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0091 FLINT STREET - Health
91 Flint Street, Marstors Mills E MELO BROTHERS = o TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1. Marine,Gas Stations, Repair BOARD OF HEALTH O satisfactory 2. 11'rinters 3.Auto Body Shops O unsatisfactory- 4. Manufacturers MPANY (see"Orders") 5.Retail Stores 6 Fuel Suppliers CO . u tiers ��i ""` �Ci ADDRESS 91 1 ��S} . Class: — 7.Miscellaneous %IA. kl_kM S QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Undergro nd 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) 3 5s new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers (OG Lill— e I - .P Icz Miscellaneous: DISPOSAURECLAMATION REMARKS:, 1. Sanitary Sewage 2 W ter Supply - O Town Sewer Public I Ec On-site OPrivate 3.Indoor Floor Drains YES NO- 0 Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES N0�L ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Narne of Hauler Destination Waste Product •d 1• � � NO 2. - 1,0 � GEC _�. as � Person(sXn d Inspector Date 02/06/2002 13:06 508-428-7893 DEMELO BROS INC PAGE 01 Fm A'%"r, 'l Nsm-tss DUMIC-L ►:BROS.LAN19CAP.t1yf;' . — v I. Ft,tHr 55'fRr`.6'•T s. Dole" Vebruary b, 'foQ PA,,t;01 � including this wl��t Fro" Saki+ lt1'Fri Fm # [too-.x thv. c1*tA P 1#Jt!fUt pttr 27.5 gal Dioct c Tha fo n bidp?r E!.0"W any tM 6049,let,a w know. THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA ►i Y y i� Lil+ }� .�� .,y-F Z SS„<4 a S.�` - � ��Y'�5-;- l„ -r �Y��l -• � x��K � . � x da��`�' z �„R•!'�'S- �e r w.9!"^^'.�`Ya': 'W #-.e rEY'-�.. 3" _ ' ,a-;U,.e ,. - .-..-,x+-�y� r.. ..._'� 7 _ ...,��-fib: +�ff�"� w��.Pm 4 _ � C ae.�.Y��`�� � �� f ��dd � - � •��� - �-vn. �... d a iL `: � _ i�� �Y„ i -ae-aa�h'�'��"A��r.,'�� �s�h'•t,F' �t, ' � eY r �.. r u ■• .�, -'.?�. !y. +�' i. � - - A it �.-tea �.ti �.•,S„ £ - 'r__.. n+ .y .....- �L vi .•�• '< .� v �� E`•,rxtcµi+����G.af>±t�l^s "v _ �.. v�,.�' p �'' s = ' �a.�t:: - r J � ��. - F "S�y. s � - � a�-� ..tom y� ;r ,,t••_ i��• -�'rr�+�^ - _ Y E� _ <n � ems. - = � '6F ��'� l"�• ��4� 1 s.'1! � � � ,6.� ��.` - �. _ : r ��1-� sue: - •' +(. Xt �1 ��{�rys'� � f�s - ����"A '6�F ' � i _ � � si` .•"".xr Y mm 4: F _..fir,::,r�€1�3 a k c J 1 - ►! ! T a -,...t ea i ;tvc _ .-.> y'•Ee 7;'-.. .cr�'...•Sr'-,a.ras,c' :'A.�..y R ,� 3s. Y -,� r '"H F, +', ,"' _Y's -'i' .-.`t; ,,', .- -►" -)�- 6... ' *A'-r 14w ` ..�' .7�Y. t A1--yr .8k'l >P-4 b"'-:iu+sr":...- }'_gr " tic?.- .c. r%. . y 1szr.y-rf'+� __� lg ..r:�"' -`Y.�a':��i"�C.,i'actr"'��Yva. _ 'RS2: py-- ��. nylp•n.. ��.'S_ f� _ .� F � � ^ "+.�e �Sy -. 5(.t .ii� Y'� }'� •� . ` ',. �'_ ,„ - 3L -'S}Pq+^o^�. 9'---•X' ..s.w-.—. y .r .v r .. .y,.. 4z t..f�..fs 'C _ :?J� E" - g •�1.x J _ _ •.' � �"r .,� !� .^rc:.c ar va'n--s � "`'o'� `'"t � �i•�v� v c "i.:. �.r � X- ::�:a`.'v.•3:£'.t.�i r saseP�� -�"N""(-�n+an,-- u r 7�, -p�f C ��`�m 6 wYc f -.;a,f'�,-:': ,�s s�• F �! �1 �- � ( i �,�. .x:-�� _- � r ,r ;�;�.✓ �. f ^�. `,,.ti n oev+�l '�,1'7' -sue! $+.{-_ �j^er _ q. • M.G.L-Chapter 148, Section 38C. http://www.state.ma.us/legis/laws/mgl/148-38C.htm tank and all methods used to stabilize the tank after the tank ceased being in operation. In prescribing the form of the notice, the department shall take into account the form of the notice prescribed pursuant to section 9002 of RCRA and the effect on small businesses and other owner and operators. Return to: **Next Section **Previous Section**Chapter Table of Contents**Legislative Home Page d7 � S � 2 of 2 2/6/02 10:31 AM I M.G.L-Chapter 148, Section 13. http://www.state.ma.us/legis/laws/mgl/148-13.htm GENERAL LAWS OF MASSACHUSETTS PART I. ADMINISTRATION OF THE GOVERNMENT. TITLE XX. PUBLIC SAFETY AND GOOD ORDER. CHAPTER 148. FIRE PREVENTION. Chapter 148: Section 13. Licenses for land for explosives and inflammable materials; certificate of approval; record; certificate of registrations; fees; replacements and alterations of, and regulations for buildings; explosion hazard; appeals to marshal. Section 13. No building or other structure shall, except as provided in section fourteen,be used for the keeping, storage,manufacture or sale of any of the articles named in section nine, unless the local licensing authority shall have granted a license to use the land on which such building or other structure is or is to be situated for the aforementioned uses, after a public hearing, notice of the time and place of which hearing shall have been given, at the expense of the applicant, by the clerk of the city or of the local licensing authority,by publication, not less than seven days prior thereto, in a newspaper published in the English language in the city or town wherein said land is situated, if there is any so published therein, otherwise in the county in which such city or town lies, and also by the applicant by registered mail, not less than seven days prior to such hearing, to all owners of real estate abutting on said land or directly opposite said land on any public or private street as they appear on the most recent local tax list at the time the application for such license is filed, and unless the application for such license shall have endorsed thereon the certificate of approval or disapproval of the head of the fire department. Such license shall be recorded in the office of the city or town clerk, and it shall, from the time of the granting thereof by the licensing authority, be deemed a grant attaching to the land described therein and as an incident of ownership thereof running with the land and shall not be deemed to be merely a personal privilege. Any license granted hereunder, or any license for the keeping, storage, manufacture or sale of any of the articles named in section nine, granted prior to July first, nineteen hundred and thirty-six, including any license reinstated and continued by the marshal as herein provided, shall remain in force unless and until revoked as hereinafter provided. Any such license granted hereunder shall be subject to such conditions and restrictions as may be prescribed in the license by the local licensing authority, which may include a condition that the license be exercised to such extent and within such period as may be fixed by such authority. The owner or occupant of said land licensed as herein provided, and the holder of any license for the keeping, storage, manufacture or sale of any of the articles named in section nine, granted prior to July first, nineteen hundred and thirty-six, including any license reinstated and continued by the marshal as herein provided, shall annually, on or before April thirtieth, file with the clerk of the city or town where such license is to be or has been exercised, or in Boston,with the fire commissioner, or in Cambridge, with the board of license commissioners, a certificate of registration setting forth the name and address of the holder of such license; provided, that no certificate of registration shall be required for any building used as a garage for storing not more than three vehicles, when once used under such a license. The board may by regulation prescribe the amount of any of the articles named in section nine that may be kept in a building or other structure without a license and registration, or either of them. Such fee as may be established from time to time by ordinance or by-law may be charged for any such license, registration or certificate of the head of the fire department, respectively. Every license granted under this section, and every certificate of registration filed under this section, shall be deemed to be granted or filed upon condition that if the land described in the license ceases to be used for the aforementioned.uses, the holder of the license shall within three weeks after such cessation eliminate, in accordance with rules and regulations of the board, all hazardous conditions incident to such cessation. If the holder of the license fails so to eliminate such conditions, the local licensing 1 of 3 2/6/02 10:47 AM M.G.L-Chapter 148, Section 13. http://www.state.ma.us/legis/laws/mgl/148-13.htm authority may eliminate such conditions; and a claim for the expense incurred by the local licensing authority in so doing shall constitute a debt due the city or town upon the completion of the work and the rendering of an account therefor to the holder of the license, and shall be recoverable from such holder in an action of contract. Said debt, together with interest thereon at the rate of six per cent per annum from the date said debt becomes due, shall constitute a lien on said land if a statement of claim, signed by the local licensing authority, setting forth the amount claimed without interest is filed, within ninety days after the debt becomes due, with the register of deeds for record or registration, as the case may be, in the county or in the district, if the county is divided into districts, where the land lies. Such lien shall take effect upon the filing of the statement aforesaid and shall continue for two years from the first day of October next following the date of such filing. Such lien may be dissolved by filing with the register of deeds for record or registration, as the case may be, in the county or in the district, if the county is divided into districts, where the land lies, a certificate from the collector of the city or town that the debt for which such lien attached, together with interest and costs thereon, has been paid or legally abated. Such collector shall have the same powers and be subject to the same duties with respect to such claim as in the case of the annual taxes upon real estate; and the provisions of law relative to the collection of such annual taxes, the sale or taking of land for the non-payment thereof, and the redemption of land so sold or taken shall apply to such claim. The marshal may, upon application and after a public hearing, reinstate and continue in force and effect any license granted prior to July first, nineteen hundred and thirty-six, for the keeping, storage, manufacture or sale of any of the articles named in said section nine, irrespective of the extent of the use and occupancy of buildings or other structures made or had under said license prior to the date of such reinstatement and continuance, anything in the provisions of this chapter to the contrary notwithstanding, unless prior to such reinstatement and continuance said license has been revoked for cause or the marshal shall have determined that a fire or explosion hazard would result from the exercise of such license. The marshal shall give written notice of such application, and of the date of the hearing thereon, to the head of the fire department of the city or town wherein is situated the land to which such application relates and shall, after such hearing, notify in like manner the clerk of such city or town of the action taken on such application. Any license granted hereunder between July first, nineteen hundred and thirty-six and August seventeenth, nineteen hundred and fifty-one,both dates inclusive, not exercised for a period of at least three years, may be revoked by the local licensing authority after notice and hearing given to the owner or occupant of the land licensed. When a fire or explosion hazard exists-or is liable to exist due to the exercise of such license, the marshall or the head of the fire department, shall issue an order to the licensee to cease and desist in the exercise of such license and said marshall or said head of the fire department shall direct that reasonable measures to insure safety to the public be undertaken at the expense of the holder of such license. Any license granted hereunder or any license for the keeping, storage, manufacture or sale of any of the articles named in section nine, granted prior to July first, nineteen hundred.and thirty-six, including any license reinstated and continued by the marshal as herein provided, may be revoked for cause, after notice and a hearing given to such owner or occupant, by the local licensing authority or by the marshal.' Any building or structure erected or maintained under any of the aforementioned licenses shall always be subject to such replacements and alterations in construction and to such regulations of its use in respect to protection against fire or explosion as the board may prescribe. Any person aggrieved by the granting of a license hereunder on the ground that the exercise thereof would constitute a fire or explosion hazard may, within ten days after the granting thereof, appeal to the marshal who, after notice and hearing, shall finally determine whether such a hazard would result. If, in his opinion, such a hazard would result, he shall notify the authority granting the license, and such notice when received by such authority shall constitute a revocation of such license and no further license for the same or similar use of the same land shall be granted within one year after the receipt by such i authority of such notice. 2 of 3 2/6/02 10:47 AM t Massachusetts Department of Environmental Management qq ® Office of Water Resources 10 TYPE OR PRINT ONLY Well Completion Report 1. WELL LOCATION GPS (OPTIONAL) LATITUDE LONGITUDE Address at Well Location: & Property Owner: E -f Subdivision Name: Mailing Address: .CL City/Town:/7 oQ eS7'n.tl f h77/-1J City/Town: 4AEL. 0614 ,r k-41 a (o Assessors Map 12 3 Assessors Lot#: NOTE: Assessors Map and Lot# mandatory if no et,address available Board of Health permit obtained: Yes Not Required ❑ Permit Number(,r) OoQ :f �30 ate.Issued -tip �/`1 2. WORK PERFORMED 3. PROPOSED USE 4.DRILLING METHOD w Well ❑ Abandon ❑ Domestic / .j0 gation ❑ Cable ` ger �a E Deepen ❑ Recondition ❑ Monitoring EI Municipal El Air Hammer" ❑�Direct Push ❑ Replace ❑ Other ❑ Industrial ❑ Other ❑ MudRota �,❑ Other 5. WELL LOG Unconsolidated Consolidated 6.SITE SKETCH(use permanent landmarks with distances) W Permeability t2 From (ft) To (ft) High Low `� co 0 m Other Rock Type 7. WELL CONSTRUCTION 8. CASING 4 4_J Total Depth Drilled r From (ft) To (ft) Casing Type and Material Size O.D. (in) Well Seal Type Date D�Ifing Complete 0, ' � h V r., 9. SCREEN y From (ft) To(ft) Slot Size .T Screen Type and -M/Material Screen Diameter rzae SS 10. FILTER PACK/GROUT/ABANDONMENT MATERIAL` 11.ADDITIONAL WELL INFORMATION Developed? "s ❑ No From (ft) To (ft) Material Descnptio Purpose Fracture ` ./ Enhancement? ❑ Yes [�bNo Method r j` Disinfected? ❑ Yes o 12.WELL TEST..DATA(PRODUCTION WELLS) 13.STATIC WATER LEVEL(ALL WELLS) Yield \,Nr e Pumped Drawdown to Time Recovery to Depth Below Date Method (GPM) `'(tirs&min) (Ft. BGS) (hrs& min[[) (Ft. BGS) Date Measured Ground Surface (FT) u �13i 2r E/.3 -0 VIC- 14. PERMANENT PUMP(IF AVAILABLE) 15.NAMEIADDRES(S OF PUMP INSTALLATION COMPANY ti Pump Description .f .' � Horsepower Pump Intake Depth _-� (ft) ominal Pump Capacity 33 (gpm) 16.COMMENTS 17.WELL DRILLER'S STATEMENT IThis well was drilled and/or abandoned under my supervision, according to applicable rules �-� ( and regulations, and thi77'... is comple and correct to the best of my knowledge. Driller:- , L Q S JV -- i �pervising Driller Signature _ Registration #: Firm: { ~ € bate:_A-/1-4a1 Rig Permit#: L NOTE: Well Completion Reports must be filed by the registered.well driller within 30 days of well completion. BOARD OF HEALTH COPY 2 --------- Fee—j "' - ------------- BOARD OF HEALTH TOWN OF BARNSTABLE Replication for Vell Con5truct ion Permit Applic tion is hereby made for a permit to Construct ", ter ( ), or Repair ( )an individual Well at: f F IN T 57-45e-7- -- — Location — Address ' _ Assessors Map and Parcel _. Ole 4110s—_ �y — �/ �Gftii �T /fig-Ps78Vr/ /hiGG,s —_ ---— Owner Address Z2)c-s- j.?a GUI ���c�., �� L�U /� - 7 � d�_ .�iv�_ Aw Installer — Driller Address Type of Building Dwelling Other - Type of Building No. of Persons-------- Type of Well '�� '� — Capacity n Purpose of Well— Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until ficate .of Compliance has been issued by the Board of Health. Signed -- `�/' — c I date f Application Approved By date Application Disapproved for the following reasons: ----------- —____—_--__--_ _ date--_--- Permit No.— A D _— Issued date _ BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f Compliance I THIS IS TO CERTIFY, That the Individual Well Constructed (Altered ( ), or Repaired ( ) by—. C 67A A Eft --------- Installer at-- 9 Z f Z_i k j 57- Al/ S�d 77/N 1197166,5 -------- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No�- -Qa 5 Dated THE ISSUANCE OF THIS CERTIFICATE-SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE--- Inspector No.A 2�2_� Fee_ - ------------ BOARD OF HEALTH TOWN OF BARNSTABLE gppiication for 30'e'll CoOtructionVrrmit Application is hereby made for a permit to Construct (VY, Alter ( ), or Repair ( )an individual Well at: IN r ST�'&:e7- _ _ M -- Location — Address Assessors Map and Parcel c r �7rA) A�/10� _Z"�v _ �. /`-L/:_v_% .57- ,IyW PsTr iv /yiicCS Owner Address —_----------------- Installer — Driller Address Type of Building Dwelling _-__—__— Other - Type of Building—���M No. of Persons----------------------___,_____ Type of Well-� � 4� Capacity Purpose of Well--- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until ficate .of Compliance has been issued by the Board of Health. Signed date Application Approved By date Application Disapproved for the following reasons: ----- ____— —_ i —date _--� Permit No.No. A _)'Z=QA�2- "�� — Issued-- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance --- THIS IS TO CERTIFY, That the Individual Well Constructed (Altered ( ), or Repaired ( ) by Installer at— ?/ A/Al T 7— _d 729iy /27166 S ---------- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit Nb. -'Dated—Y_425'�L2 THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE--- Inspector BOARD OF HEALTH TOWN OF BARNSTABLE Ivell Constructionpermit No. Fee- 2 Ile- Permission - Permission is hereby granted cl�C 5 M 0,17 tb 4Jle to Construct (,�, Alter ( ), or Repair ( ) an Individual Well at: Street as sho on the application for a Well Construction Permit 1..�� C=��j2 �� No.- -- --�-+ --- Dated--_ ------��--U�----�------- DATE � ��1�� Board of Health §.. ,,,.r>ra, „ryb*`_-.-.ti;7V`=,,.r-'wt.,.+vi...n._ : - :--.....i._ :�..�-_. f -. .,-«-. .,�...-swr.+yyr,.svt. r •. =s- � . TOWN OF BARNSTABLE - UNDERGRUUND FUEL AND CHEMICAL' STORAGE REGISTRATION MAP NO. PARCEL NO. b G NO. 00 2- ADDRESS OF TANK: _ /ITT .� '� 45 , rhi&V I LLAGE' MAILING ADDRESS ( IF�, DIFFERENT FROM ABOVE) : _; OWNER NAME: ` )c wP co 'P-)rz` hers C/-t'rrskc"-.HONE: � 7a�� `3.5_�O INSTALLATION DATE: BY: H INSTALLER ADDRESS: Cr-i" _f #7tah CA Gc a�QERT.IVO. *TANK LOCATION: ABOVE BELOW aasow:ac TA'NIC LOCATION W I TN mummmcT TO au 2 LD3,N0). CAPACITY S TYPE OF TANK ./ AGE YRS. FUEL/CHEMICAL ese TESTING CERT4IFICATION._j ] PASS [ I FAIL DATE LEAK DETECTION [ ] CHECK IF N/A TYPE/BRAND $ U - ZONE OF CONTRIBUTION (� ] YES [ ] NO DATE TO BE REMOVED FIRE DEPT. JPERMIT ISSUED [X] YES [ ] NO DATE' CONSERVATION [bf'] CHECK IF N/A DATE BOARD OF HEALTH TAG NO. [ ] DATE I PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THISCARD ��.o+.� ,�'y...�'1ePs„i�,�i� r'37'de$,:.�.].�s�;�•a..em,�w:-.;:rw,.annvwyr:'rr�^sT�R:..e.rrx':,r. y'.sr�,�:�y�awy�,rF"���1WT��.�+^.t„"'F..St.�tv'RTN+`e13:�',r�'"..n"�'t:.tw. nv+3x# TOWN OF BARNSTABLE - UNDER6RUUND FUEL AND CHEMICAL STORAGE REGISTRATION MAP"! NO.;f y PARCEL NO. TAG NO. ADDRESS OF TANK: 9 t`i,�..Jd!)� --;�J"Y`C-t-," J41 �'�s, /tip, 11a3 VILLAGE MA I L I NG ADDRESS ( I F D.tI FFERENT FROM ABOVE ) OWNER NAME: 1 ' me `��'1 ,t �.�1r1c �G4 �PHONE: INSTALLATION DATE: BY INSTALLER ADDRESS: ✓,-fib " ,/ `��1lixlr { �3rtr7U 'PERT.IVO. *TANK LOCATION: ABOVE BELOW �.1 (ommon Z aC A'NK L-ocigT I ON W i TN mammKcT TO >U I LD I NO) CAPACITY �1 TYPE OF TANK AGE YRS. FUEL/CHEMICAL r TESTING CERTIFICATION,—J . ] PASS [ ] FAIL DATE LEAK DETECTION [ ] CHECK IF N/A TYPE/BRAND ff ZONE OF CONTRIBUTION [k ] YES [ ] NO DATE TO BE REMOVED F FIRE DEPT. ..,,PERMIT ISSUED [y] YES [ ] NO DATE LBOPARD SERVATION [�`'] CHECK IF N/A DATE OF HEALTH TAG NO. [ / i ] DATE LEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS,,CARD d� ST-J-Clcip— (1)o�1 II E'N1'IROTL,CH LABOI?.z1 T ORIFS, INC. AIA CERT. NO.:AI-ALA 063 449 Rte. L30 Sam/inch, -HA 02.563 508(488-6460) 1-800-339-6W50 FAX(508)888-6446 CLIENT: DeMelo Brothers LOCATION: 91 Flint Street ADDRESS: 91 Flint Street Marstons Mills, MA iMarstons Mills, MA COLLECTED BY: Desmond Wells SAMPLE DATE: 9/12/2002/9/26/02* SAMPLE TIME. 4:OOPM WATER SAMPLE TYPE: New Well DATE RECEIVED: 9/13/2002/9/26/02* LAB I.D. #: 0209345/0209596* WELL SPECS.: 4" 40'/24' RESULTS OF ANALYSIS: Parameters Units Recommended Results Method Date Analyzed Limits Coliform bacteria / 100ml 0 0* 9222 B 9/26/2002 pH pH units 6.5-8.5 5.27 4500 H+ 9/13/2002 Conductance umhos/cm 500 141 120.1 9/13/2002 Nitrate-N mg/L 10.0 0.75 300.0 9/13/2002 Nitrite-N mg/L 1.00 < 0.004 300.0 9/13/2002 Sodium mg/L. 20.0 19.9 200.7 9/16/2002 Iron mg/L 0.3 < 0.1 200.7 9/16/2002 Manganese mg/L 0.05 0.028 200.7 9/16/2002 COMMENTS: Low pH indicates high corrosive characteristics. WATER MEETS EPA STANDARDS AND IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETERS TESTED. <=less than Date �— >=greater than onald J. Saari TNTC=too numerous to count aboratory Di ctor Bottle Plumber: '729101 Date: 03/20/98 BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT O SUPERIOR COURT HOUSE V BARNSTABLE,MASSACHUSETTS 02630 A 5 5 PHONE:362-2511 LAB 337 Client: DE MELD, ARLENE Collector: ARLENE DE MELO Mailing DE MELO BROTHERS INC Affiliation: OTHER Address : 129 STRAIGHTWAY HYANNIS , MA 02601 Type of Supply: W Telephone: 428-3590 `7 71- 3Y 5- Well Depth: 25 FT Sample Location: 91 FLINT ST Date of Collection: 03/16/98 Town: MARSTONS MILLS Date of Analysis :_..___.03/17/98 ------------------------------------- PARAMETER SAMPLE RESULT RECOMMENDED LIMITS Total Coliform Bacteria ABSENT 0 pH 5.8 Conductivity (micromhos/cm) 170 500 Iron (ppm) 0.2 0.3 Nitrate-Nitrogen (ppm) 1.6 10.0 Sodium (ppm) 21 20.0 Copper (ppm) 0.1 1 .3 BASED ON THE ANALYSES PERFORMED, THE FOLLOWING ADVISORIES ARE GIVEN: * Based on the results of the parameters tested, the water is suitable for drinking but has high levels of sodium. Persons on a low sodium diet should consult their doctor. Thomas F. Bourne, Laboratory Director TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair 2. nters BOARD OF HEALTH satisfactory 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY (see"Orders") 5.Retail Stores - � •r 6� �-� 6.Fuel Suppliers ADDRESS <71 �sT l' Class: 7.Miscellaneous T QUANTITIES AND STORAGE (IN= indoors;OUT-outdoors) MAJOR MATERIALS Case lots / ove ,. , aOUT IN OUT IN OUT #&gallons Age Test Fuels: I Y- Gasoline,Jet Fuel (A) ° esett Diesel, .7Z Heavy Oils: waste motor oil (C) 0,24 -e, new motor oil (C) ..•, transmission/hydraulic Synthetic Organics: degrease 5 4 y' J9.2le 1 Miscellaneous: r ) • 294,0,01 ', *® V/ DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply O.Town Sewer {Public n-site 0Private 3. Indoor Fldor Drains YES—NO V 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 :a} .. z O On-site system 5. Waste Transporter DestinationName of Hauler YES N0 2. Person (s) Interviewed ` Inspector Date r ION WA`"✓ �S E E PERMIT NO. LO CAT G VILLAGE INSTALLER'S N ME & ADDRESS { d s UI L D E R OR OWNER DATE PERMIT ISSN E D ���, DATE COMPLIANCE ISSUED r _ 1 �. � � F. � � 1 �• �, ' �'^��,' z ., �. � .tip - � �r h' w ,�* 7 ' • ,�A .' - •fit' —_—_. �'.lam e!. { .3� ,' . � , Sly 1 �. .� -. ._ F. >No......................._ Fzx a THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......�.� 1. 1................OF...... .A.!lIJPr:I- ................................ Appliratilan for 11ispnsal Works Tonstrwtiun rrrntit Application is hereby made for a Permit to Construct ( �or Repair ( ) an Individual Sewage Disposal System at: .............. � _.......L �.�iT:............5` ..............------.... ......................................_......................_............................_.... Fing L ion Address t� or Lot No. if AL Owner Address ..........•.. ............ ... .••- . ..•••••........................_...................................... ...................... Installer Address 33 Type of Size Lod.°�_..._4..._..sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) '4 Other—Type T e of Building —p,, yp g ..�f;�L- .. No. of persons............................ Showers ( ) — Cafeteria ( ) p'' Other fixtur 4 ........................................ Desi Flow"l'S'.C�....JW.P_.S .--._ allons per person per day. Total daily flow.....................:. W im � g P P P Y Y .............gallons. WSeptic Tank—Liquid cApacity4C00gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .....F*........ Width.......a._.._._._.. Total Length........._..z....... Total leaching area- ............sq. ft. 3 Seepage Pit No...........I......... D' meter............__. Depth below inlet.....6.......... Total leaching area- i�..Sq. ft. Z Other Distribution box ( . D sin tank / Percolation Test Results Performed b Yj,.:"' ... .. .Q ..__A...11J6.kDate-...,5/ZdLP. Test Pit N-o. I.....`Z.-..minutes per inch Depth of Test it..... Depth to ground water...----s.............. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 •--••---•----•---••.....................••............--•-••...............••-••--•--...-•---................----•••-•_........••-•••••..................•••- ODescription of Soil............................. ........................................._._.... ... ,2�11. `�.i ................... . Q..._.. - W ..........••••••...•--- ....................•-------•--••-------------.....------•--•----•-...--•......---•----............•----••---------------------•------••---..........-----•.......--•-----••--•-••--•.........---.---... U Nature of Repairs or Alterations—Answer when applicable............................................................................................... .................................."....................................------..............••............•-••-...... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITLP; 5 of the State Sanitar de— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has ee issued b he board o health. .........110ouffou................................. .. ... _.... D � Application Approved f ." Application Disapproved 't ollouw ng reasons:.................................................................................. Permitr'. .............................................._ Issued............. JI THE COMMONWEALTH OF MASSACHUSETTS . BOARD OF HEALTH ! 1 OF......... .............`....C?........ ''................................. Appliration for Disposal Works Tonstrurtion r.erutit Application is hereby made for a Permit to Construct ( V11"Or Repair ( ) an Individual Sewage Disposal System at: f--- ................^^^^^^- 1"—�==s��J -- -.....~°-4-........................ ................----........................ ....................._............_.... Location-Address or Lot No. ................ .. ?......... .......... ......................................................_............................. ... Owner Address W Installer Address ,, Type of ui ing Size Lot... L-- • q-met U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures W Design Flow:a'.61�.:_... ..Q.-��...gallons per person per day. Total daily flow.............. _.�-7.............gallons. WSeptic Tank—Liquid acity(f7A�gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .....:�-...... Width........}........... Total Length.................... Total leaching area...................sq. ft. 3 Seepage Pit No........... ......... D' meter.......... Depth below inlet.....!?.......... Total leaching area-..........4..sq. ft. Z Other Distribution'box ( Lj Dosing tank ( ) y , j '"' Percolation Test Results Performed by Nam.1.._+ ....f .._.1?..__ ,,2 + a.lDate....%�.�!= .a ,..1 k3......... Test Pit No. I....."" .—...minutes per inch Depth of Test it.....4.2........ Depth to ground water.._---•::............ fZ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to groundwater_.; .................. pG -----------------------------------------------------•----•--•-----------•---•--.....................---...--•-•-........--•-•••---................... O Description of Soil.................................................. v W ........---•--------•...............•--•---------------•-------•---•..........-----------•.....•-•----•........, _:.:w_.:,............................................................................ U Nature of Repairs or Alterations—Answer when applicable.-;�f.:::'........_ . .Agreement:....-•-•--•--.....-----•-•--•--••.................... -- - •- ---- •- •-•- •---........................._....................^64 The undersigned agrees to install t(21, oredescribed Individual Sewage Disposal System in accordance with the provisions of T I T LE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Sf ...................................................................................... .... .. ..._.... Application Approved By ..... ....... ----- •-••-----------------------•-----•----•-•----•---•---------- ..-. ...% Jam.... Date Application Disapproved r t following reasons:..........................................................................................................^^^ ...................••--••---.....----••-•--•••-•---........_.....•--•---•-----•--._....--••--•••-•-..........••••••-••••--•................-•---•••-•-----------•--•-------......... ...-------•• Date ^ PermitNo.............................................. Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS T- BOARD OF HEALTH ................OF.....i �S.V�; Z F.)�j`�t .....L.(............................ (Irriifirtt#p of Tomphaurf THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) bY................................�. °� ----- l- •-•--•---•-----Installer-----------------------•--------------------•---.-----.---.------------------.----».------- at...1... .... .,.�! ... : ---.--•---------------------------------------------------------------------•----------------------------------•------------ has been installed in accordance with the provisions of TILTLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No... __.ff............................... dated................................................ THE ISSUA E OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL U TION SATISFACTORY. DATE.... ' l --•----•-- ............................................... Inspector ...... ........................................................................ THE COMMONWEALTH OF MASSACHUSETTS BOARD ! F HEALTH r� 1 NoJ.�- 2 .............. .v /`J........OF..........: .f.r .lr I../.....2. U�.......................... ��E ................... Films........................ 3�is ` • o s Tonstrixdion Hermit Permission is hereby grant . ............................................... ............ to Construgt ) or n ndi d Sewage Disposal System atNo..---....... �. .- ......... •-- -•••••......------.. -- --------•-----..--- -•••----•-•••--i��o ......... Street as shown on the applica ion for Disposal Works Construction Permit No..._._. ..._.._. Dated... ......... ....-•••••-••-••. _... -•-•....................•-•......................._........_ Board of Health DATE../....*................*.... ATE--/•-•--------------•-......._..._....---•--.................._......_ FORM\55 CITY& TOWN FORMS, INC, 369-9708 t I OF'FIG� �3u1L.a11JG AIJ� (sA�1A(�j; Fla: LAkb5cptIIJc. 'BV6INE5S ��.O�' 7 I L-/ T7LoW 82)e 4o Gl S • 2,41. LSD U5e bob 4wk- CARLP3 Z of Y 20 LvADS ` `zAs'Pbsar_ Tyr- . I ax�GAL Srbgs arz 4 5wAu, yy I So )(Ss - 3'1 S GPD 2 A GQ�S i o P,r 7� ATS i la 2MW OF rJ RICHARD .�� +o Oda ALAN G rjt A. Mi '� W j a. BAXTER JONES Na 24046 44 i g(Z4183 ��n► vo i=�.= lol --- Iol G A�- Est' sic a PIT TA►Jr<. I o - ..� All I1/sm�J6 �Zo FI T S14D aG=9z f �GATI o� MA26,ToIJl /VI I LL �z,1 9 113 J 3 ; f So'' F iaoNT cG- S 51 D6 jl 2 F f'� S t �,axTETz � �I yG IuG f�T6 � LA>Jb SvRllb`fUIZS I'%" 1�"�V IJ N� 1 ✓"/r'� � /�M I�1hl�vtillraJ't�" � osr�rl.�I�t.�3 - MA'�n � I _........,wi...�J. :. _y.Y...n�JL�...�._.._�u �,�. _ �_ Number Fee 140 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Demelo Bros. Landscaping ..------------------------------------------------------------------------------------------------------------------------------- 9l Flint St., Marstons Mills, MA ------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. ------------- ------------------------------------------------------------------------------------------------------------------------------------------------------ Restrictions: ..-----------------------------------------------------------------------------------------------------------------------------------------------------------------. This license is granted in conformity with the Statutes and ordinances relating there to, and expires 06/30/2021 unless sooner suspended or revoked. ---------------------------------------- JOHN NORMAN DONALD A.GUADAGNOLI,M.D. 07/01/2020 PAUL J.CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health 1 Town of Barnstable Inspectional Services BARNS LE pF -ST-E•CENIEM1VNf•tOWn-AWS % • rt-.IS10!i$Y'ILS•OB'EII2'ILt%•:tST BTMISihBLE Public Health Division 1639-I014 C �flg 1�BAMRrABM ; Thomas McKean,Director MAW '• i6�� s`� 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-630417, 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 1.11 -499 Gallons: $125.00 O CATEGORY 3 PERMIT 500 or more Gallons: $150.00 �vs► P,( 0�1e— *A late charge of$10.00 will be assessed if payment is not received by July 1st. i S(p 1. ASSESSOR'S MAP AND PARCEL NO.. 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?C)0 UANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: � —Der,-,'4ZjC) 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: E'oS - �I a-Q- 35 of O 9. EMAIL ADDRESS: lZo\O eAcm e (a b ai z, C-O yy) 10. SOLEOWNER: YES ENO IF NO,NAME OF PARTNER: U Sow 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME ' YY1-lQ PRESIDENT TREASURER I S t--R r-v,,r,,4 n -\ CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: • SIGNATURE OF APPLICANT _ n ii--DATE C0 . Q:V1p:plication Forms\Haz Mat Appli Draft Jan20l9.docx y°Ftrok� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARMABLE. 'J 200 Main Street• Hyannis, MA 02601 039. �ArFDMP�A`0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: DCPAQ t ,V i 0 Date: Location/Mailing Address: K-4 VVhLA4025 " ;,' Contact Name/Phone: Oy �@I'xael y / 50a yaks--3&qO 1 T►rn LA&U I;O -9a2 Inventory Total Amount: ;;Is-w �SDS: Q 5 License#: Cam-3 Tier II : Labeling: Spill Plan: :Oil/WaterSeparator: Flo gr Drains Emergency Numbers: Storage Areas/Tanks: ri ailit AA ®m Emergency/Containment Equipm- t: a Si 3 S i✓ So y �[ 4Waste Generator ID: Waste Product: Date&Amount of Last Shipment/Frequency: S 19 " ALicensed Waste Hauler&Destination: 'P � a �dS WOL Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Un er the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage d disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Q,0 Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) �Y Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas)�:O 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 V Miscellaneous Combustible Paint&varnish removers, deglossers � Leather dyes Miscellaneous Flammables Fertilizers �iQ�-' 60+)z Floor&furniture strippers PCB's y 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: IJ&r I ' r. Inspector: Facility Representative: WHITE CCPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS I `°Ft tower Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARN MAg• 200 Main Street• Hyannis, MA 02601 ,b,q.s.0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT 'al 1 3 i,(, rF0 MP'� Business Name: Date. Location/Mailin Address: q� �l�ri S� —LV���s-tows l �� Contact Name/Phone: o b o o - Z Q o .�r -T b,� Wz-I c L rb$- 22-YzZ2. - - o rr«c- L�s�- 50 S-"bo--:517. 11 Inventory Total Amount:y`'G a�-I' boo lb MSDS: 6+e.A jS License#: 140 tk Tier II : Labeling: 5,c,vw � \vw Spill Plan: Oil/Water Separator. 4 Floor Drains: o Emergency Numbers: `/ -s Storage Areas/Tanks: 9,5'0 q0-k A2< a Emergency/Containment Equpment: g 04-f4 s,�11 IA sor.Lc4 04—d45 Waste Generator ID: a'b Waste Product: "o i Date&Amount of Last Shi ment/F a uenc : 3 0 I a 1 � Licensed Waste Hauler&Destination: c e- -, w Other Waste Disposal Methods: "J i) LIST OF TOXIC AND HAZARDOUS MATERIALS 1„���v�, ��w��ay� NOTE: Under the provisions of Ch. 111, Section 31, of the eneral La s of MA, hazardo matena 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: J—b C,Ltv<ke. aV 01 YomSw ,Lk ovavlt-,r INFORMATION/RECOMMENDATIONS: C141kttq�e�sG,��ow S�a��S dA \I5QC7% f ko W\JNpZo 'e ,t tV� fit. . b <A& 't k l%A- ow Ag nspector: C Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS `.y `3 Number Fee 9 140 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Demelo Bros. Landscaping 91 Flint St., Marstons Mills, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------- -------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2017 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 Director of Public Health 9�4 Town of Barnstable • ►�,,, Regulatory Services : Richard V. Scali, Director Public Health Division BARNSTABLE 1659. 10� w as o a°0 u sC Rwwiiemws a ns Thomas McKean, Director 16'��° M 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 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 V A late charge of$10.00 will be assessed if payment is not received by July 1st. ASSESSORS MAP AND PARCEL NO. DATE I FULL NAME OF APPLICANT: lzov'3�rT 7—N.126e 0 NAME OF ESTABLISHMENT. ,0 6(UAEa ADDRESS OF ESTABLISHMENT: 6 l �� �\� �JY1S (�r I L�, MA MAILING ADDRESS (IF DIFFERENT): ��- TELEPHONE NUMBER OF ESTABLISHMENT: EMAIL ADDRESS: T_(. L)�0`f u S C-U 1---1 SOLE OWNER: YES ✓NO IF NO,NAME OF PARTNER: V1�MYYL i FULL NAME,HOME ADDRESS,AND TEL PHONE#OF: CORPORATION NAME byos ►'�� PRESIDENT IDS-- b2�e1 TREASURER CLERK U-sc- i i2j21n • IF PREPARED BY OUTSIDE PARTY: S LICANT Name: Company Address Telephone#: Email: QAApphcation Forms\HAZZAPP Rev I6.docx Page 1 of 1 �n < V Number Fee 140 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that Demelo Bros. Landscaping 91 Flint St:, Marstons Mills, 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 i Town of Barnstable °FtHE rqy, Regulatory Services °• Richard V. Scali,Director ` MANST" Public Health Division 9• ` a 9qj i63 � �TFD a Thomas McKean, Director - 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.0.0 r;w ASSESSORS MAP AND PARCEL NO. `2�'-002049"69vDATE Q ll APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT I I ��• 1 �� S fy\� 14 -S' TELEPHONE NUMBER SOLE OWNER: YES a(6 IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: USA CA mryN i rve o a J On Is Gt y-) 1 ZCL ��qMaAAIA o g- S IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. ( `{ .Zl�,t��a STATE OF INCORPORATION fY\P155(��'In(� � ��5 FULL NAME Al rHOME ADDRESS OF:PRESIDENT 52. -2\C) a-c� S ��C65A:P�q TREAS R CLERKS LAN r,,M.1 n-e-n r\ - P M- l YVA • fLo b r� OF PLICANT RESTRICTIONS: HOME ADDRESS ��U j,e)�— t yV 0 4 r (�S i A HOME TELEPHONE# -4�p yaa 31JZ G2�L C:\cacheJemporary Intemet Fi1es\0LKD3\HAZAPP ReQOB DOC IB Tower Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMAS%.SS. E. " 200 Main Street• Hyannis, MA 02601 039. MA �f. prEDMP+ TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: �e ,h e o R Co'}q,,S L-ai Sca,O 1>�4 Date: s /� Location/Mailin Address: �a{S�o�cs Contact Name/Phone: o ¢ a �o -q ZS-3S O o ,° a c4 - -i wt e%k- (Z�tyk�r c�1r, 1,l,1 to 0q W,&*vr 5O$-,122-L(.1 Inventory Total Amount: �tssao� MSDS: ZS License#: I`{_ O r1053 Tier II.: J o Labeling: D Spill Plan: ,/e-5 Oil/WaterSeparator: I� p Floor Drains: h Emergency Numbers: OK Storage Areas/Tanks: 0 04 011 d V141& Emer enc /Containment E ui ment: <<OA-A�S aya,lable_ Waste Generator ID: W 111 -cx Waste Product: Date&Amount of Last Shipment/Frequency: I 2 < Licensed Waste Hauler&Destination: Other Waste Disposal Methods: C.VM-A,e94 '0.1 �/IbVt- t(,evtlx C�G�/L�2�1 61 at�n� or 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 Z Automatic transmission fluid Z Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers 10 Hydraulic fluid (including brake fluid) 10 IS Windshield wash t S �du Motor oils 91pK,w�3-�1010k,&+j0f-4 Miscellaneous Corrosives <o Gasoline,jet fuel, aviation gas S'o / Cesspool cleaners 5 Die�'uel, kerosene, #2 heating oily Disinfectants tip Miscellaneous petroleum products: 5 O io— Road salts�"6D�b grease, lubricants, gear oil 1..0 x7.D Refrigerants Degreasers for engines&garages 10 Pesticides: 30-4'60(,w�tA—ea_�o� to Caylk/G ut �c.�.-►•►.i xAtu / insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries IS Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine O Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners S (O Miscellaneous Combustible 5�a{l03e)S 4 5' Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables o C Fertilizers 5000 t�P 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: 2 t< 15FT Ae, 01 1. 11,15,P&SO-1 (�£STielp�s Inspector: I LA\iAle, Facility Representative: / WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS IK ►E � Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 "M��E.$/ 200 Main Street• Hyannis, MA 02601 Fo59. + TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: �e MP-N-D 'Bc'�{S I_C.wQSCa IL-1 Date: 2 Location/Mailing Address: `)I rl i KA S t rg e M- l IS Contact Name/Phone: Inventory Total Amount: '�-SDD ��� low& MSDS: �I�7 License#: l 40 - �n Tier II : ,N 0 Labeling:4' eo a1wcs-NkW Spill Plan: - Oil/WaterSeparator: IJlA Floor Drains: Emergency Numbers: Storage AreaslTanks: 1'3 I Iur �k�_a,1 ��c.�.�w. 25o aal AgC-• +wD1 Emergency/Containment Equipment: ik\yt,k,7 ,� ,er C,, Waste Generator ID: " -ko e-.!s Waste roduct: oil Date&Amount of Last Shipment/Frequency: 3 D taa 1 �--3 x/y<, Licensed Waste Hauler&Destination: Other Waste Disposal Methods: D ab� &v�v c ! �ov y%-{L e tc Vj_o k-e_l. WA V,�9&0 Q-Lo.< 5 Nv- \oc�f000l,L C-eV k,,<e-4fe%Vn¢x. LIST OF TOXIC AND HAZARDOUS MATERIALS I 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. I Antifreeze 1-0-k ka Dry cleaning fluids 3 Automatic transmission fluid 3 Other cleaning solvents&spot removers Engine and radiator flushes (%o Bug and tar removers �2 Hydraulic fluid (including brake fluid) , Windshield wash 1D Motor oils3o vv-,5�) 94+260irIt Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants 10 Miscellaneous petroleum products: Road salts grease, lubricants, gear oil <*I Refrigerants 'L Degreasers for engines&garages 1- 5�O Pesticides: isk 1,}2' Caulk/Grout insecticides, herbicides, rodenticides 1 y Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives (creosote) Asphalt&roofing tar Ok,p Swimming pool chlorine ?�o Paints, varnishes, stains, dyes i Lye or caustic soda Lacquer thinners �_ Miscellaneous Combustible ` ty Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers i0olb 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: At O 1,ue_ 64-ec4 Bro#A co alp b,A aA-t- rk.2 x� ,1 lJt�t ok \ Q G a o &A, looms 2 0,( o � ,11 16L% o 5 . ORDERS: o!� 45 Co a s4kr5 ►% la w o W e, .� aS'>;G� rtst�o,�" ' }o9Cic: . �yt•( !, 5IK-lo�lo foh}a .�c5 INFORMATION/RECOMMENDATIONS: d1V_ CLN35o<i;A_AA n S ey,+,,&AA ©,1,A5�'fn n�llu-H�r,Oa S. ASAP Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS ,t Number Fee 140 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Demelo Bros. Landscaping 91 Flint St., Marstons Mills, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. ------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2020 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 n Town of Barnstablev�� � Inspectional Services BAMSTABLE OF THE 1 ww.rne_=•ra. rr•-c nnKi= l`� "o Public Health Division wrs c'u wLs' 8 2014 ivaw E[ SAMSrABLE, Thomas McKean, Director ;..d y MASS. $ W 0:19.9'„reo �a 200 Main Street,Hyannis,MA 02601 - F d Office: 508-862-4644 Fax; 508-790-6304 t, APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE i 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 MY 1 st—JUNE 3 Oth), 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 i fA C,� *A late charge of$10.00 will be assessed if payment is not received by July 1st. zfq 1. ASSESSOR'S MAP AND PARCEL NO. I a 3 — 06Z.6,00QL- 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 N0, 4. FULL NAME OF APPLICANT: b ,-� 5. NAME OF ESTABLISHMENT: �1,A Do o Bn)`�'r !�s 6. ADDRESS OF ESTABLISHMENT: , n t 7. MAILING ADDRESS.(IF DIFFERENT FROM ABOVE: , { 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: 10. SOLEOWNER: YES lN0 IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME -e-.{0 13c 5, :K7 r-�L PRESIDENT_ G ( ICE TREASURER CLERK Uk-SGI_ LA NVv\--eA( Y1 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: • SIGNATURE OF APP7Revised Q:1Application Forms\Haz Mat App - Um I Number Fee 140 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Demelo Bros. Landscaping 91 Flint St., Marstons Mills, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2019 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 �oegu'Aatotywof Brnsxable Services �tME ray, Richard V. Scali, Director ' Public Health Division IBARLE NSTABLE; sAMnABM Thomas McKean, Director 1639-2014 '� Mass �7 - -i639 `�� -- -- - — �ED�A 200 Mani Street,Hyannis,MA 02G01-- ------- ---..--- - --- -----.---- -- 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 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 0 V,s. *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 0 2— 2. IS THIS A PERMIT RENEWAL? TYES_NO. IF YES, SHIP 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: '\ -O\o y 5.' NAME OF ESTABLISHMENT: lDey\ c) 6. ADDRESS OF ESTABLISHMENT: 9 � C'\In� s-1 c- i aS) lm� 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: ( 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9 d /? `I2 k ",3S� o 9. EMAIL ADDRESS: /�b� -2i'�'C�OI�!2�S • CO rn 10. SOLEOWNER: YES VNO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TE PHONE#OF: CORPORATION-NAME (� r-b3- =nC PRESIDENT J 0 V— TREASURER A UA Y,(\yv\i CLERK U5pY - l- MM i 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLIC N- -�DATE Q:\Application Forms\HAZMAT APP 2017 RE o s i.� Number Fee 140 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Demelo Bros. Landscaping 91 Flint St., Marstons Mills, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. ----------------------------------------------------------------------------------------------------------------------------------- ------------------------------ This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2018 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 QZ•TOY d LTOZ CT N11f " own.of B4rnstable Regulatory Services Richard V. Scah, Director B ARN TABLE o Public Health Division t:15 • �r LE. r Thomas McKeanSS. , Director "°E ,h. 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 X. APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE r-- 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 I 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 RI S *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)?i YES NO. 4. FULL NAME OF APPLICANT: �1�j�('� 5. NAME OF ESTABLISHMENT: ��,1(�e.,p S(bk�v S -=r1c 6. ADDRESS OF ESTABLISHMENT: l(-�`y S � Mars�r,S Mil Is, M-)q 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: S. TELEPHONE NUMBER OF ESTABLISHMENT: 50 9� 9. EMAIL ADDRESS: ZOO Q 6- Jm o V),(z S , C.0(Y-%y 10. SOLEOWNER: YES ✓NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION �-� �-P—�O S 'n C PRESIDENT �dU'S4E- -6e- j(1n-elo TREASURER] .�.S V L_A rn hn i (12Y1 CLERK ( ,A rmm i ")J%,--- 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT ' M^-cr DATE��� Q:\Application Forms\HAZMAT APP 2017 REVISED.docx Number Fee 140 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that Demelo Bros. Landscaping 91 Flint St., Marstons Mills, 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 Town of Barnstable °FtHE r Regulatory Services ti �� °• Richard V. Scali, Director �B"RN S. Public Health Division 9. �A t63 �0 TFo 9- 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 �. {��[� �( E� �S �kS0,-- — �Y1Mi17 NAME OF ESTABLISHMENT ''Y� ADDRESS OF ESTABLISHMENT ' {I`yITL TELEPHONE NUMBER SOLE OWNER: S "�NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: a IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. O V-96o STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT _)CSe `men-),9 I® TREASURER CI�` rr►e � CLERK Li,3 A few ql"Ae ur" SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS 93 AnApWn HOME TELEPHONE# � 0 Q\Application FormsEAZAPP.DOC t ID-'emek& Biroth' eTS911neo . - • , Landscape:Desi onstruction-Maintenance 91 Flint Street Marstons Mills, MA SPILL CONTINGENCY PLAN 1. Evacuate the immediate area, only if necessary!! 2. Remove or restrict any potential ignition source from the area if the material is flammable. 3. Contain the spill by use of an absorbent sock, then apply appropriate absorbent material. 4. Remove all absorbed material or contained liquid and package in DOT approved container. Used absorbent materials have to be packaged separate. 5. Label all containers with the type of waste and the start date of accumulation. 6. Notify the appropriate agencies and let Rob or Lisa know as soon as possible. 7. Once the spill has been controlled and the materials have been collected, and secured, inspect the area for cleanliness and decontaminate all equipment used in the clean up. 8. Replace all the used material and make sure that the response equipment is in working condition. 9. -Manage and dispose of collected absorbents and liquid in - accordance with the State and Federal Environmental Regulations. Gs it 10. Spill clean.up equipment is located in Bay 6. 11. 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 and i socks. b. Nitrile gloves c. First Aid Kit d. Eye Wash e. Fire Extinguishers r Number Fee 140 THE COMMONWEALTH OF MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that Demelo Bros. Landscaping 91 Flint St., Marstons Mills,MA 02648 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 1 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 G A Town of Ba-rnstable o�W. RegubtorY SenZCES nam m F. Geier,Director E�ISL=arm y Public Health D ion HAPa A��a y ho-m A MaKea3j Director 2D0 M,a z Strzz✓i, Hyan8, MA 02601 F= 502-790-6304 0-f5, ca: 50�4 2-644 Appil a icn Fce:' fl� ASS,SSGRS MAP ABM PAR=NO, HATE 2-DLIC.�' ION FOR PERT�M TO S-'n� rA�lQR I7Tj=MORE T�A� III G_Ad LONS OF AA7,�OTTS MATERLALS NAADE OF APTUCAN'r o�eJ(� �e•�1 (� - N� OF ESTABY 7 a -(-V n �- s I IDS , r�nA oaico�8 Sb I ZETHO_ E N EB Tr c I ' a J�9 SOLE OWHR: YES �i o ICANT IS A PABTNXP=, �N- ADD HO1�iE ADDRESS OF AI�I i -2 ART'�N= cflP� ATION, ID cATION�;o. L'APPLICANT IS A- 1 STATE OF IN CORPORATION MAE CkCr"• i -E:,45 7=NAjNSE ACID Ho1Na ADDRESS OF: s inn �� O Z�ool P�Sm�r oSe 1�e Nn�lo 1 a CL= C�sc,. l.CLn e , hen dz-3C F 11� P�ST�ICTIONS; H0 ADDSS 3 - i HONK T3=EONI 3`i 2 X_ MAT,-N REQUESTS Please mail �e completed application fo= to the add-zss below. L. addition, please include the rewired fee, amount. Make check payable.to: To,w of Barnstable. Ota mailing address is. Town of 3anmtable Public Health Division 2D0 fain strze# Hy�nmis, �i�A 025�01 FOR FAD REQUESTS- OuZ fzv n'Irmber is (50o) 790--6304. Please fax a c=ple-tzd application fonts. In addition, you must t$e rquitz�d fee amoumt (see fees a", botto= of tiis page). Please make the check payable to: T o-,Ym of Barnstable. The check must be riled to the address listed above. For further assistance on any it�mi above, call (508) 862-454 I II i i i 1 ' 1 G 1 J • j coLvkap,eAsinC an_to"ons#ucn-Me a ce n .n. 91 Flint Street Marstons Mills, MA SPILL CONTINGENCY PLAN 1. Evacuate the immediate area, only if necessary!! 2. Remove or restrict any potential ignition source from the area if the material is flammable. 3. 'Contain the spill by use of an absorbent sock, then apply appropriate absorbent material. 4. Remove all absorbed material or contained liquid and package in DOT approved container. Used absorbent materials have to be packaged separate. 5. Label all containers with the type of waste and the start date of accumulation. 6. Notify the appropraie agencies and let Rob or Lisa know as soon as possible. 7. Once the spill has been controlled and the materials have been collected, and secured, inspect the area for cleanliness and decontaminate all equipment used in the clean up. 8. Replace all the used material and make sure that the response equipment is in working condition. 9. Manage and dispose of collected absorbents and liquid in accordance with the State and Federal Environmental Regulations. 10. Spill clean up equipment is located in Bay 6. 11. 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 and socks. b. Nitrile gloves c. First Aid Kit d. Eye Wash e. Fire Extinguishers I Number Fee 140 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Dernelo Bros. Landscaping 91 Flint St., Marstons Mills,MA 02648 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 6/30/2012 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 ,r (o �► - Town of Barnstable CkCW13Co, THE 1p�,_ Regulatory Services Thomas F. Geiler, Director NAM. M�3 " Public Health Division 9� 1 g' iOrEor�e+° 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 III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT 1'Yl L-OS NAME OF ESTABLISHMENT P��I'YY1 P L a �BaAAoe Y-S ADDRESS OF ESTABLISHMENT r%:Z 12 rn TELEPHONE NUMBER So a8 5 SOLE OWNER: ' YES ZNO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF AFL --� PARTNERS: y �. cxa IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. (71I L a b S 9 STATE OF INCORPORATION Cl-SS C--Lk U S-e-++z FULL NAME AND HOME ADDRESS OF: PRESIDENT 'Zobex—�--fie me o / 3® TREASURER i 9 m oa y� CLERK rn ! MAA& 122A 02n(oO PPLICANT RESTRICTIONS: HOME ADDRESS 1 :3-0 4—/f'n / dgf► shn5 HOME TELEPHONE# _ -b J� YDd 3 9 2P' Haz.doc/wp/q r ce 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 r II 111rothei s, Une - • , L.ands..cape:.Design-Con.struct.i.on.-Ma.int.e.n,ance 91 Flint Street Marstons Mills, MA SPILL CONTINGENCY PLAN 1. Evacuate the immediate area, only if necessary!! .2. Remove or restrict any potential ignition source from the area if the material is flammable. 3. Contain the spill by use of an absorbent sock, then apply appropriate absorbent material. 4. Remove all absorbed material or contained liquid and package in DOT approved container. Used absorbent materials have to be packaged separate. 5. Label all containers with the type of waste and the start date of accumulation. 6. Notify the appropriate agencies and let Rob or Lisa know as soon as possible. 7. Once the spill has been controlled and the materials have been collected, and secured, inspect the area for cleanliness and decontaminate all equipment used in the clean up. 8. Replace all the used material and make sure that the response equipment is in working condition. 9. Manage and dispose of collected absorbents and liquid in accordance with the State and Federal Environmental Regulations. 10. Spill clean up equipment is located in Bay 6. 11. 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 and socks. b. Nitrile gloves c. First Aid Kit d. Eye Wash e. Fire Extinguishers i Number Fee 140 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Demelo Bros. Landscaping 91 Flint St., Marstons Mills,MA 02648 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 6/30/2011 unless sooner suspended or revoked. ---------------------------- ------ - WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2010 JUNICHI SAWAYANAGI TH.OMAS A..MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable 01-1HEr Regulatory Services � 2 • ``P ° Thomas F. Geiler, Director BA MASS. a* )Public Health Division ASS. O i039 `gym DM Thomas Thomas McKean, Director 200 (Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6 304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE 60 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN II I GALLONS OF HAZARDOUS MATERIALS 1 - - c i FULL NAME OF APPLICANT (2 o6c' 'V �Yl e" 1(f) NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT ` rl S YYI r I C 02fc)UE TELEPHONE NUMBERS �� n- J SOLE OWNER: YES t/NO IF APPLICANT IS A PARTNERSHIP, FULL NAME AND HOME ADDRESS OF ALL PARTNERS: r IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. - STATE OF INCORPORATION -sac1hu3c4 f S FULL NAME AND HOME ADDRESS OF: Qin4ssJ /PRESIDENT /CubP,' '�rW—jC> ` iWu- ny n'1jx mi 0>26(lop TREASURER P /' CLERK % ml-bl Se-1, 3 Arxqc /cjrMd& /?3A aka SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS /)qQ ins`/(S� /'X)A HOME TELEPHONE # 2 9 8' Ce 11 )2& fiaz.dochcp`y., r 3 eKelo B,,irolher!�q JIIMCO : - . 4_ . I I . I- - - I I I I . . - - , Landscape;Design C.0nstructlonNalntenance 91 Flint Street Marstons Mills, MA SPILL CONTINGENCY PLAN 1. Evacuate the immediate area, only if necessary!! 2. Remove or,restrict. ,- any potential ignition source from the area if EFiT 'the.material s,flammatile. 3. Contain..thep spilL.by use,of an absorbent sock, then apply appropriate absorbent material." 1' 4. Remove all absorbed material or contained liquid and package in DOT approved container. Used absorbent materials have to be packaged separate. 5. Label all containers with the type of waste and the start date of accumulation. 6. Notify the appropriate agencies and let Rob or Lisa know as soon as possible. 7. Once the spill has been controlled and the materials have been collected, and;secufred, inspect the area for cleanliness and decontaminate all equipment used in the clean up. 8.q Replace a-11 the used material and make sure that the response ,x 1;X4;o4;: , eq.uipment,is.in,working condition. 9. Manage and dispose of collected absorbents and liquid in accordance with the State and Federal Environmental Regulations. R 4' ~ 10. Spill clean up equipment is located in Bay 6. 11. 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 and socks. b. Nitrile gloves c. First Aid Kit d. Eye Wash e. Fire Extinguishers • I I Number Fee 140 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Demelo Bros. Landscaping 91 Flint St.,.Marstons Mills;MA 02648 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 - (l Town 0f Barnstable Barnstable ,oIKE T° 0 Regulatory Services Department > StAB a Public Health Division 9� LE ram. 200 Main Street, Eyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geller,Director FAY: 508-790-6304 Thomas A.McKean,CHO Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE—( APPLICATION FOR PERI_UT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT _ ,�6 6e rl r7b� e�o NAME OF ESTABLISHMENT e De n-ef0 Trb`�'�►,s ADDRESS OF ESTABLISHMENT / I�� S-�r �,�'u M1 I'yi p rnA TELEPHONE NUMBER C!O _ y�1 -3S`� c�Z(,VS SOLE OWNER: YES L-410 IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: _ r. IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. / — rn STATE OF INCORPORATION ��9SS G17LtS S FULL NAiYIE °H01 ADDRESS OF' PRESIDENT 0b -DeVYWO C) /3ry-- x 7�. MA 02-01 TREASURER 11 1' CLERK Lisfi Hn' l a e-A 3 n� P ,� �r>,A O Z,26 o • SIGNATURE OF APPLICANT RESTRICTIONS: DOME ADDRESS tf0 AIICko2"�'. M/3 o2uy HOME TELEPHONE# _'W-VM-392P C eJL QAHazmat\Haz Nint Anplication2008.DOC t ' 91 Flint Street Marstons Mills, MA SPILL CONTINGENCY PLAN 1. Evacuate the immediate area, only if necessary!! 2. Remove or restrict any potential ignition source from the area if the material is flammable. 3. Contain the spill by use of an absorbent sock, then apply appropriate absorbent material. • 4. Remove all absorbed material or contained liquid and package in DOT approved container. Used absorbent materials have to be packaged separate. 5. Label all containers with the type of waste and the start date of accumulation. 6. Notify the appropriate agencies and let Rob or Lisa know as soon as possible. 7. Once the spill has been controlled and the materials have been collected, and secured, inspect the area for cleanliness and decontaminate all equipment used in the clean up. 8. Replace all the used material and make sure that the response equipment is in working condition. 9. Manage and dispose of collected absorbents and liquid in accordance with the State and Federal Environmental • Regulations. n i • 10. Spill clean up equipment is located in Bay 6. 11. 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 and socks. b. Nitrile gloves c. First Aid Kit d. Eye Wash e. Fire Extinguishers TOWN OF BARNSTABLE Date: TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: Ell ELO gac)s. _I tit _. BUSINESS LOCATION: nLIor Sty Hkr2sx-DNS M1 L Ls INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: J /Zlf 3Sy6 /W�eAIS CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: �og��r nXfEzo &7.L y o-'3?" MSDS ON SITE? TYPE OF BUSINESS: I-A-ilb5c -PiuG./13u3i.v&s5 boCS /73 OWAI 11fhV'c.tC y� INFORMATION/RECOMMENDATIONS: �A-�N +NCE REPA-119,- Fire District: tip ex r/,uc,vtsrar,25 uP- ry bA-rV. 5P'1il: K,ToA_, s .rEr 6vt.7ZG i C. OM l�l 113"rAlAv 0000//059 Waste Tr : AV 5 21-c-3-L& Last shipment of hazardous waste: Name of Hauler-�'YAIOrt-/ Ss���-ry i�-�JEDestination: L� Av 0,,4- SrUu� �1 S� �� Waste Product:A&-�74tey9 011 / W�sv- L i c onsed? es No L'��rvsmti�T� NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) Misc. Corrosive /NEW BUSED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants oc�� Motor Oils Pesticides /�I M c�� �o� 'i 2.S Nxi0.210 NEW �fT USED OAU.bAj co9'rAl0 (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation ga IN FIAWjL4ASLES Photochemicals (Fixers) G461 u e r. evurlk1006 Diesel Fuel, kerosene, #2 heating oil NoW 7,pyy_ NEW USED Misc. petroleum products: grease, d�s01� Photochemicals (Developer) lubricants, gear oil NEW USED 0 Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes ."___. ®�PfFertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables f 5P� cAOS. of &CIFAM W-S hydrochloric acid, other acids) Floor &furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers (including bleach) ,)63_0;Zc 7-A—x11eS Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Cj P-duAJn 1, I,(J CG.j.rit1a01_tE-iI.JT Bug and tar removers J-5- 0 Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Date: TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-S4TE INVENTORY NAME OF BUSINESS: ))EM ELO BUSINESS LOCATION: 91 rooT ST, , AV-S-rU/yS HILLS INVENTORY MAILING ADDRESS: TOTAL AMOUNT: `TELEPHONE NUMBER: -F6 f _3 S-yd .CONTACT PERSON: J EMERGENCY CONTACT TELEPHONE NUMBER: ?o,5&7ar oo-3PU MSDS ON SITE? TYPE OF BUSINESS: �-/ ��/�sc/}piuG�/3d/S�.yE 5S he," -i`5 Gx./Al t/E111 CGS ' /MM-VANGE R&-PA/ ' INFORMATION/RECOMMENDATIONS: FirDistrict: -x r7�IG,y/SF/r/Z -" S uP 7'y 6.4I , SP/t I- KiT o,U s /�,. �-�'y-lYra6 pl.,-N n gE PPS rt-7). �)#r,AfAV o®Ov//059 _ Waste Trartspxyr ���� `� �339� Last shipmen# of hazardous waste: �� �- s a \ Name of Hauler:YA1 5 �� � AJEDestination: cYA1 0/1- Sn'uG ��p S�� Waste Product: z°�EvK�" S' 9 L eased? es No e�AI-5' NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maxi.mum Observed/Maximum �60 _ Antifreeze (for gasoline or coolant systems) Misc. Corrosive NEW fS USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants��tocxt�� C'gektic M S Motor Oils Pesticides{Ixii M Ccw CIZt-7-t Ft-C' .2.20 NEW TS USED Z'S ALI� Insecticides, herbicides, rodenticides SGasoline, Jet fuel, Aviation ga I N r-LA MPAgtES Photochemicals (Fixers) ChgIuE"r. t'dKMAI►JWS Diesel Fuel, kerosene, #2 heating oil Ncul ewpri/- NEW USED Misc. petroleum products: grease, d F:f-5M560 Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes '2r_-"- guu9SFertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride).- - _ NEW - -USE.D= - _- : e : Any otherp.oducts with "poison"labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, j SPe/�j CA US of Misc. Flammables LCL-Al4eaS *01DWIV-1CAILAS hydrochloric acid, other acids) Floor &furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers .� �A f677�(_t'zlE. H)7 (including bleach) •�(3) 01 rA AIles Spot removers & cleaning fluids (dry cleaners) �� -5-0b G,f GL°,e/ /�5�ti r4A/K f1�3yv� Other cleaning solvents GleUU ti.1 b , /A/ CGAJ7-7t 1A-j1-I'6X.JT Bug an� tar removers �S Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Number Fee 140 THE COMMONWEALTH OF MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that Demelo Bros. Landscaping 91 Flint St., Marstons Mills,MA 02648 .` 0� Is Hereby Granted a License l� FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------------------------------------------------------------------------------------ ----------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating thereto, and and expires June 30, 2009 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/08 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health r Town of Barnstable Barnstable Regulatory Services Department � �p o ;eficacftv Public Health Division lARN8iABLE. • Im 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. �o 'X?9.-06V DATE APPLICATION FOR PERMIT TO STORE AND/OR U LIZe MORE THAN III GALLONS OF HAZARDOUS MATERIALS, -2; s FULL NAME OF APPLICANT —1) eLo NAME OF ESTABLISHMENT �etl,.vIrbS -nC. . ADDRESS OF ESTABLISHMENT 9 i J�);A SA (hAQ 6 m;(o, m A TELEPHONE NUMBER So y2 - ��S 90 nzLq T SOLE OWNER: YES--Le�0 .' IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL P N RS: � �- -D Li Lo ,,x , oz36o IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION C MACIrWS-1-0 S FULL NAME AND HOME ADDRESS OF: RESIDENT C) !- 4� REASUI.ER ��_•�n-e L[� LERK nen SIGNATURk OF APPLICANT RESTRICTIONS: HOME ADDRESS c.YL, Qk1ro HOME TELEPHONE# Q:\Hazmat\Haz Mat Application2008.DOC i Town of Barnstable • oFT„E r Regulatory Services Barnstable c Thomas F. Geiler,Director 1imedcaC"y Public Health Division I I anaxsrnsLE. 9 M4.S& $ Thomas McKean, Director 20��s639• 61 200 Main Street FD Mp`l Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 NOTICE TO ALL BUSINESS OPERATORS WITH HAZARDOUS NUTERIALS IN BARNSTABLE The Town of Barnstable Town Council adopted, Chapter 108: Hazardous Materials, a requirement for each business operator to obtain an annual permit and to remit a fee of$100.00 if one-hundred and eleven (111) gallons or more of hazardous materials are stored, transported, utilized, and/or disposed of at a particular site. STEPS 1 — 2 — 3: 1. Please complete the attached application form. 2. Include a copy of your contingency plan (to handle hazardous waste spills, etc.) 3. Submit the fee of$100.00 payable to the: Town of Barnstable. MAIL all of the above to this office on or before June 30, 2008. A late charge of$10.00 will be assessed if payment is not received by July 1, 2008. Upon receipt of the fee and a completed application form, an inspection will be performed by the Hazardous Materials Specialist to complete the Hazardous Materials On-Site Inventory. A permit will be issued once the inspection is completed and has passed. Please feel free to view the above Code, Chapter 108: Hazardous Materials on the Town Website, www.town.barnstable.ma.us , which is located under the E-Code section if you should have any questions or concerns. I DaMilela) Bftr-utrhiters, In �. . • tskape,lls� ! P'on�st��Mct °on- ' �antenan.ce- 91 Flint Street Marstons Mills, MA SPILL CONTINGENCY PLAN 1. Evacuate the immediate area, only if necessary!! 2. Remove or restrict any potential ignition source from the area if the material is flammable. 3. Contain the spill by use of an absorbent sock, then apply appropriate absorbent material. 4. Remove all absorbed mate!+0 or contained liquid and Package in DOT approved container. Used absorbent materials have to be packaged separate. 5. Label all containers with the type of waste and the start date of accumulation. 6. Notify the appropraie agencies an� let Rob or Lisa know as soon as possible. 7. Once the spill has been controlled and the materials have been collected, and secured, inspect the area for cleanliness and decontaminate all equipment used in the clean up. 8. Replace all the used material and make sure that the response equipment is in working condition. 9. Manage and dispose of collected absorbents and liquid in accordance with the State and Federal Environmental Regulations. 10. Spill clean up equipment is located in Bay 6. 11. 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 and socks. b. Nitrile gloves c. First Aid Kit d. Eye Wash e. Fire Extinguishers t Number Fee 140 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Demelo Bros. Landscaping 91 Flint St., MA 02648 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 31, 2008 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. 5/31/2007 PAULJ. CANNIFF,D.M.D. THOMAS A. MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable Regulatory Services Thomas F. Geiler,Director i `NsrAB ' Public Health Division 639 4� �� 639 A Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE RE THAN III GALLONS OF HAZARDOUS MATERIALS �= FULL NAME OF APPLICANT ��Cy'+ 'be- L'o cv NAME OF-ESTABLISHMENT-_ - _. ir �SC j n ''. ADDRESS-OF ESTABLISHMENT ._.� ' I4 S . • fS YlS' f'�'li Zb g, C G TELEPHONE NUMBER SOLE OWNER: YES "0 IF APPLICANT IS A PARTNERSHIP,FULLNNAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. bq STATE OF INCORPORATION_ AS S(-\ GkvLe_+-�"S FULL NAME AND HOME ADDRESS OF: .PRESIDENT AO O Anda -Dr1•4Dne44d6,-je,-a:)A -63(,yj TREASURER. '-. o CLERK USA I lv\nA,.nt-n o�?3 -nF 3 fypn��' ice. Z;,xo6 . : : . . . Pfiigb . .. _.. .. SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS 40 AnChor-A-, 5 �� o11P lf�V TELEPHONE # 50 -qU) -392,? �.L LL } fro, ce� La,,,ndps,cape, ;� -C`o uet "o Ma tenance. a �7 91 Flint Street Marston Mills, MA SPILL CONTINGENCY PLAN 1. Evacuate the immediate area, only if necessary!! 2. Remove or restrict.-any potential ignition.source=from..the..area if v r,_ the material is;flammable. F a ;U 1 +1 11 41 ' 4 . 3. Contain the spill by use of an absorbent sock, then apply appropriate absorbent material. 4. Remove all absorbed material or contained liquid and package in DOT approved container. Used absorbent materials have to be packaged separate. s. Label all containers with the type of waste and the start date of accumulation. 6. Notify the appropraie agencies and let Rob or Lisa know as soon as possible.. .: ,.. 7. Once..the.spill:,has-.-been.-controlled and the materials have been :... collected, and secured, inspect the.area far cleanliness.and decontaminate all'equipment used in the clean up. 8. Replace all the used material and make sure that the response equipment is in working condition. 9. Manage and dispose.of collected absorbents and liquid in accordance with the State and Federal Environmental Regulations. • ;� 4t i -,,4�3i M f - i lo. Spill clean up equipment is located in Bay 6. 11. 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 and socks. b. Nitrile gloves c. First Aid Kit d. Eye Wash e. Fire Extinguishers Jr - DIle: '7 /Z�/ Dofv TOWN OF BARNSTABLE �- 2 TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: �0 BUSINESS LOCATION: eas INVENTORY MAILING ADDRESS: �� TOTAL AMOUNT: TELEPHONE NUMBER: CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: h��—�®a �q � MSDS ON SITE? TYPE OF BUSINESS: k"dSt-AAWj INFORMATION/ EC MMENDATIQNS: vu Fire District: q6 OerL ? _ P - wto o dn,me'. Waste Transportation, �� Last shipment of hazardous waste: A D P P Name of Haule Destination- Waste Product: i d Licensed Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the Gene a Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides J NEW ILUSED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids', Floor & furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers - 5 (including bleach) Spot removers & cleaning fluids (dry cleaners) aP Other cleaning solvents EtBug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS 71z�1d(9 OIL WASTE OIL OIL FILTERS ANTIFREEZE WASTE _ ANITFREEZE 5 I > Ov I I5 GASOLINE WASTE GAS DIESEL FUEL W/W FLUID ATF 55 i HYDRAULIC/ MISC. MISC. MISC. MISC. BRAKE FLUID COMMBUSTIBLE FLAMMABLE CORROSIVE PETROLEUM I' (GEAR OIL/GREASE/ LUBRICANTS) FREON ACETYLENE CAR WASH CAR WASH PAINTS/ WAX DETERGENTS THINNERS S f CLEANING BATTERIES/ POISION/TO IC CAULK/GROUT SOLVENTS BATTERY p ACID FERTALIZE•RS WASTE SOLVENT G�e12_ b�Q -� S MSDS Vs 4 oti MANIFESTS MCA "L ea.&e ocA o v-ik-d cj 61 vu,vv► ' o —e sted y der — oAcg n v p'A6,AV . Q� ® ab lbp ef r . I 1 I E Y Town of Barnstable oFtHe tom, Regulatory Services Thomas F. Geiler,Director Public Health Division * * sARNSTABLE Thomas McKean,Director * , v� 6i : 200 Main Street, Hyannis,MA 02601 ArFD Ml►'1 A Phone: 508-862-4644 Email: healthgtown.bamstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 August 25, 2006 Mr.Robert Demelo Demelo Brothers Landscaping 91 Flint Street i Marstons Mills,MA 02648 , Dear Mr. Demelo: Thank you for your time and cooperation during the hazardous materials inventory and site visit at Demelo Brothers Landscaping, 91 Flint Street,Marstons Mills on July 24,2006. This letter contains information from that visit that will help you become compliant with Chapter 108 of the Town of Barnstable Ordinance: Hazardous Materials. Enclosed is a copy of the Toxic and Hazardous Materials On-Site Inventory form from the visit. Please note the problems identified at your place of business during the hazardous materials inspection and their corresponding recommendations or orders listed below: PROBLEM: • There was a release around the base of a 55 gallon drum of oil that was surrounded with saturated speedy dry. ORDER: • Please dispose of the saturated speedy dry and replace with new speedy dry if absorption is still necessary. RECOMMENDATION: • Place absorbent pads on the top of the drums to collect any drips or releases. PROBLEM: • Parts cleaner lid was open when not in use. RECOMMENDATION: • Keep lid closed when not in use to prohibit vapors and fumes from exiting the system. This is a fire and health hazard. OBSERVATIONS: • Rag can with lid on site. • MSDS on site. On Site Inventory Total The Toxic and Hazardous Materials On-Site Inventory from July 24, 2006 shows that you have approximately 1,204 gallons of toxic and hazardous materials being used, stored, generated and disposed of at Demelo Brothers Landscaping, 91 Flint Street Marstons Mills,MA(Please see enclosed Toxic and Hazardous Materials On Site Inventory sheet If you have any questions about these problems,the orders and recommendations,or you need further information, guidance or assistance,please do not hesitate to contact the Public Health Division. Sincerely, Alisha L. Parker Hazardous Materials Specialist All orders to correct violations of Chapter 108 of the Town of Barnstable Ordinance: Hazardous Materials shall be co leted upon receipt of this letter. cKean,RS,CHO Director of Public Health Enc. On-Site Inventory(copy) I_ Town of Barnstable Pd 1 �FIME Tqh� Regulatory Services o� Thomas F. Geiler,Director ale MASS. ` Public Health Division - 9. 6. 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 fy)Gu-( APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT R O bU-� Dem6 0 NAME OF ESTABLISHMENT �Q.�(Y1��0 IJ`�p't'Y�2XS � 11(1IA�Pi ADDRESS OF ESTABLISHMENT I 1 V)� SST • mA Sys r"y i I1ST mA• O 4-G q? TELEPHONE NUMBER JCR' �2-1_ 3690 SOLE OWNER: YES v NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL�r E PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. o '@--(o0-)-70 STATE OF INCORPORATION M-(\SS► C Yl US-e 45 FULL NAME AND HOME ADDRESS OF: PRESIDENT 1Zo\oc) -t —1"nt(O O firc.ior71 <, Qms-�6aJe,yK\A O-" (ogq TREASURER CLERK UsiAvv\ro-.i Aw a3 e-nA I 02 ('0 `- - ! SIGNATURE OF APPLICANT 7 RESTRICTIONS: HOME ADDRESS U 4/)CA6g 'Dr. FDj�jd g lC, mA Q zroyy 4fOM=ELEPHONE# 6Z)& - VOO-3 9 ZS Q:\Apphcation Forms\HAZAPP.DOC 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 Back to Main Public Health Division Page Q:\Application FonnsTAZAPP.DOC A - LLI-ao ca"&e °�n�C�c n tton-1--bumap g y 91 Flint Street Marstons Mills, MA SPffLL CONTINGENCY PLAN 1. Evacuate the immediate area, only if necessary!! 2. Remove or restrict any potential ignition source from the area if the material is flammable. 3. Contain the spill by use of an absorbent sock, then apply appropriate absorbent material. 4. Remove all absorbed material or contained liquid and package in DOT approved container. Used absorbent materials have to be packaged separate. 5. Label all containers with the type of waste and the start date of accumulation. 6. Notify the approprate agencies and let Rob or Lisa know as soon as possible. 7. Once the spill has been controlled and the materials have been collected, and secured, inspect the area for cleanliness and decontaminate all equipment used in the clean up. 8. Replace all the used material and make sure that the response equipment is in working condition. 9. Manage and dispose of collected absorbents and liquid in accordance with the State and Federal Environmental Regulations. lo. Spill clean up equipment is located in Bay 6. 11. The following is a list of the spill equipment on site: a. Spill response lit capable of containing a spill of at least 25 Gallons. This kit includes absorbent spill pads and socks. b. Nitrile gloves c. First Aid Kit d. Eye Wash e. Fire Extinguishers Number Fee 140 THE COMMONWEALTH OF MASSACHUSETTS $loo.00 Town :of.Barnstable Board of Health This is to Certify that Demelo Bros. Landscaping 91 Flint St., MA, 0260. Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2007 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. May 24, 2006 PAUL J. CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health P � J Town of Barnstable OFTHE T Regulatory Services Thomas F. Geiler,Director Public Health Division sAuvsiAsiE. Thomas McKean,Director 9 MA . 9 200 Main Street, Hyannis,MA 02601 i63 �@, ,a;p iOrFp.Mp`l a Phone: 508-862-4644 Email: health(o)town.barnstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 November 9,2005 Mr. Robert DemeloDemelo Brothers Brothers Landscaping 91 Flint Street Marstons Mills,MA 02648 Dear'Mr. Demelo: Thank you for your time and cooperation during the hazardous materials iriveritory and site visit at Demelo Brothers Landscaping on October 20,2005. This letter contains information from that visit that will help you become compliant with Chapter 108 of the Town of Barnstable Ordinance: Hazardous Materials. Enclosed are copies of Chapter 108: Hazardous Materials ordinance and a copy of the Toxic and Hazardous Materials On-Site Inventory form from the visit. Please note the problems identified at v.U::f RiaCe Of vusliii:Ss during the hazardous n:2t:;ri;1S irisp_-Ctivn i<r'id thCir Cv.ie$pyndir'iQ recommendations or orders listed below: PROBLEM: • Contingency plan not posted in areas throughout the facility. ORDER: • Please refer to the Town of Barnstable General Ordinance: Chapter 108, Section 6 (A-H). Reviewing your contingency plan for hazardous materials spills and related emergencies (and its location throughout the facility)is highly recommended at this time. a •1' Please submit a contingency plan to the Town of Barnstable Health Depart ent and p,Q st the plan in the facility for reference. Cn PROBLEM: o °° 00 • Parts cleaner lid was open when not in use. 3r RECOMMENDATION: N • Keep lid closed when not in use to prohibit vapors and fumes from exiting he sys4 e-0 This is a fire and health hazard. �' On Site Inventory Total The Toxic and Hazardous Materials On-Site Inventory from October 20, 2005 shows that you have approximately 1467 gallons of toxic and hazardous materials being used, stored, generated _ 0 ID M -to E rr r- Lad' � p .D'e4yC;Qntrua �t�'ont Malntnanye 91 Flint Street Marstons Mills, MA SPILL CONTINGENCY PLAN 1. Evacuate the immediate area, only if necessary!! 2. Remove or restrict any potential ignition source from the area if the material is flammable. 3. Contain the spill by use of an absorbent sock, then apply appropriate absorbent material. 4. Remove all absorbed material or contained liquid and package in DOT :approved container. Used absorbent materials have to be packaged separate. 5. Label all containers with the type of waste and the start date of accumulation. 6. Notify the appropraie agencies and let Rob or Lisa know as soon as possible. 7. Once the spill has been controlled and the materials have been collected, and secured, inspect the area for cleanliness and decontaminate all equipment used in the clean up. 8. Replace all the used material and make sure that the response equipment is in working condition. 9. Manage and dispose of collected absorbents and liquid in accordance with the State and Federal Environmental Regulations. 10. Spill clean up equipment is located in Bay 6. 11. The followingis a list of the spill equipment on site: P a. Spill response lat capable of containing a spill of at least 25 Gallons. This ldt includes absorbent spill pads and socks. b. Nitrile gloves c. First Aid Kit d. Eye Wash e. Fire Extinguishers pl ee-k Date: TOWN OF BARNSTABLE wwd4z� 1", MATERIAL TOXIC AND HAZARDOUS S ON-SITE INVENTORY NAME OF BUSINESS: BUSINESS LOCATION: MAILING ADDRESS: it OTAL AMOUN TELEPHONE NUMBER: f— y0 CONTACT PERSON: lA&jl OLAW 06 EMERGENCY CONTACT TELEPHONE NUMBER: N � c � M ON SITE? TYPE OF BUSINESS: A- INF RMATIO /RECOMMENDATIO S: Fire District: " f Waste Transportation: Last shipme of hazardous waste: 6 D3— Name of Hauler• n Destination: Waste Product: Die Licensed? es No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) Misc. Corrosive 9 NEW 11D USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) /& Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc, petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor&furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers Ald f& ldffe*wt — 16'a j (including'bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS I Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS _.. ........ _. DBA: Demelo Bros.Landscapting Inc. Fax: ......... ... Corp Name: Mailing Address . _ .... Location: 91 Flint Street,Marstons Mills Street: 92 Flint Street .......... ........__ .......... mappar: 123-028-002-000 City: Marstons Mills Contact: 'Robert Demelo or Alisa Lamminer(dmbinc@a State: Ma Telephone: (508)428-3590 Zip: 02648 Emergency: (508)400-3928 Person Interviewed: Robert Demelo ........ ......... Business Contact Letter Date: 9/21/2005 __._... ........ ........... Category: Landscapers Inventory Site Visit Date: 10/20/2005 ......_.. Type: Follow Up/Inspection Date: C', public water ❑ indoor floor drains ❑ outdoor surface drains ❑ license required ❑; private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc d❑ currently licensed ❑ town sewage ❑ indoor catch basin/drywell ❑ outdoor catch basin/drywell expir 0/ 0 RJ date. 6/30/2006 on-site sewage ❑ indoor on-sites ste ------------------------------- g y ❑ outdoor onsite system 5/14/04 On Site Inventory completed. Very cooperative. Concerned compliance: about proper storage of lime. Proper labeling on waste barrels. Keeps Satisfactory manifests on site. MSDS are being pulled together by maintenance person. Check back to see if MSDS collection is complete.10/20/05 alp-MSDS on site,flammables cabinet on site,1 electrical lift with hydraulic fluid,no floor drains.RECOMMEND:keep parts cleaner lid closed when not in use,remove label from containers when not in use and re-label containers with contents if put into use again. i Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ Zero Toxic Waste Materials ❑ gty's>25 Ibs dry or 50 gals liquid but less than 111 gals ❑d city's 111 gals or more tles n tion �r unfit_,ofLmeasurp, P ��_ .._ ., g. antifreeze(for gasoline or coolant systems) 9 gallons waste oil ! 115 gallons motor oil E 291 gallons gasoline 20 gallons ...................__......;_—_._........___.....__ _..................._...._........ ._...._.._._.__..._........._ Lime 35 gallons fertilizers 572 gallons_ Misc.Poison --- _5gallons — — Misc.Flammable E 1 gallons ____........_. ____.___-__ _. __ _...... —..._..__._-.._..__ Fungicide 68 gallons paint,varnishes,stains,dyes 1 gallons Windshield Wash - 55 allons . misc.petroleum products:grease,lubricants 35 gallons waste antifreeze 110 gallons other cleaning solvents __10 gallons __...._.._..__.__....._-____._-_ _______... ........___. _ ___.._... ..__.__----.,,__.___.__...__,..._.__- ._.._._— Waste solvent 151gallons ..._......._........._._..............._........_.__.._.__._...._..... ......_......._._........._____._..........._..__.__..._____.._._.... Insecticide ( 59 gallons_ Herbicide 4 gallons _ Ice Melt �— ......45 gallons—..__._ ........ .- hydraulic fluids(including break fluid) 1 gallons _._ ...............__._..___..i__.___...._._..........______........._...._......_.___.._..________.. Misc.Corrosive 5 gallons Waste Transporter Cyn Oil Fire District: Centerville/Osterville __ ......... ..._ Last HW Shipment Date: 10/3/2005 Waste Hauler Licensed: Yes f Town of Barnstable °Ft ro,,ti Regulatory Services ' Thomas F. Geiler,Director ' ' MASS.� ' Public Health Division 1� g iOrF1639.3r 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. DATE S APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT "RO be C- - �'1 17-e---► le.L-0 NAME OF ESTABLISHMENT -De- me.loTnC ADDRESS OF ESTABLISHMENT I �I i nt Str`e e� �fl nS Ail �rMA C, TELEPHONE NUMBER0S — y a`g —35 10 SOLE OWNER: YES PTO a IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF L N 5 PARTNERS. ry m IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. O - a �,g STATE OF INCORPORATION N ftssprc kus c+ -5 FULL NAME AND HOME ADDRESS OF: (� PRESIDENT �pbe<4 rn e- "Dme-10 q0 �I'x�r- fir' 1y. rtS Gale , ry-\ .Oa-�-y q TREASURER Ut S A la4 ry\rn i n e-n a-3 13-n NWLV .) JE!d P 1 y rrvx"}-h� m fl.d 3 3 CLERK i SCE LrtryNcyiilien 'd 3 A-GUord 1 I mc-,L -H mA oa3(orj SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS q 0 A r�hOr `A r: 6r I-dc&-/rn A o26yy HOME TELEPHONE# SOS - 539 -813d Haz.doc/wp/q OIL WASTE OIL OIL FILTERS ANTIFREEZE WASTE -7 ANITFREEZE 3x5s 112 GASOLINE WASTE GAS DIESEL FUEL UID ATF 11-Y DRAULIC/ MISC. MISC. MISC. MISC. UID COMMBUSTIBLE YLAMMABLE RROSIVE PETROLEUM 1 c (GEAR OIL/GREASE/ 0�7 LUBRICANTS) FREON ACETYLENE CAR WASH CAR WASH PAINTS/ WAX DETERGENTS j INNERS I SEALANT CLEANING BATTERIES/ P _ ION/TOXIC CAULK/GROUT SOLVENT BATTERY ACID L ,c,� FERTALIZE WAS SOLVENT b "vf f ^ of L bi MSDS L, ()s ail b 3 %,ws :� 5 IbX i / MANIFESTS15 su Ihx 13l jn 06� �Ib x � l l � (V .e we Ua cc ose d (j) I C.i Pt z(tc� w v&J ®r— n l� Nin &WO,* (6) Application (7) Major Crop or (8) Total Amount of (4) Product Name (5) EPA Reg. No. Method Site Treated Concentrate Applied (see instruction sheet) Liquid Dry (0 - ►3 o S w - rn1 5 9 0-0-9 soc a A� CJQS •ow, 107 19-0-G 36 (-o(}o -!F!55 ibS 8 a.s a - o o S o �5� 1a eTro to a- - 393 s v S p,yy�-,r0. -D G }aex b au. I - 3 -j<- S w y a q 5 3 LAbs ��- 1n; n, �r S S k try% L =N s I Q ScA 6 3 ZS-y 39-1(A o� S 1 v 3 a(Z!o �- o-s (r- 6un �U 1 as i 4-1S VC,-r �o wC�10� a -31(0 - O- >-P (Yu 7-0 1 V�K� WA 1 derb,C, Io y o — q — a W �G \� W S o - a.3 S �i) >o Co ran PCk ss 31 as S loC, S 1 v o p Spy Y Gcn �o 0 rnAn� -e_ w s 5a r `-I(o S ► v SUM 5o wS b L�sc� TE 103tb-3� -\ oy Person responsible for preparing this report(Please print): (9) Name L-ISIA (^ fYlYh i e-,rl Company ED<�O -BruS . _%nC City mAr.S}r)r�N (r, 11SState (�(� Signature S� �..�,�,`,, Phone ( gj qzE 3lj�D Date L�-1 -U(j Zip D?Jloy d(,� Page----ol - �i I� u c_ CMG Me- 6 P A - ;2 e`� . r# U APP.f }iv �j y� (� � "k j0� C�CD P or To1-R\ AMnn�'- S�ic i nCc.+Cd ov c�,cQ.nIc pw P 1.e cJ �A 1��r •o l0`1 �1p a.y-a-S�yv a �� . �; —��_ 7 -3 a-I la-lo�/o� O -�P�Ay Gvn —1-0 31 2w t.v s a 5- y-)y- +04oy ZAX3 bs , 'Fro "75- PPs� 510 3(6 - 23(o S -T'.1 1 Lb . Q n� �nSec ejc- s� l f P,n�s C—v►)b a rY, e kc,n t YY1 G.,vi c o 2-e---ko 1 `?y i J Number Fee 140 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable VOW Board of Health This is to Certify that DeMelo Landscaping 91 Flint St., MA 02648 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------------------------------------------------------------------=------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2005 unless sooner suspended or revoked. ---------------------------------------- SUSAN G.RASK,R.S.,CHAIRMAN WAYNE MILLER,M.D. May 31, 2004 SUMNER KAUFMAN,M.S.P.H. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health t--6-LA'a-r'`'v(D©u Pcid �,� � Date: 5=/y—o(-1 TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAMEOFBUSINESS: ° BUSINESS LOCATION: IUTAILINGADDRESS: �" �� INVENTORY TOTAL AMOUNT: TELEPHONE NUMBER: SO$ CONTACT PERSON: �'1_ e5'SraP�r D e/1-ca c 113 EMERGENCY CONTACT TELEPHONE NUMBER: F��{E p(57�ICT TYPEOFBUSINESS: � ��:°r�h� C'�is4-P�r-✓s//e� OTHER INFORMATION: s �Q4ie C4 60-C-4r__ 40 e*PO4*W ,M S0S oh .54c s Waste Transportation: Name of Hauler: /VeS Destmatio: Waste Product: ,mot-dr Ae caaiA, , qsm,-tm, -- Licensed? e ' No 6zeA LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. . NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Observed (gallons): Antifreeze(for gasoline or coolant systems) Drain cleaners q c_ .NEW B USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor oils ( Pesticides cd� VNEW USED (insecticides, herbicides, rodenticides) ascline,or Jet Fuel Photochemicals (Fixers) 6 Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages_ Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car wakes and polishes Leather dyes Asphalt& roofing tar 4t9;T_.Aa Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride)- Paint &varnish removers, deglossers y Any other products with "poison" labels Paint brush cleaners V (including chloroform, formaldehyde,- . Floor&furniture strippers hydrochloric acid, other acids) Metal polishes Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or.hazardous (please list): Spot removers & cleaning fluids. Misc.: (dry cleaners) , /=/ = 3 d Other cleaning solvents Bug and tar removers J s _ V„ Hazardous Materials On-Site Inventory/Inspection For ALL Shops and Businesses: DBA: V e � Location: Date: Physical Features to Inspect. 1. Hazardous wasstte;generation sites (production/manufacturing areas): Q/ 2. Waste storage areas: / 3. Satellite accumul Lion points throughout: 4. HazMcrstored outdoors — CHECK OUTSIDE: 5. Shipping and receiving areas: 6. Run down of shop activities: 7. Housekeeping practices: ` e7 HazMat On-Site Inventory/Inspection: Records to Review for SQGs and CESQGs DBA: Location: Site visit date: • Hazardous Waste Manifests: v4 e..2- • Employee training documentation (if required): /� 1/ • Hazardous substance spill control and contingency plan: • MSDS on site? • HazMat Inventory records (if applicable): • HazMat Waste Shipping documentation: D • Spill records (if applicable): Al / Town of Barnstable-Health Department Page 1 >' HAZARDOUS MATERIALS INVENTORY SITE VISIT ��, DBA: Demelo Bros.Landscapting Inc. Fax: — Corp(Name: Mailing Address I Location: 91 Flint Street,Marstons Mills Street: 92 F t Street mappar. 123-028-002-000 City: Marstons i s Contact: Robert Demelo or Lisa Lamminer State: Ma Telephone: (508)428-3590 Zip: 02648'. Emergency: (508)400-3928 Person Interviewed: Robert Demelo Business Contact Letter Date: 5/7/2004 Category: Landscapers Inventory Site Visit Date Type: Follow Up/Inspection Date: public water ❑ indoor floor drains ❑ outdoor surface drains �/❑ license required ❑ private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc currently licensed ❑ town sewage ❑ indoor catch basin/drywell ❑ outdoor catch basin/drywell expir - - S �on-site sewage El indoor on-site syste El outdoor onsite system date: . .. ... .. .... 6/1/2004 ................................ compliance: ------------- r cpii G�� 027v 01 � � i Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ Zero Toxic Waste Materials ❑ gty's>25 Ibs dry or 50 gals liquid but less than 111 gals ❑d gty's 111 gals or more description: ,qty: I unitof measure , antifreeze(for gasoline or coolant systems) 4gallons ---...._...__.._._--------------___.__._....__..____.._._.._......_.__...._..___._.........._.._._._...__...._......._..___.._.._...__.. ..__._._..___.............._....__...................... .._..... automatic transmission fluid 12quarts hydraulic fluids(including break fluid) 165gallons waste oil 200gallons _.._.__W._.....___.._____...__......_....._..___......_._—__.__..........._.._.._........__............_...........__.._.__.___........._..-..........____.........-...-._._.__...._.._....-........ motor oil 165:gallons gasolire _ ��30 gallons diesel wel,kerosene,#2 heating oil 7W:gallons� degreasers for engines and metal _ 5:gallons bug and tar removers 5 gallons car waxes and polishes —1:gallons _.__......__..._______..___.___ .___.__..________........................._....._._......_ new lacquer thinner 1gallons disinfectants 1gallons .............__......_.__._....._........_._............_..........................._....._._____._....__.._.....____......._.._._..._.._.. road salt 200pounds pesticides 5 gallons ____....._._.____.__.__ ___..._.._.._.__._....................................._................._..._.........._.._._>....... ._.__.____ fertilizers 300pounds Waste Transporter: Fire District: Last HW Shipment Date: Waste Hauler Licensed: No Date: /ly-® TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAMEOFBUSINESS: s. s ` BUSINESS LOCATION: r, �, INVENTORY .MAILINGADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: 5-09 11218 �6-- b CONTACTPERSON:_ De2Q1 e,4, r7k;3, EMERGENCY CONTACT TELEPHONE NUMBER: TYPEOFBUSINESS: e �eREd`//e l OTHER INFORMATION:, S yam, Cj ,,,k 4D til ,v� 0517E 2AX a:12�" 2-, a,,dQZ2, 00 M5�5 Waste Transportation: Name of Hauler:. /ViE�5 Destination: Waste Product: Licensed?<� No LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. . NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Observed (gallons): Antifreeze(for gasoline or coolant systems) Drain cleaners rl c .NEW s5 USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor oils /Z . Pesticides . tasoline, /0NEW oUSED (insecticides, herbicides, rodenticides) a Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car wakes and polishes Leather dyes Asphalt& roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride)- JOW Paint&varnish removers, deglossers 2-2 Any other products with "poison" labels Paint brush cleaners Floor'&furniture strippers (including chloroform, formaldehyde, Metal hydrochloric acid, other acids) polishes Laundry soil &stain removers Other products not listed which you feel (including bleach) may be toxic or.hazardous (please list): Spot removers & cleaning fluids Misc.: Z-%rhx- (dry cleaners) Other cleaning solvents t,Uisa� �d L4h= :53-- Bug and tar removers Town of Barnstable °PYRE Regulatory Services Thomas F. Geiler,Director BA MASS, * Public Health Division 9� i6 � '°rFcn►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. 1 a 3-- Oa-g DATE -1-e bYUQ g-- APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT K010-P-C�- Mi dfA-e.L NAME OF ESTABLISHMENT -D�/A tLp '--g+o S • =n C ° ADDRESS OF ESTABLISHMENT 31 �-Ii n� S� ' � ►r'1(-S6S YY)0 1S, M A .C)3Lb4� TELEPHONE NUMBER 5D9 - Ll a 8- 3 s g 0 SOLE OWNER: YES NO , CW- IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION Qq-aL td)-7 78 1 FULL NAME AND HOME ADDRESS OF: I ^` Wit- PRESIDENT ��&.A midyPLL -Deft(L) i30 Pi4 . ftns-6nS mil(s}t'Yr�1 62b�j�' TREASURER Sr 1rMC nS O.bov-Q- CLERK LArnminPX�% a3 AOAAa3' "mod !O4mo<�, 120n 0236o ,c�l Q)e,6tjQm —� SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS 60 -Ii 04 5�cA- HOME TELEPHONE# 50g- yw- s Haz.doc/wp/q d •w Date: ► TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: _D�e YneCo ?xoS TnC . BUSINESS LOCATION: 91 CI inf SA-r'2.e._- 'rIncs4nAs tvi I[S 09 qS MAILING ADDRESS: sci- l-e- Mail To:: TELEPHONE NUMBER: 69- H a8- 3590 Board of Health Town of Barnstable CONTACT PERSON: TObe r'i- "De-r cLo cr U SCE LA mM i n� EMERGENCY CONTACT TELEPHONE NUMBER: Sag` LICO- Sc a8 -<2u P bHyannis, MA 02601 TYPEOFBUSINESS: Lea=}nr� Does your firm store any of the toxic or hazardous materials listed below, either for sale or for you own use? 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 character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity CAL - Antifreeze(for gasoline or coolant systems) C_ Drain cleaners --,,,Z NEW USED Cesspool cleaners `d S Automatic transmission fluid Disinfectants Engine and radiator flushes WRoad Salt (Halite) ' '`�• 5W>Hydraulic fluid (including brake fluid) - Refrigerants Z664Motor oils Pesticides ed✓NEW r/ USED insecticides, CerbDicidesrodenticides 30 Gasoline, Jet Fuel _ Photochemicals (Fixers) S6 Diesel fuel, kerosene, #2 heating oil NEW USED .3� Other petroleum products: grease, Photochemicals (Developer) 56-4L 601( ricants, gear oil NEW USED SL4 Degreasers for engines and metal _� Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) _ Swimming pool chlorine 0 Rustproofers C7 Lye or caustic soda r Car wash detergents _�2 Jewelry cleaners ar waxes and polishes � Leather dyes _ Asphalt & roofing tar ' L�SFertilizers 0 Paints, varnishes, stains_, dyes 0 . PCB-s L Lacquer thinners Other chlorinated hydrocarbons, _ZNEW USED inc. carbon tetrachloride Paint & varnish removers, deglossers 0 . Any other products with"poison"-labels Paint brush cleaners (including chloroform, formaldehyde, Floor & furniture strippers hydrochloric acid, other acids) . Metal polishes Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): 0 Spot removers & cleaning fluids (dry cleaners) 1{ Other cleaning solvents _ C) _ Bug and tar removers + WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS / If. ���'i'L1C11'1'lUN i'UR i'LRCOLAT10N TEST ANll ODSERVA'i'ION. PITS ✓ LOCATION r,�, I N T ST , VILLAGE MA 2S 7-QrJ S L LS. NO.. APPLICANT_ DATE _:Tam' VAt� <' !�� ADDRESS_ G4.'�' �o rxp r ,�� �:� ��r TELEPHONE NO. ZS'nx FEE r .r (Non-refundable ENGINEER DATE SCHEDULED _ TELEPHON C,.3c� A licant's ignature ' ASSBssOK's•D1A�e� lOg,•eNO� 0e 0 � 0 �e0 * 000 • • • • • • ee • • e • • • • • • • • eeee • • •eeeooseeee •e • • • • • • • • SOIL OG SUB-DIVISION NAME` G kx'wu,cle- DATE 1 D--O-3--9;� EXPANSION AREA: YES V-No TIME I1;50 TOWN WATER�(, pRIVATE WELL - � -• ' " 1-3 BOARD OF HEALTH SKETCH: EXCAVATOR (Street name,etc. ,dimensions of lot, exact location of test holes and percolation tests, locate wetlands in proximitY to test holes) NOTES* »,(�, v W • 01 .. v • i P PERCOLATION RATEa, N: TEST HOLE ZOLE ELE N0.uELEVATIO TES N0: em " " E 0 1 " ,� NATION2 EE _ . Id 3 A 2,5� ( S ,j3 �- �" 6 i a�� -elf, 5 � z 7 1& lei" 8 10 10- 12 11 �, 13 d 12 14 13 15' 1 gvv �, i� 14 16 ( 15 SUITABLE FOR SUB-SURFACE SEWAGE: LEACHINGIFIELD LEAC LEACHING TRENCHES__ HING PITS__ UNSUITABLE FOR SUB-SURFACE SEWAGE. REASONS:: NOTE: ENGINEERING PLANS MUST SHOW NUMBER ASSIGNED ON PERC TEST AP ORIGINAL: COMPLETED PLICATION COPY: RETAINED BY. APPLICANT P 0 BOARD OF HEALTH a ► -FLavtf Sr�, 'A .` `c. r c �mP W J ym u� ro s UPC 12543 No. 53LOR HOr*�u�a YM