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HomeMy WebLinkAbout0259 MAIN STREET (HYANNIS) - HAZMAT q /n h 3 -- °F IME T° Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BAR.A.Bq .9` 200 Main Street• Hyannis, MA 02601 �A f6jq.'`�00 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rED MA'S Business Name: HerilAd, Date: Q 3 I 0 Location/Mailing Address: Contact Name/Phone: Inventory Total Amount: _ MSDS: c �g License#: Tier II : 90 Labeling: LIP Spill Plan: Oil/WaterSeparator: Floor Drains: Emergency Numbers: Storage Areas/Tanks: Emergency/Containment Equipment: Waste Generator ID: Waste Product: �(r Date&Amount of Last Shipment/Frequency: L I Licensed Waste Hauler&Destination: Other Waste Disposal Methods: 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 Hydraulic fluid (including brake fluid) windshield wash Motor oils 1N Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals (Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink ar waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes V Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's � Metal polishes Other chlorinated hydrocarbons i/ Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: Mai SAII, 1441 00 cockInspector•S� 164�. Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS Number Fee 1272 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Heritage House Hotel --------•------------------------------------•----------•-•----------...---------...------------......••-•-----....-------------- 259 Main Street, Hyannis, MA --------------------------------------•--•-----------....------------------...•----------•----------...•---------....--------.....•-----------••-•----------...--------- Is Hereby Granted a License Ili For_Storing or Handling 111 - 499 gallons of Hazardous Materials. - --- ---••- . --- --•----- ---- --•--- -...-- . --•----- - - ------ --------• ------ ........ ........ Restrictions: This license is granted in conformity with the Statutes and ordinances relating there to, and expires 06/30/2021 unless sooner suspended or revoked. ---------------------- ----------------- JOHN NORMAN DONALD A.GUADAGNOLI,M.D. 07/01/2020 PAUL J.CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable Inspectional Services BARN TABLE - •WW1iST(NIS M-L 05-MLI-V,19 V.5R E Public Health Division 1639-2014 Thomas McKean, DirectorMAW t ''rfD pMr s�� 200 Main Street, Hyannis,MA 02601 � Office: 508-862-4644 Fax: 508-790-&4 4`y APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, ;1QF HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st-JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 El •111- .499:Gallons: CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ~ O *A late charge of$10 00 will be assessed if payment is not received by July1st. 1. ASSESSOR'S MAP AND PARCEL NO. �a f7AG.1e OO OS- Ro eL- 2. IS THIS A PERMIT RENEWAL?_ZYES_NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF ' GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: �IfAt/f�L ., 1 5. NAME OF ESTABLISHMENT: A n a da 14 4 6. ADDRESS OF ESTABLISHMENT: oil 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: aC` 10. SOLEOWNER: YES! NO IF NO,NAME OF PARTNER: dA 4g4 7— L— I1. FULL NAME,HOME ADDRESS,AND LEPHONE#O CORPORATION NAME T c, Apwt PRESIDENT H /1Z A eta TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: • DATE SIGNATURE OF APPLICANT k1z 0 Q:\Application Forms\Haz Mat Appli Draft Jan20l9.docx L? Number Fee 1272 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Heritage House Hotel 259 Main Street, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. ------------- --------------------------------- -------------------------- - ------- -- ------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2020 unless sooner suspended or revoked. --------------------------------------- PAUL J.CANNIFF, D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2019 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health t Town of Barnstable A Tr� Inspectional Services BARNSTABLE oF r Public Health Division y y 16?9-201i • B�bACrABLE, ` Thomas McKean, Director 9�'ArFo r'„qo t 0.1 200 Main Street, Hyannis, MA 02601 U0 ) Office: 508-862-4644 Fax: 508-790-6304ID .T> _c: APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS, ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 X VCS' CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by July 1st_ 1. ASSESSOR'S MAP AND PARCEL NO. l3a7 - /d-3- 2. IS THIS A PERMIT RENEWAL? YES_NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD Q�UAANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: PH-AV A-(-- AAJAPA-r1 5. NAME OF ESTABLISHMENT: �Sn,1&1,4�j qjbia-N 6. ADDRESS OF ESTABLISHMENT:"f 1 IA afee-L 1A qr,4AI r ©2�O/ 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: '-7 7 V- 9. EMAIL ADDRESS: dhayAI (& Aer rjg-hgvs&ho+4- t00%—, 10. SOLEOWNF,R: YES .-,iVO IF NO,NAME OF PARTNER: ',pak &k 11. FULL NAME, HOME ADDRESS,AND TELEPHONE # OF: ., CORPORATION NAME hosd,-fie, L 1� PRESIDENT r� Oovp I nrj 626E TREASURER iI CLERK 1 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE #: COMPANY ADDRESS EMAIL: /1 *SIGNATURE OF APPLICANT` DATE 19 M Q:\Application Forms\Haz Mat App Revised 09-10-18.docx Number Fee 1272 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Heritage House Hotel 259 Main Street, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. ------------------------------------------------------------------------------------------------------------- ------------------------------------------------ This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2019 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF, D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2018 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Ff �Roegulw of Brnsxable (� atory ervices /��� s Richard V. Scali, Director V`Z ° °..4 Public Health Division� BARNSTABIE • WtNSTnI UtRE°VILLE.miUR.NYM'NIS �'_! •f + BARNSTABLF. • nusroxs n°3•usFarue•w.sl ersxnaeF Mass Thomas McKean, Director 1639-2014 ' ,erEp a 200 Male- -Sheet,Hymn-nis-MA-02601-- - -- --- ---- ,-, �A M1 Office: 508-862-4644 Fax: 508-790-6304 t1 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE r HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT -26— 110 Gallons: $ 50.00. ❑ CATEGORY 2 PERMIT A 11 —499 Gallons: $125.00 CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? v;* YES_NO. IF YES,SHIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF • GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF EST el 17000 9. EMAIL ADDRESS: 9N') 0 � ��2 �. hour 641 10. SOLEOVY ER: ✓YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TIMEPHONE#OF: CORPORATION NAME,j#&vg PRESIDENT ft4eir K4 w-hHU TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: • NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLI A G DATE Q: / �Application Forms\HAZMAT APP 2017 ED.do" r Number Fee 1272 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Heritage House Hotel 259 Main Street, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 -499 gallons of Hazardous Materials. ----------'--------------------------------------------------------------------------------------------------------------------- ------------------------------ - --------------------------------------------- ------------------------------------ -------------------------------------------------------------------------- ---- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2018 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN h DONALD A.GUADAGNOLI,M.D. A 07/01/2017 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health N ' I "Rowr�1 t B r,,ces e eg atory ervlces �t r Richard V. Scah,Director Public Health Division BARNSTABI 41Jt51J'3 hL5•C51�.YILLL•YISf t•M'NSItBIt �rA LE, Thomas McKean, Director 639_2014 1639. 6. 200 Main Street, Hyannis,MA 02601 ��g ND r Ep µp`l + o?Dl--a0` Office: 508-862-4644 d Fax: 508-790-63.04 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE c HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTEP108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS DULY 1st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 9 VIS - Y— CATEGORY 3 PERMIT 500 or more Gallons: $150.00- El *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? YES_NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: 5. NAME OF ESTABLISHMENT: 1 6. ADDRESS OF ESTABLISHMENT: G 's /d� 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: lJ 9. EMAIL ADDRESS: onv 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TEL CORPORATION N E I a_ PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE I do Q: t �Application Forms\HAZMAT APP 2017 REVISED. cx f `°Ft►+�Tokti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 B`"MA.�q 200 Main Street• Hyannis, MA 02601 i639 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT CEO MA'S a Business Name: 2 t+ a e oak a Date: Location/Mailing Address: 2 mTel M 41&c S-F a K v►+S Contact Name/Phone: I o4-- '7 ---7odo + e, ml Inventory Total Amount: t k 2�0 `� kDS:*6 License#7<1 D Ck'k-Z Tier II : Labelina: Af-1,02-k V vscl t-1 Spill Plan: --t-a o� Oil/WaterSeparator: Floor Drains: PJ 6 Emergency Numbers: Storage Areas/Tanks: o an ant a l ho., � Emergency/Containment E ui ment: Waste Generator ID: 0< Waste Product: 6y5c. Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: ACA -C -c- k S b< v l,k h CotJec %vim- 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 11 Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) _� Windshield wasWC-1t4uA-,r- -L k� 1 Motor oils t Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants I calnc, Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout -.Jkr5 zA insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries X� Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink 2 LCar waxes and polishes Wood preservatives(creosote)Asphalt&roofing tar S -k� o Swimming pool chlorine So Ih ask ��R—f Paints, varnishes, stains, dyes Lye or caustic soda X 5o°� AA^s ti Lacquerthinners Ix1 t Miscellaneous Combustible, ��oVlj ,vy,c Paint&varnish removers, deglossers Leather dyes Q ter Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) 1.x5 Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: ov4- CVV, \-Ce VVIC14 Z v'Le ; :G O 0 k Cove c Coll,c. SDS 5 �s � � �+ �� Inspector: ?� q\WV,L avaI I klo t Aa o Nt e Z Cak�� b� I'� acility epresentative: WHITE � � COPY-HEALTH DEPA THE T/CANARY COPY- BLO SINESS Number Fee 1272 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Heritage House Hotel 259 Main Street, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 499 gallons of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------ This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2017 unless sooner suspended or revoked. ---------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health r� i ' Town of Barnstable �r►+E Toyti Regulatory Services Richard V. Scali, Director c� RAMSTAMA MAB& $ Public Health Division BABSTABLE ►- 039 ��0 , -WANM W fD MAt Thomas McKean,Director ' ` ,r 200 Main Street,Hyannis,MA 02601 = Office: 508-862-4644 Fax: 508-790-6304 N N Q? APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE �ZARDQUS MATERIAL IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1st—JUNE 30th). APPLICATION FEES bU� CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 �(.1� CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ A late charge of$10.00 will be assessed if payment is not received by July 1st. ASSESSORS MAP AND PARCEL NO.3, 71;'7�-I�l DATE A&1/ / FULL NAME OF APPLICANT: J` le #akw f m&J °`pwii Irto.- NAME OF ESTABLISHMENT: h �{` f Q gag tS�� Q� ���e�r � � ADDRESS OF ESTABLISHMENT: MAILING ADDRESS (IF DIFFERENT): TELEPHONE NUMBER OF ESTABLISHMENT: EMAIL ADDRESS: TW(av�746(0 . SOLE OWNER: YES 0 IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE# OF: CORPORATION NAME 46A -c PRESIDENT "aff,- 4a4h,�t a TREASURER r e tr CLERK , IF PREPARED BY OUTSIDE PARTY: S AT 1CANV Name: Company Address : Telephone#. Email: Q\Application Forms\HAZZAPP Revl6.docx Page 1 of 2 °FIB r Town of Barnstable Office:508-862-4644 °* Public Health Division Fax:508-790-6304 BARM 33BLE.