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Home My WebLink About0064 IYANNOUGH ROAD - HAZMAT 6 °F IKE•opt Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 ve""MAR!q 200 Main Street• Hyannis, MA 02601 �ArEDMA TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: '` - -- Date: Location/Mailing Address: 14 .Y a M 0' J Contact Name/Phone: S09-1W r"1107 <90 0 Inventory Total Amount: �5�0 MSDS: License#: 11 Tier II : Labelina: Spill Plan: `4 Oil/WaterSeparator: Floor Drains: No Emer enc Numbers: Storage Areas/Tanks: I 0+� Of 1, Emer enc /Containment E ui men . * Waste Generator ID: Waste Product: of 011 Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: ' J ►1- s 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 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 IT 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: ;6 Inspector:. Facility Representati e: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Number Fee 177 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that Midas Muffler and Brake 64Iyannough Rd. (aka 74), 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 s, Town of Barnstable Regulatory Services ti Richard V. Scali, Director MAS&LE. Public Health Division 9� .i63q `fig °lfo 39 ° 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. 2-4340 0 DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT 00we2,Ny Ma+oa- t► ocW-5 J1 .ice• NAME OF ESTABLISHMENT M ADDRESS OF ESTABLISHMENT +14 �ye►Nn�oaC��. R.I TELEPHONE NUMBER S O V• `moo- ZXPC-y SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF .L k . ems A PARTNERS: m .... ` ' IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 4(0-OSS 3%4%5' STATE OF INCORPORATION MA FULL NAME AND HOME ADDRESS OF: PRESIDENT S: LACoj,1,j zeC TREASURER LA j rurwc.e >j- yAoovi CLERK SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS 4f &%,Sot S HOME TELEPHONE # Q\Application FonnsV-AZAPP.DOC Number Fee 177 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Midas Muffler and Brake _K-) 74 Iyannough Rd., Hyannis,MA 02601 Is Hereby Granted a License — FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2012 unless sooner suspended or revoked. ----------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2011 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health ,r Town of Barnstable ` 'I Regulatory Services juck Thomas F. Geiler,Director 9 MASS.�`� Public Health Division QED.19. Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT �cL��/Q V �L/4)7 - A l S� NAME OF ESTABLISHMENT 9.4 �i9i°P_ ��a nf-Y-4 01r%J, t� 7�- ADDRESS OF ESTABLISHMENT �7Y --7ollA W40 06-11 vti s' TELEPHONE NUMBER -5a SOLE OWNER: kl YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: rn IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. A�i.S�� STATE OF INCORPORATION 1,7)4. FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK (SIGNATURE PLICANT RESTRICTIONS: HOME ADDRESS.50U`I/hp9WP.1 4/d✓° YA� drli�Y HOME TELEPHONE Haz.doc/wp/q f I. ~. EMERGENCY SPILL RESPONSE PLAN FOR MIDAS MUFFLER AND BRAKE SHOPS MIDAS SPILL RESPONSE TRAINING VIDEO The purpose of the Midas Shop-specific training video is to explain emergency spill response procedures to Midas employees. Employees will be given: • An overview of EPA, DOT, OSHA and other applicable governmental agency regulations as they apply to the Midas Shop • Descriptions and simulations of emergency situations, procedures and equipment found in Midas Shops, including, but not limited to: • How to identify substances covered under the Midas Spill Response Plan • . How to initiate and successfully complete an Emergency Spill Response (identification, containment, hazards, emergency spill response kit, personal protective equipment, clean up) • ' Proper solvent use GENERAL PROCEDURES IN THE EVENT OF A HAZARDOUS MATERIAL SPILL If a spill or leakage of a hazardous material occurs in a Midas Shop, there are certain containment, clean-up and disposal procedures which rnust.be performed at once by personnel in the immediate area of the spill or leak. All employees must train in these procedures during their initial safety orientation. For quick reference, however, the general step-by-step contaipment, clean-up and disposal procedures are set out below: 1. Move away and. maintain a safe distance: 2. Identify the hazardous chemical spilled and estimate how much was spilled. 3. Alert Shop supervisor and co-workers. Page 1 5. Check for injuries, .provide First Aid if trained, and summon medical assistance if necessary. 6. Review MSDS for any specific clean-up instructions and put on proper Personal Protective Equipment. 7. Eliminate ignition sources. 8. Shut off source of spill to stop the leakage. This may include actions such as turning off valves or pumps, standing an overturned container upright, or turning a punctured container so that.the puncture is at the high point. 9, Cover or dike drains, and dike chemical run-off, to prevent spilled material from leaving the area and entering the environment. 10. Remove or block off reactive materials in the area. 11. Contain the spill by applying spill control material. 12. Remove any residual product from an original punctured or leaking container and pour or place it into a labeled and approved secondary container.' 13. Clean all Personal Protective Equipment and return to proper storage. 14. Conduct appropriate personal hygiene such as thoroughly washing face and hands. 15. Make sure all containment, clean-up and disposal supplies are replenished. 16. Store and dispose of all cleaned-up materials in accordance with all federal.,.state and local laws regarding hazardous waste, as required. 17. Complete Incident Report. Page 2 _ s t i r MIDAS SPILL RESPONSE PLAN I. SHOP INFORMATION Location Manager v Telephone - Shop c�! �' - 2 'Hame `: '.�� ' 2. EMERGENCY COORDINATQRS Coordinator �� ShopQ� Homy . J vr! 'ZY4 - 78AC Alternate Shop Home . c �J:�, ��-��•,�,�-- 3. IMPLEMENTATION OF THE SPILL RESPONSE PLAN The Spill Response Plan will be implemented if an incident might threaten human health or the environment. The emergency coordinator has full authority to make this decision, Depending upon the degree of seriousness, the following potential emergencies might call for the implementation-of the Spill Response Plan: • On-site spillage • Leak or spill • Any in-Shop spill or release of a substance found on the Hazardous Chemical inventory, Page 3 4 ANCI EST TIFIED . EpBE NO LOCATION TELEPHONE 911 Police Fire/Emergency Hospital Emergency Response Teams �• �„ Regulatory Agency /7' 7Qa' Local g 4� Federal Regulatory AgencyC7�S'7�� National Response Center PILL RE P NSE E IPMENT 5. S S 0 Spill Control Kit Spill Absorbent Granules Shovel, Broom Rubber Gloves Disposal Bag, Labels Protective Eyewear 1 Page 4 Hyannis Shop Emergency Plans Types of Emergencies 1.Fire 2.Medical 3.Chenucal 4.Tornado 5.14urricanes 6.Earthquakes Emergency Responsibilities Fire:First individual to detect a small fire will try to extinguish with proper equipment.First determine cause of fire and use approved method of extinguisWng.In the event the fire is out of control inform closest individual to call 911.Then get remainder of employees together and designate a leader,preferably management.In the event a manager is not available continue as follows.One person should shut off gas,another oxygen,another electricity and then remove vehicles if possible.Once each person has completed his or her task congregate outside building and wait for help. Medical:In case of medical emergencies closest person should call 911.Only certified personnel in first aid or CPR.must accomodate injured. Chemical:in the event an employee comes in contact with a chemical rcrer to sarcty manual MSDS. Determine what chemical was used and follow emergency and first aid procedures.lf no results call 911. Tornado:When a tornado may occur employees must stay calm.Stay away from windows and congregate in area which will not be exposed to glass which would the compressor room.Be sure to shut off gas and electricity. Hurricanes:When hurricane warning is in effect all employees should get together and tape all glass in X formations.Shut off electric,gas,oxygen,secure building and leave premises. Earth uakes:In the event of an earthquake employees should all congregate in compressor room after shutting offgas,electricity and oxygen. I Town of Barnstable Oct,THE Tph Regulatory Services P ti Thomas F. Geiler, Director BARNSTABLE, - h1ASS. a )Public Health Division 9�p 1639. ,gym AIFDM A Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT /2':,-2U S/ NAME OF ESTABLISHMENT Clgoe S- yS/-°^J 7)vC', t�R�+ I'�'► `�A S ADDRESS OF ESTABLISHMENT -2 Y- XyArJ&Vp0(ptf • TELEPHONE NUMBER SOLE OWNER: x YES NO IF APPLICANT IS A PARTNERSHIP, FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION � FULL NAME AND HOME ADDRESS OF: PRESIDENT re y TREASURER ;,.,:TC IT/1 CLERK i _ G AT PPLICANT RESTRICTION$: HOME ADDRESS :�3 J-00—i f OWuwP1 le✓N IId. i Y,4,tl +. � 0 �k't 01 HOME TELEPHONE # JU tf-7F,0 -3o y., Haz.doc,%p q r v J EMERGENCY SPILL RESPONSE PLAN FOR MIDAS MUFFLER AND BRAKE SHOPS MIDAS SPILL RESP ONSE NSE TRAINING VIDE The purpose of the Midas Shop-specific training video is to explain emergency spill response procedures to Midas employees. Employees will be given: • An overview of EPA, DOT, OSHA and other applicable governmental agency regulations as they apply to the Midas Shop • Descriptions and simulations of emergency situations, procedures and equipment found in Midas