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HomeMy WebLinkAbout0035 HINCKLEY ROAD - HAZMAT 3 � � 1 Number Fee 1196 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Heritage Turbines, Inc. .-------------------------------------------------------------------------------------------------------------------------------- 35 Hinckley 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. 07/01/2020 PAUL J.CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable Inspectional Services BARNSTABLE �n+e Public Health Division PU Y'T.&E•416-39 2014 R•FYANNIS • � � MRYSI(Nlc.q'LS.OS.E0.VIl.LE.:F_5f BPgtISiVBiE 1fi39-2014 Thomas McKean, Director �Dg �'i0reeY9. ►` 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 CATEGORY 2 PERMIT 111 —499 Gallons: _ - $125.00 RVS-r 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:. r i fa g Tu Y b i n e s 5. NAME OF ESTABLISHMENT: ii e-y-t fim C, 1 U Y b w-c 5 6. ADDRESS OF ESTABLISHMENT: '35 t11 nGK.I Z�j RA• A' yghni 5 MIA- 0 2(o01 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 1 J I Pi 8. TELEPHONE NUMBER OF ESTABLISHMENT: l50�� r 1 18 _ 7785 9. EMAILADDRESS:4-D/ 6(jr— 10. SOLEOWNER: ✓ YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: f/ _ CORPORATION NAME u AX IT�t,�-c Ric, PRESIDENT ��ou�� (3 g9✓ ew TREASURER 54o.-E CLERK S� 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE 49::r/2-b-fr1- Q:\Application Forms\Haz Mat Appli Draft Jan2019.docx Number Fee 1196 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Heritage Turbines, Inc. 35 Hinckley 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 06/30/2020 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 T �f n Town of Barnstable � d: hlspection.,,il Services BARNSTABLE Niblicealth Division �aa�e ou a>isua ie rr s Th0. uis McKean,Director x MACC 200'Maita Strad,H aranis M.A 02601 O fficc: 508-862-46414 Fax. 508-:190-6304 APPLICATION FOR.PERN11T TO STOIZE A I)/OTC UTILIZE HAZARDOUS VMA°I ER:[,A IA 1N ACCORDANC' Vr'ITH THE I'OWN OF BARNSTABI.E GENERAL()I- ' INANCE,CIIA.I'TER 108, 14AZARDOV9 MA'TT-.RIAL,S,ALL BUSINESSES'MAT HANDLE:'OR STOKE;HAZAR.0 OUS MATERIALS GRr,A'rER T1=1ATKT BOUSI-1 fOI..T)QUANTITIES ARE REQU[R} 1.;)'I.0 ORTA?N AN ANNUAL 1Y.F.R.A41T(1WNS JULY I st—JUNNE 301h). APPLICATION gPy grI /ty FEES CA 9 LCORY 1 PERMIT 26-- 110 (lallons: $ .50_.00 .9 l="4 . CA C(r'OI3.Y 3 I'I'l-MI TT 500 or inure(.iallons: S 150.00 1 % *A ate c�Ir.�l c of S40.00 will.be assessed f0<r�„Tentis not._receivect tag Yalu 141. 1. ASSESSOR'S MAP AND PARCEL NO. .. 2. 1S-1'I:IIS A I'1,1ti�i7'Ill 1",1 .AI.:P /11-ES y NO. IF YES,SKIT, QU S`I'm 3. 3. FOR ALL N'E P.ERMIT AIIIII lCA`i`IO3NS,'IN.UI(:A`J'E W1-TE-1't1ER BUSINESS:E1:lS Z.ONIING/BUILD NG AI>PRO'VA:1.,FOR.HAZARDOI)S MATERIALS STORAGE/uSp.OF • GREATER.TRAIN ITOUSETIO.LD QUANTITIES(25 GALLONS)?______YES ..NO. 4. BULL i1AME OF APPLTC ANT: 1-4 ._..� 5. N A A I E OF ESTABLIS.IfMENT: t► 6. ADDRESS OF ESTA,t3I.AS HMT±;*r: ........... ws ..._ t .....a .e__. _. 7. IYLMI.I:NG'.A.I)DRIESS(IF DIF"x:ERE:N'T FROM ABOVE: A. TE:LFP140NI>NUMBER O 11S'T'ABL1'SHVIENT: _-.. .... SO.`�'_... �,7_�r '?:.ir.- �t�...._... ....._ 9. EMAIL AD1).RESS: ...�i � t"lcr�t l...... ',.�" 1�.w� �� 10. SC)I..l?(}'4�':1l it:_ V,.Y1 4 w ;4.) Tx NC7,,�IA?V E OF I'ART:NER: f 1. FULL NA>IV E,HOME ADDRESS,AM)`I'I.I:F YJIONE#OF. CORPORATION' lTA.�'I1? #r3•-rA lVlc'�mP.3' PRESIDEN'1 ...__...�_... .._. TRYASURER CLERK 1.2. IF PREPARED 73Y 0(JTS11:)E PARTY: NAKh- 1`It.I A'.I'ITt3itI,;Y: COMPANY ADDRESS EMAIL: �x/ 7^ }(�y� (fig gyp--Y;p---�--_ .� ..W.�.�.. t,A g y^ .. S'lGNA'1.uRt,, t, F AL I I,].',-'AN,i l- Ilri�t�J.� .. ,......,...6./.'/ftj.J�"""'."`f',.✓f� _.......... _... f K� Q.1Applic4tsu FcxrnSHaz A{at Ajs(i ftcvtsrti 09•10•5:$.ducz Number Fee 1196 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Heritage Turbines, Inc. 35 Hinckley 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 J 1 Vow of B nstable egu'atory Services Richard V. Scali, Director ' �t r Public Health Division BARNSTABLE r • BARNSfABLE-[ ERVILLE-mflllT-ANN1S 1ARNbTABr.E. Thomas McKean,Director ""�°S""�i�".0 4� ENn 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 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 g V S . CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by Jules 1. ASSESSOR'S MAP AND PARCEL NO.. 2. IS THIS A PERMIT RENEWAL? ✓ YES_NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONINGBUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF • GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: '6,4 19f4N)1 SO 5. NAME OF ESTABLISHMENT: n u;: y *ypbmA 6. ADDRESS OF ESTABLISHMENT: 35 4 Ncluy PUM 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: Ape— A&S A fit • lave. 10. SOLEOWNER: VYES NO W NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME Aegil te. 7Vrbrs4 PRESIDENT "bcw &6*0ha.0 TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE Q Upplication FormAHAZMAT APP 2017 REVISED. x `oF�"EToy� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 98ARMABLE.�• 200 Main Street• Hyannis, MA 02601 .63q. MP'�A"0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rf0 Business Name: f�,r4A,5,z I Date: 3 17 17 Location/Mailing Address: 3S ►nCclg!t a Art► Contact Name/Phone: 0,V- w Sob--718- 17SS t.� �,1 Invento Total Amount: � SDS: 12S License#: Tier II : o Labeling: cod'-' — Spill Plan: e S Oil/WaterSeparator: Floor Drains: o Emergency Numbors: Storage Areas/Tanks: I al,lr,,w Atlet V- 1 SCa► pa-rt5 cica,� Emergency/Containment Equipment: 5� I I �paaQS .t- sd�-�s�+�C�,r �L s�+-c._° d14 ,� Waste Generator ID: SO$"Y1 87'�S$ Waste Product: IJ23f�rwa �rf 40N Date&Amount of Last Shipment/FrequencX: 110 a l ! I I 2.Qtaw�s rrc vmovadl ro,.c s, e- - ,vloal Licensed Waste Hauler&Destination: n ge-+ ale crc. -7 CIeyx -14 r r5 CletFel4 O{-1 Other Waste Disposal Methods: Cowkewa'r ! (o too �,ac-jp b w 4' K\,Q.1-y, way er 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 �1� I Automatic transmission fluid I Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers tT y ► Hydraulic fluid (including brake fluid) Windshield wash ��ox \.e-t- ► Motor oils 1 C .1 01\ o r`� �pret,�,�v W� 3 o Miscellaneous Corrosives :� 3$P�'rL1�aw`- Gasoline,jet fuel, aviation gas N Cesspool cleaners C 1201 AQzo Diesel fuel, kerosene, #2 heating oil �) Disinfectants NI-�'R Miscellaneous petroleum G n—� products:p Road salts P A va � grease, lubricants, gear oil �\ Refrigerants �„�r. -Ir �� Degreasers for engines&garages 1S�x5 Pesticides: �7�stk.r��4ptk tS��� 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 �e�a\a Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda — Lacquer thinners �tvtt«\hQ,� Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes 1 Miscellaneous Flammables COO+ ,C&t+"'l 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/RECO MENDATIONS: 100 4�4. ^fJ*5 'CkVcoyS -Ve W41 AE " �✓e Si X Wla► S. I-I QZyK J D'vt 5,+e- kel IP4 w�-f.avL Inspector: 40 It55-I-Pn.