HomeMy WebLinkAbout1620 FALMOUTH ROAD/RTE 28 - HAZMAT /�3g �c�lmac�i �., CRn�udl�
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TOWN OF BARNSTABLE BAR
-W
Ordinance or Regulation
WARNING NOTICE
Name of Offender/Manager "' % ` i
Address of Offender MV/MB Reg. #
Village/State/Zip j
Business Name m`/pm;. on- 7/7'�' 20
Business Address pile ���\-4
Signaturelof/Enforcing Officer
. Village/State/Zip �
Location of Offense
Enforcing Dept/Division
Offense P&-,rA4-kZ-AJ VIA A+-,0-T c, 16-P-Vt k 101,-`}")0VL 0
Facts Lire l0?�-ko . 4EV'-c—J 1 �GL>Ul���c �t)rTV�IV. - J k Silt
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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 inappropriate legal action by the Town.
WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFER. GOLD - ENFORCING DEPT.
TOWN OF BARNSTABL
Ordinance or Regulation BAR -W 6024
WARNING NOTICE
Name of Offender/Manager
of
Address of-Offender MV/MB.Reg. #
Village/State/Zip J
Business Name �- f "�-�--i ��7 -� i rl ' '' /am/pm; _on 2010
Business Address ,? �---
Signaturd of�Enforcing Officer
Village/State/Zip ;f-Vt
Location of Offense
l Enforcing Dept/Division
Offense Jcl � d -C—L {c ��-� c".+� 11 lit-e ,tt� se eV 1 ��Ir' r�..`�''0VL
Facts
. .. �f�i L' 1U�5-jc . 1 "V'Jo } ,l_ b� 1.ati` ty�. '} iy',�btC!a eo f
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 OFFER GOLD- ENFORCING DEPT.
°p{ME TOk Town of Barnstable Office:508-862-4644
Public Health Division Fax:508-790-6304
�RAR.Sq E.�' 200 Main Street• Hyannis, MA 02601
�AfFOMA��`0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT
Business Name: Cefgfrjle. r Date:
Location/Mailing Address: ,i-I
Contact Name/Phone: 7N- S5L)-- i
Inventory Total Amount: MSDS: License#:
Tier II : d V Labeling: Spill Plan:
Oil/WaterSeparator: t Floor Drains: IVOJ Emergency Numbers:
Storage Areas/Tanks: VIM
Emer enc /Containment E ui m t: o
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 n0 C ,,
NOTE: Under the provisions of Ch. 111, Section 31, of th�Mal�Laws A, 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:
Facility Representative:
WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS wvo
Number Fee
1313 THE COMMONWEALTH OF MASSACHUSETTS $5o.00
Town of Barnstable
Board of Health
This is to Certify that Tedeschi Food Shops (7-Eleven) Store #37410
1638 Falmouth Road, Centerville, MA
Is Hereby Granted a License
For: Storing or Handling 26 - 110 gallons of Hazardous Materials.
l�l --- ------------------ --------------- ------------------- - --------------------------------------------------------------
l� ------------------------------------------------`--------- ----------------------------------------------------------------- -.-------------------------------
This license is granted in conformity with the Statutes and ordinances relating there to, and
v 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
�� 10 •
Tow of Unstable
egaatorvlces
THE Richard V. Scali, Director m f
o Public Health Division BARNSTABLE
� 9n4N5i4tllF•i.ExfENVILLi•COiUii•HYnS'i:15
• ■ARNSTABLE, ' Thomas McKean Director HR5145 HW5ILLF•YIiSf PS?Nif592 �
9 MAgg q ) 1639-1639-2014
�OTp16 A 0 200 Main Street, Hyannis,MA 02601 575 �
�.a
T1
Office: 508-862-4 Fax: 508-790-6304 �
APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE =�
HAZARDOUS MATERIALS Cri
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). �'
-31 � APPLICATION FEES
CATEGORY 1 PERMIT 26— 11O Gallons: $ 50.00 �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. R E C E I V E D'
1. ASSESSOR'S MAP AND PARCEL NO. ± i;. , - 2217
2. IS THIS A PERMIT RENEWAL? V YES_NO. IF YES,SKIP QUESTION 3. LICENSE DES T,
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:
Tedeschi Food Shops (7-Eleven) " ��Q
1638 Falmouth Road
i
6. ADDRESS OF ESTABLISHMENT: Centerville, MA 02632
7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: ' Q V
8. TELEPHONE NUMBER OF ESTABLISHMENT:
9. EMAIL ADDRESS: ► ' ``� J2 � 1 L D ✓�
10. SOLEOWNER: YES N IF NO,NAME OF PARTNER:
11. FULL NAME,HOME ADDRESS, TELEPHONE# F:
CORPORATION NAME, e
-SU � vvA
TREASURER
CLERK
12. IF PREPARED BY OUTSIDE PARTY:
NAME: TELEPHONE#:
COMPANY ADDRESS EMAIL:
SIGNATURE OF APPLICANT DATE l a (gyp t O
Q:\Application Forms\HAZMAT APP 2017 REVISED cx
01 ,
Number Fee
1313 THE COMMONWEALTH OF MASSACHUSETTS �so.00
Town of Barnstable
Board of Health
This is to Certify that Tedeschi Food Shops (7-Eleven) Store #37410
1638 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
i
� f
r yvIGI, Led S)ults b%3
' owrl�of Unstable b 212.
egu atory ervices
Richard V. Scali, Director
t KME
t �, Public Health Division BABST ,BLE pp5
� CA»YS'�..5{tt3R_.0.1YiY Chi f4-n*A.A"5 �1�
'b4S"6'&4Lt'^tfi RRWJtE-jS3•6 ¢S1tSP
BARNSTABLE. " Thomas McKean, Director
MAS8.
s639• �0
200 Main Street, Hyannis,MA 02601 i
Office: 508-862-4644 Fax: 508-790-6304
APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE f, 1
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 �c (Ji
ANNUAL PERMIT(RUNS JULY 1 st—JUNE 30th).
a
APPLICATION FEES �, 40,
CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 C
CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑
CATEGORY 3 PERMIT 500 or more Gallons: $150.00 . ❑
*A late charge of$10.00 will be assessed if payment is not received by July 1st.
1. ASSESSOR'S MAP AND PARCEL(NO.
2. IS THIS A PERMIT RENEWAL? - YES_NO. IF YES, SKIP QUESTION 3.
3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS
ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF
GREATER THAN HOUSEHOLD QUANTIT..IIErES (25 GALLONS)? YES NO.
4. FULL NAME OF APPLICANT: :��W
5. NAME OF ESTABLISHMENT: —'� `wt� S�LH y�
6. ADDRESS OF ESTABLISHMENT:
7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: A� Ids �3
8. TELEPHONE NUMBER OF.ESTABLISHMENT:
9. EMAIL ADDRESS: 01
,(�'.�C:'
10. SOLEOWNER: YES 11V0 IF NO,NAME OF PARTNER:
11. FULL NAME,HOME ADDRESS, D TELEP ONE#OF:
CORPORATIO,N,_NAME C
PRESIDENT
TREASURER
4 R svp
12. IF PREPARED BY OUTSIDE PARTY:
NAME: TELEPHONE#:
COMPANY ADDRESS EMAIL:
SIGNATURE OF APPLICAN DATE
'!" C:\Users\Decollik\AppData\Local\Microsoft\Windows\7'.Oc po a Internet Files\ ontent.0utlook\BMQD49H2\HAZMAT APP 2017 REVISED.docx
°p IKE ro Town of Barnstable Office:508-862-4644
• °� Public Health Division Fax:508-790-6304
• BA MAC LE.$ 200 Main Street• Hyannis, MA 02601
�"IED MA'�p`0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT J
Business Name: ►eaQeSe-n.► 7FoeeQ S"° 5 Date:
Location/Mailing Address: I Vb?7 Ga Z R- tit e} ,J,\ e
Contact Name/Phone: 7 a G J&sU
Inventory Total Amount: .� ��Dolb DS: License
Tier II : o Llbelina: a Spill Plan: DK
Oil/WaterSeparator: N Floor Drains: d Emergency Numbers:
Storage Areas/Tanks: itVVV- \ n.\
Emergency/Containment Equipment: s ,(✓1�� Cow�q��u.r
Waste Generator ID: P�I& 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.
1� Antifreeze 1� Dry cleaning fluids
Automatic transmission fluid Other cleaning solvents&spot removers
Engine and radiator flushes Bug and tar removers kvl�jorer`1
Hydraulic fluid (including brake fluid) S- t Windshield wash i o 9-1 Gl 1V7
I- Motor oils 7- Miscellaneous Corrosives
Gasoline,jet fuel, aviation gas Cesspool cleaners
Diesel fuel, kerosene, #2 heating oil Disinfectants y
Miscellaneous petroleum products: po Road salts C-00 110
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
t Miscellaneous Flammables 1% Fertilizers
Floor&furniture strippers 1 PCB's
Metal polishes Other chlorinated hydrocarbons
Laundry soil &stain removers 5 (including carbon tetrachloride)
(including bleach)y Any other products with "poison labels"
(including chloroform, formaldehyde,
hydrochloric acid, other acids)
VIOLATIONS:
ORDERS:
INFORMATION/RECOMMENDATIONS: -L 1-r I A.0 006 e, Y•4- c.2x�K— I
inspector:
Facility Representative:
WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS
r
TOWN OF BARNSTABLE BAR-W
Ordinance or Regulation
WARNING NOTICE
Name of Offender/Manager
Address of Offender MV/MB Reg. #
Village/State/Zip
Business Name am/pm, on 20_
Business Address
Signature of Enforcing Officer
Village/State/Zip
Location of Offense _
Enforcing Dept/Division
Offense
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.IREG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT
TOWN OF BARNSTABLE BAR-W !
Ordinance or Regulation
WARNING NOTICE
Name of Offender/Manager - ;
Address of Offender MV/MB Reg.#
Village/State/Zip
Business Name r•-j r•- r am/pm, on 20 E-7
Business Address ,/
Signature of Enforcing Officer
Village/State/Zip
Location of Offense---!-'-.,
lE l
Enforcing Dept/Division
} 1 t
Offense 1t , r - .{
Facts ' -� . ,r + 1 - t•i s� �. d
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.
e;
Number Fee
1313 THE COMMONWEALTH OF MASSACHUSETTS $50.00
Town of Barnstable
Board of Health
This is to Certify that Tedeschi Food Shops (7-Eleven) Store #37410
1638 Falmouth Road, Centerville, MA
Is Hereby Granted a License
For: Storing or Handling 26 - 100 gallons of Hazardous Materials.
------------------------------------------------------------------------------------------------------------------------------------- -------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------
This license is granted in conformity with the Statutes and ordinances relating there to, and
'and expires 06/30/2017 unless sooner suspended or revoked.
---------------------------------------
PAUL J.CANNIFF, D.M.D,CHAIRMAN
DONALD A.GUADAGNOLI,M.D.
07/01/2016 JUNICHI SAWAYANAGI
THOMAS A.MCKEAN,R.S.,CHO
Director of Public Health
� I .
V
ls�
�O
_C0
5*vr e 3 7'i 0
Town of Barnstable
z Regulatory Services
Richard V.Scali,Director
""R°S"B'$ Public Health Division BARNSTABL
.s
n {', Thomas McKean,Director. " 4
200 Main Street,Hyannis,MA.02601
O Rce. 50$-862-4644 ^ "05 rl� 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 1st—JUKE 30th).
• APPLICATION FEES
CATEGORY 1 PERMIT 26—110 Gallons: $50.00i�.
CATEGORY 2 PERMIT 111—499 Gallons: $1 25.00 ❑ �6b 2-I'IC'4 l3�
CATEGORY 3 PERMIT 500 or more Gallons:$150.00 ❑
A late charge of$10 00 will be assessed if payment is not received by Julyi Ist.
ASSESSORS MAP AND PARCEL NO.� DATE
FULL NAME OF APPLICANT:
NAME OF ESTABLISHMENT: ( �1 n- �
ADDRESS OF ESTABLISHMENT: J QV I fet A.
MAILING ADDRESS(IF DIFFERENT): Rivtj
TELEPHONE NUMBER OF ESTABLISHMENT:
EMAIL ADDRESS: ® 1 It C
SOLE OWNER:—YES—NO IF NO,NAME OF PARTNER:
FULL NAME,HOMIE ADDRESS,AND TRI. P� ��_��
CORPORATIO M AE, IInP� '
TREASURER
CLERK
• IF PREPARED BY OUTSIDE PARTY:
T QF• ICANT Name:
Company Address:
i1(,�pti(pGtV Telephone#:
b Sw/64 SCE Email:
QA1Applicaf on Fomis1HAZZAPPReY16.dorx Page 1 of2
y TOWN OF BARNSTABLE BAR--w 5195
Ordinance or Regulation
' WARNING NOTICE
i
Name of Offender/Manager_ 17�r
Address of Offender MV/MB Reg.#
Village/State/Zip
/� S1�
Business Name�J24esck r �'foo a q oa pm, on Z z3 20!7
Business Address �o 4:;_) i19,RA
Signature o nforcing Officer
village/State/Zip Cew1- ✓�l�e-- 2 32-
Lgcation of,Offense cJ�[ `ell
,r �Enforcing Dept/Division
Offense Vlo�a��oweir (U ora Vie Cr>✓ e� 7�kwo2� ri� OKS d
AA
Facts �/t�af M14a•T2-!'ram. S I A 1/ r� ! S D 4tit
(i�•Lvt W,�'Vl.,x. 5� �5,�-t55 Goa 5.
