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Home My WebLink About0515 WEST MAIN STREET - Health 515 WEST MAIN ST.,HYANNIS JACK ELLIS FOREIin� D 1 ' 0 I, e i is • Pik �v4 � � ate: 15 TOWN OF BARNSTABLE UNWIZA-) TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: G k4oadr BUSINESS LOCATION: 1r ` INVENTORY MAILING ADDRESS: ii - TOTAL AMOUNT: TELEPHONE NUMBER. 5 CONTACT PERSON: I I L EMERGENCY CONTAC TELEPHONE NUMBER: r � " � � MSDS ON SITE? TYPE OF BUSINESS: INFORMATION/RECOMMENDATIONS: Fire Di trict: ,. & 6 Waste Transportation: Last shipment of hazardous waste: / w' Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides l NEW 85DUSED (insecticides, herbicides, rodenticides) 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 in 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 V ff? OIL WASTE OI / OIL FILTERS ANTIFREEZE, WASTE ` ANITFREEZE GASOLINE WA GAS DIESEL FUEL W/W FLUID ATF HYDRAULIC/ MISC. MISC. MISC. MISC. BRAKE FLUID COMMBUSTIBLE FLAMMABLE CORROSIVE PETROLEUM EAR OIL/GREASE/ UBRICANTS FREON ACETYLENE CAR WASH CAR WASH PAINTS/ WAX DETERGENTS THINNERS SEALANT CLEANING BATTERIES/ POISION/TOXIC CAULK/GROUT SOLVENTS BATTERY ACID FERTALIZERS WASTE SOLVENT MSDS P t4e MANIFESTS �,,\ �� 7111 Town of Barnstable Hazardous Materials On-Site Inventory and Inspection FACILITY INFORMATION: Business Name: EL1,l6 �g E/6J &PA 7� / Business Location: �-5'/� V(/&_:5;7__1Vi41Af<3 Mailing Address: 4S &L36 V' Telephone Number: JW Contact Person: "S Emergency Contact Telephone Number: _'5W ��— Type of Business: Ali n I'V*YAJ7&�UA-X- � 6gib &E A 4 HAZARDOUS MATERIALS (CHAPTER 108) Virgin Product Total Quantity Container Size(s) Storage Location Major Materials Gallons or Pounds Quarts,gallons, Shed,retail store, drums,tank,etc... cabinet,closet,etc �57E Z5o - etFA_ J , S 7V R,4 6 T,Q,q,ttSHrSsi'ON� ,j 6A/e &VAtC-1 :S 7DRAdE eve-&Vk2v- 7vR-A-4i ,4—V 60 CAAJ3S ` 3 C 41-L,0-/1 S - 1 - Misc. Combustibles Misc. Corrosives Misc. Reactive Misc.Toxics Inventory Total Amount: '03 Hazardous Materials License Posted?6) No Contingency Plan Posted? Yes (9 Fire District: VA:IJAJ15 Fire Extinguisher Service Date: ✓atce Z4// Metal Covered Rag Bin: No Absorbent Material Available?6 No Type of Absorbent: Speedy Dry Pads Pigs Other: 5 P1 U- K.iT MSDS on site?/I'e�/ No and Copy omputer Access Hazardous Waste Handling Hazardous Waste Generator Identification Number: 11V 57 rV$/,3-4-(r Type(s) of hazardous waste product(s): R�-Zak-tE> 011- U/ASTE Date of last hazardous waste shipment,type of waste and quantity:,Jug 7f&r�12�TaU/�4Y�1� D/L- 1(/ M /ZS GA-UQA.S Hazardous Waste Transporter(s): I vN 014- Designated Hazardous Waste Facility: &AJ DiL S"U,&WZPeKf. AZA Hazardous Waste Storage Area Description: A 60IrE 4P--00 rD Sr"d�eA�E lAf C701e v&-7Z. or GARCIC 6 . Is hazardous waste storage area labeled: Yes No Are tanks/drums/containers labeled with the words "Hazardous Waste",the type of waste and the associated hazard(i.e. ignitable,corrosive,reactive or toxic) Yes No i7Ae-7/*-y If hazardous waste is stored out of doors is it covered from the elements? Yes No ,Z/`A Is it in 110% containment? Yes No If hazardous waste is stored indoors is it on an impervious floor? es No - 2 - FLOOR DRAINS (Chapter 381) Town Sewer Account Number: Indoor floor drains: Yes o If yes,circle one,does it discharge to a: holding tank dry well on site septic. o-Dd� b > Outdoor surface drains: Yes No If yes,circle one,does it discharge to a: holding tank dry well on site septic. FUEL AND CHEMICAL STORAGE TANKS (Chapter 326) Underground Storage Tank(s) on site? Yes 6) Age: Is removal required? Yes No If yes,when? Is testing required? Yes No If yes,when? Out of doors above ground storage tank on site? Yes 00 If yes,is it protected from the elements? Yes No If yes,how? Is it on a foundation larger in size than the tank? Yes No COMMENTS/RECOMMENDATIONS/CORRECTIVE ACTIONS 5�ILL L�o�1T ll�vt tiX-y �f-A 4 fS TO SE ?7oSPEt> AT TN'E FACT i.ITY, A-A/h 4 c-aPZ "$s/v �atiJ. -Wiff 14,+?A QUS WASTE IDe-PTlr-1UITlo,3 XIUH6&-P- l...lSTEr> o;y 7}IE I ArM 1 ric--;--r S N ag- 'Dkrer� ��1�1; z, 7`d I.Z t5 AW i-1 s T b %Aj 0-m nfi a EPA RT"E7JT or- t i o# M V 509 - ZZCi /:3 fib')= '771/S lVaH&--4 /S 9 136 j24654/5727966 V.1/77/ GrcAr/Da! n1 U-M W, / 5M9Fr H4—S 3t-22c1 P tZO✓/ate role- y661-K &A)Ve)U1e- J6E. WWsne7 D/L TR-xw / r; be- R*O eLt7b W/'Ply 1-ye W0,P-6 S, °`NAZ.4�ous 1�t/.Q Y�i� sbv `7aXoL Date: XVI&® Public Health Inspector: R Facility Representative: c 5-Z*77S/3S"3, 1 S/ ` / E TIL /,5 9-6—&0 I"�D 7V A`fi 05 E it/wMj50C- W/71t 9 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 the Town (WHICH YOU MUST DO according to 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" Ff., 367 Main St., Hyannis, MA 02601(Town Hall) and get the Business Certificate that is required by law. t DATE Fill in please: APPLICANT'S YOUR NAME/CORPORATE NAME 00tClk-Sox, L, LGIS xa BUSINESS YOUR HOME ADDRESS: OO '717S/357-5� �SU D� .6ZIMOY/7� D TELEPHONE # Home Telephone Number $-pg- y o5— , NAME OF NEW BUSINESS k LLr-$,o l'-ef D TYPE OF BUSINESS 4p ,&I F IS THIS A HOME OCCUPATION? YES NO K Have you been given approval from the building division? YES NO ADDRESS OF BUSINESSB�MAP/PARCEL NUMBER ,6 DD� 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 ISSI =r'ON R S OFFI E ;} w This individ al h s n iQfor e a y pe mit requirements that pertain to this type of business. -- .� Au orize Signat e** ' COMMENTS """ cr- n " -- 2. BOARD OF HEALTH 5.1 This individual has e inf Vrmeof the ermii re uirements that pertain to this t ' r" ` P q p type of business. � r hap farized Signature** r COMMENTS: Cy?�c -A 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 oFTHe t Regulatory Services y�P� ffitio� Thomas F. Geiler,Director Public Health Division * BARNSTABLE, * Thomas McKean,Director 9�p 1639.MASS. 200 Main Street, Hyannis,MA 02601 ArFD MA'l A. Phone: 508-862-4644 Email: health@a,town.bamstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 December 6, 2006 Mr.Jack Ellis Jack Ellis Foreign Auto Repair 515 West Main Street Hyannis,MA 02601 Dear Mr. Ellis: Thank you for your time and cooperation during the hazardous materials inventory and site visit at Jack Ellis Foreign Auto Repair on December 5, 2006. This letter contains information from that visit that will help you become compliant with Chapter 108 of the Town of Barnstable Ordinance: Hazardous Materials. Enclosed is a copy of the Toxic and Hazardous Materials On-Site Inventory form from the visit. Please note the observations identified ate place of business during the hazardous materials inspection: OBSERVATIONS: • The waste oil tank is properly labeled with"Waste Oil". • MSDS are available on site from NAPA Auto. On Site Inventory Total The Toxic and Hazardous Materials On-Site Inventory from December 5, 2006 shows that you have approximately 264 gallons of toxic and hazardous materials being used, stored, generated and disposed of at Jack Ellis Foreign Auto Repair, 515 West Main St., Hyannis,MA(Please see enclosed Toxic and Hazardous Materials On Site Inventory sheet). The hazardous materials permit for the fiscal year 2006-2007 has been obtained from the Town of Barnstable. If you have any.questions about these observations, or you need further information, guidance or assistance,please do not hesitate to contact the Public Health Division. A rely, a L. Parker Hazardous Materials Specialist Enc. On-Site Inventory(copy) aSu�( Date: Ir TOWN OF BARN STABLE ---N --toy-J TOXIC AND_ HAZARDOUS MATERIALS ON-SITE I'ITEcNTORY NAME OF BUSINESS: G ' BUSINESS LOCATION: �- INVENTORY MAILING ADDRESS: a /1 TOTAL AMOUNT- TELEPHONE NUMBER:— CONTACT PERSON:—— EMERGENCY CONTACT TELEPHONE NUMBER:09 MSDS ON SITE? TYPE OF BUSINESS: ajdeA MW,,Lr iDM fCte ",,t,tt 4,1t�ee_. Uzi INFORMATION/RECOMMEND TIONS:pr!�l/IVY 14-AZALdOILP _ Fire District: i► II it II -IA -- LA WS DS /22 d V AA u) of d 6' Waste Transportation: i Last shipment of hazardous.waste: Name of Hauler. /I�h o lY Destination: Waste Product: Licensed? &ej 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 An if (for gasoline or coolant systems) Misc. Corrosive 4 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 Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor&furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS or— i 3 O-r, Jack.el C(s OIL WASTE OIL OIL FILTERS ANTIFREEZE WASTE ANITFREEZE l�hC 6o aso GASOLINE WASTE GAS WASTE W/W FLUID ATF SOLVENT /U O)v ✓ HYDRAULIC MISC. MISC. MISC. MISC. FLUID COMMBUSTIBLE FLAMMABLE CORROSIVE PETROLEUM (GEAR OIL/GREASE/ LUBRICANTS) /a FREON ACETYLENE CAR WASH CAR WASH PAINTS/ WAX DETERGENTS THINNERS SEALANT CLEANING BATTERIES/ POISION/TOXIC CAULK/GROUT SOLVENTS BATTERY ACID I FERTALIZERS DIESEL FUEL OIL FILTERS HYDRAULIC/ BRAKE FLUID /a aO wet-sty- (5�od'a A'V o c p, u Otfte o�P t -lL fCo oryC r�a:cn s - SeCe6- dff � c.,P �o /06- Ce.,, o o c� (,v a Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS ,I DBA: Jack Ellis Foreign Auto Repair Fax: Corp Name: Mailing Address Location: 515 West Main Street,Hyannis Street: 515 West Main Street mappar. '269-001-000-000 City: Hyannis Contact: Jack Ellis,Owner/Manager State: Ma Telephone: (508)775-1355 Zip: 02601 Emergency: (508)428-7305 Person Interviewed: Business Contact Letter Date: jJf2� -•2-0'0 Category: Vehicle Maintenance Inventory Site Visit Date: Type: Auto Repair Follow Up/Inspection Date: I ❑ 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: 6/2/98-Parts washer lid was closed. No antifreeze Compliance: changes-just top offs. MV5087751355. 2 hydraulic lifts. Cyne rag Satisfactory service. Shop floor swept clean-outside yard was clean+organized. Oxylacetylene for hot work. No thing allowed down drains per owner. NAPA trades batteries. ORDER: Obtain Material Safety r Data Sheets for all products. Request from suppliers and keep file or 9121 I �� clipboard. 6/1/04 Previously sent in$100 for license and it was sent back because it was not time for his renewal. He does not store 111 gallons or more onsite,Hazmat license is not required at present time. Rags/uniforms/fender covers to Coyne laundry. Oil to Cyn once a year. Parts solvent to Safety Kleen once a year. MSDS onsite. Manifests on site. Materials stored properly. Shop is clean, neat and compliant. I Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ Zero Toxic Waste Materials gty's>25 Ibs dry or 50 gals liquid but less than 111 gals ❑ gty's 111 gals or more description ;,;; ,` _' gty "unit,of measurer. " antifreeze(for gasoline or coolant systems) _....... ....