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Home My WebLink About0202 YARMOUTH ROAD - Health 202 Yarmouth Rd. Hyannis A= Roberts Auto Wholesale P v III C a o i o o 0 E � Hazardous Materials Inventory Sheet Checklist q Date Physical Street Address-Check database to ensure it exists —Working Phone Number Actual Amounts -( ie. gas being used to fuel machines, thinner to clean brushes all count as hazardous materials) Storage Information - location of storage, how long is storage for? If none, note that. V Disposal Information -where and who? If none, note that. Applicant Signature - understand what is listed and noted Staff Initial -any questions, know who to ask Vehicle Washing/Rinsing? -provide a vehicle washing policy and explain it - note that it was given tip Attach the Business Certificate with your sign off and comments "The inventory form should explain what the business consists of and the procedures they are doing. Notes need to be left to explain what you discussed w ith th-- YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates cost $40.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in the Town (WHICH YOU MUST DO according to M.G.L. =it does.not give you permission to operate). You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 15t-FL, 367 Main St., Hyannis, MA 02601(Town Hall) and get the Business Certificate that is required by law. DATE Fill in please: a34 c�Z.G1-'K _ APPLICANT'S YOUR NAME/CORPORATE NAME rC `(ASS �[; 'v y rp.�S BUSINESS TYPE: Gl4SS USED &b-Z S BUSINESS YOUR HOME ADDRESS: �6ckyuze, / All o Z G TELEPHONE # Home Telephone Number NAME OF NEW BUSINESS L. 02 U 'S S S EIN: j Have you been given approval from the buildin division? YE NO MAP/PARC ADDRESS OF BUSINESS 0 i „ . .EL NUMBER When startinga new business there are several things yo u must do in order 9 Y to be in compliance with the rules and reg ulations o f Barnstable_ This form is intended to assist you in obtai 9 the Town of y nmg the information you may y need_ You MUST GO TO 200 Main St. _ (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses re u'ir q ed to legal) operate our bus" in this town. Y p y mess., 1. BUILDING COMMISSIONE ' 7 FFICE This individual has i oFmed n r y permit requirements that pertain to this type of business. ho zed Signature* COMMENTS: i i 2.1 BOARD OF HEALTH This individual en inf r th rrMit reaKirements that pertai n n to this type of business. s. . }* MUST COMY WITH ALL Authorized gnature HAI1MM S MATERI&S REGIH/�TI(�N$ COMMENTS: 3.� CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature' COMMENTS: I i i Dater //6 / < TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON SITE '""'c""'^' ' NAME OF BUSINESS: C At Xx nw,s_S BUSINESS LOCATION: 22 pc.rmaj a LN&Ir INVENTORY MAILING ADDRESS: rin TOTAL AMOUNT: TELEPHONE NUMBER: -:99,y- i 25-7 CONTACT PERSON: �� EMERGENCY CONTACT TELEPHONE NUMBER: S-4-776 'SAS- MSDS ON SITE? TYPE OF BUSINESS: !�I�s 2 us-c-o GAS INFORMATION/RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The board of health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes Laundry soil &stain removers (including bleach) Spot removers&cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Appli n s Signature Staff's Initials_=� a 1„r Notes to the File July 7, 2011 Auto Clinic 202 Yarmouth Road Hyannis, MA Cynthia Martin, PHD Steven Hebden, Manager An inspection of the'above facility was performed in regards to this being a new auto repair shop. The business area consisted of a single garage bay. The bay is leased from Darrell Fiertz, Auto Smart. There were approximately twenty-seven gallons, total, of hazardous materials in the entire garage. (Windshield washer fluid, motor oil, steering fluid, brake fluid miscellaneous aerosol flammables, antifreeze and waste oil). The storage of new products was in a bermed room with a concrete floor, all materials are stored on concrete flooring. Waste oil is returned to Advance Auto/NAPA in a five-gallon container. At this time and based on this Hazardous Materials inspection, the facility is not subject to the Town of Barnstable's Hazardous Materials licensing requirement. Hazardous Materials Inventory Sheet Checklist ✓ Date hysical Street Address-Check database to ensure it exists �LWorking Phone Number cic/ ctual Amounts -( ie. gas being used to fuel machines, thinner to ean brushes all count as hazardous materials) �VVVV// Storage Information - location of storage, how long is storage for? �If none, note that. Disposal Information -where and who? If none, note that. __7_CApplicant Signature - understand what is listed and noted Staff Initial -any questions, know who to ask �Jp Vehicle Washing/Rinsing? -provide a vehicle washing policy and explain it note that it was given Attach the Business Certificate with your sign off and comments "The inventory form should explain what the business consists of and the procedures they are doing. Notes need to be left to explain what you discussed with them. Hazardous Materials Inventory Sheet Checklist YOU WISH TO OPEN A BUSINESS? 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.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: .SO ' I ' Fill in please: ' APPLICANT'S YOUR NAME/S: � 1 BUSINESS YOUR HOME AD RESS: I 1I L�L?;rr✓ t'�� , MLCA , TELEPHONE # Home Telephone Number (2 J3 `� LU NAME OF CORPORATION: 14 > ' NAME OF NEW BUSINESS TYPE OF BUSINESS lJ 4,, .IS THIS A HOME OCCUPATION? YES NO X co b ADDRESS'OF BUSINESS wt c3' cl ` MAP/:PARCEL NUMBER (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has been informed of any permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 4-1 2: BOARD OF HEALTH This individual has be formed of the permit requirements that pertain to this type of business. Aut orized nature* COMMENTS: i 9t � t z" 3. CONSUMER AFFAIRS.( CENSING AUTHORITY) This individual has en in r the licensing requirements that pertain to this type of business. f` Authorized Signature** COMMENTS: l t %Cl i'r i TOWN OF BARNSTABLE Date:( /?jC)/ 11 "TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS:-A Oka /o.- BUSINESS LOCATION: ' VA fynat,4G 2 c INVENTORY MAILING ADDRESS: Ic<6 �', 1 ' biie&2 - ejp&-72TOTALAMOUNT- TELEPHONE NUMBER: - D T l pSS -KAki CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: - MSDS ON SITE? TYPE OF BUSINESS: INFORMATION/RECOMMENDATIONS: Fire District: Waste Transportation: AZ Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The board of health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum l Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive 11 NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) 6 I Hydraulic fluid (including brake fluid) Refrigerants �0 -S-k� 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 -?pZ ❑ NEW ❑ USED Degreasers for engines and metal Printing ink. Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine :6211BEattery acid (electrolyte)/Batteries Lye or caustic soda ,A�ustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes(Vt: Fertilizers Asphalt& roofing tar PCB's aints, 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 �aundry soil &stain removers ncluding bleach) !�rDplot removers&cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash a n WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS App ant's Signature Staff's Initials YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates(cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's.Office,:1"FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) DATE: ! (/ r Fill in please: k x fix' APPLICANT'S YOUR NAME/S �- �p ` •,� BUSINESS YOUR HOME ADDRESS: 2 S fe(f P D a TELEPHONE # Home Telephone Number. -y0 coy s a m ; NAME OF CORPORATION: L NAME OF NEW BUSINESS 5✓4W( TYPE OF BUSINESS G US2 IS THIS A HOME OCCUPATION? YES NO X. d240 f j�Gj ADDRESS OF BUSINESS 02 � ✓�f1Lf OAA- MAP/PARCEL NUMBER / ! / (Assessing) When starting a new business there are several things you must do in order to.be in compliance with the rules and regulations of the Town of Barnstable. This form.is intended to assist you in obtaining the information you may need. You MUST GO TO 200'Main St. - (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMM ER'S OFFICE This individua h%Auh ipfor o ny ermit requirements that pertain to this type of business. zed Sig ik re* COMMENTS: (JJI n O '.�(_ tami •�� b T 2. BOARD OF HEALTH This individual has been i r 'ethe permit requirements that pertain to this type of business. L/ 'nTi pP yP MUST COMPLY WITH ALL V 4 KAZARDOUS MATERIALS REGULATIONS Authorized Signature* COMMENTS: Zst:Q6o0S �A.�rtEL STo , usG IA.,veuTU�' Ai7�citr �tiI/�icA- S LZ35 �. (PALLVRJS G� A-lA-1 /CGS /AJ!/&-?I/TD /ScZISs tfb A&) P�2vJ In b rG /w G/ETA oN io-z(o-/o . '�'� Si (.�,,:•IL�-1->d �YtZJTiA�1 3.. CONSUMER AFFAIRS (LICENSING AUTHORITY) ►1p rnCn This individual has yen i m d of the Licensing requirements�that pertain to this type of business, 6/lS. IQL.Lr 17 Autho ized ignatqu�'e* � c Uri-6 bu&'4 COMMENT CL YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1"FL., 367 Main.Street, Hyannis, MA 02601 (Town Hall) DATE: �(J Zr� ! (/ Fill in please: APPLICANT'S YOUR NAME/S: R 2° l/ • G ( � S 'a BUSINESS YOUR HOME ADDRESS: 21, S to l L P 50 D s TELEPHONE # Home Telephone Number `�`7 113-4'0 061 y NAME OF CORPORATION: L NAME OF NEW BUSINESS SQL`'( TYPE OF BUSINESS G USe IS THIS A HOME OCCUPATION? YES NO �2bCU U — - (Assessing)ADDRESS.OF BUSINESS When starting a new business there are several things you must do in order to.be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has been informed of any permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 2. BOARD OF HEALTH This individual has been '-n r d o the permit requirements that pertain to this e of business. `"' {� �� p q P type MUST COMPLY WITH ALL t-i -t'i/i HAZARDOUS MATERIALS REGULATIONS Authorized Signature* 6au IXIV&Jux/C y1 � -Z- e55 ar aJCOMMENTS: l s e � Jj c _ 1-1-E 5 l Z 0_' A wk a'+P_b ous 1-tA-J-Y101 E Ls /a�J/t n1� i �c c t" /// �sl- a,u — A VLE'icLE' W4V P-IuJ6 POL-IC-Y 5/SCr155tfb AA.),�, PeoJl,�>E6 7-0 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has i 6�� the licensing requirements that pertain to this type of business. ��d ignatu�e*/* C/� �C.ZJ� IsLJ�°�COMMENTGL 6 / V . 61 T U 1 o2o o� J O f,C� . V Date-/0 TOWN OF BARNSTABLE j TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY '�~ NAME OF BUSINESS: AvtT wL BUSINESS LOCATION: 2— 2 ti INVENTORY MAILING ADDRESS: D Z TOTAL AMOUNT- TELEPHONE NUMBER: D� �� 2 Le5s / tt� CONTACT PERSON: >°L 1 2- `/0 I.-*Uo EMERGENCY CONTACT TELEPHONE NUMBER: �`� SYO QG y�r MSDS ON SITE? TYPE OF BUSINESS: ae%,E INFORMATION/RECOMMENDATIONS: Fire District: f)'e 16- Sly 0 14-47k1 dHZy NO 614M'161? 5eaillZe sAte. v4�Ore Waste Transportation: /Y//9 Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The board of health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Mkt Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive 0 NEW ❑ USED Cesspool cleaners C�Se Automatic transmission fluid/2 � Disinfectants Engine and radiator flushes Road salts (Halite) L Hydraulic fluid (including brake fluid) Refrigerants / � ISTe2 CJ � Motor Oils $r .14 614rs Pesticides ( 'NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum pr ucts: grease, Photochemicals (Developer) lubricants, gear oil a 130#7(1_0-S — 11VfCe ❑ 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 IMIS S Fertilizers Asphalt& roofing tar 7T)tVh( U P PCB's Paints, vgrnishes,&#gins; dyes 5 PRAY c,Af-0 Other chlorinated hydrocarbons, Lacquer thinners a Pi tr l � (including carbon tetrachloride) Any other products with-"poison".labels T EV1l` ❑ USED ` `4 (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) i/ Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes Laundry soil &stain removers (including bleach) Spot removers&cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash �- WHITE COPY-HEALTH DEPARTMENT I CANARY COPY-BUSINESS Applicant's Signature Staff's Initia Notes to the File Date: November 10, 2009 JR Auto Repair 202 Yarmouth Road Hyannis, Ma Cynthia Martin, PHD Deusdedit Guedes Owner An inspection of the above facility revealed that there is, on average, less than one- hundred eleven gallons of hazardous material on site at any one time. Therefore, JR Auto Repair is not subject to the Town of Barnstable Hazardous Materials licensing requirement. The business consists of a double garage bay(one large space with two garage doors) and a small office. There is a one-hundred gallon, interior, above ground waste oil tank that contained sixteen gallons at the time of the inspection, the manifest records indicate that the oil is hauled off site once it reaches 100 gallons. Other fluids included approximately three cases of one quart bottles of new oil, four one gallon bottles of antifreeze, a gallon of brake fluid and two gallons of gasoline. Auto repair fluids and batteries are purchased on an as need basis and there is minimal storage, as reflected by the previous inventory. Waste oil is hauled by Cyn Oil of Stoughton, MA. A"Summary of Requirements for Small Quantity Generators of Hazardous Waste"booklet was left with Mr. Guedes for his use in the proper labeling of the waste oil tank. There was also a parts cleaner on site; gasoline was used as the cleaning solvent. Waste gasoline is reportedly taken by a scrap metal disposal company. Mr. Guedes was informed that the gasoline must be picked up by a licensed company, so that he can verify,that it was disposed of properly via a manifest sheet. Mr. Guedes was informed of the requirement to provide Material Safety Data Sheets for his employees benefit. Hazardous Materials Inventory Sheet Checklist Date Physical Street Address-Check database to ensure it exists I,— Working Phone Number —Actual Amounts -( ie. gas being used to fuel machines, thinner to clean brushes all count as hazardous materials) Storage Information -location of storage, how long is storage for? If none,note that. -Disposal Information -where and who? If none, note that. Applicant Signature - understand what is listed and noted ` Staff Initial -any questions, know who to ask Vehicle Washing/Rinsing? -provide a vehicle washing policy and explain it- note that it was given Attach the Business Certificate with your sign off and comments "The inventory form should explain what the business consists of and the procedures they are doing. Notes need to be left to explain what you discussed with them. YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1" FL., 367 M, ain Street, Hyannis, N A 02601 (Town Hall) P 9man, qv * fi g DATE: �� i�� o. Fill in please: k0 APPLICANT'S YOUR NAME/S: C e-d- CJLe x ` � BUSINESS YOUR HOME ADDRESS:. � � a ;a spa tQt�t- - "'oe, K x n � s TELEPHONE # Home Tel phone Number O NAME OF CORPORATION: y� NAME OF NEW BUSINESS TY PE OF BUSINESS IS.THIS A HOME OCCUPATIONS YES O = . ADDRESS OF BUSINESS Q - Y�'IQI�t- ,.� 1'1�'Il MAP PARCEL NUMBER [Assessing) When starting.a new business there are several things you must do in.order to be in compliance with the rules and regulations of the Town of 'Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. &.Main Street) to make sure you have the appropriate permits and licenses reQuired to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has been informed of any permit requirements that pertain to this type of business. COMMENTS: Authorized Signature** 2. BOARD OF HEALTH This individual ha n infor d f the t r quirements that pertain to this type of business. Authorized SWnature** COMMENTS: MIMCOWYMAM � - 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: t7 / ( / TOWN OF BARNSTABLE Date: (09 TOXIC AND-blAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: OviC p BUSINESS LOCATION: L tj2,91 . 1A _" nyNVENTORY MAILING ADDRESS: Va0 L W4 TOTAL AMOUNT: TELEPHONE NUMBER: o CONTACT PERSON: � � EMERGENCY CONTACT TELf PHONE NUMBER: �, � � MSDS ON SITE? TYPE OF BUSINESS: INFORMATION/RECOMMENDATIONS: Fire District: Waste Transportation: V/A5E2 o' L Last shipment of hazardous waste: 0 9 Name of Hauler: C_)/L of L COR SPA Aestination: 177jVJA5A)Aj6700 sT�STny(., ��'o�v _,A�t�o Waste Product: ®I L Coed Licensed? es No 6 P41A'MAD0 9 A303 77 7 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 l� 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 4Otherroducts not listed which you feel Metal polishes 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 Please print or type.(Form designed for use on elite(12-pitch)typewriter.) Form Approved.OMB No.2050-0039 .Generator ID Number — 2.Page 1 of 3.Emergency Response Phone 4.Manifest Tracking Number 1 UNIFORM HAZARDOUS q1� ��" 781}341- 108 y'" ° G B F WASTE MANIFEST /"^ >) y C 063 5.Generator's Name and Mailing Address Generator's Site Address(if different than mailing address) j Generators Phone: 6.T a s orter 1 C an Name U.S.EPA ID.Number cr (A IL66A RATION ADG82303777 7.Transporter 2 Company Name U.S.EPA ID Number 8.Designatlr�Fagilitu0agl�j§$SfI6ddress U.S.EPA ID Number 7177 7VV711 VVWASll,,�iCC1IN fGTTCt��N ST N STO.UGHTON MA 02072 Facility'sPhone:781 -341.6108 ,.. AD a 8 .2 3 0 3 7 7 7 ga, 9b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 10.Containers 11.Total 12.Unit HM and Packing Group(if any)) No. Type Quantity Wt.Nol. 13.Waste Codes IKJA1270,Patrole=oil MAN O X 3;rIGIll (Waste,0111 0 1 Tr / n G z 2. w 0 3. 4. 14.Special Handling Instructions and Additional Information 4 :>10►�e. EMT-2GINCY SPILL TtEsPc NSE (781)341-5109 D.O.T. �WRGKNCY GUrnE -NO 128 11I?A1,51;C E 01 L ASSED UEX SI'i. 15. GENERATOR'SIOFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name,and are classified,packaged, marked and labeled/placarded,and are in all respects in proper condition for transport according to applicable international and national governmental regulations.If export shipment and I am the Primary Exporter,I certify that the contents of this consignment conform to the terms of the attached EPA Acknowledgment of Consent. I certify that the waste minimization statement dentifieA in 40 CFR 262.27(a)(if l am a large quantity generator)or(b)(if I am a small quantity generator)is true. Generator's/Offerors Printed/Typed Name ) Signature !r /' Month Day Year i );A. 4 M. + .. - 16.International Shipments Export from U.S. Port of entry/exit /exit: F- ❑Import to U.S.. ❑ p ry z Transporter signature(for exports only): Date leaving U.S.: w 17.Transporter Acknowledgment of Receipt of Materials Transporter 1 Printed/Typed Name Signature �/ Month Day Year Oco 1' Q Transporter 2 Printed/Typed Name Signature t. .. - - Month DayCe F- 18.Discrepancy 18a.Discrepancy Indication Space ❑ Quantity ❑Type ❑Residue .❑Partial Rejection ❑FultRejection Manifest Reference Number: 18b.Alternate Facility(or Generator) U.S.EPA ID Number U LL Facility's Phone: W 18c.Signature of Alternate Facility(or Generator) Month- r.Day Year z ro. ,19..Hazardous Waste Report Management Method:Codes.(i.e.,codes for hazardous'waste treatmer t,disposal and recycling systems).:-: .1. 2. 4. 20.Designated Facili - ner orOpetatgr.Certification of receipt Lhazardous materials covered by the.manifest except ased in Item 18a : Prinledrryped ame Signature f Month Day Year EPA Form 870 -22(Rev.3-Os�Previous editions are obso of DESIGNATED FACILITY TO GENERATOR _ TOWN OF BARNSTABLE LOCATION �Z- �e.,r�"��y�1 2�- SEWAGE# 9fZ VILLAGE ASSESSOR'S MAP& LOT.23T - /Y 9 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 1 k Cif D LEACHING FAC]LITY: (type);; kc9 .0,)SIB (size) icy �a NO.OF BEDROOMS BUILDERO �-� PERMITDATE:_ `mot'I(z 4 7 COMPLIANCE DATE: T� Separation Distance Between the:, Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by �-� pl a V 2 6� W LOCATION SEWAGE PERMIT NO. t4 J? VILLAGE INSTA LLER'S NAME i ADDRESS JOH:N A. AALTO BACKHOE SERVICE hA- West Barnstable, Mass. 02668 BUILDER OR OWN ER mo G r DATE PERMIT 'ISSUED DATE COMPLIANCE ISSUED - /�- z9 a /,, <' . � �, � �1, � . � ,�,, . � � i , , . - � , �- � � ' I � � � , , � � '� �� , r 1, , . , , � � �, �tF k �, i ,III �: No.._.....t............... _ Fss...., .._............... THE COMMONWEAC�rH OF'MASSACHUSETTS BOAR® OF HEALTH ........... TOWN..............OF.......BARNSTABLE Applir4tiou for Disposal Murky C onstrurtion ramit Application is hereby made for a Permit to Constrpct ) or Repair ( ,) an Individual Sewage Disposal System at: YARMOUTH ROAD -UT_.. 14-9-..A-33EaaDaS--Ma-P---#3-2$-------•---•-•----- Locat'o -Addre or lAt No. 9 er Addresstj W Installer Address 1$353 d Type of uilding Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) per, OtherX—Type of Building _G@Xage.......... No. of persons........4................. Showers ( ) — Cafeteria ( ) a' Other fixtures ............................ . W Design Flow....._......5o...............•.•....____gallons per person,p1 rr day. Total daily flow----------- 6 7 W Septic Tank-X Liquid capacity.1000gallons Length------.-____-•._ Width... Diameter________________ Depth.-5 t err x Disposal Trench—No. .................... Width.__.__....._._.._._. Total Length.........._......... Total leaching area....................sq. ft: Seepage Pit No....]_-------------- Diameter......10.r_..... Depth below inlet.....6_r..._._._.. Total leaching area...549--- kt.gals. Other Distribution box (X) Dosing tank ( ) Percolation Test Results Performed by__....Cripe...dad...S ry.ey...OariSuLtariftte_.....S.ept..1..,.1-9.7.$'_.. Test Pit No. 1_.___2....._..minutes per inch Depth of Test Pit112.__------------ Depth to ground water-none---emc. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ........................................................................................................................ Description of Soil-----Q...-._•-6"---suhsoll ----6----- ' t,0:fi----r-a-e�----- •r'avel f �+t 0'T- �•�f__.J-0.0se...... p v inQn.•_ tained._sand......._.5_,-5_.. 12......medium•_whigte._sand._...._No_ water__.encountered W ••-•-•-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- - U Nature of Repairs or Alterations—Answer when applicable............................................................................................... -•-------------------------------•-••----------•------------------------------•------------------------•-------------------------------------------------------------------------------------....•-•-•- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITL 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Sig ,d:....._. ...................................... ................................ Application Approved By...... - %%. � L Date Application Disapproved for the following reasons-------------•----•----••••--••-•-•••--•------------•--------•••------•-----•--•-••--••......--••--••........... ..-•-----------------•-------•-------•-•-•--•-----••-----•-----------------------•----.......--------------------•••••--••-•-•--••••.....-•----.................................................................... ................................ Date PermitNo......................................................... Issued---. _. ----Z-5-----------•--- Date 04; .. tl ",No . ** THE COMMONWEA.A.,TH OFV4ASSACHUSETTS BOARD OF 'l-IEALTI-I TOWN...... OF......RAR TABLE................................................... Appliralion for Dhipaaia1 Works Cnomuurtion Vrrmit Application is hereby made for a Permit to Construct XX ) or Repair ( } an Individual Sewage Disposal System at YARMOUTH ROAD _L0T...# 9..ASSESSORa...Ma .2$------------•------ ...• ........ ....... a-.. 31O/ Location Ale dy orAL otr Nso. 11.1 ...... ....... y ........... •-- ..... � ...............................eser nsta Address Type of rilding Size Lot..l$353............Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) OtherX-Type of Building Garage....--.... No. of persons--.-_•. Showers — Cafeteria 04 Other fixtures . -•-•- -• .......... " -------- W Design Flow............ ________.__. ..,;..gallons per person,per�day. Total'daily flow _.._..._,200........................... ........_._ ._gallons. 04 Septic Tank-X Liquid capacity. 000gallons Length.......:........ Width..4!--IO Diameter---------------- Depth_.,5!h."__. W x Disposal.Trench No ..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit 'No �_b ::_::____:- Diameter...._1.0.t_...... Depth below inlet__:..(7_t........... Total leaching area. 4 c .- t.ga1S Z Other h4stribution box (:K Dosing tank ( ) a Percolation Test Results Performed by: _Ci•3p.@...Gst.d._SaIY'V *3t____C.OT1S].i� �ri$�te.._.• 0Pt.,1,19 8._. Test;Pit No i ....2_.....minutes per inch Depth of Test Pid.2-.............. Depth to ground water.none .enc,, w Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.......................:.. D Description of Soil-•---0.... 6!! _ i1b;B4 '� b rr t- ?t----- y L�! "— '--- - � rock ----g-r-a�el�-- -- O �-�5- loase------- .__-_.ir.on..zt.a:ined..sand.,:-:__-5...5....----...12-_--:-me-d.ium_._�rlait-e---sand..:___._No...wat_er...sncaunt Bred w -- -------- ------------------------------------ -••......................................... . UNature of Repairs or Alterations—Answer when applicable._..................................................................... _... ___. •------------•--------------------------•-•--------•------------------------•------•------------.......-------=--------------------------------------.....----•-----------------------...-•--•- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE'. 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of. Compliance has been issued by the board of health. Signd ............................................................... ................................ Date A Approved By..... �''"................... ...... PP 1: ca ion ro _. ApPP PPS Date plication Disapproved for,the following reasons:----•--------------- --•--.._..-----------------_..----------•---_._-----------•------------------ 4' ------ -----------------------..------------------------ - --------------•--- Date PermitNo........................................................ Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEA T ........O F..... .... ` s � ` �r��ftrtt�ae aaf f1�a��r�i��trr .44 THIS,,IkTO CERTIFY, Tha he Individual Sewage Disposal System constructed ( ZT or, Repaired ( ) .i...._.... _. •• -- q/ by................. wow' I alley t' � _ ,. / ` '•" at......... �` has been cost led in accordance with. the provision of TI`P 5 of State Sanitary Code as described in the application for..-Disposal Works Construction Permit No. ,: 6'�� .3 --------- dated_...+ '' 1'��........................... THEASSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUN ION SATISFACTORY. n DATE_:: ......... ...... ../ .....--•---• . Inspector---- a THE-COMMONWEALTH OF MASSACHUSETTS. BOARD OF HEALTH No...... ..... FEE...9.P.......... InApo al No ii %Tomi#r ion (rrmit Permission}is hereby granted.......................... `. ... .......... to Constru Repair )--an lchv] age Dl po Syst at No. ----• -------- V-- ------ ... � ; , as shown on the pp for Disposal Works Constructio ermit No ..............:.. Dat .__... _ �` `.s ........ .................... ............ al DATE._ r FORM 1255 HOBBS:& WARREN. -INC., PUBLISHERS .. Date:JO 0-7 /a ,-/ TOWN OF BARNSTABLE TOXIC AND"I- AZ RDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: C J�fCuh -&C-� BUSINESS LOCATION: aDa /C-,✓Lk1i0i/ I,C) hlvti/V/0 INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: �L� :Z-)i " CONTACT PERSON: ��n� S �U�G�� EMERGENCY CONTACT TELEPHONE NUMBER: Sli 6SK oZ0$J MSDS ON SITE? TYPE OF BUSINESS: AOID' INFORMATION/RECOMMENDATIONS: Fire District: Waste Transportation: � Last shipment of hazardous.waste: Name of Hauler 2 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 DisinfectantsCD ram, Engine and radiator flushes Road Salts (Halite) CD q Hydraulic fluid (including brake fluid) Refrigerants Cj Motor Oils Pesticides = i NEW USED (insecticides, he6 i ides, rodentic des) Gasoline, Jet fuel, Aviation gas Photochemicals (Fi ers) Diesel Fuel, kerosene, #2 heating oil NEW USED.- r- 0o M Misc. petroleum products: grease, Photochemicals (Dkeloper) 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, f 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 rrI Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS /AD' �` OWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair 2. Printers BOARD OF HEALTH atisfactory 3.Auto Body Shops Ounsatisfactory- 4.Manufacturers MPANY('NU r' ( a1 (see"Orders") 5.Retai]Stores 6.Fuel Suppliers RESS ZO Z R"V�a � . Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MATERIALS IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline Jet Fuel (A) Diesel, Kerosene, #2(B) Heavy Oils: waste motor oil (C) new motor oil(C) transmission/hydraulic Synthetic Organics: p�A ,degreasers s r Miscellaneous: �w- 1 DISPOSALIRECI.AMATION REMARKS: 1. Sanitary Sewage ter Supply to O Town Sewer � ublic XOn-site OP ' to 3.Indoor Floor Drains YESK.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 : I& O On-site system 5.Waste Transporter .d YES INO ILI 2. An , W� Person(s) Interviewed —� Inspector IYate f o871 1 N C 1917 TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repai satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops �-a unsatisfactory- 4.Manufacturers COMPANY L•Ze / ��L O (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS �4�� Y 4�'t1 04- f_%ass: 7.Miscellaneous C/LvIL'�► QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MAT RIALS 1 . IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) , Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: �J .o' DISPOSALIRECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply � �' O Town Sewer OPublic ' 0 On-site OPrivate 3. Indoor Floor Drains YES_J,/ NO e' O Holding tank:MDC_ w? 0 Catch basin/Dry_well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: 0 Holding tank:MDC O Catch basin/Dry well O On-site system r 4• 5.Waste Transporter Name of Hauler Destination Waste Product YES NO 2. erson(s) Infi-Mriewed Inspector Date le ��n .., P 339 578 707 US P stal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail Seer verse Sent t�t�/T i St PAAst Office,S & ICada/ G�o?i Gr�`fT2 Certified Fee Special Delivery Fee Restricted Delivery Fee u') Return Receipt Showing to Whom&Date Delivered n Return Receipt Showing to Whom, Q Date,&Addressee's Address 0 TOTAL Postage&Fees $ V) Postmark or Date co 12 2� Stick postage stamps to article to cover First-Class postage,certified mall fee,and ` charges for any selected optional services(See front). 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service m window or hand it to your rural carrier(no extra charge). m 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the � return address of the article,date,detach,and retain the receipt,and mail the article. �- U) 3. If you want a return receipt,write the certified mail number and your name and address rn on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. 4. If you want delivery restricted to the addressee, or to an authorized agent of the C addressee,endorse RESTRICTED DELIVERY on the front of the article. M 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. 1 to 6. Save this receipt and present it if you make an inquiry. a -d SENDER: I also wish to receive the o ■Complete items 1 and/or 2 for additional services. M ■Complete items 3,4a,and 4b. following services(for an W. "I Print your name and address on the reverse of this form so that we can return this extra fee): { card to you. ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address permit. $ ■Write'Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery ■The Return Receipt will show to whom the article was delivered and the date t a delivered. Consult postmaster for fee. .L C v 3.Article Addressed to: 4a.Article N?u�m}berr 7 7d ytif iYoL6U1(J�, 4b.Service Type G' ❑ Registered Certified ta N ❑ Express Mail ❑ Insured S G ❑ Return Receipt for Merchandise El COD 7.Da of eliv. Z 7 a 5. ecei ed : ( `N� 8.Addressee's Address(Only if requested and lee is paid) cc 6.Skjoutu . (Addressee or Agent) 0 PS Form 3811, December 1 94 102595-97-13-0179 Domestic Return Receipt UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Perms No.G-10 ® Print your name, address, and ZIP Code in this box O FORC Health 9110C;:on Town of Barnstable PO Box 534 Hyannis, Massachusetts 0260 Fax(508)775-3344 Phone(508)790-6265 I 4! r of Town of Barnstable Department of Health, Safety, and Environmental Services sAMSTABM ' ,0�' Public Health Division A'ED 1A. P.O. Box 534, Hyannis MA 02601 Office: 508-862-4644 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health December 14, 1999 Mr. Richard Bartlett Chauffers Touch 202 Yarmouth Rd., Hyannis, MA 02601 r ORDER TO COMPLY WITH THE BOARD OF HEALTH FLOOR DRAIN REGULATION,PART II,SECTION 1.00 You are hereby notified on September 28, 1999,the Town of Barnstable Board of Health adopted the attached Floor Drain Regulation. All owners/operators of facilities with floor drains connected into a leaching structure have three options: 1. Connect the.floor drain to a holding tank. The tank will need DEP approval. The DEP approves two types of holding tanks for this waste: new installations and conversions of existing structures (e.g. oil/water separators). These tanks are for non-hazardous, industrial wastewater. If solvents, antifreeze, oil and other fluids are washed down the drain,the waste is likely to be hazardous. 2. Connect the floor drain to a municipal sewer system, if available. An oil/water separator is required to be installed under this option. This requires a permit from DEP and the Town of Barnstable Department of Public Works along with the sewer connection application. The amount of discharge shall not exceed ten parts per million(10 PPM). 3. Seal the floor drain. Contact your local plumbing inspector for the appropriate filing form. If choosing this option, all previous discharges to the drain must be eliminated at their source. For example, cars should no longer be washed and floors should no longer be hosed down. Therefore, you are directed to comply with the Board of Health Floor Drain Regulations by informing this department in writing of what your intentions are to comply with the regulation within ten (10) days of receipt of this notice and by completing the work within ninety (90) days. You may request a hearing if written petition requesting same is received within ten(10)days your receipt of this order letter. Failure to comply with an order of the Board of Health may result in a fee of not less than$200, nor more than$1,000.00. Each day of failure to comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean Director of Public Health Enc. Board of Health Floor Drain Regulation cc: Ed Jenkins, Town of Barnstable Plumbing Inspector O Date: � ' �Cf 9 TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: a&cw_74� � Z�a - BUSINESS LOCATION: 2- MAILINGADDRESS: Mail To: TELEPHONE NUMBER: Board of Health Town of Barnstable CONTACT PERSON: P.O. Box 534 EMERGENCY CONTACT T 5 LEPHON/nE�N,,UMBER: Hyannis, MA 02601 TYPEOFBUSINESS: Does your firm store any of the toxic or hazardous materials listed below, either for sale or for you own use? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing / address: ADDRESS: r TELEPHONE: 1 LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity Antifreeze(for gasoline or coolant systems) Drain cleaners NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine /Fiustproofers Lye or caustic soda Car wash detergents Jewelry cleaners IX Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers Any other products with "poison" labels Paint brush cleaners (including chloroform, formaldehyde, Floor& furniture strippers hydrochloric acid, other acids) Metal polishes Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids t (dry cleaners) N Other cleaning solvents Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS TOWN OF BARNSTABLE OMPLlANCE: CLASS: 1.Marine,Gas Stations,Repair nters BOARD OF HEALTH satisfactory 3.2.Auto Body Shops � /� unsatisfactory- 4.Manufacturers COMPANY//e aQ ` (see"Orders") 5.Retail Stores ��// /�� 6.Fuel Suppliers o ADDRESS f a VG#�'Yl.Wi��'T _� ' Class: 1 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: ?c v --caf� DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply O Town Sewer OZublic *On-site OPrivate 3. Indoor Floor Drains YES-X- NO `?cHolding tank: MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES N0->r ORDERS: O Holding tank:MDC 0ca ,S`t_de GL►"du V� prt4,V1 O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product �. S?04''c� YES NO 1. v wtiee.�- 2. Person (s) Interviewed Inspector Date T~OUVI� OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH o satisfactory 2.Printers y� 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY '.NJ,` �1"Y�1 �t. .(a !l .�`cjj� (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS '_. n' �/ ! �Ylr „r 7.;Miscellaneous Class: 1'!A/I QUANTITIES AND STORAGE (IN= indoors;OUT-outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) 0 Diesel, Kerosene, #2 (B) r Heavy,Oils: • waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: f degreasers Miscellaneous: /4-41 , m m DISPOSALIR.ECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply f �-`" / � L tc-, (+ O Town Sewer OPub11C ��t}�' f+) '1.�'-_r -1 yQiOn-site'' OPrivate' / 1 I 3. Indoor Floor Drains YES NO ' " 7 n r�1 t �O,Holding tank:MDC_ p Catch basin/Dry well O On-sites stemIr 4. Outdoor Surface drains:YES NO r't ORDERS' , c y�} Q Holding tank: MDC �1 �/�1�'1 �( id A!L J to --) •t O Catch basin/Dry well O On-sites stem �} 5. Waste Transporter �� ,1!�r�� '�f��" CLI�}.4-•' l°��!'�f ,,1��h'�t� - 1 Name of Hauler Destination Waste Product YES NO 2. Person (s) Interviewed Inspector Date , TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM F BUSINESS: �! i '4 � � -� � � 11t--1 �! '�`,.�(J(��" � , Mail To: NAME O US I Board of Health MAILING ADDRESS: �� %' " � .l� �� /, -� Town of Barnstable y 1 P.O. Box 534 TELEPHONE NUMBER: CONTACT PERSON: � �� J� )/ 11:l I(_�� Hyannis, MA 02601 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered when stored in quantities totalling more than 50 gallons liquid volume or 25 pounds dry weight. Please put a check beside each product that you store: Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Vr Car wash detergents Lye or caustic soda / Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners I White Copy- Health Department/ Canary Copy-Business i TO" OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY fov( (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS elm Class. 7.Miscellaneous 9N)S QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MAT PL411Underground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers O Miscellaneous: a ' WALa UAW/? DISPOSAUJRECLAMATION REMARKS: 1. Sanitary Sewage 2.Vatersuppiy H o L / fA LM P O Town Sewer 3kPublic N 6 �, 0 sire On-site O ri ate �� ( �' 3. Indoor Floor Drains YESNO Holding tank:la• W S() 1RKAC-AD) _ O'C atch basin/Dry well 9 , O On-site system �J 4. Outdoor Surface drains:YES NO O ERS: ° F O Holding tank:MDC ( 0IAL 7 O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product 1AU �� s PA 2. 7n Person (s) Interviewed `Inspec Pat6 �PyoFTNET TOWN OF BARNSTABLE °f OFFICE OF BAHmuBL m BOARD OF HEALTH MAOY,.. i639.pp �1pyp�M� 367 MAIN STREET HYANNIS, MASS. 02601 July 16, 1987 Mr. Richard Bartlett The Chauffeur's Touch 202 Yarmouth Rd. Hyannis, MA 02105 NOTICE M ABATE. VIOLATIQNS U IU Mg 5. 00 , CHAPTER. 21 SECTION A2 Q1 TEE GENERAL LAWS AU SECTION A Q, ARTICLE XXXIX CONTROL Q1 TOXIC &W HAZARDOUS MATERIALS Q1 THE. TOWN QZ BY-LAWS. Your business was inspected by Nancy Leitner, Health Inspector for the Town of Barnstable. You were observed discharging car wash effluent into the ground without a groundwater discharge permit. You were given written notification of this violation on February 27 , 1987 . You are in violation of 314 CMR, 5 . 00 by discharging industrial waste onto the ground or into the ground. Chapter 21 , Section 42, of the General Laws, states that such discharge makes the discharger subject to a daily fine of $10, 000. 00 . In addition, you also appear to be in violation of Section 4 of Article XXXIX, Control of Toxic and Hazardous M terials of the Towns Charter and General By-laws . This viollation subjects you to a fine of 200 . 00 daily. .The violations were explained to you by our ins ector and recommendations for corrective action were give, . A proposed plan, outlining the proposed corrective action, must be submitted to this office within 10 days of receipt of this notice, and violations permanently corrected within 30 days. of receipt of this notice. You may request a hearing before the Board of Health if written petition is received within seven (7) days of receipt of this notice. You are reminded that failure to comply could result in a fine of $200. 00 , daily under the Town By-law and $10 , 000. 00 a day may be imposed on violations' of the General Laws . Very Truly Yours, John M. Kelly Director Board of Health Town of Barnstable i J R ,. C CL 1 .T , AUTO REPAIR i 202 YARMOUTH ROAD HYANNIS, MA 02601 COMPLETE AUTO&TRUCK SERVICE 50&775=4833 f TOXIC ANd HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: A —I A y7-y 6e= PAS � Mail To: BUSINESS LOCATION: 2© � VArM-007# R-P t/Y. A 0�40 t Board of Health MAILING ADDRESS: �'i¢�Ice— Town of Barnstable P.O. Box 534 TELEPHONE NUMBER: 7 7 ,,sr— .y 93 3 Hyannis, MA 02601 CONTACT PERSON: -7—Ii 0 ew A5 4C• AlAeeW EMERGENCY CONTACT TELEPHONE NUMBER: 310a -6 91915 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 fhe 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 re rdless of volume. Please estimate the quantity beside the product that you store: /ot Quantity/Case 5y Quantity/Case 'AI- Antifreeze (for gasoline or coolant systems) Drain cleaners (I'Z 14T Automatic transmission fluid Toilet'cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid including brake fluid) Disinfectants Motor o' aste Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, n Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners �'- (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, EJ 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 '� � Ys r F � ��,�� , '' ��: � �+. . b « � �. � W��. s W i' ::�� ! S. 4 .f I- s�'R � �, ' r � `t�. i - �. f/l �.'� ` 1 a-1 (f ' (� _' ��. ;! , 4 � a e �' �� 1 � „ � • i � s /r' .�� r.r. A r } / �k r .` ��►� s. Y i �.�M` � ` � "�' • �` ` - {} r �i � 4 k,. _ 1a TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HE LTI O satisfactory 2.Printers W' A I j� 3.Auto Body Shops V ` unsatisfactory- 4.Manufacturers COMPANY '' (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS 01 Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN= indoors; OUT=outdoors) MAJOR MAT IALS 1 ,• . , , IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) waste motor oil new motor oil (C) transmissio ydraulic Synthetic Organics: - - degreasers Miscellaneous: </,/)IF o DISPOSAL/RECLAMATION REMARKS: d o 1. Sanitary Sewage 2.Water supply �)L_�1 �° c Town Sewer ublic On-site Q rivate 3. Indoor Floor Drains YES NO VAP4 O �l O Holding tank: MDC G O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO QRDER " O Holding tank:MDCNAA P"00M O Catch basin/Dry well ° O On-site system 5.Waste Transporter Name of Hauler Destination Product YES NO 1. 2. Ai 0 Person(s) Interviewed Inspect` ate ' TOWN OF BARNSTABLE • I 3.COMPLlANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH . o satisfactory Printers � \ 3.Auto Body Shops n 0 unsatisfactory- 4.Manufacturers COMPANY A-1 i (_./ �� 24, " C� (see"Orders") 5.Retail Stores y�l I ( /k 6.Fuel Suppliers ADDRESs��` / i I 1/1 a .Jc Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks I Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) r new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: r DISPOSAIJRECLAMATION RENMKS: �:I—_ 1. Sanitary Sewage 2.Water Supply , V_M a �0 Town Sewer `@Publica ��' YQ O On-site @Private v 3. Indoor Floor Drains YES NO4 O Holding tank: MDC 0 Catch basin/Dry well + O On-site system r l/� �t () �b! Ay Ivi llf 11 T 4. Outdoor Surface drains:YES NO ORDERS- � �. c� 0 Holding tank:MDC ��,� �' I ( �- iW/y'� (-)A O Catch basin/Dry well O On-site system 5. Waste Transporter Name of Hauler Destination Waste Product 2. - Person (s) Interviewed Inspector Date lf4:5 PA-IT N a M EA® No. 2-153LY UPC 12934 smead.com • Made in USA vc� Rib!USED N TH S iROOLO LN SFIman"SOUKNG REQUWjiwm OFTl*SAPROGiM ' CERTIFIED SOURGNG www-WOROCAULORG ZOO/ TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1. Marine,Gas Stations,Repair BOARD RF HE TH satisfactory 2. Printers 0 ry 3.Auto Body Shops to �)L, O unsatisfactory- 4.Manufacturers 1 1_,� (see"Orders") 5.Retail Stores COMPANY *�'` 6.Fuel Suppliers ADDRESS 202_ VW R M0011I .(> Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALSan r6n-oundTanks IN OUT IN I OUT IN OUT #&gallons I e ITest Fuels: /l 10 Gasoline,Jet Fuel (A) / aU Diesel, Kerosene, #2 (B) Heavy Oils: o waste motor oil (C) /0D0 new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: 4( �S 3 `ate _ 10 tbS UA Wbk NO,*V,- DISPOSALIRECIAMATION REMARKS: I 1. Sanitary Sewage W ter Supply / M C O Town Sewer ublicyj U. *n-site OPrivate 3.Indoor Floor Drains YES NO_x_ O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO - MEA1 O Holding tank:MDC — O Catch basin/Dry well ZY� O On-site system 5.Waste Transporter Name of Hauler,' ina i0111 :, •d YES NO �. 2. Pe on(s) Interviewed Inspector Date 55 TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Rei air satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY f ��, (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS d�� f �' Class: / 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Under&n-ound IN OUT IN OUT IN OUT #&gallons Age Test Fuels: -& et Fuel ) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil(C) transmissionvIefAvaalc-, Synthetic Organics: degreasers 7- Miscellaneous. G 0-4z 11 DISPOSALMEC:LAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply �G'� s � O Town Sewer Public a,. , ,,,. ` On-site 0 Private 3. Indoor Floor Drains YES N0� O Holding tank:MDC x " O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES—NO- ORDERS: O Holding tank:MDC -6y �C O Catch basin/Dry well I A O On-site system 4 � 5.Waste Transporter ,y` � ' Name of Hauler Destination Waste Product YES 1-90-111 1. a4 2. t Person()jnterviewed Inspector ci Date lob W c CZ o � . 3 !G C� N cn — P D 0 E TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1. Marine,Gas Stations,Repair BOARD OF HEALTH 2.Printers 0 satisfactory 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANYVORM_13 WHO (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS 2aZ ` ARL40ON � Class: � 7.Miscellaneous QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MATERIALS IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2(B) Heavy Oils: waste motor oil (C) new motor oil(C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: 60 DISPOSALIRECLAMATION REMARKS: _ 1. Sanitary Sewage 2.Water Supply i 1 y OTown Sewer OPublic Talc , s- oto AOn-site OPrivate r fi� 3. Indoor Floor Drains YES NO O Holding tank:MDC O Catch basin/Dry well - LZ 0 On-site system 4. Outdoor Surface drains:YES, NO ORDERS: O Holding tank:MDC O Catch basin/Dry well 0 On-site system 5.Waste Transporter o YES NO 1. 2. Pe n s nterviewed Inspector Dfite TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair O satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY /�-�� (see"Orders") 5.Retail Stores rr�� ^,y��,,pp ��,,,,4C 6.Fuel Suppliers ADDRESS A :, 4fV W `!�6 Z �` 1ass: 7.Miscellaneous L"U-V QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATE IALS Case lots Drums Above Tanks Underground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil(C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: DISPOSAL/RECLAMATION R S: 1.§apitary Sewage 2.Waer Supply Town Sewer y ublic 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 O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product •d YES NO 1. 2. Person (s) Interviewed Inspector Date r August 5, 1998 . Jonathan-Hobill" Regional Engineer Bureau.of Waste Site Clean-up . Department of Environmental Protection Horsley&Witten,Inc. 20 Riverside Drive Lakeville,MA 02347_. Sextant Hill 90 Route sa RE: Property at 202 Yarmouth Road,Hyannis,Massachusetts Sandwich;MA (RTN:4-13202) 02563. Dear Mr:Hobill: (508)833-6600 Horsley&Witten,Inc.(H&W)has prepared this Downgradient Property Status Fax(508)833-315o Submittal for Property at 202 Yarmouth Road,Hyannis,Massachusetts,also known as Robert's Auto Wholesale,in accordance'with requirements specified in the Massachusetts Contingency Plan. Enclosed please.find a B w WSC404.Dongradient Property Status Submittal Form, signed and stamped by Mark Nelson LSP,and our Downgradient Property Status Report for the property dated July:'23,1998.This submittal has been prepared on-behalf of our client,Mr.Douglas E.MacDonald,owner of the.above referenced.property.Mr. MacDonald received'a Notice of Responsibility from the Department of.Environmental Protection dated August 7,1997. Additional certifications;necessary for Downgradient'Property Status, have.been provided by MacDonald in a-letter to the DEP included in Appendix,B.of the attached report. . d This letter is also being sent to abutting upgradient and downgradient property. . owners and operators,owners and operators of known or suspected sources-of the release,and Barnstable municipal officials. If you have any questions please call me at(508)833-6600. Sincerely, HO SLEY.&W=N,INC. Jim Begley Senior Environmental Engineer . Enclosure CC - Douglas MacDonald: 91 Waters Edge Road , Marston Mills,MA 02648 Boston&Sandwich,MA Jonathan Hobill August-5,1998 Page 2 Barnstable Board.of Health P.O.Box 534 Hyannis,MA 02601 ATTN:Tom McKean,Hazardous Waste Coordinator Town of Barnstable 367 Main.Street, Hyannis,MA-02601: ATTN:James Tinsley,Town Manager Barnstable.Municipal Airport Boardman-Polando Field 480 Barnstable Road,2nd Floor Hyannis,-MA 02601 . ATTN:John McDonald,Manager Barnstable Water Company. . 47 Old Yarmouth Road. Hyannis,MA 02601 ATTN George Wadsworth,President Hubbard Oil Company,Inc. P.O.Box 10 Hyannis,MA 02601 _ ATI'N Fred Fournier Nelson Coal.&Oil,Inc. 180 I anou Y gh Roa d, Hyannis, 6 MA 02 01 ATFN:P.Gordon Nelson,Jr.,President .Volta Oil Company 140 Samoset Street P.O.Box 10470 Plymouth,MA.02362 ATTN:Bruce.Garrett,Vice President of Operations Bay.Colony Railroad 76 Main Street Buzzards Bay,MA 02532 ATTN:Larry Genander,Manager Horsley&Witten,Inc.. Massachusetts Department of Environmental Protection t5wbL0-_1IU4 Bureau of Waste Site Cleanup RESPONSE ACTION OUTCOME(RAO) STATEMENT& Release Tracking Number DOWNGRADIENT PROPERTY STATUS TRANSMITTAL FORM 13202 Pursuant to 310 CMR 40.0180(Subpart B),40.0580(Subpart E)&40.l ow(Subpart J) El A. SITE OR DOWNGRADIENT PROPERTY LOCATION: Site Name:(optional) Robert's Auto Wholesale street202 Yarmouth Road Location Aid: City/Town: Hyannis, MA ZIP Code: 02601 Check here if this Site location is Tier Classified. If a Tier 1 Permit has been issued,state the Permit Number. Related Release Tracking Numbers that this Form Addresses: If submitting an RAO Statement,you must document the location of the Site or the location and boundaries of the Disposal Site subject to this Statement. If submitting an RAO Statement for a PORTION of a Disposal Site,you must document the location and boundaries for both the portion subject to this submittal and,to the extent defined,the entire Disposal Site. if submitting a Downgradient Property Status Submittal, you must provide a site plan of the property subject to the submittal and,to the extent defined,the Disposal Site. B. THIS FORM IS BEING USED TO: (check all that apply) FJ Submit a Response Action Outcome(RAO)Statement(complete Sections A,B,C,D,E,F.H,I,J and Q. Check here if this Is a revised RAO Statement. Date of Prior Submittal: Check here if any Response Actions remain to be taken to address conditions associated with any of the Releases whose Release Tracking Numbers are listed above. This RAO Statement will record only an RAO-Partial Statement for those Release Tracking Numbers. Specify Affected Release Tracking Numbers: Submit an optional Phase I Completion Statement supporting an RAO Statement Ior Downgradient Property.Status Submittal (complete Sections A,B,H,i,J,and L). Submit a Downgradient Property Status Submittal(complete Sections A,B,G,H,I,J.and b Q Check-here d this is,a revised Downgradient Property Status Submittal. Date of Prior Submittal:; 0 Submit a Termination of a Downgradient Property at, Submittal(complete Sections A;B i,J and Q. Submit a Periodic Review Opinion evaluating the status of a Temporary Solution(complete Sections A,B,H,1,J and L). Specify one: For a Class C RAO For a waiver Completion Statement indicating a Temporary Solution Provide Submittal Date of RAO Statement or Waiver Completion Statement: You must attach all supporting documentation required for each use of form indicated,including copies of any Legal Notices and Notices to Public Officials required by 310 CMR 40.1400. C. DESCRIPTION OF RESPONSE ACTIONS: (check all that apply) Assessment and/or Monitoring Only Deployment of Absorbant or Contaminent Materials Removal of Contaminated Soils Temporary Covers or Caps Re-use,Recycling or Treatment Bioremediation Q On Site O Off Site Est.V01.: cubic yards Soil Vapor Extraction Describe: El Structure Venting System Landfill O Cover Q Disposal Est.Vol.: cubic yards Product or NAPL Recovery Removal of Drums,Tanks or Containers Groundwater Treatment Systems Describe: ,� Air Sparging Removal of Other Contaminated Media 0 Temporary Water Supplies Specify Type and Volume: El Temporary Evacuation or Relocation of Residents Other Response Actions Fencing and Sign Posting Describe: SECTION C IS CONTINUED ON THE NEXT PAGE. Revised 4/7/95 Supersedes Forms BWSC-004 and 010(n part) Page 1 of 4 Do Not Alter This Form Massachusetts Department of Environ ratection BWSC-104 Bureau of Waste Site Cleanup RESPONSE ACTION OUTCOME (RAO) STATEMENT& Release Tracking Number D DOWNGRADIENT PROPERTY STATUS TRANSMITTAL FORM Pursuant to 310 CMR 40.0180(Subpart B).40.0580(Subpart E)&40.1056(Subpart J) — 13202 C. DESCRIPTION OF RESPONSE ACTIONS: (continued) Check here if any Response Action(s)that serve as the basis for this RAO Statement involve the use of Innovative Technologies. (DEP is Interested in using this information to create an Innovative Technologies Clearinghouse.) Describe Technologies: D. TRANSPORT OF REMEDIATION WASTE: (if Remediation Waste was sent to an off-site facility,answer the following questions) Name of Facility. Town and State: Quantity of Remedlation Waste Transported to Date: E. RESPONSE ACTION OUTCOME CLASS: Specify the Class of Response Action Outcome that applies to the Site or Disposal Site. Select ONLY one Class: Class A-1 RAO: Specify one of the following: 0 Contamination has been reduced to background levels. O A Threat of Release has been eliminated. Class A-2 RAO: You MUST provide justification that reducing contamination to background levels is infeasible. Class A-3 RAO: You MUST provide both an Implemented Activity and Use Limitation(AUL)and justification that reducing contamination to background levels is infeasible. If applicable,provide the earlier of the AUL expiration date or date the design life of the remedy will end: Class B-1 RAO:. Specify one of the following: O :Contamination is consistent with background levels . Q :Contamination is NOT consistent with background levels.... . Class 6-2 RAO:.You MUST provide an implemented AUL If applicable,'provide the AULexpiration date: Class C RAO: Q Check here if you will conduct post-RAO Operation,Maintenance and Monitoring at the Site. Specify One: O Passive Operation and Maintenance O Monitoring Only Q Active Operation and Maintenance(defined at 31MCMR 40.0006) F. RESPONSE ACTION OUTCOME INFORMATION: ❑ If an RAO Compliance Fee is required,check here to certify that the fee has been submitted. You MUST attach a photocopy of the payment. Check here if submitting one or more AULs. You must attach an AUL Transmittal Form(BWSC-113)and a copy of each implemented AUL related to this RAO Statement. Specify the type of AUL(s)below. (required for all Class A-3 RAOs and Class 8-2 RAOs) O Notice of Activity and Use Limitation O Grant of Environmental Restriction Number of AULs attached: Specify the Risk Characterization Methcd(s)used to achieve the RAO described above and all Soil and Groundwater Categories applicable to the Site. More than one.Soil Category and more than one Groundwater Category may apply at a Site. Be sure to check off all APPLICABLE categories,even if more stringent soil and groundwater standards were met. Risk Characterization Method(s)Used: El Method 1 Method 2 Method 3 Soil Category(ies)Applicable: S-1 S-2 S-3 Groundwater Category(ies)Applicable: GW-1 GW-2 GW-3 > When submitting any Class A-1 RAO or a Class B-1 RAO where contamination is consistent with background levels,do NOT specify a Risk Characterization Method. > When submitting any Class A-2 RAO or a Class B-1 RAO where contamination is NOT consistent with background levels,you cannot use an AUL to maintain_a level of no significant risk. Therefore,you must meet S4 Soil Standards,if using Risk Characterization Method 1. Revised 4/7/95 Supersedes Forms BWSC-004 and 010(in part) Page 2 of 4 Do Not Alter This Form i Massachusetts Department of Environmental Protection BWSC-104 Bureau of Waste Site Cleanup RESPONSE ACTION OUTCOME (RAO) STATEMENT$ Release Tracking Number DOWNGRADIENT PROPERTY STATUS TRANSMITTAL FORM ❑ Pursuant to 310 CMR 40.0180(Subpart-B),40.0580(Subpart E)&40.1056(Subpart J) 4 13202 G. DOWNGRADIENT PROPERTY STATUS SUBMITTAL: ❑ If a Downgradient Property Status Submittal Compliance Fee is required,check here to certify that the fee has been submitted. You MUST attach a photocopy of the payment. ❑ Check here if a Release(s)of Oil or Hazardous Material(s),other than that which is the subject of this submittal,has occurred at this property. Release Tracking Number(s): O Check here if the Releases identified above require further Response Actions pursuant to 310 CMR 40.0000. Required documentation for a Downgradient Property Status Submittal includes,but is not limited to,copies of notices provided to owners and operators of both upgradient and downgradient abutting properties and of any known or suspected source properties. H. LSP OPINION: 1 attest under the pains and penalties of perjury that I have personally examined and am familiar with this transmittal form,including any and all documents accompanying this submittal. In my professional opinion and judgment based upon application of(I)the standard of care in 309 CMR 4.02(1),(iQ the applicable provisions of 309 CMR 4.02(2)and(3),and(iii)the provisions of 309 CMR 4.03(5),to the best of my knowledge,information and belief, > if Secdon B indicates that a Downgradient Property Status Submittal is being provided,the response action(s)that is(are)the subject of this submittal()has(have)been developed and implemented in accordance with the applicable provisions of M.G.L.c.21 E and 310 CMR 40.0000,(i) Is(are)appropriate and reasonable to accomplish the purposes of such response action(s)as set forth in 310 CMR 40.0183(2)(b),and(ii)complies(y) with the identified provisions of all orders,permits,and approvals identified in this submittal; > if Sectkn B indicates that either an RAO Statemen4 Phase l Completion Statement and/or periodic Review Opinion is being provided,the response action(s)that is(are)the subject of this submittal(Q has(have)been developed and implemented in accordance with the applicable provisions of M.G.L.c.21 E and 310 CMR 40.0000,(t)is(are)appropriate and reasonable to accomplish the purposes of such response action(s)as set forth in . the.applicable provisions of M.G.L.c.21 E and 310 CMR 40.0000.and(ii)complies(y)with the identified provisions of all orders,permits,and approvals identified in this submittal. I.am aware that significant penalties may result;including,but not limited:to;possible finesaind imprisonment;if I submit information which I know to be , false,inaccurate or materially incomplete. ❑. Check here if the Response-Action(s)on which this opinion is based,if any,are'(were)subject to anywder(s);permft(s)and/."approval(s);. issued by DEP or EPA. If the box is checked,you MUST attach.a statement Identifying the applicable-provisions thereof.. LSP Name: Mark E. Nelson LSP#: 7893 Stamp: OF Telephone: 5 0 8-8 3 3-6 600 Ext.: FAX(optional) 508-833-3150 Signature: Date: /?i-1 G Us r- I. PERSON MAKING SUBMITTAL: Name of Organization: D&S MacDonald .Family Trust Name of Contact: DouR1a5 .E•. MacDonald Title: Street: 91 Waters Edge Road City/Town: Marston Mills State: MA ZIP Code: 02648 Telephone: 508-428-6379 Ext.: FAX:(option) J. RELATIONSHIP TO SITE OF PERSON MAKING SUBMITTAL: (check one) RP or PRP Specify: ta Owner O Operator O Generator O Transporter Other RP or PRP: ❑ Fiduciary,Secured Lender or Municipality with Exempt Status(as defined by M.G.L.c.21 E,s.2) ❑ Agency or Public Utility on a Right of Way(as defined by M.G.L.c.21 E,s.50)) ❑ Any Other Person Submitting This Form Specify Relationship: Revised 4/7/95 Supersedes Forms BWSC-004 and 010(in part) Page 3 of 4 Do Not Alter This Form I S1S t (ltlii[R LpwilK f#a v� s=�rvuv�'nt Bureau of Waste Site Cleanup RESPONSE ACTION OUTCOME (RAO) STATEMENT& Release Tracking Number DOWNGRADIENT PROPERTY STATUS TRANSMITTAL FORM ❑ Pursuant to 310 CMR 40.0180(Subpart B),40.0580(Subpart E)&40.1056(Subpart J) 4 13202 K. CERTIFICATION OF PERSON SUBMITTING DOWNGRADIENT PROPERTY STATUS SUBMITTAL: I, Douglas E. MacDonald ,attest under the pains and penalties of perjury(i)that I have personally examined and am familiar with the information contained in this submittal,including any and all documents accompanying this transmittal form;(0)that,based on my inquiry of the/those individual(s)immediately responsible for obtaining the information,the material information contained herein is,to the best of my knowledge, information and belief,true,accurate and complete;(III)that,to the best of my knowledge,information and belief,I/the person(s)or entity(ies)on whose behalf this submittal is made satisfy(ies)the criteria in 310 CMR 40.0183(2);(iv)that Me person(s)or entity(ies)on whose behalf this submittal is made have provided notice in accordance with 310 CMR 40.0183(5);and(v)that I am fully authorized to make this attestation on behalf of the person(s)or entity(ies)legally responsible for this submittal. I/the person(s)or entity(ies)on whose behalf this submittal Is made istare aware that there are significant penalties,including,but not limited to,possible fines and imprisonment,for willfully submitting false,inaccurate,or incomplete information. By: ��^� Title: (si9 re) Date: For. c% (print name of person or entity recorded in Section 1) Enter address of the person providing certification,if different from address recorded in Section I: Street: City/Town: State: ZIP Code: Telephone: EA: FAX:(optional) L CERTIFICATION OF PERSON MAKING SUBMITTAL: If you are completing only a Downgradient Property Status Submittal,you-do not need to complete this section.of the form. . i, attest under the pains and penalties of perjury(i)that I have personally examined and am familiar with the information contained in this submittal,including any and all documents accompanying this transmittal form,(ii)that,.based on My inquiry of those individuals immediately responsible for obtaining the information,the material information contained in this submittal is,to the best of my . knowledge and belief,true,accurate and complete,and(III)that I am fully authorized to make this attestation on behalf.of the,er City legaliyresponsible for . this submittal. I/the person or entity on whose behalf this submittal-is made_am/is aware that there are significant penalties,,including;but not Limited to possible fines and imprisonment,for willfully submitting false,inaccurate,or incomplete information. By Title: (signature) f For Date: (print name of person'or entity:recorded in Section 1) Enter address of the p_erson providing certification;if different from address recorded in Section I: SUeet: City/Town: State: ZIP Code: Telephone: Ext.: FAX:(optional) YOU MUST COMPLETE ALL RELEVANT SECTIONS OF THIS FORM OR DEP MAY RETURN THE DOCUMENT AS INCOMPLETE. IF YOU SUBMIT AN INCOMPLETE FORM,YOU MAY BE PENALIZED FOR MISSING A REQUIRED DEADLINE,AND YOU MAY INCUR ADDITIONAL COMPLIANCE FEES. Revised 4/7/95 Supersedes Forms BWSC-004 and 016(n part) Page 4 of 4 Do Not Alter This Form e N , Horsley&Witten Inca Sextant Hill - 90 Route 6A Sandwich,MA _ 02563 '(508)833 fi600. ;- Downgradient PropertyStatus Submittal Report Fax(50B)833 3150 1 202 Yarmouth-Road,-Hyannis;-MA R'TN.4-0013202 ' :July 23, 1998 Prepared_•for: Mr. Douglas E MacDonald' } t 91 Waters'Edge Road 4w Marstons Mills; MA 02648 '• Boston&'Sandwich,MA TABLE OF CONTENTS Paa 1.0 INTRODUCTION 1 ' 2.0 FIELD INVESTIGATIONS 1 3.0 LABORATORY RESULTS 4 ' 4.0 ASSESSMENT OF DOWNGRADIENT PROPERTY STATUS 5 APPENDIX A: Laboratory Analyses ' APPENDIX B: Letter from Douglas E.MacDonald to Jonathan Hobill, Massachusetts Department of Environmental 1 Protection, dated July 23, 1998 APPENDIX C: Letter from Gerard M.R. Martin, Massachusetts Department of Environmental Protection, ' dated July 22, 1997 to Mr. John Gralton, KAM Appliance ' LIST OF FIGURES Figure .1. Site Location 2 ' 2: Regional Site Plan 3 LIST OF TABLES Table ' 1. Results of Laboratory Analyses for Standing Water Sample 4 2. Results of Laboratory EPH Analyses for Soil Samples 5 i i � 1.0 INTRODUCTION ' On August 7, 1997,Mr. Douglas E. MacDonald,owner of the property at 202 Yarmouth Road, Hyannis (Figure 1),received a Notice of Responsibility from the Massachusetts Department of Environmental Protection(DEP). The Notice, ' issued in accordance with Massachusetts General Law (M.G.L.) 21E,indicated the DEP had reason to believe that a release of oil and/or hazardous materials had occurred on the subject property currently occupied by Roberts Auto ' Wholesale. The DEP based its opinion on the results of analysis of a groundwater sample collected from a monitoring well,OW-18,located on the subject property (Figure 2). The test result was documented in the report titled "Unit 3 Group, Barnstable Aquifer Protection Project, Phase H-Comprehensive Site Assessment Report" ' dated March 24, 1997, prepared by SEA Consultants, Inc. (SEA report). The test result for OW-18 indicated the groundwater was contaminated with naphthalene ' and total petroleum hydrocarbons (TPH) in excess of applicable Groundwater 1 (GW-1) Standards. Horsley&Witten,Inc. (H&W) was retained by Mr. MacDonald to provide Licensed Site Professional (LSP) services and investigate conditions at 202 Yarmouth Road. H&W reviewed the SEA report and concluded that the. ro er at 202 Yarmouth. P P P tY. Road was downgradient of several known sources of petroleum contamination in groundwater. According to the SEA report, groundwater flows in an easterly direction(Figure 2) in the area toward the Barnstable Water Company Maher well field. ' A field reconnaissance was conducted to evaluate potential on-site sources of ' contamination on the subject property to see if there could be any contribution to groundwater contamination. In addition, H&W collected water and soil samples from the property for analyses during the removal of a septic tank leaching pit that had previously been connected to floor drains in the garage building. 2.0 FIELD INVESTIGATIONS On April 9 1998 H&W staff investigated the property at 202 Yarmouth Road. P � � g P P tY The property is an operating car and boat sales lot with a garage facility mainly ' used for vehicle detail cleaning and display. No signs of dumping or disposal of oil or hazardous materials were present. Downgradient Property Status Submittal July 23, 1998 202 Yarmouth Road Hyannis, MA Page 1 �pv t s Tr' �' �� fix:, x. ¢�N 3 _�, '"3..?t y h,,> �,g3yL� '� r•. � e J R Amy /< k r .t �•s'1 d111 h?� -{F { .xd�„�� f ♦ .. ! r. 3'kr �',.�t ��* x. � „�Y�� ''`�J _.-.... - ...,( ... �.♦ �S' ° �S �! t��5S,,,�� _ +..! ��4 ,� ylC'�� a'r'@_ � 1�g L s J 3%` ♦�' �qi l� �'�-"��j x:1! -+1� .v�. ♦ h U :..� }ram 7'I {� `# '�'.s:2 - % r•.A4. C!� {� 1-.. t�..;� f�, ��tF gGi1+.� _ � .Lx' k �l�Ts `�S' � b�aF... �� , "+r...R"�^• xrP•' � � ye � '- Y. off.,..' x �r l,q.x��♦ s'S� .£'`-. r�.''m ? ��'d t�•1;.,a x ,� }Y �'.t�� v�rY �ry kk � t��-,bu- "-..' t� .:� 1 a. e� . � 9. � t at�" Va 3 J `a1f� F� • +YY�: '+.� - Sc -� Uwe ,�, `♦ p � ':i i `.i L.. a.".�g r �°#-^5 5L " ns v, �y r.�. %i R '�-� `. *3a,< �, �� -� � r'' r r ''� �•� � �3.�*."'- ;.y.�r� t � .c'fv,� .a ': °,. �,&c'. � it �' � -_ � f � �fk :. T �1 -.,-�, 9�1 N �\ ��l° N 1�� i M.♦11 a'k. Y, � � �#� -a�+ Liarat. �',. ,�.r �� ° r't"`,y`g�'i �I7• K�rrt�. '� r`y�`�A4,}i*1 �I ru g 'a $r � .� �'��':� �. � .�, H � w� .b.x w I��'�-��" /' 'ail r ti,y�'•r "�y`3,�'1 a t.k gg I � i � } �l•,] a�� z' X✓3� ��.y,r s�� srti �.- .�� .. t E '+`w y a ?'�"o ��07 xF S tr b� s t�' � � �.�a'-.�: '� �s '� • ([' �� F fi�:'H T �,.u. ''Y�_}�; a+,,v��'� s'�.��^�,�{yg,i,�"?I '�-�°re'�'� _�`si ,.�i�ir ��'.�,C�t "��'C r ..��; ' —_.. ,f j �1: - _„ h�Yi ;•��E�3�?�'�"� r�s•.��;x >�,t"}.t'jx6 i�x�:zy.?t��A?=«-r'S �a `�"'v 1+��'d. U�"4< C°�1Fr��',.C�1J7 eq"N gF�.��SS"`�. Legend Horsley&IMtten,Inc. ' ---LOCUS EnNronmental SerNces NORTH Dow: 23 July IM Figure 1 -Site 0*01o DwinBy: JLC 90 Route th,Sexf�M HIII Checked By: JFS Sendwk:h,MA 02583phone:508,833.60 Location Plan Mph Br• JF9 fare 508.833.3150Scel202 Yarmouth RoadSheet No: 1 OF 1 Revision Date: F v 15' 16' �� I OW-1 4uIj o 0 -1 — E m m z � � � o / NCO-3 CP-3 m Z�o q 3 O U U a � to Sc 06 NORTH W-15 I 1 W-7 Sep mber 19 GM21 Na t alene /I - � T H 51 m /I tOW- 4 GMW- 8 I 199 N � Napt a u /1 0 o i TPH 2.5 m /I Au u 19 6 g r M g EG-3 ° >- Na hal a 4.6 / EE _2 G-5 o N ' T H .5 tng/I I Yq - N�O J�EGI _ y G-1 s� V =mCal om � N � aIt� se ' OTE . TP Tolal PetroleL m Hydro rbons ! n ' 2 Groundw ter Conto rs and An lytical Data from, ® 3 e - by SEA, I c. entitle "Unit 3 roup, Barnstable from, fer J g 3 Protection Project,. ase II - mprehensive Site sessmen zCDw cc cc 0 1 Feet ao1C a W cr m C6 �16 ' b�OfGCP-;)L� bcd9fV bPS2G 11 001.1)ti.CP U:-R!Prj vae eut!i' ,nu;! 3 r:iLrnb' LU2,r plG .rdr- (r PA E itic 31 &-onuqm�p.-,4 CoujoriLla sijq VUSINP91 DWS ILOU��'..LGb6 b H- i0ffl'. b,9fLOJlG(l LU �,4qLOC�i�;002 F4 ., + \ � t .r..- ' -fOYR iie.a.rwI .'y°e2wM.- y.v- c 0 c.,M3 x tv AN op 0 CA W r6 17 VIOU--H (1 5! cu �j cr JF ' EA well OW-18 was located and found to be near the southwest S monitoring ' corner of the property as shown in Figure 2. Based on the SEA report and regional information,OW-18 is located near the upgradient(western)boundary of the property. ' An old septic tank leaching pit was removed from the site on April 9, 1998, as part of a septic system upgrade on the property. The old leaching pit,located ' approximately 20 feet north of OW-18,had been connected to the floor drain system in the garage building. In order to determine if the old leaching pit was a potential source of groundwater contamination,H&W collected a water sample ' from standing water in the leaching pit prior to removal and sampled soil from two locations below the pit following removal. ' Soil samples collected from below the leaching pit were screened for VOCs using the Jar Headspace Method and a Thermo Environmental photo-ionization ' detector (PID). No PID levels above 1 ppm were detected in the soil. Soil samples for laboratory analyses were collected approximately one foot below the elevation of the bottom of the leaching pit. Sample E was collected on the east ' side of the pit and sample W was collected on the west side. Soil and water samples were sent to Groundwater Analytical in Buzzards Bay, 1 Massachusetts for testing. The water sample was tested for Target Compound, ListVolatile Organic Compounds (VOCs) by EPA Method.8260,.and soil samples were tested for VOCs by EPA Method 8260,and Extractable Petroleum ' Hydrocarbons (EPH)by EPA Method 8100 (MADEP Modified). ' 3.0 LABORATORY RESULTS The results of analysis for the leaching pit (LP) standing water sample are ' presented in Table 1. ' Table 1 Results of Laboratory Analyses for Standing Water Sample Parameter Concentration (ug/1) MCP Method 1 GW-1 Standards ' (Groundwater) (ug/1) Toluene 150 1,000 X lens 75 10,000 ' Results of soil analyses indicated that VOCs were below reporting limits in soil Y p g samples collected below the leaching pit. Results of EPH analyses are presented tin Table 2. ' Downgradient Property Status Submittal July 23, 1998 202 Yarmouth Road Hyannis, MA Page 4 i ' Table 2 Results of Laboratory EPH Analyses for Soil Samples Parameter Soil Sample E Soil Sample W MCP Method 1 S- ' 1/GW-1 Standards n-C9 to n-C18 BRL BRL 1,000 ' Aliphatic Hydrocarbons n-C19 to n-C36 46 BRL 2,500 ' Aliphatic Hydrocarbons n-C11 to n-C22 BRL BRL 200 ' Aromatic Hydrocarbons tBRL =below reporting limits Laboratory data sheets are included in Appendix A along with laboratory QA/QC test results. 4.0 ASSESSMENT OF DOWNGRADIENT PROPERTY STATUS The property at 202 Yarmouth Road, Hyannis is located downgradient from several documented release sites including: Volta Oil Company DEP Site No. 4-0026; • Hubbard Oil Company DEP Site 4-0392; ' • Nelson Coal and Oil Company DEP Site 4-0716; • Kitchen Appliance Market(formerly Cotton pickin T's) DEP Site 4-0852; • Bay Colony Railroad (potential 1940s gasoline spill); and 1 • Barnstable r Municipal Airport DEP Site 4-0823. ' Contamination found in groundwater at the subject property appears to be present as a result of releases.of petroleum at upgradient source locations. tH&W's investigation at the subject property indicates that the contaminants seen in groundwater samples from OW-18 are consistent with contaminants seen in upgradient,off property wells (i.e. NCO-3, GMW-21) as documented in the SEA ' report (Figure 2). OW-18 is located near the upgradient boundary of the property indicating an upgradient source. ' Inspection of the property did not indicate that any significant releases of oil and/or hazardous materials were present. Toluene and xylenes detected in the ' standing water in the septic/floor drain leaching pit were found at concentrations less than Method 1 GW-1 standards for groundwater. No VOCs tDowngradient Property Status Submittal July 23, 1998 202.Yarmouth Road Hyannis, MA Page 5 were found in soil samples collected directly below the leaching pit and no significant levels of EPH compounds were found in the soil. , ' The subject property meets the requirements for"Downgradient Property Status" (310 CMR 40.0180). The contamination is carried to the property with ' groundwater flow,from west to east in the area,and does not appear to come from on-site sources. Current operations on the subject property do not appear to have contributed to the identified groundwater contamination. This opinion is ' based on H&W's review of site conditions,information available from the SEA report, H&W's field investigation, and certifications documented in the attached letter from Mr. Douglas MacDonald, dated July 23, 1998 (Appendix B). In ' addition, the Kitchen Appliance Market property, located directly upgradient of the subject property,has established Downgradient Property Status as documented in a letter from the DEP to Mr. John Gralton dated July 22, 1997 ' (Appendix Q. t I Downgradient Property Status Submittal July 23, 1998 202 Yarmouth Road Hyannis, MA Page 6 1 I1 ' 1 � Appendix A t Groundwater Analytical, Inc. GROUNDWATER ANALYTICAL Buzzards Main Street Buzzards Bay, MA 02532 Telephone(508) 759-4441 ' FAX(508)759-4475 ' April 24, 1998 ' Mr. James Begley Horsley & Witten, Inc. 90 Route 6A, Sextant Hill ' Sandwich, MA 02563 Dear Jim: ' Enclosed are the Volatile Organic and Extractable Petroleum Hydrocarbons Analyses performed for the MacDonald project, sampled on 04-09-98. This project was processed for Standard Two Week turnaround. A brief description of the Quality Assurance/Quality Control procedures employed by Groundwater Analytical , and a statement of our state certifications are contained within the - report. This letter authorizes the release of the analytical results and should be considered a part of this I , report. Should you have any questions concerning this report, please do not hesitate to contact me. ' Sincerely, ' Jonathan R. Sanford Vice President JRS awc Enc osures i E I GROUNDWATER E ANALYTICAL ' j EPA METHOD 8260/TCL Volatile Organics (GC/MS) Field ID: LP Lab ID: 20606-01 Project: MacDonald Batch ID: VM1-1244-W Client: Horsley & Witten Sampled: 04-09-98 ' j Cont/Prsv: 40mL VOA Vial/HCl Cool Received: 04-09-98 Matrix: Aqueous Analyzed: 04-23-98 PARAMETER CONCENTRATION REPORTING LIMIT (ug/L) (ug/L) Chloromethane BRL 50 ' Vinyl Chloride BRL 50 Bromomethane BRL 50 Chloroethane BRL 50 ' 1,1-Dichloroethene BRL 25 Acetone BRL 250 Carbon Disulfide BRL 25 Methylene Chloride BRL 25 t trans-1,2-Dichloroethene BRL 25 1,1-Dichloroethane BRL 25 cis-1,2-Dichloroethene BRL 25 2-Butanone BRL 250 ' Chloroform BRL 25 1,1, 1-Trichloroethane - BRL 25 Carbon Tetrachloride BRL 25 Benzene BRL 25 , 1,2-Dichloroethane BRL: , 25 Trichloroethene BRL 25 .1,2-Dichloropropane BRL 25 Bromodichloromethane BRL 25 ' cis-1,3-Dichloropropene BRL 25 4-Methyl-2-Pentanone BRL 250 Toluene 150 25 ' trans-1,3-Dichloropropene BRL 25 1,1,2-Trichloroethane BRL 25 Tetrachloroethene BRL 25 2-Hexanone BRL 250 ' Dibromochloromethane BRL 25 Chlorobenzene BRL 25 Ethylbenzene BRL 25 meta-and para-Xylene 75 25 ' ortho-Xylene BRL 25 Styrene BRL 25 Bromoform BRL 25 ' 1, 1,2,2-Tetrachloroethane BRL 25 QC SURROGATE COMPOUNDS SPIKED MEASURED RECOVERY QC LIMITS Dibromofluoromethane 10 10 96 % 86 - 118 % ' Toluene-d8 10 10 100 % 88 - 110 4-Bromofluorobenzene 10 10 98 % 86 - 115 Elevated reporting limit due to required sample dilution. BRL = Below Reporting Limit. Method Reference: Method 8260 - Volatile Organic Compounds by Gas Chromatography/Mass Spectrometry: Capillary Column Technique, Test Methods for Evaluating Solid Waste, US EPA SW-846, Third Edition (Revised 1992). , Parameter list as specified by the Target Compound List (TCL) of the US EPA Contract Laboratory Program. i 1LMVCNAY13WATER ANALYTICAL EPA METHOD 8260/TCL ' Volatile Organics (6C/MS) Field I0: E ( I'r�'� `� `�� I°`� i�`'`�� Lab ID• 20506-02 ' Project: MacDonald Batch ID: YM1-1243-S Client: Horsley & Mitten Sampled: 04-09-98 Cont/Prsv: 125mL Glass/Cool Received: 04-09-98 ' Matrix: Soil Percent Moisture: 4 % Analyzed: 04-22-98 PARAMETER CONCENTRATION REPORTING LIMIT (ug/K9) (u9/K9) ' Chloromethane BRL 10 RL 10 Vinyl Chloride Bromomethane BRL 10 ' Chloroethane BRL 10 1,1-Dichloroethene BRL 5 Acetone BRL 50 Carbon Disulfide BRL 5 ' Methylene Chloride BRL 5 trans-1,2-Dichloroethene BRL 5 1,1-Dichloroethene BRL 5 cis-1,2-Dichloroethene BRL ' 2-Butanone BRL 50 Chloroform BRL 5 1,1,1-Trichloroethane BRL 5 Carbon .Tetrachloride BRL. 5 ' Benzene BRL 5 l`,2-Di chl oroethane BRL 5 Trichloraethene 1,2-Oichloropropane BRL, 5; ' Bromodichloromethane OR 5 cis--1',3-0ichYoropro pane BRL 4-Methyl,=2-Pentanone BRL, 50. .' K Toluene trans-1,3-Dichloropropene BRL 5 1,1,2-Trichloroethane BRL 5 Tetrachloroethene BRL 5 2-Hexanone BRL 50 ' Dibromochloromethane BRL 5 Chlorobenzene BRL 5 Ethylbenzene BRL 5 meta-and para-Xylene BRL 5 ' ortho-Xylene BRL 5 Styrene BRL 5 Bromoform BRL 5 ' 1,1,2,2-Tetrachloroethane BRL 5 Naphthalene* BRL 5 QC SURROGATE COMPOUNDS SPIKED MEASURED RECOVERY QC LIMITS ' Dibromofluoromethane 5a 50 101 % 80 - 120 % Toluene-d8 50 49 97 % 81 - 117 % 4-Bromofluorobenzene 50 56 112 % 74 - 121 % ' BRL - Below Reporting Limit. *Non-target compound. Concentrations reported on dry sample weight basis. Method Reference! Method 8260 - Volatile organic Compounds by Gas Chromatography/Mass spectrometry! Capillary Column Technique, Low Concentration Purging Method, Test Methods for Evaluating Solid Waste, Us EPA SW-846. Third Edition (Revised 1992). Parameter list as specified by the Target Compound List (TCL) of the US EPA Contract Laboratory Program. 1 ORM90MTER ANALYTICAL EPA METHOD 8260/TCL ' Volatile Organics {6C/MS) Field ID: 11 Lab ID:1 20606-03 Project: MacDonald Batch ID: VM1-1243-g Client: Horsley A Witten Sampled: 04-09-98 Cont/Prsv: 125m1 Glass/Cool Received: 04-09-98 1 Matrix: Soil Percent Moisture: 4 % Analyzed: 04-22-98 PARAMETER CONCENTRATION REPORTING LIMIT (ug/Kg) (ug/Kg) Chloromethane BRL 100 Vinyl Chloride BRL Bromomethane BRL 10 1 Chloroethane BRL 10 1,1-Dichloroethene BRL 5 Acetone BRL 50 Carbon Disulfide BRL 5 1 Methylene Chloride BRL 5 trans-1,2-Di chl oroethene R� 5 1,1-Dichloroethane BR cis-1,2-Dichloroethene BRL 5 1 2-Butanone BRL 50 Chloroform BRL 5 1,1,1-Trichloroethane BIRL 5 Carbon Tetrachloride BRL 5 1 Benzene . BRL 5 1,2-Di'ch.loroethane BR.L > _ 5 Trichloroethene Lit=Dichloropropane BRL` 5. 1 <,Bromod-i chl oromethane 1 BRL ,. 5' cis-1 341chloropropene BRL': 5 4=Methyl-2.-P.entanone 6RL 55 1{ a•9 Toluene BRL 5 1 trans-1,3-Dichloropropene BRL - 5' 1,1,2-Trichloroethane BRL 5 Tetrachloroethene BRL 5 1 2-Hexanone BRL 50 Dibromochloromethane 8RL 5 Chlorobenzene BRL 5 Ethylbenzene BRL 5 1 meta-and para-Kyiene BRL 5 ortho-Xylene BRL 5 Styrene BRL 5 Bromoform BRL 5 ' 1,1 ,2,2-Tetrachloroethane BRL 5 Naphthalene* BRL 5 QC SURROGATE COMPOUNDS SPIKED MEASURED RECOVERY QC LIMITS 1 Dibromofluoromethane 50 52 42 10g44 � 881 -0 120 117 % Toluene-d8 50 4-$romofluorobenzene 50 54 107 % 74 - 121 % BRL = Below Reporting Limit. *Ron-target compound. Concentrations reported on dry Semple weight basis. Method Roference: Method RHO - volatile Organic Compounds by Gas Chromatography/Mass Spectrosretry; Capillary Column Technique, Low Concentration Purging Method, Test Methods for Evaluating Solid Waste, US ' EPA SY-646, Third Edition (Revised 1992). Parameter list as specified by the Target Compound List (TCL) of the JS EPA Contract Laboratory Program. 1 1 i I GROUNDWATER ANALYTICAL Massachusetts DEP EPH Method ' Extractable Petroleum Hydrocarbons by GC/FID Field ID: E Laboratory ID: 20606-04 ' Project: MacDonald QC Batch ID: EP-0368-M Client: Horsley&Witten Sampled: 04-09-98 Container: 120 mL Glass Received: 04-09-98 Preservation: Cool Extracted: 04-13-98 Matrix: Soil Analyzed: 04-23-98 % Moisture:. 5 Dilution Factor: Aliphatic:1 Aromatic:1 EPH Ranges Cnttcet~traton Untts Reporting �m�t n-C9 to n-C18 Aliphatic Hydrocarbons t BRL mg/Kg 30 n-C19 to n-C36 Aliphatic Hydrocarbons t 46 mg/Kg 30 n-C11 to n-C22 Aromatic Hydrocarbons' BRL mg/Kg 30 ' Unadjusted n C11 to n-C22 Aromatic Hydrocarbons t BRL mg/Kg 30 QG Surrogate=�ompounds Recovery QC LErttts' Fractionation: 2-Fluorobiphenyl 70 % 40- 140 % ' 2-Bromonaphthalene 68 % 40-140 _ Extraction: Chloro-octadecane 55 % 40-140% ortho-Terphenyl 71 % 40- 140 ' --- A/WC'Certtf�catron All QA/QC procedures required by the method were followed. All performance or acceptance standards for the required QA/QC procedures were achieved,except as may be noted on this data report or in the accompanying project narrative and project quality ' control report. Microwave accelerated solvent extraction was used as an alternative extraction procedure. I Method Reference: Method for the Determination of Extractable Petroleum Hydrocarbons,MA DEP(1998). Results are calculated on a dry weight basis. Report Notations: BRL Indicates concentration,if any,is below reporting limit for analyte. Reporting limit is the lowest concentration that can be reliably quantified under routine laboratory operating conditions. Reporting limits are adjusted for sample dilution,percent moisture and sample size. t Hydrocarbon range data excludes concentrations of any surrogate(s)and/or internal standards eluting in that range. ' 0 n-C11 to n-C22 Aromatic Hydrocarbons range data excludes the method target analyte concentrations. ' Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 i I GROUNDWATER ANALYTICAL ' i Massachusetts DEP EPH Method Extractable Petroleum Hydrocarbons by GC/FID ' Field ID: W Laboratory ID: 20606-05 Project: MacDonald QC Batch ID: EP-0368-M ' Client: Horsley&Witten Sampled: 04-09-98 Container: 120 mL Glass Received: 04-09-98 Preservation: Cool Extracted: 04-13-98 ' Matrix: Soil Analyzed: 04-23-98 Moisture: 4 Dilution Factor: Aliphatic:1 Aromatic:1 EPH Ranges_. .,....; .. . Concehtration, Units Reportmghmit' n-C9 to n-C18 Aliphatic Hydrocarbons t BRL mg/Kg 30 ' n-C19 to n-C36 Aliphatic Hydrocarbons t BRL mg/Kg 30 n-C11 to n-C22 Aromatic Hydrocarbons' BRL mg/Kg 30 Unadjusted n-C11 to n-C22 Aromatic Hydrocarbons t BRL mg/Kg 30 ' QC Surrogate,Compounds Recovery QC Ltrri�ts Fractionation: 2-Fluorobiphenyl 68 % 40- 140% 2-Bromonaphthalene 70 % 40- 140% ' Extraction: Chloro-octadecane 68 % 40- 140 % ortho-Terphenyl 69 % 40- 140 % A/ G Certifecatron Q:. Q, All QA/QC procedures required by the method were followed. All performance or acceptance standards for the required QA/QC procedures were achieved,except as may be noted on this data report or in the accompanying project narrative and project quality control report. Microwave accelerated solvent extraction was used as an alternative extraction procedure. ' Method Reference: Method for the Determination of Extractable Petroleum Hydrocarbons,MA DEP(1998). Results are calculated on a dry weight basis: Report Notations: BRL Indicates concentration,if any,is below.reporting limit for analyte. Reporting limit is the lowest concentration that can be reliably quantified under routine laboratory operating conditions. ' Reporting limits are adjusted for sample dilution,percent moisture and sample size. t Hydrocarbon range data excludes concentrations of any surrogate(s)and/or internal standards eluting in that range. 0 n-C11 to n-C22 Aromatic Hydrocarbons range data excludes the method target analyte concentrations. ' Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 ' f , - i GROUNDWATER ' ANALYTICAL QUALITY ASSURANCE Project Narrative Project: MacDonald Lab ID: 20606 ' Client: Horsley & Witten Received: 04-09-98 ' A. Physical Condition of Sample(s) This project was received by the laboratory in satisfactory condition. The ' sample(s) were received undamaged in appropriate containers with the correct preservation. ' B. Project Documentation This project was accompanied by satisfactory Chain of Custody documentation. ' The sample container label (s) agreed with the Chain of Custody. C. Analysis of Sample(s) No analytical anomalies or non-conformances were noted by the laboratory during the processing of these samples. All data contained within this report are released without qualification. 