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0067 CENTER STREET - HAZMAT
2� buo �4 4 V t� C3 0 Q' Certified Mail Fee Er Er Extra FJctra Services&Fees(check box,add fee as app opriate) O z ❑Return Receipt(hardoopy) $ ❑Return Receipt(electronic) $ r� Postmark 0 ❑Certified Mail Restricted Delivery $ Q' Here O []Adult Signature Required $ ❑Adult Signature Restricted Delivery$ - iO Postage m $ a Total Postage and ATTN: DEBBIE JOYCE $u7 Sent To BEYOND BEAUTY OF CAPE COD ra - ------ --------- 68 CENTER STREET 0 Street and Apt.No., r` HYANNIS MA 02601 Ciry Stale,ZIP+4�• :.r r r r rrr•r. -- --- Certified Mail service provides the following benefits: IN A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail ■A.unique identifier for your mailpiece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,present this. delivery. USPS®-postmarked Certified Mail receipt to the ■A record of delivery(including the recipients retail associate. signature)that is retained by the Postal Service' Restricted delivery service,which provides r for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent Important Reminders: Adult signature service,which requires the ■You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class Mail®,First-Class Package Service®, available at retail). or Priority Mail®service. Adult signature restricted delivery service,which ■Certified Mail service is notavailable for requires the signee to be at least 21 years of age International mail. and provides delivery to the addressee specified ■Insurance coverage is notavallable for purchase by name,or to the addressee's authorized agent with Certified Mail service.However,the purchase (not available at retail). of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is insurance coverage automatically included with accepted as legal proof of mailing,it should bear a certain Priority Mail items. USPS postmark.If you would like a postmark on; , ■For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail item at a Post Office'"for the following services: postmarking.If you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.._� electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Return Receipt attach PS Form 3811 to your mailpiece; IMPORTAML Save this receipt for your records. Ps Form 3800,April 2015(Reverse)PSN 7530-02-000-9047 s MASSACHUSETTS FIRE INCIDENT REPORT AOVIPW OIDD 9 ,,,... »:> HDEPARTMENT, ff M annis Fire Deartment Revised Report Form 2 2 If Ex Date Alarm Arrival In Service V c nt 000 . 40 Fire 009/ 10/94 Day ISaturday 20:14 20:20 21 :17 SITUATION FOUND ACTION TAKEN MUTUAL AID $ Spill, Leak w/ No Ign €4 1 Remove Hazard 4 FIXED PROPERTY USE (OCCUPANCY) %» IGNITION FACTOR > 9 6 5 C Uncovered Parking Area NO IGNITION CORRECT ADDRESS ZIP CODE CENSUS TRACT O �67 CENTER ST. 02601 000040 O 11 OCCUPANT NAME (LAST, FIRST, MI) TELEPHONE ROOM or APT. PASTA PERFECTO 508 775-6622 G12OWNER NAME (LAST, FIRST, MI) ADDRESS TELEPHONE LOVELY G 13 METHOD OF ALARM CO. DIST. PERSONNEL ENG RESP. ..........: AERIALS RESP. 4 © RESP. O SHIFT HAZ MAT PRESENT? TANK. RESP. a OTHER RESP. 0 D 2 Telephone (Tie-line) NO. AL SUBSTANCE 0 0 1 : SPEC. EQUIP. USED? O 20 FIRETNJURTFS SERVICE O >> 0 OTHER O >< 0 0 :: C F� C O MOBILE PROPERTY TYPE VEHICLE STOLEN? ESTIMATED TOTAL INSURANCE CO. DOLLAR LOSS TOTAL INS. CLAIM PD YEAR MAKE MODEL COLOR LICENSE NO. VIN# 30 40 IF EQUIP INVOL. YEAR MAKE MODEL SERIAL NO. IN,IGNITION OCOMPLEX AREA OF EQUIP INVOLVED IN IGN. ORIGIN ................. FORM OF HEAT IGNITION MATERIAL FORM TYPE IGNITED METHOD OF LEVEL OF ORIGIN Number of Stories CONSTRUCTION TYPE O EXTINGUISHMENT Ij Lj Lj EXTENT OF DAMAGE Flame ......... Smoke DETECTOR PERFORMANCE SPRINKLER PERFORMANCE OP O =1 Material generating FORM TYPE ® most smoke AVENUE OF SMOKE TRAVEL R WEATHER CONDITIONS Ej Officer in Charge: Date ROGER CADRIN LIEUTENANT 9/ 1 0/9 4 Comments for this incident have been printed on an additional comments page. Corr. rents for Incident: 94 000940 Exposure: 00 Date: 9/10/94 REQUEST FROM SGT DOWLING OF THE BPD TO INVESTIGATE A SPILL IN THE PARKING LOT AT PASTA PERFECTO. a PON ARIVAL I FOUND THAT THE GREASE WAST BARREL HAD BEEN KNOCKED OVER SPILLING ITS CONTNES ONTO THE ARKING LOT AND ALONG SIDE THE ROADWAY. WE USED 6 BAGS OF SPEEDI DRY TO CONTAIN THE SPILL AND REMOVED IT FROM THE PARKING LOT AND ROAD WAY.WE COVERED AND CONTAINED THE REMAINING SPILL AND NOTIFIED THE PROPERTY OWNER THAT THEY WILL HAVE TO CLEAN UP THE SPILL ASAP. WE ALSO NITIFIED THE BOARD OF HEALTH SO THEY CAN FOLLOW UP ON THE CLEAN UP OF THE SPILL, MR.JERRY DUNNING RESPONDED TO THE SCENE TO OBSERVE THE SPILL COND AND STATED HE WOULD FOLLOW UPON SAME ON MONDAY. I SPOKE WITH MR.CHRIS LOVELY THE SON OF THE PROPERTY OWNER TO INFORM HIM OF THE SITUATION,HE STATED HE WOULD INFORM THE OWNER ASAP • °FIN6roy� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 (' B^RM�'E�,' 200 Main Street• Hyannis, MA 02601 �ptEOMP TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: 0 V) Date: 3 22 f Location/Mailing Address: &-1 C-evv+ere $�, a��s Contact Name/Phone: V,,j%Q .4a.AA 8 ~ -77S-V y Inventory Total Amount: � SDS: 4o o� ,K- License#: Tier II : o Labelina: 0K- &+e- Spill Plan: Oil/WaterSeparator: A) Floor Drains: f5igk1-s 7 Scu3cfEmergency Numbers: Storage Areas/Tanks: A i Vool av 41& I / c'o 4 J Emergency/Containment ui ent: 61 Waste Generator ID: /la' Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons 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 (3 Motor oils Miscellaneous Corrosives `^�� s Gasoline,jet fuel, aviation gas � Cesspool cleaners Diesel fuel, kerosene, #2 heating oil 'L Disinfectants �parb,c%tek .I 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 k of 6e\ir 1 "%- t Paint&varnish removers, de lossers Leather dyes 1na1r s fc-y 1 Z Miscellaneous Flammables Au,AoA�4-lr Fertilizers Floor&furniture strippers �� tj PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" I V\LL%\ Pof I1-k- I (including chloroform, formaldehyde, I � o,\v, GDl o,r 1 hydrochloric acid, of acids) VIOLATIONS: ORDERS: I INFORMATION/RECOMMEN ATIONS: D MA-Zlm YISC 01 iS l,tA-2_ G S t Inspectc)77�a 112 Lle- Facility Representative: 42� /. L , , WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS