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Home My WebLink About0109 CORPORATION STREET - HAZMAT {�r� czn n f'3 Number Fee 175 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Marvelous Cleaners 109 Corporation Rd., Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 -499 gallons 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 Town of Barnstable Inspectional Services BAMSTABLE WX �Qh ate.s+.e-,cc:��•iv+.r..•.n.:: •!' Public Health Division • • l • *ARNBrABLE, = Thomas McKean,Director 200 Main-Street, Hyannis,MA 02601 ' f Office: 508-862-4644 Fax: 508-790-6304' APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE fill 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 I st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ dI 25�� 23b CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 P CATEGORY 3.PERMIT 500 or more Gallons: $150.00 ❑ PdS�°chk- � *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. a 93-6 yv 2. IS THIS A PERMIT RENEWAL? >4 YES_NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONINGBUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGEIUSE OF GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? YES\ NO. 4. FULL NAME OF APPLICANT: 5. NAME OF ESTABLISHMENT: 6. . ADDRESS OF ESTABLISHMENT: ! ,Oq vl� OV) `- '1 i 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: G� 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: bt"cL. _ 10. SOLEOWNER: , ,, YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT, TREASURER CLERK a 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS `f EMAIL: I 1 I SIGNATURE OF APPLICANT V J,in�l WY) k4 ATE t"�V ��'I QAApplication Forms\Haz Mat App Revised 09-I0-18.docx Number Fee 175 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Marvelous Cleaners 109 Corporation Rd., Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons 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 c, IT 10engatoryVrvjcesof Bnsxable Richard V. Scali,Director A _d A g"A • "��, Public Health Division BARNSTABLE &1RNSfA2lE•f8R6MLLF•fDi11R•M'pW.JS BARNSPABLE. Thomas McKean, Director ia a;w� S'"` �'i- 1659. a`0� 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATE RIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st-JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 '( V S . CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by 1st. 1. ASSESSOR'S MAP AND PARCEL NO. - 2. IS THIS A PERMIT RENEWAL? YES_NO. IF YES,SHIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF • GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: Cp L; 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: r�'� 8. TELEPHONE NUMBER OF ESTABLISHMENT: 4 9. EMAIL ADDRESS: �� `' �leSCc�-;.�sS • c� vy, 10. SOLEOWNER: /YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME y4x-s IwG - PRESIDENT n&L&� CCC� TREASURER c� CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE ( a O QAApplication FormsViAZMAT APP 2017 REVISED.docx °F.He rokti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARMAASS LE.$` 200 Main Street• Hyannis, MA 02601 163 9. s,0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT tFD Ay ,A,//�� Business Name: t/V12�rVf-6QS t1eP lS Date: Location/Mailing Address: 101 C,oeOo�rp+, dam, VA0015 Contact Name/Phone: 6 m e-e 11 5-68 -737 q?nventory Total Amount: SDS: `�5➢SJI`ie S�S License#: 1-1 2- Tier II : ? Labelina: Spill Plan: eS Oil/WaterSeparator: 014, Floor Emergency Numbers: eS Storage Area bVeU4S A wc4s34r a 4c,wa 4-e. aC 4 V,> 5 Emergency/Containment Equipment: 5 tIt N4 w 4 spa �Xa '®Waste Generator ID: MA90�21 t�SU 1 u Waste Product: b �a t�S ' Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods:LIST OF TOXIC AND HAZARDOUS MATERIALS A 0 YA&teral e-�Avte. Ivy, t wNJQ-V o�J ex« CkJJC toug� NOTE: Under the provisions of Ch. 111, Section 31, of the Laws of MA, hazardous material use, 2�i I— storage and disposal of 111 gallons or more requires a license from the Public Health Division. � aS�y k t Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: CA k C,0V a\VtAxs VX 0 q Iby vw -f eo 0� ee VL&„ef 5 /+ 2 S 6 &,A e6< ,A.Get'< !C., o.«', C NV 1`�OV�Vk4+��0.� rlWl att� �_ lan1 {JVk e7 V,& G®V�vv- e,,< �6+e. , S t ov I�"YX io 1 VVe-W �5 acre, S s1 w © 4� ta, fia v\A- e 04,& %V-P-• oJ( -'o ex6e e 2770 f e p� \PxS't-e. ^ e JCS¢vt�r 5-4 o�r'� 5 2�Sry C,1. Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS °FIKE Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 vB"BMA`s eLE'g. 200 Main Street• Hyannis, MA 02601 t639. M a,0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rED A'S /�Business Name: a Y v e Pa Date: 2 S Location/Mailing Address: 101 Co,-6 o r e--�, - vL 1�d.� , kiy:r,4 yj, ;, r Contact Name/Phone: /�rrot-<,e- C-"l`� S0'8-015 ' ---069! c e,it n%�a - TZI -23-(�,7 C'`C,I,C, t 1�Ihventory Total Amount: M `i"1 , j -SDS: �`'➢S N 2 4 :' )� License#: �15 2- Tier Labeling: L Spill Plan: Oil/WaterSeparator: 011 A Floor Drains: A)D Emergency Numbers: ` ef, Storage Areas/Tanks: Mote 1 +rt cv•u'-,A(44 tiG c, i Emergency/Containment Equipment: S -,1 It lv-\k w/ sDr ,nas} (Ytllow �k) ��fi_2f�'r *Waste Generator ID: r��t7��( �U�u )i ` Waste Product: �� v�(r. � � pv au 3�"5 t Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods:LIST OF TOXIC AND HAZARDOUS MATERIALS 0 Wl6L�0� 'V Vtt i V-k k M\J4Ao.(V Q h C.-e�j C-J - JC)K4,l� NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, ` storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform,formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: (��) 0t Ny, .41,1 I�JaG�Cr J, rUr ,�6� 4 2 'VJ \S 6�- 00vJ rQ-f t �-,A tex c' /'OVl.J e�(o s'4S. ,C.ln e_ 1•t- f�,��'� � ,.N a'/ env �ovty ��1 � r�1v�,1 Ale,} �-�a -INIFORMATION/RECOMMENDATIONS: L•-`Y`'�`r`�1 r"'/''v r' VA�e Gbtnyey r 5y5��. 1 `s��ry� I -Q� f; J-\r 0C1VA -<kV1 WA f�"�^red 1 �D t,�jC D WCtiSA,'-C — Jts�vt� S I ash °� 2S S� 1, Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS M-e--t (. 4- )b: 0o--T-ve-s 2.f za voe(S lC i Gl, pl-144 & i a I FIME*og Town of Barnstable Office:508-862-4644 ~°* Public Health Division Fax:508-790-6304 + BARM . MASS.ASS. • 200 Main Street• Hyannis, MA 02601 ' g. MA'la`0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: M4,r%felaos ��e�t I1,c,rs Date: 1 Z I . Location/Mailing Address ya-+%y++S Contact Name/Phone:�a�-YJ�a�•��.•c.� �eoY'A.e 61 ��S-`�S'1-2�r!,9 Inventory Total'Am o nt: 5qD MSDS: �eS / License#: Tier II : Labeling: D Spill Plan: eS Oil/WaterSeparator: Nv Floor Drains: a Emergency Numbers: Yes Storage Areas/Tanks: S gal rsw. x bX 15,4 a 1 + PERe. 15fR(- IVL wl.ac k.•� Emergency/Containment quipment: Waste Generator ID: Waste Product: Date&Amount of Last Shipment/Frequency: L *,D+CA&=Q .o WWI- I„`. 2oI y 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, k storage and disposal of 111 gallons or more requires a license from the Public Health Division. 1 � G,w Me 7c�` fie, Antifreeze S Dry cleaning fluids « TA' kws Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers 3S 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:��Z �U�C V`bi S ORDERS: v�A eat INFORMATION/RECOMMENDATIONS: C7dk , C�,[',Ce55. Ic, .a e.�A�ouG2S. Inspector:--�J Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS °F IKE Town of Barnstable Office:508-862-4644 °* Public Health Division Fax:508-790-6304 • enRMASS. 200 Main Street• Hyannis, MA 02601 039. fDMn+p`0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: &fVZ1605 ( (eQ e r Date: Location/Mailing Address: �n✓1� Contact Name/Phone: Tech MA,-,c-L-J e--c 1, —Inventory Total Amount: --�1 MSDS: License#: Tier II : N 1A Labeling: s \ow Spill Plan: �L 1 Oil/WaterSeparator: NJA Floor Drains: 1� Emergency Numbers: '04\04D0 StorageAreas/Tanks: o ' qvA 4'o© Emergency/Containment E ui ment: o ve,,k&61-e- c.� �Ne, - �• Waste Generator ID: ��2• /(o ��a Waste Pr duct: L Date&Amount of Last Shipment/Frequency: y 20 I -7 -7 Licensed Waste Hauler&Destination: _g4kfyleex- Gr'aKsfa n , S Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze ✓ Dry cleaning fluids Automatic transmission fluid � Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil&stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, /n� -- hydrochloric acid, other acids) VIOLATIONS: t/ 041�01,e. V1D�C+&Ke, — a�2 oT S ke-Iot,-> ORDERS: 0, A V,,R2 1 ' S o v� a l INFORMATION/RECOMMENDATIONS: gD)kAeAk S _ �Alnspe�i ll7r:��1\C — Q otsk-'. M,%Yk\4eS�e,�J I S t Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS I" n V �haz-o,K ®,�s as e.Go(l�E'�o�. &4-+(-a,,k4gt. � t,=�y O mi 5 e, �'t 4:a w�t5r b�5 9't i `°arpk1 Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 an AWSBLE.M 200 Main Street• Hyannis, MA 02601 �ArFDMP'�a`0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: AWV-e 1005 G�Ga v�.e.fs Date: Location/Mailing Address: 1 D1 o,ti IQ-49— yQ V1 V1 , S Contact Name/Phone: .,e,— ate. 0.1 .So —45" - 2-76 1 a.w�a-� Inventory Total Amount: a� � SpPE�LMSDS: License#: �k Tier II : �� 05 Labeling: 9i � Spill Plan: 'Ye,g Oil/WaterSeparator- Floor Drains: o Emergency Numbers: `f e.S Storage Areas/Tanks: — CoVI Emergency/Containment Equip ent:401(V.,o� 6 D,0 p&,L!y Waste Generator ID: �T Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license fr m the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers J 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, g6VA e-o f 0A8-4 6a-4 y K),e-e.K—Y"vAiV4r�olnric acid, other acids) VIOLATIONS: L47a VI" vlk411AA-ePP L ) O DE S: I C&AAlt 1 Vic. IVN aV0 v INFORMATI bN/RECOMMENDATI S: o 101--f— ('Jwl Atv5 d� p67- Qlk 6 av1, G,` V� a1 -�'$ 1n 1� U Inspector: Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS FINE*oq Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 ` BARN�LE'� 200 Main Street• Hyannis, MA 02601 z639. `0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT CEO MPS a. Business Name: 0_<ve_k0v Date. 6 zS�T Location/Mailing Address: /01 Cor ono-. , Variyl15 Contact Name/Phone: r2>8-9s7- 27t9 -_T„a,,,, Mr,<.,J4s I Inventory Total Amount: ti3 �� -1 MSDS: License#: Tier ll : _ AJ A Labeling: nlr� Spill Plan: &5 Oil/WaterSeparator: Floor Drains: tJo Emergency Numbers: YQ-5 Storage Areasfranks: Q Q E RL e, :�_ 4P K +-w&l1—I (ezR"V;erc.`� Emergency/Containment Eq ipment: \ Oicb, (kS u2l Waste Generator ID: 0(OLt 0 Waste Product: Date&Amount of Last Shipment/Frequency: it, '7op ° h) n- (-Z )( Licensed Waste Hauler&Destination: p 3Ly Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous-material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids kk Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants —� Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Date: 5 /AI / 13 TOWN OF BARNSTABLE Sq �t TOXIC AND HAZARDOUS MATERIALS N FORM NAME OF BUSINESS: Malde-(ov5 C )e,4"—(, s BUSINESS LOCATION: 101�,ti<O� o� 1� . ��ar'^� s INVENTORY MAILING ADDRESS: Sotvm<_ TOTAL AMOUNT: TELEPHONE NUMBER: 3'a8- qS7-z7b g 324 CONTACT PERSON: C7 c e EMERGENCY CONTACT TEIIEPHONE NUMBER: dD-13- 737-;7-Z67 MSDS ON SITE? TYPE OF BUSINESS: r au,c ( `des - ' INFORMATION / RECOM /ENDATIONS: 4141k, 4,194,6r6vs Nlt�e�,a15 Fire District: It GeK M 1 t r �L'.e. ox a rK , Rj a.K v\ t S 6 xw "re.4c: ora 4Adk. 15 /itbe1J Waste Trans portation:-::1jK000Q Sv;Z10 Last shipment of hazardous waste: (, 2 12 Name of Hauler: a Z "VL Destination: clad' e A C .y- Waste Product: Qv& -r k ec .e zkA Licensed es o /PI hDSV%07-$�Z.. 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) Z 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 Igo o- Other chlorinated hydrocarbons, Lacquer thinners 3jl2o to,, e, (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 I� (including bleach) # 4,'te,�,, ', 00.j46 r5 CeMaVedC Byte.e— /Y y- Spot removers&cleaning fluids (dry cleaners) L i� � �D f I�c>•cfs �k r��olL7� n c. Other cleaning solvents Bug and tar removers Ago,o, OK jt4e,. Ot pc .e �bforb�-��s ►fQo Windshield wash Af of 4-4 L. WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initial L- 1 Number Fee 175 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Marvelous Cleaners 109 Corporation Rd., Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 -499 gallons 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. ---------------------------------------- m PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2017 JUNICHI SAWAYANAGI . _ THOMAS A.MCKEAN,R.S.,CHO • Director of Public Health ' ow of Unstable eg atoervices Richard V. Scah, Director AA Public Health Division BARNSTABLE = t 8"•RYS?i6tk• xl[RYR1E -11UIT•HYa.t:ls BARNSTABLE, Thomas McKean, Director MAS& R="5" ;6;9°"Za 4t`e4 ArEo �0. 200 Main Street, Hyannis,MA 02601 �77� Office: 508-862-4644 q��`�"� C/ Fax: 508-790-6304 X APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE !S3 HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS DULY 1 st—JUNE 30th). APPLICATION FEES CATEGORY I PERMIT `-26 11`0 Gallons: $ 50.00 CATEGORY 2 PERMIT 14 1 —499 Gallons: $125.00 _ VI-6 CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A,PERMIT RENEWAL? / YES NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGEIUSE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: 5. NAME OF ESTABLISHMENT: _' 6. ADDRESS OF ESTABLISHMENT: Cpk 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: ` 10. SOLEOWNER: r/YES_NO IF NO,NAME.OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME VJ\cXj,(- PRESIDENT. Sal TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE QAApplication Forms\HAZMAT APP 2017 REVISED.docx Number Fee 175 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Marvelous Cleaners 109 Corporation Rd., Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------ `9 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 THE rq Regulatory Services Richard V. Scali, Director z ' BAM#UA MAS& Public Health Division � �+ 16;q. �0� _ .wns�o se,u ' .er A ! Fr fD MPS Thomas McKean,Director � 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 \0 Fax: 508-790-6304 w f+ APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st-JUNE 30th). APPLICATION FEES CATEGORY 1-PERMIT 26- 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ A late charge of$10.00 will be assessed if pgMent is not received by July is ASSESSORS MAP AND PARCEL NO. \ DATE FULL NAME OF APPLICANT: NAME OF ESTABLISHMENT: ADDRESS OF ESTABLISHMENT: MAILING ADDRESS (IF DIFFERENT): C TELEPHONE NUMBER OF ESTABLISHMENT: � �S EMAIL ADDRESS: SOLE OWNER: YES[XNO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME M-X C rckc'sS - PRESIDENT TREASURER lab - CLERK • IF PREPARED BY OUTSIDE PARTY: SIGN PLICANT Name: Company Address Telephone#: Email: Q:\Application Fonms\HAZZAPP Rev I6.docx Page 1 of 2 f' Number Fee 175 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certifythat Marvelous Cleaners i 109 Corporation Rd., Hyannis, MA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------------------------------------------------------------------------------------------------------------------ -------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2016 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF, D.M.D. 07/01/2015 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health S, rst Town of Barnstable �1HE Regulatory Services ti Richard V. Scali, Director B" MAE& Public Health Division ,fig iOTF1 39. 