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HomeMy WebLinkAbout0063 ENTERPRISE ROAD - HAZMAT l�3 ���-e_ - �t- �- -- 'I 2C -c-(n i i i i j f i i S M E A D No.2-153LY UPC 12934 smead.com • Made in USA I wT fw US®M Tw plw=L" SFI TWSR TO*SOUKWO° c�rnaeo souKKcwc j "— - --- - -- - -- _ I:UMPL1ANl:C:._._.... ... LAJJ. sari ab a�a �; - 1 r nc�v r TOWN OF BARW-TABLE 2 Printers -° satisfactory I Auto Pody Shops °QAR D OF HEALTH 4. Manufacturers " unsatisfactory- (see„Orders") S. ' Retai:l Stores U — L� v � r COMPANY � 6. Fuel Suppliers 7. Miscellaneous ADDRESS . �-�'/�',a ' Class: QUANTITIES AND STORAGE',(IN=indoors; OUT=outdoor: Case lots Drums AbdveTanks Underground Tanks b1AJOR MATERIALS IN OUT I O� IN N xl e s Fuels: Gasoline, Jet Fuel (A) Diesel, Kerosene, #2 (B) r Heavy Oils: ` waste motor oil (C) new motor oil I(C) 2 ` transmission/hydraulic Synthetic Organics: Yn _ degreasers Miscellan o s. L DJSPO�4LbRECLANATION REM ►RKS: --- 1•:�Sanitary Sewage 2. Water Supply 0 Town Sewer Public �' O-O =site O Private 3.~ Indoor Floor Drains: YES NO O Holding tank: MDC O Catch •basin/Dry well ORDERS: k OOn-site system 4. Outdoor Surface drains:YES NO ' 0 HoldinL• tank: MDC OCatch basin/Dry well — - -- OOn-site system Licefised? S. Waste Transporter _ (, ` c '' 1,Z 12 ei Person(s) Interviewed 1 Inspector -Date r ' "TOWN OF BA R N STA B L E COMPLIANCE: CLASS: 1. Marine,Gas Stations,Repai.r Osatisfactory 2. Printers •BOARD OF HEALTH� 3. Auto Body Shops unsatisfactory- 4. Manufacturers'n, �r�� unsa COMPANY (see"Orders") S. Retail Stores � , � , _n- �• - 6. Fuel Suppliers. ADDRESS Class: _ 7. Miscellaneous QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MATERIALS . Case lots Drums AbOveTanks Undetgrouad Tanks IN LOUT IIN IOUT IN UT gallons Age 'rest? Fuels: Gasoline, Jet Fuel (A) ni.esel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) Z4 transmission/hydraulic ; Synthetic Organics: E degreasers I Miscellaneous: A�'"L DISPOSAL RECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply Vsi Sewer ublicQ Private 3. Indoor Floor Drains: YES O Holding tank: MDC 0 Catch basin/Dry well aOn-site system 4. Outdoor Surface drains:Y S NC -� r- �'`~� '<< q — Holding tank: MDC i —15 Catch basin/Dry well L-' OOn-site system S. Waste Transporter Licensed? Name of Hauler_ Destination w e P ode Person(s) Interviewed �- 12 23 81 Ifispect'or 4 b: TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM _ Mail To: NAME OF BUSINESS: s! � � �=�e� Board of Health MAILING ADDRESS: Town of Barnstable TELEPHONE NUMBER: 7Z0" P.O. Box 534 CONTACT PERSON: Hyannis, MA P.O. 02601 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in qu ties totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered when stored��. r�,;t _- - d Please put a check beside each product that you store: Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners /Hydraulic fluid (including brake fluid) Disinfectants �/ Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department artment Canary CoPY-Business I,^ -;1 w TOWN OF BARNSTABLE �PLIAIII: CLASS: 1.Marine,Gas Stations,Repair nters BOARD OF HEALTH satisfactory 3.2.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY R ,.`s (see"Orders") 5.Retail Stores q y 6.Fuel Suppliers ADDRESS /S.' ez-Z� Class: 7.Miscellaneous UANTITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons 777 Test Fuels: Gasoline,Jet Fuel (A) AA If A�ies-er;Ktroselre;-#2 (B) Heavy Oils: � V waste motor oil (C) , new motor'oil(C) /�f y V_qns ni94er.1hydraulic Synthetic Organics: degreasers qZ0 5; iscellaneous: DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply .A O Town Sewer *ublic I'On-site OPrivate 3. Indoor Floor Drains YES NO O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES NO 2. 7- Person (s) Interviewed Inspector Date ,i TOWN Of= [3ARNSTAt3LELob MicE: CLASS: 1. 1larine,Gas Stations,RFpal.r 1. Printers " dunsatl Factory g, Anuto P,ody Shops C �(~R D OF HEALTH sfactory- 4. ilanufacturers COMPANY ///AffY. .f��An dAl 1CC 1see"Orders") S. Retail Stores 6. fuel Suppliers ADDRESSy �i'-�l%' � . �jr�,c:CIass; 1-77. Miscellaneous \' QUANTITIES AND STORAGE (IN=indoors; Offwoutdoor. MAJOR MATERIALS- Case-lots Drums AboveTanks Undetgrotlnd Tanks tL OUT 1lL ___9_gallons 9t� fs3S Fuels: • Gasoline, Jet Fuel (A) Diesel, Kerosene, 112 (B) Heavy Oils: � , , r 'waste motor oil ��(C) ` new motor oil (C) transmission/hydraulic J r� Synthetl.c Organics: degreasers • Miscellaneous: ISPOS L RECL MI T ON REMARKS: 1. Sanitary Sewage 2. Water Supply ! A. 1 / O Town Sewer O Public l lA k YAIVN jE�. V On-site Q Private tl-VA4 Air 3. Indoor Floor Drains: YES NO —__,_�„___ Q holding tank: MDC y O Catch basin/Dry well ORDERS: 0 On-site system 4. Outdoor Surface drains:YES NO A Q holding tank: MDC , O Catch basin/pry wall OOn-site system S. Waste Transporter Licensed? • I `-Him"f-flaylgr „� n ct� at�nn IIS H Product �E,���t1Q_ •--t / h1,// - 2 h i7G 12, 2J 81' Person(s) interviewed Inspector � Date I 2� _ - i �`°Ft"e►oy� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BA MASS. BLE.$` 200 Main Street• Hyannis, MA 02601 prEDMP+p`0 TOXIC AND HAZARDOUS-MATERIALS INSPECTION REPORT Business Name: A IJ,(Apm� Olus Date: I1I6!a! Location/Mailing Addres : fill. U n,$ Ulln is Contact Name/Phone: 90 -77,—S -5177 Inventory Total Amount: ~ III MSDS: License#: Tier II : No Labeling: 2 " Spill Plan: V ` Oil/WaterSeparator:—PA Floor Drains: Emergency Numbers: V Storage Areas/Tanks: —� v Emer enc /Containment E ui ment: I Waste Generator ID: V 1 Waste Product: VaS Qi Date&Amount of Last Shigment/Frequency: Dow I WA* Licensed Waste Hauler&Destination: W 11 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 C Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) V Windshield wash Motor oils — V Miscellaneous Corrosives Gasoline 'et fuel aviation a� 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, rodenticid,es 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 `y- Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform,formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: i Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Number Fee 10 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Alignment Plus Auto Repair .-------------------------------------------------------------------------------------------------------------------------------- 63 Enterprise Rd., Hyannis, MA .----------------------------------------------------------------------------------------------------------------------------------------------------------------------- Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. ------------- ------------------------------------------------------------------------------------------------------------------------------------------------------ Restrictions: .------------------------------------------------------------------------------------------------------------------------------------------------------------------. This license is granted in conformity with the Statutes and ordinances relating there to, and expires 06/30/2021 unless sooner suspended or revoked. ---------------------------------------- JOHN NORMAN DONALD A.GUADAGNOLI,M.D. 07/01/2020 PAUL J.CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable 9kA Ail" C Inspectional Services BARNSTABLE Of PAR"STnOLE•CE"nF L-CONR•FYAWS Public Health Division �1639'�M`-+"q�"�"�°°" --f2014 RAM M 1 Thomas McKean, Director : � T e%3.` 200 Main Street, Hyannis,MA 02601 NO Office: 508-862-4644 Fax: 508-790-63047 X APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE ' HAZARDOUS MATERIALS C, IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS DULY 1 st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 � CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 GI�� CATEGORY 3 PERMIT 500 or more Gallons: $150.00 El l *A late charge of$10.00 will be assessed if payment is not received by July 1st. 11 L� 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: ROB k-T A . C4 u zen DOA A LJ bn/tic&77S PLUS 5. NAME OF ESTABLISHMENT: 4 L I & n M%S PLUS A-Uro 2E4041 R 6. ADDRESS OF ESTABLISHMENT: 6 3 1 � 1"�s`� HyAfIf)13 M g, 6 ZL o 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 5-0 9. EMAIL ADDRESS: 10. SOLEOWNER: V-VES 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 APPLICANTg�j C DATE 6 SZa Q:Wpplication Forms\Haz Mat Appli Draft Jan2019.docx Number Fee 10 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Alignment Plus Auto Repair 63 Enterprise Rd., Hyannis, HA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. --------------------------------------------------------------------------- ------------------------------------------------------------ -------------------- ------------------------------------------------------------------------- ---------- -----------------------------------------------------------------------. This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2020 unless sooner suspended or revoked. -------------- ------------------------ PAUL J.CANNIFF, D.M.D,CHAIRMAN DONALD A.GUADAGNOLI, M.D. _ 07/01/2019 JUNICHI SAWAYANAGI THOMAS A. MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable Inspectional Services :.I:�Public Health Division 9 Thomas McKean, Director ArEote 200 Main Street, Hyannis,MA 02601 fiwfi F-a Office: 508-862-4644 Fax: 508-790-6304 XII APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st-JUNE 3 Oth). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 �_!TV5T_ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ElP P *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. a 93 'b 2. IS THIS A PERMIT RENEWAL? l< 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: RpBur Pr. LkwzL,,z 5. NAME OF ESTABLISHMENT: AL.I 6-1 h,e^TS LIDS A;UT(o 6. ADDRESS OF ESTABLISHMENT: 63 EA-re EA-rek P915 P-040 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: C - 8. TELEPHONE NUMBER OF ESTABLISHMENT: 5-o a 7 75— 3; 7/ 9. EMAIL ADDRESS: r6 bc, L qru-t� CU m CA�i ✓1 (. 10. SOLEOWNER: X 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: SIGNATURE OF APPLICANT P ATE 'ti" f 9 Q:\Application Forms\Haz Mat App Revised 09-10-18.docx IKE rokti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARNS TABLE. 200 Main Street• Hyannis, MA 02601 i6S9 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT RFD MA'S Business Name: A ,onwok i Date: 7131 1A Location/Mailing Address: CS E&C&6e- Contact Name/Phone: �O�S 775 !G31 7 Inventory Total Amount: l II SDS: ' License#: Tier II : No F Labelino: l S Spill Plan: Oil/WaterSeparator: oor rains: Emergency Numbers: e-S Storage Areas/Tanks: WjC OI J QV D d O 1 ( ' (1; Emergency/Containment ui ment: -Cl Waste Generator ID: Waste roduct: lea Date&Amount of Last Shipment/Frequency: `t-15-. dlct,110a d i��1 Licensed Waste Hauler&Destination: !�i C, G' 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 ]0 Motor oils a5 Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: Inspector: &A&Wh2l Facility Representative, ��— WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS THE Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARM�LE. ' 200 Main Street• Hyannis, MA 02601 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: Alt K.nx:. s 91v S AA s R at 1 Date: Q z2 » Location/Mailing Address: (>3 E e� t��-c_ aria'S Contact Name/Phone: kz,Ir,-<� 77 Inventory Total Amount: " SO -1 e-� MSDS: Ow���^r- accegs License#: 1 o Tier ll : NO Labelina: OVA Spill Plan: yK Oil/WaterSeparator: Floor Drains: Emergency Numbers: c9K Storage Areas/Tanks: 2'f k W"k\�e, o% l Mrr i% d—v<,s sue,rmucckle, 3o Iu.1 wtis ke-kK4% C.Ce2e— Emer enc /Containment E ui ment: S 2��� oK S 1 k-9- Waste Generator ID: Waste Product: o% Date&Amount of Last Shipment/Frequency: NO Q,c�,cv�5 s►vtce lags- ,K s g,,��-,ort, 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 k So w14xL Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) v/ Windshield wash Motor oils �r 1.1S wa5k-e, 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 J Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides �— Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: Inspector- 1 < Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS V' �\ Number Fee - 10 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that Alignment Plus Auto Repair 63 Enterprise Rd., Hyannis, MA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2016 unless sooner suspended or revoked. --------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/2015 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health ,r Town of Barnstable �j++E Regulatory Services Richard V. Scali,Director . Public Health Division Ev ram'' Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee:$100.00 ASSESSORS MAP AND PARCEL NO. X33 -011 DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT r, L-&r%-t ­J NAME OF ESTABLISHMENT _ -_L-l 6-YNr`^CAT-� Pl US .Aoro k,�- °A 1 AL ADDRESS OF ESTABLISHMENT 63 &-J-r PW '-ILL TELEPHONE NUMBER_(�d , 77S"3377 SOLE OwNER:_CYES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK • S OF APPLICANT RESTRICTIONS: HOME ADDRESS - yY3 (-0V 7 ST• HOME TELEPHONE# So 8 • Y)Q-,35r Mcache\Temporary Internet Files\OLKD3\HAZAPP Rev2015.DOC IKErok4 Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BAR Bq .9 200 Main Street• Hyannis, MA 02601 �plFD MP'�p`000 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: A 1' ' H rke,,i4S iPl/uS 4,4o 4 Date: 9 16- Location/Mailing Address: 3 �►�-�c,� r e- 4v1ri rS Contact Name/Phone: 1fRP 12&rk 3377 42.1 Inventory Total Amount: 71 l D 4,L3o5alW%MSDS: �2 '�'�' License#: Tier 11 : I F Labeling: ?lGvlof e- Spill Plan: �- Oil/Water Separator: t3 A Floor Drains: Ot, Emergency Numbers: Storage Areas/Tanks: aI w& 2, o11 A 61- m a.l V� Emergency/Containment E ui ment: 0 1 1ti- U Waste Generator ID: Mil SD ?7 3 177 f Waste Product: o i / a„c , r Date&Amount of Last Shipment/Frequengy- g Z 2 5 4 JC Licensed Waste Hauler&Destination: 2�� aa,�- C��s-�a.l GI,e4w H�Q►anaDo S Other Waste Disposal Methods: A f LIST OF TOXIC AND HAZARDOUS MATERIALS or ck"�s ��- i►ti��`^ �y 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 a- 3V 1-'76L6ka�' 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 A, 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/REC M ENDATIONS: L46-P-1 oa < O l s Inspector! 1 , Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS \SHE ►O�� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BAR AL W0A) 200 Main Street• Hyannis, MA 02601 39. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: Ali ►(w-e-jJs 62/us A, .o 14e rl Date: I Iy Location/Mailin Address: 4-5 -r-PV r- tQ 4)i,l i S Contact Name/Phone: Lof--r� 33-7-7 Inventory Total Amount: 7 I� MSDS: /a,S License#:Ib Tier II : a Labeling: 0 Spill Plan: Oil/Water Separator: Floor Drains: M0 Emergency Numbers: '1 Storage Areas[Tanks: It 5+t o,I A S�, Ja,bc." A-5n t) Ow SQL 5 Emergency/Containment Equipment: 5NAXI I" Waste Generator ID: W 08 Waste Product: of 1 t a► +, reeae. Date&Amount of Last Shipment/Frequency: 3 I D Ll 35-a Ja I n=�Jjvrox, � r5 Licensed Waste Hauler&Destination: f•f Cr� .5+4, C eavt- Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS /� a oe at-,A, y�S �,A =erial yLc ixs+ 1 n5NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws df MA, hazardous use, 1/2 sl 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) �L Windshield wash —V Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants �— Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides �— Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives (creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: NO I65J2S Vt C-f-L M 1 i►4�C.. Inspector VJ-&-, Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Date: I/ / z�/3 TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS Res N FORM NAME OF BUSINESS: �/� vtr�.t, 5 T��s 1��-�0 &U44►r BUSINESS LOCATION: G is✓L+ r, to— ✓� .t n, INVENTORY MAILING ADDRESS: Sam TOTAL AMOUNT: TELEPHONE NUMBER: S-00 -7-7-5-'- 33-77 > III CONTACT PERSON: gv to-r�r (1.7 t/j=� ) EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: 4v+& 4-- 6 INFORMATION / RECOMMENDATIONS: `� r'.abe.1 1 I wcts 1-'e d��.�d►�{S r� /� Fire District: Rvial 5&-oyla�ar,,j to-K &iw.e_<,6 Z) Ke-eo cowfalve--rs «Ioja WLVL, now N)/it,jn S 3) S NO y1 A ,err lwk ,Vo— 1 5 Mo..�e:�,wls ind2 W�cs,/`t'cow� 'Iasi- lytuw -f,-, /(6 2 ,1) Waste T 664 }a` ' /hPS�DS-T?5�377 Last shipment of hazardous waste: la �a o6 Name of Hauler: UU4vt<AJ1e-L,g-J,X Fkgj4-*4 Destination: Waste Product: Wasfe a, /R.tif►(?reeve—� 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. Obs ed / Maximum Observed / Maximum Antif eeze (for:/US sline or coolant systems) Miscellaneous Corrosive ZEW ED z-S19f to&0vK-- Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants motor Oils Pesticides R ���NEW YUSEDVsA a< (insecticides, herbicides, rodenticides) Photochemicals (Fixers) Gasoline, Jet fuel,Aviation gas Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes J- a otc, kAis r e it 4 14---rS 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 �., Struts.Shocks mENT Brakes•Tune Ups v`C� SA` V Auto Repair GS 775-3377 63 Enterprise Rd. Hyannis Owned&Operated by Hunter Wheel Alignments Robert&Linda Lauzon Date: q-a7-01-/ COPY TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAMEOFBUSINESS: .4� BUSINESS LOCATION: MAILING ADDRESS: " INVENTORY TELEPHONE NUMBER: mod$-- -7-75 --35-7-7 TOTAL AMOUNT: CONTACTPERSON: /gam-eve EMERGENCY CONTACT TELEPHONE NUMBER: FWE 1)I57"�IGT TYPEOFBUSINESS: OTHER INFORMATION: } /07? �du � ��,�•�, :s rAl&*fto CAA G7'1 5i - .54m-e crm Sim el Lca ' Pam- - ,M 5 DS oil �! Wastnsportation: Name of Hauler: ,481ua*lUeA 1_;g_-V rot .Destination: Waste Product: of( ck�r �,n �a., Licensed? a No T+Q LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. . NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Observed (gallons): Antifreeze(for gasoline or coolant systems) Drain cleaners 6 .NEW SIAUSED Cesspool cleaners. Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor oils Pesticides W FUSED (insecticides, herbicides, rodenticides) Gas ine, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car wakes and polishes Leather dyes Asphalt & roofing tar Fertilizers .6 AA Paints, varnishes, stains, dyes PCB's . � Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc, carbon tetrachloride)- Paint &varnish removers, deglossers Any other products with "poison" labels Paint brush cleaners Floor'&furniture strippers (including chloroform,formaldehyde, Metal polishes hydrochloric acid, other acids) Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids Misc.: C�lr, 1 (dry cleaners) �— Other cleaning solvents Bug and tar removers Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS DBA: Alignments Plus Auto Repair Fax: Corp Name: Mailing Address Location: 63 Enterprise Rd. Street: 63 Enterprise rd.. ...... mappar: City: Hyannis Contact: 'Robert or Linda Lauzon State: Ma Telephone: 508-775-3377 Zip: 02601i Emergency: Person Interviewed: Business Contact Letter Date: Category: VehicleMaintenance Inventory Site Visit Date: Type: Auto Body Follow Up/Inspection Date: ❑� public water ❑ indoor floor drains ❑ outdoor surface drains d❑ license required ❑ private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc ❑ currently licensed ❑d town sewage ❑ indoor catch basin/drywell ❑ outdoor catch basin/drywell expir --- --- ---- ❑ on-site sewage ❑ indoor on-site syste ❑ outdoor onsite system date: PPE available. Used rags kept in fine container. Fax over copy of compliance: manifest. Remove tires outside. 4/20/04 Need to inventory-HazMat Satisfactory license required by never obtained. r` Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ Zero Toxic Waste Materials S6 gty's>25 Ibs dry or 50 gals liquid but less than 111 gals ❑ gty's 111 gals or more description: qty: uni' measure waste oil 3 55 allons __ .----_.._......_....-_ _.__.._._.-.._._..--_._ _ _....._._.__._._ __. __._ _..... _.._.. 2�4?� @ waste oil _ 275 galIons antifreeze(for gasoline or coolant systems) ionv waele antifreeze _� ttt eW q. ;cases Waste Transporter: :Advanced Liquid Recycling Fire District: Last HW Shipment Date Waste Hauler Licensed: (�1 r � Jos ��r�► s �;.�� i, e �� e f Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS _ .. . DBA: Alignmants Plus Fax: _ Corp Name: Mailing Address Location: 63 Enterprise Road,Hyannis Street: 63 Enterprise Road mappar: 293-016- - City: Hyannis Contact: Larry Mahan State: Ma Telephone: .775-6882 Zip: 02601 Emergency: 428-8728 Person Interviewed: _ ......._.. Business Contact Letter Date: Category: VehicleMaintenance Inventory Site Visit Date: Type: Follow Up/Inspection Date: public water ❑ indoor floor drains ❑ outdoor surface drains ❑ license required ❑ private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc ❑ currently licensed ❑� town sewage ❑ indoor catch basin/drywell ❑ outdoor catch basin/drywell expir -- — ❑ on-site sewage ❑ indoor on-site syste ❑ outdoor onsite system date: REMARKS:4/13/99-Unifirst does laundry. Rags for oil spill and speedy compliance: dry. ORDERS: Obtain MSDS. Satisfactory I w i Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ Zero Toxic Waste Materials ❑ gty's>25 Ibs dry or 50 gals liquid but less than 111 gals ❑ gty's 111 gals or more Waste Transporter: Fire District: Last HW Shipment Date: Waste Hauler Licensed: No ......................_ _... _ i HazMat On-Site Inventory/Inspection: Records to Review for SQGs and CESQGs Location: -�iS- Site visit date: • Hazardous Waste , Manifests: • Employee training documentation: • Hazardous subst nce spill control and contingency plan: IV • MSDS on site? L7z • HazMat Inventory records (if applicable): • HazMat Shipping documentation: `e • Spill records (if applicable): A JA Hazardous Materials On-Site Inventory/Inspection For ALL Shops and Businesses: DBA: a' s �� •cam��yl� �j� -� Location: Q Cad, Date: Physical Features to Inspect: 1. Hazardous waste generation sites (production/manufacturing areas): 2. Waste storage areas: 3. Satellite accumulation points throughout: �5 4. HazMat container storage area: 5. HazMat generation points: 6. Shipping and receiving areas: 7. Ruin down of shop activities: �L s 8. Housekeeping practices: Number Fee 10 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Alignment Plus Auto Repair 63 Enterprise Rd., Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2019 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2018 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health i i - r �- Voegulatoryw of Barnstable ervices Richard V. Scah, Director 1&16 C � • �, Public Health Division BARNSTABLE ..0 rM BARNSfMLE.fF3RE0.VILLE.[OTUR•HYMTIIS icnw ALM& • Thomas McKean Director NARSNSN'S1639fLtF•MF5&FNSME 1DSA$9. A 1639�-72014 3 10 -- - - - - - - //- - ArEo�d 200 IVTairi Street,-Hyannis;lVlA 02G01--- ---_ --------- -------��-—- -- i•wA all Office: 508-862-4644 Fax: 508-790-63047 :. APPLICATION FOR PERMIT TO STORE AND/OR UTILIZEY' HAZARDOUS MATERIALS ,. w 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 1�• CATEGORY 3 PERMIT 500 or more Gallons: $150.00 *A late charge of$10.00 will be assessed if payment is not received by July 1st 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? YES_NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: �o 6,4 A. Lo -zo„ 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: �3 kcr�r�'s�— �LcS,,,,C �� ,s �kA 016o t 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: E0$-775-- 337- .-- f 9. EMAIL ADDRESS: 10. SOLEOWNER:_4X 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: SIGNATURE OF APPLICANT DATE Q:\Application Forms'aAZMAT APP 2017 REV1S .docx T ►ok� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BnRM..B% g` 200 Main Street• Hyannis, MA 02601 " ,a59. MPS A,0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT �fD Business Name: ,s D-f Cm <<51ov` t V6 &-. Date: 2 17 Location/Mailing Address: 3 A a v,Yi i Contact Name/Phone: a t,e.-r 4,rro o j a �c�$-3��/-71 Ve Inventory Total Amount: SDS: L�- License#: Tier II o Labeling: 0k Spill Plan: 2'wt-vt 151� Oil/WaterSeparator: 1pc Floor Drains: tJ o Emergency Numbers: D�C� Storage Areas/7anks: A. ;VA&- Wa - 4e_ 1%4. was+c. vo✓v✓ Emergency/Containment Equipment: ae e 0V- k� Waste Generator ID: M�j r� r�:Sq y--i 1!�to Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS I v w.e4 o! L S NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws f MA, hazardous mdterial 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/fir-Il c C insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) VAsphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons — Laundry soil&stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: ° Inspector: _ _ \ L 4�►c-��`� Facility Representative WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS r f t °F�Me roNti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARN s,%. g 200 Main Street• Hyannis, MA 02601 "rfD MP TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT 1 1�- r1oI,J'`�P J1 Ow jb Business Name: �>amv —5 0-< < 10,.�- �7To . 2 ��( Date: 16 Zet ►S o � Ge l l s I� .Q./ _� Location/Mailing Address: f, Nv e -4(5 Contact Name/Phone: lie «eset q -I b Inventory Total Amount: PI' 0D Q MSDS: `e 5--ov-1 License#: A Tier II : 0,0 Labeling: b Spill Plan: tJ Oil/WaterSeparator: Floor Drains: o Emergency Numbers: O Storage Areas/Tanks: s SAS A( Emergency/Containment E ui ment v ow ab l DQ 0. 7Waste Generator ID: l aste am Product: k►� ��-�^� Date&Amount of Last Shipment/Frequency: ►)® (-k a 5 I v`c f- v`nov-c.k vv A— Licensed Waste Hauler&Destination: Av o o v v,c� -e coJ-Q-�� 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: 4Ii Caulk/Grout , \ vAJ k,\1Ld Z 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 ti Swimming pool chlorine ,Paints, varnishes, stains, dyes'bD x Lye or caustic soda �-k Lacquer thinners3x S ,V SSwaya.& Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons I 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: t 4vA-S C�Lovtiw�� rti' �D Inspect , V`e 'ems Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS YOU WISH TO OPEN A BUSINESS? N&j r Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1"FL., 367 Main Street, Hyannis, MA 02601 (Town_Hall) DATE:5 Z Z- / Fill in please: APPLICANT'S YOUR NAME/S: D v ('` 1 I'4 i:ri'j'Jrv.'i�r.'j9".•:G u.Rji°�. I'VI��'141_y ..l'�Illdly /_'liiyi,^.p ' , � F BUSINESS YOUR HOME ADDRESS: a„6, a neFif:D.liTt;'ta%: J / G .. .� '7 / '�-"• '�`� '� '" TELEPHONE # HomeTele hone Number t. I NIAi1T.1)f4JL/!"fCc3 'f �, Cam. -f� '2. ) a 60 c NAME OF CORPORATION: 4 u� o, NAME OF NEW BUSINESS S TYPE OF BUSINESS r IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS ,u' i Z / MAP/PARCEL NUMBER — d� (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you-may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM I ER'S OFFICE This individu f has qn ifz�for d f ny Rermit requirements that pertain to this type of business. 4u orized Sign re COMMENTS:, i h� �c.�r. r` 2. BOARD OF HEALTH This individual has bee formed of thepermit r uirements that pertain to this type of businesc. c� t on ed Signatur MUST Compt(Vi1ITH ALL COMMENTS: MARDQUS MATERIALS REGUL`dTMS 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: TOWN OF BARNSTABLE Date: TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: f ,yi�p6 CD G � o f�,A,, , bay 4- BUSINESS LOCATION: EAe- ti^ i f 115t, Wd 9VaL)A11,5.; tjA_0ze0/ INVENTORY MAILING ADDRESS: :5QA,-i, TOTAL AMOUNT: TELEPHONE NUMBER: 5"6 3 CONTACT PERSON: ilo EMERGENCY CONTACT TELEPHONE NUMB R: 50 S 3 ? --�>39 MSDS ON SITE? TYPE OF BUSINESS: ✓ �Wle (Zor- _ INFORMATION / RECOMMENDATIONS: F re District: Waste Transportation: S,f a,-A4 1&10VQ�i Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: ttg l t ( wx54-L- Licensed . Ye 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. I�pfDj�. �ibt'H(4Gj dFJ� Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive dNEW 0 USED Cesspool cleaners �5 Automatic transmission fluid Disinfectants Engine and radiator flushes % br# Road salts (Halite) S Hydraulic fluid (including brake fluid) Refrigerants T r Oils Pesticides EW 3 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) 64 lubricants, gear oil ❑ NEW ❑ USED - rj Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine 9 Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers As halt& roofing tar PCB's Paint , varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED _ Any other products with "poison" labels j (including chloroform,formaldehyde, (Paint& varnish removers)deglossers hydrochloric acid, other acids) Z t'94 Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous(please list): � Metal polishes to t i -G AA , 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 I CANARY COPY-BUSINESS A icant's Signat a Staff's Initials Number Fee 10 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that' Alignment Plus Auto Repair 63 Enterprise Rd., Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 -499 gallons of Hazardous Materials. --------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and 1 1 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 I IJ, ,f 'TRow of Unstable eg atoervices Richard V. Scah,Director *�A t►+e rPublic Health Division BBLE6MNR•HYuF15BLE, YXtRS .Sf B6^..XiIt6FThomas McKean, Director n39. 1b 200 Main Street, Hyannis, MA 02601 na 4 Office: 508-862-4644 aO 7 -a1V3 Fax: 508-790-6304 a 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 1 st-JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00 ❑- CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 Vis CATEGORY 3 PERMIT 500 or more Gallons: $150.00 P *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? YES_NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: Rpg6A-r A . LAr u z 5. NAME OF ESTABLISHMENT: prL1 &t1 rk%611 1 PLUS Arorp 6. ADDRESS OF ESTABLISHMENT: 63 AJ7,(A/'21l- G�.� ' `�y�����, ►°VI A' 6 2,6O' 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: -7-7 57-33 -7 / 9. EMAIL ADDRESS: 10. SOLEOWNER: A C 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: SIGNATURE OF APPLICAN DATE Q:\Application Forms\.HAZMAT APP 2017 REV00—A—ocx Number Fee 10 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Alignment Plus Auto Repair 63 Enterprise Rd., Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. This license is granted in conformity with the Statutes and ordinances relating there to, and 9 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 cow L e • • i Town of Barnstable �tHWE*o Regulatory Services Richard V. Scah, Director ��` BARNSTABLE a " "B�' ' Public Health Division �'� a 16Q. 0� enunraou:•evncanu[•rmv •nuera 3 ♦ \( / / wusrmvs ras•osrzxrue1 wneiineit ` Thomas McKean Director (U{a`� 'X\ 1639-201 r" 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 W C7 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 1st-JUNE 30th): - APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ A late charge of$10.00 will be assessed if payment is not received by July 1st. ASSESSORS MAP AND PARCEL NO. ;o 3 0/ DATE FULL NAME OF APPLICANT: n 0 6&2,7- LA It NAME OF ESTABLISHMENT: f L ) (:F7)M6-A S P SUS I:WTO R-Ul w l ADDRESS OF ESTABLISHMENT: 6 3 fCA1WP-1ST R'0 HYAat) /4 i #s:�. MAILING ADDRESS (IF DIFFERENT): TELEPHONE NUMBER OF ESTABLISHMENT: _ 5-0 8 -7 7 S' `33 7 Z EMAIL ADDRESS: SOLE OWNER:OYES NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK • IF PREPARED BY OUTSIDE PARTY: SIGNATURE OF APPLICANT Name: Company Address Vt Telephone#: Email: Q:Wpplicarion Forms\HAZZAPP Rev I6.docx Page 1 of 2 Number Fee 10 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that Alignment Plus Auto Repair 63 Enterprise Rd., Hyannis, MA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------ This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 6/30/2015 unless sooner suspended or revoked. -------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2014 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable pF1HETo Regulatory Services Richard V. Scali, Director 9 MA�`E' ' Public Health Division 1639 ��� ArFD 3�s Thomas McKean, Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. Qn?)-OJ U DATE (9 Is APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT PAL"-) QAt !, QQ ,nr— ADDRESS OF ESTABLISHMENT ( TELEPHONE NUMBER SOLE OWNER: / ES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: .FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS C- ?��, (� HOME TELEPHONE# ;jS-�_e(� aS2 Q:\Application FormsV AZAPP.DOC y. Number Fee 10 THE COMMONWEALTH OF MASSACHUSETTS $10o.0o Town of Barnstable Board of Health This is to Certify that Alignment Plus Auto Repair 63 Enterprise Rd., Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ----------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------- -------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 6/30/2014 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2013 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health e ri I`j f Town of Barnstable of IHE Regulatory Services } Thomas F. Geiler,Director 3 asawcrear i . $ Public Health Division D'F�rummy Thomas MeRean, Director 200 Main Street, Hyannis, MA 02601 CEca: 508462-4644 Fax: 508-790-6304 Appka#ion Fee: $100.00 ASSESSORS K,. P AND PARCEL NO. � 9/ �� DATE / 1�3 APPLICATION FOR PER= TO STORE AND/GR.TJTIL= MORE TE ANT 111 GALLONS OF HAZARDOUS MATERIALS FULL NANSE OF APPLICANT RQUA7 A , LA It 7-0� �J�`!� A L/6/1171 647-1 P IA/5 N AAU OF ESTABLISEMINr M 60>s p L U3 Aq-ro IZ�v4/oq ADDRESS OF ESTABLISIIN= TELEPHONE Num3ER �(` 50�) 7�S 3 377 SOLE OWNER: L'<s NO IF APPLICANT IS A PARTNERSHI?,FULL NAYIE AND HOMT ADDRESS OF ALL PARTNERS: © p can IF APPLICANT IS A CORPORATION: FEDERAL IDElYTIFTCATION NO. ca M STATE OF INCORPORATION r T'I=NAME AND EOAU ADDRESS OF: PRESIDENT TREASURER CLERK GN A2-?LICA.NU RESTRICTIONS: HONT ADDREss qY 3 M IU,9 1-or15 n�us 1 HOB TELEPHONE # 3 38'6 doc/wpiq Number Fee 10 THE COMMONWEALTH OF MASSACHUSETTS $loo.00 � Town of Barnstable Board of Health This is to Certify that Alignment Plus Auto Repair 63 Enterprise Rd., Hyannis,MA 02601 O Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ---------------------------------------------------------------------------- ---------------------------------------------------------- --------- -- ----------------------------------------------------------------------------------------------------------------------------------- --------------------------- - O -� This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2012 unless sooner suspended or revoked. -------- ---- ----------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2011 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health 4ip q. rJ Town of Barnstable Regulatory Services 0© 0 Thomas F. Geiler,Director co'Sol( WAMPublic Health Division n Thomas McKean,Director 200 Main Street, Hyamis,MA 02601 Office: 508-862-4644 Fax 508-790-6304 Application Fee:$100.00 ASSESSORS MAP AND PARCEL NO. °Z 13 —b 14 DATE 3 0 H APPLICATION FOR PERMIT TO STORE,A.NDIOR.UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT Ro 9-f2T v LW u-za d D113 A A uGn s eUIS NAME OF ESTABLISHMENT AL 16h M 11&47S PLUS &U-ro /C&e4 AA ADDRESS OF ESTABLISHMENT. �AJr4-%r<PXJJ,6 A0• TELEPHONE NC7MBER (�TO$) 7 7� — 3 3 7 7 SOLE ONMR: ✓s NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARVMRS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK IGN OF'APPLICANT RESTRICTIONS: HOME ADDRESS YY3 xuAjr ST, m a vuns Af1w HOME TELEPHONE# To& ,2o • 13.p 0az400/wp/q A L I Carl mtATS PLUS '1070 CONTINCENCy PLAN Emergency Coordinator,Nance: Ro s ca-r A,. Address: Y93 Fl-++3T Sr. 1104TOM Daytime Phone: y pa)-�r�S� 33-71 Evening phone: s as y too- 338 b Fire Depart meat; �y o$� 775- 13 00 9 5 ,+r(W sCA'tw . P-o. yynno"r. DEP 24 Hour Spill Hot Line: •304.1 Waste Hauler: Na=: S n t-+,-(Y Lk,&j sy g TL j S - Phone: ► -d v 0- b - 57 Yea Building diagram irAieating hazardous material/waste storage area, location of absorbent scavenger materials, fur, extir,>.guishers, fire alarms (if present), and evacua -on route (if applicable). to e� O M 'V.S7aR� OIL,f1�1 DooR p � a 4 � V'(u P r N w . od e �••--,� Actions to be takee, control a spill or release and prevent;.ng it*om ,. reaching a catch ba ' , sewer system or the ground. b� _5fU0Y .CRY AgSo,;art Number Fee 10 THE COMMONWEALTH,OF MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that Alignment Plus Auto Repair 63 Enterprise Rd., Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2011 unless sooner suspended or revoked. WAYNE MILLER, M.D.,CHAIRMAN PAUL J.CANNIF_F,D.M.D. 6/30/2010 JUNICHI SAWAYANAGI - ---------- THOMAS,A,.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable o t ram, Regulatory Services 1 i Thomas F. Gei6er, Director BARN3TAbl.E.I s MASS. Public Health Division 9�A i674 ' Thomas McKean, Director 200 Main Street, Hyannis. NIA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. ` d) (, DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT IkolkT Ar_ —�py�z��}--D�� ' (�� ►r, rZtff NAME OF ESTABLISHMENT _ C_ 1 trn rm&ATS LUS 4yj)-ra RlAtio- ADDRESS OF ESTABLISHMENT 3 i$67-*,kP9-1ST TELEPHONE NUMBER sb 7?s 3 3-7-) SOLE OWNER: " YES NO — — IF APPLICANT IS A PARTNERSHIP, FULL NAME AND HOME ADDRESS OF ALI, T} PARTNERS: ` _—__. — - ----- -- C-a IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FILL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK C'T VUR�' -I- A ILI I-11 -NT RESTRICTIONS: HOi41E ADDRESSq q3 IrLlOr _ HOME TELEPHONE # i-�(09 Lia-0 _1,3eL Haz.doc,%k p;y 47r1'1 bHHNb i H3LL bf-'HW! i 1F HEAL-H 24 P C NO. P. -� A L l 6n rn EATS PLUS US 13 t trO A'R - CONTINGE ICY PLC Emergency Coordinator; Name, Ko%EA-T A, Address: 143 Fi„�T ST r�„a sr M Daytime Phone: E oR) 33 7a _ - ,s Evening Phone: s�s yz..o. .33�:� F''ire Depmtrne nt: (SO$, 775 - 1 300 95 04,60 CVWL RQ. ��Ys9oril�I. DEP 24 Hour Spill Hot Line: 88a- 4-1133 Waste Hauler: Name: jnf-vY SysTt,yS roc-- Phone: i -d o o-k 6 9- S 7 Yo Building diagram indicating hazardous material/waste storage area, location Of absorbent scavenger materials, fire extinguishers, fire alarms (if present), and evacua 'on route (if applicable). sS�R W I ( f 4= L f S q#A jo + ® �� i Actions to be tale control a spill or release and preventing it from reaching a catch UN a, sewer system or the ground, j Number Fee 1209 THE COMMONWEALTH OF MASSACHUSETTS $so.00 Town of Barnstable Board of Health This is to Certify that Dennisport Collision ................................................................................................................................. 63 A Enterpise Road, 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 L� Town of Barnstable Inspectional Services BARN TABLE Public Health Division `�`` -2 34N�B'��"` ]639-2014 Thomas McKean,DirectorMAW, r` �iOrFc 39. . 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-63.N z�• 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 vsr CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 CATEGORY 2-PERMIT 11.1 —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. ' L,Q S 6 G t 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: �►ck Q t'e, 5. NAME OF ESTABLISHMENT: `a-¢ tJ` 6 .,- 6. ADDRESS OF ESTABLISHMENT: r 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: Q 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: ae,�VI.6 N— co`I�Star:> 06 �� 1 10. SOLEOWNER: -YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TEL PtIONE#Of: e CORPORATION NAME 1�,�9,, e CALAhlb PRESIDENT �a,l;e, 0 TREASURER `S' , -( a CLERK S0.v. { a 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: ++ • SIGNATURE OF APPLICAN DATE CP ,Z I �� Q:Vlpplication Forms\Haz Mat Appli Draft Jan2019.do Number Fee 1209 THE COMMONWEALTH OF MASSACHUSETTS $50.00 Town of Barnstable Board of Health This is to Certify that Dennisport Collision 63 A Enterpise Road, Hyannis, AM Is Hereby Granted a License For: Storing or Handling 26 - 110 gallons of Hazardous Materials. - ------------------------------------------------------------------•--- ----------------------------------------------------------------- ------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2020 unless sooner suspended or revoked. ------------------ ------ ---------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI, M.D. 07/01/2019 JUNICHI SAWAYANAGI THOMAS A. MCKEAN,R.S.,CHO Director of Public Health i Town of Barnstable �., L Inspectional Services BARNSTABLE 0`THE� w SiV.38GtL��'FF'LL��184u.�x�.E Public Health Division • IBIAIRMNSZAB , ' Thomas McKean Director c$ e t Arfvµpta`� 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 I st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by July 1st. 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: ra-U t-L, 5. NAME OF ESTABLISHMENT: NtS 6. ADDRESS OF ESTABLISHMENT: �+ ��r->�e—'�C l`�� � R �1�0.1�1�� � �`'rA 107-4W I 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: I�1�li�Sv..C,1�t1f~� �0® �aay 10. SOLEOWNER: ,, ES NO IF NO,_NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AN, TELEPHONE# F: CORPORATION NAME �o �— • �r �' PRESIDENT , d TREASURER ,=t CLERK i-t V- a 12. IF PREPARED BY OUTSIDE PARTY: Q NAME: TELEPHONE#: 5,0 COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICAN ATE S 1 Ni Q:\Application FonnAHaz Mat App Revised 09-10-1 .do Number Fee 1209 THE COMMONWEALTH OF MASSACHUSETTS $5o.00 Town of Barnstable Board of Health This is to Certify that Dennisport Collision 63 A Enterpise Road, 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 �Owuj of Bgnsxable Pd lIbIl ' gatory ervices �tK Richard V. Scali, Director GSZ Public Health Division BARNSTABLE G i Y • BARNSfRELE.fFMEPVWE.mNR.wY s BAMMBM • Thomas McKean Director """S°.S.'�'° a:�. M, u.: z 9 bLAS& ! 1639-2014 -- - — -- -- i 59 ♦0 —- -- — -- pIED µPS a 200 Main Street,-Hpannis�MA 02601--- -----�-- - - -- ------ - ,� Office: 508-862-4644 Fax: 508-790-6304 OD 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, 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. --L 4 3 — ® ( (o 2. IS THIS A PERMIT RENEWAL? "S_NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGEIUSE OF • GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4• FULL NAME OF APPLICANT: crr;t"K 4w-V,8 5. NAME OF ESTABLISHMENT: 2e4 l'o' t a,)L Lap C° 6. ADDRESS OF ESTABLISHMENT: ell- L ,cW,u) ��.d_ 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: 10. SOLEOWNER: '11�s NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF- CORPORATION NAME LL �iaaJ�} .. C PRESIDENT '� a TREASURER 'S L4 CLERK v vY o d 12. IF PREPARED BY OUTSIDE PARTY: • NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE G 2d Q:\Application Forms\HAZMAT APP 2017 REVISED.do Number Fee 12os THE COMMONWEALTH OF MASSACHUSETTS $see .00 Town of Barnstable Board of Health This is to Certify that Dennisport Collision 63 A Enterpise Road, 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 °`�� 680 Number Fee 1209 THE COMMONWEALTH OF MASSACHUSETTS $50.00 Town of Barnstable Board of Health This is to Certify that Dennisport Collision 63 A Enterpise Road, 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 r; Director of Public Health t4 L S c chK-*r L f-�3 'Rover of Binstable eg atory ervlces Richard V. Scah, Director o Public Health Division BAR {SSTABLE anursranit•swe" e•coun•nva:ris u'�• =" "B Thomas McKean Director MASS. A ) 161 9-2014 1639. �fD pie 200 Main Street, Hyannis,MA 02601 �� r Office: 508-862-4644 Faxt08-790-6304E:`' APPLICATION FOR PERMIT TO STORE AND/OR UTILIZ HAZARDOUS MATERIALS NJ 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). PO74 ^ 02 018 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 Jules 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: IJ I{ r Y(d b 11 5. NAME OF ESTABLISHMENT: 1 tSi o iJ °� o • �a) '. ,vC. o �+5 p2601 6. ADDRESS OF ESTABLISHMENT: , 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: — n - 8. TELEPHONE NUMBER OF ESTABLISHMENT: S D 3 C'F - f7 ( ( (� 9. EMAILADDRESS: 0.tl�Sc� 4a�Ci����tJ �D6• CD 10. SOLEOWNER: /YES_NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND ELEPHONE#OF: Y CORPORATION NAME Cc Lb t �, C . PRESIDENT :Ta 0 j 4_- O TREASURER T .c CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICAN DATE Q:\Application FormS\HAZMAT APP 2017 REVISED cx Number Fee 1209 Number THE COMMONWEALTH OF MASSACHUSETTS $5o.00 Town of Barnstable Board of Health A This is to Certify that Dennisport Collision 63 A Enterpise Road, 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 Town of Barnstable Regulatory Services Richard V. Scali,Director MASS.RARNWABM Public Health Division BAMST?