228 Main Street GROUNDWATER ANALYTICAL Telephone Bay,MA 75�1 AND WORK CUSTODY RECORD Telephone AND WORK ORDER N° 26798 FAX(508)759-4475 Project Name: Firm: /t/� D Hers �) a TURNAROUND ANALYSIS REQUEST /� tGeG �7�A�� R�7TS/ GruG �>1'Y'en�i}'n.e. , Project Number. Address: Id STANDARD(16 Business Days) V6111 semlvot■uta■ p•.tmerbmc6e WWIIWWIIPeb■I■um roweon N� oetar■1 set ErN■cLbM vol E.ltvR va w■.r. ek.mt■vy n, //�� / / ❑ PRIORITY(5 Business Days) z 90 kxz. (j/t ❑ RUSH(RAN- ) � � r�$ ��! _ m � (Rush NO W=Rich Autltod:■tlon Number) �N � � � y� l� 4 Sampler Name: City/State/Tip: Please FAX ❑ YES ❑ NO @ pp N .�G�'^ ry r/ J I o ° a ° ° 2.0 a f� 05 ensen >�rt c�i(r<1 r(/) D�$�6 3 FAX Number. 3 Project Manager: Telephone: BILLING w w a 508 733 66 Purchase Order No.: GWA Reference No.: ° ° 0 ° INSTRUCTIONS:Use separate line for each container(except replicates). 0 LL ¢ ° o — t= 1 ° Sampling oa _ ma ° 'a atrix Type Containe Prearvlon Filtered 0 S ° o - ° n SAMPLE u z F Ru LABORATORY a ¢ g i W W IDENTIFICATION ¢ g > H NUMBER Zj x W a co (Lob Use Only) ,I $ — o o 41, 8 70 L. 3 a a ° a a a ° ° ° o a 09010 '° 0 a ° 0 o K ° o ° ° a ° a ° a " 2-0 —O 1 9 9$ 02 b� x 4 9 9°S w �C X � 1 Og �C x EIII REMARKS/SPECIAL INSTRUCTIONS DATA QUALITY OBJECTIVES CHAIN-OF-CUSTODY RECORD 1 I Q�, Regulatory Program Project Specific OC NOTE:All samples submitted subject to Standard Terms and Conditions on reverse hereof. Shl In Airbill Numb vJC "�,l- T✓ Many regulatory programs and EPA methods require projectapeciflc OC. pp ❑Safe Drinking Water Act Project speGik OC includes Sample Duplicetes,Matrix Spikes, or Relinquished S ter. Dat Tigtalp Received by: Matrix Spike Duplicates,laboratory OC is nofprdject specific unless 1 t t-� w ❑NPOES/Clean Water Act prearranged.Project apeeif1c OC samples are charged on a per sample 9 ❑RCRAIHaz.Waste Char. basis.For water samples,each MS,MSD and Sample Duplicate requires an additional sample aliquot. Relinquished by: Date Time Rece ❑MA MCP(310 CMR 40) ived by: Custody Seal Numbs - Reportable Concentrations Project Specific OC Required Selection of OC sample d ❑RCG W-1 ❑RCS-1 ❑Sample Duplicate ❑Selected by laboratory Relinquished by: D to Time Bosew'a by Laboratory: ❑RCGW-2 O RCS-2 ❑Matrix Spike ❑Please use sample: �r/� '1r�J J'L) Cooler Serial Numbe ❑Other: ❑Matrix Spike Duplicate Method of Shipment: GWA Courier❑(express Mail ❑Federal x s - ❑UPS ❑Hand ❑ GROUNDWATER ANALYTICAL QUALITY ASSURANCE QA/QC Program Statement Groundwater Analytical conducts an active Quality Assurance program to ensure the production of high quality, valid data. This program closely follows the guidance provided by Interim Guidelines and Specifications for Preparing Quality Assurance Project Plans, US EPA QAMS-005/80 (1980), and Test Methods for Evaluating Solid Waste, US EPA SW-846, Third Edition (Revised 1992) . ' Quality Control protocols include Standard Operating Procedures (SOPS) developed for each analytical method. SOPS are derived from US EPA methodologies and other established references. Equipment and facility maintenance conform to Good Laboratory Practices (GLPs) . Standards are ' prepared from commercially obtained reference materials of certified purity, and documented for traceability. Quality Assessment protocols for most organic analyses include a minimum of ' one calibration standard, one method blank, one laboratory control sample, and one matrix spike and one sample duplicate for each sample batch. All samples, standards, blanks, laboratory control samples and matrix spikes are spiked t with internal standards and surrogate compounds. GC/MS systems are tuned to BFB ion abundance criteria daily, or for each 12 hour operating period, whichever is more frequent. ' Quality Assessment protocols for most inorganic analyses include a minimum of one calibration standard, one method blank, one laboratory control sample, one matrix spike and one sample duplicate for each sample batch. Standard curves are derived from one reagent blank and four concentration levels. Curve L validity is verified by standard recoveries: within plus or minus ten percent of the curve. Batches are used as the basic unit for Quality' Assessment. A Batch is defined as twenty or fewer samples which are analyzed together with the same method sequence and the same lots of reagents and with the same manipulations common to each sample within the same continuum of time within a 24 hour period. ' Method Blanks are used to assess the level of contamination present in the analytical system. Method Blanks consist of reagent water or an aliquot of sodium sulfate. Method Blanks are taken through all the appropriate steps of an analytical method. Sample data reported is not corrected for blank ' contamination. Laboratory Control Samples are used to assess the accuracy of the analytical 1 method. A Laboratory Control Sample consists of reagent water or sodium sulfate spiked with a group of target compounds representative of the method analytes. Accuracy is defined as the degree of agreement of a measured value with the true or expected value. Percent Recoveries for the Laboratory ' Control Sample are calculated to assess accuracy. Surrogate Compounds are used to assess the effectiveness of the method in ' dealing with each sample matrix. Surrogate Compounds are organic compounds which are similar to organic analytes of interest in chemical behavior, but which are not normally found in environmental samples. Percent Recoveries are calculated for each Surrogate Compound. GROUNDWATER ANALYTICAL ' QUALITY ASSURANCE Laboratory Control Sample Recovery ' Category: EPA Method 8260/Low Level Purging Batch ID: VM1-1243-SL ' Matrix: Soil Units: ug/Kg Laboratory Control Sample ' SPIKE SPIKED PERCENT QC ANALYTE ADDED RESULT RECOVERY LIMITS ' 1,1 Dichloroethene 50 60 120 % 59 172 Benzene 50 53 107 % 66-142 Trichloroethene 50 53 107 % 62-137 ' Toluene 50 53 107 % 59-139 Chlorobenzene 50 51 102 % 60-133 All calculations performed prior to rounding. Quality control Limits are defined by the methodology, or ' alternatively based upon the historical average recovery plus or minus three standard deviation units. r GROUNDWATER E 1 ANALYTICAL QUALITY ASSURANCE Method Blank Category: EPA Method 8260/Low Level Purging Batch ID: VM1-1243-SB i Matrix: Soil Units: ug/Kg f PARAMETER CONCENTRATION REPORTING LIMIT ' (ug/Kg) (ug/Kg) Chloromethane BRL 10 Vinyl Chloride BRL 10 1 Bromomethane BRL 10 Chloroethane BRL 10 1,1-Dichloroethene BRL 5 Acetone BRL 50 ' Carbon Disulfide BRL 5 Methylene Chloride BRL 10 trans-1,2-Dichloroethene BRL 5 ' Methyl tert-butyl Ether * BRL 5 1,1-Dichloroethane BRL 5 cis-1,2-Dichloroethene BRL 5 2-Butanone BRL 50 Chloroform BRL 5 1,1,1-Trichloroethane BRL 5 Carbon Tetrachloride BRL 5 Benzene BRL 5 1,2-Dichloroethane BRL 5 Trichloroethene BRL 5 1,2-Dichloropropane BRL 5 Bromodichloromethane BRL 5. cis-1 ,3-Dichloropropene BRL 5 4-Methyl-2-Pentanone BRL 50 Toluene BRL 5 ' trans-1,3-Dichloropropene BRL 5 1,1,2-Trichloroethane BRL 5 Tetrachloroethene BRL 5 2-Hexanone BRL 50 ' Dibromochloromethane BRL 5 Chlorobenzene BRL 5 Ethylbenzene BRL 5 meta-and Para-Xylene BRL 5 t ortho-Xylene BRL 5 Styrene BRL . 5 Bromoform BRL 5 1,1,2,2-Tetrachloroethene BRL 5 ' QC SURROGATE COMPOUNDS SPIKED MEASURED RECOVERY QC LIMITS Dibromofluoromethane 50 50 100 % 70 - 121 ' Toluene-d8 50 49 98 % 84 - 138 4-Bromofluorobenzene 50 49 98 % 59 - 113 ' BRL = Below Reporting Limit. * Non-target compound. Concentrations reported on dry sample weight basis. Method Reference: Method 8260 - volatile Organic Compounds by Gas Chromatography/Mass Spectrometry: ' Capillary Column Technique, Low Concentration Purging Method, Test Methods for Evaluating Solid Waste, US EPA SW-846, Third Edition (Revised 1992). Parameter list as specified by the Target Compound List (TCL) of the US EPA Contract Laboratory Program. t GROUNDWATER ANALYTICAL QUALITY ASSURANCE Laboratory Control Sample Recovery ' Category: EPA Method 8260 ' Batch ID: VM1-1244-WL Matrix: Aqueous Units: ug/L Laboratory Control Sample SPIKE SPIKED PERCENT QC ' ANALYTE ADDED RESULT RECOVERY LIMITS 1,1 Dichloroethene 10 14 139 % 61-145 Benzene 10 12 119 % 76-127 ' Trichloroethene 10 12 115 % 71-120 Toluene 10 12 121 % 76-125 Chlorobenzene 10 11 114 % 75-130 1 1 All calculations performed prior to rounding. Quality Control Limits are defined by the methodology, or ' alternatively based upon the historical average recovery plus or minus three standard deviation units. f GROUNDWATER ' ANALYTICAL QUALITY ASSURANCE Method Blank 1 Category: EPA Method 8260/TCL Batch ID: VM1-1244-WB1 ' Matrix: Aqueous PARAMETER CONCENTRATION REPORTING LIMIT (ug/L) (ug/L) ' Chloromethane BRL 0.5 Vinyl Chloride BRL 0.5 Bromomethane BRL 0.5 Chloroethane BRL 0.5 1,1-Dichloroethene BRL 0.5 Acetone BRL 5.0 ' Carbon Disulfide BRL 5.0 Methylene Chloride BRL 2.0 trans-1,2-Dichloroethene BRL 0.5 Methyl tert-butyl Ether * BRL 0.5 ' 1,1-Dichloroethane BRL 0.5 cis-1,2-Dichloroethene BRL 0.5 2-Butanone BRL 5.0 Chloroform BRL 0.5 ' 1,1,1-Trichloroethane BRL 0.5 Carbon Tetrachloride BRL 0.5 Benzene BRL 0.5 1,2-Dichloroethane BRL 0.5 ' Trichloroethene BRL 0.5 . 1,2-Dichloropropane BRL 0.5 Bromodichloromethane BRL 0.5 cis-1,3-Dichloropropene BRL 0.5. ' 4-Methyl-2-Pentanone BRL 5.0 Toluene BRL 0.5 trans-1,3-Dichloropropene BRL 0.5 ' 1,1,2-Trichloroethane BRL 0.5 Tetrachloroethene BRL 0.5 2-Hexanone BRL 5.0 Dibromochloromethane BRL 0.5 1 Chlorobenzene BRL 0.5 Ethylbenzene BRL 0.5 meta-and para-Xylene BRL 0.5 ortho-Xylene BRL 0.5 Styrene BRL 0.5 ' Bromoform BRL 0.5 1,1,2,2-Tetrachloroethane BRL 0.5 ' QC SURROGATE COMPOUNDS SPIKED MEASURED RECOVERY QC LIMITS Dibromofluoromethane 10 10 96 % 86 - 118 ' Toluene-d8 10 10 98 % 88 - 110 4-Bromofluorobenzene 10 10 100 % 86 - 115 ' Reduced reporting limit achieved by using 25mL purge volume. BRL = Below Reporting Limit. Method Reference: Method 8260 - Volatile organic Compounds by Gas Chromatography/Mass Spectrometry: Capillary ' Column Technique, Test Methods for Evaluating Solid Waste, US EPA SW-846, Third Edition (Revised 1992). Parameter list as specified by the Target Compound List (TCL) of the US EPA Contract Laboratory Program. 1 i i GROUNDWATER ANALYTICAL ' QUALITY ASSURANCE Laboratory Control Sample Recovery ' Category: EPA Method 8100 (MA DEP Modified) ' Batch ID: EP-0368-M Matrix: Soil Units: mg/Kg ' Laboratory Control Sample SPIKE SPIKED PERCENT QC ' ANALYTE ADDED RESULT RECOVERY LIMITS n-C 9 5.0 2.2 44 % 40-140 n-C 14 5.0 2.3 46 % 40-140 ' n-C 19 5.0 3.2 65 % 40-140 n-C 20 5.0 3.4 69 % 40-140 n-C 28 5.0 3.2 63 % 40-140 1 All calculations performed prior to rounding. Quality Control Limits are defined by the methodology, or ' alternatively based upon the historical average recovery plus or minus three standard deviation units. GROUNDWATER ' ANALYTICAL QUALITY ASSURANCE Method Blank Category: EPA Method 8100 (MA DEP Modified) Batch ID: EP-0368-M ' Matrix: Soil Extractable Petroleum Hydrocarbons ' PARAMETER CONCENTRATION REPORTING LIMIT (mg/Kg) (mg/Kg) ' n-C 9 to n-C 18 Aliphatics BRL 30 n-C 19 to n-C 36 Aliphatics BRL 30 n-C 11 to n-C 22 Aromatics * BRL 30 ' QC SURROGATE COMPOUND SPIKED MEASURED , RECOVERY QC LIMITS ' Chloro-octadecane 4.0 2.0 51 % 40 - 140 o-Terphenyl 4.0 2.8 70 % 40 - 140 I BRL = Below Reporting Limit. * = Reported concentration excludes targeted Polynuclear Aromatic Hydrocarbon analytes. Calculations based on dry sample weight. Method Reference: Method 8100 (Modified) - ' Polynuclear Aromatic Hydrocarbons, Test Methods for Evaluating Solid Waste, US EPA SW-846, Third Edition (1986). Modified in accordance with the Method for the Determination of Extractable Petroleum Hydrocarbons, MA DEP, Public Comment Draft 1.0 (1995) and Issues Paper: Implementation of VPH/EPH Approach, MA DEP (1996). Reported parameter list abbreviated to exclude the targeted Polynuclear Aromatic Hydrocarbon analytes. GROUNDWATER ANALYTICAL 1 QUALITY ASSURANCE State Certification ' CONNECTICUT Certificate Number Department of Health Services PH-0586 t Potable Water, Wastewater/Trade Waste, Sewage/Effluent, and Soil: Purgeable Halocarbons, Purgeable Aromatics, Pesticides, Phenols, Oil and Grease, Aluminum, Antimony, Arsenic, Beryllium, Cadmium, Chromium-T, Chromium-VI, Cobalt, Copper, Iron, Lead, Magnesium, Manganese, Mercury, Nickel, Potassium, Selenium, Silver, Sodium, Thallium, Tin, Vanadium, Zinc, Cyanide, TDS, Ammonia, TKN, Nitrate, ' Ortho-Phosphate, Alkalinity, Hardness, Chloride, Fluoride, pH, Conductivity MAINE Certificate Number Department of Human Services N/A , Reciprocal certification in accordance with Massachusetts certification for drinking water parameters. MASSACHUSETTS Certificate Number ' Department of Environmental Protection MA103 Potable Water: Antimony, Arsenic, Barium, Beryllium, Cadmium, Chromium, Copper, Lead, Mercury, Nickel, Selenium, Silver, Sodium, Thallium, Nitrate-N, Fluoride, Cyanide, Calcium, Total Alkalinity, Total Dissolved Solids, pH, Langelier Index, Trihalomethanes, Volatile Organic Compounds, 1,2-Dibromoethane, ' 1,2-Dibromo-3-chloropropane. Non-Potable Water: Aluminum, Antimony, Arsenic, Beryllium, Cadmium, Chromium, Cobalt, Copper, Iron, Lead, Manganese, Mercury, Molybdenum, Nickel, Selenium, Silver, Strontium, Thallium, Titanium, Vanadium, Zinc, pH, Specific Conductivity, Total Dissolved Solids, Total Hardness, Calcium, Magnesium, Sodium, Potassium, Total Alkalinity, Chloride, Fluoride, Ammonia-N, Nitrate-N, ' Kjeldahl-N, Orthophosphate, Total Cyanide, Oil and Grease, Total Phenolics, Volatile Halocarbons, Volatile Aromatics, Chlordane, Aldrin, Dieldrin, DOD, DDE-, DDT, Heptachlor, Heptachlor Epoxide, Polychlorinated Biphenyls (Water), Polychlorinated.Biphenyls (Oil). MICHIGAN t Certificate Number , ' Department of Public Health N/A Drinking Water: Antimony, Arsenic,. Barium, Beryllium, Cadmium, Chromium, Copper, Cyanide, Fluoride, Lead, Mercury, Nickel, Nitrate, Nitrite, Selenium, Silver, Sodium, Sulfate, Thallium, Total Trihalomethanes, , Regulated and Unregulated Volatile Organic Chemicals. NEW HAMPSHIRE Certificate Number , Department of Environmental Services 202791-A/B Drinking Water: Lead, Selenium, Silver, Thallium, Trihalomethanes, Volatile Organics, Antimony, Arsenic, Barium, Beryllium, Cadmium, Chromium, Copper, Mercury, Nickel, Fluoride, Total Filterable Residue, Calcium, Alkalinity, pH, Corrosivity, Total Cyanide, Vinyl Chloride, DBCP and EDB. Wastewater: Arsenic, ' Beryllium, Cadmium, Cobalt, Copper, Iron, Mercury, Manganese, Nickel, Lead, Selenium, Zinc, Antimony, Silver, Thallium, Molybdenum, Strontium, pH, Total Hardness, Calcium, Sodium, Potassium, Total Alkalinity, Chloride, Fluoride, Nitrate-N, TKN, Orthophospates, Total Phenolics, Oil & Grease, PCBs in Oil, t Pesticides, Volatile Organics, Titanium, Total Cyanide, PCBs in Water. RHODE ISLAND Certificate Number Department of Health - A54 ' Potable Water: Antimony, Arsenic, Barium, Beryllium, Cadmium, Chromium, Copper, Lead, Mercury, Nickel, Selenium, Silver, Thallium, Nitrate, Nitrite, Fluoride, Turbidity, Chlorine, Total Filterable Solids, Calcium, pH, Alkalinity, Sodium, Corrosivity, Sulfate, Cyanide, Trihalomethanes, Chlorinated Hydrocarbon ' Pesticides, PCBs, Herbicides, Volatile Organic Compounds (EPA 524.2 and 504) and PAHs. Non-potable and Waste Waters: Aluminum, Arsenic, Beryllium, Cadmium, Cobalt, Chromium, Copper, Iron, Mercury, Manganese, Nickel, Lead, Selenium, Vanadium, Zinc, Antimony, Silver, Thallium, Molybdenum, Strontium, Titanium, pH, Conductance, TDS, Hardness, Calcium, Magnesium, Sodium, Potassium, Alkalinity, Chloride, Fluoride, ' Sulfate, Ammonia, Nitrate, Orthophosphate, TKN, Total Phosphorous, Cyanide, Non-filterable solids, Oil and Grease, Total Phenolics, Chlorine, PCBs in Water, PCBs in Oil, Chlorinated Hydrocarbon Pesticides, Volatile Halocarbons, Volatile Aromatics, Acid Extractables and Base/Neutral Extractables. ' 1 1 1 1 1 1 � Appendix B 1 � ' Douglas E. MacDonald 91 Waters Edge Road ' Marstons Mills, MA 02648 July 23, 1998 ' Jonathan Hobill Regional Engineer Bureau of Waste Site Clean-up 20 Riverside Drive Lakeville, MA 02347 ' RE: Property at 202 Yarmouth Road, Hyannis, Massachusetts (RTN: 40013202) ' Dear Mr. Hobill: ' I received a Notice of Responsibility from the Department of Environmental Protection dated August 7, 1997,regarding the above property. According to the DEP letter, I was notified of my responsibility because I allowed SEA consultants to put a monitoring well on my property for an investigation they were undertaking because ' of releases of petroleum on upgradient properties. When the well was tested by SEA, groundwater contamination was found, similar to that found upgradient, and I was sent a Notice of Responsibility because of that groundwater contamination. I was unaware of the groundwater contamination until I received the Notice from the DEP. I have hired Horsley &Witten, Inc. including an LSP, to investigate this matter as required by the Notice. The property at 202 Yarmouth Road, Hyannis, Massachusetts is mainly used for auto and boat sales. The floor ' drains in the building were sealed a number of years ago, and Horsley& Witten has conducted the appropriate testing associated with the removal of the leaching pit formerly connected to the floor drain and septic system. All actions have been in compliance with the MCP regulations. A new septic system has been installed in a new location with Town of Barnstable approval. Horsley &Witten Inc. has determined that pollution found in the ' groundwater below my property comes from upgradient sources. These sources include Volta Oil Co., DEP Site 4-0026, Hubbard Oil Co., DEP Site 4-0392,Nelson Coal and Oil.Co., DEP Site 4-0716, Kitchen Appliance ' Mart (formerly Cotton Pickin Tees), DEP Site 4-0852, Old Colony Railroad, and Barnstable Municipal Airport, DEP Site 4-0823. I Douglas E. MacDonald ' 91 Waters Edge Road Marstons Mills, MA 02648 ' i I have no affiliation with any of these upgradient properties. I will be pleased to allow access to my property, upon reasonable notice, to anyone conducting response actions under the MCP regulations, provided I am supplied test results in a timely manner and provided ' copies of all reports generated relative to the response actions. I expect that I will not be sent any further Notices of Responsibility if these ' response actions continue to find contamination on my property from upgradient sources. Sincerely, D uglas E. MacDonald 1 1 � Appendix C T'<'Z'.m 1 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL DEPARTMENT OF ENVIRONMENTAL FCI)t 8 j SOUTHEAST REGIONAL OFFICE b WILLIAM F. WELDUDY COX j Governor ,05 8 SecRal l 199� ARGEO PAUL CELLUCCI B. STRUM LL Governor lCommissionsDPY ' t I July 22, 1997 - Mr. John Gralton RE: BARNSTABLE--WSC/SMP/RTN-4-0852 KAM Appliance Former Cotton Pick'n Tees 201 Old Yarmouth Road 201 Old Yarmouth Road Hyannis, Massachusetts 02601 DOWNGRADIENT PROPERTY STATUS M.G.L. c.21E and MCP, 310 CMR 40 .0000 Dear Mr. Gralton: On April 7, 1997, the Department of Environmental,, Protection, Bureau .of, Waste Site, Cleanup (the Department) received a report titled "Unit 3 Group, ;Barnstable Aquifer Protection Project, Phase II; Comprehensive Site Assessment Report" (the Phase II. Report) dated March 24, 1997, prepared by SEA Consultants, Incorporated. The Phase II Report was accompanied by BWSC Form-104 titled "Response Action Outcome. (RAO) Statement & Downgradient Property Status Transmittal" prepared on your behalf by William J. Mallio, the Licensed Site Professional of record for the property located at 201 Old Yarmouth i Road (the site) . -' The Phase II Report indicated that process waste (i .e. , spent !<1 t inks, paints, solvents and thinners) associated with the Former Cotton Pick'n Tees screening process was discharged to the on-site septic system located west of the building and a dry well . The `# process waste contained heavy metals, aldehydes, phthalates and l corrosive and organic solvents. The Report also ,indicated that groundwater flow is east/northeast toward the Maher Municipal Wellfield and petroleum compounds (i.e. , benzene, toluene, r ethylbenzene, xylene, total petroleum hydrocarbofis, and ethylene dibromide) were the only constituents identified in the monitoring wells located upgradient and at the site. In addition, the Report indicated that a release of oil occurred at a. Sunoco Service Station (formerly known as the Charter Service Station) , an Exxon Service Station (formerly the BP Station) and Nelson Coal and Oil Company are located west of and hydrogeologically upgradient of the site On Iyanough Road. 20 Riverside Drive • Lakeville, MassachusNb 02347 • FAX(508) 947-6SS7 • Telephone (S08) 946-2700 f 2- Based on the information specified above, the Licensed Site Professional (LSP) of record for the site, Mr. William J. Mallio, provided an opinion that the presence of petroleum products in the groundwater beneath the property located at 201 Old Yarmouth Road ' resulted from a release from upgradient sources. The Department reviewed the Phase II Report and concurs with this opinion. The Downgradient Property Status shall be limited to the release of ' petroleum products described herein and to the KAM Appliance property boundar y. Please be advised, that the Downgradient Property Status for 1 this site shall terminate if: 1. new information becomes available which indicates that the ' criteria in 310 CMR 40. 0183 (2) are no longer met; 2. the person providing the Downgradient Property Status , Submittal fails to meet the requirements specified in 310 CMR 40.0185 for maintaining such status; 3. the person providing the Downgradient Property Status ' Submittal notifies the Department in writing that such person intends to perform Comprehensive Response Actions in ' accordance with 310 CMR 40.0800; 4 the Department .establishes.Interim Deadlines in- accordance with 310 CMR 40.0167 and/or issues an order requiring. the ' performance of response actions pursuant to, Massachusetts General Law c.21E, Section, 9 or 10. . Should you have questions regarding this letter, please contact Laura Stanley at the letterhead address or , at (508) 946-2880. The Department appreciates your anticipated cooperation in this matter. Very truly yours, Gerard M.R. Martin,-' Acting Chief Site Management & Permit Section ' M\LAS\cb CERTIFIED MAIL NO. P 256 385 792 ' RETURN RECEIPT .REQUESTED +� CC: Barnstable Board of Health ' P.O. Box 534 Hyannis, Massachusetts 02601 ATTN: Tom McKearn, Hazardous Waste Coordinator ' Town of Barnstable 367 Main Street . ' Hyannis, Massachusetts 02601 ATTN: Warren Rutherford, Town Manager COMMONWEALTH OF MASSACHUSETTS 8 EXECUTIVE OFFICE OF ENVIRONMENTAL IRS 4 f? DEPARTMENT OF ENVIRONMENTAL PRO ON SOUTHEAST REGIONAL OFFICE OD AUG 1 8 ARGEO PAUL CELLUCCI 10"va 1�9? � e� TRf� COXE H 'NS Governor �[TND fpjAe�f ecretary D.'ND °. STRUHS E y ommissioner URGENT LEGAL MATTER: PROMPT ACTION NECESSARY CERTIFIED MAIL: RETURN RECEIPT REQUESTED C (DPY August 7, 1997 Mr. Douglas E. MacDonald RE : 2ARNSTABLE--WSC/SMP-4-13202 91 Waters Edge Robert' s. Auto Wholesale . Marstons Mills, Massachusetts 02648 202 Yarmouth Road NOTICE OF RESPONSIBILITY M.G. L. c . 21E and MCP, 310 CMR 40 . 0000 Dear. Mr. MacDonald: yOn_.Apr__i 7; 1997,.-the Department-of Environmental Protection, Bureau of,", Waste Site Cleanup "(the Department) receved, a report titled "Unit 3 Group, Barnstable Aquifer Protection Project, Phase II - Comprehensive Site Assessment Report" (the Phase II Report) dated March 24 , 1997, prepared by SEA Consultants, Incorporated. The Phase II Report indicated that a monitoring well was installed on the above referenced property (the property) and that the property is located in the Zone II for the Maher Municipal Wellfield. Groundwater samples were collected from the wells on July 31, 1996 , and analyzed for volatile organic compounds and total petroleum hydrocarbons . A review of the analytical data revealed that napthalene and total petroleum hydrocarbons are present in the groundwater beneath the property at concentrations of 67 ug/l and 2 . 5 mg/l, respectively. The Reportable Concen- tration for napthalene and total petroleum hydrocarbons in the groundwater within a Zone II are 20 ug/1 and 1 mg/1, respectively. Refer to 310 CMR 40 . 1600 for additional information. Based on the information contained in the Phase II Report, the -Department has .reason to believe that a release of oil and/or hazardous material occurred at the property located at 202 Yarmouth _ Road (the"property) and that the property may be a disposal site as defined` by',the Massachusetts Contingency Plan (the MCP, 310 -CMR -40 . 0000) The Department also 'has reason, ,to believe that one -or ,mo-re response actions are required- at the site . . 26 Riverside Drive • Lakeville. Massachusetts 02347 • FAX(508) 947-6557 0 Telephone (508) 946-2700 -2- The Massachusetts Oil and Hazardous Material Release Prevention and Response Act, M.G.L. c . 21E, and the MCP, 310 CMR 40 . 0000, require the performance of response actions to prevent harm to health, safety, public welfare and the environment which may result from this release and govern the conduct of such actions . The purpose of this Notice is to inform you of your legal responsibilities under State law for assessing and/or remediating the release at this property. For purposes of this Notice of Responsibility, the terms. and phrases used herein shall have the meaning ascribed to such terms and phrases by the MCP unless the context clearly indicates otherwise . STATUTORY LIABILITIES The Department has reason to believe that you (as used in this letter, "you" refers to Mr. Douglas E . MacDonald) are a Potentially Responsible Party ( "PRP" ) with liability under M.G.L. c . 21E, § 5 , for response action costs . Section 5 makes the following parties liable to the Commonwealth of Massachusetts : current owners or operators of a site from or at which there is or has been a release or threat o,f release of oil and/or hazardous material; any person who owned or operated a site. at the time hazardous material was stored or disposed of; any person who arranged for the transport, disposal, storage or treatment of hazardous material to or at a site; any person who transported hazardous material to a transport, . disposal, storage or treatment site from which there is or has been a release or threat of release of such material; and any person who otherwise caused or is legally responsible for a release or threat of release of oil or hazardous material at a site . This liability is "strict, " meaning it is not based on fault, but solely on your status as an owner, operator, generator, transporter or disposer. It is also joint and several, meaning that each person who falls within one of these categories may be held liable for all response action costs incurred at the site, regardless of the existence of any other liable parties . The MCP requires responsible parties to take necessary response actions at properties where there is or has been a release and/or threat of release of oil and/or hazardous material . If you do not take the necessary response actions, or fail to perform them in an appropriate and timely manner, the Department is authorized by M.G.L. c . 21E to perform the work. By taking such actions, you can avoid liability for response action costs incurred by the Department in performing these actions and any sanctions which may be imposed for failure to perform response actions under the MCP. You may be liable for up to three (3) times all response action costs incurred by the Department . Response action costs include, without limitation, the cost of direct hours spent by Department employees arranging for response actions or overseeing work performed by persons other than the Department or its contractors, expenses incurred by the Department in support of -3- those direct hours, and payments to the Department' s contractors . (For more detail on cost liability, see 310 CMR 40 . 1200 : Cost Recovery. ) The Department may also assess interest on costs incurred at the rate of twelve percent (120-o ) , compounded annually. To secure payment of this debt, the Commonwealth may place liens on all of your property in the Commonwealth. To recover the debt, the Commonwealth may foreclose on these liens or the Attorney General may bring legal action against you. In addition to your liability for up to three (3) times all response action costs incurred by the Department, you may also be liable to the Commonwealth for damages to natural resources caused by the release . Civil and criminal liability may also be imposed under M.G.L. c . 21E, § 11, and civil administrative penalties may be imposed under M.G.L. c . 21A,. § 16 , for each violation of M.G.L. c . 21E, the MCP or any order, permit or approval issued thereunder. If you are a Responsible Party and you have reason to believe that your performance of the necessary response actions is beyond your technical, financial or legal ability, you. should promptly notify the Department in writing of your inability in accordance with Chapter 21E, subsection 5 (e) , and 310 CMR . 40 . 0172 . If -,you assert and demonstrate in compliance therewith that performing or paying for such response action is beyond your ability, subsection 5 (e) provides you with a limited defense to an action by the Commonwealth for recovery of two to three times the Department' s response action costs and 310 CMR 40 . 0172 provides you with a limited defense to the Department' s assessment of civil , administrative penalties . You should be aware that you may have claims against third parties for damages, including claims for contribution or reimbursement for the costs of cleanup . Such claims do not exist indefinitely but are governed by laws which establish the time allowed for bringing litigation. The Department encourages you to take any action necessary to protect any such claims you may have against third parties . NECESSARY RESPONSE ACTIONS This site shall not be deemed to have had all the necessary and required response actions taken unless and until all substantial hazards presented by the release and/or threat of release have been eliminated and a level of No Significant Risk exists or has been achieved in compliance with M.G.L. c . 21E and the MCP. The MCP requires persons undertaking response actions at a site to submit to the Department a Response Action Outcome Statement prepared by a Licensed Site Professional upon determining that a level of No Significant Risk already exists or has been achieved at the site . -4- Unless otherwise provided by the Department, a PRP has one (1) year from the initial date a notice of a release or a threat of release is provided to the Department pursuant to 310 CMR 40 . 0300 or from the date the Department issues to him or her a Notice of Responsibility, whichever occurs earlier, to submit to the Department either a completed Tier Classification Submittal, and if appropriate, a completed Tier I Permit Application, or a Response Action Outcome Statement . The Deadline for these submittals is July 18 , 1998 . Please be advised that specific approval is required from the Department for the implementation of all IRAs and Release Abatement Measures-. Assessment activities consisting of the construction of a fence and/or the posting of signs are actions that are exempt from this approval. The Department encourages parties with liabilities under M.G.L. c . 21E to take prompt action in response to releases and threats of release of oil and hazardous materials . By taking prompt action, you may significantly lower your cleanup costs and avoid the imposition of, or reduce the amount of, certain fees payable under 310 CMR 4 . 00 . PROCEDURES TO FOLLOW TO UNDERTAKE RESPONSE ACTIONS You must employ or engage a Licensed Site Professional to manage, supervise or actually perform the necessary response actions at this site . You may obtain a list of names and addresses of these licensed site professionals from the Board of Registration of Hazardous Waste Site Cleanup Professionals at (617) 556-1145 . You should notify the Department in writing no later than 5 : 00 p .m. on August 31, 1997, if you intend to undertake response actions at this disposal site . If you fail to provide a response to this Notice as requested or undertake the necessary response actions in accordance with the MCP,, the Department may perform the necessary response actions and take appropriate legal action against you. If you have any questions relative to this Notice, please contact Laura Stanley at the letterhead address or at (508) 946- 2880 . 4erard ly, Martin, Acting Chief nagement and Permits Section M/LAS/ka CERTIFIED MAIL # P 058 741 158 RETURN RECEIPT REQUESTED -5- cc : Barnstable Board of Health P .O. Box 534 Hyannis, Massachusetts 02601 ATTN: Tom McKearn, Hazardous Waste Coordinator Town of Barnstable 367 Main Street Hyannis, Massachusetts 02601 ATTN: Warren Rutherford, Town Manager Barnstable Municipal Airport Boardman-Polando Field 480 Barnstable Road, 2nd Floor Hyannis, Massachusetts 02601 ATTN: Benjamin C. Jones, Unit 3 Coordinator Barnstable Water Company 47 Old Yarmouth Road Hyannis, Massachusetts 02601 ATTN: George Wadsworth, President Cape Cod Commission 3225 Main Street P.O. Box 226 Barnstable, Massachusetts 02630 . ATTN: Tom Cambareri SEA Consultants, Incorporated 485 Massachusetts Avenue Cambridge, Massachusetts 02139 ATTN: Bill Mallio, LSP Hubbard Oil Company, Incorporated P .O. Box 10 Hyannis, Massachusetts 02601 ATTN: Fred Fournier Nelson Coal & Oil, Incorporated 180 Iyanough Road Hyannis, Massachusetts 02601 ATTN: P . Gordon Nelson, Jr. , President Volta Oil Company, Incorporated . 140 Samoset Street P.O. Box 1040 Plymouth, Massachusetts 02362 ATTN:, Bruce Garrett, Vice President of Operations Kitchen Appliance Mart 201 Yarmouth Road Hyannis, Massachusetts 02601 ATTN: John Gralton, President -6- DEP-SERO ATTN: Andrea Papadopoulos, Deputy Regional Director Kevin Kiernan, Assistant General Counsel Data Entry, COMMONWEALTH OF MASSACHUSE - � � EXECUTIVE OFFICE OF ENVIRO AL AFFAIRS DEPARTMENT OF ENVIRONME PROQC4AON SOUTHEAST REGIONAL OFFICE �b Mq (,f��o WILLIAM F. WELD VA 10*Ni pF 19,9? TRUDY COXE Governor HEq� PST��E Secretary T. ARGEO PAUL CELLUCCI co ® Q� DAVID B. STRUHS Lt. Governor Commissioner s e March 13 , 1997 Douglas E . MacDonald RE : BARNSTABLE--BWSC 91 Waters Edge Robert ' s Auto Wholesale Marstons Mills, Massachusetts 02648 202 Yarmouth Road REQUEST FOR INFORMATION M.G.L. c . 21E and MCP, 310 CMR 40 . 0000 URGENT LEGAL MATTER: PROMPT REPLY NECESSARY CERTIFIED MAIL: RETURN RECEIPT REQUESTED Dear Mr. McDonald: The Massachusetts Department of Environmental Protection, Bureau of'Waste Site Cleanup (the`,Department) , is investigating a release' of oil 'and hazardous material at several--properties located along 'Iyanough Road in Barnstable, Massachusetts . . Your property -is located - in -the vicinity of the zone of contribution for the Maher Wellfield where numerous environmental investigations have occurred. Pursuant to the Department ' s authority to gather information, and to investigate, sample, and inspect records, conditions, equipment, practices, and property under M.G.L. c . 21E, §§ 2, 4 , and 8 , and the MCP, you (as used in this Request for Information, the term "you" refers to Robert ' s Auto Wholesale and any of its subsidiaries, directors, officers, employees, attorneys, agents, representatives, and/or anyone acting on behalf of it) are directed to provide the Department with the information listed on Attachment B hereto before the close of business on April 18, 1997. This deadline constitutes an enforceable interim deadline pursuant to 310 CMR 40 . 534 (5) This Request for Information has been sent to you as a result of the information generated during the assessment of the groundwater contamination in the vicinity of the Maher :Wellfield, located in- close proximity to Robert ' s Auto' Wholesale '- Based- on groundwater flow direction and contaminant concentrat"bons. =in the groundwater determined ' by numerous hydrogeologic assessments conducted in the vicinity of your property, it is necessary-for,the Department to collect information to determined whether Robert ' s 20 Riverside Drive.• Lakeville, Massachusetts 02347 9 FAX(508) 947-6557 • Telephone (508) 946-2700 -2- Auto Wholesale is a potential source of contamination. Be advised that consultation with legal counsel may prove valuable in responding to this request and future supplemental responses . Your response to this Request for Information should include evidence that you conducted a detailed and timely investigation of the facts surrounding the subject matter of this request . Sources of such information should include, but are not limited to: business records ; past and present company publications such as magazines, newsletters and annual reports; environmental audits that analyzed facility operations, practices and the adequacy of internal systems to achieve, maintain, and monitor compliance; and interviews with present and former employees . Failure to respond to this letter or the submission of false or misleading information may subject you and your officers and employees to legal action including criminal prosecution, court-imposed civil penalties, administrative orders or civil administrative penalties assessed by the Department . The Department encourages you to give this matter your immediate attention and to respond within the time specified above . The completed response to this Request for Information should be sent to Laura Stanley at the letterhead address above . If you have questions please do not hesitate to call Ms . Stanley at (508) 946- 2880 . Sincepely, Gerard M.R. Ma in, Acting Chief Site Management and Permit Section M/LS/re CERTIFIED MAIL NO. P 256 393 289 RETURN RECEIPT OF REQUESTED ATTACHMENTS : Attachment A: Instructions for Submitting Response Attachment B : Request for Information Attachment C: Certification of Submittal CC : Barnstable Board of Health P.O. Box 534 Hyannis, Massachusetts 02601 ATTN: Tom McKearn, Hazardous Waste Coordinator Town of Barnstable 367 Main Street Hyannis, Massachusetts 02601 ATTN: Warren Rutherford, Town Manager -3- cc : Barnstable Municipal Airport Boardman - Polando Field 480 Barnstable Road, 2nd Floor Hyannis, Massachusetts 02601 ATTN: Benjamin C. Jones, Unit 3 Coordinator Barnstable Water Company 47 Old Yarmouth Road Hyannis, Massachusetts 02601 ATTN: George Wadsworth, President Cape Cod Commission 3225 Main Street P.O. Box 226 Barnstable, Massachusetts 02630 ATTN: Tom Cambareri- SEA Consultants, Incorporated 485 Massachusetts Avenue Cambridge, Massachusetts 02139 ATTN: Bill Malliou, LSP Nelson Coal & Oil, Incorporated 180 Iyanough Road Hyannis, Massachusetts 02601 ATTN: P. Gordon Nelson, Jr. , President Volta Oil Company, Incorporated 140 Samoset Street P.O. Box 1040 Plymouth, Massachusetts 02362 ATTN: Bruce Garrett, Vice President of Operations Atwood Oil Company Brooks Road P.O. Box 1238 Hyannis, Massachusetts 02601 ATTN: Alfred Fournier, Vice President Kitchen Appliance Mart 201 Yarmouth Road Hyannis, Massachusetts 02601 ATTN: John Gralton, President DEP-SERO ATTN: Andrea Papadopoulos, Deputy Regional Director Jonathan Hobill, Acting Regional Engineer Kevin Kiernan, Deputy General Council Data Entry QUESTIONS 1 . List all the • names of the businesses you owned or operated at the property and the dates of such ownership or operation. If known, also list the names and addresses of past owners/operators and the nature of their business . 2 . Describe your current and _cast use of any oil or hazardous material generated, stored, treated, released, managed, disposed of, or transported to or from the property located on 202 Yarmouth Road, in Hyannis, Massachusetts during Robert ' s Auto Wholesale operation of the site, such description should include but not be limited to the following: a. name (trade, chemical and Case #) composition, and quantity (ies) of each oil and/or hazardous material (e .g. waste oil, fuel oil, solvents, freon, etc . ) ; b. the purpose and use of such material; C . the type (s) of containers/vessels used to store the material; and d. location, practices and orocedures for storage and disposal of the material . 3 . Describe any oil and/or hazardous material release (s) which occurred during Robert ' s Auto Wholesale operation of the site . Include, without limitation, a description of any release (s) from holes or leaks from any storage containers, pits, equipment, tanks or distribution piping and from accidents, overfills or delivery spills . In such description please include : a. the date of each release (s) ; b. the quantity and type of oil and/or hazardous material; C. the location of each release; d. the cause and source of each release (s) ; e . any cleanup activities undertaken as a result of such release (s) ; and B-2 f . the identity of each and every person by name (s) , address (es) and job description (s) , and the identity of each such persons employer (s) , who participated in cleanup activities . 4 . Please provide a description, including the location, size and other pertinent features, of any current and previously existing floor drains, dry well (s) , septic systems or other underground injection points . If a sanitary disposal system was present at the site, provide documentation which indicates the date the site was connected to the town sewer system and the date sanitary waste began being discharge to the town sewer system. 5 . Describe each and every storage tank, both underground and aboveground, located at the property during your operation an/or ownership of , the property.. The description should include, but not be limited to: a. the date on which each tank was installed at the property; b. the capacity and location of each tank (s) ; C . the type (s) and quantities of oil and/or hazardous material (s) stored in each tank; d. a description of the maintenance, repair, or testing performed on each tank during the period of time it was located on the property; e . include receipts of any maintenance, repairs, or testing or any documents that pertain to these activities; and f . permits with the Department of Public Safety and the Fire Department . 6 . If storage tanks have been removed from the property, describe the removal of each and every storage tank (s) , including the removal of the contents of each and every storage tank (s) . Such statements should include, but should not be limited to: a . the date on which each tank was removed from the property; b. the names) and addresses) of the company(s) , principle (s) , and town and state official (s) involved in the removal of the tanks; C . a description of where each tank and its contents was disposed of; B-3 3 d. a description of the condition of the tank (s) upon removal including, without limitation, any holes, rust, defects, evidence of spillage, soil, discolorations, odors or leakage; e . a description of all releases that had occurred at or from above and/or underground storage tanks and associated piping, i .e . , leaks from unions, couplings, overfills, holes in tanks, and/or any other system failure; f . the reasons why removal of the tanks) was/were necessary; and g. close out certification by the Fire Department . 7 . Please identify and describe any event that occurred while you were on the property, or any event that you became aware of that occurred previous to your ownership or operation of the property, relative to any release of oil and hazardous material (s) and the dates of such adjoining or nearby property which you believe may be impacting your property. 8 . Identify and submit all environmental surveys, studies, or collections of data conducted for your property. Such investigations may have been performed for real estate evaluations, refinancing, or the result of releases to the property. r B-4 Date: TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: L; r a,�� W/.'L,f.. BUSINESS LOCATION: 9-0. D_r.,n^ ad. MAILINGADDRESS: T Mail To: Board of Health TELEPHONE NUMBER: 9 9 o -943 9 Town of Barnstable CONTACTPERSON: P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: 3---,E- 12927 Hyannis, MA 02601 TYPEOFBUSINESS: Does your firm store any of the toxi or hazardous materials listed below, either for sale or for you own use? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity Antifreeze(for gasoline or coolant systems) Drain cleaners NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers Any other products with "poison" labels Paint brush cleaners (including chloroform, formaldehyde, Floor& furniture strippers hydrochloric acid, other acids) Metal polishes Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Date: TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: S GaD BUSINESS LOCATION: 9)Q MAILINGADDRESS: —saA4e- Mail To: TELEPHONENUMBER: 50� �`10-7�3�'9 Board of Health CONTACTPERSON: Af t s, —D, 6O> (V, Town of Barnstable P.O. Box 534 EMERGENCY CONTACT TELEPHONE,NUMBER: Hyannis, MA 02601 TYPEOFBUSINESS: CtLdbM0611e �` P Does your firm store any of the toxic or hazardous materials listed below, either for sale or for you own use? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site otherthan your mailing address: ADDRESS: y/Vig01)A gd. , TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity Antifreeze(for gasoline or coolant systems) Drain cleaners NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda ccf/v Car wash detergents Jewelry cleaners Uwt Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers Paint brush cleaners Any other products with "poison" labels (including chloroform, formaldehyde, Floor & furniture strippers hydrochloric acid, other acids) Metal polishes Laundry soil & stain removers Other products not listed which.you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS r i r I i �1I _t i 4 { E � A T a ��.MIN/A/G� O � 0 Yi N Ch OE •11ld1 O A „r( to C 1 r I Py0F7HFr0� TOWN OF BARNSTABLE r OFFICE OF = eAaaaTeMAMs>: BOARD OF HEALTH �Do 039 DMpYk�� 367 MAIN STREET HYANNIS, MASS. 02601 1 August 14, 1987 Douglas MacDonald Yarmouth Road Auto Sales 202 Yarmouth Rd. Hyannis , MA 02601 Dear Mr. MacDonald: ,: 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 transporter\contractor 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 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 $200 . 00 daily under the Town of Barnstable Toxic and Hazardous Waste By-law. Very Truly Yours , I�Yi• ohn M. Kelly Director Barnstable Health Department df " Fee No. A THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 2pplication for Ziopozar *pgtem Con5tructton Permit Application for a Permit to Construct( )Repair Grade( )Abandon Komplete System O Individual Components Location Address or Lot No. m0 a0 Owner's Name,Address and Tel.No. �1 ar•�is tAeL ,�bv� /ao-16A46 Assessor's Map/Parcel c Installer's Name,A dress,and Tel.No. 771 Y�Z Designer's Name,Address and Tel.No. 14, e kw- Goo A S v- 0o c: 10Q & a A,?L3c' Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) l/JSTkJ� /. SO A-ZQ 9 `/ate e4auc rc w // siae�� yrtder— awl 3 ' -9ra as r00A d Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmentak Code and not to place the system in operation until a Certifi- cate of Compliance has been is ed by this Board of Health. Signed Date Application Approved by Date Application Disapproved for the following reasons \ Permit No. Date Issued — ———— No. Fee " THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNS+"LiF"OASS.�P.HbSETTSVJ$Z,�, Rpp1iration1or`Migpo.gar *pgtem Congtrurtion Permit Application fora Permit to Construct( )Repair(X Upgrade( )Abandon( ) CIJ omplete System O Individual Components ry Location Address or Lot No. `s " .Z.a Z. i r Q r 'Owner's Name,Address t d Tel.No. ire � Assessor's Map/Parcel tg c Installer's Name,Address,and Tel.No. -7-�1 & Designer's Name,Address and Tel.No. e k* C40 n 5,7- C10ly �G e-0 c C 154 rYy 4 0#1cj C 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 gallons per day. Calculated daily flow gallons. 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) //1S7-4// / SUb ec.l .. Zh and 3, AlaAj LSer, cr /� s�n� yn�er a,i�l 3 ' -1 aA a round _ 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 Certify"-- -_- cate of Compliance has been issued by this Board of Health Signed t l Date �7Q Application Approved by ✓ Date C ,Application Disapproved for the following reasons F Permit.No. Date Issued i ——————---------------------------------- THE COMN�WEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certif irate of Complianre .----_. THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )'Repaired ( )Upgraded( Abandoned( )by Aeleeey dansw (y.,,a at ,20L 44.r r_o v L leci. a n n► has been constru ted in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No dated Installer Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date — ,� �', "7 Inspector �• iOF z i No. e "Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS 'Wi5pool *pgtem Con5tru-10kon Permit Permission is hereby granted to Construct( )Repair( )Upgrade( Abandon( ) System located at a2d.2- fa I M A u 74- l2�- h' 'A a n 12' rN �40y and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following.local provisions or special conditions. _ a Provided:Co structio9n must be completed within-three years of the date of thi 't. Date: ` r"*'' ! Approved ? ' � (,;� 0 6� � � � ��. -�: �' � � .fJ �. � c � d � y �� s CEItTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL NVORKS CONSTRUCTION I'EItNll'I' (WI'I']IOU'l'iDESIGNED PLANS) hereby certify that the application for disposal works construction permit signed by me dated 9 fkz1.4 D , concerning the �1,� meets all of the property located at 2®2 �s-,r.o y I I_ following criteria: • There are no wetlands within 300 feet of the proposed septic system • There are no private wells within 150 feet of the proposed septic system • The observed groundwater table is 14 feet or greater below the bottom of the leaching facility • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. J I SIGNED �4 -��. M :---� DATE: — LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER (Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan, this plan should be submitted]. i rV l� c a C� o TOWN OF BARNSTABLE COMPLJANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH O satisfactory 2.Printers 1 , 3.Auto Body Shops �/ r z�;�_ O unsatisfactory- 4.Manufacturers COMPANY// 'f(!�(11 r 'F 1�1%� (see Orders ) 5.Retail Stores _' 6.Fuel Suppliers ADDRES,E0L'Vi,1 C1aS5' k 7.Miscellaneous /�1 VA 'QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALSCase lots Drums Above Tanks Underground Tanks- IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2(B) HeavyyOils ==�..,, waste motor oil (C)_:� J new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: DISPOSAL/REC;LAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply n! �Y I /l.� .l.r t" I l I ? TV O Town Sewer '®Public � �� C � '0,0 n-site QPrivate 3. Indoor Floor Drains YES NO PAWfIS fO Holding tank:MDC �oV J'(�' O Catch basin/Dry well yl�-- / O On-site system y s A L no)I I 1 -�7v1 Y.11A IN I APP 4. Outdoor Surface drains:YES NO ORDERS: t� O Holding tank:MDC O Catch basin/Dry well O On-site system 5. Waste Transporter Name of Hauler Waste Destination / J/ Product� / / .1� l'�l Y I �/�1 V ! � / Va ( : �L/ YES NO 2. /' d . 1 ., ; rid' �- �� i;��.1� `� •' , � ',�; _ ;� ; . �, ,� �� Person (s) Interviewed Inspector Date .. _ 20 MINIM.UM FOUNDATION I ''/e .:WASHED STONE A$o tjA-re ELEVATION SKETCH - i0' _.. _, PERC. 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