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HomeMy WebLinkAbout0319 MAIN STREET (HYANNIS) - HAZMAT 3l� ma1 h �C Number Fee 357 THE COMMONWEALTH OF MASSACHUSETTS $1oo.0o Town of Barnstable Board.of Health This is to Certify that Cape Cod Times (Location II) 319 Main Street, 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 S� Town of Barnstable Barnstable Regulatory Services Department Public Health Division + BARNSTABLE. ' 9� MASS ���' 200 Main Street, Hyannis MA 02601 '°rfo MA'S" 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. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT ,M l cN A r L, T r!/ 6 o-- NAME OF ESTABLISHMENT C f+Pr C010 T Mr 5 ADDRESS OF ESTABLISHMENT 3�� �I��N S a / IY0CoMMuNICAI-1aK3 WNW/ TELEPHONE NUMBER 12 V 1 SOLE OWNER: YESXNO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS O ALL PARTNERS: 2 _jr z v; rV IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.111Y-1k3W STATE OF INCORPORATION �/^�,l4(.✓1=1 r1 (.. FULL NAME AND HOME ADDRESS OF: PRESIDENT :'bNN w$4 Go P� � ��� � n��`-� gyp'• ©a 32 TREASURER C 14#:T— &&QIY,5-k-y 6 E&". 4�tr�br CLERK S OF APPLICANT RESTRICTIONS: HOME ADDRESS 3 a0&r--Pt5 aQ N. HAAWie,,,/ , HOME TELEPHONE# \5-6Y - Zfo d Q:\Hazmat\Haz Mat Application2008.DOC rn,! M1( Number Fee 357 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Cape Cod Times (Location II) 319 Main Street, 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. September 12, 2006 PAUL J. CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health 1 own of isarnstaate Regulatory Services 'Z H- Thomas F. Geiler,Director i_LC'D. DATE Public APPROVED s: Health Division { ACCOUNT CHARGED' Thomas McKean,Director NO. $ k om. 0 0 200 Main Street, Hyannis,MA 02601 .N0. Office: 508-8624644 NO. • t Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO.ID/'7 ,0a DATE ' 8 DtP) 06 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT PG NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT Z IR TELEPHONE NUMBER -SOLE OWNER: ✓YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: _ q IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. L'4 STATE OF INCORPORATIONC�i FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE-# Hn.doc/wp/q r Town of Barnstable 0tIME rO�Y Regulatory Services Thomas F. Geiler,Director MASS. ` Public Health Division 05.9 +1% Thomas McKean,Director 4 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE 2 - 0-2- APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT �1-e NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT 3,) TELEPHONE NUMBER SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS• /I �le �o�,O . 929 Z-- i o" ve � C'z:d�L Wo IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT 'X66 e,ef d E IZ X - -eelzw I C'h TREASURER CLERK SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE # Haz.doc/wp/q v Town of Barnstable �sM .Regulatory Services os Thomas F.• Geiler,Director MRNSTABLLPublic Health Division �i f✓►���� 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 NA ME OF APPLICANT L. eo d &I C NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT ! laxw � • TELEPHONE NUMBER �OC7 aOy SOLE OWNER:O ' 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 If SIGNATURE OF AP CANT RESTRICTIONS: HOME ADDRESS • • HOME TELEPHONE# Haz.doc/wp/q 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. r A r For further assistance on any item above, call (508) 862-4644 • 112 12-1 The provisions of this Ordinance shall be enforced by the Health Department. The Health Department may, according to law, enter upon any premises at any reasonable time to inspect for compliance. 12-2 Upon—request of the Health Department, the owner, individual identified on a registration. or license application, or operator of any premises at which ,toxic or hazardous materiaLs. are.useci or. sered shad furnish all information required to monitor compliance with this Ordinance. A. sample of wastewater disposed to on-site septic systems, drywells or sewage treatment systems may be required by the Health Department at the operator's expense. 12-3 All records pertaining to storage, removal and disposal of toxic or hazardous wastes shall be retained for no less than five (5) years by the registration holder or license holder, and shall be made . available for review by the Health Department upon request. 12-4 The Building Commissioner of the Town of Barnstable shall condition issuance of building and occupancy permits upon conformity with the requirements of this Ordinance respecting any hazardous materials and/or acutely hazardous materials to be used in the course of such construction or occupancy. Section 13 VIOLATION:, Written notice of any violation of this Ordinance shall be given by the Health Department, specifying the nature of the violation; any corrective measures that must be. undertaken, including containment and cleanup of discharged materials; any preventive measures required for avoiding future violations; and a time for compliance. Requirements specified in such notice shall be reasonable in relation to the public health hazard involved and the difficulty of compliance. The cost of containment and cleanup shall be borne by the owner and operator of the premises. Section 14 PENALTIES: 14-1 'Any .person who shall violate any section of this Ordinance for which penalty is not otherwise provided in any of the General Laws shall upon conviction be fined 300 dollars. 14-2 Any person who shall fail to comply with any order .issued pursuant to the sections of this Ordinance shall, upon conviction, be fined 300 dollars. Each day's failure to comply.with an order shall constitute a separate violation. 14-3' In the alternative to criminal prosecution, the Health Department may elect to utilize the non-criminal disposition procedure set forth in MGL c.40, s.21d. Non-criminal ticket citation for any violation of any section of this Ordinance shall be in the amount of .$75.00 for the first violation and $25.00 for each additional violation. Each day's failure to comply with an order shall constitute a separate violation. r 4� 113 �14-4 Further, the Health Department, after notice to and after a public hearing thereon, may suspend, revoke, or modify any license issued hereunder for cause shown. i Section 15 SEVERABILITY+) .:; Each provision of this ordinance shall be construed as separate, to the end that if any part of it shall be held invalid for any reason, the remainder shall continue in .full force and effect. (Amended - Town Council item 93-104-passed 10/7/93) r Town of Barnstable �FIKE T Regulatory Services Thomas F. Geiler,Director Public Health Division BARN STABLE, Thomas McKean,Director .� MASS. g 1639. 200 Main Street, Hyannis,MA 02601 Phone: 508-862-4644 Email: health a�town.barnstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—5:00 Cape Cod Times Attention: Jeff Pimental June 18, 2004 319 Main Street Hyannis,MA 02601 RE: Hazardous Materials License Required and OVERDUE Dear Mr. Pimental: The Toxic and Hazardous.Materials Inventory conducted on May 14, 2004 shows that you have approximately 2,384.75 gallons of toxic and hazardous materials being used/stored/generated/disposed of at your place(s)of business(Please refer to your copy of the Toxic and Hazardous Materials Onsite Inventory). The Town.of Barnstable Beard of Health has determined that using, storing, generating and/or disposing of over 1.11 gallons of hazardous materials per month requires businesses in the Town of Barnstable to obtain an annual Hazardous Materials Permit. Please obtain your permit. You have 14 days to comply. After this time,you will receive . written violations. If the violation warnings receive no response,you may be issued a non- criminal ticket citation in the amount of$75.00 for the first violation and $25.00 for each additional violation. Each day's failure to comply with an order shall constitute a separate violation. Please refer to Article 39: Control of Toxic and Hazardous Materials, Section 13, and Section 14-1, 14-2, 14-3, and 14-4 (copy enclosed). Passing your Hazardous Materials