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0740 BEARSE'S WAY - HAZMAT
1 c,Y1 csi 20( S M E A No.53LOR UPC 12543 smead.com • Made in USA vgcYQ[,!b _y OM USONIM RODUN WA ISR, " wwwwFOODUKOW GkAC&C%)6W,,6afr , , ha `0*IKE � Town of Barnstable Office:508-862-4644P Public Health Division Fax:508-790-6304 BARMASSBLE. ` I 200 Main Street• Hyannis, MA 02601 t639 0. `0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rF0 MP'� Business Name: S A,66 Dater Location/Mailing Address: 740 ' Se Sn Contact Name/Phone: f d . 6 �20 qw 0 Inventory Total Amount: MSDS: License#: Tier II : Labeling: Spill Plan: Oil/WaterSeparator: KA Floor Drains: 140 Emergency Numbers: Storage Areas/Tanks: Emergency/Containment Equipment: 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 r 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 ItMiscellaneous 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) VAsphalt&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, `I_ "�� " , n� hydrochloric acid, other acids) VIOLATIONS: 10$�� st, j c 63 �&[Js I"t�r'�rviJU�� i 6 'UA11�Y'�, ORDERS: INFORMATION/RECOMyMENDATIO S: o CC 5i r ` Uy. c pp U Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS TOWN OF BARNSTABLE BAR -wi052 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager/ o'(C?10 —'�-OjZ-CK I Address of Offender MV/MB Reg. # Village/State/Zip : Business Name PISS AA, ki 1 . Iq ;m/pm; on Q /A 20 A I Business Address 7'td � $P �/al�► � JSgnature of Enforcing Officer Village/State/Zip Hq"R+ No,1 6o I Location.of Offense ^55 ltAo bo6� c0j py4i f ,� t' — Enforcing Dept/Division . Offense V!06a 11(X) � ~��,1` �ca1 e I L)Ce C i'-nUnt�t C.fC1� Facts bu�IY16� ()\1[W{. t S oFi1?R �S 711U t110(1$ U4 [Ickzcxr ws Maler'CtlS w�Aou+ VcoPe-( I;Q n5incx • r,POl cad}vj)- I het + ref, 1 e�ore 6* 3A This will serve only as aiwarning. 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.-PRQG. PINK.-ENFORCING OFFER GOLD-ENFORCING DEPT. a TOWN OF BARNSTABLE � ,� Ordinance or Regulation BAR -W WARNING NOTICE _ Name.of Offender/Manager ( ce to SOO-ZCK Address of Offender MV/MB,Reg. # Village/State/Zip _.Business.Name tAss Au Beg 1_ 1�Iy am/pm; on 05*1W 20 Business Address } '_ 1--sib of Enforcing Officer .Village/State/Zip l`{tit_N �11,�c�� 1y�c-A60 j Location y of Offense A5� U bo A ''par m f .1 Enforcing Dept/Division Offense VioloAioo 4c&4 C to-6{ L,(eaqe. as cantnaenq Piste 3 x Facts, t�`iiil�s. f1�.1 t i " O�y 1Q 5 �y�tr 71j(? 1llUtl �J 2G Ct�k��i y�1�t jGt� iC1 t } 9(off-( 5Arni+ +_ l t� 6�0(e � 3A 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.'PFIOG. PINK- ENFORCING OFFER GOLD- ENFORCING DEPT. i `pQ ISE A- Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMASS. 200 Main Street• Hyannis, MA 02601 ,bM TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rED MPS 9 Business Name: M.M AV v a Date '11� 1$ Location/Mailing Address: D 9 a vu 5 Contact Name/Phone: J L - Inventory Total Amount: N�i\ SIDS: 06- License#: Tier II : Labeling: 04 Spill Plan: o Oil/WaterSeparator: Floor Drains: Emergency Numbers: Y-es Storage Areas/Tanks: 00*A\±AdAkAw EmergencyiContainment Equipment: 4 h , v A_ Waste Generator ID: Waste Product: baivtV w Date&Amount of Last Shipment/Frequency: 4 2 ,A ,l 11, V5&A Licensed Waste Hauler&Destination: Other Waste Disposal Methods: Am Jmk,-- +S -kZ LIST OF TOXIC AND HAZARDOUS MATERIALS 0 tA&\V 1 Cka� Ivy. k 144 �- NOTE: Unde,the provisions of Ch. 111, Section 31, of the General Laws of VA, hazardous mat rial use, 1►1,5 � 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: J Caulk/Grout',J IA-(4, �u4S�t�n s���a r' 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 yV 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/RECOMMENDAT ONS: ► 1 k5 avcCe -- .9 r S &, kQA l Inspector: ✓ �- �J�-l`'� Facility Representative: 1�� WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS °FINE A Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMS�LE. • 200 Main Street• Hyannis, MA 02601 i639. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT DD Business Name: 5� .(�AAA ��J Date: 1 I t-7 Location/Mailing Address: D t ,n, a VXA Contact Nam Phone: �c�,cc21lcl Sw� -77 -81 --b V8 —Inventory Total A ount: �SDS:Vei - �"��k' License#: labg Tier II NID Labelina: k 64 Spill Plan: 4c> Oe>A Oil/WaterSeparator: Floor Drains: _I�o Emergency Numbers: Storage Areas/Tanks: � `HAIIllk, Emergency/Containment quipment: -kw-xe.\ ovt g�-k Waste Generator ID: 10 5� Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: y`t, e-&V\AA�I to 11���o�n. ,-� W oaf JrZ .,,^wv✓. 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 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/bj>J �lk•2.4 insecticides, herbicides, rodenticides Battery acid``(electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes A,V 01&A, �S Wood preservatives(creosote) Asphalt&roofing tar S�5 taoa Swimming pool chlorine _ko Paints, varnishes, stains, dyes b Cx Lye or caustic soda lh Lacquer thinners 5-k� g<a ��^�F 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: v-L S a1,� �a,�-- Btil, s t-�'�- Inspector: v Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS i °rnKEro Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARNSTABLE. •it MASS. $/ 200 Main Street• Hyannis, MA 02601 For'�p TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: -oJ a v+o -ROXY Date: Location/Mailing Address: "7 4 O t r g k)AV n I S Contact Name/Phone: r62116 o0*7 N/O-S7 Inventory Total Amount: ^ti'so-S�9k MSDS: �°S License#_T Ca 1 Tier II : Labeling: to WA--)-) tI.sf Spill Plan: o S Oil/WaterSeparator: fihA Floor Drains: W Emergency Numbers: Storage Areas/Tanks: 5'f-4 Co, a off' rt►•te� - Ytit c iIf-adr t w*q7W-r; Emergency/Containment quipment: Waste Generator ID: V-7-7114 / S Waste Product: 41H h*L4-r Date&Amount of Last Shipment/Frequency: o i V Licensed Waste Hauler&Destination: o►�t�"ia L'{' �J eaL PAY-be'rs 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 dis osal of 111 gallons o more s r o e requires a license from the Public Health Division. 9 P 9 q 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: ►D Caulk/Grout/ 11-i-r 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 �2 Paints, varnishes, stains, dyes Z�X Lye or caustic soda 15 Lacquer thinners 1 s+ ,oas�� t qa I Miscellaneous Combustible Paint&varnish removers, deglossbrs 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: 7VO f3p%tbooft, O 7— , tda- .1 4 ,S-Sp � O►'l. Ca.� oo�. � S �'�vvt_. Lc,� �v �-�-� o �: /V� ° �a�'�1 I .Kt, �IQ K-fi Inspector: m ket�Lwto,t I%e-.(- a. Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS e: TOWN OF BARNSTABLE Date: s +Dat TOXICAND HAZARDOUS MATERIALS IREGI N FORM NAME OF BUSINESS: S11G24 4!/70 8 Mt A/y Q e-.aj1A BUSINESS LOCATION: 7yQ C 5E122.5E5 wAy INVENTORY MAILING ADDRESS: "I y0 E d ejf 3a S W�+� TOTAL AMOUNT: TELEPHONE NUMBER: 5 D 8 /�� 70?y CONTACT PERSON: L f/GIA NA 4i6 VA EMERGENCY CONTACT TELEPHONE NUMBER: sow 8SR ut il MSDS ON SITE? TYPE OF BUSINESS: I.LV—to 13 p dX A „rD jrEAAj2 INFORMATION / RECOMMENDATIONS: Fire District: 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 Photochemicals (Developer) Miscellaneous petroleum products: grease, e_a I lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink " 'j :w ` Degreasers for driveways&garages Wood preservatives (creosote).) Caulk/Grout Swimming pool chl,rine ? Battery acid (electrolyte)/Batteries Lye or caustic sod Rustproofers Miscellaneous Co bustible rz) Car wash detergents Leather dyes = Car waxes and polishes Fertilizers Asphalt&roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (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 (including bleach) Spot removers&cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash L .� WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS pplicant' Signature Staff's Initials 2241 (p Number Fee 1208 THE COMMONWEALTH OF MASSACHUSETTS $5o.00 Town of Barnstable Board of Health This is to Certify that MS Auto Body 740 E Bearse Is Way, Hyannis,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. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health G4 Town of Barnstable WE t� Regulatory Services ti , °^ Richard V. Scali, Director A C- * snrsxsrne r.E. $r rsass WNSTABLE g Public stealth Division i6 9• 0 eai+.vsno •clHrlrtaue.mmn•marcxs 3 ♦ warms rws•osmrue•wsrew'stns Thomas McKean,Director 1639-2014 r 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 �aP Fax: 508-790-6304 1� 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 3Oth). APPLICATION FEES CATEGORY I TERMIT 26— 110 Gallons: $ 50.00 V.5 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 (06'o FULL NAME OF APPLICANT: NAME OF ESTABLISHMENT: _ j ).U40 ADDRESS OF ESTABLISHMENT: �� ' &E A WA � MAILING ADDRESS (IF DIFFERENT): 7 TELEPHONE NUMBER OF ESTABLISHMENT:` EMAIL ADDRESS: SOLE OWNER: X YES NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER. CLERK IF PREPARED BY OUTSIDE PARTY: SIGNATURE OF APPLICANT Name: Company Address Telephone#: Email: Q\Application Forms\HAZZAPP Revl6.docx Pagel of 2 Town of Barnstable Office: 508-862-4644 Fax: 508-790-6304 ., ; Regulatory Services Department • BA Public Health Division MAMI Thomas A.McKean,CHO oy 200 Main Street, Hyannis,MA 02601 Payment Receipt Hazardous Materials Payment received: $50.00 (Cash) on 6/22/2016 i I { i i Business: MS Auto Body ,Address: 740 BEARSE'S WAY, Hyannis !Note: 740 E Bearses Way; Category I Permit 2016-2017 e J , "il FOIE A Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BAR MASS.BL)g. 200 Main Street•Hyannis, MA 02601 �prFO MPr a,O TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: r a km A , Date: Location/Mailing Address: PCafQc Contact Name/Phone: D — D 37 Inventory Total Amount: MSDS: License#: go Tier II : go Labelina: ZkeS Spill Plan: Oil/WaterSeparator: Floor Drains: Emergency Numbers: Storage Areas/Tanks: Emergency/Containment Equipment: Waste Generator ID: NEW7TU Waste Product: wrAi�—A5� Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Yti" 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 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 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: 0. V Inspector: Facility Representative: .? WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS IKETok4 Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARMASS. 