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0095 FALMOUTH ROAD/RTE 28 - HAZMAT
x N F�ll F $ . e ,. o ,. �'r- r��° � �y Y'*r, ,�•Si?"� s.t 3' ys f$f.a�`5st`'"rt i �3. F r� ' f+ w ! f G. N `! � ! - y I .. fit. ,. .. r ' '' - � y. '• a , , r - •b . .. a.r 'x., -, _ /. .a y to '•r >. ., ... .. N. - rt .� y .. ; ' a d _ � R.. .. .. . .� y .' i _ � 1 • �. , .. , r .' � .. y � .a ;, 'YS - .. .. i. _ � ': .-. -... _ �,.�. -� .F. �:- ty + - �, .. .� � .., .. - ., ... .. .. - , u r .. ..�. - ... � � ,. .. .. �. � - - - � _ .. � _ v , [ - .. .. i� � � ', - Yi ,. 'h Y ` .. i ' .,� ., Y ^� Y .III - .� _ e -. - i. ., � .. a '�. _ . -.� � � � � ' .. - .. �. � , .. - � ., .t. .'�.- .. i � ,, J ', ,. .. c � o. � �. u ;. ,. - . ¢ r � �. S : ' _ ,. u n � �, r •r .�. ,. � - b .. „ .� .. , .. r _ , 0 ... .. � �, ., r r .. 4• _ , r , 1. • 1 .. Y �r. , y ..r' ' ,' �t �.i Y' `. „ � � Y Y R ... A '�` 'Y ,]', � . ` l�', Y .4.f` y} , . a .. � '�� + � .. � - - .fY. 4' � r� � � n * t'7. ,. � .,. df � ,, -�. .e i3 .. .. -� - � ; .Y• -" „, e� t • . , , ,. . ¢ o '! (•r , , f ,. a ci •. h' a f�+'V ,. .� .. � �Y.. _ - � � c �i.. .. ,yam _ iY _ ��� k'. I � i h Number Fee 1089 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that PRIME SERVICE CENTER 95 FALMOUTH ROAD, HYANNIS, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. ------------------------------------------------------------------------- ----------------------------------------------------------------------------------- ----------------- --- ---------- --------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2020 unless sooner suspended or revoked. --------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI, M.D. 07/01/2019 JUNICHI SAWAYANAGI THOMAS A. MCKEAN, R.S.,CHO Director of Public Health f Town of Barnstable pectional Services BARNSTABLE Public Health Division � `� ''° E � • tiArN91'ABLE. Thomas McKean,Director ''tEOt � 200 Main Street, Hyannis,MA 02601 N-` Office: 508-862-4644 r, Fax: 508-790-6304 '0 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE L, HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS MY 1 st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 19 V �4 C,��� *A late charge of$10A0 will be assessed if payment is not received by July ist_ 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? t/ YES_NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDIINIG APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: 5. NAME OF ESTABLISHMENT: �� s�ic2. M AE 6. ADDRESS OF ESTABLISHMENT: 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: ��r -775'- /043 6 9. EMAIL ADDRESS: e J r d�nSan&o�y�,�n1nQ .COO* 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME oat,� PRESIDENT , 42 TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY": NAME: TELEPHONE#: COMPANY DRESS EMAIL:� ,n SIGNATU F P MANT _ DATE_�T�j6/ Q:1Application Number Fee 1089 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that PRIME SERVICE CENTER 95 FALMOUTH ROAD, HYANNIS, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2019 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2018 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health 1! ` pF1NE Ip� Town of Barnstable - '� U.S.POSTAGE>>PITNEV BOWES P tig qp Public Health Division BABNSTABLE. i 9 MASS. 200 Main Street °39• `0 • e "rEOM°+° Hyannis,MA 02601 } ZIP 02601 A f 02 4YV $ 000- �'"7� ". 0000.3.36455 JUL. 11. 2018. l UTI PRIME SERVICE CENTER 95 FAL1J HYANN R E TU'R'N a Cj t �..y� .p } PJ Y NOT DELIVERABLE fief A1.5�lRESSE'0 ! l]TFK1: 9327 0@0038 UTr tv: 02601409200 eB: * 6I�i'Ol;i�si �I ��' � �£1►111�➢��R�II$�ail�9aaa �AIII &. � IflB .' , Y a �` .. �� ,- ._ �' , �~ y \. - - � µ, - -- _ _ -- .� �I ._ � '- � . }} i}i fi !}}i_ i }} }}} y1�i 1 }4}i i }!}}tii I i }} }. }� j}} it 3iii a j} ii} ti}I i tfli i )}}}/1}} } } 'si .� r towt1A of B nslable o_ �� 1/ egmatorygemcesIKE 1 Richard V. Scali,Director s r Public Health Division . BA��NSTAB t , M ASIL Thomas McKean Director jyA, rF ' 1639-IU1C 1. 1 '�„ s6�9•A`� 200 Main Street Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304; APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT - 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 0 V,S. *A late charge of$10.00 will be assessed if payment is not received by July Ist. 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: 5. NAME OF ESTABLISHMENT: P(i van e Se ryi ct 6. ADDRESS OF ESTABLISHMENT: ar rz-".A. , ea 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE:. l S. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADi1RESS: s'i ep AH-je 10CI.YKC., C. 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 1.1. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION AME rf rot n o <e PRESIDENT Dwva TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICAN DATE &4/x� • Q:V1ppLcahon Forms\HAZMAT APP 2017 REVISED.doex f Number Fee 1258 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health �o This is to Certify that Prime Detailing of Cape Cod 95 Airport Road, Hyannis,MA Aj 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 ow11�� of B instable / /a egulatoryervices f"` Richard V. Scah, Director ' PuID is Health Division BARNSTABLE P" " F kN`.:�'✓Nlt..:[N 1.14:e.C111 II.:i.u.IS •"R''ST"B 1homas McKean Director ""=' "'LS niASS. g i , i :b39.201 �ArE16390 200 4ain Street, Hyannis, MA 02601 j 5175 I Office: 508-862-4644 j Fax: 508-790-6304 APPLICATION,jFOR PERMIT TO STORE AND/OR UT iLIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALLIIIBUSINESSES THAT HANDLE OR STORE ZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIREDI O OBTAIN AN ANNUAL PERMIT(RUNS JULY 'Ist—JUNE 30th). F iI APPLICATION FEES CATEGORY-1-PERMIT..- 26--110 Gallons:,`,, . $ 'S0:0 ❑ - _ CATEGORY,2 PERMIT 111 —499 Gallons: $125 0 N Vf . CATEGORY[3 PERMIT 500 or more Gallons: $150� 0 ❑ *A late charsie of MAD will be assessed if payment is not received by July 1st. jj i 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL,? YES—NO. IF YES, SKIP QUESTION 3. i 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROV�L FOR HAZARDOUS MATERIALS STOP GE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? 4-- YES NO. 4. FULL NAME OF APPLICANT:1! 0 y j 5. NAME OF ESTABLISHMENT: I 7 v� 6. ADDRESS OF ESTABLISHMENT: �d�� �./ 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: /ba® +� � �" 1-1 yANAt1,S 8. TELEPHONE-NUMBER-OF ES,TABLISHIMEiotT: D 9. EMAIL ADDRESS: ���e—�- J t i�F' i +�i � ccs 10. SOLEOWNER: V YES NO IF NO,NAME OF PARTNER: is , 11. FULL NAME,HOME ADDRES�,P�j!,AND TELEPHONE# O CORPORATION NAME �'►� Nofo PRESIDENT '0 AV t tJ Ste'N i E- G- TREASURER j CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICA DATE _VD J 17 Q:\Application FormMAZMAT APP 2017 REV SED.docx i � I alb Number Fee 1089 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that PRIME SERVICE CENTER 95 FALMOUTH ROAD, HYANNIS, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. ------------------------------------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2018 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 r Pik• - V TRown of Brnstable a� eg atory Services r Richard V. Scali,Director " Public Health Division BARNSTABLE NTtx s u—en�nhu-C sa-w"Nis •^��'�� Thomas McKean,Director 1639-2014 200 Main Street,Hyannis,MA 02601 1� 010/7 a016 Office: 508-862-4644 Fax: 508-790-6304:� APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE I" HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 1088, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st-JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26 - 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 31 ( /07 3 2. IS THIS A PERMIT RENEWAL? V YES NO. IF YES,SHIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/JSE OF • GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: AAn n �`' �' ^S S - M H, 1,l_ C 5. NAME OF ESTABLISHMENT: ��'^� S�rv�ce �e�-►-t/' 6. ADDRESS OF ESTABLISHMENT: 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT. q SS- 91 S 'b Sa Co 9. EMAIL ADDRESS: J raSf- 0 0�r,vt- fr-- '-e . CC) 10. SOLEOWNER: ✓YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME At-\a A✓+-o �°��"S SJ- /`" Hi L L L PRESIDENT �A�� 17 rlaS�N art (4� 37S Pra 1-1 s1..... �,✓�si�-o�� TREASURER O a oh CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: 0 COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE Q:\Application Forms\I-IAZMAT APP 2017 REVISED.docx Ft ►oh Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • RnRMASS. 200 Main Street• Hyannis, MA 02601 OMp+ TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: P<< Date: S 23 / Location/Mailing Address: r vv,,o-j4& RX 1 41,C h,4 r a.,, IA ; Thu,1 r- A ,,�, Contact Name/Phone: MAA(& S.erv,titAl1 Soj3-S I S,2 i o2 rob-3q 1-?67p Inventory Total Amount: ^' MOW MSDS: � GS 'r S License#: k OS Tier II : Labelin oo Spill Plan: 2S Oil/Water Separator: 'QS Floor Drains: -r-S Emergency Numbers: V,115 Storage Areas/Tanks: SOS 9a 1 As'fs - I ►A.,a,- SoO l As w&4ta-etwf-Vreeg.,ga,moo y-1 AST Emergency/Containment Equipment: S ,1 0va. :5, I ,% -, S - •-sk,e Waste Generator ID: Waste Product: o,l avtt.greeo-e. -.1-�.rs u4�sct�*,-r- Date&Amount of Last Shipment/Frequency: 400 J31 cJ A^c e0 J-)JJ M& lump --e, '1��3'� wt9+ a �� Licensed Waste Hauler&Destination: Gyvt �, ( pa�kg�I�cwc r- t S 10 411 (it, - gvoL eety —(C � Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS \w Imaterial NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardou 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 yMiscellaneous 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 iMiscellaneous 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: DO-p-A- c��a�vwr5 <a`wb�cahGk ORDERS: c,rnnka`-A,(.<t, c - ono �w�'w� wt S a o v".t7 -e \he- o INFORMATION/RECOMMENDATIONS: ar CoUC S CMSa a s vM,a. ,c-of a.\a10 e e t- C1 -0- 4 I D 1-e AA- -�qk��^ tv<,v�d r Inspector:l � Lex4 k t•n tAo fib%v` 2-`L b kr C w,1So -Z rn owl's-s' - t I- 'c- aA + 55c141 testy Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS 4; Number Fee Q 1089 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that PRIME SERVICE CENTER 95 FALMOUTH ROAD, HYANNIS, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. ------------------------------------------------------------------------------------------------------------------------------------------------------------------ ----------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2017 unless sooner suspended or revoked. ------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health w Town of Barnstable ® � ►�,,,ti Regulatory Services Richard V. Scali, Director c &11.NffrABM = BARNSTABLE l MAS& Public Health Division Ab 639. �0� BPRwnsoa �r 'aaws"u3n c.. Thomas McKean,Director 1639-2014 200 Main Street, Hyannis,MA 02601 C/u Office: 508-862-4644 �d Fax: 508-790-6304 4 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE.WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY lst.—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ ,r CATEGORY 3 PERMIT 500 or more Gallons: $150.00I Y• `S A late char a of$10.00 will be assessed if 12aMent is not received by JuIv 1st. ASSESSORS MAP AND PARCEL NO. DATE �3 I FULL NAME OF APPLICANT: NAME OF ESTABLISHMENT: r vi t r �r ti ADDRESS OF ESTABLISHMENT: OUgyzmmi 14a Ol 01 MAILING ADDRESS(IF DIFFERENT): TELEPHONE NUMBER OF ESTABLISHMENT: <s�r ) 0;`2=161) EMAIL ADDRESS: y►gc,�Y�'n� �Yl✓t,d�-l'yyc a C O►�' SOLE OWNER: YES NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDREP;IWr AND TELEPHONE#OF: CORPORATION NAME mo1by- �sYc�u PRESIDENT a yiJ &-sevi Loq TREASURER CLERK I IF PREPARED BY OUTSIDE PARTY: ISGNA ANT Name: Company Address Telephone#: Date_ _ Email: Q\Application Fonns\HAZZAPP Revl6.docx Page 1 of 2 i I To Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARMMASSBI:E.g` 200 Main Street• Hyannis, MA 02601 '0'FOM 0. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: `l Kt, cVt Date: Location/Mai ling Address: f a &%-A QvLvi I S - YA u- o 0-" ahk sew Contact Name/Phone: j:aK.12 104.I,Cr, M/ r ,SOA-81 S=2102, 5-6$-377-90 7o Inventory Total mount: A' 04,1 MSDS: ci License#: 1089. e-X� Tier II :AD Labeling: &'&-k Spill Plan: e� Oil/Water Separator: yes Floor Drains:Yes- ),— Emergency Numbers: e5 n Storage Areas/Tanks: ky o loo 8' a ��' 2oD S Emergency/Containment Equipment: k -S h v5�-as a v�k L7�vh cowl gva �aLj �6 �ws� �t Waste Generator ID: MA 3001-6 S3 Waste Product: Date&Amount of Last Shipment/Frequency: 7 1"j 1 5'00 a I td a-7�61 of ca„a i S�a 16�/2y�s Licensed Waste Hauler&Destination: wA -,P- o� C K. ac 5 taro - ta►. - �'` E Other Waste Disposal Methods: OW 5 oe ¢ 9 v -6 s 1 q6 ! ovt� ��rrts LIST OF TOXIC AND HAZARDOU ATERIALS IN° -\o< CI �-� �- 1`,�k.�telCy S tk.c-e- ta5.1- fU_,5 NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers �— Hydraulic fluid (including brake fluid) V' 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 Degreas6rs for engines&garages Pesticides: Caulk/Grout 'slf insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink 7— 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: 14a INFORMATION RECOMMENDATIONS: eroo�% e v<,KA ►Ksr ,ovt... lltrc. or Rvt z o so Ao ce o 1v►.r�.e erlc,S -C,4, r 5 Inspector: ` L�v'e-�`� Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS `°F� ►off Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 annMAS& 200 Main Street• Hyannis, MA 02601 '639 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: �<<V"« Se"cv,CJL- C k-0-,e- Date: t'i -3 I Location/Mailing Address: 9S o-y►A kg Contact Name/Phone: Vl<%W eu•• li'l-L A&wMJZ4, Inventory Total mount: I�DD I MSDS: 25 License#: 1001 Tier II : 00 Lab eling: biK Spill Plan: e-5 Oil/Water Separator: 140 Floor Drains: -S 7 o,I w e-{Emergency Numbers: yg* 1 Storage Areas/Tanks: yea qA� AS'(�� � a- �,A2 pI\ i - A4-�-- ,,�r,-,Ae- Emer enc /Containment Equipment: S f R Y"S iu_ 00U�� Waste Generator ID: MAC' Snr)lolqo3 Waste Product: 01 , of Date&Amount of Last Shipment/Frequency: 300 a 7-i I i,c Yn.o. Sv f �r .W-i orr}e.•( Licensed Waste Hauler&Destination: C 0, `c oua kVaA- M A>nOlg nD3-77 Other Waste Disposal Methods: Leaw,-<- r•�a�9p-< ryClftd elms,- LIST OF TOXIC AND HAZARDOUS MATERIALS 4o Me,; o t CAA,ai %w kl\-j 01�I 5l►�tgc �ksrk-1y15 NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws(bt MA, hazardous matbrial use, Afc,l ot3 storage and disposal of 111 gallons or more requires a license from the Public Health Division. Y, 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 Jgrease, lubricants, gear oil k\ Refrigerants Degreasers for engines&garages�sy ( Pesticides: Caulk/Grout Q��(A 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 V Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil&stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INF R ATION/RECOMMENDATIONS: eon v`� o O �''�-c�owvm-� •� otic�r �5ftk 1 Inspector: , 1,a-\�C-It, Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Date: `�l J� I l3 TOWN OF BARNSTABLE ,,t. ,o� TOXIC AND HAZARDOUS MATERIALS FORM NAME OF BUSINESS: ffivvy— krq Ce. BUSINESS LOCATION: 95-� ra)vhoj`�L_ ya y►r115 INVENTORY MAILING ADDRESS: Jam-e TOTAL AMOUNT: TELEPHONE NUMBER: �5'00 - 8 I 1-700 CONTACT PERSON: V{'ay.� EMERGENCY CONTACT TELEPHONE NUMBER: 1-9 a-yC MSDS ON SITE? TYPE OF BUSINESS: AV+a , )e,5 INFORMATION / RECOMMENDATIONS: r„l.,�/o l+R 1 v1- 0a,Cvxs A"lam. Fire District: mac++e.,�c J5 pe�cm,�- Oo[z-.Z.fl 13� n aeAc- q ya V\A 15 l� r � ,i� e U1 1,15 cs 1 / -rbt I CO-Kico 600 �-,r AOcL �tea- Waste Transportation: Cyw Last shipment of hazardous waste: 3 I 3 I,.S+sh 1 xlt0-4 Name of Htld er: eT,-�a��Gc.15+a1 Gt Cl:i "ll''``Destination: ► 1 Q��bvs . ,J E A 3:LK000130062 eR�+� EPAtdi Waste Product: _wa_,+-e- 4 Lrfs soly-c mot- I`A-1 Licensed? es No _ CE50G- 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. Obs rued / Maximum Observed / Maximum Antifreeze (for 7USED line or coolant systems) Miscellaneous Corrosive C//NEW Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Mot r Oils Pesticides �M NEW &USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals(Fixers) `->+04`sf`' ❑ NEW ❑ USED Diesel Fuel, kerosene, #2 heating oil Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents 1�ljti Leather dyes Car waxes and polishes �a Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes /JV i o! 1u�/2►'Cfo�17 +�avrscGS J111 Laundry soil &stain removers(including bleach) /Z40 Spot removers&cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers F11 I Wk�&r 64,U,-A. . - Ia5-J'Lrq,Q`�t Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials Number Fee 1089 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that PRIME SERVICE CENTER 95 FALMOUTH ROAD, HYANNIS, MA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------------------------------------------------------------------------------------------------------------------ --------------------------------------------------------------------------------- ------------------------------------------------------------------------------- This license is granted inconformity 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 Town of Barnstable Regulatory Services Richard V. Scali,Director ' MAW Public Health Division 9.v� i63 'Eo 9. 0. Thomas McKean,Director 200 Main Street, Hyannis; MA 02601 Office: 508-862-4644 Fax: �08-790-6304 Application Fee: $100.00 t'V ASSESSORS MAP AND PARCEL NO.N y 1 _ DATE 13 1 /Zl-- APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 11.1 GALLONS OF HAZARDOUS MATERIALS l FULL NAME OF APPLICANT (G,,� ILy�;,� NAME OF ESTABLISHMENT Len 1't' ADDRESS OF ESTABLISHMENT TELEPHONE NUMBER SOLE OWNER: YES ANO 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 ORE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# J:IHAZAPP.DQC rod Town of Barnstable Office: 508-862-4644 Fax: 508-790-6304 Regulatory Services Department WI.H' OM Public Health Division MAS��S- Thomas A.McKean, CHO 1639. 3 200 Main Street, Hyannis, MA 02601 Payment Receipt iHazardous Materials Payment received: $110.00 (Check) on 7/31/2015 Permit number: 1089 { i 1 `Check number: 3100115 Check amount: $110.00 Name on check: Prime Motor Group IBusiness: PRIME SERVICE CENTER Owner: GILBERT C {Address: 95 FALMOUTH ROAD/RTE 28, Hyannis Number Fee 1089 THE COMMONWEALTH OF MASSACHUSETTS 100.00 Town of Barnstable Board of Health This is to Certify that PRIME SERVICE CENTER 95 FALMOUTH ROAD, HYANNIS, MA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------------------------------------------------------------------------------------------------------------------ ---------------------------------------------------------------------------------------------------------------------- ------------------------------------------ This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2015 unless sooner suspended or revoked. --------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2014 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health ,f, a ' ! -P-4 /c a' 'C1� jjTD Town of Barnstable �pSME 1p� Regulatory Services y Richard V. Scali, Director { % "MAW.. �' MASS. ' Public Health Division AIDS' Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Uffcc: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE 11OZa 6 APPLICATION FOR PERIMIT TO STORE AND/OR UTILIZE MORE THAN II I GALLONS OF HAZARDOUS MATERIALS FULL NAME OF.APPLICANT A H f I4U Q j �; -M U(_ NAME OF EST: BLISHMENT ADDRESS OF ESTABLISHMENT I S � UI+� TELEPHONE NUMBER 'c� I 01 I o 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 INCORPORATIONI01,WO,JC�Q FULL NAME A D , DRESS O F: U � i�V A tt PRESIDENT 013r� TREASURER CLERK r SIGNA'rURE OF APPLICANT�,`''- A l RESTRICTIONS: HOME ADDRESS M U r V) P60 �.fNOL HOME TELEPHONE# l?:Application FoRnsq-1AZAPP.D0C THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) A , 111 I m / IL DATA I t Y t Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 RARNSTARt.FI� 200 Main Street•Hyannis,MA 02601 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT �FDMPyA Business Name: '{c.. �c r. ' z.�. _x . Date: Location/Mailing Address Contact Name/Phone: �' .t IMIenjoty Total Amount: _�- i:':' l`` 1 M DS: -.i 3 License#: 10 Tier II : j`v 3 Labeling: Spill Plan; �Ilt Oil/Water Sep gr or: �t z`� Floor Drains: , ,'3 "' 3;.i< Emergency Numbers: J '> Storage Areas/Tanks: pf .7k t Emergency/Containment Equipment: Waste Generator ID: Waste Product: Date&Amount of Last Shipment/Frequency: 311)f' f Licensed Waste Hauler&Destination: t; t 6V Other Waste Disposal Methods: ."d y C}. ..C t r'- i J, t_ { LIST OF TOXIC AND HAZARDOUS MATERIALS .<, NOTE: Under the provisions of Ch. 111, Section 31,of the G''eneral Laws�,�of MA, hazardo,us matarial use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. 1 i 1{ 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 ,J Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners f' Diesel fuel, kerosene,#2 heating oil Disinfectants Miscellaneous petroleum products: Road salts r grease, lubricants, gear oil F Refrigerants Degreasers for engines&garages t' <� Pesticides: Caulk/Grout {{ tai'''� insecticides, herbicides,rodenticides 1/ Battery acid(electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes w 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: } ,, , t,, L 77 Inspector:... ! j . Facility Representative: .,% 41'44- y a WHITE COPY-HEALTH DEPARTMENT/CANARY COPY BUSINESS Donna Dempsey From: Frank Makrin Sent: Thursday,June 26, 2014 2:17 PM To: Donna Dempsey Attachments: document20l4-06-23-005748.pdf C he inspector that signed this is who I gave a copy of the contingency plan. Frank Makrin Master Certified Service Manager Mercedes-Benz of Hyannis Service Center 95 Falmouth Road Hyannis, MA 02601 Direct # (508)815-2102 Fax #(508)815-2119 Y., -•' 4 DrivePrIme.corn 1 f w ti s. i EMERGENCY ACTION EVACUATION and CONTINGENCY PLAN with DRAWINGS PRIME SERVICE CENTER OF HYANNIS PRIME SERVICE CENTER OF HYANNIS 95 Falmouth Road Hyannis, MA 02601 508-815-2100 EPA ID# MAC300015583 SIC Code 5511 May,2013 i L. t Table of Contents Page Number Table of Contents Facility Description Building Layout 1 Emergency Coordinator 1 Hours of Operation 1 Potentially Hazardous Materials 2 Heat 2 Fire Protection 2 Training 2 Emergency Response 3 Procedure 4 Purpose 4 Planning/Training 4 Chain of Command 5 Communication 5 Evacuation 5 Site Security 7 Emergency Shut Down Procedures 7 Medical Treatment 7 Response Material 7 Decontamination g Post Evaluation g Attachments List of Attachments Attachment 1. Site Plans Attachment 2. Product Description Attachment 3, Emergency Response Telephone Numbers Attachment 4. Emergency Procedures Attachment 5. Personal Protective Equipment ii ' I PRIME SERVICE CENTER OF HYANNIS 95 Falmouth Road . Hyannis, MA 02601 50.8-815-2100 FACILITY DESCRIPTION Prime Service Center of Hyannis is engaged in the sale and service of automobiles. In connection with this activity quantities of antifreeze, motor oil, waste oil and solvents are used and stored on site. Oxygen/Acetylene cutting torches are also used. In addition, there is a Recon operation at this site. Although there is no gasoline storage, there is fuel in the tanks of the vehicles under repair in the service area. A list of these materials and others used and stored on site can be found in the front of the Material Safety Data Sheet Books located in the Service Manager's Office. A layout of the facility and building is provided in Attachment 1 which includes the location of personnel work areas, communications equipment, hazardous material and waste storage, floor and storm drains, emergency exits and emergency response equipment. This drawing should be used as a prime source of information for this Emergency Response Plan. The Emergency Coordinator for Prime Service Center is: Frank Makrin Off Hours Telephone# 508-397-9070 The alternate Emergency Coordinator is: Paul Ferreira Off Hours Telephone# 401-624-3470 In the event of an incident The Emergency Coordinator will contact the public or private emergency support organizations listed in Attachment 3. HOURS OF OPERATION Service: Monday-Friday from: 8:00 AM to: 5:00 PM No. of Employees 10 Saturday from: •8:00 AM to: 4:00 PM No. of Employees 3 Parts: Monday-Friday from: 8:00 AM to: 5:00 PM No. of Employees 2 Saturday from. 8:00 AM to: 4:00 PM No. of Employees 1 Showroom &Office: Monday-Friday from: 9:00 AM to: 6:00 PM No. of Employees 6 Saturday from. 9:00 AM to: 6:00 PM No. of Employees 5 I I� f POTENTIALLY HAZARDOUS MATERIALS Potentially hazardous materials located as shown on the Site Plan in Attachment 1 include the following: Underground storage: None Above ground storage, located as shown on Attachment 1, consists of the following: Acetylene one(1) cylinders Oxygen one(1) cylinders Antifreeze one(1) 250 gallon tank Motor Oil one(1) 500 gallon tank Solvent one (1) 30 gallon container(Parts Washer) Used Oil Filters one (1) dumpster Waste Oil one(1) 500 gallon tank Windshield Wash one(1) 250 gallon tank Natural Gas service to building HEAT Heat is provided through hot air by gas in the Parts Dept. and in the Offices& Showroom. Heat is provided through waste oil burners and radiant heat by gas in the Service Department. FIRE PROTECTION Fire extinguishers are located throughout the facility. Pull stations are located throughout the facility. There smoke, heat, and carbon monoxide detectors throughout the facility. The alarm sounds locally, at the Fire Station, and at the alarm company. The alarm company is: Paul's BayState Alarm's LLC Tel. 800-427-5956 TRAINING The Emergency Coordinators shall be trained to HAZWOPER First Responder Operations