Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0478 WEST MAIN STREET - HAZMAT
, t �S Co 11�5 en — "z,V-fir y�1 Gj 4 &,; auk - 02)� i IKE rows Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMASSBLE.9` 200 Main Street• Hyannis, MA 02601 ,b„ A,0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rED MP'� Business Name: a AS f- • Date: Location/Mailing Address: T79 W . f"A)YV :57r Contact Name/Phone: J '1 ® - "7 J 7 I Inventory Total Amount: MSDS: Y'-S License#: Tier II : Labeling: OK Spill Plan: Oil/Water Separator: N p Floor Drains: A16 tV 157 Emergency Numbers: Storage Areas/Tanks: Emergency/Containment Equipment: Waste Generator ID: ng ft O Waste Product: Date&Amount of Last Shipment/Frequency: q''I!D- O Licensed Waste Hauler&Destination: Sgjr y cc-yj X06 I f.. 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 �QA/ ss1VWJ P 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 I,Jos-'e 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 en Ines&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 �aLets, varnishes, stains, dyes Lye or caustic soda -2o�— acquer thinners; Miscellaneous Combustible 5 o i-10 Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables (+1eG-�'dA"T Fertilizers Floor&furniture strippers �k—(�9c � 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, n hydrochloric acid, other acids) � V0 VIOLATIONS: Alb ) �s �ORDERS: e QTN- ecw, S INFORMATION/RECOMMENDATIONS: Q Inspector: G Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS P t THE)O Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • eA MASS.LE. ` 200 Main Street• Hyannis, MA 02601 M MASS. �0� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rF0 P'P a. Business Name: \AKAtS Co 1 1 r 5 (o vk, Date- Location/Mailing Address: -1 S4- M4,w, A v1 N r Contact Name/Phone: 8- J - 2-0 Inventory Total mount: � �� SDS: 1(e5 4, License#: Tier II : Alh Labeling: (%'PyoeQ Spill Plan: Vey Oil/Water Separator: Floor Drains: A)o Emer enc Numbers: YG s Storage Areas/Tanks: &sue. AIo<<VM e( Di I f A,,+. c e �5-6At I 1 A5T Emergency/Containment Equipment: jj V,V5 tvt- 6-'4�01- Waste Generator ID: Waste Product: P41�c-I' �y`�-� Or 1 a► eP�� Date&Amount of Last Shipment/Frequency: 22 I$ 2&Q iz r ed+a.0 lxlyr) 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 W-1'SS Dry cleaning fluids 'L Automatic transmission fluid 7— y Other cleaning solvents&spot removers Z Engine and radiator flushes Bug and tar removers �— Hydraulic fluid (including brake fluid) y Windshield wash 7, Motor oils 5S waskc- Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants ti Miscellaneous petroleum products: Road salts grease, lubricants, gear oily Refrigerants Degreasers for engines&garages Pesticides: 10 Caulk/Grout4%kC4 to insecticides, herbicides, odenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Z, Car waxes and polishes L. Wood preservatives(creosote) Asphalt&roofing tar 0X%D Swimming pool chlorine top Paints, varnishes, stains, dyes, Lye or caustic soda Lacquer thinners 204(Po wxtAe, Miscellaneous Combustible Q�So3�15 2� t Paint&varnish removers, deglossers��y7 Leather dyes Miscellaneous Flammables'WJAwA•"�S r Fertilizers Floor&furniture strippers 1xp(eCG ak 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: INF RMATION/RECOMMENDATIONS: a.�e, a¢,� k v� t C Te J o 1nv� rt v.a -4- c 1 A -E- k6 Q a , Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS °FIKE A Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMS�LE, • 200 Main Street• Hyannis, MA 02601 1639. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: Qvl A 15 O-E>Ilts I ovt, Date: Location/Mailing Address: 8 rt e,e --7-► - 7'- Contact Name/Phone: Gak Z Invento Total mount: N z q et MSDS: License#: 1037- ey,10- Tier II : Labeling: goo6k Spill Plan: ZS Oil/WaterSeparator: Floor Drains: o Emergency Numbers: Y4 5 Storage Areas/Tanks: 2 al 6a2r- ,-I AS-T o., ovta Al K sus Emergency/Containment Eq ipment: b -1\ Vk,V wlw o ,,- &,w} ,0bo— - Waste Generator ID: M A1>Rg2,S'f(0 9 I Waste Product: 14+ toll, nf44ee Date&Amount of Last Shipment/Frequency: b 7 z%4 j ^ ;Z v,l,Fa-�, 11< ✓ Licensed Waste Hauler&Destination: Sa -G]E-4' KIz,--, el+ow , Y'L or r-ry tows 12= Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS N o G kXO-'t- %Vl. t WIJ4 -cy 9 tv�c,1� �kg t►�5 ¢.L'ciar`. 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 I 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) V 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 T- Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: ^I v�, 510 mA,k I,J4-5 4s 4' Wt.R1-- wLO tt w o Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS °PIKE r Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMAN LE. • 200 Main Street• Hyannis, MA 02601 �'OtFOMP+p`0� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: h CO I ,o w Date: 5 Location/Mailing ► —T4 aNn, Contact Name/Phone: Sob- -7 S- 72t-7 Inventory Total Amount: 4- MSDS: License#: /037 Tier II : No J Labeling: &6,9oX Spill Plan: eS Oil/WaterSeparator: Floor Drains: lUo Emergency Numbers: S Storage Areaslranks: R-�t� s 00 e- o l��¢v�J Ft� �� - ,�„►�cs Pas-I'c -K,,,r►���04,N-� Emergency/Containment Equipment:Waste Generator Generator ID: ? - to I Waste Product: 4 w+l �2e�e, n ruf5 Date&Amount of Last Shipment/Frequency: �{ SS' �l 5?- c- Licensed Waste Hauler&Destination: b 1 o ,b rag a.—I- �,►n►rc l 3- Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS o vv a•l o� CI�•� c_ �V4- t K vice4,,Zaterial Srne-e- /ts`t" /nS �yc.• NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous 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: IN RMATION/RECOMMENDATIONS: <M v . r� o►ti. -b U O G b 'S . Inspector: _— Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS J INE r° Town of Barnstable Office:508-862-4644 °* Public Health Division Fax:508-790-6304 B` �`e.g 200 Main Street• Hyannis, MA 02601 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: h6R N K 15 Co I1,S(a K- Date: :L l Location/Mailing Address: `I z5 0)4-5+ Maio- yA,n,A,s Contact Name/Phone: Inventory Total mount: ti--45bq10 MSDS: f,S License#: 03°7 Tier II : 0 Labeling: ®K Spill Plan: a Oil/WaterSeparator: ►�� Floor Drains: mer enc Numbers: ` eS. Storage Areas/Tanks: S+e-A Q&,6 - Qa1wF -6AvLee' t-,-K5 a RX tCaW-r ,4 �.� a a�l Emergency/Containment Equipment: S e All -ova �,��- � c' Waste Generator ID: `f6 / Waste Product: u o, �, was+�e- pG„^k -►�,,>7,�c� Date&Amount of Last Shipment/Frequency: ay I 4 0. s►l x l Licensed Waste Hauler&Destination: 715L I- 9 SD b/ Other Waste Disposal Methods: 1111 LIST OF TOXIC AND HAZARDOUS MATERIALS N o � 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/ ECO MENDATIONS: ,1 la WOOS ke CO e + a[t- 0<, a A'V Ve--1 . 1 Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS I Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 98ARMA% .O` 200 Main Street• Hyannis, MA 02601 t6S9 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT fF0 MA'S Business Name: dung } Date: I IG gT Location/Mailing Addr ss: q 71 W&O MnS Contact Name/Phone. 77 721 Inventory Total mount: MSDS: License#: Tier II : NO Labelina: tteA mill Plan: SdfS Oil/Water Separator: MIA Floor Drains: Emergency Numbers: Storage Areas/Tanks: +v Emergency/Containment E ui men Waste Generator ID: Waste duct: U Date&Amount of Last Shi ment/Fre uenc : 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 ye or caustic soda Lacquer thinners Miscellaneous Combustible �— Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: VT, fk6 A0 S Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Number Fee 1037 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Hyannis Collision 478 West Main St., Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 -499 gallons of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2020 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 02/04/2020 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health 1 r, s Town of Barnstable Inspectional Services p BARNSTABLE Public Health Division EAT°.>s,•- ,,,.,, O Y.\[.�:::.ti5 te::.tS•JS'E&Y::.I�.NFi'P.1.:i5'!.4'.' r1 � • BA MASS. � sii <.7l �-R 9 $ Thomas McKean, Director ;_• Qj 039• • A�Fp �a 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 JULY 1st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26 — 110 Gallons: $ 50.00 ❑ - CATEGORY 2 PERMIT 111 —499 Gallons:- -- _$125.00 CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charize of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. R a 04] D a 2. IS THIS A PERMIT RENEWAL? V YES NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: �p 7:A;-0�+b 5. NAME OF ESTABLISHMENT: nNC0111ci6r, 6. ADDRESS OF ESTABLISHMENT: ! mi't\ 4yawl-IT 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: Rv(jftn j' C IW 1S(00 &Vf&z n p e 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS, AND TELEPHONE F: CORPORATION NAME n . ap n-ir C II i 6 PRESIDENT C o D . v✓ l m . Azy TREASURER h„ D0. ' CLERK 1n a q L < wV% 1a PA. 6 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: *SIGNATURE OF APPLICANT i DATE Q:\Application porms\Haz Mat App Revised 09-10-18. ocx Number Fee 1037 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Hyannis Collision ...------------------------------------------------------------------------------------------------------------------------------ 478 West Main St., Hyannis, MA .----------------------------------------------------------------------------------------------------------------------------------------------------------------------- Is Hereby Granted a License For: Storing or Handling 111 - 499 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 LP�N Town of Barnstable MA A - Inspectional Services BARNSTABLE , `3•Q, Public Health Division u , 9 ERV201I14RSR B?NNS 4&E 1639- 4 �Dg MMBLX4 = Thomas McKean,DirectorMAM ; ;, 039.off• 200 Main Street, Hyannis,MA 02601 NI C11 Office: 508-862-4644 Fax: 508-790-6304 0 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE ,y HAZARDOUS MATERIALS f'' 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 —49.9 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.C� 1. ASSESSOR'S MAP AND PARCEL NO. Q W ® ) O 1 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 STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: �1 Y W`Q.61-A'dth '14- k-tUa��1 I 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: A�1n t tS C�111 S 641 /�) V eCl7�{1 !1 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: i CORPORATION NAME N Vr1 n n 1 f A V�� l tm_ \,)B PRESIDENT So , a r o Luc 5-4r\fx _ N. 0*ff TREASURER L �-\Adov_ s CLERK t NkrvA16_ Ma. OUT 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: • SIGNATURE OF APPLICANT DATE Q:\Application Forms\Haz Mat Appli Draft Jan2019.docx Number Fee 1037 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Hyannis Collision 478 West Main St., Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. ----------------------------------------------------- ------------------------------------------------------------------------------------------------------------ This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2019 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 ..yM ' o of % *able e atoryry erer vlces Richard V. Scali,Director Public Health Division BARNSTABEE anansme�•ce&"EVF1 •eorur.• MAM � Thomas McKean,Director �5"�;" " ` V. 200 Main Street,Hyannis,MA 02601 N� Office: 508-862-4644 Fax: 508-790-6304 CP APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS f 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 Ist C h t:�-# 3q Og 1. ASSESSOR'S MAP AND PARCEL NO. �Lq. o Q 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 STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: 6�n <�-Q 5. NAME OF ESTABLISHMENT: } �I ��1 tS lib Ii S I Dy� v 6. ADDRESS OF ESTABLISHMENT: A i l7 �-; � y A 0-0 L� 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: - Q11d1i{S 1 I 1 5��1 (t� il�Oi�iV� 0 01-P 10. SOLEOWNER: \YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADD SS,AND ELEP) ONE OF: CORPORATION NAME N k Eq 11 e.,IS 1b71 PRESIDENT �i „r y lea., b� c TREASURER )m 06 CLERK 1�n rb X6 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE F O APPLICAN DATE -a��� C:\Users\Decollik\AppData\LocalUvticrosoft\Windo Temporary intemet Files\Content.Outlook\BMQD49H2\FIAZMAT APP 2017 REVISED.doex Number Fee 1037 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Hyannis Collision 478 West Main St., Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 -499 gallons of Hazardous Materials. --------------------------------------------------------------------------------------------------------------------------------------------------- ------------- --------------------------------------------- ------ ----------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2018 unless sooner suspended or revoked. ------------------------------------- �� PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2017 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health TRownl of Unstable � � /� .t-�'1O / e atoervices g , OPINE r Richard V. Scah, Director Public Health Division BARNSTABLE Y DRNSfA a-,�N Ti ALL 1COWff- 4hA • BARNSPABLE Thomas McKean,Director FftS '�"�16 °2014 `"°'ry5r« 1639-201A OIFDMo+a`� 200 Main Street, Hyannis, MA 02601 575 Office: 508-862-4644 O20 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY Ist-JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 x V'S CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. RDL9 D17 PAS 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 STORAGE/USE OF • GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)?-y YES NO. �'o�n 4. FULL NAME OF APPLICANT: �. � to 41) 5. NAME OF ESTABLISHMENT: Hy dBil 1 1 10 11 $ k , 6. ADDRESS OF ESTABLISHMENT: 02� U)e4 MAIM flV, 41)6j(5 ('7� . 6X 0I 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: - �a 8. TELEPHONE NUMBER OF ESTABLISHMENT: 7 -01 9. EMAIL ADDRESS: _t'Jait1N'l tS 1 l S �1 Q�I`Z 6-'1. i11 - 10. SOLEOWNER:_%,e!�VES_NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHO #, OF- CORPORATION CORPORATION NAME nnl I)(, & nn1 ( 'S ` YI PRESIDENT i 01 g L d TREASURER 94 s4tirC l vi Ite CLERK 3�k1i.r, d 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EM SIGNATURE OF APPLICAN DATE 9- QAApplication Forms\.HAZMAT APP 2017 REVISEQAX low, 1'' HYANNIS .COLLISION CONTINGECY SPILL PLAN IF SPILL OCCURS : 1 : Go to spill kit located in paint room 2: Retrieve appropriate products to contain spill 3: Contain spill 4: Contact John Trotto or Tom Jenkins so they can inform the appropriate department of the spill . ALL NUMBERS ARE POSTED AT EACH TELEPHONE . i i � I Number Fee 1037 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Hyannis Collision 478 West Main St., Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. ------------------------------------------------------------------------------------------------------------------------------------------------------------------ This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2017 unless sooner suspended or revoked. --------------------------------------- g 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 Town of Barnstable • �tti Regulatory Services °^ Richard V. Scah, Director Public Health Division A BABST E a639 was axs Thomas McKean, Director 16 -201° 200 Main Street Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-79(R304 IV APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st-JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 (� 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. 01 Oa DATE FULL NAME OF APPLICANT: _j On ',J NAME OF ESTABLISHMENT: CA i Sto-A ADDRESS OF ESTABLISHMENT: malln g4- -A1•/AY1A-6 Mr. (fir&O MAILING ADDRESS(IF DIFFERENT): s d►' -t TELEPHONE NUMBER OF ESTABLISHMENT: EMAIL ADDRESS: f'1Vlaymi C01'jjC.1'Q'1 Aeoriw..,yi ' SOLE OWNER: /YES_NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME d1 iri- u4-n Int-21MA Ovolnox'714 51kh PRESIDENT n n ::Y d'D , &4VI�VMJ &y 6 TREASURER - 4_Pq1 - `N 0 CLERK Inns 5 N5�1� IF PREPARED BY OUTSIDE PARTY: SIGNATURE L T Name: Company Address Telephone#: Email: Q:Wpplication FonnsUiAZZAPP Rev I6.docx Page 1 of 2 Y Number Fee 1037 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that Hyannis Collision 478 West Main St., Hyannis, MA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. -------------------------------------------------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2016 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/2015 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health f Town of Barnstable °FTHE T� Regulatory Services v ti Richard V. Scali, Director &UMSTAMASS. .g Public Health Division ATE039. Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. �a�� OP OS DATE o 3 �S APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT -:ESk'hn NAME OF ESTABLISHMENT j �a�n�t� o s ion ADDRESS OF ESTABLISHMENT 477 Wga Maas S4% HVa'h,116 Ma. a. • TELEPHONE NUMBER SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION b la es FULL NAME AND HOME ADDRESS OF: PRESIDENT rfl 0 qj S)kta/1I -Q, & ®al TREASURER S 76 pa"I CLERK 09 6(T • SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS qY S4ff�bDaj 6,,k k3fyyjil�1� Ta 00'5 HOME TELEPHONE# 10-2 J:\HAZAPP.DOC Town of Barnstable office: 508-862-4644 Fav 508-790-6304 Regulatory Services Department BA tVSTARL Public Health Division MASS. Thomas A. McKean,CHO 200 Main Street, Hyannis, MA 02601 Payment Receipt {Hazardous Materials Payment received: $100.00 (Check) on 8/5/2015 Permit number: 1037 ;Check number: 30938 Check amount: $100.00 Name on check: Hyannis Auto, Inc. i Business: Hyannis Collision Ovmer: CAROL M TR !Address: 478 WEST MAIN STREET, Hyannis i Number Fee 1037 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that Hyannis Collision 478 West Main St., Hyannis, MA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2015 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER, M.D.,CHAIRMAN PAUL J.CANNIFF, D.M.D. 6/30/2014 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Z - Town of Barnstable ti Barnstable �t"E t Regulatory Services Department Public Health Division &OWSTABU- • 1111 J.t 9 MASS. ' 200 Main Street, Hyannis MA 02601 a s 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. ON GO DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT .��b�h 11 o Q NAME OF ESTABLISHMENT CoNs'—Yon ADDRESS OF ESTABLISHMENT Wt5-- Mj&�l\ S�- TELEPHONE NUMBER 6 — SOLE OWNER: xYES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADD RFS OF AID, ._ PARTNERS: 25 „' IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 04 STATE OF INCORPORATION ` 7 b1 56k CI1J j e4 FULL NAME AND HOME ADDRESS OF: PRESIDENT AfAA11 t TREASURER Ulu 04. 0 �.,,1i�. ' C 3)- CLERK `-T6 ;�k- Co/IkA/ F, SIGN TURF APPLICANT v RESTRICTIONS: HOME ADDRESS Sod) Sp�- PP). (.��4A^'iT1R- ML HOME TELEPHONE# D��v���-9e9 a i J:\inspection handouts\Haz Mat Application2008.DOC HYANNIS COLLISION CONTINGECY SPILL PLAN IF SPILL OCCURS 1: Go to spill kit located in paint room 2: Retrieve appropriate products to contain spill 3: Contain spill 4: Contact John Trotto or Tom Jenkins so they can inform the appropriate department of the spill . ALL NUMBERS ARE POSTED AT EACH TELEPHONE Number Fee 1037 THE COMMONWEALTH OF MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that Hyannis Collision 478 West Main St., Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 6/30/2014 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2013 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable Barnstable Regulatory Services Department Public Health Division • HARNSTABM ' 9 1MAS 6 9. � 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. Io�b DATE APPLICATION FOR PERMIT TO STOKE AND/OR UTILIZE --MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT ®�!� p NAME OF ESTABLISHMENT Van n1 6 41A i$1 D n ADDRESS OF ESTABLISHMENT q77 wed- nai e) S/�- QAA i MCI. 6ab01 TELEPHONE NUMBER D �� SOLE OWNER: aES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 0q3 N 16 bS STATE OF INCORPORATION 0 asSac hV re* FULL NAME AND HOME ADDRESS OF: PRESIDENT p Db P4 , (4-4er i11-e Nis, Dd b )t TREASURER l+ " 0 CLERK MrA SIFXATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS SOD f!I t0V 4 CZA4WL1& hi-, bg 3) HOME TELEPHONE# LSO 3 q S'3 J:\inspection handouts\Haz Mat Application2008.DOC t � HYANNIS COLLISION CONTINGECY SPILL PLAN IF SPILL OCCURS : 1: Go to spill kit located in paint room 2: Retrieve appropriate products to contain spill 3: Contain spill 4: Contact John Trotto or Tom Jenkins so they can inform the appropriate department of the spill . ALL NUMBERS ARE POSTED AT EACH TELEPHONE emerphon7-Post near telephone(s) IN CASE OF EMERGENCY My Company's Emergency Coordinator: .... Name: S . My Back-up Coordinator: ......... M...... e!�.V AA.................... ( Sl)g ) 30 � 9 Name: / 1 Local Fire Department: ............. ....... .. ....Ow .:.......:( SO7 Southeast Regional Office DEP Emergency Response Section: .................................................................. ( 508 ) 946-2850* Statewide DEP Emergency Response . ('617 ) 556-1133'or ( 888 ) 3®4-1133 *If Regional DEP office is closed call (Boston DEP).................................(617)292-5500 , which will provide.current I State Police Phone number State Police Phone number 9/99 ............... 508 820=2121. E ` NATIONAL RESPONSE CENTER: .............................................................(800) 424-8802 My EPA Identification Number is : M g 0 s ( L EVACUATION ROUTE µ Facility floor plan showing emergency exits and location(s)of the fire extinguisher(s) and spill control material(s), and,if present the fire alarms. i _ 1 ;r YSR'G �LMGIcr SPA>> loR�rol . G's see 310 CMR 30.341 1 e and 30.524 2 S G's see 310 CMR 30.351(9)(c)6. 4 Number Fee 1037 THE COMMONWEALTH OF MASSACHUSETTS $110.00 Town of Barnstable Board of Health This is to Certify that Hyannis Collision 478 West Main St., Hyannis,MA 02601 Is Hereby Granted a License -� FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ---------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2013 unless sooner suspended or revoked. WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2012 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health ,►' ; Town of Barnstable Y . V a ; Regulatory Services Thomas F. Geiler,Director Public Health Division 'Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508=790-6304 App7icatron Fee:$1-0a.00 ASSESSORS MAP AND PARCEL NO._ DATE APPLICATION FOR PERNIIT.TO, STORE.AND/OR UTILIZE.MORE.THAN III GALLONS.OF.HAZARDOUS MATERIALS FULL NAME OF APPLICANT p 1 Y NAME OF ESTABLISHMENT 6206a (, 21 11 cl I bln ADDRESS OF ESTABLISHMENT n6j) S+- 1/Aimr%iK- Bb OJ60 F TELEPHONE NUMBER SOLE OWNER: LYES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: ZE - C IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. .? STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT ein„ fro �n��11► � - (,-,iq,,,►),L Ma 02b3a TREASURER 0 Md. D CLERK_ fO A, {gin Ed en Atk- U w 'a"A SIGMA OF APPLICANT RESTRICTIONS: HOME ADDRESS_S0a 61Il'lL (A• r.4A,,,f;i1 Da63a HOME TELEPHONE# Hazdodwp/q MAIL-IN REQUESTS Please mail the completed application form to the address below. Also include a copy of your contingency plan (to handle hazardous waste spills, etc). In addition, please include the required fee of$100. Make check payable to: Town of Barnstable. Allow five to seven (7) working days for in- house processing. Our mailing address is: Town of Barnstable Public Health Division 200 Main Street Hyannis,MA 02601 FOR FAXED REQUESTS Our fax number is (508) 790-6304. Please fax a completed application form. Also, please fax us a copy of your contingency plan (to handle hazardous waste spills, etc). In addition, please mail the required fee amount of$100.00. Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. Allow up to four days for in-house processing. For further assistance on any item above, call(508) 862-4644 SPILL CONTINGENCY PLAN Emergency Coordinator,Name: Address: 'Sna �11 i©� P� Cegk`vi)Ie No. od- 3:) Daytime Phone: Evening Phone: Fire Department: Barnstable Public Health Division: 508-862-4644 DEP 24 Hour Spill Hot Line: 888-304-1133 Waste Hauler: Name: SJ. - Phone: sb%- Building diagram indicating hazardous material/waste storage area, location of absorbent scavenger materials, fire extinguishers, fire alarms (if present), and evacuation route (if applicable). Actions to be taken to control a spill or release, and preventing it from reaching a catch basin, sewer system or the ground. DeT Q , (abler A) e i• (on 0 S a�4ei V Leen �b Cow- A o wv\ 04 C�ec"' �I s P ►l 1 4n �l�v� Govt u� 11 SuCevgV 900?1e �v m*V9— sv.e 4- 1 S 13n I 1.r Number Fee 1037 THE COMMONWEALTH OF MASSACHUSETTS $10o.00 Town of Barnstable Board of Health This is to Certify that Hyannis Collision 478 West Main St., MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------------------------------- ------------------------------------------------------------------------- - ------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the.Statutes and ordinances relating there to, and and expires June 30, 2008 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. 7/20/2007 PAUL J. CANNIFF,D.M.D. THOMAS A. MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable �04 Regulatory Services Thomas F. Geiler,Director iAB Public Health Division Y MA93. Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT 1•? /(Id��; �n�I i S iDh `' rr ADDRESS OF ESTABLISHMENT i1o1 n ' . &56ol _> .TELEPHONE NUMBER so _�' ' SOLE OWNER: x, ES NO rJ cc cc r- M IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS Oj ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 6931414®?f STATE OF INCORPORATION M6 FULL NAME AND HOME ADDRESS OF: PRESIDENT hn TREASURER 7ZTAnA /n � CLERK SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS SOO F-114 4 604Vvilte HOME TELEPHONE 9 606, -)CID—3,53 SPILL CONTINGENCY PLAN 1)EVACUATE THE IMMEDIATE AREA,IF NECESSARY 2)SHUT OFF PUMPS&ELECTRICAL AS NECESSARY 4)CONTAIN SPILL USING APPROPRIATE EQUIPMENT IN SPILL KIT 5)CONTACT SPILL RESPONSE FIRMS IN APPENDIX E 6)REMOVE CONTAMINATED ABSORBED MATERIAL WITH SUPPLIED EQUIP.IN KIT 7)LABEL WASTE COLLECTED,WITH AMOUNT AND TIME 8)NOTIFY APPROPRIATE AGENCIES OF SPILL 9)INSPECT AREA FOR CONTAMINATION AFTER CLEANUP 10)REPLACE ANY USED MATERIAL FROM KIT 11)CONTACT WASTE HAULER FOR DISPOSAL OF MATERIALS 12)RECORDS OF SPILL SHALL BE KEPT ON PREMISE IF NECESSARY BY STATE REGULATIONS 13)SPILL CLEANUP KIT IS LOCATED IN PAINT MD(ING ROOM IN WHITE CONTAINER 14)SPILL EQUIPMENT ON PREMISES: A. SPILL KIT SUPPLIED BY WASTE HAULER FOR OUR SPECIFIC USE B.RESPIRATORS,GLOVES,PAINT SUITS,BOOTS C.FIRST AID KIT D EYE WASH STATION E. FIRE SUPPRESSION IN NECESSARY AREAS F. FIRE EXTIGUISHERS ENTIRE FACILITY I APPENDIX E SPILL CONTINGENCY PLAN EMERGENCY PHONE NUMBERS POLICE DEPARTMENT 508-775-0812 911 FIRE DEPARTMENT 508-362-3312 911 EMERGENCY RESPONSE 800-468-1760 AMBULANCE SERVICE 508-775-2323 . ENVIRONMENTAL PHONE NUMBERS SAFETY KLEEN 508-697-4648 SAFETY KLEEN EMERGENCY COORDINATOR 978-360-69 CLEAN HARBORS 617-849-1800 JOHN TROTTO OWNER 508-364-1077 Number Fee 1037 THE COMMONWEALTH OF MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that Hyannis Collision 478 West Main St., MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------------------------------------------- ------------ This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2007 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. January 16, 2007 PAUL J. CANNIFF,D.M.D. THOMAS A. MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable Regulatory Services Thomas F. Geder,Director Public Health Division yD Thomas McKean Director ' 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee:1100.00 I� ASSESSORS MAP AND PARCEL NO. DATE APPLICATION.FOR PERMIT.TO.STORE.AND/OR UTILIZE.MORE.THAN. 111.GALLONS.OF.HAZARDOUS MATERIALS FULL NAME OF APPLICANT ��+►v� ,�tY� NAME OF ESTABLISHMENT OVAOAiiS a ADDRESS OF ESTABLISHMENT 07 M&'1 ) S+1 TELEPHONE NUMBER s-p T_ SOLE OWNER: ,—�S NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. f�` 3 \4 1 14 STATE OF INCORPORATION i FULL NAME AND HOME ADDRESS OF: PRESIDENT 2D 91) 6-0 +P,rv)Ae TREASURER 6►^ 'D ( CLERK 91 r►-PrLI -2 SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS__"Sob I If-ok- Pd, ('0Vt 'villa HOME TELEPHONE# 'CO - ')e1 U Hmdoc/wp/q I MAIL-IN REQUESTS Please mail the completed application form to the address below. Also include a copy of your contingency plan(to handle hazardous waste spills, etc). In addition,please include the required fee of$100. Make check payable to: Town of Barnstable. Allow five to seven (7)working days for in- house processing. Our mailing address is: Town of Barnstable Public Health Division 200 Main Street Hyannis,MA 02601 FOR FAXED REQUESTS Our fax number is (508) 790-6304. Please fax a completed application form. Also, please fax us a copy of your contingency plan (to handle hazardous waste spills, etc). In addition, please mail the required fee amount of 100.00. Please make the check payable to: Town of Barnstable. The check req $ p y must be mailed to the address listed above. Allow up to four days for in-house processing. For further assistance on any item above, call(508) 862-4644 j. SPILL CONTINGENCY PLAN 1)EVACUATE THE IMMEDIATE AREA,IF NECESSARY 2) SHUT OFF PUMPS&ELECTRICAL AS NECESSARY 4)CONTAIN SPILL USING APPROPRIATE EQUIPMENT IN SPILL KIT 5)CONTACT SPILL RESPONSE FIRMS IN APPENDIX E 6)REMOVE CONTAMINATED ABSORBED MATERIAL WITH SUPPLIED EQUIP.IN KIT 7)LABEL WASTE COLLECTED,WITH AMOUNT AND TIME 8)NOTIFY APPROPRIATE AGENCIES OF SPILL 9)INSPECT AREA FOR CONTAMINATION AFTER CLEANUP 10)REPLACE ANY USED MATERIAL FROM KIT 11)CONTACT WASTE HAULER FOR DISPOSAL OF MATERIALS 12)RECORDS OF SPILL SHALL BE KEPT ON PREMISE IF NECESSARY BY STATE REGULATIONS 13)SPILL CLEANUP KIT IS LOCATED IN PAINT MIXING ROOM IN WHITE CONTAINER 14)SPILL EQUIPMENT ON PREMISES: A. SPILL KIT SUPPLIED BY WASTE HAULER FOR OUR SPECIFIC USE B.RESPIRATORS ,GLOVES,PAINT SUITS,BOOTS C.FIRST AID KIT D EYEWASH STATION E. FIRE SUPPRESSION IN NECESSARY AREAS F. FIRE EXTIGUISHERS ENTIRE FACILITY I t 1' APPENDIX E SPILL CONTINGENCY PLAN EMERGENCY PHONE NUMBERS POLICE DEPARTMENT 508-775-0812 911 FIRE DEPARTMENT 508-362-3312 911 EMERGENCY RESPONSE 800-468-1760 AMBULANCE SERVICE 508-775-2323 ENVIRONMENTAL PHONE NUMBERS SAFETY KLEEN 508-697-4648 SAFETY KLEEN EMERGENCY COORDINATOR 978-360-69 CLEAN HARBORS 617-849-1800 JOHN TROTTO OWNER 508-364-1077 SACHUSETTS FIRE INCIDENT REPORT O 10 ...... DEPARTMENT Revised M 2.2.......... H annis Fire De artment Report Form If Ex Date Alarm Arrival In Service ncid 000473 Fire 005 / 6 /94 Day lFriday16 :28 116:35 16:56 ATION FOUND ACTION TAKEN ...*....77-1 MUTUAL AID B Spill, Leak w/ No Ign 4 1 Investigation Only FIXED PROPERTY USE (OCCUPANCY) IGNITION FACTOR C Paved Public Street '>::::9 6 2 „'. .:::. OCORRECT ADDRESS ZIP CODE CENSUS TRACT D 477 YARMOUTH ROAD 02601 000020 O 11 OCCUPANT NAME (LAST, FIRST, MI) TELEPHONE ROOM or APT. SMITH REGGIE O/S OWNER NAME (LAST, FIRST, MI) ADDRESS TELEPHONE F 12 SMITH REGGIE N. TRURO P.O. BOX 383 G 13 METHOD OF ALARM CO. DIST. PERSONNEL ENG RESP. E AERIALS RESP. 1 © RESP. 0. 1 SHIFT HAZ MAT PRESENT? Y TANK. RESP OTHER RESP. A 0 0 Telephone (Direct) NO. AL SUBSTANCE 1 2 0 3 1203 1 : SPEC. EQUIP. USED? O 20 FIRE SERVICE OTHER 0 0» ': 0 ; 0 0 O MOBILE PROPERTY TYPE VEHICLE STOLEN? ESTIMATED TOTAL INSURANCE CO. DOLLAR LOSS TOTAL INS. CLAIM PD 0 0 YEAR MAKE MODEL COLOR LICENSE NO. VIN# 30 4 O IF EQUIP INVOL. YEAR MAKE MODEL SERIAL NO. IN IGNITION ........... OCOMPLEX AREA OF "';:'EQUIP INVOLVED IN IGN. K ORIGIN FORM OF HEAT IGNITION MATERIAL FORM TYPE © IGNITED METHOD OF LEVEL OF ORIGIN Number of Stories CONSTRUCTION TYPE O r . EXTINGUISHMENT EXTENT OF DAMAGE Flame ......... Smoke DETECTOR PERFORMANCE SPRINKLER PERFORMANCE P O Material generating FORM TYPE no mostsmoke AVENUE OF SMOKE TRAVEL R WEATHER CONDITIONS IOfficer in Charge: Date FARRENKOPF, C. CAPTAIN 5 / 6 / 9 4 Comments for this incident have been printed on an additional comments page. Comm, nts for Incident: 94 000473 Exposure: 00 Date: 5/6/94 RECEIVED CALLS FOR A MOTOR CYCLE ACCIDENT IN FRONT OF 477 YARMOUTH ROAD,WITH P.I. RESCUE#827 TO RESPOND. RESCUE RESPONDED FOUND ONE PATIENT AND A MOTOR CYCLE LAYING ON ITS SIDE LEAKING GASOLINE AND MOTOR OIL. RESCUE(LT.MELANSON)REQUESTED AN ENGINE COMPANY TO THAT LOCATION. ARRIVING ON SCENE,WE COVERED THE SPILLS WITH JAN-SOLV/SAND AND ASSISTED ROTARY AUTOBODY REMOVING THE BIKE. PATIENT, MR. REGGIE SMITH,WAS EXPORTED TO C.C.H. MOTOR CYCLE: YAMAHA MA. REG: X/X 7776. WEATHER CONDITION: RAINY,COOL,WIND OUT OF THE SOUTHWEST ABOUT 3 MPH, T 490 F. FARRENKOPF, C. CAPT. 05/06/94. • 'j } Hyannis Auto Collision, Inc. JOHN J. TROTTO Phone 478 West Main Street (508) 775-7217 Hyannis,MA 02601 i i j TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS: ._ Board of Health MAILING ADDRESS: - j Town of Barnstable TELEPHONE NUMBER: P.O. Box 534 CONTACT PERSON: ® , J �® Hyannis, MA 02601 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in qpritities 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 roducts exhibit toxic�orha�zardous characteristics and must be registered when stored Please put a check beside each product that you store: %-*� Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel wl' 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 preservative's (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes v Paints, 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, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business -_ rJ TOWN OF BARNSTABLE MPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH satisfactory 3.A Shops unsatisfactory- 4.Manufacturersp COMPANY /R �f!/0 O (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRES 7.Miscellaneous CLASS' QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATE S Case lots Drums Above Tanks Underground Tanks IN OUT IN I OUT IN OUT #&gallons Age Test Fuels: Gasoline,J Fuel(A) Diesel, Kerosene, #2 (B) Heavy OilsZW waste motor of new motor oil (C) ulic Synthetic Organics: degrea er r / iscellan s: 117 DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2.Iyater Supply O Town Sewer 4Public ' gon-site bPrivate 3. Indoor Floor Drains r_VNO 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. erson (sWireFvrdwed Inspector 32Daire . r. . w TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS: Board of Health MAILING ADDRESS: 6�' � Town of Barnstable TELEPHONE NUMBER: -=�2 2 n P.O. Box 534 CONTACT PERSON: r� � bA Hyannis, MA 02601 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities tot Ilin , 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 in quantities totalling more than 50 ciallons liquid volume or 25 pounds dry weight. Please put a check beside each product that you store: Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid - Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, 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, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business ti �S" +^ TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM 41 Mail To: NAME OF BUSINESS: �' - •� �-� - -�° Board of Health MAILING ADDRESS: -�- - - ' Town of Barnstable TELEPHONE NUMBER: P.O. Box 534 Hyannis, MA 02601 CONTACT PERSON: G� 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 NO i-"" 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: l TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS U7 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 gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners r Hydraulic fluid (including brake fluid) �, Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, 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, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine Gas Stations Repair 2. nters BOARD OF HEALTH o satisfactory 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS Class: 7.Miscellaneous UANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MA ;VS Case lots Drums Above Tanks Underground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: DISPOSAUR.ECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply O Town Sewer OPublic O On-site OPrivate 3. Indoor Floor Drains YES NO O Holding tank: MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5. Waste Transporter Name of Hauler Destination Waste Product YES INO 1r. 2. Person (s) Interviewed Inspector Date V A_ et TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair 2. nters BOARD OF HEALTH O satisfactory 3.Auto Body Shops 0 unsatisfactory- 4.Manufacturers COMPANY �• � (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS Class: 7.Miscellaneous UANTITIES AND STORAGE (IN= indoors;OUT-outdoors) MAJOR MATERIALSCase lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) i new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: DISPOSAL/RE(;LAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply O Town Sewer OPublic O On-site OPrivate 3. Indoor Floor Drains YES NO O Holding tank: MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank: MDC O Catch basin/Dry well O On-site system 5. Waste Transporter Name of Hauler Destination Waste Product YES NO 1. 2. Person (s) Interviewed Inspector Date TOWN OF BARNSTABLE gAR -W0� Ordinance or Regulation WARNING NOTICE Name of Offender/Manager Address of Offender MV/MB Reg. # Village/State/Zip Business Name 0 q am/pm;. on -T/.z 20 8 Business Address LJ-7 1 --- Signatur�6f Enforcing Officer Village/State/Zip 1��/ `'�' s , ✓VI 0 f r Location of Offense it 0 0 i Enforcing Dept/Division Offense L X 4 1l'-C 4� f�, ,� . ve.- 0� I "Facts o R-(?.wL [ L01AIIVA- �5 13OStvt..e This will serve only as a warning. At this time.no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance.of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK- ENFORCING OFFER GOLD- ENFORCING DEPT. TOWN OF BARNSTABLE Ordinance or Regulation BAR -W 6013 —T WARNING NOTICE . _ Name of Offender/Manager ► t %+ > Address of Offender MV/MB.Reg. # . Village/State/Zi.p Business Name r Vkri�'+ �� �:%, t - ' tin fa;/pm; on 20 /?i Business Address LI-7 X"Q; b f, } - Signatur,(�of Enforcing Officer Village/State/Zip s/r, V1VA I � r t 7— 0 / Location of Offense I-Kl ft VI✓I i ,ir, Enforcing Dept/Division Offense ? +1 ,ryL '� ril L��+a r/i�i t�(t s t �r '3t�',� �:t� r'. �p - OL-)w. Facts r ('r - � 1} �'C+[ tr'.5' t + ( V�a G'- 1ji A t"t- L.2 This-will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve ' voluntary compliance of Town Ordinances, Rules and-Regulations. Education efforts and warning notices are attempts to -gain voluntary compliance. Subsequent,violations will result in appropriate legal action.by the Town. + ,;t + WHITE -OFFENDER CANARY-ORD./REG.-PROG. PINK- ENFORCING OFFER GOLD-ENFORCING DEPT. - r TOWN OF BARNSTABLE ,COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair e satisfactory 2.Printers BOARD OF HEALTH �' 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY / J '/ ��° ? /01 (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS ld)„ M.A%(V CI C. �. #fi���SS° S: ' 7.Miscellaneous ,�/' QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: Alm'111 DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply P A N 'i ._ 1 Jt.(r ,/ AI k _. f� /�;�' O Town Sewer 'G)Public111 `�^' • On-site &rivate e - 3. Indoor Floor Drains YES NO X O Holding tank: MDC o "^ O Catch basin/Dry well � ;C'�`i ,� / ��of i ! O On-site system 4. Outdoor Surface drains:YES NOI .ORDERS: O Holding tank: MDC A) O Catch basin/Dry well O On-site system �y 5. Waste Transporter Name of Hauler Destination Waste Product C' YES No W Person (s)°Interviewed InspectorDate ' "