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Massachusetts Fire Incident Report
�.1 Hyannis Fire Department
Date of Time Of Arrival Time In
FDID Incident No. Exposure #. Incident Day of week Call Time Service
01922 A201016 0� 1 10/4/2000J Wednesday® 19:44 19:48 23:23
Address Zip Census Tract
Winter Street J 02653 4 0
Type of Situation Found Type of Action Taken Mutual Aid
41 Spill/leak W/o Ignition 41 4 Remove Hazard ® �
Fixed Property Use Ignition Factor
"paved Public Street." 9 6 2 41 Fuel Spilled, Released Accidental 4 1
Occupant Name Occupant Telephone
Adam Cha rales Sandwich Ma.
Owner Name Owner Address Owner Telephone
Town Of Barnstable 347 Main Street Hyannis 7 9 0-6 2 0 0
Method Of Alarm Shift No Of Alarms # of Personnel Responded
ous
7 Telephone 7� �D 1� 0 Hazard Materials
Engines Tankers Aerial Other Vehicles Present
001 000 I 000 004 Yes
' Fire Service Other Injuries
Injuries 0 0 0 Fatalities 0 0 0 Injuries 10 0 0 Fatalities 0 0 0 Rescues 0 0 0
Mobile Property Use Is Car Stolen Insurance Company
❑ ❑
Mobile Property Make Year Model Color License Number VIN
0 0 0 ❑
Complex Area Of Origin
Estimated
Loss
Equipment Involved In Ignition Form Of Heat Of Ignition
❑ 0 i
If Equipment Was Involved In Ignition
Material Ignited Year Make Model Equipment Serial Number
Method of Extinguishment Level Of Fire Origin Number Of Stories
0 ❑
Construction Type Detector Performance Sprinkler Performance
0 �0 ❑
Extent Of Damage
Flame = Smoke
Material Generating Most Smoke Type Of Material Generating Most Smoke
❑ ❑
Avenue Of Smoke Travel Weather Conditions Commanding Officer
0 Thlundex.....Stoxma..................................... F Chief Brunelle
Report By JCapt Cabral
Comment Page for
Incident No. A201016 I Address WINTER STREET
Date of Report 110/04/2001 Commanding Officer IChief Brunelle
RECEIVED A CALL FROM THE POLICE REQUESTING AN ENGINE COMPANY TO THE MOTOR VEHICLE ACCIDENT AT WINTER
AND NORTH STS. RESCUE 828 HAD ALREADY BEEN DISPATCHED TO THE SCENE FOR A MALE PATIENT WITH A HEAD
LACERATION. RESCUE 828 WAS STAFFED BY LIEUT. KNOWLTON AND FIREFIGHTER EMTS McCORMACK AND SIMKINS.
ENGINE 822 RESPONDED WITH MYSELF AND FIREFIGHTERS LANMAN AND STORIE.
UPON ARRIVAL RESCUE 828 TREATED AND TRANSPORTED TO CCH ADAM CHAPRALES DOB 12/07/83 AGE 16 OF 10
LAN ROAD SANDWICH MA. PATIENT INFORMATION CAN BE FOUND ON SARF FORM#557363.THEY ALSO EXAMINED
THE OPERATOR OF CAR NUMBER 2 MELISSA QUINLAN AGE 21 DOB 12/16/78 OF 32-A SCHOOL STREET HYANNIS. MS.
QUINLAN REFUSED TRANSPORTATION TO THE HOSPITAL AND SIGNED THE RELEASE FORM. PATIENT INFORMATION CAN
BE FOUND ON SARF FORM #557362.
ABOUT THE ACCIDENT:A TWO CAR ACCIDENT.CAR NUMBER ONE IS A RED MERCURY COUGAR MA. REGISTRATION
6715 MO EXPIRES 5/2002. THE VIN NUMBER IS 1 MEBM62F9JH669497.THIS CAR HAD ONLY THE DRIVER, WHO IS
ALSO THE OWNER OF CAR NUMBER ONE ADAM CHAPRALES OF 10 LAN ROAD SANDWICH MA.02563. MR.CHAPRALES
CAR STRUCK CAR NUMBER TWO AND THEN CAME TO REST ON THE SIDEWALK ON THE SOUTH EAST CORNER OF THE
INTERSECTION TAKING DOWN THE TRAFFIC CONTROL LIGHT AND A STREET SIGN,THE STREET SIGN RIPPED A HOLE IN
THE GASOLINE TANK, BUT ALSO ACTED AS A PATCH,UNTIL LATER WHEN THE WRECKER BEGAN REMOVAL OF THE
CAR.
CAR NUMBER TWO A BLUE 1981 CHEVROLET CITATION MA. REGISTRATION 1983 MX EXPIRES 3/2002.THE VIN
NUMBER IS 1G1AX68XXBT196558.THIS CAR HAD ONLY THE DRIVER MELISSA QUINLAN OF 32-A SCHOOL STREET. HER
CAR WAS TOWED BY A&F TOWING.THIS CAR HAD ONLY A LITTLE ANTI-FREEZE SPILL WHICH WAS CLEANED UP.THIS
CAR CAR NUMBER TWO WAS ACTUALLY ON NORTH STREET ON THE SOUTH EAST SIDE OF THE INTERSECTION.
THE PROBLEMS ENGINE 822 DEALT WITH ARE AS FOLLOWS:WE FIRST HAD TO STAND BY AND AWAIT A TRAFFIC
LIGHT MECHANIC FROM THE DPW TO SECURE POWER TO THE TRAFFIC LIGHTS BEFORE CAR NUMBER ONE COULD BE
REMOVED.CAR NUMBER ONE HAD A SLIGHT DRIPPING OF GASOLINE.WE CUT THE BATTERY CABLES TO BOTH CAR
NUMBER ONE AND CAR NUMBER TWO.WE THEN STRETCHED OUT 50 FEET OF TRASH LINE AND TOOK DOWN A FIVE
GALLON CONTAINER OF 3%FOAM OF ENGINE 822.WE HAD ABOUT A FIFTY MINUTE WAIT FOR THE DPW.UPON ARRIVAL
OF THE DPW POWER TO ALL OF THE TRAFFIC LIGHTS WAS SHUT DOWN AND THEN IT WAS SAFE TO REMOVE CAR
NUMBER ONE.AS THE CAR CARRIER STARTED WINCHING THE COUGAR UP ON THE RAMP BODY THE STREET SIGN THAT
HAD ACTED AS A PATCH ON THE GAS TANK CAME FREE AND THEN GAS STARTED POURING OUT ONTO THE ROADWAY
WINTER STREET ONLY)WE GOT THE CATCH PAN OFF ENGINE 822 AND PLACED IT UNDER THE TANK HOLE AND LEFT IT
UNDER THE TANK TO RECOVER THE LEAKING GAS WHILE THE CAR IS BEING TOWED TO A&F TOWING'S COMPOUND ON
THORTON DRIVE.A&F TOWING WILL RETURN OUR CATCH PAN WHEN THEY ARE DONE WITH IT.WE THEN APPLIED
MORE FOAM AND USED THE TRASH LINE TO COVER THE SPILL WHICH I ESTIMATE TO BE BETWEEN FIVE AND EIGHT
GALLONS OF GAS.WE THEN BUILT A DIKE WITH SPEEDY DRY AND REQUESTED TRUCK 800 WITH A PACKAGE OF
ABSORBENT PADS AND RECOVERY BAGS.AT THIS TIME WE HAD THE SPILL TREATED AND CONTAINED.THEN A FAST
MOVING THUNDER STORM CAME THROUGH THE AREA AND HEAVY RAIN BROKE THE DIKE WE HAD MADE AND THE
GASOLINE AND FOAM MIXTURE TRAVELED SOUTH AGAINST THE CURBING TO MAIN STREET AND THEN SOUTH WEST
INTO A CATCH BASIN ON MAIN STREET AT THE CORNER OF WINTER STREET.
AT THIS TIME WE SENT TRUCK 800 BACK FOR MORE SPEEDI-DRY AND WE BUILT A DIKE TO PREVENT ANY MORE
PRODUCT FROM ENTERING THE CATCH BASIN.I REQUESTED A CHIEF OFFICER TO OUR LOCATION.CHIEF BRUNELLE AND
DEPUTY MELANSON BOTH RESPONDED.THE HEALTH DEPARTMENT WAS NOTIFIED AND HEALTH DEPARTMENT CHIEF
THOMAS MCKEAN DECIDED WHERE AS THE SPILL IS LESS THAN TEN GALLONS,THEY WILL NOT HAVE THE CATCH
BASIN PUMPED.THE DPW CALLED IN A CLEAN UP CREW AND TOOK THE THREE BAGS OF ABSORBENT PADS AND
CLEANED UP THE SPEEDY DRY.DEPUTY MELANSON TOOK PHOTOS OF THE AREA AFFECTED BY THIS SPILL.THE DPW
AFTER THE CLEAN UP WAS COMPLETE HAD A SANDER COME DOWN AND PUT A FRESH COAT OF SAND ON THE NORTH
BOUND LANE OF WINTER STREET BETWEEN MAIN AND NORTH STREETS.CARS 800.801,802,AND ENGINE 822 CLEARED
THE CALL AND RETURNED TO QTRS.AT 2323 HRS.
.-;* Comment Page for
Incident No.
A201016 I Address I WINTERSTREET
Date of Report 110/04/2001 Commanding Officer IChief Brunelle
THE BARNSTABLE POLICE CASE NUMBER FOR THIS INCIDENT IS 0012700.THE REPORT BY THE POLICE IS OFFICER
DENNIS F. FRANKIO.THE OPERATOR OF CAR NUMBER ONE WAS AT FAULT AND WAS ISSUED A CITATION BY OFFICER
FRANKIO.
FOR DEPUTY MELANSON SUPPLIES USED AND RECOVERY NEEDED 16 BAGS OF SPEEDI-DRY 1 BUNDLE OF ABSORBENT
PADS.1 PUSH BROOM FOR ENGINE 822 AND ONE FIVE GALLON CONTAINER OF FOAM.
CAPTAIN JOSEPH P. CABRAL JR. 10/4/2000.
l
LVI Environmental Services Inc.
= 401-S Second Street
Everett, MA 02149
SERI/ICES
Phone:(617) 389-8880
Fax: (617) 389-9502
www.lviservices.com
boston@lviservices.com
NOTIFICATION OF ASBESTOS ABATEMENT
ATTENTION: Hyannis Health Department
P.O. Box 534
Hyannis, MA 02601
LVI Environmental Services Inc. will be conducting an asbestos abatement project at the
following location. Please note the site and dates listed below. Do not hesitate to contact us
at(617) 389-8880 with any questions on schedule adjustments, as the start and end dates are
subject to changes.
BUILDING LOCATION: Washington Mutual Bank Receptacle Site
35 Winter Street, Suite 19
Hyannis, MA
START DATE: 4/27/04
END DATE: 4/27/04
Asbestos signs will be clearly posted in all areas where work is being conducted. Please take
the necessary precautions in the event you are required to enter the building during an
emergency.
If you have further questions with respect to this project,please do not hesitate to contact our
office at any time at(617) 389-8880. Thank you very much for your attention regarding this
matter.
Very truly yours,
LVI Environmental Services Inc.
Sarah Marcone
Projects Coordinator
AJ f
Commonwealth of Massachusetts
100004028
Asbestos Notification Form AN F-001 --__Decal Number ----------------
Affix Asbestos
Notification Decal
Here
-----------------------------------
Important: A. Asbestos Abatement Description
When filling out
forms on the'
computer,use 1. a. Is this facility fee exempt-city,town,district,municipal housing authority,owner-occupied
only the tab key residence of four units or less?❑Yes ❑✓ No
to move your
cursor-do not b. Provide blanket decal number if applicable: Blanket Decal Number
use the return
key' 2. Facility Location:
Washington Mutual Bank Receptacle 135 Winter Street,Suite 103
a.Name of Facilitv b.Street Address
zk
Aw
Barnstable MA 102601
�a> c.City/Townd.State e.Zip Code f.Telephone Number
INSTRUCTIONS 3. Worksite Location:
1.All sections of this Electrical Receptacle Site Q
form must be a.Building Name/Building Location b.Building# c.Wing d.Floor e.Room
completed in order
to comply with 4. Is the facility occupied? ❑✓ Yes ❑No
DEP notification
requirements of 310
CMR 7.15 5. Asbestos Contractor:
and the Division LVI ENVIRONMENTAL SERVICES INC 401-S SECOND STREET
of Occupational
Safety(DOS) a.Name b.Address
notification EVERETT 02149 1 1617-389-8880
requirements of 453
CMR 6.12 c.CityfTown d.Zip Code e.Telephone Number
AC000097 I g.Contract Type: 0 Written ❑Verbal
f.DOS License Number
Christy Kingsbury,CB Richard Ellis I Property Manager
h.Facilltv Contact Person i.Contact Person's Title
6 TREVOR J HOWARD AS032886
a.Name of On-Site Supervisor/Foreman b.Su ervisor/Foreman DOS Certification Number
Envirosafe I IAA000131
7' a.Name of Pro'ect Monitor b.Pro'ect Monitor DOS Certification Number
Yee Consulting Group AA000145
8' a.Name of Asbestos Analytical Lab b.Asbestos Analytical Lab DOS Certification Number
0412712004 04/27/2004
0 9. a.Project Start Date mmldd/ b.End Date mmldd/
�0 7am-3pm N/A
N c.Work hours Mon-Fri. d.Work hours Sat-Sun.
�o 10. a.What type of project is this?
�p ❑Demolition ❑✓ Renovation
❑Repair ❑Other,please specify: b.Describe
11. a. Check abatement procedures:
❑✓ Glove bag ❑ Encapsulation
❑Enclosure ❑ Disposal only
�-� ❑Cleanup ❑Other,specify:
❑Full containment b.Describe
-- z
Q 12. Is the job being conducted: ❑✓ Indoors? ❑Outdoors?
Asbestos Notification Form•Pa e 1 of 3
� anf001 ap.doc•10/02 g
a
Commonwealth of Massachusetts
100004028
Asbestos Notification Form ANF-001 Decal Number
B. Facility Description (cont.)
NIA
5' a.Name of General Contractor � b.Address
c.Cityrrown d.Zip Code e.Telephone Number area code and extension
f.Contractors Worker's Comp.Insurer 9.Policy Numbe� h.Exp Date mm/dd/
6. What is the size of this facility? a.Square Feet b.Number of floors
C. Asbestos Transportation and Disposal
1. Transporter of asbestos-containing material from site to temporary storage site(if necessary):
LVI Environmental Services Inc. 401-S Second Street
Note:Transfer a.Name of Transporter b.Address
Stations must IlEverett 02149 1 1(617)389-8880
comply with the c.City/Town d.Zip Code e.Telephone Number
Solid Waste
Division 2. Transporter of asbestos-containing waste material from removal/temporary site to final disposal site:
Regulations 310
CMR 19.000 Waste Management NEET 1203 Pickering Street, PO Box 144
a.Name of Transporter b.Address
Portland, CT —� 06480 (800)272-3867
c.City/Town d.Zip Code e.Telephone Number
3. INIA
a.Refuse Transfer Station and Owner C____1 b.Address
c.Cityfrown d.Zip Code e.Telephone Number
4. ITURNKEY LANDFILL(WASTE MGT. NH)
a.Final Disposal Site Location Name b.Final Disposal Site Location Owner's Name
97 ROCHESTER NECK ROAD I IROCHESTER
c.Final Dis osal Site Address d.Cityrrown
NH 03839 1 1(603) 332-2386
e.State f.Zip Code g.Telephone Number
..°
-° D. Certification
The undersigned hereby states, under the Isarah Marcone
�O penalties of perjury,that he/she has read the a.Name b.Authorized Signature
° Commonwealth of Massachusetts regulations projects Coordinator
for the Removal,Containment or c.PositionlTitle d.Date mm/dd/�v)p
Encapsulation of Asbestos,453 CMR 6.00 and (617)389-8880 —� LVI �
310 CMR 7.15,and that the information
contained in this notification is true and correct e.Tele hone Number f.Representing
° to the best of his/her knowledge and belief. 401-S Second Street
° .Address
LL Everett 02149 —�
h.City/Town i.Zip Code
anfOO I ap.doc•10/02 Asbestos Notification Form•Page 3 of 3