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HomeMy WebLinkAbout0489 BEARSE'S WAY - HAZMAT �-" zV✓-`d_4uaa s!Av :IodaTV T EdioZunW eZQE�suzES I �I Number Fee 1003 THE COMMONWEALTH OF MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that Anchor Design and Pool Corp. 499 Bearse's Way, Hyannis,MA 02601 ------- ----------- -------- ------ --------- Is Hereby Granted a License J 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 6/30/2013 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2012 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health -r Town of Barnstable pfr11HE Tqy, Regulatory Services wl ti Thomas F. Geiler,Director ➢"M ASS.`�� ' Public Health Division y MASS. g, . i639. Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 Z 0 "7 ASSESSORS MAP AND PARCEL NO. 0A A �0 ,2 DATE '' j 2-^t 2 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS if�(!�' 41 FULL NAME OF APPLICANT NAME OF ESTABLISHMENT aj J ft- -DP s(6N 4- Va ADDRESS OF ESTABLISHMENT % 13CI� S Ij TELEPHONE NUMBER / 7 rc:,Z'7&' SOLE OWNER: YES_C NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: -� IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.0 7 22''C,2- STATE OF INCORPORATION A5 S 4-GA(A Z9 S FULL NAME AND HOME ADDRESS OF: PRESIDENT—f IoMA- �✓ bus — 14-3 1. ff t(Z- 0-04 r�, 2� - �JCNrU�s�O�, NSA 0 2�39 TREASURER — CLERK SIGNA OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# Haz.doe/wp/q BioGuard MSDS Index Alphabetical Prod. # Doc. # Product Marne Rev. Date BB1026708 126708 Accu-Demand30 Dosing Reagent Powder Pillows 2/7/2006 BE1026706 126706 Accu-Demand30 Citric Acid Powder Pillows 2/7/2006 BB1026705 26705 Accu-Demand30 Potassium Iodide,Powder Pillows 02/070/6 BB1026704 126704 Accu-Demand30 Titrating Solution 2/7/2006 BB1036050 136050 Bermuda Blue Bactericide Concentrate 10/26/2005 B81021618 121618 BioGuard 1"Tablets 2/22/2005 BB1021614 .121614 BioGuard 1"Tablets Type E Canister 2/22/2005 BB1021612 121612 BioGuard 1"Tablets Universal Canister 2/22/2005 BB1021711 121711 BioGuard 3"Tablets 2/22/2005 BB1026682 126682 BioGuard Acid Reagent 2/7/2006 BB1023060 123060 BioGuard.Algae All 60 10/26/2005 BB1023500 123500 BioGuard ALGAE Banish 10/27/2005 BB1023514 123514• BioGuard ALGAE Optimizer Plus 10/27/2005 BB,1023107 . 1.2-3107 BioGuard ALGAE Spot Kill 2/22/2005 BBI023032 123032 BioGuard Algicide 28-10 10/24/2005 BB1023040 123040 BioGuard Algicide 28-40 6/20/2005 BB1023630 123630 BioGuard Alkaline Surface Cleaner 6/6/2000 BB1023642 123642 BioGuard AntiFoam 7/19/2000 B131023010 123010 BioGuard Assist 8/28/1997 B61023006 123006 BioGuard Back-Up 6/17/2005 BB1026265 126265 BioGuard BackUp Reagent#1 8/15/1997a BB1026266 126266 BioGuard BackUp Reagent#2 8/15/1997 BB1026267 126267 BioGuard BackUp Reagent#3 8/15/1997 BB1023406 123406 BioGuard Balance Pak 100 9/7/2001 BB023350 123350 BioGuard Balance Pak 200 3/17/2003 BB1023435 123435 BioGuard Balance Pak 300 4/6/2000 BBI050001 150001 BioGuard Bermuda Blue 10/26/2005 BB1022023 122023 BioGuard Brominating.Tablets 10/31/2005 BB1022835 122835 BioGuard Burn.QuC35 ,3/20/2006 BB1022804 122804 BioGuard Burn`.0ut WP 10/24/2005 BB1022805 122805 BioGuard BurnOu.t,&treme 9/15/2004 BB1026812 126812 BioGuard Calcium Hardness-Reagent#113 9/25/1997 B61026814 126814 BioGuard Calcium':Hardness Reagent#3 8/15/1997 BB1026818 126818 BioGuard Calcium'Hardness Reagent Tablets 8/19/1997 BB1026232 126232 BioGuard Calcium Hardness Tablets 8/l/1997 BB1023647 123647 BioGuard Chem'Ou 8/16/2000 BB1026684 126684 BioGuard Chlorine Demand Iodide Reagent. 2/7/2006 BB1026680 126680 BioGuard Chlorine emand Test Reagent 10/28/1997 BB1023751 123751 BioGuard Cleaner.Kleen It 8/17/2005 BB1026220 126220 BioGuard Copper Tablets 8/12/1997 BB1026840 126840 BioGuard Cnurc:Acid Reagent 8/15/1997 BB1026236 126236 BioGuard Cyanuric Acid Tablets 8/19/1997 BB1026226 126226 BioGuard DPD#1;Tablets 8/1/1997 BB1026228 126228 BioGuard DP.D#3`tablets 8/1/1997 BB1026230 §BioGuard BioGuard DPD#4`tablets 8/1/1997 BBID22821BioGuard EasyShock& Swim 9/19/2003 BB1024265BioGuard Enhanced Winter Shock 10/28/2005 BB1023009BioGuard Erase 11/21/1997 BB1026206BioGuard Iron Reagent 8/12/1997 BB1023750 Kleen-It 8/30/2000 Pagel 4/5/2006 BioGuard A1SDS Index Alphaoetical BB1023718 123718 BioGuard LiquiFloc 7/24/1997 BB1022202 122202 BioGuard Lithium Hypochlorite 3/20/2006 BB1023306 123306 BioGuard Lo-N-Slo 2/17/2006 BB1026216A 1262161 BioGuard Manganese Reagent A 8/15/1997 BB1026216B 1262162 BioGuard Manganese Reagent B 8/15/1997 BB1023154 123154 BioGuard MSA Algicide 10/26/2005 BB1023140 123140 BioGuard Mustard Buster 8/18/2000 BB1023608 123608 BioGuard Off The Wall 9/29/2004 BB1023509 123509 BioGuard Optimizer 9/5/1997 BB1026119A 1261191 BioGuard Optimizer Test Kit Reagent#1 9/24/1997 BB1026119B 1261192 BioGuard Optimizer Test Kit Reagent#2 9/22/1997 BB1026119C 1261193 BioGuard Optimizer Test Kit Reagent#3 9/22/1997 BB1022821 122821 BioGuard Oxidizer Easy Shock& Swim 9/19/2003 BB1022810 122810 BioGuard OXIDIZER Lite 7/1/1999 BB1022841 122841 BioGuard Oxysheen 2/22/2005 BB1023723 123723 BioGuard Pol sheen 11/27/2001 BB1023721 123721 BioGuard Polysheen Blue 11/28/2001 BB1026104A 1261041 BioGuard Pool Magnet Demo Kit-Chlorine Solution 4/28/1997 BB1026104B 1261042 BioGuard Pool Magnet Demo Kit-Iron Salt Reagent 8/19/1997 B61023450 123450 BioGuard Pool Magnet Plus 9/30/2002 BB1021502 123502 BioGuard Pool Pods 10/5/2005 BB1023717 123717 BioGuard PowerFloc 12/16/1997 BB1023640 123640 BioGuard Pro-Dox 7/8/1997 BB1026240 126240 BioGuard Reagent#1 OTO 8/13/1997 BB1026242 126242 BioGuard Reagent#2 Phenol Red 8/8/1997 BB1026244 126244 BioGuard Reagent#3 Acid Demand 8/13/1997 BB1026250 126250 BioGuard Reagent#3B Alkali Demand Titrant 8/15/1997 BB1026246 126246 BioGuard Reagent#4 Chlorine Neutralizer 8/13/1997 BB'1026248 126248 BioGuard Reagent#5 Methyl Orange 8/13/1997 BB1022112 122112 BioGuard SANITIZER CLC WP 10/24/2005 BB1022113 122113 BioGuard Sanitizer CLC2 9/15/2004 BB1022140 122140 BioGuard Sanitizer Everyday Chlorinating Granules 3/12/2003 BB1021053 121053 BioGuard Sanitizer Super Soluble 2/22/2005 BB1023902 123902 BioGuard Scale Inhibitor 8/26/2002 BB1022822 122822 1 BioGuard Smart Shock 8/21/2003 13131021415 121415 BioGuard Smart Sticks 3/2/2006 BB.'022851 122851 BioGuard SoftSwim Clarifier"C 10/28/2005 BB1026281 126281 BioGuard SoftSwim Reagent#1 8/15/1997 BB1026282 126282 BioGuard SoftSwim Reagent#2 8/14/1997 BB1026283 126283 BioGuard SoftSwim Reagent#3 8/15/1997 BB1023457 123457 BioGuard Softswim Stain Control 6/30/1997 BB1023715 123715 BioGuard Sparkle Up 11/18/2002 BB1023106 123106 BioGuard Spot Kill 10/24/2005 BB1023112 123112 BioGuard Spot Kill WP 10/24/2005 BB1023215 123215 BioGuard Stabilizer 100 5/20/2002 BB1023739 1223739 BioGuard Stain Remover 8/15/2000 BB1021316 121316 BioGuard Stingy Sticks 2/22/2005 BB1023650 123650 BioGuard Stow Away 7/24/1997 BB1023756 123756 BioGuard Strip Kwik 7/16/2002 BB1021205 121205 BioGuard Super 90 WP 10/24/2005 BB1021018 121018 BioGuard Super Soluble 10/24/2005 Page 2 4/5/2006 .rr•'l ti BioGuard MSDS Index Alphabetical BB1O26820 126820 BioGuard Total Alkalinity Reagent#1 B 8/15/1997 BB1O26821 126821 BioGuard Total Alkalinity Reagent#2 5/23/2000 BB1O26822 126822 BioGuard Total Alkalinity Reagent#3 8/14/1997 BB1O24254 124254 BioGuard Winter Algicide 40 6/20/2005 BB1O24290 124290 BioGuard Winter Anti-Stain 6/18/2005 BB1O24297 124297 BioGuard WINTER Arctic Blue Algae Protector 10/27/2005 BB1O24296 1224296 BioGuard WINTER Arctic Blue Shock 10/28/2005 BB1O24263 124263 BioGuard Winter Cleaner 7/28/1998 BB1O24258 124258 BioGuard Winter Floater WP 2/22/2005 BB1O24236 124236 BioGuard Winter Shock 10/24/2005 BB1O24257 124257 BioGuard Winter Shock II 3/20/2006 BB1O24291 1424291 BioGuard Winter Winter Algicide 3/27/2003 BBI024295 124295 BioGuard WINTER Winter Shock 2/22/2005 BB1O61552 161552-- BioGuard WTB 28 10/26/2005 BB1O26222 12,6222 Copper Test Reagent: Rochelle Salt Solution 8/1/1997 BB1025208 125208 Cyclone Mineral Cartridge 1/14/2005 BB1025204 125204 1 Cyclone Sanitizer Cartridge 1/12/2005 BB1O23231 123231 Mineral Springs Beginnings 2/24/2003 BB1O23233 123233 Mineral Springs Beginnings (California) 2/24/2003 BB1O23230 123230 Mineral Springs Renewal 2/24/2003 BBI023234 123234 Mineral Springs Renewal (California) 2/24/2003 BB1O42705 142705 Moments Gardenia Walk 4/26/1999 �a BB1O42707 142707 Moments Honeysuckle Breeze 4/26/1999 BB1O42807 1442807 Moments Immerse 4/4/2005 BB1O42709 142709 Moments Moonlight 4/26/1999 BB1O42711 142711 Moments Morning Mist 4/26/1999 BBI042802 142802 Moments Passion 10/8/2002 BBIO42808 1442808 Moments Rejuvenate BBI042804 142804 Moments Retreat 10/8/2002 BBI042801 142801 Moments Revive 10/8/2002 BB1O42713 142713 Moments Sunset 4/26/1999 BBI042803 142803 Moments Tranquility 10/8/2002 BB1O42716 142716 1 Moments Vanilla Tropic 4/26/1999 BB1O43022 143022 Soft Soak Filter Cleaner 9/5/2001 BB1O40000 140000 Soft Soak Sanitizer 6/26/2001 BB1O43006 143006 Soft Soak Shock 7/17/2001 BB1O43010 143010 Soft Soak Stain &Scale Control 7/3/2001 BB1O43014 143014 Soft Soak Waterline Control 7/16/2001 BB1O23792 123792 SoftSwim Absorbing Agent 6/23/1997 BB1O23002 123002 SoftSwim Algicide"A" 6/17/2005 BB1O22856 122856 SoftSwim Assist 4/5/2002 BB1O22858 122858 SoftSwim B 5/9/2001 BB1O22854 122854 SoftSwim Filter Aid 7/8/1997 BB1O22859 122859 SoftSwim Filter Cleaner 8/28/2000 BB1O42280 142280 SpaGuard Accessory Spa Silken 9/30/2003 BB1O42360 142360 SpaGuard AntiFoam 8/3/2000 BB1O42140 142140 SpaGuard Brominating Concentrate 10/26/2005 BB1042110 142110 SpaGuard Brominating Tablets for Spas& Hot Tub 10/31/2005 BB1O42260 142260 SpaGuard Calcium Hardness Increaser 4/6/2000 13131O42020 142020 SpaGuard Chlorinating Concentrate 10/24/2005 ` BB1O42410 142410 SpaGuard Filter Cleaner and Degreaser 7/16/2002 Page 3 4/5/2006 E BioGuard MSDS Index Alphabetical EB1042530 142530 SpaGuard Natural Spa Enz me 5/1/2001 BB1042220 142220 SpaGuard OXIDIZER Enhanced Shock 10/28/2005 BB1042250 142250 SpaGuard pH Decreaser 2/17/2006 BB1042240 142240 SpaGuard pH Increaser 3/17/2003 B61042046 142046 SpaGuard SANITIZER Chlorinating Granules 2/22/2005 BB1042332 142332 SpaGuard Spa Cleaning Mitts 8/21/2003 BB1042340 142340 SpaGuard Spa Polish 7/29/1997 BB1042210 142210 SpaGuard Spa Sentry 3/2J/2001 BB1042540 142540 SpaGuard Spa Shock 3/25/2002 BB1042358 142358 SpaGuard Stain &Scale Control 8/26/2002 B31042335 142335 SpaGuard Surface Cleaner 8/12/1997 BB1042270 142270 . SpaGuard Total Alkalinity Increaser 9/7/2001 BB1042420 142420 SpaGuard Water Clarifier 5/24/2001 BB1042370 142370, SpaGuard Water Freshener 10/1/1997 BB1061744 1&1744 Super Ox-I 10/24/2005 BB1061754 161754 Super Ox-11 10/24/2005 BB1050004 150004 Ultra Sticks 10/26/2005 MSDS's can be obtainedr24 hours a day through the FaxBack System at 1-800-540-7946 . This index is document number 1246 Thank you for choosing BioGuard! Page 4 4/5/2006 Number Fee 1003 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that Anchor Design and Pool Corp. 499 Bearse's Way, 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 p res 6/30/2010 unless sooner suspended or revoked. --------------------------------- WAYNE MILLER,M.D.,rHAIRMAN PAUL J. CANNIFF, D.M.D. 6/30/2009 JUNICHI SAWAYANAGI THOMAS A. MCKEAN, R.S.,CHO Director of Public Health y r` Town ®f Barnstable Barnstable `�� r � Regulatory Services Department �AItNBTAT�LE. ►e�icacv Public Health Division (; 9�A '1639, 200 Main Street, Hyannis MA 02601 r�Bt 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 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICA -�J ' -QSI 6 41 CAA Q. NAME OF ESTABLISHME(1�1 S ADDRESS OF ESTABLISHMENT >G � t j� • TELEPHONE NUMBER S0 & 7 7 sr, 6 2-7�/ SOLE OWNER: YES /No IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALLY PARTNERS: ' '� rpa IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NOV STATE OF INCORPORATIONA FULL NAME AND HOME ADDRESS OF: PRESIDENT 71'[c,,M� A-c k4f'Cg 11-5 i TREASURER CLERK i ® ' SIGNATURE OF APPLICANT • RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# CS 0 FT13 Ste— 7 ,Q:\Hazmat\Haz Mat Application2008.DOC C} Anchor Design&Pool COTWTION t y X 9 z'. Y k Contingency Plan For Pool Chemicals Stored at 499 Bearse's Way, Hyannis MA 02601 General Description of Hazardous Chemicals Swimming pool chemicals for sanitization and chemical balancing, including, but not limited to: chlorine containing chemicals, bromine containing chemicals, various algaecides, etc. Continency Plan 1. Evacuate the area 2. Notify Fire Department 3. I`vTtfy Energericy °Services (91 i) if there is possible exposure R S 143 Upper County Roatl • Dennisport, Massachusetts 02639 508 398 6116 • Fax 508 760 3459 F k x; 499 Bearses Way • Hyannis, Massachusetts 02601 • 508' 778 6278 • 8 Faxr 50 — 75 5245 www anchorpooi cnm ,r s �