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0063 WAREHOUSE ROAD - HAZMAT
- - - - �a-�{j!?y� - -- �- Number Fee 1197 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Eagle Wash 63 Warehouse Road, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. u ------------------------------------------------------------------------------------------------------------------ ------------------------ ----------- ------------------------------------------- -------------------------------------------------------------------------------- ------------------------------- 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 . Y. ' owil of B rnsxable eg atory ervices T"e Richard V. Scali, Director ' oF ra,._ • "�'�, Public Health Division BARNSTABLE M, � ;S BA.MBLL Thomas McKeanMAS& , Director 16„ !LL 2014 1639. Maori Street Hymnis,MA 02601 �ffw.nn4 4Jc. Office: 508-862-4644 Fax: 508-790-6304 TI APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS M IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER.108;' HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st-JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 V-S CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? -k/ YES_NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS • ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: 5. NAME OF ESTABLISHMENT: &)t Ask bVISION 1 fir, 6. ADDRESS OF ESTABLISHMENT: l q� MQIPI .�J(w O,JVd J11: MA o2t,�e 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 4` 8. TELEPHONE NUMBER OF ESTABLISHMENT: ! dQ - 42.S•00'23 9. EMAIL ADDRESS: 14blo L�& ifi in- .u-0- 10. SOLEOWNER: V YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TE EPHONE#OF: CORPORATION NAME _ `A IL tj ti5K tI I/IJ IoN J 1V_ PRESIDENT Gpgio U Oh VbtA, TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: • NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE MAY Qy 1120ha Q\Application FormAHAZMAT APP 2017 REVISED.docx w � Number Fee 1197 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable - Board of Health This is to Certify that Eagle Wash 63 Warehouse Road, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2018 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2017 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health A TROwn of Unstable eg atory ervlces Richard V. Scali, Director � "o Public Health Division E*7- 200BLE 0r • T10•MnhNIS awxr� LE. - Thomas McKean, Director '_`"°'"''°°� 'Arfo �6`0 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 �Ol �- 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 JULY 1 st-JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 gr U S -�C.l' 44 lwc CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? V YES_NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGEIUSE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: FA610 �t IV�I1 .5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: 6S Lowthoust &d agat Nu MA 02LOI 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 1u 6 [PAN �IttJ , + goNIVIs I t,OU01 8. TELEPHONE NUMBER OF ESTABLISHMENT: �Qi- �2a•OoS�3 9. EMAIL ADDRESS: _-lAblD�Q��t2wi i!y toC .Uy%.._ 10. SOLEOWNER: V YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION/N�AME �tl b 4),kh. I iqC PRESIDENT r1> &D t,Ql ft(jo.... TREASURER a d&10 6 t 011 V&)A CLERK 011,/ti a 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE AOV`t/ w. z ZOi l Q\Application Forms\HAZMAT APP 2017 REVISED. ocx Number Fee 1197 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health 4-- This is to Certify that Eagle Wash 5 63 Warehouse Road, Hyannis, MA . X- Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. -------- ---------------------------------------------- ----- ------------------------------------------------------ ------------------------------------- ------------------------ ---------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2017 unless sooner suspended or revoked. WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health .va Number Fee 1197 THE COMMONWEALTH OF MASSACHUSETTS' $125.00 Town of Barnstable Board of Health This is to Certify that Eagle Wash/Eagle Painting Inc. •�-" . . �. -V.�1.�.�. -� � •. 92 Barn��uuc:- e Koact;`tlyannis;,.tii,r'`-- Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. ----------------- ----------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2017 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health F Town of Barnstable �t Regulatory Services Richard V. Scah, Director "USK ' Public Health Division1639. BARNSTABL �f0 r�n't Thomas McKean, Director 16 �� 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-63.cg 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 =4 MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1st—JUNE 3 Oth). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 � CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ A late charge of$10.00 will be assessed if payment is not received by July 1st. ASSESSORS MAP AND PARCEL NO. Z �3 /O 49- DATE 6 I I V I ) 6 FULL NAME OF APPLICANT: i y S- e d I 1 Ve �`f" NAME OF ESTABLISHMENT: ��� ��1n-�kc / aSl� W's l\ ADDRESS OF ESTABLISHMENT: (�� �,.5 arc�JY e I� 1 i �wv1.�` [" 1 62601 MAILING ADDRESS (IF DIFFERENT): 3q6 M 1,11k S4. VS k►"0 (,c. RA 6 26sr TELEPHONE NUMBER OF ESTABLISHMENT: SZr- yZ (' o ar3 EMAIL ADDRESS:�A' 1"6 A(e Pai`ob" 1 K C . b M �SOLE OWNER: YES NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATIONNAME SAc. £![4 w? � )1Vfrf_b tit,. PRESIDENT i, w nz TREASURER- 4 1-4 nr Cl f i w ba ` CLERK 0,01 An ilr,_ IF PREPARED BY OUTSIDE PARTY: SIGNATURE OF APPLICANT Name: Company Address Telephone#: Email: Q:\Application Forms\iAZZAPP Rev I6.docx Page 1 of 2 Town of Barnstable Office: 508-862-4644 Regulatory Services Department Fax: 508-790-6304 : -- w � ���'. Public Health Division Thomas A.McKean,CHO 200 Main Street, Hyannis, MA 02601 Payment Receipt ;Hazardous Materials Payment received: $125.00 (Check) on 6/15/2016 ;Check number: 7013 Check amount: $125.00 Name on check: Eagle Painting Inc. :Business: Eagle Painting Inc. Owner: BALISE CAPE COD PROPERTIES LLC 'Address: 63 WAREHOUSE ROAD, Hyannis I • _ .J �+NSA' °F IKE ro�y'1• Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMASS . . • 200 Main Street• Hyannis, MA 02601 s639. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: a ,e. 0, �`��51°`^ wG G ��fat - wq c��lou',x- Date: 11 1-1 Location/Mailing Add ess: v. to 63 W&-1 "V1V WQ - Contact Name/ �Phone- C� J - 4 - e>S' I S�-LtDr --113 0 `{ 0A� 07 ,k VVAI�L Inventory Total Amount: 1 D o o � w� MSDS: License#: Tier II : o"• Labelino: �L Spill Plan: 11 of <�w Oil/WaterSeparator: loor Drains: NJ 0 Emergency Numbers: " Storage Areas/Tanks: &e cv, - i-o tit �.� ��.,okS -I�e��lc. loa cx l o�5 ohs Emergency/Containment E ui ment: Zz 1 A 12+� �J(ti,�00W' Waste Generator ID: N Waste Produc : Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze 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,)1 n Asphalt&roofing tar D�1Dat Swimming pool chlorine ,�'I 04,(y 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: O RS: oi'a e C vr�wc,lw <JC�t. ��u,5 l l�I boo Sq- areg• DS 4S. it avt k 1k x ew5t e., INFORMATION/ ECOMMENDATIONS: " �a%w A #1 -CXi `RI of A i- �0 ',fir �� �•(,tVlg ` Inspecto . , I omlk� -- OA o 1�v��w�`'►�� ��^`�"� Facility Representative: 0L1 .IRA WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS IaE roy� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMT,S. .A $ 200 Main Street• Hyannis, MA 02601 �p'FOMP+a,O TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: ,ova 1.2�PCLI K Date: g 2 s f S Location/Mailing Address: ow ot.J \4,M°` ' Contact Name/Phone: a + ' J o 2 0 o h �✓ o Inventory Total Amount: C. MSDS: 2 License#: Tier II o Labeling: .1I Spill Plan: e, Oil/WaterSeparator: Floor Drains: o Emergency Numbers: +` � Storage Areas/Tanks: ;�a1a.l C&*}auvz<,6 ip� 12• °`o eon-k--x cs Emergency/Containment quioment: Waste Generator ID: ftJ 1A Waste Product: Date&Amount of Last S�nent/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze 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 35 Paints, varnishes, stains, dyes M Lye or caustic soda Lacquer thinners 041.1 Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes ip Miscellaneous Flammables wi,,A 4,e <"G Fertilizers Floor&furniture strippers ScAl is, PCB's Metal polishes 1b Other chlorinated hydrocarbons p L undry soil • removers .; (including carbon tetrachloride) oiincludin bleach �5�5 ' Any other products with "poison labels" M(k)CA-b�0 q0� \ti�Vl� �'��� (including chloroform, formaldehyde, I hydrochloric acid, other acids) VIOLATIONS: 4AZac�, o -s �•�G�,��t�4,15 J14xv1aia- 15 ('eat)+ f•2e�2 ORDERS: J OA% 64-vt a i o v •1, +v., � C l+� ,a o f � t.J I RMATION/RE M NATIONS: v✓I J -2q,0fl lv SAh�(�.�- avl hik•e.. Inspector: � �✓��/-2� w 1 I c4tic ijl�oolVtJ �f S��ra� p6io ,9� '/1a el I� 1 lo+ / 1 4�, Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Name of Business: Eagle Wash Division Inc. & Eagle Painting Inc. 9 9 9 Address 92 Barnstable Road (Rear) - Corner of Dynaflow Dr. &Willow Ave. Facility Phone (508) 428 - 0053 or(508) 400-7134 Types of Work or Hazardous Substances Used: • Paints, Varnishes, Stains & Dyes • Waterproof Sealers • Bleach (12.5%) -Sodium Hypochorite • Jomax This spill Ian is designed to handle the requirements for this company and associated P p 9 q P Y hazardous substances. The spill plan should be updated if the hazardous substance inventory changes. Spill Prevention The following are general requirements for any hazardous substances stored or used at this facility. General Requirements for all personnel: o Ensure all hazardous substances are properly labeled. o Store, dispense, and/or use hazardous substances in a way that prevents releases. o Maintain good housekeeping practices for all chemical materials at the facility. o Routine/Daily checks in the hazardous substance storage area to be performed by owner of company Fabio De Oliveira • Chemicals are never opened inside of building, only opened and used at job site. Facility Specific Requirements: Protocols—Spill/Leak Prevention Measures • If possible, move material handling indoors, under cover, or away from storm drains or sensitive water bodies • Properly label all containers so that the contents are easily identifiable • Check containers and an containment sums often for leaks and ills. Replace � Y p ) p p containers that are leaking, corroded, or otherwise deteriorating with containers in good condition. Collect all spilled liquids and properly dispose of them • Only transport the minimum amount of material needed for the daily activities and transfer materials between containers only on job site when needed where leaks and spills are easier to control • If paved, sweep and clean storage areas monthly, do not use water to hose down the area unless all of the water will be collected and disposed of properly • Educate employees about spill prevention, spill response and cleanup on a routine basis - all employees and subcontractors are certified with Softwash Systems and OSHA certification. • The employees have the tools and knowledge to immediately begin cleaning up a spill if one should occur. • Employees are familiar with the Spill Prevention Control and Countermeasure Plan - posted in shop. • Training of staff focuses on recognizing and reporting potential or current spills/leaks and who they should contact • Employees responsible for aboveground storage tanks and liquid transfers for large bulk containers are thoroughly familiar with the Spill Prevention control and Countermeasure Plan and the plan is readily available Spill Containment The general spill response procedure at this facility is to stop the source of the spill, contain any spilled material and clean up the spill in a timely manner to prevent accidental injury or other damage. Small spills will be contained by site personnel if they are able to do so without risking injury. Spill kits are located at:he following location(s). See attached site map: I Personnel will properly