Loading...
HomeMy WebLinkAbout0086 RIDGEWOOD AVENUE - HAZMAT 11117UMAT, Ll C) /00 Number Fee 703 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Foreign Motor Car of Cape Cod 82 Ridgewood Avenue, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. ---------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------- -51 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.,CH Director of Public Health roe io I pdCll�'" -5 gl 6 Town of Barnstable p 'r 12 4- AWE Regulatory Services Richard V. Scali, Director L_ �STAB� BARNSTABLE M Public Health Division 1639 �0 wansoarns•os E„v ut•v�enx„zme Thomas McKean,Director 1639-2014 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 JULY 1st—JUNE 30th). _ - - 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 late char a of$10.00 will be assessed if a ent is not received b Jul 1st. • g p ym v v ASSESSORS MAP AND PARCEL NO._326-2� j DATE FULL NAME OF APPLICANT: NAME OF ESTABLISHMENT: /J117O�� ale ADDRESS OF ESTABLISHMENT: O2 /q//2E1--"y�lw- 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 PRESIDENT l�U TREASURER CLERK �S—Cos IF PREPARED BY OUTSIDE PARTY: SIGNAT F APPLICANT Name: I Company Address Telephone#: Email: Q:\Application FormSU3AZZAP Rev16.docx Page 1 of 2 Number Fee 703 THE COMMONWEALTH OF MASSACHUSETTS 100.00 Town of Barnstable Board of Health This is to Certify that Foreign Motor Car of Cape Cod 82 Ridgewood Avenue, 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 4 a � Town of Barnstable °FINE rti Regulatory Services Richard V. Scali, Director MARy 'M►ss. Public Health Division s6gq. �0 ATfp ,�s 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 NOJ-26--OV0 (561 DATE z{ APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT �� �� S� Z/2 NAME OF ESTABLISHMENT 46`1 - l2 11�70TD1-f ADDRESS OF ESTABLISHMENT /,��� (j Old I/ , ���/ /j//lJ/s /,�� . TELEPHONE NUMBER SOLE OWNER: RYES NO d_ IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF PARTNERS: M1 a 4 4 I IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK 11-711 SI NATURE APPLICANT RESTRICTIONS: HOME ADDRESS,�,-5 Q0iU//���'W�C .l17EI-C//L, - HOME TELEPHONE# Q: Application FormsEAZAPP.DOC f Spill Contingency Plan Mark S. Hayes Foreign Motor Car 82 Ridgewood Avenue Hyannis, MA 02601 508.778.1118 Date: 1) Evacuate the immediate area if necessary. 2) Shut-off main electrical breakers, heating system and air compression pump. 3) Remove or restrict any potential ignition source from the area if the material is flammable. 4) Contain the spill by the use of boom coils, spill pillows and absorbent material. Contract the Cyn Environmental Emergency Response at 781-341-5108. 5) Notify appropriate agencies: Hyannis Fire Department and Barnstable Board of Health within one hour of detection of a release of hazardous material. 6) Remove all absorbed materials or contained liquid and package in D.O.T. approved containers. Package used absorbent materials separately from liquid. 7) Once the spill has been controlled and the materials collected and secured, inspect the area for cleanliness and decontaminate all equipment used in the clean up. 8) Replace all used material and ensure all response equipment is in good working order. 9) Manage and dispose of collected absorbents and liquids in accordance with the state and federal guidelines. 10) For any spill greater than the reportable quantity of 25 gallons, whichever is less, this plan shall be implemented and proper records of action shall be kept on site as prescribed in Section IX. 11) Emergency spill kit is located next to waste oil and used anti-freeze drums, which are located near garage door entrance. 12) Drums are labeled with the type of hazardous waste and the start date of accumulation. 13) The following is a list of the spill equipment on site: A. One emergency spill kit which contains 3 universal boom coils, 6 spill pillows, 1 bag of absorbent material, 1 pair of chemical splash goggles, 1 pair of extra large pullover boots, 1 pair of extra large chemical resistant gloves, 1 hazardous waste label, 1 non hazardous waste label, 1 hazardous waste disposal bag and 1 heavy duty apron. B. First aid kit. C. Eyewash D. Fire extingquishers. Number Fee 703 THE COMMONWEALTH OF MASSACHUSETTS $100.0o Town of Barnstable Board of Health This is to Certify that Foreign Motor Car of Cape Cod 82 Ridgewood Avenue, 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 s 'own of Barnstable Rcgillatory Semcles Thomas F. Geaier,Director } Public Health DiTisioll a �dRNC7'aAi� i 163�• �� nfln3.29 MCKEaIlj Director 200 Ma-m Strlt, Hyamis, MA 02601 Fes: 508-790-6304 OE,cc: 508462-4644 App1icajon Fps: $100.00 ASSESSORS j3AP A-NT FARO+L NO, �o�(2 DATE APPLICATION FOR PF1QN417 T® STORE AND/OR VTE= MORE THAN 111 GALLONS OF :RAZARDOUS MATERIALS F=NAME OF APPLICANT NAME OF ESTABT,7, _�1�Hi—=N'T �1 DRESS OF ESTABLIEJLKLNT ,0l/� lY 4�if�lU�S, TELEPHONE NUMBER SOLE Owe: YYES No L+ APPLICANT IS A PARTNM:Z=,FUZL NA + ADD HOMI ADDRESS OF ALL PARTNTERS. IF APPLICANT IS A CORPORATION: + +DE�RA.L IDEN=CA.TION No. STATE OF INCORPORATION ,r=NAME AND HONE ADDRESS OF: PRESIDE?I TRXA�a Ci = SIG�ti A OF APPI ICA.NT HOATE ADDRESS E=ZIC EONS: Hmzdndwp/q I I f Spill Contingency Plan Mark S. Hayes Foreign Motor Car 82 Ridgewood Avenue.. . :Hyannis, MA 02601 . 508.778.1118 Date: 1) Evacuate the immediate area if necessary. 2) Shut-off main electrical breakers, heating system and air compression pump. 3) Remove or restrict any potential ignition source from the area if the material is flammable. 4) Contain the spill by the use of boom coils, spill pillows and absorbent material. Contract the Cyn Environmental Emergency Response at 781-341-5108. 5) Notify appropriate agencies: Hyannis Fire Department and Barnstable Board of Health within one hour of detection of a release of hazardous material. 6) Remove all absorbed materials or contained liquid and package in D.O.T. approved containers. Package used absorbent materials separately from liquid. 7) Once the spill has been controlled and the materials collected and secured, inspect the area for cleanliness and decontaminate all equipment used in the clean up. 8) Replace all used material and ensure all response equipment is in good working order. 9) Manage and dispose of collected absorbents and liquids in accordance with the state and federal guidelines. 10) For any spill greater than the reportable quantity of 25 gallons, whichever is less, this plan shall be implemented and proper records of action shall be kept on site as prescribed in Section IX. 11) Emergency spill kit is located next to waste oil and used anti-freeze drums, which are located near garage door entrance. 12) Drums are labeled with the type of hazardous waste and the start date of accumulation. 13) The following is a list of the spill equipment on site: A. One emergency spill kit which contains 3 universal boom coils, 6 spill pillows, 1 bag of absorbent material, 1 pair of chemical splash goggles, 1 pair of extra large pullover boots, 1 pair of extra large chemical resistant gloves, 1 hazardous waste label, 1 non hazardous waste label, 1 hazardous waste disposal bag and 1 heavy duty apron. B. First aid kit. ® w o C. Eyewash D. Fire extingquishers. co ter y�:a 10 MIS Number Fee 1046 THE COMMONWEALTH OF MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that Francisco's Auto Detailing 76 BARNSTABLE ROAD, 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. 8/5/2013 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable Barnstable We Regulatory Services Department > ,STaH►.E. - Public Health Division MASS 1639. 200 Main Street, Hyannis MA 02601 �0a a 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT F12*n ScQPt-Qe�,:7-1'8-4 NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT 7l0 (2 de/A4/C� 4�A fI f , TELEPHONE NUMBER —90�' 30 O - a,-/ rb 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. Dq3— SyS — 7e 7 STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK SIGNATURE OF A'P/PLICANT '- RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# 50 9 3 O -,PC/ f - J:\inspection handouts\Haz Mat Application2008.DOC f � 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 l Number Fee 703 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Foreign Motor Car of Cape Cod 82 Ridgewood Avenue, Hyannis,MA 02601 i Is Hereby Granted a License FOR:. STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. o.� ------------------------------------------------------------------------------------------------------------------------------------------------------------------ ----------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 6/30/2012 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2011 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health l'1. - r Town of BarnstabV �TNE fn Regulatory Services S1 I OC) y� Q. Thomas F. Geiler,Director '" MA.S&`� ` Public Health Division 10rEn 39. 61 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. Fes/ DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN I I I GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT � � NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT 9.2. TELEPHONE NUMBER $OL"V"iER:_XYES NO co II+'AA'LICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL 'PARS ERS: O `a (:> IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK SIGNAT OF APPLICANT RESTRICTIONS: HOME ADDRESS 6-9 ,d/U//251C16/�' HOME TELEPHONE# ice' s. '— w"L 3� Haz.doc/wp/q Spill Contingency Plan Marls S. Hayes Foreign Motor Car 82 Ridgewood Avenue Hyannis, MA 02601 508.778.1118 Date: 1) Evacuate the immediate area if necessary. 2) Shut-off main electrical breakers, heating system and air compression pump. 3) Remove or restrict any potential ignition source from the area if the material is flammable. 4) Contain the spill by the use of boom coils, spill pillows and absorbent material. Contract the Cyn Environmental Emergency Response at 781-341-5108. 5) Notify appropriate agencies: Hyannis Fire Department and Barnstable Board of Health within one hour of detection of a release of hazardous material. 6) Remove all absorbed materials or contained liquid and package in D.O.T. approved containers. Package used absorbent materials separately from liquid. 7) Once the spill has been controlled and the materials collected and secured, inspect the area for cleanliness and decontaminate all equipment used in the clean up. 8) Replace all used material and ensure all response equipment is in good working order. 9) Manage and dispose of collected absorbents and liquids in accordance with the state and federal guidelines. 10) For any spill greater than the reportable quantity of 25 gallons, whichever is less, this plan shall be implemented and proper records of action shall be kept on site as prescribed in Section IX. 11) Emergency spill kit is located next to waste oil and used anti-freeze drums, which are located near garage door entrance. 12) Druins are labeled with the type of hazardous waste and the start date of accumulation. 13) The following is a list of the spill equipment on site: A. One emergency spill kit which contains 3 universal boom coils, 6 spill pillows, 1 bag of absorbent material, 1 pair of chemical splash goggles, 1 pair of extra large pullover boots, 1 pair of extra large chemical resistant gloves, 1 hazardous waste label, 1 non hazardous waste label, 1 hazardous waste disposal bag and 1 heavy duty apron. B. First aid kit. C. Eyewash D. Fire extingquishers. Number Fee 703 THE COMMONWEALTH OF MASSACHUSETTS $10o.00 Town of Barnstable Board of Health This is to Certify that Foreign Motor Car of Cape Cod 82 Ridgewood Avenue, Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. -------------------------------- ------------------------------ ----------------- -------- ----------------------------------------------------------- ------------------------------------- ----------------------------- -------- ------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2010 unless sooner suspended or revoked. ------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2009 JUNICHI SAWAYANAGI THOMAS A. MCKEAN, R.S.,CHO Director of Public Health a r Town of Barnstable �{ L Barnstable oFINET Regulatory Services Department o, A�-AmericaG�y • i Public Health Division ■A NSTAS1.,L, 9$ �� 200 Main Street, Hyannis MA 02601 pT �b 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO.5-?F;A10-0a1 DATE 7-,&1 —7 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT ///0; C'i�ij O C'i���6O ADDRESS OF ESTABLISHMENT • r� TELEPHONE NUMBER "`29 g SOLE OWNER: V YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS"OF ALL S.- PARTNERS: M.r c) -71 r r. v rn IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION P FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK . I i T F APP AN RESTRICTIONS: HOME ADDRESS,'C /6� HOME TELEPHONE # Q:\Hazmat\Haz Mat Apphcation2008.DDC Spill Contingency Plan Mark S Hayes Foreign Motor Car 82 Ridgewood Avenuey Hyannis, MA 02601 ° (508) 778-1118 May 2, 200? 4 1) Evacuate the immediate area if necessary. . 2) Shut-off main electrical breakers, heating system and'air compression pump. 3) Remove or restrict any potential ignition source from the area if the material is sl flammable. 4) Contain the-spill by the use of boom coils, spill pillows and absorbent material. a' Contact Cyn Environmental Emergency Response at 781-341-5108. 5) Notify appropriate agencies: Hyannis hire Department and Barnstable Board of Health within one hour of detection of a release of hazardous material. 6) Remove all absorbed materials or contained liquid and package in D.O.T. approved containers. Package used absorbent materials separately from liquid. 7) Once the spill has been controlled and the materials collected and secured, inspect the area for cleanliness and decontaminate all equipnlellt Used In the clean up. 8) Replace all used material and ensure all response equipment is in good working order. 9) Manage and dispose of collected absorbents and liquids in accordance with the state and federal guidelines. 10)For any spill greater than the reportable quantity or 25,gallons, whichever is less, this plan shall be implemented and proper records of action shall be kept on site as prescribed in Section IX. 11)Emergency spill kit is located next to \waste oil and usad anti-freeze drums, wllicll are located near garage door entrance. 12)Drums are labeled with the type of hazardous waste and the start date of accumulation. 13)The following is a list of the spill equipment on site: A. One emergency spill kit which contains 3 universal boom coils, 6 spill pillows, 1 bag of absorbent material, 1 pair of clicinical splash goggles, 1 pair of extra large pullover boots, 1 pair of extra large chemical resistant ' gloves, 1 hazardous waste label. 1 11011 hazardous waste label, 1 hazardous waste disposal bag and 1 heavy duty apron. B. First aid kit. C. Eyewash. D. Fire extinguishers. . 4 ---._..- _. __..._ - _,.. -- - ------ -_- 53-447%113- - REMITTANCEADVICE FOREIGN MOTOR CAR OF CAPE COD 82 RIDGEWOOD AVENUE HYANNIS,MA 02601 4251 508/778-1118 r PAY l00 DOLLARS' 8 � -4;L DATE -•' O T ER�11F �- SCRIPTION ." ,E ,. .� CHECK AMOUNT /d. - / =`Rockland Trust -------_-_-.-._---.._____._._._..---____. -----___--.___.___. --_.-.-_ II°004 25 L11' i:0 L L304478l: 07603376 L811'