HomeMy WebLinkAbout0110 RIDGEWOOD AVENUE - HAZMAT CALM0�- -
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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
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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
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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
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