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0112 WEST MAIN STREET - HAZMAT
I1 � WeS� �Y1ain � , �rn'�r �,� � - 02��' t-la�zxr,c�d— °F1HE toys Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 9BARMABLE.$ 200 Main Street• Hyannis, MA 02601 t639 M I, TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT lFD P'�Business Name: /�n s -131 Date: Location/Mailing Address: Contact Name/Phone: Inventory Total Amount: MSDS: License#: Tier II : Labeling: Spill Plan: Oil/WaterSeparator: Floor Drains: A/6 Emergence Numbers: nte- Storage Areas/Tanks: - l Emergency/Containment Equipment: Waste Generator ID: Waste Product: 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 Op--ettf(>� 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 V*- Miscellaneous Combustible 1 —Paint&varnish removers, deglos ers Leather dyes t Miscellaneous Flammables fi 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: I-1-6 ORDERS: INFORM TION/RECOMME DATIONS: F,:Zx, r S C,Ir� Inspector: In Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS °pTHE rok, Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMA%q. . ` 200 Main Street• Hyannis, MA 02601 �rEDru+°peg TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: V ��5� w Sa1o,.� Date: 3 /7 Location/Mailing Address: / 2 0est MAI YAA-kii�5 Contact Name/Phone: •� Se _.r —r�S,9 Y 5 InventoryTotal mount. .0 1 SDS: +0 AA-0,", License#:dA Tier II : o Labeling: K Spill Plan: 1 , Oil/WaterSeparator: Floor Drains: 0 a - 4AWe'< Emergency Numbers: 0�<— Storage Areas[Tanks: K X ac 1 .w., 0 t A.\ cBw�a.wz{ Emergency/Containment qui me t: <161 40V--a-ls- WC-L 20115 Waste Generator ID: 1PC Waste Product: &I I 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 t 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 �,al Lacquer thinners ?,- Miscellaneous Combustible � ae�oso� Paint&varnish removers, deglossers Leather dyes 4 0-7 st=4,1 Miscellaneous Flammables 1 &'.ek,,%A� Fertilizers s��� . Floor&furniture strippers 1 PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) t +t Any other products with "poison labels" I Nail �01�51ti t (including chloroform, formaldehyde, $ \%&, - C,n10�,� g hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION./RECOMMENDATIONS: 1vt-- (� ©v`nS t -0— V6LN o -g—w-, S SIt� I v�- o Q C�V►1 Oc 1 �r �Z `�XT I'^j t>1 g �( Inspector'-.- A / Facility Representative.. WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS MCHUSETTS FIRE INCIDENT REPORT DEPARTMENT Revised >0 92.2••••• Hyannis Fire Department Report Form If Ex • Date Alarm Arrival In Service den # :000189 Fire 002/23/95 Day IThursday100:22 00.25 02:05 SITUATION FOUND ACTION TAKEN :;;: MUTUAL AID B Spill, Leak w/ No Ign ':4 1 Remove Hazard FIXED PROPERTY USE (OCCUPANCY) IGNITION FACTOR C Paved Public Street .:.:>9 6 2 I n Factor Undetermined 00 <> OCORRECT ADDRESS ZIP CODE CENSUS TRACT D 112 WEST MAIN ST 1 02601 000030 O 11 OCCUPANT NAME (LAST, FIRST, MI) TELEPHONE ROOM or APT. NONE OWNER NAME (LAST, FIRST, MI) ADDRESS TELEPHONE F 12 TOWN OF BARNS. MAIN ST HYANNIS G 13 METHOD OF ALARM CO. DIST. PERSONNEL ENG RESP. ........... AERIALS RESP. 3 RESP. 0 7 SHIFT HAZ MAT PRESENT?El Y TANK. RESP. OTHER RESP. F71 0 2 Telephone (Tie-line) NO. ALARMS SUBSTANCE 12 7 0 1270 1 SPEC. EQUIP. USED? TWO 5 GAL. CANS STARDUST O 20 FIRE SERVICE TM-TH0R 0 ?< OTHER 0 0i 0 <. F S F r 0 O MOBILE PROPERTY TYPE VEHICLE STOLEN? ESTIMATED TOTAL INSURANCE CO. DOLLAR LOSS TOTAL INS. CLAIM PD ......... 0 0 30 YEAR MAKE MODEL COLOR LICENSE NO. VIN# 40 IF EQUIP INVOL. YEAR MAKE MODEL SERIAL NO. IN IGNITION O COMPLEX AREA OF '... EQUIP INVOLVED IN IGN. ORIGIN FORM OF HEAT IGNITION ••••' ?MATERIAL FORM " TYPE © IGNITED METHOD OF LEVEL OF ORIGIN Number of Stories CONSTRUCTION TYPE OEXTINGUISHMENT Lj EXTENT OF DAMAGE Flame Smoke DETECTOR PERFORMANCE SPRINKLER PERFORMANCE OP O Material generating FORM TYPE ® most smoke AVENUE OF SMOKE TRAVEL R WEATHER CONDITIONS Officer in Charge: Date ROBERT K.PICKERING LIEUTENANT 2/2 2/9 5 Comments for this incident have been printed on an additional comments page. Comments for Incident: 95 000189 Exposure: 00 Date: 2/23/95 HEAVY RESCUE 821 WAS REQUESTED BY CAPT.GRANT TO AN AUTO ACCIDENT AT WEST MAIN ST. FOR A MOTOR OIL SPILL. • ON ARRIVAL WE DYKED AT THE STORM DRAIN AND COVERED THE SPILL WITH STARDUST. AFTER THE AUTO WERE REMOVED WE RECOVERED THE STARDUST AND COVERED THE AREA WITH SAND. R.K.PICKERING/LIEUT. • -a An-: U rR '"E'°wti Town of Barnstable „.v U.S.POSTAGE»PirNev eowEs Public Health Division _ ��'�,�® • BARNSTABLE. • � {, { +��y.� • � N SS. r %V.Fy �J.tvs, '.:'.+.3 200 Main Street a �o 6�q. 0� tED MPt P` Hyannis,MA 02601 :�,3=$ ':�? �} ZIP 02601 4 5 c �...v ....1. .per 0oo•-i� 02 41N 0000.3.36455 DEC. 2.7. 2016. By Design Salon 4 o n _l7r � _ /1 Z. L,)cs 4- M4, Hyannis, CIA 111�1-1)1 _ H�►4KVI NIXIE 015 aE 1 0'001/07 /17 RETURN TO SENDER ATTEMPTED - NOT KNOWN UNABLE TO FORWARD _:.,. 9400921669006220 ANY, BC: 02601400200 * 1.522-01440-27- 46 �t� 4 i I II !Ill ( 1 II i ; �i _ ! �i: iIl 1l llll fl dill! �YNETowti�, Town of Barnstable Regulatory Services "` = • BA MASS&LE, g qq, 1,639. Richard V. Scali, Director BARNSTABLE >EbMaYa Public Health Division BRRr.STaBtE•CEM°AbIUE•C9iUlT•FYrw+'NIS NaftSttiHS✓';1L4•US1L'FY',LLL•15FSf PdFISTA[!iC 1639-201A Thomas McKean, Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 December 5, 2016 NOTICE TO ALL BUSINESS OPERATORS - - WITH-HAZARDOUS MATERIALS 1N THE TOWN•OF•BARNSTABLE In accordance with Town Code, Chapter 108, all businesses that handle or store Hazardous Materials greater than household quantities are required to obtain an annual license with the Public Health Division. Effective January 1, 2016, the Barnstable Board of Health enacted a new fee schedule for hazardous materials stored on site. The fees are codified in Chapter 318 of the Town Code and are outlined below based on storage category: Category 1 License 26— 110 Gallons: $ 50.00 Category 2 License 111 —499 Gallons: $125.00 Category 3 License 500 or more Gallons: $150.00 If you should have any questions or concerns, please feel free to view the Town Code which is located under the E-Code section on the Town Website, www.town.barnstable.ma.us. Based on Public Health Division records, your business is not currently licensed to store/use hazardous materials. Please consider this letter an order notice to schedule an appointment for a hazardous materials inspection with the Health Diyision. Please contact Timothy Lavelle, Hazardous Materials Specialist, at 508-862-4645 or tim.lavellegtown.barnstable.ma.us to schedule this inspection within the next 14 days. Your continued cooperation is greatly appreciated. If you have any questions or need further information,"please call the Public Health Division at 508-862-4644. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S. Director of Public Health Town of Barnstable Q:\Hazmat\Copy of Hazmat new inspection order 2016.doc Y TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM r, Mail To: NAME OF BUSINESS: Board of Health MAILING ADDRESS: Town of Barnstable TELEPHONE NUMBER: ��— P.O. Box 534 t Hyannis, MA 02601 CONTACT PERSON: Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in qua tities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered when stored Please put a check beside each product that you store: Antifreeze (for gasoline or coolant systems) 4 Drain cleaners _Automatic transmission fluid 'Toilet cleaners Engine and radiator flushes Cesspool cleaners 1� Hydraulic fluid (including brake fluid) Disinfectants Moto ils/waste oils Road Salt (Halite) �P Gasoline, , I Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, 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, Y 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 i White Copy- Health Department/ Canary Copy-Business 1 TOWN OF BARNSTABLE C MPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops / t O unsatisfactory- 4.Manufacturers COMPANY �/Z`�°/ (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS 11 lass: Z 7.Miscellaneous QTJAA TITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drurns Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: 1 40VZ7 Gasoline Neel-( Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) G transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: 47 _ DISPOSATARCLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply 1drTown Sewer public O On-site OPrivate 3. Indoor Floor Drains YESI-NO O Holding tank: MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank: MDC O Catch basin/Dry well O On-site system 5. Waste Transporter Name of Hauler Destination Waste Product YES NO 2. P rson (s ewed Inspector Date