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HomeMy WebLinkAbout0133 PLEASANT STREET - HAZMAT I33 Pluw\ tIKQE►ok� Town of Barnstable Office:508-862-4644• Public Health Division Fax:508-790-6304 • BARMASS. .� 200 Main Street• Hyannis, MA 02601 1639. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: Vl rJu �L x.c. Date: Location/Mailing Address: 1 u Contact Name/Phone: a 11�, �c. l So - ;5 Inventory Total Amp un t: N y2 MSDS: License# Tier II : I Labelino: , f- Spill Plan: os� Oil/WaterSeparator: Floor Drains: I)o lEerciency Numbers: ' Storage Areas/Tanks: 0 c ovi-k5 r Emergency/Containment E ui ment: N eN Waste Generator ID: aste Product: O� Date&Amount of Last Shipmen Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: c o - dl, e 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-1 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 1 Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries S 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 Io Lacquer thinners kO Miscellaneous Combustible Paint&varnish removers, de lossers Leather dyes �I— 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: u e, JA4-ter, I Upi N RMA ON/RECOMMENDATIONS: P 0 1 S 0L f ?& J -2 C' off• j�iw�. �a`U�ttit� Aso! gp�u2vl�S, 4f-00,60ke j ' ftSG Inspector: , WC �y2��•� etezC'.SS4t.1#-yA--• Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS NAME OF OFFENDER BAR 7 9 4 0 2 TOWN OF ADDRESS OF OFFENDER f BARNSTABLE CITY,STATE,ZIP CODE dt 1HE► MV/MB REGISTRATION NUMBER OFFENSE w aANNSIAa1A:. l��I rr •y M..' // ED►MN� 7/ � CL /I f W TIME AND DATE OF VIOLATION LOCATION OF VIOLATION Z NOTICE OF (A.M./ P.M.)ON 20 SIGNATURE OF ENFORCING PERSON ENFORCING DEPT BADGE NO. W VIOLATION N 0 UJI OF TOWN I HEREBY ACKNOWLEDGE RECEIPT OF CITATION X CL ORDINANCE Unable to obtain si nature.of offender. P� -7 r THE NONCRIMINAL FINE FOR THIS OFFENSE IS S J Date mailed w w OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w REGULATION a (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, —1 Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. a UNSTABLE you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST UNSTABLE DIVISION,COURT COMPOUND,MAIN STREET ARNS ABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or B you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature rLi O _ cD Certified Mail FeeEr Ap At/! $Extra Services&Fees(check box,add fee as appropriate) �\5 >vt Q ❑Return Receipt(hardtop» $ ❑Return Receipt(electronic) $ S� Postmark C3 ❑Certified Mall Restricted Delivery $ Here []Adult Signature Required $ JUN 3 0 2016 []Adult Signature Restricted Delivery$ O Postage m $ Total Postage and Fees lisps Sent To C3 1 Str--------- -N eD pug, N�A11a ee pt. or x o 1P 7:---- --- -T------rn----------------------- Ciry,State,ZIP+4® 4 f nWIIJ5 /,�� O 101v :rr "r/ rVNJ r r/r'rJi•r. �"!;do'��tY Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail •A unique identifier for your mailpiece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPS®-postmarked Certified Mail receipt to the ■A record of delivery(including the recipient's retail associate. signature)that is retained by the Postal Service- Restricted delivery service,which provides 4,� for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent. C tmpOfMnt Reminders: Adult signature service,which requires the , ■You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class Mail®,.First-Class Package Service®, available at retail). or Priority Mail®service. :Adult signature restricted delivery service,which •Certified Mail service Is not available for requires the signee to be at least 21 years of age international mail. and provides delivery to the addressee specified. •Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent with Certified Mail service.However,the purchase (not available at retail). of Certified Mail service does not change the •To ensure that your Certified Mail receipt is insurance coverage automatically included with accepted as legal proof of mailing,it should bear a certain Priority Mail items. USPS postmark.If you would like a postmark on r •For.an additional fee,and with a proper this Certified Mail receipt,please present your -t endorsement on the mailpiece,you may request Certified Mail item at a Post Office'for r the following services: postmarking.If you don't need a postmark on this Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipient's signature). r ti of this label,affix it to the mailpiece,apply _ You can request a hardcopy'retum redeipt or ah ,.appropriate postage,and deposit the mailpiece. electronic version.For a hardcopy return receipt, ;� r complete PS Form'381'I,Domestic Retum, ,1',C ,• ,, .` k C,i ", Receipt attach PS Form 3811 to your mailpiece; IMPORTANT.Save this receipt far your records. PS Form 3800,April 2015(Reverse)PSN 7530.02000-9047 Z -7-75-- s y � NAME OF OFFENDER DAD 79403 BAR n TOWN OF ADDRESS OF OFFENDER I BARNSTABLE CITY,STATE,ZIP CODE / �tNE I MV/MIJ REGISTRATION NUMBER I//•�►�� OFFENSE 't ry - \ MASS. O 1 N 4,n .(.. 1 \. I� 1 4 ( W 639 CL �1E0 +6 f t F� W TIME AND DATE OF VIOLAT,14N„ LOCATION VIOLATION LLI NOTICE OF it) t(A.M f/ P.M.)ON ,/� 20 , ,,4 b,,y"- 4 l :i' >1 G r'141-,(.. SIGNATURE I' , 4 ENFORCIN DEPT. BADGE N0. W VIOLATION .,.1 i � , ,{�a It '�, rn /r 1" � OF TOWN I HEREBY ACKNOWLEDGE RECEIPT OF CITATION X LU ORDINANCE 0 Unable to obtain signature of offender. e> THE NONCRIMINAL FINE FOR THIS OFFENSE IS $ 7j � Date mailed W W OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. W REGULATION 1 You ma elect to a the above fine,either b Q O y pay y appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, W before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. d (2 Uyou desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BBNSTABLE DIVISION,COURT COMPOUND,MAIN STREET BARNSTABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature NAME OF OFFENDER W /#�,�9!0)/i r ( '- -? t�.e BAR 79403 TOWN OF ADDRESS OF OFFENDER f f p r a �/) f � P'/•d .� (►,` ' '1 4 4 f111�f{ G•( !+ j/U"'.•rf �`I •�,L f f«. I� .' BARNSTABLE CITY,STATE,ZIP CODE dFtHE►qr, MV/MB REGISTRATION NUMBER I fit! r OFFENSE I t /'�' ,e• /�' ,� .r {�f i Q tLU LA CxAN fASSPIA. ' �(`t t ti A� A r Gf? Ito d9 w I `vmp .J..t l U W U t�l if -° 11y Y�j�r3tid.s i' t w TIME AND DATE OF VIOLATI�ON a +�f LOCATION VfOLATI N NOTICE OF /(A.M / P.M.)ON a. 20 y Cu r..?, G 1 J upl m SIGNATURE F'FJJEOR N�,.�PERS �� ENFORCIN DEPT./f r,/+ r BADGE NO. W I I F VIOLATION � All- ,l; 77 l!i' t, Fr I(/ft o OF TOWN '� Uj I HEREBY ACKNOWLEDGE RECEIPT OF CITATION X a { ORDINANCE Unable to obtain signature of offender. -j:`';A, rI m Q m THE NONCRIMINAL FINE FOR THIS OFFENSE IS S l 4 J.1 I } Date mailed a i i m OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL g DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w I oar 2 W REGULATION 1 You may elect to a the above One,either b appearing in person between 8:30 A.M.and 4:00 P.M.,Monda throw h Frida le al holidays s excepted,ted, Q z Z Z O Y pay Y PP P Y 9 B 9 UJI —1 iI 7 before:The Barnstable Clerk,200 Main Street,Hyannis,M 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O..Box 2430, J Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. ',I I O rn �2)If you desire to contest this matter in a noncriminal proceeding,you mayy do so by making written request to DISTRICT COURT DEPARTMENT,FIRST ARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET ARNSTABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the ;I rn [ Vl hearing to be due,criminal complaint may be issued against you. 1 w Z w ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ l U a Signature TO OFFENDER: Failure to obey this notice within 21 days Place after the date of violation may result in a Stamp criminal complaint being issued. DO NOT Here MAIL CASH. Post Office will not deliver without stamp O ttttt� MAIL TO: J BARNSTABLE CLERK O P.O. BOX 2430 fttttttttttttti HYANNIS, MA 02601-2430 TOWN OF BARNSTABLE BAR-W Ordinance or Regulation WARNING NOTICE Name of Offender/Manager Address of Offender MV/MB Reg.# Village/State/Zip Business Name am/pm, on 20_ Business Address Signature of Enforcing Officer Village/State/Zip Location of Offense {{ Enforcing Dept/Division 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. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT TOWN OF BARNSTABLE BAR-W 1711 r Ordinance or Regulation WARNING NOTICE Name of Offender/Manager - - !� Address of Offender MV/MB Reg.# Village/State/Zip Business Name ;"-J' �f � '. - am/pm, on 20 f Business Address <- Signature of Enforcing Officer Village/State/Zip Location of Offense i" � "; �: / . •-. Enforcing Dept/Division Offense �,. ; -� ;,,�. Yr ► rrr . 1 , , ems aim Facts r :{t a - y a eW '� f# r s � ►�_ z 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. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. TOWN OF BARNSTABLE BAR-W 5109 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager Address of Offender MV/MB Reg.# Village/State/Zip Business Name am/pm, on 20_ Business Address Signature of Enforcing Officer Village/State/Zip Location of Offense Enforcing Dept/Division 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. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. TOWN OF BARNSTABLE BAR-W ? Ordinance or Regulation WARNING NOTICE Name of Offender/Manager Y r Y' Address of Offender MV/MB Reg.# Village/State/Zip Business Name !*I, ` " ' ;�. f t , , am/pm, on 4 - 20_ Business Address Signature of` Enforcing_ Village/State/Zip Officer Location of Offense Enforcing Dept/Division 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. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. Date: y I A211 1 q TOWN OF BARNSTABLE TOXIC AND AND HAZARDOUS MATERIALS FORM NAME OF BUSINESS: AwG1%0 l Cj &J6l V'I.�l z r,vo— BUSINESS LOCATION: I Z S ` I Sa 5-E- 14 IJaV�h s INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: a8—�7'7S� 170 7 G CONTACT PERSON: EMERGENCY CONTACT TE EPHON NUMBER: MSDS ON SITE? TYPE OF BUSINESS: )9vak 0^0D1, To - wo q�-E INFORMATION / RECOMMENDATION : QA Fire District: Waste Transportation: S44 �cxvt.53o,� a-a Last shipment of hazardous waste: Name of Hauler: `1 ov)v� aK et Destination: Waste Product: w,11 ze. . 5 Licensed? Yes No NOTE: Under the provisions of& 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 Antifreeze(for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants I M or Oils / Pesticides NEWwk'® USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) 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 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) 30 Miscellaneous. Flammables 301^-\ \off! Other products not listed which you feel Floor&furniture strippers S\ may be toxic or hazardous(please list): Metal polishes Laundry soil &stain removers (including bleach) Spot removers&cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials 7�f21$3 q7 Fi e, i ' U,S.POSTAGE>>PITNEYBOWES � 4 Town of Barnstable ''+' ' Health Division �© 200 Main Street = ZIP 02601 $ 006.4s5 , Hyannis, MA 02601 r 0000336455 JUN. 30. 2016 7015 1730 0001 4989 0212 Leonard Gallagher Anchor& Buoy Marine 133 Pleasant Street Hyannis, MA 02601 1 i; ;"' =�=1 a•�"��F3 s a": _ .� 111hijilliljllfill Win)Mlil/IffiIlii►iiilliA11,I)iiiill11; SECTIONSENDER' COMPLETE THIS SECTIOIV COMPLETE THIS ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. ❑Agent ! + ■ Print your name and address on the reverse X ❑Addressee so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, I 1 or on the front if space permits. D. Is delivery address different from item 1? ❑Yes 1 1. Article Addressed to: If YES,enter delivery address below: ❑No Gall h6e) Awho� 8 u ar��6 1 3J / /�(�i� ,] 3. SgrviceType .Certified MaII0 ❑Priority Mail Express'" 4jaAn/I M4 oa f o ❑Registered 0 Return Receipt for Merchandise ❑ Insured Mail ❑Collect on Delivery 4. Restricted 6eli4ery?(Extra Fee) ❑Yes 2. 1 7015,�1730 0001 4989g212 � I 1 PS Form 3811,July 2013 Domestic Return Receipt x r ■ Complete items 1,2,and 3. A. Anature ® Print your name and address on the reverse X ❑Agent so that we can return the card.to you. ❑Addressee ® Attach this card to the back of the mailpiece, B. Receiv b (Panted Name) C. ate f D116 e ivery or on the front if space permits. 6 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes If YES,enter delivery address below: ❑No tecna-rd, Gall he,� l 33 Pl'W6 qn� ��reef ff ri/71'55 MA 6a�o/ IIIII�I'II'llI'II�IIIIIIIIIIIIIIII()lllllillll 3. Service Type ❑RegitereciMxpress® ❑Adult Signature ❑Registered Mailt"' ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted 9590 9403 0521 5173 2828 21 9.Certified Mail® Delivery ❑Certified Mail Restricted Delivery 9Return Receipt for ❑Collect on Delivery Merchandise 2. Article Number(transfer from service label) ❑_Collect on Delivery Restricted Delivery ❑Signature ConfirmationTm Mail ❑Signature Confirmation �i 7015 1730' 00 1 4987 6056. T�dMa I Restricted Delivery Restricted Delivery PS Form 3811,April 2015 PSN 7530-02-000-9053 Domestic Return Receipt UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid LISPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4®in this box* Town of Barnstable Health Division 200 Main Street Hyannis, MA 02601 Tt, USPS TRACKING# I I I I 9590 9403 0527,i $07%j oi*J-,21ill td ' I I Violation History AcctNo 254772 Gallagher, Leonard 08-25-2016 133 Pleasant Street Hyannis n' Issue Date BAR No Fine Date Paid Amt Paid Djsp Total Due Notice2 Final Hearing Arraign Offense 04-27-2016 79402 75.00 05-18-2016 75.00 Paid 0.00 Storage/use of 725 gallons of hazardous materials w/o a valid license. 06-30-2016 79403 75.00 08-25-2016 75.00 Paid 0.00 08-15-2016 Storage/use of 725 gallons of hazardous materials without a valid license. 150.00 150.00 0.00 (AX, Violation History AcctNo 254772 Gallagher, Leonard 05-18-2016 133 Pleasant Street Hyannis Issue Date BAR No Fine Date Paid Amt Paid Dlsp Total Due Notice2 Final Hearing Arraign Offense 04-27-2018 79402 75.00 05-18-2016 75.00 Paid 0.00 Storage/use of725 gallons of hazardous materials w/o a valid license. 75.00 75.00 0.00 D UI o a tti 0 ' co Certified Mail Fee Extra Services&Fees(check box,add fee as appropriate) MA ❑Return Receipt(hardoopy) $ S tY' ❑Return Receipt(electronic) $ ' Postmark C3 ,❑Certified Mail Restricted Delivery $ 4 ,P OO ❑Adult Signature Required $ �-�• jp"Q j � � ❑Adult Signature Restricted Delivery$ f' O Postage $ Total Postage and Fees 7 $ ul Sent To rq Z __ / O �tre n Apt. o.,or PO Box No. '""'......................... City,State P+4�............ -----�?�O� -•------••---------••-•------------- r Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail ■A unique identifier for your mailpiece. associate for assistance.To receive a duplicate •Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPS®-postmarked Certified Mail receipt to the ■A record of delivery(including the recipient's retail associate. signature)that is retained by the Postal Service' Restricted delivery service,which provides for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent. Important Reminders: Adult signature service,which requires the •You may purchase Certified Mail service with signee to be at least 21 years of age(not ` First-Class Mail®;First-Class Package Service®, available at retail). or Priority Mail®service. Adult signature restricted delivery service,which ■Certified Mail service is notavailabie for requires the signee to be at least 21 years of age International mail. and provides delivery to the addressee specified; ■Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent" with Certified Mail service.However,the purchase (not available at retaiq. of Certified Mail service does not,change the •To ensure that your Certified Mail receipt is u Insurance.coverage automatically included with accepted as legal proof of mailing,it should bear a certain Priority Mail items. USPS postmark.If you would like a postmark on •For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail Rem at a Post Office'for the following services: postmarking.If you don't need a postmark on this Return receipt service,which provides a record Certified Mail receipt,detach the barceded portion of delivery pncluding the recipient's signature). .of this'label,affix it to the mailpiece,apply ' You can request a hanicopy return receipt or an •appropriate postage,and deposit the mailpiece.1:1 electronic version.For a hardcopy return receipt, a complete PS Form 3811,Domestic Retum A. Receipt attach PS Form 3811 to your mailpiece; IMPORTAIYI:Save this receipt for your records. ` ,\ .. Ps Form 3800,April 2015(Reverse)PSN 7530-02-000-9047 i George"Skip"Simpson Lisa Arnett-Simpson OYour Hosts �1 j One South Street Hyannis,MA 02601 F Tel.(508)775-0357 Fax:(508)77 Distinctive Waterfront Lodging " on Cape Cod www anchorin.com .com skip@anchorin.com it — r Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 •,enR.Tq E.$ 200 Main Street• Hyannis, MA 02601 Fo + TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: v"1�U�arv�. Date: Location/Mailing Address: I o.> SA- , 14./ahr►-, s Contact Name/Phone: Inventory Total Amount: 12 �lofl(� MSDS: �`G� License#��-- Tier II : 00 7 Labeling: oo��� Spill Plan: t Oil/WaterSeparator: Floor Drains: 0 Emergency Numbers: ` Storage Areas/Tanks: qftl .k Emer enc /Containment ui m nt: v +v Waste Generator ID: Waste roduct: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: V.",ar a. -f, o ►aw ° J km64-� 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 g wt%tlepw c eA,,,, Motor oils Miscellaneous Corrosives 1 a.1-tZ Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil o Disinfectants 1 Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: v to Caulk/Grout to Ib 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 X k5olt Swimming pool chlorine lbc lJ 1� Paints, varnishes, stains, dyes \0 Lye or caustic soda sIk( aacoe,�,vcg�Y t Lacquer thinners 1 I Miscellaneous Combustible ct4r� ,c r5 Paint&varnish removers, deglossers Leather dyes l°o lb N b4Iak.c< Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) /1'�j Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: .e:<, -A V Y J 4 14 1 A 444 1 ry vtn k 5 Inspector: ok -Z ` Facility Representativ . WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS °Fay►off Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 •l6ARMASS. g• 200 Main Street• Hyannis, MA 02601 t63 9 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT CFO MAC s Business Name: Date: L �� Location/Mailing Address: I So-► :5+ ar to l s Contact Name/Phone: k o!n Sk� " S� o.A- - '7'7.5r- Inventory Total Amount: 4- lav Ih MSDS: ►� License#: _ gXTier Labeling: 6 Spill Plan: II : �o ,vyt. �L Oil/Water Separator: rJ IA Floor Drains: !V o Emergency Numbers: Storage Areas/Tanks: — Emergency/Containment Equipment: Waste Generator ID: Waste Product: Date&Amount of LasAmment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids �atV a, Automatic transmission fluid 3-Z. Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash �� Motor oils Miscellaneous Corrosives X<nKo Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants b Miscellaneous petroleum products: Road salts grease, lubricants, gear oil I Refrigerants Degreasers for engines&garages i Pesticides: 2 Caulk/Grout y 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 1�),�x Swimming pool chlorine 'Oo l6+c" �°r ,5 Paints, varnishes, stains, d Lye or caustic soda yes s Xz��� wS I Lacquer thinners 6 1 Miscellaneous Combustible i Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons 13— Laundry soil &stain removers y 5� (including carbon tetrachloride) (including bleach)3o Any other products with "poison labels" (including chloroform, formaldehyde, 1 hydrochloric acid, other acids) VIOLATIONS: 00 ORDERS: w M5 0. 11 AIo 5 INFORMATION/RECOMMENDATIONS: O N 4 J o �'o! u -,&i, 5All 5for-&Y- L62 a ti,I 1' a K i -L Inspector:� �-aV{,� Facility Representative: 4''• &q so►, WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS