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HomeMy WebLinkAbout2964 FALMOUTH ROAD/RTE 28 - Health 2964 FALMOUTH ROAD, MARSTONS MILLS BARTLETT TREE EXPERTS 03 f J II' i i r 1 � age?- 1 / r COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL FATPR DEPARTMENT OF ENVIRONMENTAL PROTE pv SOUTHEAST REGIONAL OFFICE ✓vj j 20 RIVERSIDE DRIVE, LAKEVILLE, MA 02347 508-946-2 uu MITT ROMNEY STEPHEN R.PRITCHARD Governor Secretary KERRY HEALEY ROBERT W.GOLLEDGE,Jr. Lieutenant Governor Commissioner URGENT LEGAL MATTER:PROMPT ACTION NECESSARY November 8,2005 Mr.Frederick Tobin RE: BARNSTABLE-BWSC General Counsel/Vice President/Secretary 2964 Falmouth Road,@AeFA& M M Bartlett Realty Company RTN#4-19395 1290 East Main Street P.O.Box 3067 Stamford,Connecticut 06902 NOTICE OF RESPONSIBILITY Request for Information with an Enforceable Interim Deadline ; M.G.L. c.21E,310 CMR 40.0000 ATTENTION:Mr.Tobin On October 4, 2005 the Department of Environmental Protection (the 'Department") received Release Notification Form ("RNF") which indicates that a release of oil and/or hazardous material has occurred at the location referenced above. The Massachusetts Oil and Hazardous Material Release Prevention and Response Act, M.G.L. c.21E,and the Massachusetts Contingency Plan(the "MCP"),310 CMR 40.0000,require the performance of response actions to prevent harm to health,safety,public welfare and the environment which may result from this release and/or threat of release and govern the conduct of such actions. The purpose of this notice is to inform you of your legal responsibilities under State law for assessing and/or remediating the release at this property. For purposes of this Notice of Responsibility, the terms and phrases used herein shall have the meaning ascribed to such terms and phrases by the MCP unless the context clearly indicates otherwise. The Department has reason to believe that the release and/or threat of release, which has been reported,is or may be a disposal site as defined by the M.C.P. The Department also has reason to believe that you(as used in this letter, "you"refers to the Bartlett Realty Company)are a Potentially Responsible Party(a "PRP")with liability under M.G.L. c.21E§5,for response action costs. This liability is "strict",meaning that it is not based on fault,but solely on your status as owner, operator, generator,transporter, disposer or other person specified in M.G.L.c.21E§5. This liability is also"joint and several',meaning that you may be liable for all response action costs incurred at a disposal site regardless of the existence of any other liable parties. . This information is available in alternate format.Call Donald M.Gomes,ADA Coordinator at 617-556-1057.TDD Service-1-800-298-2207. DEP on the World Wide Web: http:/twww.mass.gov/dep Zia Printed on Recycled Paper 2 The Department encourages parties with liabilities, under M.G.L. c.21E to take prompt and appropriate actions in response to releases and threats of release of oil and/or hazardous materials.By taking prompt action,you may*significantly lower your assessment and cleanup costs and/or avoid liability for costs incurred by the Department in taking such actions. You may also avoid the imposition of,the amount of or reduce certain permit and/or annual compliance assurance fees payable under 310 CMR 4.00. Please refer to M.G.L. c.21E for a complete description of potential liability. For your convenience, a summary of liability under M.G.L.c.21E is attached to this notice. You should be aware that you may have claims against third parties for damages, including claims for contribution or reimbursement for the costs of cleanup. Such claims do not exist indefinitely but are governed by laws,which establish the time allowed for bringing litigation. The Department encourages you to take any action necessary to protect any such claims you may have against third parties. SITE INFORMATION Information provided on the completed Release Notification Form indicates that the following contaminant was detected in soil at concentrations which exceeds the applicable Reportable Concentration standard for Soil Category 1 (RCS-1)as established in the MCP,310 CMR 40.1600. CHEMICAL' CONCENTRATION RCS-1 Arsenic 32.9 ppm 30 ppm 4,4'-DDT 220 2 4,4'-DDD 40 2 4,4'-DDE 50 2 REQUEST FOR INFORMATION The Department requests that the following information be provided for review within thirty (30) days of receipt of this Notice. This timeline constitutes an enforceable Interim Deadline established pursuant to 310 CMR 40.0167: 1. Provide a description of the past and present uses of the property including all commercial and/or industrial owners or operators. 2. Provide a site diagram identifying all soil sample locations,structures on the site and the surrounding receptors. 3. Identify the potential sources of the soil contamination including all past and present storage tanks,and the present and historic usage(s)of the site. REQUIRED ACTIONS Specific approval is required from the Department for the implementation of all Immediate Response Actions("IRA")pursuant to 310 CMR 40.0420 and 310 CMR 40.0443,respectively. Assessment activities, the construction of a fence and/or the posting of signs are actions that are exempt from this approval requirement. ft t 3 This site shall not be deemed to have had all the necessary and required response actions taken unless and until all substantial hazards presented by the release and/or threat of release have been eliminated and a level of No Significant Risk exists or has been achieved in compliance with M.G.L.c.21E and the MCP. Unless otherwise provided by the Department, potentially responsible parties ("PRP's") have one year from the initial date of notification to the Department of a release or threat of a release,pursuant to 310 CMR 40.0300,or from the date the Department issues a Notice of Responsibility,whichever occurs earlier, to file with the Department one of the following submittals:(1)a completed Tier Classification Submittal; (2) a Response Action Outcome Statement or,if applicable,(3)a Downgradient Property Status. The deadline for either of the first two submittals for this disposal site is October 4, 2006. If required by the MCP, a completed Tier I Permit Application must also accompany a Tier Classification Submittal. The MCP requires that a fee of$1,200.00 be submitted to the Department when a Response Action Outcome("RAO") statement if filed greater than 120 days from the date of notification. You must employ or engage a Licensed Site Professional (LSP)to manage, supervise or actually perform the necessary response actions at this site. You may obtain a list of names and addresses of LSPs from the Board of Registration of Hazardous Waste Site Cleanup Professionals by calling (617) 556-1145 or visiting ham://www.state.ma.us/lsp//www.state.md.us/lsp. If you have any questions relative to this Notice, please contact Julie-J. Hutcheson at the letterhead address or at(508)946-2852. All future communications regarding this release must reference the following Release Tracking Number:4-19395. Very truly yours, `7 � Richard F.Packard,Chief Emergency Response Release Notification Section P/JJH/re Attachments: Summary of Liability under M.G.L.c.21E 19395nor120RFI.doc fc: Board of Selectmen Board of Health Fire Department cc: Dunning&Kirrane,LLP Shellback Place Mashpee,MA 02649 ATTN: Michael A.Dunning,Esquire Data Entry—C&E/IDL COMMONWEALTH OF MASSACHUSETTS Ho PW EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIR DEPARTMENT OF ENVIRONMENTAL PROSOUTHEAST REGIONAL OFFICE twy 20 RIVERSIDE DRIVE, LAKEVILLE, MA 02347 508-946- 40101 MITT ROMNEY STEPHEN R.PRITCHARD Governor Secretary KERRY HEALEY ROBERT W.GOLLEDGE,Jr. Lieutenant Governor Commissioner URGENT LEGAL MATTER:PROMPT ACTION NECESSARY October 28,2005 Nstar RE: BARNSTABLE-BWSC 1 Nstar Way 1 Grand Island Road Westwood,Massachusetts 02090 RTN#4-19396 NOTICE OF RESPONSIBILITY M.G.L. G 21E,310 CMR 40.0000 ATTENTION:Eric La Montagne On October 12, 2005 at 1:20 pm the Department of Environmental Protection (the 'Department") received oral notification of a release and/or threat of release of oil and/or hazardous material at the above referenced property which requires one or more response actions. A backhoe accidentally pulled electrical lines out of a pad mounted transformer. This caused an estimated 70 gallons of transformer oil to be released. The Massachusetts Oil and Hazardous Material Release Prevention and Response Act; M.G.L. c.21E, and the Massachusetts Contingency Plan (the "MCP"), 310 CMR 40.0000,require the performance of response actions to prevent harm to health, safety,public welfare and the environment which may result from this release and/or threat of release and govern the conduct of such actions. The purpose of this notice is to inform you of your legal responsibilities under State law for assessing and/or remediating the release at this property. For purposes of this Notice of Responsibility,the terms and phrases used herein shall have the meaning ascribed to such terms and phrases by the MCP unless the context clearly indicates otherwise. The Department has reason to believe that the release and/or threat of release which has been reported is or may be a disposal site as defined by the M.C.P. The Department also has reason to believe that you (as used in this letter, "you" refers to Nstar) are a Potentially Responsible Party (a "PRP") with liability under M.G.L. c.21E §5, for response action costs. This liability is "strict", meaning that it is not based on fault,but solely on your status as owner, operator, generator,transporter, disposer or other person specified in M.P.L. c.21E§5. This liability is also "joint and several',meaning that you may be liable for all response action costs incurred at a disposal site regardless of the existence of any other liable parties. The Department encourages parties with liabilities under M.G.L. c.21E to take prompt and appropriate actions.in response to releases and threats of release of oil and/or hazardous materials.By taking This information is available in alternate format Call Donald M.Gomes,ADA Coordinator at 617-556-1057.TDD Service-1-800-298-2207. DEP on the World Wide Web: http:/twww.mass.gov/dep ��py Printed on Recycled Paper r 2 prompt action, you may significantly lower your assessment and cleanup costs and/or avoid liability for costs incurred by the Department in taking such actions. You may also avoid the imposition of,the amount of or reduce certain permit and/or annual compliance assurance fees payable under 310 CMR 4.00. Please refer to M.G.L. c.21E for a complete description of potential liability. For your convenience,a summary of liability under M.G.L.c.21E is attached to this notice. You should be aware that you may have claims against third parties for damages,including claims for contribution or reimbursement for the costs of cleanup. Such claims do not exist indefinitely but are governed by laws which establish the time allowed for bringing litigation. The Department encourages you to take any action necessary to protect any such claims you may have against third parties. At the time of oral notification to the Department,the following response actions were approved as an Immediate Response Action(IRA): • Excavation and disposal of up to 20 cubic yards of contaminated soil. • All Remediation Waste must be properly stored/handled and disposed of within 120 days from the date of generation per 310 CMR 40.0030. ACTIONS REQUIRED In addition to oral notification, 310 CMR 40.0333 requires that a completed Release Notification Form(BWSC-103,attached)be submitted to the Department within sixty(60)calendar days of October 12, 2005 . ,You must employ or engage a Licensed Site Professional (LSP) to manage, supervise or actually perform the necessary response actions at this site. The Department has Dan Watton listed as the LSP of record. Additional submittals are necessary with regard to this notification including,but not limited to,the filing of a written IRA Plan, IRA Completion Statement and/or a Response Action Outcome (RAO) statement. The MCP requires that a fee of $1,200 be submitted to the Department when a RAO statement is filed greater than 120 days from the date of initial notification. Specific approval is required from the Department for the implementation of all IRAs pursuant to 310 CMR 40.0420. Assessment activities, the construction of a fence and/or the posting of signs are actions that are exempt from this approval requirement. Unless otherwise provided by the Department, potentially responsible parties ("PRP's") have one year from the initial date of notification to the Department of a release or threat of a release,pursuant to 310 CMR 40.0300,or from the date the Department issues a Notice of Responsibility,whichever occurs earlier, to file with the Department one of the following submittals: (1) a completed Tier Classification Submittal; (2) an RAO Statement or,if applicable, (3) a Downgradient Property Status. The deadline for either of the first two submittals for this disposal site is October 12, 2006. If required by the MCP, a completed Tier I Permit Application must also accompany a Tier Classification Submittal. This site shall not be deemed to have had all the necessary and required response actioxis taken unless and until all substantial hazards presented by the release and/or threat of release have been eliminated and a level of No Significant Risk exists or has been achieved in compliance with M.G.L. c.21E and the MCP. 3 If you have any questions relative to this Notice, please contact Dan Crafton at the letterhead _ address or at (508) 946-2721. All future communications regarding this release must reference the following Release Tracking Number:4-19396, Very truly yours, Richard F.Packard,Chief Emergency Response/Release Notification Section P/DGC/re Attachments: Release Notification Form;BWSC-103 and Instructions Summary of Liability under M.G.L.c.21E cc: Barnstable Board of Health 200 Main St. Hyannis,MA 02601 Board of Selectmen 200 Main St. Hyannis,MA 02601 >Fire Dept 95 High School Rd Ext. Hyannis,MA 02601 ' COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL DEPARTMENT OF ENVIRONMENTAL PROTE SPY SOUTHEAST REGIONAL OFFICE 20 RIVERSIDE DRIVE, LAKEVILLE, MA 02347, 508-946-27 DO MITT ROMNEY STEPHEN R.PRITCHARD Governor Secretary KERRY HEALEY ROBERT W.GOLLEDGE,Jr. Lieutenant Governor Commissioner URGENT LEGAL MATTER:PROMPT ACTION NECESSARY November 8,2005 Ms.Elizabeth E.Zinkevicz RE: BARNSTABLE-BWSC Project Manager Mobil Service Station#11826 Exxon Mobil Corporation 1734 Falmouth Rd.,Centerville 52 Beacham Street RTN#4-19357 Everett,Massachusetts 02149 NOTICE OF RESPONSIBILITY M.G.L. c.21E,310 CMR 40.0000 ATTENTION:Ms.Zinkevicz On September 22, 2005 the Department of Environmental Protection (the "Department")received a Release Notification Form ("RNF") which indicates that a release of oil and/or hazardous material has occurred at the location referenced above. The Massachusetts Oil and Hazardous Material Release Prevention and Response Act, M.G.L. c.21E,and the Massachusetts Contingency Plan(the "MCP"), 310 CMR 40.0000,require the performance of response actions to prevent harm to health,safety,public welfare and the environment which may result from this release and/or threat of release and govern the conduct of such actions. The purpose of this notice is to inform you of your legal responsibilities under State law for assessing and/or remediating the release at this property. For purposes of this Notice of Responsibility, the terms and phrases used herein shall have the meaning ascribed to such terms and phrases by the MCP unless the context clearly indicates otherwise. The Department has reason to believe that the release and/or threat of release, which has been reported,is or may be a disposal site as defined by the M.C.P. The Department also has reason to believe that you (as used in this letter, "you" refers to the Exxon Mobil Corporation),are a Potentially Responsible Party (a "PRP")with liability under M.G.L. 0.21E §5, for response action costs. This liability is "strict",meaning that it is not based on fault, but solely on your status as owner, operator, generator, transporter, disposer or other person specified in M.G.L.c.21E §5. This liability is also"joint and several",meaning that you may be liable for all response action costs incurred at a disposal site regardless of the existence of any other liable parties. This information is available in alternate format.Call Donald M.Gomes,ADA Coordinator at 617-556-1057.TDD Service-1-800-298-2207. DEP on the World Wide Web: http://www.mass.gov/dep Printed on Recycled Paper 4 2 The Department encourages parties with liabilities under M.G.L. c.21E to take prompt and appropriate actions in response to releases and threats of release of oil and/or hazardous materials.By taking prompt action,you may significantly lower your assessment and cleanup costs and/or avoid liability for costs incurred by the Department in taking such actions. You may also avoid the imposition of,the amount of or reduce certain permit and/or annual compliance assurance fees payable under 310 CMR 4.00. Please refer to M.G.L. c.21E for a complete description of potential liability. For your convenience, a summary of liability under M.G.L.c.21E is attached to this notice. You should be aware that you may have claims against third parties for damages, including claims for contribution or reimbursement for the costs of cleanup. Such claims do not exist indefinitely but are governed by laws,which establish the time allowed for bringing litigation. The Department encourages you to take any action necessary to protect any such claims you may have against third parties. SITE INFORMATION The Tank Excavation Assessment Report prepared by GSC Kleinfelder,states that during station and UST system upgrades,a 1000 gallon waste oil UST was removed. Information provided on the completed Release Notification Form indicates that the following contaminants were detected in soil at concentrations which exceed the applicable Reportable Concentration standards for Soil Category 1 (RCS-1)as established m the MCP,310 CMR 40.1600. CHEMICAL CONCENTRATION RCS-1 Extractable Petroleum Hydrocarbons(EPH) Cll-C22 Aromatics 622 ppm 200 ppm C19-06 Aliphatics 3,690 2,500 REQUIRED ACTIONS Specific approval is required from the Department for the implementation of all Immediate Response Actions("IRA")pursuant to 310 CMR 40.0420. Assessment activities,the construction of a fence and/or the posting of signs are actions that are exempt from this approval requirement. This site shall not be deemed to have had all the necessary and required response actions taken unless and until all substantial hazards presented by the release and/or threat of release have been eliminated and a level of No Significant Risk exists or has been achieved in compliance with M.G.L.c.2 I and the MCP. Unless otherwise provided by the Department, potentially responsible parties ("PRP's") have one year from the initial date of notification to the Department of a release or threat of a release,pursuant to 310 CMR 40.0300,or from the date the Department issues a Notice of Responsibility,whichever occurs earlier, to file with the Department one of the following submittals: (1)a completed Tier Classification Submittal;(2) a Response Action Outcome Statement or,if applicable,(3)a Downgradient Property Status. The deadline for either of the first two submittals for this disposal site is September 22,2006. If required by the MCP, a completed Tier I Permit Application must also accompany a Tier Classification Submittal. The MCP requires that a fee of$1,200.00 be submitted to the Department when a Response Action Outcome ("RAO") statement is filed greater than 120 days from the date of notification. �t 3 You must employ or engage a Licensed Site Professional (LSP)to manage, supervise,or actually perform the necessary response actions at this site. You may obtain a list of names and addresses of LSPs from the Board of Registration of Hazardous Waste Site Cleanup Professionals by calling (617) 556-1145 _or visiting http://www.state.ma.us/lsp. The Department has Bruce C. Ross with GSC Kleinfelder of Littleton,MA as the LSP of Record for this release. If you have any questions relative to this Notice,please contact Julie J. Hutcheson at the letterhead address or at(508) 946-2852. All future communications regarding this release must reference the following Release Tracking Number:4-19357. Very truly yours, Richard F.Packard,Chief Emergency Response Release Notification Section P/JJH/re Attachments: Summary of Liability under M.G.L.c.21E cc: Board of Selectmen 200 Main St. Hyannis,MA 02601 Board of Health 200 Main St. Hyannis,MA 02601 Fire Department 1875 Route 28 Centerville,MA 02632 GSC Kleinfelder 30 Porter Road Littleton,MA 01460 ATIN: Bruce C.Ross,LSP -TABLE 2BID i �► P + 2� 22 PETER D.GOETZ REPRESENTATIVE I.S.A.CERTIFIED ARBORIST .r- CARTLETT BARTLETT TREE EE EXPERTS PE RTS PO."Box 177 2964 Falmouth Road (508)428-2397 Osterville,MA 02655 Fax(508)428-2398 i Corporate Office-Stamford,CT www.bartiett.com L TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Rep r satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops ,O unsatisfactory- 4.Manufacturers COMPANY � lr d (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESSR _ ;;FX" 1,14WC I s: 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drwns Above Tanks Underground IN OUT IN OUT IN OUT #&gallons Age Test Gasoline Jet Fuel (A) #2 (B) Heavy Oils: waste motor oil(C) new motor oil(C) r transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply O Town Sewer ublic '0100n-site OPnvate 3. Indoor Floor Drains YES NO O Holding tank:MDC_ O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO—f/ O RS: O Holding tank:MDC O Catch basin/Dry well �- O On-site system 5.Waste Transporter , . Name of Hauler Destination Waste Product LicensedT YES NO 2. Fle rs ofi.444mftsiewe IAsp&tor Date MARK P. DiBIASE REPRESENTATIVE ISA CERTIFIED ARBORIST BARTgL�TT BARTLETT TREE EXPERTS -� 2964 Falmouth Road (508)428-2397 P.O. Box 177 Fax(508)428-2398 Osterville,MA 02655 Corporate Office-Stamford,CT www.bartiett.com TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair (� satisfactory 2.Printers BOARD OF HEALTH 99\ 3.Auto Body Shops 0 unsatisfactory- 4.Manufacturers COMPANY 'F�i '1 I�C f� . (see"Orders") 5.Retail Stores *VV 6.Fuel Suppliers � ADDRESS 2 ft ( �" #2d C18ss: 7.Miscellaneous frt� Mai K QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground T, ks IN OUT IN OUT IN OUT #&gallons Age Test Z=5� Fuels: Gasoline Jet Fuel (A) Diesel, Kerosene, ) ASS Heavy Oils: 1 z�S waste motor oil(C) `© tj x new motor oil(C) I S5- X transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: ,,AA#%k4 y DISPOSAIJRECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply ac � Y " le,✓ 01 bQ-S 0 Town Sewer l ubic On-site Private Ve-C l-C&J M d4..; 0 Y44�,_ j 3. Indoor Floor Drains YES NO ®S1in . (- .,9_ _ -54d, 0 Holding tank:MDC_ 4�� ` 0 Catch basin/Dry well 0 On-site system 4. Outdoor Surface drains:YES N0-X— ORDERS: 0 Holding tank:MDC erjvIdo r t 4J 0 S,4 11 0 Catch basin/Dry well 0 On-site system 5.Waste Transporter Name of Hauler Destination Waste Product > YES NO 1. 2. 7 Person(s) Interviewed Insp for Da tfe i JUNE 1998 CHEMICAL INVENTORY OFFICE NAME: Osterville ;GANIZATION CODE: 01011512 PESTICIDES EXPENSE CODE: 5053011 Description Quantity Unit Cost Value AceCap 97(75/bg)-NO LONGER USED BAG $39.25 Alamo (1gt/btl) 2 QT $106.00 $212.00 Aliette, 2x11#/cs LB $14.95 Aliette, 4x5#/cs LB $14.50 Arbotect 20S (4x1 gal/cs) GAL $247.00 Astro (12x1 qt/cs) 32 QT $28.00 $896.00 Avid (1qt/btl) QT $176.99 Banner Maxx (4x1 gal/cs) GAL $250.05 3336 F(2x2.5 gal/cs) GAL $126.80 Clandosan 618(50#bg) LB $0.35 C-O-C-S 50WP (20#/bag) 50 LB $1 .63 $81 .50 Champ-2.5 gal/container-CA only GAL $26.82 Conserve SC GAL $221 .50 Damminix-384 tubes/cs 1536 TUBE $1 .50 $2,304.00 Deadline Pellets, 2# can CAN $3.10 Deadline Granular Slug Bait (10#/bag) 1 BAG $18.25 $18.25 Deer Away Powder, 12 cans/cs 1 CAN $16.22 $16.22 Deer Away 5 gallon kit 3 KIT $59.50 $178.50 Deer Away Powder, 1/2 gallon kit EACH $5.97 Defoamer, Cleary's, 12x1 gt/cs 6 QT $2.60 $15.60 Dimilin 25W (8x5#/cs) 65 LB $34.82 $2,263.30 Dithane DF (4x12#/cs) LB $3.13 Dithane T & O (4x12#/cs) 24 LB $3.42 $82.08 Dragnet FT (4x1.25 gal/cs) GAL $108.71 Florel (4x1 gal/cs) GAL $32.50 Foam Fighter (12x1 qt/cs) QT $5.95 Foray 486 (2x2.5 gal/cs) 2.5 GAL $30.65 $76.63 Fungo Flo (2 x 2.5 gal/cs - CA only) GAL $142.73 Hinder (5 gal/pail) .GAL $14.00 Hort. Oil (5 gal/pail) 110 GAL $3.95 $434.50 415 Spray Oil (CA only) GAL $6.88 Imicide, 100/flat EACH $2.66 Imidan 70WP (10x4#/cs) LB $5.15 Inject-a-cide B (300/cs) EACH $1 .48 Inject-a-cide B (100/flat) EACH $1 .65 Page 1 TOTAL PAGE: $6,578.57 JUNE 1998 CHEMICAL INVENTORY OFFICE NAME: Osterville iGANIZATION CODE: 01011512 PESTICIDES EXPENSE CODE: 5053011 Description Quantity Unit Cost Value Kelthane 35 (12x4#/cs) CA Only LB $9.88 Kelthane 50 (8X6#/cs) 72 LB $8.66 $623.52 M-Pede soap (2x2.5 gal/cs) 12.5 GAL $13.75 $171 .88 M-Pede soap (30 gal/drum) GAL $11 .47 M-Trak (2 x 2.5 gal/cs) GAL $19.35 Mask-It (4 x 1 gal/cs) 6 GAL $84.90 $509.40 Mavrik Aquaflow (12 x 1 gt/cs) QT $73.74 Merit Insecticide (4 X 4 X 1.6 oz/cs) OZ $13.34 Merit Insecticide (8 x 2 oz jars/cs) 46 OZ $14.09 $648.14 Morestan 4L(8x1 qt/cs) QT $48.95 Nova 40W (4 x 5 oz/cs) 20 QZ $3.66 $73.20 Nu-Film 17 (4x1 gal/cs) GAL $21 .00 Nu-Film 17 (5gal/pail) 15 GAL $20.50 $307.50 Orthene TT&O (12#/cs) LB $10.19 OTC, 10ml bottle EACH $3.65 Pyrenone Crop Spray 3 QT $51 .81 $155.43 Pyronyl Crop Spray QT $46.70 Rally 40W -11b/bag (CA only) LB $71 .50 Sevin SL(2x2.5 gal/cs) 5 GAL $20.90 $104.50 Spray-Aide (4x1 gal/cs) 9 GAL $25.06 $225.54 Subdue 2E (4x1 gal/cs) GAL $213.40 Subdue Maxx, 1 gallon 2 GAL $463.50 $927.00 Super Wet Surfactant 2.5 GAL $14.95 $37.38 SysTec 1998 (4x1 gal/cs) 2 GAL $110.00 $220.00 Systhane (3x8x2/cs) LB $104.65 Tempo 2 (12x250ml/carton) 8 BOT $22.67 $181 .36 Tempo 2 (10x500ml/cs) BOT $51 .00 Tempo 2 (4x1500ml/cs) BOT $145.90 Tempo 20WSP (4 bx/cs)-CA ONLY EX $46.55 Tre-Hold Growth Regulator GAL $47.25 Urine, Bobcat, 8 OZ BOT $6.59 Urine, Bobcat, QT BOT $19.79 Urine, Coyote, 8 OZ 6 BOT $6.59 $39.54 Urine, Coyote, QT BOT $19.79 Urine, Fox, 8 OZ BOT $6.59 Page 2 TOTAL PAGE: $4,224.38 f JUNE 1998 CHEMICAL INVENTORY OFFICE NAME: Osterville 3GANIZATION CODE: 01011512 PESTICIDES EXPENSE CODE: 5053011 Description Quanti ty Unit Cost Value Urine, Fox, QT BOT $19.79 Urine, Wolf, 8 OZ BOT $8.39 Urine, Wolf, QT BOT $25.79 Urine Dispensers EACH $0.79 Vapor Gard (5 gal/pail) 5 GAL $26.20 $131 .00 Wasp Aerosol (12/CS) 6 CAN $2.51 $ 15.06 Wasp Bomb (12/CS )-CA ONLY CAN $4.36 Wilt Pruf (5 gal/pail) 4 GAL $20.07 $80.28 X-Clude CAN $7.54 LAWN CARE PESTICIDES Dursban and Fertilizer 17-3-6, 50LB EACH $18.45 Grub Stopper w/Dylox, 30LB EACH $18.90 Merit .5G, 30LB BAG $49.85 Summer Stress Grass Seed, 50LB/BAG LB $1 .85 Triplex Rye Grass Seed, 50LB/BAG LB $1 .30 Triumph 4E EACH $158.00 Turcam 2.5G, 40LB BAG $55.00 Twin Win w/Dursban 25-3-10, 40LB/BAG BAG $19.10 TOTAL $226.34 WRITE INS: Description Quantity Unit Cost Value .TOTAL WRITE-INS TOTAL PAGE $2 2 6.3 4 Total Pesticides-5053011 Page $11,029.29 JUNE 1998 CHEMICAL INVENTORY OFFICE NAME: Osterville iGANIZATION CODE: 01011512 HERBICIDES EXPENSE CODE: 5053012 Description Quantity Unit Cost Value Accord (30 gal/drum) GAL $42.95 Accord (2X2.5 gal/case) GAL $49.00 Arsenal (2x2.5 gal/case) GAL $217.60 Banve1520 GAL $33.48 Basal Oil-JLB Oil Plus-15 gal drum GAL $6.35 Big Sur 90 (2x2.5 gal/cs) GAL $8.65 Cide-Kick 1-(2X2.5/cs) GAL $12.50 Cide-Kick II (2x2.5 gal/cs) GAL $12.25 Escort (8oz/bottle) CZ .$18.00 Garlon 3A GAL $60.37 Garlon 4 GAL $75.97 Hi-Light Colorant GAL $28.24 Karmex DF LB $4.10 Krenite S GAL $48.60 Krenite UT GAL $43.35 Krovar I LB $8.65 Nu-Film IR GAL $20.70 Omamec 2 GAL $68.95 $137.90 Pathfinder II GAL $30.00 Pathway (2x2.5 gal/cs) GAL $22.00 Pendulum 3.3 EC GAL $34.50 Penevator with dye (12.5 gal/drum ) GAL $7.50 Pennant 5G-40# bag LB $1 .18 Poly Control 2 Drift GAL $24.50 Pre-mix-Accord, Arsenal, Armix, Dye GAL $4.95 Profile (1 gal/jug) GAL $370.00 Rodeo (2x2.5 gal/cs) GAL $98.75 Ronstar G-50#/bag-CA only LB $1 .25 Ronstar WP-2#/pkg-CA only LB $25.22 Roundup Pro(2x2.5 gal/cs) 15 GAL $49.98 $749.70 Roundup Paks (25x1oz pk) 50 OZ $1 .22 $60.80 Snapshot 2.5TG (50#/bag) 100 LB $1 .25 $125.00 Snapshot 80DF (1.25#/bag) LB $40.96 Spike 20P (25lbs/bag) LB $6.05 Spike 80W-25# bag LB $21 .10 Page 4 TOTAL PAGE $1 ,073.40 JUNE 1998 CHEMICAL INVENTORY OFFICE NAME: Osterville iGANIZATION CODE: 01011512 r' HERBICIDES EXPENSE CODE: 5053012 Description Quantity Unit Cost Value Spike 80WSP (6x4lbs/cs) LB $22.00 Sprakil5 LB $3.20 Stomp 3.3 EC (2X2.5gal/cs) GAL $37.00 Telar OZ $19.00 Tordon 101 M (mixture) GAL $32.15 Tordon 101 R GAL $15.60 Weedone CB GAL $23.10 Weedone 170 GAL $20.90 LAWN CARE HERBICIDES Basagran PT $12 10 Confront, 4 X 1 GAUCS GAL $91 .00 Daconate 6 $22.40 Dacth_al Flowable $18.g 0 Dimension, 30LB EACH $17.72 Pendimethilin 19-3-6 1.15%, 50LB EACH $14.80 Pendimethilin 20-3-4 .86%, 50LB EACH $15.74 Pennant Liquid QT $28.46 Pre-M 60 DG $2.70 Pre-M 60 WP, 8 X 2.5#/CS LB $9.32 Super Trimec $59.00 Surflon Pre-emergent QT $18.75 Triamine $19.20 Trimec Classic, 2x2.5 GAUCS GAL $26.00 Tupersan WP $40.72 Turflon II Amine GAL $32.00 XL Herbicide, 50LB EACH $52.00 TOTAL: WRITE INS: Description Quantity Unit Cost Value TOTAL WRITE-INS TOTAL PAGE Total Herb icides-5053012 Page 5 $1 ,073.40 �u .y JUNE 1998.CHEMICAL INVENTORY OFFICE NAME: Osterville ;GANIZATION CODE: 01011512 DRY FERTILIZERS EXPENSE CODE: 5053021 Description Quantity Unit Cost Value Bartlett Boost Granular 24-7-7 52 50#13AG $15.50 $806.00 Epsom Salts (50lb/pail) 4 LB $0.38 $1 .52 Ferric Ammonium Citrate, 1 lb container LB $7.00 Gro-up Palm Food-5#/bag LB $0.96 Gypsum, pelletized, 50 Ibs/bag LB $0.07 Iron Chelate DP (5lbs/bag) 40 LB $4.47 $178.80 Iron Chelate (Glucoheptonate), 2X2.5gal/c: 5 GAL $9.98 $49.90 Mycortree Tree Saver (4X.25#/bx) 10 BOX $76.00 $760.00 Sprint 330 Iron Chelate (5lbs/bag) LB $4.58 Kelzan S, 1lb/bag 8 LB $11 .35 $90.80 Librel MN (8x3Lbs/cs) 12 LB .$6.03 $72.36 Lime, Pelletized-50#/bag 1550 LB $0.06 $91 .45 Manganese Sulfate Monohydrate-8oz BOT $13.00 Milorganite, organic, 50 Ibs/bag LB $0.22 Mn Chelate 5%-2X2.5gal/cs 5 GAL $9.73 $48.65 Mn Chelate 12%-5#/bag-CA only LB $3.89 Nutri-Sul 90 (50#/bg) 50 LB $0.53 $26.50 Tiger 90, pelletized Sulfur, 50 Ibs/bag 50 LB $0.21 $10.50 90% Lightening-Sulfur LB $0.49 Wettable Sulfur, Sun Belt, 50 Ibs/bag LB $0.40 LAWN CARE GRANULAR FERTILIZERS Team 19-3-7, 50# BAG BAG $15.00 Team 2%, 50# BAG BAG $20.00 TOTAL $2,136.48 WRITE INS: .Description Quantity Unit Cost Value TOTAL WRITE-INS Total Dry Fertilizers-5053021 Page 6 $2,136.48 {s JUNE 1998 CHEMICAL INVENTORY OFFICE NAME: Osterville iGANIZATION CODE: 01011512 "n LIQUID FERTILIZERS EXPENSE CODE: 5053022 d-" _r Description Quantity Unit Cost Value Bartlett Boost 28-9-9 48 40#BAG $20.00 $960.00 Bartlett Boost WC 30-5-7 W/Kelzan (CA of 40#BAG $23.92 Doggett California Boost WC 30-5-7 40#BAG $21 .00 Roots-liquid organic root enhancer 5 GAL $25.30 $126.50 LAWN CARE LIQUID FERTILIZERS 18-3-3 Liquid Fertilizer TON $341 .00 Liquid Fertilizer TON $340.80 Mil-an-chem II 40LB $11 .50 TOTAL $1 ,086.50 WRITE INS: Description Quantity Unit Cost Value Growth Products liquid phosphate 25 GAL $9.45 $236.25 Growth Products Nitro 30 100 GAL $9.84 $984.00 Doggett Methylene 12 BAG $23.00 $276.00 GSL Sulphate of Potash 0-0-50 2 BAG $11 .00 $22.00 TOTAL WRITE-INS $1 ,518.25 Total Liquid Fertilizers-5053022 $2,604.75 NOTE: ITEMS MARKED WITH AN ASTERISK MUST BE REPORTED BUT YOU WILL NOT RECEIVE CREDIT FOR THEM. Page 7 j Ank Date Issued: 1997-11-25 Supersedes: .1997--11-12irfvi<'.,se� TEXACO 845/.20 MATERIAL SAFETY DATA SHEET ? < * NOTE: Read and understand Material Safety Data.Sheet before handling or disposing of product. 1. CHEMICAL PRODUCT AND COMPANY IDENTIFICATION MATERIAL IDENTITY Product Code and Name: 26420 HAVOLINE FORMULA 3 MOTOR OILS Chemical Name and/or Family or Description: Havoline Motor Oils Manufacturer's Name and Address: TEXACO LUBRICANTS COMPANY P.O. Box 4427 Houston, TX 77210-4427 Telephone Numbers: Transportation Emergency-Company (914) 831-3400 CHEMTREC (USA): (800) 424-9300 In Canada (800) 567-7455 Health Emergency -Company : (914) 831-3400 General MSDS Assistance .(914) 838-7204 Texaco FaxBack System (713) 432-3383- Technical Information -Fuels (914) 838-7336 -Lubricant/: .(800) 782-7852(Option 4) Antifreezes/Fuel Additives -Solvents/Chemicals : (800) 876-3738 This Material Safety Data Sheet may be used for the following products for Hazard Communications purposes only; not intended to imply identical performance/technical specifications: 02190 HAVOLINE FORMULA 3 MO IOW-30 02191 HAVOLINE FORMULA 3 MOTOR OIL SAE IOW-40 02193 HAVOLINE FORMULA 3 MO 30 02194 HAVOLINE FORMULA 3 MO 40 02195 HAVOLINE FORMULA 3 MOTOR OIL SAE 5W-30 , 02196 HAVOLINE FORMULA 3 MOTOR OIL SAE 20W-SO 2. COMPOSITION/INFORMATION ON INGREDIENTS THE CRITERIA FOR LISTING COMPONENTS IN THE COMPOSITION SECTION IS AS FOLLOWS. CARCINOGENS ARE LISTED WHEN PRESENT AT 0. 1 % OR GREATER; COMPONENTS WHICH ARE OTHERWISE HAZARDOUS ACCORDING TO OSHA ARE LISTED WHEN PRESENT AT 1.0 % OR GREATER; NON-HAZARDOUS COMPONENTS ARE LISTED AT 3.0 % OR GREATER. THIS IS NOT INTENDED TO BE A COMPLETE COMPOSITIONAL DISCLOSURE. REFER TO SECTION 14 FOR APPLICABLE STATES' RIGHT TO KNOW AND OTHER REGULATORY INFORMATION. Product and/or Component(s)' Carcinogenic According to: OSHA IARC NTP OTHER NONE X Composition: (Sequence Number and Chemical Name) Seq. Chemical Name CAS Number Range in % 01 M Hydrotreated heavy paraffinic petroleum 64742-54-7 80.00-94.99 distillates 02 # Solvent-dewaxed heavy paraffinic petroleum 64742-65-0 . 3.00-9.99 distillates 03 * Aikylbenzene sulfonate 1.00-2.99, 04 * Zinc alkyl dithiophosphate 68649-42-3 . 1.00-2.99 PRODUCT IS NON-HAZARDOUS ACCORDING TO OSHA (1910.1200). _ * COMPONENT IS HAZARDOUS ACCORDING TO OSHA. a COMPONENT, BY DEFINITION, IS CONSIDERED HAZARDOUS ACCORDING TO OSHA BECAUSE IT CARRIES THE PERMISSIBLE EXPOSURE LIMIT (PEL) FOR MINERAL OIL MIST. Exposure Limits referenced by Sequence Number in the Composition Section Seq. Limit 01 5 mg/m3 TWA-OSHA (MINERAL OIL MIST) 01 5 mg/m3 TWA-ACGIH (MINERAL OIL MIST) PAGE: 1 N.D. - NOT DETERMINED N.A. - NOT APPLICABLE N.T. - NOT TESTED �..� . .._ < - LESS THAN > - GREATER THAN t , PRODUCT CODE: H420 Date Issued: 1997-11-25 NAME: HAVOLINE FORMULA 3 MOTOR OILS Supersedes: 1997-11-12 2. .COMPOSITION/INFORMATION ON INGREDIENTS (CONT) 01 ' 10 mg/m3 STEL ACGIH (MINERAL OIL MIST) 02 5 mg/m3 TWA-OSHA (MINERAL OIL MIST) 02 5 mg/m3 TWA-ACGIH (MINERAL OIL MIST) 02 10 mg/m3 STEL ACGIH (MINERAL OIL MIST) 3. HAZARD IDENTIFICATION EMERGENCY OVERVIEW Appearance: Light red liquid Odor: Additive odor WARNING STATEMENT WARNING! USED GASOLINE MOTOR OIL IS A POSSIBLE SKIN CANCER HAZARD BASED ON ANIMAL DATA HMIS NFPA Health: 1 Reactivity: 0 Health: 1 Reactivity: 0 Flammability: 1 Special - Flammability: 1 Special - POTENTIAL HEALTH EFFECTS EYE SKIN INHALATION INGESTION Primary Route of Exposure: X X X _ EFFECTS OF OVEREXPOSURE Acute: Eyes: May cause minimal irritation, experienced as temporary discomfort. Skin: Brief contact is not irritating. Prolonged contact, as with clothing wetted with material , may cause defatting of skin or irritation, seen as local redness with possible mild discomfort. Other than the potential skin irritation effects noted above, acute (short term) adverse effects are not expected from brief skin contact; see other effects, below, and Section 11 for information regarding potential long term effects. Inhalation: Vapors or mist, in excess of permissible concentrations, or in unusually high concentrations generated from spraying, heating the material or as from exposure in poorly ventilated areas or confined spaces, may cause irritation of the nose and throat, headache, nausea, and drowsiness. Ingestion: If more than several mouthfuls are swallowed, abdominal discomfort, nausea, and diarrhea may occur. Sensitization Properties: Unknown. Chronic: No adverse effects have been documented in humans as a result of chronic exposure. Section 11 may contain applicable animal data. Medical Conditions Aggravated by Exposure: Because of its irritating properties, repeated skin contact may aggravate an existing dermatitis (skin condition). Other Remarks: When overheated, product may release hydrogen sulfide (112S) gas. H2S concentrations above permissible concentrations can cause irritation of the eyes and respiratory tract, headache, dizziness, nausea, vomiting, diarrhea and pulmonary edema. At concentrations above 300 ppm. respiratory paralysis, causing unconsciousness and death, can occur. PAGE: 2 N.D. - NOT DETERMINED N.A. - NOT APPLICABLE N.T. - NOT TESTED < - LESS THAN > - GREATER THAN . / JAnk PRODUCT CODE: 26420 «. Date Issued: .1997 11725kv NAME: HAVOLINE FORMULA 3 MOTOR OILS Supersedes "1997-11=12` - 4. FIRST AID MEASURES - Eyes: Flush eyes with plenty of water for several minutes. Get medical attention if eye irritation persists. Skin: Wash skin with plenty of soap and water for several minutes. Get medical attention if skin irritation develops or persists. Ingestion: If more than several mouthfuls of this material' are swallowed, give two glasses of water (16 oz.). Get medical attention. Inhalation: If .irritation, headache, nausea, or drowsiness occurs, remove to fresh air. Get medical attention if breathing becomes difficult or respiratory irritation persists. Other. Instructions: Remove and dry-clean or launder clothing soaked or soiled with this material before reuse. Dry cleaning of contaminated clothing may be more effective than normal laundering. Inform individuals responsible for cleaning of potential hazards associated with handling contaminated clothing. S. FIRE-FIGHTING MEASURES Ignition Temperature - AIT (degrees F): Not determined. Flash Point (degrees F): > 400 (COC) Flammable Limits (%): Lower: Not determiined. Upper: Not determined. Recommended Fire Extinguishing Agents And Special Procedures: Use water spray, dry chemical , foam, or carbon dioxide to extinguish flames. Use water spray to cool fire-exposed containers. Water or foam may cause frothing. Unusual or Explosive Hazards: Hydrogen sulfide (H2S) may be released if overheated. Special Protective Equipment for Firefighters: Wear full protective clothing and positive pressure breathing apparatus. 6. ACCIDENTAL RELEASE MEASURES (Transportation Spills: CHEMTREC (800)424-9300) Procedures in Case of Accidental Release, Breakage or Leakage: Ventilate area. Avoid breathing vapor. Wear appropriate personal protective equipment, including appropriate respiratory protection. Contain Spill if possible. Wipe up or absorb on suitable material and shovel up. Prevent entry into sewers and waterways. Avoid contact with skin, eyes or clothing. If more than 6,281,407 pounds of product is spilled, then report spill according to SARA 304 and/or CERCLA 102(a) requirements, unless product qualifies for the petroleum exemption (CERCLA Section 101(14)). 7. HANDLING AND STORAGE Precautions to be Taken to Handling: Minimum feasible handling temperatures should be maintained'. Storage: Periods of exposure to 'high temperatures should be minimized. Water contamination should be avoided. PAGE: 3 N.D. - NOT DETERMINED N.A. - NOT APPLICABLE N.T. .- NOT.TESTED - < - LESS THAN > - GREATER THAN PRODUCT CODE: 26420 r e Date Issued: 1997-11-25 NAME: HAVOLINE FORMULA 3"M6TOR OILS Supersedes:' '1897-11-12 ' 8. EXPOSURE CONTROLS/PERSONAL PROTECTION Protective Equipment (Type) Eye/Face Protection: Safety glasses, chemical type goggles, or face shield recommended to prevent eye contact. Skin Protection: Workers should wash exposed skin several times daily with soap and water. Soiled work clothing should be laundered or dry-cleaned. Respiratory Protection: Airborne concentrations should be kept to lowest levels possible. If vapor, mist or dust is generated and the occupational exposure limit of the product, or any component of the product, is exceeded, use appropriate NIOSH or MSHA approved air purifying or air supplied respirator after determining the airborne concentration of the contaminant. Air supplied respirators should always be worn when airborne concentration of the contaminant or oxygen content is unknown. Ventilation: Adequate to meet component occupational exposure limits (see Section 2). Exposure Limit for Total Product: None established for product; refer to Section 2 for component exposure limits. S. PHYSICAL AND CHEMICAL PROPERTIES Appearance: Light red liquid Odor: Additive odor Boiling Point (degrees F): Not determined. Melting/Freezing point (degrees F): Not applicable. Specific Gravity (water=l): .88 - .89 PH of undiluted product: Not applicable. Vapor Pressure: Not determined. Viscosity: 68.8 - 164.8 cSt at 40.0 C VOC Content: Not determined. Vapor Density (air=1): Not determined. Solubility in Water Not determined. Other: None 10. STABILITY AND REACTIVITY This Material Reacts Violently With: (If Others is checked below, see comments for details) Air Water Heat Strong Oxidizers Others None of These Comments: X — _ Under extreme temperatures or extended storage periods, hydrogen sulfide (H2S) gas may accumulate in the head-space of container. PAGE: ...,4 N.D. - NOT DETERMINED N.A. - NOT' APPLICABLE N.T. - NOT TESTED < - LESS THAN > - GREATER THAN �.. .... Ank PRODUCT WOE: 25420 T Date Issued: 1987-11-25 + I NAME: HAVOLINE FORMULA 3 MOTOR OILS Supersedes:lf'_1997-11:-.12�,-�'", sdt: 10. STABILITY AND REACTIVITY (CONT) - Products Evolved When Subjected to Heat or Combustion: Toxic levels of carbon monoxide, carbon dioxide, irritating aldehydes and ketones, and combustion products or compounds of sulfur (may include hydrogen sulfide), calcium. Hazardous Polymerizations: DO NOT OCCUR 11. TOXICOLOGICAL INFORMATION TOXICOLOGICAL INFORMATION(ANIMAL TOXICITY DATA) Median Lethal Dose Oral: LD50 Believed to be > 5.00 g/kg (rat) practically non-toxic Inhalation: Not determined. Dermal : L050 Believed to be > 2.00 g/kg (rabbit) practically non-toxic Irritation Index, Estimation of Irritation (Species) Skin: (Draize) Believed to be > .50 - 3.00 /8.0 (rabbit) slightly irritating Eyes: (Draize) Believed to be < 15.00 /110 (rabbit) no appreciable effect Sensitization: Not determined. Other: Used gasoline motor oils have been shown to cause skin cancer when repeatedly applied to mouse skin without any effort to remove the material between applications. There is no evidence of a causal relationship between skin cancer in humans and exposure to used motor oil . 12. DISPOSAL CONSIDERATIONS Waste Disposal Methods This product has been evaluated for RCRA characteristics and does not meet the criteria of a hazardous waste if discarded in its purchased form. Under RCRA, it is the responsibility of the user of the product to deter- mine at the time of disposal , whether the product meets RCRA criteria for hazardous waste. This is because product uses, transformations, mixtures, processes, etc. may render the resulting materials hazardous. Remarks None 13. TRANSPORT INFORMATION Transportation DOT: Proper Shipping Name. Not regulated IMDG: Proper Shipping Name: Not evaluated ICAO: Proper Shipping Name: Not evaluated TOG: Proper Shipping Name: Not evaluated PAGE: 5 N.D. - NOT DETERMINED N.A. - NOT APPLICABLE N.T. - NOT TESTED < - LESS THAN > - GREATER THAN t PRODUCT CODE: 26420 w , Darte Issued -1897-11-25 NAME: HAVOLINE FORMULA 3 MOTOR OILS Supersedes:`'1997-11-12 •._-, 1 14. REGULATORY INFORMATION Federal Regulations: SARA Title III: Section 302/304 Extremely Hazardous Substances Seq. Chemical Name CAS Number Range in % None Section 302/304 Extremely Hazardous Substances (CONT) Seq. TPQ RQ None Section 311 Hazardous Categorization: Acute Chronic Fire Pressure Reactive N/A X Section 313 Toxic Chemical Chemical Name CAS Number Concentration Zinc alkyl dithiophosphate 68649-42-3 1.00-2.99 CERCLA 102(a)/DOT Hazardous Substances: (+ indicates DOT Hazardous Substance) Seq. Chemical Name CAS Number Range in % 01+ Styrene 100-42-5 0.01-0.09 CERCLA/DOT Hazardous Substances (Sequence Numbers and RQ's): Seq. RQ 01+ 1000 TSCA Inventory Status: This product, or its components, are listed on or are exempt from the Toxic Substance Control Act (TSCA) Chemical Substance Inventory. Other: None. State Regulations: California Proposition 65: The following detectable components of this product are substances, or belong to classes of substances, known to the State of California to cause cancer and/or reproductive toxicity. Chemical Name CAS Number None International Regulations: W MIS Classification: Not regulated Canada Inventory Status: Not determined. EINECS Inventory Status: Not determined. Australia Inventory Status: Not determined. Japan Inventory Status: Not determined. 15. ENVIRONMENTAL INFORMATION Aquatic Toxicity: Not determined. Mobility: Not determined. Persistence and Biodegradability: Not determined. Potential to Bioaccumulate: Not determined. Remarks: None PAGE: 8 N.D. - NOT DETERMINED N.A. - NOT APPLICABLE N.T. - NOT TESTED < - LESS THAN > - GREATER THAN PRODUCT CODE: Date :1997-11-25 ate I _ NAME: HAVOLINE FOR14JLX 3`MOTOR OILS ate edesc `1887-11-12 16. OTHER INFORMATION None THE INFORMATION CONTAINED HEREIN IS BELIEVED TO BE ACCURATE. IT IS PROVIDED INDEPENDENTLY OF ANY SALE OF THE PRODUCT FOR PURPOSE OF HAZARD COMMUNICATION AS PART OF TEXACO'S PRODUCT SAFETY PROGRAM. IT IS NOT INTENDED TO CONSTITUTE PERFORMANCE INFORMATION CONCERNING THE PRODUCT. NO EXPRESS WARRANTY, OR IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE IS MADE WITH RESPECT TO THE PRODUCT OR THE INFORMATION CONTAINED HEREIN. DATA SHEETS ARE AVAILABLE FOR ALL TEXACO PRODUCTS. YOU ARE URGED TO OBTAIN DATA SHEETS FOR ALL TEXACO PRODUCTS YOU BUY, PROCESS, USE OR DISTRIBUTE AND YOU ARE ENCOURAGED AND REQUESTED TO ADVISE THOSE WHO MAY COME IN CONTACT WITH SUCH PRODUCTS OF THE INFORMATION CONTAINED HEREIN. TO DETERMINE APPLICABILITY OR EFFECT OF ANY LAW OR REGULATION WITH RESPECT TO THE PRODUCT, USER SHOULD CONSULT HIS LEGAL ADVISOR OR THE APPROPRIATE GOVERNMENT AGENCY. TEXACO DOES NOT UNDERTAKE TO FURNISH ADVICE ON SUCH MATTERS. Since the last mailing for this customer code, the following sections have been revised: 14, 16. Date: 1997-11-25 New X Revised, Supersedes: 1997-11-12 Date printed: 1998-01-21 Inquiries regarding MSDS should be directed to: Texaco Inc. Manager, Product Safety P.O. Box 509 Beacon, N.Y. 12508 PLEASE SEE NEXT PAGE FOR PRODUCT LABEL PAGE: 7 N.D. - NOT DETERMINED : N.A. - NOT APPLICABLE N.T..:- NOT.TESTED < - LESS THAN > GREATER THAN _ I , c v Ank PRODUCT CODE: 26420 Dhte Issued: 1997-11-25 1 NAME: HAVOLINE FORMULA 3 MOTOR OILS Supersedes:'"1997=11-12 17. PRODUCT LABEL Label Date: 1997-11-12 READ AND UNDERSTAND MATERIAL SAFETY DATA SHEET BEFORE HANDLING OR DISPOSING OF PRODUCT. THIS LABEL COMPLIES WITH THE REQUIREMENTS OF THE OSHA HAZARD COMMUNICATION STANDARD (29 CFR 1910. 1200) FOR USE IN THE WORKPLACE. THIS LABEL IS NOT INTENDED TO BE USED WITH PACKAGING INTENDED FOR SALE TO CONSUMERS AND MAY NOT CONFORM WITH THE REQUIREMENTS OF THE CONSUMER PRODUCT SAFETY ACT OR OTHER RELATED REGULATORY REQUIREMENTS. 26420 HAVOLINE FORMULA 3 MOTOR OILS WARNING STATEMENT WARNING ! USED GASOLINE MOTOR OIL IS A POSSIBLE SKIN CANCER HAZARD BASED ON ANIMAL DATA PRECAUTIONARY MEASURES .-Continuous contact with used gasoline motor oils has caused skin cancer in laboratory animals. -Avoid contact with used motor oil . -Avoid prolonged breathing of vapor, mist, or gas. -Clean oil-soaked clothing before reuse. -Wash thoroughly after handling. FIRST AID Eye Contact: Flush eyes with plenty of water for several minutes. Get medical attention if eye irritation persists. Skin Contact: Wash skin with plenty of soap and water for several minutes. Get medical attention if skin irritation develops or persists. Ingestion: If more than several mouthfuls of this material are swallowed, give two glasses of water (16 oz. ). Get medical attention. Inhalation: If irritation, headache, nausea, or drowsiness occurs, remove to fresh air. Get medical attention if breathing becomes difficult or respiratory irritation persists. Note to Physician: None FIRE In case of fire, use water spray, dry chemical , foam or carbon dioxide. Water may cause frothing. Use water spray to cool fire-exposed containers. If more than 6,281,407 pounds of product is spilled, then report spill according to SARA 304 and/or CERCLA 102(a) requirements, unless product qualifies for the petroleum exemption (CERCLA Section 10104)). Chemical Name CAS Number Range in % N Hydrotreated heavy paraffinic petroleum 64742-54-7 80.00-94.99 distillates N Solvent-dewaxed heavy paraffinic petroleum 64742-65-0 3.00-9.99 distillates * Alkylbenzene sulfonate 1.00-2.99 * Zinc alkyl dithiophosphate 68649-42-3 1.00-2.99 PRODUCT IS NON-HAZARDOUS ACCORDING TO OSHA (1910. 1200). * COMPONENT IS HAZARDOUS ACCORDING TO OSHA. N COMPONENT, BY DEFINITION, IS CONSIDERED HAZARDOUS ACCORDING TO OSHA BECAUSE IT CARRIES THE PERMISSIBLE EXPOSURE LIMIT (PEL) FOR MINERAL OIL MIST. Pennsylvania Special Hazardous Substance(s) CAS Number Range in 9G None HMIS NFPA Health: 1 Reactivity: 0 Health: 1 Reactivity: 0 Flammability: 1 Special - Flammability: 1 Special Transportation DOT: Proper Shipping Name: Not regulated PAGE: a N.D. - NOT DETERMINED N.A. - NOT APPLICABLE N.T. NOT TESTED < - LESS THAN > - GREATER THAN a SPECIATM OIL OOMPANY Date Issued: 12/01,/91 Gold Banff Chain and Bar Sq=aedes Date: 04/29/88 MATERIAL SAFm DATA SHEET Westland Oil Company P.O. Box 8098 Shreveport, La. 71108 A. IDM?=CATION AND IIKMX;IIJCy nunRMATI0N —.rwwwwwww----------- PRODUCT NAME PRODUCT CODE Gold Band Chain and Batr CgEMICAL, NAME CAS NUMBER Petroleum Lubricating oil Cmplex Mixture Cas Number Not Applicable PRODUCT APPEARANCE AND ODaR Bright and Clear, Tacky Mild Bland Petroleum odor 3M GIIdCY TQ.EPHCM NUMB (318) 687-8000 --www..----------------------- --- ---------...� B. COMPU EMUS AND HAZARD DUaWTION ..--r—_--------------—wwww—ww—r_--- ------_--_---w.w COMPONENTS CAS NO. 4F A PROXDQ= COMPONENTS CONCIIV'MTION lubricating Oil Base stocks Greater than 95% Frcprietary Additives Lass than 5% SEE SECTION E FOR HEALTH AND HAZARD INyORMATZON HAZARDOUS MMMRTA.L6 ID W=CATICN SYSTEK (MIS) Hazard RatIngs Health Flamebility Reactivity 0-least 3-High 1 1 0 1-Slight 4-Ext'.rexne 2-Moderate EXPOSURE LTMIT FOR TOTAL ppa= BASIS 5 mg/m3 for oil mist in air OSHA Regulation 29CFR910.1.000 ------^^ti.+w-------------w--------r't------- —---------------- C' P�IMARY ROU17S OF ENTRY AND E0�GWCY AND FIRST AID PROCEDURES EYE CONTA= If splashed into the eyes, Plush with clear water for 15 minutes or until irritation subsides. If irritation persists, call a physicjAn. image 2 Gold Sand Chain & Bar SKIN In case of skin contact, remove any contaminated clothing and wash' skin thoraghly with soap and water. INHALATION Vapor pressure Jr. very low. Vapor inhalation under ambient conditions is normally not a problem. If overcome by vapor :from hot product, immediately re=" from exposure and call a physician. If breathing is irregular or has stopped, start resuscitation; administer oxygen, if available. If overexposed to oil mist, rove frcm further lure until excessive oil mist condition subsides. INGESTION If ingested, DO NOT induce vomiting; call a physician immediately. D. FIRE AND E GMMION HAZARD INFQMTION FLASH POINT (MIIVI LT4) AUTOIGNITION TEM ERAIURE 450 F (00c) Greater than 600 F NATIONAL FIRE PRXMCTION ASSOCIATION (NFPA) - HAZARD INKRIATION Health. Flammability Reactivity BASIS 1 1 0 by Westland HANDLING PABCAWIONS Use product with caution around heat, sparks, pilot lights, static electricity, and open flame. FLAMMABLE CR E KPLOSIVE LIMITS (APPROXIMTE per BY VOLLM IN AIR) Estimated values: Lamer Flammable Limit 0.9% Upper Flam-nable idi it 7% .....--...__��_----- ---- +----- --- E=GUL%aNG MEDIA AND FIRE FIGEWMG PROCEDURES Fo=,' Water sPraY (gal) , dry chemical, carbon dioxide and vaporizing liquid type extinguishing agents may all be suitable for extinguishing fire involving this type of product, depending on size or potential size of fire and circumstances related to the situation. Plan fire protection and response strategy through consultaticq'with local fire protection authorities or appropriate specialists. The following pros for this type of product are based on the rec=wx4ations in the National Fire Protection Association's OF'ire Protection Qdde on Hazardous Materials". Eighth Edition (1984) : Use water spraY. ,dry chemical, foam, or cat�bon dioxide. water or foam may cause fbothznq. Use water to Yeep fire-exposed containers cool. Water spray may be used to flush spills away from exposure. Minitdze breathirx� gases, vapor, fumes or decomposition products. Use supplied- air breathing equipment for encloWd on confined spaces 4r as otherwise heeded. Page 3 Gold Band Chain and Bar DEOOiGMITION PRODUCTS UNDER FIRE OONDZTXONS FLU, mioke, carbon monoxide, sulfur oxides, aldehydes and other deooflPosition products, in the case of iriomplete combustion. nu CONTAINER WARNING "EmPty" containers retain residue (liquid and/or vapor) .and can be dangerous. DO NCT PRES,SC1FtIZE, ayr, WELD, M=E, SOLDER, DRILL, MUND OR EXPOSE SUCH CONTAINERS TO HEAT, FUME, SPARKS, STATIC ELECPRXGITY, OR O►IHER SOURCES OF IGNITION: THESE MAY EXPLODE AND CAUSE 12CMY OR DEATH. Do not attempt to clean since residue is difficult to remove. "EIVtY" drums should be completely drained, properly bunged and Px' VtlY returned to a drum r itioner. All other containers should be disposed of in an environmentally safe manner and in accordance with governmental regulations. For work on tanks, refer to Occupatiaa"al safety and Health Administration regulations. ANSI Z49.1 and other governmental and industrial references pertainiM to cleaning, repairing, welding, or other contemplated operations. E. HEAIMi AND HAZARD INFo1;&%TICN - _..-~------- .._..��_ ..,---------------y-------- ..--- ------ VARIAB.TLITY AMONG INDIVIDUALS Health studies have shown that many petroleum hydrocarbons and synthetic lubricants pose potential human health risks which may vary froze peznm to person. As a precaution, exposure to liquids, vapors, mists or flames should be minimized. EFFECTS OF OVEREKPOSURE (SIGNS AND SYMPIXZE OF EXPOSURE) Prolonged or repeated skin contact may cause skin irritation. NATURE OF WARD AND TDXICM INFORMATION In aovordance with the current OSHA Hazard Ca=lnication StWard criteria, this product does not require a cancer hazard warning. . This is because the product is formulated from base stocks which are severely hydrotreated, severely solvent extracted, and/or processed by mild hydrotreatRrent and extraction. Alternatively, it may consirst of OouWnents not Otherwise affected by 1ARC criteria, such as vacuum distillates or synthetically derived materials, and as such is not chat-acterized by current IARC classification criteria. Prolonged or repeated akin contact with this product tends to remove skin oils possibly leading to irritation and dermatitis. However, based on human experience And available toxicological data, this product is judged to be neither a ncorrosive" nor an "irritant" by OSHA criteria. Continuous contact; with used motor oil has caused skin cancer in animal tests. Product Contacting the eyes may cage eye irritation. L Page 4 Gold Band Chain and Bar Product k8,9 a low order of acute oral and dermal toxicity, but Mlnuma to amounta mild aspirated into the lungs during ingestion or vomiting Y a to severe pq � injury and possibly death. This product is Judged to have an acute oral In5o (rat) greater than 5 9/kg of }may weight, and an acute dermal rZ50 (rabbit) greater. than 3.16 V)Qg of body weight. PRE-E7 S=NG MEDICAL CONDITIONS WHICH MAY BE AGGRAVATED BY EXPOSURE None Recognized ----�.._�—--------F. PHYSICAL DATA The following data are approxJMte or typical values and ahould not be use4 for precise design puposex. BOILING RANGE VAPOR PRESSURE Not Determined Not Determined SPECIFIC CAMITY VAPOR DENSITY (AIR-1) 0.9260 Greater than 5 MOLECULAR WEIGHT PER'EN r VOIATILE BY VOL m Not Determined Negligible man open container in 4 hours @ 38 C (100 F) pH EVAPORATE RATE @ 1 AM AND Essentially Neutral 25 C (77 F) (n-BLrm AGATE = 1) Less than 0.01 POUR, CONG$AiING OR ME TINT_ POINP SOU)BILSTY IN WATER @ A'1M. +10 F POUX by ASiM D97 and 25 C (77 F) Negligible: Less than 0.1% VISCOSITY 143.6 got @ 40 C -------r_-_-----_-_----rY-__- G. REACTIVM . ---------------- ------------ This PXaduct is stable and will nat react violently with water. Hazardous Polymerization will not. Occur. Avoid contact with strong oxidants such as liquid chlorine, concentrated oxygen, sodium ypochlorite or calcium hyporhylorite. r r.o ` Page 5 Gold Band Chain and Bar H. ENVI]:;x FATAL INR RW=CN SIPS TO BE TALI IN CASE MATERLAL IS MaSED OR SPILLED. Recover free Product, Add sand, earth, or other suitable absoxbent to spill area. Minimize skin contact. Keep product out of 8,0, r and watercourses by diking or in xmn ding. Advise authorities if product has entered or may enter Sealers, wate�rses, or extensive land ems• Assure conformity with applicable governmental regulations. REFaRrABIE QUANTITY (RQ) , EPA TWJLATIC N 40 CFR 302 Not applicable TOXIC: KCAL RF'EASE RE G, EPA REGULATION 40 CFR 372 No applicable EPA HAZARD CXASSIFICATION oom: Amite Chronic Fire Pressure • Reactive Not Hazard Hazard Hazard Hazard Hazard Applicable XXX I- PPDIE=ON AND PRECA=ONs -- --------.-__._-_-____ - _---------. ------- VENTILATION Use local exhaust to capture vapor, mists or fumes, if nec�y. Provide ventilation sufficient to prevent exceeding recommended exposure limit or buildup of explosive concentrations of vapor in air. Use explosion-proof equipment. No smoking or open lights. RESPIRATORX p ON Use supplied-air respiratory protection in confined or enclosed spaces, if peeded. PRmmcrivE fa7 ovEs Use ctmucal-resistant gloves, if. needed, to avoid prolonged or repeated skirt contact. EYE PFO1E I'lON Use splash goggles or face shield when eye contact may occur. amm PRX=rIVE EQU Ra= Use dlemical-resistant apron or other ingx�rvious clothing, if needed, to avoid conta=-ating regular clothing which could result in Prolonged or repeated skin contact. WORK PRAG' CES/ENGINEERIM ppNl'ROLS Keep containers and storage containers closed when not in use. Do not stoma near heat, sparks, flame or attune oxidants. r r-r'` -• 7G c:17 1-inii Jf-L-.inLi I U1L LUtV. r-+. PERSONAL HYGIM Minimize breathing vapor, mast or f mps. Avoid prolonged or . repeated contact with skin. Parove contaminated clothing; launder or dry-clean before reuse. Remove contaminated shoes and thoroughly clean before reuse; discard if oil-slaked. cleanse skin thoroughly after contact, before ?creaks and meals, and at end of work period. product is readily removed from skin by waterless hand cleaners followed by washing thoroughly with soap and water. ---- .-- �_ -------------------------------�- J. TRANSPORTATION JNfa4%M0N ----..-..�. ---- --- -- ----- - ---------- TRANSPORTATION zNcmwr mORMATION For further information relative to spills resulting from transportation incidents, refer to latest Department of Transportation Emergency Response Guidebook for Hazardous Materials Incidents. DOT P 5800.3. DOT IDENTIFICATION NUMEM Not applicable The information and motions contained herein are, to the , best of Westlandls knowledge and belief, accurate and reliable as of . the date 'issued. Westland does not warrant or guarantee their , accuracy or reliability; and Westland shall not be liable for any loss of damage air'ising out of the use thereof. The information and recommendations are offered for the user's consideration and examination, and it is the user's responsibility to satisfy itself that they are suitable. and complete for its particular uses The Envirom-ental Information included under Section H hereof as well as the Hazardous Materials Identification System (HMS) and National Fire Protection Association (NFPA) ratings have been included by westle-nd Oil Campany, InC. , in order to provide additional health and hazard classification information. The ratings recce mTendea are based upon the criteria supplied by the developers of these rating systems, together with Westland's interpretation of the available data. r FOR ADDITIONAL IlJFMM=0N ON IiEUEH EF'F= CONTACT: Westland Oil CaTpany, Ina, 2740 veal.leyview Drive Shreveport, 1&. 71148 (318) 688-1300 FOR MMiR MDUCT RU'QE +,TION C0NTAGT: Specia-ty Oil company, Inc. 2740 Valleyview Drive Shreveport, La. 71148 (318) 687-8000 1 t THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH -oEll./tl............ .......................... Xpli iration for Uhipmal Works Tumitrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair ( LYan Individual Sewage Disposal y W� .... .. .. ... .. ............................................. Lot No. W �j��J/J� Address � Installer Address Q Type of Building Size Lot............................Sq. feet U Dwellin o. of Bedrooms---._.... -Ex Expansion Attic Garbage Grinder g ® P ( ) g ( ) pL, Other—Type of Building ............................ No. of persons..........................-- Showers ( ) — Cafeteria ( ) a Other fixtures .................................. W Design Flow............................................gallons per person per day. Total daily flow.............................................gallons. 9 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter--.---------_-_- Depth................ Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No---------------_---- Diameter.--_.--._-.-.------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit....--.............. Depth to ground water_---------------------- rZ4 Test Pit No. 2.:..............minutes per inch DeDth of Test Pit.................... Depth to ground water...--.-----.----___.---. 1:4 - ----- •... ------------ - - --------------------- O U Description of Soil--------- - ---------------��---.._- ...-- - --•----._..-----•-----------• •----•- ----- - ����..._..---- - ------ ----- - W UNature of Repairs or Alterations—Answer when applicable.......A--I��."... ....... ........................................ -----------•----------------•---•--••------•----•------•------------------------•--•-------•-----•-••---•-•-••----�-/�._ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iT''Lam ; of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been i ued by t e boar of h lth. c/ Signed_. . . .--- --. .... �e ` - • •' ....... T......f...ate?.... Date ApplicationApproved By.................................................................................................. Date Application Disapproved for the following reasons:.............................................................................................................. ---------------------•----------------••--.....---•-----•---------------•-•----------.........-------------•-••-•-•-••-••••-•----•••---•-•----••••--•-••--•------------............................... PermitNo.........�L .... ............................... Issued-.......................................... Date Date Nj�. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ,r Appliratiun fur Disposal Works Tontrurtion ramit Application is hereby made for a Permit to Construct ( ) or Repair (loan Individual Sewage Disposal System at: - -----------•--•---------------- Loca i�n Addres /'J.�s or Lot No. : ---.- yA-z- ....•..e l.:Is.r'.f---------------- ---------------------••----------------... ---.........------•----.......------------.... Address •-----•--=-°- _Yr.��kL.�iYfi��'pert.........................•--^---.. ................................................_..........-•-•-----••----......-•----••...................................................... Installer Address UType of Building Size Lot............................Sq. feet Dwelling o. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building _.___.__•-__•____------__--- No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures --------------------------------------------------------------•-----------------------------------•----------•-----••------------•------•------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................ Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed bY.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ 44 Test Pit No. 2................minutes per inch epth of Test Pit.................... Depth to ground water........................ x f --------- -- - -- -- --- - -- O �`' ------•� ' Description of Soil---•---- •. ...................------ / ,_ U .........................................=....................................................................................... •-• • -- ........ - -•------------ W ----•------------------------------------------- -----------.........................----•------------------------....----- ��--------- ------------------------------------------ U Nature ' . r V Nature of Repairs or Alterations—Answer when applicable. ` ,. "___ _ lk 1'� ..........................................................•---•---•--------•--------------------•-•--.......---- -/p r' `� _ '-•--------------------------------...-•----------. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of i T"_..1 4 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been sued by the board of health Signed e <�__ `. �' � ..�...� yy Date Application Approved B .... / ------- -•-----------------•---•-•-•------------------ Date Application Disapproved for the following reasons:------••........................•-•--------------------•----•------------------•----------------------•-•------- ..---•-•---------------------------------------------------------------------------------------••----------....-•-----••-------•------ -•---••••---•----...-•------•••-------....-••---•----•-•------ G/ ^/ Date Permit No. !1.�J •----- Issued ----- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �.,✓....OF'........ (,. r ,�'' rr :: .-................... Tntifirtttr of Toutpliana TH.ZS_IS70 CERTIFY,IThatthe Individual Sewage Disposal .System constructed ( ) or Repairedby (L� ......-.o P^ Installer has been installed in accordance with .the provisions-of iTi1L j of The State Sanitary Code as described in the ,�._ — application for Disposal Works Construction Permit No,._.._ .......I-_. .�_........ dated-.... .............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. 4 DATE__....._.`.... , --------------------------- "4 ...... THE COMMONWEALTH OF MASSACHUSETTS t _ r BOARD OF HEALTH . 0. .......... ...... ... . ... s ................. NO ....... ........ FEEr. .......: a= Dispou;l Works Tontrit ion anti# Permission is hereby granted.......,..-.. .... __._.':_::.........................................-•....................•...•---...... to Construct(�;) or Repair (:% n Indiyidual Sewage.Dosal System r - a: Street 9 ^L f as shown on the application for Disposal Works Constructio Permit, No?��.J•... DaDated a:. 1"-8�.•..__._.... ( Z " .—. ( Board of Health DATE.......-............----`--•-•----•....----•---•--------•-------------•---- FORM 1255 HOBBS & WARREN. INC., PUBLISHERS TOWN OF BARNSTABLE LOCATION o¢,L/?? SEWAGE # �4./ VILLAGE M040052 Al /1/J 1,S ASSESSOR'S MA , LOT q e,31 INSTALLER'S NAME & PHONE NO. &K SEPTIC TANK CAPACITY LEACHING FACILITY:(type) ,�DfJ� (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER { . j Ll)u Ad DATE PERMIT ISSUED:�A?- DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No �� 29� Fo lmo orA Nd 06' LOCATION SEWAGE PE MIT NO. VILLAGE (y INSTALL R'S NAME ;A� ADDRESS 1 .-4;ve B U I L D E R OR OWNER DATE PERMIT ISSUED - DATE COMPLIANCE ISSUED I • � � , n i ���� i .�-- i cs�rs��: � ., r ��� �tl i._ ;.N �' �A� - �S` Y �- ;� � ,� � `. � `�� �. �..�. "k'Fi.. TOWN OF BARNSTABLE BAR_W 21 Ordinance .or Regulation WARNING NOTICE Name of Offender/Manager `�'� �4��/L.�^ � w,a.", �e'' Address of Offender MV/MB Reg.# Village/State/Zip / l Business Name ,, �"E ��'�' � }� c- S f am/pm on 20 Business Address Signature'.of' Enforcing Officer Village/State/Zip I'A •-s,.kov'`> o-.2-0;� Location of Offense Enforcing Dept/Division Offense �„ c2 to .� ;�,,�„ l� Fccrif�?.,, , I�`,rtF, ac. �,�� '4Ps� �15 '. Vk Facts , F k�r. 1 ow o y ° r This will serve only/ 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. TOWN OF BARNSTABLER_W f, ^ Ordinance or Regulation WARNING NOTICE F- Name of Offender/Manager ' s r Address of Offender MV/MB Reg.# Village/State/Zip Business Name ' - am/pm" on 20_ Business Address ' 't 't fit'} �' .✓°" ,r ''., ..- Signature .of Enforcing Officer Village/State/zip Location of- Offense _ % Enforcing Dept/Division Offensef Facts r 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.