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1600 FALMOUTH ROAD/RTE 28 - HAZMAT
(o C�U ���.1�12e��%�c�Ls /� l - � �-- . �`� TOWN OF BARNSTABLE BAR_W 4799 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager ,�v� �J (t Ut;L✓ r Address of Offender MV/MB Reg.# Village/State/Zip Business Name #�ft� - ��`� '� � '} 4Q/pm, on J 20 17 r•� rrt � Yc Z �. J, Business Address I bQD � J �. L-^---- Signature .of' Enforcing Officer Village/State/Zip Location of Offense +� � Enforcing Dept/Division Offense � tcNIJt fog- o . .? . ott+ £��- �P3- k I Z5' Yu. 1104S ',ii �� ,r Facts `i fc f'GL�.1 JVA r. £ t , C� `S tj s`KI 0j+ _ V!� '�: t V4 'sue , IMVSf ✓) ^*,kA- �, r� Vt it L, )I CIA- 51 LV —it✓1,-c " 5- This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER 1 CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. TOWN OF BARNSTABLE BAR_W Ordinance or Regulation WARNING NOTICE e Name of Of fender/Manager .c .i ' 'r Address of Offender MV/MB Reg.# Village/State/Zip Business Name `r' r ' ' am/pm, on "` 20 r Business Address s ' i Signature .of' Enforcing Officer Village/State/Zip Location of Offense Enforcing Dept/Division Offense �v _J1 y Facts This will serve only as a warning. At this time no legal action has been taken. It is the goal .of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. `OF INE►pk� Town of Barnstable Office:508-862-4644 c� � Public Health Division Fax:508-790-6304 • BARM RSgLE.� 200 Main Street• Hyannis, MA 02601 M a ,6 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT 30 TFD P'� Business Name: r. f 4' Date: 7 G0 Location/Mailing Address: Contact Name/Phone: Inventory Total Amount: _ MSDS: License#: Tier II : A® Labeling: Spill Plan: Oil/WaterSeparator: A10 Floor Drains: Emergency Numbers: Storage Areas/Tanks: Emergency/Containment Equipment: Waste Generator ID: Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables 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: Inspect Facility Repre tative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS �oF1WHE rows Town of Barnstable Office:508-862-46 Public Health Division Fax:508-790-6304 • BARMASS . . • 200 Main Street• Hyannis, MA 02601 A�EDMA (TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: Date: Location/Mailing Address: Ul n Contact Name/Phone: 503-71 1- 9,q q 6 Inventory Total Amount: >25 MSDS: License#: Tier II : AIQ Label ino: Ses, Spill Plan: Oil/WaterSeparator: A Floor Drains: ® Emergency Numbers: Storage Areas/Tanks: SLPIVhA ti Whop 3* Emergency/Containment Equipment: Waste Generator ID: Waste Product: Date&Amount of Last Shipment/Frequency: 1Y/R 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, t storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene42 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) C ash detergents Printing ink " f 4axes and polishes Wood preservatives (creosote) Asphalt&roofing tar Swimming pool chlorine V-Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners _Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: no rec i ` ` e- Inspector: Facility Representati WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS Number Fee 1326 THE COMMONWEALTH OF MASSACHUSETTS $so.00 Town of Barnstable Board of Health This is to Certify that Pro-Cuts .------.......................................................................................................................... 1600 Falmouth Road, Centerville, 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. ---------------------------------------- .1OHN 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 Town of Barnstable Inspectional Services BARNSTABLE d' R N:TASLE'CENRIVLUl COMR•YAKMS Public Health Division WiSO5M15•639¢2L•f.E.R&aNS 4B.E 1639-2014 3Dg $ RAnx�as� = Thomas McKean, Director E— 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st-JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 �Of?A, r✓h� CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ p-�— 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 ZONINGBUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: 011 c� - ',t) 5. NAME OF ESTABLISHM T: 9 6. ADDRESS OF ESTABLISHMENT: T n C� �G lj►� �..' �� 6i ralk-tvt 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: C� � t4' 1 ►� 10. SOLEOWNER:_ ZftS NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS'.AND TELEPHONE#OF: CORPORATION NAME — C— PRESIDENT TREASURER L- U CLERK :` < < 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE Q:\Application FonnsUHaz Mat Appli Draft Jan201 d ` , Number Fee 1326 THE COMMONWEALTH OF MASSACHUSETTS $50.00 Town of Barnstable Board of Health This is to Certify that Pro-Cuts •----------------------------------------•-------------------...-------...-------...---------....-----------...------------------ 1600 Falmouth Road, Centerville, 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 { 1 Town of Barnstablemm Inspectional Services BARNSTABLE V` FSYSTaBLE-QIElVILLF_CONR•FY4WS Public Health Division M SKY S•139-2639-2L1014 BRSTBtE 4 �77g- Thomas McKean, Director MARK. F�1 n 39. 200 Main Street, Hyannis,MA 02601 ra Office: 508-862-4644 Fax: 508-790-6304 0 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE cu HAZARDOUS MATERIALS Qi 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 R Of?cfn CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ Ll DO-+ 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: �0 I L 'c- C a-,er �1 5. NAME OF ESTABLISHMENT: �(Q f a-n 6. ADDRESS OF ESTABLISHMENT: / 0 L? re✓�lm IF DIFFERENT FROM ABOVE: .� .-- GL L � -/!'1�✓ 7. MAILING ADDRESS( � 8. TELEPHONE NUMBER OF ESTABLISHMENT: 50�� 9. EMAIL ADDRESS: 10. SOLEOWNER:_jZ'ES_NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADD SS,AND TELEPHONE#OF: CORPORATION NAME G✓ C- PRESIDENT TREASURER L CLERK r D 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: — SIGNATURE OF APPLICANT DATE 6 l Q:Wpplication Forms\Haz Mat Appli Draft Jan201 d x Number Fee 1005 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Anderson Hardware 1600 Falmouth Road#27, Centerville, 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 06/30/2020 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 02/14/2020 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHD Director of Public Health i Town of Barnstable Inspectional Services BAMST_ABLE Public Health Division 1(a9.)Ois BAWM 1ABM = Thomas McKean,DirectorKAM r 165 ► 200 Main Street, Hyannis,MA 02601 w 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 ist—JUNE30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 El CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 EL (RID CATEGORY 3 PERMIT 500 or more Gallons: $150.00k Pat is I *A late charge of$10.00 will be assessed if payment is not received by Ju 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: 'F u t to o~2D 14,7r Z f 5. NAME OF ESTABLISHMENT: /� a-t•�C-S o'� H A���'��'� , -ZN C � 6. ADDRESS OF ESTABLISHMENT: /b yo r L►A L mi)VT-H 2 � 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: p > 8. TELEPHONE NUMBER OF ESTABLISHMENT: ��,�I / 3614. 9. EMAIL ADDRESS: L - \,t -'r 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: - CORPORATISgN NAME 4AI",t SlirV I y4-0t4,o t_I PRESIDENT Ij MA TREASURER CLERK 12. IF PREPARED BY OUTSIDE P RTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: • DATE Ic� SIGNATURE OF APPLICA o Q\Application Forms\liaz Mat App Revised -18.doc Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMsrRLE,�` 200 Main Street• Hyannis, MA 02601 ,b,q.s,0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rE0 MA'S Business Name: PIN civs Date: CtIm Location/Mailing Address: 6 i ° S1 +"Wao FtJar Contact Name/Phone: Inventory Total Amount: 0 SIDS: e License#: 3�6 Tier II KI 01 Labelino: -ff*a I Spill Plan: �S OilMlaterSeparator: NIA Floor Drain Emergency Numbers: Storage Areas/Tanks: kam i Emergency/Containment Equipment: Waste Generator ID: Waste Product: Date&Amount of Last Shi ment/Fre uenc Licensed Waste Hauler&Destination: Other Waste Disposal Methods: AA 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 Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) 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 V 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/RECOMMENDAT'IONS: Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS f °pIKE*ok Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARM��e.$ 200 Main Street• Hyannis, MA 02601 ,6 M s TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rF0 MA'S n Business Name: 1Pra Jr Date: Location/Mailing Address: 1600 F Gly .°ja ,g e ,g Contact Name/Phone: C x-Qy CkwuSaB=77 g 2 o D Inventory Total Amount: 3810 SDS: *o o�}alv�. License#: Tier II : fJ D Labelina: hz VGA e, Spill Plan: Oil/WaterSeparator: 1-\ Floor Drains: ,� ge Emergency Numbers: Storage Area A-< aV_ a'^ Emergency/Containment E ui m nt: cc c S Iowa-t Waste Generator ID: I& Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: r Other Waste Disposal Methods:AA\.1 ajooS a o Cv,, _ a Z-�im - —0,T ,�cac 1 �• 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 Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil 1 Disinfectants I 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 ,r2 Lacquer thinners 14 Miscellaneous Combustible $ q e<o5o1+ S Paint&varnish removers, deglossers Leather dyes Np,,__a'eros't I Miscellaneous Flammables alcoko1 l Fertilizers f r'%7 � y`a Floor&furniture strippers k PCB's // Metal polishes y� Other chlorinated hydrocarbons Laundry soil &stain removers SgaoY,aL�1 (including carbon tetrachloride) (including bleach) 1 k 4 Q Any other products with "poison labels" �ev�\oP .rg (including chloroform, formaldehyde, 1'li C�10�, 1 IZ hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: SJK,Q, k a<t_ AU_k-.(_A- Kt_zo eA rZQ ors aster cm11��� orc �y S V�o -���_e ry I Inspector: S t'vla sec S C 2v�ye t S « lleeL lity Representative: 11191. ,$o b M. 4 P�1 e4,�� w 7 sill... D b��i>ti 5 0.vt,at 12�2(�� lout 5 V Q� � - WHITE COPY- EALTH DEPARTMENT/CANARY COPY- BUSINESS ,Q�Io yet5 . R'>�s —vA4_cy,A, i. ,.f IoaV. 0-e,SI t.2. � I IKE►off Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 B^"M�LE.� 200 Main Street• Hyannis, MA 02601 1639. �A�eDMP+p`� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: (3'1o0Q< Date: I 4111--1 Location/Mailing Address: bob a� ev s L Contact Name/Phone: ti1o%n �RR 0I1Va.,lA, So(a,- yov- 7l34 Inventory Total Amount: <ILS AJO MSDS: License#: Tier II : I Labelina: Spill Plan: Oil/Water Separator: Floor Drains: Emergency Numbers: Storage Areas/Tanks: Emergency/Containment Equipment: Waste Generator ID: Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables 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: o v\, Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS IB*oq� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARM LE.� 200 Main Street• Hyannis, MA 02601 �ptFDMp'�p`0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: T vo <f"+S Date: Location/Mailing Address: !q �rCs1t L� 9Q `ch n S Contact Name/Phone: '772- 1313 CJ Inventory Total Amount: ^' LeliDn : License#:�gb "L Tier II : o L : � � Spill Plan: DK Oil/WaterSeparator: . Floor Drains: ND — 5,cw4-- Emergency Numbers: Storage Areas/Tanks: t ff 0 (e a c tx! Emergency/Containment Equipment: A 5 0—a-1 S Waste Generator ID: ti I Waste Product: NIA Date&Amount of Last.Rhipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage 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 remov rs Hydraulic fluid (including brake fluid) 9 Windshield wash /4 Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants 1 4-1 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 &eiro-5 5 3 41 1 Paint&varnish removers, deglossers Leather dyes — 6 Miscellaneous Flammablesl V\Ave I K&I Fertilizers Floor&furniture strippers $ PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) I Any other products with "poison labels" 5 -7 (including chloroform, formaldehyde, Col-,r II 'b k I hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: al o (. e. Lt2 o{e Inspector: � QV Facility Representative WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS Number Fee 1326 THE COMMONWEALTH OF MASSACHUSETTS $so.00 Town of Barnstable Board of Health This is to Certify that Pro-Cuts 1600 Falmouth Road, Centerville, 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 r1• • • Town of Barnstable Inspectional Services BARNSTABLE OFS�� ennwsrne!•�r,,.;te-cwrt•.-rnnxis • w.sm:a ul�s•v139-20E-a.':Si d4rs»<.kE Public Health Division ::�9-z�1Q BARNSrABLE, ` Thomas McKean, Director 'Ar163.�p 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE <7� 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 ❑ I Is s 9a 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? 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: T© yG c— Carz 0,1 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 3 1 8. TELEPHONE NUMBER OF ESTABLISHMENT: J`��— 7 Z? 9. EMAIL ADDRESS: ��1�Ccl V �l zzm n cif 10. SOLEOWNER:_VYES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADD SS,AND TELEPHONE#OF: CORPORATION NAME X ( S PRESIDENT tj TREASURER CLERK k a 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE J �� �g Q:\Application Forms\Haz Mat App Revised 09-10 1 .do Number Fee 1326 THE COMMONWEALTH OF MASSACHUSETTS $5o.00 Town of Barnstable Board of Health This is to Certify that Pro-Cuts 1600 Falmouth Road, Centerville, 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. 07/0112018 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health dQ 9 Sd c./�K-r� I�(�7 � of Bnsxable Voengatorygervlces Richard V. Scali,Director 'WE • o` Public Health Division BARNSTABLE • ♦ &ORNSTR2lF•Cf1li6NILLF•OONR•MYN.R'JS • BA WABLE. • Thomas McKean,Director 1639-2014�� Sf Or1 659. a`0� 200 Main Street, Hyannis,MA 02601 575 Office: 508-862-4644 C9-0 E5 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 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,SHIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS• STORAGE/USE OF GREATER THAN HOUSEHOLD Ql _ _ J( o4 �w 4. FULL NAME OF APPLICANT: PRO CUTS i 1600 FALMOUTH ROAD 5. NAME OF ESTABLISHMENT: a.. CENTERVILLE, MA 02632 - 6. ADDRESS OF ESTABLISHMENT: 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 3 J �Cv l clz e"t 8. TELEPHONE NUMBER OF ESTABLISHMENT: 5'0 S- -7 7k'9dCO 9. EMAIL ADDRESS: r oca U t�f l um ,ti 4— 10. SOLEOWNER:/YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADD SS,AND TELEPHONE#OF: CORPORATION NAME G. S Ur► f3 P%fJ c v PRESIDENTA, G.� TREASURER fi 7" i CLERK ID 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE VTr 7 Q:\Application Forms\I-HAZMAT APP 2017 REVISE .do ® /�1� °FIHE r � Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • enRM�`E 200 Main Street• Hyannis, MA 02601 t6S9 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rF0 MP'� pp ,��`` Business Name: `a'�``5 bV 0-N `5 Date: 2LA \, Location/Mailing Address: 16 Q-0 J, �e, Contact Name/Phone: y M,&- t6A6L% <Og $(o-L - 01 I's i Invento Total Amount: 1,S 9C I SDS a License#: 'vim Tier II : Labelina: S�-e- � � Spill Plan: Oil/WaterSeparator: o Floor Drains: 0 Emergengy Numbers. Storage Areas/Tanks: Q\a,,cr a GParo-"-#, , Ln o l , \,4 • «C , ((ll Emergency/Containment Equipment: c A- WW \04115 Nw Mi-,,1 Waste Generator ID: I Waste Product: «g 1'`' ""'61,A! r5 Date&Amount of Last Sh pment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: ��� �0,vw � OWwv V v1e6S 5 I Vlti- 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 Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) 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 L4 �„` rab PCB's Metal polishes ,,. Other chlorinated hydrocarbons Laundry soil&stain removers y qa- k (including carbon tetrachloride) (including bleach) s,X Any other products with "poison labels" (including chloroform, formaldehyde, 2`3 Qa) Vta� Po��s11. 1 9 ��� /®\ -y' ti�,-g l 1hydrochloric acid, other acids) 7 �b'1'� 2— VIOLATIONS: ORDERS Q 3 16-q e.1 a-I 1 I INFOR ATI N/RECOMMENDATIONS: c.,J rv-�-- LJ — ou-2_ V 4 1 r gm L D 5 —5 a v►�-IL C a i►�L-- . /V p k6L-z"4 d 1 f�-2 V1 2 C�eqv,-r2. of `F,1 S Inspector: La l 41% Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS Number Fee 1326 THE COMMONWEALTH OF MASSACHUSETTS $50.00 Town of Barnstable Board of Health This is to Certify that Pro-Cuts 1600 Falmouth Road, Centerville, 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 06/30/2018 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 Number Fee 1326 THE COMMONWEALTH OF MASSACHUSETTS $50.00 Town of Barnstable Board of Health This is to Certify that Pro-Cuts 1600 Falmouth Road, Centerville, 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 06/30/2018 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 i — ' wn of Barnstable eg atory er lces Richard V. Scali, Director Public Health Division BARNS,T =° E M 9P0.YSi4U1F•iENfEN'lILLE.COTU tttN:t:15 s Thomas McKean, Director XP53:5MLLS:319i 204efi tP.4if4tlF '°Teo 1639. s``� 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE 0 HAZARDOUS MATERIALS a•a IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPfTR 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 July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? L,,-�S_NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: &0 D 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: — 15-7- �(F 8. TELEPHONE NUMBER OF ESTABLISHMENT: ,-o - 7 7 9. EMAIL ADDRESS: 10. SOLEOWNER: ✓YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADD SS,AND TELEPHONE#OF: CORPORATION NAME ��/✓►..L.�� ,5 cb/,�/5Lr_ L io f,,/� �sf- /y nj PRESIDENT TREASURER TG CLERK A= < < O ( 12. IF PREPARED BY OUTSIDE PARTY: JO e ` `-7 _ j 7/ NAME: TELEPHONE#: COMPANY ADDRESS _ EMAIL: SIGNATURE OF APPLICAN DATE —c�—1 Q: kpplication Fonns\HAZMAT APP 2017 REVV%0-5 �, / � 4 Number Fee 1326 THE COMMONWEALTH OF MASSACHUSETTS $.So.00 Town of Barnstable Board of Health This is to Certify that Pro-Cuts 1600 Falmouth Road, Centerville, 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. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health v \ia Town of Barnstable �'THE t Regulatory Services ti • °� Richard V. Scali, Director MAS& BABSTABLE Public Health Division 1639• `0� nas oaa -�Iuu.�'wcHSPKE pTED M0'�' Thomas McKean,Director 1639-201 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 p7D1 / /� Fag: 508-790-630*& 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 X'f6 L " foe CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ A late charge of$10.00 will be assessed if payment is not received by July 1st. ASSESSORS MAP AND PARCEL NO. DATE c3 6O J 7 FULL NAME OF APPLICANT: d C9✓1 S 4'Z NAME OF ESTABLISHMENT: C U /J ADDRESS OF ESTABLISHMENT: 1611100 ��/�'h(N T f'� �c�n fi MAII,ING ADDRESS (IF DIFFERENT): f a- TELEPHONE NUMBER OF ESTABLISHMENT: � 2j- 7 7 L— 2c96 O EMAIL ADDRESS: -e. Z L7' SOLE OWNER: /YES NO IF NO,NAME OF PARTNER: FULL NAME,HOMEADDRASS,AND TELEPHONE#OF: CORPORATION NAME kn IV n,d S�C` .Th C_ PRESIDENT TREASURER Rn hlf 1�G 11.1 - CLER.K �- IF PREPARED BY OUTSIDE PARTY: • SIGNATURE OF APPLICANT Name: Company Address: Telephone#: Email: Q:W:pplication FormsUiAZZAPP Revl6.docx Page 1 of TOWN OF BARNSTABLE Date: � �jX �;o,,� TOXIC AND HAZARDOUS MATERIALS R N FORM NAME OF BUSINESS: C©�b1eY s �cv�c BUSINESS LOCATION: I o c) INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: 500--775-- 5.j CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: Slno� c- a.f INFORMATION / RECOMMENDATIONS: ' VKA, Fire District: I Pam,:4.,/ D D 1,5 V�. r-ZV\/-5%VC15 < a V.c,r S O 4.c. Ce w-�-u••,1�� Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month re uires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze(for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals(Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform,formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes 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 Applicant's Signature Staff's Initials I Mass DEP Reportable Release Lookups � C� Page 1 of 1 • New Search E :Export.to EA( Reportable Release Lookup The search returned.1.3 results. Search Keywords>>Town: "BAR\S'l'AB[.:E-CENTE;RVIL[,E" Sorted by: "Town,Address,G updated:02/01/2007 RTN City/Town release Site Reporting Notification Compliance Date pha Address Name/Location Category Date Status p id 4- BARNSTABLE-78 BIRCH HILL NO LOCATION TWO HR 12/9/2004 RAO 2/7/2005 10018817 CENTERVILLE RD AID d3o-�36 0, 4- BARNSTABLE-1130 FALMOUTH ST GEORGE TWO HR 6/6/1998 RAO 8/5/1998 00I 932 CENTERVILLE RD CHURCH �40 4- BARNSTABLE-1600 FALMOUTH BELL TOWER NONE 1/15/1990 RAO 8/4/1997_�jf/ ^ 0000826CENTERVILLE RD MALL 4- BARNSTABLE-1617 FALMOUTH SUNOCO STATION 72 HR 3/31/1999 RTN CLOSED 3/3/2000 PHA 0014632CENTERVILLE RD RTE 28 4- BARNSTABLE-1734 FALMOUTH MOBILE SERVICE 120 DY 9/22/2005 RAO 9/21/2006 1 1,0019357 CENTERVILLE RD STATION#11826 (01-QK1) __..... �6 �17�7 BARNSTABLE-73 HOLLY LN PROPERTY NONE 2/25/1994 RAO 8/8/1994 0006047 CENTERVILLE -G!Flo 4- BARNSTABLE-68 KATHERINE EXIT 5 TWO HR 8/6/1998 RAO 12/29/1998 90014101 CENTERVILLE RD nI�_Dy� 4- BARNSTABLE-48 LAUREL RD NO LOCATION TWO HR 2/13/2003 RAO 9/2/2005 PHA dJ 0017618 CENTERVILLE AID II 4- BARNSTABLE-39 MAGNOLIA BARNSTABLE 72 HR 3/1/1995 RAO 4/18/1995 /0011167 CENTERVILLE WAY g 4- BARNSTABLE-401 MAIN ST ZEVITAS 72 HR 9/22/1995 RAO 9/22/2003 PHA 1001 6672 CENTERVILLE II 4- BARNSTABLE-39 PRCSPECT CHRISTIAN CAMP 72 HR 9/18/2006 RAO 1/23/2007 0019937 CENTERVILLE AVE MTG ASSOC. /9�'Da6 4- BARNSTABLE-1071 SHOOT HOMEOWNER TWO HR 1/19/2007 UNCLASSIFIED 1/19/2007 0020277 CENTERVILLE FLYING HILL RD 4- BARNSTABLE-120 SOUTH MAIN CAPE REGENCY 120 DY 3/30/1994 RAO 2/22/2000 PHA ?OF-089`001 0010371 CENTERVILLE ST _ NURSING HOME II 4J- $&4p.S IJlCI.Aye- Contact Us r Feedback e Related sites a Privacy Policy a Cleanup of Sates&Shills M ass,Gov Commonwealth Development e Environmental Affairs • httn:Hdb.state.ma.us/dep/cleanup/sites/Results2.asp 2/2/2007 Mass DEP Reportable Release Lookup Page I of 1 /`7 • New Search Export to Ex, Reportable Release Lookup The search returned 2 results. Search Keywords>>Town: "BARNSTABLE-WEST BARNSTABLE" I Sorted by: "Town,Addr. updated:02/01/2007 RTN CIN/Town Release Site Reportin.gNotificaticnCoiiiplia�ce Date Pha Address NamelLocation Category Date Status Aid 4- BARNSTABLE-NEAR#41 POLE#1595/2 TWO HR 12/20/2003 RAO 12/29/2003 Sys0, 0018190 WEST COACHMAN LN BARNSTABLE 4- BARNSTABLE-45 WHITE CAP LN AT CIRCLE 120 DY 3/15/1995 RAO 1/2/2001 PHA II BARNSTABLE Contact Us o Feedback o Related Sites e Privacy Policy o Cleanup of Sites Spills Mass.Gov o Commonwealth Development a Environmental Affairs http://db.state.ma.us/dep/cleanup/sites/Results2.asp 2/2/2007 TOXIC AND HAZARDOUS MATERIALS i:FC;i S'rRA.TI OW FORM . NA.IE OF FIRINI: Centerville Photo Lab Inc. Mall to: MAILING. ADDRESS12 Bell Tower MAll Board of Health ' 1600 Falmouth Road Town of Barnstable TELEPHONE NUMBERCenterville MALO'2632 P.O.Box 534 CONTACT PERSON• O - -1 Hyannis, MA. 02601 Tamara-Phillips 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 a liquid volume or 2-5 s dry weight? YES NO This form must be returned to the Board of Health regardless of a YES or N0 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 stored in quantities totalling more than 50 gallons liquid volume or 25 "pounds_ dry weight. Please put a check beside each product that you store:: `` .'``::';. •• , � .q Antifreeze (for gasline or coolant' systems) Refrigerants (Automatic transmission fluid Pesticides (insecticides, Engine and Radiator flushes herbicides.rodenticides) Hydraulic fluid (including brake fluid) '• ' Photochemicals Motor oils/waste oils Gasoline, Jet fuel Printing InkWood preservatives Diesel fuel, Kerosene, #2 .heating oil (creosote) Other petroleum products: grease, lubricants Swimming Pool chlorine Lye or caustic soda _ Degreasers for engines and metal Jewelry cleaners Degreasers for driveways & garages " Leather dyes Battery acid (electrolyte) Fertilizers (if stored Rustproofers outdoors) Car wash detergents PCB' s Car waxes and polishes Other chlorinated -hydro- Asphalt & roofing tar carbons, (inc.carbon Paints, varnishes, stains, dyes `'.tetrachloride) Paint and lacquer thinners ; Any other products with Paint & Varnish removers, deglossers "Poison" labels (including Paint brush clo6aners :t chloroform, formaldehyde, Floor ,& Furniture strippers :, , Metal polishes E ,`' hydrochloric acid+ other - Laundry soil, & stain removers :.' ' acids) (including:bleach) _ Other products not listed „ ' which you feel may be Spot removers & .cleaning fluids t toxic or, hazardous (please (dry'.cleaners ) z list) Other`cleaning solvents Bug 'and tar removers Household' cleansers,; oven _ cleaners Drain - cleaners ' , : i Toilet` cleaners Cesspool cleaners >: i,t ( ' Disinfectants r Road ,Salt , (Halite) ,L4 TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS: Board of Health MAILING ADDRESS: Town of Barnstable TELEPHONE NUMBER: 7 . ? P.O. Box 534 CONTACT PERSON: �/. $�z�� ��,���ts�S Hyannis, MA 02601 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for n time, more than 50 gallons liquid volume or 25 pounds in Ities totalling, at a t e your own use, qu g, y g q p dry weight? YES Y 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 store , 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): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business TOWN OF BARNSTABLEFsatisfactory OMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair 2.Printers BOARD OF HEALTH3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY 6.�rf�a (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS 14m yCA 4�4 c7fll T Clggg; 7.Miscellaneous QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers 4 Miscellaneous: G��i f��✓ 3 r 2 -- P L DISPOSAL/RECIA 4XV1091 REMARKS: 1. Sanitary Sewage 2.Water Supply R94 I/ oo to 6 2 e 6^ O Town Sewer tPublic ,dOn-site OPrivate 3. Indoor Floor Drains YES NO ` O Holding tank': MDC O Catch basin/Dry well 64 O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5. Waste Transporter Name of Hauler Destination ® Product 1. � � ����irI �� �}JaE�-�z �4`7'��:7L �'•�'' ""/ YES NO 2. erson (s) Interviewe Inspector Date