HomeMy WebLinkAbout0516 BEARSE'S WAY - Health 516 Bearses's Way ; Sewer Acet'#4372
Hyannis - -
4
9 A = 23 =\009� ,n
° o
°
o
o
o
Massachusetts Department of Environmental Protection
`i Bureau of Resource Protection
WELL DRILLER
Please specify work performed: Address at well location:
New Well Street Number: Street Name:
516 ' BEARSES WAY
Please specify well type: Building Lot#: Assessor's Map#:
Irrigation 293
Assessor's Lot#: ZIP Code:
Number Of Wells: 010 02601
City/Town:
Well Location BARNSTABLE
In public right-of-way: GPS
• Yes No North: West:
41.66400 1 170.30019
Su bdivision/Property/Description:
BALISE FORD Mailing Address:
• click here if same as well location address,
Property Owner: Street Number: Street Name:
BALISE J 516 �_ I BEARSES WAY I
Citylrown: State:
Engineering Firm: IBARNSTABLE i MASSACHUSETTS
ZIP Code:
102601
Board of health permit obtained:
• Yes • Not Required;
Permit Number: Date Issued:
W2011006 3730/2011
C7
3
I'f
3 CL9
3V 'ram
CO
f
Pagel of 1
Y
Massachusetts Department of Environmental Protection
j i-- Bureau of Resource Protection—Well Driller Program
�y Well Completion Reports(General)
�t 1
i -
Well Driller- General Well Form
DRILLING METHOD
Overburden Bedrock
Auger I --Choose Bedrock--- 1
WELL LOG OVERBURDEN LITHOLOGY
From To(ft) Code Color Comment Drop In Extra fast or slow Loss or addition of
(ft) drill stem drill rate fluid
0 i5 Sand And Gravel � Brown Yes! Fast Slow! Loss_ Addition
— s
15 35 Fine To Coarse Sand Brown j TRACE GRAVEL Yesk Fast Slow I Loss- Addition
WELL LOG BEDROCK LfTHOLOGY
Visible Extra
From Drop In Extra fast or slow Loss or addition of
To(ft) Code Comment Rust Large
(ft) drill stem drill rate fluid
Staining Chips
i Choose Code i i Yes Fast Slowi Loss Addition Yes Yes!
C
ADDITIONAL WELL INFORMATION
Developed Yes No Disinfected Yes No
Total Well Depth 35 _ I Depth to Bedrock
Fracture
Surface Seal Type None` Enhancement ( Yes No!
CASING I• Is Casing above ground?
From To Type Thickness Diameter Driveshoe
0 ' 31 _�) Polyv [Schedule
inyl Chloride 40 4 Yes
I i
t
SCREEN No Screen
From To Type Slot Size Diameter
31 35 Stainless Steel Well Point i 0.015
WATER-BEARING ZONES DRY WELL
From To Yield(gpm)
14 35 15
i
PERMANENT PUMP(IF AVAILABLE)
--Choose Pump Choose Horsepower--I
Pump Description Horsepower
Description---
Pump Intake Depth(ft) Nominal Pump Capacity(gpm) J
ANNULAR SEAL/FILTER PACK
Page I of 2
� 1
Massachusetts Department of Environmental Protection
of Bureau of Resource Protection—Well Driller Program
Well Completion Reports(General)
From To Material 1 Weight Material 2 Weight Water(gal)
Batches Method Of Placement
Choose Material Choose Material I Choose One
WELL TEST DATA
Time Pumping Time To
Date Method Yield(gpm) Pumped Level (ft Recover Recovery(ft
(HH:MM) BGS) (HH:MM) BGS)
3/3012011 i Constant Rate Pump j 15 j 1:30 16 J 0:01 14
I
WATER LEVEL
Date Measured Static Depth BGS(ft) Flowing Rate(gpm)
3/30/2011 14 15
COMMENTS
WELL DRILLERS STATEMENT
This well was drilled or altered under my direct supervision,according to the applicable rules and regulations,and this report is complete a
knowledge.
Driller 1PATRl(XDESMONF-7l Registration# 18T7 ; Monitoring[M) F Supervising Drill
Firm I DESMOND WELL DRILLI!' Rig Permit# 024 Date Job Compl
NOTE:Well Completion Reports must be filed by the registered well driller within 30 days of well completion.
Page 2 of 2
i
ENVIROTECHLABORATORIES, INC.
MA CERT. NO.:M-MA 063
8 Jan Sebastian Drive Unit 12
Sandwich,MA 02563
(508)888-6460 1-800-339-6460
FAX(508)888-6446
Client Name Desmond Well Drilling Location 516 Bearses Way
Address PO Box 2783
Hyannis,MA
Orleans MA
02653 Sample Date 0mom 1
Collected By Desmond Wells Sample Time 14:45
Sample Type New Welu Irrigation Date Received 03/30/11
Lab Order Number Dw-11 o544 Well Specs 4"PVC
Location Source - Date Collected Tinte Collected Comments
A 3130111 14:45
Analysis Requested Units Recommended Limits Analysis Result Method Date Analyzed Analyzed By
Total Coliform /100ml 0 ___ _ 0 SM9222B_ 3/30/2011 MC
-- pH pH units 6.58.5 _ 6.61 SM4500-H-B _3/30/2011 _LL
Specific Conductancen umhos/cm 500 565 EPA 120.1 3/30/2011 LL
-- — Nitrite-N mg/L 1.00 <0.004 EPA 300.0_ 3/30/2011 LL
Nitrate-N_ _
mg/L 10.0 _ _ 5.36 EPA 300.0 —3/30/2011 _ LL
Sodium mg/L 20.0 96.5 EPA 200.7 4/1/2011 MC
Total Ironn mg/L 0.3_ ___ 0.50 EPA 200.7 4/1/2011 MC
Manganesen mg/L 0.05 0.18 EPA 200.7 4/1/2011 MC
Comments: -------------- — ------_----.--------
Nitrate level should be monitored periodically.
Iron and manganese are not a health hazard,but can cause taste,staining and odor problems.
Sodium level is not a health hazard,but if on a low soduim diet,consult a physician before drinking
Consult local Board of Health regulations concerning Sodium level.
Water meets EPA standards and is suitable for rinking for parameters tested.
jDirector
DateRonald J.SLaboratory
BRL=Below Reportable Limits *See Attached Page 1 of 1
❑Certrfrcation is not available for this analyze for non potable water samples..
Massachusetts Department of Environmental Protection
Bureau of Resource Protection
WELL DRILLER
Please specify work performed: Address at well location:
New Well _ j Street Number: Street Name:
516 BEARSES WAY
Please specify well type: Building Lot#: Assessor's Map#:
Monitoring )
Assessor's Lot#: ZIP Code:
Number Of Wells: 02601
1
City/rown:
Well Location BARNSTABLE
In public right-of-way:. GPS (GPS for the deepest well) _
• Yes No' North: West:
41.66373 70,2 9980
Subdivision/Property/Description:
Mailing Address:
• click here if same as well location address
Property Owner: Street Number: Street Name:
BALISE _V 516 BEARSES WAY
City/Town: State:
Engineering Firm: IBARNSTABLE MASgACHUSETTS
OREILIYTALBOT OKUNI ZIP Code: C �
02601 i
Board of health permit obtained:
• Yes • Not Required;
Permit Number: Date Issued:
I
Pagel of 1
Massachusetts Department of Environmental Protection
Bureau of Resource Protection-Well Driller Program
n . Well Completion Reports(Monitoring)
Well Driller - Monitoring Form
I DRILLING METHOD - - -
I
Overburden Auger i Bedrock Choose Bedrock WELL LOG OVERBURDEN LITHOLOGY
From To(it) Code Color Comment�µ Drdp In Extra fast or slow Loss or addition of
(ft) drill stem drill rate fluid
0 20.5 Fine To Coarse Sand i Brown I I
C I Yes Fast Slow Loss Addition,
PERMIT INFORMATION -
DEP 21 E RTN# DEP Groundwater Discharge#
ADDITIONAL WELL INFORMATION
Developed Yes No Are these wells nested? Yes No'
Surface Seal Type Concrete j Area of group(sq.ft)
Total Well Depth 20.5 Depth to Bedrock
CASING Is Casing above ground% From: 12. To: 10
From To Type Thickness Diameter
10.5 - �� Polyvinyl Chloride Schedule 40
SCREEN I• No Screen _ ___ _
