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Home My WebLink About0105 FERNDOC STREET - HAZMAT 92qqIO36 INE r, Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 &1RM5�LE. • 200 Main Street• Hyannis, MA 02601 039. l TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT CFO MP'�p p Business Name: �• 1 ,e,r C.e— Date: * / Location/Mailing Address: lo.S ctvr. Contact.Name/Phone: S-o -'77 - 3Z� , Inventory Total Amount: O MSDS: I i1kof License#: 1� Tier II : QIA Labeling: Spill Plan: Oil/WaterSeparator: Floor Drains: a Emerci nc Numbers: Storage Areas/Tanks: Q,V-tA-Ca 1W-+ '(�o1( '\Vary gV 1,eS Emergency/Containment Equipment: Waste Generator ID: Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination. Other Waste Disposal Methods: '�A A r o5� LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils 2 Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants l Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for en fines&garages Pesticides: Caulk/Grout 1 N 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 10 Lye or caustic soda Lacquer thinners 5 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/RECOMM NDATIONS: 0 i�• Inspector: V 0. Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS II IRE rokti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 B""MAC-R- 200 Main Street• Hyannis,.MA 02601 039. �ArFOMP+ TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: 1 Date: 11 Location/Mailing Address: 105 ` Contact Name/Phone: - 7 Inventory Total Amount: l )�a MSDS: License#: Vq Tier II : d Labelina: ?v Spill Plan: Oil/WaterSeparator: floor Drains IUO Emer enc Numbers: Storage Areas/Tanks: UM► C l Emergency/Containment E ui ment: [Date&Amountof aste Generator ID: Waste Product: Last Shipment/Frequencicensed Waste Hauler&Destination: ther Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners (Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout 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: INFORMATION/RECOMM NDATIONS: KAYal STMVhTA hilthrw y Inspector• Facility Representativ WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS II Number Fee 1260 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that M.L. Custom Woodworking -------------------------------------------------------------------------------------------------------------------------------- 105 Ferndoc Street Unit F& G, 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 Town of BarnstableMA Inspectional Services BARNSTABLE �TlIE 1� turt.srna[•c�hzut-torurr•rranns D Public Health Division 3639-1034 BAM L ; Thomas McKean,Director 1639. 39. s`� 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 1 st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 El CATEGORY 2 PERM-IT 111 —499 Gallons: $1,25,00 C��'' fir, potAl(_ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ If *A late charge of$10 00 will be assessed if payment is not received by Ju!Y 1st. 1. ASSESSOR'S MAP AND PARCEL NO. ��y 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: CeZQ�f 5. NAME OF ESTABLISHMENT: - 6. ADDRESS OF ESTABLISHMENT: Q�1 K:I©Ci �� ►v 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: aa �(J 8. TELEPHONE NUMBER OF ESTABLISHMENT: � d J Q d 9. EMAIL ADDRESS: LA&Ite c3E & rn LCu.etZ�l�'1`A)67h.>, .r Orr 10. SOLEOWNER: YESNO IF NO,NAME OF PARTNER: , Aq0cTi 1 1 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF:, lT CORPORATION NAME PRESIDENT G TREASURER AQ rJ10 CLERK W ' 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS _ EMAIL: SIGNATURE OF APPLI T a / DATE QAApplication Fonns\Haz Mat Appli Ja�2 { ' Number Fee 1029 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Final Touch Auto Body Inc. .----------------------------------------------------------------------------------------------------------------------------•--- 105A Ferndoc Road, 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. 0.7/01/2020 PAUL J.CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable Inspectional Services BARNSTABLE Public Health Division WSMA MILS•69- 1 B?NNSfiBLE 16392014 i1 BAMgrABM 1 Thomas McKean,Director s6 9. ON,` 200 Main Street Hyannis,MA 02601 y.L Co Office: 508-862-4644 Fax: 508-790-6304 t`+,7 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: $ '50.00E/VST- CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 PC, Grl CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL?_)�,YES_NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? (YES NO. 4. FULL NAME OF APPLICANT:. 1'a g n(% 5. NAME OF ESTABLISHMENT: /►d I �Ov C.�. / �� "du rL f_ 6. ADDRESS OF ESTABLISHMENT: (0 6 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: a 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: �z��a ur �y 2n n i S�/��>•-�a i Goy^ 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDR�SS,A�TD�ELE$HONE#OFr Q CORPORATION NAME ( �T �c l,�- f PRESIDENT t.a c7 ©acl P-r D a TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#605ya-ld- 4_g:TO COMPANY ADDRESS EMAIL: 5��••--P • SIGNATURE OF APPLICA DATE ! Q:Wpplication FormsWaz Mat Appli Draft Jan 19.docx TOWN OF BARNSTABLE BAR -W0 � Ordinance or Regulation - WARNING NOTICE Name of Offender/Manager �• Address of Offender MV/MB Reg. # Village/State/Zip } Business Name 5t01on5 CC). 3: am/pm, on.. OVA 20 Business Address Jos fern Sce�� Ut�� f. A►A J tpSignature of Enforcing Officer i VLte Village/State/Zip NL1 R;s /fika 101601 Location of Offense_ i Simons co. He(kli� t Enforcing Dept/Dr ivision Offense V 1pjaa tit +own & loq —6 [ 1iQ (M� CDA�nalemq P411 �c m 1 Facts us�i 5 ownt.- iS S�rinq 000 �. 06 d baZcOoy& t rriol W�A Omar ;nos v rnt 01043 (6,11,00, Pee + 1€1 lake �love 3A z j - This will serve only as a warning. At this 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 OFFER GOLD- ENFORCING DEPT. s• TOWN OF BARNSTABLE -G8O5O Ordinance or Regulation BAR -W WARNING NOTICE Name of Offender/Manager. F+ .� Address of Offender MV/MB Reg. # Village/State/Zip ,�h tt Business Name lht �><mcinS Co. 392� am/pm L6154 on i 20111 Business Address Jos Fernh)c skeJ UAA D ;_k�/) -1I`SigtiWure of Enforcing Officer oaf e Village/State/Zip &a,on,5 /t4oJoI601 Location of OffensAt Simons co. ! ! Enforcing Dept/Division Offense �f1y1f��un a town � tooi -6 �# C ��i�. ad (GAS tngf fytf {DLO ,mac V Facts . �04SS QWntf iS 54v6o <500 colloo fit Wdre�ol,s pyAe";al W,36A� gophrali.). Pee t 10s 16 This will-serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to.achieve voluntary compliance of TowpOrdinpnces, 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 OFFER GOLD- ENFORCING DEPT. IKE►° Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BABNSTABLE. ` MASS. 200 Main Street• Hyannis, MA 02601 i639 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT CFO MPy r Business Name: i ' m C 6 m fhnl Date: b� Location/Mailing Address: ��C Contact Name/Phone: 80 Inventory Total Amount: "va�10 GI,I f SDS: n — ©n ca,1I License#: 110 9 Tier II : Labelina: 6 Spill Plan: Oil/Water Se arator: FoorDrains: Emer enc NQmb rs: p h M r'drn C I Stora a Areas/Tanks: � 9 Emergency/Containment E ui ent: KE I sIrkofSh Waste Generator ID: Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Ct 6 Other Waste Disposal Methods: r LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils ✓ Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: V Caulk/Grout insecticides, herbicides, rodenticides B ttery 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 thinnersMiscellaneous Combustible Paint&varnish removers, deglossers Leather dyes —�Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's �L 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: orrn O 't 4i oAl Inspector: Facility Representative: X, WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) IMF�cC- IL DATA i 1 Y�Y •. 1 1 Itl r _ ! i 1 i r _ .I _ i t 1, I' }rah ., •..�....'.-,�... M, e^z ;."";"x'� ��Posim®n5 - C O M P A N I E S HVAC• REFRIGERATION• PLUMBING s...�,s re.iwovy.u��wn ❑ . Norm LaValley Inside&Outside Sales 105 Fenndoc Street Phone. 508.777.3588 Hyannis,MA 02601-2039 Mobile. 413.822.4755 lovalleyn@belisimons.com Phone. 508.771.4047 eyn@beilsimons.com Fax 508.7714065 Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARS-% E.MA . 200 Main Street• Hyannis, MA 02601 %b,q. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT `IUrv. 2./6��8 rf0 MPS Business Name: oD C.6A �J�L Date: l`Z l Location/Mailing Address: /D <Yt bc. L5+. Ok,+C3 H-pvmi 5 M t> Contact Name/Phone: VNzlld f Inventory Total Amount: ti �Zll L4 '1&1 SDS: Yes License#:`-r6 2 Tier II : td v Labeling: C9K. Spill Plan: & Oil/WaterSeparator: Floor Drains: d Emergency Numbers: 10 Storage Areas/Tanks: 41054I01.p— P g4ve-f st-of o►f- 5,-te /it 1.5 Emergency/Containment E ui ment: se""N,ego. 0 , a Ni--- e2x-5\Ae- Waste Generator ID: Waste Product: AJ6 k4Zwaste_ Date&Amount of Last Shipment/Frequency: i VLCg.c sa-L a Tag-0 a_ fie. Licensed Waste Hauler&Destination: i ov" a..-+ 4-ep ►1. - -Y4✓15 C4 Other Waste Disposal Methods: p / LIST OF TOXIC AND HAZARDOUS MATERIALS �.�e_Q '-,� ,tC� /vl Ve e{�/ 0c.A`r�"e� ,2/(01i8 NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous/material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers 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: S ►tie. o -►1- -e .2.01 fe cf�l � 2 ova tv 1 Io , DSO 4,v.� v $Di I �'GZvt,, OVI, S �"�- �K Inspector: 4cv C.� . v <<. e�. SJ +0, p $k,s,rho. acilityRepresentative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS z � L} �.I-" -i-�,t I ,�a.�roQo�°s n�a, .1S oY\. `5Coe-* 5"-Jt&e5 6--aAsk n, to AO/I y c� a I(— cOKG�C-2."t2� V15 ►�,��- �yv�r� �i a.l �,ca (4L iI- Tay Roar 7:ykg (oD(D Cow , A R r al 14,+ - I&v -te-y,V II -�TZA- R04,k--TRG' 6Dla Co 7 g4-1 1 ke-AtteAV. + Co-O' l _ � U I I - Se-+ 2beAl, C 6 F�-`I o2 a. 1 .a I-I-1ti+ e►4 1 � r .+ Gadr �-ct+,I ST 1 w� �� Got'r 1 Y v II - 4 t7,2(�-0 PCI v If�r�?e,tie r �ar4- IQ 1 e,I a q,- �l�e.X I_�a�r,Qe.►tie,,r 3 ti.l a-1�-1�- 6v c-e- f M + I • t 4 a , rs ,. 41b IA ' 1 - 4 N l k r J. r t , r ' r J i 2-1c,Its — 3 S 6 I oX cp-5 �y 1 V a I - 374 k ,lam y � d I— 3 5-7°I 8, < *-.r A 3 a 1 Lea,A, I .I �I iti I I I I �I I ( I II II II I II 11 I, r l ' r c OL 1 Page 1 of 1 Lavelle, Timothy From: Bill Rex [wrex@hyannisfire.org] Sent: Thursday, October 26, 2017 5:47 PM To: Anderson, Robin; Lavelle, Timothy; McKean, Thomas Cc: Melanson, Dean 'l 9 Subject: 105 Ferndoc Street V x i� G 1 found a company that just moved into the business bays at 105 Ferndoc Street. He admitted that is not registered with BOH for hazardous material storage. He has five gallon pails of flammable solvents and gallons of two part epoxy paint stored in his space. I ordered out all the propane tanks. He has a PO Box in West Barnstable on web site. I advised him to registered his business at 200 Main Street. Contact is Henry Hunt 774-836-0589. www.topcoatservices.com Captain Bill Rex Hyannis Fire Department 95 High School Road Ext. Hyannis, MA 02601 508-775-1300 11/2/2017 °p THE Tp Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 RnRMAA,RRLE.g 200 Main Street• Hyannis, MA 02601 ,459 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT 1E0 MP'� Business Name: . A v`}n :66,1 Date: Location/Mailing Address: 1OS e K+ 4VAy115 Contact Name/Phone 1 I c.R a /yl a,v�9�c.K l Soo-S-Z"7- �1 b3 , GA-11 -t-7y-20$-Y/4f0 E t�-Zg Inventory Total Amount: ti 0-Zn0 1 w1 SDS: °►�.�� aces License#:�� o`� Ca4- Tier II : P 0 Labelina: �' '� Spill Plan: - Oil/Water Separator: Floor Drains: o Emergency Numbers: Storage Areas/Tanks: 15 - S qkk b",-V- -* +{ --(-I Emergency/Containment Eq_ui ment: 5 Q -X!. -J OK, 5� �e, - � OVA< More, Waste Generator ID: t o q Waste Product: 0 0Q%o*-C,.ke V- V-V 2 ,-k-1 Date&Amount of Last Shipment/Frequency: Io 2 t I ti i Xly< Licensed Waste Hauler&Destination: vk5, V Other Waste Disposal Methods: ,,11 LIST OF TOXIC AND HAZARDOUS MATERIALS Nti"nn ^ 5�KG2 'qS• � NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous mate ial use, � J storage and disposal of 111 gallons or more requires a license from the Public Health Division. •eP � 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 Degreasers for engines&garages �1.�<5 Pesticides: +� insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries V^ Photochemicals(Fixers) Rustproofers Photochemicals(Developer) V Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine - J Paints, varnishes, stains, d es Lye or caustic soda _ Lacquer thinners .t-V-)6"S�� Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: Li G -Y .5em platy tAoA- ��sf�e{� OVfOGo-f- Sto,aary,..- c� rr DERS: e-11 Qk!n z 0-6,VX a l Vtt<5 QS av5 qs ,e, R" oV� v0 to mac.-' 4 w .w•. as�e., S} 1 6 1 Imo. — e INFORM A 0 /RE OMMENDATION r..ke-S Ir e-.o •c, lL e-e D •2,• lP� o a cv�,e r-c wN-4-A-Vni>� ivy V 5K,,• MC1 l.S*-e.. 9�ro.ti. o��S►f -�O IvIS �Ca-O� �e�e.� 1w C.ovt4-Qivtv�.2,vtklnspector: i L-L-e,kl kp �n[ti ��OvS U10.51�-ems gf�eA.• Facility Representativ . WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS `pf\ME Tpk� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 7 BARMSqBLE.g 200 Main Street• Hyannis, MA 02601 OMa+ TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: ��l��"�otiL3 C O%&, Q vti Date: 7008 Location/Mailing Address: I 0< }-ZrA 0C- V14,AL b, t4y-OL VIA 1S Contact Name/Phone: _'16A Sj-Zo! c! o cw-L a cJ 14 Inventory Total Amount: `t' ` SDS: 7 G License#: ((CAI Tier II : (�' � `OLabelino: �� '� �' j Spill Plan: VeS Oil/WaterSeparator: Floor Drains: N o Emergency Numbers: A!2 . t A , v2i •C i Storage AreaslTanks. °�' t c_ � Y'S 5-c o vh,0 X w-c.. 1 w�ar Emer enc /Containme t E ui ment: Waste Generator ID: NIA Waste Product: A)IA Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 pgallons or more requires a license from the Public Health Division. Antifreeze INQlo Dry cleaning fluids Automatic transmission fluid V Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils V 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&g rages Pesticides: " Caulk/Grout/ ci 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: a 1 0 iVw-tv\, od' Jae L4 ZD Inspector: llU t�kv L.8 8Q,�.Q Facility Representative: � 0•wv�.2.t�'S�vvL. WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS - 0 Mrnafro,'--) - l0:0 0 INE Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMBAlq. .�• 200 Main Street• Hyannis, MA 02601 i639 ' TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rFD MP'� Business Name: /"L CZ6�0 w©o-wo(, k Date: 71 9 Location/Mailing Address: _ I C6 G tl EIP U S� Contact Name/Phone: So3-S3LA q3),(K Inventory Total Amount: 7 fSDS: 04'119- License#: Zo Tier II : N a Labelina: �u�� Spill Plan: Oil/Water Separator: Floor Drains: A)b Emergency Numbers: Storage AreaslTanks: co-VIgnis Emergence/Containment Equipment: i` Waste Generator ID: �(j� �60��37J Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: C Other Waste Disposal Methods: G G q LIST OF TOXIC AND HAZARDOUS MATERIALS P0) 1" 440r � i4lkAto�{ NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazUdous material use, storage n ag 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 cquer thinners Miscellaneous Combustible aint&varnish removers, deglossers I g Leather dyes Miscellaneous Flammables 20 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/ COM ENDATI NS: irf- A&a11 i%A ! nn IRconft/CAkns Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS `oF� ►oyti $ Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 Y RARMA�,S. o` 200 Main Street• Hyannis, MA 02601 t639.MP'�00 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT TED S //11nn n Business Name: CUS+oV%A-- �ovd� t�ar�G Date:!/q618 Location/Mailing Address: 1,0S e rVt C- -- a.n r 1 S Contact Name/Phone: Ce-ga,r L awc e-- 5ot3- 3(.v- zt3 o-e InventoryTotal Amount: '�' A l SDS: 0h\J � to e,� License#: 12 �O �- Tier II : ti Labeling: Spill Plan: 2S } t Oil/Water Separator: N Floor Drains: V No Emergency Numbers: Ve.S Storage Areas/Tanks: (7 AA 4CV X,, 21�.10.�,c Vno l S A A rdtwov5 w1 D.�C2�►e. S Emergency/Containment E ui ent: S111 kj k COVt.M%vl'b S P.ea��oQr Waste Generator ID: _ M PS g3kC213 J Waste Product/ Pat—fG S Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: a.s -�o ��-a��ov t\J% I X d Co ec. -vim P v�.-MVa a 12- LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers 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/RECOMME DATION : -&&r o96 a9t�s ow ¢c t.Jas�e� 1 a e r iOL( I tl �y is capnzy- a-�. Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS I Custom Woodwork inc ,I 24 Bramble Bush dr 3 2 02635 508- 508-360 137 contact@mlcustomwork.com January 28,2016 I Ms. Robin C,Anderson Town of Barnstable Zoning Enforcement Officer 200 Main st Hyannis MA 02601 1 Dear Ms.Robin We are writingthis letter to inform you the intention of our business We would like to open a cabinet shop with a spray booth,we will use the spray booth to paint cabinets and furnitures,the paint will be mostly Waterborne non-flammable finishes, low in odor and water clean up, occasionally we intend to use Varnish,we will not store more than 5 gallons of any kind of paint in the building. There will be 2 full time and 1 part time workers at the building The address of the intended Business is, 105 Ferndoc street unit F, Hyannis MA 02601 Your consideration to this letter is greatly appreciated. Thank you! � of -;Raf IlMM'artins CezarLanca President Vice-President ML Cus_torn W'Od- In.,er! r Taj- Specialist !0!- .2137 5Q8-685 8291 Cezalr`LanGa _ �Ratael MarUns 24 BrarUbl,ekbush;far. Cotuff,MA IVIL Custorriyyor[e 02635 wwN,MLCustom @gmaF(com .; Woodtinrorl�d 0 i t MI Custom woodwork inc Mail-Business letter 2 uraLaq-Wl3® Waterborne White Acrylic Finish 1 WB.20X DuraLaq-WB® 1WB.20X Series of Waterborne Finishes are the natural choice where the uses of traditional solvent-borne lacquers are not practical. The primary benefits are their non-flammability and environmentally friendly formulations. Waterborne Formula Non-Flammable and VOC Compliant Low Odor Water Clean-up r IV #4i9Ai#R3#iA81#'�il13i'#' �tae##ssa�#c�aas� i i MegaVar® Waterborne Polyurethane Finish 1 WB.50X MegaVar Waterborne Finishes are the choice where the use of traditional F solvent-bome lacquers is not practical. Benefits include non-flammable, love in odor, clean-up with water, and an extremely durable finish that meets all KCMA requirements. - Waterborne Formula - Non-Flammable and VOC Compliant - Low Odor E - Water Clean-up i M.L Custom woodwork inc Mail-Business letter 2 orris t n contained herein is presented in good faith and believed to be accurate as of the effective date own above.This information is furnished without warranty of any kind.Employers should use this information only as a supplement to other information gathered by them and must make independent determination of 4 suitability and completeness of information from all sources to assure proper use of these materials and the safety and health of employees.Any use of this data and information must be determined by the user to be in accordance with applicable federal,provincial,and local laws and regulations. END OF SAFETY DATA SHEET Page 9/9 On Thu, Jan 28, 2016 at 6:45 PM, Contact MI CUSTOM WOO... (via Google Docs) <drive-shares-norepiy@google.com> wrote: r aLZi'i#S)YNt9'.'1 m ��9gaagt�tta[af as N. t ®uraLaq-VVB® Waterborne .Acrylic clear Finish 1WB.10X DuraLaq-WB Waterborne Acrylic Clear Finishes are the natural choice where the uses of traditional solvent-borne lacquers are not practical.The primary benefits are their non-flammability and environmentally friendly formulations. • Waterborne Formula • Non-Flammable and VOC Compliant • Low Odor • Water Clean-up • Non-yellowing,resists moisture and household chemicals f 13 L i 0 https://mail,google.com/mail/u/0/?ui=2&ik=fac2a97049&view=pt&search=inbox&th=1528aa06a4d76f3O&siml=1528aaO6a4d76f8O&siml=1528aed7832d3l6a 11/13 M.L Custom woodwork inc Mail-Business letter 2 Final Hazard 1 -Slight Hazard oderate Hazard 3-Serious Hazard 4-Severe Hazard 16. OTHER INFORMATION Chemical Name Massachusetts New Jersey Pennsylvania Propylene:glycol X X X monomethyl ether 2-Butoxyethanol X X X Flammability: 0 Reactivity: 0 PPE: - *-Chronic Hazard X-Consult your supervisor or S.O.P.for"Special'handling instructions. Note:The PPE rating has intentionally been left blank. Choose appropriate PPE that will protect employees from the hazards the material will present under the actual normal conditions of use. Caution:HMIS ratings are based on a 0-4 rating scale, with 0 representing minimal hazards or risks, and 4 representing significant hazards or risks.Although HMIS ratings are not required on MSDSs under 29 CFR 1910.1200, the preparer,has chosen to provide them.HMIS ratings are to be used only in conjunction with a fully implemented HMIS program by workers who have received appropriate HMIS training. HMIS is a registered trade and service mark of the NPCA.HMIS materials may be purchased exclusively from J.J. Keller (800) 327-6868. WARNING! If you scrape,sand,or remove old paint,you may release lead dust.LEAD IS TOXIC.EXPOSURE TO LEAD DUST CAN CAUSE SERIOUS ILLNESS,SUCH AS BRAIN DAMAGE,ESPECIALLY IN CHILDREN. PREGNANT WOMEN SHOULD ALSO AVOID EXPOSURE.Wear a NIOSH approved respiratorto control lead exposure.Clean up carefully with a HEPA vacuum and a wet mop.Before you start,find out how to protect yourself and your family by contacting the National Lead Information Hotline at 1-800424-LEAD or log on to www.epa.gov/lead. Prepared By Revision Date: Revision Summary Product Stewardship Department Benjamin Moore&Co. 101 Paragon Drive Montvale,NJ 07645 855-724-6802 10-Jun-2015 Not available Page 8/9 1WB-106-DURALAQ WB WATERBORNE ACRYLIC Revision Date: 10-Jun-2015 CLEAR SEMI-GLOSS FINISH Disclaimer https://mail.google.com/mail/u/0/?ui=2&ik=fac2a97049&view=pt&search=inbox&th=1528aaO6Md76f30&sim1=1528aaC6a4d76f3O&siml=1528aed7832d3l6a 10/13 M.L Custom woodwork inc Mail-Business letter 2 z Health Hazard No Chronic Health Hazard No Fire Hazard No Sudden Release of Pressure Hazard No Reactive y?rlazard No SARA 313 Section 313 of Title III of the Superfund Amendments and Reauthorization Act of 1986(SARA).This product contains a chemical or chemicals which are subject to the reporting requirements of the Act and Title 40 of the Code of Federal Regulations,Part 372: Chemical Name 2-Butoxyethanol Diethylene glycol inonoethyl ether CAS-No 111-76-2 111-90-0 Weight% (max) 55 CERCLA/SARA 313 (de minimis concentration) 1.0 1.0 Hazardous Air Pollutant(HAP) Listed Clean Air Act, Section 112 Hazardous Air Pollutants (HAPs) (see 40 CFR 61) This product contains the following HAPs: Chemical Name CAS-No Weight% (max) 2-Butoxyethanol 111-76-2 5 State Regulations Page 719 1WB-106-DURALAQ-WB WATERBORNE ACRYLIC Revision Date: 10-Jun-2015 CLEAR SEMI-GLOSS FINISH California Proposition 65 This product may contain small amounts of materials known to the state of California to cause cancer or reproductive harm. State Right-to-Know Legend X-Listed HMIS Health: 1 HMIS Legend 913 htt s://mail. le.com/mail/u/0/?ui=2&ik=fac2a97049&view= t&search=inbox&th=1528aa06a4d76f30&siml-1528aa06a4d76f30&siml-1528aed7832d316a / P 9�9 P M.L Custom woodwork inc Mail-Business letter 2 .I m tion available. Mobility in Environmental Media No information available. Ozone No information available Component Acute Toxicity to Fish 2-Butoxyethanol LC50: 1490 mg/L(Bluegill sunfish-96 hr.) Acute Toxicity to Aquatic Invertebrates No information available Acute Toxicity to Aquatic Plants No information available Page 6/9 1WB-106-DURALAQ WB WATERBORNE ACRYLIC Revision Date: 10-Jun-2015 CLEAR SEMI-GLOSS FINISH Waste Disposal Method DOT ICAO/ IATA IMDG/ IMO International Inventories TSCA: United States DSL: Canada Federal Regulations 13. DISPOSAL CONSIDERATIONS Dispose of in accordance with federal,state,provincial,and local regulations.Local requirements may vary,consult your sanitation department or state-designated environmental protection agency for more disposal options. 14. TRANSPORT INFORMATION Not regulated Not regulated Not regulated 15. REGULATORY INFORMATION Yes-All components are listed or exempt.Yes-All components are listed or exempt. SARA 311/312 hazardous categorization https://mail.google.com/mail/u/0/?ui=2&ik=fac2a97049&view=pt&search=inbox&th=1528aa06a4d76f30&sim1=1528aa06a4d76f30&siml=1528aed7832d3l6a 8/13 M.L Custom woodwork inc Mail-Business letter 2 Zonation available. information available No information available No information available. No information available Numerical measures of toxicity The following values are calculated based on chapter 3.1 of the GHS document ATEmix (oral) ATEmix(dermal) ATEmix (inhalation-dust/mist)ATEmix(inhalation vapor) Component Acute Toxicity Propylene glycol monomethyl ether 11086 mg/kg 17160 mg/kg 61.9 mg/,L 17401 mg/L Page 5/9 LI R • 1 - un-2015 CLEAR SEMI-GLOSS 1WB 106 DURALAQ WB WATERBORNE ACRYLIC Revision D e sate. 0 J FINISH LD50 Oral: 6,600 mg/kg(Rat) LD50 Dermal: 13,000 mg/kg(Rabbit) LC50 Inhalation(Vapor): 10,000 ppm(Rat)2-Butoxyethanol LD50 Oral:470 mg/kg(Rat) LD50 Dermal: 220 mg/kg(Rabbit) LC50 Inhalation(Vapor):450 ppm(Rat,4 hr.)Solvent naphtha,petroleum,light aromatic LD50 Oral: 8400 mg/kg(Rat) Carcinogenicity There are no known carcinogenic chemicals in this product above reportable levels. 12. ECOLOGICAL INFORMATION Ecotoxicity Effects The environmental impact of this product has not been fully investigated. Product Information Acute Toxicity to Fish No information available Acute Toxicity to Aquatic Invertebrates No information available Acute Toxicity to Aquatic Plants No information available Persistence/ Degradability No information available. Bioaccumulation/ Accumulation https://mail.google.com/mail/u/0/?ui=2&ik=fac2a97049&view=pt&search=inbox&th=l528aaO6a4d76f3O&sim1=1528aaO6a4d76f3O&siml=1528aed7832d3l6a 7/13 I M.L Custom woodwork inc Mail-Business letter 2 of insufficient ventilation wear suitable respiratory equipment. Avoid contact with skin;eyes and clothing.Remove and wash contaminated clothing before re-use.Wash thoroughly after handling. 9. PHYSICAL AND CHEMICAL PROPERTIES available available available available available 10. STABILITY AND REACTIVITY Page 419 Reactivity Chemical Stability Conditions To Avoid Not Applicable Stable under normal conditions.Prevent from freezing. 1W13-106-DURALAQ-WB WATERBORNE ACRYLIC Revision Date: 10-Jun-2015 CLEAR SEMI-GLOSS FINISH Incompatible Materials Hazardous Decomposition Products Possibility Of Hazardous Reactions No materials to be especially mentioned.None under normal use. None under normal conditions of use. Product Information 11. TOXICOLOGICAL INFORMATION Information on likely routes of exposure Principal Routes of Exposure Eye contact,skin contact and inhalation. Acute Toxicity Product Information No information available Information on toxicological effects Symptoms No information available Delayed and immediate effects as well as chronic effects from short and long-term exposure Eye contact Skin contact Inhalation Ingestion Sensitization: Neurological Effects Mutagenic Effects Reproductive Effects Developmental Effects Target Organ Effects STOT -single exposure STOT -repeated exposure Other adverse effects Aspiration Hazard May cause slight irritation. Substance may cause slight skin irritation.Prolonged or repeated contact may dry skin and cause irritation. May cause irritation of respiratory tract. Ingestion may cause gastrointestinal irritation,nausea,vomiting and diarrhea. No information available No information available. No information available. No information available. No information available. httpsJlmail.google.com/mail/u/0/?ui=2&k=fac2a97049&view=pt&search=inbox&th=1528aa06a4d76f30&sim1=1528aa06a4d76f30&sim1=1528aed7832d316a 6/13 M.L Custom woodwork inc Mail-Business letter 2 ,•'e 3/9 _ _ L SS 1WB-106-DURALAQ-WB WATERBORNE ACRYLIC Revision Date: 10 Jun 2015 CLEAR SEMI-GLOSS FINISH Engineering Measures Personal Protective Equipment Eye/Face Protection Skin Protection Respiratory Protection Hygiene Measures Appearance Odor Odor Threshold Density (lbs/gal) Specific Gravity pH Viscosity (cps) Solubility Water Solubility Evaporation Rate Vapor Pressure Vapor Density Wt. % Solids Vol. % Solids Wt. %Volatiles Vol. % Volatiles VOC Regulatory Limit(g/L) Boiling Point(°F) Boiling Point(°C) Freezing Point(°F) Freezing Point(°C) Flash Point(°F) Flash Point CC) Flash Point Method Flammability (solid, gas) Upper Explosion Limit Lower Explosion Limit Autoignition Temperature(°F)Autoignition Temperature (°C) Decomposition Temperature (°F) Decomposition Temperature(°C) Partition Coefficient(n-octanol/water) liquid little orno odorNo information 8.4-8.5 1.00-1.02 No information No information No information No information No information No information No information 20-30 20-30 70-80 70-80 <550 212 100 32 0 Not applicable Not applicable Not applicable Not applicable Not applicable Not applicable No information No information No information No information No information available available available available available available available available Ensure adequate ventilation,especially in confined areas. Safety glasses with side-shields. Protective gloves and impervious clothing. https://mail.google.com/mail/ul0/?ui=28ik=fac2a97049&view=pt&search=inbox&th=1628da06a4d76f30&siml=1528aa06a4d76f30&siml=1528aed7832d3l6a 5113 M.L Custom woodwork inc Mail-Business letter 2 '`evere Flammability: 0 Not applicable Not applicable Instability: 0 Special:Not Applicable The ratings assigned are only suggested ratings, the contractor/employer has ultimate responsibilities for NFPA ratings where this system is used.Additional information regarding the NFPA rating system is available from the National Fire Protection Agency(NFPA)at www.nfpa.org. Personal Precautions Other Information Environmental Precautions Methods For Clean-Up Handling Storage Incompatible Materials 6. ACCIDENTAL RELEASE MEASURES Avoid contact with skin,eyes and clothing.Ensure adequate ventilation. Prevent further leakage or spillage if safe to do so. See Section 12 for additional Ecological Information. Soak up with inert absorbent material. Sweep up and shovel into suitable containers for disposal. 7. HANDLING AND STORAGE Avoid contact with skin,eyes and clothing.Avoid breathing vapors,spray mists or sanding dust.In case of insufficient ventilation,wear suitable respiratory equipment. Keep container tightly closed.Keep out ofthe reach of children.No information available 8. EXPOSURE CONTROLS / PERSONAL PROTECTION Exposure Limits Legend Chemical Name ACGIH OSHA Propylene glycol monomethyl ether 100 ppm-TWA 150 ppm-STEL N/E 50 ppm-TWA 2-Butoxyethanol 20 ppm-TWA 240 mg/m3-TWA prevent or reduce skin absorption ACGIH-American Conference of Governmental Industrial Hygienists Exposure Limits OSHA-Occupational Safety&Health Administration Exposure Limits N/E-Not Established https:Hmail.google.com/mail/u/0/?ui=2&ik=fac2a97049&view=pt&search=inbox&th=l528aaO6W76M&sim1=1528aa06a4d76f3O&simi=1528aed7832d3l6a 4/13 M.L Custom woodwork inc Mail-Business letter 2 ,.,,toxy..ethanol 111-76-2 5 Solvent naphtha, I petroleum,light aromatic 64742-95-6 5 General Advice Eye Contact Skin Contact Inhalation Ingestion Most Important Symptoms/Effects Notes To Physician Suitable Extinguishing Media Protective Equipment And Precautions For Firefighters Specific Hazards Arising From The Chemical Sensitivity To Mechanical Impact Sensitivity To Static Discharge Flash Point Data Flash Point(°F) Flash Point(°C) Flash Point Method Flammability Limits In Air Use extinguishing measures that are appropriate to local circumstances and the surrounding environment. As in any fire,wear self-contained breathing apparatus pressure-demand,MSHA/NIO SH(approved or equivalent)and full protective gear. Closed containers may rupture if exposed to fire or extreme heat. No No Not applicable Not applicable Not applicable Page 219 1WB-106-DURALAQ-WB WATERBORNE ACRYLIC Revision Date: 10-Jun-2015 CLEAR SEMI-GLOSS FINISH Lower Explosion Limit Upper Explosion Limit NFPA Health: 1 NFPA Legend 0-Not Hazardous 1 -Slightly 2-Moderate 3-High https://mail.google.com/mail/u/0/?ui=2&ik=fac2zi97O49&view=pt&search=inbox&th=1528aa06b4d76fW&siml=1528aaO6a4d76f3O&siml=1528aed7B32d3l6a 3/13 z I r M.L Custom woodwork inc Mail-Business letter 2 ,,duct Code Alternate Product Code Product Class Color Recommended use Restrictions on use Manufacturer Benjamin Moore&Co. 101 Paragon Drive Montvale,NJ 07645 Phone: 800-225-5554 lenmar-coatings.com Classification This chemical is not considered hazardous by the 2012 OSHA Hazard Communication Standard(29 CFR 1910.1200) Label elements Hazards not otherwise classified (HNOC) Not Applicable Other information No information available Page 1/9 Not a dangerous substance or mixture according to the Globally Harmonized System(GHS) Appearance liquid Odor little or no odor 1WB-106-DURALAQ-WB WATERBORNE ACRYLIC Revision Date: 10-Jun-2015 CLEAR SEMI-GLOSS FINISH 3. COMPOSITION INFORMATION ON COMPONENTS 4. FIRST AID MEASURES No hazards which require special first aid measures. Rinse thoroughly with plenty of water for at least 15 minutes and consult a physician. Wash off immediately with soap and plenty of water removing all contaminated clothes and shoes. Move to fresh air.If symptoms persist,call a physician. Clean mouth with water and afterwards drink plenty of water.Consult a physician if necessary. None known. Treat symptomatically. 5. FIRE-FIGHTING MEASURES Chemical Name CAS-No Weight% (max) Propylene glycol 107-98-2 5 monomethyl ether https.-//mail.google.com/mail/u/0/?ui=2&ik=fac2a97049&view=pi&search=inbox&th=162&a6664d76W8,siml=1528aaO6a4d76f3O&siml=1528aed7832d3l6a 2/13 fY DATA SHEET 1 ;ion Date: 10-Jun-2015 Revision Number: 1 I. PRODUCT AND COMPANY IDENTIFICATION DURALAQ-WB WATERBORNE ACRYLIC CLEAR SEMI-GLOSS FINISH 1 WB-106 TE3000 FINISH COATING Clear Paint No information available Emergency Telephone Number(s) CHEMTREC(US): 800-424-9300 CHEMTREC(outside US): (703y527-3887 2. HAZARDS IDENTIFICATION Product Name https:/Imail.google.com/mail/ul0/?ui=2&ik=fac2a97049&view=pt&search=inbox&th=1528aa06a4d76f30&sim1=1528aa06a4d76f30&sim1=1528aed7832d316a 1/13 rays Not a dangerous substance or mixture according to the Globally Harmonized System(GHS) Appearance liquid Odor little or no odor 1 WB-106-DURALAQ-WB WATERBORNE ACRYLIC Revision Date: 10-Jun-2015 CLEAR SEMI-GLOSS FINISH 3. COMPOSITION INFORMATION ON COMPONENTS 4. FIRST AID MEASURES No hazards which require special first aid measures. Rinse thoroughly with plenty ofwater for at least 15 minutes and consult a physician. Wash off immediately with soap and plenty of water removing all contaminated clothes and shoes. Move to fresh air.If symptoms persist,call a physician. Clean:mouth with water and afterwards drink plenty of water.Consult a physician if necessary. None known. Treat symptomatically. 5. FIRE-FIGHTING MEASURES Chemical Name CAS-No Weight% (max) Propylene glycol 107-98-2 5 monomethyl ether https:/Imail.google.com/mail/u/0/?ui=2&ik=fac2a97049&View=pt&search=inboic&th=1628EiaO6a4d76f3G&siml=1528aaO6a4d76f30&siml=1528aed7832d3l6a 2113 °aIKE►o Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARMAIM E. • 200 Main Street• Hyannis, MA 02601 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: Date: 8 i6 6 a Fe Location/Mailing Address: Contact Name/Phone: Ce--E2.r L.a.K c-.&- -360- 2.i 3 ) Inventory Total Amount: & I q3 5ed-t, '- a1 MSDS: Wes' O-A t- IteA1 Ow License#��g Tier I[ : ! �`�•1 Labeling: d#"� -Spill le- 5 Oil/WaterSeparator: Floor Drains: No Emergency Numbers: e S Storage Areas/Tanks: �Jzl \0A Olt\ V.&\1.6 5 sQtik 1<4V t. C-o-r Emergency/Containment Equipment: 1 u,I V w �A- t o C"4-%Nk GV 6,A '- Waste Generator ID: _MV�Q 3 b0213-1 Waste Product: t 0-A- \►%V-z-t Date&Amount of Last Shipment/Frequency: A0 Q.c"5 yet' Licensed Waste Hauler&Destination: G' s 1CO t Other Waste Disposal Methods:0aa Ar-t- 0 a%A-V 1W k 21 -- t16) a\,AA u ;t� 2, v LIST OF TOXIC AND HAZARDOUS M`ARIALS �k�� 1 e� S Jvq��y� -4 v-c a K b -� cd��cw / TE 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 11 Other cleaning solvents&spot removers 0 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/Q-,,41 1-0 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 x Swimming pool chlorine I V Paints, varnishes, stains, dyes 10-ct'o Lye or caustic soda 5 X� 1l Lacquer thinners 1 +b-r Miscellaneous Combustible ` �h� 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/RECOMMEN ATIONS: O .dam o nn sv Q � b i yob` 1r11 �v�. ke-1 S 6Vk_ce �%,. fi- Inspec r: ^elf# g�t�a11 �v�}a��u-ts gl�¢.1a-h.��c -1 SeQI Facility Representat e WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS `°Fn�►ok� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMASS. 200 Main Street• Hyannis, MA 02601 Fo TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: I- COgAow- JA)ooj WmrV2 Date: Location/Mailing Address: e� ° a.��n�5 Contact Name/Phone: GZaq.t L A o e-P. Inventory Total-Amount:�— MSDS: License Tier II : J y o Labelin : ill Plan:`'1 o M " � � Spill Oil/WaterSeparator: 01A Floor Drains: o Emergency Numbers: -� Storage Areas/Tanks: N - 0 0 " A-V-w iya- oA-is,3Q-. J1 �Ar Emergency/Containment Equip ent: , 04, 6 A Waste Generator ID: Waste Product: �vt�c.•( Date&Amount of Last Shi ment/Fre uen : Licensed Waste Hauler&Destination: ,0 %) %v.c, CcaS aI Pa �< t�jD�DSG.� Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS ��I qf_\jjejj IVY A\ &t 0-c,eU�4e�I K\JM. m< NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, haazdrdous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid -- Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers 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: 54 y- - rv>+©rt: I� Cory 1atgl v< V Inspector: Facility Representative. s WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS tNE*owe Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMA�BLE,g` 200 Main Street• Hyannis, MA 02601 1639. MPy a�0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rFD Business Name: Date: Location/Mailing Address: o S 1=ev'vt a 4V1 V1 t Contact Name/Phone: a I Sty - 2 - e -7`T - 2c> - p Inventory Total Amount: SDS: 't0 Obk&`w ��"`� License# ok a- ov`1�wt� Tier II : 1J o Labeling: 0kC Spill Plan: Oil/WaterSeparator: tflA Floor Drains: 0 O Emergency Numbers: 't Storage Areas/Tanks: s a1 dvh`,vi mer enc /Containment Equipment: 0 '04- k.JL �e, � �t sA11S v Waste Generator ID: 7?4�$y I`+ Waste Product: ��5k�-��wkl-�� w ..l 1 \ Date&Amount of Last Shipment/Frequency: �vo l6 " SS' a l ^, 2X f Licensed Waste Hauler&Destination: J am'}arm - C-rPta,l 6ULAV. Il4ve e,s's Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS �- \°f NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers ✓ Hydraulic fluid (including brake fluid) ✓ Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines& arages Pesticides: 4; .lro t Jf 10"sV�zg/ 1&0-rA�(S / insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries 5�w 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 -A- L-'OLgt-� �- 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: WAt.,MA el i ORDERS: P2D J m 4 ov, C L 0 vt 4 Cmv�aCaty l C� t. c ati, v�- 5 AA .k ,n�.J1w ad, I'Ac�b,,P -%4 a� IN RMATION/REC MMENDATIONS: S 11 5 , e c,-.2 .a •G.A J eay-'Inspector— L.Q1 t'?i Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS of111Ew Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BA MARgBLE. SC ` 200 Main Street• Hyannis, MA 02601 MA . �PrFOMP'� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: 8-0-1 1 51 o co Date: Location/Mailing Address: os 1n a ,S+ av►r►, Contact Name/Phone: �_T1.eQ �5v ee-o-e p S -71 01ev qP! ��A4�Lc4'�oh &d�nc09 Invento otal wount: b0o0-7�1b, �2�o a� SDS: 0� �� -b'v ��Z. License#: Tier II : 0 Labeling: s�-��1� \k\;) 1 Spill Plan: Oil/WaterSeparator: Floor Drains: 0 Eme'rgency Numbers: Storage Areas/Tanks: c'aX{, i-A, i o`tu ew,5� Emergency/Containment-Eau i ment: -c Waste Generator ID: Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid V 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 (ZZZ:�o aoox2S1b Miscellaneous petroleum products: Road salts 40iA 040C grease, lubricants, gear oil Refrigerants 410 A, LAD-JA)l4p$,0•,g6JAL ✓ Degreasers for en Ines&garages Pesticides: 4o-?C�'4�rL yo'A 14d7�7- Caulk/Grout insecticides herbicides,lrodenticides 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: a 117 5yt'j 01 rkc,►�w..�-v� 0�5 ..s-�'��,,�,e, Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Number Fee 1109 THE COMMONWEALTH OF MASSACHUSETTS $150.00 �---� Town of Barnstable Board of Health This is to Certify that BELL SIMONS CO. 105 FERNDOC STREET, UNIT D, 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 °p,M6 r°� - Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 B`"MASSSS`��' 200 Main Street• Hyannis, MA 02601 t639 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT QED MAK Business Name: vtct,C J o0a,, Ao -a E;oQl Date: Location/Mailing Address: l DS o m i Contact Name/Phone: a- o k D -1- Inventory Total Amount: ^' t MSDS: ON- vl r� ! License#: I�Z Tier II : Labelin :T0 Spill Plan: �'o os Oil/WaterSeparator: 11A p Floor Drains: i7 Emergency Numbers: Storage Areas/Tanks: " 5�4l.1 �5� �!o! ��vu✓�/ ��,� W�S�-e,, �o�ue, �pti� b✓d�, 5`� Emergency/Containment Equip ent: Waste Generator ID: M1J-1 ° Waste Product: Date&Amount of Last Shipment/Frequency: �� S�� Occ�� o vj2 -- b qe.,c Licensed Waste Hauler&Destination: C v�o ,IJ�c�cvgs �/e-f Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. $ Antifreeze (o A2 Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid)1 (n Windshield wash 6 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: CaukCIM61t -rI A 1S"s l t-14I QeA--�e 5 insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Zb Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine 5 Paints, varnishes, stains, dyes o Lye or caustic soda -10 Lacquer thinners ,�,j- to k��wa��. t 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" `a 4,(1 (including chloroform, formaldehyde, Z Pc��g�ty�Lt15 hydrochloric acid, other acids) VIOLATIONS: b.)kS i K- Pip�e55 ek qV-PkaU Vt ORDERS: INFORMATION/RECOMMENDATIONS: lyt k S J -p- U4 gfi Inspector: Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS t\ J Number Fee 1029 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that Final Touch 105A Ferndoc 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 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 y �.L .�t Town of Barnstable Regulatory Services ti • °� Richard V. Scah,Director Public Health Division i0'Ee °i Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. �/ f D DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT �i'?cJ ZIE U C� / � O c�'� �, C • ADDRESS OF ESTABLISHMENT [®5 E-C w-t) C C�)� n S P�Ab��o TELEPHONE NUMBER S ©$ 8 SOLE OWNER:. 4S NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: A}/fit IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NOA 1 S 5sgo 7,q O STATE OF INCORPORATION corWrabon FULL NAME HOME ADDRESS OF: / PRESIDENTt� 14-g TREASURER 0,kCtM0VM 13� iQAQ$ Ford M K CLERK • SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS c3 �/�nS P�/1� ►CFI �la�n�s �a 6� HOME TELEPHONE# ?�q oY -11b C:\cache\Temporary Intemet Fi1es\0LKD3\HAZAPP Rev2015.DOC 06/02/2010 09:05 5087714065 BELLSIMONS PAGE 02/02 06/0e/2016 11:45 0002400002 BELLSIMONS PAIaE 02102 JUN " 2016 Town of Barnstable Regulatory Services w IV" n Richard V. Seabi,D09r-tor W ` BARNSTABLE Public �ea�.tk� ��iVisiOl� �= Thomas MclKean,Director ,M-2M4 200 Matti Street,Hyannis,NA 02601 u Office 506-W2-4644 Fax 50$-790.6304 AEPLICATION FOR P.ER=,TO STQM.ND/OR.UTILIZE IN ACCORDANCE•V+ TH THE TOWN OF BAk ST'ABLL GENERAL.-01WINANCE;CRAFTER 108, HAzARDOUS MATERIALS,ALL BUSINESSIBS THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUS)EKOLD QUANTITIES ARE REQUIRED TO OBTAIN AN _ . ANNUAL PMI�'(RUNS I[TL 1st APPLICATION FEES CATEGORY i1-PERMIT 26—110 Ga1IOM $ 50-00 ` CATEGORY 2 PERMIT 111—499 Gallons' $125.00 CJ CATEGORY 3 PERMIT 500 or morc 1Ioxxs:$150.00 late ch e 9f . 0 it be assessed i is of race" ad 1st. • ASSESSORS N�AND PARCEL NO. DATE MLL NAME OF'APPIUCANT: ► Il GOC7��l �r SIJ -- NAME OF ESTABUSM x'T, LISQ' ADDRESS OF ESTABL�: 9 1 Q ' $ !'►7I� MA OLING ADDRESS(IF DIFFERENT)' ''ELEPUONE NUNMER OF EST'ABLISfMNT: EMAIL ADDREESS: SOLE OWNER:_ MXNO IF NO,NAME OF rARM R* PULL NAM,ROM ADDRESS,AND TELEPX[,oNE#OF: CORPORATION NAME PI.RESWENT xREAs� CLERK IF PUPARED BY OUTSIDE PARTY, _ - A, O AP xC T Comp"y Address : Telephone#: Email" Q-v+PP ]tcatton Porms%A72APP 7-16.doex Page 1 of 2 IB*ok� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMASS. Y 200 Main Street• Hyannis, MA 02601 �OrF039.0. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: Bel Iswt.o Date: Location/Mailing Address: IDS Contact Name/Phone: er(s.( ��t✓J� Inventory Total Amount: 5ef- tt,461aaq I MSDS: �N"l d4%T,k 604aakL License#: 1151 Tier II : o � / Labelino: e ht VRI- 2 W41 Spill Plan: 2 g Oil/Water Separator: [JJ A Floor Drains: N o Emergency Numbers: y21i Storage Areas/Tanks: Emergency/Containment Equipment: S P%it 12,E w� °�� 5, �-��Gxk�v�-�i��s�n er5 ✓�P'�� -�-- Waste Generator ID: Waste Product: Date&Amount of Last S ipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS 1vW4 P6/ie, )OW, OpSOt` 4 q,v\,GQ NOTE: Under the provisions of Ch. 111, Section 31, of the G neral 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 IKV2ae{�. 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 3i X o grease, lubricants, gear oil Refrigerants 4117A 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: IVO /55ve5 oe ecommzq ,,,L5 , g Inspector — - Laulz_�L.e Facility Representative: G �6 WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS V\ Number Fee 1109 THE COMMONWEALTH OF MASSACHUSETTS .100.00 Town of Barnstable Board of Health This is to Certify that BELL SIMONS CO. 105 FERNDOC STREET, UNIT D, 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 Town of Barnstable 1WEE Regulatory Services Richard V. Scan,Director ` Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA.02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee:$100.00 ASSESSORS MAP AND PARCEL NO. V`�`�' DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN /111 GALLONS OF HAZARDOUS MATERIALS FULL NAME v c�/CL� Ly" '�, OF APPLICANT 1NLr b NAME OF ESTABLISHMENT �� S�,`.-z�NS • ADDRESS OF ESTABLISHMENT /01 fext D a c- S 7— t,�N z-71 16 �-26o J TELEPHONE NUMBER SOLE OWNER: YES_jNO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. O 6_Q 6//kY7 STATE OF INCORPORATION FULL NAME ANC go ADD SS PRESIDENT �ilw,� /v �✓� % G�� e e S'/ EtA F c7 o f TREASURER &4r Aio 4e�& / �- C'7 0642(, CLERK SIGNA06F APPLICANT RESTRICTIONS: HOME ADDRESS 3 ✓W, b)$L;b A/ JAX Avz k l)",+' S HOME TELEPHONE# �o�'- 6 2- 3 a q 0� C:\cache\Temporary Intemet Files\OLKD3IHAZ,APP Rev2015.DOC °FtNE►off Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 B""M�`E�' 200 Main Street• Hyannis, MA 02601 t639 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT RFD MP'�s Business Name: A., o F7o,Q Date: Location/Mailing Address: 1 o S z t o a A tin r 15 Contact Name/Phone: —S, a. o M& V - ce-1 tf 14L Invento1y Total Amount: MSDS:.©w 1,VW�4_A.CCe License#: Tier II : 0 O �� Labeling: I Spill Plan:CIA Oil/Water Separator: it^ Floor Drains: !J v Emergency Numbers: Storage Areas/Tanks: J L\ b.n-l.�ks - V-)ksk-p--\V\VV.-0-1 t � �t-bos,AO- AAIA5te- - ,,�,-A Emergency/Containment Equipment: 5",,A5/ 4ya.lal k 9A-5,}P- Waste Generator ID: J 420 Waste Producta� �fI��KN. Date&Amount of Last Shi ment/Fre uenc Licensed Waste Hauler&Destination: 1-A\r\ess PA Other Waste Disposal Methods: o e, e+ C-do,nti. a.` 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. 5 Antifreeze 2-14 2 r 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: = .42 Gau44G;out r;I 1.,re s,ti.5 insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) I Car wash detergents Printing ink 3 Car waxes and polishes a4X Wood preservatives(creosote) Asphalt&roofing tar V)A rA �o, Swimming pool chlorine I -7-o Paints, varnishes, stains, dyes��k ko Lye or caustic soda t -� I$} � Lacquer thinners �t / 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: k el-c.- t,.w+ o 0 ao ! A Q -� a J e�J w�kc-f-b ti°x0�- ,��•tik s �- v� t-�a+�ct / 1 Inspector: �-A It Qi Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS °p INE Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARNSTABLE. ` MAk. 200 Main Street• Hyannis, MA 02601 '0rF0 3 9. Nia+"�0� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: Date: lS /� Location/Mailing Address: Df t=e cv� S�' verl s Contact Name/Phone: (e,r Inventory Total Amount: ^-ss0g0-1 MSDS: le-g License#: I l b Tier II : KIG Labeling: kv&A Spill Plan: e.5 Oil/WaterSeparator: VAJA Floor Drains: o Emergency Numbers: �5 Storage Areasjanks: w1n wk4- ow a Emergency/Containment Equipment: 3D,11 Coyl ft�y�y�taaA�C tiC � w� �,t •rQ�.r �v41o��1� Waste Generator ID: Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: l� y ¢ ,P1y eaw.•,}rry C�sh.�p+,oR�,«�k� s., pl-�!Sso� Cecvcl�_ LIST OF TOXIC AND HAZARDOUS MATERIALS I�Io vk��oS G `' 5 NOTE: Under the provisions of Ch. 111, Section 31, of the General Lbws 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 Yluid Other cleaning solvents FeFRevers- 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 VPaint&varnish removers, deglossers Leather dyes Miscellaneous Flammables-4-^ 61"f-S 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: 6 i Inspector: ! r, l_AV�-Il fi Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Date: 11 y 13 TOWN OF BARNSTABLE�S , TOXIC AND HAZARDOUS MATERIALS FORM NAME OF BUSINESS: be" �5►MDTLs cov" 4VLV BUSINESS LOCATION: I DSO �e,�ylrJ�eC. �'-�- F��a�1✓�, s INVENTORY MAILING ADDRESS: Saws TOTAL AMOUNT: TELEPHONE NUMBER: r02) -'1-7I -3588 5-&? c�)lonS CONTACT PERSON: .Sy so,e- for (5-, 1 EMERGENCY CONTACT TELEPHONE NUMBER:7-,e:1 ecl1 S�-28t)-7S92- MSDS ON SITE? TYPE OF BUSINESS: PVA,' S{C41Le aN,t INFORMATION / RECOMMENDATIONS: '�Ob1�,�,,� �� M,�,�e�,.L.(s Fire District: IQVL Z/�J 1D M. i Cv��, dl �/I 0./h,,. KJ 1'MI 1 C�GNIS C� 1,C A+ o✓�_ 4 VI Vr 1 S k'N oC 06 6-' CG7 P 4 1 V\.S",D 3� �o w e/1ab� I'I S�S S kce 5 -c n,Q k,---CA m yl 5,+e_. �� ©b�-a1_►ti, P,rk.e,rti,e,nev s0�i 1�c,,-�"ar►,Dc. �Gc.(.✓� avt. S ►f� Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: eick4i4b -4H1 ,s v 6 Licensed? Yes No NOTE: Under the provisions of Ch. 111, Secti6h 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or systems) Miscellaneous Corrosive J'NEW y�❑ USEDo fy `y y Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) 34-LID[be 5 Refrigerants Motor Oils Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene,#2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) It lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables (Aiw",L,) Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous(please list): Metal polishes n Laundry soil &stain removers (including bleach) @ `7.a7�b�.�k3 s ,2S �bs of app�o)C. S2 gA'1oh Spot removers&cleaning fluids (dry cleaners) 1 6 Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials L Number Fee 1260 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that M.L. Custom Woodwork Inc. 105 Ferndoc Street Unit F& G, 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 �r i Town of Barnstable Inspectional Services BARNSTMLE Public Health Division YSTC5Nfu51639-7014i NaL. E 1 z CBARNSTABLE, ' \ MASS. Thomas McKean, Director 200 Main Street, Hyannis,MA 02601 fib; �4 Office: 508-862-4644 Fax: 508-790-6304 _ APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE ' HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st-JUNE 3 Oth). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT" 111 —499 Gallons: $125.00 "_ ,��i5� J CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ G� *A late charize of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 3qt� o6cp 2. IS THIS A PERMIT RENEWAL?X 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: -CZ 2A-k �41C,1-- 5. NAME OF ESTABLISHMENT: dill �, 1,,,�� tea► W 006'wow 6. ADDRESS OF ESTABLISHMENT: t&kN PAC: (-Urji'� YANN�S, ty1�A 264� 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: ('50 3) 53 y- 93 23 9. EMAIL ADDRESS: GQv rA C 7 I_ .N!L C)S ZO.M Wo faL CQM 10. SOLEOWNER: YES o� NO IF NO,NAME OF PARTNER: jAJ-AC-j �Aj,rjS 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 APPLI T DATE Q:Wpplication Forms\Haz Mat App Re ' d �k ,�'� i Ord Number Fee 1109 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that The Simons Co. 105 FERNDOC STREET, UNIT D, 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 Town of Barnstable Inspectional Services BARNSTABLE �FTNE Tn. wv"s"cui s�asawu°Unaza+ e Public Health Division 1639YG4 BARNMELE, Thomas McKean Director rti.,a Arfo �a` 200 Main Street, Hyannis;NiA 02601 a fiw Office: 508-862-4644 Ay 2 2 2019 Fax: 508-790-63041j..� APPLICATION FOR PERMIT TO STORE AND/OR U=PYLIZE 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: Elall CATEGORY 3 PERMIT 500 or more Gons: 150.0 :gvsl *A late charize of$10.00 will be assessed if pUm nt is not �eccei ed by July 1st. ( cry,I 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: &LAO� 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: S. TELEPHONE NUMBER OF ESTABLISHMENT: 6 �5- 99, 1— 3685 9. EMAIL ADDRESS: b�X .-1lp 10. SOLEOWNER: ✓ YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME ` PRESIDENT So )D 4j IZoRY G ME CS 61 awl Aw � TREASURER \ �- S-4d 9n CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: \>0L fl Q 1qR� ay,� Y3- ,ow\- • SIGNATURE OF APPLICANT DATE Q:\Application Forms\Haz Mat App Revised 09-10-18.d cx dk� -�i Number Fee 1029 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Final Touch Auto Body Inc. 105A Ferndoc Road, Hyannis, HA 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 Aug , 9 2019 17:33 HP Fax page 1 Town of Barnstable Inspectional Services BARNSTABLE • ,,�' � Public Health Division ' Thomas McKean,Ditector MAAL 200 Main Street,Hyannis,MA 02601 Office 5.08-862-4644 Fax: 50&7QUd6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN.A000RDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 10.8,. HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE.OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN,ANNUAL PERMIT(RUNS JULY Ist-JUNE.30th). APPLICATION PEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 D CATEGORY 2 PERMIT 11-1 —499 Gallons: S125.00 CATEGORY 3 PERMIT 500 or more Gallons: $150.00 O *A late charge of$10 00 will be assessed if payment is not received by July 1st. 1&i':12-- 0840 1. ASSESSOR'S MAP AND PARCEL NO.. ,L 2. IS THIS A PERMIT RENEWAL?X YES_NO. IF YES,$10P 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)?V YES NO. 4. FULL NAME OF APPLICANT: 5. NAME OF ESTABLISHMENT: _,1 6. ADDRESS OF ESTABLISHMENT.: I0S f e inn n t' 7. MAILING ADDRESS (IF.DIFFERENT FROM ABOVE: S. TELEPHONE NUMBER OF ESTABLISHMENT-. 9. EMAIL ADDRESS:rn a � E:uC� ye r+n 5 -��'�n�� ,`� Or►� 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NANIE,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME �t r&i t oUc G, Al-,..-�"o s3rx�y W) C PRESIDENT Yn Fwi!� ;;, q a l,l; _19 .4hl eG¢f L..-, Ce-,.f�✓ !!r .a y 01 YE 10 TREASURER C, CLERK 12. IF PREPARED.BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: • SIGNATURE OF APPLIC. DATEZZ-)�� Q.\Applicadon FormMazMat tApp Revised D4 .Aoe j' • Number 1260 Numb THE COMMONWEALTH OF MASSACHUSETTS Fee $1Fee 25.00 Town of Barnstable Board of Health This is to Certify that M.L. Custom Woodwork Inc. 105 Ferndoc Street Unit F& G, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. ------------------------------------------------------------------------------------------------------------------------------- ------------------------------------ --------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2019 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2018 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Chklr 10gullatoryof Bgrnsxable emces the Richard V. Scali,Director Public Health Division BARM TABLE • = BARarU 1 Thomas McKean,Director 1MASK �` ;,� 3 a 200 Main Street,Hyannis,MA 02601 575 Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY l st-JUNE 3 0th). APPLICATION FEES CATEGORY-1 PERMIT__ 26-_110 Gallons:_._ _$_50.00 ❑__ CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 f9 V,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? X YES_NO. IF YES,SHIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS • ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: CE 2 Ar L t 4 N C 4- 5. NAME OF ESTABLISHMENT: -M . _ . GuslnM W00if'- wop-1c �njC- 6. ADDRESS OF ESTABLISHMENT: Io5 �e kjjD sT. JN;-r P-o G -NYA,-),j,s ,q4- 02601. 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: S. TELEPHONE NUMBER OF ESTABLISHMENT: 6 OB) 9. EMAIL ADDRESS: CO N TA C , RL CUSrorrWo&K_CoIt 10. SOLEOWNER: YESKNO 1F NO,NAME OF PARTNER: QAFA&I 11 A-x-r."i S 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 APPLICAN _ DATE J �i20�G Q:\Application FomtsVlAZMAT APP 2017 RE ED.¢ocx�/)n . �� A� Number Fee 1029 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Final Touch 105A Ferndoc Road, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. -------------- ------------------------------------ -------------------------------------------------- -- ------------------------------------------------------ This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2019 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 IRS a e4t � �- Vow of B nstable eg8atory Services Richard V. Scali, Director ' �T"E rOw • "�, Public Health Division BARNSTABLE BARNMBM Thomas McKean, Director M'�1663995-7200014��Ml� AT-1 a --200 Mam- treet;Ilyatints, Office: 508-862-4644 " 0 I 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 RE ARE QUANTITIES UIRED TO OBTAIN AN Q Q 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 �/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, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF L • GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: � )lyA-)- 1/t�i cis.Q e 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT:(�S �e rn d�r AS Yd h�% S /Y2 A bat 6v / 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: S °y 8�l 3 9. EMAIL ADDRESS: /-1'0-�ct,4 ya,,,,i 10. SOLEOWNER:KYES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE it OF: / CORPORATION NAME _}�i na� '��C L` ✓�� od�/ In C PRESIDENT- ,ay TREASURER CLERK_- 12. IF PREPARED BY OUTSIDE_ PARTY: • NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICA DATE S�l Q\Application FormsEAZMAT APP 2017 REVIS Am, Number Fee 1260 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that M.L. Custom Woodwork Inc. 105 Ferndoc Street, 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 � i `,t: ' ow of Barnstable eg atory er'Ices Richard V. Scah, Director " �t�rO�ti Public Health Division BARNSTABLE • PARMSffi6lF@yNiPRy1LLG•CONR•MY-A 4FRSlU`fi t1LL S•:'639-It11•YI;SI PRNSiCtllf ��'AB�. Thomas McKean Director �, ) t �39-2014 �fpta` 200 Main Street, Hyannis,MA 02601ti ` fig Office: 508-862-4644 60/7 0 ILq Fax 08-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE: HAZARDOUS MATERIALS Ln 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 (�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?X 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: C ZAQ ZA-AJCA- 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: 10,5 &qovac ��j VGA I� E�N G 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: S. TELEPHONE NUMBER OF ESTABLISHMENT: S 08 3 fn c113-4 9. EMAIL ADDRESS: CoA�iAc-i C., ,N��,Gt,1�>J r`V�• Z�C Cl�� v� 10. SOLEOWNER: YESANO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF:1 CORPORATI NAME M, L CJS( OM PRESIDENT r 'L �aViAc> TREASURER NC, CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICAN S ATE — OS Q\Application Forms\HAZMAT APP 2017 REVI . cx 9 Number Feed 1029 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable20 ��- Board of Health This is to Certify that Final Touch 105A Ferndoc Road, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. -------------------------•---------------------------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------- -------------------- -------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2018 unless sooner suspended or revoked. --------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 071011201.7 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health TRowl Unstableceeg atoervlces Richard V. Scali,Director J of T H�E ram, Public Health Division BARNSTABLE ♦ 6.RNSrA01E..lurFRl1i1E -"isI 0.W�1 APN-,.--, YF0.51[Y!5 F;ILS•M19-201•N:S�Pa^xSlec.c Mass Thomas McKean, Director 639-2024 RFD Max�,� 200 Main Street,Hyannis, MA 02601 575 P. Office: 508-862-4644 �073--XO' Fax: 508-790-P'04 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE �k HAZARDOUS MATERIALS NO IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER'0108, 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 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 CX1 U'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?A 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 QU TITIES(25 GALLONS)? /YES NO. 4. FULL NAME OF APPLICANT: �� D 6"/�'1� G 5. NAME OF ESTABLISHMENT: i.-�c� ( ��Imo` 6. ADDRESS OF ESTABLISHMENT: 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: //// 8. TELEPHONE NUMBER OF ESTABLISHMENT: C5-3) 8� �' 77 W- 9. EMAIL ADDRESS: I / c��?Ot,1cL• S/r9�n S��pyj7d�-/ �Sc�-• 10. SOLEOWNER: YES_NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION AMEr�d T 1' PRESIDENT TREASURER CLERK. 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS MAIL: SIGNATURE OF APPLICA&r DATE Q:\Application Forms\HAZMAT APP 2017 REVISED.docx • • • i dIl Number Fee 1109 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that BELL SIMONS CO. 105 FERNDOC STREET, UNIT D, 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 ISO CA Tow1� of Unstable 0 1(Q Y(pO Regu.latoervices �`� Richard V. Scali, Director (bk oFi�ta,,_ Public Health Division BARNSTABLE BARNSTABLE, BANNSTR MILLS F. WEST NYw. w $ Thomas McKeanMASS. , Director ""�°�""�i "570;"�°" "�� f�� rfD MP'�a 2 1vlain Sfxeet�Hyannis;lNIA 02601-.- - ---- --- -——— ---�,�.�------ —- -- }--_ Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE ; HAZARDOUS MATERIALS ice: IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 1d8 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 I PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 �4 V.5 *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 ((225 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: V,LOW-3. UvVq-> 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: ws awl 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: cc,, 8. TELEPHONE NUMBER OF ESTABLISHMENT: S D%Drl I " 3: �D 9. EMAIL ADDRESS: J I*R``e 161 10. SOLEOWNER: /YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELE ONE#OF: CORPORATION NAME PRESIDENT 1�a TREASURER .yry ,� CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE Q:\Application Forms\HAZMAT APP 2017 REVISED.d cx J Number Fee 1109 THE COMMONWEALTH OF MASSACHUSETTS $15o.00 Town of Barnstable Board of Health This is to Certify that BELL SIMONS CO. 105 FERNDOC STREET, UNIT D, 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 CZ:Tt)N'q I TOZ Nnr I - CA ju Tower of Unstable -�-(� ��-/►7 F-Regulatoe',ces Richard V. Scah, Director. ift A A", S y� Public Health Division BARNSTABLE • r HlJ15'W.S ILS�[51EiVIl3FCONSf P4YXSi•4P!E ■MMSTABLE. Thomas McKean,Director 1639.2014 %639. 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 El CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 g V'S *A late charee 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: `-t4-e 4-xe- 3�- 5. NAME OF ESTABLISHMENT: ` e-tk Sc�,h�e� s a T6-o4 6. ADDRESS OF ESTABLISHMENT: 105 Cep t Or'- PM 8 s M R • v.24o � 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUM 3ER��OF ESTABLISHMENT: 5o 7 71 -3 SYf(, 9. EMAIL ADDRESS: SU Zvk� (2, ir�e (t S Nt_d�S•r ON;I 10. SOLEOWNER: YES %NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME bell PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICAN DATE Q:\ApplicationFormsUiAZMATAPP2017REVISED.docx Number Fee 1260 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that M.L. Custom Woodwork Inc. " 105 Ferndoc Street, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------ This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2017 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health r Town of Barnstable �t Regulatory Services Richard V. Scali,Director '"R Public Health Division BAMSTABLE 1639 s`0� mwMa'ems W. Thomas McKean, Director '9-20 4 575 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 F+ H 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 DULY 1st—JUNE 30th). , APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 '�,1. 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 d`' FULL NAME OF APPLICANT:C C-z4 1G A 24 /J C'4' NAME OF ESTABLISHMENT: M AL Cv5(to WOC VXQK tA/G ADDRESS OF ESTABLISHMENT: 5 E,*, , cSd t O UNI GI MAILING ADDRESS(IF DIFFERENT): QQ TELEPHONE NUMBER OF ESTABLISHMENT: tso V 36o ck,31 EMAIL ADDRESS: CoNl AL I1 �L Cd510A4. SOLE OWNER: YESKNO IF NO,NAME OF PARTNER: 1(/Er' / 4 /"\A '—am < S FULL NAME,HOME ADDRESS,AND TELEPHONE# OF: CORPORATI64N NAME nA L Gtj5 r0'e!N l/1/b01)„ 1AJC... PRESIDENT J FA•jrL MfFGZ j,J/S TREASURER &t CLERK �CrZZ (�wC fi IF PREPARED BY OUTSIDE PARTY: AT F APPLICANT Name: Company Address Telephone#: Email: Q: Application Forms\HAZZAPP Revl6.docx Page I oft • h c Number Fee 3 1029 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Final Touch 105A Ferndoc Road, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------- ------------------------------------------------------------------------------------------------------ This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2017 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 ell Town of Barnstable • SINE� Regulatory Services Richard V. Scali, Director MUMSTABLF Public Health Division BARNSTABLE w a639 �0 wasoxsKnu•osrmruF•wsreaxnsueu . �EOMP�p Thomas McKean Director 1639-2014 200 Main Street, Hyannis,MA 026" Office: 508-862-4644 Fax: 508-790-6304 W APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE.WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 3 Oth). - APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 V 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. ASSESSORS MAP AND PARCEL NO. DATE/ FULL NAME OF APPLICANT: {tic NAME OF ESTABLISHMENT: ,•1 � ��y(_�� i () aG �1�1 L ADDRESS OF ESTABLISHMENT: 1('—' io Yndo L MAILING ADDRESS (IF DIFFERENT): TELEPHONE NUMBER OF ESTABLISHMENT: EMAIL ADDRESS: SOLE OWNER:`-st. YES NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE OF: CORPORATION NAME E (^ PRESIDENT fE, � 1''1 a ��"'Pl (ir q Yt►u5{�rge'( l n Ce P , i'✓1 q :?Yd 4 TREASURER CLERK • IF PREPARED BY OUTSIDE PARTY: SIG A P ANT Name: Company Address Telephone#: Email: Q:\Application Forms\HAZZAPP Rev I6.docx Page 1 of 2 I`— o Town of Barnstable Office: 508-862-4644 • Fax: 508-790-6304 �.� Regulatory Services Department n�cs5 Public Health Division i�tnt�L& MASS., Thomas A.McKean,CHO D s` 200 Main Street, Hyannis, MA 02601 Payment Receipt `Hazardous Materials Payment received: $125.00 (Check) on 6/14/2016 Permit number: 1029 'Check number: 1531 Check amount: $125.00 Name on check: Final Touch Auto Body Inc. .Business: Final Touch 'Address: 105 FERNDOC STREET, Hyannis j i Note: 105 A i ......_..._._._ ___..__._ __ --..... . ....... • F Number Fee 11os THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that BELL/SIMONS CO. 105 FERDOC STREET, UNIT D, 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. 11/18/2013 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town ®f Barnstable Barnstab 0¢ZNEp Regulatory Services.Department ANIOC1iCdCR► CAB Public Health DivisionBARN t MASS 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 d e l APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT 4. 3 , NAME OF ESTABLISHMENT ( h ` ADDRESS OF ESTABLISHMENT - -fZ'1 C . TELEPHONE NUMBER �G 771" SOLE OWNER: YES X0 IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. P STATE OF INCORPORATION FULL NAME AND HOME ADP S OF: - 5�8 �;-pS 7 PRESIDENT a t>.�,� �\� ) L C A eA 2 S I 0606 TREASURER a-\i Q. Zoe R 9-A Lo�kp'yM -e S fi A9-%A C1 • d 612& CLERK SIG A'ME"O JVAP f LI tAN�- RESTRICTIONS: HOME ADDRESS 1 �N L A �eT`"'6S 04Pk 109b2 HOME TELEPHONE# SG9 - 615- 7 JAinspection handouts\Haz Mat Application2008.DOC f I SPILL CONTINGENCY PLAN I I Emergency Coordinator, Name: �- Address: Daytime Phone: 'u - Evening Phone: Fire Department: Barnstable Public Health Division: 508-862-4644 DEP 24 Hour Spill Hot Line: 888-304-1133 Waste Hauler: Name: Phone: Building diagram indicating hazardous material/waste storage area, location of absorbent scavenger materials, fire extinguishers, fire alarms (if present), and evacuation route (if applicable). left l z 3 �S�Ps 44 1141ecl Actions to be taken to control a spill or release, and preventing it from reaching. a catch basin, sewer system or the ground. (�� P\kA? Sp, r i E Number Fee 1109 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that BELLISIMONS CO. 105 FERDOC STREET, UNIT D, 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 Town of B axnstable r. y Regulatory Services Richard V. Scali,,Dixector Public health Division " Thomas McKean,Director Office: 508-862-4644 200 Main Street, Hyannis,MA 02601 Fax. 508-790-6304 Appliaatlon Fee: $10o.0o ASSESSORS MAP AND PARCEL N0. DA.TE APPLZCATTn?v FOR PERNIIT TO STORE AND/OR UTILIZE M 1] GAULONS OFdAZARZ.DOU�S MATERIALS ORE THAN FULL NAM OF APPLICANT NAME OF ESTADLISBAMNT"' ADDRESS OF FST'ABLISMgENT L TELEPHONE NUMBER SOLE OWNER: YES�N0 P., IF APPLICANT IS A PARTNERSEp,FULL NAME ANA'IOME AADRESS OF AI1I; PARTNERS: i3 CD 6"79 IF APPLICANT IS A,CORPOR, A,TION:- FEDERAL II7ENTMCATION NO. STATE OF INCORPORATION z FM NAME, AND X A CSS PRESEDE LvNT TREAST1REXt CLERK �T i SIGNATM OF AppQCANT 6�� RESTz CTIo1vs: I1On�ADDRESSxoNE#1 1'�05.� _ HOM TELEP 1,J QMpplicaton Fo=U AZApp= I