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HomeMy WebLinkAbout0083 CORPORATION STREET - HAZMAT ss�+w� � �'sT � , Ala .100 I °p IME r°w� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 9g"MA5M. 200 Main Street• Hyannis, MA 02601 t639. M 6. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rFD A'S n� Business Name: And)c c AIL 0oJV)1G Date: ow 0� Opp Location/Mailing Address: <O rPonu-Von a A Contact Name/Phone: 779-a- I Y- Inventory Total Amount: II I lbelina: SDS: e License#: ODaTier II : D Spill Plan: C Oil/Water Separator: 0 Floor Drains: Emergency Numbers: Storage Areas/Tanks: Emer enc /Containm nt E ui ment: ti Waste Generator ID: Waste Product: Date&Amount of Last Shi ment/Fre uen : (/� YnrV 0 Licensed Waste Hauler&Destination: /S Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE:,Under the provisuons of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: SVV—lrlf- Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS 1 tNEr° Town of Barnstable Office:508-862-4644 • °� Public Health Division Fax:508-790-6304 • BnRMA .$ q 200 Main Street• Hyannis, MA 02601 039. �'DrFOMA�a`0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: AAr-1m,r Ave Date: ? 2l I Location/Mailing Address: �� L°m�Dor �o.�- 96Q S Contact Name/Phone: IQ i e-k �rI e we! �e.4-t, Z Sow-77�=621 F3 Inventory Total Amount: ti 2� MSDS: bs. a- r .ag License#: l ob2 C&+Z Tier II : N o Labelina: Spill Plan: e ost Oil/WaterSeparator: Floor Drains: )Jv Emergency Numbers w Storage Areas/Tanks: 2.5oeitk 5 , •�Q Emergency/Containment E i ment: 5 \/-N k -C-->, a, 5er• e v,5t k2.. Waste Generator ID: 12\S2 Waste Product: vJU 1elw. �• 5 Date&Amount of Last Shi ment/Fre uenc : 6 Z I 0LI A— 9- Licensed Waste Hauler&Destination: <s Other Waste Disposal Methods: 5g&,c ge,04-A 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 V 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 JV141 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/RECOMM`ENDATIONS: dam, a k�<� �, �.� oats v � •ts S 6y� Y.vl 5 s `k� , b �x \ G. .Z(:�Y Q O V . 5 Q t co ` eA-\ �� SACS�a! 1�A.Sc.pco�GkS ev�a,���•ccam�// Inspector: Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS 4 \ Number Fee 1002 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that Anchor Auto Body 83 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 K} .ut f �N �'. Town of Barnstable Regulatory Services � Richard V. Scan,Director ` Public Health Division i63¢ � wn Ec► '' Thomas McKean,Director FTM 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax:1-108-790-6304 Application Fee:$100.00 ASSESSORS MAP AND PARCEL NO. O-:Y- DATE 0( ° Oa. 401C- APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT � ►Aeo �-- M � � NAME OF ESTABLISHMENT Ji ,,�� ADDRESS OF ESTABLISHMENT a CCp Ztt m t?0.4Z4 Y—WM'jTJ cc-WV0 TELEPHONE NUMBER 50T '71 5- mac- 16 SOLE OVVNER:� NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION M46SPC.C, ' s FULL NAME AND HOME ADDRESS OF: �. PRESIDENT A" SAWt . M$4/I+QC- TREASURER � {�$p�`I' CLERK -9 rAoMei 1- e�Fi sa,\ • ATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS `g HOME TELEPHONE# -51046 - C:\cache\Temporary Intemet Files\OUDMAZAPP Rev2015.DOC IME►Okh Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMS�LE.$ 200 Main Street• Hyannis, MA 02601 p t639. p�0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rED MP'� Business Name: &"-e U- o Date: Location/Mailing Addres r✓a 1 g>►ti- Ky/l r S Contact Name/Phone: e .L4e, 4-4 v-- -7'TS: 21 C � Inventory , ad Total Amount: ^� MSDS: 2 5 License#: OD2- Tier II : 0 Labeling: _® Spill Plan: Oil/WaterSeparator: IJ Floor Drains: No Emergency Numbers: BY` Storage Areas/Tanks: 2'T67,10 <,j,nn5 Emergency/Containment Equipment: Q,lk kA w 45 e_1 Waste Generator ID: AM)4C P2 g Waste Product: Date&Amount of Last Shi�ment/Frequency: _14',f 0(61" 2013 •t 8ce Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) `/ Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants V 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,bo�,,� 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: of vvAA ,,2ct�t1 CVVi,+4i LA-- A kf I l• I Inspector Le,j.e l[42— Facility Representative (�2��� WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Nov 02 15 11:01 a P.1 ,4 ANCHOR AUTO BODY INC 83 Corporation Road,Hyannis,MA 026oi 5o8-775-6218 5o8-,71-i153(Fax) Anchorcollision.com Fax TO: FROM:Anchor Auto Bodv,-Inc. -------------- f ---------�ca�- S7r - - ------------------------------------------ PAGES: l ---��-�----- ----� - 1 -- -- --- ---5ia -----..F - I It "-- �"T ---------------•---------------------------- --------------PHONE:--� '- ��- ------ -L-I--------------------- ----------------------- --- -------------------- - - -------- ----- COnaMENTS: an( _ . l�os�D t Pe�G g4eMC r'y\k� y Urgent Fj Please review F] Please comment For your records THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR � QUALITY ORIGINALS) IMA I / � L DATA Nov 02 15 11:01 a p.2 All and Inclusive Envronmental Inc PO Box 290664 A Charlestown,MA 02129 3P. (2lUU)438-M83- - DATE INVOICE NO. P.O.NUMBER TERMS PROJECT QUANTITY DESCRIPTION RATE AMOUNT TOTAL �. - .- Nov 021511:02a p,3 Please print or pe.(Form designed for use on elite(12•pft)typewriter.} t Fosn Apprtbwed.OMB No.2050 0039 U 1aFM H AZARDO U6 • 2 Page 1 of 3.En';jWy Response Phone 4•Vardhat Tdg Numb& mo:_ 0 SGneaodNamadMAdress , 0-V JJK Z_' ,. Genardto>'s SiteAddr�stBtfrFenantBlaa marl¢g adtlra55) Grsrealor'sPlmme:�'-;f=t- �'.)-'_'+'•.., B.Transpoder 1 Company M1lame US.EPA ONtsaber Trarupotter 2 Company Name ' U.S.EA ID N:nnber fl Desagnated F.Xy Nw e_and Se Address U.S.EPA ID Number - Facifwi Phou: ga. 9b.L.&DOT Description(its Pmpr 5ldppirg Name,Hazard Class,ID Numbe, IQ Ca>>emers 11.7ogd Munn HN and Paddrtg Group(lorry)) type I I.T tty Munn 13_Waste Codes No. 1. DC 7,ICE �.: UJI Z 2. tIJ 0 3. 4 A.Special HandlN InaWctimsardAdddarnitntamaion 15. GENERATOR'SJOFFERDR'SCI'•7tTIRCATION:Ihe24gdederadw.theoitentsofftcansOurtWwekftendaccuratelydera6bedabwebytheprcw d#porgna•ns,and are cessmed,padmpd, ranted and labeledfpfaeatdad,aid min all respects a:proper ewdition for transport accm ng to aP*abie irtaaaliwal and national governmental regrlaftm @ ercportship eall and t am the Primary Exporter.Imrffyfhat the contents cithisamaignmentoonformtD the termsofEreallacbed cfConsent &d Ere waste minor an sWemeat iderIIifled In 40 CFR 26227(s)0lam a large quentty generator)or(b)(Ki am a small quantity ganeratur)s fire. Oetreralerst0f6P[hstedrfype[114a Mooffr_; Day Yeas.. 1fi.lelamt1cnalzm1w its "� Z ©hnpert to U.S ❑Export form U.S- Pad of enby"''t Trartspatersgretee'(for espans oegk Date heaving U.S- 17.L•anspalerAdorovdedgtnanfo`ReceiplofhEatwr ft Transpoft 1 PrhdedfTyped Name Sgnature z Trdr2 WiateMfypedMffiae.t.• S�nahoe. - , ..• moor Day Year • Month try fear 18.Cl�repanry Ift DW M ladmtm Space ❑ Dtr fdy ❑Type ResldrlB ❑Portal Rqetton ❑FrAI,Rejec9am IAanftt Rdewce Number. .18b.Aeamate Facility(or Genera" U.S.EPA E Number' _J LL Fadilyl5 ftna: w 18a.Signature ofAlhemahe Fac ty CarGerreraWi Month Day Year a Z W19,itamrdaeS N rite Report elarragemerd lVettta Codes(✓•a•,codes for h elardoas tree ireetment,ds-et,and recVd1Q syelerrs) n 1. 2 3. 4. 20,Designated Fedlty Amer or Operator.Cia h[raton of rarsipt of hazardous mate covered by the mettitest woept es noted in tbem lea Pnn6eFTyped ace Signature nth Day G71 t EPA Form 8700-22(Rev.3-06) Pretriolu editiorsare obsolete. GENERATOR'S lPIITIAL CQFY te�oq� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 B'";��E. ` 200 Main Street• Hyannis, MA 02601 "rF0 59. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: Av(e1o✓ AJo o Date: Location/Mailing Address: bS r,� t2 kv1✓I S Contact Name/Phone: 4 , a. B Iv1Q c.ke:E S? -7 7S— 621'8 Inventory Total Amount: > MSDS: s Cg _ License#: 1001- �1 Tier II : t Labeling: Ok\ Spill Plan: 4o Oil/WaterSeparator: VA Floor Drains: NO Emergency Numbers: 1% Storage AreaslTanks: w #-0, vwtS t 15'qoLk Ot5 -s- Emergency/Containment Equipment: S S S ova,5�Ae, Waste Generator ID: 21 Waste Product: �It Date&Amount of Last Shi ment/Fre uenc : 12 3 / 7 1 t o a, 2 X r Licensed Waste Hauler&Destination: bodiil 6oveµ yet C taw arbors r ►K fee-/ M6 Other Waste Disposal Methods: 7 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 ZHydraulic 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 J 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: o t ,qv.. ! a a e .e 1 r Inspector: Facility Representative: ` WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS Date: n lad l 13 TOWN OF BARNSTABLEy d,o,ti TOXIC AND HAZARDOUS MATERIALS FORM NAME OF BUSINESS: G oe-A LAo LJ-q BUSINESS LOCATION: o aX 21 INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: -S08 - 7-] G-Z 1 J3 > I 't CONTACT PERSON: 19 I C, FIB ,ti o/ cnA+e- EMERGENCY CONTACT TELEPHONE MBER: MSDS ON SITE? TYPE OF BUSINESS: �> bo U r A- INFORMATION / RECOMMENDATI NS: I�as+�e �, / a✓!�i few 2�PA Fire District: lS.da /oytq4.,c fmytejfv AAA V)yl ,e, z e�0 all e©trtl l�'LLCS yea l��/��p�e�.0 �,Jh,cn. nOt- IYt Use 3� C'lealp,,k1,oIf �strtIe L,- ►MDte— VIgI Iaw+ �¢vLlta�oC �: Waste TfrattsPar#a ion: ��tJ 7g l2►.S2g8 Last shipment of hazardous waste: 12 13 Name of Hauler: & o Q i ,1 Destination: C.eaYt 1 -14o«, d3raix f�e2, /✓1� Waste Product: Licensedl e No /Y�F}�OS3y�2-637 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. Obs rved / Maximum Observed / Maximum Antifreeze (forZU gas line or coolant systems) Miscellaneous Corrosive Oti NEW SED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants M or Oils Pesticides o NEW O 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 IJ Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, La quer thinnersYLISED (including carbon tetrachloride) La 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 If L t"(including bleach) `r�L Sq/, QVU -UQ ,�i ivy + ba52� Spot removers&cleaning fluids tt l� L1(dry cleaners) wckr Vx- UQIvI�S im mVC"—Other IT2rll�— cleaning solvents Bug and tar removers S k!g If v4,1, ejW 5 algy1v Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initia i t �4 CA Number Fee 1002 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Anchor Auto Body, Inc. -------------------------------------------------------------------------------------------------------------------------------- 83 Corporation Rd., Hyannis, MA .----------------------------------------------------------------------------------------------------------------------------------------------------------------------- Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons 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 Town of Barnstable Inspectional Services BAP�6EABLE OF M TnPtEowr-•Y—ls Public Health Division ..�sV"" ` 1639-2014 i BAMs,•AB Thomas McKean, Director D� 1659. s`� 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790=6304 : s APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS Co 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 V Vel-��G� 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. ai�\3 • ®ya 2. IS THIS A PERMIT RENEWAL? t 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)? AYES NO. 4. FULL NAME OF APPLICANT: -T. 5. NAME OF ESTABLISHMENT: 4 NCb� AU'76 3a.>,V _ �C 6. ADDRESS OF ESTABLISHMENT: VA— LAV A&WJ9, C040( 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAILADDRESS: 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT � �a-e.s_� 50 S aar,40 ` (MAS* TREASURER 1�?t-GrolArIc�5r CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE Ora- at.2oaC) Q:VApplication Fonns\Haz Mat Appli Draft Jan2019.docx Number Fee 1002 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Anchor Auto Body, Inc. 83 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 r b 4L . 19 Town of Barnstable Inspectional Services BARNSTABLE V`S .IST AP._F-LL^itE"a\::1•'.CNR•NTNiKi S�.. Public Health Division WYSTC!:i 41U5=c'STFF' niT B4rt'K•.S.E aAt. • '� � X� BARNMBLE, ' Thomas McKean, Director r.a i639• ,0� 4f prEo�,,p p 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE ra HAZARDOUS MATERIALS X_, 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 19 1/ ��, D CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ '`'l *A late charge of$10.00 will be assessed if payment is not received by July 1st. `�( Q 1. ASSESSOR'S MAP AND PARCEL NO. 2o00 — ® i 'J 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: '?—=AftgjN 5. NAME OF ESTABLISHMENT: DLO a2. %D 6: ADDRESS OF ESTABLISHMENT: �' CO2-P02A--I a004-5� � 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: Z-75-- 621%-GQ5 9. EMAIL ADDRESS: �'�e� ® anGvq rcj=)Ws%ort. oom- 10. SOLEOWNER: JL <_NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME lSC t2P- DY 5'p-ac, PRESIDENT TREASURER ��� � CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE 05�. M)2-�Ot'/ Q:Wpplication Forms\Haz Mat App Revised 09-10-18.docx Number Fee 1002 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Anchor Auto Body 83 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. ----------------------- -------------- 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 fp " Owrx of nstable Regulatory ervices Richard V. Scali, Director ° o Public Health Division B STABLE • w r�cns: ,f.rei�.conn•m..ris = &MMSTABM ` Thomas McKean,Director 6 9 ZO 4r sr Pac HSrwf �f1639-r�s�� 200 Main Street, Hyannis,MA 02601 575 �b Office: 508-862-4644 Fax 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS to 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—JUKE 30th). W 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 payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 0 1,3 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: 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: %3 C(z3P—PC)V-P,--t c->�4 V-o 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 5Zg-_ �3-7' 6 C 7;( 9. EMAIL ADDRESS: l L� C'A CI C�O SSG G Vl G o� 10. SOLEOWNER: YES_NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME A-K AcrM Zc-�D .. PRESIDENT 50 t` l�1pec- TREASURER v v v K CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICAN DATE (5G -C:)37 Q:\Application Forms\HAZMAT APP 2017 REVISED.docx Number Fee 1002 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Anchor Auto Body 83 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 06/30/2017 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 f v. Town of Barnstable �tKE�wti Regulatory Services Richard V. Scali,Director ' BARN ABLE ' '"�"'�"B�' ` Public Health Division 16 y. 0� eaanraoc•evnce mrvn•nueus 3 b1 wa:r«srws•os�vtE•wse,a,sn A'ED 11°� Thomas McKean, Director 163*A4 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 5X 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 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 payment is not received by July 1st. ASSESSORS MAP AND PARCEL NO. 0R5"C tS DATE C* _Oa _ �0116 FULL NAME OF APPLICANT: X. TletW [..A NAME OF ESTABLISHMENT: k3 9ikxby. i4.Le ADDRESS OF ESTABLISHMENT: Gq-7D POOZ k44JV MAILING ADDRESS(IF DIFFERENT): TELEPHONE NUMBER OF ESTABLISHMENT: EMAIL ADDRESS: ` Q oG`_`1C7t" l I is t , SOLE OWNER: YES_NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS AND TELEPHO #OF: CORPORATION NAME PRESIDENT """ TREASURER G Z-3 49('3 CLERK ®. f - S L�2A G(7(A SA &� IF PREPARED BY.OUTSIDE PARTY: SIG _ APPLICANT _Name: Company Address Telephone#: Email: Q:\Application FormMAZZAPP Revl6.docx Page I of 2 y Y Number Fee 1002 THE COMMONWEALTH OF.MASSACHUSETTS $1oo.00 Town of Barnstable ' r Board of Health This is to Certify that Anchor Auto Body 83 Corporation Rd., Hyannis,MA .02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2011 unless sooner suspended or revoked. WAYNE MILLER,M.D.,CHAIRMAN PAUL J.C_AN_NIFF_,_D.M.D. 6/30/2010 JUNICHI SAWAYANAGI - — _, ..,r.. .:.:....,....,.._...._,.....THOMAS A..MCKEAN,.R,.$.,CHO Director of Public Health i Town of Barnstable �oFtHE To Regulatory Services y�P �°" Thomas F. Geiler, Director eARNSfABLE. ` Public Health Division y MASS. 1639' 'rE0 Mai Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. 0%©O I?-) DATE o 6 " e C)0 10 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN I II GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT T VL%N�-Ftpa NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT S3 1 04Z ^, C�I 4141(s 1:rWq • TELEPHONE NUMBERS 'Z`] QS SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION OAA-S-3�(,5 e(4--GG-17-S FULL NAME AND HOME ADDRESS OF: PRESIDENT �'� CHAR-� �r�-r/�'�PfC•� O ` C '- € .., �I�� . TREASURER - 'p A CLERK • SIGNATURE OF APPLICANT _ AICAP141 RESTRICTIONS: HOME ADDRESS ® HOME TELEPHONE # ,SCQS `7$'7 • P C Haz.dochvply V ANCHOR AUTO BODY, INC. 83 Corporation Road C Hyannis, MA 02601 • 508-775-6218 o Fax 508-771-1153 • HAZARDOUS WASTE CONTINGECNY PLAN • All material stored on a concrete floor, concrete block structure. • Hazardous waste room has fireproof doors on both exits • Hazardous waste spill kit on premises and readily available for use in hazardous waste room. • Continue education at hazardous waste seminars conducted at Cape Cod Technical School, help conduct training seminars, one of employees is shop teacher at the Cape Cod Tech. All shop employees • are required to attend Hazardous waste seminars. Also conduct in house training. • Auto Body Solvent Recovery, Inc. 180 Canal Street Boston, Ma picks up our hazardous waste material on a bi monthly basis. • Our newly instituted material reduction use program is'producing more than 50% less hazardous as as previously recorded. • The installation of permanent monitoring wells on premise insures, by testing, that we have no waste going into the ground. Number Fee 1002 THE COMMONWEALTH OF. MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Anchor Auto Body 83 Corporation Rd., Hyannis,MA 02601 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 6/30/2010 unless sooner suspended or revoked. _---------------------------- - WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF, D.M.D: 6/30/2009 JUNICHI SAWAYANAGI THOMAS A. MCKEAN,R.S.,CHO Director of Public Health ,p Town of Barnstable 8arrtstabible Regulatory Services Department Aa m sl a Public Health Division 9A sa34. � ` 200 Main Street, Hyannis MA 02601 Pfn �� 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. cQ: DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT V C�1 QI'd �a. 1 l n NAME OF ESTABLISHMENT .oy- fy,3UZ —MC 1 ADDRESS OF ESTABLISHMENT R n • TELEPHONE NUMBER SOLE OWNER: V YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS�F ALLY PARTNERS: v cc x. v C ) c, IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAM"XkHOME ADDRESS j PRESIDENT 1 1 1 1 TREASURER CLERK SIGNATURE OF APPLIICANT .� • RESTRICTIONS: HOME ADDRESS ' Gbh --, HOME TELEPHONE # 5 4-n VO f Q:\Hazmat\Haz Mat Application2008.DOC Number Fee 1002 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Anchor Auto Body 83 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 'kw of Brnslable eg atory ervices Richard V. Scali, Director ' oft � Public Health Division BARNSTABIE . . a r BnaHsaelE•C&rtOmuF.mfUrt•xvcAwls a BAMMBM • nnxsroxs wl:5•o51Eav].IEw-}arxsrneF MAes. $ Thomas McKean, Director 1639-2014 — - -- - -=639.- --- 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 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 X 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 STORAGE/USE OF • GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: �. -e .G> Jam. L /1e\�pSCT 5. NAME OF ESTABLISHMENT: 44"Dcw 2 C� 6. ADDRESS OF ESTABLISHMENT: S c �ke—p Mlc ae�AJC� 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: a- i3 9. EMAIL ADDRESS: _- `►c�- Ct F1C—V\r—>(Cp(tC51c5n_CE>^A 10. SOLEOWNER:ZYES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDIYSS,AND TELEPHONE#OF: CORPORATION NAME (44 1120 . PRESIDENT F:6��Qn ,�, ��EG TREASURER v CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE (!:),S7 t t� Q:\Application FormsWAZMAT APP 2017 REVISED.docx