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0100 RIDGEWOOD AVENUE - HAZMAT
- - - - __--- - -- - "��� f �� _ � `°F THE TOh4 Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 9 BARMAI 200 Main Street• Hyannis, MA 02601 �prEOMP+p`0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: �- �Pr�„'. ^,JYJ S r L,LC Date: 6 Location/Mailing Address: Po Contact Name/Phone: -� d&I< CD 8�-jZ J-I Y d Inventory Total Amount: ZISOD MSDS: `��s ' ®�+ h License#: Tier II : A6 Labeling: G0&-4 Spill Plan:yCS Oil/WaterSeparator: Floor Drains: A 16 Emergency Numbers:Yam' Storage Areas/Tanks: A tons c ®i l ice. Emergency/Containment Equipment: Sle cc Waste Generator I D: M V1 SS yk 7 7 f 1 I!j Waste Product: _ ®o I `p1-3� Date&Amount of Last Shipment/Frequency: .D x yQafL 7 ja& dip Licensed Waste Hauler&Destination: Other Waste Disposal Methods: - kleL- , 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 license from the Public Health Division. 5 'w"® roovlI' i.Vsr) Antifreeze 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) Epps l Windshield wash �cMotor oils �7591'a qD ' Miscellaneous Corrosives �G Gasoline,,-jet#eel', avifttier�-gas i e��� Cesspool cleaners Diesel fuel, kerosene, #2 heatingoil I� Disinfectants Miscellaneous petroleum products:VM"`` Road salts grease, lubricants, gear oil Refrigerants V-----Degreasers for engines&garages Pesticides: Caulk/Grout �, insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteri$s Photochemicals(Fixers) Rustproofers L 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: Up A-q+c,, re- TY C1°l 1 r ORDERS: INFORMATION RECOMMENDATIONS: r-0 kap b Inspector: '^ Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS V44e-4 Town of Barnstable Building Department Brian Florence, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.bamstable.ma.us Pre-application for Business Certificate Date � Map v Parcel Applicant Information Applicants Name - UFEM Cl\ � , Applicants Address J,bn lZ l j� ,LrEmail Address.. / Telephone Number SM DO( I'_&f Listed 57 Unlisted ❑ Business Information New Business? ----------------------------------------• Yes Business is a registered corporation? ------------------------- to D No If yes Name of Corporation Ll S�,�kcl�__s ,j b S�1(61)(Z-1 �- Does business operate under the registered corporate name? _Xep No Is the business a sole proprietorship or home occupation? --------- Yes If yes then a Home Occupation Registration is required—See Building Division Staff Name of Business�_4 C.AJi' Business Address `��� ��L(,)dd� AVE Type of Business B ilding Commi ioner Office Use Only Conditions Bun ing Commissi6 Date Clerk Office Use Only � ue� o blo-cK Glwv� \NE royti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 CBARNSTABLE. 7 MASS. g. 200 Main Street• Hyannis, MA 02601 �p t639• �0 lFOMA'�a TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: C dpe SW Si C Date: 9 Location/Mailing Address: too 1:� w Contact Name/Phone: .1r0 - -- Inventory Total Amount: SDS: ,(Aes License#: 761 Tier II : NO Labeling: \J � e-S Spill Plan: f3 Oil/Water Separator: Q Floor Drains: NO Emergency Numbers: P Storage Areas/Tanks: K,F Emergency/Containment Equipment: ► r 0 Mons o; atl nf,rrA � Waste Generator ID: Waste Product: ad �p7e _ Date&Amount of Last Shipment/Frequency: s_ wa&e— 0` Licensed Waste Hauler&Destination: ih9 i Other Waste Disposal Methods:—�=4J ' s ledWr u�0.'� LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111 p , 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 gb 9 y f 'O 1- Miscellaneous Corrosives Gasoline,jet fuel, aviation gas 0 Cesspool cleaners Diesel fuel, kerosene, #2 heating oil � ZDisinfectants 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 V 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: '2 0 M!9ej) j6 Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS p`pfIKE Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 'MASS. 200 Main Street• Hyannis, MA 02601 "rEO39.Mp+ TOXIC ANDHAZARDOUS MATERIALS INSPECTION REPORT Business Name: C� � JQ-��'�e Q Date: N18 Location/Mailing Address: 100 ► oa v vw\k Contact Name/Phone: Inventory Total Amount: N ��� �� SDS: DIA.[%%^A- kGC-egg License#: 1 Tier II : v Labelina: Swill Plan:OK �5-&VL a, Oil/WaterSeparator: N Floor Drains: tQi Emergency Numbers: oKI Storage Areas/Tanks: �- , w a ti k e,o, -j % cXlr{o,-�1 ex<VAA.,_%4JA,5-lo-P Emer enc /Containment ui ment: s ` "j I <<& 5 S' c- .` ' �ell S CO Waste Generator ID: D Li Waste Product: o 4 tics! 4- p� Date&Amount of Last Shipment/Frequency: \� t0 \ �-' -yX < ,-Q. V-,n 94 Licensed Waste Hauler&Destination: Qe Cw •\ bkAG Other Waste Disposal Methods: RA L 1 a k6 C a. 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 wa,,$k?,SS ,r' � Dry cleaning fluids Automatic transmission fluid ati X Other cleaning solvents&spot removers Z Engine and radiator flushes .�of%v hto Bug and tar removers �Z. Hydraulic fluid (including brake fluid) Windshield wash 1('D� Motor oils bo Arivv wAAke �� v0 Miscellaneous Corrosives af5 Gasoline,jet fuel, aviation gas 116,:'y Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants 4. Miscellaneous petroleum products:Z, Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages aS�C ,( Pesticides: Caulk/Grout tp `� insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries bA,� Photochemicals(Fixers) Rustproofers 5\ Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives (creosote) Asphalt&roofing tar Swimming pool chlorine to Paints, varnishes, stains, dyes 16 Lye or caustic soda y Lacquer thinners I- Miscellaneous Combustible aeC0501s Paint&varnish removers, deglossers Leather dyesa2- 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: 'L x INFO MATION/RECOMMENDATIONS: NO ')`LS 'r vlv►JS ' SkosA- Inspector: Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS Number Fee 701 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Cycle Services JD Signs LLC 100 Ridgewood Avenue, 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 i). e- Town of Barnstable 7\ Inspectional Services BARNSTABLE �pQ THE Tp�� w smw u; Public Health Division :09-2014 Thomas McKean, Director ? 039. 200 Main Street, Hyannis, MA 02601 Ofnce: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE t 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 ,�VS-C 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. 2. IS THIS A PERMIT RENEWAL?t/' 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: CN C'L" S �' 6. ADDRESS OF ESTABLISHMENT: 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 7� 9. EMAIL ADDRESS: 10. SOLEOWNER: YES,�<.NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME C�jCL.S--S0-V—VyC=,(-,S PRESIDENT SPctA2- -t�v im`( TREASURER—Z)pv CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COIVIPANY ADDRESS EMAIL: SIGNATURE OF APPLICAN DATE 6 i5 I. Q:\Application Formsgiaz Mat App Revised 09-10- .do x Number Fee 701 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Cycle Services --------------------------------------------------------------------------------------------------------------------------------- 100 Ridgewood Avenue, Hyannis, MA ........................=............................................................................................................................................... Is Hereby Granted a License For: Storing or Handling 500 gallons or more 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 1 Town of Barnstable e` Inspectional Services BARNSTABLE Q`� PFR4.TaelE-C4M1'1ERVLLIf•CONR•tTAM1k15 Public Health Division 1639 CiSRX<Yl5.1392L•t.S APNS hBLE [ -2014 �• 1 RAMMBLF. r Thomas McKean, Director MAM %639.�a 200 Main Street, Hyannis,MA 02601 } r; Office: 508-862-4644 Fax: 508-790-6304 r..• APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS t i 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 ❑l CATEGORY 3 PERMIT 500 or more Gallons: $150.00 I� V&r P,,-( C-41 1�� *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? y 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:. y f � 5. NAME OF ESTABLISHMENT: C—Y a�- Se R u I Gr!C 1 6. ADDRESS OF ESTABLISHMENT: t C7 O - o\-�,(:;r�won l 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: / 8. TELEPHONE NUMBER OF ESTABLISHMENT: I L I 9. EMAIL ADDRESS: 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: h►-C. �p�, mSZ 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME C-yCLf- Sg-r-2 c 1CSR7ftj SI&'Y`1 t PRESIDENT TREASURER`t:,fcr`) k-, CLERK --1'Ptt:,e- 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICAN Q: � �Appfication Forms\Haz Mat Appli Draft Jan2tc, DATE Number Fee 701 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Cycle Services JD Signs LLC 100 Ridgewood Avenue, Hyannis, ALL 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. 01/31/2020 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable dk A A- Inspecdonal Services BAMSTABLE • BN+.SM E lC RittJi•�C��K::r Public Health Divvision.._.. fF : . . : " Thomas McKean, Director MASL ' s _ _ _ 200 Main Street, Hyannis,NSA 02601 _ __ _. ... ..................... k.%, r�+ Office: 508-862-4644 Fax: 508-790-6304�"� ... _......... ..... . _ .......... _ _.... ......... _.. _..... ............__._..... .................... ....... ......___.........._...........-..__._...... r'i ...... APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE _. . _ . __ HAZARDOUS MATERIALS r,l 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 ..... 