characterize spill cleanup materials before disposal. For questions about disposal call the Barnstable County Hazardous Materials Program (508)375-6699 / (800)319-2783. Emergency Procedures: Immediately call 911 in the event of injury, fire or potential fire, or spill of a hazardous substance that gives rise to an emergency situation. If a spill has occurred, contact the following persons immediately: (Primary) (508) 400 - 7134 (Secondary) (508) 428 - 0053 (After Hours Emergency Contact) (508) 428 - 0053 In the event of a large spill, a properly trained employee should: Assess the area for any immediate dangers to health or safety (i.e. a wrecked car on fire). If any dangers are present, move away from the area, call 911. Notify the primary and/or secondary contact from the list above and then continue your spill response. The primary contact should assess additional notification requirements (i.e. notify Town of Barnstable, etc.. see Spill Reporting below). Retrieve the spill kit from the closest location. Assess the size of the leak and any immediate threat of the spill reaching the floor/storm drains or permeable surfaces in the area. If there is an immediate threat and there are no safety concerns, then attempt to block the spill from coming in contact with the floor/storm drain or permeable surface. If no drain covers are available, then try to use absorbent (cat litter) and/or sock booms or rags to stop the spill from getting into the drains or to any permeable surfaces. If there is no immediate threat to the floor/storm drains or permeable surfaces, or after controlling the spill, try to plug or stop the leak, if possible. If applicable, put on protective gear (gloves, goggles, protective clothing, etc.) and plug the leak. Once the spill has been contained and any immediate threat to storm drains or permeable surfaces has been minimized, contact the spill cleanup contractor and dispatch them to clean up the spill or commence spill cleanup procedures. Spill cleanup for large spills should be handled by the Spill Cleanup Contractor: TMC Environmental/ENPRO Services, Inc.Franklin, MA 02038 508 966-6000 r 24( ) o hour emergency (800) 223-8865 Spill Reporting If a hazardous substance spill exceeds 25 gallons or if any amount has been released to soil, surface water, or storm drains, notify the following agencies: Town of Barnstable Public Health Division (508) 862-4644 Town of Barnstable Water Pollution Control (508) 790-6335 Town of Barnstable Police (508) 775-0387 or 911 Hyannis Fire Department (508) 775-1300 or 911 Massachusetts Emergency Management Agency (508) 427-0400 American Association of Poison Control Centers (800) 222-1222 Town of Barnstable Geographic Information System New Search_ I Home I Help Parcel Viewer Custom Map11 Abutters Map Size ❑ Zoom Out n n n n n n n n®In Fff = Full JPG Map: 327 Parcel: 057 Property 327028 327055 3g7048 Location: 92 BARNSTABLE ROAD Info 327049 Ip 123 q� 11� 327054 Owner: 92 BARNSTABLE ROAD LLC N 20 327056 � Location Information 100 327164 Map &Parcel 327057 N 70 Location 92 BARNSTABLE ROAD 027 N 1 iV 07 ; ' Acreage 0.48 acres 327065 Current Owner A _ R N 79 % 11101101111- Mailing Address 92 BARNSTABLE ROAD LLC 44 QUAIL ROAD OSTERVILLE, MA 02655 073 327057 N92 Appraised Value (FY 2015) WL 467 Extra Features $0 327066 N60 327026 Out Buildings $0 ip 91 Land $179,300 327025 N66C Buildings $516,600 NIB 3 7058 p 84 Total Appraised $695,900 _ 327059 N66 B to Sir q76 Assessed Value (FY 2015) Extra Features $0 327064 Out Buildings $0 q 67 327067 27020 327019 327063 N68 � Land $179,300 i115 076 eef 32N7000 #30 Buildings $516,600 Total Assessed $695,900 _ Construction Detail Set scale 1° = 95 Aerial Photos ;M I MAP DISCLAIMER Copyright 2005-2010 Town of Barnstable,MA All rights reserved.Send questions or comments to GIS BarnstableMA v1.2.5494[Production] I Contents of Spill Kit • Protective eyewea r • Impermeable gloves • Clean Rags • Cat Litter or other absorbent material like clay • Push Broom • Hose !)93 -'•= TOWN O BARNS ABLE U1. ERGROUND FUEL jD CHEMICAL STORAGE SYSTEMS NAME ADDRESS ¢3 AV lle iOG/.5C A!�?/, VILLAGE LOCATION OF TANK-�_q, � � CAPACITY: TYPE OF FUEL AGE: TYPE: yJ� OR CHEMICAL / (Give same information for any additional tanks on reverse side of card) DATE OF PURCHASE OF EACH: 1. 74-9-592F 2. - 3. /941S 4. DATE OF FIRE DEPARTMENT PERMIT: TESTING CERTIFICATION SUBMITTED: _L M- KC) PASSED DID NOT PASS ' e *' Aug"t-,,l3,,•~1980' .. �i.t 1 . - • a t 3 9 �� �� 4. r i4 i k P �x•. � M # + Man a er �, t, "a y ,,'Y r • , `� ,- ' Tau1 -P. . Chandler Construction do., Inc: �= ' k y 43 Warehouse Rd Hyaririis, `Ma, ' >< De4r Sir: t s. ' K The information-,you returned; to `us indicated, 'the• age of your - undergrourid fuel :tanks as.' being f if teen year's old You must have. these tanks .tested,. using, the Kent-' Moore *Pressure Test', by":Novemb'er 20 •198p Please ;submit .testing results, and , a Fu lY lencLo their} interpretation to 'this of ice•pri r to oyember 20,' -1980. For',your convenience, 'weMhave enclosed, a 'listing-of companies s"who perform°t.ia testing. you may .s1so util ze; any other concern..' qualified to perform this- testing, w V'ery .truly':yours y fif r t John M:'' 'Kelly _; Director of Publics 3 LOCATION Chandler, Paul R. Construction Co. ,Inc. Lot 43, Warehouse Rd. 43 Warehouse Rd. H Hyannis yannis, Mass. BOOK & PAGE - DATE GRANTF'L) AMOUNT STOiED 77/14.4 May 17, 1965 Under - 3,000 gals. (2000 domestic heating oil) DATE PAID. (1000 Diesel tractor fuel ) 1973 March 21 1979-4_26-79 (1000 Gasoline ) 1974 MAR 4 41974 1975 MAR FE � 0 `� 1975 71�75 1977 , AR 11 1976 1978 1979 MAR 7 1971 MAR 23 19181 a . _ Data Chart for Ta�VSystem Tightness Test FARM 77 IJ 21103-3-36= USING KENT-MOORE CORPORATION TANK TIGHTNESS TESTER MODEL 1000 For Packet Copyright®Kent-Moore Corporation 1977 of 50 Charts PLEASE PRINT / Order J 23396-A 1. OWNER Property ❑ ? ( h G Uh4 6 ' 7�� 3 ❑ Name Address _ Representative Telephone Tank(s) N.Q_ O `FW/ 'T fill �i Name Address Representative 'Telephone 2. OPERATOR G s. ,Z- fName Addresi Telephone 3. REASON FOR TEST O w Gt1 (Explain Fully) 4. WHO REQUESTED v TEST AND WHEN Name Title_ Company or Affiliation Date y Address - _ Telephone 5. WHO IS PAYING FOR THIS TEST? Company,Agency or Individual Person Authorizing Title Telephone Billing Address City - State Zip Attention of: Order No. - Other Instructions Identify by Direction Capacity Brand/Supplier Grade Approx.Age Steel fiberglass 6. .TANK(S) INVOLVED �1 v d , i bay Location Cover Fills Vents Siphones Pumps 7. INSTALLATION�j DATA l --- _ - ' - - - --- — North inside driveway, Concrete,Black Top, Size,Titefill make,Drop Suction,Remote, Rear of station,etc. Earth,etc. tubes,Remote Fills Size,Manifolded Which tanks? Make if known $. UNDERGROUND i e. - Is the water over the tank? WATER _-- — Depth to the Water table ____. ._ _"__ ❑ Yes J2'/No ' Tanks to be Filled hr. Date Arranged by f 9. FILL-UP _ - Name Telephone ARRANGEMENTS Extra product to"top off"and run TSTT. to provide?-- -Consider NO Lead. -- u-• Terminal or other contact for notice or m uiry -- _ _ Company -`'Name- tp Telephone 10. CONTRACTOR, _ MECHANICS, any other contractor involved ? - r 11. OTHER - INFORMATION _ . OR REMARKS__ _ -Additional information on any items above.Officials or others to be advised when testing is.-in progress or completed.Visitors or observers present during test etc. --- Tests were made on the above tank systems in accordance with test procedures prescribed for Kent-Moore Tank Systems Tightness 12. TEST RESULTS = Tester Model 1000 as detailed on attached test charts with results as follows: - Tank Identification Tight Leakage Indicated Date Tested -L✓ Co Y L/ This is to certify that these tank systems were tested on the date(s)shown Those indicated as"Tight meet the criteria established by 13. CERTIFICATION the National Fire Protection Asociatlon Pamphlet 32 - /- J. cki_ Date /� _ t _ A !iL ./.✓ Y >77'&r.�/'Q✓-�.+l-f�C... (Jf1�t JI!'X9..Con�t/ra/c//t9/'r or COrtyPany.. By:, Si9pat�r��.BJ Serial No.of Thermal Tec mcians - __ --- - f //'A,(dd ess�.t.R�.,.�L/ - - a Sensor r ..- . - i •-•i it •r r i, /J1 _ .. 3 . ` It 14. ' �'! Ct h� �' �� cv`� 7 C . "o if, Name of Supplier,Owner or Dealer Address No.and Street(s) I" Y.=ti ' city State Date of est - '.,a; 15: ,TANK TO TEST. l+ 16. CAPACITY n iFp i From ..y_ :w H Station Chart :+ r ,, ,.. r k' i•' t r s`•r,. O By most accurate, D J t 4 r t ✓�I No Capacity p o Tank Manufacturer's Chart P Y capacity chart available—�- -� # _ Identity by position p Gallons / Gallons eerie Data )'.I +F ',a�•T 'I i , /r n Company Engineering V 4f .,. Is there doubt as to True Capacity? El +R. , Charts supplied with TSTT Brand and Grade r See Section"DETERMINING.TANK CAPACITY" i Other a t; - . .f 17. FILL UP FOR_TEST ^t'. Stick Readings Total Gallons ' S n : 9 :, to 1/a in. Gallons ,' ea.Reading t a. l .Stick Water Bottom I i before Fill-up fj Inventory _ to Ye in. Gallons t+ . t d )7 { i l. •ATi t-.!'�. 3, 4 t +'4.t I ! q�. �.• , Y Fill U .STIc O p, K BEFORE.AND,AFTER,EACH COMPARTMENT DROP OR EACH METERED DELIVERYIQUANTITYt' r•• 6 o-: ur Ulta' 6 .: wti:• • r. i _� � •- . i„ ". .: .. .. 'i,. ,. :r - I. ,d 'I .t�!II ..'d �, r ,) f :):Yf •e ,,..�. ,ii,n h.. I. 1 (, j u 1. a, "'+�I,: (6 �'I .y�;',,I ,I. Y'S:j., .�:• ,- t , � t :U- ' •'�: i� t I'7 ! III I q• �,r 11• I �' O Tank Diameter p :1. t1, s" ti 4 Z '. Product I II tan fil �O 1 Prod n full k(up to 1 pipe) ' ! 13 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK VAPOR RECOVERY SYSTEMZF • { Et' aSee manual sections applicable Check below and record procedure in log(26). Stage I ri. o r m - Water in tank High water table In tank excavation Llne(sj being tested with LVLLT Stage II r - v �.,.: 4 D _ ` r 21. TEMPERATURE/VOLUME FACTOR (a) TO TEST THIS TANK' ' (' ,o x 19. TANK MEASUREMENTS FOR 1 ; u . , , Is Today Warmer?❑ Colder?❑_°F Product in Tank—°F Fill-up Product on Truck _°F, Expected Change( +or g 9 TSTT.ASSEMBLY / a , s 7 Bottom of tank to Grade*...... ' / �.f�(y /J 'a�``'� < 7 �t ! j I II m m 22. Thermal-Sensor reading after circulation ..7 C IF x Add 30"for 4"L ................. n ' digits Nearest h4. w• Digits per°F in range of V m Add 24"for 3"L or air seal . 23.. expected change o ��• I . ' n .Total tubing to assemble Approximate ... II digits 20.; EXTENSION HOSE SETTING 24 �/ 64 �i x - L> y C+ �' _ . C'J 6,3 gallons ao _ 2 , total quantity in coefficient oflexpansion for, volume change in this;tank a, , Tank top to grade-......:.. " full tank(16 or 17) involved product per IF " ................. .... _yr I I ,,.1,q, a ti ,t, I l r "r + Extend hose on suction tube 6"or more p n 14 I I I I I ;I! I ! !1 j ll, ,Il i ! r ,i l), li ;I ::.!' ; i fl. i ,•l ll! t I e below tank top'... ...... - r I„(h: ;� I i. LI , ii .rj3 C G/ �,. ,I.� I t�` - i t . 25 ,r</r? (.r' _ 3 -�.`T.I' Y _ L".��...�J l ',This is P,11 ki ) c, is. volume chap e' er°F 24 .- 'If Fill pipe extends above grade,use top of tell " ) Digits per t Volume change per digit. test a , . Range(23)P r Compute to 4 decimal places. factor(a) ) 9 P ( In test 26. x' 30. HYDROSTATIC 31. VOLUME MEASUREMENTS(Y) 34' TEMPERATURE COMPENSATION 38•NET VOLUME �39. ACCUMULATED t LOG OF TEST PROCEDURES PRESSURE RECORD TO.001 GAL. USE FACTOR la) CHANGES CHANGE CONTROL EACH READING 27. 28. 29. Standpipe Level_ 32. 35. 36. 3J. Temperature At High Level record Product in Product DATE Retard details of settingU in Inches (-) Change Computation Adjustment Total End Collection p Reading Graduate Replaced Thermal Higher+A (c) x (a)_ Volume Minus and running test.(Use full No. -. Beginning Level to Sensor' Lower- Expansion+ At Low Lerel compute length of line if needed.) of which, Before After Product "`Readio Expansion(())r p TIME 1 - 9 (c) Contraction- Contraction - ChadQe per Hour _. (N hr.)". Reading Restored Reading '.,Reading ';j .Recovered(+) ,i; - - (MFPA criteria) #33(V)-#37(T) grf P 1 Er # . . ti': � �1 M, : r I , i' , 7 ' , r r .. r.Y r. .,.♦ .....e .., .y -, e :err �.. .. a ..:. - ..:,: , :. .1, �. „r r. :u` y ,L �L. I. .! ' � :.- { ;x k.. '..' .,: v,.,..A?.a .!�.. e ... �}!,,r-,.Is.. Yt ... ,,.: .r" � �• ,y/-`,•ri.r l•i y.•+' �{� Arco .. -,LV� � i''-G M y 4. T'.�f , IY•s "'J �I�.� Y' 'r��: �•'\ O.f� '!V l ✓�"' / /C. f ,G ,*. 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Yr.t•.� I 3 �:fit • � � - � d � !•,. � 1� � alit Z�J a4'.v/ •'. k. k +r.• r � .il' ',d. _ _j ,, 1 '''i�. �I i r'tif.J .�" y f � .,I+:, � .. 1- ",i, ( ;.�Jr -1 I+n"� ...1•' 4�' '��� -..I r o���s e. fG ..,t, •11"t" t 7 1 r r ,.. • ' � 'I r 9 9 'i t 1 '* , .i #. ," I I•I I I .f,': I-..,tr 1 t�.c:.q II; �+,< � "I-' Ij' Z Ji' II��jf I`;• 6 4. n t� I tt j. 1`�; L.i' e t t er �` '.:n' '1�I ! f _I:r. Ji,.':'. :.P YI!• �. .. � - +•' S ;�. v 1r, f. .a ,'I �� 1 h'�.;• J., ri rp 1 i'. t:a , Ik-.1 :aY F �� 1 rh°t•, - �11' I b'-.• y.•,. r J ul. I e'� n.r751'! la.'71^' it 111 •f5' ,.y e: r • 'I''� , J ) 1. � ,. ,. ,�, k t !; ,t it-,,.:, ti•'!>. '� 1. l If�l� t3 l: i I pi�l�llk i2'���a,y71;1 4I7y�IS • 3..� I ��� {Ih 1�1!,ll wd 1 j 9rfd tl i I'' y ' ' Name of Supplier,Owner or Dealer Address No.and Street(s) , City State J Date of Taet ' ' 15. TANK TO TEST 16. CAPACITY From ;: a y. Station Chart Be most accurate ' .N Nominal Capacity v I" .i c61) ity chart available d �' v ❑ Tank Manufacturer's Chart - Identity by position Gallons Gallons ❑ Company Engineering Data '/ V r ' Is there doubt as to True Capacity? 'I• + b •r' +i P;:' Charts supplied with TSTT Brand and Grade See Section"DETERMINING TANK CAPACITY" ,.. - Other �'" - - '' } - �' 17. FILL-UP FOR TEST l ii-fl + Stick Readings T tal d f I a o Gallons O +Ilt I I a to'/e in. qy Gallons ea.Reading o Stick Water Bottom .w before Fill-up ° Inventory to 1/9 in. Gallons ai + . 0 Fill up.STICK BEFORE AND,AFTER.,EACH COMPARTMENT;DROP OR EACH METERED,DELIVERY QUANTITY . ,+ t ;}, a n< t t , j •y.• +.++ i J 'i. n?fII('')Y t i '); s kii+ . f' I.�I>'a,l. ! •! Jp:. t t-2'r ..1,�I'A :. r' s'.I ,�1'f1 Py!i i,II II 1 !I .�^,I.+G !� �-,E:S ('. LI,4 r4i+ I li �! Ia: J h S• d 4.r I �, h !6• d u ® '1 r r:r,y_�,� Its .I•( 6 I p? # d ;i1 I( yl(j ( p :'5,.... Vil I e 4 ^i Tank Diameter ;• Product in full tank(up to fill pipe) ( f • SYSTEM 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK '' „VAPOR RECOVERY N 4 i i a , ro m See manual sections applicable.Check below and record procedure in log(26). E d t' ' r i.,, ari II ev O Stage I o g r i" '❑ Water in tank High water table in tank excavation Line(s)being tested with LVLLT ❑ Stage II I Wr ( F m { i ry �•y. w } i } t I rl;n r►'% D 21. TEMPERATURE/VOLUME FACTOR (a)TO TEST THIS TANK, A 19. TANK MEASUREMENTS FOR :` t ! ° r Ln Is Today Warmer? older?,•❑_°F Product m Tank''_°F Fill-up Product on Truck—°F Expected Change( + or I' ), s o TSTT ASSEMBLY ( ='�i� t j !,' '° :3 r I y. p O x //. ill 9.: t ° i; C ' .B' 1 �' 1 } 4 iv"yfl )f i 1 '�li 14z 4 F)a4! i s 11 Bottom of tank to Grade �' t., 22. Thermal-Sensor reading after circulation m m g on f p i r Add 30"for 4"L .......... ,.. digits { Nearest �,! ro m Add 24"for 3"L or`air seal ....... " 23. Digits per°F in range of expected change n digits Total tubing to assemble Approximate ........ z D cy D !3 = 6 Z A 20. EXTENSION HOSE SETTING 24. �' S X P' gallons I ` o tofal quantity in coefficient of ex ansion for volume change in this tank o, Tank-to to grade*................. " .:, .. rn p. g •••••• full tank(16 or 17) involved product per°F Extend hose on suction tube 6"or more fly[' �- below tank top ...................................... F-•L�—'� 25. ! O.l7L ' 5 r �� L 'i �� lam_ This IS _s x .h° )t i- �•.V^d " volume change per°F(24) Digits per°F In.test Volume change per digit. test 'If Fill pipe extends above grade,use top of fill. Range;(23) - ' Compute to 4 decimal places. factor(a) l : ,i " eryI � .f. I pI killB ;�p.IIC 31. 4 3 B26. 30. HYDROSTATI NET'VOLUME 39: VOLUME MEA TEMPERATURE COM ACCUMULATED i���'1'�I��(1 1P'{(!t"i�ti�Ii�,���•1 D9l'I'lI lit'iLOG OF'TEST PROCEDURES PRESSURE R) 3RECORD TO,001 GAL. USE FACTO la)CONTROL EACH READING CHANGE t` .:, 27. 28.. 29. Standpipe Level 32. { 35.' 36. 37. Temperature At High level record U in Inches Product inProduct change Replaced Computation Adjustment Total End Deflection 9 P Reading Graduate Replaced I[-)DATE Record details of settin Thermal Higher+°, (c) x (a) = Volume Minus and running test. (Use full No. Beginning Level to Sensor Lower- Expansion+ Expansion(nunu s or Al Low level compute TIME length of line if needed.) of which Before After Product Reading . (c) Contraction- Contraction ) Change per Hour Reading Restored Reading Reading Recovered,(+) #33 V-#37 T (NFPA criteria) // Ili "I! .. li"•� t , -.m- .,:, :..;.a..-.._ -.,,...:�nacw..•.s a+, o ..a. �.:cau;..;.:yWc•.d:,31.. ce :rsNs .r. dp. .w, .. , a.« — ..3':F.:-nr .e .w :a°t. - 1`' tf '.I ,.r&':r,}xA i.tl:,n,,. -e.,{..{iy..+ ,+i!i:ie;w,IsscfP�V'.&iY?' MY+.i«N�..iM�.gb.......,,.r.:,»•-.-.r:Mvlrte t�l•xl•lwwi!x°, 4Y. Y�,. F- I,,.f � yJ __ � i s� '1 .. � +�.. � Y� s � �- s .� '�}`�� '/'� f' � o V�� �.'Gr ��r,'�/.. Cv C./� "° �J`%� ' .. - Y -Y * « •�>t�, ",'+ 'Y- �+ ��f'. f L .. e � ... �f ' A� •/. •!'�✓ f ll � 'C-' —~� �� 1 �% / ! '�' a�'a s 1 s � .. ..' —26 Ll r ,, rr�,l of"1�rl q i� �' }; a {LJ '� - Td ...�� ..�- �,�Qv f'i b'���2 �j "�r:o �' 'E' � �� �� ��_�� ° �; � {Ni�rV 1 jh � P`V j,TY� v E r ,. � �• _ s , .• 1 r� i al r �� c >'�if •� 'j9 A s r y' `• /CJ / I ,2 + v^. t' IL � l�� . .• � - � S.� /V`� (J � •,,(}• Cl I '� M� ��1 C.. i �. �'t ..:s''r •��'r ,.w�� r w ,• V „ 1•'. k 5 :t � ,�i. `t F 1 p i ��u '4. ',{ v_ �c. I }� i r•` � 1 P�i i it c � i k:.,{�s y •) i. { �''sjr'• r '. , mf ,i. '11 `;I:"F ''nr t k 1 iif I r r": t`.�k iF ,�,n�, ? ti' i''� I '�;ly i, � y . �r' ' (;i`"�'C ` .c 11, ` 9 is Ts'' �d�.. r ,r!„ r Iv ly .+" r�••f Ll m� • 4; w�"I iv rti :� -� , r. s I e tl �f11�1,' « p �,�4V .I , A •1 1 h'. I i', 7 '�-�I�I� 1�II'.I1�71�Ip I� %I �Ii�.t��1 4�I'I lli''1 y_.. {� ° �.L::.; 1 1,'ri I ,i•t 1i1 r 9 his,�_ 1 'Ic is .Y y, ;.1I�rrl��, J 9..I i III �. I r:' .d �r 11 f II t "I 1 e 1 1• 1, 5 ;.I,� i� I(y ��I !. ,...I;a',P;�.. i .'u:d:,11 w 1 .a � �e 1 r -s ,� .. . .• ,�». :, .. '• a, ,��. I �+� ��1 •ILi r 1� 3!I I �� ;� 1{�><" I Er �' �i.� f Y''•p� ICI �3� -t IF , ,a 11 t t I I iT it 7 :IY" ip1 p� ... .. ,.r,. .. '. �•. � � � � � 'I I �I _i( 'i { k; ti, �° ' :, :,ji4 •til-�' ;d GIs;j.r 1. 11 Its1,:- j Data Chart for Teak System Tightness Test W 21103-36 } USING KENT-MOORE CORPORATION TANK TIGHTNESS TESTER MODEL 1000 For Packet y Copyright®Kent-Moore Corporation 1977 of 50 Charts 9 PLEASE PRINT Order 23396-A I, 1. OWNER Property ❑ 7 (jt 7 ci �h61-Cf7 G / ` Name 44 Representative Telephone Tank(s) ❑ i^.Q_ D `� 1' p� Name Address Representative Telephone d 2. OPERATOR E G s. �"tF Name Addiesi Telephone 3. REASON FOR TEST G 6v t4 0 44 fit.! (Explain Fully) / 4. WHO REQUESTED ` tV ^ TEST AND WHEN Name Title Company or Affiliation Dale Address Telephone 5. WHO IS PAYING - C 'V FOR THIS TEST? Company,Agency or Individual Person Authorizing Title Telephone Billing Address City - State Zip Attention of: Order No. - Other Instructions Identify by Direction Capacity Brand/Supplier Grade Approx.Age Steel fiberglass 6. TANK(S) INVOLVED —� . L1 © •d �oA Location - Cover Fills Vents Siphones Pumps 7. INSTALLATION Q DATA --- North inside driveway, Concrete,Black Top. Size,Titefill make,Drop Suction,Remote, Rear of station,etc. Earth,etc. - tubes,Remote Fills -Size,Manifolded Which tanks? Make if known 8. UNDERGROUND _ Is the water over the tank? WATER Depth'to the Water table ❑ Yes �No Tanks to be fills - - hr. Date Arranged by - 9. PILE-UP - -. - - .= Name _ Telephone ARRANGEMENTS _- Extra product to"top off"and run TSTT. to provide? Consider NO Lead. Terminal or other contact - for notice or in Airy - -- '- - - .Company - - Name e 10. CONTRACTOR, - ! MECHANICS,any other contractor-, involved 11. OTHER — -- INFORMATION OR REMARKS _ - - -'- Additional information on any item_s above.Officials or others to be advised when testing is in progress or completed.Visitors or observers present during test etc. Tests were made on the above tank systems in accordance with test procedures prescribed for Kent-Moore Tank Systems Tightness 12. TEST RESULTS Tester Model 1000 as detailed on attached test charts with results as follows: Tank Identification Tight Leakage Indicated Date Tested 17 �✓ C r� .,- ryeN L/ G This is to certify that,these tank systems weFe tested on the dates)shown.Those indicated as"Tight"meet the criteria established by �3. CERTIFICATION the National Fire Protection Asociation Pamphlet 32ILI . Date c - j TeslAig Contrac t or Co pany. By.—= -Sig, lure nr • ��� - �G�/�1-f-n ��.s�G--�- `�� Serial No.of Thermal Tec ans Address Sensor . _ — ✓Y "'[../n"'� (,�I' 0• f°.f. �C—� � ! r,, t y. F t yl 14. 6� CL h� % " (�W v � 7 c ( 4 1Z 9 Name of Supplier,Owner or Dealer Address No.and Street(s) City ++.i''i State Date of est :y . - lf1:i ',y', '1R - i.il 'i t Q., 15. TANK T 0 TEST s 16. CAPACITY i r i" From �. fr { t' 1, p EI r • ) ' ) :., Q Station Chart f r,+,_Ely most accurate Nominal Capacity U t capacity chart availablont e J Tank Manufacturer's Chart V s ' / Identity y position Gallons Gallons ,--El�-, Company Engineering Data Is there doubt as to True Capacity 7 1 !.(,r I j' s I�Y s ~.'; y „ Charts supplied with TSTT Brand and Grade See Section"DETERMINING TANK CAPACITY" ❑ Other r 17. FILL-UP FOR TEST s ! s ""Stick Readings t. r; Total Gallons 1 to t/e in Gallons 4.ea.Reading Stick Water Bottom ® �* before Fill-up 1' x ' Inventory VVV r +i .. ' -L to Ye m Gallons i,Gl ll ¢f•i1, 3 ( I .+. ti • .. ,i .:,ti;� 1plt•11 i, ;, '';:ai,' ti.t. t, SW1 ,1 �. 1 e. „ r.�•�, , '.,; H..:' 0 Fill up.STICK BEFORE AND.AFTER EACH COMPARTMENT DROP OR EACH METERED DELIVERY,QUANTITY! �,;:i.tit 1 , s . : , f'f t Tank Diameter /.- yy �,.. :�. l I x ) Product rn full tank u to fill ' r 18. SPECIAL CONDITIONS .AND PROCEDURES.TO TEST THIS TANK `iVAPOR RECOVERY SYSTEM ! F' m to v See manual e i t s ct ons applicable.Check below and record procedure in log(26). r " r++ �, k t e 1' , �) ;'•ti,v{. ra ,u' �A ..t. i I, �•,.ii �- i 11{I�.fh q j.» ,5g. 4�;.-..r. stagel j r '�. ']._c rI 1 1 M ti J.Iti` f �, �� .J I • ,t -y 1 a- 1 , Water I 1. r. f ro n tank Nigh water table In tank excavation. a Llne(s)being tested with LVLLT' f l r I Stage II t ' rr, n s' 21. TEMPERA RE,VOLUME:FACT R; a O.ITEST THIS�TANK•! �, , 'rr,Nr, xa 1,, , �..� •,trnu r; ,,», a` ! I Lit 19. TANK MEASUREMENTS FOR { Q1i'1 }n C) . Is Today Warmer?'❑ Colder?C3 �'°F 'Product Iri'Tank f' F illup Product on Truck °F Expected Change( + or, S TSTT ASSEMBLY 4: I ( }I )--� 1 1 (. m0 22. Thermal-Sensor readin after circ IF �, Bottom of tank to Grade* ... 7 g ulation °F x Add 30"for 4"L ... _/' digits: Nearest r .. ro Add 24"for 3"L or air seal ..•.... " 23 Digits per OF in range of expected change digits its/ �y Y v n Total tubing to assemble Approximate r g + v= i � ` _ p 20. , EXTENSION HOSE SETTING x ftic U C t �a L? 0o 24 a tocaly ants gallons T • I y quantity in , coe _I�nt o iexPanston for, volume c ange in this tank,; t,) Tank top to grade•................. r' 4 full tank(16 or 17)u I involved produpt �.f I� ). ''f 1 er°F 'i' P Extend hose on suction tube 6"or more a 11TM, ;a, .. •vie y rr r. a 11 f Y',tl �.1 l irtt'�.P:" 4,'r;, 'Jk I n• I; 4 I: 1 l lf%_ P 61 . J fl M u,. t , i q'' I l k .,1 l i. (.,I1 J p ix l 9 OFF %r ,.a i'!.y ) pp .g 'I�f l$ �,t� ,I l: ,1' y�,�t:!'r I .., ,�.�... ,. .I)F 11;, .11, IS±.II 1 J �•I:, J k;il. :l :.I °' {1,9:,� i.l t' 1�' I': t'Y .a. .Y � �l'. below tank to .............. ...................... j ^^ }�"� .t!Y,� .�L':I9 �I {, r ' '' xS. '. tf'.: �. r.•. G ', ...�.-al;l,.,'�t'. .fiJd ..ra,,llal,�1 , i,: JI,' : , gl. )' P xx 25 re GY 14 I+i r I, , I: L� ? III R�x _ ! C: j / I( k D tr2— This °. i` volume change per OF,(24)";I t i'Digits per.°F inptestl 1•, Volume change per digit.= 1 1 test ,r, 4 a.:, �,�4t1 :;' If Fill pipe extends above grade,use top of fill. Range(23) '. }, Compute to 4 decimal piaces.t factor(a)' I r 111 ; 26 s "«' 30. HYDROSTATIC 31' VOLUME MEASUREMENTS IV) 34• TEMPERATURE COMPENSATION 38•NET VOLUME 39• ACCUMULATED LOG OF TEST.PROCEDURES, PRESSURE RECORD TO.001 GAL. USE FACTOR(a) CHANGES ' CHANGE ` �• CONTROL EACH READING 27. 28. 29. Standpipe Level 32. 35. , 36. 37. Temperature At High Level record Product in Product DATE Record details of settingu in Inches Change Computation Adjustment Total End Deflection - P in Graduate Replaced(—) Thermal Higher+, c x a and running test. (Use full No. a 1 1 1 1 = volume Minus r. Beginning Layette Sensor Lower Expansion+ At Low Level compute length of line if needed.) oP which Before After Product Readin Expansion(+)or TIME t — g (c) Contraction— Contraction(—) Chadjo per Hour ; (24 hr.)' Reading Restored Reading Reading Recovered(+) #33(V)—#37(T) (NFPA criteria) 5�L le Jivv/ I r?7� ' 1. .. '� �✓�•i' - 'di �'` 1 � ',i'.i* -�; e rLit A .. •i 7 i. 't t'` - t �� u �- q" f�9[^: .it' .fir '_.�• ? a•,� ' - OL .. :; .� 7r!a 1. 7r ,q. { .s � •r! 1.. - �� L •,:f' � °� � � � • • h. 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(A' I 't R 4 �I {I'�.. �III{ �lff fl �I:.Y� I'i ll�l. .II,�IFII I��791!1:" (N,ri� E.��f�I'!,i � 11 Ij�, 4 11•' � f '��.�,.( .Iv,9� IYT �y�I�I'.j i"��I' II � ii II I' � N I':ill I i'.:t d� 1I.•.I.. Try 11� . - _ I, 1. ,., .. a ''f. ,..� •._ '...,, r 5, �i I� � III I,.��l. , "I' t •I I,. Ig 1,. I '/kl ' y �:• ,I` II+: Nr ,h I i,,.l � ( � .a, �"t, "I, I''jl lyl �,;:I� �:,, �r. i'• Name of Supplier,Owner or Dealer Address No.and Sireet(s) City Sotto Detu of Teti 15. TANK TO TEST 16. CAPACITY From , ❑ Station Chart ' � ' By most accurate i9 v & c7 (— Tank Manufacturer's chart Nominal Capacity _ i;, capagity chart available 4 L-I 4 I� Identity by position Gallons 1 ' -i ';• , 7 Gallons,, ❑- Company Engineering Data ,j, tf4i'li , '' I )Ir b I,..., , _ ,t� V r Is there doubt as to True Capacity 7 ❑ ) y F harts supplied with TSTT Brand and rade See Section"DETERMINING TANK:CAPACITY" I ''r' ' tl�,�.. - ❑ Other 17. FILL-UP FOR TEST' Stick Readings Total Gallons to'/a in. Gallons ea.Reading ® Stick Water Bottom to Lk in. ^Gallons: before Fill-up Inventory i� o .Ib ! O Fill up.STICK BEFORE,'AND-AFTER EACH COMPARTMENT DROP OR EACH METERED DELIVERY QUANTITY o Tank Diameter c Product in full tank(up to fill Pipe) \, ��6�. a ��� •.�i V ''G � I r trf ,� t , tb 1, -IJ, 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK - VAPOR RECOVERY SYSTEMCD CD oSee manual sections applicable.Check below and record procedure in log(26). ± "❑ Stage I S + A I '❑ water in tank ❑ High water table In tank excavation ❑ Line(s)being tested with LVLLT ❑ Stage 11 J $ 21. TEMPERATURE/VOLUME FACTOR (a) TO TEST THIS TANK " 19. TANK MEASUREMENTS FOR f Is Today warmer?��Colder?❑_°F Product in Tank_°F Fill-up Product on Truck F Expected Change( + or — o TSTT ASSEMBLY. 0 Bottom of tank to Grade* ..... J �.. m 22. Thermal-Sensor:reading after cirqulation � ( F ;r., �'lia1 e!I,,III:(I t F: f t k Add 30"for 4"L.... ..... _„ a li:' i.' I i. 9 I r !'I '! ! ' .I'digits Nearest 4 m Add 24"for 3"L or air seal'. 23. Digits per°F to range,of expected change ✓' is n Total tubing to assemble Approximate ........ E' t i digits v I (. 20. EXTENSION HOSE SETTING 24 Z,O of�' X O D — �� /2, gallons o t al quantity in coefficient of expansion for volume change in this tank m Tank top to grade'.................................. " full tank(16 or 17) involved product per IF Extend hose on suction tube 6"or more below tank top .............................. ... rr 25. volume This Is per IF(24) Digits per IF in.test Volume change per digit. test 'If Fill pipe extends above grade,use top of fill.>- Range(23) Compute to 4 decimal places. factor(a) _ , pjj, 'n4'.' l l'! I��it'i ,,. ji�, � u-:; r..;.rlr" ,I r�r�"I fl l�ikll.i�lr' !1t ,hljt7:ylpf�I�fliPil'�iRills ', 26. 30. HYDROSTATIC 31. I VOLUME MEASUREMENTS(h t '! 34.I;I TEMPERATURE COMPENSATION 38.•NET VOLUME 39 ACCUMULATED LOG OF TEST PROCEDURES PRESSURE I CHANGES ){- , i CONTROL i RECORD TO.001 GAL, ;f r USE FACTOR(a) EACH READING CHANGE 'i ui!Ilan 27. 28,, 29. Standpipe Level 32. 35. 36.. 37. Temperature Al High Level record ! " ' Product in, Product Total End Deflection DATE Record details of settingu inlnches Change ' Computation Adjustment l Heading Graduate Replaced(-) Thermal and running test. (Use full No. Nigher+ (c) x (a) = Volume Minus At Low Level compute • Beginning Level to Sensor Lower- Expansion+ Expansion(+)or p length of line if needed.) of which Before After Product Reading' Contraction- Change per Hour TIME 0 Icl Contraction(-) ' - (24 hr.) y Reading Restored Reading Reading Recovered,(+) #33(V)—#37(T) (NFPA criteria) ..r ..' ,.,. :... ._.. .�-✓NY f...«rr ,•..:L.f µ. r.,..,,n'tl i1y. r .«.. RAT:... .:P,IfL ;A , .r t. �- . -):R.P_ , 16. z 'rl'i •4iew J:-,L V2:4. vtr•`Ta„ , .iti - .K .. .:« ..._+µ• �F'�"'. a.,..ys. 'y n�» :u. ":.. y, .: 1 .,A: et�r:.�.p •. •+, ;hf' -. ..Ffe3rv. a / � r°-•j~ c r' �. j 'L ��))G' �, e/ . �yJ (� a.rJ\ ��(,� .e. G � �..�7'•�f.%�' � C'J 4�'/� — ....y CI Fi U "' 1 � , � „t r, r .1. , ,I �f ,' :. .c%� f-mil ✓�/ t ,c ;� .� vlei /4-Id .•: / : ., - 4 l�. w� �I .G.LEI. ;,I r.� I' i F I'l l � t I.III.•�I If Nir l t.. 77 - f 1 I , f t 1 �Ci.k �j C• ti t. ) ci 1-27-21 ! A ,r f ; y� J_. 'r6 - L. �� ->' :'qua ;f r - � P�:. Iti, ;, d x i 'sn a {s � W 1;' '•{ `'s' ��� .. , 1, I � n,r �•i' pp • ,. .q .. a �• t r n n n f+,.n"1 ; ' fff Y,.#t t q� '. ��) l' l; �.. G trF �•"h ram' t. ;r �r� +1, " I � �F " r r l f at r I ,;I.I,14,1f;��` SENDER: Complete items 1,2,3 and 4. T e Put your address in the"RETURN TO"space on the 3 reverse side. Fai!ure to do this will prevent this card from W being returned to you.The return receipt fee will provid00 you the riame of the person delivered to and the date of -+ delivery. For additional fees the following services are C- available.Consult postmaster for fees and check box(es) for service(s) requested. 1.-T=]-Show to whom,date and address of deliver". W 2. ❑ 'Restricted Delivery. 3. Article Addressed to: Mr. John J. Doherty 43 Warehouse Rd. � Hyannis, Ma. 02601 4. Type of Service: Article Number ❑Viegistered ❑ Insured ["Certified ❑ COD ❑ Express Mail p-�a� l/� Fo Always obtain signature of addressee or agent and jj DATE DELIVERED. 5. Signatur - Addressee XaU W 6. Signature-- Agent "I C-) X 31 7. Date of Delivery ry, C :2 d J Z 8. Addressee's Address(ONLY if re Uested and fee paid) m m UNITED STATES POSTAL SERVICE OFFICIAL BUSINESS SENDER INSTRUCTIONS u® Print your name,address,and ZIP Code in the ®p space below. e Complete items 1,2,3,and 4 on the reverse. e Attach t0 front Of article If space permits, PENALTY FOR PRIVATE otherwise affix to back of article. USE,$300 e Endorse article"Return Receipt Requested" i adjacent to number. RETURN BOARD OF HEALTH TO TOWN OF BARNSTABLE (Name of Sender) P.O. Box 534 , (No.and Street,Apt,Suite,P.O.Box or R.O.No.) Ma., 02601 - ,0534 City,State,and ZIP Code) P 522 462 809 RECbPt FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) Sent toMr.. John J. Doherty v Street and No. 43 Warehouse Rd. d PI�Vann�i's, Ma. 02601 d C7 Postage $ Vl * Certified Fee 1. 50 Special Delivery Fee Restricted Delivery Fee Return Receipt Showing to whom and Date Delivered � Return receipt showing to whom, 4m Date,and Address of Delivery TOTAL Postage and Fees $1. 50 U. c Postmark or Date A 2/7/85 E 0 U. a STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES.(see front) 1. If yju'want this receipt postmarked,stick the gummed stub on the left portion of the address side of the article leaving the receipt attached and present the article at a post office service window or hand it to your rural carrier. (no e)-a charge) V It you do rinot want this receipt postmarked,stick the gummed stub on the left portion of the address side of the article,date,detach and retain the receipt,and mail the article. 1 3. If you want a return receipt,write the certified mail number and your name and address on a return receipt card, Form 3811,and attach it to the front of the article by means of the gummed ends if space permits.Otherwise,affix 1 to back of article. Endorse front of artile RETURN RECEIPT REQUESTED adjacent to the number. 4: If you want delivery restricted to the addressee, or to an authorized agent of the addressee, endorse RESTRICTED DELIVERY on the front of the article. 5.Enter fees for the services requested in the appropriate spaces on the front of this receipt.If return receipt is re- quested,check the applicable blocks in item 1 of Form 3811. 6. Save this receipt and present it if you make inquiry. a A •[ •t :T 1. a •t, r...; + 'r . ,! IIII. t 4.. . 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"* 't Iat �. + •, •r ti .,T'n jr r , " - , {` t wa. +i JT S �.. a - .,5' a .4.1 • - - aaar ,t-on.!if!®0— 7 or, pmm Bar.1 Ten TANK TO TEST CAPACITYtomb OPm CaoaaTT dB VA Bcauamry axay+avo+laP3a t'!,`a.i ;� Tt .-.'y p" t � arwaea�oamoan Gna*a � PSriase q� ,`1�;, b mar OouDt m to Ynre C•pamty P a Qy .,( V '"I ero SW batman"DETERMINING TAAPR CAPAOMr ("'f All UP FOR TEST amet F WL GillumTOW CiAlum t ea 9BCA tV¢4em®otPmn �.....— 4ti bey F 1a A ba Ca✓�Ona I✓s ug�STKR BEFORE ANG ASTER EACH COM►ARTPAENT OWD►OW EACH METERED DELTrIfiRV QUANTITY two OtamuAa >/ C2 'r `� �• ' PV=hiw w ha to"imp go BB vts�l �\ SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK VAPOR RECOVERY SYSTEM SW monvel mmcm 000tarabbe,Check eolow Aw nmma waosdwo in lop 26). r[-j SLyq I V C 0aCs 6a umn9 Cj Nip wm wbw into*once-VA" ❑ Lin**)be"sae to"LVLLY C]U&P B TEMPERATUREIVOLUME FACTOR(B(TO TEST THIS TANK (517)4324216 b Tod6T tlWm?G CWO D_'F ftalaY-me Tist--FEWo q an Togo M`F Ewan O (.of-1 E maw"mlOu o2as � 9 • ,� — 7 . reV\ aqw JIM'S PUMP A TANK SERVICE' ��� �� FEATURING KENT411DORE TESTING EQUIP. anAvft tocoamisam M azImmmoces k o"bam comme in aft a ka to*(16 or 17) tarorJ ymmomm, PW V P.0.Box 224 AM Dam NAll"04.LEA WGAS .r � � / 3a. � ®, =�o--•v—� ttAp b a Oka=dump Ism`8(4) wou par'R M am VP (m Alylt ko CnareTa to a d=WA P=M b W CIO ■YDl10STATFC AKT vam B M A$SpA164AT1B USi SE$P P4 CONTIrwasmA1 W IRl 6L FE6�a Paf VIII, [PlAB'BII nowdR.�e4Dt� 6mWAA laaa,g ` P1— ap °N�llAla D lah as" e rum"hSl(Ilse tom® �a ®I°d!`a @ s��a(•-1umm um T�to tram t! i)easEedl 05 �tmm Al� BAao t P�af b �� �1 a a£a tam I"aas A v tmwF-7- • Imogep RramrAt tam a EW,sai l") o73dt1•^arEaP91 aotaal • <Xt � 4-d"'✓-lC LEr t� .4C L Lh L� :a� Et1Sr / zn!+, ill t If 016 1 �' f`cal , E 0 `'v -too i t w 3 TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM _ Mail To: NAME OF BUSINES Board of Health MAILING ADDRESS: 9D Town of Barnstable TELEPHONE NUMBER: P.O. Box 534 CONTACT PERSON: Hyannis, MA 02601 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities tot III i 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 stored int d �re ►ie Please put a check beside each product that you store: Antifreeze (for gasoline or coolant systems) Drain cleaners V Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners V Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heatin oil Pesticides (insecticides, herbicides, V 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 �V'r Car wash detergents Lye or caustic soda y Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, i 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 I TOWN OF BARNSTABLE OMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfacto 2.Printers BOARD OF HEALTH ry 3.Auto Body Shops F0 (see Orers )unsatisfactory- 4.Manufacturers COMPANY " d " 5.Retail Stores q 6.Fuel Suppliers ADDRESS 4 Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT-outdoors) MAJOR MATERULSCase lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B Heavy Oils: waste motor oil (C) new motor oil (C) G� transmission hydraulic Synthetic Organics: degreasers Miscellaneous: 14 �49 V DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply O Town Sewer #Public P�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 2. rson (s) I terviewed Inspector Date