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Home My WebLink About0113 OLD YARMOUTH ROAD - Health (2) i I 3 Old y wC��u�-@� �.1 �f 3�u- �050 �j,uma.J� � � Number Fee 1229 THE COMMONWEALTH OF MASSACHUSETTS $50.00 Town of Barnstable Board of Health This is to Certify that Scott Frank Septic 113 Old Yarmouth Road, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 26 - 110 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 I Town of Barnstable Inspectional Services q. AA" BARNS TABLE o Public Health Division EUWAZ-I.-T BAPNgrABLE,• 9 MASS. Thomas McKean, Director &639. 200 Main Street, Hyannis, MA 02601 (u) N) Office: 508-862-4644 Fax: 508-790-6i64 CD 7 Y 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 I st—JUNE 30th). APPLICATION FEES CATEGORY I 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. 10,7t) 2. IS THIS A PERMIT RENEWAL? L/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: V�_M SFICZ-4� 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: �`j tAr, 7. MAILING ADDRESS (IF DIFFER-ENT FROM ABOVE: S. TELEPHONE NUMBER OF ESTABLISHMENT: ntg zco-4 C)00, 9. EMAIL ADDRESS: IO. SOLEOWNER: \/rYES NO IF NO, NAME OF PARTNER: _01 .1 11. FULL NAME,HOME ADDRESS, AND TELEPHONE # OF: % CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: *SIGNATURE OF APPLICANT DATE • Q:\Application Forms\Haz Mat App Revised 09-10-18.docx Number Fee 1229 THE COMMONWEALTH OF MASSACHUSETTS $50.0o Town of Barnstable Board of Health This is to Certify that Scott Frank Septic 113 Old Yarmouth Road, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 26 - 110 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 Vlegw1� of Unstable Matoervices Richard V. Scali,Director �t►+e rqt, • Public Health Division BARNSTABLEc - G . ;,�.C�� STMI • MMSTTAs.BLE. • Thomas McKean,MAS WOM Director .[� �3639-2034 Nam' s6;q p 200 Main Street, Hyannis,MA 02601 57g N�> Office: 508-862-4644 Fax: 508-790-6304 T APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE ' HAZARDOUS MATERIALS :M 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 I PERMIT 26- 110 Gallons: $ 50.00 ;g V.s 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. 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: CJO T --�tit 5. NAME OF ESTABLISHMENT: wvlm. C 6. ADDRESS OF ESTABLISHMENT: Cmd (Z-J t4yct^t a M6i Cad;6 01 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE:. 8. TELEPHONE NUMBER OF ESTABLISHMENT: �� / � ` 0 b &C1 9. EMAIL ADDRESS: ,,U— a- lc� -1 G` 10. SOLEOWNER: ✓YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE Q:\Application FormsU AZMAT APP 2017 REVISED.docx l Number Fee 631 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Sears Auto Center#6293 793 IYANNO UGH RD @ Cape Cod Mall, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. ------------------------------------------------------------------------------------------------------------- ------------------------------------------------- ---------------------------------------------------------------------------------------- ----------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2019 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 ,r s• � �toewgulatory of nstable ervices BIKE Richard V. Scah, Director "o Public Health Division BARNSTABLE i • 4VWAELE-CC ERVIL1E•MUff W..A15 = ■ARNerABLE. = Thomas McKean, Director ""pro"S M1S 1639 o;""�""S'"E� y mass. � 4i'°Teo �p`0 200 Main Street, Hyannis,MA 02601 Sag Office: 508-862-4644 U"1 9 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS DULY 1 st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ 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?