HomeMy WebLinkAbout0050 FALMOUTH ROAD/RTE 28 - Health 50 FALMOUTH RD. SP— Pwz
HYANNIS
v
W
I
it
i
it
1
d
1
o I
e 1
.I
n
.400 50
iF�Date: ,4 / .> /�.o0j
TOWN OF BARNSTABLE
TOXIC AND /Hl!AZARDOUS MATERIALS ON-SITE INVENTORY
n
NAME OF BUSINESS: N BF3AR,b
BUSINESS LOCATION: J-U R& 11V*;1,V1S INVENTORY
MAILING ADDRESS: P 0, -Rex, /1,4 49,zbo/ TOTAL AMOUNT:
TELEPHONE NUMBER: Uk _ 5' 15-4, 1,- /(0 4 6-
CONTACT PERSON: ILA11 1h0(66A-n
EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE?
TYPE OF BUSINESS: iq&-ryL IAJ;r XW^G,P 11FP 5A4,,!;-S 0A1 z-IW l
INFORMATION/RECOMMENDATIONS: -57V,--,- 45 ajag e,&eA-J A.1 1 Avg
Fire District:
Qi27�E�Li/. ?Z1E i->�E bTcT7,U6U/SN-E� Abe,-,y f JU bA-rE 01L Alel /�6SOA604 J= VA*,V1S
/5 1lyg:L.4Be-C. dezo,&e calo
LIST 77--E 116AJE / ui T£ r7-�-6 &OC-4 7 7d AJ 09- 771E-S�1�L &47E_91A1L Ba T11Z Rl lf..!
( b)a> 411OU,3 Sent_ 11d7L.104- YOV 1133
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 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, Photochemica►s (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)
Other cleaning solvents
Bug and tar removers
Windshield wash
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-B SINESS
store iteftino descrip unit_meas on hand
001 00900 BIN'PIGMENTED SHELLAC PRIMER 5GALtb'� 5
001 03500 COVER STAIN PRIMER ' 5GAL 7
001 03900 Zinsser Odorless Prime Seal 5 gal. 5GAL 2
001' 300005 CABOT 3000 CLEAR FIVES 56AL 7
001 324105 Cabot Bleaching Oil 5 Gallon 5GAL 3
001 3280605 BM ALKYD SEMI TRANS.TINT BS 5GAL y 14
001 3290605 BM ALKYD SEMI SOLID TINT BS 5GAL 3
41
001 00039 BLEACH GALLON ANY GAL 86
001 00301 PURE CLEAR SHELLAC 3LB CUT GAL 2
001 00701 Pure Amber Shellac 31b Cut Gallon GAL• 2
001 00901 BIN PIGMENTED SHELLAC PRIMER GAL_ 70
001 01950-1 ZINSSER WATER REPELLENT SEALER -GALz 7
001 03501 COVER STAIN PRIMER GAL 58
001 03901 ZINSSER ODORLESS PRIME SEAL GAL- 56 .
001 05060 Rock Miracle Remover Gal. ., GAL 13
001 06573 WATCO DANISH OIL NATURAL GAL 3
001 07001-1 QUICK 15 SATIN GAL 8
001 0800101 MOORWOOD SLD CLR STWHITE GAL'.. 7 q
001 0801 B01 MOORWOOD SLD CLR STBASE 1 B GAL : 23
0.01. 0802B01 MOORWOOD SLD CLR STBASE 213 GAL 2
001 0803B01 MOORWOOD SLD CLR STBASE 3B GAL 13
001 0804B0.1 MOORWOOD SLD CLR STBASE 4B GAL 14
001 0940001 MOORWOOD EXT PRIMER GAL 13
0011. 1000001 MOORWHITE PRIMER GAL 6
001 10001-2 . Kilz Primer Low,Voc _ - GAL 84
001 1000401 MOORWHITE PRIMER DP BASE GAL 2
001 1002001. MOORWHITE PRIMER- RED GAL 8
001 1007001 MOORWHITE PRIMER GRAY GAL 6
001 1101B01 MOORES HOUSE.PAINT,BASE 1B GAL 3;
001 1102B01 MOORES HOUSE PAINT BASE 213 GAL 4
001 1103B01 MOORES HOUSE PAINT BASE 3B GAL 2
001 1104101 MOORES HOUSE PAINT CHROME GR' GAL 5
001 1104B01 MOORES HOUSE PAINT.,BASE 413 GAL` 5
001 11202,01 PORCH & FLOOR EN PATIO WH GAL 5
001 1121 B01 PORCH & FLOOR EN BASE 1 B, GAL 8 '
001 1122301 PORCH &FLOOR EN CNTRY RDWD GAL ' 5
001 1122B01 PORCH & FLOOR EN BASE 26 x- GAL 1'
001 1123B01 PORCH& FLOOR EN BASE 3B GAL 6
001 1124001 PORCH & 171-06 EN GREEN, GAL 4
001 1124601 PORCH & FLOOR EN BASE4B GAL 9
001 1.125701 PORCH.&FLOOR EN BAMBOO.BE GAL `4
001 1125801 . PORCH & FLOOR EN NAT BEIGE GAL 3
001 1126001. PORCH& FLOOR EN RICH BROWN GAL 4 -
PORCH & FLOOR EN LIGHT GRAY, GAL 8.
001 ; 1127101 , -1.127401 GAL . . 7 -
001 1128001 'PORCH & FLOOR EN° BLACK . . GAL 3
'00;1 12203, Ez Xylol :Gal:{ GAL. 2
001 12386 Y �WOLMAN RAINCOAT CLEAR OIL BASE GAL 24
001 . 1300101, MOORES HSE &TRIM BRIL WH GAL' 1
001 13200 MNWX.HELMSMAN CLR GLOSS GAL 2
0011;( 13210 Mnwx. Helms. Semi-gls. Gallon GAL 2
001 1331 B01 IMPERVO ENAMEL BASE 1'B GAL 1.
001 1332001 IMPERVO ENAMEL BRIL RED GAL 5
001 1332301 IMPERVO ENAMEL CARN RED` GAL 5
001 1332601 1636001 GAL 4 -
001 1332B01 . 1333501 GAL 6..:
001 1333501 IMPERVO CLASSIC NAVY GAL 5
001 1333B01 IMPERVO ENAMEL BASE 3B GAL 6
001 1334201 IMPERVO CLASSIC HUNTER GAL 3
001 1334B01 IMPERVO ENAMEL BASE 4B GAL 6
001 1338001 IMPERVO ENAMEL BLACK GAL 8
001 140001 CABOT DECKING STAIN CLEAR GAL ti. 22
001 1600105 Super Spec Lx Block Filler GAL {- 2 .
001 160101 CABOTS SOLID OIL DECK WHITE GAL 7
001 160601 CABOTS SOLID OIL DECK NEUTRAL GAL .6
001 160701 CABOTS SOLID OIL DECK DEEP BS GAL 9
001 160801 CABOTS SOLID OIL DECK MEDIUM GAL 8
001 1630101 Dtm Rust And Metal White GAL 8
001 1632001 IC RETARDO RUST INHRED , GAL 6
001 1632B01 IRONCLAD ALKYD BASE 2B , GAL 7
001 . 16331301' IRONCLAD ALKYD BASE 36 GAL 4_
001 1634001 1C RETARDO RUST INHGREEN GAL" 6
001 1637101 IC RETARDO RUST INHMED GRAY GAL 2
001 1638001 IC RETARDO RUST INHBLACK GAL 18
001 20013 Zar Gloss Poly-u Low Voc Gallon GAL 23
001 20413 Zar Quick Dry Poly Gallon GAL 10
001 2070101 ALKYD DULAMEL WHITE GAL 4
001 2072B01 ALKYD DULAMEL • BASE 2B. GAL 7
001 2074B01 ALKYD DULAMEL BASE 4BL GAL 1
001 20901 Mnwx Stn Natural-Gal. GAL 2
001 21 OB01 Mnwx Stn Golden Oak Gal- GAL 1
001 21101 Mnwx Stn Provincial Gal: ` GAL 2'
001 21501 Minwax Stain Red Oak Gal: GAL '3
001 2170001 ALKYD EN UNDERBODY WHITE GAL 7
001 2170401 Alkyd Enam Underbody Deep Base -GAL 2
001. 21801 . Mnwx Stn Puritan Pine Gal. GAL 1
001 22101 Mnwx Stn Ipswich-Pine.Gal. GAL 3
001 22201 Minwax Sedona Red Gal. GAL 3
001 22301 Mnwx Stn"Colonial Maple Gal GAL 3
001 22401 Mnwx Stn Special Walnut Gal. GAL 4
001 22501 Mnwx Stn Red Mahogany Gal. GAL 2
001 23001 Mnwx Stn Early American.Gal. GAL. `2
001 231.01 Mnwx Stn 231 Gunstock Gal., GAL 2
001 23201-1 Mnwx Stn Red Chestnut Gal. . GAL 2
001, . 23301 Mnwx English-Chestnut Gal. . GAL 4 -
001 2347101 BENWOOD WD FIN PEN PICK WH GAL 3 -
001 23501 Mnwx Stn Cherry Gal. , GAL 2
-,001 2350301 .SATIN IMPERVO EN BONE WHITE: . GAL 5
D01 2352B01 FSATIN IMPERVO.EN. BASE 2B �. GAL 5
.001 2353B01 SATIN IMPERVO EN BASE 3B GAL 7
001 2354B01 SATIN IMPERVO,EN BASE.413 GAL ,, 1.2
001 2357301 SATIN IMPERVO EN NAVAJO WH, ;, GAL 7 t
.001 2857501 SATIN IMPERVO EN ANTIQUE WH GAL 5
001 2357701 SATIN IMPERVO.EN' CAMEO WH GAL 41
001 2358001 SATIN IMPERVO EN BLACK GAL 3
001 24001 5F5 REMOVER GAL GAL 17
001 24101 Mnwx Stn Fruitwood Gal. GAL 5
001 26001 Mnwx Pickled Oak Gal. GAL 2
001 271601 Mnwx Stn Dark Walnut Gal. GAL 2
001 2742671090 Mnwx High Build Poly U Gloss GAL 11
001 2742671091 Mnwx High Build Poly U Semi Gloss GAL 7
001 2742671092 Mnwx High Build Poly U Satin GAL 17
i
001 275001 Mnwx Stn Jacobean Gal. GAL 2
001� 300001 CABOT 3000 CLEAR SOLUTION' GAL 40
001 3019204525 Kleanstrip Boiled Linseed Oil Gallo GAL 9
001 3019204625 Kleanstrip Vm&p Naphtha Gal.. GAL 5
001 3050101 DULAMEL EGGSHELL WHITE GAL 11
001 3054B01 DULAMEL EGGSHELL BASE 4B GAL 1
001 3060101 ALKYD CALCIMINE RECWHITE GAL 8
001 3061 B01 ALKYD CALCIMINE RECBASE 1 B GAL 3
001 3062B01 ALKYD CALCIMINE RECBASE 2B GAL 3 }
001 3063B01 ALKYD CALCIMINE RECOAT BS 36 ` GAL 2
001 3211001 BM HARDWOOD NATURAL GAL. 19
001 3213001 BM HARDWOOD TEAK GAL 12 h
001 3216001 BM HARDWOOD MAHOGANY GAL $
001 3231001 Bm Transparent Natural GAL.- 27
001 3232001 BM TRANSPARENT REDWOOD GAL 10
001 3234001 BM TRANSPARENT CEDAR GAL Y 13
001 3237001 BM TRANSPARENT SILVER GRAY;jam GAL. 9
001 324101 CABOTS BLEACHING OIL 3 GAL �24
001 324401, CABOTS WTHRG STAIN SILVER GRAY GAL 38
001 3280601 BM ALKYD SEMI TRANS TINT BS GAL ' 86
001 3290601 BM ALKYD SEMI SOLID TINT BS z .,GAL j '28
001 340001 AUSTRALIAN TIMBER OIL NATURAL GAL 19
001 345701 Australian Timber Oil Amberwood GAL _18
001 345901 Australian Timber Oil Mahog Flame GAL 35
001 36061 Wilbond Gal., GAL 5
001 37071 Cleanwoode.Gal: -GAL 9
001 4240001 BENWOOD`URETHANE FLFLAT FIN GAL 3 F
001 4280001. BENWOOD URETHANE,HGHIGHGLOSS GAL 2,' `
001 y 477190.3951 Zinsser Odorless Cover Stain Lovo GAL W 11
001 60211 5* Paint Thinner Gallon GAL 91
001. 64811 Latex Thin-x :Scl Gal. '' GAL 14'
001 79401 TOLUOL GAL GALY 8
001 811101 CABOT PROBLEM SOLV OIL WHITE GAL-. " 14 `
001 8170312403 Ez Acetone Gallon GAL 5
001 83314 RECO ODORLESS PT THINNER, hGAL 7
•
001 13116 OM DECO STAIN NATURAL HPT 11
001 13216 OM DECO STAIN GOLDEN OAK' HPT 10
001 13316 OM DECO STAIN CHERRY HPT 15..
001 .. 13407 MNWX WOOD CONDITIONER' ,HPT 5
001 _- 13416 . OM DECO STAIN RED MAHOGANY HPT 9
001 13516 OM DECO STAIN PROVINCIAL. HPT 10 .
001 13616 OM DECO STAIN MAPLE HPT 16
001 13716 OM DECO STAIN ERLY AMER HPT 8 ,
001 13816 OWDECO STAIN DARK MAHOGANY". . HPT 14
001 1391.6 OM DECO STAIN CEDAR HPT 10
001 14016 OM:DECO STAIN DARK WALNUT ,HPT 2
001 14116 " OM DECO STAIN SPECIAL WALNUT . HPT 10
001. 14216 OM DECO STAIN.SPANISH OAK HPT.:BY 7
001 .1',,1'4316 OM DECO STAIN FRUITWOOD HPT 9
001 14416 OM DECO STAIN-PICKLING WHITE HPT Z
001 14516 '`OM DECO STAI.N'PURITAN PINE HPT. " 9
001 14816 Om Deco. Stain American Walnut iHP.T
001 1630106 IC RETARDO RUST INHWHITE HPT ` 4 `•"
001 1632006 IC RETARDO RUST INHRED HPT 5
001 1634006 IC RETARDO RUST INHGREEN HPT 2
001 1637106 IC RETARDO RUST INHMED GRAY HPT 2
001 1638006 IC RETARDO RUST INHBLACK HPT 6
001 20906 MNWX STN NATURAL HPT 7
001 21OB06 Mnwx Stn Gld Oak Hpt. HPT 9
001 21106 Mnwx Stn Provin Hpt. HPT 10
001 212606 Mnwx Stn Driftwd Hpt. HPT 5
001 21310 Mnwx Polyshade Honey Pine Satin: HPT 10
001� 21320 Mnwx Polyshades Pecan Satin Hpt HPT 8
001 21340 Mnwx Polyshades Ant. Wal. Satin'Hpt HPT 3 ;
001 21370 Mnwx Polyshades Cla. Oak Satin Hpt HPT 9
001 21380 Mnwx Polyshades Bombay Mah.'Satin H HPT 8
001 21410 Mnwx Polyshade. Honey Pine Gloss Hpt HPT 10
001 21440 Mnwx Polyshades Ant. Wal. Gloss H9t HPT. 9
001 21470 Mnwx Polyshades Cla. Oak Gloss Hpt' HPT- 6
001 21480 Mnwx Polyshades Born. Mah. Gloss Hpt HPT 7
001 21506 Mnwx Stn Red Oak Hpt. HPT 9
001 21806 Mnwx Stn Pur. Pine Hpt. HPT- 11
001 22106 Mnwx Stn Ip Pine Hpt. HPT, 7
001 22206 Mnwx Stn Sedona Red Hpt. HPT 5
001 22306 Mnwx Stn Col Mpl. Hpt HPTa "6
001 22406 Mnwx Stn Spc. Wal. Hpt. HPT 10
001 22506 Mnwx Stn Red Mahog. Hpt. HPT 9
001 23000 Mnwx Fd Poly-u Gloss Hpt. HPT 4
001 23005 Mnwx Fd Poly-u.Semi Hpt. HPT 14 .-
001 23006 Mnwx Stn Erl. Amr.Hpt HPT,, 4,
001 23010 Mnwx Poly Satin Hpt. HPT ' . 6 " {
001 _23106 Mnwx Gunstock 231 Hpt. HPT 9
001 23206 MNWX RED CHESTNUT 232 HPT - 12
001 23306 Mnwx Stn English Chestnut Hpt. HPT 7
001 2347106 BENWOOD WD FIN PEN PICK WH HPT, " 3
001 23506 Mnwx Stn Cherry Hpt. HP 9 y`
001 24106 Mnwx Stn Fruitwd Hpt. HPT 10
001 24506 Mnwx Stn Golden Pecan Hpt. HPT 9
001 25555 Mnwx Polycrylic Gloss Hpt. HPT'_ 8
001 26006 Mnwx Stn Pickled Oak Hpt. HPT .:4"
001 271606 Mnwx Stn Dk Wal. Hpt. HPT .3
001 271806 Mnwx Stn Ebony;Hpt. HPT 7
001 275006 Mnwx Stn Jacoben,Hpt. ,HPT- 9 N 3°
001 2006611280 Ro Epoxy Shield Gray Garage Floor GAL 4
001 2006611419 R O Silver Gry Proff Epoxy,Floor Co GAL 2
001 2006614035 Ro E/s Clear Coating Kit GAL -'4
001 2006615962•Ro Tan Epoxy Shield Prof GAL" `3
13
001 00308 PURE CLEAR SHELLAC 3LB CUT PNT 6
001 ' 00708 Pure Amber Shellac 31b Cut Pint PNT 7
001 00908 BIN PIGMENTED SHELLAC PRIMER PNT
001 10311 Ugl 1200o Hi TempBlack Paint Pint .PNT 7
001 20208 OM DECO BASE-DRIFTWOOD PNT 15
001 20308 OM DECO BASE WALNUT PNT 10
001 21208 OM DECO BASE MAPLE PNT • 18.
0.01 21308 OM DECO'BASE PINE ,t PNT „ 10
001 21408 OM DECO.BASE MAHOGANY ` =` PNT t, s:"10
001 36068 Wilbond Pnt. PNT 8
001 - 40.900' Mnwx Wipe On-Poly U Gloss Pnt. PNT 7
001 40910 Mnwx Wipe On Poly U Satin Pnt. PNT 7
001 41500 Mnwx Wood Conditioner Pnt. PNT 4
001 '43000 Mnwx Fd Gloss Polyurethane Pnt PNT, 7 � .
001 '43005 Mnwx Fd Poly-u Semi Pnt: PNT x`8
001 43010 Mnwx Fd Satin Polyurethane Pnt. PNT 7, 9
001 47000 Mnwx Antique Oil Finish Pnt. PNT 5
001 50408 OM LEMON OIL PNT 4
001 90008-1 OM 100% PURE TUNG OIL PNT 1
185
001 00304 PURE CLEAR SHELLAC 3LB CUT QT 5
001. 00704 Pure Amber Shellac 31b Cut Quart QT 4
001 03504 COVER STAIN ZINSSER QT 60
001 06574 WATCO DANISH OIL NATURAL QT 2
001 14 0940004 MOORWOOD EXT PRIMER QT 8
001 0940404 Moorwood Fast Dry Ext Alkyd Primer QT 4
:001 1000004 MOORWHITE PRIMER QT 3
001 10002-1 KILZ PRIMER QT 21
001 1000404 MOORWHITE PRIMER DP BASE QT 3
001 1002004 MOORWHITE PRIMER RED QT 6
001 1007004 MOORWHITE PRIMER GRAY QT 4
001 1101 B04 MOORES HOUSE PAINT BASE 1 B QT _ 5
001 1102604 MOORES HOUSE PAINT BASE 2B QT 2
001 1103604 MOORES HOUSE PAINT BASE 3B QT 1
001 11041304 MOORES HOUSE PAINT BASE 4B QT 1
001 1108004 MOORES HOUSE PAINT BLACK QT 6
001 1120104 PORCH & FLOOR EN WHITE QT 2
001 1120204 PORCH & FLOOR EN. PATIO WH QT .5
001 1121604 PORCH & FLOOR-EN BASE 1 B QT 8
001 1122304 PORCH & FLOOR EN CNTRY RDWD QT 7
001 11221304 PORCH & FLOOR EN BASE 2B QT 5
001 1123604 PORCH & FLOOR EN BASE 3B QT. 4
001 1124004 PORCH & FLOOR EN GREEN " QT 41 ,
001 1124604 PORCH & FLOOR EN BASE 4B QT 8:
001 1125704 PORCH & FLOOR EN BAMBOO BE QT 2
001 1125804 PORCH & FLOOR EN .NAT BEIGE QT 2
001 1126004 PORCH & FLOOR EN RICH BROWN : QT 3
001 1127004 PORCH & FLOOR EN LIGHT GRAY QT 4
001 1128004 PORCH & FLOOR EN BLACK - QT 5
001 13104. OM DECO STAIN NATURAL QT w 11. ° 1
001 13204 OM:DECO STAIN GOLDEN OAK QT 11
001 1330104 IMPERVO ENAMEL WHITE QT 4
001 13304 OWDECO STAIN CHERRY QT 7
001 1331204 IMPERVO ENAMEL SUN YELLOW. QT 2
001 1331604 IMPERVO ENAMEL BASE 1 B QT 2
001 . 1332004 IMPERVO ENAMEL ,BRIL RED QT 5
001 1332304 IMPERVO ENAMEL CARN RED 'QT . 5
001 1332604 IMPERVO ENAMEL BASE 26 QT 5
001 1333504 IMPERVO CLASSIC NAVY QT 4
001 1333704 IMPERVO EURO BLUE QT 5
001 13331304 , IMPERVO ENAMEL , BASE 3B QT 4
001 1334204. ' IMPERVO CLASSIC'HUNTER n< QT 7
001 13341304 IMPERVO ENAMEL BASE AB QT 5
001 1338004 IMPERVO ENAMEL BLACK QT 2
001 13404 OM.DECO STAIN RED MAHOGANY QT 5
001 13504 OM DECO STAIN PROVINCIAL QT 9
001 13604 OM DECO STAIN MAPLE QT. 12
001 13804 OM DECO'STAIN DARK MAHOGANY QT 12
.001 13904' OM DECO STAIN CEDAR; QT
001 14004 OM DECO STAIN"DARK WALNUT QT 4
001 14104 OM DECO STAIN SPECIAL WALNUT QT 12
001 14204 OM DECO STAIN SPANISH OAK QT 4
001 14304 OM DECO STAIN FRUITWOOD QT 13
001 14404 OM DECO STAIN PICKLING WHITE QT 4
001 -14504 OM DECO STAIN PURITAN PINE QT 11 "
001 14804 Om Deco Stain American Walnut QT 14
001 1630104 IC RETARDO RUST INHWHITE QT 5
001 1632004 IC RETARDO RUST INHRED QT 5
001 1632604 IRONCLAD ALKYD BASE.2B QT 6
001 1633604 IRONCLAD ALKYD BASE 3B QT 4
001 1634004 IC RETARDO RUST INHGREEN QT 3
001 1636004 IC RETARDO RUST INHBRONZETONE QT 3
001 1636204 IC RETARDO RUST INHDP BRONZE QT 3
001 1637104 IC RETARDO RUST INHMED GRAY QT 6
001 1638004 IC RETARDO RUST INHBLACK QT 2
001 1881840151 Gloss Off Water Based Deglosser QT 7
001 20012 Zar Gloss Polyurethane Quarts QT 24
00'f' 20112 Zar Satin Polyurethane Quart QT 9
001 20204 OM DECO BASE DRIFTWOOD QT 16
001 20304 OM DECO BASE WALNUT QT 5
001 20412 Zar Quick-Dry Poly-u Quart QT 16
001 20904 MNWX STN NATURAL QT 8
001 21OB04 Mnwx Stn Gld Oak Qt. QTg. 8
001 21104 Mnwx Stn Provin. Qt. QT 5
001 21204 OM DECO BASE MAPLE QT 10
001 212604 Mnwx Stn Driftwd Qt. QT r- 7
001 21304 OM DECO BASE PINE QT�, 6
001 21404 OM DECO BASE MAHOGANY' QT 6
001 21504 Mnwx Stn Red Oak Qt QT, 9
001 2170004 ALKYD EN UNDERBODY WHITE QT, . 7
001 2170404 ALKYD EN UNDERBODY DP BASE QT' 2
001 21804 Mnwx Stn Pur.pine Qt.o QT 5
001 22104 MNWX STN IP PINE QT 4
001 22204 Mnwx 222 Sedona Red Qt. QT 8 .