�LE a67 g �0 PARM¢S OXpS WS.OS E0.JmNR V S RFD MA't Thomas McKean, Director v 200 Main Street, Hyannis,MA 02601 j ,f_l V Office: 508-862-4644 Fax: 508-7%6304 . R7 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 � 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 RaMent is not received by July 1st. ASSESSORS MAP AND PARCEL NO. ate`-( DATE 2 L C FULL NAME OF APPLICANT: 7 ?' r��.lTaa v�o Y' IF NAME OF ESTABLISHMENT: ADDRESS OF ESTABLISHMENT: Cp aC��r A i r�,�. ►�I U ,cl�!S .N MAILING ADDRESS(IF DIFFERENT): TELEPHONE NUMBER OF ESTABLISHMENT: EMAIL ADDRESS: �� GS�G��5c�t,I atP G a� �Oq,!�:o o Co i`l SOLE OWNER: YES NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND ELEP�ONE#OF: n CORPORATION NAME �l �� �.; :7F4 1` G' PRESIDENT 5-all t-1- 4rr e, u l OZ Z TREASURER CLERK q IF PREPARED BY.OUTSIDE PARTY: SIGNATURF,OF APPLICANT Name: Company Address Telephone#: Email: Q:\Application Fonns\HAZZAPP Revl6.docx Page 1 of 2 Number Fee 1209 THE COMMONWEALTH OF MASSACHUSETTS $s0.00 Town of Barnstable Board of Health This is to Certify that Dennisport Collision 63 A Enterpise Road, 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. 03/02/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health 5�)i I Town of Barnstable • pFIME ro Regulatory Services °� Richard V. Scali, Director .11 ° KAS& ' Public Health Division BARNSTABAft 1639. ,�� Kas"ro s"w`: s`"o5 EAVUE Ws, Areo +a Thomas McKean, Director 16eJU✓4 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-(tM4 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 i st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 CATEGORY 2 PERMIT 111 —499 Gallons: $1,25.00 ❑ 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. 2, DATE 3,/7,11// bf FULL NAME OF APPLICANT: -TQt)I'-,(V- AYIo 6 NAME OF ESTABLISHMENT: / 11(y 16 4- ,�� • a� C ADDRESS OF ESTABLISHMENT: (P 3 "' /+ o5,u 4!C Qr( Ste- gd. �'�0N,�/tS_H/�I. MAILING ADDRESS (IF DIFFERENT): TELEPHONE NUMBER OF ESTABLISHMENT: S'S ��4— ?190" EMAILADDRESS: ^��gi/a5� I�CiC�I�F%��QhrSo • CONj SOLE OWNER: ° YES NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADD SS,AND TELE HONE#OF: CORPORATION NAME i �� ` PRESIDENT eP— 4ore yd TREASURER 4 wrlB o CLERK wiz -1 r✓ rf®ve IF PREPARED BY OUTSIDE PARTY: SIGNATURE OF APPLIC ANT Name: Company Address Telephone#: Email: Q:\Application Forms\HAZZAPP Rev16.docx Pagel of I dpTpi, Town of Barnstable Office: 508-862-4644 Fax: 508-790-6304 Regulatory Services Department M Public Health Division � Mass. Thomas A.McKean,CHO 59. �o s` 200 Main Street, Hyannis, MA 02601 Payment Receipt .Hazardous Materials Payment received: $50.00 (Check) on 3/2/2016 `Check number: 4399 Check amount: $50.00 Name on check: Dennisport Collision IBusiness: Dennisport Collision/Auto Body&Paint Inc. Owner: LINDA&MAHAN, LAWRENCE]R TRS LAUZON !Address: 63 ENTERPRISE ROAD, Hyannis Note: 63-A .... .......... . ........... ..._...._-_..........................._ -� t� I Number Fee 57 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Cape Cod Collision 63 A Enterprise Rd., Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ----------------------------------------------------------------------------------------------------------------------------- --------------------------- ----------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2009 unless sooner suspended or revoked. --------------------------------------- WAYNE MILLER, M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/08 JUNICHI SAWAYANAGI THOMAS A. MCKEAN, R.S.,CHO Director of Public Health r R, f Town of Barnstable Barnstable THE Regulatory Services Department +� o ;edcaCftv Public Health Division RARNSfABM 9cb ` � 200 Main Street, Hyannis MA 02601 2007 Office: 508-8624644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. U �Ul DATE � I APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT v NAME OF ESTABLISHMENT �� / C= ADDRESS OF ESTABLISHMENT TELEPHONE NUMBER SOLE OWNER:KYES NO s W IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS F ALK^' w PARTNERS: can r- IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. OJ L �d l STATE OF INCORPORATION , FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK -- --_ --- — - SIGNATURE,OF APPLICANT RESTRICTIONS: HOME uADDRESS l y cU 77yVV `"001) b N C-0 P i-e" �P HOME TELEPHONE# S o 7 7.S a 3©(o Q:\Hazmat\Haz Mat Application2008.DOC i l Number Fee 57 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Cape Cod Collision 63 A Enterprise Rd., MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. -------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------- ----------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2007 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. July 31, 2006 PAUL J. CANNIFF, D.M.D. - - - •THOMAS A. MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable P40 713-0(P FINE r Regulatory Services 1 ,/ 0 g pThomas F. Geiler,Director t�AT.W.L N Public Health Division 1 ``� Tomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE--M- RIJ-T - - -- 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT 6�/ra NAME OF ESTABLISHMENT C (21 l � �3 ADDRESS OF ESTABLISHMENT e� ►'' S e - / - S � TELEPHONE NUMBE �OG `Z71 � --� SOLE OWNER: ES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF AL PARTNERS: -- ' IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION I r c FULL NAME AND MCI> DDRESS OF.-_-- tom'` PRESIDENT TREASURER CLERK ),4 CAL IGN URE OF AP CANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# Q:\Application Forms\HAZAPP.DOC f - Town of Barnstable UZM fb oFTHE r Regulatory Services Thomas F. Geiler,Director f P �A'^B Public Health Division �. r 2639. ♦0 9�ArE039.�A Thomas McKean,Director I 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 l � � ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT r B-� a NAME OF ESTABLISHMENT C ADDRESS OF ESTABLISHMENT �Y� ed' S TELEPHONE NUMBER Z)O -771 �.;. cri SOLE OWNER: YES NO r} IF APPLICANT I'S A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALI PARTNERS: -- M M IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND O ADDRESS OF— ,'� `�" �� o n i)0 a D O PRESIDENT a c3 C-� TREASURER CLERK CS-V 9IGNXTURE OF AP CANT RESTRICTIONS: HOME ADDRESS _ HOME TELEPHONE# Q:\Application FonnMAZAPP.DOC i • +,..-...e.t.a MAIL-IN REQUESTS Please mail the completed application form to the address below. Also include a copy of your contingency plan (to handle hazardous waste spills, etc). In addition, please include the required fee of$100. Make check payable to: Town of Barnstable. Allow five to seven (7) working days for in-house processing. Our mailing address is: , Town of Barnstable Public Health Division 200 Main Street Hyannis, MA 02601 FOR FAXED REQUESTS Our fax number is (508) 790-6304. Please fax a completed application form. Also, please fax us a copy of your contingency plan (to handle hazardous waste spills, etc). In addition, please mail the required fee amount of$100.00. Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. Allow up to four days for in-house processing. For further assistance on any item above, call (508) 862-4644 Back to Main Public Health Division Page Z4 Q AApplication\Fonns\HAZAPP.DOC MASSACHUSETTS FIRE INCIDENT REPORT .v O 10 FDID# <`:' " '>:::`' DEPARTMENT Revised 01922 H annis Fire De artment Report Form If Ex Date Alarm Arrival In Service 40o'd t 006 Fire 001 /2/94 Day Sunda � 11 :30 11 :33 16:45 74, FIXED ON FQU ACTION''TAKEN o7 MUTUAL AID Leak w/ No Ign <' Investi ation Onl PROPERTY USE (OCCUPANCY) IGNITION FACTOR Uncovered Parking Area `''9 6 5 NO FIRE > 0 0 OCORRECT ADDRESS JZIP CODE CENSUS TRACT D 63 ENTERPRISE ROAD 02601 000010 O 11 OCCUPANT NAME (LAST, FIRST, MI) TELEPHONE ROOM or APT. LARRY,S ALIGNMENT OWNER NAME (LAST, FIRST, MI) ADDRESS TELEPHONE F 12 MAHAN LARRY 737 RACE LN MARSTONS M 508 428-8728 G 13 METHOD OF ALARM CO. DIST. PERSONNEL ENG RESP. ........... AERIALS RESP. ::;.2 RESP. El E O SHIFT HAZ MAT PRESENT? TANK. RESP. OTHER RESP. D — 0 2 TEL-2323 N0. AL SUBSTANCE 12 0 1 1201 1 € SPEC. EQUIP. USED? CLEAN HARBORS INC O 20 FIRE SERVICE :: O« O x''X OTHER F O MOBILE PROPERTY TYPE VEHICLE STOLEN? ESTIMATED TOTAL INSURANCE CO. DOLLAR LOSS ^� TOTAL INS. CLAIM PD YEAR MAKE MODEL COLOR LICENSE NO. VIN# y 30 40 IF EQUIP INVOL. YEAR MAKE MODEL SERIAL NO. IN IGNITION O COMPLEX AREA OF EQUIP INVOLVED IN IGN. .................'''' ORIGIN FORM OF HEAT IGNITION MATERIAL FORM TYPE © :> IGNITED METHOD OF LEVEL OF ORIGIN Number of Stories CONSTRUCTION TYPE OEXTINGUISHMENT Lj EXTENT OF DAMAGE Flame Smoke DETECTOR PERFORMANCE SPRINKLER PERFORMANCE OP O Material generating FORM TYPE no Material smoke AVENUE OF SMOKE TRAVEL R WEATHER CONDITIONS - Officer in Charge: Date P CHISHOLM CHIEF 1 / 2/9 4 Comments for this incident have been printed on an additional comments page. ti Comments for Incident: 94 000006 Exposure: 00 Date: 1/2/94 RECEIVED A CALL FROM NAVADA BOBS AT 30 ENTERPRIZE ROAD FOR A LARGE PUDDLE OF FUEL IN THE PARKING LOT. '1 ESPONSE ENGINE 822 CAPT E.FARRENKOPF,F/Fs STORIE,HOLIGAN. UPON ARRIVAL FOUND FUEL OIL FLOATING ON TOP OF THE PUDDLE IN THE PARKING AREA OF NAVADA BOBS.FOUND THE SOURCE OF THE OIL TO BE COMING FROM WATER RUNOFF FROM THE STREET.(ENTERPRISE). TRACING THE FLOW FOUND OIL THE ENTIRE LENGTH OF THE STREET.CALL FOR THE DUTY OFFICER AT 1140(CHIEF CHISHOLM). UPON THE CHIEFS ARRIVAL CONTINUED TO TRY TO LOCATE THE SOURCE AND THE EXTENT OF THE SPILL. LOCATED THE SOURCE OF THE SPILL AT LARRY'S ALIGNMENT 63 ENTERPRIZE ROAD.ONE OF TWO EXTERIOR 275 GALLON OIL TANKS THAT FEED THE TWO OIL BURNERS FOR THE BUILDING HAD A LEAK IN THE BOTTOM. HAD F/A NOTIFY THE BARNSTABLE BOARD OF HEALTH(1155)AND DONNA MORANDI RESPONDED MASS DEP WAS NOTIFIED AT(1212)AND DEP RESPONSE ENGINEER LEONARD PINAUD RESPONDED. CLEAN HARBORS WAS NOTIFIED AT 1226. BEGAN CONTAINMENT WITH BOOMS FROM THE HAZ-MATS TRAILER UNTIL THE ARRIVAL OF CLEAN HARBORS. THE BUILDINGS OWNER LARRY MAHAN WAS NOTIFIED AND ARRIVED AT THE LOCATION. MR MAHAN STATED THAT HE HAD OIL DELIVERED APPDX ONE WEEK AGO. ESTIMATED THE SPILL TO BE 150-175 GALLONS CLEAN HARBORS ARRIVED AND STARTED THE CLEAN-UP UNDER THE DIRECTION OF THE DEP. A SANDER FROM THE HIGHWAY DEPARTMENT WAS CALLED TO SAND ENTERPRISE AND CORPARATION ROADS. DEP AND BOARD OF HEALTH TO FOLLOW UP ON THE CLEAN UP 815 TO QTS 1434 ERIC FARRENKOPF CAPTAIN 01/02/94 USED FOUR BAGS OF BOOM TO CONTAIN THIS SPILL. ERF a TKIDENT".RESPONSE HEALTH DEPT. Sunday, January 2, 1994 @ 12:05 PM Donna Miorandi received a ',phone call at home from Hyannis Fire Dept:to respond to an oil spill at Enterprise Rd., Hyannis. Donna arrived on-site and Chief Chisholm and Deputy Brunelle were on the scene. Spill was determined to have come fron an above ground outside 275 gal. #2 fuel. oil tank located at 63 Enterprise Rd., Hyannis D/B/A Larry's Alignment. Oil was visible on ground everywhere. It is estimated to be 200-225 gallons spilled down driveway onto Enterprise Road down to front side, and rear of Nevada Bob's. Budget Petroleum filled tahk last week. Unable to initially reach owner of Larry's it was deemed necessary to call Clean Harbors. Harry from Clean Harbors arrived around 2PM and then called for a vacuum truck. Vacuum truck arrived and Len Pinaud of DEP. Clean Harbors is-performing clean-up. Robert Warren is the LSP obtained for the site. 1 t i _ OAPE COD MALL — - - MAR 1 2 YANKEE AUTO ELECTRIC p LEGEND._- MADERM Q TRUCKING. O GAS pUl1w B 1 * - INDICATES APPROXIMATE GROUNDWATER o MONITORING WELL LOCATION +��,�,�.� SW 1° INDICATES APPROXIMATE SURFACE B8 WATER SAMPLING LOCATION FRESH- HOLE , VACANT LOT Z B 7 woe°o°Q �2ov�uD ct��4 2 S�q M Pc,/,�Iv 5,.)A4 I,t-�1) O POND 1, �-�- ft N s D rt'T� a2�s u CO24 3 jq /ect SW-1 B16 11 y/iy(99 ,t O RETA STORES g Z t l GI 'I B5 a __ -, _ _. _ . "�3 t 1 I cI I BR Zcl `( pb Pi 10$ O C37.�xJE v I ��4I89 ,�D RETAIL/13U31NES8 B2 0 a ,y LOCATION OF FORMER 2.0 g'� �11 4 / ' B 9 87pP b LOT- GALLON UNDERGROUND.!FUE a ' 8� 1-7 PI° RISE 1 �'�-1 OIL STORAGE TANK pl 11 ENTERP z/u+ 190110 Pr b �c� R O/'1 RETAIL ST�0kjj �S 'I y 1114 B R TVLrtC-F- u r�� C.. 3Co `t//`4/09• 1-7 PP 10 88it I( -7Q A-CE— =T-TR�A i TOWN OF SITE PLAN ale Associates, Inc. GALE fk QV j BARNSTA_ BLE Eight School Sin, • P.O. Box 21 • W outh I Massaeh is 02199-OM ti 17 3 3./-4 2 S i V� I Sealx Datx Drawrc Rsviswt4 ,op No: SEWAGE TREATMENT FACILITY 1':100' 1 4-25-89 TW IS 5563-1 c { F d 30 CORPORATION RD. HYANNIS, MA. FIGURE 2 MILLER REPROGRAPHICS CO.,INC. REVISED 11/1/89 AND 3/5/90 FOWN OF BARNSTABLE COMPLIANCE: CLASS: 1. Marine,Gas Stations,Repair satisfactory 2. Printers BOARD OF HEALTH 3. Auto Body Shops ®unsatisfactory- 4. Manufacturers COMPANY LEaj'a_—�3, k,� D�c.{ (see"Orders") S. Retail Stores 1 6. Fuel Suppliers. ADDRESS 1�I� ..r� .13C S�o rrh Class:� 7. Miscellaneous QUANTITIES AND STORAGE (Its=indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums AbdveTanks Undetgroiasd Tanks IN OUT IN IOUT IN OUT # gallons. Age Test? Fuels: - Gasoline, Jet Fuel (A) Diesel, Kerosene, #2 (B) I Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic — Synthetic Organics: degreasers Miscellaneous: i 1G DISPOSAL RECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply 0 Town Sewer , ubIic _ =site Q Private i 3. Indoor Floor Drains: YES NO—L 0 Holding tank: °MDc` ® Catch basin/Dry well On-site system 4. Outdoor Surface drains:YES NC4 ® Holding. tank: MDC ® Catch basin/Dry well ® On-site system �)� S. Waste Transporter 0/1C�L t�'�^ -=�' �' `-''�` 7-0 � Licensed? Name of 11au er- Des ina ion JNaste Product YES1 NO 1. Person(s) Interviewed Inspector Date O N OF BAHNSIAbLtL. 2. Printers BOARD R D OF HEAL�f`H' O satisfactory 3 "Auto Body Shops 6 4, Manufacturers nsatisfac"ta'ry- /^} " „ S. Retail Stores COMPANY ' � = ) ! ` j (see Orders ) F 1 6. Fuel Suppliers ADDRESS (i All A-�(AQVI �5 Class: 7. Miscellaneous QUANTITIES AND STORAGE (IN=indocrs; OUT=outdoor. MAJOR MATERIALS Case lots Drums AboveTanks Underground Tanks IN OUT IN IOUT INIOUT 6 g2lIone [rest Fuels: Gasoline, Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) j new motor oil (C) I -V� transmission/hydraulic , Synthetic Organics: _ tip degreasers ft JT hl , _1V9 Miscellaneous: r DISPOSAL RECLAMATION REW RKS: � 1. Sanitary Sewage 2. Water Supply E •� 0 Town Sewer P,.ub ()/bn-site , Private r^� 3. Indoor Floor Drains: YES No w�_— Q Holding tank: MDC _ OCatch basin/Dry well ..___._�_._._..._. .._____..__._.._._. .P On-site system 4. Orjtdoor Surface drains*YES NC4 B / l: Holding tank: MDC - uv � Cj Catch basin/Dry well OOn-site system ! — _ --•— S. Waste. Transporter - Licensed? I d Jt u ei Persons 'Intery we Inspector Date i m ®SENDEh: Completa items 1,2.and 3. n 1. Add your address in the<'RETiTRN To"space on < reverse. co 1. The following service is requested(check one) XXShow to whom and date delivered............—a 0 Show to whom,date and address of delivery...�Q co © RESTRICTED DELIVERY co +$ Show to whom and date delivered............_4 0 RESTRICTED DELIVERY. Show to whom,date,and-address of delivery.$ _ (CONSULT POSTMASTER FOR FEES) 2 ARTICLE ADDRESSED TO: Mr. John MCNevin AAMCO Transmissions z 63 Enterprise Rd. ,HYANNIS in 3. ARTICLE'DiiCRIPTION: REGISTERED N6, CERTIFIED NO. I PNSU;RED no. 0019898 �s (Always ebtain signature o4 addrossee or agent) an '+ I have received the article described above. m m SIGNATURE Addressee oAuthorized arm ATE OF DELIVERY POSTMARK p7 Z 5. ADDRESS Comp] onty ifrewasradl I7 S. UUAi;G.E TO PIi,Li"VER BECAUSE: LERi:'S I IWT—IALS— �'GFO:t9793'36-aa9 I I I I UNITED STATES POSTAL SERVICE OFFICIAL BUSINESS I PENALTY FOR PRIVATE I SENDER INSTRUCTIONS USE TO AVOID PAYMENT I S300 Print your name,address,and ZIP Code in the space below, OF POSTAGE. U.S.MAIL I • Complete items 1,Z and 3 on the reverse. a� I " Attach to front of article if space permits. I otherwise affix to back of article. + • Endorse article"Return Receipt Requested" Y adjacent to number. f RETURN TO BOARD OF HEALTH (Narne of Sender) TOWN OF BARNSTABLE r P. 0. Box 534 ' (Street or P.O B4x) HYANNIS ` MA 02601 (City,State,and ZIP Code) �d 1 THE tO TOWN OF BARNSTABLE PD OFFICE OF i BABH9TOBLE, i y MA56. A BOARD OF HEALTH Boa i639' �MA`S 367 MAIN STREET � �" HYANNIS, MASS. 02601 Aua - t 12 , 1981 Mr John McNevin , Aamco Transmissions 63 Enterprise Rd. Hyannis MA 02601 Dear Mr McNevin: 1� Your facility was inspected on July 15 by Mr Jacobi, Health Inspector, and again on August 6 by Mr Robinson, Assistant Health Inspector. The following violations of the town by-law entitled "Control of Toxic and Hazardous Materials" were noted: Section 4 (a) , (b) : Waste transmission fluid stored outside in drums that were not product-tight. Waste transmission fluid was observed leaking onto the ground from the asphalt surface storage area. You are directed to cease the discharge of waste transmission fluid onto the ground surface within 24 hours of receipt of this notice. This can be accomplished by placing bungs or plugs tightly in place in all drums and constructing a sand berm around the asphalt storage area to prevent runoff onto the ground. In addition, you are directed to construct a concrete berm at least four inches high, connected to and extending from the outside wall of the building, to prevent any leakage. This concrete berm w:.11 be in place by September 21, 1881. Old automotive parts that may contain residues of oil or transmission fluid must also be placed within the bermed storage area to prevent any uncontrolled leakage. You are directed to have receipts available concerning the removal of waste oil and transmission fluid upon the request of the Board of Health or its agents. It is recommended that you have on-hand synthetic sorbent pads to mop up any spillage. You may request a hearing within seven days of receipt of this order. Failure to comply could result in a fine of up to $200. Each day constitutes a separate offense. We have enclosed a list of licensed waste oil disposal firms and a list of suppliers of sorbent materials. Sincerely, John M. Kelly Director of Public Health THE COMMONWEALTFJ 0 ASSACHUSETTS ..................... ----------------- ------------------------- BOARD OF HEALTH NOTICE TO ABATE A NUISANCE ------ ------- -------------------19--�i7 -------------------------------------------------------------------- --- .... . ...-...................................... I-- - ---- --ohY,-- -9-- ------ - -- - ----------------------------------- owner rAs occupant of ------- co-----------J you are hereby notified to remedy the conditions named below within ____days of the service of this notice, Sundays and legal holidays excepted, or to show cause why you should not be required so to do: ---------------15L---------- ---- ---L bect� ---------------- ---------- - ---------- ----------- ------------------- ----------- amvv - -------ou bi-4 ------ ---------- -k 0-7/- ---------------- ---------------- --- ---- yro= 6 -x---- -J � P -. ------------------ -Y------- -aill-------- ------------ ---------------*0�....%-------- mja,&tp........00�------ ----------------- ------------------ - -------- --------- - -------------------- ------------------------S-ho P\------- --------0�- ------b 0,4. - - ------------ -------------------------tL------- ------------------------------------------------------------------------- ----------------------------------------- -------------------------------------- --------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------ A ------------------------------------------------------------------------------------------------------------------ If at the expiration of time allowed these conditions have not been remedied and no cause aforesaid be shown, such further action will be taken as the law requires. By order of the '6f e h. ----- - ----- pector. ...... ...../6, Mail Personal Service__------------------------------ -------------------- Any objection or inquiry in r. erene to this notice should be filed before the expiration of the time allowed for the abatement of the nuisance. Address all communications,"Board of Health-,.----------------..---.-.-.-.---_--_-------_--______ ----------------------------------------------------------------------------------mass. FORM'600 HOBBS 9 WARREN, INC. •� — TOWN OF BARNSTABLE BOARD OF HEALTH ►n,s Lc�� H TH � 7-15 ,, T CONTROL---OF TOXIC AND HAZARDOUS MATERIALS - INSPECTION SHEET P--cTE'D FIRM ADDRESS r - - Major types of materials: 1) f� ,y� 2) �f ,t,/U, ,e/ 3) 4) 5) (J 6) I. Description of material s use: II. Storage (denote product by number`Jlisted above) A. Containers metal glass paper plastic cans,bottles,jars drums,barrels aboveground tanks underground tanks bags,boxes open,loose,uncovered inadequate labelling B. Storage Facility ✓or # Remarks/Recommendations 1. Indoor a) separate, contained room b) stored in general work area i) inadequate ventilation ii) floor drains . iii) inadequate fire protection x ^ 2. Outdoor a a) uncovered, exposed to weather t b) pervious surface/catch basins i �`�``( III. Disposal , A. Reclamation/Recycling unit if c G�-n r�tr B. On-site disposal 1. Town sewer 2. Regular septic system ' � 'f u 3. Separate holding tank L__ C. Off-site disposal 1. hauled by own firm 2, hired.hauler _t a) name of hauler b) address or disposal site01! r 7 Person(s) Interviewed — Inspector - - - - - - - - - - - - Date - - — - — — — — — — — — � — HETo TOWN OF BARNSTABLE ' .� • Y OFFICE OF i HAHA. E, 86. BOARD -OF HEALTH'163 - O MAC '367-MAIN STREET HYANNIS, MASS.02601 , > Y August 12 , 1981. Mr .John McNeviri Aamco Transmissions � 63 Enterprise Rd. Hyannis MA 02601 Dear Mr McNevin,: Your facility was inspected ..on'July -15 ,by Mr. Jacobi,, 'Health Inst?ector, and again on August 6 -.by Mr .Robinson, Assistant Healt Inspector. The following violations of the, town by=law' 'erit tied "Control of Toxic and Hazardous Materials" were noted.- Section 4• (a)', ,. (b)': + Waste, transmission fluid stored , outside in drums 'that .were. not product-tight. i.. -Waste " transmission fluid was ,observed�'le'aking onto the ground from the asphalt surface storage area. You ,are directed<to cease the discharge of waste transmission fluid onto the ground• surface. within, 24 hours of receipt of o this notice'. 'This` can' b'e' accomplished by placing' bungs . or plugs tightly in, place in all drums and constructing. a `sand berm around. the asphalt storage area. to prevent runoff onto .the grou In addition, --you are directed to ^construct`;a concrete�-berm at a ' p fou'r` inches high, ,connected to and. extending from the outside 1 of -the. building, to, prevent any leakage This concre,te berm w 1 ; be in place by September -21, 1981. Old automotive parts that may contain residues,-; of oil or. transm' on fluid must also be .placed within the bermed. s'torage 'area to prevent any uncontrolled leakage..°r You are directed to have -receipts available concerning the rem a of waste oil. and "transmission fluid. upon the request of the Bo44 of Health or its agents: It- is recommended .that you .have on-hanff synthetic sorbent pads :to`, mop up any spillage'.. You-may request a hearing -within seven days of:receipt ' of this•- order. Failure' to comply could result in a fine -of up to $200. Each day constitutes .a separate offense. We liave enclosed .a'`list .of.. licensed waste''ol ydisposa-1 .firms and a list of suppliers. of `sorbent materials. Sincerely, John .M. Kelly Director of Public Health THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) M A- DATA TOWN OF BA R N STA B L ELosatisfactory ANCE: CLASS: 1. Marine,Gas Stations,RFpai.r 2• Printers BOA D OF HEALTH3. Auto Body Shops isfactory- 4. Manufacturers COMPANY C� '�� `==��� see"Orders' ) S. Retail Stores 6. Fuel Suppliers ADDRESS r y�'�� f1� ��'"r� Class: 7. Miscellaneous QUANTITIES AND STORAGE (IN=indocrs; OUT=outdoors) MAJOR MATERIALS Case lots Drums AbOveTanks Undetgrouad Tanks IN IOUT IIN IOUT F IN tOUT # & g2llonsAve rest? Fuels: Gasoline, Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: f waste motor oil (C) Cnew motor oil (C) ts� inhydrauli c � Synthetic Organics: degreasers i i Miscellaneous:_ I � / DISPOSAL RECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Su - ±C OTown Sewer Public 6-On-site O Private �w �� • c, „ ,ire « ,.. of�: 3. Indoor Floor Drains: YES NO L - O Holding tank: MDC O Catch basin/Dry well ORDE On-site system O 4. Outdoor Surface drains:•YES N Can O Holding, tank• MDC Catch basin/Dry well O - On-site system iC' � � .. �� �-�<<,.�� �rL (''��+o^C. r ,( S. Waste Transporter ? nip �� -�Yv„L� ��0��5 Licensed? Name of Hauler Destination Waste Erodu 0 12 23 81 Person(s) Interviewed - Inspector Date 11T OWN ' OF BARNSTABLE COMPLIANCE: CLASS: 1. Marine,Gas Stations,{tepair � Q satisfactory ��3 2. Printers tTM, R O�' HEALTH 3 Auto P�ody Strops _ 1 unsatisfactory- 04 4.. Aanufacturers 10 (see"Orders") S. Retail Stores COMPANY rr 6. Fuel Suppliers ADDRESSL1 � '����;�rf�Classs 7. Miscellaneous QUANTITIES AND STORAGE (IN=indoors; OUT=outdoor. MATERIALS- J��P�� lots Drums AbOveTanks Undetgroi�nd Tanks MAJOR s• T �N � HL )l OUT J&MM _ 8 gallons AYE EAU Fuels: • Gasoline, Jet Fuel (A) Diesel. Kerosene, 02 (8) N00o oil ' . (C)il (C)r hydraulic-Synthetic Organics: degreasers •miscellaneous: Ott. •� �� FT ` r I ISPOSAL REC . MAT ON RM,RKS: r ter'- y r/ 1. Sanitary Sewage -2. Water Supply ; 1 h' ;� -tir ` i� r/�;` ' QTown Sewer ,0 Public 1��, _ _.�t f l' �l�r'r ' r-4 ra On-site Q� Private rt 3. Indoor Floor Drains: YES N NO _ / : � V Q Holding tank: MDC (� S4pr nfPA ��_( 10, 0N'5 rc, r �i Catch basin/Dry well 1 �L' %_•_-�.,_.. _ On-site system S J �. fr ` Jl �VJ r r J A. Outdoor Surface drains:YES NO O Huldinl; tank: MDC _ 1 r [ Q `'C f�� ,P rr�f,r i r Catch basin/Dry well r '0 r ( ) - � ��Uvs SUS _ On-sites stem r' i • S. Waste Transporter Licensed? .Nam""auluL t)eRtination .1fasts Prod11QL (ES _No_ r Z r - 12 as 61--Person(s) Interviewed Inspector Date