From To Type Slot Size Diameter t
10.5 20.5 ! Continuous Wire PVC �0.010 �! 2
J I. _
WATER-BEARING ZONES
Yield
From To
�(;gpm) ,
13.8 20.5 i
ANNULAR SEAL/FILTER PACK
--Water
From To Material 1 Weight Material 2 Weight(gal) Batche Method Of Placement
_
6 Bentonite Chips/Pellets -- Gravity
4 �� Choose Material---
WATER LEVEL
Date Measured Static Depth BGS(ft) Flowing Rate(gpm)
2/10/2011 113.8 1
r Page I of 2
• y
r
Massachusetts Department of Environmental Protection
Bureau of Resource Protection—Well Driller Program
Well Completion Reports(Monitoring)
COMMENTS
TEMPORARY WELL
WELL DRILLERS STATEMENT
This well was drilled or altered under my direct supervision,according to the applicable rules and regulations,and this report
is complete and accurate to the best of my knowledge.
Driller PATRICKDESMOND Registration# 877 Supervising Driller Signature DESMOND,PATRICK
Firm DESMONDWELLDRILLIN Rig Permit# 024 Date Job Complete 2/10/2011
NOTE:Well Completion Reports must be filed by the registered well driller within 30 days of well completion.
Page 2 of 2
Town of Barnstable
Regulatory Services
aAMSrAB Thomas F. Geiller,Director
MAM
A,E �•0� Public Health Division
Thomas McKean,Director
200 Main St,
Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
May 23, 2003
Edgar H. Levesque Trust
Edgar H. Levesque Living Trust
7743 East Neville Avenue
Mesa, AZ
IMPORTANT NOTICE
RE: Map & Parcel 293-009
Dear Addressee:
You a re d irected t o c onnect y our b uilding I ocated a t-51 fi Beases Way, Hyanriis,
Massachusetts, to public sewer on or before August 29, 2003. - - --�
The Department of Public Works, Engineering Division, has notified us that your
property abutts recently installed vacuum sewer lines. The lines were extended because of
the density, and the size of the lots in the area, and the potential for serious health problems.
Failure to comply with this order will result in a complaint against you, in a court of law,
due to your failure to comply with a Board of Health Order. -
If you should have any questions, please telephone me at 862-4644.
PER ORDER OF THE BOARD OF HEALTH
Ana
Thomas A. McKean, R:S. CHO
Health Agent for:
TOWN OF BARNSTABLE BOARD OF HEALTH
Wayne Miller, M.D., Chairperson
Susan G. Rask, RS.
Sumner Kaufman, M.S.P.H.
Return receipt requested
Cc: Barbara Childs, Water Pollution Control
Mark Giordano, Engineering
Q:Sewerorder.doc
O03 -36 .� Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLEs•MASSACHUSETTS
01pprication for Migooal 6potem Construction Permit
Application for a Permit to Construct( . )Repair( )Upgrade( )Abandon X
O Complete System O Individual Components
Location Address or Lot No. b A Owner's Name,Address and Tel.No. `gL v> S 3 Z
60 r.-A" l_c s q v
Assessor's Map/Parcel 2aj 3 /� 77 tr 3 6/3V; /1/F'/' ��'� A) ✓e 8 1 Ze
Installer's Name,Address,and Tel.No. r6y Designer's Name,Address and Tel.No. ,
�d ��n7l.,rScJU J'7 G� �l ivr'J j�Oa.T
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) pr!g rj 4 —r/try
/w LJ�-j V/=S-LUUH-. 6-w C
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 Certifi-
cate of Compliance has been issued by this Board of He Ith.,
Signed 6 Date
Application Approved by Date
Application Disapproved for the following reaso
Permit No. Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
I TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( )
Abandoned( )by
at has b n constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit N ' ted
Installer Designer
The issuance of this permit shall not be construed as a guarantee that the system will function as designed.
Date Inspector
i
o
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
t to PUBLIC HEALTH DIVISION --TOWN OF BARNSTABLE, MASSACHUSETTS
R pYication for �DizpozaY-*pgten� tonztruction Permit
Application for a Permit to Construct( . )Repair( )Upgrade( )Abandon( ❑Complete System El Individual Components
Location Address or Lot No. b B .� W,a *11 Owner's Name,Address and Tel.No. (92 f�>S3 2 - G 31
Assessor'sMap/Parcel Z°1 ✓' L�< n KJ ,. .
ter. ra r1,�� 7-o—A
Installer's Name,Address,and Tel.No. 'rt~'"a Designer's Name,Address and Tel.No.
. _ t
2C1 \�^rg LevlV d 17f rvr'J pI -.T
r+
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
i
Nature of Repairs or Alterations(Answer when applicable) ,r 40 f L�
llyn-)
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of thetiafore described on-site sewage disposal system
in accordance with the provisions of Title 5 of the Environmental Code and not co place the system in operation until a Certifi-
<~ Cate of Compliance has been issued by this Board of Health.
Signed 61� ---�iiJ Date z/3
Application Approved by' �'• y j / i Date
Application Disapproved for-the following reas
Permit No. '` Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
(Certificate of (Compliance
THIS I TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( )
Abandoned( by
at has ben constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. led
Installer Designer
The issuance of this permit shall not be construed as a guarantee that the system will function as designed.
Date Inspector
---------------
No. 6Q2 3—L]: Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION -.BARNSTABLE, MASSACHUSETTS
lwigool *potem (Construction Permit
Permission is hereby a ted o Cons ct Repair( )Upgrade( Aban n
System located, �� ES /<Z t e Jm
i
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.
Provided:Cons truc on u t be c leted within three years of the date ofe t
Date: Approved by
TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1. Marine,Gas Stations,Repair
BOARD OF HEALTH O satisfactory 2. Printers
3.Auto Body Shops
y O unsatisfactory- 4.Manufacturers
COMPANY kAUr� 1So � 2- (see"Orders") 5.Retail Stores
{,� i 6.Fuel Suppliers
ADDRESS t `�'ab�CLCra(?'S \1�Y�`I (Mass: 7•Miscellaneous
(11C- M4QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors)
MAJOR MATERIALSUnderground
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)
a %Ic
transmission__ ydraulic
Synthetic Organics:
degreasers
ICE �
Miscellaneous: S
(8VIL x
�. � ► (� S �qaN lb
19 JkL 4,4 �a
DISPOSAURECLAMATION REMARKS:
1. Sanitary Sewage 2.Water Supply �G-1
O Town Sewer Public
On-site Private
3.Indoor Floor Drains YES4NO I 1
O Holding tank:MDC
p Catch basin/Dry well 1
On-site system
4. Outdoor Surface drains:YES NO ORDERS:
Q Holding tank:MDC
O Catch basin/Dry well
O On-site system
5.Waste Transporter
Narne of Hauler Destination Waste Product Licensed?
YES NO
2.
13
Pe son( ) Interview d Inspector Date
Town of Barnstable
°FINE rqy� Regulatory Services �, QThomas F. Geiler,Director
B"A'ASS.' ' Public Health Division
1659. �\
p�FDMA'�A Thomas McKean,Director 1
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Application Fee: $100.00
ASSESSORS MAP AND PARCEL NO.,,,� DATE (!a
APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN
111 GALLONS OF HAZARDOUS MATERIALS
FULL NAME OF APPLICANT -'T
NAME OF ESTABLISHMENT 14fho; l/C C4,oQ Gt/c�SG�
ADDRESS OF ESTABLISHMENT
TELEPHONE NUMBER O,F-'7J7-1'/77 7
SOLE OWNER:VYES 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
SIGNAJURE bF APPLICANT
RESTRICTIONS: HOME ADDRESS%tW
HOME TELEPHONE#
Haz.doc/wp/q
TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair
satisfactory 2. Printers
BOARD OF HEALTH O ry 3.Auto Body Shops
unsatisfactory- 4.Manufacturers
A`^gyp �1 1� '� (see"Orders") 5.Retail Stores
COMPANY ����5 l�� w��J 6.Fuel Suppliers
ADDRESS Class: 7.Miscellaneous
QbAf4TITIES AND STORAGE (IN= indoors;OUT=outdoors)
MANOR MATERIALS 7' Case lots' Above Tanks Under69-ound Tanks
IN OUT IN I OUTI IN JOUTI#&gallonsl Age ITest
Fuels:
Gasoline Jet Fuel (A)
Diesel, Kerosene, #2 (B)
Heavy Oils:
waste motor oil (C)
new motor oil(C)
transmission/hydraulic
Synthetic Organics:
degreasers
i
Miscellaneous:
S
3CAPJ Vj
DISPOSALfRECLAMATION REMARKS:
1. Sanitary Sewage 2.W ter Supply -"'
O Town Sewer Public
�On-site OPrivate
3. Indoor Floor Drains YESXNO
O Holding tank:MDC.
O Catch basin/Dry well may`P
O On-site system aAL
4. Outdoor Surface drains:YES NO ORDERS: 1 J
O Holding tank:MDC
O Catch basin/Dry well Y dL-O,� 0 n
O On-site system
5.Waste Transporter
Name of Hauler Destination Waste Product Licensed?!
V YES No
2.
�AaI
Person(s) Interviewed Inspector Date
TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair
BOARD OF HEALTH satisfactory 2. Printers
3.Auto Body Shops
unsatisfactory- 4.Manufacturers
COMPANY mil" v 1'J 4�Q (see"Orders") 5.Retail Stores
6.Fuel Suppliers
ADDRESS - 411+_ai�r Class: _ 7•Miscellaneous
z*4 QUAN`i'ITIES AND STORAGE (IN= indoors;OUT=outdoors)
MAJOR MAT9fIALS Case lots 13)rlims Above Ta-nks Underground Tanks
IN OUT IN OUT IN OUT #&gallons Age Test
s
Fuels: FoZ�i
e Jet uel ) ,�
4,V sg
Diesel, Kerosene, #2 ( )
Heavy Oils:
waste motor oil (C)
new motor oil (C) l
transmission/hydraulic
Synthetic Organics:
degreasers
y l
i�
i
DISPOSALIR.ECLAMATION REMARKS:
1. Sanitary Sewage 2.W ter Supply
Town Sewer ublic
,Town
OPnvate
3. Indoor Floor Drains YES NO
O Holding tank:MDC r
O Catch basin/Dry well e� Z,/� 1
O On-site system �G�� XV
4. Outdoor Surface drains:YES NO ORD RS:
r
Q Holding tank:MDCT
O Catch basin/Dry well
O On-site system
5.Waste Transporter
Name of Hauler Destination Waste Product
1.
2.
4—,
Person V Inter—hewed Inspector Date
TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair
satisfactory 2•Printers
BOARD OF HEALTH 3.Auto Body Shops
O unsatisfactory- 4. an
COMPANY �/ 1 fJ �61t1L� (see"Orders") 5.Retail Stores
6.Fuel Suppliers
ADDRESS :lass: 7.Miscellaneous
AA,,J 412T• QUITIES AND STORAGE (IN=indoors;OUT=outdoors)
MAJOR MATYR ALS Case lots Drums Above Tanks Underground
IN OUT IN OUT IN OUT #&gallons Age Test
Fuels:
Gasoline,Jet Fuel(A)
AIA�..- �
Heavy Oils: 49
waste motor oil (C)
new motor oil (C)
transmission/hydraulic
Synthetic Organics:
degreasers
i
i
Miscellaneous: t
i
DISPOSALIRECI AMATION REMARKS:
1. Sanitary Sewage 2. Water Supply
O Town Sewer Public �.
