HomeMy WebLinkAbout1149 FALMOUTH ROAD/RTE 28 - HAZMAT 11�14fAWFt+okq-Ww-t
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TOWN OF BARNSTABLE BAR-W
Ordinance or Regulation
WARNING NOTICE
Name of Off ender/Manager rwr,vi k. , ,1,e.f r
Address of Offender MV/MB Reg.#
Village/State/Zip
Business Name `'�-- f`/•�V vt._ :btu ;am/pm, on l21�`� 20 Jh
Business Address t 1 q "t 7 P&
Signature of ,Enforcing Officer
Village/State/Zip 02 L13z-- / �f
Location of Offenses
Enforcing Dept/Division
Offense J()e�; - ���. '. �tis;:. o `'14 Pei 4- YL "2d
I
Facts /N(A .(FX 11 a 1-a IM �,T-F�l +r: t�.a l f>c�T �i 1 . �1✓X / 1/�' 1 a I YI V fJ N, X-
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 j o G� ,1'`� r.
Address of Offender MV/MB Reg.#
Village/State/Zip
�^ t- _ w� , > am/ m 1 ! ? 20 !{
Business Name p � on
Business Address
Signature of Enforcing Officer
Village/State/Zip
Location of Offense " to a � NA
Enforcing Dept/Division
+ �
Offense 1 ` ro / :, �,, j ^ ;
Facts k, t h4 tz.
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.
2 2-q -- 1 d c -- o2
oFIKE Town of Barnstable Office:508-862-4644
Public Health Division Fax:508-790-6304
BARMAW%. 200 Main Street• Hyannis, MA 02601
039.
�plEDMA�p`0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT
l .
Business Name: t /"n' Date: C618191
Location/Mailing Address: I I qq b
Contact Name/Phone: 3o
Inventory Total Amount: A9 MSDS: License#:
Tier II : Labeling: Spill Plan:
Oil/WaterSeparator: NIA Floor Drains: Ift Emergency Numbers:
Storage Areas/Tanks: r k"
Emergency/Containment Equipmen :
Waste Generator ID: Waste Product:
I Y Date&Amount of Last Shipment/FrequencX:
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 7dAntifreeze
disposal of 111 gallons or more requires a license from the Public Health Division.
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
otor 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 ye or caustic soda
Lacquer thinners Miscellaneous Combustible
--Maint&varnish removers, deglossers Leather dyes
iscellaneous 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: 0
Inspector•,
Facility Representative:
WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS
® � �7f?.c� a111 o`�SUes
eX01- Sly
°TIME Town of Barnstable Office:508-862-4644
Public Health Division Fax:508-790-6304
BARM s5R`"E.g. 200 Main Street• Hyannis, MA 02601
1639,
ptFOMP�a`0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT
Business Name: Date: 07l6
Location/Mailing Address: I
Contact Name/Phone: 75'
Inventory Total Amount: 0S MSDS: v Jl7 !6' License#:
Tier II : NO Labeling: Spill Plan: QfS
Oil/WaterSeparator: Flo r Drains: Emergency Numbers:
Storage Areas/Tanks: bICK
Emergency/Containment Equipment: a
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
ydraulic fluid (including brake fluid) Windshield wash
Motor oilsMiscellaneous 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: OHME
Inspector:
Facility Representative:
47
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS
INE�ok� Town of Barnstable Office:508-862-4644
Public Health Division Fax:508-790-6304
BARMASS. 200 Main Street• Hyannis, MA 02601
�A s679.s�0
rFOMA TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT
Business Name: . Dater - - OO -a�L 6
Location/Mailing Address: I, 4q
Contact Name/Phone: g ORC s -2 _ 9 -'rT0,2>` '7767-lyn
Inventory Total Amount: MSDS: License#: 1'3 y
Tier II : Labeling: Spill Plan:
Oil/WaterSeparator: 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:
Inspector: Q C-T
Facility Representative: 117
WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS
.+ ,ieft, oil .5t)t�5 'r
'°FIKE*ow Town of Barnstable Office:508-862-4644
Public Health Division Fax:508-790-6304
BARN STABLE. k 200 Main Street• Hyannis, MA 02601
MASS
.gyp %639.A�0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT
lf0 MPy
Business Name: ',g Y, ��.r 110. rc,"� 't tt�-'t` Dater
Location/Mailing Address: i'd ') 9 C "J LA JI , ymq 6 2& '�.A
Contact Name/Phone: Sit, V " 7 !S-
Inventory Total Amount: MSDS: License#: 13'1
Tier II : Labelin : Spill Plan:
Oil/WaterSeparator: 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 l Dryclean'ing fluids
Automatic transmission fluid -, Other cleaning solvents&spot removers
Engine and radiator flushes Bug an Par removers
Hydraulic fluid (including brake fluid) ', -,Win shi I d wash
Motor oils , `. Miscellaneous Corrosives.
Gasoline,jet fuel, aviation gas R,-., ' �. Cesspool cleaners
Diesel fuel, kerosene, #2 heating oil rDisinfectants..-f i ;-
� z
Miscellaneous petroleum products: I Rbad salts
grease, lubricants, gear oil Refrigerants _
De Egreasers for engines&garages VPesticides: L r
I Caulk/Grout j.. insecticides,'herbicides, rodenticldes
f ,/ -
Battery acid (electrolyte)/,batteries �� , PhotochemicalsT(Fixers)
Rustproofers Photochemicals.(Developer) A
Car wash detergents �_ _ � Printing ink
Car waxes and polishes i' i Wood presee�rvatives(creosote)
Asphalt&roofing tar ' } Swimming pool chlorine
Paints, varnishes, stains,dyes Lye or caustic soda
Lacquer thinners I Miscellaneous Combustible
Paint&varnish removers, deglossers Leather dyes
Miscellaneous Flammables
Floor&furniture strippers ' P PCBs
Metal polishes Other chlorinated hydrocarbons
.Laundry soil &stain removers (including carbon tetrachloride)
(including bleach) Any other products with "poison Iabels'l'
' (including chloroform, formaldehyde,
�f hydrochloric acid, other acids)
VIOLATIONS: 1
ORDERS:
i
INFORMATION/RECOMMENDATIONS:
j
Inspector::
Facility Representative: 6
WHITE COPY- HEALTH DEPARTMENT'/CANARY COPY-BUSINESS
IME F,
BA MASS. * Town of Barnstable
i63q. 10
ArFDN1i•'�A Inspectional Services
Public Health Division
Thomas McKean, Director
200 Main Street
Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304 Co
February 20, 2020
Zahid Rashid
Centerville Food Mart
1149 Falmouth Road
Centerville, MA. 02632
Mr. Rashid,
Thank you to you for the cooperation of Rajan Giree letting us perform a required
hazardous materials yearly inspection. This letter contains information from that visit that will
help you to become compliant with the Town of Barnstable Ordinance: Chapter 108 Hazardous
Materials
Enclosed are copies of Chapter 108: Hazardous Material Ordinance and a copy of
labeling requirements for all waste products in your shop. I have also enclosed a spill
plan/contingency plan that is required. Please note the problems identified at your place of
business during the hazardous materials inspection and the corresponding recommendations
listed below.-
PROBLEM:
• Material Safety Data Sheets not available during visit.
ORDER:
• Massachusetts General Law-Right to Know Law states that " MSDS's should be filed
in an organized manner at a central location in the workplace so that the employer can
easily provide an MSDS if an employee requests one"
• Town of Barnstable Ordinance Chapter 108: Hazardous Material section 108-4 (B)
Inventory and registration states that the "material safety data sheets shall be made
available upon request of the Health Department.
PROBLEM:
0 Fire Extinguishers are not recharged to current date and are not readily assessable.
i
4J '
ORDER:
• Please have all extinguishes..re-charged, assessable, and clearly marked with placard.
PROBLEM:
• Business license issued from the clerk's office not visible
ORDER:
• Please post current business license
PROBLEM:
• Spill/Contingency Plan must be posted.
ORDER:
• Make and post plan, guideline enclosed to make it easier for you
PROBLEM:
I
Spill kit and absorbent pads, speedy dry not readily available
ORDE
• Make spill kit and supplies readily available and out in the open
Again thank you for your continued cooperation and I will be back on March 19th, 2020
between 9 AM and 230PM for a final inspection report.
I realize that the quantity fluctuates during the year and the total may seem high in
February, but this quantity reflects the yearly average. If you have a difference of
opinion, please feel free to contact me directly. Your current license is valid until May of
2020 and is good up to 110 gallons of materials.
If you have any questions about the problems, the recommendations, or you need further
information, guidance, or assistance,please do not hesitate to contact me directly.
Respectfully, chester.johnson@town.barnstable.ma.us
508-862-4645
C. Gus Johnson
Hazardous Material Specialist
`pftKWE � Town of Barnstable Office:508-862-4644
Public Health Division Fax:508-790-6304
• BA MAT LE. • 200 Main Street•Hyannis, MA 02601
MASS.
TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT
Business Name: VUryIt Date: q
Location/Mailing Address: ' w _
Contact Name/Phone: ;
Inve to Total Amount: �1� SDS: Qe5 License#: 1305
Tier II :_ 0 Labelino: J qt� Spill Plan:
Oil/WaterSeparator: M Flo r Drains: Emergency Numbers: � . S
Storage Areas/ranks: �� nlJ J Emergency/Containment E ui nt: I d S
Waste Generator ID: AIA 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,
storag7and disposal of 111 gallons or more requires a license from the Public Health Division.
Antifreeze Dry cleaning fluids
Automatic transmission fluid V Other cleaning solvents&spot removers
Engine and radiator flushes Bug and tar removers
Hydraulic fluid (including brake fluid) Vol- Windshield wash
Motor oils Miscellaneous Corrosives
Gasoline,jet fuel, aviation gas Cesspool cleaners
Diesel fuel, kerosene, #2 heating oil Disinfectants
Miscellaneous petroleum products: V 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/RECOMMENDATIONS: Qr Zf CR
Inspector:
Facility Representative: �.
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS
`°F1Me ro�ti Town of Barnstable Office:508-862-4644
Public Health Division Fax:508-790-6304
9 BARMASS. .� 200 Main Street• Hyannis, MA 02601
�A�FOMA TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT
Business Name: �21✓��2lJ \`� F'oo� Q<k _ Date: 2 5 1's
Location/Mailing Address: wn-A1-5
Contact Name/Phone: �a�- 1�-�A-�ne� d 8 —7 S-Ng j
Inventory Total Amount: ^^ ` 'rl �"���`\D SDS: ko b t"�- owl (License#:
Tier II : Labeling: 6ML Spill Plan: +a 0
Oil/WaterSeparator: hJ lvk Floor Drains: Emergency Numbers: �
Storage Areas/Tanks:
Emergency/Containment Equipment: vD �� ►��� ` �<°���" �) eye ►�azl�- o,�
Waste Generator ID: r 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 3
Engine and radiator flushes Bug and tar removers
�- Hydraulic fluid (including brake fluid)1- 33 Windshield wash IS+ ZO
Motor oils 2 i Miscellaneous Corrosives t
Gasoline,jet fuel, aviation gas Cesspool cleaners
Diesel fuel, kerosene, #2 heating oil Z Dis,infectants y
1 Miscellaneous petroleum products:,L I Do 10 Road salts to e>
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: ti. d o L
1 0"'A a V,6g= Do 50 kcv— k y-, 3V-) t4ee 0 1 t4 /A�r
Inspector:.
Facility Representative: 4 /1;0�
WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS
Number Fee
1341 THE COMMONWEALTH OF MASSACHUSETTS $so.00
Town of Barnstable
Board of Health
This is to Certify that Centerville Food Mart
............•....................................................................................................................
1149 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
Town of Barnstable
• Inspectional Services BARNS LE
.^ l ISTAME-CFMMIALIE•CONR-1Y—Is
�. Public Health Division "M>s ,5":�•639-2 4
Y � 1639-2014
1 BAMSTABL& = Thomas McKean, Director .
200 Main RFD Street' Hyannis,MA 02601 ,..
�f
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 "h
GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS
JULY I st—JUNE 30th).
APPLICATION FEES /VW G�
CATEGORY 1 PERMIT 26— 110 Gallons: $ .00
CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 El ( � a
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? 1/ 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)?- i�J�_NO.
4. FULL NAME OF APPLICANT: / /-S ,/ic.�G-•
5. NAME OF ESTABLISHMENT:
6. ADDRESS OF ESTABLISHMENT: —//��
7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE:
8. TELEPHONE NUMBER OF ESTABLISHMENT: 6—ce? 7Z J — Z�
9. EMAIL ADDRESS:
10. SOLEOWNER: ES_NO IF NO,NAME OF PARTNER:
11. FULL NAME,HOME ADDRESS,AND TELEPHONE#O :
CORPORATION NAME C
PRESIDENT
TREASURER
CLERK lly&
• 12. IFrPREPARED BY OUTSIDE PARTY:
NAME: TELEPHONE#:
COMPANY ADDRESS EMAIL:
SIGNATURE OF APPLICANT DATE O
Q:Wpplication Forms\Haz Mat Appli Draft Jan2019.docx
Number Fee
1341 THE COMMONWEALTH OF MASSACHUSETTS $50.00
Town of Barnstable
Board of Health
This is to Certify that Centerville Food Mart
1149 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
Town of Barnstable a
E Inspectional Services BARNSTABLE
_ram Q`t � MRNST .10.CE;05E. -e.UE IR•HTNihI
q.pSTCki NIJ.S.GSTCiN.LLE.n'iT BfAri:'s.E
o„ Public Health Division �=
9 BARNSrABLE, Thomas McKean, Director .,
`l'ArE03 `` 200 Main Street, Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-630f
.w 4
APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE '`
HAZARDOUS MATERIALS1
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
MY 1 st—JUNE 30th).
APPLICATION FEES
CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 VGr �{
CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ .
CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ S
*A late charge of$10.00 will be assessed if payment is not received by July 1st.
1. ASSESSOR'S MAP AND PARCEL NO. =.q — /00 00 d--
2. IS THIS A PERMIT RENEWAL? (/ YESI 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: A-I �, �/NC•
5. NAME OF ESTABLISHMENT:
6. ADDRESS OF ESTABLISHMENT:
7.. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 6gz1A
8. TELEPHONE NUMBER OF ESTABLISHMENT: Q� ZZ5 74 g9
9. EMAIL ADDRESS:
10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER:
11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF:
CORPORATION NAME
PRESIDENT
TREASURER S4ye",4% AASIWl2
CLERK S 61gwa2r i?s7 f; o
12. IF PREPARED BY OUTSIDE PARTY:
NAME: TELEPHONE#:
COMPANY ADDRESS EMAIL:
SIGNATURE OF APPLICANT DATE o
.� 10
Q:Wpplication FormsU'1az Mat App Revised 09-10-18.docx
Number Fee
1341 THE COMMONWEALTH OF MASSACHUSETTS $50.00
Town of Barnstable
Board of Health
This is to Certify that Centerville Food Mart
1149 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
TRowr of Barnstable J
eg atory ervices
Richard V. Scali, Director '
oFzKE
" Public Health Division BARNSTABLE
• WN57ASLIE lLEitVILLF•CONK•OMNS
BARNSTABM Thomas McKean, Director NARSmMILS16W�R Oa{;`�'�'AELE
ArEo�0. - - .200 Main-Street,,Hyaxuus�MA-02(i0T-_ - --_._-------__-
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 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? L,-6S_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: 6 ' eye,,
5. NAME OF ESTABLISHMENT: r&rllzlGe'- ITWO
6. ADDRESS OF ESTABLISHMENT: 1�y / � ��?a�t / 'y/
7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: �f1y7 � F//liL�'- Aw
8. TELEPHONE NUMBER OF ESTABLISHMENT:
9. EMAIL ADDRESS: �1� U/L�� �7 /y�, l,® �J/>L • l�iY
10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER:
11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF:
CORPORATION NAME
PRESIDENT _ -<
TREASURER
CLERK ��►.,��,iy,-J
12. IF PREPARED BY OUTSIDE PARTY: _
NAME �: TELEPHONE#: 725-/
• COMPANY ADDRESS EMAIL:
SIGNATURE OF APPLICAN , DATE
Q:\Application Forins\HAZMAT APP 2017 REVISED.d c
4�.
L
Number Fee
1341 THE COMMONWEALTH OF MASSACHUSETTS $50.0o
Town of Barnstable
Board of Health
This is to Certify that Centerville Food Mart
1149 Falmouth Road, Centerville, MA T
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.
02/14/2018 JUNICHI SAWAYANAGI
THOMAS A.MCKEAN,R.S.,CHO
Director of Public Health
r ` r
owns of Unstable
egu atory ervices
Richard V. Scali, Director
Public Health Division BARNSTABLE
• Iit ""� � �xa"sis'ars x¢i.sa"os`°`i a�u xxsi ownsr�
1` BARNSTABLE, Thomas McKean,Director 1639_2014 ,
200 Main Street,Hyannis,MA 02601 �Dg
Office: 508-862-4644 Fax: 508-790-630:4,'
APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE
�x.ay
HAZARDOUS MATERIALS GTI
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: $ 50.00T
CATEGORY -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 Ist.
1. ASSESSOR'S MAP AND PARCEL NO.
2. IS THIS A PERMIT RENEWAL? YES ""' 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: zz !z
5. NAME OF ESTABLISHMENT:
6. ADDRESS OF ESTABLISHMENT:
7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 6a4?2T&2& a SZ
8. TELEPHONE NUMBER OF ESTABLISHMENT: �� 7Z- a9,2-
9. EMAIL ADDRESS: CZ4�ry �
10. SOLEOWNER: �- S NO IF NO,NAME OF PARTNER:
11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF
CORPORATION NAME 5. .V.1411er, /lye-
PRESIDENT
TREASURERa /��
CLERK
12. IF PREPARED BY OUTSIDE PARTY:
NAME: TELEPHONE#:
COMPANY ADDRESS EMAIL:
SIGNATURE OF APPLIC DATE
Q\Application FormsViAZMAT APP 2017 REVISE ..docx
Number Fee
1305 THE COMMONWEALTH OF MASSACHUSETTS $50.00
Town of Barnstable
Board of Health
This is to Certify that 7-Eleven
1149 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
�3-ago-
TRowr�of B n
eg atory ervlces
Richard V. Scah, Director
j c
Public Health Division BARNSTABLE
BAHNSIAtlIE•iENiERVILE•CONIi H1'N.t li p
�� • r Thomas McKean, Director NARiIUliMlLLi1
39- 0 4V(c'S14?4ii4 E 1 •x
Al fo 039. s`e� 200 Main Street, Hyannis,MA 02601
0
-aor�
Office: 508-862-4644 as/� Fax: 508-790-6304-4
APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE
HAZARDOUS MATERIALS
IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 1,&i
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 n
CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 VIS . dl
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:
5. NAME OF ESTABLISHMENT: Q 6. ADDRESS OF ESTABLISHMENT: /�� -/ M1M 0U-jj TOGS j-F Chit.
7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE:
8. TELEPHONE NUMBER OF ESTABLISHMENT:
9. EMAIL ADDRESS:
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 Forms\HAZMAT APP 2017 REVISED.docx
Number Fee
1297 THE COMMONWEALTH OF MASSACHUSETTS $125.00
Town of Barnstable
Board of Health
This is to Certify that A Concrete Answer
445 Osterville-West Barnstable Road, Osterville, MA
Is Hereby Granted a License
For: Storing or Handling 111 -499 gallons of Hazardous Materials. (�
---------------------------------------------------------------- -----------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------
This license is granted in conformity will► 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
Tow1� of Unstable / Gh��Regulatoervices
Richard V. Scah,Director
IME r
Public Health Division BARNSTABLE
BARYSg6lk•iFNfF}:YILL£•CONR•NTnn(:IS
BARNBTABLE. • vras;w.s Hus•es:nviue•vr-s(n�gn 16
Thomas McKeanMASS, , Director 1639-2014
16 ,�a`� 200 Main Street, Hyannis, MA 02601 ��Ig '
M�
-tea
Office: 508-862-4644 / Fax: 508-790-3304
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 � 5.
CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑
*A late charge o $10.00 will be assessed if payment is not received by July 1st.
1. ASSESSOR'S MAP AND PARCEL NO. l 00 3
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 STORAGEIUSE OF
. GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO.
4. FULL NAME OF APPLICANT:
5. NAME OF ESTABLISHMENT: (°(N�c(f f p_hjSIi1/M
6. ADDRESS OF ESTABLISHMENT: q 4 S' OSJ2v J JC f }- r3y�,�p�� Ir _y1( S
7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: Z4 Z P& M IM , 10.iA-
6Z( V
S. TELEPHONE NUMBER OF ESTABLISHMENT:
9. EMAIL ADDRESS: 6, EMWf aKSIAYZ Ot�
10. SOLEOWNER: YES, NO IF NO,NAME OF PARTNER:
11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF:
CORPORATION NAME IA ..i�1k1 .
PRESIDENT
TREASURER
CLERK
12. IF PREPARED BY OUTSIDE PARTY:
NAME: TELEPHONE#:
COMPANY ADDRESS_ EMAIL:
SIGNATURE OF APPLICANT DATE
Q:\Application Forms\HAZMAT APP 2017 REVISAD.docxfL
"J
r
�Y
Number Fee
1305 THE COMMONWEALTH OF MASSACHUSETTS $50.00
Town of Barnstable
Board of Health
This is to Certify that 7-Eleven
1149 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
FINE rqk� Regulatory Services
Richard V. Scah, Director
'" MASS' BARNSTABIE
` Public Health Division
MASS uaeus•nu![•cervnew!!c.tUrui r:rcar:rvs
. ��A 1639• �0� .wnslaysr:us•osreav:ue.wsraxsrne•
Thomas McKean, Director 1639-2014
200 Main Street, Hyannis,MA 02601
Office: 508-862-4644 b/Z 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 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 Jules
Q
ASSESSORS MAP AND PARCEL NO. DATE U
FULL NAME OF APPLICANT: — l
NAME OF ESTABLISHMENT: 1 1 `-I �', ` 4 "� � 'e o ►'�'� a
` ADDRESS OF ESTABLISHMENT:
MAILING ADDRESS (IF iDIFFERENT): J�M C-
TELEPHONE NUMBER OF ESTABLISHMENT: S C)-6 e)`)S 7 y 9
EMAIL ADDRESS:
SOLE OWNER: YES NO IF NO,NAME OF PARTNER: a c p '
FULL NAME,HOME ADDRESS,AND TELEPHONE# OF: Wl 1cc
CORPORATION NAME S a w..e a.� A ��o ✓� f-�- 6�
PRESIDENT _
TREASURE
CLERK
IF PREPARED BY OUTSIDE PARTY:
SIG TU AP ICANT Name:
!h Company Address :
j Telephone #:
Email:
Q:\Application Forms\HAZZAPP Rev 16.docx Page 1 of
THE F,
M�MASS.ABLE. * Town of Barnstable
�
i639. ♦�
ArFo �a Inspectional Services
Public Health Division
Thomas McKean,Director
200 Main Street
Hyannis, MA 02601
Office: 508-862-4644 gj5n Lax: 508-790-6304
Uj copy
February 20, 2020
Zahid Rashid
Centerville Food Mart
1149 Falmouth Road
Centerville, MA. 02632
Mr. Rashid,
Thank you to you for the cooperation of Rajan Giree letting us perform a required
hazardous materials yearly inspection. This letter contains information from that visit that will
help you to become compliant with the Town of Barnstable Ordinance: Chapter 108 Hazardous
Materials
Enclosed are copies of Chapter 108: Hazardous Material .Ordinance and a copy of
labeling requirements for all waste products in your shop. I have also enclosed a spill
plan/contingency plan that is required. Please note the problems identified at your place of
business during the hazardous materials inspection and the corresponding recommendations
listed below:
PROBLEM:
• Material Safety Data Sheets not available during visit.
ORDER:
• Massachusetts General Law-Right to Know Law states that " MSDS's should be filed
in an organized manner at a central location in the workplace so that the employer can
easily provide an MSDS if an employee requests one "
• Town of Barnstable Ordinance Chapter 108: Hazardous Material section 108-4 (B)
Inventory and registration states that the "material safety data sheets shall be made
available upon request of the Health Department.
PROBLEM:
• Fire Extinguishers are not recharged to current date and are not readily assessable.
ORDER:
• Please have all extinguishes re-charged, assessable, and clearly marked with placard.
I
PROBLEM:
• Business license issued from the clerk's office not visible
ORDER:
• Please post current business license
PROBLEM:
• Spill/Contingency Plan must be posted.
ORDER:
• Make and post plan, guideline enclosed to make it easier for you
PROBLEM:
• Spill kit and absorbent pads, speedy dry not readily available
ORDER:
• Make spill kit and supplies readily available and out in the open
Again thank you for your continued cooperation and I will be back on March 19th, 2020
between 9 AM and 230PM for a final inspection report.
I realize that the quantity fluctuates during the year and the total may seem high in
February, but this quantity reflects the yearly average. If you have a difference of
opinion, please feel free to contact me directly. Your current license is valid until May of
2020 and is good up to 110 gallons of materials.
If you have any questions about the problems, the recommendations, or you need further
information, guidance, or assistance, please do not hesitate to contact me directly.
Respectfully, chester.johnson@town.barnstable.ma.us
508-862-4645
C. Gus Johnson
Hazardous Material Specialist
cSA'V
Custom Coating/Rhino Inspection 1-22-20
Chris Vangelder,
Good day to you. I conducted a required Board of health Inspection at your new
business on Warehouse road today. Your sons were very helpful and assisted me today.
There are a lot of problems on bringing this location up to code with the Town. I will list several
of them here and it will be a start. On the Town's web site are the specific rules of what is
required. I also have attached blank forms for you to use in the endeavor.
1. You have to secure a business license from the Town's Clerks office for this location, this
will trigger the next steps in this process and they will assist you in doing so. **
2. You have to register with the Mass DEP for a hazardous waste permit ID. **
3. There is no fire suppression equipment on site at all. Egresses are not labeled, a fire
department inspection will be required as part of the aforementioned procedures.
4. Product labeling is non-compliant and there are no MSDS available to employees, as
well as a spill plan and emergency contingency plan in place and posted **
5. There are flammable materials that are not secured and/or marked and safely stored in
a secure non-flammable steel locker.
6. With the work being done at this location, there should be an eye wash station.
7. Each item listed above is not all the violations that have to fixed, but, each department
that you visit to obtain permits will be more than helpful'in making you compliant
8. We realize how hard it is to conduct business this day and age, but we are here to help
you comply in the easiest, most cost effective and safest way possible.
9. Please keep me posted on your progress, BUT, please start this procedure ASAP. I will
check back with you periodically during the next Month and you should be able to
complete it within 30 days. I have you on the list to contact February 25th by phone to
set up an inspection.
Respectfully,
C. Gus Johnson
Hazardous Material Inspector
508-862-4645. chester.Johnson@town.barnstable,ma.us
p r .
gym. 6 p -a)a 7-5-.s 2c, a &"-q,
TOWN OF BARNSTABLE C MRUANCE: CLASS: 1.M ri�,Gas Stations,RepaT�n
nters
BOARD OF HEALTH satisfactory 3.2.Auto Body Shops
unsatisfactory- 4.Manufacturers `COMPANY .c��idit - �Pli (see"Orders") 5.Retail Stores
6.Fuel Suppliers
ADDRESS I Class: 7.Miscellaneous
� ! QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors)
MAJOR MATERIALS Drums Above Tanks Underground
IN OUT IN OUT IN OUT #&gallons Age Test
Fuels:
Gasoline,Jet Fuel (A)
Diesel, Kerosene, #2 (B)
Heavy Oils:
waste motor oil (C)
new motor oil (C) _ XI
/j
transmission/hydraulic '
Synthetic Organics:
degreasers
1 asc laneou :
aAA -3
lkw IL 1)Atn-m"N --
11-pU S?A.o4) %e - �G
DISPOSAL/REC;LAMATION REMARKS:
1. Sanitary Sewage 2. Water Supply
'Town Sewer Public
O On-site OPrivate
3. Indoor Floor Drains YES N0_
O Holding tank:MDC
O Catch basin/Dry well
O On-site system
4. Outdoor Surface drains:YES XNO ORD RS'
O Holding tank: MDC Y
Catch basin/Dry well
O On-site system
5.Waste Transporter
Name of Hauler Destination
YES I NO
1.
2.
Person (s) In erview d Inspector Date