$ 200 Main Street• Hyannis, MA 02601 .6}q. �0 °rEDMA+° TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: e-r,k o,Jie- ,iz I Date: Location/Mailing Address. QS Contact Name/Phone: CHnS 3>4g, , S'On- -7!�--l000 Inventory Total Amount: •C 11010 MSDS: to �a��� License#: PIA Tier II : IJ o Labeling: b K Spill Plan: N S A Oil/WaterSeparator: WA, Drains: Igo - Scwu Emergency Numbers: Storage Areas/Tanks: kJ,A Emergency/Containment Equipment: Waste Generator ID: NIA Waste Product: r Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: 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 Hydraulic fluid (including brake fluid) Windshield wash Motor oils I Miscellaneous Corrosives 51.,\ (t`,.t e y,� Gasoline,jet fuel, aviation gas Cesspool cleaners PA,s4. Diesel fuel, kerosene, #2 heating oil Disinfectants ��tiu<,{Ks go11" Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: 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 -jx5 tSkL- s4`�erV1. Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners, Y Miscellaneous Combustible 7- Paint&varnish removers, deglossers yv-r Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons 00 Laundry soil &stain removers No (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RE OMMENDATIONS: [Awe- �0I,4-Kfis . b,.-e- ' e 2 C 16 ,x ct ,-•c-c AA Atn,5 Inspector: 1 • Lra, 41A� Facility Representative: �• l-� WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Make application to local Fire Department. Fire Department retains original application and issues duplicate as Permit. , e ��� � uccea— ✓vaaa�C 'ri�tei�eruErratcarz APPLICATION and PERMIT Fee: for storage tank removal and transportation to approved tank disposal yard in accordance with the provisions of M.G.L. Chapter 148, Section 38A, 527 CMR 9.00, application is hereby made by: Clarke X ~ Tank Owner Name(please print) Signalure r apllying forpatmrt Address292 Main St. , Hyannis, MA 02601 stare zip SneerContractor city 7Co. 71ndividual Company Name Advanced Environmental Service Print 7 Print I it AddressP•O.Box 472, 197 Great Western Rd. Address I So. Dennis, MA Print Print i Signature (if applyin for rnit) Signature (if applying for permit) IFCI Certified Other IFCI Certified D LSP# Other i Tank Location C292 Main St. , Hyannis MA i Sleet Address city Tank Capacity(gallons) Su b.slanc.e_Last_Stored e - Tank Dimensions(diameter x length) 1 Remarks: I ri • Firm transporting waste Advanced Environmental. State Lic. # MV5083856100 i Hazardous waste manifest# E.P.A. # i Approved tank disposal yard J.G. Grants Co. Tank yard # 008 � �� Wolcott St. , Readville, MA Type of inert gas 7 Tank yard address t • , , . City or Town �,9�6y/f FDID# 094;,�aZ Permit# DateTof issue Date of expiration Dig safe approval number: 20011203719 Dig Safe Toll Free Tel. Number-800-322 4844 Signature/Title of Officer granting permit I 4 T 7 After removal(s)send Form FP-290R signed by Local Fire Dept. to UST Regulatory Compliance Un ! a_ ^s6 Room 1310, Boston, MA 02108-1618. KYANNIS FIRE DE �'R I"�.I°1 �-- �°�=a�►5 t `^��- >-`^'rv, 95 HIGH SCHOOL i l:i, f:X] r HYA NIS, M 026 1 �.92(revised 9/96) _ w.....ry'e'^`"'•^''-• •• ,•-�-9T,x,d"gv'H"°'dl^'�wi..-•'�+nTVsa ^--c- .. "v,S__"_'v`yt�rcZ"^i'i�^,�,�„�w`i3"4.y+!�w��"�... j TOWN OF BARNSTABLE - �UNDERGROUND FUELAND CHEMICAL STORAGE REGISTRATION I+1A�11f�,/ MAP NO. ^� � � r PARCEL N0. ADDRESS OF TANK: Ir'Iiti(H u - 5 L-J[ VILLAGE: rn �NAN/S Nurnbmr^ I !aft MAILING ADDRESS ( IF DIFFERENT FROM ABOVE) : f /L/1!t qM All S MtT � 0 2 h I OWNER NAME: UI (. ��`7 7�rG S '_i PHONE: �t} � r7/7-17~ INSTALLATION DATES J����� U BYi rt �idtrtt INSTALLER ADDRESS: ,3 Iv pr WUT4 'CERT.NO. STANK LOCATION: l cF( t�Tft''f4kl YrJ �Gt�11tE' , jori, 1 L(E� � (/onsci R,I aG 'lTANK LQQAT S dN W 2 TH WQOPQQT TQ mU 2 LD S NO) CAPACITY add ( t TYPE OF TANK �P�..,. AGE �`I i YRSFUEL/CHEMICAL )rV4 ()lL TESTING CERTIFICATION [ }'1PA�SS�� [ ] FAIL DATE ' LEAK DETECTION C ] CHECK IF N/A TYPE/BRAND •t ZONE OF CONTRIBUTION [ ] YES C ] NO DATE TO BE RE/MOVED �` FIRE DEPT,. PERMIT ISSUED [ VI YES [ ] NO DATE < l� f CONSERVATION C ] CHECK IF N/A DATE BOARD OF HEALTH TAG NO. C //00 ] DATE * . PLEASE PROVIDE. A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD (Tda Q�f7h N1 C�. TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION 0 MAP NO. 1 PARCEL NO. 2 !� ADDRESS OF TANK: 0e W 13L- (T VILLAGE: NuAfh 1040r Olrwe! ! MAILING ADDRESS ( I F DIFFERENT FROM ABOVE) : `ZSq MW am ui 5 W 5 p 2&I OWNER NAME: eaL r 5t PHONE: ryby J r7173-- /y6 INSTALLATION DATE: h I BY: t_..U?tC I NSTALLER ADDRESS: t� 10i Z01-1110W� -CERT.NO. 01.5 3 STANK LOCATION: &F-v oFma'tq fwoqure, bek"d bu'lt(JIL4,� aC�oea:aG ANK _OQAT=ON_W Z TH "==Macy TO nu S L Z N.O) CAPACITY / �_ t4L . . TESTING CERTIFICATION [ ] PASS [ ] FAIL DATE LEAK DETECTION C ] CHECK IF N/A TYPE/BRAND ZONE OF CONTRIBUTION [ ] YES [ ] NO DATE TO BE REMOVED FIRE DEPT. PERMIT ISSUED [U] YES [ ] NO DATE O q CONSERVATION [ ] CHECK IF N/A DATE BOARD OF HEALTH TAG NO. [ //Cfo ] DATE PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD c iAF TOWN OF HARNSTABLE ro i !u°y *o OFFICE OF 1AD)lrIDL ! BOARD OF HEALTH poet f679• 367 MAIN STFIEET HYANNIS,MASS.02601 �a ✓3 , 1992"� 5 t�17 A✓ anh�5J / '� V KV1 �C-- - &00 BLoc Dear rCn66.' Enclosed is brass valve tag # f 0 Please attach to the fill pipe of your underground tank. You must do the following as indicated: ----Remove your tank. I have enclosed information for you regarding tank removal. ----have your tank tested starting 0 You must test during Lite loth, 13th, l5 h�17th and 19th year and annually—Aliereafter. Removal in the year • I have enclose information regarding tank test ng. In order to have your tank tested you must first contact an engineeriny - company (see attached) to have been ionitoring nstalled well installed. Once the monitoring well you can then call 362-25111 extension J34 and ask for Charlotte Stiefel or George 11eufelder at the Barnstable County 11,,ealth Department, to have your tank tested via the Soil Vapor Analysis Test. ----Due to the unknown age of your tank we must presume it is every twenty ( 20 ) years of age. You mu year and remove it by the year DEC1992 To have it tested please follow Lite procedure as indicated above ' from the ** (asterisk) on. If you have any questions please feel free to call me at 19b=6265. Thank you. Thomas A. McKean Director of Public health 1 TM:cst 1 TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION, MAP NO. 327 PARCEL NO. ADDRESS OF TANK:,#Fe1r46f /)was f- G VILLAGE: Number ftr��t MAILING ADDRESS ( I F DIFFERENT FROM ABOVE) : oZf'y ��, Zi VIN"JaO4 41,1-- o OWNER NAME: PHONE: PHONE: ��7r1`T=�LdOd INSTALLATION DATE: lob-,D L17 BY: L'/qN C-O INSTALLER ADDRESS: 1"0" X U r V -CERT.NO. O/ *TANK LOCATION: //y1Q6L<,PZ0VA1 L� O�_ . IM= rttl�tlYC� (ommonIaG T NK LOCATION WITH mam"woT TO. mu ILLDIN0) CAPACITY 404 TYPE OF TANK tY1 fT11V& SAGE IlI YRS. FUEL/CHEMICAL 01 TESTING CERTIFICATION [ ] PASS [ ] FAIL DATE LEAK DETECTION [ ] CHECK IF N/A /TYPE/BRAND J (/ ZONE OF CONTRIBUTION [ IYES [✓] NO DATE TO BE L �MOVED FIRE DEPT. .PERM I T ISSUED [Ii YES [ ] NO DATE CONSERVATION [ ] CHECK IF N/A DATE BOARD OF HEALTH TAG NO. [ �� ] DATE PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD TOWN OF BARNSTABLE — UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION' MAP NO. r`� �' PARCEL NO. ? r ADDRESS OF TANK: :-. 'r�''F •t:it.S yrt �� - ` VILLAGE: � Number � Ytr��! • MAILING ADDRESS ( IF DIFFERENT FROM ABOVE) : OWNER NAME: rr: ' 'f. �l z.F y' �'gt PHONE: ` r INSTALLATION DATES l(�1�i o}, l ' BY: o' q,V c- U INSTALLER ADDRESS: -�� < ��t. -� �� i �+���'At°i'�''x' -CERT.1-JO. *TANK LOCATION: �1e2l ��I c:/t y�v•tt t E tLC4-t- YC t'. 1 f (ommo R I nC TANw LOQAT I ON W Z TH IRCCPC.CT/TO au I"o S NO) i C A P A C I TY TYPE OF ,TANKS .''"�:��'�"f�- -`�-'AGE ?rr YRS. FUEL/CHEM I CAL �..� TESTING CERTIFICA,TJON—-[l ] PASS' [ ] FAIL DATE LEAK DETECTION �[ ] CHECK IF N/A TYPE/BRAND ZONE OF CONTRIBUTION [ ] YES NO DATE TO BE 'REMOVED x' } F hRE, DEPT J PERMIT ISSUED [ tr] YES [ ] NO DATE � I CONSERVATION [ ] CHECK IF N/A DATE BOARD OF HEALTH TAG NO. [ '��►Y12 ] DATE ` PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD . �� ,,v�^;,....�,,,s.�., ,..rr. -w�..,;-.•r„4"�y,�r.^''~'""...--....-..,•�.....r..w.,-.�. --�..-.-....-,.._.�,..-�..•..,r.--r�-_-"'�.....w.--e .. :w.yf- �.-_ - .. - TOWN OF BARNSTABLE — UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATIONi MAP NO. - PARCEL NO. • ADDRESS OF TANK "' ' 'tom' :. .'/0 VILLAGE: _ / ,. •Number " �. Qtr��t .y„ MAILING ADDRESS .( IF D I FFERENTJ FROM, ABOVE) : OWNER NAME: ,PHONE: INSTALLATION DATES I NSTALLER1 ADDRESS:' - i —CERT.-40. 4' *TANK LOCATION: :ice • "� ' -� i "'+ ' (DC�cmzna TANK 1_OQATION WITH RGGPQCT_ TO mU2L0SN0) CAPACITY TYPE OF TANK AGE f '1 YRS. FUEL/CHEMICAL TESTING CERTIFICA.T,ION_)--[J ] PASS . [+ ] FAIL DATE t.J LEAK DETECTION �[, ] CHECK IF N/A TYPE/BRAND ZONE OF CONTRIBUTION [ ] YES [ j NOt DATE -TO BE _REMOVED F I RE},DEPT. PERMIT ISSUED I [V]. YES c� ] NO DATE .0 c� CONSERVATION [ ] CHECK IF N/A F` DATE BOARD OF HEALTH TAG NO. [ ] DATE PLEASE PROVIDE A SKETCH SHOWING THE.' TANK LOCATION .ON THE BACK OF THIS CARD vv �. f 44 T { r , i Town of Barnstable z °' 'u '' 'a v` tio .f -i�• U.S.POSTAGE>>PITNEY BOWES Public Health Division �' k * A�79 �® BABN'._BLE. 200 Main Street DEC Hyannis,MA 02601 23 5 ZIP 02601 $ 000.46` 0000336455DEC. 2.3. 2016. Empire Beauty Schools C�os`� 259 North Street g, - Hyanhis, MF "I" _ 1 '�s�`.4'�:.�.a�w,.:,.`r ��.�,t,�: l'*�R��'. �I..:r '��1..,t...�A"�d'�,�v���a�`G'f'tl`•;y'�,..1W,A` • I Pi:c'FiYFR.N TO SE,NDEfibNOT DELIVERA3LE AS AD ESSEV Orp r3 01b64'2666641 UT P4 t'601>400;? kl,t °A;�?,a .g9a :( '? 3j +.�.i111i . ►9{i[i�? „ ,D ..1.11 9 k' 4r i . °Ft"ET°w Town of Barnstable BARNSTABLE, : Regulatory Services v� 1639. `0� Richard V. Scali, Director BAMSTABLE MA'S sPublic Health Division mmm .; QO :�•a,�,..n,�ZTQNxs •❑ LLE-•xrs,oafcrsrueie zees-zoxq Thomas McKean, Director �1g 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 December 5, 2016 NOTICE _ TO ALL BUSINESS OPERATORS WITH HAZARDOUS-MATERIALS IN THE TOWN OF BARNSTABLE—--- _ _ _ In accordance with Town Code, Chapter 108, all businesses that handle or store Hazardous Materials greater than household quantities are required to obtain an annual license with the Public Health Division. Effective January 1, 2016, the Barnstable Board of Health enacted a new fee schedule for hazardous materials stored on site. The fees are codified in Chapter 318 of the Town Code and are outlined below based on storage category: Category 1 License 26— 110 Gallons: $ 50.00 Category 2 License 111 —499 Gallons: $125.00 Category 3 License 500 or more Gallons: $150.00 If you should have any questions or concerns, please feel free to view the Town Code which is located under the E-Code section on the Town Website, www.town.bamstable.ma.us. Based on Public Health Division records, your business is not currently licensed to store/use hazardous materials. Please consider this letter an order notice to schedule an appointment for a hazardous materials inspection with the Health Division:, Please contact Timothy Lavelle, Hazardous Materials Specialist, at 508-862-4645 or tim.lavellegtown.barn.stable.ma.us to schedule this inspection within the next 14 days. Your continued cooperation is greatly appreciated. If you have any questions or need further information, please call the Public Health Division at 508-862-4644. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S. Director of Public Health Town of Barnstable Q:\Hazmat\Copy of Hazmat new inspection order 2016.doc