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2861 FALMOUTH ROAD/RTE 28 - Health
4azw\cu, - -- ---off" O ®®� SMEA® KEEPING YOU ORGANIZED (No.10334 2453L MADE IN USA GET ORGANIZED AT SMEAD.COM TOWN OF BARNSTABLE BAR-w 3133 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager Address of Offender MV/MB Reg. # Village/State/Zip Business Name am/pm; on 20 Business Address Signature of Enforcing Officer Village/State/Zip Location of Offense Enforcing Dept/Division Offense Facts This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD)REG.-PROG INK-ENFORCING OFFICER GOLD-ENFORCING DEPI. TOWN OF BARNSTABLE BAR_W + Ordinance or Regulation WARNING NOTICE Name of Offender/Manager <' E�... !1 Address of Offender MV/MB Reg.# Village/State/Zip Business Name k, tz ....� _ r, F ' am/pm; on 20 � .. <' r Business Address Signature ,'of Enforcing Officer Village/State/Zip ,1y{ f i Location of Offense t L SIN Enforcing Dept/Division Offense Facts x' 4 / This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary. —compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK.-ENFORCING OFFICER GOLD-ENFORCING DEPT. V,CA, oc�l- tI;6 v INE rokti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BA MANS- ` 200 Main Street• Hyannis, MA 02601 ,6,q a,0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT )FU MpV Business Name: �oDIOW & 'pf i SeS Date: 7/141 Location/Mailing Address: FGdrhoA,� RA Lrn:j &— 4i V(dU"tWA th Contact Name/Phone: -502 - 110- qJ4% Inventory Total Amount: III' uq q SDS: cto v0� License#: Tier II : Labeling: dd Spill Plan: Oil/WaterSeparator: Floor Drains: At 0 Emergency Numbers: Storage Areas/Tanks: all of 1570411ons Emergency/Containment Equipment: Waste Generator ID: Waste Product: U (31 Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: 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 nd 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) Windshield wash Motor oils 3,0 ' 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 ,/ Fertilizersgej — 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/RE OMMENDATIONS: jo�oShl)C(G 3,LAYK posde,�k/ 4"I—T I n Di I., V *aAe 01,11 P6,VV Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS `°Ft►�rokti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BAR MASS. E. • 200 Main Street• Hyannis, MA 02601 MASS. �ArFOMAr TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: Date: Location/Mailing Address: 2$(o I T7�21 wkv�i� 0r.0_. Ds�'�tvt 11-e Contact Name/Phone: yvt,v M%-w-I Y, .Sb$- *Zo y 8 -Inventory TotW Amount: ^' �S17 SDS: %►ti �v�� S License#: I t 0 5' � 2 Tier II : o Labeling: 0 Spill Plan: __ oA iu5tte. Oil/Water Separator: a Floor Drains: f A o Emergency Numbers: `t Storage Areas/Tanks: S a sow- W�� e-o.� �c�d-,- v -�c�-� 6 ( Emergency/Containment Equpment: 5hQZe4L,, v k Waste Generator ID: Vob Waste Product: o< Date&Amount of Last Shipment/Frequency: ?^4 K Iv r � -44-*e J l toe, - co.�c,1.� ko - r u.,,, ; Licensed Waste Hauler&Destination: k o K- Other Waste Disposal Methods: dAA ,•ktv-wy?c e LIST OF TOXIC AND HAZARDOUS MATERIALS Nb VAA u1 c�ne�.Vy- vv�, NOTE: Under the provisions of Ch. 111, Section 31, of the Kneral Laws of MA, hazardouslaterial 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 J 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 V 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 J / Paints, varnishes, stains, dyes Lye or caustic soda — V 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: ORDER W 4,5 k o,` 15 A-4,r a xr & "o a,\ ' , 5 1K.- co Zov`. 14L b< Zv1AS wlWOt-.1 191 �¢.¢` INFORMATION/RECOMMENDATIONS:LA t9 C.l y , 5�a<'r��11���� S 51�•ct5 av� v�e� Inspector: av 2i Lw V,) Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Timestamp Quantity of waste oil Where are you disposing 11/19/2015 7:20:39 15 Gallons Barnstable Dump 11/19/2015 7:20:50 15 Gallons Barnstable Dump 2/3/2016 9:54:43:5 Gallons Barnstable Dump 7/5/2016 10:47:46 8 Gallons Barnstable Dump 9/16/2016 11:14:26 10 Gallons Barnstable Dump pf IKE�Ok, Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARMS�LE,�` 200 Main Street• Hyannis, MA 02601 059. 'D'eDMA'�p`0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: I r,'4-��w* 1,� C', Date: Location/Mailing Address: 2861 t"ad moi+(, , Contact Name/Phone: Ca..-l Inventory Total Amount: o MSDS: License#: Iln� Tier II Labeling: Spill Plan: ��S Oil/WaterSeparator: Floor Drains: Emergency Numbers: !e-!5 Storage Areas/Tanks: w Mira 1 aw 446 bQdUA; , all 11nLov1, o,(,w C&A-k4TT kv �1�iVLtt fs Emergency/Containment Equip ent: 5 DJ A- k�- Waste Generator ID: � a'o C'.c,o 1��el Waste Product: e),l Date&Amount of Last Shipment/Freau ncX: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: 5e-kkc-ico w,5 AeA 3,k Qa,61ke, a, ( I& a „-1'L,L. - 4P LIST OF TOXIC AND HAZARDOUS MATERIALS �e S 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 y Dry cleaning fluids _ Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid).STv Windshield wash s JA Motor oils i-A t� .�SS�aaS t~e- Miscellaneous Corrosives Gasoline,jet fuel, aviation gas?40 Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: oo(1;Road salts boo Ib grease, lubricants, gear oil9- Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides io 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"1 Lye or caustic soda i Lacquer thinners 1 �( Miscellaneous Combustible ,�4-eg6ovi Paint&varnish removers, deglossers Leather dyes _ Miscellaneous Flammables %Do 16 Fertilizers 0-volt 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: �Ot/� �� li t i ► 8 _ p �� o` +A- 1s� k 4�4,;sOt- awl &L- co a s u 5-Q aty Gov-.t a,w O ERS: -fI ctw CO1Q, , k I J -�A A)"a , I N FO RMATI0N/RECO ENDATI0NS: C(-P-'lV-61A , 4, 6-© `Q i S Of 2. ACOD40V, ('-4 nn -e ©1 go>t �v2.� 01 1, P($`�V�b 1I��� �X I Inspector�UJQ, �, �06 r CO - O X C�'��(�-w� Vla'&*t,4 '' "K Y p acilit Representative WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS t&)e4L,5 oil I VP5-L C nKEr° Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • &'RMASS. • 200 Main Street• Hyannis, MA 02601 ,639 ��� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rFD MP'�s Business Name: �4r k, e{ S Date: 2 y Location/Mailing Address: .Z (o a Contact Name/Phone: C'a.rl a,A A.v,-, QeI1, r 5"ot3-yZE) 1.z48 Inventory Total Amount: a.l t 15oo 16 MSDS: 0,1L 7f fvc2V- License#: ( (0 Tier II : MO Labelina:* La64 wasf-+*xnaA-Rar Spill Plan: �/e,5- kb °st Oil/WaterSeparator: 01A Floor Drains: Flo Tmergency Numbers: Storage Areas/Tanks:Fes,t, I sd e 4 D ,wW- fa cv4 - a I l -►ti co Emergency/Containment Equipment: v 114 a ta4tt oil i L 1 ti++tt's°'^ co�cce �o°< Waste Generator ID: *-96tl iv Waste Product: o< Date&Amount of Last Shipment/Frequency: etd joG a 4e- 9u4VdA)1. + nla DrcSaw- tee W45f� �S Licensed Waste Hauler&Destination: f, Other Waste Disposal Methods:�eAC *Jt-t e qCZ,III- zsoo&,� LIST OF TOXIC AND HAZARDOUS MATERIALS 1Js V-4,a IorLha`'` s �wt �Kvev�to�y 5� �25k- NOTE: Under the provisions of Ch. 111, Section 31, of the General Lbws of MA, hazardous material use, (10/0,S) 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 Ggaol ne,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 y Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) V Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine V 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: I &5 OQ(T w)N4A,- Ang,5. of 'At INFORM ION/R COMMENDATIONS: 4K ox�c.". call w}a�r..�! a �.,� a�Gtt-✓f. vto�- 1 VV 050-. La gx-\ all , ,�. <U e vA-A4 AXs. Inspector i , Facility Representativ : WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS Date:/O/ l / 13 TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS REeIIST9AIMN FORM NAME OF BUSINESS: e4 CA.rytmaA+ 6,.}-ee C,kS Kc, BUSINESS LOCATION: 028(o I witjrvlovHn 12W . V4.jc'v- cK6 IM11(S INVENTORY MAILING ADDRESS: 54wtR— TOTAL AMOUNT- TELEPHONE NUMBER: /3 to allo"t CONTACT PERSON: Carl av et 5Z70 66 EMERGENCY CONTACT TELEPHONE N MBER: MSDS ON SITE? TYPE OF BUSINESS: 10too?sca f— Q,tX Qr®Qevt, t1&1rDeS41C.1,j" INFORMATION / 1�1a s .r,als «►'���" Fire D,instric�trtv / ,5 sieljvtfa7);5vLrn,}-a, 1 zo-A-,ow AvLX a0�JI pig +� a�o�a+x. . "-rvv, C'�9-►•1f''l 3) 5fo,Cf, l 111 atar,Qvsa ,rleops oc ItRPrVIOVs .0(- � kcb+yt Se 60 rt ACCpvtfA nK Vk4kt1 (0rV t�eQ-//C&WL � eJeMAK� � 60 � ,7Cv r-mutt--,=Dvt Waste Transportation: s-. Ji- 4-ra" UOYA',oR Last shipment of hazardous waste: eex- qwk Name of Hauler: Destination: Via, ( dv,>6 Mwi to ar-A. + Waste Product: o,I ko -%e vtk,.�-6k4 d JZo< Licensed? Yes No 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 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 J �} 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 p Motor Oils �� Pesticides O NEW� l�"USED 7� � (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals(Fixers) Diesel Fuel, kerosene,#2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) ,3 lubricants, gear oil ❑ NEW ❑ USED / Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine (9 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 /D 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) tJ 0C/6 ee26&0 i b,14bf—' 1CIl h¢&4L6 kJ*5k- Spot removers &cleaning fluids ' (dry cleaners) CDitT yo-t (S 7,tJl v io Other cleaning solvents ff- q Bug and tar removers do I co6ti -kYK%vlktt o b g t4 6 e 1 6 d� Windshield wash hD '( cp 5 a d A5 g�a.->^o WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's S gnature Staff's Initials