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0347 WEST MAIN STREET - HAZMAT
Ct �fpzm AT I�`,:,,��tt_'_",.� 7 N,� .......... ji Vt ov 0 :- 1 1, '1, ;,'-, , �s,. , - I :�.' :��-,","':; �' I �I�,I-,I , , , 6,.:" I`i��;��*,��t 66, to Vi ......... t .......... . .......... i � • Number Fee 1199 THE COMMONWEALTH OF MASSACHUSETTS $50.00 Town of Barnstable Board of Health This is to Certify that Fowler and Sons, Inc. ....----------------------------------------------------------------------------------------------------------------------------- 347 West Main Street, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 26 - 110 gallons 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 w �'S Town of Barnstable Inspectional Services BARN TABLE pF PF NMBLE-RNMWLU-CMff-4NN1S Public Health Division um'="j11°� `1 1639/q5/72��0{{4 . BAMSTABM = Thomas McKean, Director r- �''rfDrJIP��, 200 Main Street, Hyannis,MA 02601 w�? Office: 508-862-4644 Fax: 508-790=6304 1-.> APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, �A HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY I st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00 �t&rea c 1 CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ 213947 *A late charge of$10.00 will be assessed if myment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. tb-L ,A 2. IS THIS A PERMIT RENEWAL?OYES_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 QUANTI TI ES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: fteS 5. NAME OF ESTABLISHMENT: TGW Kf a'd sms I 111 6. ADDRESS OF ESTABLISHMENT: 3Ln 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: s� 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: ^� Muj Isms I YA C, uv)q 10. SOLEOWNER: YES No IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESSrAND TELEPHONE#OF: CORPORATION NAME kc, PRESIDENT "t�C TREASURER e. r CLERK I 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT Cjkr-�kO DATE Le l A�o Q:\Application Forms\Haz Mat Appli Draft Jan20l9.docx Number Fee 1199 THE COMMONWEALTH OF MASSACHUSETTS $5o.00 i Town of Barnstable Board of Health This is to Certify that Fowler and Sons, Inc. 347 West Main Street, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 26 - 110 gallons 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 4 - r Town of Barnstable Inspectional Services BABSTABLE a Public Health Division 153 zn<" BARNMBLB. Thomas McKean, Director 9`1iArEo 059. s``� 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 3 Oth). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 : v /� CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 02 CATEGORY 3 PERMIT 500 or more Gallons: $150.00 El Oq8(a *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. q Q 2. IS THIS A PERMIT RENEWAL?__�ES_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: �.J �� 1 ' `'' 5. NAME OF ESTABLISHMENT: �L.0 6. ADDRESS OF ESTABLISHMENT: cn -7 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: �j(() 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,An TELEPHONE 4 OF- CORPORATION CORPORATION NArME i l/� U (J Olt f kk C- PRESIDENT J TREASURER CLAACj CLERK r 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: Vj SIGNATURE OF APPLICANT XDATE Q:Wpplication Forrns\Haz Mat App Revised 09-10-18.docx r Number Fee 1199 THE COMMONWEALTH OF MASSACHUSETTS $5o.00 Town of Barnstable Board of Health This is to Certify that Fowler and Sons, Inc. 347 West Main Street, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 26 - 110 gallons of Hazardous Materials. ---------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------- 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 �4 } P of Brnsxable ' eowrg atory erv1ces �'THE Richard V. Scali, Director Public Health Division BARNSTABLECZ snnNsznBr E, « Thomas McKean, Director "�DN5M1S;LIVER;o;�� "nQLC ---- -- - - -�0�- --- ---- -- - prED MAC a 200 Main Street,-Hyannis,IVIA 02G01--- --" -- - --- CI k� Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZEa 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 3 Oth). APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: ,- -' $ 50.00 )4' VS 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 a mmennt is notreceived b Jul 1st. 1. ASSESSOR'S MAP AND PARCEL NO. � 10q-7 2. IS THIS A PERMIT RENEWAL?_�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: 1 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: v�� / ✓�y y 9. EMAIL ADDRESS: 1'1,61 �^ &a a (S&g ! L' Q dM 10. SOLEOWNER: YES,�NO IF NO,NAME OF PARTNER: Nlqe(f 11. FULL NAME,HOME ADDRE `T,E�EPHONE#OF: CORPORATION. ME lt�/ Q l S - C PRESIDENT (,U' lej , TREASURER -e� Tvw CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT lu(,1 � DATE /J Q:\Application Forms\HAZMAT APP 2017 REVISED.docx Number fee 1199 THE COMMONWEALTH OF MASSACHUSETTS $so.00 Town of Barnstable Board of Health This is to Certify that Fowler and Sons, Inc. 347 West Main Street, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 26 - 110 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 ' owr of Brstable eg atory ervlces THE Richard V. Scah, Director � Public Health Division BARNSTABLE • e B4ue5t4nLP• ftlVviu-rsr n nsr BARNSTABL , Thomas McKean, Director ��,5��i g,20 ql'S1 P4?N0f40� °len s`0� 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 8-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE Na 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 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?X, 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: ��I ' a,/I d ly e 6. ADDRESS OF ESTABLISHMENT: �� We a n Q/mtj� M � 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUM 3ER OF ESTABLISHMENT: U 9. EMAIL ADDRESS: 10. SOLEOWNER: YES) ' 1�NO IF NO,NAME OF PARTNER: Q r/lei -To er 11. FULL NAME,HOME ADDRESS AND TELEPH NE#OF: CORPORATION NAME U/w PRESIDENT Jaywej oraUJI(f4" TREAS Q CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: . COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE QApplication Forms\HAZMAT APP 2017 REVI A x HE r Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 B"M R,q. 200 Main Street• Hyannis, MA 02601 059. �'°rfONa+"tee TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: t-o+J12,r �0x 3 Date: Location/Mailing Address: 3H-7 2S� 4M i-S Contact Name/Phone: or �>Q-b ro,,�l-et SyS-'771 -S00t Inventory Total Amount: i 4 4 LL LI00 0VL tke,n,+C C k License#: �U s Tier II : 00 Labelma: Sc.'ta, Spill Plan: " Oil/WaterSeparator: 01A Floor Drains: NO Emergency Numbers: ` Storage Areas/Tanks: 5vu.1k yolvAw cowkk%�Z Emer enc /Containment ui ment: jP11\ k,�- 0 ow slk�9, Waste Generator ID: NIA Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: lW kSNQ�, o.J kW w, ke. Co� edr,, a, LIST OF TOXIC AND HAZARDOUS MATERIALS IVo VA.0, of t tv��l *4 NOTE: Under the provisions of Ch. 111, Section 31, of the eneral Laws of MA, hazardous Material use, 0 storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages -Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes NqQA,3k� Lye or caustic soda Lacquer thinners Jg�j`� 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: D5 1 %A- c�c, o ov o �4- - e 4L%,L �-� �o ,�,( Inspector: —1 �4`�•e�1� Facility Representative: i, 2, Lar5-Y WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS I ,ME ro Town of Barnstable Office:508-862-4644 • °� Public Health Division Fax:508-790-6304 BARMAIR L .g' 200 Main Street• Hyannis, MA 02601 ArEDMA+A`0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: owA-a- MS Date: / 2� Location/Mailin Addre s: 3` -7 W2.s4 f, + Contact Name/Phone: cb oe—_s 1 ✓SCt a InventoryTotal Amount: o�ux—��-U�A MSDS: e5 License#: Tier II : U 3Of& b Lam' Spill Plan I o oti 6' Oil/WaterSeparator: No Floor Drains: Emergency Numbers: tO Storage Areas/Tanks: vb ko <tjyl PloAk-oLi Kt,-f S rti Emergency/Containment E i me 111 WM MON),& v 'S 0% t� 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 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/RECOM ENDATIONS: OVA I JVw %&NW-VA o< c� oJS YJJ 41 �05"c 5 �4A- 't' �.m� Uy 0A&`1-qr spector: 4 . 5,A0 p.,k Lik br.I l �k��.