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Home My WebLink About0505 MAIN STREET (COTUIT) - Health (2) a 22— VZOiMEl°h� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARMSTABLE. •MASS. 200 Main Street• Hyannis, MA 02601 059. 7 $. �ArfOMP+ TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: Date: L �i Location/Mailing Address: SLN 5 Contact Name/Phone: 5tjq 561-+ -4 63?% Inventory Total Amount: MSDS: ' License#: J Tier II No Labeling: Spill Plan: Oil/WaterSeparator: Floor Drains: Emergency Numbers: Storage Areas/Tanks: 1K f1fwi 'ev� Emergency/Containment ui e : ' '' Waste Generator ID: 66 Waste Product: J 0a Date&Amount of Last Shipment/Frequency: D Licensed Waste Hauler&Destination: D ffa$q5- -9ther Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS 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 requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash �/ Motor oils V Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives (creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform,formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: I FORMATION/RECOM ENDATIONS: Pt Inspect r: Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS Fee Number 1337 THE COMMONWEALTH OF MASSACHUSETTS $125.00 m Town of Barnstable Board of Health This is to Certify that COTUIT GARAGE 505 Main Street, Cotuit, Is Hereby Granted a License For: Storing or Handling 111 -499 gallons of Hazardous Materials. -------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2020 unless sooner suspended or revoked. PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2019 JUNICHI SAWAYANAGI THOMAS A. MCKEAN, R.S.,CHO Director of Public Health VY Y Town of Barnstable Inspectional Services oF1��w BARNS TABLE Public Health Division r �� • y 16 7C71 }qy, 9B^MASS. Thomas McKean, Director 16 ;�p`` LO 200 Main Street, Hyannis, MA 02601 NJ I Office: 508-862-4644 pCRfjjFax: 508-790-6 04 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS, ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: $'50.00 CATEGORY 2 PERMIT. 111 -499 Gallons: $125.00 (� CATEGORY 3 PERMIT. 500 or more Gallons: $150.00 �F-11 °�C* *A late charge of$10.00 will be assessed if payment is not received by July 1st. (A9 0 U 1. ASSESSOR'S MAP AND PARCEL NO. � /4 2. IS THIS A PERMIT RENEWAL? \/ YES_NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. • _� 4. FULL NAME OF APPLICANT: J �� 5. NAME OF ESTABLISHMENT: RA 6. ADDRESS OF ESTABLISHMENT: ®� A1N � 6_3.57 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE:8. TELEPHONE NUMBER OF ESTABLISHMENT: 5�00 — S /-7 —7 333 9. EMAIL ADDRESS: �a' �➢ 9 � �(e 9 101 a C'or`" 10. SOLEOWNER: i/ YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE# OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12.-IF PREPARED BY OUT IDE PARTY: NAME: 1(`_Cfjj- ` c TELEPHONE#:50873 —6 90 COMPANY ADDRESS Zk)S EMAIL: • *SIGNATURE OF APPLICANT ~ DATE 16 G Q:\Application Forms\Haz Mat App Number Fee 1337 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that COTUIT GARAGE .-------------------------------------------------------------------------------------------------------------------------------- 505 Main Street,_Cotuit, MA ------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. ------------- ------------------------------------------------------------------------------------------------------------------------------------------------------ Restrictions: .---------------------------------------------------------- --------------------------------------------.------.....-----.....------------------....--------....... This license is granted in conformity with the Statutes and ordinances relating there to, and expires 06/30/2021 unless sooner suspended or revoked. --------------------------------------- JOHN NORMAN DONALD A.GUADAGNOLI,M.D. 07/01/2020 PAUL J.CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Y Town of Barnstable J Inspectional Services BAMSTABLE Public Health Division �a� '"�'�`� "`' 1E]9-10u • �. r Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE- HAZARDOUS MATERIALS - IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS . JULY 1st—JUNE 30th). APPLICATION FEES . __..:CATEGORY 1 PERMIT. 26- i 10 Gallons: $ 50.00 .ef_ CATEGORY 2 PERMIT 111 —499 Gallons:- `$125.00__ G CATEGORY 3 PERMIT 500 or more Gallons: .$150.00 ❑ 7 D 2 *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. SMS Min ST Ogrul .met OaW35 2. IS THIS A PERMIT RENEWAL? ✓YES_NO. IF YES,SKIP QUESTION 3. Cozzloao 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGEIUSE OF GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: CCST'L 1T CAaAc5t-J A flnEs CUR 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: .965 MAI In SIT "b a (p3r 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: or p$ q-teujq 8. TELEPHONE NUMBER OF ESTABLISgH/M�ENT: 9. EMAIL ADDRESS: „�' � ,QLI' 1l" �1G� •C60i 10:'SOLEOWNER: YES!/NO IF NO,NAME OF PARTNER:y( , l"k 11. FULL NAME,HOME ADD TELEPHONE#OF: CORPORATION ME V. PRESIDENT TREASURER CLERK • 12. IF PREPARED BY OUTSIDE"PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE a� O Q: Application Fonnsftz Mat App Revised 09-10- .docx J r� Number Fee 1337 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that COTUIT GARAGE 505 Main Street, Cotuit, Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2019 - unless sooner suspended or revoked. ------------------------------------ PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2018 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health • Tow of B nsxable egi2atorySemces IME Richard V. Scali, Director Public Health Division BAMMBLE. Thomas McKean Director u"mw �m "=114- X> MA83. $ 7 1639-2014 -� -- - - - � -- ----�"ti ---2001VIain-Stxeet�Hyaruus;lvlA 02G01--- 0 Office: 508-862-4644 Fax: 508-790-6304 cri APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE �` HAZARDOUS MATERIALS a IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st-JUNE 30th). APPLICATION FEES CATEGORY.I PERMIT 26 110_Gallons: - --$50.00- , -,❑ -- - CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 f V.S CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by July 1st 1. ASSESSOR'S MAP AND PARCEL NO. O Z- ZDz0 2. IS THIS A PERMIT RENEWAL? i/ YES_NO. IF YES, SHIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGEIUSE OF • GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: J 4wte-:5C,4< 5. NAME OF ESTABLISHMENT: Dt 6. ADDRESS OF ESTABLISHMENT: �` -9-14 Ste' 411 - 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: 10. SOLEOWNER:ZYES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE S-/ Z -1 QAApp(ication Forms\HAZMAT APP 2017 REVIS �.docx �l Number fee 1337 THE COMMONWEALTH OF MASSACHUSETTS $125.00 e Town of Barnstable Board of Health This is to Certify that COTUIT GARAGE 505 Main Street, Cotuit, Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. --------------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------- --------------------------------------=-------------------------------------------------------- ---:----- ------ This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2018 unless s sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2017 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health gip. ' owlof Barnstable egu atory ervices Richard V. Scah, Director oFWE ram, Public Health Division BARNSTABLE f"fi9 i -STANI£•i.EnrEkVIEtE•CGrUIT•nT iS M AR51'UYS M?'.S•OSl:itl1LLE•WEST BAiH5TAG3 BARNSTABLE, Thomas McKean, Director - 1639•2014 MASS. y7 039• `0� �d� Wfls AtEO�,�p 200 Main Street, Hyannis,MA-02601 h,q. C. Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, _.a HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS . MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY I st—JUNE 30th). APPLICATION FEES CATEGORY I PERMIT 26— 110 Gallons $ 50 00 CAT_FG_ORY',_!P_F,ILMTT_11-1.T.499 ('.alions: _ $1-9.S.O�J,- CATEGORY 3 PER.MIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? YES v NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS TORAGEIUSE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? V YES NO. 4. FULL NAME OF APPLICANT: 5. NAME OF ESTABLISHMENT: 6.. ADDRESS OF ESTABLISHMENT: 1'�Gv►►'1 ^��. l,L �=t T I� O A LQ �J 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: yg� gay. -330 9. EMAIL ADDRESS: CrJfta l G�hoo ,( ) 10. SOLEOWNER: V YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE # OF: CORPORATION NAME L:I�C PRESIDENT tall IM TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY; ., i NAME: TELEPHONE#:' COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE 'S ► 7 Q:\Application Forms\I-IAZMAT APP 2017 REVIS docx °p IKE►okti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 7 RARMAT-%. .9! 200 Main Street• Hyannis, MA 02601 ,b,q TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT TEO MA'S Business Name: 1A "0' ` Date: Location/Mailing Address: QS AaQn A Contact Name/Phone: &A s �Y-7,33 Inventory Total Amount: MSDS: License#: Tier II : 96 Labeling: 61( Spill Plan: Oil/WaterSeparator: Floor Drains: N ' Emergency Numbers: Storage Areas/Tanks I n n Ultild Emergency/Containment ment: -TWaste Generator ID: Waste'Product: Date&Amount of Last Shi ment/Fre uenc : Licensed Waste Hauler&Destination: 0 w Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS 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 requires a license from the Public Health Division. Antifreeze Dry cleaning fluids 4 Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers ,Hydraulic fluid (including brake fluid) Windshield wash ✓ Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts / grease, lubricants, gear oil Refrigerants V Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) �Asphalt&roofing tar Swimming pool chlorine 1/ Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners V Miscellaneous Combustible aint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil&stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMM NDATIONS: ( ArOaflOO CMS C c J 3 Inspector: h Facility Representative' WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS TC lo Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 veA MARS- 200 Main Street• Hyannis, MA 02601 �p 1659.A�0 rFOMP'% ^ TOXIC c5�//AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: C'0+0I} 1V Date: Location/Mailing Address: So Sr Ak, ti. Contact Name/Phone: 4-, MJ r So$-8?7=7 33 ow►tic.�- �w�.Cue+, S p aAN.. Invento Total mount: ^� y�l SIDS: 04'Ax-&4ce45 �2tr License#: t 33-7 �47- Tier II : N o / Labelino: Spill Plan: 2. �>VJI I16— Oil/Water Separator: ►J Floor Drains: 6 �- -s✓Emergency Numbers: &5 CA Storage Areas/Tanks: gk�t Emergency/Containment E u pment: g i ew s,ke, e Waste Generator ID: Was le Product: 4V 0,P-'fit OA.15Ae 01 Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS 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 requires a license from the Public Health Division. 4q Antifreeze 2-4 A-SD tdalrtf- Dry cleaning fluids y.A Automatic transmission fluid�p Other cleaning solvents&spot removers Engine and radiator flushes A to Bug and tar removers tj Hydraulic fluid (including brake fluid)3 V�- Windshield wash 12 H'1 S Motor oils tsA-Ikp 4,4,0 -}2� S�L Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: a�e. Road salts grease, lubricants, gear oil S �v;a _ Refrigerants ;s LOo Degreasers for engines&garages\ �% Pesticides: Caulk/Grout b ""l insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals (Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives (creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes S Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: a�1v�, (_ �urf� v✓ Jy c' o 0- a5 t -Wok 4, 1 INFORMATION/RECOMMENDATIONS: 3 tD 1 r —vwLt Gow•2w�S a ti •e C v a >Jk '� �— k 10 u Y ,yo 6 05 eist2.� Inspecto�Je��t�. C7{� ` 505fi0,A-&,reeVL Facility Representative: tiv, 0%1 S4-"Klety l WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS `°F�"ETokti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARMS�LE.g` 200 Main Street• Hyannis, MA 02601 t639.p�0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rED MAy Business Name: CcA, > &cL<w Date:A � I V7 Location/Mailin Address- D a% okvt.�_ Contact Name/Phone: ova <k. 1, O - ua LXk,S Inventory Total Amount: n.J j SDS: O y.-h wt, License#: C g7V 2 Tier II : D Labelino: 0V1. Spill Plan: A'o.P-64- Oil/Water Separator: V\ Floor Drains: Emergency Numbers: Ao &b!:�k Storage Areas/Tanks: 2!�\dk,,5k•Q.o, \ka,&W A S"{"- Emergency/Containment Equipment: a�-mdj yaAwb P, ova 6 , Waste Generator ID: o <at6Aee Waste Product: Date&Amount of Last Ship ent/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS 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 requires a license from the Public Health Division. Antifreeze t I Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including b ke fluid)V4.V Windshield wash H '514 Motor oils 45+w��k<-'�-� Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants _ Miscellaneous petroleum products: Road salts grease, lubricants, gear oil'l Refrigerants y Degreasers for engines&garages Pesticides: Caulk/Grout V a \ insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives (creosote) Asphalt&roofing tar awk�j� Swimming pool chlorine Paints, varnishes, stains, dyes�k� '�\��J` Lye or caustic soda Lacquer thinners <°Ly Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" / \.oQO (including chloroform,formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDA IONS: \3 i_ a v cVc1e_- CL VOW c CUSS . J'o k- ka tvt, AA-Lqb,,r�j A- S 1i C12V1' - nn0�� M y 3Q��O0Q�Qvt.aw� t1a2.Aft-S e Vl.6"el nspector..'< La vAV� Facility Representative: ' WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS us%4\, YOU WISH TO OPEN A BUSINESS. For Your Information:. Business certificates (cost$40,00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L..-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: 0(0 a-1 1-7 Fill ' pl use: APPLICANT'S YOUR NAME/S rYfe --► C 1i11S / BU I ESS YOUR HOME ADDRESS: ` TELEPHONE # Home Telephone Number.f5M NAME OF CORPORATION: 0 NAME OF NEW BUSINESS rb TYPE OF BUSINESS r IS THIS A HOME OCCUPATION? YES 0O ADDRESS OF BUSINESS d i)atF7 MAP/PARCEL NUMBER o U (Assessing) E a- 11�1 � ,� 1C n 01 o '' .3�1h`' Lu c.-sue°• 0��1 When starting a new business th e are severs in s you must do in order o be in compliance it ter and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO MISSI ER'S OFF E This indivi u s be info' e of ny er it requirements that pertain to this type of business. Au orized Sign. (' 0 ENTS: I 4ti I 1 �` 2. BOARD OF HEALTH This individual has bee informas bee inform o�equirements that pertain to this type of business. MUST COMPLY WITH ALL thori d Si nature*�* HAZARDOUS MATERIALS REGULATIONS COMMENTS: 0� 3. CONSUMER AFFAIRSeeen ENSING AUTHO ITY - This in informed of the is si r quirements that pertain to this type of business. COMMENTS: rized Signs re** /1� ) 5�IeS a(t �jp �I Ane - 1 f Date:&/-z$ TOWN OF BARNSTABLE TOXIC AND HAZAR OUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: Co Tw 0,&Wr, BUSINESS LOCATION: 505 INVENTORY MAILING ADDRESS: !G A (� TOTAL AMOUNT- a TELEPHONE NUMBER: �— CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: 5 _ ' 3190 MSDS ON SITE? TYPE OF BUSINESS: tkbnnt-shyL a,a) INFORMATION / RECOMMENDATIONS: Fire District: Waste Transportation: flee . Last shipment of hazardous p p s 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 V 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 Moor 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 i Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers 4 Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, L cquer 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 lficant's Signature Staff's Initials �� rIKE Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • RnRMASS. 9• 200 Main Street• Hyannis, MA 02601 039. AT��OXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: 444 54 t+a, Cohn' A-4, ► eo4, Date: Location/Mailing Address: •SO a cv--O, Contact Name/Phone: Ake- e e i rw s SOS "7-7 q 9631 ce 11 3;;>g 292 66 l g Inventory TotalAmount- 40 r'od,cA- 'SDS: �• "f o o 6+41tA- License#:-T�D Tier II : a Lib—ling: 0-W ill Fovfkiu0's Spill Plan: No Oil/WaterSeparator: Floor Drains: Yee, !:- Emergency Numbers: Storage Areas/Tanks: o a vt 5 or°,M s opt Emergency/Containment Equipment: 03e5 Waste Generator ID: No f r'-P- fey Waste P o uct: A)orbc- 0 t s, �YY� �s 7�►�` Date&Amount of Last Shi ment/Fre uenc : Licensed Waste Hauler&Destination: Other Waste Disposal Methods: P14H 5 f o 4vY-0 -s!0'ep/ 5 fore LIST OF TOXIC AND HAZARDOUS MATERIALS 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 requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: (/ �t- ��oor at;��t�►•L- et K+ •bu sk,+ o pcK oxc.r ut- In� ORDERS: aor •C� �,n� . oUe.t'0_Q Cowfa,arc-5 • Q 41 Co a,K CS INFORMATION/RECOMM NDATIONS: KIV d4lvtt01, 1.,1 ,, 0 6+41 v- �s 5 S • � /�C•2Ke5•c_0,/1 n pector: F cility Representative: I�B K►� ��/, •�� I- vl V 1 a' o 4'�VtV5 D-r ^ 07-�j op(- '� -�'�• /�D 2V l r,Pe y! 1l s ten. k r-e— WHITE COPY-HEALTH DEPARTMENT/CANAhY COPY- BUSINESS T"E►o Town of Barnstable A Office:508-862-4644 ° Public Health'Division Fax:508-790-6304 z RARMSTR& jr 200 Main Street• Hyannis, MA 02601 .b,q.a TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT CFO MP� ' • Business Name: 14, V2 C"4V,+ A,4o r22 icr,r'' Date: 1111114,� Location/Mailing Address: SU.a d+f�,✓L—�S C-A t Contact Name/Phone: Nl+ke. 04,eepreos 5-00 -7-7 y 90,:3 i 5,��s -zq,- 6 0 g Inventory Total Amount: 40 p �- � fVISDS: 4 License Tier 11 : A! Labeling: I��-1 �/1 C�1,11W rs Spill Plan: Oil/Water Separator:�) 0 Floor Drains: y4 - iU 6/— Emergency Numbers: Storage Areas/Tanks: AJo +a o te g f r,o, S ;, -,,4-c► *0,e 4 Emergency/Containment Equipment: V5, 5 5-'o�f 4, -r 4 s/s p, // Waste Generator ID: Waste Product: �� u�t „ s f►�r.� Date&Amount of Last Shipment/FredLuency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: o, t 4o o LAo i LIST OF TOXIC AND HAZARDOUS MATERIALS 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 requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers - Hydraulic fluid (including brake fluid) Windshield wash M Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants 4. Miscellaneous petroleum products: Road salts r grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: A Caulk/Grout insecticides, herbicides, rodenticides . Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) / Asphalt&roofing tar Swimming pool chlorine, �— Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners • Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons, Laundry soil &stain removers '(including carbon tetrachloride) ` (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ri d- - lra�r' �tQ►tZ: . 1°R.iyc buclt,,4- x- " J6- 0 r. P4,vf� ORDERS: � - -S •�c�c�rY cL•vt �.�yQ�t' 0.1 �',Gv� ,vie_c a E 4'.0 f L'o�tc�,vu !S . INFORMATION/RECOMMENDATIONS: 19KI,l rdgiv� oq 5di 4- , 4:>,,, -,a 9�rQ114 - +"i . \1+2{',J VOVA01r / ,- �e�I +�1i�U T,v1,--o /l�� 6, `'�rY1�a4e- r)4 agWtG 164 eA)K- 5�� 1"-a-`r Inspector, i� �w�p F cility Representative: t o t �!��,C f S?}e�4 u+,,'} L ,F.,yl r� i a .+-a 5 �.• k C) 2 V i dx t,c / p l l 5 .d vL 5 t"t-e 1 `'`� ` WHITE COPY- HEALTH DEPARTMENT/CANARY COPY ` BUSINESS / YOU WISH TO OPEN A BUSINESS? - For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you } must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. l 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 bylaw. . DATE: �)-V F e Fill in please: APPLICANT'S YOUR NAME/S: •- t BUSINESS YOUR HOME ADDRESS: o left_ ,# TELEPHONE # Home Telephone Number 15:= e-!) Fs2-r% NAME:OF CORPORATION: t)1 td_.L,NAME-OF NEW BUSINESS 1^�,kn� S � TYPE OF BUSINESS :Y IS THIS A HOME,OCCUPATION? YES.*-: Cf�l-iE` MAP PARCEL NUMBER ®�Z b (Assessing) ADDRESS OF BUSINESS /�� /►'�d- 1 When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. .You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town` 1. BUILDING COM I SI ER'S OFF E This individu I be infer e a pe it requirements that pertain to this type of business. A horize Si at COMMENTS: 2. BOARD OF HEALTH MUST COMPLY WITH ALL - This individual has been informed of th&it q it meet that ertain to this type of business_ HAZARDOUS MATERIALS REGULATIONS Authorized Signa ure** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: / +� TOWN OF BARNSTABLE Date: z/ao TOXIC AND HAZARDOUS MATERIALS FORM NAME OF BUSINESS: ,Mike's BUSINESS LOCATION: . 0�,/1�a►►1 S-f- (��,-�- INVENTORY MAILING ADDRESS: Sapi_x_ TOTAL AMOUNT: TELEPHONE NUMBER: ,SOn p- 4ZS-'323`( CONTACT PERSON: A, k,-- Ime'Ote,r�s EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: v v wt&► " INFORMATION / RECOMMENDATIONS: c,l► + Fire District: I✓1-5 ,t- �j p e4 V� Q .r fo a vL ojer -,et ► �eS s C' D - ✓►/�►N( J►ilo(�• �� cQ i ► o� ✓10 � w&5 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) Any other products with "poison" labels _ _�_q NEW ❑ USED (including chloroform,formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes Laundry soil &stain removers (including bleach) Spot removers&cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials