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0109 FLINT STREET - Health
109 I+LINT STRIEAE,T,. . � Marstois Mills' , , A- = 123 -,029 , o4 LOt A ION . SEWA E PERMI fp � T ' G� ! « VILLAGE INSTAL E I'S NA & ADDRESS B U I'L DE R OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED .��� �-_ �' �X r dj . 4 1 '� No .S OS.----- ..f THE COMMONWEALTH OF MASSACHUSETTS BOAR® O� F HEALTH ......OF....... /�'`.. { Appliratiun for BispuuFaf Works Tunitrurtiun Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ��-i 1- T.�. A 1 J&.7 �.�..�N1- 1 ---------------- ----------...-•--•-------............----- .... ----------- J�l�_.L�tion- s or Lot No. _ ... . �'rl.------•--•------ Owner Address .................1.41f ...... ................................. ..............................................................•................................... Installer Address Type of Building Size Lot............................Sq. feet �., Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other IZT e of Building Q�R _..... No. of ersons.._ a yp g p ____________________ Showers ( ) — Cafeteria ( ) Otherfixtures -----------------•-•-••-•--••----•-•---•-•--•-•----•----------•--------------------•-••------••------------------------•-•-••-•--•---•---•......--•-- W Design Flow. ...............gallons per person per day. Total daily flow---,f_Q.a......................gallons. WSeptic Tank/Liquid capacity/W..gallons Length................ Width................ Diameter................ Depth................ x 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 (1/5 Dosing tank ( ) 06. �G�"s2 a� 2 - 7 Percolation Test Results Performed by__.__.___...C./ . ............................................ Date.....2_' .+. .. ......... Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water....... GXq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Rr' ................... _... Descri ion of Soil........ yf'G�r:' - W x •-••--••---•------------------------•-••---•-------------------------------------------------•-----•----•----•-••--•--•---•---------••-•-•----•------••-•-•-••••---••-----•-•--•-•-------------.....---- U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ..---------•------------------------------•-----••-•-----•-•------•-•---------------.................---•---------------------------•--•---------------•--•------..........--••-••---•-•-------••-•--••• Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITI.Ej 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issue y the board of health. ,, Signed --------------• .l �...%.7..._ Date Application Approved By........ jam= ----.. ... .0 .._... 'f� 7 Date Application Disapproved for the following reasons:................................................................................................................ ---------••---•-•---......--•----------------------------------•-----.....--------------•-----------•-•-.---.............-------•------------------------------•---------------•-----•--••-----...._.._. Date Permit No......................................................... Issued..'----- 46_-----7- ....-...........•.... Date 7� -* No------------®------. FRs....h�.'`..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............... ... � OF.......A6_1.W ...... "�'�-:...-.--.........._... --...... Allp irFatilan far Klispoii al nr" C�nnitrnrtinn Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at• _- t ��1Gr1i f7 / ,� �it/f/Y l�1.� ............ ...... -..............---••-------•--•-----.....•--t.................... . ...------•-----•. L ion dres or Lot No. /. , , 'c_ ' ,K . ----- ----------- -----------------------------------........._...-- W 1fleL Address Installer Address Q Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms................................ .....Expansion-Attic ( ) Garbage Grinder ( ) pa, Other Type of Building&� ........ No. of persons.... .................... Showers ( ) — Cafeteria ( ) a O h xtures --------------- ----------•---• . W Design Flow`_ .��___--•--.-•----_ .!.___.gallons per person per day. Total daily flow__ .' ......................gallons. WSeptic Tanld—Liquid capacity.4. .gallons Length................ Width................ Diameter__-_--_---_---_ Depth................ x Disposal Trench—No. .................... Width_.._.__ _ ........ Total Length.................... Total leaching area___ ~Q .....sq. ft. Seepage Pit No..---------------- Diameter/ Depth below.inlet.... ......•... Total e chin area_.................sq. ft. Z Other Distribution box (011 Dosing tank, 7- '� Percolation Test Results Performed by.._'..____C.h�. ............................................... Date.....'. _ . _7..7._...-. aTest Pit No. 1----------------minutes per inch Depth of Test Pit............_....... Depth to ground water..... ..._....__. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth---------•------------ to round water........................ -- i------.... f, f D Descri Description of Soil-•----..... . .....- i---�..... -• '•---•'-----�-¢�-- -------�� � . ..__.... W UNature of Repairs or Alterations—Answer when applicable................................................................................................ -------•-------------------•-------------------------.-••-----•-•-••--•-•-----------..........................-----------------------------•----------•------------•--•------•-•-••--..._._.__...---•-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITIE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issugd.. y the board of health. f 7 Signed--------•• ` ' � 1' - " '"� 1' `�+° Date Application Approved By......... _ ../ � 7............ t '""'..l_ Date-- 7 Application Disapproved for the following reasons---- ......................................................................................................... -•--•-•---•--------------------•--•---------•-----------••--•----••--------------•-•------...-------••-----•----•-•--•-•--•--•-----•------•-----•--••-------------------••--•-••-----------•--••--...... Date PermitNo......................................................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALTH ..........1.....CI�.Y..�:...........OF.............. 1.�...�. ............................................... (9rdifiratr of flnntliliFanrr �. TFka�TEtY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by ..........................! .. .... -- •-- ---•-•... ...I stauer has been installed in accordance with the provisions of TjTLE 5,of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.`-1 7 S S 1 -' PP P �------------------------------- dated..---�-r-----�........-7--------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.. L. ✓/S'. 7 f.......................................... Inspector----...... 7------------------ THE COMMONWEALTH OF MASSACHUSETTS BOARD Of HEALTH C - - d ......... ..............OF.....---....0..� ................................................... �S No......................... FEE---- -•---•........ Disposal nr� �trnr#ion rrntit Permission i hereby granted........ ........:........... --•--•-•-•---------------------•--•--•••.................._.. to Const Al or `e.•air a Indio dual Sewage/ Dispos� st ,P -----------------------------•-•---------•--••--••----....... at �_._.#--..,. . Street as shown on the application for Disposal Works Construction Perm t��No�_ _____________ Dated--_r�..."�_`1 �•7._._._.... ..• Board of health V--- DATE................................................................................ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS Sta/ ... G o r - ��� J .SI,.f .=•T, .•s 77r f L..�- 3341• .9. e:> - `'�,�� �Jq^•/%%G�'S �` Co l/��S �'o .B� QUlG T Ta '!�J l TiYI� y r Ta.o ANON .`c- 12 p AP 0't/AJ/S 1YE4 r p D aQO ,ScH --rcH SRO f o ' SEtOr/C-71,9A/A�- •'o .�vgSN�n STo�/E ��j/q�.//T��',/ 0/S�OS/9G. S yST�M F��i�iPl.<�`�. - � .� �-�r. •. i, r S 'r�T/C S'yS TE/Yl Co.c�S'T.E�UC T/vn.� C3,dS_J G A ,-G 0 Z �.� G,49G/Z�4 Y To Az�7.-4.ss, tr /quO 7'G7LU1..J o� ,�:1�!)/,�'.��--/"t'� I: /K��^1�1*ll,� f:!1�,�.sr�JCz� C..7•f/'-/; --� a t��./ SITE PLAN SHOWING PROPOSED CONSTRUCTION L O C A T 1 O N: . �,�� APP-RO ED 19.77 C A L E •�' 4� 1 D A T•E -��'`<� .�' rx -B-O.A R D OF'. HEALTH . REFERENCE •6C1nic7 e—f c:�i C. •' �-� ,' _1t 1Gtf •�✓ ,.�!x�)/ie J, .,e; ^ �f ' DATE AG E N T .y, .ray O ,:,- *" C M S ASS0CIATEs INc . • ' _� Y 'REGISTERED ENGINEERS tb.- LAND SURVEORS MID-CAPE OFFICE BUILDING - IZC*5 ROUTE 28 SOUTH YARM a-UTH, MASS. 02664 LZ i _ _ . .,_ GOO �oFT Towti y Town of Barnstable Office:508-862-4644 n���°11�uVV�t1 ttt��i Public Health Division Fax:508-790-6304 BARNSTABLE. 40CAND MASS. 200 Main Street• Hyannis, MA 02601 " .eM ,,0� HAZARDOUS MATERIALS INSPECTION REPORTMP / Business Name: 1 Date: l Location/Mailing Address: w a ; 1A'h ° Contact Name/Phone: Inventory Total Amo SDS: Cr � License#: D aks a Tier II : Labeling: Ab Spill Plan: q"t Oil/WaterSeparator: /g A Floor Drains: Emergency Numbers: Storage Areas/Tanks: Emergency/Containment Equipment: C7CE,11als ! Cc, Waste Generator ID: MV&O aste Product: Date&Amount of Last Shipment/Frequency: i Licensed Waste Hauler&Destination: Other Waste Disposal Methods: SCII ATrA 51 - �n 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 d disposal of 111 gallons or more requires a license from the Public Health Division. �-Antifreeze Dry cleaning fluids Automatic transmission fluidV Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers __:��ydraulic fluid (including brake fluid) Windshield wash Motor oils 6 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 V Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes V 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 iJ - oe S .-) hKP fin` a Inspector: f\ Facility Representative: °. WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS ;i • r -�tw Number Fee 300 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Joeys Septic& Construction 109 Flint St, Marstons Mills, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. ------------------------------------------------------------------------------------------------------------- --------- ------ -------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2020 unless sooner suspended or revoked. ----- ---------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI, M.D. 07/01/2019 JUNICHI SAWAYANAGI THOMAS A. MCKEAN, R.S.,CHO Director of Public Health � J" Town of Barnstable Inspectional Services BAMSTABLE THE TCL_ MRNSTr1P.,E•C2a-L L•CO iR•Y.r Al I= o Public Health Division �T°'s"`°5: 'zUE BARMABLE• ' Thomas McKean Director059. ATED 5.ta 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-7904304 b� APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE , HAZARDOUS MATERIALS Zh IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 3 Oth). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 X VSl'JX4 C h CATEGORY 3 PERMIT 500 or more Gallons: $150.00 El5-�-- *A_late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? YES_NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: 5. NAME OF ESTABLISHMENT: _5 ( ADDRESS OF ESTABLISHMENT: D Of' D AW 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: zz 10. SOLEOWNER: �SNO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADIPRXSS,AND TIVLEPHONE#OF: I ,7 CORPORATION N jgj- 1, `;as /�d • I� PRESIDENT 0,5Y TREASURE h P. �D—S CLERK ,` s 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICA;-1-0-18.docx T Q: DATE 3e �Application Forms�Haz Mat App Revised Ji Number Fee 300 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Joeys Septic 109 Flint St, Marstons Mills, MA �h Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. ------------------------------------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2019 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2018 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health f lowegulatoryof B nsxable ervices Richard V. Scali, Director 4 of'WE o Public Health Division BARNSTABLE • MRNSTAELE•CEtaU';ILLE.COTUR•fttA'.'NI'> BARNSTABLE, Thomas McKean Director 9 MASS. A ) 1699-10t5 4iArFc 39. p`0 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 �-- CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 V,v d CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? YES_NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS • ZONINGBUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: Joj'6ph i � 9 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: f�j �j�/hT �f' IyJJI"fJ'0�15 l/1i1i�CS' 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: , 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: aelc zl (�fDl0i7 10. SOLEOWNER: 6,YES_NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE #OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OU SID PARTY: NAME: TELEPHONE#: COMP DDRESS EMAIL: SIGNATURE OF APPLICANT DATE Q:\Application FormsUHAZMAT APP 2017 REVISED.docx 1 °FTHET°h Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARMAN Le.� 200 Main Street• Hyannis, MA 02601 1639. prEO MP+ TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: r S 5� L Date: 5 I Z Location/Mailing Address: 10 Itwk &-e5k ,1 5 ffigtt< g 1 eo.,A. J4" 5+ N` Contact Name/Phone: 7 n - r m I S SO -?1,52 '5oo t 2 Inventory Total mount: ^':39 A SDS: 0`A-1 Lic #. 4-r, o54- Tier II : D Labeling: W&.5- -0- Spill Plan: ° ,05' Oil/Water Separator: Floor Drains: o Emergency Numbers: c> bcv5k Storage Areas/Tanks: 4 k� &t.<.,v,^.5 wC%lj o+1 a- \ eQ C-J•,.. Emer enc /Containme t Equip ment: , ova S,k�e- 6)Waste Generator ID: D 19y-1P Waste Product: O% Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: \" <Av\ v�k o w a,S k-e, Jco 4,b5 "� \7- 1(w.�,�{-¢,. LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous mate ial use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. o cvl-:�v\or4 'A— kv� \\n.c�.� Antifreeze Dry cleaning fluids k Q-S oV-" Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers VV Hydraulic fluid (including brake fluid) Windshield wash Motor oils X wwsk• Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Dies I fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts / grease, lubricants, gear oil r Refrigerants Degreasers for engines&garage p, S pi 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) y (including bleach) Any other products with "poison labels" (including chloroform,formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: j y INFORMATION/RECOMMENDATIONS: 63c -' ' t 1 C-Q M°yt. w S�,o u1 I,�v� C•R W ed t S r'ec-e t V,& Inspector:OWLY Or vv-<-�% Ck«y&zxwrogWy Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS { yoF1"E'arti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARNSTABLE. MASS. $. 200 Main Street• Hyannis, MA 02601 A�fO MA��`0 ��TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: Jot S Date: 43 ' t Location/Mailing Address: I o I �� a• c of ¢►M 5+ Contact Name/Phone: 0 2 2 act«e -;R O -77 SS2 Inventory Total Amount: N 0 qa� MSDS: c4A II'A.� License#: 'fib o5k-b Tier II :_ I Labeling: { 7 Spill Plan: ye � Oil/WaterSeparator: QIA Floor Drains: c> Emergency Numbers: e g Storage Areas/Tanks: DeLIjG+S , o` u r.,a�K Spa-o Emergency/Containment Equipment: + 5<f4I Waste Generator ID: J'5-02 -1 v - Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination. J Other ags,e Disposal Methods: foul OC o �51�-S iw, ���Mo�c� \0 v 1 uCvt LIST OF T X AND HAZARDOUS MAT RIA 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&s of removers --� Engine and radiator flushes Bug and tar removers �\�„�.,�..,...�- 1 Hydraulic fluid (including brake fluid)k0 h / Windshield wash �- Motor oils - 2n5S 11-X Miscellaneous Corrosives Gasoline,jet fuel, aviation�ga.s Cesspool cleaners Diesel fuel, kerosenee, #2-heating oil Disinfectants Miscellaneous petroleum products: Road salts ��� x / grease, lubricants, gear oil .� S Refrigerants a, Degreasers for engines&garages 30 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 3 e ero5o k S Paint&varnish removers, deglossers / Leather dyes \o Miscellaneous Flammables fZAA- Wk S Fertilizers Floor&furniture strippers p, vak-y S PCB's Metal polishes e 0jw- 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: VIL a tR6 Qo-:;, INF RMATION/RE MM D TIONS: o QA 5 &4a a�7S C' 2 kl,-0,Ve[ po bl� OlAn- Inspector: 0. 1 5��, �t -�2 ©i ( �� �-t�t fir �� Facility Representa WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS i °FIKE Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BA MAT LE. • - MAq�. �. 200 Main Street• Hyannis, MA 02601 i6M MP TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT �FO '� Business Name: L Date: / 1 Location/Mailing Address. 1 fl°( w ►M •✓4 •, A•I +. 8/ 4 41 M e. Contact Name/Phone:. Inventory Total Amount: ^'✓20 c4-` MSDS: License#: vi oton r` Tier II : �� Labelina: 4' ' 4-A"66 a Spill Plan: aS Oil/Water Separator: K�Z) Floor Drains: CA" E ergency Numbers: e S Storage AreaslTanks: 4A-1 �r��g �,�. X6V eov+k.v.Jw�a/�� ,d�ed)-r-iS ivj �i�c0.y2 Emergency/Containment Equipment: o - Waste Generator ID: M.QS'0 o9,0 1-7 S Waste Product: Oi Date&Amount of Last Shipment/Frequency: 5�5'qa Licensed Waste Hauler&Destination: JA-A o owe ,e,C Other Waste Disposal Methods: AA II LIST OF TOXIC AND HAZARDOUS'MATERIALS I V O V\&U.I o;! c\,.-"-, L to M I V1V ea/��� .S 1 Yl C-e. 1,t 5 -to NOTE: Under the provisions'of Ch. 111;Section 31, of the Generaljaws of MA, hazardous mat�rial use, C��tB'I3 storage and disposal of-111-gallons'or more requires a license from the Public Health Division. l l y 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) Rustp�oofers 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:01AVAit- 6rvfa aA5,dc wAod See-oxA&kv' Cort g►y,�k¢V�I ORDERS: .. . J-0— 01 ( <:OA , I I A 114q a - INFORMATION/RECOMMENDATIONS: 4d'at a ,ast¢+1 C_c c vt- 1 0.14-1 a I N<,)AAf, g a Inspector: a ltAa, w Facility Representative:I _L����/t WHITE COPY- HEALTH DEPARTMENT/CANARY COPY BUSINESS �/ ' TOWN OF BARNSTABLE� Date: �'/ s TOXIC AND HAZARDOUS MATERIALS R964STIUVRON FORM NAME OF BUSINESS: 5 ,e__ BUSINESS LOCATION: /Dg 11 ;5+. 1 m4f6+001's Alls INVENTORY MAILING ADDRESS: 8 I Cam. TOTAL AMOUNT: TELEPHONE NUMBER: -f-1/ D - 2S -- 7 Z 41 0 5 CONTACT PERSON: e-64r(05 EMERGENCY CONTACT TELEPHONE NUMBER: MS S ON SITE? TYPE OF BUSINESS: -c,p-I-,��'►tig�-a,»a -,o„� INFORMATION / RECOMMENDATIONS: Fire District: 4tti- ate �P.Z SJbM -�- z S k erl� 4,0 kee 0— 0'L!c01 0 i 3) o kG re cox , -e/L r4 w o rk o f k.�o-5IL o, 1 V&he l �'��JGsfieatro0e ah 4be-1•r// <ze,o► acy Cotfg,,re.rs s,0o le-d� erap��o�rm�5� b� .fs Waste Txawsp #wn: MVSo828o7-r,Sz Last shipment of hazardous waste: Name of Hauler: A46,,4 So/vert-- !wove_,ry Destination: olelo,j aLer Waste Product: t-)A -e-o 1 l Licensed?9 No 6 .0 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 Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners s Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) (p Hydraulic fluid (including brake fluid) Refrigerants Motor Oils / Pesticides o2Zfl CN'NEW!lo Q USED Ito (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 Wcry,At 0, 15 A16& T0M francsPo'4-4X 4v Laundry soil &stain removers (including bleach) Spot removers&cleaning fluids I (dry cleaners) kw reawls 9 Other cleaning solvents Bug and tar removers Q 1� �(' D�� 1✓(clvG('1 �CRT-e Windshield wash Vla kf reCGIVI A f i WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initial of 0,0 --a .�j A, //,/ i �J5, 0 SPILL CONTINGENCY PLAID Emergency Coordinator, Name: 4 Address: Daytime Phone: Evening Phone: Fire Department: Barnstable Public Health Division: 508-862-4644 DEP 24 Hour Spill Hot Line: 888-304-1133 Waste Hauler: Name: ` i Phone: / Building diagram indicating hazardous materiaUwaste storage area, location of absorbent scavenger materials, fire extinguishers, fire alarms (if present), and evacuation route (if applicable). Nr � c Actions to be taken to control a spill or release, and preventing it from reaching a catch basin, sewer system or the ground. F: `0 D OF MID AND UPPER CAPE Fire & Water - Cleanup & RestorationTI f I 508-778-7378 1-800-581-1944 '� Fe AUTO BODY SOLVENT I RECOVERY, CORP BILL WRIGHTAGENT P.O. Box 726 ENVIRONMENTAL �.Y GE dC'Y �y 2 3 �yy AWTr•PREfQE PICKUP WAURRM ( j 4 i�1) �'�3i 291 -- OIL,8 WATER PICKUP 24-Hr Emergency 5ON`Km9NT-TIiI`V`:E`PICKUPMAROVE - TAKIT REIAOVAL-. . SEFMES C Service [NDC WATER?RAP UA SOL.iM-PICK UP v r 508-685-0871 `, -�BASOLIME' XHL TRAP CL@AN40UT-..- .- OCT OCT 01I GLEANED � �-_.. SLUDGE RIB ATO. Qate _ ..._.. iINATER sIPAIrRAr®R PUMPED 'Name - � ✓ a ��� r Bill of Lading J FJ ckup EReceapt Telephor'e �.. Cash f� Check ® aii Cl Quantit j Desor pion i Tvta _ u 4 F ip o* a /V Custum�r,Sign�t;�re Driver.Signature f'A MENT DUE UP:)N RENDERING,OF SEP,ViDE jNLESs PREV.IOU-SLY ARRANGED. d et70 06 6,L 9z,das Number Fee 300 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable J Board of Health This is to Certify that Joeys Septic 109 Flint St, Marstons Mills, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. -------- -- ----------------------------------------------------------------------------- ------------------------------ --------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2018 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2017 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health ' owrl�of Unstable egu atory ervices \ OFIKE rpm Richard V. Scali, Director AA' Public Health Division BARNSTABLE a , EnN`JSrp9tE.i^x*i-ERV LiucC wIr W.NST S BARNSTABLE, • Thomas McKean, Director apasvhS M: .ti)v�2oi4sr?ppNsrw£ MASS. 039. Mai A � 200 Main Street, Hyannis,MA 02601 �77g — Office: 508-862-4644 . C�0/-7 o2 0/ Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS . �. IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS, ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS DULY 1 st-JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ �(%t CATEGORY 3 PERMIT . 500 or more Gallons: $150.00 ❑ - iaa s� *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. —' 2. IS THIS A PERMIT RENEWAL? YES_NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF R TH OUSE OLD QUANTITIES (2 G LONS)? YES N 4. FULL NdME Ot,�A+L AN - OG� 5. NAME OF ESTABLISHMENT: ._. 6. ADDRESS OF ESTABLISHMENT: 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: ` 91�1�11F _ A(_ ,1 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: G . pG�1he1-. . 10. SOLEOWNER: YES_ O IF NO,NAME OF-PA-RT#F�R: 11. FULL NAME,HOME ADD S,AND TELEPHO # OF CORPORATION N d PRESIDENT If h '4� TREASURER CLE S ��� ' / �o����z` �?�.��. �� ors ,'//s, {�,�• v''o�-��a -9�3� 12. IF PREPARED BY UTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: • SIGNATURE OF APPLICANTATE-3 / Q:\Application Forms\HAZMAT APP 2017 RE D.do i r Town of Barnstable Office: 508-862-4644 Fax: 508-790-6304 Regulatory Services Department Public Health Division MASS Thomas A.McKean,CHO 1639- 200 Main Street, Hyannis, MA 02601 Payment Receipt Hazardous Materials Payment received: $125.00 (Check) on 5/15/2017 Permit number: 300 Check number: 12254 Check amount: $125.00 Name on check: Abco-Joey's Septic Service 1 Business: Joeys Septic Owner: Joey DeBarros 'Address: 109 FLINT STREET, Marstons Mills I Note: Category II Permit 2017-2018 License (Payment rec'd early) { i i • �f1 Number Fee 300 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health s This is to Certify that Joeys Septic 109 Flint St, Marstons Mills, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. ---------------------------------------------------------------------------- -------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2017 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable �t iwrti Regulatory Services Richard V. Scah,Director Z ` Public Health Division BABSTABLE MWWAOLC-C9ftFRV[LL-CDTV'r-HY-3 -4 1639• 1 uasa¢raus•osArue-wsTmaxsrAe '£O MPS a ie3s-zoia Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 J a = -862-464 P G+ -790-6304Office: 508 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 3 Oth). 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 1st. ASSESSORS MAP AND PARCEL NO. DATE — 5 yZ014� FULL NAME OF APPLICANT::L6 S NAME OF ESTABLISHMENT: ADDRESS OF ESTABLISHMENT: MAILING ADDRESS(IF DIFFERENT): TELEPHONE NUMBER OF ESTABLISHMENT: EMAIL ADDRESS: �O SOLE OWNER: kYES NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADD SS, TELE O #OF: �/ � �j� yf CORPORATION PRESIDENT ► OS TREASURER CLERK ; / IF PREPARED BY OUTSIDE PARTY: SIGNATU OF APPLICANT Name: Company Address Telephone#: Email: Q:Wpplication Forms\HAZZAPP Revl6.doex Page 1 of 2 L _ Number Fee 30o THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that Joey's Septic 109 Flint St, Marstons Mills, MA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------------------------------------------ -----=---------------------------------- ------------------------------- -------------------------------------------------------------------- ----------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2016 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/2015 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health F� c Town of Barnstable Regulatory Services • ` Richard V. Sc4 Director Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee:$100.00 ASSESSORS MAP AND PARCEL NO.� DATE 1� 5' 9 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN Ill GALLONS OF HAZARDOUS MATERIALS r FULL NAME OF APPLICANT < D S NAME OF ESTABLISHMENT y ADDRESS OF ESTABLISHMENT ILI) /h , Gj %����/ � '71— TELEPHONE NU7YE SOLE OWNER: NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION s FULL NAME ME ADD S F: PRESIDENT fifA- TREASURER CLERK GNATEU OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# Tq 7 C:\cache\Temporary Internet ReAOLKI)MAZAPP Rev2015.DOC Town of Barnstable Office: 508-862-4644 Fax: 508-790-6304 Regulatory Services Department snxsst ' ; Public Health Division . MARqThomas A.McKean,CHO o �ti 200 Main Street, Hyannis, MA 02601 Payment Receipt Hazardous Materials Payment received: $100.00 (Check) on 6/30/2015 E Check number: 11508 Check amount: $100.00 Name on check: Joey's Septic Service, Inc. :Business: Joey's Septic Service Owner: DAVID W HIBBERD ;Address: 109 FLINT STREET, Marstons Mills i � I i • O Number Fee 300 THE COMMONWEALTH OF MASSACHUSETTS 100.0o Town of Barnstable Board of Health This is to Certify that Joey's Septic 109 Flint St, Marstons Mills, MA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------ This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2015 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2014 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable Regulatory Services Richard V. Scali, Director MASS. E Public Health Division �j 1639 ♦� iOlEe 39n• Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 x Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. �o� -Oc�I DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT tcr' S NAME OF ESTABLISHMENT - jil xv ADDRESS OF ESTABLISHMENT TELEPHONE.NUMBE { SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: ck IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. d�•07��/�9J� STATE OF INCORPORATION FULL NAME ME ADDRESS OF• PRESIDENT - Do7G 14 �' TREASURER �• CLERK S SIG ATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# 4-6 Q\Application Fonns\HAZAPP.DOC e I` 11 AUTO BODY SOLVENT RECOVERY CORP BILL WRIGHTAGENT C_,, lP.®. 9®x 726, Barnstable, Mkt 02+63Q 781-293-4291 Fax: 08-419.1669 OJG 61 24 Hour Emergency Services Cell: 508.685.0871 ,ALL N EQ�$_�NV1�F�f7�L SERVICES: _f 1jot o WASTE OIL PICKUP MDC WATER TRAP CLEANOUT !� ee A ANTI-FREEZE PiCK.UP GASOLINE&OIL TRAP CI.EANOOT WATER PICKUP DOT DRUMS DELIVERED SOLVENT-THINNER PICKUP DOT DRUMS CLEANED&REMOVED TANKS CLEANED SLUDGE REMOVED TANK P.EMOVAL GAS PICKUP hMA.RVE PUMPOUTS QQNIRACT FOR YLSTE ©IL PICKUP NAME S�' e� (-)P-.et- , ___ ( = A S S _ r C 1 Lq in - — __ for,, year i-, } All oiI will be trusted before.bei ag�.purnped, Any,pil over 1000 ppm will be picked.:upls,eparately at an additional charge. Anti-freeze.s,Sc~'Iyent�. ancJ Vaster can be picked up on request at a separate time and charge. lotal price for this contract is S_1,3Q�r d� _ _ including 1 test per pickup from 2. to DATE Customer Signature: AFT..k SiGNA JRE THIS C0NTRA�CT GANNO'•6E� CANCELLP FOR ONE YEAR. No outside-vvend.ors;during the;date.ofi contract or it.witl be,cancelledb �.� d7 G6 b', c7 ink a r� Number Fee 300 THE COMMONWEALTH OF MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that Joey's Septic 109 Flint St - Mail. c% 81 Cammett Rd, Marstons Mills,MA 02648 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 6/30/2013 unless sooner suspended or revoked. -------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 9/27/2013 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health r: Town of Barnstable Barnstable ,eve Regulatory Services Department Public Health Division RMWSTABM I V 9MASSM& 200 Main Street, Hyannis MA 0260.1 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. I Z 3-o.Z 9 DATE % APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT 06 G NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT s TELEPHONE NUMBER - SOLE OWNER: YES NO o IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADD411 :S OF ALA PARTNERS: - C) ZZI co °-^ IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND UOME ADDRESS O . PRESIDENT OS - ' L a TREASURER P CLERK S14NATURE F APPLICANT RESTRICTIONS: HOME ADDRESS el I - Al HOME TELEPHONE a 8- - 9I J:\inspection handouts\Haz Mat Application2008.DOC Number Fee 300 THE COMMONWEALTH-OF MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that Joey's Septic 109 Flint St - Mail: c% 81 Cammett Rd, Marstons Mills,MA 02648 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2011 unless sooner suspended or revoked. WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2010 JUNICHI SAWAYANAGI ! — — `_.>.....,......_.._.:. _—..THO'MAS A. MOKEAN, R.S. CHO Director of Public Health Town of Barnstable IV OtIHE rp� Regulatory Services ti • �``P `1. .1 Thomas F. Geiler, Director BARNSTA. hfA SS. " . Public Health Division 9 q �p 16$9. `gym AlFon+P�A' Thomas McKean, Director 200 Main Street, Hyannis, MA'02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE '- — APPLICATION FOR-PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT- ! �- NAME OF ESTABLISHMENT hC ADDRESS OF ESTABLISHMENT TELEPHONE NUMBE S5: SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP, FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.6 93� �j STATE OF INCORPORATION S FULL NAME AN MEAD SS OF. PRESIDENT TREASUR R E' CLERK t D • SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE f-laz.dochk p`y Please print or type.(Form designed for use on elite(1 2-pitch)typewriter.) Form Approved.OMB No.2050-0039 UNIFORM HAZARDOUS 1.Generator ID Number 2.Page 1 of 3.Emergency Response Phone 4.Manifest Tracking Number WASTE MANIFEST v k 8 O 1 1 SOC)-GIl_:-Tr'�N 0 0 6 7 5 6- JJ K Generator s Name and Mailing Address �o e\j IS Sv e T i r S o t d 6 c Generator's Site Address(if different than mailing address) � ( LA�'�1(+ -TT RoAJ 0 �4 t r t c n f t, 50� MArs'tvrll m;ds,Generator'sPhone: ] 7�$ B 6.Transporter 1 Company Name U.S.EPA ID Number Autobody° Solvent Recoven, Corp. 'MAR000509331 7.Transporter 2 Company Name U.S.EPA ID Number B.Designated Facility Name and Site Address ,phy,S east � S•eiMce Inc. U.S:EPA ID Number 252 Salem Street Woburn. MA 01861 MAD066588005 Facility's Phone: 781-935-9066 ga 9b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 10.Containers 11.Total 12.Unit HM and Packing Group(if any)) 13.Waste Codes No. Type Quantity Wt.Nol. 1. Waste Petroleum Oil Q°v 5 D NN1A9 Combustible Liquid NA 1270, PG III 00 1 T T G w 0 3. 4. Special Handling Instructions and Additional Information c�t�Spey L1sed_C)il Fuel�X7aste'1�Iofo Chl'Dexel:test.lcit/Dexel Under 1000 ppm.waste c;i>:i.L: • ;RG-#1'28-- o t11k --- besi of the generator's knowledge this oil has not beewmixed.With PCB's or lutzurdous wasie as de,Clsted u'i 4(K,"R,'L'v 1 15.- GENERATOR'S/OFFEROR'S CERTIFICATION:.I hereby declare that the poritents of this consignment are fully,and accurately described above,by the proper.shipping name,and are classified,packaged, ._ marked and labeled/placarded,and are in all respects in proper condition for transport according to applicable international and national goyemmental regulations.If export shipment and I am the Primary Exporter,I certify that the contents of this consignment conform to the terms of the attached EPAAcknowledgmPnt of.Consent. ; r I certify that the waste minimization statement identified in 40 CFR 262.27(a)(if I am a large quantity genera r)or(b (if I a a smauantity generator)is We._ Generator's/Offeror's Printed/ryped Name Sig tore y Month Day Year ri 16.International Shipments Z ❑Import to U.S. ❑Export from U_8: Port of entrylexit: Transporter signature(for exports only): Date leaving U.S.: w 17.Transporter Acknowledgment of Receipt of Materials Transporter 1 Printed/ryped Name Signature Month Day Year O William writ ht a rn zQ Transporter 2 Printed/Typed Name Signature Month Day Year rY L18.Discrepancy crepancy Indication Space ❑ Quanti ty ❑Type ❑Residue ❑Partial Rejection ❑Full Rejection Manifest Reference Number: . rnate Facility(or Generator) U.S.EPA ID Number U k �i Faahty s Phone:` w 18c.Signature of Altemate Facility(or Generator)' Month Day Year 7POnnted/Typed azartlous Waste ReportManagement.Method Codes(i.e.,codes for haiardous waste treatment,disposal,and recycling systems) I 2. 13., 4. 7 esignated Facility Owner or Operator:Certifi�' "on of receipt ofhaiardous materials covered by the manifest except as noted in Item 18a Name Sjgnature r., Month Day_ Year IIrv/ t,jskr EPA Form 8700.22(Rev.3-05) Pry ious editions are obsolete. DESIGNATED FACILITY TO GENERATOR Town of Barnstable �FVE tp� Regulatory Services 'L Thomas F. Geiler,Director Public Health Division sARNSTABLE, Thomas McKean,Director MASS.13. ,�,� 200 Main Street, Hyannis,MA 02601 ACED MA'S�`• Phone: 508-862-4644 Email: healthna,town.bamstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 October 23, 2006 Joey's Septic Joseph DeBarros 109 Flint Street Marstons Mills,MA 02648 Dear Mr. DeBarros: Thank you for your time and cooperation during the hazardous materials inventory and site visit at Joey's Septic, 109 Flint Street,Marstons Mills on July 24, 2006. This letter contains information from that visit that will help you become compliant with Chapter 108 of the Town of Barnstable Ordinance: Hazardous Materials. Enclosed are copies of the Toxic and Hazardous Materials On-Site Inventory form from the site visit and Chapter 108: Hazardous Materials. Please note the problems identified at your place of business during the hazardous materials inspection and their corresponding recommendations listed below: PROBLEM: • No MSDS on site. ORDER: • Please obtain MSDS for the hazardous materials on site. MSDS sheets shall be provided, by law, from the company who delivers your products(Dennis Burke Inc.). PROBLEM: • A catch pan full of waste oil was located on the floor. ORDER: • To avoid a spill or release,which is a violation of the code,please empty all catch pans immediately after performing maintenance. PROBLEM: • A 55 gallon drum is located outside. The drum was said to be removed in the next shipment of waste pick up. RECOMMENDATION: • Please keep all drums indoors prior to removal. If storing drums outdoors please refer to 108-5 A Storage Controls,which states, "liquid materials which are stored outside, shall be stored above ground in a covered container within a containment area desi n ed to contain a minimum of 110%of the volume of all materials to be stored. PROBLEM: • Upon arrival,a release was observed on the ground. There was speedy dry on the release. RECOMMENDATION: • Please ensure all absorbents are cleaned up and disposed of after complete saturation. PROBLEM: • Small releases on top of drums. RECOMMENDATIONS: • Utilize absorbent pads for the tops and underneath all drums containing hazardous materials. On Site Inventory Total The Toxic and Hazardous Materials On-Site Inventory from July 24, 2006 shows that you have approximately 270 gallons of toxic and hazardous materials being used, stored, generated and disposed of at Joey's Septic, 109 Flint St.,Marstons Mills,MA(Please see enclosed Toxic and Hazardous Materials On Site Inventory sheet). Why are these recommendations being made for Joey's Septic? • This information is intended to educate you, a business owner/operator in the Town of Barnstable, in order to keep your business operations in compliance with local, state and federal toxic and hazardous materials laws so that you can avoid future regulatory problems. • Complying with the Hazardous Materials ordinance(Chapter 108) can prevent contamination of Barnstable's existing and future drinking water supply,prevent environmental contamination which can bankrupt site owners, lower or destroy land values, drive out residents and industry, depress local economies and endanger public health. A representative from the Town of Barnstable will complete a follow up inspection to ensure the above orders and recommendations have been completed. If you have any questions about these problems, the orders and recommendations,or you need further information, guidance or assistance,please do not hesitate to contact the Public Health Division. Aserely, ha a rkPA Hazardous Materials Specialist All orders to correct violations of Chapter 108 of the Town of Barnstable Ordinance: Hazardous a shall be c mpleted upon receipt of this letter. . McKean,RS, CHO Director of Public Health Enc. 108 Chapter p (copy) On-Site Inventory(copy) Number Fee 300 THE COMMONWEALTH OF MASSACHUSETTS $100.0o Town of. Barnstable Board of Health This is to Certify that Joey's Septic -1'2 3 - ®a s 109 Flint Street, MA 02648 10 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2007 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. June 19, 2006 PAUL J. CANNIFF,D.M.D. THOMAS A. MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable V f6D Y vaF,N�, Regulatory Services AAP 6'Iq1Ob Thomas F. Geiler,Director Public Health Division 77 .., 9 MA38.. - .: _; Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax:.508-790-6304 . Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE lv"11511P APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT hlF' NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT /D TELEPHONE NUMBER 1D SOLE OWNER: -`YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. /9' 2/ 9.V V_ STATE OF INCORPORATION FULL NAME AN OME ADDRESS OF: PRESIDENT S TREASURE ; CLERK - ; GNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# ur'D S- 6LZS- 91�2 Haz.doc,'wp/q r MAIL-IN REQUESTS Please mail the completed application form to the address below. Also include copies of your employees food sanitation training certificates. In addition, please include the required fee amount (see fees at bottom of this page). Make check payable to: Town of Barnstable. Allow five to seven (7)working days for in-house processing. Our mailing address is: Town of Barnstable Public Health Division Y . 200 Main Street Hyannis, MA 02601 - FOR FAXED REQUESTS - Our fax number is (508) 790-6304. ' Please'_fax a completed application form. Also, please fax copies of your employees food sanitation training certificates. In addition, you must mail the required fee amount (see fees at bottom of this page). Please make the check payable to: Town of Barnstable. -the check must be mailed to the address listed above. Allow up to four days for in- house processing. For further assistance on any item above, call (508) 862-4644 Back to Main Public Health Division Page y5 ---+Aate: -7 / 2,41,�� TOWN OF BARNS ABLE %ZIIDW - TOXIC AND HAZARDOUS MATERIALS ON-SITE INV NTORY NAME OF BUSINESS: fo`f.!dSJe t7G BUSINESS LOCATION: 14f, INVENTORY MAILING ADDRESS: & CA"wh4Ze 1e&A l0 r.n ,j.A.GI TOTAL AMOUNT- TELEPHONE NUMBER: D CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: MSDS/rON SITE? TYPE OF BUSINESS: 9b INFO MATION/REC,OMMENDATIONS: ' Fire District: M — - J &'YI/IYd�I ell 11- W &&A- Q"a AAQ-fliA ij.V, /2, Ad Allat-& '1 - tI�l �� Girl�VI } l�G4Z ©�. o f vp i m n f z r w /� Waste TransgorAltation: Last Sh e t o a s dous aster 6P Name of Hauler. i Destination: Waste Product: U ttcwk o Licensed? a No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum Anti reeze (for gasoline or coolant systems) _ Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants � Oils Pesticides U NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor &furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers (including bleach) Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS 7(2gd OIL WASTE OIL OIL FILTERS ANTIFREEZE WASTE ANITFREEZE GASOLINE WASTE GAS DIES -EL W/W FLUID ATF KOO HYDRAULIC/ MISC. MISC. MISC. MISC. BRAKE FLUID COMMBUSTIBLE FLAMMABLE CORROSIVE PETROLEUM (GEAR OIL/GREASE/ LUBRICANTS) Is t_5 406 FREON ACETYLENE CAR WASH CAR WASH PAINTS/ WAX DETERGENTS THINNERS SEALANT CLEANING BATTERIES/ POISION/TOXIC CAULK/GROUT SOLVENTS BATTERY ACID FERTALIZERS WASTE SOLVENT MSDS MANIFESTS 13i11 (or i qqk4 I o wo npe — Gw P a v`� w I u�ct St e o i11 o-n {lour s P a Ae ed 50� orb kkSD� ss Mew, - c r�.. . Q j�h n� 13v rkelvnc . w�Q50 ems- �0 1 k.Ax+ �, f Date: /� by COPY ; �" TOXIC AND HAZARDOUS MATERIALS N4 1TE AVENTORY NAMEOFBUSINESS: o-P-u`S S BUSINESS LOCATION: .100( F U►v* �$ INVENTORY .MAILING ADDRESS: $ I C.aXh rn e�C-�al. MM � 02�`� TOTAL AMOUNT: TELEPHONE NUMBER: CW2-A) 5 OS-- Z FD — •7-7SZ CONTACT PERSON: 7'as ,j/j$ EMERGENCY CONTACT TELEPHONE NUMBER: TYPEOFBUSINESS: �SP � i n 5 � ►a'r� CPS-, %�f e- OTHER INFORMATION: 1'1Gtz�i�oz,�s P.r.�cct S e< dnn M S L75 or1 a. Waste Transportation: Name of Hauler: Destination: �� �a-z-�`.rt I��,�n ° . Waste Product: t&_,ga 1. a-,%L Licensed?..Yes (146� LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. . NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Observed (gallons): Antifreeze(for gasoline or coolant systems) Drain cleaners -s'5 a.NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants 1/ Motor oils Pesticides J_rj%,vt NEW —�a�tUSED (insecticides, herbicides, rodenticides) Gasoline, Jet Pbel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED 770goA Other petroleum products: grease, Photochemicals (Developer) U lubricants, gear oil " NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda a.0 Car wash detergents Jewelry cleaners cvC Car wakes and polishes Leather dyes Asphalt& roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride)- Paint&varnish removers, deglossers Paint brush cleaners Any other products with "poison" labels Floor.&furniture strippers (including chloroform,formaldehyde, Metal polishes hydrochloric acid, other acids) Laundry soil &stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids Misc.: (dry cleaners) Other cleaning solvents Bug and tar removers cr�les 3 Town of Barnstable-Health Department �g� �—�DPage e HAZARDOUS MATERIALS INVENTORY SITE VISITS !r DBA: Joey's Septic Fax: Corp Name: (Formerly AbCo Construction Mailing Address ' Location: 109 Flint Street,Marstons Mills 02648 Street: um e mappar. :123-029-000-000 City: W Barnstable Contact: Joey State: Ma :! .` Telephone: Zip: 02668 Emergency: �v? Z / -7 S s erson Interviewed: Business ( Contact Letter Date: 4/13/2004 a Category: ,Septic Inventory Site Visit Date: Type: Junk Yard Follow Up/Inspection Date: public water ❑ indoor floor drains ❑ outdoor surface drains ❑ license required ❑ private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc ❑ currently licensed ❑ town sewage ❑ indoor catch basin/drywell ❑ outdoor catch basin/drywell expir - W on-site sewage ❑ indoor on-site syste ❑ outdoor onsite system date: 4/13/2004 Remarks: 3/6/95 Business consists of septic installations&pumping: compliance: Intstallation of water lines. Request: Limit storage of unregistered Satisfactory t vehicles to one. Remove debris around dumpsters. Orders: Outside tanks--Paint and set on slab with containment: Recycle oil filters. >ui zAc- chi 4/20/04 Contact letter returned to sender. No longer operating as / ABCO Construction,but now as Joey's Septic. Site visit on 4/20/04- _ 7 4o� O Building was locked. Lot is full of junk vehicles,scrap metal,tires, „Q_ septic hoses,parts. There is a truck/car wash station with no outside drainage. One 55 gal.drum of ethylene glycol base outside on dirt/gravel lot. Also one full 55 gal.drum of"product#465691"- unknown. Partially full 55 gal.drum of another unknown. One empty 20 b ss gallon drum on ground. One large tank(possibly heating oil)laying on top of a rubble pile-marked"PJ Macombe". Needs to be inspected. Owner was not available. Call to set up appt. s�- � �5 e�ter. �- e i /J? l r Page 2 Y Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ zero Toxic Waste Materials 0 gty's>25 lbs dry or 50 gals liquid but less than 111 gals ❑ gty's 111 gals or more description_ "_,qty: unit of measure,.. gasoline 275gallons gasoline.._....._.__..._._... ._...._._.__................._......__................_.............._............ ........... _ 275 gallons ..._...................._.........._.._....... .._..___.._...._......_.. ______ _....____. ... ..._.._..._. .........__-_ waste oil 55 gallons motor oil 2cases degreasers for engines and metal 1gallons new lacquer thinner _ 2gallons antifreeze(for gasoline or coolant systems) 2 gallons other cleaning solvents 5;gallons __... ......_.._...... ---....._..... ...............___........_......_..__.._......_._.._....... .._.............._........_._. ..............................._......... .._....._.... paint,varnishes,stains,dyes 12cans misc.petroleum products:grease,lubricants 5cases __�.�..... __.....___......._...._.._.. ... .. ........... .. _................................... ..... .......,._o- _-_, ....._.... ................... ......_..._ paint,varnishes,stains,dyes 5.gallons paint,varnishes,stains,dyes s Waste Transporter: Fir s 'ct: Last HW Shipment Date: aste Hauler Licensed: No 1 k VIA` � r� Z�.b jo n " "s - ' t('Ci'VLt�rlri; G%�il��.7 5 6� �•sL/�� Suj�7 •'vP�- ` �'` S' d—b� SS�� 7 s 1 r(55-1 �• die Pam'` •7 ;�, li��•a-� —� �jcw.P �� - - ��c.� ov (��- vS q 0 -sC2 G Hazardous Materials On-Site Inventory/inspection For ALL Shops and Businesses: DBA: ' Location: I ocl `i'YLk Date: fj 7 '6c-f Physical Features to Inspect: 1. Hazardous waste generation sites (production/manufacturing areas): V;q s S 2. Waste storage areas: ? ` Z 5 t/ 15�. 3. Satellite accumulation points throughout: i!L, :z - 4. HazMat stored outdoors — CHECK OUTSIDE: 5. Shipping and receiving areas: 6. Run down of shop activities: 7. Housekeeping practices: Need S f HazMat On-Site Inventory/Inspection: Records to Review for n SQGs and CESQGs DBA: ` Location: _ 1061 �i� Site visit date: 5=1`7-- Oy • Hazardous Waste Manifests: ,�1r • Employee training documentation (if required): - N/A • Hazardous substance spill control and contingency plan: n-V-V1--V— • MSDS on site? 1 Y7 — • HazMat Inventory records (if applicable): aCV-A.0.. OW,--Xj�� • HazMat Waste Shipping documentation: 46. S 62:,c • Spill records (if applicable): tol- ,i Town of Barnstable Regulatory Services �n Thomas F. Geiler,Director Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Phone: 508-862-4644 Email: health(a),town.barnstable ma us Fax: 508-790-6304 Office Hours: M-F 8:00—5:00 May 19,2004 Joey's Septic Attention: Joseph DeBarros 81 Cammett Road Marstons Mills,MA 02648 RE: 102 Flint Street,Marstons Mills,MA Dear Mr.DeBarros: Thank you for your time and cooperation during the hazardous materials inventory and site visit to your business. This letter contains information from that visit that will help you,as a business owner,become compliant with hazardous waste regulations. Enclosed are copies of Article 39: Control of Toxic and Hazardous Materials ordinance and a copy of the Toxic and Hazardous Materials On-Site Inventory form from the visit to your shop. Please note the problems identified at your place of business during the hazardous materials inventory and their corresponding order/recommendations listed below: Problem: There are waste oil drums on your lot. These are on a gravel/dirt surface with no containment. They are not marked"TOXIC"or"HAZARDOUS WASTE". The location of these waste oil barrels is dangerous because they can leak or spill open,they are not protected from possible vandalism and a large potential liability for your business. Order/Recommendation: Please remove these drums from the outdoor lot immediately. Place them inside your shop building and label them"TOXIC"and"HAZARDOUS WASTE". Properly dispose of these barrels as soon as possible. Problem: There are several junk vehicles,including a bus,on your lot. By law, only one unregistered vehicle is allowed on your property. If your neighbors complain,the police can be called to respond to this problem. Order/Recommendation: Please begin to remove all unregistered junk vehicles from your lot. Properly drain a dispose of hazardous materials(i.e. antifreeze, oil,transmission fluid, windshield wash fluid,brake fluid) from ALL of these vehicles. One unregistered vehicle may remain on your property. Problem: Waste oil,waste antifreeze and waste cleaning solvent barrels and tanks are not labeled correctly. Order/Recommendation: Please label all hazardous material storage/waste.barrels and tanks "TOXIC"and "HAZARDOUS". This should be completed immediately. Problem: You haul large amounts(two or three 55 gallon drums at one time)of waste oil to a neighboring business and give it to them for use in their waste oil burner. There are no records of when you haul this hazardous material,how much you hauled,who accepted it and how they store it. Order/Recommendation: Beginning immediately,you can only haul ONE 55 gallon drum of hazardous material PER TRIP because you are not licensed to haul hazardous materials. Thoroughly document all deliveries of this waste oil to your neighbor including: date,location, amount hauled,who accepted it and where/how they are storing this waste prior to use. Joey's Septic is responsible for what happens to this hazardous material from the point it comes into your business to when and where it is disposed of. Problem: All hazardous materials delivered(antifreeze,hydraulic oil,motor oil and petroleum grease)for use in your shop should have manifests from your delivery person. These are not retained on site. Order/Recommendation: Starting immediately,please obtain waste hauling documentation:and retain all hazardous material delivery/disposal manifests. All records pertaining to delivery/disposal of toxic or hazardous materials and wastes need to be retained onsite for.no less than five years by the hazardous materials registration holder(i:e. Joy's Septic)so the Public Health Division,MADEP or EPA can review these records at any time. This must be done in accordance with section 12-3 of Article 39. Problem: There is an insufficient amount of absorbent material (Speedi-Dry)stored in your shop to help contain any potential spills or releases of hazardous materials. Order/Recommendation: Beginning immediately,please obtain and store absorbent material in your shop. Spills or releases of oil, and particularly antifreeze,must be controlled because they are toxic, can seriously damage groundwater resources and can cause irreversible health problems or death. Problem: No Material Safety Data Sheets(MSDS)are located at your shop to identify the chemical/hazardous materials you store and use at your business. Order/Recommendation: ALL chemical products and hazardous materials MUST have an individual MSDS for each item stored and used at your place of business. This is required by law and is an Y p emergency precauti on g for potential spills,human exposure accidents and fires at your property. You can obtain these from the internet or by calling the customer service number on each container of hazardous material you have in your shop. An example of an MSDS sheet is enclosed with this letter. Y I ;tP Si Problem: cap� Your fuel oil tank stored outside of your shop building sits on a gravel/dirt surface and does not have any surface cover or containment underneath it. Order/Recommendation: You must install a concrete pad under your fuel oil tank as soon as possible. This is required by law,and can prevent groundwater contamination if there is a leak or release from this tank. Problem: You and your family members are washing vehicles on the gravel/dirt surface outside your shop entrance. Soap and car wash detergent is used when washing and the runoff is going directly into the soil/ground causing possible groundwater pollution. Order/Recommendation: IMMEDIATELY CEASE AND DESIST washing vehicles with ANY kind of soap product. You are allowed to rinse vehicles with plain water when necessary. NO SOAP of any kind may be used to wash a vehicle on this property. Problem: Used oil filters from your shop are drained and then removed as scrap metal. Order/Recommendation: Do not discard used oil filters by taking them to a scrap dealer. Used oil filter must be recycled through a licensed hazardous materials hauler/recycler. Please contact a hauler to arrange for proper disposal of your used oil filters. On Site Inventory Total: The.Toxic and Hazardous Materials On-Site Inventory from May 17d`shows that you have approximately 378 gallons of toxic and hazardous materials being used,stored,generated and disposed of at Joey's Septic(Please see enclosed Toxic and Hazardous Materials On Site Inventory sheet). The Board of Health has determined that the using, storing, generating and disposing 111 gallons or more of hazardous materials per month requires businesses in the Town of Barnstable to obtain an annual Hazardous Materials License. You should renew your license as soon as possible from the Town of Barnstable,Town Offices, located at 200 Main Street in Hyannis. Why are these recommendations being made for Joey's Septic? • This information is intended to educate you,a business owner in the Town of Barnstable, in order to keep your business operations in compliance with local,state and federal toxic and hazardous materials laws so that you can avoid future regulatory problems. • Complying with the Control of Toxic and Hazardous Materials ordinance(Article 39)can prevent contamination of Barnstable's existing and future drinking water supply,prevent environmental contamination which can bankrupt site owners, lower or destroy land 1 values,drive out residents and industry,depress local economies and endanger public health. As a follow up to the site visit and inventory completed on Tuesday,May 17, 2004,a representative from the Public Health Division will re-visit your business during the next 30 days to check on your progress and further advise you on your compliance. If you have any questions about these problems and/or their recommendations,or you need further information and assistance,please do not hesitate to contact me at the Public Health Division. Sincerely, 01)Op Thomas A. McKean,RS,CHO Director of Public Health enc. On-Site Inventory(copy) Article 39 (copy) MSDS (example copy) Photo (example)of proper oil tank containment system As a follow up to the site visit and inventory completed on Tuesday,May 17,2004,a representative from the Public Health Division will re-visit your business during the next 30 days to check on your progress and further advise you on your compliance. If you have any questions about these problems and/or their recommendations,or you need further information and assistance,please do not hesitate to contact me at the Public Health Division. Sincerely, as A.McKean,RS,CHO Director of Public Health enc. On-Site Inventory(copy) Article 39 (copy) MSDS(example copy) Photo(example)of proper oil tank containment system 5 .. 0. 'P�cz 2 I. C E:'NrEF%V I LI_E0611 RV I I LEI-MARSTONIS, MILL'. li FIRIE DEPARTMENT I. OILMAZARDOUS MATT-f-ZIAL REJJEASE II STREM'T ADDRESS OF REL-Eff-)SE.- -Street.Ma, V I LL(-iGEa - DATE- --Mem. T I 11E.' OF F. DATE TIVIE OF' F. D. i-,10TJFICATION_, .__3./, -00 MUCT Rl:_EL.EASED�-PR( _djesej ESTIMATED Q(.Jr4NTITY: _u CORRECTIVE ()CTION IF ANY'. NOT IF I CATI ON. NATIONAL RESPONSE MENTEER I J YES V-10 Ex 3 I YES [ I NO DATIE.- 71 ME 'x OIL SF" U-L CO--ORr)11',1A. T0R I I YES I X1 NO DATE _ "r I mr:* kt INIARD OF HEALTH I Y E 5) C. I NO E)Al*l.-,: 'X 3/23,/90" IME.-I-1-15am HARBOR MASTER f: I YES J NO W)T'E TI ME 0016:R AGENC I E,*i II COMMENT1,3n --------- _ ..Services.-ftom_109.... -Dispasal......During-...excavation tanlL 4e'-w-a4te an.--several- oil.-fi-Iters-vere.._ --at,-thl-a- -w-oxv-4-ound hava-..contaminated..-soil-, probably,--due--te--impreperly.-d-ipqeedd--weste-,oll-en-TaTvk--was--removed.,-and-.4-o-und_to..ba_wat -w1-t.h-.-pr(Auet in.--several.-areas—Tank—f ouad....to....be-..in...very-400d-.conditiQn.......pro.duc,t:-.....-- PO"IblY.-.,GaVISG&. -tank-ove-r..-a...1ong,..-pe_r1cu(L.nf_tima-. Barnstable-boar-d .--they-wi,11,mztif_y_the...propar_authorlt WHI.TE COPY F*1RE DEPORTMENT YELLOW DEGIE PINI,;:- BOARD OF' 1-IFf:ILTH FORM #50 r TOWN OF BARNSTABLE � / �.r UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS 1�A )h . IM R,�1 6 ASSESSORS MAP NO. . � PARCEL NO. F L ADDIZ SS'��t?" T�i,r�. u �� VILLAGE' Aa NAME', �a��r1 NAME;.... . T .s-%, �1 1 ci 7 iGj�' 4W 0F 7AldS / . : %4� � > �. CONTACT PERSON .PHONE NUMBER LOCATION OF TANKS: CAPACITY: .TYPE OF FUEL. AGE: TYPE: LEAK OR CHEMICAL: DETECTION /r 'I /11r.-S ? 0 ` DATE OF PURCHASE OF. EACH: 1. A-0 117 7 2. Jo 3. 4. S. i DATE OF FIRE DEPARTMENT PERMIT: TESTING CERTIFICATION SUBMITTED: Z Z� PASSED DID NOT PASS PLEASE PROVIDE A SKETCH SHOWING THE LOCATION OF TANKS ON THE BACK OF THIS CARD. ..{ �'. � � � ;to � y y 1 - �t?i I(�t e�1.� v �•,. a �, .r,......._ __ � _ �. ._.__ _�_ --i---=-.—�-- _ _ _. _:tea... _---- . . _ :_ - - - - . — - -- � � ��' Z �— '� r �— N :� ,{ AM DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION i q' M - * ip� iPqft E 5/11/ 88 ti. > _.'..._._. (rU Date t TO MAINTAIN AN EXISTING/NEW UNDERGROUND STORAGE FACILITY i In accordance with the provisions of 527CMR9.24 this permit to maintain an existing/new underground storage facility is granted to: Location of property: #1 Flint Street, Marstons Mills , MA 02648 Street address Owner of property: AAA Sani Services Full name of person, firm or corporation Restrictions: To store and Maintain (2) Two Underground Tanks . Tank 1-2 ,000 Gasoline, Tank 2-2 ,000 Diesel . 't Fee Paid:$ 5 .00 (M.G.L.A. Chapt. 148 Sec. 10A) ' Form F.P. 290 Part This permit will expire 5/11/19 93 1 Date Signature'Of HeWd of ept. appointed designee f ' ♦,y (Owner's Copy to be posted at the storage facility with F.P.2901 Part 3) -�'d'e�is: 1 .��I�Ii:���.Etiw `'.�: .. . �. flt•.....?iP.1 fl'(. !J' and ;c,r .:y;! .- ., shipper's No. A56 3_ -- ----- Na r - -RECt.4rD, subjec tc,:he I ❑! SvW AA ASS. 023,41 � � � � ,`, �': 4�4a 8 f.i �:: C n f1tf 1 �. � '.�• ( C,II II 'Cl I1I11 t '' j 1 1 n t:.,i 1 � I 1 h! t 4;• far .. lu' erns t^ rn. .. � ..... .. � t c ',, f 1 t.l:tln, .:,-. j �.c,tsi::-�� A.A.to____.... Sani-Services, Inc. c/o Lot "C" - -- --.. "<:ik<:• :I r::.,t 3;ton:;ynce—fOr plrpc's;of no'ilic.-r5a?. i Marstons Mills MA :.. ... t� Flint St. I I Delivering Cr rrior EViIr Cf:;::lo i1 i C P l •ab t I n ti — .=_t_•ns ,. i I i r i C'dmn .S.I n... I f ti i ,i rh �.7e'. dcln•en;!1 rp - t I I, ut reclut t'e on l v. ! st6nnhsi?n i at„n the h Iluwln [n 2 2020 al UG tanks 64" II carrier,h lnot role( li dla. .___ ._. ..__.__.___..___� • .. #.7 ga• I tnts'I,lilu:cut•:vith without •i_mcnt"Ur, . .... -._ r.rd ail otlwc law tul etl :dca. I i Black asphaltum (1) API {].) FC) -_— --- _ 1 `_------1 ------------`---�'-....... I (Signature r t�busi r etatnpr heC ;"To F LC.: 1 1. ._--sticks ! *Drop tanks to nea' side of! new ! ,�.. . 1 . to prepay.n n th e c -.1 � tt UP concrete -black , h:ay, true c garage ls3d :n� tt;;:csc , a lq or Cashier , ,.y,y�►� f, --- per FiNL Q��, leak /okat®ram 76- ; v ENVII'tONMENTAL SERMCES,INQ, DATE O F..T EST 115 DEWALT AVENUE, N.W. TEST :.SUITE 400 CANTON,OH 44702 RESULTS CONTRACT NUMBER 21&453-1800 800-523-4370 CUSTOMER �-� � u ����G ✓sue LOCATION'-IDENTIFICATION NUMBER . NAME ADDRESS��/ CITY STATE. TEST RESULTS SUMMARY LEAK LOKAToa us ONLY SYSTEM. TANK SIZE WATER LEAK LOKATOR RESULTS CONCL.CODE I GPH PRODUCT. GALLONS DIA/MATL INCHES INCHES ALR CONCLUSION RECOMMENDATIONS TEST. TANK SVS OTHER INFORMATION PRODUCT LINES-HYDROSTATIC PRESSURE TEST RESULTS SYSTEM TYPE OF PUMP PRODUCT PRODUCT CONCLUSION # MINUTES LOSS LOSS .. NO. " PRODUCT REMOTE SUCTION APPLIED APPLIED CC'S GPH RESULT NOTE: On suction systems,NEVER put more than 15 psi on any pump system. OTHER CONTRACTORS,OFFICIALS,CUSTOMER REPRESENTATIVES PRESENT DETAIL OF TEST RESULTS TEST TIME LEAK RATE TEMPERATURE ABSOLUTE Y TEM TEST LEVEL COMPENSATION LEAK RATE CTES NO. R NO. (INCHES) CLOCK START HRS._M NN CC/DIV CC/MIN' Q F CC/MIN CC/MIN GPH V°f I Al�le TOWN OF BARNSTABLE OMRUANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops satisfactory- 4.Manufacturers COMPAIVY �� l3 �+�� "� � �6un (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS , _��✓ .7 Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN= indoors; OUT=outdoors) MAJOR MATERIALS Drums Above Tanks Underground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) f f , Diesel,1£eresQ*e, #2 (B) Heavy Oils: waste motor oil (C) new motor oil ) transmission/hydraulic Synthetic Organics: degreasers l - Miscellaneo s: t f ,00 *4e- �/eJ cL B t DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply i O Town Sewer Public On-site OPrivate 3. Indoor Floor Drains YES N0 O Holding tank:MDC 0 Catch basin/Dry well O On-site system f 4. Outdoor Surface drains:YES NO_V_ O RS: 0 Holding tank:MDC O Catch basin/Dry well i O On-site system 5. Waste Transporter Name of Hauler Destination Waste Product Lice qedj �. 1. t ail. NO 2. Person (s) Interviewed Inspector Date y: if 1��1 C)2°� ///7smEAD No. H163Y UPC 10271 smead.com • Made In USA ,was, i Town, of Barnstable 40 Office of Town Clerk J� • BARtvs'['ABM V '"' � 367 Main Street,Hyannis,MA 61 P.O. Address: 8-790-6240 Aune M.Cahoon :508-775-3344 Drawer T Hyannis,MA 02601 TO: UNDERGROUND STORAGE TANK OWNERS FROM: TOWN CLERK'S OFFICE RE: NON-PAYMENT OF ANNUAL REGISTRATION DATE: NOVEMBER 26, 1992 Upon reviewing our records for your property located on assessor's map and parcel number 42 3-oa 9 , we find that we do not have a payment recorded for your annual registration fee for your storage tank/s. We are sure that this bill just slipped your mind, but we ask that you mail us a check in the amount of$ 3 , c7 in order to clear this up. We will then send you your registration card, which is to be posted on your premises. If your tank was removed before May 1 of this year, please,send a copy of the removal papers and we will file them here, nullify the registration, and send them to the Board of Health for their attention as well. If we do not hear from you by the end of December, your name will be added to a list of non-payers that will go to the Town Manager's office for further attention. If per chance you did pay and our files are incorrect,merely send a copy of your cancelled check and we will be happy to update our files. Thank you for your prompt attention to this matter. PLEASE RETURN THIS LETTER WITH YOUR CHECK MADE PAYABLE TO THE TOWN OF BARNSTABLE SO THAT YOUR ACCOUNT WILL BE PROPERLY CREDITED. 1:2 600 JC6 4�,,�� r t .41 A ' .iibberd �$ "Woodc'rest ti'Uald, �iar•__cn.� �ii�I �__.Y_, Office of the Town Clerk Town of Barnstable Drawer IIyani,is, XA 02()01 Dear 'io. c_a_ioon, am r espondiag. to your. department' s attac .e� let tei oi November 26, 199L2. I do not be l iev� t..at am 1 iable for t Le uhde:grcu.�d tank registration fee because both of my tai:k= wei e removed by a licensed contractor prior to ;+tay, lst of thie_ yea: a have attached copies of the removal papers for your rev zw,. _ hope this serves. to resolve the matter to th4 Town a s'tti>f=L:�ti_,n and that the Health Department will be notified as well. ` :'hank you for your a."tention. ' n i)avid "ibrerd S r Attu c res ents: 3 y lr•i. k, . "T r' �'r s CR Tank Services, Inc. 7 P.O. Box 765 Marston Mills, MA 02648 508-420-3365 Stora a Tank wal;,Receipt Date: TYPE: Oil #2 Gas Other Dinosaur Disposal Owner: Marstons Mills, Ma. Address Tank Size: 2000 Gallon Ust Date Removed: 2- FrRD fit: 01920 LCR Tank # 4 2 3—8 9 Dig Safe # 89151081 LCR Project # T 2309 Tank Transported To: LCR Inc. 381 Old Falmouth Road 'Unit #5 Marstons Mills Ma. 02648 Inspector: Comments: Approved Scrap Yard• —James G. ,zranti- , � Inc. 28? Wolcott Street Readville, Ma 02137 Yard #03501 For LC ervices INC. R, VIRONMENTAL CONTRACTORS Bayberry Square - 2C 1645 Route 28 Centerville, Massachusetts 02632 (508) 778-6002 Fax ( OS) 775 664 � Storage Tank Removal Receipt Date: C 3/22/90 21) TYPE: oil diesel �. Gas Other Owner: Address 109 Flint Street Marstons Mills MA Tank Size: 2, 000 Date Removed: FDID #: 01920 LCR Tank M 735 Dig Safe # 9 0-12 2 5 29 LCR Project # 2556 Tank Transported To: LCR, INC 381 Old Falmouth Road, Unit 41 Marstons Mills, MA 02648 Inspector: Comments: Approved Scrap Yard #03501 James G. Grant Co. Inc. 28 Wolcott Street Readville MA 02137 For LCR Tank Services