Shops, including, but not limited to: • How to identify substances covered under the Midas Spill • Response Plan • How to initiate and successfully complete an Emergency Spill Response (identification, containment, hazards, emergency spill response kit, personal protective equipment, clean up) • Proper solvent use r, GENERAL PROCEDURES IN THE EVENT OF A HAZARDOUS MATERIAL SPILL If a spill or leakage of a hazardous material° occurs in a Midas Shop, there are certain containment, clean-up and disposal procedures which must.be performed at once by personnel in the immediate area of the spill or leak. All employees must train in these procedures during their initial safety orientation. For quick reference, however, the general step-by-step containment, clean-up and disposal procedures are set out below: 1. Move away and. maintain a safe distance. 2. Identify the hazardous chemical spilled and estimate how much was spilled. 3. Alert Shop supervisor and co'-workers. Page 1 5. Check for injuries, provide First Aid if trained, and summon medical assistance if necessary. 6. Review MSDS for any specific clean-up instructions and put on proper Personal Protective Equipment. 7. Eliminate ignition sources. 8. Shut off source of spill to stop p the leakage. This may include actions such as turning off valves or pumps, standing an overturned container upright, or turning a punctured container so that,the puncture is at the high point. 9. Cover or dike drains, and dike chemical run-off, to prevent spilled material from leaving the area and entering the environment. 10. Remove or block off reactive materials in the area. 11. Contain the spill by applying spill control material. 12. Remove any residual product from an original punctured pour,or place it into a labeled and approved secondary container.* g container and 13. Clean all Personal Protect ive Equipment and return to proper storage. 14. Conduct appropriate personal hygiene such as thoroughly washing face and hands. 15. Make sure all containment, clean-up and disposal supplies are replenished. 16. Store and dispose of all cleaned-up materials in accordance with all federal,V state and local laws regarding hazardous waste, as required. 17. Complete Incident Report. Page 2 i MIDAS SPILL RESPONSE PLAN t 1. SHOP INFORMATION Location Y Manager1 C I Telephone - Shop Q�. HamE^ Ptf 2. EMERGENCY COORDINATORS Coordinatorig Shop Homy . � 5309 ZYw _ 7861a Alternate Shop (-549. ' /'° Home 3. IMPLEMENTATION OF THE SPILL RESPONSE PLAN The Spill Response Plan will be implemented if an incident might threaten human health ' or the environment. The emergency coordinator has full authority to make this decision. Depending upon the degree of seriousness, the following potential emergencies might call' for the implementation•of'the Spill Response Plan: • On-site spillage • Leak or spill • Any in-Shop spill or release of a substance found on the Hazardous Chemical inventory. Page 3 4, AGEN_O BE NOTIFIED LOCATION TELEPHONE 911 - P olice ,.� Fire/Emergency Hospital Emergency Response Teams Local Regulatory Agency 4 C� Federal Regulatory Agency C�Z National Response Center 5, SPILL RESPnNSE EQUIPMENT • Spill Control Kit Spill Absorbent Granules Shovel, Broom Rubber Gloves Disposal Bag, Labels Protective Eyewear Page 4 Hyannis Shop Emergency Plans Types of Emergencies !.Fire 2.Medical 3.Chcnucal 4.Tornado 5.Purricanes 6.EartliquakeS Emergency Responsibilities Fire:First individual to detect a small fire will try to extinguish with proper equipment.First determine cause of fire and use approved method of extinguishing.In the event the fire is out of control inform closest individual to call 911.Then get remainder of employees together and designate a leader,preferably management.In the event a manager is not available continue as follows.One person should shut off gas,another oxygen,another electricity and then remove vehicles if possible.Once each person has completed his or her task congregate outside building and wait for help. • MedicaNn case of medical emergencies closest person should call 911.Only certified personnel in first aid or CPR.must accomodate injured. Chemical:in the event an employee comes in contact with a chemical refer to safety manual MSDS. Determine what chemical was used and follow emergency and first aid procedures.if no results call 911, Tornado:When a tornado may occur employees must stay calm.Stay away from windows and congregate in area which will not be exposed to glass which would the compressor room.Be sure to shut off gas and electricity. Hurricanes:When hurricane warning is in effect all employees should get together and tape all glass in X formations-Shut off electric,gas,oxygen,secnre building and leave premises. Earth uakes'In the event of an earthquake employees should all congregate in compressor room after shutting off gas,electricity and oxygen. • Number Fee 703 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that Foreign Motor Car of Cape Cod 82 Ridgewood Avenue, Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------- --------------------------------------------------------------------------------------- ----------------------------------------------- -------------------------------------------------------------------------------------------- ------------------------------------------------------------------ This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2011 unless sooner suspended or revoked. ---------- -------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D._ 6/30/2010 JUNICHI SAWAYANAGI W.....-.... - T,HOMAS A..MCKEAN,R.S.,CHO ~~ Director of Public Health f Town of Barnstable �0*1HE Towti Regulatory Services Thomas F. Geiler, Director • * BA MASS. * Public Health Division MASS.SS. 9�o 1639. °renrna�°" Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 �A Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. —OV DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN I II GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT • ADDRESS OF ESTABLISHMENT TELEPHONE NUMBERO SOLE OWNER: V YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK • / SICNATU OF APPLICANT RESTRICTIONS: HOME ADDRESS <o HOME TELEPHONE # .36 tl s7 Haz.docAk p'y l • Spill Contingency Plan Mark S. Hayes Foreign Motor Car 82 Ridgewood Avenue Hyannis, MA 02601 508.778.1118 Date: C/'_I �d 1) Evacuate the immediate area if necessary. 2) Shut-off main electrical breakers, heating system and air compression pump. 3) Remove or restrict any potential g otential ignition source from the area if the material is flammable. 4) Contain the spill by the use of boom coils, spill pillows and absorbent material. Contract the Cyn Environmental Emergency Response at 781-341-5108. 5) Notify appropriate agencies: Hyannis Fire Department and Barnstable Board of Health within one hour of detection of a release of hazardous material. 6) Remove all absorbed materials or contained liquid and package in D.O.T. approved containers. Package used absorbent materials separately from liquid. 7) Once the spill has been controlled and the materials collected and secured, inspect • the area for cleanliness and decontaminate all equipment used in the clean up. 8) Replace all used material and ensure all response equipment is in good working order. 9) Manage and dispose of collected absorbents and liquids in accordance with the state and federal guidelines. 10) For any spill greater than the reportable quantity of 25 gallons, whichever is less, this plan shall be implemented and proper records of action shall be kept on site as prescribed in Section IX. 11) Emergency spill kit is located next to waste oil and used anti-freeze drums, which are located near garage door entrance. 12) Drums are labeled with the type of hazardous waste and the start date of accumulation. 13) The following is a list of the spill equipment on site: A. One emergency spill kit which contains 3 universal boom coils, 6 spill pillows, 1 bag of absorbent material, 1 pair of chemical splash goggles, 1 pair of extra large pullover boots, 1 pair of extra large chemical resistant gloves, 1 hazardous waste label, 1 non hazardous waste label, 1 hazardous waste disposal bag and 1 heavy duty apron. B. First aid kit. C. Eyewash D. Fire extingquishers. 'V Number Fee 177 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable c� Board of Health D This is to Certify that Midas Muffler and Brake 74Iyannough Rd., Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ---------------------------------- ---------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2009 unless sooner suspended or revoked. --------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/0,1/08 JUNICHI SAWAYANAGI THOMAS A.MCKEAN;R.S.,CHO Director of Public Health Town of Barnstable Barnstable `"E'°wti Regulatory Services Department a,eacft �_ � • �: Public Health Division 11.1 MRNSTABLE. � 200 Main Street, Hyannis MA 02601 �2007aln s� Office: 508-862-4644 Thomas F.-Geiler Director FAX: 508-790-6304 Thomas cKean,CHO 1 N CIt � C3 Application Fee: $100.00 .. ew cn r- ASSESSORS MAP AND PARCEL NO. DATE a' rn APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT / I 09d A�//Q c5''04,al c e ADDRESS OF ESTABLISHMENT _27 .:-7�/(/4/"OC/G// 04J TELEPHONE NUMBER SOLE OWNER:_YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. gy-.3 STATE OF INCORPORATIONi�-s'I�LiSlf/.df'�T� FULL NAME AND HOME ADDRESS OF: PRESIDENT �t1�2yU�h//'2 i SOc?�1 1yA��J ,Qi/.