HomeMy WebLinkAbout0242 MAIN STREET (HYANNIS) - HAZMAT wa main S�rcr�- , N+�n nns
fl= �a� 15g la vi2 m Wr
7
N � z ��
F.P. 292
d „ Ijc ( olltnuntiv�tt(tIj of �sutljus>:ffs y�
Department of Public Safety—Division of Fire Prevention
APPLICATION FOR PERMIT FOR REMOVAL AND TRANSPORTATION TO APPROVED TANK YARD
�3 .
Q . 19 75
fA---
c.ez 1,40 M,G.L.
To: HEAD OF FIRE DEPARTMENT Oil
DIG SAFE NUMBER
Nu an n I;n � I
Stort Dote IZ zg $
In accordance with the provisions of Chapter 148, G.L. as provided in
Section 38A Application is hereby made by__TnHzDI - ;4 F (_--h Q n
Name of Person, irm or orpora ion)
Address
For permission to remove and transport underground steel storage tank(s) from
Street address ci y or town
FDID# OI qzz to approved Tank Yard# (,U • P,�)r+ n Il Oo0
State clearly type of
inert gas used in df-q C.P 1 Z
—steel Str_.rane tank f == �(J�
-Ty—e o i�er7.�• y as use„
Name of Person, Firm, Corporation disposing tank___ (o- i n,7s+.
Date issued - rejected Iz ZS 191 8" By:4��&,9� - 7
Date of expiration 1 196-0aid/due ignatU _Applicant
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Vie Commontoeattb of Jmngacbu�ettg
DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION
P EIR R M IT
FOR REMOVAL AND TRANSPORTATION TO APPROVED TANK YARD C.82 S.40 M.G.L.
DIG SAFE NUMBER
In accordance with the provisions of Chapter 148, G.L. as provided in 9'g39_f� �
Section 38A this permit is granted to Start Data z
Name: (Q1d I' Can rUc,+->oIn
Full name of person, firm or Corporation
To transport underground steel storage tank(s)
State clearly type of
to Approved tank yard# a(--h n
-3�lei
inert gas used in
steel storage tank steel tank: 0eor)e�
methodZ�Z F la,n I FDID# O I Name and address of contractor
— — — disposing tankP�r{
Fee paid $ 10 — Location to whicCiLank—Will
be transported oil
pp ove tans yar
This permit will expire „p- Prev.en+,o,1 Cit ,
ignature OTTICI&J granting g permit(TITLE)
�, (Head of Fire Dept.) J
TOWN ' OF BARNSTABLE COMPLIANCE: CLASS: 1. Marine,Gas Stations,REpair
Q satisfactory 2. Printers
tTM. R D OF HEALTH 3. panu actu Shops
/ Q unsatisfactory- 4. Manufacturers
�� � � � . (see"Orders") 5. Retail Stores
COMPANY 6. Fuel Suppliers
d i •
ADDRESS /,. M-Ah r FV Class.s 7. Miscellaneous
QUANI•ITIES AND STORAGE (IN-Indoors; OUT=outdoor
MAJOR MATERIALS-
Case - lots Drums AbOveTanks , Undetgrohnd Tanks
INOUT -aItons A¢e Ew
Fuels:
• Gasoline, Jet Fuel (A)
Diesel, Kerosene, 02 (D) ,
Heavy Oils: r'
waste motor oil - (C)
new motor oil (C)
transmission/hydraulic
Synthet�.c Organics:
degreasers •
~ •Miscellaneous:
e r,,j 1,e fA L
�JN
T SPA Y S Xk U
ISPOSAL RECL M T ON REMUS:
1. Sanitary Sewage 2. Water Supply �/ M �- � �� I
�� ®Public UA 11 6 1 !5 nS _.?t`�" (�,1�1
0,Town Sewer .,� _ �/.
Q On-site Q Private / ,F~�'� ( l,? � 1 �/ �,
3. Indoor Floor Drains: YES NO P —Z _
0 �—
Holding tank: MDC
Catch basin/Dry well �ORDER -'""�+'.'~_•_ �..__ s__ ......._....__.__..�__
Q On-site system 1A) /Z
4. Outdoor Surface drains-,YES NO L11 �r .• "'
Q HoldinL tank: MDC
Z-A ��/ 61n) f
Q Catch basin/Dry well
Q On-site system r��� G• / � ,� � -_
S. Waste Transporter
v ° Licensed?
lljjm"f llau1rr_ •,pPstinatlnn taste Product. DES NO
ffy
ei erson s Int6rviewe - Inspector Date j
TOXIC AND HAZARDOUS
MATERIALS REGISTRATION FORM
NAME OF FIRM: /Jt4
S t- IS
MAILING ADDRESS: �""� S f .t�BM���
TELEPHONE NUMBER: 01-f S' 9 9
CONTACT PERSON:
Does your firm store any of the toxic or hazardous -materials listed--below-,,
either for sale or for your own use, in quantities totalling, at any time, more
than 50 gallons liquid volume or 25 pounds dry weight? YES P— NO
This form must- be returned to the Board of Health regardless of a YES or NO
answer. Use the enclosed envelope for your convenience.
If you answered YES above, please indicate if the materials are stored at a
site other than your mailing address :
ADDRESS:
TELEPHONE:
LIST OF TOXIC AND HAZARDOUS .MATERIALS
The Board of Health has determined that the following products exhibit toxic
or hazardous characteristics and must be registered when stored in quantities
totalling more than 50 gallons liquid volume or 25 pounds dry weight. Please put
a check beside each product that you store:
✓ Antifreeze (for gasline or coolant systems) Refrigerants
Automatic transmission fluid Pesticides (insecticides,
Engine and Radiator flushes herbicides,rodenticides)
Hydraulic fluid (including brake fluid) Photochemicals
Motor oils/waste oils Printing Ink
Gasoline, Jet fuel Wood preservatives
Diesel fuel, Kerosene, #2 heating oil
(creosote)
Other petroleum products: grease, Swimming Pool chlorine
lubricants Lye or caustic soda
Degreasers for engines and metal Jewelry cleaners {
Degreasers for driveways & garages Leather dyes
Battery acid (electrolyte) Fertilizers (if stored
Rustproofers outdoors)
Car wash detergents PCB' s
Car waxes and polishes Other chlorinated hydro-
Asphalt & roofing tar carbons, (inc.carbon
Paints, varnishes, stains, dyes tetrachloride)
Paint and lacquer thinners ' Any other products with
Paint & Varnish removers, deglossers "Poison" labels (including
Paint brush cleaners chloroform, formaldehyde,
Floor & Furniture strippers hydrochloric acid, other
Metal polishes acids)
Laundry soil & stain removers
Other products not listed
(including bleach)
Spot removers & cleaning fluid � which you feel may be
s
toxic or hazardous please
(dry cleaners)
list.:
Other cleaning solvents RECEIVE ® .
Bug and tar removers HEALTH DEPT.
Household cleansers, oven clef(hA&QF BARNSTABLE
Drain cleaners
Toilet cleaners
Cesspool ..cleaners
Disinfectants $ 1981
Road Salt (Halite) MAY 1