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Home My WebLink About0287 IYANNOUGH ROAD - HAZMAT Qg7 nc-66-f-\ 7 Number Fee 853 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Radisson Hotel 2871yannough Road, Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------------------------------- -------------------------------------------------------------------------------- o� This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2010 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER, M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. _ 10/07/2009 JUNICHI SAWAYANAGI •THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Oct-06-2009 12 :07 PM Radisson Hotel Hyan 5087717563 1/1 Town ®f Barnstable Barnstable oF(HEr. Regulatory Services Department �� a Public Health Division raRrrsr,+;a�.e, XAM 200 Main Street,Hyannis MA 02601 2007 Office: 508-8624644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. 3 2 8/210/0 01 DATE 6/18/0 9 APPLICATION FOR PERNHT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT Ridgewood Avenue• L L C NAME OF ESTABLISHMENT Radisson Hotel . ADDRESS OF ESTABLISHMENT 287 I y a n o u g h Rd. , Hyannis , MA 02601 TELEPHONE NUMBER 5 0 8-7 71-17 0 0 SOLE OWNER:x x YES NO IF APPLICANT IS A PARTNERSHIP,FULL NADIE AND HOME ADDRESS OF ALL PARTNERS: 6 Manager of R;dgewood Avenue LLC : Holly Management And Supply Corp. IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 0 4-3 301 3 0 9 STATE OF INCORPORATION M a s s a d6s e t t s r FULL NAM AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK SIGNATURE OF APPLICANT Stuart Bornstein, Pros. RESTRICTIONS: HOME ADDRESS H o 1 1 �z Ma n a g P m P n t & Supply Corp. HOl/YE TELEPHONE# 297 North g t r P A t Hyannis , MA 02601 508-775-9316 Q:\Ha2mat\Ha2 Mat Application2003.DOC l_ Number Fee 145 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that R.F. Morse & Son, Inc. 362 Yarmouth Road, Hyannis,MA 02601. Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------- ------------ ---- ------ ------------------------------------- ---------------- --------- ----------------------------- ----------------------------------------------------------- ------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and And expires 6/30/2010 unless sooner suspended or revoked. WAYNE MILLER,M.D.,CHAIRMAN PAUL J. CANNIFF,D.M.D. 6/30/2009 JUNICHI SAWAYANAGI THOMAS A. MCKEAN,R.S.,CHO Director of Public Health • • k t Town of Barnstable Barnstable �fWE rower Regulatory Services Department All-ftedcaCft y Public Health Division • * {ARNWABLE, + 9q� 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 mW '34ti ASSESSORS MAP AND PARCEL NO. LoT /& DATE �� `aS APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT ?(Ck it-go '* • e-'-B/N)Ui A16 . NAME OF ESTABLISHMENT M 072-5.0 -F SDI !fVG . ADDRESS OF ESTABLISHMENT �� v-? n gwcr// T2p�10, Nn/5,MIf n;&r • TELEPHONE NUMBER SPLE OWI ER:__,XYES NO IF�APPLIQ NT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL P6.RTNERS: r 03 t o cl� IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION YVA''51 001 SAS FULL NAME AND HOME ADDRESS OF: PRESIDENT QicH*an TREASURER CLERK SIGNATURE OF'AWrICANT • !►tip QYv S' 5 �. S '�3 RESTRICTIONS: HOME ADDRESS HOME TELEPHONE#_ _ - M- 3 3 3'1 Q:\Hazmat\Haz Mat Application2008.DOC • MAIL-IN REQUESTS Please mail the completed application form to the address below. Also include a copy of your contingency plan(to handle hazardous waste spills, etc.) In addition, please include the required fee of$100. Make check payable to: Town of Barnstable. Allow time for in-house processing. Our mailing address is: Town of Barnstable Public Health Division 200 Main Street Hyannis, MA 02601 FOR FAXED REQUESTS Our fax number is (508) 790-6304. Please fax a completed application form. Also, please fax us a copy of your contingency plan (to handle hazardous waste spills, etc.) In addition, please mail the required fee of$100. Please make the check payable to: Town • of Barnstable. The check must be mailed to the address listed above. Allow time for in- house processing. For further assistance on any item above, call (508) 862-4644 Back to Main Public health Division Page • QAHazma6Haz Mat Application2008.DOC • CONTINGENCY PLAN TO HANDLE HAZARDOUS WASTE SPILLS, ETC. Any small spills will be contained and absorbed with speed dry. Any major spills will be handled by Safety-Kleen. They have a 24 hour Emergency telephone number of 1-800-468- 1760. MSDS sheet are on hand for all material in use. 911 will be call for any medical emergency. • Number Fee 853 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that DOUBLETREE B Y HIL TON HOTEL CAPE COD-HYANNIS .-------------------------------------------------------------------------------------------------------------------------------- 287Iyannough 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 MAI yyy Inspectional Services BARNS LE t pF hi STa6EE-aIMV[LL£•COTUR-11—IS Public Health Division °Sm°'" •1639-201391 rR��n�E 4 � BAJWSrABLE, • Thomas McKean, DirectorDg 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 I st-JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 R VISt^ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed ifpayment 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:. 5. NAME OF ESTABLISHMENT: .1lPAWRge—VUSWO 6. ADDRESS OF ESTABLISHMENT: MA6740� 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 4'17 NUi tl'1 Sf j 64nnLs,MA &01 8. TELEPHONE NUMBER OF ESTABLISHMENT: ��"-171" 170D 9. EMAIL ADDRESS: A24ba a"Ll u o M�•CPA 10. SOLEOWNER:-XYES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADD SS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT tX TREASURER i� 3telt. ' CLERK Adn 12. IF PREPARED BY O SIDE PARTY: NAME: TELEPHONE#: COMP "AD SS EMAIL: SIGNATURE OF APPLICANT DATE (Q''IQ-:�W Q:\Application Forms\Haz Mat Appli Draft Jan2019.docx Fo`d 10 , oo IB royti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARMA�Iq E ` 200 Main Street• Hyannis, MA 02601 �p f6}9•A10 'eoMor TOXIC AND HAZARDOU ATE!VALS INSPECTION REPORT Business Name: ouble, Date: Location/Mailing Address: IU[A L,h No Contact Name/Phone: SO Inventory Total Amount fit SDS: License#: 1�5 3 Tier II : N Labeling: mill Plan: LK3- Oil/WaterSeparator: NO _ Floor Drains: (� Emergency Numbers: Hel � Storage Areas/Tanks: r fGp Emergency/Containment Equipment: ` 're ` i5�A- W Waste Generator ID: Was a 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 Z�ry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers 16 Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives 6 - Iher"°n`r`t AS Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants a-v Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicide V rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) i 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 az (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform,formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATI N/REC MMENDATI NS: W aCO Yh uf Q Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS Number Fee 853 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that DOUBLETREE BYHILTON HOTEL CAPE COD-HYANNIS 287Iyannough 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 Town of Barnstable Inspectional Services tBAOMRSTABLEE pHk�_Public Health Division �E f i r BSI._ ` Thomas McKean Director MASS. $ ;-4 iOrEo .�p`0 200 Main Street, Hyannis,MA 02601 e'D Office: 508-862-4644 Fax: 508-790-6304 a APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE `'My HAZARDOUS MATERIALS "~ IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st-JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 19 OT, CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ &hK* *A late charge of$10.00 will be assessed if payment is not received by July 1st. a2Z,' 1. ASSESSOR'S MAP AND PARCEL NO. 4/0`0►41 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: A=tu = U 5. NAME OF ESTABLISHMENT: �et bit Wkn t.?,l &pe U- AQl'lh's 6. ADDRESS OF ESTABLISHMENT: OU 7 VCOI 1 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: ,, (f'1 st 8. TELEPHONE NUMBER OF ESTABLISHMENT: 508-77 l- `r100 9. EMAIL ADDRESS: *Usb hp 10. SOLEOWNER: X YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADD SS,AND TELEPHONE#OF: CORPORATION NAME to PIT St. TREASURER n/&- CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE Q:\Application Forms\Haz Mat App Revised 09- 0-18.dnx Number Fee 853 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that DOUBLETREE BY HILTON HOTEL CAPE COD 287Iyannough Road, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2019 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2018 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Vvitory- i Of$ stable a101 � Rchard`V. Scala, rector oFt"e:rar�; Public 'Health Division BARMTABLE Thomas;McKe'an,Director �� ibd7.261a '200 Main;Street,Hy2nnis,MA 02601 Office: 50$=8624644 F'ax: 568-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS: IN ACCORDANCE WTITH THE TOWN OF:BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN.HOUSEH.OLD.Q.UANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS DULY 1 st—NNE 30t1) APPLICATION FEES CATEGORY ] PERMIT 26— 130 Gallons: $ 50.00 0 CATEGORY 2 PERMIT 111 —'499 Gallons: $,125.00 9 vs": CATEGORY 3 PERMIT '50.0 or more Gallons: $1 0A0; F-1 *A,late charge of$10:00 will be assessed if`ya meat is not received by July 1st. .1. ASSESSOR'S MAPAND,PARCELNO. 2.. IS THIS A PERMIT RENEWAL? `YES_.NO. IF YES,SKIP QUESTION'S:; 3. FOR.AL14 NEW PERMIT APPLICATIt7NS;LNDICATE WHETHER BUSINESS HAS: ZONINGBUILDING APPROVAL FOR HAZA:RDOUS.MATERIAL:S ST.ORAGE/USE`OF • GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)?. 'YES NO. 4. FULL NAME OF APPLICANT: . 5�'&Aemlc j Lu e 1 S. NAME OF ESTABLISHMENT: 0"&&4,—Aw1S 6 ADDRESS OF ESTABLISHMENT1. 7 MAILING ADDRESS(IF DIFFERENT'FROM ABOVE: 8. 'TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS': . ._ ,, I0. SOLEOWNER: . )(.-Y.E& NQIFNOi.NAME OF PARTNER:........... 11...FULL NAME,HOME ADD AND;TEL PH NE#'OF 1 :CORPORATION NAME J .� 13 TREASURER ;CLERK 1` / 12.,IF PREPARED BY OUTSIDE PARTY. NAME: TELEPHONE#. _ COMPANY ADDRESS _ EMAIL: • a SIGNATURE OF APPLICANT . __ DATE 140 Q' lAPP IReation FormsUiAZMAT APP 2017 REVISED.docx Number Fee 853 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable �- Board of Health This is to Certify that DOUBLETREE BY HILTON HOTEL CAPE COD 2871yannough Road, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2018 unless sooner suspended or revoked. --------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2017 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health GPI 1g99,3 Roe-� u a B n stable 13� Sl�� oFtMME T Richard V. Scali,Director A Public Health Division BARSTABLE r ! snxiaAS& Thomas McKean,Director :,.5 LS 451 'It!L S!P N.t:t4t �� 3l•295r 200 Main Street, Hyannis,NIA,02601 g Office: 50$=862-4644 mil Fax:. 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS 7.ARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR.STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1st-NNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26- I I0 Gallons: $ 50.00 ❑ n CATEGORY 2 PERMIT 111-499 Gallons: $125.00 �1 �' Q I C( CATEGORY 3 PERMIT 500 or more Gallons, S150.00 *A late charge of$10.00 will be assessed if payment is not received by July lst I. 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: k1h 17 IT7:� l 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT.-.- 01 7. MAILING ADDRESS'(IF DIFFERENT FROM ABOVE: � l�tD�l,► L (�� r 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL,ADDRESS: o 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME 11 Ppffiffi H ENT TREASURER qca CLERK n.f� 12. IF PREPARED BY OUTSIDE PARTY: NAMES TELEPHONE#: COMPANY ADDRESS EMAIL: • SIGNATURE OF APPLICANT ATE rI"o2� 9AApphutign Forms\HAZMAT APP 201'7'REVISED.docz Number Fee 853 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that DOUBLETREE HOTEL 2871yannough Road, Hyanhis, 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 1 Q Director of Public Health JUN 0 g 2016 Town of Barnstable . Regulatory Services Richard V. Scah,Director . .,, .. . . � RAM Public Health Division B��TABLE Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax; 508-790-630440 APPLICATION FOR LERMIT 10 ST.OU AVID/OR,�IITTI.IZE HAZARDQLJS MATKRIAI�S IN ACCORDANCE.WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERL4 S,-ALL BUSINSSES THAT HANDLE OR STORE KAZA_RDOUS MATERIALS GREATER THAN HOUSEH. OLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS XLY 1st JUNE 30th). APPLICATION FEES CATEGORY ITERMIT 26— 110 Gallons: $ 50.00 . CATEGORY 2 PERWT 111 —499 Gallons: $125.00 CATEGORY 3 PERMIT 500 or more Gallons:$150.00 Ca A late charge of$10.00 will be assessed if payment is not received by July 1st. ASSESSORS MAP AND PARCEL No. 3 2.8/2.10./0 01 . DATE J.0 n e.. 8, . 2016 FULL NAME OF APPLICANT: J a m i 1 a Bornstein NAMEOFESTABLISHMENT: Ridgewood Hotel Associates, Inc. ADDRESS OF ESTABLISHMENT: 2 8.7 I y a n n o u g h Rd. , Hyannis, MA 02601 MAILING ADDRESS(IF DIFFERENT): 2 9 7 N o r t h S t Hyannis , MA 02601 TELEPHONE.NUNI$ER O F.ESTAB I ENT: 5 0.8-7 71-17 0 0 EMAIL ADDRESS: tbuqby@hQ11 SOLE OWNER: x YES NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CGR]POJE2AT'ION NAME R i d g e wood o f 1 i P T n c PRESIIDENT TREASIM11 Tami ! a Rornctei n CLERK Tamila Rlirnaj-Qan IF PREPARED BY OUTSIDE PARTY: SIGNATURE OF APPLICANT Name: , Company Address Telephone#: Email: Q:\Application FormAHAZZAPP Reyl6,docx Page 1;of 2 °aIK rE / Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • B''RMASS- ` 200 Main Street• Hyannis, MA 02601 039. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: Date: qh 3 9(o Location/Mailing Address: R 4::-KV1 1 � Contact Name/Phone: Q' -7-1 l- '7 o Cc -"12 �c;k cov�5't—V Inventory Total mount: MSDS: License#: g�3 LH-- Tier II : o Labeling: v., - c� �yy Spill Plan:_ Oil/WaterSeparator: Floor Drains: - - w Emer enc Numbers: Storage Areas/Tanks: o lar au. < al bVC,,,.ks C-9ac k IV, Emergency/Containment E ui ent: Opt) �44 111A- 1ay <y Waste Generator ID: Waste Product: Date&Amount of Last Sh pment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: ate' ems ,JaSk-f-C.o l4kI aw X&q w - 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 ---7— 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 v7 DisinfectantsZ`\ Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Groutle-9 l.6"v45 60 k3D1\0 insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) �— Cis#detergents to-4.,y Printing ink Car waxes and polishes 46 kP5 k ZD Wood preservatives(creosote) Asphalt&roofing tar Z Swimming pool chlorine ✓ Paints, varnishes, stains, dyes 1S Lye or caustic soda o' � e`e-` �— 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: Ccp k� 5 zt tr�eat ar u✓. G VM«t- kola aw�H ,,t ,\ oS cm0 OC VV VkA 1, eKyc. "'&i t r nspector: `�`Yt*&J-tVt 4,k2 5 01 t I aw +0 `G C�� Facility Representative: a"ZJA�� WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS Number Fee 1179 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that ENTERPRISE RENT-A-CAR 332 IYANNOUGH ROAD (RT 28), 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 �M Town of Barnstable Regulatory Services t*: Richard V. Scali,Director Public Health DivisionThomas McKean,Director ( ' 200 Main Street,Hyannis,MA 02601 Q � Office: 508-862-4644 ` Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 • CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ A late charge of$10.00 will be assessed if payment is not received by July 1st. ASSESSORS MAP AND PARCEL NO. 328072 DATE 6/16/16 FULL NAME OF APPLICANT: Enterprise Rent-A-Car Company of Boston, LLC NAME OF ESTABLISHMENT: Enterprise Rent-A-Car ADDRESS OF ESTABLISHMENT: 322 lyannough Road Hyannis MA 02601 MAILING ADDRESS(IF DIFFERENT): 405 West Street West Bridgewater, MA 02379 TELEPHONE NUMBER OF ESTABLISHMENT: 508-778-2205 EMAILADDRESS: Andrea.M.Kershaw(a)-ehi.com SOLE OWNER: YES_(NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME Enterprise Rent-A-Car Company of Boston, LLC PRESIDENT Pam Nicholson TREASURER CLERK IF PREPARED BY OUTSIDE PARTY: SIGN URE OF APPLICANT Name: Company Address Telephone#: Email: Q:\Application Forms\HAZZAPP Revl6.docx Page 1 of IKE►owti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMASS. 200 Main Street• Hyannis, MA 02601 1639. �prED MP�a`0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: , vo- e- of Date: -7 29 r s� Location/Mailing Address: avvnA� an r a, I f 0166,c Contact Name/Phone: ,e D' ,,e -7 ligo el SD -726- p2p Ca�� Inventory Total Amount: ?-DO CI&I MSDS:5"-e-'"�6- C '''r14V4< License#: ,2 (CtCQ, r II Tie : No �- Labeling: V Spill Plan: o 05 Oil/WaterSeparator: NIA Floor Drains: 217- ^l Emergency Numbers: �S Storage Areas/Tanks: Qd a +vrc o w - a1 tout, ,w-d5 Emer enc /Containment E ui ment: Waste Generator ID: Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: &5c ID ak,nks 'a,Iy` a-*00 $ ` t, -- LIST OF TOXIC AND HAZARDOUS MATERIALS �o mA-\o f (,.sJ,- NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. 6I I7 ( - 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: ` yAk 6 R-X- 14'� vt-O�- ORDE S: t o vx,, I P,I I a A INFORMATION/RE OM ENDATIONS: oLC- Inspector:_ aV .Q_ Facility Representativ . WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS Number Fee 853 THE COMMONWEALTH OF MASSACHUSETTS 100.00 Town of Barnstable Board of Health This is to Certify that DOUBLETREE HOTEL 287Iyannough 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 G S� r i; Town of Barnstable Barnstable Regulatory Services Department o� Cacky Public Health Division MkRNSTABLL « , I I I I F . 9 ' 200 Main Street, Hyannis MA 02601 1639. a�A 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. 2 Y- '2-0 i +-O O 1 DATE 7 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT �— ADDRESS OF ESTABLISHMENT IJ 140 ,1 ;S M� 02f�01 • TELEPHONE NUMBER "7 1 1 - 1 1 y U SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: N/4 LLG �1�c�)yCaro�rL� IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 0 L4 3 2.5 b YZ STATE OF INCORPORATION .MA FULL NAME AND HOME ADDRESS OF: PRESIDENT S LA&.( I 13 a n-J 0✓1 TREASURER 2-9"7 1Vo r+� S 4- CLERK 4-1,is AA,J- M A SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS _SI-ue.r� v^.ns -D� HOME TELEPHONE# -Q S 7 7 h J:\inspection handouts\Haz Mat Application200800C II� OF IPKEE � Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BA MASS.. • 200 Main Street• Hyannis, MA 02601 Eo39.°�� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: ?v�bl�'�1,� o �.\ Date: G 11 1 Location/Mailin Address: 2 Ya,\,n, im-kd A Contact Name/Phone: Ski -77 i- 1 e,6 'off-7"-9�o2-0 Inventory Total Amount: �" 0� "\ MSDS: 2 - MALJ-00/Ait kV�,q\. License#: gs3 Tier II : rA Labeling: Spill Plan: (ge} 'cork ca .fer Oil/WaterSeparator: A Floor Drains:++ 15we,1 Emergency Numbers: Storage Areas/Tanks: O Emergency/Containment Equipment: Waste Generator ID: QIA Waste Product: Date&Amount of Last Shi ment/Fre uenc : Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS i o C,1AAv.V- iuL %v,\kMA&c,J s►v�ce, �ft't lvl �lovL NOTE: Under the provisions of Ch. 111, Section 31, of the Ge ral Laws of MA, azardous material us , storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Z 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 laur<At r Photochemicals(Developer) r-w—�L Geash detergents 6,k Printing ink Car waxes and polishes Wood preservatives(creosote) 6k)vr'}e" / Asphalt&roofing tar — _ Swimming pool chlorine I r-141��rv- y�`— 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: o �� u�� Ma�t,�-N\S� aw"^ A ORDERS �- 9A.1 D�a� Slc�n.n� Loloocc�� INFORMATION/RECOMMENDATIONS: ®o S 6fe OA- NaC 1 Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Date: /23/ 13 TOWN OF BARNSTABLE ins +,a,.� TOXIC AND HAZARDOUS MATERIALS R N FORM NAME OF BUSINESS: BUSINESS LOCATION: �`� �,n,iw.� �n✓� INVENTORY MAILING ADDRESS: ,Sam-, i4�-�,�: ,/V(, I,c� D'Bc-,�v�. TOTAL AMOUNT- TELEPHONE NUMBER: ,SD f3 -77 I - 17 o 0 Zoo ,?