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1000 RACE LANE - Health
C1000-Race-1 Cape Cod Flying Service YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office,.1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: Fill in please: /`1 � wxp APPLICANT'S YOUR NAM E/S: -�� «-J BUSINESS YOUR HOME ADDRESS: 51 -4 j L.k,-}a -�e��+� TELEPHONE # Home Telephone Number S a-� l f'1� 4 tee 0.�7� .StZi i NAME OF CORPORATION: c c is S,12 'r:k-C NAME OF NEW,BUSINESS::�.. VZ TYPE.OF BUSINESS: L cfc�IS THIS A HOME OCCUPATION? YES NO p'•s�;g �.:�.l Q VU , ADDRESS OF BUSINESS i:C��© �,Ce 1-���•2 . Mr}� s. 1``.'hS . 1A MAP/PARCEL NUMBER _. (Assessin 9) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This.form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has been informed of any permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 2. BOARD OF HEALTH This individual has Jeer�,-ij' ferry Pf the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: Town of Barnstable oFtHe t Regulatory Services Thomas F. Geiler,Director Public Health Division C BARNSTABLE, Thomas McKean,Director V Q 9 MASS. A �� 200 Main Street, Hyannis,MA 02601 p �} 39 � rFD MA'i A Phone: 508-862-4644 Email: health@,town.barnstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 July 31,2008 Mr. Christopher Siderwicz, RE: Toxic and Hazardous Materials Manager On-Site Inventory and Inspection, The Mills Air Service The Mills Air Service, 1000 Race Lane 100 Race Lane, Marstons Mills,MA 02648 Marstons Mills Dear Mr. Siderwicz: On July 10,2008,a Toxic and Hazardous Materials On-Site Inventory and Inspection of the above referenced site was conducted by the Public Health Division(PHD).An On-Site Inventory and Inspection is a review of the sites storage,transport,utilization and/or disposal of toxic and hazardous materials as it relates to the Town of Barnstable Ordinance,Chapter 108:Hazardous Materials. This Ordinance was adopted to protect the public health and welfare,especially as it pertains to the public drinking water supply. The following is a description of the results of the Inventory(enclosed)and Inspection. MATERIALS INVENTORY AMOUNT AND PURPOSE: The Inventory of this site indicates the use or storage of approximately ten-thousand,two—hundred and seven(10,207)gallons of toxic and hazardous material.This material is used in air plane engine repair, maintenance and fueling and in the maintenance of the grounds. Please be aware that the Town of -Barnstable has determined that a minimum of.one-hundred and eleven(111)gallons of toxic and hazardous , materials requires an annual license. GENERAL STORAGE AREAS AND CONDITIONS: • The Hanger houses a parts cleaner, drums of both virgin and waste aviation oil(stored on a shallow containment tray),a metal,cabinet with miscellaneous flammables(spray paint),batteries (quantity; three)and five-gallon,plastic gasoline tanks(quantity four).The Hanger has a cement floor,with no floor drains.The spent batteries are brought to the landfill,the gasoline is used in the lawn tractors. • A heating oil tank is also located in the hanger,this is not subject to inclusion in the total inventory amount. • A ten-thousand(10,000)gallon underground storage tank for aviation fuel is on site,it was last leak tested in June of 2004.At that time the tank was equipped with a new cathodic monitoring system. -2- • The"Old"Hanger is used for the storage of airplanes.This hanger has an uncapped floor drain. At the time of the inspection a full oil pan was observed under a small plane,there was no evidence of oil reaching the floor drain. SAFETY AND DOCUMENTATION: The Material Safety Data Sheets were available in a binder on site. The Mills Air Service is in receipt of a 2007 License for Storing or Handling of 111 Gallons or More of Hazardous Materials, a Contingency Plan was posted.Although a Spill Kit was not available, Speedy Dry was on site for small spill clean up. Manifest sheets, for the transport of waste oil by Cyn Oil were provided upon request. SITE FACILITIES: The site building is served by an on site sewer system. Any deficiencies which were discovered in the course of this inspection with regards to the Hazardous Materials Ordinance are described below. CORRECTIVE ACTIONS TO BE TAKEN: The waste oil drum is to be clearly marked with the words"Regulated Recyclable Material', "Used Fuel Oil'and"Toxic"and the date on which accumulation began. The waste oil storage area should also have a sign designating it as such. The'floor drain in the"Old"Hanger should be closed in accordance with Town of Barnstable,Ordinance, Chapter 381,Toxic and Hazardous Materials(i.e.Floor Drains). A Spill Kit containing absorbent pads/booms,appropriate for the containment of liquid hazardous materials on site should be available.The location of the Spill Kit is to be indicated on the Contingency Plan. OTHER: Per your request enclosed is a list of hazardous waste haulers that may be able to assist you with the disposal of the parts degreaser spent solvent.Also,enclosed is a copy of the 2008 -2009 Application for the License to Store or Handle 111 Gallons or more of Hazardous Materials. The PHD appreciates your cooperation and acknowledges your intent to maintain.compliance with the Hazardous Materials Ordinance. This office will conduct a follow-up inspection within four weeks to verify that all corrective actions have been taken. Please contact me at the above telephone number should you have any questions or comments regarding the Inspection of your site. Very ly yours, 1���-� Cyn a A.Martin Hazardous Materials Specialist i -3— All orders to correct vic ions of Chapter 108 of the Town of Barnstable Ordinance:Hazardous Materials shall be completed pon receipt of this letter s . McKean,RS,CHO Director of Public Health cc w/o enclosures: David Anthony, Chief Procurement Officer 230 South Street Hyannis,MA 02601 Enclosures: Toxic and Hazardous Materials On-Site Inventory Application fo-Permit to Store and/or Utilize More Than I I l Gallons of Hazardous Materials Hazardous Waste Management&Removal Contact List Date: TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: � � �� 4/? BUSINESS LOCATION: /aoo L-st-NE• Alf. INVENTORY MAILING ADDRESS: '45 rfeewr TOTAL AMOUNT: TELEPHONE NUMBER: fit— F :7-3z fT CONTACT PERSON: do _1Siad'f0t'7Z- SIbE IIVICS EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: A /,,ZP®R,7' t/�� INFORMATION/RECOMMENDATIONS: 5&-E- 4772E4102A 1AISR02W Fire District: /Q_:-�- l)A-Tt-D eUl49H Waste Transportation: Last shipment of hazardous.waste: Name of Hauler- 9 .4 1'- Destination: Waste Product: Licensed? U 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 Antifreeze (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 Motor Oils Pesticides ID NEW BUSED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Ono, 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 ,��-y� Swimming pool chlorine Battery acid (electrolyte)/Batteries ;P, Itiser? 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 c u� YOU WISH TO OPEN A BUSINESS? DATE: "v J Fill In please: rn APPLICANT'S YOUR NAME/S: /� C h.� /�1y�^r7�Y BUSINESS YOUR I IOME ADDRESS: 7 0 4 6 13 o n; c: ' L n fi 608 Y28.27'(S SvhrA+�Q�/ti H f C o -. ..- Cl) Id- TELEPHONE if Home Telephone Number 3 o S' R r' 5-S 3 o NAME OF CORPORATION: 74 Ar jle/r, NAME OF NEW BUSINESSSK Ltle /7o5'1v;. G«,ee G�� TYPE OF BUSINESS ��✓a/;`✓ 'rg _se_1_vCe/ IS THIS A HOME OCCUPATION? YES NOS_ ��26Yk ADDRESS OF BUSINESS 1000 Stacetuhr /'1.`/Ir /+/19 MAP/PARCEL NUMBER (Assessing) When starting a now business there are several things you must do in order to be in compliance with the rides and �Pqi il;idnns of thA Town of Barnstable. This form is intended to assist you in obtaining the information ynu may need. You MUST 1. BUILDING COMMISSIONER'S OFFICE This individual has been informed of any permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 2. BOARD OF HEALTH This individual has be formed of the r iit requir r/nts that pertain to this type of business. o, _,4 ut oriz Signature * G o COMMENTS: J (0 3. CONSUMER AFFAIRS(LICEN G UTHOITY) m This individual hgsen in or the licensing requirements that pertain to this type of business. co i Authorized Signature* COMMENTS: m oco r` o c ca FUSS&O'NEILL June 19,2012 Mr.Joseph Cerutti UIC Program Coordinator MassDEP Bureau of Resource Protection One Winter Street Boston,MA 02108 Re: Notice of UIC Structure Closure North Hangar—Cape Cod Airfield 985 Race Lane ' Marstons Mills (Barnstable),Massachusetts UIC ID#: MAS41A020221-5K Dear Mr. Cerutti: In November 2011,Fuss &O'Neill submitted a MassDEP BRP WS-06 permit application for the registration and closure of a UIC Class V well at the above-referenced site. On November 17, 2011,MassDEP permitted the closure. The closure activities were conducted under a Release Abatement Measure(RAM)Plan pursuant to the Massachusetts Contingency Plan (MCP). The site is identified under the MCP program as Release Tracking Number(RTN) 4-22270. The MassDEP permit letter authorizing the closure of the UIC structure required that notice be provided to MassDEP within seven days of the later of the date that the dry well is closed or that the laboratory analytical data is received. Additionally,the local plumbing inspector's authorization was required before the closure could be completed. The dry well cleaning and removal/ disposal of residual materials was completed between November 2011 and February 2012. The plumbing inspector's authorization was obtained for the 317 Iron Horse Way closure in June 2012,as presented on Form WS-1 (copy attached). On June 13,2012, airfield Suite 204 personnel applied a concrete seal to the surface of the dry well,physically closing the structure. Providence,RI 02908 1401.861.3070 On June 19,2012,Fuss&O'Neill submitted a Class A-2 response action outcome statement 800.286.2469 documenting the UIC closure. The Class A-2 RAO Statement is available for review by searching f 401,861.3076 for the property address or RTN 4-22270 at the following MassDEP website: www.fando.com htti2://db.state.ma.us/dep/cleanup/sites/search.asl2 Connecticut Massachusetts Rhode Island South Carolina \\RIFS1\sys\P2008\1465\A25\Deliverables\dcl_UIC-Letter-20120619.docx FUSS&O'NEILL The RAO Statement includes supporting documentation detailing the closure,as required by the MassDEP Drinking Water Program. Please feel free to contact me if you require any additional information regarding the response actions completed at this site. Sincerely, David J Foss,CPG,LSP Senior Project Manager Attachments: DEP Form WS-1 Cross-Section Sketch Cc: Ms. Cynthia Martin;Health Department,Town of Barnstable (via email) David Anthony, Chief Procurement Officer,Town of Barnstable (via email) 317 Iron Horse`Noy Suite 204 Providence,RI 02908 t 401.861.3070 800.286.2469 f 401.861.3076 www.fando.com Connecticut Massachusetts Rhode Island South Carolina \\RIFS1\sys\P2008\1465\A25\Deliverables\dcl_UIC-Letter-20120619.docx 11a':May, 23, 20121 8,01AM FUSS L OHEILL. 401061307ENo, B367 P, i P-2 Massachusetts Department of Environmental Protection L Bureau of Resource Protection-Drinking Water Program Form WS1 Notice of Plumbing Inspector Approval to Beal Floor Drain Note:Thli Notice is not applicable to any facility where the floor drain Is-connected to a Munlolpai Sewer ImporieM: System, MAS41 AO20221-5K Men 11111no out Facility 1nformatlon: UIC ID forme on the Gape Cod Airfield-North Hangar Municipal Airrield -computer,use onty the leb key cornpory Name Nature of Business to more your 985 Race Lane Barnstable cutowus*the o hot Street Address CHyrTown key. us*the niuln MA 02648 508-428-87.32 piste ZIPCode PhoneNumbsr r Town of Samstable, MA Request lo.Seel; 1 Foo lily owner erne number of floor dra ns Any additions or alterations to the system aro not permissible without the approval of the local plumbing Inspector, All seiats must be in eompilanee with 248 cMR..This form must show the signature of both the Facility Owner and the Local Plumbing Inspector before a copy may be flied with MassDEP.• Upon approves by the Local Plumbing tnapector,a completed copy of this notice shall be filed Immediately with the MassDEP Underground Injection Control(UIC)Program at the address below. In addit upon completion of all necessary work,the applicant sha11 file a completed MasspEp UIC cat►o �Fortothe > rte a dress, cpn pool,�ty�ownerr al�neture vets Appmval/91gnv Of Localumbinq napedor Date I Plumbing Perng# Plumbing inspector for the Clly/Town at: Barnstable ily/rown Name NOTE: No inlet or outlet pipes, or other piping was present in the drywell structure prior to closure of the floor drain. The Faclllty Owner shall send the completed forms to the appropriate MaeaDBP Regional Office(see .hltp;/IWMM+,mas>s,dovldep/atx�ut/realon/findy9tlr.htmy, For questions and/or additional information,please call the UIC Program Coordinator; MassDEP aoston Office,817.3484014. - Or the appropriate Regional MaseDEP Office' Western 413-784-1100 W. 214 Central SOB-702.7683 Northeast 078.6N4200 Southeast 608.046-2714 8snd duplicate copies of this form to:. Local Board of Health wei.doo•rov.01101 Notice of Plumbing InepedorApproval to Beal Floor orals-Page 1 of 11 FUSS&O'NEILL Prepared By Date Checked By Date Project No Ii �. �'F Dli r ` Sheet No t'0 cu 5eC- 1 C of v �J5 SSG.,"lul'Gbb `r� �> ''a ��, i" '••A` y sf � = \ 5 f h1 d�L'�7°� / �/1tEt 1h ©r �Caa�t��/�h trey. t1 C5��5//.i� a�`g C •!�.f1q)) c7C C' ec(P , C�CyVc�,gj` dc�a GX(J� Cl �a �f4��sfCa, ri f > ® e LjommonwealLn oT IV1assacnuseLLs C Asa Executive Office of Energy &Environmental Affairs Q1 ` o� rn Department of EnvironmentalProtection One Winter Street Boston, MA 02108.617-292-5500 DEVAL L PATRICK RICHARD K SULLIVAN JR. Governor { Secretary TIMOTHY P.MURRAY KENNETH L.KIMMELL Lieutenant Governor Commissioner November 17, 2011 David Anthony Re: Town of Barnstable City/Town: Barnstable 230 South Street Facility Name: ,Cape Cod Airfield Hyannis, MA 02601 Program: Underground Injection Control (UIC) Action: Registration &Approval of Pre-Closure of UIC Class V Well UIC ID#: MAS41A020221-5K Dear Mr.Anthony: The Massachusetts Department of Environmental Protection (MassDEP), Drinking Water Program (DWP) received on October 26, 2011, a submittal of a BRP WS06 permit application, eDEP Transaction#427993, for the registration and closure of a UIC Class V well. MassDEP/DWP has reviewed the above mentioned permit application and is hereby issuing the UIC registration ID# MAS41A020221-5K in accordance with the UIC program procedures and regulations, 310 CMR 27.00; and is authorizing the closure of the underground injection control well in accordance with the description stated on the permit application°and the attached supporting documentation. The eDEP application that was submitted indicated that the well category and well type were other—other. Due to the fact that aircraft maintenance had occurred within the hangar,.the correct UIC Class V well category and type is motor vehicle- motor vehicle waste disposal well. Because the eDEP system does not allow MassQ_�.P . staff to change the well category and well type we are not going to be able to import the data into theµeDEP- database. The only ramification to the applicant is that all subsequent submittals regard ingathis UIC(egistratQn must be done using the MS word or .pdf forms as this UIC registration number will not be.•imported into;the eDEP system. . s ta UIC Class V Well Pre-Closure Application Information: _ ^ Facility Name: Cape Cod Airfield Owner: Town of Barnstable Facility Address: 585.Race Lane, Barnstable,.MA 02648- Applicant: Town of Barnstable' = ` Well category: Motor Vehicle Related Well type: Motor Vehicle Waste Disposal EPA Well Code: 5K(former EPA code 5X28) Number of wells-proposed for complete closure: 1 Number of wells that will remain after proposed closure: 0 Number of entry points.proposed for closure: 1 Number of entry points that will remain after proposed closure: 0 Application prepared by: David Foss, 317 Iron Horse Way, Providence, RI 02908 This UIC well registration and closure authorization is contingent upon satisfying the following requirements: You are required to provide the above UIC ID#on all future correspondence with MassDEP/DWP related to these registered UIC wells. All correspondence related to the UIC program that is not submitted electronically shall be sent to: MassDEP/DWP-UIC Program, 1 Winter Street, 5th Floor, Boston, MA 02108. Within seven (7) days following the completion of the closure of the UIC well (completion date is either the date that you receive the results of laboratory analytical work or the date the well is physically closed, Printed on Recycled Paper whichever is later) you are required to submit to the MassDEP/DWP documentation of the closure with a UIC Post-Closure Form. • Since the UIC well,being closed is considered a leaching floor drain, you are required to seek approval from the local Plumbing Inspector on a WS-1 form. A completed and signed copy of the WS-1 form is required to be filed with the MassDEP%DWP as part of the post-closure notification. The closure activities are required to be conducted in accordance with the Massachusetts Closure Requirements for Underground Injection Control(UIC) Wells (including shallow injection wells) (July 3, 2008),.including laboratory analyses of soil/sludge samples collected from this well. The RAM Plan that was attached to your eDEP application were consistent with these requirements. A link to this document is provided below. Copies of all laboratory analytical reports must be included with the UIC Post-Closure Form. The UIC Post Closure submittal package shall include the following: o Copies of all laboratory analytical results and information regarding sample collection locations and depths; o photo ionization (PID) field headspace screening results; o a cross sectional sketch showing the dimensions of the dry well, the well construction details (i.e. concrete or brick blocks or concrete caisson either perforated and/or open bottomed. Note: The narrative in your application package sufficiently described the horizontal and depth dimensions but the post closure notification submittal should include a narrative indicating the well depth that is verified during the dry well excavation activities; and, o details regarding how the dry well was physically decommissioned; If this proposed closure activity is the result of MassDEP.or local enforcement action, you"must meet all:- requirements of the enforcement entity., In the event that other inlet/outlet piping, drains or dry-wells are found during the closure of this dry-well, the applicant is responsible to inform MassDEP/DWP about his/her findings and to submit additional information and documentation regarding the findings.. If the closure of the UIC well was not done in accordance to the specifications,described in the BRP WS- 06d application, you are required to submit, in writing, to MassDEP/DWP at the address listed above an explanation about the changes that occurred on the original application submittal, including any revisions to attachments such as design plans or specifications. The applicant is required to maintain a copy of all documentations related to this permit application including but not limited to all the forms, correspondences and their respective noted attachments including site map(s), detail sheets and MSDS sheets. The following are the MassDEPiDWP web-links with the instructions and forms required for the closure of a UIC Class V Well: • Massachusetts Closure Requirements for Underground Injection Control (UIC)Wells (including shallow injection wells): http://www.mass.gov/dep/water/laws/uicclose.doc • UIC Class V Well Post-Closure Notification Form Instructions and Supporting Materials: http://wvvw.mass.gov/dep/water/approvals/poclinst.doc UIC Class V Well Post-Closure Notification Form: http://www.mass.gov/dep/water/approvals/posclnot.doc • The UIC Well Post Closure Notification Form may be completed using eDEP. Instructions for that form are available at this location: http://www.mass.gov/dep/water/approvals/epostins.doc Please be advised that MassDEP/DWP may revoke or change the approval of this permit application and/or - authorization at any time if the MassDEP/DWP determines that the closure of these UIC wells are not in compliance with one or more MassDEP regulations or guidelines. If you have questions, please contact me at 617-292-5859 or by e-mail at ioseph.cerutti c(D.state.ma.us or by fax at 617-292-5696. Sincerely, Joseph Cerutti UIC Program Coordinator MassDEP Bureau of Resource Protection cc: David Foss, 317 Iron Horse Way, Providence, RI 02908 Rick Rondeau, MassDEP-DWP Section.Chief—Southeast Regional Office Chuck Shurtleff, MassDEP-BRP\DWP - Southeast Regional Office David Burns, MassDEP-BRP - Southeast Regional Office Terry Dayian, MassDEP-BRP\DWP -Southeast Regional Office ;Health Director, 200 Main Street, Hyannis, MA 02601 Plumbing Inspector, 200 Main Street, Hyannis, MA. 02601 V•\T)AIFD A A VA 1 A 010')71_G1r_T TT(`_')01 1_1 1_1 7_('T At r41- J `j FUSS &O'NEILL June 4,2012 Mr.Thomas McKean,Health Division Director Town of Barnstable 367 Main Street Hyannis,MA 02601 Re: RTN 4-22270 Notice of Response Action Outcome Statement North Hangar—Cape Cod Airfield '985 Race Lane Marstons Mills (Barnstable),Massachusetts_ Dear Mr.McKean: - Fuss &O'Neill,Inc. has prepared this letter, on behalf of the Town of Barnstable, to provide notice in accordance with the Massachusetts Contingency Plan [MCP;310 CMR 40.1403(3)(0] that a Response Action Outcome (RAO) Statement has been submitted to the Massachusetts Department of Environmental Protection (MassDEP) for the hazardous material release identified by Release Tracking Number (RTN) 4-22270. Hazardous materials,including petroleum compounds and metals,were identified in sediment at the bottom of a dry well in the north hangar of the airfield, and were removed in November 2011. The RAO Statement includes supporting documentation to establish that a condition of No Significant Risk exists at the site in accordance with the MCP. The Class A-2 RAO Statement is available for review by searching for the property address or RTN 4-22270 at the following MassDEP website: Massachusetts Department of Environmental Protection Reportable Releases Look Up: htt2://d.b.state.ma.us/del2/cleani-il2/`"sites/seaLgL.asp 317 Iron Horse Way Sincerely, ' �v Suite 204 ZZ Providence,RI 02908 t 401.861.3070 800.286,2469 t401;861.3076 David JP Foss, CPG,LSP www.fando.com Senior Project Manager 9s Connecticut co Cc: Mr.Thomas Lynch,Interim Town Administrator Massachusetts Rhode Island Ms. Cynthia Martin;Health Department,Town of Barnstable (via email) South Carolina David Anthony, Chief Procurement Officer,Town of Barnstable (via email) \\RIFSI\sys\P2008\1465\A25\Deliverables\RAMC_A2_RAO\Appendices\dcl_PN-Letter-20120604.docs a�� r illy/ ?uao�- c U Bnvironrnenta(Sofutions for Business October 30, 2003 Town of Barnstable c/o T. David Houghton,Assistant Town Attorney Town Hall 367 Main Street Hyannis, MA 02601-3907 Subject: Environmental Assessment Report Cape Cod Airport Properties in Marstons Mills&West Barnstable,MA (herein the Subject Property) Dear Attorney Houghton: Pursuant to the executed agreement,ENSOL,Inc. (herein ENSOL,we or our)has conducted an Environmental Assessment.of the above referenced properties. The purpose of this investigation was to evaluate the Subject Property for evidence of a reportable release of oil or hazardous materials (OHM) as defined in M.G.L. Chapter 21E and the Massachusetts Contingency Plan (MCP; 310 CMR 40.0000). Summary of Findings The Subject Property comprises five assessors parcels,totaling approximately 218 acres in area, located in Marstons Mills and West Barnstable,MA. The Subject Property has been improved with the Cape Cod Airport, a small grass airfield, since circa 1929. The facility includes two hangers that are used for storage and minor maintenance of the planes, two offices, and aviation gasoline dispensing capability. Remaining areas of the Subject Property comprise grassy field and wooded land. Gasoline is currently stored in a 10,000-gallon underground storage tank(UST)that was installed in 1989 and is equipped with spill prevention and leak detection devices. This UST replaced a 2,000-gallon UST that was installed in 1969 and removed in 1989. Soil contamination was encountered during the removal of this UST,but no further information regarding the extent of impact or of remediation that might have been conducted is available. Testing by ENSOL in this location as part of this investigation did not identify evidence of a reportable release of OHM. A third,earlier gasoline UST was located beneath the current location of the southern hanger, with a remote dispenser in the grass taxi-way. 100 Treble Cove Road, Billerica,MA 01862 (978)670-0755 FAX:(978)670-0767 Cape Cod Airport Properties in Marstons Mills &W.Barnstable ENSOL,October 2003,Executive Summary,Page 2 1 V L, Cape Cod Flying Service operated the facility from the mid-1980s until operations recently ceased, and was in the business of storage and minor maintenance of airplanes. OHM handling included small quantities of engine oil and paints. The environmental agency records noted several small spills of gasoline and oil resulting from airplane crashes in this . timeframe,but these were promptly addressed. No evidence of the improper disposal of OHM or of the dumping of wastes was observed at the Subject Property. The buildings are"broom clean" with only three drums of waste oil remaining. One dry well floor drain is located in the northern-hanger; a small amount of oil-stained sand and debris is in the bottom sump of this feature. A review of federal, state and municipal environmental agency records and historical resources did not identify other potential sources of a release of OHM at the Subject Property or of conditions in the area that would be judged likely to adversely impact groundwater quality at the Subject Property. Groundwater at the facility is not within the Zone H protection area of a municipal well field,but groundwater in the area is protected as a potential source of potable water. A subsurface investigation was conducted by ENSOL to evaluate soil and groundwater at the airport facility portion of the Subject Property for evidence of a reportable release of OHM. Potential sources of a release included the current and former gasoline USTs and dispensers,the septic system, and general OHM handling at the airplane hangers. Soil and groundwater samples were tested for constituents of gasoline and solvents. No evidence of a reportable release of OHM was identified. Conclusions and Recommendations In the opinion of ENSOL, within the framework of the scope of work and based on the available information,no evidence was identified that the Subject Property is the location of a reportable release of OHM. ENSOL recommends the following: 1. if the aviation gasoline UST is to be used, inspection of the tank and lines for tightness by a qualified contractor and periodic monitoring of groundwater quality; 2. clean out oil-stained sand and debris from the.bottom of the floor drain in the northern hanger and then fill and permanently seal this feature; and, 3. remove the small aboveground oil storage tank at the office trailer,or equip the tank with secondary spill containment. It has been a pleasure to serve you;please contact the undersigned with any questions. Sincerely, SOL, Inc. David A.Wrig Project Manager E?VOL— Bnvironmenta[Solutions for Business 0 B4-MW4 47.14' north hanger (1930s) b. q Q LW floor z � o drain e4 u � o � u � former gasoline 1114 UST&pump 0 1- - A (1969-1989) B2-MW2 46.83' 0 B5-MW5 46.86' office ' i active gasoline "wind mill" ;Q y UST&pump (1989- ) 0 B3-MW3 septic B7-MW7 46.66' system 0 south hanger ' (1930s,re-built 1987) q former gasoline a pump(buried) ;.t 0 B1-MW1 c. 1930s 46.55' u � o � u � former gasoline office UST (1987) ' c. 1930s B6-MW6 0 ENSOL, Inc. Figure 3.0: Sampling Locations N Environmental Assessment Cape Cod Airport Properties in Marstons Mills & W. Barnstable scale: approx. 1 in. = 30 ft. al iJ I � &0 I � A44, 4949;r t/� 5.�r•etTF• evrN I �t5r•box � .(6 . IooOL�ALXO �,� SEMIC Thaw. 4- f r . ' g7Xg oFFrLE t O i tJ � Ex�s-rtNh "nuNtDpnOt� r i 0. U � � 'Sul, a i I i I - R aq � 1 ' or-s offioe :(1st floor): + essor's map and lot number rQ... t FYNEt .. .......................�. jard of Health;(3rd floor): iewoge Permit number ........................................................ 2 Basa9TSDLE, S Engineering Department (3rd floor): �o rasa House number .........................:...................... ....................... o t639. \00 o rpv a. APPLICATIONS PROCESSED 8:30-9:30 A.M, and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING ,INSPECTOR APPLICATION FOR PERMIT TO Cry'.: A.......... TYPE OF CONSTRUCTION A i ..................... .Z.3.... 19.C!.- . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location P �.........I1.q'. g.......�-4ovjz t.t�) 5.....��.!�' 5........... ............ .......................... .............................................. Proposed Use ............H.%( ' ....... ? .........��i. ..� .�.1�� (��:��J..................................................................................... ZoningDistrict r i_ i D str ct .......... .........................................................Fire District ...... '/..F,-E!t...f..!. . ....................................... Name of Owner .. .!� ......4� i.�. ......0L:5 .:.......Address ......... ssfD.fr?`............................................................ Name of Builder .......4��?.'`'�.�5...................Address ..Rr... .3.. ?......�,`ofLcgc�Q� ....:1. ................ Nameof Architect ..................................................................Address .................................................................................... Number of Rooms Foundation y/ Exterior ....*eyf?.....V.�......................... ......Roofin h... Sli�^- Floors ....���....4.`' .................................................................Interior .....shf ...................................................... Heating .... !L /9/� .. .. Plumbing ........................................... ........................................................................ r,PProved_by._. -- . Pl- anning Board _. - �._....... .:.......... . . . .:............. . Diagram of Lot and Building with Dimensions Area . ................ UBJECT TO APPROVAL OF BOARD OF HEALTH �p Fee .... .V .r.......... +;I j i i� i I f °FIKE Town of Barnstable CAB Regulatory Services SAM9cb 1 ; A Thomas F. Geiler, Director ED MAC public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 WIN DATE: Ale V- NUMBER OF PAGES TO FOLLOW: TO: FROM /` V/I> 0SS : , 4j))v PA,1-77J PHONE: PHONE: (508)862-4644 FAX PHONE: FAX PHONE: (508)790-6304. cc: NOTES/COMMENTS: Q:\Fax Form.doc r Cop .. � TOWN OF BARNSTABLE � Date: $ / 3 / d y '-TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTo RY .�" NAME OF BUSINESS: a BUSINESS LOCATION: e- INVEN YQ� MAILING ADDRESS: e6- &aw e-- TOTAL AMOUNT: TELEPHONE NUMBER: 09— 28 , 8 CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: M DS ON SITE? TYPE OF BUSINESS: ♦ J INFORMATION/RECOMMENDATIONS: Fire District: Fes- O/a%1.7-7 S dh rPiy��lvs'��. Waste Transportation: 14 E.. Last shipment of hazardous.waste: Name of Hauler: Q ?i Destination• as -7-- Oq) Waste Product: '�� ota( Licensed? No N OTE Under the provisions of Ch. 111, Section 31, of the Gene�e�� ws 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 _ Antifreeze (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 Motor Oils Pesticides EW /® UU ED (insecticides, herbicides, rodenticides) ✓ice IDr� a oline, Jet fuel,'Avi n as 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 i Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS DBA:ATEape Cod Airfield Fax: / Corp Name: Mailing Address l�bYo '_ iQ �✓1 j/ r . Location: 1000 Race Lane,Marstons Mills Street: 44000-Race-bane mappar: City: MaFstens-Wis / Contact: Chris Siderwicz,Airfield Manager State: Ma Telephone: .(508)428-8732 Zip: .-02648- a J Emergency: Person Interviewed: Business /C Contact Letter Date: Category: 'V+eKWeMaintenance Inventory Site Visit Date: 8/3/2004 Type: Follow Up/Inspection Date: ❑� public water ❑ indoor floor drains ❑ outdoor surface drains license required ❑ private water El indoor holding tank mdc ❑ outdoor holding tank mdc ❑ currently licensed ❑ town sewage ❑ indoor catch basin/drywell ❑ outdoor catch basin/drywell expir - - --- - 0 on-site sewage ❑ indoor on-site syste ❑ outdoor onsite system ate- Remarks: ___ ........... .__ .. Remarks:4/24/96 Job Description: Store&maintain aircraft. Use compliance Drydene for oil&grease spills. Paints etc.stored in 2 metal Satisfactory cabinets. 7127/04 New manager of airfield called for an inspection. Airfield has been renovated and re-opens in August. gav I Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ Zero Toxic Waste Materials ❑d gty's>25 Ibs dry or 50 gals liquid but less than 111 gals ❑ gty's 111 gals or more descripjpn , „ qty.,v unit of measure gasolin 10000 gallons diesel fuel,k sene,#2 heating oil 275 gallons motor oil 2 cases — acquer thinners �re _..._- __-....misc.petroleum productse, ricants 1pounds other cleaning solvents 2cans paint,varnishes,stains,dyes 2 gallons new lacquer thinner 2 ga s _._..__...__.__.._........_...._..._._. ___ ----._. 9_.__..__...__.._....._.._.._......._._.._._._._. ....._.__...__..._.._.__.....__.._._...._...__..__.._..._ waste oil 165 allons _._. Waste Transporter: Cyn Oil Fire District: Last HW Shipment Date: Waste Hauler Licensed: No Hazardous Materials On-Site Inventory/Inspection For ALL Shops and Businesses in the Town of Barnstable : DBA: i_4"C/L. Location: Date: Cr Physical Features to Inspect: Hazardous waste generation sites (production/manufacturing areas): Waste storage areas: Satellite accumulation points throughout: HazMat stored outdoors — CHECK OUTSIDE: cfiy1�g i 4vv� Shipping and receiving areas: Run down of shop activities: Housekeepin ractices: r HazMat On-Site Inventory/Inspection: Records to Review for SQGs and CESQGs �� DBA: Location: Site visit date: • Hazardous Waste Manifests: • Employee training documentation (if required): • substance spill control and contingency Hazardous s pIan:p • MSDS on site? Zu�,J*4V a • HazMat Inventory records (if applicable): • HazMat Waste Shipping documentation: ? • Spill records if applicable): 6 N ( �r � 3�o - tioi6 ° "�"" �,�,,� CGS`"" �g73 2- __ L f You are cordially invited to the Gra e- Wri a tion ` ► h o � n e x it 1 hen: a 't Ia v, u ust 7, 2 O f Raga n e q g sa here ; l Mace 1. r 6e ad , Program i` 1 a j r mf in /fly-over, antique cars a o e s s y the EAA and Chris Sidervvicz, e d Manager, and concludes at 5:00 pm �Ald.tA �v_ W DEPARTMENT OF PUBLIC SAFETY--DIVISION OF FIRE PREVENTION :- 1010 COMMONWEALTH AVENUE. BOSTON fZ _ May 18, 19 89 (City or Town) (Dote) - kw LICEM14 Iii ,accordance with the provisions of Chapter 14S of the Ccnernl Laws, a license is hereby granted to use the land hrrciu describc(1 for the lawful use of the building.... or, other structure.... which is/are or is/are to be situated thereon, and as described on the plot plan filed with the application for this license. Location of land ...1.000.R.ace..Lane.,..Marstons.MillsNearest cross street ............Route..149..................................... (Street. & Nuwber) ( ww"I' of hand .......Winiam.Danforth..................................Address .6..Beacou.Stree.t,..130ston,,.Ma........................ Number of buildings or other structures to which this license applies .....Two..Q).................................................................. .... Occupancy or use of such buildings ............Aircraft.Hangers..................................................................................................... ToUil capacit3,- of tanks in gallons:—Aboveground...................................... .................Underground .........LO,OQO......................... l�iud of fluid to be stored in tanks ....Aviation Gas licstrictions—If ally: .............................................................................. ...... .................... .......... ............................................................ .......... (Signalur [ ]icen8 8 auth ' THIS LICENSE OR A PHOTOSTATIC OR CERTIFIFD COPY THEREOF MUST BE CONSPICUOUSLY POSTED IN A PROTECTED PLACE ON THE'LAN] FOR WHICH IT IS GRANTED i i SIRED' ADDREE13S OF DATE BOARD OF HEALTH �XXI YE�.-3 r ] 1,40 DATE,_Same_ I I�I E _1 5 10-r!Advis ed.-b-v-RicIL_Packard.(D.E. -that.-soil_was..t ested-Aty.-comp.any-.and--high-re ad,ing s -were.-found-,at_12_f eat Manager_of-...air-port,._aAvised..b y-,-Mr..-P ackard.-o f.-D.L.P....4equir-ement s _ U ------------------ ------------------------....--.....-------------- --------- � ! ! --------------------------------------------------------------- ------- � REPORT BY: l�.�-QIas�-S���lco� DATE: _�u��mt-8^�A��--___ | | | ' WHITE COPY - FIRE DEPARTMENT YELLOW - DEQE PINK - BOARD OF HEALTH i | � � | C-O-MM FORM it 58 | � / | � � � { � � | � ( � � � � ' ` i ~ ' - � CENTERYILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT 1875 ROUTE 28 G CENTERVILLE,MA. 02632 f (508) 790-2380\FAX# (508) 790-2385 6 f OIL/HAZARDOUS MATERIAL RELEASE FORM F.A . f I' LOCATION: - , I, ADDRESS OF RELEASE: 4-: � "^ �'-� ` I, } DATE OF RELEASE: PRODUCT RELEASED: I- ESTIMATED QUANTITY: I: CORRECTIVE ACTION TAKEN S'�RESPONSIBLE PARTY:-- NOTIFICATIONS: FIRE DEPARTMENT: YES ( ) NO( ) DATE: TIME: NATIONAL RESPONSE CENTER: YES ( ) NO ( ) DATE: TIME: �. DEPT. OF ENVIRONMENTAL PROTECTION: YES (d) NO( ) DATE: .._ .LTIME: I I OIL SPILL COORDINATOR: YES ( ) NO( ) DATE: TIME: • TOWN BOARD OF HEALTH: YES ( } NO( ) DATE: �,� ,f TIME: ; TOWN HARBORMASTER: YES C NO ( DATE: TIME: OTHER AGENCIES: 1 COMMENTS.: ` E I I: I' l , y r [. REPORT FLED BY:�._-�,.- � .�— r DATE:. 7 '� WHITE COPY-FIRE DEPARTMENT YELLOW COPY-D.E.P. PINK COPY-BOARD OF HEALTH C.O.M•M. FORM 58 f I TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM r _ NAME OF BUSINESS: a ���- Hy Mail To: Sty Board of Health MAILING ADDRESS: 16aV ie -cam fi t. • r��'��S Town of Barnstable TELEPHONE NUMBER: 4y 3- 3 P.O. Box 534 ' � Hyannis, MA 02601 CONTACT PERSON: �`G(.tp Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quFtities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES ✓ NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: .LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered Od v. Please put a check beside each product that you store: Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): 1 (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business Number Fee 343 THE COMMONWEALTH OF MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that The Mills Air Service, Inc. I000 Race Lane, 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 June 31, 2008 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. 5/31/2007 PAUL J. CANNIFF, D.M.D. THOMAS A. MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable � t .ro Regulatory Services Thomas F. Geiler,Director "STABLE, Public Health Division 9 MA99. 1639. iOTea 3�°i 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. Q D .T70 DATE Az- 0 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT DL ro 1. ,;L d 6 )-c- s1 )c I/l C7. ADDRESS OF ESTABLISHMENT• _/ (�Q �__._�.�C.e..��__.�Y9��71?�t/5�ILLf m✓� -poZ(Q � TELEPHONE NUMBER... — q .�. SOLE OWNER: YES NO C= IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL ry PARTNERS: Q / a eLay) cirJv n ►,v)Vg-w fl- r IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. S" 008/9`f / STATE OF INCORPORATION f0 6-3 S FULL NAME AND HOME ADDRESS OF: PRESIDENT, l )yLjjwe/,)"S 51 P'Ey2- l i c Z 411 41)Y TREASURER ss,1 m-P SIGNATURE OF APPL RESTRICTIONS: HOME ADDRESS y feK LA/ S*1 ww-m 9c4a 01-4, HOME TELEPHONE # S09' y�-8 -823a ; sc OF 3GO -- 6/4F/ "r;// The Mills Air Service, Inc. 1 Evacuate the immediate area,if n ry 2. Shut off valves', primps, and electrical equipment as,apprppriate. 3. Remove or restrict any potential ignition source from the area if the material is flammable. 4. Cover or dike all existing sumps,and storm drains if not already covered. 5. Contain the spill by use of absorbent materials. 6. Remove all absorbed materialor contained liquid and-pkekap in approved container. ilsed absorbent materials should be packaged seporately from liquids. 7. Label all containers with the type of waste and the start date of accumulation. S. Notify the appropriate agency(listed below). 9. once the spill has been controlled. .red eYeaterials collected and secured, inspect the area for cleanliness and decant Bete ill equipment;us in the clean up. I 10. Replace all used materials and ensure all response equipment is in good working condition. 11. l Manage and dispose of collected absorbents and liquid in accordance with � Federal and State environmental regulations. 12. For any spill grater than 25 gallons,this plan shall be implemented and proper records shall be Dept on site. 13.Spill clean up equipment is located in the parts room in the new hangar. 14.The following is a list of the spill equipment on site: a. First aid kit b. Eye wash c, Fire extinguisheft Emergency Contacts FOR IMMEDIATE ASSISTANC CALIF 911 C-o-m-M !Fire Department 508-790-2380 Barnstable Police Department 508-775-4387 Massachusetts Environmental Protection 508-946-2850 CYN Environmental Services 781-341-5108 Airport MaBs9er-Cbrls 31derw 508-3 181 cell 508-833-8979 home i Date: 313 / o TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: A BUSINESS LOCATION: e- INVENTORY MAILING ADDRESS: Ll Sea, TOTAL AMOUNT: TELEPHONE NUMBER: 09— 2- b3�• CONTACT PERSON: C_ �-�- ef" EMERGENCY CONTACT TELEPHONE NUMBER: M DS ON SITE? TYPE OF BUSINESS: INFORMATION/RECOMMENDATIONS: uQ a Fire District: � So • Waste Transportation: Last shipment of hazardous.waste:6 +ew Name of Hauler: Q ki Destination• S a 7— 64 Waste Product: A414edo Licensed? es No __NE: Under the provisions of Ch. 111, Section 31, of the Genera aws 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 _ Antifreeze (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 Motor Oils Pesticides • EW AD USED (insecticides, herbicides, rodenticides) Ap�0 10� a oline, Jet fuel,`Aviation aas 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 9 9 9 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 products roducts 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 c� TOWN O=STABLE LOCATION O;S /« SEWAGE# VILLAGE R (A p , ,`�6 ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) i� Z i size) NO.OF BEDROOMS �. OWNER PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet ;Private Water Supply Well and Leaching Facility(If any wells exist Y on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY i R i Ix� Z LA 040 I� rI , D� r� n � y �,►D��.ddN�Q„� I 2!'dhNY I Q=sodo o � z L8 �d200o1 ` � xo9•�.Sl� rh V rJ • (l 1-1 f Town of Barnstable Regulatory Services "o Thomas F. Geiler,Director B MA�`� Public Health Division , 04A 4iATEo ro�°� Thomas.McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee:$100.00 d►tif�� /� /0 ASSESSORS MAP AND PARCEL NO. 0 p a. DATE q Q t APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT U r r C- T 2_ NAME OF ESTABLISHMENT /! e I L�S !Z V1 /AJC, ADDRESS OF ESTABLISHMENT f 9A C E Z49711e 009 r-sz A�s >>� ;& `�? TELEPHONE NUMBER 506 L/4 O 7 J SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: f PRESIDENT per wi Q �15P19 A4wt. Sr9G dvny r•C ,Oe,�L TREASURER .Ss-9-tr,-e CLERK -6 4 w, SIGNATUR941EAIPLICANT RESTRICTIONS: HOME ADDRESS y Sep+ L,� �,�(at9 �re ���• �2�- l�a. S"6 c HOME TELEPHONE# S O ? Haz.doc/wp/q ' MAIL-IN REQUESTS J(Please'mail the completed application form to the address below. Also include a copy of your contingency plan (to handle hazardous waste spills, etc). In addition, please include the required fee of$100. 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 200 Main Street Hyannis,MA 02601 FOR FAXED REQUESTS Our fax number is (508) 790-63041ease fax a completed application form. Also, please fax us a copy of your contingency plan (to handle hazardous waste spills, etc). In addition, please mail the required fee amount of$100.00. 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 J �I f f.. The Mills Air Service, Inc. f Sill.Contin enc Plan, ;. .. .P g Y 1.Evacuate the immediate area,if necessary. 2. Shut off valves,pumps, and electrical equipment as appropriate. 3. Remove or restrict any potential ignition source from the area if the material is flammable. 4. Cover or dike all existing sumps,and storm drains if not already covered. 5. Contain the spill by use of absorbent materials. 6.Remove all absorbed material or contained liquid and package in approved container.Used absorbent materials should be packaged separately from liquids. 7.Label all containers with the type of waste and the start date of accumulation. 8.Notify the appropriate agencies(listed below). 9. Once the spill has been controlled and materials collected and secured, inspect the area for cleanliness and decontaminate all equipment used in the clean up. 10.Replace all used materials and ensure all response equipment is in good working condition. 11.Manage and dispose of collected absorbents and liquid in accordance with Federal and State environmental regulations. 12.For any spill greater than 25 gallons,this plan shall be implemented and proper records shall be kept on site. 13. Spill clean up equipment is located in the parts room in the new hangar. 14.The following is a list of the spill equipment on site: 4 a. First aid kit b. E e wash,; c. Fire extinguishers Emergency Contacts FOR IMMEDIATE ASSISTANCE' CALL 911 C-O-M-M Fire Department 508-790-2380 Barnstable Police Department — 508-775-0387 Massachusetts Environmental Protection 508-946-2850 CYN Environmental Services 781-341-5108 Airport Manager-Chris Siderwicz 508-360-6181 cell 508-833-8979 home coo mv 0 P.O.Box 5•Marstons Mills,MA 02648•(508)428-8732 • Banner'Towing • Maintenance j • Biplane&Scenic Rides 4 Flight Instruction 1 TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH 0 satisfactory 3.Printers Body Shops unsatisfactory- 4.Manufacturers COMPANY lid tc l (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS /Oro o aA a L .ii 44 Class: 7.Miscellaneous R Ck (Ce"-0lit Bike i- QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: 1-10le WW', Gasoline,Jet Fuel(A) Diesel, Kerosene, #2 (B) Heavy Oils: 1&4 a,, waste motor oil (C) new motor oil(C) II I transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: S r 3 �vaSWit k1,,._ "f 1-f-r DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply 44 V S-0 fq ZSF8 7 3 Z f�GL>'rh Avr-f Ito L, O Town Sewer Public �o. o,.�•-fi� (� C c r�G -r On-site .0——public .�/0rr c . 3. Indoor Floor Drains YES NO 0 Holding tank:MDC 0 Catch basin/Dry well 0 On-site system 4. Outdoor Surface drains:YES NO ORDERS: 0 Holding tank:MDC 2) r O Catch basin/Dry well ��� 4/4- 0 On-site system ® 5.Waste Transporter Name of Hauler Destination Waste Product YES NO 2. (Z! �va - �6 Q9 Person(s) Interviewed Inspecto Date TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: Mail To: BUSINESS LOCATION: ./mod ' emu-� �o Board of Health MAILING ADDRESS: P®x Town of Barnstable P.O. Box 534 TELEPHONE NUMBER: Ala 8 7.3 '2- Hyannis, MA 02601 CONTACT PERSON: ,��-�� k,c!72f Adj1 -� EMERGENCY CONTACT TELEPHONE NUMBER: Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES _� NO This form must be returned to the Board of Health Y a regardless of es or no answer. Use the g enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: 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. Please estimate the quantity beside the product that you store: Quantity/Case Quantity/Case Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners 0 Hydraulic fluid (including brake fluid) Disinfectants /o c0el Motor oils/waste oils Road Salt (Halite) 06 Gasoline, Jet fuel - Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink yTs Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine _q,_�S'Car wash detergents Lye or caustic soda afT5 Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes to 6'a4Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) A (tea,( Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business n 'TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops „ O unsatisfactory- 4.Manufacturers COMPANY (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS _l� � � �? Class: 77.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground IN OUT IN OUT IN OUT #&gallon's Age Test Fuels: ✓j��i Gasoline,J 4l ) Diesel, Kerosene, f2 (B) Heavy Oils: :9, waste motor oil (C)k ' �!- new motor oil (C) v t ydraulic Synthetic Organics: degreasers e� Miscellane us: b r DISPOSALIRECLAMATION REM ARKS: 1. Sanitary Sewage 2. Water Supply O Town Sewer A-ublic On-site R OPrivate 3. Indoor Floor Drains YES No V O Holding tank: MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO 1// ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5. Waste Transporter Name of Hauler Destination Waste Product 1 . 126 2. Person (s) Interviewed Inspector Date r ASSaSO W!A PARtM TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair > BOARD OF HEALTH o satisfactory 2.Printers ,�q-- tO 3.Auto Body Shops �47�011 unsatisfactory- 4.Manufacturers COMPANY R (see"Orders") 5.Retail Stores ADDRESS Z000 .- Class: / 6.Fuel Suppliers �_ 7.Miscellaneous AYI -1-1QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) f Heavy Oils: ' waste motor oil (C) v new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers axv � ' Miscellaneous: '' -rj,4 7V 414vf 41 40C/f P DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply O Town Sewer OPublic 0 On-site QPrivate 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 V' ORDERS: Q Holding tank: MDC ' O Catch basin/Dry well O On-site system 5. Waste Transporters„ 4f !� Name of Hauler Destination Waste Product YES NO 2. / �/�'�,����--�``t/i �G•�%`'veil ,�'"� � `>,: Person (s) Interviewed Inspector r Date IN pt�HE�O Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-7s0-6304 e""M Lei 200 Main Street• Hyannis, MA 02601 p tb39. MA" MPS N, TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT QED Business Name: *Tht /Ali "f Rrlliy Ch.; Date: 0 io Location/Mailing Address: 1066 (Xe 1_11 Contact Name/Phone: _q2%_ 3 Inventory Total Amount: — III— MSDS: License#: Tier II : Labelina: Spill Plan: Oil/Water Separator: Nth Floor Drains: Emergency Numbers: Storage Areas/Tanks: 5 An rictilm. waae at'I I pe nev o.h �r Emer enc /Containment ui me . J Waste Generator ID: 4 6 Waste Product: 0 I Date&Amount of Last Shipment/Frequency: jOr Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash ��/lotor oils Miscellaneous Corrosives 7 asoline,jet fuel, aviation gas Cesspool cleaners iesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives (creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners. Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: rJV& rn A a D i0effil c Inspector: _ Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS THE rokti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 %(BARNSTABLE. MASS. 200 Main Street• Hyannis, MA 02601 t639 p`0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT lE0 MP'� Business Name: 2 • viCe PO , Co Cot A-r Date: r IqI 9 Location/Mailing Address: loon' Ak4, Contact Name/Phone: ChCL5 ` w; - — CIA Inventory Total Amount: SDS: `�eS License#: �13 Tier II : N J USr Labeling: mill Plan: Oil/Water Separator: 1i 0 Floor Drains: N C) Emerciency Numbers: Storage Areas/Tanks: 4,11on woAe, 10 000 K-q0llon 05-1- w Ira Emergency/Containment E ui ment: R,AV C�(U Waste Generator ID: M M Wslw . J Waste Product: (311 Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: S+OUdUug _ N\,A Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash :::-V' otor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas�o+3b Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: VCaulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries 16 Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) sphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners V Miscellaneous Combustible — Paint&varnish removers, deglossers Leather dyes VMiscellaneous 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: S Inspector: Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS WETok� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMARR- 200 Main Street• Hyannis, MA 02601 16 39 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Q rFn�•° T fb I,b Business Name: a I s A,-,,- NZ eve4-SelDate: Location/Mailing Address: 1000 L r-wL, rs+ovLs V.l Contact Name/Phone: 'CIS 4. Ld>g- q 2 - '73 Z i 5� Inventory Total Amount: ti 1*"4 MSDS: \'I e g + 5-)'"k S License#: 3�4_3 Z Tier II : e5 J- Labeling: D Spill Plan: l e4 Oil/WaterSeparator: t4N Floor Drains: o Emergency Numbers: 2 S Storage Areas/Tanks: o.1 Ar—vts Emergency/Containment Equipment: eA. C& Waste Generator ID: OA ` :Z0 '73'7- Waste Product: O� Date&Amount of Last Shipment/Frequency: 3 I(a I b Z,o© IL- A, l f Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash \10 u %b Motor oils 115k5S't Miscellaneous Corrosives 1 eK Gasoline,jet fuel, aviation gas Io v5'C Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants S Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries S Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents o�a Printing ink Car waxes and polishes b 0� cy I Wood preservatives(creosote) Asphalt&roofing tar \aye ��' Swimming pool chlorine `M h i�S L,o Paints, varnishes, stains, yes J�p. Lye or caustic soda Lacquer thinners Q cc 60 4 Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INF RMATION/RECOMMENDATIONS: o 155ve S or Gcora e, iOvt 4- Inspector. .J Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS i °Foy ro�yti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 + BARSSS LE.MA 9` 200 Main Street• Hyannis, MA 02601 9g, .b,q.a,0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rFD MA'S Business Name: t i co ,r , Date: Location/Mailing Address: Doo c .aK" A- A4,qf-St6VL5 lq,fls Contact Name/Phone: (-nc,g %TA, <nJ,e-2 <S8- yZt, -S732 Inventory Total Amount:,-- `I"X �5 MC 2e, License#: Tier II q co — AlS `J Labelina: 8� Spill Plan: �5 Oil/WaterSeparat : Floor Drains: 0 Emergency Numbers: �S Storage Areas/Tanks: 4D k e ask-,;, Emergency/Containment E ui men : ai �. 5 c� s Waste Generator ID: M D° Waste roduct: a► Date&Amount of Last Shipment/Frequenc 15- a I 'V I k t Licensed Waste Hauler&Destinati n: v� o ow Other Waste Disposal Methods: e.,, C,91Le �o� 6 LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous aterial use,41r storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers ✓ Hydraulic fluid (including brake fluid)a Windshield wash Motor oils y-�-�'/3-vP� A4- AC��w Miscellaneous Corrosives Gasoline,jet fuel, aviation gas %01, 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 J Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/REC MMENDATIONS: V VVL O Inspector: (es - / I Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS °FIKE rokti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMA_Rq 200 Main Street• Hyannis, MA 02601 039.�"lEOMP�16 TOXIC AND HAZARDOUS MATERIALS 0- MATERIALS INSPECTION REPORT 5- 2-/I Business Name: I s Ai15zeN,c,e r C et <e� Date: Location/Mailing Address: 1000 9,a4a- La AA- I M4<5+ov,5 M, I15 Contact Name/Phone: Cl <,s SJ AVW%e_ 7_ , S"08 --1{/2.8- 8 732- Inventory Total Amount: ^-HD0 JJ MSDS: cense#: 34-3 Tier II : e 5 Labelina: Mali,_-,.e-e_oll aag}e 14,b8tSpill Plan: Yes Oil/Water Separator: NM Floor Drains: No Emergency Numbers: Yes Storage Are 5S al w� Z ot 1 wwS 2 ®.�n S ,I1 a l s a k 3 o,&1 e Emergency/Containment Equipment: 7p,1 J15 41 Waste Generator ID: M���o$ �I 2a��'32Waste Pr duct: H744 k{ o, Date&Amount of Last Shipment/Frequency: 3 *3 i 3 17 S� a I a i x 1.14 Licensed Waste Hauler&Destination: 0, 1. O w 1A A lb fl o 37-7 7 Other Waste Disposal Methods: nn s wask� 15 mac) �'rawSLbr� 4o Covrl�,/ �1b�t she eolle-f-©v` LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash 3`+ Motor oils x-S5yAI AA—s uas�sue} Miscellaneous Corrosives 101000 Gasoline,jet fuel, aviation ga to--.)( Cesspool cleaners — Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products:S Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides b Battery acid (electrolyte)/batteries4-'ti 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�>21s Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes I,r Miscellaneous Flammables caW Fertilizers Floor&furniture strippers "/A-';`LI 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: 2t 0 C biy4 a o y dg{' Inspecto --- Facility Representative: C_• WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS Number Fee 343 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that The Mills Air Service .-------------------------------------------------------------------------------------------------------------------------------- 1000 Race Lane, Marstons Mills, MA .----------------------------------------------------------------------------------------------------------------------------------------------------------------------- Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. ------------- ------------------------------------------------------------------------------------------------------------------------------------------------------ Restrictions: .------------------------------------------------------------------------------------------------------------------------------------------------------------------. This license is granted in conformity with the Statutes and ordinances relating there to, and expires 06/30/2021 unless sooner suspended or revoked. ---------------------------------------- JOHN NORMAN DONALD A.GUADAGNOLI,M.D. 07/01/2020 PAUL J.CANNIFF, D.M.D. THOMAS A.MCKEAN, R.S.,CHO Director of Public Health I f. ti Town of Barnstable Inspectional Services BARNSTABLE �TME Public Health Division u°'SM O`-2014 "M _E ]639-2014 C (= Thomas McKean, Director 0349. 200 Main Street, Hyannis,MA 02601 t'` 1� C` Office: 508-862-4644 Fax: 508-790-6304 -' r_- 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*r Fd &h CATEGORY 3 PERMIT- 500 or more Gallons: $150.00 - El c3f��3 *A late charge of$10 00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. COW WQ T00 2. IS THIS A PERMIT RENEWAL? V/ 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: (�,r1`r�S � T �1�g Aen 13 tcZ 5. NAME OF ESTABLISHMENT: -11 )p �A is n lr &kV 1 C C, 6. ADDRESS OF ESTABLISHMENT: in�ucpl (_din a Ck If, 3n� �11` 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 50s, (AA- '�73a 9. EMAIL ADDRESS: C 5 i c-r uj t rz Q wuNcpe com 10. SOLEOWNER: ✓ YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT i tC TREASURERSi t 1 i � CLERK t roff- 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS EMAIL: JSIGNATURE OF APPLICANT DATE ao QAApplication Forms\Haz Mat Appli Draft Jan20l9.docx Number Fee 343 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Cape Cod Airfield 1000 Race Lane, 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 4�� t y Town of Barnstable THE Inspectional Services BARNSTABLE ` F fpV_ °N"I e%'usn, `t o� Public Health Division - Thomas McKean, Director 0rev r3u9 200 Main Street, Hyannis,MA 02601 spa Office: 508-862-4644 Fax: 508-790-6304 E .0 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE co 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 - yVS 1061&h V_ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed ��i-f�payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. ibU nQ r 06 2. IS THIS A PERMIT RENEWAL? V 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: C,hYj;S &A1px 1JW i CZ 5. NAME OF ESTABLISHMENT: ( e�,a d p►r�ie11 d 6. ADDRESS OFESTABLISHMENT: I(X1()Vace L_ax,,L kXax-6�Vv 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: co vh e, 8. TELEPHONE NUMBER OF ESTABLISHMENT: 50`3 'jag gJ32 9. EMAIL ADDRESS: CS1 -r W tC-L t f UQ.h o0•COM 10. SOLEOWNER: YES)( NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME l�e. ",\\A 5 rr PRESIDENT d 1 ` 2 S Olt ow U Sc 1 M# TREASURER 1 i 1470blris alrWlow S K,�, CLERK r'S +c y 7 vit&T ndw1 A,`, 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE Q:Wpplication Forms\Haz Mat App Revised 09-10-18.d cx Number Fee 343 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that The Mills Air Service, Inc. 1000 Race Lane, 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 06/30/2019 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 • Voegiaatoryw of B4rnsxable Semces IME Richard V. Scali,Director Public Health Division BARNSTABLE WSNSiMtE•CtiREPV7llF.miUiT.!fyM:;115 f BABNSTABLE. * Thomas McKean,Director ""�°h5""�1�: 4KAM eV NSraeF ec 639. a`0� 200 Main Street, Hyannis,M.A 02601 575 Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st-NNE 30th). APPLICATION FEES CATEGORY 1 PERMIT- 26— 110 Gallons: - $ 50.00 - ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. _ ! 0 9 d 0 1."T t 2. IS THIS A PERMIT RENEWAL? V YES_NO. IF YES,SHIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGEIUSE OF GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: 5. NAME OF ESTABLISHMENT: Vzv= h [L t.S 6. ADDRESS OF ESTABLISHMENT: 1 %60 9- 4C-e. ltt,, -g— &a/ m )(j niky J ? -(L 4f� 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 50� z1P. -X?3, 9. EMAIL ADDRESS: a�.��L� ( e o►�c.�s7` n +�� 10. SOLEOWNER: ✓YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME 4,c- V►' J)S i g- SF-1t v bG6: f®oe c G✓ PRESIDENT--e�,�:t e,r 3, Gr—t..�.Ll L Z /Mtq..S lvwa ail be-zi TREASURER 6p 3 CLERK o 1 12. IF PREPARED BY OUTSIDE PARTY: NAME: A,11A TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT _ DATE QAApplication FormsUTAZMAT APP 2017 REVISED.docx Number Fee 343 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that The Mills Air Service, Inc. 1000 Race Lane, Marstons Mills, MA Is Hereby Granted a License t1` 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. ---------------------------------------- II 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 er `A Towr of nstable Regulatory ervices �'THE Richard V. Scali, Director Public Health Division BARNS LE * IARNSIABLE, ` aniusrnu •i.[urtFviut•c�•rrt+"cis mass Thomas McKean, Directorn" 1639a 201P4'Hif40E Oree �a 200 Main Street, Hyannis,MA 02601 ��� ` Office: 508-862-4644 Fax: 508-760-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE a HAZARDOUS MATERIALS N) 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 Z V CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? YES_NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS • ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: 1 hz % l I s �G 5. NAME OF.ESTABLISHMENT: -C- (faIA 6. ADDRESS OF ESTABLISHMENT: 1000 �0-L� v� �ICcCS w�/"li 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE:8. TELEPHONE NUMBER OF ESTABLISHMENT: sop') 87 3 k 9. EMAIL ADDRESS: J t�`e� t C`Z lj Y e� ( O VL-k w . 10. SOLEOWNER: YES t/NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT 7 X IRZrZ,t C`7 TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: - NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT ATE Q:\Application Forms\HAZMAT APP 2017 REVI doex Number Fee 343 THE COMMONWEALTH OF MASSACHUSETTS $125.00 a Town of Barnstable Board of Health This is to Certify that The Mills Air Service, Inc. 1000 Race Lane, 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 e � Town of Barnstable Regulatory Services Richard V. Scali,Director `" MASS.� . ` Public Health Division BARNS- �� 1639. B""wananru.s�ruF`D�'"" QED t'"p't' Thomas McKean,Director. is3s-z°'° 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790904 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 1st-JUNE 3Off). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 24 V. S CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ • A late charge of$10.00 will be assessed if payment is not received by July 1st. ASSESSORS MAP AND PARCEL NO. '3 DATE /_zz/x FULL NAME OF APPLICANT: lFlrt NAME OF ESTABLISHMENT: ADDRESS OF ESTABLISHMENT: Cod® ecLC_y_ MAILING ADDRESS(IF DIFFERENT): TELEPHONE NUMBER OF ESTABLISHMENT: EMAIL ADDRESS: � 4( -�"f`CG•T 1 (-2 � Y� � co dot SOLE OWNER: YES NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE#OFj+ CORPORATION NAME, t' `�Jh cZ PRESIDENT TREASURER CLERK v IF PREPARED BY OUTSIDE PARTY: SIGNATURE OF APPLICANT Name: Company Address Telephone#: Email: Q:\Application Forms\HAZZAPP Revl6.docx Page 1 of 2 r 7 ax Town of Barnstable Office: 508-862-4644 Fax: 508-790-6304 Regulatory Services Department Public Health Division Zak Thomas A.McKean,CHO 200 Main Street, Hyannis, MA 02601 Payment Receipt !Hazardous Materials Payment received: $125.00 (Check) on 6/9/2016 Permit number: 343 ;Check number: 3059 Check amount: $125.00 Name on check: The Mills Air Service Inc. ;Business: The Mills Air Service, Inc. Owner: TOWN OF(LB) ;Address: 1000 RACE LANE, Marstons Mills i _ ............. ......... _.... . .......- _.. . _ --------........--� • II CEfJTEltVILLE-OSTERVILLE-MARSTOUS MILLS FIRE DISTRICT 1875 ROUTE 28 CE13TERVCLLE, MIA 02632 (508) 790-23801FAXD(508) 790-2385 OILMAZARDOUS MATERIAL RELEASE FORM F.A.# uvv� LOCATION: ADDRESS OF RELEASE: nacre Lalle a ulu r1111 nvau ui6LUU6 r11.LLb, 1.1a. VLv`fv DATE OF RELEASE - - - - PRODUCT RELEASED: v s/cu/7 v ESTIMATED QUANTITY."'" vil 1 1 CORRECTIVE ACTION TAKEN&Y RE.S`'I$OWkfPhTY 1'1 V11C, U►LaU 1C LU i111LL LebpULLb.LUlC VaLLy. 21LC LCpt.. \;UVCLCU W1L11 0F=CLLl"ULy, l% Ltle DdrllbLaUle rUl1c:C VLUCLCU a bc111UC1 LV I:VVCL L11C ai.iCLted area. NOTIFICATIONS: FIRE DEPARTMENT: YES(X) N0( ) DATE _.,.,,,/L�.,,��,�- TIME NATIONAL RESPONSE CENTER YES( ) )v"dJ 7v TIME• L-r-pv DEPT.OF ENVIRONMENTAL PROTECTION ) NO, DATE: TIME: NOW SPILL COORDINATOR: YES( ) � -_DATE: TIME- TOWN BOARD OF HEALTH: YES ) w"'I DAT TIME:,..r,.,__ • TOWN H ARBORM ASTER: YESC ) NO�) D AT� T IME:14 OTHER AGENCIES: BarnsLaDie Police, DarnscaDle ruolic worKs COMMENTS: 1 Lv/e REPORTED BY DATE. Barry G. mossey, LL./4 U7/Lb/y0 WHITE COPY-FIRE DEPARTMENT YELLOW COPY-D.E.P. PINK COPY-BOARD OF HEALTH C-O-MM FORM 458 CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT 1875 ROUTE 28 CENTERVILLE,MA. 02632 (508) 790-2380\FAX# (508) 790-2385 I OIL/HAZARDOUS MATERIAL RELEASE FORM F,A : F -- 0 7V Y I LOCATION: ADDRESS OF RELEASE: /ctv 1�4 e c DATE OF RELEASE: 8/7t 747 PRODUCT RELEASED: "'501'i= ESTIMATED QUANTITY: -5 ,�,-st'I✓�S I COORECTIVk ACTION TAKEN BY RESPONSIBLE PARTY: c,r t , Lp s S 5d.te-W Ded TV 1 NOTIFICATIONS: r r , 1� z z { FIRE DEPARTMENT: YES ( '�� NO( ) DATE: TIME: NATIONAL RESPONSE CENTER: YES ( ) NO( 7- DATE: TIME: DEPT. OF ENVIRONMENTAL PROTECTION: YES(`- -NO( ) DATE: TIME: • OIL SPILL COORDINATOR: YES ( ) NO (-7 DATE: TIME: TOWN BOARD OF HEALTH: YES ( ) NO ( `)- DATE: TIME: TOWN HARBORMASTER: YES ( ) NO ( 4- DATE: TIME: OTHER AGENCIES: COMMENTS: C'Alk" -1-0 if,< S,t ,.je of A O.ue tit 2 Ma rr' v-,A,, (- 4en ,III h VS t7 rree. ON Aait,.Jct� te -ty, e ✓eki( to 1A.1 FM4 1 - 6-6) /A-^f3(s t /t 19 K,-t, 6,1�._�t r rJ l 0.v ei _)W rl.v 50-115 "`t{,e Loonv,s vjrty Srcvr d Aft.i? 7-fx-,I 'rt7iJ 'Veopt -bt��J 70 06 5sf po 170 REPORT FILED BY: s.`�- S 6 . L i. _.. DATE: WHITE COPY-FIRE DEPARTMENT YELLOW COPY-D.E.P. PINK COPY-BOARD OF HEALTH C,O.M,M. FORM * 58 4 Number Fee 343 THE COMMONWEALTH OF MASSACHUSETTS 100.00 Town of Barnstable Board of Health This is to Certify that The Mills Air Service, Inc. 1000 Race Lane, 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 w M • • i I Town of Barnstable WE� Regulatory Services ti Richard V. Scali Director ` 11AJWMAS&6rAB Public Health Division �U � rya Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: k8-790-6304 Application Fee: $100.0.0 ASSESSORS MAP AND PARCEL NO. 0 r by Z v DATE . �✓ APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN i i i GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT ►"`t (' 1► S i(� ('PLC ��c, • C° ��I S t�-c(Vat GZi, NAME OF ESTABLISHMENT C C C aA , ,Gl • ADDRESS OF ESTABLISHMENT 1�O O PVd__LY� TELEPHONE NUMBER SOLE OWNER: YES "NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION . FULL NAME AND`HOME D SS OF: PRESIDENT Va A-oQ c �� TREASURER CLERK_ • SIGNATURE OF APPEICANT RESTRICTIONS: HOME ADDRESS A90CY ?COU� HOME TELEPHONE# SC P ;,7 C:\cache\Temporary Intemet Fi1es\0LKD3\HAZAPP Rev2015.boc • r Town of Barnstable office: 508-862-4644 Fax: 508-790-6304 a Regulatory Services Department snnNMHLF - Public Health Division Mom, " Thomas A. McKean,CHO 1659. 200 Main Street, Hyannis, MA 02601 Payment Receipt Hazardous Materials Payment received: $100.00 (Check) on 6/25/2015 Peck number: 2907 Check amount: $100.00 Name on check: The Mills Air Service Inc. !Business: Cape Cod Airfield Owner: TOWN OF(LB) BARNSTABLE ,Address: 1000 RACE LANE, Marstons Mills 1 I Number Fee 343 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that The Mills Air Service, Inc. 1000 Race Lane, 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 J °FINE Tow Regulatory Services ti Richard V. Scali, Director '"RMASS.LF, ' Public Health Division iOTEo 39. 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. 0Y 00 2 7-00 DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT dvj'�2g)cy- I`G Z. NAME OF ESTABLISHMENT /n r.. WLZJ A i 12 S C"r ✓11L ADDRESS OF ESTABLISHMENT G �� A9( `Ave 14A-r-dme L111 s j2- 0,209 TELEPHONE NUMBER SOLE OWNER: VYES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 2 — O PS M41 STATE OF INCORPORATION k�A '9-C C.)51-5 I Ii FULL NAME AND HOME ADDRESS OF: PRESIDENT C&ris 7 a �cv- �1� 1=L✓ C �- TREASURER CLERK IZ-Z7 IGNATURE OF A CANT RESTRICTIONS: HOME ADDRESS j sv� an`ST S'�►,�w ru n'1►9�5 HOME TELEPHONE# J",? Q\Application Forms\HAZAPP.DOC I The Mills Air Service, Inc. Spill Contingency Plan 1.Evacuate the immediate area,N necessary. 2.Shut off valves,pumps,and electrical equipment as appropriate. 3.Remove or restrict any potential ignition source from the area if the material is flammable. 4.Cover or dike all existing sumps,and stores drains if not already covered. 5.Contain the spill by use of absorbent materials. 6.Remove all absorbed material or contained liquid and package in approved container.Used absorbent materials should be packaged separately from liquids. 7.Label all containers with the type of waste and the start date of accumulation. &Notify the appropriate agencies(listed below). 9.Once the spill has been controlled and materials collected and secured,inspect the area-for cleanliness and decontaminate all equipment used in the clean up. 10.Replace all used materials and ensure all response equipment is in good working condition. 11.Manage and dispose of collected absorkents and liquid in accordance with Federal and State environmental regulations. 12.For any spill greater than 25 gallons,this plan shall be implemented and proper records shall be kept on site. 13.Spill clean up equipment is located in the parts room in the new bangar. 14.The following is a list of the spill equipment on site: a. First aid ldt b.Eye wash c.Fire extinguishers Emergency Contacts FOR IMMEDIATE ASSISTANCE CALL 911 C-O-M-M Fire Department 508-790-2380 Barnstable Police Department 508-775-0387 Massachusetts Environmental Protection 508-946-2850 CYN Environmental Services 781-341-5108 Airport Manager-Chris Siderwicz 508-360-6181 cell 508-833-8979 home Number Fee 343 THE COMMONWEALTH OF MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that The Mills Air Service, Inc. 1000 Race Lane, 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 6/30/2014 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2013 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health �r Town of Barn-sta-ble nomq Y G,61er,Di d-al a AG 1.CTaAiF_ Pubhc Health s DI 9 ision 200 lyf,-�n St-e, Ham, MA 02601 F� 5OS-790-6304 Off, ca: 50848 )--644 Appiicaiior3 Fee: V OU0 Asssa�S �p ,D F A�cEz, o. 1�`f b o aTa DAZE ��PL C TIO FAR PE l T) STORE ANDPOR T T MORE THAN �11 G_A T.T.n TS 0-' -FA L,A QQUS NLATE LALS + OF SST A_BT T�9 12 V I GlV� . .,LDD SOLE owHR.: X o Z AFFIICAt�PT I5 A FAB.�,FL N-,�Jn h'ND HOME ADDAE�S OF AIL F_�T1�:113.5: i I ; AFFcAr IS A- cflFcA ON: FEDEIL sT,�.= OF Pi i COBFOkA=N rn NA A How DDx�ss OF', 3 �r� er w►C z- F-RESID= CI.E ,H STR-1=0-N& HOB ADDRESS Sc?u9-L�/ S►�� M Ho-�� T=HoPU E &d p/q The Mills Air Service, Inc.' Spill Contingency Plan 1.Evacuate the immediate area,if necessary. 2.Shut off valves,pumps,and electrical equipment as appropriate. 3.Remove or restrict any potential ignition source from the area if the material is flammable. 4. Cover or dike all existing sumps,and storm drains if not already covered. 5.Contain the spill by use of absorbent materials. 6.Remove all absorbed material or contained liquid and package in,approved container.Used absorbent materials should be packaged separately from liquids. 7.Label all containers with the type of waste and,the start date of accumulation. &Notify the appropriate agencies(listed below). 9.Once the spill has been controlled and materials collected and secured,inspect the area for cleanliness and decontaminate all equipment used in the clean up. 10.Replace all used materials and ensure all response equipment is in good working condition. 11.Manage and dispose of collected absorbents and liquid in accordance with Federal and State environmental regulations. 12.For any spill greater than 25 gallons,this plan shall be implemented and proper records shall be kept on site. 13.Spill clean up equipment is located in the parts room in the new hangar. 14.The following is a list of the spill equipment on site: a. First aid kit b.Eyewash c.Fire extinguishers ` Number Fee 343 THE COMMONWEALTH OF MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that T e Mills A' Service, Inc. 1000 Race Lane, 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. 6/30/201 o JUNICHI SAWAYANAGI A..MCKEAN,R.S.;CHO Director of Public Health t • . Torn of Barnstable �Op1HE rti Regulatory Services �``�• ° Thomas F. Geiler, Director Y BARNSTABLE, &ASS. a )Public Health Division ib39. �2, oAfFDMA�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. ` Uy00 QI-0 D DATE 7�7/- a APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT LLS 4 I le- SE g v ire"" Z 1 NAME OF ESTABLISHMENT • ADDRESS OF ESTABLISHMENT /OQ � 6eA(,e Iy rs- 1AAT � 0x0 m '2G A96 6�26 TELEPHONE NUMBER qdO 8Z 3 SOLE OWNER: YES V140 IF APPLICANT IS A PARTNERSHIP, FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. CZ STATE OF INCORPORATION l--) 1,4s'� FULL NAME AND HOME ADDRESS F: PRESIDENT ►l? ;44%d a �� Iriv9 tASk a TREASURER CLERK J , SIGNATURE OF A ANT RESTRICTIONS: HOME ADDRESS- ,2o9� S'q o4Mar+e kno HOME TELEPHONE # Flaz.docA%U'y x ,tS c r,i f )i,h,n d.-d c rn etn t J S n ' :�1r t� �n�,`� s i'! ., 1,s '`� 1 � \ t f '\.^' � �">: s_}jJ`S f✓,t� 1`�',.fy'1.'``r !s` / ! t 1; 1• f 4 � f .f - � ,' a r ,, �,Ma � a',:,� <., x !,, c "::`"w ,� r^. r e ,• 1.,. P t .�'. ,,.c r ..;r `;r i �.,' ',. THE, AIR:SERVICE INC `J J TO THE' ` r l' ,r r 1 ,✓ > I ,,.f t " ' r. d ,;5 ,+ ..} 74 'f _.' { zf 1.. yir ` � nr' r*`•,, r . .4 SEA LANE :� t `� r / ,' .. ♦ � '� ' <+ � >�'s r` \.r ,r ' a.f 1.' ti 'r •f ! s ( - -t s fn:,S - ..�. s� tie - .4,r ) / .,• SAGAMORE BEACH MA',02562 r w ' 7017/2.11D ! >` ' ',` ? �a f 'w '! d %' +, `DATE : ? G�Z� fi �^ >s '•,a3 !� ,: ` �'/ f �.� r r'ORDER OF r V:'ati✓� V� r�t1s}�`�✓�V�V�-�� �"" / �` `-� .'� \ ', r> >F`I<��C,j/ � ` � 1 -:.. ',. ti '� r r ,., �. ^,. y °•.. _. v ,r :s..,,, ,, ', : r, -, -J* �� � , !., � �r,. r i;a JV s �:.' � f e c1n (l�Y°�tL C�Yt ` 771 1 e ® � ..y S/ �l.car °1 <"•. f s e .. Y rti '<. M '`, f �,+ �••,., `. -' :'a r -'� - *! r r •, ! t., < � r ,, '>��r p s �� ,/ / \- " i'.' �J ''a',`�\f / '`4."� �,�'•.., Ci#izenS Bank Massachusetts, ` s,`l �`� T r � He, rY r " n■00'20,9 5u' !: 2'L`LO 7.0 L 7.5�: 1 L 39 700E 9 5ii■ CEi1TERVILLE—OSTEEtV[LLE—MARSTOWS WILLS FARE DISTRICT • 1875 ROUTE 28 CERTERVILLE, MA -02532 (508) 790-2380/FAXO(508) 790-2385 OIL/HAZARDOUS MATERIAL RELEASE FORM F.A.*— �a -- - LOCATION: ..� ADDRESS OF RELEASE: asa l4 -�.c 1,4 a r f DATE OF RELEASE: ",ZS PRODUCT RELEASED: Y� _f ESTIMATED QUANTITY• CORRECTIVE ACTION TAKEN BY RESPONSku F PARTY 4- NOTIFICATIONS: FIRE DEPARTMENT: YES(/`NO( ) DATE: TIME: L NATIONAL RESPONSE CENTER YES( ) NO(✓f DATE: TIME: DEPT.OF ENVIRONMENTAL PROTECTION YES( ) NO(,'`DATE: TIME: OIL SPILL COORDINATOR: YES( ) NO(f) DATE: TR-IE: • TOWN BOARD OF HEALTH: YES[ NO( ) DATE: TIME:4,4 TOWN HARBORMASTER: YES( ) NO( ,� DATE: � .� `4,4/ TIME: OTHER AGENCIES- COMMENTS: 44 o4_,6 .�Z�-p �_s— v ��-�i----��,�,d�IF'.r.:s�+�r :"t lor 02 REPORTED BY: -- �, —rS+��� � "__ DATE:_ l WHITE COPY-FIRE DEPARTMENT YELLOW COPY-DIP. PINK COPY-BOARD OF HEALTH C-O-MM FORM #58 • v Number Fee 343 THE COMMONWEALTH OF MASSACHUSETTS $100.0o Town of Barnstable Board of Health This is to Certify that The Mills Air Service, Inc. 1000 Race Lane, 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 6/30/2010 unless sooner suspended or revoked. ------------------------------------ WAYNE MILLER, M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2009 JUNICHI SAWAYANAGI THOMAS A. MCKEAN,R.S.,CHO Director of Public Health c , Town of Barnstable Barnstable yc�V1 r Regulatory. ServicesDepartment Public Health Division pc�A KASSa 200 Main Street, Byannis MA 02601 m THY a 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean',CHO Application Fee: $100.00 rv�r4�gtf )0 y ASSESSORS MAP AND PARCEL NO. DATE glilo APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAIbIE OF APPLICANT NAINIE OF ESTABLIS11VIENT TH); by1 L LL /T)R SAC-9- ADDRESS OF ESTABLISHIVIENT Vf f`F— 0-0 V A16Z Fl C-L-.D /ODQ >*Lw-c La✓ qll4r4igwS mli- • TELEPHONE NUMBER SOLE OWNER: YES ✓NO , IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDM'S OF ALL' PARTNERS: rp FA,A s © writ IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 0U ir ? / STATE OF INCORPORATION Wl A- J�5 FULL NAME AND HOME ADDRESS OF: PRESIDENT e hr'rs� v� �r 3; .St!'l�f�,i^l�C 2. y �y4 L�✓ TREASURER Q Y-e- igci4e-A ►g CLERK s q IZ� IGMA AR L44 E OF APPLICAt • ,STRICTIONS: HOME ADDRESS HOME TELEPHONE# Sp? ?33- 6 q ? 9 QAF(az Fria tlHaz Mat Application2008.DOC The Mills Air Service, Inc. Spill Contingency Plan 1.Evacuate the immediate area,if necessary. d.Shui off valves, palaeaps, aead electrical equipment as appropriate. 3. Remove or restrict any potential 'ignition source from the area if the material is flammable. 4. Cover or dike all existing sumps,and storm drains if not already covered. 5.Contain the spill by use of absorbent materials. 6.Remove all absorbed material or contained liquid and package in approved container. Used absorbent materials should be packaged separately from liquids. 7.Label all containers with the type of waste and the start date of accumulation. 8.Notify the appropriate agencies (listed below). . S. h=n `n—trn!!.,.! = n.l =ate -o.alo nnlln-+t J 0nrl Vn-VW-OA ancrannt+160 area for cleanlinessand decontaminate all equipment used in the clean up. _ <,n n_—a..a� „9/ --��� --^a^ ..! _a "_ _ ,./1 .... .. .... .., ... ..���.� :an ern�ea •_n.-lru� �... _��:�_ �— -- -----'--.__..=-5 "-`.S .-^J S.9a A9 P.A.v�JVw-.>a•, nwnayseM cS.-+ = g condition. 11.Manage and dispose of collected absorbents and liquid in accordance with Federal and State environmental regulations. 12.For any spill greater than 25 gallons,this plan shall be implemented and proper records shall be kept on site. 13.Spill clean up equipment is located in the parts room in the new hangar. 14.The following is a list of the spill equipment on site; a. First aid kit c. Fire extinguishers • r, f ��r< `iwn.r~<.yns an�; a'' r}i} J,r,r \ :\f / 3 l\`..•' a `1 rr<'•..f�."r �r'''t`.✓" lr. `Rt/\y?�.rr- vi: �r �`:7.�` r� .rx.'r ♦r r d d 4Jrn e n t. Sir 6.ntd,k, u,r, d e h ,rl s.,.. n c m� x `• rah,.%,,ti 4,r°\, r✓r t <. (�*1, t"`4s<,. r�r r\�!✓t, '-/.`f\ "'i'.r'a�r r- `'w' j' _ Fi >`.;J ,+ ,fir !9'.,r .t'`�,• wy/ � .t ��/ t,' r',`a ! �r' t c ✓ !f"�-f"�z'r� rc /.� a .' f'"+.,tz r1.v• r \{y�, rs`vnr'r�,klrr,: .{\�..� i. r�TH'E,MILL°Sx AI;R SERV,1.@E` ..,!1905, ` rf,yI NC,.1. r' \,,,.•r. F :... ,✓d w . ,� ,r^.,• ?� EAtLA E ', f'` t J<`�•" � ` G J, W -.,,5, ,. I�J � �i„�,t f !'`, rrSQGAMORE:BEACH;,MA"'�02562 `� �� r�, ` ..�7� >;,�,t4, , �}{ 4 •'y`* /'°` � .-,��t✓ ,.`,�, . ,f>' , .y� rw.,).. r` t ! ! \ 1 :vyt ✓',.�, s f,+ � °S,}.:,3/ )"✓' e 7 '�,r'"vr✓ � l�f/�°,r ) t\`lt ')i ,^ f ✓ ?r •c '.'r \ r Jr i yt t'�` ry't' \4'dt / '+✓ � ,,"� , '�,, � r`*, �; >� F S, �,rti r`�\..�>��'�"�)`-,•+`, Frt\°"^DATE X� s � !� �� r'p 4 ' ,,, t,,.X`�5-\0,`7/21,10Ar�, 3t � ., t/, �,` f,r TOT r \= r 4 ✓ /.� •r_1 ),' J'i l ;r" *C ORDER'OF �, It < r 4 � '! \ ,• \ r�..;E \ ,7_."rr '` \y"' k`J' 3 tr `1 .! "'r,; /t) r � •� rf �.s,, -e � 4, i .@�,` t / t ,. t /. \'r.� ,r; ` '?. 1' \ r ,: t `:cv �•'1, s' ° ,max •-ar `� e ';• S \ ''\ �'•._'�^;1 S '` h v. .+ r 'y1 r v f r`'\ \ ''` \/',t .r'` _. ,^''.,5,. /t. ,' -,/y, '�• ,`°� �= Ea r one �� 7 ram,,. e ® �'J' er „sJ7< ✓i. '> 1 Jt srT v, 4 r i .� v ! \t \° x \ r v l r 1 ♦ !` r\ ` v! -sOLLA.RSWk e, r .yr t` y....'r 31�� ✓, tr t' r<<- .J' '� �` '\r fi'' r�r,r\ t ,r3 '' \1#..vv ..r;`4 t, f, �'' rt j7S � �r�t`=,• - r'tt,1 vl! �!3I^',, a ✓ /c r r ,.v <�r" .J{). `� %\ r ?rr Z� \!�4 {' r tt• `' �.. y _Cltlzens Bank. -. L r':h " 1..� ;t ✓, ,s\ f , , • J assa cfivsetts` 1 r4 xrt v .,{\ rf ) •v i`.,. r t rr /`''� r r r ,'J rrr\. 4 ;�,e,,F ✓_ \ '°S ,M .�'! �f t t ✓'' ! J . l ••' ✓ 't'. ✓ `'✓• �'.`J 3 °.. f .1 tr y -,'t r '",rt t rvtr,>E\! <t rr 'J' r` f l"x y r 3 r � `a. '^,, 7 i \ \ y,o \ J�'r S' r -r { s••.-�^f���\1 !r i y3' k)r y�f• ` f r ��' �t iFOR - ►^'�>� r'�� Y /rC.•�— `/"Tlrl• �i"r +� ! +.y oC ,f r <° a 5.✓ ' 4 ov C° v ! / •r. y. ka. + , ` __ M' y �.�' , 1,4:0,7D 1.-7 5i.-� ,L 9�7008.'9 SIla n u .. .. - .•�v ,+ raw, v.'.•'.c� ..A }r ^.}-., r , .r� d r'�. .-r ,'f�. f f CErITERVILLE-OSTERVILLE.-MARST04JS MILLS FIRE DISTRICT 1875 ROUTE 28 CEATERV ILLS, MA 02632 (588) 790-2380/F AX O(508) 790-2385 OILMAZARDOUS MATERIAL RELEASE FORM F.A. LOCATION: ADDRESS OF RELEASE f�f C_.«.�, ILL �>^ (� ^.(i r-z,c-�-F tZ,,,..,.-f f a tra DATE OF RELEASE: .14 fcl rS PRODUCT RELEASED: ram*•,c t _ . ,s ESTIMATED QUANTITY: r r,11,-, t-44 y CORRECTIVE ACTION TAKENWY RESPONSIBLE PARTY: r 1 f .F%L.>C t NOTIFICATIONS: FIRE DEP ARTI ENT: YES(,,ttCC.). NO( ) DATE: in A, IC/L TIME NATIONAL RESP014SE CE!'�TER YES( } NO( } DATE:r TIME: DEPT.OF ENVIRONMENTAL PROTECTION YES( ) NO( ) DATE' TIME' OIL SPILL COORDINATOR: YES( ) NO( } DATE:-TIME- TOWN BOARD OF HEALTH: YES(k) NO( ) DATE:,L / TIME•LL"/1 Zq- TOWN H ARBORM ASTER: YES( ) NO( } DATE.-TIME OTHER AGENCIES: COMMENTS: L---L fo n A . 1 ! r\ -,. I.t 1 E lG w / ! ., JrG. na/ s ( / o1, REPORTED BY: 7` . HATE: /c 1� Ao- WHITE L-OPY41RE DEPARTMENT YELLOW COPY-D.E.P. PINK COPY-BOARD OF HEALTH f C-O-MM FORM VW a U 0 Tommoatulralt4 of Maimadjutir#to -- ! DEPARTMENT OF PUBLIC SAFETY--DIVISION OF FIRE PREVENTION 1010 COMMONWEALTH AVENUE. BOSTON lZ _- May 18, 19 89 (City or Town) (Date) L I C Em N In accordance with the provisions of Chapter 148 of the General Laws, a license is hereby granted to use the land herein described for the lawful use of the building.... or other structure.... which is/are or is/are to be situated thereon, and as described on the plot plan filed with the application for this license. 1 Location of land ...1.000.Race..Lane.,..Marstons.MiUsNearest c!oss street ............Route..149..................................... (Street. & Number) Owim.r of l:lnd .......William.Danforth..................................Addle s ..b..Beacon.Stree.t,..Boston,..Ma......................_:. i Nnn hvr of buildings or, other structures to which this license applies TWO (2)....................................................................... Occupancy or use of such buildings ............Aircraft.Hangers........... ............................................................................................ Total ci Tacit y of tanks in glaIIons:—Above round...................................... ..... l ) h' g ............Underground .........10,OQ0......................... Eind of fluid to be stored in tanks ....Aviation Gas ...................................:. ........................................................................................... Rcc,trictions—If ally: ............................................................................. ...... .................... ...... ......... .. ................................................... (Signalur C licensing auth THIS LICENSE OR A PHOTOSTATIC OR CERTIFIED COPY THEREOF MUST BE CONSPICUOUSLY POSTED IN A PROTECTED PLACE ON THE LAND FOR WHICH IT IS GRANTED i I . t TOWN OF BARNSTABLE 11 UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS NAME ?10 N R&4S l a on v C-1 ls ADDRESS W /�/�� � A6 VILLAGE � � v LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE: OR CHEMICAL (Give same information for any additional tanks on reverse side of card) DATE OF PURCHASE OF EACH: 1. 2. 3. 4. DATE OF FIRE DEPARTMENT PERMIT: TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS i r N«..«aw«..O.w«O.«.. AI«Y. ...w aw.wt•t Gn pow 'D.".M T— TANK TO TEST CAPACITY I ' a L SweA CMn E f s/A� a /1i�N '' N.Aww cwoti. `� Q O ::o' 'mn a ..eN �• O O O ` rw M.nwamu.ra cyan w+wr wr awwr 4w G.a«. L con""Enp.wwwa Dau GA 4 v—0—M a to TA.Cwa.Mv 1 ❑ ❑ Chwu two wd wm rm w ACM .Eww Lapp "CMAMININD TANK WACIrV- OU�w ` FILL•UP FOR TEST sdd PiOi'D' T"W G.&WO ' M M Y► OND.r �4�Ib�w d�kiy� so"Wgw boom aron Flp+to bwwltwy to w.. Waorlp PL to STICK atPoat AND ARta tACN CDMMRTMtNi DROP OR tACN YtnRED OtwtaY QUANTITY 0 Tent Dtraam► /� /.✓ /� / � - had..m M 1W fni imp as b papal SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK 08S E Q E o N ps /,4' ®, � G� VAPOR RECOVERY SYSTEM tr wwftW.d.tw apPbwbh.poet Dab..WW mood p.wwd•wa lea(M)• ❑wam YI t.* ❑No wow npm to hna paaawdwt �❑ Lk.W p+w%saw wM LVLLT � ❑stop S , TEMPERATUREIVOLUME FACTOR(a)TO TEST THIS TANK • is Toms Wa pw 7 C Cowl 0 F Pmdn■Tap F -Rkp P.toa4 an Tnm F Etmwad awga I•w-) (617)tYli716 • Ttwnam•sanaw r""agar cwcu tmr qrp Nwwr JIM'S PUMP&TANK SERVICE' 09"pw-F I.""°'a plmaa.a d..y. 3 23 avr [a NG FEATUW KENT•YOORE TESTING EQUIP. D C) 2 x 0 0 0 G��7 7! r 1.12 1/. J 3 - y m gLwd P In ODGMCtwra of aa1ana1. b wikaaa dr1Da M Oda tanr . &A twt(ta or 17) knawwd powd per'f . Am CHASE itAWWH,MA OMas A 3 2 lk))Y . 7 s? 3 o a N 1 D / 3 ""r 'wAmw w•wa pa•T(34) ag"w•f 4 am "VDkaa d`«pp pw Apt br Vaulml L06 Of TESL Pallim i � WM IEla tIM M wram Ompu m - cumu A4>oYw.ATB - _ CDNTNL [LW A it EL III FX=W IAa MAD" CLAW fa.kna twm l.ar.m raw ur sod .(�Ufa~kM wY�E .a e. "aft KwM�(-) Tb-W w- 0.gat.w 1p•a wi.srm tA.l r prw. a • kl•NI- tart N.r Wttt at limo 7 arUL) M^ Lw tr.. AIr tr.ar IN.wq Id C.W r car.a l(�1 a O.r P.rr . p Yl Bowl" a...r 6••w1 %-A" yea 1.1 twa.rat 09 v c ZA I[ A o LEvE� `/ f •. 9 yf Po , iai A L,c 3r SO A,S19 5 H oy r ro o<nag o0 4aZ oil D rt� 1 3 1. 11/ ." . �Jfo "30 Da0 A ,;im -b 1,026 cl !�u Li Ll,,l it . S/ 0 I . 30 t. a v 6S� 14 SL .d3�5 UAL .4aa a oso. / • o IIf'n. 0 8 ,ti 3 . !r .air o I / ,of^� rao7 41 n03� r W, . . tr I. r 0 , v o os o 4G o i i I I I 4 j y e SERVICE CAPE`�OD '��� h` iN CA /a'3 Cape Cod Airport 617-428-8732 Box 5.Nserstons Mills,Mass. 02648 f i ,_ ._ _` _--'� ,/ �� r �� a v � } • r• F.P. 292 ' �i .. � C`�fj>r�f��mmmifuP�zlf�j rrf `�zssttt�itgE�ts " . , ,.. Department ,of Public Safety—Division of lire Prevention APPLICATION FOR PERMIT FOR REMOVAL AND TRANSPORTATION TO APPROVED TANK YARD i _�J�19 ati i C.82 S.40 M.G.L.r To: HEAD OF FIRE DEPARTMENT I� BIG S A F E N U M B E R Barnstable 6tv a 7� 89264892 Start Date 878]$§ ., In accordance with the provisions of Chapter 148, G.L. as provided in Section 38A Application is hereby made by Mike's Petroleum t r Name of Person,Firm or Corporation)* 2 ,000 Gallon Gasoline Tank r . 15 Jan Sebastian Road Sandwicl? ress For permission to remove and transport underground steel storage tanks) from , �7 1000~Race Lane, Marstons Mills; ` Street address city or town Cape Cad"A r FDIDY 01920 _ to approved Tank Yard!! �3 9 State clearly type of x inert gas used in steel storage tank lype ot imertgas use NI , . Name of Person, Firm, Corporation disposing tank J.G. Grant Date issued -xmxjexkl 8/8/ 1989 By: Date of expiration 19 paid/due ign ure pf AO�Ircant t ' .miler TOXIC AND HAZAR US-MATERIALS REGISTRATION FORM pp i� c. Mail To. NAME OF BUSINESS: - -44 4tLt - �� Board of Health MAILING ADDRESS: Town of Barnstable TELEPHONE NUMBER: F73 P.O. Box 534 CONTACT PERSON: Hyannis, MA 02601 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered when 41, v Please put a check beside each product that you store: Antifreeze (for gasoline or coolant systems) Drain cleaners {' Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners X Hydraulic fluid (including brake fluid) Disinfectants _ Motor oils/waste oils Road Salt (Halite) Gasoline, JgHate Refrigerants , #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers), Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) 2a� e Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair 0 satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY47�c aM44 (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS,i=�& , tis,� C1SSs: 7.Miscellaneous /h QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) #2 (B) Heavy Oils: Z waste motor oil (C) new motor oil(C) tr-ens issi , draulic !/ Synthetic Organics: degreasers d Miscellaneous- !/ DISPOSALIRECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply O Town Sewer 6Public IV On-site OPrivate 3. Indoor Floor Drains YES NO !� O Holding tank:MDC 0 Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: 0 Holding tank:MDC O Catch basin/Dry well 0 On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES N0 2. 1 /7 e U S-1 I {` Person (s) Interviewed Inspector Date l000 Pagel Allars4ims �h ....... ........ ®®� SMEA® KEEPING YOU ORGANIZED No. 10334 2-153L WME IN USA GET ORGANIZED AT SMEA®.COM