Inspection and obtaining your license will keep your business compliant,prevent contamination of Barnstable's existing and future drinking water supply, prevent environmental contamination which can bankrupt site owners, lead to future regulatory, and possibly, legal problems, lower or destroy land values, drive out residents and industry, depress local economies and endanger public health. You will receive your Hazardous Materials License certificate after you have passed your inspection and paid the license fee. Your continued cooperation is greatly appreciated. If you have any questions or need further information,please do not hesitate to contact the Public Health Division. ot s..t:u. ,�.': {�()=..�Ni SH" .:xT1.%T(7 s, S•.;:, Tliank'you`; :�k.� 11 ',�.o < T7 ;=tr �f,TJ;:„ 3 ar: .� l ... K} , J iz-r t Ott',. :fE iE u{ L J n C 7-? - Thoiiias'A:McKean RS;rCHO Director of Public Health enc. Hazmat license application Article 39,Sect. 13,14 Town of Barnstable Regulatory Services Thomas F. Geiler,DirectorMAWQ Public Health Division 16;q sec May° Thomas McKean,Director j .200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee..$100.00 ASSESSORS MAP AND PARCEL N013 Vy DATE O APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT S/ I I .� �G�S E�� s 'rf�,� /► NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT TELEPHONE NUMBER 5t� '� �- ZO SOLE OWNER: 4ES NOCn IF APPLICANT IS A PARTNERSHIP,FULL+NAME AND HOME ADDRESS OF_ L PARTNERS: na : 0:) W r IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. -/S/ STATE OF INCORPORATION, Pe/4&'�Arje FULL NAME H ADDRE S OF: . PRESIDENT TREASURER CLERK l� SIGNATURE OF APPLICANT tj- RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# Hn.doc/wp/q TOWN OF BARNSTABLE — UNDERGROUND FUEL AND CHEM�ICAL STORAGE REGISTRATION MAP NO. a ( PARCEL NO. ADDRESS' OF TANK: 319 Main St. VILLAGE: Hyannis N u m b m r a t MAILING ADDRESS ( IF DIFFERENT FROM ABOVE) : OWNER NAME: Cape Cod Times ( n-r-rAUJA N6,1�,,� '�IffPH0NE: 775-I200 0 �t INSTALLATION DATE: 6/29/79 BY: Cape Pump & Tank Service, Inc. I INSTALLER ADDRESS: Queen Anne Road, Harwich CERT.NO. *TANK LOCATION: 77' from rear of building 140' from Ocean St. ONOCR2OK TANK LOCATION WITH MKORMCT TO WUILO.INCl) CAPACITY 59000 ga1TYPE OF TANK steel AGE 100 YRS. FUEL/CHEM I CAL aasol i no TESTING CERTIFICATION [ ] PASS [ ] FAIL DATE LEAK DETECTION [ 4 CHECK IF N/A TYPE/BRAND /�/� ZONE OF CONTRIBUTION [ ] YES [ NO DATE TO BE REMOVED ) FIRE DEPT. PERMIT ISSUED [ a YES [ ] NO DATE 41"" �/' " CONSERVATION [ x CHECK IF N/A DATE/ An I BOARD OF HEALTH TAG NO. [ ] DATE PLEASE PROVIDE .A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD I = f 1 I ! I ! F CA f it 0 z TOWN, OF- BARNSTABLE — UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION MAP NO. /1 l PARCEL N0. �19 f ADDRESS OF TANK: 319 Main St. VILLAGE:. Hyanni s 3 i61AILING ADDRESS ( IF DIFFERENT /FROM ABOVE) : f OL , PHONE: 775-1200 OWNER NAME: Cane Cod Times 1' INSTALLATION DATE: 1/17/78 BY: Wri aht-Odnni nqs INSTALLER ADDRESS;: Yarmouth, MA CERT.NO. *TANK LOCATION: 41 from side of building between Cape Cod Times & CCUT R (D=0CRIVff TANK LOCATION WITH A=0"KCT TO =UILDINm> CAPACITY 210.00 ga T-YPE OF TANK steel AGE 11 YRS. FUEL/CHEMICAL �.� Q/A TESTING CERTIFICATION [ I PASS [ ] FAIL DATE LEAK DETECTION [ XI CHECK IF N/A TYPE/BRAND ZONE OF CONTRIBUTION [ I YES [ A NO DATE TO BE REMOVED FIRE DEPT. PERMIT ISSUED [ XI YES [ ] NO DATE CONSERVATION [ A CHECK IF N/A DATE BOARD OF HEALTH TAG N0. [ IDATE f *, PLEASE .PRO.VIDE A SKETCH SNOWING THE TANK LOCATION ON THE BACK OF THIS CARD f i I m�A� pov�t N f C r . 4 r INSTALLER/ %ASOP kSIOC%Q7`Cf_,xW DATE INSTALLED ,f' -49v TANK OWNER NAMEet? bt q© 1,616 / MAILING ADDRESS 3 !O ftN7 S-7t` CONTACT: /�Pf1 l0 KO lCf PHONE: 77S Ic20 Q TANK LOCATED AT: TOWN: i��l�0►'.°� ti . TANK SIZE: a, 00 4 GAL. AGE YEAR INSTALLED: SHADE DEPTH OF: ADDITIONAL INFORMATION TANK WELL SCREEN WATER WELL ON PROPERTY I SOIL TYPE IN USE? Y o (circle) REAL ESTATE TRANSACTION 2 ' GROUNDWATER ENCOUNTERED u 3 ' 4 ' LEAK SUSPECTED (explain) 5 ' t� .1 6 ' OTHER 71 1 g 9 ' < < e 100 ug LOCATION OF TANK - SPECIFY DISTANCE 11 \ SHOW FILLPIPE & MONITORING WELL LOCATIONS 12 4 w 13 ' All ! � ox 4- s41,co� -/`- t kJ, ce R T asp A-21-1-.e4-c . S S�Iev ° X - r1oh� uv.c Q S bu 1d S ue 0 . Off.O ,�D tees ,S ' s ec`4-,�s Z b� TOWN OF BARNSTABLE r l UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS NAME Cape Cod Times ADDRESS 319 Main Street VILLAGE Hyannis LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE: OR CHEMICAL Rear parking lot 319 Main St. 50000 Gasoline one yr. Metal i I (Give same information for any additional tanks on reverse side of card) DATE OF PURCHASE OF EACH: - 1. 4/134 2. 3. 4. 75 DATE OF FIRE DEPARTMENT PERMIT: 4/12/46 TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS f - - - - The a salt d effin Department of 'Public Safety �Divisiori 'of Mre 'Prevention ` t-T 1010 COMMONWEAlfkls As.)1-1., BOSTO , REGISTRATION . . ......... ..,Barnstable., MA... .:.April. I 1980 .. This is .... Cape Cod Times cc;w or 70�Flt eA;�a to-certify that ......... ............has, in accordance with the provisions of Chapter,148, Section 13,of the General Lan pled with rye a certifi to of re istr2tion set tingforth that..................... .. .... ............... .... ............. ......... ............... ....April 12,.............19...79 ......................ig the holder of the license granted . .. . for the lawful use of the buildi:azg(s) or i_N: stt`(trdttrr(s) .zituated or to be situated at........................... 1�.. 11n..s .:. .Hy �tt5..........._._.......,..............�.. (Street Wtd NurnL*r) ��•� `• .. " as related to the KEEPING,STORAGE,MANUACTURIE OR SAKE GF°F'LAINI ABLES OR EX 3�p� } ..... r�CiG .. .... . all �:i?1e�.. qwn�• I �.,i bwn of (SIF."riptury and orte;al T10"', Note: A certificate of res6tration must be filed on or&-fore/"pyij.S hh of each yenta. f (THIS REGISTRATION MUST BE `CONSPICUOUSLY POSTE' ON THE PREIM15ES.)., � ?age: rP-3. 30`4-3-75-10902 - a, •�.• - .- . .• - b t Page No._ of Pages r J' CAPE PUMP & TANK SERVICE, MG. Queen Anne Road HARWICH, MASS. 02645 Phone 432.1042 PROPOSAL SUBMITTED TO PHONE DATE Cape Cod Timed April 13 1979 STREET i 1G8 NAME319 Main St Hyannis Office CITY, STATE AND ZIP CODE JOB LOCATION Hyannis Mass 02601 ARCHITECT DATE OF PLANS JOB We hereby submit specifications and estimates for: I will furnish and in.stallithe following 1-5000 gallon tank _. $1�10a�0 1 Model 54 gas boy pump . 749.00 1 Automatic nozzle 34e50 Mass Tax . _ . .. .. 124.67 _. ----------------- $2618. 1? Install tank and pump near rubbish container pumpon 3 foot square concrete island Vent in back of pump island Do all necessary piping and wiring Replace blacktop cut for wiringo $1400000 ---------------- ....... Total - $4018,17 � ._. _ . ......... _ 10P proposr hereby to furnish material and labor — complete in accordance rith above specifications. for the sum of: dollars ($ Payment to be made as follows: Sign 1 copy of the proposal and return with a check for 52600. 0 This ers the 3t of .,,,,it ,.,d pub _ Balance within 15 days of job being complete All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation rom above specifica• Authorized tions involving extra costs will be executed only upon written orders, and will become an Signature � = extra charge over and above the estimate.All agreements contingent upon strikes,accident- Note: or delays beyond our control.Owner to carry fire, tornado and other necessary insurance. Note:This proposal may be Our workers are fully covered by Workmen's Compensation Insurance. withdra'.'in by us if not d, lys..�I Arfeptaurr of rnpmonl— The above prices. specificdt cns 1 and cnnd•tions are satisfactory ar•d are hereby accepted.' You are authoriec "snature — __- _ to do the work as sFccriled. Fay a " will be/Wade as outlined at;ove. Date of Acceptance: S,;nahlre FORM,118-3 COPYR:3HL Name & Address. Location of tanks Cape Cold Times 319 Main St. , Hyannis 3.19 Main St.. , Hyannis, MA 02501 gook & Page Date Granted Amt. Stored 135/1119 4 19-79 underground 5,000 in 1 tank Date Paid 4-18-.79 MAP, -.. 3 1980 • TOXIC AND HAZARDOUS' MATERIALS REGISTRATION FORM y%NAME OF FIRM: CAPE .COD TIMES MAILING ADDRESS: 319 .Main. St. , Hyannis, MA. 02601 TELEPHONE NUMBER: 775-1200 CONTACT PERSON: Scott Himstead 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 X 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: NO 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 w Pesticides (insecticides, Engine and Radiator flushes herbicides,rodenticides) Hydraulic fluid (including brake fluid) L-� Photochemicals Motor oils/waste oils printing Ink —� Gasoline, Jet fuel Wood preservatives !/ Diesel fuel, Kerosene, #2. heating oil (creosote) lubricants Other petroleum products: grease, Swimming Pool chlorine Degreasers for engines and metal Lye or caustic soda Jewelry cleaners Degreasers for driveways & garages Leather dyes Battery acid (electrolyte) Fertilizers (if. stored Rustproof ers outdoors) Car wash detergents PCB' s Car waxes and polishes Asphalt & roofing tar Other chlorinated hydro- � carbons, (inc.carbon Paints, varnishes, stains, dyes tetrachloride) Paint and lacquer thinners Any other products with Paint & Varnish removers, deglossers Paint brush cleaners "Poison" labels (including chloroform, formaldehyde,. Floor & Furniture strippers hydrochloric acid, other _ Metal polishes acids) Laundry soil & stain removers t/' Other products not listed (including bleach)Spot removers which you feel may be (dry cleaning fluids(dry cleaners) RECE IV ED toxic or hazardous please 1S Other cleaning solvents HEALTH DEPT. , �e Was ; r Bug and tar removers TOWN OF BARNSTABLE Household cleansers, oven cleaners Drain cleaners Toilet cleaners Cesspool cleaners Disinfectants MAY 1 5 1981 Road Salt (Halite ) 1 TOWN OF BARNSTABLE BOARD OF HEALTH CONTROL OF TOXIC AND HAZARDOUS MATERIALS - INSPECTION SHEET FIRM C Can JL Carl T We5 ADDRESS �Oi•1 J- JrvY^'s Js Jveft�� Major types of materials: 1) 0L 2) 3) � M 4) 1 L 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 Z g above round tanks underground tanks bags boxes. open,loose,uncovered inadequate labelling B. Storage Facility V/or.# Remarks/Recommendations 1. Indoor a) separato, contained room b) stored in general work area i) inadequate ventilation ii) floor drains N,jeA iii) inadequate fire protection 2. Outdoor a) uncovered, exposed to weather w b) pervious surface/catch basins via ucfstc III. Disposal A. Reclamation/Recycling unit 6l B. On-site disposal 1. Town sewer bZ NV�e 2. Regular septic system1.70 3. Separate holding tank iC. Off-site disposal 1. hauled by own firm 2. hired_hauler I'Qk + So vn a) name of hauler ,Q rNv C d b) address or disposal site Y r. Perso.n(s) Interviewed —TA _ — — — — — — Inspector Date - - 7J —��� - - - - - - - I� k � r 7�01/1/A1 r1C U!''l.Jn1S I 1, 1 ,: l:llp7YL1A7YLC:- r LLF(SS r:-F1�1=ITTe;Cia���sGiu��a,tzc�,n�. 1 Y V I V O L� Ili V y r� � � 2. Printers BOARD OF HEAL -- ' , satisfactory q t y P ,� ,� 3:'. Auto Pod Shops unsatisfactory- w 4. Manufacturers ' S. Retail Stores COMPANY (see Orders") 6. Fuel Suppliers ADDRESS YW /k' Class:_ 7. Miscellaneous r/ QUANTITIES AND STORAGE (IN=indoors; OUT=outdoor: MAJOR MATERIVALS Case lots Drums AboveTanks Undetground Tanks IN OUT IN OUT INIOUT I gellonse ffest Fuels: Gasoline, Jet Fuel (A) Diesel, Kerosene, N2 (B) I Heavy Oils: i waste motor oil (C) � new motor oil (C) , transmission/hydraulic Synthetic Organics: degreasers ' ` ... j Miscellaneous: bill Lj LM DISPOSAL RECLA -ATION REWAKS: A. Sanitary Sewage 2. Water Supply Town Sewer Public O On-site 0 Privates 3. Indoor Floor Drains: YES NO O Holding tank:_-MDC O Catch basin/Dry. well )j On-site system � �e....�-- 4. Outdoor Surface drains:YES NC _ 7 Q Holding, tank: MDC �`° z"A G � Q Catch basin/Dry we l OOn-site system 5. Waste Transporter Licensed? J mp, of HaUjer- .Desti nati on J1aste ProdU - NO 2. ) u 23 ea Persons n rviewe `' Inspector f .Date „Y,. .. �. � - &� . � , /, � L- �/� � ��� �� � � �' ���� n ,�� . ..� � � ��^ � �'` _ �, ,, ,.. ,, i �.. A IT A-4 a J UTt�r i