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°F IKE rpm Town of Barnstable Office:508-862-4644
Public Health Division Fax:508-790-6304
• BARMASS. ` 200 Main Street• Hyannis, MA 02601
�iOrFOnv+°�0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT
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Business Name: vtoi �- 2�S 2 1•tS c�� Date: 6 /8 l
Location/Mai ling Address: 2 W-0- 2 GAY i'S o , 4
Contact Name/Phone: Jprao o bq
01 l S a l rro�� �1�'�
Invent ry tal Amount: p„L -�; MSDS: -�o i6J). 4/1
Tier II : Labelino: Spill Plan:
Oil/WaterSeparator: Floor Drains: Emergency Numbers:
Storage Areas/Tanks:
Emergency/Containment Equip ent: 2 avt
Waste Generator ID: C� e i S Ca l.l i
Date&Amount of Last Shipment/Freq ncv: 2 Co A
Licensed Waste Hauler&Destination: .-) 2 2- of
Other Waste Disposal Methods: 4 2 . Cov
v �vyS-ke1 Q ClA I e IMr 0_K 5.&
LIST OF TOXIC AND HAZARDOUS MATERIALS
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NOTE: Under the provisions of Ch. 111, Section 31, of the eneral aws of MA haz dous material use,
storage and disposal of 111 gallons or more requires a license from the Public Health Division.
Antifreeze Dry cleaning fluids
Automatic transmission fluid Other cleaning solvents&spot removers
Engine and radiator flushes Bug and tar removers
Hydraulic fluid (including brake fluid) Windshield wash
Motor oils 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:
Inspector:
Facility Representative:
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS
TOWN OF BARNSTABLE — UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION
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OWNER AND INSTALLER INFORMATION
ADDRESS: (Vt4n .` Z '- MAP, NO. 3 PARCEL NO.01
OWNER NAME: VILLAGE: 1fI7�';.L✓/t
INSTALLATION DATE: { 7 BY:
ADDRESS: __-.—.-------""�+? CERT. NO.
fj4V A 4. ' � 3 3 TANK I'NPORMAT ION 1�(r \ -�
LOCATION OF TANK: 'v '_.tJt° `�1� X� U f CF rJf ' � c
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CAPAC I TY 0 V^r, I TYPE s I Y AGE h FUEL/CHEMICAL /Y1 A)w rt
TESTING CERTIFICATI NG _L-31,P SS E I FAIL ' DATE . 1
LEAK DETECTION C I CHECKyIF-rN/A TYPE/BRAND
ZONE OF CONTRIBUTION C ] YES C I NO DATE TO BE REMOVED
FIRE DEPT. PERMIT ISSUED Cam°]` YES C I NO DATE �f
CONSERVATION C- I CHECK IF N/A DATE .
BOARD. OF HEALTH TAG NO. C7Yb]C ]C ]C 31 ] DATE t�/l rz
PLEASE PROV I-DE•.A SKETCH SHOWING .THE.-TANK ;LOCATION ,ON ,THE ,BACK.OF THIS CARD,
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TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION
�/Q OWNER AND INSTALLER INFORMATION
ADDRESS:(Jf(lJ(! .E4em MAP NO. J30 PARCEL NOV/ 7
OWNER NAME: /. C f Y r ULAGE: 0/,
INSTALLATION DATE: BY:
ADDRESS: _ }_ ___ _ WR_T. NO. .•
j TANK. INF M ICON
LOCATION OF TANK: t
� __ ' ( I-A
CAPACITY C.• ) TYPE 1 AGE I� 1 Z FUEL/if EMICAL ji o ,<- C1 I
TESTING CERTIFICATION C I PASS C I FAIL DATE
LEAK .DETECTION C 7 CHECK IF N/A TYPE/BRAND
ZONE OF CONTRIBUTION C ] YES C)(] NO DATE TO BE REMOVED
FIRE DEPT
. PERMIT ISSUED C L'YES C ] NO DATE
CONSERVATION. C I CHECK'^�IF 'N%A DATE
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�YC 7C ]C ]:C' ] . DA E
G NO. C
BOARD OF HEALTH TA ,
B 1 .
SHOW ING'•.`THE TANK LOCATION ON THE BACK OF THIS CARD
PLEASEPROVIDE: ASKETCHi
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114-c TommmmIffi of AnsuIPwtu
DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION £ }
PERMIT Z!�_-P+ p ,9tg
Date ?
TO MAINTAIN AN EXISTING/NEW UNDERGROUND STORAGE FACILITY ; w
In accordance with the provisions of 527CMR9.24 this permit to maintain an : �_,
existing/new underground storage facility is granted to: $ .
Location of property: 5+even5 e ,.�) _.
�—Street address P. e
ti '•'fir y.
Owner of property:—Puiorns�i C
Full .name of person• firm or corporationi .#
Restrictions: 5+ortz)2� � Cameo (,n� - z100C) na al US(ad`
6so s� 2 C?c�) od 600 Bch G
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:. M G L.A. Cha t. 148 Sec. IDA).:.:Fee .Paid: l0• ( P . , , �•
Form FP g290 .E .'` f
y ;
Part lR This permit wi'l l expire ►q 19
d Date Signature o ad of ire Dept. or appointed designee y i�
01jr (UntuwnwraWl of AuBadwrtu
;��PARTMENT OF PUBLIC SAFETY--DIVISION OF FIRE PREVENTIONy.