200 Main Street• Hyannis, MA 02601 ArFOMP+�,O TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: UoLi.Lapv Date: 7(I6 !q Location/Mailing Address: W V-0 Contact Name/Phone: SQ i `740 -M77 Inventory Total Amount: Z '>SO SIDS: License#: Tier Id : go Labeling: qis Spill Plan: � Oil/WaterSeparator: N 0 Floor Drains: Emergency Numbers: Storage Areas/Tanks: cmQ44 ]7,S 01 411m LEmergency/Containment Equip ment: D-Waste Generator ID: D Waste Product: 0,�. CA.r��`�ZG Date&Amount of Last Shipment/Frequency: o[ Licensed Waste Hauler&Destination: 0 cav P ther Waste Disposal Methods: twNfV LIST OF TOXIC AND HAZARDOUS MATERIALS Na 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. ntifreeze Dry cleaning fluids EE?Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers ✓ Motor A-lydraulic fluid (including brake fluid) Windshield wash oils Miscellaneous Corrosives Gasoline,jel fuel, aviation gas Cesspool cleaners iesel 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) VAsphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners ✓Miscellaneous Combustible I 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: A e `/ Inspector: Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS r Fn�► Office:508-862-4644 ° ok, Town of Barnstable Public Health Division Fax:508-790-6304 • BARNSTABLE MASS. /g 200 Main Street• Hyannis, MA 02601 t639• ♦0 "rFo +" TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: Q«"e l t I ay._ vo IR-c. a,r Date: I 13 t Location/Mailing Address: y o ar s a r,1►5 Contact Name/Phone: Inventory Tota ^� � � SDS: _D►^� - �S�a�p- ow���- 'Zk O License#:J Tier II : NO Labeling: )4 Spill Plan: dIC Oil/WaterSeparator: WA Floor Drains: 00 Emergency Numbers: ` -e,S Storage Areas/Tanks: 'L-IS aI 5'(-v\o+%v�. S w sk o.1 20 1 „��5 ao. Emergency/Containment E w ment: 5 Lw,rrC1oa a-- w4 Waste Generator ID: y -1gOG�3'l'1 Waste Product: o Date&Amount of Last Shi ment/Fre uenc : ^-274 1 V e -15 4 a I ► S ►to Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS M D via-*\ve lvl %AV-"Jr" 6%VCe- (,L"- IylSyec�-,o,ti . 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 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: RD�ERS: a v)&6-�oA R.e c&v otr S u .r c,I/- - �t 1-\ek-7--A,c It L-.- 5-x<� c-ar a•r A I ,e�e2�z_ INFORMATION/RECOMMENDATIONS: Inspector:- ` , Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS I - °FIB*owe Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARMASS. 200 Main Street• Hyannis, MA 02601 �p�fDMP�°`0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: ���K- ��o �.� a�fI Date: S 1l0 Location/Mailin Address: 40 6- arc �vw►�5 Contact Name/Phone: .A CAD-- v"• o S�D� 7q n -13717 CZY SI-ba - 3.1 ro$-7 3 ag S Inventory Total Amount. ^' to3 iij MSDS: �S _ ` C License#: Tier I[ : Labeling: Q tZ Spill Plan: Oil/Water Separa or: A Floor Drains: Nv Emergency Numbers: A5 Storage Areas/Tanks: 2 1�fkl 9a.�k--�w• �-,� �N� v►a+ �n v5t , ���sl r�►�c ,� <ke a I zo �4I Emergency/Containment E ui ment: (L ke,c, Waste Generator ID: ° ( -� Waste Product: o 4yA,Q e-e�e. 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. 30 Antifreeze 3+9 -t3 k 2° w``�k� Dry cleaning fluids 0 Automatic transmission fluid 1 Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) 1 k Windshield wash Motor oils '3 Miscellaneous Corrosives Gasoline,jet fuel, aviation gas QtkSkt-S Cesspool cleaners Diese-mel, kerosene, #2 heating oil Disinfectants I Miscellaneous petroleum products: I 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 j Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes ti Miscellaneous Flammables 7- 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: INFORMATION/RECOMMEND TION e, e5 0 r w5 0&& Z 6l (T\ k 5o vN" 2o% Inspector: 1 f- 1l�&6t•- otv-t,deQ L.gU-e_� � 1 Vl��� D��(�.(•(,�C,�pp�,,�'�Q V�t,p( q,$ Fac ility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS TIME r°k Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BnRMA�,q 200 Main Street• Hyannis, MA 02601 039. �FDMAy�`� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT / Business Name: 81rksi (ta•� .rho c -% Date: 6 Z 1 r Location/Mailing Address: 4 o 6- 'Z W Contact Name/Phone: 494 = Ca%�log SDP?Qo-137-7 c zll Sob-��S�1- 6573 Inventory Total Amount: MSDS: le-S License#: Tier II : o Labelino: o Spill Plan: - Oil/WaterSeparator: Of& Floor Drains: Q0 Emer enc Numbers: �S Storage Areas/Tanks: t 2 %,n-05-k, 1 -SS 4-1Aim- of & t4 0 t-2o Emergency/Containment Equip ent: " Waste Generator ID: MV 0 Waste Product: w&-5+C 0t Date&Amount of Last Shipment/Frequengy: 5'6 Jed A-y l Licensed Waste Hauler&Destination: AjkobaAqlJ01 J•0A\-- [rWX - ka0, Aobvtw Other Waste Disposal Methods: m sb8m5 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. 25 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 S 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: 045�e. crkowtcs ORDERS: L al1 k 0eamS QOAke, COVAAN 5. Q 5 t asg" oil I b.T6� INFORMATION/RECOMMENDATIONS: o Ce auL,. C e Wa Q. 0,1±2 II -- Inspecto . Facility Representative WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS I Date: -rl /S/ 13 TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS FORM NAME OF BUSINESS: 9947-zha vt, A-A& Re-,Ua,-e, BUSINESS LOCATION: 714 O Cr INVENTORY MAILING ADDRESS: -4a-o< e, TOTAL AMOUNT: TELEPHONE NUMBER: S -7 gp- f 37-7 ft 1 CONTACT PERSON: , Ca-C105, SiwtQo EMERGENCY CONTACT TELEPHONE NUMBER: .SoS 36/ b 2>73 MSDS ON SITE? TYPE OF BUSINESS: r a,,r }yes INFORMATION / RECOMMENDATIONS: asll'� Fire District: w0ML-U'5 6)1 ,D�o w2. • �,b-c. g.11 kct.a,f,:$q-o%-jS was P4 yqo n ►s Go,�-1-a,.1e_cs as " 44 A ZA RbODS W�H STE �ka�" covtSfch�8 —T are- - fog cx-tynpl-e WASiG our:' o-r " wols-rC AA1rp Fi?6E'?-F- Waste Transportation: 1VR900o;eQ933> Last shipment of hazardous waste: Y 23 / 3 Name of Hauler: IQ.ee vw �Destination: uWAvs GJ-ts4e jV.,1;�4 r✓rc� Waste Product: wasf o f/- 8�/gocl jT� Licensed?(9 No �'`�lJd�A�t ff 'gg DDT 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 b Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive LANEW 5-' ASED l Cesspool cleaners (, Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) ,3 Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides /3 Q NEW 3 C0 USED < 1 D (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) Caulk/Grout 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 Paints, varnishes, stains,idyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (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 (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT I CANARY COPY-BUSINESS Applicant's Signature Staff's Initials i, Number Fee 1210 THE COMMONWEALTH OF MASSACHUSETTS $so.00 Town of Barnstable Board of Health This is to Certify that Brazilian Auto Repair-JOSE CARLOS SIMAO .-------------------------------------------------------------------------------------------------------------------------------- 740 Bearse's Way, # G, Hyannis, MA .----------------------------------------------------------------------------------------------------------------------------------------------------------------------- Is Hereby Granted a License For: Storing or Handling 26 - 110 gallons of Hazardous Materials. ------------- ------------------------------------------------------------------------------------------------------------------------------------------------------ Restrictions: .------------------------------------------------------------------------------------------------------------------------------------------------------------------. This license is granted in conformity with the Statutes and ordinances relating there to, and expires 06/30/2021 unless sooner suspended or revoked. --------------------------------------- JOHN NORMAN DONALD A.GUADAGNOLI,M.D. 07/01/2020 PAUL J.CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable Inspectional Services BARNSTABLE n+e 15Tae E-ERi -CONrt•FYakF95 Public Health Division tMLti(NIS 41L5.OS'E0.VIlL•':FS6WISTA&E r Sfi39V39-2014 ; • 5175 ; • ARNSTABLL Thomas McKean,DirectorhMw , 039. 200 Main Street, Hyannis,MA 02601 " Office: 508-862-4644 Fax: 508-790-6304 ' r APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE ej HAZARDOUS MATERIALS 4a a 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 30th). APPLICATION FEES ar CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 �� Cp,TECORI Y 2 RERA14IT_11.1 -499 Gallons:_ $125.00 El CATEGORY 3 PERMIT 500 or more Gallons: _ '$150.00 - ❑ 24 ' *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. i 2. IS THIS A PERMIT RENEWAL? ke 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: .4 4 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: ® t99A 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 15- 6b/N . � `` 3r 8. TELEPHONE NUMBER OF ESTABLISHMENT:©C 9. EMAIL ADDRESS: �� 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER W_ CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: ' TELEPHONE#. COMPANY ADDRESS /EMAIL: SIGNATURE OF APPLICAN DATE Q:\Application Forms\Haz Mat Appli Draft Jan2019.d cx i �5 0-66D `°F� Tokti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARMASS. $ 200 Main Street• Hyannis, MA 02601 " i639 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT fF0 MAC Business Name: Ato Date: Location/Mailing Address: Contact Name/Phone: �,��a� Inventory Total Amount: MSDS: 0 License#: Tier II : Labeling: Spill Plan: �S Oil/WaterSeparator: Floor Drains: Emergency Numbers: Storage Areas/Tanks: Emergency/Containment E u ment: V aste Generator ID: � Waste Product: 'i Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destinat' n: -�Z �- 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 VHydraulic 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: INFOR ATION/RECOMMENDATIONS: Stnb, rAA ,, W. Inspe or- Facility Represe WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS FIRE►og Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMSARS LE.�` 200 Main Street• Hyannis, MA 02601 =639• TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rFD MP'� Business Name: Date: Location/Mailing Address: Contact Name/Phone: ROW-96la -566 Inventory Total Amount: 0S MSDS: License#: ob Tier II : ,n,f' Labelino: Spill Plan: l ,�� Oil/Water Separator. Floor Drains: Emergency Numbers: — Pa Storage Areas/Tanks: 4 50 046 w 0-11 9rhrae�i,ft �S Emergency/Containment E ui ment: Waste Generator ID: f&5-MTAW Waste Product: Date&Amount of Last Shipment/Frequency: 1--other icensed Waste Hauler&Destination: V (l ni 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 VHydraulic fluid (including brake fluid) V Windshield wash Mctor oils Miscellaneous Corrosives asoline,jet fuel, aviation gas Cesspool cleaners iesel 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 A Number Fee 1208 THE COMMONWEALTH OF MASSACHUSETTS $50.00 Town of Barnstable Board of Health This is to Certify that MSS Auto Body 740 E Bearse's Way, Hyannis, 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 Krmii-In han 41P91P 81 Town of Barnstable Ins (�a 9 Inspectional Services " �` '° ° OFTNE r P BARNSTABLE 2. Public Health Division &R ne= °« •-.,N,r , „s i r 1E39•2014 �. BAMSTABL'• Thomas McKean Director 9`l'ArF 200 Main Street, Hyannis,MA 02601 �1 'f1 Office: 508-862-4644 Fax: 508-790-6304 Mk 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 lst. 1. ASSESSOR'S MAP AND PARCEL NO. f X.*'291/—0&-0 2. IS THIS A PERMIT RENEWAL?K 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: n C 5. NAME OF ESTABLISHMENT: � i z, (Z CQ�� 6. ADDRESS OF ESTABLISHMENT: C E U (-,d ( - 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: __ 9. EMAIL ADDRESS:j? o 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE# OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: n TELEPHONE#: COMPANY ADDRESS EMAIL: •' *SIGNATURE 1 SIGNATURE OF APPLICANT DATE (� Q:\Application Forms\Haz Mat App Revised 09-1 -18.docx �i Number Fee 1210 THE COMMONWEALTH OF MASSACHUSETTS $50.00 Town of Barnstable Board of Health This is to Certify that Brazilian Auto Repair-JOSE CARLOS SIMAO 74OG Bearse's Way, Hyannis, 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 I r{ Town of Barnstable Inspectional Services BAMSTABLE q- Public Health Division �T�w u1J.5=039-2.LLE•v.�:5i8WYSt„4;E r UIMSPABLE. ' Thomas McKean Director ? I ro 200 Main Stteet, 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 MY 1st-JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 vs'' 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. {©LSD 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,S 1'ORAGE/USE OF • GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? I/ YES NO. 4. FULL NAME OF APPLICANT: J oS r, �` S r''t A u 5. NAME OF ESTABLISHMENT: tzet�L I A A�Ao 6. ADDRESS OF ESTABLISHMENT: 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: ` ,0• box LA!�/'�)�5, MA 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: (�-t o? I k- 10. SOLEOWNER:ZYES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE Q\Application Forms\Haz Mat App Revised 09- 0- 8.docx Number Fee 1208 THE COMMONWEALTH OF MASSACHUSETTS $50.00 Town of Barnstable Board of Health This is to Certify that MSS Auto Body 740 E Bearse's Way, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 26 - 110 gallons of Hazardous Materials. ----------------------------------------------------------------------------------- ------------------ --------------------------------------------------------- W ------------------------------------------------------------------------------------------------------------------------------------------------------------ -d 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 L �- DONALD A.GUADAGNOLI,M.D. 07/01/2018 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health 900 IF TRowr� of Unstableegu atoervices 0`IKE Richard V. Scali, Director 0 Public Health Division BARNSTABLE • i Y muroNs mlE FiRERYI -w.0 R.'11 9 Thomas McKean, Director "�`°S M.R 15 9Q o 4w 5r—sr— MASS. Qjo i639• 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 0 ��a Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE y ` !"? HAZARDOUS MATERIALS U1., IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, 131) 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 + $1 U Lo►} 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 ZONINGBUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF • GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: 42 4 a C IF � C S a 5- ,4 5. NAME OF ESTABLISHMENT: —mil C S ,A. L -r✓ �9 a f r 6. ADDRESS OF ESTABLISHMENT: -7 vl G b E 4 11LS �' (/l/�/ �� S�f/ /L/i✓ 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: C S 9. EMAIL ADDRESS: 10. SOLEOWNER:X YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE #OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL:SIGNATURE OF APPLICANT DATE CT 17 l Q:Wpplication Forms\HAZMAT APP 2017 REVIS .docx Number Fee 1208 THE COMMONWEALTH OF MASSACHUSETTS $so.00 Town of Barnstable Board of Health This is to Certify that MS Auto Body — 740 E Bearse's Way, Hyannis,MA m Is Hereby Granted a License For: Storing or Handling 26 - 110 gallons of Hazardous Materials. T_ ---------------------------------------------------------------------------------- ---------------------------.-------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------------------------------------- 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 it A-. s` =e Tow of B nstable �Q (tDos� Regu�atorylervices t�r Richard V. Scali, Director ��I� F Public Health Division BARNSTABI,E = RPRYSIAeIf•QMi WUE•coNR•X'f—Is = aaxNsrrnar e, Thomas McKean) 1639-2014 Director MARS1Ut5 MIUS•US BRiH514 LLF S Mpgg• y -2019 200 Main Street,Hyannis,MA 02601 575 , Office: 508-862-4644 Fax: 508-790-6304 '_-•c 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 1 st—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 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? y 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: Ww C-e IQ S Ova Z40. 5.. NAME OF ESTABLISHMENT: N\SS py��o 6. ADDRESS OF ESTABLISHMENT: 74yo F t1,\.,An6S C4;.lo0) 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: �fi� ' 9.. EMAIL ADDRESS: 10. SOLEOWNER: _YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: (J2•� a ('C/ o f TELEPHONE#: COMPANY ADDRESS EMAIL: ' SIGNATURE OF APPLICANT �Y DATE 4 Z( Q: l �Application Forms�HAZMAT APP 2017 REVIS D.doa �� Number Fee F 12oa THE COMMONWEALTH OF MASSACHUSETTS $see Town of Barnstable Board of Health This is to Certify that MS Auto Body 740 E Bearse Is Way, Hyannis, 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. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/2016 JUNICHI SAWAYANAGI THOMAS A. MCKEAN,R.S.,CHO Director of Public Health f t Town of Barnstable Regulatory Services Richard V. Scah,Director Public Health Division BABSTABLE a639 ,0� eARwanma�s�E"os Enr Ems nea xsrase Thomas McKean,Director 1639-2014 ~� 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 F+ 1 Ri 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 1 st—DUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 V.5 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 00a� FULL NAME OF APPLICANT: NAME OF ESTABLISHMENT: Nl, td Y ADDRESS OF ESTABLISHMENT: 4 1�O - ,6 f A R YF � LAI A z MAILING ADDRESS(IF DIFFERENT): TELEPHONE NUMBER OF ESTABLISHMENT: I` EMAIL ADDRESS: SOLE OWNER: X YES NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK IF PREPARED BY OUTSIDE PARTY: SIGNATURE OF APPLICANT Name: Company Address Telephone#: Email: Q:W.pplication Forms\HAZZAPP Rev 16.docx Page I of 2 i } Office: 508-862-4644 .