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HomeMy WebLinkAbout0201 MAIN STREET (HYANNIS) - HAZMAT nIv lII I 1 I ++f I I y� I l _ i °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 x 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