PERMITzs�u±. 1cf 19'iG"8'
Date
TO MAINTAIN AN EXISTING/NEW UNDERGROUND STORAGE FACILITY
An accordance with the provisions of 521CMR9.24 this permit to maintain an 1 .
:, existing/new underground storage facility is granted to:
Location of property: 5t�ven� p ���» ►� N+- -�
T—street address oT—
Owner of property:����
Full name of person, firm or corporation
Restrictions: S+or C�aSo (�n� - z,rDaq
600 ( 2 ew 0t 1 50o e c-,h
Fee Paid:$ 10 (M.G.L.A. Chapt. 148 Sec. IDA)
. Ick 19 q I JJc�„tic c
m F.F. 290 F 1�
t � This permit will expire
. a s
Date Signature o ad o Ire Dept. or appointed dpslgnee ai
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i�urt�sia
STEVENS & NORTH STREET • P O. BOX 957. HYANNIS. MA 02601 • (508) 771-3636
11YISSANI
IN
June 18, 1993
Town of Barnstable
Health Department
P. 0. Box 534
Hyannis, Mass. 02601
SUBJECT: Notices 308017 Tag 746
Notices 308017 Tag 747
Notices 308017 Tag 748
Gentlemen:
This is to notify you that we had the three under ground storage tanks
removed May 26, 1992 by Eviro-Safe Corporation, P. 0. Box 304, Sagamore Beach,
Mass. 02562,
We have no underground storage tanks on the premises.
Sincerely,
Jo eph P +Hg'ilnbotha�m
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From Town of Sarnstabie Date 0N21193
14eatth Department
P. G- 8o,,x 5 34
Wyahnis MA 02601
RE : Underground Tanh at 268 STEVENS ST
Tag 4 74A
The BarnstabLe Health Department r ec.p, ;.n,d:i,,c,aT:L*-',-,t halt e' tlik,dergiound
,. fuet (or chemical) storage tank has ndi been tested as requireo -'u, nder
section 07: (5) of the Heatth Regutatioh Regarding F#Aet and Chemical Storage Sys,to#s.
You are direcced to have each tank ana its piping tested -within thirty (30 days
of receipt df this notice. Results of the testitig shatt be filed wi.tb. the., - —
a0ard of HealLth and the Fire departap-nt.
You are reminded that you shaft have the tank and its piping tested during the
IOEh., 13thr 15th,- 17th,, ,and 19th year after instaltatione and annuatty thereafter-
You may request a hearing if a writtert petition requesting same is received
oy xne 3o,ard of He4tth within seven days after t"is order is '-served.
Per Omer of the
Board of Health
To: BCC RMSTE11to, PAkit. L
SOR&STEIM.- STUART TRS Thomas McKeano Director
F 0 dOX 957 lit
Hy A WJ S MA 02601
rrOM tOJQ Of4barnstatittt } '0ate 001-2719.3
1466(th Department
P, +i. lo.c t 5 34
Rex Underground Tank at 26 STEVENS 5x w f X.
'boo d 746
The 4arn.staote Moatth, Deobrrnont' that ytaur" u z�er unt,
Ituet for cheaicat) starage %,an h+ s not-'been .+under j
.s;tc ; on O?z(S) ofi the, Weatth -Ra utatiota �i 'Q Cheoitai stara4o . sy4t*Mst,.
{ You are ruiracteJ to 'h3ae oach ' ttanx nex'. it:s 'gvi #lq tested wit#iin thirty •CR..� „��ys : '
rtceipt of this neat'.ic'e. Res4tt of tthe 'testing shatt be fret*d 00ith, the
i�varu of *e4ltn and .t.b•e Fire dgfjartnent
t You area r nursed that: you shaft have ttxe t4nk and its piping tested during the
10thr 13thor 5t ho l7ths, axed i9t�h year al' r irtstat tatiCYCt. and annuatty thereafter.
Yee May, re4ue3t a. ne4tiA� i l" a 441'1t7t 1 Ott i'tion re uextin� tape f$ irece:i:VO4d
. ?Y. tke �3oa,rd of Heattte ith1n 'e�rt.n M. days •after t#� s order is served.
N'.. - q% ^r t y..+. .•F: k _ i ;f. f _ 1 =:1 } .-. P'- :�+ ••>8 ^j t o •..r
r. 5 8
Per Ocoee of the
{ 0ar a 4f heatth
ox
t t.J. .', rti L.:FM-..:l ..-...• "';..... %: :.'."- `•^:'.rs' rF c,.;k".i$.' ..'q. .. ,,,o ..1i...., .w'a+a.,.�1 ..r,...w 4. 1''3 t.:, .. .,.a. r• 3..'.n rt !'t4:4E:.. .�reF.?.'� •., .a,i�....d. 1........vtr, i... t�, ..w
Town of Barnstable Date
Meattb Department
P, Q. i3 c-% 534
Hyannis SA C2601
RE: Underground Tank at 268 STEVENS ST
'rag 747
und
in,a,fr 'ha, youV U
The iarnstable Health Department reFo-rd's...I �'a 0
-fuel (or chemical) storage tank has n't been, tested as required 'under
!
section 07: 03 of the heattb Regulation Regarding Fuel and Chemical Storage Systems:
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You are direct.!d to its p,have each tank ana ping tested w-it-h-im—th-Irty (5CI) -da-ys
of receipt of this notice. Fesutts of the testing shall be f-ited.- with the
doard of Health and the Fire decartment-
You are reminded that you shaft have the tank and its piping tested curing the
10tbr 13th, 15tho 17tho and 19th year after installation, ano innvatky thereafter.
'You may request a hearing if a written petition requesting sane is received
try the Board of Healcb within seven (7) days after this order is served.
Per OrOer of the
Board of heattti
To.- BORNSTEIN, PAUL L
EURNSTEIN, STUART TRS Tnomas McKeanp Director
P 0 BOX 957
NY A U41 S MA 02601
Al
}
t oar tk. fit at� et rr , anti , ' ' sit' your `deroun4 �
# �tc�r cti .cat�r t S riot. bo a . r ± u n,aer
d :t t� 0 0) of # H= .atth a ut at f6r of I N, 464 Oioi ta, Storage, .
u ib 1,—e et to to Savo t'c ran'4 44 CtS .gf'P' A +teSte'4'Wi �� �ie��f�► .��►.�� � �€� ,
-.,tof P-4 t i P t thIs r�ati,cow. I ulta _6 f i #i,tod vi'tt t �
:oaf, heat fl :and xhoe
�3rt��t�t�. F; ,
; . Yo4 are r a n trd that ypu shott, .h -v e _the took ood Its � uin 6'sta� durin tiro
Iddth*v 9.St6p 15th* 17%h* 8 n d 19tb yvar -attos' iwsiat t'lon* and t�� .,�
YOU May reoueat arfIn 4r" �r� �� fit+'-��t�triOn .,� � recelvvd
the- 80arj Of- `Heatth :�+ a 4 Ys after till s t�rdrt" to @ vitij
v z7 SE S ,xs yyyW. y #'.*a r` Or de i of t h r;
0af' # of five it
th
€ ; U.
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From Town of earnstabie Date 06121193
Health Department
P. (I. ar.-x 534
Hyanni s MA 32601
RE., Undiergreuhd Tank at 268 STEVENS ST
308017
T a g 0 74S
We'
The Barnstable Healtb Department rero-rd,ri ou yr u d' rground
-fuel (6r chemicat) storage -tank has not been tested as required .4nder
section 07: (5) of the Health Regulation Regarding feet and Chemicat Storage Sys*tem-s-
You are Oirected to have earb tank and its piping tested *it-hin—thirty (3-0) days
of receipt of this notice.. Riesutts of the testing stiatt
card. of Peatth and the Fire cleparteent.
You are reminded that you shaft have the tank and its piping tested during the
10tho 13th., 15tho 17tho and 19th year after instatta tione and annually thereafter-
You may request a hearing if a written petition requesting souse is received
by the Board of Health withi,,n 'seven days after this order is served.
Per pacer of the
Board of Health
To., BORNSTEIN& PAUL L
W R W S T E I he STIJART TRS Thomas McKeane Director
P 0 aox 957
HYANNIS MA 02601
Frov, ' T-owo of `Carnstabte
8 tth Department d: .
534 ,
r Underr$round Tank -at. 2 6 C S Z14M ST 3C so �� 1� .
18
Tho bornstabte Hoa.tt`� Do�?artnynt r lcor'o -,d' �,O
s ue tar_ h 3cr�#� st,oralp tank hot not '000 t t st4td-as. roavirtd un.d+er � 1
40tti�n Lt�� C�5Y Of tho �Hdztth, Rr�uiat �4Xt a ar,d. n� #uet Sid#; C#�ea�ftak.;
o+ ore r t d t # v q�cb tan&, '0n0 :Its fat t st' ci �e t i r.t a .t t s ,.
t (f/ ;41
C#�45. . 'ntrtt �.$�ies t}�tyytr} q:� .�;he to , o 4b.at� be � ilt�+d �tthr t"ht
ryw f7Kr+ ktw. n4 .04 �[ Ff NT ♦ a i •Y r
+: ire reairtiirtd rt, you sht hive t#r rt. .nk_ and itsfpfn tested, clueingthe
.. Stho 1�th. I ?th*. and 9th Yaar, after in�ct�tt�tiarrr and annuotty t her,aa#ter,.:
Aµu Eby rtequt,s�t 'a hearin If a- ,iri'tten Petition r'aquesting :sa�aa is received
, by ,:��x � :ward of Hea L t'h .W f thin seven (7) days tit ter ithf s order is served,
K
`�' '1, '�'... { i, * .�.' ,.1. ':t� H} ( .� =ry' sp� , .rrv!a:•Aw�rry�-.,.,,{. � �ti,' i 1 - , .. _ ,
Per Order of the
alo R NIS V.I kll'ir'v- U A Pr T R-S Thomas A;Kcan.- Director
Mart '. '
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+
Number Fee
155 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00
Town of Barnstable
Board of Health
This is to Certify that BaUse Hyundai of Cape Cod
268 Stevens Street, Hyannis,MA 02601
Is Hereby Granted a License
FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS.
--------------------------------------------------------- -------------------------------- ------------------------ ------
--- --------------- -------------------------------------------------------- ---------- ------- ---------------------- -----
This license is granted in conformity with the Statutes and ordinances relating there to, and
and expires 6/30/2010 unless sooner suspended or revoked.
WAYNE MILLER,M.D.,CHAIRMAN
PAUL J.CANNIFF,D.M.D.
6/30/2009 JUNICHI SAWAYANAGI
THOMAS A. MCKEAN,R.S.,CHO
Director of Public Health
' i
Town of Barnstable
Barnstable
oFj T Regulatory Services Department
ft
R RN$TA M
Public Health Division
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9 "AS& � 200 Main Street, Hyannis MA 02601
m
2007
Office: 508-862-4644 Thomas F.Geiler,Director
FAX: '508-790-6304 Thomas A.McKean,CHO
Application Fee: $100.00
ASSESSORS MAP AND PARCEL NO. jo 8 —y L DATE_ 30--0 9
APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE
MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS
L'brvg-r. ►C lzAe�/
FULL NAME OF APPLICANT 0)pd- L6 C -:VN c 6�j ad a,` Q� �CoP)
NAME OF ESTABLISHMENT
ADDRESS OF ESTABLISHMENT 26 9 is'- 0vC--, cs s j Fl�1/Yhl7�'� �� o2jo1
TELEPHONE NUMBER 5666 75-2
SOLE OWNER: YES x NO
IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL
PARTNERS:
Te'b /8AIr64f- (RVvti z:1, y W, S fnn 0)699
IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.
v
STATE OF INCORPORATION M�4SS
y
FULL NAME AND HOME ADDRESS OF:
PRESIDENT S,5 h gg-)/-s� 1.21 6.k�x p,,/ ,l(F Iu
TREASURER L='awue,,o gy_)4,_t)u-A) (, /Uuvc Z- {ern t-s 2n. )uFLh, milt CO-�3 7
CLERK 5� IOU F'42�b7kh? pa Gv SPn-r M- o I u g
IGNATURE OF APPLICANT
RESTRICTIONS: HOME ADDRESS p o"L' Pi'me S�n`aru tit ��
HOME TELEPHONE
Q:\Hazmat\Haz Mat Application2008.DOC
Gtr; a
MAIL-IN REQUESTS
Please mail the completed application form to the address below. Also include a copy of
your contingency plan (to handle hazardous waste spills, etc.) In addition,please include
the required fee of$100. Make check payable to: Town of Barnstable. Allow time for
in-house processing. Our mailing address is:,
Town of Barnstable
Public Health Division
200 Main Street
Hyannis, MA 02601
FOR FAXED REQUESTS
Our fax number is (508) 790-6304. Please fax a completed application form. Also,
please fax us a copy of your contingency plan (to handle hazardous waste spills, etc.) In
• addition, please mail the required fee of$100. Please make the check payable to: Town
of Barnstable. The check must be mailed to the address listed above. Allow time for in-
house processing.
For further,assistance on any item above, call (508) 862-4644
Back to Main Public Health Division Page
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QAHazmat\Haz Mat Application2008.DOC
_JUN-25-2009 THU 03:54 PH FORD OF HYANNIS �, FAX N0, 5087750146 P. 01
• BALISE AUTO SALES
HAZARDOUS WASTE SPILL CONTAINMENT PLAN
Fire and Police Department or Ambulance: 911
Hazardous Waste Emergency Coordinators: Service Manager
Alternative Hazardous Waste Coordinator Parts Manager
If possible,Emergency Coordinator should first contact one of the personnel listed below and/or our Hazardous
Waste Transporter before calling one of the inumbers to report a release,spill or leak which may threaten human life
or the environment:
PERSONNEL TO BE NOTIFIED:
Work Cell Home
Richard Covington Ford of H annis 800-561-5835 508-737-2980
Edward Kardon NissanlH dai 508-771-3636 267-794-2555
Jim Demas Facility Director 413-735-1003 413-348-8689 413-781-1548
Stephen Fitts Risk Manager 413-735-1047 4I3-374-1664 4I3-567-9534
Steven Mitus CFO 413.735-1001 413-530-4429 413-530-4429
Hazardous Waste Consultant: Kristen Perkins
508-824-4939
John Furrh Associates
Hazardous Waste Transporter Safety-Kleen
Spill Contractor: 888-375.5336
EPA Transporter#CTD021816889
Hazardous Waste Spill Kits are maintained in the facilities parts Department.
