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0115 ENTERPRISE ROAD - HAZMAT
I1:5` En �l� � • • Number Fee 1123 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Instant Offset Press Inc DBA Sunderland Printing --------------------------------------------------------------------------------------------------------------------------------- 115 ENTERPRISE ROAD, 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 I s f Town of Barnstable Inspectional Services BARNSTABLE of r ® Public Health Division MR45Ta8LE•1639-f•CONR•FYAM1NIS • • ryAyIST 1- pS�WLa-C nBPOPISfPELE p t63�(9-jj2014 F eJl/ 1STAB Thomas McKean, Director f 39. 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 El CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ®' CATEGORY 3 PERMIT 500 or more Gallons: $150.00 0 *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. I'S 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: 1`� \(X P�. ��C yVwi k 5. NAME OF ESTABLISHMENT: ��� � CCs C��SS `ti�- �UQA 6. ADDRESS OF ESTABLISHMENT: S w Ct-V1«�� Ccc 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 5-0 F— -no'<< D 9. EMAIL ADDRESS: 10. SOLEOWNER: 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 ` 1 13 JZD Q:\Application Fonns\Haz Mat Appli Draft Jan2019.docx Number Fee 1123 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Instant Offset Press Inc DBA Sunderland Printing 115 ENTERPRISE ROAD, HYANNIS, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. ------------- --------------------------------------------------------- ---------------------- ----- ------------------------------------------------------. This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2020 unless sooner suspended or revoked. --------------------------------------- PAUL J.CANNIFF, D.M.D,CHAIRMAN DONALD_A.GUADAGNOLI, M.D. 07/01/2019 JUNICHI SAWAYANAGI THOMAS A. MCKEAN, R.S.,CHO Director of Public Health y, i i Town of Barnstable Inspectional Services BARNS.-TABLE �T MRNvT/�PLE•�REiI^.J.E•CO'liR•nNlttl' • o Public Health Division s"Na"' "-°9`=i<" "`E • MAE& Thomas McKean, Director Arec .�s`0 200 Main Street, Hyannis,MA 02601 rn 2% Office: 508-862-4644 Fax:i k&790-6304 CZ APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE M 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 J �51'�c•� CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ P *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? XES_NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS, INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: (.t(C. - X " 5. NAME OF ESTABLISHMENT: J�%t �i U-��k 1 t S LSJ�, PA ��w�i IitGJ 6. ADDRESS OF ESTABLISHMENT: 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 15b 7?D-- l/0 D 9. EMAIL ADDRESS: (� 10. SOLEOWNER: YES NO IF NOO NAME OF PARTNER: �_ 65a\\z, `7.J iAe—t t a, 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#0 CORPORATION NAME ��`�'�C��� C7 '� S�� `��-� `� ',v-c PRESIDENT MxL 5, P TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE Z1-7 1 QAApplication Forms\Haz Mat App Reviscd 09-10-18.docx r v�►okti ' Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARM SS. 200 Main Street• Hyannis, MA 02601 1639. �p'FOMA+ TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: ��vtcr �av�� T<<+�c-`�'� Date: 7 �� Location/Mailing Address: t I S i1, e� IQ ah✓►�5 Contact Name/Phone: M a rc s�.� .r lar. -'14Q I I0(3, so$�3L2-Z$9 3 Inventory Total Amount: A-) axlA-3o0i) SDS: 2S- 61t� 'r License#: W2 & 2 Tier II : Labeling: b Vc- Spill Plan: o 65+ ,c.e Oil/Water Separator: Floor Drains: N Emergency Numbers: StorageAreaslTanks: o a I 1 �K�a� �s ova S,k.,- _ tots`a5�v�aS Emergency/Containment E ui ment: 0ml 5 a S A 6 Je- Waste Generator ID: MV 0g01-1 t <1555 Waste Product: cvatk( ,4 Date&Amount of Last Shipment/Frequency: GLg v eon S W e % `�- Licensed Waste Hauler&Destination: <S - Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS o IMF. �J r �'�•w�� t►�,t y��12,vo� �j�vlG2 'acS� tt^5 " NOTE: Under the provisions of Ch. 111, Section 31, of the Ge eral Laws f MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INF RMATION/RECOMMENDATIONS: lrplv5vg.p M A.yu o p�•t,r \'S 5�-S 4� K`�co JW �o � a�'� _�'�w.�c-� Inspector�: 1 � � Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS 1H T°� ' Town of Barnstable Office:508-862-4644 ~°* Public Health Division Fax:508-790-6304 • BARMARS. 200 Main Street• Hyannis, MA 02601 prFDMP�p,O TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: Date: Location/Mailing Address: '15, y4v► Contact Name/Phone: i/V(ar� Sv,,,,P, a w�2 sos- 9 D- /►o o �08-3�z -ZS�j3 I nventory Total mount: A" � 3�94,1 SDS: rtk"`1- wO��� License#: 1123 �2 Tier[I : Labeling: 0 - K -0— Spill Plan: :1 Oil/WaterSeparator: Floor Drains: a Emergency Numbers: Storage Areas/Tanks: 114 , Emergency/Containment Equipment: V" Jal. e! a Waste Generator ID: -t� l S ����-�Z Waste Product. Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: ck,o — 04 *-c 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 I 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 ��RK � Degreasers for engines&garages Pesticides: o �— Caulk/Grout�ydGl.�a��s ILL insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) P,,o 10 Car wash detergents o Printing ink poca;s ii,� cQl,g&f-A,A,,A�c.g��o Car waxes and polishes Wood preservatives(creosote) �1,�55 ,�-sU, Z45- Asphalt&roofing tar Swimming pool chlorine 4cs-s%-�t Paints, varnishes, stains, dyes Lye or caustic soda a Whnnenia t� A*-14o Lacquer thinners ' '5 Miscellaneous Combustible tew,l.l Paint&varnish removers, deglossers Leather dyes 514 - \ �11u�Ica,,t,r Z \\o Miscellaneous Flammables rleol Fertilizers Q`,bc C.1c, s,--Z, Floor&furniture strippers Y .yam.\ X PCB's Metal polishes x.LU.A,„,t �� Other chlorinated hydrocarbons �j�1 S Laundry soil &stain removers �"A0 (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RE OMMENDATIONS:MAI - .Of,c- 0.1k cpv� q\�,� A<4- 0— o v` \ -C W- v\ .k-1 a� Inspectors Q Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS FINE*ok Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMA_S% • 200 Main Street• Hyannis, MA 02601 1659. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: 5J KA.Ar fat ,K Date: Location/Mailing Address: S 2 Qrtyl+3 Contact Name/Phone: a-'re- oSv l O - D- 1 I o c3 Inventory Total ADiount, '_' 1 5�©q xl "r J0 0 MSDS: lee) License#: t M3 Tier II : N fl Labeling: _44.6 �44e6 Spill Plan: Oil/WaterSeparator: Floor Drains: n Emergency Numbers: " Z Storage Areas/Tanks: ,Xai, a.-A-v,ovt, i Vl,,-NAy rox\4,P - 4A b.se-1-J5 Emergency/Containment Equipment: 5 —0 11 Jec.g Waste Generator ID: (AV 57D5 11 1 51 S Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: �n i wiz>1 E� K xaQL &A I akb ,I to 55ew�<- � �a��fl�5 yJ4,5i'��+al 2c-'��ov� a. C4tic5 e,(f ��ytr. LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous mat al use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents go 119 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: t1V7Vte,, O �'ZGo lout P - - Inspector: , �-�� Facility Representative:—All,, /l, ,�,� WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS °F INEA Town of Barnstable Office:508-862-4644 °* Public Health Division Fax:508-790-6304 • BARM.,Lq 0g 200 Main Street• Hyannis, MA 02601 '°" TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT QED MP'� Business Name: Jam.,�d2�^r w <<, Date: aL 3 I�5- Location/Mailing Address: ►l S J5vL+er Ry, , qjowky\IS Contact Name/Phone: a<- Svv. ct D -'1 O- i l o 0 2- Inventory TotalAmount: N 40 4"t 3°0`b MSDS: License#: 11�3 Tier II : Labelina: Yes Spill Plan: OK Oil/WaterSeparator: Floor Drains: 00 Emergency Numbers: eS Storage Areas/Tanks: Emergency/Containment ui ment: a 5 — 0,11 co,%A ivXs , leis LXL + 1 ACVVK,Q .bim Waste Generator ID: NIA Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: k6k:e- Ww5 *e4,k av,- (,) (, k) owe� 1i w �� LIST OF TOXIC AND HAZARDOUS MATERIALS IJa 0""`�°� �'�"a�� ►ik Nv\J��0<1 -61w� `6LVk %K` 1o?ti NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, Alp'( /I storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze � Dry cleaning fluids Automatic transmission fluid �L— Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: o Vt- lac oo5 Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Date: TOWN OF BARNSTABLE--E;� TOXIC AND HAZARDOUS MATERIALS RE T= FORM NAME OF BUSINESS: BUSINESS LOCATION: INVENTORY MAILING ADDRESS: Sgwyz- TOTAL AMOUNT: TELEPHONE NUMBER: 5'02j- 7Qo- I I o O l yyjal a- 300 lb CONTACT PERSON: arL EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: <i.vl'i )e 5 INFORMATION / RECOMMEN TIONS: ' bb j4,v- 44Zv// ds✓ 4;ter,Ajs Fire District: PZX'MI+//awa,oAl+nclakIvo-40a s0�ll D�ari +ewtPla}e_a�e, i KCIVAok i,1�- -1n 1 s r104-,c4� /�/o t�,g - GI,Pa l— 4.0 �vtJilovl.rt er�ttil� coI15G 100,5 e-ow•-�aY?M Waste Transportation: )IA - (has• oKjt.,ecltast shipment of hazardous waste: Name of Hauler: C4fA%c.Ql t4 "50s Destination: Waste Product:gbDpwQ-For dvgos4-14o-fo0wIwet Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals(Fixers) Diesel Fuel, kerosene,#2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals(Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal ,300/b 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 f'oyh�G,v� bo lt4 161 n Laundry soil &stain removers (including bleach) - Spot removers&cleaning fluids (dry cleaners) IQ�b2l Ce VV2►t.o��a f- 2- Other cleaning solvents(�(i6s Wgbh Bug and tar removers Cs�l ocA"� � ►a) r'�o If•�� G I-eav�c-.�- y Windshield wash &)ZOV4 G,r►tiyrtprl, oyok- cod, - /00 WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Ap licant's Signature Staff's Initials �2, TOWN OF BARNSTABLE Date://>21// TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM 11 ll NAME OF BUSINESS: 6Ac� 6►�T�ti�, BUSINESS LOCATION: MASIVLAO 11S tatnp rti;S INVENTORY MAILING ADDRESS: Z-I 1 "0,- % TOTAL AMOUNT: TELEPHONE NUMBER: y $= -7 1 L l 0 d CONTACT PERSON: �(kt'z... 115,d,-,d11 ,-,,,1- EMERGENCY CONTACT TELEPHONE NUMBER: 06---�62--Z.K�3 MSDS ON SITE? TYPE OF BUSINESS: �C��,�� �� `-�� RMATION / RECOMMENDATIONS: Fire District: II0,4 Waste Transportation: JW Last shipment of hazardous waste: >C-k, 2e 13 Name of Hauler: > S i De tination: Waste Product: c t� v ; 4 C�yvv��o censed-<9) 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 Pub' have rmined that the following products exhibit toxic or hazardous characteristics an ust a registered regardle o olume. Observed ! Maximum taw }�ATA'1, bse ed / Maximum Antifreeze (fo asoline or co lant systems) Miscellaneous Corrosive ❑ NEW ❑ ED Cesspool cleaners Automatic transmission id Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals(Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED / Degreasers for engines and metal inting ink—N o-t' ct Degreasers for driveways&garages ood preservatives (creosote) Caulk/Grout Swimming pool chlorine r� Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible 2 wl Car wash detergents Leather dyese�� Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's dolts N,�-� 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 hazardo (please list): Metal polishes PP �LO �l ce��� 30 Laundry soil &stain removers (including bleach) Spot removers&cleaning fluids l (dry cleaners) ell a. Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's IWjitials 00 0�1 o,,�Je,os a,e ry x, t fl 0 1 ��S I VVk 5 C 0 wk,w� ' � wE � Wllele Y c5 MATERIAL SAFETY DATA SHEET This:MS D complies with OSHA'S Hazard Communication Standard(29 CFR 1910.1200)and the American National Standards Institute Standard for MSDSs(ANSI Z400.1) SECTION 1 —CHEMICAL PRODUCT AND COMPANY IDENTIFICATION Manufactured for: Heidelberg USA, Inc. Identity(Trade name as use la Address: 1000 Gutenberg Drive Product CI Oxidizing Offset Inks Kennesaw, GA 30144 Trade na e: SAPHIRA INK SELECT PROCESS Date Prepared: 6/18/2009 Revision: 1 Prepared By: Kurt Wiggins Information Calls: 888-472-9655 prompt 3 DOT Emergency Response: Chemtrec USA and Canada (800)424-9300 SECTION 2—HAZARDS IDENTIFICATION Emergency'Overview: Colored paste with mild odor. Can cause skin, eye, or respiratory tract irritation. Combustible—may burn, but will not ignite readily;fire fighters should be equipped with self contained breathing apparatus and turnout gear. Potential Health Effects: Skin— Prolonged or repeated contact with liquid can cause irritation and/or dermatitis. Eyes—Vapors and splashes to the eyes are moderately irritating. Inhalation—Irritating to the respiratory tract and mucous membranes. Ingestion—Causes irritation to the gastrointestinal tract; symptoms may include nausea, vomiting and diarrhea. Conditions Aggravated by Exposure: Persons with pre-existing skin disorders may be more susceptible to the effects of exposure. - SECTION 3—COMPOSITION/INFORMATION ON INGREDIENTS ..... _ _...__ . Of Compon`entti x. .r CAS Number ,kWt %::: _. _ Vegetable Oils Mixture 15—30 Sweetened Middle Distillate 64741-86-2 Technical White Oil 8042-47-5 16—29 Resins Mixture 26—33 Pigments Mixture 12—22 Additives Mixture 4— 10 SECTION 4—FIRST AID MEASURES EyeContact: Immediately flush with water for at least 15 Ingestion: If swallowed,seek immediate medical attention. Do NOT minutes; seek medical attention: induce vomiting unless directed to do so by medical personnel. Skin Contact: Remove contaminated clothing; launder before Inhalation: Immediately remove to fresh air. Seek medical re-use. Wash skin with soap and water; if irritated, seek attention. medical attention. ` °ham t 21 / �a ai.M1NAF •`a ., 'EA .. ,........�//.. ... .a.... .y .a SAPHIRA INK SELECT PROCESS MT Page 2 SECTION 5—FIRE FIGHTING MEASURES Flash Point(°F): >200 SETA CC Auto Ignition Temperature: No Data Explosion,Limits: No Data Extinguisher Media: Foam,dry chemical; use water spray to cool exposed surfaces. When water is used,fog nozzles are preferable. Unusual Fire & Explosion Hazards: Dense smoke may be generated when burning. Vapors are heavier than air and can accumulate in low areas. Fire media run-off can damage the environment. Dike and collect media used to fight fire. SECTION 6—ACCIDENTAL RELEASE MEASURES For small incidental spills and leaks, wear protective gloves and eye protection. Stop source of leak or spill. Isolate area of spill by diking, and/or add dry absorbent to prevent it-from entering sewers, drains or waterways. Clean up and place in an appropriate container for disposal. Wash all contaminated clothing before reuse;discard contaminated leather shoes. . For larger spill requiring emergency response,.follow OSHA emergency response regulations and NIOSH recommendations. If possible, stop source of spill or release. Isolate the area of spill or release by diking to prevent it from entering sewers, drains or waterways. Clean up and place in a container approved for oily waste for disposal. SECTION 7—HANDLING/STORAGE Avoid contact with eyes, skin or clothing. Avoid breathing mist or vapor. Wash hands thoroughly before eating, smoking or using toilet facilities. Do not eat, drink or smoke in work areas. Wash contaminated work clothing before reuse. Keep container closed when not in use. Use only with adequate ventilation. Store in a cool,dry,well-ventilated area. ......... .. SECTION 8—EXPOSURE CONTROL AND PERSONAL PROTECTION . Ventilation: Good, general ventilation should be sufficient for most operations. Ten or more room air changes per hour containing a minimum of 15 percent fresh air are recommended. Personal Protection: Safety glasses and gloves impervious to the hazardous ingredients are recommended. If used under normal operating conditions, and with adequate ventilation, respiratory equipment is not required. Avoid excessive inhalation of ink mist. SOIL " OSHA ITLV ��ACGIH PEL . 5 m /m3 5m /m3 SECTION 9—PHYSICAL AND CHEMICAL PROPERTIES APPEARANCE: Colored Paste BOILING RANGE (OF): 520—578 TYPE OF ODOR: Oily pH: 6-8 I LIQUID DENSITY vs.water: Heavier EVAPORATION RATE vs. Butyl Acetate: Slower VAPOR DENSITY vs.air: Heavier SOLUBILITY IN WATER: None f � rPFIF�C.; V 0.98 1.02 0.99 1.07 1.07 DEN,,SI I— A �};: 8.17 8.51 8.26 8.92 8.92 _ &Sf �►L 1.20 1.94 1.59 1.76 1.89 low r ' ,/CVO ,„�iLES,�i�tt�� n 14.7 22.8. 19.3 19.7 21.2 OEM" E SAPHIRA INK SELECT PROCESS MT Page,3 SECTION 10—STABILITY AND REACTIVITY Hazardous Polymerization: Will NOT occur; product is stable. Hazardous Decomposition Products: Includes, but not limited to smoke,fumes, carbon monoxide, carbon dioxide. Materials and Conditions to Avoid: Avoid heat,sparks&open flames. SECTION 11 —TOXICOLOGICAL IN LD50(oral, rat): No data available. Acute Overexposure: May cause skin, eye and respiratory tract irritation. Chronic Overexposure: Skin contact may result in dryness and/or irritation and dermatitis may develop with prolonged exposure. .. __... SECTION 12—ECOLOGICAL INFORMATION Ecotoxicity-Data: No data available. Chemical Fate Data: No data available. SECTION 13—DISPOSAL CONSIDERATIONS Hazardous Waste Characterization: None Recommendation: Dispose of materials associated with cleaning up spills and/or leaks according to federal,state and local regulations for ignitable waste. Consult appropriate federal,state and local regulations to determine proper characterization of used product contaminated with other printing process products. SECTION 14—TRANSPORT INFORMATION Ground Shipping(US DOT 49 CFR): Not Regulated. Air(ICAO/IATA)Shipping: Not Regulated. International Maritime Organization(IMDG)Shipping: Not Regulated. SECTION 15—REGULATORY INFORMATION If SARA Title III, Section 313(Toxic Release Inventory)—Manganese Compound 1.2% by weight(each product). Clean Air Act 1990 Hazardous Air Contaminants; Clean Air Act HON Rule (Hazardous Air Pollutant-HAP)—None. SARA Title III, Section 302 (Hazardous Substance List)—None. Canadian DSL/NDSL Inventory:Components of this product are listed on either the Domestic Substance List(DSL)or the Non- Domestic Substance List(NDSL), This product has been classified in accordance with the hazard criteria of the Controlled Products Regulations and the MSDS contains all the information required by the Controlled Products Regulations. TSCA Inventory: All of this product's components are listed. .. ..... .... .. SECTION 16—OTHER INFORMATION FOR I L USE USE ONLY AS DIRECTED DO NOT TAKE INTERNALLY HAZARD RATING: Health—1 Flammability— 1 Reactivit —0 PERSONAL PROTECTION: Glasses, Gloves Health: 0=Minim I Flamm bility: 0=Will Not urn Reactivity: 0=None 1 =Slight 1 =FI oint>2000 F 1 =Slight 2=Moderate . - lash Point>1000 F and<2000 F 2=Moderate 3=Serious 3=Flash Point<100'F and Boiling Point>1000 F 3=Serious taran4=Severe 4=Flash Point and Boiling Point<100'F 4=Extreme ty elieve the statements, technical information and recommendations contained herein are reliable, but they are given without or guarantee of any kind. Some information may be based on indirect test data. J r X MATERIAL SAFETY DATA SHEET This MSDS complies with OSHA'S Hazard Communication Standard(29 CFR 1910.1200)and the American National Standards Institute Standard for MSDSs(ANSI Z400.1) SECTION 1 —CHEMICAL PRODUCT AND COMP NTIFICATION Manufactured For: Heidelberg USA,Inc. Ide trade name as used on a Address: 1000 Gutenberg Drive APHIRA FOUNTAIN SOLUTION 202 Kennesaw,GA 30144 2 Date Prepared: Revision:2/9/2009 Prepared By: Kurt Wiggins Information Calls: 888-472-9655 prompt 3 DOT Emergency Response: Chemtrec USA and Canada 800 424-9300 SECTION 2—HAZARDS IDENTIFICATION Emergency Overview: Can cause eye or skin irritation. During emergencies,wear equipment to protect eyes,skin and respiratory tract. Dike or absorbs ills to keep material and run-off from entering sewers,drains or waterways. Potential Health Effe Eye Contact: May lead to irritation. Skin Contact:May lead to dermatitis. Ingestion: May lead to vomiting. Carcinogenicity NTP, IARC,OSHA):Components of this product have not shown any evidence of carcinogenicity. Conditions Aggravated by Exposure: None Know SECTION 3—COMPOSITION/INFORMATION ON INGREDIENTS COMPONENTS-CHEMICAL NAMES AND COMMON NAMES CAS Number WT. OSHA PEL ACGIH Carcinogen (Hazardous Components 1%or greater;Carcinogens 0.1%or greater) % '(ppm) TLV(ppm) Ref.Source Propylene Glycol - 57-55-6 10-20 *� Butoxyethanol(1) 111-76-2 25-50 25ppm 25ppm skin skin Magnesium Nitrate 13446-18-9 1-5 1 NE NE lyceritol 56-81-5 10-20 �10mg/m35rn 10mg/m3 g/m3 (respirable) (1) Potential significant contribution to overall exposure b cutaneous(skin)route,mucous membranes and eyes either by contact with vapors or direct skin contact. See SECTION 15—REGULATORY INFORMATION. "Chemical Listed as Carcinogen or Potential Carcinogen:a=NTP b=IARC Monograph c=OSHA d=Not Listed e=Animal Data Only SECTION 4—FIRST AID MEASURES Eye Contact: Flush with large volume of water for at least 151ngestion: Get immediate medical attention. Do not induce minutes.Get immediate medical attention if necessary. omitin . Skin Contact: Flush with large volume of water for at least 15 Inhalation: Immediately remove to fresh air. Seek medical minutes. Get immediate medical attention if necessary. attention. SECTION 5—FIRE FIGHTING MEASURES Flash Point and Method Used: uto Ignition Temperature: Explosion Limits: 155(Tag Closed Cup Method LEL: N/A I UEL: N/A Extinguisher Media: Water; use water spray to cool exposed surfaces._ Evacuate area and fight fire from a safe distance if ire is contained in small area;otherwise,call the local fire department. Unusual Fire&Explosion Hazards: Fire media run-off can damage the environment. Dike and collect media used to fight ire. SECTION 6—ACCIDENTAL RELEASE MEASURES For small incidental spills and leaks,wear protective gloves and eye protection. Stop source of leak or spill. Isolate area of pill by diking,and/or add dry absorbent to prevent it from entering sewers,drains or waterways. Clean up and place in an appropriate container for disposal. Wash all contaminated clothing before reuse;discard contaminated leather shoes. For larger spill requiring emergency response,follow OSHA emergency response regulations and NIOSH recommendations. If possible,stop source of spill or release. Isolate the area of spill or release by diking to prevent it from entering sewers, rains or waterways. Clean up and place in an appropriate container for disposal. SECTION 7—HANDLING/STORAGE Avoid contact with eyes,skin or clothing. Avoid breathing mist or vapour. Wash thoroughly after handling. Do not eat,drink r smoke in work areas. Keep container closed when not in use. Use only with adequate ventilation. Store in a cool,dry, ell-ventilated area APHIRA FOUNTAIN SOLUTION 202 Page 2 SECTION 8-EXPOSURE CONTROL AND PERSONAL PROTECTION Ventilation: Good,general ventilation should be sufficient for most operations. Ten or more room air changes per hour containing a minimum of 15%fresh air are recommended. Personal Protection: Safety glasses and gloves impervious to the hazardous ingredients are recommended. If used under normal operating conditions,and with adequate ventilation, respiratory equipment is not required. SECTION 9-PHYSICAL AND CHEMICAL PROPERTIES Appearance and Odor: Blue Liquid mild esther oder Boilin Point/Range: 212 degrees F. Odor Threshold: Not Determined --Vapor Density: N/A Specific Gravity(Water=1.09: 1.04 at 68 degrees F Vapour Pressure: <1.0 mmHg Viscosity: Not Determined Solubility in Water: Complete pH: 3.4 VOC(lbs/gal):4.79 Lb/Gal(575 GM/L) Freezing Point: Not Determined Maximum VOC%:56% SECTION 10-STABILITY AND REACTIVITY Hazardous Polymerization: Will NOT occur;product is stable. Hazardous Decomposition Products: Carbon monoxide during combustion. Materials and Conditions to Avoid: Avoid high heat sources,electrical and welding arcs,open flame and strong oxidizing agents. SECTION 11 -TOXICOLOGICAL INFORMATION LD50 oral,rat): No data available. Acute Overexposure: May cause skin,eye and respiratory tract irritation. Chronic Overexposure: None known. SECTION 12-ECOLOGICAL INFORMATION Ecotoxici Data: No data available. Chemical Fate Data: No data available. SECTION 13-DISPOSAL CONSIDERATIONS Hazardous Waste Characterization: None Recommendation: Dispose of materials associated with cleaning up spills and/or leaks according to federal,state and local regulations for ignitable waste. Consult appropriate federal,state and local regulations to determine proper characterization of used product contaminated with other printing process products. SECTION 14-TRANSPORT INFORMATION Ground Shipping US DOT 49 CPR): Not Regulated. Air ICAO/IATA Shipping: Not Regulated. International Maritime Organization(IIVIDG)Shipping: Not Regulated. SECTION 15- L TORY INFORMATION ARA Title III,Section 313 Toxic Release Invento -Non Clean Air Act 1990 Hazardous Air Contaminants;CI it Act HON Rule Hazardous Air Pollutant-HAP -None. ARA Title III,Section 302 Hazardous Substance List -None. Canadian DSUNDSL Inventory:Components of this product are listed on either the Domestic Substance List(DSL)or the Non-Domestic Substance List NDSL . This product has been classified in accordance with the hazard criteria of the Controlled Products Regulations and the MSDS contains all the information required by the Controlled Products Regulations. SCA Inventory: All of thisproduct's components are listed. SECTION 16-OTHER INFORMATION FOR INDUST LY SE ONLY AS DIRECTED DO NOT TAKE INTERNALLY HAZARD RATING: ealth-1 Flammability-2 Re ctivit -0 Personal Protection-B Health: 0=Minimal ili : 0=Will Not 13!uW Reactivity: 0=None 1 =Slight - oint>2000 F 1 =Slight 2=Moderate 2=Flash Point>100*F and<200'F 2=Moderate 3=Serious 3=Flash Point<100°F and Boiling Point>100*F 3=Serious 4=Severe 4=Flash Point and Boiling Point<100°F 4=Extreme The information contained herein is based on the data available to us and is believed to be accurate. However,no warranty is expressed or implied regarding the accuracy of this data or the results to be obtained from the use thereof.We assume no responsibility for the injuries from the use of the product described herein. *MATERIAL SAFETY DATA SHEET* PAGE 1 of 2 MEDICAL EMERGENCY ONLY: 1-800-444-6739 PRINTERS RESEARCH PRODUCT INFORMATION: 1-800-444-6739 20720 VENTURA BLD. WOODLAND HILLS,CA 91364 DATE OF ISSUE: 01-01-07 --------------------------------____ 1.0 IDENTIFICATION / RATINGS - LEAST - 0 SLIGHT - 1 MODERATE -2 HIGH - 3 EXTREME - 4 1.1 PRODUCT NAME- PRO 10 1.2 PRODUCT TYPE: PAT R CLEANER AND DESENSITIZER 1.3 HMIS HAZARD RATING: ACUTE HEALTH - RE - 0 REACTIVITY - 0 (SEE DITIONAL INFORMATION) i 2.0 HAZARDOUS COMPONENTS / TLV (MG/M3) % PEL OTHER 2.2 ETHYLENE GLYCOL MONOBUTYL ETHER CAS: #111-76-2 <8.5 25ppm -UNK 2.3 PHOSPHORIC ACID CAS: # 7664-38-2 <2.5 N/A N/A VOC .96 #/GAL. THIS PRODUCT CONTAINS NO OTHER COMPONENT CONSIDERED HAZARDOUS ACCORDING TO THE CRITERIA OF 29 CFR 1910.1200. 3.0 PHYSICAL DATA / 3.1 APPEARANCE AND ODOR: BLUE LIQUID WITH BUTYL ODOR. 3.2 SOLUBILITY IN WATER: COMPLETE 3.3 Ph: 100% = 3.5 TO 4.0 3.4 BOILING POINT: 215 Deg. F. SPECIFIC GRAVITY: 1,.064 LBS PER GAL. .3.5 VAPOR DENSITY: <1 EVAPORATION RATE: (BUTYL ACETATE =1) SLOWER 4.0 FIRE AND EXPLOSION DATA / 4.1 SPECIAL FIRE HAZARDS: NONE 4.2 FIRE FIGHTING METHODS: STANDARD AGENTS 4.3 FLASH POINT: <150 DEG. F. 4.4 FLAMMABLE LIMITS - LOWER: UNK UPPER: UNK 5.0 REACTIVITY DATA / 5.1 STABILITY: STABLE UNDER NORMAL CONDITIONS OF HANDLING. 5.2 CONDITIONS TO AVOID: NONE KNOWN 6.0 SPILL OR LEAK PROCEDURES / USE PROPER PROTECTIVE EQUIPMENT 6.1 CLEANUP: MAXIMIZE VENTILATION. DIKE OR DAM LARGE SPILLS. RECOVER IF POSSIBLE. ADD ADSORBENT MATERIAL TO SOAK UP LIQUID. RINSE AREA THOROUGHLY WITH WATER, 6.2 WASTE DISPOSAL: CONSULT STATE AND LOCAL AUTHORITIES FOR RESTRICTIONS ON DISPOSAL OF CHEMICAL WASTE. UNK = UNKNOWN AT THIS TIME PEL = PERMISSIBLE EXPOSURE LIMIT TLV = THRESHOLD LIMIT VALUE STEL = SHORT TERM EXPOSURE LEVEL C = CEILING LIMIT, NOT TO BE EXCEEDED -f 1 PRODUCT: PRC 10 2 OF 2 PRINTERS RESEARCH CO. MEDICAL EMERGENCY ONLY, 1-800-444-6739 7.0 HEALTH HAZARD DATA / DANGER 7.1 EFFECTS 03 OVEREXPOSURE: EYES: CAUSES IRRITATION, LOSS OF NATURAL LUBRICATION. SKIN: PROLONG TACT MAY DEFAT SKIN, LEADING TO IRRITATION AND DERMATITIS. CIF SWALLOWED: HARMFUL IF SWALLOWED. IF INHALED: RRITATE MUCOS RANES. UNDER RECOMMENDED CONDITIONS, VAPOR LEVEL WILL BE TOO LOW TO PRESENT INHALATION HAZARD. 8.0 FIRST AID / 8.1 EYES: FLUSH EYES IMMEDIATELY WITH PLENTY OF COOL RUNNING WATER. REMOVE CONTACT LENSES. CONTINUE FLUSHING FOR 15 MINUTES HOLDING EYE LIDS OPEN. 8.2 SKIN: FLUSH SKIN WITH PLENTY OF COOL RUNNING WATER. WASH THOROUGHLY WITH SOAP AND WATER. 8.3 IF SWALLOWED: RINSE MOUTH; THEN DRINK 1 OR 2 LARGE GLASSES OF WATER. DO NOT INDUCE VOMITING. NEVER GIVE ANYTHING BY MOUTH TO AN UNCONSCIOUS PERSON. 8.4 IF INHALED: MOVE IMMEDIATELY TO FRESH AIR; IF BREATHING IS DIFFICULT, ADMINISTER OXYGEN. IF SWALLOWED OR IN CASE OF PERSISTENT EYE OR SKIN IRRITATION, 17ALL A POSION CONTROL CENTER OR PHYSICIAN IMMEDIATELY. 9.0 SPECIAL PROTECTION INFORMATION / 9.1 EYES: SPLASHPROOF GLASSES RECOMMENDED. 9.2 SKIN: RUBBER, GLOVES RECOMMENDED. 10.0 ADDITIONAL INFORMATION/PRECAUTIONS / 10.1 DOT CLASS: 55 NOT REGULATED. KEEP OUT OF REACH OF CHILDREN THE ABOVE INFORMATION IS BELIEVED TO BE CORRECT WITH RESPECT TO THE FORMULA USED TO MANUFACTURE THE PRODUCT. AS DATA, STANDARDS AND REGULATIONS CHANGE, AND CONDITIONS OF USE AND HANDLING ARE BEYOND OUR CONTROL, NO WARRANTY, EXPRESS OR IMPLIED, IS MADE AS TO THE COMPLETENESS OR CONTINUING ACCURACY OF THIS INFORMATION. r Y' MATERIAL SAFETY DATA SHEET =CALIFORNIA Page: 1 Revised: February 14, 2001 PRODUCT CODE: B010002 HMIS CODE : H F R'P 1 2 X SECTION 1 - MANUFACTURER IDENTIFICATION MANUFACTURER'S NAME: VARN PRODUCTS ADDRESS 905 S. WESTWOOD AVENUE ADDISON, ILLINOIS 60101 Qp{� EMERGENCY PHONE: 800-424-9300 DATE PRINTED: 4/11/01 V� INFORMATION PHONE: 800-336-8276 NAME OF PREPARER: Varn Products Co. REASON REVISED: Update; Supersedes All Previous Revisions. SECTION 2 HAZARDOUS INGREDIENTS/SARA III INFORMATION VAPOR PRESSURE WEIGHT REPORTABLE COMPONENTS CAS NUMBER MM HG @ TEMP PERCENT ------------------------------------------------------------------------------------------------------- Petroleum Naphtha 64742-47-8 2.8 680F 75 OSHA PEL: 500ppm TWA, ACGIH TLV: N/E Dipropylene Glycol Methyl Ether 34590-94-8 0.17 68OF 12 OSHA PEL: 100ppm, ACGIH TLV: 100ppm, STEL: 150ppm Petroleum Naphtha 64742-95-6 2.7 -680F 6 OSHA PEL: N/E, ACGIH TLV: N/E, Mfg: 50ppm 1,8(9)-P-Menthadiene 5989-27-5 2.0 68OF 13 OSHA PEL: N/E, ACGIH TLV: N/E, Mfg: 125ppm * 1,2,4-Trimethyl Benzene 95-63-6 2 *Indicates toxic chemical(s)subject to the reporting requirements of Section 313 of SARA Title III and of 40 CFR 372. All ingredients are listed on the EPA TSCA Inventory. SECTION 3 , PHYSICAL/CHEMICAL CHARACTERISTICS BOILING RANGE/POINT: 310OF - 356*F SPECIFIC GRAVITY (H2O=1) : .8 VAPOR DENSITY: Heavier than air. EVAPORATION RATE: Slower than n-Butyl Acetate. V.O.C. (EPA METHOD 24) : 6.55 lb/gl VAPOR PRESSURE (MM HG @ 20°C) : 2.5 SOLUBILITY IN WATER: Emulsible APPEARANCE AND ODOR: Yellow Liquid - Petroleum Odor SECTION 4' - FIRE AND EXPLOSION HAZARD DATA FLASH POIN : 106°F METHOD USED: TAG C 11 C FLAMMABLE MIT N AIR BY VOLUME- LOWER: 1.0% UPPER: 6.5% EXTINGUISHING MEDIA: Foam,Alcohol Foam,CO2, Dry Chemical,Water Fog. SPECIAL FIREFIGHTING PROCEDURES: As in any fire,wear self-contained breathing apparatus(MSHA/NIOSH approved)and full protective gear. Water may not be effective to extinguish fire. Use water spray to cool fire-exposed containers'and to protect personnel. UNUSUAL FIRE AND EXPLOSION HAZARDS: Treat as Petroleum Fire. MATERIAL SAFETY DATA SHEET CALIFORNIA WASH Page: 2 Revised: February 14, 2001 SECTION 5 - 'REACTIVITY DATA STABILITY: Stable CONDITIONS TO AVOID: Avoid heat;sparks, flame and other sources of ignition. INCOMPATIBILITY(MATERIALS TO AVOID): Avoid mixing with strong oxidizing agents. HAZARDOUS DECOMPOSITION OR BYPRODUCTS: Burning will produce oxides of carbon and dense smoke. HAZARDOUS POLYMERIZATION: Will Not Occur. SECTION 6 - 'HEALTH HAZARD DATA INHALATION HEALTH RISKS AND SYMPTOMS OF EXPOSURE: Breathing high concentrations of vapors will cause irritation of the nose and throat. Signs of central nervous system depression such as headache, drowsiness, dizziness and nausea may be experienced with overexposure. SKIN AND EYE CONTACT HEALTH RISKS AND SYMPTOMS OF EXPOSURE: Skin and eye contact may cause moderate to severe irritation. SKIN ABSORPTION HEALTH RISKS AND SYMPTOMS OF EXPOSURE: Single prolonged exposure is not likely to result in the product being absorbed through the skin in harmful amounts. INGESTION HEALTH RISKS AND SYMPTOMS OF EXPOSURE: Ingestion of this product will cause nausea, gastro-intestinal irritation, diarrhea and possible damage to vital organs. Follow first aid procedures. HEALTH HAZARDS(ACUTE AND CHRONIC): Repeated or abusive breathing of concentrated vapors may effect pulmonary, cardiovascular,and central nervous systems. Repeated skin contact will dry out and crack skin. Aspiration hazard if swallowed; aspiration of product into the lungs can cause chemical pneumonitis. CARCINOGENICITY: NTP CARCINOGEN: No IARC MONOGRAPHS: No OSHA REGULATED: No This product contains no known carcinogens. _ MEDICAL CONDITIONS GENERALLY AGGRAVATED BY EXPOSURE: Skin contact may aggravate pre-existing dermatitis. Inhalation of vapors may aggravate pre-existing asthma like .conditions. EMERGENCY AND FIRST AID PROCEDURES: INHALATION: Remove victim to fresh air. Give oxygen if breathing is labored.Apply artificial respiration if not breathing. Seek medical help. SKIN: Remove all contaminated clothing and shoes. Wash with soap and water. Do not reuse clothing and shoes until cleaned. EYES: Flush eyes'with plenty of water while removing any contact lenses. Hold eyelids open and continue flushing for at least 15 minutes. INGESTION: DO NOT INDUCE vomiting. If vomiting occurs spontaneously, keep head below hips to prevent aspiration of liquid into the lungs. Seek medical attention immediately. f . MATERIAL SAFETY DATA SHEET CALIFORNIA WASH Page: 3 Revised: February 14, 2001 SECTION 7 PRECAUTIONS FOR SAFE HANDLING AND USE STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED: Eliminate all ignition sources. Spills should be diked and must be kept from entering the sewer. Soak up with absorbent or transfer liquid into a closed container for later disposal. Use spark-proof tools and explosion proof equipment. WASTE DISPOSAL METHOD: If this product as supplied, becomes a waste it is regulated by RCRA as Ignitable Waste, EPA I.D. #D001. Suitable methods of disposal include reclamation and fuel blending. Contact a Licensed Hazardous Waste Hauler for more information. PRECAUTIONS TO BE TAKEN IN HANDLING AND STORING: Containers should be grounded and bonded before transferring product. Store in the original closed container away from sunlight,excess heat,sparks,flames and other sources of ignition.Avoid skin or eye contact.Avoid breathing vapors. When transferring or using this product,wear proper personal protective equipment. Store and handle as a Combustible Liquid. OTHER PRECAUTIONS/DOT INFORMATION: DOT Proper Shipping Name: Combustible Liquid n.o.s. (Naphtha), Hazard Class: Combustible Liquid, UN Number: NA1993, Packing Group: III. Non-bulk Limited Quantity..Not regulated as per 49CFR 173.150(f)(2). Product is classified as an OSHA Class II Combustible Liquid. SECTION 8 - CONTROL MEASURES RESPIRATORY PROTECTION: The use of respiratory protection is advised when concentrations exceed the established exposure limits in SECTION 2. Depending on the airborne concentration, use a respirator with appropriate organic vapor cartridge(NIOSH approved). VENTILATION: If current ventilation practices are not adequate to maintain airborne concentrations below the established exposure limits in SECTION 2, additional general ventilation or local exhaust systems may be required. PROTECTIVE GLOVES: Wear solvent resistant gloves made of nitrile or butyl rubber. EYE PROTECTION: Wear safety glasses with side shields. OTHER PROTECTIVE CLOTHING OR EQUIPMENT: A personal protective rating of X means you must see your supervisor for guidance. OSHA regulations(29CFR Part 1910, Subpart I) require employers to evaluate Personal Protective Equipment requirements in the workplace. WORK/HYGIENIC PRACTICES: Wash with soap and water after product contact with skin. SECTION 9 DISCLAIMER The information on this MSDS is believed to be accurate as of the date shown in SECTION 1. Since the use of this product is not under the control of Varn, it is the user's responsibility to determine what constitutes safe usage for a particular product. This form may be reproduced in quantities necessary to meet your requirements. T MATERIAL SAFETY DATA SHEET This MSDS complies with OSHA'S Hazard Communication Standard(29 CFR 1910.1200)and the American National Standards Institute Standard for MSDSs(ANSI Z400.1) I1a�4��1evS SECTION 1 -CHEMICAL PRODUCT AND COMPANY IDENTIFICATION Manufactured For: Heidelberg USA,Inc. Identity(trade nagipas used on label): Add ress: 1000 Gutenberg Drive Kennesaw,GA 30144 aphira Presswas�Printmastdr Specially for Heidelberg Printmaster QM 46 and Quickmaster Df presses. Date Prepared: Revision: 0 lPreDared B : Information Calls: 888-472-9655 prompt 3 DOT Emergency Response: Chemtrec USA and Canada 800 424-9300 SECTION 2-HAZARDS IDENTIFICATION D.O.T.Designation:Cleaning Liquid(Non-Regulated Combustible)(1). U.N.Designation:Flammable Liquids,N.O.S.(Contains Naphtha,Solvent)3,UN1993,PGIII Emergency Overview: Clear,colorless liquid with mild odor. Can cause eye,skin or respiratory tract irritation. During emergencies,wear equipment to protect eyes,skin and respiratory tract. Dike or absorb spills to keep material and run-off from entering sewers,drains or waterways. Potential eat Effects: Skin-Prolonged or repeated contact with liquid can cause irritation and/or dermatitis. Eyes-Vapours and splashes to the eyes are moderately irritating. Inhalation-Irritating to the respiratory tract and mucous membranes. Ingestion-Causes irritation to the gastrointestinal tract;symptoms may include nausea,vomiting and diarrhea. Conditions Aggravated by Exposure: Persons with pre-existing skin disorders may be more susceptible to the effects of exposure. SECTION 3—COMPOSITION/INFORMATION ON INGREDIENTS COMPONENTS-CHEMICAL NAMES AND COMMON NAMES CAS Number WT. OSHA PEL ACGIH Carcinogen (Hazardous Components 1%or greater;Carcinogens 0.1%or greater) % (ppm) TLV(ppm) Ref.Source Aromatic Hydrocarbon 64742-95-6 45-55 100 m 1 ** Aliphatic Hydrocarbon 64742-88-7 5-55 100 m 2 1 Based on PEL for X lenes. 2 Based on VPEL for Stoddard Solvent,current PEL is 500ppm. Blend contains approximately 1.0%cumene&xylene&17.0-21.0%1,2,4-trimethylbenzene(varies by aromatic source). Ethyl benzene is present at less than 1.0% See SECTION 15—REGULATORY INFORMATION. 'Chemical Listed as Carcinogen or Potential Carcinogen:a=NTP b=IARC Monograph c=OSHA d=Not Listed a=_Animal Data Only SECTION 4—FIRST AID MEASURES Eye Contact: Immediately flush with water for at least 15 Ingestion: If swallowed,seek immediate medical,attention. minutes;seek medical attention. Do NOT induce vomiting unless directed to do so by medical personnel. Skin Contact: Remove contaminated clothing;launder before Inhalation: Immediately remove to fresh air. Seek medical re-use. Wash skin with soap and water; if irritated,seek medical attention. attention. SECTION 5—FIRE FIGHTING MEASURES rorn Method Used: uto Ignition Temperature: Explosion Limits: 102 de ree closed cup method 1.0% 12.6% er Media: Foam,dry chemical;use water spray to cool exposed surfaces. Evacuate area and fight fire from a safe distance if fire is contained in small area;otherwise,call the local fire'department. Unusual Fire&Explosion Hazards: Combustible liquid. Upon combustion,the product may form carbon monoxide and other organic compounds. Product containers may rupture from vapor pressure when exposed to heat from fire. SECTION 6-ACCIDENTAL RELEASE MEASURES For small incidental spills and leaks,wear protective gloves and eye protection. Stop source of leak or spill. Isolate area of pill by diking,and/or add dry absorbent to prevent it from entering sewers,drains or waterways. Clean up and place in an appropriate container for disposal. Wash all contaminated clothing before reuse;discard contaminated leather shoes. For larger spill requiring emergency response,follow OSHA emergency response regulations and NIOSH recommendations. If possible,stop source of spill or release. Isolate the area.of spill or release by diking to prevent it from entering sewers, rains or waterways. Clean up and place in an appropriate container for disposal. �J aphira Presswash Printmaster QM46 Page 2 SECTION 7—HANDLING/STORAGE Avoid contact with eyes,skin or clothing. Avoid breathing mist or vapour. Wash thoroughly after handling. Do not eat,drink r smoke in work areas. Keep container closed when not in use. Use only with adequate ventilation. Store in a cool,dry, ell-ventilated area. SECTION 8—EXPOSURE CONTROL AND PERSONAL PROTECTION Ventilation: Good, general ventilation should be sufficient for most operations. Ten or more room air changes per hour containing a minimum of 15%fresh air are recommended. Personal Protection: Safety glasses and gloves impervious to the hazardous ingredients are recommended. If used under normal operating conditions,and with adequate ventilation, respiratory equipment is not required. SECTION 9—PHYSICAL AND CHEMICAL PROPERTIES Appearance and Odor: light colored liquid petroleum odor Boiling Point/Range: 300 degree F Odor Threshold: n/a Vapor Density: 4.5 air=1 Specific Gravity Water=1.00 : 0.825 water=1 Vapour Pressure: 2.8 at 68 degrees F 20 de ress C Viscosity: n/a Solubility in Water: stable H: n/a VOC Ibs/ al: 6.9 Ibs per gallon 826 grams per liter Freezing Point: n/a lCoefficient of Water/Oil Distribution: SECTION 10—STABILITY AND REACTIVITY Hazardous Polymerization: Will NOT occur; product is stable. Hazardous Decomposition Products: Carbon monoxide and other compounds during combustion. Materials and Conditions to Avoid: Avoid exposure to high heat sources,electrical and welding arcs and open flame. Also avoid strong oxidizing agents. SECTION 11 -TOXICOLOGICAL INFORMATION LD50 oral,rat): No data available. Acute Overexposure: May cause skin,eye and respiratory tract irritation. Chronic Overexposure: None known. SECTION 12—ECOLOGICAL INFORMATION Ecotoxici Data: No data available. Chemical Fate Data: No data available. SECTION 13—DISPOSAL CONSIDERATIONS Hazardous Waste Characterization: None Recommendation: Dispose of materials associated with cleaning up spills and/or leaks according to federal,state and local regulations for ignitable waste. Consult appropriate federal,state and local regulations to determine proper characterization of used product contaminated with other printing process products. SECTION 14—TRANSPORT INFORMATION Ground Shipping US DOT 49 CFR: Not Regulated. Air ICAO/IATA Shipping: Not Regulated. International Maritime Organization(IMDG)Shipping: Not Regulated. SECTION 15—REGULATORY INFORMATION ARA Title III,Section 313(Toxic Release Inventory)—This product contains approximately 1.0%cumene and xylene and 17.0-21% 1,2,4-trimethyl benzene(varies by aromatic source). Ethyl benzene is present at less than 1.0%.Product contains components which may be further regulated by state and/or local agencies e. .benzene and CA65C -Consult Appropriate Agencies. Clean Air Act 1990 Hazardous Air Contaminants;Clean Air Act HON Rule Hazardous Air Pollutant-HAP —None. ARA Title 111,Section 302 Hazardous Substance List —None. Canadian DSL/NDSL Inventory:Components of this product are listed on either the Domestic Substance List(DSL)or the Non-Domestic Substance List NDSL . This product has been classified in accordance with the hazard criteria of the Controlled Products Regulations and the MSDS contains all the information required by the Controlled Products Regulations. SCA Inventory: All of thisproduct's components are listed. SECTION 16—OTHER INFORMATION FOR INDUSTR ONLY AS DIRECTED DO NOT TAKE INTERNALLY HAZARD RATING: ealth-2 Flammability-2 Reactivity 0 Personal Protection-Glasses, Gloves Health: 0=Minimal — urn Reactivity: 0=None 1 =Slight 1 =Flash Point>200'F 1 =Slight 2=Moderate 2=Flash Point>100'F and<200°F 2=Moderate 3=Serious 3=Flash Point<100°F and Boiling Point>100°F 3=Serious 4=Severe 4=Flash Point and Boiling Point<1000 F 4=Extreme We believe the statements,technical information and recommendations contained herein are reliable,but they are given without warranty or uarantee of any kind. Some information may be based on indirect test data. Number Fee 1123 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that SUNDERLAND PRINTING 115 ENTERPRISE ROAD, 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 :r Voegulatorywof B stable e l �ervices I11S, >� Richard V. Scah,Director GG Public Health Division BAMSTABLE ® : ■ARNSfABLS. = Thomas McKean,Director � 14 rt - � ,•� ��g , ATFC .�A 200 Main Street, Hyannis,MA 02601 t� -r Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE r 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 9 V,S , CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? V YES_NO. IF YES,SHIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: �.5 � 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: 4�"S �►�fiL- 1Qf i�.� Vz L 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: o`� �D�' Hoc) 9. EMAIL ADDRESS: 10. SOLEOWNER: VI'ES_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 v//z hg Q\Application Forms\HAZMAT APP 2017 REVISED.docx Number Fee 1123 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable f Health ,Board o e 9 This is to Certify that SUNDERLAND PRINTING 115 ENTERPRISE ROAD, HYANNIS, MA Is Hereby Granted a License For: Storing or Handling 111 -499 gallons of Hazardous Materials. ------------------------------------------ ---------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------- - - This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2018 unless.sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2017 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health .2q/P&3 TROw�of Barnstable eg atory Semces Richard V. Scali, Director IKE fps Public Health Division BARNSTABI; ® M Y [IPNXST411LE-aNI RRVIL,CHIT-XY4n1.IS MST�S HIIiS-(51EiVILLk•1TST F4a MS�E BARNSTABLE• • Thomas McKean, Director 1539_2014 MASS. $ r w �EDMyte`0 200 Main Street, Hyannis, MA 02601 �� Office: 508-862-4644 C?,9R O70/CJ Fax: 508-790-63P.4 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—NNE 3 Oth). APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00 CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 V, S - CATEGORY 3 PERMIT 500 or more Gallons: $150.00 El *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL N 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 STORAGEIUSE OF • GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? I YES NO. 4. FULL NAME OF APPLICANT: M((EL 5. NAME OF ESTABLISHMENT: 5� 'fi [ t Qcn QAJ ���. 6: ADDRESS OF ESTABLISHMENT: 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: �� G7�Z C3^�L D O 9. EMAIL ADDRESS: dRrV-4 ,L 10. SOLEOWNER: YES O IF NO NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEP HONE#OF: CORPORATION NAME L, PRESIDENT a 4--, TREASURER CLERK Pi Su'L eP' �iy 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT,4 DATE 1- QAApplication Forms\HAZMAT APP 2017 REVISED.docx Number Fee 1123 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that SUNDERLAND PRINTING 115 ENTERPRISE ROAD, HYANNIS, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. --------------------------------------------------------------------------------------------- ------------------------------------ ------------------- -------------------------------------------------------------------------------------- ----------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2017 unless sooner suspended or revoked. ------------I---------------------------- 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 „dpt► 7 Town of Barnstable Office: 508-862-4644 AA Fax: 508-790-6304 Regulatory Services Department +` Public Health Division BARNSTANX MAS& Thomas A.McKean,CHO 200 Main Street, Hyannis, MA 02601 Payment Receipt ;Hazardous Materials Payment received: $135.00 (Check) on 7/28/2016 Permit number: 1123 ;Check number: 29059 Check amount: $135.00 Name on check: Sunderland Printing Business: SUNDERLAND PRINTING Address: 115 ENTERPRISE ROAD, Hyannis I ;Note:. $125 + $10 late fee ---------_ _............ ............................... .......... j . d�0 r r Number Fee 1123 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that SUNDERLAND PRINTING 115 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. 07/01/201 rJ JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health � r Town of Barnstable R pFTME� Regulatory Services 0 Richard V. Scali,Director MAM Public Health Division 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. p� (/. " 6 DATE ` APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN Ill GALLONS OF HAZARDOUS MATERIALS FULL NAME OF.APPLICANTj�� NAME OF ESTABLISHMENT ",��� ��r �l4SS - 'abf i '(�� 40 ACVJ ® ADDRESS OF ESTABLISHMENT .6I'f I ►`tea TELEPHONE NUMBERy 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. 3©5-6(-6 STATE OF INCORPORATION AAA FULL NAME AND HO PRR,ESS OF: PRESIDENT lv�Wt Sa-1�M. 66 ltisw TREASURER CLERK • SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# C:\cache\Temporary Intemet Fi1es\0LKD3\HAZAPP Rev2015.DOC Town of Barnstable Office: 508-862-4644 � Regulatory Services Department Fax: 508-790-6304 As Public Health Division i+tA Thomas A. McKean,CHO 200 Main Street, Hyannis, MA 02601 Payment Receipt Hazardous Materials Payment received: $100.00 (Check) on 6/30/2015 Check number: 28268 Check amount: $100.00 Name on check: Sunderland Printing !Business: Sunderland Printing Owner: 115 ENTERPRISE ROAD LLC Address: 115 ENTERPRISE ROAD, Hyannis • i i Number Fee 1123 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that SUNDERLAND PRINTING 115 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 w 3 Town of Barnstable �pfTNE Regulatory Services Richard V. Scali,Director �9RM M Public Health Division 1639. 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 111 GALLONS OF HAZARDOUS MATERIALS o FULL NAME OF APPLICANT C�cCC. C� ��� ; L a� jit X O NAME OF ESTABLISHMENT5 ��� (� � �(eS5 O bA 4 ( ADDRESS OF ESTABLISHMENT TELEPHONE NUMBER _ �'J�� I I U U SOLE OWNER: YES. NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION ; I FULL NAME AND HOME ADDRES OF: //^ PRESIDENT L S I��, VCR W64 ' "k TREASURER VNIScl, 1�a CLERK M. .. e Al� SIGr4ATURE OF APPLICAN RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# 0 8= 3 6 Q:\Application Forms\HAZAPP.DOC. Number Fee 1123 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that SUNDERLAND PRINTING 115 ENTERPRISE ROAD, HYANNIS,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. --------- ---------------------------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------- ------------------------------------------- a 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. 3/6/2014 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health Town of Barnstable Barnstable Regulatory Services Department Public Health Division STABM 1 I., sARN MAS& 200 Main Street, Hyannis MA 02601 1639. ° # 2007 I ' Office: 508-862-4644 Thomas F.Geiler,Director i FAX: 508-790-6304 Thomas A.McKean,CHO Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. 29 D SS DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN I II GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT Mir_ J�JV C V, Vt4 NAME OF ESTABLISHMENT ��\�� ���, l u✓L �1 ADDRESS OF ESTABLISHMENT TELEPHONE NUMBER J D C7 O SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS``OF ALL 0-- PARTNERS: -, IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. Oy 30 JS 90fZ STATE OF INCORPORATION JW JA FULL NAME AND HOME ADDRESS OF: PRESIDENT C, TREASURER CLERK IGNATURE OF APPLICANT f , RESTRICTIONS: HOME ADDRESS k bit `Z I n! a( i Ile HOME TELEPHONE# J:\inspection handouts\Haz Mat Application200800C �R u SPILL CONTINGENCY PLAN Emergency Coordinator, Name: Address: hl Kok Ltd Ll bw Oat v C. Daytime Phone: 506=-7c1Q- llv D Evening Phone: --n --7 67 a Fire Department: 0 K I` � Barnstable Public Health Division: 508-862-4644 DEP 24 Hour Spill Hot Line: 888-304-1133 Waste Hauler: Name: cc.L: l C 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. C��Lr1e-\-(L - Jos G� G L;75 o r�,