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Home My WebLink About0030 ENTERPRISE ROAD - HAZMAT 9nn►S T - o Q TOWN OF BARNSTABLE - �Date: J / '1 TOXIC AND HAZARDOUS MATERIALS RE41STRAIMN FORM NAME OF BUSINESS: C&,e 3a<V-,- BUSINESS LOCATION: So INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: !! 2O% -7�5' S'1 I t II I Rllao CONTACT PERSON: &(AAj EMERGENCY CONTACT_TELE HONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: Czkh•\ ale �w5�a1\a�k,o�. Bo a- IrA01A INFORMATION 2 ORMATION / RECOMMENDA IONS: ey Ac c�rn�� .C�w�se Fire District: roJ'E' Ivly roc �- 700 5 .-1 (e5S -I' Aso s r kK+%tti v� nD�, k v�c4e-A .-, Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts(Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides V ❑ 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) Z7001 Caulk/Grout 22�v 1bb -Y 4� b So 005 Swimming pool chlorine Battery acid (electrolyte)/Batteries 50�! Lye or caustic soda Rustproofers X�a� Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyesl4Gq,14<6 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 I Floor&furniture strippers I,� may be toxic or hazardous(please list): Metal polishes Laundry soil &stain removers (including bleach) Spot removers&cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials L `°F�►+E�ol� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARMASS . . • 200 Main Street• Hyannis, MA 02601 1639. �'OtfOMP+a`0� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT 4 Business Name: �a t g,<,t- Date: Location/Mailing Address: 30 Irc— ,lah V1 I s Contact Name/Phone: -7?5 s'-7 l i Inventory Total Amount: G 2��a� MSDS: OWIIvt �� °�� ,� License#: Tier II : v Labeling: iSeka,k Spill Plan: Oil/WaterSeparator: V-) Floor Drains: w�o Emergency Numbers: Storage Areas/Tanks: IA:\ a o&ki i, c& k-e%,y ,-e ,3,-fix 5 Emergency/Containment E ui ment: Waste Generator ID: Waste Product: Date&Amount of Last Shipment/FrequencX: 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 -r2- Engine and radiator flushes Bug and tar removers �,seI 1.41" Hydraulic fluid (including brake fluid) Windshield wash Motor oils _� Miscellaneous Corrosives L k-1 s��„I Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts tSvlb wls,M grease, lubricants, gear oil Refrigerants Lcc �k Degreasers for engines&garages Pesticides: k o Caulk/Grout 35'0(�a $,ta c5 3,�i �d-� 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 �Gw�- Swimming pool chlorine �— Paints, varnishes, stains, dyes b �� Lye or caustic soda 1 Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: I ORDERS: INFORMATION/RECOMM NDATIONS: G�� S `�C�'�.•� , a �5 S.r�S at ��c.o.nnw�.twr�.��v�5 C�,��5 k.,n•�.�, Inspector: t, Lcs k-e- Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS TOWN OF ,BARNSTABLE — UNDERGROUND FUEL AND CHEMICAL STOR GE REGISTRATION Book # 764 aq3Pa m 21A MAP NO. PARCEL NO. V t�-� Q x 'ADDRESS OF TANK: 30 Enterprise Road ..VILLAGE: Hyannis E Piumb�r Ytr��t ` ' 25�.WAlpole Park South , Walpole , KA MAILING ADDRESS ( IF DIFFERENT FROM ABOVE) : - / Trustee � uc�e�Y OWNER NAME: Cape Cod Realty Trust/Patrick' Riley PHONE'' 508/660-0770 INSTALLATION DATE: Unknown BY: Unknown r ` � I' INSTALLER ADDRESS: Unknown' r' �-CERT.NO. *TANK LOCATION: SdUthwest Corner of Building , left Front as you look at building K„_aLO_Q_A CAPACITY 2006 ` TYPE OF TANK Unknown AGE TnknoyYRS. FUEL/EW RTOWL TESTING CERTIFICATION [X] PASS [ ] FAIL DATE 12./23/'86 LEAK DETECTION [X] CHECK IF N`/\A TYPE/BRAND �l , I aZONE OF CONTRIBUTION [ YES [ ] NO DATE TO BE REMOVED FIRE DEPT. PERMIT ISSUED [ ] YES [ ] NO DATE Unknown CONSERVATION [ ] CHECK IF N/A DATE HOARD OF HEALTH TAG N0. [ q16 ] DATE ' * PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD AV �o�C 7 �PyoFTHETo�yo TOWN OF BARNSTABLE OFFICE OF BAAE9TAHLE, _Mace. BOARD OF HEALTH .� ,� R ooA��MpYA�� 367 MAIN STREET HYANNIS, MASS. 02601 1989 Dear ,/6 1 Encio8ed is blabs valve tag #_ JP� �_ . Please attach to the fill pipe of your underground tank . You must do the following as indicated: -. Remove your tank. I have enclosed information for you regarding tank removal . ---- Have your tank tested starting --------- - You must "test during the loth, 13th, 15th, 17th and 19th year and annually thereafter . Removal in the year I have enclosed information regarding tank testing . ** In order to have your tank tested you must first contact an engineering company- (see attached) to have zr monitoring. well installed. Once the monitoring well has been Installed you can then call 362-2511, Rxt.334 and ask for Charlotte Stiefel or George Heufelder at the Barnatable County Health Department, to have your tank tested via the Soil Vapor Analysis Test. Currently, the test is done free of charge under the auspices of an EPA grant. ____ Due to the unknown age of your tank we must presume it is twenty (20) years of age. You must have it tested every year and remove it by the year 1993 . To have it tested please follow the procedure as indicated above from the ** (asterisk) on. If you have any questions please feel free to call me at 775- 1120, Extension 183 . Thank you, !, Donna Miorandi Health Inspector rr TANK SYSTEM TIGHTNESS TEST Q!'Ctd oa Af cjo Name of Owner or Dealer Address No. and Street City State Date of Test TANK TO TEST CAPACITY Nominal Capacity. c5�0D0 Gallons Actual Capacity Identify by position P y Gallons Is there doubt as to the True Capacity ? From Brand or Grade FILL-UP FOR TEST INVENTORY Stick Reading Gallons Stick Water Bottom before Fill-up to 1 /8" Gallons TANK DIAMETER Product in full tank (upto fill pipe) - �� TANK MEASUREMENT FOR EXTENSION HOSE SETTING TSTT ASSEMBLY Bottom of tank to grade .............. Tank top to grade a Extend hose on suction tube 6" Add 30" for 4"L ................ or more below tank to Add 24" for 3"L ................ ' Total tube assembly Approx. ....... /cIPD If Fill pipe Extends above grade,use top of fill. TEMPERATURE / VOLUME FACTOR( a ) TO TEST THIS TANK Is today Warmer? Q Colder? Q F Product in Tank F. Fill-up Product on Truck F i Thermal Sensor reading after circulation Digits Nearest deg. F Digits per deg. F in range of expected change (A3o Digits C;5046 X . oed Gallons Total quantity in full tank Coefficient of expansion for Volume change in this tank involved product per deg. F This is test Volume change per deg.F Digits per deg.F in test Range Volume change per digit. factor-(a) Compute to 4 decimal places. TEST RESULTS Tests were made on the above tank system in accordance with test procedures prescribed for " PETROTITE" as detailed on attached test charts with results as follows. Tank identification Tight Leakage rate Indicated Date Tested CERTIFICATION This is to certify that the tank system was tested on the date shown. Those indicated as "TIGHT" f7q meet the criteria established by the National Fire Protection Association Pamphlet 329. �1 Serial no. of thermal sensor. Technicia / ertification No. TEST(NO COMPANY SIGNATURE LOG OF TEST PROCEDURES HYDROSTATIC VOLUME MEASUREMENT TEMPERATURE COMPENSATION NET VOLUME CHANGE PRESSURE CONTROL (V) RECORD TO .001 GAL. USE FACTOR ( a ) EACH READING Date Standpipe Level in Product in Product Computation Temperature Record details of setting Rng- inches Oraduate Replaced Thermal Change (c) x (a) = Adjustment up and running test. No Sensor Hivher + Volume minus Time Beginning JeBef After Product Reading Lower - Expan. + Expansion (+) or of Reading Recovered (c) Contraction - Contraction (_) Reading d!T 7/d - D� 07 �-// . o 7 r Z 07/ 9 '7 NOTES; Date- Location: "Zeeeti/a An , Depth to Water Table