HomeMy WebLinkAbout2861 FALMOUTH ROAD/RTE 28 - Health <no 'IIS �'
Number Fee
1105 THE COMMONWEALTH OF MASSACHUSETTS $125.00
Town of Barnstable
Board of Health
This is to Certify that PARAMOUNT ENTERPRISES, INC.
2861 FALMOUTHROAD, OSTERVILLE, MA
Is Hereby Granted a License J
For: Storing or Handling 111 a 499 gallons of Hazardous Materials.
This license is granted in conformity with the Statutes and ordinances relating there to,and
and expires 06/30/2020 unless sooner suspended or revoked.
PAUL J.CANNIFF,D.M.D,CHAIRMAN
DONALD A.GUADAGNOLI,M.D.
07/01/2019 JUNICHI SAWAYANAGI
THOMAS A.MCKEAN, R.S.,CHO
Director of Public Health
'I
Town of Barnstable
Inspectional Services BABSTABLE
O`'THE BMNSTB cr-.v: -I' unr p
VSTC t BSEF'nLL -51BWASJ.n:E
Public Health Division =E9-=014
BARNSTABLE, ` Thomas McKean, Director
1639. a`0� 200 Main Street, Hyannis,MA 02601 C)
Office: 508-862-4644 Fax: 508-790-630
APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE n
HAZARDOUS MATERIALS
IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108,
HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS
GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS
JULY 1 st—JUNE 30th).
APPLICATION FEES
CATEGORY 1 PERMIT 26— l 10 Gallons: $ 50.00 ❑
CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 �VS� -
CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ P �
*A late charge of$10.00 will be assessed if payment is not received by July 1st.
1. ASSESSOR'S MAP AND PARCEL NO.
2. IS THIS A PERMIT RENEWAL? YES_NO. IF YES, SKIP QUESTION 3.
3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS
ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF
• GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO.
4. FULL NAME OF APPLICANT:
5. NAME OF ESTABLISHMENT:
/ T
6. ADDRESS OF ESTABLISHMENT: /� -
7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: W40qt
8. TELEPHONE NUMBER OF ESTABLISHMENT: ''�U4
9. EMAIL ADDRESS: —Para •
' 10. SOLEOWNER: LYES NO IF NO,NAME OF PARTNER:
11. FULL NAME,HOME ADDRESS,AND TEIEP
CORPORATI N NAME W.0r�
PRESIDENT
TREASURER
CLERK
12. IF PREPARED BY OUTSIDE PARTY:
NAME: TELEPHONE#:
• COMPANY ADDRESS EMAIL:_
SIGNATURE OF APPLIC TE
Q:\Application Fonns\Haz Mat App Rev' ed 09-10-18.d c
Number Fee
1105 THE COMMONWEALTH OF MASSACHUSETTS $125.00
Town of Barnstable
Board of Health
This is to Certify that PARAMOUNT ENTERPRISES, INC.
2861 FALMOUTH ROAD, OSTERVILLE, MA
Is Hereby Granted a License
For: Storing or Handling 111 - 499 gallons of Hazardous Materials.
------------------------------------------------------------------------------------------------------------------------------------------ -----------'------
---------------------------------------------------------------------=------------------------------------------------------------------- ---- ----------------
This license is granted in conformity with the Statutes and ordinances relating there to, and
and expires 06/30/2019 unless sooner suspended or revoked.
----------------------------------------
PAUL J.CANNIFF,D.M.D,CHAIRMAN
DONALD A.GUADAGNOLI,M.D.
07/01/2018 JUNICHI SAWAYANAGI
THOMAS A.MCKEAN, R.S.,CHO
Director of Public Health
�y
i
- lwofor� Brnsxable
3
eg atory Services
�IMME Richard V. Scali,Director
° o Public Health Division BARNSTABLE
anntasrnat.�, = anR"sae�•arOMM mnrr•" STM
Thomas McKean, MS
Director "" "'�16 9°o;° S'^��
200 Main Street, Hyannis,MA 02601 575
Office: 508-862-4644 Fax: 508-790-6304
APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE
HAZARDOUS MATERIALS
IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108,
HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS
MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN
ANNUAL PERMIT(RUNS JULY 1 st-JUNE 30th).
APPLICATION FEES
CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00 ❑
CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 g V',S .
CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑
*A late charge of$10.00 will be assessed if payment is not received by July 1st.
1. ASSESSOR'S MAP AND PARCEL NO. IaW150 Ue_7
2. IS THIS A PERMIT RENEWAL? Y YES NO. IF YES, SHIP QUESTION 3.
3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS
ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF
• GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? YES NO.
4. FULL NAME OF APPLICANT: ftu I-eylo,
5. NAME OF ESTABLISHMENT:
6. ADDRESS OF ESTABLISHMENT: 1 .
7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: Q �Q.• 1` �"�L'�
8. TELEPHONE NUMBER OF ESTABLISHMENT: Loo
A
9. EMAIL ADDRESS:
10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER:
11. FULL NAME,HOME AD SS,AND TEL PHONE#OF-
CORPORATI N NAME L 1'1.S („ °
PRESIDENT l/ G.
TREASURER - �S
CLERK
12. IF PREPARED BY OUTSIDE PARTY:
NAME: TELEPHONE#:
• COMPANY ADDRESS EMAIL:
SIGNATURE OF APPLICANT DATE
Q:\Application Forms\HAZMAT APP 2017 REV ED.doc
- gr
Number fee
1105 THE COMMONWEALTH OF MASSACHUSETTS $125.00-
Town of Barnstable
Board of Health
This is to Certify that PARAMOUNT ENTERPRISES, INC.
2861 FALMOUTH ROAD, OSTERVILL , MA
Is Hereby Granted a License
~ For: Storing or Handling 111 -499 gallons of Hazardous Materials.
This license is granted in conformity with the Statutes and ordinances relating there to, and
and expires 06/360/2018 unless sooner suspended or revoked.
--------------------------------------
PAUL J.CANNIFF,D.M.D,CHAIRMAN
DONALD A.GUADAGNOLI,M.D.
07/01/2017 JUNICHI SAWAYANAGI
THOMAS A.MCKEAN,R.S.,CHO
Director of Public Health
�e of B stable p CMS
atory Services /
_ Richard V.Scali,Director 4"
Public Health Division
BARNSTABLE
1 WAOM b Thomas McKean,Director
200 Main Street,Hyannis,MA 02601 ;
cnu/ g ;3
Office: 508-862-4644 ', 4'o � Fax: 508-790-6304
APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE
HAZARDOUS MATERIALS
IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER'108,
HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS
MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN l
ANNUAL PERMIT(RUNS JULY 1st—DUNE 30th). SDI
APPLICATION FEES
CATEGORY 1 PERMIT 26—110 Gallons: $50.00 ❑
CATEGORY 2 PERMIT 111—499 Gallons: $125.00 tg V.s
CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑
*A late charge of S10.00 will be assessed if payment is notreceived by July 1st
1. ASSESSOR'S MAP AND PARCEL NO.
2. IS THIS A PERMIT RENEWAL? YES_NO. IF YES,SHIP QUESTION 3.
3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS
` ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF
' GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)?_YES_NO.
!' 4. FULL NAME OF APPLICANT: MA I&r
//��, ��,,n'
5. NAME OF ESTABLISHMENT: Wwu '.tCl '�'D/
6. ADDRESS OF ESTABLISHMENT:
7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: eve (JGt ue (,l-. CPh- �(1t
S. TELEPHONE NUMBER OF ESTABLISHMENT: #��
!;0
9. EMAIL ADDRESS: d'L1 `t f l& CmrQ6� ILQ'I
10. SOLEOWNER:_)CYES_NO IF NO,'NAME OF PARTNER:
I I.FULL N AME HOME ADD SS AND TELE
I
, P ONE#OF:
CORPORATIO NAME
PRESIDENTA IU vP l.L
TREASURER
CLF=RE
12.'IF PREPARED BY OUTSIDE PARTY:
NAME: TELEPHONE#:
COMPANY ADDRESS EMAIL:
SIGNATURE OF APPLIC ATE
�1 Q%Applica ion ForMAHAZ.MAT APP 20 VIS .docx
oww11��,, of Unstable pregulatoervices l
oFswE T Richard V.-Scah,Director * �R
Public Health Division BABSTABL
w 94RN5ln6lE••3+iilRVILL£•CONR•HYu&�,r•i:li
BARWMBLE, Thomas McKean•-Director
MA&L A ) 1639-2014 .
260 Main Street,Hyannis,MA 02601
. % �n aOfice: 508-862-4644 �4 it
APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE`
HAZARDOUS MATERIALS �6
IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL;ORDINANCE, CHAPTER�108,
HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS
MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN
ANNUAL PERMIT(RUNS JULY 1 st-JUNE 30th).
APPLICATION FEES
r - - CATEGORY 1-PERMIT 26—110-Gallons: $-50.00 ' ❑,•
CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 N vl.
CATEGORY 3 PERMIT 500.or more Gallons:, $150.00, ❑
*A late charge of$10.00 will be assessed if payment is not received by July 1st..
1. ASSESSOR'S MAP AND PARCEL NO.
2. IS THIS A PERMIT RENEWAL? YES_NO. IF YES,SKIP QUESTION 3.
3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS
ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF
. GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)?. YES NO.
4. FULL NAME OF APPLICANT: CJY
5. NAME OF ESTABLISHMENT: WI& 1 W '
6. ADDRESS OF ESTABLISHMENT: Ujiwjftw& R
7. MAILING ADDRESS (IF DIFFERENTYROM ABOVE: t�
8. TELEPHONE NUMBER OF ESTABLISHMENT:? �
9. EMAIL ADDRESS: Q ., Tit to 1 l.C/
10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER:
11. FULL NAME,HOME ADD SS,AND TELEPHONE#.OF:
CORPORATIGkI NAME Mp mn,
PRESIDENT {' U2
TREASURER
CLERK �1>rr. -
I
12. .IF PREPARED BY OUTSIDE PARTY: f
NAME: TELEPHONE#:
COMPANY ADDRESS EMAIL:
SIGNATURE OF APPLICANT DATE
Q:\Application Forms\I-IAZMAT APP 2017 REVISED.docx
Number Fee
1105 THE COMMONWEALTH OF MASSACHUSETTS $125.00
- � Town of Barnstable. _
Board of Health
This is to Certify that PARAMOUNT ENTERPRISES, INC.
2861 FALMOUTHROAD, OSTERVILLE, MA
Is Hereby Granted a License
For: Storing or Handling 111 - 499 gallons of Hazardous Materials.
--------------------------------------------------------------------------------------------------------------------- ------------------------------------------
- f
This license is granted in conformity with the Statutes and ordinances relating there to, and
and expires 06/30/2017 unless sooner suspended or revoked.
----------------------------------------
WAYNE MILLER,M.D.,CHAIRMAN
PAUL J.CANNIFF,D.M.D.
07/01/2016 JUNICHI SAWAYANAGI
THOMAS A.MCKEAN,R.S.,CHO
Director of Public Health
i
Town of Barnstable
• ►�,,, Regulatory Services t
Richard V. Scali, Director MA
B"RM10a Public Health Division BARNSTABLE
a639• `0� #f �srosx°se.us�N uim si�s�va +
AFC MA'1 s r,n� 16
��I�4
Thomas McKean, Director
200 Main Street, Hyannis,MA 02601
Office: 508-862-4644 U' Fax: 508-790-6304V
CA
APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE
HAZARDOUS MATERIALS
IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108,
HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS
MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN
ANNUAL PERMIT(RUNS~DULY-Ist TUNE 30th): s
APPLICATION FEES
CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 El
CATEGORY 2 PERMIT 111 —499 Gallons: $`125.00
CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑
• A late charge of$10.00 will be assessed if paMent is not received by July 1st.
ASSESSORS MAP AND PARCEL NO.Ia1 D 1 Co _DATE he 14
FULL NAME OF APPLICANT: V
NAME OF ESTABLISHMENT: Pay6d�i,—
ADDRESS OF ESTABLISHMENT: M•0 Lo/LlalfladA
MAILING ADDRESS(IF DIFFERENT): Do lJ�
TELEPHONE NUMBER OF ESTABLISHMENT:
EMAIL ADDRESS: pour a
SOLE OWNER: YES_NO IF NO,NAME OF PARTNER:
FULL NAME,HOME ADD S,AND TELEP O #OF• h
CORPORATIO NAME (� Ilse C_
PRESIDENT
TREASURER
CLERIC
" IF PREPARED BY OUTSIDE PARTY:
S TU F T Name:
Company Address : -
Telephone#:
Email:
Q:�Applic s A7.7.APP Rev 16.docx Page 1 of 2
V\ Number Fee
1105 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00
Town of Barnstable
Board of Health
This is to Certify that PARAMOUNT ENTERPRISES, INC.
2861 FALMOUTHROAD, OSTERVILLE, MA
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 06/30/2016 unless sooner suspended or revoked.
----------------------------------------
WAYNE MILLER,M.D.,CHAIRMAN
PAUL J.CANNIFF,D.M.D.
07/01/2015 JUNICHI SAWAYANAGI
THOMAS A.MCKEAN,R.S.,CHO
Director of Public Health
'�1
f,
: . Town of Barnstable
Regulatory Services
Richard V. Scan,Director
XASL Public Health Division '
Thomas McKean,Director N
200 4Main Street, Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-190-6304 '
Application Fee:$100.00 +
ASSESSORS MAP AND PARCEL NO. 00 DATE
APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN
111 GALLONS OF HAZARDOUS MATERIALS
FULL NAME OF APPLICANT
NAME OF ESTABLISHMENT
• ADDRESS OF ESTABLISHMENT O�S IU L E A Li ' ''bLk1Jf- i P--U.
TELEPHONE NUMBER _ x
SOLE OWNER: VYES NO
IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL,
PARTNERS:
IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.
STATE OF INCORPORATION
FULL NAME AND HOME ADDRESS OF r`
PRESIDENT
TREASURER
CLERK _
• SIGN TURF OFAPPLIC'
RESTRICTIONS: HOME ADDRESS -
HOME TELEPHONE#
Mcache\T=porary Intemet ReAOLKMEAZAPP Rev2015.DOC
dfs -- Town of Barnstable Office: 508-862-4644
Fax: 508-790-6304
a Regulatory Services Department
• ; BARNST'AOM ; Public Health Division
MAC Thomas A.McKean,CHO
639 e 200 Main Street, Hyannis, MA 02601
Payment Receipt .„
Hazardous Materials Check Payment received: 100.00 (Check) on 6 2015 Permit number: 1105
/12/
i
;Check number: 1405 Check amount: $100.00 Name on check: Paramount
f
!Business: PARAMOUNT ENTERPRISES, INC. Owner: ALBERT L
!Address: 2861 FALMOUTH ROAD/RTE 28, Marstons Mills
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?a
Number Fee
1105 THE COMMONWEALTH OF MASSACHUSETTS 100.0o
Town of Barnstable
Board of Health
This is to Certify that PARAMOUNT ENTERPRISES, INC.
2861 FALMOUTHROAD, OSTERVILLE, MA
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 6/30/2015 unless sooner suspended or revoked.
----------------------------------------
WAYNE MILLER,M.D.,CHAIRMAN
PAUL J.CANNIFF,D.M.D.
6/30/2014 JUNICHI SAWAYANAGI
THOMAS A.MCKEAN, R.S.,CHO
Director of Public Health
L
Town of Barnstable
°F1HE r, Regulatory Services .
Richard V. Scali,Director
\3AM Public Health Division
16;q.
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. eUf�tTE (.
APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN
111 GALLONS OF HAZARDOUS MATERIALS
FULL NAME OF APPLICANT
NAME OF ESTABLISHMENT /
ADDRESS.OF ESTABLISHMENT Y) Retc6b/alu v
TELEPHONE NUMBERS
SOLE OWNER:—�—//YES NO'
IF APPLICANT IS A PARTNERSHIP,FULL.NAME AND HOME ADDRESS OF ALL
PARTNERS:
IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.
STATE OF INCORPORATION M
FULL ME IOMADE �PRESIDE
IQ
TREASURER:
CLERK
SIGNATURE OF APPLICANT
RESTRICTIONS:: HOME ADDRESS
v�
HOME TELEPHONE# '7
Q:\Application FormsViAZAPRDOC
V
. P
ARAMOUNT
ENTERPRISES INC
UNDSCAPING
Hazardous Waste Contingency Plan
The following actions will be taken in response to a hazardous waste spill:
1. Immediately set up a barrier to alert unauthorized personnel to keep out.
2. Eliminate all possible sources of ignition and leakage
3. Immediately begin containment by placing absorbent material on the spill with
in the secondary containment..
4. Set up decontamination zone to ensure proper decontamination procedures.
5. Use shovels and/or equipment available to place contaminated absorbent into
proper disposal drums.
6. Any drummed cleanup materials are to be managed as hazardous waste.
7. Drums of cleanup material are to be properly labeled.
8. Assigned personnel are to continue to cleanup and remove all residue until all
contamination hazards are eliminated.
9. After spill is contained and cleaned up any equipment used in the cleanup
process must be thoroughly cleaned or replaced as necessary.
10. Depending on the size of the spill, absorbent material may also need to be
replaced as necessary.
2861 Falmouth Rd Osterville, MA 02655 para.ent.inc@comcast.net 508.420.9248
I`
r
Number Fee
1105 THE COMMONWEALTH OF MASSACHUSETTS $10o.00
Town of Barnstable
Board of Health
This is to Certify that PARAMOUNT ENTERPRISES, INC
2861 FALMOUTH ROAD, OSTERVILLE,MA
Is Hereby Granted a License
FOR: STORING O/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 6/30/2014 unless sooner suspended or revoked.
----------------------------------------
WAYNE MILLER,M.D.,CHAIRMAN
PAUL J.CANNIFF,D.M.D.
10/16/2013 JUNICHI SAWAYANAGI
THOMAS A.MCKEAN,R.S.,CHO
Director of Public Health
F,
y
Town of Barnstable
Barnstable
� r Regulatory Services Department
Public Health Division
iAM rAHL&
MASS& 200 Main.Street, Hyannis MA 02601
2007
Office: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
Application Fee: $100.00,
ASSESSORS MAP AND PARCEL NO. ®�Yd MATE
APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE
MORE THAN III GALLONS OF HAZARDOUS MATERIALS
FULL NAME OF APPLICANT Car I M..wl te 1
NAME OF ESTABLISHMENT T / mEw�- Y V S-�.f �C C�
ADDRESS OF ESTABLISHMENT a,8 to [ a 1 Vl
TELEPHONE NUMBER jj8 / I",:)`ld cla-`G .
SOLE OWNER: VYES NO
IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL
PARTNERS:
IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.
STATE OF INCORPORATION rn
FULL NAME AIND HOME AADDIDRES OF:
PRESIDENT COLK i I � - -�-e — 't d ua V -1/1,\ Geak�K4 Ic
TREASURER
CLERK
SIGNATURE OF APPLICANT
RESTRICTIONS: _- HOME ADDRESS - �1/l0 J{CLq Kzt L�
HOME TELEPHONE# (�
J:\inspection handouts\Haz Mat Application2008.DOC
f
i SPII_,L CONTINGENCY PLAID
I '
Emergency Coordinator, Name: COW m U�j I--e'r
Address: � uQ q uej_
Daytime Phone:
Evening Phone: 7 7 — tf Co
Fire Department: ci o r
Barnstable Public Health Division: 508-862-4644
DEP 24 Hour Spill Hot Line: 888-3.04-1133
Waste Hauler:: Name: T t,
Phone: j
Building diagram indicating hazardous material/waste storage area, location
of absorbent scavenger materials, fire extinguishers, fire-alarms (if present),
and evacuation route (if applicable):
s
crr
X
Actions to be taken to control a spill or release, and preventing it from .
reaching a catch basin, sewer system or the ground.
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