The URL can be used to link to this page

Home My WebLink About0506 BEARSE'S WAY - Health r 506 ��. Te ur.� .��. a'r Wash r` ` r " nnis.. C r. Hyannis l o �I E: r "i I i TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1. Marine,Gas Stations Repair Satisfactory 2. Printers BOARD OF HEALTH 3.Auto Body Shops /� O unsatisfactory- 4.Manufacturers COMPANY /-�/y tA1',V1J 94IC W A51� (see"Orders") 5.Retail Stores Q 6.Fuel Suppliers ADDRESS A Class: L 7.Miscellaneous QfJANTITIES AND STORAGE (IN= indoors; OUT-outdoors) MANOR MATERIALS Case lots Drums Above Tanks Underground IN OUT IN 0 JN 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: /D Vt 4t77 Lt W h CZ� SS ��LLOAJ DIevMS Gr- 4-c,1 e� tK 2- j 5�C►lp�LLa� �r�M aM US !j �/� SS G►A2Lttit Fas}M./ G h T �lI2l2lT1F� G ,121_cA1S` HJSCE LL &- 'S S APS oNA2 E &7PUP&L6- - .0 L DISPOSALIR•ECLAMATION REMARKS: 4 PP90)t1,-1*r&zy 3 Z S G�r��o,us /�s►�,kR 1.�S itary Sewage 2.�Water Supply �uSiA)ESS e_oA)si575 of A-arbl-64-T7i ea" w*W +Alb SEzf Col Town Sewer C)Public ✓tuft a AIiA16, f LL Soo n5, "&-?FAJ i N6- P lZO O uGTS O On-site OPrivate Gk) 6c-14E7,17 r-7-0Cle.1, C-,AfjE PVHREA 7b (?-+e— WA$N. 3. Indoor Floor Drains YES ✓ NO O Holding tank:MDC ifur.�l,u� v/� wµ-n� 15 5'EM03 p o? F/L T-We-b , P C- O Catch basin/Dry well 74-MSC WMIC-H CV A1TLl LL /5 ).,scH,4X4&-7) 7-6 O On-site system h-vEAOh-ay ,6j s u1,*X'_4 TO 7V WAI J w� 7�wA1 SE1nl�Y� K S as oN sly. 1�/A s� /�4Av)Ft�rs .0 R. 4. Outdoor Surface drains:YES NO ✓ ORDERS: ! O Holding tank:MDC P-IA16- 4Ve /` 76 710J 4,M r,0_,,0 Z O Catch basin/Dry well 7E 06PtiEzVopJ. 44 EL ANTI1=i2CC .�uu/-t ,o O On-site system u - t. 08 7+i-O ,�A� At4-T LI ce-W S''e.. 5.Waste Transporter /✓ PO S- CfONn PI-A-N Name of Hauler Ijestination Waste Product Licensed? YES N0 1. 2. P rson(9_)_Iift ecrInspector DaW Town of Barnstable ✓ �� °F, r Regulatory Services '�O (o 13 Thomas F. Geiler,Director 4/ . Ole AM Public Health Division M63q.. �0g' ArF p 39r s Thomas McKean,Director 200 Main Street Hyannis, MA 02601_ Office: 508-8624644 Fax: 508-790-6304 Application Fee:-$100.00 ASSESSORS MAP AND PARCEL NO. 2,�)i I b DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT 0-k1,X Le��!2 y! NAME OF ESTABLISHMENT t 7 ADDRESS OF ESTABLISHMENT c)(0 e. � i ► TELEPHONE NUMBER S d�� - IR 12q -1: cj -v :c. SOLE OWNER: ES NO N a r IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK SIG_NATtMPF PLICANT RESTRICTIONS: HOME ADDRESS W 6 !ate, O ' d ��v rnu,• HOME TELEPHONE# 0 Q:\Application Foff s\HAZAPP.DOC MAIL-IN REQUESTS Please mail the completed application form to the address below. Also include a copy of your contingency plan (to handle hazardous waste spills, etc). In addition, please include the required fee of$100. Make'check payable to: Town of Barnstable. Allow five to seven(7) working days for in-house processing. Our mailing address is: Town of Barnstable Public Health-Division 200 Main Street Hyannis,MA 02601 FOR FAXED REQUESTS Our fax number is (508) 790-6304.; Please fax a.completed application form. Also, please fax us a co of our contin enc- �plan to haridlehazardous wastes`ills;'etc). In addition lease mail the PY Y g YP ( P > P required fee amount of;$100.00.' Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. Allow up to four days for in-house processing. For further assistance on any item above, call (508) 862-4644 Back to Main Public Health Division No Q:\Application Forms\HAZAPP.DOC Number Fee 150 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that Hyannis Car Wash 506 Bearse's Way, MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. -------------------------------------------------------------------------------------------------------------------------------------------- ---------------------- --------------------------------------------------------------------------------------------------- ------------- ------------------------------------------ ------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2007 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. June 12, 2006 PAUL J. CANNIFF,D.M.D. THOMAS A. MCKEAN,R.S.,CHO Director of Public Health , Town of Barnstable / Regulatory.Services Thomas F. Geiler,Director � ' BAMSUBIX Public Health Division_ At f0 MA'S A Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE �03� APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN I11 GALLONS OF HAZARDOUS MATERIALS 0 FULL NAME OF APPLICANT Go-)r e ocS -c, NAME OF ESTABLISHMENTn � C'c tk)Q-s\� ADDRESS OF ESTABLISHMENT V.& TELEPHONE NUMBER C_5og7 r1R - 1 SOLE OWNER:J�YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. - STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: . PRESIDENT TREASURER CLERK I SIGNA OF LICANT RESTRICTIONS: HOME ADDRESS \y LA \A oft 0 HOME TELEPHONE# Ls 3 Z- 7,c3(_ Haz.doc/wp/q Date: TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAMEOFBUSINESS: Cat CLjZa4, BUSINESS LOCATION: .MAILING ADDRESS: INVENTORY TOTAL AMOUNT: TELEPHONE NUMBER: SaS - `7-7/ "/8-7-7 CONTACT PERSON: EMERGENCY CONTACT TELEPH E NUMBER: FIDE D(57 TYPEOFBUSINESS: OTHER INFORMATION: ozc ;'�-41e_ 0179-=eaa�9_ � G�` sus - Waste Transportation: Name of Hauler: Al�A Destination: Waste Product: /Un hiwZ. &t&A- 59C Licensed?. Yes No LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. . ;NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Observed (gallons): Antifreeze(for gasoline or coolant systems) Drain cleaners �a9VEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine-and radiator flushes..._- _. _ Road Salt (Halite) - -- -_ - J� 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 1 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 Metal polishes . hydrochloric acid, other acids) Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or.hazardous (please list): 2_�Zo Spot removers & cleaning fluids Misc.: (dry cleaners) j 5 Ov-�- Other cleaning solvents Bug and tar removers — l'�O U — ` Date: 7 TO . AND-HAZARD MATERIALS - IT TORY NAMEOFBUSINESS: Ca'-t C'4'h'a4, BUSINESS LOCATION: .MAILING ADDRESS: INVENTORY TELEPHONENUMBER: .>aS - `7-7 "/877 TOTAL AMOUNT: CONTACT PERSON: EMERGENCY CONTACT TELEPH E NUMBER: 5 ,D s - .310 2!-6 TYPEOFBUSINESS: Cam w e_ Fli�e 0t571?ICT OTHER INFORMATION: 71-1-01� 5D,5 — C_ M 5L0S o0 54en Waste.Transportation: Name of Hauler: /V f A Destination: Waste.Product: /U, ham 0. U Licensed?: Yes No LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. . .NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Observed (gallons): Antifreeze(for gasoline or coolant systems) Drain cleaners ,.S . EW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) 15.0( Hydraulic fluid (including brake fluid) Refrigerants Motor oils Pesticides NEW USED (insecticides, herbicides, rodenticides) �OkaA 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 wakes 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): 22: Spot removers & cleaning fluids Misc.• (dry cleaners) �� Other cleaning solvents -Bug and tar removers 1 j Town of Barnstable-Health Department Page 1 r 4 HAZARDOUS MATERIALS INVENTORY SITE VISITS DBA: Hyannis Car Wash Fax: — Corp Name: Mailing Address Location: .506 Bearses Way,Hyannis Street: 506 Bearses Way mappar. &4441 City: Hyannis Contact: Levesque M M2�s State: Ma Telephone: cJ-0 g — �-�1-167.7 Zip: 02601 Emergency: (,f Person Interviewed: ............._....._..__.._...................,.......... Business Contact Letter Date: Category: Miscellaneous Inventory Site Visit Date: ............ Type: Car Wash Follow Up/Inspection Date: public water ❑ indoor floor drains ❑ outdoor surface drains ❑ license required ❑ private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc ❑ currently licensed ❑ town sewage ❑ indoor catch basin/drywell d❑ outdoor catch basin/drywell expir -- RI on-site sewage ❑ indoor on-site syste ❑ outdoor onsite system date: _._._......_....._._._. ... I REMARKS: 1999-3 tanks:2 put up sediments. Sediments pumped out compliance: and dried.ORDER:remove metal debri at rear of the property. Satisfactory t Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ Zero Toxic Waste Materials Q gty's>25 lbs dry or 50 gals liquid but less than 111 gals ❑ gty's 111 gals or more description: qty: unit of measure spot removers&cleaning fluids(dry cleaners) _ _55drums _x car wash detergents 55drums piA hydraulic fluid (including break fluid) ;gallons Waste Transporter: � Fire District: 1 Last HW Shipment Date: Waste Hauler Licensed: L - - t Hazardous Materials On-Site Inventory/Inspection For ALL Shops and Businesses: DBA: ",, Cgs f/IJGi�t Location: Date: 5— 2-5--—o kj( Physical Features to Inspect: 1. Hazardous waste generation sites (production/manufacturing areas): UIA 2. Waste storage areas: 3. Satellite accumulation points throughout: IVA 4. HazMat stored outdoors — CHECK OUTSIDE: llo 5. Shipping and receiving areas: 6. Run down of shop activities: / 7. Housekeeping practices:- HazMat On-Site Inventory/Inspection: Records to Review for SQGs and CESQGs ,I DBA: Location: Site visit date: • Hazardous Waste Manifests: • Employee training documentation (if required):: • Hazardous substance spill control and contingency plan: Nam. S • MSDS on site? • HazMat Inventory records (if applicable): • HazMat Waste Shipping documentation: • Spill records (if applicable): /v6. I