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HomeMy WebLinkAbout0195 RIDGEWOOD AVENUE - Health (2) 195 RIDGEWOOD I M" Ml QIIALIT g R. YOU WISH TO OPEN A BUSINESS? •3 Far Your lnformatinn: Business certifictites[cost 540.00 for 4 years). A busin'ess certihoate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it-doer not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town.Clerk's Office, 1 st FI_, 367 Main St., Hyannis; NA 02601 Clown Hall) and get the Business Certificate that is required by law_ DATE:� g L leFill ase: APPLICANT'S YOUR NAME/S: t 4" BUSINESS YOUR HOME ADDRESS: ., s-7-7 LA tLO NAME OF CORPORATION; NAME OF-NEW BUSINESS / QL P-to ,n S l TYPE OF BUSINESS A,✓U IS THIS A HOME OCCUPATION? YES NOS_ ADDRESS OF BUSINESS.. h� n Vj r° MAP/PARCEL NUMBER (Assessing] When starting a now businass'thaea'arb severdl 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 informatipn you may need. You.MUST GO TO 200 Main 5t. — (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 COMMIS5lb R'5 OFF#CE This individual has b in of any permit requirements that pertain to this type of business. Aut orized Sig ture** _ S� COMMENTS: 2. BOARD OF HEALTH This individual has been'infn�dKcf the permit requirements that pei�taln to this type of business, 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: . I J =t hi f�/ 1111"'- Date / TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: C' dolly BUSINESS LOCATION: INVENTORY MAILING ADDRESS: it a TOTAL AMOUNT: TELEPHONE NUMBER: I/ CONTACT PERSON: 't" &\o ff �� 5ov�• EMERGENCY CONTACT TELEPHONE NUMBER: �� 4 '7�°' MSDS ON SITE? TYPE OF BUSINESS: INFORMATION/RE OMME DATIONS: 111b IIAZA d,01,14 rn LUAAdA Fire District: g Waste Transportation, Last shipment of hazardous waste: Name of Hauler• Destination: Waste Product: Licensed? a No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, �o� 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 t is or hazardous characteristics and must be registered regardless of volume. �` �` Observed/Maximum Observed/Maximum _ Antifreeze (for gasoline or coolant systems) Misc. Corrosive ��,� I -e NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants F-e� 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 Pho ochemical (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil 9J NEW USED Degreasers for engines and metal Printing ink 20 Degreasers for driveways & garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers �a �,y Misc. Combustible Car wash detergents �� (1 N(•L l Leather dyes Car waxes and polishes �'"t Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners to w0 66 4110 \P (inc. carbon tetrachloride) NEW USE - 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 G S i i Town of Barnstable QF1HE'r?y, Regulatory Services 'L Thomas F. Geiler,Director "�F. Public Health Division '; * ks�RxsrAsE Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 �,plFO Mp►�% Phone,,: 508-862-4644 Email: health(@town.barnstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 June 28, 2006 Mr. Paul Harrop Quality Instant Printing 195 A Ridgewood Ave Hyannis,MA 02601 Dear Mr. Harrop: Thank you for your time and cooperation during the hazardous materials inventory site visit at Quality Instant Printing, 195 A Ridgewood Ave,Hyannis,MA on June 19,2006. This letter: ;;... contains information from that site visit that will help you become compliant with and remain 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 durinjZ the hazardous materials inspection: OBSERVATIONS: • The hazardous waste drum on your property was not labeled upon arrival,but was labeled prior to the end of the inspection and shall remain labeled. • The;hazardous waste area is signed. • A rag can with a lid is available. • The removal of a machine decreases the amount of hazardous materials on site used for the specific machine. On Site Inventory Total The Toxic and Hazardous Materials On-Site Inventory from June 19,2006 shows that you have approximately 63 gallons of toxic and hazardous materials being used, stored, generated and disposed of at Quality Instant Printing, 195 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 I an annual Hazardous Materials License. At this time,this license is not required to be obtained from the Town of Barnstable Town Offices, 200 Main Street,Hyannis,MA 02601. Please refer to the Town of Barnstable General Ordinance: Chapter 108-6 (A-H). Reviewing your contingency plan for hazardous materials spills and related emergencies (and its location throughout the facility)is highly recommended and shall be posted near the waste site and telephones. If you have any questions about these problems and recommendations, or you need further information, guidance or assistance,please do not hesitate to contact the Public Health Division. Sincerely, All0(4 SAW Alisha L. Parker E Hazardous Materials Specialist All orders to correct violati ns of Chapter 108 of the Town of Barnstable Ordinance: Hazardous Cals sh omplet upon receipt of this letter. o as cKean,RS, CHO Director of Public Health Enclosed On-Site Inventory(copy) YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: D�3 Fill in pIpqse. APPLICANT'S YOUR NAME/S: `,CG�T7 O1' BUSINESS _1 YOUR HOME ADDRESS: ) (� Gt p. y"'t��yx.Ju� P ✓� �VI l�lV j 'TELEPHONE # Home Telephone Number , /ld NAME OF CORPORATION::' NAME OF NEW BUSINESS TYPE OF BUSINESS 6 e IS THIS.A HOME OCCUPATIONS Y S N{ ADDRESS OF;BUSINESS �' U c�. MAP/PARCEL NUMBERS/�`��� [Assessrig) 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 COMMISSIONER'S OFFICE This individual has been informed of any permit requirements that pertain to this type of business. Authorized,Signature* COMMENTS: 2. BOARD OF HEALTH This individual has been infor d of.the permit requirements that pertain to this type of business. LIhd)OIV II Ar-OVI MUST :OMPLY WITH ALL ** i�A ARbOUS MATERIALS REGULATIMIS Authorized ignature COMMENTS: 3. CONSUMER AFFAIRS fLICE51SING AUTHORITY) This individual haee i ed of the licensing requirements that pertain to this type of business. Auth ri ed Signatu l COMMENTS: -6 Date:(0 TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: G' SH Ab 1,2041L BUSINESS LOCATION: INVENTORY MAILING ADDRESS: ,-W, Z-Jy TOTAL AMOUNT: TELEPHONE NUMBER: $ 9 -to i3e, CONTACT PERSON: 0,4 pef�✓/11�� rCz�/o�ni �,� � e1-a EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: �o_fiD✓ INFORMATION / RECOMMENDATIONS: 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 material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ 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 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) 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 f 6d 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 r (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials 3 r NOTES TO THE FILE March 8, 2012 Kamberi Family LLC 195 F Ridgewood Avenue Hyannis, MA Cynthia Martin, PHD Besart Kamberi, Owner Kamberi Family LLC, a newly opened auto parts retail store, was inspected due to the concern for the use, handling and storage of hazardous materials (automotive fluids). The only hazardous materials on site were thirty-six automotive batteries and three cores. There were no automotive fluids on site; the store inventory consisted of dry parts. Reportedly the business would need to purchase fluids in such large quantities that it was cost prohibitive. There are no plans to pursue obtaining fluids for retail sale. Based on the above the business is not subject to the Hazardous Materials licensing requirement of the Town of Barnstable. ti YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates cost $40.00 for 4 years. A Business Certificate ONLY REGISTERS THE BUSINESS NAME in town (which you must do by M.G.L.- it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, I st FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required bylaw. Fill in please: Date: ' APPLICANT'S NAME: C—S A 1L C-2 w'. YOUR HOME ADDRESS: /Zf co '0 C i 1 a BUSINESS TELEPHONE # 50 8 77 03�7`l HOME TELELPHONE #: NAME.OF CORPORATION: tom' C Kl l�l ,G 'CCG FID.# q 9 NAME OF NEW BUSINESS o Pc-AA,/ Vi A �� TYPE OF BUSINESS S t�i.t IS.THIS A HOME OCCUPATION? YE . 'N ADDRESS OF BUSINESS ICI C "e' MAP/PARCEL NUMBER (Assessing) wrvi 0�l n2(� o When starting a new business there are several things you must do to be in compliance with the rules and regulations of the Town of Barnstable. This form is 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 town. 1. BUILDING COMMISSIONER'S OFFICE This individual has been informed of any permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 2. BOARD OF HEALTH This individual ha be q I rmed of the permit requirements that pertain to this type of business. ` MUST Authorized Signature* ;OMPLY WITH ALL -A7APn , � ftrATc?1nj e p-(,!n n r riaiQ COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** 1 i Date: TOWN OF BARNSTABLE TOXIC AND HA Z R®OUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: w1 M —Q A V-1 1 L\ Lac BUSINESS LOCATION: tot 5 F k t C&�p Lx_roU IL-1 -i 4JAP-IN-IS INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: 63g ,S. 71 4 CONTACT PERSON: /(4K'1 EMERGENCY CONTACT TELEPHONE NUMBER: SUS 9S­7 6d MSDS ON SITE? i a TYPE OF BUSINESS: PQ+k-T-IS STo P g INFORMATION/RECOMMENDATIONS: 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 material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The board of health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners w Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) 2� 07 Q Hydraulic fluid (including brake fluid) Refrigerants 2N Motor Oils Pesticides VNEW ❑ 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) 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 A Lt ALIj , 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 icant' Signature Staff's Initials RA 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) and 200 Main Street Offices at the`Licensing counter. ®„ DATE: i Fill in please: ..... APPLICANT'S YOUR-NAME: � TZL i�aZY f BUSINESS YOUR HOME ADDRESS: 7 7 d 04 v S;nC� TELEPHONE # Home Telephone Number: _5_09 .41a 8--j.S a NAME OF NEW BUSINESS vx TYPE OF BUSINESS IS THIS A HOME OCCUPATION? YES N Have you been given approval from the building division? YES NO ADDRESS OF BUSINESS 15S" Ri u Avg. w.v,s IA MAP/PARCEL NUMBER When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. 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 COMMISSIONER'S OFFICE This individual has been informed of any permit requirements that pertain to this type of busines s. Authorized Signature COMMENTS: 2. BOARD OF HEALTH This individual ;s?een inf r of th fermi requirements that pertain to this type of business. uthorized nature* 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: TOWN OF BARNSTABLE Date: TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: n, I1_TI Iw� �� eelAq & BUSINESS LOCATION: TqS 1/2 0G-1.-�:Wcr0n INVENTORY MAILING ADDRESS- LJVADAIS 414 4 Qd=6 TOTAL AMOUNT: TELEPHONE NUMBER: �j ®a'_ -7 -2 / 16 11 S ' S GA L CONTACTPERSON: �69 0& 06VL, EMERGENCY CONTACT TELEPHONE NUMBER: '22% 9 '!R — MSDS ON SITE? TYPE OF BUSINESS: P (L) YES INFORMATION/RECOMMENDATIONS: Fire DWrict Waste Transportation: ��GIL Last shipment of hazardous wad Y Name of Hauler: • 514-V29 Destination: P Waste Product: ( ,. Licensed? es No NOTE: Under the provisions of Ch. 111, Section 31, of the Genera aws of MA, hazardous ateria�s'use, storage and disposal of 111 gallons or more a month requires a license from the Public Healt 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 I Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants - - - -Motor,Oiis- - Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas G Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, a�E�APhotochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal D Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers L 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) j 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): -AL.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 Town of Barnstable Q��KEr Regulatory Services Thomas F. Geiler,Director Public Health Division �. * -B Agi rns�` * v Thomas McKean,Director 6 9', ® 200 Main Street, Hyannis,MA 02601 r prFD� Phone: 508-862-4644 Email: health(i,town.barnstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 June 28,2006 Mr. Paul Harrop Quality Instant Printing 195 A Ridgewood Ave Hyannis,MA 02601 Dear Mr. Harrop: Thank you for your time and cooperation during the hazardous materials inventory site visit at Quality Instant Printing, 195 A Ridgewood Ave,Hyannis,MA on June 19,2006. This letter contains information from that site visit that will help you become compliant with and remain' 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: • The hazardous waste drum on your property was not labeled upon arrival,but was labeled prior to the end of the inspection and shall remain labeled. • The hazardous waste area is signed. • A rag can with a lid is available. • The removal of a machine decreases the amount of hazardous materials on site used for the specific machine. On Site Inventory Total The Toxic"and Hazardous Materials On-Site Inventory from June 19,2006 shows that you have approximately 63 gallons of toxic and hazardous materials being used,stored, generated and disposed of at Quality Instant Printing, 195 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. At this time,this license is not required to be obtained from the Town of Barnstable Town Offices, 200 Main Street,Hyannis,MA 02601. Please refer to the Town of Barnstable General Ordinance: Chapter 108-6 (A-H). Reviewing your contingency plan for hazardous materials spills and related emergencies (and its location throughout the facility)is highly recommended and shall be posted near the waste site and telephones. If you have any questions about these problems and recommendations, or you need further information, guidance or assistance,please do not hesitate to contact the Public Health Division. Sincerely, �A� L-RVW Alisha L. Parker Hazardous Materials Specialist All orders to correct violati ns of Chapter 108 of the Town of Barnstable Ordinance:Hazardous a h omplet upon receipt of this letter. cKean,RS, Cl Director of Public Health Enclosed On-Site Inventory(copy) ss�ed - TOWN OF BARNSTABLE �� I'nsaedeb TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: t hthro BUSINESS LOCATION: INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: 17 CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: � U .;��,F - �' , k MSDS ON SITE? TYPE OF BUSINESS: Hell INFORMATION/RE OMME DATIONS: 1 b kAzig M- 14 W &W, dA Fire District: Waste Transportatio : Last shipment of hazardous waste: Name of Hauler- Destination: Waste Product: Licensed? a 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 Pho ochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Phottochemicals (Developer) lubricants, gear oil �J NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout - Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor& furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers (including bleach) Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS OIL WASTE OIL UILFILTERS ANTIFREEZE WASTE ANITFREEZE GASOLINE WASTE GAS DIESEL FUEL W/W FLUID ATF HYDRAULIC/ MISC. MISC. MISC. MISC. BRAKE FLUID COMMBUSTIBLE FLAMMABLE CORROSIVE PETROLEUM (GEAR OIL/GREASE/ LUBRICANTS) FREON ACETYLENE CAR WASH CAR WASH PAINTS/ WAX DETERGENTS THINNERS SEALANT CLEANING BATTERIES/ POISION/TOXIC SOLVENTS BATTERY J ACID ----� � II FERTALIZERS WASTE SOLVENT �i G MSDS CL 9 oa3 MANIFESTS amt 101tl� D rw� AqlAt� Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS DBA: Quality Instant Printing Fax: Corp Name: Mailing Address .......... _....... .......... ......... ..... ......_. Location: .195 Ridgewood Ave.,Hyannis Street: 195 Ridgewood Ave. mappar. City: Hyannis Contact: .Bob Nickerson State: Ma Telephone: (508)771-6118 Zip: 02601'; Emergency: (508)428-8320 Person Interviewed: Paul Harrop Business Contact Letter Date: 5/1/2006 Category: .Printers Inventory Site Visit Date: 6/19/2006 ......... Type: Follow Up/Inspection Date: .......... ....... 91 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 ❑ outdoor catch basin/drywell expir - - ❑ on-site sewage ❑ indoor on-site syste ❑ outdoor onsite system date: ........................................................ Remarks: Waste manifests and MSDS sheets. Inks in cabinet in compliance: basement. Rags kept in metal trash with lid and no smoking policy. Satisfactory 312/05-alp remarks: msds on site,store flamm materials in metal cabinet,containers are capped,do have a haz mat area, recommendations: label waste drum,get rid of equipment not using so use less product(smaller quantities on site)asked for copy of that removal once happens,place absorbents or spill kit near haz mat area with an empty bucket for end product to be disposed of properly,have fire extinguishers checked. 6/19/06-alp OBSERVATIONS: haz waste drum was not labeled upon arrival,but was labeled and must remain labeled,the haz waste area was signed,a rag can with lid available, removal of machine and it's products used lessens haz mat inventory. NO HAZ MAT LICENSE REQUIRED at this time. n Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ Zero Toxic Waste Materials gty's>25 Ibs dry or 50 gals liquid but less than 111 gals ❑ gty's 111 gals or more ""dscnption- to rrieasure photochemicals(fixers&developers) 38Gallons printing ink 11Igallons other cleaning solvents 21gallons . .... motor oil 1 Igallons __... __. ...._ __1 .. ...�.. .................................................... ........__ Misc.Flammable 111gallons s Waste Transporter: J.B.Silva Fire District: hyannis Last HW Shipment Date: 12/15/2004 Waste Hauler Licensed: Yes I Town of Barnstable OFIME t Regulatory Services y �► ~O Thomas F. Geiler,Director Public Health Division cu)p * saxtvsrnBi.E, Thomas McKean,Director MASS. g$ 1639. 200 Main Street, Hyannis,MA 02601 9 ,�'°rFo N►a� Phone: 508-862-4644 Email: health@town.bamstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 March 3, 2005 Mr.Paul Harrop Quality Instant Printing 195 A Ridgewood Ave Hyannis,MA 02601 Dear Mr. Harrop: Thank you for your time and cooperation during the hazardous materials inventory site visit at Quality Instant Printing, 195 A Ridgewood Ave,Hyannis,MA on March 2, 2005. This letter contains information from that site visit that will help you become compliant with and remain compliant with Chapter 108 of the Town of Barnstable Ordinance: Hazardous Materials. Enclosed are copies of Chapter 108: Hazardous Materials ordinance and a copy of the Toxic and Hazardous Materials On-Site Inventory form from the visit to your business. Please note the problems identified at your place of business during the hazardous materials inspection and their corresponding recommendations listed below: PROBLEM: • The hazardous waste drum on your property is not labeled and doesn't indicate what the material is. ORDER: • Please label all hazardous waste containers,barrels and tanks, "TOXIC"and "HAZARDOUS WASTE", and the type of waste contained(i.e. "Waste Developer", etc.). PROBLEM: • Fire extinguishers in building were not inspected by a professional business or fire department. RECOMMENDATION: • Ensure they are inspected and that they are in working order. i7 RECOMMENDATIONS: • Continue to keep all containers capped and labeled. • Create a spill kit area near your designated hazardous materials area. Keep absorbents and personal protective equipment available in the event of an emergency. • If a spill or release occurs, use the absorbents to soak up the product and place the end product into a waste container to have a licensed hauler dispose of the materials properly. • Keeping your hazardous materials levels below 111 gallons will prevent you from having to purchase a permit from the Town of Barnstable. Once you remove the equipment that is using the majority of your product,please provide a copy to the Hazardous Materials Specialist. • Dispose of any unused product to maintain your levels below 111 gallons. 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 from the Town of Barnstable Town Offices, 200 Main Street,Hyannis,MA 02601. If you continue to add hazardous materials to your facility,this must be purchased immediately because you are close to the gallon amount. Please refer to the Town of Barnstable General Ordinance: Chapter 108-6(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. Why are these recommendations being made for Quality Instant Printing? • 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. If you have any questions about these problems 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 . Enc. Chapter 108 (copy) On-Site Inventory(copy) A o BUSINESS CARDS © • OFFSET PRINTING, • BROCHURES q' y • COLOR COPIES • MAILERS/FLYERS • DIGITAL COLOR • • LASER OUTPUT • STATIONERY , stint P rint�n$ • HIGH SPEED DIGITAL • INVITATIONS �n COPYING ANNOUNCEMENTS 195A Ridgewood 02601ue • GRAPHIC DESIGN • NEWSLE I S` HyannIS9 o SERVICE BUREAU o PROGRAMS Paul Itarrop OPTIONS CON- BOOKLETS • GRAPHICS • TICKETS ast/Econo►nlcal/Professional SULTING " F tinting needs F®r all your p w • r 4 Tel-508-771-6118 Fax-508-771-4104 t r i 'E-mail: gprint@cape.com' - n • •� \, x Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS r DBA: Quality Instant Printing Fax: Corp Name: Mailing Address Location: 195 Ridgewood Ave.,Hyannis Street: 195 Ridgewood Ave. _. .. - ......._. ...._ ........ . _ ........... ......... .............. mappar: City: Hyannis Contact: :Bob Nickerson �� ` 1'y ro f %4xf—s ate: Ma Telephone: ;(508)771-6118 Zip: 02601 Emergency: (508)428-8320 Person Interviewed: .. Business Contact Letter Date: 01466, Category: Printers Inventory Site Visit Date: Type: Follow Up/Inspection Date: 4 o�' 0 public water ❑ indoor floor drains ❑ outdoor surface drains ❑ license required �l ❑ private water indoor holding tank mdc.�V p ❑ g El outdoor holding tank mdc ❑ currently licensed W town sewage ❑ indoor catch basin/drywell ❑ outdoor catch basin/drywell expir -✓ D (A` ❑ on-site sewage El indoor on-site syste El outdoor onsite system date bs� y Remarks: Waste manifests and MSDS sheets. Inks in cabinet in compliance: basement. Rags kept in metal trash with lid and no smoking policy. Satisfactory -- uwi�e��i� S 01 7 � � 4J K 11440 I I L4 �' Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ Zero Toxic Waste Materials d❑ gty's>25 Ibs dry or 50 gals liquid but less than 111 gals ❑ gty's 111 gals or more F des,Grl tron t umt of measure photochemicals(fixers^&developers)_.__._.._..._.....__.__.._..._._.........__...__..___.:......._120 Gallons _..............._............___....._...__ printing ink 50Pounds _.. _ ___._._..__..........__._.....__.._._.._...__...__......_......_ ..__._ other cleaning solvents 5Gallons Waste Transporter: A.B.SDua Fire District: Last HW Shipment D � Waste Hauler Licensed: No { Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS DBA: Quality Instant Printing Fax: ..... _.. p Corp Name: Mailing Address Location: '195 Ridgewood Ave.,Hyannis Street: 195 Ridgewood Ave. _..._..... ......._ mappar: City: Hyannis Contact: :Bob Nickerson State: Ma Telephone: (508)771-6118 Zip: 02601 Emergency: (508)428-8320 Person Interviewed: Paul Harrop Business Contact Letter Date: 2/10/2005 Category: Printers Inventory.Site Visit Date: 3/2/2005 Type: Follow Up/Inspection Date: 0 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 ❑ outdoor catch basin/drywell expir - - ❑ on-site sewage ❑ indoor on-site syste ❑ outdoor onsite system date: ............._..._ Remarks: Waste manifests and MSDS sheets. Inks in cabinet in compliance: basement. Rags kept in metal trash with lid and no smoking policy. Satisfactory 3/2/05-alp remarks: msds on site,store flamm materials in metal cabinet,containers are capped,do have a haz mat area, recommendations: label waste drum,get rid of equipment not using so use less product(smaller quantities on site)asked for copy of that removal once happens,place absorbents or spill kit near haz mat area with an empty bucket for end product to be disposed of properly,have: fire extinguishers checked Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ Zero Toxic Waste Materials ❑ gty's>25 Ibs dry or 50 gals liquid but less than 111 gals ❑�/ gty's 111 gals or more y descKiption qty unit W measure photochemicals(fixers&developers) 57.5Gallons .........................__._____....._.._.._._._.......___.__......._... ........._...__..._......_._.._.... .__...............;._........._._..._........._._._..._.._._..................._........._......_....._._...__. printing ink 241.gallons Solvents 12 Gallo ns Misc.Flammable 23gallons Waste Transporter: J.B.Silva Fire District: ';hyannis Last HW.Shipment Date: 12/15/2004 Waste Hauler Licensed: Yes { Town of Barnstable FtHET Regulatory Services �•� �,F 'Y Thomas F.Geiler,Director P Public Health Division * ►RlvSTABLE� Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 6Cnop, Phone: 508-862-4644 Email: health(oDtown.bamstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 March 3, 2005 Mr.Paul Harrop Quality Instant Printing 195 A Ridgewood Ave Hyannis, MA 02601 Dear Mr. Harrop: Thank you for your:tim' e and cooperation during the Hazardous materials inventory site visit:at Quality Instant Printing, 195 A Ridgewood Ave,Hyannis,MA on March 2,2005. This letter contains information from that site visit that will help you become compliant with and remain compliant with Chapter 108 of the Town of Barnstable Ordinance:Hazardous Materials. . Enclosed are copies of Chapter 108: Hazardous Materials ordinance and a copy of the Toxic and Hazardous Materials On-Site Inventory form from the visit to your business. Please note the problems identified at your place of business during the hazardous materials inspection and their corresponding recommendations listed below: PROBLEM: • The hazardous waste drum on your property is not labeled and doesn't indicate what the material is. ORDER: • Please label all hazardous waste containers,barrels and tanks, "TOXIC"and "HAZARDOUS WASTE", and the type of waste contained(i.e. "Waste Developer", etc.). PROBLEM: • Fire extinguishers in building were not inspected by a professional business or fire department. RECOMMENDATION: • Ensure they are inspected and that they are in working order. RECOMMENDATIONS: • Continue to keep all containers capped and labeled. • Create a spill kit area near your designated hazardous materials area. Keep absorbents and personal protective equipment available in the event of an emergency. • If a spill or release occurs,use the absorbents to soak up the product and place the end product into a waste container to have a licensed hauler dispose of the materials properly. • Keeping your hazardous materials levels below 111 gallons will prevent you from having to purchase a permit from the Town of Barnstable. Once you remove the equipment that is using the majority of your product,please provide a copy to the Hazardous Materials Specialist. • Dispose of any unused product to maintain your levels below 111 gallons. The Board of Health has determined that the using,storing, generating and disposing of over I I I 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 from the Town of Barnstable Town Offices, 200 Main Street,Hyannis,MA 02601. If you continue to add hazardous materials to your facility,this must be purchased immediately because you are close to the gallon amount. Please refer to the Town of Barnstable General Ordinance: Chapter 108-6(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. Why are these recommendations heing made for Quality Instant`Printina? + 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 materials1aws so that you can avoid future regulatory problems. • Complying with the HazardousWaterials 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. If you have any questions about these problems and recommendations, or you need further information,guidance or assistance,please do not hesitate to contact the Public Health Division. Si cer�ely, Ali ha L.Parker Hazardous Materials Specialist Enc. Chapter 108 (copy) T TOWN OF BARNSTABLE Date: 3 TOXIC AND HAZARDOUS_MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: a4IL44 L746ULZ BUSINESS LOCATION: INV Y MAILING ADDRESS: la T TAL A ANT: TELEPHONE NUMBER: CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NU BER: MSDS ON SITE? TYPE OF BUSINESS: _ INF ,R AT_ION/RECOMMENDATIONS: Fire District: PMidi f h I Dy,er_ i.'