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Home My WebLink About0657 WEST MAIN STREET - HAZMAT qS I O-7q C °Ft ►oy� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARNSTABLE. MASS. $. 200 Main Street• Hyannis, MA 02601 �p '659- MPy p�0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT QED Business Name: 1 S Date: (Va aodw Location/Mailing Address: oLl Contact Name/Phone: Inventory Total Amount: _ SDS: License#: Tier II : no Labeling: Spill Plan: -l3 Oil/Water Separator: N TA Floor Drains: Avo Emergency Numbers: Storage Areas/Tanks: 'h� Emergency/Containment Equipment: 094—, Waste Generator ID: Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes ood preservatives(creosote) Asphalt&roofing tar —Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB'$ 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 r ,Q%NJ ® S 647 6: Inspector: - "7 Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS Number Fee 1225 THE COMMONWEALTH OF MASSACHUSETTS $5o.00 Town of Barnstable Board of Health This is to Certify that Premium Auto Body .-------------------------------------------------------------------------------------------------------------------------------- 657 Yarmouth Road, 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 c' I Town of Barnstable Inspectional Services Public Health Division BARNfI! WE7TABLE • � fiA3��5TAP.:F.CfkTxi:i.f^:'(1*1::1.i:Yti`5 Q„ M4C<�•.�q;_AS•O<i;k..�.lY'.5' 1.5.',52f 1.d sAuvsTAsr E. Thomas McKean, Director `-' 9 MASS. en 39. 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS DULY 1 st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 d �� CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ ` CATEGORY 3 PERMIT 500 or more Gallons: $150.00 El � *A late charge of$10.00 will be assessed if payment is not received by 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? 1� 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: 4/e''V/0,-ri cll<:) ✓y� _c��2, 5. NAME OF ESTABLISHMENT: q10e m (O yn C� 6. ADDRESS OF ESTABLISHMENT: 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: ( 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS_ EMAIL: *SIGNATURE OF APPLICANT DATE Z (::-,2 Q:\Application Forms\Haz plat App Revised 09 -18.docx Number Fee 1174 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Cape Winds Resort ..------------------------------------------------------------------------------------------------------------------------------- 657 WEST MAIN STREET, 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 Jun 04 --7020 08:31 PM HP Fax page 1 Public Health Division '° " ° 1679-2.0 _ •� a Thomas McKean,Director 06�. 200 Main Street,Hyannis,MA 02601 r_a Office. 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALSTO IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREA ER THAN IjOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PEFJNI>T(RUNS JULY 1st—JUNE�0th). APPLICATION FEES CATEGORY 1 PERMIT 26—110 Gallons: $ 50.00 CATEGORY 2.PERMIT 1.11..-499.-Gallons: .. $125.00 - CATEGORY 3 PERMIT 500 or more Gallons: $150.00 O t (P *A late charme of S10.00 will be assessed if payment is not received bj Julie 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 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 STORAGVJUSE OF GREATER THAN HOUSEHOLD ,QUANTITIES(25 GALLONS)? YES NO. FULL NAME OF APPLICANT: �r) S. NAME OF ESTABLISHMENT: ' l, �� 01A- - 6. ADDRESS OF ESTABLISHMENT: 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: LH S. TELEPHONE NUMBER OF ESTABLISHMENT: rhw-w 9. EMAIL ADDRESS: 1 fir, t 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: I►J1Y K� TI-T41�lI—frU ' 11. FULL NAME,HOME ADDRESS,AND T'ELEPHO #OF: CORPORATIO AME wl PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE M COMPANY ADDRESS EMAIL: A121)2v SIGNATURE OF APPLICANTJ DATE • Q:1Application Form EW Mat AOi Dr&4JwU19.dm, Number Fee 1174 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Cape Winds Resort 657 WEST MAIN STREET, 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. 07/01/2019 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health R� Jul 0 2019 01:37PM HP Fax page 1 f,-a Town of Barnstable Inspectional Services BARMSTABLE g Public Health Division , .,►neari►as Thomas McKean,Director 3 200 Main Street;Hyannis,MA 02601 T 11u' Office: 308-862-4644 Fix: 508-790-6304 CO �O 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 Ist—JUNE30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 j5 V 9r P d GV4 CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ 1(3aeii *A late charge of$10 00 will be assessed if uayment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. �� 2. IS THIS A PERMIT RENEWAL? -/ YES_NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONINGBUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: LA - 5. NAME OF ESTABLISHMENT: oeAd- 6. ADDRESS OF ESTABLISHMENTS W ' IO 5� Q Yl h t S 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: na =,.(a S. TELEPHONE NUMBER OF ESTABLISHMENT: � � 9. EMAIL ADDRESS: 11t f%%k, • Cap?, lrv`ndS i Le S6,r+ `)�I'�I�� l C `) 10. SOLEOWNER: YES 0 IT NO,NAME OF PARTNER:04A1 AA nrG lZa SDI T condo TrrJS� y 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: V5-[ CORPORATION NAME w��d a� CoricLrantn% L4,-- PRIESEDENT TREASURER JaL5 1101 CLERK 12. IF PREPARED BY OUTSIDE PARTY: TELEPHONE#: NAME: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE v Q\Applicadm FormsUiaz Mat App Revised 09-10-18.docg Number Fee 1174 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Cape Winds Resort 657 WEST MAIN STREET, 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 t 'kwow of B nsxable atory Services Richard V. Scah, Director tHE �'"�, Public Health Division BARNSTABLE i �7 • a enans*ae�•cartEnnue•omm•xvrmws �S) BAMMBM +a' wvaroxs n:s•osrearue•xsr enrxsrae:t p, MASS. Thomas McKean, Director 1639-2014 - AjfO�A 200 Ivla.in Street;Hyannis,lVlA 02G01-.--- - ____-_-. _-- -ri Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE 'y 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 it CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 Ow. 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? AYES_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: 1 �U C- 5. NAME OF ESTABLISHMENT: C/a�(fl VU k n 6. ADDRESS OF ESTABLISHMENT: (-Pr UU Q S� �NIG 1 A S+ 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: OZ(00 I 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: VV11 e- , Cck w k n S v,Ut 5 o r '� G ityiq I co VVn 10. SOLEOWNER: YES AO IF NO,NAME OF PARTNER4pt wigs RwZr COAJD 1 yvS+ 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATIONNAME Cave w,,\8% V-cgSor-k C011d0VVo hkvVy1 t rust PRESIDENT i3r-, c,-v1 TREASURER A Q S MCA `�% I(- CLERK— tM tCClnoe`e k H u r nln q 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANTY'�, �r�� DATE Q:\Application Forms\HAZMAT APP 2017 REVISED.docx Number Fee 1174 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Cape Winds Resort 657 WEST MAIN STREET, 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 ' owl of Bagnstable eg atory ervlces Richard V. Scah,Director SNE tq, o� Public Health Division BAMSTABLE MN . -.-axrclyiue.cmun mural •H:51 P:xiTe&F KAS& Thomas McKean,Director 4aRSIVZ-: -OSI:a t 1639-2014 � i°ren6►e a`� 200 Main Street,Hyannis,MA 02601 �Dg O d o/8 Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS DULY 1 st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 xv$ - 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. `7® V ' 2. IS THIS A PERMIT RENEWAL?_ZYES_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: �kkc ye 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: �t 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: e UT— 7 g— W 9. EMAIL ADDRESS: / l/KQr: &0&w,A �G' (� 10. SOLEOWNER: YES 1N0 IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND T LEPHO #OF: CORPORATION NAME sl - PRESIDENT Cen &A,5@paC. Ila Cenjw„ -al+_ aL.1 ; MA o&63 TREASURER—i'6(v\ r vt I� CLERK V.Akc6a N sf Avq, I P� 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE 7- W lication Fonns\HAZMAT APP 2017 REVISED.docx Q� PP Number Fee 1174 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Cape Winds Condominium Trust 657 WEST MAIN STREET, 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. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF, D.M.D. 07/01/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO .0 Director of Public Health Ff (r Town of Barnstable �> n Regulatory Services Richard V. Scali, Director ,,A& ' Public Health Division BARNSTABLE � fp Thomas McKean,.Director �UY 163201 4 200 Main Street,Hyannis,MA 0260 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 charge of$10.00 will be assessed if payment is not received by ul 1st. ASSESSORS MAP AND PARCEL NO. DATE 8 Y� FULL NAME OF APPLICANT: CJ)-2e uj(po5 ot-=00mktk 'myl l aoST -� NAME OF ESTABLISHMENT: ��,oC)5 Co► ttJ)Lon I f2�ST ADDRESS OF ESTABLISHMENT: (blj� U6t�T Mho CS�- . JtJ\S 1 (2J00 MAILING ADDRESS (IF DIFFERENT): rn TELEPHONE NUMBER OF ESTAB c�` � 1LISHMENT: `X�� - � ` `[�l EMAIL ADDRESS: G��t,J�t age-so('k C,��•�M I-0 SOLE OWNER: YES ,(NO IF NO,NAME OF PARTNER: A-��p�10 tJ OWING-D FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME k L)►QOS PRESIDENT ?1, tfgc � �vt ,',�tJKE 6,• ca-r, Q �r _ rn-cx,:)PN rv��p, Sa8 533 C�510 TREASURER_Oajc-�jPcq, MV(ZI?1-1 fAtS rNhO 'Sk- 90T -)-It 19V5 CLERK �Rt��Pn.si- M4Ft,��. 50 UtAtzrt� �aoac U� f�-1.,E3oQto , to cSUS Z22 -1J� IF PREPARED BY OUTSIDE PARTY: SIGNA OF APPLICANT Name: Company Address Telephone#: Email: Q:\Application Forms\HAZZAPP Revl6.docx Page 1 of 2 Number Fee 1174 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that CAPE WINDS RESORT 657 WEST MAIN STREET, 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 C r(.i b� Town of Barnstable Regulatory Services • "o Richard V. Scali,Director LE. Public Health Division '°TEc " Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.0.0 ASSESSORS MAP AND PARCEL NO. o" l �V l DATE I� APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT C-L-A'4z iA NAME OF ESTABLISHMENT owe W , • ADDRESS OF ESTABLISHMENT (OS-4 O260 I TELEPHONE NUMBER S® --1-118 IA9LACI SOLE OWNER: YES INO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: C0P E V1)1% CIO cJOo M kt Y QM TQ0 T IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK • SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# C:\cache\Temporary Intemet Fi1es\0LKD3\HAZAPP Rev2015.DOC l °F1HEroq Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARMASS. • 200 Main Street• Hyannis, MA 02601 �ArEOMA�p`0� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: WIn� (esoc Date: Location/Mailing Address: 7 west (1 ai nsi- Contact Name/Phone: ti0g-714 4 941 Inventory Total Amount: "�" Ij*�Iqg SIDS: (' License#: IN Tier II : lea Labeling: ` Spill Plan: F Oil/WaterSeparator: No Floor Drains: Emergency Numbers: Storage Areas/Tanks: i Emergency/Containment Equipment: Waste Generator ID: Waste Product: �hDate&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: �- D� SW 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: INFORMATIO RECOMMENDATIONS: 60 (h o'}tymVo(6 at &6 Inspecto Facility Representative-7- IV WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS 8/21/2012 Town of Barnstable Page 1 of Fuel Tanks 10, 13, 15, 17, 19, 20+ Years Old which Require Testing Tank Owner Tank Age in Map Parcel Property Location Owner Address No Tag No Years Install Date Test Date 071004001 145 GRAND ISLAND DRIVE OYSTER HARBORS CLUB INC 3 01187 19 5/4/1993 Osterville 1 GRAND ISLAND RD OYSTER HARBORS, MA 02655 093009 122 BRIDGE STREET OYSTER HARBORS YACHT BASIN 9 01326 16 3/15/1996 Osterville 122 BRIDGE ST OSTERVILLE, MA 02655 093009 122 BRIDGE STREET OYSTER HARBORS YACHT BASIN 10 01327 16 3/15/1996 Osterville 122 BRIDGE ST OSTERVILLE,MA 02655 093009 122 BRIDGE STREET OYSTER HARBORS YACHT BASIN 11 01328 16 3/15/1996 Osterville 122 BRIDGE ST OSTERVILLE,MA 02655 116053 93 WEST BAY ROAD BARNSTABLE, TOWN OF(SCH) 2 01311 14 8/20/1998 Osterville PO BOX 955 HYANNIS, MA 02601 117026 981 MAIN STREET(OST.) CALLAHAN,RICHARD P TR 7 00205 19 11/9/1992 Osterville C/O HOSTETTER, DANIEL 770 A MAIN ST OSTERVILLE,MA 02655 117026 981 MAIN STREET(OST.) CALLAHAN,RICHARD P TR 9 00205 19 11/18/1992 Osterville C/O HOSTETTER,DANIEL 770 A MAIN ST OSTERVILLE,MA 02655 165079 159 MAIN STREET(OST.) HANS, PATRICK R&GAYLE B 1 00416 26 1/1/1986 10/25/1996 Osterville 159 MAIN ST OSTERVILLE,MA 02655 187030 658 BAY LANE BARNSTABLE, TOWN OF(SCH) 3 01302 14 8/14/1998 Centerville 658 BAY LN BARNSTABLE, MA 02630 208086 156 SOUTH MAIN STREET LUTHER, ALLEN R JR& SUGDEN, 3 00000 14 11/17/1997 Centerville STEPHANIE F 156 SOUTH MAIN STREET CENTERVILLE, MA 02632