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HomeMy WebLinkAbout0110 RIDGEWOOD AVENUE - HAZMAT CALM0�- - N ttoyti - Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 "MA�,S. 200 Main Street• Hyannis, MA 02601 g, .639.D TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rF MP'� Business Name; Y'v9 a Date: Location/Mailing Address: - - l)� Q1' Contact Name/Phone: aIr ►3 u r /f I fie" �o�-77S- � � et-)i Inventory Total Amount: MSDS: Y'L s License#: Tier II : W16 Labeling: '' Wi, Spill Plan: YL=S Oil/WaterSeparator-7-s' b - ` 1T14MC Floor Drains: YES' Emergency Numbers: V s Storage Areas/Tanks: �-�75� n�f= - /-Soo&e t ®,sue/ /-o`�75-C. pew o ;I Emergency/Containment Equipment: YC-S nrnw ) 'o►� �.a - S,�eP�ls C��;- So; I/ Waste Generator ID: 4,,V Waste Product: Date&Amount of Last Shipment/Frequency: -9-60' Licensed Waste Hauler&Destination: Other Waste Disposal Methods: VS eA (Z T;-,r ->- 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. I/ Antifreeze Dry cleaning fluids —fir Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) L-'�W indshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, IwGSBne,.#2 heating oil Disinfectants ✓' Miscellaneous petroleum products: ✓ Road salts Y--,a ch 17 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 L,�- 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: 416 V 1&4n - Ale CITS I)0.0 ORDERS: INFORMATION/RECOMMENDATIONS: Inspector: Facility Representative: 13 WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS I oFINE TOy Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 B^"MASS. 200 Main Street• Hyannis, MA 02601 '"rEOMP+ pTOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name; P�`� 5 0 �/�c� Date: Location/Mailing Address 1 Contact Name/Phone: �i e, v �Q� O ��� v "17 Invento Total Amount: °" SDS: e's License#: Us" Tier II : Labeling: va Spill Plan: L s Oil/WaterSeparator: �'i �^ "u� Floor Drai s: yes Emerg enc Numbers: rage Areas/Tanks: , II-Cawk4Ir, �V AO Emergency/Containment E u 'ment: 0-eI � S �' s -�l �� k -y Waste Generator ID: 7 a Waste Pro uct: 0 ( �sja 1 Date&Amount of Last Shipment/Frequency: ��Aw �•DS�j� ki I4/N'(, Licensed Waste Hauler&Destination: Other Waste Disposal Methods: ih9AkXq &9-(o, d LIST OF TOXIC AND HAZARDOUS MATERIALS I 0 NOTE: Under the provisions of Ch. 111, Section 31, of the General�Laof MA, hazardous aterial use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. AO V Antifreeze Dry cleaning fluids V 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 heat` ing 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) JRustproofers 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: INFO TION/REC MENDATIONS: U -t- 0, 1 et V 5 o e-t �1 Inspector: A Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS ti y°FIB►og� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMS�LE. 200 Main Street• Hyannis, MA 02601 _ �ArFD rAA+a`� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name:- 2�St,J Se'c"��G2_ Date: Location/Mailin Addres 11 e<i.Joo �- ay Contact Name/Phone: 4. -c- 8oe- --✓ So - -1 -14 03 Inventory Total Amoun 300 a-1 MSDS: Ob�ti�vL License#: -ne 3 Tier II : X 0 Labeling: jf c.,e- Df- Spill Plan: Oil/WaterSeparator: Floor Drains: O Emergency Numbers: ` oW-7f Storage Areas/Tanks: �-?�rtf-� a '1 �S j I►t Co�vf'a►Kr �'. �o��Qie���}S j�yc Gov>`I a►K -Ae Of Emergency/Containment Equipment: S4Y I I le-,: orbev- s 5 o n Waste Generator ID: ' o re-941s4e WasteProduct: ar<y�'s �.rwtS Date&Amount of Last Ship ment/Freq ency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: C.oc s LIST OF TOXIC AND HAZARDOUS MATERI LS 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. 10 Antifreeze Dry cleaning fluids S-S Automatic transmission fluid ;S Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash 330 Motor oils 7--7 SS Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil s'S Disinfectants Miscellaneous petroleum products: 2� Road salts grease, lubricants, gear oil 151, Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides ,S'D Battery acid (electrolyte)/batteries<o Photochemicals(Fixers) Rustproofers Photochemicals(Developer) S< Car wash detergents S'S Printing ink Y- Car waxes and polishes S Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine ' Paints, varnishes, stains, dyes S 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/RECOMMEND TIONS: c-.wtis w e- z • 1 A1- -�,e �•'� r C -�-- (�'�{�I' 7., S ���Stz-,-4-S �SQb�SS ���`� Co,n+� v,C ��4vl.spector: � • h e � ✓ley kov-IA 0 lity'Representative: 5�S S"-f s Qn,t-kego i t,5 r-E.2. • D W45d1I" V4� ie]<5 WI'E'1- Soap vi)"�4'o, wt j- , BUSINESS t. WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINElat, e Co'11,ee IOVL-f;5% +. .y►•t . `JJ A- t A-k%c t 0K� +IV1V-, Number Fee 1265 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Bucklers Towing Service Inc. 116 Ridgewood Avenue, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------=-------------- This license is granted in conformity with the Statutes and ordinances relating there to, and- I 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 • �� �o,,, Regulatory Services Richard V. Scali, Director M �ST"�. EBL .� Public Health Division BARNSTABL 3 uasos.ws.os�:uE.we.xsns s Thomas McKean,Director 1639.2014 Sag o 200 Main Street,Hyannis,MA 02601 ►a=-+ Office: 508-862-4644 Fax: 508-790-6304 f+ APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1st-JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00. -�! `�'ti- • A late charge of$10.00 will be assessed if payment is not received by Julyy 1st. ASSESSORS MAP AND PARCEL NO. I6 DATE FULL NAME OF APPLICANT: NAME OF ESTABLISHMENT: Lc1�ws -� u"9" .��1\cQ. , ADDRESS OF ESTABLISHMENT: 11�1 1 c0-3 Ij MAILING ADDRESS (IF DIFFERENT): TELEPHONE NUMBER OF ESTABLISHMENT: (", - 7)s-' mn EMAIL ADDRESS: SOLE OWNER: YES 40 IF NO,NAME OF PARTNER: Cole FULL NAME,HOME ADDRESS,AND TELEPHONE# F: CORPORATION NJ Q` ►� PRESIDENT TREASURER e y' CLERK • IF PREPARED BY OUTSIDE PARTY: SIGN F LICANT Name: Company Address Telephone#: Email: QApplication Forms\HAZZAPP Revl6.docx Page I of 2 Oki Fee Number mb THE COMMONWEALTH OF MASSACHUSETTS $150.00 1265 Town of Barnstable Board of Health This is to Certify that Bucklers Towing Service Inc. .-------------------------------------------------------------------------------------------------------------------------------- 110 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 s ' Town of Barnstable • Inspectional Services BARNSTABLE rr OFF TQj, o vx• xE•cEM1WLU-00n •.—1S Public Health Division K S0I5 Y'tlS.O39-2014 &mYSlq&.E ~ 1639-2014 BA MASS. 1 Thomas McKean, Director �i0rec .�•` 200 Main Street, Hyannis,MA 02601 ' rY..a Office: 508-862-4644 Fax: 508-790-6504 r• APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 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 LJ v *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. y �5f 2. IS THIS A PERMIT RENEWAL?I 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: 4 1-7 7 4I 5. NAME OF ESTABLISHMENT: IC, .! �� ,�.r�1 a 6. ADDRESS OF ESTABLISHMENT: \ i N\ f 7. MAILING ADDRESS(IF DIFFERENT FROM ABO vv� 8. TELEPHONE NUMBER OF ESTABLISHMENT: SOS 7 7j m 2 S O 9. EMAIL ADDRESS: ! n C � r o VJ i CAP 10. SOLEOWNER: YES 5,, NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE# OF: CORPORATION NAME W 1 1,�i(') ` ery ikce PRESIDENT (- 9N�;1 CS TREASURER �(^� C CLERK W r�k�y-\an It ') C; \el- 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT ATE e —C)_ Q:\Application Forms\Haz Mat Appli Draft Jan2019.docx Number Fee 1265 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Bucklers Towing Service Inc. 110 Ridgewood Avenue, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. -------------------------------------- ------------------------------------------------------------------------------------------------------------- ------- --------------------------------------------------------------------- ------------- ------------------------------- - ---------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2020 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF, D.M.D,CHAIRMAN DONALD A.GUADAGNOLI, M.D. 07/01/2019 JUNICHI SAWAYANAGI THOMAS A. MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable Inspectional Services BAr A tk�-� _CTHE�F1. WAS CS EPublic Health Division '_ `r! BAPNSrABLE, ` Thomas McKean, Director i639' ,0� hti7 prEo„ A 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 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 0 VbT' *A late charge of$10.00 will be assessed if payment is not received by July 1st. . --� 302 1 1. ASSESSOR'S MAP AND PARCEL NO. ��/ ��rG�� �� 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: �D hC�rt 8,�, 5. NAME OF ESTABLISHMENT: C�6:`e✓3 (�� �� I1 C, 6. ADDRESS OF ESTABLISHMENT: (l�Q 'reus 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: Arbue� °C_ Ci(^w� can 10. SOLEOWNER: YES 40 IF NO,NAME OF PARTNER: Qf., "(k,'- 11. FULL NAME,HOME ADD SS,AND TELEPHONE#OF: CORPORATION NAME 6uck6W5 &- �v (- PRESIDENT r(es 4— (g 1 t Ito 7, TREASURER G-- -t r CLERK U-- dJ p Lr- 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE f�d 1-1 C Q\Application Fonns\Haz Mat App Revised 09-10-18.d cx L w. Number Fee 1265 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Bucklers Towing Service Inc. 110 Ridgewood Avenue, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. -------------------------------------------------------------------------------------------------- --------------------------------------------------------------- ------------------------------- ------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2019 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2018 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health 9 Tow of B nsxable k o A&W egulatory Services Richard V. Scali, Director of'IKE Public Health Division BARNSTABLE LAB& Thomas McKean) Director � �� Mp$$, � 1639-2014 ------ ---- prEo�s - - -200 1vlain Sfteet-Hyannis,-MA 02601-- Office: 508-862-4644 Fax: 508-790-6304 ' -Pl APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE X, ? HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st-JUNE 3 Oth). APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 xv-S *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL?AZYES_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 QU TITIES(25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: 5. NAME OF ESTABLISHMENT: P�u(��(((�IQ,V�S T��vrr� Stow- t c 6. ADDRESS OF ESTABLISHMENT: �� I�u V� �^►���� NQ � J 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABL_ISHMENT: 9. EMAIL ADDRESS: �r b j&w `lam, NA CPO 10. SOLEOWNER: YES ENO IF NO,NAME OF PARTNER: yiCr- 11. FULL NAME,HOME ADD SS, TELEPHONE OF: CORPORATION NAME v s -J�h .� PRESIDENT l2 Gddr t �,r Wv4e Ak 09C P TREASURER (�c. ,c t(c,- ,-'u . CLERK (( 0 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE �`���g Q:\Application Forms\IIAZMAT APP 2017 REVISE ocx J