Fire and Police Department or Ambulance 911
EPA New England 888-372-7341
EPA National Response Center 800-424.8802
EPA Hazardous Waste Super Fund Hot Line 800424-9346
FOR PARTICULARS OF PLAN REFER TO:
Hazardous Waste Coahngeney Plan
•
A
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kf) -25-2009 THU 03:54 PM FORD OF HYANNIS FAX NO, 5087750146 P. 02
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• HAZARDOUS WASTE CONTINGENCY PLAN
i
The following is our written contingency plan for each[site, designed to prevent and minimize
hazards to public health or to the environment from, fires, explosions, spills or any other
unplanned release of hazardous waste to the air, soil, surface or ground water. Plans have been
prepared for each site and will be administered by the Emergency Coordinator.
FIRE RESPONSE
Use of hire Extinguishers.
Jr)the event that a fire does start,associates may respond with ABC-rated dry chemical fire
extinguishers if the fire is small and they can approach it without endangering themselves. The
location of the fire extinguishers is shown in the"Evacuation Plan". In such cases one associate
should call the Fire Department(911)while others try to contain the fire. If associates are alone,
they are instructed to call the Fire Department--not to fight the fire.
If associates determine that they,can use the fire extinguishers without endangering themselves,
they should remove the pin of the fire extinguisher,point the nozzle at the base of the flames,
squeeze the handle and direct the output to sweep back and forth at the base of the flames.
During this operation it is important to be alert so that the;fire does not cut off the associates'
escape route,and that their lives are not threatened by smoke inhalation.If either of these
conditions seems possible,they are instructed to get out fast,and leave the fire fighting to the
Fire Department.
P
• Generally,water is not effective in fighting flammable and combustible liquid fires. Gasoline and
oil float on water,so pouring water on this type of fire may actually spread the fire.
Natural Gas Line. `
There is a gas line coming into a shut off and meter located in the outside of the building as
shown in the"Evacuation Plan".In the event of fire or leaking gas the Emergency Coordinator
should close this valve if it can be done without endangering themselves. Otherwise they should
alert Fire Department and Gas Company workers.
i
SPILL PREVENTION AND RESPONSE
Initial response and reporting spills.
If there is a leak, immediately stop the discharge if it can be done quickly and without risk.
Notify the Hazardous Waste Emergency Coordinator at once(phone numbers for the Emergency
Coordinator are under"Emergency Information").
Whenever the Emergency Coordinator determines that there is an imminent or actual emergency
which could threaten public health, safety,welfare or the environment,they shall immediately;
1. Activate internal facility alarms or communications systems to notify all personnel.
2. Refer to section"Emergency Phone Numbers"-Hazardous Waste Contingency Plan
I Notify local agencies with designated response roles if their help is needed.
Gasoline Solvent and Oil mills {
• If flammables are present,use only non-flammable tools and eliminate all sources of ignition.If
the smell is very strong evacuate the area. Windows and doors may be opened to reduce odors,
but do not turn on fans or other electrical equipment,unless they are explosion proof when
flammables are involved, If there is a fire,don't open windows and doors, since the air will make
.. -JUN-25-2009 THU 03;54 PM FORD OF HYANNIS -FAX NO. 5087750146 P. 03
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the fire burn faster.
For small spills pour ground clay(e.g. Speedi-Dri)arouna the spill,building a dike to prevent its
spread. Pour additional ground clay on top of the spill.Remove or stop the source of the spill.
Often this involves transferring material to an approved nqn-leaking container,such as DOT
specification 17E closed head drum.In some cases it mayybe possible to tip a leaking drum on its
side so that the hole is on the top.After the spill is stopped and absorbed, shovel the ground clay
into an approved container, such as DOT specification 1:711 open-head drum with a Hazardous
Waste label filled out.
Acid Spills. s
; i
Electrical storage batteries are a potential source of sulfuric acid spills if dropped or otherwise
damaged. Spilled acid from batteries is hazardous waste;because it is corrosive,and also may
contain toxic substances including lead and arsenic.
WARNING: SULFURIC ACID CAN CAUSE SEVERE SKIN BURNS,AND BLINDNESS IN
THE CASE OF EYE CONTACT!
in case of contact with acids,first rinse skin for at least 5 minutes(15 minutes for eyes)with cold
running water then go for medical help.There is an eye wash flushing station at each dealership.
If someone else is present,then get medical help while rinsing continues.
Large acid spills(more than a quart)can be confined by pouring a dike of ground clay around
the spill. The subsequent clean up of a large spill should,be left to professionals.
; t
Small acid spills can be neutralized with sodium bicarbonate(baking soda)or sodium carbonate
(soda ash). Wear protective clothing including eye goggles since there will be bubbling and
splashing. Apply soda by sprinkling the powder,or an aqueous soda solution, on the aid spill
gradually.The neutralization process is exothermic(gives'off heat).Diluting strong acid
solutions with water also generates heat that can cause boiling and splashing. The bubbles of
carbon dioxide gas evolved during neutralization are not flammable but acids coming in contact
with some metals including zinc generate flammable hydrogen gas.Always make sure that there
are no sources of ignition at any acid spill and that flammables are kept separate.
When enough soda has been added to neutralize the acid,the bubbling will stop even if more
soda is added.Neutralization should be checked by dipping a piece of pH paper in the liquid and
comparing the color of the paper with the chart on the package of paper. A pH of 7 is completely
neutral,but a reading of 6 or above is acceptable.
Cleanup the neutralized spill with a mop and place in appioved labeled Hazardous Waste
containers. A DOT specification 17H drum is acceptable if a heavy duty polyethylene liner is put
in the drum first.Rinse the area with mop and water.The first rinse water should go into the
drum also.If you are certain that the spill area has been fully neutralized(use pH paper as
described above)subsequent rinses may be poured into the sewer.
F �
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JON-25-2009 THU 03:55 PM FORD OF HYANNIS FAX NO. 5087750146 P. 04
HAZARDOUS WASTE CONTINGENCY PLAN ; r
EQUIPMENT LIST
i
Ttem Description Location
Fire Extinguishers See"Evacuation Plan"
Fire Blanket Over,,Parts Tech Window
Eye Goggles Issue
Baking Soda Parts SStorage
E
Rubber Gloves Tool Room
3
k
Rubber/Plastic Apron Tool Room
pH Paper Service Manager Office
First Aid Kit Service Area
Hazardous Waste Labels Service Manager Office
DOT 17E& 17H Drums Service Area
Polyethylene drum liners Parts Storage
i
Flash Light Service Manager Office
Ground Clay Service Area
Drum Wrench Tool 1Zoom
� 1
Brooms Tool Room
t
Non-Sparking Shovels Tool Roorn
'i
i
n.
Number Fee
157 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00
Town of Barnstable
Board of Health
This is to Certify that Hyannis Nissan
268 Stevens St., MA 02601
Is Hereby Granted a License
FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS.
This license is granted in conformity with the Statutes and ordinances relating there to, and
and expires June 31, 2008 unless sooner suspended or revoked.
---------------------------------------
WAYNE MILLER,M.D.,CHAIRMAN
SUMNER KAUFMAN,M.S.P.H.
5/31/2007 PAUL J. CANNIFF,D.M.D.
THOMAS A.MCKEAN,R.S.,CHO
Director of Public Health
J
Town of Barnstable
Regulatory Services
Thomas F. Geiler,Director
A E& Public Health Division
9$'°reax�ct°i1e� Thomas McKean,Director
200 Main Street, Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Application Fee: $100.00
ASSESSORS MAP AND PARCEL NO. DATE
APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE
THAN III GALLONS OF HAZARDOUS MATERIALS
FULL NAME OF APPLICANT db co 1-N NW,f wc" W SS Mid
NAME OF ESTABLISHMENT 'CZ tL4XNI i US i i tS�CR I�
ADDRESS OF ESTABLISHMENT MA 0a j
TELEPHONE NUMBER
SOLE OWNER: YES__I, NO
IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL
PARTNERS:
ft(k 005( q
IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. On-S A-l4�
STATE OF INCORPORATION psCyA U sa-77 S
FULL NAME AND HOME ADDRESS OF:
PRESIDENT "R�et-� R� t - Cn�rt�r,-roN ���,.��t�t���g �Pt� er r s is ,.MPl
TREASURER
CLERK
SIGNATURE O ICANT
RESTRICTIONS: HOME ADDRESS \o tKN�e S wA g- st i itc�t, to c.
HOME TELEPHONE # SOS as%O
Number Fee
157 THE COMMONWEALTH OF MASSACHUSETTS $100.00
Town of Barnstable
Board of Health
This is to Certify that Hyannis Nissan
268 Stevens St., MA 02601
Is Hereby Granted a License
FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS.
----------------------- --------------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------ ------------
This license is granted in conformity with the Statutes and ordinances relating there to, and
and expires June 30, 2007 unless sooner suspended or revoked.
----------------------------------------
WAYNE MILLER,M.D.,CHAIRMAN
SUMNER KAUFMAN,M.S.P.H.
May 30, 2006 PAUL J. CANNIFF,D.M.D.
THOMAS A.MCKEAN,R.S.,CHO
Director of Public Health
e
Town of Barnstable
°F1HE TpN� Regulatory Services
Thomas F. Geiler,Director
9B^ MA-S& Public Health Division
.q i63 �0
ArF A Thomas McKean,Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Application Fee: $100.00
ASSESSORS MAP AND PARCEL NO. DATE
APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN
III GALLONS OF HAZARDOUS MATERIALS
FULL NAME OF APPLICANT "
NAME OF ESTABLISHMENT
ADDRESS OF ESTABLISHMENT
TELEPHONE NUMBER SOFs - `l Q l - 13(0360 ICU
SOLE OWNER: YES NO 1 ' lit
IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL• — �-
PARTNERS: 1 f`' r7'
IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.
STATE OF INCORPORATION 1^n�S�C`i��)SCTC'S
FULL NAME AND HOME ADDRESS OF:
PRESIDENT {R\G*fl-«b L- C1�U lt� l�1 � l>;s�iltJl�S t �l Ef�sT SR►.L1�wl�iN.c M C��s3`?
TREASURER
CLERK
SIGNATURE OF APP ANT 77
RESTRICTIONS: HOME ADDRESS r_ Sa�.rnw��cN, Mk 0aS3`7
HOME TELEPHONE#
Q:\Application FomiMAZAPP.DOC
f
i
MAIL-IN REQUESTS
Please mail the completed application form to the address below. Also include a copy of your
contingency plan (to handle hazardous waste spills, etc). In addition, please include the required
fee of$100. Make check payable to: Town of Barnstable. Allow five to seven(7) working days for
in-house processing. Our mailing address is:
Town of Barnstable
Public Health Division
200 Main Street
Hyannis, MA 02601
FOR FAXED REQUESTS
Our fax number is (508) 790-6304. Please fax a completed application form. Also, please fax us a
copy of your contingency plan (to handle hazardous waste spills, etc). In addition, please mail the
required fee amount of$100.00. Please make the check payable to: Town of Barnstable. The check
must be mailed to the address listed above. Allow up to four days for in-house processing.
For further assistance on any item above, call (508) 862-4644
Back to Main Public Health Division Page
Q:\Application Forms\HAZAPP.DOC
C,py,ight 2000 ADP.Inc.
CHECK HYANNIS NISSAN PAGE 1
CL;WTROL NO. 14282 ISSUED BY: Murray, Denise HYANNIS,MA 02601
:::.:::::::::::::::.............:..:.:::.:.:::::.::::.......... :: 13}5.:.:.........::::.:::..:::::::::.....:..::.::::.,.....:::::::.
OIGE.:::::::::.: .U€3OH :............................. .
OE...........I.PI . ..
C£�.IVIM.ENT .#.,N.• acct�r�nrr .... �MOO1��.::::::
. . . :.:....::::
TIC
.........................
052306 ANNUAL PERMIT - HAZARDOUS 100.0
MATERIALS TOqN OF BARNSTABLE
14282 20300 -100.0
HA -MAT-PERMIT 4803 100.0
TOTAL 20300 100.0
DETACH AT PERFORATION BEFORE DEPOSITING CHECK REMITTANCE ADVICE
Number Fee
155 THE COMMONWEALTH OF MASSACHUSETTS $loo.00
Town of Barnstable
Board of Health
This is to Certify that Balise Hyundai of Cape Cod
268 Stevens Street, Hyannis,MA 02601
Is Hereby Granted a License
FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS.
- __ .....--- ----- . ._ - _.. _ .. _.. . ....
------- .._...... . ... ......... .. ..... _ .. - . .. . .. . .. _...
I
This license is granted in conformity with the Statutes and ordinances relating there to, and
and expires 6/30/2011 unless sooner suspended or revoked.
- ------------------------
WAYNE MILLER,M.D.,CHAIRMAN
__PAUL J.CA_NNIFF,D.M.D_.
6/30/2010 JUNICHI SAWAYANAGI
THOMAS A. MCKEAN,R.S.,CHO
Director of Public Health
kf~f�,NNt rr Ni
TOWN OF BARNSTABLE — UNDERGROUND FUEL AND CHEMICALISTORAGE REGISTRATION
to OWNER AND I NSTALL'ER''I NFORMAT I O
ADDRESS: _, �f G� ll ! (- ,C IA i .S- MAPS NO�.� t� PARCEL NO��
;�,
OWNER NAME: ' � /�/� C( C? t`1 t � G�.f G ,4 ujv I LL-AGE: !
INSTALLATION DATE: 17 7 BY:
. 6/
ADDRESS: CERTI NO.
k/( ' -7 -7 3 b ` TANK I NFOBMT I ON
LOCATION OF TANK:
j CAPACITY <6V 61 TYPE a,3~ J l (AA,, AGE � F EL/CH_EM I AL _ 0 .. )e(l P-14 z oil
TESTING CERT N AT I ON C I PASS C I F.A I L DATE/
LEAK DETECTION C 7 -CHECK IF N�/A YPE/._BRAND
ZONE OF CONTRIBUTION C ] YES�J �tXlc ,O ,"){DATE TO-BE REMOVED
FIRE DEPT. PERMIT ISSUED C `'STYES C I NO DATE 1 II
CONSERVATION C 7 CHECK IF N/A DATE f
BOARD OF HEALTH . TAG NO. I'q3C ]C ]C ]C ] DATE
PLEASE .PROVIDE A SKETCH .SHOWING THE TANK LOCATION ON T.HE BACK OF .THIS CARD.' '
�/ `�
��
z
� � S�q�J
Number Fee
155 THE COMMONWEALTH OF MASSACHUSETTS $100.00
Town of Barnstable
Board of Health
This is to Certify that Balise Hyundai of Cape Cod
268 Stevens Street,Hyannis,MA 02601
Is.Hereby Granted a License
FOR: STORING OR HANDLING'111 GALLONS OR MORE OF HAZARDOUS MATERIALS.
This license is granted in conformity with the Statutes and ordinances relating there to, and
and expires 6/30/2011 unless sooner suspended or revoked.
---------------------------------
WAYNE MILLER,M.D.,CHAIRMAN
PAUL J.CA_NNIFF,D.M.D. _
6/30/2010 JUNICHI SAWAYANAGI W
__...__... THOMAS A. MCKEAN, R.S.,CHO
u� f Director of Public Health
TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM
Mail To:
NAME OF BUSINESS: h�yr,� /1%ss �d v 2' ��� Board of Health
MAILING ADDRESS: �� �-�O "�' ��'�' `�°1 �'y� own of Barnstable
TELEPHONE NUMBER: � - I� P.O. Box 534
Hyannis, MA 02601
CONTACT PERSON:
Does your firm store any of the toxic or hazardous materials listed below, either for sale or for
your own use, in qua tities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry
weight? YES NO
This form must be returned to the Board of Health regardless of a yes or no answer. Use the
enclosed envelope for your convenience.
If you answered YES above, please indicate if the materials are stored at a site other than your
mailing address:
ADDRESS:
TELEPHONE:
LIST OF TOXIC AND HAZARDOUS MATERIALS
The Board of Health has determined that the following products exhibit toxic or hazardous
characteristics and must be registered when store
ase put a check beside each product that you store:
Antifreeze (for gasoline or coolant systems) Drain cleaners
Automatic transmission fluid Toilet cleaners
Engine and radiator flushes Cesspool cleaners
Hydraulic fluid (including brake fluid) Disinfectants
_Motor oils/waste oils Road Salt (Halite)
Gasoline, Jet fuel _,� Refrigerants
Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides,
Other petroleum products: grease, lubricants rodenticides)
.,""-Degreasers for engines and metal Photochemicals (fixers and developers)
Degreasers for driveways & garages Printing ink
Battery acid (electrolyte) Wood preservatives (creosote)
Rustproofers Swimming pool chlorine
Car wash detergents Lye or caustic soda
Car waxes and polishes Jewelry cleaners
Asphalt & roofing tar Leather dyes
Paints, vats, ems, Fertilizers (if stored outdoors)
Paint & lacquer thinners PCB's
P T;teg ossers .,-----Other chlorinated hydrocarbons,
Paint brush cleaners (inc. carbon tetrachloride)
Floor & furniture strippers Any other products with "Poison" labels
Metal polishes (including chloroform, formaldehyde,
Laundry soil & stain removers hydrochloric acid, other acids)
(including bleach) Other products not listed which you feel may
Spot removers & cleaning fluids be toxic or hazardous (please list):
(dry cleaners)
Other cleaning solvents
Bug and tar removers
Household cleansers, oven cleaners
White Copy-Health Department/ Canary Copy-Business
l//�Z�afiLc'l
TOWN OF BARNSTABLE OMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair
satisfactory 2.Printers
BOARD OFIEALT� 3.Auto Body Shops
rr4. O unsatisfactory- 4.Manufacturers
COMPANY; , (see"Orders") 5.Retail Stores
6.Fuel Suppliers
ADDRESS b ' Class: ` 4!-57.Miscellaneous
/P,� /00qMNTITIES AND STORAGE (IN= indoors;OUT=outdoors)
MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks
IN OUT IN OUT IN OUT #&gallons Age Test
Fuels:
e u
Heavy Oils: v
waste motor oil (C)
new motor oil (C) d
.4va J°Z-AWa/j'x� r �� �C
traWmission/hydraulic �3
Synthetic Organics:
degreasers
Miscellaneous:
� v
W
DISPOSAURECIAMATION REMARKS:
1. Sanitary Sewage 2.Water Supply
O Town Sewer Public1�
O On-site OPrivate
3. Indoor Floor Drains YES-NO f
O Holding tank:MDC '
O Catch basin/Dry well
O On-site system
4. Outdoor Surface drains:YES NO ORDERS:
O Holding tank:MDC
O Catch basin/Dry well
O On-site system
5.Waste Transporter
Name of Hauler Destination Waste Product
YES NO
2• ot OE
�✓
Per on (s) Interviewed Inspector Date
TOWN OF BARNSTABLE ,COMRUANCE: CLASS: 1.Marine,Gas Stations,Repair
BOARD O IH!E nters
L H ( satisfactory 3.2.Auto Body Shops
r * 0 unsatisfactory- 4.Manufacturers
COMPANY (see Orders ) 5.Retail Stores
6:Fuel Suppliers
ADDRESS - .S�
C18SS: 7•Miscellaneous
e /'?4ANTITIES AND STORAGE (IN=indoors;OUT=outdoors)
MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks
IN OUT IN OUTI IN OUT 1#&gallons 777 Test
Fuels:
Gasoline,Jet Fuel(A)
Diesel, Kerosene, #2 (B)
Heavy Oils:
waste motor oil (C)
new motor oil (C)
transmission/hydraulic
Synthetic Organics:
degreasers
�S l 7 4,Al
fffisceqlaneous:
i
l ar
IV
DISPOSAURECLAMATION REMARKS:
1. Sanitary Sewage 2.Water Supply
O Town Sewer OPublic
0 On-site OPrivate
3. Indoor Floor Drains YES NO
O Holding tank:MDC
O Catch basin/Dry well
O On-site system
4. Outdoor Surface drains:YES NO ORDERS:
O Holding tank: MDC
O Catch basin/Dry well
O On-site system
5.Waste Transporter
Name of Hauler Destination Waste Product
YES I No
1.
L. 2.
Person' (s) Interviewed Inspector Date