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 r APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT 066 J QO (LA-\01-i Ld, kq1--%VlAi5" nn T — • TELEPHONE NUMBER 50� SOLE OWNER: V YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 9 L2 12q qq 3 STATE OF INCORPORATION Al -JS FULL NAME AND n HOME ADDRESS OF: pp PRESIDENT (25e0j C f' E t 09 Co/O J/CA 0, TREASURER 1jo3jcJv rt, r CLERK a z SIGN RE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPH(PAt# 9'Og- 13'� HiAZAPP.DOC I ar�'t Town of Barnstable Office: 508-862-4644 Fax: 508-790-6304 Regulatory Services Department Public Health Division MASS. Thomas A.McKean,CHO • 200 Main Street, Hyannis, MA 02601 Payment Receipt `Hazardous Materials Payment received: $100.00 (Check) on 7/27/2015 Permit number: 175 Check number: 1704 Check amount: $100.00 Name on check: Marvelous Cleaners Inc. ;Business: Marvelous Cleaners Owner: MATTHEW H & ;Address: 109 CORPORATION STREET, Hyannis I i TOWN 01= RARNSTAC3LE ;50HPLIANCHI CLASS: 1. tlarine,Gas Stations,Rfpair P satisfactory 2. Printers ETMR . Or HEALTH 3. Aputo Body Shops �/ Q unsatisfactory- 4. ilanufacturers COMPANYOW6-1 ) )E Mt7�N6L J �K (see"Orders") S. Retail Stores �t � 6: ruel Suppliers ,� AbDRess (. , }J�f nlP��1 t') � NVP��Vt Class: ! 7. Miscellaneous � ;r-� 6Pff QUANTITIES AND STORAGE (IN=indoors; OUT-outdoor MAJOR IWTBRIALS • Case -lots Drums AboveTanks Underground Tanks HL )l 41iT. ____"a l l ons Rite 1W Fuels: • Gasoline, Jet Fuel (A) Diesel, Kerosene, 02 (B) Heavy Oils: waste motor oil - (C) new motor oil (C) transmission/hydraulic - 'Synthetle Organics: degreasers • .Miscellaneous,: CI (/Lo "(00 PK ISPOSAL RECL M T ON REMIUS: 1. Sanitary Sewage 2. Water Supply . O Town Sewer 0 Public on-site Private rj� ,, r 3. Indoor Floor Drains: YES Y NO Q Holding tank: MDC rf) �- ��`d O Catch basin/Dry well On-site system 4. Outdoor Surface drains:YES NO O HoldinL tank: p1DC 10 Catch basin/Dry wellf � OOn-site system S. Waste Transporter Licensed? 11ma""aulDr- De4tination .Waste Produ= YES No 4 A, 1r'j dl-N 1223ei ' erson s IntervVewed Inspector, Date TOWN OF BARNSTABLE : Ordinance or Regulation BAR -W 6039 WARNING NOTICE III Name of Offender/Manager V �N c i ous Rabe ly Address of Offender MV/MB Reg. # Village/State/Zip Business Name ^at V2 ttot. c ie _rs am pm;. 5 l ,on � 5 20 r Business Address 101 cof pe('ail'yr> 1 y !Pgnature of Enforcing Officer Village/State/Zip HAoLons S //Aa i pa G01 Location of Offense Aa(VeJO()S CleCknk(S t eA14b 8w4w4 /' + Enforcing Dept/Division Offense. VIGlI.E"�' n � n &e lcq' O (L')ceok of)� ( }1��'f plod Facts �Lgbess owner Its Sfof'Inq < itt cLfQ" ? 0b U160S Q- �a'200us I' ch(-'4� W'A(X)� Qf o Kr hce'&w. SU�N� aPP11'(aUn J e£, f fee be` f_ J Une 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 OFFER GOLD- ENFORCING DEPT. TOWN OF BARNSTABLE0 � Ordinance or Regulation BAR -W WARNING NOTICE Name of Offender/Manager V ionic I Qus Rabelo , Address of Offender MV/MB_Reg. # Village/State/Zip { Business Name Act(ye llx,6 am:/pm; on / 20 Business Address- 101 (_0(P6(aAibf\ t�G 1 r '� Signature of Enforcing Officer Village/State/Zip H�unn�5 /AU`f/Qa�DO Location of Offense tA0'(V e1Cx)5 Cleaw S Hea4 �ePar4net4 Enforcing Dept/Division � � t'Offense V'o6on O� n &C to Ma Facts, es<.* owner i5 01 oc4 »�I ' C�ail��s �C06LA I�OWlaIs WAov� PtDPF-r hce6nA. 5JIM Ckppl1'(,Ayp tie- 4- 1,Ak 4�e be6e aune 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,,Ruies 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 OFFER GOLD- ENFORCING DEPT.