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Home My WebLink About0191 FALMOUTH ROAD/RTE 28 - HAZMATrim Number Fee 1112 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that AUTOPART INTERNATIONAL 191 FALMOUTH 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. 1 ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. Q 07/01/2017 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health of B4Mstable Regulatory Simms Richard V. Scali,Director Public Health Division BARNSTABLE ' Nl E".LI4R CDN011R M1C ZIA . _ Thomas McKean,Director '°�'°�"""'„39.2014 MAiA62 MAIM 3 `ba 200 Main Street,Hyannis,MA.02601 if3 Office: 508-862� a o 644 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 PERMrT(RUNS JULY 1 st--JUNE 30th). r_ APPLICATION FEES CATEGORY 1 PERAUT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125A0 �f CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by July 1st. .1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THLS A PERMIT RENEWAL? ✓YES_NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONINGBUn DING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: r+ mores lcrhona I mnc. 5. NAME OF ESTABLISHMENT: A. utuava XNeoxAbona I =-nr-. _ 6. ADDRESS OF ESTABLISHMENT: �A�1fY10��. n 1S MPt n� Yewry?e7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: M e a Nit-Mrs�rv1A OZ�IvIy 8. TELEPHONE NUMBER OF ESTABLISHMENT: �I$I' Z53 bUI�i 9. EMAIL ADDRESS:CC� 1 rEIV�n ��i1dG1�� GNU I i'XY r't 1`r1'�' . QCWn- 10..SOLEOWNER: )k YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: , CORPORATION NAME U PRESIDENTPJIIC1rto►�e rerdW - ►0i MunS iPid ME. m,(I1'O(1�.rv1J1 67-14tP TREASURER CLERK 12. IF PREPARED BY OXTSIDE PARTY: NAME: D R TELEPHONE#: MW M COPANY AESS EMA11L 1l GtU r'� (lt'1.Cml i92 mmsfield Ave, IVO( 60A O'SILO c SIGNATURE OF APPLICANT DATE' Q �12- Q:\Application FonnsWAZMAT APP 2017 REVISED. i Number Fee 1112 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable �- . o Board of HealthAz- -� This is to Certify that AUTOPART INTERNATIONAL 191 FALMOUTHROAD, 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. ------------------------ ------------- 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 i- Town of Barnstable �VE> Regulatory Services $ Richard V. Scali,Director BAIMITAM' � ' Public Health Division BAMST + 6 Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-8621l644 �� Fax: 508-7902 a APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE.WrIH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUAN rI1ES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1st—NNE 3 0th). APPLICATION FEES CATEGORY 1-PERWT 26— 110 Gallons: $ 50.00 El CATEGORY 2 PERAHT .111 —499 Gallons: $125.00 • CATEGORY 3 PERMIT 500 or raore.Gd 1ons: $150.00 ❑ A late charge of$10.00 will be assessed if payment is not received by July 1st. ASSESSORS MAP AND PARCEL NO. DATE Lo U 11 to FULL NAME OF APPLICANT: �,, tc)of vr-� �D, + ,rnccl-iona k . —r NAME OF ESTABI•ISHM ENT: Pw �QCt(--- Tni-e—r Qr-�C�\ 'a�nC- ADDRESS OF ESTABLISHMENT: I -o� VYl i�'t Y1 �GI H\�Q n n i S, M-� O Ztn O 1 MAYLING ADDRESS(IF DIFFERENT) -by- .S-tore I�ve.lap me r} 19'Z Mcir1ai eidl kVe.,Nor+ocN MR SbFS--1�l—Dw(�O Loco\ 0210(0 TELEPHONE NUMBER OF ESTABLISHMENT:. -I %1- 253- 3lo I"1 a�p arcs+e EMAIL ADDRESS: Co.'.�lin. ancla��clU�yrtinfil..cc)rv\ SOLE OWNER: YES NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPoRATIONNAME RytopcAr't 2�V'�'tt0 \ 1�c-• PRESIDENTM%c-Y 5:.el Cfeed(�)o - 1`1Z�c,�s�'�eld ► ve,ryor�cx� UZ 'lalo 1Fs1-z63-3gvj TREASURER CLERK IF PREPARED BY OUTSIDE PARTY: SIGNATURE OF APPLICANT Name: Company Address Telephone#: Email: Q:1Application FormsEA7ZAPP Revl6.doex Page 1 of2 1 Number Fee 1112 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that AUTOPART INTERNATIONAL INC. 191 FALMOUTH 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 v e t a� A �s :`hove:�f Barustable. �t+i rqk Regulatory Services Rich ardV. Scab,Director,. j 1�fAGC $ Public Health Dxvxsioxi Teo A Thomas Mclean,Director 200•Maili Street, Hyamis,NIA 0160.1 - Office- 508-862=4.644 Fax: 508-790-6304 Application Fee:$1:00.00 . ASSESSORS MAP AND PARCEL NOj// DPI �S(7DATE /Pr APPLICATION FOR PER.N rr TO STORE, AND/OR.UTILIZE MORE THAN 11-1 GALLONS OF HAZARDOUS MATERIALS ULL NAME OF APPLICANT NAME OF ESTARLTSMIE,NT ADDRESS OF ESTABLISMKENT_' `�1 rQl� l'�'r ' TELEPRONE NUMBER -� 6 OCDu�✓ .SOLE OWNER: V YES NO IF'APP JCAYT.IS A PAR.TNERSHII',FULL;NAMM'A,ND RO .ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION-NO. STATE OF INC03tPORATiON FULL NAME AND HOME ADDRESS OF: PRE,SMENT 'TREAM. FR-- CLERK Wait SIG.NATUItI;f.F APPLICANT'. RE,STRICTIONS: . HOME ADDRESS HOME TELEPHONE# W 4 [S �:1AppliaetionPornrs�iJlti7,kpP:QOC: f SPILL.CONTINGENCY PLAN Emergency Coordinator,Name: .J_A t _ a'( � n - Address: n Daytime Phone: &., � Evening Phone: 1)y5i . MCV) DO rk�h u e e�l Fire Department: � 'T)5' f 00. 4 Barnstable Public Health Division: 508-862-4644 DEP 24 Hour Spill Prot Line: 888-304-1133 Waste Haisr: Name:.. ct{m q 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). I Actions to be-taken to control a spill or release; and preventing it from reaching a catch basin, sewer.system or:the ground.' Ir CUT UPRITFS TO FIT UNDER MEZZ STORAGE SHELVING ® 10 FT. HIGH ZD BOILER:. . > g . FP FP Z O FP FP cN 6 D IP IP I n . IP IP w 7S In 2!a-j o RM RM I RM N C STORAGE SHELVING ® 7 FT. Ell `6 F7 EAM' o„� n RM RM C.! M i O1 6 6 8 o RM I RIM > pp Ifn .6'• 4 o 6 FT BEAM N RM RM CONVRT TP a AXLES ? .. x 6 RM3 RMz RM t 5' 6S _ 1 DUCT � n z ADJUS & ADD HELVES PHONE USE THIS•FOR CONVERTERS I _ 0 1. z -u' 14 _ ADDITIONAL 10 FT. SHELVING . QO D � I i Z666'61, x o >' rn SHIPPING D > o Z r> RECEIVING o r> V) CORE C�2" P — �cf) �= C � ' C Number Fee 1112 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that AUTOPART INTERNATIONAL INC. 191 FALMOUTH 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. 12/9/2013 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town o•f Barnstable 1 Barnstable Regulatory Services Department Public Health-Division f MlF KAMABi.i. 200 Main_Street; Hyannis MA 02601 639 ,2007 Office: 508462-4644 Thomas F.Geller,Director FAX: 5087790-630.4 Thomas A.McKean,CHO Application Fee:.$100.00. . 0 ASSESSORS MAP AND PARCEL NO. 6 1 i l DATE. APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT AC UJn106LAT .. Inc NAME OF ESTABLISHMENT �OIYYI Q ADDRESS OF ESTABLISHMENT "1 1 ' VOVWQ�k-A h . H an 0 k TELEPHONE NUMBER 50�- T o 0 0�iO O l �F SOLE OWNER:.`V YES NO o , . IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL c�-aj PARTNERS: . IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.0 STATE OF INCORPORATION 1" GSS Q u S FULL NAME AND HOME ADDRESS OF: PRESIDENT C,;00 CLERK SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS ICI o�.�yIC(w�s� lQUe., HOME TELEPHONE.# 7:\inspeWon handout\Haz Mat ApplicationZ008DOC SPILL CONTINGENCY PLAN- Emergency Coordinator;Name: . Address: nY�is A Daytime Phone: - I Evening Phone: .f)t--A . Min Fire Department: -]1 S, 13 00 9 g 5 Barnstable Public Health Division: 508-862-4644 DEP 24 Hour Spill Hot Line: 888-304-1133 n Waste fir.: Name:.. Oeotln VO.T6075En V1 rom MiCL� �UC� tdtaK�,� Phone: Building diagram indicating hazardous material/waste storage area, location of absorbent scavenger materials, fire ektinguishers, fire alarms (if present), and evacuation route (if applicable). I, Actions to be taken to control a spill or release, and preventing it frort reaching a catch basin, sewer.system or:the ground..' ea" had: A JAD I bs O-P-h r) r o ► �b� - i 1 t 03) CUT UPRITES TO FIT UNDER MEZZ STORAGE SHELVING ® 10 FT. HIGH z > .C. m 4' BOILER.. z FIR zY -D r� FP FP c� 6 r z I D IP ' Ip < = A - a IP IP (A 7S o N RM RM I RM z l7 - C STORAGE SHELVING ® 7 FT:. � s 6 F7 EAM n m RM.: RM tom+ RM z� -i rn 6 6 6 I RM r M� 6 .6 . 4 . v RM = 6 FT BE 6S AM N oz RM RM CONVRT TP TIP a I . AXLES ? 6 o RM3 RM2 RM 1 S 6S x DUCT o PHONE z ADJUS & ADD HELVES USE THIS FOR CONVERTERS I _ I. D i Z v' > .� n C "i ADDITIONAL 10 FT. SHELVING x N m CD c v � I Z666'6 L X I � 0 z ► ► . ' C7 Z a c SHIPPING X o ` F4 F Z & =a D b Z RECEIVING LF�l COREO. i==L �P rs THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) ImF�� C DATA i Date: TOWN OF BARNSTABLE _. _sA ��,�� TOXIC AND HAZARDOUS MATERIALS r -SON FORM NAME OF BUSINESS: _,', '- �.� �L� BUSINESS LOCATION: 11 ! �,,, INVENTORY MAILING ADDRESS: TONAL AMOUNT,: TELEPHONE NUMBER: - -77 1- o�. r,t� s :; ;► ry I CONTACT PERSON: OKI EMERGENCY CONTACT TELEPHONE NUMBED: MSDS ON SITE? TYPE OF BUSINESS: 4 tdo + r�-I-,a. 1 /e INFORMATION I RECOMMENDATIONS: b Fire District: Lri'ye. ,'/C e j XZ-C 5e A M r l?c�< :5:2' ' s z) 0 u Q y� �^Gt e a J Ma ji�.( ,a�i`� N i h yl t t� �G } n + l r; f Yt 1 r.� �Jp i? '!I ;�.OyL�� yt.� ,V y'L, — ,i�n.�s-S C 0 A 4 Waste Transportation: JIA Last shipment of hazardous waste: Name of Hauler: -Destination: Waste Product: Licensed?Yes No <:r 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 r uires 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 I Maximum Observed I Maximum Antifreeze(for gasoline or coolant_systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid t~ Disinfectants Engine and radiator flushes Road salts(Halite) Hydraulic fluid (including brake fluid) c t U 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 LIMED 21 Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives(creosote) Caulk/Grout Swimming pool chlorine I Battery acid(electrolyto'Batteries �._`1:- Lye or caustic soda Rustproofers , .,a 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, ,