�� Town of Barnstable Fax: 508-790-6304 Regulatory Services Department "R"N M - Public Health Division Mass: Thomas A.McKean,CHO �n a 200 Main Street, Hyannis, MA 02601 Payment Receipt 'Hazardous Materials Payment received: $50.00 (Cash) on 6/22/2016 'Business: MS Auto Body w ;Address: 740 BEARSE'S WAY, Hyannis I !Note: 740 E Bearses Way; Category I Permit 2016-2017 • e� Number Fee �-6 1208 THE COMMONWEALTH OF MASSACHUSETTS $so.00 Town of Barnstable Board of Health This is to Certify that MS Auto Body (Marcelo DaSilva Souza) 740 E Bearse's Way, Hyannis, MA Is Hereby Granted a License For:'Storing or Handling 26 - 100 gallons of Hazardous Materials. --------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------ This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2016 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 03/01/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable o4THKE rqr Regulatory Services Richard V. Scali, Director �AB . BARNSTA11I MASS. �' Public Health Division Y� aNlt 1639• �� MPA5T'I NVACILI$•OSTE0.ViLLE•W�T 2nfUiSTpBtE 1+ AIFGpllO''ta Thomas McKean Director 15J9-z°1` ' 0 575 C" 200 Main Street, Hyannis,MA 02601 1 Office: 508-862-4644 Fax: 508-790-6304 r 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 DULY 1 st-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. 02 'O DATE '1 // FULL NAME OF APPLICANT: ,�'I.5 Auto 6 C Ar C elo J,& Sr I v& ✓o V Z AL) NAME OF ESTABLISHMENT: M S '4y11-0 '6©cl y ADDRESS OF ESTABLISHMENT: 71/O F 13 e A v`,5es w Ay HyA 4vi js M A OZ601 MAILING ADDRESS (IF DIFFERENT): TELEPHONE NUMBER OF ESTABLISHMENT: y S l O 57 7 Z 0 EMAIL ADDRESS: SOLE OWNER: /YES NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE #OF: CORPORATION NAME �O F,,-e s h NDIe �/VA vw i s MA o7 G o f PRESIDENT TREASURER CLERK IF PREPARED BY OUTSIDE PARTY: SIGN TU OF APPLICANT Name: Company Address : Telephone#: Email: Q:\Application Forms\HAZZAPP Rev I6.docx Page 1 of 2 I T Town of Barnstable Office: 508-862-4644 Fax: 508-790-6304 c Regulatory Services Department Public Health Division HARN Mom• Thomas A.McKean,CHO �'� s� � 200 Main Street, Hyannis, MA 02601 Payment Receipt `Hazardous Materials Payment received: $50.00 (Cash) on 3/1/2016 Permit number: 740 E 'Business: HIS Auto Body Owner: Marcelo DaSilva Souza n !Address: 740 BEARSE'S WAY, Hyannis ` ;Note: Category I I ...................... --- ................. ...__._...-.... .......- • Number Fee 1078 THE COMMONWEALTH OF MASSACHUSETTS $o.00 Town of Barnstable Board of Health This is to Certify that Auto Motion 740 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 6/30/2011 unless sooner suspended or revoked. ------------------------------------ WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2010 JUNICHI SAWAYANAGI THOMAS A. MCKEAN, R.S.,CHO Director of Public Health Town of Barnstable P�oFTME•°`�ti Regulatory Services Thomas F. Geiler, Director BAR.. Public Health Division Thomas McKean, Director J � ' 1 `-Main Street, Hyannis, MA 02601 Fax: 508-790-6304 ,cation Fee: $100.00 ,ARCEL NO. DATE /� oG 0® APPL-.�ATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN ' III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT J 014/V f 061 S NAME OF ESTABLISHMENT 71J Aa;T�- /(X. ADDRESS OF ESTABLISHMENT ��J'`O C75'LS �iti r TELEPHONE NUMBER � O ! 7: -5� • SOLE OWNER:�YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: n IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT h arf�f TREASURER CLERK J — s r ATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS /pS d2� HOME TELEPHONE# • Haz.Joc,%kp.:q, I 07/06/2010 08:36 5087755422 AUTO MOTION PAGE 01/01 1 r Town of Barnstable OF1NETp,_ Regulatory Services Thomas F. Gcilcr, Director e t ' B_.MASS.H Public Health Division 1639 �rEDµp+� 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 III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT �IaK NAME OF ESTABLISH - ADDRESS OF E5TABLIS TELEPHONE NUMBER $Q SOLE OWNER: S NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF AI.L ;PA)�TNERS: co c _ R-IF A:PPLICANT.IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT — A j 100.45� TREASLJRER r CLERK tIsMrATuRE OF APPLICANT RESTRICTIONS: HOME ADDRESS /1S A&,AE.®raU 1401vtE TELEPHONE# 9�42v- 2Sa-17 Haz.doc-%�p'y '7/0116 Number Fee 1078 THE COMMONWEALTH OF MASSACHUSETTS $o.00 Town of Barnstable Board of Health This is to Certify that Auto Motion ---- -- 740 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 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 �r Ps - a 'Town of Barnstable Barnstable VE Regulatory Services Department Public Health Division ;erieaC' 9cb ` � 200 Main Street, Hyannis MA 02601 '°rfc MA'1" 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 APPLICANT 1-1/0/* NAME OF ESTABLISHMENT - 2 20 O //V6 ADDRESS OF ESTABLISHMENT TELEPHONE NUMBER SOLE OWNER: �YES NO c IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS A ALL PARTNERS: rn IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. �V2 STATE OF INCORPORATION FULL NAME AND HOME ADDRES OF: PRESIDENT l,d lei , TREASURER �� CLERK j SI AT OF APOLICANT RESTRICTIONS: HOME ADDRESS /g S /w,All HOME TELEPHONE# Q:\Hazmat\Haz Mat APP lication2008.DOC i AUTO-MOTION, INC. 740 BEARSES WAY, REAR HYANNIS, MA 02601-2258 508.775.5422 June 26, 2008 To Town of Barnstable; Throughout the years of business in the Town of Barnstable, Auto-Motion, Inc., since 1991, has always complied with the laws of handling of the hazardous waste materials. Basically Auto-Motion, Inc. has become more a Diagnostic & Repair facility and production of the hazardous waste has dwindled significantly in the last 4 years. This has always been a one man operation since it has operated. Used antifreeze is in a container of the capacity of 35 gallons (1/3 full for the last 4 years). I ask the customer to go to facilities such as "Jiffy Lube" to handle system cleanings. Used waste oils are in containers (presently maybe 200 gallons in last 4 years). The way the hazardous material is disposed of is through waste oil heating or through collection companies such as "Cyn Oil' or"Advanced Recycling". I usually wait till I accrue 300 gallons in waste oil and 55 gallons in waste antifreeze. Just a note on the waste antifreeze, I do have the ability to recycle the used coolant into clean and reusable coolant with the recycling station I have in the shop. However I have not accrued enough to do so as indicated; require 300 gallons to make it profitable due to chemical & filter costs. When it comes to metal material such as brake goods, radiators, alternators, exhaust systems, etc. there are many salvage compamed which come in almost every week to collect the items for weight and/or recycling. Unfortunately there are no affidavits for these items and I am sure many businesses are going to have no such item; we are just happy that these scrap collectors are helping in cleaning out the trash. Last, paper goods etc. are collected by in my case "Macombers Sanitary Refuse". I hope this is sufficient information for the Town of Barnstable, Health Department. Hopefully Auto-Motion, Inc. will be considered exempt from this permit once the inspection is completed. John Papgis, 9(� President of Auto-Motion, Inc. Number Fee 1078 THE COMMONWEALTH OF MASSACHUSETTS $o.00 Town of Barnstable Board of Health This is to Certify that Auto Motion 740 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 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 fr w Town of Barnstable Barnstable 'THE h T Regulatory Services Department a®-1 merieaea�y Public Health Division � ` 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 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT �� �� =�/S e�z/9 ,hj*.Ie • TELEPHONE NUMBER 608 - 7 7S '•S-1f�2 SOLE OWNER:�YES NO w�, a IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL"�� PARTNERS: y <.'_ C) 04 fl IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION r FULL NAME AND HOME ADDRESS OF: PRESIDENT .l �/� S / S l�/ %lam ,�1 SS /(/� /� TREASURER CLERK S/ SlGNAMM OF A PLICANT • RESTRICTIONS: HOME ADDRESS ,ftJ/yl� HOME TELEPHONE # 7: S5*22 Q:\Hazmat\Haz Mat Application2008.DOC f 1 AUTO-MOTION, INC. 740 BEARSES WAY, REAR HYANNIS, MA 02601-2258 508.775.5422 June 29, 2009 To Whom It May Concern; Throughout the years of doing business in the Town of Barnstable, Auto-Motion, Inc. since 1991 has always complied with the laws of the handling of hazardous waste materials. Basically Auto-Motion, Inc. has become more a Diagnostic & repair shop and production of hazardous waste has dwindled significantly in the past 5 years. For waste spills I do have emergency spill packages by New Pig which contain spill collection or containment goods in case such a mishap should occur.. Also do have large rolls of super absorbent mats for either oil or coolant spills. Hopefully I will never require their use. For very minor spills I use absorbent granules or rags (put in fire proof • rag container). Used antifreeze is contained in a 35 gallon heavy duty plastic drum and is still 1/3 full since last year. Antifreeze flushing is sent to facilities such as Jiffy Lube. Used waste oil is also contained in heavy duty plastic 55 gallon drums of which there are 3 drums total. Pending on the season temperatures this waste oil is either used in heating this building with a waste oil heater or disposed of through the use of waste disposal companies such as Cyn Oil or Advanced Recycling. I may have 100 gallons of waste oil accrued by the end of a fiscal year. Metal wastes of all kinds are collected by independent metal junk collectors or recyclers whom come by at least once a month. The balance of trash such as paper goods, glass, plastics, etc. is collected by Macomber's Sanitary Refuse every 2 weeks. I hope this meets your criteria of proper waste management. An inspector is always welcome to inspect the shop. John Papgis, President Number Fee 1210 THE COMMONWEALTH OF MASSACHUSETTS $so.00 Town of Barnstable Board of Health This is to Certify that Brazilian Auto Repair- CARLOS SIMAO 744G Bearse's Way, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 26 - 110 gallons of Hazardous Materials. :d --------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------- 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 r �3 ra Number Fee 1210 THE COMMONWEALTH OF MASSACHUSETTS $50.00 Town of Barnstable Board of Health This is to Certify that Brazilian Auto Repair 744G Bearse's Way, Hyannis, 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 ' owl of Bynsxable Pd to eg atory ervices 'THE Richard V. Scah, Director OF fps,_ Public Health Division BARNSTABIE - WtNSM1F•C&rtE1MLLF.COTUR."Ymm Mew BAMMBLE. Thomas McKean, Director "�D�"'�i 0.zu 4"��`"S'" N"+ 0 _ - S�g. --- --- -- �Eo►�+" - — 2001VIairi Street;Hyannis,-IVLA 02601-- - - - ---- - ; - �r CD 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 DULY 1 st-NNE 3 Oth). APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00 X V,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. 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: 6R-Lq5 SMA-0 5. NAME OF ESTABLISHMENT: f Z 6. ADDRESS OF ESTABLISHMENT: 't/ is -J Q 1 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: I?dD 6�3 r 2,6 9 Hy 4kYl-t' , 8. TELEPHONE NUMBER OF ESTABLISHMENT: 46 9. EMAIL ADDRESS:-A are. p As r elayeas -7—c 10. SOLEOWNER: '' YES_NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICAN DATE p5- t� Q`.\Application Forms\HAZMAT APP 2017 REV do Number Fee 1210 THE COMMONWEALTH OF MASSACHUSETTS $50.00 Town of Barnstable Board of Health This is to Certify that Brazilian Auto Repair 744G BearseIs Way, Hyannis, 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 Ll Director of Public Health row of Unstable egulatoervices BIKE rpm Richard V. Scali, Director P. Public Health Division BARNSTABLE Y OPN ABL'.'EILE.-LE.CONI"'.HYAhMS w 0 BARNSTABLE. ' Thomas McKean, Director ""5' 'MhS1639-2014�t'"s'"S' r MAss. ArFp ,�A�O� 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 DULY 1 st-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. 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: 73one C&rlos ��r/►n re,.w nA `7 Li 5. NAME OF ESTABLISHMENT: IBC ` ReA014 1r Wct) c 6. ADDRESS OF ESTABLISHMENT: "I �- k-W4,1^111-M M 0 2 6 a 1 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 0, �C c -2 e0_26 MA 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: t Pe ® CE Om c2,�- ,t)Q- ' 10. SOLEOWNER: ES_NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE# OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT ? 4, DATE ro1 y Q:\Application Forms\HAZMAT APP 2017 REV D.docx Number Fee 1210 THE COMMONWEALTH OF MASSACHUSETTS $50.00 � Town of Barnstable Board of Health This is to Certify that Brazilian Auto Repair 744G Bearse's Way, Hyannis, 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 06/30/2016 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 03/03/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable °PINE rok, Regulatory Services AAA A Richard V. Scali Director +`sn MASS. ' Public Health Division BARNSTABLE 6ARN5iA0tE^CiHi[v.Vilt[•COIU!t•rnANN15 16;q. �e MMS*ONS VIIS•OSTERY:LLE•WST BaiNSTAB'iF W �F�1 /^�a 1639-2019 y Thomas McKean, Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 GJ 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 1 st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 1 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: 06keA z"46, NAME OF ESTABLISHMENT: $&Wzf 4W.,/ A•V 4 Iz/( J'/• ADDRESS OF ESTABLISHMENT: �'� E S W MAILING ADDRESS (IF DIFFERENT):-P•0• JQO ` �,� j YA-JAPS3 /4 d,?C01 TELEPHONE NUMBER OF ESTABLISHMENT: EMAIL ADDRESS: 5AC i4►/LCorn C-zS)- 7 SOLE OWNER: YES NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE #OF: CORPORATION NAME PRESIDENT TREASURER .-W CLERK IF PREPARED BY OUTSIDE PARTY: SIG ATU A NT Name: Company Address : Telephone#: Email: Q\Application Forms\HAZZAPP Rev I6.docx Page I of 2 Town of Barnstable Office: 508-862-4644 ►. Fax: 508-790-6304 Regulatory Services Department :; Public Health Division Thomas A.McKean,CHO s 200 Main Street, Hyannis, MA 02601 Payment Receipt 'Hazardous Materials Payment received: $50.00 (Cash) on 3/3/2016 i ;Business: Brazilian Auto Repair Owner: Jose Carlos Simao 'Address: 744 Bearse's Way, Hyannis j Note: Category I _._,.._.._ -.. ----. .. - ._. . e�3 Fee 1210 Number THE COMMONWEALTH ,OF MASSACHUSETTS $so.00 Town of Barnstable Board of Health S This is to Certify that Brazilian Auto Repair 744GBearseIs Way, Hyannis, 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. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF, D.M.D. 07/01/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable • �t r Regulatory Services Richard V. Scali,Director MASS. Public Health Division BARNSTABLE s6;,q. ' .�sora man"h�iiF`.°w�"a�r'�s"me� �fC NJ►y a Thomas McKean, Director 1639-2014 37A 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 1sf-TUNE 3Oth). - - - - - - APPLICATION FEES CATEGORY I PERMIT 26— 110 Gallons: $ 50.00 I V,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. ASSESSORS MAP AND PARCEL NO. DATE FULL NAME OF APPLICANT: y�e lP!L 1- rAA-0 NAME OF ESTABLISHMENT: 82Az+ 1 �� A Ao f2t- V-Z- ADDRESS OF ESTABLISHMENT: V14 l 46CAL5C-S VV �� +�rS� I► 4 0 2457 MAILING ADDRESS(IF DIFFERENT): PO 60o' 2634 r#4 0 2,60 1 TELEPHONE NUMBER OF ESTABLISHMENT: EMAIL ADDRESS: P!mera 1 r eo-r^ets '-- -n C'4 SOLE OWNER: YES_NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK • IF PREPARED BY OUTSIDE PARTY: SIG ATU A Name: Company Address Telephone#: Email: Q:\Application Forms\HAZZAPP Rev I6.docx Page 1 of 2 o� Town of Barnstable Office: 508-862-4644 • Fax: 508-790-6304 Regulatory Services Department " Public Health"Division nss: Thomas A.McKean,CHO y s` 200 Main Street, Hyannis, MA 02601 Payment Receipt Hazardous Materials Payment received: 50.00 (Cash) on 6/6/2016 Permit number: 1210 ;Business: Brazilian Auto Repair Owner: Jose Carlos Simao ;Address: 744 Bearse's Way, Hyannis Note: Category I Permit 2017 ..... -- _ ...................- -.__.. _ -...._ ... -- 0 °FIKE Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARMA�,q E 200 Main Street• Hyannis, MA 02601 %b,o .•� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT CFO MP'�a' Business Name: V g% kkv cP,� l Date: (/1-711-7 Location/Mailing Address: D Contact Name/Phone: 2� -7 a ve,xo-'a Inventory Total mount: "'�3 1k SDS: Ifs - vw\,Kk, License#: Tier II : Mb Labelina: OkK Spill Plan: Oil/WaterSeparator: 1pt Floor Drains: n Emergency Numbers: Storage Areas/Tanks: k )0QuVAA Q Emergency/Containment Equipment: a 1,5 —T 4waav C0.. 5 nvtj Waste Generator ID: �M m J 16 p31 3 Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination. Other Waste Disposal Methods: w, T k-\ a co-jw3r cv 4ck,o w ADc, 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 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 7-. Pesticides: -� Caulk/Grout �.��(je,.� insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents 1 Printing ink Car waxes and polishes tip Wood preservatives(creosote) LAAsphalt&roofing tar � ,f5 Swimming pool chlorine 1� Paints, varnishes, stain dyes Lye or caustic soda I, 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: ll A t IVU kA 0�5 v-e->,6 q J vL G k-e ay-c,< D yL� 5 J y-. D 1%A, , Inspector: Facility Representative: A?— i AA � WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS IV • Y� J S� `°F�►+E►o,,ti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARNSTABLE. ` MASS_ 200 Main Street• Hyannis, MA 02601 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: ` A,)+o Date: Location/Mailing Address: -7 y fl t ln� 9NIAIAW15 Contact Name/Phone: Inventory Total,Amount:N1- A, MSDS: License#: I Tier II Labeling: Spill Plan: Oil/WaterSeparator: Floor Drains: N o Emergency Numbers: e5 Storage Areas/Tanks: eww\a++,.-,r +,J t�25S Emergency/Containment E ui ment: Waste Generator ID: 60 0?✓ Waste Product: W ,e- i%4 c Date&Amount of Last Shipment/Frequency: N 0 +L,^e v Licensed Waste Hauler&Destination: ar +-k � ct,vlbo x-�5 I Other Waste Disposal Methods: Q6-eA 6 P[-,- 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 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 VDegreasers 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: INIfORMATION/RECOMMENDATIONS: '( 0 s s + K-e4 v, tc% O �1Z Inspector.-I-1 l.-Gl Facility Representative: i\ A-A-At /- - WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS V �- i Number Fee 1358 THE COMMONWEALTH OF MASSACHUSETTS $50.00 Town of Barnstable Board of Health This is to Certify that The Car Store Cape Cod .............................. ---------------------....----------------------------------------------------------------------- 744 Bearses Way, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 26 - 110 gallons of Hazardous Materials. --------------- ---------------------------------------------------------------------------------------------------------------------------------------------------- Restrictions: -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and expires 06/30/2021 unless sooner suspended or revoked. ------------------ --- ------------ JOHN NORMAN DONALD A.GUADAGNOLI,M.D. 07/01/2020 PAUL J.CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health f f Tripp,Vanessa Orom: Cerace, Anthony Sent: Saturday, September 26, 2020 3:06 PM To: Tripp,Vanessa Subject: RE:The Car Store Cape Cod I have already inspected and passed them, so whenever your ready. From: Tripp,Vanessa Sent: Friday, 'September 25, 2020 1:24 PM To: Gerace, Anthony Subject: The Car Store Cape Cod Hi, I received an application and payment for a Category I Permit for above business.They are located at 744 Bearses Way, Hyannis. Please let me know when you have inspected them and it is OK to issue their permit, as they are new to our system. Thank you, `Vanessa Tripp Town of Barnstable �0ublic Health Division j 0 Main Street H annis,MA 02601 The information contained in this electronic transmission("e-mail"),including any attachment(the"I.nformation"),may be confidential or otherwise exempt from disclosure.It is for the addressee only.This Information may be privileged and confidential work-product or a privileged and confidential communication.Thy.I.nformation may also be deliberative and pre-decisional.in nature,. As such.,it is for internal use only.The Information may not be disclosed without the prior written consent of the Director of Public flealth and/or the Town Attorneys Office of t:he Town of Barnstable.If you have received this e-mail by mistake,please notify the sender and delete it from your systern.Please do not cope or forward it.Thank you for your cooperation. • 1 .;,....;.,.._-., 1`.a"^.� I�Jam✓ 1, Town of Barnstable �� 1. � 'Ft► r Inspectional Services BARNS .TABLE 0 " Public Health Division , 0� 4?SSS1e5'!!:.1 •D.CC,k4:!!..F.•'•.¢f5'P.;:M.SSFn..= 7.b35?014 ' 9B^MASS.� ' Thomas McKean, Director 1639. ,�� Argose. 200 Main Street, Hyannis, MA 02601 N7 N) Office: 508-862-4644 Fax: 508-790-6304.' APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE r, t 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 l st—JUNE 30th). APPLICATION FEES / CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ® In�ooz CATEGORY 2 PERMIT . 111 —499 Gallons: $125.00 Elb 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. W ��� 2. IS THIS A PERMIT RENEWAL? YES ✓NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS • ZONINGBUILDING APPROVAL FOR HAZARDOUS MATERIALS SXORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? \/YES NO. 4. FULL NAME OF APPLICANT: C iq r 6S l aQ ( a- 5. NAME OF ESTABLISHMENT: ::VLe 0,,r ' A)An ' O,ag-e— ` ,o l 6. ADDRESS OF ESTABLISHMENT: D (Q6 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: �ecSs'k( '1atT`7?2Q�� 10. SOLEOWNER: " YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADD SS,AND TELEPHONE # OF- CORPORATION NAME .GrVo Qt0ko_'\ ' `Q PRESIDENT l rt Tt:( tw 1, RR el411#14 La ke AF_e 4cu)1 c�n MA 50 k-ag P-51na 9 TREASURER -. � c�o?t?� T)jeg A4 t t,1eAV•e J:�(CWIMA MA IT i -ai a-tl-te CLERK 12. IF PREPARED BY OUTSIDE PARTY: • NAME: TELEPHONE#: COMPANY ADDRESS Zz EMAIL: *SIGNATURE OF APPLIC TE 9 I �� I aO Q:\Application Forms\Haz Mat App �e,se -10- .docx IL -- �: TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM _.. ...... _ Mail To: NAME OF BUSINESS: y /)V/ f= Boardof'Health • MAILING ADDRESS: Town of Barnstable TELEPHONE NUMBER: 77,fz S 7 7 7 P.O. Box 534 CONTACT PERSON: Hyannis, MA P.O. 02601 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in q ayrtities totalling, at any time, more than 50 _gallons liquid volume or 25 pounds dry weight? YES ff NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored'at.a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered when stored ' Please put a check beside each product that you store: Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid " . Toilet cleaners Engine and radiator flushes Cesspool cleaners V Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants_ rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes ' Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach); Other products not listed which you feel may Spot removers'& cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business 14�' TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH O satisfactory 3.Printers y Shops �y unsatisfactory- 4.Manufacturers COMPANY 1�f /1 (see"Orders") 5.Retail Stores � t 6.Fuel Suppliers ADDRESS Z CInss: 7.Miscellaneous QU TIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: di"e4 r Ie DISPOSAL/RE-CLAMATION REMARKS: 1. Sanitary Sewage 2.Water'Supply Is ` O Town Sewer Public On-site OPrivate 3. Indoor Floor Drains YES NO O Holding tank:MDC r' O Catch basin/Dry well s2 <144 1 ' O On-site system 4. Outdoor Surface drains:YES NO OR ERS: O Holding tank:MDC d1j C L O Catch basin/Dry well 46-4 O On-site system �7� ��G 972 ✓�E�y�� 5.Waste Transporter Name of Hauler Destination Waste Product YES NO 1. 2. Person(s) Interviewed Inspector Date �17r THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �� NOTICE TO ABATE A NUISANCE 19 r l oft As occcuuppant of you are hereby notified to r medy the conditions named below within j 24 hours of the service of this notice, according to Massachusetts General Laws,Chapter III,Section 123: i ., •� �° , ��I��_..,� ,z..-d' ,� ..�• 1. �•�.-� F If at the expiration of time allowed these conditions have not been remedied, such further action will be taken as the law requires and a fine of$20:00'per day may be charged. By Order of the Board of Health Inj$'pector FORM 600 HOBBS&WARREN,INC. REVISE iy979 1/ � �v Cam./b '`I l y j �l ��- �, ��a�a�v � � c-a..; �o �c '' . .��� �.� ,,��„ a...,,�. �Y� � ,� �� / / �% ,--� ���/ ._.mil`_e.r ��_ ✓ � MY MECHANIC Automotive Repair Shop Brakes•Tune-Ups•Reconditioning, ' Tony Roberts Business 775-9805 740 Bearses Way Home 790-2451 (Old Thompson Motors Bldg.) -------------- I MCMA '"G(/Jr vLounsatisfactory- 1 I!/ TOWN 01= RARNSTARLE IANCES G` CLASS: 1. Mari ,Gas Stations,Rfpair sfactory 2. Printers �R.� . O HEALTH 3. AutoP�ody Shops 4. fanufacturers COMPANY TA, see"Orders") 5 Retail Stores 6. Fuel Suppliers ADDRESS #' 1742��Classs .! 7. Miscellaneous r QUANTITIES AND STORAGE (I Indoors; OUT=outdoor. MAJOR FUITERIALS • Case -lots Drums AboveTanks UndetgroGnd Tanks 4!!T_ _ 4_gallons 9g EW Fuels: • Gasoline, Jet Fuel (A) I-H Diesel, Kerosene, 02 (B) , Ilea-v-y Oils: C 'waste motor oil\ C new motor oil (C) transmission/[r ►ydrauIIc •Syntheti.c.Organics: _ degreasers Miscellaneous: PA PA NOW6 01,-- (M � r i N� AA,cN I-A)A-9 P G!E�L- �d�.VEs o . DISPOSAL/RECLAMATION REFVAS: 1. Sanitary:Sewage 2. Water Supply C 1/L -'P/U-5 QTown Sewer Public ` Q On-site Q Private ,,�2vt ( jt-- "tt !J 3. Indoor Floor Drains: YES NO y Q [folding tank: MDC O Catch basin/Dry well f7J^,`�f r`) ,�` C_ ' /M__W V 007_ Y_ QOn-site system 4. Outdoor Surface drains:YES N(�V_ ' ' t 1 'sr Q fielding tank: MDC Q Catch basin/Dry well ��i?L"^/%�� 1 ✓r�//�x�'� �'� _ �'•" On-site system S. Waste Transporter N� �fY�(� -'` f -�`` y ' Licensed? 1�am�uE ilalil�� .A i nati nn 1= ES-�- O di u' et erson s Int.erviewe 'DAV6 WA �(( p__ �t 57 lDate �t� cur HA ARL:e.: TOWN O F BARD S BILE ' 2. Printers �� O satisfactory 3. . Auto Body Shops BOARD OF HEALT�I-� unsatisfactory- 4. Manufacturers (see"Orders") S. Retail Stores COMPANY 11�"�-� � s � / 6. Fuel Suppliers ADDRESS � � - Class: 7. Miscellaneous QUANTITIES AND STORAGE (IN=indoors; OUT=outdoor: Case lots Drums AbOveTaIks Undetground Tanks MAJOR MATERIALS IN OUT I OUT E e rest Fuels: ' Gasoline, Jet Fuel (A) Diesel, Kerosene, #2 (B) r Heavy Oils: ?` waste motor oil (C) r ` new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers __Al'u y v Miscellaneous: t AtI DISPOSAL RECLAMATION REW RKS: 1. Sanitary Sewage 2. Water Supply Town Sewer Public On-site O Private .3. Indoor Floor Drains: YES_ No-/&_ V Holding tank: MDC OCatch basin/Dry well _. ._..._. .._____..._�._..... .____ On-site system or,,�l 4. Outdoor Surface drains:YE_0"' 0 Holding, tank: MUC O Catch basin/Dry well �- -- ----- --'-- { On-site system Licensed? S. Waste Transporter-Na lctp Produce ' m of Hauler_ npet i na inn 11L u xa ei ,Person s) .Int.erviewe Spector Uate�" Ja� r S.JUSP�CT� TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM u no- NAME OF FIRM: MAILING ADDRESS: -?(-/D C�� '@J' ( i l� I) TELEPHONE NUMBER: -7 7S CONTACT PERSON: ����� ✓ �f �� Does -your-f itm store any of th-e toxic or hazardous materials lis-ted_bei-owe. either for sale or for your own use, in quantities' total 1ing, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO This form must be returned to the Board of Health regardless of a YES or NO.. answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address : No ' ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered when stored in quantities totalling more than 50 gallons liquid volume or 25 pounds dry weight. Please put a check beside each product that.you store: . Antifreeze (for gas-line or coolant systems) Refrigerants Automatic transmission fluid Pesticides (insecticides, Engine and Radiator flushes herbicides,rodenticides) Hydraulic fluid (including brake fluid) Photochemicals f Motor oils/waste oils Printing Ink Gasoline, Jet fuel Wood preservatives Diesel fuel, Kerosene, #2 heating oil (creosote) Other petroleum products: grease, Swimming Pool chlorine lubricants Lye or caustic soda Degreasers for engines and metal Jewelry cleaners Degreasers for driveways & garages Leather dyes Battery acid (electrolyte) Fertilizers (if stored Rustproofers outdoors) Car wash detergents PCB' s Car waxes and polishes Other chlorinated hydro- Asphalt & roofing tar carbons, (inc.carbon Paints, varnishes, stains, dyes tetrachloride) Paint and lacquer thinners Any other products with t/ Paint & Varnish removers, deglossers "Poison" labels (including Paint brush cleaners chloroform, formaldehyde, Floor & Furniture_ str-ippers hydrochloric acid, other Metal polishes acids) O Y14V�c e� Laundry soil &stain removers Other products not listed (including bleach) which you feel may be Spot removers & cleaning fluidss, EC E IV E D toxic or hazardous (please (dry cleaners) HEALTH DEPT. TOWN OF BARNSTABLE list)': Other cleaning solvents ' Bug and tar removers Household cleansers, oven cleaners .arbg Drain cleaners Toilet cleaners MAY 1 4 1981 I Cesspool cleaners ih � acw�A� Disinfectants P Road Salt (Halite) r(Jv � qt 5 � 5 5UP�65rnj yr( f4U �� pev �I TOWN OF BARNSTABLE BOARD OF HEALTH CONTROL OF TOXIC AND HAZARDOUS MATERIALS - INSPECTION SHEET fio FIRM (' ADDRESS Major types of materials: 1) (!dU3f1'C So d( 2) OYCL 11' QCed 3) LJ i 4) amain+ 't71t'nnes 5) �-ti•"i ne I. Description of material (s) use: 44rh%' VIree r �flA .c iA II. Storage (denote product by number listed above) A. Containers metal glass paper plastic cans,bottles,j ars drums,barrels Z r aboveground tanks underground tanks bags,boxes open,loose,uncovered inadequate labelling '. rec,/ &6,el on 51op o6m /! K S�U�ikfA B. Storage Facility 3 ✓or # Remarks/Recommendations 1 1. Indoor a) separato, contained room 3 b) stored in general work area i) inadequate ventilation ii) floor drains iii) inadequate fire protection 2. Outdoor a) uncovered, exposed to weather b) pervious surface/catch basins III. Disposal A. Reclamation/Recycling unit B. On-site disposal 1. Town sewer 2. Regular septic system ERC. se . hO t' 3. Separate holding tank IkAa C. Off-site disposal ZQ q /dflay of rn' eratuc 1. hauled by own firm VAed aw 2. hired hauler a) name of hauler o ps 4 b) address or disposal site Person(s) Interviewed — — — — — — — — — — — — — — Inspector — Date - - - -IQw�W�� — - - - - p ,p N Stnp 7vo '3ea�es Wq f�nnis m9 C�Ao! D20R, I#r. �0n Jone $ , l98( , your �rnmrz<s weJLx ins�, c{eo �r camP�iance w4 bc(rn,4ctb 1,es CaoFraP �f thzo�� /�lrfgr,,aA �rlqw ' � E I/ �7 � r � s �m'�!','�—' You �S /aGqL Wiad 46)Yl 14-a- 4ti J - ��s s�ec�n.cQS -yQu, cuze ti. :. � � � �� � .. _ _ - - � . t .. i. _ � S ` ._ .. ' �� � , . � - - -- . comCAMP DRESSER & McKEE INC. envrronmenta;engineers,scientists, One Cente,Plaza planners &management con 'ttants R'l . lass .- .,us 02108 6t7 742 5151 :FI.LE No: 9950-1-1-LAB 6 OCTOBER 1981 CERTIFICATE OF LABORATORY ANALYSIS SAMPLE SUBMITTED BY: DIP &-STRIP 740 BEARSES WAY HYANNIS, MA MR. DUDLEY SCOTT DATE SAMPLE RECEIVED: 9 SEPTEMBER 1981 SAMPLE DESCRIPTION DIP & STRIP PLANT EFFLUENT - 'ANALYTICAL-METHODS: THE SAMPLE WAS ANALYZED ACCORDING TO STANDARD METHODS FOR THE EXAMINATION OF WATER AND WASTEWATER, 15TH EDITION, 1980, APHA/AWWA/WPCF; AND/OR BY THE US EPA.MANUAL'OF METHODS FOR CHEMICAL 6NALYSIS OF WATER AND WASTES, MARCH 1979. ANALYTICAL RESULTS: SAMPLE DESCRIPTION TOTAL LEAD, MG/L PLANT EFFLUENT 0.050 RALPH J. TELLA. DATE PROJECT MANAGER RJT/EK . TOWN OF BARNS' `BL _ �ur�rwEu��G: �{ . 2. Printers BOARD OF HEA �'H O satisfactory unsatisfactory- 3. . Auto Body Shops ••` ....• q, Manufacturers i -s (see"Orders") S. Retail Stores COMPANY ft�,h► 6. Fuel Suppliers ADDRESS Class: .._,, 7. Miscellaneous QUAM_ITIES AND STORAGE (IN=indoors; OUT=outdoor: MAJOR MATERIALS Case lots Drums AbOveTanks UndeirgTouad Tanks IN UT 0 I x e t s Fuels: ' Gasoline, Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) Yr, transmission/hydraulic Synthetic Organics: - degreasErs (' Miscellaneous: " „ �r r 10, Ll A'r L r DISPOSAL RECLAMATION REM1,RKS: ` G 1. Sanitary Sewage 2. Water Supply OTown Sewer Public k1;'►\nem en _^ 0 On-site Q Private 3. Indoor Floor Drains: YES NO V Holding tank: MDC OCatch basin/Dry well .._._.:. -- OOn-site system Y�f, 4. Outdoor Surface drains:YES NC 0 Huldink• tank: MDC L44 OCatch basin/Dry well — ---- r ✓�� O On-site system Licensed? S. Waste Transporter 11Llate Product_ Name ' YFS Ne of Hauler_ DPct;nation_ _ A,+n\j 12 I t rvi we Spector Date HYANNIS FIRE DEPARTMENT 95 HIGH SCHOOL ROAD EXTENSION HYANNIS, MASS. 02601 PAUL D.CHISHOLM,CHIEF FIRE PREVENTION BUREAU LT. DONALD H. CHASE, JR. LT. ERIC HUBLER Inspector Inspector FIRE / INCIDENT INVESTIGATION REPORT i JUNE 18, 1992 ZIGGY'S BEARSE'S WAY HYANNIS, MA FOLLOWING NUMEROUS COMPLAINTS FROM ADJOINING RESIDENCES, A SITE VISIT WAS CONDUCTED TO ASCERTAIN WHETHER OR NOT SPRAY PAINTING WAS TAKING PLACE ON SITE. CONDUCTING THE INSPECTION WAS THE FIRE DEPT., THE ASSISTANT BUILD. INSPECTOR, AND THE BOARD OF HEALTH. ALL CODES (FIRE, BUILDING, HEALTH, AND ZONING) WERE MET AND NO EVIDENCE OF ANY SPRAY PAINTING WAS SEEN. THE MANAGER STATED TO US THAT ONE BUMPER WAS TOUCHED UP WITH A CAN OF SPRAY PAINT, HOWEVER THIS WAS A SPECIAL OCCASION AND NOT AN ONGOING 000URANCE. HE WAS MADE AWARE OF THE CODES REGARDING SPRAY BOOTHS. HE WAS ALSO ADVISED 00 BRING HIS FIRE EXTINGUISHERS UP TO CODE AS FAR AS NUMBER AND TYPE AS WELL AS ANNUAL INSPECTIONS. CLEARED THE SCENE AT 1045 HRS. r , DONALD H. CHASE, JR., LIEUT _ FIRE PREVENTION OFFICER HYANNIS FIRE DEPARTMENT 4 a ' JUN 2 2 1992 . TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations_,__Repair 2. nters BOARD OF HEALTH O satisfactory 3.Auto Body Shops /r 1 f ( unsatisfactory- 4.Manufacturers COMPANY. �L�-' ��/ 111 `O (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS • \ Class: .7._Miscellaneous 1 I QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks IN OUT IN OUTI IN OUT #&gallons Age Test Fuels: J Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: f 011 :1� ° i�K�T DISPOSAI./RECLAMATION REMARKS: (� 1. Sanitary Sewage 2. Water Supply ' f� �/��012 -P�ool f)/ O Town Sewer OPublic (, }C1 (J 0,n V(-P1 � ( � C6 9-,",On-site OPrivate 3. Indoor Floor Drains YES X NO O Holding tank: MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank: MDC O Catch basin/Dry well O On-site system 5. Waste Transporter Name of Hauler Destination Waste Product YES 1116 1. —A �C- 2. Person (s) Interviewed° Inspector Date . T"O,,WN OF—.BARNS-1 A13LL L�.��..�w...�.O satisfactory 2 Printers BOARD � OF HEALTH 3. Auto Body Shops Q unsatisfactory- 4. Manufacturers . COMPANY � Ve. //VD (see"Orders") S. Retail Stores 6. Fuel Suppliers lass: . Miscellaneous 7 QUANTITIES AND STORAGE (IN=indoors; OUT=outdoo 11AJOR MATERIALS Case lots Drums AboveTanks Underground Tanks IN IDUrT IN IOUTIN OUTel e res. Fuels: Gasoline, Jet. Fuel (A) ,Di.esel,, Kerosene, #2 (B) Heavy Oils: waste motor oil (C). new motor oil (C) a transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: .DISPOSAL RECLAMATION REW.RKS: 1. Sanitary Sewage 2. Water Supply cp � IV O Town Sewer 0 public r /Q O On-site Q Private Assoc ., CAI6 3. Indoor Floor Drains: YES NO o g 9 Q Holding tank: MDC F�zo O Catch basin/Dry well URDERS- O On-site system A LL M6 OPO 1 V 4. Outdoor Surface drains:YES)LNC 6 0 O Holdink• tank: MDC Cj_,��AkJ - 1) ® PP A u r . 10Catch basin/Dry well . .. . W O On-site system �Q© A&Z43 S. Waste Transporter Licensed? dame of Hauler_ Uectination }slate Product ' q )a 1 12 2 e Int.erviewed Inspector t TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair Q satisfactory 2.Printers BOARD �OF HEALTH 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY �il l.`�<�' 1 ') O (see"Orders") 5.Retail Stores _ ��'/ + 6.Fuel Suppliers ADDRESS I�l(�> 5 i � ^1>�� Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN= indoors; OUT-outdoors) —MAJOR MATERIALS Case lots Drunis Above Tanks Underground IN OUT IN OUT IN OUT #&gallons Age 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 j Miscellarneous: � 42�- ( Ur,)L/ �C�1Y'Clitl >> L, j L I 1\1�- i;N- T-t 6,, art dl .r1., u DISPOSAURECLAMATION REMARKS: . , 1. Sanitary Sewage 2.Water Supply l�? /t� `� Ml Q Town Sewer OPublic O On-site OPrivate 3. Indoor Floor Drains YES NO � O Holding tank: MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5. Waste Transporter J�� V �/Name of Hauler Destination Waste Product YES NO 1. 2. ly i Person (s) Interviewed Inspector Date / h� f Donna Miorandi, Health Inspector met with Lt. Eric Hubler and Lt. Donald Chase of the Health Department on the afternoon of January 26, 1993 and it was de- termined by the Hyannis Fire Department that Ziggy's does not need a spray booth, but does need a designated spray space as cited in the Mass. State Building Code. r , THE MASSACHUSETTS STATE BUILDING CODE SECTION 621.0 MOBILE UNITS - 621.1 General: Mobile units, as defined in Section 201.0, shall be designed,, constructed and maintained to be transported from one location to another and not. mounted on a permanent foundation. A mobile unit placed on a permanent foundation or on foundation piers shall be designed and constructed to comply with all of the requirements of this code for on-site and prefabricated construction. 621.2 Construction: Residential mobile units shall be of an approved design and constructed in accordance with the applicable ordinances and statutes. All other mobile units shall be designed and constructed in accordance with the requirements of this code. All mobile units on a permanent foundation shall be evaluated, inspected and labeled in-plant in accordance with Section 115.2.3. 621.3 Location: Mobile units shall be located in spaces approved for such use.The provisions of this code shall not be construed to repeal, modify.or constitute an alternative to any lawful zoning regulations. In case of conflict between this code or any other ordinance or statute, the most rigid requirements shall apply. 621.3.1 Anchorage and tie-down: Every parking space for mobile units shall be provided with devices for anchoring the unit to prevent overturning or uplift. The owner of the parking space shall anchor or cause to be anchored all mobile units located on the parking space.Where concrete platforms are provided for the parking of the units, anchorage shall be provided by eyelets embedded in the concrete with adequate anchor plates or hooks, or other suitable means. The anchorage shall be adequate to withstand wind forces and uplift as required in Article 11 for buildings and structures, based upon the size and weight of the units. SECTION 622.0 PAINT SPRAYING AND SPRAY BOOTHS 622.1 General: The provisions of this section shall apply to the construction, installation and use of buildings and structures or parts thereof for the spraying of flammable paints, varnishes and lacquers or other flammable materials, mixtures or compounds used for painting, varnishing, staining or similar purposes. All such construction and equipment shall comply with NFiPA 33 and 34 in Appendix A. 622.2 Location of spraying processes: Such processes shall be conducted in a spraying space; spray booth, spray room or shall be isolated in a detached building or as otherwise approved by the building official in accordance with NFiPA 70 and the BOCA National Fire Prevention Code and 527CMR listed in Appendix A and G, respectively. 622.3 Spray spaces: All spray spaces shall be ventilated with an exhaust system to prevent the accumulation of flammable mist or vapors in accordance with the BOCA �-- 6-48 780 CMR - Fifth Edition SPECIAL USE AND OCCUPANCY REQUIREMENTS . National Mechanical. Coder listed in Appendix A. When :such spaces l are onot separately enclosed, noncombustible spray curtains thall be provided to. restrict`the spread of flammable vapors. 622.3.1 Spray booths: All spray booths sh all,be.constructed:-of noncombustible materials and equipped with mechanical. ventilating systems in accordance.with!the BOCA National Mechanical Code listed in Appendix A. 622.3.2 Spray rooms: All spray rooms shall be enclosed-irt partitions�of not less than 1-hour fireresistance rating. Floors shall be waterproofed and drained 4h.:an approved manner. 17 .622.3.3 Spray storage rooms: Spraying materials in quantities of�no&more,-.than` " 20 gallons shall be stored in approved cabinets ventilated at top and bottom. When in quantities of more,than 20 gallons and not more than 100 gallons,1 the'-spraying materials shall be stored in approved double walled noncombustible cabinets vented directly to the outer air.All spraying materials in quantities of more than 100 gallons . shall be stored in an enclosure of not less than 2-hour fireresistance rating or in a separate exterior storage building. Such storage shall �na be.dn quantities of more than 250 gallons, except when stored in storage buildings; and except further that; not more than 25 gallons of spraying material shall be stored in buildings in which pyroxylin products are manufactured or stored. 622.4 Fire protection: Sprinkler heads shall be provided in" all spray; iiip-land- immersing spaces and storage rooms, and shall be installed, in accordance with Article 10. Where buildings containing spray areas are not equipped with an` . approved automatic sprinkler system, the sprinklers in booths and other spray areas° and storage rooms shall be permitted to be supplied from the building water supply when.approved and conforming to Section 1005.0. SECTION 623.0 RADIO AND TELEVISION TOWERS 623.1 General: Subject to the structural provisions of Section 1112.0 for wind`load s' and the requirements of Section 927.0 governing the fireresistance ratings of' buildings for the support of roof structures, all radio and television towers shall be designed and constructed as herein provided. b623.2 Location and access. The towers shall be so located and equipped with step"' olts and ladders to be readily accessible for inspection purposes. Guy wires or other , accessories shall not cross or encroach upon any street or other public ' any electric power lines, or encroach upon any ot space, or over:` her privately owned.,propert}►�i without written consent of the owner. 780 CMR - Fifth Edition 6-49 7 �.""•-cY..._ .._,.-^-1 -- -. :a--�-...fir-' �r�- --._ �. ^- .. -:_ _ - TOWN OF BARNSTABLE. BAR _WOl� Ordinance or Regulation WARNING NOTICE Name of Offender/Manager +�"t '�� �' ��'+� �ti Address of Offender MV/MB Reg. # Village/State/Zip {} Business Name A455 A,4 u eyy �i/pm; on 7125' 20 f 3 Business Address ?q0 / Signature=6f Enforcing Officer Village/State/Zip 1-t'J/jj,0✓f I w� , VVI 14 Dz4'a 1 / Location of Offense ►N� +nf.�? 1 / Enforcing Dept/Division Offense CX�� ��CK ttf� Aq,,eo1Ja 14.94 fI i y t �Gt� Vi` ,e- Vl ov- o otA_)VL Facts L v e- i D -h • Q i,c it! r C v('a-e t1J '�t ►t2 Sy v 5 t vLCS +fr�/5 > r 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. TOWN OF BARNSTABLE Ordinance or Regulation BAR -W WARNING NOTICE Name of Offender/Manager ��t l ' " Address of Offender MV/MB Reg. # Village/State/Zip . ...Business. Name r �°'� 4 ' 814y � `'�� 'am/pm;- on _7/25' 20 / Business Address -7 q Signature�of Enforcing Officer Village/State/Zip 0,/ `i w dI ; Location of Offense .VI �- j Enforcing Dept/Division Offense �`e�' < c� �', =. � � � f' # i eft { �r � t ',c V#rfrtr�r I acvt E�6 rc� r)e ,�}ie V__I t✓ IV t2 Yf' 7`t L Facts k ;'�-�- • t ; �J• t t t� 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. TOWN OF BARNSTABLE BAR-W 153 2 3 1 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager Address of Offender MV/MB Reg.# Village/State/Zip ) Business Name '�', 101on .am/pm, on / `1 20 Business Address ./ `.-i �' "ice ✓*-' tt tt / Signature of.-.,Enforcing- Officer Village/State/Zip �# .t1ay1Y1� 'a . AA ()IJ20 1 Location of Offense tt ,, / t Enforcing Dept/Division Offense � ti".,+t`-C < a ("k 5 Facts 1n e,,,p \VL rA W I+I,.: OL' . d# 6ely-A i'-104 1C�c�"j'4� • This will serve only' as a warning. At this time d6 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. 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 ' t . ' ` ' V ' `' am/pm, on °' ' .201 Business Address Signature.,of Enforcing Officer Village/State/Zip L r Location of Offense .�} !�� •�-t:�r� '! s ° �•'�`� ` Enforcing Dept/Division Offenses „, �._ ; �' •; } �; ',. _ , l v : _ t . �- Facts ! l R V! /i \t _ Pt 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. TOWN OF BARNsTABLE 2. Printers satisfactory � j 3. Auto Body Shops BOARD OF HEALTH unsatisfactory- 4. Manufacturers (see"Orders") S. Retail Stores COMPANYY! 6. Fuel Suppliers ADDRESS " i �_ 940 ,011 40 Class: 7. Miscellaneous QUANTITIES AND STORAGE (IN=indoors; OUT=outdoor: ,�, Case''lots Drums AbdveTanks � Undetgtouad Tanks MAJOR MATERIALS ,5 n� IN OUT I p I A a e rest Fuels: ' Gasoline, Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: /r �' waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers 4� , 4. �} Miscellaneous: ' # ...+may � y .. DisposAL RECLAMATION REM1,RKS: 1. S tary Sewage - 2. Water Supply ( ] Town Sewer Public OOn-site O Private .3. Indoor Floor Drains: YES N0 O Holding tank: MDC OCatch basin/Dry well ._ .. _._._...._. ..___._...._.._.... ._.._— OOn-site system 4. Outdoor Surface drains:YES 4 Q Holding• tank: MUC O Catch basin/Dry well , aOn-site system _- Licensed? S. Waste Transporter , fiPctina ion haste , Z rson s) t.orviewe Inspector Date 23 ei �,, ,.