HomeMy WebLinkAbout1199 PITCHER'S WAY - HAZMAT il9q P�-��er`s 1��, I�,�n� s
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SMEADI
KEEPING YOU ORGANIZED
No.10334
2453L
MADE W USA
GET ORGANIZED AT SMEAD.COM
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TOWN OF BARNSTABLE
UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS
NAME WILLMAN ELECTRIC, INC.
ADDRESS 1199 Pitcher' s Way VILLAGE Hyannis, MA 02601
LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE:
OR CHEMICAL
1199 Pitcher' s Way, Hyannis 2,000 gal. Gasoline 8 yrs. Steel
(Give same information for any additional tanks on reverse side of card)
DATE OF PURCHASE OF EACH: 1. 3/24/72 2. 3. 4.
DATE OF FIRE DEPARTMENT PERMIT: 3/2LL/7 2
TESTING CERTIFICATION SUBMITTED:
PASSED DID NOT PASS
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TEL. Spring 5-3711
HUBBARD
TIRES— BATTERIES �$rORieS`' y{,
iRIDGEWOOD AVE. HYAiVKM R'sASS �Q
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Customer's
Order No. Date .� 1�,�'• \ (,�
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Sold To
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Address '.
Salesman Terms
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CASH SALE CHG.SA MDSE.RBT'D REC-D ON ACCT. MISC., PAID OUT
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DESCRIPTION PRICE AMOUNT
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TOTAL o�
+ All claims and returned goods MUST be accompanied by this bill,
Z EC'D BY 37
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CNARLSET'S,MYANNI3,MASS. O
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NAME LOCATION .
W111mar 71optric Tnc. 1199 Pitchers Way
1199 Pit cher's Way Hyannis
H.3mnnis. Nsss.
PtQK & PACE .. DATr CTRAITM AMOUNT STCRE0
77/2567257 2/11,/72 2,000
.DATE PATD
lq?� - Larch 23 M'A R `1 7 1978
101AR 1974 SAY ` 7q7U;
1975 MAR 1
MAR 10 1976
MAR 141977
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TOWN OF BARNSTABLE ` r� /� AG
UNDERGROUND FUE AND CHEMICAL STORAGE SYSTEMS
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ASSESSORS MAP NO.. � PARCEL NO. �!
ADDRESS: 1199 Pitchers -- VILLAGE: Hyannis
NAME', Willman Electric, Inc.
CONTACT PERSON ghl�' .PHONE NUMBER 775-2568
LOCATION OF TANKS: CAPACITY: TYPE OF FUEL. AGE: - TYPE: LEAK
OR CHEMICAL: DETECTION
front of building 2.000 gal. gasoline 15 yrs. steel SYSTEM!
DATE OF PURCHASE OF. EACH: 1. 2. 3. 4. 5.
DATE OF FIRE DEPARTMENT PERMIT:
TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS
PLEASE PROVIDE A SKETCH SHOWING THE LOCATION OF TANKS ON THE BACK OF THIS CARD. / ,� /
1
Facility Name WILLMAN ELECTRIC INC
Address PITCHERS WAY 1199
Listing of Tanks Due For Testing as of 10/07/88
OWNER :,ILLMAN ELECTRIC INC FACILITY WILLMAN ELECTRIC INC
------------------------------ ------------------------------
ADDR PITCHERS WAY 1199 ADDR PITCHERS WAY 1199
-------------------=---------- ------------------------------
COUNTY BARNSTABLE COUNTY BARNSTABLE
CITY HYANNIS ST MA ZIP 02601 CITY HYANNIS ST MA ZIP 02601
PHONE (617) 775-2568 PHONE (617) 775-2568
CONTACT KENNETH WILLMAN/362-6644 CONTACT KENNETH WILLMAN/362-6644
=--------------------------- ------------------------------
TANK # 1
TANK INSTALLATION DATE 03/30/73
1. STATUS OF TANK CURRENTLY IN USE
--------------------
2. ESTIMATED AGE YRS . 14
3 . TOTAL CAPACITY 2000
4 . CONSTRUCTION MATERIAL STEEL
5.. INTERNAL PROTECTION NONE
6 . EXTERNAL PROTECTION PAINTED (E.G. ASPHALTIC)
--------------------------------------------------
7 . PIPING GALVANIZED STEEL
--------------------------------------------------
8 . SUBSTANCE STORED UNLEADED GASOLINE
--------------------------------------------------
DATE TESTED 09/24/87. YEARS AFTER INSTALLATION 13 PASSED or FAILED PASSED
------ --- ------
DATE TESTED YEARS AFTER INSTALLATION PASSED or FAILED
-------- --- ------
DATE TESTED YEARS AFTER INSTALLATION PASSED or FAILED
DATE TESTED YEARS AFTER INSTALLATION PASSED or FAILED
DATE TESTED. YEARS AFTER INSTALLATION PASSED or FAILED
-------- --- ------
DATE TESTED YEARS AFTER INSTALLATION PASSED or FAILED
-------- --- ------
===========INFORMATION FOR TANKS PERMANENTLY TAKEN OUT OF SERVICE==============
A. ESTAMATED DATE LAST USED B. QUANTITY REMAINING "GAL'' 0
C. FILLED WITH INERT MATERIAL
--------------------
RECORDS SHOW THE ABOVE TANK INSTALLED ON 03/30/73 IS NOW DUE FOR
A 15 YEAR TESTING. LAST TEST DATE WAS 03/30/73 .
TESTING DUE DATE 03/30/88 .
Li r C t A 1?FLec. rR r c l►qq,� , :t� y M a s' rr,a 9lw4h 2
Ire..r{...ere Owrr r O..rr rrwr .r..I errN.l ej, err. Gr M lee
TANK TO TEST
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FILL-UP FOR TEST 4
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SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK 01?SrA 00TWI � •Z, ,I 'VAPOR RECOVERY SYSTEM
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TEMPERATUREIVOLUME FACTOR jai TO TEST THIS TANK
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Owner Name(from Section I) �'' !`''`° _ Location(from Section 11) f `o Wo.— _ :� -,.__:.F :yes
• �. � ! /a ., 1�)'��...t•..`40 iar. • e � • rl"�.!'P � tiYva, f r
Tank Identification No.(e.g.,ABC-123),or Tank No. Tank No. Tank No. Tank No. Tank No.
Arbitrarily Assigned Sequential Number(e.g.,1,2,3...)
1.Status of Tank Current) in Use
(Mark all that apply M) y
EM
Temporarily Out of Use 0 0
Permanently Out of Use 0
Brought into Use after 5/8/86 0 0
2.Estimated Age(Years)
3.Estimated Total Capacity(Gallons) OQ
4.Material of Construction Steel EX]
(Mark one M) Concrete
.
Fiberglass Reinforced Plastic .k
Unknown 0 .
Other,Please Specify
S.Internal Protection Cathodic Protection 0 [�
(;dark all tha!a +fly M)
Interior Lining(e.g.,epoxy resins)
None 0 0 0
Unknown O 0
Other,Please Specify
External Protection Cathodic Protection
(!."ark all that apply®)
Painted(e.g.,asphaltic)
Fiberglass Reinforced Plastic Coated
None 0 0
Unknown 0 0
Other,Please Specify
7.Piping Bare Steel
(fi'fark all that apply®)
Galvanized Steel ® 0. •,,:: [�
Fiberglass Reinforced Plastic
Cathodically Protected
Unknown
Other,Please Specify
8.Substance Currently or Last Stored a. Empty
in Greatest Quantity by Volume
(Mark all that apply®) b. Petroleum
Diesel
Kerosene 0 [�
Gasoline(including alcohol blends) EXI
Used Oil 0 0
Other,Please Specify
c..Hazardous Substance 0
Please Indicate Name of Principal CERCLA Substance
OR
Chemical Abstract Service(CAS)No.
Mark box®if tank stores a mixture of substances 0 0
d. Unknown
9.Additional Information(for tanks permanently
taken out of service)
a. Estimated date last used(mo/yr)
b. Estimated quantity of substance remaining (gal.)
c. Mark box 13 if tank was filled with inert material
(e.g.,sand,concrete) O O O O
Page 2
7J,, r'•,*^� r � -.�. :+ '� i i ,1'.�'L.+`"� a •ir. �' p,..f,.�,t -' k a
��*+•� ` ;FIRE DEPT. STATE USE ONLY' rear nrPt.
CERTIr ICATIOa
Submit to:
LOCAL O/�Number
% ems✓
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LOCAL FIRE DEPARTMENT:.
tv'
T: Date Received-
Notification is required by Federal law for all underground tanks that have been 4. pipeline lacilities (including gathering line.) regulated under the INatural Gas
used to store regulated substances since January 1,1974.that are in the ground as of Pipeline Safety Act of 1968.or the Hazardous Liquid Pipeline Salo%Act of 1979,of
May 8,1986,orthat are brought into use after May 8,1986.The information requested which is an intrastate pipeline facility regulated under State laws:
is required by Section 9002 of the Resource Conservation and Recovery Acl,(RCRA), 5.surface impoundments,pits.ponds,or lagoons:
as amended. 6.storm water or waste water collection sytems:
The primary purpose of this notification program is to locate and evaluate under- ''' 7.Ilow-though process ranks:
tances.'It ix. ;: 8.liyuidtrapsorassociatcdgttheringlinesdireclyrclatedtooilurgasproductionand
ground tanks that store or ha%c stored petroleum or hazardous subs
expected that the information you provide.will be based on reasonably ayailablc ' gathering operations:
records,or.in the absence of such records,your knowledge,belief,or recollection. .. 9. storage tanks situated in an underground area (such as a basement, cellar.
*: mineworking.drift.shaft,or tunnel)if the storage tank is situated upon ur aboxc the
Who Must Notifv? Section 9002 of RCRA.as amended, requires that. unless :; surface of the floor.
exempted.owners of underground tanks that store regulated substances must notify ,
designated State or local agencies of the existence of their tanks.Owner means— t.. What Substances Are Covered?T he noiiIicat ion'reyuiremenis apply to undcr-
(a) in the case of an underground storage tank in use on November 8. 1984.or, ., - ground storage tanks that contain regulated substances.This includes am substance
broticion
used for thetarragese 1er that u.se.orddispensing of regulated substances.andtund forage tankl Resti nse.C'ompensatioincd as hazardous nandtl iah IOty Act)of 1.9 0c1C-FfRC LA►,wtith theexccptiontal
ol
(b) in the case of any underground storage tank in use before Noscmber 8. 1984. those substances regulated as hazardous waste under Subtitle C of RCRA. It also
but no longer in use on that date.anyperson who owned such tank immediately before includes perolcum.c.g.,crude oil or any Iraction th6col which is liquid at standard
the discontinuation of its use. conditions of temperature and pressure(60 degrees Fahrenheit and 14.7 pounds per
1\'liar Tanks Are Included. Underground storage tank is delincd as any are or
square inch absolute).
combination of tanks that(1)is used to contain an accumulation of'-regulated sub- Where Tq Notify? Completed notification forms should be sent to the address
stances."and(2)whose solume(including connected undergrouna piping)is l0t'i or given at the top of this page.
more beneath the ground.Some examples arc underground tanks storing:1.gasoline.
used oil.or.dicscl fuel.and 2.industrial solxcnts,pesticides,herbicides or lumigants. •.:.�. When To Notify? I.Owners of underground enrage tarLk.in trsc ar that ha%c been
What Tanks Are Excluded? Tanks removed from the ground are not subject to, '' ' taken out ul'opera uon.ahe .Ianuar% I. 1974.but still in the ground.must noel§ bs
notification.Other tanks excluded from notification are: Max'8.1986.2.Owncrs?hu bring underground forage tanks into use alter May 13.
1.farm or residential tanks of 1.100 gallons or Icsscapacity used furtoring motor fuel 1986.mot notify'within.0 days of bringing the tanks into use.
for noncommercial purposes: Penalties: Any owner who knowingly fails to notify or submits false information
2.tanks used forstoring heating oil for consumptixc use on the premises where stored. shall be subject 10 a civil penalty not to exceed SI0,000 for each tank for which
3.septic tanks: r1 notification is not given or for which false information Is submitted.
It ` I• i i.y.`.Y.
Please type or print in ink all items except"signature"in Section V.This form must by completed for',-..,,, i`` Indicate number of
each location containing underground storage tanks.If more than 5 tanks are owned at this location, " continuation sheets
photocopy the re\'erse side.and staple continuation sheets to this form. ' ' attached
"'�'�'�'r' _nw-�.•+�-`�a'R�M,��� 'r.!t' 7":1 rt...���ti,t ,�c'`''t t 4P1�'::� >.f. .: •
...4 .,t`�;• Si. .dJ��y. -. +5 . .�w':.aa c4.idyl'— •er; ,,,�; ry P. .•e • SAW
Owner • ' -}*\� }-{y''
Owner Name( o poration,Individual,Pubfc.Agency,or Other Entity)
�r I
t (If same as Section 1,mark box here ❑)
' /�/�� art✓ _Z `^ Facility Name or Company Site Identifier,as applicable
Street Address
County Street Address or State Road,as applicable.
City State ZIP Code County '
y4i�i►Jt.S Z 6 D
Area
de Phone Number. City(nearest) Stale ZIP Code
Type of Owner (hark all that apply®Jput
Current ❑ State or Local Gov't*-?... Indicate Mark box here if tank(s)
MWn number of are located on land within.Former Federal Gov't tanks at this an Indian reservation or
❑ ❑ (GSA facility LD.no. ❑ uncertain location �.. on other Indian trust lands
- .-� �t �...<< }• f.ih..r' '� .'"'S`i:�'t..';5r�.5:tt•-4t
Name(If same as Secti n t,mark bo he -❑) Job Title A rea Code Phone Number '
o r
v :17 1 •NAM M9 • �� :' / F-.ry' fi,(-`�� tl.:Pu_:% Cyr.
❑ Mark box here only if this is an amended or subsequent notification for this location.
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I certify under penalty of law that I have personally examined and am familiar with the information submitted in this and all attached
documents,and that based on my inquiry of those individuals immediately responsible for obtaining the information. I believe that the
submitted information:s true,accurate,and complete.
Name an
official title of owner or owner's authorized representative S' ure Date Signed
Form F.P. 290 Part 2 Fa�ei
�j 1 �4r C1 mm mum of :Mttl sttr
DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION
APPLICATION FOR. PERMIT TO MAINTAIN AN EXISTING/NEW UNDERGROUND
_ - - STORAGE FACILITY .
To: Head of Fire Department
19rg
City or Town Date
Form F.P. 290 Application is hereby made for a permit to maintain an existing/new
Part underground storage facility as-required by 527CMR9.00: Permits.
Location of property: �—s
St et address
Owner of property: ' ,qi✓ Q 1/&A,
Full name of person, firm 6 corporation.
Signature of owner or authorized representative: k
Fee:$ Q ' (M.G.L.A. Chapt. 148 Sec. 10A)
(Fire Department's Copy to be Filed with F.P.290 part 2)
l- - DEPARTMENT OF PUBLIC SAFETY--DIVISION OF FIRE PREVENTION
� MV � s- 1� 19
Date
Form F.F. 290 TO MAINTAIN AN EXISTING/NEW UNDERGROUND STORAGE FACILITY
Part 4
In accordance with the provisions of 527CMR9.24 this permit to maintain an
existing/new underground storage facility is granted to:
Location of property: l�
'�S�y��t address
Owner of property: o <I4
full na of person, fi W or corporation
'Restrictions: God
G
Fee Paid:$ _ (M.G.L.A. Chapt. 148 Sec )
This permit will expire -/- 19
Date Si na re of Head .of Fir Dept. or appointed designee
(Owner's Copy to be posted at the storage facility with F.P.290 Part 3)
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