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0024 PLANT ROAD - HAZMAT
� l • Number Fee 1041 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Import Auto Specialists .•••••••••.............••••••••••.....••••••••••••••••••••••••••••••••••......••••••••••••••••••••............................... 24 Plant Rd., Hyannis, MA .•••••••••••••••-••••••••••••••••••••••••••••••••...........••••••••••....••••••••••.....•••••••••••...••••••••••••••••••••••••••••••••••............................... Is Hereby Granted a License 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 Barnstablegm A Inspectional Services BARNSTABLE OF d MlE -%h Mc•conm•n.Ms Public Health Division L3SIXlSN'L5•6390.214 &WSMBIE 1639-2014 • MASKBAMsTABM = Thomas McKean, Director �< �'O�ED► a` 200 Main Street, Hyannis,MA 02601 ,2 4a",1 Office: 508-862-4644 Fax: 508-790-630.4 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 I st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 9 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. 3 1 �, -d i 7 `6�s a 2. IS THIS A PERMIT RENEWAL? V 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:. A 5. NAME OF ESTABLISHMENT: T fyl w6 Au% cr'?�'C,f c-h J�- {ZC_ 6. ADDRESS OF ESTABLISHMENT: �� �P�a r►`� � C 14 yCa n.�� 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: S ` cr) Qz 9. EMAIL ADDRESS: 10. SOLEOWNER: / YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE# OF: CORPORATIONNAME TA- ea�rk- jf�-c-Ic_G J- Znc. PRESIDENT 11�I o ftn-�P--J Or k o l(- Lc v-i oYt Y\ (019 oa(ayv TREASURER ✓1 jp r 7 Pr" t Gnot� Cc►.k , 14 r(p CLERK << 11 t ` 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: • SIGNATURE OF APPLICANT boc CCW--* DATE CQ Q:\Application Forms\Haz Mat Appli Draft Jan20l9.docx i Number Fee 1041 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Import Auto Specialists 24 Plant Rd., 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 Town of Barnstable HE Inspectional Services BAMSTABLE V'T MRNSTAOLE C^ifERI::L=•COfUR•NrdHk_ , B Public Health Division RhRSTOti bi S p^EFY LLE•+i6T9¢A.JSE :i]9�-77014 • ARNSI'ABLE, � � MASS, Thomas McKean, Director ArE 5 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 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 DULY 1 st-JUNE 3 Oth). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 _ X VS -�1Lti`o�( I CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charize of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. C.- 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, I�(25,�GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: KQ-ul u� 0 "`--J 5. NAME OF ESTABLISHMENT: wN ��Y ( � cJlPrceC4 ( v lw C 6. ADDRESS OF ESTABLISHMENT: ),Y 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: � 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: 10. SOLEOWNER: '`"' YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME V�U�a 'f?E'C(CJ(,-j d F,11 C ,PRESIDENT Ayf�Qi cl csnc& Lr—, A TREASURER /k `7 V% icr� or\o 1� �n. M n, o f(„yp CLERK l rat. 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT M r- DATE Cn 3y /� Q:\Application FonnS\Haz Mat App Revised 09-10-18.docx IKE�oq� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARM A T,-; .�' 200 Main Street• Hyannis, MA 02601 �` f6jq M "�� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rED A'S Business Name: o!-}' +o Date: Location/Mailing Address: 24 (aKA- t4ya-s4v%is Contact Name/Phone: evi v- 5-c>S-1-78-"Lo u Inventory Total Amount: ^ 4 4-1 SDS: I V►1& 5"L Vw\11&C License#: b t Tier III : Labeling: D Spill Plan: i.';,K Oil/WaterSeparator: Floor Drains: KI Emergency Numbers: &-K- Storage Areas/Tanks: it V1,kJ 01 Emergency/Containment Equipment: t+ Waste Generator ID: o Waste Product: Date&Amount of Last Shi ment/Fre uenc Licensed Waste Hauler&Destination: 5aX.Jk,1 Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS &N/ `�'V yam- 1 u- NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material us , storageand disposal of 111 gallons or more requires a license from the Public Health Division. / Antifreeze X Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) V Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants VMiscellaneous 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 Paints, varnishes, stains, dyes. Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) - Any other products with ".poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: I FORMATION/RECOMMENDATIONS: ON( �L a I'S C vs C!�1 h I t&>/ti54,e-- 0Lk-t1 X\f Jr-6sp�ctor: yFacility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS r� `oF�"E loN,r Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMARS. 200 Main Street• Hyannis, MA 02601 " 039. 3q TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rF0 MPy Business Name: J- or-} .A'o J c, 5+ Date: Location/Mailing Address: 2H Pja,+n S Contact Name/Phone: Inventory Total Amount: �'3S�OC�Q MSDS: I w s�"o�' ohllv-4— License#: �- Tier II : Labeling: OK Spill Plan: D Oil/WaterSeparator: 1D( Floor Drains: ►�o Emergency Numbers: oK Storage Areaslfanks: 2'1S��, ,��, a, S'�. l 5a 4't 1 vww o. S`f Emergency/Containment Equipment: ova 9 -tee_ Waste Generator ID: M\) D ? Waste Product: 0*I I C 44� rs, %e Date&Amount of Last Shipment/Frequency: tO !3 I(o I q Z A, o, ,- Licensed Waste Hauler&Destination: J e-� Other Waste Disposal Methods: LIST OF-TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the GAneral Laws of MA, hazardous mat rial 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 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 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 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/RECOMMENDATI NS: 5NAv o Inspector. Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS I °FTHE roh� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 aARMA.q 200 Main Street• Hyannis, MA 02601 �ArED MA�p`0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: —1- �of-�V'fv�o QJARct� ��5-IS Date: Location/Mailing Address: 2 ah is Contact Name/Phone: -eVt k Jk.LS �+G�S Inventory Total Amount: ^' 'JSO JaJ As, MSDS: D< License#: l d`1 I Z Tier II : No Labelina: &bod Spill Plan: 6K Oil/WaterSeparator: Floor Drains: t3v Emergency Numbers: OK- Storage Areas/Tanks: 115 141 wa,y}--o owls-ko! 4,14u,; A<0 a l 1_.ne--oI Emer enc /Containment E i ment: c a 0_A e, Waste Generator ID: 1 7(o I Waste Product: 0d, Date&Amount of Last Shipment/Frequency: L42a i l$S al o(l f ^-A K l Licensed Waste Hauler&Destination: �e 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 Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants V Miscellaneous petroleum products- Road salts grease, lubricants, gear oil 1-fS Refrigerants Degreasers for engines&garages Pesticides: yCaulk/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 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: o yv,P_S 0� c o•N� �ov�� �wA- . Inspecto . /� L-��e `e, Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS I rIKE Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 B""M M,`E'g 200 Main Street• Hyannis, MA 02601 f639•"lFo3+' TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: w�Qom+ 4,)+& s5kz-�^A Is+,. Date: 7 1� 1 Location/Mailing Address: 2 Play. 1QP- ev►✓11S Contact Name/Phone: K2,-j%V% - Awes iL -77 S-6 7(6O Inventory Total Amount: °Dk� MSDS: License#: I Tier II : o Labeling: Spill Plan: ek'- Oil/WaterSeparator: Njk Floor Drains: a Emergency Numbers: Storage AreaslTanks: Z76 A-li G- o a5'( 0 0A-Wa. a,k, 4A I Irjoi o.\K rC5 Emergency/Containment E ui ment: Waste Generator ID: 05101b-7-7 Waste Product: Este o 1 H e Date&Amount of Last Shipment/Frequency: - e Licensed Waste Hauler&Destination: a-F lere-v4- Other Waste Disposal Methods: ClAo CdA A IQ k4,( LIST OF TOXIC AND HAZARDOUS MATERIALS N D oke, °1 '-VoL is (a6t tK CVa� NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous n faterial 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 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 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 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: 5%XP--Wk5 -G e-oA q%v4.t y 01f s [,>&5 5 v Covl �i�w a�CS a �a w v r75 vAt? t / [— el �Inspector: , Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS TOWN OF BARNSTABLE Date:/'2-/ 3 / /3 TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: ,vK V4 Rib 6pez,,4,6kS BUSINESS LOCATION: 24 bAk Att yn Y%V%,k 5 INVENTORY MAILING ADDRESS: TOTAL AMOUNT- TELEPHONE NUMBER: SO$-778 - S-76 D -�r( 7 q,II s CONTACT PERSON: i�ew,w A mx-s EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: Ct%)4-0 INFORMATION / RECOMMENDATIONS: L. Fire District: 00,5k4- "AAN(tf-7)(s ova Q� Waste Transportation: 4-k-Rva,lac)� Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No 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 a month requires a license from blic Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS 'u'! wksj.c-q%lky, `t The Board of Health and the Public Health Division have determined that the lollowing products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum A tifreeze (for g soline or coolant systems) Miscellaneous Corrosive LNEW k\"�4 USED ��kcjlm- Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils a� ��RCN �C'k�(4 Pesticides NEW�k ' 1 USED �' ��� �`\ (insecticides, herbicides, rodenticides) Photochemicals (Fixers) Gasoline, Jet fuel,Aviation gas Diesel Fuel, kerosene,#2 heating oil ❑ NEW ❑ USED /( Miscellaneous petroleum products: grease, Photochemicals(Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries �o�� 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) ❑ NEW ❑ 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 I O �nn ��-�-reel Y1 0 1"�` `<,�fl Laundry soil &stain removers (including bleach) RvL7,4P� Spot removers &cleaning fluids (dry cleaners) VLovIQ— d-06 - 6q-7.I Soo Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials L� Number Fee 1041 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Import Auto Specialists 24 Plant Rd., 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 L'/ Voengatoryt'ervlcesof Bnslable Richard V. Scali,Director • "o„ Public Health Division :*71,Cx ~ i �SrABLF, Thomas McKean,Director MASS 1659. �0 200 Main Street, Hyannis,MA 02601 J.1 Office: 508-862-464-4 Fax: 508-790-6304 . Ch APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE tl 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 VI S . 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. 3 ) --0/ 7 01 /q 2. IS THIS A PERMIT RENEWAL? j YES_NO. IF YES,SHIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS • ZONING/BUILDING APPROVAL FOR uA7ARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES(25.GALLONS)? YES, NO. 4. FULL NAME OF APPLICANT: I h tgmk J 5. NAME OF ESTABLISHMENT: ZA I at�,I 6. ADDRESS OF ESTABLISHMENT:. 1/ C'C4 t 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: S. TELEPHONE NUMBER OF ESTABLISHMENT: jk) _ T�j 9. EMAIL ADDRESS: 10. SOLEOWNER: V YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME -L ipe vr� A,,IFy Ji('C�r . c <r:i E � PRESIDENT �i tir r^ t � ' che. t t "y..= ry) ,/yi, !1 /n 4) yJ4 TREASURER Wt ,fir-y i �Z 64-16'r- 16'" 6h , ✓ti j:a U td Ys CLERK ; 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE ( `- X.1 Q:Wpplication FonnsWAZMAT APP 2017 REVISED.docxf Number Fee 1041 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Import Auto Specialists 24 Plant Rd., 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 Z DONALD A.GUADAGNOLI,M.D. 07/01/2017 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health xow of Unstable P� °� 13-31 Kegi%atoervices / Richard V. Scali,Director �� Public Health Division BARNSTABLE enuusra .,s,r iue.colurt xruris Y MASS. r Thomas McKean)Director �� /639-2034 �..y 1639. 1 3.�A� 200 Main Street,Hyannis,MA 02601Dg ���-a Office: 508-862-4644 O�v Fax: 508-790-6304 T' APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE ' HAZARDOUS MATERIALS RNI 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 I PERMIT 26--110 Gallons:- - $ 5-0.00 CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 V S ' 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. "0(- 6C tl 2. IS THIS A PERMIT RENEWAL? V YES_NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONINGBUII.DING APPROVAL FOR HAZARDOUS MATERIALS STORAGEIUSE OF • GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: i" QV Lh 80Q S 5. NAME OF ESTABLISHMENT: A-%/�-w SAPrcCi 6. ADDRESS OF ESTABLISHMENT: (4 yc,/ n s tnA- DXA 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: S. TELEPHONE NUMBER OF ESTABLISHMENT: SOS ?� ` S-) (0-t� 9. EMAIL ADDRESS: 10. SOLEOWNER: /YES_NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME -1-P'! Ot�I�J Igt/I�7 -r U�CCf G 1 J 1-r(c PRESIDENT Rq-ut..n 3D-4 yd TREASURER &Ley AwT-f O i'a L4 (cnk Vvr-+-,r lL4, /h i f, A--fl o rya CLERK " U i . Z 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT 10 DATE 7 Q:\Application Forms\HAZMAT APP 2017 REVISED.doc • a �y Number Fee 1041 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Import Auto Specialists 24 Plant Rd., 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 f' Director of Public Health F r 3 Town of Barnstable I �t►+E�,,ti Regulatory Services Richard V. Scali,Director B" MASS.� ` Public Health Division BARNSTAB 1639 \0� y soa ws�v39-�i1.4— �a ED MAt Thomas McKean,Director ,� 163 o 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 1 Fax: 508-790-114 W 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 1st—JUNE 30th). APPLICATION FEES CATEGORY 1-PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 V•s CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ A late charge of$10.00 will be assessed if payment is not received by 1st. ASSESSORS MAP AND PARCEL NO. 9 la _00 _C*16 F DATE FULL NAME OF APPLICANT: NAME OF ESTABLISHMENT: ADDRESS OF ESTABLISHMENT: y PIC114- R C AI-A n a Q'-o (. MAILING ADDRESS(IF DIFFERENT): TELEPHONE NUMBER OF ESTABLISHMENT: EMAIL ADDRESS: SOLE OWNER: ✓ YES NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME �'vti P i-� JPFc v_c ,1 e PRESIDENT Y4-1_L.n OrnJ rn • ►9,; 11 mr+ G��Y� TREASURER ! A O a G fed CLERK77 • IF PREPARED BY OUTSIDE PARTY: SIGNATURE OF APPLICANT Name: l Arm, �Gvr, Company Address Telephone#: Email: Q:\Application Forms\HAZZAPP Revl6.docx Page 1 of 2 Number Fee 1041 THE COMMONWEALTH OF MASSACHUSETTS 100.00 Town of Barnstable Board of Health This is to Certify that Import Auto Specialists 24 Plant Rd., 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 } Town of Barnstable Regulatory Services • Richard V. Scan,Director Public Health Division ` Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-190-6304 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 NAME OF ESTABLISHMENT _—Im ooc" F{y}p S PrGC iG l i� ) ,1 vac:_ • ADDRESS OF ESTABLISHMENT RU,6 �L;_ n rt 1j M V-) 0j(90.1 TELEPHONE NUMBER -T - -2 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. C yJ-"Pi??- 2 y I STATE OF INCORPORATION M HS- FULL NAME AND HOME ADDRESS OF: PRESIDENT �'4Nzytn V�mej 9 O( Ic.^� fh-WAY', /�((L 1)?Yg O')C'yC? TREASURER _ w M ftYhE s c! C1�t) 1 c Ic.rn 4 VYAQ CA {Yy in((i 416 C,)rj(A? CLERK SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS 7 0 F�o le IG/,-e VIq 1h t L b mrl G A ya HOME TELEPHONE# 3�2- V d1- j-U14 Mcache\Temporary Internet Files\0I.KD3\HA7-APP Rev2015DOC Town of Barnstable office: 508-862-4644 '•Y Fax: 508-790-6304 �. Regulatory Services Department • Public Health Division BAWNSTARM MASS, Thomas A.McKean,CHO 200 Main Street, Hyannis, MA 02601 Payment Receipt iHazardous Materials Payment received: $100.00 (Check) on 7/6/2015 Permit number: 1041 t 1Check number: 8732 Check amount: 1$ 00.00 Name on check: Import Auto Specialist, Inc. i Business: Import Auto Specialists Owner: KEVIN P &MARY E ;Address: 24 PLANT ROAD, Hyannis } • " • 11 i5 Number Fee 1041 THE COMMONWEALTH OF MASSACHUSETTS 100.00 Town of Barnstable Board of Health This is to Certify that Import Auto Specialists 24 Plant Rd., 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 0 1 `�o/ Y �` 114E r Regulatory Services Richard V. Scali, Director BAR`ASS.`F Public Health Division TfOr�o'�° 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 l'�CL V 1 NAME OF ESTABLISHMENT 44k ffi� {t7 ADDRESS OF ESTABLISHMENT _A It-( 4 G JG6 TELEPHONE NUMBER �J.C)6' 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. 0 7 3 ' V t/,P- ; 7 t STATE OF INCORPORATION M PrS) FULL NAME AND HOME ADDRESS OF: PRESIDENT I/VZUi y, VykQ G kAC- G yp TREASURER (M 11r b all rzi o,R c,(F c,h� ( ✓h c V dl� vY Cs a * CLERK —"`� SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS � o n 6 krit, a Ott I/ A GA k" HOME TELEPHONE# Q:\Application FormsUiAZAPRDOC Number Fee 1041 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Import Auto Specialists 24 Plant Rd., 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 6/30/2014 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF, D.M.D. 6/30/2013 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Ce �J ToWI2 of Barnstable of iHE Regulatory Services � Thomas F. GeBer,DireetDr i ion pe ivcraBr.F �.PublicH2a.lth D1� Thomas McKean, DirzdDr 200 Main StZ4 Hyannis,MA 02501 Fes: 508-790-6304 0faca: 508462-4644 Appiicaton Fes; $100.Dd DATE ASSSESSORS NSAp AN7D F A�RCFL�i O. ATPLICAIIG�t FOR PERWT TO STORE AIND/n7 T TM,T7„MORE, TEAN 111 G_AILLONS OF RkZARD'OUS MATERIALS NA-Na OF A2TLJcAriT KCu ftlUtt 1 q.AAa OF ESTAB� � m Y ° ADDRESS OF EST-AB M Errr l - � TELEEHONE I(C1 3ER � SOLE O'er: Ams NO IF AFFLICAtNT IS A FARTNXR=j FALL NAB AND HOME ADDRESS OF ALL® 4 F ARTNIRS: c W � IF APPLICANT IS A CORPORATION: + DERAL IDEjCATIO�tt0. w s , STATE OF 2NCORFORATION M RSj ACME AND How ADDRESS OF: o��1� �h fln t L� Vh PRESIDENT �`1�Lv i � � �`�� (Q, ��► E of A TLICA-N T HOB ADDRESS o r1��� l.Q.nF FFSTRICTIONS: 8, -fa .- o��-- HOAff TEIIEPHONE# �=dac/wpiq Number Fee 1041 THE COMMONWEALTH OF MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that Import Auto Specialists 24 Plant Rd., Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. This license is granted inconformity 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 Town of Barnstable Op1HE r Regulatory Services Thomas F. Geiler, Director • R BARN _'S . A Public Health Division hfSS. a 9pO i639 ATEo m 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 C1 NAME OF ESTABLISHMENT ��� �,r� P0�3 S P�-_L t Clt(S i • ADDRESS OF ESTABLISHMENT TELEPHONE NUMB R J'V 2)2?- SS?CQ� 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.(D l J STATE OF INCORPORATION JJ FULL NAME AND HOME ADDRESS F: PRESIDENT ,�, P i VmJ � Vk tt V)iA- U�Y3 TREASURER Lo,.rv, (h Uhl lj ✓ it ya(a V"3> . CLERK • SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS (f)VIU (C. [CIVXL. 0\1 /1nL0 HOME TELEPHONE # AV 09 Haz.doc%k�p/q Number Fee 1041 THE COMMONWEALTH OF MASSACHUSETTS $10o.0o Town of Barnstable -Board of Health This is to Certify that Import Auto Specialists 24 Plant Rd., 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 tr f Y 'Town . of Barnstable " Barnstable s-- �YIHETom,, Regulatory Services Department bAA All ft Public Health Division efica BARNWABIZ 9 200 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 L ASSESSORS MAP AND PARCEL NO. DATE (o "d 3-U 2 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT. { kS NAME OF ESTABLISHMENT / p rf ftA�) c-i c.- Lf s ' JC— ADDRESS OF ESTABLISHMENT �( P(c� Cr„ n lJ • TELEPHONE NUMBER flV- -7.P- J D r SOLE OWNER: •►/ YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS ALL ^` PARTNERS: yrLn N ' CA Cx> M IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. OBI STATE OF INCORPORATION OD f-SS FULL NAME AND HOME ADDRESS OF: PRESIDENT q Elul . (cnk (`\�Jkrw Iht,ll MA Oa�yP TREASURER (rW y Rmcd 06 ok- b rI- prc„rj tuw rf-i.t l 1-h CLERK • S G ATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS pri�l� (�►1� VY� IhIL ✓ HOME TELEPHONE # Q:\Hazmat\Haz Mat Application2008.DOC TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM � n Mail To: NAME OF BUSINESS:__ 142 /T.�-� � mid s/ � Board of Health MAILING ADDRESS: _A, Town of Barnstable TELEPHONE NUMBER: D' —© P.O. Box 534 Hyannis, MA 02601 CONTACT PERSON: Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities 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: l�"�ADDRESS: �� ��' � w_eu.?7 � 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 i i Please put a check beside each product that you store: Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) 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 Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, _ Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business f TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair 2.Printers BOARD OF HEALTH atisfactory 3.Auto Body Shops O unsatisfactory- 4. an COMPANY h!& (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS - Class: 7.Miscellaneous UANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MATERIAL Case lots Drurns 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 iscellaneous: �p 4.11 DISPOSAURECLAMATIO REMARKS: 1. Sanitary Sewage 2. Water Supply O Town Sewer Publice O On-site OPrivate ,, f 3. Indoor Floor Drains YES NO !/ O Holding tank: MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES_jfNO O Holding tank: MDC Q/,J�✓ 'LG Z� d�2 O Catch basin/Dry well Qom/ O On-site system 5. Waste Transporter Name of Hauler Destination Waste Product 1 YES NO r'V 4'> 2. rs s) terviewed Inspector Date TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH O satisfactory 2.3nters .Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY 8A. i S (see"Orders") s.Retail Stores - 6.Fuel Suppliers ADDRESS %1 —2 C1aSS' 7.Miscellaneous � QUANTITIES` AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERCase lots Drurns Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test r , Fuels: Gasoline,Jet Fuel (A) Diesel, K-ereso j Heavy Oils: waste motor oil (C) new motor oil (C) transmiss on/hydraulic�-j Synthetic Organics: degreasers Miscellaneous: DISPOSAIJRECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply _I Li�2u 1) O Town Sewer Public Pon-site OPrivate va 3. Indoor Floor Drains YES N0� O Holding tank:MDC O Catch basin/Dry well O On-site system r 4. Outdoor Surface drains:YES ZNO O Holding tank: MDC / O Catch basin/Dry well O On-site system 5. Waste Transporter Name of Hauler Destination Waste Product YES NO 2. erson (s) Interviewed Inspector Date TOWNI OF BARNSTABLE .BpB-W 159 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager , � ) dob Address of Offender MV/MB Reg.# Village/State/Zip / S.S# Business Name / SVt. V / IL.v l � a�/pm; on ttJ� 19 Business Address Signature of Enforcing Officer Village/State/Zip A Location of Offense/A/4 N 9PM /�'}i Enforc h4,,�Dep�t-7/Di1visio�nf Offense -jr-ZA , lD O ( ' / oh Facts o- � � f rz 1/��8 / o� /S r LW"U-- 670 EOS�4-�� This will--serve only as a warning. At this time no legar action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. TOWN, OF BARNSTABLE BAR-W Ordinance or Regulation WARNING NOTICE Name of Offender/Manager ` I 1 Address of Offender MV/MB Reg.# Village/State/Zip Business Name I. t /� 1J.w'� _ }_ am/pm; on /0/ 19 Business Address Signature of Enforcing Officer. Village/State/Zip f . Location of Offense '4 Av- i/41, rf,h t ! t � r F Enforcing Dept/Division j ! �,fly ✓ ^`� / f Offense Facts This will serve only as a warning. At this time no legal' action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. PAR Real Estate System - General Property Inquiry Help Parcel Id: 312 017- - Account No: 231074 Parent: Location: 0024 PLANT RD HYANNIS Neighborhood: C014 Fire Dist: HY �� � Devel Lot: 8 Lot Size: . 49 Acres � Current Own: DONAVAN, JOHN J & State Class: 316 �� NEVES, JOSEPH M TRS No. Bldgs: 1 Area: 91O0 CONGRESSIONAL DRIVE Year Added: CUMMAQUID 637 `� Deed Date: 070187 Refe -- January 1st: DONAVAN, JO D d MMDD 0787 D d R f Al. � Comments: LENKO REALTY TRUST � — Values: Land: 54000 B ldi 92400 E t F - Road System: 24 Ind 1277 P ANT ROAD ) F t 124 Ind ) F - Control In-Fo: Last Auto U Land Reviewed Tax Title: Account: J. Press XMT for moredata �� Next screen PAR Action — Owners Name — 0 a 0 1 r,Cl E!.,:: lNumber '-':'"L' :2 Yl. 0 A FA 1 E's-takte '�BvE;tp t A. ;rri y In q�..i r Ra r c e 1. 1 C41 CM.A 1-1 t 6 F` r e j"I t.1,; L o,c -�i t i o n- PLIA!"I'T 'r-NUE.11 H Y A i',l i\I 'S' i c, b d f'?'3`::' y L'ot, ri li I Own: AMES, KEVIN! MAR'll' f PL-41-iNI" lREI No. B.Idgs�': Y e i-,i r A cl d e..�d 8 IN I T C' v Elcm,cj 19 4 e Fl C 4 1:3 1 �R 1"!UEA r'y S KEVIN F` I'lARY 1:--' Ei e�c.?-d e 9 A.8 fl- corn im n t.s -id d i n V I t..t Jrr s ai 5 0 -t r a F 2�.'A t u r e lRoad systell-l'. r0"D t g H."I j F'r-n-t g Do in 1L. !.-.;a C. f")uto Llpd: C)'7*:.::"4":,.`.'?5 StFttLu5.', C 1 'TAC4'--3 Update" 5 C)0 C, B 1 c-I g 7, R e v i c-,) i--�d B'y- D a.t e 0 L itmid Revievied D a t al 0 v c '1*',7).::.i: T j.t I en A c C OU 1-1 t- -!--a e n Fi ci 1 d 1�3 a t ut s C a n c:- 1 F e�E -�s XNIT for rr�ore data scr-een p F� c t'.i c)V.-I Owner=, t--4ameo R-a�ac--1 li d e PC)1: Real E5'Calte incl�-tiry 1.0-4 'd, 1.2 17 00 B A c:c:o i-t n t INIo 6, F`arentt C F Ir!y L-oc: i on :2,:--': PL(`ft,,J'T* F'N'l 1 1 Y A N.,',.I s Devej. Lot'. L-rot Si-ze" 00 Acre,. t Own JONE'S, t:,.A-F HL-E J S,a -, C.Ia, 1-:19 WI-ITTICE C)A�::' TR I'll F.'e C-k Y o--a r c:i d F.-.,c I C,E N T E:R' T I cl D a t a 1-1 lU at r v 1.S,t i.-.':A*'!-,!-�t-l-'--':."L,"iN J R 3 ryl c.r.,n F", V a.1 5- a.n cl B uJI In s 4 2 o C) E t r a `-,e at U F"El Roacl C.i t g g In-Fo,", L-ast. AUti.-.) L,jl:)d'.' 072:,."'-?5 C L 0!3 2,.'-,,4 L, n d e v i e vi P d BY 9 DIdgis I y t 0 'Ti.tl.e,. ACICC.)Ullt, 4 ED 1'/7 Account. Ir-T Hold st-atus. F..Z(.-! ca rl c 1 'i, A "at- more, data 'MIT I- A F A Road Index Roaxi 'Name t-7 F-'.-arcel NumbeF-- ---------------- ----------------- ------- ----------- ------- ------- - -- TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1-Marine,Gas Stations,Repair 0 satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops Jar`' i unsatisfactory- 4.Manufacturers COMPANY .!`11 pl�j-r' _ 1 ;(�/ O (see"Orders") 5.Retail Stores A 6.Fuel Suppliers ADDRESS �� ,i.I ' � � .'lass: 7.Miscellaneous Q � }l r 1 UANTITIES AND STORAGE (IN= indoors;OUT=outdoors) �� MAJOR MATERL'lALS 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) r ., ('"transmission/d au1 c ' Synthetic Organics: degreasers Miscellaneous: DISPOSATJRECLAMATION RE MARK S: r 1. Sanitary Sewage 2. Water Supply O Town Sewer O.Public 'Cj On-site OPrivate ,-- 3. Indoor Floor Drains YES N. ! �� O Holding tank: MDC !A„ U/ 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 Transporter Name of Hauler Destination Waste Product 1 YES NO 2. Person (s) Interviewed Inspector Date. PLANT ROAD HYANNIS 0+0 CIT AVENUE PLAN REF:"--- APP 3-127 " ---Assessor-No; Lot No . House-N-o.-Owner-of---Record 4 Date --- 312-19 10 6 312-21 �-------12 15 ------- 312-17_._ 8 —2.4 -- --- -- -- -----...--------- -- -- ---- _ - " _ _---- -------�6�- - --- —_-- - T Y -- PL-AN-REF:-8=2---P=72 -_-_ r . Id 294-16-2 -2- rb 81 294-16-1 1 91 3 A(VLPoM.,_-------Pc 4 - i. s LV C �1_U HY�,NNIS — - p 0+0 A IRQ(2�2T ROAD ASSESSOR DQT HQU_SE. OW I) QF_RES92D DATE NO, NO, 312'-1 !. 4 12 3 10 1 --------31 Z-14 5�- a 1 1 - • Pee- - ?i4t%d�v�0 c 40 Ad _ 312- 9 -11-9,2U--- 30� V5� 1ftL_ /7�_18j ��'orn�p(d1L�.�'� G —_. 312—19 10 35 -- 3 1 2—25 16 5 2 _- - 312-24_ 15 60 F . . — - vh I �mac. : ', ccs,— --• T=��'=�m r_ --.312-23_--- 14 -- 68 C PE-AiT�O-�RU�_ �NA_MARTNE�ERV�CE 4� — RSK THE FOLLOWING I IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) 1A- �DATA THORNTON DR•SOUTH SHORE F; ® AIRPORT ANIT UES r' AUTO SALES COACH,' LTD_" Q QUALITY AUTO REPAIR �. O 30 CIT-•AVE• B + B TOWING 7,90 -0095 I � i. d d d1. 'Ox LEASE POYANT EMPTY BLUE BLDG. - N , 7 L , Ltd J C •7 ti$ j 1 r,.�- ___- _- - _ �J ." __`_. G V �,GY_K-OBINSON SUPPLY ti„ EUROPEAN ,CAR SERVICE . * CHARLIE'S MUSIC - { - - - - -- - --- J0 TV) MIDYCAPE-SHEET METAL ti I -v- -- _ T_ '` Y ISABEL' TOLE PAI-ETTS 10, /y �,LEN DRY CLEANING 1`•�:., s@. � `, ) �<24 PLANT`RD� �•�q,, -- M 1 _MEDICAL_BILLIN "'Art"�lst :tri k G-• CA --CREDIT BUREAU GYM .�' ' .v ., ♦ t C� r _COR .LEASE it• } "i'�a i,6� a � Y.r � � w j .� �� BOURQ EA G � UE_H _TING & COOLIN } aRZp,I�1�1.2' PROVIDENT OIL -45 PLANTRD Igo- red AV2 rIJ s.• -' 1 1111 'J64` PLA 3T0 SF�R�Z t m � 1 a �61. A 4 1 in Aj �/ • _� , JOHN'S RESTORATION TOWN `OF BARNSTABLE COMPLrANCE: CLASS: 1.Marine,Gas Stations,Repair 2. nters BOARD OF HEALTH O satisfactory 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY 9 K/ (see"Orders") 5.Retail Stores r� 6.Fuel Suppliers ADDRESS ` l l '' �ya Class: 7.Miscellaneous 0 h QUANTITIES 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) 1 Heavy_0ls: waste motor oil-(C)� ',-.new motor oil (C) V" transmission/hydraulic Synthetic Organics: degreasers t Miscellaneous: T�,&C P n� ON E DISPOSAL/RECLAMATION REMARKS: a 1. Sanitary Sewage 2. Water Supply t l I EII. 1 f �L fi�1-s TA S PV 0 O Town Sewer OPublic c' , n-site OPrivate 01110 �� `�-� ��1 y�� �� •�� �,-�tJ �r J��Jr/rj� ,,�� 3. Indoor Floor Drains YES NO O Holding tank:MDC O Catch basin/Dry well ►,� 1/ �� 7-�Alf ni I(A-0n`s O On-site system / 4. Outdoor Surface drains:YES NO ORDERS- O Holding tank:MDC ' r a lC'�(�ilk /C�- (a���:� �'��a"w O Catch basin/Dry well O On-site system r 5. Waste Transporter Name of Hauler J / Destination Waste Product i r 2. Person (s) Interviewed Inspector Date r TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair 2. nters BOARD OF _HEALTH 0 satisfactory 3.Auto Body Shops r 0 unsatisfactory- 4.Manufacturers COMPANY :ter" t (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS 9, I'.n 1 0), Class: 7.Miscellaneous f r 1y J:i f i�i j QUANTITIES 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 Miscellaneous: r rk DISPOSALIRECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply ! 11 t f�! 1. 1 tl VC '` �r O Town Sewer `O�Public '0 On-site� O Private 3. Indoor Floor Drains YES NO\/ t v`� f O Holding tank: MDC v 4`1 :/n r��.t�,�.) 111'/ r,r o ` �1,lf� s () �l'l 7 l O Catch basin/Dry well '14�A\! l�! (. �l .,V PA WIrk O On-site system 1)011), 4. Outdoor Surface drains:YES NO ORDERS: �^ Q Holding tank: MDC l Y) ()r4 00& 1 O Catch basin/Dry well I( , ^ O On-site system /'} � � 'r � � t_ , _5� n 5. Waste Transporter l/ r Name of Hauler Destination Waste Product YES _ r 2. Person (s) Interviewed Inspector Date v. mw o2\ noelo TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH o Satisfactory 2.Printers 3.Auto Body Shops J D f O unsatisfactory- 4.Manufacturers COMPANY l N (see"Orders") 5.Retail.Stores Fuel Suppliers ADDRESS . Class: r7 OMiscellaneous ) QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATE 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) 1 new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: 00 so Sf AD 6s SAN rfaz DISPOSAURECLAMATION REMARK : O 0 0 1. Sanitary Sewage 2. ater Supply O Town Sewer Public IS On-site OPrivate 0 3. ndoor Floor Drains YES NO fp O Holding tank: MDC Q Catch basin/Dry well ��O On-site system e s 4. Outdoor Surface drains:YES NO Holding tank:MDC Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES NO 2. Al p Person (s) Interviewed Insp for La e D��N CCU' � � 01VIr/6 /7, 1 ? z TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair 2. nters BOARD OF HEA TH O satisfactory 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY(146o1)�ey_ (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS Class: 7.Miscellaneous y/- JV�,S QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MATERIALS Case lots 1Underground IN OUT IN OUTI 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 Miscellaneous: DISPOSAIJRECLAMATION REMARKS: ( / 1. Sanitary Sewage 2. Water Supply O QI V Gr�tOO V O Town Sewer OPublic �On-site OPrivate 3. Indoor Floor Drains YES NO O Holding tank: MDC ry / O Catch basin/Dry well o O On-site system i Z 4. Outdoor Surface drains:YES NO OBE s: r O Holding tank: MDC T Catch basin/Dry well O On-site system 0 5. Waste Transporter Name of Hauler Destination Waste Product YES NO 1. 2. 0 0 Person s) Interviewed Inspector ate - � -,-k+ . �.. .. � .. mow_ • P.a.:w*- S ,r^ .. rxl.., • +-. .r•,ir - - -. r .. - .�:,.h�•.: TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair nters BOARD OF HEALTH O satisfactory 3.2.Auto Body Shops }� unsatisfactory- 4.Manufacturers COMPANYI ' ?Y mil`/� � O (see"Orders") s.Fue lSStores pl ers ADDRESSOWVA 4— P �� /1�(� � Class: 7.Miscellaneous QV)S QUANTITIES 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 Miscellaneous: LM DISPOSAL/REC;I.AMt1TION REMARKS: / �} j" 1. Sanitary Sewage 2. Water Supply ��'�( �Ti' �/C �,"/ i�1 l_.� (J/V ✓�V��� ��,U4I�t O Town Sewer OPublic r A ,r�r ® On-site OPrivate o , 3. Indoor Floor Drains YES O Holding tank:MDC NO �•� ���,lfln 1� �� / ,� w_ 1V / O Catch basin/Dry well # " O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC ( I )/ / / r ° -_-r1VFr '9Catch basin/Dry well ° r kl "a On-site system c 5. Waste Transporter L —= Name of Hauler Destination Waste Product YES N- 1. 2. HV-1 ilL lol Person(s) Interviewed Inspector Date TOWN OF BARNSTABL COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 0 3.Auto Body Shops t 0 unsatisfactory- 4.Manufacturers 5.Retail Stores (see"Orders") COMPANY-Z"0- 6.Fuel Suppliers 7.Miscellaneous ADDRESS Class: hij il 71, QUAkTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS. i R case lots Drums Above Tanks Undergrround Tanks IN OUT IN OUT IN JOUTI#&gal ons e est Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy.-Oils.—-->,. waste motor oil (C)) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: 0 \J I it io DISPOSALIRECLAMATION REMARKS: 1. Sanitary Sewage 2 ter Supply 0 Town Sewer Public W/a I 'b..Qn-site 6Private S CL<)q N6 3. Indoor Floor Drains YES 0 7X— 4� j1\1() 014L�vwh _(-0 �LVY rf �' 0 Holding tank:MDC_ 0 Catch basin/Dry well 0 On-site system 4. Outdoor Surface drains:YES___NO_ GREWM: 0 Holding tank:MDC /Y) I)a , Ooqrleo L- o 0 Catch basin/Dry well S" 0 On-site system _2s 5.Waste Transporter Name of Hauler Destination Waste Product LicensedT . A ".1-1 j 1//" '_(_ 1YV1 1 2. 1 , I I i f Person (s) Interviewed Inspector Date �qo--Ojjj I T=- Ff1�D8�NSor� TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH O satisfactory 2.Printers 3.Auto Body Shops COMPANY �/ knluelpw O unsatisfactory- 4.Manufacturers (see"Orders") 5.Retail Stores Fuel Suppliers ADDRESS0 7 "Miscellaneous Class: j,S QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MATE1@A§ Case lots Drums Above Tanks I Underground Tanks �i 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 Miscellaneous: 2 AD N(:�9 M6 SAN JV5/ I Aa D --F� e wag- � 2-0 fc �- To X DISPOSALIRECLAMATION REMARK :r 6 O o 0 1. Sanitary Sewage 2. Fater Supply MO ��� O Town Sewer qkPublic On-site OPrivate m 3. ndoor Floor Drains YES-NotfO O Holding tank: MDC O Catch basin/Dry well O On-site system ® e 4. Outdoor Surface drains:YES NO O E : Holding tank:MDC Catch basin/Dry well O On-site system L12: ste Transporter Name of Hauler 1 • Product YES NO A/U-111 (Akav J�4JL i Person (s) lWerviewed Insp for a e TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair nters BOARD OF HEALTH 0 satisfactory 3.2.Auto Body Shops unsatisfactory- 4.Manufacturers ! ` j � O (see"Orders") 5.Retail Stores COMPANY /ram I . �\ ' / -6.Fuel Suppliers ADDRESS - C"- �^- �-IU�" C1aSS' J/ 7.-Miscellaneous ALA ; QUANTITIES AND STORAGE (IN=indoors; OUT-outdoors) MAJOR MATERIAI- j' Case lots Drums Above Tanks Underground Tanks IN OUT IN OUTI IN OUT #&gallons Age Test Fuels: ` Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) � f transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: �r- r`4 k'I17CC Eo�ra ouL DISPOSAL/RECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply k ���'l� O Town Sewer GPublic ! 1 G, On-site OPrivate 3. Indoor Floor Drains YES NO O Holding tank: MDC IN t O Catch basin/Dry well O On-site system `y, - LP ( y - 4. Outdoor Surface drains:YES V NO ORDERS.-,, ' ' - ko4m Holding tank: MDC ���� � � 1 )—r, ' � � '` 1 JI O Catch basin/Dry well 5 On-site system 5. Waste Transporter Name of Hauler Destination Waste Product YES NO 2. i t, Person (s) Interviewed Inspector Date �/et Strea inc. t m PRESSURIZED WATER CLEANING SYSTEM (617) 7784971 30 Cit Avenue ■ Hyannis, MA 02601 ✓et Stream k_. Ir Ab PRESSURIZED WATER CLEANING SYSTEMDON BARTLM President Aboard TOP CAT 30 Cit Ave. (508)778-1971 Hyannis,MA 03601 r' 1 PREPARE-D ACCORDING TO THE OSHA HAZARD COMMUNICATION STI.NDARD ( 29 CFR 1910. 1200) . DANGER,I HARMFUL OR FATAL IF SWALLOWED. MAY CAUSE EYE, IIRITATION. KEEP- OUT OF REACH OF CHILDREN. SURLUSTER MFG. , INC. MATERIAL SAFTY DATA SHEETS EMERGENCY PHONE: (213) 435-2320 MSDS REFRENCE: V.L.C.D. SECTION I - IDENTIFICATION PRODUCT: :.V.'L__C;D. VII -- --LEATHER-:CI ERNE 'AND_'DRESSING SYNONYMS: NONE CHEMICAL: LIQUID SOAP = SURFACTANT CAS NO NONE SECTION II - HAZARDOUS INGREDIENTS COMPOSITION: NONE SECTION III - HEALTH INFORMATION INHALATION: PRODUCT EMITS AMMONIA IF PH IS BELOW 7 : 0 . MAY BE HARMFUL IF INHALED. INGESTION: , NOT EXPECTED TO HAVE ACUTE SYSTEMIC TOXICITY -BY INGESTION. NOTE TO PHYSICIANi ' INGESTION OF THIS PRODUCT OR SUBSEQUENT VOMITING CAN RESULT IN ASPIRATION OF LIGHT HYDROCARBON LIQUID WHICH CAN CAUSE PNEUMONITIS. EYE CONTACT: EXPECTED TO CAUSE NO MORE THAN MINOR EYE IRRITATION. SKIN CONTACT: PROLONGED OR FREQUENTLY REPEATED CONTACT MAY CAUSE SKIN IRRITATION OR MAY CAUSE THE SKIN TO BECOME CRACKED OR DRY FROM THE DEFATTING ACTION OF THE MATERIAL, SEE ADDITIONAL HEALTH DATA. i CARCENOGENICITY: NONE KNOWN SECTION IV - OCCUPATIONAL EXPOSURE LIMITS NO FEDERAL OSHA EXPOSURE STANDARD OR ACGITH TLV HAS BEEN ESTABLISHED FOR THIS IMATERIAL. 3 _ z S.D.S. V.L.C.D. - :i MFG. , INC. M. — SECTION VIII — REACTIVIT' GENERALLY STABLE NONE LIKELY HAZARDOUS','POLYMERIZATION: i CONDITION & MATERIALS TO AVOID: j KEEP AWAY FRO M HEAT AND FLAMES. AVOID CONTACT WITH OXI')IZING MATERIALS, STRONG ACIDS, AND STRONG BASES. I HAZARDOUS DECOMPOSITION PRODUCTS : D PRODUCE OXIDES OF SULFUR, CARBON, AND DECOMPOSITION OF ORGANIC MATERIALS MAY NITROGEN. SECTION IX — EMPLOYEE PROTECTION CONTROL MEASURES: HANDLE IN THE PRESENCE OF ADEQUATE VENTILATION. c - RESPITORY PROTECTI091 EXPOSURE IS LIKELY TO EXCEED ACCEPTABLE CRITERIARE(SPIRATORS SHOULD ONS II BE ' E UgE NIOSH/OSHA APPROVED RESPIRATORYC EQUIPMENT- IV) , ION O CONTAMINANT IN AIR AND IN ,iON THE FORM AND SELECTED RASED ACCORDANCE WITH OSHA (29 CFR 1910. 134) . �' PROTECTIVE CLOTHING: . 9 AND PROTECTIVE CLOTHING WHICH ARE IMP JALUFOROS� CONTACT. FOR THE . WEAR GLOVE IS POTENT DURATION OF..ANTICIPATED EXPOSURE IF THERE FYE PROTECTION: IT .A GLASSES MEETING THE SPECIFICATIONS OF SIA�YYGGOGGLES7MEET WHERE THE EYE IS ANTICIPATED. CHEMICAL �E IS THE aA CONTACT WITH THE ANSI STANDARD Z87 . 1 SHOULD BE WORN WHOEVER "E SPECIFICATIONS OF PE POSSIBILITY OF SPLASHING OR OTHER CONTACT WITH THE EYES. SE SECTION X — ENVIROMENTAL PROTECTION IF P ENVIROMENTAL PRECAUTIONS: 'R( CEASES OF THIS MATERIAL' WHERE SPILLS ARE POSSIBLE,. A AVOID UNCONTROLLED RIP COMPREHENSIVE SPILL RESPONSE PLAN SHOULD BE DEVELOPED AND IMPLEMENTED• , I) SPILL OR L0Ay- PRECAUTIONS _ P0� APPROPRIATE RESPIRATORY PROTECTION AND PROTECTIVE CLOTHING AS WEAR CONTAIN SPILLED MATERIAL. TRANSFER SECTION IX. OF AN UNCONTROLLED NECESSARY, COLLECT USING ABSORBENTERMEDIA. IN THE THE RELEASE IS RELEASE OF THIS MATERIAL, THE 4 REPORTABLE UNDER APPLICABLE LAWS AND REGULATIONS. U.S. DEPARTMENT OF LABOR-' HMIS x-/F/R=0/0/0 —Occupational Safety and Health Administration F^ 0 1leeea MATERIAL SAFETY DATA SHIET ° NFPA Required.under USDL Safety and Health Regulations for Ship Repairing, (N) Shipbuilding, and Shipbreaking (29 CFR 1915, 1916, 1917) SECTION I Date of Issue: 7-22-86 MANUFACTURER'S NAME EMERGENCY TELEPHONE NO. Rochester Midland 716-266--2283 ADORES rNumber,Street, City,State,and ZIP Code) 333 Hollenbeck Street, Rochester NY 14603 CHEMICAL NAME AND SYNONYMS TRADE NAME AND SY ONYMS None CHEMICAL FAMILY FORMULA Deodorant Sora Mixture SECTION II - HAZARDOUS INGREDIENTS PAINTS,PRESERVATIVES,&SOLVENTS % TL ALLOYS AND METALLIC COATINGS % Tnits) PIGMENTS BASE METAL CATALYST ALLOYS VEHICLE NOT.APPLICABLE METALLIC COATINGS NOT APPLICABL SOLVENTS FILLER METAL PLUS COATING O ORE FLUX ADDITIVE OTHERS 1 O-P 46RS HAZARDOUS MIXTURES OF OTHER LIQUIDS, SOLIDS, OR GASES % TLV (Units) i Does not contain any hazardous substances as determined in 29 CFR Part 1910. 1200 "Hazard Communication" OS State Worker and/or Community Right-To-Know Laws. Carcinogens: none under OSHA IARC or NTP. SECTION III - PHYSICAL DATA BOILING POINT(OF.) 212 SPECIFIC GRAVITY(H=0=1) as water VAPOR PRESSURE (mm Hy.) PERCENT,VOLATILE as water BY VOLUME (%) 98-99% VAPOR DENSITY(AIR-1) EVAPORATION RATE water as ( water al) 1 SOLUBILITY IN WATER completely di persable APPEARANCE AND ODOR colorless liquid - spice fragrance SECTION IV - FIRE AND EXPLOSION HAZARD DATA FLASH POINT (Method used) FLAMMABLE LIMITS Lei Uel None EXTINGUISHING MEDIA As for surrounding fire. SPECIAL FIRE FIGHTING PROCEDURES None UNUSUAL FIRE AND EXPLOSION HAZARDS None PAGE (1) MSDS Form # 338A (Continued on reverse side) X2872B U.S. DEPARTMENT OF LABOR FormOM13 Approved OMB No.44•R1387 Occupational Safety and Health Administration MATERIAL SAFETY DATA SHEET Required under USDL Safety and Health Regulations for Ship Repairing, l?RFPAPEI)- 11/85 Shipbuilding, and. Shipbreaking (29 CFR 1915, 1916, 1917) ' SECTION MANUFACTURER'S NAME EMERGENCY TELEPHONE NO. World Wide is Inc ADDRESS/Number,Street,City,State,and ZIP Code) 1910 S. State Street Indianapolis IN 4 203 CHEMICAL NAME AND SYNONYMS TRADE NAME AND SYNONYMS Mixture of or anic & inorganic compounds Su Seal A002 CHEMICAL FAMILY FORMULA Proorietary ram F�'Itjjs'k SECTION II - HAZARDOUS INGREDIENTS A/*r u SL-'7> Ol!W5�V PAINTS,PRESERVATIVES,&SOLVENTS X TLV ALLOYS AND METALLIC COATINGS % TLV Units (Units) PIGMENTS BASE METAL CATALYST ALLOYS VEHICLE METALLIC COATINGS SOLVENTS R METAL troleum distillate 75 100ppm PLU COATING OR CORE FLUX ADDITIVES OTHERS OTHERS HAZARDOUS MIXTURES OF OTHER LIQUIDS,SOLIDS,OR GASES % TLV (Units) SECTION III - PHYSICAL DATA BOILING POINT(*F.) > 212OF SPECIFIC GRAVITY(H2O-1) < 1 VAPOR PRESSURE (mm Hg.) a PERCENT,VOLATILE at 37.8 C 23rrm BY VOLUME(%) 90% VAPOR DENSITY(AIR-1) EVAPEP 'ON RATE 4 ( 'ier =21 more than 70 SOLUBILITY IN WATER InsOlubl APPEARANCE AND ODOR Milky white with petroleum odor SECTION IV - FIRE AND EXPLOSION HAZARD DATA FLUSH POINT (Method used) FLAMMABLE LIMITS Let Uel TCC 770F EX INGUISHING MEDIA At7ter water evaporates, residue may burn. Use water spray carbon dioxide SPECIAL FIRE FIGHTING PROCEDURES universal type foam applied by manufacturers recom- mended technique. - UNUSUAL FIRE AND EXPLOSION HAZARDS None r PAGE (1) (Continued on reverse side) Form OSHA-20 ' Rev.May 72 rOved U.S. DEPARTMENT OF LABOR OMB o.44-R OMB No.44•R13s7 , Occupational Safety and Health Administration MATERIAL. SAFETY DATA SHEET Required under USDL Safety and Health Regulations for Ship Repairing,PREPARED: 11/85 Shipbuilding, and Shipbreaking (29 CFR 1915, 1916, 1917) SECTION MANUFACTURER'S NAME EMERGENCY TELEPHONE NO. World Wide Chemicals, Inc. (117) 7RR-9925 ADDRESS(Number,Street,City,State,and ZIP Code) 10 S. State Street IndianapQlis, IN 46201 CHEMICAL NAME AND SYNONYMS TRADE NAME AND SYNONYMS NA Super Glaze A001 CHEMICAL FAMILY FORMULA CnA nn� 1 d 7"I{ SECTION II - HAZARDOUS INGREDIENTS PAINTS,PRESERVATIVES,&SOLVENTS X TLV ALLOYS AND METALLIC COATINGS X TLV Units (Units) PIGMENTS BASE METAL CATALYST ALLOYS VEHICLE METALLIC COATINGS SOLVENTS petroleum distillat FILLER METAL g 2 10 PLUS COATING OR CORE FLUX ADDITIVES OTHERS OTHERS HAZARDOUS MIXTURES OF OTHER LIQUIDS,SOLIDS, OR GASES % TLV (Units) SECTION III - PHYSICAL DATA BOILING POINT (*F.) 319p�. SPECIFIC GRAVITY(H2O.1) l 1.0. VAPOR PRESSURE (mm Hg.) PERCENT,VOLATILE 1.7 BY VOLUME(%) 75 VAPOR DENSITY (AIR-1) 5.0 EVAPORATION RATE ( -1) N/A SOLUBILITY IN WATER APPEARANCE AND ODOR Green-gray lotion-like product with slight solvent odor. SECTION IV - FIRE AND EXPLOSION HAZARD DATA FLASH POINT (Method used) FLAMMABLE LIMITS Lel Uel 1520F .92 b Vol air EXTINGUISHING MEDIA N.F.P.A. Class B Extinct, (CO2, Dry Chem. Foam) SPECIAL FIRE FIGHTING PROCEDURES Water spray can protect firefighters. Cool closed containers use fire nozzles. If water is used, use air-supplied breathing masks. UNUSUAL FIRE AND EXPLOSION HAZARDS Combustible Keep container tightly closed. . Kee awa• Fran heat and open flarre PAGE (1) (Continued on reverse side) Form OSHA-20 ' Rev. May 72 AUTO WAX COMPANY, INC. FIRE 1300 Round Table Drive. • Dallas, Texas 75247 214-631-4000 HEALTHt REACT 0-INSIGNIFICANT 1-SUGHT MATERIAL SAFETY DATA SHEET 3-HIGH MODERATE EMERGENCY PHONE NUMBER 1-800-826-0828 4-EXTREME_ The information in this MSDS was obtained from current and reputable sources. However, the data is provided without any warranty, express or implied, regarding its correctness or accuracy. It is the user's responsibility both to determine safe conditions for use of this product and to assume liablility for loss, injury, damage or expense resulting from improper use of this product. SECTlO FICATION Code Date Issued Date Revised Prepared By 33 03/92 03/92 Ron Veath PRODUCT NAME ► MAGIC DRESSING® SECTION 02 - HAZARDOUS INGREDIENTS - LD,of Material LC of CARCINOGEN Hazardous CAS (Specify Species/ .Marerlal TLV OSHA NTP [ARC tR!edIef % No. Route) (Specify Species) (PPM) (PPM) o ess mineial Spinrao var a e_ Not Avai7a-Bre- o o SECTION 03 - PHYSICAL DATA Physical State Odor and Appearance Odor Threshold Gas O Lktuld (.1) Solid(1 Fruity Odor/Clear Blue liquid (PPM) Not Available Vapor Pressure Vapor Density Evaporation - Boiling Point Freezing Point (mm Hg) Not Available (Air= 1) >.1 Rate < 1 ..: (°C) - 157° ' (°C) Not Available Volatile ubTrty in pH "Coefficient (By Volume) (20°C)Insoluble NotAva' I ravity 0.9096 ester/Oil DisW.of Available SECTION 04 - FIRE AND EXPLOSION DATA Flammability If Yes,Under Which Conditions Yes O No Means of Extinction Foam, Dry Chemical, Carbon Dioxide Special Procedures None utoignition Hd=dous Combustion Temperature(°C) Not Available Products Carbon Monoxide and Carbon Dioxide Rashpoint(°C)and Upper Explosion Not Lower Explosion Limit(%by Volume) Method 41/TCC UmIt(%by Volume) Available` Not Available Explosion Sensitivity to Rate of Burning Explosive '' illy to Impact Data: Not Available Not Available Power Not Available atic Dlscho eNot Available PRODUCT NAME ► MAGIC DRESSING® Poge 2 of 2 !F- SECTION 05 - REACTIVITY DATA Chemical Stability f No,under which conditions: Yes(� No () Incompatibility with f Yes,which ones? other Substances: Yes() Np (� Reactivity,and under what conditions? Not Available Hazardous Decomposition Products Carbon Monoxide and Carbon Dioxide SECTION 06 -TOXICOLOGICAL PROPERTIES Route of Entry Skin Contact V) Skin Absorption Eye Contact(.r) Inhalation Acute (.1) Inhalation Chronic Ingestion (.1) Effects of Acute Exposure to Material Harmful or fatal if swallowed. ingestion may cause nausea, dimness, confusion, and unconsciousness. Eye contact may cause irritation, redness, tearing, and blurred vision. Excessive breathing of vapors may cause nasal and respiratory irritation. Prolonged or repeated contact may cause irritation and dermatitis. Effects of Chronic Exposure to Material Not Available LDS of Material LC�of Material Exposure LimitomaterialIrritancy of (SActfy Species and (Specify Species) Not Available Material Route) Not Available Not Available Not Available Sensftatlon Property Carcinogenicity of Reproductive Synergistic of Material Not Available Material Not Available Effects of Material Not Available Materials Not Available SECTION 07 - PREVENTIVE MEASURES Personal Protective Equipment: Gloves(Specify) Nitrile/Vinyl lRespirator(Specify) NIOSH- Organic Vapor jEye(Specify) Glasses/Goggles Footwear(Specify) None lClothing(Specify) Coveralls/Apron Pther(Specify) None Engineering Controls(Specify,e.g.,Ventilation,enclosed Process) Normal Air Circulation Leak and Spill Procedure Collect and contain with absorbent Waste Disposal Dispose according to local, state, and federal laws Handling Procedures and Equipment None Storage Requirements Keep from freezing Ppecial Shipping Information None SECTION 08 - FIRST AID MEASURES Skin Contact: Wash affected area with soap and water. Remove contaminated clothing Eyes: Flush with water for 15 minutes. Seek medical attention Ingestion: Do not induce vomiting. Seek medical attention immediately Breathing: Move to fresh air. Provide oxygen if necessary Additional Information: EMERGENCY PHONE NUMBER 1-800-826-0828 AUTO WAX COMPANY, INC. FIRE 1300 Round Table Drive • Dallas, Texas 75247 _ 214-631-4000 HEALTH REACT 1 g � 0-INSIGNIFICANT 1-SLIGHT MODE MATERIAL SAFETY DATA SHEET 3-HGH RATE EMERGENCY PHONE NUMBER 1-800-826-0828 4-EXTREME The information in this MSDS was obtained from current and reputable sources. However, the data is provided without any warranty, express or implied, regarding its correctness or accuracy. It is the user's responsibility both to determine safe conditions for use of this product and to assume liablility for loss, injury, damage or expense resulting from improper use of this product. SECTION 01-IDENTIFICATION Code Date Issued Date Revised Prepared By 65 10/91 06/92 Ron Veath PRODUCT NAME ► SUPER DREss-ir SECTION 02 - HAZARDOUS INGREDIENTS LD of Material LC of CARCINOGEN Hazardous CAS (Specify Specles/ MWerlal TLV OSHA Mp IARC edlents % No. Route) (Specify Species) (PPM) (PPM) one SECTION 03 - PHYSICAL DATA Physical State Odor and Appearance Odor Threshold Gas() UQuld(,n solid () Lemon Scent/Milky Liquid (PPM) Not Available Vapor Pressure Vapor Density Evaporation Boiling Point Freezing Point (mm Hg) Not Available (Ah= 1) Not Available Rate < 1 (°C) 100' (°C) — Cr Volatile ubillty in pH specific Coefficient Not (By Volume) 70- 72% afar(20°C) Miscible 7.0-9.0 avity 1.00 Water/011 Dist Available SECTION 04 - FIRE AND EXPLOSION DATA Flammability If Yes,Under Which Conditions Yes () No (� Means of Extfnctron Water, Dry Chemical,Alcohol Foam, Carbon Dioxide Specid Procedures None Autolginiflon Hazardous Combustion Temperature(°C) Not Available Products Carbon Mono)dde and Carbon Dioxide Flashpoint(°C)and Upper Explosion Not Lower Explosion Limit Method None Umlt(%by Volume) Available (%by Volume) Not Available Explosion Sensitivity to Rate of Burning Explosive Power to Impact Data: Not Available Not Available Not Available patic DischargeNot Available PRODUCT NAME ► SUPER DRESS-R Pam 2 of 2 SECTION 05 - REACTIVITY DATA Chemical Stability No,under which conditions: Yes V) No () Incompatibility with f Yes,which ones? other Substances: Yes() No V) ReactMty,and under what conditions? Not Available Hazardous Decomposition Products Carbon Monoxide and Carbon Dioxide SECTION 06 -TOXICOLOGICAL PROPERTIES Route of Entry Eye Contact(�) Skin Contact (,/) Skin Absorption(� Inhalation Acute(� Inhalation Chronic() Ingestion(V) Effects of Acute Exposure to Material Ingestion may cause stomach irritation and nausea. Repeated or prolonged skin contact may cause irritation or redness Eye contact may cause redness, irritation and tearing. Inhalation of vapors may cause headache and dizziness. Effects of Chronic Exposure to Material Not Available "" LD50 of Material LC�of Material posers m Irritancy of (Specify Species and (Specify Species) f Material Material Route) Not Available Not Available Not Available Not Available on Property Carcinogenicity of Reproductive Synergistic f Material Not Available IMaterial Not Available ffects of Material Not Available Materials Not Available SEC11ON 07 - PREVENTIVE MEASURES Personal Protective Equipment: coves(Specify) Vinyl/Rubber Respirator(Specify) None Eye(Specify) Glasses/Goggles Footwear(Specify) None lClothing(Specify) Coveralls/Apron 10ther(Specify) None Engineering Ccntrols(Specify,e.g.,Ventilation,enclosed Process) Normal air circulation Leak and Spill Procedure Contain and collect with absorbent Waste Disposal Dispose in accordance with local,state, and federal laws Handling Procedures and Equipment None orage Requirements Do not allow to freeze pecial Shipping Information None SECTION 08 - FIRST AID MEASURES Skin Contact: Remove contaminated clothing. Wash affected area with soap and water Eyes: Flush with water for 15 minutes Ingestion: Drink large amounts of water Breathing: Move to fresh air Additional Information: EMERGENCY PHONE NUMBER 1-800-826-0828 AUTO WAX COMPANY, INC. FIRE 1300 Round Table Drive 0 Dallas, Texas 75247 0 0 214-631-4000 HEALTH REACT 0-INSIGNIFICANT 1-SLIGHT MATERIAL SAFETY DATA SHEET 3-HGH MODERATE EMERGENCY PHONE NUMBER 1-800-826-0828 4-EXTREME The information in this MSDS was obtained from current and reputable sources. However, the data is provided without any warranty, express or implied, regarding its correctness or accuracy. It is the user's responsibility both to determine safe conditions for use of this product and to assume liablil'rty for loss, injury, damage or expense resulting from improper use of this product. SECTION 01-IDENTIFICATION code Date Issued Date Revised Prepared By 35 03/92 03/92 Ron Veath PRODUCT NAME • E Z SUDS LIQUID SECTION 02 - HAZARDOUS INGREDIENTS LDS of Material LC of - CARCINOGEN Hazardous CAS (Specify Species/ Material TLV OSHA NTP IARC Ingredients % No. Route) (Sp No. Species) (PPIv1) (PPM) None SECTION.03 - PHYSICAL.DATA Physical State Odor and Appearance - - Odor Threshold Specific Gas() Liquid(4 Solid () Soap Odor/Yellow-Green Liquid (ppM) Not Available Gravity 1.1000 Vapor Pressure Vapor Density Evaporation Boiling Point Freezing Point (mm Hg) Not Available (Air= 1) > 1 Rate < 1 (°C) 100--- - (°C) 00 Volatile lubirrty in pH ravity ific Coefficient Not (By Volume) 82 ater(20°C) 100%. 8 1.1000 Ater/Oil Dist. Available SECTION 04 - FIRE AND EXPLOSION DATA Flammability If Yes,Under Which Conditions Yes () No (V) Means of Extinction Water, Foam, Dry Chemical, Carbon Dioxide Special Procedures None utoignition Hazardous Combustion Temperature(°C) Not Available Products Carbon Mono)ode and Carbon Dioxide Rashpoint(°C)and Upper Explosion Not Lower Explosion Limit(%by Volume) Method None Limit(%by Volume) Available Not Available Explosion Sensitivity to Rate of Burning Explosive Power to Impact Data: Not Available Not Available Not AvailablePc;rfirDbisc harge Not Available PRODUCT NAME ► E-Z SUDS UQUID Pam 2 of 2 SECTION 05 - REACTIVITY DATA Chemical Stability f No,under which conditions: Yes(W) No () Incompatibility with T Yes,which ones? other Substances: Yes () No (� Reactivity,and under what conditions? Not Available Hazardous Decomposition Products Carbon Monoxide and Carbon Dioxide SECTION 06 -TOXICOLOGICAL PROPERTIES Route of Entry Contact(,) Skin Contact G/) Skin Absorption() Eye Contact (� Inhalation Acute () Inhalation Chronic() Effects of Acute Exposure to Material Repeated or prolonged skin contact may cause redness or irritation. Ingestion may cause nausea and stomach distress. Eye contact may cause redness, irritation, and tearing. Effects of Chronic Exposure to Material Not Available LDS of Material LC of Material Exposure m o Material Irritancy of (Specify Species and (Specify species) Not Available Materiel Not Available Route) Not Available Not Available Sensittzation Property Carcinogenicity of Reproductive Synergistic f Material Not Available IMaterial Not Available Ffects of Material Not Available Materials Not Available SECTION 07 - PREVENTIVE MEASURES Personal Protective Equipment: Gloves(Specify) None lRespirator(Specify) None jEye(Specify) Glasses/Goggles Footwear(Specify) None lClothing(Specify) Coveralls/Apron Pther(Specify) None Engineering Controls(Specify,e.g.,Ventilation,enclosed Process) Normal Air Circulation Leak and Spill Procedure Contain and collect with absorbent ante Disposal Dispose in accordance with local, state, and federal laws Handling Procedures and Equipment None orage Requirements Do not allow to freeze I Shipping Information None SECTION 08 - FIRST AID MEASURES n Contact: Wash affected area with water Eyes: Flush eyes with water for 15 minutes Ingestion: Drink large amounts of water Breathing: Move to fresh air Additional Information: EMERGENCY PHONE NUMBER 1-800-826-0828 AUTO WAX COMPANY, INC. >FI.R 1300 Round Table Drive s . Dallas, Texas 75247 HEA�rt-I 1 EACT 214-631-4000GNIFICANT 1-SUGHT MATERIAL SAFETY DATA SHEET 3-HMODE IGH RATE EMERGENCY PHONE NUMBER 1-800-826-0828 4-EXTREME The information in this MSDS was obtained from current and reputable sources. However, the data is provided without any warranty, express or implied, regarding its correctness or accuracy. It is the user's responsibility both to determine safe conditions for use of this product and to assume liablility for loss, injury, damage or expense resulting from improper use of this product. SECTION 01-IDENTIFICATION Code Date Issued Date Revised Prepared By 30-S 03/92 07/92 Ron Veath PRODUCT NAME ► MAGIC MIST FRAGRANCE(Chevy, Pine Colada, Baby Powder, Leather, Lemon, Floral, Spice) SECTION 02 - HAZARDOUS INGREDIENTS LD of Material LC of CARCINOGEN Hazardous CAS (Specify Species/ MaTerial TLV OSHA NTp IARC Ingredients % No. Route) (Specify Species) (PPM) (PPM) None SECTION 03 - PHYSICAL DATA Physical State Odor and Appearance Odor Threshold Gas f 1 Liquid fn Solidi 1 Fragrant/Clear Liquid (PPM) Not Available Vapor Pressure Vapor Density Evaporation Boiling Point Freezing Point (mm Hg) Not Available (Air= 1) Not Available Rate Not Available (°C) 100, (°C) 0' Volatile Isclubility in pH Ppecific Coefficient Not (By Volume) i00% water WC) 100% 7.5 cavity 1.0200 ester/Oil Dlst. Available SECTION 04 - FIRE AND EXPLOSION DATA Flammability If Yes,Under Which Conditions Yes O No V) Means of Extinction Water, Carbon Dioxide, Foam, Dry Chemical Special Procedures None utoignition Hazardous Combustion Temperature(°C) Not Available Products Carbon Monoxide and Carbon Dioxide Rashpoint(°C)and Upper ExpIcslor. Not Lower Explosion Limit(%by Volume) Method None Limit(%by Volume) Available Not Available Explosion Sensitivity to Rate of Burning Explosive Power 0ensftity to Impact Data: Not Available Not Available Not Available patic Discharge Not Available PRODUCT NAME ► SPRING MIST FRAGRANCE Pam 2 of 2 SECTION 05 - REACTIVITY DATA Chemical Stability f No,under which conditions: Yes(01) No () Incompatibility with. f Yes,which ones? other Substances: Yes() No (� Reactivity,and under what conditions? Not Available Hazardous Decomposition Products Carbon Monoxide and Carbon Dioxide SECTION 06 -TOXICOLOGICAL PROPERTIES Route of Entry Skin Contact V) Skin Absorption Eye Contact(V) Inhalation Acute() Inhalation Chronic() Ingestion(� Effects of Acute Exposure to Material Ingestion may cause nausea, vomiting, diarrhea. Repeated or prolonged skin contact may cause redness, irritation. Eye contact may cause burning, redness, irritation. Effects of Chvonic Exposure to Material Not Available LDS of Material LC�of Material posure m Irritancy of (Speclfy Species and (Specify Species) f Material Material Route) Not Available Not Available Not Available Not Available Sensitization Property Carcinogenicity of eproductive Synergistic of Material Not Available Material Not Available ffects of Material Not Available Materials Not Available SECTION 07 - PREVENTIVE MEASURES Personal Protective Equipment; Gloves(Specify) Rubber/Vinyl lRespirator(Specify) None 1Eye(Specify) Glasses/Goggles Footwear(Specify) None lClothing(Specify) Coveralls/Apron 10ther(Specify) None Engineering Controls(Specify,e.g.,Ventilation,enclosed Process) Normal air circulation Leak and Spill Procedure Contain and collect with absorbers Waste Disposal Dispose according to local, state and federal laws Handling Procedures and Equipment None orage Requirements Keep from freezing pedal Shipping Information None SECTION 08 - FIRST AID MEASURES ki Eyes: n Contact: Wash affected area with soap and water. Flush eyes for 15 minutes with water. Seek medical attention Ingestion Drink lame amounts of water. Breathing: Move to fresh air ddrtioral Information: EMERGENCY PHONE NUMBER 1-800-826-0828 �AASSAUHUSE'i-i-S -DEPARTMENT OF REVENUE oL, FORM -Energy Exemption Certificate ; :3 (Temporary) TO BE COMPLETED BY PURCHASER AND GIVEN TO AND RETAINED BY VENDOR TO: Vendor's Name _ Colonial Gas Cnm any - .('anP ('nrf 0iyitinn Address_- P. 0. Box 1005 City Hyannis State_ -MA Zip_ 02602-1005 DESCRIPTION OF ENERGY BEING PURCHASED-CHECK ONE: ® Gas ❑ Steam [] Elecfrtclfy ❑ Heating Fuel (A separate certificate must be submitted for each energy type and each separate vendor.) I hereby certify that: 8""'The purchaser named herein is a small business with five or less employees. For purposes of this exemption, employees include all workers, owners, officers, and partners who work for the business and do not include any employee who normally works for less than thirty hours per week or is hired for a period of less than five months. See G.L. c. 64H, Sec. 6 (qq). ❑ 75 percent or more of the type of energy checked above will be consumed and used directly and ex- clusively in an industrial plant in the actual manufacture of tangible personal property to be sold or in the heating of such industrial plant at the following metered buildings, locations, or premises. See G.L. c. 64H, Sec. 6 (i), 0), (r). Service location(s) of qualified property: y_S ��I?IV% ��Y1�/✓/�/ S ��/� Account numbor(s): ❑ The purchaser named herein is a tax-exempt organization under I.R.C. Sec. 501 (c)(3), holding a valid ST-2 from the Massachusetts Commissioner of Revenue, a photocopy of which is attached hereto. See G.L. c. 64H, Sec. 6 (e). Full liability is herein assumed for the payment of any use tax in the event that the energy purchased is not eligible fcr exemption as herein certified. This certificate is considered a part of each purchase of energy unless revoked in writing by the purchaser. All bills issued under this certificate will clearly indicate that they represent exempt purchases of energy. If the purchaser is no longer eligible for the exemption certified above, the purchaser must notify the vendor in writing that any future purchases are taxable. Signed and certified under the penalties of perjury. Signature zo Title Name of Firm /7-1 S ML- 1 Address_ y5 /�- rJ�� .% Pql i / G S hly/-w/Vts P219 Federal Identification No. Sales Tax Registration No.(if any) Any person who willfully misuses any certificate under G.L c. 64H or c. 641 may be subject to criminal penalties. See G.L c. 62C, Sec. 73 (i). (This form is approved by the Commissioner of Revenue and may be reproduced.) COLONIALCape Cod Division G A S C 0 M P A N Y Commercial/Industrial Application for Gas Service Name AIa=-R,6 T Nature of Business (n1 a C /771 67- ,-.0LEIno DBA - S =7r Z 1V r IV ' Z�- (/1 i0 i. N = c,-, cUumt4ia Service Address `/9- TA nix r a) Nytqjvlvrs' mr-n Are Mail Address ON' r 1 o s '7;7 FT l 9 7) Previous or Current Acct. with Colonial Gas Co. TYPE OF BUSINESS -Corporation ❑ State of Inc. Principal Place of Business 1.1>.alylvts Officers of Corporation: 1. Name 2. Name Address Address Tel. No. Title Tel. No. Title Non-Corporate Business C-- Principals/Partners 1. Name �oiwp�,D ����1i 2. Name Address Address 4/9Nlvis 1-174 Tel. No. Tel. No. Real Estate Trust ❑ Principal Place of Business Trustees: 1. Name 2. Name Address Address n n O Tel. No. Tel. No_ z Beneficiaries: z O 1. Name 2. Name Address Address Tel. No. Tel. No. Where Filed Date Declaration of Trust Recorded Book Page Do you own this gas service property? Yes ❑ No 6-- If no, list name and address of landlord or mortgage holder: Name /n /?t?k_ RZ_--74L 'Sn7- l�� 131EL _1�i11 ��i� Address /61G i� E i" "r ST U/P/i-n rnw1V 119 Oo; l 7� 6/7 9a,3 5/y6/ — OVER 0 M( The Town of Barnstable 1 .t.(.ruce 3 Inspection Department • 367 Main Street, Hyannis, MA 02601 508-790-6227 Joseph D. DaLuz Building Commissioner TO: Thomas McKean, Director Health Department FROM: Joseph D. DaLuz, Building Commissioner SUBJECT: Don B artl ett/Zoning .DATE: November 23, 1992 This letter is a follow-up of our conversation of Friday, November 20th concerning the question of "service" as referenced in Paragraph B) of Section 3-5.2 Groundwater Protection Overlay Districts. " I have further examined the service" portion and that would deal with anything automotive that would require the use of a hazardous material. The installation of a car phone' is a "service" as is interior cleaning. It is my determination that the cleaning of automobiles is a permitted use in the district. I defer all product and health issues to your department i.e. dry cleaning and all such uses that would concern ground water protection. t .0 0 X 11 D DILUTION CHART WHITE WALL TIRES: Use undiluted spray on. Allow 1 minute. Brush, if necessary, and rinse .with water. VINYL, LEATHER or 200 XHD. Spray on, allow LEATHERETTE: Use 3 parts water to 1 part I minute, wipe with damp sponge or cloth. FABRIC UPHOLSTERY and RUGS: Use 3 parts water to 1 part 200 XHD. Spray or sponge on, remove excess with damp sponge or cloth. CONVERTIBLE TOPS: Use 3 parts water to 1 part 200 XHD, or concentrated, depending on condition. MOTOR WASHING: Use 1 part Kerosene to 1 part 200 XHD. Spray. on motor, brush heavily caked areas, allow to penetrate 5 minutes and flush with steam or water. It is advisable to cover distributor with piece of inner tube. FLOORS: For removal of wax accumulation and general cleaning. Dilute 1 part 200 XHD with 4 parts water, mop and Mop dry. DYTEX Chemical Co., Inc. • 1280 High Street • Central Fails, Rhode Island 02863 • 401-724-6300 MATERIAL SAFETY DATA SHEET ("`• 2�10 7(Fa� SECTION I - IDENTIFICATION AiNUFAC URER' S NAME7. . . . . . Dytex C'nerlical C' DDRESS. . . . . . . . . . . . . . . . . . 1SS0 Hi4h Street Cerstral Fall=- R3 lil 6 MERGEiNCY T cL #. . . . . . . . . . (41711 ) 7 4-S.300 =L # r=OR INFO. . . . . . . . . . . (4Q,I ) 7`4-S1210121 HEM":CAL NAME. . . . . . . . . . . . FORMULA . . . . . BADE NAME. . . . . . . . . . . . . . . 21%0 FORMULA HULA. . . . . AS NUMBER. . . . . . . . . . . . . . . UiN iNUhlFtt=:. . . ATE r REz ARED. . . . . . . . . . . . March 10. 1`87 SECTION II HAZARDOUS INGREDIENTS • i LV r'Qrll 0 1 HEAR od uril Hyarax L . _odium Melasitide A. 4,, ------------------------SECTION III - PHYSICAL DATA OILING POIiN7 (F) . . . . . . . . iN/A V1-i�' PtES3 mra i-IU. . N/A AP DENS I"i Y (Air=l ) . . . . . . None 'J(-1F NATE. . . . . . . . N/A EC GRAVITY (H2171=? ? . . . . . 1 LUr I�! WATER. . . . . . . . . . . 11LIk15: P!-'EARANCE AND ODOR. . . . . . Ye: lcwi=a green VOLPTILH BY VOL. . . . . . . . 1 f% SECTION IV FIRE AND EXPLOSION HAZARD DATA -ASH PT (METHOD USED) . . . Ni A LAMMAEL`= LIMIT _i WE . . . . . . . . . . . . . . . N/A U[:,EN. . . . . . . N/A :X T INGUISHING MEDI n. . . . . . Ni:a PECIAL FIRE FIGHT=i\JG ?V!A ROCEDURES. . . . . . . . . . . . . . :NUSUAL FIRE AND y/A :Xi'LOS1ON f-i::lZARLiS. . . . . . . =------------------ SECTION V - REACTIVITY DATA UNSTABLE STABLE. . . . . YES :NCOi�Ig'ATiBLE MAT R=ALS. . . .�tr_nc xi0i�ir,g aner:ts MATERIAL SAFETY DATA SHEET Oxides � Ca. Sul f=r, �=+.. •.:Di:��S i.E::�.ir,f=•LSI'i:O�i ice;<id _ f R PRODUCTS. . . . . . . . . . . AZAADOUS POLYMERIZATION. ONDI i IONS TO AVOID. . . . . . ^-/ : SECTION VI - HEALTH HAZARD DATA -FELTS OF OVER EXPOSURE SKIN. . . . . . . . . . . . . . . . Irritation and m_ass i b 1 e dermat i t es \ EYE Burning {�iHALA i . . . . . . . . . . N/A INGESTION. . . . . . . . . . . May resvit in vomiting. Burning or iso phacas, mouth and stomach. AE RGENC`f FIRS_' AID PROCEDURES SKIN CONTACT. . . . . . . . gash skin with soap and water. Remove contaminated clotning and mots. • _ CONTACT. . . . . . . . . Wash eyes coc i o!is l Y with water. INHALATION. . . . . . . . . . N/A NGESTION. . . . . . . . . . . DO NOT induce vomiting. Give milk write of eggs. Drink large amounts o water. SECTION VII - SPILL OR LEAP. PROCEDURE EPS -AKEN FOR SPILLS. . . Flush area of swill with water. ASTE DISPOSAL METHOD. . . . Sewer SECTION VIII - CONTROL MEASURES/PROTECTIVE ESPIRATORY PR07EC T ION. . . N/A =ANT I L►=iT I ON REQUIRED LOCAL. . . .'. . . . . . . . . . . N/A SPECIAL. . . . . MECHANICAL. . . . . . . . . . OTHER. . . . . . . ROTECTIVE GLOVES. . . . . . . . needed YEPROTECTION. . . . . . . . . . . Goggles or face mask . _ THER. . . . . . . . . . . . . . . . . . . . ---------------------- - SECTION IX SPECIAL PRECAUTIONS ANDLING AND STORING. . . . . N/A T:HER. . . . . . . . . . . . . . . . . . . . i 3 _ a 3ou�4� �'R'wo�FnlT CFFC o ;---� ' � 1-J � � � cOOCM/Cq �y Y 4 �,t J Cl �°' o 3ou�QL- �RavipENT F7 L-D t-� w w� p r b� O mho o . TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair O satisfactory 2.Printers BOARD.O HEALTH 3.Auto Body Shops COMPANY Wjj unsatisfactory- 4.Manufacturers see ers( "Ord ") 5.Retail Stores 6.Fuel Suppliers ADDRESS Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATEWlYffIS SUnderground IN OUT IN I OUT IN OUT #&gallons Age ITest Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers R-0 Miscellaneous: 11K DISPOSAIJRECLAMATION REMARKS: 6 1. Sanitary Sewage 2.Water Supply Powiac._,? O Town Sewer OPublic �bn-site OPriv to 3. Indoor Floor Drains YESNO iHolding tank: O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: Holding tank: MDC Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product 1 YES NO 2. Al QV �- Person (s) Interviewed Inspe 'or ate I . .5c--. :-r, '.. . . ... ... :. (�-.. , > ,.,..,,�•.;�r-►- ++:zd,+t+yip•e"'9•a.,�,,,-v,>:.'a"'L'�f1A` 1�ic.+^'f"�`.� � TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 0� ry 3.Auto Body Shops / ., unsatisfactory- 4.Manufacturers COMPANY. l� i ;Ci % (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS 10,9 111 Class; 7.Miscellaneous VA/0,j QUANTITIES 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) f Heavy Oils: 1 waste motor oil (C) LJ new motor oil (C) f transmission/hydraulic Synthetic Organics: + `, degreasers Miscellaneous: DISPOSAURECI.AMATION REMARKS: a 1. Sanitary Sewage 2. Water Supply —� � O Town Sewer OPublic ��� -n a'� 4"") /P P t=) D"On-site OPrivate ry` ) v v v 3. Indoor Floor Drains YES I�. NO ��, � ..�f l Q,Holding tank:MDC ��"� '� � �� ' " v To Catch basin/Dry well r) f),7,)A/AM tr M1 5't+�A/1) � O On-site system 4. Outdoor Surface drains:YES NO ORDERS: Q�Holding tank:MDC O Catch basin/Dry well O On-site system 5. Waste Transporter Name of Hauler Destination Waste Product YES NO 1. 2. 4) Person (s) Interviewed Inspector Y Date ' r The Town of Barnstable 1 SAITITAILEInspection Department p N �,�„► 367 Main Street, Hyannis, MA 02601 508-790-6227 Joseph D. DaLuz Building Commissioner TO: Thomas McKean, Director Health Department FROM: Joseph D. DaLuz, Building Commissioner SUBJECT: Don Bartlett/Zoning DATE: November 23, 1992 This letter is a follow-up of our conversation of Friday, November 20th concerning the question of "service" as referenced in Paragraph B) of Section 3-5.2 Groundwater Protection Overlay Districts. I have further examined the "service" portion and that would deal with anything automotive that would require the use of a hazardous material. The installation of a car phone is a "service" as is interior cleaning. It is my determination that the cleaning of automobiles is a permitted use in the district. I defer all product and health issues to your department i.e. dry cleaning and all such uses that would concern ground water protection. r �4 tr It / ` rC """� Y� +t344'4'�{,,,�` yr µl� lieu Soli t flVA 3. �t Ir Xf, fa Nc 0 .,IZ9 i rapt fir, ,tsarn c- -- s ! x . 'Y4t - 1Y h x. - � .. •i `tip. - � / // � / 3 MUM fig' EM c * a • a' tb aA f.t n.,.f t i ------------ t � � S 1 l ..ryx'y Af ' I •A � ,I� ,�_ �) its ,,P,• �I 'r L C � `. � .,,Qom_ �• � .1.r.�� �`'b iiy yh •�'� � _P! � is �,, i< � . 5.,` �� i "� ' / � _�..� _ .. �. / / \�-` _ ,, _ , � , i,. r , � . / � , � " �__„_- , =--._ _ —� --�"`c. ��_ . �'' '�. ;� � � • • J p! 1 TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS: Board of Health MAILING ADDRESS: Town of Barnstable TELEPHONE NUMBER: "7 0 / P.O. Box 534 CONTACT PERSON: �a:, �? , fU1c, 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 quantities toPW 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 ' _ Please put a check beside each product that you store: Antifreeze (for gasoline or coolant systems) Drain cleaners .T Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) 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 Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business j I t TOWN OF BARNSTABLE OMPUANCE: CLASS: 1.Marine,Gas Stations,Repair nters BOARD OF HEALTH satisfactory 3.2.Auto Body Shops 0 unsatisfactory- 4.Manufacturers COMPANY (see"Orders") 5.Retail Stores ? 6.Fuel Suppliers ADDRESS C18SS' � 7.Miscellaneous /' ANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATER Drums Above Tanks Underground Tanks IN OUT IN- OUTI 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 Miscellaneous: DISPOSAI./RECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply O Town Sewer PPublic ,VOn-site /QPrivate 3. Indoor Floor Drains YES NO O Holding tank: MDC O Catch basin/Dry well r O On-site system 4. Outdoor Surface drains:YESj/NO ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5. Waste Transporter Name of Hauler Destination Waste Product 1• � -t � YES NO 2. - ' z`'' erson (s) Int rviewed ffispector Date