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Home My WebLink About0104 ENTERPRISE ROAD - HAZMAT ��o`� �r�er pci� Rq,-�t�-- �q�� 01�-� ,ruo --- - / `� _,c)I Z e ran I Gs s i i i i i i g S M E A D No.2-153LY UPC 12934 smead.com • Made In USA 4 �cycl p 3J �� ilia=lH r49 i400W W SFI TWSR WAWWAYM .r- Number Fee 1095 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health - This is to Certify that HYANNIS TRANSMISSION II ..------------------------------------------------------------------------------------------------------------------------------- 104 ENTERPRISE ROAD, HYANNIS, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. Restrictions: -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and expires 06/30/2021 unless sooner suspended or revoked. ---------------------------------------- JOHN NORMAN DONALD A.GUADAGNOLI,M.D. 07/01/2020 PAUL J.CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable Inspectional Services BARNSTABLE p@t T PFRM•ISM*•-,OSl iLIL I1N7 YYAAGIS f Public Health Division 's"�"°5�°" "tR�� E 1639-2014 f iSTMI.F Thomas McKean,Director '1 200 Main Street, Hyannis,MA 02601 l� 4w� Office: 508-862-4644 Fax: 508-790-6304 ; t APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE ;•, HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st=JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑1� I.. CATEGORY 3 PERMIT -500 or more Gallons:- � $150.00� `�d *A late charge of$10 00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO.. 2. IS THIS A PERMIT RENEWAL? y YES_NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: 5. NAME OF ESTABLISHMENT: n 6. ADDRESS OF ESTABLISHMENT: 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: <V 0 — / / 1 9. EMAIL ADDRESS: C r Q) c ` 10. SOLEOWNER: ✓YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME khj Fi n n f PRESIDENT TREASURER F ' CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT AA,,A dc _- DATE Q\Application Forms\Haz Mat Appli Draft Jan2019.docx Number Fee 1095 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that HYANNIS TRANSMISSION 104 ENTERPRISE ROAD, HYANNIS, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. ------------------------------------------------------------------------ -------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2020 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 0 r _ Town of Barnstable Inspectional Services BABSTABLE, FT NE h�,.� �ic�i+iu �•VV�„ Public Health Division =�39-2014MASS � Thomas McKean, Director i IND ArFo��a 200 Main Street, Hyannis, MA 02601 -n Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE all HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 CATEGORY 3 PERMIT 500 or more Gallons: $150.00 *A late charge of$10.00 will be assessed if payment is not received by July 1st. 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: \�Ct :�C� Q•�� 5. NAME OF ESTABLISHMENT: C. 6. ADDRESS OF ESTABLISHMENT: 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: �� Ha)L 9. EMAIL ADDRESS: E-qcg knox 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME 4%�C�nn`.S fir y SIDS +rc PRESIDENT L°h{''�4 kj Nr\C1e& &2r TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT �' �✓'� DATE L Q:\Application Forms\Haz Mat App Revised 09-10-18.docx i IKE F, Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMASSRLE.o` 200 Main Street• Hyannis, MA 02601 �A t6M 6 Ma+ �0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT 'eo Business Name: t� a,hH. 15w,k,5S��N-- Date: Z� D Location/Mailing Addr ss: tbq &v t S Contact Name/Phone: 1 I CS 2. a, v C kr% VaH,fnl Inventory Total Amount: A' �o �� SDS: DV,-1 t`u C4,Gz.-,Ss' License#: LD�Z7 (;a'+� Tier II : a Labeling: Spill Plan: I,-S Oil/WaterSeparator: Floor Drains: Emergency Numbers: e_S Storage Areas/Tanks: a 4 o%\ Y\ -4 S W&iJcz auk, le��e, ! S'_1 .v,1 Emer enc /Containment E u' ent: Waste Generator ID: M V 6-0 7 Waste Product: Ot a fie{ Date&Amount of Last Shipment/Frequency: 2 1 e, Licensed Waste Hauler&Destination: 2Zk� t K, 9_5� Other Waste Disposal Methods: A I y& aK+ LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. �i Antifreeze �5 Dry cleaning fluids V 1 Automatic transmission fluid 004- Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers •l Hydraulic fluid (including brake fluid) V 1- t Windshield wash I �33 Motor oils!•*i S-V t 1- k 3o o 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 W k S Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries2-xk 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 thinnersl'L I Miscellaneous Combustible l Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables \k 1, 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" SS C*1f1XkV1A <r (including chloroform, formaldehyde, zacktA \tio C-I-"`4AK-y�57 hydrochloric acid, other acids) VIOLATIONS: A-Gr�I It t5z-ova. -1 O.t S 4,<msV�fi�5+o•CeA -acC-exwsJKkSs\,ou5 ORDERS: - toljok w 04,o lb vw&lc A_V S NABS S &uS o Ca �c 1-9-0,W 0 P s !� jA INFORMATION/REC MMENDAT ONS: S o \ k C¢ c ctt.,� Inspector Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS A_ °FINE toy Town of Barnstable Office:508-862-4644 : BA Public Health Division Fax:508-790-6304 + B MASS. B+ 200 Main Street• Hyannis, MA 02601 1639. A'EOMP+°`0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: �11a'^'^'s—TawsmISsIow-- Date: Location/Mailing Address: 10q i5v-+e-to-rinje._ 6e2, y tn✓1,S Contact Name/Phone: Ak)WrA- Ig4,r,4e�v S013-7`71-882Z Inventory Total Amount: MSDS: License#: 10ls Tier II : v Labelina: `K- �eZ A16 Spill Plan: OK; Oil/WaterSeparator: A Floor Drains: o Emergency Numbers: Y02 Storage Areas/Tanks: 0-0 4AA !; ' a,k ^N ws c-- .nk. r Emergency/Containment Equipment: 5 pw 5, e- v�- Waste Generator ID: O '171 S$222 Waste Product: Date&Amount of Last Shipment/Frequency: 1 1-7 1-7 3 00 vqos Licensed Waste Hauler&Destination: W4e - t L �I+�- ►'�2 Other Waste Disposal Methods:—1a5tL<v+- a lg o-hn.l u-S &►tip'. ig<�e.e-ae-) 4160 ti ear A ro5 LIST OF TOXIC AND HAZARDOUS MATERIALS �)o ^v, cr< L 5 cw NOTE: Under the provisions of Ch. 111, Section 31, of the GAneral Lawsbf MA, hazardous mat efial use, vV%. storage and disposal of 111 gallons or more requires a license from the Public Health Division. JAntifreeze 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 VMotor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners V— Miscellaneous Combustible 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: S t et e_ CA.tw Inspector: Facility Representative: 1 A z,-fll WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Number Fee 1095 THE COMMONWEALTH OF MASSACHUSETTS ` $150.00 Town of Barnstable Board of Health This is to Certify that HYANNIS TRANSMISSION 104 ENTERPRISE ROAD, HYANNIS, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. ----------------------------------------------------------------------------------------- --------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------- ------------------------------------------------ This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2017 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 •` �'THE Regulatory Services Richard V. Scali, Director AC ` '"'MASS. Public Health Division X BABSTABLE a6;q p�0� �J ws"sms°1s�os`"9 ut°�ewma Thomas McKean, Director �/ 163 -2014 3a5� a 200 Main Street, Hyannis,MA 02601 Office: 308-862-4644 p' Fax: 508-790-63041� 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 s ANNUAL PERMIT(RUNS JULY 1 st—JUNE 30th). ; APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 fN V.s A late charge of$10.00 will be assessed if payment is not received by July 1st. ASSESSORS MAP AND PARCEL NO. DATE FULL NAME OF APPLICANT: . / NAME OF ESTABLISHMENT: ADDRESS OF ESTABLISHMENT: MAILING ADDRESS(IF DIFFERENT): p TELEPHONE NUMBER OF ESTABLISHMENT: d EMAIL ADDRESS: C r— rz. eA - (9, 1 ja h,M 'C6 A,-\- SOLE OWNER: YES NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT lh r t, e, TREASURER -` c ( 4-- CLERK „• IF PREPARED BY OUTSIDE PARTY: AT F A PLICANT Name: Company Address Telephone#: Email: QAApplication FormsViAZZAPP Revl6.docx Page 1 of 2 °F� Tokti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • RaRMARLE.g' 200 Main Street• Hyannis, MA 02601 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT QED MP'� Business Name: 4KV� v15 OA 6,5 1 py, Date: 1 llo Location/Mailing Add ess: w R.Nhl Contact Name/Phone: bvr, o - -t't l- a - 5-.-+4 Inventory Total Amount: MSDS: a License#: Tier II : J Labeling: l aL,4,!teJ-Se,spill Plan: Oil/WaterSeparator: Floor Drains: IJ o Emergency Numbers: Storage Areas/Tanks: 140i AA wxste.,o+l AS SS ge +rit EarR4.ie5. Emergency/Containment Equipment: 0,Fe' %JJ -J otA,'e%+LU Waste Generator ID: AAV9 -771 'L Waste Product: Ol/ avL+4reej9g, Date&Amount of Last Shi ment/Fre uenc : 12 i i 1 q S -6 v 1 --c vK�,•1Ir.. Licensed Waste Hauler&Destination: �r r^ 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. �5 Antifreeze N�Sk� SS X }ss Dry cleaning fluids ►bS Automatic transmission fluid S� S Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (inc uding brake fluid) Windshield wash Motor oils to *-\5 4 Apo wask� 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) VIO TIONSa /"�J 14 q1'e--bC1,J5 o�- V)4 5 f-e-A 4 464- I tt V,5t �'640fe� t�Vtcc��.�2rc� Iv( b t s ,\ Cv � n� lavv- . ORDER VK VG tL 5 i o -A5 r V-C- avi ��c y S l�l� •r a.v�4-t �`��.-e._yti-cam S,l.-vvc� � owe...`ti��n,1rc..r� INFORMATION/'REG4OMM'ENDATIONS: J J JL ,) Alr pp i �0 j �� ayy�/g n l/Dom('• � Inspector:tor: OW v51xI 50"00,0A-Pa'5 v ( S Facility Represdntative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS I_ `°Ft►+e rqy� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMASS. 200 Main Street• Hyannis, MA 02601 03% , TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: Date: O7A� Location/Mailing Ad res : a!J av\:nk:S Contact Name/Phone: t0. J S - S 22 w I Sc o-7+ Inventory Total Amount: " ( MSDS: 2 S License#: / Tier II : N Labeling: 4DSSPill Plan: n1 a - Oil/WaterSeparator: 0 1A Floor Drains: Oo Emergency Numbers: c S ®Storage Areas/Tanks: 1C0 a +a4u5 te. o,l 5`1r vvo') e-k p- `n. v }e ce<� 5 e, S °If b-- Emergency/Containment Equipment: s �d�N— vu� S -f'o tys-�� t o<-e... , yScQa�?s �1e��ew Waste Generator ID: W'0g 1-7 I g 2 Waste Product: Date&Amount of Last Shipment/Frequency: 6AZ3 0 c J ,rv�e,n1 h, Licensed Waste Hauler&Destination: ,n , I r-t,- S I 0005-0O .2.5 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 SS cla\A� -e tS� S Dry cleaning fluids �— Automatic transmission fluid ir5 Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants �— Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides �— Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes y 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: D 11 �I�vL wad nos+e�Q No,ti,k��ake r�. �ea�5 a1c �nc� a�rQ�s �1r~�er,rti`s �J ORQERS: o vc ce v� r Qevt oo<, aDl INFORMATION/RECOMMENDATIONS: a `Sv(1e- CAVU Wtljc4s &Im J<& t, CIPS c v e n 1 5 M oc -Fa ,a c [Aalt.e..tiv<ik- AVsookc s o,,Alr d�al�► - & is r V Inspector: 'e, Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS Date:-5-11 / / L3 TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS FORM NAME OF BUSINESS: Q>7a1/ /,re, ,S510K- BUSINESS LOCATION: 1 o Fi t�e,r ('� (ri v%i s INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: $- 7-71 - S S2Z A- V60 Sg 1 CONTACT PERSON: �� 8ar,- -e U EMERGENCY CONTACT TELEPHONE NUMBER: cell 42'9 S23 t 19 MSDS ON SITE? TYPE OF BUSINESS: '>!' u5rn,ssrov�/-e�grwc_ rw-, . I.r yes INFORMATION / RECOMMENDATIONS: D/o¢�,►ti �►��wia-�- lac{ns� K.Q Fire District: ' O k btu, V C- a,ti, 1g C_ Ma-re_ PrO A,� i V4- -e&C-+, , Waste Transportation: MAC 03132Z2Q' Last shipment of hazardous waste: 1-2z-13 Name of Hauler: Gle-Av 144Aoors Destination: 114'),rAv's Al'or.,eol1. Waste Product: I->oaste- o t + aKt��'{�e2� Licensed es No r4105'08771 S82.2- 30o,ga 1 '-z ti 'x/Y`- NOTE: Under the provislbns 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 rued / Maximum Observed / Maximum Anti reeze (for gasoline or coolant systems) Miscellaneous Corrosive U NEW MUSED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Mot r Oils Pesticides ly NEW Cf USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) � Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's 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 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 1 �'-" r Number Fee 1095 THE COMMONWEALTH OF MASSACHUSETTS $150.0o Town of Barnstable Board of Health This is to Certify that HYANNIS TRANSMISSIONH 104 ENTERPRISE ROAD, HYANNIS, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2019 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 lkw1� of B nsxable a ulato g ryervlces 'THE Richard V. Scah, Director Public Health Division BARNSTABLE -�BARN L I Thomas McKean, Director 16o 9-2014� � iG39- ,0� —— - - ��- ------------- -200 Main Street,-Hyarints;IviA 02G01--- - "-- --- ------- Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st-JUNE 30th). APPLICATION FEES CATEGORY 1 PEI'MIT 26— 110 Gallons: $ 50.00 .0 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? ,.,,-�S_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: Ur-S C1 f-k -e�- 5. NAME OF ESTABLISHMENT: T 6. ADDRESS OF ESTABLISHMENT: 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: = 7 7 t 9. EMAIL ADDRESS: C C \-3 6- ay 01,0 1 d,cr � Sd c-J toc) 10. SOLEOWNER: ✓YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT C,h rh TREASURER CLERK �< s 12. IF PREPARED BY OUTSIDE PARTY: • NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT � -- DATE Ct Q:Application Forms\HAZMAT APP 2017 REVISED.docx Number Fee 1095 THE COMMONWEALTH OF MASSACHUSETTS $1so.00 Town of Barnstable Board of Health This is to Certify that HYANNIS TRANSMISSION 104 ENTERPRISE ROAD, HYANNIS, MA Is Hereby Granted a License For: Storingor Handling 500 gallons or more of Hazardous Materials. 9 ---------------------------------------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------------------------------------- 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 u ll ' ow of Unstable eg atoervices Richard V. Scali, Director cF-TIMErq� � Public Health Division BAMSTABLE � flnawsr:.o ••.tnruue•tonrt•xx<nas I STABLE, Thomas McKean Director +uas'w.s" •�'`"°" "•'3'""nsrae;t " 200 Main Street,Hyannis,MA 0260177g f Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE " 0 HAZARDOUS MATERIALS a 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 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 p VS *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: 0-v 5. NAME OF ESTABLISHMENT: ��,��, n n , I CG.r��h•.�S'�tiJ,�_ c 6. ADDRESS OF ESTABLISHMENT: C7`� ��,+ ��' • S.-� K�CS ca c 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: (3 - -7:2 I -12?2-D 9. EMAIL ADDRESS: C'C�1�-� @� Qrv� CLIS� 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME St�rr-e_ PRESIDENT TREASURER CLERK ;INC, 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT ` = !/ DATE QAApplication Forms\HAZMAT APP 2017 REVISE .dccx Number Fee 1095 THE COMMONWEALTH OF MASSACHUSETTS 100.00 Town of Barnstable Board of Health This is to Certify that HYANNIS TRANSMISSION 104 ENTERPRISE ROAD, 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 I j - Town of Barnstable °FIME,gy, Regulatory Services _ ti Richard V. Scali Director ' HA MAS BLF� " Public Health Division 9^ 1 `fig '°lEn.19. 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. IJ DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS J ULL NAME OF APPLICANT G``�' h \ i NAME OF ESTABLISHMENT • ADDRESS OF ESTABLISHMENT I (D 0_8 TELEPHONE NUMBER SOLE OWNER: ✓YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. G t 3 -LI 32—1 g STATE OF INCORPORATIONS FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER ► l• CLERK • SIG ATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS Crar'.145.)F 10- C' HOME TELEPHONE# 5'011 : S 3 q - 0 3Cf C7. . CAcache\Temporary Intemet Fi1es\0LKD3\HAZAPP Rev2015.DOC Town of Barnstable Office: 508-862-4644 508 Regulatory Services Department Fax: -790-6304 . an i3raSM Public Health Division Mom. Thomas A. McKean,CHO i639- 200 Main Street, Hyannis, MA 02601 Payment Receipt ;Hazardous Materials Payment received: $100.00 (Check) on 7/10/2015 Permit number: 1095 3 'Check number: 20228 Check amount: $100.00 Name on check: Hyannis Transmission II 1 Business: HYANNIS TRANSMISSION II !Address: 104 ENTERPRISE ROAD, Hyannis • Number Fee 1095 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00. Town of Barnstable Board of Health This is to Certify that HYANNIS TRANSMISSION H INC. 104 ENTERPRISE ROAD, 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 ir. .n` y i Town of Barnstable °FINE r Regulatory Services ti Richard V. Scali, Director ' '"R `E ` Public Health Division '0rf1639. Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT 1a�(1, 00 C. ADDRESS OF ESTABLISHMENT TELEPHONE NUMBER SOLE OWNER: V/YES - NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 0 T 3 14 3 -7 STATE OF INCORPORATION G S SQ ct, R- - s FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK SIGNATUTTEE.OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# J:\HA2APP.D0C Number Fee 1095 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that HYANNIS TRANSMISSION H INC. 104 ENTERPRISE ROAD, 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 Town of Barnstable Barnstable Regulatory Services Department AlAmericaffily Public Health Division + BARNSrABLL ' MAS& 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE S' 0 ° 3 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS ,rIFULL NAME OF APPLICANT 4 fi tNr,1 C ��C�-hS NAME OF ESTABLISHMENT 60-ci-S V�� [1•p_� �-� ADDRESS OF ESTABLISHMENT I C)L� %-a- TELEPHONE NUMBER SOLE OWNER:_..V/ YES NO APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL 001 ?ARTNERS: F-- cc c Grn ,- ►,„, o W;APPLIT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRES OF: ' r PRESIDENT t� d, 1 `� r bd ')t �2 .TREASURER (t CLERK GNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# J:\inspection handouts\Haz Mat Application2008.DOC s' r�� • ' r 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 time for in-house processing. Our mailing address is: Town of Barnstable t 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 of$100. Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. Allow time for in- house processing. For further assistance on any item above, call (508) 862-4644 Back to Main Public Health Division Page JAinspection handouts\Haz Mat Application2008.DOC SPILL CONTINGENCY PLAN Emergency Coordinator, Name: Address: Daytime Phone: Evening Phone: Fire Department: Barnstable Public Health Division: . 508-862-4644 DEP 24 Hour Spill Hot Line: 888-304-1133 Waste Hauler: Name: Phone: Building diagram indicating hazardous material/waste storage area, location of absorbent scavenger materials, fire extinguishers, fire alarms (if present), and evacuation route (if applicable). Actions to be taken to control a spill or release, and preventing it from reaching a catch basin, sewer system or the ground. l Number Fee 11 THE COMMONWEALTH OF MASSACHUSETTS $100.00 i Town of Barnstable Board of Health This is to Certify that All Pro Transmission 104 Enterprise Rd., A A 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. June 30, 2006 PAUL J. CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable ✓ 1�3 �� Q4 voFZHr Regulatory Services (p Thomas F. Geiler,Director *" Public Health Division i?p =i639 ♦e '. Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-8624644 Y Fax: 508-790-6304 . Application Fee: $100.00 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 G� NAME OF ESTABLISHMENT 6'. �� ADDRESS OF ESTABLISHMENT O TELEPHONE NUMBER I-S O -SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: 3 t Co �1 IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. n 3 71? ` C e STATE OF INCORPORATION_ C_ `' M I FULL NAME AND HOME ADDRESS OF: PRESIDENT L TREASURER + b CLERK k -c.v �'•�, t'-fl (.c, itcrA I1--e- SIGNATURE OF APPLICANT 1 RESTRICTIONS: Ho1VIE ADDRESS /� 4M f�- �Uy HOME TELEPHONE# Ct� Haz.doc,'wp/q MAIL-IN REQUESTS Please mail the completed application form to the address below. Also include copies of your employees food sanitation training certificates. In addition, please include the required fee amount (see fees at bottom of this page). 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 copies of your employees food sanitation training certificates. In addition, you must mail the required fee amount (see fees at bottom of this page). 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 Pa e Town of Barnstable A Regulatory Services Thomas F. Geiler,Director MAM, Public Health Division AjEoA Thomas McKean,Director b 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax:,508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT <x_ S -C TELEPHONE NUMBER O -7 � Jc( /22 3 SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: I IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.n ® / STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT _ TREASURER &1�e CLERK SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# r 2. 11=doc/wp/q TOWN OF BARNSTABLE BAR-w 4759 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager Address of Offender MV/MB Reg.# Village/State/Zip Business Name } �� v{v1r 1 �-r*vr$ri�1r a�t:�t - f0 /am/pm, on 11 1"4 20144 f, Business Address 1t) K ( (';e. rM� .'►� '- Signature .of Enforcin, -Off * er Village/State/Zip �� Location of Offense 1-��f ,r►v�+ S ��'� Ka�{��"'� `' ar '{ / Enforcing Dept/Division Offense +�v t C.- v G� +vL #�t fi ta/f Is L l r -z u 5,,-- f vL. Facts ltr, G �rt f,, , i'✓t - ��l,Q y 1C7 - , yMy54 e Iy This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. TOWN OF BARNSTABLE BAR-w � Ordinance or Regulation WARNING NOTICE Name of Offender/Manager Address of Offender MV/MB Reg.# Village/State/Zip Business Name � '�,l ° s - '' ' = '' `� am/pm, on ' 20 Business Address Signature of Enforcing officer Village/State/Zip Location of Offense Ov p 'P' ; � ' r ' 'L 5r'r Enforcing Dept/Division t Offense Facts This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. TOWN OF BARNSTABLE BAR_w 424.6 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager k r^c" Address of Offender MV/MB Reg.# Village/State/Zip / Business Name HJ40rl ts�5vn, ,� ,,, ""� �x:'S am/ , on 0/ 20/3� r _ Business Address jQ Signatureof/Enforcing Officer Village/State/Zip 0114 nyr r < 1)2u'o Location of Offense //)tj ,C"r,�•��, f,�� , do , �- C Enforcing Dept/Division Offense tAi �vta r> - �� _ �� A e�pjs ,n��c+-e-,n 1 "s Ite,-e-m-se ► ►z ri r '1r'-�'40C-0 . Facts r,.l� �1ti 664 4-�a1-?Ia_ (� re 08- L This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. TOWN OF BARNSTABLE BAR—W -, ' ,• Ordinance or Regulation WARNING NOTICE Name of Off ender/Manager ��_•,.k c, � i ' . ,,� k Address of Offender MV/MB Reg.# Village/State/Zip Business Name r A I- vn ' 1 am/pm, on ;.1 f�' 20� �t Business Address t�� ,j ,'i, ---. Signature fof-`Enforcing Officer village/State/zip �t Location of Offense lt.,c i Enforcing Dept/Division Offense 7 -.s,A 4 rtA Facts a� " . e_. r . �� . .. _ !.i �,c.. �� .� w• t x`' - + Yvla' r+[rat'.s` ✓ Ott fi S �✓�. This will serve only as a warning. At this time no legal action has been taken. r It is the goal of Town agencies to achieve voluntary compliance of Town, Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) IMA , I'-- I / �C(�� L DATA VVVNy VI-. iNt-iN5 A 1 2. Printers ROARD OF HEALTI-iaotory 3. . Auto.. Dody Slops sfactory- 4. Manufacturers COMPANY v '' Tj` , ,��, ee"Orders") S. Retal.l Stores '� 6. Fuel Suppliers AUDRES5 �rss:_ 7. hlisctrllaneous QUANTITIES AND STORAGE (IN'=indoors; OU1'=outdoor MAJOR MATERIALS Case lots Drums AboveTanks Undetground Tanks 1N TUT Fuels: _ - - '-IN 'ottr 1 UUT M 6 $ellons jAze Les, Gasoline, Jet Fuel (A) _ , Diesel, Kerosene, 12 (B) Heavy Oils: — waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers `� 1 . Miscellaneous: 1 UISPUSAL RE�(�.�J1'fIUN REW.RKS: 1. Sanitary Sewage 2. Water Supply Q Town Sewer Public - -, Q Private 3. Indoor Floor Drains: YES NO _ Q holding tanks, MUC O Catch basin/Dry well 0:On-site system 4. Outdoor Surface drains:YES NO _ / Q holding• tank: MUC wf/ (- OCatch basin/Dry well !6 �� tL".,: .t 11�G� � "� 1 On-site system S. Waste Transporter Name of H�gy •_�Ip�t_inat i on ' Licensed? 1 � s l�•� .11(1ste Pl nr�ur_t _.YE,� h'U r�AC Lz ers'on §) nt.ery `ewe j•/� / • �!� Inspector bate' row�v O, BARNSIA , E -J �lr�rLl C. .7: a1: 1IdL111G,UGJ �7LaGtvllJ lacran 2. Printers- . BOARD OF HEALTH O satisfactory , _}9 p t 3.. ,Auto BodyShops unsatisfactory- :t< 4. Manufacturers �, (see"Orders") S. Retail Stores COMPANY 6. Fuel Suppliers ADDRESS ('(„ i i;l �+ _ Class: 7. Miscellaneous ' ITIES AND STORAGE (IN=indocrs; OUT=outdoor: QUAN9 Case lots Drums AbnveTanks Underground Tanks. MAJOR MATERIALS IN UT IN IOUT IN UT 0 g2llonse rest Fuels: Gasol' 1 (A) , , ero e, #2 (B) Heavy Oils: ' waste motor oil (C) new motor oil (C) / Oq /hyd raulic S Ic Organics: degreasers ytxa w ; v M Miscellaneous: i D1 POSTAL RECLAMAATION REM ►RKS: tt t, itary Sewage 2. Wat r Su Y t ® Town Sewer Publ'c . '" ` ` On-site O Priv to 3. In or Floor Drains: YES NO_ Holding tank: MDC ® Catch basin/Dry well On-site system 4. Outdoor Surface drains.-YES NC ® Holding, tank: MDC TT ® Catch basin/Dry well _. J.- --A OOn-site system �` Licensed? S. Waste Transporter, � �. �- �u Dest i nat�on }�,1 to Produces I ..-' ) a 12 23 01 rs .n s) .Int.ervieweInspector Date i J1 TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM /� Mail To: NAME OF BUSINESS: 6&c , ald � :-� Board of Health MAILING ADDRESS: �� -��► 55 Town of Barnstable TELEPHONE NUMBER: ? =-�_�97 P.O. Box 534 CONTACT PERSON: --J"d w ,o , iQ 4 r, Hyannis, MA 02601. Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalli=rig, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO V 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 why o ed 71 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) JGasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, J 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 V 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/ Canary Copy-Business