_K 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 QUANTITIE (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: v` ►G l 5. NAME OF ESTABLISHMENT: S « &:" r—e-J� 6. ADDRESS OF ESTABLISHMENT: �� C n� •5 c906o 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: J� 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: 6 ✓•S. �,�G. Cr-50 A �Q .-s G G d 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE # OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS EMAIL: SIGNATURE OF APPLIC DATE Q\Application Forms\HAZMAT APP 2017*1Socx Number Fee .1229 THE COMMONWEALTH OF MASSACHUSETTS $so.00 Town of Barnstable Board of Health This is to Certify that Scott Frank Septic _ 113 Old Yarmouth Road, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 26 - 110 gallons of Hazardous Materials. --------------------------------------------------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------- ----------------------------------------------------------------------------------------- C� This license is granted in conformity with the Statutes and ordinances relating there to,and 1 and expires 06/30/2018 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2017 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health :s Town of Barnstable co to �tMME Regulatory Services • °� Richard V. Scali, Director BAR" Public Health Division BA�NSTA 3B 16 9 0� a w s ne •cmrtam c•mnm•nAmms A� nuroa nws•osreiv:ue•wseaxsr� �fD MA't Thomas McKean, Director 1639_2014 ��g 200 Main Street, Hyannis,MA 0260�1 Office: 508-862-4644 {� r ^o J Fax: 508-790-464 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 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 July1st. ASSESSORS MAP AND PARCEL NO.3`1y /O;0 DATE FULL NAME OF APPLICANT: NAME OF ESTABLISHMENT: tx��&'q-rrxr.y ADDRESS OF ESTABLISHMENT: `A3 0 JIL 01 MAILING ADDRESS (IF DIFFERENT): TELEPHONE NUMBER OF ESTABLISHMENT: EMAIL ADDRESS: SOLE OWNER: YES NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE# OF: cSCP->V M 7"rw"A a 1 CORPORATION NAME O"a 63� PRESIDENT (q�,>n TREASURER v CLERK IF PREPARED BY OUTSIDE PARTY: • SI �kREOF APPLICAN Name: . Company Address Telephone#: Email: Q:Wpplication FormsUiAZZAPP Revl6.docx Page I of 2 I SPILL CONTINGENCY PLAN Emergency Coordinator, Name: %: `> I Address: \ct-rc---cy.��.. Daytime Phone: C) Evening Phone: Fire Department: Barnstable Public Health Division: 508-862-4644 DEP 24 Hour Spill Hot Line: 888-304-1133 Waste Cleanup: Name: C93C k'^ d\�-- Phone: Building diagram indicating hazardous material/waste storage area,location of absorbent scavenger materials, fire extinguishers, fire alarms (if present), and evacuation route (if applicable). Actions to betaken to control a spill or release, and preventing it from reaching a catch basin, sewer system or the ground. Number Fee 1229 THE COMMONWEALTH OF MASSACHUSETTS $so.00 � Town of Barnstable Board of Health This is to Certify that Scott Frank Septic 113 Old Yarmouth Road, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 26 - 100 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 r � i Town of Barnstable Regulatory Services Richard V. Scali, Director = '"A Public Health Division BABSTABLE Thomas McKean,Director 1-- 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES.THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 3 0th). APPLICATION FEES CATEGORY 1-PERMIT 26— 110 Gallons: $ 50.00 jg CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ A late charge of$10.00 will be assessed if payment is not received by July 1st. ASSESSORS MAP AND PARCEL No.3 DATE �P �fU FULL NAME OF APPLICANT: NAME OF ESTABLISHMENT: sc� ADDRESS OF ESTABLISHMENT: MCI MAILING ADDRESS(IF DIFFERENT): TELEPHONE NUMBER OF ESTABLISHMENT: o Dq EMAIL ADDRESS: C':n-1 SOLE OWNER: VYES_NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT SGoV -(,f,\C o271 Etr,P soh cs2z cs Ye V1c, dd2b4 TREASURER- CLERK IF PREPARED BY OUTSIDE PARTY: SIGNATURE OF APPLICANT Name: Company Address Telephone#: Email: Q:�Application Forms\HAZZAPP Revl6.docx Page 1 of 2 �'IHE T Town of Barnstable Office: 508-862-4644 Fax: 508.790-6304 Regulatory Services Department Bat�v�nst:�: Public Health Division MAS&I Thomas A.McKean,CHO 200 Main Street Hyannis, MA 02601 Payment Receipt Hazardous Materials Payment received: $50.00 (Check) on 6/10/2016 j lCheck number: 3394 Check amount: $50.00 Name on check: Scott M Frank 1 ,Business: Scott Frank Owner: SCOTT M FRANK i Address: 113 OLD YARMOUTH ROAD, Hyannis j f i _._.__._.._. ..__--------- ._.._._...... .... __ ........... ....._ ............. .......___ _......_ .____.. .......,.._ _ 1r Number Fee 1190 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that Speedway #2437 50 Ocean Street, Hyannis, 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 r a�q Town, of Barnstable Regulatory Services Richard V. Seali,Director ` R'p, rAMA S& ' Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Offiec: 508-862-4644 Fax: 508-790-6304 Application Fee:$100.0.0 ASSESSORS MAP AND PARCEL NO.-Job- 'AGE DATE APPt,ICATION FOR PERMIT TO STORE AND/OR UTY13*77 MQ'P-F THAN 1.11 GALLONS OF HAZARDOUS MATEWALS FULL NAME OF AppLTCANT Hess Retail Operations NAME OF ESTAl3LIS ;NT �Peedll)Q� l.�3, SpringReid OH 45501�lcensl�Dept 732 750.6� ADDRESS OF ESTABLLS$1l/fENT 732-352-6623(fax) OCec,n ' h%S IFLAHERTYVSPEEDWAY.COM • TELEPHONE NUMBER SOLE OWNER: ✓ yE NO JF APPLICANT IS A PARTNE.RSIIIP,FULL NAME AND IT AllDRESS OF ALLPARTNERS: rF APPLICANT IS A CORPORATION: FEDFRAI,IbEWVICATION NO. STATE OF INCORPORATIONa_.y b2a5 FUL NAME AN)ITOME ADDRESS OF: Andrew Bernstein,Ass't Sec PRESIDENT '38 Dexter Rd,E Brunswick, NJ 08816 TREASURER CLERK SICNA,TURF;Ol''APPLICANT RESTRIC'Z'IO1VS:. IiOMIs ADDRESS HOME TELEPIR NE#CACache\1'anporaryfntcmet File.5\0T CD3IHAZAPPRev2ol5.DOC t herty License Coordinator Z/T'd Oa7226989TSTT2b0b20:01 b02906z80ST Hi-IH9H 1SN�Id8:w0-ld bO:bT ST02-.LT-Nnf I .. Town of Barnstable Office: 508-862-4644 Fax: 508-790-6304 ©, Regulatory Services Department ; �� Public Health Division HAWNMass. Thomas A. McKean,CHO o 5 �`` 200 Main Street, Hyannis, MA 02601 Payment Receipt ,Hazardous Materials Payment received: $100.00 (Check) on 7/1/2015 1 (Check number: 0201674444 Check amount: $400.00 Name on check: Hess Retail Operations LLC , Business: Speedway 2437 Owner: CHRISTYS REALTY LP 'iAddress: 50 OCEAN STREET, Hyannis l • • • �� III Number Fee 1229 THE COMMONWEALTH OF MASSACHUSETTS $so.00 Town of Barnstable Board of Health This is to Certify that Scott Frank Septic 113 Old Yarmouth Road, Hyannis, MA .----------------------------------------------- - Is Hereby Granted a License For: Storing or Handling 26 - 110 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 DocuSigr, p`velope ID:49ACD44B-DCE2-424D-8307-A88C8C01E927 .a Town of Barnstable Inspectional Services BARNSTABLE Public Health Division ,p�'� � f679•ZOia n�nvsrrus .1 Thomas McKean,Director •j��7 %639. �� .� �. 200 Main Street,Hyannis,MA.02601 C.:, Office: 508-862-4U44 Fax: 508-790-6304 ' APPLICATION FOR PERMIT TO STORE ANDIOIt UTILIZE ` HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, c z HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY Ist—JUNE 30th). APPLICATION FEES ,_( � �G� CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 u CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 D 4— CATEGORY 3 PERNIIT 500 or more Gallons: $150..00 ❑ *A late charge of S10.00 will be assessed if Aa ment is not received by July 1st. 344/050 1. ASSESSOR'S MAP AND PARCEL NO- 2. IS THIS A PERMIT RENEWAL? X YES NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STOR.AGEMSE OF • GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? YES NO. Scott M. Frank 4. FULL NAME OF APPLICANT: Scott Frank Septic 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: 113 old Yarmouth Rd, Hyannis MA 02601 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: .8. TELEPHONE NUMBER OF ESTABLISHMENT: 508-294-0069 9. EMAIL ADDRESS: sc'ttfrankl@hotmail .com 10. SOLEOWNER: X YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,.HOME ADDRESS,AND TELEPHONE N OF: CORPORATIONNAME sole proprietor PRESIDEN )ine t , rantorvi_1.1_e 14A 0263 TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE M. COMPANY ADDRESS EMAIL: DocuSigned by: ' SIGNATURE OF APPLICANT! S(# k, DATE 6/2/2020 0321 RCMF46434... QAApptication Fonnsftz Mat Appf i Dm t 1an2019.doc x f � °p ISE roy, I Town of Barnstable Office:508-862-4644 Public Health Division Fax:508as0-6304 • BARNSTABLE. ' 9 MASS, p 200 Main Street• Hyannis, MA 02601 t639. MAC e,0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rF0 Business Name: ,Sca`�k �a� Je rG Date: Location/Mailing Address: 113 DI ar„-� Contact Name/Phone: �Go�}� FAA"-Lc-- a-29 y-oObg /�-I ��.�,.tA,1e Inventory TotalAmount: 17ga1 SDS: License#: Tier II : / Labelina: fo-ol Spill Plan: - i n &,A Oil/WaterSeparator: Floor Drains: o Emergency Numbers: 6K Storage Areas/Tanks: av, 4e- so god 1 Seor, .m or ,D }, ,l Emergency/Containment E ui ment: IdAnLq r S A Waste Generator ID: �0 �U�fo Wa6e Product: 0i Date&Amount of Last Shi ment/Fre uenc 13 1J&I ^- Licensed Waste Hauler&Destination: e,4A 0-, l I-f V�� r Other Waste Disposal Methods: �\ LIST OF TOXIC AND HAZARDOUS MATERIALS �V D o�( <�a 1V%_ vt•wv�kary gf vt c� �ag�- ,K firo✓� NOTE: Under the provisions of Ch. 111, Section 31, of the General Lawg'of MA, hazardous rfiaterial 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 1/ Hydraulic fluid (including brake fluid Windshield wash Y ( 9 ) Motor oils +K46}4- Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink #' Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners J 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: I%A 6 LOID Inspector: La Vey Q_ Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS i °Ft►�r Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMAGM • 200 Main Street• Hyannis, MA 02601 059. �i°rfOMP� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT S/11/1 b Business Name: 51-D 0 t►t- — k66 Ge, oX46�+bo Date:`-� Location/Mailing Address: a< - &,C 1/-- wC - VC> Contact Name/Phone: D ' 2A► -lx>(9 +Cv Inventory Total Amount: �D q�,� MSDS: OK License#: Tier II : l Labeling: wa P� Spill Plan: 4o Ovs Oil/WaterSeparator: I) Floor Drains: Emergency Numbers:4to � Storage Areas/Tanks: o w1 5 el a, w c,� & � 4-m.1 S et1 Emergency/Containment E ui ment: VOL goet Waste Generator ID: I Waste Product: 01 Date&Amount of Last Shipment/Frequency: 1 ti I Licensed Waste Hauler&Destination: Lm Ivy 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 5 -W Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers 10 Hydraulic fluid (including brake fluid) Ip Windshield wash Motor oils ►0 k 40%).0. Miscellaneous Corrosives Y'+= Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants 10 Miscellaneous petroleum products- Road salts grease, lubricants, gear oil 5 X� Refrigerants Degreasers for engines&garages I 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 l Lacquer thinners '7- Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes 'I- 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: 1 &V 1 W n(-1J eVVCr! VL I % c� vwl Inspector. I C ow"W 2-, Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS