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Home My WebLink About0018 CENTER STREET - HAZMAT ig its r i i i i i i i I i S M E A D KEEPING YOU ORGANIZED No. 10334 2.153L MADE IN USA GET ORGANIZED AT SMEAD.COM TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS: gq4 g-7-JO& Board of Health MAILING ADDRESS: z Town of Barnstable TELEPHONE NUMBER: P.O. Box 534 �" Hyannis, MA 02601 CONTACT PERSON: 5_'V- g4At /rf40Z' � Does your firm store any of the toxic or hazardous materials listed below, either for sale or for . your own use, in quantities totalling, 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: 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 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 Z 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) rca(r-Fh 1__3Gr3 Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business it TOWN OF BARNSTABLEfr ,atigfattory----- MPLIANCE: CLASS: 1.,Marine,Gas Stations,Repair tisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops • ^ - 4:Agam►u€actuens ...- COMPANY (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS / lass: 7.Miscellaneous / QtuTiFIE- S AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MATERIALS 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: waste motor oil (C) f new motor oil(C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: L ' i DISPOSALIRECLAMATION RE=S: 1. Sanitary Sewage 2.Water Suppl "& y Town Sewer ublic O On-site OPrivate 3. Indoor Floor Drains YES 1 NO O Holding tank:MDC Q Catch basin/Dry well Q 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 NO 2. . FI Person (s) In erviewed Inspector Date TOWN ' OF C3ARNSTAI3LE COMPLIANCHI CLASS; 1. Marine,Gas Stations,Rtpair Qory satisfact 2. Printers CT�I�R • OF HEALTH � � 3. tuto P,ody Slops Q unsatisfactory- 4. tanufacturers P/ i�j� (see"Orders") S. Retail Stores COMPANY' `` �- �` - _ 6. Fuel Suppliers ADDR@SS. (� /,IT�;' - % ,�� ,11 Class: ry� 7., Miscellaneous -- J QUANTITIES AND STORAGE (IN-ludoors; OUT-outdoor. MAJOR MATERIALS- In— Drums AboveTanks Undetgr.ottnd Tanks I� �t OUT I A gellolls 9M Ent Fuels: • Gasoline, Jet Fuel (A) Diesel, Kerosene$ 02 (B) . Heavy Oils: waste motor oil - (C) new motor oil (C) transmission/hydraulic - Syntheti.c Organics: degreasers • Miscellaneous: a h _ n a � f' c r i AZ} ISPOSAL RECL MAT ON RE1`u,RKS: 1. Sanitary Sewage 2. Water Supply Q Town Sewery Public r QOn-site tQ Private �+ � - 3. Indoor Floor Drains: YES N0 C � G !��" fn _ Holding tank: MDC O Catch basin/Dry well On-site system 41AW Y rl—k-x" iV�' ��%� c.; 4. Outdoor Surface drains:YES NO 0 HoldinL tank: MDC o }} Catch basin/Dry well rr O On-site system i-ir"1 VC'- ! I �,% _ : .��', � !el __ S. Waste Transporter - - Licensed? t-Nam""auium 3lfnste Product. 2 r ' L u et Person s interviewed Inspector Date IKE r°w� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 "M�`E ' 200 Main Street• Hyannis, MA 02601 �'DrFOnnF�°�0� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT --1 Business Name: k,w ask Date: 1 Location/Mailing Add ss: 11b CP-At-r > Q�� S Contact Name/Phone: \j�n�� 1. S- -7'1 \ - ms l Inventory Total Amount: /-2-5-To-1 MSDS: Oe•- nok ewl License#: Tier II : o Labelin : o b -,1 Spill Plan: I — O l/WaterSeparator: AVA Floor Drains: J0 Emergency Numbers: V Storage Areas/Tanks: 4a-I eoVt+a 114er S Emer enc /Containment Equipment: Waste Generator ID: AJA Waste Product: A Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid 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: ORDERS: INFORMATION/REC MMENDATIONS: o �►� , �v� Co �� Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS oFt rok y Town of Barnstable '" Office:508-862-4644 I! Public Health Division Fax:508-790-6304 {BARNSTABLE. ` . MASS 200 Main Street• Hyannis, MA 02601 ! i639• ♦0 A s r TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT t Business Name: 11\t Date: Location/Mailing Address: ,�b (U_vl e—r Contact Name/Phone: )urtn.r 51 �, ak 5 Z>-1-7-1 - OV5 1 Inventory Total Amount: C ZS 0. MSDS: CeA%,1 a%&I-) License#: Tier I[ : AID Labeling: Spill Plan: enc Oil/VNaterSeparator: x�lA Floor Drains: J0 Emergency Y Numbers: Storage Areas/Tanks: I �!-L An v �� I cad%tif f* ar�f Emergency/Containment Equipment: Waste Generator ID: A f iA Waste Product: AYA Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) r/a Windshield wash Motor oils ,f 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: t INFORMATION/RECOMMENDATIONS: e..In w,,L re-, Inspector: (- Facility Representative: WHITE COPY-HEALTH DEPARTMENT/.CANARY COPY-BUSINESS a TC Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 (' B`"M� 200 Main Street• Hyannis, MA 02601 1639. �prEDMn+A,O TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: Ya M r s V.'A Date: 8 ► i Location/Mailin Address: 18 C-ciAA-et 5+ . ,r a-n v,-ti s Contact Name/Phone: A Inventory Total Amount: <� MSDS: aA bw1 License#: Tier II : Labeling: Cc a-t Spill Plan: Oil/WaterSeparator: Floor Drains: A 0 Emergency Numbers: o1K Storage Areas/Tanks: x q&AS yvV4 -4-W 6, a,1 ack4- Emer enc /Containment ui ment: Waste Generator ID: IN Waste Product: Date&Amount of LasAhi ment/Fre uenc : Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Z- Other cleaning solvents&spot removers 7- Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) 3 Windshield wash 3 Motor oils I Miscellaneous Corrosives I e rar-o Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants I +I Miscellaneous petroleum products: 1 o b Road salts Sbjb X 5c> 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 ti Miscellaneous Combustible Z 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) y -�v J.s\• Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: c> Inspector-- -C�LA`�Ae, Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS j TOWN OF BARNSTABLE Date: </ q y s ��;o� TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: Nyanyi f s t-660,, -eA- BUSINESS LOCATION: 54- INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: *'-77!— Olo ! 1. \\ a010x.s CONTACT PERSON: �'��- S', k- ,qyr /on,s EMERGENCY CONTACT TEL PHO E NUMBER: MSDS ON SITE? TYPE OF BUSINESS: o- -eo\ yvVP—y%%eAG2 INFORMATION/RECOMMEND TIONS: o Firg District: sa'`n"! 1 '1K VI, 1 5 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) y Miscellaneous Corrosive z ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants 51, Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers 2 Miscellaneous Combustible 1 +l 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) y Miscellaneous. Flammables 7.+2 Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes �I Laundry soil &stain removers Z- (including bleach) 3.1-Z"L Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents 1 4- Bug and tar removers S Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENERGY & ENVIRON RS DEPARTMENT OF ENVIRONMENTAL PRO �'I� � SOUTHEAST REGIONAL OFFICE ��JJ 20 RIVERSIDE DRIVE, LAKEVILLE, MA 02347 DEVAL L.PATRICK IAN A.BOWLES Governor Secretary TIMOTHY P.MURRAY LAURIE BURT Lieutenant Governor Commissioner December 18, 2008 Former Emerson's Cleaners RE: BARNSTABLE— BWSC/AP P.O. Box 1250 Former Emerson's Cleaners Mashpee, MA 02649 .718 Center Street, Hyannis ATTN: Diane Cloutier RTN'4-10971 Class B-1 Response Action Outcome NOTICE OF AUDIT REQUEST FOR SITE INSPECTION Dear Ms. Cloutier: --= The Department of Environmental Protection's Bureau of Waste Site Cleanup (MassDEPmthe Department) has selected the above referenced site for an Audit. The Dep rtment audits response actions conducted without Department oversight at oil and/or hazardous mate ial disposal sites, in order to ensure that these actions are meeting the requirements of M ssachus�tts laws and regulations, including Massachusetts General Law Chapter 21 E.and the M ssachu e3tts - Contingency Plan (the MCP), 310 CMR 40,0000. 'f.Q 1` An Audit Fact Sheet is attached (Attachment A) which outlines the audit process a d provides the citations in the MCP that relate to the audit process. Audit staff from the Southeast Regional Office will primarily focus the Response Action Outcome Statement, dated October 5, 2000, prepared by Atlantic Environmental Technologies, Inc., and received by the Department on October 17, 2000 for this audit evaluation. In addition, all documents available in Department records for the,site..may be evaluated during.this audit. The Department's evaluation of the sites compliance status will be based on the information provided in these documents. If you are aware of additional existing documentation relevant to the response actions being audited at the site, please submit the existing documentation to the Department within fourteen (14) days of your receipt of this Notice.- This information is available in alternate format.Call Donald M.Gomes,ADA Coordinator at 617-556-1057.TDD#866-539-7622 or 617-574-6868: _. DEP on the World Wide Web'http://www.mass.gov/dep'" Printed on Recycled Paper 1, Former Emerson's Cleaners, Barnstable,4-10971 2 Notice of Audit Request For Site Inspection The Department requests an appointment to inspect the site on Wednesday, January 9, 2009 at 10:00 am. The inspection will be conducted by Julia Sechen. You or a representative familiar with the site, and Toivo Lamminen, Jr., a Licensed Site Professional (LSP) familiar with the site, are requested to attend. Please call Julia Sechen within seven (7) days of receipt of this Notice at (508) 946-2791 to either confirm the appointment or to arrange an alternative date or time. The purpose of the inspection will be to evaluate the site conditions in relation to the information received by the Department. Preliminary audit findings based on the Department's file review may also be discussed during the site inspection. Audit Results After the site inspection and review of your responses to the Request for Information, the Department will evaluate whether the actions taken at the site are in compliance with the regulations and meet the performance standards needed to protect public health, safety, and the environment.- The Department's determination of compliance. will be based on ,the work performed as of the:date the submittal was received by MassDEP. You will receive a Notice of Audit Findings (NOAF) summarizing the results of the audit. If the Department finds that response actions were not conducted in compliance with the MCP, you will be notified of the actions needed to return to compliance. The Department may set deadlines which you will be expected to meet to correct any violations, or the Department may pursue higher level enforcement. _ If-you have any questions about this Notice, please call Julia Sechen at(508) 946-2791. The Department appreciates your anticipated cooperation in this matter. Sincerelye /erardR. artin, ief Site Management and Enforcement Section Bureau of Waste Site Cleanup - M/JS/re P:jsechen/NOAF/Enforcement/4-10971 NOA-final CERTIFIED MAIL #7008 0150 0003 5433 7277 Attachments: A. Audit Fact Sheet fc: Hyannis.Board of Selectmen - Hyannis Board of Health .,4 y 4. Former Emerson's Cleaners, Barnstable,4-10971 3 Notice of Audit fc: Toivo Lamminen,'Jr. Atlantic Environmental Technologies,Inc., LSP-of-Record Fax (781)721-4073 ec: Data Entry-Lara McLaughlin AUDCOM NOA :ice Commonwealth of Massachusetts Executive Office of Environmental Affairs Department of Environmental Protection ' Southeast Regional Office William F.Weld Governor Trudy Coxe Secretary,EOEA Thomas B. Powers Acting Commissioner URGENT LEGAL MATTER: PROMPT ACTION NECESSARY CERTIFIED MAIL: RETURN RECEIPT REQUESTED April 18 , 1995 0 Augusta F . ' Nickerson Trust RE : BARNSTABLE--BWSC C/O Cape Cod Bank and Trust Co. Property 307 Main Street 18 Center Street P .O. Box 700 Release Tracking # 4-10971 Hyannis, Massachusetts 02601 NOTICE OF RESPONSIBILITY M.G.L. c . 21E, 310 CMR 40 . 0000 ATTENTION: Richard Bussiere On November 9, 1994 , the Department of Environmental Protection (the "Department" ) received an Oil and Hazardous Material Release Notification Form ( "RNF" ) which indicates that a release of hazardous material has occurred at the location referenced above . Accompanying the RNF was , a report entitled: " SITE ASSESSMENT REPORT RELATIVE TO HAZARDOUS MATERIAL FOR THE PROPERTY LOCATED AT 18 CENTER STREET HYANNIS, MASSACHUSETTS 02601 " The report was dated February 18, 1994 , and prepared by K-V Associates of Falmouth, Massachusetts . The Massachusetts Oil and Hazardous Material Release Prevention and Response Act, . M.G.L. c . 21E, and the Massachusetts Contingency Plan (the "MCP" ) , 310 CMR 40 . 0000, require the performance of response actions to prevent harm to health, safety, public welfare and the environment which may result from this release and/or threat of release and govern the conduct of such actions . The purpose of this notice is to inform you of your legal responsibilities under State law for assessing and/or remediating 20 Riverside Drive 9 Lakeville,Massachusetts 02347 • FAX(508)947-6557 0 Telephone (508) 946-2700 1 l -2- the release at this property. For purposes of this Notice of Responsibility, the terms and phrases used herein shall have the meaning ascribed to such terms and phrases by the MCP unless the context clearly indicates otherwise . The Department has reason to believe that the release and/or threat of release which has been reported is or may be a disposal site as defined by the M.C. P. The Department also has reason to believe that you (as used in this letter, "you" refers to Augusta Nickerson Trust) are a Potentially Responsible Party (a "PRP" ) with liability under M.G.L. c . 21E §5 , for response action costs . This liability is "strict" , meaning that it is not based on fault, but solely on your status as owner, operator, generator, transporter, disposer or other person specified in M.G.L. c . 21E §5 . This liability is also "joint and several meaning that you may be liable for all response action costs incurred at a disposal site regardless of the existence of any other liable parties . The Department encourages parties with liabilities under M.G.L. c . 21E to take prompt. and appropriate actions in response to releases and threats of release of oil and/or hazardous materials . By taking prompt action, you may significantly lower your assessment and cleanup costs and/or avoid liability for costs incurred by the Department in taking such actions . You may also avoid the imposition of, the amount of or reduce certain permit and/or annual compliance assurance fees payable under 310 CMR 4 . 00 . Please refer to M.G.L. c . 21E for a complete description of potential liability. For your convenience, a summary of liability under M.G.L. c . 21E is attached to this notice . You should be aware that you may have claims against third parties for damages, including claims for contribution or reimbursement for the costs of cleanup. Such claims do not exist indefinitely but are governed by laws which establish the time allowed for bringing litigation. The Department encourages you to take any action necessary to protect any such claims you may have against third parties . Information on file with the Department indicates that the following conditions exist relative to this disposal site : 1 . The property consists of a 0 . 74 acre parcel of land located in Hyannis and designated on Assessor' s Map #327 , Parcel #155 . The onsite building was constructed in 1966 and was used as a dry cleaners until 1993 . Presently, the site is occupied by the Blaine Hair School . 2 . The site is located within the Zone II for a municipal water supply well . f. -3- 3 . On January 27, 1994 , four monitoring wells (MW-1, MW-2 , MW-3 , and MW-4) were installed on the property. Groundwater flow beneath the site was determined to flow to the south, towards Lewis Bay. 4 . Analysis of groundwater samples collected from the site on January 27, 1994 , revealed the following contaminants in concentrations which exceed the applicable Reportable Concentrations for Groundwater Category 1 (RCGW-1) per 310 CMR 40 . 1600 : CHEMICAL CONCENTRATION LOCATION RCGW-1 Tetrachloroethene 190 ug/1 MW-1 5 ug/1 Tetrachloroethene 18 ug/l MW-2 5 ug/l Tetrachloroethene 23 ug/1 MW-3 5 ug/l Tetrachloroethene 49 ug/1 MW-4 5 ug/l This site shall not be deemed to have had all the necessary and required response actions taken for it unless and until all substantial hazards presented by the release and/or threat of release have been eliminated and a level of No Significant Risk exists or has been achieved in compliance with M.G.L. c . 21E and the MCP . Specific approval is required from the Department for the implementation of all Immediate Response Actions ( " IRA" ) , pursuant to 310 CMR 40 . 0410 . Assessment activities, the construction of a fence and/or the posting of signs are actions that are exempt from this approval requirement . Unless otherwise provided by the Department, potentially responsible parties ( "PRP' s" ) have one year from the initial date of notification to the Department of a release or threat of a release, pursuant to 310 CMR 40 . 0300 , or from the date the Department issues. a Notice of Responsibility, whichever occurs earlier, to file with the Department one of the following submittals : (1) a completed Tier Classification Submittal ; (2) a Response Action Outcome Statement or, if applicable, (3) a Downgradient Property Status . The deadline for either of the first two submittals for this disposal site is November 9, 1995 . If required by the MCP, a completed Tier I Permit Application must also accompany a Tier Classification Submittal . The MCP requires that a fee of $750 . 00 be submitted to the Department when a Response Action Outcome ( "RAO" ) statement is filed greater than 120 days from the date of notification. •` i O a 7 ;9 -4- You must employ or engage a Licensed Site Professional ( "LSP" ) to manage, supervise or actually perform the necessary response actions at this site. You may obtain a list of the, names and addresses of LSPs from the Board of Registration of Hazardous Waste Site Cleanup Professionals at (617) 556-1145 . If you have any questions relative to this notice, please contact Dan Crafton at the letterhead address or at 508-946-2721 . All future communications regarding this release must reference the following Release Tracking Number: 4-10971 . Very`. truly ours, Richard F. Packard, Chief Emergency Response / Release Notification Section Y1 P/DC/j t CERTIFIED MAIL #Z001 192 580 RETURN RECEIPT REQUESTED Attachments : Summary of Liability under M.G.L. c . 21E cc : Town of Barnstable 367 Main Street Hyannis, MA 02601 ATTN: Warren J. Rutherford, Town Manager Board of Health 367 Main Street Hyannis, MA 02601 ATTN: Brian R. Grady, R. S . , Chairman Board of Fire Commissioners Hyannis, MA 02601 DEP - SERO ATTN: Andrea Papadopoulos, Deputy Regional Director lak- PAUL C. HIGGINS, INC. - INSURANCE ADJUSTERS - Richard J. McKenna, President 250 State Street, Unit B-1, North Haven, CT 06473 TELEPHONE (203)281-4554 FAX(203)288-4481 INTERNET:www.pchiggins.com/E-MAIL: info@pchiggins.com May 22, 2003 Mr. Samuel White Town of Barnstable Public Health Division 200 Main Street Hyannis, MA 02601 Re: Our Principal: Interested Underwriters at Lloyd's, London t c/o Insurance Innovators�Agency of N.,E' 'Inc. Inc. {Claim No 03 103 U. Policy No. LLP3232 01, { DAL Realty Trust r, D/L: 12/31/2002:, Type Loss: Windstorm/Water Damage Loss Location: 18 Center Street, Hyannis, MA Agent: Florists Insurance Services, Inc. of Massachusetts Our File: A3-010035-08P Dear Mr. White: This follows our correspondence dated April 14, 2003. To date, we have not had a response. I enclose a copy of our prior correspondence, for your easier review. F\,_ Would you please respond at your earliest,convenience. We would appreciate your input, to Y assist in-our.investigation concerning this claim, in order to evaluate coverage for Dal Realty Trust, under the rjpolicy of insurance, pursuant,tortheir claim for:d'amages.,occurririg on, or about Y December 3.1,2002 _2_ Thank you in advance for your cooperation. Very truly yours, INTERESTED UNDERWRITERS AT LLOYD'S, LONDON c/o INSURANCE INNOVATORS AGENCY OF NEW ENGLAND, INC. By Pau - . Higgins, Inc., Insurance Adjusters D e, Adjuster ( t. 108) delcade@pchiggins.com DC/lb—Enc. cc: Ms. Sharon Motyl Insurance Innovators Agency of New England, Inc. 30 Capital Drive, Suite B P.O. Box 680 West Springfield, MA 01090 PAUL C. HIGGINS INC. - INSURANCE ADJUSTERS - RichardJ. McKenna, President 250 State Street, Unit B-1, North Haven, CT 06473 TELEPHONE (203)281-4554 FAX(203)288-4481 INTERNET:www.pchiggins.com/E-MAIL: info@pchiggins.com April 14, 2003 Mr. Samuel White Town of Barnstable Public Health Division 200 Main Street Hyannis, MA 02601 Re: Our Principal: Interested Underwriters at Lloyd's, London c/o Insurance Innovators Agency of N.E., Inc. Claim No.: 03-103 Policy No.: LLP3232-01 Insured: DAL Realty Trust D/L: 12/31/2002 Type Loss: Windstorm/Water Damage Loss Location: 18 Center Street, Hyannis, MA Agent: Florists Insurance Services, Inc. of Massachusetts Our File: A3-010035-08P