On-site O Private
3. Indoor Floor Drains YES if NO
O Holding tank:MDC
O Catch basin/Dry well `��G
O On-site system0�' rI
4. Outdoor Surface drains:YES 11NO ORDERS:
O Holding tank:MDC
Pf Catch basin/Dry well
O On-site system -
5. Waste Transporter
Name of Hauler Destination Waste Product
YES NO
2.
r �
Person(s) a wed nspector Date
y
' Date:
abAY.) /t.)
TOXIC AND HAZARDOUS MATERIALS REATRATION FORM
NAMEOFBUSINESS:
BUSINESS LOCATION:
MAILINGADDRESS: Mail To:
TELEPHONE NUMBER: 670E 7°7/ Board of Health IF179 Town of Barnstable
CONTACTPERSON: �'` � o(-w-�JS��� P.O. Box 534
EMERGENCY CONTACT TELEPHONE NUMBER: U - 5��7 Hyannis, MA 026 1
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 otherthan your mailing
address: 1
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(forgasoline orcoolant 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
pze o 'NEWei,4�40SED (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
tp �Iki 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
c 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 &�Y__0,05cx /
(dry cleaners) �crc�iv►es i<��,�5 ��c��l.�/
Other cleaning solvents rkgml /ti
Bug and tar removers
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS
Commonwealth of Massachusetts
as
Executive Office of Environmental Affairs
®apartment of
® Environmental Protection
.Southeast Regional Office
VAIllaGm FF.weld t�!
' Trudy Coxe
David B.Struhs
Commisslaier
February 28, 1996
Mr. Gary Levesque RE: BARNSTABLE--BWP
Electro Mechanical Rebuilders EMR
506 Bearses Way 506 Bearses Way
Barnstable, Massachusetts 02630
Notice of Inspection
310 CMR 30.000
Site I.D. #MA5000002097
Status: SQG
DEP Facility ID# 224645
Dear Mr. Levesque:
On February. 21, 1996, a representative of the Department of.
Environmental Protection conducted an inspection of your company
located at 506 Bearses Way, Barnstable, Massachusetts. The
purpose of this inspection was to determine the status of Electro
Mechanical Rebuilders relative to compliance with the
Massachusetts Hazardous Waste Regulations as contained in 310 CMR
30.000 and adopted under the provisions of Sections 4, 6 and 9 of
Chapter 21C of the Massachusetts General Laws as applicable.
The inspection revealed that your company is, and has been
operating as a very small quantity generator (VSQG) of hazardous
waste although your status is that of a small quantity generator
(SQG) of hazardous waste. Should you wish to change your status
to that of a VSQG, please complete the change of status form left
with you at the time of the inspection and mail it to the
Department's address indicated on the form.
At the time of the inspection, there were no violations
observed relative to the regulations for the management of
hazardous waste as contained in the Massachusetts Hazardous Waste
Regulations referenced above.
Be advised that it is the facility's responsibility to
maintain current awareness of, and compliance with, the above-
referenced environmental laws and regulations of the
Commonwealth.
20 Riverside Drive a Lakeville,Massachusetts 02347 a FAX(508),947-M7 0 Telephone (508) 9W2700
-2-
Should you have any questions relative to hazardous waste
management at your company, please contact Eric Johnson of this
office at (508) 946-2820.
Ve truly yours,
Gerald A. Monte, Chief.
Compliance and Enforcement Section
M/EJ/cb
cam: Hazardous Waste Ccordinatcr
Board of Health
Town Hall
367 Main Street
Hyannis, MA 02601
DEP-SERO
ATTN: C. Natho
DEP-SERO
ATTN: Regional Enforcement Office