—__ ... .._. .......... _..............I ..._........................._..... �....._.._ automatic transmission fluid i 3.51gallons Windshield Wash 6gallons M.. .... ,,. Waste solvent 6gallons _...._. ........-__- _........... _.... ... .... ...... . misc.petroleum products:grease,lubricants 1 jgallons car wash detergents 1'gallons car waxes and polishes 1gallons waste oil 25 gallons hydraulic fluids(including break fluid) 0.51gallons paint,varnishes stains,dyes 1 5igallons �..�._.._.. ...._. _._... . �.._�_. __. .-. �...... ... ....._b......m._ . ............ .............................. ._ other cleaning solvents 0.5:lgallons Batteries .._._._..........._ ..._15gallons...... ..__..._................_._........__ ......_.._.._..._._.__...._.. ._._...._........_...._............................_..._.............._...............__.............._................._... Misc.Flammable 2 gallons Waste Transporter: !,Cyn Oil Fire District: ',Hyannis ............__ _ Last HW Shipment Date 4/12/2004 Waste Hauler Licensed: Yes Town of Barnstable Regulatory Services 0 4 O N or_ BA RNSTABLE s Thomas F. Geiler,Director to BAMSfABLE, ' Public Health DiviSWIV ,SUN 14 PM 5: 10 ArEo �A Thoniis McKeim Director.. 200 Main Street, Hyannis,MA 02601 _ - .. Office: 508-862-4644 �'iViSlON Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. b r DATE' APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT j rA-t kjo A-1 Z tl5- NAME OF ESTABLISHMENT Ie fe ADDRESSOFESTABLISHMENT tiIS TELEPHONE NUMBER SOLE OWNER: V YES NOa IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OFo�iL PARTNERS: �C � v, —t N rn IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: . PRESIDENT TREASURER CLERK t SIGNATURE OF APPLICANT RESTRICTIONS: HOME?RESS- rl fV dlJr y relk RW � ( o . /y�ry�ov,h,f�S HAf HOME TELEPHONE# ,F'D — `/X f P7$a p Haz.dodwp/q Date: TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAMEOFBUSINESS: C_ BUSINESS LOCATION: S 15 . .MAILING ADDRESS: INVENTORY TELEPHONE NUMBER: �0 8 — '7"7�— 13,E� TOTAL AMOUNT: CONTACT PERSON: E a `7 o� a.Gt,csn s EMERGENCY CONTACT TELEPHONE NUMBER: TYPEOFBUSINESS: -o k' cu,� IFI�E U(57�ICT OTHER INFORMATION: 5,�S � e .sM 50S 54c Si [ i a�/• aVV—ste Tran po art tion: Name of Hauler: kidi I Destination: Waste Product: c�J �,94e yi( Licensed? es No U 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. . NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Observed (gallons): Antifreeze(for gasoline or coolant systems) Drain cleaners J q rW.NEW USED Cesspool cleaners CT- 3 �.l Automatic transmission fluid Disinfectants V Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants ✓ Motor oils z s Pesticides NEW t`�USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) .Diesel fuel, kerosene, #2 heating oil NEW USED le aA Other petroleum products: grease, Photochemicals (Developer)P p 9 ( P lubricants, gear oil ' NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) 0 Battery acid'(electrolyte) , �'� Swimming pool chlorine Rustproofers Lye or caustic soda M 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)- a,�Paint& varnish removers, deglossers Any other products with "poison" labels Paint brush cleaners Floor.&furniture strippers (including chloroform,formaldehyde, Metal polishes hydrochloric acid, other acids) Laundry soil &stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids MISC.: ego( v�a�► _ a,! (dry cleaners) _ 5 ckaA Other cleaning solvents Bug and tar removers Town of Barnstable pFtME Toys Regulatory Services Thomas F. Geiler,Director * &UWSrABLE, + 9�A MASS. �� Public Health Division lEO t�9. Thomas McKean,Director RFC�>�� 200\Main Street, Hyannis, MA 02601 Office: 508-862-4644 FEB B 6� Fax: 508- 90-6304 Application Fee: $100.00 2002 rOWHEOLTH DEPTABLE _._. 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 cTi9 c k So•+� L S S �- , NAME OF ESTABLISHMENT Fo r-t a 1,v Alf* W e a l l-- ADDRESS OF ESTABLISHMENTor TELEPHONENUMBER SOLE OWNER: 6/YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK ` SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS 9 SO Old Fa)r1 e u-fh HOME TELEPHONE# SOS- 1/19'- Haz.doc/wp/q c� TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2. Printers BOARD OF HEALTH 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY ` �,S � 7 O (see"Orders") 5.Retail Stores 1 6.Fuel Suppliers ADDRESS V-315 Class: 7. Miscellaneous 4-ndl 1.`� QUANTITIES AND STORAGE (IN= indoors; OUT=outdoors) MAJOR MATERIALSU;Tderg-.ound 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) 1 new motor oil(C) transmission/hydraulic Synthetic Organics: degreasers ^ A n �5C- Miscellaneous: DISPOSALIRECLAMATION REMARKS: 1. S itary Sewage 2.Water Supply Town Sewer �ublic l O On-site OPrivate 3. Indoor Floor Drains YES NQ� k O Holding tank:MDC O Catch basin/Dry well . _ �� O On-site system 4. Outdoor Surface drains:YES NO X ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system ` 5.Waste Transporter Name of Hauler Destination Waste Productl 1. V NO 2. rson(s) Interviewed Inspector Date TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair Printers BOARD OF HEALTH O satisfactory s:Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY __Tp Y 11C (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS �5�,� W . M FAIN SL . .'- Class: 7.Miscellaneous QUANTIFIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MATERIALS IN OUTI IN JOUT IN OUT #&gallons Age Test Fuels: Gasoline Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) 'S new motor oil(C) �S transmission/hydraulic Synthetic Organics: degreasers 1n Miscellaneous: 01 � 930 i MS OSALIRECLAMATION REMARKS: L itary Sewage 2.Water Supply own Sewer ublic + �, O On-site OPrivate 3.Indoor Floor Drains YES_)�_NO O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO`_ ORDERS: �- O Holding tank:MDC O Catch basin/Dry well \ALL kC-V,�CS ON O On-site system 5.Waste Transporter MRNWNWNWW� YES NO 2. o 10) ers (s) Interviewed Inspector 'Date TOWN OF BARNSTABLE OMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANYI �� (see"Orders") s.Retail uel 8u�1 Stores ADDRESS* d ,.�-e d 'Klass. 7.Miscellaneous �.��a� QU TITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR ERIAT R IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) 7. new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers 7� M cells pus: DISPOSALIRECLAMATION REMARKS: L anitary Sewage 2.Water Supply Town Sewer Public' O On-site OPrivate 3. Indoor Floor Drains YES NO 10, O Holding tank:MDC '7 O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO -- O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter 2. IAAk QoV� 4z�k=-r=s 6�ye"Z� erson s erviewed Inspector Date TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH Q satisfactory 2.Printers 3.Auto Body Shops o O unsatisfactory- 4.Manufacturers COMPANYY,. � L�L� oz'ow f/ (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS c '� /��/ / Class: / 7.Miscellaneous /'4UANTITIES AND STORAGE (IN=indoors;OUT-outdoors) MAJOR MATERIALS A * . IN OUT IN OUT IN OUT #&ga:.lons Age Test Fuels: Gasoline Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils i� waste motor oil (C) new motor oil (C) e� transmission/hydraulic � Synthetic Organics: degreasers If Miscellaneous: DISPOSAURECLAMATION REMARKS: Ae 1. anitary Sewage 2.Water Supply 'Town Sewer Publics O On-site OPrivate , 3. Indoor Floor Drains YES-1—NO O Holding tank:MDC_ O Catch basin/Dry well `A64 O On-site system 4. Outdoor Surface drains:YES NO L✓ ORDER O Holding tank:MDC t' " O Catch basin/Dry well s O On-site system 5. Waste Transporter YES NO 71 Perso s) Interviewed Inspector Date TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH satisfactory 3.Printers .Auto Body Shops _ r - unsatisfactory- 4.Manufacturers COMPANY �cic �i/��.5 �I O (see"Orders") 5.Retail Stores _ 6.Fuel Suppliers ADDRESS .-1.- �"tA4lt� u4.3 (glass: 7.Miscellaneous QUANTITIES AND STORAGE (IN_indoors;OUT=ou ors) MAJOR MATERIALS IN OUT IN OUT IN OUT #&gallons Age Test Fuels: C-1` Y, Gasoline Jet Fuel(A) Diesel, Kerosene, #2 (B) Heavy Oils: z5v waste motor oil (C) /7 7 new motor oil(C) 105 10 transmission/hydraulic 'Z Synthetic Organics: degreasers N 4t X K Miscellaneous: eS ins � DISPOSAL/RECI AMATION REMARKS: 1. Sanitary Sewage 2.Water Supply fir' GtvL 4e7P cfty Vc _Tz1 -f -b j Town Sewer Public �vtV ��?��3.�� 'Z & .7fJ ccp [, O On-site QPrivate .Fe✓Z S Ion— J'G✓ 7F C Ce ac," 3. Indoor Floor Drains YES_,�< NO Holding tank: MDC✓� �S ° �'`� �� C(eQ`' &.f., ze a, " O Catch basin/Dry well 1 ®x Y _ac _ k y A On-site system dt 1 bwc C4 4. Outdoor Surface drains:YES N0 C ORDERS: O Holding tank:MDC c-, Ot4z-iCt O Catch basin/Dry well O On-site system 5.Waste Transporter YES NO /17 1. S / 3�3�0)� I�v i c,� �� L✓�s 7_` nterviewed CY Inspect (Date y0F7HET0� TOWN OF BARNSTABLE OFFICE OF ? BAaAWL ,$,M BOARD OF HEALTH soo 6 i°TEaMp�p? 367 MAIN STREET HYANNIS, MASS. 02601 August 14, 1987 Jack Ellis Jack Ellis' Foreign Auto Repair 515 West Main, Hyannis , MA 02601 Dear Mr. Ellis : You are reminded that State regulations require periodic pumping and :. or. cleaning of all MDC traps (Metropolitan District Commission,- 'gas and oil separator tanks) . You are directed to contract with a licensed hazardous waste tranoporter\oontractor to perform the required pumping and or cleaning of your MDC trap by September 11 , 1987 , or provide Proof ",of such maintenance performed within the past three months . You are further directed to have your MDC trap inspected and cleaned if necessary, by a licensed hazardous -waste contractor every three months . Written proof from a licensed s contractor will be required. Inspections will follow by the Health . Department to verify compliance. You are reminded that failure to comply could result in a fine of $200 . 00 daily under the Town of Barnstable Toxic and Hazardous Waste By-law. T Very Truly Yours , 4"F.J hn M. Kelly hector Barnstable Health Department y i. r r