�,��3e�`,44 f P'I Foci�lity Representative: L WHITE COPY- HEALTH D PARTMENT/CANARY COPY- BUSINESS filer &So Term_ ite,Pest'and Turf Management PRODUCT LIST AND EPA NUMBERS ADANCETBCII (TERMITE BAIT CARTRIDGE) EPA# 499-500 ADVION ANT GEL E'PA#352-746 ADVION ROACH GEL EPA#352-652 ALPINE FLY BAIT EPA#499-568 BLACK FOAM NO EPA NUMBER BORA CARE EPA#64405-1 CB-80 EPA#279-3393 CONTRAC $LOX EPA#12445-79 DEMAND CS EPA#100-1066 DRIONE DUST EPA#432-992 EXCITER 6% EPA#65:5-798 FASTRAC PELLETS EPA#12445-137 FINAL BLOX EPA#12445-89 GENTROL IGR EPA#2724=351 GENTROL POINT SOURCE EPA#2724-469 ' GUN CLEANER NO EPA NUMBER ', IC3 (ORGANIC ) EPA EXEMPT LABRY.NTH TERMITE BAIT EPA#68850-2 N I BAN FG EPA#64405 2 PYROCIDE 100 EPA#1021-1424 TALSTAR PRO EPA#279-3206 TALSTAR PL EPA#279-3168 TALSTAR XTRA EPA#279-9552 U LTRACI D E EPA#499-404 TEMPO DUST EPA#432'1373 TEMPRID READY,SPRAY EPA#432-1527 TERMIDORTERMITICIDE EPA#7969-210, TERRO PCO ANT BAIT EPA#149-8-64405 TIM-BOR EPA#.64405"-8 ° 347 West Main Street Hyannis,MA 02601 0 (508) 771-BUGS (2847) o www.Fow,lerAndSonsInc.com k PRODUCTS IN STOCK SUMMER WINTER CB-80 (AEROSOL) 2.046z '�204oz ,DEMAND CS (QUARTS) 160oz 2-24oz DRIONE DUST (11-13) 5lbs 51bs EXCITER (PINT) - 48oz 144bz GENTROL IGR (PINT) 64oz 144oz GENTROL POINT SOURCE (BAIT PUCK) .009oz .009oz IC3 (GALLON) 256'oz 128oz PYROCIDE (GALLON) 128oz 128oz TALSTAR P (960Z) 480oz 8.64oz TALSTAR PL (25LB BAG GRANULAR) 250lbs 25lbs TALSTAR XTRA (25LB BAG GRANULAR) _ 75Ibs 25Ibs ULTRACIDE (AEROSOL) 2400.z 240oz TEMPO DUST (11-13) 5lbs 51bs TEMPRID READY SPRAY (AEROSOL) 78.5oz 125oz 3` CONTRAC BLOX (18LB PAIL) 181bs 18lbs FINAL BLOX (18LB PAIL) 721bs 1801bs ADVION ANT GEL (1 OUNCE TUBES) 63.6oz 21 2ort t , ADVION ROACH GEL (1 OUNCE TUBES) 21.2oz 21;2oz ALPINE FLY BAIT (AEROSOL) 64oz 64oz NIBANFG (11-13 GRANULAR) 1Ib 31bs TERRO ANT BAIT STATIONS 210z 4 21oz ADVANCE TBII (TERMITE, BAIT CARTRIDGE) 78.66oz 78.66oz LABRYNTH TERMITE BAIT (SHREDDED PAPER - 500G) 1500g 1500g TERMIDOR TERMITICIDE (2.5GAL) 874oz 320'oz TI'M-BOR (25LB WETTABLE POWDER) ' 501bs 50lbs FOAM GUN CLEANER (AEROSOL) 150oz 150oz BLACK FOAM (AEROSOL) 384oz 38'4oz BORA CARE 512oz 512oz FASTRAC PELLETS 16lbs 16lbs qqa «� ary 39v is sIl3 p M Date: TOWN OF BARNSTABLE �ns�e,c.'�;a r� TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: � 111 QR��ov�s BUSINESS LOCATION: 35B +v:r3 'i INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: Sbo- 7-71 ` 2g47 CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: Pest eo v.}rm '"1 ce" 11 INFORMATION/RECOMMENDATIONpS: '� S Fire District: Ao k Is < I Y 1 a ov. �J���c V t� & %v-t5 o v� C c�p 5S tie Waste Transportation: tijA <odvt�Last shipment of hazardous waste: Name of Hauler:Ao\o,-- jqa' A:o je..c �me, Destination: Waste Product: tpoL6kL r of zLk-.,_Lk a Licensed? Yes No 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 Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) 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) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes vv,-o- 3_�VO+ te, '/ �1 Laundry soil &stain removers �0 rX (including bleach) L Q 1 n Spot removers&cleaning fluids (dry cleaners) 0 K t&, i , �ko - yI r-5 tJ�►a"� 5 `�"� Other cleaning solvents Bug and tar removers I a�,J + (ze 40 n.�) Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials I 7�tull r6 ,6 17 L'c' 7sT���� YOU WISH TO OPEN A BUSINESS? 610T For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town-Clerk's Office,.1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. r 1s '> DATE: C Fill in please: ru r as F } APPLICANT'S YOUR NAME/S: �� �" , w�tti ` $NE)SS 2 /r YOUR HOME ADDRESS: yr Vfflh#st � ltyr �yi3 (/ 7 (ty; /t iv "7 �c2GJ � TELEPHONE # Home Telephone Number NAME OF C vw /iC cr.� ORPORATION:-' NAME OF NEW BUSINESS: .! TYPE OF BUSINESS Iff—'f ct . a'1�.�hT/ro L IS THI$A HOME OCCUP IONS YES If NO ADDRESS OF BUSINESS e,S0�i 35 ..:.lsr . lrr'�, �.:u � MAP%PARCEL NUMBER .. �: (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM SIO ER'S OFFICE This individu I has e n irSfo`ro any per it equire ents that pertain to this type of business. �� Aut dr'ze6signaturpi * COMMENTS: I' U lYl ' 1 ' A- U - 2. BOARD OF HEALTH This individual has been fo/rr V I of the permit requirements that pertain to this type of business. MUST ,OMFLY WITH ALL _� + 1 V I p.%'_A.F?Cit.�l)�I`,IATL-.F{lU.S Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed.of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: r a Date: q / � �0/ TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: " < .Sa�tt BUSINESS LOCATION: > 0-S/".,�11v 3S- . Yap^-if f INVENTORY MAILING ADDRESS: 35 -f 0- �rl Itl";C'-7 /W d•Z TOTAL AMOUNT: TELEPHONE NUMBER: SJf= 771- I vG l CONTACT PERSON: �f3 wLE2 �ti cTh viz EMERGENCY CONTACT TELEPHONE NUMBER: idd- Nd- i!�G21n MSDS ON SITE? TYPE OF BUSINESS: Asr 67,tTxoe�_ INFORMATION/RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No 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 Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils 3o Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) 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) 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-BUSINE S Applicant's Signature Staff's Initial a' Number LTH OF MASSACHUSETTS Fee 1199 THE COMMONWEALTH $50.00 Town of Barnstable _ s Board of Health This is to Certify that Fowler and Sons, Inc. 347 West Main Street, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 26 - 100 gallons 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. 02/04/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable °Ft ro,,ti Regulatory Services • °� Richard V. Scali, Director BA"STABLE, BARNSTA E 9 MASS. g Public Health Division 1639. 10 m s"ors is os*E v i p'fO ' Thomas McKean, Director 639-2014 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-79V304 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 1 st—jUNE 30th)- APPLICATION FEES r CATEGORY I 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 ehame'of$10.00 will be assessed if payment is not received by July 1st. • ASSESSORS MAP AND PARCEL NO. ol(o9DCI 7 DATE ao I FULL NAME OF APPLICANT: A , —i U l•U�'P.� �1L NAME OF ESTABLISHMENT: -f—awl e�' a u�d o� s I C- ADDRESS OF ESTABLISHMENT: 3D Wed,-- 00(h Wep`er MAILING ADDRESS (IF DIFFERENT): TELEPHONE NUMBER OF ESTABLISHMENT: O -71I —SW EMAIL ADDRESS: rnw''1�f T (�W "► �V� 1 �Q n5 e. l�v�1 SOLE OWNER: YES NO IF NO,NAME OF PARTNER: t Il S +--(jLd t%^ FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: /'/ S /n�' CORPORATION NAME W WIC, PRESIDENT kow ley -114-- TREASURER . U CLERK IF PREPARED BY OUTSIDE PARTY: A OF APP UCANT Name: • I Company Address : Telephone#: Email: Q:\Application Forms\HAZZAPP Rev I6.docx Page 1 of 2 Town of Barnstable Office: 508-862-4644 Fax: 508-790-6304 Regulatory Services Department Public Health Division Thomas A.McKean,CHO Fns` 200 Main Street, Hyannis,MA 02601 Payment Receipt Hazardous Materials Payment received: $50.00 (Check) on 2/4/2016 'Check number: 19345 Check amount: $50.00 Name on check: Fowler and Sons,Inc. 1Business: Fowler and Sons, Inc. Owner: FOWLER BROTHERS LLC Address: 347 WEST MAIN STREET, Hyannis Note: Category I . r • Number Fee 1199 THE COMMONWEALTH OF MASSACHUSETTS $so.00 Town of Barnstable Board of Health This is to Certify that Fowler and Sons, Inc. 347 West Main Street, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 26 - 100 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 G'r J Town of Barnstable Regulatory Services Richard V. Scali, Director '" MASS. Public Health Division BARNSTABL eartn i639• ♦ wno+aru:s•os*eiv.ue•wrea+xsns 1639-2014 Thomas McKean Director r- 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 \ Fax: 508-790-63 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 1st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 K �'S 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. P DATE (0 . FULL NAME OF APPLICANT: rl UIJI� !"�iy G�1�-�lS �A1�1CJ-1 dW o NAME OF ESTABLISHMENT: I�/lU' 0�-4 SOLS , �VAC . IIII '' /�' LL�� , ADDRESS OF ESTABLISHMENT: 3ql We w Nalm 5f1�w n4 0 MAILING ADDRESS (IF DIFFERENT): n TELEPHONE NUMBER OF ESTABLISHMENT: EMAIL ADDRESS: deb ' �tffot;tj SUY1S I nC. Cam SOLE OWNER: YES NO IF NO,NAME OF PARTNER: �lA�i �w,'e✓ FULL NAME,HOME ADDRESS,AND TELEP_HO} #OF: CORPORATION NAME In( PRESIDENT ji OitJ TREASURER -_ hourics w IC/ CLERK DfjgLr4,h uJk/ . IF PREPARED BY OUTSIDE PARTY: SI ATIME OF PLIC T Name: 1+�-- Company Address Telephone#: Email: Q:\Application Forms\HAZZAPP Rev 16.docx Page I of 2 4rSACIIUSETTS FIRE INCIDENT REPORT DEPARTMENT Revised 10 < .0.1...9..2.2.,,... H annis Fire Department Report Form :::>::>::><: If Date Alarm ArrivalIn Service d # 000.0.43 Fire pp 1 / 1 8/97 1 Day ISaturday12:23 1 2 :38 113: 11 ON FOUND ACTION TAKEN ��""��' MUTUAL AID B Spilt,—Leak w/ No Ign :<;4 1 '` Remove HazardL�4 FIXED PROPERTY USE (OCCUPANCY) IGNITION FACTOR C Uncovered Parking Area 9 6 5 IGNITION NO OCORRECT ADDRESS 329 W. MAIN ST. ZIP CODE CENSUS TRACT D 02601 30 O 11 OCCUPANT NAME (LAST, FIRST, MI) TELEPHONE ROOM or APT. DELISE FRANCIS 508 7.90-3625 F 12 DER NAME (LAST, FIRST, MI) ADDRESS TELEPHONE SAME G 13 METHOD OF ALARM [NO. O. DIST. PERSONNEL ENG RESP. AERIALS RESP. 3 © RESP. El 0 HIFT HAZ MAT PRESENT? TANK. RESP. ;:: --::_ OTHER RESP. D 0: Telephone (Direct) SUBSTANCE 0 0 SPEC. EQUIP. USED? O FIRE 20 SERVICE 0 0 OTHER 0 ' 03 F F O MOBILE PROPERTY TYPE VEHICLE STOLEN? ESTIMATED TOTAL INSURANCE CO. DOLLAR LOSS s' TOTAL INS. CLAIM PD 0' 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 OMETHOD OF LEVEL OF ORIGIN r. Number of Stories CONSTRUCTION TYPE EXTINGUISHMENT EXTENT OF DAMAGE Flame Smoke DETECTOR PERFORMANCE SPRINKLER PERFORMANCE N P O Material generating FORM TYPE ® most smoke AVENUE OF SMOKE TRAVEL R WEATHER CONDITIONS Officer in Charge: Date ROGER CADRIN LIEUTENANT 1 / 1 8/9 7 • Comments for this incident have been printed on an additional comments page. Comments for Incident: 97 000043 Exposure: 00 Date: 1/18/97 UPON-ANIVAL WE FOUND THE CAR PARKED IN A SPACE AT THE END BY THE ENTRANCE TO THE PARKING LOT,THE CAR HAD LEAKED GASOLINE AND EMPTIED THE TANK IN THE PARKING LOT APROX 2-3GALS. *HE CAR WAS UNSAFE TO DRIVE AND NEEDED TO BE MOVED SO WE COULD CLEAN UP THE SPILL IT WAS TOWED BY DAVIS TOWING CO.BPD WAS ALSO ON SCENE OFFICER CATO SPOKE WITH THE OWNER OF THE CAR ABOUT ITS REMOVAL. WE REMOVED THE SPILL USING STARDUST THEN COVERED THE AREA WITH JANSOLV. AFTER REMOVING THE HAZARD E-822 RET TO QTS 13:11. CAR OWNER-FRANCIS DELISE 329 WEST MAIN ST. APT.24 790-3625 1979 PLY VOLARE STWAG RED MASS REG-412-NOL VIN-HL45D9F135021 347,.,.,.W � "��:v x�rAltt, �N�: - -,._Hy ann s�---. , � � �'� // �.�`"" • SAND Ga`'� o� �4GL �UfLi2PSf'aro���Ce % �d U-o�Vy !tit Ufz i/f ,g T i9��i 2�S S 0" TOWN OF BARNSTABLE 1-64ERIRIUND FUEL AND HEMIC L STO S ���co NAME .f` i U j ADDRESS y7 ��5T Airy S� V LAGE Nan ni7 LOCATION OF TANKS: C ACITY: TYPE OF FUEL AGE: TYPE: OR C/H�EMICAL 5 rr J CE O ®/L /51 >� (Give same information for any dditional tanks on reverse side of card) DATE OF PURCHASE OF EA H: 1. 2. 3. 4. DATE OF FIRE DEPARTME T PERMIT: TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS lox I C 3 y 7 W /YI e., ti N N.—r 5u.ww...0—w b.ww bewu ra w srw.rt.l Gn s.r Gr i� 'w TANK TO TEST CAPACITY 41. Bu.el+own 0 C N.-.9 Cape f�y cama +r c"mwa. �? T.a M.nut anw'.wn .twn w oeraw. ` 6+s. a.ao.. - r L� Coalo.q E^B•w-9 Data b tb.r deum a to Tr-Cbpmaty P G rl Ctwu aIIWwd.db TSTT rw r.o. Sae Sect--OETERMINING TANK CA►ACIrr L �- FILL-UP FOR TEST Sam 1i°I"o TMW G+•re M M ill, Oaabl. as RlaedwB at"Wear boat" balms.PIB'.ID �./..� - - f0 N h GeYale lA.a.tl7 PY up STICK BEFORE AND AFTER EACH COMPARTMENT DRO►OR EACH METERED DELIVERY GUANTITT Tattle Dtrllrr 7` Jf of l+ j 7 /t P+bduel In EW tall(W 16 IO pipe) SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK , VAPOR RECOVERY SYSTEM S-nurwr ma-1 apuirabia Chmk b•iow.a retard m w-ii M log(2a). CWaller In iris Hips War tabM m tart ascavedmt Una(a)bairtB rand WM LVLLT ❑Slow a TEMPERATURENOLUME FACTOR(a)M TEST THIS TANK H Today iOrm.?= COW= F F400m a Tat F Fil-IN Pruam2 an IMM_F E+mamd Chaga I•a-) -(617)432-4216 tl+.twa1-Samr rradirg aRr eYa�.ar � �s O•�� � / F dW No.ar JIM'S PUMP h TANK SERVICE' �•pw IF in a ol"a w 3 090 A FEATURING KENTAMM TESTING EQUIP. J oil n slow quwB7 in coonclw of expoaN.da ar votana btlrtpa M Nit salt bill oft(Fa or T7) l.11dnad prdducle per IF P.O.BOK 224 � i JIM CHASE HARWICH•MA 02645 '.J (. + •;� '� �� ! b TWO tt vdlmoa v4P Pr'P M 0hom per R In sod Votetr at+rpa per dtaK bean CWnptaa to a daale)Paaoaa Eam 10 IN OF TEST►REC'ENXES P BlaE BEJ�fA Et•Oa n� Clamou tE ACMUC ATEa - couTlom ti>d ill EO FIOes W LAD SLUM auaq S-1".t.r S.nr. ■y ta-r.r. aBE I Record deteih of sefiaE rt e.ds 1iOi1 Btt t- Bgt-s(-) t1� t w4 - eei-.� sar u lWasr and r 'lag test.fuss fan ► Eq.. i Ia.r r Sr. IL_• 1c�- w.r tens ■ i...a# fara•.1.1r IMptt at liaa it u.ded.) r I .rs N.w a..e.n p C..msm.- C�1') Me w w a w ft.6" fir/ - r.a4 a.r.d 1 a.�r1.1 ( •111q-eST(t) �N'r'aa . a r� _ L . i D I C.` 14 �� .i/3 a I.. "3iqG 65 c3y I �� fdt! 46,$ 396 It rr I I4L a.�igot _ Dfi C, 1� cTqu r Z 6a i�r t ) I 4,sv. 1,4-i, 'A " 1 Ib04S f4- t eay0 .d 0 ,9,1/ " .IC1 �� '�c' _G140 11sf,)1 1J440 0,0 4 Zr, i I( a w� + v �� a UIL f ( 1 I 1 I i 5 S i dun 1 ►� i 1 i ; I 1 61 ' wr M i.•o•«O.mw r D.•w Aee�r rr••we frweHtl Grr Saw T ./Maa Tat - TANK TO TEST CAPACITY F?- u D v g • .. ` 'TWA ur. C1 Q i� NaMnel Ceaeoa� T' co Teu•eevw• O n E� Tal MaMwM'•CIw1 Mrwwv•r tar• t.•o•re' eAOaary fAat waiekh Grua — Is ItM d At M to T_upse" J CaaYenY EnpuwnB am (.' t r ❑ Ceaa aMowa+an Ts7T •rr Gw•• Sw Socte -DETERMINING TANK CA►ACrrr L Do- FILL-UP FOR TEST TOW G.Rm to M Ir1 CiARatR a.RaeaiB So"wow actilm FWMV -^ �• h�,te„ c c P r N n OWons Fal tp.STICK BEFORE AND AFTER EACH COMPARTMENT DROP OR EACH METERED OEVARY QUANTITY Tent OWmte �: Al' X� /� � F,oduet in fv1l rn.(up a O WORI SPECL4L CONDITIONS AND PROCEDURES TO TEST THIS TANK VAPOR RECOVERY SYSTEM Sa M 41 aft=M aw6C as CMct bro.a+a Mora oroodu.in In(2a). sup 1 C Wow In tat. ❑ MVh aow labis in tank exormon >rn•w bwV WOW *M UVLLT C3 sop it TEMPERATUREIVOLUME FACTOR(a)TO TEST THIS TANK (617)4321216 Is ToM Wrenn? C bv7 C_•F Pm&=a TwA_•F Wo Praaap aI Tram_•F Eroecna CWW 1+ar-1 Thenam,%aM, rwdb afar eso.nlaa 3 �� rarea JIM'S PUMP A TANK SERVICE' pwlFh.atp.wam.�ksel.Ry.� FEATURING KENTAKXM TESTM EQUIP. •� JJ`` x• t'9 O O >. of T pees.. gtatlKy In eatlaeierK at ajam lot .oAAtte elrge in aaa Want he tank(i&or 17) ba»wa peoWd yar•i P.O.BOK 224 f{ Jim CHASE NANWICH.MA 02'BAS P7 4. V o-� -A (A� 7 .7 Two iserhnr e1ia 0 p-•F aA) �Pw•F in"a � �Valor t, I Par tRBR. - a faegtao Io a do="Pvt m tamr M WTIMMA NET Vkmw Los M Tat PBOCEMM P K mm R1IS1RIaaIR m BBfR D>•® CRABOU ACMIUMATEa OWTBa 112m TE All UL R AM W ua SLOW OIYiE _ TwPatm ■noNar.✓ a and� >mt�E" rra �� a.rr a.Mee 1-1 u.ai � k�e wi.�+ rr er Eras■ ■rr•+ 1a•NI: Yarer a.- EeCiaiW lad a S� tw- L>.art�• Ew o I+)a a tag U- ..am m[ Yagta d fify A AUARL) d •air Baae Mar Iwa.a Bad" p ll a - :rotas 1-) m p w ftw prJ • Rams Rmre ae•Yg bud" A3'KYI-d7M atRR.ar ec, v �e I llv�`• . eali � a.. � a.� k. ., .�b�' .': r �T • obi �- �1'. ,� :31�G h 41 -f 46i D I78 r6 qrq6' 114 '� 3"r {, 0 6' 3 t) IhEi I y0, �� 3 Sa i� ' � � I► o viL1 �a !� c 41 d {, / — J O G i � / A It E 15e, o a Q FE ( lire _c r I j Yd� 1 1 ��e_,X e, <,o InsT 1 f�``�s 5 /7 i Cd A/N� ruwr M Woowr.0—a N_yr Aror.sr ao.ro Serw.tsi C.n Srw ... ••.-. - Wa M l� �+ TANK TO TEST CAPACITY her. snowy taw Or host aeeurrN � v Nern retl Caetwtr�.._C2� � e.aaalT curt_s�WM �•�G' 1 - Tom Manyfaettaw'r Uaa w..sw sr ne�wn trrw� 040— (;1 L b thn doa01 M to TI%w Camoc rr 7 G �..: chwis a nind .a Gen 1 I Cturw rtppine wile TSTT SN Saaaw-DETERMINING TANK CAPACITY' Dao, L. RU-UP FOR TEST soft nr.dinrgo Tory Gosooa an IA k embals w MaNdM seer Wear soma --� - t»tae wwp rWea mi, r w� aarena NE ap STICK MORE AND AFTER EACH COMPARTMENT ORO►OR EACH METERED DELTYM QUANTITY To*Dl WWW i ty Product in AN rK(up r a Paw SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK VAPOR RECOVERY SYSTEM S_won"WcWm wwl-cartr.Cher bNOw wW n- areowun in IeP(28). n stop I wart in rttr High wrm taMa in rnr s:eeraatrl C] IJRa W being rrrd with LVLLT Q saw O TEMPERATURE/VOLUME FACTOR(a)TO TEST THIS TANK (617)49324216 IS TWw lisp ial= Chow!2—•F Pmp a Two F RI-a Proaa In Trawl_•F Erb Owtpr I.or-) TAarsrFSw+v rwa- alrr _ ?/ age Nrwaa Ob9 �� JIM'S PUMP&TANK SERVICE' av4+Rrrroeaearer•dOaRw , ago FEATURING KENT4AWRE TESTING EQUIP. ftftd PW tYe �in - of aiPelMiaR len I area r Otla UM T) prod" 'par'F P.O.BOX 224 'j JIM CHASE MARrrICH,MA 02665 ( .� ,3 A Is i d K� -a—a4 Pmr'r 04 Dllyta P.1 in rrl w vow— g Per doft I" Ca M to 4 O uM Praa. t dr a LOE OF TEA 1,111000N i 1PIESSOM ATZ Kit W=WM A KT VKMN ACM11MAT® c rniat E®�A J>p EL R Flla1 W EACH IMADW taAaw Soarer lac tied a (tray Twrwww. ■y two w.r of settiol op tt wd naaiOE tell(UN fog v� EM�O ' Lnwl a sort NOW"H � l�-- to�I. � e L.L....m m boo d lima it endeL) d 1 .as Ora, Aran qr.a two" p Cworaiw_ sI I a Orm.ar m � furl O..aq v" - rW1 !OwrwrRlH aS7M+'�o7.�. sal..e.w 13L ve 4 t? !Y f S�!`� " a eI! V C' D 6 0 .1,64.1 w Ajj V 1616 ! Uo G `' &I c 0 3 .214 11•F 1,13 0CI I, /o .oi 0 . - c►35 41 IF ►� . .s� a is `b o o ��fi� o`h. ell n�4v jkil/ 1 !�die P'a P,( / v r I,"jJb •3061. 1iu 010, l6iigh' 4 'E t, I it 1 c,i �i' a i : 3 o ' i8� ti. � • n 1 e . o / if C D O ' _ I � �• I i I ! I I I r ! ' I i I i I ti apane zl rappopation, e DISTRIBUTORS PETROLEUM PRODUCTS. 501-PARK AVENUE -- -WORCESTER, MASS. 01610 TEL 791-7161 r March. 2 4 , 1981 � a Board of Health_ Town of Barnstable 367 Main Street Hyannis, MA 0260.1 Attn: John .M. Kelly, Director Dear Mr. Kelly: Please be advised that we - have contracted with Zecco, Inc. of Northborough, MA, to Kent-Moore test the three underground storage tanks at Morin` s Texaco, 347 W. Main St. , Hyannis, MA. Mr. Zecco will be scheduling the testing within the next two to three weeks along with other .stations in the area. Thank you for. your cooperation in this matter. Very ul yours, Tho s Hannigan Vi e President msp enc. �I � I fy'�S'"�'°7i'�""Yr•�.t-M,TJ:r,I+I "'` ''t'Se1'Y #.; ++t + ..' s : „ .. .s a •15�..- r -e-. u _ -t•�rt r:�ii' y✓ r;7y�r.+.s4i z�•„i r x,'k':'+.. q e:- c & -'s • • ° � s � '"t'sy,�,+„ - �` TOWN OF BARNSTABLE a 4 OFFICE OF BOARD-OF HEALTH' . 367 MAIN STREET 4' r HYANNIS, MASS. 02601 7-1 r�{ February -26,. 1981 f p — - J �a �� ^' fi; :Mr.y.;�'ohnyMorn • _ ;,. , i t Morin's Auto Repair `.347.,West -Main Street z Your�'.underground fuel storage tanks located �f � gat `347 "West Main Street, Hyannis "a 1 `kr. Dear °Mr.- Morin: ,_ #•tit K 4 � ..x-, r s We. have- been notified that you now own the underground fuel storage tanks located at 347 West Main Street, Hyannis. Enclosed is a copy of a Board of Health regulation, effective c 1980, governing underground fuel and chemical � I " storage. ' y k Please fill out the enclosed .card and return it to us �'.. 4 . iistng'any underground- 'storage . hanks: located on your property. 4. = Any .,tanks fifteen of years of age or older, with capacities greater.rthan 500 gallons, must be tested using the Kent-Moore ;Pressure Test. An empty tank 'may be tested by a 5 PSI Air Pressure' Test. This testing should be done immediately. 1 Veryt truly yours', � - �t ohn a y ; U Director of : lic Health �'�� • JMK�mm - xr ,f encl., .3, A� �:.'yS_4 t 'v. s" 'tiF 3¢� t''ae�dP•�-? *c� � 'i..' -t.'. .r :.i 'w � � _ _ _ c.,, - E ONO a tea- _ 3 a , ., }:isu.u. ..x,.....wt..,.._.......1,.. °,.f.JE'...._,�.,. -.r.-..a...rr.»•-1r�.w.... .k_ . _ .� - �._� `ta�e...x.�-c.......»w..r.a.�a. _ ... I - - ,February 26,1' 1981 MrO John Morin Morin's Auto Repair' 347 West Main Street Hyannis, Ma, 1 R.Re 'Your underground fuel storage tanks located ` at1.347 West Main Street, Hyannis Dear `Mr . Morin:; 71'e' have been notified that you now oven the underground fuel -,storage tanks located at 347 West Main Street, Hyannis Enclosed is `a- copy of a Board of Health regulation, effective February 14, 19800 governing. underground" fuel and ;chemica . storage. Please fill out the -ericioaed card and return ,it to us' listing, any underground storage tanks located on. your property.,". Any tanks fifteen of yews of age or older, with capacities greater than 500 gallons,' must be tested using the Kent-Moore Pressure Test., An empty tank may be, tested by a . PSI Air Pressure Test. This,',testing should-be 'done immediately.: _ . Very truly yours, John M.' Kelly Director of. Public 'Heal.th encl 3 ,r E 1,, TOWN OF BARNSTABLE OF r1 ,T � OFFICE OF CO)T D) • BAR r�ea KABIL LE . ,BOARD OF HEALTH .� � 3639•k�0� 367 MAIN STREET MA'S HYANNIS, MASS. 02601 February 17, 1981 THIRD REQUEST Manager Pentti' s Auto Body, Inc. 167 Corporation Road Hyannis, Ma. Re: Your underground fuel storage .tanks located at West Main Arco - 347 West Main St. Hyannis I Dear Sir: I On 'March 11, and September 30, 1980, you were sent a copy of the Board of Health Regulation for Underground Fuel Storage and a card to fill out and return listing information concerning your underground tanks. i You have not returned the card nor acknowledged our letter. Town records indicate that you have received' a permit to store fuel underground. Please be advised that if you do not return the enclosed card within five (5) days, steps will be taken to revoke your permit. Appropriate action will then be taken to have your tanks neutralized or removed. You are also reminded that any tank fifteen years of age or older must be tested by the Kent-Moore Pressure Test. An empty tank may be tested by a 5PSI Air Pressure Test. This testing must be done immediately. The enclosed card must be filled out and returned immediately. i Very truly yours, g4n M. Kelly .i rector of Pu �icHealth JMK/mm encl. 1 - .• _ ' }'� ] ' .♦. - `�r "+^@ t ', 1 .. '�` - to _ � _ tT a�_� r. r ' w 'Manager rb Pentt *84 Auto, Body, �. 16- ..Corp,, -Rd: HyanniSy Mass,..H ' Pentti s`, West Main Arco = 347'West Main' St. ,Hy nna:s • " . • e •'z c �. NAME LOCATION Pentti 's West Main Arco 347 W. Main St. , Hyannis 347 West Main Street Hyannis , MA 02601 *Mail renewals to Pentti 's Auto Body, Inc. , 167 Corp. Rd. , Hyannis Book & Page - Date Granted Amount of Stora e 0 77/139 Under - 4 tanks - 2o,0 gals Jan. 8, 1965 1 tank - 1 ,000- fuel oil l tank - 500 waste oil Date Paid ugust 6 1979 '41r% `Name or situate"owner or Dealer Address No.and s1aot0) ��— y� car stab T oale o1 Teti TANK TO TEST CAPACITY From Station Chart ❑ Nominal Capacity �' L7`•/ capacity chart available (J L) ❑ Tank Manufacturer's Chan Identlly br petition Gallons Genone -1 U Company Engineering Data 1 U- G Is there doubt as to True Capacity 7 ❑ ❑ arts supplied with TSTT .Duna and Grade See Section"DETERMINING TANK CAPACITY" Other FILL-UP FOR TEST Suck Readings Total Gallons to Ve In. Gallons ea.Reading Slick Water Bottom -- — before Fill-up - Inventory to Ye in. Gallons - Fill up.STICK BEFORE AND AFTER EACH COMPARTMENT DROP OR EACH METERED DELIVERY QUANTITY - Tank Diameter 7 7� X t� L� f^ Product in full tank(up to fill pipe) ty SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK VAPOR RECOVERY SYSTEM See manual sections applicable.Check below and record procedure in log(26). ❑ Water In tank ❑ High water table In tank excavation ❑ Line(s)being tested with LVLLT ❑Stage it TEMPERATUREIVOLUME FACTOR(a)TO TEST THIS TANK - IS Today Warmer?O Calder?❑,°F Product in Tank_°F 1`10-up Product on Truck_°F Expected Change(+or—) (617)432.4216 ,• Thermal-Sensor reading after circulation�`'•'7 ''} IF r d g ia,Y; . Nearest •'r..'7 Digits per°F in range of expected change f ! JIM'S PUMP&TANK SERVICE rigid FEATURING KENT-MOORE TESTING EQUIP. 1 /, ,.�' LG' f �f• C x LC= o.1. .(4-.f .•! gallons to�tity in coefficient of expansion for volume change in this tank j full tank(16 or 17) Involved product per°F P.0.BOX 224 '"1 JIM CHASE HARWICH,MA 02645r.,dr f fl C'I r:../-T—. O�_ - volume change per°F(24) +Digits par IF In test Volume change. hangTe par digit t hst is _ - ..--------_----......---------- Range(23) Compute to 4 decimal places, factor(a) HYOROSTATIC NET VOLUME VOLUME MEASUREMENTS(Y) TEMPERATURE COMPERSKION ACCUMULATED LOG OF TEST PROCEDURES COESSUflE RECORD TO.001 GAL USE FACTOR(a) CHANGES CHANGE CNTROL EACH REA01NC Stendpipa Lenl 7�.' T-Ii-lure At ig lm.1.cord Inches Product in ProductChange Lomppbtion Adiartmant Tmal EM OONnaa OUE Record details of setting up Readies Graduate fitplaud(-) Higher+ 1cl'lal Yolume Minus and running test.(Use full Na a tee Lord campne len[h of line it ne6ded. Beginning L..to lower— Eagan+ion+ Expansion(+)orTIMED ) of whDAher Nolan (el Ccetadite Contranion I—I, ceaeta pea Npur 12+hr.) Reading Re+tprad Reading Reading Recoraed l*) e33(V)—e37(T) (NEN unxnl P G"c hl(4117i 'L c IV I r/. ^ h GY ) ♦ J1,J11 (Jr f.4?-i /<%E.•! •' ,�.A,r.',- i ` /•Sl � '�C,f�'ll I� �` Ij•� •f yr rG .EIS; '.�;:.,{'./..aJ ]'�U -;F'."�l"i-- �`�, -.)`l f.. � r i� 0 ,l )t� r /tC `/'Yr//i 1�2 �/ C.,Liu.. lerdssre. J/r E `• 1 `/ c +� /[ �' %1'/A'r ! bar �f 9 `7�� /aF./u/ / rr �� Name 1 Suo011er.Owner or Oeelel Addrem No.and Street($) Clty x tote Date of Tast I � TANK TO TEST CAPACITY From Station Chart L 0 C: ` (,(1 By most accurate L ` , 'v 1 Nominal Capacity capacity chart available - � •!� Tank Manufaany En sneer's Chen • Idenutr by posluon �n$ dauone � Company EnBinerering Data e a r r le there doubt ea to True Capacity? Charts supplied with TSTT '�— Brand and Glade See Section"DETERMINING TANK CAPACITY" Other 1 FILL-UP FOR TEST Stick Reading$ Total Gallons to N In. Gallons ea.Reading Stick Water Bottom before Fill-up Inventory to R in. Gallons (• Fill up.STICK BEFORE AND AFTER EACH COMPARTMENT DROP OR EACH METERED DELIVERY QUANTITY Tank Diameter Product In full tank(up to fill pipe) ` (•t�A SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK VAPOR RECOVERY SYSTEM See manual sections applicable.Check below and record procedure In log(26). ®Set ge I 't Water In tank High water table In tank excavation Llne(s)being tested with LVLLT Stage li . TEMPERATURENOLUME FACTOR(a)TO TEST THIS TANK Is Today Warmer?❑ Colder?(3_°F Product in Tank_•F Fill-up Product on Truck_•F Expected Change(+or-) (617)432.4216 � '. - - Thermal-Sensor reeding after circulation a "I ,T °F 1 dy y Nearest - Digits per°F in range of expected changeY JIM'S PUMP&TANK SERVICE dsna . FEATURING KENT-MOORE TESTING EQUIP. gallons • natal quantity in coefficient of expert for volume change in this tank full tank(16 or 17) Involved product per°F P.O.BOX 224 JIM CHASE HARWICH.MA 02646 Iw`^f(,) C.P(.T t J m J �r�!-•�g�� This is Volume change per°F(24) DI it per°F In test - Volume change per digit, test I - - -- ------ ---- Range(23) Compute to a decimal places. factor(a) NYOflOSTATIC NET VOLUME VOLUME MEASUREMENTS(VI TEMPERATURE COMPEMSAION ACCUMULATED LOG OF TESL PROCEDURES PRESSURE RECORD TO.001 GAL' USE FACTOR 4) CHANGES CHANGE CONTROL EACH READING I • Standpipe Laval Tampantura At High level raved 11 Product in Product DATE Record details of settin U in Inch.$ change Camputstion ulurne Mint T;TM edlacUsa D. P xaaale. Graduate Replaced(-) Thumal High.,+ and running lest.(Use full N. R k)a lei'- ycWme Minus length of line if needed.( Bepiat Leval to Snneor lower- Carl...hn+ Expansion( )) M Loe Ord cmnpub TIME of which aefau After Product fludin4 (c) Contraction- Conirate (-) chop par Hour UA hcl flu I fluto's Reading flading flac0rued(+) a.(,_s37(T) (XFPA rrlterul G 'p'e4, C fir k 1 1'. W lt' ., A 1 T7 W," U !0 3 ` ' I t I /Z 00 _ i -t (, I i � I ) J '03 ER: Compia{a items 1,2,and 3. Add yoRn address in the"REMELN TO"mpwa on yeverso. 1. The fo:16wingservise Is requested(check one.) X6FShow to whom and date delivered............—4 ❑ Show.to whom,date and address.of.de&ery.- r g ;9 O RESTRICTED DELIVERY Show to whom and date delivered............ G RESTRICTED DELNERY. f f >< Shave to whom,date,and address ofAelivery.s—_ (CONSULT POSTMASTER.FOR FEES) 2 .ARTICLE ADDREMD TO: Mr. Paul L. Morin I' ,�, R.F.D.# 1 Flying "M"Farm m Goffstown, New Hampshire n 3 ARTICLE DESCRIPTION: 04j� m .AEGISTEREO NO. CERTIFIEO No, r�SURED?S0. a I 0523.310 =z (ANavays o"staire 09natur9 ssf t1d >4 Cr il{19ni} I have received the article described above. e: erm SIGNATURE 0Addressee OAothodmd aWt II 4. �p D OF DE-ICAV,R. poSTMARK r � r N C 5. ADDRESS Momplote only if nsg9tlfldi 33 / 33 m 5. UNABLE TO DELIVER BECAUZE-* >_ `CjGPQ:1979.990-459 UNITED STATES POSTAL SERVICE OFFICIAL BUSINESS PENALTY FOR PRIVATE SENDER INSTRUCTIONS V§E To AYOIo PAYtlErlr Print your name,address,and ZIP Code in the space below. of PoSTAOE R300 s 111 ti.Q.tMALL • Complete items t,2,end 3 on the reverse. • Attach to front of article if space permits, �. otherwise affix to back of article. ' I • Endorse ardole"Return Receipt Requested' adjacent to number. I RETURIoI I TO BOARD(OF HEALTH TOWN .,�F BARNSTABLE y P. 0. Box 534 Street Or P.O.Banc), HYANNIS MA 02601 (City,State,and ZIP Code .,' .+. � r•.y �r a i {� a•. fi A 4 q, �it {o '' f ! ♦:.! J� •-i, L 'i,. d f ° + ry, t ,,°' A f M1 t y. ; i t t ��, _�S :F r{. + � >! t � .,•p� y'y ' n! " A'•. C iT. 7 ''�,a 1x:�. v.A F ., :.P ,.£�+ y" 'S `� xt' ♦' i ' r L� y '• -•i ,« �� J •• r '�c A r:.-, <r. �;. � Y ,.rS Y p n {j ", � , ♦! �� #i ar r• i 7 Jay rR „c �,::s, i n?s tR f: j*t ^s; t � ' * t '� .. R' ,� Est t �. .+.y,t ��r p � .` j..♦ ,,,� '. R L ti °{ �. { .:,ALLY y�" � �•'t 4 R .R a '.�q � t a.y 4 d� ..�� � t� � `' ° 4 `.•.° + � i xt ? - `t ,�." t `. + t. �~ ,A atisYl rr4 :r- 7 .R"• .n Y l ,. i x�' . , t ''t y :; �ry� �, a r �� 1,f a'7 is� y.r i♦ R '�,it .. ` . February "'18 9$2 •� 3 ,7 1 w x s, ti f 4 r 1r ;is t' w.... - rt J 3 s rt °r 4 f ! t" r °. ,• „!+ ti:. t z i +.>• .. x z A g,,: r y .:,y ,;e ! •��° b��s `" _ } t v!` f .:# 7 7 t ,f �,,,ir• 1 y � $`�,S s n ♦� ��,x ��, ,�'�ti<�s�"F ,.h a .U+ �i � � .: p+-" r •: - ..-t - {4 A. eR -'�M'x �t,;� �y'.. i 4•. � �4w i i Th � 4w#'R A Z 1:'F' ,� ''a P °r',w .• -r t S �KJrin yrf SY �{ Ftry J r> ya,ng 11M11Farm �r'I a ,r q .�° a ° y y k . ._aA !: ,t y Y •C. r. " 1•b r a 3 r !Goffstown .Ne,w<Ham shire 03045 / � - +, t� ,� . 1 _... t c• � -~ ♦� ; w ..rt�. _,fi"�y `-s'•- ;. �+., �r ` .Re: Globe: Texaco,_,34'� ,West 'Main'r Street' H annis r° s y a �' ;�1 0`?-: Y >°a .p �. kx �4 � �s. .• a F n }F' Dea x Mr A, Merin t l h t , i;��� r..'4 ! . tc �}'°'` °� °...L s �.rt� + F' r � :- r d�. "aY � � i r r q� u - 4� •• . z 4. .your -gaso�t ne tanks,~by, f.Zecco,,,Inc.,/ in ° -dicate t, at:,ane, 5, `' `s ,t}00',lead:-free;gasoline :tank anal one. 4,060, . ' pallor r,super ,1'ead-free gasoline",tan'k� located;on rtyour:.property° are '+ +riot tight• a ,1,t P i / �`, r #a,r i.\ , + r�, f °+ ,,. § r A K - y i •1. �: r � �p. s r` J ••'i' : C,�y'y', r `` f as rA fi .!r+ � , '�' h'n`'� ;. � - � *. �- ! 44 i, � a -•. , r� e �• '� ".: M^x . �.°� -��^r .',• h' Y„�..,'•� .. y a f:., Ybu,4re. directed d o retest4 these tanks.. immediately (W t'hin •five r business days) the' tank's purged "nd`_reinoved b .. ^ � dA`•"•. �•' .' ?i r + S r.,w • 1 ��.. na °, a ti, "+� a- - � r�,, a, • .1, *°. � „-'t �., � � , Failure to};comply 41th�.thid, order' .' lc! ':result 'in a,-.substantialA fine. Each separate, days faiiuire .o comply with,an,`order shall =R r:,,cons titute,. a sep-a"iate 'offense.y{ + in `addition; a'>>=heari.ng tail 'be ,scheduled;that could .result'`in'_th� permanent 'revocation af; your undexcraund. fuel, storage permits: F , 't' xr{ j - }:KR`� � .V•�"� .y' 9 1'-'�5 �St �i ^`SiF ti, R� t t r j�fl ry L• -ORDER,,OF -SHE BOARD `tlT`.f HEAD i h b/'� V O�n 37t."i� S +{ i 5 t, f'� f r i. 1 �• R `u 'v� { R I • Kelly � >i , to �' r,. x 4 J ti ,triirectG ' Of Publicr Hearth ..5, L:; aY s .ry.t 4, +-� yF r i ; iz?y r ' •. ✓ '- r 3,- I � ° RTMICjmm r� i � t. i : :i � �. �..• � ♦•r S r .i 'J r � i 4 4•.A � .. ! -aa!�� ,hk f,{{r - , 1'M1 x d ..-L ..'�! '_c k•^� ; : `` ,,' t 4 �:^ ti.. Y4F4 F.•.rq 1 r+ 1"t a • 4 R Y`` !' n i - � t .d� r ! `.3. ''� J R,� ' '•:� r .r-4 o`,i.rtr� °. a�' 3+ i° ::v3 A '� f°4 y. .,w J ^<-` � �' 7 tY°.74. ;'S+. _.. i•+. ', Y � ? r rq x 'f i f+ f .s,.' s -,i � k�, f 4 1r R .. 4 � �.: � �• z _ `*' i d e+' � ;,� �� P k 4F 4 � q c !?.�., -x a..:«-. :Z .•. .. y � i �'. P � 'd t 1. �.. '.° � 4 .4 4 �4 .a fx' •a y h t ,� � r• ,.{ -� . y : # _• aka !;-'. Ji .. f , r {'[. f y A♦- • r .. .t, y+ �i „y," .'.^'t! e r ,.0 7"f�u,tY t wt,.f � .°,'� n,d '.a t t ,r f �.� ♦�, ., q � d i 1°;�• t r �r ,Fr r + lj � 4 \ 1 !-. a4"�yt 'S } f`,a. ..r• ` .rr,,�*♦ �.F V�.f , ' '*.g, �' . ti, J � L 'S'`4 a'' r 4•� '.rYYti trr .` �,.... a r t -- r • i . • �`V 9� �yoFTpE.To�` TOWN OF BARNSTABLE OFFICE OF BARNSTABLE Z NAM BOARD OF HEALTH FpMAR 367 MAIN STREET HYANNIS, MASS. 02601 February 17, 1982 L Mr. Tom Hannigan 347 West Main Street \ Hyannis, Ma. -ou4(/, 4/1/ Re: Globe Texaco, 347 West Main Street, Hyannis Dear Mr. Hannigan: Testing performed on your gasoline tanks by Zecco, Incorporated, indicate that one 61,000 lead-free gasoline tank and one 4,000 gallon super lead-free gasoline tank located on your property are not tight. You are directed to retest these tanks immediately (within five business days) or have the tanks purged and removed. Failure to comply with this order could result in a substantial fine. Each separate day' s failure to comply with an order shall constitute a separate offense. In addition, a hearing will be scheduled that could result in the permanent revocation of your underground fuel storage permits. PER ORDER OF THE BOARD OF HEALTH hn M. . Kelly irector of Public Health - JMK/mm Date: Received Copy: i Witnessed: %jdljl�l,ex, 'HE T TOWN OF BARNSTABLE OFFICE OF BARISTLEL MAS&9 BOARD 163 . OF HEALTH �6 ♦� 'fD MAR 367 MAIN STREET HYANNIS, MASS. 02601 February 17, 1982 Mr. Tom Hannigan 347 West Main Street Hyannis, Ma. Re: Globe Texaco, 347 West Main Street, Hyannis Dear Mr. Hannigan: Testing performed on your gasoline tanks by Zecco, IncorporatEd, indicate that one 6 ,000 lead-free gasoline tank and one 4,000 gallon super lead-free gasoline tank located on your property are not tight. You are directed to retest these tanks immediately (within five business days) or have the tanks purged and removed. Failure to comply with this order could result in a substantial fine. Each separate day' s failure to comply with an order shall constitute a separate offense. In addition, a hearing will be scheduled that could result in the permanent revocation of your underground fuel storage permits. PER pORDER OF THE BOARD OF HEALTH hn M. Kelly irector of Public Health- JMK/mm i i" "fuels E P; I •,JI W.Y.,N: 345 ZEST STREET ECCO, INC. NORTH80 O IMASSAC USETTS 01532 TEL: (617) 393.2537 SERVING TI4E PETROLEUM INDUSTRY i E(JUIPMENT SALES, SERVICE, INSTALLATIONS it 4 May 7 , 1981 x Marane Oil Corp. 501 Park Avenue Worcester , MA 01610 11 At t: 11r . Tom Hannigan F Re : Globe Texaco , 347 West Main Street , Hyannis , 14A On April 16 , 1981 and April 17, 1981 Zecco, Inc. Kent Moore I tested the following underground gasoline tanks: A. One 4 ,000 gallon Fire Chief — System tested Tight. B. One 6, 000 gallon Lead Free - System tested Not Tight . F a Net volume change last hour - .0984 gallons per hour = 2. 35 gallons per 24 hours. C. One 4,000 gallon Super Lead Free - System tested Not Tight. Net volume change last hour - . 13 gallons per hour = 3. 12 gallons per 24 hours. Please note the above results do not necessarily mean the tanks are leaking , as piping, etc. are being tested approximately 4' above grade; therefore, I recommend uncovering top of -tanks , isolating tanks and retesting to determine whether a tank bung or fittings above top of tanks are leaking. Sincerely, ZECCO, INC. • ����''.oL'?,�'-cam-�' i Robert Troiano RT/PJ i 1 i I y': �.1. -. u ," YI- �C"1TFtY ls..w.,r a Y..^9^•V! yvti 1 ) f Y >✓�?L � r,...��.:w rrw::... ...r. ..� " r..s,,.S., }{' f r ? ice! Sit.ems. ✓A-•J•T'Y'^'" ^'rF s_ 's` ax ro- p.7 .a ' e' < A- Ars a 14. Herne of Supplier,Owner or Dealer t \� `��\ • e Address Ho.end Streets) City State Dais of Teat 15. TANK TO TEST 16. CAPACITY From// f tation Chart Q'�� By most accurate ^ Nominal Capacity "\, J capacity chart available_e�1 t Tank Menufaeturer'a Chart Identity by position Gallons Gallons rri., a,.r -- El Company Engineering Date Is there doubt as to True Capacity 7 El ,,4 t wT xr r L �>^ e with TSTT S r a Charts supplied Brand and Grade See Section"DETERMINING TANK CAPACITY',''... _ c..r�;a+'ti• '""" "'..,t_ ., - O s Other r 17, FILL-UP FOR TEST Stick readings to%in. Gallons Total in Tank (� m Stick Water Bottom art,y , 0 'before Fill-up Inventory to 34 in. Gallons Fill up. STICK BEFORE AND AFTER EACH COMPARTMENT DROP OR EACH METERED DELIVERY QUANTITY —t O Product in full tank(up to fill pipe) / �C) �� 1 `/J h �C) ` ( .L \ ` Tank Diameter _. 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK C•GCJ�•, U UC �� K1b:� `:w`'�'�ll.` rSee manual sections applicable.Check below and record procedure in log(26). El Water in tank High water table in tank excavation MILine(s)being tested Vapor recovery systems Stage 1 0 Stage II Z l__J cn M 19. TANK MEASUREMENTS FOR 21. TEMPERATURENOLUME FACTOR (a)•TO TEST THIS TANK TSTT ASSEMBLY Inventory Top__'F Center—'F Bottom_ 'F On Truck� 'F Expected Change 4- c_ Bottom of tank to Grade'....................... 22• Thermal-Sensor reading after circulation _LJ�° � p n Assemble tubing+30'for 4-L..:.... - --- 7C digits Nearest k +24'for 3'L................. - 23. Digits per'F in range of expected change t ? Total tubing to.assemble (Approximate)......... (�_ _ — s -_ digits 24. + J t t gallons total quantity coefficient of expansion for `volume c to this tank Tank top to grade'............................. - full ank(17) for involved product per' Extend hose on Test Elbow O'or more � � t - volutn6 e e ( .: : ;i- p(ec�F In'test—,.: T,.,.... Compute change 3 per di it testThis i C below tank top•••................... ga per F 24 O ks deci Ran a 2b P e test F aces factor(a) Fill pipe extends above grade,use top of fill. "D 30. HYDROSTATIC 31, . 38.NET VOLUME 139. �.f 26. X VOLUME MEASUREMENTS TEMPERATURE COMPENSATION ,. -. •'' LOG OF TEST_PROCEDURES `. -" PRESSURE CONTROL (Y) RECORD TO .001 GAL: USE FACTOR(a) ........ CHANGES ACCUMULATED P EACH READING CHANGE 27. 28. 29,- Standpipe Level 32, 33. 35. 36. 37. Temperature At High Level record in Inches Product in Product g Date ' , " • Record detail:of setting u Read- ., Change Computatiop Adjustment tool and deflection Graduate Replaced(-) Thermal Time x and running test.(Use full ;ng -— Higher+ (c) ■ (a)s Volume Minus flaginning Level to Sensor (24 hr.) length of line if needed.) No. Lower- Expansion+ Expansion(+)or At low level compute of which Before After Product Reading (c) Contraction- Contraction(-) change per hour' Reading Restored Reading Reading Ruor•red(+) (v)-it) (NFPA criteria) Ilk )e ( (�r _� �� �-•. �1C'r, �- -1, � � t e � t`R •t fit t t : 1 � �,^P }> .r��,,,�g, ..,...;;. S ;,.,.,:•.,;r{{,, ,...^y'3.r p,}:, r: "^i",. �'...,.. �' f .uiF•.:y'-'�' "f,$';-�s°s: ,1�'f+;, :'. .,mow-.;,• .¢. �-;.. , �.- -'. t,;...,_.^4, �.r�„ x• '1 �" �S.' i �...�. 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". �,.� c:s> 7a�«t. .+i.«?. -i F" "dc-'tw`,:s�,+.�. .:,+. ..rv.?.y,-. �Z:.. . �_-..:...: .}_#+•..!!.�'k✓�, ...,a'>.:.: ,...,...•,.-,�..:vs"...h.x„ «,tS.,:rt�€:!~.r dw.:r... _...,:.`'."�'-M''�f""."".'.',� -�.....,....,. 4...,,.... a...._'a'#.,F_w'.�e'"'��� "ts*.�'t�+'e+e'riY��r3,2r>E;'�'�r5'.'�r..'�'�.�" '?-`. ���.,...�.. ..„,�r:...._,a�„-.__�,.�:t'''�.L.w,..-r-se•. x?w•�.'r"' - .".r.,�..,...��r�a_'1" .;, j•.y" t��„y�5tx. t ''.�rJf1 51F, 14. Name of Supplier.Owner or Dealer Address No.and Streets) City - State ' Date of Test 15. TANK TO TEST 16. CAPACITY From t` `} ;• Station Chart By most accurate Nominal Capacity ��� capacity chart available ? �. ❑. Tank Manufacturer's Chart Identity by pox flora ''.�y ..Gallons t j Gallons Company Engineering Data Is there doubt as to True Capacity? El Charts supplied with TSTT O Brand and Grade See Section"DETERMINING TANK CAPACITY" El Other ems► .. . _ r e 17. FILL-UP FOR TEST Stick readings C � to%in. Gallons Total in Tank NStick Water Bottom - before Fill-up Inventory to%in. Gallons Z Fill up. STICK BEFORE AND AFTER EACH COMPARTMENT DROP OR EACH METERED DELIVERY QUANTITY O Tank Diameter ' Product in full tank(up to fill pipe) �_1 � � - � _ -"• - �• - m 1 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS,TANK ySee manual sections applicable.Check below and record procedure in log(26). v n co X FlWater in tank High water table in tank excavation E/ Line(s)being tested ©'Vapor recovery systems Stage I M Stage II U Z m 19. TANK MEASUREMENTS FOR 21. TEMPERATURE/VOLUME FACTOR (a)TO TEST THIS TANK TSTT ASSEMBLY Inventory To � p_'F Center_'F Bottom_°F On Truck_'F Expected Change Bottom of tank to Grade'...............•. L ^ �; . •F D 22. Thermal-Sensor reading after circulation 0 Assemble tubing + 30'for 4'L.................. digits Nearest X + 24'for 3- L....... "'•""" 23. Digits per'F in range of expected change Z Total tubing to assemble (Approximate)......... digits f - 24. ���'-�` X . �' gallons n total Quantity coefficient of expansion for volume change in this tank = 20. full tank(17) for involved product per 'F Tank top to grade' Z Extend hose on Test Elbow 6'or more 25. 4- e This is A volume change per'F(24) Digits per'F in test Volume change per digit. test mbelow tank top............................... ry 'Range(25) Compute to 3 decimal places. (actor(a O 'If Fill pipe extends above grade,use top of fill. 26 30. HYDROSTATIC �31. VOLUME MEASUREMENTS 34• TEMPERATURE COMPENSATION 38•NET VOLUME 39 ACCUMULATED LOG OF TEST PROCEDURES PRESSURE CHANGES CONTROL IV) RECORD TO .001 GAL USE FACTOR (a) ........ CHANGE EACH READING 27 28. 29. Standpipe Level 32. Produt 33. 35. 36. 37. Temperature At High Level record in Inches Product in c Change Computation Adjustment total and deflection Oat Record details of setting up Read. Graduate Replaced(—) Thermal Higher+ (c) • (a) volume Mines Time and running test.(Use full tng Beginning Level to Sensor Lower— Expansion + Expansion(+)or At low level compute (2A hr.) length of line if needed.) No• of which Before After Product Reading (c) Contraction- Contraction(—) change per hour Reading Restored Reading Reading Racovarod(+) (v)—It) (NFPA criteria) 0' dT el 45. 2 7 '06 a 7,1 ;X IA4_7 __7 AV_7 7— A m -tk"-a A*h 14. G,�OG'E T Name of Supplier.Owner or Dealer Address No ■nil Street(a) .,.., City - State .-- - Do'to of Test 15. TANK TO TEST 16. CAPACITY From . .'.. . By most accurate g Station Chart OO Nominal Capacity O ty ca ci Tank Manufacturer's Chart pa ry chart available_ 9Y IdanUty Dy ;Gallons Gatlona P. ❑ .... . Company Engineering Date O ��/�� Is there doubt as to True Capacity 7 annd and Grads Charts supplied with TSTT O See Section"DETERMINING TANK CAPACITY" ❑ .� r a Other 17. FILL-UP FOR TEST stick readings to X in. Gallons Total in Tank IV) t9 Stick Water Bottom before Fill-up. Z to X in. Gallons _`._ Inventory Fill up. STICK BEFORE AND AFTER EACH COMPARTMENT DROP OR FACH METERED DELIVERY QUANTITY Product in full tank(up to fill pipe) n I? /r Tank Diameter• ,`/ �/ , �OC31/ m C 004XI,1c -D-T. .PEincvE� STcc"c DT. i? r,•� a = 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK F liEtiT Sc!CTio.0 ,Sys rE'r,7 D See manual sections applicable.Check below and record procedure in log(2S)- v C) co ;xz a Water in tank High water table in tank excavation ❑� �ine(s)being tested � Va� Z por recovery systems Stage I � Stage II Cow M 19. TANK MEASUREMENTS FOR 21. TEMPERATURE/VOLUME FACTOR (a) TO TEST THIS TANK TSTT ASSEMBLY Y Inventory Top_-F Center_'F Bottom_ 'F On Truck _ 'F Expected Change C- Bottom of tank to Grade'....................... p -7 n Assemble tubing + 30"(or 4" L.................. - 22• Thermal-Sensor reading after circulation _ (/7 digits Nearest O + 24"for 3" L................. g 23- Digits per'F in range of expected change �D z �— Total tubing to assemble (Approximate) digits = 20. — gallons total quantity fcoefficientinvolved of expansion for volume change in this tank • � Tank top to grade'............................. - full tank(17) for involved product Extend hose on Test Elbow 6"or more P25 7 '7=,, 77 - - r F e ' m below tank top....................... - volume than e { This is tv ......... g per'f(24) Digits per'F in testVolume change it. test WRange(25) Compute to 3 decimal gplaces. lector(a) If fill pipe extends above grade,use top of fill. 26. 30. HYDROSTATIC 31. LOG OF TEST PROCEDURES PRESSURE VOLUME MEASUREMENTS 34' TEMPERATURE COMPENSATION 38.NET.VOLUME 39. ACCUMULATED CONTROL (V) RECORD TO .001 GAL. USE FACTOR (s) --•••--• CHANGES CHANGE 21 28 EACH READING 29. Standpipe Level 32. Date Record details of setting up in Inches Produtt in 33' Product 35. 38. 31. Temperature I At High Level record Read- Graduate Replaced Cha^qa Computation Adjustment total and deflection Time and running test. (Use full e D (-) Thermal Higher+ g Beginning Leval to Sensor q (c) • (a)' Yolame Minrw ("t4 hr.) length of line if needed.) No. Lower- Expansion+ Ex ansion(+)or At low level compute a of which Before After Product Reading D • Reading Restored Reading. Reading Recovered(+) (c) Contraction- Coatractien(-) chanp per hour (NFPA criteria) l' n J43o 'FSf?�J F/i�/ S/S C nk - , /J�D / 2 d -..330 3.5� /D y S/ •4'././ y-z 2.2 . /70 �,-J '� ISO �= !fit? �• '` /:,L� -> .;J!� tlx:! � 'f� � t �,-...:� ' •� 4 ss. sue._ � oZ... %/��.t'S �1jc� �t��3>�� Y�3l g y a " ti s it' DATE, May 27, 1982 ❑ URGENT y; gD�� �2�q L�.H ❑ SOON AS POSSIBLE 367 :F?'t rc-c- P. 0. G 53 FILE NO. ❑ NO REPLY NEEDED St HYMI'f 1!S, lViASSA.CHUS-E ITS 02601 ATTENTION TO suB✓EcT Underground Fuel Storage Tanksj Mr. Francis Lshteine Town Clerk and Treasurer i I MESSAGE j Dear Mr. Lahteine: > Morin's Auto Repair,Inc. - 347 West Main Street., Hyannis (Formerly Pentti's Auto Body) has furnished us with the information. ate requested and.— can now he released for registration. Very ply yours., SIGNED Jo aM"* 11�Zle-4D C'CtOr O 1, REPLY DATE OF REPLY SIGNED SENDER: DETACH THIS YELLOW COPY FOR YOUR FILE. MAIL WHITE AND PINK COPIES WITH CARBONS ATTACHED. L /�. `�. �h�= "tee,— � � �� � �� �� rn SENDER: Complete items 1,2,3 and 4. 'n o Put your address in the"RETURN TO"space on the 3 reverse side.. Failure to do this will prevent this card from' being retur:'ied to you.The return receipt fee will provide y00 ou the name of the person delivered to and the date of -� delivery. For additional fees the following services are available. Consult postmaster for fees and check box(es) for service(s) requested., t. Show to whom,date and address of delivery. 00 W ' 2. ❑ Restricted Delivery, 3. Article Addressed to. Mr. Paul L. Morin R.F.D. #1 Flying I'M" Fa`�m Goffstown, N'. H. 4. Typeof-Service: Article Number ❑*Registered ❑ Insured Certified , ❑ COD ❑ Express Mail Always obtain signature of addressee or agent and ao DATE DELIVERED. 0 5. Signatu Addressee=".�-�,/lli'--" m 6. Agerit a S i Ii Cn gn ure -- --..,f Y 4 T7. late of Delivery � d C �. C Z8. Addressee's Acl ess ONLY�if regtte e" f pat"J m � y -i S ICE UNITED STATES POSTAL SE _ICE, OFFICIAL BUSINESS 19 5 SENDER INSTRUCTIONS u® Print your name,address,and ZIP Code in the �p space below. • Gnmplete items 1,2,3,and 4 on the reverse. • Attach to front of article If space permits, PENALTY FOR PRIVATE otherwise affix to back of article. USE.$300 • Endorse article"Return Receipt Requested adjacent to number. RETURN BOARD OF HEALTH TO MnTATWT Name o Sender) P.O. Box 53.4 (No.and Street,Apt.,Suite,P.O.Box or R.D.No.) Hyannis, Ma. 02601 - -534 (City,State,and ZIP Code) P 522 462 808 WECEIPTF=DR CERTIFIED MAIL NOifuSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) Sepr. Paul L. Morin Street and No.RFD #1 n n W 7 P.O.,State and ZIP Code d Goffstown-, New Ham shi e 6 Postage $ ui # Certified Fee 1 . 51) Special Delivery Fee Restricted Delivery Fee Return Receipt Showing to whom and Date Delivered 04 Return receipt showing to whom, ai Date,and Address of Delivery T $ 1 m TOTAL Postage and Fees 5 U. cPostmark or Date :8 2/7/85 E 0 U. N a STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, I CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES.(see front) 1. If you warl this receipt postmarked,stick the gummed stub on the left portion of the address side of the article leav$g the c6ceipt attached and present the article at a post office service window or hand it to your rural carrier. (no extra 61arge) 2. If yo"o not want this receipt postmarked,stick the gummed stub on the left portion of the address side of the ,rarticle,date,detach and retain the receipt,and mail the article. 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 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. „.` r' .� ,.R r.lr! .;. .. '.� , .x Y t s .�w I�• IAA,;: •y� # _. -� ; rr ;. . �.. :,J t: 1 . • `r`n r' ems.'r .r :.^ ...s r ,x r ,. s - r t � %i 4a r i r aP f j., `.r.'#f F.. ,a f . �'j I ` 4_+.. .�a• � ; � A r. 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Wr.' y.:�,j, r� g i/�✓'� r. ,�* . �X 9 t l,• ^^ '• '. / � ,` •a •^�� t a � �_ � 7b', � a `�'- .a r k ft ,, - 1 n t } � !�'+.�r ='ff n ° b i# � �' 'L A ..';i, +•.F s S'� _ ° k,. rr Dr '.{' � 8k� ',f.[ ,Y7�L�w•rJ�" ,f e+614'r J+2.1. JF M6•r.,ihLri K f e arc tom a ed �b ou`�c , plr t y... she ws- © Qt? ga to azil anj. d -.'your.,.6Q4Q ^gal On n ; lbcated'Va �32' �'�a mo'�th :-R&. ,. �iri� �.s;, tone twenty eats ryof"'a .. .Tciwn' u ^a �' ns�"re 1 •r ``tanks ' jo. r q� a.�41r t�tety;y' C8t8'1Ctif agQ tQ-be;`tested cl�ua►3: y usi:ic ' the Cent'�Mt�are � a :?resit re,'fTe€�t for;=,if the tank s;.eYz►PtY: ; 5PSx A X ire sure T�.0t „ may;be -used .,.• , .., y" w: r .. t �Y "..�j y1' P' h1 yyY 7 +n,,'max' ; .T, i •� ' � . r .+ '. Jr K y •__ 'ark iditected to have;xour tanks- tesedly,�,�lune ]. V 195. '. ,7'"t� rr °= VFl:ease; submit 4.1 s ng-'reeulrt"s= and ,their`° rater r at oxi ' o" phis "off ice �rlor ,to ,3'une ,.-lR a 1.985• 2 � �. r �: � :tY -� �f`�• �.�'�,b v cou rb� nF� dtr•ha 4r r,et d u aFalureo omtdaaafailurto ne . saa . lywhanEach p n'a1tg e•:�r° ` �• k=< sYia11 .constitute° a:'separate-rviolatan. `•.:.W ,� `••,Y• 7 * -.:.,r ) ';it t' ' ��" #"r ,r s °i ,t, YOu `may request a hoaring, before the Hoard:oz— lth Xf writtQn eque'stin same' is: received r n seven- ¢ays o r 'r r$cet o :. th1,&" Qrder .r r ,t Y y J . P r ;C i• t .;a a W:. t�,, • r w r 4 '` - 1, �lr ,.yr,•*„ra � ,.sr , 1 m � r � +,y£ 7=+� r , '"�,v P� � - a r♦ � ,r•, ' .f"o yr = i'^-+,« 5•tr t s C"�'Y .,! .tr r:.:' :,� ♦ t, `.` _ (,N, t For yQur':conveniome< <;we nave enclosed .a lxstang .of companies, who .pe forin 'this t st rag. 'You may:�aXso.,ut any:,tither-.corm :. f terns qualified to ,perform thfstesting.r. r`t {a^' Y� .#4q,s �t f s, S'�nJtn 81,,f_i'.' �` r '^. •. t �. {' , J •. 'M t .• Y . I �' � F- ��° ;T��:. � y mot♦ t.� ° ♦7:y.1� r* � y,.?f�" ti �, yi r � [. } .aj„ f ♦ '`fit" 7 '_fi . s+4.•.. .. Mei .:4�G u1 r'� �4+Fr ; t1� +q, . V `p r3� :`c '` >.tti �'' .+r ,n -.:y ,,..�S � � .�•�Sa s,f-y, . r r h f... � a-5 'a . t )'� '# � .+,+� j �rY Y �^f"--;. r :..r y a , ° ...,; P r,; �yl,�.r. .. t Fy',� - ,�F. _t;•.,- �"r. r�.,, ��� A. '•ems :P w ° r'i.°'+j q.q �,. ,�3.�,�f>'1,. x� C`a '. s .y. t • + bert L. Ch Ids, Chairman '.:c��, 10 s F.w it �# G+A#`' =�ri rV�+��r' hba= .. y � r� .�S K fj �•s + "„ � cr .'t Y '� ; v � ra 1$.'• ',- a•. F yr. >r k e " 'Y ..ice •. , _rev, d t*,..v r.i.: x r ,;. i=.'J av �tL1 t •fs �. I ., b � 5.�. �tr:' J ,t _, ,•, Groves G. arrish.,.._ _ • ,",� t. • . r ;��� ` 41, _ `a }JP yti � P a.,•.. ,.r "'f =''- :SP ,�., rsr-aw •P ` r �.,'� ■ ., ' - t�'if 4'v.7♦ :'^,.^ •y�x�y a' lk1 'j Oa.Y a rf.. :ti �4r "�kf, n� ry �.,c ^r �.s �''t r �f*� e�„7 `3 r Y" r ,. * .. •t �,. ti .P x {;•r Y {J l' F 4rp. "'"J'i,., c ~.;e I �'#_''F 'J �y^., �a •# +>"F `'a. - , Enc* } r .,:�• t +'w fax T' i Fk+ :�." r .` ..x d• ti iR k'., 7 .. xt�+'„,fist r y Fy1 v d ?. �, -s. � :s� � ' �._yi' •.i. L, j, ' P ter c a r .K,:.� T.+ „� a •� r; .'•^^{I f A .. •' - i- Via. ^r r �t rY.• - 3«s: r r r a Fr ,,: - -� + „ • r - r. i TOXIC AND FLAZARDOUS MATERIALS REGISTRATION FORM 2 OF FIRM: ' TO 1a&PAIIe `rw` . ,. NAME � OR,�/1! S �� MAILING ADDRESS: 3y� �,,, /' -9IAI / • may' "'�� • az °� TELEPHONE NUMBER: 7 7 .. 6 3 ZO CONTACT PERSON: .Z.o,yN O?ve/N CTOWO 5MVON Does your firm store any of the toxic or hazardous materials listed-below, either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES X 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 in quantities totalling more than 50 gallons liquid volume or 25 pounds dry weight. Please put a check beside each product that.you store: Antifreeze (for gasline or coolant systems) Refrigerants X_ Automatic transmission fluid Pesticides (insecticides, Engine and Radiator flushes herbicides,rodenticides) Hydraulic fluid (including brake fluid) Photochemicals 1 ! ; Motor oils/waste oils Printing Ink _ A Gasoline, Jz—fA!bw1 Wood preservatives Diesel fuel, Kerosene, #2 heating oil Other petroleum products: grease, (creosote) t : a --�.— Swimming Pool chlorine lubricants Lye or caustic soda Degreasers for engines and metal Jewelry cleaners j Degreasers for driveways & garages Leather dyes Battery acid (electrolyte) Fertilizers (if stored Rustproofers outdoors) Car wash detergents PCB IS Car waxes and polishes Other chlorinated hydro- Asphalt .& roofing tar carbons, (inc.carbon Paints, varnishes, stains, dyes tetrachloride) Paint and lacquer thinners Any other products with Paint & Varnish removers, deglossers "Poison" labels (including Paint brush cleaners chloroform, formaldehyde, Floor & Furniture strippers hydrochloric acid, other Metal polishes acids) Laundry soil & stain removers Other products not listed (including bleach) which you feel may be Spot removers & cleaning fluids (dry cleaners) R E C E I v E D toxic or hazardous (please Other cleaning solvents HEALTH DEPT. list..: Bug and tar removers TOWN OF BARNSTABLE Household cleansers, oven cleaners _ Drain cleaners Toilet cleaners Cesspool cleaners Disinfectants MAY 1 4 1981 Road Salt (Halite) TOWN OF BARNSTABLE BOARD OF HEALTH CONTROL OF TOXIC AND HAZARDOUS MATERIALS - INSPECTION SHEET FIRM A a r i ` PO OaAJA— ADDRESS Major types of materials: 1) Q I ' 2) 04 3) 4) OOAA_ 5) 6)^. I. Description of materials) use: .4:v II. Storage (denote product by number fisted above) A. Containers metal glass paper plastic cans,bottles,jars I drums,barrels aboveground tanks underground tanks 3 bags,boxes open,loose,uncovered inadequate labelling B. Storage Facility ✓or # Remar.ks jRecommenk"J.ons 1. Indoor a) separate, contained room b) stored in general work area i) inadequate ventilation ii) floor drains iii) inadequate fire protection 2. Outdoor a) uncovered, exposed to weather b) pervious surface/catch basins III. Disposal, A. Reclamation/Recycling unit B. On-site disposal JA 1. Town sewert 5YI 2. Regular septic system 3. Separate holding tank y G C. Off-site disposal 1. hauled by own firm 2. hired hauler a) name of hauler C b) address or disposal site cj Person(s) Interviewed _ — Inspector — — — - T - 6 30 81 TO'dVN OF BARNSTABLEL;Kunsati ANCE: CLASS: 1. Marine,Gas Stations,Repai.r factory 2. Printers BOA D OF HEALTH - 3. Auto Body Shops sfactory- 4. Manufacturexs (see"Orders") 5. R ai.l Stores COMPANY _ 6. el Suppliers ) c'n' 7 iscellaneous ADDRESS �� Class: 1 QUANTITIE D ST GE (IN=indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums anks Undetgrouad Tanks IN UT IN 0 IN tOUT # Z21lons Age s ? G�solin , Jet Fuel (A) �___:D_i.es-e1, Kerosene, #2 (B) Heavy Oils: _ .. waste motor oil (C) new motor oil (C) r . tranismiss o/hydraulic 5yf Synthetic Organics: degreasers Miscellaneous: DISPOSAL REC ATION MARKS: 1. Sanita Sewage 2. Water Su own Sewer ublic OOn-site V Priv 3. Indoor Flo r-Drains: YES NO olding tank: MDC OCatch basin/Dry well ORDP 0 On-site system - 4. Outdoor Surface drains:YES N("Lx 1 a Holding, tank: MDC �-�-- OCatch basin/Dry well OOn-site system 5. Waste Transporter �-1 '` "-3 ' '.� Mo(v )• Z i Licensed? I nation Waste Product Yps No IV Ut 1. bi ( L_- — 2. /�^� z3 ai Pe -s s)-I•r iewed Inspector ate' �Fr.&V! W OF BARNSTABLE COMPLIANCE: CLASS�,,1---Marine,Gas Stations,Repair O satisfactory 2• Printers - �®ARD OF HEALTH 3. Auto Body shops �Q Stores®unsatisfactory- 4. Manufacturers �� al COMPANY _I -)A c0 (see Orders ) 5, Retai _ 6. Fuel SupF.l:ers ADDRESS 7 IV 41 7, Class: 7. Miscellaneous � QUANTITIES AND S OPkGE (iN=iitdocrs; VVl�Vt14GVV�� 1.9AJOR hL47ERIALS Case lots Drums AboveTanks Undergrouad Tanks IIN QLFT IN IOUT IN LOUT #_ zllons IA e ffes Fuels: Gasoline Jet Fuel (A) Diesel - Kerosene, r2 (B) J Heavy Oils. i waste motor oil (C) ! 4 YIV new motor oil (C) 3 ( � transmission'/hydraulic Synthetic Organics: ' degreaserst1 I VJ Miscellaneous: / Lcrrj�Q E s DTSPOSAL RECI-k ATIONN R NV,RKS: 1. Sanitary Sewage 2. Water Supply own Sewer Public 0 On-site 0 Private 3. Indoor Floor Drains: YES NO ® Holding tank: ttDC �`�� Catch basin/Dry well i --- ---- - - — - - - -- --- On-site system ...��:� ( un (,Uu,tl<� 1 L�,i. tl ,t��✓ -u.�� 4. Outdoor Surface drains:YES /'I tiC O Holding, tank: MU`C Y ✓rim �— Catch basin/Dry well ® On-site system S. Waste Transporter �Licensed? 'game of Hauler nAtrir.ztiQn a A DY ` i` L_ J-S f G —/ ,J O1Z u1 `itis 1vtdlvfi Oil - N V� ql P erson(s) lnterviewl ! � Inspector Date �,..y '�'"' ' CUMPLI CLAS Marine",Gas Stations,Re pair OWN'• `O`F BARNS_TABI E ' __ - - '..> � :.Printers _ atirisfa` t �" "'� • .3 Auto Body Sho s 4.BOARD OF HEALTH . •' Manufactrers • �j _ unsatisfactory- up (see"Orders") S. Retail Stores COMPANY J/ a-K, iJ` �. 4.u�+ 6. Fuel Suppliers /� 7 Miscellaneous ADDRESS � rJ. � `r"�t.�� ._C� ,__ Class: ' QUANTITIES AND STORAGE (I indoors; OUrcoutdoors) Case lots Drums ' Abdvefanks UndetgLouad Tanks IN T K e e- MAJOR MATERIALS rest? Fuels:. Gasoline, Jet Fuel (A) Diesel, Kerosene, 02 (0) Heavy•Oils: waste motor oil (C) new motor �"""transmis=orr�'tQ►draulic Synthetic Organics: degreasers ' 4 Miscellaneous o WSPUSAL REC MIUN REMAKS: 1. Sanitary Sewage 2. Water Supply Town Sewer Public On-site Q Private 3. ,Indoor Floor Drains: YES ` NO Q Holding tank: MDC OCatch basin/Dry well ....... -.-- OOn-site system 4. Outdoor Surface drains:YES N 01 Q HuldinL• tank: MUC OCatch basin/Dry well -- - QOn-site system ._.__ S. Waste Transporter. i. Licensed? nnet i Produceo nat;en Wns a ' ersotr(s) 40trviewid ~� Inspector Date .v