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Home My WebLink About0001 WILLOW STREET (HYANNIS) - HAZMAT (2) � �� Ili ��, ��s Number Fee THE COMMONWEALTH OF MASSACHUSETTS 1039 $100.00 Town of Barnstable Board of Health This is to Certify that. Hyannis Marina I Willow St., Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. Q-. ------------------------------------------------------------------- ----------------------------------------------------------------------------------------------'y This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 6/30/2012 unless sooner suspended or revoked. (�) ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2011 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health Town of Barnstable s moo. DD THE Regulatory Services CWC� 11 -jgI 10 0 Thomas F. Geiler, Director IIAMsrnsIX. : �. Public Health Division sb y. ,fig' RFD MA'S s 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.' (40 ( 13 DATE U ' C.Z— I I APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN I II GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT AA & NAME OF ESTABLISHMENT 106 WiQ O-t A A 1' 4 , ADDRESS OF ESTABLISHMENT 1 (A l.LLO W cSTIZEC— TELEPHONE NUMBER O S- !9 O W® SOLE OWNER: ,ram, S. YE NO� IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL INco PARTNERS: " /A M IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 044z 'C/)23- V56 STATE OF INCORPORATION 0AA FULL NAME AND HOME ADDRESS OF: PRESIDENT Ujg4Xfc' G. TREASURER A ►. CLERK ' SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS )-7!3 HOME TELEPHONE# Haz.doc/wp/q MAIL-IN REQUESTS Please mail the completed application form to the address below. In addition, please include the required fee amount. Make check payable to: Town of Barnstable. 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. In addition, you must mail the required fee amount (see fees at bottom of this page). Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. For further assistance on any item above, call (508) 862-4644 Y 4 x r � HYANNIS MARINA x 1 Willow Street, Hyannis, MA 02601 • Tel: (508) 790-4000 • Fax: (508) 775-0851 www.hyannismarina.com 4PE CO Spill Contingency Plan 1. Evacuate the immediate area if necessary. 2. Shut off valves, pumps and electrical equipment as appropriate. 3. Remove or restrict any potential ignition source from the area if the material if flammable. 4. Cover or dike existing sump and storm drains if not already covered. 5. Contain the spill by use of absorbent socks/booms and then apply appropriate absorbent material or additional absorbent socks or booms. Contact spill response firm if necessary to assist in these activities. 6. Remove all absorbent material or contained liquid and package in DOT approved container. Used absorbent materials should be packaged separate from liquids. 7. Label all containers with type of waste and the start date of accumulation. 8. Notify the appropriate agencies and contacts 9. Once the spill has been controlled and materials collected and secured, inspect the area for cleanliness and decontaminate all equipment used to clean up. 10.Replace all used materials and ensure all response equipment is in good working condition. 11.Manage and dispose of all collected absorbents and liquid in accordance with State and Federal environmental regulations. 12.For any spill greater than the reportable quantity or twenty-five gallons, whichever is less, this plan shall be implemented and the proper recoreds of action shall be kept on site. 13.Spill clean up equipment is located on the same floor as the material containment area. KEY WEST 1 Lj�E /� C01NrE.1:DER JllPl7 R 14.The following is a list the spill equipment on this site: 15.Spill response kit is capable of containing a spill of at least twenty-five gallons. This kit includes absorbent spill pads, socks and or booms. 16.An adequate amount of nitrite gloves, nitrile or rubber boots and other personnel protective equipment. 17.First aid kit is on premises 18.Eye wash is on premises 19.Fire extinguishers are throughout the premises Emergency Services • Hyannis Fire Department telephone number 911 • Barnstable Police Department telephone 911 • National Response Center telephone 1-800-424-8802 Other Emergency telephone numbers • Local DEP office telephone 508-946-2850 • Clean Harbors telephone 671-849-1800 or 617-935-9066 ZAHazardous Material Storage Permits\Spill Contingency Plan.doc Number Fee 1039 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable F Board of Health This is to Certify that Hyannis Marina I Willow St., Hyannis,MA 02601 Is 1-16reby 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 6/30/2011 unless sooner suspended or revoked. WAYNE MILLER,M.D.,CHAIRMAN PAU_L J.CA_NNIFF,D.M._D. 6/30/2010 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health Town of Barnstable rx °F1HE T°wti Regulatory Services �. P� Thomas F. Geiler, Director • ' BARNSTABLE, y MASS. $ Public Health Division 1639.pTFOMP'�A, 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.S ZG `��J DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT �� C4• kU R.lG� NAME OF ESTABLISHMENT WiQO"iS WA P. t'ig ADDRESS OF ESTABLISHMENT W 9 LW W �t, WY "If Io r 62jG0 1 TELEPHONE NUMBER Iqwo 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. O4Z (OZ3' 5(0 STATE OF INCORPORATION MA FULL NAME AND HOME ADDRESS OF: PRESIDENT ('UP-KM i 119 0fLmmuz- TREASURER _Sir CLERK • SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS? j(W J� . -A i (SP0(+ HOME TELEPHONE # _'7-78— '76 1 Haz.docAvP/q t . Ry f Number Fee 1039 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that Hyannis Marina I Willis 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 rJUL. 17.2007 1: 13PM BARNSTABLE BOARD OF HEALTH NO.398 P.1i2 `t Town of Barnstable Regulatory Services Thomas F. Geller,Director BARNS Public Health Division 9 167C° 16 Thomas Mclean,Director 200 Main Street, Hyannis,MA 02601 Office; 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. 32 DATE - (o - 2C�� APPLICATION FOR PERMIT TO TORE A101JD�OR UTILIZE, MORE TI�AI 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT � � NAME'OF.ESTABLISHMENT�AY WJ lbS M QUA'I �' d�U0ZTH WTMARWE ADDRESS OF ESTABLISHMENT 23Z MAN �zECT TELEPHONE NUMBER SOLE OWNER: YES ✓ NO > `; -� El IF APPLICANT IS A PARTNERSHIP,FULL NAME AND DOME ADDRESS OF ALr NO PARTNERS: r M IF APPLICANT IS A CORPORATION-. FEDERAL IDENTIFICATION NO.QZIZ-(0 STATE OF INCORPORATION MAK° FULL NAME AND DOME ADDRESS OF: PRESIDENT ' VKM kO ER LIS (3ZA1GU1U.- F3CVL 12b.. We "VA\.'L S 0ZT TREASURER CLERK W w w SIGNATURE OF APPLICANT RESTRICTIONS: 140ME ADDRESS 157 nm+Uk HOME TELEPHONE# Ha2.doolwp/q • • _ r. k M 4 JUL. 17.2007 1: 13PN BARNSTABLE BOARD OF HEALTH NO.398 P.2i2 MAIL- REQUESTS Please mail the completed application form to the address below. Also include copies of your employees food sanitation training certificates. In addition, please include the required fee amount (see fees at bottom of this page). 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 RED( UEST� Our fax number is (508) 790-6304. Please fax a completed application form. Also, please fax copies of your employees food sanitation training certificates. In addition, you must mail the required fee amount (see fees at bottom of this page). 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. Back to Moa'a Public Health Division Page FfHE T gyp'' tio�, TOWN OF BARNSTABLE Date: BARNSTAB LICENSE APPLICATION ❑ New Application �► MASS. g 200 Main Street ❑`Renewal 1639. n 39.i Awe Hyannis,MA 02601 ❑ Transfer 508-862-4674 ❑ Other NO BUSINESS MAY OPERATE WITHOUT A VALID LICENSE ON THE PREMISES ♦ M 1 AX C 100leA7 /Ohl Name of applicant/corporation: _...F......,.... . ....._..:.... _...._............._._...._.._..._.... . :_..=- --. . .......: - .._..... Home phone#: ... _ Address of applicant/corporation:........... .. %`�� .--`S._..��G_. J._._ 1Q.2 ._.____..__.__.... Business phone#: �..� ................... - ---...----------- ----............... - -......_._..__..,_._....._.._..__._.-............_...-................_.......................__......._.._.._.........................._................_......................._....._......._.....__..........._......_...._.............................._........_......-.......__...--._......_..-----......_--.._.._..._._..._....__ D/B/A _ n l` ____~►'1`�__f�__i'1_Y11.._5_....._�...._...._G�V'1_►_��._.....------------____.______......__._...___._._...._..._._._._...---_- Business phone#: ..._._�1�-_`T...Dl�r1--..__._...__...._.__._..._.... Business location: ----..�..----� i�1 ._ [,/o�.T_._...._..:.... ��L... ............_/� ......-........._�J_UMQI ............_....._....................-.._._-......_.....__....... Business mailing address: ................-.............._._.........._...._._..._.......:_......__ 1m.e_- .._....._......_......._..._....._.__.__:_. Local business address: r .., Local mailing address: _..._...../.... ��_-_._........_........_._.................._........Sa.m�._.......__......._../...j.._.._........................._.....__...__._....._...__...._......._..__...:_._._._.._.._._.......__.._.__._..._.... -....__...._.._...__._._...._ _._.... --- -....--- - - LICENSE TYPE: ................... D ......I ....................4..�A - .......,.. ........... Annual ® Seasonal HOURS OF OPERATION: .......................... 1.....'_J .........._......_ ...... FID#:...._... .... /' ._:,/....��LS� Name of manager: _..___.._.._.._.__.Q. _r...��' ' �' '.....__...._ __..... _........- .._.......... Localmailing address: .................................................:...n........................................................................f..�................./,.................................�..�.`...�................................................................................ C. V Manager's Permanent mailing address:.....-..._. "./ _........ �/r1,,/4//_!/I'//_....�` fFft _...._. _ / l??� /717� /_��f......_.._.:-..............._..._..........._._.._...._..._.......:.--_..... Manager's home phone#: _.. ._1 .._� Q _.._._.....__. Busiss phone#: _......... - 7}.._.._ /� Nameof property owner: ... ..__.....13M w<'�._..._ ... .. ..... ........ ..._........................ ..._......_......._.._.._........_ _..... _............ --.._._.__..._...._._....._..........__.._. . _;° ' ...._.... ._......._...__._... ASSESSOR'S MAP/PARCEL#: MAP ................. PARCEL /... ................ List any flammable substance or hazardous waste used in business(specify): Applicants must contact the Building Commissioner's office, (508) 862-4038, the Board of Health office, (508) 862-4644, and the appropriate Fire District office to schedule inspections. j Signature of applicantL �` iY� GC / L/�i •f ..................................................................................................... .................... ....... ..................................................................�....... v.. .............................. For Tow�use o�y� Od-e— PAYMENT REAL ESTATE TAXES PAID IN FULL AGREEMENT IN EFFECT ON IS THIS USE PERMITTED WITHIN THIS ZONING DISTRICT? YES NO INSPECTORS APPROVAL Capacity set by Building Division.....,....__....._................................... .... ............... .... .. ....................... ...... ..........._................................................. ......_. _....._.................... Building/Zoning..........._...._....._.............................._...._......._............._...................... Date ........._......................_....................._....._............... Board of Health...........................-........._....._..........................._.................................... Date ....._................................_...._................................. Wire .....__......._........._..._...._..._........__.._............... Date ......_........._..............__....._....................._............. Plumbing ....................................................................................................Date ................................................................................ Gas .....__..._................................................................... Date Fire District .. Date ..............._........_............._....__....._......_ Comments:................................................................................................... .................... . ................................................. .. White-Licensing Authority Canary-Health Division Cold-Building Commissioner Pink-Fire Department . fig -"�``Ct1F1 7RIVC�: -' rnAS6. jt—.naiZile;UdS ULUL1U11S 1.. ni., TOW �7MNSTAO' . ' ; �.. �, . f� 1 I. ,, 2. Printers BOARD OF HEALTH 0 atisfactory 3.' Auto Body Shops :s Y� 1 r �A 0unsatisfactory- 4. Manufacturers COMPANY = ✓� (see"Orders") S. Retail Stores 6. Fuel Suppliers ADDRESS - �G� Class:_ 7. Miscellaneous 1fA - �• -vv QUANTITIES AND STORAGE (IN=indoors; OUT=outdoor MAJOR MATERIALS iG�ase lots Drums AboveTanks Undetgro.uad Tanks IND UT IN OUT IN IOUT q 6 L721lonse rest Fuels: Gasoline, Jet Fuel (A) Di.esel,,, Kerosene, 02 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers LA Miscel anevus: /1( It DISPOSAL RECLAN:ATION REW.RKS: ". 1. Sanit Sewage 2. Water Supply r�. %fi') cy,w`L wn Sewer Publ i.c / r i 1 '4 On-site Q Pr iv• e 3.. Indoor Floor Drains: YES N0 OHolding tank: MDC`— � j ►J i , ..� - _ O Catch basin/,Dry well On-site."iystem 4. Outdoor Surface .drains:YE_S NC _ O H61"d- ing• tank: MDC O Catch basin/Dry well OOn-site system S. Waste Transporter Licensed? Flume"of Hauler _Destination Mast . Prod tc . 1 Person s) —Interviewed— �a' Inspector Date . TERMI NIX Co. ol MaJJ. Jnc. '142 Cambridge Street • 242-5220 • Charlestown, Massachusetts 02129 Termite Control Specialists for over a Quarter Century 1 \b TERM/HIX �NTERNATIOMp' May 22, 1981 Town of Barnstable Board of Health 367 Main Street Hyannis, MA 02601 Attention: John M. Kelly, Director of Public Health Dear Mr. Kelly: We are herewith returning the "Toxic and Hazardous Materials Registration Form" which was recently sent to us. Please be advised that our chemicals are stored at a warehouse in Charlestown. We do not store any toxic or hazardous materials. Our office in Hyannis is only a telephone office. If I may be of any further assistance, please feel free to contact me. Very truly yours , TERMINIX CO. OF MASS. INC. Richard Weintraub President R �.� � � `� �� W/dm Enc. HEAL tASTABLE TOWS of M NJ 2 8 19a1 ti MEMBER OF NATIONAL AND NEW ENGLAND PEST CONTROL ASSOCIATIONS