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0800 PITCHER'S WAY - HAZMAT
n 7 � c Number Fee 505 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Town of Barnstable-S&G 800 Pitcher's Way, 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 �r x Town of Barnstable Office: 508-862-4644 ., Fax: 508-790-6304 Regulatory Services Department •. BAN;tWAB -, Public Health Division arnss:; $ Thomas A.McKean,CHO 019. 200 Main Street, Hyannis, MA 02601 Payment Receipt °Hazardous Materials Payment received: $125.00 (Check) on 6/4/2018 Permit number: 505 ;Check number: 976986 Check amount: $125.00 Name on check: Town of Barnstable i 'Business: Town of Barnstable- S&G Owner: TOWN OF (MUN) ;Address: 800 PITCHER'S WAY, Hyannis ,Note: 2018-2019 Category II Permit • Number Fee 505 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable �. Board of Health sz, This is to Certify that Town of Barnstable-S&G 800 Pitcher's Way, Hyannis, MA Ri 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 DONALD A.GUADAGNOLI,M.D. 07/01/2017 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health r �► T Town of Barnstable Office: 508-862-4644 ,. Fax: 508-790-6304 Regulatory Services Department • atittvs�ast Public Health Division Mom. Thomas A.McKean,CHO 200 Main Street, Hyannis, MA 02601 Fb . Payment Receipt 'Hazardous Materials Payment received: $125.00 (Check) on 6/22/2017 Permit number: 505 Check number: 956633 Check amount: $125.00 Name on check: Town of Barnstable ;Business: Town of Barnstable- S&G Owner: ROSANGELA Address: 800 BEARSE'S WAY, Hyannis :Note: 2017-2018 Category II Permit Avo aPP ,e S TOWN O BARNSTABLE INVQICj INVOICE. NET INVOICE PURCHASE INVOICE DESCRIPTION, DATE NUMBER AMOUNT , ORDER#- p 6/1/2017 390570 HAZMAT S&G JUNE2017 HOLD HEALT $125.00 17000414 017402-641,270 800 Irtw Gd i VENDOR# VENDOR NAMEf= CHECK AMOUNT.' CHECK DATE CHECK NUMBER ' 4595 TOWN OF BARNSTABLE / $125.00 06/22/2017 956633 REMITTANCE ADVICE-ATTACHED IS OUR CHECK IN FULL SETTLEMENT OF ITEMS SHOWN HEREON. IF NOT CORRECT,PLEASE RETURN WITH EXPLANATION. Town)of B ra nstable Finance Department 230 South Street Hyannis, MA 02601 Tel:508-862-4654 Fax:508-862-4717 l `I 1 ' `°FT►�Tow� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BAR AfASABLE. 200 Main Street• Hyannis, MA 02601 plEDMP+a`e TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name g Dili - Date: 7 f0 Location/Mailing Address: ria Hyinyti :5 Contact Name/Phone: ¢. -7 - -0 C, l 1 O - ` 9-1 l 6 Invento Total Amount: ZsO a� 13��Ilk SDS: C 5 ' AJe-ko 5%P5 License#: �� CA Tier II : v 1 ,5a0, Labeling: 190 Spill Plan: Oil/WaterSeparator: hMA Floor Drains: Vc Emergency Numbers: e5 Storage AreaslTanks: 2L qvkA., ,uks eole-. b , il%.c, Sam OK ¢, b ltoJcCJ-Ar - Emer enc /ContainmenEquipment: 1 ( r- Waste -"- Generator ID: Waste Product: c� - Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: I 1 LIST OF TOXIC AND HAZARDOUS MATERIALS 1 J&_ - 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. _ J 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 Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners V uel kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts , ttW4�d< grease, lubricants, gear oil Refrigerants yDegreasers for engines&garages Pesticides: Caulk/Grout/A1e4-J1V4-S 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 Lye or caustic soda Lacquer thinners — Miscellaneous Combustible q�,CD'SaIS Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, q� p p p hydrochloric acid, other acids) VIOLATIONS: V��aoo� S�o�e� o�C �CJ� D�C�� CO�e✓S �Ne��k2. a � 1 o, I 0 DERS: u& ° CA \ q � INFORMATION/RECOMMENDATIONS: koc. VS W �1. JLa t 00 14 0'5< Inspecto . L Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS `pF IKE Teti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • MASS.BARMASS. E.�• �. 200 Main Street• Hyannis, MA 02601 039. �'OlFDMP��`0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: 6 ))PL3 - +,N ,5 a,wrQ & %-hJs Date: 2 23 i Location/Mailing Address: 800 �,�y►3 Contact Name/Phone: - 90-63Zv InventoryTotal Amount: ti2�O a 135�0 SDS: e-5 License#: Sb 64 2- Tier[I : No ,-l'5p9110 Labeling: -I g Spill Plan: Oil/WaterSeparator: Floor Drains: b Emergency Numbers: 2S Storage Areas/Tanks: A- \ - co<<o6,v4- Ctiko—t-� (oc-�e,r g- 'k,r- Emergency/Containment Eq_Wpment: 1"\ VC, w oo& -r V99ova Waste Generator ID: aste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: �� Cow ���^-�-1 1aaStc- o ,n, v o� tea•/ ���S�on, i,J�CSt�- LIST OF TOXIC AND HAZARDOUS MATERIALS °`( r- NOTE: Under the provisions of Ch. 111, Section 31, of the(general Laws of MA, hazardo 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 Z 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 V Refrigerants Degreasers for engines&garages Pesticides: oS 4v" �- 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 Lye or caustic soda — 1 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 (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: U1C<'051v4- CA ,vac, %S < ar 1&VK off, AkoA• ',01 VA � !A S _ a o�u��S gLLcfS� •e-Cc, ko cnrsa5,v�e s «✓a10�.���. ,M�1,u- g��e. 11 - L ucw-c�4<J Cep-n�q Int,�S q,l� I41oe-.1�, 5A-e,,C'-� Inspector: 4J . AASbS 0\� S�5 (k C J) tA�s cility Representative: 4 ��jj y 2Q'�S' WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS FIKE Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARM A-%. .D` 200 Main Street• Hyannis, MA 02601 prEDMa+1659. "0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: '8a -45"r4 2- )PO - 5"r,)cf,3teS Date: 3 ►6 Location/Mailing Address: Sor-> P,4e-� y-s I,J 1 ,�t t yi-is Contact Name/Phone: 94eV2 S,>, I I oB - r-32 Cell S�8 -29�-11 b O Inventory Total Amount:^'�u13510-V MSDS: IES License#: 505 Tier II : IJ 9�r< Labeling: o Spill Plan: I" Oil/WaterSeparator: IP1 Floor Drains: fJ� Emergency Numbers: 2S Storage Areas/Tanks: 2"_u 4ti �awt c-Ov i y�gal Corr. Emergency/Containment Equipment: ! Ddl �nrVu-u k na,kg ovL Waste Generator ID: Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: Mkv�ol Gw-yvvvE,, s� w"k4, o, 4 0fgr o k4c 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 SS qPJ 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 Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: 7.T Road salts Z-�iLU s grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Z Pesticides: 2 Caulk/Grout 3o insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes ��o Wood preservatives(creosote) Asphalt&roofing tar Qw"" ( �� Swimming pool chlorine Paints, varnishes, stains, dyes 1`�S�� Lye or caustic soda Lacquer thinners 'N°y.��llrl 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 (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: w'O, R.cr-tv) 0 5 D,1 k\A 'V 9 p` C 155vlQ5 bC CAL n J\MwA vL�-A,k%d VAS CA 4vl Inspector: I Loc���e, Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS i ta rokl Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 B"M�`E 200 Main Street• Hyannis, MA 02601 1639. �prFDMA��`0� TOXIC AND HAZARDOUS MATERIALS� INSPECTION REPORT Business Name: �vtSfc bl•� IJ-�<�}���5 a14 /6-C-0JJS Date: I S 15 Location/Mailing Address: '900 �, }�I��r S Lea411tylvits Contact Name/Phone: '5+ey.P Svv`��(,vv og - atD-63za c.QJ�5v8-Sd�►- f 160/ Inventory Total Amount: :L' 04a1+,2So(� MSDS: YeA, License#: Tier II : t�D Labeling: 6Kwof Spill Plan: j&S Oil/WaterSeparator: A Floor Drains: Alt Emergency Numbers: yzT S Storage Areas/Tanks: q a+^.4- G¢ Bat is - 60cs06 w-1-5 Cab%, -} Emergency/Containment Equipment: -140k kA wl to &A► , J 6, PPS em,k4t, Waste Generator ID: I Waste Product: of Date&Amount of Last Shipment/Frequency: a.( d Licensed Waste Hauler&Destination: Other Waste Disposal Methods: Myw< 0^► 0&64G or -hats.Jo -I'ravu? �l �c,I�fY collec�v� LIST OF TOXIC AND HAZARDOUS MATERIALS No Mal�� NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous(material use, �Il f 1 tt. storage and disposal of 111 gallons or more requires a license from the Public Health Division. 77 Antifreeze(�Cogl eAA-g1yC.0l) iK �v+�p1 �r'B 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 �- Miscellaneous Corrosives - Cmrros,v�s coo, Ga—� sabB,jet fuel, aviation gas?�i4 Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants �- Miscellaneous petroleum products: Road salts grease, lubricants, gear oil 2 o Refrigerants (,v< f)v-�-s Sk-f� Degreasers for engines&garages Pesticides: ✓ CaulWGrout/,Aafke-5,%I-e-S 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 tars Koko, Swimming pool chlorine �- Paints, varnishes, stains, dyesk Lye or caustic soda Lacquer thinners �a�`►'a,c�`' Miscellaneous Combustible (4�<0501 -� Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons 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: , (-,,&0 vc <,e. Al I ZYA - to (,A Cl��-l.a ��� � �aty N1a���t•�aG�( '� 1l'(S• Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS TOWN OF BARNSTABLE Date:A I // / I� .ems TOXIC AND HAZARDOUS MATERIALSFORM NAME OF BUSINESS: _4,6 5-fAble 6?W BUSINESS LOCATION: RoD ► ,+eA .,rs tjAt j � �UJ xvi 1, s INVENTORY MAILING ADDRESS: .5,tyk�e—. TOTAL AMOUNT: TELEPHONE NUMBER: 5-6>0 — I to - 632D .2go + CONTACT PERSON: 5-te-.j, EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS:, M%) le-, v,j QJ Ge xes INFORMATION / RECOMMENDATIONS: 'J ice. -fo Fir District: C�P,�1 C9 �, o•r� - /ri _�1�i Ll.e— k - �-r Y" r , h yi 15 (,t�Q`J�1� of 1• Aln n` t.( �2�y�NIY►(Je�rO C �T� '�'!J f/ Waste Transportation: Last shipment of hazardous waste: Name o auler: Ax6je,911,+'o inigk%,3� Dest' Ron: Gaul f f-O V15DOc}- Vp fa S";"yal�oK S. Wast roduct: ae 54(e�StQ,},o,1, &V��V' Lice ed? Yes No 4'90 6PA NOTE: Under the provisions of Ch. 111, Se Ion 31, of the General Laws of MA, hazardous rrl'aterial use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum 60 Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive Cl(NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts(Halite) Hydraulic fluid (including brake fluid) c2Sb1 Refrigerants Motor Oils —/ Pesticides U❑ NEW USED / (insecticides, herbicides, rodenticides) 0 Gasoline, Jet fuel,Aviation gas Photochemicals(Fixers) Diesel Fuel, kerosene,#2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals(Developer) 1 lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives(creosote) ` Caulk/Grout`4-AAL*.gNc6 Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) "EW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes -A-61 o e- 100— YJJ1.OG 1 Laundry soil &stain removers (including bleach) U5a 1'1'u5 o✓t j • �p�)� lc+'}` Spot removers&cleaning fluids (dry cleaners) I S 01�5 I��. +�,C2-ex-1-,Yt�i,>►s�-e-f5 - Other cleaning solvents Bug and tar removers I�a�� CV��Qvt� ,(�/,�-� 45 . `►"�4 v'4-2__ Windshield wash Ca61r4+5 A4.p o✓t at vide 1 vt V�y2 .► WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initial —I!� f f Number Fee 505 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that . Town of Barnstable-S&G 800 Pitcher's Way, 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 �3 and expires 06/30/2017 unless sooner suspended or revoked. �a WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/2016 JUNICHI SAWAYANAGI �4 THOMAS A. MCKEAN,R.S.,CHO Director of Public Health t A el, oFTME:r Town of Barnstable Office:508-862-4644 y. Fax: 508-790-6304 o, Regulatory Services Department n Public Health Division v ' Thomas A.McKean,CHO ''TEoA�a 200 Main Street, Hyannis, MA 02601 Payment Receipt Hazardous Materials Payment received: $125.00 (Check) on 7/5/2016 Permit number: 505 Check number: 935941 Check amount: $125.00 Name on check: Town of Barnstable Business: Town of Barnstable-S&G Owner: TOWN OF(MUN) Address: 800 PITCHER'S WAY, Hyannis ,Note: Category #2 =$125 I • y i • TOWN OF BARNSTAK `ROCx 'ANn 5 3 7XE _ TRUST On 4035798 FINANCE DEPARTMENT 230.SOUTH STREET CHECK aniuwsrneLe. HYANNIS MA 02601 NUMBER 3 9 594 ' "'" i63q. �0 TEL:508-862-4654 ��►+ay FAX:508-862-4717 ****ONE HUNDRED TWENTY FIVE DOLLARS EXACTLY**** Check Date3 Check Amo�t�it 06/30/2016 VOID AFTER 90 DAYS TO THE ORDER OF TOWN OF BARNSTABLE HEALTH DEPARTMENT 200 MAIN STREET 02601HYANNIS MA TREASURER 11/93594 Lill 1:0 111304478l: 403579811' OR » �*� V NET INVOICE' cFURCHASE: : � DATE;` Nl9MBER i ry INVOICE DESCRIPTION ¢ ,R � .AMOUNTla, ��"ORDER�#�� `_ . g.�.., ,. �.....;,._ t,va�-^fit�..4..��-c.°�:'� f».�.�� :aP�� �'4�":,�r"��°sir,F.'Y`�'�-ha:• `�a��'%ir-5;,,a�fRt .^��,�"r{. er., 4,�'u. 6/1/2016 351203 HAZMAT S&G JUNE2016 HOLD HEAL $125.00 16011311 017402-641270 " l I VENDOR# s F r 4 * 1i xKZVENDQRNAME , r� � rry� OUNT .CHECK DATECHECKNUMBER ra.n-s.�?� z,a'rt.r.4:c�x$�-n,:fik` ,�3':e.±;., a,"7;a.h3zS::ru .4595 TOWN OF BARNSTABLE $125.00 06/30/20.16 935941 REMITTANCE ADVICE-ATTACHED IS OUR CHECK IN FULL SETTLEMENT OF ITEMS SHOWN HEREON. IF NOT CORRECT,PLEASE RETURN WITH EXPLANATION. Town of Barnstable Finance Department (Z30 South Street Hyannis,MA 02601 Tel:508-862-4654 Fax:508-862-4717 1 Number Fee 505 THE COMMONWEALTH OF MASSACHUSETTS 100.00 Town of Barnstable Board of Health This is to Certify that Town of Barnstable-S&G 800 Pitcher's Way, Hyannis, MA 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 06/30/2016 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/2015 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health F f� 0 •' • Town of Barnstable E,C�;vLD Regulatory Services ° ' V ` r'IKS Richard V. Scali,Director s 0 3 2 €5 f F Public Health Division '°rEDMA�d Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.0.0 ASSESSORS MAP AND PARCEL NO. c 7/ DATE 30 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF FUZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISEENHNT Lj cc c� +� isi 0 n ADDRESS OF ESTABLISBYMNT '?Gp P 1012 ES L� A 9 A a 17 11 t 5� D a (0 TELEPHONE NUM 3ER l7 �- "'1 Q D Lp 3 y SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. U '1 1 STATE OF INCORPORATION ) a S 5 ci r h t t S P 4 5 FULL NAME AND HOME ADDRESS OF: PRESIDENT' TREASURER . CLERK r .SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# C:\cache\Temposry Intemet Files\OLMU AZAPP Rev2015.DOC r Town of Barnstable FI"E'O'�'Y Regulatory Services Richard V. Scali, Director er Public Health Division �fc 39. °' Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Wayne Miller,M.D. Fax: 508-790-6304 Paul J.Canniff,D.M.D. Junichi Sawayanagi NOTICE TO ALL BUSINESS OPERATORS WITH HAZARDOUS MATERIALS IN BARNSTABLE The Town of Barnstable Town Council adopted, Chapter 108: Hazardous Materials, a requirement for each business operator to obtain an annual permit and to remit a fee of$100.00 if one-hundred and eleven (111) gallons or more of hazardous materials are stored, transported, utilized, and/or disposed of at a particular site. STEPS 1 — 2: 1. Please complete the attached application form 2. Submit the fee of$100.00 payable to the: Town of Barnstable. MAIL all of the above to this office on or before June 30, 2015. A late charge of$10.00 will be assessed if payment is not received by July 10, 2015. Please feel free to view the above Code, Chapter 108: Hazardous Materials on the Town Website, www.town.barnstable.ma.us , which.is located under the E-Code section if you should have any questions or concerns. • QAHazmat\Haz Mat Permit Letter.DOC t z Town of Barnstable Office: 508-862-4644 Fax: 508-790-6304 Regulatory Services Department snxritntr~ Public Health Division y M'nss. ,� Thomas A. McKean,CHO 200 Main Street, Hyannis, MA 02601 Payment Receipt !Hazardous Materials Payment received: $100.00 (Check) on 6/30/2015Wm _.. i 1 !Check number: 913882 Check amount: $100.00 Name on check: Town of Barnstable Finance Department jBusiness: Structures &Grounds Division Owner: TOWN OF (MUN) BARNSTABLE ,Address: 800 PITCHER'S WAY, Hyannis I i Number Fee 505 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that Town of Barnstable-S&G 800 Pitcher's Way, Hyannis, MA 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 6/30/2015 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF, D.M.D. 6/30/2014 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable �OFTME row Regulatory Services ti owl Richard V. Scali,Director B" AS&B .M *) Public Health Division 9Q 059. ,0�' ptE 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 NAME OF APPLICANT F 5 A NAME OF ESTABLISHMENT De A) S roc', s ADDRESS OF ESTABLISHMENT �p pi�Cl�P_� 'S TELEPHONE NUMBER U $- 'y 96 - G 3 U SOLE OWNER: 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 SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# Q:1Application FormsUiAZAPRDOC Number Fee 505 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 . Town of Barnstable Board of Health This is to Certify that Town of Barnstable-S&G 800 Pitcher's Way,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.' '06/30/2014 unless sooner suspended or revoked. ---------------------------------------- j. WAYNE MILLER;M.D.;CHAIRMAN PAUL'J.CANNIFF,D.M;D. 07/01/2013 ilUNICHI SAWAYANAGI THOMAS A. MCKEAN,R.&,.CHO Director of Public Health 1 F Number Fee 505 THE COMMONWEALTH OF MASSACHUSETTS $10o.00 Town of Barnstable Board of Health This is to Certify that Town of Barnstable-S&G.. 800 Pitcher's Way, 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 6/30/2011 unless sooner suspended or revoked. WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2010 JUNICHI SAWAYANAGI THOMAS A. MCKEAN, R.S.,CHO -Director of Public Health_ t ' Town of Barnstable �OfIHE T � Regulatory Services Thomas F. Geiler, Director BARN .Ass. • Public Health Division v MASS. a O i639 OATFDM A 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. 62 rI a 3 7 DATE �� O APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN I II GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT /©n pF 019R-n Sf-A bhe NAME OF ESTABLISHMENT c.,c_,x�S • ADDRESS OF ESTABLISHMENT zoo R S TELEPHONE NUMBER (03aD. SOLE OWNER: ✓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 • SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE # ` Haz.doc.ap'y I 3 a7Gl■1 ■1 i 1:16744�1■IPI I a C wiI1171i■1■11■la a■J=L'L9:141 aQ■1C1■1■1 P�'19:1 a/G\J a aw�:I h7■14�1■ll`I13 C�■:/dA71�'1'/G\ a a I'l/1\:G\�1 P w l:I a=7GPf: _ oFT►+Er TOWN OF BARNSTABLE RocxT usD $3-4a� t13 . P� ~o FINANCE DEPARTMENT 403579e `230 SOUTH STREET CHECK 795660 BARNs."FAeLE, w, HYA;NNIS MA 02601 NUMBER 2659. �0 TEL:508-862-4653 Army a FAX:508-790-6224 "ONE HUNDRED DOLLARS EXACTLY**"' F Cheek bate Y ChekAmoun 06/30/201:0m=.: VOID AFTER 90 DAYS TO THE ORDER OF: TOWN OF BARNSTABLE HEALTH>DEPARTM ENT 200 MAIN STREET HYANNIS MA 02601 TREASURER. ll' 79 5660"a 0 1 L 3044 781: L.0 3 5 798Ila UX a INVOIC,E �. � IN1/,OICE �,.: u, �t 4 y ,, z NET INVOICE , P-URCHASE ORGANIZATION � y, ,DATE NUMBER ' INVOICE DESCRIPTION f . ,gMOUNT ; ORDER# NUMBER x ;> 6/15/2010 104095 i HAZMAT PERMIT HOLD S&G I $100.00 20111032 1 017405-673010 I I � I I • i i I I I � I I sVENDOR# ` x VENDOR NAMEx CHECKAMOUNT CHECK'DATjE CHECK NUMBER:l 4595 TOWN OF BARNSTABLE $100.00 06/30/2010 1 795660 REMITTANCE ADVICE-ATTACHED IS OUR CHECK IN FULL SETTLEMENT OF ITEMS SHOWN HEREON. IF NOT CORRECT,PLEASE RETURN WITH EXPLANATION. Town of Barnstable Finance Department 230 South Street Hyannis,MA 02601 Tel:508-862-4653 Fax:508-790-6224 • -Wah-,4L -710 Number Fee 505 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Town of Barnstable-S&G 800 Pitcher's Way, 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 { Number Fee 505 THE COMMONWEALTH OF MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that Town of Barnstable-S&G 800 Pitcher's Way, 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 31, 2008 unless sooner suspended or revoked. --------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. 5/31/2007 PAUL J. CANNIFF,D.M.D. THOMAS A. MCKEAN,R.S.,CHO Director of Public Health Number Fee 505 THE COMMONWEALTH OF MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that Town of Barnstable-S&G 800 Pitcher's Way, 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 6/30/2011 unless sooner suspended or revoked. WAYNE MILLER, M.D.,CHAIRMAN PAUL J__CANNIFF, D.M.D. 6/30/2010 JUNICHI SAWAYANAGI THOMAS A._M,CKEAN,R.S.,CHO Director of Public Health 1 Number Fee 505 THE COMMONWEALTH OF MASSACHUSETTS $10o.00 Town of Barnstable Board of Health This is to Certify that Town of Barnstable-S&G 800 Pitcher's Way, Hyannis,MA 02601 r— Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. C d ----------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------- ------------------------ This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2012 unless sooner suspended or revoked. --------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF, D.M.D. 6/30/2011 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Number Fee 505 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Town of Barnstable-S&G 800 Pitcher's Way, 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 6/30/2010 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2009 JUNICHI SAWAYANAGI THOMAS A. MCKEAN,R.S.,CHO Director of Public Health J Town ®f Barnstable - Barnstable o�THE Regulatory Services Department kzftd a Public Health Division s.�irsr�a,� 9 A ,. 200 Main Street, Hyannis MA 02601 �Ffl �a 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. d't '7I a, 3 DATE Cv�Ay O g APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT S 1!('[.�C�c,c,r�5 g- C�rcx s?�� S • ADDRESS OF ESTABLISHMENT DO ` TELEPHONE NUMBER �U.$- 'y 9 0 , (� y SOLE OWNER: ✓YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTINE,RS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION 1 FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK IGI E OF PPLICANT. • RESTRICTIONS: HOME ADDRESS HOME TELEPHONE # Q.\Hazmat\Ha2 Mat Application2008.DOC Town of Barnstable y�,oFIHiEra��r Regulatory Services • Thomas T. Geiler, Director * BARNSCABLE, 639, a 1cb Public Health Division 6gq. �e Ar�DMA�0.' Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Wayne Miller,M.D. Fax: 508-790-6304 Paul J. Canniff,D.M.D. s Junichi Sawayanagi NOTICE TO ALL BUSINESS OPERATORS WITH HAZARDOUS MATERIALS IN BARNSTABLE The Town of Barnstable Town Council adopted, Chapter 108: Hazardous Materials, a requirement for each business operator to obtain an annual permit and • to remit a fee of$100.00 if one-hundred and eleven (111) gallons or more of hazardous materials are stored, transported, utilized, and/or disposed of at a particular site. STEPS 1 — 2 - 3: 1. Please complete the attached application form 2. Include a copy of your contingency plan (to handle hazardous waste spills, etc.) 3. Submit the fee of$100.00 payable to the: Town of BarKstable. MAIL all of the above to this office on or before June 30, 2009. A late charge of$10.00 will be assessed if payment is not received by July 1, 2009. Upon receipt of the fee and a completed application form, an inspection may be performed by the Hazardous Materials Specialist to complete the Hazardous Materials On-Site Inventory. A permit will be issued once the application, contingency plan and check are received. • Please feel free to view the above Code, Chapter 108: Hazardous Materials on the Town Website, www-town.barnstable.rna.us , which is located under the E-Code section if you should have any questions or concerns. QAHazmat\Haz Mat Pen-nit Letter.DOC L r . u� • 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 time 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 of$100. Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. Allow time for in- house processing. For further assistance on any item above, call (508) 862-4644 Back to Main Public Health Division Page • r Q:AazmaMaz ji(at A.pplication2008.DOC • e• • •- a -o e e es .0401 The Ban.k of New York Mellon - 53=292 TOWN >OF BARNSTABLE OFF Everett MA 02149 113 FINANCE DEPARTMENT 223328 230 SOUTH STREETCHECK snxr+srns>e HYANNIS MA 02601 NUMBER 769508 TEL:508-862-4653 FAX:508-790-6224 'Checl�Dafe�r Ckleck Amo�ln ONE HUNpRED DOLLARS EXACTLY 06/30/2009 VOID AFTER 90 DAYS TO THE ORDER OF: TOWN OF BARNSTABLE HEALTH DEPARTMENT r2.00 MA1N.;STREET HYANNIS MA 02601 TREASURER: 1,107C3950811' 1:0LL3029201: 0 2 2 3 3 28110 TOWNOFBARNS ABLE %INVQIGE NUOI�C:E �. , NET IN�lOICE PURCHASE ORGANIL4]dN .. ,. DATE INVOICE DESCRIPTIONS z g 1FORDER#� VBERx 6/30/2009 63642 6/30109 HAZMAT PERMIT HOLD S& $100.00 29012067 017405-673010 • i n� a Yves> maw F I CHECK AMOUNTS CHECK DATE CHECK NUMBER1 VENDOR# s, VENDOR NAME`�a f 4595 TOWN OF BARNSTABLE $100.00 06/30/2009 769508 REMITTANCE ADVICE-ATTACHED IS OUR CHECK IN FULL SETTLEMENT OF ITEMS SHOWN HEREON. IF NOT CORRECT,PLEASE RETURN WITH EXPLANATION. Town of Barnstable Finance Department 230 South Street Hyannis,MA 02601 Tel:508-862-4653 Fax:508-790-6224 s Town of Barnstable Of- Regulatory Services Thomas F. der,DirEc#ar Public Health Dion Thom2s MoXeai:,Dinctor 200 Main Suet#, Hya=is,MA 02601 O-mcz-; 50o-1'062-464d F= 50&790-6304 Applica#icn Fee: $100.00 _'s�SESSfl S MAP A'M PAACIL NO, DATE APPLICATION FOR PER .'T TG STORE AND/0R UTU= MORE TEAS! III GAI LONS OF HAIAR OUS 1MATHRLALS FU,L NTA[ASE OF APPLICANT �)L,� 91 14a.0-S �T-AIYR OF ESTABT L=MnN7 D 0 5I n4,< 4, ,qt S v-t''-�a61-t.i't-4-S D L()1,5104 ADDRESS OF ESTABLISID/= 966 i l TCh. A'S GC)4 l/ i =..=EONS DER .6 o 1- '790 - S•OLF OWIH: YIS NO IF AFFIJCANT IS A PARTN==,FULL NAME AND HOB ADDRESS OF AID PARTNERS: L'A PPIJCAiN-T IS A C-ORPQRATION; FE.DEAL IDFNU=CA=ON NO, D 4/-6 00/0 7 9 STATE OFINCORPflRAT20N 7=, N-A-Na AND HOAR ADDRESS OF: PI�SID�i T T�AS`URF� CCJ�K Z" - C tATURE OF APFIJCAYT RESTRICTIONS: HOME ADDRESS �dac/wp/q i Town ®f Barnstable FTHf RECEIVED ti Regulatory Services DEPT. OFPUBLIC WORKS ti �* Thomas F. Geiler, Director q • BMWSTABLE. ' . Ui'� B $ Lvd� 9� . Public Health Division 1659. TOWN OF BARNSTABLE AjFD yA. Thomas McKean, Director STRUCTURES&GROUNDS DIVISION 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Wayne Miller,M.D. Fax: 508490-6304 Paul J. Canniff,D.M.D. Junichi Sawayanagi NOTICE / 30113 `78 TO ALL BUSINESS OPERATORS WITH HAZARDOUS MATERIALS IN BARNSTABLE The Town of Barnstable Town Council adopted, Chapter 108: Hazardous Materials, a requirement for each business operator to obtain an annual permit and to remit a fee of$100.00 if one-hundred and eleven (111) gallons or more of hazardous materials are stored, transported, utilized, and/or disposed of at a particular site. STEPS 1 — 2 - 3: 1. Please complete the attached application form 2. Include a copy of your contingency plan (to handle hazardous waste spills, etc.) 3. Submit the fee of$100.00 payable to the: Town of Barnstable. MATT, all of the above to this office on or before June 30, 2013. A late charge of$10.00 will be assessed if payment is not received by July 5, 2013. Please feel free to view the above Code, Chapter 108: Hazardous Materials on the Town Website, www.town.barnstable.ma.us , which is located under the E-Code section if you should have any questions or concerns. Q:1Hazmat\Haz Mat Permit Letter.DOC i DEP's 24-Hnuf Emergency Release .$pal . Noficalfion Line For reporting oii or hazardous material releases to the Massachusetts Department of Environmental Protection Local Calls: (617) 556-1 1 33 Or. Toil F ree 1 R88 344-113 For general information or assistance,call-Mys regional offices during business hours: Western,Springfield (413)784-1100 Central,Worcester (508)792-7650 Southeast, Lakeville (508)946-2700 Northeast,Wilmington (978)661-7600 Town of'Barnstable contacts: • Emergency 911 hire Department (508) 775-1300 •Police Department -- (508)77-5-0920 •Health Department -(508) 862-4644 Barnstable Structures & Grounds contacts: •Structures & Grounds (508)790-6320 •Steve Sundefin (508)B89-1160 • Bryan Lauzon (508) 889-1159 Barnstable DPW Spill Prevention Control & Countermeasures Plan Policy (SPCC) Structures& Grounds.Division Effective Date:01/02/02 Revised Date.05/14/13 PURPOSE: The intent of this standard aperating guideline is to provide personnel with reasonable procedures in the event of an oil/gasoline/diesel spill within the facility or immediate area. These guidelines are necessary and required to comply with-local,state,and federal rates and regulations regarding spill mitigation and notification.This guideline-shall be used as a reference to the department's apparatus and floor washing procedures and is designed to facilitate an organized response to spills and/or leaks. Note: The information contained in this guideline is based in part on federal Regulation 40 CFR 112 with respect to development ofan SPCC,Massachusetts 310 CMR 30,the Comprehensive Environmental Response Compensation and Liability Act(CERLA) Regulation 40 CPR 30 and the Resource Conservation and Recovery Act(RCRA) Regulation 40 CFR 264. Apparatus and floor washing procedures and spill prevention and controlmeasures shalt apply to facilities that utilize 11tight tanks","oil/gas separators"or"MDC"traps and/or connections to sanitary sewer systems.While the use of designated"mechanical bays"in each facility is required,these guidelines shall be used in ANY area of the facility or property- PROCEDURE: A.This guideline shall be employed whenever a spill or discharge of hazardous or potentially hazardous liquids has occurred on department property.This may include oil,gasoline,diesel fuel,foaming agents or other liquids.Reportable quantities are listed below for reference as applicable. B.Spill response activities shall be performed with the safety of personnel and protection of the environment as a primary concern.In the event of a spill or teak,the following actions shall be taken: 1.Initiate evacuation of the facility if necessary to protect the safety of others. 2.Notify other personnel and the duty officer-of the nature and location of the spill/leak. 3.Stop the-spill/ieak flow when possible without risk of personal injury.If sufficient resources are available within the facility,call for additional resources as necessary. 4.Contain the spill using whatever means available.Utilize available pads,absorbents, booms,etc.as appropriate.Call for additional resources as necessary. 5.Make the spill location off limits to unauthorized personnel by using caution tape or otherwise securing the area until clean up is completed. b.Restrict or discontinue use of all sources of ignition when flammable substances are involved. This document dratted by COMM god Cotait Fire Depts.In cooperation vith the BCDHE. Page I of 2 7.Report tho release to the appropriate regulatory agencies as necessary. $.Dispose of absorbent material based on type and quantity.Generally,spills of less than ten(10�pllons do not require reporting,see appendix. 9.Complete documentation of the incident to include: Name,position and circumstances relative to the spill or leak. Date and time of incident including when response.was made and terminated. Type and quantity of-material spilled/discharged. Confirmation of quantity.as reportable ornou reportable. Actions taken during and after-the incident. C.Personnel shall familiarize themselves with the location and use of equipment used in this"Weline.Personnel shall insure the availability of this equipment through inventory and/or regular and frequent inspection.Equipment needed for spill containment is located in the Structures&Grounds Pole Barn)(Safety Green 95-gal Kit) SPCC RESOURCES: The following resource list is provided-for quick_reference: Fire: 9-911 Federal Contacts: National Response Center 1-800-424-8802 State Contacts: Mass DEP Emergency Response Dept.Day: 1-508-946.2700,Night. 1-SM304-1133 Local Contact: Town of Barnstable,Health Division Day. 1-508-862-4W,Night:5rror police call list Spill on the water,Harbormaster—Day;1-50&790-6273,Night,fire or police.call list DMF---1-508-965-3286 Hazardons Waste Locker(at Marine&Environmental Affairs Building on Phinney's Lane):1-5W790-6272 On site and/or Local Resources: 16.3"x 48"PIG Blue Socks 10-3"x 10'PIG Blue Socks 60- 16"x 201'PIG Universal Mat Pads '08 21"x 17"PIG Pillows 50-Wipers 10-Disposable bags and ties 06-Tamper Proof seals 01-Emergency Response Guidebook 01-Instruction Manuel Off Site Contacts for spills beyond the capabilities of the facilities resources: Clean Harbors 1-�800-645-8265 Clean Veuture/Cycle Chem 1-508-872-5000 This document drafted by COMM and Cotuit Fire Depts.In cooperation with the BCDHE. Page 2 of 2 TOWN OF BARNSTABLE UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS NAME ADDRESS VILLAGE j LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE: OR CHEMIC L oe � /gyp (Give same information for any additional tanks on reverse side of card) 13 DATE OF PURCHASE OF EACH: 1. 2-'A 70 DATE OF FIRE DEPARTMENT PERMIT: TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS oar TOWN OF BARNSTABLE UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS Zo NAME ADDRESS ` �'6-60v VILLAGE LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE: OR CHEMICAL I f/,o �/ -� gal, � 6• 3Dc� (Give same information for any additional tanks on reverse side of card) DATE OF PURCHASE OF EACH: 1. 2. 3. l 4. DATE OF FIRE DEPARTMENT PERMIT: TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS L Speed Letter, �To From f Subject Gt� • �L�: � • ro —No.9&10FOtD - MESSAGE Date Signed ;, REPLY �No.a FOLD -�No.10 FOLD - Date Signed Wilson Jones Company RECIPIENT—RETAIN WHITE COPY, RETURN PINK COPY 0 1976NE FORM IN U.S.A.3-PART ®1978•PRINTED IN U. November 61T 1980 .Mr. Abraham=Michaels : Superintendent Department of Public Works ,Town of FBarnstable Hyannis,, Ma.. Dear-Mr, Michaels; Your letter`'of October 22,..1980# -is acknowledged. You are granted an' extension of time to expire September 1, 1981, to replace two underground fuel "storage tanks lo- cated at the old-Town Hall, Hyann3.s, and the Centerville Community Building in lieu of having them tested utilizing the Kent Moore Test, % D You are reminded that it is your responsibility to- devise, a system of ohecki.ngthese tanks so that any leakage is promptly detected. Ve truly yours Rdbert L.',-Childs, Chairman '. Ann %7` a Baugh. _. Hutchins F. . Znge, M. BOARD OF HEALTH - - 4. JMK/mm . cc: Board- of 5el,6ctmen Town Counsel DPW Commission K „Paul Casson DEPT. OF PUBLIC WORKS TYPE OF LOCATION OF TANKS CAPACITY FUEL AGE Centerville Community, Bldg. 11000 # 2 oil over 15 yrs. Old Town Hall 119000 # 2 oil 15 yrs. Osterville Recreation Bldg. 500 . # 2 oil unknown Mosswood Cemetery,Cotuit 1,000 Diesel oil 8 years Old Meeting House (149 & W.Barns. ) 17000 # 2 oil unknown Town Hall Comfort Station 500 # 2 oil unknown Senior Citizen' s Bldg. 275 # 2 oil unknown Kennedy Memorial Rink 500 # 2 oil unknown water .Pollution Control 41000 , diesel fuel 1 year v ' •Freezer Road P1ant,Barns. 21000 : South St. Pumping Station 300 " 4 yeas Traysor Museum 500 # 2 oil unknown 1 yOFTHETp� eJG� vJ�/��I/.lGLG -o BARNSTABL$MAI i lY, �p 1639. •fON p' ann � .�aasao�uae 0260/ COMMISSIONERS: (617) 775-II20 Ext. 185 JOHN F. CASEY, CHAIRMAN ABRAHAM. MICHAELS, P. E. DANIEL SERPICO, VICE-CHAIRMAN SUPERINTENDENT GEORGE C. BERGTHOLDT GEORGE W. BLANCHARD October 22, 1980 KEVIN O'NEIL To: John Kelly, Board of Health From: Abraham Michaels, DPW Subject: Underground Tank Regulations This Department has responsibility for two below-ground storage tanks that require testing or replacement in accordance with the Board of Health regulations. These tanks are located at the Old Town Hall and at the Cen- terville Community Building. We have investigated the cost of testing the tanks and replacing them and have determined that it would cost between $400 and $500 to retrofit and test the tanks using the Kent-Moore test. We have also learned that it would cost approximately $4,000 to replace the two tanks with new fiberglass units. Furthermore, we understand that if the steel tanks are to be kept, the pressure test would be required on an annual basis. It is our judgment that it would be more desirable to replace the tanks with fiberglass than to embark on an annual testing program. We have checked oil usage at both of these installations and have de- termined that from the middle of May to the middle of September a total of approximately 60 gallons were used in the Old Town Hall and from the middle of May to the end of August approximately 110 gallons were used at the Cen- terville Comrninity Building. It is apparent that this level of usage of fuel oil at the two facilities could be attributed to normal hot water heat- ing requirements and would indicate that there is no meaningful leakage cur- rently experienced at these installations. As you know, we are not budgeted in Fiscal 181 for either tank replace- ment or testing. In view of the apparent indication that there is no leak- age from these tanks and recognizing that it would be more desirable to re- place the tanks than to embark upon a retrofit and test program, we are suggesting that we seek funding from Town Meeting for the replacement of the two tanks and requesting that the testing of these tanks be waived at the present time. I ABRAHAM MICHAELS, P.E. Superintendent AM/bw cc: Board of Selectmen Town Counsel DPW Commission Paul Casson ' 1' of ... ,. - 4 - A., 'P a .. •. t August 15,A980 - 4 Mr., Paul Casson r Div. of Structures 5r& Grounds- T 800 Pitcher s',`Way t, ,Hyannis,,''nMa* .. Dear',Mr. Casson: y `' Enclosed is�•a copy of .a Board-ofHealth .regulation effective February 14 j .1980', .governing underground fuel- and. chemical ` p,g stor.age..,-�'Please .fill out the enclosed. card.and return to us listing any' underground stdrage tanks located-on :the property. 