Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0091 FALMOUTH ROAD/RTE 28 - HAZMAT
� v/0-7nr� Number Fee 152 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Yanis Foreign Auto Repair 91 Falmouth Rd., Rear, Hyannis, MA .----------------------------------------------------------------------------------------------------------------------------------------------------------------------- Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. Restrictions: This license is granted in conformity with the Statutes and ordinances relating there to, and expires 06/30/2021 unless sooner suspended or revoked. --------------------------------------- JOHN NORMAN DONALD A.GUADAGNOLI,M.D. 07/01/2020 PAUL J.CANNIFF,D.M.D. THOMAS A.MCKEAN, R.S.,CHO Director of Public Health wi „r Town of Barnstable Inspectional Services BARNSTABLE , IL Public Health Divisionu ""�" °"" `"�°'��°° { 1639-2014 BMA M Thomas McKean,Director , i039 .`� 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-63 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 RIVS, iGh CATEGORY 3 PERMIT 500 or more Gallons: - $150.-00 ❑ *A late charge of$10 00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? %� YES_NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF ® GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: 3 MJ t S 5. NAME OF ESTABLISHMENT: l Aw!S Far���� �`� 1 -((� UL-C- 6. ADDRESS OF ESTABLISHMENT: q! FM M OV't1•4 �9-1 1�7/ANNiS , MA , 02601 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: V F4 R EP&t R A' 1, 10. SOLEOWNER:_C YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT 54,ii5 le 20rj Cat c S TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE Q:\Application Forms\Haz Mat Appli Draft Jan 019. t • ` Number Fee 152 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Yanis Foreign Auto Repair 91 Rear Falmouth Rd., Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 -499 gallons of Hazardous Materials. This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2020 unless sooner suspended or revoked. -------- ---------------------------- PAUL J.CANNIFF, D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2019 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health kA Town f Barnstable �. j o Inspectional Services BARNSTABLE F THE Tp�� w.sic'w ® Public Health Division 9B ABLE,$ Thomas McKean, Director q7 i639 �0 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE F- 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 DULY 1st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: - -$125.00 NrVS`i-�� CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charize of$10.00 will be assessed if payment is not received by July 1st. l �� 1. ASSESSOR'S MAP AND PARCEL NO. v// -64oZ 2. IS THIS A PERMIT RENEWAL? YES_NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF ® GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: �T/ 5. NAME OF ESTABLISHMENT: _ ,��✓GS &-"Iz e, Aa 6. ADDRESS OF ESTABLISHMENT: #4AIVall U, jlAy e!�✓4( 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: 10. SOLEOWNER:ZYES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: 5 vg -Y6o- CORPORATION NAME PRESIDENT :Z ,/ TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICA T DATE Q:Application Forms\Haz Mat App Revised 09- .d x y Number Fee 152 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Yanis Foreign Auto Repair 91 Rear Falmouth Rd., Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. --------------------------------------------------------------------------- ----------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2019 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2018 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health 13 �toewgulatoryof B4rnstable emces Richard V. Scah, Director Public Health Division BARNSTABLE WL� Thomas McKean Director MM, �MOs�� hjp$,Q � 7 1639-2014 'ArFD Mai A�0 200 Main Street, Hyannis,MA 02601 ��g 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 19 V I S CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? 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)?_L_.-YES NO. 4. FULL NAME OF APPLICANT: 5. NAME OF ESTABLISHMENT: YAl f 1 FPAAC/t,PJ /9 iA 6. ADDRESS OF ESTABLISHMENT: 5' /LCAA, ��L•/�JOrlfj� �,9. YI�v'�a�11 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: t J - 3 //Is 9. EMAIL ADDRESS: y�/aR�P/� ►ti e Gr��;�.�Ca� 10. SOLEOWNER:ZYES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE ,!� Q:\Application FormsWAZMAT APP 2017 REVISED.docx Number Fee 152 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health co This is to Certify that Yanis Foreign Auto Repair _ 91 Rear Falmouth Rd., Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 -499 gallons of Hazardous Materials. --------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2018 unless sooner suspended or revoked. --------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2017 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Number Fee 152 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Yannis Foreign Auto Repair 91 Rear Falmouth Rd., Hyannis, MA S Is Hereby Granted a License For: Storing or Handling 111 -499 gallons of Hazardous Materials. ---- --------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------- ---------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2018 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2017 _IUNICHI SAWAYANAGI T THOMAS A.MCKEAN,R.S.,CHO Director of Public Health TRowrul�of Unstable eg atory ervices OFIME• Richard V. Scali,Director Public Health Division BARNST-ABLE SAMEMA4RNSiJ',S l:ILi•C639- I P4'_iTtP'E MARI, ; Thomas McKean,Director 6,9_Za; 63� m� r.a 200 Main Street,Hyannis, MA 02601 575; �� 77 Office: 508-862-4644 Fax: 508- 0-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE t'" 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 DULY 1 st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ ��S CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? YES ✓NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONINGBUILD,ING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: A &I' rx A C4 Y C � 5. NAME OF ESTABLISHMENT: /Z-P-pA I'/L �-�•� T J 6. ADDRESS OF ESTABLISHMENT: �I j2,�/�Ot. � �''Il9w?'/� • T�� �7 %/��✓/�/� 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: S. TELEPHONE NUMBER OF ESTABLISHMENT: .��(g • �,�-.3J/S 9. EMAIL ADDRESS: J K"1 '/'2.SP—/, 10. SOLEOWNER: /YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PR EPA, D BY OUTSIDE PARTY: NAME: TELEPHONE#: 10 COMPAA,/ DRESS EMAIL: SIGNATURE OF APPLICAN DATE . 3j I Z2 Q: �Application Forms\HAZMAT APP 2017 REVIs .docx �z"-T�� 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: �''1 f1"�1 / n V ill in please: / APPLICANT'S YOUR NAME/S: m�6 BUSINESS YOUR HOME ADDRESS: 2d° c�i9PT BA cmiv17 S'm9 -7� 3 �I S J��p y g(�� t�zA. :' '3=9"''`' .�i-'a1_'S'�=;,.r TELEPHONE # Home Telephone Number So 2-92-- L +'.: �lu:iu:�`Siz OR EIN #: 2- 2 E-MAIL: �✓. NAME OF CORPORATION: NAME OF-NEW BUSINESS �' o/�-�i' G 1^/ ?'0 22 PE OF BUSINESS , O IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS. . C -R au /`� MAP/PARCEL NUMBER (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 SI ER'S OFFI This individua h e inter d f ny er it req ire exits that ertain to this type of business. ut orized Sign tux MENTS: � j 2. BOARD HEALTH i This individual has been informed of th et it requirements that pertain to this type of business. MU8T'CC3MpLY WITH ALL * HAZARDOUS.MATERIALS REGULATIONS Authorized Signature* 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: F> - y°FIKKE yti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 �BABMASS.NSTABLE. 7 �. 200 Main Street• Hyannis, MA 02601 1639. �p1eD MPS 1 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: J ate%S -ro<ei w &)kv kt f'e Date: 8 j7 Location/Mailing Address: A-V,� ceAY Ky% Contact Name/Phone: A- V- % 5 -J-7 - Inventory Total mount: SDS: Okl\`^A- wcGegS License#: S2 C Z Tier II : Labeling: OX Spill Plan: Oil/WaterSeparator: Floor Drains: _�a Emergency Numbers: Storage Areas/Tanks: �c cQc S 04S}wl of I ow U&lleA l Z<JVA,\dk6 - _ &,& Emergency/Containment Equipment: av c-\1 o w 5% )e, Waste Generator ID: o St \ekz! Waste Product: 011 , AV& <ee,e `,PCJ�r5 Date&Amount of Last Shi ment/Fre uenc : < <� 00 v-k n. ever nno*AA,--S Licensed Waste Hauler&Destination: 1 L i v�cok,^- Other Waste Disposal Methods: 'l LIST OF TOXIC AND HAZARDOUS MATERIALS N o v&e,,101 NOTE: Under the provisions of Ch. 111, Section 31, of the General Lawsrof 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 V- Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives (creosote) Asphalt&roofing tar Swimming pool chlorine — Paints, varnishes, stains, dyes 4e PfA-5 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' vM INFO MATI N/RECOMMENDATIONS: S oc 4- Inspector:--- Facility Representativ WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS F\NE rok Town of Barnstable Office:508-862-4644 E. Public Health Division Fax:508-790-6304 • BA MASS. • 200 Main Street• Hyannis, MA 02601 1639.a TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT �FOMP� �17 ,Business Name: 1/Qy\yt i S l-o "e-ta,n. 0 2�PaX•r, Date: Location/Mailing Address• 9I Contact Name/Phone: TI 5-k. I400r O-u�12.E J o8-T�S-31 I-s- Inventory Total mount: MSDS: License - °`u-"'^"^�`s�`Tier II : Labeling: V PDXSpill Plan: OK Oil/WaterSeparator: MIA Floor Drains: o Emergency Numbers: Storage AreasTranks: `L oe N+ 5 o, � I , c���+w.. wa5k-r avn,V,�'tu�P y cQc•> s LJ o l Emer enc /Containment E ui ment: Waste Generator ID: 0$,11 11 Waste Product: DI <e w, Date&Amount of Last Shipment/Frequency: 17 116 too 64 1 o i ^,Zv2 Licensed Waste Hauler&Destination: Qe k-4. D+ L.t co I w Other Waste Disposal Methods: ow,r� ca vw �►� w w�-e� 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. D Antifreeze 12X Dry cleaning fluids Automatic transmission fluid a'L Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers 3 Hydraulic fluid (including brake fluid)' k,,� Windshield wash 2.a-13 Motor oils k to k%t o Jv\ti 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 t 5 Degreasers for engines&garages Six Pesticides: Caulk/Grout insecticides, herbicides, rodenticides 01 Battery acid (electrolyte)/batteries 1 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 3 4e<„50l s 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: No Inspecto �� Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS TC rokti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARNSTABLE. ' Y MASS. g, 200 Main Street• Hyannis, MA 02601 �p 039.A�0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rFD MAy Business Name: Nva4vils otei w .+, Date: Location/Mailing Ad ressl i4�(e,n v►,S 6�K r r Contact Name/Phone: A c-k— 14qvyAq s o -77 S-311 S Inventory Total Amount: D 4,1 MSDS: OK License#: IS2 T v Tier II : WA Labeling: a00A Spill Plan: OK Oil/WaterSeparator: MA Floor Drains: o Emer enc Numbers: des Storage Areas/Tanks: .j±L5 o k 0�iA,.r a S vwo Emergency/Containment Equipment: WA4,L 0, A2i,,99 I vt C v%v "tld t +11"- Waste Generator ID: Vsa Waste Product: o _ a QreL-Z-!P_ Date&Amount of Last Shi ment/Fre ue • I01 100 a,I ^— ew4<1 IWO. Licensed Waste Hauler&Destination: 1'E Other Waste Disposal Methods: AA` LIST OF TOXIC AND HAZARDOUS MATERIALS IVo OAA 1a1 IV^ I A\J-tW6,Cy 51AU— (e 5t 11,&5 NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, 9f5 t JA(Vs storage and disposal of 111 gallons or more requires a license from the Public Health Division. C f Antifreeze t 1XW44k4- 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 jr tko wmV, Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners t— Diesel fuel, kerosene, #2 heating oil Disinfectants d Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides No Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: No 156 V,( vIZ v;A,c_- Inspector: ► c—ii 1-ei Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS °Ft ►ok� Town of Barnstable Office:508-862-4644 °* Public Health Division Fax:508-790-6304 B""M�`E' ' 200 Main Street• Hyannis, MA 02601 059. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT CFO MA'S s 919I�} Business Name: Ua vt vt i S i-otc, �, A,,k o RA4a.<- Date: Location/Mailing Ad ress: 91 1414y�-tiu S Contact Name/Phone: N,cAc 1A 08 - 1 5- l t 15- Inventory Total Amount: D QcJ MSDS: \hey License#: I SZ Tier II : k Labeling: ��� Spill Plan: �- ,!s Oil/WaterSeparator: Floor Drains: fs� Emergency Numbers: it Storage Areas/Tanks: (T w,Le 1X ,UU, e-MAA un.J 'P4 t .QcOwc,I-Ipo� Emergency/Containment Equipment: C0wkk1 4s1 vo- �,Its to �� Waste Generator ID: W So8 ? 3t Waste Pro uct: e awE,�cee�- Date&Amount of Last Shipment/Frequency: is I O a Licensed Waste Hauler&Destination: /��kabo�y Solvtw �ce.,ery Coep 7 Mor&5 wksken k L) XA, Other Waste Disposal Methods: \ M LIST OF TOXIC AND HAZARDOUS MATERIALS N o MA' &,e O E. Under the provisions of Ch. 111, Section 31, of the General Lads of MA, hazardous rriaterial 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 7— Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants ✓ Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil&stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: N oA & N Inspector- et\k-\,-es Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS �Z I�� TOWN OF BARNSTABLE Date: 113 TOXIC AND HAZARDOUS MATERIALS FORM NAME OF BUSINESS: a►1n1s rt'v�Lr �. �}-o k4 1� BUSINESS LOCATION: A (ut� Fa /e� tKnrS INVENTORY MAILING ADDRESS: U11;1 TOTAL AMOUNT: TELEPHONE NUMBER: --77S - 31/,C, 3-7�q�c, CONTACT PERSON: k k EMERGENCY CONTACT TELEPHONE N MBER: MSDS ON SITE? TYPE OF BUSINESS: at-)-a spa,l a``10(�e #zax INFORMATION I RECOMMENDATIONS: s"o Fire District: Cl II<, aw Dw t R1 — ✓10 ebvlogS Am it44s q,l��a���'s •wa,1�.ble. ¢ r r,.--usc-.�/y�er.'' il-� �,DoQa�� M�� -�Id�r veacJcw:�Ol� ever), Q, VA'D Waste Tr"spe'#at� ,NI d.�0a77�.31 l� Last shipment of hazardous waste: — 1O 13 , 11 �, 1 Name of Hauler: Aj+-boi� Sole egte� ly Destination: /y�z's IJas+�e91 t "bent, AM Waste Product: OA6f� err'/Q we Xre�z� Licensed? es No A+`t>6,61,5SSoo 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 8 Anti eeze (forYLLISEDSS oline or coolant systems) Miscellaneous Corrosive NEW3o Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) y Hydraulic fluid (including brake fluid) Refrigerants Mott roils / Pesticides O'NEW 1SO J USED OD (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) t o lubricants, gear oil ❑ NEW ❑ USED 10 Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine r r Battery acid (electrolyte)/Batteries r1'sy�� Lye or caustic soda Rustproofers //ySOy 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) Any other products with "poison" labels El NEW ❑ USED (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 I CANARY COPY-BUSINESS Applicant's Signature Staff's Initials ISE rokti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMST�BLE.g` 200 Main Street• Hyannis, MA 02601 1659. "rEoµP+ TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: KA'A 16 Date: 'f l Location/Mailing Address: L K S Contact Name/Phone: -�� �/��,cslna 11 508-771 -762 Dips ivtgr- YaA., Rw-A 1 Invent(o Total-Amount: SDS:�S License#: 12 t C- 2 Tier II N o Labeling: 0A<1 Spill Plan: e' Oil/WaterSeparator: IV�Ipc Floor Drains: 0 o Emer enc Numbers: �eS Storage AreaslTanks: 2`5 a k bo C.Lu,�5 -R--e aSM7ws h� b�.'k h f- S Emergency/Containment E ui ment: v70\ oyr ifl a c-V, tM 5 Waste Generator ID: Waste Product: AVSL C',kv<w5 'C aw+�N•.�s Date&Amount of Last Shipment/Frequency: Q,5KA ��'- Licensed Waste Hauler&Destination: 6 Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS J o AMh-j 04 5tx NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws bf MA, hazardous mafferial use, lac 4 pea,o� storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals (Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other.acids) VIOLATIONS: ORDERS: o a k. INFORMATION/RECOMMEN ATIONS ': Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Number Fee 152 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Hyannis Foreign Auto Repair 91 Rear Falmouth Rd., 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. ---------------------------------------- v0 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 4r • Town of Barnstable Regulatory Services do Richard V. Scali, Director "'RMASEL"ST"BM ` Public Health Division BAMSTABLE B4RNSRB'aLs ANitF•07Nli•HYAt�S 1639. \0 � pnasroxs ru�s•osremue•wsr enaiscs � �fD MA'S A Thomas McKean, Director 1639�-72014 r 200 Main Street, Hyannis,MA 02601 0 ' 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 1-PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 VS 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. ASSESSORS MAP AND PARCEL NO. DATE FULL NAME OF APPLICANT: NAME OF ESTABLISHMENT: f J/zA1Vw/S ADDRESS OF ESTABLISHMENT: 3 1 A44A, t; MAILING ADDRESS(IF DIFFERENT): TELEPHONE NUMBER OF ESTABLISHMENT: .31A, EMAIL ADDRESS: f /l- r✓i99�e. C'oN! SOLE OWNER: YES NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT �✓('G1/_ �� AIVA +�I y 3 �y�„�p 40% C>A, C'er✓� �1 TREASURER CLERK 0 IF PREPARED BY OUTSIDE PARTY: SIGNATU OF APPLICANT Name: Company Address Telephone#: Email: Q:\Application Forms\HAZZAPP Revl6.docx Page I of 2 TOWN OF BARNSTABLE I y fb UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS NAME . . Electric Reaity (Fuller Electric) ADDRESS 9i Falmouth Rd. VILLAGE Hyannis LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE: OR CHEMICAL 9i Falmouth Rd. 1000 gasoline steel (Give same information for any additional tanks on reverse side of card) DATE OF PURCHASE OF EACH: 1. 2. 3. 4. DATE OF FIRE DEPARTMENT PERMIT: 4/1 /79 or 10/20/58 TESTING CERTIFICATION SUBMITTED: enclosed herewith (also sent to you 9/23/80) PASSED Yes DID NOT PASS Number Fee 152 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that Hyannis Foreign Auto Repair 91 Rear 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 06/30/2016 unless sooner suspended or revoked. . ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/2015 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health I� Town of Barnstable Regulatory Services ti Richard V. Scali,Director Public Health Division s639• ��� Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.0.0 ASSESSORS MAP AND PARCEL NO. DATE (� APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT ,�1�i'G f_ NAME OF ESTABLISHMENT • ADDRESS OF ESTABLISHMENT TELEPHONE NUMBER S ® ;> 1 SOLE OWNER:JYES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK NATURE ANT RESTRICTIONS: HOME ADDRESS 3Y�0i✓mMp% G'%�. C¢�✓/� /G� HOME TELEPHONE# 7� ,��• �1/ Mcache\Temporary Intemet Fi1es\0LKD3\HAZAPP ReQ015.DOC r Town of Barnstable Office: 508-862-4644 Fax: 508-790-6304 Regulatory Services Department sAIRN BM Public Health Division MASS. Thomas A. McKean,CHO 200 Main Street, Hyannis, MA 02601 Payment Receipt Y p Hazardous Materials Payment received: $100.00 (Check) on 6/24/2015 Permit number: 152 Check number: 6964 Check amount: $100.00 Name on check: Hyannis Foreign Auto Repair 16usiness: Hyannis Foreign Auto Repair lAddress: 91 Rear Falmouth Road , Hyannis • S r; Number Fee 152 THE COMMONWEALTH OF MASSACHUSETTS 100.00 Town of Barnstable Board of Health This is to Certify that Hyannis Foreign Auto Repair 91 Rear Falmouth Rd., Hyannis, MA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 6/30/2015 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2014 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health `$d Town of Barnstable °FINE rti Regulatory Services Richard V. Scali, Director �9 MASS. ' Public Health Division qj .t6g9 ��� prED 39 A Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT ��%T ,✓�/�i �-one%G /S�uTv �/� ADDRESS OF ESTABLISHMENT q ( 11. Yet, /Ioy/ dfOei-� TELEPHONE NUMBER SOLE OWNER: /YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK SIGNA URE OF APPLICANT RESTRICTIONS: HOME ADDRESS z3 IVA,- i�i�y ►'ti. Ce,.� iIte' HOME TELEPHONE# 2 Q\Application FonnsEAZAPP.DOC Number Fee 152 THE COMMONWEALTH OF MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that Hyannis Foreign Auto Repair 91 Rear 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. ---------------------------------------- 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 A Town of Bari-stable oFz Reg11latory Servicts Thomas F. Gamier,D3re'ZtDr „�,aArF Public Ileal DITIS HA Id ThoTnnq McKean,Director 200 Main Stream, Hyannis,MA 02601 F= 508-790-6304 OEcz: 508462-944 Appjjcaljcn Fee: $10J.Dt7 AS SSORS Y��P A_ND PARCEL NO, DATE APPLICATIO-N FOR PER NET.TO STORE AND/OR UT I -1 MORE THAN 111 GALLQNS OF HAZARDOUS MATEKkLS F=NATya OF APPLICANT NAB OF ESTA Ll51DfL i I DRESS ofESTABLI�SS�YSEN'r i i eelgA AD _ v T11 ELEPHONE NVIYIDER �� 1 '`3 SOLP', OWNER:-.YEs No - :c N "n IF APPLICANT Is A PARS,F�CTILL NAME AND H01ySE ADDRESS OF ALL PARTNERS. 1 IF APPLICANT IS A CORPORATION: FEDERAL IDEN=CATION No' STATE OF I I-CORPORAEON JIJ,NAB AND HONII ADDRESS OF: TRIASUPIIR P1�ESIDF�IT CLFax S OF ATYLICANX i EZ7S=CT10Ns: How ADDRESS N jVt 3441VJ 7I-f-g& /i-P How TyLE?HONE# �7 v y��• Z>zi �3zdadwp/q I , Number Fee 152 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Hyannis Foreign Auto Repair 91 Rear Falmouth Rd., Hyannis,MA 02601 lr Is Hereby Granted a License N Jo FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. Z ----------------------------------------------------------------------------------------------------------------------------------------------------------------- i ----------------------------------------------------------------------------------------------------------------------------------------------- j This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2012 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF, D.M.D. 6/30/2011 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health R`� ,'A 10 c0I 20 I-,?Dl I o� . r Town of Barnstable �k ��Q� c�l2v� �TxE Regulatory Services Thomas F. Geiler, Director B" MASS. ' Public Health Division pTF1659. Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT /U(G U 1 A4 I G� Y NAME OF ESTABLISHMENT �/-� //?N/O/if _FP it e i"6 vj Y-e&I A- ADDRESS OF ESTABLISHMENT 11 fie-,Qn, j-A L1'9n.r !# TELEPHONE NUMBER SOLE OWNER: /YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALAI PARTNERS: F IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. �' rn STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT ,mot dA�� NflDy 16 dY -8 ,.�frA &2. TREASURER�� CLERK SIG OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# Haz.doc/wp/q Number Fee 152 THE COMMONWEALTH OF MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that Hyannis Foreign Auto Repair' 91 Rear Falmouth Rd., Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ---------------------------------------------------------------------------------------------------------------------- ----------------------------- ------------------------------------------------------------- ------ -------- - ----- ------------I- ----- --- ------- This license is granted in conformity with the Statutes 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 SA.WAYANAGI THOMAS A. MCKEAN,R.S.,CHO E4-m—ct'rOTPu-b-1—ic H-e-aith------- r Town of Barnstable �pEVE rp Regulatory Services Thomas F. Geder, Director BARNSTABLE, MASS. m Public Health Division �p 039. 0M A Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT — I G NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT 9/ fit, a4eL (pt•[f/� �> , y�j��✓�:`/ TELEPHONE NUMBER SDI- �7�^' 3JJJ SOLE OWNER:ZYES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK . SIGN E OF PLICANT RESTRICTIONS: HOME ADDRESS l.��j��-� /gTj6e HOME TELEPHONE # Haz.doc/tip/q Number Fee 152 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Hyannis Foreign Auto Repair 91 Rear 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, 6/30/2010 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 w Town Of Barnstable Barnstable �Y ` 1 Regulatory Services Department Cfty RARNSTABLL Public Health Division �� pA �, 200 Main Street, Hyannis MA 02601 m TFfl iMA�� 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT �����i f �•'Bn�/`����,r ?D ��,�j��� ADDRESS OF ESTABLISHMENT TELEPHONE NUMBER SOLE OWNER: V YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: t s N � IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. -a STATE OF INCORPORATION w w FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK • SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS lay A J le/LQ it/,IF, HOME TELEPHONE# Q:\Hazmat\Haz Mat Application2008.DOC Number Fee 152 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Hyannis Foreign Auto Repair 91 Rear 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 June 30, 2009 unless sooner suspended or revoked. -------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/08 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health 7 r f . Town of Barnstable a> Barnstable 'THE Regulatory Services Department �d p� ;erieaC-i BARNWABLE : Public Health Division NAS& �0 200 Main Street, Hyannis MA 02601 1639.Ar fo Mai'' 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT 10. 0/'� 11AA M A dV S/� NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT `�/ 2c/,►2 ,1=,9 LIv uT/� �Z D. �/���J( TELEPHONE NUMBER SOLE OWNER: /<YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: o IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. r c� STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS //IV A4 teA/9- HOME TELEPHONE# 144-4�.= Q:\Hazmat\Haz Mat Application2008.DOC Number Fee 152 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that Hyannis Foreign Auto Repair 91 Rear Falmouth Rd., 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 June 30, 2008 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER, M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. 7/1/2007 PAUL J. CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health i Town of Barnstable � t Regulatory Services Thomas F. Geiler,Director l MARS Public Health Division '°rea Mtr" Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS f FULL NAME OF APPLICANT 4111,64/ ��/� - /��✓-lam NAME OF ESTABLISHMENT //�,�c✓/I /�✓�' /'}�/`' AaTi. , A4/1. ADDRESS"OF ESTABLISHMENT �r/ �1 ram_ Lc�?"/� ;QL, Y �-✓ TELEPHONE NUMBER SOLE OWNER:4ZXES NO IF IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OFI�LL PARTNERS: ' T N 7� I C) ri IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT y i`GU V,d,,64,a� —14 L2 41519,,2 TREASURER CLERK SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE#� S' Number Fee 152 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Hyannis Foreign Auto Repair 91 Rear Falmouth'Rd :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 June 30, 2007 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. July 11, 2006 PAUL J. CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable Q ' 10 FIME1 Regulatory Services I� Thomas F. Geiler, Director &UtNSTABMMAffi. Public Health Division 7N�� AjF039. a Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 t ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF.APPLICANT NAME OF ESTABLISHMENT d- X4 ,^; 49n,£(°6oJ AU;T-D ADDRESS OF ESTABLISHMENT 9 Ae-.ogdu 17P a TELEPHONE NUMBER r� (� �/�,-,�, SOLE OWNER: KYES NO :. - r IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: I tT-- IF APPLICANT IS A CORPORATION: FEDERAL.IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK w SI TU ICANT RESTRICTIONS: HOME ADDRESS 16 y Gl/i4l�na li%�3�C fL ,HOME TELEPHONE# J MO Q:\Application FormMAZAPP.DOC a� 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 Q:\Applicarion Forms\HAZAPP.DOC i h SENDER: Complete items 1,2,3 and 4. T o Put you'r address in the"RETURN TO"space on the reverse side. Failure,t6,do this will prevent this card from W being returned toyou.The return receipt fee will provid00 you the name of the person delivered to and the date of -+ delivery. For additional fees the following services are C- available.Consult postmaster for fees and check I-)ox(es) for service(s) requested. - J 1. Show to whom,date and adclress of deliv- W 2. ❑ Restricted.Delivery. 3. Article Addressed to: Electric Realty 91 Falmouth. Rd. Hyannis, Ma. 02601 " l 4. Type of Service: Article Number egistered ❑ Insured p 522 444 2.37 ertified ❑ COD ❑ Express Mail Always obtain signature of addressee or agent and DATE DELIVERED. O 5. Signat - dr see $ X ySignature- Agent F) .X 7, D of Del"vf roc C ✓l '✓7l z8. Addressee's Address(ONLY if requested and fee paid) -m A _ m V L UNITED STATES POSTAL SERVICE OFFICIAL BUSINESS SENDER INSTRUCTIONS Print your name,address,and ZIP Code in the u®® space below. • Complete Items 1,Z,3,and 4 on the reverse. • Attach to front of article N space permits, PENALTY FOR PRIVATE otherwise affix to back of article. USE,$300 • Endorse article"Return Receipt Requested" adfacent to number. RETURN TO _ BOARD OF HEALTH - TOWN OF B'ARNSTABLE (Name of Sender) ' BMUIStreet,Apt.,Suite,P.O.Box or R.D.No.)' V.A ZIP Code) 1 i i o i i P 522 444 237 _ti fa RECEI"- FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL - (See Reverse) S91ectric Realty v Street and No. A P.O.,State and ZIP Code G d O Postage $ Certified Fee 1. 55 Special Delivery Fee Restricted Delivery Fee Return Receipt Showing to whom and Date Delivered 04 Return receipt showing to whom, co a, Date,and Address of Delivery T m TOTAL Postage and Fees a1. 55 LL c Postmark or Date CD X 2/12/85 E 0 ur N a STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES.(see front) 1.4f you want this receipt postmarked,stick the gummed stub on the left portion of the address side of the article leaving the receipt attached and present the article at a post office service window or hand it to your rural carrier. (no extra charge) 2. If yyou do not want this receipt postmarked,stick the gummed stub on the left portion of the address side of the art;:te, date,detach and retain the receipt,and mail the article. 3. It you want a return receipt,write the certified mail number and your name and address on a return receipt card, Form 3811,and attach it to the front of the article by means of the gummed ends it space permits.Otherwise,affix to back of article. Endorse front of artile RETURN RECEIPT REQUESTED adjacent to the number. 4. If you want delivery 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 re- quested,check the applicable blocks in item 1 of Form 3811. 6.Save this receipt and present it it you make inquiry. ``ra ,. eP...- , •'J" 'Q ^ !' •t 4 r"s.. p. 14 �".' r 1'1 ,kV •f'•#`v�' ,f't.'�4 1. Y -7.,! .. 4...!- ..J..*''�' 1 'r.� rs,y ,t; r..•+°S} +�, `kN f°y fir` o..> k4Y * x, :.'.s i ti a� SS .u;'sir,tr' ,, 'S• t. a y , N" .1 �:. r �i� 2 _ •�,Sr✓w 4'.'`t "+�r!te °� t"' f j.f�i � 1. LJ' t,>.�i �M� �."S :t'P '�-` ". �,:. �!. ax } .t: �� •'{' . � •G T'i Y'}N. ,c f C��,a. Py a ;r'r.k 'r•,a� �+�.. .. f',,. � 4�,,.� r `` s,r rs %d : {, •� .R r<•'•,,. ' � a ,'g' rr�)' J S�n 4 k� ;: n 5 _r,,t.• ,�.ye � rM 4 iap:�a e . T ,. �r;a ✓ s ti a Yr µ r f' Fvw,r r ..7 . ( t, �• "y r�..ti"` a eJ's !y„r+.r a•�'3 r5 "�! x q ew S,. `a �. Y,_ 'y r .. } V r � d=� ,a,.�� �� •s.,;*• #' � �5 •x"� .k'�d �'1 'i}`�! ''T� • .y% �t r rS ,•, '4' y aF 1 x .N.x z".n.? a S° P el i ti`s - `f r • ." `,: y x_ L y. .a, ¢ L <e I�r r ,�"'_ ! a ,"L � 63a r "t h ':, e ;.�� r'yti `.. t f .c *s •Y•�rr J y ° RJ4 f �• z�4k jc'.<; j., a .� Y s., k, .f w "R'' 's* 'a ° 'r G n. S h' f � a. `� ")'"`. '.:'�•t' .7 -r ,, r,� �" . } • S` .d $r,, a4 tt y N^,�M* > y�.'z t u, " r [e .r. '€ r -",":` `..�,i:^:,'r r' -y +t1 .q.i '• Y",I yy s� ` Feb`ruary d.G.; l985 , , '; y t Fa 5'.I F= t ` 1 k"��s `' r }�, rr" �•a is i + +iti i ' a'' y,. , y a v *.. • rr { r4. + i tS�+ a ` 4 { � ?�= 4♦.J a"tr: � +�. °, 3"y :.�•� 4y''r a ! / k ,,.,a 4 a �� r. f �. � < d �x= + �'•� _•!- i• •A C ^.. { { a 4. " e } " to r rye ..z �' `�i �. _ ? -i, .4 �, •�'. ^TIt. ..a� . -`r 1+ �': _ .t ��ad`S �s• „� •:' � p., r -c. »�ry r.� ,r ��,T .F �iir � �r..I I'y���t;°" - {r�� '� '' .Sif � t • % Ic' ,,�; r• t ! - t •.e t IV5 .p .t♦. ``� 'd",� axe y ,} r✓ # •ti 3}�' +�-'„P!{�` s,�P+y�j;a 4{}. '� �y 'er is+ " "�.` S •+, •G+� t.," •r .•�'r� •'- �`k 'k'. >r'' s`i� ,r', •r,yR»� A ar �. �� �+ .��,. } •hal Li,i iGi�i3i.� �p i y E'r ��sz i {r K'R 1-w y � t '.. •`P- • `. +a� 4 a y.as;? ,r�, s.,h�':.r ""hyj,+� �, �._: a �.M k - a .y..jj•tr+��ar+ iS.Qi t ,.t Fi.ir ecti^ic _ 'kf� �y r7+'>T Sfw o't✓,- c,; fir 7i.. y.�r .._ r :''P +�t L ^a ''S 'c s ,.-,• . • t '91, Falmouth Rd. j 17:G►�,(xy ''- r `"1 '" iisi .if7� lk t)" i t �w.+ •,` �d y r " � ✓ S.rF �K" L .ti. .•r 1 ,`" t '' •� _r - ° Y�.h . '`•;� SaJ', rt .h n :,a � } x r''.T • S'J" - r r..•(• 4L x +{^ '� "r a ,,. • •Y- ` � ,.�' . Your �.underground>fuel t �'� 91 ,Falmouth, Rd ,; rannf s f ._ k ,Y- a ` 1: rc , } ✓�'ra} 4 ,4i.�"•'' ,r i °' , i 7> a .'. ,. ^ #�J irR �' `� % s v 1. 4�'". `� 1 / j,, - � �+tA�d r ,z, _ .2 .F r� t,�ry. :•,_ �c !.°�>v� Xj S *� ` r ti +• ✓ �eraR a•+�i �rrv..'. s •r � � it '�3'Y�R '{'` _�� �-. y..y� n.t .r ti r' C - Rr a.jk xi••x r"`- _ +�!'° r4 A !'_R�fie. ., rs + *:L,KS „�{v:n� rr <:��'r✓i.e +i'»}t� , .�^S..t�;z#;e. �1.'� �h .� a+�'��+t t 3.'.a�'� 1 . xr s' r^der � -•+ ��'�r,.�, � rwe '. Qn>".Ax` l .f3.,x 183,N;You ,word{`zittieta ,aatxs ;,twenty: 1 `L k i r•$, F ♦ �ra, �1 /�• .y r� y� y+�'[ .41 .y� y� �y rye .y .y yynf, '{ 7 y. + !! r 4 a �✓ Y S 9 �Qi.�,a V ar SiG Q.F J. NF�i7t a � rr*w lred 'Celli+�.#a♦k.ir. Sr V+r�}�' Pia+1 .. 2 �•M•? h'+ F:.: t - a .x` ♦♦ .Sy s 3 a• a .k` ' yx E '-�.V h,.o ...y• a ` ` f r CAN. "± ] y�"F �', > hR' R '�- •aa q t. I•ra`- w x ww h'ave;"not -received t st ` s to m yot pax your: Est d . } tanka3wt 3 ch fa ,t�ren y� a ert yoatrs?'o1.td�and:' ' .ast a ,on .G t a +k y. ids d4SJL: �1. `�C?r7 } K '••'+f. t ...} y"'. cc r ♦ r. Y .d x t , .. your has= been tpo ter191$ # plelaaetcus a~ copy • 5 a T �)� }' -fr f ? t W r••' k• y_.rF. , a1; �4 ,"•4j{�`i{�. ei43sults � L4..r 7•! e k ran � H° Z f Yti r � t�. � srx�` ro } ✓ ,�§ J Sr h•� 'aR1uo�t4:lhav® the.` anc teste8acou],c1r�esult' = ln+a mf. note- " ° �•'_, l�,�o�e ♦than'" S2aQ} -Bach`�e�aaX,�t�`td`ay!s.,�a,����'e Ito :�omp�;y.T'�with tink;! �,FAr. �#.���L^�*. bider rshaXY ;cozlstitut�•= aepat ib 4.10 i alert za ¢ r s, t ,. y: "• `,, ,.. +._. r. ',�'x� ,J' "fir .� r � � �: a . rh oua'hav 'any`,questiQi ease 'ca .�: u ��a -= 5�-112c eft.` 182. • :` �1k+`i,. 7 +� + �•: ` t `�.-r! "ys'y'`''X'i ,{ } -• e -• ,.a 1Fsx N `. a 'Cy �r ) �. . ;.tlz 0 3 r very -truly >you .s, x M • ° , : r ti , �' x h t . t . Y r, �: z" a .;d•"•*v •' •,.r'.,'.S ., .-i`� r ..' .���` `S� �d:.� r< #� Y 4C 'r r^'#`' _ �''+ .•�S� •'•:j s "� ''"``'t�`' z •' .T .+ a .t^.�t7 ,�j.<ktq°y`�r9;arv� +L" r 44 # _ � Y j. f, ^i ♦rY f.,.0 'S':s, t" _ ✓' x John'`�I.! kelly ,:fir _ +Y � �t ��t��". d'i�'��s��wY' Syr eta �� �s.'.•r ��rav ! c'd ..'ie S�sr', a 1 }. (as:�'r t 6' �" .r^, . � fro.lr, u i.s 'i,�9 3r rd�y xiY' u `y3�r � •e �,y • '-a �. �"Y,e 4: <. + +s' r+ .t:(i; t .••,.� r"�rr .y ,a ri. ., rrt}sS .'i e �til `4Y�1� `4 ' BAI N5TABLE -BOARD b�`,,�2�i „� � s ' ; , i Tars ,� i iy.s• F`r� {�,rA�� Ya +fir �'e�y�- q ,,j tw�.n ��,d • + �r - fB? r tt�r!"F `•,nod 1 .rr4 3 :r• tx• SJJJei.t:.,i ftz:. 4 hilds' �:: �i' .ih!•ci +r+ a:` ..i ,'.F , : r•? i '� yi T i v �`e ?,y:. 00 .•a3+ ' Ak111 .7 ►�9 EBhba gh° yg�✓ rj ,.^ �y uu �+ •;{�1+ 'y°�� '".4t+r * tr'''e 2♦r",.• r �• i:t. x S�'� i " �✓rCr � # `T k � •:x.- r rrover'.r G"Ali!1 ti arf. P.l7 it:.1 D •� „• .. � E T.. • t ,_ s h�Y N ;=41a¢ - '4 rk 6 � i ! a y .. r a.� 1 t '' �•' ° tw ht s � p.F a..F Y ..y ' # / e'. `d i< �.�I J1•. 7. •41t4 +'H .i `+.5._ N f r 4 3'• Y { Y 4 t '..i. ,y�+ i �• 3 ?^ ..i� � ary F•K r, y � "e r r. ¢ �' w . - *R r. ti, 'r; f} t�✓.�` _ e r F` r, ,r e1!4f i _=F sr %I r ^ 'a'• �} tr 1t.` kr 4 a"'"I w r: { y,Yrt : k: � .y,n .<' r, ..fir' ���x •« ,� '�a � d'i.R r.at�r`� •� at"1^.} ', w� r x i ti �.e sn.� �L r �,9 � p .r r .t«" *-'i '..•• y- �'� wq »L a 'r r� � 4 .. � �. S .}.: y ` r r' + , t q= � .> t } �• � ✓'_`.4 x t ,4 r :t"` '•+` ti+ ,=y ,,x a .�,t+.dip r��t�4 - $' ,.y a �+ `}ers }. 'k ,s. .?. t,t.J `' };,E °' ,a' .'- r' Ft`"`c�, t is s �=yi x +Ai''�.i• � + ,.r,j 4Y - ti,;,. :h �Y' � 1 i }y' � •; .r - ,�r � ,,. R ✓ t ��' k L'� f" >` "�` z dr t� � cs • r. f S=?,. 1 S" n w p :19 J y y n Y�.*i ,� _ ..- 4 >r . r a " :/ } 4 Nam+.1- z ♦ cf.. ? r.r 1 &`J 1� • t"1t" �' i,G1 }i �•B`�. �♦ a 1 Y $ �~ .�' t r !"d � 'r _ �.,� } E ; �.♦.♦ry. a _•d >r + $ = h x �L "_;yr '�a t'4 �'y ' '` -'-,. i'c 1-,G ;a i. �' ,» 1 t� 9;.y rta t r•• ♦ a 3 l ,x5. f �S y ° r ^1Pa '!< i !e > -y ., -.�'• 'fir .- * �� - r r 1 r i.�K, _F .�}°}° .:f�r a.` t} • ,a - T't a�,� '' r .,[Y +.. r Frv.`'' _ .1.a',. � .ia•'+ TMi r�Y • 'r .i TOWN OF BARNSTABLE UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS NAME Electric Realty ADDRESS 91 Falmouth Rd. VILLAGE Hyannis LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE: OR CHEMICAL Rear - 91 Falmouth Rd. 1000 gal . Gasoline 22 yrs Steel (Give same information for any additional tanks on reverse side of card) I DATE OF PURCHASE OF EACH: 1. 2. 3. 4. DATE OF FIRE DEPARTMENT PERMIT: 1 0/20/5 8 TESTING CERTIFICATION SUBMITTED: no /a .Ao PASSED DID NOT PASS � _*.• .'.• _ 4 ... - r 1t+ ♦ o•F" ,. - r 4 �. hey �. v a k� t. . .., 1 - �t + r. s `•ar .ram Jti ', n.'. .. .' ',f., t ..,r +r R'�. •. tit I IA August` 13,. 1980 e,f,-Ij Manager w4. Electric 'Realtyry •: t . 4 91 Falmouth Road Y H ann i s,'"Mass. -• ,� ,: F ' , Dear Sir.. T.. The infq ation.you returned,;to,"us indicated ~the. age of*'your # ergrou undnd 'fuel tank as be�.ng`' twenty- wo years ot1 d. ' Y You ,mush have this, tank, tested using .t, e-Kent-Moore -Pressure.. #< Test, rby iJbvember `20, .l98 . Piease submit'•test ng results -and their' interpretation to •this :office prior to Npvember '20,'^1980. > In ,addition`, this' test,must.:be per_ formed.,annually and the ;a results sent to this office., DFor. your convenience, we': have enclosed a listing .of, compari es r ' ,. who perform this testing" .' '"' You mays alsp ;utilize any other •cony-` cerns' qualified• o p t, erform th1s� testing. - a Very truly yours John M ;Kelly . , D .rector of 4Public Health °' w , _ _ s.. _t - a tr Electric Realty Formerly Orrin A. & NAME 9�. Falmouth Rd. LOCATION Ol1ive $ �u11e H annis MA 02601 cFanged.I& T0, '1975 ' �. Falmouth Rd. Hyannis PRIVATE USE BOOK Re PA(E - DATE GRAA TED AMQUIi T STORED 77/79 October 20, 1958 DA TE PA ID 1973 - March 2.6 WAR - 81974 MAR 101975 11976 MAR 14 1977 MAR 2 4 1978 r i L i r {4 �F r orm 77-1000 �a ` . Data Chart for Tank S stem Tightness Tester �� F Y `n� (J 21103 364) nr r� ti + a?; t1 USING KENT-:MOORE CORPORATION TANK TIGHTNESS TESTER MODEL 1000 .•y Copyright®Kant-Moon Corporation 1977 . PLEASE PRINT ` s o, s. 1:. OWNER erot>.nvV fee role v, fli � d Name Address - .Reoreillintative Telephone Tankfs) a Name .' Addteaa. - Reoresentative - Telephone r � 2 7,OPEAATOR Teleohone Name Address <3. REASON FOR or 7 rx TEST QIGtJ/V B` /t (Explain Fully) 4. WHO REQUESTED` TEST AND. WHEN,_ k Name Title Comoertir or Affiliation oat@ . Address - .. ..,.- .'.,Teleohone 5: WHO IS PAYING Cgmon or tndividual, Portion Authorizing Thla :eleoeone7 " FOfi JkIS TESTI " I nY:AgeneY ?• a 311111 Address City' $WW" iio ;ri«- ... ", AtlMeetl of: .: Order No. ; Otherinstructlons. - - R Idantily.by Oiroetron. Capacity Brand/Supplier G(ade' Approx.Age Steoi/Fiberglass 6 TANKJS) INVOLVED fram : :... Location Cover Fills Vents I Siphones: Pumps r ' " 7. INSTALLATION ~' OVD69 covae-rG /Y1ls y /�/� �s AJ DATA i ' t iMld aY- s Corleteia,8laet Toe. Slzs=,flteiNi make Oroo} :fr v "Sucnori Reri+ots.Y ' f5 pyef.':. r cr� s�+.KX4.t.;ASt� del rvnf k;+ t'4ft�rJ•,.+, .x ., r5 tunes:Remoie Fills I. Sizs,Mandoltled � Which tanks? - Make it known 8: UNOEAGROUND q is the water over the tank?, WATER 'Depth to the Water table ��"" Yeso gs, } Tanks to be filled hr. Date Arranged by. 9. FILL-UP Nome. Teleohone AR RANGEMENT$ ; Extra p►odue;to 'top off'and run ,STT: How and who to provide 1 Consider NO Laid. y• Terminal or other contact �--- `,;. _ for notiiWOi..irtaYrry �• CC)� 4 _ "- �;•� .�:', .w!, -. moshy - Name. • Teleohone z 10 C NTR , 0 ACTOR. >VVikHANiCS • ti°mvohred kiy'_5 �. ifs 11. OTHER ,,INFORMATION { OR REMARKS Additional information on any items above.Otfroials or;otham to be advised when testing is in progress or completed.Visitors or observers present a dtrmg.test ate. Tests wen mode on the above tank systems in accordance with test procedures prescribed for Kent-Moore Tank Systems Tightness Tester Model tt)DO as dsniled on attsened test chars with results ere folbwa:A 12. -TEST RESULTS Tank Identification To`ht Leakage Indicated I Date Tested Yes, IT !. This is to certify that these tank'systems were tested on the dates)shown.Those indicated a " ' ht"meet the,criteri 4blish by the National 13. } IFICAIjI§N Fire Protection Association Pamphlet 29. TLRICK-EIECT1i: l� Oat 114 AAEE Testing C cta or C panv. By: Signature . r *. r IL. i9 ,ARSHFIELD, Av ASS, 020.v aater " Technicians No.ofT B39a33 Address - -- �r 0 C le crol e- ASS* I-&//iro H 4*4& 26. 30. HYDRO VOLUME MEASUREMENTS TEMPERATURE ERATURE COMPENSATION 39.'STATIC. 31 All 38.NET VOLUME ACC PRESSURE CHANGES CINM LOG OF TEST PROCEDURES O:AT!o (WRECORD TO.001 GAL. USE FACTOR,(a) GE 7 EACH READING 27. 28- 29. 35., 36. 37. Temperature, At High Level record 32 33,pmdfd in Pr Record details all$'Ott* In Was Change Computation ing t.* Re.& , Adjustment total&W dillaction Date Roplac"(-I Higher+ (C)x(a) Volume Mine and.running tesL.(Use fall I �� — ,- . ".. .. I Time teAid Somme Lavrer tiquamiam+ Foussin(+)or Atl Level. am level compete ReWhis fe) Cootwavtiw.- Contraction I dwage"I how (NFPA criteria) Nm�d I�4- Iv)-W -Z, uel- -360 `7L, q oy 4"W - yoz ZeAez t 7a5 2-0 Re /j, Shy o77 aff1-0, C/7 .4A' of- 4 eu .57 34 J Jill` --Vr HYDRO STATIC,, Level led Level ta or-W a d*f Vol 14 'vcl�Name of SYPPiMr.Owner-or OMIe► K JlddreM.4 No atd^Sttletts) _ r " f3gr Stet a of Test 15. TANK .TO-TEST: �. 18."._CA From � M p`.. From Station Chart stciwate No By most " Tonk::Manufacturer s Chart` m inal Capae eepaeNy`ehait avaifabk �, 'l� KY <` . ;Identlh!-bY Poanion' - Gsaons - l Oebns r o Company Engineering Data ' Is there doubt ss to True Capacfiy3 ;� E6'V �L-` "� 0 ` n `'Charts supplied.with TSTT Q Brand and cords .Stie;Section DETERMINING,TANK t,APA.CITY Other T7; 3 ' 1 1 17. FILL UP FOR TEST stick readings N to X in. Gallons Total in Tank :Stick`Water Bottom J + a before FIN up / Ir►vorttory to:X fn Gallons Z:r a 3.; f Fill tIp;STICK„BEFORE`AND AFTER-EACNs`'COMPARTMENT:=DROP OR.EACH METERED DELIVERY QUANTITY;- i �?. , _ :+• x.- Product in Nil tank u to fill Pipe Tank Diatrteter*; { P P �, ; . ► 18. OTIONSAOPODRST7EaTHiNS N T V . , See manuaYo Check below ardr uI ry ,..7[ w Vwv; r in tank High water table in tank excavation. �} l/me(s);bemg test! • Vapor recovery systems " St 1 St 11 4.19 "`TANK MEASUREMENTS'FOR 21. TEMPERATUREryOLUME FACTOR (a)TO TEST THIS TANK TSTT ASSEMBLY p. Inventory Top ' 1' ''F Center 'F Bottom_'F : On Truck_'F Expected Change = Bottom of tank to Grade'... r: _. D 2Y. Thermal Senaw.readmg after circulation 'F u� Assemble tubing+30"f0r.4 L ..... ....... .. _ diBlts Nearest 1j ,+24"for 3 L o- 3r Digits per Fin range of expected change 23 cs Total tubing to assemble (APD�ximatel ..... . :diYt _ 24: = �- X ; Boa 6 g _ , /3 4 gallons S 20. - ' _ nt n c m this k total quantity. - eoetfit:re otexpens'io for volume hangs' is tan D : full tank(0) for involved product per'F Tank top to grade' ..... Extend hose on Test Elbow 8 25:or more - • IO �• This is ., (3 do,. ` �w J '. Off — CD below tank top. volume cha„tge per'F(24) } D g s per'F,in test Volume change perdi it.' test C Range(25) Compute to 3 decimal places. factor(a) co '11"Fill.pipe extends above grade,use top of fill. d' r s I ry r Form 77-1000 ' , K Data Chart for Tank SystemTightness Testers 1 (J.21103.3") Y _ . USING,KENT-MOORE CORPORATION TANK TIGHTNESS_TESTER MODEL 1000, r f r opynpl ll 0 Keht-kliean Corp«etion 1977 ' PLEASE PAINT ` 1. OWNER Property V fie.. �'L' vl. D . Al r r / .Name r r ...Ma pairs Teutnon• .. . Tank(i) ® .. .Name. ..:.......iereonona..:- 2. OPERATOR> Neme •eeiNa` _:a TeiatnonC - I' REASON FOR TEST - 1 (Explain Fully) -- a 4. WHO REQUESTED — } .f Y CompaM or ANNNeon TEST`•ANO WHEN l4li�I11 a�Z - .. - - .�� �bfaohgna� , 5 WHO IS`PAYING: - aFOR THIS TESTt of individual r Pelson Aumeniting I Tile :eiednone Adtlpp City , Sua Vo ` Al!ll"of OMar No. Other instnicNom _ Idaatdy by Obaetion Capaafty Brand/Supplier. Grade Approa:Age -.. .SttroUF.iberglass 6. TANK,S) INYE1411lI u.. . � r Ai P m Si ILpaattMr Cover F)Ib 'u ,. vents, phonN r N , s.. 7. .INSTALLATION ,=t Vo :,i�Stiut L 111111 "0ATA ;/ y - :�. .N«Ih tpkle dileeeeai. .Cdnonp.,9Nek Too - Sias Tltadi melee Oroo '`SNf at epa0n..a-- Earth.ate. 'tote!.Aemote FUN tt Size.Manifold" i - Which tanks' Make;mown' is the want over In1 tank 8. UNOER6AOUIYO WATER Oapth to the Water table +�� � ❑ rst Flo L - fy '; Tanks to be filled hr. Outs Arranged by > t: 9.. FILL UP Name. rereonond ARRANGEMENTS Ex"pnwuat to tap off and run TSTT p Mow and who to provide 7 Considet NO Lead. Terminal or other Contadt A I-saw+► ` a a' News 10. CONTRACTOR. MECHANICS k' i involved i•' f" t;- .°; 11. OTHER INFORMATION ' z OR REMARKS _ ----— --- m Additional i anon an a items abow.offid or others to be advised when tesbn is in. nY' _ _. y ptOgnea or cocompleted. ?iYiian pr oos�roen araaent 1 tint etc, qi, r Teals ware made on the above tank "Verne in aadordando with toot p►oeadurN prescribed for Kent-Moore Tank Systems Tightness Tester .Model 12. TEST RESULTS t000 as exceed an attached test chafts with roetdh ss foft": q� Teed}weltofibation T t Leakage Indicated Date Tested - AAA i IFICA This is-to corrhfy that then tank systems wen tested on the date(s)shown.Those indicated a "' hC meet the cnten t�btisn ov ana Nationsi r_ . Fin Protection Ateoeiation Pamphlet 29. I:LRICK ELECTPI 114 ME&TOiG. .. .. resting C ctor or cbmaoriv. By:- S.anatwa _ A W11IFIELD, Mt s: Serial No:of Taster Technicians "''"�.,.,, 't7 n.•T airy, �� Adoreea DL6� F44jWWO AW 91Z a tMafthe dt �gTlwN er eaeilr ....,. �„ f: ta11M 611 T" .q 6 TANK TO VEST Irrorn , to L El $ t1a11 Chart ,tV .ZVVQ .. -�pao�,,,dyK-av�M .,� EJ Tank 4Mnedaduar'a Chart T .tiMons OaMerw any Enginewing Data s Is Owns"M ea to.Two Capacky 7 �ayp~with TSTT p"�' S w .aa� Sea Section"DETEAIIIRNINi TAM CAPACITY" DMn r - co 17. FILL-UP FOR TEST Stilt tIndl < to in. Gallons Total in Tank .0 Stich Waar Bottom v bias Fir-up � tmerrtory , Z to X hh Gallon,., Fill up. STICKsOORE AND AFTER fACM COMPM"ENT Dw-, OR EACH METERED.DEi1VEW OUANTiTy hoduet in hrf laid:11W to no p111041 - Tank Dh"Oar � Z. a` v a SPECIAL-CONWIONS'AND ORES TO TEST d'k`, see manual e.ct1,;applicable.Chadt.l1111low anA moord procedure in lop j.6:: Wa6x.in lard Hipp wain tame in tsrdt excavations -s ?;:> =+ tested El vow a rewvery systems O stage l Stave it ZZ M 19. TANK MEASUREMENTS FOR 21_ 3 EMPERATURE/VOLUME FACTOR (a)TO TEST"THIS TANK TSTT ASSEMBLY inventory Tao_ F Center� 'F Bottom_ F On Truck_•F Expected Change A ■ Bottom of tank Grade'....................... eliding Assemble tubing +30-for 4-L........... D ...... 22. Thermal-Sereor r after circulation 7'di0hs- Nearest SQ +24'for3'L................. 23. Digits per'F In range of expected change Totallubhtg to assemble 1ApProxtmeta) ........ 24. 106 Z x�e . 6f/3G gallons 20. total quentity . coefficient of expansion for volume change in this tank Tank tog)to grade......... ... ..... .... : full tank(17) 'for involved product ..per'F ------.— - Extend hose on Test Elbow tf'or mwe 2S. x f0 0 i (O --T-i- _ _ ! Oil This is below tank t volume char4ii per'F.(24) Drgrts per'F in.test Volume change per digit. test °p"""""' ----- Range(25) Compute to.3 decimal place& factor(a) W 'If Fill pipe extends above grade,use lop of fill. yp•p.I6 w.v y +L.h"7'-"t ,MIli$ � lA�'"e' "i�'�^t'Tr } 't' '�S.`.� 64 �+M� 1 .. G'.., �`11b ! .C",'.. '< } 11041 � . rvll�r 4rip-c i gZ�nLMeWtl sr. �� s r � ss. 2B. 3V Nrimmure 31. YatiNY�E 1AEAidAEMIEMTE 34' TEMPEOATUAE COM►ENEATHIN. 38.MET VOLUME 39. A M Q LOB OF TEST.►HOCEOUW m AECORO T0. wt ME. USE FACTOR ht .... CNA EA CHANC< w rl VLCON •a�� EACH REAOIN6 27. 28 2S. 32: r�.r.0 i 33• R.r.e+ 35. 36. 37. TOMPMOM At Mo Law p R�aeFi�biM�eE liwl t-1 Tbe"ow Hiom++ 1. Yo any- }�IInv ;dewit 714 *ram _ — ar ,� ?o i d e� L Y p 8`f .� y ,o�1y .7'Iif I //` YS off Z y Y 0 s.z 7 .a7 7 - 1/0 o • �?q1� �Q �i �ttvt:�• 3 / � 12. ''19 0� 8��': �'�. .:o -,oD `T'o �z u<� 3l t2 :Z6 .07 f � .o G . 00 fit• cL.. 4r 02. TOWN OF BARNSTABLE OFFICE OF 1 :(BAIiA57SBLE, MA6®.. - .BOARD OFHEAL.TH +639• 367.MAIN STREET \ 0 MAY HYANNIS, MASS. 02601 February 17 , 1981 .['i-II,RD REQUEST Orrin A. & 01. .ve B. E'u1-1e,r 92 Phinney ' s Lane Cent.ervil,le , Ma. Re : Your ondergr.ound. fuel storage tanks loca -ed on Falmouth Road . Hyan_ni-9 Dear Sir : On. ;.March- 11: and September. 30, 1980, you ere sent :t of the Board of Health Regulation for L1I d r:�I: . and F 11oI Storage and a card to fill out and r(-:�turr, 1 . s t.i ng J ci f c) concerning your underground tanks. - You have not returned th(--1 czi-d hur. .ac } no-wl e dged o u-f1.;- : C--. Town records im-.1icate that 'you have .siQre fuel 17 ide,rground. I'ie.�.se be adv=t ` cC� i-.i',,� 7f Vi;i ;10 -'eturn the enclosed card w:Lthin, five ; 'J � d s t ep c, i taT:en to revoke v c,u.r peEy)pxiit .. pp iJ )3 + z'tt' l+_ t: QJL taken to have yo-mr tanks e-!.itral ized o.r r0-M0 e<., You are also reminded that any tank f 1 .1.(: C•r"! - older must .he tested by t,---. Keni-Moo- E t', su (. TF Si..o 1,'1 t' i r?mpty. tank :nay be test.eel by a 5.PST A.,.r e -s 'fi e: ! ` resting mijs be dons: i:nmedia.tely enci o sc`: C_'ard mils t tt + '; .led out ti'iCi �:'"t_l_i?`t l C) IIiC!i 'n f ... � t Very truly ,, ou_r_st �i5 t,n M ue I l 'Lir. ector G PL.1:x11ic .�. �cirrt 1'-IGOU fData Chart for Tank System Tightness Tester z„°3.3' USING KENT-MOORE CORPORATION TANK TIGHTNESS TESTER MODEL 1000 Copyright©Kent-Moore Corporation 1977 PLEASE PRINT 1. OWNER Property ❑ & !Lc- C ��lC ? I� Name C dress Representative v ��"• . .,Telephone Tank El Name Address Representative Telephone 2. OPERATOR Name Address Telephone 3. REASON FOR TEST LJrJ r xv- '— (Explain Fully) 4. WHO REQUESTED TEST AND WHEN Name Title Company of Affiliation Date Address Telephone 5. WHO IS PAYING FOR THIS TEST? Company,Agency or Individual Person Authorizing Title Telephone Billing Address City Stale Zip Attention of: Order No. Other Instructions Identity by Direction Capacity Brand/Supplier I Grade Approx.Age Steel/Fiberglass 1 ^° 6. TANK(S) INVOLVED E'1 - goo d Uci9� 1 Vl) /?S i j Location Cover Fills Vents Siphones Pumps 7. INSTALLATION oae?L DATA �FI/Z %O/� I I �C� �. North inside.driveway. Concrete.Black Too. Size.Titeliu make.Drop I Suction.Remotei"V Rear of station.etc. Eartn,etc. tunes.Remote Fills I Size.Maniloltled Which tanks? Make if known 8: UNDERGROUND Is the water over the ,tank? ?: WATER Depth to the Water table f Yes J,V> No Tanks to be filled 7 hr. Date Arranged by 9. FILL-UP Name Telephone J. ARRANGEMENTS Extra product to"top Off-and run TSTT. How and who to provide? Consider NO Lead. Terminal or other contact f0,�'Ayc2L 0/G. for notice or inquiry / Company Name Telephone 10. CONTRACTOR, ;_. MECHANICS, any other contractor involved I 11. OTHER INFORMATION OR REMARKS t Additional information on any items above.Officials or others to be advised when testing is in progress or completed.Visitors or observers present ! during test etc. Tests were made on the above tank systems in accordance with test procedures prescribed for Kent-Moore Tank Systems Tightness Tester Model 12. TEST RESULTS 1000 as detailed on attached test charts with results as follows: Tank Identification I Tight Leakage Indicated I Date jested 000G cx/aiL E 9B Z i I I This is to certify that these tank systems were tested on the date(s)shown.Those indicated as"Tight"meet the criteria established by the National 13. C RTIFICATION Fire Protection Association Pamphlet 29. ELRICK ELrCTRIC, 11`:C. t 1 96 Z-- r�_e 114 MLET1' G H01JS L. , J-49ifik Date �- MARSHFIELD, MASS. U14OPQ Contractor or Company. By. Signature Senal No.of Tester Technicians Address 14. ��l l ey `, -c-. (z/C Co, l� ���l�;'C�!/i� ,��i,'7 �J Jc�ryfy�S ��� /��%�Z ., Name of Supplier,Owner or Dealer Address No.and Straet(s) City State Date of Test {F; 15. TANK TO TEST 16. CAPACITY From C� Station Chart (9 ^fl �l C^ /� By most accurate I l C, Ci l/ Nominal Capacity O� 1,l-' capacity chart available C. l J Tank Manufacturers Chart Identity by position Gallons Gallons Company Engineering Data ( ;K 7�(jL/ !Z Is there doubt as to True Capacity? l� Charts supplied �with TSTT Brand and Grade See Section"DETERMINING TANK CAPACITY Other 4W I dls/ 17. FILL-UP FOR TEST Stick readings *w 8 fl to%in. Gallons Total in Tank :) A Stick Water Bottom before Fill-up Inventory to%in. Gallons Fill up. STICK BEFORE AND AFTER EACH COMPARTMENT DROP OR EACH METERED DELIVERY QUANTITY — r Product in full tank(up to fill pipe) Tank Diameter C ;T 0 4 = 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK y L n See manual sections applicable.Check below and record procedure in log(26). p f A)0 n 0 dWater in tank High water t ble in tank excavation at Lines)being tested Vapor recovery systems 11 Stage 1 Stage II n Z M 19. TANK MEASUREMENTS FOR 21. 'TEMPERATURE/VOLUME FACTOR (a)TO TEST THIS TANK TSTT ASSEMBLY � Inventory Top_'F Center 'F Bottom_ 'F On Truck_ 'F Expected Change =6 Bottom of tank to Grade'....................... r D 22. Thermal-Sensor reading after circulation -F o Assemble tubing + 30"for 4"L.................. digits Neatest + 24-for 3-L................. 23. Digits per 'F in range of expected change 3 Total tubing to assemble (Approximate)......... ` digits. 6� 0 24. C9 C/ n x 000 '� — _ gallons S 20• total quantity coefficient of expansion for volume change in this tank L7 full tank(17) for involved product per'F D Tank top to grade Z Extend hose on Test Elbow 6"or more 25. /° .�.666 j cJ� / _ 'co CAP ThIs is A <O volume change per'F(24) Digits per'F in test. Volume change per digit. tact below tank to fJ p''•''''••••• ••••• •• -•••• Range(25) Compute to 3 decimal places. factor(a) O ca 'If Fill pipe extends above grade,use top of fill. IF ,i � Ayj ��r •r Y� �R Ft"'JIlee, </fc A! c 30. HYDROSTATIC 31. 34. 38.NET VOLUME 39. ACCUMULATED 26. VOLUME MEASUREMENTS TEMPERATURE COMPENSATION LOG OF TEST PROCEDURES PRESSURE 1.—��� d �r��/` Z CONTROL (V) RECORD TO .001 GAL. - USE FACTOR (a)e.... CHANGES EACH READING CHANGE 29. Standpipe Level 32. 33. 35. 36. 37. Temperature At High Level record 27. 28• in Inches Product in Product Change Computation Adjustment total and deflection Date Record details of setting up Read- Graduate Replaced(—) Thermal Higher+ (c) x (a)= Volume Minus Time and running test. (Use full mg Beginning Lavelle Sensor Lower— Expansion+ Expansion(+)or At low level compute (24 hr. length of line if needed.) No. of which Before After Product Reading (c) Contraction— Contraction(—) change per hour p • i Reading Restored Reading Reading Recovered(+) (v)—(t) (NFPA criteria) r� sc C% �['�� �/ ` Cyr dF�E/'t-[�' - F c� c C�C� t9 9 Cfi9 3 0 67 yS Fe 'It/ � ���eL a ;3y ya /.mac - ��� �v3r> /32c6 3g � a1raY Nc '2 � - G- /r32�b */ 05�g 31 7c-�`�r►� el 2,6 r - c 6 vo t� %`c c _'r1i�� c , .t.v ��ve �- r /, y /� C,�� �2- D(0 32C..l 1`1 :D. fits oa /z / i i�L �.oC0 ('L) 3 /3 Y_ /� 0 �nr f� o7sf .c0oZ i d 3 /� `' (, I- OS `/ A17 p-��e 0000 -00/ 1-2 i.331-12 4/5 o756 �Y cm r ! 4' •ry� F � _4 ri; I r .L.•.,`4 •t Y �, _ ;. t j.• t r � 'Y '�' Y�+2 4 '- . Y . .�• ;a ,t � � , a J 7 , t s.r, •S ti . t• 3Srf tc•. '� .;� Y ytr~i.} , ° rYs '� i,+} ,§ f:n {ale# r<-.v i• ! _ ,s•�J + w �' .,h r,`, ''r-i .,+, � y 1`" tiK r, J� X .'�^ r+ h.r � !•j'y r {. `r'r '' "+ .►,, � �� �y ! rR ++S _� r .. nw;.p w.•+. V 5k." 4.r _V f ,. ,. _ ,., y r, �. t.." .� sr� �*•. F ,` •� 3 �; ,sL -� ><• �' ,'f e � _ '�� � t) i;+iJ -� � t A'%� ,w °t�'•' �•�+e L.-1 '~ )'� .r•# ' . �'� r�'- - 't ,ti.T .k _ `' , x r•y " a k ••x,,?w 'e a y ,�'': �`'�t•.. 'r• "f t i '� •`w L, X' c $ y�' t� '„ t, +a,.t� •` ry��` - a � f +s, t1�,, �tv; •� { a ° '�`• tfi, �,•�? i. r '* w, � + ..� r. {k ! f p r , r( iY4� y, tr 1p+'+r.+ + - � ;J i, f ,'i.: ♦ 5 , 41 ,. «J" .?. t f �• 4• xd 5f'. t f, -•:ti #,�i6,, �- :'f 4 i r *G �ti+.. 7• F'.L e � e,.. .`�s _r`.."�,.. , �s,h t �k y s t. , • � 4 + ♦ �. y i v 46 August`19, `1982y.. 'fS'. 7.. y i^Zy n� ' s�J + k t ,�*.. r} s y ., r Y G. •w. ...y i ` .�y+; _.tr ♦ s f,~ a ,�` 't+„ .�.•. 5.4, k st, •;.f" � .� •,r s•"3°1 �' q- ,I wt3 � !;a• si•.y:.+.�•t' ..:'a'r� 4t• �'d`t �a .�' ,� 1• 'a .�7 ° '� s. ♦s r)r }' C !H� •,.�-r - L.:-['rw,.v. f r •Y ;' sS tr "r t ry rr 1 1 {. y:; + y•,� ,- 4�, ♦ I.+. r+. }, a°' •t. fix, t r r. d ass,r tk r i,¢•.. 4 '"••,.. AS"•. t "'..•. ''' 1, } ManggBr i a. ` r p �•'.�'& ,n {'4 ,;i.'. YJ•s X}+`„rt r ^: .. = +■ ., ``; 'Electric Realty '(Fuller ,Electric) t-'9l Falmouth Rd ,. , .�, { .r ; �, +` r"` .�� �Ss Fr { r� t r rY.. r � ` t�l { w Hyannis•, Ma tt,. 4V',6; 3, t (a't• ^t ,�f- ♦ ,�.-y '6Z� iry�.'4[.F3 •rF i 5,. 't �' � # {:+: •�+t �: :t✓ d+a<+�. ." r l..' �+ . �>,.+ 3 :7 �` �„ 1 •of t ;yt w f + 7' ,•4 -i� ,,{ t t.. yFw 1t ,i Y�•~ t rr t + X r.. a{ )• ).< i,fit .s� F •s a.� f , e,r �*ay.' pt..- l+A {�+. - � + y.irk;'., '+ '"r+„" e"r r ` "u`?'•4 f rf •,'�.�t"i L w r .T {f ,$ ,.�+ �,fy -t .., •Rear Sir � "J4'�'" y.:? M -_ r r�' try�• w<�tn.'t �{�,a v�r++, t tr•� ,�� r..r•$ l °f •� - L 7-•-,� d 7',J,t •,tc'� � .f• `-* •,± •s ?•t.-.; '+, + * .aq ,,. ,9 ., , �,y;y �. , < a ,�, kv s �•..ap , .. Y fx;over..501 cgal` ,. UnddB cued fuel •tanks twent ears,.old thatT havai a ca acit r o Ions;must be`tested each year for leaks The'Kent*Moore,Pressure Test pis 'the,„ #r F> pre' erred test,, however„ an empty tank• can Abe tested by .a. RSI)air_ .pressure," Ed T� Lest{held for a miniirium of two;'hours: Z'Yie air'pressure-test can' only.be done { Y' ` on an em t(f ttank n andis k ot' the-prefe reds test' a' { ,' f ` }. P�y [ d � >;, r r• 'a � :.•' C v t{ ,� r� # �i'�r t 4 � s€ "+.a•• s+3 ; � ...... J g.. •, 5 ;.,,,. r., � +TrS�c�i�'i � R•?Y. �. � �t ar.r,f i "vy� 7, ''tti, i. q�� T�},ry` ° s +.•� ;'- t •, r Your..tank.is twenty four years old and was=tested'ron .September�22, 1980 { ' � .• L 4-'�•� ua#r^ tr ♦ ) �� + � + s ti � !..• l +� rr�a; ,4 "rs -a,t,� ..' :.•a �:j x+« ( J.,�r a F: �f. �w: re��•�•� iy°fir 1•" '�• `jrs, .j.►` 'T' ��ks"� t`You, are directedt,to have the.tankrteated�by�October 15;� 1982,+ and a copy of theh 4 � ` •�y. .:.<d. ,• * - '.•, t .. t +�' - �-.� ,, �r,r•..gf �t4•do•,t`" r�.S 7�:i �.r .+ ' # t results must be sent .to the'Health Department .Y,L-j sr,L :,.rr 'a,t_ r r + z', J _-�f?'�,� v "�i ' '�,ii& t~.6r,` �+• ' iF' F•' . - a J C� �� j-.. ,,.,a :Ct 4 "''+�.,.j.� +�"`_; ,* a lure to Piave the..tank=tested' could';iesult in.&Ifine,',of�not``more:ttian� M. Each separate days'failure to ;compl'y,.with fan ordershall constitute a'separate -' rroiation. r<. i A_ r4.yk *P`' n• y ,rt tfi{}Ff°•}? i+r. a -`., F 4� .,ns �* �j '+ `�' :h r' - r4 a t `, rr a y,t•r, •r •. V� - :. F # t ,.''. d 3.fi i_ r ,...F.w ++, ''. r, rt;•` h •. ,7 tr1LJ We .would appreciate�your�cooperation in this matter so vtal 'tb the water. ' iqualsty' of the town' <'+ 3 a A: sc t r v' wti)y+ ~�t :� s' y 7J• .� 4 Y (tiY a •ft 1 ... ,�• � � v� .l:,. �[''t.,, r� x � «..r .t r P`� ..� r r t. ) ,;! .. �� �° ♦w't` r r �iw�'�`i z 4� d �. � a $ ease ave any•q call 'if you Lie stions 775 1120, extension 182. ,y ` F .;c, n + +.y +.. r« r •f. ,,f .• r+, r t ':, `•j r t !x t -, iJ i •... -, + _j)� i-. � � k�8 ' �:! r+• i {,.t ��'�� it 1. '+ rr'.' '»r•t t+ K ie a, l: .ij ��•, J 7rtf c X i-h4"' s i. X Cti�„♦ Y r 1Y'v Very * my r5,. " +!, i. h t $n ,r ? \t "d t w , .. x "t ` t,t.s,� •.wt ' -:.k { - t :" r rt t� ! ♦ � w' h. !,t + r 3 Y ..,, ,4 `,�+ � .:, r '' ,t 'I` of � � `,i # sM1r v 'a !n i ' • t` .. w ,. .' r .•r `+ r s .• ' .. � sir 11 �, rS `� � e. 1• '• { � .+c >^ K ert L.'+ C_lllds rt C' a rman- ,J`° �"r.. '* S � .,,a : � Y`.4 k � f �k 4 j �, '». .�{Y' MXax)?' p�....!' � t t• * s,. �'�i .� r 4�7�ya�� 3 .. N. v tit ^° � :' �. .` •, , rx �• ,�. ,�i r+' S r F '� ; v 1{• �.' .. h Y w,fi ,,G j�., a r a_ n { f*X .�'k ti -f•. k. •• � � v, i ' t°c�'�'&�. .A .w,4., � :��* 4 ;� '�i a e .S'i ,t .. ''� a,.v T $ �J r.•^. G{ - �3''"'y�.. L r' ,: a Rk �P s 5 t ,' 7 , '4t *''* r +,K. k' 1 f�'.n 4t.r y ,p rl'... "R '`� h 'n r,i i,.'{ f r •�4 f.�. •* f� ¢ '.. �L iffiba ri,+Y, - •A 1, „ •y. + 7 s'.w J •` .f t+} ' •+Y w-,E ! 3.. _ 't'" 4 y ti i.: a .f t s g .a 2a rt ;�•. A ti * n t r` Y �{Y,Y a •, y�F t - - ,.� ,.r .J ) r Z- ' J♦ tv� +. G _ r t r+ tVr'7 * ` r..4 '•a /SrY d. fi e: �•'r` r ql• ;� )y ; .,, .K +rt Y t. ,�'''4 ,t,X :,yr } t g� ~ 4 t .t i.;`aa P ":•r '7. T♦, H.. F:`In D. .' "HEALTH' BOA OF: , -TOM 'OF BARNSTABLE t. + any •}. ,� +. h, w � F � ' { , Is 3 14, ``r ` C rr ,J:n r M k .5 < .� f H'y ' r ) , t Y y• .a'�• * ar +�i. *• ''+, i. kc'2, �. i `- ' ) ' ; 't.�•. _♦ -� tki' a t.L14 J4. d tr J � tiT _r ti• ` t 2 h J� . � '"• �<4 �~ _+•' !V� w Y.!. 3� r4 A '�..� Z e � ,,r -•"1 a .g •• ; .t J r•'r � =.r a r t �t ,r. w rZ+,� �n•. + r• �;;.•4 Pt „'. + rf. 'i � -L.! �i -� a�U. • `� .s � a y J ' ..{Mr -r +A• :.:,+4� .7 1 - ..�. 4 � y'xJ�d e } ,,{ a• t-y'e t { "{• 3 1'1,r. '♦ - 8 s rs 'w . + r; .t+, d s ats•` )•) _ j �t'� � •c t 1 cr,¢ i _ •r + .. < ,. �t+. r«. air s ti +. '• s• I:: Cqr rT .{... h. ; b '�;' s �' .i' «.._L ra +. n :+ J .,} ems• � {.� '^ '" w , d ,° t.t+ r<16. :-� ;#• h •� .,. 1'9r+ '', �.� - t ; .r r , w r, '•j• i+ar`.w�. r er_' ,S•._"' .t. l .��• r.T., , -`t. t ,st�Ir F +3'yy� a" +, 1 ".T1,. ' ^.l.'.. ` ..`. •,>.. r...a' tk" }a'� •,r,�.'. `t�'K '��'� .. SECURITY LIGHTING ELECTRICAL SUPPLIES ELECTRIC HEATING FULLER ELECTRIC CO. ELECTRICAL CONTRACTORS SINCE 1944 LIC. - A- 7192 91 FALMOUTH ROAD, HYANNIS, MASSACHUSETTS 02601 TELEPHONE 775-0030 Oct 6, 1983 Board of Health Barnstable Town Hall . Main Street Hyannis, MA 02601 Please find attached the results of the tank test for Fuller Electic Company. R.L. Lorange �1DR""TF��yy�gY a� q�.. .C�^✓Tid!'�','e� ,'z' Y'�'�G "IW"�'G'�,_ .:�; �. ',,:,'T X � .y??�^:...1w �ty_.,..yt',.1 .. ,5.. r X`:'?'):"�� *.,.� ';"i�i t".'k:� ✓y,. j„n�i, F ..1 �C��.,:.' ay� .l...-C .:.-.r e - " � - .. .4 f>- E',3.' - '44 { Art; L�le 26. 30. HTBIWSTATtc 3i' 34. 38 NET YBtUME : f 108 BF TEST PROCEDURES PRESSINIE: tASUREMEMTS TEMPERATURF.CONIPENSATION � { jr R6cOR0"TA.Be1.GAL, USE FACTOR'le)'.. CHANGES CHANGE EACH'REA=G 28. 28. St aple.tarot 32. Pradaet�, 33. Product' 35:' 36. 3T. TamP�ratara At Bit tawl:neard. Record details ei setts a a CamPutation Adjustment total and dill"lle" IbtB Raw 4radaaq RePisced(-) Thermal + (c) x (a)= Yoto�Mlle!T aed'fUNIkRp ten �fe hN Bs9MDW4 twetH Bran n.' Lower— EePan:ion+ Eapaaaiw(+)or At law twat eawph (24 length of lily'if,, f needed:) Ns. et r•A et. Owe After: Product' Reading () Contraction— Contractlem(— Mw 4 ® Raa/iw♦-. Rettmei Resi>fag: Rsapine Racerered(+.) c 1 R� NI—Gl Ia�A«HerFa) -• it ri W (�d t s~ �l I `� o u� r►". ` .i eta ��. V � t' Fe ti r° T o��a goU� '� yar ��D'0: � 2 3 0� . 1 z.. 52IT 3 ktf" moo. yZ,r Ou.t aY y Z o Z 7 " Ito oo V , -eve G Z ' oz1 voteor k - Q� yr( � 9u "' o Z i e o i oOro ,�Z a L� a:,VL .Z. L D z 6S 9 .olg t 3Z. NLem e IV r. C L. + Q� ! $ t 7 rd IN Yr - Xl` - •r^ x ,� Ot S40Ptter,Owner Or tlealBr 'Apd.ress No.Htd titraatts) :.Oite,d is 15. TANK TO TEST 18. `CAPACITY _ Ftom ' StMion Chan r . y By past seeurste s Tank'Manu eetttra a Chen 1 R Mominei capacity 1 P9P�:tJ capcity chart waliattle l ffA o 1 ok tdent t o Y by posllien capons ttHtons ❑ Cot!!AanYYtlesdt Data t^/ la there doubt as to True Ca rt T 4 '. .49Av Y ❑ ❑ Chute atpphed T ' Brand and Grade See Section"DETERMINING TANK CAPACITY"b. ^�0 11: fill-C1P FQR TEST s>�k ' r . ,. alona _ y, ., te)1i d iota)in'tank ` I! Sti�c Water Bottom I' before Fw7uP i to%in.- P Fill top.. STICK BEFORE AND AFTER EACH COMPARTMEii1T DROP t r OR EACH METERED-:DE tIt/ERY;'QUANTITY 1 Pradu�t in trip tank(ug to lift pi ' Tenk Dia�ei '. .. _. t _... Y j }3 1$ SPECIAL 'LAN fONS'ANtI from 9 TO \ 5as-ma►wt;sacttolta apolicabte.Check.bslow and.retard proc4daata M f26} ❑ Water in tonic t{ighws4pr iabls in t.nk n O ti�e(!t)being testedQ Vap6►tsiovaY b► ta © taDe ❑ tpe 19.- TANK MEASUREMENTS 'FOR 21. TEMPERATURE/VOLUME FACTOR(a)TO TEST THIS TANK TSTT.ASSEMBLY , . t * (nwerttory;Top 'f Center_'f Bottom�'F ,On.Titetc_s F` Expected Chmipe�b.; Bottom of tank to Grate ..... ; x f 22. mat-Sensor residing after t ircttfatfon-. •Assemble tutting+30 -- F 777CCC X "ttrr'4 t.. PNarut 24''for3"L.. a vane of expected _ 2 3 fin tpCel tubrrtg`to assemble-1APP►oximate)...:. t r ,Q' 24. O X. 6 r E gat�o,ts r 20: totai�quantity ao Ciatt of tatpartt+iort for troiwtte-change in dtba tank r t Tank top to grade'............................. p� .. Tw Is FaRenda_oseor,iestEitioYY6` more. •>25. t ,.I�_ - - to►awohred per F _. .. _ ,. hilt 1 t> volume pw'FfM) at .a tart VOttitite t t Q� that ;' .. ... f t •HIM pipe.extenda above grade,use top of:fg. � t — ss ! F .H f ; ::;,�.,.-va�x�.::._ah.�� ,,r � ;, at ..:�- ... -r.- .:a .. .ruk� r. �: �.•,�..,r.t<w,..,e+.a.:�:,^.,�.:,..,.._a,.u'�...=x.. _. Le3:air...r.�c �.:,.�,...�,i,.a,e.,�_�,rzF:Ar�i•#�.a,.li,.m..: ,sir�c��'�a''�a�:�Ysee Dau # fog fio k t T t Test f Fwat.77 ,moo :�r.. N Z,1ti3.364{ l USfi�G KEMT-MOORS'C,ORP�RA.TfQN TANK Ti' HTPIE.$,$ TE$Ttq MODEL 100 ; SE PRINT COW01ght O Keen-Madre Corporation 1977` OWNER aroperey + � —'re r . -.fJatme .. - .: Aadrep , ._ RePfeeMtagre Tek•Dnene Tank(s) N1tia - At$Ofeee RMalenntirs "TNephOM -• _ �c� OPERATOR ' • Nome ,. ._ ... ,. ._ , 3. REASON FOR t TEST I� .: (Explain Fully) r TEST ANO WHEN' Neaa IW cant""of Artitiadon Date Teteottate F— WHO IS PAYING FQR`THIS TESTt QO"! !•."w^cr a tip, r+ee t p T �Z a AflNlnerl.Ot:.: r flo Oats lnsttuMtoni . 1 Oheon Cap", BM"ifS M ai upplier Girede Approx.Roe Steet�[Fi 1 4 #g TANKS) INVOLVED � e. ab �F : 6ocatWn Cover d f9Bt Penes Srphotaa # 7. IN;TA LLATII]N [ }� ;r/ .r r. DATA 46 ` momyy f/. u InffOi d dfNr.war. Coneray.Black Too.. 9iZb Ti tef111 maka.DroO I - (. Suctlon,Roniote, : .. float Of etatipa:'de._ �. Eerm:-,eta ttt *C Bertha Flh 1 Size.MM±foteW._ Which tanks:? 1 N_••...e i!�'MwR s 3: UND.ERGROUNO. Is the m water dyer e tank] WATER Depth to m•Water tabkf�a't' (� yea No Tanks ro be filled hr Date Arranged by + a/ 9r FILL U,P Nam. Teleefoee 3+ J r4 ARRANGEMENTS Extra product to 'too off and run TSTT. Wow and who w prmida? Cortatdllr.NG1 cad:s •-- �b a Temt naf or other contact ` tor.notice or Inquiry ` Company Name z ... TeleWWne �,} CONTRACTOR, F MECHANICS. ' any Omer"contractor �r u involved r« 1� -OTHER - INFORMATION VZ&400CZ OR REMARKS Additional information on any items above.Officials or other to be advised when testing is in progress of rompletd.vsd o ob #*$during,test etc. present 4 ; Tests were made on the above tank systems in accordance•with test procedures prescribed for Kent-Moore Tank Systems Tightnea Testir.ModN TEST RESULTS 10010 as detailed on attached test charts with results ail follows: Tank identification TAV ight Leaks Indicated 8e I Oaa T �. "4 } Est 'd This is to WON that these tank system$were tested on the date(s)shown.Those indicated t"mast the ant a abtished b the National CE i TION Fin Ptotection Association Pamphlet 29. 6 te' .; M.-Ma t t,r,' e;; Conna tCo n . B✓:: Sipnaturt ".. Sofia,No.o{Tsatsr achnitierle R Y sr ~F(#"I ► kooress� j C y; y M1 f Fh rC ' •: ,,. r i •. ,r ] }.sr t;4y' ,.a"'Sx •'sg`' 3 ,�, S ';. e S ,r "' s '"` z _`u .• 4, �'4 � r �' , t;r� �r�'' •SL 'r#.t .r;: ,f � .ti.r ,,,. r u a; ,., ,� t y�, « .S ,� t� CL4 rs s- -A 7 , t3 :." r �. " a, rJ r _' •`�.a ;^, r•�.i;� 'ee 4� i t ry t+ +: 'S },' . r'' "C a' .; I} `•Ry, r ..: rJ. 3 %:Y - ��. ., . S}` ♦ .' a rr '3ti s ,Y 'xi>< •£``fK - rH - 7r`,• ,r, •• �. `a 3 { -."y L �. .1`, .� �t � �'a .r e� _�,, y. ij f� y '� _' yf, ,. #+ � { ..• t t .�, � � ` M+a L]x 1 r 1 i i.a' f,5� r ,. ..}. '"` .. C- •,�}t.] �s., i. .k7 4' ,.. ,�: [' ...3 � r'r r°�" h Lrk F- '� r , .+ :.r", � .,,.F." 1- r �.i�' y r-'-tJ6"'✓ r ♦ C '+, •s.=r F �'tYr�•, k,Y�r ,v' d �i'r.s y .*a'` ra r' tit r .Y: t 5 rr v f a1 '{Y *1. �_ • 4k r M"• s.5 4 •i.Y' y ." i i. _4 '�, 'y t h C * :-t a..,r, r {` •+: r # i` - r`ti o r rt * gr ,.4 �• ,�v:. :.- .F.1 rr1: .7 ti` ra �. '{',+;i� �`�' .1 0' �.C. '� t a:.. e `' y5- , j ry�4 v•W.s. � � �: �' �•- Y' T,• ."ye.:' 1•ri"'pr � '. .4s is ,�. r; .•''� ?•j�4 �'t..axe tt��e"-rs 'yr y:.ray�ti v-.� E.ryL�e ,.{r rr�.+ti .`.G, �T_ i z S �.s,r r ..,] s'.,arr �;rs . .ra`,y'9 _'-A { ati' Y � � 'ti,,ry: �`har s _ a :}.� }r r x •�`?.K 4a> i r•.k t r. .•.a .yy.. r ty r"i 7- ht +„ sw Y.: rs• ,�, *5 4. r'ti .a G'F t^� ••} a � �1 r .v.�`} y 3' c•� e .�1 ti r:t;t. �.✓.' Sa _. i �F"� � � ^�"fti � �.� � �a w�� s#:a �'`� y.'' t �,s yet fit.. •.'7:' r Er;,rt i c� t t ;t'C•t a a .'� s r Y '_ 's 7;.t' �l` t.x �, •.,;£a✓ h.�`"`•L ,,,s'°'..."yip s� � .<e k e at +-; � .�'+`'P�' it. aarl1 z jj 4 , 8 t ♦y 6 ; 'a ,n.'s *44 7� ► rr K � 7! •,� 'r � r t -i� •• wL ? *,aL ar � � � pZ;- t>s i:. t ! r n -'4 "�R � � t ♦ 7.. �r ] ,, d r _Y 1 'H t-- t r,• rtr r yr � sKh' h, a �d� -� d r4 ' ;�,a�, 5y / 3 �? � t- x -.i" � i h. w 4 ., � ," S•,„", `�- �G y,. '�.,} � ++ >". : ar ., r.� !.- r.• y .f� s. ° :t rF� t.� xi SF'> a'k, :. [ a, " n r R L��r J �,7" L•".)• - xI. • .Y o b+r'. n {sY,r ,�„- k r� P r�`J- K �, :- t {'!j wr n � '°�"s.<LP•: � a r•� ,a+ a � .x L a u ♦ 4, e rt,`" e�:., Car ,r. s - ti�. T.. J r .. � 't: b r ` , y� 4. s sa .x 4� yj.4 ♦. }* r t•• `ir,�per��xa i' rt r = .t. y i f . `Iunager 4 t. .t l A,, to {' T l a •i 1 u'.l 4Y V r � ft 5 w'^•i frv. '{ ,t 7.f J b • p-R y:A �'.-[� ; "'"`,,•1G h rtr 4`✓ i,G,lectzic ! r q ✓ k Falmouth Raad-* �° ,� , r r"i ks SaJ " * k " � i� *` ,� ✓r 3 r es Hyanni s, r i C, w k3 u y "•S J 4-.1 L z a `r,, r '� t� '; r '1 `+ r ; `'j L.,.•,' R,�r o - 7 ,r'•£- Res Underground eFuel Uii CS at�91 F imoitth ltd,, ga�xsai S w , `` ` r r'.'� m 7==r,t�"a J�r ,,�. t: ] 'R 1 " <. x� �.l-1 y ,.' y,. +. 1, r +,a •;a 'y` }�'' i}ti. r S V _ •'' 1'xs. °� a. a a : r fi." ei/ > ,v�'y- ry s`..ye • i ti± '4 r 'rt t� •���.5 s J t 'a�.. '},r• x t t .ry -4i - ..T a > >t ?•' ! �4 't r ✓ a -De$ru^Sint," Si�i - 4•','_N ?�(* `T' x r..'' rw :1 .• C _`'' y �._a f ap `a_ r '.r` } y, # . :7`i~ ^ a 7 .�•..��. •ir-a aah -gj, +}";7 �3` �- .�`^% �ltl 'i ' °`'�^'`+"+. -"t'""x],h ''.,�,'b, } rt., r•: a lay j -t•- t: f r '•:, t' S. �s � C e♦ r ,.i r" �-,,y +�„ t •5'.io� *�� ,C'Err '�Ciedr -ti`-r 3 .♦ ,sax °,�^' A'r�'r LL,4 5 # F, r'.• i '+t i �;;rd t�K` j,'.. *.1 are remin that underground,fuel t$nks; twenty:years�``of'sge`'otrolexr r 'thaV have a: capacity'lof. _ r .over `5t34 gallons must be tested;each ' ear for desks. <`, h r xr 2he`kii t Moore"Fressure.Test is the'prefe red! test; �Rowever, ao'empty tank' 4 can'-be. tested by_' a,5 PST..Air te`s`suxe Test> illd� £or'a ml nimtttu-N'of' r .� Ywe hours. , . 'The "$ir;pressure•test,,e$n 'only :be done on#`an etnpty'L nk 'and is-not the ,it ,'r �`x prefezred test. •7 ,. ' . ` a ti s:, - t 11' •. <,rA`. w _ i } l £f :! ��'..'s t r A � '� c t'r „ta i' `•_ , 9 � pur tank is ofµ ,,�� `> _ ' tya.�Ilow •gBgL�n W@St�e3tes �lly,aSE�lt�.}3t�? �`xZ ,a� _g .r r a �r ,. d " .� t s o-f a .< * t•c .#, `r t r b -' s. •C 'a. S - � -�•d a�eF 's•rxy ^t" MS 8 ,C r.i ��, "r4 L ?, •4,• ,�, ,, �. ,•fr•: a a-. L"4 yr se r'�,. r :„e y.Vs.,g f ••s # r _ s y Y, w;- 7r Y o tetey again have]-the lovEmber 41:. 1983You8r$r dixected t ,_and, { S«L , Copy O 4th@ESi1 tSmt3St2 88i1 ~tCO't�3 S r'pf fiG� fq� dYe�Z?$r'1.• i w.. ]1 � /" r4 ,�'F - n t - 5 s- .. '"` :..'; r'_ >4�' -'d > t � '• arxe &' i if "� *',� f m yailnreti to,fi$ Ya Yehe t a f' 2rez. Of.rTtt'more 11 it iAt"te ted,couldres .. 7 � '' v ? •" a r .$200. Each sepsrate dayf 'a h„£afivre toro� �}withan;ox(Er. k `0II$Liute 's , F � $•-separate,�vlolation:7,7 �tA. - r�: 4L � a' s .. a � i. <, � y, `f,'S, �a ^• " �"� 5 +'� C rah-K;yr s 5 `�- r.... �s � , � a t'!''r '� `. �.. � �•p # +We wo iid�•.�ppreciate~your c©operat1,au 'i' n rthis i�t ittei 'so 'vital °to pu�b � ic ,. t r # r + i* a�.1t hy' , safety and,.the ,water `qual� y of S,th tom •. �, .r ter,, , t _ �^' N•• �. •�i f � oT 5: f''� '4i Y� z ' it a.-'rd'a" 'Sf a= Z�*a4- y i4' • a � -�' i .i, 7G'' e,y".r -_apt a ra 5?'".' s /�'. o.{��`k t � �"'• ,. � ,k S t, �`� _ r �• y# p�� � �„`5r.:,�-�.,r j,•* 9 "t7 a' �, � -,�'r � s`,; � 4`"7Ii "•�. `3 , P lea se•cail if,you have,any tions.a , 715/� /� •� Euerg- IIZ1�V :•. i., , y E rA}a.r y �4y a,s`'•,,, •Kr r`? rr x ^r .7 h f Q c r i , extension�.18Z t2 "g t r^; s 4 r :• a' it .+L iy rs� ,. 7Yx • 5 i , ai S, r& •�. ' a a ,F., i +}✓. Fr l .`♦r'r5'r"' '�'dAs� �La}�i, ..a ?' y •�.•'s 'fy��'4• t a'f 'f�' `�.^!,,tL7?y r cy,�t i ° • t 4 �� }.Y `� � 'f r x- r. `r ..i, Very - u l y y©u1.t7:lrfsg,di♦ .#{.'� art' C"'- bSkr 'tp s! `+x�r 4 �r �.j}#.�"'j L s ;, `b•,r J".:> i. r •�` o- i r '+ e ' a,1 yr ' ,:, � ;. ,r• •+ br l r�+:.,i'�. �r :, i- i Y m', '- x•�• i x, ,a••i .nil£f � ,5, f .:+� � � $ �' t� _ •r'r } i [ 5•*. y �r/ y.3 � ^ r � a t t x'.�;r r ,� }cR � •,�,s. r. +�t.'.� ^E '_ > 2 a7 y!Y 0. ," t ?�t . � ,. .[ r'a r L•}ra - r - F 'ss r r;F i' ,�,t t {•r r `b r. _.. Sa•°r'. y f •+s _.4 _ ♦ �a +y.' Chit af Ari .p't � 1s t 5 x 4 ,.. yw , {R Ott.rL:.ChiL(i$'!'k t,rt'!$' . T 'f f-rtY -._$ 'ia* 'x t�"> .Jr' 5 ' r ex w erx .sr;xc a 'r. �. l fryfoj •' ',y ". i "..{U� .<'r*x hS � ~f♦r hr,• '� '7A.r. f�5tl a +3 F e€• .£.* r fA.'„�y "�?r,Zbf, Y{ 5 L f tii. :,`� 1 I ' ; • r a•' :y T„'r'; i 4 "-�, i, }�. 3 v � t... r , 't * £. .^;�5 s r 8.�r:,� a. ,f 4r" 'L 5� '�•;r t s v.{a } 4iar y a k<Y I Anil'J aqi •E 3hb8t1 'f5'+ti 'r` - xx y 3 .r , f1£vt _s " }n L•.r7 �.t.:yaz i ,K r�4 dr'ri s.. C# .; r Sg.� -} r ,rr.� 7 fix_ .(:. ''t+.� h• y E 5.,y5. .' s i .. •.•a �;,� ' �t.a: ` _ , t..� ..+.; • .:,}r _i n, "r„r,,.. sir' 's: ' ; , f -.:!r- a y.' r �' y yr ,, � as ' tn, �_r :;i � P ;r `+ ri c z l .� Z `'�'• x _l t ;i« ']'`` r "5,e� , �{ `. s Lw !'.f''S�� r :'-,J�Ra..S �' +t 7 4 . .5 ` .4':' r7`• ''} •"+t .ti '~ ~ :• �i , irR ^5 • ;�«_ •• �l� �• i7i '� f"'-r.r r�S[. r 5 • � +i:. s1 *:,1 i•l t,.. `" `'1 '" } t'' P x'.7 7 r. ;•_. y�qqjj��^ /�Dp HEALTH: S r a L• 'BOARD .Ql. w +a r e +%4 �♦ ,!a ; 2 , .,r a +S J d J ..t� + , t`: .M,� 5 �'a 4 r.. i.A.s l.'! .yr.' 6 ,`i- r. 4 r,'s.' •••1 w:.}• '*. "? � ..Z 7 t.•. 5 '+. Ya •.; '.• < ' ! ,t ! r - i .o*'- J t `•r i i x r y ♦ •-a,C i "hfb/ • try- f, :r `r WY M -�'' r a(j J,[\ jtS nv'''r r n ♦�i,',�.: ` r i ..r}'f '•1, 5 L � .. .,7.r i 7..� �y ✓r , rHr ,i- :.. � . +k�' '�' <,., T •��_ ��. - i' - r. ., `�. '"# Y'1' xt Ly r ♦' `?�. o` - r, � , .,J' � `•..4 £ir �. s a t .�` 4 z ,'Sx. g 'S✓ 'Y4 } -..ir s 2,• •r �� 7 ,r- y` `d.,•" Y q.+y, r� + 'r'r s �.:�f, ii .,t2• t',+4s`r". Af " F #� S.T., f ,. r • ;a 5 n i l- y r ,.q 1 �+-..t C r. 1• r ,.5y., z r y r +3 �`�` 'r ,( .. ,,• J '' .'}a' {s tr,• y.� r � Y"' �m ,s _. �,a�, .. � y;r,' 4• �,,4�• a 4'*�,#rr: � y•. 1 yl Falmouth 'Rd—.; Hyan'nls _ T�SM) 9/22A0 PASSM) <Az, . 7 2/20/85 Chief Richard Farrenkopf called office re Electric Realty (Fuller Electric) Had talked to Bob Larange, present owner. Gave him permission to chip cement around ^underground fuel tank which is located under the building. Tank to be pumped - notice sent to Board of Health - recapped and cemented over and recorded on deed that there is an underground tank under the building. Also gave him permission to cape vent pipe outside and leave pipe. Chief stated they can't put sand or water into the undergrund fuel tank. • ,� .-may �-c. �� � � 0 e i TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS. EXC—G U i = POOLS l T D Board of Health MAILING ADDRESS: `�� 11LyhdV-76- fZb , � Yd "Ij f' Town of Barnstable TELEPHONE NUMBER: ? e" O 3 9 P.O. Box 534 CONTACT PERSON: lhfx y 4--Zfa 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 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 Please put'a check beside each product that you store: Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) 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) 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) lPAV fZt pfiL /j Q 0 '/� t l✓,��1 Other cleaning solvents 0t?AW vL i+& 0 14 t oitwe Bug and tar removers Household cleansers, oven cleaners White Copy-Health Depart ment Canary Copy- Business TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH O satisfactory 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS fe Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN= indoors; OUT=outdoors) MAJOR MATERIALSCase lots Drums Above Tanks Underground Tanks IN OUT IN OUTI IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: f DISPOSALIRECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply `VI *rTown Sewer ublic j_ Z� 0 On-site bPrivate 3. Indoor Floor Drains YES N0 P1 0 Holding tank:MDC �' � `�� 0 Catch basin/Dry well 0 On-site system 4. Outdoor Surface drains:YES NO ORDERS: 0 Holding tank:MDC 0 Catch basin/Dry well 0 On-site system 5. Waste Transporter Name of Han'ler Destination Waste Product YES N0 _ 17 IV" 7 1. 2. 5 1;7 Pers n (s) Interviewed Inspector Date Tt"I' IC AND HAZARDOUS MATERIALS REGISTRATION;FORM ..- Mail To: NAME OF BUSINESS: W &:221( Arxx Board of Health MAILING ADDRESS: �4.0 Town of Barnstable TELEPHONE NUMBER: _ �'� P.O. Box 534 Hyannis, MA 02601.. CONTACT PERSON`., �. L- .. Does your firm stare any of the toxic or hazardous materials listed below, either for sale or for your own use, in qua ties 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: Hyannis Foreign Auto Repgr ADDRESS: 91 Rim Eal outh adb TELEPHONE: YA019, M Aj 0 1. 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 i Please put a check beside each product that you store: l __ ( Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants (/ Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) i Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers.for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers 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 E3ARNS`IraBL �cii�ir'i.iruvi.cs� i.Ln:av: 2` Printers Q satisfactory .F;,; BOARD OF H EA LT H 3. Auto Body shops _ `unsatisfactory- 4.' Manufacturers 5• Retail Stores }� ° (see Ordeis��) COMPANY 1 Al! &L�f _ 6. Fuel Suppliers ADDRES fi , �. .< ,,, ` _ ass: 7. Miscellaneous QUANTITIES AND STORAGE (IN=indoors; OUT=outdoor Case lots Drums AbOveTanks : Undetgroued Tanks . MAJOR MATERIALS IN OUT Q � I R e t o f Fuels: Gasoline, Jet Fuel (A) Diesel, Kerosene, 02 (B) Heavy Oils: ! waste motor oil (C) new motor oil (C) e. y �" transmission/hydraulic Synthetic Organics: • degreasers a� Miscellaneous: � a DJSP05AL RECLAMJITION REM�JtKS: rY Sewage Sanitary ' -. 1.- 8 2. Water Supply 0 Town Sewer ff Y Public Ori-site Q Private y; 3. ndoor Floor Drains. YES NOA/�L Holding tank: MDC • Q Catch basin/Dry well On-site .system. � 4. Outdoor Surface drains,-YES NC 0 Holding• tank: 'MUC 0 Catch basin/Dry well 'IL10 f- On-site system S. Waste Transporters Licensed? ,` :,�/, XES l - rs n I s) .int.e viewe Inspector Date `�t � w G � !..► t r ,. ��.� - ,. - _ r i A t ' .., � �kt \ ' 4 .. r � i` r , r ` i , .. � _ t - . ,. � r. ,� } - - v. � 'l c ! • .. ;� -t ' r of i ' i, y ,{ � M F � �� � ,a,r � ,— �% • �. �, M. � ,�; 'r ire., �• <_. � �. s .o TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS: 9!9-��117 C�?o Board of Health MAILING ADDRESS: �', IQLa4 /- 0-•> F_—Zre Town of Barnstable TELEPHONE NUMBER: 2'l � C' P.O. Box 534 Hyannis, MA 02601 CONTACT PERSON: �a Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities total- link, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO I/ 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 i _ . Please put a check beside each product that you store: Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) 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) 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 BAR,NSTABLE COMPLrANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops 3 unsatisfactory- 4.Manufacturers COMPANY z� (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS ass: 7.Miscellaneous ^- @UANTITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MATER] Case lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: . /4o DISPOSAIJRECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply O Town Sewer Oublic - 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 NO ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5. Waste Transporter Name of Hauler Destination Waste Product _ YES NO 1. 2. Person (s) Interviewed Inspector Date TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM •NAME OF FIRM: Q 4- AJ /`Yo4--ovn.J11-4e MAILING ADDRESS: f k�Ar l TELEPHONE NUMBER: /7 _ 3 CONTACT PERSON: 66 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 an . time, more than 50 gallons liquid volume or 25 pounds dry weight? YES___eZ 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: �� r—_lo L �� TELEPHONE: - Q �-, ,,/ 7 .it , � TT� 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 in quantities totalling more than 50 gallons liquid volume or 25 pounds dry weight. Please put a check beside each product that you store: Antifreeze (for gasline or coolant systems)_ Refrigerants Automatic transmission fluid Pesticides (insecticides, Engine and Radiator flushes herbicides,rodenticides) Hydraulic fluid (including brake fluid) Photochemicals Motor oils/waste oils Printing Ink ' Gasoline, Jet fuel Wood preservatives , Diesel fuel, Kerosene, #2 heating oil (creosote) �/Other petroleum products: grease, lubricants Swimming Pool chlorine i Lye or caustic soda Degreasers for engines and metal Degreasers for driveways & garages Jewelry cleaners Leather dyes Battery acid (electrolyte) Fertilizers (if stored Rustproofers outdoors) Car wash detergents PCB' s Car waxes and polishes Other chlorinated hydro-_ Wints, halt & roofing tar carbons, (inc.carbon varnishes, stains, dyes tetrachloride) Paint and lacquer thinners Any other products with Paint & Varnish removers, deglossers "Poison" labels (including Paint brush cleaners chloroform, formaldehyde, Floor & Furniture strippers hydrochloric acid, other Metal polishes acids) Laundry soil & stain removers Other products not listed (including bleach) which you feel may be Spot removers & cleaning fllklsC E I VP� toxic or hazardous (please (dry cleaners) HEALTH DE. Other cleaning solvents list) TOWN OF BARNSTAgLE Bug and tar removers Household cleansers, oven cleaners Drain cleaners Toilet cleaners Cesspool cleaners MAY 2 S 1981 Disinfectants Road Salt (Halite) TOWN OF BARNSTABL�E BOAR ® OF HEALTH CONTROL OF TOXIC AND HAZARDOUS MATERIALS - INSPECTION SHEET FIRM � yf � � ADDRESS 100, g Major types of materials: 1 .� 4) 5) 6) k. I. Description of material(s) use: II. Storage (denote product by numberJ'sted above) A. Containers metal glass paper plastic cans,bottles,jars _ drums,barrels aboveground tanks underground tanks bags,boxes open,loose,uncovered inadequate labelling B. Storage Facility v/or # Remarks/Recommenc."'_Ions 1. Indoor a) separate, contained room b) stored in general work area .� i) inadequate ventilation .11 , ii) floor drains ' dequate fire protection 2. Outdoor a) uncovered, exposed to weather b),vpervious surface/catch basins III. Disposal A. Reclamation/Recycling unit B. On-site disposal 1. Town sewer 0 2. Regular septic system 3. Separate holding tank C. Off-site disposal 1. hauled by own firm 2. hired hauler a) name of hauler b) address or disposal site { Persop(s) Interviewed — ,. — Inspector — — — — — — — Date - - - - 6 30 61 - _ ,� -TOWN O F BA R N STA B L E . COMPLIANCE: CLASS;, 2. Marine,Gas Stations,Repai.r ,I. - ` •^ °�'• 2.' Printers BOARD OF HEALTH Qsatisfactory 3. Auto Body Shops unsatisfactory- 4. Manufacturers COMPANY C , w (see"Orders' 5. Retail Stores �J ,� �t 6. Fuel Suppliers ADDRESS {Jt1 I- Class: , 7. Miscellaneous QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MA?ERIALS Case lots Drums AboveTanks Underground Tanks .w--- !IN UT IN OUT IN UT # & zallons Age rest? Fuels: Gasoline, Jet Fuel ( ) Diesel, Kerosene, 02 (B) Heavy Oils: f ! waste motor oil (C) ' t new motor oil (C) transmission/hydraulic Synthetic Organics: f degreasers ! I t I Miscellaneous: j DISPOSAL RECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply OTown Sewer Olilt, Pub 1 i c On-site &,eprivat 3. Indoor Floor Drains: YES NO 4 Holding tank: MDC O Catch basin/Dry well ORDERS-. - On-site system ,4. Outdoor Surface drains-.YES—NO— a T �Holdingtank: MDG O Catch basin/Dry well OOn-site system S. Waste Transporter Licensed? Name of.Hauler. D ina ion .,Kaste Product YFS1 NO 12 23 81 Person(s) Interviewed / Inspector Date