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0141 STEVENS STREET - Health
aturn of-1 yani i 1 �s No Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 2pplitation for Misposal *pstrm Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon(X ❑Complete System ❑Individual Components Location Address or Lot No. j i fl Owner's Name,Address,and Tel.No. Assessor'sMap/Parcel MA 'bC`l Lob- 2S-1 Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Bo f alth. Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Date Issued 0 0 0 CONCRETE & CIVIL John DeMello VP Field Operations N jdemello@rykorconcrete.com " O�JflB:'45�31? 33 Commercial Street C 508.564.2491 Raynham,MA 02767 r.608.484.5146 www.rykorconcrete.com �y - s NoQg90, Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01pplication for Disposal 6pBtr tt Construction 3dermit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon()Q ❑Complete System ❑Individual Components Location Address or Lot No. N 1 S} V t k S S Owner's Name,Address,and Tel.No. Assessor's Map/Parcel MA C, L o 1: L.u)'�CIVA tA C114 C,', -k c l� Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. j; c— 5�� �J �9 { Aklu� a,c r)e rot- j1--`1Z31.. Type of B ilding: _ Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder O Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 4 gpd Design flow�iprovided gpd Plan Date "" Number of sheets Revision Date Title ` Size of Septic Tank Type of S.A.S. y, Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has beemissued by this Board of Upalth. S'` ed �' 4 Date Application Approved by Date ` Application Disapproved by j Date for the following reasons Permit No. Date Issued ' ---------------------------------------------------------------------------------------------------------------------------------------." COMMONWEALTH OF MASSACHUSETTS m � BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned�4`byat as been constructed in accordance with the provisions of Title 5 and the for Disposal S15 A/&o ystem Constru ion Permit NoE� ded Installer Designer #bedrooms Approved desigci flo _`1 gpd The issuance of this permit shall nol be construed as a guarantee that the system will functio as esig,ed. Date Inspector i No. "� 7 Fee _ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal *pstem Construction i3ermlt Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon System located at " and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction mus c be comp Feted within three years of the date of this permit. _ � Date Approved by ' t YOU WISH TO OPEN A BUSINESS? 4o,CD For Your Information: Business certificates(cost$343bo for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which You must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1' FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) DATE: 31a01ac� ��1 t - Fill in please: APPLICANT'S YOUR NAME., )-mph Labarr BUSINESS YOUR HOME ADDRESS: 1 I(Q4; 815-5�00 SGv1dL.vAch r_16 0C 3 TELEPHONE-# Home Telephone Number NAME-QF NEW BUSINESS1 I S te.,j }-re e t�✓�C TYPE OF BUSINESS jurn �h f 0 I - IS THIS A HOME OCCUP.ATh7N? YES � ;NO �� rim,e� t✓I Zd o� Have you been given approval from the building division? -YES NO ADDR5S5 OF BU8lNESS.19I SI e Jens 5+-. I Gin�,i S rMf� p:a(Q p MgO/PARCEL NUMBER When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST-GO TO 200 Main St:- (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSION S OFFICE This individual has be inf ed of a e it requirements that pertain to this type of business. Aut r' ed Si ature** - COMMENTS: 2. BOARD OF HEALTH This individual has been informe e ermit requirements that pertain to this a of business:,° MU$'-'OOMI'll'W H:AL tYP HAZARDOUS MATERIALS REGULATIONS Authorized Signature**. COMMENTS: 3. CONSUMER AFFAIR ICENSING AUT ITY) This individual ha of i j► [/`"I equirements that pertain to this type of business. u oriz e* � COMMENTS: �. YOU WISH TO OPEN A BUSINESS? HOICU For Your Information: Business certificates(cost$ .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 aye available at the To vun Clerk's Office, 1'`FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) • DATE: 31 aolaoI—1 .. Fill in please: " APPLICANT'S YOUR NAME:j L_aka(y) BUSINESS YOUR HOME ADDRESS: 1 U r&n I�C4 TELEPHONE-# Home Telephone Number NAME-OF-NEW BUSINESS I ( S t EJ eT 5.7}-re e-{ -✓)C- - TYPE 0' 'BUSINESS lUm0<7 �P_ DerA I r}lrt, IS THIS A HOME OCGURATIQN' YES NOT_ / /� r�M�e -r-1 Ci zd o� Have you been'given.apprbval from the build+'ng'division? -YES NO AD0RVS5 OE 13USINESS.1'-•11 S.i-e Jer�S T :I cvvr i S Mfg 0:a(DO 1 MAP/PARCEL NUMPE.R 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:-.[earner 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 COMMISSI"ed This individual has it requirements that pertain to thistype of business. Au COMMENTS: 2. BOARD OF HEALTH This individual has been informe a ermit re uirements that ertain to this M,.0 `1 QM lYWI' RALfa- q p type of business:H`A gRD...0Q MATERIALS REGULATIONS. Authorized Signature**. COMMENTS: 3. CONSUMER AFFAIR ICENSING ALIT ITYJ This individual ha of i equirements that pertain to this type of business. u oriz d e* COMMENTS: hj ��j iji/r4 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. i a DATE: Fill in please: uS s APPLICANT'S YOUR NAME/S: L _ BUSINESS YOUR HOME ADDRESS: �- .✓ 57' -. t� '. �} TELEPHONE # Home Telephone Number L77c.2C� NAME'OF CORPORATION: S NAME.OF NEW BUSINESS 5 :zE:Li t—w-?L S Q iG, S TYPE OF BUSINESS__ IS THIS A HOME OCCUPATION? YES ADDRESS OF BUSINESS /S MAP/PARCEL NUMBER 3 33q Ot( (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 COMMSqAuth R'S OFFI This individual inform d f ny p r 1 requirements that pertain to this type of business. iz d SignatuCOMMENTS: 2. BOARD OF HEALTH This individual has bee fora,ed of the permit requirements that pertain to this type of business. MUST oOMPLY WITH ALL �/• �V l(l1 a7ARD0US MATERIALS REGULATIO�Ic Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICENp UTHORITY) This individual has en inf f the licensing requirements that pertain to this type of business. J, 7thorized ignat COMMENTS: 7Tci4D �'�J�C� l!U (mot. -{� Z TOWN OF BARNSTABLE Date:/ ,,,2-//3 TOXIC,AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: �7 l e` JS S?��1' L1S'E BUSINESS LOCATION: ram/ SZ/ NS �yL�_�-T' INVENTORY MAILING ADDRESS: �� / 7 / 7 /�ffYAJiUV S eyle4 TOTAL AM UNT: TEILEPHONE NUMBER: 67 �?� Z/a'� CONTACT PERSON: �� S/ JLf, EMERGENCY CONTACT TELEPHONE NUMBER: j-?;1i 97( --9/0'7 MSDS ON SIT? TYPE OF BUSINESS: a5eZ /4t/7Z) 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 re uires 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 2,Q 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 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 RITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS ApplicadtWi re Staff's Initials t YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates(cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary 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. mF f DATE: -a I" Fill i please: APPLICANT'S YOUR NAME/S:TUSe h L—a VIA " BUSINESS YOUR HOME ADDRESS: (� r) r� S I S S(0oO SandVo 0 25 TELEPHONE # Home Telephone Number -7!K 1 9-07 0 (y U. f M EIs p NAME OF CORPORATION: Soo Colo p Q ,_-�n C NAME OF NEW BUSINESS Pre ry►i e r IMazt(GL TYPE OF BUSINESS 11 u-�v m u-f-t ve_ b eaLp r I;o IS THIS A HOME OCCUPATION? YES NO L/ ADDRESS OF BUSINESS /�// 512 ve f 61P7P7 IS. In m MAP/PARCEL NUMBER -� [Assessing) T 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 IVIISSIO ER'S OF ICE This individual h s en�info of a mit requirements that pertain to this type of business. lo thorized Signatup6* COMMENTS: I'1 1, Nj 2. BOARD OF HEALTH MUST ,OMPLY WITH.ALL This individual haubee, it -rrjg,of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS(LiYENSINq AUTHORITY) ~- This individual has een info&dC f he licensing requirements that pertain to this type of business. , ll A t orized SionatAir COMMENTS: A-u.Cc cam_ �{, ��L -�- Li4u�kr2l;�lt&d s CA V l SSc�c� a Date:Z./ TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: Mt,ZDA CAPC- C4> BUSINESS LOCATION: N� Sk- < ;T- , #'IN 0a-60t INVENTORY MAILING ADDRESS: L4I S AS 5t 1tMO r►ts MA C>2_4.01 TOTAL AMOUNT: TELEPHONE NUMBER: sot- CONTACT PERSON: , L 3 (t ('�vTrS EMERGENCY CONTACT TELEPHONE NUMBER:5o� - V,6 7?:Q:0:�?6-LZQnS9SON SITE? TYPE OF BUSINESS: kuTb -oaLCkc41P INFORMATION/RECOMMENDATIONS: Fire District: Waste Trans portation:SN- f- - Last shipment of hazardous waste:N Zd Name of Hauler: ' - L� Destination: Waste Product: icensed 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. Ob erved / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive UINEW � SED 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 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 �. D V WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS plicant's Signature Staff's Initial YOU WISH TO OPEN A BUSINESS? For Your Inown formation: Business Certificates COST $30.00 for 4 years. A,Business-Certificate ONLY REGISTERS YOUR NAME in the T own (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" Fl., 367.Main St., Hyannis, MA 02601(Towrr Hall) and get the Business Certificate that is required by law. Fill in please: DATE: APPLICANT'S YOUR NAME: S Gl BUSINESS C7� °� I S I ►�C YOUR HOME ADDRESS: '7 7 2 n r- TELEPHONE # Home Telephone Number: C �`' b3 2- NAME OF NEW BUSINESS rc's �' �co CCa� LG d t�'�i C TYPE OF BUSINESS IS THIS A HOME.OCCUPATION? YES NO X �N "mob` le Lei/1�4.4 n Have you been given approval from the building division? YES NO ADDRESS OF BUSINESS / S -�' CSS. �-j' - G. - 3CC) _ �7, 23 `3 ,z�9 MAP/PARCEL N UMB.ER_ S 0 SI �y 2 When starting a new business there are several things you must do in order to be in compliance with the rules and regulations Town of Barnstable. This form is, intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. th(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 individua h informed of c?rements that pertain to this type of business. —� j/ MUST COMPLY WITH ALL Authorized Signature** HAZARDOUS MATERIALS REGULATlnrtIS COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY This individual has mfor o th lic ng ae !, u�,mts that pertain to this type of business. Aut orized i nature** r _ � COMMENTS: � S C 117� ja Llrtl� y p Date: /L/&I / TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: J&ELM QF IS BUSINESS LOCATIo n9A=9likZ-Al ��u'�s INVENTORY MAILING ADDRESS: /+S VIC TOTAL AMOUNT: TELEPHONE NUMBER: `/. /O CONTACT PERSON: 94 ` EMERGENCY CONTACT TELEPHON NUMBER: MSDS ON SITE? TYPE OF BUSINESS: 4U7D S/i-LES A-,J,5 5t-_rV6C YES INFORMATION/RECOMMENDATIONS: /PEh1UP- W699-"b &azx 50444C Fire District: !N GA7- -�� yji/f/Cf IS N/ELL b[s�/.0 Tk/.c1t �S7a� � , fit _ Yi4'itl.U'itS &W7&/.dC,P_S of A1:4Z�1 r /s 1,oV OW-Sl7r `fieA 1 L&-?eS. 4_+66UW • /S APPP0P964—E. I�(Sb5 �N µ!r i 3 eTfi Evp r4 • RAVU O 03- /O 5` 1) Last shipment of hazardous waste: Name of Hauler: dym 0A c��Destination-6 , 0�� Srvcco arJ S.e � �� Waste Product: 1,c W-4sW60A1&vs��Licensed es No qr— oft- 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 dS USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) i Hydraulic fluid (including brake fluid) Refrigerants Motor Oils A5-" rL L-v_ST6e-AL1�, esticides ���� oW E, �'DO 6 A� v rage 1 NEW BUSED buCT`j :L�SCvi��-°� r'lt W (insecticides, herbicides, rodenticides) oeL. R&-"iph n ra Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal{p�x- � � Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine -j-0 Battery acid (electrolyte atteries Lye or caustic soda Rustproofers O � �elmI Misc. Combustible TD /A/rm?SM-� 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, 3 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 r�'� 36 PoctNC (including bleach) �94 ARklA, zu CAAA6 - 1)15C A-AGES 7D Spot removers & cleaning fluids (dry cleaners) ,-4-37- 0a14 P Other cleaning solvents Bug and tar removers y s G °Aj Windshield washf c,4t4_04 Cc1AV7A-1NO2S WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS 'Dec, 2, 2008 3; 15PM No. 2315 P, 1 A&B Caneo 1 David Burnie&Sons/Cape Rooter 350 Main St. ihtl(,il Pa 4{' s �{�i{`k-i�'i4iik lN¢I! West Yarmouth,MA 02673 "I U � I t YO I CE (508)770139 (800)593-649 a , IN��� IClkki,�l:l , . , ,„ � . new wave in septic. (q� gp 11/02/07 8020733 SATURN OF HYANNIS 113 BASSETT IN HYANNIS MA 02601 + PEDRO BREND Master Plumber Lie#11305 11 klol 4k 4 Sit Idl i !� f r s COMMERCIAL SEPTIC TIGHT TANK 3000 GAL 449.00 Subtotal 449.00 'fax Total 449.00 Received 0.00 Balance Due 449.00 O L �-7� Job Site SATURN OF HYANNIS 115 BASSETT LN HYANNIS MA 02501 TERMS Payment Due Upon Service Date PAYMENT DUE 12/02/07 --............. Please detach and return with your payment i f k L Invoice 9: 8020733 Date: 11/02/07 ; ; t�'r"�, Balance Due: 449.00 ew wave in septic. SATURN OF HYANNIS 115 BASSETT LN remit to: A&B Caneo HYANNIS MA 02801 David Burnie&Sons/Cape Rooter 350 Main St. West Yarmouth,MA 02673 (508)775-0139 (800)593.6499 Date: 5 TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: BUSINESS LOCATION: /6 4m"ru5 INVENTORY MAILING ADDRESS:0 P&j jhu,11114, M9 TOTAL AMOUNT: TELEPHONE NUMBER: Id,2 CONTACT PERSON: iv EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: IV, IderIkkick- f �- INFORMATION/RECOMMENDATIONS: Fir istrict: 6 Waste Transportatiol9: Last shipment of hazardous waster Name of Hauler* Destination: Waste Product: L2 Licensed? 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 3 NEW 5G USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides NEW 310 USED (insecticides, herbicides, rodenticides) 15 Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED �- Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED 5 Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) i 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 �Y1Gtr�n C,—bn OIL WASTE OIL OIL FILTERS ANTIFREEZE -NVASTt (' S / ! 1I ANITFREEZE GASOLINE WASTE GAS DIESEL FUEL W/W FLUID ATF 1-5 1� �1d HYDRAULIC/ MISC. MISC. MISC. MISC. BRAKE FLUID COMMBUSTIBLE FLAMMABLE CORROSIVE PETROLEUM (GEAR OIL/GREASE/ I i LUBRICANTS) ot 0 FREON ACETYLENE CAR WASH CAR WASH PAINTS/ Pin WAX DETERGENTS THINNERS SEALANT CLEANING BATTERIES/ POISION/TOXIC CAULK/GROUT SOLVENTS BATTERY ACID FERTALIZERS WASTE SOLVENT DISH WASH AND v4zCZ�2) ��,,�p,� p ETERGENTS �__u ` MANIFESTS Ix CID ud WU V- not. t-n Lw.A- [ACC al of rase °f i YY1 rued r�,�;n v ' h� U��i t - I ,u QAVi- 0�`V� � f a� to 4 / '/ / D� � o TOWN OF BARNSTABLE . 1; TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: Vrn ®f RL -�n t5 BUSINESS LOCATION: frr-P .C/-UZ1L �. l.��Q,r14Zt �G9� INVENTORY MAILING ADDRESS: it " TOTAL AMOUNT: TELEPHONE NUMBER: 5DS 775 9©Do j29 a�t� CONTACT PERSON: "A-n ny &Dr)fd er EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? .TYPE OF BUSINESS: UeAIC_k M.f,Libl'e/2",01►-e—, INFORMATION/RECOMMENDATION dd 'r _;5W�-�AOX � e District: %AA aste ransportation East shi ment of hazardous.waste: Name of Hauler: Destination: Waste Product: Licensed? (!!.SiNo 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 :11 _. Antifreeze (for gasoline or coolant systems) Misc. Corrosive 5 � �NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) IS Refrigerants )5 ',eO7(_ Motor Oils Pesticides NEW MO USED (insecticides, herbicides, rodenticides) ,5 Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine 3 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 d _ (fir cdYl�J (including bleach) _ s Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS + Town of Barnstable-Health Department Page 1 93e-10 t 5— HAZARDOUS MATERIALS INVENTORY SITE VISITS DBA: Saturn of Hyannis (� Fax: 508-775-9203 Mailing Corp Name: g Address Location: 115 Bassett Lane,Hyannis Street: P.O. Box 1717 mappar: City: Hyannis Contact: 'Manny Gonyer,Parts Manager State: Ma Telephone: 1508-775-9000 Zip: 02601 Emergency: Person Interviewed: Manny Gonyer Business Contact Letter Date: •��/�//}y Category: VehicleMaintenance Inventory Site Visit Date: g•`�°05' /Type* Autom bile Dealers Follow Up Inspection Date: �" �It `"^!❑� public water indoor floor drains ❑ outdoor surface drains required ❑d license ❑ n� private water indoor holdin tan mdc ❑ outdoor holding tank mdc ❑d currently licensed �S town sewage ❑ indoor catch basin/drywell ❑ outdoor catch basin/drywell expir - -- 1'� ❑ 6/30/2006 on-site sewage ❑ indoor on-site syste ❑ outdoor onsite system date: 1 V 1 LaW ,/ Remarks: 3 Electric Lifts. Bay floors are very clean. Orders: Shall compliance: y check on pumping of holding tank. REMARKS: S �� t�ltif Vu�� Satisfactory 1/23/98 - Macomber has pumped Industrial Holding-tank. ORDER: A' �nq Provide test results to Health Department fro Macomb If nLn r, T concentration are above discharge limits @ WWTP. Obtain licensed auler for industrial Waste tank contents. 6128/04 Onsite r ® i ^�� � � inventory conducted on 6/24/04. Small shop with plans to expand in - dopy, -t V -eW "1�`W VI future. Hose was being used to rinse shop floor. Storage of hazmat (new products)is outside in trailers). No eye protection worn in eye vV'°'V�`r p` protection required area. ORDERS: Label hazmat storage trailer h w-�^--- "Hazardous Materials Storage". Immediately move hazmat/waste ✓� � �G( C(Ma ,w7wo _ containers and drums indoors. Outdoor storage requires 110% s containment and to be protected by a roof. Outdoor tire storage is (�� > o�Ru c limited to 10 tires. Renew hazmat permit on 7/8/04. �I Tl� Y�t t t y)Ids{eti pt-�0 v15 1 f W 01e i�R a Nl amb�� a, l rn �eta V W L a ❑6fi's' qA o :3o Ib v 13d cltoovj � � O �( I.j, Li 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 d❑ gty's 111 gals or more unit of;measure Batteries 155 gallons _ _ . __ ........................... _...._................................................................_._.....___... ..................._.._....._..+._ __..- __._.............._....__......._...__...__.............. __. other cleaning solvents 40 gallons Concrete mix ^m� 8.5 gallons Misc.F11 lammable 61 gallons _... ..........._. ._ ................_....._........_._............_...._.................._....._........._........._......__._.._.__...__..................................._.___......._.. misc.petroleum products:grease,lubricants 22 gallons antifreeze(for gasoline or coolant systems) 36 gallons _ _.._._._____.___ _.._._.. Windshield Wash ._.___._.__._144 gallons motor oil 26 gallons __...__._._.___....._..............._....._..__._....._....._........_....__._.....___..,......_._..___.._....._.___._...._.......___......_......_.._...._...._.._......._..__...__...__..___.._._....._._...._._....._..__...._............_....... automatic transmission fluid 27 gallons car waxes and polishes 1 gallons ___ ..._.........._.._,...._.......__..-.._.___... ___..__..._........_................_...__._.__.._.-___...._...._,._._..._....___.__. ___......_.....................____._.__..... bug and tar removers [ 0.5 gallons Misc.Corrosive 6 gallons _... _...__......_......__._._.___......._...._._.._.__..._.__...._..............._........__.... ._.._....__...........__................_ ....._..,......_._..._._.__................................._............_.................._.._..._._._.._....._.._._.. waste antifreeze 125 gallons aste oil 335 gallons Waste solvent 35 gallons Waste Transporter: ±Cyn Oil Fire District: ;Hyannis Last HW Shipment Date: 6/ 04 Waste Hauler Licensed: Yes a v� 1�heo-o dooms ��, do pia 3� of �P ela�� Pz ri--()Ps _ t J Tv+ 5 TOO - J(.,&d ib ••� Town of Barnstable °FSNE T°r, Regulatory Services / Thomas F. Geiler,Director 9'43"MAE& g Public Health Division qjp s6;q. A�0 V/ rEo 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 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT S A+"c,- a(- 44c,1 An,1 i.I 14 c NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT _ 115 &a s}c - L.n ry4.,,7fS TELEPHONE NUMBER . . (508� `�-�5- 9 000 SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: , u� c� r, IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 61A 12 '7 8 21 STATE OF INCORPORATION IM A FULL NAME AND HOME ADDRESS OF: PRESIDENT f--J W a rd 1,es>.e 2 2 G m a s N Sr- C'c., %/e TREASURER CLERK SIGNA �-O-F—A—PPLICARI— RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# Haz.doe/wp/q Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS ... DBA: Saturn of Hyannis Fax: 508-775-9203 141 Corp Name: Mailing Address Location: 115 Bassett Lane Hyannis Street: P.O.Box 1717 _._ ........ __ _........ mappar: City: Hyannis Contact: 'Manny Gonyer,Parts Manager State: Ma Telephone: .508-775-9000 Zip: 02601 Emergency: Person Interviewed: Manny Gonyer _.._.. ..._. ........__.._.__............................. Business Contact Letter Date: 7/20/2005 Category: 'VehicleMaintenance Inventory Site Visit Date: 8/4/2005 Type: Automobile Dealers Follow Up/Inspection Date public water ❑ indoor floor drains ❑ outdoor surface drains license required ❑ private water ❑ indoor holding tank mdc X outdoor holding tank Fv� 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: ........... ..... 6/30/2006 ........................ Remarks: 3 Electric Lifts. Bay floors are very clean. Orders: Shall compliance: check on pumping of holding tank. REMARKS: Satisfactory 1/23/98 - Macomber has pumped Industrial Holding tank. ORDER: Provide test results to Health Department from Macomber. If concentration are above discharge limits @ WWTP. Obtain licensed Hauler for industrial Waste tank contents. 6/28104 Onsite inventory conducted on 6/24/04. Small shop with plans to expand in future. Hose was being used to rinse shop floor. Storage of hazmat (new products)is outside in trailers). No eye protection worn in eye protection required area. ORDERS: Label hazmat storage trailer "Hazardous Materials Storage". Immediately move hazmat/waste containers and drums indoors. Outdoor storage requires 110% containment and to be protected by a roof. Outdoor tire storage is limited to 10 tires. Renew hazmat permit on 7/8/04. 8/4/2005 alp- ORDERS:keep all open containers closed or capped,label all haz waste drums with"hazardous waste"or"waste oil",2 x 55 gallons drums outdoors that are rusty,uncovered,no containment-dispose of immediately.RECOMMENDATIONS:keep parts cleaner lid closed when not in use,place signage on the outside of the left trailer door for hazardous materials notification,housekeeping in the garage. Manny said there will be a new building going up for the servicing of cars within the next year or two.OBSERVATIONS: have two rag cans with lids,have a 30 gallon drum for used absorbent pads,do have msds on site,do have an oil filter d ter o tdoors that is contained and covered.Tight tan cleaned"out ate.Qiber(1,000 gallons). Lo .a.lrl wad�t S� 00�N CLV �� (.ate 0y, c ut. AAZA h 0 a/b t. 4-v t 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 descn tr'n � rlA urid of measure,..'Y' ��_�. 3:..�gtY �__ � Batteries 33 gallons _.................._..._...._....................._............_.................._.........._. ........................... .._...._.._ _. Misc.Flammable_ __ 15 gallons _ _. misc.petroleum products:grease,lubricants 64 gallons �----- antifreeze(for gasoline or coolant systems) _ 16 gallons ._._._.........�._._. _.__............____.............._.._..._____ __.__—._......._..._......_........._........._....__..._.._..__.___._ _...__....__..._...__............__.. Windshield Wash 130 gallons motor oil _ 514 gallons automatic transmission fluid . __ _..._._._E__.._. ___,_•13 gallons _. Misc.Corrosive 3 gallons .......__..._........................._..___..._.___._._. ___..._._.._.__..__......_._......__._._.._......_.._..._....__..._._._...___.___.__........._.._...__.._..._._.__.__........ . waste antifreeze 55 gallons wast . ..___....__.......____...._....___..__ ._._ _. ._._...._._... ..__ ___...._...__....______ Used Gasolne 60 gallons gasoline i2.5 gallons Freon 13 gallons propane 0.5 gallons 0 Waste Transporter: Cyn Oil Fire District: ;Hyannis Last HW Shipment Date: ` 7/20/2005 Waste Hauler Licensed: Yes e: y TOWN OF BARNSTABLE o • �`� TOXIC AND HAZARDOUS MATERIALS ON-SIT VENTORY NAME OF BUSINESS: 07 � A- •-�•�-�-�� BUSINESS LOCATION: 1 « 13 em u- Ta-a3a, gg= INVENTORY MAILING ADDRESS: • d• go,X/ 7 17 TOTAL AMOUNT: TELEPHONE NUMBER: '70E— "7-76--ch®,a Z Z a'uo l5 Zr- CONTACT PERSON: EMERGENCY CONTACT TELEPHONE UMBER: MSDS ON SITE? TYPE OF BUSINESS: 4A eavlle_-; /5e-,c -C_Q_ INFORMATION/RECOMMENDATIONS: =►0hi2i A-AA - Fire District: T L ° Jr �• n Gl2Q�ta+�OT•l S n'�"'� Crrl.ETa A Q.� LAP/ / 61oh e4;U•eAW 5' a cy�_. C�-vt�i�ce.!•.. Waste Transportation: e,,:- ._Last shipment of hazardous waste:—Co 1 3Z tog Name of Hauler• estination• 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. UST 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 .5A2&4NEW Z-571LJSED Cesspool cleaners Lj Z Automatic transmi ion fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides L4EW �USED (insecticides, herbicides, rodenticides) Gasoline, Jetgel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or,caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers _49 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, 44, Misc. Ffammables hydrochloric acid, other acids) Floor&furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (p jga�list): Laundry soil & stain removers (including bleach) Spot removers &cleaning fluids " ® M (dry cleaners) Other cleaning solvents 4V7Z7,Q¢ ��•� •[gr Bug and tar removers j 0 4v_�Le,4_�� �4- 7 Windshield wash 42.e- eer✓P4-7�! WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BLIME65 Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS DBA: Saturn of Hyannis Fax: Corp Name: Mailing Address I ......_Location: 115 Bassett Lane,Hyannis Street: 115 Bassett Lane mappar: City: Hyannis o ®� Contact: Cr'phy� State: Mai l 2) Telephone: 775-9000 Zip: 02601' Emergency: !457-1308 Person Interviewed: Business Contact Letter Date: 6/17/2004 Category: VehicleMaintenance Inventory Site Visit Date: 6/24/2004 Type: Automobile Dealers Follow Up/Inspection Date: ❑� public water indoor floor drains ❑ outdoor surface drains ❑d license required ❑ private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc current) lice`rised\ W town sewage ❑ indoor catch basin/d ---g i rywell ❑ outdoor catch basin/drywell expir ❑ on-site sewage ❑ indoor on-site syste ❑ outdoor onsite system date: Remarks: 3 Electric Lifts. Bay floors are very clean. Orders: Shall compliance: check on pumping of holding tank. REMARKS: Satisfactory 1/23/98 - Macomber has pumped Industrial Holding tank. ORDER: Provide test results to Health Department from Macomber. If concentration are above discharge limits @ WWTP. Obtain licensed Hauler for industrial Waste tank contents. 1 w� Gc Z_ r--2a-4 rt seA'OW <s s -� kilo'-7) J Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ Zero Toxic Waste Materials qty's>25 Ibs dry or 50 gals liquid but less than 111 gals gty's 111 gals or more „yam,_iiescnpCion: qty: unit of measure antifreeze(for gasoline or coolan ystems) 10 cases _........ ___._..._....... _...... _.._... ___.....___... . .... .._ ._.. __ ...... automatic transmission fluid 30igallons hydraulic fluids(including break fluid) 1case motor oil 2 ses ............_... ........__.._...._......._............._................_._._......_.............._........._..__...._............_............_........ ,_._._._.._...__......._._.................__..._....._.............. mist.petroleum products:grease,lubricant 1gallons degreasers for engines and metal 1gallons car wash detergents 1 gallons car waxes and polishes 13allons �y acquer thinners 0.25gallons bug and tar removers i� gallons _._.................. .._.................. _- ._..__.............. ........................._....._...,,.........................__...._......_._................._._ _........__..._...._......._.__._._..._.. refrigerants I 30 _unds waste oil i 300gall s _._...__..__._.._.__._....._ _..____.. ....._----------.._.._._.---._._.__.___.__......_._._.....__._...._,..._....__......__..__.._._......_.......___.._._...__._....__ degreasers for drive ys and garages 10 cases: Ozo antifreeze(for ga9cline or coolant systems) 10cases Waste Transporter Oil ®/� Fire District: ;Hyannis Last HW Shipment Date Waste Hauler Licensed: f + � �v�_B� r�l a P�1'► ' �f/VQ/�ee) se��"v`�""'' . LAU a7 ;• 5C" (PI O-Z-6 C_ Dz� z w awe csv� i s� L'—:7— 9 L-z 165,-Lcq4 j P L � - z3 — arc 071 J. Li 5a" Lvo, e 101 t Q Q< C 4TeC/Acc-*- o-:;" 1 -7=- -=oq r� 1 Complying • and Health & Safety Regulations A Checklist for Auto Repair Shops This self-audit tool is designed to help auto repair shop owners achieve and maintain regulatory compliance.Municipal health,fire prevention,and building inspectors may also find it useful for preliminary screening and for assisting shops. The requirements listed here are based on federal environmental and health and safety regulations,as well as nationally recognized fire code.While the checklist includes the primary concerns of regulatory inspections,it is not intended to be a comprehensive statement of compliance requirements. The regulatory items listed on this form fall into two main categories:those in Section A relate to overall conditions at the site;those in Section B cover specific auto repair shop operations.Section C provides space to comment on any deficiencies observed during an inspection. Also included with this compliance checklist is a list of tips for preventing pollution,fires,and health and safety hazards.While not required by law,following these practices helps to reduce compliance costs and ensure the well-being of employees. Check only those items that require remedial action. Section A: General Walk-Through of Site Section 8: Auto Shop Operations 1. Materials and Waste Storage & Management 6. Routine Car Maintenance 0 Including oils,solvents,antifreeze and gasoline) (Managing waste oil,oily rags,and absorbents) Flammable and hazardous liquids are stored in containers that are L'Drained waste fluids such as waste oil,antifreeze,and solvents are either approved by the U.S.Department of Transportation or by the red in separate drums or tanks. Wa State Fire Marshall,or listed and labeled by the National Registration ste oil is removed by a licensed transporter or burned on-site in nd Testing Laboratory(UL-listed). approved heater. Lids are tight-fitting and sealed,and bungs are closed. Oil filters are punctured and hot drained over waste oil drum for the ❑ Containers,tanks,and flammables cabinets are labeled with the quired amount of time,and then recycled or disposed properly. name of the material they hold(for example,waste oil)and the type Oily shop rags are placed i ealed,labeled metal containers and of hazard they present(e.g.,flammable). are mans �jd� 5C' ./ , ❑ Flammables are stored in an area(such as an air-tight metal ❑. Oily a sor en a sect according to state regulations. cabinet,metal cabinet vented to the outside,or flammables storage room)approved by the local fire department. 7. Solvent Parts Cleaning Waste storage area is labeled and limits of area are marked. Solvent parts cleaner is closed. Zk-Ffa mable liquids are grounded and bonded during transfer,and ❑ A licensed transporter picks up and recycles solvents or disposes ounded during storage. solvents as hazardous waste. There are no leaks or excessive spillage in chemical or waste storage ❑ Parts cleaner is labeled with material name and hazard type. areas,including around solvent sinks,pumps,pipes,hoses,couplings, ❑ If a flammable solvent is used,the parts cleaner has a fusible link fittin s and valve that locks shut in the case of fire. ums o a erials and wastes stored outside of the building have ❑ Parts cleaner is registered with the state environmental agency secondary containment(e.g.,berms).Otherwise,drums are empty (if required). and clean. ' Mie 8. Exhaust System Repair ❑ Welding/cutting is permitted,by the local fire department. ❑ Building has two-hour firewalls(two walls of sheetrock or masonry) ❑ Compressed gas cylinders are firmly installed by chaining to a between repair garage and attached structures. portable dolly or to the wall in an upright position. ❑ Fire doors are equipped with automatic closures. ❑ Fire extinguishers are available in the welding/cutting area. ❑�All openings in walls and ceilings are sealed. ❑ Employees wear protective clothing and welding helmets with " 'V" A 406C fire extinguisher is available,with 10BC extinguishers shields. positioned every 50 feet.(Additional extinguishers may be necessary ❑ Flammables are not used or stored nearby. if the building is made of combustible materials.) ❑ IWthinery is grounded. ❑ Employees have been trained in the use of fire extinguishers. Local ventilation is adequate. Signs are posted over each extinguisher. 0 Aisles and emergency exits are clear,and exit signs are posted (Grinding ' rotors) ver doors. Employees wear safety glasses with side shields. moking is prohibited where the repair work is done and allowed quipment is bolted into the floor. only in designated areas. ❑ Pullies on the grinder are covered with a safety guard. ❑ Electrical receptacles have no open grounds or reverse polarity. ❑ The grinding wheel offset is no greater than 1/8 inch. ❑ Circuits are labeled and the circuit box is closed.Access to the ❑ Shop uses HEPA filtered vacuum system or a wet method of grind- cuit box is clear within 5-10 feet. ing to prevent asbestos exposure. Electrical outlets have cover plates. No wires are frayed,damaged, or.taped off 10. Air Conditioner and Radiator Servicingiff' ❑,111FiQng is enclosed in Electrical Metallic Tubing(EMT)or rigid ❑ Refrigerant recovery machines are licensed by U.S.EPA. metal pipe. ❑ Refrigerant recovery operators are certified by U.S.EPA. There is adequate central ventilation and adequate local ventilation ❑ Antifreeze is labeled and recycled or disposed properly. for carbon monoxide from tailpipe exhaust systems. ❑ If radiator repair includes brazing,procedures are in place to control Lighting is adequate. and monitor lead. Floor drains are connected to the sewer(with approval from sewer ❑ Batteries are stored in a single layer on pallets or shelving with an authority)or equipped with an approved oil-water separator or impermeable base,and are properly recycled. ht tank. Tires stored outside are covered and properlyl disposed. There are no cracks in the floor that would allow leakage. ❑ Floors are made of noncombustible material,free of oil and grease, and sealed. Section C. Deficiencies and Recommended Actions— 4. General Equipment Use this section to note areas where the shop is out of compliance, ❑ Underground storage tank and above-ground storage tanks are and to provide information about how to correct deficiencies or any permitted by appropriate state agency or local fire department other comments. (as required). Comments ❑ Waste oil furnaces are permitted by appropriate state agency or ocal fire department as required). There are no illegal furnaces or space heaters in use. - ❑ Lifts have operable safety locks,and are tested and serviced monthly. Z-1 ��G`C- azic ❑ Electrical cords are intact and have grounding prongs. T- ❑ Light bulbs are teflon-coated(rough service). v�/ 5 5. Health & Safety ❑ The shop has written contingency plans for fire prevention,emer- gencies,and spill control. ❑ pill control materials are available on site. .M Material Safety Data Sheets(MSDSs)are available for all toxic chemicals. �o�❑ No food is consumed in the shop area. The information m t i ocumen is ba-sed- 6tions of the ❑ Eyewash and showers providing 15 minutes of continuous flush are National Fire Prevention Code(NFPC),Occupational Safety and Health available in areas where acids and bases are used. Administration(OSHA),and U.S.Environmental Protection Agency(EPA). ❑ Employees are trained in chemical hazard,safety,and emergency Compliance with this document does not constitute full compliance with �� preparedness. NFPC,OSHA,or US EPA laws and regulations. A Practical Guide to Reducing Toxic Hazards, Preventing Fires, and Minimizing Health & Safety Ha-'Za-rd3 Tips Auto sops The practices listed on this sheet provide specific ways to save on compliance costs by preventing environmental pollution and protecting the health and safety of workers. Section A: Section B: For General Site Conditions Auto Shop Operations Additional Information Material Storage & Management Routine Car Maintenance Local Resources Purchasing Reducing Spills Contact your local Fire Department,Board • Order chemicals in appropriate amounts. • Build berms to contain 110%of the vol- of Health,Building Inspector, Code Expired chemicals are costly to dispose and ume of the largest container or tank in the Enforcement Officer,or Local Emergency may pose a fire hazard. storage area. Planning Committee. • Inspect materials immediately upon deliv ery for leaks or other damage. • Prevent waste oil spills by using drip pans. • Purchase multi-purpose materials to reduce Place oily parts in the drip pan rather than State Resources the number of hazardous chemicals in on the floor. the shop. • Use a resealable funnel to minimize spills Each state provides free,confidential techni- e Ask your supplier for the least hazardous from drip pans. cal assistance for preventing pollution and materials suitable for the job. Review the meeting waste management and health& Material Safety Data Sheets(MSDSs)prior Cleaning Up Spills to purchase. safety requirements. • If you do spill waste oil,use dry cleanup Connecticut Storage methods such as reusable absorbent pads, • Organize and label oils,chemicals,and haz Department of Environmental Protection mops that absorb only oily liquids,or a Hazardous Waste ardous materials in a single storage area. bristle broom and dustpan.Drain excess oil Compliance Assistance .....860-424-4193 • Create an inventory system for oils,chemi- into drip pans and then into a waste oil Office of Pollution cals,and hazardous materials.Rotate your drum or tank. Prevention ..............860-424-3022 inventory. Small Business • Keep unused materials in their original • After using dry cleanup methods,remove Assistance Program .......860-424-3382 containers. any remaining waste oil with rags. State Fire Marshals Office ....860-685-8350 • Inspect storage areas to identify points • Use clay absorbents or sawdust only as OSHA Consultation Program ..860-566-4550 where spilled chemicals could enter the a last resort.Check with your state Maine environment,such as floor drains,door environmental agency to find out how Department of Environmental Protection ways,loading docks,catch basins,dirt or Office of Pollution cracked floors.Avoid storing,dispensing or to properly dispose or recycle used Prevention ..............207-287-7881 mixing chemicals in these areas. absorbents. Small Business Technical • Store flammables in a location other than Assistance Program .......800-789-9802 the building where people normally work, Solvent Parts Cleaning Fire Licensing and in a manner approved by local fire and Inspections Unit ...........207-624-8744 health departments. OSHA Consultation Program ..207-624-6460 • Use aqueous cleaners instead of solvents.Usage Massachusetts • To avoid drips,position the parts cleaner Department of Environmental Protection • Use self closing spigots and nozzles for dis close to the work station. Information Center ........617-338-2255 pensing fluids from bulk containers. ......................800-462-0444 •Ask employees to return empty containers, • Wear gloves and eye protection when Office of Technical such as,spray.cans before they use new handling solvents. Assistance ................617-727-3260 supplies. Department of Fire Services ...978-567-3100 • Use a wire brush for cleaning before OSHA Consultation Program ..617-969-7177 • Pour and mix chemicals in swell-ventilated using solvents. area. New Hampshire • For very dirty parts,use a pre-wash of used • Use only one spray can at a time of brake Department of Environmental Services or carburetor cleaners,lubricants,grease, cleaner or wipe with old solvent. Pollution Prevention and sealants. • Remove cleaned parts slowly and allow Program ................800-273-9469 them to drain over the sink. Small Business Technical Assistance Program .......800-837-0656 Fire Marshals Office.........603-271-3294 OSHA Consultation Program ..603-271-6155 • Contract with a fire extinguisher company Brake GrindingVermont to test and fill extinguishers once a year. • Remove overhead items that could cause • Capture metal filings in a bin under the Department of Environmental Conservation head injuries. brake grinder and dispose in trash. Small Business Compliance Assistance ..............800-974-9559 • Keep floors as dry as possible to prevent Small Business falls and potential electrical hazards. Radiator Flushing and Repair Development Center ......800-464-SBDC • Use non-hazardous cleaning materials. Fire Prevention Division ......802-828-2106 • Contract with a waste removal company to OSHA Consultation Program ..802-828-2765 empty oil/water separators or tanks at least • Reclaim antifreeze on site. once a year. • Never mix used antifreeze with used oil. • Seal floor drains,if approved by local Federal Resources authorities. • Use magnetic covers for drains or dry wells. ' Metal Parts U.S.EPA Region I New England Environmental Outside of Building • When recharging batteries on-site,store Assistance Team ..........800-90-NEEAT bulk acid in wooden or plastic cabinets. • Ensure that catch basins have oil separators. • Recycle batteries,tires,and scrap metal • Keep catch basin sumps empty and clean. paw• for additional copies of this checklist • Keep wells locked and sealed. . Store batteries inside the shop. call 800-90-NEEAT. Prepared by t e he Northeast Waste Mananem.nt Affirialc.'A ssnriatinn.with Fundm fr n nm I I C FPA Raninn I � / TOWN OF BARNSTABLE Date: z-yj®�j TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: - <t yo csz "%A BUSINESS LOCATION: INVENTORY MAILING ADDRESS: • 0• Z?g X 17/ 7 TOTAL AMOUNT: TELEPHONE NUMBER: :9-C)8- -775- 20oo ZZ a.C�fons CONTACT PERSONS n Cj EMERGENCY CONTACT TELEPHONE UMBER: MSDS ON SITE? TYPE OF BUSINESS: 04 ea,4e.e, -ca_ INFORMATION/RECOMMENDATIONS: Fire District: �- �►�a�.vlazcs c.�lrti� Co-Li�R.c°r�P�y`s R.v�ol �'S—c�acf. �� 2fd"Al?s 0 fiC w en s � S 10�• � a I� za�ral axL s 'mil 5za C�-t�d�:-r-Lce�!•.. s Waste Transportation: L4 e.,:- Last shipment of hazardous waste: Name of Hauler. C44.1S *�! estination- 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) &L Misc. Corrosive .3NEW 2-5 USED Cesspool cleaners y Automatic transmi melon fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ® EW �USED (insecticides, herbicides, rodenticides) Gasoline, Jet Qel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED 41—Z CAAAMisc. 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 (pgaselist): Laundry soil & stain removers J�(including bleach) Spot removers & cleaning fluids -$�" Q e,, rzo--f .— (dry cleaners) a-z- Other cleaning solvents i a /ii- 4rD •g Bug and tar removers y Windshield wash to ve v-;e !° WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUMESS TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: S ,wf'-u c7:f� 1-I -1 S Mail To: BUSINESS LOCATION: Board of Health MAILING ADDRESS: Town of Barnstable t �`i ���i S ✓�- P.O. Box 534 TELEPHONE NUMBER: `' � � Hyannis, MA 02601 CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: ADS `4'�"7 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling, at any time, more than 50 ,gallons liquid volume or 25 pounds dry weight? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use,,<the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other'than your mailing address: �- ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store: Quantity/Case Quantity/Case l)_&aj Antifreeze (for gasoline or coolant systems) Drain cleaners _;D&r.1 Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners l Q7 Hydraulic fluid (including brake fluid) Disinfectants 6vc> 1 Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, ` C-- A Other petroleum products: grease, lubricants rodenticides) I I 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 I �O Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) t G�,'V Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel,may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business _ r TOWN OF BARNSTABLE OMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2•Printers BOARD OF H ALTH 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS kGS Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN= indoors; OUT=outdoors) MAJOR MATER S Case lots Drums Above Tanks U n, IN OUT IN OUTI IN OUT #&gallons Age Test ffA Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) waste,motor oil (C new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers ftf7F jQt4� Miscellaneous: E 0 wx wto — AD TO_W61J,,-- 10141 v NCO x T11— �w DISPOSAURECLAMATION REMARKS: o 1. anitary Sewage 2 ater Supply ® Laoc Town Sewer APublie Q n-site Qpriv to 3. I rains YESNO din MDC Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: ( m a o Q Holding tank:MDC N Q Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES NO N 1. 2. Al Person(s) Interviewed Ins for a e Tool -�.�� TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH satisfactory 2.Printers 3.Auto Body Shops unsatisfactory- 4.Manufacturers �,J✓'H ,,,,,,`,�j!� (see"Orders") 5.Retail Stores COMPANY ��tl" 1 `�G 6.Fuel Suppliers ADDRESS 111- 6!aSSe, t Class: 7.Miscellaneous .J� QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS 1 ,. .' , IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: 300 waste motor oil (C) low o �e new motor oil(C) ansmiSSi9 ydraulic RCS Synthetic Organics: degreasers Miscellaneous: jPaVx_ CaAb,,U - w 3_s9 t=CQw.A._ DISPOSALIRECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply �ur O Town Sewer Public xOn-site OPrivate 3. Indoor Floor Drains YES—)LNO V Holding tank:MDC 0 Catch basin/Dry well 0 On-site system 4. Outdoor Surface drains:YES_,A_NO O ERS: 0 Holding tank:MDC rro-4 4 re.).,(tj�j— �'! m' -• O Catch basin/Dry well � � vk }S�On-site system r J 5.Waste TransporterName of Hauler - 1 VJ .~r d epti, G%171_j_ YES NO 2. 6 .o �alz S 1, 1;�. o. ✓ r Per s rviewed IAspectffr Date { �G 1�►ow �-, _ s ,��v�C�JZvt,l��- �'�O f"�e� �(j � l �i �_s fret G��Jvd�C�G��p�.er`C,�✓�'��GG���.21�.. i I � f I � i � � � � � { � � � i I � � � � � � � � f � � � f l { � � I � � + i I � � . I � � � � � � I � � i i � f t I � � i i i � � � � � I � { ' i ' ` I { � � � � � , I j { i � � i I � ; � I i i { � � i l � l i ! � I � + � I I { I ; 1 � I � � � i �I 1 I 1 { i I � I I i � I � � I I � ' I � � � � i � ', ' ' � ' � � � � , � I � i � I f � � I � ! � � f ' � 1 M . TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Rep 'r satisfactory 2.Printers V BOARD OF HEALTH 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY J �/� ts/� ✓rv>� (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS ���' � �' i�. Class: l.-y- 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALSC. se ots Above Tar�ks Undergrou:n:d Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: tx" ow s os #2 (B) Heavy Oils: l waste motor oil (Cl f new motor oil (C) 'a,,- transmission/h dra Y VCe Synthetic Organics: degreasers Miscellaneous: DISPOSALJRECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply �� O own Sewer Public On-site OPrivate 3. Indoor Floor Drains YES / NO O Holding tank:MDC O Catch basin/Dry well " O On-site system 4. Outdoor Surface drains:YES-NO ORDERS: O Holding tank:MDC 0 Catch basin/Dry well j O On-site system �. 5.Waste Transporter Name of Hauler Destination Waste Product �S N0 tit 2. Pq 07 ers ) Interviewed y nspector Date ��G� j-. Lv1f� e _ Q-� ' flown of Barnstable � °F � Regulatory Services THE T A�I Thomas F. Geiler,Director '" MASS. ' Public Health Division pTE1639. 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 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT `50+wy-\ Cx- �Aqa nrtis Inc NAME OF ESTABLISHMENT ' ADDRESS OF ESTABLISHMENT i t S T5a5-5'e'4 f L.-, 4ya4"'-:s TELEPHONE NUMBER SOLE OWNER: YES t NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 614 3 1 7 8 7 I i STATE OF INCORPORATION IVLGc S S FULL NAME AND HOME DRESS OF: PRESIDENT S'�e ZZC, K ,Ac- 34 �'a.�k...:ItL n�A o7-G3t TREASURER CLERK SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS -ZZG "-A-- �at,�l� HOME TELEPHONE Haz.doc/wp/q TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH O satisfactory 2.Printers 3.Auto Body Shops ` O unsatisfactory- 4.Manufacturers COMPANY 1`� Cn L n 1 S (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS /16 O SiI Z...Q.! i glass: 7.Miscellaneous anril S QUANTITIES AND STORAGE (IN= indoors; OUT=outdoors) MAJOR MAT RIALS IN OUT IN OUT,y 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: lo x DISPOSALIRECLAMATION REMARKS: 1 nitary Sewage 2.Water Supply �( own Sewer Public 0zf ` Qn-site QPnvate ) d C 4 3. I door Floor Drains YES�NO ;S � S �� Lul 'Holding tank:MDC / ,� O Catch basin/Dry well �� art_ vlo u wQ IZA ,4 ' 4r, Lob.,3-{mac 1 1 O On-site system 4. Outdoor Surface drains:YES___NO ORDERS: O Holding tank:MDC a. O Catch basin/Dry well O On-site system 5.Waste Transporter � Y 1. — Y. 0kA4. YES NO 2. C tc�N 0- I ft ( �` - n(s) Inte ed Inspector Date FSaturn of Hyannis_ Saturn of Hyannis Stephany Weyel Manny Gonyer Service Manager Parts Manager 115 Bassett LaneP.O.Box 1717 5^NZN. 115 Bassett Lane N. Hyannis,MA 02601 P.O.Box 1717 (508)775-9000 Hyannis,MA 02601 (800)564-8600 (508)775-9000 (508)775-9203 Fax (800)564-8600 www.satumofhyannis.com (508)775-9203 Fax / Stations, .. 2.Printers baLShops • unsatisfactory-"Orders")r� 16.Fuel Suppliers 7.Miscellaneous • Lam,�� �IhumS�^ "Above,TznkS�:; Under�n`o'und T_nk5 'u; lots SEEMS mommommomm mmmmmmmm oil `= ,�- ice. �• i • • •• • • • • 1 • _ v'. 4 Name of — —-m1w H_aule rye, -, llestinatiori ' �; WasteYroduct � �y Licensedl, OF i �� e _