�.11�i:�' a�'�.�L.w} „sas ��e�,e.�sly o►a.s��e . 13v 3►►„�-s s ►K- G.qb w�l►a nr,-e-W �e awl /Facility Representative: lr,L4olaf,ob�,-- No 155U-e5p ar WOTE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS I i B I0rs, WASTE MATERIAL PROFILE SHEET q xclim can* Profile No. 1359922 A.GENERAL INFORMATION GENERATOR EPA ID#/REGISTRATION# MV5087787788 GENERATOR NAME: Heritage Turbines GENERATOR CODE(Assigned by Clean Harbors) HE20586 CITY Hyannis STATE/PROVINCE MA ZIP/POSTAL CODE 02601 ADDRESS 35 Hinckley Rd PHONE: (508)778-7788 CUSTOMER CODE(Assigned by Clean Harbors) HE20586 CUSTOMER NAME: Heritage Turbines ADDRESS 35 Hinckley Rd CITY Hyannis STATE/PROVINCE MA ZIPIPOSTAL CODE 02601 B.WASTE DESCRIPTION WASTE DESCRIPTION: waste water diluted acids-NCW i PROCESS GENERATING WASTE: cleaning airplane parts IS THIS WASTE CONTAINED IN SMALL PACKAGING CONTAINED WITHIN A LARGER SHIPPING CONTAINER? No I C.PHYSICAL PROPERTIES(at 25C or 77F) PHYSICAL STATE NUMBER OF PHASES/LAYERS VISCOSITY(If liquid present) COLOR SOLID WITHOUT FREE LIQUID 1 22 3 TOP 97.00 Q 1-100(e.g.Water) POWDER Varies MONOLITHIC SOLID %BY VOLUME(Approx.) MIDDLE 0.00 101-500(e.g.Motor Oil) LIQUID WITH NO SOLIDS BOTTOM 3.00 501-10,000(e.g.Molasses) ❑ LIQUID/SOLID MIXTURE >10,000 %FREE LIQUID 95.00-100.00 ODOR %SETTLED SOLID 0,00-5.00 RV%TOTAL SUSPENDED SOLID NONE BOILING POINT°F(°C) MELTING POINT°F(°C) TOTAL ORGANIC SLUDGE MILD <=95(<=35) CARBON 95-100 38(35- ) <140(<60) GAS/AEROSOL STRONG 140-200(60-93) 101-129(38-54) 1-9% Describe: >=130(>54) 0 '200(>93) a >=10% FLASH POINT°F(°C) pH SPECIFIC GRAVITY ASH BTU/LB(MJ/kg) <73(<23) <=2 <0.8(e.g.Gasoline) < 01 >20 <2,000(<4.6) 73-100(23-38) 2.1-6.9 0.8-1.0(e.g.Ethanol) 0.1-1.0 Q Unknown 2,000-5,000(4.6-11.6) 101-140(38-60) 7(Neutral) n 1.0(e.g.Water) 1.1-5.0 5,000-10,000(11.6-23.2) 141-200(60-93) 7.1-12.4 1.0-1.2(e.g.Antifreeze) 5.1-20.0 >10,000(>23.2) >200(>93) 12.5 >1.2(e.g.Methylene Chloride) Actual: D:COMPOSITION (List the complete composition of the waste,include any inert components and/or debris.Ranges for individual components are acceptable.If a trade name is used, CHEMICAL MIN — MAX UOM PHOSPHORIC ACID __ _ 5.0000000 -- 10.0000000 % ................................................................ __ SODIUM HYDROXIDE - - 10.0000000- — 30.0000000 �% -WATER ......................'------.............._-------------- ---------------- 70.0000000---r- 80.0000000---% -- DOES THIS WASTE CONTAIN ANY HEAVY GAUGE METAL DEBRIS OR OTHER LARGE OBJECTS(EX.,METAL PLATE OR PIPING>1/4°THICK OR YES NO >12"LONG,METAL REINFORCED HOSE>12"LONG,METAL WIRE>12"LONG,METAL VALVES,PIPE FITTINGS,CONCRETE REINFORCING BAR OR PIECES OF CONCRETE>3-)? If yes,describe,including dimensions: DOES THIS WASTE CONTAIN ANY METALS IN POWDERED OR OTHER FINELY DIVIDED FORM? YES Q NO DOES THIS WASTE CONTAIN OR HAS IT CONTACTED ANY OF THE FOLLOWING;ANIMAL WASTES,HUMAN BLOOD,BLOOD PRODUCTS,BODY YES Q NO FLUIDS,MICROBIOLOGICAL WASTE,PATHOLOGICAL WASTE,HUMAN OR ANIMAL DERIVED SERUMS OR PROTEINS OR ANY OTHER POTENTIALLY INFECTIOUS MATERIAL? I acknowledge that this waste material is neither infectious nor does it contain any organism known to be a threat to human health. This certification is j based on my knowledge of the material. Select the answer below that applies: The waste was never exposed to potentially infectious material. YES NO Chemical disinfection or some other form of sterilization has been applied to the waste. YES NO I ACKNOWLEDGE THAT THIS PROFILE MEETS THE CLEAN HARBORS BATTERY PACKAGING REQUIREMENTS. YES NO I ACKNOWLEDGE THAT MY FRIABLE ASBESTOS WASTE IS DOUBLE BAGGED AND WETTED. YES NO SPECIFY THE SOURCE CODE ASSOCIATED WITH THE G02 SPECIFY THE FORM CODE ASSOCIATED WITH THE WASTE. W110 WASTE. f Report Printed On:Friday,January 06,2017 /WINWEB/ProfilelWaste Profile.rdl Page 1 of 3 Profile No. 1359922 E.CONSTITUENTS Are these values based on testing or knowledge? Q Knowledge Testing It based on knowledge,please describe in detail,the rationale applied to Identify and characterize the waste material. Please Include reference to Material Safety Data Sheets (MSDS)when applicable. Include the chemical or trade-name represented by the MSDS,and or detailed process or operating procedures which generate the waste. SPOKE WITH DON.SAID SAME WASTE STREAM EXCEPT RUST AND SCALE REMOVED AS PAST AS THIS PROFILE HAS BEEN ON HIS ACCOUNT Please indicate which constituents below apply. Concentrations must be entered when applicable to assist in accurate review and expedited approval of your waste profile.Please note that the total regulated metals and other constituents sections require answers. RCRA REGULATED METALS REGULATORY TCLP TOTAL UOM NOT APPLICABLE LEVEL(mg/1) mg/l D004 ARSENIC 5.0 I D005� BARIUM .........-•••••••-•••• ---•--------'•---•............................... 100.0 p;{'••••-.. .6006 CADMIUM ......................1.0 ...._.........__......••••-•••••-•-••-----•--••••-IJ '••-••- ...... ..................... •---•-...............--•-•-.....................•. D007CHROMIUM .0L�,1 ........ •D008----LEAD... ..........................-....5.0................................................... -••-•--'- ... ...............-... 0.2. ..._._...•-•--•---••-...............--•...._._-- D010 SELENIUM 1.0 D011.... SILVER....................... 5.0...................................................Rf........ ------------------------------- - -------- VOLATILE COMPOUNDS OTHER CONSTITUENTS MAX UOM NOT bm BENZENE 0.5 APPLICABLE 6019 CARBON TETRACHLORIDE •0* •• BROMINE i ...................................................... .................................................. ...... D021 CHLOROBENZENE 100.0 CHLORINE• ........................•••• ..-....._..._............ ................................................... D022 CHLOROFORM 6.0 FLUORINE 15028 ---1,2-.............................0.5.........._.0.5................. •IODINE ....•••••.........._.__..................•.... •..... OETHANE •••••••-••--'--........••••••.._....••••-••-•---...... SU ••-•••••--.._------------------*.......... �L1( .••••• D029 i,t-DICHLOROETHYLENE 0.7 LFUR I"I ...................................................... ..._....._...._.....'--_..._...._•-_... � ••.... D035 METHYL ETHYL KETONE 200.0 lrl POTASSIUM DD00430 .TTCHLOROTHLEE 079 SODIUM TRI HLOROETHYLENE •_--•-••- 0.5 .-•_.•••••••-. -AMMONIA— ---_•-------------------------------------------- •••••..