HomeMy WebLinkAbout0506 SOUTH STREET - HAZMAT THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINAL (S)
m ^
DATA
•
TOWN 01= RARNSTARLE ' COMPi 1ANC8: CLASS; 1. Marine,Gas Stations,ftepair
Q satisFactory 2. Printers
�RQ OF HEALTH 3. Auto Rody Shops
1. J Qunsatisfactory- 4. Manufacturers -,
COMPANY �:`,' r l 1 k^ . { �1'/ "� y (see"Orders") 5. Retail Stores
•r/
mono _6, Fuel Suppliers
ADDRESS �' r �, r %�s �"� .��f`1r. J Class; ! ! 7:1MisceIIaneous
QUANTITIES AND STORAGE (IN=indoors; OUTuoutdoor"
' Case - lots Drums, AbOveTanks Undetgroliad Tanks
FIAJOR MATERIALS
I[� )l OUT figa gallons AQe EW
Fuels:
• Gasoline, Jet Fuel (A)
Diesel, Kerosene, 02 (B)
Heavy Oils: ,-
waste motor oil - (C)
new motor oil (CY
transmission/hydraulic
Synthatl.c Organics:
degreasers •
Miscellaneous:
DISPOSAL/RECLAMATION REHARKS:
1. Sanitary Sewage o 2. Water Supply rr �,! /�_ ,i' /
Q Town Sewer `.� Public MAN ) M �,��� C*,111`c-.f) �•l �
Q On-site Q� Private �I//�J�t\jC .'T rP I)r4? -{jfl[ A (^ t
3. Indoor Floor Drains: YES NO _ /�/'� / �Cr r A —
C) holding tank: MDC �-1!� �< !`,�'��I '1 /11)9 C..y 11.t4_ -7C
O Catch basin/Dry well
On-site systemV&
4. Outdoor Surface drains:YES NO / -
0 huldinL tank: MDC '
O Catch basin/Dry wall
QOn-site system �i1 PI�'�"���;] �I ` _ ij �_f� •-'�^-, .�._
S. Waste Transporter Licensed?
��m�uf_1lauls>� r ( I29sna inn Haste ProducL. _ ? YES_l�1Q_
2.
erson s Interviewed Inspector Date J
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TOWN Of= E3ARNSTA[3LE COMPLIANCE: CLASS: 1. Marine,Gas Stations,Rfpatr
Q satisfactory 2. Printers
L .R p OF HEALTH 3. lams Bodyactu Shops
1. Q unsatisfactory- 4. tanufacturers
see"Orders" S.
Retail Stores
(COMPANY z- 6c) -��t/��� � tw'� ) 6. Fuel Suppliers rr
�•• °7 7. MiscellaneousTfvw
ADDRESS , djy ,Ut '�- �S1g a �/ fV 1S Class:
C QUANTITIES AND STORAGE (IN=indoors; OU1'=outdoor.
lfAJOR MITBRIALS•• Case . lots Drums AbOveTanks Undetgro[:ad Tanks
1 UL ri QUT 1* 8 gallons UAL [sit
Fuels.
V ,
• Gasoline, Jet Fuel (A)
Diesel. Kerosene, 02 (B)
Heavy Oils: _ r
waste motor oil - (C)
new motor oil (C)
• transmission/hydraulic
Synthetl.c Organics:
degreasers •
Miscellaneous:nt �_r/-
WA7
P o
ISPOSAL RECL MIAT ON REMARKS:
1. Saniitary Sewage 2. Water Supply j ,
,Town Sewer O�Public
( [�7
Q On-site Q Private A( ,%
3. Indoor Floor Drains: YES NO A Q�G � � r�IV _1 �� !!c ► � r
Q [folding tank: MDC I
OCatch basin/Dry well �� .`.�_.. �� ._�1`% _
On-site systemV
4. Outdoor Surface drains:YES NO v
uldi tank: MDC
Q Catch basin/Dry wall
Q On-site system PLA0_^ f� -
S. Waste Transporter 77 V& /y �� � ZM X01f ��-��`C - Licensed?
-Nam" .11alilrM Destination Waste Product YES*JKL
CIA
2I-
z h
�, W/-1
12 23 81
evson s Interviewed Inspector Date/
A� �- r: U Li�4'IHU kFir itl1F Li?Y ENGI(VPERING0 r �_ DIVISION OF SOLID AND HAZARDOUS WASTE
I� One Winter Street • PO 'Box HWM _0 8oston,Massachusetts 02108
z. ,. 2-022-53�.. '
° Please print or type.,(Form designed for use,on elite(12 pitch)typewnt
1• �M�lafesa4DocumentNo. . g information lnthe}shaded:areas'
UNIFORM HAZARDOUS 2. Pa 1
WASTE MANIFEST °f is not required by Federal law.
9 A.' State Manifest;
3. .. Generator's Name and Mailing Address I >9aniNu
506ROBESOUTHHSTCLNRS MA
13. .-State Gen.tD n
HY•ANN T_S MA. 02601—5405 ,SAME
4. Generator's Phone( 617 )775-3721
C. State Trans.ID
S..S r ' +�.° R�" nmlifil
tURP. 6zL.Doa� �°4 �` CIA_
7- Transporter 2 Company Name 8. US EPA ID Number D. Tra rter'sPhone
C i E. "State Trans.to:
co
9. Oesi Hated Facility Name and Site Address 10. US EPA ID Number
CID
SAfE9TY--KLEEN CORP. 0-006-42Nt
F TranspafteYsPhone{ `y
a 51611 MILLIKEN DR SE
State 1`edfity'a tDq NOT REQUIRED
o HEBRO►N, OHiO 43025 OHD980587364 H.
FactysPfton®(b3+1€)x?2 35:32
E; 12. Containers 13. 14, d.. i, I.. V
` 11. US DOT Descripticn(Including Proper Shipping Name,Hazard Class and ID Number) Total Unit Waste No. w.
0 No. I Type Quantity WtNol
m a. RG WASTE PERCHLOROETHYLENE F'0.0;� .' •., :. ••
0 ORM—A UN 1897 (EPA F002) 506 P
G
C E. b.
OCL fJ m
W E Z'F
m R = 71
(r A
RS T c. D
O 0.-
co , 1
z fNi ' lf._t: It"'v aCC ORD�sNCE WITH 40 CFR 268, 7, THE GENE AT' R. PROVI ES t?`rY-E n_O d f `D'
t , AT THE WASTE DESCRIBED AS `WASTE PERCHLORD THYL NE IS A R STR CT,�D ►-�
= ( WAS?E. '�HE WASTE CONTAINS THE FOLLOWING CONS ITUE T HOSE TR ATM NT r
J.Additional Descriptions for Materials Listed-Above#ndude physical state and hazard Code.) K.Handling Codes for Wastes Liateid Above d
• 'C. a c: .
p
E �
E b. d. b• d x M z>
15.Special Handling Instructions and Additional Information 8911 04678645 677307 2-022-53-2049 23
-FOR RECYCLE
O 16.GENERATOR'S CERTIFICAT,ON:I hereby declare that the contents of this consignment are fully and accurately described above by
> proper shipping name and are classified,packed,marked.and labeled,and are in all respects in proper condition for transport by highway '�
C according to applicable international and national government regulations. ,. � 1/
m If I am a iarge quantity generator,I certify mat I have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined to be econom Sligyra�able
and that I have selected the,practicable method of treatment,storage,or disposal currently available to me which minimizes the present and future threat to human health and the errviron-
W meat:OR,if I sm 711 qua �rat ho e oo effort to minimize my waste generation a elec bes este manag ant method that is available to me and that I
E can afford. /!/'/Y7
d-. Date
O Printedllyped Name Signal" Mon Zy Y
(I) '
to
coT 17.Transporter 1 Acknowledgement of Receipt of Materials Date
C A rinledlType a nature Mon `
N
S
P,
a .Trans rte 2 Ac nowledgement of Rec ipt Materials Date
T Print yped Name Signatu a Month Day, Year
E
R
19.Discrepancy Indication Space
F
A
C
20[Faciiity Owner or Operator:C�tiification of receipt of hazardous materials covered by this manifest except as no Ed.in Item 19.
1 \ _ � lr Date .
y � �nntedlT�ypeed Name —� Signatu M h "tea j r
U ti x.: � C
Form Approvod OMB No.2050-0039.Expires 9-3a91
.EPA Form 8700.22(Rev.9-86)Previous editions are obsolete.
COPY>3 : GENERATOR—MAILED BYTSDF
r
ENVIROTECH LABORATORIES
449 Rte. 130 • Sandwich, MA 02563 • (508) 888-6460
8/11/89
Roberts Cleaners
506 South Street
Hyannis,MA 02601 1
SAMPLE: Effluent
Dry cleaning machine
LOCATION:506 South Street
Hyannis,MA
DATE: 8/2/89
COLLFCTED BY: Ron Saari
Envirotech Laboratories
Lab ID#: RC-2
RESULTS OF ANALYSIS
Parameter units Result
Tetrachloroethene ug/L 310
(see attached)
Ron d J. Salaalri
Director
J
9
GROUNDWATER
.ANALYTICAL
EPA METHODS 601 and 602
Volatile Organics (GC/PID/ELCD)
Sample Designation: # RC-2
Project Name/Number: Envirotech
Laboratory Number: 921609
Date Analyzed: 08-09-89
, Sample Matrix: Water
PARAMETER CONCENTRATION DETECTION LIMIT
(ug/L) (ug/L)
Dichlorodifluoromethane BDL 25
Chloromethane BDL 5
Vinyl Chloride BDL 5
Bromomethane BDL 25
Chloroethane BDL 5
Trichlorofluoromethane BDL 5
1, 1-Dichloroethene BDL 5
Methylene Chloride BDL 5
trans-1, 2-Dichloroethene BDL 5
Methyl tertiary Butyl Ether * BDL 50
1, 1-Dichloroethane BDL 5
cis-1, 2-Dichloroethene * BDL 5
Chloroform BDL 5
1, 1, 1-Trichloroethane BDL 5
Carbon Tetrachloride BDL 5
Benzene BDL 5
1, 2-Dichloroethane BDL 5
Trichloroethene BDL 5
1, 2-Dichloropropane BDL 5
Bromodichloromethane BDL 5
2-Chloroethylvinyl Ether BDL . 5
trans-1, 3-Dichloropropene BDL 5
Toluene BDL 5
cis-1, 3-Dichloropropene BDL 5
1, 1, 2-Trichloroethane BDL 5
Tetrachloroethene 310 5
Dibromochloromethane BDL 5
Chlorobenzene BDL 5
Ethylbenzene BDL 5
m+p Xylene * BDL 5
o-Xylene * BDL 5
Bromoform BDL 5
1, 1, 2 , 2-Tetrachloroethane BDL 5
1, 3-Dichlorobenzene BDL 5
1, 4-Dichlorobenzene BDL 5
1, 2-Dichlorobenzene BDL 5
Sample dilution required to keep parameters within calibration. BDL = Below Detection Limit. "Trace"
indicates probable presence below listed detection limit. * Non-target compound. Method References:
Method 601 - Purgeable Halocarbons and Method 602 - Purgeable Aromatics, 40 C.F.R. 136, Appendix A (1986).
a
THE T°�♦ TOWN OF BARNSTABLE
i DA$II"'L
r6 s DATA PROCESSING DEPARTMENT
~�C
�Cmpf 367 MAIN STREET, HYANNIS, MASS. 02601
(617) 775-1120 EXT. 193
775-1470 AFTER 4:30 P.M.
FAX # 508-775-3344
PLEASE FORWARD THE FOLLOWING PAGE(s ) TO TEE
FOLLOWING PERSON(s )
)O
To:
m&�&VlkcG�
RECEIVER' S FAX
FROM: JJ(/ V� I 069AD/o
DATE: za
PAGE( s ) :
Excluding cover sheet
,11 4 f f t v 4 1 + t: + -f + + -I + .4. f. 4.4. 4, 4. i: :+ .4,
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4♦]-� yp�'gv� (# Mgt, �R i' DUDS 140 ObI06 04GL F'JR 51_h41Cc CALL
V F SCHEDULED SCHEDULED REFERENCE
YYii O •®000i//_!,�■ �FE01�N0,•39609�0�9 - 'TRANSPORTER SER`ACEAEEK SERVICE TERRITORY ,:NUMBE9
I3RY CL��NO'S E 'Sr3:
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nI SERVICE.DATE S�$:NQ.' 'SALE$ i=?.SALES TAX_EXEMP710N NUMBER.: HANDLING CREOfT _..PREVIOUS PORTION 1
SPECIAUSt CODE - CODE ` BALANCE OVER 60 DAYS
C :. ' C 5�8•i8 6.58 U
BL ESS -,CHAIN t�,'CUSTOMER P.O.-NUMBER GENERATORR,RJSTOMER PHONE! - CART.PlS EO'f p19 PRbL1,pis, ,$yC AX:r� ,PRODUCT TAX SERVICE, CHANGE jr
. .-
INTERVAL .SERVICE W
O1 -093b 61 T-TTS=;e?21 + Ot347 Oa4': 04'4;:0<tl fl ,5, 11► ?�' 04 2
• . • . . • n�>na .�° aem °�°maPaamal�ema'.a�.h O
1 drtly-.NBt my hl!xaAous;waste.tbeame-.tow
CONTAINERS t;--.r ` ` US` +N NG ER P, .lest;�ati'?ZO`
NO.CF. NU DM „ 'NO DF. TOTAL OTY`. M ,. i�) inonth WW'thet I 'srn ilott 0 1N 1 A
ideh88cs6on number. to obwn m EPA'. ✓n
A Waste, Perchloroethylene,ORW-A, UN 1897(EPA 0' 02) ' I x' XR XXXxXXXXXX U
Gil Waste, Petroleum Naphtha,Combustible Giquld UN-1255.(EPA D001)'
SPENT SOL:VENT,MEETS
Hazardous Waste Liquid,N.O.S.(frichlorotrlfluroethane),ORM E,;NA9189(EPA, F002) ACCEPTANCECRrrERIA
YES NO 0' '
s;e can 20 ,,spin earl 3 eJ.1 Jumbo can 160 ,Pent Res. 195 Petro Res. 1®1 'Freon Rea.Drum 1,95 ..Freon Res.Pell 6$ Pere Rtr Pwd;,' 3 S
DESIGNATED FACILITY NAME AND ADDRESS 1$pFETY:Ki.EEN.;,'CORP. USA EPA ID NO. HAJ)®s8-9 '�' 143
5015 BR1G3tAM lyARi:80iiOtiGN f1lA OITS$ STATE IDNO.
SECTIONSERVICE SALES
YTD PRE IOUS - SERVICE NUMBER DESCRIPTION, -.'SERVICE a. UNIT OF WAN1TfV '.:LINE TOTAL
-SERVICE SERVICE CHARGE - MEASURE .RETURNED
�1 20 13 FEE
o/c sE1Rur so*in EA i Shc.Gg
'.�,'"�.if
2 3302 BOX
{/�STAN9 �Ci_ART F3$ER S.t l AEA
j�� �v3t ..
_ t yy
2 12000 D/C PE AC•WASTE PNDR y
1 1.2016 16 GAL DRUIIi CMG
SERVICE CHARGES
GENERATOR USA EPA ID NO. GENERATOR STATE ID NO. LCARTRIDGE , TAX
CAPACITY -
tMiAU 00000 3S12 22-005-3 6 90 TOTAL SERVICE CHARGE
. • � •
`ALE. _PREVIOUS- PART NUMBER DESCRIPTION UNR:OF: -- INV..' -5
SALES SALES - >:::PRICE--a MEASURE _ -QUANTITY _ODE;,. -LINE.TOTAL. .
-- h - y' � 4 .. � r ,+ 1•`�? ?� xfi�.�. t� 4 y+��.^a.x�.:�, 'c2F
T x. I.i .� . e">... • ... d.r a-,.., ..< ..,.,... _ ......, ,., ,...,.E$. _..... . _ul .a<'�,c'�'+..�..'t. <e'°xn... ..1.� 1, ..,< 'r f a d�?n aft.r`Y
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NAME TITLE SIGN NAME (CHANGE) TITLE SIGN bRUMS �
ON HAND
I tt I�I T H P n lltr`l1 Ofl Y
b ,
. 00
Y . 3
• • CHARGE MY ACCOUNT FOR THIS TRANSACTJON UNLESS OTNFA -
WISEINDICATEDIN:THEPAYMUfTflE EMS_ECTION. - r,
TOTAL RECEIVED APPLY PAYMENT TO INVOICES ARE SUBJECT TO AN INTE 1 4
CASH LESSER OF 1,4%PER MONTH(18%P ANNVM OWT E•MAXIMUM RATE ALLOWEOBY LAW ON AgY,UNPAV -
CHECK NUMBER - O T'ODAYS_SERVICE/SALE - ARE NO PAD WITHIN 30 DAY& INVOICE614MT- 't-+l g '�,�> •' �.gr'f':
❑PREVIOUS BALANCE AS FOLLOWS IN THE EVENT OF DEFAULT,SAFM4Q.EEN SHALL BE ENTITLED
TO RECOVER COSTS OF COLLECTION,INCLU REASONABLE -
. `ATTORNEY'S FE S.
INV.H AMOUNT$
L, INV.f/ AM � 1 � 1 OUNT$
INV.it AMOUNT$
SEE REVERSE SIDE FOR IMPORTANT INF:pAMATION.
. - .� _�r. .':..
GUNS NO. 051GG-04GL FORSEVVICE CALL -------_----'—
Sc EDULED SCHEVULEU REFERENCE
V -TRANSPORTER SERVICE WEEK SERVICE TERRITORY NUMBER
FED ID NO.39•GO9OO19 .
DRY CL� pIV16E s'. r s r:
GARY rKb"AI
-777 BIG T1461tR OAD 0 ELCifN,ILLINOIS 8012
doe-6q7-4648 IRE Q=M1
2-022-53-20�9-7Ems
ROD
ERT 1 .HR CLNRS'> •:'
506 SOUTH ST.
HYAlhlkS 1!q bzfisoii-s40a
SERVICE DATE: SALESMAN'$N0. SALES:: SALES TAX EXEMPTION NUMBER HANDLING CREDIT PREVIOUS PORTION
SPECIALIST GDDE'" CODE ' "BALANCE OVER BO DAYS d
• D (3� o
C,r. 1 38. 18 6•S8 U
BUSINESS"MN ' USTOMER P.O.NUMBER GENERATORICUSTOMER PHONE 9 CART.PIS BOT Pf3 PROD.Pr$ ,, BYC TAX PRODUCT TAX SERVICE CHANGE
TINE ` INTERVAL SERVICE Il.l
01 61 7-776-3721 O047 004 . 004 .601 . ' 0 'O`` ' i', 6�0 �, 04
UUM • • ""Al 0 m artily the 9k abprerioned and de s en prop"daeieed desmbet. T noted all¢labeled,old Ya h paper O
CONTAINERS::. .;.1. �......,:::.., % pau+We
tmdilim tx tr dtlm KYord m Ibe s:wbceble da itm d db De dI i .' 1 eMlly Ihat my hazardous waste .tream. total
NO-CF. NO:DM. .. NO:DF.' TOTAL OTY. US' R N ER P A D 1D.)..- mame�9rrd=I l rrol(i00 kg)br•ds calendar
. Idenli9batiibn number. ired b obtain an EPA (�
Waste, Perchloroethylene,ORM-A, UN-1897(EPA, F002) XXX Rx.XXXXXXXXXX U
Waste, Petroleum Naphtha, Combustible Liquid;UN-1255(EPA, D001) � X
SPENT SOLVENT MEETS
Hazardous Waste Liquid,N.O.S.(frichlorotri(luroithane),ORM-E,NA9189(EPA, F002) ACCEPTANCE CRITERIA
YES❑ NO O
Sid Can .- 20 .,SPIN Cart 3 5 .1 Jumbo Can 60 ,Pare Res' 195 •Pebo Ras. 101 Freon Ras.Drum 195 .Freon.R-.Pall ' 6 5 Pen,Flu PvA 135
DESIGNATED FACIUTY NAME AND ADDRESS SAFETY—KLEEN. CORP• USA EPA ID NO. Mg0088978143
50A 8R IGHAM. MARLBOROUGH "MA 01752 STATE ID NO.
SgRVJC'� SALES •
YVI PREVIOUS SERVK:E NUMBER DESCRIPTION SERVICE UNR OF QUANTITY LINE TOTAL
SERVICE SERVICE CHARGE MEASURE RETURNED
7 l 12013 FEE D/C SERUICE _ 50000 EA
r p Q �, yr y�u�► r x '/.� 50.00
.l:�a!'PFa a.F¢ ..' C+ t, *lE: ''40, ,fir•• '}zc... a., tty'
2 3302 DOXISTAND CART FIBER 5.00 EA
1 3356 RU!tix_ e. G�1t4'7
2 12000 D/C PERC.WASTE PWDR 46.00 EA
,.
8 .12001 p/�. .GA t�T A I q+ .31 .i. A4ii:.f .*T!.E.•. J LrwA7 F.!. i . 5.:'` ,.:;: u :.J .,... .
1 12016 16 GAL DRUM CHG 5000 EA
11i
SERVICE CHARGES
GENERATOR USA EPA ID NO. GENERATOR STATE ID N0. caP�AaGrvE 7 TAX
M A 0 0 0 01 0 351 2 2 2—0 0 3-3 6 90 TOTAL SERVICE CHARGE
PRODUCT
• SECTION
1TD PREVIOUS PART NUMBER DESCRIPTION UNIT OF INV. ,
SALES SALES PRICE MEASURE QUANTITY. CODE LINE TOTAL
... .. ... . .. _..„, .. .. .._.. .yes.._ t... ...,.... ... .. ..... .... _ .. ...._• ...., .. .....uk_ .
..... _ ... v .. ♦ .1,. ...c...,... ._« ..l:...� .- ......... .},1 ....1.J,:l-,. rdal c+v,:r.Y.. ,z.� ,... .. _. ..
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NAME TITLE SIGN NAME (CHANGE) TITLE SIGN DRUMS L '�`lT��
1 KEITH PONELL 00 Y
z 00 N z
• p • C}I OE MY ACCOUMF01i THIS IRAN•ACT7(Y1 UNLESS OTHER,
• W INDICAT.IN THE PAYMENT RECEIVED•EtTWrI. f t iM
CASH❑ TOTAL RECEIVED '" APPLY PAYMENT TO INVOICES ARE SUBJECT TO AN INTEREST CHARGE OF THE
LESSER OF 11y%PER MONTH(19%PER ANNUM GR THE MAXI-
MUM
RATE ALLOWED BY LAW ON ANY UNPAID S THAT r ~'•1 r'
CHECK NUMBER ❑TODAYS.SERVICEISALE ARE NOT PAID WITHIN 00 DAYS. C O AI.flrt
❑PREVIOUS BALANCE AS FOLLOWS IN THE EVENT OF DEPAULT,SAFETYALEEN SHALL BE ENTITLED
TO RECOVER COSTS OF COLLECTION,INCILWING REASONABLE I ATTORNEY'S FE S. '
INV. N AMOUNT$ �/ r
INV.N AMOUNT$ /� I
GENEMMMSTOMER SIGNATURE
INV.# AMOUNT$ :
C'UINS NO. 0S106-04GL FUR SEF,VICE CALL ----- ..
�i FED ID NO 39 6090019 TRANSPORTER E WEEK SERVICE TERRITORY :NUMBER E,
till SERVICE
DRY CL14C1116E _ o
6ARv MALTAIB 23 9a3259
m BIG.T11319ER g2AD. ELGIN ILLINOIS 6012�0�� g7_4648 RE q�Mh;.
i 2-022-63-2049-7
ROBERT:- 1 HR •CLN`R5
506 SOUTH ST
NYANNI$ MA' b2601�540s
SALES::_ i HANDLING CREDIT PREVIOUS PORTION }SERVICE DATE SAL1eSMAN'$NO. BPEgAusT ''-DES TAX EXEMPTION NUMBER' 'CODE CODE ='� BALANCE OVER 60 DAYS Q
D (3�
O
1558.18 6.58 U
BUSINESS CHAIN. `.CUSTOMER P.O.NUMBER GENERATORICUSTgMER PHONE 0 CART.PiS HOT P!•- PROD,Pl6, SYC TAX' ,e• ,PRODUCT TAX SERVICE CHANGE rL
TYPE INTERVAL SERVICE il.l
Dl 0936 617-775-a721' 0047 004 004 .601 00 I'; : 6 0 4 04
' • • • • 'INS b b uAy Oe the eEoernmled msWlen sn wap"CIUS&e4&..b 4 paged srI a and 1111) d.sM sn„pW O
mndirian for as dtlon uvxd b Ae e:+ol�ceWe elms oft.De a ff 1 urtly Ihet my A8=ardais rsul. .treem. tolel 0
CONTAINERS ,;..I , .. .Iw."Ihen?20 ride US R P G ER P D(D.I. nlmttl IY d•aT an;not kg)Icr Ws cel EPA
NO.CF. NO:DM. .'-NO:OF.'` TOTAL OTY. � eQsJreO m abtWl an EPA (A
Identificatim number.. -
A Waste, Perchloroethylene,ORM-A, UN-1897(EPA,'F002)`• . �;,I' XXX7�RJSXXXIXXXXXX U
G�GL Waste, Petroleum Naphtha, Combustible Liquid,LIN 1255(EPA,D001) �X
SPENT SOLVENT MEETS
Hazardous Waste Liquid,N.O.S.(frichlorotrifl.uroethane),ORM-E, NA9189(EPA, F002) ACCEPTANCE CRITERIA
YES❑ NO ci -
1 Sid can .2 0- .I Spw Can 3 5 .1 Jumbo Can b 0 ,Pm Rea. 1 95 •Petro Res. 101•FTeon Res.Drum 9 S .Freon Ras.Pall 6 S :'.Pom FW Pwd 135
DESIGNATED FACILITY NAME AND ADDRESS SAFETY-KLEEN. CORP. USA EPA ID NO. HADOSS978143
SOA BR 1GHAM MARLBOROUGH MA 01752 STATE IO NO.
SECTION
YVI PREVIOUS WAVE NUMBER DESCRIPTION SERVICE UNIT OF QUANTITY
SERVICE SERVICE CHARGE MEASURE RETURNED LINE TOTAL
7 1 12013 FEE#D/C SERVICE _ SO 00 EA
• 1 50.00
'�11 �► 1rf�;- w.,�
2 3302 BOXISTAND CART F;BER 5e00 EA
GAk; P. �.L�L ;x. `::. _ ..
2 12000 D/C PERC.WASTE PMDR 4b.0� EA
S _12001 p/G .CAT A14
,
i 12016 16 GAL .DRUM Cf11G 5 .00 EA
,i.'"'. sf x�sa..• �}a•' �.iiuu v. al � Ja 't �,+,•i' 4 /y�l
SERVICE CHARGES
GENERATOR USA EPA ID NO. GENERATOR STATE ID NO. - CARTRIDGE � TAX
CAPACITY
MA U 0 00 0 0 351 2 2 2-005-3 6 90 TOTAL SERVICE CHARGE
PRODUCT •
YTD PREVIOUS PART NUMBER DESCRIPTION UNIT OF INV.
Sues SALES PRICE MEASURE QUANTfTY QODe LINE TOTAL
Y
.....i ,,:
F. T• w .5< a: � . ..
AW
s 71 i i
I f n r .2 bj 9 f.f..: L l
NAME TITLE SIGN NAME (CHANGE) TITLE SIGN DRUMS uI�t}QUGT tAX
I KEITH POWELL 00 Y 1 ON HAND
I RF�� •'V4/�� fit.
2 00 N z .
• • C MOE MY ACCOUKT FOR THIS TRAN8AOT7pN UNLES9 OTNEI� , !=W;R
WI INDICAIN T1NE PAYMEM RECl1VE06iCTIOK
CASH❑ TOTAL RECEIVED APPLY PAYMENT TO INVOICES ARE SUBJECT TO AN INTEREST CHARGE OF THE L
LESSER OF I's%PER MONTH(16%PER ANNUm)OR THE MA)O- !11 � •''!M
MUM RATE ALLOWED BY LAW ON ANY UNPAID INVOICES THAT
CHECK NUMBER O TODAY$,SERVICE/SALE ARE NOT PAID WITHIN 7D DAYS. .
.l ? ....)y t.
❑PREVIOUS BALANCE AS FOLLOWS IN THE EVENT OF DEFAULT.SAFETYJBFEN SHALL BE ENTITLED -
TO RECOVER COSTS OF COLLECTION,0ICL REASONABLE I
ATTORNEY'$FE S. -
INV. N AMOUNT$
AMO
INV.IY LINT ^r
$ I1ffW/CUSTOMER SIGNATURE
INV.M AMOUNT$
L-UkS 140.OS1Ub-04UL FiuH SEhVICL CALL —`—'----- --- -
T SCHEDULED SCNEDULLU REFERENCE
t FED ID N0.39 6090019 ",,, TRANSPORTER SERVICE WEEK SERVICE TERRITORY NUMBER .
DRY CLFI�tIIE$SEViCE MA4 T Al , ? ' �9+a7`' Z3 �03259
777 BIG.TUaBER 49AD� ELGIN,ILLINOIS 9012t087-4648 ' . aE q�Hh;.a"
2-022-5"3-2G491-7
' ROBERT 1, HR :CLNRS';,
5Q6 .SQUTH ST '
NYAN I$`;1` r ! � £ ! '.t MA` b26C1-540s • { 3 C.t ?
SERVICE DATE SALES:: HANDLINa cREDR
S ANS • SALES TAX EXEMPTION NUMBER' i s PREVIOUS PORTION
. 33 SPEdAl15T 'CODE ` CODE ' 'BALANCE OVER 60 DAYS Q..
C,::. 5 a l lie 6.se
BU�ESS CHAIN, ?.CUSTOMER P.O.NUMBER GENERATORICUSTOMER PHONE• I CART.PIS I BDT Pf8. PROD.PIS y;$yC'jAX' ; PRODUCT TAX SERVICE CHANGE
INTERVAL SERVICE L1)
01 0936 61 7-775 3721• 0047 004' 004 .001 . ' `O 0 5 0 P4 0�
• • • • • 'IfIY i m canMj•w Re aEoranameE ms4nm an aroM'dnu4e4 dewibad,paRaoed uula0 sod IaEtled,and an m plgwr O
mndirion mr tr ,mlm rmd m br+. uElr etiom M tlk "d ff 1 gNty Nel my h—rdpie"wef4 atneme mlel
NO.CF. NO:OM. . NO.OF. TOTAL OTY. US ER P A NO{D.). `• m�arnA and�that"�^�(req kg)to obtain
c n dw
EPA
required m obgln n EPA j
" Idarlti6eation number." .
A Waste, Perchloroethylene,ORM-A, UN-1897(EPA;1002)''- "Fi, KN X�C�CRx.�XXxXXXXXX U
(T�11 Waste, Petroleum Naphtha, Combustible'Oquid,UN-1255(EPA,D001) 1x
SPENT SOLVENT MEETS
Hazardous Waste Liquid,N.O.S.(Trichlorotrifluroethane),ORM-E,NA9189(EPA, F002) ACCEPTANCE CRITERIA
YES❑ NO O
1 Sid Can .',2 O .I sput Carl 3 5 ,1 Jumbo can 60 ,Pea An. 195 •Pam Rea. 101'Freon Res.Onrm 19 S .Freon Res.Pall .:.
DESIGNATED FACILITY NAME AND ADDRESS 6 5 Perc Flu Pwd •3 SSAiFETY—KLEEN. CORPe USA EPA ID NO. MgD0889781�3
50A 8R IGHAM MARLBOROUGH MA 01752 ISTATEID NO.
SECTIONS � pVICE SALES
Y PREVIOUS
SERVICE SERVICE SERVICE NUMBER DESCRIPTION SERVICE UNIT OF aDANTITv
CHARGE MEASURE RETURNED LINE TOTAL
7 1 13013 FEED/C SERUICE 50.00 EA 1 50.00
v_:{,... ry�rr y Rya 2�1 . ,d•
. w��`�t � A �1( � t c�, c t � � � �t}�. r^t sHL t^ ;.�5 rit.y 4 p�•
2 3302 BOXZSTAND CART FIBER 5�00 EA
,)err r A
1 3336 `IDRU!!:!Y • . G1114` :.
2 12000 D/C PERCeWASTE PWDR 46 EA
...:... 20:0 p/C 11,1o} J•Sl ..`L• -�"....1.. ,.-�.�..r a.._ .... II'
1 12016 16 GAL DRUM CHG 5o00 EA
tltf�•r"TX�{,"' r
btu r�..
SERVICE CHARGES
GENERATOR USA EPA ID NO. GENERATOR STATE ID NO. cARrnIOGE h TAX
CAPAdTY
MA U 100000 3512 2 2—0 05-3 6 90 1 TOTAL SERVICE CHARGE
PROPPIPT SALES •
YTD PREVIOUS PART NUMBER DESCRIPTION UNIT OF INV.
SALEs SALES PRICE MEASURE OUANTfTY CODE LINE TOTAL
0.
+u S w
1
e r .1 .t 1 p" I,•Wy.
.. ..
f �
i
n't
NAME 71TLE SIGN NAME (CH ;:ANGE)'' TITLE SIGN DRUMS a 1T 1'T {�(
T KEITH POJJELL 00 Y 1 ON HAND er'r ;e `1
61 , OgriGlf`
2 00 N 2"
8 • C OE MY ACCOUNT FOR THIS TRANSACTION UNLESS OTHEI4
W E INDICATED IN THE PAYMENT RECEIVED 6ECTION. r1/FI
Y A ae
❑ TOTAL RECEIVED APPLY PAYMENT TO INVOICES ARE SUBJECT TO AN IMEREBT CHARGE OF THE I
CASH LESSER OF I S%PER R N MONTH(18%PE UM ORTHE MA76
MUM RATE ALLOWED BY LAW ON ANY UNPAID 6 THAT
CHECK NUMBER ❑TODAYS SERVICE/SALE ARE NOT PAID WITHIN30 DAYS.
❑PREVIOUS BALANCE AS FOLLOWS IN THE EVENT OF DEFAULT,SAFET ALEEN SHALL BE ENTITLED
TO RECOVER COSTS OF COLLECTION,MqPM REASONABLE I
ATTORNEY'S FE
INV. q AMOUNT$
INV.r9 AMOUNT$
GE"ICUSTOMER SIGNATURE
INV.8 AMOUNT$
CMG RCyeoe� CIf1C C/10 1\An/lr]SAALT_IAI=^MLI A A-ri It -
1 LUl,s [40. OJI06.04bb FuRSEhVICE CALL -- --- — —
""•., SCHEDULED SC... . . REFERENCE
v YYY YYY �YYYY«<iii I FED ID N0 39 6090019 TRANSPORTER 6ERVICE WEEK SERVICE TERRITORY NUMBER
DRY CLi6E : :• r r s 1 ti
I�fALTAi
6ARY �03259
777 BIG TIMBER WAD4P ELGIN;ILLINOIS 6012t;0e. bg7-4648 ,-
i 2-022-53-2G491--7
ROBERT: l..HR -CLNRS
i 506 SOUTH ST
HYANNY8� MA b76oit�s�oa
{ i
'SALES I HANDLINGCREDR..
SERVICE DATE SALF3IAAN'$NO. _SALES TAX EXEMPTION NUMBER i PREVIOUS PORTION
SPECIALIST 'CODE ` CODE "BALANCE OVER 60 DAYS D_
Q
58. 18 6.56 U
BUSINESS - CHAIN,' CUSTOMER P.O.NUMBER GENERATORICUSTOMER PHONE I CART.Prs tiOT Prs WL00.Prs `'$VC• AX' ,RRODUCT TAX SERVICE CHANGE i
TYPE - - �. - INTERVAL SERVICE W
01 0936 61 7-77s-3721- 00�7 004 . 004 .601- . ' 0 0 '- �I' 6 0 It 04 g
• • • • • •Ibb b m Ceddl'aW Ba eDe»tuned melviw N progeny dMINAeO.OrxTlbd,pspr�ed,.0w sod 4Mmd.and Cam proper
rumbrtrans arwrdl mlaa, r ladmsMde dY 1 gN1y IAet myAdxiMous wait*streams tote" Q
CONTAINERS ?; ..,;.• US' R P N ER P A M"Olen 220'pdun� 11TQ
NO.CF. Na'DM. '.. NO:OF.' TOTAL OTY,
.. D iD.). nth WW that 1 em notlreq&M m obtain an EPA U�
LdanOncation number.
Waste, Perchloroethylene,ORM-A, UN-1897(EPA;F00W' 'XN R XRxXXX'xXXX'XXX U
Waste, Petroleum Naphtha, Combustible Liquid.LIN- 1255(EPA,D001)
SPENT SOLVENT MEETS
Hazardous Waste Liquid,N.O.S.(frichlorotrifl.uroethane),ORM-E, NA9189(EPA, F002) ACCEPTANCE CRITERIA
YES❑ NO❑ `
1 Sttl Cart .2 0 .1 Sput Can 3 5.1 Jumbo Can 6 0 ,Pwc Rae. 195 ,Petro BOB. 141 Freon Res.Drum 19 S .Freon Rea.Pell 65 '.Pero FW PW' 135
DESIGNATED FACIUTY NAME AND ADDRESS uSA EPA ID NO.SAFETY—KLEEN. CORPS, HAD088978143
SOA 8R IGHAM MARLBOROUGH MA 017541 STATE ID NO.
•
YVI PREVIOUS SERVICE NUMBER DESCRIPTION SERVICE UNIT OF QUANTITY LINE TOTAL
SERVICE SERVICE CHARGE MEASURE RETURNED
7 1 12013 FEE to/C SERVICE _ 50000 EA 50 Go
. ..._... ...' o.!...Y ,lI.... .I# 'R..t•w.hd .!_ SRJA A. h�e tit�. � { +a �.t .i�alE. ��++ 4{�
* .
2 3302 BOX STAND CART FIBER 6•00• EA
t
i ;3356 : 1RU!li44��t1
2 12000 D/C PERC,MASTE PMDR 46�00 EA
: .
S i2001 p/C '.4AATA� 1$i: .1i. . .rf ' {' t.
1 12016 16 GAL DRUM CHG 5,00 EA
:.. .. ..: ,.. ..'.,.:..: ...J..:.,»..x..1.�: :.t...:.tiu 1•v 1 � +x wte y �.Y
'. -.:+� -.:. ::•,-. .' :::. 3 > -r..; p r�.i Y��+•Q,.t" �i1';L r 9"e'- i`•{"'�Yx�a•,. > '�fr,1,s "
SERVICE CHARGES
GENERATOR USA EPA ID NO. GENERATOR STATE ID N0. CARTRIDGE 3 TAX
CAPACITY
MA0000003512 22-005-3690 TOTAL SERVICE CHAR
GE
. • • SECTION
MOWS
TD PREVIOUS PART NUMBER DESCRIPTION UNIT OF INV. '.
sALEs SALES PRICE ' MEASURE QUANTITY CODE.. :.: LINE TOTAL
r
• M y
F:e,s
:;:�: L.V Vrv^,4,' .1 �i.� t 3 t. 7 :.•r F`
1 T•
r:
NAME TITLE SIGN NAME (CHANGE) TITLE SIGN DRUMS ,jT
I KEITH POWELL 00 Y T oNHAND T I „ zNr Y
MI
:T
• • • CH MY ACCOUNT FOR THIS TRANSACTION UNLESS OTINFJ4 s
W INDICATED IN THE PAYMFM RECEIVED SECTION. g 7apA1/R{
vW
TOTAL RECEIVED - APPLY PAYMENT TO INVOICES ARE SUBJECT TO AN INTERJEST OHARCLE OF THE ) "�`
CASH LESSER OF I q%PER MONTH(18%PEA ANNUMI—Im MA7G } O
MUM RATE ALLOWED BY LAW ON ANY UNPAID INVOICES THAT
CHECK NUMBER O TODAYS SERVICEISALE ARE NOT PAID WITHIN 70 DAYS.
❑PREVIOUS BALANCE AS FOLLOWS IN THE EVENT OF DEFAULT,SAFETYA EEN SHALL BE ENTITLED
TO RECOVER COSTS OF COLLECTION,INCL REASONABLE I
ATTORNEY'S FE
INV. N AMOUNT$
INV.N AMOUNT$ GENEF10MICUSTOMER SIGNATURE
INV.# AMOUNT$
l
,.,,( 1� �
1 � � <'
��
. \. 9 ��
�� - ,
_ _ ._ I
e .
Timothy J.Snay
Environmental Chemist
1021 Main Street
Winchester,MA 01890-1943
617-721-4000
GE I Consultants, Inc.
f
GE I Consultants, Inc.
1021 Main Street
Winchester, MA 01890-1943
617.721.4000
November 22, 1989
Project 89411
l
Ms. Donna Miorandi
Town of Barnstable Health Department
Town Hall
367 Main Street
Hyannis, Massachusetts 02601
Re: Available Information for
Roberts One-Hour Dry Cleaning
645 Main Street
Hyannis, Massachusetts
Dear Ms. Miorandi:
GEI Consultants, Inc. (GEI) has requested your permission to review any files your
office may have which pertain to any violations or complaints registered with your office
with regard to Roberts One-Hour Dry Cleaning located at 645 Main St..
A representative from GEI will visit your office on November 27, 1989 between the
hours of 9:00 a.m. and 4:00 p.m. to review and photocopy these files. GEI will pay for
the cost of photocopying any file information.
Very truly yours,
GEI CONSULTANTS, INC
Timothy J. Snay
Project Chemist
TJS:jkc
Denver,Colorado Concord,New Hampshire