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HomeMy WebLinkAbout0032 WAREHOUSE ROAD - HAZMAT 6 rn'cc u n M 6+6 r uioo o - 1 3a Walt wJwy- Uj Qg3 - 03- • • t. - Number Fee 702 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Morrison Autoworks, Inc. .-------------------------------------------------------------------------------------------------------------------------------- 32 Warehouse Road, Hyannis, MA .----------------------------------------------------------------------------------------------------------------------------------------------------------------------- Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. ------------- ------------------------------------------------------------------------------------------------------------------------------------------------------ Restrictions: -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and expires 06/30/2021 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 a 41/ J Town of Barnstable 0 Inspectional Services BARNSTABLE d• ^ PiRY.TaBLE•CENIFlVfIIF•CONIT•YYAM1RIS ANYS10175 4ll5•Da TMII-•YF_ST B.�Yi51n&E Public Health DiVision 1639-2014 �.. I �UrAB�. = Thomas McKean, Director MAW Dg n 39. 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE CD c HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, Zt` HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑/ CATEGORY 3 PERMIT 500 or more Gallons: ` `$150:00` �i UST ..1 A late charge of$10.00 will be assessed if ment is not received b Jul ist. (S * aOS 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? ES_NO.Y IF YES, KIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF • GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: `/5 nw 2�- 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: �4I 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: Me 9. EMAIL ADDRESS: �� 1 Oldri!Azzaww< 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 APPLICANT tl ATE Q:\Application Forms\Haz Mat Appli Draft Jan2 docx °FIKErok Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMAS% .. D• 200 Main Street• Hyannis, MA 02601 1659. ArFOMA+a`0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: 40 &r �,S Date: /4 61-j U Location/Mailing Address: Contact Name/Phone: .. i2A;. �, �� �f��r- 27 J.-U L4 06 Inventory Total Amount: L , jZv,a MSDS:--::;., 0.34,Y. License#: 9 0 Lt Tier II : 4/6 Labelino: C``� Spill Plan: Oil/WaterSeparator: 1 Floor Drains:C-n re JFn Emergency Numbers: Storage Areas/Tanks: 7.1�' ftJa.>f 6;, I �1 04 4 �- Emergency/Containment Equipment: Waste Generator ID: ►'Yl V 5 6 91 n�7 101406 Waste Product:We'Jimo; Date&Amount of Last Shipment/Frequency: X<b Licensed Waste Hauler&Destination: � LJ Other Waste Disposal Methods: YV 114 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 INfc"f 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 Wcv a1rV-J Iws A-1475 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 1/ 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 ✓G Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes �t — 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) ORDERS: INFORMATION/RECOMMENDATIONS: 7SI • 0 Inspector: Facility Representative: G WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS � y � �J��' �� �� o� !� r_� c7�'��A9'��✓S� °FTHe roy� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARMAARRLE.9" 200 Main Street• Hyannis, MA 02601 i639 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rE0 MA'S Business Name: >y vt"<<S c•A- V &4,r 049!kcLg Date: `M 1 `S Location/Mailing Address: 32 AA , HI/a.M rI tS Contact Name/Phone: Mo«<gor` S`vg- 111- Inventory Total Amount: bV-0 Ia-I SDS: OK- O''��tiw`' License#: -707- �Ai3 -'exp Tier II : !J o Labeling: O Y\ Spill Plan: Oil/WaterSeparator: t�n Floor Drains: `617-c-4-f PA-A-Emergency Numbers: Storage Areas/Tanks: l<I&I W k ,1l e%l AST A.�4skLc Q�k,r<4ec q�L I 3-SS tut vv e� Emergency/Containment Equipment: 5&fir-v-k- QAQg auek 5e 1 T y Waste Generator ID: �l Waste Product: W&44,� of Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: IA 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 k 1Yw4A''<. 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 +,LriIv 4tikc- Miscellaneous Corrosives Gasoline,jet fuel; aviation gas Cesspool cleaners i e 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: 0AZWA I I C mok4. 1ST ORDERS: fZkWx4 � 05X $tit[ PJ Avt,. INFORMATION/RECOMMENDATIONS: Inspector: Facility Representative: V It WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS TMETOkI Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARNSTABLE, 7 Mp.�q, D, 200 Main Street• Hyannis, MA 02601 �p 1659.p�0 M TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT TED PS nn Business Name: _ I r l0 rd Sox. Mo}o! do lv—t. Date: 111 1/ 1 Location/Mailing Address: 3-Z l.J�c��v . Ve�T y&y�v%t :�k Contact Name/Phone: �T�S�'�.ti -(vlo cc�sox 58AZ7711'c.lb6 Inventory Total mount: SDS: A License#: 7t2Z C443 Tier II : Labeling: vk< Spill Plan: 0•K Oil/WaterSeparator: M 10( Floor Drains: -";- g(bc�—re Emergency Numbers: UK StorageAreas/Tanks: q- � 4- .fv"n .O-H, I 1 29 a,1 AS'C PnSkLo l al bvcl�e{S a , Emer enc /Containment Equipment: 5 4,c.ce; 5 ou, 5A�e-, Waste Generator ID: d o12-17i yND0 Waste Product: O / 4K,� r se, Date&Amount of Last Shipment/Frequency: 2'70 aj ^' zX e 8 1 Licensed Waste Hauler&Destination: Vesie,!►ti, 1�Z Other Waste Disposal Methods: wkyo aralwS 0,% k&Cf61t, LIST OF TOXIC AND HAZARDOUS MATERIALS I"D �^'�� < GK,a-,dc kv— \%W.--l1 k" 51w— NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils twahtZ Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Die� .'uel, 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 V 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: J y7J25 U`� <4CO tA b 4. Inspector: 1 Facility Representative: - LAAL WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS r� `oFI"HE 'ow�� Town of Barnstable Office:508-862-4644 • Public Health Division Fax:508-790-6304 • RnRMA.RR E 200 Main Street• Hyannis, MA 02601 �''FOMn+"tee TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: A0<<%50V" Wet\c Date: 7 b l Location/Mailing Address: 32 -A Contact Name/Phone: �'vs��•.- m t•gow SaS - 'i 1 -oyo6 Inventory Tot I Amount: MSDS: License#: vp2 Tier II : o Labelin : 1'� � Spill Plan:� Oil/WaterSeparator: 0 ilk Floor Drains: Kln Emergency Numbers: Storage AreaslTanks: - - j IvvKS ew A Sal c-I Coo-A,c. Emergency/Containment E ui ment: 9��� ���{y QVa�l4blc. ou o,ke _ Waste Generator ID: 11 1 Jq dto Waste Product: opt Date&Amount of Last Shi ment/Fre uenc .01 SO a. Licensed Waste Hauler&Destination: -�-k 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 t 0607k ,s Dry cleaning fluids �— Automatic transmission fluid i3O�,At 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 at Cesspool cleaners iesel fuel, kerosene, #2 heating o q 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/REC M ENDATION r-4 ,n l o f g5v k 1 PQjS��Q'ZT Y�15�t7j0.L 1 Co LVt12`j T O c,lt� Inspecto� La�e 12- C% �0<- (,LC .�OS'[ : K- C/I �] Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS l .4 Number Fee 702 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Morrison Motor Works 32 Warehouse Road, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. --------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2017 unless sooner suspended or revoked. ---------------------------------------- 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 r Town of Barnstable �'THE ti Regulatory Services Richard V. Scali, Director z ��AB BAMSTABLE Public Health Division a t6;q 10 J, B""uas"ro"a°——��7 �a•s--s''vs- fDMA�� , �U��/(� is*U*14 . Thomas McKean Director v, 200 Main Street,Hyannis,MA 02601 Q �' Office: 508-862-4644 Fax: 508-790-6304 W 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 � S A late char a of$10.00 will be assessed if payment is not received by July 1st. ASSESSORS MAP AND PARCEL NO. 3 3 DATE FULL NAME OF APPLICANT: NAME OF ESTABLISHMENT: p ADDRESS OF ESTABLISHMENT: MAILING ADDRESS(IF DIFFERENT): 29 TELEPHONE NUMBER OF ESTABLISHMENT: `7 rl! D 6 EMAIL ADDRESS: SOLE OWNER:_LZKLNO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME /7-10yryn/f t., ,`y pl?"n Z 0</__-< PRESIDENT TREASURER /C CLERK �39 IF PREPARED BY OUTSIDE PARTY: SIGN O A LICANT Name: Company Addre Telep ail: Zpplication Forms\HAZZAPP Rev I6.docx Page 1 of 2 IKE►ogti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMAR%B .�! 200 Main Street• Hyannis, MA 02601 p 1639.M p�0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT tED PS Business Name: l rl nn or4-%Saw- Mo+..r Date: Location/Mailing Address: Z r lno.ssc 4✓►ri-S Contact Name/Phone: 3 5 I I%- OVNl -r%-09- 7 t -0Y0(� Inventory Total Amount: G�0 MSDS: License#: -701- Tier II : . Labeling: oo Spill Plan: 6. Oil/WaterSeparator: Floor Drains: ka Emergency Numbers: dS Storage Areas/Tanks: /17 RS\ cj� wm ke, -w ,-A&11)% Emergency/Containment Equipment: Waste Generator ID: O 7? 16 6 Waste Product: of I. *A ec-1 e,- Date&Amount of Last Shipment/Frequency: f `� ! Sop / A,Z-3 Licensed Waste Hauler&Destination: a e )'(I e�2v,.- =7 11b, 1.N,she— olovrt 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 4 a4,,'A .k al eon .�,,,� y 4 Dry cleaning fluids Automatic transmission fluid SS Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers �— Hydraulic fluid (including brake fluid)k V Windshield wash q&1 &,^k4lw--CS 7— Motor oils ASS x 1-'14AY v' x�� Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil k Disinfectants Miscellaneous petroleum products:Sti Road salts grease, lubricants, gear oil �par 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 &4-coso\1' 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: nn INFORMATI N/RECOMMENDATIONS: C s 0 15 So25 of f C6,titv +' ans Inspector: I LAVZJ l_e_- Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS I►IE Teti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • RnRMA�,%- 200 Main Street• Hyannis, MA 02601 t639 M TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rF0 A'S Business Name: of<i so.-- Ao-tme- Date: Location/Mailing Address: n2, Hy a v,n i S Contact Name/Phone: ,l*,Aor<<sov.. So -771- Inventory Total Amount: ^''sb0_ �a� MSDS: �� License#: 2- Tier[I : tj 0 Labeling: Goo Spill Plan: (A<— 2 -ss� Oil/WaterSeparator: Floor Drains: mer ency Numbers: Ye-5 Storage Areas/Tanks: '15-Ik I oks+e,o I �b1e._ e. c 2 4VIht�<QZW2 "eW PN Emergency/Containment Equipment: Cv a%K Eck 4 5 'S ICIJ o�cv►tita.�,�,�..�k tl� Waste Generator ID: D '1'r I D 'Waste Product: o, a K ► t Date&Amount of Last Shipment/Frequency: S 0 1 -3 Licensed Waste Hauler&Destination: c' &4 v� ax, yy Other Waste Disposal Methods: X%1 t 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 Engine and radiator flushes I 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: 0 1 I-T Inspector: �� Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS Date: 11 I AS 13 TOWN OF BARN STABLE,,,—.., btv�.J TOXIC AND HAZARDOUS MATERIALS FORM NAME OF BUSINESS: Arf k)or-�e—S BUSINESS LOCATION: 32 INVENTORY MAILING ADDRESS: ,Sa.K o— TOTAL AMOUNT. TELEPHONE NUMBER: So$ --7? 1 - b4D(o CONTACT PERSON: --rvs+f v%-. t�vrt',sa,ti, EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: avfo 4Il *Ae,s INFORMATION / RECOMMENDA IONS: e,�,p c�veTs 15 b,.�, Fire District: tVC, s 1 s ya to rl s t o r 1J4 n11 ab 1 + n S - -'t>c'.Vm s Waste Tv ananf% to iea !yI✓.�o8�-7 t oyob Last shipment of hazardous waste: SA-rA-11 3 Name of Hauler: C_/�Qy..jj&A"c ]SaFe, v 1'1een, Destination: s �15 Waste Product: L.mSIP_o, Pre,¢.ge._ Licensed? es No ,Mf��a66fl8�cx�S NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum 4$ Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive KNEW 13 USED 5 s Cesspool cleaners -7fl Automatic transmission fluid (S'S-pa,x6t<) Disinfectants Engine and radiator flushes Road salts (Halite) a Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides 3e3$ O NEW 113 YUSED 2-14"R6T (insecticides, herbicides, rodenticides) S Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene,#2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals(Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives(creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) 2 Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes Laundry soil &stain removers (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials ��- td tp Number Fee 702 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Morrison Autoworks, Inc. 32 Warehouse Road, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. --------------------------- ------ -- -------------------------------- ------------------------------------------ ---- --- ------------------- --_-.. ---------------------------------- ----------------------------------_------------------------------------------ -------------------------- ------------ This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2020 unless sooner suspended or revoked. ------------------------------- PAUL J.CANNIFF, D.M.D,CHAIRMAN DONALD A.GUADAGNOLI, M.D. 07/01/2019 JUNICHI SAWAYANAGI THOMAS A. MCKEAN, R.S.,CHO Director of Public Health Town of Barnstable THE Inspectional Services BABSTABLE F Tn..� .i"s"rc58ui�s�.asa u=°+-�s'e'w"asa�.e O o� Public Health Division YBARNgrABL.E, Thomas McKean, Director G� ArE1 39. 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 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 DULY 1 st-JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 jg ysid *A late charge of$10.00 will be assessed if payment is not received by July 1st. I od-80 1405 0 1. ASSESSOR'S MAP AND PARCEL NO�ZS 2. IS THIS A PERMIT RENEWAL? _NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF • GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: 5"A 5 _�)ti2 5. NAME OF ESTABLISHMENT: Mp(Z R( 5 m A U T-D Gc�d K K S in C 6. ADDRESS OF ESTABLISHMENT: -3 7- ISF 0ti t4 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: �`d g - - Q o 9. EMAIL ADDRESS: :1—U 5'rwt MA/L✓ ,5w 10. SOLEOWNER: t/YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK V/ 12. IF PREPARED BY OUTSIDE PARTY: NAME:, TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT 114,A DATE Q:Wpplication Forms\Haz Mat App Revised 09-10-18 ocx Number Fee 702 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Morrison Motor Works 32 Warehouse Road, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. ------------------------------------------------------------------------------------------------------------------------------- -------------------------------- ---------------------------------------------------------------------------------------------------------------------------------------------------------------- J:Z5 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 C� ~ 0 �i �O'4 10engatory of B�nstable Services Richard V. Scali,Director Public Health Division BANTABLE • ' BABNSPABLE. = Thomas McKean, Director �ann�� i63 o1aM+sr� M1R A 1t3Ll •pS1E0.YJE•N'di fl4Rp5»BtF WMS& ArFD A`0�659. 200 Main Street, Hyannis,MA 02601 M Office: 508-862-4644 Fax: 508090-6304 �r APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE C 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 DULY 1 st-JUNE 30th). 1�/ APPLICATION FEES CATEGORY 1 PERMIT 26-- 110 Gallons:- $-50.00 __i__-_�_ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 0 CATEGORY 3 PERMIT 500 or more Gallons: $150.00 S' V S, *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. b 2. IS THIS A PERMIT RENEWAL? "- S_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: �U �'/�/. i?,�il 4, 5. NAME OF ESTABLISHMENT: � i �/ � 6. ADDRESS OF ESTABLISHMENT: 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: ' 8. TELEPHONE NUMBER OF ESTABLIS _.52) t MIFUIT 9. EMAIL ADDRESS: r 10. SOLEOWNER:�S_NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME j'lild' sue! y042=0 f ,��ej&C<� PRESIDENT TREASURER CLERK Y 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATEr�f; /j� Q:\Application FormsUiAZMAT APP 2017 REVIS docx Number Fee 702 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Morrison Motor Works 32 Warehouse Road, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. _ �l -------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------- 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 TOwr of Unstable Regulatoerices Richard V. Scah,Director of t►�roil, ' -Public Health Division BARNSARE erxn5rnult•Q++r !6•oiurt•xrnnris BAMSTABLE, • Thomas McKean " ti`s""S• DSASS. r )Director 1639-201(:+y, �fD Ma+a`e� 200 Main Street, Hyannis,MA 02601Dg `� Office: 508-862-4644 cO -7 aol9 Fax: 508-7�90-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS " IN ACCORDANCE VA'ITH 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). o APPLICATION FEES CATEGORY 1 PERIVIIT '26- 110 Gallons: $ 50:00 J"- -❑ - CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 x vs *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO —'. 2. IS THIS A PERMIT RENEWAL? YES_NO. 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 QUANTITTIE-S (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: 5. NAME OF ESTABLISHMENT: OL4i/r,/� 6. ADDRESS OF ESTABLISHMENT: 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: ,��'- 7 7 9. EMAIL ADDRESS: vSi 10. SOLEOWNER: ZYES IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK r9iiL�i' 7 Gt�,� 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE ^2 L ' (7 Q:\Application Forms\HAZPAAT APP 2017 REVISED. oc - i O � Number Fee 702 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that Morrison Motor Works 32 Warehouse Road, Hyannis, MA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2016 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/2015 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable Regulatory Services Richard V. Scab,Director ` Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee:$100.0.0 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 SOLE OVv ER:_Y--YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION r FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER DZ,S.3 CLERK • GNATURE O LICANT RESTRICTIONS: HOME AD SS HOME TELEPHONE -9 T 2- C:\cache\Temporary Internet Files\0=30AZAPP Rev2015D0C Town of Barnstable Office: 508-862-4644 � Regulatory Services Department Fax: 508-790-6304 saxsYna Public Health Division Mom. . Thomas A.McKean,CHO 200 Main Street, Hyannis, MA 02601 Payment Receipt 'Hazardous Materials Payment received: $100.00 (Check) on 6/15/2015 Permit number: 702 ICheck number: 1756 Check_amount: $100.00 Name on check: Morrison Motorworks, Inc. Business: Morrison Motor Works Address: 32 WAREHOUSE ROAD Hyannis i � Y i i i Number Fee 702 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that Morrison Motor Works 32 Warehouse Road (or 38), Hyannis, MA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ---------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------- -------------------------------------------------------------------------------------------------- This license is granted in confortnity�with the Statutes and ordinances relating there to, and and expires 6/30/2015 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2014 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health s� �r Town of Barnstable °FINE rOwti Regulatory Services ° Richard V. Scali, Director M�ABLE. Public Health Division i679• ArEo rMy 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. 3 DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT /lsrJri' NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT J: rS ✓�ri�JS J TELEPHONE NUMBER L 7f i� (j SOLE OWNER: LiYES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME VDRESS OF: ,� PRESIDENT TREASURER oe CLERK SI NATURE OF APPLICANT RESTRICTIONS: HOME ADD SS HOME TELEPHONE# 1222r 737 41 3' Q:Wpplication FormsUiAZAPRDOC Number Fee 702 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that Morrison Motor Works 32 Warehouse Road (or 38), Hyannis,MA 02601 Is Hereby Granted a License �r FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------------------------------------------------------------------------------------------------------------------ -------------------------------------------------------------------------------------------------------------------------------------------------------------------- `G This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2013 unless sooner suspended or revoked. WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2012 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health i �1 } n, Town of Barnstable Otl Tom, Regulatory Services ti Thomas F. Geiler, Director t + H" MASS. Public ]health Division a 59. 1. Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP PARCEL NO. ,Z 9 3 0 30 DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT ./U ST?!/! ��G;T✓ I NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT TELEPHONE NUMBER SOLE OWNER:_j:YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF A�L� CD PARTNERS: T: x — IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. "G3� STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: �f PRESIDENT �3 f74 /;4QA4 &Y7 TREASURER -�-- CLERK GN RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# JVP97" SA 3-9 31 b Haz.doc/wp/q Number Fee 702 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that Morrison Motor Works 32 Warehouse Road (or 38), 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 6/30/2012 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J:CANNIFF,D.M.D. 2/2/2012 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health 4 L t _ Town of Barnstable Regulatory Services .- Thomas F. Geiler,Director Public Health Division ' 1639. " Thomas McKean,Director w'' 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 1� Fax: 508790-63 s'r'4 Application Fee: $100.00 y ASSESSORS MAP AND PARCEL NO. 2Tl'D,3O DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT 7vS1_11/7 / 0olel6Da NAME OF ESTABLISHMENT /v6 22/5'V,"2 ADDRESS OF ESTABLISHMENT A�eHmw_s TELEPHONE NUMBER Sa5K— 7Z `=(� `�D C SOLE OWNER:__&YES NO IF APPLICANT IS A PARTNERSHIP, FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. ��- `7�y� 9.7�� STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER � *7'aeC g2o9f zlYlIV 42`s�� CLERK SIG ATURE OF RESTRICTIONS: HOME ADDRESS HOME TELEPHONE # A Haz.doc/wp/q 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 I � Morrison Motorworks Spill Plan #1 Evacuate area if necessary and contact the appropriate agency. #2 Remove all possible ignition sources if material is flammable. #3 Contain the spill using the appropriate method and material IE socks, pads and other absorbents. #4 Make sure the contaminated area is cleaned. #5 Remove the used absorbent materials in a following all state and federal laws. #6 Replace the used absorbents and make sure the used materials are replaced immediately. #7 The spill equipment is located next to the new and used oil tanks. #8 The following is a list of the spill equipment on site A Spill responce kit capable of handling at least 25 gallons B Gloves and all needed personal protection gear. C First aid kit. D Eye wash kit. E 5 fire extinguishers. Fire dept 508 775 2323 Police dept 508 775 1212 National response center. 1 800 424 8802 Clean Harbors 1 800 522 4645 Local DEP office 1 617 878 9121 TOWN OF BARNSTABLE Date: / TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: 16,fe/Sotl /7P f V(10eKS BUSINESS LOCATION: 3 ,41Y&W.I,"C 1?b ., Z66-A)Alls INVENTORY MAILING ADDRESS: .S /460VE TOTAL AMOUNT: TELEPHONE NUMBER: D�- 7'T/"D 0� �k&S CONTACT PERSON: us77AI a (SO, EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: 677Ve b *1 V e5 /V IAAItj INFORMATION/RECOMMENDATIONS:���9-a-D/0 L/cE.c S AS Poste ire Dis rict: GfP-ro d.W7E Fine �x77all�visftt�s �dv�' � �A4�3/,�J ,c,u8 A�3soRe�u��'�os/SPr�o ,0� ,t�/Ijlj QA)S.17. fS Oo9-/S G�O,fJSi�iLcTEI� �!'�.cJf�Re'TE�i1l0 �GGo.Q�,P�Q/.t.IS G�SEIP v�. �IBC-'�A-!.L�A»�b,J aF�7t�S/fcP f5 Vt�y�t.��¢�t/. ���l�lS 6F 1�71�/•c�Olt ,Q-TF.¢N� uJ/+!-5 iF /W77`ka2C Klj__'W_E-AZLDA)CON4ikk4E-iUT. t J"rZ-:- a/L. TAUK /s 4_+t3&Lt0 c�2fjL3z7Z.4/. Waste T • : V6-vf1710V* Last shipment of hazardous waste: Name of Hauler• A/ IeS Destination:RaeL#yg I�I�sTEQiL¢ 1g1agvP-A)1 14k Waste Product: Licensed?<Zgi� No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum _ Antifreeze (for gasoline or coolant systems _ Misc. Corrosive NEW J3 US h=.X1CWy31A1 � Cesspool cleaners FRc 4Wt4L Bo�S Automatic transmission fluid,-,.,,,,b �,1)y Disinfectants Engine and radiator flushes � K �QuarwwT'BoTn.�S Road Salts (Halite) S Hydraulic fluid (including brake fluid) Refrigeran s� cLE-K�jjj . uscA-wy Motor Oils u /5'^l st�oe�Cl�RouN� PesticidesS� �'z 3ork��sar—t3�a. ro�et�E INK• ':vim"/ 4 NEW W USE /,'Ud'* _ (insecticides, herbicides, rodenticides) ua eT r7rL-es Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Caulk/Grout TN Swimming pool chlorine Batter ac (electrolyte)/Batteri s ZGO Lye or caustic soda �1PPuEb pi "-bu Rustproofers -6Y T.�Tr_:ZsT&-TX Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers ` Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, one 5ke--WuG 10 Misc. Flammables �h 'A4E hydrochloric acid, other acids) Floor &furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers I-4VA-Ors-p6wE1__kvC-IF-13 (including bleach) Spot removers &cleaning fluids 'PfA,J /S 7Z per- 7>6-S7 j (dry cleaners) Other cleaning solvents Bug and tar removerr"AS Ale w/N a�asN nro.4/7-rV-7W77KE o)'/AISR&I n6 ). /2—Windshield wash 7/9/L44-,t-y /�G,rcOd�crS,�,2�/rvq��A/3tk. WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Number Fee 702 THE COMMONWEALTH OF MASSACHUSETTS $10o.00 Town of Barnstable Board of Health This is to Certify that Morrison Motor Works 32 -Warehouse Road (or 38), 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 _PAU_L_J.CANNIF_F_,D.M_.D. 6/30/2010 JUNICHI SAWAYANAGI THOMAS A. MCKEAN,R.S.,CHO Director of Public Health Number Fee 702 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Morrison Motor Works 32 Warehouse Road (or 38), 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 6/30/2014 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2013 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health Towu ©f Barnstable , T o F, GeBeT,1� -.bb.c Health On ion ASS- P 51MeKEn-m, 2D0 Main Str�i, Eyam.s, MA 02601 F� 50�-790-fi304 Oi!ic: 5084 2-464 Appjicaton Fen; $100•Db r�SSSop Aiii P SIN PA��" LNO, DATE f��J , TFT TCATION FOR PER TO STORE AN3/IQR UT MORE TFLk-N III G_AI�-r)NS Off' HAZARD0118 1 ATERIAL"j rim IE of APTLICANT --� jN� OF EST ABT=YfENT ADDRESS OF ZS'TA-BILEii�+-T —� NO r APPLICA.1T IS A PA�.T ,�L -E API EON ADDI SS O� ALP i jF PART�v�S: i PP7JC ` 1 I5 A CORFQIR TON; F=� ERkL ST��+ OF 1�1COkP033A2�O�T //��� I1ZL TA��A2,M LONG 0DREWSS of: ,dA PRISIDENr 1�`1i is OF, Y-? ,a ULN T RJS'TIR?CEO-M: H01� ADD�SS EO?Ya EONI F S�� 137 - r_.,&chrp/q I '' Number Fee 702 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that Morrison Motor Works 32 Warehouse Road (or 38), 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 June 30, 2009 unless sooner suspended or revoked, ------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07�01�08 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health r 1� Town of Barnstable r Regulatory Services Thomas F. Geiler,Director `"R'''AM Public Health Division 1639. Fn►�a�" Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-8624644 Fax: 50&990-6304 C r Application Fee: $100.00 c,n CD p, - ASSESSORS MAP AND PARCEL NO. v�93 3 DATE r rn APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT /�Iozl �''rl ���� /9l' ADDRESS OF ESTABLISHMENT TELEPHONE NUMBER SOLE OWNER:_(YES NO IF APPLICANT IS A PARTNERSHIP, FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. p?e 511Y9 97-Z5- STATE OF INCORPORATION /�/Pw—eks FULL NAME AND HOME ADDRESS OF: PRESIDENT cT�/ST7'r1 /�ldtGefsor� .3/� 42Z /7df_�sfrrfsrl,D�, TREASURER - 17 3� CLERK SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS .S.rfyH� HOME TELEPHONE# r r Morrison Motorworks spill Plan #1 Evacuate area if necessary and contact the appropriate agency. #2 Remove all possible ignition sources if material is flammable. #3 Contain the spill using the appropriate method and material IE socks, pads and other absorbents. #4 Make sure the contaminated area is cleaned. #5 Remove tlio,used absorbent materials in a following all state and federal laws. #6 Replace the used absorbents and make sure the used materials are replaced immediately. #7 The spill;.equipment is located next to the new and used oil tanks. #8 The following is a list of the spill equipment on site A Spill responce kit capable of handling at least 25 gallons B Gloves and all needed personal protection gear. C First aid kit. D Eye wash kit. E 5 fire extinguishers. Fire dept 508 775 2323 Police dept 508 775 1212 National response center. 1 800 424 8802 Clean Harbors 1 800 522 4645 Local DEP office 1 617 878 9121