HomeMy WebLinkAbout0001 WILLOW STREET (HYANNIS) - HAZMAT �rO rs
32( W3
Number Fee
1039 THE COMMONWEALTH OF MASSACHUSETTS $100.00
Town of Barnstable
Board of Health
This is to Certify that Hyannis Marina
1 Willis 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 6/30/2010 unless sooner suspended or revoked.
--------------------------------.
WAYNE MILLER,M.D.,CHAIRMAN
PAUL J.CANNIFF,D.M.D.
6/30/2009 JUNICHI SAWAYANAGI
THOMAS A. MCKEAN,R.S.,CHO
Director of Public Health
I
s. Town of Barnstable
Barnstable
Regulatory Services Department
o
• Public Health Division
9 200 Main Street, Hyannis NIA 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. DATE
APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE
MORE TILAN 111 GALLONS OF HAZARDOUS MATERIALS
FULL NAME OF APPLICANT t l all 11 l S Iyl.Ct rt fta_ ' Zr�C
NAME OF ESTABLISHMENT
ADDRESS OF ESTABLISHIYIENT / Lam)Jl aj S4 , h n iJ , MP
• TELEPHONE NUMBER 09- 7 q0 4 D
SOLE OWNER: v YES NO
IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS CF ALL T
PARTNERS:
%0 y.
-e�
$ v -.
to
IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.
STATE OF INCORPORATION MA r.
FULL NAME AND HOME ADDRESS OF: Q
PRESIDENT C,I o ; M. V Q r- L UL�L't (�� (! .N 6 M A
TREASURER vyxe
CLERK Sa.tnns2
SIGNATURE OF APPLICANT.
• RESTRICTIONS: HOME ADDRESS
HOME TELEPHONE #
Q:\Hazmat\Haz Mat Application2008.DOC
NORTHEAST � RccrR�✓ op Q4,«�,La
M�rtn�P�rtr6�iccssawras-
1VIARINE
Operaiiohs.C.enfer,. 7 VyiIIQIVV eet,Hyannis Mtn 02601 ��y Ba0-5<i3-MERC'(Q372).PaxBQ¢94 4474
Distritiutlon Ceritef,232 Main Street,Hyannis;MA 026.01 Cr 'PATINq 7 UAS pF SPR.VtCE' 5(3$7-1-855T .ww. !ne,-mp,Gom
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 is flammable.
4: Cover or dike all existing sumps, 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/booms. Contact spill response firm if necessary,to assist in theses activities. .
6. Remove all absorbed material or contained liquid and package in DOT approved container.Used absorbent
materials should be packaged separately from liquid.
I
7. Label all containers with the type of waste and the start date of accumulation.
8. Notify the appropriate agencies and contacts.
09. 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. Replaced all used materials and ensure all.response equipment is in good working condition.
11. Manage and dispose of collected absorbents and liquid in accordance with Federal and State environmental
regulations.
12. Far any spill greater than the reportable quantity or 25 gallons, whichever is less,this plan shall be implemented and
proper records of action shall'be kept on site.
13. Spill clean up equipment is located on the first floor of the building.
14, The following is a list of the spill equipment on site:
a. Spill response kit capable of containing a spill of at least 25 gallons. This
kit includes absorbent spill pads,socks,and/or booms.
b. An adequate amount of nitrile gloves, nitrile or rubber boots and other personal protective equipment.
c. First aid kit
d. Eye Wash
• .
e. Fire extinguisher
Emergency Services
w
• Hyannis Fire Department Telephone number: 911
• Barnstable Police Department Number: 911
National Response Center Telephone Number: 1-800-424-8802
List any other emergency numbers below:
NAME TELEPHONE NUMBER
Local DEP Office__. _ - _ =A508)-946-2850
Clean Harbors (617)-849-1800 or(617)-935-9066
t�y
1
Zvi
yy,,,,,, �y �, ate sx#5, y'ME a✓�1 apC Ci k :�`,r..v7i t G
- k `'' � r - _� ''• ice+ a•R
I
i •r *,•, ' ... r :#<"� t, .tk `53r �."',6t qt' t�, `',ri,�
�d#-�4��•+b ri i, �'`t' `�q, y>xt''aP'•�'�*'"°ifty;�z Tad' 3.5 4 fi"S� ^,.,''"5. k. :A d ,.. - ., -
s"
IT F 69ZQ2
# „,t tis „� IF z sl tiyl ,.' ,(rz I q x
li r:.. i I .:. d,i'r yi I -s*" :,r,t,'} i� r ,� r
ar
8811kofAmerica-,
tµ
x
,c,�t^• ..0 �' zz-a w air,' •..
«5 aE u +ratt r a "':'.X ri, '" * %t "',w.++ 5";-t 3 a tt'. "f#}s, wF �57
t' s..�,:t 'x9 4'4,,.; .tr:,!s ,,s ,::7
_ r.�.
,at} x, wzi' _ iSdx ar _ _ T;w a xg# " c, 5 ar %r xr z' NO:. {> ,
INC p n t+ a r v F .z TE,,t tl VENDOR q si
NN,IS'IMARINA, :, 3 { :, .s fi .� 1 ) *HECK NO tag GHEGK DA a
S ti 1.WILLOW STREETS `tH 3 r v ;E t
r �1t, 1 % '1 t :a ' 484 a e o
Al t � € FIYANNIS,'N1A:0260 �� �d �t �s,3 t t " pg"rr �4 p:p
790=4000 I"� tg- s $; f�1 ;+# 0 6/2 2/ a I
�..,at TEL-_.(508) `j°s -§t+q'i I". 0692
0.2 s t
s «>•i k-'`x°) tz^ 9 aa^- S1 a t �!.1s r f" ,` -'�# 't<x
SFa ixj IS"at?n'»-'
)e t4 «* Id ,-a[ I�sr r d i ;a t CK AMOUNT
s w a f G a ,.5 Iwt� #r r<<..t ',r w s ra I '.�1 'Ux +as4 } F, „S, ,I„ w „ ' + ,., CHE
1➢':' g vl �r e: $j j'a ; x at ` k , _ "' r 3 s W a „<i t i ;• # :F 3i N s( t=a m
t {{9 - " Yx> t r S: N1 rt x. 0 0 ' , 5"t
YsU. :•a. s ;:,.:. F �.:> .tiF-:-", F .._ t..1.s W.a� ..»+,yc.^" F s- t F: `�S .t}t � ,�','`vr .7 ,r rriy �_
"sy'q,- '"' ^'";...;' rt s _ ,..�.i;dP_ ,F•w;le)"'F' r`ia st ��.t r. r ,$L �t sY''.. sf ''` I„`"- T >;,w r Sir t• ` , x' k fFlr � � -
c and ;Q 0y ;s ,.
aq a,i� ,,,:+' 2d"='17O 1`Z ar-s e_ }} .I _•5. tt ,y•-'` r,. I q ^,.�}I ,,,G^t .s s- eta,.• e -.=FaS I I.>r t { •i.: 's`"z,� „�t ?r'^.-F'
=.Dne - undr , u: s ,, rt `$s.•, r'%' 3 tta� a# --.1, k � t. Y. -,a - a ',.•., ... _-v t",.-- '-i s r;_ "` ;car• '
'.'�FY y aly}• k (tid Y "k t ',F �' ISg 1 ,:Y'r'� "� 4n, 'ji `� ,.�,,> 4 •t ': t yt, �j :'
F, % l't' : 6 )i ARINA ]NC _-S i
�, x a c z- ft E 1tY'- t _ x a N r" HYANNIS M r _ — b
•T a
•�:e. a,t 3
• ;_,.",as,. :'. r.s , tl r y ! tt f�:, n'z .. ✓5""""..,ti', at I `.:;( ,.) d si°`.,aa.' #� s s ,,.� - .r. + .,.,.:i ^`R;, „st „•3
:"='_ `yx,� Et.� ;�tS -�t:.$t' Xaf-•c-.--�cl, i'rC"' ).,,,,
} r
'_tK .rY":'z^%+.d}r � ��T4" .».'.T' },%r� `zr'.1 r"" - ga13 ly,r #^i �^�. 4 5 a,s F I rfr s, �I !� }1 kk•s' l9
it t �:}r�E tr,. al ':'ri L '. k ?C }4Cf ,x;G t �..• ¢ Y t �"�a`'C" n,p#� .�; a Ox' F r u Sy" t,t^,-.,
bARNSTABLE
`PAY e, TOWN I,OF
r &. _"
"—.TOTH E PER
MITS : g+ pTI hi i g :I Sa $= r .1 �txPUTHORIZEDSIGNATUFiEt}
zv, .LICENS i t t"
i yyxAx r- 2 �":.
_ ORDER,, --
�'"
,
— u■ �:0 L L000 L 3��: OO t,60 2
II■069 20 2 _- ___ _. . _