� �d W. y��e�►��'1, TREASURER CLERK .i° SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS ®13 -WA 1,*w t X,-,✓ ��il• G✓ �ig2r�01�► HOME TELEPHONE# p S`.�L- Q:\Hazmat\Haz Mat Application2008.DOC EMERGENCY SPILL RESPONSE PLAN FOR MIDAS MUFFLER AND BRAKE SHOPS MIDAS SPILL RESPONSE TRAINING VIDEO The purpose of the Midas Shop-specific training video is to explain emergency spill response procedures to Midas employees. Employees will be given: • An overview of EPA, DOT, OSHA and other applicable governmental agency regulations as they apply to the Midas Shop • Descriptions and simulations of emergency situations, procedures and equipment found in Midas Shops, including, but not limited to: • How to identify substances covered under the Midas Spill Response Plan • How to initiate and successfully complete an Emergency Spill Response (identification, containment, hazards, emergency spill response kit, personal protective equipment, clean up) • Proper solvent use GENERAL PROCEDURES IN THE EVENT OF A HAZARDOUS MATERIAL SPILL If a spill or leakage of a hazardous material occurs in a Midas Shop, there are certain containment, clean-up and disposal procedures which must be performed at once by personnel in the immediate area of the spill or leak. All employees must train in these procedures during their initial safety orientation. For quick reference, however, the general step-by-step containment, clean-up and disposal procedures are set out below: 1. Move away and. maintain a safe distance. 2. Identify the hazardous chemical spilled and estimate how much was spilled. 3. Alert Shop supervisor and co-workers. Page 1 ' I 5. Check for injuries, provide First Aid if trained, and summon medical assistance if necessary. 6. Review MSDS for any specific clean-up instructions and put on proper Personal Protective Equipment. 7. Eliminate ignition sources. 8. Shut off source of spill to stop the leakage. This may include actions such as turning off valves or pumps, standing an overturned container upright, or turning a punctured container so that.the puncture is at the high point. 9. Cover or dike drains, and dike chemical run-off, to prevent spilled material from leaving the area and entering the environment. 10. Remove or block off reactive materials in the area. G 11. Contain the spill by applying spill control material. 12. Remove any residual product from an original punctured or leaking container and pour or place it into a labeled and approved secondary container. 13. Clean all Personal Protective Equipment and return to proper storage. 14. Conduct appropriate personal hygiene such as thoroughly washing face and hands. 15. Make sure all containment, clean-up and disposal supplies are replenished. 16. Store and dispose of all cleaned-up materials in accordance with all federal, state and local lawn regarding hazardous waste, as required. 17. Complete Incident Report. Page 2 MIDAS SPILL RESPONSE PLAN I. SHOP INFORMATION Locations-' /-�' Manager _. ✓ � / �' / 'I� Telephone - Shop Homey 2. EMERGENCY COORDINATORS Coordinator ?7C22IYAAA; Home Alternate sl� �''. frc' 1 f' Shop '- •�,�,o- Home Ja 3. IMPLEMENTATION OF THE SPILL RESPONSE PLAN The Spill Response Plan will be implemented if an incident might threaten human health or the environment. The emergency coordinator has full authority to make this decision. Depending upon the degree of seriousness, the following potential emergencies might call for the implementation,of the Spill Response Plan: • On-site spillage • Leak or spill • Any in-Shop spill or release of a substance found on the Hazardous Chemical inventory. Page 3 4. AGENCIES TO BE NOTIFIED LOCATION TELEPHONE Police Fire/Emergency Hospital Emergency Response Teams Local Regulatory Agency &26 Federal Regulatory Agency � j,Td.� 'd 0 National Response Center 5. SPILL RESPONSE EQUIPMENT Spill Control Kit Spill Absorbent Granules Shovel, Broom Rubber Gloves Disposal Bag, Labels Protective Eyewear Page 4 I a Hyannis Shop Emergency Plans v p �v Types of Emergencies 1.Fire 2.Medical 3.Chemical 4.Tornado 5.14-urricanes 6.Eartliquakes Emergency Responsibilities Fire:First individual to detect a small fire will try to extinguish with proper equipment.First determine cause of fire and use approved method of extinguishing.In the event the fire is out of control inform closest individual to call 911.Then get remainder of employees together and designate a leader,preferably management.In the event a manager is not available continue as follows.One person should shut off gas,another oxygen,another electricity and then remove vehicles if possible.Once each person has completed his or her task congregate outside building and wait for help. Medical:In case of medical emergencies closest person should call 911.Only certified personnel in first aid or CPR.must accomodate injured. Chemical:In the event an employee comes in contact with a chemical refer to safety manual MSDS. Determine what chemical was used and follow emergency and first aid procedures.lf no results call 911. Tornado:When a tornado may occur employees must stay calm.Stay away from windows and congregate in area which will not be exposed to glass which would the compressor room.Be sure to shut off gas and electricity. Hurricanes:When Hurricane warning is in effect all employers should get together and tape all glass in X formations.Shut off electric,gas,oxygen,secure building and leave premises. Earthquakes:In the event of an earthquake employees should all congregate in compressor room after shutting off gas,electricity and oxygen. MATERIAL SAFETY DATA SHEET ChemFree Corporation 8 Meca Way, Norcross, GA 30093 Tel: (770)564-5580 Fax: (770)564-5533 The Bioremediating Parts Washer www.chemfree.com SECTION 1. Product Name:Defoamer(Additive) 24 H Emergency Response: HEPACO(800)888-7869 Product Use: Metalworking Defoamer for the SmartWasher system Manufactured by:ChemFree Corporation 8 Meca Way Norcross,GA 30093 U.S.A SECTION 11. INGREDIENTS AND HAZARDS HAZARDOUS T % CAS# LD50 OF INGREDIENTS LC50 OF INGREDIENT INGREDIENTS NUMBER SPECIES&ROUTE SPECIES& ROUTE Non Hazardous proprietary water based degreaser 100 N/A N/A N/A All ingredients are listed on the TSCA Chemical Substance Inventory and on the Domestic Substance List SECTION III. HAZARDS IDENTIFICATION UN Number: Not Required Dangerous Goods Classification: Non Hazardous HAZARD RATINGS(NFPA/HMIS) HEALTH 0 0=least 1 =slight FLAMMABILITY 0 2=moderate 3=high REACTIVITY 0 4=extreme. SECTION IV. PHYSICAL / CHEMICAL CHARACTERISTICS PHYSICAL STATE: Liquid VAPOR PRESSURE: 18mm Hg(20°C) APPEARANCE AND ODOR: Milky white liquid/Mild odor pH: 7.0 SOLUBILITY IN WATER: Water dispersible SPECIFIC GRAVITY: 1 (15.6°C) BOILING POINT: 100°C,212°F(Typical) POUR POINT TEMPERATURE: 33 °C,91°F FREEZING POINT: 0°C,32°F I . SECTION V. FIRST AID MEASURES EMERGENCY&FIRSTAID PROCEDURES: EYES: It is unlikely that emergency treatment will be required; if adverse effects occur, rinse eyes with large amounts of water until irritation subsides. Seek medical attention if necessary. SKIN: Wash with soap and water. INGESTION: It is unlikely that emergency treatment will be required; if adverse effects occur, treat symptomatically and seek medical attention if necessary. INHALATION: It is unlikely that emergency treatment will be required; if adverse effects occur, remove to fresh air and observe. Seek medical attention if necessary. SECTION VI. FIRE & EXPLOSION HAZARD DATA FLAMMABILITY: Material does not have explosive properties. MEANS OF EXTINCTION: N/A FLASH POINT: Not Applicable SPECIAL FIRE FIGHTING PROCEDURES:None USUAL FIRE&EXPLOSION HAZARDS: None PAGE 1 OF 2 Product Name: Defoamer(Additive) SECTION VI1. ACCIDENTAL RELEASE MEASURES Not Applicable. SECTION VI11. HANDLING,STORAGE &TRANSPORT INFORMATION ICAO/IATA: Not Regulated. No special precautions are required. SECTION IX. EXPOSURE CONTROLS Exposure Limits:This product presents no health hazards to the user when used according to label directions for its intended purposes. SECTION X. PERSONAL PROTECTION RESPIRATORY PROTECTION(Specify Type): Not required. PROTECTIVE GLOVES: It is recommended that rubber gloves be worn when handling any industrial-use products. EYE PROTECTION: It is recommended that safety glasses be worn when handling any industrial-use products. OTHER/HYGIENIC PRACTICES:Always use good housekeeping procedures when using any chemical product. SECTION XI. STABILITY AND REACTIVITY DATA REACTIVITY: Non reactive STABILITY:Stable HAZARDOUS POLYMERIZATION: Will not occur SECTION XI1. TOXICOLOGICAL PROPERTIES ROUTES OF ENTRY:Skin,Eyes EFFECTS OF ACUTE EXPOSURE: It is unlikely that exposure will require treatment because product is considered a dermal non- irritant and a mild ocular irritant. HEALTH HAZARDS(Acute&Chronic): None CARCINOGENICITY: None Known TETRATOGENICITY: None known SECTION XI11. BIODEGRADABILITY AND ENVIRONMENTAL TOXICITY INFORMATION BIODEGRADABILITY: Not determined. BIOACCUMULATION: 25%or greater of the components display no potential to bioconcentrate. TOXICITY INFORMATION: 48 hours LC50 value in mq/L Rats(oral) >5000 mg/Kg Rabbits(dermal) >2000 mg/Kg SECTION XIV. DISPOSAL CONSIDERATIONS WASTE DISPOSAL: Dispose of used fluid in accordance with Local,State and Federal regulations. SECTION XV ADDITIONAL INFORMATION Prepared by: Karen Graham Date:June,10 2008 PAGE 2OF2 • I Number Fee 177 THE COMMONWEALTH OF MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that Midas Muffler and Brake 74 Iyanough Rd., MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. -------------------- ---------------------------------------------------- ----------------------------------- ------------- ------------------------ This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2008 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. 7/20/2007 PAUL J. CANNIFF,D.M.D. THOMAS A. MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable z Regulatory Services % Thomas F. Geiler,Director �* B"NST"LE, NAM. g Public Health Division t63g, �0 1639�°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. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT r,C/9//,A2 y NAME OF ESTABLISHMENT /i/i9S A,170 ADDRESS OF ESTABLISHMENT �� Ydq�I/)O!J(a/ �C�ii�J //,y 11"1 iJ TELEPHONE NUMBER �Qif— SOLE OWNER: Y YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF TALL PARTNERS: �s y w•.l i/ n � IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION .FULL NAME AND HOME ADDRESS OF: PRESIDENT- �/Z y TREASURER CLERK f SIGNATURE F APPLICANT RESTRICTIONS: HOME ADDRESS .)3 rv�s�, hAglPs/&^�d � ^ . HOME TELEPHONE #--4 j — '2, O=345X..9- I EMERGENCY SPILL RESPONSE PLAN FOR MIDAS MUFFLER AND BRAKE SHOPS MIDAS SPILL RESPONSE TRAINING VIDEO The purpose of the Midas Shop-specific training video is to explain emergency spill response procedures to Midas employees. Employees will be given: • An overview of EPA, DOT, OSHA and other applicable governmental agency regulations as they apply to the Midas Shop • Descriptions and simulations of emergency situations, procedures and equipment found in Midas Shops, including, but not limited to: • How to identify substances covered under the Midas Spill Response Plan • How to initiate and successfully complete an Emergency Spill Response (identification, containment, hazards, emergency spill response kit, personal protective equipment, clean up) • Proper solvent use GENERAL PROCEDURES IN THE EVENT OF A HAZARDOUS MATERIAL SPILL If a spill or leakage of a hazardous material occurs in a Midas Shop, there are certain containment, clean-up and disposal procedures which must,be performed at once by personnel in the immediate area of the spill or leak. All employees must train in these procedures during their initial safety orientation. For quick reference, however, the general step-by-step contaipment, clean-up and disposal procedures are set out below: 1. Move away and. maintain a safe distance. 2. Identify the hazardous chemical spilled and estimate how much was spilled. 3. Alert Shop supervisor and co-workers. Page 1 5. Check for injuries, provide First Aid if trained, and summon medical assistance if necessary. 6. Review MSDS for any specific clean-up instructions and put on proper Personal Protective Equipment. 7. Eliminate ignition sources. 8. Shut off source of spill to stop the leakage. This may include actions such as turning off valves or pumps, standing an overturned container upright, or turning a punctured container so that the puncture is at the high point. P P g P . 9. Cover or dike drains, and dike chemical run-off, to prevent spilled material from leaving the area and entering the environment. 10. Remove or block off reactive materials in the area. 11. Contain the spill by applying spill control material. 12. Remove any residual product from an original punctured or leaking container and pour or place it into a labeled and approved secondary container. 13. Clean all Personal Protective Equipment and return to proper storage. 14. Conduct appropriate personal hygiene such as thoroughly washing face and hands. 15. Make sure all containment, clean-up and disposal supplies are replenished. 16. Store and dispose of all cleaned-up materials in accordance with all federal, state and local laws regarding hazardous waste, as required. 17. Complete Incident Report. Page 2 MIDAS SPILL RESPONSE PLAN 1. SHOP INFORMATION Location — Manager _. x/ �41 Telephone - Shop s- � 'y�� .� Home _ 2. EMERGENCY COORDINATORS Coordinator �1_.19 Shopi ` �- , t`�� Home �� - % Alternate Shop U'6'- Home - - 3. IMPLEMENTATION OF THE SPILL RESPONSE PLAN The Spill Response Plan will be implemented if an incident might threaten human health or the environment. The emergency coordinator has full authority to make this decision. Depending upon the degree of seriousness, the following potential emergencies might call for the implementation.of the Spill Response Plan: • On-site spillage • Leak or spill • Any in-Shop spill or release of a substance found on the Hazardous Chemical inventory. Page 3 f 4. AGENCIES TO BE NOTIFIED LOCATION TELEPHONE Police , 911 Fire/Emergency Hospital � � h Emergency Response Teams Local Regulatory Agency Federal Regulatory AgencyS,7d� ` d National Response Center 5. SPILL RESPONSE EQUIPMENT Spill Control Kit Spill Absorbent Granules Shovel, Broom Rubber Gloves Disposal Bag, Labels Protective Eyewear Page 4 o Hyannis Shop Emery Plan lans Types of Emergencies 1.Fire 2.Medical 3.Chemical 4.Tornado 5.Htirricanes 6.Earthquake5 Emergency Responsibilities Fire:First individual to detect a small fire will try to extinguish with proper equipment.First determine cause of fire and use approved method of extinguishing.In the event the fire is out of control inform closest individual to call 91 l.Then get remainder of employees together and designate a leader,preferably management.In the event a manager is not available continue as follows.One person should shut off gas,another oxygen,another electricity and then remove vehicles if possible.Once each person has completed his or her task congregate outside building and wait for help. Medical:In case of medical emergencies closest person should call 91 I.Only certified personnel in first aid or CPR.must accomodate injured. Chemical:in the event an employee comes in contact with a chemical refer to safety manual MSDS. Determine what chemical was used and follow emergency and first aid proceduresAf no results call 911. Tornado:When a tornado may occur employees must stay calm.Stay away from windows and congregate in area which will not be exposed to glass which would the compressor room.Be sure to shut off gas and electricity. Hurricanes:When hurricane warning is in effect all employees shoed get together and tape all glass in X formations.Shut off electric,gas,oxygen,secure building and leave premises. Earthquakes:In the event of an earthquake employees should all congregate in compressor room after shutting off gas,electricity and oxygen. I �Town of Barnstable . °F1HE Tp Regulatory Services �� /- -7 ti Thomas F. Geiler, Director 9s"R"MAW. �` Public Health Division ACED MA'S A Thomas McKean,Director- 200 Main Street,' Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00' ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT CA0045� %O JVj/�P�, r ✓C, NAME OF ESTABLISHMENT /!� S /�y i o spec/i c e ADDRESS OF ESTABLISHMENT D(J 6 i`! /�D•9!' TELEPHONE NUMBER �D tl� " �9 SOLE OWNER: X YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: I 1 - IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. --- M STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT 7Z-Roe y ,J-3 JoJ i/-1 h'gw PJ 6✓n XV 6). TREASURER CLERK SIGNATURE O LICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# Q:\Application Forms\HAZAPP.DOC t MAIL-IN REQUESTS Please mail the completed application form to the address below. Also include a copy of your contingency plan (to handle hazardous waste spills, etc). In addition, please include the required fee of$100. Make check payable to: Town of Barnstable. Allow five to seven(7) working days for in-house processing. Our mailing address is: Town of Barnstable Public Health Division 200 Main Street Hyannis,MA 02601 FOR FAXED REQUESTS Our fax number is,(508) 790-6304. Please fax a completed application form. Also, please fax us a copy of your contingency plan (to handle hazardous waste spills, etc). In addition, please mail the required fee amount of$100.00. Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. Allow up to four days for in-house processing. t For further assistance on any item above, call (508) 862-4644 Back to Main Public Health Division Page Q\Application Forms\HAZAPP.DOC Number Fee 177 THE COMMONWEALTH OF MASSACHUSETTS $200.00 Town of Barnstable Board of Health This is to Certify that Midas Muffler and Brake 74Iyanough Rd., MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------- -------------------------------------------------------------------- --------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2007 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. May 15, 2006 PAUL J. CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health � - .February 271 .97E t d` Arch ConstructionCompany - 36 Wec uaquet Lane Centerville, Mabsachusetta Re: variance. for Midas Mufflers .Iyanough Read, Hyannis Gentlemen: ! Your request on�behalf of Midas Muffler, lyanough Road, Hyannis, to - install a 350 square foot leaching field, in lieu of the ,required 400 'feet,is granted with .than -following- conditionss (1) Maximum number of employees .limiter to five'(S) . (2) The Board of Health must receive annually a .certificate of inspection by a licensed cessp601 . ,pumper that system has been pumped out car ,does ', not ,requ ire pumping, 'out } (3) - System must -be installed .strictly in,accordance'. with plan on file in this' office. (4) The usuage of the buildings fo'r any other purpose,than the agreed muffler installation facility is strictly prohibited« . . very, truly ypur`s, ROber Ia. 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