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Home My WebLink About1675 FALMOUTH ROAD/RTE 28 - HAZMAT 1&7f� -r-adm" "0 ao� o8' i TOWN OF BARNSTABLE BAR-W Ordinance or Regulation WARNING NOTICE Name of Offender/Manager A), Address of Offender MV/MB Reg.# Village/State/Zip Business Name - �', .r3✓Iy" V1 ► /pm, on e� //J ''�► 20 / Business Address I t-1 1 w►i.!/ r "'W`, i.. Signature of Enforcing Officer Village/State/Zip ;?4004.e qv te._ Location of Offense - , �nny ,� r.Ey!/(�_ 1°�1 4 �7 . } p Enforcing Dept/Division Offense ()rR - Facts �>Yr !J1 P, ^i f!X' �J a ,A�1��-e—<-t _ �� a 1`t 4+�Cs.I`T' �:J -# 41r!n_ 1 ! G . !!t Q_ t� 1 `C i e t� )1> 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. TOWN OF BARNSTABLE BAR-W Ordinance or Regulation WARNING NOTICE Name of Offender/Manager , .. , . v Address of Offender MV/MB Reg.# Village/State/Zip Business Name P ; +. , . § it�; 1 am/pm, on '`' 20 Business Address Signature of En.forcing ,Officer Village/State/Zip - a' s< l � 3 Location of Offense Enforcing Dept/Division Offense 11f 4 9 � p i F .s °( "'r! t ..r �4 r a, `� � f°'1 w i .+". ;,} �/• #' 3 Facts �' �. y , , V . 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 CANA RY;;ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. 2.0c' - O gq7 iMET°h� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 9B"RM�RB`E'$ 200 Main Street• Hyannis, MA 02601 �p'FDMP�61 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: , �q comie Date: 112M Location/Mailing Address: 7, ouw G 1 e- Contact Name/Phone: 0 -T�`7 791 *" Inventory Total Amount: >%—s MSDS: U P&410 License#: 1307 Tier II : It Labeling: Spill Plan: Oil/WaterSeparator: pip Floor Drains: N Emergency Numbers: Storage Areas/Tanks: lAewA Emergency/Containment Equiome' : t Waste Generator ID: Waste Product: J� 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) ✓A 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, p hydrochloric acid, other acids) VIOLATIONS: dDs t ' ./ - 1 E-CO&I ORDERS: INFORMATION/RECOMMENDATIONS: Ira qdan.51U S ' (qm &0 use ae ; i S49u 690 -3aAq —An^, &,� r Inspector: � , t a1 /wt Facility Representa ive: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Number Fee 1307 THE COMMONWEALTH OF MASSACHUSETTS $50.00 Town of Barnstable Board of Health This is to Certify that Rte. 28 Convenience 1675 Falmouth Road, Centerville, AM 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.,CHD Director of Public Health Town of Barnstable Inspectional Services Ft�.o BARNSTABI,E Public Health Division O,^ BARNSTABLE, + Thomas McKean, Director • P MASS. 1639. 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 .r� x APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE F HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, r% 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 VS i ah4. CATEGORY 2,PERMIT 111 -499 Gallons: $125.00 El1 CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ (P?-A *A late charge of$10.00 will be assessed if payment is not received by July 1st. O 1-�- 1. ASSESSOR'S MAP AND PARCEL NO. 2 6 J -D 8 � ` 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: PTA"` $ Ca e-r)Cf-- 5. NAME OF ESTABLISHMENT: 42T E ;1 y C®a,Ve q1 V-h(e 6. ADDRESS OF ESTABLISHMENT: ( a) ® �� Ceviiexcyi II e` mp- t�L63-1- 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: S�1m'e 8. TELEPHONE NUMBER OF ESTABLISHMENT: !�—d 9. EMAIL ADDRESS: 10. SOLEOWNER: YESXNO IF NO,NAME OF PARTNER: 11. FULL NAME, HOME ADDRESS,AND TELEPHONE# OF: CORPORATIONNAME SVI CH C- I-P PRESIDENT 1-31 1✓e S N M Rr2 rFATXA H, S Y ah 6h7 l,oJS a TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: • *SIGNATURE OF APPLICANT DATE 11 �. Q:\Application Forms\Haz Mat App Revised 09-10-18.docx Number Fee 1307 THE COMMONWEALTH OF MASSACHUSETTS $50.00 Town of Barnstable Board of Health This is to Certify that Rte. 28 Convenience 1675 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. 07/01/2018 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health 10weg8atorygervlcesof Bnsxable P .4 ?S Richard V. Scali,Director THME 'o„ Public Health Division BARNSTABLEc; NA0.5TOp5 Xl S•06ng%—P-SB STARIf • � LE. Thomas McKean,Director 1639-2014 �,wY 200 Main Street, Hyannis,MA 02601 �Dg :T 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 Oth). APPLICATION FEES CATEGORY 1 PERMIT 26.- 110-Gallons: $ 50.00 vs . 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 QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: >n+&rLY, e .an A -®263 Z 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 4 I i 9. EMAIL ADDRESS: / 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION. NAME S\141 r-H PRESIDENT �- TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE 1 n c Y Q\Application Forms\HAZMAT APP 2017 REVISED.docx Number Fee 1307 THE COMMONWEALTH OF MASSACHUSETTS $50.00 Town of Barnstable Board of Health This is to Certify that Rte. 28 Convenience 1675 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 AUG-03-2017 11:02 From:BARNST HEALTH 915088624713 To:5087787741 P.1/1 CAe-� 5 5f� a of irviceBqmss1e Richard V. Scab,Director p—, � Q PublicHealth Division BARNSTABLE , Thomas McKean,Director " �'',�Kr► 200 Main Street, Hyannis,MA 02601 Office: 508-862-4641 C� p2 d l� Fax: 508-790.6304 Al"I'LICATION FOR P FRMTT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS 1N ACCORDANCE WITH T11E TOWN OF BARNSTABLH Gh;NHRAY,O1;T)FNANCE,CIIAPTER 108, IIAZARDOUS MATERIALS,ALL BUSINESSES'THAT HANDLE OR STORE 14AZARDOLJS MATERIALS GREATER THAN HOUSRI 101,13 QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL i'ERMIT(RUNS SLILY lst--JUICE 30th). APPLICATION 4TFS CATEGORY 1 PERMIT 26— 110 Gal Ions: $50.00 L1d� CATEGORY 2 PETtMTT 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 i5 noL received by July 1st 1. ASSESSOR'S MAP AND PARC:FJ,NO, ,;2 ® 2'7 10 A- 2. IS TIIIS A PERMIT RENEWAL? V/Y'ES_NO, IF YES,SKIP QUESTION 3. • 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE,WFIFTHER BUSINESS HAS ZONING/I1UILI N(.APPROVAL FOR HAZARDOUS MATERIALS STORAG SE OF GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? YFS, NU. 4. FULL NAME OF APPLICANT: R T ` C° In de"Ai t vi �- 5. NAME.OF F.STABLiSHMENT: PT .Z f( Cs vi V e Yi C le 6. ADDRESS OF ESTABLINUMENT: f C 3S-F—C(rh-,A -2-6 3 Z 7. MAILING ADDIZES,S(.1F 1)IF.FF:Fti+`,'NT FROM"ABOVE: S. TELEPIIONE NUMBER OF ESTABLIS'NMFNT: _ 5-6 - 7 7 — 41 9. EMAIT,ADDRESS: Y1 V116t t,A, & • 10. SOLEOWNER: V F, NO IF NO,NAME OF PARTNER; S VV I C 1-1 C—r%2- P 11. FULL NAME,HOME ADDRESS,AND TELEPTIONF,#0 : CORPORATION NAME .S W 1 C H Co- r— PRF.SIDF.NT q-11LC-3F1 e , s71'A- n TaA TREASURER CLERK 12. IF PREPARED BY OUTSIDE:PAl1TY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURt ,' OF APPT,TCANT DATE 1' QaAppiicarlon Form%1HAZMAI'ANF 2017 kRVIS13D.dncx y� Number Fee 1307 THE COMMONWEALTH OF MASSACHUSETTS $5o.00 Town of Barnstable Board of Health This is to Certify that Rte. 28 Convenience 1675 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. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable tr �t►+E.o,,, Regulatory Services • ~� Richard V. Scali, Director • • . ,�AB BARNSTABLE Public Health Division 1639 10� enansae c•m�vnu•mnrt-muixa aaxroxs Kws•osmnue•wseuxsrre f0 ►t A Thomas McKean,Director 1639-2014 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304V 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 July 1st. • ASSESSORS MAP AND PARCEL NO. DATE J-R I 1 S I FULL NAME OF APPLICANT: iJ L S N ' P rn 'A R P A-T- A NAME OF ESTABLISHMENT: 42'C a �J e c e�`►C ADDRESS OF ESTABLISHMENT: S' •Fex I %'i -_�' d Ce`n+.k.eYti Ii ' d►'�44 — BzG3� "MAIL N(x' ADDRESS (IF DIFFERENT): SAM- TELEPHONE NUMBER OF•ESTABLISHMENT:--5'6 -7) 7 7 4 EMAIL ADDRESS: SOLE OWNER: YES NO IF NO,NAME OF PARTNER: Csa l2 �• FULL NAME,HOME ADDRESS,AND TELEPHONE# OF: CORPORATION NAME, SWI eH C PRESIDENT TREASURER CLERK IF PREPARED BY OUTSIDE PARTY: SIGNA U _ F A LICANT Name: Company Address Telephone#: Email: Q:VWppfication FonnsTIAZZAPP Revl6.docx Page 1 of 2 `°Ft►+E ro�ti Town of Barnstable Office:508-862-4644 °* Public Health Division Fax:508-790-6304 B"RM�'E'g 200 Main Street• Hyannis, MA 02601 1639.OrFOMP+6 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: ) "-, 2S coKV2v\-Ievtoe. Date: Location/Mailing Address: Contact Name/Phone: UT Z i b3D- y�2.- 8207 Inventory Total Amount: ^' I MSDS: V O-A5J& License#� Tier II : o Labeling: c- A-%A Spill Plan: Oil/WaterSeparator: Floor Drains: N v Emergency Numbers: Storage Areas/Tanks: k w I "1<15M Gv�C Emergency/Containment Ea ioment: ow Waste Generator ID: Waste Product: Date&Amount of Last Shi ment/Fre uenc : 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. S Antifreeze � Dry cleaning fluids '2) Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers I Hydraulic fluid (including brake fluid) Windshield wash (p.,2 (� Motor oils (, I Miscellaneous Corrosives el viv-� Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants 3 Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for eng,nes&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and pofshes 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 st1ppers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers ti (including carbon tetrachloride) (including bleach),�_ Any other products with "poison labels" (including chloroform,formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATIO /REC MMENDATIONS: W-f—u-C4 &,r JI&V S ft ti -Crk C--eA6--- �S v c V Yvl 1 L ,4-12A-+w Inspector:' Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS