HomeMy WebLinkAbout1456 FALMOUTH ROAD/RTE 28 - HAZMAT (2) NAB ) ,A:� LlpoaTm
I
.rS M E A D
KEEPING YOU ORGANIZED
No.10334
Z-153L
MADE IN USA
GET ORGANIZED AT SMEAD.COM
TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION
l,��' OWNER AND INSTALLER INFORMATION
ADDRESS: �i4��I�U i U MAP NO. 205 PARCEL NO.
OWNER NAME: ( C1rI/�L'�/ N� i'¢������ --�/U�'• VILLAGE:
INSTALLATION DATE: 9" z `� BY:/114(20d,41D X/♦
ADDRESS: / (--c �• �/ �r"�`t� k�� 0275" CERT. NO.
IVK TANK INFORMATION
LOCATION OF TANK:
CAPACITY 000 TYPE AGE .�- FUEL/CHEMICAL
`. TESTING CERTIFICATION C I PASS C I FAIL DATE
LEAK DETECTION C I CHECK IF N/A TYPE/BRAND 161) 7Aekizit �L: lCd )21✓ C 2,11 nit
ZONE OF CONTRIBUTION C I YES E /J NO DATE TO BE REMOVED ��25
;F,IRE DEPT. PERMIT ISSUED C ] ,YES C I NO DATE
CONSERVATION C✓] CHECK IF N/A DATE
BOARD OF HEALTH TAG NO. ]C ]C JC ] DATE
PLEASE ;PROVIDE A "SKETCH SHOWING THE TANK LOCATION ON THE_ BACK ,OF THIS CARD
y,
-:d ..w. ...z..S,1:U..,., a''�,w...d+. _t_t ti-7f♦ } ..,3'.' r. ....- _ ;..-:' +x 7 .. ,.!': ... ., o.. .. . . ., f' ... ..
/-900- 532.4Sst• CENTERVILLE OSTERVILLE MARSTONS MILLS FIRE DISTRICT
UNDERGROUND TANK REGISTRY PROGRAM
Owner of Property: wO"Sti/.006•� Date of Installation:
Address
fuK�Te ciC
Description: 41<yen's Coiteti4 "a0J64 w*(/ F�e�s�gsl Installer: M►►c'DOa+Rld I Ws47`><0n
Size: S6lf�• t Certification:
Location of Tank: Sze Mka to yp/- f y6 - 0200 aoyq,. i
s INSPECTION INFORMATION DATE COMPLETED BY
Site Inspection
Air Test on Tank—Above Ground
Air Test on Tank—Within Hole
Test on Piping
Cathodic Protection Test
Continuous Monitoring System Type VICS - 40+t, 1/sshz:04 Rao "
Backfill Operations
Vent and Fill Pipes
Other:
o e frig
.TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE.;"REp J.STRATION
' 0 OWNER AND INSTALLER INFORMATION
ADDRESS:,- 4 6 11-14 1161.1� 14b MAP NO. 209 PARCEL NO.
OWNER NAME: C/�jJ �'� /��/1� 1�/� IJ �L/U VILLAGE: 1�1� �lJ/�fC
INSTALLATION DATE: �f- Z Z ` BY: //W �dl-) lb N• �,4/: JN 4t Alc ` �/t
ADDRESS: �C�C�/J-10Ab `LJ. I X/k-4 1'�5 J2..I 02 75-'7 CERT. NO.
N r TANK INFORMATION
�L AT I ON OF TANK: ��� J//F' A141
.r l7�r6/c'
CAPACITY f. IZ� TYPE f/%C/I a &-r AGE �9�� FUEL/CHEMICAL
--,-'--TESTING CERTIFICATION C ] PASS C ] FAIL DATE
LEAK DETECTION C ] CHECK IF N/A TYPE/BRAND c=A-f/ mycr aces L--,(
ZONE OF CONTRIBUTION C 7 YES C NO DATE TO BE REMOVED 0A
FIRE DEPT.IPERMIT ISSUED C 7 YES C J NO DATE
CONSERVATION CVJ CHECK IF N/A DATE
BOARD OF HEALTH TAG NO. C ]C ]C ]C ] DATE
As
PLEASE PROVIDE A SKETCH SHOWING%wTH& TANK LOCATION ON THE BACK OF THIS CARD
CENTERVILLE • OSTERVILLE MARSTONS MILLS FIRE DISTRICT
/-Av-I rJu-fT FC UNDERGROUND TANK REGISTRY PROGRAM
Owner of Property: L�G�Ser�i�w�� �A.�2h1 S Date of Installation:
Address:
Description: 4f✓E.vS �orlw..y Doa
S/� w.4// Installer: 1N 4��tpg�dlwgt�� °-
/1s 2=/• O
Size: S a(iy a Certification:
Location of Tank: • VOA- fx 6'A°O
f F INSPECTION INFORMATION DATE COMPLETED BY (
1
Site Inspection
1 Air Test on Tank—Above Ground
Air Test on Tank—Within Hole
i
Test on Piping i.
Cathodic Protection Test
n �
Continuous Monitoring System Type
Backfill Operations
Vent and Fill Pipes
+ Other:
CUMBERLAND FARMS, INC.
_ 777 D'EDHAM STREET,CANTON,MASSACHUSETTS 02021-9118
PHONE:617-828-4900 TELEX 710-348-0130 (CUMBFARMS-CTON(
September 21, ..1988p
Ms. Donna Miorandi
Board of Health
Towri of' Barnstable
367 Main Street
Hyannis, MA 02601
RE: 436 FALMOUTH ROAD
CENTERVILLE, .MASSACHUSETTS
Dear Ms. Miorandi:
As per our••telephone conversation regarding she above-mentioned location,
` enclosed you will find-a copy of the letter. from Owens/Corning Fiberglas
regarding Cumberland Farms as a certified installer.
If I can be of any•further assistance, please,do not hesitate to contact
me at your convenience.
Very truly yours,
CUMBERLAND FARMS, INC.
Murie White, Office Manager
Construction Department
maw
Encs.
Cox U.
Y
OWENS-CORNING FIBERGLAS CORPORATION 25 BRAINTREE HILL PARK-SUITE 305,
BRAINTREE, MASSACHUSETTS 02184 PHONE:(617)849-1340
F�`a A,.. •'tom 52 A
Er
April 17, 1986
yp
E aF' v
Mr. Dick Longton, V.P.
Construction
Cumberland Farms
777 Dedham Street
Canton, MA 02021
Dear Dick:
This letter will confirm that Cumberland Farms is a certified installer
for Owens-Corning Fiberglas' underground fuel storage tanks.
Cumberland Farms is certified' to install , Owens-Corning Fiberglas' storage
tanks in all states.
Very truly yours,
OWENS-CORNING FIBERGLAS CORP.
Peter M. Young
Area Manager,
Underground Tanks
PMY/w
BRANCH OFFICE
N Quotations in this letter are not intended as offers.All orders and contracts are taken subject to acceptance by the corporation at Toledo,Ohio,
Fauns
Steven C. Winters
Manager of Project Planning
;-
Cumberland Farms,Inc. ,
777 Dedham St.,Canton,MA 02021-9118
(617)828-4900 e
Telex:710.348-0130(CUMBFARMS-CTON ,��/�
CENTERVILLE • OSTERVILLE MARSTONS MILLS FIRE DISTRICT
UNDERGROUND TANK REGISTRY PROGRAM
Owner of Property: 6.hdA6414AZ i-A2,-A S Date of Installation:
Address: 1_�S� PT,�r� �,✓i�,2��>GG
Descri ti n: s e,✓i„i ,� l�� Installer: d dc,06 .✓A%d
Size: O Certification:
Location of Tank: hfala '
INSPECTION INFORMATION DATE COMPLETED BY
Site Inspection
Air Test on Tank—Above Ground
Air Test on Tank—Within Hole
i
Test on Piping
Cathodic Protection Test
Continuous Monitoring System Type 7'1 S 25i)
R
Backfill Operations
Vent and Fill Pipes
Other: 1
I
TOWN OF BARNSTABLE — UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION
OWNER AND INSTALLER INFORMATION
ADDRESS: �4 /` 44) MAP NO. P�ARCEL NO.
OWNER NAME: t Clffl��/1 �,EJ�t/� /r', �lf/IJ /VC'. VILLAGE: l
INSTALLATION DATE: / �6 BY: Alk lh W
ADDRESS: 1)rcok,4b eb. /V' f-VeWCERT. NO.
R/f, U 7" 414- J -6-70 TANK INFORMATION
• LOCATION OF TANK: S�=e - / /��� t►,ll�
CAPACITY l TYPE AGE 1W FUEL/CHEMICAL U �
TESTING CERTIFICATION C ] PASS C ] FAIL DATE
LEAK DETECTION C ] CHECK IF N/A TYPE/BRAND ,9E/) T,4( t t 166 Ut) /o14,11w '
ZONE OF CONTRIBUTION C 7 YES CV NO DATE TO BE REMOVED /
.s
FIRE DEPT. PERMIT ISSUED C ] YES C ] NO DATE
,CONSERVATION C ] CHECK IF N/A DATE
BOARD OF HEALTH TAG NO. � ]� ]C .31 ]C 7 DATE C� O
.PLEASE. PROVIDE -.A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD
f
- I
00 '
s
is
I NOTES
I
Z --DENSE TREES— Underground gasoline storage tanks were Installed
In the month of 19
2. To the best of our knowledge there are no wells
I
or bodies of.water within 1000 feet of this facility:
3. All supply lines and vapor recovery lines are
fiber lass. The vent lines are fiber lass dovble wall
9 9 �
he6wground and galvanized schedule 40 above ground.
4. TANK " CAPACITY CONTENT
` q $OQS QAL. GASOLIIU E
B
80o0 GAL. GiAsbt_IAIE
r C �bo00 qAL. GjAS01—It4E
5. OWNER/OPERATOR: (day or night)
I / --4'STq C K/��E t: Cumberland Farms, Inc.
3�$DOp C7aLL01J u`G ,--' G � VM11J05 Co1JCRE?� / \ / EN C 777 Dedham .Street _
aq f Canton, MA 02021
�U&..a=WALL FtBERG SS ,
CIA%uNE TALKS
6. Ttiere are 4" slotted PVC observatlon wells.
ti (1 c each corner of tank Installation.)
VENT LINES
PL.AU7 AREA
c',1► l-K
27'z 3o'cou L.Pal b
3 p I
_ - oR AEcov eRy >. �-`ter <r - , •
m;
2 X S -01JC.
. 3 PPS
u i
SW f�t_E C VEUTIOURL ,
:..PUMPS ON-E ISIhIJD• i
n1D 9 .;28 TYP.) I
-MULCH AREA-7
I
I v O.H. WIRES CS) ,O
� s
,
V
,
RF_VlSl0NS q36 FALMOUT44 ROAD
CENTERVI LLB MASS.
5-9-88
PLAM
Applied Image,,lnc. %517 E
�-i 6_
17 � �� IS 16 Z
�P
r-
,. r . .. , _•�•. ,•..•� y:. ._.y.. ...y.�, >•%:'. � .. ae• .•L;e:::;'ram !'a• _
— •....•.-.r ..-.r P-••'r v. • _.. .. t.. ... .t ..mot-. _ __. .. - _ _ -
-.
•. ..•.
��j7 ..• •.,._ ••.....'•w. � r :•_., Q ;yam: ;l:� ;t:• - t
..0
-
I
l
'e •e �p
p oy•
'•i
7.
NMI
!.a
ITS
,P MEW
Iffiff 12 12 ME SO,
J� L
��1ll �ill �111 I, � � ��fiill�ll
���� 1 1 ll� �lJl �llllll
I 1
�IIIII� I SEiM9 f'
ii am
l� iii
Iffiffiffiiiffi ii ii
Ill lily ii� i1i11 I ", illliMEE
HEMS21-011
y III� fiiil��lflil -� ::.: '` - - _ .. .., .-•'�1i(�L��iilil�(liil��ilil��iilil� ,
. lllllllll .. •�_ t
��IIII, .�•: ..
- y• a-y:
16
16 e
;I
ill _ t
O
— �I� II� !••i' ,:• '•i: 'is -
-
.:e .:e
w'• �7
ev:
•I 'I'
-r M I
•IIII —
i i u-
e
I I I .•'• I I��1 I I •o I a�•v •P.••r —I I l• I
W p
F
•,
'!e
I�1 :P.•
3 �
e : e:•" •y: ey: ey: ey:
eY i, ey.. eti. ati•eti: . ': . •
_ I
�lilll��_
_ — ill J.
= �u
— -
IIIIIlII�
� ill�• �•� - 1111
lllll������� ll����������� �������� I��� ��
::-IIIII�IIIII
-'"III = - 'I I III �11111�11111�11111�11111�11111�11111�11111�11111�11111�11111�111111=hill)�llill�lhill�lllll�lllll�llill�lllll�llili�llill�lllll�lllll�lllll�lllll�lllli�lllll�llllll=IIIII�IIIIII�IIII� - = I
_11111�11111�11111�11111=Illll�llul�llm�lllll(=IIIII�IIIII�IIIII�IIIII�IIIil�luli�lllll�llll�►III II i IIIII�IIIII�IIIil�illll�lllll�l��ll�lllll�lll�l�lllll�lllll�lllll��llll�lllll�l��ll�lllll�—illll�lllll�lllll�lllll�l
• W - i- If/ containment manhole f
8000 gallon (96 dia. x 25-3) Double Wall fiberglass 2 Fiberglass supply line. (Double Wall) 7 4 Fill riser with OP 61 TCS 4 4000 drop 10 SSpp hoe as manufactured by 13 Sump at each observation well.
O tinder ound gasoline storage tanks.(Owens and Corning) O O tube with vapor seal, w633T tl t fill O Falrfleid Industries, Inc. Model FT-SCM-4 or equal. O
adaptor and 634 TT 4 tight fill cap. g I
• 2 Wire cables lied with robe. 3" Extractor tube with 233-ZD-2422 valve Manhole E sear per NFPA specifications.
2 3/4 H.P. Red Jacket submersible ptm� with O �iPP P ® 11 � 14 P°X1' P sP s
O line leak detector. extractor assembly (233VM,with 53M float valve.)
• 28-
3 Manhole 2 Fiberglass t line
_ x . ergass vent (Double a 4 slotted) P.V.C. pipe observation well 32 ' •x 28 x 8 cons. pad w/6 x 6 10/10
TLC 250 tank level sensln system. 28 6 9 Wall) 12 15 ;O O O O One o eacch comer of tank lnstallatlon.(4•Regd) O wire reinforcement.
17 2 18 19 7�— 3 S &20 4 15 r ,kfitl
. � ••• ;' sphalt pavement I
.�'.' .._. ..._ ...J,.. .•... ° I'♦ I ♦ •O O r ♦ •° O I ♦ •• O I.J O O I,♦ ' r,♦. • I.♦ .♦• •,� ••' �.. -•1 ••'. P..,.,-..P•
A
33' a .-••r.,_�..••,..i►.•••r..i�.y •� � o� ••. ,9. _,s.y ..y .•1•'..� .e w':. ./i•"•• ..pi:-'Y..e•.e••'..e,.• ye«•-
w�:e:i:�w�:eti ':• ••Pe 'P• •P_
J '
a,•
•: .;._ r
.Manhole
a•
23
•r-
11
-L
-I
i
I�� 1
a1
.e
10 to mon
itoring de ►ce
• !a
!1
� �IIIII
F
19 PoIIulert tank monitor r$
,
-
1 .. .,.• .,,• ,,5. �111 —
9 �p�
-e.: 'A.: • I� 'II Weather oof ction box w/ 1/2
u
��i• �-•i• ':: 20 pr
- = O Incu WTtads (16cubic In mind
..'�� p� -
24
36 Manwa cover e/ M363 15
21 Owens Coming or equlv.)
12 12 F
� SE-�ll Probe to bottom of tank
INS
� soil� 23 Piping st�np (model PS 42 22A Owens Coming)
FEE S I
4 22' Manway cover (model M221-0
Mir
Owens .Corning or Equlv.)
�ill�isms iI `
� I ��11111��11111-
III�IIIII�
SEEM
1ID
steel wear late.2 ga p
,•. .•.J.•• a
• \ l -
16 -— -- - — — — — —- 16 1/2w 11
D
•P
May
HERE
�• !,�,! !gip,.
�1:•
_y. ay: ay•
7 1988
y QY• .Y• -eti• a'w: _,:' Jy%•• y.
_ :e
w'
.:e
eti: •y• eti• eti•
ey: eti• b�AMI ey• 1y.,
.�> •i> .�.: fir•.
.; •_.•, •_.a ...
e:
.e. .e
R.B.
A
:
. ..) •I I I I •:•.-. � do nrll>K
.. .— ������ 'I ..... i Lim► tank1
iiii111111111���— il (1111iiiiiiiill
' 1ill Ifffff�Kn � li�lli111���� � T �I.
al.ee ro.
am
13 _
_ 1 eewho
_ I
I . III II I i I it Ili)�IIIIi�lll ICI I �
I (I ilill�llili�lill�I I � i _II�IIIil�lllll�lllll�lllll_ ,.�J Ilh IIIII�illll�llili�lllll�lllll�lllll�lllll�lllll�lllll�illli�lllll�lllll�lllll�lllll�lllil�lllll�lilll�lllil�lllll�lllll�lllll�lll � � IIlii�l lll� _
_Ilill�lllll�lllll�lllll�lllll�lllll�lllll�lllil�lllll�l�ll�lllil�. ill , � _
-
N TANK INSTALLATION DET
AIL _
• ' C..
.:Applied.d.lma e c - - "_.. a .. .'
P
i