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0110 ROSARY LANE - HAZMAT
3q,5-- i 1 // SSMEA KEEPING YOU ORGANIZED No.10334 2o153L MADE IN USA GET ORGANIZED AT SMEAD.COM t; Number Fee 1115 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that VIOLA ASSOCIATES .-------------------------------------------------------------------------------------------------------------------------------- 110 ROSAR Y LANE, 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 06/360/2021 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 r y. � 1 Town of Barnstable Inspectional Services BARNSTABLE Public Health Division 5 ` 1639-20�"4 '�" "&` 14 ETAB s Thomas McKeanMASK , Director , 1659. . 200 Main Street, Hyannis,MA 02601 �r. Office: 508-862-4644 Fax: 508-790-6304 ' APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS U; 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 Vvsl 'Tol Gk►(e-, *A late charge of$10.00 will be assessed if payment is not received by July 1st. � - 7-91. ASSESSOR'S MAP AND PARCEL NO. �T S 6 2--6 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:. 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT:. 116 �5 � �-^� �}/�I/r✓If `y�l G Z��� 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 539 7.7 -3q5"1 9. EMAIL ADDRESS: (hn U-106 Q L&A-ate sgLi ccr4o , 6z-w2 10. SOLEOWNER: V YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME X/f 6GA ftlY 4 j4 rer— PRESIDENT--J-6f hJ \116LA 2464 FA,e*yt4nt-,c.4-*1 tLe ut l Le /tg. OZ6 TREASURER > >sinl VIOLA Cf l -tn t uz2- CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE / Q:Wpplication Forms\Haz Mat Appli Draft Jan2019.docx Number Fee 1115 THE COMMONWEALTH OF MASSACHUSETTS $15o.00 Town of Barnstable Board of Health This is to Certify that VIOLA ASSOCIATES 110 ROSARYLANE, HYANNIS, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. ------------------ ------------------------------ ---------------------------------------------------------------------- ----------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2020 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. _ 07/01/2019 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health tip J Town of Barnstable ms Inspectional Services BAMSTABI,E FSHE fp wvs*Gaeiiu.s�19ru.CO+'��siaa"=r."s;e �. Public Health Division =01< w 9��^^B�_$ Thomas McKean, Director 4'Ar fcr awe 200 Main Street, Hyannis,MA 02601 r,.. Office: 508-862-4644 Fax: 508-790 r;G304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS fX1 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 MY 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 Xq-� *A late charge of$10.00 will be assessed if payment is not received by July 1st. G�1K 1. ASSESSOR'S MAP AND PARCEL NO.. 2. IS THIS A PERMIT RENEWAL? AES_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: - �Q//,vl V004-4- 5. NAME OF ESTABLISHMENT: V10 6. ADDRESS OF ESTABLISHMENT: 116 495� k1j &� Allj , A/4 42-661 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT- 9. EMAIL ADDRESS: r1 �/b @. 1O7��GZ-SSOC�I , �.�✓✓1 10. SOLEOWNER: ✓ YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION N VIu�1 45,fou410, e ✓C-, PRESIDENT �d�V Io(.4 g1� 6L-trw A4 Ckvre2�Uo LLY 1,7 P;49 TREASURER s''+'V ✓i Ot-A 1,44,7 FPtM6LZW /4)( �'_LfIz—Ml!t - , -/ �Y 56 7- CLERK 12. IF PREPARED BY OUTSIDE_PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT Z/( DATE Q:Wpplication Forms\Haz Mat App Revised 09-10-18.docx Number Fee 1115 THE COMMONWEALTH OF MASSACHUSETTS $15o.00 Town of Barnstable Board of Health This is to Certify that VIOLA ASSOCIATES I10 ROSAR Y LANE, 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 r� w • i b � - xow1� of Barnstable Kegulatory Services Richard V. Scali,Director Public Health Division BAMSTABI,E e � aeans*ae .rrramnue.tmurt•nrWmss k �� Thomas McKean,Director Kv=Nsml�;b;;a 2014 -v&F " 9�Ar fD 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 0?0/6 Fax: 508-790-6304`• APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE NO 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 jg v 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. � QoZA 2. IS THIS A PERMIT RENEWAL? V YES_NO. IF YES,SHIP 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: J0A/A V /N-A 5. NAME OF ESTABLISHMENT: I/1d 6. ADDRESS OF ESTABLISHMENT: 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: ✓�0 ' ,/�� `3 7" / 9. EMAIL ADDRESS: &W 5on o> y t 6164 a S Sb G(.GL kz . e-" 10. SOLEOWNER: V YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME 'VIOL,f}- -iU6, PRESIDENT To t 2x,4 Aa m �t tit HA o2/3 TREASURER S u OLG ? h- CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE Q:\Applicarion FormsUTAZMAT APP 2017 REVISED.do Number Fee 1115 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that VIOLA ASSOCIATES 110 ROSARYLANE, 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. 1/16/2014 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable Regulatory Services ti Thomas F. Geiler,Director RAWRARM ' Public Health Division MAS i639 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. J 4�s D10 DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN I II GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT �ON of le NAME OF ESTABLISHMENT Victol A-fX1.47er f ADDRESS OF ESTABLISHMENT �� /10AVY 14-VF e TELEPHONE NUMBER Jr�d' - 3yf SOLE OWNER: YES_NO IF APPLICANT IS A PARTNERSHIP, FULL NAME AND HOME ADDRESS OF ALL PARTNERS: xy C:) rn IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT V/OlA 1 `7 TREASURER 110* VIVIA Addh 4*7Ezil g.l - CLERK / G . SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# 1; I 1 15- Number Fee 1115 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that VIOLA ASSOCIATES 110 ROSARY LANE, HYANNIS, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. WSJ ------ - - - ---------- - - --- - - - ------------ - - - - -- - - - - - ------ --- - ----- - - -------- - --------- -- ------------------------------------- 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. - --------------------------------- Cam` PAUL J.CANNIFF, D.M.D,CHAIRMAN v DONALD A.GUADAGNOLI,M.D. 07/01/2017 JUNICHI SAWAYANAGI THOMAS A. MCKEAN, R.S.,CHO Director of Public Health C5� TROwr�l of Barnstable rep- 91ro eg atory er lces a Richard V. Scah,Director IHE Public Health Division BARNST� enansrwre..;Fareahut.coTurt•xrxws BAMgrABLE, • xcasv�rs aws•esrahue•r-sre wsrt¢ 9 MAsa $ Thomas McKean,Director 1639-2014 w `SA i639 s`0 200 Main Street Hyannis,MA 02601 �g 0 rev Nar Y � � as Office: 508-862-4644 Fax: 508-790- 04 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—JUKE 30th). _ � APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 CJ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? _ YES_N.O._IF YES, SHIP QUESTION 3. 3. FOR'ALL NEW PERMIT APPLICATIONS,INDICATE VIIETHER BUSINESS HAS _ — I ZONING%BJIhDINGARPROVAL`FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: 5. NAME OF ESTABLISHMENT: V? - 4, S,0f,) 6. ADDRES'S OF ESTABLISHMENT: !l �!/V�/`-'7' L' " / (J /V� 1016 el 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE:: Q S. TELEPHONE NUMBER OF ESTABLISHMENT: _ D - �I.71- 9. EMAIL ADDRESS: ( SU' c� ��a'a 55�G� ��• Cl 10. SOLEOWNER: ✓YES_NO IF NO,NAME_OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME v 16LA �}540Ge1q-TL�r' �i.lC� PRESIDENT -d'64W V 161A 2 llo`1 dal m om.- Wet C,erv_UlA. 02�&3 2' ,6 g-J&7 CLERK _4, A6c*) Va,4- . 3&-7 { Tt�rZ��SE'Ya 11 acvS 3 � x O1�i ,_ \ r.._ -1. _$.��.t. �. .4•.r '?'i j_, 12. IF PREPARED-BY OUTSIDE-PARTY:- NAME: 1 j TEL'EEHONE_ • COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT09 DATE G1 Q:�Application FonnsVIAZMAT APP 2017 REVISED:"docx _. ^ - _. Number Fee 1115 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that VIOLA ASSOCL4TES I10 ROSARY LANE, 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 sue. • V Town of Barnstable ib, Regulatory Services • °� Richard V. Scali,Director B" MAE& Public Health Division gin: iOrEn rr " Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 I JI M. Office: 508-862-4644 ;: , Fax: 508-790-6304 Application Fee:$100.0.0 r� ASSESSORS MAP AND PARCEL NO. � 5 60�.0 DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT JOf fiJ NAME OF ESTABLISHMENT �I bS�dGI f�i f fr , �iJC� • ADDRESS OF ESTABLISHMENT I► 05-Play L/W N yA'A/,A//S M4 TELEPHONE NUMBER J d 9. '7 l-,3`fS7 SOLE OWNER: " YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. Q Zv s9 oa STATE OF INCORPORATION MhSSACOt4Stf7TS FULL NAME AND HOME ADDRESS OF: PRESIDENT �90Hnl Vlot-^ o?lG? FAYnbu7W ab o,;?�3a" TREASURER AW6o4 W O CLERK /�w!5 V j 0LA //n/ • SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS / - HOME TELEPHONE# j-D7-,3(,7-83 3 f C:\cache\Temporary Intemet Files\OLM IIAZAPP Rev2015.DOC iyz Town of Barnstable Office: 508-862-4644 Fax: 508-790-6304 Regulatory Services Department • ; M%RNSTABLF, Public Health Division Mom- Thomas A.McKean,CHO 200 Main Street, Hyannis, MA 02601 Payment Receipt ;Hazardous Materials Payment received: $100.00 (Check) on 6/9/2015 Permit number: 1115 ;Check number: 11051 Check amount: $100.00 Name on check: Viola Associates, INC. i i ;Business: VIOLA ASSOCIATES !Address: 110 ROSARY LANE, Hyannis • • Number Fee 1115 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that VIOLA ASSOCIATES I10 ROSARY LANE, 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 Ih '•; a .� Town of Barnstable Regulatory Services Richard V. Scali, Director BAR`'AS&LE, Public Health Division �^ 1639. ,fig iDren ° 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. '�l U DATE �° - c�j/ APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT �Q /�° vl 6L1+ NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT l l DQ �"" ,/�V AM 011b J/ TELEPHONE NUMBER I SOLE OWNER: /YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION k d-sSl�-CM4 SGJTI FULL NAME AND HOME ADDRESS OF: PRESIDENT Ol�rl l/fUc /(o `l9L�Zp u�f ( iv% (fl uC�//0 TREASURER AWla /Oct a/& 7 /qF CLERK SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS �167 f'-1-#UU�i HOME TELEPHONE# JfO 7-�33 y Q:\AppGcation FormMAZAPP.DOC f SPILL CONTINGENCY PLAN Emergency Coordinator, Name: �%�l ✓ Yl ocft Address: al(�7 Fir�ti� ui�1 � c�1✓i2rrrur�c r✓' Daytime Phone: W-3(0- ,(b 5 3 Evening Phone: 31 F. 3b?- Fire Department: PYIVA�S Barnstable Public Health Division: 508-862-4644 DEP 24 Hour Spill Hot Line: 888-304-1133 Waste Uau4ef: Name: �&'AII/I'1-7- � VIIIU I)IeNI 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). i Actions to be taken to control a spill or release, and preventing it from reaching a catch basin, sewer system or the ground. J I i I PLAN VIEW Hoop House i Dumpsters Chlorine Storage Hoop House 10 110 Rosary Lane Main Building 2' Parking Area Access Area 1 • Access Area 2 Rosary Lane Number Fee 194 THE COMMONWEALTH OF. MASSACHUSETTS $loo.00 Town Hof Barnstable Board `of Health This is to Certify that Stewart Painting 110 Rosary Lane Unit D -MAIL:PO Box 1067, CENTERVILLE, Hyannis MAIL: Centerville;MA .02632 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 " 'THOMAS"A: MCKEAN,R.S.;CHO Director of Public Health c f f ' Town of Barnstable oFIME r Regulatory Services ti , y�P ° Thomas F. Geiler, Director BARNSTABLE, 'NIA q public Health Division .9 SS. O i639 `gw �pTFD All Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6 304 Application Fee: $100.00 /ate ASSESSORS MAP AND PARCEL NO. 3q� -- . DATE n APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS,MATERIALS FULL NAME OF APPLICANT L EL-10 o-,At NAME OF ESTABLISHMENT � ,� ADDRESS OF ESTABLISHMENT 4?(Q L- Lt— A— TELEPHONE NUMBER SOLE OWNER: % YES (0(NO IF APPLICANT IS A PARTNERSHIP, FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: P6 RDy- tool PRESIDENT Si1E�D S �w•asZ�, lopes t l�cuL.doll ¢�� TWi�I.` TREASURER CLERK - • SIGNATURE OF ARLI RESTRICTIONS: HOME ADDRESS 6c>a 5vc-+sT L-2-1kru HOME TELEPHONE # -5-oS Haz.doc.%p`y • SPILL CONTiNGENCV PLAN 1) Restrict or remove any potential ignition source ii-om the area if the material is flammable. 2) Contain the spill by use of absorbent socks/booms, then apply appropriate absorbent material or additional absorbent socks/booms. Contact spill response firms (See List), if necessary to assist in these activities. 3) Label all containers with the type of waste and the start date of accumulation. 4) Notify the appropriate agencies. 5) Manage and dispose of collected absorbents and liquid in accordance with Federal • and State environmental regulations. 6) Spill. kits hanging from the shelves to quick and easy access. 7) T'he following is a list of the spill equipment on site: a. Spill response kit. b. An adequate amount of nitrite gloves, nitrile or rubber boots and other personal protective equipment_ c. First.Aid Kit. d. Fire extinguishers. e. MSDS Hanging near shelves of product. • \No N Number Fee �0 194 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Stewart Painting 110 Rosary Lane Unit D -MAIL:PO Box 1067, CENTER VILLE, Hyannis MAIL: Centerville,MA 02632 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, 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 t` f - Town of Barnstable ' Barnstable j ' " Regulatory Services Department � o� ;edcaCft • Public Health Division �m BAMRrABLE. "9. � 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 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENTEj6)a—a- ADDRESS OF ESTABLISHMENT TELEPHONE NUMBER d r-h Cr i N_ y SOLE OWNER: YES NO c� X i c ., IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRE OF ALA. ' PARTNERS: +� 3� en N � N M IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME D SS OF: PRESIDENT f�P. �P�1)/a>�' 66a 6hok Fk,,y APO dcofikaAe TREASURER CLERK SIGNAT/U-,RE OF A��PP�)LICANT //��, ,/ _ I /,, RESTRICTIONS: HOME ADDRESS LY�O�S�l4 Ul /1,� � �,V//4 HOME TELEPHONE# .3 Q:\Hazmat\Haz Mat Application2008.DOC SPILL CONTINGENCY PLAN 1) Restrict or remove.any potential ignition source from the area if the material is flammable. 2) Contain the spill by use of absorbent socks/booms, then apply appropriate . absorbent material or additional absorbent socks/booms. Contact spill response firms (See List), if necessary to assist in these activities. 3) Label all containers with the type of waste and the start date of accumulation. 4) Notify the appropriate agencies. 5) Manage and dispose of collected absorbents and liquid in accordance with Federal and State environmental regulations. 6) Spill kits hanging from the shelves to quick and easy access. 7) The following is a list of the spill equipment on site: a. Spill response kit. b. An adequate amount of nitrile gloves, nitrile or rubber boots and other personal protective equipment. c. First Aid Kit. d. Fire extinguishers. e. MSDS.—Hanging near shelves of product. SPILL CONTINGENCY PLAN NON - EMERGENCY SERVICES PHONE NUMBERS FIRE DEPARTMENT 508-775-2323 POLICE DEPARTMENT 508-775-1212 AMBULANCE SERVICE 508-775-2323 ENVIRONMENTAL PHONE NUMBERS HEALTH DEPARTMENT 508-862-4644 LOCAL DEP OFFICE 508-771-6003/508-946-2827 CYN OIL 781-311-5108 OTHER CONTACTS SHELDON STEWART 508-367-8023 TODD PIKNICK 508-367-8356 l •A r Number Fee 194 THE COMMONWEALTH OF MASSACHUSETTS $10o.00 Town of Barnstable Board of Health This is to Certify that Stewart Painting 110 Rosary Lane Unit D, 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 PAUL J. CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable °f�► log Regulatory Services Thomas F. Geiler,Director BAPNST"B`E' Public Health Division %699, ♦� �sc �A Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT �4 YJ NAM&OF ESTABLISHMENT- ADDRESS OF ESTABLISHMENT .TELEPHONE NUMBER �� ' (�Of�p� ��f� oV SOLE OWNER: XYES NO `� Gz IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRES OF AID PARTNERS: cacc --i ca r_n M-.. IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION / �! FULL NAME AND,HOME ADD`R�E�S Q,F: - PRESIDENTC�/FYI ,.TREASURER CLERK SIGNATURE OF APPLI,CJA_NTJ RESTRICTIONS: HOME ADDRESS (QDd �lC �� tll� HOME TELEPHONE # STEWART PAINTING P.O. Box 1067 Centerville, MA 02632 (508) 362-8023 Fax (508) 362-3682 (866) 362-8023 toll free Contingency Plan for Hazardous Waste Spills We store 55 gallon drums in a self contained rubber lined storage bin with a ramp access for Cynn removal All latex and oil stored paints have quick dry or cat litter on each shelf to accommodate any spilled cans There is an empty 5 gallon can to remove dried paint. °Ft low Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMASS. .$` 200 Main Street• Hyannis, MA 02601 039.MP�A`0 ,/TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: V 1 6 10, A5 S o Z-, 'S Date: Location/Mailing Address: 16 O Ro S a Q v,-,k A- a n,% � S Contact Name/Phone: o w Q-I l 1-7 y - `t 8 - l 3 2 m� •� r w�l S5'00--7-7 - 3qs-T Inventory Total Amo nt.'`�(,15 b`P�1°�� SDS: r� "� License#: I 1 l a. -5 Tier II : ZS - Labeling: Spill Plan: o f�,- -o ,%"s"r Oil/WaterSeparator: t10 Floor Drains: 9 Emergency Numbers: << Storage Areas/Tanks: Emergency/Containment E ui ent:6 Ckcep asp �o rm`y�tk�5 Cln1v<1 Waste Generator ID: N I A Waste Product: b wu sue. Pit l,c}� ��� +w Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS j'Vp w`'`�l o^( � s '�-��� ��'``/ 3�v &s iw-L 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 Dry cleaning fluids Automatic transmission fluid ✓ Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) v Windshield wash �— Motor oils —� Miscellaneous Corrosives T asoline,jet fuel, aviation gas Cesspool cleaners �— Diesel fuel, kerosene, #2 heating oil Disinfectant p ✓ Miscellaneous petroleum products: Road salts �tii✓( Xb��vo('7 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: M Av 41 1 0. 01.e- S 6 1 �5 c>v\- I Ake Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS Number Fee 1115 THE COMMONWEALTH OF MASSACHUSETTS $15o.00 Town of Barnstable Board of Health This is to Certify that VIOLA ASSOCIATES I10 ROSAR Y LANE, 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 06/30/2017 unless sooner suspended or revoked. ^1 --------------------------------------- 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 �t r .1 s �� RD i Town of Barnstable Regulatory Services Richard V. Scali, Director BARNSTABLE ` Public Health Division i6gq. `0� a"�anassa"s°r`n.s-CDMa��.uefDir�'i�a"'wx 16�39�-2�014ThomasMcKeanDirec or � 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 1n -d 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 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 U S . A late charge of$10.00 will be assessed if payment is not received by July 1st. ASSESSORS MAP AND PARCEL NO. 3Y5-y 2 O DATE FULL NAME OF APPLICANT: �4gKOUse- NAME OFESTABLISHMENT: \/IOL A.. 4-6SOC-AA-TL--f.- T-dC,, ADDRESS OF ESTABLISHMENT: /.-/j ��y�n/�yl S, '�� 62461 MAILING ADDRESS(II+DIFFERENT): TELEPHONE NUMBER OF ESTABLISHMENT: Pi- 71 3 Y6- EMAIL ADDRESS: ( S All l a-d b oC,! Q,- C-anll SOLE OWNER: YES NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME V161.4 At 56CAit&3-- � PRESIDENT JQ1*J v I tl TREASURER >KI'l. 46 VLO CLERK 6&nJ \ACA-At- IF PREPARED BY OUTSIDE PARTY: PLI T Name: Company Address Telephone#: Email: Q:\P.pplication Forms\HAZZAPP Revl6.docx Page 1 of 2 ��I®LA Ph:508-771-3457 Fx:508-771-3496 J ASSOCIATES,INC. Cell:774-487-1362 Jon Laliberte Pool Service Manager jonlib@violaassociates.com c�r Irrigation•Pools•Low Voltage Lighting T N Installation&Service e 110 Rosary Lane Unit A,Hyannis,MA 02601 ex.ov� wwW.violaassociates.com °p1ME r Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • MASQq- 200 Main Street• Hyannis, MA 02601 t639. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: 1 0 1 a- A S s b I 2 Date: 3 I l h Location/Mailing Address: 110 a Vitt, 5 Contact Name/Phone: n�•- 4 ce I I -N - 3 62 e nor s8'7?���{S�� PfM( 'SGt1hG.e�+htai p`✓ +�.1.erwE'a�K Inventory Total Amount: ^'6`I f4,t H( &OO(b MSDS: A•- License#: Ce,4-'-2> Tier II : L,�'►(�� Labelina: ® Spill Plan: Ye-,. Oil/WaterSeparator: Floor Drains: v Emergency Numbers: �— -�2v�iar Storage Areas/Tanks: D�1}�o! cvn�a,�,�twk5 0� ,h�o� cs da�5 u - Emergency/Containment Equipment: �w '6P *U-'f - ''�'� y A�i Waste Generator ID: L! I A Waste Product: tJ 11 VA Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: All g-A, o%A-� vim•-a..)r G\/Cuk-f-v15 LIST OF TOXIC AND HAZARDOUS MATERIALS �O v-c,,'joeC- --rL6 �r` ,xJ-Q,yv4,v� Stv�u- ��5� iug aCio^ NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazar a material use, (N p 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 ow)rx 41-ac,.Q-- Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Read salts Pao I Jgrease, 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: CoSS ov S GpL�a�- +� awe-erg 1)� °� aCa o S W k g- a')4, � Inspector: U4 'V6-k%C l-(—we's k% D�I L \� I P F cility Representative: IWJ WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Page 1 of 3 v Tier II Emergency and Hazardous Chemical Inventory Facility Name:Viola Associates Facility ID: 8787 Reporting Period From January 1,'2015 to December 31,2015 10 Annual ❑Update ❑Revised 0 Facility Information has changed from the last submission Facility Identification Owner/Operator Details Facility ID: 8787 LEPC: Barnstable County Name: John Viola LEPC Address: 110 Rosary Lane Facility Name: Viola Associates Lat/Long: 41.6697/-70.2675 110 Rosary Lane,Hyannis,MA Nature of Business: Hyannis,MA 02601,United States Physical Location: Maximum Occupants: Phone: 508-367-8339 Email: john@violaassociates.com 02601 Parent Company Details County: Barnstable County NAICS Code: 238990 Name: Fire Department: SIC Code: Dun and Brad No: Phone: 774-487-1362 Dun and Brad No: N/A Address: MA,United States 0 Manned ❑ Unmanned EIN ID(Tax Number): 02-0596026 Phone: Email: Email: FTE: Subject to EPCRA Section 312(Annual Inventory)? 10 Yes❑ No Tier II Information Contact Subject to Emergency Planning under Section 302 of EPCRA(40 CFR part 355)? 0 Yes❑ No Name: Jon Laliberte Subject to Section 112r of Clean Air Act(CAA)? Title: Manager ❑ Yes 0 No Phone: 508-771-3457 24 Hr.Phone: 774487-1362 RMP Facility ID: Email: jonlib@violaassociates.com Subject to EPCRA Section 313(Toxic Release Inventory-TRI)? ❑ Yes R1 No TRI Facility ID: Mailing Address Facility Emergency Planning Coordinator Company Name: Viola Associates,Inc. Attention: Jon Laliberte Name: Jon Laliberte Street Address 1: PO Box 389 Title: Manager Street Address 2: Phone: 508-771-3457 24 Hr.Phone: 774487-1362 City: Centerville State: MA Email: jonlib@violaassociates.com Zip: 02632 Phone: 508-771-3457 Country: United States Emergency Contacts Name Title Phone 24 Hr.Phone Email Jon Laliberte Manager 508-771-3457 774487-1362 jonlib@violaassociates.com John Viola Owner 508-771-3457 508-367-8339 john@violaassociates.com Certification:I certify under penalty of law that I have personally examined and am familiar with the information submitted in pages one through 3,and that based on my Optional Attachments inquiry of those individuals responsible for obtaining the information,I believe that the submitted information is true,accurate and complete. ❑ Site Plan Jon Laliberte,Manager 2/24/2016 1:50:49 PM 508-771-3457 Jon Laliberte ❑ Site Coordinate Abbreviations Name and official title of owner/operator or authorized representative Date Signed Telephone Number Signature ❑ Other Safeguard measures ❑ Facility Emergency Response Plan y Tier II Emergency and Hazardous Chemical Inventory Page 2 of 3 Facility Name: Viola Associates Facility ID: 8787 Reporting Period From January 1,2015 to December 31,2015 Chemical Description Physical and Health Inventory Storage Codes and Location Hazards Chemical ID: 95788 Fire Max Daily Amt(Ibs):3750 Container Pressure Temperature Storage Descrlptlon Lat/Long Max Amt At Check if Chemical Information is ❑ Type Location Location Ibs changed from the last submission: ❑ Pressure Max Daily Amt Code:04 [N]Plastic [1]Ambien [4]Ambient Back left / 3750 CAS#: 7782-50-5 Reactivity bottles or Trade Secret: 0 ty Avg Daily Amt(Ibs):1875 pressure temperature corner of ❑ 0 Immediate Avg Daily Amt Code:04 lugs the Chemical Name: CHLORINE (Acute) rope EHS: 0 Contains EHS: 0 Exceeds TPQ:. Delayed Max Amt in Largest Container EHS Name: Chlorine (Chronic) (Ibs):8 0 Pure 0 Mix ❑ Solid ❑ Liquid ❑ Gas No of days onsite:365 Chemical Added On: Exceed TPQ On: Check if the chemical is below ❑ reporting threshold: SHIPMENT DETAILS Mode of Shipment: Trucks Maximum Capacity Per Vessel: 6000 Carrier: Shipment Frequency Count: 2 Maximum Shipment Quantity at One 6000 Carrier Address: Shipment Frequency Period: Month Time: Carrier Phone: Physical State In Transit: Liquid Average Annual Shipment Quantity: 3000 Carrier 24 Hr Phone: Routes of Travel: Route 6,Exit 7,Turn Left,forward three miles,turn left onto Rosary Lane.Chemical is stored onsite. MIXTURE COMPONENTS Chemical Name % CAS# EHS EHS Name Max Daily Amount Max Daily Amount (Ibs) Code Water 97 7789-20-0 ❑ 3637.5 04 Chlorine 3 7782-50-5 0 Chlorine 112.5 04 Tier II Emergency and Hazardous Chemical Inventory Page 3 of 3 Facility Name:Viola Associates Facility ID:8787 Reporting Period From January 1,2015 to December 31,2015 Chemical Amount Range Code&Description # Code Amount Range 1 01 [01]0-99 2 02 [02110OA99 3 03 [03]500-999 4 04 [04]1,000-4,999 5 05 [0515,000-9,999 6 08 106110,000-24,999 7 07 [07125,000-49,999 8 08 [08150,000-74,999 9 09 [09175,000-99,999 10 10 [10]100,000-499,999 11 11 [111 500,000-999,999 12 12 [12]1,000,000-9,999,999 13 13 [13]10,000,000-Greater than 10 million t , Hoop House PLAN VIEW 1 Dumpsters Chlorine Storage Hoop House 10, 110 Rosary Lane Main Building 32' Parking Area Access Area 1 Access Area 2 Rosary Lane IKE ro�y1 Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARMABLE. ` 200 Main Street• Hyannis, MA 02601 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT /Z-//D ►� / Business Name: VIDIoL taSSoL%c&g Date: Location/Mailing Address: l 10 064- Vat K 11+S Contact Name/Phone: ;1_,9, L,0,19LA2 c o -771- K C-Q4 S'OS -� 11 y-418 - 1367- �., �, Inventory Total Amount: b a °070►b MSDS: S L tense#: Tier II Cti10 Labelina: oo Spill Plan: o ��2dc Oil/WaterSeparator: MIA Floor Drains: r 1 a Emer enc Numbers: _ AS Storage AreaslTanks:-j'c&���s Fo1 pool y'AV0V -V DCQIXkS -a��eQ Uo_,D3 3{0 e'� �'?COVc.Lkloc•a- Emergency/Containment E ui ment: Waste Generator ID: Waste Product: wt- Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: qP4 f, W&4& o.I _:tic_ o &M av 4c 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. 3bo Antifreeze b0*f b Qn*�1LV\ Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers i5 Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) T Windshield wash L Motor oils T c}3 Miscellaneous Corrosives $�35�-� -;t 0 Gases' e,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants VD Miscellaneous petroleum products:�Al� Road salts �00b((O Qoo�'IVA-45 grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout $y t 1 insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) 3 Car wash detergents Printing ink 2. Car waxes and polishes 2 Wood preservatives(creosote) Asphalt&roofing tar ( I t Swimming pool chlorine Paints, varnishes, stains, dyes ° Lye or caustic soda 3s Z5 -I-*r,Z, Lacquer thinners Miscellaneous Combustible y6' Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/ COMMENDATIONS: el C�� w L -kG4110 wLo<.tG t�J[ Lfig Ol4_IQ I�W%U TAAIram[ - 0Ar "-v,> (rp�l�A��r�YKA-�h1Cot aSO��w►k g�otGla� Inspector. Facility Representative: Cy �O LA`l.� 2 •� WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Date: 1/ I l.y I /3 TOWN OF BARNSTABLE��s ,o,� TOXIC AND HAZARDOUS MATERIALS RX5131STWOMN FORM NAME OF BUSINESS: V, o 1&- HSSoc�a�-e5 BUSINESS LOCATION: Ito IQ05ar L-K. a INVENTORY MAILING ADDRESS: SQL TOTAL AMOUNT- TELEPHONE NUMBER: -S'b8 -771-34S7 /�l$z 411oKs-r CONTACT PERSON: J µ- LL-&-h 6m-, %e- ,-e EA,47i f`-T�tiyh6l .Zy3� Ili EMERGENCY CONTACT TELEPHONE NUMBER: ' 7y- y8?- f362- MSDS ON SITE? TYPE OF BUSINESS: C&K6f1r0CJ-h9M-* M41 -}tV%dtK e_- D 14je.r INFORMATION / RECOMMENDATIONS: °��e�loj0 4Nd1�Doste�►'1er�cnUd Fire Dlstt yr,s�SDIII Cortb aK Z)�v�i'1►�do co s ,l �►�t.w, i 1,ceHs U(VAV115 o��. � S be. Cafe�t �pp►t-1'�,e, eler�ce s 4✓t �lCo Y p�a!' GD rvf•G l 47 rC� 6t a o,- ,6 04 S ke- f Ste-# a 1 44P M co{ g a ' 4-6fL Waste ransportati� 50-1 f fV'ahspoff'ok Ladt shipment of hazardous waste: -c-0-1rity re: /.erZ Name of Hauler: +eft &,/-For snacc L,,t4-te Destination: Waste Product:*yMygVe,-o mx-o,oQS"- 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 3 Antifreeze (for gasoline or coolant systems) Z 1 Miscellaneous Corrosive vN�+,.�1,c.cc,lZt ❑ NEW ❑ USED Cesspool cleaners t 2, Automatic transmission fluid Disinfectants � Engine and radiator flushes 16 salts (Hlaalite) 1peo Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides 13 NEW 2< 2J USED(to (insecticides, herbicides, rodenticides) 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) ;L Caulk/Grout/e-fpxi jpg t 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 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) ,Z Miscellaneous. Flammables (a«os.ts) Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes Laundry soil &stain removers ' I(including bleach) IIZ Ib, dXoVblio��"ab5 -200 Ib , P�nos-0Ne Spot removers&cleaning fluids /�(dry cleaners) Ctwto�kt- 2D qal . Pr' ��'Kj�5D 1 b Other cleaning solvents Bug and tar removers oi4x rKi5c• Pool aoU,f-ve5 1 Kc. IZ.$ Windshield wash �occ, a e �(�S re o.rely - lo k WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applican 's Signature Staff's Initials A41ASMCHUSETTS FIRE INCIDENT REPORT DEPARTMENT Revise ® 10 ':>01922 Hyannis Fire Department Report Form If E Date Alarm rriva In Service I 001334 Fire 0012/27/96 Day Friday6 ' 10:01 10 :07 10:33 a S AT N FOUND ACTION TAKEN ::;:; : :: MUTUAL AID B ;pi , ak w/ No Ign ''4 1 Investigation Only FIXED PROPERTY USE (OCCUPANCY) IGNITION FACTOR CCUncovered Parkin Area >'9 6 5 < 0 0 NO FIRE OCORRECT ADDRESS ZIP CODE CENSUS TRACT 92 ROSARY LANE 02601 20 O 1 1 OCCUPANT NAME (LAST, FIRST, MI) TELEPHONE ROOM or APT. DIAMOND DISPOSAL 508 790-3959 OWNER NAME (LAST, FIRST, MI) ADDRESS TELEPHONE F 12 GIOVANGELO ROBERT 508 790-3959 CO. DIST. PERSONNEL ENG RESP. AERIALS RESP. G 13 METHOD OF ALARM 1 © RESP. il 0 SHIFT HAZ MAT PRESENT? TANK. RESP. JOTHER RESP. A 1 TEL-1300 NO. SUBSTANCE 0 0 1 < SPEC. EQUIP. USED? O 20 FIRE SERVICE O »> O «[ OTHER O O O O MOBILE PROPERTY TYPE VEHICLE STOLEN? ESTIMATED TOTAL INSURANCE CO. DOLLAR LOSS TOTAL INS. CLAIM PD YEAR MAKE MODEL COLOR LICENSE NO. VIN# 30 40 IF EQUIP INVOL. YEAR MAKE MODEL SERIAL NO. IN IGNITION O COMPLEX AREA OF (: EQUIP INVOLVED IN IGN. ORIGIN FORM OF HEAT IGNITION ;MATERIAL FORM TYPE •• © IGNITED METHOD OF LEVEL OF ORIGIN Number of Stories CONSTRUCTION TYPE OEXTINGUISHMENT 0 EXTENT OF DAMAGE Flame Smoke DETECTOR PERFORMANCE SPRINKLER PERFORMANCE op F77= O E Material generating FORM TYP ® most smoke AVENUE OF SMOKE TRAVEL R WEATHER CONDITIONS Officer in Charge: Date ERIC FARRENKOPF CAPTAIN 1 2/2 7/9 6 y Comments for this incident have been printed on an additional comments page. .J Comments for Incident: 96 001334 Exposure: 00 Date: 12/27/96 0 RECEIVED A CALL FROM A JOHN HANDLE(WISHES TO REMAIN ANONYMOUS)508-790-7900 WHO IS THE CARETAKER FOR THE BUSINESS CONDOMINIUMS AT 92 ROSARY LANE STATING THAT HE HAD RECEIVED A CALL THAT THERE WAS SOME TYPE OF OIL SPILL RUNNING FROM UNIT 4(DIAMOND DISPOSAL)OUT INTO THE PARKING LOT. RESPONSE:CAR 812. UPON ARRIVAL HAD A SLIGHT SHINE OF A PETROLEUM PRODUCT IN THE PARKING AREA IN FRONT OF UNIT#4.THIS SHINE WAS VISIBLE DUE TO THE RAIN THE NIGHT BEFORE AND IT RAN TO A CATCH BASIN AT THE EDGE OF THE PARKING LOT. HAD F/A CALL THE BARNSTABLE BOARD OF HEALTH AND UPON THE ARRIVAL OF JERRY DUNNING IT WAS DETERMINED THAT THE SPILL WAS LESS THAN 10 GALLONS AND WAS PROBABLY FLUID FROM ONE OF DIAMONDS RUBBISH TRUCKS. MR DUNNING LEFT HIS CARD WITH THE SECRETARY FOR DIAMOND DISPOSAL AND ADVISED HER TO HAVE MR GIOVANGELO CALL HIM THIS AFTERNOON. CAR 812 TO OTS 1033 ERIC FARRENKOPF CAPTAIN 12/27/96 ,.... _ ,....,,.. ,_. �•.,. - --,.art• TOWN OF BARNSTABLE BAR-W MO S130 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager .�.} n� �. �_�. �,. Address of Offender MV/MB Reg.# Village/State/Zip . Business Name Vf o ). A 4 in e + ,k,4-e a !�}:�'.� am�/pm, on ��1 y 20!41 ' Business Address 00 , r� G.�+Y!• �f ��r r/ .�,,f ,� ..-- Signature o+f Enforcing Officer Village/State/Zip �,f 00 5 Location of Offense 1 1 e) :c -a��f. t a •_, Enforcing Dept/Division Offense i' •, ► 1►���.. 4 � Q r� ::ti.t'� �► � �i�iSC_ ►i"i a��l tt �*��y'lf� Facts � r � This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. ._ - .. .... ._, ... _:_. .,. o ,:.:.-. «-.... � ,+..-.<a..�..-•. ....•,!`.�. a,r .,.mac.• ,. . TOWN OF BARNSTABLE BAR-W SISO Ordinance or Regulation WARNING NOTICE Name of Offender/Manager y,� _ �s.� Address of Offender MV/MB Reg.# Village/State/Zip �f Business Name 1 7 s ;a fia C � ,. I •" - ' am'/pm; on '11 `/ 20 Business Address ! /> m � Y/ t Signature .of Enforcing Officer Village/State/Zip O`/ 0✓f 1 S < 1/11 Location of Offense V1, ¢ .� x �. Enforcing Dept/Division Offense ° `►�.. r. . r < "f ^�:_ aq,l a �'�" . x. ( 1 1 {1 `?"''Y'�"� `. if k't. �� . �, � ,i F �,... Facts t.) ,ro a4 •. 1l 11 `� 4Et. -7 •e� `d J This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT.