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Home My WebLink About1676 FALMOUTH ROAD/RTE 28 - HAZMAT (4)�lbgd raPmo"-h P. P., 0.U-wcj;([e, e4�3� / _ C INE l°k� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARNSTABLE.� 200 Main Street• Hyannis, MA 02601 t639• TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rE0 MAy a Business Name: w Date: Location/Mailing Address: Contact Name/Phone: LorAx6 K0 —I Inventory Total Amount: SDS: no `I�lp �J License#: 1-`97 Tier II : k Labeling: --m6kA Spill Plan: LieA Oil/WaterSeparator: Floor Drains: �� Emergency Numbers: Storage Areas/Tanks: Emergency/Containment E u'pment: e Waste Generator ID: NVA J 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 h. 11 C 1 Section 31 of the General Laws of MA hazardous material use storage and disposal of 111 gallons or more requires a license fro the Public Health Division. Antifreeze ry 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 V. 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 V Miscellaneous Combustible aint&varnish removers, deglossers Leather dyes iscellaneous Flammables v 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 °FIKE roe, Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • "MASS. 200 Main Street• Hyannis, MA,02601 1639. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: mq < -j' �� Date: 27 Location/Mailing Address: �t a.l Contact Name/Phone: .5-1'ev� L ic.t a --7 T l - o2S� �•. � �� Inventory Total Amount: A- I(A Q4.1 MSDS:`tbo License#:-<i3bC=I Tier II : 0 Labelin : feka�l kkVAk\- Spill Plan:- 6 DoSk Oil/Water Separator: Floor Drains: 0 0 Emergency Numbers: Storage Areas/Tanks: 0 oA'k%x 0\J4W a &A 5' 4,l *Gov-gyp, U4-.,r pK, g tk-,e Emergency/Containment Equipm nt: 6W6-1k03A,(— oK 5 Waste Generator ID: MA 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 t-1 Other cleaning solvents&spot removers 51,4 1Z Engine and radiator flushes Bug and tar removers �7 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&gar es il, Pesticides: Caulk/Grout/aA�5,V65 Iax � �3 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: 4a C6 uG \ "hvs ,` xo,,- co\JW Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Date: Z/Z�/ TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS R5Zffiffl0M0N FORM NAME OF BUSINESS: wc)�.�% BUSINESS LOCATION: 162>0 INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: S -7?1-02<(o -- oat CONTACT PERSON: S5�&Je. EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: Q\oot, -3r +o cegoest- '-�o INFORMATION / RECOMMENDA IONS: 24 CovNk�� 0,6 110 1 �s 11 Fi^re Di rlct: �Jlrc v` .no� \h JhR, , O at'd"'A <-Q_q Q\,Ca ak Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel,kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) 'I�} Caulk/G rout rc16A wee P -V a-f Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's 117 Paints, varnishes, stains, dyes I� Other chlorinated hydrocarbons, l Lacquer thinners � (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels 4 (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous(please list): Metal polishes Laundry soil &stain removers O 5 (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials J Number Fee 1247 THE COMMONWEALTH OF MASSACHUSETTS $so.00 Town of Barnstable Board of Health This is to Certify that Coachlight Carpets, Inc. 1680 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 ti Town of Barnstable Inspectional Services BARNSTABLE ��ZHE Tn. euusrne=-a:r : .cwrt.x-+aum Public Health Division ::1,]9 WPSTC'u b1S.v39-'li1,1-'n_'f3wLS:SE 577014NO ,ram i BARNSTABLE, • �JO MASS $ Thomas McKean, Director 1639 200 Main Street' Hyannis,MA 02601 Tf0 MPS Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE W7 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 0th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 FIST Fj 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. �709y o63 2. IS THIS A PERMIT RENEWAL? A 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: S9Y-�)Mptn l . c�c ruv► i 5. NAME OF ESTABLISHMENT: &4agcI4 4Z Gj4/',04-15 6. ADDRESS OF ESTABLISHMENT: . /*7U U7Z►- G' 64eYyvdc W4 0202- 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: I 9. EMAIL ADDRESS: L4D,t cl1/%C�ds- a c-/,o hoo. C rr"n 10. SOLEOWNER: AYES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT gfleA, ila. LPL,a a i TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: • SIGNATURE OF APPLICANT.,a�l DATE Q\Application Forms\Haz Mat App Revised 09-10-18.docx r Number Fee 1247 THE COMMONWEALTH OF MASSACHUSETTS $so.00 Town of Barnstable Board of Health This is to Certify that Coachlight Carpets, Inc. 1680 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 �1 f 9 Vwofor Brnsxable L-f 3 01 eg atory ervlces Richard V. Scali, Director MA Public Health Division BARNSTABLE BAMnABM Thomas McKean, Director WIS10n5Mi131639 0 4��SAAW M� 200 Main Street;Hyannis-MA 02601--- Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY lst-JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00 V'$ . 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? J% 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: �7.ep heiq Lv cl ug n d 5. NAME OF ESTABLISHMENT: l:6dc d �//�p�c► 6. ADDRESS OF ESTABLISHMENT: , wka 0d &244/1 &4 026,77- 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: s!5i2,P 22 QZ 9. EMAIL ADDRESS: 10. SOLEOWNER:AYES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE,#OF: CORPORATION NAME �,9�Gi(� /�i� -f PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANTZaza- DATE Q\Application Forms\HAZMAT APP 2017 REVIS . ocx Number Fee 1247 THE COMMONWEALTH OF MASSACHUSETTS $so.00 Town of Barnstable Board of Health This is to Certify that Coachlight Carpets, Inc. 1680 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. 9 --------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF, D.M.D. 07/01/2016 JUNICHI SAWAYANAGI kz THOMAS A.MCKEAN, R.S.,CHO Director of Public Health t L 3 Town of Barnstable Regulatory Services Richard V. Scali, Director C 8AR AW Public Health Division BAMS �M�MukBLE 1639. �0� na"ev"w's s0 ns�Inn'�i � 1639-2014 f� Thomas McKean, Director �� 200 Main Street,Hyannis,MA 02601 \ a Office: 508-862-4644 ` Fax: 508-790-6304 IV ' W . 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 FULL NAME OF APPLICANT: NAME OF ESTABLISHMENT: 001V D/ �1�/�JJ >//C ADDRESS OF ESTABLISHMENT: MAILING ADDRESS (IF DIFFERENT): TELEPHONE NUMBER OF ESTABLISHMENT: 6 7 71 EMAIL ADDRESS: cld�./G-1S�T�CI��'✓e�3 , CU SOLE OWNER: AYES NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE# OF: CORPORATION NAME C0l)CO416Hr C4JZPer-r AhYC. PRESIDENT 97,eP#bVY k0eJJ9hi TREASURER d 12� rP#51Y 1.v 61, Vv1 CLERK STF'P .lf01Y 4 VC/,gee • IF PREPARED BY OUTSIDE PARTY: SIGNATUP OF PPLICANT Name: Company Address : Telephone#: Email: Q:\Application Forms\HAZZAPP Revl6.docx Page 1 of 2 Number Fee 1247 THE COMMONWEALTH OF MASSACHUSETTS $50.00 Town of Barnstable Board of Health This is to Certify that Coachlight Carpets, Inc. 1680 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 ?'60;8 L E OZ 60 DO. Number Fee 1247 THE COMMONWEALTH OF MASSACHUSETTS $so.00 Town of,Barnstable Board of Health This is to Certify that Coachlight Carpets, Inc. 1680 Falmouth Road, Centerville, MA Is Hereby Granted a License For: Storing or Handling 26 - 100 gallons of Hazardous Materials. ----------------------------------------------------------------------------------------------------------- ---------------------------------------------------- ---- ----------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2018 - unless sooner suspended or revoked. --------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2017 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health P W,4 OZ l TRownnof Barnstable / eg atory ervices t� Richard V. Scali, Director� r� Public Health Division BARNSTABLE • BPRC5TAHIF•iN+tFAVit •CONIT•HYnAt:15 � NARSIry:S HILLS•CKIEIVILLE•Vh51 Pi?x5fttl:E �NE'ABLE, Thomas McKean, DirectorNLAS& 1639-2014 '°Tec 039. s`0� 200 Main Street, Hyannis,MA 02601 M Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE X_ 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). b/ APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 C V' 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 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: STc� /1-c H /, yC f qh/ 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: ,rg`yv d rlo( 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: ��Y 7 7/I Oz 5-4 9. EMAIL ADDRESS: CC�I�C= /�//7`�3/L/�ErS �� ,/rljoD Cy"I 10. SOLEOWNER: P'.*YES_NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME �Or7cy//esitr' C� Frs — SO v e as cr syve PRESIDENT Sj ZF PWt. iy t,vc/ 0,"1 ;•3 *,5,,V/ey an. eeng-' jF TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: L11 TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT . ATE G 6' Q\Application Forms\HAZMAT APP 2017 REVISED.docx