• i CYANIDE AMENABLE•D043 VINYL CHLORIDE ..................................0.2 ...................................................'9 ...... ------------------------------------------------- ------•---- -- •-• I SEMI-VOLATILE COMPOUNDS CYANIDE REACTIVE _ _ ................................ ..... D023 o-CRESOL 200.0 CYANIDE TOTAL _ _ _ i D024 .._m-CRESOL.......................................200.0 •---_..._.....-•--...•--'•••--'-••_•t",y -••••• ..............'-•'......------' SULFIDE REACTIVE------------------------------------- EACTIVE -D025 p-CRESOL 200.0 Cs Bs D026 CRESOL(TOTAL) 200.0• •••- .- •.. •.••_.-• •.•-•••-.-••-•. HO PC ............•• � NONE a NONE D027 1,4DICHLOROBENZENE...............5 .D030. 2,4-DINITROTOLUENE 0.13.................. • <1000 PPM <50 PPM .............. >=1000 PPM >=50 PPM D032 HEXACHLOROBENZENE 0.13....................................................... •'•'•"'•••••'•............................... IFPCBS ARE PRESENT,IS THE D033 HEXACHLOROBUTADIENE 0.5 WASTE REGULATED BY TSCA 40 �D034 HEXACHLOROETHANE• �• 3.0 •-•� CFR761? •D036 NO - -• NITROBENZENE-- -- - • •.._.._••_ 2.0 .•.•._• YES O D037 PENTACHLOROPHENOL• 100.0--------------- i D038 PYRIDINE ....._... 5.0 400.0--------------- . �D041• 2,4,5-TRICHLOROPHENOL D042 2,4,6-TRICHLOROPHENOL 2.0 ------------------------------------- PESTICIDES AND HERBICIDES D012 ENDRIN 0.02 ...................................................... ....._..... ...................... ._.•-_._._..... E 0.4 ------------------ ------------•-----------••-------- 10.0 D015 TOXAPHENE -•-----•-•••••-•...0.5 - - ... . ......................._....... D016 ...................................................... D017 2,4,5-TP(SILVEX) 1.0 15020•- CHLORDANE - - 0.03•- •-- - -15031• HEPTACHLOR(AND ITS EPDXIDE) 0.008- -• ----• - ------------------------------ ADDITIONAL HAZARDS DOES THIS WASTE HAVE ANY UNDISCLOSED HAZARDS OR PRIOR INCIDENTS ASSOCIATED WITH IT,WHICH COULD AFFECT THE WAY IT SHOULD BE HANDLED? YES 0 NO (If yes,explain) CHOOSE ALL THAT APPLY DEA REGULATED SUBSTANCES EXPLOSIVE FUMING OSHA REGULATED CARCINOGENS POLYMERIZABLE RADIOACTIVE REACTIVE MATERIAL Q NONE OF THE ABOVE Report Printed On:Friday,January 06,2017 /WINWEB/Profile\Waste Profile.rdl Page 2 of 3 8It logo, Profile No. 1359922 i F.REGULATORY STATUS Q YES NO USEPA HAZARDOUS WASTE? D002 YES Q NO DO ANY STATE WASTE CODES APPLY? ! Texas Waste Code YES Q NO DO ANY CANADIAN PROVINCIAL WASTE CODES APPLY? Q YES NO IS THIS WASTE PROHIBITED FROM LAND DISPOSAL WITHOUT FURTHER TREATMENT PER 40 CFR PART 2687 LDR CATEGORY: This is subject to LDR. VARIANCE INFO: YES NO IS THIS A UNIVERSAL WASTE? YES NO IS THE GENERATOR OF THE WASTE CLASSIFIED AS CONDITIONALLY EXEMPT SMALL QUANTITY GENERATOR(CESQG)? YES NO IS THIS MATERIAL GOING TO BE MANAGED AS A RCRA EXEMPT COMMERCIAL PRODUCT,WHICH IS FUEL(40 CFR 261.2(C)(2)(II))7 YES Q NO DOES TREATMENT OF THIS WASTE GENERATE A F006 OR F019 SLUDGE? YES NO IS THIS WASTE STREAM SUBJECT TO THE INORGANIC METAL BEARING WASTE PROHIBITION FOUND AT 40 CFR 268.3(C)7 YES Q NO DOES THIS WASTE CONTAIN VOC'S IN CONCENTRATIONS>=500 PPM? YES Q NO DOES THE WASTE CONTAIN GREATER THAN 20%OF ORGANIC CONSTITUENTS WITH A VAPOR PRESSURE>_.3KPA(.044 PSIA)? YES Q NO DOES THIS WASTE CONTAIN AN ORGANIC CONSTITUENT WHICH IN ITS PURE FORM HAS A VAPOR PRESSURE>77 KPA(11.2 PSIA)? YES Q NO IS THIS CERCLA REGULATED(SUPERFUND)WASTE 7 YES Q NO IS THE WASTE SUBJECT TO ONE OF THE FOLLOWING NESHAP RULES? Hazardous Organic NESHAP(HON)rule(subpart G) Pharmaceuticals production(subpart GGG) YES Q NO IF THIS IS A US EPA HAZARDOUS WASTE,DOES THIS WASTE STREAM CONTAIN BENZENE? YES NO Does the waste stream come from a facility with one of the SIC codes listed under benzene NESHAP or is this waste regulated under the benzene j NESHAP rules because the original source of the waste is from a chemical manufacturing,coke by-product recovery,or petroleum refinery process? YES NO Is the generating source of this waste stream a facility with Total Annual Benzene(TAB)>10 Mg/year? What Is the TAB quantity for your facility? II Megagram/year(1 Mg=2,200 Ibs) f The basis for this determination is:Knowledge of the Waste Or Test Data Knowledge Testing Describe the knowledge: G.DOTITDG INFORMATION I DOT/TDG PROPER SHIPPING NAME: UN1824,WASTE SODIUM HYDROXIDE SOLUTION MIXTURE,8,PG III i H. TRANSPORTATION REQUIREMENTS ESTIMATED SHIPMENT FREQUENCY ONE TIME WEEKLY MONTHLY QUARTERLY Fo] YEARLY OTHER ! Q CONTAINERIZED BULK LIQUID BULK SOLID 1-2 CONTAINERS/SHIPMENT GALLONS/SHIPMENT: 0 Min-0 Max GAL. SHIPMENT UOM: TON YARD STORAGE CAPACITY: 2 j CONTAINER TYPE: TONS/YARDS/SHIPMENT: 0 Min-0 Max PORTABLE TOTE TANK BOXICARTONICASE I CUBIC YARD BOX a DRUM i OTHER: DRUM SIZE: 55 I.SPECIAL REQUEST COMMENTS OR REQUESTS: I NCW GENERATOR'S CERTIFICATION I certify that I am authorized to execute this document as an authorized agent.I hereby certify that all Information submitted in this and attached documents is correct to the best of my knowledge.)also certify that any i samples submitted are representative of the actual waste.lf Clean Harbors discovers a discrepancy during the approval process.Generator grants Clean Harbors the authority to amend the profile,as Clean Harbors deems necessary,to reflect the discrepancy. A IZED SIGNATURE NAME(PRINT) TITLE DATE Ile 7 Report Printed On:Friday,January 06,2017 /WINWEB/Profile\Waste Profile.rdl Page 3 of 3 I IB*o Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARNSTABLE. 200 Main Street• Hyannis, MA 02601 �'DlFOMP'�a` TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: Date: 1 Location/Mai ling Address: �35� �u< , N•f��v,,s Contact Name/Phone: b off- lSeGty 1�c.2 !�-o 1? -T 8 -7-7 8 I ventoTotal Amo nt: > I .O �' I S MSDS: 'l e 5 hV 6 License#: M(o Tier II : 0 Labeling: c 46) Spill Plan: 29 Oil/WaterSeparator: Floor Drains: 1N 0 Emergency Numbers: `�S Storage Areas/Tanks: wwY-,-� aOlk �w ware-�wvs� o *�yv S�a� Emergency/Containment Equipment: l Ie- Waste Generator ID: My0 70 7? Waste Product: armor cle4vV-4- to Date&Amount of Last Shi ment/Fre uenc : 157 a- 3 Z2 ►l0 g l Licensed Waste Hauler&Destination: 54 6-� }<le-e� Other Waste Disposal Methods: _Wkg+zwP--cw �as-� p,cl,c-�,D2bly LIST OF TOXIC AND HAZARDOUS MATERIALS ce, tai fi NOTE: Under the provisions of Ch. 111 Section 31 of the General Laws df M p A, hazardous mat�rial 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 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 J Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Gapxaslxdetsrgeu#s Sot'�u a� lts 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: Ova �a a, JS o ce z�e� %R v`o 4- a e- i 1 l e G • S f S or oc. o rt-1 pQ<Jvv—g Inspector: Facility Representative: „a WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS f IKE toque Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMA�BLE.9` 200 Main Street• Hyannis, MA 02601 ,6„ TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rF0 MPy a Business Name: 6 A. A, Date: Location/Mailing Address: 3 5- ►k c Q� , Contact Name/Phone: o 0 'o - --7-7 8 Inventory Total Amount: >II MSDS: g S License#-�-r Tier II : Labeling: o C.�u �- Spill Plan: ON 005 Oil/WaterSeparator: !�4 Floor Drains: o Emergency Numbers: Storage Areas/Tanks: 2-S54,t,I g4-LI-4cg way 4.r w aD{� /ArUc &-5 c%4w,-✓ Emer enc /Containment Equipment: mao+S 5,1 N Waste Generator ID: A V550 Waste Product: Date&Amount of Last Shipment/Frequency: q /3 / 5 ZQt 3 3 Q S U Licensed Waste Hauler&Destination: SA-I--A ti- �R►tis �� � � 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 Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives 110 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 7�p�a � Pesticides: Caulk/Grout c�, t insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Ger�vaski detergents 30160 Sv44k"a S Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes O 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: Cokk t S vq 0,-f aK- GJ 1�t Q ,ccc,+�l�v�i. IN RMATION/RECOMMEND TI NS: a. Ci. fvvbCS u2� w4w-c i5 WA, vtJe�Z c� v SSoc, Co�roS+v o , ` o .prDJ� Oo`�'<<`�- �a"� Inspector: a I AV�vL`�dr�. Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS ���aoi� h� �Tb�� i SPILL CONTINGENCY PLAN Emergency Coordinator, Name: �- *.q .F4/sw Address: Daytime Phone: ;'Uc0s- 77 8 '776 8 Evening Phone: Sag- y�?o- 72C.o Fire Department: ,j Barnstable Public Health Division: 508-862-4644 DEP 24 Hour Spill Hot Line: 888-304-1133 Waste Cleanup: Name: Phone: /- 666 - --/68- 17� d Building diagram indicating hazardous material/waste storage area, location of absorbent scavenger materials, fire extinguishers, fire alarms (if present), and evacuation route (if applicable). P'°„f Z sd UA Sell Keel ot 5� IPA,pre 5� elic eAdf L Actions to be taken to -.on trot a spill or release, an preven ing it from reaching a catch basin, sewer system or the // ground. JUN.2v 2017 P42:13 Number Fee 1196 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to certify that Heritage Turbines, Inc. 35 Hinckley 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 06/3012018 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 rDr.P $/o'Faie� S� "ROn�of Brnstable ewg atory Services d THE r Richard V. Scali,Director ���� r Public Health Division BABSTABLE • eaxrcsrw ..lEa.eruiue.rourt.M'uris �"u6 y BARNSPABLE, ` wmsnvs F;r3163-201•w3r ea:nsreac : MASS. Thomas McKean,Director 639-2014 ND fo ,� `� 200 Main Street,Hyannis,MA 02601Dg a ' moo/$ -X, Office: 508-862-4644 Fax: 508-790-6304 CP 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-NNE 30th). APPLICATION FEES CATEGORY I PERMIT 26- 110 Gallons: $ 50.00 ❑, CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 jx 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. 