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HomeMy WebLinkAbout0030 PLEASANT STREET - HAZMAT '�j0 �I�lSu� •, `�Gc�l�'I�'� Number Fee 1156 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that HY-LINE CRUISES-HYANNIS HARBOR TOURS INC. .-------------------------------------------------------------------------------------------------------------------------------- 30 PLEASANT STREET, HYANNIS, MA ------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. ------------- ------------------------------------------------------------------------------------------------------------------------------------------------------ Restrictions: Boat Maintenance Office .------------------------------------------------------------------------------------------------------------------------------------------------------------------. 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 ��71N C • Town of Barnstable Inspectional Services BARNSTABLE Public Health Division naa•uele•Enrzinus[o urt•Brranws ti:YSTNiS Y.LLS•OS'E0.VIlL%•t✓'Si TWlStt3E 1639-Z019 .AMsT" = Thomas McKean Director WAS& 200 Main Street, Hyannis,MA 02601 rti Office: 5087862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE n 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 a CATEGORY 3 PERMIT 500 or more Gallons: $150.00 *A late charge of$10 00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? V' YES_NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? YES NO. • 4. FULL NAME OF APPLICANT: 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: Qkau% o 8. TELEPHONE NUMBER OF ESTABLISHMENT: -o 95-7 7s- 8�� 9. EMAIL ADDRESS: 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADD SS,AND TELEPHONE#OF: CORPORATIA E PRESIDENT``` r =C. TREASUREREA CLERK a- 12. IF PREPARED 13Y OUTSIDE,PARTY: NAME: K, r- 44T-TELEPHONE#:De- 1 -MZ73 COMPANY ADDRESS EMAIL: ' 1�,0 �`C:ua,o L.�����•���� SIGNATURE OF APPLICA DATE a Qmpplication Form,\Haz Mat Appli Draft Jan Number Fee 1156 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that HY-LINE CRUISES-HYANNIS HARBOR TOURS INC. 30 PLEASANT STREET, HYANNIS, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. ------------------------------------------------------------------------------------ ------- - ------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2020 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 E Town of Barnstable Inspectional Services BAM TABLE V'Z��• �asin0"•te,rE.r.:1•cWR•+..nnME Public Health Division °s� u"5° ""` ::as}-7znia BARNSTABLE, Thomas McKean Director Ar1 659. p``� 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 r. APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 3 Oth). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 A SO-90-00 d ch ay *A late charge of$10.00 will be assessed if pment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO/ 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: r 5. NAME OF ESTABLISHMENT'�,,.e per` k 6. ADDRESS OF ESTABLISHMENT: :74> 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: 10. SOLEOWNER: NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAMEi PRESIDENT`t TREASURER CLERK 12. IF PRE D Y UTSIDIE PARTY: NAME: ��.;� J TELEPHONE#:s' lZZ "7 co DRES EMAIL: � s ;:^'tea;; w� 1 cu- SIGNATURE OF APPLICANT DATE r I Q:\Application Fonns\Haz Mat App Revised 09-1 -18.doc J Nr i� • iY Number Fee 1156 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that HY-LINE CRUISES-HYANNIS HARBOR TOURS INC. 30 PLEASANT STREET, HYANNIS, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------- --- ------------------------------------------------------------------------ This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2019 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 Voveg'8of B nsableatory�ervices Richard V. Scali,Director MA �'THE Public Health Division BARNSTABLE 'b 633Da� "� '��Thomas McKean,Director 1 ' 4 MAS& -a � ArE p 5,�p 200 Main Street, Hyannis,MA 02601 r. Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE = HAZARDOUS MATERIALS �t 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: 1'050.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 9 -S *A late charge of$10 00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL?K YES_NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: 5. NAME OF ESTABLISHMENT: H. v� 3 lie^v Ar 4L�,.1 vtcc'KC �.c 1 ..► o �,✓y S I .� 6. ADDRESS OF ESTABLISHMENT: `3 f[ ensre,-vt ��v e e 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: c .4o%e t P6111--f Ocwt4 8. TELEPHONE NUMBER OF ESTABLISHMENT: -,( 0 9- 9. EMAIL ADDRESS: Wt A l me Grvt`5-es G01`1 10. SOLEOWNER: t<YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEP O #OF: CORPORATION NAME ✓ U VS PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT I 1,1j, DATE S Ito I Q\Application FormsViAZMAT APP 2017 REVISED.docx I �e 1` Number Fee 1156 THE COMMONWEALTH OF MASSACHUSETTS $150.00 S, Town of Barnstable Board of Health This is to Certify that HY-LINE CRUISES-HYANNIS HARBOR TOURS INC. 30 PLEASANT STREET, HYANNIS, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2018 unless sooner suspended or revoked. -------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2017 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health i • Tow of B nstable Reglatory Services Richard V. Scah,Director MA it-, of THE Tp� Public Health Division BARNSTABLE M 8nRX5l:.plE•lni(RNLLE•CONF-W.RIS %^ * IARNSCABI.E, • RRRS��Y.5 RR3•(Sf:RNLLl-f fP4^..MSTR9IF MASS. Thomas McKean Director 1639-2014 � 1639. ♦ ' 4m s 200 Main Street, Hyannis, MA 02601 �Ig �` a�l @.a Office: 508-862-464-4 Fax: 508-790-6304 � APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS 4; 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). 4 APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ,w V-9 *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 2-7 1 3-0 2. IS THIS A PERMIT RENEWAL?�S—NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGEIUSE OF GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: 5. NAME OF ESTABLISHMENT: � � 6. ADDRESS OF ESTABLISHMENT: �\va yt A-t S 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: .-2Zt,Cw 1, S. TELEPHONE NUMBER OF ESTABLISHMENT: 45-bR—7 2 S— 719 9. EMAIL ADDRESS 10. SOLEOWNER: S_NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADD_I°tESS,AND TELEPHONE t OF: CORPORATION NAME yc��J.vsS PRESIDENT E�tP n c TREASURER CLERK 12. IF PREPARED BY OXZTSIDE PANTY: NAME:-;r, P TELEPHONE#: y'rfllg�- $mot! —7—Z7 COMPANY ADDRES Ida EMAIL: ,q ljg I t golp ,c SIGNATURE OF APPLICANT DATE 1 Q:\Application Forms\HAZMAT APP 201 VIS x TC*okti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMAN,%. • 200 Main Street• Hyannis, MA 02601 �OrEDnnn+"�0� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT S� Business Name: Date: Location i' S� /Mating Ad ress: 3 f'2RSa v�. 4_r1✓I I S Contact Name/Phone: -c Moor Inventory Total Amount: 'v�oo��0 MSDS: ,GS S��tk °x SDS License#: ( l Tier II : N 0 Labeling: �l Wawa,tmeraencv a,A Spill Plan: -+o osk Oil/WaterSeparator: K A Floor Drains: o Numbers: I Storage Areas/Tanks: 2JS aI 4tik_ 0,1 o�,k ,ors, eowl�� � 2-,�� &,1 t.1w15 Emergency/Containment Equipment: Waste Generator ID: b `a Waste Product: o%l oLj wa-+cc Date&Amount of Last Shi ment/Fre uenc : �t i ��O a,l 3001� �1. s an cal I Licensed Waste Hauler&Destination: ,90-4, O, o, � h.r 0 o­a R Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS [�v �0V A %h. hv-cv.�o� NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardouvmaterial use, ` storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze iSxS�5�-t bX 5� 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 S Motor oils IaxSSk�3xS h I y y � Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners k to Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil � Refrigerants N� J Degreasers for engines&garages < 4 Pesticides: Caulk/Grout s��ky insecticides, herbicides, rodenticides Battery acia�Iectrolyte)/batteries QGiee Photochemicals(Fixers) Rusts VS, IZ 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 V Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's / Metal polishes Other chlorinated hydrocarbons T Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, nn\ hydrochloric acid, other acids) VIOLATIONS:f�t4Doe `: 0KCAL O AQ,19�, S AA, L<,4 S W A0\A( C.ovt,-VakvtkjLMM C ��P•<< w,os< p r O DERS: INFOR TIO ECOMMENDATIONS: W4 -e- kkv1 <,I -k 100 r. I 1 Inspector: 1.-a��\Z Facility Representative: ,L l WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS Number Fee 1156 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that HY-LINE CRUISES 30 PLEASANT STREET, HYANNIS, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------- ------------------------------------------------ This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2017 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health i Town of Barnstable �IKE►° Regulatory Services Richard V. Scali, Director �AAH Public Health Division BAMST 639 p r s go) Thomas McKean, Director 1639� 4 200 Main Street, Hyannis,MA 02601 ,".. Office: 508-862-4644 Fax: 508-793304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE.WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 30th). APPLICATION FEES CATEGORY I PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons_��re)cejved • A late charge of$10.00 will be assessed if paymen by Ju1V 1st. ASSESSORS MAP AND PARCEL NO. 32,r.) 13-,-7 DATE FULL NAME OF APPLICANT: S �� o tom` 5 NAME OF ESTABLISHMENT ex ADDRESS OF ESTABLISHMENT: MAILING ADDRESS(IF DIFFERENT): '®Z �ucZ_.� p "� rx%, tic,c,8: TELEPHONE NUMBER OF ESTABLISHMENT: EMAIL ADDRESS: SOLE OWNER: YES NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATIAME ACE � PRESIDENT �- TREASURER CLERK IF PREPARED BY OUTSIDE PARTY: I N T ftlOF ROMICANT Name: Company Address e� Telephone#: Email: Q:\Application FormsUiAZZAPP Rev16.docx Page 1 of 2 Number Fee THE COMMONWEALTH OF MASSACHUSETTS 1156 100.00 Town of Barnstable Board of Health This is to Certify that HY-LINE CRUISES 30 PLEASANT STREET, 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 I :� 2 i Town of Barnstable Regulatory Services • °s Thomas F. Geiler,Director ` B"W "B' Public Health Division s63g. � tia.P Thomas McKean,Director •a 200 Main Street, Hyannis,MA 02601 Q1 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. :1 Z7 ( 3 Z DATE Z IS APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT S::l q tk iq L 5 �Ack C- (A o V- t o errs NAME OF ESTABLISHMENT `--Lf - tq to t>c�� BAOu (!D-P-9`c • ADDRESS OF ESTABLISHMENT � t— TELEPHONE NUMBER (� �— '7 7� -- '7/51 6 SOLE OWNER: V vES NO i IF APPLICANT IS A PARTNERSHIP, FULL NAME AND HOME ADDRESS OF*L PARTNERS: ._ .�:'sir-►t: c , IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.e5 STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT 9q �V.%&Q' Q)I Of t TREASURER CLERK ZbApOD v— t� • SIGNATURE OF APPLIC 1- RESTRICTIONS: HOME ADDRESS ZZ ,�.,,��L �-t 32 HOME TELEPHONE # 0� t Town of Barnstable office: 508-862-4644 � 4 .� Regulatory Services Department Fax: 508-790-6304 • BARNSTABL& - Public Health Division MASS* Thomas A. McKean,CHO 'fins 200 Main Street, Hyannis, MA 02601 Payment Receipt ;Hazardous Materials Payment received: $100.00 (Check) on 8/21/2015 Permit number: 1156 Check number: 309889 Check amount: $100.00 Name on check: Hyannis Harbor Tours Business: HY-LINE CRUISES Address: 30 PLEASANT STREET, Hyannis • y°FIKE Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 C' BAMASS`E�' 200 Main Street• Hyannis, MA 02601 �i0'FDMn+6, �0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: - Ltkx, C c 5.cs Nr-&a Date: S 7 /S- Location/Mailin Ad ress: 3D a- avl►1r - �MaLnc, Jc� ata.l ko-E�,S Contact Name/Phone: i v1�C oo Icc��-77 -1 f�(o -dog-77(0-14 3 5 InventoryTotal Amount: /— ©D kl MSDS: %le.5 License#: 11 5%P Cq,T Tier II : Labeling:_ � Spill Plan: Oil/WaterSeparator: Floor Drains: Emergency Numbers: e. Storage Areas/Tanks: 0%k 2.-2-'l Emergency/Containment E ui ment: Waste Generator ID: Waste Product: © v.k o- 'tty'.%/ Date&Amount of Last Shipment/Frequency: 1 k ll- o� ^-'t-�►2a5 - Licensed Waste Hauler&Destination: o w Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS b NOTE: Under the provisions of Ch. 111, Section 31, of the General Laves of MA, hazardoul§material use, /� storage and disposal of 111 gallons or more requires a license from the Public Health Division. '1$l JAntifreeze 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: VOL e-J S o tv, ORDERS: KfQt. olkimma o o f c o •/ -Q,\q0,e I FORMATI N/RECOMMENDATIONS: MAJj4e, �- �0, �,H\,&- x Inspector: �A��G l c 5Qe k Facility Representative: 4UJ C e. Jov,, 6G"�ea( �aG 5� V. WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS t C ✓J tic c®J6 Date: / /g d TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: ��II - G���S�s /►Ma��t�e►1ancP 1 BUSINESS LOCATION: _Pleetgank INVENTORY MAILING ADDRESS: Saww TOTAL AMOUNT- TELEPHONE NUMBER: 50?j-11< -'7t�i1„ CONTACT PERSON: AOO<R,, �,•Zo,�t.oy�1/erg EMERGENCY CONTACT TELEPHONE NUMBER: all 5o$ -77(,,_lq3!� MSDS ON SITE? TYPE OF BUSINESS: 2 INFORMATION / RECOMMENDATIONS: ' Al ,601,7 ayak ablj-k \v, 0� Fie District: kyLpjL 6\j 1C,�c,1 -4 kv`h S eM� N1oae. 5k� bA!� e,<•e3 iwsid-,., Waste T : M AZj�►$s 9'6�.18$ Last shipment of hazardous waste: `F y 1 Name of Hauler: Destination: W/ asl-ecn Q 1 j L��I tR 15'7 Waste Product: w6-i ez 011 d,l., sv1��g, 6Aj& Licensed?� No (Z\ Rodo5booV�'- ' T 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 the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Ant' e e (fobline,or coolant systems) Miscellaneous Corrosive $, NEW$, oUSED �� Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes xS� Road salts (Halite) Hydraulic fluid (including brake fluid)0 Refrigerants Mot,or Oils SS ����'Sd`�S Pesticides ►D U NEW4�"�SED' �'IS °�� (insecticides, herbicides, rodenticides) � Photochemicals (Fixers) Gasoline, Jet fuel,Aviation gas Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED S� Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil is ❑ NEW ❑ USED I Degreasers for engines and metal tS��' Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout qo l Jr big Swimming pool chlorine (gfi Battery acid (electrolyte)/Batteries1v Lye or caustic soda Rustproofers ,1I ( Miscellaneous Combustible S ;I,D Car wash detergents ►S b'l°�- � Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's I(00 Paints, varnishes, stains, dyes \00 k �� y Other chlorinated hydrocarbons, I�� Lacquer thinners A0@1 1j)D k fl (including carbon tetrachloride) / 2"pQ�JrnIS Any other products with "poison" labels �3 NEW CAUSED Oki a� 0 (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 ?1-yAXA- aurX SD,II rg"fj. [L Laundry soil &stain removers 3b 3�p (including bleach) CAAXck—OA ',16,t1 ofcyvre- -L"+5fv Spot removers&cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Vlayu.,4,/Qy X �JA,4,p, 41 6650C', 0_eele Windshield wash _ tvt WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials Number Fee 1156 THE COMMONWEALTH OF MASSACHUSETTS $100.0o Town of Barnstable Board of Health This is to Certify that HY-LINE BOAT MAINTENANCE 30 PLEASANT STREET, 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 6/30/2014 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF, D.M.D. 4/30/2014 JUNICHI SAWAYANAGI r THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable jBarnstable �'THEr Regulatory Services Department. Public Health Division 1 ` 200 Main Street, Hyannis MA 02601 ° A 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO i Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO.. � °— 1"�Z DATE 1q10 Za APPLICATION FOR PERMIT TO STORE AND/OR.UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT toV&_(jGL<11 A�OLC60C NAME OF ESTABLISHMENT- ADDRESS OF ESTABLISHMENT 2C) TELEPHONE NUMBER :S0S-:?7 '� � ( C SOLE OWNER: V YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.Oq 30 S74 STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT ScueU TREASURER'( ,c %L ,CLERK A-Pa(( �L� SlaNATURIkOF APPLICANT RESTRICTIONS: HOME ADDRESS tg'4S A--u-"c , c.d'., y HOME TELEPHONE# S-M Zs'o--a ,?c>ic> J:\inspec�t7on handouts\I3az Mat Appiication2008.DOC l_ I -+ I MAIL-IN REQUESTS Please mail the completed application form to the.address below. Also include a copy of your contingency plan (to handle hazardous waste spills, etc.) In addition, please include the required fee of$100. Make check payable to: Town of Barnstable. Allow time for in-house processing. Our mailing address is: Town of Barnstable Public Health Division 200 Main Street Hyannis, MA 02601 FOR FAXED REQUESTS Our fax number is (508) 790-6304. Please fax a completed application form. Also, please fax us a copy of your contingency plan (to handle hazardous waste spills, etc.) In addition, please mail the required fee of$100. Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. Allow time for in- house processing. For further assistance on any item above, call (508) 862-4644 Back to Main Public Health Division Page JAinspection handouts\Haz Mat Application2008.DOC MASSACHUSETTS FIRE INCIDENT REPORT »>::»:<:::>::::>::::>::::>:::<:>::»:<:>:>:::DEPARTMENT Revise AV# ::>::::>:: >::»»»»»»:: Form : s01922 Hyannis Fire Department Report #'If Exd Date Alarm Arrival n Service ide 001213 Fire 0011 /14/9 Day IThursday11 :48 111 :.0 r12:21 SU ION FOUND ACTION MUTUAL AID ill, Leak w/ No Ign Remove Hazard FIXED PROPERTY USE (OCCUPANCY) IGNITION FACTOR C Paved Public Street Factor Undetermined 0 0 OCORRECT ADDRESS ZIP CODE CENSUS TRACT D 30 PLEASANT ST. 0 2 6 01 40 O 11 OCCUPANT NAME (LAST, FIRST, MI) TELEPHONE ROOM or APT. NONE F 12 OWNER NAME (LAST, FIRST, MI) ADDRESS TELEPHONE TOWN OF BARNSTABLE MAIN ST. HYANNIS MA. G 13 METHOD OF ALARM CO. DIST. PERSONNEL ENG RESP. AERIALS RESP. ® RESP. E 0: SHIFT HAZ MAT PRESENT? Y TANK. RESP. ;_ OTHER RESP. ... .... Telephone (Direct) No. SUBSTANCE 1118 ills 1 SPEC. EQUIP. USED? D.P.W. SANDER W/SAND O 20 FIRE F S SERVICE OTHER 0 E: 0 0 : < 0>>> 07O MOBILE PROPERTY TYPE VEHICLE STOLEN? ESTIMATED TOTAL INSURANCE CO. DOLLAR LOSS TOTAL INS. CLAIM PD 0 0 30 YEAR MAKE MODEL COLOR LICENSE NO. VIN# 40 1IF EQUIP INVOL. YEAR MAKE MODEL SERIAL NO. IN IGNITION O COMPLEX AREA OF EQUIP INVOLVED IN IGN. ORIGIN FORM OF HEAT IGNITION MATERIAL FORM ................. TYPE © IGNITED OMETHOD OF LEVEL OF ORIGIN Number of Stories CONSTRUCTION TYPE EXTINGUISHMENT EXTENT OF DAMAGE Flame Smoke DETECTOR PERFORMANCE SPRINKLER PERFORMANCE op =77 0 Material generating FORM TYPE OR) most smoke WEATHER AVENUE OF SMOKE TRAVEL R CONDITIONS Of-ficer in Charge: Date ROBERT K.PICKERING LIEUTENANT 1 1 /1 4/9 6 Comments for this incident have been printed on an additional comments page. Com'!nents for Incident: 96 001213 Exposure: 00 Date: 11/14/96 THISIL"^7PT. RECEIVED A CALL FROM THE HY-LINE MAINT. GARAGE,30 PLEASANT ST. THE CALLER REPORTED A SPILL OF%OIL ON THE ROAD.ENG.822 WENT STILL ALARM. �O N ARRIVAL WE FOUND THAT SOME TYPE OF VEHICLE SPILLED SOME TYPE OF OIL LEAVING A TRAIL ON PLEASANT ST FROM SOUTH TO MAIN ST. CALLED THE D.P.W.SANDER TO COVER THE SPILL THE SANDER COVERED ALL O.K. THE TOWN HEALTH WAS NOTIFIED, THEY FAILED TO RESPONED. R.K.PICKERING/LIEUT. 1 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) m A �C(' �� IL DATA :aq..s • . BOARD O� HEAL'.A LT 1-1 - satisfactory facto 1 a" 2. Printers t r3' 1 3. nuto rody COMPANY -// - �.�a l i unsatisfactory- 4. ' FlanufacturerC� _v -- �-�, ._ '{ t, r c (see"Orders") S. Reta).l St ADDRESS 6. Fuel Suppliers �Q �LP�%� �'�f ' Class: 7. Mist; llaneous vJ6 ^� 't e_ QUANTITIES AND STORAGE (IN-indoors; OU1*=outdoc MAJOR MATERIALS Case lots drums AbdveTanks Underground Tanks Duels: - In_ .� 117 SZILL A 6 Qcllons e g Gasoline, `Jet Fuel (A) Diesel, Kerosene, 12 (B) Heavy Oils: — waste motor oil (C) 7.� — new motor oil (C) U transmission/hydraulic — Synthetic Organics: _ degreasle s j `. Y Miscellaneous: ,t 1 S_PUS AEMBIWA-I-u REFU�RKS t 1. 6ML211tary Sewage 2. Water Supply i. t r. 'Town Sewer / pu�lic: On=site Private -- Q 3. Indoor Floor Drains: YES Q Holding tank t, MUC _ O Catch basin/Dry well 1. 0 On•site system — `j 4. Outdoor Surface drains:YES l l Holding• tank. MUC ; ., �V 0 Catch basin/Dry well On-site system S. Waste Transporter n ��gt�n ;• Licensed? Nil �., 42. ti is �t Per n ST nXrve 1-47--L17�-4-j `j 4"t�pector '� Date TOWN OF BARNSTABLE *THE OFFICE OF W BAH39TOBL BOARD OF HEALTH vU On& pj woe,i679• `gym 367 MAIN STREET 'EO MPY k• ��" HYANNIS, MASS.02601 May 21 , 1991 John T. Turner, Trustee 41 Babbling Brook Road Centerville, MA 02632 Mr . John T . Turner,Trustee John T. Turner Renaissance Development Trust Renaissance Development Trustee P. O. Box 442 1550 Rte. 28 North Falmouth, MA 02556 3 Center Plaza Center0rille, MA 02632 NOTICE T ABATE VIOLAIIONS OF TEE TOWN OF BARNSTABLE`S ARTICLE XXXIX ORDINANCE. CONTROL OF TOXIC AND HAZARDOUS MATERIALS The property owned by you located off Pleasant St . , Hyannis , listed as Farcel 24.3 , on Assessor' s MaU 327 was inspected on May 20 , 1991 , by Donna Miorandi, Health Inspector for the Town of Barnstable, because of a complaint . The following violations of the ARTICLE XXI ORDINANCE: CONTROL OF TOXIC NAND HAZARDOUS MATERIALS were observed : SECTION 4 (a) : One leaking drum of oil on the ground SECTION 4 (b) : Barrels of unknown substances stored outdoors You are directed to correct these violations within twenty- four (24) hours of receipt of this notice. You may request a hearing if written petition requesting same is received by the Board of Health within seven (7) days after the date order is received. However , these violations must be corrected regardless of any request for a hearing. Please be advised that failure to comply with an order could result in a fine of not more than $200 . Each separate day s failure to comply with an order shall constitute a separate violation. You are also subject to a $50 . 00 ticket . Tickets will be issued daily until the violations are corrected. PER ORDER OF THE BOARD OF HEALTH McKean Director of Public Health � S i