The URL can be used to link to this page

Home My WebLink About0181 FALMOUTH ROAD/RTE 28 - HAZMAT (2) 8 Fpundti� /�/ �"'� '3 � � �� TOWN ' OF BAR NSTABLE COMPLIANCE: CLASS; 1. Marine,Gas Stations,REpai.r Q satisfactory 2. Printers ETMR D OF HEALTH 3. ppanu Body Shops ' Q unsatisfactory- 4. lfanufacturers COMPANY r)�� 1 ! . . `� �j�J��!"� (see"Orders") S. Retail Stores r 6. Fuel Suppliers l aneous ADDRESS Class: ' 7. Miscel —11 QUANTITIES AND STORAGE (IN=indoors; OUT outdoor MAJOR MATERIALS- Case-lots Drums AbdveTanks Undetgrohnd Tanks UL )l gallons_ & CA•tt Fuels: • Gasoline, Jet Fuel (A) Diesel, Kerosene, 02 (B) Heavy Oils: ,- waste motor oil - (C) new motor oil (C) transmission/hydraulic -Syntheti.c Organics: degreasers s • •Miscellaneous: � l\71 P6 W sf,/ ISPOSAL RECI, M T ON REMARKS: 1. Sanitary Sewage 2. Water Supply QTown Sewer ` Public Oon-site Q Private s 3. Indoor Floor Drains: YES NO Q [folding tank: MDC !_1') OCatch basin/Dry well ..___._........ ._..._.__..`__ _ _ Q On-site system -4(-1W 4. Outdoor Surface drains:YES NO c ; r- 0 ffoldinL tank: MDC r) Id well I/-A Y �� Q Catch basin/Dry - Q On-site system �/' �� _�- f !/ /�Ill_�_..___ S. Waste Transporter Licensed? 1�s2m�2�llau el f�4 j _pgctina inn Waste Prroduct` 2. ill.., uuU Af I �'• i 1`Z'► � �,��j�7\. • 12 2J $I erson s Intervi,ewed Inspector ' Date Number Fee 1318 THE COMMONWEALTH OF MASSACHUSETTS $50.00 Town of Barnstable Board of Health This is to Certify that American Tile Stone Design ..------------------------------------------------------------------------------------------------------------------------------- 181 Falmouth Road, Hyannis, MA ..---------------------------------------------------------------------------------------------------------------------------------------------------------------------- Is Hereby Granted a License For: Storing or Handling 26 - 110 gallons of Hazardous Materials. ------------- ------------------------------------------------------------------------------------------------------------------------------------------------------ Restrictions: .------------------------------------------------------------------------------------------------------------------------------------------------------------------. This license is granted in conformity with the Statutes and ordinances relating there to, and expires 06/30/2021 unless sooner suspended or revoked. ---------------------------------------- JOHN NORMAN DONALD A.GUADAGNOLI,M.D. 07/01/2020 PAUL J.CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health s Town of Barnstable �e Inspectional Services BARNS TABLE Q( ^ t 11nRN,Ta6lE•RNIMItlE-CO rt•rrau.15 Public Health Division 1639-2014014 uy5 X5.4'S ?.RB?PNSR&E 1639 +, BARNSTABM Thomas McKean,Director ; 1659. �� 200 Main Street, Hyannis,M.A 02601 C$ h:r Office: 508-862-4644 Fax: 508-790-6304 Ca r-. APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS =1 IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, E 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? 1 YES_NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS}§TORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? V YES NO. 4. FULL NAME OF APPLICANT: 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: X Yr�taCf �M. ,+h -,` 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE:8. TELEPHONE NUMBER OF ESTABLISHMENT: 506- 9 S-7' Z 18 63 9. EMAIL ADDRESS: XW O 4N-( 't caw� tie t c 10. SOLEOWNER: YES ((/NO IF NO,NAME OF PARTNER: A- /L S 11. FULL NAME,HOME ADDRESS,AND TELEPH NE#OF: CORPORATION NAME e x M C, PRESIDENT is TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT ATE �- d3. Q:\Application Forms\Haz Mat Appli Draft Jan2 9.docx Number Fee 1318 THE COMMONWEALTH OF MASSACHUSETTS $so.00 Town of Barnstable Board of Health This is to Certify that American Tile Stone Design 181 Falmouth Road, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 26 - 110 gallons of Hazardous Materials. ------------------------------------------------------------------------------------------------------- ------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,,and and expires 06/30/2020 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 tl F F � Town of Barnstable Inspectional Services BARNSTABLE �yoFt►��.(, w""Prsic'tiauius`•asfi`cx'u=nsieis'��;[ Public Health Division mmNi- CABLE. ` Thomas McKean, Director r}.a AIEo1659. Mai a 200 Main Street, Hyannis,MA 02601 -r; Office: 508-862-4644 Fax: 509 790-6304 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 f VS 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. I 030 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)? S NO. 4. FULL NAME OF APPLICANT:. Cj IT,U� knx,Q�� 5. NAME OF ESTABLISHMENT: 4YLZ U" ' 6. ADDRESS OF ESTABLISHMENT: tUt / ►"T 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: Q 8. TELEPHONE NUMBER OF ESTABLISHMENT: V 9. EMAIL ADDRESS: 10. SOLEOWNER: YES "0 IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADD SS,AND TE ,PHONE j OF: �0 t CORPORATIO AVE Yl tJ��r`Rn PRESIDENT C IMi TREASURER ✓0- 1(n O CLERK NO 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS EMAIL: SIG ATURE OF APPLICANT DATE D� / ° �� " QAA pi lion Forms\H at App Revised 09-1 --�8.ddocx Number Fee 1318 THE COMMONWEALTH OF MASSACHUSETTS $50.00 Town of Barnstable Board of Health This is to Certify that American Tile Stone Design 181 Falmouth Road, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 26 - 110 gallons of-Hazardous Materials. ---------------------------------------------------------------------------------------------------------------------------- ------------------------------------ -------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2019 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2018 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health 1 �$ oche'# 43 lowl of BVnsxable eg atory Services Richard V. Scali,Director Public Health Division BAMSTABLE • BARNSTA2lE•fHlffllV 1 CVNR.MYfJdA. - BAB1VErrABM = Thomas McKean, Director ""�°�""�i�"o;"��"n"�'� — - - -- - �0� -- iOrBc a -- - -- --200 Main Sheet,-HyaAhis,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 3 Oth). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ® �s CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if 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 QUAN ITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: �'� or,t� 5. NAME OF ESTABLISHMENT: '' 6. ADDRESS OF ESTABLISHMENT: v?I ROJ r )OA W 14 O.4 MA 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLIVISHMENT: 9. EMAIL ADDRESS: jupo kL C�o ice, 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADD SS,AND TELEPIJONE#OF: CORPORATION N C 9,✓ PRESIDENT TREASURER - CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: .40 COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT ( DATE 0 - � Q\Application Fortns\HAZMAT APP 2017 RE IStD.docx °FtuE rok Town of Barnstable Office:508-862-4644 ti Public Health Division Fax:508-790-6304 • BARNSTABLE. • 200 Main Street• Hyannis, MA 02601 039. �p'EDMA+a`0� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: A n4z ,cans_ k___ Date: Location/Mailing Address: 16 t o 1 Contact Name/Phon Ck,-, ir �ow►n�-r So -��7—Zt8% �el�� — ( GIIi Qs5C, �41 Inventory Total Amount: _^'l} 1 SDS: 10t4 vL License#:fit-►D I Tier II : 10 Labg[bg: 01-� Spill Plan: o oS Oil/Water Separator: ;OTA Floor Drains: AJC> Emergency Numbers: It Storage Areas/Tanks: 3, r a l by t O,ve 3 fi k.f4e_f •(P,o e< 5 Emergency/Containment Equipment: ^)za 51 -tC— Waste Generator ID: AIA Waste Product: AIIA Date&Amount of Last Shipment/Frequencx: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers 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/"ek.-s,v-L5 3 5"A-3 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 },pr gvFuS Swimming pool chlorine t� Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners IT 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 5 51�22�5• r,11 0 -� GwtA-t K c�, I 1 a+1 �,a�,e�1 Q� Inspector: ahl� �05.4 tw- 5to=�,�..5'vo�+N�� G2vt.gc..• Ob�a.,,�. Je, k oA,J\k:GA>f OLcc Facility Representative: S• Ce. v.7. . avt v.p S+i ov..s. WHFrE COPY-HEALTH DEPART E /CANARY COPY- BUSINESS Number Fee 1318 THE COMMONWEALTH OF MASSACHUSETTS $5o.00 Town of Barnstable Board of Health This is to Certify that American Granite Design 181 Falmouth Road, Hyannis,MA Is Hereby Granted a License CIS For: Storing or Handling 26 - 110 gallons of Hazardous Materials. c --------------------------------------------------------------------------------------------------------------- ---------------------- ----------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------- QA This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 036/30/2018 unless sooner suspended or revoked. IZZS -------------------------------- 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 Jun 2317,03:28p p,1 1 • T-pwrx of B sable 1 �46 RegulatoryServtces Richard V. Scan,Director Public BAMSTABLE Health Division " Thomas McKean,Director � � I 200 Main Street,Hyannis, 'JA 02601 020 Office: 508-66-1-4644 ` Fax 509-790-6.104 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL EUSLNTSSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBT-AIN AN ANNUAL PER-Wr(RUNS JULY 1 St—NNE 30th). APPLICATION FEES CATEGORY I FM'VUT 26—110 Gallons: " S 50.00 CATE GORY 2 PERYET 11 I—499 Gallons: S 125.01 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charze of$10 00 will be assessgl if payment is not received by July 1st. 1. ASSESSOR'S-NLkP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? y XES�NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSING SS HAS . ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF • GREATER THAN HOUSEHOLD QUANTIMMS (25 GALLONS)? YES NO. r 4. FULL NAME OF APPLICANT: .juci<�Q.6&tr-, 5. NAMME OF ESTABLISEU LENT: "7`1 6. ADDRESS OF ESTABLISHMENT: ':C �FI'1y}� ' - 2e 7. h7AILING ADDRESS 0DIFFERENT FROM ABOVE-- S. TELEPHONE NUMBER OF EST_4BLIS1:LMENT: 9. EMAIL ADDRESS: 10. SOLFO1ANER: 4/ Y-E•S NO IF NO,NAME OF PART.N-ER: 11. FULL NAME,HOME ADD SS,AND TELEPHONE#OF: CORPORATI : NAME l PRESIDENT. C C ii.tr�, TREAS ltAQ G " 2U4 � Yz •`� (c�} CLERK z...:= -i.Yl-t�-trc .. C ,� .i✓r�G-r-` 12. IF PREPARED BY OUTSIDE PAR : NAME: j TELEPHONE#• COMPANY ADDRESS 1 EMAIL: SIGNA'i'URE OF APPLIC �-DATE ao �� • �:�Applicabcn F�sMIAZMAT APP 2017-E ,,docx Number Fee 1318 THE COMMONWEALTH OF MASSACHUSETTS $50.00 Town of Barnstable Board of Health This is to Certify that American Granite Design 181 Falmouth Road, Hyannis, MA Is Hereby Granted a License , For: Storing or Handling 26 - 100 gallons of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2017 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable �t r Regulatory Services ti • °� Richard V. Scali,MRNMBLE,KAS& ' Public Health Division BAMSTABLE 16g9• ,e� wxs°aru vnmwa sues ptED �A Thomas McKean,Director 199 2014 F 575 -a 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 OV Fag: 508-790-6304 S„ A GQ APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1st-JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 L• d Ch 6� P CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ A late char a of$10.00 will be assessed if paMent is not received by July Is . • ASSESSORS MAP AND PARCEL NO DATE FULL NAME OF APPLICANT: C#4'(� NAME OF ESTABLISHMENT: m« CQ/" ADDRESS OF ESTABLISHMENT: mO U k H r S MAILING ADDRESS(IF DIFFERENT): Q TELEPHONE NUMBER OF ESTABLISHMENT: EMAIL ADDRESS: -TN F0 SOLE OWNER: A"YES NO IF NO,NAME OF PARTNER: FULL NAME,HOME AD c -_cANn TELEPHONE# OF: CORPORATION N � �, t _l,�`_ ) ; PRESIDENT. WF TREASURER CLERK IF PREPARED BY OUTSIDE PARTY: GNAT O A,PP ICANT Name: Company Address : Telephone#: Email' QAAppfication Forms\HAZZAPP Revl6.docx Page 1 of 2