This wall serve only as a warning- At this a 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.
w
•
•
THE fOk'� Town of Barnstable Office:508-862-4644
Public Health Division Fax:508-790-6304
BARMASS. 200 Main Street• Hyannis, MA 02601
1639.
�ArFOMA'� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT
Business Name: 4nio&/TO,5 Wi Date:
Location/Mailing Address: 1,b 91 FAM OUA TX1 Lvkc& 102 A 2
Contact Name/Phone: 77
Inventory Total Amount: MSDS: 0 License#: 13YI
Tier II : ho Labeling: Spill Plan: 2
Oil/WaterSeparator: M/A Floor Drains: N Emergency Numbers: JJ
Storage Areas/Tanks: gployq q
Emergency/Containment Equip ent: b
Waste Generator ID: Waste Product:
Date&Amount of Last Shipment/Frequengy:
Licensed Waste Hauler&Destination:
Other Waste Disposal Methods:
r
LIST OF TOXIC AND HAZARDOUS MATERIALS fiO C)ILLI, Ih�
NOTE: Under the provisions of Ch. 111, Section 31, of the G�heral Laws of , 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: 3 i ;Ve-
Inspector:
Facility Representative:
U-L/V
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS
�� �atrr 2.�9�or3
�¢.a..�P-tnAll4 — -�z
� � ��.
f
/i
IKE rokti �4-A ! ��2�> Town of Barnstable Office:508-862-4644
Public Health Division Fax:508-790-6304
BARN ABLE.
MASS. �, 200 Main Street• Hyannis, MA 02601 —6`5
i6yq TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT
RFD MP'�
Business Name: vtvt ov G.T+o�S S 4� oYL- Date: 2 3 7
Location/Mailing Address: /& Sa f4./ o,.)
Contact Name/Phone: °`+.e-v + 2 r'---V So 9 -?7 - C'- o<YKA 41ejK5oYl
«-z.ol a Ss 0-%r sog- -z33q } I AInvento Total Amount: 41 a.l SDS: Pi II vxv�' F cw�l� }"ems License#: N�
Tier I[ : o Labeling: OK c-vw� Spill Plan.
Oil/WaterSeparator: t 1C Floor Drains: N o Emergency Numbers:
Storage Areas/Tanks: Iq,, f,049o�5 atc mA,A 512� o� 5,*k�
Emer enc /Containment ui ment:
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 I Miscellaneous Corrosives
Gasoline,jet fuel, aviation gas Cesspool cleaners
Diesel fuel, kerosene, #2 heating oil I 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 1 �e�toSo1 S
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)
1 (including bleach) 1 Any other products with "poison labels"
Aeeti\ 01 51,.. + re,,,,`Q,Q�,Cg (including chloroform, formaldehyde,
t Col P�_ hydrochloric acid, other acids)
VIOLATIONS: -►dam-ma's �21-t N2 -IS Slnc�,N.�bo^5� Coo+ .{,oti�a-5 S-i t O
ORDERS:
INFORMATION/RE-COMMENDATIONS: w J dovt. VA o,rs I yvt aLik re—
D v5 va-esI , S AA- o-e 4 M- I _ 2.-12_ -
ef-C - `Q �-eAspector:
I ,,10 Facility Representative:
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS U uy\!�
f
pFtME lay, Barnstable
Town of Barnstable ,
Ar b MASS. �,�� Board of Health
f� ►� 200 Main Street, Hyannis MA 02601
2007
Office: 508-862-4644 Wayne Miller,M.D.
FAX: 508-790-6304 Paul Canniff,D.M.D.
Junichi Sawayanagi
Public and Environmental Health Program
Policies, Procedures, and Guidelines
Tight Tanks at Beauty Salons and Barber Shops No. 2010-06
[The State Environmental Code, Title 5, 310 CMR 15.000, prohibits the discharge of beauty
salon/barber shop industrial waste into an onsite sewage disposal system and requires that this
waste be discharged into a holding tank. This policy only applies to beauty salons and barber
shops which are connected to onsite sewage disposal systems.]
On June 8, 2010 the Board of Health voted to issue the following policy relating to hair
salons and barber shops:
1) Every owner of:
• any new hair salon or barber shop,or
• any existing hair salon or barber shop which is seeking approval to install additional
seats, or
• any salon or barber shop where the onsite sewage disposal system fails a sanitary
inspection,or
7 0 any salon'or barber shop that has a change in ownership, or
• any salon or barber shop operation that has a change in licensure.
and which is connected to an onsite sewage disposal system shall submit plans for an
industrial waste holding tank. The plans shall be submitted prior to opening for business,
installing additional seats, or upon discovery of a failed onsite sewage disposal system,
change in ownership, or change in licensure. The plans shall be prepared by a
professional engineer, designed in accordance with 314 CMR 18.00, and shall be
submitted to the Department of Environmental Protection and to the Public Health
Division Office,at 200 Main Street Hyannis Massachusetts.
.2) All hair salon and barber shop holding tanks shall be installed in accordance with the
approved plans prior to opening for business, prior to installing any additional seats, or upon
discovery of a failed onsite sewage disposal system, change in ownership or change in
licensure.
Q:Policies\TightTanksatBeautySalonsand Barbershops Revised 6/12/2010
3) Any sink, which is connected to the approved holding tank, shall be designated as a
hazardous materials/chemical discharge sink. Clearly visible, permanent signs shall be
posted at the designated sinks indicating that any and all potentially hazardous materials
and chemicals shall be disposed of into this sink Signage at other sinks, at the same
facility, shall also be posted clearly indicating that no employee(s) shall discharge any
potentially hazardous materials or chemicals into these sinks. Each sink shall be posted
separately.
Wayne Miller,M.D.
Junichi Sawayangi
Paul Canniff,DMD
Q:Policies\TightTanksatBeautySalonsand Barbershops Revised 6/12/2010
I1o58 Fci4�ma�4. Pam_ , (o,�ter��le,
44gZ�t�ce..4—
°FIB►ors Town of Barnstable Office:508-862-4644
Public Health Division Fax:508-790-6304
• BARMS�LE.$` 200 Main Street• Hyannis, MA 02601
oMA+ TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT
Business Name: Jam' SS 1 /�a, I Date: Va 7
Location/Mailing Address: 1 6 513
Contact Name/Phone: A&A SOS-$62 -023-7 ��o�v�g �n�wA_
Inventory Total Amount: < ) SDS: 40 o b�a�w License#: N lA
Tier II : o Labelin : 'Y- 1C.e. Aa+e- Spill Plan: 0
Oil/WaterSeparator: Floor Drains: 1Jo Emergency Numbers: O3'C
StorageAreas/Tanks: �4k&%nj \ fir.. a,\ f.ovJkA%% _-C$
Emergency/Containment Equipm nt: i'�s Ion s
Waste Generator ID: �r Waste Product: X)I'a
Date&Amount of Last Shipment/Frequency:
Licensed Waste Hauler&Destination:
Other Waste Disposal Methods: ov,-
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) Z Windshield wash + w^„Ax 2.
Motor oils Miscellaneous Corrosives
Gasoline,jet fuel, aviation gas Cesspool cleaners
Diesel fuel, kerosene, #2 heating oil -1 Disinfectants Z
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 ce cka%AA-4, Fertilizers
Floor&furniture strippers \c,o;nP% PCB's
Metal polishes \.Ck!lA C'C'`' Other chlorinated hydrocarbons
Laundry soil &stain removers RV a\\ (including carbon tetrachloride)
(including bleach) M`ho Any other products with "poison labels"
k-ee o (including chloroform, formaldehyde,
!9`5e hydrochloric acid, other acids)
VIOLATIONS:
ORDERS:
7 ca W ,Sv I-e-C e<- N-A t r V.4
INFOR ATION/RECOMMENDATIONS: A'`V._ 'mow Vk�.Jk.c� a, g La'�-� o -e c¢ g
C. aa M_J k t,GeK fir,w,tom. T_-_ a I I Ce�w+a,ru.C 4
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0%_ ag J..e: Cs l l,--e-+,ow qo./ �colv LA
Facility Representative:
O JITE CPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS