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Home My WebLink About0068 CIT AVENUE - HAZMAT A-a7,rna-,d- °PIKE A Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 9A �LE. 200 Main Street• Hyannis, MA 02601 039. �pffOMP+p`0� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: A'r porc"s Date: Location/Mailing Address: 6164 A,,P y,1""i5 Contact Name/Phone: \5+eve- Inventory Total Amount: SDS: ON 11�- License#: Tier II : N O Labeling: Spill Plan. Oil/WaterSeparator: N Floor Drains: 00 Emergency Numbers: Storage Areas/Tanks: o 1 W co awu_.r Emer enc /Containment E ui me : Waste Generator ID: Waste Product: Date&Amount of Last Shi ment/Fre uenc : Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS �b yJ1A,Ist eta �H 1rlVt�nr� Srv�Ce Jo5+,vL�`�;erl NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: 7— Caulk/Grout/g.c.A xs insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil&stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATI NS: �-�- a vlo•J o S. Inspector: La\j-e-i Le. Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS °pIKErp Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMA% .$ 200 Main Street• Hyannis, MA 02601 Fo +'�0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: At T- P0VC Date: Location/Mailing Address: Ls G, Vq- . q,,CtVXA11S Contact Name/Phone: `J�e.�,e- oz 13 Inventory Total Amount: 2 t I bo`b MSDS: coo• o^-I I License#: All Tier II : A Labelina: ' &,l Spill Plan: Oil/WaterSeparator: Floor Drains: NO Emergency Numbers: MIA Storage Areas/Tanks: -5*1a.1) Cn•�=�a�•,��s p�1c a�mt .cy-+A-- Emer enc /Containmen Equipment: Waste Generator ID: Waste Product: Date&Amount of Last&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. I Antifreeze i&lntd.4ea&<i Dry cleaning fluids Automatic transmission fluid i I Other cleaning solvents&spot removers << Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives 3 Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants %'- b%a 4s,eg�.. Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants lbD Igo 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 7 Miscellaneous Combustible 0 ti Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil&stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/REC MMENDATIONS: 0 i S i v�c,c— • a 155ue-S D( C�Cb�W�4,J� .o v�S Inspecto �A✓��— Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS Date: y / 3 / /` TOWN OF BARN STAB TOXIC AND HAZARDOUS MATERIALS ORM NAME OF BUSINESS: Al T, ��r�has.eS') BUSINESS LOCATION: 69 C1-t• ,�F�2. / T7�4nr is INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: S0,0)- N.2-02-13 ��i1 tA IIC,,' CONTACT PERSON: 54e l.- "V4-1,ee ISS 16 c4 ccr.r'�i EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: �I4*AV V a. qe5 I"AN�'FORMATION / RECOMIMEN ATIONS: n A Ilk q-,-16V j ��n�a� o�s��-- Fire District: Iy U Ilz�,�,k r�Gw1,�dL IV b Q Go dv�No.�c an q .s `�'�v . �a. a. Waste Transportation: I JA Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals(Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes 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 Date: 6—1 of no L/ TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAMEOFBUSINESS: BUSINESS LOCATION: s �� .MAILING ADDRESS: INVENTORY TOTAL AMOUNT: TELEPHONE NUMBER: 5-0 S-- -7-7/ — 0'7-�/ CONTACTPERSON: r��-i � ee�.►� (� EMERGENCY CONTACT TELEPHONE NUMBER: Ftt{E Dc s7-RIOT TYPEOFBUSINESS: eta . a,44 i,S OTHER INFORMATION: < ail• M S�7S o�7 �if� Was Transportatio Name of Hauler: Destination* Waste Product: c79 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) Hydraulic fluid (including brake fluid) Refrigerants t/ Motor oils 2z Pesticides 2- NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Dieso!fuel, kerosene, #2 heating oil NEW USED Q P4 '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) a�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 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 Bug and tar removers TRANE \ ( AIR PURCHASES INC. AIR CONDITIONING,AND SHEETMETAL MANUFAC SUPPLIES IZJRER 68 CTT AVENUE ' STAVE BUTLER BRANCH MANAGER HYANNIS,MA 02601 TEL.(508)862-0213 • FAX(508)862-0233 I S TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH 9 Satisfactory 2.Printers 3.Auto Body Shops p unsatisfactory- 4.Manufacturers COMPANY � i�Qi — (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS d �� Z4,,!L, 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: waste motor oil (C) new motor oil(C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: 8=l g 4 t`d 4 A14�tt, C� CN0131 Zz 3 W;,4-,s�.� 1�s e� DISPOSALIRECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply 5 D� Town Sewer $(Public a, r�,vrv� O On-site OPrivate 3. Indoor Floor Drains YES—LNO 13 w G'1 L�G✓l� f!�J��t dam, Holding tank:MDC_C Catch basin/Dry well o a cta d aa_) -// C O On-site system �j �® v L!✓G J ,� 4. Outdoor Surface drains:YES NO D ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES N0 1. 2. Person (s) Interviewed Inspect r ate r -AIR PL u C Cp,ftil.Te. AIR CONDITIONING,HEATING,REFRIGERATION SUPPLIES i AND SHEETMETAL MANUFACTURER STM BUTLER 68 CIT AVENUE BRANCH MANAGER HYANNIS,MA 02601 TEL.(508)862.0213 • FAX(508)862-0233 i MUM r` 3 AIR PURCHASES, INC. AIR CONDITIONING,HEATING,REFRIGERATION SUPPLIES AND SHEETMETAL MANUFACTURER Ivan D. Quinchia 24 Blanchard Road General Manager Burlington, MA 01803 617 273-2050 Fax: 617 229-0207 v r.. Date: / �P 23 1 TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: A;f BUSINESS LOCATION: C- )Vv,4Atv1*13 MAILINGADDRESS: Rd ice. yoa.f Mail To: TELEPHONE NUMBER: _(2/ �3s� �® Board of Health Town of Barnstable CONTACT PERSON: P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: Hyannis, MA 02601 TYPEOFBUSINESS: 81,4C_ Does your firm store a of the toxic or hazardous materials listed below, either for sale or for you own use? 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: �4 zl,�9/vc TELEPHONE: 47/ _�'3 — J� 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 so L S 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 �. Ms aints, varnishes, stains, dyes PCB's acquer 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 G-u�t9,e--- 61-e� I r TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH X satisfactory 2.Printers 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS Class: '7 7.Miscellaneous 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 (Cf Ott transmission/hydraulic Synthetic Organics: w �. degreasers , Pc t4e u.. Miscellaneo s:,,,, ,� _ y dl vee l o z S Sir -�y a.4v�►127-ci -1 13 0 - 62- DISPOSAL/RECLAMATION MARKS: 1. Sanitary Sewage 2.Water Supply 'r XTown Sewer ;?Fublic O On-site , OPrivate 3. Indoor Floor Drains YES NO O Holding tank:MDC 6M v-av O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO_j('_ ORDERS: Q p O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product • YES NO i 1. 2. a Person (s) Interviewed Inspector Date FRAME AIR PURCHASES INC. AIR CONDITIONING,HEATING,REFRIGERATION SUPPLIES AND SHEETMWAL MANUFACTURER STEW BUTLER 68 CIT AVENUE BRANCH MANAGER HYANNIS,MA 02601 TEL(508)862-0213 • FAX(508)862-0233 I TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1. Marine,Gas Stations,Repair satisfactory 2. Printers BOARD OF HEALTH k 3.Auto Body Shops O unsatisfactory- 4. Manufacturers COMPANY l 'T OJT �";� (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS _ 4� 1 , Class: �` 7. Miscellaneous QUANTITIES AND STORAGE (IN= indoors; OUT=outdoors) MAJOR MATIORULS Case lots Drunis Above Tanks Underground Tanks IN OUT IN OUT IN jV9,0YJT #&gallons Age Test Fuels: , ,Gasoline,Jet-Fuel(A). .Diesel, Ke e, Heavy Oils: -waste motor-ei�__ ne trap sm i ssieuLydraulic Synthetic Organics: degreasers Miscellaneous: 7 —� 3� S DISPOSAL/RECLAMATION REMARKS: 1. $anitary Sewage 2. Iyater Supply Town Sewer ublic 0 On-site ��/��/"```OPrivate 3. Indoor Floor Drains YES NO 0 Holding tank: MDC O Catch basin/Dry well f On-site system 4. Outdoor Surface drains:YES NO ORDERS: 0 Holding tank: MDC O Catch basin/Dry well O On-site system 5. Waste Transporter Name of Hauler Destination Waste Product YES NO 1. 2. la&e� 4k,-4&1 Person (sInterviewedi, Inspector VDate r . 1 — oaf oz r" THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes 'Y PUBLIC HEAL DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01ppYication for Migogar *p5tem Comaruction 3permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon(✓ ) ❑Complete System ❑Individual Components Location Address or Lot No.CO3 CA AV-elOwn is Name,A4dress and Tel.No. Assessor's Map/Parcel 63 L�j� AQ 13 Mot V (0' 1 Inst4aller's e,Add s,and Tel.No. Designer's Name,Address and Th No. WC~ `� r S c� L( �� (U Q�`: \ --? `S Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature <Repairs or Alterations(Answer when applicable) baa)o css n �L Svc Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been i ed by this Board of He Signed Date ` Application Approved b Date Application Disapproved for the following reasons Issued r .No. �' /a 911� !"j � - � Fee 1�1// THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes -PUBLIC HEAL DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 0(pplication for 33i5po0ar *pgtem Congtruction Permit Application for a Permit to Construct( )Repair(F )Upgrade( )Abandon(/ El Complete System ,❑Individual Components Location Address or Lot No.f 2 �C� �� Ow � n s Name,A ress and Tel.No. l>( � ^2 Assessor's Map/Parcel ("� �`� /t 6 J t'1 2 � Gnu t� Mct 0 d Installer's N e,Add r s,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: , Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other " Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil i c _ Natur £ Rairs or Alterations(Answer when applicable) h Non{�\r S4 -cr�L S Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been is ed by this Board of He Signed Date Q/m Application Approved by Date 9-Z y Application Disapproved for the following reasons Permit No'i , Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY, that t e On-site Sewage Disposal System Constructed( ) Repaired( )Upgraded( ;) Abandoned(1/)by S �pM2 at C has been constructed in accordance with the provisions of Title 5 and the for Dis osal System Construction Permit No. datedT �i ,� Installer C_cc>4 tti. �=r�/�V Designer The issuance of this permit shall not be construed as a guarantee that the syste will fu ction as designed. Date 10 ` 1 7 - 1 7 Inspector ---------------------------------------- No. Fee THE COMMONWEALTH OF MASSACHUSETTS � ,. PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS xigpogal *pgtem Con$trUction Permit Permission is hereby granted to Construct( )Repair( )Upgrade(� )Abandon System located at(1 3 C Et A V'C _ \o" C-.d.A t 5 and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of t✓�it. Date: / Approved l G 4.,. TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION ' OWNER AND INSTALLER INFORMATION //�� ADDRESS: a 7- r lr� �% P4 i� l tin j,C MAP NO. f. PARCEL NO t 5 irk OWNER NAME: 111 T ,F -rd s., 7' V VILLAGE: Wi7 f A I NSTALLAT I-ON;DATE: BY: 44 ADDRESS: j j- CERT. NO. A,OIV6 o ! 74 r TANK II F RMAT ON LOCATION OF TANK: � '`r; �^ t Aj i i .� r CAPAC I TY /f;0 f`.) TYPE 1,p ;"= AGE _ FUEL/CHEMICAL -f L` TESTING CERTIFICATION E ] PASS �E I FAIL DATE r. LEAK DETECTION E ] CHECK IFI /A TYPE/BRAND ZONE OF CONTRIBUTION C ] YES it ] NO DATE TO BE REMOVED r FIRE DEPT. PERMIT ISSUED EV3 YES E ] NO DATE " CUNSERVAiION E3 CHECK IF N/A DATE BOARD OF HEALTH TAG NO. E ]E ]E 7E ] DATE / PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD y/ � '`1 l�� f /��\ �� V t4 `�� v - .< sy THE COMMONWEALTH OFVMASSACHUSETTS � `� z r' _ {FIRE DISTRICT OF HYANNIS, MASS.,, ,. , FIRE DEPARTMEN e'O'by • fi3.+yt '� -: �� a�' ��7.� �3"<"`}Xa-��3� x wt�a.e'x � .x�'":_ �,��ir��z� FIRE PREVENTION DIVISION � ,r � 8�'r'* ,3, _ OI �'ERMIT FORS S ORA TM!,OFF FUEL;'OIL S + In accordance with provisions of Chapter 148, General Laws, and amendments thereto and., " Regulations made under authority-thereof: k '� ri A. ��, UN— l vz q B nt ' Name" AmPri c-an Medical TnG r rim # , P_C. rrcl enn a F+ (owner or occupant); (Installer) Ewes C.I.T., Rd. ' Hyannls'� ' °" ; Nelson-Coal & 0 Address Address h+ R BUNERa � ' STORAGE Wayne 3 TM Y steel Name Type of Tank _ `Maanfactnrei Wayne Home Equlp - —Capacity,1000 5 gals/(or)Size F� .a sunder oun Model-No:or Size 7 Location � L o-csa3-eI*�i;rvo1 n e`�.4'1yr«•i�, �`'H+ - M" , :s'i"—: ••p} APTyAe crun : # �� -� -�-^- x�(,�-xR 7.» Permit issue aspire (fie re Department ,Fee .�.'Paid, ata�a,•''^.a,,..�3�s`- This Pe tut Must Be Conspicuously Posted on Premises ' �9,�`r�-�c"z` 's '.a+�:��''�- 'a amp.;.. ,`-�} � , ,�� ri�'^ �a-`^a.°�t•'�` M ,�,.'"§..'�,�aF K�•.*^� J ( THE CON(MONWEALTH OF MASSACHUSETTS Y IRE DISTRICT OF HYANNIS, MASS FIRE, DEPARTMENT'.Tµ a Nt rNr ,� t :FIRE PREVENTION DIVISION v .!" 4 I'ERMITr 'OR STORAGE OF#,FUEL r OIL I q hh In accordance%with�pra�islonts•of Chapter 148, General Laws, and Pendments thereto and t� Regulations made ult48r�airtho>ity thereof Name ...AnLer�A� T n r11MCbr one (oa<ner or occupant) a . (Installer) /Address C.I.T. rd iinmis _.... .Address Nelson Coal & Oil..:.._ _.._. ...._ _ t• BURN EFI; ._._� . .STORAGE ^\ ! Name _ Beckett 1iJaereafer Type of Tank steel Manufacturev8e.Homey Ectu ip. Capacity 10001��µ gals;(or) Size.............._._...._ 9 under round ` Model No. or�Size 17P98 .. Location g Type gun Mass.Approval No`.Z_ . ��..j >; `f i Permit issuedl�l.Z'_7 ..expires ,�. .. (Head of Flre ep `ment) Fee Paid �: «..1 y . By •< c`7�>.1.. ... ��_._.. This Permit Must Bey Conspicuously Posted.on Premises l THE COMMOPvWEALPi OF MASSACHUSET rS f FIRE DISTRICT OF HYANNIS, MASS. FIRE DEPARTMENT r -FIRE PREVENTION DIVISION PERMIT•,:FOR STORAGE. OF FUEL OIL I In accordance with provisions of Chapter 148, General Laivs, and amendments thereto and Regulations made under authority thereof.. t Name . _A= 9sUza1. 13 aLrjj r;Xh& _P..G... I (owner.or occupant) (Installer) ( Address C.'I•T Rdr.,WHyannis �yAddress .__._.. Nelson. Coal & Oi BURNER STORAGE Name ...._:w.al._e ._._ ._Tgpe of Tank .» ..r �.. Wayne Home Equip...... 1000 _ Manufacturer _.._.._. ..._Capacity, galsr(or)Size____ Model.No. or Size 1 Z.mb....&~ Location ''uunderg"round ' Type --g-n Mass. Approval Nod 5 JI : Permit Issued (He ro Departments 7� . Paid...:.. B This Permit Must Be Conspicuously Posted on Premises .... r r