Level. All employees have received: Worker HAZ COM /Right-To-Know Training HAZWOPER Training General Awareness Level Lock Out/Tag Out Procedures Training in the use of fire fighting equipment I Trainingin evacuation procedures Training on special or occasional job tasks 2 Refresher training is conducted on an annual basis. New employees are trained in: Job Requirements Emergency Evacuation Worker HAZ-COM!Right-To-Know Drills are to be conducted regularly. EMERGENCY RESPONSE Emergency telephone numbers are to be posted at each telephone. These numbers, which are provided in Attachment 3. include: A. Fire Department B. Ambulance C. Local Police D. State Police E. Hospital F. Spill Control G. Emergency Coordinators H. National Response Center I PRIME SERVICE CENTER OF HYANNIS 95 Falmouth Road Hyannis, MA 02601 508-815-2100 PROCEDURE PURPOSE To provide an effective work place safety and health program. To prevent and to minimize hazards to employees, public health, safety and the environment from fires, explosions, spills or any other unplanned sudden or non-sudden release of a hazardous material to air, soil, surface or ground water. This plan shall be carried out immediately whenever public health, safety or the environment is at risk. PLANNING/TRAINING A. The effectiveness of a response during an emergency depends on the amount of planning and training performed in advance. All employees are to be informed of their responsibilities under this plan as follows: - When the plan is developed. - When the employees' responsibilities or designated actions under the plan change. - Whenever the plan is changed. - Annually in conjunction with Right-To-Know Training. B. The actions that shall be taken in the event of an emergency are outlined below. See Attachment 4 for a flow chart of the Emergency Response Plan. - Verbal notification will be given to the Emergency Coordinator or his alternate either personally or by telephone using the numbers provided above. - The Emergency Coordinator will evaluate the situation and initiate appropriate action(s)as outlined below: * Notification of Response Team * Notification of on site personnel * Determination of Personal Protective Equipment(PPE) required. (See Attachment 5) * Direction of trained personnel to respond to the emergency * Evacuation of all personnel not involved in emergency response * Securing of ignition sources such as heating systems and automatic equipment * Notification of outside agencies listed on Attachment 3 * Notification of private contractors to assist in remediation C. Assistance and direction for disabled and non-english speaking employees. - Establish a"Buddy System"for each impaired employee; assign buddy - Review necessary assistance for each situation .t I CHAIN OF COMMAND A. In the event of an emergency, personnel must know exactly who is in charge, as well as the proper authorities to be notified. The Emergency Coordinator for Prime Service Center is: Frank Makrin Off Hours Telephone# 508-397-9070 The alternate Emergency Coordinator is: Paul Ferreira Off Hours Telephone# 401-624-3470 B. These personnel are on call and available to respond in an emergency. As required, one of them must be able to reach the facility within one hour. COMMUNICATIONS A. All communications will be routed through the Emergency Coordinator or his designated representative. B. Emergency communications equipment, such as the telephone or PA system, shall be utilized for notifying employees of an emergency and for contacting local authorities. C. Arrangements shall be made to familiarize police and fire departments with: The layout of the facility (See Attachment 1) Properties of the hazardous materials (See Attachment 2) Places where facility personnel would normally be working (See Attachment 1) Entrances to the facility and possible evacuation routes (See Attachment 1) D. Communications with the news media is to be limited to a single point of contact designated by Christian Aylward. EVACUATION A. In the event of a fire or other emergency; employees are to leave by the exit nearest their work area in an orderly fashion. They are to assemble out front by the sign, as shown in Attachment 1, Once the evacuation is completed, the Emergency Coordinator or his alternate will take a head count of all employees. B. In the event of an uncontrolled release of a gas; 1. Employees are to exit and assemble out front by the sign,. as shown in Attachment 1. Based upon the Emergency Coordinator's assessment it may be necessary to relocate personnel to a position 300 feet to 1/4 mile up wind of the facility. Once the evacuation is completed the Emergency Coordinator or his alternate will take a head count of all employees. 2. Evacuation of surrounding areas, if necessary, will be conducted by the Fire Department. C. In the event of a tornado: 1. The formation and approach of a tornado is rapid and unpredictable. The lead- time on a warning is, therefore, limited. The Emergency Coordinator will cause the warning to be announced on the public address system as soon as it comes to his attention. Personnel will stay sheltered inside the building. 2. If the building is struck, personnel should evacuate as soon as the storm has passed and assemble out front by the sign, as shown in Attachment 1. Once the evacuation described above is completed, the Emergency Coordinator or his alternate will take a head count of all employees. D. In the event of a snowstorm, hurricane,flood or other severe weather: The Emergency Coordinator will monitor weather reports. When a warning is issued, he shall pass the word to employees on the public address system or other means of communication. All employees except emergency response personnel shall be dismissed from work with enough time to seek proper shelter. E. In the event of a bomb threat: 1. If the facility receives a bomb threat, the threat shall be considered real. 2. The person receiving the threat should try to remain calm and try to gain as much information about the threat as possible: F Caller's identity-sex, age, etc. *Voice characteristics-tone, impediments, accent, etc. x Manner-calm, angry, emotional, etc. " Background noises-street noise, aircraft, animals, quiet,etc. • Bomb facts-type, size, location, time of detonation,*etc. 3. At the conclusion of the conversation, the person receiving a telephone threat should try to use the *69 or`57 feature of the telephone to trace the source of the call. 4. The Emergency Coordinator will be notified immediately. He will in turn relay the information to the emergency responders listed in Attachment 3. 5. Employees will be notified and instructed not to touch or move any unusual packages, boxes, brief cases or other containers. Employees are to leave by the exit nearest to their work area in an orderly fashion and assemble out front by the sign, as shown in Attachment 1. Once the evacuation is completed the Emergency Coordinator or his alternate will take a head count of all employees. Based upon the Emergency Coordinator's assessment it may be necessary to relocate personnel to a position 300 feet to 114 mile up wind of the facility. F. The drawing provided in Attachment 1 shows locations where personnel may be working; exit and entry routes; telephones and communications equipment; fire extinguishers; the main electrical panel; water faucets; paint, flammable and hazardous waste storage areas: and emergency response and clean up equipment(e.g. shovels, boots, booms, pads). G. Location drawings are posted throughout the facility to direct employees to the exit nearest their work area. 6 i i SITE SECURITY It is often necessary during an emergency to secure the area to prevent access of unauthorized personnel and to protect vital records and equipment. An off-limits area must be established by cordoning off the area with temporary barriers and warning tape. The Emergency Coordinator will notify local law enforcement to help secure the area if required. EMERGENCY SHUT DOWN PROCEDURES A. Activate the warning system and the emergency plan. If the situation is imminent, notify the appropriate responders, (see Attachments 3 and 4). B. If the.emergency involves the release of a flammable liquid, gas leak or heater malfunction,the Emergency Coordinator must initiate the following actions. Shut off electrical service at the main electrical service disconnect in the electrical closet located in the Parts Dept., as shown in Attachment 1. Reset thermostats to their lowest setting. Shut off the"Emergency Shut Off Switch", for the heating units, located: at Waste Oil Burner at the door to shop and in the Power Panel located at the door to Service, as shown in Attachment 1. Secure gas supply if this can be done safely, located in the northeast corner of the Parts Department,as shown in Attachment 1. MEDICAL TREATMENT The Emergency Response Personnel from the Medical Facility listed in Attachment 3 will perform medical duties, other than minor first aid. During extreme emergencies, Company Policy is to provide assistance and assessment of a medical emergency while awaiting the arrival of professional responders. RESPONSE MATERIALS A. The proposed response materials, including those listed below, are to be maintained in the Service Shop, as shown in the plan provided in Attachment 1. Disposable Bags - Absorbent Pads - Recovery Drum - Boots - Broom and Dust Pan - Tyvek Suits - Temporary Barriers and Warning Tape - Splash Goggles - Fire Extinguishers - Neoprene Gloves - Mop and Pail - Rain Gear - Shovels(non-sparking) - Plastic Sheets - Containment Booms B. See Attachment 5 regarding Personal Protective Equipment(PPE). 7 DECONTAMINATION A. Decontamination procedures may need to be implemented before personnel are allowed out of the area to avoid spread of the spilled material. To accomplish this, a separate area . should be set up adjacent to the spill area. Decontamination procedures involve the physical removal and/or neutralization of harmful contaminants. The extent of decontamination necessarily depends on the type of hazard and the quantities of the contaminant. B. Basic decontamination should primarily consist of washing and rinsing with soap and water to remove contaminants from the exterior of protective gear. This is followed by doffing the gear (see Attachment 5). Coveralls and gloves shall be removed by turning the,clothing inside out. Most protective gear such as boots and gloves can be cleaned and reused. Other equipment, such as Tyvek suits, are disposable. Disposal of contaminated protective equipment is to be in accordance with statutes governing disposal of contaminated solid waste. The complexity of decontamination will vary with the size of the release and the toxicity of the material being dealt with. Large operations involving very toxic material may require additional steps. C. Equipment for decontamination of PPE and clothing should include the following: - Drop cloths or plastic tarps - Collection containers such as drums or lined trash cans - Wading pool to hold wash and rinse solutions - Long handled, soft bristled brushes - Hand pumps or pistol grip bottles for washing and rinsing - Paper or cloth towels for drying equipment POST EVALUATION A. A post incident evaluation shall be accomplished to document the cause of the emergency, the response and to evaluate methods to prevent recurrence and improve future response. All personnel who were involved in the incident should be interviewed either separately or in a meeting set up for this purpose. The questions that should be discussed are as follows: 1. What actually happened? 2. How was it reported? 3. Was the product involved properly identified and clearly understood? 4. What was the timeliness of the response? How soon did help arrive? 5. Was it properly coordinated? 6. Was the Chain of Command followed properly? 7. Were the roles of EMS, FIRE, and POLICE appropriate? 8, If private contractors were involved, how did they work? 9. Was evacuation, if any, conducted in an orderly fashion? 10. Was the media involved? Was there a single point of contact? 11, Was the ALL CLEAR communicated? 12. Was waste disposal effective? 13. Was the spill reported on time? S B. As each of the questions stated above is addressed, have the individual or group consider the following: - What did we do right? Review the positive aspects of the incident. - What did we do wrong? Try to find out what caused the problem without placing blame. - What would we do differently? Try to learn from the incident so that another occurrence can be prevented or a future response improved. 9 f - PRIME SERVICE CENTER OF HYANNIS Emergency Action (Evacuation) and Contingency Plan List of Attachments Attachment 1. Site Plans Attachment 2. Product Description Attachment 3. Emergency Response Telephone Numbers Attachment 4. Emergency Procedure A. Emergency Response Flow Chart B. Notification Priorities Attachment 5. Personal Protective Equipment SITE PLANS Attachment I ' DeLorme Street Atlas USA©2012 ;n Prime Service Center of Hyannis P4O i `'Days Inn Best rBu;- 31.Your Ave=,ne 2 ', Panera Bread Reglna Pizzeila;s,j Manctw Wok-t"�ryNOG �Gy RO M courtyard by r�amob SARN57ABtE RO ( .....y s Atlan rc Aero McDonald s Cape Air/(Outslde Barnstable t3Z us QUf n Muni-BoardmarU lolando y 1 Fieid Budget Host Inn Hentage TurWes rncorporatad a*9udget Truck Rental tiA yIN*'Wandys Chim a# 3lP& Qp •AViS` tr t� p�132 9 J r w tt� - 95 Fahnoutb Rd AI fr ¢sE y P RORt t U-hsuI Neighbodmod ROTgRy�', r I re.Th Pond' Y]aaer-Capg'Tit t. to - ,.._ -^' r'ji so .6 NanNctet StMUe ITI FA'Mbti r If . �4E5"C RO {,; \�1 'ti' y -_ prate Cate r G28 \1BuIdoet Tr„ck Rental _..wq \`° =`0 BEARSE.RD •n; ��N Q f.F- / q F FRF N�yh04 Rent-AcartHya ni( O fr��F Fg RO j /yOR 7-, a' Bangkok Ktehen -f a sRo oR.rtM , ;, 1;= ti fi a; OAktE pi `.\ �� r l 4 RESNJhOtp f7 J t R RO KFC 4 _:. /✓ _"b x SRO t A� , � �'" ! 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Prime Service Center Of Hyannis 95 Falmouth'Road ( 1 Hyannis,MA 02601 508-815-2100 ci_.e___ D o" end FBter j D Owqxter i D. . ie Gas Main UM Overhead Doors I 1 I � I I I 1 I V Knox BOX I 1 I I i I Falmouth Road 1 Evacuation Sign Location Attachment I i ......_.__.._�_,....._.................................. __, Prime Service Center p oii of Hyannis Finer; 95 Falmouth Road �' Hyannis,MA 02601 _ ti. Torch 508-815-2100 ' PW Y j i Legend SE v RN Parts Washer ES Emergency Shut Off PP PovverPanel Eye Wash is Pull Station V Firs Blanket RR Restroom j Service r SE Spill Equipment Sop d Fire Extinguisher T Telephone FAP Fins Alarm Panel aged Ant9fieeze r ® First Aid Kit 0 Waste oil .0? Ak Gas Nlaln WW Windshield Wash M MotorOil T wa�o Waste Oil Burnerr t Ovcrtroad Boors T ES R R!Locker Room PP • Rooeakrm Parts Dept T Air Compressor SM-er in PP Storage RR Service Ma+w9� Gas ES ES Y At S General Finance O ficee Office nager Service Write-up Recon e Show Room Knox Box L¢i Waning FAP IY Evacuatron Falmouth Road Location Sign Attachment 1C I PRODUCT DESCRIPTION Attachment Z *Note: Further information on these products can be found on the Material Safety Data Sheets which are located in the Service Manager's Office. Product: Acetylene* Appearance/Odor: Colorless gas, garlic like odor. Health Hazards. Asphyxiant, moderate concentrations may cause headache, drowsiness, dizziness, nausea, vomiting, excess salivation, unconsciousness. Vapor may cause eye irritation. Fire/Explosion: Extremely Flammable! Forms explosive mixture with air. Evacuate all personnel. Containers may rupture due to heat or fire. Cool container with water spray. DO NOT EXTINGUISH FLAME due to possible explosive reignition. Stop leak, if possible without risk or allow fire to burn out. Reactive, contact with copper, silver, mercury or their alloys as well as halogens can cause explosion. Spill Response: Shut off ignition sources. Provide ventilation with explosion proof equipment. Stop leak, if possible without risk. Flammable vapors may spread from leak. Explosive atmosphere may linger. Before entering area, especially a confined space, check for Oxygen level and explosive atmosphere with an approved meter. PPE to be Worn: Remove all ignition sources. Check atmosphere before entering area. Use self-contained breathing apparatus where needed. Product: Gasoline(Unleaded)* Appearance/Odor: Light straw color to clear liquid with a hydrocarbon odor. Health Hazards: Slight to moderate eye and skin irritation, dizziness, irritation of eyes, nose and throat, vomiting, bluish color of the skin and effects central nervous system. Fire/Explosion: Class 1 B Flammable liquid. Spill Response: Shut off ignition sources. Provide ventilation with explosion proof equipment. Stop leak, if possible without risk. Take up with sand or other non combustible absorbent and place into containers for later disposal. PPE to-be Worn: Gloves, chemical type safety goggles. Protective coveralls. Use respirator with approved cartridges for oil or mist. SCBA or supplied air when making confined space entries. Product: Immersion Cleaner(mineral spirits)* Appearance/Odor: Clear green liquid with characteristic hydrocarbon odor. Health Hazards: Severe eye irritant. Inhalation can cause headache, dizziness and nausea. Contact can cause drying of skin. Fire/Explosion: Combustible liquid. Reactive with strong oxidizing agents. Spill Response: Shut off ignition sources. Provide ventilation, Stop leak, if possible without risk. Take up with sand or other non-combustible absorbent and place into containers for later disposal. PPE to be Worn: Gloves, chemical type safety goggles. Protective coveralls. Use respirator with approved cartridges for oil or mist. SCBA or supplied air when above TLV or making confined space entries. Attachment 2 Page 1 of 3 Product: Isopropyl Alcohol (Glass Cleaner)* Appearance/Odor: Colorless liquid with odor of rubbing alcohol. Health Hazards: Mild irritant to eyes and nose, concentrations can cause narcosis and respiratory distress. Fire/Explosion. Class 1 B Flammable liquid. Spill Response: Shut off ignition sources. Provide ventilation with explosion proof equipment. Stop leak, if possible without risk. Take up with sand or other non-combustible absorbent and place into containers for later disposal. PPE to be Worn: Wear impervious clothing, eye protection. Use full-face cartridge type respirator with organic vapor cartridge. Product: Methyl Alcohol(Glass Cleaner Concentrate)* Appearance/Odor. Colorless liquid with a characteristic pungent odor. Health Hazards: Eye irritant, causes headache, nausea, vomiting. Will absorb thru skin, attack central nervous system and cause blindness. Fire/Explosion: Class 1 B Flammable liquid. Spill Response: Shut off ignition sources. Provide ventilation with explosion proof equipment. Stop leak, if possible without risk. Take up with sand or other non-combustible absorbent and place into containers for later disposal. PPE to be Worn: Wear fully encapsulated suit. Use supplied air or SCBA. Product: Motor Oil* Appearance/Odor: Thick brown liquid with a hydrocarbon odor. Health Hazards: Slight to moderate eye and skin irritation. Fire/Explosion: Combustible liquid. Spill Response: Stop leak, transfer product into another container. Take up with sand or other non-combustible absorbent and place into containers for later disposal. PPE to be Worn: Neoprene gloves, chemical type safety goggles. Use respirator with approved organic vapor cartridges. Product: Natural Gas* Appearance/Odor: Colorless odorless gas. A foul smelling odorant is added for leak detection. Health Hazards: Vapors may cause dizziness or suffocation. Fire may produce irritating or poisonous gases. Fire/Explosion: Extremely Flammable! Forms explosive mixture with air. Vapors may travel to source of ignition and flask back. Evacuate all personnel. DO NOT EXTINGUISH FLAME due to possible explosive re-ignition. Stop leak, if possible without risk or allow fire to burn out. Spill Response: Shut off ignition sources. Stop leak, if possible without risk. Flammable vapors may spread from leak. Provide ventilation with explosion proof equipment. Water spray may reduce vapor but may not prevent ignition in enclosed spaces. Explosive atmosphere may linger. Before entering area, especially a confined space, check for Oxygen level and explosive atmosphere with an approved meter. PPE to be Worn: Remove all ignition sources. Check atmosphere before entering area. Use self-contained breathing apparatus where needed. Attachment 2 Page 2 of 3 r - Product: Oxygen` Appearance/Odor: Colorless odorless gas. Health Hazards: None. (See MSDS) Fire/Explosion: Vigorously accelerates combustion. Evacuate personnel from area. Cool containers with water spray. Reactive with flammable and combustible materials especially oils and greases. Spill Response: Stop leak, if possible without risk. Shut off ignition sources, remove flammable materials from area. Ventilate area or move container to well ventilated area. PPE to be Worn: Gloves and proper shoes for handling cylinders. Product: Sulfuric Acid (Battery Acid)* Appearance/Odor: Colorless to dark brown, oily odorless liquid. Health Hazards: Contact causes burns to skin and eyes. If inhaled may be harmful. Runoff may cause pollution. Fire/Explosion: Non Combustible, but capable of igniting finely divided combustible materials. Readily reacts with organic materials, chlorates, carbides, fulminates, water and powdered metals. NOTE: Reacts violently with water causing heat. Corrosive to metals. Spill Response: Do not touch or walk through spilled material. Stop leaks if you can do so without risk. Use water spray to reduce vapors, DO NOT put water directly on spill or in container. PPE to be Worn: Use approved respiratory protection, powered air purifying respirator with acid cartridge, (See NIOSH guide). Fully encapsulated vapor protective clothing should be worn. Attachment 2 Page 3of3 EMERGENCY RESPONSE TELEPHONE NUMBERS Attachment 3 r EMERGENCY RESPONSE AND NOTIFICATION PRIME SERVICE CENTER OF HYANNIS 95 Falmouth Road Hyannis, MA 02601 508-815-2100 The Emergency Coordinator for Prime Service Center of Hyannis is: Frank Makrin Off Hours Telephone# 508-397-9070 The alternate Emergency Coordinator is: Paul Ferreira Off Hours Telephone# 401-624-3470 DEP (Southeast Regional Office) 508-946-2700 DEP (24 hr Spill Reporting) 888-304-1133 Mass State Police (So.Yarmouth Barracks) 508-398-2323 Local Police 911 Local Fire Dept. 911 Local Ambulance 911 Medical Center Cape Cod Hospital 508-771-1800 27 Park Street Hyannis, MA 02601 NATIONAL Response Center 800-424-8802 EPA Identification Number MAC300015583 EMERGENCY RESPONDERS/TRANSPORTERS: Cyn Environmental 800-899-1038 When reporting a spill to DEP, the following information must be provided: A. Location &time of release B. Material released C. Amount released D. Impact of spill on catch basins, homes, water bodies, etc. E. Actions taken by FD, DPW(contained with speedi-dri or sand, evacuated building, etc.) F. Name of Responsible Party, address, &telephone number Attachment 3 EMERGENCY RESPONSE FLOW CHART Attachment 4 EMERGENCY RESPONSE FLOW CHART Notice Received by Emergency Coordinator Size-Up Situation Notify Outside Notify On-Site Notify Clean-Up Z Agencies Personnel Contractors O i= a a Direct a Personnel to M Respond a Assess Assess Casualties Hazards W Stabilize N Victims Z a Remove Decontaminate a' Victims Victims Evacuate Evacuate Contain W Residents Extinguish X Employees Hazard Hazard Transport/Treat Victims VF 3 Clean-Up, Replace Damaged Equipment O ..1 O Post Evaluation & rL Documentation Attachment 4A NOTIFICATION PRIORITIES Incident Reporting Source Pollee, Fire Emergency Coordinator or Alternate Ambulance Employees 11 e DEP rational Response Emergency Center 24 hr. Spill Reporting Response 00-424-8802 888-304-1133 Contractors Note: Telephone numbers for emergency response and notification are provided in Attachment 3. Attachment 4B PERSONAL PROTECTIVE EQUIPMENT Attachment 5 i GUIDE TO PERSONAL PROTECTION EQUIPMENT INSPECTION CHECK LIST Selection: Be sure you are using the correct level of protection for the task to be done, Be sure you are using the correct materials for the task to be done. Consult MSDS and NIDSH Guide. Gloves: Before use, check for pinholes. Blow into glove and squeeze air into fingers. No air should escape. Clothing: Before use: Be sure that the material is correct for the job. Visually inspect for tears,defective seams, defective zippers, etc. Hold up to the light and check for pinholes. Look for cracks or other signs of deterioration. Look for signs of chemical attack from any previous use. Verify proper fit of wrists, ankles and neck. If equipped with face shield, check for fogginess, cracks or crazing. During use: Check for tears, punctures, seam or zipper failure. Check for signs of chemical attack. Attachment 5 Pagel of 6 " w � GUIDE TO PERSONAL PROTECTIVE EQUIPMENT Donning Procedure 1. Inspect the clothing and respirator equipment for donning. 2. Adjust hard hat 3. Standing or sitting, step into the legs of the suit. Be sure feet are placed properly, then gather the suit around the waist. 4. Put on the chemical resistant boots and tape the leg cuff over the top of the boot. 5. Put on the respirator, if required. Perform negative and positive pressure tests on the respirator. 6. Put on inner gloves (surgical gloves). 7. Put sleeves of suit over your arms and pull up over shoulders. 8. Put on hard hat, if needed. 9. Raise hood over head and adjust to comfortable position. 1G. Close up suit and adjust belts, arm and leg bands. 11. Put on outer gloves. 12. Have assistants check all closures and observe the wearer for a period of time to be sure the wearer is comfortable and equipment is functioning properly. Doffing Procedure 1. Decontaminate outer clothing. 2. Remove outer clothing such as outer boots, boot covers, tape, etc. 3. Remove disposable clothing. - Remove one arm at a time -Avoid any contact between the outside of the suit and the wearers body. - Lay the suit out behind the wearer. - Leave internal gloves on. 4. Have the wearer sit down and remove both legs from the suit 5. Remove internal gloves by rolling inside out. 6. Remove internal clothing and wash thoroughly. Attachment 5 Page 2 of 6 GUIDE TO PERSONAL PROTECTIVE EQUIPMENT Level of Equipment Protection Should be used when: Limiting criteria Protection Provided A RECOMMENDED: The highest The chemical substance has been Fully-encapsulating Pressure-demand, full facepiece SCBA or available level of identified and requires the highest suit must be pressure-demand supplied air respirator with respiratory, skin level of protection for skin, eyes, and compatible with the escape SCBA. and eye the respiratory system based on substances involved. protection. either: Fully-encapsulating, chemical-resistant suit. measured (or potential for) high concentration of Inner chemical resistant gloves. atmospheric vapors; gases or particulates Chemical-resistant safety boots/shoes. OR Two-way radio communications. site operations and work OPTIONAL: functions involving a high Cooling units. potential for splash, Coveralls, immersion, or exposure to Long cotton underwear. unexpected vapors, gases Hard hat. or particulates of materials Disposable gloves and boot covers. that are harmful to skin or capable of being absorbed through the intact skin. Substances with a high degree of hazard to the skin are known or suspected to be present and skin contact is possible. Operations must be conducted in confined, poorly ventilated areas until the absence of conditions requiring Level A protection is determined. Attachment 6 Page 3 of 6 GUIDE TO PERSONAL PROTECTIVE EQUIPMENT Level of Equipment Protection Should be used when: Limiting criteria Protection Provided B RECOMMENDED: The same level of The type and atmospheric Use only when the Pressure-demand, full facepiece SCBA or respiratory concentration of substances have vapor or gases pressure-demand supplied air respirator with protection, but been identified and require a high present are not escape SCBA. less skin level of respiratory protection, but with suspected of protection than less skin protection. This involves containing high Che mica kresistant clothing (overalls and Level A. atmospheres: concentrations of long-sleeved jacket; hooded, one or two- chemicals that are piece chemical splash suit; disposable It is the minimum with IDLH concentrations of harmful to skin or chemical-resistant one-piece suit) level specific substances that do capable of being recommended for not represent a severe skin absorbed through the Inner and outer chemical resistant gloves. initial site entries hazard: intact skin. until the hazards Chemical-resistant safety boots/shoes. have been further OR - Use only when it is identified. highly unlikely that Hard hat. that do not meet the criteria the work being done for use of air purifying will generate either V Two-way radio communications. respirators. high concentrations or vapors, gases, or OPTIONAL: Atmosphere contains less than 19.5 particulates or Coveralls. percent oxygen. splashes of material Disposable boot covers. that will affect Face shield. Presence of incompletely identified exposed skin. Long cotton underwear. vapors or gases is indicated by direct- reading organic vapor detection instrument, but vapors and gases are not suspected of containing high levels of chemicals harmful to skin or capable of being absorbed through the intact skin. Attachment 5 Page 4 of 6 �1 GUIDE TO PERSONAL PROTECTIVE EQUIPMENT Level of Equipment Protection Should be used when: Limitinq criteria Protection Provided C RECOMMENDED: The same level of The type atmospheric contaminants, Atmospheric Full facepiece, air-purifying, canister skin protection as liquid splashes, or other direct contact concentrations of equipped respirator. Level B, but a will not adversely affect any exposed chemicals must not lower level or skin. exceed IDLH levels. Chemical-resistant clothing (overalls and respiratory The atmosphere long-sleeved jacket; hooded, one or two- protection. The types of air contaminants have must contain at least piece chemical splash suit; disposable been identified, concentrations 19.5 percent oxygen, chemical-resistant one-piece suit) measured, and a canister is available that can remove the contaminant. Inner and outer chemical resistant gloves. All criteria for the use of air purifying Chemical-resistant safety boots/shoes. respirators are met. Hard hat. - Two-way radio communications. OPTIONAL: Coveralls. Disposable boot covers. Face shield. Escape mask. Long cotton underwear. Attachment 5 Page 5 of 6 GUIDE TO PERSONAL PROTECTIVE EQUIPMENT 1 Level of Equipment Protection Should be used when: Limiting criteria Protection Provided D RECOMMENDED: No respiratory The atmosphere contains no known This level should not Coveralls protection. hazard_ be worn in the Minimal. Exclusiof i Zone. Safety boots/shoes Work functions preclude splashes, immersion, or the potential for The atmosphere Safety glasses or chemical splash goggles. unexpected inhalation of or contact must contain at least with hazardous levels of any 19.5 percent oxygen. Hard hat chemicals. OPTIONAL: Gloves Escape mask. Face shield. Based on EPA protective ensembles. Attachment 5 Page 6 of 6 Number Fee 1089 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that PRIME PRE-OWNED CENTER 95 FALMOUTH ROAD, HYANNIS,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2013 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 5/28/2013 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health (;7 J �j Town of Barnstable Regulatory Services ! Thomas F. Geiier,Director 9 w �T MA59.S& A' ; Public Health Division 1659- Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 I 0 ASSESSORS MAP AND PARCEL NO. DATE co APPLICATION FOR PERT) TT.TO STORE AND/OR UTILIZE MO THANE 111 GALLONS OF HAZARDOUS MATERIALS i FULL,NAME OF APPLICANT M 0-- S u NAME OF ESTABLISMIENT i ADDRESS OFESTABl TE'LEPHONE NUIY BER y V'"" �J��' I��✓ i SOLE OWNER: YES-NO j IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNE lj D 907 /_ A Q.J / •[ �- �c>v G�.� D tJ� �CS r+M e n 4/2 C��H AY✓e.. �I SC �v is. /i /� �+(/ ��LJ j LLI .. �y, 4 IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. xl- 'S l 102 CO STATE OF INCORPORATION e FULL NAMF,AND PRESIDENT D4 ,HO d�.D�SS OF: �. �, S-oa oe 2 c V ^ J CLERK � •��1 *1J/i O t SIGNATURE 0 APP F RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# Fazdoc/wp/q ti•+� •d 1. a.> Number Fee 1089 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that PRIME SERVICE CENTER 95 FALMOUTH ROAD, HYANNIS,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ----------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 6/30/2014 unless sooner suspended or revoked. - ------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2013 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health - I Town of Barnstable 1 og� Regulatory Services Thomas F. GeRer,Director �aysras�, j MASSablic Health Di'ion a Thomas McKean Director 200 Main Street, Hyannis,MA 02601 _ Offi= 508-862-4644 Fay 508- '0-6304 ? i 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 j i FULL NAME OF APPLICANT I , NAME OF ESTAB7,7SN>U ENT 1 VY)e5a ADDRESS OF ESTABLISHII= }— jfiA � ()2(00 I TELEPHONE NIIlY.IBER '- ? l QQ SOLE OWNER: YESX1% IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PAR ` ! 7 /��/y/�A Me- //` iKI e v��h�J✓C. O S �,n J//p.� 0 v l'/LJ i IF APPLICANT IS A CORPORATION: FEDERAL MUTI1FICATION NO. C�1- al I WCO STATE OF INCORPORATION Pe- )g L✓ FULL NAME AND HO DRle-, SS OF: PRESIDENT D4.`. �� s CLERK 1 i 4 SIGNATURE OYAPFfJ&Mt RESTRICTIONS: HOME ADDRESS HOME TELEPHONE � 1 Haz doc/wplq i d I Number Fee 1046 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Francisco's Auto Detailing 95 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 6/30/2011 unless sooner suspended or revoked. ------------------- - ---------- -- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2010 JUNICHI SAWAYANAGI THOMAS A. MCKEAN, R.S.,CHO .__,,, ._,.. ,.�...�._.., ..�-•^ Director of Public Health_ —_---- — 6w Town of Barnstable � o*IME r � Regulatory Services Thomas F. Geiler, Director • BARNSTABLE, x MASS. a Public Health Division vo° 039. `gym �TFDMA�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 06 az-y�19 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT =����1,��r`'y_j A 14 T'p ADDRESS OF ESTABLISHMENT q6 pl)L /YJ( U T 0 U"'q� TELEPHONE NUMBER j 4121 L 3 � .02 , SOLE OWNER:,AYES 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 �.Jll�ii►-I�1�n �,�,tl�.iJi,y �ym>:'�ii'�%o,,a • SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE # Haz.docA�p/q Number Fee 1046 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Francisco's Auto Detailing 95 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 e i a , �1 'own ®f Barnstable Barnstable INE Regulatory Services Department Cft Public Health Division c� • + ■ARNSTABM KAM �0 200 Main Street, Hyannis MA 02601 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_ p d! O 9 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANTRQ�/(�J NAME OF ESTABLISHMENT - ERAti e/JGh A U 7 e2 ADDRESS OF ESTABLISHMENT ff FALAQJ,17"fJ J�1�r1Y19.vti�f /yjA o�a`D� • TELEPHONE NUMBER Q O a SOLE OWNER: YES NO p s� kl c� IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRES ,� F ALIT PARTNERS: -era 2" Uj IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK SIGNATURE OF APPLICANT • RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# Q:\Hazmat\Haz Mat Application2008.Doc L • 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 time 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 of$100. Please make the check payable to: Town • of Barnstable. The check must be mailed to the address listed above. Allow time for in- house processing. For further assistance on any item above, call (508) 862-4644 Back to Main Public Health Division Page • Q:\Hazmat\Haz Mat Application2008.DOC I Number Fee 1046 THE COMMONWEALTH OF MASSACHUSETTS $10o.00 Town of Barnstable Board of Health This is to Certify that Francisco's Auto Detailing 95 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 PAUL J.CANNIFF, D.M.D. 4/27/07 JUNICHI SAWAYANAGI THOMAS A. MCKEAN, R.S.,CHO Director of Public Health r; t� Town of Barnstable �pF THE 1p� Regulatory Services Barnstable P ti mericaCily Public Health Division Q D * BARNSTABLE, D v MASS. Thomas McKean,Director 200� �At 1639• A�� 200 Main Street ED Mp`l Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 April 1, 2008 Francisco's Auto Detailing 95 Falmouth Road Hyannis, MA 02601 RE: Hazardous Materials Permit Dear Mr. Francisco: We have now received your payment of $100 for the Hazardous Materials Permit for the current year: July 2007 — June 2008. We have waived the late fee. Also, we have enclosed your current permit for the above period and ask that you post it at your establishment. Please be aware, a renewal will be coming up soon for July 1, 2008 through June 30, 2009 at which time the annual renewal form must be filled out and returned to us, along with the annual fee. Thank you for your cooperation Sincerely, Public Health Division Q:\Hazmat\Haz MaNet renewal 95 Falm Rd Hy Apr08.DOC A� Number Fee 1046 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that Magic Touch 95 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. June 19, 2006 PAUL J. CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable oFIKKE Regulatory Services c„ Thomas F. Geiler,Director B,RM�AB • `M� Public Health Division 9� i • `fig' prF1 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 - tirrLll..Li11V1� rule ND7UK-011L1G�1V1�1ZLT-THA1 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT i1,.G C V%cs- ADDRESS OF ESTABLISHMENT j'S TELEPHONE NUMBER 71�0 SOLE OWNER: -AYES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL; PARTNERS: r �1 IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. x rh. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK GNATURE OF APP CANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# Q:\Application Forms\HAZAPP.DOC r 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 b{ 7 Number Fee 1046 THE COMMONWEALTH OF MASSACHUSETTS $110.00 Town of Barnstable Board of Health This is to Certify that Magic Touch 95 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, 2006 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER, M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. October 23, 2006 PAUL J. CANNIFF, D.M.D. THOMAS A. MCKEAN, R.S.,CHO Director of Public Health je Town of Barnstable �i ~� FTHE t ('C ° Regulatory Services ti °* Thomas F. Geiler,Director " MASS.� ' Public Health Division t Eo A . Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00p f C-0— 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 MI3 C51 G �[9U GPI ADDRESS OF ESTABLISHMENT TELEPHONE NUMBER $- SOLE OWNER: > YES NO X R c? —+ IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF L co X PARTNERS: c �D 3 t IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK v SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS �tCA> vA%,; btL HOME TELEPHONE# 503-?'9-Ms Haz.doc/wp/q TOWN OF BARNSTABLE BAR-W Mod* 5 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager + z-.lr..« ' #"1. 1►1� ;! Address of Offender if 66A-06;�. 6' w MV/MB Reg.# Village/State/Zip ( )d++'//x , A#• oefA4( a Business Name ,' " � ; tr am/ on _ 20 +� Uf Business Address ' Signatures f `Enforcing Officer Village/State/Zip �,{ �1 rr, , 1-?�•:�t t_� Z_ Location' of Offense �"° "" , ,, ,, 4P.AAA,� Enforcing)Dept/Div ;,sion Offense I-[7 ` �p�.+x:./ :.:ae P A"4y;%4 f Y qf .. (o F a c t s Xr).%A"�., Aez,I I f-�.�.a�r`�r�'���s -�.� .,� ���� - ,�` �,�+.« x �# +�•�:i�t� This will serve' only as a warning. At` thisa%time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. TOWN OF BARNSTABLE BAR_W } j Ordinance or Regulation WARNING NOTICE Name of Offender/Managertt iil,t t c Address of Offender MV/MB Reg.# Village/State/Zip Business Name V if 'rMA 0 Cam/pm- on !'1 h 20 � Business Address _ - Signature of Enforcing Officer Village/State/Zip H14jk.fL1L1' AAA 0:2 001 Location of Offense 4atoll I) d* r.4 ,- r-AK41 {' art, d )' (fi t M: JfAZ�� AW MA-ter1-� Enforcing Dept/Division Offense , # Al lk- toPA.V11 114-, Facts t R t lit f If id . /Y�., 1 ,f.!£ f 11 Wou 4 L4 d A. i f�l:{ This will serve only as a warning. At thits time rio legal action has` been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. TOWN OF BARNSTABLE BAR-W Ordinance or Regulation WARNING NOTICE Name of Offender/Manager ¢` # 1 1,1 eC� f+ ,' ' Address of Offender MV/MB Reg.# Village/State/Zip d � � � . Business Name � ' 4/pm, on i, `t . l) 20 V r Business Address` [ 1; � .� etc., . Vg A W f Signature .of Enforcing Officer Village/State/Zip 1 l{ f ; AAA C°2 421 Location of Offense� _11€ t bf ,hl Uf4 ,11 #�'"` - �` rL. `, . t • .� « + Enforcing Dept/Division , Offense '' ' IT , °1 rU A , M 1 E41- 1 ti Facts $ � °t`.i � "(Pc /-if It c ' <' # b 1 k This will sekve only as a warning. At thils time no legal action has' been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. y ' TOWN OF QARNsTAaLE . �COMPLIANCEt CLASS: 1. Marine,Gas Stations,REpair Q satisfactory 2. Printers L1MR D'' OF HEALTH � 3. Auto Body Shops Q I. . 0 unsatisfactory- 4. Aanufacturers COMPANY*rc,tfMC ��/L (Af /� '= (see"Orders") S. Retail Stores �y�/ 6. Fuel Suppliers ADDRESS ��11I(i� ' � 14Y&I Vli'Class: _ 7. Miscellaneous QUANTITIES AND STORAGE (IN=indoors; OUT=outdoor. MAJOR MATERIALS • Case .lots Drums AbOveTanks Undetgrohad Tanks Ili �t 4l_T_ _ 9 ge I tons 9g [tit Fuels: Gasoline, Jet Fuel (A) Diesel, Kerosene, 12 (B) Heavy Oils: waste motor oil (C) ,new motor oil' (C) �Q • • transmission/hydraulic � � - Synthetl.c Organics: degreasers • •Miscellaneous: I . o&O _ ce Cam- m) DISPOSAL/RECLAMATION RUV RKS: 1. Sanitary Sewage 2. Water Supply zo 1 �q l t� l iV Town Sewer O Public ��c7�>��1_ _. � L/ _7 /� !� On-site 4 Private (7r A 7YA (..�`t`i Ic► o0 q 3. Indoor Floor Drains: YES NO Q Holding tank: MDC �Nnr� ® Catch basin/Dry well ____._.___....__ ..___._........_....__.__...r�_ _ On-site system 4. Outdoor Surface drains-,YES NO r • O 11oldinL tank: MDC q r Catch basin/Dry well , OOn-site system S. Waste Transporter Licensed? m �11a1t1�L ILe n inn ilia a Prod act YF,,j_ Na .WAc 6 QtL. 1= er`son s Interviewe Inspector /Date 12 H 81 V p