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NV.IRONMENTACCONTRACTORS
Site Remediation •.Site Assessment,* Tank Services
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LCR No 2408
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On''Trirday, July .' 28 , !LCR,""'Inc' Y personnel' '! nstalled"' a b .
monitoring `well?:adjacent to" a " 500 "gallon underground fuel
yank at'�t ae above referenced."address
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underground storage :tank abandonments
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' Principal's Geologist w' x�
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Bayberry Square - 2C 1645 Route 28 Centerville,.Massachusetts 02632 .
Tank Services Inc.
P.O. Box 765 Marstons Mills, MA 02648
508-420-3365
Storage Tank Removal Receipt
Date: �� v
� k
TYPE: Oil /I
Gas JQD LDGa�/��
Other 1/+� S 7�- �!
Owner: JL VCI Iycla M M of YS
Address,,/e5'',S� QSrer yd�e ��
VN A19/
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Tank Size: /`• N'g" 012 US 7— / /OOO %A/dS r`r U S T
Date Removed: FDID !/: / 9
LCR Tank 11 44,0 -fr 4 OS-- R 2 ---Dig Safe # � 'qT S r7! 962
LCR Project !
Tank Transported To: 1-- C'
a�l Q�� !'df/'b•�,e(i, b /� �c�L7//
11 S A d ?, 02-4 y 7�
Inspector:
Comments:
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t�a hrc° �ya ,rt' �nhG
' 42 q WOIle6rr .sr.
�awi ll /pla as 1
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,:. . . For LCR Tank.Services
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RICHARD R. FARRENKOPFr rh i r s �inv�e. t BUSINESS !7775-
^ "-•CHIEF �etectvzd. �aUe G'iUed• � 130�
Fs sir a,¢ r .. Y s e EMERGENCY:,775 2323
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, PERMIT' FOR, a � . 2s r.Ai 4 ;
y lam, a FORK REMOVAL°j AND,'TRANSPO .TATION', OF STORAGE 'TANKS
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�* FDID,.vNUMBER 0.19:22« ±a� � y �DATE OFAPPLICATION:Ev ��U1c1 Z'�� i98Qi
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14 tz":+9 x .•.., Fri r �a,u. ,n,'t:;.'�'" .�' s;„•' „9 rk.3 bra`
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PROP ERTY ;.000UPIED_ BY Q
r Id Moor My+o�`5 BRA` i•'--4HONE
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PROPERTY OWNERal CbralncEa� s 1�121ob� 53 asicro1l(g-ecl F3�rns HO k
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', t >�,r.Z��.' �;.s `K' 4tr ,7 i y",•r tie ,�; c, .TANKS TOy:BE REMOVED r3�y.e t ,,
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TANKS'SHALLIMf-,,"INERTED,, BY' THE-USE .'OF ' DRY�"ICEWAT wl `51bst' er` 100i Qal_:' ` 1 >'
. QUANITY � SIZE (GALLONS)" xFORyi.MER 'PRODUCTySTORED
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PROJECT' SUPERVISOR; eve. 5rn l+h ' PHONE : hag=(000Z
-COMPANYr;NAME � k Cl�' :> ;. B:
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ADDRESSZ$ Xtic�era5� UnrF 2to L'errulllE?
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;EXCAVATION iCOMPANY 5�� race`MC@11-s f~e r`" .PHONE
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ADDRESS >, µ. ,� ,. 1 e�..�M>.•„ . . �., �. .. a. ,•
DIG ,SAFE¢YNUMBER �9 710 g � '* ° "3` ^START SDATE, Jofu Z�Y`19sq "
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t� XCOMPANY `REMOVING USABLE `PRODUCT FROM THE TANK(S)
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NAME 14 &. od Co � r PHONE ' r
Y"i3 t ADDRESS �r� ' 5rldq _Dol•f Conn ;x i ,.� a•
x irCOMPANY:'r CLEANING ,THE rTANK(S) �AND REMOVING .,THE 'HAZARDOUS "WASTE ,
NAME r',.;fsa �nl p a ,t. y .. < PHONE
ADDRESS �zme �5` above x.
> E. E ' LICENSE>'aNUMBER:. ,EXPIRES . ,
MANIFEST NUMBER s''" M �` ctF,5 'Z/o�Olo 8� r; .. .r , t .,
t K 5{,,4i�'M.,r�,�- f'"" rt s�� rs r��a r., t i .yo v e,4'r a.,• _"r i •�
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'COMPANY;.TRANSPORTING ,-:THE ;TANK(S)
rx4 ` rt r 'NAME a� 'p '-Ca�ic 5�r ltces PHONE
,
r'`, ' �A ADDRESS `n
7 SGi. M i�.a iJ•'.X "t uy s!"•• WLGx s a i k",� r•;.i t rr
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THE TANKS= SHALL BE• TRANSPORTED ,TO:
v�.�, R_Y - -•,c:7 r_.,,i'•- r '' $!`t .d'. + .rPHONE
" sF ' a,YARD 'NAMES �1 G`��ar� t ' s.
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' s< f , ADDRESS : ' wr)t(rb-tt epociollt•e,° ,.•, T $;
# MASSREFIRE MARSHAL' S APPROVAL4NUMBER' U350f
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01
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DATE�:OF, rISSUANCE.; ;"�1c�1 Z FYANN FIRE .DEPARTMEN__.USE .ONLY', f
a .DATE `OF°:'EXPIRATION. : . Z `. RD' FOUND ,-<.SEELEAK;,REPORT
�'�,° • rsr �, s.%�' *= r: `' t FOVAL WITNESSED, : •NO HAZARD
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`SIGNATURE F 'APPLICANT 1 t i}w . s SIGNATU ,,OF ANNIS F.D 'OFFICIAL"
y tie #fi�:e lr rf"rz13'4 Z. t t't C p' ✓ k s� s
TOWN OF BARNSTABLE J `J
UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS
r
NAME
ADDRESS / 3 L`7!�/<�yc� J/.L�1 VILLAGE
LOCATION OF TANKS: CAPACITY: PE OF FUEL AGE: TYPE:
OR CHEMICAL
30
(Give same information for any additional tanks on reverse side of card)
DATE OF PURCHASE OF EACH: qw"-Hl
1. 2. 3. 4.
I DATE OF FIRE DEPARTMENT PERMIT:
TESTING CERTIFICATION SUBMITTED:
PASSED DID NOT PASS
I
(� 13 Main St.
Cape Co`.=' chg7agair, Mom Hyannis,Mass.02601 CHRYSLER
Cape Cod's only exclusive Chrysler Plymouth Dealer Telephone:775-4970
December 18, 1985
Board of Health
367 Main Street
Hyannis, MA 02601
Attention: Mr. Kelly;
Please accept our appolgy that our tanks are not removed yet, when we purchased
the dealership on April 15, 1985 we were not informed that we had to have the
tank removed by January 1, 1986, We were just informed today that we had
to have these removed by the end of the year. We are. asking for an extention
until June 1, 1986, We would appreciate your help in this matter.
Once .again w-e hope you will accept-our appolgy in this situation, and we hope
you can grant us a extention until June 1, 1986. We are appreciative of any help
you can give--us in this matter.
Sincerely,
Le
President
4
AUTHORIZED DEALER d� CHRYSLER
DOQ CORPORATION
TOWN OF BARNSTABLE
BOARD OF HEALTF
CONTROL OF- TOXIC AND- HAZARDOUS MATERIALS - INSPECTION SHEET
FIRM 4�
ADDRESS.._
Major types of materials: 1) lJl 2) J40CJrP6t5eA—' 3)
4) to hS VY)I �'(2n °t 5) 6)
I. Description of material (s) use:
II. Storage (denote product by number listed above)
A. Containers -
metal glass paper plastic
cans,bottles,jars
drums,barrels
aboveground tanks Z
underground tanks I
- bags,boxes
open,loose,uncovered
inadequate labelling
B. - Storage Facility V/or.# Remarks/Recommendations
1.- Indoor
a) separatc, contained room
b) stored in general work area
i) inadequate ventilation
ii) floor drains r
iii) inadequate fire protection �.
2. Outdoor
a) uncovered, exposed to weather
b) pervious surface/catch basins
III. Disposal
A. Reclamation/Recycling unit jot P
B. On-site disposal
1. Town sewer
2. Regul-ar septic system
3. Separate holding tank
C. Off-site disposal
1, hauled by own firm
2. hired hauler
a) name of hauler ® 5
b) address or disposal site
Person(s) Interviewed _ _ — — — — — — Inspector
Date - - - - — — - - - -