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Home My WebLink About0063 CIT AVENUE - HAZMAT Avg N-vx\Y\'o m I m y � QTOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM TA see NAME OF FIRM: ins n ef, MAILING ADDRESS 41r 64 TELEPHONE NUMBER: CONTACT PERSON: 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 a y time, more than 50 gallons liquid volume or 2S pounds dry weight? YES V 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 in quantities totalling more than 50 gallons liquid volume or 25 pounds dry weight. Please put a check beside each product that you store: Antifreeze (for gasline or coolant systems )w Refrigerants Automatic transmission fluid Pesticides (insecticides, Engine and Radiator flushes Sppindlo- 0 herbicides,rodenticides) Hydraulic fluid (including b a'ke fluid) Photochemicals a Motor oils/waste oils r wa� o' Printing Ink Gasoline, Jet fuel Wood preservatives Diesel fuel, Kerosene, #2 heating oil (creosote) Other petroleum products: grease, Swimming Pool chlorine lubricants Lye or caustic soda Degreasers for engines and metal Jewelry cleaners Degreasers for driveways & garages Leather dyes Battery acid (electrolyte) Fertilizers (if stored Rustproofers outdoors) Car wash detergents PCBs Car waxes and polishes Other chlorinated hydro- Asphalt & roofing tar carbons , (inc.carbon Paints, varnishes, stains, dyes tetrachloride) Paint and lacquer thinners Any other products with Paint & Varnish removers, deglossers "Poison" labels (including Paint brush cleaners chloroform, formaldehyde, Floor & Furniture strippers hydrochloric acid, other Metal polishes acids) Laundry soil & stain removers Other products not listed (including bleach) which you feel may be Spot removers & cleaning fluids - toxic or hazardous (please (dry cleaners ) list) : 11 Other cleaning solvents pakAe 31 phosohcsGiL a6d / C'orrbSi,e� Bug and tar removers 'fYi'C�lory P'Ch�i LPt1� Household cleansers, oven cleaners _ Drain cleaners Erie®n Toilet cleaners _ Cesspool cleaners Disinfectants Road Salt (Halite) THE r0 TOWN OF BARNSTABLE • OFFICE OF i BAHM"S. E, BOARD OF"H.EALT'H, ooA i639, �FpMARa• 367 MAIN STREET HYANNIS, MASS. 02601 ^ August 10, 1981 Mr. .Douglas- Laviana 'American Medical Instruments Cit Avenue. Hyannis, MA. 02601 x .Dear Mr. Laviana: I visited' your firm on August` 6, 19811-•concerning registration of your toxic. and hazardous'materials with the •Board 'of Health. 'You expressed interest, in learning -which companies can purchase used oil, so J. have_`'' enclosed a list. I hope'it -enables you to find a market fot-your waste oil: 'New England Waste. Oil and,;Cyn-Oil` are: known to make regular -pick - ' ups -around'Hyannis and are quite reliable. You also agreed to .ensure that-`any drums being stored .outside will ,not be exposed to weather. 'As"a minimum;"plastic. sheeting ,o.r .other:water- proof tarpaulin should be 'used in .a secure manner to ward off .rust- �J causing precipitation. Pleasel-take these measures immediately. If I can be of -furthers' to.,you, .please let me know. '• Thank ,you for your assistance. , Sincerely, r Mark H. Robinson Assistant.Health .Inspector r MHR:bc f ,+ w t TOWN OF BARNSTABLE BOARD OF HEALTH CONTROL OF TOXIC kNjj HAZARDOUS MATERIALS - INSPECTION SHEET FIRM d ADDRESS , aT �� . ,Cam Majo . types of materials: 1) (,�� V� ®� _ 2) Ty'cWore_44 3) o' w f L ftldd) t�_ hi �.jJe0w S) '` 6) I. Description of material(s) use: niq les II. Storage (denote product by number listed above) A. Containers metal glass paper plastic cans,bottles,jars drums,barrels aboveground tanks underground tanks bags,boxes open,loose,uncovered inadequate labelling B. Storage Facility ✓or # Remarks/Recommenc :. .i.ons 1. Indoor a) separate, contained room125ed 6"' b) stored in general work area R4tN v-5ek-cA i) inadequate ventilation ii) floor drains raj CA- iii) inadequate fire protection rvm ' . 2. Outdoor n: . { a) uncovered, exposed to weather b) pervious surface/catch basins K; III. Disposal A. Reclamation/Recycling unit VIQU6 Lz tr vl ,t- B. On-site disposal c kem IC&Q S QC it C ►t+ 1. Town sewer u tou 2. Regular septic system 3. Separate holding tank C. Off-site disposal a 1. hauled by own firm "W im Alve", 2. hired hauler rkh* r a) name of hauler � � A b) address or disposal site- wig Persojl(s) Interviewed _ _ _ — — — — — Inspector Pov L-ctVl, Cl Date �- -�az - - - - - - - � 6 30 81 COMPLIANCE: CLASS: 1. Marine,Gas Stations,RFpai.r i TOWN OF B RNSTABLE 2. Printers BOARD OF' O satisfactory 3. Auto Body Shops ,It Q unsatisfactory- 4. Manufacturers COMPANY `" f" ` (see"Orders") S. Retail Stores 6. Fuel Suppliers ADDRESS Class: 7. Miscellaneous QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums AbOveTanks Undetground Tanks IN OUT IN 0 I # 2 e Fuels: Gasoline, Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: 7ij DISPOSAL RECLAMATION REMARKS: 1. Sanitary Sewage 2. Watw Supply O To Sewer O Public On site Private O 3. Indoor Floor Drains: YES NO- 0 Holding tank: MDC O Catch basin/Dry well 0 On-site system ORE �ms___ � ,/. r. 0 :.• ��. 4. Outdoor Surface drains:YES NO O Holding tank: MDC O Catch basin/Dry well OOn-site system S. Waste Transporter ' Licensed? Name of Hauler_ Iles i na i on _Waste Product 2. 12 23 .81 Person(s) Interviewed Inspector Date I C- AWD L C_7,7L NMI c (DOT&- CINZIf fo C— Ca f-C N..a-•E OF F I R%1: Mail to: Board of Health �iAI LING ADDRESS: Town of Barnstable TELEPHONE NUMBER: P.O.Box 534 CONTACT PERSON: Hyannis, MA. 02601 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 in quantities totalling more than �O gallons liquid volume or 25 'pounds dry weight. - Please put a check beside each product that.you store: Antifreeze (for gasline or coolant systems )_ Refrigerants Automatic transmission fluid Pesticides (insecticides , Engine and Radiator flushes herbicides,rodenticides ) Hydraulic fluid (including brake fluid) Photochemicals ._ Motor oils/waste oils Printing Ink Gasoline, Jet fuel Wood preservatives Diesel fuel , Kerosene, #2 heating oil (creosote) Other petroleum products: grease, Swimming Pool chlorine lubricants Lye or caustic soda Degreasers for engines and metal Jewelry cleaners Degreasers for driveways & garages Leather dyes Battery acid (electrolyte) Fertilizers (if stored Rustproof ers outdoors ) Car wash detergents PCB' s Car waxes and polishes Other chlorinated -hydro- Asphalt & roofing tar carbons, (inc.carbon Paints, varnishes , stains , dyes tetrachloride) Paint and lacquer thinners Any other products with Paint & Varnish removers, deglossers "Poison" labels (including Paint brush cl'�!aners chloroform, formaldehyde, Floor & Furniture strippers hydrochloric acid, other Metal polishes acids) Laundry soil & stain removers (including bleach) . Other products not listed . . which you feel may be Spot removers & .cleaning fluids (dry cleaners ) toxic or hazardous (please list) : Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners Drain cleaners t ,! Toilet cleaners a Cesspool cleaners Disinfectants Road Salt (Halite) COMPLIANCE: CLASS:!Q-10N 1. Marine,Gas Stations,Repair OF BARNSTABLE 2. Printers BOARD " O'F--HEALTH O satisfactory y P 3. Auto Body Shops 4. Manufacturers 1 Qiinsatisfactury-_ _ ; COMPAN � - i"'.e�.cam, ��e�;�� -i _l (see"Orders' 5. Retail.Stores ""^` I 6. Fuel Supplier ADDRESS --;;��- c c� .'� ,� Class: `-f 7. Miscellaneous 773 ---�_ QUANTITIES AND STORAGE (IN=indocrs; OUT=outdoors) MAJOR MATERIALS Case lots Drums AbdveTanks Underground Tanks IN UT IN IOUT ( IN OUT gallons. Age 'rest? Fuels: Gasoline, Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: f waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: ti degreasers s Miscellaneous: 4 i Ix I DISPOSAL` RECLAMATION REMARKS: 1. Sanitary Sewage 2. Wate upply VTn Sewer Public te O P ate 3. Indoor Floor Drains: YES NO O Holding tank: MDC OCatch basin/Dry well JJ►- - �-�-_._ 1 _. � - :�:.�>. __ On-site system 4. Outdoor Surface drains:YES NC---ff�---� y O Holding tank: MDC O Catch basin/Dry well O -s't o sy tem S. Waste T�arisport r Licensed? / Na6 lo f Des i n i s Product —US NO \\ Person s) ' .nterviewed Insect— oT- Date 12 23 81 r«,., . Number Fee 197 THE COMMONWEALTH OF MASSACHUSETTS $1,90.00 Town of Barnstable Board of Health This is to Certify that Town Taxi of Cape Cod .-------------------------------------------------------------------------------------------------------------------------------- 63 CitAvenue, Hyannis, MA .-------------------------------------------------------------------------------------------------------------------------------------------------------------•--....... Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. .................................................................................................................................................................... Restrictions: .---................................................................................................................................................................ This license is granted in conformity with the Statutes and ordinances relating there to, and expires 06/30/2021 unless sooner suspended or revoked. ---------------------------------------- JOHN NORMAN DONALD A.GUADAGNOLI,M.D. 07/01/2020 PAUL J.CANNIFF,D.M.D. THOMAS A.MCKEAN, R.S.,CHO Director of Public Health r rl • • • �k, Town of BarnstableAM A • Inspectional Services iw Public Health Division I �atis, t KAM Thomas McKean,Director 65 1. 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 I APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE \\ HAZARDOUS MATERIALS `V IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS DULY lst—JUKE 30th). APPLICATION FEES -CATEGORY 1 PERMIT -26- 110 Gallons: $ 50.00 E] CATEGORY 2 PERMIT 11`1 -499 Gallons: $125.00 O V CATEGORY 3 PERMIT 500 or more Gallons: $150.00 C+�J : Crypt..0 V 96p *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. -2 I 02 z0,,1,;i_ 2. IS THIS A PERMIT RENEWAL? .✓YES _NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS • ZONINGBUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? ✓YES NO. 4. FULL NAME OF APPLICANT: 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: 6-3 Cl7' XV45--, Z:6Y�/yNI_�S 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: _-37A( )65' 8. TELEPHONE NUMBER OF ESTABLISHMENT: �7 7•� '��5� 9. EMAIL ADDRESS: e_ fir, 4l 6 L62i2i� - 10. SOLEOWNER: YES l�0 IF NO,NAME OF PARTNER 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF:CORPORATION NAME �4tq5- aep hue, PRESIDENT TREASURER OA)64�MAI to Cc CLERK 12. IF PREPARED BY OUTSID TY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: AJIA • SIGNATURE OF APPLICANT /, ATE 41 j A Q\Application FormsWaz Mat App Revised 09-10-18.docx r Number Fee 197 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Town Taxi of Cape Cod 63 CitAvenue, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. --------------------------------------------- ----------------------------------------- ---------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2020 unless sooner suspended or revoked. -------------------- PAUL J.CANNIFF, D.M.D,CHAIRMAN _DONALD A.GUADAGNOLI, M.D. 07/01/2019 JUNICHI SAWAYANAGI THOMAS A. MCKEAN, R.S.,CHO Director of Public Health ;a • Town of Barnstable Inspectional Services BABSTABLE FSHETp� annrsrna:=_•ta+r¢;�•con.m•7nnxr Public Health Division WDS Clu dr .a ']04s3T3aASJSE 9B�B $ Thomas McKean, Director 200 Main Street, Hyannis,MA 02601 Office: 508-862 4644 Fax: 508-790-6304 �,7 ZX: APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE = HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st-JUNE 3 Oth). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ T Y "CATEGORY 2 PERMIT 111 —499 Gallons: $125:00 ❑ _ - CATEGORY 3 PERMIT 500 or more Gallons: $150.00 vs� *A late charize of$10.00 will be assessed if-payment is not received by July 1st." �� 1. ASSESSOR'S MAP AND PARCEL NO. _ocz;k_ 2. IS THIS A PERMIT RENEWAL? YES_NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: ,Ak( 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: 1 CA AtVR- 9` " -,L S 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: dg Z 75 r sJ J 9. EMAIL ADDRESS: .��,,y t la"795zl 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT r Z8'd 8'1 t TREASURER To�no. Gc.,�{lt, S- q 6? t S$" CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLI T DATE Z� t Q:Wpplication Forms\iaz Mat App Revised 09-10- . oc� Number Fee 197 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Town Taxi of Cape Cod 63 Cit Avenue, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. ------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2019 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2018 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health Vow of B nstable � egiaatory Services t"e Richard V. Scali,Director � r� " Public Health Division :*: y t i ASTABLE. Thomas McKean Director MASS. '0re1 jq. 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 € APPLICATION FOR PERMIT TO STORE AND/OR UTILIZEm HAZARDOUS MATERIALS ��' IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1st-JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 N Vs *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL?/YES_NO. IF YES, SHIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALSXORAGE/USE OF • GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? V YES NO. 4. FULL NAME OF APPLICANT: \-P, L( 5. NAME OF ESTABLISHMENT: -T,0 W w Tjy-- 6. ADDRESS OF ESTABLISHMENT: 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: �C 4z (\ID--7cA t,,,V0©.(-vJti 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,ATP TELEPHONE#OF: LAP-- CORPORATION N / Q PRESIDENT TREASURER L CLERK K. Cv-rz�, - 12. IF PREPARED BY OUTS ARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICAN DATE Q\Application Forms\HAZMAT APP 2017 REVISED. ocx Number Fee 197 THE COMMONWEALTH OF MASSACHUSETTS $15o.00 Town of Barnstable Board of Health This is to Certify that Town Taxi of Cape Cod `, 1 63 CitAvenue, Hyannis, MA ^� \N Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. ---------------------------------------------------------------------------------- ------------------------------ ------------- --------------------------------------------------------------------------------------------------------------------------- ---------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2018 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/0112017 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health ' ownl of B nstable egu atory ervices a Richard V. Scah,Director THE T Public Health Division BARNSTABLE r" 6nrtvsr:me•sxrtr:ius•conn•xrt.ras wtNerABLE. r Thomas McKean Director 1639-2014 5t Pt^.xirts MASS. QE1639.D►�'t s 200 Main Street, Hyannis, MA 02601 /) (Q _j �.`� (� r �O{ (7 Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATEKTHAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 M V S.- *A late charge of$10.00 will be assessed if paymqnt is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 02 O 2. IS THIS A PERMIT RENEWAL? VIYES NO. IF YES, SKIP QUESTION 3. T 3. FORALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS • ZONING/BUILDING APPROVAL.FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)?. YES NO. 4. FULL NAME OF APPLICANT: 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: G'l r 4 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: S. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: 10. SOLEOWNER: YES_' NO IF NO,NAME OF PARTNER: f}T� 11. FULL NAME,HOME ADDRESS AND TELEPHONE#OF: CORPORATION N E d /1� ll AJC% PRESIDENT TREASURER. NA�ff UT CLERK. Pi F-T 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT ATE �7 o2I o71,� Q:Application Fonns\HAZMAT APP 2017 REVISED.docx °FT"E*oy� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 9B"RMAe`E'� 200 Main Street• Hyannis, MA 02601 �A t639.p�0 rEOMP+ TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: Owf) � W Date: 7I Location/Mailing Address: U Cr Contact Name/Phone:_5QJJ 775`L%2j Inventory Total Amount: <";00 MSDS: License#: (y Tier II :— AT6 — Labelina: Spill Plan: Oil/WaterSeparator: Floor Drains: kid Emer ency Numbers: Storage Areas/Tanks: 640 Emergency/Containment Equipment: Waste Generator ID: aste 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-Ad disposal of 111 gallons or more requires a license from the Public Health Division. JAntifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes ug 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: I ORDERS: INFORMATION/RECOMMENDATIONS: Inspector: Facility Representativ i. WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS °p IKE To Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 9 BARMASS. 200 Main Street• Hyannis, MA 02601 M,b a,0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rE0 P'� Business Name: I o wK�A-X 1 Date: Location/Mailing Address: 163 C-4 A,),e anA►S Contact Name/Phone: C 2 - or + Cl) Ie,.r Inventory Total Amount: SIDS: Ye-5 License#: V�$ 6AJ 3 Tier II : o Labelina: OK Spill Plan: o o3ob Oil/WaterSeparator: 25 Floor Drains: Emergency Numbers: ` Te'S A— Storage AreaslTanks: 1 0-1 W d,5+�e- 01 4,46LA5 , t_�; Emer enc /Containment E ui ment: i 3r � -V Ql 0►14 t 2-011 xnz - Waste Generator ID: MV 77 S Was a Product: Df a e Date&Amount of Last Shi ment/Fre uenc : Licensed Waste Hauler&Destination: Other Waste Disposal Methods: - o v' - �o w��s e -EZ Gtv�"� i�f22 2 �" / / /.C� 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. b Antifreeze S�SX 0'taadbA,1, 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 1�0,tr 2-J,! uW 6k p- Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants '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 Ae-<e>5ol S 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: oP\aLA- 00-v ORDERS: c- a C r e� Z INFORMATION/RECOMMENDATIONS: Inspector: V2 Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS H ►E Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 &'RM s"sB`E'g 200 Main Street• Hyannis, MA 02601 aor9. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name:" ow� �.vx-; Date: Location/Mailing Address: nV%,S Contact Name/Phone: __7;S_,v-- % --1-7!�'-S.S�� car 2t�t C�, (e-r- Inventory Total Amount: na MSDS: e S License#: Tier II : Labelino: Spill Plan: �7 Oil/WaterSepara or: O Floor Drains: 2S 7 Emergency Numbers: Yes Storage Areas/Tanks: a,k � o,1 A 1 ��w�s , t. -111EAS Emergency/Containment Equibment: 1/L• 0.ti 6.-k,e. Waste Generator ID: Waste Product: Oil . oil P.N-.e,, ,, Date&Amount of Last Shipment/Frequency: 0 4 ,5e v-, - a'� 14 v 1 1 K �( Licensed Waste Hauler&Destination: So 4, 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. %W Antifreeze � x<S V k5kt, Dry cleaning fluids Automatic transmission fluid s Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid)3 Windshield wash 5'a Motor oils SSA awl, 2'ts��y�,r Miscellaneous Corrosives Gasoline,jet fuel, aviation gas S' GD 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 �o�Y Battery acid (electrolyte)/batteries(041 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 V 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, II hydrochloric acid, other acids) VIOLATIONS: 1Itlf_w°K \S eyl (44_ ORDERS: w-\,J INFORMATION/RECOMMENDATIONS: O vgSolS 0< Ck o Inspector: \ Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Number Fee 197 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Town Taxi of Cape Cod 63 CitAvenue, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. ------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------ This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2017 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER, M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health I Town of Barnstable �tHGE► Regulatory Services Richard V. Scali,Director RNSTAB n Public Health Division BABSTABLE o �'A16 T' 0� BPittiSA6ti•NflERJILLE•CONR•YYM%5 � 3 ♦ � w.asroxsKuu•osrarue•wsrennxsme r rEO ,Is Thomas McKean,Director \ \ 16 ��" 200 Main Street, Hyannis,MA 02601 w.. Office: 508-862-4644 Fax: 508-790-6304 g, I APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 3 Oth). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons:$150.00 [ VIS A late charge of$10.00 will be assessed if payment is not received by Jules ASSESSORS MAP AND PARCEL NO._5 1 D DATE FULL NAME OF APPLICANT: NAME OF ESTABLISHMENT:10�&j ©� C�c ADDRESS OF ESTABLISHMENT: `3 G d A\j t- tti N h�S l3Z MAILING ADDRESS(IF DIFFERENT): TELEPHONE NUMBER OF ESTABLISHMENT: EMAIL ADDRESS: �LUT`2r l C� '`i°1 �pw�t�0•CD SOLE OWNER: YES NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT t�e4-;c r C� -5 vv apo $ $ TREASURERp�ccJ CLERK IF PREPARED BY OUTSIDE PARTY: S NATU OFj,�� ANT Name: Company Ad�ress Telephone#: Email: Q:VApplication Forms\HAZZAPP Rev I6.docx Page 1 of 2 of IKE A Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-7s0-6304 • BARMASS . . • 200 Main Street• Hyannis, MA 02601 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT i ou Business Name: m I zX.i Date: S-gq I S/ Location/Mailing Address: V3 C- ve- (5o Contact Name/Phone: ow L',)A\t e ev 10 1- 7-7 - .S< a-,- Re-AeZ -�'��•� k Ao tcs �r Can Inventory Total Amount: �- (.co dal MSDS: Ie--J License#: o dot- ce�we Tier II : �)0 Labeling: Retag.l t i't'k- 'aA k r" Spill Plan: J o-lk� Oil/WaterSeparator: je,5 Floor Drains: -7 o"i5 Emer enc Numbers: Storage Areas/Tanks: �- �aSk2 0,1 -t- IkA') g ykc,vb ce .►L -04ski awE,.C� Emergency/Containment Equipment: �J ��` 1/L� V.?l to li * Waste Generator ID: aste Product: <t ayt S� Date&Amount of Last Shipment/Frequency: 0 0 t f_ k A.aV 1 oc a. ovv 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. J/ Antifreeze h wtiS{-t- 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 x 4,lk_e_<s 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: lox-a- 3 ,1 C,0V- , Ck VI INFORMA ION/RECOMMENDATIONS: 4 Inspector: M69i �i Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS `DIME r Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARM sS LE. g. - 200 Main Street• Hyannis, MA 02601 �prFo►AP+ TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: [ oww 1 ; Date: 4 17 1`t' Location/Mailing Address: S Ig.A cif— 1? avAn,s Contact Name/Phone: '-o%A- r Sa A--7-7 S- S.SSS Invento Total Amount: ,..6 0o a 1 ry � MSDS: 2 License#: 1 t?g Tier II : N a Labelino: )�'+ro I.A �9"�� Spill Plan: yo_5 Oil/WaterSeparator: 1J Floor Drains: N o Emer enc Numbers: yes Storage Areas/Tanks: al 5-4 a I +a4gkv,o A g v —45 bk_ +.��Alk� w � v,A, c�hqH►�a�' Emergency/Containment Equipment: av�,t,A.¢. 4 eQ,a0_< 0,\1 Waste Generator ID: Waste Pr duct: b, �4x' Date&Amount of Last Shipment/Frequency: T '.5'O a.) ► Licensed Waste Hauler&Destination: 0A, - Zwt. Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS No .µ-a-J V e A4. s K wv�-v<ko1 bv�a�(agk iv..s fc�-�,ox. 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. +! 4ntifreeze 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 C4 A Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners _:�n Diesel flu I, ke os a #2 heati oi� Disinfectants S�. t�.e.�x� .� Road salts Miscellaneou pe ro eum pro ucts: 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 J 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: 4#-Z ot.66 MaV11Pe k v\p ada11tibl-e. �/Cv�►+^'/ vls �,ovL. ORDERS: •G 504C-A0 GCS GoD.2S nnavl� eS�S nn 5 for a, 5 S./t° �5, INFORMATION/RECOMMENDAT NS: k fVf,4- 0&e , 0.vlk- 15 a- C Dv Inspector: Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS r A� TOWN OF BARNSTABLE Date: 3 + TOXIC AND HAZARDOUS MATERIALS RE6MMATM FORM NAME OF BUSINESS: ►• - 1 x i BUSINESS LOCATION: .55- 6od,61c �r,Q , V 4VI ,1 s INVENTORY MAILING ADDRESS: TOTAL AMOUNT- TELEPHONE NUMBER: CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: a I �vV�-.ev�cc, �� +�'� o r C41W. /.e g �C ,� �a. � fir' ^ INFORMATION / RECOMMENDATIONS: �►c sg- A-4D1 ►4-Alat^f4re District: Qt. J �M T � D ► CDv� � IQiv\ µy4v�lAtS OS ex- co 41 A ellAom at- C 42 V p I4k rtk a a , -,S S - "K 6r+e Waste T '� ` °��/YII/�OS"�S�SS�Last shipment of hazardous waste: 8 l3 .zsO� I Name of Hauler: Cl�AYL 4,gcborS Destination:_Mbr.Avs 0,i-6Ie- 611. "bk!LA I+ Waste Product: r tX,e,X Op- Yo ,)46}R- Licensed . es No MAha61SSS0O Waage-.�,1-4,rg a.re,r,`wvv .e , } -K1"►'►-- NOTE: Under the provisions of Ch.X11, Sect'�n 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 (� O Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive CAEW-5?-O USEDS�r- Cesspool cleaners s Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Mot r Oils Pesticides 3�D 0 NEWS:�-3/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) W0 lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform,formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes Laundry soil &stain removers (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials I ax SPILL CONTINGENCY PLAN Emergenc Coordinator, Name: — 07-17 �- Address:ress: ` 5 �S: yi9lofPTf� Daytime Phone: ..5' - 71,?S$+ Evening Phone: 5 Fire Depariment. � '-'7 00 Barnstable Public Health Division: 508-862-4644 DEP 24 H ur Spill Hot Line: 888,304-1133 Waste Ha ear: Name: �. Phone: Building diagram indicating hazardous rnateriaUwaste storage area, location of absorbent scavenger materials, fire extinguishers, fire alarms (if present), and evacua Eon route (if applicable). a o Actions to a taken to control a spill or release, and preventing it from reaching a mtch basin, sewer system or the ground, t4A)P , THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) M A , I / �C(�� L DATA ' } T WN OF-BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2•Printers o OARD OF HEALTH . O 3.Auto Body Shops a unsatisfactory 4.Manufacturers \` COMPANY G (see"Orders") 5.Retail Stores i `` 6.Fuel Suppliers 7.Miscellaneous r ADDRESS Clas3:' QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) t MAJOR MACase lots DI-unls Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline Jet Fuel(A) t ..•.,t Diesel, Kerosene,#2(B) Heavy Oils: r t waste motor oil(C) • 1, .f. ' , riew motor oil(C) { ' tran`smission/hydraulic =t z degr�s-erfj�j " T F 1 Miscellaneous: DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2. ater Supply W c_ I 0� ( •l ik_ a Town Sewer Public ) ,'• LlOn-site OPrivate 3. Indoor Floor Drains YES NO O Holding tank:MDC Q Catch basin/Dry well. O On-site system 4. Outdoor Surface drains:YES NO `j .� O Holding tank:MDC �\7E4S Catch basin/Dry well _ /( /b"O n-site system �.. 5.Waste Transporter 1 0 Nameoftla-uler Destination Waste Product Licensed?I YES NO 1. 2. j Person(s) Interviewed i Inspector Date • COPY Date: �-/of -6 L/ TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAMEOFBUSINESS: =.LA 4 Caet_ 7�?,c yi Ce, BUSINESS LOCATION: MAILING ADDRESS: 4 `' INVENTORY TOTAL AMOUNT: TELEPHONE NUMBER: 5 - -7 CONTACTPERSON: EMERGENCY CONTACT TELEPHONE NUMBER: Ft,�E pt SICT TYPEOFBUSINESS: aevav�a 5 OTHER INFORMATION: 101e L.,a v. 5 e vvx. -- e_ < not• M 5 0, or) �5i•F�. 422, 2!2t:h — no - ems..-. /U @mil 6. Was*Transportatio c-� "asg,•. Name of Hauler: • `5 Destination, Waste Product: r7; Licensed? es No 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. . NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Observed (gallons): Antifreeze(for gasoline or coolant systems) Drain cleaners 5 NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) (0 Hydraulic fluid (including brake fluid) Refrigerants t/ Motor oils Pesticides 2- NEW M USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diese!fuel, kerosene, #2 heating oil NEW USED 0 rat .Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) es Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car wakes and polishes Leather dyes Asphalt & roofing tar -Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other,chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride)- _ _ --Paint &varnish removers., deglossers Any other products with 'poison" labels Paint brush cleaners Floor&furniture strippers (including chloroform, formaldehyde, Metal polishes hydrochloric acid, other acids) Laundry soil &stain removers '� Other products not listed which you feel .(including bleach may be toxic or hazardous (please list): ) Spot removers & cleaning fluids Misc.: (dry cleaners) Other cleaning solvents Li Bug and tar removers A Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS DBA: European Car Service Fax: _ Corp Name: Mailing Address Location: 63 Cit Avenue,Hyannis Street: 63 Cit Ave. mappar: City: Hyannis Contact: O� n d t/yie State: Ma Telephone: es(�fhP�L lriy%�� Zip: 02601 Emergency: 7-7 b_75 / Person Interviewed: Business Contact Letter Date: Category: Machine Shops Inventory Site Visit Date: S f ��OL/ Type: Automobile Dealers Follow Up/Inspection Date: Se public water ❑ indoor floor drains ❑ outdoor surface drains ❑ license required ❑ private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc ❑ currently licensed ❑d town sewage ❑ indoor catch basin/drywell ❑ outdoor catch basin/drywell expir -- ❑ on-site sewage ❑ indoor on-site syste ❑ outdoor onsite system date: .............._......__.. MSDS needs to be on site Need to properly lable drums. MAV compliance: 000004266. Oil filters fraim then to solid waste.One electric ift Satisfactory interstate takes old batteries. Safety Klean comes on-call for parts was her. Floor(4/96)drains sealed. Naturar'-bas heat 500 gal UST o removed. ORDER: Maintain MSDS. Dispose of unused tires. Dispose of move 500 gal tank inside.In tanks utilized 1� provide 110%contaminent. J y ss�e-f^ , Cal i 5c, P_ax l � iwIiWdO4, 1 Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ Zero Toxic Waste Materials ❑ gty's>25 Ibs dry or 50 gals liquid but less than 111 gals gty's 111 gals or more description: ; �, qty`�,_�� uniE:of measure waste oil 110 _..__...___...................................__.___._._. ._._...__.._.... ......._..._.._.._..._..._................_........._._..__......._.._........._._... _.__...___._.___..__....._._........______._ motor oil _ 3cases_ paint,varnishes,stains,dyes 30ounces _ hydraulic fluids(including uid) 1gallons Waste Transporter: S Fire District: �L✓ S Last HW Shipment Date: f Z _ Waste Hauler Licensed: 4-6 111 _. Hazardous Materials On-Site Inventory/Inspection For ALL Shops and Businesses: DBA: �=vim„ Cam S Ptiy Location: e�i_+ _ Date: Physical Features to Inspect: 1. Hazardous waste generation sites (production/manufacturing areas): 2. Waste storage areas: / 3. Satellite accumulation points throughout: V 4. HazMat stored outdoors — CHECK OUTSIDE: ✓' J0 5. Shipping and receiving areas: 6. Run down of shop activities: 7. Housekeeping practices: /� r^ HazMat On-Site Inventory/Inspection: Records to Review for SQGs and CESQGs DBA: Location: Site visit date: • Hazardous Waste Manifests: • Employee training documentation (if required): kq • Hazardous substance spill control and contingency plan: • MSDS on site? A16 . • HazMat Inventory records (if applicable): ,^ • HazMat Waste Shipping documentation: A • Spill records (if applicable): , t� Number Fee 1111 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that TRACEY VOLKSWAGONINC, r 63 CIT AVE., HYANNIS,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF.HAZARDOUS MATERIALS. --------------------------------------------------------------------------------------------------------- ------------------------------------------------------ y This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2014 unless sooner suspended or revoked. ---------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 11/27/2013 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable �WWI Regulatory Services Thomas F. Geiler,Director `& Public Health Division 639 s� � Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANTS NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT b 3 TELEPHONE NUMBER 50�- -1-7 5-Soy g SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: C) IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO._q 2(A STATE OF INCORPORATION FULL NAME D HOME ADDRESS OF: PRESIDENT 2l C� {� rP(,(� �1 6 TREASURER �. 6V- i t S "f`Ml- CLERK ffilt. I !feel—►iili W7(� Sou UZIaCe SI ATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE # i SPILL CONTINGENCY PLAN Emergency Coordinator, Name: Ge�,a, Address: �Q3 c�� Ave NMAr%AiS , MA OZ(oQ 1 Daytime Phone: 50% - G3 43 Sq i Evening Phone: so,•we Fire Department: —13UD Barnstable Public Health Division: 508-862-4644 DEP 24 Hour Spill Hot Line: 888-304-1133 Waste Hauler: Name: Phone: Building � g diagram indicatin' hazardous material/Waste storage area location g of absorbent scavenger materials, fire extinguishers, fire alarms (if present), and evacuation route (if applicable). A�be,� $e ale d br�rrel� K*It Is Oke,nA►c ti.A�j o�� cat SePe,C+t�ror � SeperA+o� .Actions to be taken to control a spill or release, and preventing it from reaching a catch basin, sewer system or the ground. RIB gq`rel�s -Are SeAlcd a TOWN OF BARNSTABLE Date: 101A8/13� r+l0v,_ TOXIC AND HAZARDOUS MATERIALS M8T1bkTM FORM NAME OF BUSINESS: Co .Ao BUSINESS LOCATION: INVENTORY MAILING ADDRESS: ; do h arl TOTAL AMOUNT: TELEPHONE NUMBER: O — 77 o 02>"35' a Ijoss CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: de.1I Sag- (31-!Z30 MSDS ON SITE? TYPE OF BUSINESS: o o INFORMATION / RECOMMENDATION � Fire District: A I I U-t+1 Ovl, Qn CD o f I A- I v 4 H #144V7 n 16 Ba. `r A-. t sfeV H VL tom. s 3) © t a a wcc 5'�L Ma�1►-Fe5�S ova he, r ► s8 re fix,,-l- &II we,s ,--a4 ?Y% SCco �yy Covtrr4IvLec 4r�e c%afly 1a,bc //�• Waste Tram portation: 'TR t, ast shipmeht of hazardous waste: Name of Hauler: 5cf.--+g Destination: Waste Product: of(/o&.+i-e o�e-o• Lflv&� 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 sS Antifreeze (for gasoline or coolant systems) S Miscellaneous Corrosive ❑ NEW �1 USEDSS�L, ,,� Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants �or Oils / n Pesticides NEWS C1 USED sir, -v-, dc. (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene,#2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals(Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda, Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's /p Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, z Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform,formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes ��oo� �ra�vI.S I�.��o D� //i��•ef 3 Laundry soil &stain removers (including bleach) J1t19a �'&1(-100 or -�p 6�16C��1,.-- 40 Spot removers&cleaning fluids (dry cleaners) y Other cleaning solvents Bug and tar removers [ Q,,( v.� IS ,e,r¢ W I ieA- Windshield wash � , WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's iignature Staffs Initi 7 • r ` ..�,� 'v�' / )� "r TOWN OF BARNSTABLE W Date: 8 /0 TOXIC AND HAZARDOUS MATERIALS ON-SI E INVE&TOW1 ti NAME OF BUSINESS: &N )LA BUSINESS LOCATION: r MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: — 5 1 CONTACT PERSON: EMERGENCY CONTACT LEPHQNE NUMBER: e3 7 E "14` U SON SIT TYPE OF BUSINESS: ULdb . j� INFORMATION/RECOMMENDA IONS: oYI,Q Fire District: c ' r lA, 9 .J - Vaut Waste Tra sportat' n: Last shipment of hazardous waste: 3- Name of Hauler: Destination: Waste Product:.nl 0 2 Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the Genera aws of MA, hazardous materials 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) _ Misc. Corrosive 5 NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides i v NEW kLUSED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. 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 Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor &furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers 'G (including bleach) Spot removers & cleaning fluids u (dry cleaners) Other cleaning solvents Bug and tar removers '— Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS OIL WASTE OIL, OIL FILTERS ANTIFREEZE ASTE h ANITFREEZE (� v 5 GASOLINE WASTE GAS DIESEL FUEL W/W FLUID ATF 1� HYDRAULIC/ MISC. MISC. MISC. MISC. BRAKE FLUID COMMBUSTIBLE FLAMMABLE CORROSIVE PETROLEUM n / (GEAR OIL/GREASE/ vn(` LUBRICANTS) Io FREON ACETYLENE CAR WASH CAR WASH PAINTS/ WAX DETERGENTS THINNERS SEALANT CLEANING BATTERIES/ POISION/TOXIC CAULK/GROUT SOLVENTS BATTERY ACID FERTALIZERS WASTE SOLVENT MSDS 23 M4NIFESTS a AD e\ �b � , Town of Barnstable °FWE r Regulatory Services Thomas F. Geiler,Director I 6 : ,�� /� I Public Health Division TeDrna+a / I l0 Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 ayne Miller,M.D. Fax: 508-790-6304 �-- Sumner Kaufman,M.S.P.H. r /�� Paul J. Canniff,D.M.D. � " e �l/N (C�J S NOTICE a0 ' S OTOHALL BUSINESS OPERATORS iyle WITH HAZARDOUS MATERIALS DS� IN BARNSTABLE The Town of Barnstable Town Council adopted, Chapter 108: Hazardous Materials, a requirement for each business operator to obtain an annual permit and to remit a fee of$100.00,if one-hundred and eleven (111) gallons or more of hazardous materials are stored, transported, utilized, and/or disposed of at a ' particular site. Please complete the attached application form and submit it along with the required fee of$100.00 to this office on or before June 30, 2006. A late charge of$1_0.00- will be assessed if payment is not received by July 1, 2006. Checks should be made payable to the: Town of Barnstable. Upon receipt of the fee and a completed application form, an inspection will be performed by the Hazardous Materials Specialist to complete the Hazardous Materials On-Site Inventory. A permit will be issued once the inspection is " N� completed and has passed. Please feel free to view the above Code, Chapter 108: Hazardous Materials on the Town Website, www.town.barnstable.ma.us , which is located under the E-Code section if you should have any questions or concerns. Q:\Hazmat\Haz Mat Permit Letter.DOC a F� Town of Barnstable �FTHE r, Regulatory Services P� ~C Thomas F. Geiler,Director Public Health Division * BARNSTABLE, * Thomas McKean,Director 9 MASS. � 200 Main Street, Hyannis,MA 02601 t639. ArFp��A Phone: 508-8624644 Email: health@town.bamstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 October 23, 2006 Mr. Edmund Schmegner European Car Service 63 Cit Ave Hyannis,MA 02601 Dear Mr. Schmegner: Thank you for your time and cooperation during the hazardous materials inventory and site visit at European Car Service on August 14, 2006. This letter contains information from that visit that will help you become compliant with Chapter 108 of the Town of Barnstable Ordinance: Hazardous Materials. Enclosed are copies of the Chapter 108: Hazardous Materials ordinance, a copy of the Toxic and Hazardous Materials On-Site Inventory form from the visit to your business, and a copy of a contingency plan. Please note the problems identified at your place of business during the hazardous materials inspection and their corresponding recommendations listed below: PROBLEM: • European Car Service is in violation of Section 108-9 of Chapter 108: Hazardous Materials, which states, "The release of any hazardous materials and/or acutely hazardous materials upon the ground, or into any surface...within the Town of Barnstable, is prohibited." ORDER: • Section 108-513 of the Town of Barnstable General Ordinance states, "Provisions shall be made to contain the product(i.e. hazardous materials) in the case of an accidental release." • The use of newspapers on tops of drums to absorb oil releases absorbents shall be stopped immediately. • Please use absorbent pads to absorb these releases. On Site Inventory Total The Toxic and Hazardous Materials On-Site Inventory from August 14, 2006 shows that you have approximately 97 gallons of toxic and hazardous materials being used, stored, generated and disposed of at European Car Service, 63 Cit Ave, Hyannis,MA(Please see enclosed Toxic and Hazardous Materials On Site Inventory sheet). The Board of Health has determined that the using, storing, generating and disposing of over 111 gallons of hazardous materials per month requires businesses in the Town of Barnstable to obtain- _ an annual Hazardous Materials License. If you continue to only use 1 (one) 55 gallon drum for the waste oil, this license will not be required to be obtained from the Town of Barnstable Town Offices, 200 Main Street,Hyannis,MA 02601. Please refer to the Town of Barnstable General Ordinance: Chapter 108, Section 6(A-H). A Contingency Plan must be submitted with your license application. Reviewing your contingency plan for hazardous materials spills and related emergencies(and its location throughout the store) is highly recommended at this time. Why are these recommendations being made for European Car Service? • This information is intended to educate you, a business owner/operator in the Town of Barnstable, in order to keep your business operations in compliance with local, state and federal toxic and hazardous materials laws so that you can avoid future regulatory problems. • Complying with the Hazardous Materials ordinance (Chapter 108) can prevent contamination of Barnstable's existing and future drinking water supply,prevent environmental contamination which can bankrupt site owners, lower or destroy land values, drive out residents and industry, depress local economies and endanger public health. A representative from the Public Health Division will re-visit your business every 90 days to ensure the waste oil is contained in 1 (one) drum per our conversation at the time of the site visit. This will allow you to remain in compliance and keep you from having to obtain a Hazardous Materials Permit. If you have any questions about these problems, the orders and recommendations,or you need further information, guidance or assistance,please do not hesitate to contact the Public Health Division. Sirwerely, AA11ia . arker Hazardous Materials Specialist All orders to correct vi ations of Chapter 108 of the Town of Barnstable Ordinance: Hazardous Materials shall be comp eted upon receipt of this letter. homas A.McKean,RS, CHO Director of Public Health Enc. On-Site Inventory(copy) Chapter 108 (copy) Contingency Plan(copy) TOWN OF BARNSTABLE BAR-W 1235 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager nn ,, II Address of Offender l�o V MV/MB _Reg.# Village/State/Z ' YA/V'v # Business Name J am/pm, on �0 19 � ° G Business Address Signature of E forcing Officer Village/State/ZipJ Location of Offense a , )Enforcing "to) Division Offense o e Facts This wi 1 serve only as a warning. A this time no legal action has been taken. It i the goal of Town agencies o achieve voluntary compliance of Town Ord'nances, Rules and Regulations. VEducation efforts and, warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town.` TOWN OF BARNSTABLE BAR- 123 Ordinance or Regulation. WARNING NOTICE lName of. Offender/Manager Ucb. a Address of Offender (0 � C A V MV/MB Reg 64 Village/State/Zip +v . / Business Name am/pm, onN,9 77 l� Business Address i �°4 l f': �' '�w° i Signature',of Eryf okckng' Officer Village/State/zip ' f /✓"t �fj Location of Offense j Q Enforcing Dept Division Offense /1 = 1�//�' f �/✓ 'J ;.{�' i �'kr ", `� j° '�rl 1 °'t "t Facts y V 10 ' 1 /oz f ( �Vfif . � Thislwilil serve only as a warning. AttIthis time no legal action has been taken. It is '/the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations Will result in appropriate legal action by the Town. , TOWN OF BARNSTABLE BAR-W -- Ordinance or Regulation WARNING NOTICE Name of Offender/Manager Address of Offender # t MV/MB Reg.# Village/State/Zip 61TBusiness Name >. , am/ m on ; �"� r , Business Address Signature.-of Enforcing Officer Village/State/Zip Location of Offense % "` Enforcingrtbept/Division Offense FactsC• t '` ` � This will serve only as a warning. At,-this time no legal action has been taken. It is the goal of Town agenciesto , achieve voluntary compliance of Town Ordinances, Rules and Regulations. (Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. Town of Barnstable °FtR Regulatory Services Thomas F. GeHer,Director 9�BAMSTABLE. Public Health Division ABED Mop" Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-8624644 Fax:..508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. 3 /2 — c9 c;>-Z- DATE 6 - Z " APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT Ccf 27' le 4Afe e—�� NAME OF ESTABLISHMENT 4f-"e. o-� e— C�c ,S'C d ye`C ADDRESS OF ESTABLISHMENT TELEPHONE NUMBER do F- -7-7,( — SOLE OWNER: kYES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: nA ` � r IF APPLICANT IS A CORPORA ON: FEDERAL IDENTIFIC ON NO. 1� STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK / n i SIGNATURE OF APPLICANT 1 V RESTRICTIONS: HOME ADDRESS 5-5-6 S `-for'llc.. HOME TELEPHONE# -7-7 S 6 �3 3- Haz.dodwp/q Date: TOXIC AND HAZARDOUS MATERIALS REGISTRATION F RM NAMEOFBUSINESS: 19ZWi `?,W r S,4z zff % BUSINESS LOCATION: MAILINGADDRESS: Q `4y� �Co 3 /-�� s�a��s. ��pf �� Mail To: Board of Health TELEPHONE NUMBER: Town of Barnstable CONTACT PERSON: P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: '7 7 ��- d� Hyannis; MA 02601 TYPEOFBUSINESS: OA/d X,d IZ6 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for you own use? 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 r you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity j Antifreeze(for gasoline or coolant systems) Drain cleaners NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers Any other products with "poison" labels Paint brush cleaners (including chloroform, formaldehyde, Floor & furniture strippers � hydrochloric acid, other acids) Metal polishes Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS .i TO ALL NEW BUSINESS OWNERS: Fill in below: r.. NAME OF NEW BUSINESS: TYPE OF BUSINESS C, IS THIS A HOME OCCUPATION? ADDRESS OF BUSINESS b.3 . 44 D°Zlod/ IMAP/PARCEL NUMBER .312 - U 2-Z � 7�"t)• to T t� 13 If you are starting a new business there are quite a few things you need to do in order to be in compliance with all rules and retulations of the Town of Barnstable. Once you have been checked off on this sheet you may apply for a business certificate at the Town Clerk's office(Ist floor-Town Hall. 1. GO TO BUILDING INSPECTOR'S OFFICE(4TH FLOOR TOWN HALL) This individual is in compliance and has been explained the procedures needed to start a business Building Inspector's Signature 2. GO TO BOARD OF HEALTH(3RD FLOOR TOWN HALL) This individual has been informed of any permit requirements that pertain to this type of business. lud ha Z.,-40 L-�' ' � ot, V,lk Health Inspector's Signature/ S-/s 9 7 3. GO TO CONSUMER AFFAIRS (LICENSING AUTHORITY)-(3RD FL SCHOOL ADMINISTRATION BUILDING This individual has been informed of any licensing requirements that will pertain to this type of business Licensing Authority Signature After being checked off by all of the above-remember to return to the Town Clerk's office to actually obtain your business certificate. .� 1, • Date: TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: ot� pao (z_ _Taj,Q:�A BUSINESS LOCATIO 1T tVV1 S- -02_6Q 1 MAILINGADDRESS: IQ tS„ A- , ( Mail To: TELEPHONE NUMBER: Board of Health © - q�- �� Town of Barnstable CONTACT PERSON: �u y1�)7 +A1.A CG—C 1� P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: -1e1K) b� Hyannis, MA 02601 TYPEOFBUSINESS: 610TI-3 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for you own use? 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. .1. , ; If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: //II ADDRESS: �F fJoJ t TELEPHONE: SDI - �®l� - 8016 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. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity Antifreeze(for gasoline or coolant systems) Drain cleaners NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED 3 Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers An other products with " Paint brush cleaners Y P poison" labels Floor&.furniture strippers (including chloroform, formaldehyde, Metal polishes hydrochloric acid, other acids) Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids (dry cleaners) I J Other cleaning solvents Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS 6® i 9 0 TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: MIA -rc Mail To: BUSINESS LOCATION: (!r 6�6111 Board of Health Town of Barnstable MAILING ADDRESS: 6r�AV-PA ck�" l-��r/}ffNtS MA- o�6dl P.O. Box 534 TELEPHONE NUMBER: ` '70 4018 Hyannis, MA 02601 CONTACT PERSON: eDm uhb ScNnm F_C A(4 e EMERGENCY CONTACT TELEPHONE NUMBER:S69 `19d-1839 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in qua �tities 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: .� ei T A V-ea t) E 0 VA VN) S NIA 12(, 0I TELEPHONE:S_D$ 796- Rn l9 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) jDr o 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 TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH (0' satisfactory 2.Printers 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY Cztt �eW i U (see"Orders") 5.Retail Stores / 6.Fuel Suppliers ADDRESS Q 3 Gl-4 � Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel(A) Diesel, Kerosene, #2 (B) Heavy Oils: 3-ST X waste motor oil (C) 50L( new motor oil(C) �� Cr i ' CA.1") 1-z� t� transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: ➢C w�� •��+ �tee. �s�' � pc,,n wv-s IX, o_ x DISPOSALIRECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply X//® 411 S p /0 4 V -0W( 0 4 74 6 e d Town Sewer Public V ft" "i k e(`�'C�C ��O On-site QPrivate 3. Indoor Floor Drains YES NO X l O Holding tank:MDC p Catch basin/Dry well S PXA.It011el O On-site system v-edI 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC �/✓1-Ay dit41I,V-14j,f 6 S O Catch basin/Dry well �T Oti*3.e' � men.✓j-2� �v�G) O On-site system p� e ar Ie S- ellali i�Ji A �, 5.Waste Transporter � Name of Hauler Destination Waste Product .i YES NO 2. , - W, 0 Person (s) Interviewed Inspect r Date TOWN OF BARNSTABLE OMPLIANCE: CLASS: 1. Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops unsatisfactory- 4.Manufacturers O COMPANY C��1 (see"Orders") 5. Retail Stores 6.Fuel Suppliers ADDRESS :lass: 7. Miscellaneous G1lS QUANTITIES AND STORAGE (IN= indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: (�- waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: DISPOSAL/RECLAMATION REM ARKS: 1. Sanitary Sewage Water Supply Town Sewer Public 0 On-site OPrivate 3. Indoor Floor Drains YES N04— O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO:�L O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product •d 1. j (� #YEO _CS. P �Q�� ry Person(s) In a Inspector Date TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Rep `r satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops (� unsatisfactory- 4.Manufacturers COMPANYrrr� / Js �1 O (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS 4-9 Class: 7.Miscellaneous QUANTITI, AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MA RIALS Case lots Drums Above Tanks Underground IN OUT- IN OUT IN OUT #&gallons Age Test Fuels: • u Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil(C) / new motor oil (C) /L& transmission/hydraulic 194 Synthetic Organics: degreasers 1� Misc aneous: H-1 va a DISPOSAL/R.E(;LAMATION REMARKS: 1. Sanitary Sewage 2.W ter Supply Ap "Town Sewer ublic ,641 O On-site OPrivate �� / 3. Indoor Floor Drains YES NO& " or O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product Ffi7 72-14 1. I V r 2. Person (s) Interviewed 'Inspector Date TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM ( NAME OF BUSINESS: a 1' Mail To: �` BUSINESS LOCATION: J Board of Health MAILING ADDRESS: Town of Barnstable P.O. Box 534 TELEPHONE NUMBER: T7 I/ ,+ � Hyannis, MA 02601 CONTACT PERSON: �,-�L - i EMERGENCY CONTACT TELEPHONE NUMBER. Does your firm store any of the toxic or halar'do s mat rlals listed below, either for sale or for your own use, 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: Quantit /Case Quantity/Case Antifreeze (for gasoline or coolant systems) Drain cleaners /4&2_,Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants ogotor oils/waste oils Road Salt (Halite) vGasoline, 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) r 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 �•"•J F w� TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH O satisfactory 2.Printers @ 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY t--U ,� ' � �� (see"Orders") 5.Retail Stores �V�1 6.Fuel Suppliers ADDRESS Y ass: 7.Miscellaneous U TITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Hea as motor oil new motor oil transmissio ydraulic Synthetic Organics: degreasers Miscellaneous: DISPOSALIRECLAMATION REMARKS: 1 c� 1. Sanitary Sewage ter Supply Town Sew er, �� ublic On-site o� QPriv too W 3. I do or Floor Drains YES SNO - Holding tank:MDC � atch basin/Dry well J O On-site system W<��6 ,E 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 1 ��. ze: 01L.I., 2. R Person (s) Intervi wed --- Inspector IDAIW, PAR ] Real Estate System - General Property Inquiry] Help [ ] Parcel Id: 312 022- - Account No: 231127 Parent : Location: CIT AVE Neighborhood: HY11 Fire Dist : HY Devel Lot : 13 Lot Size : .48 Acres . Current Own: SCHMEGNER, EDMUND E State Class : 332 63 CIT AVE No. Bldgs : 1 Area: 4000 Year Added: HYANNIS MA 2601 Deed Date : Reference : 2674/97 January 1st : SCHMEGNER, EDMUND E Deed MMDD: 0000 Deed Ref : 2674/97 Comments : Values : Land: 81300 Buildings : 85500 Extra Features : Road System: 63 Index: 316 (CIT AVENUE ) Frntg: 224 Index: 1277 (PLANT ROAD ) Frntg: 95 Control Info: Last Auto Upd: 050695 Status : C Last TACS Update : Land Reviewed By: Date : 0000 Bldgs Reviewed By: Date : 0000 Tax Title : Account : Taken: Account Status : Hold Status : Cancel [ ] Press XMT. for more data Next screen [PAR ] Action [ ] Owners Name [ ] Road Index [ ] Road Name [ ] Parcel Number [312] [023] [ ] [ ] [ ] r� TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF FIRM: 5 14 � MAILING ADDRESS: 6 3 � �� /L A"�� TELEPHONE NUMBER: 7'7! ® ? S CONTACT PERSON: Se 4 Does: your firm store any of the toxic or hazardous materials listed b.el_ow., 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 A 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 in quantities totalling more than 50 gallons liquid volume or 25 pounds dry weight. Please put a check beside each product that you store: 50 Antifreeze (for gasline or coolant systems)- Refrigerants Automatic transmission fluid Pesticides (insecticides, Engine and Radiator flushes herbicides,rodenticides) Hydraulic fluid (including brake fluid) Photochemicals 2-00 Motor oils/waste oils --- V '�. A Printing Ink Gasoline, Jet fuel Wood preservatives Scflo Diesel fuel, Kerosene, #2 heati g oil (creosote) Other petroleum products: grease, Swimming Pool chlorine lubricants Lye or caustic soda Degreasers for engines and metal Jewelry cleaners 1 Degreasers for driveways & garages Leather dyes Battery acid (electrolyte) Fertilizers (if stored Rustproofers outdoors) Car wash detergents g PCB' s Car waxes and polishes Other chlorinated hydro Asphalt & roofing tar carbons, (inc.carbon Paints, varnishes, stains, dyes tetrachloride) Paint and lacquer thinners Any other products with Paint & Varnish removers, deglossers "Poison" labels (including Paint brush cleaners chloroform, formaldehyde, Floor & Furniture strippers hydrochloric acid, other Metal polishes acids) Laundry soil & stain removers (including bleach) Other products not listed which you feel may be Spot removers & cleaning fluids toxic or hazardous (please (dry cleaners) R E C E I V E D list)'.v Other cleaning solvents HEALTH DEPT. _ Bug and tar removers TOWN OF BARNSTABLE Household cleansers, oven cleaners Drain cleaners Toilet cleaners . Cesspool cleaners Disinfectants MAY 2 2 1981 Road Salt (Halite) TOWN OF BARNSTABLE BOAR ® OF HEALTH CONTROL OF TOXIC AND HAZARDOUS MATERIALS - INSPECTION SHEET FIRM CAT 64eCJJVJ rglr YefU R ADDRESS C'�d- A Major types of material.s: 1) �S. j%� 2) 3) 4) 5) 6) I. Description of materials) use: II. Storage (denote product by number listed above A. Containers metal glass paper plastic cans,bottles,jars drums,barrels aboveground tanks underground tanks bags,boxes open,loose,uncovered inadequate labelling B. Storage Facility ✓or # Remarks/RecommeTIC. C.ions 1. Indoor a) separate, contained room b) stored in general work area i) inadequate ventilation ii) floor drains iii) inadequate fire protection 2. Outdoor, a) uncovered, exposed to weather b) pervious surface/catch basins III. Disposal A. Reclamation/Recycling unit B. On-site disposal 1. Town sewer 2. Regular septic system 3. Separate holding tank C. Off-site disposal 1. hauled by own firm 2. hired hauler a) name of hauler � � c to nce b) address or disposal site Perso.n(s) Interviewed — Inspector — Date - - - - — - - - - 6 30 81 M ` COMPLIANCE: C. 1.tMarine,Gas Stations,Repair OV�JN OF BARNSTABz 'a Printers w ( satisfact6ry-� BOARD OF HEALTH vw 3. . Auto Body Shops unsatisfactory- 4. Manufacturers r (see"Orders") S. Retail Stores COMPANY L ' -' � .�." -� "x�.. 6. Fuel Suppliers ADDRESS , i ��__ Class: 7. Miscellaneous QUANTITIES AND STORAGE (IN=indocrs;' OUT=outdoors) MAJOR MATERIALS t � � `di lots Drums ' AbOveTanks Underground Tanks IN oLrr IN IOUT IN—OUT zerest? Fuels: Gasoline, Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil. (CJ transmission/hydraulic Synthetic Organics: degreasers 1 Miscellaneous: °o - i DISPOSAL RECLAMATION REW RKS: 1. Sanitary Sewage 2. Water Supply 0 Town Sewer Public .fZron-site O Private 3. ,Indoor Floor Drains: YES NO O Holding tank: MDC_L O Catch basin/Dry well - 0 On-site system 4. Outdoor Surface drains:YES No Q Holding• tank: MDC OCatch basintpry well _ ------- ------ OOn-site system S. Waste Transporter Licensed? Name of Hauler_ 0 ct i na ion Waste Product_ YES NO 4.4 147 Ilk Ak Person(s) mile, v we. I"nsr6 t6 Bate COMPLIATICE. 'OWN OF BARNSTA B CLASS 1� Marine,Gas Stations,Repair ;�1 \ Printers BOARD OF HEALTH - �satrsf��t�r'' s ~3: Auto Body Shops :Qunsatisfactory- 4. Manufacturers �� S Retail Stores .OMPANY `t. '.,,� tr ,�, (see Orders ) 6. Fuel Suppliers %DDRESS 2j %" {� e '. .. Class: 7. Miscellaneous QUAN 'ITIES AND STORAGE (IN=indocrs; OUT=outdoors) Case lots Drums AboveTanks Underground Tanks 4AJOR MATERIALS IN IOUT IN IOUTN 6 gellonserest? Fuels: Gasoline, Jet Fuel (A) t • 1 ! Diesel, Kerosene, #2 (B) , Heavy Oils: r� waste motor oil (C) i new motor oil. . N 1 . transmission/hydraulic � . f Synthetic Organics t— degreasers Aj�l ,, a I Miscellaneous: DISPOSAL RECLAMATION t REM1,RKS: 1. Sanitary Sewage 2. Water Supply O Town Sewer i Public V---- -- '`e. On-site Q Private ndoor Floor Drains: YE NO tank: MDt' olding atch basin/Dry well ___.._�_._ .._. .._____..... ._.... _ On-site system 4. Outdoor Surface drains:YES 0 Holdink• tank: MDC ?:O Catch basin/Dry well OOn-site system S. Waste Transporter Licensed? ,.,flame of Hauler_ Destination ' }u '. 1. Pier o' s)"Flnt:erviewe Inspector Date TOWN A R N STA B L E COMPLIANCE: CLASS: 1. Marine,Gas Stations,Repair �,.actory 2. Printers BOARD OF HEALTH 3. Auto Body Shops ✓ O unsatisfactory- 4. Manufacturers (see"Orders") S. Retail Stores COMPANY �� « ,�� _ 6. Fuel Supy-liers ADDRESS � �� ._ 1�' �^ � Class: 7. Miscellaneous QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums AboveTanks Undetgrouad Tanks IN OUT IN 0f IN T # al e Test? Fuels: Gasoline, Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) r new motor oil (C) \ transmission/hydraulic Synthetic Organics: ti degreasers � w w Miscellaneous: DISPOSAL RECLAMATION REMARKS: _ 1. Sanitary Sewage 2. Water Su �y _ _ OTo Sewer Public _),A _ On-site O Pr' ate - 3. Indoor Floor Drains: YES NO __�� , 7, 4 Holding tank: MDC r __ O Catch basin/Dry well On-site system ORDERS: 4. Outdoor Surface drains-.YES NO o Holding tank: MDC — — O Catch basin/Dry well _> OOn-site system S. Waste Transporter Licensed. ,NamR. of jjauler ,DES ina ion Naste Product YFS1 NO 1. , � I L ei Person s� Interviewed Inspector �/ /Date P�oFTHEro�y TOWN OF BARNSTABLE OFFICE OF = aeaMAG& $ BOARD OF HEALTH soo 1639 0MA�k` 367 MAIN STREET HYANNIS, MASS. 02601 August 14, 19875„ I l e-G f� ( Edmund Sehatemet-r European Car Service 63 Cit Avenue Hyannis , MA 02601 .Dear Mr. Schmezuer: You are reminded that State regulations require periodic pumping and or cleaning of all MDC traps (Metropolitan District Commission,'' gas and oil separator tanks) . You are directed to contract with a licensed hazardous waste transporter\contractor to perform the required pumping and or cleaning of your MDC trap by September 11 , 1987 , or provide proof of such maintenance performed within the past three months . er directed to have our MDC trap inspected and You are forth y P p cleaned if necessary, by a licensed hazardous waste contractor every three months . Written proof from a licensed contractor will be required. w . Inspections will follow by the Health Department to verify compliance . You are reminded that failure to comply could result in a fine of $200 . 00 daily under the Town of Barnstable Toxic and Hazardous Waste By-law. Very Truly Yours , lllqa )ohn M . Kelly Director Barnstable Health Department -- ti r +." - a.- � '�Tr9l9WSiFu4:a'•^'°'rsww.rxri'rg"',.T..,.e.;.:;,.,,...- ...._ TOO OF BA R N STA B L E OMPLIANCE: CLASS: 1. Marine,Gas Stations,RFpai.r satisfactory " ' 2 Printers BOARD OF HEALTH . 3. Auto Body Shops �p Q unsatisfactory- 4. Manufacturers COMPANY ru P �; `�T3`�- (see"Orders") S. Retail Stores 6. Fuel Suppliers. ADDRESS �>j C. V�-6 ` Vh 1V Class: 7. Miscellaneous QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums AboveTanks Undetgrouad Tanks IN 100 UT IN IOUT IN IOUT #' & gallonse Fu L Gasoline, et Fuel (A) Diesel, Kerosene, #2 (B) He Tast'e -� Q95 9 r motor oil ' (C) new motor oil (C) 9� transmission/hydraulic Synthetic Organics: i degreasers f r 11- f Miscellaneous: c 460 01L DISPOSAL/RECLAMATION REMA S. 1. Sanitary Sewage 8 2., Water Supply "Ok Town Sewer Public �!- On-site Private C .3. Indoor Floor Drains: YES NO _ Q Holding tank: MDC 100 �/1 ' O Catch basin/Dry well w�. On-site system UR : 4. Outdoor Surface drains:,YES NO Q Holding tank: .MDC ' " � fu O Catch basin/Dry wells /40 � OOn-site system S. Waste Transporter Licensed? NaMg of Destination lasta 1a� or(. 24 �' 12 23 el Persons In :erviewe Inspector a e COMPLIANCE: CLASS: 1. Marine,Gas Stations,Repai.r TOWN ' OF :B RN�STABLE . . . . . i.' printers O satisfactory BOARD OF EALTH 3. Auto Body Shops unsatisfactory- 4. Manufacturers COMPANY /' (see"Orders") S. Retail Stores Fuel Suppliers ADDRESS Class:(_ 7. Miscellaneous QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums AboveTanks Undetground Tanks IN OUT IIN IOUT [ INa erest? Fuels: Gasoline, Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: , degreasers E Miscellaneous: DISPOSAL RECLAMATION REMARKS:, . 1. Sanitary Sewage 2. Water Supply OTown Sewer ® Public On-site O Private —� 3. Indoor. Floor Drains: YES NO O Holding tank: MDC O Catch basin/Dry well 0 On-site system , -- 4. Outdoor Surface drains-.YES NO 0 Holding; tank: MDC O Catch basin/Dry well b ��— O On-site system r S. Waste Transporter % Licensed? Nark of Hauler- Destination Waste EroductYFS NO f 1112,103 12 23 81 Person(s) Interviewed `-- Inspector Date TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS: -�� e �-� Board of Health MAILING ADDRESS: Town of Barnstable TELEPHONE NUMBER: 7 P.O. Box 534 CONTACT PERSON: , Hyannis, MA 02601 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 in quantities totalling more than 50 gallons liquid volume or 25 pounds dry weight. Please put a check beside each product that you store: e/ 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 i,^.+•.-ti° �`�y `"'r.�� i�•Y=s+'�.,,�.'4v.f..•K4..�ya+w'.'"'�,.r.^."YO$r4,.,.~�5'Y'.e10^'b!1`!EP'.+'....._ ,b.F,�;,"s�..*i+...'., �.";�:. ..,.q,:.r..r(.r;"'„n...-.iu'4,.?'iiy��„�;tt.i„_.,s:y:wv ..,ba;�a_Pq'�T"7r'Sl-�tF*ate .Y ,f TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH � 3.Auto BodyShgps O unsatisfactory- 4.Manufacturers COMPANY - �3.�%,r.� (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS " ~ 71144i..Z Class: 7 4&4� 7.Miscellaneous Nrl/J At, UANTITIES AND STORAGE (IN=indoors;OUT=outdoors) f ' MAJOR MATERIALS Case lots Drums Above Tanks Underground IN: OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel(A) yDiesel Kerosene#2-(B) Heavy Oils: waste motor oil (C) new motor oil(C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: Cf i DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply O Town Sewer �QPublic /P On-site OPrivate 3. Indoor Floor Drains YES NO O Holding tank:MDC O Catch basin/Dry. well 0,On-site system 4.,Outdoor Surface drains:YES NO i" ORDERS: O Holding tank: MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product 2. y r AV— Person(s) Interviewed Inspector Date TOWN OF BARNSTABLE BAR_W Ordinance or Regulation WARNING NOTICE Name of Offender/Manager j� �-� ��P ! Lti `, Address of Offender MV/MB Reg.# Village/State/Zip Business Name am/pm, on 20_=' Business Address Signature of Enforcin`L Officer r: c. Village/State/Zip Location of Offense Enforcing Dept/Division Offense Facts This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations . Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. TOWN OF BARNSTABLE B _W t< Ordinance or Regulation WARNING NOTICE Name of Offender/Manager - 1 i Address of Offender ' # .� :. , . ,. > i # •i MV/MB Reg.# Village/State/Zip �- , _ ' t�5i f `" Business Name am/ m on jl i' 20 # -r z . n p , 400, Business Address .....�-- Signature .of Enforcing Officer Village/State/Zip 1'r t Location of Offense '.w 41,) ` Enforcing Dept/Division Offense M +� r Facts This will serve only /as a warning. At` this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in a15'p"ropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. TOWN OF BARNSTABLE . I/ f ® ��' UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS V ASSESSORS MAP NO. � PARCEL NO. ADDRESS; G VILLAGE: CONTACT PERSON -r �' �1 e �j' `' e PHONE NUMBER �- S/ LOCATION OF TANKS CAPACITY: ..TYPE- OF' FUEL AGE: TYPE: LEAK OR CHEMICAL: DETECTION -SYSTEM! Ile Q �i'4�"t�� DATE OF PURCHASE OF EACH: 1. � . "7 2. 3. 4. 5. DATE OF FIRE DEPARTMENT PERMIT: TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS PLEASE PROVIDE A SKETCH SHOWING THE LOCATION OF TANKS ON THE BACK OF THIS CARD. jl t� 1 �` � I +, 1 �' 1 I I I � i � i j + �� I � + � Q l ' i r- i� � 1 i i i c ' 1 i 7 I ''',,� � � / -�- J 2 � �-' G' � ; �� a' , j� f � � � { I �, f � �, � � ,`' i �. 1 ! � � i j i r !I' t d � �I __. _._____.. _._.,.._ ...z—_� i r 9 1 i ' � f t -�-___________-�� . -�: ,� mot, l