Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0949 BEARSE'S WAY - HAZMAT
l s M EA® No.53LOR UPC 12543 emead.com • Made in USA gf-YC(CO OFE IMPTIG ROD0CIUNE IR � WWWWWROGROLONG (NE T° Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 Y RARMASS. 200 Main Street• Hyannis, MA 02601 �prEDMP�4 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: Napa J O Date: 01 Ook4 Location/Mailing Address: qqq , S 02601 Contact Name/Phone: S0q-7j 77ri sl Inventor Total Amount: < Soo MSDS: lbrIli0t✓ License#: 1070 Tier II : Labelina: LW Spill Plan: CS Oil/WaterSeparator: Floor Drains: 10J0 Emergency Numbers: Storage Areas/Tanks: Vi M T O1i! Emergency/Containment Equipme tt: Waste Generator ID: Waste Product: Date&Amount of Last Shipment/Frequency: """ LicensedWaste Hauler&Destination: ran oil Other Waste Disposal Methods: r'ti i 1 ern 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 V 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) sphalt&roofing tar Swimming pool chlorine EEEPaints, varnishes, stains, dyes ye 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: 1 INFORMATION/RECOMM NDATIONS: vet' t,/Alr n0 i Inspector: � � 1 Facility Representative: l� WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Number Fee 1070 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Napa Auto Parts-Bill Drinan (Owner) ................................................................................................................................. 949 Bearse's Way, Hyannis, MA ...--------------------------------------------------------------------------------------------------------------------------------------------------------------------- Is Hereby Granted a License For: Storing or Handling 500 gallons or more 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 1 Town of Barnstable Inspectional Services BAMSTABLE WHSTAM- NiF1VILIE•CMn•tYSNNIS . Public Health Division == 'S"'LLS1639-2LL_. ` p 16-351/q/2014 I- TIL 1 BARNSTABLE, 1 Thomas McKean, Director �. o39.,661, 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 y APPLICATION FOR PERMIT TO STORE AND/OR UTILIZEn HAZARDOUS MATERIALS ell 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 �5G�n - *A late charee of$10 00 will be assessed if payment is not received by July 1st. ` 6' 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. 5. NAME OF ESTABLISHMENT: Inc (Ak )m2 �- Cat t/ 6. ADDRESS OF ESTABLISHMENT: � ��d'S /I 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: �� ��/ �► ,� O 8. TELEPHONE NUMBER OF ESTABLISHMENT: OS- ,2!9-5r- 9. EMAIL ADDRESS: "i n Q naa MPe CAd, e®0- 10. SOLEOWNER: y YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND T LEPHONE#OF: CORPORATION NAME �' R- 0 PRESIDENT ; TREASURER ��, CLERK /h 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICAN DATE Q:VWpplication Forms\Haz Mat Appli Draft Jan20l9.docx `°p tHE TOy,� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 a"M�`E. ' 200 Main Street• Hyannis, MA 02601 prE039, 0� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: Pd. Avk0 PW"� Date: 71g j 14 Location/Mailing Address: 11qCl ft, 034 Contact Name/Phone: Al Inventory Total Amount: 10� 700 SDS: '^e License#: 1070 Tier II : Labelino: qe.5 Spill Plan: anlfhe Oi[/Water Separator: KI 0 Floor Drains: Aid Emergency Numbers: $ Storage Areas/Tanks: U � t/ Yi. aa,cn �J Emergency/Containment Equipment: �`�� S� elM �-S Waste Generator ID: Waste Product: 1--Jo.* 0 Date&Amount of Last Shipment/Frequency: aS Off--10amfe 5wie 14a 4,p,eCe,-1 Licensed Waste Hauler&Destination: IV 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,E(nd disposal of 111 gallons or more requires a license from the Public Health Division. � Antifreeze 20 Dry cleaning fluids \/ Automatic transmission fluid ___,/iOther cleaning solvents&spot removers Engine and radiator flushes ug and tar removers Hydraulic fluid (including brake fluid) 1AA indshield wash Motor oils"�pp +100 VMiscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners iesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts / grease, lubricants, gear oil Refrigerants J Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals (Developer) 1Car 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 acquer thinners Miscellaneous Combustible aint&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: fin AR 4404V Inspector: c Facility Representative: ��d WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS l I °rT roq� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-7s0-6304 • BARM , MASS A-AB • 200 Main Street• Hyannis, MA 02601 �prFD3Mu��`e TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: A?A Aaa Packs Date: 812qllt. Location/Mailing Address: 1741 csc'S t1) 4,,A1,1 Contact Name/Phone: AA'' c,w,.� ow►n c.r S�$-7��- Inventory Total Amount: "1 o� ' MSDS: I 0 o' Ve- License#: lD-7 Tier II : n g,4ti 5 Labelino: Spill Plan: OK Oil/Water Separator: Floor Drains: N o Emergency Numbers: DaC Storage Areas/Tanks: 1- a( 'W"*-ero+ co �Oakk corc5 Emergency/Containment Equipment: Waste Generator ID: M� o$�� �Z Waste Product: O aaaA4.c ce.s Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: ,,11 LIST OF TOXIC AND HAZARDOUS MATERIALS I o vim'j vse `/ NOTE: Under the provisions of Ch. 111, Section 31, of the General LaA of MA, hazardous Material use, i storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids �j Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes ✓ Bug and tar removers �- Hydraulic fluid (including brake fluid) �~ Windshield wash ZMotor 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) J 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" J (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: \SSv,e-S o,�( Inspector: ( ' Facility Representativ . WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS Number Fee 1070 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Napa Auto Parts-Bill Drinan (Owner) 949 Bearse's Way, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. -------------------------------------------------------------------------------------- -------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2017 unless sooner suspended or revoked. 9 ---------------------------------------- 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 ro a Town of Barnstable �j Regulatory Services ' Richard V. Scali, Director /`\�T F i BARNS 1 �L B" MAU& ' Public Health Division i6S9. a�0� e"w,xnoa° r�.ue•w�e axsiuU �fD Nay Thomas McKean,Director 'beJ�� 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644O" Fax: 508-* =46304 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 I PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 • A late charge of$10.00 will be assessed if payment is not received by July 1st. ASSESSORS MAP AND PARCEL NO. DATE Z FULL NAME OF APPLICANT: /2/;r m2i2 nth NAME OF ESTABLISHMENT: ( �� hv, )� ADDRESS OF ESTABLISHMENT: MAILING ADDRESS (IF DIFFERENT): ! .-90z TELEPHONE NUMBER OF ESTABLISHMENT: D�� EMAIL ADDRESS: A� �A 2 ne - rom SOLE OWNER:_ZYES_NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME /7t',/Z lhC PRESIDENT an .SDB- 5� TREASURER . S . CLERK • IF PREPARED BY OUTSIDE PARTY: SINATU PPLICANT Name: Company Address Telephone#: Email: Q Upplication Forms\HAZZAPP Revl6.docx Page 1 of 2 I_ JKErorti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARM RS. 200 Main Street• Hyannis, MA 02601 sb M e,0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rED MA'S � Business Name: �APA o--o -,,45 Date: Q �S Location/Mailing Address: y arse ; 0 a 11-1 r Contact Name/Phone: 1<V"Uk S' Inventory Total Amount: If �j00 a MSDS: VX)05 e- License#: 107C> Utif Tier II : DAe igM -- Labeling: v�a�aloel � Spill Plan: o Oil/WaterSeparator: Floor Drains: Ma Emergency Numbers: JIt Storage Areas/Tanks: 1^ S al caw. Woke- 00 141 �111,91ovt. Lo ne Q-�c., Emer enc /Containment Equipment: Waste Generator ID: �1 D`e�1 'l� S'2 Waste Product: o1. u �� eo«S Date&Amount of Last Shipment/Frequency: N ©0 xv, �ecr cS Licensed Waste Hauler&Destination: C V.. Other Waste Disposal Methods: v 0 �ke4 LIST OF TOXIC AND HAZARDOUS MATERIALS fV o 4V%,rV pr c1n�w�LS IL4-1vr..��CKq Srrtce- h4-P��SBccto►� NOTE: Under the provisions of Ch. 111, Section 31, of the General Lawd 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 too-200 Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine ZPaints, 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" �_ pE (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: l$ Z6 a( `2ch✓►'1✓1�(R iD✓t 5 'G IS r Inspector: t La�.e.1I Facility Representative- WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS °FnE to Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARMA2�%. 200 Main Street• Hyannis, MA 02601 �'0rF03g. i1A+a` TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: 1 Ailo 4v- S Date: 9 Location/Mailing Address: AYMe -4oAis Contact Name/Phone: ra S. �,e, wt Q t4� owwc-✓ tome : S -7���61 2 lyl� a I�•ow��_ SOS- �!"I'1-�4`1,1, �''19 �R1( so8 1�-i-33oo Inventory Total Amount: 130o a 1 MSDS: bin.�o� oral wt)S rta, License#: t 070 Tier II : Qo�c���a� �S Labeling. Spill Plan: OK Oil/WaterSeparator: nl 0N Floor Drains: o Emergency Numbers: D Storage Areas/Tanks: �Sti�� s�`^^- �^70��kLo1 t tb�x,l2-ae �vs. f-6r.�rsrf-� Emergency/Containment Equipment: f r ,< a 1p- Waste Generator ID: 1 2 Waste Product: ot r Date&Amount of Last Shipment/Frequency: g� j mv-c�- A SeA<ev AAV Licensed Waste Hauler&Destination: C 3 k- 0, 1 Other Waste Disposal Methods:VEKA S��O1 �./ D��I�� ✓a �ti'Fk �rerrS fir. �n,,12„�, o .mac, , LIST OF TOXIC AND HAZARDOUS MATERIALS 1Jc K4,*\o!4AkA ) -9 %0. �"��� �� 61rtZ-f- `A5k /K5P/--t0 `— NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, �/ll b/►4, 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 V 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 I Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides y Battery acid (electrolyte)/b?tteries Photochemicals(Fixers) Rustproofers 00-U0 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, po Ehydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: c Inspector. a( ' Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Date: I / if / I q TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS RE09bOMWFORM NAME OF BUSINESS: PA AA -Ptr+5 BUSINESS LOCATION: 5q 1 ar1V1i5 INVENTORY MAILING ADDRESS: s4 TOTAL AMOUNT: TELEPHONE NUMBER: 1300 ga CONTACT PERSON: fiaKk S lvio, ,% r- 01h *- Rvp. owwc� EMERGENCY CONTACT TELEPHONE NU BER: s�f�8a I4o." soR-y-77-799L MSDS ON SITE? TYPE OF BUSINESS: Gt y-�o S�.aDl12 S rAA4-1% l es INFORMATION / RECOMMENDATIONS: Fire District: 1 s +1 yl 8 �y�l nrl 1 S Waste Tr -1751SrZ- Last shipment of hazardous waste: XX 5wce.. 1R9j Name of Hauler: _Cyvt,0, Destination: 14sf stir Mori 4rL S rs o Waste Product: W sfe- of ( 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 An 'freeze (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 C(NEW Q USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) 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, 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 , I N D 1NlGt. v( c�a s �►ti ��Ve.v�. oc Laundry soil &stain removers (including bleach) 51A& I ��y .�oV�.�I/I If to) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initialsel Number Fee 1070 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Napa Auto Parts-Bill Drinan (Owner) 949 Bearse's Way, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. - - --------------------------- - -------------- - ---- --- - -- _------------------------------------------- ------------------------- --- ------------------------------------ _ -------------------------------------I ------------------------------------------------------------------------ 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 f a at Town of Barnstable o Inspectional Services BARNSTABLE �t M1slo.B10SC IEFV::L'CC'lIR WIRTl o Public Health Division XOSSCtiuILLS d 9'��14t;S9uK E 1 LE. ' Thomas McKean, Director 1639. 13.�a � 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 1 st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 ❑ l � 5 V CATEGORY 3 PERMIT 500 or more Gallons: $150.00 &r_ *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. ���aV 2. IS THIS A PERMIT RENEWAL? 1/YES NO. IF YES UESTION 3. _ � SKIP Q 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS • ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: 5. NAME OF ESTABLISHMENT: A-Is � 6. ADDRESS OF ESTABLISHMENT: 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE:-7,7,0 Fox 011, -/r 4 A44 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: � 1 � (�C'C . C'®l 10. SOLEOWNER: V YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#�.', OF CORPORATION NAME � A �' F p A PRESIDENT e'l . a • o 4''r rd. MA. ea TREASURER CLERK , 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT _ DATE-l�l� Q\Application Forms\Haz Mat App Revised 09-10-18.docx Number Fee 1070 THE COMMONWEALTH OF MASSACHUSETTS $150.0o Town of Barnstable Board of Health This is to Certify that Napa Auto Parts-Bill Drinan (Owner) 949 Bearse's Way, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. ----------------------------------------------------------------------------------------------------------------------------------------- --------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2019 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 a So�1�1�� f�a-E 0 Vewgulatoryoof B stable �l Vrvices �t"e r� Richard V. Scah,Director Public Health Division BARNSTABLE • HAMMBLE. Thomas McKean)Director MUM*-[U.°(W�� �'VAW MASS. 16 9-014 200 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 9 V s. *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? i✓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 QUANTITIESa (25 GALLONS)? YES NO. ME 4. FULL NA OF APPLICANT: y� 10&n 5. NAME OF ESTABLISHMENT: kC , CG &7!5- 6. ADDRESS OF ESTABLISHMENT: 2:774ffu2e2s 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: D.. 8. TELEPHONE NUMBER OF ESTABLISHMENT: ,D- ,925- 9. EMAIL ADDRESS: hdrft-,a_n 0n'i'a LG d 4s2/r 10. SOLEOWNER: i/ YES NO IE NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS AND TXLEEHONE#OF: CORPORATI N C PRESIDENT 4 Gtn !. TREASURER CLERK _19 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE - V /� Q:\Application FormsUiAZMAT APP 2017 REVI .docx Number Fee 1070 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Barnstable B Town of a Board of Health This is to Certify that Napa Auto Parts-Bill Drinan (Owner) 949 Bearse's Way, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. - ---------------------------------------------------------I--------------------------------------------------------------------------------------------------------- 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 a � a 0Z 61� Town, of nstable Regulatory ervlces a Richard V. Scali,Director t THE Tp� "o Public Health Division BARNSTABLE BMNSi:plE.SxiEGVILLE•CONR•NYa.t:15 ,p , • NWt51tY5 tLL:S•C51:.¢JILLE•Y13f B.MSit&t BABNffiABLE. = Thomas McKean, Director 1639.2014 9�ArE 9. " � 200 Main Street, Hyannis,MA 02601 �Dg 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 1st—JUNE 30th). /V 2^11:1?N9 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 V,,S *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? AES_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: lie,7r11loan t 5. NAME OF ESTABLISHMENT: Ocx k C.- bAkPA AA2 6. ADDRESS OF ESTABLISHMENT: 99 a r5�� h is 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: y4,4 ' D Z 5511 8. TELEPHONE NUMBER OF ESTABLISHMENT: J'060 919-6-- 9. EMAIL ADDRESS:yl (D- eDlyl 10. SOLEOWNER: V YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: , CORPORATION NAME It e- n D u PRESIDENT ► / TREASURER 2, CLERK c�a-rvv 12. IF PREPARED BY OUTSIDE PARTY: NAME: - TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT ATE QAApplication Forms\HAZMAT APP 2017 REVISED.docx V� Number Fee 1070 THE COMMONWEALTH OF MASSACHUSETTS 100.00 Town of Barnstable Board of Health This is to Certify that Napa Auto Parts-Bill Drinan (Owner) 949 Bearse's Way, Hyannis, MA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. --------------------------------------------------------------------------- ---------------------------------- ---------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2016 unless sooner suspended or revoked. ' ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF, D.M.D. 07/01/2015 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health A 1 ,rye Town of Barnstable Regulatory Services ti � Richard V. ScaIi,Director MASIL Public Health Division ` 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. �— dS DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT (,tJ,l/,a,� -r n a.n NAME OF ESTABLISHMENT Al f 11) - aa LOGY • A ADDRESS OF ESTABLISHMENT TELEPHONE NUMBER SOLE OWNER: /YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.O STATE OF INCORPORATION g-6ga.C,A;fY-5'-CW'S ._f FULL NAME AND HOM DRESS OF: PRESIDENT ' /'Cc ? Q� �' ' 4L- r gz . s,34 TREASURER CLERK ." SI ATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS SE f A kvF HOME TELEPHONE# Mcache\Temporary Intemet ReAOLKWHAZ.APP Rev2015.DOC Town of Barnstable ofTME Regulatory Services • �' Richard V. Scali,Director BAPI` MAM`"BLE'r Public Health Division �1639. '�0 E ►9. Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Wayne Miller,M.D. Fax: 508-790-6304 Paul J.Canna D.M.D. Junchi Sawayanagi NOTICE TO ALL BUSINESS OPERATORS WITH HAZARDOUS MATERIALS IN BARNSTABLE The Town of Barnstable Town Council adopted, Chapter 108: Hazardous Materials, a requirement for each business operator to obtain an annual permit and to remit a fee of$100.00 if one-hundred and eleven (111) gallons or more of hazardous materials are stored, transported, utilized, and/or disposed of at a particular site. STEPS 1 —2: 1. Please complete the attached application form 2. Submit the fee of$100.00 payable to the:. Town of Barnstable. MAIL all of the above to this office on or before June 30, 2015. A late charge of$10.00 will be assessed if payment is not received by July 10, 2015. Please feel free to view the above Code, Chapter 108: Hazardous Materials on the Town Website, www.town:barnstable.ma.us , which,is located under the E-Code section if you should have any questions or concerns. Q:',Hazmat\Haz Mat Permit LetteI.DOC ok Town of Barnstable Office: 508-862-4644 o. Regulatory Services Department Fax: 508-790-6304 anustat Public Health Division MASS. Thomas A. McKean,CHO 3.,� ` 200 Main Street, Hyannis, MA 02601 Payment Receipt (Hazardous Materials Payment received: 1$ 00.00 (Check) on 7/2/2015 I ICheck number: 12925 Check amount: $100.00 Name on check: Napa Auto Parts- Cape Cod I 13usi.ness: Napa Auto Parts Owner: 319R&R LLC IAddress: 949 BEARSE'S WAY, Hyannis I jam_.-__ .._ .. ...._ ._.._._.�__.�..�...._�_.�._,....«_,...�.«._..__..._.._.�.�...._.� .._,,..._._..__...._�..v.._...»«......._.._�. _..............� .......�� NAPA' NAPA AUTO PARTS •=AUTORTS-CAPE COD Falmouth-508-548-6333 Hyannis -508-775-7552 Orleans -508-255-0210 Napa Auto Parts - Bill Rg, owner 949 Bearse's Way j Hyannis, MA 02632 q4q �� l YYJ Yg�s �RPA- �4v1��,rah 1�- y°u �. R� Number Fee 1070 THE COMMONWEALTH OF MASSACHUSETTS 100.00 Town of Barnstable Board of Health This is to Certify that Napa Auto Parts-Bill Rugg, owner 949 Bearse's Way, Hyannis, MA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/15/2015 unless sooner suspended or revoked. -------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF, D.M.D. 6/30/2014 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable l °FTHE rti Regulatory Services Richard V. Scal ,Director BAR"AS&LE, ' Public Health Division 039.OrFo39,�s Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. 7 DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS .FULL NAME OF APPLICANT NAME OF ESTABLISHMENT c// q N/�,�9 �us?� AQ;m7 ADDRESS OF ESTABLISHMENT �9 / ��sr Gc�f�S' �i vs1v�.�s�/ C0 6 0 1 TELEPHONE NUMBER �`0 8 -7.;)8-e 0 0$ SOLE OWNER: V YES NO, IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. O!V3/3 96 G y STATE OF INCORPORATIONS FULL NAME AND HOME ADDRESS OF: PRESIDENT �� //ice !'v bS/ �'�9.. C�x+T��c.