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0100 SCUDDER AVENUE - HAZMAT
ne.r�- 40 Number Fee 1175 THE COMMONWEALTH OF MASSACHUSETTS $50.00 Town of Barnstable Board of Health This is to Certify that CAPEWAY TOWING --------------------------------------------------------------------------------------------------------------------------------- 100 Scudder Avenue, Hyannis, MA ------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Is Hereby Granted a License For: Storing or Handling 26 - 110 gallons 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 Town of Barnstable Inspectional Services BARNSTABLE 0` PN.N IS H-•CE DSE E LLf•CO M FYAI:IS Public Health Division � 'S"�.639�201'.F����_E 1639�]f3034 575 1 Thomas McKean, Director MAW 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 f^' APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE t HAZARDOUS MATERIALS ,.t 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 Ll 01 IdK CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ 3 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? X 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: j,) jg J 5. NAME OF ESTABLISHMENT: l7,11P£cJA w l�✓� 6. ADDRESS OF ESTABLISHMENT: l a O '3CU JL� 'A VJ5�)11�5 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 8. .TELEPHONE NUMBER OF ESTABLISHMENT: 5-0 9-' 7 7�—' I&6,S 9. EMAIL ADDRESS: 10. SOLEOWNER: YESXNO IF NO,NAME OF PARTNER: (✓j 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY:. - NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLI ANT TE Q:Wpplication Fonns\Haz Mat Appli Draft Jan2 °FtME row Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMASSB`E') 200 Main Street• Hyannis, MA 02601 p s639. MA A�0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT RFD '1 � 1 Business Name: "CAW►n Q(V-C , Date: M II /1� Location/Mailing Address: 0 Contact Name/Phone: 5 H -775'"1 h S Inventory Total Amount: >(_ I�__ SDS: a� `� License#: !(75 Tier II : Labeling: OCR Spill Plan: 6 (� Oil/Water Separator: A n, Floor Drains: W 0 Emergency Numbers: Storage Areas/Tanks: cl ri %-.4 ` Emergency/Containment Equipment: NJALWaste Generator ID: Ql V80c(77,R 1 LGZ, W ste Product: WcA- nj Date&Amount of Last Shi ment/Fre uenc : �— Licensed Waste Hauler&Destination: Li II w f 1 Other Waste Disposal Methods: re m&LW66)1rQeZ LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers _e^.Hdraulic ngine and radiator flushes Bug and tar removers fluid tincluding brake fluid) Windshield wash Motor oils 1 �u Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: / INFORMATION/RECOMMENDATIONS: S i no '✓ Inspector. Facility Rep entative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS Number Fee 1175 THE COMMONWEALTH OF MASSACHUSETTS $5o.00 Town of Barnstable Board of Health This is to Certify that CAPEWAY TOWING SERVICE 100 Scudder Avenue, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 26 - 110 gallons of Hazardous Materials. ---------------------------------- ------ ----....------------------- ----------------------------------------- -------------------------------------- ------------------------------------------- ---------- ---------------------------- --------------------------------------------- ------------------------------ This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2020 unless sooner suspended or revoked. PAUL J.CANNIFF,D.M.D,CHAIRMAN _DONALD A.GUADAGNOLI,M.D. 07/01/2019 JUNICHI SAWAYANAGI THOMAS A. MCKEAN, R.S.,CHO Director of Public Health r1. Town of Barnstable Inspectional Services BARNSTABLE .THE MRNTnB!F•�iiE."<11;L'•CO1R•KrgHvfi Public Health Division S M.p}iCki gtL�S•Gi'EF'filLE• :Sf 84RNS:ts:E 1 E ' 79-2Q14 C. BARNMBLE, ` Thomas McKean, Director MAS&iDrev A`0� rXI 200 Main Street, Hyannis, MA 02601 t Office: 508-862-4644 Fax: 508-790-6304 co APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE .Y 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 X rc+)K.* CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ t3 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. a99-0 2. IS THIS A PERMIT RENEWAL?X 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 QUANTITIIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: WE ymyUT— 5. NAME OF ESTABLISHMENT: ID l)1 N G ff 4 b 6. ADDRESS OF ESTABLISHMENT: 1 ,00 (I,,&tb drip A du,55— 7. MAMING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: ( -R P L) l if 10. SOLEOWNER: YESY( NO IF NO,NAME OF PARTNER: /1.4,4 Al 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLIC TE (o I l I 120 I q Q:\Application Forms\Haz Mat App Revised -10-18.docx Number Fee 1175 THE COMMONWEALTH OF MASSACHUSETTS $50.00 Town of Barnstable Board of Health This is to Certify that CAPE WAY TOWING SERVICE 100 Scudder Avenue, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 26 - 110 gallons of Hazardous Materials. ---------- --------------------------------------------------------------------------------------- ------------------------------- ------------------------------ ------------------------------------------------------------------------------------------------------ --------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2019 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2018 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health Tow of Unstable Regulatoervices oF�"e Richard V. Scali, Director ' Public Health Division BARN' LE - sAllvsrnaLE. = w�nsm s� ni�en s:aeE ;�d MAS& Thomas McKean, Director 1639-2014 --200 Main-Street-Hy MA 02601 - -.. - -- -- - D�- --- - --- -- ao1�3 , Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE o HAZARDOUS MATERIALS ri 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: $5.0 � CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 1;77 '7 ' 19 y6y 2. IS THIS A PERMIT RENEWAL?_ _YES_NO. IF YES, SHIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF • GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: e ly 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: 10`2 5(2-"b c �-V CE J Y E— /1 0AN 1 S JAI n 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 57� - -7?�-- 9. EMAIL ADDRESS: UJOE6J P l '0&01 Af 4— is _ 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLIC DATE Q:\Application FormsUiAZN AT APP 2017 docx r Town of Barnstable of SHE Regulatory Services Barnstable t Richard V. Scali;Director ��� Public health Division Q Q 8 snxxsrasLE, MASS. g Thomas McKean,Director�'0T 1639. A1` 200 Main Street 2007 FD Mp'1 Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 CERTIFIED MAIL,# 7012 1010 0000 2847 8445 �L.�ilwiinikainen Francis Mason and January 23, 2017 100 Scudder Ave. Hyannis, MA 02601 IMPORTANT NOTICE RE: Map 289 & Parcel 046 According to our.records, your property at 100 Scudder Ave,Hyannis has a septic system and is not connected to the public sewer system. The property owner was previously notified of the obligation to connect by 3/30/15 and to establish a sewer account with the town. This letter directs you to connect your building located 100 Scudder Ave,Hyannis, MA 02601,to public sewer by July 15,2017. Please note the following permits also need to be in compliance: 1) Septic Abandonment Permits ($ 25) are issued at the Public Health Division, 200 Main Street, Hyannis. The old septic system must be either removed or filled in due to future safety concerns. This may be done by the same contractor who connects you to the sewer. 2) Contractors,approved to perform sewer connection work in the Town of Barnstable must obtain and file a Sewer Connection Permit with DPW-Water Pollution Control Division, 617 Bearse's Way, Hyannis—contractors,please call Dave Anderson at (508) 790-6244. You may request a show cause hearing before the Board of Health. If you would like a hearing, please send a written petition requesting a hearing within seven(7) days of receipt of this letter. If you should have any questions,please call 508-862-4644. Failure to comply with this order will result in a complaint against you, in a court of law, due to your failure to comply with a Board of Health Order. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean,R.S., C.H.O. Agent of the Board of Health Number Fee 1175 THE COMMONWEALTH OF MASSACH'USETTS $50.00 Town of Barnstable Board of Health This is to Certify that CAPEWAY TOWING SERVICE 100 Scudder Avenue, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 26 - 110 gallons of Hazardous Materials. ---------------------- -------------------------------------------------------------------------------------------------------------------- This license is granted inconformity with the Statutes and ordinances relating there to, and and expires 06/30/2018 unless sooner suspended or revoked. -------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2017 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO ":60H-Q b'-'g91 Director of Public Health l Number Fee 1175 THE COMMONWEALTH OF MASSACHUSETTS $50.00 Town of Barnstable Board of Health This is to Certify that CAPEWAY TOWING SERVICE 100 Scudder Avenue, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 26 - 100 gallons of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------- --------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2018 unless sooner suspended or revoked. --------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2017 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health s a TROwr5 B n eg atory ervlcesvices Richard V. Scali, Director THE o* Public Health Division BARNSTABLE * BP"::Sr Ylk•ifxER'lILE•CO*UR•NY—Is �„ L Thomas McKean, Director 1639-20 """s .sHLLS1' S`"°'"stROE 167914 '- 1639. 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 � 0-2 6�8 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS p 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 i("S 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. �- O `T "2. IS THIS A PERMIT RENEWAL? 'X YES_NO: w 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: �l9 P€G�Ay I TzA tjSPd g I/fC 5. NAME OF ESTABLISHMENT: 5f4-MG7— 6. ADDRESS OF ESTABLISHMENT: 00 -3a-it td YR N N IS Nei OZ�oO I 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 6 7 7 K-" (o 9. EMAIL ADDRESS: 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: • NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLI DATE 7Q:\Application Forms\HAZMAT APP 20 ���� �— *IKE A Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 R NSTAB`E'� 200 Main Street• Hyannis, MA 02601 f TOXIC AND -HAZARDOUS MATERIALS INSPECTION REPORT Business Name: Ca I Sacv► Date: Location/Mailing Address: 160 oc. ,r v<. a.V%,11 5 Contact Nam Phone: ¢ wtvA?, SoB- -7 S�_-166 / ogee n- i S f Wavl. I `Y�oalp�ter �v�SL3eG �o►t_ Inventory Total Amount: ( MSDS: Licenser#:�g� Tier II : I`QIQ Labeling: o�,< Spill Plan: � - Oil/WaterSeparator: to Floor Drains: 0 b Emergency Numbers: ©� Storage Areas/Tanks: 1IC- a,I WaStr. -1-, vt,V v ,,ems. 7 Ak by wsrV- ems +e. Rotes EmergencyLContainment Equipment: 3 1 + ov. A�Yv&�LL Waste Generator ID: W ste Product: / Date&Amount of Last Shipment/Frequency: Zd)2 '3eP- Q(-cVtwi us pcG Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze S Dry cleaning fluids —�� Automatic transmission fluid S Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils 1_16 v'"k'( I[,? Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries S 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: fa- -& Inspector: I Facility Represen ' e: / WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS `oFIKETacti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BA E. MA&SBL 200 Main Street• Hyannis, MA 02601 1659. �ArFOMA+a` TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: Yzr%/tc.e-- Date: S24 I Location/Mailing Address: / a ScVA eAye-, 14)1,csf ►,s Contact Name/Phone: bA .,-tJzym,-tL Inventory Total Amount: J&D MSDS: +0 0 IA4- License#:��� Tier II : Klo Labeling: Spill Plan: o o Oil/WaterSeparator: MIA Floor Drains: o Emergency Numbers: Storage Areas[Tanks: 2 41)m v y- _ Emergency/Containment Equipment: 5 < a � VOXI b- 1 ,-& Waste Generator ID: JSo '1-7 Waste Product: uJ9,gf-e oil Date&Amount of Last Shipment/Frequency: '7 /2.)►t- 1 200 al Licensed Waste Hauler&Destination: ,¢o4v43o4 -SPIOr.�+(1,r0 —7 M V-.6 v.J lot-4 / , re 5095- Other Waste Disposal Methods: 'a.Jr Ina,Za. Q;v5 04L.1 It Colke-A-i 4- PC—,( art' 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. 30 Antifreeze 20 -&-,0— -r-1 O'" -*`5 Dry cleaning fluids 3"` Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Io Hydraulic fluid (including brake fluid)a.>/ Windshield wash I Motor oils ootke. 2,-75 A`i< Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil,!� Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries 3 0- Photochemicals(Fixers) Rustproofers Photochemicals(Developer) y Car wash detergents v Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar ' Swimming pool chlorine �— Paints, varnishes, stains, dyes 4 Lye or caustic soda y Lacquer thinners )- 1 Miscellaneous Combustible t 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" I p 9LF (including chloroform,formaldehyde, hydrochloric acid, other acids) VIOLATIONS: C4<waste• ,v evIt ao e. . s R o ORDERS: 304 I o��,12 + c �v s g / qt o c.Cwt o ee5 .,-- c mess o M S 5 maw o� •�� a1"`� I FORMATION/RECOMMENDATIONS: ,L aL -3 J a E '}' I'ol loAav I/� I 11- W111 6P +&Vtv, 00� �QQ,Q� Vo)� e� Inspector: j VriG 100 qa — G2Avwd-w Qe5-I at� q 4<av al lfae-k t.4&+cd-VA-0,1%4-%v j �)c> Facility Representativ WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS Nf Number Fee 1175 THE COMMONWEALTH OF MASSACHUSETTS $5o.00 Town of Barnstable Board of Health .N This is to Certify that CAPEWAY TOWING SERVICE 100 Scudder Avenue, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 26 - 100 gallons of Hazardous Materials. ------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2017 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health 'l/ll q/1(0 1�20 Ca,-�'• t c evtS�— aol ' 1 Town of Barnstable THE► Regulatory Services 1� • °� Richard V. Scali,Director EARNSTM g Public Health Division it E 039. �0 \n�' st1/y-\ OBIFThomas McKean, Director 1` 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508--/,9.@-6304 A 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 ❑ A late charge of$10.00 will be assessed if payment is not received by July 1st. ASSESSORS MAP AND PARCEL NO. - DATE FULL NAME OF APPLICANT: ` 42.Ck� 2 rnc��L NAME OF ESTABLISHMENT: G:qCwSL'j ADDRESS OF ESTABLISHMENT: l� S Co cQ aQ-er-' cA,--c_ MAILING ADDRESS (IF DIFFERENT): TELEPHONE NUMBER OF ESTABLISHMENT: S ( -6- —z-7 EMAIL ADDRESS: SOLE OWNER: YES�TO IF NO,NAME OF PARTNER: Mc9,nr� FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK IF PREPARED BY OUTSIDE PARTY: SIG F APPLICANT Name: Company Address Telephone#: Email: Q:\Application Forms\HAZZAPP Revl6.docx Page 1 of 2 y O SENDER: Complete items 1,2,and 3. c Add your address in the"RETURN TO"space on 3 reve4. 1. ,The following;service is requested (check one). XT9CShow to whom and date delivered. . . . . . . . . .¢ U Show to whom,date,and address of delivery. ._¢ RESTRICTED DELIVERY Show to whom and date delivered. .. .. . . . . . RESTRICTED DELIVERY. Show to whom,date,and address of delivery. +_ (CONSULT POSTMASTER FOR FEES 2. ARTICLE ADDRESSED TO: Mr. James A. Mac�'reaor Exxon Co. ,USA-30 Beacham St. rn Everett, Ma. 02149 ' M Z 3. ARTICLE DESCRIPTION: n REGISTERED.NO. I CERTIFIED NO. INSURED NO. 0019779 m I (Always obtain signature of addressee or agent) I have received the article described above. mSIGNATURE Addressee �A✓uU oITZ�d-agent m jfx, 2 4. �- a l y DATE OF D�jELI ERY ? v nS ARK' O // ,a 19 D z 5. ADDRESS (Complete only if requested) 798, ? m m .` :n 6. UNABLE TO DELIVER BECAUSE: CLER ' M MIT S 3 GPO: 1978-272-382 ' 'y j UNITED STATES POSTAL SE E, +'PA ;= OFFICIAL BUSINESS ID `^ l SENDER INSTRUCTIONS PE ALTY FOR PRIVATE US TO AVOID PAYMENT I, Print your name,address,and ZIP Code in the w.spaca�bel OF POSTAGE., I Complete items i,2,and 3 on the reverse.-"-,?: �- I Attach to front of article if space permits.'Otherwise U.S.IyIAIL affix to back of article. OO I Endorse article"Return Receipt Requested"adja- cent to number. RETURN p TO I I E i I BOARD OF HEALTH I TOWN OF NXR9'9T`e9LE P. 0. Box 534 (Street or P.O. [lox) I HYANNIS MA 02601 V ' (city.State.and ZIP code) SENDER: Complete items 1,2,and 3. -n Add your address in the"RETURN TO"space on 3 reverse. w 1. the following service is requested (check one). XRgCShow to whom and date delivered. .. .. .. . . . Show to whom,date,and address of delivery. ._¢ RESTRICTED DELIVERY Show to whom and date delivered. . . .. . . . . ._¢ RESTRICTED DELIVERY. Show to whom,date,and address of delivery.$_ (CONSULT POSTMASTER FOR FEES) 2. ARTICLE ADDRESSED TO: Mr. James A. MacGregor „ Exxon Co.U.S.A. r 30 Beacham S . EVERETT MASS . 02149 Z 3. ARTICLE DESCRIPTION: x n REGISTERED NO. CERTIFIED NO. INSURED NO. I 0019806 y I (Always obtain signature of addressee or agent) m 2 I have received the article described above. mSIGNATURE ❑ Addressee ❑ Authorized agent x v z a. CA) D F DEL Y POSTMARK 33 m v Z 5. ADDRESS (Complete only if requested) v n m z T 6. UNABLE TO DELIVER BECAUSE: CLERK'S C INITIALS 3 D �,}GPO: 1978-272-382 I UNITED STATES POSTAL SERVICE OFFICIAL BUSINESS I SENDER INSTRUCTIONS PENALTY FOR PRIVATE U Print your name,address,and ZIP Code in the space below. SE TO AVOID PAYMENT • Complete items 1,2,and 3 on the reverse. OF POSTAGE,$300 I+ • Attach to front of article if space permits.Otherwise LLS.MAIL affix to back of article. ®O • Endorse article"Return Receipt Requested"adja- cent to number. 6 RETURN G I TO u BOARD OF HEALTH (Name of Sender) TOWN OF BARNSTABLE P. 0. Box 534 I (Street or P.O.lox) j HYANNIS MA 02601 � � I (City.State.and ZIP Code) f � 1 3 g7- 3 b1 3 F11 ET0 TOWN OF BARNSTABLE UGF- c y Q � OFFICE OF i BARNSTABLE, i MASS BOARD OF HEALTH �pA 1639. 367 MAIN STREET HYANNIS, MASS. 02601 April 17, 1981 A Mr. James A. MacGregor Exxon Co. ,U.S.A. ` 30 Beacham Street Everett, Ma. 02149 Dear Mr. MacGregor: On February 4, 1981 , your representatives attended a hearing con- cerning your company' s violations of the Town of Barnstable L. Underground Fuel and Chemical Storage Systems Regulation. At this time you indicated you would promptly remove the leaking . tanks at Frank' s Esso Station, Scudder Avenue, Hyannis. Prior to the hearing you were also notified by certified mail on January 19, 1981, to remove the gasoline tanks at the Exxon Station operated by Mr. Frank Mason in ten days due to -a leakage problem. j I have called Mr. Grinalda on several occasions and he assured me that the tanks would be removed shortly. i It has now been three months since you received our original letter but no action has been taken to remove the tanks. You are directed to remove these tanks within five (5) days of receipt of this order. We would greatly appreciate your cooperation in this matter. a I IVery truly yours, , in M. Kelly irector of Publ ' Health JMK/mm cc: Chief Farenkopf i I I i March 27 ,1981 ! Mr. Grimaldi called in answer to Mr. Gifford' s ij�,-elephone call of 3/26/81. They have an agreement with the property owner to take ,,�he tanks out and they will not replace them. They agree to have them out by May 1 , 1981. If any change - will let us know. y F CHETo� TOWN OF BARNSTABLE Q � OFFICE OF i , ABLE, MABa : BOARD OF HEALTH y MA6 ej 1M 9. MPY II \mom 367 MAIN STREET � M• HYANNIS, MASS. 02601 January 161 1981 I Mr. James A. MacGregor ! District Manager Exxon Company, U. S. A. 30 Beacham Street Everett, Ma. 02149 ! Dear Mr. MacGregor: i ! It is requested that a representative of your company be pre- sent at a hearing on February 4, 1981, at 4: 30 P.M. at the Board of Health office, New Town Hall, 36.7 Main Street, Hyannis, concerning violations of the Town of Barnstable Health Regulations to Prevent Leaking of Underground Fuel and Chemical Storage Systems adopted -February 14, 1980. The alleged violations occurred at Exxon Stations in Hyannis lo- cated 'at Scudder Avenue and at Barnstable Road and Louis Street. In addition, we were advised by your engineer that the tanks located at the Scudder Avenue Service Station failed the Kent- Moore test. It is requested that they be removed and disposed i of within ten (10) days of receipt of this notice. i Very truly yours, i J n M.iKelly a- * X irector of Public Health �,/41') �I,a I �1 t� JMK/mm cc: Chief Farenkopf 6� �c 1 c ET(OH COMPANY, U.S.A. 30 BEACHAM STREET • EVERETT, MASSACHUSETTS 02149 MARKETING DEPARTMENT BOSTON RETAIL DISTRICT April 17, 1980 Town of Barnstable Office of Board of Health 397 Main Street Hyannis, MA 02601 Gentlemen: The enclosed information regarding underground storage tanks owned by Exxon Company, U.S.A. , in the Town of Barnstable is forwarded pursuant to your regulation of February 14; 1980. We wish to comment on two items contained in the regulation, as follows: 1. The requirement authorizing use of air pressure for testing is, in our opinion, unsafe and contrary to good engineering practice. Control of precise pressure is difficult; it is unreliable as a test for actual tank condition, and can cause premature failure of older tanks, which are not otherwise defective, if they cannot withstand the 5 psi test pressure. 2. The regulation requires quarterly certification of inventory records by the tank owner. Federal anti-trust laws preclude interference by a supplier in certain daily business activities cf a. service station dealer. Keeping inventory records has normally been a business practice of the station operator, subject to review by a supplier only with the dealer's per- mission and cooperation. The responsibility for certifying inventory records should be placed on the operator, not the tank owner. Please advise this office if further information is required in this matter. V y tru ours, DISTRICT AGER Encs. JAMacGregor:FTL cc: Mr. A. D. Young, Jr. A DIVISION OF EXXON CORPORATION VMIItN,-�:i7i�N1�Ca txItstnuL Ab 1.iVKrevKA i r m FIBERGtAS INVOICE TOLEDO,OHIO 4X59 • I — — — _ Y 7 ..-r Vj vZ �r 161.ENQ, �ri6-aka i - 00 9 i 81 l.+t60 ,E*t0-O0-V E-50-00-�E-� �s FIR TO PRICE BHEET/BI/PRe �� 5 � .'A ' r`^•� why RFF2 .P 10 „ F 1 j P .R. MC �IIOt�H = x f� 2/10/77 T ... N•i 2-7 I NDOV nO TEL. -�0 S=E I m V,log� ANMIS� !LASS N METHOD OF SHIPMENT Oq j'VI fig 0 EXXON CO WA NY U SA 00159 c CM ENGR. A MAINT D YTIME E 30 8 EA CKA M STREET o L EVERETT9 MASS. 02149 1 5 SPLC 144619 TAG iRT. ►AYMENT TERMS SHIPPING TERMS OWENS-CORNING FIBERGLAS CORP. (al NEAREST Po f Office Box) D•U-N-S 00-290-7699 Box 102035,68 Annex.Atlanta.Georgia 30368 I . C ER 00-290-7707 Box 36029M.Pittsburgh.Pennsylvania 15251 0D-290-7715 Box 91930.Chicago,Illinois 60693 00-290-7723 Box 141.Kansas City.Missouri 64141 00-29G-7731 Bo-6433.Dallas.Texas 75284 T S 00-290-7749 Box 8210.Church St Station.N.Y.N V 10049 EX • 00-290-7756 Box 37267.San Francisco.Calif 94137 REM PRODUCT DESCRIPTION 77 PROD.MCCODE MARKET UNIT PRICE SHIPPING QUANTITY AMOUNT PKGS. I BILLING UNIT 1 6#000 GAL F/a U/c 4 55473 22,10 STD TANK mo D EL D-38 6 - Jr FTGS 245 POS. 293949597 98 U/6 4 55481 2 5 2 S 000 GAL F/6 T �70 CI sfi. TANK MODEL D-3 6 C FTGS 252 OL POS. 294,697 910 911 r 3 I!RAN A MUNDSEN 1131? rh7 HARGE MASS.B'ALES A USE X 52 $9a. LL J.J. HOGAN 617/397.5 1 a HRS 8/4 SHIPMENT / TUCH COMMONWEALTH OF TA E �.;a371,�.�5 IRE MARSAHL APPROVAL ].. L C S E ` i78 _ 2.23 S-24-78 PR E OCT L C S E. I BY Y RK Et & IJu:.NT. ZNTER We hwb► seMify Mm these pods were p.dycod in conpliene with ail swicabie te�ube�enh of sediees 6.7.nd 12 of Me Fair labor standad od, amended, and of regulations and eden of the IMihd States DepartnnM of labor reseed ender section 14,Ma1cel. hies charged hereto do net exceed Ike awli.aeble -iltng pries established by iow. OC�37B64A A6 INVOICE COPY OWENS-COHNING FIBLMUL ►s cuKru wf INVOICE TOLEDO, OHIO 43659 a p w LENCP -N1jii1SO RC4D %AlIO O INLEN CP• 164— av l3 Rb 4155-16-H N TT-P E210-0 90 88-09'108 362200.99-19001 .21 .00-V C-2O-00-W E-50 -00-W Ees 30 3 FR TO PRICE SHEET/EII/PHa '�y•/ T�� 510-03226-se-4--1112 - 5r ,EXXON CO U.S.A. PE2 .P10 ' ,C/0 F, R. NC 0000 UGH ` 12/10/7T �r - ORAINSOV IWTELp Ito WE 132 N•12-7 A NNI S 9 'MASS ! 0 I Og /8 N METHOD OF SHIPMENT I V_, �$ is EXXO N CO WA NY USA 00159 C/0_ E NOR. & MA 1 N T - C DELIVERY TIME E 30 8 S1 OKA M STREET T EVERETT, MASS. 02149 -C - - ° 1 56.3_;SP` 144619 . TAG FRT. PAYMENT TERMS SHIPPING TERMS OWENS-CORNING FIBERGL4S CORP. tc' NLARLS? Pes: Olf— Bc.; , 1��— 3�� G.U.N.c •;R l?1 G. _ .— _— 00 290',99 Boz 1020335 5F.Anoe..A.t;a::;a GPorg,a 303F•r, O sN / C ER — --_----- 00 290-7?G7 be,3502914 P 152-- �I 00290-7'15 Eiu919J%C.hrao. A - T0 AND TNOi . 'MPr•cos_a0i s 5e9:' 00-290773 E1o.141,K ,-CnyV 00290-771 3vz5433 Dat!aS 75264 T MS $A J 00-290-7749 1 s "nurc`5! 51a'�::': N Y.N Y 10049 ILEX f j� • 00-290-7156 ccz3-2c'.Sar��ra^:.ar_o fay„9z13.7 T TEMl PRODUCT DESCRIPTION T 1 PROD. CODE MARKET UNIT PRICE SHIPPING QUANT!?Y j AMOUNT j PKGS. BILLING U ? qp � 1 '6 O00 GAL F/G U/G T4 55473 2210 0 a S T'D TANK MODEL D-38 �^ i6 - C FTGS 245 I EPOS. 2t3949597 sa 21 000 GAL F/6 U/G 74f55461 2755 SfD TANK MODEL D•3 j !6 • C FTOS 252 EPOS. 2949607 910 01 1 (� M cm(j� �l Q IV • N T 13 i v1A 1 �9�4-�0 � �3 . � lrRA N A MUN DS EI�1 ! 5o 'I i i CHARGE MASS.SALES & USE; UX 5Z 0 •�V GALL J.J. HOGAN 617/397=5S21 Olc2d_ 46 HRS B/4 SHIPMENT ��� A TTR CH CO MMD NY EA LTH OF S S E FIRE MARSAHL APPROVAL EL 9,23 78 PR 1 i We he*by ce tify that these pads .eye produced in comphonce urith all Opplicoble requirements of seciions 6, 7 and IT of the Fair labor Stondord act, or amended, and of ie.uletions and Orders of the United Seiner Deporterent of labor issued under eection 14, Mareef. pricer charged herein do not exceed Me applicable CoMny pins established by ka. OC-43-78W-A6 INVOICE COPY OWENS-CORNING FIBERGLAS CORPORATION st • I�;Mr • INVOICE TOLEDO,OHIO 43659 z]w/ TOLENCP All O98__. r 342 00 19,=11001-21 OW-C-20-00 it E-30.00-V E-40 h. FR TO PRICE SHEET/BI/PRe �/ u AXON'-,to -U PEZ .P10 �- T Pe 14 "C BOND usR 4 112/10/77 INSOV .Mo TEL, RO vrE 112. a ; N•12-7 8 p NMI$, #LASS 0?/p �d N METHOD OF SHIPMENT �Qp ° EXXON CODANY USA 00158 " ' 'o /�� C/b ENBR. A MAINT DIIARYTIME T 30 B O1 CHA M STREET O L EVER ETT, MASS. 02149 SPLC TAG 1 56 144619 :MT."PAYMENTMS SHIPPING TERMS OWENS-CORNING FIBERGLAS CORP. (of NEAREST Post Office Box) D.U-N 5 ER 00-290-7699 Box 102035.66 Annex,Atlanta,Georgia 30366 F0111.1 1-will 00-290-7707 Box 36029M.Pittsburgh,Pennsylvania 15251 00-290-7715 Box 91930,Chicago,Illinois 60693 00-290-7723 Box 141.Kansas City.Missouri 64141 DD-290-7731 BoK6433,Dallas,Texas 75264 I M 00-290-7749 Box 8210.Church St Station.N Y..N Y 10049' DD-290-7756 Box 37267,San Francisco Card-94137 r iEM PRODUCT DESCRIPTION T PROD, CODE MARKET UNIT PRICE SHIPPING QUANTITY AMOUNT PKGS. BILLING UNIT i 14155473 22 0 i STD TANK MODEL D-38 6 C FTGS 245 /! j OS. 2939495,798 2 8 000 GAL F/6 U/G 14155491 2755 �1 Aq ot S 'D TANK MODEL D-3 as 6 r FTGS 232 POS. 294A97910911 T3 (WOO C)N A MUNDSEN � ��•� MARGE MASS.SALES & USE X 52 LL J.J. MOGAN 617/387 5 1 ga. HRS B/4 SHIPMENT ATIMCH CONMDNVEALTH OF S ?ATE / Jr.�g� Q•p r FIRE MARSAHL APPROVAL .23 5-24-78 PR II :T i 0 S F-:- R, :47. C.._N7f We 6aeby certify that Ntep pods .ere produced in oeseplienee r.NA all applicable raguireearrM of sections b,7 and 12 of the Fair Lobes Standard ad, as anwn I and of regulations and orders of the United Stores DeparMtent of Labor blued under section 14,thereof. hires charged denim & rail exceed the applicable calling prices o fablisAed by Ion. OG-43.788l" S INVOICE COPY . r TOWN OF BARNSTABLE UNDERCROUND FUEL AND CHEMICAL STORAGE SYSTEMS NAME'_ +'. 4a N\L—� ADDRESS VILLAGE LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE: OR,CHEMICAL CA (Give same information for any additional tanks on reverse side of card) DATE OF PURCHASE OF EACH: 1. 2 2. / 4-% 3. / 4. DATE OF FIRE DEPARTMENT PERMIT: TESTING CERTIFICATION SUBMITTED: q PASSED' DID NOT PASS k • August,•,l3, 1980 qM 1 0 Fr anar anks. Services Scudder Avenue 4 Hyannis Dear Sir•. _ ; The-information you returned,^to�, usindicated,thie age of- one, of ;your underground fuel tanks_ as '}tieing fifty -years,old and one. fifteen years old; You must have these tanks tested, using the .Kent-Moore Pressure •Test, by;November 20, 1980.•. Please submit- testing results and their interpretation to this 'office prior to November 20,� 1980. !n addition, this test must be -performed annually 'on 'the ,tank ` D that' is fifty years 'old and the ;results sent to,this office. Forx your convenience, .we have enclosed-a listing' of companies who perform this testing,. Your may also utiliie:any other con; cer'ris qualified to" perform 'this testing,',° ' Very truly yours, Y yf John M. Kelly E r Director, of ,Public Health VA •A � t t , ,.fit• .. g _ - fy ,. 3 J �. - .`• tie .�. � , -- , .. - F .. 1 . NAME LOCATION MASON, Frank J. Scudder Ave. Frank's 9see-,54a4ieA Services tennis $ deg- ems lO0 Scudder Ave. Hyannis, Mass. BOOK & PAGE DATE GRANTED AMOUNT STORED 39/24 May 8, 1928 37/251 . June 28 1956 add.fl. . 77/52 March 12, 1962adael. DATE PAID 1973 march 23 MAR ' 41976 FEB 7 2 1980 MAR .18 1974 MAR 2, 1 197 yAP 10 '0' M.GR 2 1gi$ THE COMMONWEALTH OF MASSACHUSETTS ORDER WETLAND PROTECTION ACT G.L. CH. 131, S. 40 TOWN DF BARNSTABLE FILE NUMBER .........SE....3s:6.S3....................... To: Name Exxon Company, USA y„ Address Beacham Street, Everett, Ma. 02149 „..................„...........'.......�'.....................„.............„. „........„......„.... Recorded Owner .........Frank Mason Scudder Ave. , Hyannis, Ma. 02601 ................„.................................... .............................. ....................................„............„...:.........................„„ PROJECT LOCATION: CERTIFIED MAIL NO. ................„....„.........„....„.„........„... „„ Address Scudder Avenue, Hyannis, Mass. .........................................................................................................................................................................................„..........„„........„.......................„......„„. TitleReference, Registry of Deeds; Book ................................................................................. Page ................................................... Certificate (if registered) ................................................................................................................... and as shown on Town of 289 46 BarnstableAssessors Map #............................................................. Lot #................................................. REGARDING: Notice of Intent dated ......1/23/81....................... Date of Hearing ........„2�5�8 :..................................................... Plans entitled' I.-.�k.-�1....Q&.-:1..5.... 2� .7.1$ .Fiberglass Underground „Storage „Tanks Tank & Installation Specifications"; Test Boring Log, dated 12/22/80; .....................................................................................................................................................................................................................„...........„.„ Sketch Plan "Frank Mason's Exxon, Scudder Rd. , Hyannis" dated 1/23/81 Plansdated ....................................................................................... Stamped and signed by unstamped and unsigned „ ................. . ...,................................................................... .............................................................................................................................................................................................„.....„.. THIS ORDER IS ISSUED ON ........February 13, ..........................................1981....................................... Pursuant to the authority of G.L. Ch. 131, S. 40, the BARNSTABLE CONSERVATION COMMIS- SION has considered your Notice of Intent and plans submitted therewith, and has determined that the area on which the proposed work is to be done is significant to one or more of the interests described in the said Act. The BARNSTABLE CONSERVATION COMMISSION hereby orders that the following conditions are necessary to protect said interests and all work shall be performed in strict accordance with them and with the Notice of Intent and plans identified above except where such plans are modified by said conditions. CONDITIONS: L Failure to comply with all conditions stated herein, and with all related statutes and other regula- tory measures, shall be deemed cause to revoke or modify this Order. 2. This Order does not grant any property rights or any exclusive privileges; it does not authorize any injury to private property or invasion of private rights. 3. This Order does not relieve the permittee or any other person of the necessity of complying with all other applicable federal, state, or local statutes, ordinances, by-laws and/or regulations. 4. The work authorized hereunder shall be completed within one (1) year from the date of this Order unless it is for a maintenance dredging project subject to Section 5 (9). The Order may be extended by the issuing authority for one or more additional one-year periods upon application to the said issuing authority at least thirty (30) days prior to the expiration date of the Order or r its extension. CONDITIONS CONTINUED FILE NUMBER $E 3-683 5. No work may be commenced until all appeal periods have elapsed from the Order of the Conservation Commission or from a final Order by the Department of Environmental Quality Engineering. 6. A sign shall be displayed at the site not less than two square feet or more than three square feet bearing the words: "MASSACHUSETTS DEPARTMENT OF ENVIRONMENTAL QUALITY ENGINEERING, Number SE 3-683", and a .copy of this Order shall be available at the site. 7. No work shall be undertaken until the Final Order, with respect to the proposed project, has been recorded in the Registry of Deeds for the District in which the land is located within the chain of title of the affected property. The Document number indicating such recording shall be submitted on the form at the end of this order to the issuer of this Order prior to commencement of work. . 8. Where the Department of Environmental Quality Engineering is requested to make a determination and to issue a superseding Order, the Conservation Commission shall be a party to all agency proceedings and hearings before the Department. 9. Prior to any work being done at the site, all legal advertising bills, incurred by the petitioner in relation to the Wetlands Hearing held on this project shall be paid. 10. Notice shall be given to the Barnstable Conservation Commission no more than two weeks nor less than two days prior to the commencement of the work. 11. The existing catch basin at the site shall be equipped with an MDC-type trap and oil adsorbants, and shall be cleaned regularly by the owner/operator or his successor in title. 12. Prior to any construction at the site the petitioner shall provide the Conservation Commission with a maintenance schedule for cleaning the catch basin, which shall include disposal site for sediment and oil-contaminated materials. 13. Contaminated soil encountered during construction shall be removed from the site, and replaced with suitable material. (total capacity 10. 0.00 gal.) 14. Two %Z )gmb�X fiberglass tanks/shall be installed as per the herein-referenced plans and specifications for underground tank installation, with pea stone as bedding material. 15. The tanks shall be pressure tested immediately following installation. 16. No fewer than three (3) monitor wells, consisting of a 2" x 2" screen over a 2" pipe capped at the surface of the asphalt, shall be installed to below ground water elevation in the vicinity of the new storage tanks. The location of the wells shall be determined by the project engineer, The .wells shall be tested periodically, at least three times yearly, 'and the results made available to the Board of Health and the Conservation Commission. 17. Immediately following completion, the project shall be certified to be as per these conditions and plans, in writing, to the Barnstable Conservation Commission by the project Engineer who shall be registered in the state of Mass. Upon certification by the project Engineer, the applicant shall forthwith request, in writing, that a Certificate of Compliance be issued stating that the work has been satisfactorily completed. 18. Copies of all other permits obtained in connection with this project shall be delivered to the Barnstable Conservation Commission as they become available. 19. Work shall also conform to Order issued under Article XXVIII of the Town of Barnstable By-Laws. I • J 1 -M SE 3-683 CONDITIONS CONTINUED FILE NUMBER ............................................_ The applicant, any person aggreived by this Order, any owner of land abutting the land upon which the proposed work is to be done, or any ten residents of the city of town in which the land is located, are hereby notified of their right to appeal this Order to the Department of Environmental Quality Engineering, provided the request is made in writing and by certified mail to the Depart- ment of Environmental Quality Engineering witihin ten (10) days from the issuance of this Order. ISSUED BY: ...... . . ............ ....... ............ .._ ...... ............................... ...................._... - ....... .. ............-.---____....- ..............._..........................................._................_...................._........................ _ .� O � - On this .................../.... ............................ day of ......._....-.-........................... 19..C)-PZ.., before me personally appeared �...............'' `2. �....... �� ... ........ t,o me known to be the person described in and who executed the foregoing instrument acknowledged that he executed the same as his free act and deed. N ry Public 11Zy Commission Expires ----------------------------------------------------------------------------------------------------------------------------------------------- Detach on Dotted Line and Submit to the Issuer of this Order Prior to Commencement of Work. To Barnstable Conservation Commission (Issuing Authority) PLEASE BE ADVISED THAT THE ORDER OF CONDITIONS FOR THE PROJECT AT .............. ........................................._................................... FILE NUMBER ..............................-..........-, HAS BEEN RECORDED AT THE REGISTRYOF ..............................................................-..._......................I ON (DATE) ........................................................................_....._.................._. If recorded land, the instrument number which identifies this transaction is ...............................-.........-................ _. If registered land, the document number which identifies this transaction is .........................................................._. Signed ...........................................................................................-..................._. Applicant THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) .I A- DATA me Name of SuD01br,Ofvner of Deafer Address No.and Street(a) Ctry State Data of Test r 15. TANK TO TEST 16. CAPACITY From • Station Chart . QC1 Q By most accurate 3(11,,1 ( Tank Manufacturer's Chart t NomineI Capedty capacity chart available •• Identity by position GGallons - Gallons Company Engineering Data "41 �1, Is there doubt as to True Capacity? Charts supplied w'A TSTT ®p� Brand and. .ode Sea Savlon"DETERMINING TANK CAPACITY" Other V as E� e ® 17. FILL-UP% FOR TEST "� « Stick readings to X in. Gallons Total In Tank „r Stick Water Bottom r before Fill-up ��%f Inventory ® to X In. Gallons Fill up. STICK BEFORE AND AFTER EACH COMPARTMENT DROP OR EACH METERED DELIVERY QUANTITY - fT i{' ffj�ff Product In full tank(up to fill pipe) ^ ` t ( Tank Diameteres = 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK r N, > See manual sections applicable.Check below and record procedure In tog(26). " 4 n A R - . Water In tank High water table In tank excavation. ' Une(s)being tested Vapor recovery systems Stage I Stage II p e 0 Z 19. TANK MEASUREMENTS FOR 1 , 21. TEMPERATURE/VOLUME FACTOR (a)TO TEST THIS TANK ;� y,.,. r,.. .TSTT ASSEMBLY. Inventory Top_'F Center_'F Bottom 'F On Truck__'F Expected Change b, ti Bottom of tank to Grade.................. D 22. Thermal-Sensor reading after circulation n Assemble tubing+30'for 4'L..:. . .... digits Nearest .,,+24-for 3'L... �1 23. Digits per•F in range of expected change Z Total tubing to assemble (Approximate)•. .. digits �.P 24 X el l• �. 1 7�L- Ions �� � s�1 � � _ .20• total'quantity coefficient of expansion for volume change in this tank Q ^rrd�•m's'.T,mw+�,•''*w full tank(17) for Involved product per'F Tank top to grade*............................. Z Extend hose on Test Elbow 6-or rnoro - 25. �= / + '� e - ' This is m below tank top........ .. .. volume change per'F(24) Digsta per'F in test a Volume change per digit. test N ..... . •.. .. o _ ,_ ,•,'_ Range(25) Compute to 3 decimal places, factor(a) If Fill pipe extends above grade,use top of fill, 26. 30. HYDROSTATIC 131. VOLUME MEASUREMENTS 34. TEMPERATURE COMPENSATION 38.NET VOLUME 39.ACCUMULaTED L00 OF TEST PROCEDURES PRESSURE CHANGES CONTROL (Y) RECORD TO .001 GAL. USE FACTOR (a) ........ EACH READING CHANGE 27• 28. 29. Standpipe Level 32.Record details of sett Product 9 P Read. 33. 35. 36. 37. Tolnpersture. At High Level record Oats a Replaced Product in U Graduate Inches Change Computation Adjustment tool and ddtacnon M (-) Thermal Higher♦ (c) ■ la) - Volume Minus Time and running test.(Use full Ing Beginning Level to Snear Lower- Espeneion ♦ Expansion(+)or At law level compute (24 hr.) length of line if needed.) t:.,., No, of which Before After Product Reading (c) Contraction— Contraction(—) change par hour Reading Restored Reading Reading Recovered(+) I (w)—It) (NFPA criteria) �!c�nrt�!�ra�_�cr�alc���!�i � ale®I���I��r�I � ®I�®I�C�I_ii�l�l � ®lO®I���I���I�I � ®lOsl��_I���I®I ® ®I®®I®®®I���I®I � ®I�®I®�el���l�l � ®I��I����o�i�l ®I�e������I�i � ®I��I��_I���I�I � 01�����I� �Irll ® �I�SI���i�� ®I �/ ���� �•� "mod r li.ailiL' MI - -i•.....•..��.��r-.. .N T M A ^�s�. al'GS •1 r . .r i•.:.+ "''fit"~` L"Y'`T� r Elf Name of Supdier•Owner or Dealer Address No.and S1ree1(s). City Stele Oale of Test 15. TANK TO TEST 16. CAPACITY From Station Chart C �1 �y By most accurate 2 a n r s`/ D� �I J, ��y` �C�� Nominal Capacity , C�`'�'' y chart available�l L' n Tank Manufacturer's Chart capacit Identity by position Gsllona Gellona n Company Engineering Data q / l�l�F j��� �1 Is there doubt as to True Capacil0 Charts supplied with TSTT O m 5 / Stand and Grade See Section"DETERMINING TANK CAPACITY" Other 0 rrt r— a 2 0 17. FILL-UP FOR TEST sack readings to X in. Gallons Total in Tank cn � Stick Water Bottom before Fill-up Inventory Q to%in. Gallons ` Z Fill up. STICK BEFORE AND AFTER EACH COMPARTMENT DROP -" OR EACH METERED DELIVERY OUANTITY Oi C m Product in full tank(up to fill pipe) Tank Diameter = CD, 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK DSee manual sections applicable.Check below and record procedure iq log(26). CD X Water in tank High water table in tank excavation L1ne(s)being tested Vapor recovery systems Stage I Stage It 1p O N Z O> � m 19. TANK MEASUREMENTS FOR 21. TEMPERATURENOLUME FACTOR (a) TO TEST THIS TANK" TSTT ASSEMBLY Inventoryp-� To F Center_'F Bottom_'F On Truck_'F Expected Change = . f_ Bottom of tank to Grade'....................... r_ 22. Thermal•Sensof reading alter circulation .F D "� � � Nearest - n Assemble tubing + 30'for 4'L................. digits 7< +24•for 3'L................. 23. Digits per'F in range of expected change Z Op `' 3 Total tubing to assemble (Approximate) ........ 24. 3e?I(.? x !) . r+ y1• `/ .(L gallons �r C,l� >_ �'' -' gall (� total quantity coefficient of expansion for volume change in this tank = 20. full tank(17) for involved product per F G) :Tank top to grade*............................. g / ( ) / L /� . �,L/(� '� `Ct T o � L" 3 ,10 _ This is Extend hose on Test Elbow 6-or more 25. '' } p volume change per'F 24 Digits per 'F in test Volume change per digit• fast tv e to 3 decimal places. factor lal below lank top................................ Range(25) Comput N O t I 'If Fill pipe extends above grade,use top of fill. . n 26. 30. HYDROSTATIC 31. 34. 38.NET VOLUME 39. VOLUME MEASUREMENTS TEMPERATURE COMPENSATION ACCUMULATED LOG OF TEST PROCEDURES PRESSURE CHANGES k tv 1 y Y �' CONTROL (V) RECORD TO .001 GAL. USE FACTOR (a);<,. /"t EACH READING CHANGE 27. 28. 29. Standpipe Level 32. Product in 33. 35. 36. 37. C� Temperature At High Level record Product p I total and deflection in Inches Change Computation Adjustment Date Record details of setting up Read, Graduate Replaced(—) Thermal Higher+ (c) r la)- Volume-Minus Time and running test.(Use full Mg Beginning Level to Sensor Lower— Eepension+ Espaeeion(4 or At low level compote (24 hr.) length of line if needed.) No. of which Before After Product Reading (c) Contraction — Contraction(—) change per how Reeding Restored Reading Reading Recovered(+) v ( ):(t) (HFPA uiteria) el; tks /- 3�- ,�'r� �• .L Je0o 3,q5 -E 1 e T ',r6 -t- F k::• (2-L. I `5 `I Z I ,o G Ci'J 1.9 3 `�(r-•Cl �� Z Cs C-) e 0�., �' (c. �J f- > /�5 t) Z 5 Z 35-L r. l5 I• t' To ��C�L"C' � 3 L �'G% �e �:� �G' _l `{ 1,2V n },. .e, e o `- e. L., y 3 <1 c is y5 01-eq 16v v L L 5 z C' e'�'Z 1,�, net:'e L 7 3 z- y Z 1 r- 7. CG f' �" 2- r r? el ,���'L'�-- �%yi y Z el C, ) 4 1 _r Le L)kL � `�yz ) 7 E>,Cc �v - /.SJ � V 31 �-T o ,E�� t���Lit 'z `i Z U 7 'i S . / Z r o k-.2-C' G. F.e�;: k+e\\ eL 3 _� '� i 5 •a- j ,- ► C, I G Z- Z� �y_ � l� 3 �C�. .��r'c� �i cv0 __ . --•-- 14. D 6 v TP- T(oi� Sc�o Supplier,Owner or ����. •',per oe.fer Address j jy No,and Streel(s) 15. TANK TO TEST cltr CAPACITY stele � oats of T.R Identir p k Nontlnal Capacity �'•�� From ( ► Y Pofipon Jc.d?Q 8Y most accurate ❑ C_ � I Q��O E? Galons eepaeit �� Station Chart m Y chart available-2c ❑ Is there doubt as to True Capacity? ❑ Tank Manufacturer's Chart Q 8r.nd.nd Grad. GZon_�•�' r '� See Section"DETERMINING - ❑ Company Engineering Cj TANK CAPACITY" 0 Data 0 1 7' FILL-UP FOR TEST ❑ Charts supplied with 75TT ❑ Other r L7 Slick Water 80nom Q before Fill-up Slick readings Z to UPin. ! to ;i in. Gallons Gallons Total in Tank Fill up. STICK BEfORE AND AFTER Inventory c a OMP OR EACH METERED DELIVERY OVANT TYARTMENT DROP m O 8C Product in full tank(up to fill'plpe ) ___7 i 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST TI Tank Diameter. _ �(J�� iIS TANK -- D See manusl sections applicable. — X PP Check below end record Procedure In to � 0(2G). ❑ Water in lank 2 ❑ High water table In tank excavation to ❑ Une(s)being tested ~ ❑ Vapor recovery systems rn 19. TANK MEASUREMENTS FOR Stage l ❑ Stage►1 © TSTT'ASSEM©LY ! 21. TEMPERATURE/VOLUME FACTOR (a) TO TEST THIS TANK L 80nom of tank to Grade'..................... Inventory Top X Assemble tubing • 30'for 4' 'F Center •F Bottom_ N L...... 22. 'F On Truck •p 0 "" '• - Thermal•Sonsor reading after circulation Expected Change • 24'for 3'L........ <-r' C`— Total tubing to e,semtrle (Approximole ••••••••• dlults •F •••• ... 23' Digits per 'F in range of expected change Nearest 2o. dlply �` Tank toP 10 geode•....... 24. 3 O�Q �t .\! �] -y 01111quantity x r 0006- A iJ 3 6 ;. Extend hose on Test El full tank(1 7) e p bow G'or more coefficient of expansion for below lank top ,, . lorinvolved product veto^re change in this tank gallons 25. // per •F 'If Fill volume elrenge Per 'F(24) o �;��, Dip.extends above grade,use IOP of lilt. Digits per 'F In test !'j Range(25) Volume change per digit. This is Compute 10 3 decimal places. test Form 77-1000 Data Chart for Tank System Tightness Tester IJ 21103-3G4) USING KLNT4000RE C011P011ATION TANK TIGHTNESS TESTEI MODEL 1000 Copyright t:)Kant.Moore Corporation 1977 E PLEASE PRINT 1. OWNER Property �/)iL,� /�)/CSC/�/ cc.c �J/�c=�C J�J�' ��/lilrti! ��//�,;, 77.5-/L G.S� Name Address We er...ntativ Tel.onone Tank(s) ❑ ! r �; Li 1 �:�Z v 6}rU►L 1 �' _a Name Address R.Dre+enUhre TU.onone 2. OPERATOR Name Addle%$ T.I.onor+e 3. REASON FOR TEST CIO to a (Explain Fully) 4. WHO REOUESTED ZCC`C 0 T"i:''� ' 1,3013 TEST AND WHEN Name Tide pc, i� j o0 0 Comoany or Affiliation oele Address T.I.onons 5. WHO IS PAYING FOR THIS TEST? Comoany.Agency or Ina—dual Pelson Authoreting Title T.I.onone • Billing Address City State DO Atlentron oft Order No. Other Instructions ICentify by Dfrect+or. Capacity Grand/Suoolier Grade I Approx.Age r Steel/Fiberglass 6. TANK(S) INVOLVED t 0 e ( 3 ro,C) I CX; - 1 0 n%I<'N D e �' I 3e-C-) v LAA0ru l uA; le►?D'P i I I I I Location . Cover Fills i 'Dents Siphones Pumps 1. INSTALLATION ConuCl1 ea 1 e y rf i s�r i N v 016 DATA North inside driveway. Concrete.Black Too. Sits.Tilatiu male.otoo I I _ I Suction.llemote• . Rear of station.eta Earth.etc. 'uoefi Remote Fi1N Site.'•tamfolded Which ranks T btiU J known a. UNDERGROUND Is the water over trio tank? WPTER Depth to the Water table yes 1L_'D1_N0 Tanks to be filled hr. Date At-.anged by 9. FILL-UP Name Taupnone ARRANGEMENTS Extra product to"too off-fir d run ZS7T. How and wf o to provide? Consider NO Lead. Terminal or other contact for notice or rndu,,v Comoany Name T.l.onone 10. CONTRACTOR. MECHANICS. any diner contractor involved 11. OTHER cif�Tr�t�! ct� �Tf� .C�Z-46 241/)i,'1 INFORMATION OR REMARKS 27 7f.7/L Additional information on any items above.011iciais or others to be jdvised when testing is In progress or completed.Visitors or observers present during lest etc. Tests were made on the above tank systc.-s in accordance with test procedures prescribed for Kant-Moore Tank Systems T-ghtness Tester Model 12. TEST RESULTS 1000 as deear:ed on attached test charts«ilh results as follows: I r Tank Identif.cat,on I T.oht I Leakage Indicated I Date Tested This is to certdy that these lank systems were tested on the cate(s)shown.Those indicated as-Tight"meet the criteria esubt.shed by tho Nat-orial. 13. CER IFIC TIDN Fire Protection As,ocut.on Pamph:et 29. Date . ..r e Cdnna<tor of Comoany Be S•g^n.n •S.1,81 No.of Testes Address _ e :� 11 SG CCU L)02 26. _ 30. HTDROSTATIC 31. VOLUME MEASUREM (a)ENTS 34. TEMPERATURE COMPENSATION 38.NET VOLUME 39.ACCUMULATED 1 `LILOG OF TEST PROCEDURES PRESSURE (V) RECORO TO .001 GAL. USE FACTOR .... CHANGES C13' �/� CONTROL I EACH READING CHANGE 27. 28. 29. Standpipe towel 32. Product in 33. 35. 36. 37. Temperature At Highlo.el cecot.- In Inches product Change Computation Adjustment I total and dellactron Date Record details of settinguetmenl U D Road. Graduate Replaced(—) thermal Iligher♦ (c) ■ (a) . Volume Minot Time and running test. (Use full i^0 Beginning Level to Senior tower— Eepanaion ♦ Eapantion(.)or -Alto.v,level compute (24 hr.) length of line if needed.) Ne. of which Beloit After Product Reading (c) Contraction— Contraction(—) change pat how Reading Restored Reading Reading B.C.vored(e) r (v)—(1) (NEPA ctiletia) 12' (r> >% �Z' ��1 l e�' ji rf'e �� + -�D �!�/1rr'/r =/'�i �% '� '��/Ji 0["z� n , <,, c ,-7i` L,loc:�7L yz i�F ��'t�•E'L'�L i y .�,� ,o ,�� 1 �� ;-z .a�/� 30 {'. C 2e' �C>�t �' C, Z e : ,C1C7 e • L (G•L / ,�)(�(1 Li • 7. �� r / :.� '� sL• Y, Z' L.•eL. 5Ll 2- u•U .G:15 .?� z fit - 7 e, ^LJ ?11,G C.,2-lam 7 `�/ _ 2. n n 3 ! * 3 � l` (I G of ^,` y 4 L'ti r l et rJ !E 4 2 1, �:c' C_ 3`/Yu tj Z ) Z Z C- (%n • i�l �.3 -I -► r c z . 2 c rF, , '—� 1/—T• �/ _� j �:-1�1j ��E.� l••��• � L Z- '� /L_ I L / rL� s^ ''� ! ., (-r •� 2- �:`! L� ,ZUI C-' e-67 �Q�oFTHE To�o TOWN OF BARNSTABLE OFFICE OF i BARNSTABL Z MU& BOARD OF HEALTH 1639. `�� 367 MAIN STREET �a MAY k' H YAN N IS,-M ASS..-D26o4---. December 2 , 1J980 Manager Frank's Services Scudder Avenue Hyannis, Ma. Dear Sir: On August 14, 1980, you were notified to have your under- ground fuel storage tanks tested,using the Kent-Moore Pressure Test, by November 20, 1980. To date, we have not received the results of any testing performed. If this testing is not done immediately, the Town Clerk's office will be notified by this office to withhold your registration for storage of fuel underground. In addition; you are subject to a fine of twenty ('20) dollars for each, days failure to comply with a. 'Board of Health order. Very truly-.yours, John M. Kelly Director of Public Health JMK/mm TOWN OF BARNSTABLE UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS NAME EXXON STATION #8399 ADDRESS Scudder Avenue VILLAGE HYANNIS LOCATION OF TANKS: CA�Aa�ITY: TYPE OF FUEL AGE: TYPE: OR CHEMICAL Service Station Yard 2000 Gasoline 13 Steel 3000 " 13 if � 4000 " 18 (Give same information for any additional tanks on reverse side of card) DATE OF PURCHASE OF EACH: 1. 1967 2. 1967 3. 1962 4. DATE OF FIRE DEPARTMENT PERMIT: TESTING CERTIFICATION SUBMITTED: PASSED — DID NOT PASS r oFTHETo TOWN OF BARNSTABLE � w OFFICE OF i HAHHSZOLE, i y MASIL BOARD OF HEALTH 1639. 367 MAIN STREET A�0 MA'S ` HYANNIS, MASS. 02601 August 11, 1980 Manager Exxon Station 8399 Scudder Avenue Hyannis, Ma. Dear Sir: The information you returned to us indicated the age of one of your underground fuel tanks as being eighteen years old. You must have this tank tested using the Kent-Moore Pressure Test by November 20, 1980. Please submit testing results and their interpretation to this office prior to November 20, 1980. For your convenience, we have enclosed a listing of companies who perform this testing. You may also utilize any other con- J cerns qualified to perform this testing. Very truly yours, jhn M. Kelly rector of Pub is Health JMK/mm encl. 1 14. oe ✓ � HT(oit- S` DNerve of Snootier,Owner or Oeeter U Address No.and Streets) - 15. TANK TO TEST CCIL�r � city 16, CAPACITY state Date of Test � v � rdenUl p kL Nominal Capacity From s Y Position y ��p�j By most accurate ❑ Chi k.'� Q 1 capacit �c'� Station Chart Q c) `--ITD �� Cations - ychartavailable ❑ Q Is there doubt as to True Capacity Tank Manufacturer's Chart Brand end Grade Callon—s�� ❑ r 3 See Section"DETERMINING TANK CAPACITY" Company Engineering�Jg Data _< 0 17• FILL-UP FOR TEST ❑ Charts supplied with TSTT .4 ❑ Other (n Stick Water Bottom 1 Q before Fill.up Stick readings Z to X in. _ to Sin. Gallons Total in Tank Gallons Fill up. STICK BEFORE AND AFTER Inventory I OR EACII METERED DELIVERY QUANTITY RTMENT DROP d m C O 0 } : Product in full tank(up to fill piPq m C i 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK Tank Diameter �_� c1 �� vn See manual sections applicable•Check below and record procedure in to g(26). ❑ Water in tank ❑ Nigh water table in tank excavation _ 2 y ❑ Lines)being tested ❑ Vapor recove recovery Systems Stage I 19. TANK-'MEASUREMENTS FOR ❑ stage II TSTT ASSEMBLY DBottom of tank to Crade'., ° ° 21• TEMPERATURE/VOLUME FACTOR (a) TO TEST TFIIS TANK r n _ Inventory Top_._ 'F I � Assemble tubing • 30'for 4' Center�_ •F Bottom�_N L 22. �F On Truck ' O .•...""""' - - Thermal•Sonsor reading after circulation -".,I C� •F ExPoefed Change I Z • 2d'for 3'L................. 3 Total tubing 10 assemble (AnproximoteJ 23, digi 'F Digits change Nearest ` 2 ••••••• g� per 'F in range of expected than ! ' 20. ��C dlerr. Tank lop to grade' 14....... r nr0/S Extend hose on Test Elbow B' total quantity x v d lull lank(17) Coefficient of expansion for j or more for involved r VOIUnIe Chan gallons Oto IU below tank lop................ 25, / .� Product ge in this tank Ilty ................ --/ ' •��' � —� Per •F I' Vol than t ) C 'If Fill Pipe extends above grade•use toill. ge per'F(24) P of Digits per 'F in test - Range(25) Volume change per digit. This is \ Compute to 3 decimal places. test i . (actor(a) �,;. r t Form 77.1000 Data Chart for Tank System Tightness Tester (121103.3G4) USING KENT-MOORE C011130I1ATION TANK TIGHTNESS TESTER MODEL 1000 k'' Copyright 0 Kant-Moore Corporation 1977 PLEASE PRINT a� 1. OWNER Progeny ❑ �e,� 17wSCiL �e.c�/�/��=�C l�J�' //>il rei f /)//A< 2 7. ;-/L-65 NDme AddreH Re Dre+e ntativ Teieonone Tank(3) ❑ C C r-�' Li ) l /Z E L}rU l l ( �' Name Address Aftore+entative Teteonon• 2. OPERATOR l `Lk W)►�`�L'�� Name Address Teieonon• 3. REASON FOR TEST 1U ro % t (Explain Fully) 4, WHO REQUESTED 2LC6 O 10/`3c- TEST AND WHEN Name Title to Comoeny or Affiliation date Address t•I•oh One 5. WHO IS PAYING FOR THIS TEST? Gomoanv.Agency o ^ r Inoiv,dual Person Autnoriting Title Tei.ono • Billing Address City Stan Zio Attention or: Order No. other Instructions Identify by OirectioP Capacityn Bnd/Supplier Grade Approx.Age Steel/Fiberglass % 6. TANK(S) INVOLVED V. 0et�`�� I ifflo 0 I CxxcrL 34%n0 I LAA0rU I c)r,; lie►9Doo I I i Location Cover Fills Vents ! Siphones Pumps 00 121S GpAXIze1e' ?� I 1. INSTALLATION ��g 4 I a�i N U 6Y6 DATA Nonh inside drivewer, Concrete,Black Too. Sits.Titefill make.0100 Suction,Aernote, Rear of station.etc. Ea,tn,etc. 'noes.Remote Fills Site.Mandolded I which tanks? I Make if known 8. UNDERGROUND If the water over the tank? �l �No WPTER Depth to the water table Yes ' - 1 Tanks to be filled hr. Date Arranged by Q. FILL-UP Nam* Teleonone ARRANGEMENTS Extra product to-top off•,,vd run-TSTT. How and w o to provide? Consider NO Lead. Terminal or other contact for notice or inquiry Name TebdnOM Comoan• 10. CONTRACTOR, MECHANICS. any other contractor i involved 1 11, OTHER c� a?C- w 1T� �C-1 l-CIL 1?_-4Gi2i4,191 -•!- �C�� C--C�C/��Z Twit I INFORMATION -,Me C, i OR REMARKS (- .�ccc(/k ctrl f7/,!)�th71c3 7f3ri Additional information on any items above.Officials or others to be advised when testing is in progress or completed.Visitors or observers present during test etc. , Tests were made on the above tank systemi ,n accordance with test procedures prescribed for Kent-Moore Tank Systems rightness Tester Model 12. TEST RESULTS 1000 as detailed on attached test charts with results as follows: Tank Identification I Tight I Leakage Indicated I Date Tested •91 L00 1 i This is to certify that these tank systems were tested on the date(s)shown.Those indicated as"Tight-meet the criteria established by the National 13. CER IFIC TIONj� Fire Protection Association Pa mphlet 29. S�C' Oat• ` 1iV `4- i — r osiwgContractororCamoanr. BY: S,gnatwa, ev Saul No.of Tester Tecnn,c,anf Adores& 144 30. HYDROSTATIC 31. VOLUME MEASUREMENTS 34' TEMPERATURE COMPENSATION 38•NET VOLUME 39• C ACCUMULATED CHANGES LOG OF TEST PROCEDURES PRESSURE (V) RECORD TO .001 GAL. USE FACTOR (a) CHANGE er:f' I 'l,IC/� -f'� CONTROL "r�" Ci EACH READING 27. + 28. 29. Standpipe level 32. 33. 35. 36. 37. Temperature At High"Level rera,: Product in Product Date Record details of setting up Read. t"I"`h°` Graduate Replaced(—) Change Computation Adjustment total and defAction Thermal Higher+ (c) ■ (a) a Volume Minus Time and running test. (Use full mg Beginning towel to Sensor Lower— Expansion + Expansion(+)or At low level compute (24 hr.) length of line if needed.) He. of which reform After Product Reading (c) Contraction— Contraction(—) change per hour Reading Restored Reading Reading Recovered(+) Y^ (v)—(I) (NFPA criteria) iZ ,::1 ji L'C�C.. r `f 2-- l 0k111 42 01)('/1 C;C� ° • ,L�`= l�,Z 'f,' (1 7.21 :'q I c L124 E.eo �- 3 `�/Z `/� Z y z U 2 4-Z i �• Z�. i s L;t'L Sf — cl� 15 •?� L fit c"W(4, ::06 67 �?•3�;r ( kw�1 I ti; �� ? I��� L 5I� 2 rr� P 3 i 3C 62 V rd ( eo i u i �, - L 3y u Z c � C� 3� �; •r i 0' 0 )14 ) Z Z [.J G L:ic'F: , •crc. l/' ^; 14. E/31s �rXo�c, $'� 5,�'��ov�n �f%G>>"• ' ��vtii S ��'s, �� �' 3 Name of Supnrier,0-nef or Dealer Address No.and Stteel(s) City State Date of Test - 16. CAPACITY From 15. TANK TO TEST � Station Chart `/7 s ,� By most accurate 2, r� (] Tank Manufacturer's Chart t S Doc- fr ,J 7 1 C Nominal Capacity capacity chart available =' 1('—'''� Identity by position Gallons Gallons L I Company Engineering Data Is them doubt as to True CapacityT Ej Charts supplied with TSTT t J Q f9 eland end Grade Soo Section"DETERMINING TANK CAPACITY" Other 0 r t 0 0 17. FILL-UP FOR TEST slick reading: to X in. Gallons Total in Tank <_ O CD Stick Water Bottom before Fill-up _ Inventory Q to:L in. Gnlions - Z Fill up. STICK BEFORE AND AFTER EACH COMPARTMENT DROP OR EACH METERED DELIVERY QUANTITY // CD iD Product in full lank(up to fill pipe) Tank Diameter (r-r C _ v (n 5 O i 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK DSee manual sections applicable.Check below and record procedure ir)log (26). V 0 01 El(/1 Water in lank High water table in tank excavation Line(s)being tested Vapor recovery systems Stage 1 Stage 11 tv O • cn Z O) N M 19. TANK MEASUREMENTS FOR 21. TEMPERATURENOLUME FACTOR (a) TO TEST THIS TANK TSTT ASSEMBLY Inventory Top__'F Center_'F Bottom_'F On Truck_'F Expected Change =I= Bottom of tank to Grade'....................... - c 22. Thermal-Sensor reading after circulation .F D - n Assemble tubing + 30'for 4'L........ _ digits Nearest 0 + 24'for 3'L................. Digits per'F in range of expected change z - digits Total tubing to assemble (Approximate) ........ 24 3010 x (t C, /�J — �-! /C- n ' `' � G' r gallons _ S 20. total quantity eoerriciew of expansion for volume change in this tank lull lank(17) for involved product per'F / rTank top to grade'............................. r♦1 Gg Z Extend hose on Test Elbow G'or more 25, •� ' " ' This is o volume ertan a per 'F(24) Digits per 'F in test Volume change per digit. fast to below tank top................................ - Rango(25) Compute to 3 decimal places.to (a) N O If Fill pipe extends above grade.,_yse top of fill. 0D C'IZ L ELT JZ-' S �n �-SS 26. 30. HYDROSTATIC 3). VOLUME MEASUREMENTS 34. TEMPERATURE COMPENSATION 38.NET VOLUME 39• ACCUMULATED LOG OF TEST PROCEDURES PRESSURE -V F? r /7 CONTROL (V) RECORD 10 .001 GAL, USE FACTOR (e) .. EACHCHANGES Cam/ READING CHANGE •�> 27. 28. 29. Standpipe Level 32. Product 33. 35. 36. 37. Temperature At High level record in Inches Product In Chan a Com uution Adjustment Date Record details of setting up Read. Graduate Replaced(—) Thermal Higher e D Volume foul and deflectiondeflectionTime and running test. (Use full Ing B o (cl • 10 - ume Minus Beginning Leval le Sensor Lower — Expansion ♦ Expansion(+)or At low level compuU t (24 hr.) length of line if needed.) No. of which Before Alter Product Reading (c) Contraction — eontractffin(—) change per hour Reading Restored Reading Reading Recovered(e) (v) — (t) (NFPA criteria) j- /:7 T/Cn- , C. � I r --C �7{- 1ti"�?�' Z ;�t 5 �� Z �; c� Z� i:1- aD ', ._ �.� r 155 t' 235 l Z 3Sc (j e To � `�c,�:L" C- 3 �� 2- C'Cj (:� `'�i� � �' �" � •114f D 1"nee",1 �L. �• L tiZ 1 r- ,� �; �.k 4- n23 'l5 1 P� .r--c�'�c- /\C,L:'e L 7 3 7- y Z j �l' � �' _� (� j �� � � Z , (..� , 2 t �.IZC> eo �- . �.�llrl�l �Y2 y Z i c ' c �� ZZ V, � l� 3 � 3 .� 5 ?4 ; f THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) IM A- I F DATA 14. 1 C)(3 C ` Name of Supplier.Owner or Dealer Address No.and Stfeet(s) City State Date'of Test • 15. TANK TO TEST 16. CAPACITY From . _ (� ❑ Station Chan ' 0 By most accurate a1 ( ❑ Tank Manufacturer's Chen • � 'Nominal Cepedty capacity chart available , Identity by position Gallons callons Company Engineering Data Is them doubt as to True Capacity? ❑ ❑ Charts supplied with TSTT OIf erend and Grade See Section"DETERMINING TANK CAPACITY" Other FILL-UP FOR TEST "" Stick readings to%in. Gallons Total in Tank Stick Water Bottom f/ _ before Fill-up w`% f Inventory ® to%in. Gallons v Fill up. STICK BEFORE AND AFTER EACH COMPARTMENT DROP OR EACH METERED DELIVERY QUANTITY Product in full tank(up to fill pipe) j Tank Diameter CD, 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK nSee manual sections applicable.Check below and record procedure in log(26). A A ` ❑ Water in tank ❑ High water table In tank excavation. ' ❑ Une(s)being tested ❑ Vapor recovery systems ❑ Stage t Stage II t� Z ITI 19. TANK MEASUREMENTS FOR `},t 21. TEMPERATURE/VOLUME FACTOR (a)TO TEST THIS TANK TSTT ASSEMBLY Inventory Top_'F Center_'F Bottom_'F On Truck_'F Expected Change =6 Bottom of tank to Grade'........... y - 22. Thermal-Sensor reeding after circulation r`f ? ( � `? -F - - _ _ (� Assemble tubing+30"for 4'L.... ' ":�': ..::.. digits t Nearest ,+24'for 3 L 23. Digits per'F in range of expected change ? Total tubing to assemble (Approximate)......`. digitit 24. �C`,t1 x C\='r �?• _ - I`J gallons _ �20. a•>,:•,•:;'r r. total'quantity coefficient of expansion for volume change in this tank Tank top to grade' full tank(17) for involved product per 'F Extend hose on Test Elbow 6'or more 25. ( �� h�i V'1 This to _.V. m below tank top...:.............. 1: S;: j - volume change per F(24) Digits per'F in test Volume change per digit. test •"' Range(25) Compute to 3 decimal places. factor(a) NO t t If Fill pipe extends above grade,use top of fill. 26. 30. HYDROSTATIC 131. VOLUME MEASUREMENTS 34. TEMPERATURE COMPENSATION 38.NET VOLUME 39, ACCUMULATED LOG OF TEST PROCEDURES =-. PRESSURE (V) RECORD TO .001 GAL. USE FACTOR (a) ........ CHANGES CHANGE CONTROL EACH READING 27. 28. 29. Standpipe Leval 32. productIn 33. Product 35. 36• 37, Temperature At High Level record Record details of setting U in Inches Change Computation Adjustment total and deflection Date g p Read Graduate Rsplaced(—) Thermal Higher+ (c) ■ (a) Volume Minus Time and running test.(Use full i^0 Beginning Level to Sensor Lower— Espan.ion + Espansion(+)or At low I...I c..pul. (24 hr.) length of line if needed.) t„,r No, of which Before After Product Reading (c) Contraction — Contraction(—) change per hour Reading Restored Reading Reading Recovered(+) (v)—(t), (NFPA criterie) •. 1 ,. •- 'i lull ► ! ! � � ®►®®!�sr�s���a�tea► .is yFY �.v s 5�. I. •. , - (oj�. SG 0 0 Gf2. I-���. � � rL rLr� S l SyX t o D Addeess No.and Streel(s) - City State Date or Test Name of Supolier.Owner or Defier From CCI)W111-1tr) TANK TO TEST , 16. CAPACITY 0 Station Chart C` O By most accurate ��±�n 0.Tank Manufacturer's Chart D T�j Nominal Capacity capacity chart available Gallons Gallons Company Engineering Data Identity DY Dosilion . n 1 Is there doubt as to True Capacity 7 El Ej Charts supplied with TSTT —I ►rJ CIT D See Section"DETERMINING TANK CAPACITY" Other O CDBnnd and Grade Stick readings 17. FILL-UP FOR TEST to'Ain. Gallons Total in Tank 03 < 4 -� Stick Water Bottom N CD � Inventory before Fill-uP O to Gallons 'A in. Z Fill up.. STICK BEFORE AND AFTER EACF( COMPARTMENT DROP OR EACH METERED DELIVERY QUANTITY - In�l - VProduct in full tank(up to fill Pipe) Tank Diameter O 7 18. .SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK See manual sect ons applicable.Check below and record procedure In log(26). \ v n A7 Vapor recovery systems Stage 1 Stage II (p Water in tank El High water table in tank excavation Lines)being tested Ln Z � (n m 19. TANK MEASUREMENTS FOR 21. TEMPERATURENOLUME FACTOR (a) TO TEST THIS TANK TSTT ASSEMBLY Inventory Top—-F Center__'F Bottom 'F On Truck_'F Expected Change Bottom of tank to Grade'.............. r C) -F D 22. The rmal-Sonsor reading after circulation �'•'• -- dtplts Nearest > Assemble tubing +30-for 4-L.............. (n ♦ 24'for 3'L................. 23. Digits per'F in range of expected change Z digit% Total tubing to assemble (Approximate)......... 24 �� x 10 oob-S o /� �� gallons total quantity eoellicient of expansion for volume change in this tank 20 _ lull tank(17) for involved product per 'F Tank top to grade'....1......................... or This is Extend hose on Test Elbow 6'or more 25. 4 Digits per'F In test Volume change per digit. test A volume change per 'F(2 ) g Com uto to 3 decimal places. factor(a) Wbelow tank top................................ Range(25 P N O O 'if Filt pipe extends above grade,ure top of fill. s Form 77-1000 Data Chart for T aillc System TiUhtness Tester u21,o3.3!3-s► -- USING KENT-MOORE CORPORATION TANK TIGHTNESS TESTER MODEL 1000 f Copyright U' Kent-Moore Corporation 1977 PLEASE PRINT; ri � • 1. OWNER Property ❑ �f iL,� ��/�SC'/i/ �C.c /J/�c �C Poe- ///1 iP; Name. Aodress Reor+s.nunv Teleo none _ . Tank(s) ❑ <t' / - , C L� 1• t,iZ E - G}IU►'l 1:- '. . i'Y)l� - -- — - - Name Address Raoresengnve TH.onone 2. OPERATOR .l rLk Yv)r�`�C,;, Name Address Tel.onone 3. REASON FOR TEST (Explain Fully) 4. WHO REQUESTED ZCCC 0 .,C- 13 o1_9 � 8' TEST AND WHEN Name Title P") Yi )000 Comoany of Affiliation Oate Address tal.onone 5. WHO IS PAYING FOR THIS TEST? Comoanv.Agency of Individual Person Authorizing Title Taleonone Billing Address - City State Do Attention ol: Order No. Other Insirti Ct.ons Identity by Directio�i Capacity. Brand/Supplier. Grade Approx.Age Steel/Fiberglass 6. TANK(S) INVOLVED kl F.i/Oc'C` I 'ro G' i CX xcrt_ I1/�(<?N O e "') I ' vn0 EAAo oev1eligDob Location . Cover Fills j Vents I Siphones Pumps 1. INSTALLATION �;�a)orJ S Gp/u C11 t'1 e' U DATA North inside driveway. Concrete.Black Too. Size.Tllefili make.Oroo I I Suction.Remote. - Rear of station.etc. Earth.etc. tunes.Remote kilts Site.Manrfolded Which tanks? Make if known 8. UNDERGROUND Is the water over the tank? WATER Depth to the water table !1 YesNo Tanks to be filled hr. Date Arranged by 9. FILL-UP Name Teleonone ARRANGEMENTS Extra product to"top off' run XSTT. How end w o to provide? Consider NO lead. Terminal or other contact for notice or inquiry Comoanv - Name Telephone 10. CONTRACTOR. MECHANICS. any other contractor involved 11. OTHER Cbisjd CC to.IT - _)C-A<CIL �CCC Ci�iz�i�1'!- iCIL L~L�C�<Z 7•/3it .f INFORMATION OR REMARKS . l- :�ccoGfkctrL �i`',I/'nh71c3 7f�it Additional information on any items above.Officials of others to be advised when testing is in progress or completed.Visitors or observers present during test etc. Tests were made on the above tank systems in accordance with test procedures prescribed for Kent-Moore Tank Systems Tightness Tester Model 1000 as detailed on attached test charts with results as follows: 12. TEST RESULTS Tank Identification Tight I Leakage Indicated I Oate Tested 0 I •( . /2 S' s' U I i ' I y� This is to certify that these tank systems were tested on the date(s)shown.Those indicated as"Tight"meet the criteria ostabtished by the National .13. CER IFIC TION Fire Protection Association fiamphlet 29. tv ���i c c/� i s ;':'" i �•'�'� 1.,�r. �t% `3-f�(�f/. l�C.�<�z_ i Oate — iuung Contncmr or CJmoanr. By: Signature P Setial No.of Tester Tecnmc,ans Adores$ �Q ,L 0e• 26. _ 30. HYDROSTATIC 31. VOLUME MEASUREMENTS 34. TEMPERATURE COMPENSATION 38•NET VOLUME 39• ACCUMULATED (Y) RECORD TO GAL. (a) CHANGES CHANGE LOG OF TEST PROCEDURES . L USE FACTOR r^.. CONTROL C' r EACH READING 27: 28. 29. sunepip+fecal 32. Product in 33' Product 35. 36. 37. Temperature At High-Leval recorb In Inches Change Computation Adjustment total and deflection Date Record delails'of selling up Read. Graduate Replaced j—) Thermal Higher a (c) • la) Volume Minus ° and running test. Use full in • Time g ( g Beginning Laval to Sensor lows"— Expansion ♦ Expansion(+)or At low level compute (24 hr.) length of line if needed.) N0 of which Before Alter Product Reading it) Contraction — Contraction(—) change per how Reading Restored Rodinp Reading Recovered(+) 11 (v)—(t) (NFPA crilaria) �ri� ,4,1 `/C'11 ��> >/ /2. i L `i� j �i �� ' -{D �/1L'r� I'!t �J r ���/� D['�� �' c�l:�Am,` r UL:c7 L r yL \i,'I,OC'"J .:?F t^ ./2Ci✓I 0 y e& 57 r �Gry /�/ L��c 3 y �,� o r`� c% i•;z/ i-Z .o/�f/ yy}�/�� r y�l/�/� 1,30 i :N Ll 2. kc 0 e(. :3 //z L/Z y r • ✓f�l � �L fr ` Z' `K L;L? - S C1t) .��I� •� !r �2 C'l�� �(:' 1G' y �: ( e i ��Z �.PVrL �� �2 , b 33 4- ( (308 e 35cq c c` ( eo i u i �,e�.-eL 3yY41 z ��� C,7 5� � 3 + i ,0• ' 1 G7 - ;^ , � �• 1 Z Z. ,.,,. v f y;) /',•3-1 �-� •�•z LJ • L cc•�J , -c�..c.<;�) =� �� Sri ,� ���_ 3 j rU � z 3�� x.•� 2-C - �l r rw�L z r c ' y� r �3 z��� .���� _ _ - ,.. ., ... r.:p.., i.S n4i'�.<,r.r�t•_.x.. .. :�`Ke-.Y,:.-a.s.;"..r: ... PUBLIC SAFETY—DIVISION OF FIRE P 1010 COMMONWEALTH AVENUE. BOSTON REVELATION . S. '�• APPLICATION FOR PERMIT (Date) To: HEAD Of FIRE DEPARTMENT �i�.A l, City or Town In accordance with the provisions of Chapter 148 Sec, application is hereby made By G.L. as provided in Name �e . sJG Address (Full name of p firm or f or corporation �Sic'�.�Jc✓J. (street or P o, 0 Bo /bf f for permission to (clts or Town) State clearly �s Purpose for which permit � � J w is requested Tanks to bet at taken to Zion Inc. Wal ole Name of competent operator i (If applicable) Cert. No, ai Date issued—rejected ii —�19 Date of expiration------ 19 Fee (sign a of applicant) ---- - ------ : .. ...._.. __-- �` ,1OD - - .....,............. ai .DU@.......... f f ..... DEPARTMENT OF P - U,BL(C SAFE't'y-t DIVISION OF FIRE PR RVEIVTIQN - Q Grrw Hwiu va"Ut. Dos n,N y !city ,r Tnwnr'.' '_—'•"�7- f hater a ER PM, In f accordance wA the provisions;.of Chapter 1'48 Las , this permit is granted to atovidt d in _S27 Q 10,12 Name.-2eac0 Tarr --_ a+, !Full nan:p OI Derson, tirryt or cox _ ration grant@♦ p<vmitt _ .�! to canove tank& pofropn Masonfe Garage scudder ave r State clearly Purpose for —_- which permit - __.. IS granted .._� - Restrlp#ions: AIt — ' P-_---ct,to be r_emoved ° _:>—� - ---- f Fa2I Denl ..to ___ s-._ capped or pluggli —moo he i-rL�. ___•_—, --�> to Zion Inr. W cGtve foeafb, — aY,A01@ Ali_. br afnaat and no„cr tktcribe rn sud,Manner �-- t gA010 , •. as to 6rovi,fa a are identi r---- 7 Fee Paid$ i1 r2pfion.0�llrca!1 ` Thiss-perrmit wflVeyy�:� ...• _ (Signer:rc c:oth.•�l gram-- _!�'S�.R�' f 'r � 1981 ' R ' (THrB Pff"M r MUST BE CONSPICUOUSLY POSTED i UPON THE PREbi15ES.) � .._ _ FI7ANK° S SERVICES Scud der--AvP;. _I3yann.is:_--- " �f/F i i i COMPLIANCE: CLASS: 1 Marine,Gas Stations,Repal.r •Q1NN OF BARNSTABL . Printers satisfactory 3. Auto Dody Shops BOARD OF HEALTH / a,- Manufacturers Qunsatisfactory- Retail Stores COMPANYj' � � �,� `�r'�1 �4- (see"Orders') S. 3 6. Fuel SuPF-liars 7, Miscellaneous ADDRESS Class. QUANTITIES AND STORAGE (I indoors; OUT=outdoors) hfAJOR MATERIALS Case lots Drums ' AbdveTanks Undetgrouad Tanks IN T e e rest? Fuels:. Gasoline# Jet Fuel (A) �Diesel, Kerosene, 12 (B) Heavy'0ils: waste motor oil (C) new motor transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: " DISPOSAL REC J1'rIUN REMARKS: ' µ L_ f 1. Sanitary Sewage 2. Water Supply1 �`� 19 r 9T:n Sewer �� `p -Site Q Privalty 3. •Indoor Floor Drains: YES NO_,, Q Holding tank: MUC OCatch basin/Dry well .-.__a_......_. __._.__..�._...- _._ 0 On-site system 4. Outdoor Surface drains:YES NO �. Huldin6• tank: MUC 0 Catch basin/Dry well - 0 On-site system ' S. Waste Transporter Licensed? Name of Hauler- stinat;on _ WnS .e ProducL ' - r1 1 71 / rson sp, n0 ry e y ;` , t nstpector Date r TOWN OF BARNSTA.BLE COMPLIANCE: CLASS: 1. Marine,Gas Stations,REpai.r O satisfactory 2. Printers ;jB O A R D O F44A�OT�l3. Auto Body Shops 0 unsatisfactory- 4. Manufacturers COMPANY t`� Jt�� (see"Orders") S. Retail Stores 6. Fuel Suppliers ADDRESS101) x�U � �ir►r1.6 — 7. Miscellaneous Class. QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums AbdveTanks Underground Tanks IN UT IN 0 IN T # al e s ? Fuels: Gasoline, Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) � 1� new motor oil (C) f a transmission/hydraulic Synthetic Organics; degr-asers Miscellaneous: i DISPOSAL RECLAMATION REWtRKS: 1. Sanitary Sewage Z. Wa6?public , pply OT Sewer r,. On-site V Private 3. Indoor Floor Drains: YES NO O Holding tank: MDC O Catch basin/Dry well ORDERS- On-site system - 1 i s��IJ61 o�At .._ -- 4. Outdoor Surface drains-.YES Ct�� NC ' O Hi ding, tank: MDC � �-�L� �� �- �`{� a OCatch basin/Dry well OOn-site system S. Waste Transporter , Licensed? 2. 12 23 81 Pe son(s)`'Interviewed Inspector Date THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) ImF IL DATA r TOWN OF . BARNSTABLELunsatJ ANCE: CLASS: 1. Marine,Gas Stations,Repai.r factory 2. Printers BOARD OF HEALTH 3. Auto Body Shops sfactory- 4. Manufacturers COMPANY ] S�`-►?�t�� see"Orders") 5. Retail Stores -�� 6. Fuel Suppliers ADDRESS J C y�(71J�V �1 �� �-w �.,; Class:_ 7. Miscellaneous u QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums AboveTanks Undetgxouad Tanks !IN OUT IIN IOUT IN IOUT g2llons Agerest? Fuels: Gasoline, Jet Fuel (A) I n;_esel�tbsene, #2 (B)Heavy Oils waste motor oil (C) I new motor oil (C) r transmission/hydraulic Synthetic Organics: degreasers aX, Miscellaneous: { , I DISPOSAL RECLAMATION REMARKS: 1. Sanitary S age 2. Watex pply ® T Sewer Public . On-site Private Indoor Floor Drains: YES N00 7 _ Holding tank: MDC r' �., Catch basin/Dry well 0 On-site system Ak�hL<�311)i -:7-, 4. Outdoor Surface drains:YES NC ® Holding; tank: MDC Catch basin/Dry well ® On-site system Wt " S. Waste Transporter IJr eUtw "� % r' z +-�Lic{eZs' ;Name of Hauler. l J Waste Product YES I NO 12 23 si V y s) In�.erv' wed 77 _ Inspector `Date.._ _