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FTHETO Town of Barnstable Office:508-862-4644
O ly
Public Health Division Fax:508-790-6304
BARMA�RLE.� 200 Main Street• Hyannis, MA 02601
�'OrEDMP�p,O TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT
Business Name: Fan" m.,i s Date: 3 VA
Location/Mailing Address: r'.' s 11
Contact Name/Phone: )113
-
Inventory Total Amount: MSDS: License#: 1�I
Tier II : tiff Labeling: NIA Spill Plan: Oe's
Oil/WaterSeparator: No Floor Drains: IM Emergency Numbers: t
Storage Areas/Tanks: ;r SOU
Emergency/Containment Equipment: r& ;
Waste Generator ID: JWaste Product:
Date&Amount of Last Shipment/Frequency:
Licensed Waste Hauler&Destination:
Other Waste Disposal Methods:
LIST OF TOXIC AND HAZARDOUS MATERIALS
NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use,
storage and disposal of 111 gallons or more requires a license from the Public Health Division.
Antifreeze Dry cleaning fluids
Automatic transmission fluid Other cleaning solvents&spot removers
Engine and radiator flushes Bug and tar removers
Hydraulic fluid (including brake fluid) Windshield wash
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 �,. V Miscellaneous Combustible
aint&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: no M(c)-ftMI ,
Ins pe -
Facility Representative:
WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS
i
°F�nE roKti Town of Barnstable Office:508-862-4644
Public Health Division Fax:508-790-6304
• BA MAR,%.LE.$ 200 Main Street• Hyannis, MA 02601
�plEOMP TOXIC AN-D� HAZARDOUS MATERIALS INSPECTION REPORT
Business Name: scaw 6k Neo 19 ' Date:
Location/Mailing Address: ¢
Contact Name/Phone: A— 71'
Inventory Total Amount: MSDS: o License#: I
Tier II : 0 Labeling: e-!& Spill Plan:
Oil/WaterSeparator: Floor Drains: Emergency Numbers:
Storage Areas[Tanks: ,
Emergency/Containment Equipme : ' ► KA44
Waste Generator ID: Waste Product:
Date&Amount of Last Shipment/Frequency:
Licensed Waste Hauler&Destination:
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.
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/R COMME DATI NS: O� E p Or - t ,.
L M
Inspector-
Facility Representative:
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS
Number Fee
1327 THE COMMONWEALTH OF MASSACHUSETTS $50.00
Town of Barnstable
Board of Health
This is to Certify that Salon Raffaele Nina
.................................................................................................................................
11 Enterprise Road Unist 1& 2, Hyannis, MA
.....................................................................................................................................................................----
Is Hereby Granted a License
For: Storing or Handling 26 - 110 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,. .,, BARNSTABLE
Public Health Division �I'raze-ct•nlEahia•Conlrt•nranuls
1639-1014
i BAAN9rABM Thomas McKean, DirectorMAS& IT;'
%639- s 200 Main Street, Hyannis,MA 02601 r�
Office: 508-862-4644 Fax: 508-790-6304
APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE 7-�
HAZARDOUS,MATERIALS r
IN ACCORDANCE WITH THE TOWN OF BARNSTAB'LE 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 [M1/ �' G�
CATFGORV"2 PERMIT 111 —499 Gallons: $1,2.5-00 ❑ �w toss(
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.Y
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 KZ AN IES( GALLONS)? YES NO.
4. FULL NAME OF APPLICANT:.
5. NAME OF ESTABLISHMENT:
6, ADDRESS OF ESTABLISHMENT:
7. MAILING ADDRESS(IF.DIFFERENT FROM ABOVE:
it
8. TELEPHONE NUMBER OF ESTABLISHMENT: aiX wl�
o
IWA
9. EMAIL ADDRESS:
10. SOLEOWNER: YESYYNO IF NO,NAME OF PARTNER:
11. FULL:NAME,HOME ADDRESS,AND,.TELEPHONE#OF:
CORPORATION NAME
PRESIDENT
TREASURER
CLERK.
12. IF PREPARED BY OUTSIDE PARTY:
NAME: is TELEPHONE#:
• COMPANY ADDRESS i= EMAIL:
SIGNATURE OF APPLICAN DATE \
Q:Wpplication Forms\Haz Mat Appli Draft Jan2019.docx
Number Fee
1328 THE COMMONWEALTH OF MASSACHUSETTS $50.00
Town of Barnstable
Board of Health
This is to Certify that Hair-Lines Inc.
.--------------------------------------------------------------------------------------------------------------------------------
11 Enterprise Road Unit 8, Hyannis, MA
.-----------------------------------------------------------------------------------------------------------------------------------------------------------------------
Is Hereby Granted a License
For: Storing or Handling 26 - 110 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 BARNSTABLE
OF M tNSTABLF•CEMIWLL-C=N-FTANAIs
Public Health Division „u RISNiLLS1639.20114 BA0.N54BF.
1639;F2014
Thomas McKean Director
MARK � �
en 3.` 200 Main Street, Hyannis,MA 02601
�u
Office: 508-862-4644 Fax: 508-790-6304
V '
APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE `R
CO
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—DUNE 30th).
APPLICATION FEES
CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00 pf 4 . coA
CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 ❑
CATEGORY 3 PERMIT 500 or more Gallons: $150.00 El
*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? V 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:. c1.cc ( WIQ S
5. NAME OF ESTABLISHMENT: fa(*Y I I K'C S
6. ADDRESS OF ESTABLISHMENT: v ✓! Z 4 n 1 a o
7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE:
8. TELEPHONE NUMBER OF ESTABLISHMENT: SOS - 77/- oo�
9. EMAIL ADDRESS: - LXAA ,i1 Q s 1-it C
10. SOLEOWNER: YES I NO IF NO,NAME OF PARTNER: r �ej I ,P r Il 0 t�PS.
11. FULL NAME,HOME AD®DJRESS,AND TELEPHONE# F: ��
CORPORAT NAME 11l v ��t 5&71�1 r 0 is q5
PRESIDENT
TREASURER a
CLERK
12. IF PREPARED BY OUTSIDE PARTY:
NAME: TELEPHONE#:
COMPANY ADDRESS EMAIL:
• SIGNATURE OF APPLICANT tATE
Q:\Application FormsWaz Mat Appli Draft Jan2019.docx
Number Fee
1328 THE COMMONWEALTH OF MASSACHUSETTS $50.00
Town of Barnstable
Board of Health
This is to Certify that" Hair-Lines Inc.
11 Enterprise Road Unit 8, Hyannis, MA
1s Hereby Granted a License
For: Storing or Handling 26 - 110 gallons of Hazardous Materials.
------------------ -- --- ---------------------------------------------------------------- ----------------------------------------------------------------
This license is granted in conformity with the Statutes and ordinances relating there to, and
and expires 06/30/2020 unless sooner suspended or revoked.
----------------------------------------
PAUL J.CANNIFF, D.M.D,CHAIRMAN
DONALD A.GUADAGNOLI,M.D.
07/01/2019 JUNICHI SAWAYANAGI
THOMAS A.MCKEAN, R.S.,CHO
Director of Public Health
Town of Barnstable
Inspectional Services BARNSTABLE
V'T MRwv-BtE-W4111::L-cQlin-rttN1rc ,t
o Public Health Division575
9BARNwABLE,$ Thomas McKean, Director
1659. 10 h` hid
200 Main Street, Hyannis,MA 02601 D
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 grL
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.
2. IS THIS A PERMIT RENEWAL? VYES_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:
7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE:
8. TELEPHONE NUMBER OF ESTABLISHMENT: 7 71 400 c�
9. EMAIL ADDRESS: in;4 61A, 05 Jae! QAACat CO&A
10. SOLEOWNER: YES -/NO IF NO,NAME OF PARTNER:
11. FULL NAME,HOME kDDgES AND T24&C
LEPHONE#O
CORPORATI AME 7 [ O �p�.� I S�LrV �,PRESIDENT I
I
TREASURER
CLERK
12. IF PREPARED BY OUTSIDE PARTY:
NAME: TELEPHONE#:
• COMPANY ADDRESS EMAIL:
SIGNATURE OF APPLICANT DATE-5-La /s G q
Q:\Application Forms\Haz Mat App Revised 09-10-18.docx
,I
Town of Barnstable Office:508-862-4644
Public Health Division Fax:508-790-6304
96A MASS.BLE00. 200 Main Street• Hyannis, MA 02601
�prFDM 0. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT a
Business Name: kr6inc, Date: a6/l 7
Location/Mailing Address: F
Contact Name/Phone: 7 N-9, -rj303 /.SOJ-77(- y004
Inventory Total Amount: < SDS: License#: �13
Tier II : No Labeling: Spill Plan:
Oil/WaterSeparator: NCB Floor Drains: Nb Emergency Numbers:
Storage Areas/Tanks:
Emergency/Containment Equipment: Vi'll P+, ftp Yb 4s,
Waste Generator ID: Waste Product:
Date&Amount of Last Shipment/Frequency:
Licensed Waste Hauler&Destination:
Other Waste Disposal Methods:
LIST OF TOXIC AND HAZARDOUS MATERIALS
NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use,
storage and disposal of 111 gallons or more requires a license from the Public Health Division.
Antifreeze Dry cleaning fluids
Automatic transmission fluid Other cleaning solvents&spot removers
Engine and radiator flushes Bug and tar removers
Hydraulic fluid (including brake fluid) Windshield wash
Motor oils Miscellaneous Corrosives
Gasoline,jet fuel, aviation gas Cesspool cleaners
Diesel fuel, kerosene, #2 heating oil — V 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 �ye or caustic soda
Lacquer thinners Miscellaneous Combustible
VPaint&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: 9 P) A)
WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS
IB rti Town of Barnstable Office:508-862-4644
Public Health Division Fax:508-790-6304
98"MSS. 200 Main Street• Hyannis, MA 02601
�A�EDMA TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT
Business Name: a I< Keg rKG Date: 7 m I s
Location/Mailing Address: I I Ov, S I
Contact-Name/Phone: c %J ►ti - Z-I 0303 p - �7l - �}vo�(
Inventory Total Amount: '�'�1 Al SDS: 40 License#: 131LIB
Tier II : Labeling: ka� t 'e �`f Spill Plan: +o
Oil/WaterSeparator: NIA Floor Drains: Emergency Numbers: " t1
Storage Areas/Tanks: \ cowxa�w2�5 D11,•5
Emergency/Containment ui m nt: ee :�
Waste Generator ID: Waste Product: b e. -cK
Date&Amount of Last Sh pment/Frequency:
Licensed Waste Hauler&Destination:
Other Waste Disposal Methods: &5S� IS NOVA 0tlb.Leo C-&,C
LIST OF TOXIC AND HAZARDOUS MATERIALSt�� Sot L
l� N,�,lL o� C�,q,'A,gt_,1 w l vL�Fi�'EOr S I►1 G� IQ--,
NOTE: Under the provisions of Ch. 111, Section 31, of the&Xal Laws of MA, hazardous r1w, ial use, I
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 ` 0
Gasoline,jet fuel, aviation gas Cesspool cleaners f�Dt.
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 �e�osol-t
Lacquer thinners Miscellaneous Combustible
Paint&varnish removers, deglossers Leather dyes
Miscellaneous Flammables t, Fertilizers
Floor&furniture strippers faIlow mrfwwtlt 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) (�
VI LATI S: 421-&Jw e-f%&. Ce-W& - �X 1 D Qu- 65",
21nn �e 4
ORDERS- S
2 wt a c V
111FORM#10N/R COMM NDATIONS: 5
1ti as
Inspector
Facility Representative:
WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS
TC lo Town of Barnstable Office:508-862-4644
Public Health Division Fax:508-790-6304
• RnRMA�,%. ` 200 Main Street• Hyannis, MA 02601
1659.
MA TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT 3I2i I I-]
RFD 'S
Business Name: y 4���� -� �� Date:
Location/Mailing Address: 'Rk yv,•k *P S I-��►ti�ti,S
Contact Name/Phone: Dq,v,GQ •�I��,a.ti. , s-F .e.,n.�w,l 7'i'�-21S O 3D3
Inventory Total Amount: SDS: O a"^� License#:el_?�7 Ck4
Tier II : AJ6 Labeling: Spill Plan: 41�, o*o
Oil/WaterSeparator: Floor Drains: O-D Emergency Numbers:
Storage Areas/Tanks: av&k
Emergency/Containment E ui ment: e\0 ,1 w, ,fT5 G
Waste Generator ID: Waste Product: AtifZA"-I.
Date&Amount of Last Sh pment/Frequency:
Licensed Waste Hauler&Destination:
Other Waste Disposal Methods: o_'_•.xvy5 xi �6,r, tp4e_\te
LIST OF TOXIC AND HAZARDOUS MATERIALS t 'b•�c'r al aQ,s�os�c.�
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 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 1 ��s Wood preservatives(creosote)
Asphalt&roofing tar �W. �5�, cy Swimming pool chlorine 2
Paints, varnishes, stains, dyes Q° Lye or caustic sodac�o5e� '� DS�� t
Lacquer thinners Miscellaneous Combustible q\mv`-aca` I 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"
Z f o"50"I 01�� (including chloroform, formaldehyde,
'DZVeA rs 2i J,3 ,�SX$4 Z 2 hydrochloric acid, other acids)
VIOLATIONS: ( + ►'� +1
ORDERS:
INFORMATION/RECOMMENDATIONS: C44, 4�e7to&
RV, a oar V.Gt,"'M.A, rteli �Q�'.ova., S
i c.e vi 5.e., is
�\2 w,.crt . s o« 5 i►- r0I pass of
oJv��Dapr.' �S 1 o c,~ \Aw MA.u ,50-re, m 1 Ineegtor: LQ j l2.
V�ULJ�Oe,� 1 X (� ai,�, �) ,k,�w\�1-(,�,P C Facility Representative: , a
cwr�-SQ�I► r� aL, 5�� �11 �•�i, w,a,F �5�-���',�..,2► �v��le► o
WHITE COPY-VEALTH DEPART ENT/CANARY COPY- BUSINESS W AJ
INE rokti Town of Barnstable Office:508-862-4644
Public Health Division Fax:508-7s0-6304
BARMA..q LE'� 200 Main Street• Hyannis, MA 02601
EOMP+ TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT
Business Name: Date:' 0 9
Location/Mailing Address:
Contact Name/Phone:' ?IS 7043
Inventory Total Amount: SDS: S License#:
Tier II : Labeling: ___reau;I Spill Plan:
Oil/WaterSeparator: O Floor r Drains: Nd Emergency Numbers: 11
Storage Areas/Tanks: HMt Callnmf
Emergency/Containment Equipment: 01r&T;ryq
Waste Generator ID: Waste Product:
Date&Amount of Last Shipment/Frequency:
1�J 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 V 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 10 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:
ORDE S: _e& Q tr 1,4,c or Jr% CO gfiq"c v
INFORMATION RECOMMENDATIONS: 8 h r- v
Inspector: /
Facility Representative:�/
WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS
IMEroNti Town of Barnstable Office:508-862-4644
Public Health Division Fax:508-790-6304
B""MASS. 200 Main Street• Hyannis, MA 02601
.6M TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT
CEO MP'� II
Business Name: 6 i a Vk- a� a2.1'e- J 'I KQ•1s Date: -1 t. 1s
Location/Mailing Address: t i klh
Contact Name/Phone: KoLlfk Sp -77 I
Sao.
Inventory Total Amount: A- 'J �al SDS: ov-- u.aace45 License#: V 3A� ,
Tier II : t 40 Labeling: OK Spill Plan: ���
Oil/WaterSeparator: Floor Drains: ��., Emergency Numbers: yew
Storage Areas/Tanks:
Emer enc /Containment E ui m nt: 5
Waste Generator ID: Waste Product: PIA
Date&Amount of Last Shipment/Frequency:
Licensed Waste Hauler&Destination:
Other Waste Disposal Methods:
LIST OF TOXIC AND HAZARDOUS MATERIALS IJ 0 Yna 1�x G1"�►"�'`-t W t 1n "to fl y,vLC& IaSk ,n5��,a►ti
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 CorrosivesG+� �mcg
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 aecosol`�
Paint&varnish removers, deglossers Leather dyes
�— Miscellaneous FlammablesAt&ow-( k Fertilizers
Floor&furniture strippers ���1''0 PCB's
Metal polishes Other chlorinated hydrocarbons
Laundry soil &stain removers (including carbon tetrachloride)
(including bleach) Any other products with "poison labels"
�TAy Z (including chloroform, formaldehyde,
J Go�kei V hydrochloric acid, other acids)
lw%.,4
VIOLATIONS: '� V ��aVc 5
ORDERS:
INFORMATION/RECOMMENDATIONS:
Inspector:
Facility Representative: 4k�,,k Uu�
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS
IHE►okti Town of Barnstable Office:508-862-4644
Public Health Division Fax:508-790-6304
BARA LE,
MAWR * 200 Main Street• Hyannis, MA 02601
t639.
�FOMA'�p, TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT
Business Name: ow a I Date: :9 2 17
Location/Mailing Address* 11 IRS
Contact Name/Phone: 5i2g3-`Z'7 1
Invento TotalAmount: 4-1 SDS: 0 0 l aLl"- License
Tier II : La eb lin ea Spill Plan:
—
Oil/WaterSeparator: Floor Drains: o - Emergency Numbers:
Storage AreaslTanks: asc 1 w e ovt)r ,C
Emer enc /Containment E i me t: ov�c-IS
Waste Generator ID: Waste Product: -XA
Date&Amount of Last Shipment/Frequency:
Licensed Waste Hauler&Destination:
Other Waste Disposal Methods:
LIST OF TOXIC AND HAZARDOUS MATERIALS
NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use,
storage and disposal of 111 gallons or more requires a license from the Public Health Division.
Antifreeze Dry cleaning fluids
Automatic transmission fluid Other cleaning solvents&spot removers
Engine and radiator flushes Bug and tar removers
Hydraulic fluid (including brake fluid) Windshield wash
Motor oils Miscellaneous Corrosives A•Yw---+"rf's �J
Gasoline,jet fuel, aviation gas Cesspool cleaners
Diesel fuel, kerosene, #2 heating oil i Disinfectants 1
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 Z Miscellaneous Combustible 4ecosols ?-
Paint&varnish removers, deglossers Leather dyes
1 Miscellaneous Flammables�,Ao—. J Fertilizers
Floor&furniture strippers 6AC,*b PCB's
Metal polishes Other chlorinated hydrocarbons
Laundry soil &stain removers (including carbon tetrachloride)
(including bleach) Any other products with "poison labels"
`3 D2^►c 10 cs - -5k 4 X3 (including chloroform, formaldehyde,
y hydrochloric acid, other acids)
nb.,l 04 s1`
VIOLATIONS:_ Q (��1r�xQry
ORDERS:
INFORMATION/RECOMMENDATIONS:
111 5S�
w�.A-cb Ins ector
J� 3urs-Q."— an21nm�s } aec�es s
4tQ C-% Facility Representative:
4' �.�
Qvt �a(� �`� � gk�l�J. 1 l
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS
i
oFt rok Town of Barnstable Office:508-862-4644
Public Health Division Fax:508-790-6304
98AR'STBLE.g` 200 Main Street• Hyannis, MA 02601
t6M
MP TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT
rE0 '�
Business Name: FA vlc A)&, I S 4 Date: _7 6 r'8
Location/Mailing Addres : If 4- 9_< ►52 tin 4 1 I a ►S
Contact Name/Phone: ,G e) -?? -1 Dcl
Inventory Total Amount: ^' t 1 SDS: ' A %4I License#: lit(3
Tier II : Labeling: a.Ve, M,4 60440� Spill Plan: b &5-�'
Oil/WaterSeparator: Floor Drains: Mp Emergency Numbers: 'L
Storage AreaslTanks: o �� nk,ti a,l c
Emergency/Containment Equipment:
Waste Generator ID: Ship
AWaste Product: NDate&Amount of Last ment/Frequency:
Licensed Waste Hauler&Destination:
Other Waste Disposal Methods:
LIST OF TOXIC AND HAZARDOUS MATERIALS N 0 VKa,1 1>< &WLmty i vA_ I hvtwAoty
NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardo7fs 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 AG�,p'r Fertilizers
Floor&furniture strippers %kjvh,q PCB's
Metal polishes C� Other chlorinated hydrocarbons
�L Laundry soil &stain removers,/ (including carbon tetrachloride)
(including bleach) Any other products with "poison labels"
(including chloroform, formaldehyde,
hydrochloric acid, other acids)
✓
,,,�, i p�t�y1.
VIOLATIONS.' a N c SQ1I l Q\R1A-. 1„ti emu ��S 2�C1�► �
ORDERS: Lw, AR V%4 1h ''aw 00r412 a,00— a .e . 05
1 c�v, c.a :t.r S
I ORMATI N/RECOMMENDATIONS: .Ivl&AP_C,a�5 L t kk
Inspector- its/
Facility Representative:
WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS
INE 1okV Town of Barnstable Office:508-862-4644
Public Health Division Fax:508-790-6304
BaRMA�BLE.g` 200 Main Street• Hyannis, MA 02601
s659 a,0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT
rED MA'S - r
Business Name: to vac /V e l 15 Date: 3 7
Location/Mailing Address- I I 6K,+er 4-1S rt� �- I
Contact Name/Phone: e k V D o
Inventory TotalAmount: MSDS: 'It'A4 suL+-a bfea L T-*ov1-tJcense#: o �-o i-
Tier I[ : a Labeling: e Spill Plan:
Oil/WaterSeparator: A Floor Drains: AJO Emergency Numbers:
Storage Areas/Tanks: r 1 .w. c„
Emer enc /Containmen E ui ent: oal t
Waste Generator ID: Waste Product: Njoi
Date&Amount of Last Shipment/Frequency:
Licensed Waste Hauler&Destination:
Other Waste Disposal Methods:
LIST OF TOXIC AND HAZARDOUS MATERIALS
NOTE: Under the provisions of,Ch. 111, Section 31, of the General Laws of MA, hazardous material use,
storage and disposal of 111 gallons or more requires a license from the Public Health Division.
Antifreeze Dry cleaning fluids
Automatic transmission fluid Other cleaning solvents&spot removers
Engine and radiator flushes Bug and tar removers
Hydraulic fluid (including brake fluid) Windshield wash
Motor oils Miscellaneous Corrosives
Gasoline,jet fuel, aviation gas Cesspool cleaners
Diesel fuel, kerosene, #2 heating oil 1 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
Paint&varnish removers, deglossers '�',� Leather dyes
Miscellaneous Flammables kSv f(9 11 3 Fertilizers
Floor&furniture strippers ��rrYw�."'1 PCB's
Metal polishes c S 2 Other chlorinated hydrocarbons
Laundry soil &stain removers (including carbon tetrachloride)
(including bleach) °"'4'` 7 C,I b Any other products with "poison labels"
ti �� I� ✓km�o .r ` �1 (including chloroform, formaldehyde,
hydrochloric acid, other acids)
VIOLATIONS110�c-1 ��d•�1/� 20 crl Na.t
ORDERS: 5 vQ.2f-R- 0 1 a Ko N Co�ko.1..
INFO NATION/RECOMMENDATIONS: SVLQff- ),
1 st oa.0 C°(>vo- 5 c G C.S S
Inspector:-- , L&,A1 1 J
Facility Representative:
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS
°p IKE►p Town of Barnstable Office:508-862-4644
Public Health Division Fax:508-790-6304
• BARNSTABLE. `
MASS. fir. 200 Main Street• Hyannis, MA 02601
039.
�jOrFD MP�A`0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT
Business Name: f,4�Ac /Va.I 15 Date:
Location/Mailing Address: 11 12 :zr 1
Contact Name/Phone: V, cL1 ✓ 2 i7 —T — 70
Inventory Total Amount: A-1 MSDS: -tb log, v a4 License#: � I
Tier II : Labelina: e- � I ° mill Plan: --Vo Pa6t
Oil/Water Separator: Floor Drains: Emergency Numbers:
Storage Areas/Tanks: 1 c, t
Emer enc /Containmen E ui ment:
Waste Generator ID: A Waste Product: tJ
IA
Date&Amount of Last Shipment/Frequency:
Licensed Waste Hauler&Destination:
Other Waste Disposal Methods:
LIST OF TOXIC AND HAZARDOUS MATERIALS
NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use,
storage and disposal of 111 gallons or more requires a license from the Public Health Division.
_I)C',I •pol,gV,�
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
10 Miscellaneous Flammables7 %146- 1 Fertilizers
Floor&furniture strippers ate° PCB's
Metal polishes 3 Other chlorinated hydrocarbons
_ Laundry soil&stain removers (including carbon tetrachloride)
(including bleach) 3 Any other products with "poison labels"
$0 ar®,I (including chloroform,formaldehyde,
t�C,r y„l�s�Vey hydrochloric acid, other acids)
VIOLATIONS:
ORDERS:
INFORMATIO /R COMMENDATIONS: 1r2,e4 15
I/`AA�v -C de&-! 0�-S �0 15�U �C,a"-ZO�� Inspector: � "A 4
Facility Representative:
h 0 vl.ct 19
�
WHITE COPY-HEALTH DEPARTMENT/CANARY CbPY-BUSINESS ���
IB►okti Town of Barnstable Office:508-862-4644
Public Health Division Fax:508-790-6304
• BARMST�BLE.$` 200 Main Street• Hyannis, MA 02601
Fv3+ TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT 1 JoA"J o
Business Name: : A! &-%1 S Date:
Location/Mailing Address: II E 4A n i S
Contact Name/Phone: V. �/ Illg�v� v.. SaPS-7 S-"7oQ3
Inventory Total Amount: � �� MSDS: A ' License#: �1 A
Tier 11 : b Labeling: O'K Spill Plan: --
Oil/Water Separator: rJ Floor Drains: N Emergency Numbers: ,e,5
Storage Areas/Tanks: —
Emergency/Containment E ui ment:
Waste Generator ID: f Waste Product:
Date&Amount of Last Shipment/Frequency:
Licensed Waste Hauler&Destination:
Other Waste Disposal Methods:
LIST OF TOXIC AND HAZARDOUS MATERIALS c �h I I/�Jw }vc 5�v�c�J�S-���gTovt.
NOTE: Under the provisions of Ch. 111, Section 31, of the en
eral Lav6s of MA, hazardou 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 —V 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)
(tk OLATIONS: M5�?,Z7 a.JO ,\o\.e _-- I v,
O DERS: 0,J,(, mb5 qV1, o k0tak%6VI. a,S ACC e55 Vo.
INFORMATION/RECOMMENDATIONS: 2 yA aI 0 2 e2S.
Inspector:
Facility Representative:
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS
Date: 7 /2% /3
TOWN OF BARNSTABLE
TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM
NAME OF BUSINESS: 4'✓1E k1 I5
BUSINESS LOCATION: l� w}e� c�� o� F�ya�„��S INVENTORY
MAILING ADDRESS: TOTAL AMOUNT:
TELEPHONE NUMBER: .SaS - 77.,�-_?o?3
CONTACT PERSON: VIC&V
EMERGENCY CONTACT TELEP ONE NUMBER: MSDS ON SITE?
TYPE OF BUSINESS: /VA I ,:5&i c.. a 't`
INFORMATION / RECOMMENDATIONS: -�s er- w rel foft�-fo 9// Fie District:
dal re, ace I'o0 , v�ors No o ✓,o,,s o rs eetc vr� �Ks �o�c- 44yiN vl I s
s� m , V S ShU4 ,rv�c
���C t~ ✓� pt �a�t1S Qt+ai w M6.bS Atehs ayt (eWort sl Ae , 14 be,14t
Co w+�I K--.cS yt dL it Ks te_ cr ot. c r.crs k&-c ce►1.t�r wrx rs v�r�oQ ••�t�,c n r�ef- y.
Waste Transportation: y was Lust shi�ment of hazardous waste: j
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) Z 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
�ad ti14'
0 CacwasO 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 y� o(Ion 1 to Y s ��, f s Q✓ivt dt1
Laundry soil &stain removers T
(including bleach) I vL ,'Z-3 w6ek6
Spot removers&cleaning fluids n
(dry cleaners) ,1/151�8f�
1 ( Other cleaning solvents
Bug and tar removers
Windshield wash
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials
A NCI DD yyyy ❑Delete
01922 U 07 24 2013 U 113-0003481 000 rrFlRs -1
❑Change Basic.
FDID *, State* .Incident Date * Station Incident Number * Exposure
❑No Activity
Check this box to Indicate that the address for this incident is provided on the Wildland Fire Census Tract
BLocation* ❑Module In Section B "Alternative Location Specification". Use only for Wildland fires. 140
®Street address
111IENTERPRISE RD u ��
❑Intersection Number/Mile ost Prefix Street or Highway Street p g y Type Suffix
❑In front of I�
❑Rear of I HYANNIS � �� 02601
Apt./Suite/Room City State Zip Code
❑Adjacent to
❑Directions
Cross street or directions, as applicable
Incident e * Midnight is 0000 Shift & Alarms
C 2'YP E1 Date & Times _ E2
421 IlChemical hazard (no spill or I Check boxes if Month Day Year Hr Min Sec Local Option
dates are the
Incident Type same as Alarm ALARM always required IC'. I I I
Aid Given or Received* Date. Alarm * 07 2q 2013 I18:20:42 Shift or Alarms District
DPlatoon
1 ❑Mutual aid received ARRIVAL required, unless canceled or did not arrive
® Arrival 1 07 241 L 2013I 118:25:31 E3
2 ❑Automatic aid recv. Their FDID Their
3 ❑Mutual aid given
State CONTROLLED Optional, Except for wildland fires Special Studies
4 ❑Automatic aid given I ❑Controlled " " I I I I Local Option
5 ❑Other aid given Their LAST UNIT CLEARED, required except for wildland fires I u
Incident Number Last Unit Special Special
N ONone ® �� �2� 2013I�18:56:57 I Study IDN Study Value
Cleared
Actions Taken * G1 Resources * G2 Estimated Dollar Losses & Values
X
Check this box and skip this❑ section i£ an Apparatus or LOSSES: Required for all fires if known. Optional
for non fires.
45 IRemove hazard Personnel form is used.
Primary Action Taken (1) None
Apparatus Personnel Property $1 Id 000 , 0001El
Suppression u �� Contents $1� 000 , 000
86 Ilnvestigate I I I
Additional Action Taken (2) EMS I�J u PRE-'INCIDENT VALUE: Optional
I I I Other I 0001 u Property $1 , 000 ,1 000 ❑
Additional Action Taken (3) Check box if resource counts
i _ ❑ _include aid received resources. Contents 000 , 000 ❑
Completed Modules Hl*Casual ties®None H 3 Hazardous Materials Release I Mixed Use Property
❑Fire-2 Deaths Injuries N ❑None NN Not Mixed
10 Assembly use
Structure-3 Fire '' 1 Natural Gas: slow leak, no evauation or HazHat actions
• Service II� 1 ❑ 20 Education use
❑Civil Fire Cas.-4 2 ❑Propane gas: <21 lb. tank (as in home HHa grill) 33 Medical use
[]Fire Serv. Cas.-5 CivilianL_____j u 3 ❑Gasoline: vehicle fuel tank or Portable container 40 Residential use
❑EMS-6 4 ❑Kerosene: fuel burning equipment or portable storage 51 Row of stores
H2 Detector 53 Enclosed mall
❑HazMat-7 Required for Confined Fires. 5 ❑Diesel fuel/fuel Oil:vehime fuel tank or portable 58 Bus. & Residential
❑Wildland Fire-8 1❑Detector alerted occupants 6 ❑Household solvents: home/office spill, eieaanp only 59 Office use
7XApparatus-9 7 ❑Motor oil: from engine or portable container 60 Industrial use
63 Personnel-10 2❑Detector did not alert them 8 [:]Paint: from paint cans totaling<55 gallons 65 Farm use use
7Arson-11 UE]Unknown 0 ❑Other: special HazMat actions required or spill >559a1., 00 ElOther mixed use
Please cd,splete the Has t fora
J Property Use* Structures 341❑Clinic,clinic type infirmary 53 9 ❑Household goods,sales,repairs
342❑Doctor/dentist office 579 []Motor vehicle/boat sales/repair
131 ❑Church, place of worship 3617 Prison or jail, not juvenile 571 [-]Gas or service station
161 ❑Restaurant or cafeteria 419❑1-or 2-family dwelling 599 ❑ Business office
162 ❑Bar/Tavern or nightclub 42 9❑Multi-family dwelling 615 ❑Electric generating plant
213 ❑Elementary school or kindergarten 43 9❑Rooming/boarding house 629 ❑Laboratory/science lab
215 ❑High school or junior high 449❑Commercial hotel or motel 700 ❑Manufacturing plant
241 ❑College, adult education 45 9❑Residential, board and care 819 ❑Livestock/poultry storage(barn)
311 ❑Care facility for the aged 4 64❑Dormitory/barracks 882 ❑Non-residential parking garage
331 ❑Hospital 519❑Food and beverage sales 891 ❑Warehouse
Outside 93 6❑Vacant lot 981 [:]Construction site
124 ❑Playground or park 938 ❑Graded/care for plot of land 984 ❑ Industrial plant yard
655 ❑Crops or orchard 946 ❑Lake, river, stream
Lookup and enter a Property Use code only if -
669 ❑Forest (timberland) 951 [-]Railroad right of way you have NOT checked a Property Use box:
807 ❑Outdoor storage area 960 ❑other street Property Use 1557
919 ❑Dump or sanitary landfill 961 ❑Highway/divided highway
931 ❑Open land or field 962 []Residential street/driveway (Personal service, including
NFIRS-1 Revision 03 11 99
Hyannis Fire Department 01922 07/24/2013 13-0003481
K1 Person/Entity Involved
Local Option Business name (if applicable) Area Code Phone Number
❑Check This Box if
same address as Mr.,Ms., Mrs. First Name MI Last.Name Suffix
incident location.
Then skip the three [� u
duplicate address Number Prefix Street or Highway Street Type Suffix
lines.
Post Office Box Apt./Suite/Room City
State Zip Code.
More people involved? Check this box and attach Supplemental Forms (NFIRS-1S) as necessary
�2 Owner Same as person involved?
Then check this box and skip I I I I I I
The rest of this section. u u L1
Local Option Business name (if Applicable) Area Code Phone Number
❑ Check this box if Mr.,Ms., Mrs. First Name MI Last Name Suffix
same address as
incident location. I I I I
The skip the three u IJ LJ
duplicate address Number Prefix Street or Highway Street Type- Suffix
lines.
Post Office Box Apt./Suite/Room City
State Zip Code
L Remarks
Local Option
Caller Name SUNSATIONAL
cad ; 2013/07/24 18:25:31 - 826 AT EVENT MANNING IS 0
FIRE ALARM RECEIVED A CALL FROM SUNSATIONAL AT 11 ENTERPRISE REPORTING A STRANGE ODOR IN
THEIR BUSINESS. REPORTING PARTY TOLD FIRE ALARM IT SMELLED LIKE ACETONE OR SOME OTHER TYPE
OF NAIL REMOVER.
ARRIVING ON SCENE WITH BARNSTABLE POLICE, SIDE "A", ONE STORY, STRIP MALL, OCCUPIED,
SUNSATIONAL STORE EVACUATED, NOTHING SHOWING.
INVESTIGATING WE FOUND AN ODOR SIMILAR TO NAIL POLISH REMOVER THROUGHOUT. CHECKING THE
INTERIOR OF THIS STORE WE FOUND NO OBVIOUS REASON FOR THIS SMELL. WE CHECKED THE DUMPSTER'S
ON SIDE "C" FOR THIS ODOR WHICH WAS NEGATIVE. AFTER A BRIEF PERIOD OF TIME WE WENT INTO THE
FANCY NAILS STORE UP WIND FROM SENSATIONAL AND WERE GREETED BY A STRONG ODOR OF ACETONE OR
NAIL POLISH REMOVER. SPEAKING WITH THE MANAGER SHE TOLD US THIS WAS A NORMAL CONDITION
WITHIN THE STORE. WE HAD HER OPEN BOTH THE FRONT DOOR AND REAR TO VENT. HER HELP AND ONE
CLIENT STATED THIS WAS NORMAL. I TOLD HER IF I WAS A CLIENT AND WAS GREETED BY THIS ODOR I
WOULD TURN AROUND AND LEAVE. THEY ALL CLAIMED THERE WAS NOTHING WRONG. WE DIDN'T FIND ANY
SPILL OR UNUSUAL OPEN CONTAINERS.
INVESTIGATING FURTHER AFTER VENTING THE SUNSATIONAL THE SAME WAY THE ODOR DISSIPATED.
WE HAD THREE [31 FEMALES WHO WERE PRESENT IN THE SUNSATIONAL PRIOR TO THIS INCIDENT WALK
INTO THE FANCY NAILS AND CONFIRM THAT WAS THE ODOR PRESENT IN SUNSATIONAL AND THEY ALL
AGREED. THE MANAGER OF SUNSATIONAL MS AMANDA WILBAR TOLD ME IN HER PLACE OF BUSINESS
L Authorization
1197201 iFarrenkopf, Craig E. 11CAPT/EMT I 1 07 1 L.24j 1 2013
Officer in charge ID Signature Position or rank Assignment Month 'Day Year
Check ® I197201 Farrenko f I I p , Craig E. I I CAPT/EMT I �� U � 2013�
Box if
same Position or rank Assignment Month Day Year
as Officer Member making report ID Signature
in charge. -
Hyannis Fire Department 01922 07/24/2013 13-0003481
i
MM DD YYYY
01922 U 1 71 24 2013 13-0003481 000 complete
FDID State Incident Date Station Incident Number Narrative
* * * * Exposure
Narrative:
Caller Name SUNSATIONAL
cad ; 2013/07/24 18:25:31 - 826 AT EVENT MANNING IS 0
FIRE ALARM RECEIVED A CALL FROM SUNSATIONAL AT 11 ENTERPRISE REPORTING A STRANGE ODOR IN
THEIR BUSINESS. REPORTING PARTY TOLD FIRE ALARM IT SMELLED LIKE ACETONE OR SOME OTHER TYPE
OF NAIL REMOVER.
ARRIVING ON SCENE WITH BARNSTABLE POLICE, SIDE "A", ONE STORY, STRIP MALL, OCCUPIED,
SUNSATIONAL STORE EVACUATED, NOTHING SHOWING.
INVESTIGATING WE FOUND AN ODOR SIMILAR TO NAIL POLISH REMOVER THROUGHOUT. CHECKING THE
INTERIOR OF THIS STORE WE FOUND NO OBVIOUS REASON FOR THIS SMELL. WE CHECKED THE DUMPSTER'S
ON SIDE "C" FOR THIS ODOR WHICH WAS NEGATIVE. AFTER A BRIEF PERIOD OF TIME WE WENT INTO THE
FANCY NAILS STORE UP WIND FROM SENSATIONAL AND WERE GREETED BY A STRONG ODOR OF ACETONE OR
NAIL POLISH REMOVER. SPEAKING WITH THE MANAGER SHE TOLD US THIS WAS .A NORMAL CONDITION
WITHIN THE STORE. WE HAD HER OPEN BOTH THE FRONT DOOR AND REAR TO VENT. HER HELP AND ONE
CLIENT STATED THIS WAS NORMAL. I TOLD HER IF I WAS A CLIENT AND WAS GREETED BY THIS ODOR I
WOULD TURN AROUND AND LEAVE. THEY ALL CLAIMED THERE WAS NOTHING WRONG. WE DIDN'T FIND ANY
SPILL OR UNUSUAL OPEN CONTAINERS.
INVESTIGATING FURTHER AFTER VENTING THE SUNSATIONAL THE SAME WAY THE ODOR DISSIPATED.
WE HAD THREE (31 FEMALES WHO WERE PRESENT IN THE SUNSATIONAL PRIOR TO THIS INCIDENT WALK INTO
THE FANCY NAILS AND CONFIRM THAT WAS THE ODOR PRESENT IN SUNSATIONAL AND THEY ALL AGREED.
THE MANAGER OF SUNSATIONAL MS. AMANDA WILBAR TOLD ME IN HER PLACE OF BUSINESS THAT'S WHERE
SHE HAS HER NAILS DONE AND IT NEVER SMELLS THAT BAD. I ADVISED THE MANAGER OF FANCY NAILS TO
CONTINUE TO VENT THE PROPERTY.
CAUSE: UNKNOWN, STAFF IN THE NAIL BUSINESS STATED EVERYTHING WAS NORMAL.
FANCY NAILS 11 ENTERPRISE ROAD 508-775-7093.
SUNSATIONAL TANNING 508-771-0388
WEATHER CONDITION: PARTLY CLOUDY, HUMID, WIND OUT OF THE SOUTHWEST ABOUT 11 MPH, T 82* F.
FARRENKOPF, C. CAPT. 07/24/13.
Hyannis Fire Department 01922 07/24/2013 13-0003481
Number Fee
1327 THE COMMONWEALTH OF MASSACHUSETTS $so.00
Town of Barnstable
Board of Health
This is to Certify that Salon Raffaele Nina
11 Enterprise Road Unist 1& 2, Hyannis; MA
Is Hereby Granted a License
For: Storing or Handling 26 - 110 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
1
Town of BarnstableY&
AA
OFIKE r Inspectioned Services BARNSTABLE
Public Health Division R z..
�r O w"c�c;:;;:s•orens�e•:eer ea=.+s.+s
•
e-,
• �. ..m,.,
eax t ,
tvsrna�, £
MASS. Thomas McKean, Director
v 1639. 10� 1
A 200 Main Street, Hyannis, MA 02601 ',
W
1`hr
Office: 508-862-4644 Fax: 508-790-63Q,
APPLICATION FOR PERMIT TO STORE.AND/,OR U��>CLIZEa # ��set{�;
HAZARDOUS MT AERIALS i ,, t r ` fJ
` i r�� � IN�ACCORDANGE V�ITH j E TOWN OF BARNSTABLE GEN1r AL ORDINANGI CHAP11
ifs C t r a,, a2 -
Lz „^ HAZARDO'US,MA.TERIALS, 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 X vsr F�4
CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑
CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ i Q,_10
*A late charize of$10.00 will be assessed if payment is not received by July 1st. L 1. ASSESSOR'S MAP AND PARCEL NO. 198 wq-� lot,
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 ANTITI S (25 GALLONS)? YES NO.
4. FULL NAME OF APPLICANT:
V
5. NAME OF ESTABLISHMENT:
6. ADDRESS OF ESTABLISI-IMENT c
7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE:
8. TELEPHONE NUMBER OF ESTABLISHMENT:
9. EMAIL ADDRESS:
i
10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: �Ai'kNV_\3-A
11. FULL NAME,HOME ADDRESS,AND TELEPHONE # OF:
CORPORATION NAME
PRESIDENT
TREASURER
CLERK
12. IF PREPARED BY OUTSIDE PARTY: .
NAME: 'ti TELEPHONE#:
COMPANY ADDRESS EMAIL:
*SIGNATURE OF APPLICANT J DATE
Q:\Application Forms\Haz Mat App Revised 09-10-18.docx
Number Fee
1327 THE COMMONWEALTH OF MASSACHUSETTS $50.00
Town of Barnstable
Board of Health
This is to Certify that Salon Raffaele Nina
11 Enterprise Road Unist 1& 2, Hyannis, MA
Is Hereby Granted a License
For: Storing or Handling 26 - 110 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
Voengatoryof B4rnsxable
C5ch�� o���Services
�i�
Richard V. Scali,Director
Public Health Division t�r�
I,E H1'pN`I15DAM "� &'u�SinE:FMass Thomas McKean,Director1639.
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 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 V.S .
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.
2. IS THIS A PERMIT RENEWAL? y 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 Q TI S 5 GALLONS)?Q YES NO.
4. FULL NAME OF APPLICANT:
5. NAME OF ESTABLISHMENT:
6. ADDRESS OF ESTABLISHMENT: �.
7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: _
8. TELEPHONE NUMBER OF ESTABLISHMENT:
L
9. EMAIL ADDRESS:
c
10. SOLEOWNER:VYES NO IF NO,NAME OF PARTNER:
11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF:
CORPORATION NAME
PRESIDENT
TREASURER
CLERK
12. IF PREPARED BY OUTSIDE PARTY:
NAME: TELEPHONE#:
COMPANY ADDRESS EMAIL:
SIGNATURE OF APPLICANT DATE _
Q:\Application FormMAZMAT APP 2017 REVISED.d
Number Fee
1328 THE COMMONWEALTH OF MASSACHUSETTS $s0.00
Town of Barnstable
Board of Health
This is to Certify that Hair-Lines Inc.
11 Enterprise Road Unit 8, Hyannis, MA �
Is Hereby Granted a License
For: Storing or Handling 26 - 110 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
f
lowegulatoryVervlcesof B sxable
Richard V. Scah,Director =
Public Health Division BARNSTABLE
Thomas McKean,Director 9,Y5„B f•[80@YW1•C91u T.iYhm 5
WNTIQS Y.II:S•OSlFSYWE•P'o164CMI68iE
1639.2014
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 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 FEE $
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 charlie 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:
5. NAME OF ESTABLISHMENT: ��y
6. ADDRESS OF ESTABLISHMENT: 11 en Sr 4j �1 a o!
7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE:
8. TELEPHONE NUMBER OF ESTABLISHMENT: (SZ 8') 77/> c f Up 41
9. EMAIL ADDRESS: -
A
10. SOLEOWNER: YES V NO IF NO,NAME O ARTNER: lCo nr
11. FULL NAME,HOME ADD SS,AND TELEPHONE#
CORPORA NAME 9 r
Qd ✓ �J e Ol SZI�
PRESIDENT
TREASURER
_I,k�J� m�o-,,-,I-,,a- ,—
CLERK
12. IF PREPARED::BY,OUTSIDE PARTY:
NAME: , . . . ..,. . . _
TELEPHONE#:
• COMPANY ADDRESS: EMAIL:
SIGNATURE OF APPLIC DATE_ 7�a ���,�-
Q:1Application Forms\HAZMAT APP 2017 VI DA cx
Number Fee
1327 THE COMMONWEALTH OF MASSACHUSETTS $so.00
Town of Barnstable
Board of Health
This is to Certify that Salon Raffaele Nina
11 Enterprise Road Unist 1& 2, Hyannis, MA _
Is Hereby Granted a License
For: Storing or Handling 26 - 110 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
Ll Director of Public Health
. 'A
r Tow of Unstable
Regi%atorvices
Richard V. Scali, Director
IMME
Public Health Division BARNS LE
+ iARNSfABLE, � Ba0.H5TatlLE•iFnrERVli1•Cg1u •mau:a
xazsias nius•osrezwue•wa ea?nsran_E
9 � $ Thomas McKean, Director 1639-2014�
�'Ar fv 3r p`0 200 Main Street, Hyannis,MA 02601 575
�
Office: 508-862-4644 a�m// 7T-J Fax: 508- 0-6304
APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE !
HAZARDOUS MATERIALS _ r
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 3Oth). '
APPLICATION FEES
CATEGORY 1 PERMIT 26— 110-Gallons: $ 50.00 f s
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.
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 TORAGE/USE OF
GREATER THAN HOUSEHOLD MI IE (21 GALLONS)? YES NO.
• v
4. FULL NAME OF APPLICANT:
5. NAME OF ESTABLISHMENT:
6. ADDRESS OF ESTABLISHMENT:
7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE:
S. TELEPHONE NUMBER OF ESTABLISHMENT:
9. EMAIL ADDRESS:
10. SOLEOWNER: YES-10 IF NO,NAME OF PARTNER:
11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF:
CORPORATION NAME
PRESIDENT
TREASURER
CLERK
12. IF PREPARED BY OUTSIDE PARTY:
NAME: TELEPHONE#:
COMPANY ADDRESS EMAIL:
• SIGNATURE OF APPLICAN DATE
Q:\Application Forms\HAZMAT APP 2017 REV*VdX,
1
t
,J.
Number Fee
1328 THE COMMONWEALTH OF MASSACHUSETTS $so.00
Town of Barnstable
Board of Health
This is to Certify that . Hair-Lines Inc.
11 Enterprise Road Unit 8, Hyannis, MA
Is Hereby Granted a License
For: Storing or Handling 26 - 110 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
Number Fee
1328 THE COMMONWEALTH OF MASSACHUSETTS $5o.00
Town of Barnstable
Board of Health
This is to Certify that Hair-Lines Inc.
11 Enterprise Road Unit 8, Hyannis, MA
Is Hereby Granted a License
For: Storing or Handling 26 - 100 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
'r owr�of Bqrnstable
egu atoty Semces
Richard V. Scah, Director
Public Health Division BARNSTABLE
Z ■ARNBTABLE, * wBPivR.ssss Hw.sHosiea sue°•'r-psi en=n;Fee
Thomas McKean, Director
'ArE039.,a``� 200 Main Street, Hyannis,MA 02601
Office: 508-862-4644 Ay 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 3Oth).
APPLICATION FEES
CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00
CATEGORY 2 PERMIT Ill -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.l
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
QU�ANTITIES�(25 GALLONS)? YES NO.
4. FULL NAME OF APPLICANT: �t'Qtc,l ( �L6yy7r�5
5. NAME OF ESTABLISHMENT:
6. ADDRESS OF ESTABLISHMENT: ?no C/ /y a t2z2;S 6a(ov�
7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: ,/
S. TELEPHONE NUMBER OF ESTABLISHMENT: (Sb�) 771 e qO a �f
9. EMAIL ADDRESS: �10-,N L.0/7¢S &S n , e-
10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER:
11. FULL NAME,HOME ADD SS,AND TELEPHONE# F:
CORPORAT NAME *, S87 A lr
PRESIDENT
TREASURER I n O
CLERK
12. IF PREPARED BY OUTSIDE PARTY:
NAME: TELEPHONE#:
COMPANY ADDRESS EMAIL:
SIGNATURE OF APPLICAN DATE
Q:\Application Forms\HAZMAT APP 2017 RE SE Am
Number Fee
1213 THE COMMONWEALTH OF MASSACHUSETTS $50.0o
Town of Barnstable
Board of Health
This is to Certify that Fancy Nails
11 Enterprise Road Unit# 11, Hyannis, MA
Is Hereby Granted a License
For: Storing or Handling 26 - 110 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
TKE Inspectional Services BARNSTABLE
� �ti WSTC48tit;i.�``B•i'LL�Q:T BR�p Si4E
Public Health Division
BARNSTABLE, ' Thomas McKean, Director <5
9�E'ArE039..ia`m� 200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-7r90-6304
s
APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE INI
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 TPERMI'T 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. ., 93 — 00�— /Ole
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)? V YES NO.
t � j
4. FULL NAME OF APPLICANT:
�.
5. NAME OF ESTABLISHMENT: d�ul
6. ADDRESS OF ESTABLISHMENT: Mko
7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE:
8. TELEPHONE NUMBER OF ESTABLISHMENT:
9. EMAIL ADDRESS:
10. SOLEOWNER: V' YES NO IF NO,NAME OF PARTNER:
11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF:
CORPORATION NAME
PRESIDENT
TREASURER
CLERK
12. IF PREPARED BY OUTSIDE PARTY:
NAME: TELEPHONE#:
COMPANY ADDRESS EMAIL:
—)t
SIGNATURE OF APPLICANT DATE K -I,
Q:\Application Forms\Haz Mat App Revised 09-10-18.docx
Number Fee
1213 THE COMMONWEALTH OF MASSACHUSETTS $s0.00
Town of Barnstable
Board of Health
This is to Certify that Fancy Nails
11 Enterprise Road Unit# 11, Hyannis, MA
Is Hereby Granted a License
For: Storing or Handling 26 - 110 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
r
irf "s
' fon of Unstable
egu atory ervices 14
oFtK r Richard V. Scali, Director
Public Health Division
BARNSTABLE
y OACNSTA2LE CDJEFIVILU.WTUR—N NIS
BARNSTABLE, ` Thomas McKean, Director . IoN`"'�iMTRI o-1�7 msmn u I
y MASS. y�
200 Main Street, Hyannis, MA 02601
S+eS
Office: 508-862-4644 Fax: 508-790-6304P'
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 4-e- �-
CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ �&h,243U--n
CATEG 3 MRMIT 500 or more Gallons: $150.00 ❑
*A late charge 4$10.00 will be assessed if payment is not received by July 1st.
1. ASSESSOR'S MAP AND"P CEL NO. �2�3
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 TORAGE/USE OF
GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? I/YES NO.
4. FULL NAME OF APPLICANT: N
&-9YEA/
5. NAME OF ESTABLISHMENT: `I
6. ADDRESS OF ESTABLISHMENT: �(
7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE:
8. TELEPHONE NUMBER OF ESTABLISHMENT: 'l�
9. EMAIL ADDRESS:
10. SOLEOWNER: V YES NO IF NO,NAME OF PARTNER:
11. FULL NAME,HOME ADDRESS,AND TELEPHONE #OF:
CORPORATION NAME
PRESIDENT
TREASURER
CLERK
12. IF PREPARED BY OUTSIDE PARTY:
NAME: ftlyl Q i TELEPHONE#: '77L—fib
• COMPANY ADDRESS EMAIL:
SIGNATURE OF 7�APPLICANT
C DATE
Q\Application Forms\HAZMAT APP 2017 REVISED.docx
e,
Number Fee
1213 THE COMMONWEALTH OF MASSACHUSETTS $so.00
Town of Barnstable
Board of Health
This is to Certify that Fancy Nails
11 Enterprise Road Unit# 11, Hyannis, MA
Is Hereby Granted a License
For: Storing or Handling 26 - 110 gallons of Hazardous Materials. yl
--------------------------------------------------------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------------------------------------------
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
TRow of N table
eg atory e, ,ces
Richard V. Scah, Director
Public Health Division BARNSTABLE
y
Z
�M5RP1'S SPMLLI5 L51EaIVILLk� Si P4?YSf50i£
BARWSrABLE. Thomas McKean Director
MASS. p ) 1639-2014 r�
fn aim 200 Main Street, Hyannis,MA 02601
T '�� v Office: 508-862-4644 Fax: 508-790-6309
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 FEESv,� .
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.
2. IS THIS A PERMIT RENEWAL? V<ES_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: _ V j M-R- T N-A-V Y�
5. NAME OF ESTABLISHMENT: EA-9Cy N A
6. ADDRESS OF ESTABLISHMENT: �.
7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE:
S. TELEPHONE NUMBER OF ESTABLISHMENT:
9. EMAIL ADDRESS:
10. SOLEOWNER: KYES NO IF NO,NAME OF PARTNER:
11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF:
CORPORATION NAME
PRESIDENT
TREASURER
CLERK
12. IF PREPARED BY OUTSIDE PARTY:
NAME: TELEPHONE#:
COMPANY ADDRESS EMAIL:
SIGNATURE OF APPLICANT DATE (0 " l
Q:\Application Forms\HAZMAT APP 2017 REVISED.docx r
Number Fee
1327 THE COMMONWEALTH OF MASSACHUSETTS $so.00
Town of Barnstable
Board of Health
This is to Certify that Salon Raffaele Nina
11 Enterprise Road Unist 1& 2, Hyannis, MA
Is Hereby Granted a License
For: Storing or Handling 26 - 100 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.
----------------------------------------
PAUL J.CANNIFF,D.M.D,CHAIRMAN
DONALD A.GUADAGNOLI,M.D.
07/01I2016 - JUNICHI SAWAYANAGI
THOMAS A.MCKEAN,R.S.,CHO
Director of Public Health
i
Town of Barnstable
�t ►o,,,ti Regulatory Services
Richard V. Scali, Director
�STAB�. BARNSiE
MAE& � Public Health Division BARN�. �539 ♦ MOLC-C . mS
�fO I�r S Thomas McKean, Director 1639-2014
200 Main Street, Hyannis,MA 02601
Office: 508-862-4644 _oZ�- Fax: 508-7Vj 304.
.-
APPLICATION FOR PERMIT.TO STORE AND/OR UTILIZES
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 �L
l
CATEGORY 2 PERMIT,111 —499 Gallons: $125.00 ❑
CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑
A late char a of$10.00 will be assessed if payment is not received by July 1st.
ASSESSORS MAP AND PARCEL N DATE
FULL NAME OF APPLICANT:
NAME OF ESTABLISHMENT: NN
ADDRESS OF ESTABLISHMENT:
MAILING ADDRESS (IF DIFFERENT):
TELEPHONE NUMBER OF ESTABLISHMENT:
EMAIL ADDRESS:
_R
i
SOLE OWNER: YE SANO IF NO,NAME OF PARTNER:
FULL NAME,HOME ADDRESS,AND TELEPHONE#OF:
CORPORATION NAME
PRESIDENT
TREASURER
CLERK
I
IF PREPARED BY OUTSIDE PARTY:
T*jJOF APPLICANT Name:
^ Company Address
Telephone#:
Email:
Q:\Application Forms\HAZ,ZAPP Revl6.docx Page 1 of 2
d t
,n.
[J- Certified Mail Fee
Er-
Extra Services&Fees(check box,add tee as appropriate
❑Return Receipt(hardcopy) $ 2?
C ❑Return Receipt(electronic) $ �' - Postmark :n
C ❑Certified Mail Restricted Delivery $ L,.3 Here 3
0 ❑Adult Signature Required $ ys
[]Adult Signature Restdcted Delivery$
O Postage -
m $ {i ViC�
Total Postage at ATTN: VICKY-NGUYEN
$ tro FANCY NAILS
ssee�a�daPt; 11 ENTERPRISE ROAD UNIT#11
HYANNIS, MA 02601
City State,ZIP+
Certified Mail service provides the following benefits:
■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
•A unique identifier for your mailpiece. associate for assistance.To receive a duplicate
■Electronic verification of delivery or attempted return receipt for no additional fee,present this
delivery. USPS®-postmarked Certified Mail receipt to the
■A record of delivery(including the recipient's retail associate. CL
signature)that is retained by the Postal Service— Restricted delivery service,which provides
for a specified period. delivery to the addressee specified by name,or
to the addressee's authorized agent
Important Reminders: Adult signature service,which requires the
•You may purchase Certified Mail service with signee to be at least 21 years of age(not
First-Class Mail®,Rrst-Class Package Service®, available at retail).
or Priority Mail®service, Adult signature restricted delivery service,which
■Certified Mail service is notavailabie for requires the signee to be at least 21 years of age;
International mail. and provides delivery to the addressee specified
■Insurance coverage is notavailabie for purchase by name,or to the addressee's authorized agent,
with Certified Mail service.However,the purchase (not available at retail).
C.i
of Certified Mail service does not change the •To ensure that your Certified Mail receipt is
insurance coverage automatically included with accepted as legal proof of mailing,it should bear a 1
certain Priority Mail items. USPS postmark.If you would like a postmark on
■For an additional fee,and with a proper this Certified Mail receipt,please present your
endorsement on the mailpiece,you may request Certified Mail hem at a Past Office-for j
the following services.'' postmarking.If you don't need a postmark on this
-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion j
of delivery(including the recipient's signature). of this label,affix it to the mailplece,apply
You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.
electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Return
Receipt attach PS Form 3811 to your mailpiece; IMPORTAtII:Save this receipt for your records.
PS Form 3800,April 2015(Reverse)PSN 7530-02-000.9047
Number Fee
1213 THE COMMONWEALTH OF MASSACHUSETTS $so.00 Q
rn Town of Barnstable
Board of Health
This is to Certify that Fancy Nails
11 Enterprise Road Unit# 11, Hyannis, MA
Is Hereby Granted a License
For: Storing or Handling 26 - 100 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
E
r
Town of Barnstable
• oF3WKEE►a,. Regulatory Services (/►
Richard V. Sc* Director
BARNMB�' ` Public Health Division
BARNSTABLE 6ss. n�
� i639.
IiARNSS 1 M:1•CCNIL-0.VILLI•CCPJ':I•r�TN:4iS A A�0 :Mn_RSICIS L'S•OSTEYV.IE•WEST d0.iN5iA8:E !.•
rfD1A°� Thomas McKean, Director 1639-2019 r
�3�g a-
200 Main Street, Hyannis, MA 02601 a
Office: 508-862-4644 Fax: 508-790-6304
A
APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE ro
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 pUment is not received by July 1st. Iw
ASSESSORS MAP AND PARCEL NO. DATE
FULL NAME OF APPLICANT: 1VK-' T lq6iu Y6V
NAME OF ESTABLISHMENT: toL
y �•
ADDRESS OF ESTABLISHMENT: CRA'e'q 1-�&' -1 "4�-42(001
MAILING ADDRESS (IF DIFFERENT):
TELEPHONE NUMBER OF ESTABLISHMENT: 7
EMAIL ADDRESS: V �N Q T
SOLE OWNER: V YES_NO IF NO,NAME OF PARTNER:
FULL NAME,HOME ADDRESS,AND TELEPHONE# OF
CORPORATION NAME NZLA
PRESIDENT
TREASURER
CLERK hf
IF PREPARED BY OUTSIDE PARTY:
SIGNA URE OF APPLICANT Name:
Company Address
Telephone #:
Email:
Q:\Application Forms\HAZZAPP Revl6.docx Page 1 of 2
TOWN OF BARNSTABLE BAR-W 5152
Ordinance or Regulation
WARNING NOTICE
Name of Offender/Manager V ' sky 'v'J`/ ] —
t-K-
Address of Offender 3O I MV/MB g'
Re #
L
Village/State/Zip p� P,
rave e. /V 'D!� /p , on 3 m /7 20/6
Business Name y �...� s �• • _
Business Address Iyl.'�'-Z�D��5�- ►'°�rX v\
Signature Enforcing Officer
Village/State/Zip 4,V1►11 g MA O 2100
Location of Offense AWLe- &% Is 4-
Enforcing Dept/Division
Offense �o�at,�� v� �� 1 of- �� �ec,.f"-G�` 4vL �S�4 4-1 0KS
Facts fl'C � AZA--'r-po')5 1'J'-VA'ay4 QC. yaj ' s 11 G•cyL Se_
This will serve only as a warning. At this t' a no legal action has been taken.
Tit is the goal of Town agencies to achieve voluntary compliance of Town
Ordinances, Rules and Regulations. Education efforts and warning notices are
ante
appr0iate legal action by the Town. 0
WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT.
Number Fee
1213 THE COMMONWEALTH OF MASSACHUSETTS $5o.00
Town of Barnstable
Board of Health
This is to Certify that Fancy Nails
11 Enterprise Road Unit# 11, Hyannis, MA
Is Hereby Granted a License
For: Storing or Handling 26 - 100 gallons of Hazardous Materials.
---------------------------------------------------------------------------------------------------------------------------------------------------------------
This license is granted in conformity with the Statutes and ordinances relating there to, and
and expires 06/30/2016 unless sooner suspended or revoked.
----------------------------------------
WAYNE MILLER,M.D.,CHAIRMAN
PAUL J.CANNIFF,D.M.D.
03/09/2016 JUNICHI SAWAYANAGI
THOMAS A. MCKEAN,R.S.,CHO
Director of Public Health
g .
m
r
Town of Barnstable
FIHE ro Regulatory Services
Richard V. Scah, Director
&ARNSTABLE,M. ' Public Health Division BARNSTABLE
1639.
7 0� tlANYSIA3l[•CENIERVIIt[•CCIUIT•!nA•:NI$
�A � t44RSi0N5 M,tl'S•OSERV:IE•'N3 dAfiNSiABt£
39
lFD1"P�A Thomas McKean, Director " Dg'
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
APPLICATION FOR PERMIT TO STORE AND/OR UTILIZErS
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 306).
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. DATE 3 2 v
FULL NAME OF APPLICANT: } \j H 711,
'} V 6Ff (_
NAME OF ESTABLISHMENT:
ADDRESS OF ESTABLISHMENT: �! rif
MAILING ADDRESS (IF DIFFERENT): <�C�
TELEPHONE NUMBER OF ESTABLISHMENT: _�O' S 7`Z:S —7 Oq _
EMAIL ADDRESS:/
SOLE OWNER: V YES NO IF NO,NAME OF PARTNER:
FULL NAME,HOME ADDRESS,AND TELEPHONE# OF:
CORPORATION NAME
PRESIDENT
TREASURER
CLERK
IF PREPARED BY OUTSIDE PARTY:
SIGN RE OF APPLICANT Name:
Company Address
Telephone#:
Email:
QAApplication FormMAZZAPP Revl6.docx Page I of 2
Town of Barnstable Office: 508-862-4644
Fax: 508-790-6304
• Regulatory Services Department
.. w
Public Health Division
• na3+��rrwaf:�
1639. Thomas A.McKean,CHO
63�
200 Main Street, Hyannis, MA 02601
Payment Receipt
Hazardous Materials Payment received: $50.00 (Check) on 3/9/2016
Check number: 2996 Check amount: $50.00 Name on check: Fancy Nails
f
'Business: Fancy Nails Owner: FREEFALL LLC
jAddress: 11 ENTERPRISE ROAD, Hyannis
i I
;Note: Category I/11 Enterprise Road, Unit 11
-- - ----- - .. ........ . ........
•
Number Fee
1328 THE COMMONWEALTH OF MASSACHUSETTS $so.00
Town of Barnstable
Board of Health
This is to Certify that Hair-Lines Inc.
11 Enterprise Road Unit 8, Hyannis, MA
Is Hereby Granted a License
For: Storing or Handling 26 - 100 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.
C� ----------------------------------------
PAUL J.CANNIFF,D.M.D,CHAIRMAN
DONALD A.GUADAGNOLI,M.D.
07/01/2016 JUNICHI SAWAYANAGI
THOMAS A.MCKEAN,R.S.,CHO
Director of Public Health
i
Town of Barnstable
�'THE r. Regulatory Services
Richard V. Scali, Director
f
�STABM BARNS
$ Public Health Division
1639' ♦0 iwn"no s F� S`os�a`"vi ws'en xs i`
ED I�r a Thomas McKean, Director 1639-2014
200 Main Street, Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-C4Q4
an
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 Ist—JUNE 30th).
APPLICATION FEES
CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00l
1
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 paMent is not received by JuIv 1st.
• ASSESSORS MAP AND PARCEL NO. DATE f 1 /--- /.
FULL NAME OF APPLICANT: IV c /h es -,c Nc. P4&' 7 elm 4 s
NAME OF ESTABLISHMENT: Aa—/r L j i'I e x _,C /1J C
ADDRESS OF ESTABLISHMENT: /l �nft'rDI'i_c l�ccz� Hc��nr�i 5 �A 6 a(e1
MAILING ADDRESS(IF DIFFERENT):
TELEPHONE NUMBER OF ESTABLISHMENT: (5b 8) 7 i; ',O y q
EMAIL ADDRESS: h a i',- / %/? e S LO Ins x/
SOLE OWNER: YES NO IF NO,NAME OF PARTNER:
FULL NAME,HOME ADDRES AND TELEPHONE# OF:
CORPORATION NAME 'v
PRESIDENT f otua
TREASURER
CLERK, ,
a IF PREPARED BY OUTSIDE PARTY:
SI N TU �OF APPLICANT Name:
• �— Company Address
Telephone#:
Email:
Q:\Application Forms\HAZZAPP Revl6.docx Page f of
.. .... �...ti.r... .-t.. .. -.. � „......-.z...-;...,,.:...v..`..�r.'r.••.•.-•,y...�w.,..r"a^...'se- -..-,....."...-rn..,,, c,..l.IrY. -, ..r- - .,. .-. ..
TOWN OF BARNSTABLE BAR-W
Ordinance or Regulation
WARNING NOTICE
Name of Offender/Manager t (_�Cyf �`�'� `/ G-�
V "
Address of Offender MV/MB Reg.#
Village/State/Zip A�
Business Name (to Gam/ 1V k �1:00 /pm, on 9/1-1 20 /6
Business Address f) - ,,t'0r 5,t,,,, � �
V Signature gof/Enforcing Officer
Village/State/Zip V/y A
Location of Offense fi e A e-,4
(' / ` / Enforcing Dept/Division
Offense V,u<<� A vw ,�'C (� �- I� _ 7�alll �`e�,lt) �. rr t4liern -( 1, �4- 'nPl X
Facts (r !, ✓�vC. l7�a WLAT %��C.� t�)� "C4� 4�,-�- !lt#� .Slt C.tvt �y� • C�(7 � )y�
1 , ( t vA `"'Fj,
This will serve only as a warning. At this t me 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.
.. _ ;...-,.... _ ,... :. .. � r+:.. ,,...�_ ,.. _ ....,,..,,n-,....-,.x.............>..w.r•r--.:•v-v-.e+^.-•n..r -...,rr'^�r...e.."-.•«. -J" .. .. -,. --r:. �. t • _
TOWN OF BARNSTABLE BAR-W '
Ordinance or Regulation
WARNING NOTICE
Name of Offender/Manager V' -e tk
Address of Offender MV/MB Reg.#
Village/State/Zip
Business Name " y; t r`' '} :am`/pm, on •,O-T 20/1,
Business Address I V
Signature `of/Enforcing Officer
Village/State/Zip 011 ; 0 r
d #
Location of Offense
Enforcing Dept/Division
Offense t s =1 j +n �. ` tom .!Vt .. ' a
{{` .fir { � .1 y}, i y
Facts 1 L • f f n /`t� 3 u�+ lYt :1 F ♦ le 1 , r..i #' l +, t y ` 1 i C f t 1 ? t F y
i j(
L •1,C Ij'.—� [q°_ `Ka .7 ..�1
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.
NAME
\` IDFFENOER _ DAD �jj ,�j fj
t..f 3 A(- C�i.� •�.K.. ---]BAR n iI !Ti'f"Il
TOWN OF ADDRESS OF OFFEND A;,: ' )
BARNSTABLE CITY,STAjE,ZIP ODE
dF IRE► MV/MB REGISTRATION NUMBER
OFFENSE
LJ
y.q `eS A 0 � tHARNSIABLE. h f�"t 64 IX- N., t?"f -AA Are+. ��✓C/4k f LLI
C o
CEO NFt� J
of'I4�7X 9 J me, fT ,(1 41.� 4)
TIME AND DATE OF VIOLATIOft LOCA N OF VIOLATION Z
A , W
NOTICE OF :P- ,() ./ P.M.)ON 2_" 20 10
�cNGV
SIGNATURE,OF RCfJ� RSON �, / r ENFORCING DEPT. BADGE NO. N
VIOLATION .� ,> 1,/ tfr�. J L W
OF TOWN I HEREBY ACKNOWI E RECEIPT OF CITATION X
ORDINANCE .�` Unable to obtain,ig ature f off ner.d �✓
'�. THE NONCRIMINAL FINE FOR THIS OFFENSE IS = pa W
Date mailed W
OR .s YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a
DISPOSITION WITH NO RESULTING CRIMINAL RECORD. W
REGULATION 1 You ma elect to a the above fine,either b appearing in person between 8:30 A.M.and 4:00 P.M.,Mondaythrough Friday,legal holidays excepted,
Q
before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or posta note to Barnstable Clerk,P.O.Box 2430,
Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. d
�2)If you desire to contest this matter in a noncriminal proceedl'ng,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST
AARNSTABLE DIVISION,COURT COMPOUND,MAIN STREEETT ARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this
citation for a hearing.
(3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the
hearing to be due,criminal complaint may be issued against you.
❑ I HEREBY ELECT the first option above,confegs to the offense charged,and enclose payment in the amount of$
Signature
-' .r.'�:_.��li��� . 'i•-_ .. 'Ys'1:� . ` _ L ..�:.�`?�:_2�t.F,a�G^�l�T_aiPBM_.__ ..c. - :. _ ..�`.
TOWN OF BARNSTABLE BAR -W ��. ,
Ordinance or Regulation
WARNING NOTICE
Name of Offender/Manager '` LEI/ el V'p-
Address of Offender MV/MB Reg. #
Village/State/Zip
Business Name t'c tam/pm,; on 20 f -
Business Address J }---
SignaturVf Enforcing Officer
Village/State/Zip- �`Y �'^
Location of Offense s A C`/ A v A '
n v! Enforcing Dept/Division
Offense �x ��t Oc'z t� n�S y k+.e c,.f ! !r2 ��� V, 0
.Facts to 9) -� . ��'�� �+ ��vt`a� t�� �.� � �+-'�+�>; �� yS.
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 BARNSTABLE �0 �
Ordinance or Regulation BAR -W
WARNING NOTICE
Name of Offender/Manager �_._4 fio`1 ei
Address of Offender MV/MB Reg. #
Village/State/Zip
Business Name ` ' ` `> ° 'an /pm; on 7/2 e4 20
..Business.Address
Signature;tbf Enforcing Officer
Village/State/Zip � ' �� 14
Location of Offense `s
! Enforcing Dept/Division
}} t Offense � i .
fc�tc3r�
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 OFFER GOLD— ENFORCING DEPT.
COMPLETE •N, 7! COMPLETE THIS SECTIONON DELIVERY
■ Complete items 1,2,and 3. A. si lure
■ Print your name and address on the reverse X r Agent
so that we can return the card to you. ❑Addressee
■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery
or on the front if space permits.
D. Is delivery address different from item 1? ❑Yes
1 If YES,enter delivery address below: ❑No
ATTN' VICKY NGUYEN
FANCY NAILS
11 ENTERPRISE ROAD, UNIT#11
L
HYANNIS, MA 02601
II I II�IlI IIiI III I II I iI II Ii I IiI lI III I I I(III I'll 3. Service Type ❑Priority Mail mss®
❑Adult ignature ❑Reitere Mailn"❑ dult Signature Restricted Delivery ❑Registered Mail Restricted
ertified Mail® elivery
9590 9402 4116 8092 9363.02 I
Certified Mail Restricted Delivery atom Receipt for
El Collect on Delivery fisvignatureConfirmationTm
erchandise
2—Article Number(Transfer frgm_selVice label) — O Collect on Delivery Restricted Delivery
+,,i ,, , r, r , , , ul ❑Signature Confirmation
1 7 015 17 3 0�10�f 0'11 4 9 9 0 [6i 616� i i ul Restricted Delivery Restricted Delivery
PS Form 8811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt
USPS TRACKAVG#
First-Class Mail
-Postage-&Fees Paid
USPS"
Permit No.G-10
9590 9Z t417;I 8092 9363 02 j
I
United States •Sender:Please print your name,address,and ZIP+4®in this box"
Postal Service
I
I
Town of Barnstable I
Health Division
200 Main Street.
I
Hyannis,MA. 02601
I I
iyfill H11l111-11) Ian!iilli'u 11l)11.1]#J11lIllI,i1,1ar1
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TOWN OF BARNSTABLE COMPLIANCE: CLAS' 1. Marine,Gas Stations,RFpai.r
i` 2. Printers
Q satisfactory 3. Auto Body Shops
BOARD OF HEALTH y p
Q unsatisfactory- 4. Manufacturers
COMPANY _ `'% G '�; ' (see"Orders") _ 5. Retail Stores
_ y 6. Fuel Suppliers.
ADDRESS ��., Class: �j 7. Miscellaneous ,.
. t
QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors)
MAJOR MATERIALS Case lots Drums AbbveTanks Undetground Tanks
IN 10DUT IIN IOUT I INIOUT gallonsAve rest?
Fuel s;.
,Gasoline, Jet Fuel (A)
Diesel, Kerosene, #2 (B)
Heavy Oils: el
waste motor oil (C)
new motor oil (C)
a
transmission/hydraulic
Synthetic Organics:
degreasers
- ;�
w -
Miscellaneous:
x
DISPOSAL RECLAMATION REMARKS:
1. Sanitary Sewage 2. Water Supply �
4Town Sewer Public f /(�� i� G1. � � ,� �f l 7
O On-site. C) t
Private fix t. c--� -- -d�/ , � Td, 'e Q �
.3. Indoor Floor Drains: YES NOS— p
Q Holding tank: MDC _ +
Catch basin/Dry well /1AUKVERS
0 ' J _
On-site system _
4. Outdoor Surface drains-YES N0
O Holding tank: MDC11 O Catch basin/Dry well ki-
On-site system
+"
S. Waste Transporter ' Licensed?
Named ofHauler- Destination ..W15r.e Product
.s N' a
12 23 01 Person(s) IntervieWed Inspector Date
COMPLIA4CE: CLASS: 1. Marine,G as Stations,RepairOWN OF B RNSTABLE ()- atisfacto z. Printers
BOARD O EALTH
3. Auto Body Shops
®unsatisfactory- 4. Manufacturers a
COMPANY Tejo Se 'Aju-"-- '' (see"Orders") S. Retail Stores
6. Fuel Suppliers
ADDRESS ���vim. �`� Class: 7. Miscellaneous
QUANTITIES, AND STORAGE (IN=indoors; OUT=outdoors)
MAJOR MATERIALS Case lots Drums AboveTanks Undetgrauad Tanks
IN JOUT IIN OUT IN UT LYLllonse 'rest?
Fuels:
-Gasoline, Jet Fuel (A)
Di.esel;�K 2 (B)
Heavy Oils:
waste -motor oil (C)
new motor oil
transmission/ ydraul'
Synthetic Organics:
degreasers -
Miscellaneous:Cc—
•
DISPOSAL RECLANAATION REMARKS:
1. Sanitary Sewage 2. Water upply .
own Sewer Public
On-site rivate
3. Indoor Floor Drains: YES NO
0 Holding tank: MDC
® Catch basin/Dry well -- --u--^r- --- -T_,�.
On-site system
4. Outdoor Surface drains.-YES N
Q Holding tank: MDC
_. O Catch basin/Dry well __--
® On-site system
S. Waste Transporter Licensed?
Name of jjauler_ Destination y sta Product
12 Persons interviewed ... ,
.z3 ai ) I Inspector— Date