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Home My WebLink About0092 ROSARY LANE - HAZMAT 03-0WWI O b TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS: - Board of Health MAILING ADDRESS: 4a. Town of Barnstable TELEPHONE NUMBER: 7 '7 5 — 11,� P.O. Box 534 CONTACT PERSON: /I�//R,G�- Hyannis, MA 02601 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totallin , 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: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS 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 a check beside each product that you store: v Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes _ Cesspool cleaners l� Hydraulic fluid (including brake fluid) Disinfectants V Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degireasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners q Asphalt & roofing tar Leather dyes V Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business r .. .:r ��.:-ti_.r�` '.,�-w,-+.�. •.-.C��s.�...�-r+.«r"'�-?�'^'fa.,.- ....-..w"^`''!�'aF,�+`h'".wr"" - s.�..._ .Y:-'Y'tu�.:. �. �.�:,..-`- ^`,,�_,•ram''• �. -,.�.'•..-r n....`.� ,.. , t TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair Q satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY , f), ,r- (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS '7,R OZO"� Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground IN OUT IN - OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2(B) Heavy Oils: waste motor oil(C) new motor oil(C) -�-~ 'transmission/hyd�raulic Synthetic Organics: degreasers Miscellaneous: DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply. O Town Sewer ,OrPublic </ f 0 On-site > OPrivate 3. Indoor Floor Drains YES NO O Holding tank: MDC 0 Catch basin/Dry well 0 On-site system 4. Outdoor Surface drains:YES NO ORDERS: 0 Holding tank:MDC 0 Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES NO r , 2. Person (s) Interviewed Inspector J Date;,- J . J091FPH D. DALUZ TELEPHONES 775-1120 Bui/di„g CommiAiOner . EXT. 107 TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 March 6 1989 TO: Chairman Board Of Health From: Joe Daluz Subject: M.D. 's Auto ix Please be advised that I have notified the owner of the unit which is rented to M.D. 's Auto Fix about the violation. He states he will review the order and so notify this office. I will inform your office as to the status. Sincerely yours, Joseph D. DaLuz Building Commissioner Town Of Barnstable JDD/km Date: Ill Xj I 1 �v TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: �,kcV CC-0 G� r,�IlAr:CAA Ice_ BUSINESS LOCATION: 2 906 INVENTORY MAILING ADDRESS: •Z("(, TOTAL AMOUNT: TELEPHONE NUMBER: 7-7 Lf - - O 2 70 c Ra 5 CONTACT PERSON: o�o EMERGENCY CONTACT TELEPHONE NUMBER: MS PS ON SITE? TYPE OF BUSINESS: Q„..�, Ji 0 INFORMATION / RIECOMMEND .. ,1IONS: iQe�uce� tog6 o, t b,)Gk e*5 Fire District: -1 y �, `o! 5�1�-tsc v�SAo ko 70 blo- Awk.. II�SVS a✓l✓l�5 Sw-,A-s Co 1 r."\C-*A �j'k.& ►- k-P,Zp Dk_ S 1 key C4 r,v"�X«e.a,4- Or Waste Transportation: 52 Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: 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 `{ Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW T ❑ USED 3 Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ❑ NEW �- ❑ USED\0 (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil S ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals(Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar 1 PCB's . �$ Paints, varnishes, stains, dyes;2-' Other chlorinated hydrocarbons, 3 Lacquer thinners 1-fi 1 (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 I Windshield wash t WHITE COPY-HEALTH DEPARTMENT I CANARY COPY-BUSINESS Applicant's Signature Staff's Initia s TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS: Cg �� '��- ��`��O`� o Board of Health MAILING ADDRESS: �,e " A � Town of Barnstable TELEPHONE NUMBER: -vr.�2 P.O. Box 534 Hyannis, MA 02601 CONTACT PERSON: zr .; 6�� a Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totall' g, 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: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS 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 a check beside each product that you store: Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business r� TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH 0 satisfactory 2.Printers 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANYriJsa?r��^,''' s! -t/t r O (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS VAli-7 4- lf�,.V-AVV 7.Miscellaneous ' Class: .-� QUANTITIES AND STORAGE, (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks IN I OUT IN,,I OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) , Diesel, Kerosene, #2(B) Heavy Oils: waste motor oil (C) , V new motor oil(C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: c l� V Amid yt } 4 x DISPOSAL/RECLAMATIONm REMARKS: 1. Sanitary Sewage 2.Water Supply '? 14,1'15# O Town Sewer OPublic } ` VV 0 On-site �,,OPrivate 3. Indoor Floor Drains YES L NO 0 Holding tank:MDC '"'``' 0 Catch basin/Dry well ' r1 :2 X Z ' s _ , .• 0 On-site system z , , U 4. Outdoor Surface drains:YES NO ORDERS: 0 Holding tank:MDC 0 Catch basin/Dry well 0 On-'site system 5.Waste Transporter Name of Hauler Destination Waste Product YES NO 1. 2. /1 Pe"r�"son-(s) Interviewed Inspector ,{- Date �IMME Town of Barnstable Z BARNSfABLE, b Re¢ulato Services 9 MASS. g 1639, �� Richard V. Scali Director. BARNSTABLE >F�MA Public Health Division !Sr..RI35iA6LE•tFkT5:v1,a.E•CCNiT•ircrtiN!5 NARSIX15 NP.,1.5•OSi:Rdi:14-WLFi_Afi15iACl[ I639-2014 Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 December 5, 2016 NOTICE TO ALL BUSINESS OPERATORS - - WITH HAZARDOUS-MATERIALS IN THE TOWN OF BARNSTABLE In accordance with Town Code, Chapter 108, all businesses that handle or store Hazardous Materials greater than household quantities are required to obtain an annual license with the Public Health Division. Effective January 1, 2016, the Barnstable Board of Health enacted a new fee schedule for hazardous materials stored on site. The fees are codified in Chapter 318 of the Town Code and are outlined below based on storage category: Category 1 License 26— 110 Gallons: $ 50.00 Category 2 License I I I —499 Gallons: $125.00 Category 3 License 500 or more Gallons: $150.00 If you should have any questions or concerns, please feel free to view the Town Code which is located under the E-Code section on the Town Website, www.town.barnstable.ma.us. Based on Public Health Division records, your business is not currently licensed to store/use hazardous materials. Please consider this letter an order notice to schedule an appointment for a hazardous materials inspection with the Health Division. Please contact Timothy Lavelle, Hazardous Materials Specialist, at 508-862-4645 or tim.lavellegtown.bamstable.ma.us to schedule this inspection within the next 14 days. Your continued cooperation is greatly appreciated. If you have any questions or need further information, please call the Public Health Division at 508-862-4644. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S. Director of Public Health Town of Barnstable Q:\Hazmat\Copy of Hazmat new inspection order 2016.doc �.7ME iw/1„ Town of Barnstable '- ``. "�:.•' `"? '. ... .� ; 'f:l; 'r "i',' U.S.POSTAGE>)PITNEY BOWES Public Health Division BARNS ABLE'. I d 0 MASS: g. 200 Main Street "rtuNn+° Hyannis,MA 02601 .11 L Il. ., ZIP 02601 $ 000.465 � 02 41N 00003.36455JAN. 05. 201.7 Pacheco Parking Lot Maintenance 92 Rosary Lane, Unit 13 Hyannis, .A NIXIE 01.5 7E 3- RETURN TO SENDER p•� NOT DELIVERABLE AS ADDRESSED UNABLE TO FORWARD 9 yy 11 ) 97 511.1.1``s ) 11 4 {{11pp 31. f�1 1 S I '1 i ' If�Gff'1 AAMA"I•NI 1l1!111'i1'191/I{91lf'I11Y-1"111767111'1'/Y 1117131�1�I�'�'1'I lljll1.11!"Cl/11"1 'e "7"1111""11:F1f1"�'1'1"1"II" �s � 4 / f TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM �,..p Mail To: NAME OF BUSINESS: ` y} G= Board of Health MAILING ADDRESS: � �� -25-'o s t:ii Z0,xit Town of Barnstable TELEPHONE NUMBER: P.O. Box 534 CONTACT PERSON: Hyannis, MA 02601 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO Z 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: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS 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 a check beside each product that you store: Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils ///Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda 4---Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) �� s y�� Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners � 4 White Copy- Health Department/ Canary Copy-Business V ..,, �.. .+" .r�r<._ `. '. '�"�, �.. �t e'�r.wl+sv(+.•,r�rtiraT:-+�-..F�+�" VWH!`�+'e+�1.•Y.�i"+''' TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair O satisfactory 2.Printers a BOARD OF HEALTH . 3.Auto Body Shops ., �,�s O unsatisfactory- 4.Manufacturers COMPANY—IL /4 (see"Orders") _ 5.Retail Stores 6.Fuel Suppliers ADDRESS /Voj'--1- if d. 1�f'�s R 7.Miscellaneous - Class: <4,*; V}--4'`V`V"-CQUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS, Case lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test r Fuels: k / Gasoline,Jet Fuel(A) Diesel, Kerosene, #2(B? Heavy Oils: ' ' waste motor oil (C) r � �-0 new motor oil(C) transmission/hydraulic Synthetic Organics: degreasers AQ 44-f. � . Miscellaneous: u , , a DISPOSAL/RECLAMATION- REMARKS: 1. Sanitary Sewage 2.Water Supply O Town Sewer OPublic O On-site OPrivate 3. Indoor Floor Drains YES NO 0 Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:-YES NO , ORDERS: O Holding tank: MDC O Catch basin/Dry well O On-site system 5. Waste Transporter ; Name of Hauler Destination Waste Product:� YES INO 2. lei `l— rsori (s) Interviewed Inspector Date ,t . TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS: Board of Health MAILING ADDRESS: itK Town of Barnstable TELEPHONE NUMBER: '' P.O. Box 534 Hyannis, MA 02601 CONTACT PERSON: Q 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 i'*'- 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: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS ` The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered when store t. Please put a check beside each product that you store: Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants f/ Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine. Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business TOWN OF BARNSTABLE OMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS Class: f 7.Miscellaneous QUAN TIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground IN OUTI IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel(A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil(C) transmissio" n/hydraulic-t° Synthetic Organics: degreasers 1 6 yr ir ' Miscellaneous: 01 4,1 Vf OF DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage .2. Water Supply Town Sewer XPublic ..� O On-site OPrivate c 3. Indoor Floor Drains YES NO O Holding tank: MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS- 0 Holding tank: MDC Catch basin/Dry well O On-site system 5. Waste Transporter Name I ,f Hauler Destination , Product , e �� -- er ) I terviewed Inspector Date