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Date:
TOWN OF BARNSTABLE tVoee,+Z- -No R M(+
TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORYrel•
&6JI'm NAME OF BUSINESS: 0
BUSINESS LOCATION: 4629&/. A-fd-0tol1-s INVENTORY
MAILING ADDRESS: �i TOTAL AMOUNT-
TELEPHONE NUMBER: 6ZI . 77F o23"06
CONTACT PERSON: Lt o
EMERGENCY CONTACT TELEPHONE NUMBER: Vr .2-- MSDS ON SITE?
TYPE OF BUSINESS: D
INFO RMATION/RECOMMEN ATI0NS: Fire� istrict:
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Waste Transportation: _A)0m 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 materials use,
storage and disposal of 111 gallons or more a month requires a license from the Public Health Division.
LIST OF TOXIC AND HAZARDOUS MATERIALS
The Board of Health and the Public Health Division have determined that the following products exhibit toxic
or hazardous characteristics and must be registered regardless of volume.
Observed/Maximum Observed/Maximum
Antifreeze (for gasoline or coolant systems) Misc. Corrosive
NEW USED Cesspool cleaners
Automatic transmission fluid Disinfectants
Engine and radiator flushes Road Salts (Halite)
Hydraulic fluid (including brake fluid) Refrigerants
Motor Oils Pesticides
NEW USED (insecticides, herbicides, rodenticides)
Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers)
Diesel Fuel, kerosene, #2 heating oil NEW USED
Misc. petroleum products: grease, Photochemicals (Developer)
lubricants, gear oil NEW USED
Degreasers for engines and metal Printing ink
Degreasers for driveways & garages Wood preservatives (creosote)
Caulk/Grout Swimming pool chlorine
Battery acid (electrolyte)/Batteries Lye or caustic soda
Rustproofers Misc. Combustible
Car wash detergents Leather dyes
Car waxes and polishes Fertilizers
Asphalt & roofing tar PCB's
Paints, varnishes, stains, dyes Other chlorinated hydrocarbons,
Lacquer thinners (inc. carbon tetrachloride)
NEW USED Any other products with "poison" labels
Paint &varnish removers, deglossers (including chloroform, formaldehyde,
Misc. Flammables hydrochloric acid, other acids)
Floor&furniture strippers Other products not listed which you feel
Metal polishes may be toxic or hazardous (please list):
Laundry soil & stain removers
(including bleach)
Spot removers &cleaning fluids
(dry cleaners)
a. Other cleaning solvents
Bug and tar removers
Windshield wash
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS
Date:
TOWN OF BARNSTABLE
TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY
NAME OF BUSINESS: 'Be lI b I rA b
BUSINESS LOCATION: q21 & _I2 A. A/l�h,UU 5 j ��� �l�D{ INVENTORY
MAILINGADDRESS: ji I TOTAL AMOUNT-
TELEPHONE NUMBER: 545- 77B -" 20LM
CONTACT PERSON: '
EMERGENCY CONTACT TELEPHONE NUMBER: b4 — MSDS ON SITE?
TYPE OF BUSINESS: - � � "
INFORMATION/RECOMMENDATIONS: Fire Distri t:
1
aste Transportation: Last shipme hazardous waste:
ame of Hauler' Destination
ste Product: Licensed? Yes No
NOTE: er_tb.e_ptavi.sio , Section 31, of the General s of MA, hazardous - erials use,
storage and disposal of 111 gallons or more a month requires a license from e u Ic Health Division.
LIST OF TOXIC AND HAZARDOUS.MATERIALS
The Board of Health and the Public Health Division have determined that the following products exhibit toxic
or hazardous characteristics and must be registered regardless of volume.
Observed/Maximum Observed/Maximum
Antifreeze (for gasoline or coolant systems) Misc. Corrosive
NEW USED Cesspool cleaners
Automatic transmission fluid Disinfectants
Engine and radiator flushes Road Salts (Halite)
Hydraulic fluid (including brake fluid) Refrigerants
Motor Oils Pesticides
NEW USED (insecticides, herbicides, rodenticides)
Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers)
Diesel Fuel, kerosene, #2 heating oil NEW USED
Misc. petroleum products: grease, Photochemicals (Developer)
lubricants, gear oil NEW USED
Degreasers for engines and metal Printing ink
Degreasers for driveways & garages Wood preservatives (creosote)
Caulk/Grout Swimming pool chlorine
Battery acid (electrolyte)/Batteries Lye or caustic soda
Rustproofers Misc. Combustible
Car wash detergents Leather dyes ,
Car waxes and polishes Fertilizers
Asphalt & roofing tar PCB's
Paints, varnishes, stains, dyes Other chlorinated hydrocarbons,
Lacquer thinners (inc. carbon tetrachloride)
NEW USED Any other products with "poison" labels
Paint&varnish removers, deglossers (including chloroform, formaldehyde,
Misc. Flammables hydrochloric acid, other acids)
Floor& furniture strippers Other products not listed which you feel
Metal polishes may be toxic or hazardous (please list): '
Laundry soil & stain removers v 5 , t Im
(including bleach)
Spot removers &cleaning fluids
(dry cleaners)
Other cleaning solvents
Bug and tar removers
Windshield wash
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS
BtO,���,o
OIL WASTE OIL OIL FILTERS ANTIFREEZE WASTE
ANITFREEZE
GASOLINE WASTE GAS DIESEL FUEL W/W FLUID ATF
HYDRAULIC/ MISC. MISC. MISC. MISC.
BRAKE FLUID COMMBUSTIBLE FLAMMABLE CORROSIVE PETROLEUM
(GEAR OIL/GREASE/
LUBRICANTS)
FREON ACETYLENE CAR WASH CAR WASH PAINTS/ i
WAX DETERGENTS THINNERS
SEALANT CLEANING BATTERIES/ POISION/TOXIC CAULK/GROUT
SOLVENTS BATTERY
II ACID
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FERTALIZERS WASTE SOLVENT MSDS
Not yf r
MANIFESTS
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Town of Barnstable-Health Department Page 1
HAZARDOUS MATERIALS INVENTORY SITE VISITS
._._....__..._............................_......_._._. .............._.......,
DBA: iBellisimo Fax: —
............... ................ .........._............_............. _....... __._..__........ _. ...._......- -......
Corp Name: Mailing Address
_....._..._._..__._._._._.__._...__.........---..........._...._......__......................._.....__..__..._.._. _....................._............................................_......—_ .._._....__...............
Location: s479 Bearses Way,Hyannis Street: 479 Bearses Way
.
. . .. . . . I . ..
.................._._._..,..._....._.__.__........................_.............__._....._..__.... ..._.__....._............_.............--.--------_._....,_.--__...................---......_..........
mappar: City: Hyannis
Contact: ;Luciana Z..M.Araujo State: Ma
Telephone: (508)778-2340 Zip: 02601
Emergency: ;508-292-2342 Person Interviewed:
.................................................................._.....................
Business Contact Letter Date: 5/30/2006
............................-........._..................._......_............_.._..._.._.._......_..._......... ....._.....__._.._._...._.._....
.._..._..__.._.. --..._.._..
Category: ;Barbers/Beauty Inventory Site Visit Date: 6/5/2006
...._.._._._...._._......_..._.................-_......................._......_.._......._ .............................._._.._.._.._.....
_.__.._......_.__.._.
Type: Follow Up/Inspection Date:
d❑ public water ❑ indoor floor drains ❑ outdoor surface drains ❑ license required
❑ private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc ❑ currently licensed
d❑ town sewage ❑ indoor catch basin/drywell ❑ outdoor catch basin/drywell expir ......----------------
El on-site sewage ❑ indoor on-site syste ❑ outdoor onsite system date: ................................................_...
Hair dye products are taken to the landfill. Update MSDS.6/5/06 alp- compliance:
under new ownership. Minimal haz mat.Storage of Haz Mat is Satisfactory
approved,the flammables are kept in a cool location on the bottom
shelf.Recommend to keep lids/caps closed at all times and to store in a
cool location.Order MSDS for each haz mat product and 1 for each
other product and store in a binder in a common area.
Page 2
Town of Barnstable-Health Department
HAZARDOUS MATERIALS INVENTORY
Chemicals: ❑ Zero Toxic Waste Materials
d❑ gty's>25 Ibs dry or 50 gals liquid but less than 111 gals
❑ gty's 111 gals or more
description„ <.;.s.Fw>. , :� qty `; ;�-un;t of measure
hair dye 1 gallons
perm&dye products 1 gallons
Misc.Flammable 4 gallons
other cleaning solvents 2 gallons
Waste Transporter: Fire District: ;Hyannis
Last HW Shipment Date: Waste Hauler Licensed: No
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Town of Barnstable
Regulatory Services
OF rod,
Thomas F. Geiler,Director
� `
Public Health Division
snxivsras Thomas McKean,Director
�Mnss�`
200 Main Street, Hyannis,MA 02601
Phone: 508-8624644
r
Email: health(o)town.barnstable.ma.us
Fax: 508-790-6304
Office Hours: M-F 8:00—4:30
June 5, 2006
Ms.Luciana Z.M Araujo
Bellisimo
479 Bearses Way
_Hyannis,MA 02601
Dear Ms. Araujo:
Thank you for your time and cooperation during the hazardous materials inventory and site visit
at Bellisimo on June 5, 2006. This letter contains information from that visit that will help you"'
become compliant with the Town of Barnstable Code 108: Hazardous Materials.
Enclosed are copies of Code 108: Hazardous Materials and a copy of the Toxic and Hazardous
Materials On-Site Inventory form from the visit.
Please note the problem identified at your place of business during the hazardous materials
inspection and the corresponding order listed below:
PROBLEM:
• No Material Safety Data Sheets on site.
ORDER:
• The Material Safety Data Sheets shall be made available upon request of the Health_
Department and/or the Fire Department. See Code 108: Section 108-4(B).
• This is a General Law in Massachusetts called the Right-to-Know Law.
On Site Inventory Total
The Toxic and Hazardous Materials On-Site Inventory from June 5, 2006 shows that you have
approximately 6 gallons of toxic and hazardous materials being used, stored, generated and
disposed of at Bellisimo,479 Bearses Way,Hyannis,MA (Please see enclosed Toxic and
Hazardous Materials On Site Inventory sheet).
If you have any questions about these problems,the orders and recommendations, or you need t
further information, guidance or assistance,please do not hesitate to contact the Public Health
Division.
AL
Sincerely,
Alisha L. Parker
Hazardous Materials Specialist
All orders to correct violations of Chapter 108 of the Town of Barnstable Ordinance: Hazardous
Materials shall be co p ted upon receipt of this letter.
omas*Ac ,RS, CHO
Director of Public Health
Enc. Chapter 108 (copy)
On-Site Inventory(copy)
TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1. Marine,Gas Stations,Repair
BOARD OF HEALTH O satisfactory g.A to Body Shops
O unsatisfactory- 4. Manufacturers
COMPANY �4�\��1(n � (see"Orders") 5. Retail Stores
6. Fuel Suppliers
ADDRESS PM Class: 7. Miscellaneous
1� QUANTI IES AND STORAGE (IN= indoors; OUT=outdoors)
MAJOR MAT RIAL Case lots Drums Above Tanks Underground Tanks
IN OUT IN OUT IN OUT #&gallons Age Test
Fuels:
Gasoline Jet Fuel (A)
Diesel, Kerosene, #2 (B)
Heavy Oils:
waste motor oil (C)
new motor oil (C)
transmission/hydraulic
Synthetic Organics:
degreasers
Miscellaneous: f
FSh &"f2 �(
is �
Nis,
DISPOSAL/RECLAMATION REMARKS:
1. Sanitary Sewage 2.Water Supply 2 cGGSCO A
Town Sewer Public
0 On-site OPrivate
3. Indoor Floor Drains YES N0�
0 Holding tank:MDC
O Catch basin/Dry well
0 On-site system
4. Outdoor Surface drains:YES N0�/_ ORDERS:
0 Holding tank:MDC �S
O Catch basin/Dry well
0 On-site system
5.Waste Transporter
Name of Hauler Destination Waste Product Licensed?
YES NO
1.
2.
�-� /3
rso s Interviewed Inspector Date
I
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Date: 0,2
TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM
NAMEOFBUSINESS: oT cc �L�.N nl r i:- ,j G
BUSINESS LOCATION: °� '�Z�.oS/anl� lPAZ-4 Ade4U d' 3 l� an/rJ1 1&"o!
MAILING ADDRESS: '►�o_30k o`L So nlas�j�. �,/.nl�s Po 2�-1�/l _ Do2(,�a Mail To:
TELEPHONE NUMBER: 509 - '�---9 — 8 `� 3 Board of Health
Town of Barnstable
CONTACTPERSON: GoriCAL Ug-S P.O. Box 534
EMERGENCY CONTACT TELEPHONE NUMBER: (802) a 4 6_ S9 O 9 Hyannis, MA 026.01
TYPE OF BUSINESS: Ij �J G
Does your firm store any of the toxic or hazardous materials listed below, either for sale or for you own
use? YES NO
This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed
envelope for your convenience.
If you answered YES above, please indicate if the materials are stored at a site otherthan your mailing
address:
ADDRESS:
TELEPHONE:
LIST OF TOXIC AND HAZARDOUS MATERIALS
The Board of Health has determined that the following products exhibit toxic or hazardous character-
istics and must be registered regardless of volume. Please estimate the quantity beside the product that
you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS.
Quantity Quantity
Antifreeze(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 v�T��Ek \rj0 oz> ?OLrs 14
(dry cleaners) rnT L��"i
Other cleaning solvents �,�
Bug and tar removers
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS