HomeMy WebLinkAbout0155 WEST BAY ROAD - Health (2)
°FTHe roq, Town of Barnstable Office:508-862-4644
Public Health Division Fax:508-790-6304
a"R.a.ABLE.
e.$ 200 Main Street• Hyannis, MA 02601
"reoMON TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT 8
Business Name: w i b e Date: �Ol
Location/Mailing Address: 1 VS WP,9r ao = 9
Contact Name/Phone: O
Inventory Total Amount: MSDS: License#:
Tier II : Labeling: Spill Plan:
Oil/WaterSeparator: Floor Drains: Emergency Numbers:
Storage Areas/Tanks: Wa
Emergency/Containment Equipment:' y ~44,
aste Generator ID: Waste Product:
Date&Amount of Last Shipment/Frequency::Licensed Waste Hauler&Destination:
Other Waste Disposal Methods: YPA J�As &6w ti-er
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) indshield 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:
�aulk/Grout insecticides, herbicides, rodenticides
o/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 ather dyes
Y 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: a
aj e,
Inspector:
Facility Representative: v6
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS
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°4IKE ro"'Y Town of Barnstable Office:508-862-4644
Public Health Division Fax:508-790-6304
• BA!;MASS. 200 Main Street• Hyannis, MA 02601
�ArFDNa+°�0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT 10
Business Name: '�Jta K h C�'o L�' C(t, Date:
Location/Mailing Address: ►SS 4),og - 54- , 10 fla 190x 2q-q
Contact Name/Phone:
Inventory Total Amount: S��0M � �SDS: Co I ltc,k SDI C&<°-� 4� 'License#: l 1 L 7 - 3
Tier II : o Labeling: OK Spill Plan:
Oil/WaterSeparator: Floor Drains: yeS ' ul Emergency Numbers:
Storage Areas/Tanks: bDQ a1 5 ltk At - s da�,mvs
Emergency/Containment Equipment: ',ke,
Waste Generator ID: PMQ $14'.$11%$2 Waste Product:
Date&Amount of Last Shpment/Frequency: 3In I.b 1 S1&t , "As
Licensed Waste Hauler&Destination: 5 \\ ram<k-N-� 1Z=
Other Waste Disposal Methods: n1
LIST OF TOXIC AND HAZARDOUS MATERIALS A 1 JAVP_ , '^''+L e-xC-0-v t�-�Q
NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazarddus material use,
storage and disposal of 111 gallons or more requires a license from the Public Health Division.
f Antifreeze r ,"I�'' Dry cleaning fluids
Automatic transmission fluid Other cleaning solvents&spot removers
Engine and radiator flushes Bug and tar removers
Hydraulic fl id (including brake fluid)>s Windshield wash
Motor oil Miscellaneous Corrosives
Gasoline,jet fuel, aviation gas Cesspool cleaners
,/ Diesei_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 ae-coiols
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: k- 101e,, 5)>6 AK,4 v p bo 5 or o�
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ce-C, oc bac-kp �,n re> Inspector:
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acility Rep r�tative:
\4wy ,s eck,l,q�t5 C,<A ..-d�cgWWHITE COPY-HEALTHDEPARTMENT/CANARY COPNESS
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Number Fee
1162 THE COMMONWEALTH OF MASSACHUSETTS $15o.o0
Town of Barnstable
Board of Health`
This is to Certify that WIANNO CLUB GOLF
155 WEST STREET, OSTER VILLE, MA
Is Hereby Granted a License
For: Storing or.Handling 500 gallons or more of Hazardous Materials.
This license is granted in conformity with the Statutes and ordinances relating there to,and
and expires 06/30/2017 unless sooner suspended or revoked.
J ---------------------------------------
WAYNE MILLER,M.D.,CHAIRMAN
CZS PAUL J.CANNIFF, D.M.D.
07/01/2016 JUNICHI SAWAYANAGI
THOMAS A.MCKEAN, R.S.,CHO
Director of Public Health
Cie
Town of Barnstable
�t1HUEti Regulatory Services F
Richard V. Scah, Director L
'"`M" M Public Health Division BAMSTABLE n
1639 10 ,^ e""kusos RFD os Thomas McKean Director, y`�' 7639-2014
200 Main Street,Hyannis,MA.02601
Office: 508-862-4644 y 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
ANNUALPERMIT(RUNS JULY I ft=JUNE 30th). -
APPLICATION FEES
CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00, ❑
CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 ❑
CATEGORY 3 PERMIT 500 or more Gallons: $150.00
• A late charge of$10.00 will be assessed if payment is not received by July st•
ASSESSORS MAP AND PARCEL NO. 1`J (J' DATE
FULL NAME OF APPLICANT:
NAME OF ESTABLISHMENT: .4-^nA31
ADDRESS OF ESTABLISHMENT: I �J J 2t1• I 1 f'�C"1(r 1111`t 0 �
MAILING ADDRESS(IF DIFFERENT):
TELEPHONE NUMBER OF ESTABLISHMENT:
EMAIL ADDRESS:
SOLE OWNER: YESXNO IF NO,NAME OF PARTNER:
FULL NAME,HOME ADDRESS,AND TELEPHONE#OF:
CORPORATION NAME
PRESIDENT
TREASURER
.CLERK
IF PREPARED BY OUTSIDE PARTY:
SIGNAT F PLICANT "Name.*
Company Address
Telephone#:
Email:
Q:\Applicarion Forms\HAZZAPP Rev I6.docx Page•I of 2
°FtME rokti Town of Barnstable Office:508-862-4644
Public Health Division Fax:508-790-6304
• BARMMLS .
. g` 200 Main Street• Hyannis, MA 02601
" i639.
MP TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT
rFD S Business Name: wiQ.Kylo 6-01-c (-106 w�a, e,,a,,t ro.�.�s Date:
Location/Mailin Address: ►Stjesf Sf ier ,I le. 'vA,• l : D o 2
Contact Name/Phone: a So$ �a 4a&-
` V,
y_ AACAtRi L
'Q Sa h4�tom_�►J� 7
Invento Total Amount: ���G MSDS: � License#:
Tier II : V Labeling: v Spill Plan:— t�I Q,�/
Oil/WaterSeparator: Floor Drains: Q n Emer enc Numbers: ¢-5 K� {s
Storage Areas/Tanks: 2p6o AA AX6., V 0 - , Z k
11
Emer enc /Containment E ui men : �I 1��k w� g N
Waste Generator 14a6e Product:
Date&Amount of Last Shipment/Frequency: ''� g �� 2-SXIII,C 01 ( VkO o, t
Licensed Waste Hauler&Destination: Q, 2
Other Waste Disposal Methods:
LIST OF TOXIC AND HAZARDOUS MATERIALS iv%Ve;v,1e,<y+o`U- �o�AdJ t.s/iw ,�- we-e ,
NOTE: Under the provisions of Ch. 111, Section 31, of the Gener I Laws of A, 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:
ORDERS: 00
INFORMATION/RECOMMENDATIONS:
vt „ tikk
Inspectdr: \ 1'4L,-2k\
Facility Representative:
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS
l
,57/
4 speed xt 5 gallons
acclaim 1 gallon
affirm 2.4 lbs.
arena 27 lbs
banner maxx 8 gallons
banol 10 gallons
banvel' 2.5 gallons
bayleton flo 7.5 gallons
bifenthrin pro 3.2 gallons
border 20 gallons GaJ J V"k
cascade 25 gallons t,-%
chlorpyrifos 30 gallons
conserve 2 gallons 'p
curalan 132 lbs
cutless 30 gallons
daconil ultrex 220 lbs. 50 0 � lit Vid
dimension 1.5 gallons O %S �y
disarm 2 gallons r'
dylox 5 gallons v
eagle 5 pints
embark 12 gallons
emerald 24 lbs
fiata- 5 gallons �✓�
firebird 8 gallons O
garlon " 1.5 gallons 1*7
hammercap 5 gallons
insignia 5 gallons
interface 20 gallons
junction 24lbs
meddalion 2 gallons
merit 11Ibs c)Cl> 'bS Dry
mirage 15 gallons
peregrine 40 lbs � . 1�v
primo . 2 gallons
Pro duece 4 gallons �p Ib �w-ICA"
proxy 5 gallons
raven 35 gallons nn
revere 20lbs
secure 10 gallons
signature 88lbs
skylark 14 gallons P
subdue 3.5 gallons
tourney 20 lbs
trimmit 7.5 gallons
triton 2 gallons
Page 1 of 1
Lavelle, Timothy
From: Dave Johnson [dave@wiannoclub.com]
Sent: Friday, May 29, 2015 6:24 AM
To: Lavelle, Timothy
Subject: Wianno Club Shop.Inventory
Tim,
Sorry for the delay on this. For the mechanics shop inventory of Haz Mats:
400 Gal of Motor Oils and Waste Oils
100 Gal. of Antifreeze and Waste Antifreeze
20 gallons of Aeresols
For the Golf Supply room:
20 gallons of aeresols in turf marking paint
20 gallons of canned paint
In the winter months when we refurbish our supplies this number can double to 40 gallons of aeresols and 40
gallons of canned paint.
Thank you for your guidance and suggestions in keeping our business a safe place, let me know if you need
anything additional.
Good luck with everything.
1r , lanno Club
David W Johnson
Golf Course and Grounds Superintendent
Direct (508)428-6592
FAX (508)428-6912 y
EMAIL dave@wiannoclub.com
107 Sea View Avenue P.O. Box 249 Osterville, MA 02655-0249 (508)428-6981 www.WiannoClub.com
5/29/2015
TOWN F BARN TABLE Date: Y/ 7 1�(
O N O S ��S �-
TOXIC AND HAZARDOUS MATERIALS REEGISMNTION FORM
NAME OF BUSINESS: �),aAvlo
BUSINESS LOCATION: 1575' I'Je-sk6k , 04�z<v,lLe-, INVENTORY
MAILING ADDRESS: 1.00 �I '- Qp oo� 2-� TOTAL AMOUNT-
TELEPHONE NUMBER:
CONTACT PERSON: �2Q,\/�a �°Iny�let
EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE?
TYPE OF BUSINESS: GGoK t;ojsy JeA
-
INFORMATION / RECOMMENDATIONS: Fire District:
vtf.J , VS. -- &0- ma
Gra sPe 1 p 113 `-
Waste T au" NUJ SDI��� °0 2 Last shipment of hazardous waste:
Name of Hauler: 50SJ� -J�\Nt.&J`• Destination: Cv
Waste Product: otl , ,Ak, CjjCA&Lw2Licensed? s No 0 �)g80 ZA�Z
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 Division.
LIST OF TOXIC AND HAZARDOUS MATERIALS — ko �e. <oq,�i
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) Miscellaneous Corrosive
❑ NEW ❑ USED Cesspool cleaners
Automatic transmission fluid Disinfectants
Engine and radiator flushes Road salts (Halite)
Hydraulic fluid (including brake fluid) Refrigerants
Motor Oils Pesticides
❑ NEW ❑ USED (insecticides, herbicides, rodenticides)
Gasoline, Jet fuel,Aviation gas
Photochemicals (Fixers)
Diesel Fuel, kerosene,#2 heating oil ❑ NEW ❑ USED
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 Miscellaneous 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 (including carbon tetrachloride)
❑ NEW ❑ 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 may be toxic or hazardous (please list):
Metal polishes
Laundry soil &stain removers
(including bleach)
Spot removers&cleaning fluids
(dry cleaners)
Other cleaning solvents
Bug and tar removers
Windshield wash
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials