIO Iq 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: s r { Date: - /a3 0 TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MAT RI LS ON-SITE INVENTORY NAME OF BUSINESS: z 0g BUSINESS LOCATION: (bU fI j, av INVENTORY MAILING ADDRESS: �` 36& TOTAL AMOUNT- TELEPHONE _ NUMBER: U (47 q;3 CONTACT PERSON: �P LL) (IrCC- IZC'( EMERGENCY CONTACT TELEPHONE NUMBER: 5-6 MSDS ON SITE? TYPE OF BUSINESS: .S � INFOR"/RECO MENDATIONS: Fire District: Waste. Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined.that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED J Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes _ _ Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED Any other products with "poison labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor&-furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): j Laundry soil & stain removers (including bleach) Spot removers & cleaning fluids (dry cleaners) �I Other cleaning solvents r' f Bug and tar removers Windshield wash "A' WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS r Town of Barnstable °FtHE ra,� Regulatory Services Thomas F. Geiler, Director BA MASS. A: Public Health Division 9 MASS. 0 i639• ♦0 ArFOMA'�a Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE 0 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS. FULL NAME OF APPLICANT �-e NAME OF ESTABLISHMENT W l/r TZe-( Y<Q-C 4 pr-0 ADDRESS OF ESTABLISHMENT P--,( W G 0 AyP TELEPHONE NUMBER SOLE OWNER: °AYES NO =--, Qua IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OIF,," fL L sv `n PARTNERS: �6J €a coa r- IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. �O STATE OF INCORPORATION I CUSS'q FULL NAME A1>D HOME ADDRESS OF: PRESIDENT c)CfreQy /� _ �v� f� � -73 6g l�c,,n u�cc� G�%,•/� TREASURER CLERK SIG URE OF APPLICANT RESTRICTIONS: HOME ADDRESS 7-3 �!le— HOME TELEPHONE# Q:\Application Forms\HAZAPP.DOC u: MOM 4 In case of fire call 911 or local fire department at Petroleum spills over 100 liters(flammable liquids and waste oil) must be reported to the Provincial Emergency Program at 1-800-663-3456. 4 Small spills of petroleum or oil can cause extensive water damage and should be cleaned-up or contained A petroleum spill clean up kit is available in 01✓2 106er rs 12 (include in the kit appropriate protective clothing,containers for contaminated waste,absorbent material such as sawdust or kitty litter, and a shovel). In Case of Spills: 1. Eliminate the source of the spill. 2. Small spills can contaminate water—clean them up! 3. Report spills over 100 liters to the Provincial Emergency Program,Medical Health Officer and local fire department. 4. Containment—Construct berms or divert flow to prevent spread of fuel. 5. Apply absorbent material as required,which is located in Spi 1 ep r) up K 6. Assess extent of spill ■ Did the petroleum reach surface water? ■ How much was released and for what duration? ■ Did any damage occur to property,fish or wildlife or their habitat,or an employee? • Did the spill leave the property? • Can the spill potentially reach surface waters? • Could a future rain event cause the spill to reach surface waters? ■ Are potable water sources(wells or surface water)in danger? 7. Contact BC Ministry of Environment for recommendations on disposal options for any material, soil or liquid contaminated with petroleum. If there is no danger of leaching into a watercourse,contaminated soil may remain in place or be moved to a safer area and spread. Soil microbes will break down the petroleum product and decontaminate the soil over time. 8. Post spill assessment-Review actions taken to contain or minimize the spill. ■ Can you determine the cause of the spill or discharge? . ■ Were there signs present before the incident? ■ How could this be prevented? ■ How did the clean up progress? ■ What has to be changed on your contingency planT In Case of Fire: 1. Notify attending fire department of location,type and quantity of petroleum product., 2. Construct containment berms to collect water and fuel runoff. 3. Notify Provincial Emergency Program if fire has potential to spread beyond farm site, affect other properties or persons or lead to a reportable spill. f+ Jun 16 09 03:49p dan marrs 5087716140 p.1 Town of Barnstable ' Barrstable o�zro�Q Regulatory Services Department } - ; Public Health Division 200 Main Street,Hyannis MA 02601 2007 Office: 508-862-46414 Thomas F.Goiler,Director FAX: 508-740fi304 Thomas A.McKean,CHO Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE 60 d APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT C`f CLt '�ele)Vl CFI NAME OF ESTABLISHMENT G'j CL Qt U E-d?—V 1 G4R ADDRESS OF ESTABLISHMENT LnO "�- Ll�6-tt CJOCJD � TELEPHONE NLAIBER `771 / 11� I SOLE OWNER: YES NO L.L-C_ IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNER Ii+APPLICANT IS A CORPORATION. FEDERAL IDENTIFICATION NO. �g"'-Uo q*3 . STATE OF INCORPORATION M -- L NAME AND HOME ADDRESS OF: RE SIDENT TREASURER CLERK SjrTURE OF APPF.IGO v RESTRICTIONS: HOME ADDRESS HOME TELEPHONE # Q\Ha�m0Haz Mat Application2008.DOC Jun 16 09 03:49p dan marrs 5087716140 p.2 Spill Contingency Plan 1. Evacuate the immediate area, if necessary 2. Shut off electrical equipment as appropriate 3. Remove or restrict any potential ignition source from the area if the material is flammable 4. Contain the spill by use of absorbent pads or absorbent material as necessary. Contact Clean Harbors 614-849-1800 or other authorized clean up agency 5. Remove all absorbed material and package in DOT approved Container 6. Label all containers with type of waste and start date. 7. Notify appropriate agencies 8. Once spill has been controlled, materials collected and secured, inspect the area and all equipment used in clean up de- contaminate 9. Replace all used materials. 10. Manage and dispose of collected absorbents in accordance with federal and state regulations 11. Spill clean up equipment is located at the front section of garage 12. Spill equipment on site, absorbent pads, speedy dri, first aid kit, fire extinguishers EMERGENCEY PHONE NUMBERS POLICE 911 FIRE 911 MASS DEP 617-292-5500 Cycle Services 508-771-1414 i Date: TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: �y�F SEXY//cas BUSINESS LOCATION: INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: Smogs A,VD qET-A//I' VeT - 5N> ati) 13c_ nar/ 13/a WAAIP INFORMATION/RECOMMENDATIONS: SPILL KIT AVAIL/k&E. FI►W LEA- Fire Di trict: ap,0 "'arb• -77 yjL#gm S-_a e 7v b4 rr o /-LA- >oa8 m4s� s 7y e-&--p /rt Co rj 77f jalueuT 4—df4�0 tS /MCATI32ji4LDS S rVZ4Ce�/PA -'O gE LIi�G'LEl� .�S S/f�*1 W+57­9 0)L_ D)P.bI,K -y Pori l-A-6e- �-D" f/A'2t*9DayS WA5rF W/FSTr Ole-" x/c-. 6E ll/'A/I TtD IM/77f ,# Ald A460ts ,q-;✓P cis Waste Transportation:1d tivsr r731 iV/, Last shipment of hazardous waste: Name of Hauler: oL &-AJ7- r-c0!2!9estination: a/e/' 3rc 0/4. 5,rXv/cE Waste Product% W/a-srr "_ Wo4E'uk Licensed? e6W No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS I The Board of Health and the Public Health Division have determined that the following products exhibit toxic I or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum _ Antifreeze (for gasoline or coolant systems) Misc. Corrosive Z NEW ,S5'USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) - Hydraulic fluid (including brake fluid) Refrigerants ®3 Motor Oils Pesticides NEW __�sUSED �FW'011 � (insecticides, herbicides, rodenticides) dU)55"4k� inwrk IlrGasoline, Jet fuel, Aviation gas (*) 6-44"-" �N�2S Photochemicals (Fixers) -mpry, a Diesel Fuel, kerosene, #2 heatir q oII 5mse4. 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 Va-Rc005 Swimming pool chlorine Batter acid electrol to /Batteries s 1 y ( y ) PI(_K�-p UP Lye or caustic soda Rustproofers "���xsrkra: Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride)^ NEW USED Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, -2- Misc. Flammables 5FAA-f ec,t-AN�s hydrochloric acid, other acids) .4MD t-Uf621CANSd I. Floor &furniture strippers I Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers ,� 4. (including bleach) Spot removers &cleaning fluids (dry cleaners) ,¢ i-yc L®W-U R i,,)SPi-I-C./7oAJ V1/LL 8C Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSIN S Y Notes to the File Date: November 12, 2009 RS Auto Repair(�t-A K)- 100 Ridgewood Avenue Hyannis, Ma Cynthia Martin, PHD Ronald Sprague, Owner An inspection of the above facility revealed a 275 gallon heating oil tank, and approximately fifty (50) gallons of various fluids used in auto maintenance. (Both new and waste oil, new and used antifreeze, windshield washer fluid, gear lube, hydraulic fluid and spray cans of cleaners.) As there were less than one-hundred and eleven gallons of hazardous materials on site Mr. Sprague was notified, at the time of the inspection, that the facility is not subject to the Town of Barnstable's Hazardous Materials licensing requirement. Mr. Sprague was notified however of the requirement to obtain a Massachusetts Hazardous Waste Generator Identification Number as the business does generate Very Small Quantities of Waste Oil (i.e. less than 27 gallons per month). Reportedly the waste oil is taken to Hyannis Brake on Bearses Way where it is burned in a waste oil heater. A "Summary of Requirements for Small Quantity Generators of Hazardous Waste" which explains the storage and transporting requirements of hazardous waste, and a"Self- Assigning a Hazardous Waste Generator Identification Number" fact sheet was provided to Mr. Sprague at the time of the inspection. HazaEW Materials inventory SheetChecklist ate hysical Street Address-Check database to ensure it exists orking Phone Number Number ctual Amounts -( ie. gas being used to fuel machines, thinner to clean brushes all count as hazardous materials-no blanks) Storage Information -location of storage, how long is storage for? If none, note that. Disposal Information :where and who? If none, note that. / Applicant Signature understand what is listed and noted Staff Initial -any questions, know who to ask Vehicle Washing/Rinsing? -give a vehicle washing policy and explain it Attach the Business Certificate with your sign off and comments "The inventory form should explain what the business consists of and the procedures they are doing. Notes need to be left to explain what you discussed with them. I' YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (wh ,h ? o k P must do by M.G.L. -it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main � v Take the completed form to the Town Clerk's Office, 1st FI., 367 Main St.; Hyannis, MA 02601 (Town Hall) and get the Business Certific required by law. f .w DATE: o �' a Fill in please: APPLICANT'S, YOUR NAME/S: ' BUSINESS YOUR HOME ADDRESS:_�"�, ,oz� TELEPHONE # Home Telephone Number_JV.P' _�� �t�.TS" SI�Gi' y��,� 4V /, .. NAME OF CORPORATION: NAME OF NEW BUSINESS XTYPE OF BUSINESS IS THIS A.HOME OCCUPATION?:. YES NO ADDRESS OF BUSINESS /Oe - MAP/PARCEL NUMBER_ _(Assessing);. When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure.you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM . I ER'S OFFI E This individual ha b infef of n per it requirements that pertain to this type of business. 9�0 Aut orized-Signature*CO ENTS: 2. BOARD OF HEALTH This individual h s bee 'nforme f th it requirements that pertain to this type of business. MUST- COMPLY WITHALL HAZARDOUS MATERIALS REGULATIONS,, r Authorized Signature COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) ..This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: a. Date: TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: `f 0r"4 v - BUSINESS LOCATION:/G6 `vvod �G G9�/'�� ��/�i1' INVENTORY MAILING ADDRESS: ��Xwe-W,,e TOTAL AMOUNT- TELEPHONE NUMBER: -�6� 7�0 6�//!. Zf'— CONTACT PERSON: °��'�✓ �.IIl��d� EMERGENCY CONTACT TELEPHONE UMBER: 7T J`r /7 Y.? MSDS ON SITE? TYPE OF BUSINESS: ��' �• X r INFORMATION/RECOMMENDATIONS: Fire District: Jr Waste Waste Transportation: —Last shipment of hazardous waste: X­A-0o"I Name of Hauler: /s/G,o"- Destination: Waste Product:. Licensed? Yes No Zza NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) __ Misc. Corrosive NEW I'll, USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides e*fv NEW o7�SED (insecticides, herbicides, rodenticides) ° d Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) " Diesel Fuel, kerosene, 2 heatin NEW USED S 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 /4! Car wash detergents Leather dyes a Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's won Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor&furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS .r.,. �r� <M {�.,^� . �; ,- .`�. .f",rtV�.,JA,. «6.ruYr+YrY>r y t.e,,;,�. ,� .. . .SY,,;��. . a" •_ a: t1'-q ..... "...4' .1StiI� .�,,'N. 4`r... Date: -, rt TOWN OF BARNSTABLE -• .—.:,"TOXI'C AND HAZARDOUS MATERIALS ON—SITE INVENTORY a NAME OF BUSINESS: BUSINESS LOCATION:/G° �f ���� D�'��' ���if INVENTORY MAILING ADDRESS: ����� fv 'f �'r'' �� G�?GG TOTAL AMOUNT: TELEPHONE NUMBER: 7_ CONTACT PERSON- EMERGENCY CONTACTT L,E�HON UMBER:' 7�1— � 7y� MSDD/S ON SITE? TYPE OF BUSINESS: INFORMATION/RECOMMENDATIONS: Fire District: Waste Transportation: �c Last shipment of hazardous wa$te: /0 040 Name of Hauler- /�� Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31 of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires.a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum I Observed/Maximum Antifreeze (for gapoli ye or coolant systems) .Misc. Corrosive NEW i/ USED Cesspool cleaners Automatic transmission fluid Disinfectants ; t. �~ Engine and radiator flushes Road Salts (Halite) 77 Hydraulic fluid (including brake fluid) Refrigerants Motor Oils �,�� Pesticides NEW� USED (insecticides, herbicides, rodenticides) #4101) ell, Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, 2 he. NEW USED k Misc. petroleum products: grease, Photochemicals (Developer) ' lubricants, gear oil NEW USED Aloof v Degreasers for engines and metal Printing ink Degreasers for driveways &,garages Wood preservatives (creosote) Caulk/Grout a 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 L s Other chlorinated hydrocarbons, od � Pacquerthnnnees stains Ye _��:__ .;,. , i c car'b� �` �`'(' on tetrachloridej` NEW USED Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor &furniture strippers Other products not listed which you feel Metal polishes maybe toxic or hazardous (please list): Laundry soil & stain removers . (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers � 77 Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Town of Barnstable AMC, Regulatory Services `�► s ., Thomas F. Geiler,Director Public Health Division * ian MA Thomas McKean,Director 9 j ,6 ' 'g 200 Main Street, Hyannis,MA 02601 Phone: 508-862-4644 Email: healthAtown.barnstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 June 28, 2006 Mr.Dan Marrs Cycle Services JD Signs LLC 100 Ridgewood Ave. ! Hyannis,MA 02601 Dear Mr.Marrs: Thank you for your time and cooperation during the hazardous materials inventory and site'visit at Cycle Services JD Signs LLC on June 19,2006. This letter contains information from that visit that will help you become compliant with Chapter 108 of the Town of Barnstable Ordinance:, Hazardous Materials. Enclosed is a copy of the Toxic and Hazardous Materials On-Site Inventory form from the visit to your business. Please note the observations identified at your place of business during the hazardous materials inspection: OBSERVATIONS: • All waste is in a separate room with individual containment. • All waste is properly labeled with its contents. • The parts cleaner lid is closed when not in use. • Use of biodegradable wash for the parts cleaner. • Current manifests on site. • MSDS on site. • Bottles in shop are labeled with its contents. On Site Inventory Total The Toxic and Hazardous Materials On-Site Inventory from June 19, 2006 shows that you have approximately 297 gallons of toxic and hazardous materials being used, stored, generated and disposed of at Cycle Services JD Signs LLC, 100 Ridgewood Ave.,Hyannis,MA(Please see enclosed Toxic and Hazardous Materials On Site Inventory sheet). The Board of Health has determined that the using, storing, generating and disposing of over 111 gallons of hazardous materials per month requires businesses in the Town of Barnstable to obtain an annual Hazardous Materials License. This license has been obtained for the fiscal year 2006- 2007. Please refer to the Town of Barnstable General Ordinance: Chapter 108, Section 6(A-H). A Contingency Plan must be posted near all phones in the facility. Reviewing your contingency plan for hazardous materials spills and related emergencies(and its location throughout the facility)is highly recommended at this time. If you have any questions about these problems,the orders and recommendations, or you need further information, guidance or assistance,please do not hesitate to contact the Public Health Division. Sincerely, Alisha L. Parker Hazardous Materials Specialist All orders to correct viol tions of Chapter 108 of the Town of Barnstable Ordinance: Hazardous Materials shall be comple ed upon receipt of this letter. CMcKean,RS, CHO Director of Public Health Enc. On-Site Inventory(copy) =t Date: TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: BUSINESS LOCATION: INVENTORY MAILING ADDRESS: �� TOTAL AMOUNT: TELEPHONE NUMBER: OUf " 771 — ,/` b CONTACT PERSON: J-1 o Z22a Im EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: UPG�fl',�P tkaj.�d ax At� �LS INFORMATION/RECOMMENDATIONS: PJOa ce, .,Ltl4m j.Q.b Fir District: 11 u Waste Transportation: WA Last shipment of hazardous,waste: o Name of Hauler- 6W VJ WAJ Destination: Waste Product: MA116 OU e, Licensed? es No NOTE: Under the provisions of h. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) Misc. Corrosive 16 NEW 66 USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants 155 Motor Oils Pesticides 10 NEW 156 USED (insecticides, herbicides, rodenticides) 5 Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) 5 Diesel Fuel, kerosene, #2 heating oil NEW USED 1 2— 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 Z Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor&furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers jaashg S r(me j b (including bleach) Al Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS OIL WASTE OIL OIL FILTERS ANTIFREEZ WASTE #44- {�� �TFREEZE GASOLINE WASTE GAS DIESEL XU W/W FLUID ATF VA HYDRAULIC/ MISC. MISC. MISC. MISC. BRAKE FLUID COMMBUSTIBLE FLAMMABLE CORROSIVE PETROLEUM (GEAR OIL/GREASE/ LUBRICANTS) 12 FREON ACETYLENE CAR WASH CAR WASH PAINTS/ Q 3( WAX DETERGENTS THINNERS L7 �- 15 SEALANT CLEANING BATTERIES/ POISION/TOXIC CAULK/GROUT SOLVENT BATTERY ACID FERTALIZERS WASTE SOLVENT MSDS MANIFESTS � � a oLv� - is Town of Barnstable cT Regulatory Services Thomas F. Geiler,Director ' Public Health Division z* , �iiixsst Thomas McKean,Director y,z 200 Main Street, Hyannis,MA 02601 � 6q Phone: 508-862-4644 Email: health(a,town.barnstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 May 16,2005 Mr.Dan Marrs Cycle Services JD Signs LLC 100 Ridgewood Ave. Hyannis,MA 02601 RE: Hazardous Materials.Follow-UR Visit Observations Dear Mr.Marrs: Thank you for your time and cooperation during the hazardous materials follow up visit at Cycle Services JD Signs LLC on May 11, 2005. This letter contains previous site visit problems,the recommendations or orders and current observations from the follow-up visit performed. The information will help you remain compliant with Chapter 108 of the Town of Barnstable Ordinance:Hazardous Materials. Please note the problems and the recommendations or orders identified at your place of business during the hazardous materials inspection on March 31 2005 and the observations from May 11 and MU 12, 2005: PROBLEM March 31,2005: • No Material Safety Data Sheets on location. ORDER: • Please obtain Material Safety Data Sheets immediately for all hazardous materials stored on site. • The Material Safety Data Sheets shall be made available upon request of the Health Department and/or the Fire Department. See Chapter 108: Section 108-4(B). • This is.a General Law in Massachusetts called the Right-to-Know Law(enclosed). OBSERVATION May 11,2005: • Material Safety Data Sheets are on site. tf. PROBLEM March 31,2005: • The hazardous waste drums on your property are not labeled and don't indicate what the material is. ORDER: • Please label all hazardous waste containers"TOXIC"and/or"HAZARDOUS WASTE", and the type of waste contained(i.e. "Waste Oil",etc.). OBSERVATION May 11,2005: • All waste containers are labeled"Waste Oil". • After conversation with Hyannis Fire.Department,the use of"Waste Oil"or"Used Oil" is sufficient for labels on 55 gallon drums. PROBLEM March 31 2005: • Fire extinguishers in the facility were last inspected 06/2002 RECOMMENDATION: • Contact the local Fire Department to have an inspection completed. OBSERVATION May 11,2005: • All fire extinguishers have been inspected. PROBLEM March 31,2005: • The parts cleaner lid was propped open. RECOMMENDATION: •. �Please..kee ,.the. cleaner..lid.c.�o�sedw}ae��c�t in..use.,,The�P �� �aapors.fiw�•the,sc�.lveatsx:�;,> area health exposure hazard and potential-afire hazard: OBSERVATION May 11,2005: • Parts cleaner lid was propped open during use. Closure of lid was performed when not in use. PROBLEM March 31,2005: • Used shop rags were on the floor and on work benches. RECOMMENDATION: • Used shop rags must be picked up and stored in a metal container with a lid at all times. Containing your shop rags properly can also prevent a fire hazard. • Utilize an approved company to recycle the soiled rags(i.e.Unifirst, Safety Kleen). OBSERVATION May 11,2005: • Metal can with lid was obtained by business owners for all used oily rags. OBSERVATION March 31,2005: • Waste oils have not yet been removed of by a licensed hauler due to the small quantities on site. ORDER: • When choosing a waste hauler at the time for disposal, ensure that it is a licensed hauler. You are responsible for any waste removed from your facility. Not choosing a licensed hauler is in violation of the Massachusetts Hazardous Waste Management Act. Chapter h 168: Section 108-5(C). 0 Maintain manifest records of all wastes removed from your facility. OBSERVATION May 11,2005: • Needed a list of waste haulers for immediate disposal. OBSERVATION May 12,2005: • Manifest on site from Bill Wright with All Needs Environmental Services. First manifest date of May 12, 2005. If you have any questions about these problems,the orders and recommendations, observations or you need further information, guidance or assistance,please do not hesitate to contact the Public Health Division. Sincerely, A14-ta t. P Alisha L.Parker Hazardous Materials Specialist Thomas A. McKean,RS,CHO Director of Public Health D te: �3 TOWN OF BARNSTABL � a� TOXIC AND HAZARDOUS MATERIALS ON-SITE V�ENTORY NAME OF BUSINESS: S" .� BUSINESS LOCATION: i 5 INVENTORY MAILINGADDRESS: t+ TOTAL AMOUNT- TELEPHONE NUMBER: K- 771 " /4/LI _—Qelk S CONTACT PERSON: i a,yv5 EMERGENCY CONTACT TELEPHONE-NUMBER: MSDS ON SITE? TYPE OF BUSINESS: /y0 P INFORMATION/RECOMMEN ATION f Fire District: yl tl� 'fie oil," W ,I dum, o E16 yfa�tt Waste Transportation: ��� Last shipment of hazardous.waste: Name of Hauler_ Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants PdMotor Oils Pesticides ffi-5NEW 110 USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) C Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor&furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers _ dWH 0 . f (including bleach) Spot removers &cleaning fluids a,L Aj ll (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Y Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS DBA: Cycle Services JD Signs Fax: Corp Name: Mailing Address Location: 100 Ridgewood Ave.Hyannis Street: ....._.. .. ......_ ..............__...._. . .. ............ .... ...... . ........ mappar: 328-216- - City: Contact: 'Dan Marrs State: Ma / Telephone: 508-771-1414 Zip: 00000 �^ Emergency: Person Interviewed: Business Contact Letter Date: -=- ...... _ ........................................ f1 Category: Vehicle Maintenance Inventory Site Visit Date �/3 /0 �l Type: Auto Body �0� lr. 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 El town sewage El indoor catch outdoor catch expir o site sewage El indoor on-site syste drywell outdoor on site system rywell date: ....... S3/2/05alp-opening date tbd,will be contacted by Dan to do inv ory compliance: t a�re -eQi 5 -Ti rma�► i 6 C�.c�6. are � �QQS ( NO U f it+ 15S Res W i4i4 _W5 etAAws57 a4du_A (AIrme GJ&c;6) 6"A` Y Ito`/. C�.-1-u t� ��►�-' ba.�� � �a s-t-e o cam(' 5T U Ck'VX'+X+v+ ? +0 D�q r�.��� III I � 'All .�--- s rl.� OV UP) last P O .� I. mv�e , ►u.l�rn c ® �Pam OU0. .f at D / -P, .� 3 a 9a �� �0 i i 1 Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ Zero Toxic Waste Materials ❑ gty's>25 lbs dry or 50 gals liquid but less than 111 gals ❑ gty's 111 gals or more Waste Transporter: Fire District: Last HW Shipment Date: Waste Hauler Licensed: No ......... Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS DBA: Cycle Services JD Signs Fax: Corp Name: Mailing Address Location: 100 Ridgewood Ave.Hyannis Street: mappar: 328-216- - City: Contact: ':Dan Marrs State: Ma Telephone: 508-771-1414 Zip: 00000 Emergency: Person Interviewed: Business Contact Letter Date: Category: Vehicle Maintenance Inventory Site Visit Date: 3/2/2005 Type: 'Retail Follow Up/Inspection Date: 5/11/2005 .......... ❑ public water ❑ indoor floor drains ❑ outdoor surface drains ❑d license required ❑ private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc currently licensed. ❑ town sewage ❑ indoor catch basin/drywell ❑ outdoor catch basin/drywell expir ---.............. - -- ❑ on-site sewage ❑ indoor on-site syste ❑ outdoor onsite system date: 6/30/2006 3/2/05alp-opening date tbd,will be contacted by Dan to do inventory, compliance: ensure floor drains are capped/cemented. 3/31/05alp-now open.MSDS Satisfactory need to be obtained asap,waste oil needs to be marked with "hazardous waste"or"waste oil",oily rags found throughout building not being used,obtain a metal can with lid to keep rags in and recycle, fire extinguishers need inspection(06/02)was last punch,recommend parts cleaner to be closed when not in use,recommend to use absorbent pads to collect drips on top of drums,have 110% containment for new and waste oil,the floor drain is sealed off with cement.Retain waste hauler information when completing a check up. i� 514.1105 alp largs�bisder,:hn waste ow drums' are labeled and Indicate what the waste is,fire extinguishers have been inspected,use of parts cleaner so lid was ajar,shop rags have a metal trash can with lid and labeling,choosing a waste hauler soon.Drop off list 5112/05. I� Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ Zero Toxic Waste Materials ❑ gty's>25 Ibs dry or 50 gals liquid but less than 111 gals 0 gty's 111 gals or more zap.7, r gat :?tm mom,,.,. 9 . elescr�}tian q�, .... Pumtof measxiure motor oil E 135.5gallons ._........._..._.._ ..........___...__......................._..._._......._.__....................._.......................__.............._.........................................E..............................._.......... .._.._._..._...._._.........._........._..._._..___...._...__...... waste oil _ 110 gallons automatic transmission fluid 10 gallons misc.petroleum products:grease,lubricants 22.5rgallons _......__........_.._._.._.._.___...__._.___......_....._.._......._._.._....._.._._..__..._.__._._.._.........._...._..._..___...........__........._.....__._._..._..............._.._.._.____.._._._.._._..._.._...__...__ Misc.Flammable 6 gallons batteries/battery acid 2 gallons_ paint,varnishes,stains,dyes 8 gallons Detergent 5 gallons Waste Transporter: :Bill Wright Fire District: ',Hyannis Last HW Shipment Date: 5/12/2005 Waste Hauler Licensed: Yes _............_ ...... ................ ... Town of Barnstable FIRE t Regulatory Services Qp 0 oyti U �. Thomas F. Geiler,Director Public Health Division BARNSTABLE, Thomas McKean,Director MASS. 9� 1639. ��� 200 Main Street, Hyannis,MA 02661 or�D��p Phone: 508-862-4644 Email: healthAtown.barnstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 t � 1 April 5, 2005 U� r , Mr. Dan Marrs Cycle Servic J ' 100 Ridgewoo Hyannis,MA 02601 Dear Mr. Marrs: Thank you f6r yoar time and cooperation during the hazardous materials inventory and site visit at Cycle Services JD Signs LLC on March 31, 2005. This letter contains information from that visit that will help you become compliant with Chapter 108 of the Town of Barnstable Ordinance: Hazardous Materials. Enclosed are copies of Chapter 108: Hazardous Materials ordinance, an application for permit to store and/or utilize 111 gallons or more of Hazardous Materials,a copy of the Toxic and Hazardous Materials On-Site Inventory form from the visit to your business, a sample contingency plan, a copy of the Right to Know Law, and a recycling pamphlet. Please note the problems identified at your place of business during the hazardous materials inspection and their corresponding recommendations listed below: PROBLEM: • No Material Safety Data Sheets on location. ORDER: • Please obtain Material Safety Data Sheets immediately for all hazardous materials stored on site. • The Material Safety Data Sheets shall be made available upon request of the Health Department and/or the Fire Department. See Chapter 108: Section 108-4(B). • This is a General Law in Massachusetts called the Right-to-Know Law(enclosed). PROBLEM: • The hazardous waste drums on your property are not labeled and don't indicate what the material is. t y, ORDER: • Please label all hazardous waste containers "TOXIC"and/or"HAZARDOUS WASTE", and the type of waste contained(i.e. "Waste Oil", etc.). �' .�, W a-J PROBLEM: • Fire extinguishers in the facility were last inspected 06/2002 RECOMMENDATION: • Contact the local Fire Department to have an inspection completed. PROBLEM: • The parts cleaner lid was propped open. \� RECOMMENDATION: v • Please keep the parts cleaner lid closed when not in use. The vapors from the solvents are a health exposure hazard and potential a fire hazard. PROBLEM: f] • Used shop rags were on the floor and on work benches. RECOMMENDATION: • Used shop rags must be picked up and stored in a metal container with a lid at all times. Containing your shop rags properly can also prevent a fire hazard. • Utilize an approved company to recycle the soiled rags (i.e.Unifirst, Safety Kleen). O B SE RV ATiO N................ • Waste-oils have not yet been iemoved'of by a licensed'hauler due to the small quantities ' on site. ORDER: • When choosing a waste hauler at the time for disposal, ensure that it is a licensed hauler. C You are responsible for any waste removed from your facility. Not choosing a licensed \ J hauler is in violation of the Massachusetts Hazardous Waste Management Act. Chapter ,x a 108: Section 108-5(C). • Maintain manifest records of all wastes removed from your facility. On Site Inventory Total The Toxic and Hazardous Materials On-Site Inventory from March 31, 2005 shows that you have approximately 298 gallons of toxic and hazardous materials being used, stored,generated and disposed of at Cycle Services JD Signs LLC, 100 Ridgewood Ave.,Hyannis,MA(Please see enclosed Toxic and Hazardous Materials On Site Inventory sheet). �, The Board of Health has determined that the using, storing, generating and disposing of over 111 gallons of hazardous materials per month requires businesses in the Town of Barnstable to obtain an annual Hazardous Materials License. This license should be purchased within the next 30 days from the Town of Barnstable Town Offices, 200 Main Street,Hyannis,MA 02601 (application enclosed). Please refer to the Town of Barnstable General Ordinance: Chapter 108, Section 6(A-H). A Contingency Plan must be submitted with your license application. Reviewing your contingency plan for hazardous materials spills and related emergencies(and its location throughout the facility)is highly recommended at this time. Why are these recommendations being made for Cycle Services JD Signs LLC? • This information is intended to educate you, a business owner/operator in the Town of Barnstable,in order to keep your business operations in compliance with local, state and federal toxic and hazardous materials laws so that you can avoid future regulatory problems. • Complying with the Hazardous Materials ordinance (Chapter 108)can prevent contamination of Barnstable's existing and future drinking water supply,prevent environmental contamination which can bankrupt site owners, lower or destroy land values, drive out residents and industry, depress local economies and endanger public health. A representative from the Public Health Division will re-visit your business during the next 30 days as a follow up to further advise you on your compliance. If you have any questions about these problems,the orders and recommendations, or you need further information, guidance or assistance,please do not hesitate to contact the Public Health Division. Sincerely, Alisha L Parker Hazardous Materials Specialist All orders to correct violations of Chapter 108 of the Town of Barnstable Ordinance: Hazardous Materials shall be completed upon receipt of this letter. Thomas A. McKean,RS, CHO Director of Public Health Enc. On-Site Inventory(copy) Chapter 108 (copy) Hazardous Materials Permit Application Contingency plan sample(copy) Right to Know Workplace Notice Recycling Pamphlet Date: S TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: BUSINESS LOCATION: t O O 1—tt4 a.4✓, S y MAILINGADDRESS: oi, A,4 u s ,i-f �,11_s A? &YcMail To: TELEPHONE NUMBER: 3 Board of Health Town of Barnstable CONTACT PERSON e-r P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: SG 9 c-�2.9 Y3 f& Hyannis, MA 02601 TYPEOFBUSINESS: Does your firm store any of the toxic or hazardous materials listed below, either for sale or for you own use? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indiiatejif the materials are stored at a site otherthan your mailing address: 'CC` ADDRESS: (0 6 �l TELEPHONE: ��° �2 �� S_"—Y LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity Antifreeze(for gasoline or coolant systems) Drain cleaners NEW USED Cesspool cleaners Automatic transmission,-fluid Disinfectants Engine and radiator flushes Road Salt (Halite) L�!F,q L-- Hydraulic fluid (including brake fluid) Refrigerants -- /P 0 Motor oils Pesticides VNEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda t Car wash detergents Jewelry cleaners Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) Paint&varnish removers, deglossers Any other products with "poison" labels Paint brush cleaners (includin.gwc—'o1'3r-m, formaldehyde, Floor& furniture strippers hydrochloric acid, other.acids) Metal polishes Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents f Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Town of Barnstable as r Regulatory Services Thomas F. Geiler,Director f0 } U�� ... S A BLE —<-- Public Health Division Thomas McKean,Director 2005 APR I 5 PM 12: 15 200 Main Street, Hyannis,MA 02601 Office: 509-862-4644 Fax: 508-790-6304 .. Application Fee:$I00.00 DIVISION ASSESSORS MAP AND PARCEL NO. 3°� DATE APPLICATION.FOR PERMIT.TO.STORE.AND/OR UTILIZE.MORE.THAN. 111.GALLONS.OF.HAZARDOUS MATERIALS FULL NAME OF APPLICANT E-fzV 1 645:& Qjt 9 J 6-1US I--L-(- bier NAME OF ESTABLISHMENT �L (2 U�Y11� . ' 1 ,vs LZ-C— ADDRESS OF ESTABLISHMENT 1001 TELEPHONE NUMBER . 0 Q I SOLE OWNER: YESXNO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE Oi r.� ���1 FULL NAME AND HOME DRESS OF: PRESID T y .3�l 14 CO7v/r V-,b SA7�4 U-Ac 14 i''l!f o as(.3 THE R CL Y11� t I �L� Nis Nl.#- SIGNABM9 OF AP�P,?LICANT RESTRICTIONS: HOME ADDRESS qLf HOME TELEPHONE# C d Hmdoclwp/q ,� f, MAIL-IN REQUESTS Please mail the completed application form to the address below. Also include a copy of your contingency plan(to handle hazardous waste spills, etc). In addition,please include the required fee of$100. Make check payable to: Town of Barnstable. Allow five to seven(7)working days for in- house processing. Our mailing address is: Town of Barnstable Public Health Division 200 Main Street Hyannis,MA 02601 FOR FAXED REQUESTS Our fax number is (508) 790-6304. Please fax,a,completed application form. Also,please fax us a copy of your contingency plan(to`handfe hazardous waste spills, etc):`In addition, please mail the required fee amount of$100.00. Please make the check payable to:Town of Barnstable. The check must be mailed to the address listed above. Allow up to four days for in-house processing. For further assistance on any item above, call(508) 862-4644 .a Spill Contingency Plan l. Evacuate the immediate area, if necessary 2. Shut off electrical equipment as appropriate I Remove or restrict any potential ignition source from the area if the material is flammable 4. Contain the spill by use of absorbent pads or absorbent material as necessary. Contact Clean Harbors 614-849-1800 or other authorized, clean up agency 5. Remove all absorbed material and package in DOT approved container 6. Label all containers with type of waste and start date. 7. Notify appropriate agencies 8. Once spill has been controlled, materials collected and secured, inspect the area and all equipment used in clean up de-contaminate 9. Replace all used materials. 10. Manage and dispose of collected absorbents in accordance with federal u and state regulations 11. Spill clean up'equipment is located at the front section of garage 12. Spill equipment on site, absorbent pads, speedy dri, first aid kit, fire extinguishers Number Fee 701 THE COMMONWEALTH OF MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that Cycle Services JD Signs LLC 100 Ridgewood Avenue, MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------------------------------------------------------ ----- ------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2006 unless sooner suspended or revoked. ---------------------------------------- SUSAN G. RASK,R.S. WAYNE MILLER,M.D.,CHAIRMAN April 15, 2005 SUMNER KAUFMAN,M.S.P.H. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health MONEY RECEIPT: No. ®S Received of For Dollars FORM 4161 e i TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH O satisfactory 3.Printers tin Body Shops ,, unsatisfactory- 4.Manufacturers COMPANY_�—O(_\J�Z L_ 4 (see"Orders") 5. Retail Stores 6. Fuel Suppliers ADDRESS IC� � CQ� �- Class: 22 7. Miscellaneous c,t1 C S QUANTITIES AND STORAGE (IN= indoors; OUT=outdoors) MAJOR MATERIALS 'ase lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerose #2 (B) J( Heavy Oils: waste motor oil (C) new motor oil(C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: � 55 DISPOSAL/R,ECLAMATION REMARKS: �^ 1. Sanitary Sewage 2 Water Supply 4 Town Sewer &ublic B3L 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 NOA/,— RDERS: �fFw i O Holding tank:MDC 2- 0 Catch basin/Dry well �� O On-site system 5.Waste Transporter CName of Hauler Destination Waste Product Licensed?l YES I NO 1. 2. Pe n(s) Interviewed Inspector Date fi TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTHrsatslaslactory s.Printers to Body Shops ntisfactory- 4.Manufacturers COMPANY (—s I��S (see"Orders") 5. Retail Stores 6. Fuel Suppliers ADDRESS f Class: 7. Miscellaneous QUANTITIES AND STORAGE (IN= indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks IN OUT IN OUTI IN OUT #&gallons Age Test Fuels: Gasoline Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: '?At K.-)T ��3 F-P, DISPOSAL/RECLAMATION R MARKS: 1. Sanitary Sewage 2.Water Supply Town Sewer Public O On-site OPrivate 3. Indoor Floor Drains YES4NO O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES N0\ ORDERS: O Holding tank:MDC wV ( K-)� O Catch basin/Dry well O On-site system S.�S 5.Waste Transporter Name of Hauler Destination Waste Product Licensed? YES I NO 1. 2. Person(s) Interviewed Inspector Date I Page # : 1 RCRIS : 08/25/00 , ***************************************************************************** Enforcement sensitive information. Official use only. Shred/burn to dispose . * * * COMPLIANCE MONITORING AND ENFORCEMENT INFORMED FORM Handler Name ID Address S 0 N P V Regulated Activities / / g BUCKLERS GMC INC S P VG MAD065156275 100 RIDGEWOOD AVE, HYANNIS ----------------------------------------------------------------------------- NEW EVALUATION Type Date Agy Br Prs Reason (Circle areas evaluated) BCE BDT BIS BPS BRR GCP GEX GGR GHW GIS GLB GMC GMR GOR GPP GPR GPT GRC GRR GSC GSQ GTM DCH DCL DCP DEX DFR DGS DGW DHW DIA DIN DIS DLB DLF DLT DMC DMI DMR DOP DOR DPB DPP DPS DPR DPT DRC DRR DSC DSI DSS DTR DTT DWA DWP TEX TGR TMR TOR TRR TWD CAS CSS FEA WOV Comment : ---------------------------------------------------------------------------- - NEW VIOLATIONS - - - - - - - - - - - - - - - - - - - - - - - - - .- - - - - If the New Violations you are reporting here were initially discovered in a previously-reported evaluation, indentify that Evaluation on the line below. Previously-Reported Evaluation Type : Date : —/—/— Agency: _ - Compliance -Area Date Agy Br Prs Class/Priority Scheduled Actual Regulation Type : — Citation: Comment : I Addressed By Enforcement Action, below: \ / Regulation Type : Citation: Comment : Addressed By Enforcement Action, below: \ / Page # : 2 RCRIS : 08/25/00 ***************************************************************************** Enforcement sensitive information. Official use only. Shred/burn to dispose . ***************************************************************************** * * * COMPLIANCE MONITORING AND ENFORCEMENT INFORMED FORM ----------------------------------------------------------------------------- Handler Name / ID / Address S O N P V Regulated Activities --------------------------- - - - - -- -- -- -- -- -- BUCKLERS GMC INC S P VG MAD065156275 100 RIDGEWOOD AVE, HYANNIS ----------------------------------------------------------------------------- - NEW VIOLATIONS - - - - - - - - - - - - - - - - Compliance - - Area Date Agy Br Prs Class/Priority Scheduled Actual Regulation Type: Citation: Comment : Addressed By Enforcement Action, below: \ / Regulation Type : — Citation: Comment : Addressed By Enforcement Action, below: \ / Regulation Type : — Citation: Comment : Addressed By Enforcement Action, below: \ / Regulation Type : Citation: Comment : Addressed By Enforcement Action, below: \ / Regulation Type: Citation: Comment : Addressed By Enforcement Action, below: / Page # : 3 RCRIS : 08/25/00 ***************************************************************************** Enforcement sensitive information. Official use only. Shred/burn to dispose . ***************************************************************************** * * * COMPLIANCE MONITORING AND ENFORCEMENT INFORMED FORM ----------------------------------------------------------------------------- ----------------------------------------------------------------------------- Handler Name / ID /Address S 0 N P V Regulated Activities BUCKLERS GMC INC S P VG MAD065156275 100 RIDGEWOOD AVE, HYANNIS ------------------------------------------------------------------------ NEW VIOLATIONS - - - - - - - - - - - - - - - - Compliance - - Area Date Agy Br Prs Class/Priority Scheduled Actual Regulation Type: Citation: Comment : Addressed By Enforcement Action, below: \ / ----------------------------------------------------------------------------- - NEW ENFORCEMENT ACTIONS, PAYMENTS, OR ENFORCEMENT MILESTONES - - - - - - - - - - - - - - - - - INFORMATION. ABOUT AN ACTION - - - - - - - - - - - - - - Type Date Agy Br Prs Attorney Enforcement Number Comment : - - - - - - - - MULTIMEDIA ENFORCEMENT INFORMATION - - - - - - - - - - - - Multimedia: AIR EPCRA FIFRA SPCC TSCA-PCB UST WATER UIC WETLANDS (Circle all that apply. ) Multimedia Comment : - - - - - - - - - - - - PENALTY INFORMATION - - - - - - - - - - - - - - - - Cash Penalty: Non-Final\ / or Final\ - / Amount $ SEP Cost : $ SEP Credit $ - - - - - - - - - - - - PAYMENT. INFORMATION - - - - - - - - - - - - - - - - > > Specify Enf Type and Date _/_/_ if these payments apply to a previously-reported action. Scheduled Payments - - - - - - - - Payments Received - - - - Page # : 4 RCRIS: 08/25/00 Enforcement sensitive information. Official use only. Shred/burn to dispose . ***************************************************************************** * * * COMPLIANCE MONITORING AND ENFORCEMENT INFORMED FORM ----------------------------------------------------------------------------- ----------------------------------------------------------------------------- Handler Name / ID / Address S 0 N P V Regulated Activities --------------------------- - - - - - -- - -- -- -- -- BUCKLERS GMC INC S P VG MAD0G5156275 100 RIDGEWOOD AVE, HYANNIS ----------------------------------------------------------------------------- - NEW ENFORCEMENT ACTIONS, PAYMENTS, OR ENFORCEMENT MILESTONES- Type Date Agy Br Prs Attorney Enforcement Number - - - - - - SEP OR ENFORCEMENT MILESTONE INFORMATION - - - - - - - - - - - - > > Specify Enf Type and Date _/_/_ if these milestones apply to a previously-reported action. SEP/Enforcement Milestone - - Prs Schedule Actual Expenditure Enter Code : / / / / $ Comment : Enter Code : / / / / $ Comment : Enter Code : / / / / $ Comment : ------------------- ---------------------------------------------------------- - - - - - - - - INFORMATION ABOUT AN ADDITIONAL ACTION - - - - - - - - - - Type Date Agy Br Prs Attorney Enforcement Number Comment : - - - - - - - - MULTIMEDIA ENFORCEMENT INFORMATION - - - - - - - - - - - - Multimedia: AIR EPCRA FIFRA SPCC TSCA-PCB UST WATER UIC WETLANDS (Circle all that apply. ) Multimedia Comment : - - - - - - - - - - - - PENALTY INFORMATION - - - - - - - - - - - - - - - - Cash Penalty: Non-Final\_/ or Final\_/ Amount $ SEP Cost : $ SEP Credit $ t Page # : 5 RCRIS : 08/25/00 ***************************************************************************** Enforcement sensitive information. Official use only. Shred/burn to dispose . ***************************************************************************** * * * COMPLIANCE MONITORING AND ENFORCEMENT INFORMED FORM ----------------------------------------------------------------------------- ----------------------------------------------------------------------------- Handler Name / ID / Address S 0 N P V Regulated Activities --------------------------- - - - - - -- -- -- -- -- -- BUCKLERS GMC INC S P VG MAD065156275 100 RIDGEWOOD AVE, HYANNIS ----------------------------------------------------------------------------- - - - - - - - - - - - - PAYMENT INFORMATION - - - - - - - - - - - - - - - - > > Specify Enf Type and Date _/_/_ if these payments apply to a previously-reported action. - - - Scheduled Payments - - - - - - - Payments Received - - - - - - - - - - SEP OR ENFORCEMENT MILESTONE INFORMATION - - - - - - - - - - - - > > Specify Enf Type and Date _/_/_ if these milestones apply to a previously-reported action. - SEP/Enforcement Milestone - - Prs Schedule Actual Expenditure Enter Code : / / / / $ Enter Code : / / / / $ Enter Code : / / / / $ Enter Code: / / / / $ * * * * * E N D O F R E P O R T Page # : 1 RCRIS : 08/25/00 * * * HANDLER LIST ----------------------------------------------------------------------------- ----------------------------------------------------------------------------- Handler Name / ID / Address S 0 N P V Regulated Activities --------------------------- - - - -- -- -- -- -- -- BUCKLERS GMC INC S P VG MAD065156275 100 RIDGEWOOD AVE, HYANNIS * * * * * E N D O F R E P O R T r4mBuckler's GMC, Inc. 116 Ridgewood Avenue Hyannis, Ma. 02601 508-775-3443 Phone 508-775-7496 Fax DECEMBER 15, 1999 Town of Barnstable Public Health Division PO Box 534 Hyannis, MA 02601 RE: Acme Glass 100 Ridgewood Ave . Hyannis, MA 02601 As the owner of record on the property named above, I ,plan to SEAL these drains and fill them with concrete. The drains are not used with the type of work Mr. McMahon is engaged in. I will be contacting a licensed plumber , and go through the proper channels to see that this is corrected in the time alloted. Sincerely, Charles W. Buckler' ai SENDER: L O ■Complete items 1 and/or 2 for additional services. I also wish to receive the to ■Complete items 3,4a,and 4b. following services(for an ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. ■Attach this form to the front of the maiipieoe,or on the back if space does not 1. ❑ Addressee's Address permit. $ ■Write'Retum Receipt Requested'on the mailpieoe below the article number. 2. ❑ Restricted Delivx:,ry ■The Return Receipt will showjo whom the article was delivered and the date ) C delivered./NAP Consult postmaster for fee. •0 3.Article' dressed to: 4a.Article Number 1 IQ \4 � 339';S7oo ��� s E , 4b.Service Type �► ° �" ❑ Registered Certified Wye JgQ ❑ Express Mail ❑ Insured S �/ c ¢ i�i �rnOG�- Y'�.• ❑ Return Receipt for Merchandise ❑ COD 197� ©Z 6 0` z 7.Date of Delivery a°. In 5. ec ' d By:(Print Name) 8.Addressee's Address(Only if requested and fee is paid) g 6.Sig atgddres;� r X C1 PS E rm 3811, December 1994 102595-97-8-0179 Domestic Return Receipt 1 I! V1 lit i l 1 1i il ,{ 1 ii UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 o Print your name, address, and ZIP Code in this box e Public Health Division hown of Barnstable PO. Box 534 Hyannis, Massachusetts O ure, P 339 578 684 % US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse Sent n,�,Zq SUM" /� /S /)odd Post /L1 $ Certified Fee Spedal Delivery Fee Restricted Delivery Fee LO Return Receipt Showing to Whom&Date Delivered Q Return Receipt Showing to Whom, Q Date,&Addressee's Address 0 TOTAL Postage&Fees $ 2.00 9� Postmark or Date LL 12/�/�?/O a Stick postage stamps to article to cover First-Class postage,certified mall fee,and charges for any selected optional services(See front). 1.If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service y window or hand it to your rural carer(no extra charge). m T 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the m return address of the article,date,detach,and retain the receipt,and mail the article. LO 3. If you want a return receipt,write the certified mail number and your name and address on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article a RETURN RECEIPT REQUESTED adjacent to the number. Q 4. If you want delivery restricted to the addressee, or to an authorized agent of the O O addressee,endorse RESTRICTED DELIVERY on the front of the article. M 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. S ti 6. Save this receipt and present it if you make an inquiry. a � + Y oFtr�,� Town of Barnstable Department of Health, Safety, and.Environmental Services 'BAMt639. r Public Health Division �fD"A0�A P.O. Box 534, Hyannis MA 02601 Office: 508-8624644 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health November 24, 1999 John McMahon Acme Glass 100 Ridgewood Ave., Hyannis, MA 02601 ORDER TO COMPLY WITH THE BOARD OF HEALTH FLOOR DRAIN REGULATION,PART U,SECTION 1.00 You are hereby notified on September 28, 1999, the Town of Barnstable Board of Health adopted the attached Floor Drain Regulation. All owners/operators of facilities with floor drains connected into a leaching structure have three options: 1. Connect the floor drain to a holding tank. The tank will need DEP approval. The DEP approves two types of holding tanks for this waste: new installations and conversions of existing structures (e.g. oil/water separators). These tanks are for non-hazardous, industrial wastewater. If solvents, antifreeze, oil and other fluids are washed down the drain,the waste is likely to be hazardous. 2. Connect the floor drain to a municipal sewer system, if available. An oil/water separator is required to be installed under this option. This requires a permit from DEP and the Town of Barnstable Department of Public Works along with the sewer connection application. The amount of discharge shall not exceed ten parts per million(10 PPM). 3. Seal the floor drain. Contact your local plumbing inspector for the appropriate filing form. If choosing this option, all previous discharges to the drain must be eliminated at their source. For example, cars should no longer be washed and floors should no longer be hosed down. Therefore, you are directed to comply with the - Board of Health Floor Drain Regulations by informing this department in writing of what your intentions are to comply with the regulation within ten (10) days of receipt of this notice and by completing the work within ninety (90) days. .ti . You may request a hearing if written petition requesting same is received within ten(10)days your receipt of this order letter. Failure to comply with an order of the Board of Health may result in a fee of not less than$200, nor more than$1,000.00. Each day of failure to comply with an order shall constitute a separate violation. PER ORDER OF THE B ARD OF HEALTH Thomas A. McKean Director of Public Health Enc. Board of Health Floor Drain Regulation cc: Ed Jenkins,Town of Barnstable Plumbing Inspector a HYANNIS J08-778-2334 MOM f PLYMUTH 508-747-2562 En ^ go WANGLE 508-871-7371 ,{I / WALPOLE 508 668 4900 T M E AUTO GLASS NATICK 508-653-8181 SPECIALISTS - • Auto,Bus&Truck Glass JAKE MCMAHON • Sunroofs,Theft Guard Vice President • Fast Free Mobile Service Certified Master Auto Glass Technician EXPERIENCE 1-800-479-9696 • SERVICE EXCELLENCE "We're Mobile To Keep You Mobile" TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair Q satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY 42&.4. C Z 5_6 (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS ��rr r MASS: 7.Miscellaneous L -_QUANTITIES AND STORAGE (IN= indoors; OUT=outdoors) MAJOR MATE S _ IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) ies #2(B) Heavy Oils: waste motor oil (C) t new motor oil(C) ; transmission/hydraulic Synthetic Organics: degreasers Mi��collaneous: DISPOSAL(RE(:LAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply a I/ _dx O Town Sewer ublic O On-site OPrivate _ 3. Indoor Floor Drains YES NO /l ,- O Holding tank:MDC t f O Catch basin/Dry well �z S O On-site system 4. Outdoor Surface drains:YES NO 7/ O S: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES NO 2. X�e /t-- Pcyrson(s) Interviewed Inspector Date 100 Ridgewood Ave. Hyannis, Mass. 02601 Tel: (508) 778-2334 . EXPERIENCE 1-800 479-9696 . �]NJ THE AUTO GLASS SPECIALISTS . SERVICE EXCELLENCE • Auto, Bus&Truck Glass • Sunroofs • Fast, Free Mobile Service Anywhere on Cape Cod MICHAEL HALLORAN Date: C.� TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM � NAMEOFBUSINESS: &j4dz aes � V BUSINESS LOCATION: loo 1fi06-&vwDD _ ' MAILING ADDRESS: /&,7nA fi-* dy(aa ) Mail To: TELEPHONE NUMBER: Board of Health Town of Barnstable CONTACT PERSON: P.O. Box 534 EMERGENCY CONTACT ELEPHON NUMBER: 16AP Hyannis, MA 02601 TYPEOFBUSINESS: v / Does your firm store y of the toxic or hazardous materials listed below, either for sale or for you own use? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: ) V­ TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Qua n .y Quantity Antifreeze(for gasoline or coolant systems) Drain cleaners NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants . -Engine and radiator flushes C0&5 6 % Road Salt (Halite) �,_Hydraulic fluid (including brake fluid) Refrigerants Moto oils / Pesticides NEW, USED (insecticides, herbicides, rodenticides) °Gasoline, Jet Fuel Photochemicals (Fixers) 0 Diesel fuel, kerosene, #2 heating oil NEW USED ,Other petroleum products:'grease, Photochemicals (Developer) lubricants, gear oil NEW USED ✓04�4d Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) g4 Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, / NEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers Any other products with "poison" labels Paint brush cleaners (including chloroform, formaldehyde, cFloor & furniture strippers hydrochloric acid, other acids) Metal polishes Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): C. 4 Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS (2 y TOWN OF BARNSTABLE OMPL[ANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops 0 unsatisfactory- 4.Manufacturers COMPANY (see"Orders") 5.Retail Stores ��,�rp� 6.Fuel Suppliers ADDRESS 60 D I�`'(.`lass• 1 7.Miscellaneous 041 UANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) l Diesel, Kerosene, 2 (B Heavy Oils: waste motor oil (C) x new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: .2 Pe4_4 'K 3 DISPOSAI✓RECLAMATION R(EIMA S: 1 Sanitary Sewage 2.Water Supply Town Sewer Wublic ' .S( O On-site OPrivate 3. Indoor Floor Drains YES_NO O Holding tank:MDC y�,pl+ �� \ O Catch basin/Dry well I O On-site system 4. Outdoor Surface drains:YES ! 4', NO ORDERS: O Holding tank:MDC Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler 1 Pro duct , YES NO 2 _. Person (s) Interviewed Inspector Date 1 .. TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS: r Board of Health MAILING ADDRESS: Town of Barnstable TELEPHONE NUMBER: 1 P.O. Box 534 CONTACT PERSON: Hyannis, MA 02601 t Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in qu ties totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO s This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic.or hazardous characteristics and must be registered when stored ' Please put a'check beside each product that you store: Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) V Paint & lacquer thinners PCB's Paint & varnish removers de lossers 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) i Y Other cleaning solvents r s „� 1.�•7-,� Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business TOWN OF BARNSTABLE MPLIANCE: CLASS: 1.Marine,Gas Stations,Repair »•--•� ' 2.Printers satisfactory BOARD OF HEALTH s.Auto Bony Shops unsatisfactory- 4.Manufacturers COMPANY (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS Class: — 7.Miscellaneous "OTTA IES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MAT t( Case lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: ' Gasoline,Jet Fuel(A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers f Miscellaneous: r r r ,y✓ lk. 1s v DISPOSALIRECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply Town Sewer kPublic 0 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--O'NO ORDERS: Holding tank: MDC ` e?jgW Catch basin/Dry well ra ' O On-site system "` �� /I?p ��/ 5.Waste Transporter Name of Hauler Destination Waste Product YES NO 1. � . ' 2. erson s) Interviewed Inspector Date i 77 bb °�• i W N c , Q (6 Ct3 cy W W W O d ++ Lu 1 4-1 rr\\ fix. 10 6y03 L_) .'ems 12 ;FJ, 7. 2 - 25 C7UJ VO le ul WA j � t -_...__._-__...___.. _.. _. f , } r __.__......_.__�...._.. i �'� "`r, G +i'+. !/,=r'c..V. �;�'"� �f�I-r !1✓J �L=L y�'"1/�/ �� -f✓ •�J 't 1 'I ___ _ — 41 1�///,[\� 4 O W J t t { - , %✓ .•%�...;� � � � � �", PAL`�G-+ � +�'j-: N I a i®r j i A j Vft V J q i �F; s- Elm t w Q^ w y' ` E i 1 . »...-::.. ea uw - utiw^;:x'.i,p., >:9 >•:>YNt-;`+FyY++,v@ak"Ab.,:.: :.*xMFKW..uy.�M.'R v.•.•.af�M:.•ns-v:.: w- - • :.•.:+wN."Y.W..a�tl'.:.hIY:M.a,Y.wa: ✓,..w* JB...111k,.AM1�:4�':w..zn' II�I:.Ya ..e uYW'.w ♦. .ARYrt6lF...sAVMiW • wP+ -J.: r :a ec-.. 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