The URL can be used to link to this page

Home My WebLink About0122 BRIDGE STREET - Health c�� —CC)Q - �- n'l� - 009 Town of Barnstable Office:508-862-4644 Public Health Division F :Sosaso-ssoa BAB MASS. S --.g 200 Main Street• Hyannis, MA 02601 f639 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rF0 MA'S Business Name: O o Date: ®� Location/Mailing Add ss .b T SM 61f Contact Name/Phone: - (� 2mc4ew � Inventory Total Amount- 4"SbD MSDS:Uj S License#: Tier II : No Labelina. J Spill Plan: (' Oil/WaterSeparator: A& Floor Drains: Emergency Numbers: e Storage Areas/Tanks: 42 wate a,,i Emergency/Containment E u' ent: i% `" Waste Generator ID: MAO 4YA-a-0 0 Waste Product: 1 01 , 0,444�p,ZZ, pUfc Date&Amount of Last Shi ment/Fre uenc : e l Licensed Waste Hauler&Destination: Keen \J Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze -__ ,,,Dry cleaning fluids Automatic transmission fluid �/ Other cleaning solvents&spot removers Engine and radiator flushes ug and tar removers Hydraulic fluid (including brake fluid) indshield wash /Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas /Cesspool cleaners iesel fuel, kerosene,#2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) F3,uproofers Photochemicals(Developer) e F ash detergents Printing ink V &'r waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine y Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers, (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: P&OMIPYM " y_ Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Number Fee 183 THE COMMONWEALTH OF MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that Oyster Harbors Marine 122 Bridge St., Osterville,MA 02655 T 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 6/30/2013 unless sooner suspended or revoked. --------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2012 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health F` Town ®f Barnstable �r MIME Regulatory Services °-* Thomas F. Geiler,Director ' ' MASS ' Public Health Division i639. ply nna� Thomas McKean, Director 200 Main Streit, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO, DATE APPLICATION FOR PERK TT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF ELk ARDOUS MATERIALS FULL NAME OF APPLICANT OY5L4C4r �6� QArf 1 NAME OF ESTABLISI MENT CO �— b" 5 A�! Ci i ADDRESS OF ESTABLISHMENT i TELEPHONE NUlY= LV 90, 17 SOLE OWNER: YES ! NO 4 IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. �� STATE OF INCORPORATION �5 FULL,NAME AND HOME ADDRESS F: k PRESIDENT TREASURER CLERK i@ _t ''�e2 IbNXTIIRE f0 FUCANT �[ j RESTRIC d t.Q T / TIONS: HOME ADDRESS d� HOME TELEPHONE# Hm doc/wp/q Number Fee 183 THE COMMONWEALTH OF MASSACHUSETTS $Ioo.00 Town of Barnstable Board of Health This is to Certify that Oyster Harbors Marine 122 Bridge St., Osterville,MA 02655 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 6/30/2012 unless sooner suspended or revoked. --------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF, D.M.D. 6/30/2011 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health I ►' CERTIFICATE OF UNDERGROUND STORAGE TANK SYSTEM TESTING Crompco, LLC y 1815 Gallagher Road Phone: (610) 278-7203 CROMPCO, LLC Plymouth Meeting, PA 19462 Fax: (610) 2784621 Order :Station #SK230 November 29th, 122 Bridge Street Date:November Oyster Harbor Marine Inc. Osterville, MA 02655 122 Bridge Street Reason:Compliance Invoice #187119 Osterville, MA 02655 Permit# County: Barnstable P.O.# Testing was conducted in accordance with all applicable portions of Federal, NFPA, and local regulations. Equip # . Grade-__� -- -- Test — --- . 1 Result Plus EZY-3 2 Pass Plus EZY-3 3 Pass Diesel EZY-3 Pass Equip # IGrade Test 1 Result. - �Plus Petro-tite Line 1pass 2 Plus Petro-tite Line Pass 3 Diesel Petro-tite Line Fail Equip # Grade Test 1 Plus Result 2 Leak Detector Pass Plus Leak Detector Pass Form Result Confined Space Entry Form Completed PARTS: Leak Detector(2), Gasket/ O-Ring LABOR: Labor: 2 Men (3 hours) The diesel line failed on the above portion of the line test. Confirmed that the underground portion was tight. Additional labor for purging and trouble shouting the line test. Brett Vignali FA Tp EZY-3 Locator Plus#70-3946 (Exp: 11/15/2009) Petro-Tite Line Testing #PAC01261203090 (Exp: 12/03/2009) I E►�l'1�Z f!/7/�t1,VL.1 Vr/�/L 1 c_:� Lc— C_•'�J J i il:'E Shawn Taylor Petro-rite Line Testing #PACO11361203090 (Exp: 12/03/2009) Crompco, LLC Oyster Harbor Marine Inc. 122 Bridge Street Customer Copy 1815 Gall4gher Road Phone: (610) 278-7203 Osterville, MA 02655 Site #SK230/ WO #193299 'Plymouth Meeting, PA 19462 FAX: 610-278-7621 November 29th, 2007 EZY 3 Locator Plus TOTAL TANK VOL (gal): 4010 TANK # / PRODUCT TYPE: 1 / Plus r SLAVE ULLAGE VOL (gal): 1184 WALL TYPE: Double PRODUCT VOL (gal): 2826 MATERIAL• Steel Coated w/Fiberglass PRESSURE SENSOR CALCULATION 42.5000 X 0.026 psi = 1.1050 PSI(1) (INCHES OF PRODUCT) (WEIGHT OF PRODUCT) 0.0000 X .036 psi = 0.0000 PSI(2) (INCHES OF WATER IN TANK) (WEIGHT OF WATER) Line 1 + Line 2 = Total Positive Head Pressure in Tank = 1.1050 PSI(3) 0.0000 X r 0.036(Water Table Outside Tank) = 0.0000 PSI(4) (INCHES OF WATER OUTSIDE r 0.049 (Brine FIlled DW Tank) TANK) r 0.0 (Double Wall Dry) Total Head Pressure Minus Outside Water Pressure = 1.1050 Always add .5 PSI +/-PSI(5)= 1.6050 PSI(6) NOTE: If Line 6 is less than .5 PSI, Line 7 shall be .5 PSI TEST PRESSURE = 1.6050 PSI(7) TIME PRESSURE Depth of Groundwater Determined: (psi of vacuum) By: Double-wall dry interstitial BLOWER STARTED: . 1045 0.0000 TEST PRESSURE REACHED: 1049 1.6000 Where: Outerwall riser BLOWER TURNED OFF: 1052 1.9000 TEST BEGAN: 1055 1.8800 TEST ENDED: 1100 1.8700 WATER SENSOR CALIBRATION TANK SYSTEM Added (ml): 0.0000 0.0000 0.0000 Product in Tank (inches): 42.5000 Cal #1 Cal #2 Cal #3 Water in Tank (inches): 0.0000 Average: 0.0000 Tank top to grade (inches): 42.0000 Water Intrusion Test Period: Began: Diameter (inches): 64.0000 Ended: Bottom to grade (inches): 106.0000 Calculation for test period: Groundwater (inches): 0.0000 0.0000 / 3780 = 0.0000 / .05 X 60 = 0.0000 (min) Ave. Cal. "A" Factor Time of Test THE ACOUSTIC CHARACTERISTICS OF A LEAK REVEALS: WATER SENSOR INDICATES: r TIGHT TANK r NO WATER INTRUSION This underground storage tank PASSES the criteria set forth by the U.S. EPA r ULLAGE (DRY) PORTION LEAK r WATER INTRUSION This underground storage tank FAILS the criteria set forth by the U.S. EPA r NOT APPLICABLE r BELOW PRODUCT LEVEL (WET) PORTION LEAK r INCONCLUSIVE This underground storage tank FAILS the criteria set forth by the U.S. EPA i r Inconclusive Crompco, LLC Oyster Harbor Marine Inc. 122 Bridge Street Customer Copy 1815 Gall4gher Road Phone: (610) 278-7203 Osterville, MA 02655 Site #SK230/ WO #193299 r,Plymomth Meeting, PA 19462 FAX: 610-278-7621 November 29th, 2007 EZY 3 Locator Plus TOTAL TANK VOL (gal): 4010 TANK # / PRODUCT TYPE: 2 / Plus r SLAVE ULLAGE VOL (gal): 1242 WALL TYPE: Double PRODUCT VOL (gal): 2768 MATERIAL: Steel Coated w/Fiberglass PRESSURE SENSOR CALCULATION 41.7500 X 0.026 psi = 1.0855 PSI(1) (INCHES OF PRODUCT) (WEIGHT OF PRODUCT) 0.0000 X 036 psi = 0.0000 PSI(2) (INCHES OF WATER IN TANK) (WEIGHT OF WATER) Line 1 + Line 2 = Total Positive Head Pressure in Tank = 1.0855 PSI(3) 0.0000 X r 0.036 (Water Table Outside Tank) = 0.0000 PSI(4) (INCHES OF WATER OUTSIDE r 0.049 (Brine FIlled DW Tank) TANK) r 0.0 (Double Wall Dry) Total Head Pressure Minus Outside Water Pressure = 1.0855 +/-PSI(5) Always add .5 PSI 1.5855 PSI(6) NOTE: If Line 6 is less than .5 PSI, Line 7 shall be .5 PSI TEST PRESSURE = 1.5855 PSI(7) TIME PRESSURE Depth of Groundwater Determined: (psi of vacuum)BLOWER STARTED: 945 0.0000 By: Double-wall dry interstitial TEST PRESSURE REACHED: 1000 1.5800 Where:. Outerwall riser BLOWER TURNED OFF: 1003 1.8800 TEST BEGAN: 1010 1.8400 TEST ENDED: 1015 1.8300 WATER SENSOR CALIBRATION TANK SYSTEM Added (ml): 0.0000 0.0000 ' 0.0000 Product in Tank (inches): 41.7500 Cal #1 Cal #2 Cal #3 Water in Tank (inches): 0.0000 Average: 0.0000 Tank top to grade (inches): 42.0000 Water Intrusion Test Period: Began: Diameter (inches): 64.0000 Ended: Bottom to grade (inches): 0.0000 Calculation for test period: Groundwater (inches): 0.0000 0.0000 / 3780 = 0.0000 / .05 X 60 = 0.0000 (min) Ave. Cal "A" Factor Time of Test THE ACOUSTIC CHARACTERISTICS OF A LEAK REVEALS: WATER SENSOR INDICATES: r TIGHT TANK r NO WATER INTRUSION This underground storage tank PASSES the criteria set forth by the U.S. EPA r ULLAGE (DRY) PORTION. LEAK r WATER INTRUSION This underground storage tank FAILS the criteria set forth by the U.S. EPA NOT APPLICABLE r BELOW PRODUCT LEVEL (WET) PORTION LEAK r INCONCLUSIVE This underground storage tank FAILS the criteria set forth by the U.S. EPA r Inconclusive CromPco, LLC Oyster Harbor Marine Inc. 122 Bridge Street Customer Copy 1815 Gallbgher Road Phone: (610) 278-7203 Osterville, MA 02655 Site #SK230/ WO #193299 ,Plymouth Meeting, PA 19462 FAX: 610-278-7621 November 29th, 2007 EZY 3 Locator Plus TOTAL TANK VOL (gal): 4010 TANK # / PRODUCT TYPE: 3 / Dies-el-1- SLAVE ULLAGE VOL (gal): 2739 WALL TYPE: Double PRODUCT VOL (gal): 1271 MATERIAL: Steel Coated w/Fiberglass PRESSURE SENSOR CALCULATION 22.5000 X 0.031 psi = 0.6975 PSI(1) (INCHES OF.PRODUCT) (WEIGHT OF PRODUCT) 0.0000 X .036 psi = 0.0000 PSI(2) (INCHES OF WATER IN TANK) (WEIGHT OF WATER) Line 1 + Line 2 = Total Positive Head Pressure in Tank = 0.6975 PSI(3) 0.0000 X r 0.036 (Water Table Outside Tank) = 0.0000 PSI(4) (INCHES OF WATER OUTSIDE r 0.049 (Brine FIlled DW Tank) TANK) r 0.0 (Double Wall Dry) Total Head Pressure-Minus Outside Water Pressure = 0.6975 +/-PSI(5) Always add .5 PSI = 1.1975 PSI(6) NOTE: If Line 6 is less than .5 PSI, Line 7 shall be .5 PSI TEST PRESSURE = 1.1975 PSI(7) TIME PRESSURE Depth of Groundwater Determined: (psi of vacuum) By: Double-wall dry interstitial BLOWER STARTED: 945 0.0000 TEST PRESSURE REACHED: 1006 1.2000 Where: Outerwall riser BLOWER TURNED OFF: 1009 1.5000 TEST BEGAN: 1016 1.4600 TEST ENDED: 1021' 1.4500 WATER SENSOR CALIBRATION TANK SYSTEM Added (ml): 0.0000 0.0000 0.0000 Product in Tank (inches): 22.5000 Cal #1 Cal #2 Cal #3 Water in Tank (inches): 0.0000 Average: 0.0000 Tank top to grade (inches): 41.0000 Water Intrusion Test Period: Began: Diameter (inches): 64.0000 Ended: Bottom to grade (inches): 105.0000 Calculation for test period: Groundwater (inches): 0.0000 0.0000 / 3780 = 0.0000 / .05 X 60 = 0.0000 (min) Ave. Cal. "A" Factor Time of Test THE ACOUSTIC CHARACTERISTICS OF A LEAK REVEALS: WATER SENSOR INDICATES: ry TIGHT TANK r NO WATER INTRUSION This underground storage tank PASSES the criteria set forth by the U.S. EPA r ULLAGE (DRY) PORTION LEAK r WATER INTRUSION This underground storage tank FAILS the criteria set forth by the U.S. EPA r NOT APPLICABLE r BELOW PRODUCT LEVEL (WET) PORTION LEAK r INCONCLUSIVE IThis underground storage tank FAILS the criteria set forth by the U.S. EPA r Inconclusive Crdmpco, LLC Oyster Harbor Marine Inc. 122 Bridge Street Customer Copy 1815 Gallagher Road Phone: (610) 278-7203 Osterville, MA 02655 Site #SK230/ WO #193299 Plymouth Meeting, PA 19462 FAX: 610-278-7621 November 29th, 2007 Line Number: 1 Pump Operating Pressure: psi Test Pressure: 50.00 psi Grade: Plus Net Volume Change: -0.00300 gph Material: Steel 8/eedback Length: 400 R. Allowable (gal): 0.05600 • - Diameter: 2 in.Wall: Single Measured (gal): 0.03300 Pump Manufac: Red Jacket Type of System: r American Suction r Pass r Pressure Result: r Fail r Inconclusive Time Procedure Pressure (psi) Volume (gal) Before After Before After Change Comments 1200 Connected line tester to: Shear Valve Port 0.0 0.0 0.0000 0.0000 0.0.000 1400 Started line test 0.0 50.0 0.0000 0.0460 0.0000. 1415 Line Test Continued - 48.0 50.0 0.0460 0.0440 0.0020 1430 Line Test Continued 49.0 50.0. 0.0420 0.0410 -0.0010 1435 Bleed Back 50.0 0.0 0.0100 0.0430 0.0330 Line Number: 2 Pump Operating Pressure: psi Test Pressure: 50.00 psi Grade: Plus Net Volume Change: -0.00300 gph Material: Steel eleedback Length: 400 ft. Allowable (gal): 0.05600 Diameter: 2 in. Measured (gal): 0.03800 Wall: Single Pump Manufac: Red Jacket Type of System: r American Suction r Pass r Pressure Result: (- Fail r Inconclusive [Time Procedure Pressure (psi) Volume (gal) Before After Before After Change Comments 12 00 Connected line tester to: Shear Valve Port 0.0 0.0 I0.0000 0.0000 0.0000 I1400 Started line test 0.0. 50.0 0.0000 0.0460 0.O.000 1415 Line Test Continued 48.0 5 �0 0.0 0.0440 .0420 -0.0020 1430 Line Test Continued 49.0 50.0 0. 410 0.0400 -0.0010 1438 Bleed Back 50.0 In.0 10.0100 0.0480 0.0380 r' Crompco, LLC Oyster Harbor.Marine Inc. 122 Bridge Street Customer Copy 1815 Gallagher Road Phone: (610) 278-7203 Osterville, MA 02655 iSite #SK230/ WO #193299 c Plymouth Meeting, PA 19462 FAX: 610-278-7621 November 29th, 2007 Line Number: Pump Operating Pressure: psi 3 Test Pressure: 50.00 psi Material: Steeell Grade: Diesel Net Volume Change: -0.01800 gph 8/eedback Length: 400 R. Allowable (gal): 0.05600 _ Diameter: 2 in.Wall: Single Measured(gal): 0.04000 Pump Mariufac: Red Jacket Type of System: r American Suction r Pass r Pressure Result: r Fail r Inconclusive Time Procedure Pressure (psi) Volume (gal) 1200 Connected line tester to: Shear Valve Port Before After Before After Change Comments 0.0 0.0 0.0000 0.0000 0.0000 1700 Started line test 0.0 50.0 0.0000 0.0740 0.0000 1710 Line Test Continued 39.0 50.0 0.0740 0.0680 1720 Line Test Continued 0.0060 39.0 50.0 0.0680 0.0620 -0.0060 1730 Line Test Continued 39.0 50.0 0.0620 0.0560 -0.0060 1735 Bleed Back 50.0 0.0 0.0100 0.0500 0.0400 f Crompco, LLC Oyster Harbor Marine Inca 122 Bridge Street Customer Copy 1815 Gall4gher (toad Phone: (610) 278-7203 Osterville, MA 02655 Site #SK230/ WO r_Plymouth Meeting, PA 19462 FAX: 610-278-7621 #193299 November 29th, 2007 Leak Detector Number: 1 Leak Detector Number: 2 Grade: Plus Grade: Plus Make. Red.Jacket Make: Veeder Root Model: FX1V Model: FX1V Serial # 0498-8895 Serial # W Mechanical r Electronic Pr Mechanical r Electronic Test Conducted at Dispenser 3 Test Conducted at Dispenser #: 2 #: Submersible Pump Operating 27 Submersible Pump Operating Pressure (psi): Pressure(psi): 28 Check Valve Holding Pressure(Psi): 16 Check Valve Holding Pressure 14 (psi): Bleedback Check (gallons): .017 Bleedback Check (gallons): .019 Mechanical Line Leak Mechanical Line Leak Detector Step-Through Time(seconds): 6 Detector Step-Through Time**Note: not applicable for (seconds): 5 **Note: not applicable for electronic line leak detectors electronic line leak detectors During actual testing, when simulated leak is induced . During actual testing, when The mechanical line leak simulated leak is induced .detector stays in leak search The mechanical line leak �Yes detector stays in leak search r position or the electronic line Yes leak detector sets off an r No Position or the electronic line r No alarm as required by the leak detector sets off an manufacturer (Yes = pass), alarm as required by the (No = fail): manufacturer (Yes = pass), (No = fail): Result: r Pass r Fail r Inconclusive Result: r Pass r Fail r Inconclusive Retest Retest Make: Red Jacket Make: Red Jacket Model: FX1V Model: FX1V _ Serial # 50306-7298_ r Mechanical r Electronic Serial # 50306-7368 �- r Mechanical r Electronic Test Conducted at Dispenser 3 Test Conducted at Dispenser 2 Submersible Pump Operating 30 Pump ting Submersible Oa Pressure (psi): 30 Pressure (psi): ICheck Valve Holding Pressure 16 Check Valve Holding Pressure 14 (Psi) (psi): Bleedback Check (gallons): .016 Bleedback Check (gallons): .020 Mechanical Line Leak Mechanical Line Leak Detector.Step-Through Time Detector Step-Through Time (seconds): 6 (seconds): 5 "Note: not applicable for "Note: not applicable for electronic line leak detectors _ electronic line leak detectors During actual testing, when During actual testing, when �simulated leak is induced . simulated leak is induced . The mechanical line leak The mechanical line leak detector stays in leak search detector stays in leak search, position or the electronic liner Yes position or the electronic liner Yes teak detector sets off an r No leak detector sets off an r No alarm as required by the alarm as required by the manufacturer (Yes = pass), manufacturer (Yes = pass), (No = fail): (No = fail): Result: r Pass r Fail r Inconclusive Result: ry Pass r Fail r Inconclusive Test is conducted by simulating a calibrated 3.0 GPH at 10 Test is conducted by simulating a calibrated 3.0 GPH at 10 psi leak on the product line. psi leak on the product line. Ccotnpco, LLC Oyster Harbor Marine Inc. 122_Bridge Street Customer Copy 1815 Gallagher Road Phone: (610) 278-7203 Osterville, MA 02655 Site #SK230 / WO #193299 �Plymouth Meeting, PA 19462 FAX: 610-278-7621 November 29th, 2007 rA• • . • r Check this box only if no sump entry occurred at this site (no requirement to fill-out anything further) Note: This form must be filled out for each sump that is being entered. Equipment Number: Containment Type: Grade: 1 Sump - STP (2 Piece) Plus To be entered by (list all possible Description of Permit Required Purpose of Entry: entrants): Confined Space: General equipment maintenance Brett Vignali ( Fuel Submersible Pump Sumps activities (Excluding any activity which Shawn Taylor r Under Dispenser Containment Sumps might release fuel vapors) Potential Hazards: r Atmospheric r Other All sumps are to be considered as PRCS unless they are reclassified following this procedure. Prior to entry steps 1-6 below must be completed: 1. Conduct atmospheric air monitoring to verify there are no actual or potential atmospheric hazards: Hazard.': _ Initial Test Results Allowable Limits Oxygen 20.8 Between 19.5% - 23.5% % LEL 0 Less Than 10% Carbon Monoxide 0 Less Than 25ppm 2. Have all electrical hazards been locked/tagged out? r Yes r No 3. If atmospheric hazards are below the above allowable limits AND all electrical hazards have been eliminated (if required), the PRCS can now be reclassified as a non-PRCS as allowed by OSHA 29 CFR 1910.146 (c)(7). The confined space shall be continuously monitored.using the multigas meter while any individual is performing work in the confined space The confined space shall be continuously ventilated using the forced air blower while any individual is performing work in the confined space No work activity in the space is allowed which might re-introduce atmospheric or electrical hazards. 4.Can the PRCS now be reclassified to a non-PRCS? 'f7 Yes - Certified by: Brett Vignali - Date: November 29th, 2007 - Go to step 6 F No - Go to step 5 1 5.Ventilate the space for 15 minutes and repeat steps 1-4. 6. The non-PRCS may now be entered to perform general work. No work activity in the space is allowed which might re-introduce atmospheric or electrical hazards. Crompco, LLC Oyster Harbor_Marine Inc. 122 Bridge Street Customer Copy 1815 Galragher Road Phone: (610) 278-7203 Osterville, MA 02655 Site #SK230/ WO #193299 Plymopth Meeting, PA 19462 FAX: 610-278-7621 November 29th, 2007 r Check this box only if no sump entry occurred at this site (no requirement to fill out anything further) Note: This form must be filled out for each sump that is being entered. Equipment Number: Containment Type: Grade: Sump - STP (2 Piece) Plus . To be entered by (list all possible Description of Permit Required Purpose of Entry: entrants): Confined Space: Brett Vignali . General equipment maintenance 17' Fuel Submersible Pump Sumps activities (Excluding any activity which Shawn Taylor (-' Under Dispenser Containment Sumps might release fuel vapors) Potential Hazards: r Atmospheric r Other All sumps are to be considered as PRCS unless they are reclassified following this procedure. Prior to entry steps 1-6 below must be completed: 1. Conduct atmospheric air monitoring to verify there are no actual or potential atmospheric hazards: Hazard Initial Test Results Allowable Limits Oxygen 20.8 LEL 0 Between 19.5% - 23.5% Less Than 10% Carbon Monoxide 0 Less Than 25ppm 2. Have all electrical hazards been locked/tagged out? Iv Yes r No 3. If atmospheric hazards are below the above allowable limits AND all electrical hazards have been eliminated (if required), the PRCS can now be reclassified as a non-PRCS as allowed by OSHA 29 CFR 1910.146 (c)(7). IThe confined space shall be continuously monitored using the multigas meter while any individual is performing work in the confined space The confined space shall be continuously ventilated using the forced air blower while any individual is performing work in the confined space 'No work activity in the space is allowed which might re-introduce atmospheric or electrical hazards. i 4.Can the PRCS now be reclassified to a non-PRCS? r Yes - Certified by: Brett Vignali - Date: November 29th, 2007 - Go to step 6 f No - Go to step 5 ;S.Ventilate the space for 15 minutes and repeat steps 1-4. 16. The non-PRCS may now be entered to perform general work. j No work activity in the space is allowed which might re-introduce atmospheric or electrical hazards. ;—F Crompco, LLC Oyster Harbor Marine Inc. 122 Bridge Street Customer Copy 1815 Gallagher Road Phone: (610) 278-7203 Osterville, MA 02655 Site #SK230 / WO #193299 'Plymouth Meeting, PA 19462 FAX: 610-278-7621 November 29th, 2007 iu . . 11111ORM-.1m][11111 rang • • r Check this box only if no sump entry occurred at this site (no requirement to fill out anything further) Note: This form must be filled out for each sump that is being entered. Equipment Number: Containment Type: Grade:. 3 Sump - STP (2 Piece) Diesel To be entered by (list all possible Description of Permit Required Purpose of Entry: entrants): Confined Space: General equipment maintenance Brett Vignali r. Fuel Submersible Pump Sumps activities (Excluding any activity which Shawn Taylor r Under.Dispenser Containment Sumps might release fuel vapors) Potential Hazards: WO Atmospheric r Other All sumps are to be considered as PRCS unless they are reclassified following this procedure. Prior to entry steps 1-6 below must be completed: 1. Conduct atmospheric air monitoring to verify there are no actual or potential atmospheric hazards: Hazard Initial Test Results Atlowabie Limits ' Oxygen 20.8 Between 19.5% - 23.5% LEL 0 Less Than 10% Carbon Monoxide 0 Less Than 25ppm 2. Have all electrical hazards been locked/tagged out? r Yes r No 3. If atmospheric hazards are below the above allowable limits AND all electrical hazards have been eliminated (if required), the PRCS can now be reclassified as a non-PRCS as allowed by OSHA 29 CFR 1910.146 (c)(7). The confined space shall be continuously monitored using the multigas meter while any individual is performing work in the confined space The confined space shall be continuously ventilated using the forced air blower while any individual is iperforming work in the confined space iNo work activity in the space is allowed which might re-introduce atmospheric or electrical hazards. �4.Can the PRCS now be reclassified to a.non-PRCS? r Yes - Certified by: Brett Vignali - Date: November 29th, 2007 IF No - Go to step 6 - Go to step 5 15.Ventilate the space for 15 minutes and repeat steps 1-4. i6. The non-PRCS may now be entered to perform general work. No work activity in the space is allowed which might re-introduce atmospheric or electrical hazards. SITE ^ Anode t c,� CP Test ((``�E Emergency Remote �.i Station ti Stop ` _ Interstitial a Ternp mil CROMPCO LLC -- ra Dry Brake T Installed ' DIAGRAM � --� ,_ \U' ATG (�) Drop Tank ExtractoreJ IMar Remote �Y �:L•' Fill C) Vent Date: 2007-11-29 R Cirrcuit Work Order#: 193299 � Breaker ❑ Dry Brake E7V Fin ®� Monk" { e ) Riser Q WWI Station #: SK230 a CPJunction �� -,� Fixes F . �/ Box ', DW Fill i rpc �-a Mager W I �'� ConWmmwd Ret.Cell •••.. Redifie► Extractor �•�.,:� Sump Q ° ° o o �1 DISD �J SlP STD STP O � Q 5 L015P] 6 8 DISP DISP a CCampco, LLC Oyster Harbor Marine Inc. 122 Bridge Street Customer Copy 1815 GaiNgher'Road Phone: (610) 278-7203 Osterville, MA 02655 Site #SK230/ WO #193299 'Plymowth Meeting, PA 19462 FAX: 610-278-7621 November 29th, 2007 Site Diagram Labels 1: Tank - DSL 003 4k 2: Tank - Plus 002 4k 3: Tank - Plus 001 4k 4: Dispenser - Gas 5: Dispenser - Gas 6: Dispenser - Gas 7: Block - Dock Kiosk 8: Dispenser - DSL • tr s Scanned Paperwork, Page #1 e ' J'A PC SO 18 ! S C ts!1q{�hM 4ccad 1 FMgrsra�a!f; h ati t,rsQ t'A =4.41s1 ! jA if I 8-'2f)l ! t AX (6 i O) 2:778 TEST DATE WORK ORDER m ; _l�l.cf_ ARRIVAL TIME ( _ StTE nu BER k 2 3t' DEPARTURE TIME t7�fj1`s.. SrTE NAME "��L T{.,. ,',. 1l4 w�R,t TOTAL.HRS ON SITE l « try._ SI tE ADDRESS A ADM LAWA HR!3 Ca5�E eS�R�AtrXi"��.iCT tC ttt^.L�.ES RER,4:F.G /� roTAL 6 ps,Pv%a"?ga pgor K,oEA TJt,%fn1 j;R 1it v ,45Prk`A CIOAAC!E!'.f1 W^t LCCj(4>jtj TAO Cxt'1 3t'!.TAt uA6,V UfHPE:kSEG pitR rK�^iLlix"^t t�Ek[ttaJ'Eajl t. ` I _.._. :._._.,..,«..__ ..�__---....<.�..... �}� ♦�-jam.!.'-_tf,Ci.L.lY.�i..i .L. h f i t-';l� fi+V NF$T i_dl3bf.4 °>tCfiV IJt E:&tk.,4.a'U,,fS O t! 7Ttrf:'I'v'F l:l_C7!�+s,>i[A Q HE, PiNCs W'!Y ?CS.'TsT, t a nESF$i#;MOR L'tt'Q:R 00CT5 Q 'aEtCri?uCt w'E Q HAAD IiAt _ •ACttt�:"tnCn,�(+,5 Wf`rik!t,aa Ca.�:t`.Ai:�# _fse ltia�^d.C.ftmti rr:al�i;t+�bwtryap,t1 1Mt y`a,XR f�rre fru ST:ua[! i„st,e utkisr wp ta,.,.e.k-.;:tez,pv V).t u A� DeR:Rf£R5 A'NAHtNN!�'?:it;'ih3 21�bS t+urnera►mheh'•riven fr.pttt trr;etc EA acvb aC'mf t arn Ctj+av,ai fta.ta,%A 1 7 CClar.i► L's rPAf':F£.h;:Ftr ttso.,xtw cure' GRrr jWDWWt..S i�nb r;xc' r,Lrire rf0;J.'du rs y�trtty Qs 1t.GA4Lti"lf�t.Tr.V4r,,fWj OWV t-LH:l!r;WAI M v9vytennG(nCiriY*i. ;eiNey t ON:S si a Q7!an!d,p,:.n ' =,+��itteopftvn cl+rmrny t kiW.ea"SM�';a'1 trm.:s R=rv#:.Mrs..fatn mgdyry i.C7°;R'Q11T'TAlYJI,FT PP+C,:.i•CtL�tYgra - vai+rMr¢C+"F ,ry r—no t=+°ut atb:b cA.A"A L-Ofc) ,ts:r as star yf w7+� Satcst vst rwa.50. at utl tikes ? YJMr r,>;tret L+cnt i;vttfrsp,gr Wufyvirtt rcC� "AO i'b ham. l3oe ttintco:Dat wwm:a,a t:1-tW Wilt cgvl"ftfw Went y o44s Te Lhe.'rFn&l%arlrfet,vur atr.,aO t{l''*r ten ;,atup&'c`r ez-^dHigy�. fA44 f�fnc"iatirrti)bt1 7 R Gc+i:xM;Y�Rn►A!wi ty!!.n tit,XtOrt tetvlaal Sf:veb vYj w 40?i,prNMRIJ Jn t!rt tr.Nb bite AT A!O TiF4 5 L7r:19 and•imha use.t tv-^niv.! Cam Ilmn -dot re eztAMrcr n 4k," ?arv?cb LAP t,A"X as a %t;vY,,% R time s[KxWfNOa hea et!rrpaatW.+,cusp ttstt% .6r)•tt a.aiL,'rsa f:s ubr:ir+vene,:ia +f!AL I,feb,:t4-td&-a f h*m Gtri drop e. aahs.ir,art^tjqrtt;.rO-'*WWj 391"4uu to-,$ t:*tla sir!naadt� rut+rz to uxn t-rr,sr JtA1. P te�twtC.F.A!:Atop;=if'atttvi; '.1 °iFS i t -.�.'•r?-+...i�_� S;t,KAnj+7E I 17 y ry. CROMPCO, LLC TEST RESULTS Marston Mills Fire Dept 1875 Falmouth Road Centerville, MA 02632 Test Results Dear ; Enclosed are copies of the test results performed by Crompco at the station listed below. On behalf of our customer, these results are being submitted to you in accordance with the Commonwealth of Massachusetts Fire Prevention Regulations. Copies of the test results were also sent to the facility to be retained at the station in case an inspection would occur by a state or local agency. Facility # Address Crompco Test Date Work Order Test(s) Performed SK230 122 Bridge Street November 29th, 2007 193299 Osterville, MA 02655 EZY-3 Leak Detector Petro-tite Line If you should have any questions regarding the tests enclosed, please contact Crompco at 1-800-646-3161. Sincerely, Jennifer Foster Compliance Administrator , M*l completed forms with test results to: Charlotte Stiefel, Barnstable County Dept of Health &the Environment, Box 427, Barnstable, MA 02630 TIGHTNESS TEST SUMMARY REPORTING FORM FOR BARNSTABLE COUNTY Testing Company: Crompco Corporation Phone: 610-278-7203 Date of Test: 2007-11-29 Site Name: Oyster Harbor Marine Inc. #SK230 Location: 122 Bridge Street, Osterville, MA Site Phone: 5083679999 Name of Contact person at site: Tank # Product Tank Size Pump Type System Test Y/N Separate Line Test3Y/NTest MethoMPlus t1 4010 P N YY-3 Loc.2. 4010 p N Y3 Y-3 Loc.4010 p N YY-3 Loc. Line product Origin Separate Tank Test Method Line Test Pump Leak PSI Result Leak. Detect Operational TYPe Rate Y/N or N/A F11 1 Y Petro-Tite 50.00 P -0.00300 Pass I- 2 Y Petro-rite 50.00 P -0.00300 Pass 3 3 Y Y Petro-Tite 50.00 P -0.01800 Fail Y Comments I, Brett Vignali, certify that the above information is true and correct, and that these tests were carried out according to the testing equipment manufacturers' guidelines. Signature L7 Date: i6 310 CMR 10.99 Form 1 1 Cf tNt j0 File No. { c„ lOwr Barnstable (Osterville) 1AIISTAXI, i Y — Commonwealth , %"& of Massachusetts °° i639 w�� Aomcaw Oyster Harbors Marine TMEC MAI :: '• Maw Request for a Determination of Applicability Massachusetts Wetlands Protection Act, G.L. c. 131 , §40 TOWN OF BARNSTABLE BY—LAW, ARTICLE XXVII 1. I,the undersigned, hereby request that the Barnstable Conservation Commission make a determination as to whether the area. described below, or work to be performed on said area, also described below, is subject to the jurisdiction of the Wetlands Protection Act. G.L. c. 131, §40. 2. The area is described as follows. (Use maps or plans, if necessary, to provide a description and the location of the area subject to this request.) Location: Street Address 96 Bridge Street, Osterville, MA. Lot Number: 9 Map Number: 93 The site is hown od the attached USGS locus map (fig 1). More particularly, the project site is a portion of the 'parking and circulation area lying to .the north of the main work building at . Oyster Harbors Marine, to the east of the vertical sheetpile bulkhead which separates the parking lot from North Bay and to the south of the concrete travel lift pad as shown on the attached sketch (fig 2). The project site is 100% altered for a marine dependent commercial use and is within land subject to flooding, 3. The work in said area is described below. (Use additional paper, if necessary, to describe the proposed work.) The work includes excavation of sediment; removal and replacement of fuel distribution lines; placement of bedding material and backfill and repaving all attendant to clean up of a gasoline spill. Work is being performed under teh direction of MDEP. - t.1 Effective 11/10/89 ° I� t� 4. The owner(s)of the area. If not the person making this request, has been given written notification of this requeston July 17, .1992 (date) The name(s)and adoress(es) of the owner(s): .Oyster Harbors Yacht Basin, Inc. _ 619 Main Street Osterville, MA. 02655 5. 61 have filed a complete copy of this request with the appropriate regional office of the Massachusetts Department of Environmental Protection julu 17, 1922 (date) DEP Northeast Regional Office X DEP Southeast Regional Office 5 Commonwealth Avenue Lakeville Hospital Woburn, MA 01801 Route 105 Lakeville, MA 02347 DEP Central Regional Office 75 Grove Street DEP Western Regional Office Worcester, MA 01605 State House West, 4th Floor 436 Dwight Street Springfield, MA 01103 6. 1 understand that notification of this request will be placed in a local newspaper at my expense in accor- dance with Section 10.05(3) (b) 1 of the regulations by the Conservation Commission and that I will be billed accordingly. Agent's Signatur Name Arlene M. Wilson t son soc,., Inc. 911 Main Street, Osterville, MA. 02655 (508) 428-1450 Address Te!. * Please bill applicant/owner directly: Oyster Harbors Yacht'.Basin,Inc. C/o Oyster Harbors Marine ATTN: Peter Maryott P.O. Box 1059 Osterville,,MA. 02655 1.2 elf, I �Pbnd ' U - r •+ • is awn ,p tLp� ``��_��' I0 1 � ''1 '� oTi \o.I ��/� - � � � i•� � }°o i % r, _• \ ��G )j% L '� m iiV. r� �1�)peffy �11ae\1 � � � _�/- . � �l •i .�'Y(!•�. �, J '� �j �• 1 fr. '� � III /.� �_�/ ( i•.:-�'.:� -ice—• /: r 50�/�7: >� -� 7 �('"�, \l I .��.'f�,� ,•-. „,j� f If . �J 4 Micah U� i % ,1\ C) • l� iv� n t�01 Pbnd '1IIl 12 ix Ld- I)`+/ ,I N-1 IslanFl.A, •� f .(� i',� 1�f 0. r o St M arys ` J a Vl�pj.. wandPt oo � Isabella � � °�•• f _ W CM •n� ,� ` . rims �aPt ,�z•'� rs _ \ a ,� BQ.1� ,:, r.' �Pasker :i Neek •. .� \• Pbnd 8• Mom-/. se o� • ..a � .' ilk o'•T � . - } 7i$t1'. • h• (i' ? F..1r 1 1 ead Beach Locus Map from USGS Topographic Quadrangle For Cotuit, MA a FIG. 1 a A.M.Wilson Associates Inc. �r lF r 0 ,t ----- � ;t ��r>; :v ,'�• :., � of � \ �� s,1 e � a FL \ - �♦IrM w�i�f•\y i Site Plan Showing Area of Work •FIG; 2 A.M.Wilson Associates Inc. AIL H•C • 1 ode ftlav CO yv 1� a�O,it, 4 /fit '♦ +t k f RRIpRt J ' 'rO as cr, a i �b i C . 3.4 1 r•J41 AN i lJ i 'ry 04 FROM: Town of Barnstable Assessor's Maps 93 & 116 A.M.Wilson Associates Inc. FIG. 3 I 1 �/ _ `� L .�,. _ _ � � n.._ �. �'t �,ib:. .ram. 4 - .._ _ '!T'". � ... 4� ..rr.^i yy4 �i �a`\ I - �� i _ �� _ `a E �.. ti e - -Town of Barnstable Hazardous Materials On-Site Inventor and'Ins ection Y_ P. FACILITY INFORMATION- Business Name: tr,5 t l�'f' 1 ✓l>AJ,4� _ . f k Business Location: Mailing Address: 46o ye Telephone Number. Contact Person: ? T ' 4 � 5 a Emergency Contact Telephone Number:`d4 t' Type of-Business: A 9 IVA- y. Y. d HAZARDOUS MATERIALS,(CHAPTER 108) ' Virgin Product: Total Quantity Contain er'Size(s)3 Storage Location Major Materials Gallons or Poundst Quarts,gallons,,,',_ ,Shed,retail.store, _ , drums,tank;etc... cabinet,closet,etc 11,luS Alit 120jl �i l G1cG le—fG+'A{j'asac /(,�c.�� P+? 4AJ Al Vk q f es /? GCAT ABC. v �ru�c O = �z7 Bf'z Attt-"")C-R.,c./,J C�� W, XS -� �Y_514,e �Aid EDO WAS r / scan/>3d F �z AHNA3 G6s (9 7 . x L L>vJ S. eLa riU wiz Z-1-57 Af"' -I_ HI fir `S Misc.-Reactive ?"iUrwt rs ` Misc.Toxics Inventory Total Amount S N� v: "' r'�� "l.L��r� fGU. Hazardous Materials License Posted es ; .No a Contingency Plan Posted? Yes No ,,. M� I'.�'-4.*�fG s� �c �. a�; G4, � * � •. � �ct��s� Fire District: �GWC % t - ara �/ re Extuiguisher Service Date: � r' Metal Covered Rag Bin: es N_o Absorbent Material Available? es, No Type of Absorbent: Speedy Drys Pigs Other° 'P�L to a `P7 �c� t T r 7 C,f4 ui-tf' MSDS on siteNo and Copy Computer;Access ;Y Hazardous Waste Handling Hazardous Waste Generator Identification Number. . �t" f- z4`1 J, - Type(s) of hazardous waste product(s): :� ��sTIL f ,j� 5t „�a�.,��1 S C�N�7t:i,�,�..��=':�"� ��r,�-%,�✓��' SGr�i�� Date of last hazardous waste shipment,type_of waste nd quantity: . y �__XOf V1451-C 6ASCC1OJC__Azxo 64k"e;,ug f Hazardous Waste Transporter(s):; A)k7!f LL- .d. Designated Hazardous Waste Facility: i� -Hazardous Waste Storage Area Description: z; A W11 bl IIA'Y X 7 e:gA eR, 77 i.��"�E_ p yL��N>�E 1J-. �-�3�,7,3odllt?=L�Y �-df}5' .�e�l{5 s?•f�� f�'LSt, 57'72t�'.� ,'�C.1 a]M&7JT '/h�1`; .�f1�_'if�f3 'yS r� L'L �"! .. CcuRa'/>�Ii�i .riMr�; Is hazardous waste storage area labeled: < es) No Are tanks/drums/containers labeled with the,words'jHazardous Waste"° e type of waste ' "r- and the associated hazard(i.e.ignitable,corrosive,reactive or toxic) ; 'es No x If hazardous waste is stored out of doors is it covered from the elements? Yes,,,,No Is it in-110% containment? Yes,, No -K If hazardous waste is stored indoors is it onF an impervious floo ? No g : - 2- :_ E p - r FLOOR DRAINS (Chapter 381) . Town Sewer Account Number: 111A 194-1- a n ;..- Indoor floor drains: Yes If yes,circle one,'does it'discharge to a: holduig tank dry well on site septic. Outdoor surface drains_ es No . -If yes,circle one,does it'discharge to a: holding tank dry well on site septic: Sc �a ee- sc,h' �.t!rsu R� � cr.Zr ` FUEL AND CHEMICAL STORAGE TANKS (Chapter.3261 s Underground Storage Tank (s) on site? fie'' No ''S, c /{ 6P"ftC„ 617 Age: Is removal,required? Yes o If yes) hen? i Is:testing required?' es, No If yes,when? , J/_� a5 r��ir�y' } ,•�r�r 7� �3 r tzf�- ' Out of doors above ground storage'tank on site?4 es No If yes,.is it.protected from the elements? es `No ;If yes,how? >5r,a - zr IiR � J,j— Is it on a foundation larger M'size than the taa?, Yes j11qq V 13Lo c.<s &A1 ,i's c r ` COMMENTS/RECOMMENDATIONS/CORRECTIVE ACTIONS -44 r A.l 1 721Af,_S S AiGr' !- lee- -S At1l"' ! f C,4 ?fie -A- ! xx- t r Date: 4 Public:Health=lnspector: d, Facility Represent, e: ! . §' fit• � ..- �. F �2- �;'I ¢�. _`3 _ ' F r ; Oyster Harbors Marine Inc. 122 Bridge Street Osterville, MA 02655 508-428 -2017 FACILITY DESCRIPTION Oyster Harbors Marine is engaged in mooring, hauling, storing, and repairing boats. :In ' connection with this activity quantities of motor oil, waste oil, paint, solvents and flammable gases are used and stored on site. In addition, there is fuel in the tanks of the boats being moored. A list of these materials and others used and stored on site can be found in the front of the Material Safety Data Sheet Books located in the Marine Store. A layout of the facility is provided in Attachment 1 which includes the location of personnel work areas, communications equipment, hazardous material storage, storm drains, emergency exits and emergency response equipment. This drawing should be used as a prime source of information for this Emergency Action/Contingency Plan. Emergency Coordinators: The Emergency Coordinator for Oyster Harbors Marine is: Matt Carstensen •� Off Hours Telephone: 5 08-428-1 8497; Cell : 508-367-9999 The Alternate emergency coordinator is; Craig Curtis Off Hours Telephone: 508-420-0170 In the event of an incident: The public or private emergency support organizations listed in Attachment 3 will be contacted by the emergency coordinator. Hours of Operation: Monday - Friday from: 8:00 AM. to: 4:30 PM No. of Employees 40 Saturday from: 8:00 AM to: 1:00 PM No.'of Employees 20 Sunday from: 8:00 AM to: 4:00 PM No. of Employees 4 (gasdock) Heat: Overhead natural gas Storage Room #2, Outboard Shop #2, Carpentry Shop, Receiving', Service Bay #1 Forced,hot air by natural gas Sevice Bay #1, Service Bay #2 Forced hot air:by oil: Clean and Detail Bay r • Underground Storage Tanks: Gasoline two (2) @ 4,000 gallons Diesel Fuel one (1) @ 4,000 gallons Above Ground Storage, located as shown on Attachment 1, consists of the following: Fuel Oil (heating) one (1) @ 200 gallons Waste Oil one (1) @ 250 gallons Diesel one (1) @ 150 gallons Solvent three (3) @ 30 gallons (Parts Washer) Propane twelve (12)@ 20 lbs. stored next to.Outboard Shop. Oxygen one (1) Cylinder on cart in Outboard Shop. Acetylene one (1) Cylinder on cart in Outboard Shop. Natural Gas Piped in for heat: Gasoline. In tanks of vessels being stored. Paint & Thinners less than 50 gallons in quart and gallon cans stored in cabinets. Battery Storage Approximately 100 batteries in battery storage room - Fire Protection: Fire extinguishers are located throughout the facility. Buildings are equipped with a sprinkler system. There are no smoke or heat detectors. • The alarm sounds locally and at the alarm company who will contact the Fire Department by telephone. The alarm company is: Associated Alarm System 508-771 -01 1 0 Training: The emergency coordinators shall be trained to. HAZWOPER Training Level 3. Designated employees shall be trained to respond to spills. All employees have been trained in the use of fire fighting equipment. All employees receive training on special or occasional job tasks. All employees receive: Worker Right-To-Know Training HAZWOPER Training Level 1 Refresher training is conducted on an,annual basis. Emergency Response: Emergency telephone numbers are to be posted at each telephone. These numbers, which are provided in Attachment 3, include: Fire Department; Ambulance; Local Police; State Police; Hospital; Spill>Control' and; Emergency Coordinators �I 2 List of Flammables Cabinets located at Oyster Harbors Marine June 2012 Small Workshop: (1) 40 gallon capacity (1) 30 gallon capacity Outboard Shop: (1) 40 gallon capacity Fiberglass Building: (4) 60 gallon capacity (1). 5 gallon capacity (1)30 gallon capacity (1) 45 gallon capacity ' Carpenters Shop: (1) 40 gallon capacity, Hauling Shed: (1) 30 gallon capacity 182 Bridge Street, Building#1: (1) 12 gallon,capacity 182 Bridge Street,Building#2: (1) 30 gallon capacity Hazardous Waste Building: (1) 15 gallon capacity (2) Unknown capacity The capacities listed above are taken from the identification plate of each cabinet. The total capacity of the above cabinets is approximately five-hundred sixty-seven gallons (567). Town of Barnstable 1HE Re ulato Services `'� all of � g rY ' I ti Thomas F. Geiler,Director '" A �ME& ' Public Health Division 9� 116A39. `�$ 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 Z APPLICATION FOR.PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT IX3 NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT TELEPHONE NUMBER -5—o<6 "f O 2-0 1 SOLE OWNER: YES V NO C> IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF-ALL PARTNERS: y W v IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 04 ;?9? WOO STATE OF INCORPORATION "r FULL NAME AND ELMH ADDRES OF: _ PRESIDENT i TREASURER CLERK SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# Haz.doc/wp/q 1 cp- k Number . Fee 183 THE COMMONWEALTH OF MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that Oyster Harbors Marine 122.Bridge St., Osterville,MA 02655 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, 2009 unless sooner suspended or revoked. --------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/08 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health �. �r Town of Barnstable `'- • Barnstable 'THE r° Regulatory Services Department l.�d Public Health Division BARNSTABLE, • r 9 MASS. 200 Main Street, Hyannis MA 604 200 m Office: 508-862-4644 Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO Application Fee: $100.00 ASSESSORS MAP AND P DATE D_,�rj Vef:3-ba APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT V I�St'P� }'re M o I t) L(}a 11v Pi NAME OF ESTABLISHMENT S ADDRESS OF ESTABLISHMENT TELEPHONE NUMBER �S L' 17 SOLE OWNER• YES NO a IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF AL� =r PARTNERS: ' VM IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION �I s��A eYi ";Z FULL NAME AND HOME ADDRESS OF: PRESIDENT _ 16x-, \A \ TREASURER CLERK �S SIGN TUBE OF APPL T RESTRICTIONS: HOME ADDRESS v S(Go HOME TELEPHONE# Q:\Hazmat\Haz Mat Application2008.DOC TOWN OF BARNSTABLE Date: TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: ©VS7ZW H"i4R,0l�R& Al-41 AIC BUSINESS LOCATION: 89zb4E CSST INVENTORY MAILING ADDRESS: 4S 4.090 VC TOTAL AMOUNT. TELEPHONE NUMBER: CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: ✓ - MSDS ON SITE? TYP E O F BUSI N ESS: MA RY-A k &*L HA>AJ 046"iac V OE- INFOR ATION/RECOMMEN ATIONS: � K � WME a-AS.HAr 5040%f ��"/` I� Fire District: �� :IfSt.D[�" -3'�►�at�Y�/a�sii ,a�„��S�SR.E Rerh f E��i u�5 'Roaw PLARJ-4AIS-LES C491A3FT5 L)r&..)Are .5 M, iNiET t€s TANv_s Q0nfDCQr� EL 1 r L c�ai 8z �DEST- Si -� Z, ee»rT �b o TE?{P S IEr�►1L� i�2. oar DCCe- Pik OPftXr1 I-TNEE'1' Waste T po• : HA2> ast shipment of hazardous was :_�1� Name of Hauler• NC Destination: 5ALEaU kL&_0jE S Waste Product: JAI sas-,-r ��Nf Licensed? N V/AssE R�aLiuZ- NOTE: Under the provisions of C . 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 f�NEW 3SS'USED �pCS (insecticides, herbicides, rodenticides) asolin Jet fuel, Aviation gas f iT� Photochemicals (Fixers) 114 iesel Fu , kerosene, #2 heating NOV. NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil C?49:M NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyt 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 _ _ _ - F . (inc.-carbon tetrachloride) NEW USED Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables�/ 77ML 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 r z (including bleach) 40"S'(Rfi45M GA-SDL/NE.. .4L1_5nez_b /Al Spot removers & cle ng fluids /Al /�4Z_4n vuS (dry cleaners) VJA57-E cS'•7b&446 AeA-A >,Aj gZ,0 40-3 Other cleaning solvent �� SibP-L�C[4 �Di� 1 MI'PE'I��IOUS SUR-FALE Bug and tar "removers A-M'bj LA-Bci�, Windshield wash �� L.tcz1ZE PMD, C0Lit34QJCq Pt-" AWAI'LA(lLC WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS f � assachusefts Department of-Envfronrnen�i P tevion bureau of Waste Prevention •Air Quality } 1.O I73898 EL, , Decal Number Notification Prior to Cc�rtstrur t on-pr D molftio l I pvrtaat A. Applicability Men filling out . forms on-the computer,use onlythelab key A Construction or Demolition operation of an industriai,commercial,or institutional building,or to move your residential building with-20 or.-.more units is regulat i by the E?epartr ent ctf Enuirranrr►ental Prot ctian" 4 cursor-do not DEP ,Bureau of Waste Prevention-Ai by Control"R ulatioris 31 d"CMR 7.09. Notification of = "use the return = � ) � �, trey. Construction or Demolition operations is required tinder 31 Q CIiR 7,:09 ( )ten(10)days prior to any work being performed.The following information is-required pursuant to 310 CMR 7Mfl .8. General.ProjectZleser! tic+n i 1 a-.Is this facility fee exempt--city,town,district,Muni cipal housing authority,owirier-occupied i instructions _ residence of four units or less? Yes No I { " 1 All sectiorts'of b.Provide blanket decatnumber if bpplicable: l 3 this form must be -Blanket Decal Number � completed in order to comply-with"the 2. Facility-lriformation: Department,of a. OYSTER HARBOR MARINESERVICES R b Envtronmentat = - i Protection a_Name l notification 122 BRIDGE STREET• n requirements of b.Address 310 CMR 7,09 81RN TAELE NIA O,21* } c Ci a e a Zt C t 5084282017 f.Tee n u (area xt n i E mail Address=o tional 10431 " 2.5 1 h.Size of Facility in Square.Feet. J.Number,of Floors _ j,Was the facility built prior to 1980? L Yes. No e , s 4 k. Describe the current,or prior use of the facility.-, BOAT; EPAIR 8•cUSjTOMER SALES t 1.is the Mcili a residential facile _ #ty ty? `"Yes- � Na f m_If yes, how many units? Number of units , . l _ i l -- 0 3. Facility Owner: . "cv- OYSTER HARBCAS REALTY BASIN""REALTY CORP;" l o= - a.Name 122 BRIDGE,STREET s "o- - - b_Address OSTERVILLE MA _ .. 02655 508428201-- Pete sttachatborsr»arine corn _ rY f.'Teleo one Number, area code and t O• = PETER iil!lARYC1TT' `,'- � i l r�i'Q h-Onsite Manager Name ; ag0fi_doc•1002 � SWP RQ 06•Page 1-of 3 11 Y 1 o iJ Massachusetts Departinent of Erir+ nmental Protection Bu-reau.of Waste Prevention •Air Quality 1fl0073898 becaliNumber BWP E Notif"rcation Prior to Construction orDernoiitiori General Statement B. General Project DesC'd i®n(cont.) i = asbeestos is found_ consgtrudionor 4. General Contractor: f Demolition SILVIA&5ILVIA ASSOCIATES,,INC_ _ operation,all Fe'sQBnsible-parties a Name must comply With: P.O.BOX 430 1284 MAIN STREET, BLDG.A 310 CMR 7:00, 7.09.7-15,and b Address j Chapter 21Eof the tJSTERVILLE MA {02B5S , Genefal Laws of C.Citvrrown d_ fate e,Zip Code the Commonwealth. 5084200226 rsilvia@silviaanclsiiv a.com" ' This would include, f.Tefe hone Number area code and extension t✓-mail 4ddr ss{optfottat}_ but would not be limited toAl ing an, Ro1+1Att}Sf.VIA �.... asbestos removal h.On-site Manager Name E notification with the Department and/or _ a notice of release/threatof release of a C: General Construction or Delinolit on Des°cripticrn ° _ '- hazardous substance to the t Construction or demolition contractor Department.if alppficabte- ,PKM CONTRACTORS, IN.C. r a.Name f P.O.BOX 775 _ b.Redress EAST DENNIS MA 0264i c. lfaiari _ d.State e.Z0,Code SM85599 f.Telephone Number{area code and extension maE. ress optsonal < PATRICK RACBOWEt�L. h.On-site Manager Name - 2. On-Sfte Supervisor: " PATRICK MCDOWELL On-Site Supervisor Name E IIs the entire_facality tobe demgjished? (�.Yes +/ lyo .� 4. Describe the area(s)to be demolished: EXISTING WOODENTSOAT REPAIR SHOP-,&SALES OFFICES .�_. 5, If this is a construction project,describe the buildifig(s)or additioh(s)to be constructed: NEW METAL BOAT REPAIR'SHOP&SALISISERVIcf AREAS = i��I�Iw�Ywwr•�1� ,,• _ l = a06.0oc-10/02 - B1NP At}W--Page 2 of;,3 I� u � Massachusetts Departrnert of;Eriiviironment Prfltection ��- Bureau of Waste Prevention • Air Quality 1,00073898 DecatANur vier WP A .. - E Notification Prior to.Constwet an or Demolition i C. General Construction or Demob#ion Descri` lion- cunt. 6. a. If this is a demolition project,were;fhe structure(s)surveyed for the presence of asbestos containing material(ACM) 0✓ Yes DNo If yes,who conducted the survey? RUDOLPH NELSON � b.Survevor blame A161475 C.Division of Occupational Safety Certification(dumber 7_ construction or aemtiiifian' 7Iz8t2008 9 iiz11z0#18- ��` k a.-5taiCf3ate{rtiiraldi€tyyyy) b.End Wi(n4n1ddlyyyy) 8. a.For demolition and-construbtion projects, indicate dust,suppression techniques to-be-".,useci: t j seeding El Paving b..If other,Pleasespecify. i wetting shrouding [ covering other 9, For Emergency Demolition Operations,who is the DEP cfftgai who evaluated the emergency? a.Name of DEP Official i i b.Tdle m._o �.. . _...... �» c.Date mmld of Authri�atio6' d.DE P waiver Number, s D. Cortrfrcanorr I certify that 1 have exarniried the T.'Y,4RNUM�F1I#'BF200K, P.E: ='a' above and that t6the best'of my- knowledge it is true and,complete: T,Varlrturn Philbrocik : _ — The signature below subjects the- b. onzz n mature ; signerto the generai statutes E�iG1NEl:Et DF"RECORD,MA�3Q690 regarding---a Ise and mi fieading;; C� 0 �o -. e staternent(s)_ PHiLBRt?OK ENGINEERING a , �� d.Re resen n �- 07/14t2008 _� �(o=r e.Oa#e{mrnlddlyyyy: 1, 0-: 1 - , r mOq doc 10402 8V+lF AQ t i?age 3 aF3 _ Page 1 of 2 Ron Silvia From: <eDEPConfirmation@massmail.state.ma.us> To: <Tvarnphil@msn.com> Cc: <rsilvia@silviaandsilvia.com> Sent: Monday, July 14, 2008 4:12'PM Subject: SPAM-LOW: eDEP Submittal Confirmation for DEP Transaction ID: 186930 Thank you for using eDEP Online Filing from the Massachusetts Department of Environmental Protection. Your transaction is complete and has been submitted to MassDEP. This email is your receipt for the eDEP Online Filing transaction described below. Please review it and keep a copy for your records. Please do NOT reply to this message, this email address will not receive messages. For assistance with eDEP Online Filing, please email the DEP Help Desk at DEP.HELP@state.ma.us or call 617-556-1100. MassDEP is interested in how we can serve you better. To help us make improvements to eDEP,please take a minute to complete our eDEP Online Filing Survey at http://www.mass. og v/dep/service/compliance/edgpsurv.htm. To contact MassDEP Programs,please see http://mass.gov/dep/about/contacts.htm. ************************************************************************************** DEP Transaction ID: 186930 Date and Time Submitted: 7/14/2008 4:10:44 PM Form Name: BAT - Demolition Form for AQ-06 Payment Information DEP code: 32512 Date: 7/14/2008 4:04:22 PM Amount($): 85 Payment Detail: T VARNUM PHILBROOK--Card -- 4178 Contractor Contractor Number Name Address Supervisor Project Monitor Lab ************************************************************************************** 7/15/2008 ` r n h Lead Paint Inspections by Fred Hemmila 16 Quaker Road, Fast Sandwich, MA 02537-1027 Tel: 508.-888 8378 In Mass: 800-28678378 FAX 508-888-8397 Email- lead paint ,fred hem mi Ia.com Website: www.fredhemmila:com Summary TO: Ronald J. Silvia i Silvia and Silvia Assoc. Inc. 1284 A Main St. Osterville, Ma. 02655 DATE: June 22, 2008 FOR: Lead paint inspection at: 122 Bridge Street, Osterville, MA The old main building, which is to be demolished, was inspected using an xray fluorescence device on all accessible areas. A comprehensive report of all areas inspected is attached. Lead paint was found only in isolated areas which are detailed in the report. In p Y p general, it was found on the front (street side designated as Side A) siding and most of the old windows. On the interior, lead paint was limited to some of the novelty siding and window sash. In regard to the total amount of lead paint, there was only a small amount. Depending on how you proceed, you have several options. A deleading contractor could remove the leaded components prior to demo. You could demo the whole structure and spray with a mist to keep dust at a minimum. Given the proximity to the water and a residence, consideration should be given to containing the debris and dust during demo. The small amount of lead paint in the debris probably needs no special disposal if it is disposed of together with the rest of the building materials. Your environmental consultant may wish to review this report. If you have any other questions, please contact me. i r AN A E R ENVIRONMENTAL SERVICES, INC. ASBESTOS CONTAINING BUILDING MATERIALS SURVEY PROJECT: OYSTER HARBORS MARINE 122 BRIDGE STREET OSTERVILLE, MA 02655 DATE: JULY 5, 2007 PREPARED FOR: JULIE LARSEN SILVIA AND SILVIA 1284A MAIN STREET OSTERVILLE, MA 02655 TEL: 508-420-0226 ExT.104 FAX: (508)420-8109 JLARSEN@SILVIAANDSILVIA.COM PREPARED BY: BANNER ENVIRONMENTAL SERVICES INC. 16 BACK RIVER WAY DUXBURY, MA 02332 781-934-6873 INSPECTED BY: RUDY W. NELSON DOS ASBESTOS INSPECTOR LICENSE#Al 61475 x; TABLE OF CONTENTS 1 SUMMARY 2 PROPERTY DESCRIPTION 3 SAMPLING METHODOLOGIES 4 SAMPLING RESULTS 5 RECOMMENDATIONS 6 LIMITATIONS 7 APPENDICES BULK SAMPLE CHAIN OF CUSTODY FORM LABORATORY SAMPLE ANALYTICAL RESULTS 8 PICTURES Asbestos Containing Building Materials Survey Page 2 of 6 Banner Environmental Services,Inc.Job#07-226 Silvia&S ilviaOysterHarborsMarine070507 r 71 l ' ' 1 SUMMARY Banner Environmental Services, Inc. was retained by Julie Larsen of Silvia and Silvia to conduct an asbestos containing building material survey of the commercial property located at 122 Bridge Street in Osterville, MA. Assessors records at the time of the survey indicate three other buildings on the lot, however this survey is limited to the largest building as described in Section 2 of the report. The purpose of the survey was to determine the presence and location of asbestos containing building materials (ACBM) prior to planned demolition of the building. This survey does not include quantities of asbestos containing materials nor does it provide cost estimates for asbestos abatement. This report should be reviewed in conjunction with the lab data and chain of custody. Please be aware, addendums to this survey may be produced at a later date as areas become accessible for sampling as a result of demolition or restrictions lifted from non-accessible areas. On June 28, 2007 Rudolph Nelson, MA licensed asbestos inspector #A161475, conducted an on-site survey of the above-referenced property. Thirty-one suspect asbestos containing building materials were sampled which represent all accessible suspect asbestos containing building materials. Analysis was performed on thirty-two samples. The lab determined that sample fifteen, when examined microscopically, consisted of two separate materials. Nine samples proved positive for asbestos. Materials must contain >or equal to 1% asbestos to be categorized as asbestos-containing materials and regulated pursuant to Massachusetts regulations and DOL & OSHA Standard 29 CFR 1926.1101. 2 PROPERTY DESCRIPTION This commercial-use structure is comprised of multiple connected buildings. Assessors records at the time of the survey indicate three other buildings on the lot, however this survey is limited to the largest building as described here-in. The structure appears to be greater than 60 years of age. It is currently used for marine retail, storage and boat repairs. .The exterior is clapboard. The roofing consists of multiple layers. Most windows appear original to the structure but there are also some replacement windows. The heating and air conditioning system is roof mounted and is absent insulation. The flooring material is mostly concrete, carpet over wood and floor the (in the electronics shop). All areas were Asbestos Containing Building Materials Survey Page 3 of 6 Banner Environmental Services,Inc.Job#07-226 Silvia&S ilviaOysterHarborsMarine070507 1 accessible at the time of the survey. 3 SAMPLING METHODOLOGIES Banner Environmental Services, Inc. employs systematic inspection and bulk sampling to include all representative suspect asbestos containing materials. Suspect asbestos containing materials include any surfacing material, thermal system insulation or resilient flooring materials installed prior to 1981. Care is taken to avoid duplicate sampling as well as unnecessary sampling. If a sample proves to contain asbestos, other similar materials,: used in the same way, can be presumed to contain asbestos. The inspector also assesses for friability and the condition of the material during the sampling phase of the survey. A total of thirty-one bulk samples were collected and submitted to the EPA accredited laboratory for asbestos analysis. Bulk samples were collected per OSHA sampling protocols (OSHA 29 CFR Part 1926.1101 Occupational Exposure to Asbestos — Construction Industry Standard) and were hand-delivered in labeled sample containers with a "chain of custody" form. The requested turnaround time was twenty-four hours. 4 SURVEY RESULTS Analysis was performed according to the EPA,Interim Method per 40 CFR 763, subpt F, App. A. TABLE 1 SAMPLES POSTITIVE FOR ASBESTOS Field ID Description Location 2 Black pipe wrap Marine store 6 White heating unit covergasket Service Area 11 Tan 12x12 floor tile 2" floor electronics area 13 Black rolled roofing seal cement Portside Interior 14 Black roof seam cement Electronics room 15.2 White rolled roofing Electronics room 16 Black seam cement Over service bay 26 Black flashing cement Tall bay 30 Roof shingles black seal cement Over door at paint shop TABLE 2 SAMPLES NEGATIVE FOR ASBESTOS Field ID Description Location 1 Grey paper board Marine Store Ceiling 3 Dark grey board Port storage room ceiling 4 Tan window glazing Service bay interior Asbestos Containing Building Materials Survey Page 4 of 6 Banner Environmental Services,Inc.Job#07-226 Silvia&S ilv iaOysterHarborsMarine070507 5 White window glazing Paint shop window 7 White window glazing Wood shop window 8 White shingles Wood shop built over roof 9 White ldrywall compound Break room 10 White 2x2 ceiling tile Break room 12 Black abandoned rolled roofing Portside interior 17 White rolled roofing Service bay 18 Black 3 tab roofing Marine store upper roof 19 Black 3 tab roofing seal cement Marine store upper roof 20 White 3 tab roofing Marine store 1S sto 21 Black .roofing seal cement Marine store (1S story) 22 Brown shingles Service bay roof repair area 23 White 1 tab roofing Roof over marine store storage 24 Grey 3 tab shingles Roof over woodsho 25 Black shingles seal cement Roof over woodshop 27 White shingles Abandoned roof over paint shop 28 Black shingles seal cement Abandoned roof over paint shop 29 Grey roof shingles Over door at paint shop 31 Black repair cement On valley over paint shop i 5 RECOMMENDATIONS c If the asbestos is in good condition i.e. it is not damaged, nor is it likely to be disturbed, no action is necessary. However, prior to a major renovation or demolition where asbestos fibers may be released, all asbestos containing materials must be abated by an asbestos abatement contractor licensed in the Commonwealth of Massachusetts. The DEP requires notification of all asbestos abatement activity. Unless an emergency waiver is granted, asbestos abatement cannot commence prior to ten business days after the notification is made by the asbestos abatement contractor. Additionally, current regulations of the Commonwealth of Massachusetts DEP, require notification and permits for any interior or exterior demolition or facility components. The Construction and Demolition Notification form (DEP BWP AQ 06) is used for operations involving industrial, commercial, institutional or residential buildings with 20 or more units. Please make note of the following information needed to complete Section C, Part 6: Structure Surveyed for presence of ACM —Yes Who conducted survey — Rudolph Nelson Division of Occupational Safety Certification # -A161475 The EPA recommends 5 responses for handling asbestos hazards — removal, Asbestos Containing Building Materials Survey Page 5 of 6 Banner Environmental Services,Inc.Job#07-226 S it via&S ilviaOysterHarborsMarine070507 1 w encapsulation, encasement, enclosure and when the asbestos is in good condition an operations & maintenance (O&M) plan. Unless an imminent danger exists, the appropriate response is at the discretion of the owner and is generally determined by the condition of the asbestos, the scope of the project and the associated costs. 6 LIMITATIONS The conclusions and recommendations of this survey are based on the conditions and accessibility of the property at the time the survey was conducted. Every reasonable effort was made to locate and sample all suspect asbestos containing building materials. This included selective, minor demolition in order to reveal possible asbestos containing materials not readily visible. However, no sampling was collected from inaccessible areas such as behind walls, above ceilings, beneath floors or beneath free-standing, immobile, structures i.e. bath- tubs, counter tops etc. Additionally, areas which were not sampled because they were unsafe, occupied, locked or otherwise non-accessible are noted so arrangements can be made for follow-up sampling. Where sampling was required in occupied areas, every reasonable effort was made to minimize disruption and maintain safety. Please note, excavation may reveal subsurface asbestos containing materials such as transite or composite piping and foundation waterproofing. Therefore, should extensive demolition or excavation reveal substances suspect for asbestos, further sampling and analysis will be required. Until definitive characterization of the material is established, these materials should be considered positive for asbestos and handled accordingly. 7 APPENDICES The following pages include copies of the field chain of custody sheet and lab results and pictures identifying positive asbestos containing materials. Asbestos Containing Building Materials Survey page 6 of 6 Banner Environmental Services,Inc.Job#07-226 Silvia&S ilviaOysterHarborsMarine070507 f ` , 1 I AmeriSci Boston 8 SCHOOL ST. AmERI SoWEYMOUTH, MA 02189 TEL: (781) 337-9334 FAX: (781)337-7642 PLM Bulk AsbestoS Report Banner Environmental Services, Inc. Date Received 06/28/07 AmeriSci Job No. 507061307 Attn: Diane Nelson Date Examined 06/29/07 P.O. # Oyster Harbors Marin 16 Back River Way Page 1 of 6 Duxbury, MA 02332 RE Oyster Harbors Marine; 122 Bridge St, Osterville-Main Bldg. Client No. 1 HGA Lab No. Asbestos Present Total %Asbestos 1 507061307-01 No NAD Location: Marine Store (by CVES) by Peter Murray Analyst Description: Brown/Off-White, Homogeneous, Fibrous, Ceiling Paper Board on 06/29/07 Asbestos Types: Other Material: Cellulose 30 %, Non-fibrous 70 % 2 507061307-02 Yes 20 % Location: Marine Store (by CVES) by Peter Murray Analyst Description: Brown/Black, Homogeneous, Fibrous, Pipe Wrap on 06/29/07 Asbestos Types: Chrysoti[e 20.0 % Other Material: Non-fibrous 80 % 3 . 5.0.706.1.3.07-03 . No NAD. Location: Port Storage Room (by CVES) by Peter Murray Analyst Description: Beige, Homogeneous, Fibrous, Ceiling'Board on 06/29/07 Asbestos Types: Other Material: Cellulose 90 %, Non-fibrous 10% 4 507061307-04 No NAD Location: Service Bay Interior (by CVES) by Peter Murray Analyst Description:Tan, Homogeneous, Non-Fibrous, Window Glazing on 06/29/07 Asbestos Types: Other Material: Non-fibrous 100 % 5 507061307-05 No NAD Location: Paint Shop (by CVES) by Peter Murray Analyst Description: Off-White, Homogeneous, Non-Fibrous, Window Glazing on 06/29/07 Asbestos Types: Other Material: Non-fibrous 100 % See Reporting notes on last page AmeriSci Job* 507061307 t Page 2 of 6 Client Name: Banner Environmental Services, Inc.. PLM Bulk Asbestos Report Oyster Harbors Marine; 122 Bridge St, Osterville-Main Bldg. Client No. / HGA -- Lab No. Asbestos Present Total % Asbestos 6 507061307-06 Yes 65 % Location: Service Area Heating Unit (by CVES) by Peter Murray Analyst Description: Black/Off-White, Homogeneous, Fibrous, Cover Gasket on 06/29/07 Asbestos Types: Chrysotile 65.0% Other Material: Non-fibrous 35 % 7 507061307-07 No NAD Location: Wood Shop (by CVES) by Peter Murray Analyst Description:Tan, Homogeneous, Non-Fibrous, Window Glazing- on 06/29/07 Asbestos Types: Other Material: Non-fibrous 100% 8 507061307-08 No NAD Location: Wood Shop Built Over (by CVES) by Peter Murray Analyst Description: Black, Heterogeneous, Fibrous, Roofing Shingles on 06/29/07 Asbestos Types: Other Material: Cellulose 30 %, Non-fibrous 70 % 9 507061307-09 No NAD _.. Location: Break Room (by CVES) by Peter Murray Analyst Description: Off-White, Homogeneous, Non-Fibrous, Drywall Compound on 06/29/07 Asbestos Types: Other Material: Non-fibrous 100% 10 507061307-10 No NAD Location: Break Room (by CVES) by Peter Murray Analyst Description: Brown/White, Homogeneous, Fibrous, 2'x2`Ceiling Tile on 06/29/07 Asbestos Types: Other Material: Cellulose 35 %, Fibrous glass 15 %, Nan-fibrous 50 % 11 507061307-11 Yes 5 % Location: 2nd Floor Electronics Area (by CVES) by Peter Murray Analyst Description:Tan, Homogeneous, Fibrous, 12"xl2" Floor Tile on 06/29/07 Asbestos Types: Chrysotile 5.0 % Other Material: Non-fibrous 95 % See Reporting notes on last page r AmeriSci Job#: 507061307 Page 3 of 6 Client Name: Banner Environmental Services, Inc, PLM Bulk Asbestos Report Oyster Harbors Marine; 122 Bridge St, Osterville-Main Bldg. Client No. ! HGA Lab No. Asbestos Present Total % Asbestos 12 507061307-12 No NAD Location: Port Side Interior Abandoned (by CVES) by Peter Murray Analyst Description: Black, Heterogeneous, Fibrous, Rolled Roofing on 06/29/07 Asbestos Types: Other Material: Cellulose 35 %, Non-fibrous 65 % 13 507061307-13 Yes 15 % Location: Port Side Interior Abandoned (by CVES) by Peter Murray Analyst Description: Black, Homogeneous, Fibrous, Rolled Roofing Seal Cement on 06/29/07 Asbestos Types: Chrysotile 15.0 % Other Material: Non-fibrous 85 % 14 507061307-14 Yes 20 % Location: Electronics Room (by CVES) by Peter Murray Analyst Description: Black, Homogeneous, Fibrous, Roof Seam Cement on 06/29/07 Asbestos Types: Chrysotife 20.0 % Other Material: Non-fibrous 80 % 15 507061307-15L1 No NAD l.ocation:,_Electronics-Room ...(by CVES). by Peter Murray Analyst Description: Black, Heterogeneous, Fibrous, Rolled Roofing on 06/29/07 Asbestos Types: Other Material: Cellulose 40 %, Non-fibrous 60 % Comment: Rolled Roofing ' fi5 50706-1307-15L2 Yes 15 Location: Electronics Room (by CVES) by Peter Murray Analyst Description: Black, Homogeneous; Fibrous, Rolled Roofing on 06/29/07 Asbestos Types: Chrysotife 15.0 % Other Material: Non-fibrous 85% Comment: Associated Mastic See Reporting notes on last page AmeriSci Job#: 507061307 Page 4 of 6 Client Name: Banner Environmental Services, Inc.. PLM IBulkAsbestos -Re ort p . Oyster Harbors Marine; 122 Bridge St, Osterville-Main Bldg. Client No.I HGA Lab No. Asbestos Present Total %Asbestos 16 507061307-16 Yes 15 % Location: Over Service Bay (by CUES) by Peter Murray Analyst Description: Black, Homogeneous, Fibrous, Seam Cement on 06/29/07 Asbestos Types: Chrysotile 15.0 % Other Material: Non-fibrous 85 % 17 507061307-17 No NAD Location: Service Bay (by CVES) by Peter Murray Analyst Description. Black, Heterogeneous, Fibrous, Rolled Roofing on 06/29/07 Asbestos Types: Other Material: Cellulose 35 %, Non-fibrous 65 % 18 507061307-18 No NAD Location: Marine Store Upper Roof (by CVES) by Peter Murray Analyst Description: Black, Heterogeneous, Fibrous, 3 Tab Roofing on 06/29/07 Asbestos Types: Other Material: Cellulose 35 %, Non-fibrous 65 % 19 507061307-19 No NAD Location: Marine Store Upper Roof (t) VES Y_....0 ). by Peter Murray Analyst Description: Black, Homogeneous, Non-Fibrous, 3 Tab Roofing Sea[Cement on 06/29/07 Asbestos Types: Other Material: Non-fibrous 100 % 20 507061'307-20 No NAD Location: Marine Store 1 Story (by CVES) by Peter Murray Analyst Description: Black, Heterogeneous, Fibrous, 3 Tab Roofing on 06/29/07 Asbestos Types: Other Material: Cellulose 45 %, Non-fibrous 55 % 21 507061307-21 No NAD Location: Marine Store 1 Story (by CVES) by Peter Murray Analyst Description: Black, Homogeneous, Non-Fibrous, Roofing Seal Cement on 06/29/07 Asbestos Types: Other Material: Non-fibrous 100 % See Reporting notes on last page AmeriSci Job#: 507061307 Page 5 of 6 r Client Name: Banner Environmental Services, Inc. PLM Bulk Asbestos Report Oyster Harbors Marine; 122 Bridge St, Ostervi[le-Main Bldg. Client No. I HGA Lab No. Asbestos Present Total % Asbestos 22 507061307-22 No NAD Location: Service Bay Roof Repair Area (by CVES) by Peter Murray Analyst Description: Black, Heterogeneous, Fibrous, Shingles on 06/29/07 Asbestos Types: Other Material: Cellulose 15 %, Fibrous glass 10 %, Synthetic fibers 5 %, Non-fibrous 70 % 23 507061307-23 No NAD Location: Roof Over Marine Roof Storage (by CUES) by Peter Murray Analyst Description: Black, Heterogeneous, Fibrous, 1 Tab Roofing on 06/29/07 Asbestos Types: Other Material: Cellulose 40 %, Non-fibrous 60% 24 507061307-24 No NAD Location: Roof Over Wood Shop (by CVES) by Peter Murray Analyst Description: Black, Heterogeneous, Fibrous, 3 Tab Shingles on 06/29/07 Asbestos Types: Other Material: Cellulose 40 %, Non-fibrous 60 % 25 507061307-25 No NAD Location: Roof Over Wood Shop (by_CVES) by Peter Murray Analyst Description: Black, Homogeneous, Non-Fibrous,Shingles Seal Cement on 06/29/07 Asbestos Types: Other Material: Non-fibrous 100 % 26 507061307-26 Yes 20 % Location: Tall Bay (by CVES) by Peter Murray Analyst Description: Black, Homogeneous, Fibrous, Flashing.Cement on 06/29/07 Asbestos Types:Chrysotile 20.0 %° Other Material: Non-fibrous 80% 27 507061307-27 No NAD Location Abandoned Roof Over Paint Shop (by CVES) by Peter Murray Analyst Description: Black, Heterogeneous, Fibrous, Shingles on 06/29/07 Asbestos Types: Other Material: Cellulose 40 %, Non-fibrous 60 % See Reporting notes on last page ti AmeriSci Job*: 507061307 Page 6 of 6 Client Name: Banner Environmental Services, Inc! PLM Bulk Asbestos Report Oyster Harbors Marine; 122 Bridge St, Osterville-Main Bldg. Client No. / HGA Lab No. Asbestos present Total % Asbestos 28 507061307-28 No NAD Location: Abandoned Roof Over Paint Shop (by CVES) by Peter Murray Analyst Description: Black, Homogeneous, Non-Fibrous, Shingles Seal Cement on 06/29/07 Asbestos Types: - Other Material: Non-fibrous 100 % 29 507061307-29 No NAD Location: Over Door At#27 (by CVES) by Peter Murray Analyst Description: Black, Heterogeneous, Fibrous, Roofing Shingles on 06/29/07 Asbestos Types: Other Material: Cellulose 40 %, Non-fibrous 60 % 30 507061307-30 Yes 20 % Location: Over Door At#27 (by CVES) by Peter Murray Analyst Description: Black, Homogeneous, Fibrous, Seal Cement on 06/29/07 Asbestos Types: Chrysotile 20.0 % Other Material: Non-fibrous 80 % 31 507061307-31 No NAD Location,:,On_Valley Over.Paint Shop (by CVES by Peter Murray Analyst Description; Black, Homogeneous:, Fibrous, Repair Cement on 06/29/07 Asbestos Types: Other Material: Cellulose 15%, Non-fibrous 85 % Reporting Notes: Analyzed by:Peter Murra y e/ ; Date Analyzed': 2�/ NAD=no asbestos.detected; CVES=.Calibrated:Visual Estimate; NA not an NA/PS=not analyzed/positive stop; "Present"or NVA="No Visible Asbestos"are observations made during a qualitative analysis; PLM Bulk Asbestos Analysis by EPA 600/M4-82-020 per 40 CFR 763(NVLAP Lab#102079-0)or NY ELAP PLM I Analysis Protocol 198.1 for New York friable samples(198.6 for NOB samples) (NY ELAP Lab#10982); Note: PLM is not consistently reliable in detecting asbestos in floor coverings and similar non-friable organically bound materials. NAD or Trace results by PLM are inconclusive,TEM is currently the only method that can be used to determine if this material can be considered or treated as non-asbestos-containing in New York State (also see EPA Advisory for floor tile,FR 59, 146,38970,811/94). N'I'ST Accreditation requirements mandate that this report must not be reproduced except in full without the approval of the laboratory. This PLM report relates ONLY to the items tested. Reviewed By: Relinquished By: *47 Date/Time:_ BUir C�€�oi € �a u c�D E �a sRec.ely d DY: Date/Time: 8 SCHOOL STREET-•WEYMOUTH, MA 02180 _�___ __..�_..__ :l`"i mERI SCE (781}337.9334 /FAx 781 337-7642 Relinquished By: Uate/Time. �` � � � osroN t ) _ _G:....W....�___ `I�Oi1otE (888)724-5221 Received Eby:..._ Date/Time: T` www.amerisci.com Company Name: BANNER EmvmoNMENTAL:SERVIGEs,.iNc. Project Street Address: 16 BACK RivER WAY Project Address: Project City: DUXBURY State:MA Zip, 02332 _ Project.Man er: �g Analysis: ELM _'positive Stop_ ;Quaff€#ative Point:Count N0I3 Pre Phone: -(7�7� �3�m��73 Fax: ��1. 934efi�fD (Prep) Ceil/Page#: OeIIIPage M Turnaround Time: Z� Fa:c Copy i3y: --- dnane. 3an�nerEnvar�anme�nt:al.cofii Results to., i 5ampied 3y. 2 SG --.— � '.�Z�� y - ��_�.l l0/�{7.�J Date: Special.Instructions or Comments: Lab 1D Field ID Location Sample Description `.Homogenous Area. ace- -'� — _d �. /-Y-:r- F fM:t_ PAGE 1 Olr Relinquished By: BULK CHAIN OF CUSTODY RECORD F3eiveGl [3y: � �- ite/i iriroe;__ � ( _ ! G�' � HG�taL °Cirr-�V41sYtufOU7}�, NI1018 slingvislled By-___ _� �._._ _ f)e Da;te/Tim L3 _..- (_.,_.__, BoMN T0LLFA 'i (888)7 4� 2 neoLhIved 8 Daterrlmo; '' ' wwmarnerlscl.com Ct MPal'ty NaMG' . BANNER ENVIRONMENTAL SERVICES, INC. Street Address-, 16 BA CK-RwER WAY Project Address., 3 Q 7 City, DuxauRy Stater illy Zip, Q�� ; Project Manger: L5 lv��t�Phone: (781) 934-6873 Fax 781) 9 �.60 6 Analysis. � — _Qualitative_ Point Count—NOE3 (Prep) TEE Ci�l� if age 0: 'cellipacge 4:, i.urnaroand Time:_01Y,4< r Fax DaPy By: Results to: .dn�a��c��3 z�.��>a�r��n�>ra�ali;e4®ain _ Sarl� ieci �y: �/�� G r/�� 7 �1 Siaeeial instructions or Comments, _ P ,—/��7` ,�-S�L�_:—,/-�/�l�f�b mate: Lacs ID Field ID Location Sarr;pfe f�eseriPtiora 'Homogenous Area T R _ GE PA 0. i `I i -Marine Store, IBlack asbestos wrap , a v M � ti• iJ � t I � Black Asphalt wrap in hallway r Black asphalt wrap hallway - Marine Store may, yr Service Area - f`� Gasket on - overhead heating unit a y' I — t�� Patch Cement - -- Serivice Bay Zj- - J, / j t , t ----------------- -----�-- \ - J _ t . a p ``1 h�r i 01, nyp�q.�;^,P+e'JI.4+Ix'Cau•{•.�,�-�-•I�TeY..py'.�'�.+'+frP'.�!�'... ' � •• _ f 1 3: y N•a ,y� .��+`' fir• .�•��` • - - Cement------- � •� , ' i Y`,� Y�.i.y'lyw•�`.•ay :t•'♦ ��?•', f•:. f• r ��• 7K`�'•'J�t�. .� � 1 j .t' Bav :�•r i-i/J w• . � `•.'t .7!•:.�w .ti . .�Yl` i�r `•••SSS��- . f � '. F. �• y► C• � . -�, . J� • `• .Irk �Q4 a X 'Y 1 - :i: ? '7� � r... - - _ � �• d. h ��p��»� - APT .. - — _ r ��' /=" ice„ f to � ,/ F .�.., '� .. 4 S.v_ __� �'P3' '7�F. ...•. _ e f rw y Rolled roofing seam cement over 77 - electr"nt*-s room w `�_ rol Floor tile 12x12 in +� - _ ...� 7 electronics RoomAI w ' } .�� 1 �-�• 'q�"� • �� l ;'ram, <'�'� �� - � � � ��• �.�� l'�. � �l t F Abandoned Roof - Port Side f { Abandoned •• iover R'•. •• Roofing Shingles Office - s t i r f, µ'. t.i iSeal Cement • �abandoned roof :over Repair Shops i e _.�;:._. .. �,�rMr.t� �f+L1.t:KA.irY•-�y�Tj.ry�_��•'�.-l�.w...s. mot. �. _ CERTIFICATE OF UNDERGROUND STORAGE TANK SYSTEM TESTING v Crompco, LLC 1815 Gallagher Road 78-72 Phone: (Fax: 61610) 203 CROMPCO, LLC Plymouth Meeting, PA 19462 ( ) 278-7621 Pork Order #194009Information ___........._........_....__._...__.__................. _.._..._........_.___._..._._......_.._._...._........._...._...._.._._.._.._......._._...__..._..........____._....___._._.__...._._..._._...._...._.._.__......_..__...._.......................___......._..__....._......__..._...__._.._....._._...__...._.._......._...,,._._.....__..___.._.._..___......._..._...._._..__.,........_._ Date-December 6th, 122 Bridge Street Oyster Harbor Marine Inc. 2007 Osterville, MA 02655 122 Bridge Street Reason:Compliance Retest Invoice #187119 Osterville, MA 02655 Compliance:Yes Permit# County: Barnstable P.O.# ..:........._... Testing was conducted in accordance with all applicable portions of Federal; NFPA, and local regulations. Lines Equip # Grade Test Result 3 Diesel I Petro-tite Line Pass Leak Detectors equip Grade Test Result _ 3 Diesel 1PASS SpaceConfined _ y, Confined Space Entry Form. _ Completed Additional Costs PARTS: Leak Detector LABOR: Labor: 2 Men (4.75 hours) CaA J'� Brett Vignali Petro-Tite Line Testing #PAC01261203090 (Exp: 12/03/2009) Shawn Taylor; Petro-Tite Line Testing #PACO1136120309.0 (Exp: 12/03/2609) Crompco, LLC Oyster Harbor Marine Inc. 122 Bridge Street Customer Copy 1813 Gallagher Road Phone: (610) 278-7203 Osterville, MA 02655 Site #SK230 / WO #194009 Plymouth Meeting, PA 19462 FAX: 610-278-7621 December 6th, 2007 Petro Tite Line Test Pump Operating Pressure: psi Line Number: 3 Test Pressure: 50.00 psi Grade: Diesel Net Volume Change: 0.00100 gph Material: Steel eleedback Length: 250 ft. Allowable (gal): 0.06200 Diameter: 2 in. Measured (gal): 0.04400 Wall: Single Pump Manufac: Red Jacket American Suction r Pass Type of System: Result: r Fail r Pressure - r Inconclusive Pressure (psi) Volume (gal) Time Procedure , Comments Before After Before`` After Change 0830 Connected.line tester to: Shear Valve Port: 0.0 0.0° 0.0000 0.0000 0.0000 1355, Started line test 0.0 50.0 0.0000 0.0470 0.0000 1405. Line Test Continued 64..0: 50.0 0.0470 0.0.540 0.0070 1415 Line Test Continued 46.0 50.0 0.0540 0.0520 -0.0020 1425 Line Test Continued 44.0 50.0 0.0520 0.0480 -0.0040 1426 Bleed Back. 50.0 0.0 0.0480 0.0920 0.0440 Crompco, L'LC Oyster Harbor Marine Inc. 122 Bridge Street Customer Copy 18.15-Gallagher Road Phone: (610) 278-7203 Osterville, MA 02655 Site #SK230 / WO #194009 Plymouth Meeting, PA 19462 FAX: 610-278-762.1 December 6th, 2007 Petro Tite Leak Detector Leak Detector Number: 3 Grade: Diesel Make: Red Jacket Model: FX2DV Serial # 012396-6418 r Mechanical r__ Electronic Test Conducted at Dispenser #: DSL Submersible Pump Operating, Pressure (psi): 32 Check Valve Holding Pressure (psi):' 18 Bleedback Check (gallons): .020 Mechanical Line Leak Detector Step-Through Time seconds 0 **Note: not applicable for electronic line leak detectors During actual testing; when simulated,leak is induced' . The mechanical line leak detector stays in leak search position or'r Yes the electronic line leak detector sets off an alarm as required r'No by the manufacturer {Yes = pass), (No.= fail): Result: Pass r Fail r Inconclusive Retest Make: Veeder Root . Model: FX1DV Serial # 30804-1609" . . r Mechanical r Electronic Test Conducted at Dispenser #: DSL Submersible Pump Operating Pressure (psi):'32 Check Valve Holdin 9 Pressu si (P ) .. re 18 Bleedback Check (gallons):; .018 Mechanical Line Leak`Detector.Step=Through Time'' (seconds): '3 **Note: not applicable for electronic Line leak detectors During actual testing, when simulated leak is induced . The mechanical line leak detector stays in leak search position or r Yes the electronic line leak detector sets off an alarm as required r No by the manufacturer (Yes = pass), (No = fail): Result: r Pass r Fail r Inconclusive Test is conducted by simulating a calibrated 3.0 GPH at 10 psi leak on the product line. Crompco, LLC Oyster Harbor Marine Inc. 122 Bridge Street Customer Copy 1811 Gaclagher Road Phone: (610) 278-7203 Osterville, MA 02655 Site #SK230 / WO #194009 Plymouth Meeting, PA 19462 FAX: 610-278-7621. December 6th, 2007 Corporation Reclassification to Non-PRCS Entry into Submersible Pump Sumps and Under Dispenser Containment Sumps Check this box only if no sump entry occurred at this site (no requirement to fill out anything further) Note: This form must be filled out for each sump that is being entered. Equipment Number: Containment Type: Grade: 3 Sump - STP (2 Piece) Diesel To be entered by (list all possible Description of Permit Required Purpose of Entry: entrants): Confined Space: General equipment maintenance Brett Vignali W Fuel Submersible Pump Sumps activities (Excluding any activity which Shawn Taylor r.-j Under Dispenser Containment Sumps might release fuel vapors) Potential Hazards: r Atmospheric i,. Other • All sumps are to be considered as PRCS.unless they are reclassified following this procedure.. Prior to entry steps 1-6 below must be completed:' 1. Conduct atmospheric air monitoring to verify there are no actual or potential atmospheric hazards: . v.'":.'""g :�b Hazard r T rr;sryy Initial Test Results � yY � ,A�llowabiekLim�ts � Oxygen 20.8 Between 19.5% - 23.5% LEL 0 Less Than 10% Carbon Monoxide 0 Less Than 25ppm 2 Have all electrical hazards been locked/tagged out? r-Yes No 3. If atmospheric hazards are below the above allowable limits AND all electrical hazards have been eliminated (if required), the PRCS can now be reclassified as a non-PRCS as allowed by OSHA 29 CFR 1910.146 (c)(7)• The confined space.shall be.continuously monitored using the multigas meter while-any individual is performing work in the confined space "The'conf ned space shall be-continuously ventilated'using;the forced air blower while any individual is performing work in the confined space -'- --. _- a� =i: :4f.; No work activity in the space is allowed which might re-introduce atmospheric or electrical"hazards. 4.Can the PRCS now be reclassified to a non-PRCS? o,`Yes - Certified by: Brett Vignali - Date: December 6th, 2007 - Go to step 6 r No - Go to step 5 S.Ventilate the space for 15 minutes and repeat steps 1-4. ' 6. The non-PRCS may now be entered to perform general work. No work activity in the space is allowed which might re-introduce atmospheric or electrical hazards. Ld "`� CP Test Emergency _ Remote Temp Wel l (`A Anode ca E a in#�tiEiaf a T SITE °�--" 0 Station ^atop Dry Brake Instal! d \.;. 4.JM CO L:LC DIAGRAM Remote f�4 ATG Drop Tank Exttactor Ntir manwaq Fin . Vent Date: 2007.-12-06 c e Circuidi' � Dry Brake Fin ;� Monitor Riser � will Break4r Work Order#: 194009 Sta e9 W 1 Conpinmar►t � Cplurtction ��T�,��', Fixed a a 9 , S Station SK230 1�J BO,x cmrFill cac aver { ReL Celf *•••• Exbactor '�.,,.- Sump STP STP STP e c a a - 5 r t ,y_ DISP A g DISP DISP i • Crompco, LLC Oyster Harbor Marine Inc. 122 Bridge Street Customer Copy 1815,�Gallagher Road Phone: (610) 278-7203 Osterville, MA 02655 Site #SK230 / WO #194009 Plymouth Meeting, PA 19462 FAX: 610-278-7621 December 6th, 2007 Site Diagram Labels 1: Tank - DSL 003 4k 2: Tank - Plus 002 4k 3: Tank - Plus 001 4k 4: Dispenser - Gas 5: Dispenser - Gas 6: Dispenser - Gas 7: Block - Dock Kiosk 8: Dispenser - DSL •` ...„ , .-tali« - . .'.4wc-.� ..x„�.<, s .a .t..y -q..r!'.et"#'..j x; •�, -:i,, yk .. ,-z ,t. , _..> -,sew-..:r-mow, �. �T ,�_ w ..-_ �. s r - a pI y� qp� i, �'> � A�� 'L^�`.+ +a;�.k� #� ` ��.. da: �+�,•.�.;_�,.......»..,o.....°.s,, ....r.�. _ .,... arm"C.A i°r+,srm' O _ pta , pp 1 gy L to vxml AM ' L77'Nlflf�'d i+�k�,i 1:':43t�',�,.i� Yr. �` �.. � .•�T?6 ��$+1�.,�r�'(R'�',,a'�$' �S.''4�.�a+, �:3;iT�'1P:i't:.�....._...,.....�...............::.. ....., y� _ r QY'x 77 �:.�.: �. - �. �+�s emn�;a exayle�a.�-■i's�casna .+?5s s«aai��#.},ife�Da*i��•.. - � _ - oz:�+are�mt :»�saa e g �e ».c _ - �. ��...-..----.. ..�� ... s�'+r.'�+'� •+"` s s.�- x'� ,�. a, ,�&�.�`3'� a '"� � � g �",-?°�+ 'Y 'TAT z - � � .�:. � ar.,� ��"* �'��C r^� �� >u. K> �eY` _� � �t '`' ""�' ..� <d.+:=a• �+�+t a'smmia �)��._�..� �r'�" t m� 3�au�'�^"��a.: z-. A� - ' S tax't�e,ad-a+.e.+� e�asawsiF,A-.�rr4wa� t.a�4+Wek i�e?#�an@P: wr- a..t:vad' ' c�z s , a r C ROM PCO, LLC TEST RESULTS Marston Mills Fire Dept 1875 Falmouth Road Centerville, MA 02632 Test Results Dear Enclosed are copies of the test results performed by Crompco at the station listed below. On behalf of our customer, these results are being submitted to you in accordance with the Commonwealth of Massachusetts Fire Prevention Regulations. Copies of the test results were also sent to the facility t6°be retained at the station in case an inspection would occur by a state or local agency. Crompco Facility # Address Test+Date Work Order Test(s) Performed SK230 122 Bridge Street December 6th 2007 194009 Petro-tite Line Osterville, MA 02655 Leak Detector If you should have any questions regarding the tests enclosed, please contact Crompco at 1-800-646-3161. Sincerely, 0009.4 d Jennifer Foster Compliance Administrator cY. Main c(;mpl`eted forms with test results to: Charlotte Stiefel, Barnstable County Dept of Health &the Environment, Box 427, Barnstable, MA 02630 TIGHTNESS TEST SUMMARY REPORTING FORM FOR BARNSTABLE COUNTY Testing Company: Crompco Corporation Phone: 610-278-7203 Date of Test: 2007-12-06 Site Name: Oyster Harbor Marine Inc. #SK230 Location: 122 Bridge Street, Osterville, MA Site Phone: 5083679999 Name of Contact person at site: Ene Product Result Origin Separate Tank Test Method . Line Test Pump Leak Leak Detect Operational (Tank #) Test Name PSI Type Rate Y/N or N/A 3 3 Y Petro-rite 50.00 P 0.00100 Pass Y Comments I; Brett Vignali, certify that the above information is true and correct, and that these tests were carried out according;to the testing equipment manufacturers' guidelines. Signature U , Date!.. TOWN OF BARNSTABLE. LOCATION I a O pG r % SEWAGE# ,qo 13 - p S 5' VILLAGE `— / ��Iry l� �e ASSESSOR'S MAP&PARCEL pp j INSTALLER'S NAME&PHONE NO. �Q C SEPTIC TANK CAPACITY ",!5- QGg�i,�/� LEACHING FACILITY:(type) Floe,) ,FFyJc2y (j L (size) S,, S,F NO. OF BEDROOMS S OWNER �VAyTt C c.6S /y,.}2/,Ufj '-� bim OC H PERMIT DATE: - ( -(3 mCOMPLIANCE DATE: a o i3 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Edge of Wetland and LeachingFeet Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY o k,a C3 eo 95 v�� CENTERVILLE•-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT 4875 ROUTE 28 CENTERVILLE, MA 02632 (508)750-2380/FAX#(508)790-2385 I 1 OIL/HAZARDOUS MATERIAL RELEASE FORM 1 I F.A.# c L LOCATION: `2-f ADDRESS OF RELEASE: . # 1 � 1 I! DATE OF RELEASE: �iS ( (? PRODUCT RELEASED:— �.� II ESTIMATED QUANTITY: CORRECTIVE ACTION TAKEIN BY RESPONSIBLE PARTY: f f _.,....__ ..�.�..._,. ._....___.. ..�e.....,�_.�..., . i NOTIFICATIONS: FIRE.DEPARTMENT: YES( NO( ) DATE: TIME: NATIONAL RESPONSE CENTER YES( ) NO( } D TE: - TIME: DEPT. OF ENVIRONMENTAL PROTECTION YES(( } NO(k�,4' DAT : TI E: ' OIL SPILL COORDINATOR: YES( )�IO(> DATE: TIME: TOWN BOARD OF HEALTH: YES(a NO(jr DATE "" J TIM TOWN HARBORMASTER: YES(VrNO( } DATE: $k I f-h-TIM , OTHER AGENCIES: COMMENTS: c 4e 0 rn 1- 1A `If`I,.---�-47 f j 1 j �j REPORTED BY:. DATE: .. .._.. i i i I WHITE COPY-FIRE DEPARTMENT YELLOW COPY-D.E.P. PINK COPY-BOARD OF HEALTH 'l 4 C-O-MM FORM#58 f r ' I 1 i f r -s El S f$� 4 NtECYACTIONAVACUATION) and ClVT1`NCENY PLAN/DRAWINGS 'Y N. 1 .. ok µ h oyt --RAi;t, RBO R'S MARINE INC. f y vr OsterHarbors Marine Inc. k 122 "Bridge ,St'reet r 4 Osterville;' 'MA 02655 508-4'28 2017 V .T� F , arm SIC "�5: a Code 493LI a y'-.�� •" :5 `�e r ,n, `EPA �ID#. MAD-981208623 � d S pp�� '*";a^s d i f�`p,,4' t 2�p,R�-N��f n t'' ��w;�"s v i`: �' !M`s�� ,�•Y°'YXt` g`ar -.�+ }, -t:� ��,e°. 1 :a�...a.%=•sa:tew. :ezfl�ra.��.+�..�Siti ;s.m�: .2x.'�. '.�.;'::..°<u' e.ii.':�.:+-.m. .. a -.,» .ae.,.u.. �` .. _._ .. i Table of Contents Page Number Table of Contents Facility Description 1 Site Description 1 Emergency Coordinator 1 Hours of Operation 1 Heat 1 Potentially Hazardous Materials 2 Fire Protection 2 Training 2 Emergency Response 2 Procedure 3 Purpose 3 Planning/Training 3 Chain of Command 4 Communication 4 Evacuation 4 Site Security . 5 Emergency Shut Down Procedures 6 Medical Treatment 6 Response Material 6 Decontamination 6 Post Evaluation 7 Attachments List of Attachments Attachment 1. Site Plans Attachment 2. Product Description Attachment 3. Emergency Response Telephone Numbers Attachment 4. Emergency Notification Procedures Attachment 5. Personal Protective Equipment ii 4 1, Oyster Harbors Marine Inca 122 Bridge Street Osterville, MA 02655 508-428-2017 FACILITY DESCRIPTION Oyster Harbors Marine is engaged in mooring, hauling, storing, and.repairing boats. In connection with this activity quantities of motor oil, waste oil, paint, solvents and flammable gases are used and stored on site. In addition, there is fuel in the tanks of the.boats being moored. A list of these materials and others used and stored on site can be found in the front of the Material Safety Data Sheet Books located in the Marine Store. A layout of the facility is provided in Attachment 1 which includes the location of personnel work areas, communications equipment, hazardous material storage, storm drains,.emergency exits and emergency response equipment. This drawing should be used as a prime source of information for this Emergency Action/Contingency Plan. Emergency Coordinators: The Emergency Coordinator for Oyster Harbors Marine is: Matt Carstensen r: Off Hours Telephone: 508-428-1 8497; Cell: 508-367-9999 The Alternate emergency coordinator is: Craig Curtis Off Hours Telephone: 508-420-0I70 In the event of an incident: The public or private emergency support organizations listed in Attachment 3 will be contacted by the emergency coordinator. Hours of Operation: Monday - Friday from: 8:00 AM to: 4:30 PM No.•of Employees A�r 5O } Saturday from: 8:00 AM to: 1:00 PM No. of Employees 20 Sunday from: 8:00 AM to: 4:00 PM No. of Employees 4 (gasdock) Heat: Overhead natural gas Storage Room #2, Outboard Shop #2, Carpentry Shop, Receiving, ` Service .Bay #1 Forced hot air by natural gas Sevice Bay 41, Service Bay #2- Forced hot air by oil Clean and Detail Bay 1 r y. Underground Storage Tanks: p" Gasoline two (2) @ 4,000 gallons Diesel Fuel one (1) @ 4,000,gallons Above Ground Storage, located as shown on Attachment 1, consists of the following: Fuel Oil (heating) one (1) @ 200 gallons Waste Oil one (1) @ 250 gallons Diesel one (1) 150 gallons Solvent three (3) @ 30.gallons (Parts Washer) Propane twelve (12)@ 20 lbs. stored next to Outboard Shop. Oxygen one (1) Cylinder on cart in Outboard Shop. Acetylene one .(1) Cylinder on cart in Outboard Shop: Natural Gas Piped in for heat. Gasoline In tanks of vessels being stored. Paint & Thinners less than 50 gallons in quart and gallon cans stored in cabinets. Battery Storage Fire Protection: Fire extinguishers are located throughout the facility. Building4 are equipped with .a sprinkler system. The alarm sounds locally and at the alarm company who will contact the Fire Department by telephone. The alarm company is: Associated Alarm System ( 5 0 8-7 7 1 -0 1 10 'F r- Training: I�ob 3y IM The emergency coordinators shall be trained to HAZWOPER Training Level 3. Designated employees shall be trained to respond to spills. All employees have been.trained in the use of fire fighting equipment. All employees receive training on special or occasional job tasks. All employees receive: Worker Right-To-Know Training HAZWOPER Training Level 1 Refresher training is conducted on an.annual basis. Emergency Response: Emergency.telephone numbers are to be posted at each telephone., These numbers, which are provided in Attachment 3, include: Fire Department; Ambulance; Local Police; State Police; Hospital; Spill Control and; Emergency Coordinators 2 Oyster Harbors Marine Inca 122 Bridge Street Osterville, MA 02655 508-428-2017 4 PROCEDURE PURPOSE To provide an effective work place safety and health program. To prevent and to minimize hazards to employees, public health, safety and the environment from fires, explosions, spills or any other unplanned sudden or non-sudden release of a hazardous material to air, soil, surface or ground water. This plan shall be carried out immediately whenever public health, safety or the environment is at risk. PLANNING/TRAINING A. The effectiveness of a response during an emergency depends on the amount of . planning and training performed in advance. All employees are to be informed of their responsibilities under this plan as follows: - When the plan is developed. ;a When the employees' responsibilities or designated actions under the plan change, - Whenever the plan is changed. Annually in conjunction with Right-To-Know Training. B. The actions that shall be taken in the event of an emergency are outlined below. See Attachment 4 for a flow chart of the Emergency Response Plan. - Verbal notification will be given to the emergency coordinator or his alternate either personally or by telephone using the numbers provided above. - The emergency coordinator will evaluate the situation and initiate appropriate action(s) as outlined below: * Notification of Response Team * Notification of on site personnel * Determination of Personal Protective Equipment (PPE) required. (See Attachment 5) * Direction of trained personnel to respond to the emergency * Evacuation of all personnel not involved in emergency response * Securing of ignition sources such as heating systems and automatic equipment Notification of outside agencies listed on Attachment 3 * Notification of private contractors to assist in remediation 3 CHAIN OF COMMAND A. In the event of an emergency, personnel must know exactly who is in charge, as well as the proper authorities to be notified. The Emergency Coordinator or his alternates is on call 24 hours a day, seven days a . week. The Emergency Coordinator for Oyster Harbors Marine is: Matt Carstensen Off,Hours Telephone: 508-428-8497; : 508-367-9999 The Alternate emergency coordinator is: Craig Curtis Off Hours Telephone: 508-420-0170 B. These personnel are on call and available to respond in an emergency. As required, one of them must be able'to reach the facility. within one hour. COMMUNICATIONS .� A. All communications will be routed through the emergency coordinator or his designated representative. B. Emergency communications equipment, such as the telephone and public address system shall be utilized for notifying employees of an emergency and for contacting local authorities. C. Arrangements shall be made to familiarize police and:fire departments with: - The layout of the facility (See Attachment 1). - Properties of the hazardous,materials (See Attachment 2 and Material Safety Data Sheets). - Places where facility personnel would normally be working. - Entrances to the facility and possible evacuation routes (See Attachment 1). . EVACUATION A. In the event of a fire or other emergency; employees are to leave by the exit nearest their work area in an orderly fashion.. They are to assemble in the yacht club parking lot across the street. Once the evacuation is completed, a head count of all employees will be taken by the emergency coordinator or his alternate. B. In the event of an uncontrolled release of a gas at the facility; 1 . Employees are to exit and assemble as described above. Based upon the Emergency Coordinators assessment it may be necessary to relocate personnel to a position 300 feet Ito 1/4 mile up wind. Once the evacuation is completed a head count of employees will be taken by the Emergency Coordinator or his alternate. 2 . Evacuation of surrounding areas, if one.cessary, will be by the Fire Department. r 4 r i C. In the event of a tornado: 1 . The formation and approach of a tornado is rapid and unpredictable. The lead time on a warning is, therefore, limited. The Emergency Coordinator will cause the warning to be announced as soon as it comes to his attention. Personnel will seek shelter inside of the buildings. 2. If a building is struck, personnel should evacuate as soon as the storm has passed and assemble in the yacht club parking lot across the street. Once the evacuation described above is completed,'a head count of all employees will betaken the Emergency Coordinator or his alternate. D. In the event of flood or other severe weather: The Emergency Coordinator will monitor weather reports. When a warning is issued, he shall pass the word to employees to seek shelter. E. In the event of a bomb threat: 1 ._ If the facility receives a bomb threat, the threat shall be considered real. 2 . The person receiving the threat should try to remain calm and try to gain as much information about the threat as possible: * Callers identity - sex, age, etc. * Voice characteristics -.tone, impediments, accent, etc. * Manner calm, angry, emotional, etc. * Background noises - street noise, aircraft, animals, quiet, etc. * Bomb facts - type, size, location, time of detonation, etc. 3 . At the conclusion of the conversation, the person receiving a telephone threat should try to use the *69 feature of the telephone to trace the source of the call. 4 . The Emergency Coordinator will be notified immediately. He will in turn relay the information to the emergency responders listed in Attachment 3. 5 . Employees will be notified and instructed not to touch or move any unusual packages, boxes, brief cases or other containers. Employees are to leave by the exit nearest to their work area in an orderly fashion and assemble in the yacht club parking lot across the street. Once the evacuation is completed a head count of all employees will be taken by the Emergency Coordinator or his alternate. Based upon the Emergency Coordinators assessment it may be necessary to relocate personnel to a position 300 feet to 1/4 mile up wind of the pier. F. The drawing'provided in Attachment 1 shows locations where personnel may be working; exit and entry routes; telephones and communications equipment; fire extinguishers; the main electrical panel; water faucets; paint, flammable and hazardous waste storage areas;and emergency response and clean up equipment (e.g. shovels, boots, booms, pads, speedi-dri). SITE SECURITY It may be necessary during an emergency to secure the area to prevent access of unauthorized personnel and to protect vital records and equipment. If an off-limits area must be established the site may be cordoned off with temporary barriers and warning tape. The emergency coordinator will notify local law enforcement to help secure the area if required. 5 EMERGENCY SHUT DOWN PROCEDURES A. Activate the warning system and the emergency plan. If the situation is imminent, notify the appropriate responders, (see Attachments 3 and 4). B. If the emergency involve the release of a flammable' liquid or gas leak, the Emergency Coordinator must initiate the following actions. * Shut off electrical service at the main electrical panels, located: By the back door of the receiving area as shown in Attachment 1. * Shut off heating units including: -Clean & Detail Bay oil burner on unit & in next room by door to Service Bay #1 -Matt's Office gas burner on unit and in Break Room. _ n -as shown in Attachment 1. MEDICAL TREATMENT Medical duties, other than minor first aid, will be performed,by the Emergency Response Personnel from the Medical Facility listed in Attachment 3. During extreme emergencies, Company Policy is to move victims to safety, if necessary, and provide assistance and assessment of a medical emergency while awaiting the arrival of professional responders. RESPONSE MATERIALS A. Response materials, including those listed below, are to be maintained in the Main Shop, as shown in the plan provided in Attachment 1. - Disposable Bags - Speedi-dri - Recovery Drum - Boots - Broom and Dust Pan - Tyvek Suits - Temporary Barriers and Warning Tape Splash Goggles - Fire Extinguishers (CO2) - Neoprene Gloves Mop and Pail - Shovels (non-sparking) Plastic Sheets - Sausage Oil Boom Oil Absorbent Pads B. See Attachment 5 regarding Personal Protective Equipment (PPE). DECONTAMINATION A. Decontamination procedures may need to be implemented before personnel are allowed out of the area to avoid spread of the spilled material. To accomplish this, a separate area should be set up adjacent to the spill area. Decontamination procedures involve the physical removal and/or neutralization of harmful contaminants. The extent of decontamination necessarily depends on the type of hazard and the quantities of the contaminant. 6 • f B. Basic decontamination should primarily consist of washing and rinsing with soap and water to remove contaminants from the exterior of protective gear. This is followed by doffing the gear (see Attachment 5). Coveralls and gloves shall be removed by turning the clothing inside out. Most protective gear such as boots and gloves can be cleaned and reused. Other equipment, such as Tyvek suits, are disposable. Disposal of contaminated protective equipment is to be in accordance with statutes governing disposal of contaminated solid waste. The complexity of decontamination will vary with the size of the release and the toxicity of the material being dealt with. Large operations involving very toxic material may require additional steps. C. Equipment for decontamination of PPE and clothing should include the following: Drop cloths or plastic tarps - Collection containers such as drums or lined trash cans - Children's wading pool to hold wash and rinse solutions - Long handled, soft bristled brushes - Hand pumps or pistol grip bottles for washing and rinsing - Paper or cloth towels for drying equipment POST EVALUATION A. A post incident evaluation shall be accomplished to document the cause of the emergency, the response and to evaluate methods to prevent recurrence and improve future response. All personnel who were involved in the incident should be interviewed either separately or in a meeting set up for this purpose. The questions that should be discussed are as follows: 1 . What actually happened? 2. How was it reported? 3. Was the product involved properly identified and clearly understood? 4. What was the timeliness of the response? How soon did help arrive? 5. Was it properly coordinated? 6. Was the Chain of Command followed properly? 7. Were the roles of EMS, FIRE, and POLICE appropriate? 8. If private contractors were involved, how did they work? 9. Was evacuation, if any, conducted in an orderly fashion? 10. Was the media involved? Was there a single point of contact? 11. Was the ALL CLEAR communicated? 12, Was waste disposal effective? 13. Was the spill reported on time? B. As each of the questions stated above is addressed, have the individual or group consider the following: What did we do'right? Review the positive aspects of the incident. What did we do.wrong? Try to find=out what caused the problem without placing blame.. - What would"wef do differently? Try to learn from the incident so that another occurrence can be prevented or a future response improved. 7 I List of Attachments Attachment I Site Plan Attachment 2 Product Description Attachment 3 Emergency Response Telephone Numbers Attachment 4 Emergency Response Flow Chart Attachment 5 Personal Protective Equipment LL SITE PLANS y . Attachment 1 N, u 4 0 ..ra Fitlst.4wD:R4 0 `` l ag 15.00 K 5• - � �°� Wed Apr 1914:00�2000 Y. Oyster Harbors Marine, nc. Scale 1:15,625(at center) 100� o Feet r rl-• F y S.x L> .r i_f"? t +Y�+YC�� 'SN..YS^ b`A (j t•I�a..,._,_ E _. "� {,`v/ _ `, Q . v 500 Meters ,e+r 11�Or!lF7\ �,4r}* p s xA. ."r '�, w..;,,,� / :C ?• ( -_ r�'C�`�yay'fg�� V. 5VL +:.1 h,,-Pond x�y _�,1� LARD z a C:fix. aqr"# "OR r i 7r ' uxa art i ZtStWi s Island Y W qb, 4 �' Local Road '1 Gfr.5r VA,x," 8" a At", s. i A } Y.i"�y rF ' 11 �'tY 1 r, 9w�z �� Trail 7r� Pblrrt ISaberll8M"'',',1s �f " s`�.S°xV}'ysT e"ttk ,��-✓a .>'$ y. - Jj 2 0� r,Y ,S. r ® 4Y ,r'1 1r r vie t"h '..r r 5t RING Small TOVVn x n �tD —c' c r: s ( " "� s•� ,SE. ? °'"`>}AY r a ufir 1 ° 1 ® Geographic Feature ..u,€ >�+CEr/�fC'3„x>`�brr tri a`>1 f{Sitty�'S�'ut r 5u" ��s5`S r kr. U 5� +. r"+.`. `S R,��? t..yey..n F > rya y' C,c' "n,a.kn �-•- -.. '.`.'�7� 0.gten/illP. �� c raE"r. >✓• �fr y�1w�."r°7'tl'.tJ,i��.�xl.y:/1aY dzaf9?'. ?i^xay5�'-cca U�:e+k,ag4�k �y; -.,..'�.,. . r..._.,.�•..-='� } £ ,..r- Locale Cemetery - '..7}.'>'>x Lake . _ Land `� 11N+ u k t 'kS r„ �,, yw,,,...•.' -Iya7'.fi /Jfx 'ry, O 'SQ t x cRrat► RD �r z X > t � � °+ Water zr Woodland 14 as i ;.- �•"�. -d y�i'• Y a t '�/�l 't�.. ! .•r`rA•r �a. {,; m >` { �+y�i "'- � k�J'� '.�+, ��r� /,Z•Z r,� .�i- �Y r,,t �:S �'k-} 5 - . a y j J41 All 7 : i }v`I r 'a �' 'u' ,ram ✓'j' i,. (ds" V. S /' .f iZ"':; Zff ��F)r.... { C Z `ura - y,Yrk 4 't - d C�ry mom \a"_.,55 9 �•YN:'k�"u�,4 ra ,� 5 'x': 5 j f ky :i. iu` 4•h.r - Q:4 1 Sy J 9 J 7 V! zS#s a�3 uz*f lYeckPoncfip ,a > .'ram �J .,5 4. •. ak ' •v P C r +g 4.M ��Y. ; � �' Y�}CgX�'�K�'� o>,�.�}cc Sya.^>,'1�,f+�M �r �a'`a M�t�S �,c'" yn, � s��,z /t ,._ y t •^ �,�`3 +hs g fa � '�� c �PVW 'y�-?:l +js-Cr s, S ,ri v7" r�ry � Sr �r✓>�y'�' ..t . kN '�2+ t �.."}�'S yt�-/c,.3,,.. �W�.Yt sit�..y t i. slk S t r 6 csPf h r jt iKa - i :�Wy at�`^r�?'r 4 t'°'P6. i ��,k E M'+r *x y",rr•,�`c'.c !c• "t� U� .` Ja.A ,a ,a �1 _ 1 lanrl0 v '!3�`°�`' Ali. �r-ytp� .� "� yn .S t .:{ �9'NJ t� . r' S rsr�',+< Yt'.�'S Sr r� ._' u ^'t. r u ;. i o ` 54J x ianno Head {`5t1 € a $.l rJ r a'' ( nr5a LarstZ s6{ �jCC tlf. "' .ran-sy^'.ys ,V•r a ,.1 }'Ap� C3 `:w�Sr3"c p .,�. t�E �,� �, \ �� fi' ✓°„y s^G :n�,4a •,� yt}lda ,m: U ri{J x.. �� 'kx M�a�� .� N�t� � � e � `.S r"r✓'r �k� ,`Yr,�'�`...��i:. �1.h3� �'`,c� . .. a .: -:... i} h a lX r.:t �_..-••'. :},.,-'u�-^ g� �} �ti--} � 4 r r i..� �' �1999 vei.orine. Streat�Atlus USA OYSTER HARBORS MARINE 122 Bridge Street Osterville, Ma 02655 — Legend I i i Docks ' N Stairs ' co 0 m N G1 Y - v N � Gravel Stora e N Pavement . Outboard 1 shop zi Evacuation Location To Street 3 �C c O S m a� Clean & Stock Room Parts Dept s Service Ba Detail Bay p y U I. O`\ 0 ,►; Clean & 1 1 i 14 1 6 +• ...... Service Gas Pump —--T-- l-- -----�-- �`..•. •.•'•'•..•.• .•.• Show Room4 = YQ. :i10:•: -- �, Concrete LL Ramp; �— DISCHARGE -_=-- - Carpentary POINT - Shop --- Gas Pump West Bay , , ti — Diesel Pump Gas Pump P Attachme nt 1 B Overfsead ras - Storage Room # 2 N r , oPropane aesUMn oem o Storage Storage W Pesbwn N fJ! fY m Outboard Shop #26 Ovad*M Gas r r • � Location % 00 14 c i 0 3 00 M / 0 4 / d Gas Pump 00 - S;t:Yi= t tt!•t i t i i t - L n e e 9 d OystersHarbors Marine Inc. Har n . -f Eye Wash 122 Bridge Street (� Fire Extinguisher Osterville, MA 02655 Attachment 1 C I FIRST FLOOR BOAT . ENCHANCS SAY 2 SHOP opplcE mme oawca lown WMT BOAT IlllollK �K ' MAY fir' LOowl Lummi slow .. FIRE CONNECTION - r • • • • r r _ ANNUNCIATOR caner s Mo► a�+cx�o PARTS DISCONNECT FOR GAS METER SOLAR.PANELS. SECOND FLOOR 87GRA N OPEN TO @10LOw o"wE OPEN Ate,► Ofvl E GOMM OFFICE . poor , ►w F OPEN TO '�',� MLow ° ROOM STORE Of'` o o�cE o�cE 9TORAOE W,� w 0 ELECTRON= SPRINKLER Nor ELECT. =CTRL BOILER ELEVATOR RM RM MACHINE EUECTRONIM ROOM STORAGE ' FIRE AL�►RM CANTRAL PiANFL MEZZANINE O"W TO maLm ap"Of/ WOONE Opm TO BOLM I r _ i7O"Ga . ,, .�� .. �_� .�. _ . . � � N . .. _ � , ;�' � � . _ � _ u� - � � -- � ._ , -�----�-- -- } ., 8.0 � ' � f� � �; 4 ��o t 4 B ? j 1 :�r � Z��' �a�� e �� v 4•". � � �, � - ,�l�yti`Z Ti '''I -- - -_-.--------- �...P-- � a„ ,� � � fi � � a--� N � $ � y; s PRODUCT DESCRIPTION Attachment 2 F: b Hazardous Materials Product: Acetones Appearance/Odor: Colorless liquid, fragrant pungent odor. Health Hazards: Causes eye irritation and injury if not removed promptly. Skin irritation with prolonged contact. High vapor concentrations are irritating to the eyes and respiratory system. May cause headache, dizziness and have other central nervous system effects. Fire/Explosion Extremely flammable! Liquid is volatile, gives off invisible vapors which may settle in low areas or travel along ground/floor to ignition sources where they may ignite or explode. Containers may rupture due to heat or fire, cool with water spray. Vapor explosion hazard indoors outdoors and in sewers. Spill Response Shut.off ignition sources. Provide ventilation with explosion proof equipment. Stop leak, if possible without risk. Take up with sand or other non combustible absorbent and place into containers for later disposal PPE to be worn: Gloves, chemical type safety goggles. Protective coveralls. Use respirator with approved cartridges for organic vapors. SCBA or supplied air when making confined space entries. Product: Acetylene 5•,. Appearance/Odor: Colorless gas, garlic like odor. Health-Hazards: Asphyxiant, moderate concentrations may cause headache, _ drowsiness, dizziness, nausea, vomiting, excess salivation, unconsciousness. Vapor may cause eye irritation. Fire/Explosion: Extremely flammable! Forms explosive mixture with air. Evacuate all personnel. Containers may rupture due to heat or fire. Cool containers with water spray. DO NOT EXTINGUISH FLAME due to possible explosive reignition. Stop leak,'if possible without risk or allow fire to burn out. Reactive, contact with copper, silver, mercury or their alloys as well as halogens can cause explosion. Spill Response• Shut off ignition sources. . Provide ventilation with explosion proof equipment. Stop leak, if possible without risk. Flammable vapors may spread from leak. Explosive atmosphere may linger. Before entering area, especially a confined space, check for Oxygen and explosive atmosphere with a meter. PPE to be worn: Remove all ignition sources. Check atmosphere before entering area. Use self contained breathing apparatus where needed. Additional information.on these products can be found on MSDSs located in the office. Attachment 2 1 of 4 n: Product: Diesel Fuel or Fuel Oil #2 Appearance/Odor: Clear bright liquid with a mild petroleum odor. Health Hazards: Lung irritant, can cause headaches, dizziness, nausea, vomiting and loss of coordination. Fire/Explosion: Class III A Combustible Liquid (OSHA) Spill Response: Shut off ignition sources. Provide ventilation with explosion proof equipment. Stop leak, if possible without risk_ Take up with sand or other non combustible absorbent and place into containers for later disposal. PPE to be worn: Gloves, chemical type safety goggles. Protective coveralls. Use respirator with approved cartridges for oil or mist. SCBA or supplied air when making confined space entries. Product: Gasoline (Unleaded) Appearance/Odor: Light straw color to clear. liquid with a hydrocarbon odor. Health Hazards: Slight to moderate eye and skin irritation, dizziness, irritation of eyes, nose and throat, vomiting, bluish color of the skin and effects central nervous system. Fire/Explosions: Class 1 B Flammable liquid. Spill Response: Shut off ignition sources. Provide ventilation with explosion proof equipment. Stop leak, if possible without risk. Take up with sand or other non combustible absorbent and place into containers for later disposal. PPE to be worn: Gloves, chemical type safety goggles. Protective coveralls. Use respirator with approved cartridges for oil or mist. SCBA or supplied air when making confined space entries. Product: Immersion Cleaner (mineral spirits) Appearance/Odor: Clear green liquid with characteristic hydrocarbon odor. Health Hazards_: Severe eye irritant. Inhalation can cause headache,dizziness and nausea. Contact can cause drying of skin. . Fire/Explosion: Combustible liquid. Reactive with strong oxidizing agents. Spill Response: Shut off ignition sources. Provide ventilation, Stop leak, if possible without risk. Take up with sand or other non combustible absorbent and place into containers for later disposal. PPE to be worn: Gloves, chemical type safety goggles. Protective coveralls. Use respirator with approved cartridges for oil or mist. SCBA or supplied air when above TLV or making confined space entries. { Attachment 2 r 2 of 4 Product: Motor Oil Appearance/Odor: Thick brown liquid with a hydrocarbon odor. Health Hazards:. Slight to moderate eye and skin irritation. Fire/Explosion: Combustible liquid. Spill Response: Stop leak, transfer product into another container. Take up with sand or other non combustible absorbent and place into containers for later disposal. PPE to be worn: Neoprene gloves, chemical.type safety goggles. Use respirator, with approved organic vapor cartridges. Product: Oxygen Appearance/Odor: Colorless odorless gas: Health Hazards: None. (See MSDS) Fire/Explosion: Vigorously accelerates combustion. Evacuate personnel from area. Cool containers with water spray. Reactive with flammable and combustible materials especially oils and greases. Spill Response: Stop leak, if possible without risk. Shut off ignition sources, remove flammable materials from area. Ventilate area or move container to well ventilated area.. PPE to be worn: Gloves, and proper shoes for handling cylinders. Product: Paint and Related Products Includes paint and thinners such as toluene, xylene and mineral spirits alone.or in solution with various coloring agents. Appearance/Odor: Various colored liquids with pungent odor.. Health Hazards: Causes eye irritation and injury if not removed promptly. Skin irritation with prolonged contact. High vapor concentrations are irritating to the eyes and respiratory system. May cause headache and dizziness and have. other central nervous system effects. Fire/Explosion: Flammable Liquid. Containers may rupture due to heat or fire. Cool containers with water spray. Vapor explosion hazard indoors outdoors and in sewers. Spill Response: Shut off ignition sources. . Provide ventilation with explosion proof equipment. Stop leak, if possible without risk. Take up with sand or other non combustible absorbent and place. into containers for later disposal PPE to be worn: Gloves, chemical type safety goggles. Protective coveralls. Use respirator with approved cartridges for organic vapors. SCBA when making confined space entries. and fire fighting. Attachment 2 3 of 4 a Product: Propane & Natural Gas Appearance/Odor: Colorless odorless gas. A foul smelling odorant is added. Health Hazards: Vapors may cause dizziness or suffocation. Contact will cause severe frostbite. Fire may produce irritating or poisonous gases. Fire/Explosion: Extremely flammable! Forms explosive mixture with air. Vapors may travel to a source of ignition and flash back. Evacuate all personnel. Containers may rupture due to heat or fire. Cool containers with water spray. DO NOT EXTINGUISH FLAME due to possible explosive reignition. Stop leak, if.possible without risk or allow fire to burn out. Spill Response: Shut off ignition sources. Stop leak, if possible without risk. Provide ventilation with explosion proof equipment. Isolate area and allow gas to dissipate. Flammable vapors may spread from leak. Explosive atmosphere may linger. Before entering area, especially a confined space, check for Oxygen level and explosive atmosphere with an approved meter. PPE to be worn: Remove all ignition sources. Check atmosphere before entering area. Wear gloves and protective clothing to prevent frostbite from contact with skin: Use self contained breathing apparatus where needed. Attachment 2 4 of 4 EMERGENCY RESPONSE TELEPHONE NUMBERS Attachment 3 EMERGENCY RESPONSE AND NOTIFICATION * ., Oyster Harbors' Marine Inc. 12 2 B re rid` ge St , e OsterWI MA; 02655 5``08 428`-20,17 r: V. <'r The,Emergency 'Coordinator: for Oyster' Harbora Marine Matt,t-Aestensen Off Hours Telephone 508" 428-8497 Cell: 508-367-9999 � The Alternate emergency coordinator is: Craig._Curtis .;,k Off Hours Telephone 508 420-01,70 . a � q € DEPSill Re ortn ( P P 9) 888=304=1133: Mass`State Police= 508-r398-2323. . LocaP�Police`r 9 11 1° _; Local:�ire De t :. P 911 Local Ambulance' 91 1 Medical Center' , Cape Cod Hospital. 5 0 8-7 71 -18 0 0 { 27 `Par'�. k Street Hyannis;,MA 02'601 NATIONALResponse Center`` 8 0-0-4 2 4-8 8 0 2 EPA ID MAD 981208523 r TRANSPORTERS r. Clean Harbors: r _ 8 6 ) 800-OI'L TANK (800-645= 2 5 or 781 8:49-1.800 Cyn Environmental,, 8 0 0 .8 9,9-10 38 Other ------------ . When repo.11in a'spill to DEP; the following information' must be. provided { A Location & time of-:release, B Mate r ah--released Amount released D. Impact of spill on catchbasins, homes,.water bodies, etc. E. Act►ons taken by FD, DP.W (contained with apeedi-dri or sand; evacuated builtling, etc) F. Name of Responsible Party, address; & telephone number Attachment 3 EMERGENCY RESPONSE FLOW CHART ED . Att ach me nt 4.. EMERGENCY RESPONSE FLOW CHART Notice Received by Emergency Coordinator ._� Size-Up Situation Notify Outside Notify On-Site Notify Clean-Up Z Agencies Personnel ' Contractors O t= a a Direct . a Personnel to aRespond Assess Assess Casualties Hazards W Stabilize N Victims Z O Remove Decontaminate. n' Victims Victims Evacuate W Evacuate . Residents Contain Extinguish Employees Hazard Hazard Transport/Treat Victims IL 3 Clean-Up, Replace Damaged Equipment , O J. J O Post Evaluation & U. Documentation Attachment 4A u NOTIFICATION PRIORITIES Incident Reporting Source Police, Fire, Emergency Coordinator Ambulance Or Alternate Employees 911 ENat0ional Response DEP Emergency enter 24 hr Spill Reporting Response 24-8802 888-304-1133 Contractors Note: Telephone numbers for emergency _response and notification are provided in Attachment 3. Attachment 48 ,y Personal Protective .Equipment Attachment 5 GUIDE TO PERSONAL PROTECTIVE O ECTIVE EQUIPMENT INSPECTION CHECK LIST Selection: Be sure you are using the correct level of protection for the task to be done. Be sure you are using the correct materials_ for the task to be done. Consult MSDS and NIOSH.Guide. . Gloves: Before use, check for pinholes. Blow into glove and squeeze air into fingers. No air should escape. Clothing: Before use: Be sure that the material is correct for the job. Visually inspect for tears, defective seams, defective zippers, etc. Hold up to the light and check for pinholes. Look for cracks or other signs of deterioration Look for signs of chemical attack from any previous use. Verify`proper fit of wrists, ankles, and neck. If equipped with face.shield, check for fogginess, cracks or crazing. During use: Check for tears, puncture, seam or zipper failure. Check for signs of chemical-attack. t Attachment 5 Page 1 �f r GUIDE T O` PERSONAL PROTE CTIVE' E QUIPMENT - Donning Procedure 1. Inspect the clothing and respirator.equipment_before donning. 2. Adjust hard hat. 3. Standing or sitting, step into the legs of the suit.. `Be sure feet are placed properly,.then gather the suit around the waist: 4. Put on the chemical resistant boots and tape the leg cuff over the top of the boot. 5. Put on the respirator, if .required. Perform negative and positive pressure tests ion the respirator. 6. Put on inner gloves (surgical gloves). 7. Put sleeves of suit over your arms and pull:up over shoulders. 8. Put on hard hat,°if needed. 9. Raise hood over head and adjust to comfortable position. 10. Close up suit and adjust belts, arm and leg bands . 1 1 . Put on outer gloves. 12. Have assistant check all closures and observe the"wearer for,a period of time to be sure the wearer is comfortable and°equipment is functioning properly. Doffing. Procedure 1 Decontaminate outer clothing. 2. Remove outer clothing such as outer boots, boot covers, tape; etc. 3. Remove disposable clothing., Remove one arm at a time: - Avoid any contact between the outside of the suit and the wearers body. - Lay the-suit out-behind the wearer. Leave internal gloves on. 4. Have the wearer sit down and remove both legs from.the suit: 5. Remove internal gloves by rollingc inside -out. 6. Remove internal.clothing and wash thoroughly. Attachment 5 : 9 Pa :e 2 C• GUIDE TO PERSONAL PROTECTIVE EQUIPMENT Level of Equipment Protection Should be used when: Limiting criteria Protection Provided A RECOMMENDED: . The:highest avail- The chemical substance has been Fully-encapsulating suit Pressure-demand, full able level of respir- identified and requires the highest material must be compatible facepiece SCBA or atory, skin, and.eye level of protection for skin, eyes, with the substances involved, pressure-demand protection. and the respiratory system based supplied air respirator on either: . with escape SCBA. measured (or potential for) Fully-encapsulating, high concentration of chemical-resistant atmospheric vapors, gases suit. or particulates Inner chemical OR resistant gloves. Chemical-resistant site operations and work safety boots/shoes. - functions involving a high potential for splash, immer- Two-way radio sion, or exposure to unex- communications. pected vapors, gases or particulates of materials that OPTIONAL: are harmful to skin or capable of being absorbed through Cooling units. the intact skin. Coveralls. Long cotton underwear. Substances with a high degree of Hard hat. hazard to the skin are known or Disposable gloves and suspected to be present, and skin boot covers. contact is possible. Operations must be conducted in confined, poorly- ventilated areas until the absence of conditions requiring Level A protection is determined. Attachment 5 Page 3 s GUIDE TO PERSONAL PROTECTIVE EQUIPMENT Level of. ` Equipment Protection Should be used when: Limiting criteria Protection Provided B RECOMMENDED: The same level of The type and atmospheric concen- Use only when the vapor or Pressure-demand, full respiratory protec- itration of substances have been gases present are not sus- facepiece SCBA or pres- tion, but less skin identified and require a high level of pected of containing high sure-demand supplied protection than respiratory protection, but with less concentrations of chemicals air respirator with escape Level A. skin protection. This involves that are harmful to skin or SCBA. atmospheres: capable of being absorbed It is the minimum through the intact skin. Chemical-resistant clothing level recommend- with IDLH concentrations (overalls and long-sleeved ed for initial site of specific substances Use only when it is highly jacket; hooded, one- or entries until the that do not represent a unlikely that the work being two-piece chemical splash hazards have been severe skin hazard; done will generate either high suit; disposable chemical- further identified. concentrations of vapors, . resistant one-piece suit OR gases, or particulates or Inner and outer chemical splashes of material that will that do not meet the affect exposed skin. resistant gloves. criteria for use of air purifying respirators. Chemical-resistant safety boots/shoes. Atmosphere contains less than Hard hat. 19.5 percent oxygen. Presence of incompletely identified Two-way radio communi- vapors or gases is indicated by cations. direct-reading organic vapor detec- tion instrument, but vapors and OPTIONAL: gases are not suspected of con- taining high levels of chemicals Coveralls. harmful to skin or capable of being Disposable boot covers. absorbed through the intact skin. Face shield. Attachment 5 Long cotton underwear. Page 4 GUIDE TO PERSONAL PROTECTIVE EQUIPMENT Level of Equipment Protection Shoul d be used when: Limiting criteria Protection Provided C RECOMME NDED: The same level of The type atmospheric contamin- i - P Atmospheric concentration Full face piece,ece, air skin protection as ants, liquid splashes, or other of chemicals must not exceed purifying, canister- Level B, but a lower direct contact will not adversely IDLH level equipped res respirator. s. The atmosphere P level of respiratory P P 'affect any exposed skin. protection. Y P must contain at least 19.5 Chemical-re - percent oxygen. Chemical-resistant cloth Y9 The types of air contaminants ing (overalls and long- have been identified, concen- sleeved jacket; hooded, trations measured, and a one-or two-piece chemical canister is available that can splash suit; disposable remove the contaminant. :chemical-resistant one- piece suit. All criteria for the use of air- purifying respirators are met. Inner and outer chemical- -resistant gloves. Chemical-resistant safety boots/shoes. - ,Hard hat. Two-way radio communi- cations. OPTIONAL: Coveralls. Disposable boot covers. Face shield: Escape mask. Long cotton underwear. Attachment 5 Page 5 GUIDE TO PERSONAL PROTECTIVE EQUIPMENT Level of Equipment Protection Should be used when: Limiting criteria Protection Provided D RECOMMENDED: No respiratory pro The atmosphere contains no This level should not be worn Coveralls. tection. Minimal know hazard. in the Exclusion Zone. Safety boots/shoes. Work functions preclude splashes, The atmosphere must contain _ Safety glasses or immersion, or the.potential for at least 19.5 percent oxygen. chemical splash unexpected inhalation of or con- goggles. tact with hazardous levels of any chemicals. Hard hat. OPTIONAL: Gloves. Escape mask. Face shield. Based on EPA protective ensembles. Attachment 5 Page 6 TOWN OF BARNSTABLE ash Date: /0 TOXIC AND HAZARDOUS MATERIALS ON-SITE IVENTORY NAME OF BUSINESS: %/1A 4,oes BUSINESS LOCATION: �r'/�o-PrS , O lied %/. INVENTORY MAILING ADDRESS: f tt If TOTAL AMOUNT: L TELEPHONE NUMBER: fig' �211, " 7- 4E 4f�ans'3 CONTACT PERSON: yin EMERGENCY CONTACT TELEPHONE NUMBER: 5 ,34al-1112 MSDS ON SITE? TYPE OF BUSINESS: ?� f'l.�� ides INFORMATION/RECOMMENDATIONS: Fire District: d--" ' S ►, t�o�.�s W • if p " Waste ransportation: Last shipment of hazardous.waste: lD to& Name of Hauler• Destination- Waste Product: Licensed? es ) No NOTE: Under the provisions of Ch. 1tion 31, of the Genera 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 11-71 Antifreeze (for gasoline or coolant systems) Misc. Corrosive AIINEW --- USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants t�re" Motor Oils PesticidesY nddP C4U &s NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) d� 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 ,�►1 Asphalt & roofing tar PCB's 7 Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED Any other productsrwith "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, , v� 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 , _ 4.4 //din Ogt-ga (including bleach) -/5 aallAis Spot removers &cleaning fluids - A/!onr (dry cleaners) ae - 467 Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS f ' Pik obi r, Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS roo DBA: !Oyster Harbors Marine Fax: 1,508-4205398 Corp Name: Mailing Address _ Location: ,122 Bridge Street,Osterville Street: 122/182 Bridge St - - - mappar. City: lbsterville Contact: IMatthew Carstensen Dockmaster State: IMa Telephone: '508-428-2017 Zip: 026551 Emergency: 1508-367-9999 Person Interviewed: IMatt Carstensen Business Contact Letter Date: /1 Category: !Boats/Marinas_ I Inventory Site Visit Date: + 412_4Fi28tY4! /. Type: I _. [ Follow Up/Inspection Date: ( - -- }_ ��/ew 5 ❑� public water ❑ indoor floor drains ❑ outdoor surface drains license required l�fh I ❑ private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc ❑ currently licensed /�' ❑ town sewage ❑ indoor catch basin/drywell El outdoor catch basin/drywell expir - - - f�6 W on-site sewage ❑ indoor on-site syste ❑ outdoor onsite system date: L �- VAA 6(F j(( REMARKS: Waste oil picked up by Safety Kleen. MSDS on file.Health compliance:. Li U hazard chart up for employees. Flame storage cabinet used.Eye wash satisfactory ^ t v station throughout. Shouldn't leave epoxy hardner drain spout on Wk+0r_ expoxy resin counter. Close parts washer covers. ORDERS: Mark _ /71 /g(U_AV i � waste oil tank. 6/24/04 Onsite inventory. They owe for permit r I t/ fiscal years 03-04 and 04-05. 23 (2? e (Lft Vlkj;iCaw Iq /�6 ® a+Pam JCS; w oLP ® VAC. Poste CW S® z7—� Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ Zero Toxic Waste Materials ❑ gty°s>25 Ibs dry or 50 gals liquid but less than 111 gals ❑d gty"s 111 gals or more description: unit of measure " paint,varnishes,stains,dyes 375 gallons new lacquer thinner 132.5 gallons Misc.Poison 34 gallons automatic transmission fluid 6 gallons antifreeze(for gasoline or coolant systems) 252 gallons spot removers&cleaning fluids(dry cleaners) 1 gallons car waxes and polishes 72 gallons car wash detergents 13 gallons motor oil 640 gallons Misc.Corrosive 51 gallons other cleaning solvents 283 gallons disinfectants 31.5 gallons Misc.Combustible 1.5 gallons Ice Melt 3 gallons gear oil 41 gallons misc.petroleum products:grease,lubricants 90 gallons Sealant 68 gallons Misc. Flammable 127 gallons laundry soil&stain removers(including beach) 3 gallons waste oil 165 gallons gasoline 300 gallons waste antifreeze 250 gallons Waste solvent 30 gallons Used Gasolne 110 gallons degreasers for driveways and garages 4 gallons charcoal 1 1 Igaiions Waste Transporter: Safety Kleen _ Fire District: (COMM Last HW Shipment Date L Y _ Waste Hauler Ucensed: No I Town of Barnstable °Ft�E Towti Regulatory Services p• ©S Thomas F. Geiler,Director MAM. ` Public Health Division 9� 039. � '°lEn�►+°i 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 III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT ofsLec— NAME OF ESTABLISHMENTef ADDRESS OF ESTABLISHMENT TELEPHONE NUMBER S(, �/,n 2D O . SOLE OWNER: YES NO r IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 0 4-d�f- 7qO STATE OF INCORPORATIONj`� FULL NAME AND OME ADDRESS - F: 1 PRESIDENT _ \A � v f 0 Jc-2 Vl L PC! TREASURER CLERK - 4'7 r M `` �• SIGNATURE OFF(PLICAft RESTRICTIONS: HOME ADDRESS W J� �� HOME TELEPHONE# - Haz.doc/wp/q I� q53 q.a.2Po� i U -5 ap�#t&6 Co wuf To OIL✓ WASTE OIL ✓ OIL FILTERS ANTIFREEZE ✓ ✓WASTE ANITFREEZE GASOLINE WASTE GAs7 WASTE W/W FLUID ✓ ATF SOLVENT HYDRAULIC/ MISC. MISC. ,/ MISC. Vol MISC. BRAKE FLUID COMMBUSTIBLE FLAMMABLE CORROSIVE PETROLEUM (GEAR OIL/GREASE/ LUBRICANTS) / -70 3Dy FREON ACETYLENE CAR WASH✓ CAR WASH PAINTS/ WAX DETERGENTS THINNERS SEALANT CLEANING BATTERIES/✓ POISION/TOXIC CAULK/GROUT SOLVENTS BATTERY ACID FERTALIZERS DIESEL FUEL �W� . MSDS boo 3 t.l' MANIFESTS 101to (O't '0d OIL OIL OIL FILTERS ANTIFREEZE WASTE ANITFREEZE GASOLINE WASTE GAS WASTE W/W FLUID ATF SOLVENT HYDRAULIC MISC. MISC. MISC. MISC. FLUID COMMBUSTIBLE FLAMMABLE CORROSIVE PETROLEUM (GEAR OIL,/GREASE/ LUBRICANTS) 9 FREON ACETYLENE CAR WASH CAR WASH PAINTS/ WAX DETERGENTS THINNERS SEALANT CLEANING BATTERIES/ POISION/TOXIC CAULK/GROUT SOLVENTS BATTERY ACID FERTALIZERS DIESEL FUEL OIL FILTERS HYDRAULIC/ BRAKE FLUID 0 1�U, 0� �t.�,t� �� Cam► C i� P�� cr� pea, r I (o o; KA G%kv 3f�r (20gt� OIL WASTE OIL OIL FILTERS ANTIFREEZE _ WASTE ANITFREEZE oug) III u GASOtINV WASTE GAS WASTE W/W FLUID ATF SOLVENT �II HYDRAULIC MISC. MISC. MISC. MISC. FLUID COMMBUSTIBLE FLAMMABLE CORROSIVE PETROLEUM Jtt l xtl 11LI t �l 11 - r (GEAR OIL/GREASE/ LUBRICANTS) 1* FREON� ACETYLENE CAR WASH CAR WASH PAINTS/ ,Ba c�X.Sb Lb. WAX DETERGENTS THINNERS f a a ► ft " "A SEALANT CLEANING BATTERIES/ POISION/TOXIC CAULK/GROUT SOLVENTS BATTERY ACID N�uv FERTALIZERS DIESEL FUEL OIL FILTERS HYDRAULIC/ BRAKE FLUID f III r f OIL WASTE OIL OIL FILTERS ANTIFREEZE WASTE ANITFREEZE GASOLINE WASTE GAS WASTE W/W FLUID ATF SOLVENT HYDRAULIC MISC. MISC. MISC. MISC. FLUID CJ�Oj,MMBUSTIBLE FLAMMABLE CORROSIVE PETROLEUM (GEAR SE/ LUBRICANTS) FREON ACETYLENE CAR WASH CAR WASH PAINTS/ WAX DETERGENTS THINNERS ai C Q-)3 SEALANT CLEANING BATTERIES/ POISION/TOXIC CAULK/GROUT SOLVENTS BATTERY ACID FERTALIZERS DIESEL FUEL OIL FILTERS HYDRAULIC/ BRAKE FLUID A I 0 OIL WASTE OIL dIL FILTERS ANTIFREEZE WASTE 0 ''I' ANITFREEZE(@ GASOLINE WASTE GAS WASTE W/W FLUID ATF SOLVENT HYDRAULIC MISC. MISC. MISC. MISC. FLUID COMMBUSTIBLE FLAMMABLE CORROSIVE PETROLEUM (GEAR OIL/GREASE/ LUBRICANTS) FREON ACETYLENE CAR WASH CAR WASH PAINTS/ WAX DETERGENTS THINNERS SEALANT CLEANING BATTERIES/ POISION/TOXIC CAULK/GROUT SOLVENTS BATTERY ACID FERTALIZERS DIESEL FUEL OIL FILTERS HYDRAULIC/ �/�\ BRAKE FLUID M�u()P-y V �yhlGrO --- �C Cj Pac-fs C ec� r wl Ad Cf o sec( I rr::F o1,:n-- D s e OIL WASTE OIL OIL FILTERS ANTIFREEZE WASTE ANITFREEZE GASOLINE WASTE GAS WASTE W/W FLUID ATF SOLVENT HYDRAULIC MISC. MISC. MISC. MISC. FLUID COMMBUSTIBLE FLAMMABLE CORROSIVE PETROLEUM (GEAR OIL/GREASE/ LUBRICANTS) fk FREON ACETYLENE CAR WASH CAR WASH PAINTS/ WAX DETERGENTS THINNERS 5 r3 SEALANT CLEANING BATTERIES/ POISION/TOXIC CAULK/GROUT SOLVENTS BATTERY ACID ( FERTALIZERS DIESEL FUEL HYDRAULIC/ G[)&4 fie, BRAKE FLUID iS is W. 1�1�-t�h,�' is �►�-e� 475�J r - Q 3 beams r OIL WASTE OIL OIL FILTERS ANTIFREEZE WASTE ANITFREEZE GASOLINE WASTE GAS WASTE W/W FLUID ATF SOLVENT HYDRAULIC MISC. MISC. MISC. MISC. FLUID COMMBUSTIBLE FLAMMABLE CORROSIVE PETROLEUM (GEAR OIL/GREASE/ LUBRICANTS) �S 10 FREON ACETYLENE CAR WASH CAR WASH PAINTS/ WAX DETERGENTS THINNERS ol Oxq SEALANT CLEANING BATTERIES/ POISION/TOXIC CAULK/GROUT SOLVENTS BATTERY ACID FERTALIZERS DIESEL FUEL OIL FILTERS HYDRAULIC/ BRAKE FLUID OIL WASTE OIL OIL FILTERS ANTIFREEZE WASTE ANITFREEZE GASOLINE WASTE GAS WASTE W/W FLUID ATF SOLVENT HYDRAULIC MISC. MISC. MISC. MISC. FLUID COMMBUSTIBLE FLAMMABLE CORROSIVE PETROLEUM (GEAR OIL/GREASE/ LUBRICANTS) FREON ACETYLENE CAR WASH CAR WASH PAINTS/ WAX DETERGENTS THINNERS SEALANT CLEANING BATTERIES/ POISION/TOXIC CAULK/GROUT SOLVENTS BATTERY ACID v5 x aa FERTALIZERS DIESEL FUEL OIL FILTERS HYDRAULIC/ BRAKE FLUID /0/(40 OIL WASTE OIL OIL FILTERS ANTIFREEZE WASTE W ( ANITFREEZE GASOLINE WASTE GAS WASTE W/W FLUID ATF SOLVENT HYDRAULIC MISC. MISC. MISC. MISC. FLUID COMMBUSTIBLE FLAMMABLE CORROSIVE PETROLEUM r� (GEAR OIL/GREASE/ f I J LUBRICANTS) FREON ACETYLENE CAR WASH CAR WASH PAINTS/ WAX DETERGENTS THINNERS SEALANT CLEANING BATTERIES/ POISION/TOXIC CAULK/GROUT SOLVENTS BATTERY ACID FERTALIZERS DIESEL FUEL OIL FILTERS HYDRAULIC/ BRAKE FLUID ® A �, ��d ale of �-t _.. ry u OIL WASTE OIL OIL FILTERS ANTIFREEZE WASTE ANITFREEZE F GASOLINE WASTE, GAS WASTE W/W FLUID ATF SOLVENT HYDRAULIC MISC. MISC. MISC. MISC. FLUID COMMBUSTIBLE FLAMMABLE CORROSIVE PETROLEUM (GEAR OIL/GREASE/ LUBRICANTS) 1`IJ1 FREON ACETYLENE CAR WASH CAR WASH PAINTS/ WAX DETERGENTS THINNERS SEALANT CLEANING BATTERIES/ POISION/TOXIC CAULK/GROUT SOLVENTS BATTERY ACID FERTALIZERS DIESEL FUEL OIL FILTERS HYDRAULIC/ BRAKE FLUID ® •his 1. 1 t 1 Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ Zero Toxic Waste Materials ❑ gty's>25 Ibs dry or 50 gals liquid but less than 111 gals d❑ gty's 111 gals or more description: 4 unit of measure paint,vamishes,stains,dyes 250 gallons Misc.Poison 10 gallons antifreeze(for gasoline or coolant systems) 1179 gallons car waxes and polishes 14 gallons car wash detergents 2 gallons motor oil 302 gallons Misc.Corrosive 21 gallons other cleaning solvents 7 gallons Misc.Combustible 70 gallons misc.petroleum products:grease,lubricants 37 gallons Misc.Flammable 305 gallons waste oil 275 gallons gasoline 8000 gallons Waste solvent 45 gallons Used Gasolne 220 gallons degreasers for driveways and garages 7 gallons diesel fuel,kerosene,#2 heating oil 4000 gallons Batteries 158 gallons Windshield Wash 3 gallons refrigerants 20 gallons Herbicide 3 gallons Waste Paint 15 gallons Mercury(flourescent bulbs,TV tubes) 10 gallons Waste Transporter: Safety Kleen_ Fire District: POM Last HW Shipment Date: f 10/6/20051 Waste Hauler Ucensed: No, Y �yS A — r ... �..... �r a 5 s• - AmiZ i DEC 22 2005 e Y STORAGE AREA .—MATERIAL HAZARDOUS WASTE STORAGE �s WASTE OIL STORAGE AREA f�A e P 3 �a > I �: � , , - :. - _ .. . .. r - - -_ _ - _ . , ..._._ --._._ - i _: ,. r �-�r t _ -.. y Y' i '� �� ! • R `, Y ., ................. v • At- lb ` -� V AV jv AV DEC i Date: (, / 2-y/oy TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: BUSINESS LOCATION: , Z- 6�r.�a(a�st �`- - �� Ville INVENTORY MAILINGADDRESS: 0Z6' � TOTAL AMOUNT: TELEPHONE NUMBER: SO$— 20 i7 .3,08`'I.Sa�cla�ns CONTACT PERSON: e,-J C �— EMERGENCY CONTACT TELEPHONE NUMBER: d -- 36 7— 9IMSDS ON SITE? TYPE OF BUSINESS: �� INFORMATION/RECOMME'NDATIONS: 4�Fire District. 30 eau► 5. Waste Transportation: LA e5 Last shipment of hazardous.waste:(_ Name of Hauler. C&I#I I:i4y?+,Destination: Waste Product: J11j:6 ) _s 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 ZSZ.N EW 2�o U SJE D Cesspool cleaners AutcYatic transmis Ion fluid i t Disinfectants Engine and radiator flushes L Road Salts (Halite)I.ZG2,/ Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides 6910 NF W ��U ED (insecticides, herbicides, rodenticides) 300 Gasdffne Jet fue Wviation as Photochemicals Fixers 9 ( ) 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, SeQila+L*-) + - Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers z4 Misc. Combustible Car wash detergents Leather dyes ZLA Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's r 1 Paints, varnishes, stains, dyes Other chlorinated hydrocarbons,, Lacquer thinners _ _ (inc. carbon tetrachloride) (3 EW USED Any other products with "poison" labels �7 Paint &varnish removers, deglossers (including chloroform, formaldehyde, 12-7 Misc. Flammables / hydrochloric acid, other acids) Floor& furniture strippers V Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers Qi, e 5,;Ay-eisyf-' 3� � (including bl�each) Spot removers &cleaning fluids (dry cleaners) 2-3 Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Compliance: Satisfactory _ Unsatisfactory _ Inspection Report for Marinas Company Name: s Address: -5 Village: �v� /.� State: 14 Zip: Contact Person- sD z V - - ZQ/ 7 Hazardous Waste On Site S S s s If Hazardous Waste is stored outdoors, does it have sect/ containment? � Underground Tanks (UST): N Type A e of Tank Leak Detection Device Above Ground Tanks (AST): Type Age of Tank Vapor recovery Device Public or Private Water Supply? Town or On-Site Sanitary Sewage? Are there any Indoor Floor Drains? Is there a pump-out station,on-site? Outdoor Surface Drains? `7 Emergency Contacts: Fire: Owner/Manager. Disposal Company: E � r Comments: ;� ca�-t4:17f5� G ol/( fsr�l-wit 5 'trZoKc Cl1 s G� �rJno, SsI i D s ' C s Violations: G�� C ,rr �1� -��s,u , ^�e«�Q ✓�vr� �.'s Lf 7ar� "1 1 y TOWN OF BARNSTABLE COMPLIANCE: CLASS: arine as Stations,Repair rs BOARD OF HEALTH satisfactory 3.Auto Body Shops ti O unsatisfactory- 4.Manufacturers COMPANY 6/S F R ly (see"Orders") 5.Retail Stores •6.Fuel Suppliers ADDRESS Sk • Class: 7.Miscellaneous CjC (v�` L QUANTITIES AND STORAGE (IN= indoors; OUT-outdoors) MAJOR MATERIALS Case lots Drums: Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels asol e,Jet Fuel (A) qoo Diesel erosene, #2 (B) Heavy Oils: /Z V7 I' waste motor oil (C) di, 50 1 /�U new motor oil (C) f fi o�� r1>•�•T'v`G( �GjGt`f �t transmi sion/hydrr1/aaulic J Synthetic Organics: degreasers VA g { a Miscellaneous: 2-s- I',uv ��cn.Pfj, ai k s, Cr 0 . i� V�lal� •`'� � I sri��ry 5�ze5 ` ' _DISPOSAUR.ECLAMATION REMARKS: �; _ 1. Sanitary Sewage 2.Water Supply r a Ih —CJ A50 G'k R ut/ O Town Sewer -Apublic - / tv �0n-site 6-private 3. Indoor Floor Drains YESJC--NO _ O Holding tank:MDC C .4-& jamb, f i O Catch basin/Dry ell 'JNiia A ,Q e wr- cr r��n v�T >( rCS b On system s tgofo� b'n�vI 1u d�a ti T 4. Outdoor Surface drains:YES N0�4— ORDERS: 0 Holding tank:MDC Vtil t 4 0, in. O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste P r1oduct .d 'a f.J1a� Person(s) Interviewed Inspec r at Town of Barnstable r °Ft�E lO�ti Regulatory Services Thomas F. Geiler,Director &UWABLF� ' Public Health Division Thomas McKean,Director l J 200 Main Street, Hyannis, MA 02601. i Office: 568-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ' r QASSESSORS MAP AND PARCEL NO. Oq O DATE A3 -oa I APPLICATION FOR PERTMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT D _ U40fi c. NAME OF ESTABLISHMENT &e ADDRESS OF ESTABLISHMENT 12Z. �`1 TELEPHONE NUMBER S��~ z�.. 20 17 SOLE OWNER: YESJNO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. I j� STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: , PRESIDENT o /i `t )asAzy ed D e VYL 02!15"-- TREASURER. e. f c r IleD ' CLERK r PZni ✓r SIGNAT F AP,`PL—ICANNT r RESTRICTIONS: HOME ADDRESS I�aiT I�_ t. HOME TELEPHONE# Haz.doc/wp/q og31/ 00 % 700 %t -r 7A� a e CENTERVILLE-OSTERVILLE-MARSTONS MILLS Y FIRE DISTRICT 1875 ROUTE 28 CENTERVILLE,MA, 02632 (508) 790-23801FAX4t (508) 790-2385 OIL/HAZARDOUS MATERIAL RELEASE FORM I I F.A :-fly I I I LOCATION: ADDRESS OF RELEASE: strap* narPi l l a MA nest � fl3tcat-ar Asr},nrQ M�rir,n DATE OF RELEASE: rrnknnr�y PRODUCT RELEASED: 1lnkno= ESTIMATED QJANTITY: 1taleno= CORRECTIVE ACTION TAKEN BY RESPONSIBLE PARTY: *T_..4,g4 as pr.9f-a A",-her tq .s NOTIFICATIONS; FIRE DEPARTMENT:YES(X) NO t ) DATE: /2.9/g*) TIME: 1130 NATIONAL RESPONSE CENTER:YES( ) NO W DATE: TIME: DEPT.OF ENVIRONMENTAL PROTECTION:YES t ) NO W DATE: TIME: OIL SPILL COORDINATOR: YES O NO(X) DATE: TIME: TOWN BOARD OF HEALTH: YES t.V NO( DATE: -1 1/ 0.1 o n TIME: TOWN HARBORMASTER: YES t ) NO W DATE: TIME: OTHER AGENCIES: u/A COMMENTS: 1.000 gallon waste nil tank found ditri na rho ce%nb4 njtj as excavation work for can taf_ mi na ted ani1 . 11nnn ramnval tank iou d to have at least three l} x 211 hnles ran rhp rnn nyfiar eclRes of the rectangular shaWed task_ The rank: had haan aittinly in water prior to it's removal. All of the enil remnvad d„rinn avnrnvnf-inn anveared to be contaminated_ The exact rnntenrn of the tack* are unknown. it appears to hppn ttnpd as anma cart Of wsQtO-Ail, tank. A Retroleum_ odor wag derec ted tarring remn ral $ariiiitabu Board of Health notified far furhrpr ayal„arinn REPORT FILED BY: Martin O'Leary MarNppl v DATE: 7 i9p ion WHITE COPY-FIRE DEPARTMENT YELLdw COPY-D.E.P. PINK COPY-BOARD OF HEALTH C,O,M.M:FORM 58 TOWN OF BARNSTABLE — UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION MAP NO. 9 PARCEL NO. 0 6 ' ADDRESS OF TANK: f ��- t�2 r C)& = 5 T V I LLAGE: P V I L LC Number Otr��t pp 15'C)X MAILING ADDRESS ( IF DIFFERENT FROM ABOVE) : 16S� � , T- t V t L L E rv1 A OWNER NAME: Q\(STE K N�6Oe_S 1"v�6'-_" I AUE I N '(....- PHONE: `J Z-J 2 G/ 7 INSTALLATION DATE: I y' / BY: E'fC LyoL :1�j c INSTALLER ADDRESS: -CERT.140. *TANK LOCATION: Njo2T-('a bi 0-141N f?UrLDr�79 t-a--nsnc TANK t-00ATZON WSTH RQOPGCT TO mUiLDiNO) CAPACITY S600 'TYPE OF TANK S*E- F AGE -3 YRS. FUEL/CHEMICAL r) u r TESTING CERTIFICATION [ ] PASS [ ] FAIL . DATE LEAK DETECTION [ LY'CHECK IF N/A * TYPE/BRAND ZONE OF CONTRIBUTION [,. `YES [VI NO DATE TO BE REMOVED FIRE DEPT. PERMIT ISSUED [ 4 YES [ ] NO DATE CONSERVATION [ ] CHECK IF N/A DATE BOARD OF HEALTH TAG NO. [ 1-4 4U ] DATE >Ic PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD i TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION MAP NO. ' '� PARCEL NO. !� ADDRESS OF TANK: a Fk i 0(.,r VILLAGE• Numbswr atrwftt ` MAILING ADDRESS ( IF DIFFERENT FROM ABOVE) : P. O. box 1059 63T;r <ytt_L 11 iH . G s OWNER NAME: A (�Sni:S t },-i 2.i,•J i;' 1 N C_ PHONE: Lq 7 INSTALLATION DATE: "7 BY: F't=T C_ 60 e- . INSTALLER ADDRESS: -CERT.1-40. *TANK LOCATION: I� :_i + r;' �'�F}f tJ V i l_-. r •' �� (D m m O n=m Q TA N w L O C A T Z ON W I T H m Q m P Q C T T O m U Z L m 2 N O) CAPACITY 5000 0 L A!.TYPE OF TANK `7 67 F L AGE _L3 YRS. FUEL/CHEMICAL 6��s!�L►N E TESTING CERTIFICATION [ ] PASS [ ] FAIL DATE LEAK DETECTION [Vf CHECK IF N/A TYPE/BRAND ZONE OF CONTRIBUTION [ ] YES [ L.]r NO DATE TO BE REMOVED rJ ;/ FIRE DEPT. PERMIT ISSUED [ l-3]''YES [ ] NO DATE 4 CONSERVATION [ ] CHECK IF N/A DATE BOARD OF HEALTH TAG NO. [ /' > DATE PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD f TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION I � F MAP NO. PARCEL NO. ADDRESS OF TANK: <<= & T V I LLAGE: TE #m:.V I L E MAILING ADDRESS ( IF DIFFERENT FROM ABOVE) I) L-) X OWNER NAME: N`T !K tf!2-1 N E -INC PHONE: 2-D J 7 INSTALLATION DATE: 1 BY: U C I- r�. r o Q 1c -rr-1 C INSTALLER ADDRESS: 'CERT.1d0. *TANK LOCATION: (V'`i . T'(- D r t A l-- ') 1 (D C C O R I a G TANK 1.O C A T I ON WITH R U O P Q C T T O m U I L D I N O) CAPACITY- .5''0 0 TYPE OF TANK `T EL AGE i.E� YRS. FUEL/CHEMICAL TESTING CERTIFICATION [ ] PASS [ ] FAIL DATE 2 LEAK DETECTION [ V]' CHECK IF N/A TYPE/BRAND ZONE OF CONTRIBUTION [ ] YES [Xi NO DATE TO BE REMOVED FIRE DEPT. PERMIT ISSUED YES [ ] NO DATE � �� .e ` CONSERVATION [ ] CHECK IF N/A DATE BOARD OF HEALTH TAG N0. [ ] DATE u PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS' CARD I , P�pfIKETph� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARMA.Aq y E. 200 Main Street• Hyannis, MA 02601 y MASS. 0p ,6,9N. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rF0 MAC Business Name: Sf_c-r a r6y,s Mar,Kz Date: 1 o 1 b Location/Mailing Addr ss• 12 2 5-I- dS fe,tv,1 ,-_ 1 6t. ' Contact Name/Phone: s.c_v. o� C S So - K2g-,Zo t T 6,01 S08- 361Z- Qgq ya.r - 5+1e_vc:.12 cc� Inventory Total Amount: '�O �- P<vv•d-d MSDS: e5 License#: 13 Ck+ Tier II : a D ct, 1 Labelina: Cs6° .* Spill Plan: Ye, Oil/WaterSeparator: Floor Drains: 00kLQab<7�s( Emergency Numbers: Storage Areas/Tanks: V - N Kq K 1,r,c. 3 A.I v,s-5k%e,o,1 Emergency/Containment Equipment: 5 ,t1 Waste Generator ID: 1AA�4 8 l 2p 23 aste Product: o I �:lcr5 s awl,Frcc2�,}n,K.r Date&Amount of Last Shipment/Freque`n`gy 2P> I b w st c o, I i I?It Ql 0as}c as 3 Licensed Waste Hauler&Destination: Other Waste Disposal Methods: Wa-VtW e 0-,( &S�_- \,,X -7 �v! -,,,-h--C C[ LIST OF TOXIC AND HAZARDOUS MATERIALS ,5.e,_, 4 4-44�(,, NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives (creosote) Asphalt&roofing tar Swimming pool chlorine Paints,varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: , W �EC9`RtiS. ve ,S INFORMATION/RECOMMENDATIONS: 15 <*J(-, Q ,< -7 o�Q cvt �,n d Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS I °p INE roh, Town of Barnstable Office:508-862-4644 Public Health Division Fax:5o8-Aso-ssoa BA ARL;.BCE. M ' 200 Main Street Hyannis, MA 02601 1639. 7 ASS 0a �pTfD MP'�A`0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: ►M4r'r-,t- Date: / Location/Mailing Address: 12 Contact Name/Phone: �9.f�Cars}�woc S08-Y29-2oi-1 Ce/1 Sob -S6-7- •)f��- yS Invento Tot I Amount: MSDS: e,S License#: Tier II Labelina: oo Spill Plan: ye-5 Oil/WaterSeparator: N Floor Drains: Nc - �10 V(-� Emergency Numbers e-,S Storage Areas/Tanks: 2r)ou0 �o_Sc auk �y1 Caw�G, M+r, 30C? A u2oAk-c-61il As, Emergency/Containment q Equipment: S ,l to oovuh 4—, Waste Generator ID: $IZo 5a W laste Product: o, . "5 a•s C,1(crs 4n�• � ' Date&Amount of Last Shipment/Frequency: I 0)z"n/1( Qe,rks W0, W-< Ow5cV,-da-dle o,,r eajk g- Licensed Waste Hauler&Destination: fa�zhj kClee`1- 0ae,og s Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS dI�VVt �I�� ( ��bV��iBbC I hJ�VI�rN V�\J j�(ti,dyj NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, haz rdous material use, /2p I(, / storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids AA �I��01 `�F 5 V•.,&\,00t fLq t-5 im-A-d- Automatic transmission fluid Other cleaning solvents&spot removers �4,cl St Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash �s1� 2 blQ�s I►Z Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda ' s Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: S v� -5 C•ca 'r1V1v k�rvta ok 1- .z. Inspector: ^�1 Facility Representative: ��TI WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS `pp THETp Town of Barnstable Office:508-862-4644 Public Health Division • Fax:508-790-6304 • BARAQq E, MASS 200 Main Street• Hyannis, MA 02601 7 . 0a %659. MP TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT lFD '�� Business Name: 5 2< a t of �f, Date: 1 a I Location/Mailing Address: I V2- Gc+,rr_A '+ . �5-1erg+l�e- Contact Name/Phone: c,I1 So8-:5G7-5S1 g C-11ktC 0VIOL`n 30-Q-_e ,,,,, Inventory Total Amount: ti i 4,00 o 4a\ MSDS: qe-S License#: $3 Tier II : Labelina: Spill Plan: Ve-5 Oil/WaterSeparator: ?Q.,(( AY-A+iovut,0 - looms r Drains: k1c, Emergency Numbers: e6 Storage Areas/Tanks: AIV Emer enc /Containmen uii meet` .V ` ab ke, Ch- U.)66t 11 1 WA J'5 uv a� a 1 Waste Generator ID: AAA>9g,L2o�«,zy. Waste Product: o+ a5.�11�e<s QI., h e enc t Date&Amount of Last Shipment/Frequy: `l ly I `I 8 sal wks+�to.w b. >�lad y o 2 9a 1- /M��,,„�, ,Qt�<y c 1e S Licensed Waste Hauler&Destination: ex t<a.vt5+o,nJ? Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) V Windshield wash Motor oils Miscellaneous Corrosives �— Gas ine,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants — Miscellaneous petroleum products: Road salts A grease, lubricants, gear oil Refrigerants ✓ Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides �— Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine -� Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil&stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: O JK J + NV + 0 1-4— G J I Si I ON +e_4-,CQ- Pct,L• e®any '�� I �� s va,t 1-c 1 In e tor: ! l \ ' J Facility Representative: / WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Date:bo I 13 TOWN OF BARNSTABLE --,, TOXIC AND HAZARDOUS MATERIALS N FORM NAME OF BUSINESS: Oo,�er 4o+po -s BUSINESS LOCATION: /25-- B INVENTORY MAILING ADDRESS: j*a rne, TOTAL AMOUNT: TELEPHONE NUMBER: ,SOS - qZ8- Zo 1-7 / 00fAdoks CONTACT PERSON: a, * Ga1',54en 54K- EMERGENCY CONTACT TELEPHONE NUMBER: C1ll.5or3 36 7- 19` f MSDS ON SITE? TYPE OF BUSINESS: /Yta��oL hoa,7� Ma,K�tna�lc,L y25 INFORMATION / RECOMMENDATIONS: Fire District: +0 b-e- �'�v�wc�c Z) all Con-}4,►ors VI o f-/Vtr v 5e d 4 pp§ C-O-✓►�J� or coye('a 3) If ee-orrtr►m a keG,O►►ij s,�,/) �c b s►�rbevd-s ayc�, la b l�all acre r0 k4u,r_ 6�aa rAos eyt ,Vz r,a l s Q tee, s�orco2 c�� Waste s�ei#atren: Last shipment of hazardous waste: 9 26 /3 Name of Hauler: 54 +q Destination: Vac,t5 to-ff,_ Waste Product:,9aK�/', �`� �'�f�rs;, Licensed? es No Vase s qG rod o l c•�n 6 NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Divisi��o�� Zrll Z LIST OF TOXIC AND HAZARDOUS MATERIALS O rha,l o! t R►►��--S I rL �btVG O<yy <s►-�, �1L The Board of Health and the Public Health Division have determined that`�he following prodGcts exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive li NEW C'f USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts(Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides LANEW Lr uSED (insecticides, herbicides, rodenticides) ✓ Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous 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 V/ Miscellaneous Combustible b•a,+ Gar wash detergents Leather dyes waxes and polishes Fertilizers Asphalt& roofing tar PCB'c Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, V/ Lac uer thinners (including carbon tetrachloride). ZN EW ly USED Any other products with "poison" labels (including chloroform,formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers maybe toxic or hazardous (please list): Metal polishes 1 f V e rOK A ?zX aV1 wf- Vt- Laundry soil &stain removers (including bleach) Spot removers &cleaning fluids n L (dry cleaners) Ghat �0.101.e- avt� ►�jYI�T t''KQ��/e�g Other cleaning solvents Bug and tar removers aff— `, fmvul 4>7✓ty k 111 I& ff_5l 0&P, 71 Windshield wash t'Dce r2es WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials r 192 Bumps River Rd Osterville,Ma 02655 Oyster Harbors Marine Boat Storage SPILL RESPONSE PLAN • Storage check list—to be completed on every boat that is stored at this property. List will include the following info: Inspect Bilge and engine compartment for fluid leaks Inspect batteries to confirm they are disconnected Confirm boat is placed on stable ground Confirm boat is left locked and secure. • Site visit—Once a week walk around the property to check for safety concerns and for any sign of fluid leaking from any of the boats. Log visits in a log book- Oyster Harbors Marine has employees trained in spill response.Employees would be available to respond if needed. Spill response training provided by John Furrh Associates. Oyster Harbors Marine will have a stocked spill kit stored on the property. Spill kit would have absorbent-pads and booms,personal protective safety equipment and other materials that would help in the event of a release. We would also have 4 empty drums on site to assist in clean up efforts if needed. • Have an emergency response number list on the property and in each vehicle that will visit the boat storage lot. Local fire—rescue Police . Board of health Spill Response Company • Have Contact information posted on the site for Oyster Harbors Marine in the event we need to be contacted for an emergency. � 1rST. CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIR' 1E DISTRICT DEPARTMENT OF FIRE-RESCUE&EMERGENCYSERVICE�ES ' 1875 Route 28-Centerville, MA 02632-3117 1926 508-790-2375 x1 - FAX:508-790-2385 John M.Farrington,Chief Martin O'L MacNeely,Fire Prevention Office Philip H.Field,Jr.,Deputy Chief Michael G.Grossman,Fire Prevention Office June 28,2013 Mr. Charles Crovo 182 Osterville West Barnstable Road Osterville, Massachusetts 02655 Dear Mr. Crovo: This letter is regarding the proposed boat storage to the rear of 182 Osterville West Barnstable Road, Osterville. I have reviewed the proposal and have the following requirement: 1. Access and layout of boat storage according to the attached plan. Access ways are to be a minimum of 15'wide, capable of supporti zig fire apparatus, and maintained at all times when storage area is in use. 2. Access ways are trimmed of tree branches and clear of all obstruction to 14' above ground level. 3. Boat storage is prohibited within 50' of all residential buildings. 4. If the capacity of the fuel tanks for the boats in storage exceed 793 gallons of Class I liquids or 10,000 gallons of Class II liquids, a license is required from the Town of Barnstable licensing authority. For the purpose of this section, all tanks are considered full. 5. Compliance with all other rules and regulations of the Town of Barnstable. If you have any questions, or if you need additional information plase contact me at 508- 790-2375 ext 1. Sincerely, MacIleely Fire Prevention Officer ` COMM Fire Distract r t Oyster Harbors Marine Osterville Ma Fire proof cabinet inventory 2016 Inventor count is of physical containers — Unknown how much in each one container- almost all containers are open and partially empty. Paint / varnish: Gallons: 64 Quarts: 270 Pints: 41 Aerosols: 236 Gelcoat Quarts 320 Solvents: Gallons 40 Quarts 110 I I Cleaner/Degreasers: Aerosols 14 I Adhesive remover: Aerosols 19 Air filter cleaner: � II Aerosols 5 Quarts 2 Bedding compound Quart 1 Pints 2 Greases / oils: Quarts 46 Gallons 3 f Lubricants Aerosols 45 Fogging engine oil Aerosols 24 Wax Quart 5 - Misc.: 1 Gallon floor adhesive 2 quarts wall paper glue 2 quart brake fluid 1 quart bilge cleaner 2 quarts hull cleaning acid 2 quarts of teak cleaner 4 quarts "Prop speed" metal underwater anti fouling paint 3 quarts of pipe thread paste 2- 5 Gallon huill deck adhesive 2- 5 gallon hull deck adhesive 2- 5 gallon of resin a r Town of Barnstable Hazardous Materials On-Site Inventory and Inspection FACILITY INFORMATION: Business Name: Si�p� ,(3�h�1iQi�clt Business Location: <STx4"-_- OS d/c t C Mailing Address: '4-6" ✓e Telephone Number: .W-- if z f ! 2_4 Contact Person: Emergency Contact Telephone Number: Type of Business: R/AJ,+ HAZARDOUS MATERIALS (CHAPTER 108) Virgin Product Total Quantity Container Size(s) Storage Location Major Materials Gallons or Pounds Quarts,gallons, Shed,retail store, drums,tank,etc... cabinet,closet,etc 5 G if l-"/j 116-CM u/LWICR 31"C"' �J (z, kAx_K pi!R73 �/c3�+ft�tc S/-�P ?A-K7S A1&Xj C &6Ai1VES ,W7 4etl77t air It/cn^a� r� C /-,//s662 L&j 77 cam Tf EThic- �l rjCCZL/q NCZI l:S f�i d ZL.'UC_ / 2Nt LLI S/ VikU IA1 Dim s •a+c 6AJS 6 Ufa x�s E • J S G/f't-zoo /�Z�-�2.L1�1,[� W*s7r +AjrlFj �� K 1-�'oS />R qS / vA-Rious s -a-ttj St'�.¢rf7{GHEI� /&H L� %7�- u dzr LJST Misc.Reactive G,�p,✓AveTS . Misc.Toxics Inventory Total Amount: _ '`�3�O T �YZ�•u� 'fN� let) Hazardous Materials License Posted`p No Contingency Plan Posted? Yes No SFr r %N0 p4p, p ,oj Pia✓' w1n> Fire District:&%---�rLzc-a'7&7CvA4a ire Extinguisher Service Date: Oei7,5Ew Metal Covered Rag Bin. es No Absorbent Material Available?<!�) No Type of Absorbent: Speedy D ads igs Other: SPILL- KtT- i-o[.A'-iTD +r G43 Puk? MSDS on site��e No Hard Copy Computer Access Hazardous Waste Handling Hazardous Waste Generator Identification Number: Type(s) of hazardous waste product(s): 6-1y30s71346- 41&VI b), A/VTI� E/S�Li�S CO�t1i /.�i�clG- rL✓{�Y�.g3cEra'S Date of last hazardous 7te shipment,type of waste and quantity: Hazardous Waste Transporter(s): _--S,4G4-7-y let--4 . Designated Hazardous Waste Facility: S 1- Hazardous Waste Storage Area Description: et"q-e-6c)u3 W,,m-r 57-t X&-b i,6 A "C4Nr �b 61U1-d1 c-Y-' WH16-1/ 1"S A G'e uG.e�� ut<�. Tf/E If K 64 /S A-,�b,,77V,JA-tA-y osi bRuKS A-R,6- 11z6c S70X-e6 tu.J n`dkr,-Ai,dN&7J-1 2;1!j1 AFNO W4-512:- 6-AS Q6ct-1PS I J A f2,*HA1Af2&1 L'f}8ive� Is hazardous waste storage area labeled: No Are tanks/drums/containers labeled with the words "Hazardous Waste" e type of waste and the associated hazard (i.e. ignitable,corrosive,reactive or toxic e No If hazardous waste is stored out of doors is it covered from the elements? Yes No AOX Is it in 110% containment? Yes No If hazardous waste is stored indoors is it on an impervious floor. es No -2 r , T FLOOR DRAINS (Chapter 381) Town Sewer Account Number: �A Indoor floor drains: Yes o If yes,circle one,does it discharge to a: holding tank dry well on site septic. Outdoor surface drains:5 No If yes,circle one,does it discharge to a: holding tank dry well on site septic. &s-cY4e4e' 7V FUEL AND CHEMICAL STORAGE TANKS (Chapter 326) Underground Storage Tank(s) on site?e No 3 74AI&S i¢LV IM vc y Age: , Is removal required? Yes & If yes,when? Is testing required?`9 No If yes,when? 115r-1 11X,6 p,4rzTy 7V577A)& PWF4JeA4ZC) Out of doors above ground storage tank on site?& No If yes,is it protected from the elements? Yes No If yes,how? A/w .i-a�l-TED atid&-;e •4 s 4-k-b 17L;+S A Roo= Is it on a foundation larger in size than the tank? Yes d.4/ 64Z cxs o.</ 4 s R,yrifc T- COMMENTS/RECOMMENDATIONS/CORRECTIVE ACTIONS NO �Pl�EG76rE s{Gi7G.�21 �4-f �S Tli�-�E. l i2 GAS 1t /P/AJC ac'b u cN /f 4.4-P4 e A"uLTI- flu MESS Date:-f�VS��r MAY Public Health Inspector: Facility Representative: S - 3 - List of Flammables Cabinets located at Oyster Harbors Marine June 2012 Small Workshop: (1) 40 gallon capacity (1) 30 gallon capacity Outboard Shop: (1) 40 gallon capacity Fiberglass Building: (4) 60 gallon capacity (1) 5 gallon capacity (1) 30 gallon capacity (1) 45 gallon capacity Carpenters Shop: (1) 40 gallon capacity Hauling Shed: (1) 30 gallon capacity 182 Bridge Street, Building#1: (1) 12 gallon capacity 182 Bridge Street,Building#2: (1) 30 gallon capacity Hazardous Waste Building: (1) 15 gallon capacity (2) Unknown capacity The capacities listed above are taken from the identification plate of each cabinet. The total capacity of the above cabinets is approximately five-hundred sixty-seven gallons (567). TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS: Board of Health MAILING ADDRESS: �� Town of Barnstable P.O. Box 534 TELEPHONE NUMBER: CONTACT PERSON: Hyannis, MA 02601 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in cuantities 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: 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 store Please put a check beside each product that you store: Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners ✓ Engine and radiator flushes Cesspool cleaners ✓ Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils ✓ Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #e#Aath=y0ff- Pesticides (insecticides, herbicides, ✓ Other petroleum products: grease, lubricants rodenticides) ✓ Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink ✓ Battery acid (electrolyte) Wood preservatives (creosote) ✓ Rustproofers Swimming pool chlorine jcvjiash detergents Lye or caustic soda ✓ waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes ✓ Paints, varnishes, stains, Fertilizers (if stored outdoors) ✓ Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) ✓ Floor & furniture strippers Any other products with "Poison" labels ✓ Metal polishes (including chloroform, formaldehyde, �✓ Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) ✓ Other cleaning solvents Bug and tar removers ✓ Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business . TOWN OF BARNSTABLE MPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body shops �/��, unsatisfactory- 4.Manufacturers C0MPANYdy,�o-W*ydOr4 /'/ 11! (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS /AV 2 rlv�y"d o- ✓ Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT-outdoors) MAJOR MATERIAL' 1 derground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel ( Diesel, Kerosene, # B) Heavy Oils: waste motor oil (C) new motor oil (C) af! A"AW OZ transmission/hydraulic Synthetic Organics: degreasers ,ems iscellaneous: y ai L DISPOSAL/RECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply 0 Town Sewer OPublic 0 On-site OPrvate 3. Indoor Floor Drains YES NO 0 Holding tank:MDC 0 Catch basin/Dry well 0 On-site system 4. Outdoor Surface drains:YES NO ORDERS: 0 Holding tank:MDC O Catch basin/Dry well 0 On-site system 5.Waste Transporter Name of Hauler 1 • ' o. YES NO 1. 2. Person (s) Interviewed Inspector Date s TOWN OF BARNSTABLE MPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD .OF HEALTH 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY©� ��dd'x'l' (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS 2 2 s `'L lass: 7.Miscellaneous Dz /�Z,*UANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MATERIAL Case lots Drulms Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: ox� Gasoline,Jtt�' Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) /a new motor oil (C) $ �/ transmission/hydraulic� Synthetic Organics: degreasers VA1 Miscellaneous: �+��'' •�`�� ,sue DISPOSALIRECLAMATION REMARKS: 1. Sanitary_ Sewage 2. Water Supply � �. A1 A..tf-n 11I*' O Town Sewer Public Y 4J On-site OPrivate 3. Indoor Floor Drains YES N0,�K_ O Holding tank: MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NQ/ ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product -F� ¢ L NO 1. rs 2. :� Per on (s) Interviewed Inspector Date i ^ i • i, J i Pti I i I CE:.rail Ef—.V:[L.l..C--C7 TF-",Rl=ll_.I,-.':-_-MP-,,P i ON,1a HILLS FIRE DiaF`Al':3 i'tE_-_N T• OTi._rHAZARI:?4".4L.1 s MATERIAL RELEASE i STf E E"r ADDRESS SS Of- F EL_i ABE- ... _.._ f ! tiA rE.- F. A. I:?A'!`E TIME OF F. D. i+lf:3'T'I:f• I>w��•'!'C f':�i`-�~ TTTT , „ _Y } � ___.._.. . ... ...... _ f'F ODUC"T i El--E o E3E_S3. _..CA / .._._.._.._1..,._._1 f _.... CrC. RF--•E-C f .T.VET. PIC r 14.14''-.i IF ANY.-_,* �.� ._.-��,a�{ ,�, __•_ �x�rv7 eax� _ _ i 1+4r`i`r:E Clr�lf 4,.: f F ;f''a::tttil iE �:1iF=31 E:F-i [j,,%?I YE:` r lCi c D tTE + ,x !":E ._ 1 L_ SPILL CO-,-0F 1:I NA"rf. P C .l '�€ - F. :1 r[ ....�.IiATE l`I Mf: BOARD OF Hr,' ALTH L / `l'ES C N() F-iE)F{I:t4.R 1,11AS`i^1=R C:,., 1. `i'�:.S C 1 PID DATE , W06! 4 T Mr.- OTHER AGENCIES: isl� C''f_'ll"z•fEI3.....��._._.�_.•__..~ .W..�._._�......__._._....�_..�._�._....._...._..�. __^-__.M__..�,._I3A�rE;:r _�.._ ------ WHITE COPY FIRE ''Ar-,;`!"MENT YELLOW W DE=QE P:E Nk' _ T=;C3PiRD OF HUAi__T H C---O MVI F'411ry`M tF ,8 , 9 a a ( I i 1� r (�j CE t.'j'('£..7R <'It LE- C€S"I,G:.RN I k_!..•k: 1°'It t!.;;"i t€i l� M is i.._LE3 i It D.T.L/i" AXA1 iD?Ji.JS I'llPiTEf-Z I A f i::::k_f"--'ASS i_C)C CrI"DON: STREET FIDT?f`t,T.S OF ._."._......Oys•ter._Harbars...Mar•in:e_...__...,_...__....._.._.._._.._.._._..._. '�II_k_.('�I��f"� Off--Bridge...,SLrae-t._..-..-.._....__....__._.,......._...__....._.._.....,..____.._ ii I»ATE: .. �..__.Sept.._"Z.,1.Q$9_..._..._._...__ __._.._.,..__........__._..,.._. # T...i HEM OF R1::*L i4Sf.". .._._.__......_. # T-.. A. #k� G.6.9_...__- T OTE & TIME OF: F. D. hSf:T T.f=:C CA T I ON: ......Sep.t......J.,.1.9.89..........ap,prox..1.4.0.0.._...._..__..."__...._._..._ E='F?C?D1 C.7 REL.E:-:ASE D.— Gasoline.._.._..._.w......._. . .. E: ST:GVIA T'f" I, i €:',!_)> i?C:CT i'•lh PfCT1011 IT }i Ca': ._.S.hut-down.-gaso.line_do.ck...Employ..ee.s-pla.ced_._.. ._.._bucke_t...and-pan-under.-leaks...._..___...w_.__...._._...._....,._..._......_._.......______.._.._.,..-._.._...._:.."._....__.___...._._.._..__...._..._ ET€_'iT I x=T.CA'T"I ON NATIONAL f f:SP ?f'•SE CENTER is 1 `•1ES NO T'I T•iE_..__,..__ f.-OE [W. 'rE f 1 i: TATE,q/ . . -: .7./ J Nt:i !:?r::q'T_ .917../...$,9 "T'T i`'tlw:_.1435- 1-10 jRD OF HEr=tf_1`H i � '�r-':a is T I�ft t liF�'T'�'. }�.1_/_$9 '9"l:fF1f W 1.4.35._. [+T) 'ti.TsOR MASIF R E:x)C, YES 1- 1 110 DAVT..T=._9/..7./S,9 T.'E!'ii:_.14.4Q.,_. OTHER CiGENi;;IE:�Fw C01111ENTS. _,ecetu€.d�_.c.aU..ftm Len....�.��1audQ�...�..�,._)..ar�_.�ppx��......��'�Q. ne... x.._ard.. . Legat._ xemo-yal is. .tm.ent._�z�veat gate _.b.e�o.�e...�.�,u_xesp�na�.4�n_a�x�,va.�.��pu,ty....�ki�..tP.�ey_.aad.,.�..•.�b.a��.x�ved...e�c�a.�!at.�,4�a.�.�.a�au��:...gas ._Apc1r._p.ip ng...bus.t.....b.etar.e.-pAir..Piping rout.-.tw.Q.-l4e.atloua. ( __t1.o..sheen_f.ound...a.t._ d.vTm-the.._ .ue in�g._.doc. .._until _..pr.op.�r....age�ac-i.e�...�.x�v�:at.�.gs.r:e,�i._lac:at.l+axe.,..,..._._...._.._...._.__.�..._.._.._..:....-.__._.._._.._..,......._.....,.___........._......_-___......,........_....•..._ fi�'^'4`t:!F'T BY ...Sep..t�8...�.9.89.....__._.._.._,_. f t,€�f:E'T i�CE"r - E li E isyE.C'Cafc"i't�4£:t T :i..i..t�tlfr` I:�f:'t:l# : i='i f`#i : i_;iia=iRT:; (:TF= T-TI r=�k...T_i.i j � lit I( s _ A.M. WILSON ASSOCIATES, INC. LFEUTEQ (01' UIRUM UL 911 Main Street OSTERVILLE, MASSACHUSETTS 02655 DATE (617) 428-1450 ATTENTION TO WE ARE SENDING YOU Attached ❑ Under separate cover via the following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications Atopy of letter 0 Change order ❑ COPIES DATE NO. DESCRIPTION THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution <As requested ❑ Returned for corrections ❑ Return - corrected prints ❑ For review and comment ❑ ❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS its at _J 4JlS ,G�-fie COPY TO�S SIGNED: PRODUCT240-2 ja inc,smmm,M=olan. If enclosures are not as noted, kindly notify us at once. A.M.Wilson Associates Inc. October 3, 1989 Leonard Pinault Hazardous Waste Division DEP Lakeville Hospital Lakeville, MA 02347 Re: Gasoline Release Oyster Harbors Marine Bridge Street, Osterville (our file 2.0230.1) Dear Mr . Pinault : Attached please find for your files a copy of our field report on the September 7 , 1989 gasoline release which occurred at i the Oyster Harbors Marine site, off Bridge Street, Osterville, MA. In accordance with our discussions at the site and as noted in the report, the hole was closed only after permission to do so was obtained from the Fire Chief John Farrington. Used adsorbent pads were stored in an approved barrel provided by Clean Harbors . Clean Harbors subsequently packed the contaminated spoil in an approved barrel and removed both barrels from the site on September 14, 1989. A copy of their manifest is. attached to our report . If we can provide you with any additional information, please do not hesitate to contact our office. Yours , A. M. WILSON ASSOCIATES, INC. Arlene M. Wilson Presidez'it 1089AW13:ekd cc: Oyster Harbors Yacht Basin, Inc . 911 Main Street 0sterville/MA 02655 508 428 1450 FAX 420 1856 INCIDENT REPORT Oyster Harbors Yacht Basin (File #2.0230.1) September 7, 1989 A telephone request for assistance was received in our office on the morning of September 7, 1989 . No one was available to respond until approximately 3: 00 PM. At the time of my arrival at the site three members of the Centerville/Osterville/Marstons Mills Fire Department were in attendance; Chief Farrington, Mr . Wilcox and Mr . Whitely. A hole had been opened around the piping at the landward end of the gas dock. The hole was approximately 2 x 8 x 2 1/2. All three fuel lines (2 gas , 1 diesel) were visible. One gasoline line was leaking at the elbow. A plastic pail was being used to catch the drippings. The exposed sandy sediments below the pipe were damp. Olfactory and tactile examination showed the cause to be predominantly sea water . The bottom of the excavation was less than l ' above the then water level . Visible in the excavation was an earlier and lower layer of asphalt beneath the surface paving. Below each layer of paving was a sandy layer containing oxidized iron and manganese, both common results of intermittent inundation in Cape outwash sediments . All of the fuel lines had been shut down. No smoking signs were in place. Contractors from Scudder & Taylor Oil Company and Vince Brothers Construction were both at the site. A second hole approximately 1 1/2 ' x 1 1/2 ' x 2 ' was opened a few feet to the north of the main excavation and immediately adjacent to the landward side of the steel bulkhead. A small hole existed in the steel sheeting at this location. The hole was open to undertake repairs . Material excavated from around the leaking gas pipe had been stored at the east side of the property several hundred feet from the water over a grassy area. Sediments were coarse sands with small rocks. Visual , olfactory and tactile examination showed the material to be contaminated with gasoline. Approximately 2 cubic yards of material was involved. nA � Several adsorbent pads had been placed in the water along the bulkhead adjacent to the work area. No visible sheen was in evidence on the water nearby. Adsorbent pads were also being r used in the excavation around the pail and under exposed sections of pipe. At that point no work was in process . { Tom McKean, Barnstable Health Agent , arrived at the site at approximately 3: 15 PM. He visually inspected the operation and stored material . He spoke with the Fire Department representatives, the owners , and myself . Dennis Hoff from the Coast Guard station at the Otis Air Force Base arrived. He also inspected the site and spoke with those present. He expressed satisfaction with the way things were being handled. He asked Tom Ellis , the Dock Master, about emergency in-water spill provisions , should any gasoline escape into the water column. Since there was no in-water spill , he advised people of appropriate reporting procedures for such incidents and left. The Fire Chief also expressed his feeling things were being handled adequately. He asked to be notified before the excavation was closed and he left the site. The Harbor Master arrived. He made a brief inspection, noted that he had no problem with the way things were being handled and left. Shortly thereafter , the two additional firemen left the site. Mr . McKeon wanted to remain until a DEP agent arrived, but could not wait beyond +4 : 45 PM. I agreed to call him early the next morning to inform him of the requirements set on the site by DEP and any further repair work undertaken. He too then left the site. It was decided to continue to drain the gas line so that repairs could proceed. Additional adsorbent pads were placed in the hole. A second plastic pail was placed beneath a coupling which was subsequently breached and the line allowed to drain at that point. The valve at the elbow joint was also removed. Gas was siphoned out of the line at that point and periodically from the two plastic pails back into the underground gasoline storage tank about 75 ' away. Leonard Pinault, the DEP Agent, arrived at about 5: 15 PM. He said an anonymous complaint had been made to his office earlier in the day that there had been some kind of spill , that the water in the channel was covered with a sheen and that material was being removed from the site without r _ authorization. Because the complainant refused to leave a name, DEP had called the Fire Department p t to ask for them to do an initial inspection. Mr. Pinault was here as a follow up. He inspected the site and work. He confirmed that there appeared to be no material in the water , that the spill appeared small and containment for work procedures appropriate. He also confirmed that contamination was by gasoline. He inspected the spoil pile and confirmed that it was contaminated with gasoline. We reviewed proposed work procedures : finish draining the line; replace the failed joint and line; excavate by hand any additional contaminated material and store it with the previously excavated material ; - because the Fire Chief was to be notified prior to backfilling to authorize that stage of work, Mr. Pinault would not need to return. Relative to disposal of contaminated soils , Mr . Pinault advised there were two options . 1) Clean Harbors could test the material and see if an approved asphalt patching plant (the nearest is just south of Boston and two others are on the north shore) would take it. If they refuse, then with appropriate proof of refusal and permission the material may be taken to a landfill . The process would take several weeks . 2) The material could be placed in approved barrels and removed to an appropriate licensed disposal facility by a licensed handler. This could be done immediately. In either case, appropriate paper trail copies must be provided to DEP. Because there was no rain expected, Mr .� Pinault said it would be alright to leave the excavated material where it was for a day or two. If it were to remain on site longer that that, it would have to be moved onto an impermeable tarp and covered in the same manner. Shrink wrap used for winter boat storage would be usable for this purpose. He exchanged business cards with several of us and left the site. Work proceeded in accordance with approved protocol . At approximately 8 :00 PM authorization was received from Chief Farrington to close the hole. The repaired line was tested. All joints appeared intact. Pea stone was place below the piles and clean sandy fill over them. Gasoline soaked pads were placed in an approved contaminant barrel . Saw horses were set around the work area and the site was closed at approximately 8:30 PM. On Monday September 11 , 1989 the spoil was moved onto a piece of shrink wrap and covered with the same material in • anticipation of predicted rain. On September 14, 1989 a crew from Clean Harbors packed the spoil in an approved barrel, and together with the barrel containing adsorbent pads used during the clean up, removed the material from the site (copy of Manifest attached) . Prepared by, A. M. WILSON ASSOCIATES, INC. Arlene M. Wilson Principal Environmental Planner 989.AW12:ekd Attachment _i _. . .,r 1. . - -. I:. . .- TOWN OF BARNSTABLE UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION MAP NO. hl �`�� PARCEL NG. j ADDRESS OF TANK: � t' {"e 7 VILLAGE: S" NumberYtrme,t MAILING ADDRESS ( IF DIFFERENT FROM ,rA�BOVE)�._ -�-~ OWNER NAME: �'/S fr/ ��IGrv�y /' �Grir)� -t-�7t PHONE: INSTALLATION .DATE:3 BY: L+�Ca1tt� INSTALLER ADD SS: b>bo � i:�Cs' M ©rd,J -CERT.1-40. a *TANK LOCATION_: ��') Gje�t�t►�t r1 �'>c, fc{,.art �[�' �er //�jf e Ij,�� e it tz .-1 --- -!„ iC00fi=aC TANK 1LocoW T t'T Pitt I ON W 2 TH mmummCO S LD 2 NO) CAPACITY �11)00 TYPE 61Z SANK :Rgd/('-,_i{ AGE L `YRS. FUEL/CHEM I CAL C, c TESTING CERTIFICATTGN-'"[]' PASS C ] FAIL DATE LEAK DETECTION C ] CHECK IF N/A - TYPE/BRAND l ZONE OF CO�TR I HUT I ON [ ] YES [�_ J, NO DATE TO HE REMOVED FIRE DEPT. PERMIT ISSUED C' 7 YES .[ ] NO DATE _rt CONSERVATION C ] CHECK IF N/A DATE ' BOARD OF HEALTH TAG NO. [ / ] DATE �� !l :� Y PLEASE PROVIDE, A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS •CARD Gl" Gin TOWN OF BARNSTABLE - UNDERGRUUND" FUEL AND CHEMICAL STORAGE REGISTRATION -MAP NO. .' _� PARCEL NO. 3� I ADDRESS OF TANK: rt;c St< << VILLAGE: 05->cd,. ttC MAILING ADDRESS CIF DIFFERENT FROM ABOVE) : 1 p O G,? 10-51V� r�� G •©�Ll" ) 1 OWNER NAME: �� c'r �/ v'+ � •<<-c �i< PHONE: INST.ALLAIT,XON DATES BY: Jee INSTALLER ADDRESS (!(: Po B�� - :� {�f SIG Q1 (D ( -CERT.-40. 1--7,—, *TANK LOCATION: q (DC�QIi I aG yTf_ NK LOQAT Z ON W S TH mamw-QQT TQ aU x.LD I NO) CAPACITY C 't0 TYPEoF TANK' ") ��i .AGE �l/l'P:�/ YRS. FUEL/CHEMICAL TESTING CERTIFICATION [ ] PASS C ] FAIL DATE r" LEAK DETECTION C J . CHECK IF N/A TYPE/BRAND ),U - 330 ZONE OF CONTRIBUTION [ ] Y S [ ]� NO DATE TO BE REMOVE FIRE DEPT. PERMIT,' ISSUED [;Plul YES C ] NO DATE CONSERVATION C J CHECK IF N/A DATE/2 / BOARD OF HEALTH TAG .NO. C ] DATE � I PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD old i � RANc-f TOWN OF BARNSTABLE ='.UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION ('/d ' MAP NO. PARCEL NO. l ti� i ADDRESS OF TANK: �► o� �/ `) V I LLAGE: --•lDiu•rrrb.�....�...�-.�._.:®t:r,��,t � MAILING ADDRESS ( IF DIFFERENT FROM ABOVE) : OWNER NAME: il�t / lam! � � fr ,C 1r;L PHONE: C L1d, t/x b • ,,! _.F; INS ALLATION DATE: ~ �4`` l BY: aaawro C /,g INSTALLER ADDRESS: PC.) ` if e l616 -CERT.iJ0. *TANK LOCATION: 7Gt 41C��`L �'/t'�L {- ^•^""("DQ-t7Ofi�i GG TAfNK LOCATION WITH mw=RKCT TO mU S t_D S NO) CAPCI T NA K"'"` ��.,/ 1 ''�TY �1. Oor LTYPEX.r D•AGE fVQW YRS. FUEL/CHEMICAL TESTING CERTIFICATION C,..J.PAS'S C ] FAIL DATE LEAK DETECTION �C ] CHECK IF N/A TYPE/BRAND Veece�:tt�{ T4Y- 3t�� ZONE OF CONTRIBUTION [., ],YES C�NO DATE TO BE REMOVED, S FIRE DEPT. PERMIT ISSUED,' CC] YES C ] NO DATE CONSERVATION [ ] -CHECK IF N/A DATE . BOARD OF HEALTH TAG NO. A C _ ] DATE �r� tryC`"s Y1 PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD � nc %oil UU �a,n� TOWN OF BARNSTABLE UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS NAM 0 S 6e 1 I 0k�S IM E �V ADDRESS c l y Bje-f CJ6 81'p—dEr VILLAGE LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE: OR CHEMICAL I A&vc C-00tZ Lsjb cE So � 7sq i 87 E� (Give same information for any additional tanks on reverse side of card) DATE OF PURCHASE OF EACH, . 1 ECA lqg 2. 3. 4. DATE OF FIRE DEPARTMENT PERMIT: TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS Q i 7C: D 8 ejea 318VISNUVe d0 NMOl y - T NIJV3H 210 aaVoeOPAOUddV CL W N a f G h 'ON euoydelel S�Q oN AouetedwoD to e3831113je0 r 7 ssejPPV Vo;rd+o 1 eu BB l f fG v I CENTERVILLE•OSTERVILLE APPLICATION FOR PERMIT FIRE DEPARTMENT TO INSTALL-ALTER FUEL OIL BURNING EQUIPMENT Dates 19 To the Head of the Fire Department: Application Is hereby made In accordance with the provisions of Chap.148,G.L.,and Regula tions made under authority thereof by the undersigned for permit to install-alter,for the per- son or persons and at the location named herein,certain equipment for the keeping,storage or use of fuel or other Inflammable liquid product sed for fuel as descri ed below. 00 NAM , AME �(Qwneror O cupant) Installer ADD RES/� ADDRESS Description— Nam Manufacture Burner. Type Model or Size i Locatio _ Maid.Approved No. i Storage Tank: Typ aclty S gals.(or)Size— Storage Location Amount of fuel required for testing purp a gals. This application Is made with full knowledge of the current requirements of the regulations governing such installation, which will be made In compliance therewith. Note: If this application involves alterations to existing equipment,describe fully on reverse side. TOWN OF BARNSTABLE — UNDERGRUUND FUEL AND CHEMICAL STORAGE REGISTRATION MAP NO. 7 PARCEL NO. 0!S 47 ADDRESS OF TANK: 1 06-1- S T' V ILLAGE: n STD R.V 1 E-1--F- MAILING ADDRESS ( IF DIFFERENT FROM ABOVE) : E ASl O j T FE I V i 1--LE , 61A . OWNER NAME: 0\1STE s /VE 1 N C_._PHONE: f Z G/`7 INSTALLATION DATE: 11'7 BY: P.0-fr-P, COOL T-i C- INSTALLER ADDRESS: -CERT.NO. *TANK LOCATION: W62T(� (ommon Z n¢ TANK {LOOAT Z ON W Z TH mmommoT TO nu Z LD Z NO) .CAPACITY TYPE OF TANK Jt�EL • AGE -tl- 9 L + a TESTING CERTIFICATION C ] PASS C ] FAIL DATE LEAK DETECTION C9--'CHECK,, IF N/A TYPE/BRAND ZONE OF CONTRIBUTION C, 0/1"Y'ES ['' I NO DATE TO BE REMOVED FIRE DEPT. PERMIT ISSUED C 4] YES [ ] NO DATE !�e X CONSERVATION [ ] CHECK IF N/A DATE BOARD OF HEALTH TAG NO. C 14 ] DATE 4 ,_PLEASE PROVIDE -A- SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION MAP NO. `9�* g PARCEL NO. Q 0 ADDRESS OF TANK: 15M i oCa t~ 5_rK 7"" - VILLAGE: M A , MAILING ADDRESS ( IF DIFFERENT FROM ABOVE) : P.0. i5ox 105"9 657 =�VBL_t t�'1xi . b 5S" OWNER NAME: 6kj:5" iFK ARCSo t�Hre.1.n15" 1Nf- PHONE: qZ�g ZU 17 INSTALLATION DATE: BY: INSTALLER ADDRESS: -CERT.NO. *TANK LOCATION: r h mi A#41 N 6 p_-ri-A 6+ fA ii I tJ U i Lb I t\9 6r- (O C!O n I a R T A N K L O Q A T I ON W I T H m Q G P C C T T O m U i L O I N O) CAPACITY 5'000 &MLTYPE OF TANK 5rrE L AGE _ 3 YRS. FUEL/CHEMICAL TESTING CERTIFICATION C ] PASS C ] FAIL DATE LEAK DETECTION [V- CHECK IF N/A TYPE/BRAND ZONE OF CONTRIBUTION C ] YES [ Vf NO DATE TO BE REMOVED f.I h .FIRE DEPT. PERMIT ISSUED Et,]'-'YES C ] NO DATE ' CONSERVATION [ ] CHECK IF N/A DATE BOARD OF HEALTH TAG NO. C 14` 4�10 ] DATE >k. PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD TOWN' OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION MAP NO. *a PARCEL NO. � ADDRESS OF TANK: r2-€ LD& -C S T' VILLAGE: 0 s Tr fz"y (L l-E"- MAILING ADDRESS ( IF DIFFERENT FROM ABOVE) : fir)X 7 F i � ! J�E , if AI OWNER NAME: O\I.ST E K HA C nnZ(, Of t-la-i N E PHONE: HONE: � f� Z.O 1 INSTALLATION DATE: 1177 BY: �f.Tr- 2 t 06JC- "TnJ C- INSTALLER ADDRESS: ` -CERT.NO. ' k *TANK LOCATION: 1�o2 Tl-4 61/Q 8V I LD I t (3 - (D¢¢ORZnG TANK LOOAT20N WZTH R¢GP¢CT TO mI.JZLDZNO) CAPACITY 5p Q0 TYPE OF TANK STD E L AGE 13 YRS. FUEL/CHEMICAL TESTING CERTIFICATION [ ] PASS C ] FAIL DATE 2 4 4 LEAK DETECTION [ 4]' CHECK IF N/A TYPE/BRAND ZONE OF CONTRIBUTION [ ] YES 06 NO DATE TO BE REMOVED FIRE DEPT. PERMIT ISSUED [ 4 YES C ] NO DATE CONSERVATION [ ] 'CHECK IF N/A DATE r BOARD OF HEALTH TAG NO. [. 40 4-7 ] DATE � PLE ASE PROVIDE. A SKETCH SHOWING THE TANK LOCATION ON .THE BACK OF THIS CARD �sY A . M . W I L S O N , ASSOCIATES , -INC . O January 22, 1988 Dale Saad Barnstable Board of Health Town Hall CvhAl "sf ' Main Street Hyannis, MA 02601 "$ Re: Underground Fuel Tank Registration Oyster Harbors Yacht Basin, Inc. (our file #2 .0230.1) Dear Ms. Saad, Attached please find requested information on underground fuel storage tanks at Oyster Harbors Yacht Basin, Inc. (formerly Chester A. Crosby and Sons , Inc. ) Osterville, MA. A plan showing the approximate location of the tanks is attached as are copies of the current Fire Marshall ' s permits and testing records for the older tanks. It .is the intention of the owner to remove the three older tanks near the rest rooms sometime during the current year. My understanding is that two of the three are now empty and the third is being emptied in anticipation of removal . Your office will be kept informed of . removal schedules and permitting as soon a-s=more inforrrat .o.n.' s=available: -- _ _ _._ __ . r _•_, ..Should you have any questions or require any additional information please don' t hesitate to contact our office. Yours , A.M. WILSON AS TES, INC . Arlene M. ilson, President attachments cc: Floyd Silvia Richard Scudder David Anderson 10amw52 911 MAIN STREET , OS .T. R`V LE MASSACHUSETTS 02655 617.428 •1450 �� Notifipation for Underground Slorage Tanks TIRE DEit. . FIRE DEPT. STtATE USE ONLY ctaTlnuna 1 Copy to be certified by local• fire, departnw.n I.D.Number and: POSTED j AT: STORAGE FACILITY:` Date eceived� 2 INFORMATIONGENERAL Notification is required by Federal law for all underground tanks that have been a 4. pipeline facilities(including gathering liras► regulated under the Natural (ia, used to store regulated substances since January 1,1974.that are In the ground as of Pipeline Safe)Act of 1969.or the Haiardous Liquid Pipeline Salct) Act of 1919.or Nis)8,1986,or that are brought into use after May.8,1986.The information requested :' which is an intrastate pipeline facilit%regulated under State laws: is required by Section 9002 of the Resource Conservatlon and Recovery Act,(RCRA) Ei S.surface impoundments.pits,ponds,or lagoons. as amended. 6.storm water or waste water collection sy%tems: flow-through process tanks: The priman purpose of this notification program is trr locate and evaluate under- 7.li aid trapsora%sociatcd gatheringImcsdirccily related looilot s production and ground tanks that store or hate stored petroleum or!hazardous substances. It is /� 4 ring operations; P expected that the information you protide will be based on rcasormbl) atailabI- L/ s rage tanks situated in an underground area (such as a ba+xni�.nt, cellar.or.in the absence of such records,your know ledge.belief:or recollection. mi king.drill.shaft.or tunnel)it the storage tank is situated upon or abotc the rWho Must Notify' Section 9002 of RCRA.as amended. requires that. unless efloor. ; exempted.owners of underground tanks that store regulated substances must notify designated State or local agencies of the existence of their tanks.Owner means- races Are Covered! The notification requirements appl% to under. (a) in the case of an underground storage tank in use on Nutember B. 1984.or i gc ks that contain regulated substances.l-his include%am whstance ,brought into use after that date.am person who owns in underground storage tank de zar us in section 101 (14) of the Comprchcnsise Ent ironmemal used for the storage.use,or dispensing of regulated substances.and Res tripe 'nnand Liability Act of 1980(CERC'LA).with the exception of (b) in the case of am underground storage tank in use before Nowmiftli.1984. those s ed as hazardous waste under Subtitle C of RC'RA. It also but no longer in use on That date.any person who owned'such tank imrtndiC time ` includes crude oil or arse Erection thereof w bleb is liquid at standard the discontinuation of its use. conditions o lure and pressure(60 degrees Fahrenheit and 14.7 pounds per What Tanks Are Included' Underground storage tank is defined as any n 'j 'y uarr inch abs el. combination of tanks that(1)is used to contain an accumulation of`regulated s Where To Notif)' Completed notification forms should be sent to the address stances.-and(2)whose tolumc(including connected underground piping)is IOr i or i%vn at the top of this page. more beneath the ground.Some examples are underground tanks storing:1.gasoline.used oil.or diesel fuel.and 2.industrial soltenls,pesticides.herbicides or fumigants. hen To Notify., I.Ow ners of underground storage tanks in use or that hate been t •n out tit operation after Januan I. 1974.but still in the round.must notih bt What Tanks Are Excluded' Tanks rcmotcd from the ground arc not subject to Mat%.1986.2 w tiers,who bring underground storage tank into usr after Ma)8. notification.Other tanks excluded front notification are: 198k must notify within 10 days of bringing the tanks into use. 1.firm or residential tanks of 1.100 gallons or Icm capacity used for stirring motor fuel for noncommercial purposes: Penalties: Any owner who knowingly failsao notify or submits false information 2.tanks used for storing heating oil for conwmptkc use inn the premises where stored: shall be subject to a civil penults not to exceed S10,000 for each tank for which 3.septic tank%: notification is not given or for which false infotmation is submitted. INSTRUCTIONS Please type dr print in ink all items except"signature"in Section V'.This form mast by completed for Indicate number of each location containing fi !underground storage tanks.If more than S tanks are owned at this location, continuation sheets photocopy the reverse side.and staple continuation sheets to this form. attached OWNERSHIP OF • • • Owner Name(Corporation,Individual.Public Agency,or Other Entity) (If same as Section 1,mark box here®) Chester. A. Crosby & SO n's Inc . Facility Name or Company Site Identifier,as applicable Street Address Off Bridge Street County Street Address or State Road,as applicable Bar.nstab].e City State ZIP Cafe County Oster.Vil ]-e MA 02655 Area Code Phone Number City(nearest) State ZIP Code (617) 428-2017 Type of Owner (Mark all that applyQ) Private or Indicate Mark box here if tank(s) ® Current ❑ State or Local Gov't ❑ Corporate number of are located on land within 1-3® Former , ❑ Federal Gov't ❑ Ownership tanks at this an Indian reservation or (GSA facility I.D.no., uncertain location on other Indian trust lands CONTACT111. •N AT TANK LOCATION Name(If same as Section 1.mark box here ❑) Job Title Area Code Phone Number Chester. A. Cr.osb Jr .' Vice President 0171 428-2017 IV.TYPE OF NOTIFICATION ❑ Mark box here only if this is an amended or subsequent notification for this location. V.CERTIFICATION(Read and slgn after completing Section VI.) t. I certify under penalty of law that I have personally examined and am familiar with the information submitted in this and ail attached documents,and that based on my inquiry of those individuals immediately responsible for obtaining the information,I believe that the submitted information is true,accurate,and complete. F Name and official title of owner or owner's authorized represltntati`ve. Sign lure s Date Signed Chester A. Crosby, Jr. 007, CONTINUE 00WIRSE r Fo►m F.P. 290 Part 3 Page t , narn.r N,me(from section 1) Chester 'A. C r.o s b y l.o�at tki'&g� secllon`ll* `O s t e r v i,l l e, type No.` 2 • of:.4-Oa2e( VI.DESCRIPTION OF UNDERGROUND STORAGE TANKS(Complete foreach tank at this location.) Tank Identification No.(e.g,,ABC-123),or '' Tank No. h:Tank No.' 1 Tank No ".:Tank No 'Tank No. i Arbitrarily Assigned Sequential Number(e.g.,1,2,3.») Diesel- 2 3 4 5 , 1.Status of Tank j (Mario all that apply®) Currently in Use Temporarily Out of Use Permanently Out of Use'. Brought into Use after 5/8/86 2.Estimated A ears 9 vrs 9 yi,s 7 r s i• 3.Estimated Total Capacity(Gallons).., 5000 5000 5 i 0• ''� 2006 4 Material of Construction Steel x� x� 2 x (Mark one E): Q : O Concrete Q [Q ® Q Q ! 'bergtass Reinforced Plastic Of Unknown ease Specifyji S.Internal Protection (Mark all that aPP1Y®) "'14Wd is Protection �. .Interior Lining(e.g:,epoxy resins) Q Q Q Q Q None Q Q Q Q Q Unknown Q Q . 0 0 Other,Please Specify 6.External Protection � �protection (Mark all that apply E) Q 0 Q Painted(e.g.,asphaltic) 0 xQ Q Q Q Fiberglass Reinforced Plastic Coated Q Q 0 0 Q None 0 Q Q Q Q Unknown Q Q Q Q Other,Please Specify 7.Piping Bare Steel (Mario all that apply E) Galvanized Steel r771 Fiberglass Reinforced Plastic Q Q ® Q Q Cathodically Protected O . O 0 O Unknown Q Q Q Q Other,Please Specify 8.Substance Currently or Last Stored a Empty In Greatest Ouantlty by Volume (Mark sit fsf apply E) b. Petroleum ° r . Diesel ® Q Q Q Q t Kerosene [Q Q Q Q Q Gasoline(including alcohol blends) QIX I Used Oil Q Q o o Q Other,Please Specify c. Hazardous Substance o 0 o Please Indicate Name of Principal CERCLA Substance OR Chemical Abstract Service(CAS)No. Mark box M if tank stores a mixture of substances Q Q ® Q Q d. Unknown Q Q Q Q Q •9.Additional Information(for tanks permanently taken out of service) ' a. Estimated date last used(mo/yr) b. Estimated quantity of substance remaining(gal.) c. Mark box®if tank was filled with inert material (e.g.,sand,concrete) Pane 2 `. FIRE DEPT. STATE USE N nu Derr, • O l l'. a.nnatla . Copy to be certified by local fire departmiwi I. Number \ ? and: °' POSTED AT STORAGE 'FACILITY Dot ' 4� ` �`" t e eiv 4,5, 2 Notification Is required bi Federal law for aft underground tanks that have been 4. pipeline facilities lincluding gathering lines) regulated under the Natural Uas used to store regulated substances since Januarl 1,1974,that are In the ground as of Pipeline Safety Act of 1968.or the Huiardous Liquid Pipeline Salcty Art ul 1979,or Me,s 8.1996,or that are brought into use after Mal 8.1996.The information requested which is an intrastate pipeline facility regulated under State lavl Is required by Section 9002 of the Resource Conservationand Recovery Act,(RCRA), S.surface impoundments,pits,ponds,or lagoons: as amended. 6.storm water or music matrr collection ss�tems; 1 he primary urpose of this notification program is to locate and esaluate under- 7.flow-through process tanks: ground tanks that store or hase stored petroleum or ha!ardous substancrs. It is !•liyuidtrapsore%sorciated gathering linr%direcil%rrlatedtooilorpaspnduetionand expected that the information %ou pro%ide mill be based on reawrwbls available theringoperations: records.or,in the absence of such records.%our kbom ledge.belief.or recollection. 9• storage tanks situated in an underground area (such as a basement, cellar. mincmorkmg.drift,shaft.or tunnel)if the storage tank is situated upon or abosc the Nho Must NotIft. Secti 9002 of RCRA,as amended, requires that. unless suriaccof the lloor. exempted,om Hers of under nks that store regulated substances must notify designated State or local s�� c existence of their tanks.Omner means— What Substances Are Covered! The notificatinn requirements apph to under- tat in the case of an ound st a tank in use on No%cril It. 1984.or ground storapc tanks that contain regulated substances.Phis includes am%uhstancc brought into use after t s s@tf m owns an underground storage tank t defined as haiardous in section 101 (14) of the Comprchcn%isc En6ronmcnial used lot the storage.use.or Af c ubstanccs.and t Response.Compensation and Liability Act of19H0(CERCLA1.mith the exccptionof (bf in the case of am undcrg k i se before No%cmber H.1984. , those substances regulated as haiardous music under Subtitle C of RCRA. It also but no longer in use on that date.an. Ip?mned yNktankirrimcdiatelybOurc t includes petroleum.e.g..crude oil or am traction thereol m hich is hyuid at standard the discontinuation of its use. conditions of temperature and pressure IM deprres Fahrenheit and 14.7 pounds per H'hot Tanks Are Included' Undcrgroun r s defined as ans'one or square inch absolute). combination of tanks that(1)is used to contain ulation of"regulated sub- Where To Notify Completed notification forms should be sent to the address stances.-and(2)wk's s olumr(including connccte crground piping)is HY i or ? given at the top of this page. more beneath the omecxampics are underground tanks storing:1.gasoline. used oil.or diesel lue.�fd 2�cdustrial suhents.pesticides.herbicides or fumigants. When To Notify' I.Om nets at underground storage tanks in use or that hasc txen What Tanks Are ExcludFd' _Ill remmed from the ground an not suhjrrl 10 taken out of operation after.Ianuan I. 1974.but still in the ground.must notih M } notiGrtuon Other tanks cxrlud In r ru ed from air: Mas H. 1986.2.Omners who bring underground storage tanks into use alter Mai N. I.farm or residential tank,of 1.l(K)g Icsscapacity used lot storing motor Net 198h.must notil%within 30 days of bringing the tanks into use. for noncommercial purposes: Penalties: Am owner who knowingll falls to rrl or submits false information 1.tanks used for storing heating oil for consumpt4c use on the prcmises inhere stored: shelf be subject to a chit penults not to exceed S10,000 for each lank for which 3.septic tanks: notification is not given or for which false information is submitted. Please t%pe or print in ink all items except"signature"in Section V.This form must by completed for Indicate number of each location containing underground storage tanks.If more than 5 tanks are ov,ned at this location. I ` continuation sheets ►ihotocop� the,rexerse side,and staple continuation sheets to this form. attached • • 11.LblbAtldlkOP WWI Owner Name(Corporation,Individual,Public Agency,or Other Entity) (If same as Section 1,mark box here l) Chester A. Crosby & Sons Inc . Facility Name or Company Site Identifier,as applicable Street Addr ess Off Bridge Street County Street Address or State Road,as applicable Barnstable City State ZIP Code County Ostervil. l.e MA 02655 Area Code Phone Number City(nearest) State ZIP Code (617) 428-2017 Type of Owner (Marie all that apply®) El Current State or local Gov't 0 Private or Indicate Mark box here if tank(s) Corporate number of are located on land within ® Former 0Federal Gov't Ownership tanks at this an Indian reservation or (GSA facility I.D.no. uncertain location on other Indian trust lands WNUCt PtNSON • • Name(If same as Section I,mark box here ❑) •. t Job Title Area Code Phone Number Chester A. Crosby, Jr. . Vice President (617) 428-2017 • • Mark box here only it this is an amended or subsequent notification for this location. 9. • I certify under penalty of law that I have personally examined and am familiar with the information submitted in this and all attached documents,and that based on my inquiry of those individuals immediately responsible for obtaining the information,I believe that the submitted information is true,accurate,and complete. Name and official title of owner or owner's authorized representative Si na re Date Signed p g 9 Chester A. Crosby, Jr. . /°��, ��j� v r • . r .Form F.P. 29D Part 3 Paget i,Cr•osb Owner Name(from section I)Chester A �1 coca Strom 3ecflon 11) Os tervi 11 a Ps9e No. 4 01 pox Tank Identification No.(e.g.,ABC-123),or Tank No. Tank No. Tank No. Tank No. i,Tank No. Arbitrarily Assigned Sequential Number(e.g.,1,2,3...) 6 1.Status of Tank Currently in Use (Mark all that apply®) Temporarily Out of Use Permanently Out of Use Brought into Use after 5/8/86 2.Estimated Age(Years) - r s 3.Estimated Total Capacity Gallons 2 0 0 0 ` 4.Material of Construction Steel (Mark one M) Concrete Q Q Q Q Q Fiberglass Reinforced Plastic Q Q Q Q Q Unknown Other,Please Specify , 5.Intemal Protection (Mark alf that apply None Cathodic Protection LQ [Q Q (Q Q or LVCathodie None rUnknown 6.External Protection Q Q (Q (Q Q (Mark all Hraf of ) Painted(e.g.,asphaltic) ® Q Q Q Q Fiber'gla i forced Plastic Coated Q (Q Q Q Q o��> None Q Q Q O r Q Unknown Q Q Q (Q Q Other,Please Specify Y.Piping Bare Steel (Mark all that apply®) Galvanized Steel Fiberglass Reinforced Plastic Cathodically Protected [Q Q Q Q Q Unknown Other,Please Specify 8.Substance Currently or last Stored a. Empty In Greatest Quantity by Volume b. Petroleum (Mark all that apply®) Diesel t Kerosene Q Q] Q Q Q Gasoline(including alcohol blends) Used Oil Q Q Q (Q Q > Other,Please Specify c. Hazardous Substance Q tI (Q CQ Q Please Indicate Name of Principal CERCLA Substance on { Chemical Abstract Service(CAS)No. Mark box®if tank stores a mixture of substances Q Q Q Q F Q d. Unknown 9.Additional Information(for tanks permanently taken out of service) a. Estimated date last used(mo/yr) b. Estimated quantity of substance remaining(gal.) C. Mark box®if tank was filled with inert material (e.g.,sand,concrete) Page 2 � AXLr- "rea2 . x; S�.S gg,dL - oaAd Gt.68o E N Fixen pie4 Pao -- 07 _ }� t dose( _ _ gq.dt c8. Do"`i �"I -- w,_ 1 N C Fir6� Su cox. - _ 1 ••"� - ., 2 3 dc.�. W (A ICAMP ,t. aye Cave .'Wt `isy,• ! s1-O°'•32� Ce.�o.\ j OIA \ :•0 O .. . . o��, �b� � 5a3'sF ' `t ° F.xea P.sc \.\ � .� ; •,^ri µg5� �t �rQ'�'�G,sG�-yA�' �1� cl Pa n �v /bX'/ y3� ' 3• • ., `0, '►Pia J( Gg J� p ,¢ -�,20 �(l�• Q\(fig � ° � �� \•00 O\.5\ ......M t......O•w M D..•.. AMN„ r,.w t....rl.r Gry N.rr D.0 r f.w / TANK TO TEST CAPACITY' Fro. Er rrwH rl r.•^�R...rw Naru Caeor ! ersw . O Tan.M.wleruw a Chrt Gw eperlaeDN ` '� `�Lt DrmM Coeioenr Ergw.eq D.0 R It a..aoea b to Tnr 6eaerir/ Cl CAra wpolyd—a Tan Ee.Eeemo'OMAMINIHD TANK CAPACITY' L OUr J 1 FILL-UP FOR TEST . sac*ReaOirga Tess as how" . f a.ar,a Fla up.STICK S[/ORE AND AFTER EACH COM/ARTMLNT DROP OR EACH MMA[D DUMMY QUANTITY Trd Orrrbe r �/ ✓ / /J Product in fuK tang imp»R.DO" •.9 . ,) f7 SPECIAL CONOM l PROCEDURES TO TEST THIS TANK 0IU S l r�:.`G" '}/ T T L L- 'VAPOR RECOVERY SYSTEM 3w"..m r cur O.ow record in b V wow In tArrr a t.,R aacarenee ❑ ILyei tri v Named wM LVLLT ❑so"E . TEMPERATURENOLUME FACTOR III TO TEST THIS TANK •� is T"10 w? Colder?0 F Pr000■Trot rd m F d-w PoC Truu_•F Eepaed Dww 1•r-1 (6171a7tJtlf. r^ ,I r� V F" Ttrerms&Sabor reading otter circuinom �'1 O —'('{ •t*. . �Ujt JIM'S P T I K SERVICE' Otprrpr'Fin rrga dt eapeed dreBa ,� , fEATuwNc 1[ENT TWO EQUIP. `5 x,on o L 13 h 0 _ A q y G E y saw�Y eo•rrrcfera ofe+p•,ereA b ewkarre cMrrpe inDMa tart IIrE Irdl IlE e11T) breered p.odW pr'F P.O.BOX 21e JIM CteASE kARWICK.UA O2W /. $�//ie erg ch-W W'P 1241 Dtpra per IN am Vok we et+r g per di^ 101E s1DRostaM SIT Mum OLM Wjs1Kl=A Octirw O>�r Edi OfT[Si/tIdCE0111ri C KCW A J/1 IY SY rx=W '[ OiAadro (A01 KADuIc Soma.—L d Ir.are r e..r.. l.+erm r ter t..r rare am Record deta@t of May tr y+ 'ter - rwrr R.Me.d d lae.� S••wada• A*Oa.W Ira w e.e.r. . a"reaaing Nit.fuss �e► U." rid.• kl•I.1� waver w-A no hp4 w Ewe i mos") Ewd N .warms 1101- Ah r w.aa g �10 t..r�.... i.1) r=e. D+b r A-mag. hm-W A..e� Y.L.d a.-."1.1 I- mew eeer a eisM-eniti th I' r4l pk + o.Nlr nta sox `1 o rfl hog 2 35. t M b . 7h si� -1-q. I.Or,/ /-r�;.l /s -30i.11IW .ypo o . i� o 9 GB if-Id . 661P . 19irs I l�. _39 �W �y 1 , g 0 rev 19 7G i}.cyB x Ism �yr 3 9L 1 yo 99a . •(o l?a 9041 (11 i r6 09a 9 ?a tg Itayek -r 1, 9'a9 9 0 a? I I q7 o r L , L v c to 00 L4 r ro r . o tv 0 uI -AF q 0 7 0/R 4 2ai,6 ,) . c30 b -h PI/ - , off •�S � i O D S 1 I e, n 1 '71- � 1 I is u JL, < , ,4 i /h':/: /J (/,j / , /'7 N-)J . `I/ r J I.r.M{.rM•Y O-w..M Dww AN..,, M.W{w.wl,� GA {�.. O.M M 1� - TANK TO TEST CAPACITY n (' �) L. fbl.M Cww1 �, V /7,1 NM.nM cw.+. �• 67 d G 6.ro�wn.resin • •!l 0 d ` r.,.M.nul.n,...•.ouw X 4 ....., 7 4. L j boat r`TM C"-ft 1 ❑ _ n CIM,w woobM v..w rm ww .... E.e S.{I. -0[r[RMIMIND TANK CA►ACIrV- L Oar 1 RLLJ1P FOR TEST Bak*A Ab.6e twl D.A-w b,w w �� O•sb.r ..R•e•b.b bete w.wr boned been►ry brunelT (! O C� on M ti ,Oeeo,r - n 69,:TNY b[FOR[AND AMR EACH COMPARTMENT DROP OR EACH M[T[R[D DE,rv[RV DUANInTv Tw*Dk .~ // /�/ / ►IoOud In NK b*(up b n plp" IfC i( 0 0 001, SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK Q f iQ l/F,O /9/oI LL' VAPOR RECOVERY SYSTEM . s.....w.ae„{..eloer CMeI beb+wd..ew4 wee.e.w+w lot(261• ` Q R�?�e T�a TD �-•4� I"1�( '�, ❑ WdW ti b+M ❑ NO W~b.bbin Unk e{d•{OOR ❑ Ur*el b•by WOW wIlk EYLLT `❑�. . J TEMPERATUREIVOLUME FACTOR(a)TO TEST THIS TANK (61 T)..S24214 b l*Mw wrl.rT C Co"1 Q_•F ho010 w lot F. Ww h000a an TR.ft F E,m{a{a Ownp 1.w-1 . T1.wwatiiw.eo.nrAkq~obuA~ ? J o 1� ]IM'S PUMP A TANK SERVICE' Obeo{p.�rbl.o„prabep«,ranlge__,� M • iUTURINC RE►rtJ{OORE TESTING EQUIP. w It"vu•dlr In 0n.1Ud..t a o p."1 A 1m .ok....ehr.ve in*IM b.* P.O.boa 22, I�1 JIM CHASE HAMwCK MA 02NS �" .' •! "1 �' ', {eke�e Uee'P Two Ill rw 7" DyRr pw v M W vokme rJ+r,pe pw d pL Ilme 11wge,27) Cwr4oLm O e Oeoeftel pwam %now Ey . U[ i VOLDW M T[S/FRE6DOKE sm K[ ULM wiSIVEM IN »>•T1tR OmH 41 M CeM10C[ AQ1 p{RrtATO OSeiR4 OO A Al Olt H FIC1E1 .lAC1■AG{I16 . to.iw.1..A l- ■41r.•,•..n eeb Asorl buih d aain[up �e•e •1i•. R.M..�i a �r a.." [-W. i.e.. b"Ir bw w . W twice Rfl lUs{h0 K{ e�• kl•NI wm N+.r b•rtf H Iw i eabLl sv-" Ld w s.1.. AN. FL{.11 v.eq p E.- - r1 i i •ds••ft.,rrbi R•.. a d.a. --o..,q R.aw - o+...e 1.1 am•u..tl -•1TIrI-•371T1 Sr.4 'Cc GN c, ArC y�: / P 1,7 J A,;A,4 7L �,)r T V 7..> , 4 L 1-0 • 5-5.3 . 3fSL� oD I r �4v '0 3 2SO — iJd ? f/ fo -119121 '► yd. I el? 4 , o I�.f7,r u f t i • 41.d 9 " QO . 6 DC),-o 06is- .og IS 11ao ?0 6 7y6 t0y0 2 41,1 .22.9 7 +0 b! ODD 0 1 ''S f1 So �4D f.OfLi .bjli" 0 �Ba kepi I 1 hl v 0 ftw � I I I � 1 77 .1.•••.M t•,.M•M f>•,w M OM,., .Y,... M w e••.M(•1 Ge, • e..r a....r Too TANK TO TEST CAPACITY Flom Stab"ChM i 0• �r Ton.cov.w ' G 7 i fen.M.n1I.Nunio Ol.n �. -�-/ 1•.•oq ti.+•... A.'w , 6..... � C.wv.nr Iryw«rl•Dw ��. r i 12 W.d.WM..a.TM C..."l I] chy weak".4h TTTT }) w ww iM i..u..-DETERMINING TANK WACITT- ' FILL-UP FOR TEST E»»A'*ng* Q abovall �r" • Ewce wow boeoro .._� . tIMOT•FIA,.W rrvo.loorY /• To M a. 6.eoTM Fib up STICK BEFORE AND AFTER EACH COMPARTMENT DROP OR EACH METERED DELIVERY QUANTITY Twlt DlraoMr / /�/1/ � Pnoouot In luE laTla 1•V to N PIV•1 SPECIAL MNOMONS AND PROCEDURES TO TEST THIS TANK + *'O APOR RECOVERY SYSTEIA t, See Tn.ur..dle a .ROAco"L Cho"r.br MW nerd Tlre..el..it le•1251. CQ/(I�Q= �%6 n / o /,...�.�'. ❑step•1 I V p Wow In hnr p No roar MOIo it twlr aaeavwlaR p Un.(a)b ov W~VA*WLLT p am"/' TEMPERATURE/VOLUME FACTOR is)TO TEST THIS TANK V (/ (6171.72�21E b Tmq ornllTrT G COt0e11 0_f PI•elp■Tax_'F •FA.,--I�p iro•W a Trv4_•F EnaaW Ua17A(•a-► II `~ Thermal-S.new stow eircomoson n rd / 7 -'Lf Cf.,F .J f..ar10 a•. N...r ' v JIM'S PUMP 8 TANK SERVICES tKpt�Fr S Yl fwlG.a•opeCA••d+wa Dam FEATURING KENTJTOORE TESTING EQUIP. lolboeme TC6Y wharolk,In oo.t•riart of•gvanalol b vok~clrgo In ada tmm* ke am*Its of IT) YT.owetl poraol per P.0.BOX 224 JAM CHASE MARWICµ.MA 02"S /. / 7 y '} . 3 0 / _Ln P tf C+ )0-7 mow+` w p-F P4) DKiw PM•F r No Yokow dw9m or disk ti - •— •- RaMp f2i) CaaplT•in♦o.•.uat pboaa ETafof(Et •TO•QSTATIt ETtstt tuEmc M 13rmuE Es•1,TQRRE Aft vK w( A®.taATO EOS OF TEST poomouKI � law A JEI GA. Ea MISS III EACH AEAOIM CIIA•6E • t....van r No 1...rye OKI w er Rocwi htm%of&"isa.aua 'Ydam �a Amoba"1-1 lerelr Rom�. A••.t>• u�w arr�ra ad no"b"L(um 1r1 to E, 1wr r_ ir.. Ewru' E� ::• - �., ■U.L a-am Tea boo of it if a.o4L) • .+r &.6- An. h.A.a a-W-4 (b C..•.a..= t.r.ar 1-1 uaw W N• • D.rI R..er• a.....f �..� tr.Aq I a�+l•1 Aarn-Av(A am ".A .S' OF � t ,.•mot 0 tD fAl i 6D TL d op :0 3q t, 9 v r al5 N4o ,tao no/o 7,v r OSOLI D Del /no' �� {^,.1 ;/� � . �l�0 • �,'e f.vaa l.< II �'v� J . h l�' i l�3n L L.-roxi, ill, '1 e .Sa D �.S�D .Ob 0 1; D 3 .6 1 •Of y . OlIq y r . G )' O .' $?3 t!2 atov to�oy , z o el 2 If 0)7P z u a I 5 fi o0 (. 1 1. i t ASSESSORS MAP NO: 93 TOWN OF BARNSTABLE PARCEL NO: 9 UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS 1 NAME Oyster Harbor Yacht Basin Inc./0yster Harbors Marine ADDRESS PO Box 1059/Bridge Street VILLAGE OstPrv; 11 P LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE: OR CHEMICAL adjacent to travel lift 5000 gasoline ±11 StPPI 5000 gagaline + - steel Of u 5000 deisel ±11 steel (Give same inTorritation for any additional tanks on reverse side of card) DATE OF PURCHA-S-TW EACH: 1. Sent• 8 7 2.. S F_ .n_ tom_ 8 7 3. S A�_8� 4. DATE OF FIRE DEPARTMENT PERMIT: .4/2 2/8 6 TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS r 93 ASSESSORS MAP NO; TOWN OF BARNSTABLE PARCEL NO: __ _ _ 9 UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS J 1 NAME Oyster Harbor Yacht Ras in Tnn_/nWstPr Harbors Marine ADDRESS PO Box 1059/Bridge Street VILLAGE 0sterville LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE: OR CHEMICAL garage off Cockachoiset Lane 3000-', gasoline ±9 steel i " 2000* gasoline ±14 steel t�c rev/1 ---- -i� 2000%': gasoline ±14 steel (Give s me information for any additional tanks on reverse side of card) DATE-OF ,. I�j� _ EACH: 1. Sept 87 2. Sept 87 3 Sept 87 4 DATE OF FIRE DEPARTMENT PERMIT: 2/$6 TESTING CERTIFICATION SUBMITTED:," -(conies �attached� PASSED = DID NOT PASS to be removed duri g �calendar 1988 TOWN OF BARNSTABLE UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS Chester A. Crosby' Co. Inc. NAME ADDRESS Bridge. Street, Box 490 VILLAGE Osterville, Massachusetts LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE: OR CHEMICAL Cockachoiset Lane 3000 gasoline,/ 7 yrs . steel Cockac.hoiset Lane 2p0 gasoli e� Cockachoiset Lane. 2.000 gasoline.✓ 12. yrs,. steel Bridge St. (Island Side) i 't�`"` 65 ares�.T,; 3�3 yr-s---st.ee1_ q5 (Give same information for any additional tanks on reverse side of card) DATE OF PURCHASE OF EACH% 1. 2. 3. 4. DATE OF FIRE DEPARTMENT PERMIT: TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS _ _ I 'J LOCATION OF TANKS : CAPACITY: TYPE OF FUEL AGE: TYPE: OR CHEMICAL �5 Bridge St. (Island Side) 1000 diesel 29 yrs . steel Bridge. St. (Island Side) 1000 diesel f 29 yrs. steel Bridge St. (E/s North Bay) 5000 diesel �y8 yrs . steel Bridge St. 5000 gasoline: 1�8 yrs. steel Bridge St. 5000 gasoline 1�8 yrs. steel -- -+ �' "k..�.. Y T M .4 '4. tF "'•c- Y Si. xC .'..-r '�T'^ 'T'-- r $max N + S "f -a. M" M e. � FORM 77 IOOOA :., � � p z„a� - � ," , eta Ghart for Tankt_, ., -, . Tightoiess Testy 4. 4 1k USING AEN ..... RE :CORPORATION TANK TIGHTNF SS TESTER MODEL 1000 For Pat�tet ^� '* +` h Copynght- KMt Moore Corpo►aUon 1977 a i , � of 50 Charts: c PLEASE":PRINT-r r tt v.'a s_� :s ,�: , k Order J.2339frA r 1 OWNER.Property..: I _-:l'D_ ./J t �' a� x I ''�`f " .q �O Tenk+s ama + 3; Address r Represen five Teleph n `'' c. - Name + +.rAddress ., r, '.�Represenretive + --- �,Tele"" one .Name Addr - x . . � Telephone t,- r' r 3. =REASON'`FOR " � ; ,NEST < a � Y (Expl in Fully) r r } - o- U r `4 A '4. WHO.REQUESTED if- ' TEST.AND WHEN Name 71t1e r Company or`Anillation A; pate . , _, - x 3 1 s.>- `', ,. - :-.: .:.Address ' - - Telephone, ., y r:: 5 WHO IS PAYING_ G N';� ` x�,a�- - Company Agency or Intlivrdual � rson Authoriz n9 - < �, t Tide ".,a .�rTelephone c ' FOR THIS"TEST? _ -� , r ¢' `y�,r, 3 -µ 't,��.Blll`Ting Address 1 +'- ,,,G City 1 �� _ -State�' .,.-�+-- ,.,,ram ZIP �.�...�- ." v.: �.,,.-- a. . ,,s< ,I..,� b Attemion of: :: t� _ Other No Other Instructions. �' a ,� ,r hienUfy by Direction• Capaaty. Brand/Supplier Grade Approx Age Steel/Fi erglass " 2"- 6 ,TANK(S)`IIV110LVED �G� P d.'o `�iF [! - ' ,r _ iooatwn r -Coverer' Fills f Vents Siphones Pumps` ,' ,z t ,� w r:- ,Z , 71jINSTALLATION _, �> `' �� ,k ' r a ! a DATA U- '" . x : '"'�,..w �'?r .f%'".tc 3E' `-•+�' a rv" ; 5,g x `'" { _$i's ry: a Ag°-1 �� ,y, .y "�..2pe. .1 �,1- ry+ �1 �,•, '-' "u�-r",q+3`j! 7f",-::-r"^r'it. .`�,. h S +�"�YTa"tf - h��'."'` "> ,,W-rya'-1='�,7f. i�. -+?"f�''', ' k a'�i^"..;i 'r�Jr. :�rc , 4-^5 '" '-^n nl�Cf ._:, �. Norlh.InslCe`ilrfveway `A CO�rer'to'Black TPP'C 'Slxa.;T'.tefll�'!n4k&.Drop y A re `" Suction."Remote r-, 4=z <<. ..:.+' ..,, -Rear of station etc 3, Earth etc T.x tuNes Remote Fills ;;Size Manffolded.} -� ,�.Whrch tanks;rsa ,k, Make-if known *-✓�,,,,,; 8 UNDERGROUND - ' r = `` Y " w Is the water over the tank 7 Yt WATER �,, n Depth to the Water table _j Y� o ; Y , " * s s Tanks d� fir Date Arranged by - y 9 FILL UP ' .^ Name Telephon, ARRANGEMENTS Extra product to 'top off and ru Lead: �. n _. TSTT How a t y i a �'- Terminal or:other coot M, '" ;,€ s � for notree o in I: h` •_ r ,,. >� i Company Name Telephone s� 10 CONTRACTOR MECHANICS ,. i ..,, - s : - `2 z - e ->< s-1. / *rt#'+ '+ F';%. t _ aI <p 4 , any other contractors , 4 "� -4,ra..ww Jnawtvsd»-rra..-w 4--9-a3, >s��'"•4�' d -.J.: ;-}- - _ '' `"en -7,-"` -a 4. - `k 11 OTHER - �' 4:` " ," V . ,aq hINFORMATION ` ' i, ti _-,. a T Ot3 REMARKS _- s ;_ . -- F � ,: {, 4 F ? _' , Additional-information"on any items above.Officials-brothers to be advised when testing rs-in-progress or completed Visitors*observers present, :. - s duffing tesretc '' x � _ - t c. ter - -Tests were made on the above;:tank systems it accordance with test Procedures presorihsd forKeM Moore Tank:Systema Tightness_ ' 12 TEST RESULTS ;Tester AAode1 1000 es detailed on attached test charts with results as follows s r;. Tank Identrfication Tight Leakage;'I4cated Date T ed ,M w. ._ ; ,� - >r, x -. I. , . . .- .- ...-. - .. - - :. .. . , . r This Is to certNy.that these tank systems ware tested on the dates)shown Those Indicatet,as"Tight meet the cHteNe established by ' 13' ERTIFI ATION the National Fire Protection Asociadot pamphlet 329.: _ Date;. i • y. �r sung_ ontractorar C pan By:. Signatu r -I ._ Steel NO of TherrmW. Technicians - Atld U " o-- x "..: r S6f1a0K ..V" - 3+z _ "t - _ ,.. k �1 1 ,,;..` =a' .. .N.T.M-Sunuw..Jr,..or.MMa. -vn .:. .n.m•.fty.� '� r,,,,,. - ..• n•1•. - fAaM:Tan _ . ram;~ TANK'-TO TEST. CAPACITY ' F1O1A ` � N' � t- �/I� N 'n.f C nK fr/•d U a+Paafh uun aradaON tank Mawfsgwr s Glat'� _ f 1e.muv o yoruo•-. _ m s_ �w:.. :a f w,m �Comppfy Enpkwaenp 06u ... Ir tows OouOt arro TrW Cawah 1 F.7 Ct4rta aupFt4d rndt TSiiU. esaBaetlsn"DETFRMINMC TANK CAPACITY •�, ...w• -1_peMi j. ` FILL^LIB.FOR TEST y... GRe+W' Stkk R�edMes Toiai to Gallons. sa ....SU¢k-Wtrter Bfkt/0T•' nr— - _��•'�• �. G x'.;. ..f +, odors FlN-up -- k. tms^torN ��[-.ET,9/•. _.-..- ro w.in. 6elrorte $ Fill uprSTICK BEFORE;AND MENY_OROP..AFTER EACH COMPART OR EACH METEREo DELIVERY"QUANTITY, r '/..., - j TaM.04meter M..t. ,, �„ ;�Produ¢t fn h.N letdr 00,to(IN SPECIAL CONDTRONS'ANO PROCEDURES TO TEST THWITANK ,VAPOR RECOVERY SYSTEM factwns roWra¢N"CMet twiow an0 wean oroeaouw M loe(I6), I-^ - _ L:,,Wfdp In un4 _�,Nlgh rreMr.Nale fn tsnY.ipaosrdlen. 17 U r(s)b" Issued WM LVLLT TEMPERATUREiVOLUME FACTOR(a)TO TEST-THIS TANK r - t- <k - Is To¢tT'NumM[Z CoWeA F Prod Tank F f n�fp ProOuet on r uce.'_ F EkOeetfnl Chatfpe(';�or ) - - .;16171 4J2 5216 3 s Tlw.met•Seneor rss0lne ftfta areltlebott ' Dipns Pei°f in rsngs d±esl;;Wed f:ltanet �If 15 {'i till' rA\h SbRVICE ew•! 2, v FI ATURfN 'KtNr 4OORE TESTING EQUIP Vie• K""'"``-' t X +Olt O� • d a "• nsa ' x- a V yeW ,.. ,VWrdty in -eoelRCletN,Of fls�ltsiatt IN `YORaRe ClwtgP in 0";tsttk .aM s� trat,(te«tt► lnVWredPeOiFet per'F _.: JIM CHASE. -_ NARWICN MA 02(Nt6 Tws is +. z ' .. "` ::R n - vegatte CIWgeP{fsr'F(2/)Y Dt01p Pr'P in test YOhrtte t9tMtgs qr diEpi. test . e' • _ "1lefee(M. "Ce1nPUte:to4'A¢dnYl pisep: ,lector(s) x..;""•a S RTOMSTAIIC NET rOLOYE ME - `4'tLGG OF TEST FBOCEOSRE3.. _ ►11ESSURE M ,; .. CHARMS A=MWATO LONTIIaI EEEOFO to Wo- ;OEE JFM W EIKM NEAOINa 3.,. �" I ;;. <. ". = I ` Sra4wilarM : ►eeort _' ha¢urtk, - pf .t a .TAsinaf w "¢u[ Reeord dedda.¢f uttfnq uP-'" twee:. ^'t^''T S GrNuip ,r�1-, _ Rrpaa11-1 "'TM•siI Rpka+ le}.,}rl vokafr tkNa 1 `ti-and tuea¢q it�C(Uts full J �'`. 't to -':.Easfasas Uwt h ., Swv.ti la+ar;� I EgMt�• EiptrWoff 1 I a ,Al rlangtAofh¢r�tnsedsd) -„ I N �: nNce eNnw i' Ana n.nne`` RaafhA L,.Id' I Covatties caam¢nl - `.._...`3 r ,., -r . --. NnaME :'RanvNNafA,fp W RrwuE Nnemre L!1 s. yi `'�:r.r33M a3T(T) --tNFA tnfaNl r F Al r eAZ U16, y _ 1, to I lit 4 E r' I .TM _ e. ( NAME 4 , LOCATION i< } lgf' r �d e St` 0,` tervlle Cr' b Che ter^A. B 1 s o`s s �,- Osterville +, P 0 Box 490 (Island Mass BOOK` & PAGE — DATA' GRANTED' i 1 "AMOUNT .STORED : 37/244 " April 11, 1947 ,Under, 2000 gals..A., ation ,Gas 'f Restriction lifted s.R.17 book 77 i MAC�tv. _ o• 197,E - March r22 i 1980AR I , VAV MAR NAME LOCATION Chester. A Crosby Co. ,Inc. off Bridg£ Street >41p, off Bridge St" (Cockacho set Lane) Osterville, Mass. BOOK & PAGE = DATE GRANTED AMOUNT STORED 77/211 & 212 April 1, 1969, Under. - 15,000 gals in 3.tanks 77/?87 April. 24 1974 Gasoline DATE PAIDUnder--10,,000 additional (2. tanks of 5',OOQ gallons3 1973 - march 22. each) Mort - 7 1974' VAR - 7.1975 ir�E►Ft 81976 �,THErp` � TOWN OF BARNSTABLE �O�� f l lv_ D OFFICE OF i BADWSTAILE, i .BOARD OF HEALTH �p 1639. e� pTEO NAY w- 367 MAIN STREET HYANNIS, MASS. 02601 February 17, 1981 THIRD REQUEST Manager ger Chester A. Crosby Co.Inc, off Bridge Street Osterville, Ma. f i Re: Your underground fuel storage -tanks located see locations below* Dear Sir: I I On March 11, and September 30 1980 wereof the Board of Health Regulation foryou UndergroundtFuelopy Storage and a card to fill out and return listing information concerning your underground tanks. _ You have not returned the card nor acknowledged our letter. Town records indicate that you have received' a permit to store fuel underground. Please be advised that if you do not return the enclosed card within five (5) days, steps will be taken to revoke your permit. Appropriate action will then be t taken to have your tanks neutralized or removed. You are also reminded that any tank fifteen years of age or older must ,be tested by the Kent-Moore Pressure Test. An empty tank may be tested by a 5PSI Air Pressure Test. This testing must be done immediately. The enclosed card must be filled out and returned immediately. Very truly yours, Kelly 4irf)t4z of Pu bic Health JMK/mm encl. 1 * off Bridge Street (Cockachoiset Lane) Bridge Street, Osterville Bridge Street (E/s North Bay) a ; '4 i�rre- fr - . a I .z-d !, „t. '-„-qa. s �, •-'�£ .rr: -+-,j- E.;-, y YCrosby, `Chester A � _ ft x Bridge St Osterville ' O. Osterville P. - d � °$ox 49 0 r (Island Si. e) zr.�- s -� � � :',,.Mass• x'S i r+ _ �. " �.w3 .: t-- ,• a r �:= �• >~ . :� BOOK &. `PAGE - �DATE`.GRANTED `AMOUNT .STORED 19�+7 °F ;Under 2000 gals. Aviation Gas � _ 1 Restriction ftedy�-s.P.17 a � f I N Y DATE PAID = MAR - 4 �• :, 1 March 22 - t y "�, d s E, , -c� `s+ '�7� _-_�iAY r #�79 t i 4 ro'-� � a - � � � �•s � z � f BAR_ • S 1976 � - `�- I r- j LOCATION # ` or Crosby, Chestex .A. - Brid a"St. Bridge St P.O.. Box 490 Osterville OstierV111e Mas9• s;�h �a3� y�� :�, � rd` .� Y . r .; f , �, r e a k 3� , - tom' •-tea. r r .37/65� � May '10; 1930`` -Under ° 00 .als. /,s CO� /�7 ✓p��,/�,`' �` ` ?7/94 April 13, 1961 d present ]500 Add 3000 MrF d `4 nt � Add'1.= Prese 500 2500' •DATE 4PAID 973 - 197 1, 1974 r 19 1977 t LOCATIONS � ' t x - r Chester A. Crosby Co.,Inc. �_ off Bri d £Street 8 r , t `3 8, •..= �(CockacholsettLane) - - '_ Osterville, _ 3 Mass• :PAGE -DATE rGRANTED �. AMOUNT STORED r .K � 7?/211 &„212 April 1, 1969•: :_Under 15,000 gals 3 ol :in } 77/287 April 2�;, 1974 .Gasine_ ' - DATE ..PAID 5�000�- Under--10,000 additional ;- _ s `ll on s 1.973 — Ma_rc 22h�. I - M - '7 .1974 .. 1975 r f' , • f • 44 Manager a r ti, r Chester A.r Crosby- Co.Inc. off, ,Bridge Osterrville;, Ma. L Four locations see. below 4 r ,.r off Bridge Street`' (-CockachoisetALane) r 6 r Bridge St. st',,Oerville Bridge .Sto .(E/s North' Bay) THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I A , m / �0(�"-J LI DATA w The Commonwealth of Massachusetts Hyannis, April 13, 1961 L I C E N S E rt In accordance with the provisions of Chapter 148 of the General Laws, a license is hereby granted to use the land herein described for the lawful use of the building or other structure which is/are or is/are to be situated thereon, and as described on the plot plan filed with the application for this license. Location of land: Bridge Street (e/s North Bay) Nearest. cross street. .. . . . . - Owner of land: Chester A. Crosby Co. . . .Address: Bridge _Street, _Osterville. . . . . Number of buildings or other structures to which this license applies. . three. . . Occupancy or use of such buildings: Marine storage and supplies Total capacity of tanks in gallons:-Aboveground. . . . . . . . .Hnderground:Present 1,500 Kind of fluid to be stored in tanks: gasoline. addition 3,000 Restrictions--If any: . . . . . . . . . . . Victor F. Adams ` Barnstable, Mass. , April 13, 1961 Received and entered in :tha Clerk".a Office of the Town of Barnstable, Book of Licenses 77, page 94. Town -Clerk The Commonwealth of Massachusetts t' Town of B ar ns t ab l e N : This is to Certify that the Board of Selectmen hereby grants a license to Joseph V. Gomes at Odd Mill Road, Osterville. in said Town of Barnstable to keep One Pool Table for public hire, to be used for amusement merely, and - - Y. . not for the purpose of gaming for money or for.:property, .in accordance with the provisions of Sections 177, 178, 179, 180 of Chapter 140 of .the General Laws. This license is granted subject to-Sections 20.2 to 205 inclusive of 1 Y 4 S ., and- upon - " :.. Chapter 140 of the General Laws such .terms and conditions as adopted 9 3 by the Board of. Selectmen relating thereto; .and shal 1962 unless sooner suspende l continue in: force r � R until May 1st,. d :or _r revoked f the Board of Selectmen this 21st day of April, 1961`: �n B orde r 0 Y W :_Sears, Town Clerk Barnstable, Mass. , April 21, 1961 Received and entered in .the Clerk's Office of the Town of Barnstable,' Book of Licenses 77,' page 94 V Town Clerk The Commonwealth of Massachusetts Town .of Barnstable This is to Certify twat the Board of Selectmen hereby grants a license to Reynaldo Caggiano "Rennie's Restaurant, Inca" at 627-631. Main St. , Hyannis, in said Town of Barnstable to keep One Pool Table for public hire, .to be used to amusement merely, and not, for the purpose of gaming for money or for property, in accordance with the provisions of Sections 177, 178, 179, 180, o` Chapter 140 of tnted subject to Sections he General Laws. This license is gra 202 to 205 inclusive of Chapter 140 of the General -Laws and upon such terms and conditions as adopted by the Board of Selectmen relating thereto, and shal +" continue in force until May 1st, 1962 unless sooner suspended or revoked. . . . . . . . . _ . . . . . . . . . . /s/ E. Thomas Murphy Board of Selectmen nstable, Mass . , Feb.: 14, 1969 Received and entered in the Records the Clerks Office of the Town of Barnstable, Book of Licenses , 77, Page 210 & 211. Town Clerk ". The Commonwealth of Massachusetts part ►ent` of , Public Safety --Division of Fire Prevention Barnstable March 273 1969 y LICENSE In accordance with ;the provisions of Chapter 148 of the General Laws , license ..is hereby granted. to Fuse the land herein,.`described for the Wful use of the building. .or 'other structure. which is/are or is/are . o'-be situated thereon and as described on the plot plan filed with s e. application for .this license. ation of land Yarmouth Hyannis, Mass. Nearest cross street . . ." 1 nction Camp IstRtan r of land . .Munroe Const . Assoc . , Inc:r�ttl ass ' aquim J. " Rosa ss 614 Yarmouth Rd. , Hyannis , Mass . mber of build other .structures to which this license ap131es . . e; . . .Occupancye of such buildings . .Gasoline Service Station. . ofalj capacity os n gailloris :Aboveground 11575 gallons. . : derground -21;000 :gallons . :Kind of fluid to be stored in tanks , . Alt. soline, fuel ``oil , �aotor oil ;.- waste oil, anti-freeze. "? `' ` strictions =If any: -No 'Sale -of -second hand' vehicles . No rental sale .of' trailers'. No signs shall be rotating. Design shall be r. pe Cod Architecture in keeping with the plans filed with the Board Selectmen. -- 17` /c/ George L. Cross _ rnstable; Mass . March 27, 1969 Received and entered in the Records f the Clerk's Office of the Town of Barnstable , Book of Licenses o. 77, Page 211. Town Clerk I, ,I-' C E- N S E In accordance with the provisions of Chapter 148 of the General ws, a license is hereby granted to use the land herein described i..: ,.. for-the lawful use of the building. . or. other structure. .which is/are or is/are to be situated thereon, and •as described on the plot plan . filed with the application for this license: y . ocation of land. . .off Bridge St . .nearest cross street —Cockachoi et �►°+� Lane—Owner of land. .Chester A. Crosby, Co. ,Inc. . . .Address .Off Bridge St. .Number of :buildings or other structures to which this license ipplies.. . . .Occupancy or use of such buildings . . . .Total capacity of tanks in gallons : . . .Aboveground. . .Underground. . 15,000 gals in three 1 . 4! tanks . . . .Kind of fluid to be stored in tanks. . .Gasoline. .Restr h' ifany: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E. Thomas Murphy h ' Barnstable Mass. April 1 1969 Received and entered in the t { Records of the Clerk ' s Office of the Town of Barnstable, Book of Licenses No. 77, pages 211 & 21 y. ! Town Clerk A The Commonwealth of Massachusetts Department of Public Safety-- Division' of Fire Preventios Y } � 1010 Commonwealth Avenue, Boston ; J :. 3 3, Barnstable April 11 , 1969 LICENSE In accordance with the provisions of Chapter 148 ' of the Genera3.,-y. Laws , a license is hereby granted ,to use the land herein descri for the lawful use of the building— or other structure. which is ,, or is/are to be situated thereon, and as described on the. plot ,7 P filed with the application for this license. . .Location of land..,,.; 999 Main St. , Osterville—Nearest cross street. .Owner of land..}_�. Centerville-Os terville Fire Dist .' . Main St.-'Centerville. N of buildings or other `structures to which this'- license applies y - E V Fire Station. . .Occupancy or use of such buildings. . . . . .V Fire Station—Total capacity .of tanks in gallons:==Aboveground. . : Underground 1 ,000. . . . . . . . .Kind .of fluid to be stored in tanks.. . ' Gasoline. . .Restrictions , if any: . . . . . . . . John F. Aylmer .. Barnstable , Mass . , April 11 , 1969 Received and entered in the Records of the Clerk 's Office of the Town of Barnstable , Book 01i Licenses -No. 77, Page .212. - --� p V Town Clerk f , .a L as a.a7 a THE COMMONWEALTH OF MASSACHUSETI'S DEPARTMENT OF PUBLIC SAFETY--DIVISION OF FIRE PREVENTION �► 1010 Commonwealth Avenue, Boston Barnstable, April 24, 1974 L I C E N S E In accordance with the provisions of Chapter 148 of the General Laws, a license hereby granted to use the land herein described for the lawful use of the " t lding.. . or other structure... which is/are or is/are to be situated thereon, as described on the plot plan filed with the applieation for this license. �� ation of land..off Bridge Street Nearest Cross Street. . Cockachoiset Lane er .of Land. .Chester A. Crosby Co. , Inc. Address. .off Bridge Street ber of buildings or other structures to which this license applies.. upancy or use of such buildings. .boat building business 1 capacity of tanks in gallons:--Aboveground.. . ..Underground. .10,000 additional*. d of fluid to be stored in tanks;.gasoline trictions--If any,-*2 tanks of. 5;000 gallons each s/ Martin E. Hoxie, Chairman, Board of Selectmen stable, ss. April 24, 1974 ".2 hours 20 minutes P.M. Receibed and entered in records of the Clerk's Office of the Town of Barnstable in Book 77 Page 287. f s/ Mary A. Anderson �. Assistant Town Clerk i BER - THE COMMONWEALTH OF MASSACHUSETTS FEE . TOWN OF BARNSTABLE This is to. Certify that a License is hereb , Hyannis y granted to Yvette Irinelloat 32 Baxter O BE:A DEALERIN OR KEgPgt OF A SHOP FOR.THE PURCHASE, SALE OR BARTER IN JUNK, OLD METALS AND SECONS HAND ARTICLES , aid Barnstable in accordance with the laws of the Commonwealth of Massachusetts ting thereto, the ordinances and by-laws of said Town of Barnstable and such s and regulations provided for the supervision thereof. This license shall continue in force until May 1st, _975, unless sooner revoked f is subject to sections two hundred and two to two hyndred and five, inclusive, .he General Laws, Chapter 140, a,s amended. I - By order of the Licensing authorities this 26th day of April 1974. j s/ Mary A. Anderson Assistant Town Clerk stable, ss. April 26, 1974. 11 *hours 47 minutes A.M. Received and entered in records of the. Clerk's- Office of the Town of Barnstable in.Book 77 Page 287. . s/ Mary A. Anderson Assistant Town Clerk 4' JUNK COLLECTOR 'S- LICENSE t. -This 'is`Ab certify that the Board of Selectmen of the Town of Barn- al L �� bhe hereby grants a, license to vyTa.n Cohen, at New Bedf arc,. ass. to Co .. lest junk, old metals and second hen crticl.es in sa.iry torn i-, accordance t to t the laws of the Commonwealth of Miassac"iu^etts + •rela� ln_ t_3reto, flP9vide}ed 3 ordinances' and by-laws of said town and slich rules anll-l_ reJulat ion' s and'.. visaed for the supervisdon th;reof. gulat This license if sub- to sections t:.o hundred and tt o to t;•:o hundred -` live, ' inclusive, of the General Laws, $,'25.00 Chapter 140. he "' By order of the Boast: of Selectmen this lst day of '1`_ay 1930. ' ' ording fee. 50 Cler Town Clerk . . LICENSE . This is to certify .t r.a.t the Board of Selectmen bf `tae Town ;,f Ra. ' rn-:Hole hereby gra.nts .a .license to -Antone C. Botellio, �1;s1 sid.a .of Ba n- • tuit d, Cotuit , Mass. ; to keep One Pool Table for public hire to s be used for ee:nent merely, and. not for the nurno e of -gaming for -money or for proper ' ,. , -in accordance with .the provisions of Sections 177, 178, 179; 180, of t .ev Ater 140 of `the General Laws. This license • is granted subject to Bar. � • lions 202 to 205 inclusive of -Chapter 140 of the General Laws and upon re h terms - and conditions as adopted by t' R �. lln one Board of Selectmen, rela.t ina g ieto., a.nd:-shall c3litinue in. force until April 30t'ti, 1931, unless sooner t ended or revoked. By.--order-of: the Select�Ten this 30th .bay of.. A pr ' 1 1950. i-er, en se=Fee -. 2.00 �rding fee. = 50 s 5.. Towi . Cler_� THE CO%ii�f A m OMIT L_H : F MASSACHUSETTS Department of Public Safety _ Division of Fire Prevention y. Sta.te Louse Hyannis, ass. , 'ay 1®tyi, 1930 4. License In a.ccorda_nce with- the provisions of Chapter 148 of t �e General Laws,Ire amendments thereto , a license is herebyg n n conduct a fillingstation granted to „HEST A. GRC�BY ( idge and store CD ._ine, underground tank - �Ze acity of 500 ,gallons at Bridge Street, or, ,i s pre::i se vi l'a.=_e of bo arville in accordance. wit: the rules and regulations :rude under aut,,Iorit off: t le said chapter. - Y. s ;::= This license is granted for a period of one year from t e d- t hereof r;.1 expires April 30tti, 1��31. J �,: cs,ahle, Pass. ; May Iit'� 1 30. lice of the-.:Town of .Barnstable ReceivEd and entered in t1-e Clerk ' s k of License TJo. 37, Pa.ee -5. _ Town Clerk. ,t, The Commonwealth of Massachusetts T n�o Department of Public safety - Division of Fire Prevention \T 1010 Commonwealth Avenue , Boston , Mass. ` " n LICENSE Barnstable , April 11, 1947 s ;- � y In accordance with the orovisions of Chapter 149 of the General Laws, a license is hereby granted to use the land herein described s for the lawful use of the building. . .or other structure, .which is/are. ' or is/are to be situated thereon, and as described on the plot plan = filed with the- application for this license. ' Location of land. . . Brid .e Street Ostervi lle . .Nearest cross street. . .'^ o Bridge Street. . . Owner of land. ,Estate of Stuart F. Scudder. . .Address.. . .Osterville, No, Number of buildings or other structures to -which this . license appliese�` None at present . . Occupancy or use .of such buildings. . For private use: : . .' Total ca acity of tanks in gallons ,. -Aboveground. None. .;Under round. . 2000 . gallons. . . .:. Kind of fluid to be stored in tanks. .Aviation -gasoline, Restrictions, if any: Storage to be approximately 900 .feet northerly from Bridge Street and 50 feet from mean 'low water mark. _ Chester A: Crocker - : Chairman Board of Sele ctmen April 22 - 1947 Received and entered in the Clerk s office of the Town of Barnstable, Book of Ls tenses No.. 371 ° page 244. i Town .Clerk #,.. The 'Commonwealth of Massachusetas Department of Public Safety - Division of Fire Prevention 1010 Commonwealth Avenue, Boston, Mass. LICENSE Barnstable , April -c2, lo47 - In accordance with. the provisions of Chapter -148 of the General.: Laws, a license is .hereby granted to use. the, land herein described for the lawful use of the building. .or other structure ' which is%are - - or is/are to be situated thereon, and as described on :the.. plot plan filed with the application for this license." Location of land. .Main Street, Osterville. . .Nearest. cross' street. : Seapuit Road.: . „ Owner of land. . Cecil A. Coleman. . .Address.. . .-West .Bay;. R,oad, :Ostervillf;: Number of buildings or other structures to which this license applieett. 5:- Occupancy or use `of such buildings. . Filling station and Repair Shop... u Total capacity of tanks in" gallons :-Aboveground. . None.-. :Underground,J. present -2500 gals. Additional - 2500 gals (5000 gals. ) i Kind of fluid to be stored in tanke. .aasoline. . 'Total 5;000 gals. y .Restrictions, if any: , . 0 Chester A. Crocker Chairman Board of Selectmen t P April: 22, 1947 Received and .entered in the Clerk Ia office of the i Town of Barnstable, Book--of Licenses No. 37, Page. 244.. r Town Clerk x THE COMMONWEALTH OF MASSACHUSETTS t,w Department of Public Safety - Division of Fire Prevention 1010 Commonwealth Avenue , Boston Hyannis , February 5, 1954 LICENSE ' In accordance with the provisions of Chapter 148 of the General Laws, a license is hereby granted to use the land herein described for the lawful use of the building— or other structure . .which is/are or is/are to be situated thereon, and as described on the plot plan filed with + the application for this lieense. Location of land. .South Side Route 132, Hyannis , Nearest cross street. . . Owner of land. .Samuel D. & .Mary J. Kesten. . . 15 Oak Street, Hyannis ; Mass... Number of buildings 'or other structures to which this license applies—One Occupancy or use.*of such buildings . Gasoline Service Station. . . Total capacity of: tanks 'in gallons.: ` Aboveground. Underground:,.,.2 tanks=5000 gals. , 1 tank fuel oil, 500 gals . -= 1 tank,: Waste 011, 500 gals. ,Y bind of. fluid to be stored in tanks. . . 3p Restrictions , f`: any: . . Victor F. Adams u Chairman, Board of Selectmen �- of Barnstable Barns tabl e , Mass. , Filed with the Town Clerk' s office , February 5, 1954 Book°of Licenses 'No. 77, "Page 17• x ya Q, ll� Town C1LP ;�W�` April 29 , 1954 At a meeting of the .Board of Selectmen held this day, all members being present it was unanimously voted to amend the restriction imposed on a license to store and sell petroleum. products , dated April 11, 1947 and recorded in the Town Clerk' s off ice , April 22 , 1947 in the Book of Licenses No. 37, Page 244 applying to the land then. _ owned by the . Estate of Stuart F. Scudder, by striking out the same and inserting in place thereof the following: Storage to be approximately 400 feet northerly from Bridge Street and' approximately 25 feet from mean low water mark. Victor F. Adams _ .. George L. Cross E. Thcmas Mur shy Selectmen of Barnstable Filed with the Town Clerk' s office, April 29, 1954, Book of Licenses 17. ' Notation of removal of restrictions put on Book 37, _ No. 77, page �. page 244. ( , V.Town Clerk M _ ,a�,et`�!�a-:�,sx�zCas,+x.�.a.•-._mow�rsslrx:��a:-�.i4ss ,x.:,s�:,,>-� `.�rr�'aw:c.:>y....t,�v:�... _ _ Hscr �<r �• —r papa a T«f_ ham.a S.D•e«parr««O.•I« Aae.a.• +e•ea snort/ �Gn sun TANK TO TEST CAPACITY F— Sw—Chart ' N—al moat /. O�Capauty .p,roat ch«t avaYON J rank Manufactur.r'e CMn n ar troan.e.r G.xon• G•r Comp«fy Ertputw..q Date �/ J /e l If rh«.douCt u to Trw Capacity Ch"supy4.d—m TSTT E� 7 aura•M G— SM I--"DETERMINING TANK CAPACITY- FILL UP FOR TEST Stict Res lknos�F Total Gaaors to w iti G&Nom aa.Raedkfq StkK Wata.SMOrll Worst FHLup_ Invaedory —1 QOOf t0 K w Gallons FIN up.ST'CK BEFORE AND AFTER EACH COMPARTMENT DROP OR EACH METERED DELIVERY QUANTITY T.*Daerneler L,( O` y J /i Product in full I«fk(up to Nu Pool SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK VAPOR RECOVERY SYSTEM Sn m•nu.l fe,—apYliuM..CI>Kt bai—aM necnxd prx•d—in log(25). �Stay.1 waar fn toot HVh rater table m tent excnrallon J Una(o)WYq hate.tth LVLLT ;�Stags R TEMPERATURE/VOLUME FACTOR(al TO TEST THIS TANK (817)432-4216 Is Totter NOrnwt" Cok*1_—•F Produa r Tank F FiE-w Produa on TnKx_•F Expected Chug.1 -or-) Ths,.a& ssu,or rv04p.Nor cwo fia sm 4^. •F )IM'S PUMP&TANK SERVICE O1pt'°"-F io range ol.pac1W charge �L - FEATURING KENT-MOORE TESTING EQUIP p,Nona *Mvwy in txsMieleea of.Itperfame,tw yol—fI client"In this tar* full tale!(16 or 17) kttsw prortaa Per•F P.0.SOX 224 JIM CHASE HARWICH.MA 02645 O + ✓r` AS T1Ha I. roruffe cnrfpa per'F(24) Dlato par•F In rasa Vuluane dmrge Per algR. fete - - -- - Ramfge(23) Cornpule to a decimal places. factor(a) HYDROSTATIC MET VOLUME W IIF=KJ lIS m RIPEEFW cowu Fm ACCUMULATED LOG Oi TEST eTIDCEWRES P1IESSUR IR11cm to NI GAL 0 FAM(Ai IDIANGEG CHARGE [WITTIER EACR READING Sm.""tear T•.teaaa. M ale Laws noel arE i Recerd daWils:f sapling op I tr, mob" u R��('I I Ca.aM 4pwu u. Aelf..u.at TOM be bidambe aa1 Eosuinp fast(Use full h H�1�' Irl'(•1- vok—acme lA to of tin.d needed. Es•.•a t••rr Sw•.r R.+s- Egraa.. FaMnafa.I.)a M L'a LIM tr.aa rw G 1 l .eitl a.la. Aft« 1ti.elaat R."" Ill Castro - Tq.yppa;_) Clap wa.a , r;e a) P.a.aiy R•••av Mae, 4-11 A.—rae I•I .17:'i-..'rP rarer atrel /l. ri Ag e G' I Gi .G C) f . -ILA . �i �(. l ' . lo TC'J t I F' 4 Leif c�Lr 1 4 47G' a a -r fvf �� t 6 . � i I i ( I I n _ i ' R I u r C e f'e C HU d a� _ ®6� �- I l of SYO 1 Owne1 o1 War Aeorwe No see Sn nisi Citr Suit. Det.or Teu TANK TO TEST CAPACITY F'O" — Station Chart Coe,�''I t d• Ob Br meat chat nt• • Tenk M•nufact— Chan l.. Nominal C..., +pacnY than ava�I.bM - __ tm or oo..twn �•"�^• 'O^• Company Enguveenng Data C is snare aoubr as to Trw Upaury 7 J CbaN supdiA wnh TSTT anee enp.:�.w Sw Seetgn"DETERMINING TANK CAPACITY"' %' l� Othw FILL UP FOR TEST Stroh Reading. Total G4tlom to 11 m. G.Noree w.Read." Stick Water Bohm y� " e bet"Fill-up �� _ Inventory to'A ill Gallons Fill up.STICK BEFORE AND AFTER EACH COMPARTMENT DROP OR EACH METERED DELIVERY QUANTITY Tens Diameter /�� r / Pnaouct in full tank(up to fill pipe) 7G/ SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK / VAPOR RECOVERY SYSTEM See—nual secs appi-tile.Check two.ar record wocedura,n log(28). J stage I Water M tank Mph wnler tabls in large eacavauciri _ Une(s)bevy Heated with LVLLT Stage N TEMPERATUREIVOLUME FACTOR(a)TO TEST THIS TANK Is Today Ygmver, Coidw _._°F Product in Task F F"Product on Truck F Expected Change 1 •or-1 (617)43I1216 �/' 7 TtwarmaFSaneor reading after circulation I/ "t 6l 'F oges New Diggs pm'F m rarge of exp*ctd change JI1vfS PUMP&TASK SERVICE Diggs - FEATURING KENT-MOORE TESTING EQUIP / eta que-tily Ia coef k;i m all.wpannon fw a volume change in this tank fua tank(16 or 17) lRvgved prOOuCt par'F P O BOX 224 / JIM CHASE HARWICH.MA 02645 votuma chaps Ca,'F(24) D1gNs par' us teal s Volunss change par digit. last Range(73) Comput.to 4 oeclrtsal plans. fee-tor fa) HYDROSTATIC NET YfJtOME LOG OF TEST PPOCEOURES PRESSURES■ASUQIE1fIS rill ?Wfl(dAE LOafKSAlO CHANGES ACCUMlMTE0 CONTROL Cm TO all Gk !g faCIM IN EACH READING GIANGE Swap"L•rd Prwitd se hM.n T.e e,, w Y no sews none SAFE Record details of setting up ISNaq •�•• G•/„aw RerbW(-I me" i C.-Per be• Ades taew Tee Lee eea.arm and running test(Use full w ----- TMrwd River• Icl LI- wunn war length ss.e rlr length of fired needed.) i aeeiaaft I Level d S—' �� tear- [.r.rw.. E-mason 1-r a - d ee et— M "ira l An, •r•ew N 1 (tl Ca.neaio•- „yh,Nbpn 1-1 Gge a Par sis• �H s l I he/k7 I Rntwe4 Re •e" Mee" Rec.a es I.1 aYNvi-•FIT) (am 6eA1 It L4 C 7 ° 3 I• `ti'C'' C Lj r 3 %1 .Y i t, 0 36 rr U •7� d %� ISSY �C ,cc5 Vo'o� i I --- 41 ' 7 I 8 f r $uoeur.t:i--a tleaar Adere.a .M SI/..t(.I CI, Sint 0.1.a Ta TANK TO TEST CAPACITY Frpm St.,—Chart ' V r N.—id CapauN V Bad rY cnM t .en i: _ Tan.Manufacrurn s Chan Ie.nury or poeuan Geuone evadatNe •Gauen+o..(,.� -- Company Enqirwnnq Om 11 mar.doubr..ro T—Capacny t r' — Chru.up0li.d w.tn TSTT See Sac[— 'DETERMINING TANK CAPACITY" FILL UP FOR TEST Sdak fiaeduga Tot"Ga,onts to K in. G.111— as fEeedi.g Still Wafer Bohan i baton FUWpto y.In. Gallom Fili up,STICK BEFORE AND AFTER EACH COMPARTMENT DROP OR EACH METERED DELIVERY QUANTITY Tars°Diaktr Product in full tank(up to fill Prpa) G I SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK VAPOR RECOVERY SYSTEM Sea—al section.apohobl..Check below arM:.cord p cedun m log(26). J Stwe I WOW In tank Nigh water Lois in tank esca—don -7 UneU)being tea,ad with LVLLT Stage it TEMPERATURENOLUME FACTOR(a(TO TEST THIS TANK (617)IL32-4216 IS Tod"1`4rrrla l+- Cok !=_•F F4oducl In Tank_•F R*-W P.odua m TNTA_°F E.pected Change 1 -3, -1 Tlvrrwal-Sersapr reeding after clrwttion 'F Digits per'F m rarsge of expected cssvpa�)—/ Hera IIN1'S PUMP&TANK SERVICE FEATURING KENT-MOORE TESTING EQUIP g"la.. feral quardi t/kr cotfkfast of expansion tor roamJcharspe In 6sre tan" full Fan°(16 or 17) invdrd product per•F . !IM CHASE HARWI P 0 BOX 221 CH.MA 0264S G�v 3/ j (� C• + Thle la roluane cru npe per•F(24) Dkyte per'F in tat ' VoAarsa charge per dii tat Rage(23) Conwute,to 4 deck"placate factor(al NTBR6STAIE MM�JOR m �COt�� NET VOLUME A=MULAiEd CBRTII LOG dF TEST PRDOFBURES CONTROL mm A Ml GL 92 FACIA W CNAl16E1 CHANGE FA REMUS $taadeiPs La+l � � Fseyreare 4 M I.wl race em Record details of sellingI.ebe. PndRs• h.1af CA" 1e.sAaax Adi•.ra.er la Er area. and running tesL(Use(*R aey aN�g last. b R.slad I-I Thereat N.EIIr. Ir�;Wl�l. Er or M u.u..I..e.r nt Ialgth of line if nsadel.) i a edidl Behw Afar heart Reis t" (q Cennma- Mew w Ia , .24 r N.eq I RaeRes Rxedaa R ild., A-e..r I.) Car.rraw(-I sPa '` C f kl Ar 7' f 0� a e I ' "cT _ 1 13 z�3,li c. 5_ cv y0 �oGC� 1C I.L, C 1 -- —+ n zr age, jWD 11. /130 ' , I 1"01 v act' S' f r 7 �'� 70 r c D ►i b �; o ? Fe. c A. I � j u 9 1 ( i � CODE A C CHESTEit A. CROSBY & SONS, IN ARE 28.22017617 428.2459 P.O. BOX 490 OSTERVILLE, MASSACHUSETTS 02655 50 TON ACME LIFT O CUSTOM BOAT BUILDER ® MARINE STORAGE & REPAIR November 1, 1983 Town of Barnstable Board of Health Town Building Hyannis , Massachusetts .02,601 r , ATT: Mr. John Kelley Dear. Mr. Kelley, We have just noticed that,.we are overdue on an under- ground fuel .tank' test.-- This letter is to,-advise you that we are taking immediate steps to .rectify this oversight. Sincerely, FHM/jec: Frank. H. Mayo, Assistant General Manager CODE "I,ER A. CROSBY & SODS, INC. AREA 428.2017 617, 428.2459 P.O. BOX 490 OSTERVILLE, MASSACHUSETTS 02655 50 TON ACME LIFT ® CUSTOM BOAT BUILDER ® MARINE STORAGE & REPAIR December 19, 1985 Town of Barnstable Office Of BOARD OF HEALTH 367 Main Street Hyannis, MA 02601 RE: Underground Fuel Tanks, Your letter of February 12, 1985 Dear Sir: This is to inform you that all underground fuel tanks that are no longer in use have been removed. Thank you. Sincerely, David Anderson DA/jec: NAME LOCATION Crosby,_ Chester A. Bridge St. (E/s North Bay) Bridge St. , p.0, Box 490 Osterville Osterville, Mass. BOOK & PAGE - DATEGRANTED AMOUNT STORED 37/65 May TO, 1930 Under. - 500 gals. 77/9�+ April ?3, -000 la61 Present 1500 Add'1. ,I;. Present 4-500 Add'1. 2500 DATE PAID 19 1973 March 22 �� t< l�f 1974 MAR `f 7974 d r'' 1975 M n R 71979 i976 FEB 25 19IT 177MAR -g 19%R i 1 11 'MAR , i /�� Wrn.p S.�o.. OWn•o U.•�«� �00 wr N ...Its G.r SUN J.�•a TANK TO TEST r' CAPACITY cem sw Cn•n l .I'� ` r"C Y[l f �' Nom�n.l Cao•.+h �7 ��O er mo.,•ocvr.e. ! L y T - TN M.nue.c—t Ch- er.orn•n � �•o.arr u,.rt.....r,w /- �hOn' '""'"" _ Cwnoam EnP.rwnrp Dw w Ir C.a.at`r `/// auro•ro Guo. 5«S. "OFTEPMINING TANK CAPACITY ChW aunol.a rr,a TST ' ; FILL-UP FOR TEST Sock Reading. Twat Gk... t0 N In GABon a&A.."" Suc.wetar F3ottorn before Filaup aI� to an Gabory Fill up.STICK BEFORE AND AFTER EACH COMPA.9TMENT DROP OR EACH METERED DELIVERY QUANTITY TaK Dtarnatar l^`, '/ i • r Product in rw crrl(up ro ru pip�l SPECIAL CONDITIONS AND PROCEDURES LTO TEST THIS TANK VAPOR RECOVERY SYSTEM S«-. 9 t.c:•re.001ubt..Chat b.tow end r.cora o.-d-in Iop(281: !-1 . J stag.I Water In ww C MVh crab.table�m Tana--bon J Un.(►)b..V Mated.fro LVLLT Suq.a TEMPERATURENOLUME FACTOR(a)TO TEST THIS TANK (617)1321216 Is Toah Warner?= Como F Proautl IIITee_'F Fatip Proau[t on Tma F E.oevea::hangt(-or-) Digft per T,,.nnal-S�aor rpdinq ahs orCUMlon �, JIM'S PUN1P III TANK SER\'ICE e rarq.w..pac..a ch.." ; lags FLATURtNG KEMT-I,40ORE TESTING EQUIP �- warmtT n W�f a wR w e.pena�n for w.rn.cr-,"m On.urm °sban` N.B tw*(Ia w 1Tt mowed Product par•F P C' BOX nA r'F -,JIM CHASE NAttWtCN,I4 026a5 -1� I r > _- C f TIIa a warm ahWge pa.'F(S.) Dtgtb Par-F In teal Vowu.ctu Par-WL 1.0 a ES? `. MTMr.ATK - .'-v:;r SEE IB' DL i:1Vfi7TII[LDWE7,ID'IE.,..- _ IiET�vBLrRtl.{a- .. '. - S. i . T .PR6CF➢YREE . /RESSURE';*. ECOB Ti 11 EL - CQ.FWBE W �, -1' CNYIU .. MNTM - !!! Eraa}e•I.-IIIA.Mo b I A..oe ti.vnr.on t 4 i..r nase ea i RacwC tahih at smnq va I from �r arm ! vim• h^s.m� Ad,— sod tar w ems. ruAa a9 test IUU fall e. e�rd 1-1 i..r.d Kr _ flQ MRgEIt..Gee A aeatlKl M•� l...l t. I t.n. taw- C '� - ata�o r a C w w• r �dr B!w ANr Pnear ihdry t_I br Dl W - I NtmaE E►wd A-11." ' B.aere I■—ee 1.1 aTYVt-•7TFt) am ..No J34 � I ! tc � r C� f?wt 036 f` v9 11,2D l. v t �6 4 W, P '3LAo • 3lefG f, i? 0 36 Loa �f _3 o .:3�a v� o F7ftjlpj I La I ! I I / ' +~ ^A h. � � TANK TO TEST �APA'Ci-ly - ' FILL-UP FOR TEST to IN ,al-up ~~.~~ to°� FIN up,STICK BEFORE AND AFTER EACH COMPARTMENT �,"",v" EACH ..,^=" "^=^", Q"^",.T"y -------- -------- —'----'— �~m=retOr c- �,_ v/ y Product~~u,#tank(up°fill pope) ------ meoxL cuvomuwS AND PROCEDURES TO rar THIS mmx x^,un s,srsu ,..~.'..'~........~_ c_.~_~.�~~"~==~-..~"p",. � =~~~~ � "ir~Its,tobw~"�..��= � ��.�"�, ��" � TANK TO TEST CAPACITY T C—, FILL-UP FOR TEST Sbm R4.div. To G.A—. Gan— to G.U— FIR up.STICK BEFORE AND AFTER EACH COMPARTMENT CROP OP EACH, METERE-C DEUVE." QUANTITY T.rr Diamata Product in tus tar Jun to ri p"I SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK VAPOR RECOVERY SYSTEM S.-—.1 1 Iog(25) W-W in terse L. MVh nbr t-bW Urk L.'em b"MWd wM LVLLT Sam.0 TEMPE RATU Rr—/VOLUME FACTOR(a)TO TEST THIS TANK (617)4324216 Is Comorl F Pro=.Tom_*F Fis-m Pwuci ow Tmo ;xpecmd ChwVt I or arar,arcunmuca DV,am Per'F m ronge of expecood ovm IIIA'S PUkIP TANK SERVICE FEATURING KENT-1,40ORE TESTING EQUIP 6 x 61' lK, puuttorr %Am 9—my t comObcierm ON experemema tor W- in van t.* to tart JIG ow 17) enoaae product pw'F P.0 BOX 224 ..7 Jim CHASE KARWICH.MA 02"S _ Tl�in vck +cheap pow'F(24) DigNs pow'F in test vaiume c::_ pa d1pt. too Rowgio f2=1 C*nVLM W 4 sleciviuml phew 1I.ClUr 1.) VTDF=ArK MET YGMANK LOG OF TW PACCEDUKI PIESSM wm MwEliffm malmElmoll 6=1011LATED CONTROL NEM N All CIL III Flyw EACh KAOM CRAM10 L.W I I Trwmn is so i-ot new ten ft.0- 1 Dn-, C._. A*-- E. R00O21 1INT11113 of SNU2119 0 Isch. Grosees, I end run-up teat jUss NU IL L..w. Kv— 11— L_ Eam F a�L_C...w noll., loop of Line if needs&) .6.6 wo— Alm Ross" r... co-Ron-see, 04 1, 1 n."" I a...w ft-d" 11-so" .3nn am ..w or If A? A-e 14 A 3?-C4;4,/ �JWO 2 e 2)CI 05 --771P I I 7 e 1,4 2 A C160 13 o i—e'v_e 'Y10 1.q 10 630 onp V1.4i J2 -41,0 �f 0 li�0 D P �-ZP 0 —1001-0 (}Ylrk 049 At /' 0� /[ �/` & � TANK TO TEST CAI`4:C:7� TSTT - FILL-UP FOR TEST u~°~"~~ Total to~ "^— .~"~~" �~°.~~°~. �^�~°-up °.~ ---Cza--- ---' ------- -------- �+�^=�^�' Fig.,STICK ".,O"E °°" ^,n~ """ c=r�"=,", CROP OR °c" °.`~= ".LJ,^", u".=n -------- ---------' -------- *~DI=°W 4/ )( / ` Product~tug^"=~he Me) ------ mEC/m' CONOMONS AND mocEDuno TO TEST THIS TANK v^ponnsoovEe, aysTEu ,. =~ —d—~Log= ��"�~. � wam-"_ °VP taitsmi~°~.xca~bon I �ekW_~�Wid.ft=LLT �stseg." TEMPERATUREJ-VOLLIME FACTOR(a)TO TEST THIS TANK JIM'S PUMP&TANK SERVICE FEATURING KEMT-&4004ZE TESTING EQUIP f C F16 01 = r" 77, , �� Jim v s Pump & Tank S'erviee P.O. Box 224 m , Harwich, Mass: '02645 March 1,1985 Hyannis, Board of Health Hyannis Mass,? 02601 Gentlemen; In regards to the two, 1,000 gallon tanks at Chester Crosby Boat Yard, off Bridge Street, Osterville, these tanks were air tested for a period of 24 hours and during this time air pressure was held at 5 PSI, /James erely Yo s, e Chase April 18, 1983 Mr. Frank H. Mayo Assistant General Manager Chester A. Crosby &S6nuS, Inc. P. 0. Box 490 Osterville, Ma. Re: Underground guel Tanks at Bridge Street, Osterville Dear Mr. Mayo: You are reminded that underground fuel tanks, twenty years of age or older that have a capacity of over 500 gallons must be tested each year for leaks. The Kent Moore Pressure Test is the preferred test; however, an empty tank can be tested by a 5 PSt Air Pressure Test held for a minimum of two hours. The air pressure test can only be done on an empty tank and is not the preferred test. Your tank is forty-two years old and was tested on September 10, 1982. You are directed to again have the tank tested by November 1, 1983, and a copy of the results must be sent to this office by November 1. Failure to have the tank tested could result in a fine of not more than $200. Each separate day's failure to comply with an order shall constitute a separate vtolation.', We would appreciate your cooperation in this matter so vital to public safety and the water quality of the town. Please call if you have any questions- 775=1120, extension 182. Very my yours, Robirt L. Childs, Chairman Ann Jane Eshbaugh K. F. inge, D. BOARD OF HEALTH JMP./jm August 19, 1982 Mr. Frank H. Mayo Assistant General Manager Chester A. Crosby & Sons, Inc. P. 0. Box 490 Osterville, Ma. Dear Mr. Mayo: Underground fuel tanks twenty years old that have a capacity of over 500 gallons must be tested each year for leaks. The Kent Moore Pressure Test is the preferred test; however, an empty tank can be tested by a 5 PSI air pressure test held for a minimum of two hours. The air pressure test can only be done on an empty tank and is not the preferred test. Your tank at Bridge Street (Island side) is 41 years old and was tested on February 27, 1981. You are directed to have the tank tested by October 15, 1982, and a copy of the results must be sent to the Health Department. Failure to have the tank tested could result in a fine of not more than $200. Each separate day's failure to comply with an order shall constitute a separate violation. We would appreciate your cooperation in this matter so vital to the water quality of the town. Please call if you have any questions - 775-1120, extension 182. Very rul .iyours, P06bert L. ilds, Chairman Ann ne Eshbaugh H. F. Inge D. BOARD OF HEALTH TOWN OF BARNSTABLE JMK/mm r_ CHESTER A. CROSBY & SONS, INC. AREA 7617 1 428.2459 P.O. BOX 490 r OSTERVILLE, MASSACHUSETTS 02655 50 TON ACME LIFT • CUSTOM BOAT BUILDER • MARINE STORAGE & REPAIR February 18, 1981 Town of Barnstable Board of. Health 367 Main Street Hyannis, Mass. 02601 Att: John M. Kelly Director of Public Health Dear Mr. Kelly; Please accept our apologies for being tardy with our tank registrations . We are making arrangements to have the three tanks on the island side tested by the Kent-Moore. method. You will. also find enclosed photostats of the town permits showing dates of. original issuance. as we have no record of the ;aetual pur. chase-da..tes We- are also enclosing additional. information on two tanks on the property of Chester A. Crosby, Jr. which were installed the summer of 1979.. If there is more information needed we will do our best to supply it. * f. Sincerely, Frank H.' Mayo Assist. Genera.. Manger FHM: lsf enc. THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) M A C(�� L' DATA t"y � x x Y } Y tZ �L L ti fkt,hyt Q & : as � w Ra er,4roundstora@el:nKs ITmo�� ,; ---,�`�,'� , _mch locptlon contatntna�,un .'Nonh Idgift ditewaVJ.' Conarate,Rffi:i6 F w... rt u 460 'Name of SuPVlier;;Ownei or..basier' r:: ';'. ddress---No.and Streets) City. .;Date.of:Se'st F m 15 TANK TO,TEST 19. CAPACITY_ fO Y x ' ''. Statwn Chart ; - BYm � r f1 most accurate r : - Nominal Ca aci U ca aci ufactprers Chartw$ P N v p tyChartavaiiiii > ntity,by Position ,. ': ,, -Gallons - Gallons� «: �3 Company Engrrteenng Data s Is there doubt as to,True Capacity 7 ❑^ tj harts,supplied-with TSTT Bran end Grade .: See$action flETERMINING TANK CAPACITY' Other ici ` f 17. FILL-UP FOR TEST '" g {{{^!!! Total Gallons f n f "'i <� Stick Readin s O to'Ye in ;Galion ea Reedhig` O Stick Water Bottom �t 5 �* before Fill-upInventory r to►fr inGallone - t rt 0 Fill up.STICK•BEFORE AND,AFTER EACH'--;C6MPAA*.MENT:DROP.OR EACH METERED•DELIVERY':OUANTITY' " Tank Diaeter'` [ ~:@ �( Product in full tan ( P k u to fill 0 ' Z PIPe) m J • , _ r a i r, ° 18: SPECIALCONDITIONS.AND PROCEDURES'TO TESTr.THIS TANK - - VAPOR'RECOVERY SYSTEM e `"' See manual sections applicable Check below and record procedure in log(26) r .T $legs=1 rr o r-: Y 23� ; m ` Water in tank. Q High water table"in tank excavation Une(s)being tested'with LVLLT Q $tags 11' -' n' �£ A 21. :TEMPERATURENOLUME FACTOR (a)TO TEST THIS TANK { (0,X ,.. 19:`.TANK`MEASURE.MENTS FOR Is Today Warmer?❑ Colder?❑ F Product in Tank_°F `Fill iip Product on Truck_°F Expected Change("tor ;j 4, TSTT.ASSEMBLY . n Bottom of tank to Grade* ' F -i 22 `Therrnal-Sensor►eading after circulation F s € a X' Add 30"for.4 L _ri 2 dtvnS Naareat E } t r':N m Add 24".for.3 L or air seal ? " 2S. + Digits.per'F in range of expEected change �n p n Total tubing to.as_semtile :APproxlmat0, 'Jx D X; 00 20 EXTENSION HOSE SETTING l6tal u` Tenk'.to to tads ' - volume Chad$@ in tfila tank . P g „, n nk(16 or T77 r In of{ved piroduct an sI, , fo'r -`full.ta p� Extend hose ph 66dt6n tube 'of 6 more " r bek tank top. :�� - rr 25 ;� ^• �' _ } �.,•/. t� �' ( r_. Thi li ' .-: 4ol ume change per F(2,4). Digits per F In test Volume cftenge.peer-digit. , test: if Fill pipe extends above'grade,u8e top of fdl.'. Range(23) ,.. ' f t0 4 declrit aceo 30 HYDROSTATIC ' 34: a 38.NET Vl)LUMEI 39. .. factor' f YOLUME.AgASUREt1ENTS(Yl TEMPERATURE COMPERSATIDN ACCUMULATEDa)LOG OF TEST PROCEDURES PRESSURE „ - RECORD TO:001,GAL. _ USE FACTOR(a)„ CHANGES CHANGE C 6ES '•' ; a` EACH REARING r�s, r CONTROL ✓. 27... 28. 29 .staedp�pa,`Larel ' 32 35: 36. 37 Tamvarun<. ' ; .` :', „ ��Prodact m�,= Product r WRE ., Record detailsof settle u p x m inekea ,� Chanpe` Comp"otatton , Adlusteieet TeM Eai tlolletlp 9 P,r „-eardni >,. Graduate Replaced';1-) Thermal. + k�' =s ;.;,. Higher, (c) :,(el and running test:.(Use full; •ii• r -.., . ',,•._ ;,., , Begranmg ;rlevel to;: Sensor Laiae�`- >.Ez noon+ �M;Isr Owl lee h,of line if:.ceded:r r< gt F .o Pro nA cContraetr ti,v - f which '�< Betore� `After duet Readl = M!. '.:TIME ._ f a• ;. 1 1 Confraixion( .), Wt, I a, - .: :'. „„ Rsadi "Restored s ..'•Reaiiin' Readin - ReCorered + .'IIPPII allah) =a ?Lss t - ;'.12�1a) .f5i t.,., ., Ax. t A A ( 1 .a 833V)— 37(. rf,.,, i S:' I tg -$"-?.e. r €s,u m ,i - "_: -v,t . :`. t �x �r ,. �,-.. �) _ - r I ••+�.E yi:,4 t s x. L ! . `,t.:.za'# ::.»v1• .,. .:,.. .y ..': -r 'mac...:"}. E, ., _,, '+f ) - a'i1 ,>ti• t - r-..,k € .,. �.. ,.,,... / __- �<, .. . e.:�. .. :. G, ; c. ,z-, �.: !. ,_:,. .u,.-:.fTt'.�;� ...:.t.--P___;::� „< :... ,.,a'u..i,�c�utea+# :a-.r,.�,..,.r.• _ ^~�_ r.�+FP+��',.e�i,.. .. �• ,.. wr. ��K .. r:;. .. ,,. ,.,kw� -... ..... '� 't ,,.:. •3 a `Y Fl,' R�r 5-, MW ,✓ 2 r y ., r it ._ ,,• ,:..:...,. f.,, ., ,.;,. is.,.r,,.. «r r+; ,. r., _:, ..::t „_. .♦:.: _.ur ..., 'I--.. c-,.,r -}. , .: r ,' .J., -... a..._ .... ,:'I ,,, .., �:A ,.,v ,.r;.. S .lip'.' 'V..,` •p '+`'_� <", 9 4 ti;� - n:'. :f-. + h•t�t / .,L:wl 'f-i.r,.s...r1 t\ s,.+ .:,:...�•- .. .., . .r.,,::n r,.- ,:� �r. �.�d, _ „�� t.. .. ..- I, :, �'. ,';. .•..,r. .;. ... ::p' „-.;r r;.,,a N:-: ..„f. ,,, :.,.. r G ;at�.r �/�s .:<.. :..., ..,,.. ,.-;,f.,. .r.._ .<rx �.:�..!# s,'. .'�- ... < ; .:. ,{..,_ ..: •, .�. .ems :u::� '"r, � - .,S.., ..n., ... �._ :u[ :• ..,.... i• ,,,,, .�._. f,n;,..,. ..,,.,.:. .. + z ...,,.=,u .. :ts ,<9 ,.. s,;. n' 'ft'-r 4" {'. -)t a a -L��, .�:.. �•. t .:..:,.< ..a,,: ,rt t., .. /,y,_::, ,.. .r ,.'=' p; ! l 4 �)yt /�x Q, 3 .h:, i, f z'.t. - I": :�. ;t. ..+J. _:- s � ', +F ,-r:•:. 'T..:,,� t ..:<r, et,.- .. ..: I e „Y:y. t 9�'f+$ ,TuY • w ix �- .R,. .).�,'� r ...4,. ..-'-i.1- :7 .. v.�.t .:.+-b ,,r a,. r'.. 7 ::e•t, , i, K /� I:.': rf •... z ,.> ..\.9 n� _.srs ; r.. ..-.,�. .:. .;- ,- r...i 8 /�► �, s^. .t i,- 4.. -.. .c rr :... -.;,. .,. s ,;:: �' .fix.,. .. �:,:,.::, ., .yg:�, I� ,✓ �+ � iV n IQ S''F;..: „ r s ...� ..,:n r< +3 �:. ..._.. .: ,,.. :,.. � .:,-.. r. drui_ „_..� ...-:",.. „?' :,.:. 1- <. -,:� .� -:u a� r::�.. F r;' f r:;:.r. '•p - ,....•, a �..,�.'-: _.,; -•-.F r .�tN' f ;�� :. ., �-�_ ,..,.. r_ �,, '.',c �'` - 'tr, y • r' A r.r S '♦,. „ :.' s � t,:Blr X.. { ''„K S.".;' uf,t :+4 Y W 'i J�. t i' € 5.h 1/ y 4 7 1.. 'A• �f r+ Y-..rv.v _. , , 1 . ...:. •,-. ,'aw_+ t .,: :,: '€ ..1' l+fj :..y' ,l=- '� L 3 �T vi a'L' .f- E �•� S �'<'. Fr r c',r. 1 s-. .fit v�_v -- `' _' ,x'J iy;, y 4 ;�1 C '3 - Y _ 1. T - t= +l ii" 4 _._.:r '.� yy '� ,.{ r .{ y , �. .c',r r/•: k ;:1 _ 2.. ,�,�•, / .4 '` .ir. � �::! �� .� `� {!. �-a 4'`�.� 0 O i t r,.:' � ,`� :�: - ;r L+C ,�` '£-'� `: 5,. :y a R (o ,ff 0'1 ,; 7r7 - ♦y d t<t ry 3 n Az r .'sa ..,.. ,.s. i,.�• A'.'-? fir:rfi'� `� Q �'>W -•.x'.1;! 5 k 1, ,.F+ `w IA _'9:. w yk ; ; k 1 T fil,fir Y €Y Lit 4 -M1 t' , ,.. -:�;'! ": s ,:.r-:r,t :�,. ...,:.. f. :..?. 9 ;;^ �`. ..: \ , _ \• $4 ! ,.•k z'+ -.•g• x" a.+ -yx .s,. '_a �_; -rt'-r': F :J"♦ ,.:•.. � .. 'J-,i�,.•.n.:r L. .:,1, {., h '+ ..:1 , , �' #-'� ,5.r }- i, _ y 9 .f k•-y .�.'• ,. t,. .,. .. ,,.. ,c, ..t....:-. 1 f .�..,Fi -,.. ,x .. ,> .....: _. < `4h..!-: ?.:' i r:' ,+r n "2 :.,y.�:r<4, .fu.-, ,,y,.. �'�. .... .' .,. .r.. ... A •-5..;>, t t:,_..'$,. ;i, r..; E.;..:.. _...x,, „- e. € „t;_*r r>•...u:.,. 1 r .4 4„p� �;a:> S •s" .+::,y j: 4 : P -' '� •,. ,� ; f "_'l'= E - T ,S`5: ,!,¢-try' ,F ,..: yy�r�.�.;: '.. y+ :..:. J •,i..- .,;. +:^'Y .I' � . ,-,:: .-,:'. rr 5 .rt `n •: F, Y ,t�2,-- �` :.?icyy+, f i �i�r- ! '.t. G r � E '"t v _ t• �` _ L �,Y t n a ,t .0 c a r _ "�',., a .I�,'�.s t ��.,�' R� , X E tr. a r' t - ..s,�,. •z: ...e' �• :; �}. �z i ! ..q r d z r..- ;.e a S: s`"t, ;. -'t � t' .:! .::•, c::: :. 5 -': f) / ti• �b,`,''i `"':I ,.{, � - - ''{� .Sz' ,s�-T k`.� „+,. r ' i 5¢ y ,� ,r, r 4 .:. ,t 'x....r' :` J " s 4 � I" .,t � v t:aY L fq i'- ,. •s,: .ii,. --..+,},:.r :.:::,.. ;::I,. .:;,�h: f ::-,r:rx.,: Il*i+:n la _s."}.,.7. `� .3.a;•i .,�.# 1•.vF rm �3.�.'�� .�4r. o- :�r' .+, r` _,.-':, .,'.+, i. .r. �i '•ae - - _ .I-. - ,4� ,,r r 'y.�` °r_'� r t -77 °H, e ,... ,.t_ ,. +! 3 ..Lf {! fti ,iL (. '#. >: .- ,,,._- t;�;s, ... _ ,,. .,_.-,e ..:.. .. .. ._r..., ...:,. } �?_. ,C.,:x._:. ..,., -,. _7... .1..•e t_ ..:c ,-r .:t.. ,., e d .. ,.,,_ l �. m c, �k i .n., t.«„ - �s v,Y i 'V` 3 r: r. k,,.: . .. .,t ,.,:.. ..a..:J:.,. air,r �:,ii. , ;.+:,;, ...:.::,.,..�_ • t ,. ,s- .0 .,. �' ,,,ehc , ,... Pl„ ._r,. .._> '�,'p'ry a r- r t > i III F t x x �, S r _ a - �r,J,",�-.,1,-,z-,I��,..,I..C."-,��,��.A��.,-.,I,1,"—,1�.-;�1�.--�,_I,..,,!,��7X t�,,�1�.-,,.�I�p.,;�v.`�(-,"��,�-'.,I":,,'.�:%��r,-.T�,_�,,-�1I_.--.,1,'._,,�--".z,,�.I-,4,-1.�-_�,,-Kz,:'.I.7-I�,:,_ :�-.,,;.l Z,;T,-,"_,,--��I.,5��-_'I0 I I"-_,�,"-,�-i,,".:,_-��,4�;�"-1--,"1�_77�II.;::.:,,—l_n-�,II�-,l�,..;—, .�.I.t',''I,,-I-..-_-;I-..-1 l,I,�-�,,�t,.'-�,,�.I11?:::�—,':,,:-L L�-..,�I-:I".,-.._r;�1..�:.�I�-�,�'-,-"-I.,�`-IlI�.I'....7�I,,'"�,I.��-,1,.;,_I�;.T-r—1 1 1�"Vt--1l,.I�._:.I."�'�1:'..1.�.1�*.1,.I_-..7 7�.-,,,�7�_..��V j-,�P�_,,-W..-,��:.�"!.7-r,:--�;`1�,4,...,_�_,.4:�,.��---,..�.��-�7,,1�1.1,:;"-,.i 1-��,1-'�;.�.'-;_.��,,:-��,-,6_�,j,_1,-,-_,�,X:!_I-I-,,;,7,'.,;,�--"�,,.-.,_.,�C�1--�.�,�:��-.I��.--1,7.--, -1,,I.,��.I,.'.-_-��,.I" t� k r.-.fir a -:.t ,h �t N= } t l a..; - -....... !a; �A s ny4Ej r (�xt�¢t.ff} r D t X a n f 5. qY _ j� 1 /� tl .5,. F i V t: k$1 D F 14 �`' / y O �: '� A 3' 4. ` _` �"�- :... 4 s :-,-�r a Name ot,Suwiae Owner,rvoealer ,,,.:.,' Address :No.and Streetts)' :"p City `'a ',State - Date of Test. nk f,x.�, x - J:. tr r 15;`,TANK,TO--TEST ;` From t 18 CAPACITY t +; u - „ a x Q Station Chart " 'a: ,, : By.most accurate ,. ih ., 0, ' ' ..a O Ta. Menufacturei s Chart : u Nominal Cap ' capacity chart ayallable a :.. _.' - _' -' Identity bv.,poaltion '"Gallons ,;:` 6elions Company Engineering Data - - ' Is there doubt as to.True Capacity? tie r° ;. arts supplied wiM"TSTT { • :- ` Brand an rode See Section OETERMINING.TANK CAPACITY". _ Other I F -+., , Xr I, - - r z x :x=xv r t rr: r - - - °1 17 FILL-UP FOR TEST T sarlt Readings Total cations x "4 EO Ye in Gelbns ea_.Reading I a ® Stick WeEBf ElOttdn ' , . s { '' i, *� �, f ! l�: before FIi1 up c a hivanbOry Z I Q(� #s. to%in Gallons ? 1, r - .. : s f `_ SS S FIN;up STICK':BEFORE ANO AFTER EACH COMPARTMENT DROP OR EACH METERED DELIVERY QUANTITY, , Y?r M: > . Tank Diameter ��` I % Product In fug tank(up to fill:pipe) 4. r� aim L' �" t�A Sy9S S •_...- 5 .. _ - .. - - 4 i �r� b - 18. SPECIAL .CONDITIONS AND PROCEDURES TO TEST,THIS TANK t:VAPOR RECOVERY SYSTEM �, 1,'tr:, m,`i - -_ See;mant, sectio6is applicable.Check below ai A record procedure Inaog{26)._' - 1 ,$, s "=''. ; t. v a s= Stage t £: r, a� r r tt x i.t ;; s .. ", .F FJ D Watx,in tattle Q'High water t"in tank excavation Q'Llt►e(s):being tested w@h LVLLT ` 4 11 Siege 11 : . n�Cx `4 D.. '. • 21 TEMPERA.TURE/VOLUME FACTOR,(a)TO TEST THIS IK '� �� -; A x .' `19: TANK MEASUREMENTS'FORr�� 'O -_- - - L, rmer?.❑: Colder?❑_°F' Product in Tank`_ F`:Fil1-u`Product on Truck F. E cted Chan e +or- ,, . TSTT ASSEMBLY:' Is Today wa p xpe g ( )_ - `{ s O j t3ottoin of tank to Grades r ` 442 j(O �j 14/ . _ .. � . ,a m,l" 4 22. Thermal-Sensor reading after circulation °F . la s m < Add 30 for 4"'L digits` Nearest x r tJ - 'i ` t x_m`y N Add 24 for 3.-or air seal '.... '. 23 Di tta F in';ran a of ex - A J-„r, : °. <<. ,� g Per g Peeled change `3 d s , . �i n .: Total tubing to assemble Approximate " ' ,, # 24 1i x gallons x 20. EXTENSION HOSE SETTING ¢v s :f >f;r i.. � a t al quantity in coefficient of expansion for, volume t:hange in his tank z,,N r q. + ,r Tank top to grade " / full tank(16 or 17) involved product' -i pe '°F -- k I k�t°>r L V$ Extend hose ovi suction tube 6"or more. " � #�`x e below tank to I, �;,;[ ,� F p `' 25 • ';`() i.. 3 .. 0 ('.p� This is V_ 1 " ,_ r: r � volume.change per°F(24). ' ``,Nits.per"F In test; Volume change per digit test ' -1 L If Fdl pipe extends above grade,use top of fill; `Range(23) Compute to 4 decimal,places. factor(a) { y 26 5 Y 30. ' HYDRQSTATIC '31 34,r 3E.NET VOLUME 39. r-s I;.-; . r -: _ - ,.::' � YDLUME;MEASUAEMEIIiS`(Y) ,,E,,AQUREC6MPEI�1811 ...ACCUMULATED ',;(. ,t , LOG'OF TEST PROCEDURES- PRESSURE AECOAD'TO.BUt fiAl: USE FACTOR Ul CHANGES CHANGE ` � h C WI, y . , , .,, DNTROL a EACH READING C 4 Ja' ,. 27` :; 28 ft, 29:` Standpipe'Level 32. Pradue in $5. 36. $7. Tempergtnn At Tiles tevN record „ '' ",: " in Inche: t Product Change Computation Adjustment a�* aBE" ".Record details Of Eetting Up' Neadag Graduate Replaced(=) 'Thermal Hipker+.; (e)x lal_ ' Volume Minas rail Fad BanecUes and running test.,(Use full . Ma. ;; , -Begiaaing Level to Sensor Lower- Expansipn+ Expansion{+)'ot - l T lave)compute x TIIR-, ,x"length of,line if seeded;) of which ", Before' 'After Product' . Reading ' (;), , CoMraetioa—. Contradiort(— Cgaja per Nour " Reading .Restored Reeding fleadmg Recovered(+) (NFPA criterfe): ,' r 1 - (E4 fix _ _ r S33(1) ;N37(T). / /� v,• V ft 1: ,' 7 ,, Y s, , E ,-k 3 r "l ,fig . �,. �t C . f k �' adsWfi �,� �.- _" '•#'-, ., -#. :i -, n. �`J ,'d {� I- r 'tX \ �� •' y P /�6`J ,a, ..'`6'� 6. .'L,. �p1. �: �A4, �' QQ Ile .l ^',x ; :: `L. / ;,$<,y. - - yy J Y i -Y L a/�,S1t AY a 1'� I' Pt� l J..l. �, f oo _ &-_ s E y 1e.f�' - ,' _ ", y .. ., f5 r r F s » 9 r.e r} L b Cd Il li h ,ttr'a d T K y �{ " . -_ J $F ir, 7. w �c r ; 4 ;fir ,.,r a - ti .. `a i '� T SLR }" y x �v : L t: J" f..:. at E' `C d t ';'*L 'S x} x M1x t r r 3. _ )4 f S *7 '1 i 5 ,_ ,- a' x t 7 I. *�� - - 'Y _ r F •`x t1 Y r , �'.- k [. :r .;y fit:;. ` I. . 4, r e - ., f . . i t y r .. .. .F t J : r 5. r sy x a "j {. k 11 1-' - - ` _ ,.. -- _ x •r r rf4 a - , �. ..� i. -.x.t v.:�: rn ,n a ..: -,.. .. .�Ae�YI�Im�dmrllealelpllrMafell °.-. ,. . e 1 D �) /• z ii ,„ �r kit r' .�� '4 C� < .. j :- •- • Name o}�SuDWiei,'Owner or Dealer. -. �._• ,:' � Address No.and Streets) r `.C "S tote Date of Test + 4 st r i71 From 15.. TANK TO JEST .r' •-. 16. CAPACITY ' - � � � station chart ey mos accurate �--:� 4 .f9 Nominal Capacity capacity eharfavadable 0 Q Tank Manufacturers Chart , :. •s. . . .. .,._.IdentitY.bY-Dosirion...', :. .:' - -:,: -�.Gallons' - .. GgBons ,i. • '. Q Company Engineering Data h Is there doubt as to True Capacity T� El Brand th TS ' zn _ as Arend a Grade - •} -, See Section flETERMiNING TANK•CAPACITY" � t , � supplied wiTT '11. FILL-UP'FOR'TEST Stick Readings Total Gallons r .' s to lh in Gallons ea.Reading Stick Water Bottom �� "� �� /• _ c � r art before Fill-up `j I Inventory' �; } to r/a in. G 11cm f, x Fill up.STICK BEFORE AND AFTER EACH COMPARTMENT DROP OR EACH METED DELIVERY.OUANTITY ER . Tank Diameter-� �,� �. ,. Product in full tank(up'to fill pipe) I 18: -SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS'TANK '� ~'"VAPOR RECOVERY SYSTEM : . manual sectwns applicable.Cheek below and•reeord procedure_in log(26):; a $tags I^ `�• � � �. - ;, • ' Q afar in tank.,: � High water table in tank excavation �.Une(s)tieing tested:wfth WLLT Stage II ; -4 a'';,,,, �,� � ;• � ,,.. , , .; 21.;TEMPERATU'RE/VOLUME.FACTOR:(a�TO'JEST THIS TANK x<<.. 19.�TANK MEASUREMENTS :FOR , ,.: - ` Is Today Warmer. ❑'Colder ❑_°F Product m Tank_ F Fill up Product on Truck_°f Expected Change( +or -) - TSTT'ASSEMBLY'; p/�/ p(/� 'at tank to Grade, m{� r,,,�--' , •, ..,. r.k� - „ rTharmaMSensoc reading after dreulation F'. 22 %' S �� + " =q�: Add,30-for a"l dlgda, Nearest - r r m Attd 24 fw 3".6 or .air.seal 23.." Digits psi Fin range of expected change. � � , Total tubing to assemble 'Approximate � r , n ��'./I f1(!� �. - X,'' � Oa�1�{ ��,�'`"'�/ _ -gellOn8 :. r 20 EXTENSION HOSE SETTING 24 - s � • rr 1 quantity iri'. : coeffiGent of expansion for `volume change In this tank ' Tankto 4o ratle'. > t: -a' g.. ..... ..... .:..:...:.. �, OIVBd PrOdUCt ' F. •Extend hogs on suction.tube 6"tor more.: - _ • below tank top .._. n 25. •Y II tank(16 or 17 Involved/ , �� +. � ..^ / z V �' This Is y �t , r :; '' wolume.change per°F(24)` .Digita.per°F in test Vohttne ehenge>psr:.digit.' test +a If Fdl pipe extends above,grade,use top of frll � — `R 4'"' - e to 4 �ate, ar►ge(23) Ccmput dedenal places. factor(a) s7t 26,+ ' 3D:: ;HYDRO$TATIG :31. 34. 38.NET VOLUME 39: lOG OF.TEST:PROCEOURES� �PRESSURE-. -,YOLUIff t1EASUREM 6EI(ISA1.m 2 �� 68pPEM5Af� CHANGES ACCUMULATED CONTRO a _ A READING. RECORD TO Wl IISE FACTOR(al EACH E CHANGE L 28 ., : ., ' - - 28. - standpipe Level '32 35:` :- 36. " 37.. P u xis ler�i"card' � Praduct,in � 'Product. RaeOrd details of fatting Up .Re>ai}G •- m Inches 'Graduate •' Replaced -). � Change Computation 'Adjae}ment foal Ead DeReetiOn t< Rec rd det tast;�Use:fuuf ao.. `'• r r.�:r, r ,-,., 9 '•.� - w;,;- . ..,. Be innin level to Senior" � 'Lower+ E}i'ariiion+ At,"tersl eoiepute ten sf;line rf nestled. . �t. e A ,P. — Expansio 7- Worrien}t)or .x,:,length ) _` •of which Before .After Prodyct' Readmp '(d) CorKraetion CYage px lbrr ' TiaE'. �; ,•. .. Cantrac0on. — . 'Neadinp Hestorsd I Readin Re Recovered' + (NiFA utteAa) .5. U4 hi.) `: ,,", - •r ,. ..... 9 A ( 1 �` #33(V)-•37(T) " } y � Q � ' 3. r Y ,�t1 ct +. -1;!i ;,{, <M• z t k �' o-F t{ s�!-, 1 a -' ra .i:� 1 �: x -.ff, '.'� it}.:x 5«� �. Sr r•r r Y.t'--. y/��; ,�'`- r ) z ��[[/�� Y >~��t t 8-_ '� <;_ - t .r'+ " .�eCs�.�' �,_� •�i � [!P �''% � iy,s d -� :%t� �- ,t�' {,�� 0 T''ItT - ;1 '.�� .r----. - 1-' '.>,xiq -? •"TiF` r _' �, -y b7 t,Y°.f.'..,;Y<.I .�,,/.; �x4,.3#;. h.Y.,; �t fi ,:'.y•..,.+~'r ....,.-tr "�"f..'.,.�; io.ti�'_.r j r.,. _''.;, �( Y 1 R rut ��' �©. r Y° '.�, .ec °4?r'-#'� � �7' / � � �.��'��r ♦ b � ♦ � f r LN cog 44 Y `g y. (-`r!'� r..k�. t sty, i(Ik`�;:. r..:i FIL :;:r ;3 1.`.: 5 .5•: t �',:. x 1 .� • ti R Y Y } 1 ��lt ! ki:M 7, 4M• �t r.I, //w � ^/ if '/ `r� 1 )i,I i.. t a t h i L IL K '!� aL� �� • O ` � �IZ.;(� ��7 - v Y F t � L ' t Y 1. e