HomeMy WebLinkAbout0201 MAIN STREET (HYANNIS) - HAZMAT nIv
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°F�►�►off Town of Barnstable Office:508-862-4644
Public Health Division Fax:508-790-6304
' B"RM�`E' ' 200 Main Street• Hyannis, MA 02601
O'FDMn+"�0� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Q
Business Name: Ca.5 Ca,.e- Al Ao� Lodi-x Date: r 30 l(0
Location/Mailing Address: 20/ M41K S+ vint
Contact Name/Phone:�`"SJ 1AAZ-e A a.v-* TO 7-7< '1-1 k1
Inventory Total Amount: <. MSDS: lt-g * 5+&r� License#:
Tier II .
D
Labeling* 1 \ \Aae&,lceA0"``� mill Plan:
Oil/WaterSeparator: MIA Floor Drains: A)n Emebency Numbers:
Storage Areas/Tanks: oy ke-5s �� 5
Emer enc /Containment ui ment:
Waste Generator ID: Waste Product:
Date&Amount of Last Shipment/Frequency:
Licensed Waste Hauler&Destination:
Other Waste Disposal Methods: kc, e,&14G�,ovn Q.VlS ZL 5 tw �o
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 v
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 H
Miscellaneous petroleum products: Road salts
grease, lubricants, gear oil Refrigerants
Degreasers for engines&garages t Pesticides: 1
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 S 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 1 (including carbon tetrachloride)
(including bleach) Any other products with "poison labels"
(including chloroform, formaldehyde,
hydrochloric acid, other acids)
VIOLATIONS:
ORDERS:
INFORMATION/RECOMMENDATIONS: \ & cer� a� lic 1�c�
Inspector:
Facility Representativ
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS
GREEN .y $0.20 0 $0.512
ENVIRONMENTAL us POSTAGE
ON US ST--CLASS
CORRECTION
$ 062S0007384636 062S0007384636
Green Environmental,Inc. 02370 >02370
296 Weymouth.Street,Unit C I Rockland,MA 02370 {� �,"�'V •ti
Mr. Thomas McKean, Director
Barnstable Health Department
200 Main Street
Hyannis,MA 02601
I'I C-tir'�.n 1'£ Fta CfJ2:1 VI I I'll 11111111 It'll 111aa11toI )('I:II���iiIIfIlfi-lI11l"4111{1:1'1
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I H111 1 11 H 11 Itiiil__ VF
GREEN
ENVIRONMENTAL
April 1,2021
CONSULTING
SERVICES Mr. Thomas McKean, Director
Barnstable Health Department
200 Main Street
Hyannis,MA 02601
RE: Asbestos Abatement Notification
Camp Edwards—Building 1357
West Truck Road
CONTRACTING Sandwich,MA
SERVICES
Dear Mr.McKean,
Green Environmental, Inc. (GREEN) would like to inform you of an asbestos
abatement project at Camp Edwards, Building 1357, West Truck Road, Sandwich,
MA. The work is scheduled for 4/12/21 —4/16/21.
Attached please find a copy of the project MassDEP Asbestos Notification Form for
WASTE your records.
MANAGEMENT
If you have any questions, please contact the project manager, David Patti at 781-901-
1608.
Sincerely,
CIVIL
ENGINEERING
Green Environmental,Inc.
SITE DESIGN
296 Weymouth Street,Unit C
Rockland,MA 02370
P:(617)479-0550
F:(617)479-5150
E
3130/2021y AQ 04-Asbestos Removal Notification Form ANF-001-Transaction#1268883
Massachusetts Department of Environmental Protection 100343442
BWP AQ 04 (ANF-001) Asbestos Project#
L
Asbestos Notification Form _'; Project Revision
Project Cancellation
A. Asbestos Abatement Description
1. Facility Location:
CAMP EDWARDS WEST TRUCK ROAD
a.Name of Facility b.Street Address
SANDWICH ` ^v [MA-702542 508-989-2955
c.City/Town d.State e.Zip Code f.Telephone
BARRYJOHNSON PROJECT MANAGER
g.Facility Contact Person Name h.Facility Contact Person Title
Instructions 1.All Worksite Location: BLDG 1357-EXTERIOR ROOF
sections of this form must L Building Name,Wing,Floor,Room,etc.
be completed in order to
comply with MassDEP 2. Is the facility occupied? LM
a.Yes b.No
notification requirements
of 310 CMR 7.15 and 3. Is this a fee exempt notification (city, town,district, municipal housing authority, state facility,or owner-
Department of Labor occupied residential property of four units or less)?IN a.Yes 0 b.No
Standards(DLS)
notification requirements 4. Blanket Permit Project Approval, if applicable:
of 453 CMR 6.12
� Approval ID#
5. Non-Traditional Asbestos Abatement Work Practice Approval, if applicable:
MassDEP Use Only Approval ID#
6.Asbestos Contractor:
Date Received GREEN ENVIRONMENTAL 296 WEYMOUTH ST STE C
a.Name b.Address
ROCKLAND MA 02370 617479-0550
c.City/Town d.State e.Zip Code f.Telephone
AC000688 h.Contract Type: ;1 1.Written
g.DLS License#
7. RAFAEL VASQUEZ I JAS901702
a.Name of Contractor's On-Site Supervisor/Foreman b.DLS Certification#
8, r_ NIA
(a.Name of Project Monitor b.DLS Certification#
9. 1 FLI ENVIRONMENTAL INC AA000144
a.Name of Asbestos Analytical Lab b.DLS Certification#
10. 04/12/2021 04/16/2021
a.Project Start Date(MM/DD/YYYY) b.End Date(MM/DD/YYYY)
7:OOAM-3:30PM INIA
c.Work Hours-Monday Through Friday d.Work Hours-Saturday&Sunday
11.What type of project is this?
i'_;; a.Demolition T� b.Renovation :,: ? c.Repair d.Other-Please Specify: q 1
Ltnj12.Abatement procedures(check all that apply):
F77-a.Glove Bag i�_ b.Encapsulation 12c.Enclosure ad.Disposal Only `_�f e.Cleanup _ f.Full Containment
g.Other-Please Specify: POLY ON GROUND,CAUTION TAPE AREA OFF,REJMOTE DECON
https://edep.dep.mass.gov/eDEP/WebForms/Asbestos/BWPANF001.aspx 1/4
i
3/30/2021 AQ 04-Asbestos Removal Notification Form ANF-001-Transaction#1268883
R
13.Job is being conducted: []a.Indoors 19
b.outdoors
14 a.Total amount of each type of asbestos Containing materials (ACM)to be removed,enclosed,or
encapsulated:
204 00
1.Linear Feet(Lin.Ft.) 2.Square Feet(Sq.Ft.)
b.Boiler,Breaching,Duct,Tank � c.Transite Pipe
Surface Coatings Sq.Ft. 1.Lin.Ft. 2.Sq.Ft.
d.Pipe Insulation � e.Transite Shingles
1.Lin.Ft. 2.Sq.Ft. 1.Lin.FL 2.Sq.Ft.
f.Spray-On Fireproofing � 9.Transite Panels
1.Lin.Ft. 2.Sq.Ft. 1.Lin.FL 2.Sq.Ft.
h.Cloths,Woven Fabrics I.Other-Please Specify:
1.Lin.Ft. 2.Sq.Ft.
j.Insulating Cement 1COATING ON PANELS
2oazo
1.Lin.Ft. 2.Sq.Ft. 1.Lin.Ft. 2.Sq.Ft.
15. Describe the decontamination system(s)to be used:
3 CHAMBER WITH FULLY FUNCTIONING SHOWER
16.Describe the containerization/disposal methods to comply with 310 CMR 7.15 and 453 CMR 6.14(2)
(g):
BULK LOAD IN LINED DUMPSTER
17. For Emergency Asbestos Operations,the MassDEP and DLS officials who evaluated the
emergency:
a.Name of MassDEP Official b.Title of MassDEP Official
c.Date of Authorization(MM/DD/YYYY) d.Waiver#
e.Name or DLS Official f.Title of DLS Official
g.Date of Authorization(MM/DD/YYYY) h.Waiver#
18. Do prevailing wage rates as per M.G.L.c. 149,§26,27 or 27A-F apply to this a.Yes b.No
project?
B. Facility Description
1. Current or prior use of facility: ISTORAGE PORTS
r
2. Is the facility owner-occupied residential with 4 units or less? a a.Yes ; b.No
3. 1 MA ARMY NATIONAL GUARD 12 RANDOLPH ROAD
a.Facility Owner Name b.Address
HANSCOM AFB MA 01731 339-202-3940
c.City/Town d.State e.Zip Code f.Telephone
4. BARRY JOHNSON I2808 RICHARD>ON ROAD
a.Name of Facility Owner's On-Site Manager b.Address
https://edep.dep.mass.gov/eDEP/WebForms/Asbestos/BWPANF001.aspx 2/4
i
3/30/2021, AQ 04-Asbestos Removal Notification Form ANF-001-Transaction#1268883
SANDWICH MA 02542 508-989-2955
�. GREEN ENVIRONMENTAL,INC. r 296 WEYMOUTH STREET,UNIT C
a.Name of General Contractor b.Address
ROCKLAND MA 02370 617-479-0550
c.City/Town d.State e.Zip Code f.Telephone
GREATI DIVIDE INSURANCE
g.Contractor's Worker's Compensation Insurer
WCA152840921 01101/2022
h.Policy# i.Expiration Date(MM/DD/YYYY)
6.What is the size of this facility? 118200 11
a.Square Feet b.#of Floors
Note:Temporary storage
of Asbestos containing C. Asbestos Transportation & Disposal
waste material is only
allowed at the place of _1.Transporter of asbestos-containing waste material from site of generation:
business of a DLS
licensed Asbestos 19
a.Directly to Landfill or[�A b.To Temporary Storage Location/Transfer Station
contractor or a transfer
station that is permitted IRED TECHNOLOGIES 10 NORTHWOOD DRIVE
by MassDEP and c.Name of Transporter d.Address
operated in compliance JBLOOMFIELD I CT o6002 00-218-2428
with Solid Waste e.City/Town f.State g.Zip Code h.Telephone
Regulations 310 CMR
19.000 2. If a temporary storage location/transfer station is used,list name of transporter of asbestos containing
waste material from temporary storage location/transfer station to final disposal site:
a.Name of Transporter b.Address
0
c.City/Town d.State e.Zip Code f.Telephone
3. Name and address of temporary storage location/transfer station for the asbestos containing waste
material:
a.Temporary Storage Location Name b.Address
1 � 0
c.City/Town d.State e.Zip Code f.Telephone
4. Name and location of final disposal site(asbestos landtill):
MINERVA ENTERPRISES,LLC IFRANK STUFANO
a.Final Disposal Site Name b.Final Disposal Site Owner Name
8955 MINERVA ROAD SE
c.Address
Note:Contractor must WAYNESBURG OH 44688 330 866-3435
sign this form for DLS d.City/Town e.State f.Zip Code g.Telephone
notification purposes
D. Certification
"I certify that I have personally examined DEREK BAGGETT DEREK BAGGETT
the foregoing and am familiar with the 1.Name 2.Authorized Signature
information contained in this document OPERATIONS MANAGER 03/30/2021
and all attachments and that,based on
my inquiry of those individuals 3.PositionTtle 4.Date(MM/DD/YYYY)
immediately responsible for obtaining 617479-0550 GREEN ENVIRONMENTAL,INC.
the information,1 believe that the 5.Telephone 6.Representing
information is true,accurate,and 1296 WEYMOUTH STREET,UNIT C I FROCK-LAND
https:tledep.dep.mass.gov/eDEP/WebForms/Asbestos/BWPANF001.aspx 3/4
3/30/2021 AQ 04-Asbestos Removal Notification Form ANF-001-Transaction#1268883
complete.I am aware that there are 7.Address 8.City/Town
significant penalties for submitting false Mq 02370
information,including possible fines and g.State 10.Zip Code
imprisonment.The undersigned hereby
states that I have read the
Commonwealth of Massachusetts
regulations governing asbestos
abatement(453 CMR 6.00 promulgated
by the Department of Labor Standards
and 310 CMR 7.15 promulgated by the
Department of Environmental
Protection),and that I am aware that
this permit application or notification
shall not be deemed valid unless
payment of the applicable fee is made."
https://edep.dep.mass.gov/eDEP/WebForms/Asbestos/BWPANF001.aspx 414
�l
GREEN
ENVIRONMENTAL
April 1,2021
CONSULTING
SERVICES Mr. Thomas McKean,Director
Barnstable Health Department
200 Main Street
Hyannis,MA 02601
RE: Asbestos Abatement Notification
Camp Edwards—Building 1358
West Truck Road
CONTRACTING Sandwich,MA
SERVICES
Dear Mr.McKean,
Green Environmental, Inc. (GREEN) would like to inform you of an asbestos
abatement project at Camp Edwards, Building 1358, West Truck Road, Sandwich,
MA. The work is scheduled for 4/12/21 —4/16/21.
Attached please find a copy of the project MassDEP Asbestos Notification Form for
WASTE your records.
MANAGEMENT
If you have any questions, please contact the project manager, David Patti at 781-901-
1608.
Sincerely, .
CIVIL
ENGINEERING
Green Environmental, Inc.
SITE DESIGN
296 Weymouth Street,Unit C
Rockland,MA 02370
P:(617)479-0550
F:(617)479-5150
i
6/30/2021 AQ 04-Asbestos Removal Notification Form ANF-001-Transaction#1268868
Massachusetts Department of Environmental Protection 100343440
`!�---� BWP AQ 04 (ANF-001) Asbestos Project#
Asbestos Notification Form Project Revision
Project Cancellation .
A. Asbestos Abatement Description
1. Facility Location:
CAMP EDWARDS 1WESTTRUCKROAD
a.Name of Facility b.Street Address
SANDWICH— ~� r j MA 02542 508-989-2955
c.Cityrrown d.State e.Zip Code I.Telephone
BARRY JOHNSON 1PROJECTMANAGER
g.Facility Contact Person Name h.Facility Contact Person Title
Instructions 1.All Worksite Location: BLDG 1358•EXTERIOR ROOF
sections of this form must i.Building Name,Wing,Floor,Room,etc.
be completed in order to
comply with MassDEP 2, Is the facility occupied? a.Yes i ? b.No
notification requirements
of 310 CMR 7.15 and 3.Is this a fee exempt notification(city, town, district, municipal housing authority, state facility, or owner-
Department of Labor occupied residential property of four units or less)?19a.Yes 0 b.No
Standards(DLS)
notification requirements 4. Blanket Permit Project Approval, if applicable:
of 453 CMR 6.12
Approval ID#
5.Non-Traditional Asbestos Abatement Work Practice Approval,if applicable: I
MassDEP Use Only Approval ID#
6.Asbestos Contractor:
Date Received GREEN ENVIRONMENTAL 296 WEYMOUTH ST STE C
a.Name b.Address
ROCKLAND MA 02370 617-479-0550
c.City/Town d.State e.Zip Code I.Telephone
AC000688 h.Contract Type: _`1.Written :_. ;2.Verbal
g.DLS License#
7. 1 RAFAEL VASQUEZ AS90 7702
a.Name of Contractor's On-Site Supervisor/Foreman b.DLS Certification#
8. j _ N/A
a.Name of Project Monitor b.DLS Certification#
9. 1 FLI ENVIRONMENTAL INC I AA000144
a.Name of Asbestos Analytical Lab b.DLS Certification#
10.04/12/2021 1 04/16/2021
a.Project Start Date(MM/DDIYYYY) b.End Date(MM/DD/YYYY)
7:OOAM-3:30PM N/A
c.Work Hours-Monday Through Friday d.Work Hours-Saturday&Sunday
11.What type of project is this?
a.Demolition b.Renovation c.Repair d.Other-Please Specify:
12.Abatement procedures (check all that apply):
a,Glove Bag b.Encapsulation ] c.Enclosure d.Disposal Only ae.Cleanup I.Full Containment
LJ
'£: g.Other-Please ty�
S eci POLY ON GROUND,CAUTION TAPE AREA OFF,REMOTE DECON
Specify:
https://edep.dep.mass.gov/eDEP/WebForms/Asbestos/BWPANF001.aspx 1/4
.
ri/30/2021 AQ 04-Asbestos Removal Notification Form ANF-001-Transaction#1268868
13.Job is being conducted: 0 a.Indoors b.Outdoors
14 a.Total amount of each type of asbestos Containing materials(ACM)to be removed, enclosed,or
encapsulated:
17 000
1.Linear Feet(Lin.Ft.) 2.Square Feet(Sq.Ft.)
b.Boiler,Breaching,Duct,Tank � c.Transite Pipe
Surface Coatings 1_UrL_E ?.Sq.Ft. 1.Lin.Ft. 2.Sq.Ft.
d.Pipe Insulation e.Transite Shingles
1.Lin.Ft. 2.Sq.Ft. 1.Lin.Ft. 2.Sq.Ft.
f.Spray-On Fireproofing � 9.Transite Panels
1.Lin.Ft. 2.So.Ft. 1.Lin.Ft. 2.Sq.Ft.
h.Cloths,Woven Fabrics i,Other-Please Specify:
1.Lin.Ft. 2.Sq.Ft.
j.Insulating Cement COATING ON PANELS
17600
1.Lin.Ft. 2.Sq.Ft. 1.Lin.Ft. 2.Sq.Ft,
15. Describe the decontamination system(s)to be used:
3 CHAMBER WITH FULLY FUNCTIONING SHOWER
16. Describe the containerization/disposal methods to comply with 310 CMR 7.15 and 453 CMR 6.14(2)
(g):
BULK LOAD IN LINED DUMPSTER
17. For Emergency Asbestos Operations,the MassDEP and DLS officials who evaluated the
emergency:
a.Name of MassDEP Official b.Title of MassDEP Official
c.Date of Authorization(MM/DD/YYYY) d.Waiver#
e.Name of DLS Official f.Title of DLS.Official
g.Date of Authorization(MM/DD/YYYY) h.Waiver#
18. Do prevailing wage rates as per M.G.L.c. 149,§26,27 or 27A—F apply to this a.Yes b.No
LLJ
project?
B. Facility Description
1.Current or prior use of facility: ISTORAGE PORTS
2. Is the facility owner-occupied residential with 4 units or less? a.Yes a b.No
3, 1 MA ARMY NATIONAL GUARD 2 RANDOLPH ROAD
a.Facility Owner Name b.Address
HANSCOM AFB MA 01731 339-202-3940
c.Cityffown d.State e.Zip Code f.Telephone
4. 1BARRYJOHNSON I 280 RRICHARDSON ROAD
a.Name of Facility Owner's On-Site Manager b.Address
https:Hedep.dep.mass.gov/eDEP/WebForms/AsbestosBWPANF001.aspx 214
f
i/30/2021 AQ 04-Asbestos Removal Notification Form ANF-001-Transaction#1268868
SANDWICH MA 02542 508-989-2955
�.gGREEN ENVIRONMENTAL,INC. 296 WEYMOUTH STREET,UNIT C
a.Name of General Contractor b.Address
ROCKLAND MA 02370 617 479-0550
c.City/Town d.State e.Zip Code f.Telephone
GREAT DIVIDE INSURANCE
g.Contractor's Worker's Compensation Insurer
WCA152840921 01/01/2022
h.Policy# i.Expiration Date(MM/DD/YYYY)
6.What is the size of this facility? 115400 1
a.Square Feet b.#of Floors
Note:Temporary storage
of Asbestos containing C. Asbestos Transportation $ Disposal
waste material is only
allowed at the place of 1.Transporter of asbestos-containing waste material from site of generation:
business of a DLS
a.Directly to Landfill or b.To Temporary Storage Location/Transfer Station
licensed Asbestos
contractor or a transfer
station that is permitted RED TECHNOLOGIES 110 NORTHWOOD DRIVE
by MassDEP and c.Name of Transporter d.Address
operated in compliance IBLOOMFIELD I FEE-106002 B60 218-2428
with Solid Waste e.City/Town f.State g.Zip Code h.Telephone
Regulations 310 CMR
19.000 2. If a temporary storage location/transfer station is used, list name of transporter of asbestos containing
waste material from temporary storage location/transfer station to final disposal site:
a.Name of Transporter b.Address
o a
c.Cily/rown d.State e.Zip Code f.Telephone
3. Name and address of temporary storage location/transfer station for the asbestos containing waste
material:
a.Temporary Storage Location Name b.Address
c.Cityfrown d.State e.Zip Code f.Telephone
4. Name and location of final disposal site(asbestos landfill):
MINERVA ENTERPRISES,LLC I FRANK STUFANO
a.Final Disposal Site Name b.Final Disposal Site Owner Name
8955 MINERVA ROAD SE
c.Address
Note:Contractor must IWAYNESBURG I OH 44668 330-866-3435 l
sign this form for DLS d.City/Town e.State f.Zip Code g.Telephone
notification purposes
D. Certification
"I certify that I have personally examined DEREK BAGGETT DEREK BAGGETT
the foregoing and am familiar with the I.Name 2.Authorized Signature
information contained in this document OPERATIONS MANAGER 03/30/2021
and all attachments and that,based on
my inquiry of those individuals
3.PositionMtle 4.Date(MM/DD/YYYY)
immediately responsible for obtaining 617479-0550 GREEN ENVIRONMENTAL,INC.
the information,I believe that the 5.Telephone 6.Representing
information is true,accurate,and 296 WEYMOUT I STREET,UNIT C IROCKLAND
https://edep.dep.mass.gov/eDEP/WebForms/Asbestos/BWPANF001.aspx 3/4
5/30/2021 AQ 04-Asbestos Removal Notification Form ANF-001-Transaction#1268868
complete.I am aware that there are 7.Address 8.Cityfrown
significant penalties for submitting false MA 02370
information,including possible fines and
9.State 10.Zip Code
imprisonment.The undersigned hereby
states that I have read the
Commonwealth of Massachusetts
regulations governing asbestos
abatement(453 CMR 6.00 promulgated
by the Department of Labor Standards
and 310 CMR 7.15 promulgated by the
Department of Environmental
Protection),and that I am aware that
this permit application or notification
shall not be deemed valid unless
payment of the applicable fee is made."
https://edep.dep.mass.gov]eDEP/WebForms/Asbestos/BWPANF001.espx 4/4