HomeMy WebLinkAbout0400 NORTH STREET - Health 400 North Street, Hyannis
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Four Hundred Main Realty
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P.O. Box 2652, Hyannis, MA 02601 • 775-2400
October 26, 1998
Mr. Thomas A. McKeon
Public Health Division
Town of Barnstable
P.O. Box 534
Hyannis, MA 02601
Dear Mr. McKeon,
In reply to your notice concerning a fuel tank on parcel 262 to #1094, I advised the
Town Clerk that the tank had been removed. A copy of that letter is enclosed.
Also enclosed are copies of removal, inspections and disposal forms.
Yours truly,
�' on L. Penn
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Four,Hundred Main Realty.
P.O Box 2652, Hyannis; MA 0260V- 775 2400
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JuNE 10.�' 1995 '
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MS; .VERNA LAFLEUR
t'�p,➢` �`*w= , k BARNSTABLE TOWN CLERK 'S OFFICE
367 MAIN STREET
,a .HYANNIS,; MA ;, 02610
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DEAR MS , LAFLEUR.
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IN RESPONSE TO YOUR 'LETTER OF MAY 1, PLEASE BE. ADVISED
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THAT THE ONE REMAINING UNDERGROUND FUEL STORAGE TANK ,WASH
�SrlJ REMOVED. I N ,:N.OVEMBER OF 1994 , .. COP I ES OF. REMOVAL',.: INSPECTIONS
AND DISPOSAL, FORMS ''ARE ENCLOSED,
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COMMQ.NWEAL. F SSACH SETTS
e 'DEPARTI�I'E VT OF L 7 A ECf ION �R INsS
61 V IDS ION O A u OIL O
I '. One'Winter Street IN-S FATE S
Boston.,.Massactlusetts 02108 ��v ___--. f:•
Preai�pint or lips.(Form'designed for uas on ollte(12-Pitch)typawrilerJ
:UNIFq�iM HAZARDQUS 1.,GeneratorUS EPA ID No. Menifeat ^ ; 2.Page 1 Inlunnation in ha
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WASTE MANIFEST r_ _l_
1 i, 'Generators Name and Malting Addressf.Nunt(uet Duo
'Puritan'Outlet Mp +: H 3 Y
w _ 6537
v G 400 Buildinngg-' North . Street .8:'S Gen 0,, i
}'•1.. `4.'Generator'aPho�e(508 1775-2400 Hyannis, MA 0 Ol
P.-Trarisporter 1',Company Name 8. _!US EPA ID Number . �t� 1 Yrans ID
,, Enviro-Safe Corporation r; MAD 19 18,15 12 16 19 `3 2 Y O H
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TFansporter 2; Company Name S. US EPA ID.Nurnber 'D: orter s PIS ne
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V* Deal tad Facility Namo and Site Address 10. US CPA IU r:wnl:er
O ; ��osn's. GreenhousesWPorterf�f'
yao t 7 ' 590 South.Street East' -'-'
c' t.0 A'G:�S't$oFticllit"'aIP
' ynham, MA 02767 MAD 015J78 , H F`chh 6 Ption
het •t .h 12.Cent .ars i3, 14 .
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�y.QQ•' o �19 US DQT Degcdptlon(including PMP1rShlpping fine,Hezerd Cfess,andlD Nurnbei! " Totai fill
O a i a r L _ No., Typo' Quantity WW9 ,
Waste .Petroleum Oi ,° N.O:S. T y 4• I C
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15.:Speciel Handling Instructions and Additional Infoimatlon
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E ;Material tested. marketed.as MA*9
0 16 GENERATOR'S`CERTIFICATION:Ibireby deelafe Oit thew tense of,thlr consignment are fully and accurately described above by
propjr ihlppin0 name and'ere clasaified,'packsd.mirked and labeled:and aie in all respects in propor condition for transport by highway 'qr
O" accordytg to applicable International and natloopl govemrnertt regulations.
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am a larga quart ty'generetor,I certify that I I.hove a program Idplace to reduce the volume and toxicity of waste generated to the degree I have determined to tla soon q.
m- a slid that I have selected the practicable method of treatment,storage or'disposal currently available tome which minimizes the present and future threat to human haaltlk>ty1
rnentl QR,If I Am a small quantity generator.I have made a good f91th effort to minimize my waste generation and sgleet the best waste management method t Is sval
r can af(ord. S
fv Print d,[('Y�jype/ Name / (// Siyn re .wt ;`
4' �. s •; ;
Co.! T' 1?.Transporter. 1 Acknowled'emantofReceiptofMaterials:. r`M1 et
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V, N �rMted/ryped Name "':'r Si tutu
:< pAIN
R St ns ortar 2. 'Acknowled ement o ecel t of Materials!.;
v wJ Pdnied/Type0ame ? Signature
18:Discrepancy Indication Space M J
i L 20.Facility Owner or Operator:Certification of receipt of hazardous materials covurud by thin manitost uxcopt as noted in Item 19.
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4Fort11 A roved OMB No;20.50-39.Expires 9 0 94 t ;w ; I ,v
' �EP`A Fjorm 8700 22(Rev.9-88)Previous editions are obsolete h C%
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. .z '' COPY -4,:" . ` . GENERATOR RETAINS
HYANNIS FIRE DEPARTMENT
88 HIGH SCHOOL ROAD EXTENSION
I y HYANNIS, MASS. 02601
BUSINESS: 770•.
Swahe Oetectaed Save .eivea EMERGENCY: 77115 `
PERMIT FOR•
FOR REMOVAL AND TRANSPORTATION OF•' STORAGE TANKS .;
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FDID NUMBER 01922 DATE OF APPLICATION 11 b7iT'+
PROPERTY OCCUPIED BY 1 '" � I'K PHONE : *775`,
LOCATION SOD " STT2&M7- llnols ;!•
PROPERTY OWNER PHONE i?..
TANKS TO BE REMOVED `:: :::
ALL TANKS SHALL BY INERTED BY THE USE OF DRY ICE AT 1 . 51bs per 100 gAr
QUANITY SIZE (GALLONS) FORMER PRODUCT STORED
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PROJECT SUPERVISOR Fleurc I'��C�reinnC'� PHONE
COMPANY NAME FIZTwGEi� �NV;i'cM�LFni1�►t Scx :" 'M._
ADDRESS :
7;
EXCAVATION COMPANY PHONE
ADDRESS : c 2'Ss i7---
DIG-SAFE NUMBER START DATE i, 7 5
COMPANY REMOVING USABLE PRODUCT FROM THE TANK(S)
NAME PHONE =°
ADDRESS:
COMPANY CLEANING THE. TANK(S) AND REMOVING THE HAZARDOUS WASTE
NAME Sev"tE PHONE
: ADDRESS :
D.E.Q.E LICENSE NUMBER /Y(�/. 'v�- .jam. -/Oct EXPIRES:
MANIFEST NUMBER•
COMPANY TRANSPORTING THE TANK(S)
NAME• 57��2F PHONE ` '' `
ADDRESS :
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THE TANKS SHALL BE TRANSPORTED TO "
YARD NAME S�»S ��a?r9IUr ��E: /�c`� PHONE
ADDRESS . :
MASS . FIRE MARSHAL' S APPROVAL NUMBER
DATE OF ISSUANCE �� HYANNIS FIRE DEPARTMENT USE .QNi'Y;�.-,.
DATE OF EXPIRATION /t Z3 /` HAZARD FOUND - SEE LEAK REPq.1T
REMOVAL WITNESSED- NO jHAZI.RD
OF APPLICANT SIGNATUR OF HYANNIS . OF
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FORM FP. 292LIT
Ile TO11tuU ltiorl t4 Of ffitBBar4usptto
Department of Public Safety
° Division of Fire Prevention and Re ulati on, {
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AppUCATON FOR PERMIT, AND PERW, FOR REMOVAL AND TRANSPORTATION TO APPROVED TANK Yuw,.-,*
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FDID# Permit # Date T.
City,.Town or District C . 8 2 S . 6 0 11 . C . L
DIG SAFE NUMBER
Fee Paid:�
start
In accordance with the provisions of Chapter 148, Sec. 38A, M.G.L. r
527 CMR 9. 00 application is hereby made, key: ADV7JX= SERVICES..I3•
Street Address & City or Town.
P.O. Bax 472'Ii South Dennis, HA
Signature of applicant: -
Applicants name printed: Arthur McCormack
For permission to remove and transport one underground storage tank from..
Owner: ���"-����� �� l.,G Street Address: �'1 .Woi'- UPrn,r �
Firm transporting waste: Saone State Lic. # MV5083856100
Hazardous waste manifest # E. P.A. #
Approved tank yard: James G. Grant Co. # 03501
Tank yard Address: Readville, HA
Type of inert gas: '- � UL tank #
Tank capacity: Substance last stored: L.
Date of issue: 1 f �?1� p l l 2-
Signature/Title.
CD 19 Date of ex iration.__
f Officer granting permit:
de: 7"" KEEP ORIGINAL AS APPLICATION AND ISSUE DUPLICATE AS PERMIT
RECEIPT OF DISPOSAL OF UNDERGROUND STEEL STORAGE TANK
NAME AND ADDRESS
OF
APPROVED TANK YARD
APPROVED TANK YARD
Tank Yard Ledger 502 CMR 3.03(,4) Number:
I certify under penaltyof law I have personally
Per y examined the undecyzwnd s 1 yj�°r _
delivered to this "approved tank yard" by f irsn, corporation orrtnership [1G,
and accepted same in conformance with Massachusetts Fire Prevention !�
Regulation 502 CMR 3.00 Provisions for Approving Underground Steel Storagfg qq�j� tling yards.
I' A valid permit was issued by LOCAL Bead of Fire Department FDIDi Q ( _4I
this tank to this yard. transport
Nate and ficial a of app yard or owners authorized representative:
L1ATE SIGNED
This signed ipt of disposal must be returned to the local head of the fire department
FD1Dt �2ipcfsuant to 502 CMR 3:00. (EACH =A K MUST HAVE A RWEIPT OF DISPOSAL)
FORM F.P. 291 (rev. 9/88) (OVER) '
MASSACiIJs'E1'!S STATE FIRE MARSHAL'S OFFICE
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. ILSTTT' M` 1
DIMENSIONS Tank Removed From
Width Length
(no. street)
Tank 1 ----- X --- - _J ---------� ..f-/ �'y -----------
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Tank 2 ----- X ----- (city or town) ;{
Tank 3 ----- X ----- Fire Department
Permit q -----------------------
Tank 4 ----- X ----- (if applicable)
Tank 5 ----- X ----
(feet) (feet)
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