/K Ve yl�ffin I ED a-Lt. Waste Transportation: Last shipment of hazardous,waste: Z Name of Hauler• k JA71 _Destinatio Waste Product: 5-'e 0 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 L Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil C:�_? NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW SED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables -- hydrochloric acid, other acids) Floor &furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers (including bleach) Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS ti Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS ..... ........ ... _.. DBA: Quality Instant Printing Fax: Corp Name: Mailing Address _.... _.. ............ Location: 195 Ridgewood Ave.,Hyannis Street: 195 Ridgewood Ave. .......... _. .., __........... ......... mappar: City: Hyannis Contact: Bob Nickerson State: Ma Telephone: (508)771-6118 Zip: 02601 Emergency: (508)428-8320 Person Interviewed: Paul Harrop Business Contact Letter Date: 2/10/2005 Category: .Printers Inventory Site Visit Date: 3/2/2005 ......... _..... Type: 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 ❑d town sewage ❑ indoor catch basin/drywell ❑ outdoor catch basin/drywell expir --- - ❑ on-site sewage ❑ indoor on-site syste ❑ outdoor onsite system date: ....... ._....... ._..... Remarks: Waste manifests and MSDS sheets. Inks in cabinet in compliance: basement. Rags kept in metal trash with lid and no smoking policy. Satisfactory 3/2/05-alp remarks: msds on site,store flamm materials in metal cabinet,containers are capped,do have a haz mat area, recommendations: label waste drum,get rid of equipment not using so use less product(smaller quantities on site)asked for copy of that removal once happens,place absorbents or spill kit near haz mat area with an empty bucket for end product to be disposed of properly,have fire extinguishers checked 1 Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ Zero Toxic Waste Materials ❑d gty's>25 Ibs dry or 50 gals liquid but less than 111 gals ❑ gty's 111 gals or more descnppon _. `4ty "un t of measure photochemicals(fixers&developers) 57.5 Gallons ........ . ................. ...... .._.._.._......_....... ..._...._. ______..__._..._.__....._.___.._.__.._..;...._....____.._._.._...._........-----..__._._......._._.. printing ink 24gallons Solvents _ 12Gallons Misc.Flammable 23gallons Waste Transporter: J.B.Silva Fire District: hyannis Last HW Shipment Date: 12/15/2004 Waste Hauler Licensed: Yes ...... Date: /L/3 ky TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: �Av� 42 Jmoq BUSINESS LOCATION: MAILINGADDRESS: 1012ly.e el Mail To: TELEPHONE NUMBER: D-6 b Board of Health Town of Barnstable CONTACT PERSON: P.O. Box 534 EMERGENCY CONTACT TELEPH =ENUMBER: Hyannis, MA 02601 TYPE OF BUSIN ESS: /)?b-619 b Does your firm store any of the toxic or hazardous materials listed below, either for sale or for you own use? YES ✓ NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site otherthan your mailing address: A ADDRESS: eA"e TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity Antifreeze(for gasoline or coolant systems) Drain cleaners NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes - PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers Any other products with "poison" labels Paint brush cleaners (including chloroform, formaldehyde, Floor& furniture strippers hydrochloric acid, other acids) Metal polishes Laundry soil removers Other products not listed which you feel (includin bleach may be toxic or hazardous (please list): Spot removers & cleaning fluids &14&;56 ") (dry cleaners) ha Other cleaning solvents - Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 0 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMP �� (see"Orders") 5.Retail Stores A 6.Fuel Suppliers ADDRESSSOt fL' .. Class: 7. Miscellaneous 4upko(`(t,S QUANTITIES AND STORAGE (IN= indoors; OUT=outdoors) MAJOR MATERIALS 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 :17h L<=�. Miscellaneous: (� a3 DISPOSAURECLAMATION REMARKS: f 1. Sanitary Sewage 2.Water Supply I I S;I- '�Town Sewer ,Public IS On-site OPrivate P- l 3. Indoor Floor Drains YES - NO-0 Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO,_ ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Haul I ier Destination Waste Product Licensed?i 1. 2. ►�l�-vC��lc�� Person(s) erviewed Inspector Date Date: TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: L oAu-no C'C�c�s�od`t e BUSINESS LOCATION: Iy e u)a-v ct-Pat VAI r r MAILINGADDRESS: S M F- Mail To: TELEPHONE NUMBER: yT4 #2_4F-7 06 Board of Health Town of Barnstable CONTACTPERSON: ®�..t (� aw��p5o ✓( P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: 30 yZy Tq F7 Hyannis, MA 02601 TYPE OF BUSINESS: &7-6 A ce?,57S c c,(e s -F (.J,D o ls-rcd`:,) Does your firm store any of the toxic or hazardous materials listed below, either for sale or for you own use? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site otherthan your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity Antifreeze(forgasoline orcoolant systems) Drain cleaners NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers Any other products with "poison" labels Paint brush cleaners (including chloroform, formaldehyde, Floor& furniture strippers hydrochloric acid, other acids) Metal polishes Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids 6pt-740-T ee o4e k—t (dry cleaners) Other cleaning solvents Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH satisfactory 3.A Body shops unsatisfactory- 4.Manufacturers COMPANY % fY' (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS Class: 7.Miscellaneous 191 1oa? TITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MATERIALS Ab IN OUT IN OUT IN OUT #&gallons IAge Test Fuels: Gasoline Jet Fuel(A) Diesel, Kerosene, #2(B) Heavy waste zpat ) rf IV new motor oil (C) hranamiseierdhydraulic V Synthetic Organics: degreasers Miscellan �s: .. DISPOSALIRECLAMATION REMARKS: 1. Sanitary Sewage 2.W ter Supply own Sewer ublic `% P n-site -`0Private 3. Indoor Floor Drains YES N0 O Holding tank:MDC O Catch basin/Dry well dR O On-site system 4. Outdoor Surface drains:YES r NO ORDERS: O Holding tank:MDC Catch basin/Dry well O On-site system 5.Waste Transporter 1. '�`J ,t�r ��. �?�l/�, �`� -�!Y /�f `i/9 �` �d•��l YES NO 2. Perso I terviewed Inspector Date TOXIC AND HAZARDOUS MATERIALS REGISTRATION F RM NAME OF BUSINESS: OU6tL Mail To: - BUSINESS LOCATION: Board of Health Town of Barnstable MAILING ADDRESS: Y ,ws . 4 nar o l P.O. Box 534 TELEPHONE NUMBER: —7 -7 / y ) lE Hyannis, MA 02601 CONTACT PERSON: 6A NICK - b y WW4 PJNA EMERGENCY CONTACT TELEPHONE NUMBER:CAR---- 3 ry)10"IMI Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, weight? YES 7770 c" ;,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: 'NO ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store: Quantity/Case Quantity/Case Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents /ZdCL�2, IyQ� Bug and tar removers Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business z TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH satisfactory 2.Printers 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY /� Q .(see"Orders") 5.Retail Stores a 6.Fuel Suppliers ADDRESS as 7.Miscellaneous QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MAT) RIALS Case lots Drums Above Tanks I 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 Miscellaneous: 9 j ® V DISPOSAL/RECLAMATION REMARKS: o 1. Sanitary Sewage 2. Water Supply e�= AD Town Sewer Public On-site rivate 3. Indoor Floor Drains YES NO k X<P�, Id fy) 1_,, O Holding tank:MDC O Catch basin/Dry well an O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5. Waste Transporter Name of Hauler Destination Waste Product 1. Q (SL � %a , 2. K 6 -Pers nterviewed Insp c o E ISTRATION FORM MATERIALS R G TOXIC AND HAZARDOUS MA Mail To: NAME OF BUSINESS: 1 O'K -kk A- Q01A Vr-oC o r c4►ck.Q- Parts Board of Health MAILING ADDRESS: 309 —��a^��`'� `�cd• ,'"`mSs . Town of Barnstable TELEPHONE NUMBER: �/ a_ooy�{ Cj(�,N, \,P.O. Box 534 SoK C7swe�L -,'Hyannis, MA 02601 CONTACT PERSON: .Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO _ This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered when stored in quantities totalling more than 50 gallonsliquid volume or 25 poundsdry weight. 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) 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 (pleas list): (dry cleaners) 8 0�� o-�Q�..e t''O'k ur Other cleaning solvents iv% sar� civ.s g Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business ' TOWN OF BARNSTABLE LOCATION ,`�� AA�&Wooj SEWAGE# 67 VILLAGE ASSESSOR'S MAP&PARCEL;JoZf-- 070 INSTALLER'S XME&PHONE NO. �r s ,�7, AY, ,3 Y-S y SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size NO.OF BEDROOMS OWNER /�1� (,t1 �iB•d oC �-EI �'C- PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: *-S 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