� CONTACT PERSON: /0, k.e- D'c3�,�►n. EMERGENCY CONTACT TELEPHONE NUMBER: Cc 1/ '69�-7;zb'8020 MS S ON SITE? TYPE OF BUSINESS: 2 0 5 D INFORMATION / RECOMMEND Fire District: i� z� Jc,�o S c7�� VL �, o S�' ,ti.. �4 v n�r� yl✓I/S AAA vM 4. L eees6 j4e- h !A1 10� S 9 t>SL�J ��Rlrl. NfS�S S�l2t�'S a+1�G Waste Transportation: � �� Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No 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) 3's� Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid X-7 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 (Mond 2s-r � ) Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible 6 3 Gap*%%detergents Clams„Ari+A,st-- Leather dyes Car waxes and polishes Fertilizers Asphalt&roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, S Lacquer thinners (including carbon tetrachloride) M NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglos ers hydrochloric acid, other acids) MiQ�w�s arm AAA4X h&K44me% scellaneous., Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes to Laundry soil &stain removers I�a�vytt�' afo�a�1�� local-►orts �ncl�o� (including bleach) , dys-ey Spot removers&cleaning fluids (dry cleaners) �� o J G .� y' AV A Iry rDD!±,j SI Other cleaning solvents Bug and tar removers , o01 go 6 - v A I �, Windshield wash SI n14,1AY Q0A-iP— I k %ft4 WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS A pli an,"s Signature Staff's Initials y r. Number Fee 853 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that DOUBLETREE HOTEL 287Iyannough Road, Hyannis, MA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ----------------------------------------------------------------------------------- --------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 6/30/2015 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2014 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable °F�He Tokti Regulatory Services Richard V. Scali, Director HA LE.MASS. Public Health Division � MASS. g 1639• ♦0 o r,,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. 32,Srl Zo t {- v o0)ATE -7-7-' i N APPLICATION FOR. PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT k;c lc,.e woof- A& �LC. NAME OF ESTABLISHMENT H oA 1 6,1 14,M-o►1 C--tr e C-od- ADDRESS OF ESTABLISHMENT 2�7 a.�°,,n n o�q Lt. , TELEPHONE NUMBER 5(,N K- -7-7 I i -7 y 0 SOLE OWNER: /YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: Add - "hrk 51446/ C0 r I )APP ICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. U4.-32 6 Y2J STAT VF INC RPORATION /A A EULL4;AME AliiHOME ADDRESS OF: r-YESM-ENT TREA�R Q z11-7 N o rk C' S 4- CLERK �T URE OF APPLICANT' RESTRICTIONS: HOME ADDRESS 2q 1 Qer� 5fir•, f-Iy iv%.��S,.MA HOME TELEPHONE# I-or--7 Q:1Appiication Forms\HAZAPRDOC Number Fee 853 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that DOUBLETREE HOTEL 2871yannough Road, Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 6/30/2014 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF, D.M.D. 10/23/2013 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health rTown of Barnstable Barnstable Regulatory Services Department o� ;ericaC-i Public Health Division + {ARNSIABLML " 639 � 200 Main Street, Hyannis MA 02601 lF0 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. 32.t 3l & of 1 DATE 10 2-1 3 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT k {d 9�U1ool L.L C- NAME OF ESTABLISHMENT 61,61,tme. Ho W try 14 1 11o. Cup- cod ADDRESS OF ESTABLISHMENT Z -7 14- r,m N /S TELEPHONE NUMBER S 0t�- 7 7 ( — 1,-7 o o SOLE OWNER: V/ YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF AL" o PARTNERS:,„� fflA LL.C_ 1-4011� ^aAc —~4 �- a d S" rr man .-Lr . tV t� �r A IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. t( ' 3�¢6 VZ 1 H ,V STATE OF INCORPORATION A A FULL NAME AND HOME ADDRESS OF: i PRESIDENT S�Lkw�- 60 C'tS .e-i^ TREASURER 217 Lbr 4t 54. CLERK 14-4 1�,A 02-6 O 1 SIGNATURE OF APPLICANT,-- RESTRICTIONS: HOME ADDRESS 29 7 Pbr�lg s , 14 i4,,,j ,s ,/A HOME TELEPHONE # . O r-77 -131 6'- J:linspection handouts\Haz Mat Application2008.DOC Number Fee 853 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that DOUBLETREE HOTEL 2871yannough Road, Hyannis,MA 02601 _ — F�L Is Hereby Granted a License (�c� FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2013 unless sooner suspended or revoked. --------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF, D.M.D. 8/16/2012 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable oFE Regulatory Services t ° Thomas F. Geiler, Director " BARMASS.NSr"EZ ' Public Health Division 1639.pT�nay°i Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $1oo.00 ASSESSORS MAP AND PARCEL NOJ JMDATE I APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT 44 M=d 4'M-1'4-e I U-0 , NAME OF ESTABLISHMENT [ 44� (A(I d./Al ADDRESS OF ESTABLISHMENT nyl a'k Trr. TELEPHONE NUMM - U SOLE OWNER: ` YES NO IF APPLICANT IS PARTNERSHIP FULL NAME AND HOME ADDRESS OF ALL PARTNERS: - 0 �J IF APPLICANT IS A CORPORATION: FED IDENTIFICATION NO. " STATE OF INCORPORATION Y LL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK '� SIGNATURE OF APPLICANT RESTRICTIONS: HIE ADDRESS i2q �/' G!? TELEPHONE G�U' HOME `TE Haz doc/wp/q �o Fee r 853 Number THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Radisson Inn 2871yannough Road/55 Engine House Rd, Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. -------------------------------------------------------------------------------------- ----------------------------------- ------------------------------------ This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2009 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/08 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Jul-08-2008 10:40 AM Radisson Hotel Hyan 508-771-7563 3/4 Town of Barnstable Barnstable sKWEr ti Regulatory Services Department ,uk%m!ficacmt Public Health Division unMsrABU, • �m 9$ %659 200 Main Street,Hyannis MA 02601 2007 Office: SOM624644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO Application Fee:$100.00 ASSESSORS MAP AND PARCEL NO. �Zg Z h DATE 7 APPLICATION FOR PERMIT TO STORE AND/OR UT]ZIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT �0 CQfli1CJ(C TELEPHONE NUMBER SOLE OWNER: AYES NO s IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OIR�ALL l �. PARTNERS: �s C N f Q M IF APPLICANT IS A CORPORATION: EDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND O ADDRESS OF: PRESIDENT �ci�l-tMaloI n-lkb,4-2? 2 N��i'L (akAM) �b� TREASURER CLERK �� t SIGNA OF APPLICANT � RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# 5V R-775- Q:1Hazmat\Haz Mat Application2008.DOC Number Fee 853 THE COMMONWEALTH OF MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that Radisson Hotel 2871yannough Road, Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2011 unless sooner suspended or revoked. WAYNE MILLER, M.D.,CHAIRMAN PAUL J.CANNIFF, D.M.D. 6/30/2010 JUNICHI SAWAYANAGI _T.HOMAS A._MCKEAN,R.S.,CHO Director of Public Health t� 1 June 23, 2010 Cynthia Martin Hazardous Materials Specialist Town of Barnstable 200 Main Street Hyannis, MA 02601 Dear Ms. Martin: Enclosed please find a copy of our incomplete application for a permit to store hazardous materials, along with our contingency plan which was requested by you. The completed application and the check will come to you under separate cover. The contingency plan was colored coded so I wanted to be sure you received the original. • If you have any questions.in reference to the enclosed, please feel free to contact my office. My direct line is (508) 790-5303. Thank you. ncerely, ane°Farley Administrator cc: Hazardous Material File •Radisson Hotel Hyannis 287,lyannough Road • Hyannis, MA 02601 Telephone: 508-771-1700 • Fax: 508-771-7563 M www.radisson.com/hyannisma �., SUN.15.2010 11:34AM BARNSTABLE BOARD OF HEALTH N0.377 P.2i4 Town of Barnst-able Regulatory Services • Thomas F. Geiier, Director 9AFWS3'AHLE, MA3s, Public Health Division �' 1639- 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 41*1Y4J1)5-bd alma U't NAME OF ESTABLISHMENT • ADDRESS OF ESTABLISHMENT TELEPHONE NUMBER D2 II I I - -- - SOLD OWNER: � Y-ES NO IF APPLICANT YS A PARTNERS111P,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: �aMi DL IF APPLICANT IS A CORPOILATION: FEDERAL IDENTIFICATION NO. 1. -8 2_q STATE OF rNCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER , CLERK ,. , -_ • f _, SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS Haa,dacrNp!q JUN.15.2010 11:35AM BARNSTABLE BOARD OF HEALTH NO.377 P.4i4 • CONUNGENCY PLAN Emergency Coordinator, Name: aidae( 6'8y e n- Address: A1,& ji 4 " Daytime Phone: So S -7�6 - R 70 o Evening Phone: _moo - ZG - 80rX y Fire Department: g., 7 57--/ O 0 DEP 24 Hour Spill Hot Line: 888-304-1133 Waste Hauler: Name: T _ Building diagram indicating hazardous material/waste storage area, location of absorbent scavenger materials, fire extinguishers, fire alarms (if present), and evacuation route (if applicable). • V, f4t,16 Actions to be taken to control a spill or release and preventing it from reaching a catch basin, sewer system or the ground, Mena Locker VVDMen'8 Steam Sauna $ o 0 p Room Locker Room W Room �{ W Gym ® Pool Regatta Room Any ° Gym Lewis Bey S Q % Front Desk Room mr Sin� �lJlain Buildin E4 Lower Level lot> Number Fee 853 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that Radisson Inn 2871yannough Road, MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ----------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2007 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. June 30, 2006 PAUL J. CANNIFF,D.M.D. THOMAS A. MCKEAN,R.S.,CHO Director of Public Health RIDGEWOOD HOTEL ASSOCIATES, INC. TOWN OF BARNSTABLE DATE INVOICE NO DESCRIPTION INVOICE AMOUNT 5-04-06 06HAZMAT PERMIT-HAZ MATERIAL 100.00 `UATEK CHECK 5-08-06 NU BER 6036 TOTAL> 100. 00 PLEASE DETACH AND RETAIN FOR YOUR RECORDS f Town of Barnstable �ofsh�ro � Regulatory Services 4 °s Thomas F. Geiler,Director ji "VA Public Health Division MASS Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-8624644 Fax:.508-790-6304 . Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE �—\ 2 botQ APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT SS N ADDRESS OF ESTABLISHMENT 2�s`l -1��y�� 'k4A�k TELEPHONE NUMBER- ) � � rim -SOLE OWNER:_,Z�YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.2,(I a ti2q\SS� STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER Sill -s, CLERK ( -- - SIGNATURE OF APPL CANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# —1-1 S' �131Io Hazdoclwp(q • t k. MAIL-IN REQUESTS Please mail the completed application formAo• the address below. Also include,.copies of your employees food sanitation training certificates. In addition, please include the required fee amount (see fees at bottom of this page). 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 = FUZZ FAXED REQUESTS Our fax number is (508) 790-6304. Please fax a completed application form. Also, please fax copies of your employees foods sanitation training certificates. In addition, you must mail the required fee amount (see fees at bottom of this page). Please make.the check payable to: Town of Barnstable. The check must be mailed to'die address listed above. Allow up to four days for in- house processing. For further assistance on any item above, call (508) 862-4644 Back to Main Public Health Division Paize I , TOWN OF BARNSTABLE BAR-W 4521 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager we— Address of Offender � � .. y�0yj0LAJ61 '_6k' MV/MB Reg.# Village/State/Zip 0,1A V,V1+ 5 , t! Business Name r?J�I�,-�'.0 t�_ }, ,�, �' /0- 00/aim'/pm,-on 10%7 20 1-3 Business Address +' Signature !of' Enforcing Officer Village/State/Zip "i yi V1►'1 5 , A (_)2�0 l r l 1 4iy Location of Offense �c>.�b� "� �2r... -.> � ' �12f� E Enforcing Dept/Division Offense ' ��r< c._ c� cr �'t�✓t. 11 c- v✓ ,'✓t .�e{ , �.� �� r.2�SC.. t V" Facts rtG�f>< �c- .�,�, ,� :. ',�� rW �.`,�� dt. t 10 -t : This will serve onlytias .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 OFFICER GOLD-ENFORCING DEPT. TOWN OF BARNSTABLE BAR_W 521 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager °+'t J i ' , `% -e. Y1.. Address of Offender r l ' }'r :'ft: � �'� MV/MB Reg.# r Village/State/Zip j .t ►{ i^ x`i t ` - l'tl+ ` ' p 1 ,7 20 13 Business Name - !..�-t...-k ; „ am/pm,m, on _ Business Address . > *i .0 ; I oil -r r Signature of- Enforcing Officer Village/State/Zip t 1`#el w,- Location of Offense '-A A-_ 1 �14_ Enforcing Dept/Division Offense . � , ., �. a- I ,.,.;� it . r �. mac , �� •�.tt'� lv, Facts f ,.t tt f -% This will serve onlylas 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 OFFICER GOLD-ENFORCING DEPT.