✓� �� 0��30� TREASURER " .: CLERK SIGNA OF APPLICANT RESTRICTIONS: HOME ADDRESS ,-mac HOME TELEPHONE# Q:\Application FormsUTAZAPR.DOC. .MA.II,;IlV REfl�.T�ST'S' . Please mail the completed application fora, to the r adss belt In addition, Please include the eed fee amount Make �k payable to Tom ofEamstabie. Our mailing address is: Taman of Barnstable Pablic Heauh Division 200 Main Strea HY=i*MA 02601 Our fax number is (508) 790-6304. Please fag a completed application mL In addition, mail the required fee amount (see fees at bottom of this e)- Please fmake the check p you must Town of Bamstable. The check must be mailed to the address listed above. payable to: For further assistance on any item above, call (508) 862-4644 ems, 2- ci I 4 Cam/ 1 Number Fee 1070 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Napa Auto Parts-Bill Rugg, owner 949 Bearse's Way, Hyannis,MA 02632 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ----------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 6/30/2014 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2013 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Cr ti Town of Barnstable oft Regubtory Senias Thom F, Ga3ex,Diaz�#�r _ 3 Public He21th D1�10i 2D0 ljyfaim, Strz_, ET=js,MA 02601 F= 50�-790-6304 Ojt-icz: 5084E 2-4644 A���i�a�an Fea. �'10�1.flt3 ASSESSORS �p A-N7D PARCEL NO. �3 DATE / ��PI� A 1I� t FAR)RP SIT TO STORE Al�II�I�R Z� �QI 'I�A� 111 LI,j-)NS QF 7FdZ�RD()US MATERI-A3L-9 ,i DIAL NAME OF APPLICANT �> C, k'v NA1� OF ESTABT TSS:METT �N Q. /�C3 '�7 ADDRESS OF ESTABI -T y 77=HO_N + NU IRE ®R ' 7 -7�� SOLE 0 �: `,,YES >at0 o NA1 + A1�ID HoNa ADDRESS OF ALLCl ® w TF A�PLICA�PI'IS A PAl� 1�`'�+ �,FULL c.... � PARTNTI S. n j t � FP } a) rn Z n L/3� 6 S/ APPI JCANT IS A- C-ORP13RATIOt : FED�L ID���TIO� 3 8 0 STATE OF I1 i CORPORTION T NAiE AND HOB ADDRESS OF: PRESID I i SI tTtj F llcf-'I'T j I HOl� ADDRESS F,ES=C'IIOI'iS: •��I j EON-9 TEIKPHOl�9 ��3� »R- j r^.,�flc/wp/q MAff-N R-R ,k� Please mail the completed application form to :beid r In addition, ease in fee amount_ Make check please dude the . Payable to: Town�f Barnstable. Our mailing address is: Town of Barnstable Public Health Division 200 Alain Street Hyannis MA 02601 -- —— - - -— - -- —— QR FAz�M--REQT,EnT& Our fax number is (508) 790-6304. Please fax a completed application foma. In addition, mail the required fee amount (see fees at bottom of this page). Please Lake the check pavablemtuc T o of Baa s` ble. -tie cb��?� ,,,st he m d 4 to he address listed above. i. "� v.d^� �c..✓�i.� ed'.�' .�� �1.�'W`.��.��r�y":`J�ia�� ��`�— ��i'f�3 �:,1�p �-✓-� �`�•�;� ��� �a .�C�T�,� ems' `'�"��i �-,�''-�wc s I 6L-- a.67fEJ�� �. y i a i ^'-sG /�,�J <✓. .% a- spa" l �s I 1.4 1. Number r . Fee 1070 THE COMMONWEALTH OF MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that Napa Auto Parts -Bill Rugg, owner 949 Bearse's Way, Hyannis,MA 02632 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. W"NE MILLER,M.D.,CHAIRMAN PA_UL J.CANNIFF,D.M.D._ 6/30/2010 JUNICHI SAWAYANAGI T-T_ THOMAS A. MCKEAN, R.S.,CHO Director of Public Health Ao s t Town of Barnstable of1HE rOk'b Regulatory Services Thomas F. Geiler, Director BAR E, • hTASS. � ]Public Health Division .p 1ASS. 1639. pTE�MA�A Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6 304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. /-;iS DATE 6 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT tom.. Ica NAME OF ESTABLISHMENT e9uv 77j eeG?!R/4Z7'� ADDRESS OF ESTABLISHMENT 9515 • TELEPHONE NUMBER 3_3O6 SOLE OWNER: YES NO iE IF APPLICANT IS A PARTNERSHIP, FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 0'c 3./ �6� STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT C.,c �'y�C ;', s7� TREASURER CLERK SIGNAT OF APPLICANT RESTRICTIONS: HOME ADDRESS +�ES �v�- HOME TELEPHONE # Flaz.doch%p'y Number Fee 1070 THE COMMONWEALTH OF MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that Napa Auto Parts-Bill Rugg, owner 949 Bearse's Way, Hyannis,MA 02632 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 6/30/2012 unless sooner suspended or revoked. --------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2011 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barns able �THe, Regulatory Services 00.00 ti Thomas F. Geiler,Director CUP) ' KAM ' Public Health Division 9-- 9� s63 . �0� 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 CAAPPLL TION FOR FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN "' III GALLONS OF HAZARDOUS MATERIALS F .L NAME OF APPLICANT C- GPy G cis N 1 QF ESTABEISHMENT '^�`'��'� ® AM)RESS OF E ;iBLISHMENT 9.Y-9 TELEPHONE NUMBER C,<-GC SOLE OWNER:✓ YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 0513.C3(?j��,O Y STATE OF INCORPORATION X-):219 FULL NAME AND HOME ADDRESS OF: PRESIDENT CtJ�//�i9�� y��o o�S"/ ; .,�9�/!= C��J�✓e yr , �� TREASURER �1�s /iv� dC'u h to i CLERK &-JC—Pz , SIGNA OF APPLICANT RESTRICTIONS: HOME ADDRESS -S.9� s9� HOME TELEPHONE# .0 Haz.doc/wp/q k' Fee Number 1070 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Napa Auto Parts-Bill Rugg, owner 949 Bearse's Way MAIL: 261 Bay Lane, Hyannis MAIL: Centerville,MA 02632 Is Hereby Granted a License FOR: STORING OR HANDLING III 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 W L Town of Barnstable Barnstable VE Regulatory Services Department • � �":BARNSrAiBLE Public Health Division . 9� , � 200 Main Street, Hyannis MA 02601 prfD '� 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 GcJe�/%� G•�'U to NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT 9519 TELEPHONE NUMBER 5-4 ff- 2 / Y C= C� SOLE OWNER: v YES 6�AO c� IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRES F ALL ' PARTNERS: Z to u' �A C,J1 dam' IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 0413J`3 STATE OF INCORPORATION /"�7/9 FULL NAME AND HOME ADDRESS OF: PRESIDENT -To 6lo / / %'L.�7,v� c��..T �✓�LGC TREASURER CLERK SIGNATURE OF APPL'ICWNT RESTRICTIONS: HOME ADDRESS 5_S Few v� HOME TELEPHONE# C wag- �i •-�33Q® Q:\Hazmat\Haz Mat Application2008,DOC i� NAPA'AUTO PARTS-CAPE COD 10095 REFERENCE NO. DESCRIPTION INVOICE DATE INVOICE AMOUNT DISCOUNT TAKEN AMOUNT PAID STMT061008 6/10/08 100.00 100.00 CHECK DATE CHECK NO. PAYEE DISCOUNTS TAKEN CHECK AMOUNT TOWN OF BARNSTABLE $100 .00 "& Number Fee 1070 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board. of Health This is to Certify that Napa Auto Parts 949 Bearse's Way, 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, 2008 unless sooner suspended or revoked. ------------------------------- WAYNE MILLER, M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. 7/9/2007 PAUL J. CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health I ., Town of Barnstable t Regulatory Services Thomas F. Geiler,Director ' g"USTABLE AM. MA.9S. Public Health Division .P 16;q. 10 'OjFawiA�A 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. ,-2'7,3/ DATE 6A�-tk7 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT -W\/C o 1,,6 9 ��� ,1070- NAME OF ESTABLISHMENT C _,oeUf � I ADDRESS OF ESTABLISHMENT y4 �. /��? C.cJ - .TELEPHONE NUMBER d-09 '9 �08' 6 Z 8& SOLE OWNER: ✓YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: i N � 0 -^J Z.. <I O` IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. ® ''O y W STATE OF INCORPORATION . �/v.S��/� cn ri FULL NAME AND HOME ADDRESS OF: PRESIDENT . GU��/.;g/+� e,•s�c.�o;6 TREASURER 3fc.,Py� Q oeU<ob CLERK Gv�y/�i�ro G �y6L SIGNAT F APPLICANT RESTRICTIONS: HOME ADDRESS QLS'/ ,�� • HOME TELEPHONE # S'0 a--778 Number Fee 1070 THE COMMONWEALTH OF MASSACHUSETTS $10o.00 Town of Barnstable Board of Health This is to Certify that Napa Auto Parts -Bill Rugg, owner 949 Bearse's Way MAIL: 261 Bay Lane, Hyannis MAIL: Centerville,MA 02632 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. -------------------------------------------------------- ----- - ------------------------------------------------ -------------- ----------------------- -------------------------------------- ------------------------------------ ------------------------------------- --------------- ------ This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2010 unless sooner suspended or revoked. ----------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF, D.M.D. . 6/30/2009 JUNICHI SAWAYANAGI THOMAS A. MCKEAN,R.S.,CHO Director of Public Health ' Town of Barnstable (k THE Barnstable tidE T Regulatory Services DepartmentAgAm eftaC* • Public Health Division .BA"STABL i639, ,� 200 Main Street, Hyannis MA 02601 AjFD�Y a 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. -273 DATE 9 z 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 9519 • TELEPHONE NUMBER ea q 2? SOLE OWNER: ✓YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS_T ALLO PARTNERS: c- IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.C) STATE OF INCORPORATION �7/3 FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK • SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS ROME TELEPHONE #_u�e� Q.'\Flazmat\Flaz ivlat Application2008.DOC • MAIL-IN REQUESTS Please mail the completed application form to the address below. Also include a copy of Your contingency plan (to handle hazardous waste spills, etc.) In addition,please include the required fee of$100. Make check payable to: Town of Barnstable. Allow time for in-house processing. Our mailing address is: Town of Barnstable Public Health Division 200 Main Street Hyannis, NIA 02601 FOR FAXED REQUESTS Our fax number is (508) 790-6304. Please fax a completed application form. Also, please fax us a copy of your contingency plan (to handle hazardous waste spills, etc.) In • addition, please mail the required fee of$100. Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. Allow time for in- house processing. For further assistance on any item abOVP, r'l1({08) 8624(4d Back to Main Public Health Division Page paC;aGD- QAFlazmat\Haz 4(at Apphcation2008.DOC i Number Fee 1071 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Napa Auto Parts 949 Bearse's Way, 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, 2007 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. November 7, 2006 PAUL J. CANNIFF,D.M.D. THOMAS A. MCKEAN,R.S.,CHO Director of Public Health 'Yowri DI >c Regulatory Services 114 Thomas F. Geiicr,Director .�; „ ,► �z 1 Public Health Division MAM 039. i� Thomas McKean,Director 200 Main Street, .Hyannis, MA 02601 Fax: 508-790-6304 Office: 508-•862.4644 Application Fee: $100.00 ASSESSORS'INiAP AND PARCEL NO. DATE APPLICATION FOR PFRAII-C TO STOD 11 OA�.LC?N ®F HA�ATZD+OYJSAT �I�;�LS FULL NAME OF APPLICANT" NAME. OF ESTAB]L'ISHATENT Ci� 'Cxt O ADDRESS OF ESTABLISHMENT - S TELEPHONE NUMBER tv -- SOLE OWNER.: YES NO IF APPLICANT IS-A:-PARTiN-ERSHIE,F'tiLL NAME.A�TD lEIOM1�IE ADDRESS OF ALL PARTNERS: _ �•l �` IF APPLICANT IS A CORPORATION: EEDE%',L IDENTIFICATION NO. STATE OF INCORPORATION -yA FULL NAME,AND ROME ADDRESS OF: PRESIDENT 11242/rA TREASURER 3F�?Ni✓ = C3 ��O SIGNA'I'[JRE OF VftICANT 0411.7 RESTRICTIONS: HOME ADDRESS HOME TELEPHONE # QAApplicaieon FCnn AP1AZA P?.D0(7 t.Iake application to-local Fire Department Fire Department retains original application and Issues dupGcata as permit P � nanl a�tir��xt�ceea — oard o� fie �'reventian WA APPLICATION and PERMIT' U1W for storage tank removal and transportation to approved tank disposal yard in accordance with the provisions of M.G.L. Chapter 148, Section 38A,527 CMR 9.00, application Is hereby made by; Tank Owner Name(please print) _ G , 6"A b ,1.ff4S X 7 Address � 7 �>i:'i7 NAr''7 S�- S~ Cry 11o?Go� 6Nr• 10 Iz y Company Name #-V h Fi,,.. Co.or Individual - P,nr Address OGa417,4 Address Signature(if applying for porm;q Signature(If applying for permit) O IFCI-Certllled Other _ O IFCI•Certified O:LSP 0 — Other._ Tank Location Tank-Capaclly(9alfonc)'_ A,Qa'6 r. Substance last Storod 40A5"o Tank Dlmonslonc(diamotor x longill)- /o d Y /s 8- Fiamerk�' _ /Io. d-&& VAII.—V It, 1//SrR9IA1 9RS • /�.e e SFL,�� �iani�J _ ' /n3fiA/I ao Ffmr transporting wasto _ 1 + G, if-Iz Stato tic.a_ flazordou9 waste manifoau E.P.A. 0 /`1A D O,'Z 3 03')7 7 Approvod tank disposal yard 4fAAI7 'J Tank yard 0 GO g _ � 1 Typo of Inert do:; C Tank yard addreso A/r/C o 19, Ry OR/3 (P Chy or Town _ �1 02188 Dato of Issue - / �/>� Date of exp;ratior• .11 Dig Sato approval number: t 4� h„� r Di Salo Toll Free Te; Numb �•60a322.4844 t e S t 9 Signature Title of Officer granting permit 95 HIGH S('H00L 1 D- EXT -� h'(Ii'aI<l:, 1`i a;l.s , DZ After removals)(`Consumplivyo the'fuel a tanks exq*le-�and Form FP-29OR taloned by Local Fie Dept.to UST Rhotdolory Compllanoe Unh,One Ashburton Place;Room 1310,BNlon;MA 021 Oe 'Intemationlll Flre Code Inothute APPLICATION MUST BE FILED AT LEAST 24 HOURS PRIOR TO TANK REMOVAL. CONTRACTOR MUST CALL DAY OF.. OVAL MULTIPLE TANKS LIST ON OTHER SIDE. WITH APPROXIMATE T�ME�Mt1S d ,/ �RTr1R��+irn'anc�ri�37Mt�o11'--1 tirw•s Make tapplicaUon to local Fire Department. Fire Department retains original application and issues duplicate as permit APPLICATION and PERMIT for storage tank removal and transportation to approved tank disposal yard in accordance with the provisions of M.G.L. Chapter 148, Section 38A,527 CMR 9.00, application is hereby made by: Tank Owner Name(pleaso print) _ L.r,�r►,QFiQe p��> Az,4j S x Address �� �IDNR�"7 S7`� eAA,-ron/ C4y baa Io Company Name vi a/N c/v-- L Co.or Individual Pint .nr - Addross A 2)-2,vF Address P.•v Signaturo(i(applying for parmit) Signature of applying for pormit) O IFCI•Corilllcd Other p IFCI•Certified O iSP Other. Tank Locatlon ' if rrA a 9 S. J /� Tonle Cap aetty(gallonc) /O. Zr-D S -bslanco Last Storod Tank Dimonslonc(diamotor x longth) flomarks' v �ol, v e sJlJ ASu �S R _ . . _ , Firm transporting wasto �y LieD. Stoto Lic. a_ Flazardou2 waste manilosto E.P.A. A /rid-/�> Oka 3 63 7 fj r7 Approvod tank disposal yard _-19AA.T is Tank yard 1 Q 0 Typo of Inch dos T Tank yard addreso .z,?- ;y./G.V' Dyi��F /yOV 6d 13 ro City or Town ---,L -'� �f -----FOID't Date of issue /�' Date of expiration,4, r d Z 1 Dig Salo approval number: a t l y r `F �£3 `f 9 _716. GN l _. 9 i halo Tb r).600-322.4844 j Signaturo/Title of Officer granting ports ds n r .;s / Astor removltJ(a)('Consumpliyo Jae fuel ell to exe4te„�twnd Form FP-260R ebned by local Faa Dept.to UST Re9ulalo1jr 7 CompWoe Unit,One AshWdon Place;Aoom 1310,6oeton;MA 0210P 'Intematiofil Fire"Irdlittite -APPLICATION MUST BE FILED AT .LEAST 24 HOURS PRIOR TO TANK REMOVAL. CONTRACTOR MUST CALL DAY OF OVAL MULTIPLE TANKS LIST ON. OTHER SIDE. WITH APPROXIMATE T .MEW. US bE {/ L ' �RTf1tt?Tna�no�n=sir;t� ,rw� _ Blake application to local Fire Department. Fire Department retains original application and issues dupGcats as permit. t �Jee.a.,�rrcanl a�C�ixo C�r�veua—�ourd o��i��r�ventcon APPLICATION and PERMIT Fee: for storage tank removal and transportation to approved tank disposal yard in accordance with the provisions of M.G.L. Chapter 148, Section 38A,527 CMR 9.00, application is hereby made by: Tank Owner Name(please print) _ L1M*,6k LAAJD fARr7 If X Address _9`?7 -DE t6PA/'9Al ad.. Coy bar. sv qq . Company Name Lv'", v.%�o�Aelr�r Co.or Individual ^] plow mr Address 1�2 L.JCA Address 81 nature da I n for Gao-7 r ' D ( pp yt g permit) Signature(if applying for permit) AM A�M" O IFCI'Corlllled Othcr _ O IFCI•Cerllfled O LSP/ Othor _ Tank Locallon CO,BF4,fJ r �J A/i4 / ��fffr.9�ir iJ . Cq Tank Capacity(gallone) Substance Last Storod Tonk Dlmenslonc(diameter x longth)_`D Romarks' o o R /•4_r Flmi transporting was(o - [—A G e Z e—CfP1 Stab Lic. q_ /�iq yG Hazardous waste maniloa0 E.P.A. o _ ?AZ)G P02 3 U 3?7 I Approved tank disposal yard 49101Af 1 Tank yard R _ GG Typo of Inca das 09 1 CE Tank yard addresa .2k ?hi&lC c?t� /2D. ,A®yi/� !'7.4 awa � . . Cllyor`lrown ---- .�riW -----FDIDit � Q7�_ _—i~•crniil•t _ Date of issue r�///�� Date of expiratior• // D IUrg eafo approval number: �� n i l a , °Sfe To Free Te: humb �-600-322.4844 ti � V � Signature/Title of Officer granting permit HYAlti NIS FIRE DEPARTMENT - 95,HIGH SU1100L RD, EXTI Alcor removals)(6Gon3gmptivo'Uso'fuel 04 lan")W4L FP-290R eloned by local Fire Dept to UST RegUlatory Ccmpknoe Unh,One Ashburton place;Room 1310,BmtonNA 021 Oe 'lntentatlolltlf Rre Code institute APPLICATION MUST BE FILED AT .LEAST 24 HOURS PRIOR TO TANK REMOVAL. CONTRACTOR MUST CALL DAY,�W�d VAL MULTIPLE TANKS LIST ON OTHER SIDE. WITH APPROXIMATE T .METtfUSi •, RTl1R��TAaYfto�n=siniron� / !,lake application to local Fire Department. Fire Department retains original application and Issues duplicate as permit.. APPLICATION and PERMIT Fee: :ZEN for storage tank removal and transportation to approved tank disposal yard In accordance with the provisions of M.G.L. Chapter 148, Section 38A,527 CMR 0.00, application Is hereby made by: Tank Owner Name(please print) _l_ r, —,FAedA.t7 r w `1 X Address `�`� �g�f�Ao"I - ,� s�oiv Cy 6uti iv Company Name v/.�`� e r, Z70r A&W dividual Ant Address " o.StA Address 0.1G-7J. r Signature(if applying for permit) Signature(If applying for pormit) O (FGI'CorUlled Othcr _ O IFCI-Certlflcd O tSP 0 O(hor._ -P73 4 ; Tank Location v _D_ .. .,,.., c G d a ti l Tank Copaclly(gallons) Tall) Subysla o Last Storod Tank Dlmonslcnc(diamotor x longii,)_ /y Remarks: _ �� A _ �G� .�� / / , Ile j Flmi transporting wasto �, �i� CGI �. Flazardous waste manilosUl E.P.A.p 0252 3 a 3 7 9 ? Approvod tank disposal yard -j�A}f,v'T 1 Tank yard M ti, G'J" 1 Typo of Inca das C Tank yard address ®29 h�A,+IC o!� PE //e /J,4 Gd ae City or Town ---- - --— —FDtD`r--�/-!- Z �• r 0 2191 e;�,:t. Udto of issue 7�- Dale o►expiratior. // p I Dqg silo approval number: G Qi� O Cj qS- /Q °Dig Salo Toll Free Te: Number-600-322.4844 S FIDE P EVE T] ��R�� ez Signature/Title of Officer granlf�ib — , (f MINIS@P11AA1 On Fill _ Alcor removals)('ConSurnptive m'fuel ° Form FP-29OR signed by local Fee DspL to UST RegWalory /r— compllanoe Unh,One AAshburton Place,-R - ` ,f loe APPLICATION MUST BE FILED AT .LEAST 24 HOURS PRIOR TO TANK REMOVAL "P-2192(m4ed fir) CONTRACTOR MUST CALL DAY OF OVAL MULTIPLE TANKS LIST ON OTHER SIDE. WITH APPROXIMATE TJMETR4US UA.i Blake application to local Fire Department Fire Department retains original application and issues dupricate as Permit, q1 aQ16"n4 P/&�ro Voxvieea— :�E�ocrra�ol 'are ✓,r�iven�ian APPLICATION and PERMIT" Fe©: a . . for storage tank removal and transportation to approved tank disposal yard in accordance with the provisions of M.G.L. Chapter 148, Section 38A,527 CMR 9.00, application Is hereby made by: CM, Ts17TT-7'A Tank Owner Name(pleaso print) _L r.A71d' ,Fx1A 1p A"-'m I X Address _ 927 �-D4_A� �'f. �,�� /`lA Oa2oQ J aa..r Cry bur. iv Company Name C ► y� o to P Y a /j o � Co.or Individual _��— pion .ter Address l� lZSc-A ?x;,rF �� /Yi9 Address p"r � r SI nature de 1 n for GbIc,7� © C PP lA g permit) Signature(If applying for permit) O IFCI'Cerlllied 4111, Othcr O IFCI-Certified O,LSP/ Othor._ vaJ3 Tank Location mc4lell 1 f t.E/� f f /tip! r , �J > 1./.f.,..., CV le Tank Capacity(gallons) y SSr1 CkI/oaS Substance last Storod_ i9 i c` l r 'r Tank Dimensions (diameter x longllr) � Q 0 ` Romerks' ��, eat ,�RJ lei ci / phi? C_ S Flmi Imnsporting wasto CIA / ote,_1P,. Stato Llc.q_ //� 7 Hazardous waste manilostu E.P.A. p Approvod tank disposal yard &"AAA.'-r.S Tank yard N Typo of Inch dos G Tank yard addres3 „ s— iya e i1/ kp- /&Aj2V je�� /, Od/J Lo 02102 City or Town FCtD�t����_ _ �•cr�ia,r Ualo of issuoa _Date of expiration / Uig cola approval number, aG d ? t? e, anr'a " Dig Salo Toll Free Te: Numb r!•600-322.4644 Signature/Title of Officer granlir14`00*lAS FIRE DEPARTMENT _ 9� Him SCHOOL RD.EM Altor removals)('Consumptive Use'fu IMFol W44q and Form FP•29OR sbned by local Fire Dept to UST Regulatory Compknoe Unit,One Ashburldn Place;Room 1310,Boeton,'MA0210X -APPLICATION MUST SE FILED AT LEAST 'Jntsmatlonal Fire Code Institute 24 HOURS PRIOR TO TANK REMOVAL CONTRACTOR MUST CALL DAY_OF-R OVAL MULTIPLE TANKS LISP ON OTHER SIDE. WITH APPROXIMATE T M_ET*KUS �