Dear Mr. White: Please be advised that our firm represents the interests of Interested Underwriters at Lloyd's, London, c/o Insurance Innovators Agency of New England, Inc., concerning the captioned claim. A copy of your letter forward to DAL Realty Trust dated March 21, 2003, has been forwarded to the undersigned's attention. Your letter indicates that water damage sustained to the building known as 18 Center Street, Hyannis, MA, was not a result of water below the surface of the ground; but rather from "rainwater." Please advise if your involvement in this matter has established how the "rainwater" entered the building. -2- Thank you in advance for your assistance, and please contact me at your earliest convenience to discuss this matter. Very truly yours, INTERESTED UNDERWRITERS AT LLOYD'S, LONDON c/o INSURANCE INNOVATORS AGENCY OF NEW ENGLAND, INC. By Paul C. Higgins, Inc., Insurance Adjusters Del Cade, Adjuster (Ext. 108) delcade@pchiggins.com DC/sk cc: Ms. Sharon Motyl Insurance Innovators Agency of New England, Inc. 30 Capital Drive, Suite B P.O. Box 680 West Springfield, MA 01090 A -� Town of Barnstable Regulatory Services � Thomas F. Geiler,Director ` � � Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 March 21, 2003 DAL Realty Trust c/o H. Roneck P.O. Box 1250 Mashpee, MA 02649 Per the request of Joe Laplante, Building Supervisor, this letter is being written to show that the cause of the water damage at the Blaine Beauty School, 118 Center Street, Hyannis,MA was possibly from rainwater. A Response Action Outcome (RAO) Statement Report was performed by Atlantic Environmental Technologies, Inc. in October 2000. This report stated that the depth to groundwater elevation in the immediate vicinity of 118 Center St. is "approximately fourteen (14) feet Below Ground Surface (BGS) with groundwater flow to the south/southeast towards Lewis Bay." Multiple groundwater samples were taken at the site to confirm this data. Therefore, the Barnstable Public Health Division does not feel that the water damage was the result of high groundwater, but rather rainwater. If you have any questions regarding this letter, please call the Barnstable Public Health Division at(508) 862-4644. Sincerely, Samuel H. White Q :HealdiAW/Roneck 4 ' Town of Barnstable ' f Regulatory Services ate' Thomas F. Geiler,Director Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 \J�� S�� Fax: 508-790-6304 January 10, 2003 DAL Realty Trust s� �+�" c/o H. Roneck `� P.O. Box 1250 Mashpee, MA 02649 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000 STATE SANITARY CODE II - MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION The property owned by you located at 18 Center St. (Blaine Beauty School end of building) Hyannis, was inspected on January 8, 2003 by Sam White and David Stanton, Health Inspectors for the Town of Barnstable, because of a complaint. The following violation,of the State Sanitary Code was observed: 105 CMR 410.500: Chronic dampness in basement classroom and offices. Rainwater seeps into dwelling via basement wall and floor during rainy periods. You are directed_to correct the violations within thirty (30) days of your receipt of this notice,by eliminating further seepage and chronic dampness into the dwelling. You may request a hearing before the Board of Health if written petition requesting same is received within ten (10) days after the date the order is served. Non-compliance could result in a fine of up to $500.00. Each day's failure to comply with an order shall constitute a separate violation. PER ORDER OF HE BOARD OF HEALTH J omas A. McKean, R.S. Director of Public Health Town of Barnstable Q:HealdVYR/Roneck Health Complaints 28-Dec-05 Time: 8:45:00 AM Date: 12/9/2005 Complaint Number: 18571 Referred To: DAVID STANTON Taken By: ELLEN WADLINGTON Complaint Type: ARTICLE XXXIX HAZARDOUS WASTE Article X Detail: UNSANITARY CONDITIONS Business Name: BLAINE BEAUTY SCHOOL Number: 18 Street: CENTER STREET Village: HYANNIS Assessors Map_Parcel: Complaint Description: 30+ STUDENTS CRAMMED DOWNSTAIRS USING CHEMICALS INADEQUATE VENTILATION AND MOLD IS GROWING ON WALLS DOWNSTAIRS. SHE HAS DEVELOPED HEADACHES, ETC. SINCE ATTENDING CLASSES Actions Taken/Results: DS NOTICED THIS COMPLAINT IN THE DATABASE, BUT DID NOT SEE IT IN HIS INBOX, THUS THE DELAY IN RESPONSE. DS MAILED THIS COMPLAINT TO THE STATE DIVISION OF PROFFESIONAL LICENSURE, OFFICE OF INVESTIGATIONS ON 12/28/2005 Investigation Date: 12/28/2005 Investigation Time: 9:35:00 AM 1 COMMONWEALTH OF MASSACHUSETTS DIVISION OF PROFESSIONAL LICENSURE ; J OFFICE OF INVESTIGATIONS � g Application for Complaint 617-727-7406 www.mass.gov/reg Date Received(stamp): Entered into the Database(Date): / / Docket#: Acknowledgement letter sent(Date): / / Signature: ---------------------------------------------------------------------------------------------------------------------- Please complete this form as fully as possible.(PLEASE DO NOT WRITE ABOVE LINE.)Please type or print legibly in ink. SUBMITTED BY: Name: b,��t�17��! �(A vi CJ' L J Last Name .�T j_ First Name / M.I. Address:_ t)o 44ti `� _54r_ Number Street Daytime Phone i yG rl^iS 6 City State Zip Code Evening Phone Best way to reach you: ❑Evening Phone gDaytime Phone KE-mail: do v%cl.57�,,�o @ 40 wo. h1wr5jbl2,Mel. vS LICENSEE SEEKING COMPLAINT AGAINST(use separate(form for each licensed individual): Name: i n & er`n r c,✓I Last Name First Name M.I. ,�vSine Number Street - ! Co V�D�ay7`tjvim(/eo Pho� a 026o/ City, State Zip Code License Number/ pe Class Busmess Name Business Address Daytime Phone I L,o,,.,I`r #/,62 City I State Zip Code Business License#/Type Class Please check the trade or profession that this application for complaint pertains to Accountant Funeral Director Optometrist _ Aesthetician Gas Fitter Physical Therapist Architect —,X Hair Salon Physical Therapist Assistant Athletic Trainer h Hair Stylist Plumber Audiologist/Speech Language Health Officer Podiatrist Pathologist Hearing Aid/Instrument Psychologist Barber Radio/TV Tech. Barber Shop Home Inspector /X_ p Real Estate Agent/ Chiropractor Land Surveyor p Landscape Architect Broker/Salesperson Dietitian/Nutritionist Real Estate Appraiser Dispensing Optician Manicure Salon Rehab.Counselor Drinking Water Manicurist Sanitarian Ed. Psychologist Marriage&Family Therapist Social Worker Electrician Mental Health Counselor Veterinarian Electrologist Occupational Therapist Engineer Occupational Therapist Fire-er-RurgJar Alarm Assistant �✓ aSM 4 1�� Sr G�v� __....__. Page 1 of 2 a Description of the incident(s): Briefly describe the incident(s) that led to your application for complaint and note the times and dates that events occurred.List the na Imes of all individuals involved.Please attach additional pages if needed. 12 e � -l� (y 6 M am 'tee„ v w 1)c,dsir �I NPc D T l�n�D(a,' t'r �0 -71 30+ S`�vc��f Crc,yme(J/ O(ownJ1� YS USA U w u L14,k nrerer+ t Heg' ac(V! etc , (Please use a separate sheet if necessary.Do not write in the margins.) Additional information or materials attached XYes ❑No To speed up the application for complaint process,submit legible copies(not the originals)of all relative documents supporting your application(e.g.contracts,medical records,cancelled checks,etc.).You will receive an acknowledgement letter notifying you if a complaint is issued based on your application.If a complaint is not issued, you will receive information on additional resources that may be available to you. AUTHORIZATION FOR RELEASE OF RECORDS AND FORM REFERRAL My signature to this form,or a photocopy thereof,authorizes the Division of Professional Licensure to: (1)receive copies of all medical,dental and mental health records relating to my application for complaint,and(2)to refer my application for complaint to other appropriate law enforcement authorities to investigate and/or prosecute. Please note that all applications for complaints are examined to determine their factual basis. The act of filing an application for complaint does not assure or imply that disciplinary action will be taken against the licensee. I att at t information ovided is true,correct and complete to the best of my knowledge. ZS, a 0c, a o 0 S' ature Date Mail this form to: Division of Professional Licensure,Office of Investigations 239 Causeway St.,Suite 400 Boston,MA 02114 Page 2 of 2 Health Complaints 28-Dec-05 Time: 8:45:00 AM Date: 12/9/2005 Complaint Number: 18571 Referred To: DAVID STANTON Taken By: ELLEN WADLINGTON Complaint Type: ARTICLE XXXIX HAZARDOUS WASTE Article X Detail: UNSANITARY CONDITIONS Business Name: BLAINE BEAUTY SCHOOL Number: 18 Street: CENTER STREET Village: HYANNIS Assessors Map_Parcel: Complaint Description: 30+ STUDENTS CRAMMED DOWNSTAIRS USING CHEMICALS INADEQUATE VENTILATION AND MOLD IS GROWING ON WALLS DOWNSTAIRS. SHE HAS DEVELOPED HEADACHES, ETC. SINCE ATTENDING CLASSES Actions Taken/Results: DS MAILED THIS COMPLAINT TO THE STATE DIVISION OF PROFFESIONAL LICENSURE, OFFICE OF INVESTIGATIONS ON 12/28/2005 Investigation Date: Investigation Time: 1 a Home l: Pit p I Tomlbox f tt,leaAN ) Name:PAUL Business:BLAINE THE BEAUTY CAREER FINKELSTEIN SCHOOLS HYANNIS, MA **This Licensee has additional Licenses click here to view them.** License 162 Status:Current Number: Licensing Cosmetology License Type:Cosmetology School Board: Issue Date:6/30/2004 Expiration 12/31/2006 Date: School: Exam Date: This web site displays disciplinary actions dating back to 1993. This license has had no disciplinary actions taken during this time. :�. K.�,. . it'll 112111 . Division of Professional Licensure 239 Causeway Street Boston,Massachusetts 02114 Phone: (617)727-3074 Please send your technical questions or comments about this web site to REG.WebMaster@State.ma.us Disclaimer Privacy Policy Enforcement Process Glossary (min C ENVIRONMENTAL TECHNOLOGIES, INC. 1 1 1 1 � Engineers & Environmental Scientists 1 1 1 � 1 1 1 A) Atlantic ENVIRONMENTAL TECHNOLOGIES,INC. ENGINEERS&ENVIRONMENTAL SCIENTISTS October 11, 2000 Mr. Jonathan Hobill MADEP Southeast Regional Office 20 Riverside Drive Lakeville, MA 02347 RE: RAO Report Submittal Former Emerson's Cleaners 18 Center Street,Hyannis,MA MADEP RTN 4-10971 Dear Mr. Hobill: On behalf of Ms. Diane Cloutier, the new owner of the Former Emerson's Cleaners site, Atlantic Environmental Technologies, Inc. (AET) is pleased to submit the enclosed Response Action Outcome Report and the MADEP Response Action Outcome Statement Transmittal Form (B W SC-104). The Class B-1 RAO Report and statement attached was reached as a result of site assessment which determined that a condition of No Significant Risk exist and therefore, no remedial actions are necessary. Should you have any questions or require additional information, please do not hesitate to contact the undersigned at you convenience. Sincerely, ATLANTIC ENVIRONMENTAL TECHNOLOGIES, INC. .� nr Toivo A. Lamminen, r. Principal/Licersed Site Professional William R. Hoyetinail ! Division Manager enc: RAO& MADEP RAO Transmittal Form BWSC-104 RAO Filing Fee(Copy of check) cc: Ms. Diane Cloutier, Former Emerson's Cleaners John C. Klimm, Barnstable Town Manager Thomas McKean, Barnstable Board of Health PO.Box 1051 Whaling National Park Sandwich,MA 02563 13 Hamilton Sheet (508)88 8-9 9 �l w New Bedford,MA 02740 Fax (508)992-6300-FaK 992 5533 Email:adeinc @ ca pe.com www.atianticcompanies.com Email:aetinc @ rcn.com a tlrianti c ' ENVIRONMENTAL TECHNOLOGIES,INC. ENGINEERS&ENVIRONMENTAL SCIENTISTS o � i! ( r;0 O'ET REG10N RESPONSE ACTION OUTCOME ' STATEMENT (RAO) REPORT Former Emerson Cleaners ' 18 Center Street Hyannis,MA DEP RTN #4-10971 ' Prepared for: Massachusetts Department of Environmental Protection Southeast Regional Office 20 Riverside Drive Lakeville, MA 02347 Prepared By: ' Atlantic Environmental Technologies, Inc. 13 Hamilton Street New Bedford, MA 02740 October 5,2000 AET Job No. 5786.01 ' PO.Box 1051 Whaling National Park Sardwti MA 02563 13 Hamifton Street (�)� �� New Bedford MA 02740 (5W)992-M•Fax 992-5533 Emal:adeinc @ cape.com wwwcdianticcompanies.com ErrcH:aefinc@rcn.com RAO:RTN 4-10971 Former Emerson Cleaners Atlantic® 18 Center St.,Hyannis,MA ' October 5,2000—Page i RESPONSE ACTION OUTCOME ' STATEMENT (RAO) REPORT Former Emerson Cleaners 18 Center Street ' Hyannis, MA DEP RTN # 4-10971 I � Eric G. Cardinal ' Environmental Scientist I 4- 1 , William R. Ho erman P.y G Division Manager I . Toivo A. Lamminen, Jr. Licensed Site Professional (LSP # 6846) ' RAO:RTN 4-10971 Former Emerson Cleaners :&)Litlantic® 18 Center St.,Hyannis,MA October 5,2000-Page ii RESPONSE ACTION OUTCOME STATEMENT (RAO) REPORT Former Emerson Cleaners 18 Center Street Hyannis, MA ' DEP RTN # 4-10971 1.0 INTRODUCTION.......................................................................................................................................1 ' 1.1 STATEMENT OF COMPLIANCE.....................................................................................................................2 2.0 SITE DESCRIPTION.................................................................................................................................2 2.1 SITE DESCRIPTION.....................................................................................................................................2 2.2 CRITICAL EXPOSURE PATHWAYS(CEPS)...................................................................................................3 2.3 SURROUNDING RECEPTORS........................................................................................................................3 ' 2.4 GEOLOGY/HYDROGEOLOGY.....................................................:................................................................3 2.5 GROUNDWATER CLASSIFICATION..............................................................................................................3 3.0 EPA RESPONSE ACTIONS..................... ........................................................................................4 4.0 ANALYTICAL DATA.................................................................................................................... i 4.1 HISTORICAL SAMPLING.............................................................................................................................4 .4.2 RECENT SAMPLING....................................................................................................................................8 ' 5.0 REMEDIATION/WASTE MANAGEMENT...........................................................................................10 6.0 RAO COMPLETION STATEMENT/CONCLUSION............................................................................10 7.0 REFERENCES.......................................................................................................................................... 11 Y , I i RAO:RTN 4-10971 ® Former Emerson Cleaners i lanric 18 Center St.,Hyannis,MA October 5,2000—Page iii Fi ures Figure 1: Site Locus Map tFigure 2: Site Layout Figure 3: MADEP BWSC Priority Resource Map Table ' Table 1: Subsurface Investigation Soil Data Summary—March 1995 Table 2: Subsurface Investigation Groundwater Data Summary—March 1995 Table 3: Underground Storage tank Removal Data Summary-May 1995 Table 4: Phase II Soil Data Summary—November 1995 Table 5: Phase II Groundwater Data Summary—November 1995 Table 6: RAO Groundwater Data Summary—August 2000 Table 7: RAO Soil Data Summary—August 2000 Table 8: RAO Soil Data Summary—September 2000 P ' Table 9: RAO Soils Averaging Summary—0 to 3 Feet BSG Table 10: RAO Soils Averaging Summary—0 to 15 Feet BSG �! Appendices Appendix A: Environmental First Search Maps (Hyannis) Appendix B: Laboratory Analytical (August & September 2000) Appendix C: AET Groundwater Monitoring Well Sampling Logs (August 2000) Appendix D: AET Soil Boring Logs (August & September 2000) tAppendix E: MADEP RAO Statement (BWSC 104) ' RAO:RTN 4-10971 MLitianticFormer® Emerson Cleaners 18 Center St.,Hyannis,MA October 5,2000—Page 1 1.0 INTRODUCTION ' This Class B-1 Response Action Outcome Statement (RAO) is submitted on behalf of Ms. Dianne Cloutier for the former Emerson's Cleaners property located at 18 Center Street in ' Hyannis, Massachusetts (Figure 1). Atlantic Environmental Technologies, Inc. (AET) has been retained by Ms. Cloutier to provide Licensed Site Professional(LSP) and engineering services. ' Multiple assessments have been performed on the subject property. The groundwater classification at the site has changed from GW-1, GW-2 & GW-3 to GW-2 and GW-3 due to the Massachusetts Department of Environmental Protection (MADEP) reclassification of ' groundwaters in highly urbanized land use or populated areas. The GW-1 classification was changed to a Non-Potential Drinking Water Source Area by MADEP in 1996. These assessments have indicated that impacted groundwater at the site is below the newly designated MADEP Cleanup Standards for GW-2 and GW-3. i Analytical Results of groundwater samples in a report entitled "Site assessment Report Relative to Hazardous Material for the Property Located at 18 Center Street, Hyannis, Massachusetts 02601" by K-V Associates, Inc. (K-V) of Falmouth, Massachusetts dated February 18, 1994, indicated that Tetrachloroethene (PCE) was detected at levels ranging from 18 to 190 parts per billion (ppb). The Reportable Concentration (RC) for PCE in a GW-1 groundwater area was 5 ppb, as outlined in 310 CMR 40.1600, the 1995 Revised Massachusetts Contingency Plan (MCP). Thus, a Release Notification was required to be filed with the DEP. Since the groundwater reclassification by MADEP in 1996, these results are now below the required MADEP GW-2 and GW-3 Cleanup Standards. ' A Subsurface Investigation conducted by AET in March 1995 found that PCE levels in both the soil and the groundwater exceeded the RCs for S-1 and GW-1 Standards. TCE, cis-1,2- Dichloroethene (cis-1,2-DCE), and chloroform were detected in soil and groundwater samples across the site, though they did not exceed the RCs. Since the area has been reclassified since that time, the levels of PCE found on the site do not exceed the MADEP S-1/GW-2 or S-1/GW-3 Cleanup Standards (Tables 1 and 2). Two abandoned underground storage tanks were discovered on the site during this investigation. In May 1995, AET supervised Underground Storage Tank (UST) removal activities and completed a UST Removal report. Two abandoned 1,000- allon USTs, found during P g g a geophysical survey, were removed from the property on May 3, 1995. Analysis collected from soils around one of the tanks indicated concentrations of PCE and Total Petroleum Hydrocarbons k (TPH) exceeding the RCs for these constituents at that time. Since the area has since been reclassified, the levels of PCE and TPH found on the site do not exceed the S-1/GW-2 and S- S1/GW-3 Cleanup Standards (Table 3). ' RAO:RTN 4-10971 DLitlantic® Former Emerson Cleaners 18 Center St.,Hyannis,MA October 5,2000—Page 2 A Phase II Comprehensive Site Assessment conducted by AET in November 1995 found that PCE, TCE,cis-1,2-DCE, 1,2-DCA, and chloroform were detected in groundwater samples across the site. Contaminant concentrations exceeded the allowable Method 1 Cleanup Standard under the GW-1 designation at that time. Since the MADEP has reclassified this area of Hyannis, which now falls under GW-2 and GW-3 Standards, the contaminant levels found on the property are below these Cleanup Standards(Tables 4 and 5). Based on the August 2000 groundwater s arnpling results and 1996 MADEP groundwater reclassification, it is AET's professional opinion that the PCE contamination in the groundwater at the site is below the MADEP Method 1 GW-2/GW-3 Cleanup Standards (Tables 6 & 7). Furthermore, using Soils Averaging (Tables 9 & 10), it is AET's professional opinion that the ' PCE contamination in the soil at the site is below the MADEP Method 1 GW-2/GW-3 Cleanup Standards. Therefore, a condition of No Significant Risk exists at the site and an RAO can be completed for the site. 1.1 Statement of Compliance This RAO is considered a Class B-1 RAO per 310 CMR 40.1045 (1) and has been prepared in conformance with 310 CMR 40.1000. Class B RAOs apply to disposal sites where it is determined, as a result of assessment, that a level of No Significant Risk exists and therefore, no remedial actions are necessary. All analytical data was collected in conformance with 310 CMR 40.0000 inclusive and any appropriate MADEP guidance documents. 