1f • • _ is _ e •`H. deb: `1' - - any, of," tanks .are fi€teen years old ..or alder, you _must ° ;have them tested=, "using the Kent-;Moore Pressure`Tes.t, 'by�, 'November 200 1980. please ;submit testing results and :>their, interpretation' to this office prior; to November 20°, 1980. . ' We* have enclosed 'a listin _ g'rof' companies who. perform this testing, You may also utilize any other concerns qualified to,. perfc4rm this testing. Also enclosed-,,aa..kapy of the letter, --se-nt 'to .Mr M Mi.chaels " zequesting the information'*. Very truly, yours,. John-M6 Ke11y, Director of° Publ.i.c Health encl. .4 , e• w. r. May«-16, .1980 • v Mr. yr�ah®�a�n�yA�ich i I. D'apartmen . of Public• ter s, .. - Town. of Barnstable.,., arnstable: r > - Hyann'St, I c'i4$,ta. f s Re: Unddrgr6uhd Stora4, "Tanks , a _ dear M ' iche ,Soi , Enclosed i- copy of a Board o� Health Requ�.atS�pa� e£- ective Febr .. " ary k 984, g'�sverninq uhdergraund fuel 'and chemical �.at6rage 4 ease. f �.1 taut "the enclosed Gard6",and.;return them tt� .v PD ' us la.st�. c riy,.undercrouhd storage'tankke located Oh , . 14 jt Town property. under 'your itir�.Sdictioh. V.6 tru,y john M. Kelly' r' f L'• b, J4 .�'spr[��,4's+ r" Y . R * •` . i _ - . '•-Va+F*' [ a$1p1 �- # .. ` k�•.Y* Y*4 Y ''e .• � t� eIlC�i P s v DEPARTMENT OF PUBLIC WORKS STRUCTURES & GROUNDS DIVISION MEMO TO:' John M. Kelly, Director of Public Health FROM: Paul Casson, Supervisor, Structures & Grounds Divison DATE: August 28 , 1980 RE: Underground Fuel Tanks As a result. of compiling. _ .a list,of underground fuel storage tanks for you, I have found that .we •have "rthree '1",000 gallon fuel tanks that are over 15 (fifteen) years old, under Structures & Grounds jurisdiction, _, The 11000 gallon oil tank at the Old Meeting House, in West Barn- stable, will be removed, since it has .-been known to leak. I am presently collectingiprices for the testing.,of 'the other two tanks; Old Town Hall , 1,060 gallon #2 oil; Centerville Recreation Building, 1, 000 gallon #2 oil.. It is our intentions. to have these 2 , (two) tanks tested and to pre- sent the results of these tests to you by November' 20, 1980 , as you have requested. Paul Casson, Supervisor, Structures & Grounds PC:ch TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM ��"a ���' � �4�� � Mail To,: NAME OF BUSINESS: r��v�s oard of Health' MAILING ADDRESS: - t Town of Barnstable TELEPHONE NUMBER: P.O. Box 534 CONTACT PERSON: %:�V l-0IV Hyannis, MA 02601 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in qua tities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES 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: 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: r� Antifreeze (for gasoline or coolant systems) rain cleaners f Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners ✓ Hydraulir fJuid (including brake fluid) ?� Disinfectants Motor oils/waste oils C/ Road Salt (Halite) ./ Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) I� Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Pain st , vgshes, stars, qye�s Fertilizers (if stored outdoors) ✓ Paint & lacquer thinners PCB's lt--P�aigt & varni h re mu rzs, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) I c -�. c-- Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochlori.c.acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): ./ f (dry cleaners) Other cleaning solventsAfi1lt1/fr✓,� Bug and tar removers Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH O satisfactory 2.Printers 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY-)' d' (see Orders ) 5.Retail Stores 6.Fuel Suppliers ADDRESS }amass: 7.Miscellaneous ITIES AND STORAGE (IN= indoors; OUT=outdoors) MAJOR MATERIALS Ca se lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT 1 it&gallons Age Test Fuels: '� Gast;.,. T FQ ,jA) I--,Dije�rosene�(B) f2=W Heavy Oils: avast motor oil (C) /' new motor oil (C ,p transmission/hydraulic Synthetic Organics: neo�ss�,,,� �Mfs �-. ,TIC' 'tY� •v � 1 C DISPOSAURECLAMATION REMARKS: C F 1. Sanitary Sewage 2. Water Supply .f O Town Sewer OPublic O On-site OPrivate 3. Indoor Floor Drains YES NO - O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system {{ 5. Waste TransporterName of Hauler —I DestinationWaste Prod . 1. F-1 YES N0 2. Person (s) Interviewed --I spector � Date r TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH O satisfactory 2.3.Auto Body Shops O unsatisfactory- 4. nters Manufacturers COMPANY ,a'i � I�I�L� (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS AZO SS: 7.Miscellaneous U TITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil(C) transmission/hydraulic Synthetic Organics: degreasers At Ir v-- iscellaneous: '16� 0rf / DISPOSAIJRECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply O Town Sewer OPublic O On-site OPrivate 3. Indoor Floor Drains YES NO O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system s i 5.Waste Transporter Name of Hauler Destination Waste Product LicensedT YES NO 1. 2. I / (Z�_ Person (s) Interviewed Inspector Date