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0025 FALMOUTH ROAD/RTE 28 - HAZMAT
� �� � ��u�r►n � - I t-� f . '� Number Fee 199 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Trans-Atlantic Motors, Inc. 25 Falmouth Rd., Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ----------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------- ------------------------------------------------------------------------------- This licenge is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2010 unless sooner suspended or revoked. WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2009 JUNICHI SAWAYANAGI. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health i Town of Barnstable Barnstable ypk'i}{E T Regulatory- Services Department r • i Public Health Division �* &k"STABLE, ; 9A i6 200 Main Street, Hyannis NIA 02601 m TFb �A 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAY: 508-790-6304 Thomas A.itilcKean,CHO Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. 311~ O T DATE �'1� i109 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT Al J. Krisciunas, NAME OF ESTABLISHMENT Trans-Atlantic Motors, Inc. ADDRESS OF ESTABLISHIVIE NT 25 Falmouth Road. Hyannis, MA 02601 • TELEPHONE NUMBER 508 775-4526 SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND FI OME ADDRESS OF ALL PARTNERS: �F C IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. `642 UC632 e STATE OF INCORPORATION Massachusetts FULL DENT A IDJ� Kr1sciuna SbS8 Lnker Hill Road, Ostervi l le, MA 02655 PRESIDENT TREASURER Al J. Krisciunas_ 68 Hunker_ Hi 11 Road,_ Ostervi 11 e, MA 02655 CLERK Aldo=n.a'adomoni.s East-.-Bay Reed Ost& i11e, MA 02655 - • SIGiNATURE OF APPLICANT . 68 Bunker Hill Road RE,ES RICTIONS: HOIVSE ADDRESS Ostervi l le, MA 02655 110ME TELEPHONE# 508428-8072 QAflazrriatiHaz ti.lat Application2008.DOC 3 Trans-Atlantic Motors Inc. Hazmat Spill Contingency Plan 1. if necessary evacuate the immediate spill area 2. Locate origin of spill and shut off any necessary pumps, valves and associated electrical equipment 3. Verify and isolate any potential ignition source in the spill area 4. Contain and absorb spill material using hazmat spill cleanup sorbents located closest to the spill area 5. Collect all used sorbents and package properly in approved containers 6. Dispose of used sorbents in accordance with Federal and State regulations 7. Inspect spill area and tools used for cleanliness 8. Have company hazmat supervisor approve spill explanation and cleanup efforts MAJOR SPILL PLAN 1. Follow the instructions as outlined for nonnal spill control. 2. If it is determined the spill is too large for our efforts to contain or the spill has possibly entered the ecosystem, immediately notify our company hazmat supervisor. 3. The company hazmat supervisor or another supervisor will then contact the necessary emergency services to handle the spill. • 4. All emergency contact phone numbers are listed in the facility on green labels next to the phones • Number Fee 1267 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Audi Cape Cod ........------------------------------------------------------------------------------------------------------------------------- 25 Falmouth Road, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- Restrictions: -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and expires 06/30/2021 unless sooner suspended or revoked. ---------------------------------------- JOHN NORMAN DONALD A.GUADAGNOLI,M.D. 07/01/2020 PAUL J.CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health �� i 1 f Town of Barnstable • Inspectional Services BARNSTABLE opYNE rp,- svwsrna.•rerrFxn:�.cwR•.Rnxxr '` y(. Public Health Division 1°5]9-701 1< pia ssTAB . = Thomas McKean,Director . plE059. 200 Main Street, Hyannis,MA 02601 'a 0 MA ,eJ f, rr 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 1st—JUNE 30th). APPLICATION FEES CATEGORY l PERMIT 26— 110_Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 499 Gallons: $125.00 ❑ _ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 \6•i *A late charge of$10.00 will be assessed if payment is not received by July 1st. 3 1g� 1. ASSESSOR'S MAP AND PARCEL NO. '7 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�, 1GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: IOSeDh, 9J1�. 5. NAME OF ESTABLISHMENT: a5ftd W.dbA 01 tbd 6. ADDRESS OF ESTABLISHMENT: m* oaten 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: t U 09 RA, UAAU A&o" 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: I�Q •1('GQ�,YIA,L4.1� (,10,111. 10. SOLEOW-MR: jYES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEP ONE#OF: CORPORATION NAME 66 fte PRESIDENT 105tOW TREASURER CLERK . 12. IF PREPARED BY OUTSIDE PARTY: NAME; ' TELEPHONE#: COMPANY ADDRESS i EMAIL: SIGNATURE OF APPLICANT DATE QAApplication Fonms\Haz Mat App Revised 09-10-�,Cx • r� Number Fee 1267 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Audi Cape Cod 25 Falmouth Road, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2020 unless sooner suspended or revoked. - - --- ------------------ PAUL J.CANNIFF, D.M.D,CHAIRMAN DONALD A.GUADAGNOLI, M.D. 07/01/2019 JUNICHI SAWAYANAGI THOMAS A. MCKEAN, R.S.,CHO Director of Public Health i Town of Barnstable Inspectional Services BARNSTABLE OF THE Tp w weme:F•cEs+re,:u.e•cwi*•*u+kr Public Health Division PS N.5_o 9�n14E.=T3R ISE `e BARNSTABLE, ' Thomas McKean, Director 9�prEoMASS. 1659. 200 Main Street, Hyannis, MA 02601 r, t�W= Office: 508-862-4644 Fax: 508-790-6304 hAr APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE t60 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 MY 1st-JUKE 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�\61 *A late charize of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. t 2. IS THIS A PERMIT RENEWAL? / YES NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF • GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. �MeDit 4. FULL NAME OF APPLICANT: U A,YIk S. NAME OF ESTABLISHMENT: a5 L Z.�W, A "�1 1p tbd 6. ADDRESS OF ESTABLISHMENT: a5 .ed+ I�Aatx Au , m* o a u&1 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 500 u Az h RA. Cult,(,, A%avew 8. TELEPHONE NUMBER OF ESTABLISHMENT: rJOB-�I�•�1t00 9. EMAIL ADDRESS: I�QVC ,YLI,L P,Y �,iQ,111.. 10. SOLEOWNER: 4 YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEP ONE#OF: CORPORATION NAME AS PRESIDENT OS h TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: i TELEPHONE#: • COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE QAApplication Forms�Haz Mat App Revised 09-10- ocx Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMASSBL 200 Main Street• Hyannis, MA 02601� VP�� I TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT v� e`vies&"K-yt, Business Name: 1'RZw�,G-! ,���� C �,o Date: Location/Mailin Address: 2 S r4/V,ou Pq 4 t4X4.4,J r g Contact Name/Phone: les Leay.+ O-4,"76- t;(.o 8 e,11 o`a g l L o o s ce- Inventory Total Amount: SDS: 1t) �,+�e'SQcc' c License#: figD CQ`�'3 Tier II :40 -A\Jo (? Labelina: Spill Plan: 0st' Oil/WaterSeparator: ltS Floor Drains: Emergency Numbers: n Storage Areas/Tanks:la�to Z5o DA ( o " � 14-1 A-51 Emergency/Containment Equipment: 1N 1-ik ova, -5 botiW4.-5J pa" I QQG- Waste Generator ID: Waste Product: a,�� �', �-��✓S,aH f,�r e. &,Dwr4s Date&Amount of Last Shipment/Frequency: 40 Q. li Ve-v e--�- aWs s�vO e r 04.0't.- Licensed Waste Hauler&Destination: CyI4,+r"Ve-Z w,irl, 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 gaAy W-`1�' \00 Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers %v - Engine and radiator flushes Bug and tar removers «-+ti- Hydraulic fluid (including.brake fluid) Windshield wash `' Motor oils kb 0-�10 +11�1411 k1jw1 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 2° Degreasers for engines&garages3Qq°'g Pesticides: CCaulk/GroutQ G.�,p`r''< 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" �6.\.0 uLw -)o (including chloroform, formaldehyde, hydrochloric acid, other acids) ,/ VIOLATIONS: v 're +6 ra.�'len, 1AYA �'� O v e.v�,A � %C. -V os-� /Vo S 411 ow avl- ov` 5, -Q� , m 1c _ ORD S: +,na�.e�,� 5 uv 1 6 k". - q 13 I ICtK, ID-1 I alav,- 1w • D INFORMATION/RECOM ENDATIONS: V:okx co V In)Z,3 e, Y� bw 15?A �A.�\QkSke. L Inspector , � 0 y� Facility Representative: t W WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS IMF Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARM ���STABLE.9! 200 Main Street• Hyannis, MA 02601 f639 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rFD MA'S Business Name: `(k-Mkt1 Aod-` �)0kil` ��' ��� Lls ►o��-�- Date: $ 3a (b Location/Mailin Addres a Contact Name/Phone: K0110 1,J a.1 — 0 15,-- I I Z oto A{ecc, Inventory Total Amount: — SQgr,\ MSDS: * �&J- License#: � Tier II : o Labelino: cir b®A Spill Plan: -Ck -v cQtQ.%vy6 Oil/WaterSeparator: Z117 Floor Drains: Jee7 Emergency Numbers: OK '4'" S Storage Areas/Tanks: vs � S ev Cw , �.+� r #a.,I s Emergency/Co tainment ui ment: Waste Generator ID: Waste Product: o -- -c, h.o vvt. Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Dis osal Metho s: a C&C•r cl-t4 w.- 0c4-1\0.\o" �\oo< Ae,,.vLs =7 C1eaM�.w Svsl�µ.7 o kan.12,—7 Re-v,�, 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 insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers .;1 Photochemicals(Developer) Car wash detergents d�'`a � Printing ink Car waxes and polishes ` 0\4A e Wood preservatives(creosote) Asphalt&roofing tar bD -x, Swimming pool chlorine Paints, varnishes, stains, dyes iJ.D M�Q Lye or caustic soda Lacquer thinners S ` 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: 0 o v & U �' e �a 5 5� b o�-�k-0 dl'\ Inspector: Facility Representative: L WHITE COPY- HEALTH' DEPARTMENT/CANARY COPY-BUSINESS INE*o Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMAN LE. • 200 Main Street• Hyannis, MA 02601 sb,q .eg TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rF0 MPS e n Business Name: Pce,� 2! J�-� C Cm oQ Date: Location/Mailing Address: 25 8 Qh h+S Contact Name/Phone: SOS-S IS-SZo(3 to all Inventory Total mount: ^' I 541 MSDS: ILg License#: J1 ClAf Tier II : o / Labelino: V- f�I .�ktlxt�.� t Spill Plan: Oil/Water Separator: 005 Floor Drains: 4 Z S me 16ency Numbers: c s Storage Areas/Tanks: Oo Jt Az4,0 o, $T 2.So +re, o f 1 A g'r $ 4,l Av" -W AS-Ver y a+w.a waw o•.l � +.• Emergency/Containment Equipment: k a oow. ay.dZ g Waste Generator ID: As,D5 I t) Waste Pr duct: ©► ,, (-1s<5, aw ? o,�YdvmQ Date&Amount of Last Shipment/Frequency: & 21 (Iv VC. W"VK +�►aos. 5 Licensed Waste Hauler&Destination: e,leew T GVe'r gwros, Other Waste Disposal Methods: wo<d vim`` 9V c-, l eea-1 LIST OF TOXIC AND HAZARDOUS MATERIALS N ° ^4.10! G NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardoulmaterial use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids V 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 -1�0 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: V� eS W " \04A, ORDERS: Il 4)k, V%at -A s - J9ti v~ INFORMATION k.PECOMMENDA I NS: vu.rt, or J- ar I's oCat, avL . - ►Nf ►5 Otf2 �, f��M O'w dt S k < •ti c Inspector: Q' Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS Leao4 860 b-70 bbog Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARNSTABLE. • 200 Main Street• Hyannis, MA 02601 MASS TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: Tpp(-. w,e�- I-Tvk eQ c6 Date: 2 /0S Location/Mailing Address: 2s8 0-C St- 404iS Contact Name/Phone: SD - S 6 00 e Lenv,f co.•+ Dance c,a�,Qja 11 Inventory Total Amount: ti 110D I MSDS: •e License Tier II : Labeling: 0 SSpilI Plan: o Oil/WaterSeparator: Floor Drains: y�S Emergency Numbers: D StorageAreas/Tanks: 2bopal R61 Axxd c,•1 , TOO qa\ RS'NJA.Q o•l , oQ<it--- wu-st-¢- 2K- ►Jr4e.&-e-� (boAsTw.W. Emergency/Containment Equipment: V�- k ID v� h�'t e- Waste Generator ID: Waste Product: o 111 �#s{s avtt:�tee�.�vcs Date&Amount of Last Shipment/Frequency: c'o-c S o 14e, �r J Licensed Waste Hauler&Destination: C e.,k-cO k 1 Other Waste Disposal Methods: < i-e c %\ N11 ,a uk S LIST OF TOXIC AND HAZARDOUS MATERIALS N o JkRlp C C�av� ('A i ANkV4� 61vt Ce leew I VAS o�'t' NOTE: Under the provisions of Ch. 111, Section 31, of the General Law§of MA, hazardoulmaterial 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 p solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) �� Windshield wash t U o Motor oils Soo ft'vT1,1.J-A-vAs�WboAS� `/ 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: addal (C�ksCaulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents %0 Printing ink Car waxes and polishes 30 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: a I,,,- o l 1-ti z o k5 a -fi �s ,11 O\owty t vJ a5�v,,n,av��� .-A q vt_ . ,o�k 1 C �� Inspector`: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Date: / /Z 1 / TOWN OF BARNSTABLES TOXIC AND HAZARDOUS MATERIALS 14MMOUMN FORM NAME OF BUSINESS: AVIA GAS Goole BUSINESS LOCATION: ,258 �tlo<-N1 �} , l�ya hh�S INVENTORY MAILING ADDRESS: Lsaw�-c TOTAL AMOUNT: TELEPHONE NUMBER: S08 -015'5600 ll75 y /1,,,,s CONTACT PERSON: Kell EMERGENCY CONTACT T LEP NE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: vLe.t-) 2, & ja.1e_s /m4,vL+zyl.avLc4e- Warfe+rq ,�' INFORMATION / RECOMMENDATIONS: /l/ao skod 6� .&l 0,4p-ka n Fire District: tv� Ja,vL R.ot(4 �ea.l+k,\�,+ v��'e-� con.3�l�a e,{ ej,e 4y4,1,11 s �� ��0 5�b r1�� I�..�wt.a,� tv►a,�" a 1�c� o tti. �r,-�,s �1� �a K, La,�.a_.� J�+orag e.-+,t v,tee, + 0<,)wwg 3 t bee p co4,i'„V e-1's Ca P � , -✓ u� �Q s I e�+ c I,Q. Waste Transportation: A -P c�liafe, elseAW yef Last shipment of hazardous waste: Name of Hauler: &)+ ctc,,Q-w,*,,,54e4� -K/MA Destination: �Je�s�-c- Waste Product: agf,-Fruet, o,1�1-�ers�tg-f& l Licensed? Yes No f --r'100�(RralvtS lea to •1'��In4 -tav�1G _ -fo ')A- 0,-> o'X� 25 P\-1Z ,C QS 1 005-W- 6 'I'(l K, NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous matdrial UP' 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 d S 7NEW10 ifreeze (for ga oline or coolant systems) S Miscellaneous Corrosive Antifreeze BUSED S�5r' Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) 10 Hydraulic fluid (including brake fluid) Refrigerants Motor Oils y Pesticides A Insecticides, herbicides, rodenticides I�NEWS� USED SaoAsT ( ) 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 30 Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine zo Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible .30 Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes Laundry soil &stain removers (including bleach) Spot removers&cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers N00 Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials �-- Number Fee 1267 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health -� This is to Certify that Audi Cape Cod 25 Falmouth Road, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2017 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable • Regulatory Services Richard V. Scali,Director Q rn Public Health Division 1 BARNSTABL s639. 10� w R=- srr Thomas McKean, Director 109-201° 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 W �a APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HA ARDOUS 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 DULY 1 st-JUNE 30th). APPLICATION FEES CATEGORY 1-PERNUT 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 receive by July 1st. ASSESSORS MAP AND PARCEL NO. 7 ,Oq DATE j � FULL NAME OF APPLICANT: l0 �J NAME OF ESTABLISHMENT: A-U-L ADDRESS OF ESTABLISHMENT: z E C! I�Z MAILING ADDRESS(IF DIFFERENT): TELEPHONE NUMBER OF ESTABLISHMENT: EMAIL ADDRESS: to e-0 dnve- 4 rP m l P r. r-6 SOLE OWNER: �I- S NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME j Ro 02?J - C, PRESIDENT o TREASURER " CLERK IF PREPARED BY OUTSIDE PARTY: NATURE OF APPLICANT Name: Company Address Telephone#: Email: Q:\Application FormsUiAZZAPP ReY16.doex Page 1 of 2 Number Fee 199 THE COMMONWEALTH OF MASSACHUSETTS $100.0o Town of Barnstable Board of Health This is to Certify that Trans-Atlantic Motors, Inc. 25 Falmouth Rd., Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------- This license is granted in conformity'W'4h'the Sfatutes and ordinances relating there to, and and expires 6/30/2011 unless sooner suspended or revoked. -- - ------ WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. _ 6/30/2010 JUNICHI SAWAYANAGI _..-. -.. ......_THOMAS A. MCKEAN,R.S.,CHO Director of Public Health r Torn of Barnstable 00HEr Regulatory Services 1. �° Thomas F. Geiler, Director • BARNSTABLE, MASS. a .Public Health Division DpO i6y9. pTFOMPv Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6 304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. - Q DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT !7TMA,�/S -A'i-4d (' ecOT- ^ ADDRESS OF ESTABLISHMENT 2 j TELEPHONE NUMBER 7�,� SOLE OWNER: YES NO .s CD IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OFALL K�„,. PARTNERS: t ra M IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. c9q2 q3(4 3 3 Z STATE OF.INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT L. Q S c t cd 1,/ S TREASURER A L., s. s CLERK • SIGNATUR9 OF APPLICANT Q RESTRICTIONS: HOME ADDRESS 6 96us4 lLr4J1dt'-11 021(o.16j HOME TELEPHONE # Haz.doc.\p/q Number Fee 1267 THE COMMONWEALTH OF MASSACHUSETTS $15o.00 Town of Barnstable Board of Health This is to Certify that Audi Cape Cod 25 Falmouth Road, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. T ------------------------------------------------ --------- - ------------------------------------------------------------------------------------------------------------------ This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2019 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2018 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health stable Voewgi2atory B nvices ervices Richard V. Scali,Director Public Health Division BAMSTABLE TOn� W - 4 BAMWABLE, Thomas McKean, Director 1639-7.014 �•qFo 059. A`� 200 Main Street, Hyannis,MA 02601 �/Ig Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: -$ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 0 V's *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL 7. 2. IS THIS A PERMIT RENEWAL? 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: l l IQ VL 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: �� ,(,l,Y I t�I,I.`�Y 1 �Q,I + W�t�1 Ul6t� S 1 WU O� 7. MAII,ING ADDRESS (IF DIFFERENT FROM ABOVE: c r 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: 10. SOLEOWNER: Y YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME O C PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS / EMAIL: SIGNATURE OF APPLI DATE Q:\Application Forms\I-IAZMAT APP 201 VISED.docx Number Fee 199 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that PREMIER BMWIVOLVO OF CAPE COD 25 Falmouth Rd., Hyannis, MA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/15/2015 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 IL c►, Town of Barnstable INE r ti Regulatory Services Richard V. Scali, Director BA MASS. p` Public Health Division 9 ASS' 0 i639• �� ATE039 ' 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. (T DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT C) C) NAME OF ESTABLISHMENV LV0 ? 6t �l ADDRESS OF ESTABLISHMENT d� I!t (-acn TELEPHONE NUMBER SOLE OWNER:_XYES NO ; 1 s�, IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION Ac"��aj" FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# W_' Z X F� Q:Wpplication Forms\HAZAPP.DOC tti MAIL-IN REQUESTS Please mail the completed application form to the address below. Also include a copy of your contingency plan (to handle hazardous waste spills, etc). In addition, please include the required fee of$100. Make check payable to: Town of Barnstable. Allow five to seven (7) working days for in- house processing. Our mailing address is: Town of Barnstable Public Health Division 200 Main Street Hyannis, MA 02601. FOR FAXED REQUESTS Our fax number is (508) 790-6304. Please fax a completed application form. Also, please fax us a copy of your contingency plan (to handle hazardous waste spills, etc). In addition, please mail the required fee amount of$100.00. Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. Allow up to four days for in-house processing. For further assistance on any item above, call (508) 862-4644 Back to Main Public Health Division Page I i Q\Application FortnMAZAPP.DOC l SPILL CONTINGENCY PLAN Emercrency Coordinator Name: Address: Z S FA4.rN o v 7-i /L JD. E4 Yr ^.,AxrS in/:q Daytime Phone: 5-0� • 16 Z. - 'f 0 Y/ Evening Phone: 5-3 6 26 Z - 4/0 V 6 Fire Department: Ay 5 Barnstable Public Health Division: 508-862-4644 DEP 24 Hour Spill Hot Line: 888-304-1133 Waste Hauler: Name: Phone: Building diagram indicating hazardous material/waste storage area, location of absorbent scavenger materials, fire extinguishers, fire alarms (if present), and evacuation route (if applicable). � �c0a7' n Actions to be taken to control a spill or release, and preventing it from reaching a catch basin, sewer system or the ground. 514 S.Z6W( , l r. PPLE-21 4�..� R BMW`•VU YO ofCAPi COD To Whom It May Concern: Through our vendor partner, we continue weekly and monthly inspections of our Storage tank. Per the 108.3 and 108.4 requirements we have an authorized/certified hazmat Spill kit on sight and action plan for Safety Kleen and or Clean Harbor on call for emergency Services. Our plan is as in the past submissions unchanged from our last renewal. John Lendvai ��/ 508.962.4046 25 Falmouth Road • Hyannis, MA 02601 Office: 508.815.5500 • Fax:508.771.6113 9 Premierbmwofcapecod.com i °F�"E►o Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • RARMAR&Le.$ 200 Main Street• Hyannis, MA 02601 1639. Eo3+° TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: vo vo 4 Cq CJ Date: ±" 9 I Location/Mailing Address: 5 Contact Name/Phone: Ai IaS Lea,y,-1-k b -81 S-SSoo Inventory Total Amount: ^- QV MSDS: 07 License#: Tier II : t�o Labeling: OK Spill Plan: o-E osk Oil/Water Separator:_ \11-1 Floor Drains: Ye-,- ovs S Emergency Numbers: ye- Storage AreaslTanks: rAall 0<"t v0, AoLe2a--.9syl Ae,A>o,\t IKA5'C VISAS o Emergency/Containment Equipment: } u y VIAa01 Aca Waste Generator ID: J1 A VI1q 13 Waste Product: m, , VV614meze, ,pict5 4,e n44 Date&Amount of Last Shipment/Frequency: 91,971) v ti o, I — Licensed Waste Hauler&Destination: JA' "v-- ,ra K5 o►a,, Other Waste Disposal Methods: 6 .r -3 o 40AW&,0,o, v al heat w 5 vo fLl wwtj,- 0 &VNA,%<,ee*,e.i S5i4.1 <.v-ya,�"' 3 t a-z�S a.1 06 . 0%t k5C ,�•.•v r w.•-•�I ,V-W,2411 V11r LIST OF TOXIC AND HAZARDOUS MATERIALS (Ao ww \� r G 5 vwwl-k-o g„ �g� ,. i_-j,a t. NOTE: Under the provisions of Ch. 111, Section 31, of the General Lews of MA, hazardo�ds material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. JAntifreeze 5ftl oo Dry cleaning fluids �— Automatic transmission fluid J Other cleaning solvents&spot re Movers Engine and radiator flushes Bug and tar removersl�'«� y-�� Hydraulic fluid (including brake fluid) V Windshield wash 2.15'0 Motor oils$160s,4 1.�Ioo 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 V.7- Pesticides: Caulk/Grout uk�'l 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, rr hydrochloric acid, other acids) VIOLATIONS: IZ k.,l� SS oaAl laws_6�V d 0Q400t1r2\0I v1 ate! DERS: ,y ' Co c1 i4 d�. s e�«twr I. 4c�. vo,,4 o 1 i I vtG la,ti. t tic a ru, INFORMATION/RECOMMENDATIONS: e. C V Jl �• S �S Z A 0. gp S Of-t'VA145 \,45 vA.&v c k A-a ►�2�J.ern l,ky, bok 1 w4k�to! fv-vvA,v g Inspector: ( L.Gt�►Z� �vtn.sq,l�y JN&tt A / lr Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS l Date: TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS RIE. FORM NAME OF BUSINESS: C�,wtlei ��1yU,�/�I do flt l aD.�e J BUSINESS LOCATION: ,2S gal�n� ��, [-,y��„��s INVENTORY MAILING ADDRESS: Sao&t- TOTAL AMOUNT: TELEPHONE NUMBER: Sob - 815 - S'Soc> ^-RQ7S' �fons CONTACT PERSON: 1-- Vl kk- EMERGENCY CONTACT T LEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: INFORMATION / RECOMMENDATIONS: �� mocc DsoaCb\W- wltt--�?��,Os Fir District: ancQ ����'3 �0 0 'iUtPQS ttov+L �lx� +C'atG� o�`aQaecS ar y115 UGC �161� aroKvt.'��1s0lcL�Q�ai �'lO�e ex, f"Ou0 �I o�rr c(c 4+tic r , Z, �GOe�'�"af S h•��t� rl� ^(J1G�� �-1- I Si��nh�kl�ti/ Ila?G fxe opw ou s hrzv�,�a/ chee 1 CS'�we-ce. ref g%wR' 3 d�lovL�1'�8J Waste 4/py13 9S� 'Last shipment of hazardous waste Name of Hauler: K'Aa4m. Destination: Cca,nS o .i— Waste Product:( 4<+5 cl-fA►e-< Licensedlae No Ri b ogVga2S1YZ 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 3s� Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive La/NEW, O'USED 3a-a A5f Cesspool cleaners 10 Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) 10 Hydraulic fluid (including brake fluid) Refrigerants Motor Oils 9/U Rs " Pesticides /91p C�NEW��CSED zx boo�tsT (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals(Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) S lubricants, gear oil ❑ NEW ❑ USED v Degreasers for engines and metal ,ZxZ0 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 'yp Car wash detergents Leather dyes ttO Car waxes and polishes Fertilizers Asphalt&roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous(please list): Metal polishes Laundry soil &stain removers (including bleach) Spot removers&cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers 160 , Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials I John Lendvai Q jlendvai@drivepremier.com P80PO REMIER Hyannis,Box 9 M C O M P A N I E S Hyannis, 02601 _ Cell: 508.962.4046,,� _ 4 D� 0 drivepremier.com CHRYSLER � i Jeep ® RAM NISSAN R „ `! TO "up-ma Audi POWERED BY PURE PRICE DRIVE PREMI ER.COM a t Date �—Physical Street Address-Check database to ensure it exists a —Working Phone Number qY y Actual Amounts - ( ie. gas being used to fuel machines, thinner to clean brushes all count as hazardous materials-no blanks) Storage Information -location of storage, how long is storage for? If none, note that. Disposal Information -where and who? If none, note that. �—Applicant Signature - understand what is listed and noted Staff Initial -any questions, know who to ask Vehicle Washing/Rinsing? -give a vehicle washing policy and explain it Attach the Business Certificate with your sign off and comments **The inventory form should explain what the business consists of and the procedures they are doing. Notes need to be left to explain what you discussed with them. YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates(cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: Fill in please: APPLICANT'S YOUR NAME/S: U UL-a-haW BUSINESS YOUR HOME ADDRESS: .- a k+ 0a (o TELEPHONE # Home Telephone Number `781 -act 0- 6o t U 0 NAME OF CORPORATION: M NAME OF NEW BUSINESS O g- 2 TYPE OF BUSINESS W M 0 V e__ IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS (o F-S-T—e--y-e-r) 5' '%�n ALS MAP/PARCEL NUMBER �S 0 ( (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM SSIkdSf E This individu I ha f ny pe mit eq irements that pertain to this type of business. Au ,re** COMMENTS: 2. BOARD OF HEALTH This individual has been i or ed of�the.puerimit_.requirements that pertain to this type of business. MUST COMPLY WITH ALL Authorized Signature- * :HAZARDOUS MATERIALS REGULATIONS COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: TOWN OF BARNSTABLE Date: 7/ TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: Porsche— Cod BUSINESS LOCATION: INVENTORY MAILING ADDRESS: TOTAL AMOUNT- TELEPHONE NUMBER: _ .5® CONTACT PERSON: �T� D,-e—Ph L AI i L.M EMERGENCY CONTACT TELEPHONE NUMBER: 7TI )=q0 6 / 00 MSDS ON SITE? TYPE OF BUSINESS: A-uh rV1.6Ny,-Q . INFORMATION / RECOMMENDATIONS: Fire District: Waste Transportation: /4/4 K 1 06K, Last shipment of hazardous waste: A Name of Hauler: Destination: Waste Product: c Oft- 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 Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes Laundry soil &stain removers (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applica s Signature Staff's Initials S Number Fee 199 THE COMMONWEALTH OF MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that BMW of Cape Cod 25 Falmouth Rd., Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. --------------------------------------------------------------------- ------------------------------------------------------------------------------ ---------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2014 unless sooner suspended or revoked. i ---------------------------------------- WAYNE MILLER, M.D.,CHAIRMAN PAUL J.CANNIFF, D.M.D. 6/30/2013 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health Town of Barnstable 0j1HE Regulatory Services �- Thomas F. Geiler,Director r }9�pA d MASS. Public Health Division ion 13� Thomas Me-Kean,Direct-or 200 Main Streit, Hyannis, MA 02601 Officz: 508462-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL N0. DATE / 7 I3 APPLICATION FOR PER1Y1 iT TO STORE AND/OR UTI= MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NA AR OF APPLICANT S05e-gK NAME OF ESTABT ISM= B M W D� C A PL CO P ADDRESS OFESTABLISBAUNT d_6 rAjfy) NTH ROAD 9VAnnis nA i TELEPHONE NI /MR 16Q—R SOLE OWNER: . YES NO y � Ly C7 IF APPLICANT IS A PARTNER MP,FULL NAME AND HOME ADDRESS OF ALL i PARTNERS: -C-3 f IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. y/7/0078 STATE OF INCORPORATION MASSACKU S�"?"f5 FULL NAME AND HOME ADDRESS OF: PRESIDENT _�Oae _J3" � GhQM �% O?ek\ -(p'qkjL0, a JAR ()U?.5G� TREASURER v& CLERK R _ QVC SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS 18 Opt! .7imi,t, Ad. 5 Bch MA 05,63 HOME TELEPHONE# 981 :2 9a e;sOO �" Haa"dcc/wp/q i d p PREP �, R - BMW�VOVO of:C�1PFCOD, �a To Whom It May Concern: Through our vendor partner,we continue weekly and monthly inspections of our Storage tank. Per the 108.3 and 108.4 requirements we.have an authorized/certified hazmat Spill kit on sight and action plan for Safety.Kleen and or Clean Harbor on call for emergency Services. Our plan is as in the past submissions unchanged from our last renewal. John Lendvai r 2.4046 25 Falmouth Road • Hyannis, MA 02601 Office: 508.815.5500 Fax: 508.771.6113 Premierbmwofcapecod.com TOWN OF BARNSTABLE BAR_w 44. 3398 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager ' ' i * gIP Address of Offender MV/MB Reg.# Village/State/Zip Business Name j 1 �, �s - ,r.. 4/ .r�.4 sr I��� xrr"►_5 7. ,t' •'Jm pm; on `I 2 '120 Business Address Signature Enforcing Officer Village/State/Zip Location of Offense "" �r1 �( , > a-� '�, / / ,? t , —' Enforcing Dept/Div' ion Offense `"`" w f �• `�" - .� D Facts Corr This 111 serve only as a w1arning. At this time no legal action has een aken,_4,j?,eA. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. SACHUSETTS FIRE INCIDENT REPORT -x DEPARTMENT Revised 10 92.2.... ... H annis Fire De artment Report Form If Ex Date Alarm Arrival In Service Inc n # 001006 Fire 0010/ 16/97 Day IThursday � 11 :51 11 :59 12 :23 I�UATION FOUND ACTION TAKEN MUTUAL AID B Spill, Leak w/ No Ign 4 1 Investiplation Only FIXED PROPERTY USE (OCCUPANCY) IGNITION FACTOR C Motor Vehicle Repair Nam ..................... --- [ ............. OCORRECT ADDRESS ZIP CODE CENSUS TRACT D 25 FALMOUTH RD 1 0 2 6 0 1 40 O 11 OCCUPANT NAME (LAST, FIRST, MI) TELEPHONE ROOM or APT. TRANS-ATLANTIC MOTOR 508 775-4526 F 12 OWNER NAME (LAST, FIRST, MI) ADDRESS TELEPHONE G 13 METHOD OF ALARM CO. DIST. PERSONNEL ENG RESP. ........... AERIALS RESP. 3 © RESP. 0. 1 SHIFT HAZ MAT PRESENT? N TANK. RESP. OTHER RESP. :........... C 1 0 Telephone (Direct) NO. AL SUBSTANCE 0 0 0 SPEC. EQUIP. USED? FIRE O 20 SERVICE 0::::::.>:::: 0::<:: OTHER O:'':::: O ::>::>: O MOBILE PROPERTY TYPE VEHICLE STOLEN? ESTIMATED TOTAL INSURANCE CO. DOLLAR LOSS TOTAL INS. 0 CLAIM PD 30 YEAR MAKE MODEL COLOR LICENSE NO. VIN# 40 1IF EQUIP INVOL. YEAR MAKE MODEL SERIAL NO. IN IGNITION OCOMPLEX AREA OF EQUIP INVOLVED IN IGN. R ORIGIN FORM OF HEAT IGNITION - - ':::MATERIAL FORM TYPE IGNITED METHOD OF LEVEL OF ORIGIN Number of Stories CONSTRUCTION TYPE O EXTINGUISHMENT - EXTENT OF DAMAGE Flame ......... Smoke DETECTOR PERFORMANCE SPRINKLER PERFORMANCE P 0 Material generating FORM TYPE ® most smoke AVENUE OF SMOKE TRAVEL R WEATHER CONDITIONS Officer in Charge: Date KRISTOFFERSON,ERIC LIEUTENANT 1 0/ 1 6/9 7 • Comments for this incident have been printed on an additional comments page. Comments for Incident: 97 001006 Exposure: 00 Date: 10/16/97 RECIEVEDOA CALL FROM A BOB FROM EN-TRAC (50>1'697-4648-REPORTING THAT THEY HAD AN OIL SPILL AT THE ABOVE ADDRESS. WE RESPONDED WITH E-826 AND FF COSMO AND FF SIMKINS. UPON OUR ARRIVAL WE FIND A TANK TRUCK WITH A WASTE OIL LEAK. THE DRIVER DIKED THE OIL PRIOR TO IT ENTERING THE STORM DRAIN.HE ALSO PUT OUT ABSORBENT PADS AND SPEEDY-DRY. THE TRUCK WAS REMOVING WASTE OIL FROM A SECONDARY CONTAINER AND PUTTING IT INTO THE FRONT TANK OF HIS TRUCK.HE THEN SWICHED OVER TO THE REAR TANK BECAUSE THE FRONT WAS GETTING FULL AND THERE WAS A MECHANICAL FAILURE THAT PREVENTED THE TANKS TO SWITCH THUS CAUSING AN OVERFLOW FROM THE FRONT TANK. THE DRIVER STOPPED THE FLOW AKD STATED ABOUT 15-20 GALLONS HAD BEEN SPILT. PRIOR TO OUR ARRIVAL THE OIL HAD'BEEN DIKED AND TOTALLY COVERED WITH PADS AND SPEEDY DRY.THE DRIVER ALSO HAS THE COMPANY'S CLEAN UP DIVISION ALREADY ENROUTE THE DRIVER WAS TOLD TO SHUT THE TRUCK DOWN AND KEEP IT STATIONARY UNTIL THE CLEAN UP PEOPLE ARRIVED. A REPRESENTITIVE FROM THE BOARD OF HEALTH ARRIVED AND WE EXPLAINED THE SITUATION. THE HEALTH INSPECTOR-(EDWARD BARRY) WAS HAPPY WITH THE CONTAINMENT AND WOULD FOLLOW UP WITH THIS SITUATION AFTER THE CLEAN UP WAS COMPLETED HE ALSO SAW NO NEED FOR US TO STAND BY DURING CLEAN UP. WE RETURNED IN SERVICE DRIVER-FREDDY 0 CONNOR COMPANY-SAFETY-KLEEN-508-697-4648 128 ELM ST. BRIDGEWATER,MA US EPA ID NUMBER-984908202 LT KRISTOFFERSON-1 0/1 6/97-NOTHING FOLLOWS 14 MASSACHUSETTS FIRE INCIDENT REPORT V D# » DEPARTMENT Revise Form 01 9 2 2 Hyannis Fire Department Report 4� If Date Alarm rriva In Service t # `00:0:120 CO2/7/97 Day Friday 14.26 14 :29 15.18 Fire 6 TUATION FOUND ACTION TAKEN :........:..: MUTUAL.AID Spill, Leak w/ No Ign »4 1 Remove Hazard FIXED PROPERTY USE (OCCUPANCY) :::: IGNITION FACTOR C Paved Public Street 9 6 2 NO FIRE 0 0 OCORRECT ADDRESS ZIP CODE CENSUS TRACT D 276 FALMOUTH RD 02601 20 O11 OCCUPANT NAME (LAST, FIRST, MI) TELEPHONE ROOM or APT. OWNER NAME (LAST, FIRST, MI) ADDRESS TELEPHONE F 12 G 13 METHOD OF ALARM CO. DIST. PERSONNEL ENG RESP. AERIALS RESP. :»;>......:...:. 3 © RESP. 7 <> SHIFT HAZ MAT PRESENT? TANK. RESP. OTHER RESP. B j 0... BPD TIE LINE NO. .: SUBSTANCE 0 0 O : SPEC. EQUIP. USED? O 20 FIRE SERVICE 0 0 << " OTHERr 0< 0< '>: O MOBILE PROPERTY TYPE VEHICLE STOLEN? ESTIMATED TOTAL INSURANCE CO. DOLLAR LASS TOTAL INS. CLAIM PD 0 0 0 30 YEAR MAKE MODEL COLOR LICENSE NO. VIN# 40 IF EQUIP IWOL. YEAR MAKE MODEL SERIAL NO. IN IGNITION O COMPLEX AREA OF EQUIP IWOLVED IN IGN. ....... ORIGIN FORM OF HEAT IGNITION ::':::MATERIAL FORM TYPE © >= IGNITED OMETHOD OF LEVEL OF ORIGIN Number of Stories Ij CONSTRUCTION TYPE EXTINGUISHMENT EXTENT OF DAMAGE Flame ......... Smoke DETECTOR PERFORMANCE SPRINKLER PERFORMANCE N P ... 0 Material generating FORM TYPE ® most smoke AVENUE OF SMOKE TRAVEL R WEATHER CONDITIONS Officer in Charge: Date DEAN L. MELANSON LIEUTENANT 2/ 7/9 7 • Comments for this incident have been printed on an additional comments page. uu -Comments for Incident: 97 000120 Exposure: 00 Date: 2/7/97 ;,RE&b A CALL FROM THE BPD REPORTING A OIL SPIL FROM A VHEICLE ON RTE 28. 1 RESPONDED IN E-822 WITH FF'S CLOUGH AND MEDEIROS.UPON OUR ARRIVAL WE FOUND A SEPTIC TRUCK ON RTE 28 IN FRONT OF 276 FALMOUTH RD WHAT HAD BLOWN THE REAR END AND DUMPED APPROX 1 GALLON OF AXLE OIL ONTO THE ROAD WAY.WE CONTAINED HE OIL TO THE TAR SURFACE OF THE ROAD WITH DIRT AND AFTER THE VEHICLE WAS REMOVED WE SWEPT UP THE DIRT,APPLIED SOME"ANGEL DUST'ABSORBANT TO CLEAN THE ROAD WAY. BUCKLER TOWING REMOVED THE CONTAMINATED DIRT.WE REMOVED THE ANGEL DUST.ONCE THE STREET WAS CLEAR WE RETURNED TO QUARTERS. VEHICLE INFO DRIVER:TIM FERREIRA OWNER JIM LOPES, A & L FUEL (540-4915) DBA ; HICKEY CONST. CO. (790-4888) MA REG F26-573 GMC BRIGADIER LT. DEAN L. MELANSON 7-FEB-97 SACHUSETTS FIRE INCIDENT REPORT OA 1O ::?;:.;>::.>::::...... ::::>::::DEPARTMENT Revised 0 9 2 2 Hyannis Fire Department Report Form Ex Date Alarm Arrival In Service Inci .000866 Fire 1008/21 /94 Day Sunda 00:05 00:08 01 :01 ATION FOUND ,:.; ACTION TAKEN MUTUAL AID 8 Steam, Other Gas Mistaken 65 Remove Hazard FIXED PROPERTY USE (OCCUPANCY) <:> IGNITION FACTOR C Paved Public Street "ii>9 6 2 ........... .........:.::::::. OCORRECT ADDRESS ZIP CODE CENSUS TRACT 1D FALMOUTH ROAD, R-28 1 02601 000020 O 1 1 OCCUPANT NAME (LAST, FIRST, MI) ROOM or APT. TELEPHONE UNKNOWN O/S OWNER NAME (LAST, FIRST, MI) ADDRESS TELEPHONE F 12 DELANEY, WILLIAM MARLBOR0, MA. 01752 G 13 METHOD OF ALARM CO. DIST. PERSONNEL ENG RESP. AERIALS RESP. 2 RESP. El E 0 7 »» "'" •• SHIFT HAZ MAT PRESENT? TANK. RESP. JOTHER RESP. :........... g 0 1 Telephone (Tie-line) NO. AL SUBSTANCE 0 0 1 : SPEC. EQUIP. USED? FIRE O 2O OTHER SERVICE F F O MOBILE PROPERTY TYPE VEHICLE STOLEN? ESTIMATED TOTAL INSURANCE CO. DOLLAR LOSS TOTAL INS. 0 CLAIM PD 30 YEAR MAKE MODEL COLOR LICENSE NO. VIN# 40 IF EQUIP INVOL. YEAR MAKE MODEL SERIAL NO. IN IGNITION OCOMPLEX JAREA OF 3::: EQUIP INVOLVED IN IGN. ORIGIN FORM OF HEAT IGNITION ;:MATERIAL FORM '< TYPE © IGNITED METHOD OF LEVEL OF ORIGIN Number of Stories CONSTRUCTION TYPE OEXTINGUISHMENT EXTENT OF DAMAGE Flame ......... Smoke DETECTOR PERFORMANCE SPRINKLER PERFORMANCE op 0 Material generating FORM TYPE no Material smoke AVENUE OF SMOKE TRAVEL R WEATHER CONDITIONS Officer in Charge: Date FARRENKOPF, C. CAPTAIN 8/2 1 /9 4 Comments for this incident have been printed on an additional comments page. Comm.ents for Incident: 94 000866 Exposure: 00 Date: 8/21/94 BARNSTABLE POLICE CALLED REPORTING A NEED FOR RESCUE AND ENGINE COMPANY TO A MOTOR VEHICLE ACCIDENT, FALMOUTH ROAD(ROUTE-28). WRRIVING ON SCENE,A TWO VEHICLE ACCIDENT,WE FOUND A MALE SUBJECT LAYING ON THE GROUND AND A LARGE AMOUNT OF STEAM COMING FROM UNDER A HOOD. INVESTIGATING WE LOCATED A RADIATOR AND TRANSMISSION LEAK FROM ONE OF THESE TWO VEHICLES. WE DISCONNECTED BOTH BATTERIES,COVERED THESE SPILLS WITH SAND,AND ASSISTED ROTARY AUTOBODY WITH GLASS/PARTS CLEAN-UP. BOTH VEHICLES REMOVED FROM THE SCENE BY ROTARY AUTOBODY. PHOTO'S BY C.I.O. FF. LANMAN, FF. KEENAN. WEATHER CONDITION:CLEAR,WARM,WIND OUT OF THE WEST ABOUT 2 MPH,T 690 F. FARRENKOPF, C. CAPT. 08/21/94. MASSACHUSETTS FIRE INCIDENT REPORT ® 10 1 >ti i DEPARTMENT Revised Form 0 9 2 2 Hyannis Fire Department Report If Ex Date Alarm Arrival In Sery ce nci t 01 1"1'4' Fire 0 01 0/ 1 9/9 6 Day S at u rd a 1 3 : 5 5 1 3 :5 7 1 4 :4 5 V`6*UATION FOUND ACTION TAKEN MUTUAL AID B Spill, Leak w/ No Ign %.4.1....»> Remove Hazard '" FIXED PROPERTY USE (OCCUPANCY) IGNITION FACTOR C Paved Public Street "`:9 6 2. I n Factor Undetermined 0 0 O 11 CORRECT ADDRESS ZIP CODE CENSUS TRACT D FALMOUTH ROAD 1 02601 40 O 11 OCCUPANT NAME (LAST, FIRST, MI) TELEPHONE ROOM or APT. MVA O/S G12OWNER NAME (LAST, FIRST, MI) ADDRESS TELEPHONE MVA G 1 3 METHOD OF ALARM CO. DIST. H PERSONNEL ENG RESP. AERIALS RESP, 3 O RESP. 60 SHIFT HAZ MAT PRESENT? TANK. RESP. OTHER RESP. 0 ........... Radio NO. SUBSTANCE 0 0 1i SPEC. EQUIP. USED? O 20 FIRE SERVICE 0 ::: OTHER 0 >< 0 O MOBILE PROPERTY TYPE VEHICLE STOLEN? ESTIMATED TOTAL INSURANCE CO. DOLLAR LOSS TOTAL INS. CLAIM PD 0:> 0 0 30 YEAR MAKE MODEL COLOR LICENSE NO. VIN# 40 IF EQUIP INVOL. YEAR MAKE MODEL SERIAL NO. IN IGNITION O COMPLEX AREA OF EQUIP INVOLVED IN IGN. ORIGIN FORM OF HEAT IGNITION - '";> MATERIAL FORM .............. TYPE © IGNITED METHOD OF LEVEL OF ORIGIN Number of Stories CONSTRUCTION TYPE OEXTINGUISHMENT EXTENT OF DAMAGE Flame Smoke DETECTOR PERFORMANCE SPRINKLER PERFORMANCE NM77M P 0 Material generating FORM TYPE no mostsmoke AVENUE OF SMOKE TRAVEL R WEATHER CONDITIONS Officer in Charge: Date FARRENKO''PF, C. CAPTAIN 1 0/ 1 9/9 6 lipComments for this incident have been printed on an additional comments page. Comments for Incident: 96 001114 Exposure: 00 Date: 10/19/96 s BARNSTABLE POLICE CALLED REPORTING AN M.V.A.AT FALMOUTH (ROUTE 28)AND CORPORATION ROADS WITH PERSONAL INJURIES. RESCUE ARRIVED ON SCENE,A TWO VEHICLE ACCIDENT[ONE BEING A TOW TRUCK]WITH A CAR WEDGE UNDER IT AND A ANTI-FREEZE SPILL. POLICE REPORTED"NO"PERSONAL INJURY. RESCUE REQUESTED AN ENGINE COMPANY FOR STAND-BY. ARRIVING ON SCENE[ENGINE 826]WE COVERED THIS MINOR ANTI-FREEZE SPILL WITH ROAD DIRT AND STOOD BY UNTIL THESE VEHICLES WERE REMOVED. TOW TRUCK DRIVEN AWAY AND AUTO TOWED BY BARNSTABLE COUNTY TOWING. GROUP TWO[2]. WEATHER CONDITION;CLOUDY,COOL,WIND OUT OF THE SOUTHEAST ABOUT 20 MPH,T 570 F. FARRENKOPF, C. CAPT. 10/19/96. TOWN OF BARNSTABLE UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS 4/18/8 4 NAME TRA�Ic-ATI ANTTr MOTOR Si ADDRESS R n i i T F- RA AT AIRPORT R 01 A.RY_VILLAGE H Y A N N I S, MA LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE: OR CHEMICAL CAME" AS ABOVE 9_000 r_Ai c DTFCFI FUEL A YRiS STEEI 0 ^ ^ 2,000 CAI c MOTOR OTI l,a YRc cTF-ri n ri 1-,000 GALS WASTE OIL 12 YRS STEEL 500 GALS GEAR OIL 12 YRS STEEL (Give same information for any additional tanks on reverse side of card) DATE OF PURCHASE OF EACH: 1. 1 9 7 k 2. 19 7 2 3. 19 7 2 4. 1972 DATE OF FIRE DEPARTMENT PERMIT: TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS THE GASOLINE 11000 GAL. STEEL TANK HAS BEEN REMOVED IN MARCH, 1984 TOWN OF BARNSTABLE UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS NAMETRANS—ATLANTIC ADDRESS RT. 28 AT AIRPORT ROTARY VILLAGE HYANNIS, MASS. LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE: OR CHEMICAL SAME AS ABOVE 5,❑❑❑ GALS DIESEL FUEL 71 YRS. STEEL ., rnani INE— -7 �.� �T EL ^ ^ ^ ]„❑❑❑ GALS WASTE OTL 7 YRS• STEEL_ 50 AL GEAR OIL 7 YRS .STEEL (Give same information for any additional tanks on reverse siJ e car /'?7"Z aODU lvorcC DATE OF PURCHASE OF EACH: 1. 2. 3. 4. DATE OF FIRE DEPARTMENT PERMIT: 1�K TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS r NAND LOCATION {� -i Trans-atlantic Motors, Tnc. Rte. 28 & Rotary Circle s, Rte. 2$ Hyannis Hyannis OOK & PAGE - DATE GRANTED AMOUNT STORED 37/299 .3/4/52 a0a DATE PAID ]973 - March 22 err' t 9. MAR 1. 0 1975 2 2 iM M A R 5147 MAR 17 197 p ' 299 N S THE COI-SIONWEALTH OF MASSACHUSETTS Department of Public Safety - Division of Fire Prevention 1010 Commonwealth Avenue , Boston Barnstable , March 21, 1952 LICENSE In accordance with the provisions of Chanter 18 of the General Laws , a license is hereby granted to use the land herein described for the lawful use of the ,building. . . or other structure. . .irhich is/ar6 or is/are to be situated thereon, and as described on the plot plan filed with. the application for this license. Location of land. . L t 269,/on Route 28. . Nearest cross street . . .Rotary Circle 1 '2 9 270 Owner of land. . G.A. Stackhouse . . .Address. .Pbnd View Drive, Centerville. . k Number of buildings or other structures to which this license apnlies . . Two. . ;1 Occupancy or use of such buildings — Tractors and automobiles. . Totn.l onpnoit}, of tanks in gallons: --Aboveground. . 500 gals , Diesel fuel. . Undrrground . . . 8000 gasoline Kind of, fluid to be stored in tanks . . . Gasoline and fu el oil . . .if any. . . . . . . Victor F. Adams Chairman Board of Selectmen of Barnstable Barnstable , Mass. , March 21, 1952 Filed with the Tow i Town of Barnstable , Book of Licenses No. o n Cler�� s office , 37, page 299. Town Clerk T ®SENDER:Complete items 1,2,3,and 4. Adji your address in the"RETURN TO"space on reverse. (CONSULT POSTMASTER FOR FEES) Z�l 1.The following service is requested(check one). XXEV-Show to whom and date delivered..............L —0 ❑ Show to whom,date,and address of delivery.. _¢ 2.❑ RESTRICTED DELIVERY _0 (The restricted delivery fee is charged in addition to the return receipt fee.) TOTAL $ 3.ARTICLE ADDRESSED TO: m Manager c Trans-Atlantic Motors,Inc. z Rte. 28, HYANNIS MA 02601 x 4. TYPE OF SERVICE: ARTICLE NUMBER A ❑REGISTERED ❑INSURED y COD®CERTIFIED ❑ P517 441 923 'i ❑EXPRESS MAIL a M (Always obtain signature of addressee or agent) I have received the article described above. m SIGNATURE Add ssee ❑ Authorized agent v C S. DATE OF DELIVERY POSTMARK » m O Z 6.ADDRESSEE'S ADDRESS(Only if requested) v n m =t 7. UNABLE TO DELIVER BECAUSE: 7a.EMPLOYEE'S v INITIALS r Yt UNITED STATES PO L EF V1. T � OFFICIAL BUSINESS' a PEN*LTY'FOR PRIVATE'—- SENDER INSTRUCVOf M198,J USE TO AVOID PAYMENT Prhd your name,address,and ZIP Code inutile Space if ` OF POSTAGE {900 • Complete hems t,$9,and 1 on the Joverse' f .i r -__n w.n S. IL • Atteoh to front of article 0 apse permits; otherwise aft to back of arkI& • Endo=ar to"ReWnnReWptRetluesteV adWentto number. RETURN TO BOARD OF H EALTH-TOWN OF BARNSTABLE (NAme of Sefider)' P. 0. Box 534 (Street or P.O. Box) HYANNIS MA 02601 0534 (City, State, and ZIP Code) P 517 441 92 RECEI,IPT FOii GERTf`RED MAIL NO INSURANCE COVERAGE PROVIDED— NOT FOR INTERNATIONAL MAIL (See Reverse) sent to Manager Street and No. P.O.,State and ZIP Code Postage $ Certified Fee . Special Delivery Fee Restricted Delivery Fee ,Return Receipt Showing- to whom and Date Delivered• Return Receipt Showing to whom, N Date,and Address of Delivery , b TOTAL Postage and Fees $ 1.55 Postmark or Date o , 00 Mailed 3/28/84 a "MCK POSTA32 i"w MPS TO ARTICLE TO COVER FIRST CLASS POSTAGE,' F_ C€T:MID MM FEv M"M rWARCES FOR ASY SEM I QPIIDI'A.1 SEpl9CES.(sea front) 1.If you want this receipt postmarked,stickthe gummed stub on the left portion of the address side of the a.Vicle lorAng*no recalpt attache'd aWd present the article at a post office servicewiindow or hifnd it to your'rural carrier,(no extra charge) e 2.if you do not want this receipt postmarked,stick the'gummed stub on the left portion of tho ,address sWa of the article,date,detach and retain the rec®lpt,and mai(the article. 13i If yowwant a'return receipt,write the certified-mail number.and your name and address on a return racolpt card,Form 3811,and attach it to the front of the article by means of the gummed end:i if,space permits.Otherwise,affix to back of article.Endorse front of article RETURN RECEIPT, 4T LIES l"ED adjacent to the number. 4.^If you wi*nt deiirary restricted to the addressee,or to an authorized agent of the addressee endorse RESTRICTED DELIVERY on the front of the article. 5.Enter fees for the services requested In the appropriate spaces on the front of this receipt if return receipt is requested,check the applicable blocks in Item 1 of Form 3811'. 6,Save this receipt and present it if you make inquiry. ' t ti " i.t t,r" +�� t ;' f f.' �r, '4� w,' r` F. , s, 1. A _- t � r� {.�,9„IR-r •< €`�.� ; ,A ' � A` �•• . _ t ^#.', •�' A•�. is �'`•' k�.�'r . 34.. ,� f+ +,r t .t,.� ..�.... •v'' t d �', ,'.t s •#. S +� C ao t... °t x •t-^,.x• ¢ }'� d� .P ,_. �� 4f •�• it it S„S ♦♦ .•�•� �•.0 , �.kµ 7;� �5r t•.j #t�� �, ��ra y� ,. *' ^ t. ` t"�., w 'VT f Y� �L'' tY 4 ',,r.3 ., ): � ,� r f •�� {4'� ,� �� � ±�` � � ` •1 � y-' , �- t • .. i. i �f ,-'• «' r.,"* ;'i e,g 1 t J^., ti �A � .:.y� +' s <. 'March_. 28,, 1984 _ • t' - '' f r - if >. ra�i a �.a t.v az+., .`•d r i d�.y� r ,SSG'" 4•➢• - i M1• r < •' • t Y,.:>r , `; ��P t{ .r '� r :y r ♦ P 'J'f q � k _ r 4� Yr t ii F�f S ,.' S '-.i� ( rN' f 4•'r ,.F�'.,� 'v .. ,,Jj ,� ' t� t s < a �,1r 3[i ar r t c r rr,r y�� �•.� a� s "..fy � �� d '� Air i. .. ,• s ,y< ,' fir" '•." �y r€."5 t z , i' • )^• r ';ry ,. ,,,t.�,a, - Yt. yt r at a ; �•' Y"+ " � *-'�..-dt.^ � M- t . ✓ .r ' � �• t, J,� s+,. r# �,�.1,±� t xr ,�$ a':t_,- r:< ���,,.r s ?� � :., 6 s s s� � it I, 1� � . t� �" •4 j � • �. ' � '.. M3llager t r ..�- r `F st c• � z yr 4'_ xd, �• Trans;Atlantiic, Motors„ Inc w rw ft ; ,x '` "� tir, •at,Airport,Rotary s .` »� - tj r ,: k� rrw7 ', .: , Hyannis 'M8. 260 s , y t r 1• t J ry P � > � t xt,x r s Dear 'Sir: �+ a , 1 I t 4 .s<T r« _ t,+r tt •,, •(�?a: + ,V:-• ,f t �? s. ,r ' n� n ���.. � •t y<-•__ � � ,fir. # � t tea"'4'�s4 t. x� t, z l'�'..±p..s, t ,wy! R c4 1' r st is A review of',our.underground •fuel tank records =indicates 'a discrepanc i • . �� information oufurni'shed' the.` '.Board .of "Heathwhen.re in the; ,y .. g r�{ ,tering`youi,underground fuel tanks with, the`;Board of,'Reahth _ t:y;• t L...'. .}51 `.". .. < .r t ' •�• � s r ti �. c".F° a .. / JErr. The information .you 'returned"yin a198U indicated.that ,four ,of your_ "' is uadergraurid' tanks;:�v'e-re 7,;yegrs lof-age:,=and one 5 b00 gallon `dle' sdl-t `:�,—.xy •fuel oil tank as �3 ►ears old. " The records,' n the Town Clerk.'s, ti office-`indlcAte.the permit.',for-,thesektanks was`granted S .. '_*.. '4f,. •s.. .' fM„ } p•� S• �. ,. r'_.s s=,� s r�rc � '� r,, • r You are 'dlrectec ','.to have these tanks 'tested imme' ately ands the' f' , results'forwarded'; t0 as ` 'Lt's r cr 1� OA this ,of.flce. `.} ... .. _P``' e t fT r t• r 4, ` t -.._. w J' v Y •Ir ,� .. Enclos6&,is'as cool of the`Toiraf egulation pertaining`r to underground` �' fuel or' chemica'iatorae M ,ryi�r ti •. t { 1 q: :. '. t,�� I k f{• T tr{{,r✓ r+� �. •-;�{.,'"fir rr! � ��-� z-.- '�`�.r �{�, 1Y^`"^'. *. _Please`.contact us .if you Nava conflicting°data concerning the �; < :of Your--.tanks. y'..�: r,# , �'' � r - r':.i• t -ire' �+ T � � J Very truly:yours, - s � rW' -•+ 'q it, t:� fr'a s,yia, b d t.m ;:��� i I Ap ..fit 1FA i.a•"f, � s '� '+i..4,,,s a.v� q�`-„rN �'3 r�3: f p rr w t r John M..-Kelly <. 'Director o Publi&Hea'lth < r a!' n ;?•ter$ F' �d+ ,; w*� +�rA ? f t, 1 r . t' '�• t" +.. ' ,� -:ri,.,��..q �' yTri �a r`j s� .�5•r ,� °is � :.t . .} r,?,*x t„ +. .: <, r r F ,;4'# ( •Yl ! rt . w.�FJ, teo x .r Y �¢ 6 �- Aj ,< • - encl. ,l .``•3xf y t 4.f. s4' 9 •� � tit'k �' .t yilk- i" Y � �M•"q�• C - t tr ` •�s�r ;' .. f S �-. i•. ��. fif•' �. �S1• �, C]. R � �f= 5 � q,• •r` r:, s�. r1 ' y '{ L i' * f', ^L }', s:•• �l ,G'�i �1'r 1,.. c , tlt.' ,i - � t."� �' � � r`} t� r }4 �- � '�''t+ ,�z�,�i .L •i, a J... .. r.k 1t� � r. . y xR' S. ' ti°rr'�'< -ire .� z.• r, J e¢r r .4,{;• t � fit- •tr'. ..;° �",�'.v�`, ',',- 7 t''' - �I r t ) .& a+.;: d.ti` •R J r e x b t a q'4 .+�` ,. ,. '-• y '; <r1 � sy r e t •�` � �,.,,j r.,�'"k.•t� ,.�`a a � _t ,-' y� 'rr'{:`{ • �: Y _+., r� ;. `.t . ,i �F ..-yta a+f t ..�`•}Fi;•r "{ �p 4 �' ,�•i d.. s. ° '^' I� �} t^r�-� 1 `r�.r t��. r. t �.. w «t+. P� s _-.i• -Y �r 4'.� - �i Y y"5� i ' j,• �' +;s t 0 -{, P r r ' '�q.. ' r .:$ y � r '..' ti ,' , '•� 3 t ! s ' s 1+7 tcc. '* C s t S •• r �^+ y, <`� .t�, �.y <',.Y R Nk ,°• ,, y;.y 'yt � ,v . +.rq` r•4:' � 'b w, t{ F1 'f _. s� r .. r ✓f k t,7�F•'` ° s 1 >< !' _�; + . � - t ��', .}9i-= � f •g <�� ,B�( •' '• a rr 1L P� ; `�. ,t� r .:$_'� t y ..✓ - - .. t< S t: ,�'�.. t 's"':'' "s t ~ u `f`* .I J :r .`` .,7•S`'a � <� ''`. -04 NOVo'a7 3r;�larPORT YOU4 ' Trans-Atlantic Motors, Inc. 1 h �� I (z ROUTE 26 AT AIRPORT ROTARY•HYANNIS,MA 02601 C I !'° ��r`''1 P RI+ t �I yTOWN OF BARNSTABLE in ' 'Kt Pal.r = atis!'actory 2. Printers BOARD OF HEALTH 3. Auto Body Shops O unsatisfactory- 4. Manufacturers --•*- , ycs (see"Orders") S. Retail Stores COMPANY '-r��t�."� .- r� ( � �' �!€° 6. Fuel Suppliers ADDRESS r� t f � 4a►t`� Class: 7. Miscellaneous QUANTITIES AND STORAGE (IN=indoc�rs; OUT=outdoori MAJOR MATERIALS Case lots Drums AboveTanks Underground Tanks IN 1VOUT IN IOUT IN UT # & g2ljonse frest Fuels: ( r l (A) Di.es Kerosene; #2 (B) Heavy Oils: waste motor oil (C) t ,4 new motor oil (C) transmission/hydraulic Synthetic Organics: ! degreasers Miscellaneous: I DISPOSAL RECLAMATION REMARKS: 1. Sa itary Sewage 2. W er Supply Town Sewer Public 01 On-site O Private `--'- 3. Indoor Floor Drains: YE NO - O Holding tank: MDC _ Catch basin/Dry well ---- ____._._.---. .------•---..__._._.-- .-__—_ — 0 On-site system 4. Outdoor Surface drains:YE NG O Holding, tank: MDC O Catch basin/Dry well OOn-site system S. Waste Transport r Licensed? n n Dest'natio ' ' G 0 z3:.ei Person sVnt.erviewed Inspector Date TOWN OF BARNSTABLE BOARD OF HEALTH ` CONTROL OE TOXIS.OD HAZARDOUS MATERIALS - INSPECTION SHEET -, F I RM ADDRESS;: Z Major types of materials: 1) ,a 2) 3 4) 5) 6) I. Description of material (s) us (X II. Storage (denote product by number listed above) A. Containers metal glass paper plastic cans,bottles,jars drums,barrels aboveground tanks underground tanks ,t bags,boxes trip open,loose,uncovered inadequate labelling B. Storage Facility v/or.# Remarks/Recommendations 1. Indoor a) separato, contained room b) stored in general work area i) inadequate ventilation �S ii) floor drains S At I' iii) inadequate fire protection 2. Outdoor a) uncovered, exposed to weather b) pervious surface/catch basins t III. Disposal A. Reclamation/Recycling unit B. On-site disposal 1. Town sewer 2. Regular septic system ( ,11 3. Separate holding tank C. Off-site disposal 1. hauled by own firm 2. hired hauler i a) name of hauler b) address or disposal site Person(s) Interviewed ✓ - /� I Spector ` _ - - - gib' - - - - - - - - - - - - Date �0 f �l \ , 1 CleanHarbors ENVIRONMENTAL SERVICES COMPANIES 94 THORNTON DRIVE P.O. BOX 2068 HYANNIS, MA 02601 (617)778.D41 M.D.C. TRAP INSPECTION FOR CLEANING Trans-Atlantic Motors Route 28, At the Airport Circle Hyannis, MA 02601 To Whom. It May Concern: On November 20, 1987 the M.D.C. trap located at the above address was inspected visually by Clean Harbors of Hyannis. The following condition was found: M.D.C. trap in " good " condition M.D.C. trap in " fair " condition; pumping and cleaning suggested in the near future. M.D.C. trap in an 11 unsatisfactoty " condition; .pumping and cleaning is recomended. INSPECTOR: di/'n DATE: vim? KINGSTON,MA NATICK,MA SOUTH BOSTON,MA SOUTH PORTLAND.ME ALBANY,NY PROVIDENCE,RI HOOKSETT,NH FARMINGTON,CT (617)585.5111 (617)655-8863 (617)269-5830 (207)799-8111 (518)434-0149 (401)461-1300 (603)644-3633 (203)674-0361 d, TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS: �yq*-J- Board of Health MAILING ADDRESS: � � Town of Barnstable TELEPHONE NUMBER: -7'��` P.O. Box 534 CONTACT PERSON: //,q..,/ V- ,t--,A Hyannis, MA 02601 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered when stored t. Please put a check beside each product that you store: Antifreeze ) stems or coolant gasoline for s Drain cleaners ( 9 systems) Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners ✓ Hydraulic fluid (including brake fluid) ✓ Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel ✓ Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) .i Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair 0 satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops 0 unsatisfactory- 4.Manufacturers COMPANY' -/1�pSip (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS � lass: "' - 7 7.Miscellaneous S AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERCase lots Drums Above Tanks Underground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Di el, rosene, #2(B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic % 7p 5 - Synthetic Organic: degreaser_ � r - /A� Ac lla e r� � 14,1 Il&6 ire � t � DISPOS ECLAMATI N REMARKS: 1. Sanitary Sewage 2.Water Supply �d> llvj )VTown Sewer JjPublie l 0 On-site OPrivate pp 3. Indoor Floor Drains YES NO 0 Holding tank:MDC 0 Catch basin/Dry well i O On-site system 4. Outdoor Surface drains:YES NO OR ERS: 0 Holding tank: MDC d-XI or- Catch basin/Dry well. 0 On-site system 5. Waste Transporter 1�ame of Hauler Destination Waste Product YES NO � 2. P n ( nterviewed Inspector Date TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS Board of Health MAILING ADDRESS:'F �'-� �� z �� Town'of Barnstable TELEPHONE NUMBER: "T7 �- �� 2 P.O. Box 534 CONTACT PERSON: 6,y ' V-010 Hyannis, MA 02601 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered Please put a check beside each product that you store: Antifreeze (for gasoline or coolant systems) Drain cleaners > Automatic transmission fluid _ Toilet cleaners X Engine and radiator flushes Cesspool cleaners x Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel x Refrigerants _ Diesel fuel, Pesticides (insecticides, herbicides, _ Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business � 4.',�',,,� 'fI'�°'M� .�V.. rl�.�'Y""-+..^�^.f.nt.-w,T-":J�"�4:.w^yt+"�+sw••l..m..'i.¢•�-+fl'd�"3r� .go°y`o,�p�.a J,:�!'1;wd},.,+t..�„T �$°'hY'wsvRnt....C';;,1.;.'3�vwY�'t��}'�S�.�ir',a4�.( '^'p'�"t r�'4^r,,,�` TOWN:VV 1V OF BARN STABLE COMPUWCE: CLASS: 1.Marine,Gas Stations;_Repair 2.Printers Q satisfactory �- ,BOARD OF HEALTH 3.Auto Body Shops , ,'f e O unsatisfactory- 4.Manufacturers COMPANY'?ti'Rr� 7"•s''.y, � prrr (see"Orders") 5.Retail Stores ,tea Z 6.Fuel Suppliers �. ADDRESS [9a�� X lql,` Gg�Y2L%,8'-lass: 7.Miscellaneous k QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors). MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT .#&gallons Age Test y Fuels: Gasoline Jet Fuer(A)— Diesel, Kerosene;#-2(B)— .V Heavy Oils: � waste motor oil (C) r new motor oil'(C) transmission/hydraulic Synthetic Organics:, degreasers, W 064�. 490 Miscellaneous.*. / (Val - �. :Al DISPOSAIJRECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply ,�, � ,r � � cc- Q Town Sewer ,OPublic O On-site OPrivate / <- 3. Indoor Floor Drains YES NO O Holding tank: MDC ` O Catch basin/Dry well �. �O On-site system 4. Outdoor Surface drains:YES NCO - ORDERS. O Holding tank:MDC i � .r ,�J IkZ; f O Catch basin/Dry,well � � � } AO On-site system 5.Waste Transporter f Name of Hauler Destination Waste Product ��� .%�, �'��r✓�l� o � G�l�?,�-�`,,r f� YES NO Perso terviewed Inspector3 Date` ��_ .•. _ y �i'tii'f'F"`..--- Yk^-•�"^� ...._,.p v;.:sS+ t,s,�' y'.a.,,l ,• _ ter,; : •;Mi'irl�R.4.er"--n :�"#':+*.-,;.+'^ �.- � ;.,,, _ :n.?-l�r `S i�"'A' Vt ..^'ff...Mr--' -.-y'y..y�r"��rT'+`r•1•w7Y"w`. hey."•'iw:e�^^*'lA •^�r._:n.. e.,s+..n...... }f.w"'. t''�.r% TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair Satisfactory BOARD OF HEALTH 2.Printers3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS Class: 7•Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground IN OUT IN OUT IN OUT #&gallons Age Test S Fuels: Gasoline,Jet Fuel(A) r Diesel, Kerosene, #2(B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers e9 Miscellaneous: ,X'a U, p 2 , DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply O Town Sewer OPublic ,�rr,�_,, e O On-site OPrivater� 414" 3. Indoor Floor Drains YES NO O Holding tank:MDCfU O Catch basin/Dry well ; . A4X/ O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Niame of Hauler Destination Waste ProductLicensed? YES j.N0 1. �r ,�F�st`,6•f i �'� -�r,36.!.�� .y�~ f�r'.;• 9,/y' e+ #Ig/,� 2. /�' Per"son�(s)'Xnt r ewed Inspector Date f+'tT(—",'. _ s:4 ram.• ,,, P ,� .y q«a.,. fi `.�+r ^r',r�*• R - ; '�}.� � i + � Corporate& ti + p, Northeast Region �i h r f r g �, � Mid Atlantic Region` � � Southeast R Ion s 4 FOR r±P3 =s S 1�a � ;:*t _ r ,.>FpAt i 4� 4 r di ��, iw ' � k �t� ��':� r� �=� ,� ,. :�"SUITE 112 SOUTH STREETS�b ��,504 SHAW ROAD SUITE 215 13217 NORTH NEBRASKA AVER HOPKINTON, MA 01,748 r STERLING VA�22170$'� tom°T M $� A PA t 33812 BEL ' Anflk�en dNvke► " >5 508-435-4044 w � * >; 813.972.7166 ' � a i �° 703-471 9738 �� x 6 r ;800 7-350 � c �800-447 5079 ", 800.3285505 fi p •��(+, x�r , �•.:'# ,,.�a,•��: �u. . �:�<_r��r 1� �e,:r� '��P "�" +y.,�r X�'r'"Yr�is*tP• t try't: {e �`1.,_... * �� � � � +� I ,. ��tya :l.F;ti'4"`.. ail f r cP �• ANTIFREEZE REMOVAL�AGRfEMENT •�?. pyt d; 5 r "ar r e _'-'3 i p��•,Li��zr. �t��,+' ���'�ri� '.§ �1��� `'7"`�" r '?.k i,a y=s,a`t�"'��..- 1& _ •r�' - Y^ P 3•, 7�' ;t f`4 3 ei, g:ai.�"t ,5,¢+ t ,r � a Fe.- r ':U- �` ',x" r � 4 i.,a>y�{° .tat; �Tr ..a; e�,,m'!,a I�� .. 'd�' a�s,��� + •S` ,�S yY a ��� {�`'�" �� °a�,yy'"r'4t� _+ 1. GENERAL:.Forty Below Will collect antifreeze, as described in Section 2 below, accumulated by the signatory to this contract at the indicated location,and will recycle and/or dispose of same in accordance with all applicable state and federal regulations::•.: .f Service shall be rendered in accordance with the schedule and fee indicated in Section 5 below.Forty Below service will be covered by appropriate insurance and bond. All waste is collected with the latest vaccuum truck.technology and is fully.mamfested , t9';..' trt)rS.l g a ♦ i?i .fu;p�ititas anify..,:.FSa +y � 2. ANTIFREEZE: All antifreeze described in this contract shall mean old antifreeze only. Other products such as oils or radiator flushing shall not be mtlxed in containers designated for Forty Below service,,�Contaminated antifreeze may cause the=driver,to , s; refuse transportation of the antifreeze. x$�f� .;A ,+ "#t .x �4 fi r 4U.f' iY k,}'d i z y�6 r'` t • , " }'M s th}; .rc �. 3. ' STORAGE CONTAINERS.All storage containers must be approved by Forty Below prior to pickup service. Use of underground ' tanks will not be accepted.Customer is responsible for Insuring that only antifreeze covered by this contract is placed in the designated ` containers. Proper labels will be provided.. Y3' 4� F � �� ,rq#a ry ' 4. . TERMS: A registration fee of$50,00 must accompany this agreement A signed purchase order is acceptable ,,. °�;'1. 5. SCHEDULE/FEES:The$50,00 registration fee is a one-time'expense necessary to cover costs of scheduling,labeling,manifesting ' *;• and all other administrative costs associated with the servicing of this•agreement.-Forty Below DOES NOT charge a fee for gallonage. { ` The $50.00 fee per pickup is all you are charged regardless of the:amount of:waste.eoliected , �Y t rry PICKUP SCHEDULE FEES " ! sit rRi#'ti v �'+K: � r.:.-..,J i�`•�j�y � 'Y. a R Initial Registration F 6 ❑ monthly x ' ,t� every 4'months 00 S Y ` , t Ra'Jls3[B�t9h Fee 0 Bill the Registration , t q. 4.. ? ❑ every 2 months Y every 6 months ' a Paid Fee }` CHECK NUMBER P.O. NUMBER r., every 3 months ❑ every 12 months ;yl t -.P • 'q+F:�a+ .a �' ' fiat a (:eYY a Y ; 9 tY� 4` 4c (150 gallon maximum pickup) X,; , d h 3 � z +,ari�! .�Z*Tvr Y 1'ia•E ';jz i. { ,� :C+ti}$+3. -'�4a.tpi+F'� r Initial Pickup Month �. .. "; dr r Customer listed below,Forty Below Antifreeze Service,,or their.assigned may *Schedule may be adjusted up or down without penalty upon 30 day notice. cancel this agreement with 30-day written notice COMMENTSii /S k. # rjYF V i .� r -�'-+a:,;.; Y ��-•; r�'��it� f s :"q=�,�A":••r� �,€�� .��,�f axe •�r� �G � ��r �� CUSTOMER NAME 1 4t t + as w j r} s- S�.:5, . l�Y}•Zf : a� +Zk' aF r� � 1�'"�'.'" 'R++ec'.. �"b�"t� lwzykd a �t CUSTOMER ADDRESS 'f W111 � .� e4VW.l ''Ye#� � ' CITY , z t.. xr '+. :f a + r< a t a - {� .u� �) +'� - ��� / t' ��✓�'t�!.J*���r F,'ij1 �i/��7•ra�u}�x r�.t : S�..,` rc l:✓�•° C�V I`�-� " '# OWNER ,, * SFr ' �, . CONTACTTELEPHON �► ? ?` x 7� PICK-UP SITE 4��.a$ q,�•� '`� .- � a,Y �%c cx fag r �: + ,� arr � r � P 1 t § 3 �•��/ "'a+`rx r' 7,•� c.t�n+.,9A�l.r k -.41 ....t �'� i l ` h�. i .➢•c.:1�y G'.q�i• f `3 t V� AF9 .. s- ;� �,� �������.Y'• .+��a�1t �a�.. "#' +rai,t,.r}'�r�st t s ��`�y�F}r.rs�+Y✓�:'#:L,t�,'1�'��4P�'t�3t����� � x'�������t��� :..� N e y �� ask h.. t S,' Y tl#la I i + - •$II'; �y� t`� k� S J .;yta 4.• �.,Ir 'j'� �t� �v �,���� �� 1� • x ''�'e�ity ,� , • �•• any Z ,per! �t WAY r-r" 1't�F;,'.tt�, �'+ i 'Y+•/`�-G'I.G.t, '1'`!' /t!t>C�' ' L�' . °c�.,s' , PRINT NAME a ;"l,Ada <.. .fy yr r }4' SIGNATURE/DATE+ ., � �r pp�''"" 2 ?' a s�4- CFO%pp, BELOW SIGNATITRE/DATE°` +. t4t,~ja' j:. e ? ,.,p t� : ta .J at: ,a rf.S.`a 'Y.+ 5;,4'.'1 / 'S��a �r4g �,Ya211 •o s, L t (white Home Office)' k� (Yellow Reg Office) (Pink Customer)(Gold%Sales Rep) ; � 'AA.L; , �' r n •'S,'Y; *s .�a' THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) Im A DATA TOWN ®(' [3ARNSTA[3LE ! COMPLIANCES CLASS; 1. Marine,Gas Stations,REpai.r Q satisFactory 2. Printers ® ��'' HEALTH - 3. Auto Body Shops 41C, � / � Q unsatisfactory- 4. lam�facturers COMPANY r i11i, Ark-Ar1( �� Y/ (see"Orders") S. Retail Stores _ /�, I 6. Fuel Suppliers ADDRESS I r . ;,�' - !7 �11 �, �r�.!' Class= 7. Miscellaneous �I��.-�' ? �'t/ a ��' lf/ /� QUANTITIES AND STORAGE (IN indoors; OUT=outdoor.l!� MAJOR MATERIALS- Case-lots Drums AboveTanks Undetgrolind Tanks t� �tIN oUT011Tfl_Yellons Age rA" Fuels: • Gasoline$ Jet Fuel (A) ( Diesel, Kerosene, 12 (B) V ` ► (sir�t Heavy Oils: ,- _waste motor oil-•—(C) �lJ new motor oil (C) transmission/hydraulic> �► Synthetic Organics: degreasers • •Miscellaneous: fl r r DISPOSAL/RECLAMATION RE�D'•RKS: n r~ i• 1. Sanitary Sewage 2. Water Supply 1- OTown Sewer 0 Public , .� Oon-site Q Private r, t'_L+rl` M �1/1 kSO.6) 3. Indoor Floor Drains: YES ri NO �. Holding tank: MDC `.'. N I��� n `(''✓l �� "r /,�.!r Catch basin/Dry well 1�� . ( ORDERS: On-site system 4. Outdoor Surface drains:YES NO 0 HuldinL tank: MDC , O Catch basin/Dry well _ OOn-site system S. Waste Transporter Licensed? Asm"Ljjau/Irm, .Destination Waste Product f r/ _ES_ _1Q_ 1 '- _7 ' J 12 2l 81 Person(s) Interviewed Inspector Date