2.0 SITE DESCRIPTION 2.1 Site Description The subject property is approximately 32,234 square feet in area and is located at the northeastern corner of the intersection of Main and Center Streets in Hyannis, Massachusetts. One building is located on the site, divided into two tenant spaces, east and west. The current structure was built in 1966. The site is currently occupied by Blaine Hair School on the east side and the west side is vacant. Greenwood Cleaners previously occupied the west side. Neither of these occupants is believed to be the Responsible Party for the subsurface contamination on the property. The former occupant, Emerson's Cleaners, had used PCE in their dry cleaning operations. Prior to Emerson's, an auto dealership occupied the entire structure. The site is connected to both the municipal water and sewers stems. According to the report b P Y g P Y K-V dated February 18, 1994, the building has been connected to the municipal sewer system since at least 1966, when the Emerson Cleaners began occupancy. RAO:RTN 4-10971 Former Emerson Cleaners Atlantic® 18 Center St.,Hyannis,MA October 5,2000—Page 3 2.2 Critical Exposure Pathways (CEPS) According to the Barnstable Board of Health and Environmental First Search maps of Hyannis, ' MA prepared for Bradley's Cleaners which is located approximately 300 feet east of the subject property(Appendix A), no schools, registered daycare centers, hospitals, nursing homes or other facilities of exceptional concern are located within %4-mile of the subject property. 2.3 Surrounding Receptors tors ' According to the October 27, 1999 MADEP BWSC Priority Resource map of Hyannis, Lewis Bay is located approximately 2,000-feet south and downgradient of the site. A Public Water Supply Zone is located approximately 700-feet northeast of the site and the nearest wetlands are located approximately one half mile southeast of the site. According to the BWSC map, the site is located in a Non-Potential Medium Yield Drinking Water Source Area(Figure 3). 2.4 Geology/Hydrogeology ' The site is located along the glacially modified coastal plain of southern Massachusetts (Cape Cod), in an area of minimal vertical relief. The average elevation of the subject property is approximately thirty (30) feet above the National Geodetic Vertical Datum of 1929 with a maximum vertical relief on the site of approximately five (5) feet. Subsurface soils consist of medium to coarse sand and gravel with high permeability. Depth to groundwater at the site is approximately 14-feet Below Ground Surface (BGS) with groundwater flow to the south/southeast towards Lewis Bay. Direction of regional groundwater flow in the area is interpreted as being southeasterly toward Hyannis Inner Harbor, as determined from prior groundwater elevations. Depth to groundwater is approximately 14 feet BGS, as established from multiple groundwater sampling events at the site. Three storm drain catch basins are located on the property. The west and southeast storm drains appeared to be leaching catch basins. The southwest drain was filled with soil to approximately three (3) feet BGS, offering minimal drainage. The remainder of storm runoff drains southerly with the surface gradient. 2.5 Groundwater Classification Based upon review of the BWSC map (Non-Potential Drinking Water Source Area), and since depth to groundwater is less than 15-feet BGS, the groundwater at the site is now classified as GW-2/GW-3. Groundwater category GW-3 applies to all groundwater in Massachusetts that could potentially discharge to surface waters. iRAO:RTN 4-10971 Former Emerson Cleaners Atlantic® 18 Center St.,Hyannis,MA October 5,2000-Page 4 3.0 IRA RESPONSE ACTIONS No Immediate Response Actions (IRA) were conducted at the site in regard to the PCE contamination in the groundwater and soil. 4.0 ANALYTICAL DATA 1 Multiple soil and groundwater assessment actions have taken place at the site since the completion of the Phase I in 1994. The following information is a summary of past and present groundwater and soil assessment activities and findings. These assessments have indicated that impacted groundwater at the site is below applicable MADEP Groundwater Cleanup Standards. Using Soils Averaging,no compounds are above the applicable MADEP Soil Cleanup Standard. r 4.1 Historical Sampling ■ Analytical Results of groundwater samples in the report by K-V dated February 18, 1994, indicated that PCE was detected at levels ranging from 18 to 190 ppb. The RC for PCE in a GW-1 groundwater area is 5 ppb, as outlined in 310 CMR 40.1600, the 1995 Revised MCP. Thus, a Release Notification was required to be filed with the DEP. Since the groundwater classification was changed, these results are now below the applicable GW-2 and GW-3 Cleanup Standards. A Subsurface Investigation conducted by AET in March 1995 detected PCE levels in both the isoil and the groundwater samples that exceeded the RCs for S-1 and GW-1 Standards. TCE, cis- 1,2-DCE, and chloroform were detected in soil and groundwater samples in various locations at the site, though they did not exceed the RCs. Two petroleum underground storage tanks were idiscovered on the site during this investigation. The following tables summarize the results recorded during Phase II assessment and UST removal activities. 1 i 1 1 i i 1 RAO:RTN 4-10971 :MAitlantic® Former Emerson Cleaners 18 Center St.,Hyannis,MA October 5,2000-Page 5 Table 1: Subsurface Investigation Soil Data Summary—March 1995 Detected Parameters in Soil Samples-February 3, 1995(mg/kg) PCE TCE S-1 2 BRL S-2 1.4 BRL S-3 0.44 BRL S4 0.072 BRL ' S-5 0.03 BRL S-6 0.43 BRL S-7 0.78 BRL S-FD 0.8 0.053 S-FD2 BRL BRL CS S-1/GW-2 20 20 CS S-1/GW-3 20 70 BRL-"Below Reporting Limits"of the laboratory PCE-Tetrachloroethene WE-Trichloroethene ' CS-MADEP Cleanup Standard Table 2: Subsurface Investigation Groundwater Data Summary—March 1995 Detected Parameters in Groundwater-Samples—January 9, 1995(ug/1) PCE b TCE b Cis-12-DCE Chloroform MW-1 190 5 BRL 10 MW-2 8 BRL BRL BRL MW-3 7 1 2 5 MW-4 70 0.7 BRL 2 W-2 110 BRL BRL B,RL W-3 16 BRL BRL 18 W-6 4 BRL BRL BRL W-7 0.7 53 BRL BRL W-FD 70 12 22 7 CS GW-2 3,000 300 30,000 400 CS GW-3 5 000 1 20,000 50 000 10 000 BRL-Below Reporting Limits'of the laboratory PCE-Tetrachloroethene TCE-Trichloroethene DCE-Dichloroethene CS-MADEP Cleanup Standard RAO:RTN 4-10971 Former Emerson Cleaners LD Atlantic® 18 Center St.,Hyannis,MA October 5,2000—Page 6 In May 1995, AET supervised petroleum UST removal activities and completed a UST Removal report. Two abandoned 1,000-gallon USTs, located during a geophysical survey, were removed from the property on May 3, 1995. Analysis collected from soils around one of the tanks indicated concentrations of PCE and TPH exceeding the RC for these constituents at that time, these levels do not exceed the applicable S-1/GW-2/GW-3 Cleanup Standards. The following table summarizes those results. Table 3: Underground Storage Tank Removal Data Summary—May 1995 Detected Parameters in Soil Samples-Ahl 5 1995 Location Headspace Readings TPH(ppm) PCE(ppm) Tank 1 1 790 11 Tank 2 ND 39 BRL 250 rCS S-1/GW-2 — 800 20 CS S-1/GW-3) — 800 20 BRL—"Below Reporting Limits"of the laboratory PCE—Tetrachloroethene TPH—Total Petroleum Hydrocarbon ND—No Data CS—MADEP Cleanup Standard A Phase II Comprehensive Site Assessment that was conducted using a hydropunch by AET in November 1995 found that PCE, TCE, cis-1,2-DCE, 1,2-DCA, and chloroform were detected in groundwater samples at the site. Concentrations of these contaminants exceeded the allowable Method 1 Cleanup Standard under the GW-1 designation at that time. Since the MADEP reclassified this area of Hyannis in 1996 to GW-2 and GW-3 Standards, the levels of contaminants detected in the groundwater at the property are below the MADEP Groundwater Cleanup Standards for GW-2 and GW-3. No compounds were detected in any of the soil samples submitted above the 50 ppb reporting limit of the laboratory equipment. Table 4: Phase II Soil Data Summary—November 1995 PCE Levels in Soil Sam les—Au ust 4 1995 20' BGS 40' BGS MW-5 BRL BRL MW-6 BRL BRL MW-7 BRL BRL MW-8 BRL BRL MW-9 BRL BRL BRL—"Below Reporting Limits"of the laboratory 50 ppb(parts per billion) PCE—Tetrachloroethene BGS—Below Grade Surface RAO:RTN 4-10971 Former Emerson Cleaners Atlantic® 18 Center St.,Hyannis,MA October 5,2000-Page 7 Table 5: Phase II Groundwater Data Summary—November 1995 Detected Parameters in Groundwater Samples-October 19 1995 Monitoring Depth BGS Cis-1,2-DCE Chloroform TCE b PCE b MW-1 ' 20 5 0.6 8 BRL MW-2 20 BRL 0.9 BRL 15 MW-3 20 0.9 5 1 18 MW-4 20 BRL 1 0.6 56 MW-5 20 BRL BRL BRL 8 30 BRL BRL BRL 8 40 BRL BRL BRL 2 MW-6 20 10 5 3 200 30 5 3 1 100 40 7 4 2 140 MW-7 20 3 7 4 49 30 1 3 2 16 40 2 5 2 18 ' MW-8 20 BRL BRL BRL 28 20(MWP) BRL 1 1 110 30 BRL 1 1 110 40 BRL BRL 1 100 40(MWP) BRL 11 1 120 MW-9 20 3 3 5 100 30 BRL BRL BRL 6 40 BRL BRL BRL 6 Field Blank NA BRL BRL BRL BRL CS GW-2 - 30,000 400 300 3,000 CS GW-3 50,000 10,000 20,000 5,000 BRL-"Below Reporting Limits'of the laboratory PCE-Tetrachloroethene ' TCE-Trichloroethene DCE-Dichloroethene BGS-Below Grade Surface CS-MADEP Cleanup Standard i �G3� ' RAO:RTN 4-10971 _ Atlantic® Former Emerson Cleaners 18 Center St.,Hyannis,MA October 5,2000-Page 8 t4.2 Recent Sampling ' GROUNDWATER Groundwater samples collected by AET on August 28 and September 29, 2000 were submitted to Groundwater Analytical (Groundwater) of Buzzards Bay, Massachusetts, in accordance with ' applicable MADEP protocols and analyzed for Volatile Organic Compounds (VOCs) to better determine groundwater quality. All calendar year 2000 groundwater and soil sampling data is located in Appendix B. VOC analysis was conducted due to the historic use of the property and ' groundwater contamination previously detected. Well locations are depicted in(Figure 2) Tetrachloroethylene (PCE) was detected in all nine on-site groundwater monitoring wells sampled ranging in concentrations from 3-250 ppb. Trichloroethylene (TCE) was detected in ' wells MW-I, 3, 6, 7 and 8 in concentrations from 3-10 ppb. Cis1,2-Dichloroethylene was detected in wells MW-1, 3, 6 and 7 in concentrations from 2-14 ppb. Chloroform was detected in wells MW-3, MW-5 and MW-10 at 2 ppb. These compounds are commonly used in dry cleaning process or breakdown components of compounds used in the dry cleaning industry. As summarized in Table 6, none of the compounds detected were above the MADEP GW-2 or GW- t3 Cleanup Standard. Table 6: ' Response Action Outcome Groundwater Data Summary—August & September 2000 Detected Parameters in Groundwater Samples(ppb) ' Sample Reference PCE b TCE b Cis-1,2-Dichloroethene Chloroform MW-1 210 10 6 U (1) ' MW-2 3 U(1) U(1) U (1) M W-3 56 5 10 2 MW-4 27 U (1) U (1) U (1) ' MW-5 17 U (1) U (1) 2 MW-6 250 4 2 U (1) MW-7 180 10 14 U (1) MW-8 170 3 U (1) U (1) MW-10 10 U (1) U (1) 2 ' CS(GW-2) 3,000 300 30,000 400 CS (GW-3) 5,000 20,000 50,000 10,000 ' U-Not detected at the indicated method detection limit PCE -Tetrachloroethene TCE -Trichloroethene BGS-Below Grade Surface ' CS-MADEP Cleanup Standard �A� ' RAO:RTN 4-10971 Former Emerson Cleaners DAtiantic 18 Center St.,Hyannis,MA October 5,2000—Page 9 SOIL On August 30, 2000 AET supervised the advancement of three soil borings (AB-1, A13-2, AB-7) ' in the three areas where PCE soil contamination was greatest in March of 1995 (S-1, S-2, S-7). AET soil boring logs are located in Appendix D with boring locations depicted in Figure 2. August 2000 soil sampling recorded concentrations of PCE above MADEP S-1/GW-2 and S- ' 1/GW-3 Cleanup Standards in boring AB-7 at 3 and 6-feet BGS (Table 7). No other Halogenated Volatile Compounds were detected above MADEP S-1/GW-2 and S-1/GW-3 Cleanup Standards. Table 7: ' Response Action Outcome Soil Data Summary—August 2000 Detected Parameters in Soil Samples(ppm) Sample Reference PCE TCE m Carbon Chloroform AB-1 (3) 4.5 U(220) U(220) U(220) AB-1 (6) 0.13 U(52) U(52) U(52) ' AB-1 (12) 0.069 U(51) U(51) U(51) AB-2 (3) 0.031 U(53) 0.014 0.056 ' AB-2 (6) 1.9 U(54) U(54) U(54) AB-2 (12) 2.4 U(100) U(100) U(100) AB-7 (3) 24 1.3 U(1,100) U(1,100) AB-7 (6) 32 U (],100) U(],100) U(1,100) AB-7 (12) 0.67 U (52) U (52) U (52) ' CS(S-1/GW-2) 20 20 30 0.4 CS(S-1/GW-3) 20 70 50 10 Compounds above applicable standards are shown Bold and underlined. U—Not recorded above the indicated method detection limit. PCE—Tetrachloroethene WE—Trichloroethene ' CS—MADEP Cleanup Standard' ' On September 25 & 26, 2000, AET supervised the advancement of twelve soil borings (13-10 & 13-11 were refusals) in the northwest portion of the property. Soil samples were collected from three discrete subsurface levels and analyzed for Halogenated Volatile Compounds. A total of thirty-three soil samples were collected to assess soil conditions in the northwest portion of the property. ' September 2000 soil sampling recorded concentrations of PCE above MADEP S-1/GW-2 and S- 2/GW-3 Cleanup Standards in borings B-6 at 3-feet BGS, B-9 at 3-feet BGS and B-12 at 9-feet BGS. September 2000 soil quality data is summarized in Table 8 (attached). Also detected in ' RAO:RTN 4-10971 Former Emerson Cleaners P,Aalantic® 18 Center St.,Hyannis,MA October 5,2000—Page 10 boring B-12 at 9-feet BGS was Trichloroethylene (TCE) at 65 ppm and cis1,2-Dichloroethylene at 210 ppm. Both of these compounds are above the respective MADEP S-1/GW-2 and S- 2/GW-3 Cleanup Standard(Table 8). ' In determining/estimatingExposure Point Concentrations in soils the soil averaging method P � g g outlined in 310 CMR 40.0926 3(b)2a was used. The acceptability of the data collected at the ' -former Emerson's Cleaners site for soils averaging to determine Exposure Point Concentrations is demonstrated by the following: ' "For discrete or composite samples, the arithmetic average is less than or equal to the applicable standard or risk-based concentration limit, seventy-five percent of the data points used in the averaging procedure are equal to or less than the applicable standard or risk-based concentration limit, and no data point used in the averaging is ten times greater than the applicable standard or risk-based concentration limit" (310 CMR 40.0926 3(b)2a). 1 Soil sampling results from 0-3 feet and 0-15 feet BGS were averaged separately to confirm that ' PCE, TCE and cis 1,2-Dichloroethylene contamination was below the applicable MADEP S- 1/GW-2 and S-2/GW-3 Cleanup Standard in accordance with 310 CMR 40.0926 3(b)2a. Nine soil samples were averaged from 0-3 (Table 9) and thirty-three were averaged from 0-15 feet ' BGS (Table 10). When averaged, no compounds were calculated above the applicable MADEP S-1/GW-2 and S-2/GW-3 Cleanup Standard. Furthermore, no samples detected components at a value greater than ten times the average concentration of the surrounding area, and seventy-five ' percent of the data points are equal or less than the applicable MADEP Cleanup Standard 5.0 REMEDIATION/WASTE MANAGEMENT No remedial actions/wastes were undertaken/generated at the site in regard to the groundwater contamination that was initially detected in 1994. . 6.0 RAO COMPLETION STATEMENT/CONCLUSION It is AEI's professional opinion that the condition that gave rise to MADEP notification in 1994 under RTN 4-10971 has been eliminated due to the reclassification of the groundwater by the MADEP in 1996 as a Non-Potential Drinking Water Source Area and by the use of Soils ' Averaging. The downtown Hyannis area was designated by MADEP in 1996 as Highly Urbanized Land Use ' Area that changed the groundwater classification at the site.from GW-1 to GW-2 and GW-3. August & September 2000 groundwater sampling results did not record detections of halogenated volatile organic compounds above MADEP GW-2 or GW-3 Cleanup Standards �asj� RAO:RTN 4-10971 DAtlanticFormer® Emerson Cleaners 18 Center St.,Hyannis,MA October 5,2000—Page 11 ' (Table 6). Therefore, groundwater impact below applicable MADEP Cleanup Standards of GW- 2 and GW-3 has been achieved without the operation and maintenance of an active remedial ' system. August 2000 soil sampling in the three areas with the greatest concentrations of PCE in March ' 1995 (S-1, S-2, S-7) recorded concentrations of PCE above MADEP S-1/GW-2 and S-1/GW-3 Cleanup Standards in boring AB-7 at 3 and 6-feet BGS (Table 7). AET conducted further assessment of the soils in the northwest portion of the property on September 25 & 26, 2000 ' (Figure 2). PCE contamination was recorded above applicable MADEP S-1/GW-2 and S-2/GW- 3 Cleanup Standards in borings B-6 at 3 feet BGS, B-9 at 3 feet BGS, and B-12 at 9 feet BGS. Two "breakdown compounds" of PCE, cis 1,2-Dichloroethylene and Trichloroethylene (TCE), were also detected above the applicable S-1/GW-2 and S-2/GW-3 Cleanup Standard in B-12 at 9 feet BGS. Averaging of soil sample results from 0-3 feet BGS and 0-15 feet BGS was completed separately in accordance with 310 CMR 40.0926 3(b)2. No compounds were calculated above the applicable MADEP S-1/GW-2 and S-2/GW-3 Cleanup Standard though soils impacted with ' Hazardous Materials (Halogenated Solvents) were detected above applicable MADEP Cleanup Standards. Furthermore, no samples detected components at a value greater than ten times the average concentration of the surrounding area, and over seventy-five percent of the data points ' averaged are equal to or less than the applicable MADEP cleanup Standard. Therefore, based on the laboratory analytical and the use of the Soils Averaging method of site closure, it is AEI's professional opinion that Soils Averaging can be utilized to obtain site closure for the soils ' portion of the property. This eliminates the need for further assessment and/or response actions at the site related to RTN 4-10971. 7.0 REFERENCES Atlantic Environmental Technologies,. Letter Report Subsurface Inve stigation, Former Emerson's Cleaners, 18 Center Street, Hyannis, MA, March 1995. Atlantic Environmental Technologies, Letter Report — Underground Storage Tank Removals, ' Former Emerson's Cleaners, 18 Center Street, Hyannis, MA, May 1995. Atlantic Environmental Technologies, Phase II Comprehensive Site Assessment, Former ' Emerson's Cleaners, 18 Center Street, Hyannis, MA, November 15, 1995. MADEP, The Massachusetts Contingency Plan, 310 CMR 40.0000, Effective October 31, 1997/Updates �asj� z M. ATLANTIC ENVIRONMENTAL TECIINOLOGIES,INC. Figure 1 PROJECT#: 5786.00 80 F—Cow R-d.SWt.410 Site Locus DATE: September •00 Street,::08�9 Former Emerson's Cleaners 9:7.5422 SCALE: Not to Scale •. ir ffi z B-4/MW-10 B-7 6 '� &9 PAVED g s-7M-7 PARKING 5 rJ B-12 O F ® -3 - S-5 o A�7640- -10 511 M�3 - s� /�Y o 0 It B-5 B$ MW-2 _ B-2 � E P 1 • N oR� o Nwpp0�1 S pREE RAMP 0 v !� CA � P =m r.: M `a. o m PAVED t/1 N PARKING D n S-3=-3 _ 2 S-2/W-2 40. v STORMDRAIN jo- DRYWELL H FILL•ED W/SOIL 4 ® MW-7 - 3' DIA. 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' ,�"!''1'f;'.J"vN tr0:, FIGURE u�► • • •• ATLANTIC ENVIRONMENTAL TECHNOLOGIES,INC. 1 1 Whaling National Park BWSC PriorlitY Resource •Now BeSord,Massachusetts 02740 Street(506)992-MOO Former Emerson's Cleaners l7lyanI MA DRAWN LAET Table 8 Soil Quality Summary "fable, Former Emerson Cleaners, 18 Center Street, Hyannis, MA Sample ID: B-1(4) B-1(7) B-1(14) B-2(3) B-2(6) B-2(12) B-3 (3) B-3 (6) B-3 (12) MADEP MADEP Matrix: Soil Soil Soil Soil Soil Soil Soil Soil Soil Method 1 Method 1 Date Collected: 9/25/00 9/25/00 9/25/00 9/25/00 9/25/00 9/25/00 9/25/00 9/25/00 9/25/00 Cleanup Cleanup Sample Purpose: Lab Lab Lab Lab Lab Lab Lab Lab Lab Standard Standard Depth: 3 7 14 3 6 12 3 6 12 (S-1/GW--2) (S-1/GW--3) Analyte Concentration: mg/kg mg/kg mg/kg mg/kg mg/kg mg/kg mg/kg mg/kg mg/kg mg/kg mg/kg Halogenated Volatile Organics cis-1,2-Dichloroethylene 0.46 0.16 U (0.057) U(0.21) U(0.54) U(0.051) U(0.052) U(0.052) U(0.053) 100 100 Tetrachloroethylene(PERC) 0.76 2.2 0.24 6.7 9.9 0.8 1.1 0.12 0.667 20 20 Trichloroethylene(TCE) 0.13 0.10 U (0.057) U(0.21) U(0.54) U(0.051) U(0.052) U(0.052) U(0.053) 20 70 Sample ID: B-4(2) B-4(4) B-4(10) B-5 (4) B-5 (8) B-5 (12) B-6(3) B-6(6) B-6(12) MADEP MADEP Matrix: Soil Soil Soil Soil Soil Soil Soil Soil Soil Method 1 Method 1 Date Collected: 9/25/00 9/25/00 9/25/00 9/25/00 9/25/00 9/25/00 9/25/00 9/25/00 9/25/00 Cleanup Cleanup Sample Purpose: Lab Lab Lab Lab Lab Lab Lab Lab Lab Standard Standard Depth: 2 4 10 4 8 12 3 6 12 (S-1/GW--2) (S-1/GW--3) Analyte Concentration: mg/kg mg/kg mg/kg mg/kg mg/kg mg/kg mg/kg mg/kg mg/kg mg/kg mg/kg Halogenated Volatile Organics cis.1,2-Dichloroethylene U(0.055) U(0.055) U(0.052) U(0.053) U(0.051) U(0.051) 1.0 0.25 U(0.051) 100 100 Tetrachloroethylene(PERC) U(0.055) U(0.055) 0.056 1.3 0.058 U(0.051) 26 4.3 0.160 20 20 Trichloroethylene(TCE) U(0.055) U(0.055) U(0.052) 0.086 U(0.051) U(0.051) 1.5 0.29 U(0.051) 20 70 Analyte concentrations that exceed the MADEP S-1/G W-2 & S-I/GW-3 Groundwater Cleanup Standards are shown BOLD and UNDERLINED. Not analyzed. MADEP Massachusetts Department of Environmental Protection mg/kg Milligrams per Kilogram(equivalent to parts per million(ppm)) ns No Standard Established U Not detected at the indicated method detection limit concentration. Blaine Sum Table.xls I♦ M Ml M M M M Table 8 Soil Quality Summary Table, Former Emerson Cleaners, 18 Center Street, Hyannis, MA Sample ID: B-7(3) B-7(8) B-7(12) B-8(3) B-8(8) B-8(12) B-9(3) B-9(9) B-9(14) MADEP MADEP Matrix: Soil Soil Soil Soil Soil Soil Soil Soil Soil Method I Method I Date Collected: 9/25/00 9/25/00 9/25/00 9/26/00 9/26/00 9/26/00 9/26/00 9/26/00 9/26/00 Cleanup Cleanup Sample Purpose: Lab Lab Lab Lab Lab Lab Lab Lab Lab Standard Standard Depth: 3 8 12 3 8 12 3 9 14 (S-1/GW--2) (S-IIGW--3) Analyte Concentration: mg/kg mg/kg mg/kg mg/kg mg/kg mg/kg mg/kg mg/kg mg/kg mg/kg mg/kg Halogenated Volatile Organics cis-1,2-Dichloroethylene ' U(0.1 1) U(0.052) U(0.053) U(0.6) U.(0.052) U(0.052) U(0.55) U(0.051) U(0.054) 100 100 Tetrachloroethylene(PERC) 2.8 0.052 0.14 15 0.061 U(0.052) 21 0.11 0.1 20 20 Trichloroethylene(TCE) U(0.11) U(0.052) U(0.053) U(0.6) U(0.052) U(0.052) 0.57 U(0.051) U(0.054) 20 70 Sample ID: B-12(3) B-12(9) B-12(14) AB-7(3) AB-7(6) AB-7(12) MADEP MADEP Matrix: Soil Soil Soil Soil Soil Soil Method I Method I Date Collected: 9/26/00 9/26/00 9/26/00 8/30/00 8/30/00 8/30/00 Cleanup Cleanup Sample Purpose: Lab Lab Lab Lab Lab Lab Standard Standard Depth: 3 9 14 3 6 12 (S-1/GW--2) (S-IIGW--3) Analyte Concentration: mg/kg mg/kg mg/kg mg/kg mg/kg mg/kg mg/kg mg/kg Halogenated Volatile Organics. cis-1,2-Dichloroethylene 0.14 210 0.055 U(1.1) U(1.1) U(0.052) 100 100 Tetrachloroethylene(PERC) 3.3 23 0.071 24 32 0.67 20 20 Trichloroethylene(TCE) 0.2 65 U (0.052) 1.3 U(1.1) U(0.052) 20 70 trans 1,2-Dichloroethylene U(0.1 1) 9.5 U(0.052) U(1.1) U(1.1) U(0.052) 500 500 Analyte concentrations that exceed the MADEP S-I/GW-2 & S-I/GW-3 Groundwater Cleanup Standards are shown BOLD and UNDERLINED. -- Not analyzed. MADEP Massachusetts Department of Environmental Protection mg/kg Milligrams per Kilogram(cyunalent to parts per million(ppm)) ns No Standard Established U Not detected at the indicated method detection limit concentration. Blaine Sum Table.xls Table 9 Soils Averaging Summary Table (0-3 Feet BSG) Former Emerson Cleaners, 18 Center Street, Hyannis, MA (In accordance with 310 CMR 40.0926 3(b)2a) MADEP MADEP Sample ID: B-2(3) B-3(3) 11 4(2) "(3) B-7(3) B-8(3) B-9(3) B-12(3) AB-7(3) Method l Method I Matrix: Soil Soil Soil Soil Soil Soil Soil Soil Soil Total(9 Average Anayyte Cleanup Cleanup Date Collected: 9/25/00 9/25/00 9/25/00 9/25/00 9/25/00 9/25/00 9/25/00 9/25/00 9/25/00 Concentration Samples) Standard Standard Sample Purpose: Lab Lab Lab Lab Lab Lab Lab Lab Lab (mg/kg) Depth: 3 ft. 3 ft. 3 ft. 3 ft. 3 ft. 3 ft. 3 ft. 3 ft. 3 ft. (S-I/GW-2) (S-7/GW-3) Anal a Concentration: m k g m m m m m m m m mg/kg mg/kg Halogenated Volatile Organics cis-1,2-Dichloroethylene 0.10 0.03 0.027 1.00 0.055 0.30 0.27 0.14 0.55 2.47 0.274 100 100 Tetrachloroethylene(PERC) 6.70 1.10 0.027 26 2.800 15.00 21 3.30 24 99.93 11.103 20 20 Trichloroethylene(TCE) 0.10 0.03 0.027 1.50 0.055 0.30 0.57 0.20 1.30 4.08 0.453 20 70 trans 1,2-Dichloroeth lene 0.10 0.03 0.03 0.28 0.055 0.30 0.27 0.06 0.55 1.67 0.185 500 500 Average analyte concentrations that exceed the MADEP S-l/GW-2&S-1/GW-3 Groundwater Cleanup Standards are shown BOLD and UNDERLINED. According to MADEP Soil Averaging Methods, half of the method detection limit concentration is used when no detection of a fraction or compound is recorded in a laboratory sample. MADEP Massachusetts Department of Environmental Protection mg/kg Milligrams per Kilogram(equivalent to pans per million(ppm)) U Not detected at the indicated method detection limit concentration. � � -■� � ■� �■ � I� i� i�w � a � � w � � illlll� ■� Table 10 Continued Sample ID: B-9(9) B-9(14) B-12(9) B-12(14) AB-7(6) AB-7(12) MADEP Matrix: Soil Soil Soil Soil Soil Soil Average Anslyte Method I MADEPMethod Date Collected: 925/00 925/00 925/00 925100 925/00 925/00 Total (era Concentration Cleanup I Cleanup Sample Purpose: Lab Lab Lab Lab Lab Lab samples) Standard Standard (S- Standard (S- Depth: 3 ft. 3 ft. 3 ft. 3 ft. 3 ft. 3 ft. I/GW-2) 1/GW--3)mg/kg Analyte Concentration: mglkg m m m m mglkg mg/kg Halaaenated Volatile Oreanics cis-1,2-Dichloroethylene 0.025 0.027 210 0.027 0.550 0.026 214.356 7.939 (00 100 Tetrachloroethylene(PERC) 0.110 0.100 23 0.071 32 0.670 176.144 6.524 20 20 Trirhloroethylene(TCE) 0.025 0.027 65 0.026 0.550 0.026 70.675 2.618 20 70 trans 1 2-Dichloroeth lene 0.025 0.027 10 0.026 0.550 0.026 12.541 0.466 500 500 Average analyte concentrations that exceed the MADEP S-I/GW-2&S-I/GW-3 Groundwater Cleanup Standards are shown BOLD and UNDERLINED. According to MADEP Soil Averaging Methods,half of the method detection limit concentration is used when no detection of a fiaction or compound is recorded in a laboratory sample. MADEP Mannhuwu Depmmnot orEavimnmental Protection m&ft MilhvB pa IOIo®m(equivalenttopanspernmllim(ppm)) U Net detected a the indicated n ethod detection litmt concenlrmion. APPENDIX A 1WAtian ic@ 1 1 1 1 1 1 1 Appendix A: 1 Environmental First Search Maps (Hyannis) 1 1 1 1 1 1 1 MAHantic® Letter of Transmittal tENGINEERS&ENVIRONMENTAL SCIENTISTS PO.Box 1051 • Sandwich,MA 02563 •(508)888-9282• Fax 888-5859 Whaling National Park• 13 Hamilton Street• New Bedford,MA 02740•(508)992-6300• Fax 992-5533 www.aflanticcompaninies.com To9�1� , 6- I,& x ye �: 1/Q v g In L7 Date /0 A � O � We re sending you d Project No. Enclosed ❑ Under separate cover Pr 'act ' via 4 O Direct from printer ❑Taxi 6A9 41,07 • - ❑Messenger ❑Other the following items Shop Original O Prints ❑Sepias O Tracings p Reports O Drawings ❑ Drawings ❑Mylar ❑Linen O Specifications O Samples ❑Other Description 4 ,10 ' 13 For your information ❑ Final Plans U Resubmit copies for approval O Unchecked U Returned for corrections ❑ Return_corrected prints ' Q Preliminary O For your review and comment ❑Submit copies for distribution ❑ Revised ❑ For your approval/signature ' Remarks en Si ned /' 1777/ /7 P 107 Copy to ' If enclosures are not as noted.please contact us immediately. Massachusetts Department of Environmental Protection BWSC-104 Bureau of Waste Site Cleanup RESPONSE ACTION OUTCOME(RAO) STATEMENT & Release Tracking Number DOWNGRADIENT PROPERTY STATUS TRANSMITTAL FORM _ 10971 Pursuant to 310 CMR 40.0180(Subpart B),40.0580(Subpart E)&40.1056(Subpart J) A. SITE OR DOWNGRADIENT PROPERTY LOCATION: Site Name (optional) Former Emerson's Cleaners Scree[ 18 Center strept Location Aid: Cnr_ of Cpnter . & Main St ' City/Tam: Hyannis MA 23PCode:42601-0000 Check here if this Site location is Tier Classified. If a Tier I Permit has been issued,state the Permit Number: Related Release Tracking Numbers that this Form Addresses: if submitting an RAO Statement,you must document the location of the Site or the location and boundaries of the Disposal She subject to this Statement If submitting an RAO Statement for a PORTION of a Disposal She,you must document the location and boundaries for both the ' portion subject to this submittal and,to the extent defined,the entire Disposal She. If submitting submitting a Downgradient Prop Status Submittal, you must provide a site plan of the property subject to the submittal and,to the extent defined,the Disposal Site. B. THIS FORM IS BEING USED TO: (check all Mat apply) ' ® Submit a Response Action Outcome(RAO)Statement(complete Sections A,B,C,D,E,F.H,I,J and Q. EJ Check here If this is a revised RAO Statement. Date of Prior Submittal: ' Check here if any Response Actions remain to betaken to address conditions associated with any of the Reines whose Release Tracking Numbers are listed above. This RAO Statement will record only an RAO-Partial Statement for those Release Tracking Numbers. Specify Affected Release Tracking Numbers: Submit an optional Phase 1 Completion Statement supporting an RAO Statement or Downgradient Properly Status Submittal (complete Sections A,B,H,1,J,and Q. Submit a Downgredient Property Status Submittal(complete Sections A,B,G,H.I,J and IQ. ' Check here 6 this is a revised Doxngradient Property Status Submittal. Date of Prior Submittal: Submit a Termination of a Downgradient Property Status Submittal(complete Sections A,B,1,J and Q. Submit a Periodic Review Opinion evaluating the status of a Temporary Solution(complete Sections A,B.H,1,J and L). Specify one: For a Class C RAO ❑ For a Waiver Completion Statement indicating a Temporary Solution Provide Submittal Date of RAO Statement or Waiver Completion Statement: You must attach all supporting documentation required for each use of form indicated,including copies of any Legal Notices and Notices to Public Officials required by 310 CM 40.1400. C. DESCRIPTION OF RESPONSE ACTIONS: (check all that apply) ' Assessment and/or Monitoring Onty Ll Deployment of Absorbent or Contaminant Materials Removal of Contaminated SoilsI Temporary Covers or Caps ' -_ Re-use,Recycling or Treatrrent _' Bioremediation On Site 71 Off Site Est.Vol.: — _ cubic yards Sol Vapor 6draction Describe: .-- ----__-- -- _—_ ��_ Structure Venting System Landfill Cover Disposal Est.Vol.: cubic yards Product or NAPL Recovery ' J Removal of Drums,Tanks or Containers 'i_'.. Groundwater Treatment Systems Describe: ❑ air Sparging C Removal of Otha Contaminated Media U Temporary Water Supplies ' Specify Type and Volume: ❑ Terrporary Evacuation or Rebcation of Residents ' Other Response Actions Fencing and Sign Pasting Describe: SECTION C IS CONTINUED ON THE NEXT PAGE. ' Revised417/95 Rmnarcadas Fnrms AWC(:aiO4 anrf M0 fin narfl Paos 1 of ' Massachusetts Department of Environmental Protection BWSC-104 Bureau of Waste Site Cleanup ' RESPONSE ACTION OUTCOME (RAO) STATEMENT 3 Release Tradang NwMer DOWNGRADIENT PROPERTY STATUS TRANSMITTAL FORM ❑ �� Pursuant to 310 CMR 40.0180(Subpart B),40.0580(Subpart E)&40.1056(Subpart J) 4 - 10971 C. DESCRIPTION OF RESPONSE ACTIONS: (continued) ❑ Check here if any Response Action(s)that serve as the basis for this RAO Statement involve the use of Innovative Technologies. (DEP is interested in using this information to create an Innovative Technologies Clearinghouse.) ' Describe Technologies: D. TRANSPORT OF REMEDIATION WASTE: (if Rernediation Waste was sent to an off-site facility,answer the following questions) Name of Facility. NLA------------.------_ -__--- ' Town and State: Quantity of Rernediation Waste Transported to E. RESPONSE ACTION OUTCOME CLASS: Specify the Class of Response Action Outcome that applies to the Site or Disposal Site. Select ONLY one Class: i_i Class A-1 RAO: Specify one of the following: (�) Contamination has been reduced to background keels. i A Threat of Release has been eliminated. LJ Class A-2 RAO: You MUST provide justification that reducing contamination to background levels is infeasible. ' _ ❑ Class A-3 RAO: You MUST provide both an implemented Activity and Use Limitation(AUL)and justification that reducing contamination to background levels is infeasible. If applicable,provide the earlier of the AUL epiration date or date the design life of the remedy will end: ' Class B-1 RAO: Specify one of the folkrwing: 0 Contamination is consistent with background levels Contamination is NOT consistent with background d levels: ❑ Class B•2 RAO: You MUST provide an implemented AUL. If applicable,Provide the AUL eipiration date: ' ❑ Class C RAO: ❑ Check here it you will conduct post-RAO Operation,Maintenance and Monitoring at the site. Specify One: 0 Passive Operation and Maintenance 0 Monitoring Only 0 Active Operation and Maintenance(defined at 310 CMR 40.0006) F. RESPONSE ACTION OUTCOME INFORMATION: ❑ If an RAO Compliance Fee is required,check here to'certily that the fee has been submitted. You MUST attach a photocopy of the payment. ❑ Check here if submitting one or more AULs. You must attach an AUL Transmittal Form(BWSC-113)and a copy of each implemented AUL related to this RAO Statement. Specify the type or AUL(s)below. (required for all class A3 RAOs and class B-2 RAOs) ' 0 Notice of Activity and Use Limitation 0 Grant of Environmental Restriction Number of AULs attached: Specify the Risk Characterization Method(s)used to achieve the RAO described above and all Soil and Groundwater Categories applicable to the She. More than one Soil Category and more than one Groundwater Category may apply at a Site. ' Be sure to check off all APPLICABLE categories,even it more stringent soil and groundwater standards were met Risk Characterization Method(s)Used: ® Method 1 ❑ Method 2 ❑ Method 3 Soil Category(ies)Applicable: ® S-1 ❑ S-2 ❑ S-3 Groundwater Category(ies)Applicable: ❑ GW-1 ® GW-2 ® GW-3 > When submitting any Class A4 RAO or a Class B.1 RAO where contamination Is consistent with background levels,do NOT specify a ' Risk Charaetertratlon Method. > When submitting any Class A-2 RAO or a Class B-1 RAO where contamination Is NOT consistent with background levels,you cannot use an AUL to maintain a level of no significant risk. Therefore,you must meet S-1 Soil Standards,If using Risk Characterteation ' Method 1. ' Revised 417195 Cunnrcnilnc Fnnnc PlArCr^_nnA ono nln ai Wool Party?riA OC7-18-2000 C1:06.4tt FROIt T-002 P 002/002 F-0"3 Bureau of Waste Site Cleanup RESPONSE ACTION OUTCOME(RAO)STATEMENT L ReleaseTtadung�°"be DOWNGRADIENT PROPERTY STATUS TRANSMITTAL FORM , • Pursuantto 310 CNR 40.0180(Su'tlpert Bk 40.0580(SUDpan E)&40.10W(SubW J) 4 -I 10971 _ 0. DOWNGRADENT PROPERTY STATUS SUBMITTAL If a Oowngtaftm Promw Status S&-ni W Canpliarce Fee is required,chock hereto centty that the fee has been Submitted. You MUST III a pho"y of dna payment. .� Check here if a Roiaase(s:of Oil or Hazardous Motorol(s),other than that whi.-FI IS the aubjed of this submittal,has om ed at this n•2perty ReleeseTmcklr$Numbar(cY--. ._--__ —.._---___--- Chad here r`the Re:eaeee identified above require further Response A.&M ptususm to 310 CMR 40.0000. 'Roqulroc documsntatfon tars Oovmgradtant Property Staves Submittal Includes,but Is not Ilmded to,coplas of outl a pmvldod to ownem and operators or both upgradient and Jowngradbrd abutting proparues and at any known or skafpeuted source propenlaz. ' N. LSP OPINION; I attest under the pains and pe,aRies of perjury that I stave personally a4mined and an tah311ar will this ha siniltal fo.'m.Incbrirg ary and ali doeurnens aeanr", ng thin suomidal. In my prot=iwal opinion and judcnvkvt based talon aoplirafion of(i)the standard of care in 109 CUR ' 4.02(1;,(1 the appllea_He pro islors of 3119 CMR 4.021,2)and(3),and(wl the prMslons of 30A CMR 4.03;5).to the bast of m f knowledge,infomvhor . and belief, 6Ssroon 8 indkaas On1 a Oswngradiont Property Stan:a Submfltal s xinOFravt�d the rkaptv75e ndm(s)that is(aril the sub)en d this • hmhtal(i;has(hie)bean developed and implemented in accordance Wth the applia be previsions of M.G.L c.21E aid 310 r—MR 40 CCGu,(if) Is(ass)approprate end r a5onahle to accomplish the purposes U such re-porse aditn(s)as set forth in 310 CMR 40.0183(2)(b),and(Ji'.Crml>I;es(); wth:I a ide:fified provslons of a6 orde5,porrtSts,and approvats&tlfied in this submittal; > if SnZie+8 h,ckofa3 hoer o4heran RAO Statement:phase i Complatiw Satsment and/or Fpr1009c Review Opinion v:being pmmvdee,the respa ectiori(s)that is(are)the subject of this submittal(il has(him bees dmlcgrsl and implariented in accordance vie the appVioadle crovtsians ' of M G-L c 21E and 3t0 CMF.40.0000,(i)is(are)appropriate aW reasonable to aCtanplish the purposes of such rer,Fonse sctim(s)as set forth In the applicable provisions d UC.L o.21E and 310 CMR 40.0000,and(Ai)complies(y)with the ide ntified pro iSiOr>Of a0 OMers,PI and approvals identified in this submittal. 1 am aware that synfirant penalhFs may result,Including.but rut PopINd to,possibls Fines and in ionsorcrien;d i submit ttamatlun which I knew to be false,htaccursla or materially Incompleta. al(s) Chock here if the Rssptnse Adion(s)on which this opinion is b�.PA id any,ale twere)sut>jec apprrn Issued by DEP or EPA. If the bow is checked,you MUST attach a Statement Iderdifymg trig. vlhemof �y. tT TC`.rJ �-r v LSP#. Ra4e _ Stamp;, Telephone. s ;,1 .— hap S.QS-A97_ ? Ex.; di`�, i..+.•_ H»' FAX:(optional) 992-5r33Signatum _ _ �79q`:tr Date Date: .._ .�.-- ' 1. PERSON MAKING SUBMITTAL NanaofOrgarLuton: _ -- —, •.. Name of Caita TWer _—.--- $bpeb ' City/Town: Mpz r'p, _T Slate: vA ZIP Code: 02j" Telephone: — ._ Pea.: FAX:(optional) J. RELATIONSHIP TO SITE OF PERSON MAKING SUBMITTAL (check one) RP or PRp Specify : owner `� operator •�7 Garneata ( Trersporfvr abler RP or PRP: --- r Rcluclary,Secured Lerakx or Mu i pafdy with Exempt Sidiin(m defined t1y M.G.L 0,21F,s_2) . �J Agency ar Public Ut01ty on a Right a`Way(as defined by M.G.L c.21 E.s.56)) I MyOttnm•pensan Submisuig This Forth Specify Relatiorenip ..._ _ ._.^ Revised 4A195 Sunnr. floc Frnms RW3CYOn4 and n10 fin nan) Feue3 of 4 Massachusetts Department of Environmental Protection BWSC-104 Bureau of Waste Site Cleanup RESPONSE ACTION OUTCOME(RAO) STATEMENT & Release Tracking Number DOWNGRADIENT PROPERTY STATUS TRANSMITTAL FORM Pursuant to 310 CMR 40.0180(Subpart B),40.0580(Subpart E)&40.1056(Subpart J) 4❑ 10971 K. CERTIFICATION OF PERSON SUBMITTING DOWNGRADIENT PROPERTY STATUS SUBMITTAL: 1, ,attest under the pairs and penalties of perjury(i)that I hays personalty examined and am familiar with the information contained in this submittal,including any and all documents accompanying this transmittal form;(6)that,based on my inquiry of thelhose indMduat(s)immediately responsible for obtaining the information,the material information contained herein is,to the best of my knowledge, information and belief,tire,accurate and complele;(III)that,to the best of my knowledge,information and belief,IRhe person(s)or a ty(les)on whose behalf this submittal is made satisfy(ies)the criteria in 310 CMR 40.0183(2);(M that Ifthe person(s)or entily(ies)on whose behalf this submittal is made have provided notice in accordance with 310 CMR 40.0183(5);and(v)that I am fully authorized to make this attestation on behalf of the person(s)or entity(ies)legally responsible for this submittal. IRhe person(s)or eri ty(ies)on whose behalf this submittal is made is/are aware that there are significant penalties,including,but not limited to,possible fines and imprisonment,for willfully submitting false,inaccurate,or incomplete information. By. Title: (signature) For. Date: (print name of person or entity recorded in Section 1) Enter address of the person providing certification,If different from address recorded in Section I: Street: Cityrrown: State: ZIP Code: Telephone: Ext.: FAX(optional) L. CERTIFICATION OF PERSON MAKING SUBMITTAL: If you are completing only a Downgredlent Property Status Submittal,you do not need to complete this section of the form. I, n i a n a ('1 rn,t;P r ,attest under the pains and penalties of perjury(i)that I have personally examined and am fam6iar with the information contained in this submittal,including any and all documents accompanying this transmittal form,(ii)that,based on my inquiry of those individuals immediately responsible for obtaining the information,the material information contained in this submittal is,to the hest of my knowledge and belief,true,accurate and complete,and(iii)that I am fully authorized to make this attestation on behalf of the entity legally responsible for this submittal. I on or entity on wh a behalf this submittal is made artVs aware that there are significant penalties,including,but not limited to, possible fines an imprisonment,for I itting false,inaccurate,or incomplete information. ' By �� Title: Owner (signature) For.-Dig ne 1outier -- Date: (print name of person or entity recorded in Section 1) / ' Enter address of the person providing certification,if different from address recorded in Section I: Street Cityrrown: ...._— _- _ — State: --_ - ZIP Code: - ------------- Telephone: - __. ,_-- .__. Ent.: .- _ FAX(optional) ---_—. - YOU MUST COMPLETE ALL RELEVANT SECTIONS OF THIS FORM OR DEP MAY RETURN THE DOCUMENT AS INCOMPLETE. IF YOU SUBMIT AN INCOMPLETE FORM,YOU MAY BE PENALIZED FOR MISSING A REQUIRED DEADLINE,AND YOU MAY INCUR ADDITIONAL COMPLIANCE FEES. ' Revised 47195 Sunamarfac Fnmta RWCf:-n04 and n1n(in narfl Pace 4 of 4 TOWN OF BARNSTABLE OMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair nters BOARD OF HEALTH satisfactory 3.2.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS 4C1a55' 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MATERIALS Case lot, 1 Ik Ms IN OUT IN OUT IN OUT #&gallons _277 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 Misce�ll]aneous: U go sa DISPOSAURECLAMATION REMARKS: o y� m 1. Sanitary Sewage 2. W ter Supply V W cv Town Sewer Public O On-site OPrivate 1� 3. Indoor Floor Drains YES NO)( (' O Holding tank: MDC' J 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 i Name of Hauler Destination Waste Prod l YES NO 1. 2. (s) nterviewed Inspe t r at TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: A 17, Mail To: BUSINESS LOCATION: Zi 0— ZVF6�1-, S 7- Board of Health MAILING ADDRESS: S,11:aiI-)e Town of Barnstable P.O. Box 534 TELEPHONE NUMBER: ��f1 ��S' Hyannis, MA 02601 CONTACT PERSON: DC- AM's ' G 1- CeAiLdoac✓ EMERGENCY CONTACT TELEPHONE NUMBER: 71c9p ;2 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling, 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: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store: Quantity/Case Quantity/Case Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners 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