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Home My WebLink About0048 BEARSE'S WAY - HAZMAT (2) '3oq SMEAD KEEPING YOU ORGANIZED No. 10334 2-153L SUSTAINAEMYBLE MAN RECYCLED MRWiVE CONTENT70°!a Certified Sourcing POST-CONSUMER www.srlptogramAtg SF=90 BBADE W USA GET ORGANIZED AT SMEAD.COM �\ Number Fee 149 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that Hyannis Brake & Auto Repair 42 Bearse Rd., Hyannis, MA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------- ----------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2016 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/2015 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health 'v i Town of Barnstable °FINE lqt, Regulatory Services Richard V. Scali, Director ' '" MASS. E ' Public Health Division s639• �� Atft639. Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-004 Application Fee: $100.00 J _ ASSESSORS MAP AND PARCEL NO. � I DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN I11 GALLONS OF HAZARDOUS MATERIALS 1 FULL NAME OF APPLICANT E Jl.,vot o STUjI c NAME OF ESTABLISHMENT 141,411-W "kI6CA C.t F 6')-b gc4?A-%!j • ADDRESS OF ESTABLISHMENT 'lZ 1 - -5 Z� �'�a{_/ rc�� i wt- O2 e TELEPHONE NUMBER SOLE OWNER: V YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 22 ! STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK Q • SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS Set ✓L� ±Lll -�7 VV\q HOME TELEPHONE# '77 + -c(67 G I`3 J:UiAZAPP.DOC i air Town of Barnstable Office: 508-862-4644 � Fax: - - 4 a . 508 790 630 Regulatory Services Department sARN, RM Public Health Division MASS, Thomas A.McKean, CHO 200 Main Street, Hyannis, MA 02601 Payment Receipt Hazardous Materials Payment received: $100.00 (Check) on 9/3/2015 Permit number: 149 'Check number: 7047 Check amount: $100.00 Name on check: Hyannis Brake And Auto Repair LLC Business: Hyannis Brake &Auto Repair address: 42 BEARSE ROAD, Hyannis s I i ! • • Number Fee 149 THE COMMONWEALTH OF MASSACHUSETTS 100.00 Town of Barnstable Board of Health This is to Certify that Hyannis Brake & Auto Repair 42 Bearse Rd., Hyannis, MA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------ This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2015 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2014 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health t � Town of Barnstable °FZHE t Regulatory Services Richard V. Scali,Director ► Y STAB { S&MASS.LE, ` Public Health Division y� 10� iOrF1 39. ° Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN I I I GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT 9-0 etc , &AW 670AJ NAME OF ESTABLISHMENT YyLV/f/�5 �/ �t'� �`'f�v)r )2ePAW- LC,C ADDRESS OF ESTABLISHMENT 1&,4 ,02401 TELEPHONE NUMBER SOLE OWNER: 10 YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME.ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.X7l 611s'• Y'33 STATE OF INCORPORATION /I'J FULL NAME AND HOME ADDRESS OF: PRESIDENT 4 dcJ,Ap TREASURER CLERK SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS &y11GII1-f A451iO HOME TELEPHONE# ,5��'6�q-�,94 - Q\Application FortnsUHAZAPRDOC Number Fee 149 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Hyannis Brake & Auto Repair 42 Bearse Rd., Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 6/30/2014 unless sooner suspended or revoked. --------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2013 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health c`r Town of Barnstable ofiHE RegulatorY ServiCES Thomas F, Geaier,D3rEdDr 3 agar. Pubb.e Health DITision .9 MASS. 'Thomas McKean,I)irEc#nr 200 Main Strz;ct, Hyannis, MA 02601 F= 5OS-790-6304 Ofica: 5084 2-4b44 Applica1tion Fee: $10U0 ASS-SSORS MP AND PARCEL NO, DA1�' 7 / APPLI -A'TIO FAR PER ' Tn STnR� A�/QR TTrM.T7T iifORE III G_�LLn-NS n-F JIAZA QTJS MATERIALS NAME OF APPLICANT G�W g" 0,4Y0 9 7'' NA�JE OF ESTABLL9EMXNT -DDIISS OF ESTABLLSENE NT TELEPHONE NDyiBZR SOLE owNXl�C-yES NO N L�'APPLICANT IS A PAF>' � N �AND lJoNa ADDRESS OF AU v w q P ART-TNTE+RS: I F APPLICANT IS A CQRPORATION: FEDERAL IDENTIFICATION NO, STATE OF r CORPORATION F ITI�L NAB AND HOMI ADDRESS OF: � , SIDE�i 1T �d w,4a�.d �. r�J�3SE//�� _RE' ;' CLERK SIGNATURE OF APPLICANT F T STRICTIONS: HOt�ADDRESS!f�!!✓H�O�dd�u/'� i F3zdoc/wp/q J Number Fee 149 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Hyannis Brake & Auto Repair 42 Bearse Rd., Hyannis,MA 02601. Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2011 unless sooner suspended or revoked. WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/201 o JUNICHI SAWAYANAGI _,THOMAS A..MCKEAN,R.S.,CHO Director of Public Health M , Town of Barnstable °FtMEti Regulatory Services Thomas F. Geiler,Director ." MAWS. ' Public Health Division •ib39 �0 639 6k Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-004 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE 7 3- y APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT (0lW S 7'LOAI NAME OF ESTABLISHMENT 911,4AJJVIS 149,f 6CC +. v;a l,&cAYWt ADDRESS OF ESTABLISHMENT q-Z 464"c )L6 All _. YN-14 02 c; TELEPHONE NUMBER Sn - 7 7 SOLE OWNER: Y'YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL s . PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: . PRESIDENT TREASURER CLERK SIGNATURE OF APPLICANT • RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# 601�- '6,2 9 1. 2_ Haz.doc/wp/q Number Fee 149 THE. COMMONWEALTH OF MASSACHUSETTS $�oo.00 Town of Barnstable Board of Health This is to Certify that Hyannis Brake & Auto Repair 42 Bearse Rd., Hyannis,MA 02601 J Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------ -------------------------------------- ---------- --------------------------------------------------------------- -------------------------------------------------------------------------------- ----------------------------------------=-------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2010 unless sooner suspended or revoked. WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF, D.M.D. 6/30/2009 JUNICHI SAWAYANAGI THOMAS A. MCKEAN, R.S.,CHO Director of Public Health town ®f arnstable Barnstable o� l � Regulatory Services Department • A� Public Health Division ] 9NAM 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE 6A-4 A0 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANTd NAME OF ESTABLISHMENT Avis t u�o XV,4 ADDRESS OF ESTABLISHMENT 4L 196. ,f 45_ Ad TELEPHONE NUMBER 530 F— Z AS SOLE OWNER:_)(_YES NO 0 IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF AL . PARTNERS: fun ' ; tV W Prn IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT f✓&_.j •/I DO_#JSTdN, p1le 4�H��r°®Od�Cui/�C,�. /�J SEfI✓� /�Ie¢ 076c/g, TREASURER CLERK • SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# Q:\Hazmat\Haz Mat Application2008-DOC C�p Number Fee 149 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health Certify air that Hyannis Brake & Auto Re This Is to C y P 42 Bearse Rd., Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2009 unless sooner suspended or revoked. --------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/08 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health 110 F Town of Barnstable Barnstable Regulatory Services Department :IIARNSI'ABLE, Public Health Division MAM6 q 200 Main Street,Hyannis MA 02601 ATfD A 2007 Off-ice: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME,OF APPLICANT 4 C d, X e0KA13 TD NAME OF ESTABLISHMENT LS �' v de ADDRESS OF ESTABLISHMENT z- TELEPHONE NUMBER S'-DD 775— i 0 SOLE OWNER:_YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION ' FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS 40 GtJ� az2lu�/� J�� HOME TELEPHONE# 22 9 &T,t'L— Q:\Hazmat\Haz Mat Application2008.DOC TOWN OF BARNSTABLE I A UNDERGROUND FUEL AND CHEM I CALF STORAGE REGISTRATION ,AN61INSTALLER INFORMATI10N . C ADDRESS: = '� � MAP NO. J;Q `� PARCEL�.NO. OWNER N ME,7e*:5 .A0 t"?f`' 01STAF)CE VILLAGE: I7! 141�/ � f i INSTALLATION DATE.: lo �� BY: ADDRESS: -! �.�.7----^-"'-" CERT. NO. . cqA`� . .TANK INFORMATION LOCATION OF TANK: /tom CAPACITY ( � G ®� y( TYPE ) AGE t FUE /CHEMICAL v TEStING CERTIFICATION G' .]7PASS C ] FAIL DATE ! LEAK DETECTION C ] CHECKZ-)IF N/A ) TYPE/BRAND 1 Niq ZONE; OF CONTR I BUT I'ON C ] YES C ] NO,, DATE TO E REMOVED; f F1 RE DEPT. PERM.I T,..,.LSSUE. D. C ] YES C ] NO _ DATE CONSERVATION C ]� CHECK IF N/A DATE BOARD OF HEAL_T_H_T_AG,,._N.O..`` PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE+ BACK OF. `HIS CARD A-) l< J/4��z' / v f � rr 'C TOWN OF BARNST'ABLE — UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION OWNER AND INSTALLER INFORMATION ADDRESS: `I `v x(�. ��c MAP NO. �30 PARCEL NO. v r i OWNER NAME: VILLAGE: s �. INSTALLATION DATE: BY: ADDRESS: CERT. NO. 4� ?PoAP 'p IT —17 TANK INFORMATION LOCATION OF TANK: CAPACITY ► TYPE AGE C "�--= FUEL/CHEMICALr 7 (lC._J OIL, TESTING CERTIFICATION E I PASS E I FAIL DATE LEAK DETECTION ly\3 CHECK IF N/A TYPE/BRAND ZONE OF CONTRIBUTION E ] YES E ] NO DATE TO BE REMOVED 7y� FIRE DEPT. PERMIT ISSUED E ] YES 1�� "` NO DATE CUNSERVATION E 3_ CHECK IF N/A DATE BOARD OF HEALTH TAG NO. [ 7 E ]E ]E ]E ] DATE Al 0 'IeA' � PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OFF THIS CARDr I ��\ i ��r �. O Y TOWN OF BARNSTABLE BOARD OF HEALTH CONTROL OF TOXIC AND HAZARDOUS MATERIALS - INSPECTION SHEET FIRM Y ADDRES y' Majo ypes of materials: 1) 2) ��S'�� 3) 4) 5) 6) I. Description of material(s) use: rr II. Storage (denote product by number Misted above) A. Containers m al glass paper plastic cans,bottles,-j ars drums,barrels aboveground tanks " underground tanks bags,boxes open,loose,uncovered inadequate labelling B. Storage Facility Vor.# Remarks/Recommendations 1. Indoor - a) separate, contained room b) stored in general work area i) inadequate ventilation ii) floor drains ® e iii) inadequate fire protection 2. Outdoor a) uncovered, exposed to weather b) pervious surface/catch basins A70 III. Disposal A. Reclamation/Recycling unit B. On-site disposal 1. Town. sewer d'v 2. Regular septic system ✓fir /dl 3. Separate holding tank r'' C. Off-site disposal — � ` 1. hauled by own firm 2. hired.hauler17 ; a) name of hauler b) address or disposal site Person f s) Interviewed: Inspector _/ lG K.r! _ L'f - - - _ - -f-.- � -.- - - - - - Datey'��1 J �! -{� 63: ,, vCitiPLi-f;NCE: b 4 CLASS: ° 1: V..�_iihe,Gas Stations,Repair �_GVViN OF �'r_� t� P163 2. Printers Q satisfactory BO�_�� O . A " ® 3. Auto P.ody Shops 1? 4. Manufacturers , .f unsatisfactory COMPANY (see"Orders") S. Retail Stores 6. Fuel Suppliers ADDRESS:` Class• 7. Miscellaneous QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums AboveTanks UndetgrouHd Tanks IN UT IN IOUT IN IOUT gEllons Age Fuels: 'Gasoline, Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: a waste motor oil (C) new motor oil (C) transmission/hydraulic 7. : ' Synthetic Organics: ; degreasers Miscellaneous: DISPOSAL RECLAMATION REMARKS: 1. Sanitary Sewage 2. WaAr Supply r. Town Sewer O Public 's CTP Gam' 9P . ® On-site ® Private � 3. Indoor Floor Drains: YES NO'+ O Holding tank: MDC Catch basin/Dry well _^.----------------_-----_�.^ 0 On-site system 4. Outdoor Surface drainstYES NO Holding tank: MDC Catch basin/Dry well oOn-site system S. Waste -Transporter Licensed? Name of Hauler_ Destination - Waste Product- .•4 `ems✓�7 4� .. .. ,/�. / !��'/�-,,. "yc . _-—_ �2 23M Person(s) Interviewed Inspector Date - "OWN OF BARNST ' O satisfactory 2. Pri�iiters BOARD OF HEALTH .3i ~Auto Body Shops unsatisfactory- 4. Manufacturers _ -f (see"Orders") S. Retail Stores COMPANY din)'`.,. ':, �.+'��.`' �� 6. Fuel Suppliers ADDRESS 4� vim. �.e s Class: 7. Miscellaneous QUANTITIES AND STORAGE (IN=indoors; OUT=outdoor! MAJOR MATERIALS Case lots Drums AboveTanks Undetground Tanks IN JOUT IN IOUT IN IOUT # L721lons Aze Test Fuels: Gasoline, Jet Fuel (A) •Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers ....................... Miscellaneous: _l DISPOSAL RECLAMATION REW%RKS: yF, LL 1. Sanitary Sewage 2. Wate Supplyw Town Sewer Public OOn site O .Private 3. Indoor Floor Drains: YES j` N w /� 0 Holding tank: MDC _ i OCatch basin/Dry well ' " _ .. _._ __ 1Y y- x(t On-site system . ,. � � A� �-,; , s f 4. Outdoor Surface drains:YES NC O Holdink• tank: MDC \ J O Catch basin/Dry well OOn-site system S. Waste Transporter % Licensed?` Name of Hauler_ .f` ref i vf�,r�ns"" 7 I spec or .I atet u ei X�� V VV(y ...(�I"~t�N� iN5 I J�\t LL- -4-1.1rirciiuic \ rx�sr-o__ � ..- 130ARD OF : I-IL-AL'VH .'atisfactory •, 2• Printers nnuto .rod shops O unsatisfactory- 4. ' Ftanufact�irers COMPIl11Y ;,U,�'�+i.�� see''Orde '� ( rs 5. Reta l.l Stores ADDRESS ��•, .yi; -� 1' .�/e,✓� 6. Fuel Suppliers Class I- 7. Mist llaneous y QUANTITIES AND SIORAGE (IN-indoors; OUT=outdoo t WUR MATERIALS C Case lots Drums Abdve7arrks Undetgtound Tarrks OLL N 6 �ellona tige, ; - Gasollne, Jet Fuel (A) Diesel., -Nerosene, 12 (g) Heavy Oils: — waste motor oil (C) new motor oil (C) — transmission/hydraulic - Synthetic Organics: _ degreasers l \ :.,Flisceilaneous s . IS MA IF I JI ILEtiU�nKS! 1. SanitarySewage r B 2. Water, Supply 0 Town Sewer Public - _ On-site Q ri v 7A, ____=_--�_ 1`•�`'t C'f . 0 r ia tt e � r�'�1�;�,, :l1 �.- ( i 3. Indoor Floor brains! yLS NU 1� V Holding ta.nkt, MUC O Catch basin/Dry well _ Utt-site system 4. Outdoor Surface drainssb'ES NO_` IluldinE• tanks MUC Catch basin/Dry well Un-site system ------- Waste Transporter -_•--- -_ 1Jame of_ Il�r,ier_ � i �L . ' Licensed? ersvn s) nt.ery ew 2 2- _� 7 nspector Into