001 22304 Mnwx Stn Col'Mpl. Qt. QT 6 F
001 22404 Mnwx Stn Spc. Wal. Qt: QT 5
001 22504 Mnwx Stn'Red Mahog. Qt..: QT 8
001 22831 Dad's Easy Spray Paint Remover Qt. QT ..8 i
001 23004 Mnwx Stn Erl:,Amr. Qt. QT,
8
001 23104 Mnwx Gunstock 231 Qt., Y QT 8
001 23204 Mnwx Red Chestnut 232 Qt. QT ?
001 23304 Mnwx Stn English Chestnut Qt. QT 5
001 2347104 BENWOOD WD FIN PEN PICK WH QT g 3
001 2350104 SATIN IMPERVO EN WHITE QT 3
001 2350304 SATIN IMPERVO EN BONE WHITE QT .3
001 23504 Mnwx Stn Cherry Qt. QT , :9 }
001 2350604 SATIN IMPERVO EN WHITE DOVE QT 4
001 2351604 " SATIN IMPERVO EN :BASE 1 B QT 7
001 2353B04 SATIN IMPERVO EN BASE 3B QT, 1
001 23541304 SATIN IMPERVO EN BASE 4B QT ..4
001 2357004 SATIN IMPERVO EN LINEN WH ' QT 1
001. 2357304 SATIN IMPERVO EN NAVAJO WH QT .3
001 2357404 SATIN IMPERVO EN CHINA WH QT 2
001 2357504 SATIN IMPERVO EN 'ANTIQUE WH QT 4
001 2357704 SATIN IMPERVO EN CAMEO WH QT , 4
001 2357904 SATIN IMPERVO EN ATRIUM WH QT 6
001 24004- 5F5 REMOVER QT; QT 43
001 24104 Mnwx.Stn:Fruitwd Qt. QT' 6
001 24504 Mnwx Stn Golden Pecan Qt. QT 8 .
001 26004 Mnwx Stn'.Pickled,Oak Qt. :- QT" 9
001• 271604 Mnwx Stn Dk Wal. Qt. QT 4
001 271804 Mnwx Stn.Ebony Qt. QT' .. 1,1
r
001 275004 Mnwx Stn Jacoben Qt: . QT 5
001 3019201815 Kleanstrip Acetone'Qts QT �:, •. 10
001 3019202415 Kleanstrip Xyiol Xylene Qts. -QT . 5
001 3019204515 Kleanstrip Boilled.Linseed Oil Qt. QT ` 9
001 3019204615 Kleanstrip Vm & P Naphtha Qts.` QTM 2
001 3211004 BM HARDWOOD'NATURAL QT. 4
00.1- 3213004 BM HARDWOOD-TEAK `, QTt 8 .,
001 3232004 BM TRANSPARENT REDWOOD ,QT- 1
001 3234004 BM TRANSPARENT CEDAR QT 6
001 3237004 BM TRANSPARENT SILVER GRAY QT 6
001 3280604 BM ALKYD SEMI TRANS TINT BS QT 2
001 3290604 Bm Alkys Semi Solid Tint Base QT 2
001 37074 Cleanwoode Qt. QT 16
001 4240004 BENWOOD URETHANE FLFLAT FIN QT 5
001 4280004 BENWOOD URETHANE HGHIGH GLOSS QT 3
001 4350004 BENWOOD URETHANE LLLOW LUSTRE QT 16
001 4400004 IMPERVO 440 SPAR VARNISH QT 2
001 ' 4771903904 Zins Odorless Primer Sealer ;QT.' 37
.001 61004 ODORLESS THINNER QT .',QT 29
001 61310 Mnwx Polyshade Honey Pine Satin Qt QT 5
001 61320 Mnwx Polyshades Pecan Satin Qt QT 4,
001 61330 Mnwx Polyshade Olde Maple Satin Qt QT 2
001 61370 Mnwx Polyshades Cla. Oak Satin Qt ;QT 6
001 61380 Mnwx Polyshade Born Mah Satin`Qt QT 3
001 61410 Mnwx Polyshades Honey Pine Gloss Qt QT 4
001 61420 Mnwx Polyshades Pecan Gloss Qt . QT 4
001 61430 Mnwx Polyshades Olde Maple Gloss Qt QT_ 7
001 61440 Mnwx Polyshades Ant. Walnut Gloss Q _QT 2
001 61470 Mnwx Polyshade Cla. Oak Glloss Qt QT t 4
001 61480 Mnwx Polyshades Born. Mah. Gloss Qt, QT 5
001 61490 Mnwx Polyshade Nat. Cherry Gloss Qt QT 3 '
001 61500 Mnwx Wood Conditioner Qt. QT 10
001 63000 Mnwx Fd Poly-u Gloss Voc Qt. QT 8
001 63004 RAW LINSEED OIL QT QT 17
001 63005 Mnwx Fd PoRy-u Semi Voc Qt. QT 9
001 63010 Mnwx Fd Poly-u Satin Voc"Qt.` QT", ; ` 2
001 63200 Mnwx Helmsman Clear Gloss Qt. QT 6
001 63205 Mnwx Helmsman Satin Qt. QT 6
001 63210 Mnwx Helsman Semi Qt.. 3QT 8 f
001 67000 MNWX ANTIQUE OIL FINISH QT 5
001 79404 TOLUOL QT QT 16°Lz
001 80204 OM GEL STAIN GOLDEN OAK QT 7
001 80304 OM GEL STAIN CHERRY QT 8
001 80404 OM GEL STAIN RED MAHOGANY QT 5 -
001 80704` OM GEL STAIN DARK WALNUT QT 1
001 80904 OM GEL STAIN FRUITWOOD QT 3
001 81104 0 M Gel Stain.Dark Mahogany QT 6
001 81204 O M Gel Stain Maple ` ' QT 6
001 81304 OM GEL STAIN CEDAR QT 8
001 81504 Om Gel Stain Puritan:Pine QT- 5
001 8170310104 Ez Gum Turps. Quart - QT 3
001 8170311904 Ez Boiled Linseed Oil Quart QT 2
001 84204 Om Gel Stain.Vintage Burgudy _.QT '4
001 90004-1 OM 100% PURE TUNG OIL' QT 4
001 V004 VAL OIL ,QT 6
j. , e..
001 00301-1 KRYL GLOSS BLACK SPRY 4
001 01008 BIN PIGMENTED SHELLAC PRIMER SPRY 29
001 01313 KRYL CLEAR SATIN SPRY 8
001 01317-1 KRYL RUDDY BROWN PRIMER SPRY 8
001 0.1318 KRYL GRAY PRIMER SPRY 7
001 01401-1 KRYL BRIGHT SILVER , , SPRY 8`
001 01501-1 KRYL GLOSS WHITE SPRY 18 ' .
001 01502 KRYL FLAT WHITE ':$PRY 4
001 01504 KRYL IVORY' SPRY", $
001 01506 KRYL ALMOND -SPRY 5
001 01508 . `, KRYL SEMI GLOSS WHITE; `SPRY 7
001' 01601, KRYL°GLOSSY BLACK ?' SPRY 16
001 01602 KRYL ULTRA FLAT BLACK SPRY. 14.
001 01606 KRYL PEWTER GRAY SPRY 4
001 01608 KRYL SMOKE GRAY SPRY 6
001 01613 KRYL SEMI FLT BLACK SPRY 4
001 01618 KRYLON BBQ STOVE BLACK SPRY 5.
001 01701 KRYL BRIGHT GOLD SPRY 8
001 01806 KRYL SUN YELLOW SPRY 7
,001 01901-1. KRYL REGAL BLUE SPRY 10
001 01910-1. ' KRYL TRUE BLUE SPRY 4
001 01913 KRYL PURPLE SPRY 6
001 02001-2 KRYL HUNTER GREEN SPRY 6
001, 02016-1 KRYL EMERALD GREEN_ SPRY 5
001 02101-1 KRYL CHERRY RED SPRY 9
001 02108 KRYL BANNER RED SPRY 8 P
001 02116-2 KRYL SAFTEY RED SPRY 6
001 02118 KRYL BURGUNDY SPRY 5
001 02300-4 KRYL BASE COAT SPRY, �;. 9 F.
001 0230172 KRYL BLUE SPRY 6
001 02302 KRYL RED SPRY_ _4
001 02410-1 KRYL SAF:TEY ORANGE SPRY
001 02411 KRYL PUMPKIN ORANGE SPRY, 8
001 02422-1 KRYL SATIN DOVER WHITE SPRY 4
001 02437 KRYL SATIN ALMOND SPRY. 8
001 02440 KRYL SATIN TWILIGHT SPRY 9
001 02501-2 KRYL LEATHER BROWN SPRY 5
001 02504-2 KRYL KHAKI GLOSS BEIGE SPRY 9
001 03101-1 KRYL RED ORANGE SPRY 5
001 03102 KRYL YELLOW ORANGE SPRYr 3
001 03201 KRYL WHITE EPDXY APPLIANCE SPRY 8
001 03202 KRYL ALMOND EPDXY APPLIANCE SPRY ' 4
001 03401 KRYL BLACK • SPRY 8 :
001 03502 KRYL HUNTER GREEN SATIN SPRY 5
001 03503-1 KRYL BURGUNDY SATIN SPRY 10
001 03510 KRYL IVORY SATIN _SPRY .15
001 03511 KRYL ALMOND SATIN SPRY' 6
001 03517 KRYL ULTRA WHITE SATIN SPRY 5
001 03518 KRYL CAMEO WHITE SPRY 7>
001 03519 KRYL JASMINE SPRY 5
001 .03520 KRYL PEBBLE SPRY 6
001 03523 KRYL OXFORD BLUE SPRY 5
001 03532 KRYL TOMATO SPRY 6
001 03538 KRYL BRIGHT IDEA s SPRY, 6
001 03541' KRYL HOSTA LEAF SPRY 6
001 03544 KRYL BISTRO SPRY 4
001 03545 KRYL STONEWASHED DEMIN, SPRY 7. .. ,
001 03546 KRYL GLOBAL BLUE SPRY 7
001 03551 KRYL CLASSIC GRAY SPRY.: 6
001 03552 KRYL CASTLE ROCK `. SPRY 5•
001 03553 KRYL EQUSTRIAN SPRY: 5
001 03555 KRYL DOVER WHITE SPRY 7�
001, 03608 COVER STAIN AEROSOL SPRY 27
001 03959 ODORLESS PRIMER_AEROSOL SPRY' = 21
001 07005 KRYL POLY GLOSS SPRY, 4
001 07006 KRYL POLY SATIN._ } SPRY 10
001 09200 Kryl Gloss White SPRY 4
001 09202 KRYL GLOSS BLACK '.. SPRY 4
001 09203 KRYL SEMI FLAT BLACK SPRY 11
001 09204' KRYL RUDDY BROWN PRI SPRY 7
001 , 09205-1 KRYL GRAY.°PRIMER 4 SPRY
6
001 09213 KRYL ALUMINUM '; SPRY 7
001 09218 , KRYL FLAT BLACK >. SPRY 6
001. 10004-1 Kilz Primer-Spray SPRY," 42
001 '10007-1, °KILZ UPSHOT STAIN SEALER SPRY 19
001 10307 UGL 1200o GRILL& STOVE PAINT SPRY-`' 8
001 2320 KRYLON FUSION GLOSS WHITE SPRY 7
001 2321 KRYLON FUSION GLOSS BLACK SPRY 9
001 2323 KRYLON FUSION RIVER ROCK SPRY 4
001 2324 KRYLON FUSION HUNTER GREEN SPRY 8
001 2325 KRYLON FUSION BURGUNDY SPRY 7
001 , 2326 KRYLON FUSION NAVY SPRY 10
061 '2328 KRYLON FUSION RED PEPPER SPRY 8
001 2329, KRYLON FUSION PAT BLUE SPRY 9
001 2338 FUSION NICKEL SHIMMER 2338 SPRY 3
00*r 2339 FUSION BLONDE SHIMMER SPRY' 4
G01 2340 FUSION ESPRESSO SPRY 10
001 2421 FUSION SATIN BLACK SPRY. ." 12 .<
001 2450401301 KRYL CRYSTAL CLEAR SPRY 6
001 33050 MNWX POLY U GLOSS AEROSOL SPRY 8
001 33055 MNWX POLY'U SEMI AEROSOL SPRY 8
001 33060 MNWX POLY U SATIN AEROSOL SPRY 5
001 4900013 UTILAC SPRAY FINISHCLR HI GL SPRY 6.`°
001 4900113 UTILAC SPRAY FINISHGLOSS WH. SPRY 11
001 4901113 UTILAC SPRAY SUN YELLOW SPRY 6-
001 4902013 UTILAC SPRAY BRILL RED SPRY 5 '
001 4902613 UTILAC SPRAY CLASSIC BURGUNDY SPRY 13' .
001 4903613 UTILAC SPRAY CLASSIC NAVY SPRY 6,4(
001 4903713 UTILAC SPRAY EURO BLUE SPRY 4.
001 4904213 UTILAC SPRAY CLASSIC HUNTER SPRY 6
001 4907013 UTILAC SPRAY FINISHLINEN WH SPRY _ r: 8
001 4908013 UTILAC SPRAY FINISHGLOSS bl< SPRY 3-
001 4908113 UTILAC SPRAY FINISHFLAT BLACK SPRY 7
001 4908313 UTILAC SPRAY FINISHWRGT IN BK SPRY 8'
001 4509013 UTILAC SPRAY FINISHCL LO LUS SPRY 7
001 4910113 QD 30 WHITE PRIMER AEROSOL SPRY 20
001 4930113 IC METAL&WOOD PRIME WHT SPRY 11
001' 4932013 IC METAL &WOOD.PRIME.RED SPRY, 6
001 4937113 IC METAL &WOOD PRIME IVIED GRAY SPRY 7
001 5506759058 Imperial Rust No More Aerosol SPRY 4
001 97030 KRYL GLOSS BLACK 7030 SPRY 5
001 97031 KRYL GLOSS WHITE 7031 SPRY 9
001 97032 KRYL CLEAR-GLOSS LACQUER SPRY 2 44
F .
Town of Barnstable 4
°FINE Tp Regulatory Services
Thomas F. Geiler,Director
410 Ole
�'" MA&S.LE, Public Health Division
1 9. s 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
-APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN
111 GALLONS OF HAZARDOUS MATERIALS
PFULL NAME OF APPLICANT N rJC. Tap�/ `-a lit C-
NAME OF ESTABLISHMENT ^ '
ADDRESS OF ESTABLISHMENT A.%-0V 114
��r
TELEPHONE NUMBER 0 '17 f L 15-6 !
SOLE OWNER: YES NO - to
IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF
PARTNERS:
c
1 .
IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. d Z 3 a 6 7a o
STATE OF INCORPORATION r"�
FULL NAME AND HOME APDRESS OF: �t
PRESIDENT 5 bbThp 114 N*AA*"U1v`) t,1V
TREASURER
CLERK
0001,
SIGNATURE OF APPLICANT
RESTRICTIONS: HOME ADDRESS 4..
HOME TELEPHONE# M 3 7 O
Q:\Application Forms\HAZAPP.DOC
I
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
copy of your contingency plan (to handle hazardous waste spills, etc). In addition, please mail the
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 Page
Q:\Application Forcns\HAZAPP.DOC
a
M(w
Town of Barnstable
�t '�,,�� Regulatory Services
* «
Thomas F. Geiler,Director
sAAMSTAat.�,MAW
9� 1 � .•� Public Health Division
RFD MA'S A
Thomas McKean, Director
200 Main St,
Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
May 28, 2003
Steven G. Hubbard
C/o Hubbard Paint & supply Co.
PO Box 1180
Hyannis, MA 02601
IMPORTANT NOTICE
RE: Map & Parcel 311- 049
Dear Addressee:
You are directed to connect your building located at�50-Falmouth Road;Hyannis,'
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
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
v
Town of Barnstable
BA"STABI ` Board of Health
�ArFDN10'IA 200 Main Street, Hyannis MA 02601 l
Office: 508-862-4644 Susan G.Rask,RS.
FAX: 508-790-6304 Sumner Kaufman,MSPH
Wayne Miller,M.D.
June 27, 2003
Mr. Steve Hubbard
Hubbard Paint and Supply Co.
P.O. Box 1180
Hyannis, MA 02601
� f
Dear Mr. Hubbard,
You are granted an extension of time, until May 1, 2004,to connect your building located
at 50 Falmouth Road Hyannis to public sewer.
This extension is granted because,you stated the building will undergo major renovations
in the near future and it would make more sense to excavate, landscape, and repave the
affected areas once as part of the renovation project instead of twice.
Sin rely yo ,
Way Miller, M.D.
Chaff man
Board of Health
w _ Town of Barnstable
Williams
06/02/2003 13f,39. 5087903457 HUBPAINT HYAN PAGE 01
HUBBARDS
paint
May 30, 2003
Thomas McKean
TOWN OF BARNSTABLE BOARD OF HEALTH
200 Main St
Hyannis,MA 02601
Dear Thomas,
This letter is to advise you of our intention to conduct a major renovation of our property
located at 50 Falmouth.Rd. Hyannis. In this regard we are hoping to delay our connection
to the new public sewer. on Falmouth Rd.
We have been planning our project for some months now and hope to have permits in
hand to start the renovation by next fall(hopefully by November 1 st). We also anticipate
being at a site plan review with in 2 weeks from today.
Our reason.for the delay is simply to avoid having to dig and re-pave twice so to speak.
In that we will be making pavement and landscape changes as part of our renovation.
Thank you for your considerations and I will speak with you soon.
Sincerely,
4 -�
Steve Hubbard
Hubbard Paint& Supply Co., Inc.
PO Box 1.180
Hyannis,MA 02601
Cc: Steve Shuman, Akro Associates
AP INI�
P.O. Box 1180
50 Falmouth Road
Hyannis, MA 02601
508.775-1588
Fax 508-790-3457
TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM
NAME OF FIRM:
MAILING ADDRESS: -_\_e�C7\ kU 1 7 0t_.,1�
TELEPHONE NUMBER: -"
CONTACT PERSON:
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: 'S-0 -.
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 gasline or coolant systems) Refrigerants
Automatic transmission fluid w Pesticides (insecticides,
Engine and Radiator flushes herbicides,rodenticides )
Hydraulic fluid (including brake fluid) Photochemicals
� _jU°tor oils/waste oils Printing Ink
t/ Gasoline, Jet fuel Wood preservatives
c,/'Diesel fuel, Kerosene, #2 heating oil (creosote)
Other petroleum products: grease, Swimming Pool chlorine
lubricants Lye or caustic soda
Degreasers for engines and metal Jewelry cleaners
Degreasers for driveways & garages Leather dyes
Battery acid (electrolyte) Fertilizers (if stored
Rustproofers outdoors)
Car wash detergents PCB' s
Car waxes and polishes Other chlorinated hydro-
Asphalt & roofing tar carbons, (inc.carbon
Paints, varnishes, stains, dyes tetrachloride)
Paint and lacquer thinners Any other products with
Paint & Varnish removers, deglossers "Poison" labels (including
t'Paint brush cleaners chloroform, formaldehyde,
Floor & Furniture strippers hydrochloric acid, other
Metal polishes acids)
Laundry soil & stain removers Other products not listed
(including bleach) which you feel may be
Spot removers & cleaning fluidk
(dry cleaners ) E C E I V E ® toxic or hazardous (please
Other cleaning solvents HEALTH DEPT. list)
Bug and tar removers TOWN OF BARNSTABLE
Household cleansers, oven cleaners
Drain cleaners `
Toilet cleaners
Cesspool cleaners ��N i 198�.
Disinfectants
Road Salt (Halite )
No. d I Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTAB.LEs MASSACHUSETTS
ZIpprtcat on for Zigaar *pmewConn;tru•ctfon Permit
Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( El Complete System ❑Individual Components
Location Address or Lot No. Owner's Name,Address and Tel.No.
Assessor's Map/Parcel 3 11
t
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
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)
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 En ' onmental Code and not to place the system in operation until a Certifi-
Cate of Compliance has b sue azd. ealth.
Si ed Date
Application Approved b Date -
Application Disapproved for the following reasons
Permit No. Date Issued
�-0DIt�"'
No. Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
r PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
------0(pplication-for Migpozar bpztem (Con5tructiou Permit
/ Application for a Permit to Construct( . )Repair( )Upgrade( )Abandon O Complete System El Individual Components
♦* Location Address or Lot No. 15 J h Owner's Name,Address and Tel.No.'
1 'ygh,r`�s
!I' Assessor's Map/Parcel J I 0)q
�* Installer's Name,Address,and6T No. Designer's N e,Address and Tel.No.
Type of Building:: j
' Dwelling No.'Of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other` Type4of 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 s
Size of Septic T nk Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement:
The undersigned agrees to ensure the'construction and maintenance of the afore described on-site sewage'disposal system 1
in accordance with the provisions of Title 5 of the Envy pnmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been-issue d o ealth.
Signed Dk 3�
Application Approved by y DateG
Application Disapproved for the following reasons
Permit No. J Date Issued .
- {-- ---—--------—---——---———————————--- --
THE COMMONWEALTH OF MASSACHUSETTS I
BARNSTABLE, MASSACHUSETTS
(Certificate of (Compliance
THIS IS TO CE .F , that the On-site Sewage Disposal System Constructed ( ) Repaired ( )Upgraded( )
Abandoned( y ron
at has been constructed in accordance
with the provisions,.°,f Title 5 and the for Disposal System Construction Permit No. 2&S 3�D dated W3oov
Installer ob/^o r- Designer /V A
The issuance 3 permit shall not be construed as a guarantee that the sys a ill function as designed.
Date /�'QT� Inspectors .
No. cC- 1 3 Ap Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
lizpozaf *pgtem (Cony truction Permit
Permission is hereby granted to Cons ct( )Repair pgrade(��#)Abandon
System located at �` lmev�k.
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:Construction must be completed within three years of the date o this pet
Dater f ` -Approved by
"i
_ J