1ULY 1st ..JUNE30th). . .. .:::::.. ...... _... _ ...... _ .... _ 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: $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? YES NO. IF.YES,.SKIPQUESTION.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: =3Cw 'I 5. NAME OF ESTABLISHMENT: ... . . 6. ADDRESS OF ESTABLISHMENT: )oo ti C ... ... . .. ......- 1. MAILING ADDRESS DIFFERENT FROM ABOVE. _ . .... .. 8. TELEPHONE NUMBER OF ESTABLISHMENT S--77/ PI). _ ..... ....... . ...............—........ 9. EMAIL ADDRESS C, fC S lJ l G o --.10. SOLEOWNER: YES NO IF-NO,NAME OF PARTNER. 11::FULL NAME,HOME ADDRESS,AND TELEPHONE:#OF: CORPORATION NAME L\q Cie SiF--Z-VLC� ..... PRESIDENT c v....i±:af- TREASURER _ . . _. ........ . ............CLERK ....... �. . . . ::: 12. IF PREPARED BY OUTSIDE PARTY: . . ....... .. ...NAME: ... _ _.. TELEPHONE#: . .......... ___ _` __...... ........ COMPANY ADDRESS _ ....... _ _ EMAIL:.... ......__ _ SIGNATURE OF APPLICAN __ DATE ......... ..... . ..... .... :Q-..XAPPlication Formaiii MAt.Abb Rcv.i c:d 09-10 ocx _ . ................ ....... ........... ....... ... . ... ........ .- _....__.. . . _........ __. __ _ _..... ...... . .__...... . ........ ........._........__...... r Number Fee 1243 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that R.S. Auto Repair 100 Ridgewood Avenue, 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 �1 $10c&it (95d-3 ow of.B stable p T � �n I Regulatory Services Richard V. Scahl Director oFt"e rqi, o Public Health Division BARNSTABLE BARNSTR2tE•CFHfEI1VWF•COTt/fT•NYgSI 1 �grAB�. 1 Thomas McKean,Director ° ""�;��o<� 5.W pr1 6 9. e`� 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 1 st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT— 26— 110 Gallons; $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 N VS. 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? VIYES_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: vV4-4? 5. NAME OF ESTABLISHMENT: � !/�O' 6. ADDRESS OF ESTABLISHMENT: 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: 10. SOLEOWNER: VYES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: Of SIGNATURE OF APPLICAN DATE Q:\Application Forms\HAZMAT APP 2017 REVISED.docx Number um THE COMMONWEALTH OF MASSACHUSETTS Fee $1Fee 25.00 Town of Barnstable Board of Health This is to Certify that Cycle Services JD Signs LLC 100 Ridgewood Avenue, 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 I owt1�A of B nsxable J rwatory Services �bal� 00 �l e 11 Richard V. Scali, Director 1 �� • �, Public Health Division BARNSTABLE + BA STABLE. B TONS.1E FfrtevluE•mrun.xv U Thomas McKean Director °H5�'�'°=�0.1E..��� �� MASS �, � ib3955-77aoia — - — -- -- 16 q • - -5d5- prFc +"` -- - -- 2001VIain Street, yannis;lV1A 02G01- - - - ----- 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 1 st-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 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? a"O"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: Gam{CAA-_' S-�-- W-UL GrcR 5. NAME OF ESTABLISHMENT: ' 6. ADDRESS OF ESTABLISHMENT: �O 0�, 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: �(� 8. TELEPHONE NUMBER OF ESTABLISHMENT: 5M ' r)-71' rI I q !; PtF-!� Cal 9. EMAIL ADDRESS: C-L/� ` t 10. SOLEOWNER: YES ✓NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME L-1 LJ-k -S t2tir 6-10A /. 4-C , PRESIDENT --VVrC!L- t,,\, TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICAN DATE51 I U 8 Q:\Application FormsVIAZMAT APP 2017 RE FEVocx� I Number Fee 701 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Cycle Services JD Signs LLC 100 Ridgewood Avenue, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. ------ - ------------------------------------------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------- ------------------------------------------------------------------------------------- p� This license is granted in conformity with the Statutes and ordinances relating there to, and V 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 coo V!� • Town, of Unstable Regulatoervices Richard V. Scah, Director r t►+e ,� o Public Health Division BARISTABLE f &�0.N5lnDlE•iZt([�t11LLE.CoNR•HY lls 440.51U'.SV,L'SC51EiY1LtE•Y!_SI Pa^.HiT5@E =' ��•AMAM B�. • Thomas McKean Director �f639. �1k 200 Main Street,Hyannis, MA 02601 Dg T L Office: 508-862-4644 Fax;.E508-790-6304 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 1 st—JUNE 30th). cPN 7-_c2 670 APPLICATION FEES CATEGORY 1 PERMIT -26— 110 Gallons: $-50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 21 -� 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 (v 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: S 12�/1 6. ADDRESS OF ESTABLISHMENT: 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: 10. SOLEOWNER:1: Y S_NO IF NO,NAME OF.PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE# OF: CORPORATION NAME PRESIDENT � G� h �' cy►cd1 03 TREASURER—I',sp�,3 MAI? je- rr ►W CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE (_e Q:\Application Fonns\HAZMAT APP 2017 REVISE docx - A I Number Fee 1243 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that R.S.Auto Repair .100 Ridgewood Avenue, 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 DONALD A.GUADAGNOLI,M.D. 07/01/2017 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Y I' { ow of B nstable egu%atory Services Richard V. Scali, Director r MA Public Health Division BARNSTABLE f anunsrnme•s++re;vi�.cmun•rrcnnr.is BARNSTABLE. r Thomas McKean, Director """�'0T5 H1�•,39 2014narec?xsrRe;e 200 Main Street, Hyannis,MA 02601 573 (gyp � Office: 508-862-4644 508-790-6304 APPLICATION FOR PERMIT TO STOREAND/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 4-PERMIT 26--TI 0-Gallons: $ 50.00 ❑ -` CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 VS 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? 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: E/ l• //�� � 6. ADDRESS OF ESTABLISHMENT: ��®` �� �-� • ��/}s/���f, 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE.NUMBER OF ESTABLISHMENT: ;SSG Jc- 7�e eF:,/// 9. EMAIL ADDRESS: 10. SOLEOWNER: v'�ES_NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE —�6 Q kApplication Fo MAZMAT APP 2017 REVISED.docx °a THE*o Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARN�LE. • 200 Main Street• Hyannis, MA 02601 F1639. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT `j�d�/� Business Name: C rvt Date: Location/Mailing Address: Ioo 64 oo,69 QJV,0 4v">7 1 Contact Name/Phone: Inventory Total mount: 3�D �`� MSDS: �eS + g�ti�k �flS License#: Tier II : Labeling: J&&69 Spill Plan: Nl es - o•1 cb�� Oil/Water Separator: Floor Drains: N a Emergency Numbers: "125 Storage Areas/Tanks: oA�►^�"' � STe`�''`�... Emergency/Containment Equipment: 6 o1Vtv,ik Waste Generator ID: M I5S&9, l 1 t i 41`1 Waste Product: 01 0a y'S Ckax.c-e, 4K-f 1V� Date&Amount of Last Shipment/Frequency: I 4-1 Q 4 ► ti � Licensed Waste Hauler&Destination: -eI4,e— L�w�o/►� Other Waste Disposal Methods: 1,2 LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. ✓ Antifreeze SS w0A "e- Dry cleaning fluids T Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash J— Motor oils Igo w�5�� Miscellaneous Corrosives �— Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oily l Refrigerants ✓ Degreasers for engines&garages � � Pesticides: Caulk/Grout t 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 J 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" f (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: Inspectory�t Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS Number Fee 1243 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health ;Z- This is to Certify that R.S. Auto Repair 100 Ridgewood Avenue, 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 Director of Public Health Town of Barnstable Regulatory Services Richard V. Scali, Director " MAS& � ' Public Health Division BARNST 11fA� uxnsna •mrtcuvn .mnnr• 3 ♦ wnroea ws•osmYue•wsr Thomas McKean,Director 1639-201 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 � Fax: 508-79004 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—NNE 3 0th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑' CATEGORY,2-PERMIT 111 -499 Gallons: $125.00 �(,L, CATEGORY 3 PERMIT 500 or more Gallons: $150.00 0 A late chame of$10.00 will be.assessed if payment is not received by July 1st. 0 ASSESSORS MAP AND PARCEL NO. DATE /p'� Old FULL NAME OF APPLICANT:�0 NAME OF ESTABLISHMENT: . %I ADDRESS OF ESTABLISHMENT:/W MAILING ADDRESS (IF DIFFERENT): TELEPHONE NUMBER OF ESTABLISHMENT: EMAIL ADDRESS SOLE OWNER: -__�S_NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE#•OF: CORPORATION NAME PRESIDENT TREASURER CLERK IF PREPARED BY OUTSIDE PARTY: SIGNATOZE 9F APPLICANT Name: Company Address Telephone#: Email: Q\Application Forms\HAZZAPP Rev I6.docx Page 1 of 2 f Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 RaRMARLE.g! 200 Main Street• Hyannis, MA 02601 �'DrED MP�a`0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: e-14 I, Date: �7 1 Location/Mailing Ad ress: 16b o v enn1 Contact Name/Phone: �� ��,1 �0�,-7�►- 1 y I Inventory Total Amount: MSDS: e 5 License#: 7 O t �wky Tier II : N 0 Labeling: a6lo Spill Plan: Q11 Oil/WaterSeparator: Floor Drains: a Emergency Numbers: Storage Areas/Tanks: Emergency/Containment Equipment: Waste Generator ID: 7'71 1 1q Waste Product: Di n e �eZe em/ Date&Amount of Last Shipment/Frequency: 9 /3 / 2 S Licensed Waste Hauler&Destination: C)Jn,'0/ ✓ I R Other Waste Disposal Method's: Kka-e-% - i LIST OF TOXIC AND HAZARDOUS MATERIALS IJ o Ma p.! 5 y��.e_„`��� S,hc¢. �o�S� I►�� . NOTE: Under the provisions of Ch. 111, Section 31, of the Ge�eral Laws 6f 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 Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants J 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: VtAV a 2 () 10 w 4 K! 1 e (V1CQ5 Inspector: UQ e�ta, Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS �`Y\ Fee Number 701 THE COMMONWEALTH OF MASSACHUSETTS 100.00 Town of Barnstable Board of Health This is to Certify that Cycle Services JD Signs LLC 100 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 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 pF'WE>Q Regulatory Services Richard V. Scali,Director RARN Public Health Division r 165 �a10 Thomas McKean,Director F� 200 Main Street, Hyannis, MA 02601 Office: 508-8624644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. 3de e2j&DATE l_I,C� �s APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN II I GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT CXc-L'�— 39-'&0% CE S • ADDRESS OF ESTABLISHMENT TELEPHONE NUMBER_ SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNE S L 3 L�Pt� t'1'I L.t_ L\, �—v N v�C IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION I'V\ L, FULL NAME AND HOMk ADDRESS OF: PRESIDENT SPrGlit '� 3 �{ ca-tv7 Z9 �,�� w '►�- TREASURER CLERK —V SIG TURE OF APPLICANT RESTRICTIONS: HOME ADDRESS `�� C:ts?v T�� Sf�—�w�C,a HOME TELEPHONE# Q\Application FortnsIHAZAPP.DOC r _ `°F,►�r°j�� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARMAW%. . • 200 Main Street• Hyannis, MA 02601 s639. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: C c-1-- ar-J,e-e-5 Date: Location/Mailing Address: i o o AoL4wooA \)e a 5 Contact Name/Phone: ---S-&c. 4 9 14 Inventory TotalAmount: ^' I MSDS: IDS License#: -7 y 1 Tier II : 00 Labeling: &P-y Spill Plan: Oil/WaterSeparator: A Floor Drains: Emergency Numbers: e,S 9 Y Storage Areas/Tanks: S 4 t- 5 �wk a� h'c a It N- -o �• Emergency/Containment Equipment: �coo,oC"4 r m r.k..� wk �o� v ski ���w�s} proms r g,o�.c�•�r t Waste Generator ID: P&q So g-i:l j i� I Waste Product: Date&Amount of Last Shipment/Frequency: S Zo 0.1 - Y. e �"`•�'' �``""`� Licensed Waste Hauler&Destination: o Il A. At 2Lo�cr k�O 1 JV(� Other Waste Disposal Methods: -) -1 \,e c.vv. -Co eoa r ks e\�aw LIST OF TOXIC AND HAZARDOUS MATERIALS �v�Vtxty� � Y NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws`bf MA, hazardous miterial 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 — 7 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: 0 165v4S tOWIJI(aA a ,*.4s AT 15 4ice . Inspector: -A�(-�,� Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS Date: l l �l r q TOWN OF BARNSTABLE�K +,*,%- TOXIC AND HAZARDOUS MATERIALS RF2G1STfbkT1QN FORM NAME OF BUSINESS: Cyc JR, S.o,rv,Ce s BUSINESS LOCATION: 100 hVe. INVENTORY MAILING ADDRESS: _tea TOTAL AMOUNT: TELEPHONE NUMBER: -5"09-771- 1Y 1`f ,Zq<4a1J�ns CONTACT PERSON: ask. bj�� EMERGENCY CONTACT TELEPHO E NUMBER: MSDS ON SITE? TYPE OF BUSINESS: iKoe d---,pa yes - ,oA4 vo,4�- S 5 4 l>" -dt"dable- INFORMATION / RECOMMENDATIONS: (71 et.,K-t ���r!-ofg4„,se�I:5A042 ; lore District: 0,tsk tee-t, iz-4 b svr s h!V f K,l r s ,t a,Wb a— o Ireco M t4l dS +/ �-�bra.-I' f� Waste �T�'a�e�a#�on: A1/647.71/yr y Last shipment of hazardous waste: 6-1-2613 Name of Hauler: hA6 Adg solver Recpj��*v Destination: XyAys "stl 0,/-, ZJe6oryc ✓jA Waste Product: OAste o, ! Licensed?CD No Saft4- {(lee► Ar{s c.1.a.avV-e NOTE: UnWer 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 5' Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive 2"NEW 2 �USED S3' Cesspool cleaners / Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) L Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides 10 CI NEW sO J USED S� (insecticides, herbicides, rodenticides) 31' 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 %Lp Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine �p 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) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers 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---UL IKE Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARNSTABLE. 9 MASS. �. 200 Main Street• Hyannis, MA 02601 �A�FD MA'�a`0 �QTOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: s AQ V0 a"1 Date: Location/Mailing Address: Ave- Contact Name/Phone: Inventory Total Amount. ~' °�1 SDS: Qc3 oww 'J► vt al�License#: IZy C� Z- Tier II : 010 Labelina: C.)l< Spill Plan: e 5 Oil/WaterSeparator: Floor Drains: o Emergency Numbers: `f e 5 Storage Areas/Tanks: A * k. Covts�t�� -t,e ltz a t k Emer enc /Containment E ui m nt: ¢�-� < ow y,�� c� E- Waste Generator ID: D 1 1 l Waste Product: 0► 4,K, ! Date&Amount of Last Shi ment/Fre uen : 2 1 ou,l Licensed Waste Hauler&Destination: C a' ®d wro fit, Other Waste Disposal Methods: &+!i At'' LIST OF OF TOXIC AND HAZARDOUS MATERIALS N V�,k a 1 o-" C.V,a S tom- �K�►�-vt o g l Kt - 1a.4+ ��� NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws MA, hazardous mate ial use, 1w5� 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/ELECOM MENDATIONS: 1VJ,kJkL JW 0 C •0- Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS i IKEA Town of Barnstable Office:508-862-4644 1°* Public Health Division Fax:508-790-6304 • BARMASS,, • 200 Main Street• Hyannis, MA 02601 039. iOrFD Mn+�`0� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: S AA6 Re- tit Date: Location/Mailin Address: 100 ,A t,J&-,4 v aV1AI Contact Name/Phone: *�o KcLA A:� �o --7TQ le I I I —InventoryTotal mount: 1 I ILI MSDS: e S License Tier II : v Labelina: In t VtiJ Spill Plan: oK Oil/WaterSeparator: N Floor Drains: f)a Emergency Numbers: 0K- Storage Areas/Tanks: �,1 fa,ti.. ay.�C.�C�e�- S a, cv.",s -F-e C, 0 W Ar' 4� r�.•t�so �- Emergency/Containment Equipment: Waste Generator ID: 1 E2 At► t Waste Pr duct: e Ma..11� Date&Amount of Last Shipment/Frequency: 2 1 S i q qA-I a,ti r, Licensed Waste Hauler&Destination: o�- Other Waste Disposal Methods: 162M i I LAAJ ec+-,vk,, b,)c,--Q4 LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111 Section 31 of the General Laws of MA hazardous aza dous material use storage and disposal of 111 gallons or more requires a license from the Public Health Division. ,pr 2C,\` Vl- Antifreeze -1 Dry cleaning fluids 9 Automatic transmission fluid 0( Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) (0 Windshield wash b Motor oils ��{p�c.a1 '3p w�,gfi�X kZk10 Miscellaneous Corrosives Gasoline,jet 4i1e1, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Qo Refrigerants 2.141-0 Degreasers for engines&garages' Q Pesticides: Caulk/Grout Q�<hy �,� �'r� insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries ^,S�\ Photochemicals(Fixers) Rustproofers $ e\.A�'" 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 2 Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables S 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: c�e� INFORMATION/RECOMMENDATIONS: Gvu„! k ! k o A. -C-d> N1AtiSwoz.1,A. C A+tlti v\o tv�v - �� oc �1q�k ��Geµx tg c �1� �l� N W.k\n �r~ -� 'W i Inspector.` 1 L 0.V�2 Co I '�12txk i tcr� LL�i� ''� Facility Representative: JV ® °�✓ WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS THE►ok� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARMARS. 200 Main Street• Hyannis, MA 02601 'o TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: k C5 >rC o I -e- Date: V3/11 Location/Mailing Address: 1 Do Q i r v 6; \ 2- H VAYtyliS Contact Name/Phone: o k J u -moo S --1 D -931 l Inventory Total Amount: �L 1 MSDS: License#: A Tier II : 40 Labeling: OX Spill Plan: N—! Oil/Water Separator: N Floor Drains: IJD Emergency Numbers: es Storage Areas/Tanks: 6ta,� �,ti..v t- X K I 15- a-1 bi 1) w-ke- o e yu - Emergency/Containment Equipment: % c k,, AN; \ot k 0 -1 Z. Waste Generator ID: Waste Product: o,\ + av����CteQ Date&Amount of Last Shipment/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 Its Dry cleaning fluids 'L Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid)L 'j Windshield wash 3 I k Motor oils it 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 `l Battery acid (electrolyte)/batteries q 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 I Irk 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: ("V- a - e as av\� Q a r (OKIAkev.— Wq &442- Javl r O INFORMATION RECOMME TION j oo:! o . o 1, o O.A 0- 9- Ca vI, Inspector. ooi l 1 Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS —; _ TOWN OF BARNSTABLE Date:/Z-131 113 TOXIC AND HAZARDOUS MATERIALS FORM NAME OF BUSINESS: ,e l BUSINESS LOCATION: loo u.3 o �/2 *vkyti s INVENTORY MAILING ADDRESS: 54AA C- 44 TOTAL AMOUNT: TELEPHONE NUMBER: SOS- 79 o S I I I ^-l S(o a - -�c b.e- CONTACT PERSON: Rox,0OX .S act v rc�� a'o 11 oZ -if EMERGENCY CONTACT TELEPHON N MBER: MSDS ON SITE? TYPE OF BUSINESS: - INFORMATION/ RECOMMENDATIONS: Fire District: 1X1o0PX,mdbLAI et 401po y0 Visi4- o Q1,1nvta_ io0/ 6 1Jee1GS� N. Ct,�l S 2� �+1t;It caa.��� vl.c.Ca�-m�s� IfH„e 'lieu �ecoc�s ,;I, �"r-R1r1s a�ara�v5 l,Ja�k2- , s9 Db t�,rl, !�'I S 5 �K� kec0 0►1 �5A , 'V Gel' f2 c6 C v i5 k{s Sccvicck Jbnt►awcoQ. tocl��1 Waste Transportation: se1�'�-rcangoa��- _'' Last shipment of hazardous w("aste: Name of Hauler: Destination: Waste Product: +a bz 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 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 O Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive L2 NEW,I' C(USED?35'(Av`I'I1t.b1.teA) Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) 2 Hydraulic fluid (including brake fluid) Refrigerants �?S Motor Oils 5, Pesticides LANEW Y' O USED 8o jb"`�'`'�}�} (insecticides, herbicides, rodenticides) I- t1 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 Z, 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) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes / .�Labs) a co►Aa ✓L¢.rg Laundry soil &stain removers (- (including bleach) Spot removers &cleaning fluids (dry cleaners) ca�O,p Other cleaning solvents Bug and tar removers C �.2Q v d c� s ► �S' f Q���✓ Windshield wash I$ Vet I Q b lz &it S i4p- WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials SHE Town of Barnstable � 1 (� �OF Tp V ' P Administrative Services Treasurer's Office BARNSTABLE,MASS $ 1 6391 230 South Street ArED MP1 A Hyannis, MA 02601 Debra M.Blanchette,Treasurer Te► (508)862 4653 JoAnna Callahan,Assistant Treasurer Fsx.1 (508)8624717 :E July 13, 2017 h�9 Ronald F. Sprague RS Auto Repair 100 Ridgewood Ave. Hyannis, MA 02601 - Dear Mr. Sprague, Please be advised that your r checks#8825 in the amount of$125.00 totaling.was returned from the bank unpaid. These returned checks have incurred a penalty fee of$25.00 per check. Please make arrangements to satisfy this obligation with a payment in the form of cash, money order or • bank check in the amount of$150.00 to the department below. Town of Barnstable, Health Department 200 Main Street Hyannis,MA 02601 All arrangements to-satisfy this obligation need to be directed to the department that accepted the original returned check which is listed above. You should be aware that your name will be added to a Returned Check Listung that is circulated to all-Town of Barnstable departments.Asa result;they will'not'accept payments by personal or _ business check until this obligation is satisfied. Failure to pay the amount due within 30 days from the date of this letter will permit the Treasurer's Office the right to pursue criminal action for collection as permitted by law. Your cooperation is greatly appreciated. Sincerely, Ann Pacino • Staff Auditor Crocker, Sharon From: Crocker, Sharon •Sent: Monday,July 17, 2017 11:47 AM To: Pacino, Ann Subject: FW: Returned Check for Non Sufficient Funds Attachments: Sprague #8825.tif Hi Ann, RE:The payment from RS Auto Repair(Ronald Sprague), 100 Ridgewood Ave, Hy of$125 - The reverse code is: 01-6501 431640 Haz.Mat. Thank you. Vanessa Sousa: FYI, Ann sent a letter out for non-sufficient funds. Please follow up in'a few days if he does not come in prior to that with $150 cash (includes$25 bad check fee) Thank you. Sharon From: Pacino, Ann V nt: Monday, July 17, 2017 9:39 AM M: Crocker, Sharon Subject: Returned Check for Non Sufficient Funds Good Morning Sharon, Attached is a letter I am sending out to Sprague today. Please send me the codes for reversal. When payment is made please attach a copy of this letter with your payover. Thank you, (bm J adw Staff Auditor Treasurer's Office 230 South St. Hyannis, MA 02601 508-862-4745 Ann.Pacino@town.barnstable.ma.us � 1 r 6 Town of Barnstable Administrative Services • Treasurer's Office �� , 6`3� ��$ 230 South Street Hyannis, MA 02601 Debra M.Blanchette,Treasurer Tel: (508)862-4653 JoAnna Callahan,Assistant Treasurer ^ Fax: (508)862-0717 July 13, 2017 11//—`C 4�meAf-(k4mb&LA� Ronald F. Sprague ` t RS Auto Repair 100 Ridgewood Ave. Hyannis, MA 02601 Dear Mr. Sprague, Please be advised that your checks#8825 in the amount of$125.00 totaling was returned from the bank unpaid. These returned checks have incurred a penalty fee of$25.00 per check. Please make arrangements to satisfy this obligation with a payment in the form of cash, money order or • bank check in the amount of$150.00 to the department below. Town of Barnstable,Health Department 200 Main Street Hyannis, MA 02601 All arrangements to satisfy this obligation need to be directed to the department that accepted the original returned check which is listed above. You should be aware that your name will be added to a Returned Check Listing that is circulated to all Town of Barnstable departments. As a result,they will not accept payments by personal or business check until this obligation is satisfied. Failure to pay the amount due within 30 days from the date of this letter will permit the Treasurer's Office the right to pursue criminal action for collection as permitted by law. Your cooperation is greatly appreciated. Sincerely, Ann Pacino Staff Auditor • i • !-l&YIC FOR UN A 2', DE-POSITED ITEMS G 3/��6/��>1'i 'Roc land Trust i..v:PpanP j i:C:C::land, f-:.A 02""370-13so Gae have Ci',aTgeid Checking acc oun'c XXXXXXXXXXXX9390 •f'or the attached ctr, �i. t�d cit_ck that returned because of INSUFFIC.:IENT FUNDS O'r`awee:_ B-an { V1a `.Wr Ch k Date Check Amount CAPF C00 RONAiLD SPRAGUE 06t17/L7 125. 00 Ti L.I%11 tF" rZAIRNS-1ABLi Fee Amount GCS #r _FSu1ERS OFFICE SCiJ71, :3?° The above 'Fee has been t,Y;�:iF I8 i•IA 1.��'=sr charncd to Checiting aC cunt XXXXXXS390 • * • c 091000022 07/03/2017 A 8052491177 :F- 061000146 07/03/2017 8325064996 211371078 07/05/2017 63941041109308Q.. F `o 061000146 07/06/2017 8367731518 c m 0 '011304478` Q 07/06/2017 0005259176538234 Town of Barnstable For Deposit Only Health 8390 0 F • 01130447 <' 06/30/2017 52591 053909 Ai %j.TPE 1j114PA11"D OEPOSITED ITEMS Roc�,!_�nd Trust 1,o,.P.PaTq 2228 U-niov, -Mit-z-eet MA 023'�'70-13SG We have ci,;a-r-qed C"heckLnq account XXXxXXXXXXXX2390 For the alutadhed 6E?pmsited ch:_:ck that tuas T-eturned because of INSUFFICIFNIT FUNDS Orawee 701-ank, V11 av W r Chk Date %Check Amount CAPF COJI-) 20-T-VALD SPRAGUE 06f 17/1-,,, 125. 00 TG`WI%! tF, Fee Amount 00 tF-T_=A.S11RER13, 0 FF 1 CE The above -Fee has been charged to Checking "XVVXX3390 aCCOUnT A A * " Town of Barnstable Administrative Services LE. Treasurer's Office i659 AS& �' 230 South Street ► " Hyannis, MA 02601 Debra M.Blanchette,Treasurer Tel: (508)8624653 JoAnna Callahan,Assistant Treasurer Fax: (508)8624717 July 13, 2017 Ronald F. Sprague RS Auto Repair 100 Ridgewood Ave. Hyannis, MA 02601 Dear Mr. Sprague,r Please be advised that your checks#8825 in the amount of$125.00 totaling was returned from the bank unpaid. These returned checks have incurred a penalty fee of$25.00 per check. Please make arrangements to satisfy this obligation with a payment in the form of cash, money order or bank check in`the amount of$150.00 to the department below. Town of Barnstable,Health Department 200 Main Street Hyannis, MA 0260.1 All arrangements to satisfy this obligation need to be directed to the department that accepted the original returned check which is listed above. You should be aware that your name will be added to a Returned Check Listing that is circulated to all Town of Barnstable departments. As a result,they will not accept payments by personal or business check until this obligation is satisfied. Failure to pay the amount due within 30 days from the date of this letter will permit the Treasurer's Office the right to pursue criminal action for collection as permitted by law. Your cooperation is greatly appreciated. Sincerely, Ann Pacino Staff Auditor M) �.y Number Fee 701 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Cycle Services JD Signs LLC 100 Ridgewood Avenue, 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 Director of Public Health Town of Barnstable ►�,,ti Regulatory Services Richard V. Scali,Director • i BARNSTABM : BARNSTAB MAS& Public Health Division 1639• ¢e�as�� w�iemNvsnsmwn �fD MP'1 A Thomas McKean,Director 1639_2014 575 200 Main Street, Hyannis,MA 02( Office: 508-862-4644 �d �p� Fax: 508-790-69 V1 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 ❑ 1/ 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 paMent is not received by July 1st. ASSESSORS MAP AND PARCEL No.-;'-- DATE FULL NAME OF APPLICANT: 3( V � NAME OF ESTABLISHMENT: � , (✓ `� V ADDRESS OF ESTABLISHMENT: MAILING ADDRESS(IF DIFFERENT): TELEPHONE NUMBER OF ESTABLISHMENT: 9 '7 EMAIL ADDRESS: SOLE OWNER:V - S N 0 IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER PI CLERK • IF PREPARED BY OUTSIDE PARTY: SIGNATUU OF APP Name: Company Address Telephone#: Email: Q:Wpplication Forms\HAZZAPP Revl6.docx Page 1 of 2 s_t Number Fee 701 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that Cycle Services JD Signs LLC 100 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 y Town of Barnstable °ptHE Tp�, Regulatory Services v ti Richard V. Scali, Director '" MASS. ' Public Health Division 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. 3 r/ �'J / DATE C. APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT Cr ADDRESS OF ESTABLISHMENT TELEPHONE NUMBER 1 � SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNER 1 v C,O 4 pwi m l 1 C- L t.-- &—v N IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION — FULL NAME AND HO ADDRESS OF: PRESIDENT 3—k-CM 3 K" C6TUV- -.'�) &&36M wlui} TREASURER CLERK SIGNIATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS 7J�x TUT HOME TELEPHONE# \��� 3 Q\Application Forms\HAZAPP.DOC f Spill Contingency Plan 1. Evacuate the immediate area, if necessary 2. Shut off electrical equipment as appropriate 3. Remove or restrict any potential ignition source from the area if the material is flammable 4. Contain the spill by use of absorbent pads or absorbent material as necessary. Contact Clean Harbors 614-849-1800 or other authorized clean up agency 5. Remove all absorbed material and package in DOT approved Container 6. Label all containers with type of waste and start date. 7. Notify appropriate agencies 8. Once spill has been controlled, materials collected and secured, inspect the area and all equipment used in clean up de- contaminate 9. Replace all used materials. 10. Manage and dispose of collected absorbents in accordance with federal and state regulations 11. Spill clean up equipment is located at the front section of garage 12. Spill equipment on site, absorbent pads, speedy dri, first aid kit, fire extinguishers EMERGENCEY PHONE NUMBERS POLICE 911 FIRE 911 MASS DEP 617-292-5500 Cycle Services 508-771-1414 Number Fee 701 THE COMMONWEALTH OF MASSACHUSETTS $100.0o Town of Barnstable Board of Health This is to Certify that Cycle Services JD Signs LLC 100 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 �V T vyl of Barnsta' ble vof:t►+e t Regulatory`Sery � ".°• Thonras F. Gei,ter, 13u•ector enriA�rnaie: �, MA Public Health Divisjan "lxnaw�° Thomas Mc ean, D.ir"ec.tnr.. 200 Maiii Street, Hy finis, 1ti111.02C01`; Of k&.-: 508-862=4644 [ax. 5(14-7�10r0304: Appllca#ion Fee:'$100 0.0 ASSESSOR,S'iVtAP-AND PARCEI 'NO. DATE C@, .APPLICATION FOR;PEAMIT TO STORE ANDIOR UTILIZE.1VIORE.TH:AN;> 11 x GALLONS OF HAZARD0,US MATERIALS .FIILL:NAME.:OF,APPLICANT LNG ell Q NAME(JF ESTA.BLISHMENT: �!U�� y Q t)t.ck A 66AES S.-OF ESTABLISFfMENT 'u of _ I TELEi':FIONE;NUMBER r , SOLE 0, NEW, YES: NO 1F APPLICAN.T CS A PARTNFRSHIP,FULL NAME AND HOME.AUDRESS COF'ALlf PARTN IE APPLICANT IS A,,CO,RI'ORATION: ;FEDERAL IDENTIFICATION NO. u) j, STATE::©F INCORPORATION f . UL,L NAME:AND 1, ADDRIIJS8 OF: PRESIDENT' TREASLRE)<2;. CLERK 5ipNt TiIRE:Q!F APFUCANT 146N P,'ADDR SS '`t C:ir?iU�., HOME TELEPHONE`# 5r 91106 Number Fee 232 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that WURLITZER RACING PRO 100 RIDGEWOOD AVE, 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 6/30/2013 unless sooner suspended or revoked. --------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2012 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health '�6 Town of Barnstable ,0p1HE Regulatory Services Thomas F. Geiler,Director + a MASS. Public Health DIVB* ioia 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 TELkN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT W U r G`+ L e e-a-c-t✓i o Orb ADDRESS OF ESTABLISHMENT ®U K����'t��G y4-aJ�Q., s die-z"r.L IILL TELEPHONE NUMBER 5U�" SOLE OWNER: ✓YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: if^ P-1 { IF AP L'IC ONT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE''.OF 1WCORP0RATION - c:a FULL N41YIAND HvvQME^, DRESS OF: PRESIDENT A TREASURER CLERK SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS V`"� HOME TELEPHONE# '— Haz.doc/wp/q CONTINGENCY PLAT /i } Emergency Coordinator, Name: ��. U is f r Address: L'odLi, I (. I �'4 Daytime Phone: 5 off'- - Evening Phone: -7� , Fire Department: Barnstable Public Health Division: 508-862-4644 DEP 24 Hour Spill Hot Line: 888-304-1133 Waste Hauler: Name: C rbe: Phone: i ` - Building diagram indicating hazardous material/waste storage area, location of absorbent scavenger materials, fire extinguishers, fire alarms(if present), and evacuation route (if applicable). fY h TT 4% ' see+ }. [ S i Actions to be taken to control a spill or release and preventing it from reaching a catch basin, sewer system or the ground. CL oL s!� Number Fee 232 Number THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that WURLITZER RACING PRO 100 RIDGEWOOD AVE, 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 Town of armtable ofIH Regulatory Services Thomas F. Geaier,DirEdnr 3 a Public Health Dion p Thomas McKean,DiradDr 200 Main St ec-t Hyannis, MA 02601 Ouca: 50•8-862-4644 Fay- 504-790-6304 Applica#ion Fee: $100.00 ASSESSC;RS NIP AND P ARCIAL NO, DATE APPLI ATIOI FOR PERMIT TO STORE AST])/OR UTU= MORE THAN III GA=QNS OF HA7,ARl»US KkTERIALS UI,.L NAME OF APIUCAINT L/ � WC l� I l r �Q A2A OF ESTABI 31EYI'NT W(/`r w�ZQ� 0�0-at aq ADDRESS OF ESTA13LISEIY= TELEPHONE NUMB R 52�F—LI(d-f `"Y/9 SOLE Obi Ili.: DES NO IF APPLIC A N-T IS A PARTN-ZR=,FULL NAY.JT, AND HOMI ADDRESS OF, I= -PARTND : w O -°n N IF APPLICAN-T IS A CORPORATION: F=ER L IDEdNITE�ICATION NO. STATE OF INCORPORATION M 4 . I'IJI1L NA AND/�0nf DRESS OF: IRE= T 17'c-e tt'�!"'nc'7 � W CI ERg GNA=OF A2-PLICA.NT 6J 1�-ESTHzcTIONs: How ADDRESS HOME T=HONE Fazdcchep/q i I t CONTINGENCY PLAN j Emergency Coordinator, Name: {��' tJ r( ` � Address: Daytime Phone: '- ?6- q n. _ a � Evening Phone: Fire Department: Barnstable Public Health Division: 508-862-4644 DEP 24 Hour Spill Hot Line: 888-304-11.33 t Waste Hauler: Name: C c rbc - Phone: - - Building diagram indicating hazardous material/waste storage area, location of absorbent scavenger materials, fire extinguishers, fire alarms (if present); and evacuation route (if applicable). 44 4/ g sE { _ � s K 4nr t, 4 � si j VA. Actions to be taken to control a spill or release and preventing it from reaching a catch basin, sewer system or the ground. jj Number Fee THE COMMONWEALTH OF MASSACHUSETTS $100.00 232 Town of Barnstable Board of Health This is to Certify that WURLITZER RACING PRO 100 RIDGEWOOD AVE, HYANNIS,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. d -------------------------------------------------------------------------------------------- -------------------- S 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 re. f ' i Town of Barnstable � � t Regulatory Services , " Thomas F. Geiler,Director Public Health Division '°rEn n►a�°i Thomas McKean, Director r 200 Main Street, Hyannis, MA 02601 Office: 508-8624644 Fax: 508-790-6304 Application Fee: $100.00 I 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 6e4f:eq A NAME OF ESTABLISHMENT w U r('L(*2,a-K E O-L-Cz .- ADDRESS OF ESTABLISHMENT TELEPHONE NUMBER 50 F ` cn 1/3'5 � SOLE OVMI R: AYES NO .j o IF AAMIC"ANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PAR-TNEIS: i C) Ra IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 7125- STATE OF INCORPORATIONS S FULL NAME AND HOW ADDRESSQF: p�Y PRESIDENT vV TREASURER CLERK SIGNATURE OF/APPLICANT RESTRICTIONS: HOME ADDRESS 73 HOME TELEPHONE# �G — Haz.doc/ /4 �'P l f t •. s CONTINGENCY PLAN Emergency Coordinator, Name: 4e�. W U✓G� r Address: Cal i�4 Daytime Phone: 5'0115'- Evening Phone: SO "!;-7 Fire Department: .3 , Barnstable Public Health Division: 508-862-4644 DEP 24 Hour Spill Hot Line: 888-304-1133 Waste Hauler: Name: C(c?eLn czrbc� r•5 Phone: N— 'd4 q - G6 Building diagram indicating hazardous material/waste storage area, location of absorbent scavenger materials, fire extinguishers, fire alarms (if present), and evacuation route (if applicable). -fire ey r Actions to be taken to control a spilt or release and preventing it from reaching a catch basin, sewer system or the ground., t-t1 `�Qt S -le��e. Ott P L v.,i e-1A l Sa � Pan —v I� . ► . f s U C n n Number Fee 701 THE COMMONWEALTH OF MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that Cycle Services JD Signs LLC 100 Ridgewood Avenue, Hyannis,MA 02601 Is Hereby Grante.d a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. . ------------------------------- ------ -------------- -- .- ------- ---------------------- ------- -- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2011 unless sooner suspended or revoked. WAYNE MILLER, M.D.,CHAIRMAN P_AUL J.CANNIFF, D.M.D_. 6/30/2010 JUNICHI SAWAYANAGI THOMAS A. MCKEAN,R.S.,CHO Director of Public Health I Town of Barnstable �oFtMETo Regulatory Services Thomas F. Geiler, Director BA MASS. LE, _ Public Health Division MASS.yoo i639 °IFnMA�a Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO.36�S DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT� I C ADDRESS OF ESTABLISHMENT r ) _�� 1� , 1 TELEPHONE NUMBER SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTN RS: 3 T IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.�cft jaq!j STATE OF INCORPORATION ULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS 3kf j ' CO Y Ji�,�1t,'Kf�^ HOME TELEPHONE # cr Haz.docA%p.'y �`� Number Fee 232 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that WURLITZER RACING PRO 100 RIDGEWOOD AVE, HYANNIS,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2011 unless sooner suspended or revoked. WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D.__ 6/30/2010 JUNICHI SAWAYANAGI T _,THOMAS A.,MCKEAN,R.S.,CHO Director of Public Health 4 ' Town of Barnstable �pF1HE ra Regulatory Services 0 Thomas F. Geiler, Director BA LE,MASS. a. Public Health Division 9 MASS. �p 1639. ,gym AIFDMA�A Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT (3Y��—e A , NAME OF ESTABLISHMENT W(Jia—�I ADDRESS OF ESTABLISHMENT C) ULI GL/1 c/I�S TELEPHONE NUMBER 50 9-- _T�A 6 SOLE OWNER: YES NO P IF APPLICANT IS A PARTNERSHIP, FULL NAME AND HOME ADDRESS OF ALL _ PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. dLI 706 STATE OF INCORPORATION t44A&5. FULL NAME ANp HO E ADDR SS OF- PRESIDENT PRESIDENT U(- r c f 2� 93 0A_1& � -� (� W 1. °t TREASURER CLERK �,-._: � :•_< ._ . _,. ° 01 g I:1=.a r� _ S ATURE OF APPLICANT fi , �� � RESTRICTIONS: HOME ADDRESS„ 2lt�r.+�1 wall c� .r�I ��a+e��� a.S 4 r n� ,; Eli{{OO kt3f ELEPPIAWI U Haz.doc.icp.;y r• U' c CONTINGENCY PLAN Emergency Coordinator, Name: �be4 (,(JUr&"� Address: a o,n Wu Daytime Phone: 5o Evening Phone: 5,v) Yak- Fire Department: t:; ` - ;`- - 7.. Barnstable Public Health Division: 508-862-4644 0 DEP 24 Hour Spill Hot Line: 888-304-1133 Waste Hauler: Name: `` t�J t�rDc e Phone: :. t`{ `/7,46 - k'—'(, t: Building diagram indicating hazardous material/waste storage area, location of absorbent scavenger materials, fire extinguishers, fire alarms (if present), and evacuation route (if applicable). a # � I 4 f c � ij k 1 1J t 1. Actions to be taken to control a spill or release and preventing it from reaching a catch basin, sever system or the ground. L ram . ✓� t S o "cc + c� V r, Cr(Pu 11 -up -- C 2 Ito ���M -ro Cam . r. Town of Barnstable °pVE r Regulatory Services ti Thomas F. Geiler, Director Y BAM AA S-Q. • Public Health Division yo° 079 ArFDMA�A' Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS I U �, eye /ij,te FULL NAME OF APPLICANT � ,� NAME OF ESTABLISHMENT I� p 6 " ADDRESS OF ESTABLISHMENT ' ���J Qyem, 0&0/ TELEPHONE NUMBER 5-df- SOLE OWNER: YESZNO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: t y Y,e 8 S �n Zv CY3 _ 1 �,... IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. �� `�7t STATE OF INCORPORATION FULL NAME AND HOME?D&,S§ OF:PRESIDENT ►�� J� �� '�t",�.� I�iC� �� i✓//111f4 fJ!/46 TREASURER ?zt, Alf✓a MA4e-: 6V ✓ki e -q: frgg go flfo�� CLERK SIGNATURE OF APPLICANT RESTRICTIONS: HOME AD RESS o? r , $`ml-b.t HOME TEL NE# 5�/3 7. 5_ /00�2 MA D/08 j Haz.dochNp/y BALISE AUTO SALES HAZARDOUS WASTE SPILL CONTAINMENT PLAN Fire and Police Department or Ambulance: 911 Hazardous Waste Emergency Coordinators: Service Manager Alternative Hazardous Waste Coordinator Parts Manager If possible,Emergency Coordinator should first contact one of the personnel listed below and/or our Hazardous Waste Transporter before calling one of the numbers to report a release,spill or leak which may threaten human life or the environment: PERSONNEL TO BE NOTIFIED: Work Cell Home David White General Manager 508-568-3810 678-367-5905 Jim Demas Facility Director 413-735-1003 413-348-8689 413-781-1548 Stephen W.Fitts Risk Manager 413-735-1047 413-374-1664 413-567-9534 Steven Mitus CFO 413-735-1001 1 413-530-4429 1 413-5304429 • Hazardous Waste Consultant: Fred Ramos 508-245-4267 Smith&Lamountain Hazardous Waste Transporter Safety-Kleen Spill Contractor: 888-375-5336 EPA Transporter#CTD021816889 Hazardous Waste Spill Kits are maintained in the facilities Parts Department. Fire and Police Department or Ambulance 911 EPA New England 888-372-7341 EPA National Response Center 800-424-8802 EPA Hazardous Waste Super Fund Hot Line 800424-9346 FOR PARTICULARS OF PLAN REFER TO: Hazardous Waste Contingency Plan on Balise Intranet under Risk Management • r HAZARDOUS WASTE CONTINGENCY PLAN The following is our written contingency plan for each site, designed to prevent and minimize hazards to public health or to the environment from fires, explosions, spills or any other unplanned release of hazardous waste to the air, soil, surface or ground water. Plans have been prepared for each site and will be administered by the Emergency Coordinator. FIRE RESPONSE Use of Fire Extinggishers. In the event that a fire does start, associates may respond with ABC-rated dry chemical fire extinguishers if the fire is small and they can approach it without endangering themselves. The location of the fire extinguishers is shown in the"Evacuation Plan". In such cases one associate should call the Fire Department (911)while others try to contain the fire. If associates are alone, they are instructed to call the Fire Department --not to fight the fire. If associates determine that they can use the fire extinguishers without endangering themselves, they should remove the pin of the fire extinguisher, point the nozzle at the base of the flames, squeeze the handle and direct the output to sweep back and forth at the base of the flames. During this operation it is important to be alert so that the fire does not cut off the associates' escape route, and that their lives are not threatened by smoke inhalation. If either of these conditions seems possible, they are instructed to get out fast, and leave the fire fighting to the Fire Department. Generally, water is not effective in fighting flammable and combustible liquid fires. Gasoline and oil float on water, so pouring water on this type of fire may actually spread the fire. Natural Gas Line. There is a gas line coming into a shut off and meter located in the outside of the building as shown in the"Evacuation Plan". In the event of fire or leaking gas the Emergency Coordinator should close this valve if it can be done without endangering themselves. Otherwise they should alert Fire Department and Gas Company workers. SPILL PREVENTION AND RESPONSE Initial response and reporting spills. If there is a leak, immediately stop the discharge if it can be done quickly and without risk. Notify the Hazardous Waste Emergency Coordinator at once (phone numbers for the Emergency Coordinator are under"Emergency Information"). Whenever the Emergency Coordinator determines that there is an imminent or actual emergency which could threaten public health, safety, welfare or the environment, they shall immediately: 1. Activate internal facility alarms or communications systems to notify all personnel. 2. Refer to section"Emergency Phone Numbers"-Hazardous Waste Contingency Plan 3. Notify local agencies with designated response roles if their help is needed. Gasoline, Solvent and Oil Spills. If flammables are present, use only non-flammable tools and eliminate all sources of ignition. If the smell is very strong evacuate the area. Windows and doors may be opened to reduce odors, but do not turn on fans or other electrical equipment, unless they are explosion proof when flammables are involved. If there is a fire, don't open windows and doors, since the air will make r the fire burn faster. For small spills pour ground clay(e.g. Speedi-Dri) around the spill, building a dike to prevent its spread. Pour additional ground clay on top of the spill. Remove or stop the source of the spill. Often this involves transferring material to an approved non-leaking container, such as DOT specification 17E closed head drum. In some cases it may be possible to tip a leaking drum on its side so that the hole is on the top. After the spill is stopped and absorbed, shovel the ground clay into an approved container, such as DOT specification 17H open-head drum with a Hazardous Waste label filled out.. Acid Spills. Electrical storage batteries are a potential source of sulfuric acid spills if dropped or otherwise damaged. Spilled acid from batteries is hazardous waste because it is corrosive, and also may contain toxic substances including lead and arsenic. WARNING: SULFURIC ACID CAN CAUSE SEVERE SKIN BURNS, AND BLINDNESS IN THE CASE OF EYE CONTACT! In case of contact with acids, first rinse skin for at least 5 minutes (15 minutes for eyes)with cold running water then go for medical help. There is an eye wash flushing station at each dealership. If someone else is present, then get medical help while rinsing continues. Large acid spills (more than a quart) can be confined by pouring a dike of ground clay around the spill. The subsequent clean up of a large spill should be left to professionals. Small acid spills can be neutralized with sodium bicarbonate (baking soda) or sodium carbonate • (soda ash). Wear protective clothing including eye goggles since there will be bubbling and splashing. Apply soda by sprinkling the powder, or an aqueous soda solution, on the aid spill gradually. The neutralization process is exothermic(gives off heat). Diluting strong acid solutions with water also generates heat that can cause boiling and splashing. The bubbles of carbon dioxide gas evolved during neutralization are not flammable but acids coming in contact with some metals including zinc generate flammable hydrogen gas. Always make sure that there are no sources of ignition at any acid spill and that flammables are kept separate. When enough soda has been added to neutralize the acid, the bubbling will stop even if more soda is added. Neutralization should be checked by dipping a piece of pH paper in the liquid and comparing the color of the paper with the chart on the package of paper. A pH of 7 is completely neutral, but a reading of 6 or above is acceptable. Clean up the neutralized spill with a mop and place in approved labeled Hazardous Waste containers. A DOT specification 17H drum is acceptable if a heavy duty polyethylene liner is put in the drum first. Rinse the area with mop and water. The first rinse water should go into the drum also. If you are certain that the spill area has been fully neutralized (use pH paper as described above) subsequent rinses may be poured into the sewer. • • HAZARDOUS WASTE CONTINGENCY PLAN EQUIPMENT LIST Item Descnption � z ° Fire Extinguishers See"Evacuation Plan" Fire Blanket Service Area Eye Goggles Issue Baking Soda Parts Storage Rubber Gloves Tool Room Rubber/Plastic Apron Tool Room pH Paper Service Manager Office • First Aid Kit Service Area Hazardous Waste Labels Service Manager Office DOT 17E& 17H Drums Service Area Polyethylene drum liners Parts Storage Flash Light Service Manager Office Ground Clay Service Area Drum Wrench Tool Room Brooms Tool Room Non-Sparking Shovels Tool Room f • Connreht 2000 ADP.I— GHECK CONTROL NO, 27980 ISSUED BY:, Lutzen,ChristiISE FORD NISSAN HYUNDAI HYANNIS, MA PAGE 1C INVOICE.: :. : ::.INVOICE PURCHASE DISCOUNT/ NET: OCK tJ0 DATE : ORDER NO COMIVIENT/V I N AMOUNT ACCOUNT NO AMQJNT . . .._ . . 061410 HAZ-MAT ANNUAL PERMIT FEE 100 . 00 27980 34*20300 -100 . 00 TO -BARNSTABLE 38*6900 100 . 00 1/yv ZA-4- TOTALI 20300 100 . 00 Number Fee 701 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Cycle Services JD Signs LLC 100 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 Town of Barnstable Barnstable akj Regulatory Services Department a • ' Public Health Division UA"STAS . 9A 200 Main Street, Hyannis MA 02601 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 C. APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT L CL-t '�q-e-t/6 CFg NAME.OF ESTABLISHMENT (f� GLt S&cP-V( GC-'C—R • ADDRESS OF ESTABLISHMENT LOBO '�-• l%�&&-L)oco TELEPHONE NUMBER SOLE OWNER: YES NO L._ L-j(- IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNE r� ce w Cf-nfc)f 87 Cc h�' co IF APPLICANT IS A'CORPORATION: FEDERAL IDENTIFICATION NO. w � � STATE OF INCORPORATION M L NAME AND HOME ADDRESS OF: RESIDENT TREASURER CLERK S 1\`ATURE OF APPLI N RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# Q:\Hazmat\Haz Nlat Application2008.DOC Spill Contingency Plan 1. Evacuate the immediate area, if necessary 2. Shut off electrical equipment as appropriate 3. Remove or restrict any potential ignition source from the area if the material is flammable 4. Contain the spill by use of absorbent pads or absorbent material as necessary. Contact Clean Harbors 614-849-1800 or other authorized clean up agency 5. Remove all absorbed material and package in DOT approved Container 6. Label all containers with type of waste and start date. 7. Notify appropriate agencies • 8. On ce ce spill has been controlled, materials collected and secured, inspect the area and all equipment used in clean up de- contaminate 9. Replace all used materials. 10. Manage and dispose of collected absorbents in accordance with federal and state regulations 11. Spill clean up equipment is located at the front section of garage 12. Spill equipment on site, absorbent pads, speedy dri, first aid kit, fire extinguishers EMERGENCEY PHONE NUMBERS POLICE 911 FIRE 911 MASS DEP 617-292-5500 Cycle Services 508-771-1414 Number Fee 701 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Cycle Services JD Signs LLC 100 Ridgewood Avenue, Hyannis,MA 02601 Is Hereby Granted a License TX FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2009 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/08 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health F Town of Barnstable Barnstable 'THE T ti Regulatory Services Department � o ;edcacft Public Health Division BARNSCABLE.&639. ' MASS � 200 Main Street,Hyannis MA 02601 ArED MPS 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO Application Fee: $100.00 3a5-aIL ASSESSORS MAP AND PARCEL NO. 3 IPI DATE /13/08 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT Cam{wt U C� NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT k (D G 1 G'E.UJ O 0� [4n itlV TELEPHONE NUMBER CZP-) `�-�>l l SOLE OWNER: YES_-( O IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: 0—CW 9`6 S IV 6 CFULL ANT IS A CORPORATION: FEDERAL IDENTIFICATION NO �J � � # INCORPORATION (M y ME AND HOME ADDRESS OF: TER w CLERK SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS 6� COitr- 1W) c AI\J uU c HOME TELEPHONE# ,!ZE)P -fl 2d . Q:\Hazmat\Haz Mat Application2008.DOC Spill C-ontingency Tian I. Evacuate the immediate area, if necessary 2. Shut-off electrical equipment as appropriate 3. Remove or restrict an potential ignition source from the area if t'Y P $n he material is flammable 4. Contain the spill by use of absorbent pads or absorbent material as necessary. Contact Clean Harbors 614-849-1800 or other authorized clean up agency 5. Remove all absorbed material and package in DOT approved container 6. . Label all,containers with'type of waste and start date. 7. Notify appropriate agencies 8. Once s ill has been co ntrolled,ontrolled, materials collected and secured, inspect the area and all equipment used in clean up de-contaminate -9. Replace all'used materials. 10. Manage and dispose of-collected-absorbents in-accordance with federal and state regulations 11. Spill clean up equipment is located at the front section of garage 12. Spill equipment on site, absorbent pads, speedy dri, first aid kit, fire extinguishers I� r ♦j c A'A Number Fee 701 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Cycle Services JD Signs LLC 100 Ridgewood Avenue, MA 02601 Is. Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------------------------------------------------------------------------------------------------------------------ --------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 31, 2008 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. 5/31/2007 PAULJ. CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health r Town of Barnstable Regulatory Services Thomas F. Geiler,Director l BARNSTABLE, ; Public Health Division MASS. 9�'°rEaMA�°r1�� 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 i APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN I II GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT C N(( (A ADDRESS OF ESTABLISHMENT y C)o 'R A-V MS TELEPHONE NUMBER 5 —r r7 l I't I ly , r SOLE OWNER: YES NO RE IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS ALL PARTNERS: Li t� 3 CC r- m IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: RESIDENT TREASURER CL RzK SI OF APPLICANT RESTRICTIONS: HOME ADDRESS'y COTUi -kZ Sfvcl- r— }-- HOME TELEPHONE# -:If g I(crC Number Fee 701 THE COMMONWEALTH OF MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that Cycle Services JD Signs LLC 100 Ridgewood Avefiue, MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2007 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. May 8, 2006 PAUL J. CANNIFF, D.M.D. THOMAS A. MCKEAN,R.S.,CHO Director of Public Health 4 Town of Barnstable {aj+ Regulatory Services Thomas F. Geiler,Director w r Public health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-8624644 Fax:.508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE tD APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT C-y CC- `_ SO--iZ-U S NAME OF ESTABLISHMENT C`1 ADDRESS OF ESTABLISHMENT 10 O 0 G-i a 7 TELEPHONE NUMBER -SOLE OWNER: YES)!K NO , IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF Ad PARTNERS: I 1 vT-.; St^. xjW i IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION M FULL NAME AND HOME ADDRESS OF: PRESIDE T. TREAS R CL SIGNATURE OFF�APPLICANT RESTRICTIONS: HOME ADDRESS- �-J4 CO Ty i T JhcvAWICA HOME TELEPHONE# 56Q,-eVS- C13 d I Hsz.aoc'ani':, , c" MAIL—IN REQUESTS Please mail the completed application form to the address below. Also include copies of your employees food sanitation training certificates. In addition, please include the required fee amount (see fees at bottom of this page). Make check payable to: Town of Barnstable. Allow five to seven 7)working days for in-house processing. Our mailing address is: ( p g g 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 copies of your employees food sanitation training certificates. In addition, you must mail the required fee amount (see fees at bottom of this page). Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. Allow up to four days for in- house processing. For further assistance on any item above, call (508) 862-4644 Back to Main Public Health Division Page Information given to Health Department by Chief Farrenkopf's records 7/2/85 TOWN OF BARNSTABLE UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS NAME BUCKLER'S GMC, INC. ADDRESS 100 Ridgewood Avenue VILLAGE HYANNIS aibr-Ssl[_ Cyaq, LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE: OR CHEMICAL Near block building 2,000 #2 Fuel Oil 9/18/74 Steel on the left 1,000 #2 Fuel Oil 2/6/75 Steel 500 gals Waste Oil 1978 (Give same information for any additional tanks on reverse side of card) DATE OF PURCHASE OF EACH: 1. 2. 3. 4. DATE OF FIRE DEPARTMENT PERMIT: TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS TOWN OF BARNSTABLE Iffo UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS NAME 4Z C111PY1147,5 1,1l/G4LEZ ADDRESS 1/do d�/D6L-WdoD "1— VILLAGE 111)lM�lf LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE: OR CHEMICAL 3-ad Z- 17 (Give same information for any additional tanks on reverse side of card) DATE OF PURCHASE OF EACH: 1. 2. 3. 4. DATE OF FIRE DEPARTMENT PERMIT: TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS H 0 SENDER: Complete items 1,2,and 3. Add your address in the"RETURN TO"space on 3 reverse. w 1. The followin,elservice is requested (check one). g XX--Show to whom and date delivered. . . . . . .. .. Show to whom,date,and address of delivery. . ¢ . ip RESTRICTED DELIVERY Show to whom and date delivered. .. .. . . . . ._¢ Ej RESTRICTED DELIVERY. Show to whom,date,and address of delivery.5 (CONSULT POSTMASTER FOR FEES) 2. ARTICLE ADDRESSED TO: Mr. .Charles W. Buckler m 100 Ridgewood Avenue HYANNIS MA 02601 Z 3. ARTICLE DESCRIPTION: z cmi REGISTERED NO. CERTIFIED NO. INSURED NO_ 0019814 y e (Always obtain signature of addressee or agent) m I have received the article described above. N I SIGNATURE ressee ❑ Authorized agent m p N 4. C DATE OF DELIVERY POSTMARK m 2 5. ADDRESS (Complete only if requested) _ J* I T 6. UNABLE TO DELIVER BECAUSE: CLERK'S rn INITIALS 3 D 'y�GPO: 19]8-2]2-382 iT jhl I UNITED STATES POSTAL SERVICE M ? OFFICIAL BUSINESS jcf I PtE ALTY FOR P♦�IVAT�E I SENDER INSTRUCTIONS\~ ";y usE�YO AVOID PAYMENT I Print your name,address,and ZIP Code in the spa below. /, / OF POSTAG9,S300 • Complete items 1,2,and 3 on the revers �__T � �__.� • Attach to front of article if space permits.Otherwise- U•S.MAIL I affix to back of article. ®O • Endorse article"Return Receipt Requested"adja- cent to number. I RETURN I TO I 1 I � l I fi I I I i Boara ofealif)Sender, i Town of Barnstab-To i � P.O. Box(53A.or P.O. Box) i Hyannis, Massachusetts 026GI i (City.State.and ZIP Code) Mr. Charles.-H. 'Buckler 100 Ridgewood Avenue Hyannis Ma.. •` 100 Ridgewood Avenue, Myahnis TOWN OF BARNSTABLE rc THE 7.��I�E E OFFICE OF (C0P7 aeaasr. ,. M AdI gpARD OF HEALTH 2639, 367 MAIN STREET HYANNIS, MASS. 02601 February 17, 1981 r, H-1 FZD REQUEST R per, c'narles W. Buckler 100 Ridgewood Avenue Hyannis, Ma. i Re: Your underground fuel storage ,tanks located on 100 Ridgewood A venue, Hyannis Dear Sir: on March 11, and September 30, 1980, you were sent a copy of the Board of Health Regulation for Underground Fuel Storage and a card to fill out and return listing information i concerning your underground tanks. You have not returned the card nor acknowledged our letter. Town records indicate that you have received' a permit to store fuel underground. Please be advised that if you do not return the enclosed card within five (5) days, steps will be taken to revoke your permit. Appropriate action will then be taken to have your tanks neutralized or removed. You are also reminded that any tank fifteen years of age or older must be tested by the Kent-Moore Pressure Test. An empty tank may be tested by a 5PSI Air Pressure Test. This testing must be done immediately. j The enclosed card must be filled out and returned immediately. Very truly yours, A >v 1 n M. Kelly irector of Pu is Health JMK/mm encl. 1 �i y .y F n t a H. - ♦a. ti yy e. f Charles �T. and Elaine.F. Buckler 4 d, :1©Q Ridgebod Avenue Y ` Hyannis, ma-_ � € e � - � � �t a i�� � M' ��`' a fir • . r ��" ., ` lOQ -Ridgewood Averiue,, Hyannis i y� y F, , • A *.. � aS.� �.. �^F �,, ,\ w YA fl :vx � �J �g� "t• 9� it ' "� } i »6� ~. S e 1 • ).S y e '� . _ 'N - r E .� tY �xp� $���� ,.3�+ r - ,�" �� � �.. .'fit � d�K, r �i• r F. 3` P , v a r Y �,. a , f.. ♦ . ,xr -1 k rvy � �:ii< fry , - 1 � �. F i`k. � ;9'S tw• ,�, 5 !r#d ~}�� ' d r . y e t • ` 5 f< W 5 a NAME " ' LOCATION je -' ~ Charles W. and Elaine F. Buckler 100 Ridgewood Avenue 100 Ridgewood Avenue Hyannis, MA 02601 Hyannis, MA 02601 BOOK PAGE--DATE GRANTED AMOUNT STORED 37/119 March 17, 1933 100,000 gallons BULB DATE PAID �� ��/�10� ' 1976 . 1977I, 9- 1978 1979 1980 BUCKLER'STELEPHOTa 100'-.H.I3GEWOOD AVENUE HYANNIS, MASSACHUSE'i'I'S 02601 June 12, 1985 Town of $avnstkt 3 e •'Selectmaris Office H yb n rd S; 1,ca S.. > 020 01 nE.r vas .storage, permit lh-xeference to your letter of June 7t 1985,'(copq attached)3 b We ' o nvt have any =storage facilities.xfor: gasoline and we have never4 dad any;' rcli:ties:for ;gasoline storage as long as we have been at this �= We 5t<�c:, *::.�e do not understand your letter. Sincerely, iv v r Bucklers MOM :.Inc 14. s Charles W.Buckler ; 4Vr cc Francis' Lahtelne ry •,��TM � Y S 1• *d ♦w �Z/WL • i )Af#l7ADL i � rug ID 367 Main Sl/FBI, Aunnis, ///ay. 02601 June 7, 1985 Mr. Charles W. Buckler Ridgewood Avenue Hyannis, Ma. 02601 Dear Mr. Buckler: It has come to our attention that you have not made proper payment on the gas storage permit held for Bukler's G.M.C. located on Ridgewood Avenue, .Hyannis. If you fail to make the required payments due the Town in reference to said payment by June 20, 1985, the Board of Selectmen will be forced to convene a show cause hearing and thus consider the revocation of this permit. Information pertaining to this amount of monies owed to the Town , for past renewals can be obtained from Mr. Lahteine, the Town Treasurer. Thank you for your consideration and cooperation on this issue. Sincerely, oOO A OF S ME cc: Tom Geiler, Licensing Agent Francis Lahteine, Clerk/Treasurer Robert Smith, Town Counsel amt�1,yvC1 J a �Mt Ei .elae'rtf=�Ya�. ^''fr.w• •zr ,+y4_�4� .,:.".... � _ -s...:.+ 1. 'i x%�a. {.}:. .�;�'`f �.r.0-.�a"��{�-L'!' ��x� x'r�ri, f! q TowN ®F BARNSTABLE .OFFICE OF CLERK AND TREASURER rua •�� .e». �� April 26, 1985 �torr.Th HYANNIS, MASS., P. O. ADDRESSt FRANCIS A. LAHTEINE DRAWER T HYANNIS, MASS. 02601 Board of Selectmen Jeffrey D. Wilson, Chairman Re: Gas Storage Permit 367 Main Street Hyannis, Mass. 02601 Dear Mr. Wilson: I am writing to you and the Board of Selectmen -about a gas storage permit that was given to Charles W. Buckler, d-b-a Buckler's G.M.C. , Ridgewood Avenue, Hyannis, Mass. , formerly owned by Ken Shaughnessy of which his tanks were removed and new ones issued in 1975 and 1979 to Buckler's, G.M.C. They have only paid two years on this renewal and in the three years that I have been here I have written letter upon letter to them _and sent the renewals to them. I checked with the Board of Health and they tell me that they still are the owners of the above and are responsible for the renewals which have not been paid since 1977. It is now eight years that have not been paid which no else has gone this long before. Is there a possibly that this could go before a hearing with the Board of Selectmen to either get them to pay their gas. storage renewals for the previous eight years or have their licenses revoked and gas tanks removedper the fire department? I wrote a letter to the Board of Selectmen in 1983 and requested the above but did not get any response to the matter, please may I have an answer from this letter. Thank you. Sincerel y, Francis A. Lahteine Town Clerk FAL:sab TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF FIRM: MAILING ADDRESS: TELEPHONE NUMBER: - CONTACT PERSON: &/411r-r 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: ADDRESS: 41a TELEPHONE: i LIST OF TOXIC AND HAZARDOUS MATERIALS I The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered when stored in quantities totalling more than 50 gallons liquid volume or 25 pounds dry weight. Please put I a check beside each product that you store: l .Antifreeze (for gasline or coolant systems) Refrigerants + � Automatic transmission fluid w Pesticides (insecticides, Engine and Radiator flushes herbicides,rodenticides ) Hydraulic fluid (including brake fluid) Photochemicals Motor oils/waste oils printing Ink i 'II Gasoline, Jet fuel Wood preservatives Diesel fuel, Kerosene, #2 heating oil (creosote) Other petroleum products: grease, Swimming Pool chlorine lubricants Degreasers for engines and metal Lye or caustic soda ' Degreasers for driveways & garages Jewelry cleaners g Battery acid (electrolyte) Leather dyes Fertilizers (if stored Rustproofers outdoors) Car wash detergents PCB' s ! I Car waxes and polishes Asphalt & roofing tar Other chlorinated hydro- r. Paints, varnishes, stains, dyes carbons, (inc.carbon Paint and lacquer thinners tetrachloride) i Paint &. Varnish removers, deglossers Any other products with Paint brush cleaners "Poison" labels (including Floor & Furniture strippers chloroform, formaldehyde., { i Metal polishes hydrochloric acid, other i 1 Laundry soil & stain removers acids) it (including bleach) Other products not listed ! I Spot removers & cleaning fluidsE C E I V E D which you feel may be (dry cleaners) HEALTH DEPT. toxic or hazardous (please Other cleaning solvents TOWN OF BARNSTABLE list) : s Bug and tar removers Household cleansers, oven cleaners Drain cleaners Toilet cleaners j Cesspool cleaners MAY 1 4 1981 Disinfectants i Road Salt (Halite) i TOWN OF BARNSTABLE �pT THE rp� OFFICE OF BMSTAIL s BOARD OF HEALTH s MAM 367 MAIN STREET pbe,1639• •EpNp(M� HYANNIS, MASS. 02601 HEALTH DEPARTMENT REPORT GENERAL INSPECTION AND FOLLOW REPORT ------------------------------------------------------------- INSPECTION DATE: PROPERTY INSPECTED: j/ ADDRESS: 06) PROPERTY OWNER/REPRE ENTATIVE AT LOCATION: HAZARDS NOTED: x COHMENTS: f o � 5 n r , S ° Jack Duffy d •. a , ��,,;•. �. Z k ioo Ridgewood Ave . ""`" '`•. Hyannis,MA 026oi-3025 � .` , . �; �'r ' § G irk a-coo �- I ia:�¢.Va�Ara.c'1rj^r_ r_cac.%S— III Icil►1.ilf if III I Ili ll111 fill if I.11 m,fA ll]mf.li"11tl 1 ..,•< � r- � .M Ju ,fir .:^.^ .. .:...... \ � � / - 1 � J`' ' !! !!� ; ! !t ! iip i i i i i� ii i i! ii} ji jj !s � tt ttt i� t tt t iii i i f I it ii � I ii lit ti tt ti BILL CUSHING AUTO RADIATORS AUTO AIR CONDITIONING HEATERS { AC DELCO PARTS 8 ATLANTIC AVE.,SO.YARMOUTH,MA 02264 1617)398-3222 1 n