31) - 01 0 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. .I • 4. FULL NAME OF APPLICANT: o L1 5. NAME OF ESTABLISHMENT: J UrLb l 6. ADDRESS OF ESTABLISHMENT: 3 S 14)ryr l-R D • &nn'" t 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: 4 f!g J n!jc -f vrbr%e . GOB 10. SOLEOWNER: V�ES_NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONY#OF: CORPORATION NAME Hein44!5e, 14biat PRESIDENT J .TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT .ATE b-7-I"7 Q\Application Forms\HAZMAT APP 2017 REVISED.docx Number Fee 1196 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable s- Board of Health This is to Certify that Heritage Turbines, Inc. 35 Hinckley 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 Town of Barnstable Regulatory Services ti Richard V. Scali, Director MAS& Public Health Division BARN LE 1639 Thomas McKean, Director 16 200 Main Street, Hyannis,MA 02601 ;, Office: 508-862-4644 Fax: 5 90-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILI HAZARDOUS MATERIALS IN ACCORDANCE.WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 V CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ • A late char a of$10.00 will be assessed if pUment is not received by July 1st. ASSESSORS MAP AND PARCEL NO. DATE FULL NAME OF APPLICANT: NAME OF ESTABLISHMENT: pg*'h ,e ADDRESS OF ESTABLISHMENT: 35 /}15444 R� MAULING ADDRESS(IF DIFFERENT): TELEPHONE NUMBER OF ESTABLISHMENT: 50'2 - 7 7 8-7 7 S$ EMAIL ADDRESS: 'botJ *t4) �TVrrh�n+�w. c0►'�I SOLE OWNER: AS NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME ;SAW a.s N2MIF SAW PRESIDENT = TREASURER A11A CLERK • IF PREPARED BY OUTSIDE PARTY: SIGNATURE OF APPLICANT Name: Company Address Telephone#: Email: Q:WppGcation FonmsUiAZZAPP Rev I6.docx Page 1 of 2 I r Town of Barnstable Office: 508-862-4644 Fax: 508-790-6304 Regulatory Services Department BAMnABM ; Public Health Division Mom. Thomas A.McKean,CHO 200 Main Street, Hyannis, MA 02601 Payment Receipt Hazardous Materials Payment received: $125.00 (Check) on 6/14/2016 Permit number: 1196 i E Check number: 5304 Check amount: $125.00 Name on check: Heritage Turbines Business: Heritage Turbines, Inc. Owner: DENNIS&JILL Address: 34 HINCKLEY CIRCLE, Osterville I • Date: 5,1,13 / iq TOWN OF BARNSTABLE -ems ��,a,� TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: �1') mac. BUSINESS LOCATION: 35- , )kx vtAI s INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: �o�� -�7�- o G 411avk-5 CONTACT PERSON: AV1 �2v a►c�61rerrl� EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: ye 5 INFQR/JMATION/RECOMMENDATIONS: on . v�� 2 Fire District: o 1 3 052_ 4 uw, o,a42 ( 5} _LC Ccvw (1�pI :49vs.4 y 3)A)o e>`f Ai (, c�coat a-�►ons of`>�i�S �'�✓k�- �.e1tw('ot, o r Waste Tea el� MV5087787789 Last shipment of hazardous waste: 17- t Name of Hauler: j2� e�e�t. Destination: C retKs+-,,_ zY y Waste Product: I Licensed e No F11>08`WZ-0 -� WaS�Q— Eh c,24 NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The board of health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene,#2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid,,other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers q may be toxic or hazardous (please list): Metal polishes �D Imo\ gJf��Lk0.Ak t Laundry soil &stain removers (including bleach) 5 Q41 C0t6o51w_ Spot removers &cleaning fluids (dry cleaners) 5,010 Other cleaning solvents t k Bug and tar removers �5L 10. r A-6 �-Q. (��g mt` 1 (�� Windshield wash + co<<-+ WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initia