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0040 INDUSTRY ROAD UNIT 1 - Health
0 ���bQ910o(. unff;� -?,MAT THEI°k� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARMA�,q E ' 200 Main Street• Hyannis, MA 02601 �F0 39.+'�� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: f k"Pity Date: IC I q Location/Mailing Address- 0 ` re, U ed&I Contact Name/Phone: twin. ki ti AM-, 3 Inventory Total Amount: _ MSDS: License#: Tier II : Labeling: Spill Plan: Oil/WaterSeparator: Floor Drains: ( Emergency Numbers: Storage Areas/Tanks: Emergency/Containment Equipment: Waste Generator ID: Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning,fluids Automatic transmission fluid Other clearing 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: INF RMATION/RECOMMENDATIONS: d 1iq uo, Inspecto �( ,'�'�v' Facility Representativ d i0 r v""��J WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS • Number Fee 1103 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that KONAUTO SERVICE ...............................................................................................................................•. 4 0 IND US TR Y R OAD Unit 14, MARS TONS MILLS, MA ........................................................................................................................................................................ Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. .................................................................................................................................................................... Restrictions: .................................................................................................................................................................... This license is granted in conformity with the Statutes and ordinances relating there to, and expires 06/30/2021 unless sooner suspended or revoked. ---------------------------------------- JOHN NORMAN DONALD A.GUADAGNOLI,M.D. 07/01/2020 PAUL J.CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable Inspectional Services BARNSTABLE • turtxsraat•an[th«t-teturt•rranwu f. Public Health Division 1639-7014 �Dg 1 Thomas McKean, DirectorRAW iOleD6 ►3119. 8.� 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 rn 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 vor CAi�— CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ _&30� *A late charge of$10 00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO../YES 2. IS THIS A PERMIT RENEWAL? _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 QUANT/ITIES(25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: 5. NAME OF ESTABLISHMENT: I\oij Aj l o le - 6. ADDRESS OF ESTABLISHMENT: -7 D 'T'N�V� J l2 �� le �c' i ? 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: I0 • �U Q f( 0 D G S 7 /t c/>//`� 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: ___/ 4i�J M © , Ca l 10. SOLEOWNER:-Z ES_NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME Kant e�f N'1 �.S C r:2✓j PRESIDENT C`r 1 TREASURER eA?f 1 LcL57 /L 211/4 n CLERK kAT i 4 1 as J—onL=_.D (V 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT - DATE J 6 Qmpplication Forms\Haz Mat Appli Draft Jan2019.d0cx l; �a Number Fee 1103 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that KONAUTO SERVICE 40INDUSTRYROAD Unit 14, MARSTONSMILLS, MA Is Hereby Granted a License For: Storing or Handling 111 -499 gallons of Hazardous Materials. This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2020 unless sooner suspended or revoked. ----------------------------------- PAUL J.CANNIFF, D.M.D,CHAIRMAN DONALD A.GUADAGNOLI, M.D. 07/01/2019 JUNICHI SAWAYANAGI THOMAS A. MCKEAN, R.S.,CHO Director of Public Health r. Town of Barnstable IME Inspectional Services 'T BARNSTABLE Public Health Division M11-1, XTo�1:jx —T BARNSTABLE, Thomas McKean, Director � �'� f 1.1 MASS. 039. 0. 200 Main Street, Hyannis, MA 02601 rX 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 I st—JUNE 3)Oth). APPLICATION FEES CATEGORY IPERMIT 26- 11OGallons: $ 50.00 1:3 CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 .9 k/6 T_ ch� CATEGORY 3 PERMIT 500 or more Gallons: $150.00 El 4r- *A late charge of$10-00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 060-6619'00t-4 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 NO. • � t �';ter", l 4. FULL NAME OF APPLICANT: tlk�z 5. NAME OF ESTABLISHMENT: J<0 A A vl c 4t.., 6. ADDRESS OF ESTABLISHMENT: 410 u -, te "/ R 13 M //,I 7. MAILING ADDRESS (IF DIFFER-ENT FROM ABOVE: '30 X �13 0.17-M Vz i 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: —,. 1A ou---d S Ka-AIZ 1", o C_ovt-% 10. SOLEOWNER: __V_/YES NO IF NO,NAME OF PARTNER: 11. FULL NAME, HOME ADDRESS, AND TELEPHONE# OF: CORPORATION NAME ko&j PRESIDENT , !TAYne,--j Aj-4-Z0dAj!j TREASURER _RA714L��%) CLERK /./,4 — me 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: *SIGNATURE OF APPLICANT L2 DATE Q:\Application Forms\Haz Mat App Revised 09-1k18 d,,—> Number Fee 1103 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that KONAUTO REPAIR 40 IND USTR Y ROAD Unit 14, MARSTONS MILLS, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------- -------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2019 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2018 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health r+ w of B nsxable �� �Voeglaatory Services Richard V. Scali,Director oft Public Health Division BAMSTABLE ? BARNgr"LF = Thomas McKean, Director NAPST�"ILLS.6;"o;"�� STAE� MAMS-iOrEc 059. e.`0� 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 2E— 110 Gallor_s: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 x V-$ . CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 0 HO 8 2. IS THIS A PERMIT RENEWAL? YES_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: �� 5. NAME OF ESTABLISHMENT: ' 6. ADDRESS OF ESTABLISHMENT: W 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: �•� - O&Ni ft,066, 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS:. br ((1 10. SOLEOWNER:�ES_NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE OF: CORPORATION AME ` PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: • NAME: TELEPHONE#: COMPANY SS EMAIL: SIGNA A IC DATE Q:\Application Fo MAT APP 2017 REVISED.docx Fee Number 1103 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that KONAUTO REPAIR 40INDUSTRYROAD Unit 14, MARSTONS MILLS, MA Is Hereby Granted a License �`�• For:-Storing or Handling 111 - 499 gallons of Hazardous Materials. ---------------------------------------------- ---------- ------------------- ----------------------------- ---------------- --------------------------------------- - - - - - - - This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2018 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2017 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health rf" • r own, of B ,astable �?/ / � 1�4 rclubf-6R Regulatory Richard V. Scah,Director Public Health Division BABSTABLE 'a � • B>R!i5ln6lE._FnrERv'ILLf.colLrt•m'uCli + •ARNSTABLE, Thomas• McKean,Director 639-2014 n w;asnua e:es•e 0E•ar:sr ea.n;rao;a '�� 9 MASS $ 9- • F1 3�s 200 Main Street, Hyannis, MA 02601 17g Office: 508-862-4644v/ / Fax: 508-790-63a4 �<� APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTERk108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1st-JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 x VS• CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. US a �aa L 2. IS THIS A PERMIT RENEWAL?--I,,/YES_NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONINGBUILDING.APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD:,QUANTITIES(25•GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: ) 5. NAME OF ESTABLISHMENT: G I / A✓ 6. ADDRESS OF ESTABLISHMENT: J4 0 :.��7 0j ?t 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: j� Y, 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: -�A I1��� (�r�6 n/,�/�►'► 0 • C:G M 10. SOLEOWNER:__V/YES_NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME K6 At 4Y th 0J.3/--J` �iR �l C� C, . PRESIDENT TREASURER__L!C 7/4 4 CLERK KA714[..c=Z.�J n4:59�2 a4i 12. IF PREPARED BY OUTSIDE PARTY: NAME:' TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE Q:Wpplication Forms\HAZMAT APP 2017 REVISED. Number Fee 1103 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that KONAUTO REPAIR 40 INDUSTRYROAD Unit 14, MARS TONS MILLS, MA Is Hereby Granted a License For: Storing or Handling 111 -499 gallons of Hazardous Materials. ----------------------------------------------------------------------------------------------------------------------------------------------------------------- —9 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 T - t Town of Barnstable • �tH ti Regulatory Services Richard V. Scali, Director "' "� Public Health Division BWSTABL a6;9 ,0� ears"ro"s° �r�i�COwg", "ursn € Thomas McKean, Director J 1639-2014 NY� �a� 200 Main Street, Hyannis,MA 02601 U' . Office: 508-862-4644 1� Fax: 508-790-63 �10 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORD'ANCE.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-XNE 30th). APPLICATION FEES CATEGORY 1-PERMIT 26— 110 Gallons: $ 50.00 ❑ 1/ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00l V S CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ • A late charge of$10.00 will be assessed if payment is not received by July 1st. ASSESSORS MAP AND PARCEL NO. DATE �%un� c' (3 FULL NAME OF APPLICANT: I NAME OF ESTABLISHMENT: �i�� �t C� ZS _ c ADDRESS OF ESTABLISHMENT: V J%/ )/ MAILING ADDRESS (IF DIFFERENT): /90 `I)o X (6 G`5 i ✓114 �- mA- o-a.-6'c5- i TELEPHONE NUMBER OF ESTABLISHMENT: EMAIL ADDRESS: --�/A�1 E�S �� N /� Ce tl-\ SOLE OWNER:-Z�i S NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME Ka^�. �vj7 o c�.j/.v �r210/c c s �K/ C- PRESIDENT �T 3 A4cE.a,yA o'1 TREASURER I T = v✓ CLERK L2 4M 2D IF PREPARED BY OUTSIDE PARTY: v. SIGN URE OF AjLftT Name: \ k Company Address Telephone#: Email: Q:\Application Fonns\HAZZAPP Rev ocx Page 1 of 2 Q \ Number Fee 1103 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that KONAUTO REPAIR 40 INDUSTRYROAD Unit 14, 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 C;, - Town of Barnstable Regulatory Services • Richard V. Scab,Director ` ELUENSTABIX ` H MAM ` Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax 508-790-6304 Application Fee: $100.0.0 ASSESSORS MAP AND PARCEL NO. d �" '` DATE a �� APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANTn, NAME OF ESTABLISHIYIEENT U l\ fI ADDRESS OF ESTABLISHMENT d - Y A,1,1,9 Lj V I TELEPHONE NUMBER U SOLE OWNER: /YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION N0._Q L� l 9 7 STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT ZMC� M, /V�o TREASURER TIC C �.✓ C,J; �`zl �'1 CLERK S NA OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TE_WHONE# CAcache\Temporary Intemet Files\0LKD30AZAPP Rev2015DOC iK r Town of Barnstable Office: 508-862-4644 Fav 508-790-6304 ©. Regulatory Services Department • BAaNsraaLK Public Health Division MASS. ;$' Thomas A.McKean,CHO � bMA.{61 200 Main Street, Hyannis, MA 02601 Payment Receipt 'Hazardous Materials Payment received: $100.00 Check on 6/12 2015 !1 Peck number: 12903 Check amount: 100.00 Name on check: Kon Limousine Service, INC. ';Business: Kon Auto Repair Owner: JAMES M NEEDHAM jAddress: 40 INDUSTRY ROAD, Mairstons Mills i 1 9 • • � l i THE Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 snRMAcLq 200 Main Street• Hyannis, MA 02 �i0'FD MP+s�O TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: 6�<o - I^Ce3'�"o{o��t o-yt,-- Date: Location/Mailing Address: qO ��s1'►'y 14 / �, /YI, Contact Name/Phone: [ra•a, okw—f-5 9t e) - Y28 - `1877 Inventory Total Amount: Sq�l MSDS: License#: 1� Tier II : Labeling: ©V\ Spill Plan: OK Oil/WaterSeparator: t4 Floor Drains: ! b Emergency Numbers: DY< Storage Areas/Tanks: �vark 5%tf,covt}a�vu.ty Emergency/Containment E ui ment: Waste Generator ID: �JA Waste Product: o� Date&Amount of Last S ipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: D I '�c l {ta�n5 o r rr'o t c�L �,I, LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: No k0&1\- 'J �( NO S J2b 0< 2[r�,nti,�..ert �ov\S Inspector: Gi V-e-1'Q� Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS Ce i YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates cost $40.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in the Town (WHICH YOU MUST DO according to M.G.L. - it does not give you permission to operate). You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 15t Fl., 367 Main St., Hyannis, MA 02601(Town Hall) and get the Business Certificate that is required by law. DATE L Fill in please: APPLICANT'S YOUR NAME/CORPORATE NAME I c,-f r-cox i-2 BUSINESS TYPE: BUSINESS YOUR HOME ADDRESS: / /�Jl� OZfo TELEPHONEHome Telephone Number o . Z $ mail Address C-r-a I PZ)L-jeC5 = d NAME OF NEW BUSINESS cfurY3 - r-cL o Have you been given,approval from the building division? YES NO ADDRESS OF BUSINESS MAP/PARCEL NUMBER D S When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S O This individual has been' r d of a Wermit requirements that pertain to this type of business. nzed ignature*" COMMENTS: 2. BOARD OF HEALTH MUST COMPLY WITH ALL E This individual has been informed of the r�E�ret at pertain to this type of business. HAZARDOUS MATERIALS REGULATIONS Authorized Signature- COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature*" COMMENTS: a TOWN OF BARNSTABLE Date: TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF'BUSINESS: BUSINESS LOCATION: a INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: �5n"6 CONTACT PERSON: 0,r*�t!j S EMERGENCY CONTACT TELEPHONE NUMBER: �36D ` Z7`� MSDS ON SITE? TYPE OF BUSINESS: e/.�.5 0 � 4-2Z INFORMATION / RECOMMENDATIONS: Fire District: Waste Transportation: ;;0- ; ? Last shipment of hazardous waste: Name of Hauler: 4k Destination: Waste Product: Licensed? Yes No 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 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) Miscellaneous Corrosive UNEW L1 USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts(Halite) Hydraulic fluid (including brake fluid) Refrigerants I/ f Motor Oils Pesticides lla NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED - ,/ jpwroD 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 Miscellaneous 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 (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes Laundry soil &stain removers (including bleach) Spot removers&cleaning fluids (dry cleaners) Other cleaning solvents I p� Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Ap i g ure I z 1 /lj Staff's Initials f IKE►o Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 7 gARMASS`E'g. 200 Main Street• Hyannis, MA 02601 �p 039.p�0 rFOMA� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: O y's 3c 6U- A. 1 Q Date: Location/Mailing Address: q b �.�, ,n�N., -* L -t-/ 4v Contact Name/Phone: S+cy e- .StS I _ 'tot� `-r) r„ Inventory Total Amount: MSDS: IV) License#: ' rl- Tier II : tvC> Labeling: re4-e„l Spill Plan: Oil/WaterSeparator: Floor Drains: AVor@ Emergency Numbers: Storage Areas/Tanks: Emergency/Containment Equipment: —' Waste Generator ID: Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: 1 y Caulk/Grout atvc-�r iN4�-,vrd- insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) r3erse iIr o 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" J '"��► If3 legr�, (including chloroform,formaldehyde, C`o� lvoG� hydrochloric acid, other acids) ORDERS: INFORMATION/RECOMMENDATIONS: `i Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS pp IKE Tpk, Town of Barnstable Office:508-862-4644 ~� Public Health Division Fax:508-790-6304 • BARN RS L 200 Main Street• Hyannis, MA 02601 i639 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rFD MA'S Business Name: �rae+4 Date: Location/Mailing Address: 9 6 1 Contact Name/Phone:J or (°��Rrm C f e, ��r-� _®rr,-77 `4-307 Inventory Total Amount: _ MSDS: License#:_ Tier II : Labelin4: / Spill Plan: Oil/WaterSeparator: 4r� Floor Drains: Emergency Numbers: Storage Areas/Tanks: Emergency/Containment Equipment: Q��l6 Waste Generator ID: T Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes 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: 'Pgn I JCL'L419 J VeOC , JfA a I/l�f GIRDERS: `�v� °�i�-,��r n Q llcgmAr l INFORMATION/RECOMMENDATIONS: Inspector: LQe T- Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS °FAME TOk, Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 Y BARMASSB`E'g 200 Main Street• Hyannis, MA 02601 q,A ,bM A,0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rFD Ay Business Name: S "I rn r`u -4=7 A �T Date: T�aa Location/Mailing Address: 410 ±F"; v Contact Name/Phone: o r S i vr, .&3 pS— )66 7 Inventory Total Amount: MSDS: A✓ License#: Tier II : Labeling: Spill Plan: Oil/WaterSeparator: Floor Drains: Emergency Numbers: Storage Areas/Tanks: Emergency/Containment Equipment: �V �- Waste Generator ID: Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes 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: A✓43 V t a l q`Th�ll cc -QPaER3- ,a u O ty Me' Wd 6v,e INFORMATION/RECOMMENDATIONS: Inspector: Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS �Ot1HE Tp� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARMASS .. e` 200 Main Street• Hyannis, MA 02601 t639 '�00 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT �f0 MAC Business Name: 0.S J 4e{ M v r- �� �tw�r- C vVyli Date: f Location/Mailing Address: vd ' Contact Name/Phone: ),,JI„ .64 2-79-797 6 q-,-k rhvnLi P-7:2 ®s1Z-1-k4 Inventory Total Amount: L� MSDS: A/ � License#: Tier II : Labelino: 4-Q, I Spill Plan: Oil/WaterSeparator: Floor Drains: Nny-te Emergency Numbers: Storage Areas/Tanks: Emergency/Containment Equipment: '1 - Waste Generator ID: Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes 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) ems: AwVAS 2CT9irl/VctV 15aq j S } l`X}rz A/`4 40 7-"m)9T INFORMATION/RECOMMENDATIONS: Inspector: Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS e Date: 7/ 3113 TOWN OF BARNSTABLE ---r, �t+o►� TOXIC AND HAZARDOUS MATERIALS FORM NAME OF BUSINESS: MRr►h-e_ c Jery,�5 y Glee_+ro/l+cs BUSINESS LOCATION: 1/0 < vQ #1I f 17 M./VI• INVENTORY MAILING ADDRESS: P 0. C301X 3 8 . ass+ova M+lls TOTAL AMOUNT: TELEPHONE NUMBER: .508 - y 2$ _ -/ 55- I I 1 q 41 CONTACT PERSON: �o� Car K� EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: �oa-4- yes INFORMATION / RECOMMENDATIONS: /Jrvra,ll Dula -bav aa�aR:L e tioo Fire District: 15 CIeAK_ ,c� of avi,s ►Z-r k►7d�C If at �' I�/► 1 ,� o n I v,x J2,ti�o ry ho}z-� s 4 -gC- max yw I t vr-1., 904 V4,+—I e S �yZ fo W�✓�1 G f t rtv"A o r&,erl S, MAX veKfior' , a ✓lof���resut at+ue,o arth„�f-++►pb�tEz✓�. Waste Transportation: lU A LZst shipment of hazardous waste: Name of Hauler: Destination: Pesk$' Beds - .seace 64teC_ Waste Product: Licensed? Yes No IF 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 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. / Maximu See Kp•�-��, ve ce: MAx, Observed / Maximum s�Antifreeze (for gasoline or coolant systems) Miscellaneous 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 NEW Iv LY USED .SS ,t i/y r (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals(Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) /o lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine /p Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's 3 Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ZNEW 7 ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) /p Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes 6)earzectl C_+i o g + ve A— Laundry soil &stain removers (including bleach) Spot removers&cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers S . 'L Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials °p IKE 7oh� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BA MASS98LE�l. 200 Main Street• Hyannis, MA 02601 'DtEOMP'� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT # Business Name: m ,P �P,r+v�e� �- Date: Location/Mailing Address: J4 0 =H J V\c+r%, 2 Contact Name/Phone: 10®W C Clark 563' '776 -5307 Inventory Total Amount: MSDS: i- »"rill) License#: Tier II :M5 Labelina: e-7 - I Spill Plan: Oil/WaterSeparator: OA Floor Drains: A10 — Emergency Numbers: Storage Areas/Tanks: -5& ft!O bna d-r L G`ow - Emergency/Containment Equipment: PCA s OYV `;,It Waste Generator ID: p1lI A Waste Product:.S,09� -8 i� Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: Hwy 0I- e a`rl-fz 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. Co aa� Antifreeze Dry cleaning fluids Automatic transmission fluid :5*)a-)L Other cleaning solvents&spot removers Engine and radiator flushes C wY5 Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash '3 Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants LJ Miscellaneous petroleum products: Road salts V%cvJ.-Giefr,b;r' 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: �Q� G» ORDERS: INFORMATION/RECOMMENDATIONS: e LT Inspect c a5 Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS IKE►or� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 M"M�`E ' 200 Main Street• Hyannis, MA 02601 1659. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: MAIC11 , 151 e& ro vt)�s Date: I( ga �' Location/Mailinc Address: y0 l �V5 K -I' I2 ,MA,I : x 33g 0. 0. Contact Name/Phone: oL:�, Soo- y Zi- SSSS Inventory Total Amount: � �P I MSDS. License#: Tier II : N 0 Labeling o* Spill Plan: Oil/WaterSeparator: Floor Drains: ()o Emergency Numbers: Storage AreaslTanks: aI NvwVwwA ,c,e, , ,cse� S r�%-)MJW.. o� 1 Emergency/Containment Equipment: k S ot, Oz, Waste Generator ID: o tt i«A Waste Product: Date&Amount of Last Shipment/Frequency: vyo- „& 9 1 + a•� -c Licensed Waste Hauler&Destination: Other Waste Disposal Methods: el -4<0L5 PO4r 4 o VtCV1, oe,+s �r p i oxe 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 S<-'wb (- 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 y. Lf Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products:s 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 �e, Printing ink Car waxes and polishes bO6` 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: INFORMAT N/RECOMMENDATIONS: 4- ct Z 14 II1 Inspecto . Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS Oster Murr Marine Canvas 40 Industry Rd Unit 17 40 Industry Rd. Marstons Mills 5 58 (<25 Gallons) Scott Peacock Building and Remodeling 40 Industry Rd Unit 18 40 Industry Rd. Marstons Mills 11/30/2016 5 58 (<25 Gallons) Euro-restoration 40 Industry Rd, Unit 15 40 Industry Rd, Unit 15 Marstons Mills 2/12/2016 5 58 (<25 Gallons) Sc cock ui Industry Rd Unit�� 18 4 Marstons i s 11/30/2016 5 58 (<25 Gallons) Euro- ism Unit 15 40 Industry Rd, -?. Unit 15 ' ar i s 2 2/2 5 58 Hayden B n rs 84 Industry Rd 84 Industry Rd Marstons� 5 58 Bo Industry Rd 45 Industry Rd. Marstons Mills 4/27 5 58 5 (<25 G bras 40 Industry Rd Unit 02 40 Industry Rd. 7 Mar ills 11/30/2016 5 58 Silv er t 40 Industry Rd Unit 04 40 Industry Rd. 0 5 58 Pratt C Industry Rd Unit 11 40 Industry Rd. Marstons Mills 5 58 (<25 Gallons) Marine Services & Electronics 40 Industry Rd Unit 12 40 Industry Rd. Marstons Mills 11/30/2016 5 58 Bayside �— O Industry Rd Unit 13 40 Industry Rd. Marstons s5 58 14 0 Industry Rd Unit 14 40 Industry Rd. Marstons Mi 5 58 (CLOS 40 Industry Rd Unit 15 40 Industry Rd. ars Vs 11/30/2016 5 58 dvstry 1 arstons Mills 5 58 Hayden Building Movers 84 Industry Rd 84 Industry Rd Marstons Mills 11/30/2016 5 58 -r5� Bortolotti Construction 45 Industry Rd 45 Industry Rd. Marstons Mills 4/27/2017 5 58 � �-�'v►� (<25 Gallons) Rob Dinan Signs 40 Industry Rd Unit 02 40 Industry Rd. ? Marstons Mills 11/30/2016 5 58 Silva Property Improvement 40 Industry Rd Unit 04 40 Industry Rd. ? , Marstons Mills 5 58 ' Pratt Construction 40 Industry Rd Unit 11 40 Industry Rd. Marstons 7 Mills ` 5 58 (<25 Gallons) Marine Services & Electronics 40 Industry Rd Unit 12 40 Industry Rd. Marstons Mills 11/30/2016 5 58 Bayside Building 40 Industry Rd Unit 13 40 Industry Rd. Marstons 7- 9 Mills 5 58 N� q KON Auto Repair 40 Industry Rd Unit 14 40 Industry Rd. Marstons Mills 11/7/2016 5 58 tjt6� She IZI (CLOSED) European Auto Specialist 40 Industry Rd Unit 15 40 Industry Rd. . Marstons Mills 11/30/2016 5 58 40 Industry Rd Unit 16 40 Industry Rd. Marstons Mills 5 58 er Murr M 0 Industr Rd t 17 - 1J3 Marsto 5 58 Hayden Building Movers 84 Industry Rd 84 Industry Rd Marstons Mills 11/30/2016 5 58 Bortolotti Construction 45 Industry Rd 45 Industry Rd. Marstons Mills 4/27/2017 5 58 (<25 Gallons) Rob Dinan Signs 40 Industry Rd Unit 02 40 Industry Rd. Marstons Mills 11/30/2016 5 58 Silva Property Improvement 40 Industry Rd Unit 04 40 Industry Rd. Marstons Mills 5 58 Pratt Construction 40 Industry Rd Unit 11 40 Industry Rd. Marstons Mills 5 58 (<25 Gallons) Marine Services & Electronics 40 Industry Rd Unit 12 40 Industry Rd. Marstons Mills 11/30/2016 5 58 Bayside Building 40 Industry Rd Unit 13 40 Industry Rd. Marstons Mills 5 58 KON Auto Repair 40 Industry Rd Unit 14 40 Industry Rd. Marstons Mills 11/7/2016 5 58 (CLOSED) European Auto Specialist 40 Industry Rd Unit 15 40 Industry Rd. Marstons Mills 11/30/2016 5 58 40 Industry Rd Unit 16 40 Industry Rd. Marstons Mills 5 58 Oster Murr Marine Canvas 40 Industry Rd Unit 17 40 Industry Rd. Marstons Mills 5 58 (<25 Gallons) Scott Peacock Building and Remodeling 40 Industry Rd Unit 18 40 Industry Rd. Marstons Mills 11/30/2016 5 58 (<25 Gallons) Euro-restoration 40 Industry Rd, Unit 15 40 Industry Rd, Unit 15 Marstons Mills 2/12/2016 '5 58 r 1. -a 3 � • r ... t .. .:� �-' -- ' � t VIA wo Lf n'! iv% 1-I-Cerk7C R ` ,. 4� .� .y � � - r. � 'r .. � III �.t _ n a _ � ,. � ' � . � � �.r -- � � .°FINE r° Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-7s0-6304 7 BARNSTABLE.g 200 Main Street• Hyannis, MA 02601 i639 M TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rE0 P'� Business Name: n�0 rt J.0 ice.,s U.�,A e, Date: I JA-03, Location/Mailing Address: F1 ,� �+� Contact Name/Phone. 3+rr SLNr- t -j o t "-i 5'n fir- -2.2 A_ Inventory Total Amount:+ S� MSDS: JV ) A License#: IV Tier II : )Va Labeling: re+*,J Spill Plan: I Oil/WaterSeparator: YVIA Floor Drains: 4V6nc% Emergency Numbers: ) Y - Storage Areas/Tanks: Emergency/Containment Equipment: Waste Generator ID: Waste Product: Date&Amount of Last Shipment/Frequency: 1 Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze , Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: �q-7,1 , Caulk/Grout G )vc -V insecticides,herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalts&400fing-tar» Y3�s�y�►-� � �r¢� § Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers LE `her dyes Miscellaneous Flammables Fet\ 17ers Floor&furniture strippers PCEis Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" e3 ),ct A�, (including chloroform, formaldehyde, 00 - ti hydrochloric acid, other acids) ``VIOL-A ReNS: E—-a-,- C-r o ` I�' n rrcl c n t R e.A n"., J-c 61 c,P,Kh.-2 ti ORDERS: INFORMATION/RECOMMENDATIONS: `efi/,.:1 15,4 4n A,-..k eAryt 7—`- V {/ j Inspector: r e Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS s ' IME Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BABNArABLE. 200 Main Street• Hyannis, MA 02601 t639 TOXIC AND.HAZARDOUS MATERIALS INSPECTION REPORT CEO MP'�s, Business Name: -Pre.+4 Date: Location/Mailing Address: b Contact Name/Phone: J or e 6' jar-k ` .26-933 r` v Inventory Total Amount: MSDS: All A License#: s/I x1 Tier II : Labeling: '! Spill Plan: �I f Oil/WaterSeparator: /Vj ea. Floor Drains: &A Emergency Numbers: � Storage Areas/Tanks: Emergency/Containment Equipment: �1 Waste Generator ID: 1 Waste Product: Date&,Amount of Last Shipment/Frequency:r Licensed Waste Hauler&Destination: �x Other Waste Disposal Methods: JYe LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS:OV,� , ` l.,P;a i_ G 1 �...� ��,. -�-� �.! ► _ ORDERS: &I 7'�?r4"i,' A INFORMATION/RECOMMENDATIONS: I;Fbot Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS 1/17/2020 Town of Barnstable,MA Town of Barnstable,MA Friday,January 17,2020 Chapter 326. Fuel and Chemical Storage Tanks § 326-5. Aboveground fuel storage tanks. All above-ground fuel storage tanks shall have the following: A. Provisions shall be made to protect the tanks from the elements. Rustproofing must be applied to all tank surfaces. B. Every aboveground fuel and chemical storage tank shall be placed and secured onto a foundation capable of supporting the tank. The foundation must be larger than the size of the tank in length and width to prevent spillage and leakage onto pervious surfaces. C. The tanks shall be securely anchored. [Added 7-5-1988, effective 7-6-1988] https://wmv.ecode360.comlprint/BA2043?g uid=6561486 111 Number Fee 1103 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that KONAUTO REPAIR 40 IND USTR Y ROAD, 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 sA f r 1' Town of Barnstable °F(HE rqk� Regulatory Services Richard V. Scali, Director B" MASS.`�' ' Public Health Division s639• ♦0 °lfa 39. 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 l APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT 712 �r NAME OF ESTABLISHMENT ® ADDRESS OF ESTABLISHMENT '� (J ill CJ %°� RWj /)Ir./6 TELEPHONE NUMBER j SOLE OWNER:�YES NO N IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS O LL fi81 PARTNERS: "- r-- CO 0% AA w - ' r-- IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. x. STATE OF INCORPORATION FULL NAME AND HOME ADD S OF: PRESIDENT �� 111 17 a�.0l��.i9 �� Q�T�2-�1 TREASURER _ -�; - 7-'EE��v) CLERK L�'� = n vlllE SIGNA URE 6F APPLICANT RESTRICTIONS: HOME ADDRESS f 7 f p � , ( �G�u'p// HOME TELEPHONE# _7 Q:Mpplication FormsViAZAPP.DOC r � D V K.O.N. LIMOUSINE SERVICES ........................................................................................................................................... 4075 FALMOUTH ROAD P.O.BOX 80 OSTERVILLE,MA.02655 PHONE(508)428-5025 FAX(508)428-9247 E-mail: kon@gis.net www.konlimo.com June 10, 2014 Barnstable Health Division, KON Auto Repair, located at 40 industry Rd. Marstons Mills, MA has in place the 3M oil spill absorbing barriers and the 3M oil absorbing mats. Thank you for your consideration in this matter. James Needham President 1 a Number Fee 1103 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that KONAUTO REPAIR 40 INDUSTRY ROAD, MAILING:PO BOX 80 OST. 02655, 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 . unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN r PAUL J.CANNIFF, D.M.D. 10/25/2013 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health K.O.N. LIMOUSINE SERVICES 4075 FALMOUTH ROAD P.O.BOX 80 OSTERVILLE,MA.02655 PHONE.(508)428-5025 FAX(508)428-9247 E-mail: kon@gis.net www.konlimo.com October 25, 2013, To Board of Health, Attached please find our plans for the water recovery system to be installed for 2013. Thank you for your consideration in this matter. Sincerely, Mr. James M. Needham President I `t} . y r °-AN11111 A E � USTOM .TI, WA TER RECOVERY SYSTEMS S . r Model CWR-15 ,.s Industrial Water Reclaim System Engineered Water Recycling Systems for: h • Hand washes, up to 3 standard garden hoses 1� • - Pressure washers, up to 4 @ 3.5 GPM each 4: • 0 — 15 GPM On-Demand } ........................................................................................................................................................................ Here's what you can expect: • A High-Performance turnkey water reclaim system A very deep factory direct discount • Odor Control Guaranteed! • Performance Guaranteed! • Site-Specific, highly detailed installation drawings • Factory Direct Support (by Real Humans!) Minimal Maintenance, no tools, low or no cost. • Oft-going Tech support for as long as you own.your machine • Five-Year Warranty! CATEC WATER RECOVERY AND OZONE SYSTEMS 2361 Whitfield Park Av. Sarasota,"FL.34243 TEL: (941) 751-5656 Fax: (941) 758-0815 e-mail: cateccwr(alaol.com www.catec.com Tot.t. Fee: 1-888-536-7100 } I �Yg Model CWR-15 Reclaim System aLAE c-CUSTOM - .�. ER RECOVERY YSTEMS 0". i d t0 A ae ,Ui le t0 zael System Applications: Up to 3 garden hoses p 3 w e U to 4 Pressure washers • Anywhere 15 GPM or less a ,• is required �.. ..-...: System Features: Powder Coated Aluminum Frame • Fiberglass Filter Tanks • Plumbing- Sch. 80 PVC, Solid Brass .iY • Ballast Tank w/ Press Switch and Stand • Pre-wired Controls for Turnkey Installation • Size- 71"w X 17"d X 68"h Instrumentation and Controls: • Weight- 650 Lbs • Filter Pump Control with ON Indicator r4 Filtration System: • Ozone Pump Control with ON Indicator • Ozone Pump Pressure Gauge 2.0 HP Filter Pump, Starter & Overload • Filter System Input Pressure Gauge • Brass Check Valves (2) • Filter System Output Pressure Gauge Pump Basket Filter • Re-Pressurization Pressure Gauge • 25 Micron Filter Pre-Filter • Filter Differential Pressure Gauge (1) Post Filters to less than 10 microns Ozone Power Control with Indicator • Exclusive Weep System • Ozone ON Indicator Pressure Relief Valve • Adjustable Ozone Flow Meter • Hose Bib for Reclaim Water -Filtration System Hours Meter • Onboard 115VAC Circuit Breaker Ozone Recirculation System: Also Included: • 3/4 HP Recirc. Pump w/ Starter & Overload 5 Year Limited Warranty • Pump. Basket Strainer w/ Check Valve Includes our exclusive pump suction CAT-800, 8 gm/hr Ozone System basket. This innovative device protects • Onboard Oxygen Concentrator system pump suction lines. A stainless • Onboard Air Compressor steel perforated screen is easily • Programmable Timer and Override Controls removed for cleaning. Foot valves and tank level sensors are all included. • Flow Control and Indicator Exclusive Ozone In ection System L: • J y For above ground tanks, foot valves and • NEMA 3R Fiberglass Enclosure screens are provided instead. Entire System is ETL Approved ri - Model CWR 15 Reclaim System Overview - Engineered to greatly -educe water and sewer use in vehicle washes, CATEC systems ,.: have passed the top bar in quality, performance, reliability and service. As an industry leader in, both Ozone Generators and Water Filtration Equipment, CATEC's engineering staff is able to quickly identify and resolve challenges concerning most water treatment issues. .. The CATEC CWR Series are turnkey water reclaim systems, which arrive pre-plumbed and e. pre-wired for easy instakation and operation. The Powerful Ozone System aids in removing oils and waxes as well as disinfecting and deodorizing. The five (5) step filtration process provides ten (10) micron, clean, odor free water to the wash system on demand. No post ' holding tank or sump pump is required. The systems small footprint takes only minimal `space in the equipment room. THE 'OZONE RECIRCULATION SYSTEM is operated independently from the pump filtration system and in general, is operational even after the vehicle wash has shut down for the day. The powerful eight (8) gm/hr CATEC Ozone re-circulation system serves to de- emulsify oil, wax, and dyes from solution, so that they may be easily captured by the micro pore filtration system. Ozone serves to kill algae and bacteria so that there will be no build- up of organic growth, nor will there be a build-up of odor forming bacteria resulting in - Odor Free Water. THE PRIMARY FILTRATION SYSTEM consists of a high volume pump, with an associated filtration array designed for maximum water quality recovery and to furnish high volume clean water to the vehicle wash system. The systems are designed to receive wastewater from the auto wash sumo and to process this water to remove all particulate matter of greater than ten (10) microns. In addition, the filtration system is designed to remove oils, road film and waxes, which could cause deterioration of the overall wash water quality. The systems provide water "on demand" and require no post holding tanks. '; MAINTENANCE is limited to. periodic changing of filters, which can be accomplished in minutes by general labor persons, leaving virtually no down time. There are no confusing backwash procedures or backwashing valves to deal with: A simple, one time set-up is all it takes to get the system in service. s QUALITY FEATURES include Powder Coated Aluminum Frame, Fiberglass Filter Tanks. Schedule 80 PVC, Solid Brass Plumbing, Self-priming Pumps, SSTL Hardware and much more. EXPECT A SAVINGS of 60% to 90% on water and sewer bills. Greatly reduce sewer Impact fees or build with no sewer at all! Comply with local, state and federal 'regulations, s� become immune to drought restrictions in your community. ` From small hand washes to full service tunnels, truck washes and everything in between, CATEC has the right equipment for your project. �y Installation and System Flow The drawing below represents a typical CWR Reclaim installation. CATEC will furnish "Site- Specific" AutoCAD drawings for each new installation. The drawings provided by CATEC will show plumbing sizes, flow and tank details, so each system is properly installed and set-up. P 9 Y P p Y � p• Actual Prints are 18' X 24" or 24" X 36" Do not plumb to this print!) K 1.5.. ?oNF ��` tY[TfB 9 gNCTiON . Lut GCT/0 OZONE 10111041 To4. (Co T N f •. O Rt-L 4 hS u[. 1 P S0Mp Y; !? P DICAGRAM FLOW FOR CATEC WATER RREECOVERY REFERENCE ONLY. ACTUAL CWR-15 A 35 RECLAIM SYSTEM nE EMENT OF CWR-15 & 35 RECLAIM SYSTEM EQUPLACIPMENT TBD ISO FLOW DIAGRAMS ABOVE GND. TANKS BY INSTALLER ISO FLOW DWG. REE OWO ONLY ;b x� wr[ x. P, NEr 3/11/03 1 s NTS i a A qualified electrician and plumber can easily install CATEC CWR Reclaim Systems. Concrete tanks are-typically acquired at a local septic tank supplier. If above ground tanks are desired, some simple system modifications can be made to accommodate this arrangement. CATEC will provide custom designs especially for your project. ;f. CALL TOLL FREE 1-888-536-7100 ,pY www.CATEC.com ,M' TOWN OF BARNSTABLE BAR-W 4524 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager cc V�.SoV�-- Address of Offender MV/MB Reg.# Business Name Y'M R,-o QCQ&N<- ' ; 1O pm, on /a 17 2013 Business Address yo W v-"�— 14 Signature _o orcin fficer Village/State/Zig a`r3V0Vl.S Location of Offense 'Kolb A,r�a 1 /� Enforcing Dept/Division Offense hb0. U(-.Q, �-y 0� -��v\. V ,Z-,�rQpos Facts ALLo �G�Y1Ge. t�iT�. +I, ��tS�'a�Jte— Cv4& , l: �e! l0?5 M0�'�- U)vj%A, ly -HA -7 00--a Y 5- This will serve only a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. i - '�- Town of Barnstable Barnstable Regulatory Services Department AHmmicaCRY Public Health Division 1 16;9. �,`� 200 Main Street, Hyannis MA 02601 m D " 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. ��� ���d L DATE / .3 APPLICATION FOR PERMIT TO STORE A,WOR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS /1 c= I �Z fI C /If scO aiq FULL NAME OF APPLICANT Gn� � ���, 9 NAME OF ESTABLISHMENTv-7> /�e=i9.A/>'L ADDRESS OF ESTABLISHMENT L{G Div 0 y,j J� / /�7 �/�/l��S MI11J TELEPHONE NUMBER G G/o� SOLE OWNER: V YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: w --1 rna CID Mom— hj Cf ex: ice. LIF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. - dZ co -- C) t9TATE kjNCORPORATION 121. BULL NE AND HOME ADDRES OF: PRESIDENT ����� �✓J 1'/i9--ITREASURER L- A j f-/C L s CLERK ATURE O APPLICANT RESTRICTIONS: HOME ADDRESS /7 /5'0/-9L/fie Ok, ® �/�✓I//� HOME TELEPHONE# JAinspection.handouts\Haz Mat Application2008.DOC s SPILL C®NTE%EINCY PLAIN Emergency Coordinator, Name: 'j Address: ! 7 1?2o y�4A I— I Daytime Phone: ft 776 J/2-J— Evening Phone: snZ of 7 , 3/ 9 5— Fire Department: Barnstable Public Health Division: 508-862-4644 DEP 24 Hour Spill Hot Line: 888-304-1133 Waste Hauler: Name: Phone: T� 7�4 a �( Building diagram indicating hazardous material/waste storage area, location of absorbent scavenger materials, fire extinguishers, fire alarms (if present), and evacuation route (if applicable). cV=Z— 7--1 GGU L13 J �U2 Actions to be taken to control a spill or release, and preventing it from reaching a catch basin, sewer system or the ground. l� f_ y s oFZHEr, Town of Barnstable Board of Health BARNSTABLE; 200 Main Street MASS. a �439. ���' . Hyannis, MA 02601 ATFD Mp'l A. Office: 508-862-4644 VVayne Miller, l D. Fax: 508-790-6304 P,3ui J. Canniff, D.M.D. Adopted Septei ber 5, 2006 Vehicle Washing Policy Vehicle washing with the use of cleaning solvents, including but not limited t x chemicals, soaps, degreasers and detergents, is expressly prohibited at any and all automotive repair shops, bus companies, automobile sales businesses, s vehicle rental businesses, vehicle detailing businesses, municipal owned ret air garages, and any other businesses or government agencies where an apprc viDd car wash system is not provided which meets all the Department of k� Environmental Protection Regulations; 310 CMR, the Division of Water P011L `on Control; 314 CMR and the Town of Barnstable Code; Chapter -108: Hazard& i. Materials. The spraying or rinsing of an engine or under-body of a vehicle is also considered "vehicle washing". S Exemption: Water from a spray nozzle or pressure sprayer The use of water from a spray nozzle, pressure sprayer or garden hose to sp my potable water only (without soap) to rinse dust and debris from vehicies is nc h, considered NehiclE� washing" for the purpose of this policy. However, the washing or rinsing of an engine or under-body of a vehicle by any manner is lot exempt, regardless of whether or not a spray nozzle, pressure sprayer or gar _en hose is used for these activities. Penalties Failure to comply with the Town of Barnstable Code, Chapter 108: Hazardou Jr Materials may result in a non-criminal ticket citation of $100.00. Each day's ;rry failure to comply with the Code shall constitute as a separate vioiation. FIER ORDER OF THE BOARD OF HEALTH Wavne Miller, M.D. Paul J. Canniff, D.M.D. 41 Q:\Hazmat\060906-Aieh1c1e Washing Policy.doc -Door IKE ro Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMSTBLE.�` 200 Main Street• Hyannis, MA 02601 039. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT RFD MAy s Business Name: ' 6)q f',PQ YC Date: 1 —30—J'a Location/Mailing Address: H y 791�1 JAg N+ n 3�z 1.) -, i + I�� 4?6•r5y 1?0 Os feyy )le Contact Name/Phone: S'1,C W,) Inventory Total Amount: MSDS: a 1q13JX License#: _ Tier II : NO Labeling: G k Spill Plan:�� 41�� - Oil/WaterSeparator: YJ4 Floor Drains: A10 Emergency Numbers: 11 Storage Areas/Tanks: Emergency/Containment Equipment: 7c2tik- An. V Waste Generator ID: /Y7 6? yaj-51 13 Waste Product: L41*4r o,, u Date&Amount of Last Shipment/Frequency: / V am, 3 T Licensed Waste Hauler&Destination: S' Other Waste Disposal Methods: � ? ix 00 ✓o-)!3 LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. C'- Antifreeze `�$wo' z'a� •— � G.Nr'V+S 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 t—,fs- Motor oils (N Er�-e 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 c� Degreasers for engines&garages `' Pesticides: Caulk/Grout insecticides, herbicides, rodenticides q ,vow 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) VIOLATIONSA/0 ORDERS: , :1 wt w S y� D INFORMATION/RECOMMENDATIONS: ►12��TSYZc� J- rn��✓ Inspector:C G:'E" Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS `op THE rOk,'b Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMAN Le.� 200 Main Street• Hyannis, MA 02601 1639. �p'EDMP+p,O TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: -K®W Date: I Location/Mailing Address: 1/0 UA 14- fO> 8p s r Contact Name/Phone: Inventory Total mount: •"' SD e,) MSDS: 0V�,�� `A- A.G6e_5 5 License#: t rJ +Z Tier II : D Labeling: �� a`�5 Spill Plan: (9 K Oil/WaterSeparator: Floor Drains: Emergency Numbers: Ye5 Storage Areas/Tanks: 1 t,,vKs - s,1 w �L ,�,&rt vAv>o�1 �1w�gh wa,5�. 2;P�fi Emergency/Containment Equipment: Waste Generator ID: V 0 14Vb 1 1 Waste Product: Oil e,-A*• �teg-;k- Date&Amount of Last Shi ment/Fre uenc : 9 k4 110 `� a1 e�Q, o•j�� r,��� Licensed Waste Hauler&Destination: 6 a� Ilo}� eV,. } — gw"Ak-, Ae-S Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. 1S Antifreeze ' �g+ 56'wdLg+e 7pvL\� Dry cleaning fluids kip Automatic transmission fluid 27c5r4 Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers V Hydraulic fluid (including brake fluid) Vri; Windshield wash SS kINotor oils 2-f,5,, k 5 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 7,0 Refrigerants p Ib R13y A Degreasers for engines&garages�JP 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: AA-"- INFORMATION/RECOMMENDATIONS: Inspector. Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS I `°Ft"Elow� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 9g"RM s,%. 200 Main Street• Hyannis, MA 02601 t639 M TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rE0 Py } Business Name: OAJ AV+o P-P- 4.I f Date: 11 /7 l� Location/Mailing Address: D 9 �l)A,+ i a. so t Contact Name/Phone: -'5k vx- s o k se.,- q2� -`7'�� I Cell sty-292-IbSjf � a5 S Z Inventory Total Amount: N' 5 eml MSDS: 016VQ,4ca4S License#: I tD ' eX P ' Tier II : n 0 1 Labelina: \&\o- 11 -6J"1&`7 Spill Plan: Dom,- \V14ti�-S�oQ Oil/WaterSeparator: NO Floor Drains: Klo Emergency Numbers: 5 ( t Storage Areas/Tanks: lov'l°i 6 ,�- A-r, G-114- Emergency/Containment Equipm nt: o fie, vt Va, k,2- Waste Generator ID: tI m q i Waste Product: 'Ott , ctA <e-e-s2 Date&Amount of Last Shi ment/Fre uenc : of ,n.2 ! Licensed Waste Hauler&Destination: !w u-: -� Other Waste Disposal Methods: O k r \ tt J 9 '5rvt(Q 201, 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. fi \\O Antifreeze uS tt.5S Dry cleaning fluids \\p Automatic transmission fluid 7,-1`5� Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers —� Hydraulic fluid (including brake fluid)S Windshield washrS et06 Motor oils 1-x5-5 +Suva**- 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 5 1 Refrigerants so Degreasers for engines&garagespia 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 Z Miscellaneous Combustible 2 &.e.c63cJ S 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: 0 occ 6, , 05 M , e_ dYl 4), INFORMATION/ ECOMMENDATIONS: Inspecto . Pft AA, Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS t IME►ok� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • RARMS�LE,g` 200 Main Street• Hyannis, MA 02601 �iOtFOru'+"�0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: ON k)�- R o l-( Date: I Location/Mailing Address: ` 0 �- UA, Ro rJ,tTQ - Contact Name/Phone: 4,-Jv`So w�,s Inventory ento Total mount: S) MSDS: 1444 e.l--ovt.1+`Ic-Ut e$kicense#: U a 3 --t4c Tier II : KN 0 V Labelina: hh 0Vl+P9 a &CAS Spill Plan:0) Oil/Water Separator: Floor Drains: 0 Emergency Numbers: Storage Areas/Tanks: a JVAk5 e & O A,� o ev. ko Emergency/Con i ment: s Waste Generator ID: Dit Waste Product: 0%� Date&Amount of Last Shipment/Frequency: QJXJi 04,d ! Licensed Waste Hauler&Destination: o 0& fii o" 1k e- Other Waste Disposal Methods: c.oc S 0 IN- fix— , avkk. vIl LIST OF TOXIC AND HAZARDOUS MATERIALS N V )o� ��aw5,t s +v- v`�pd� NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous m terial 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 Z 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, n hydrochloric acid, other acids) VIOLATIONS: � ORDERS: 904A 0-o a kV INFORMATION/RECOMMENDAT ONS: J4a- -t $ S D IA4- CIL%�Li1 Inspector: j Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS Date: 71 1-3 TOWN OF BARNSTABLEs stow TOXIC AND HAZARDOUS MATERIALS 41EZ19TRATtWL FORM NAME OF BUSINESS: _ 4<0/i Rv+v R-P-,pa,.l BUSINESS LOCATION: 10 RA I U-4,1: /I INVENTORY D �n0 , s� vMAILING ADDRESS: TOTAL AMOUNT. TELEPHONE NUMBER: .509- �7- 3 tg ga A CONTACT PERSON: -S�tau�►�- o►n,nsoy�, EMERGENCY CONTACT TELEPHONE NUMBER: evil J-09-292-- 16Sq MSDS ON SITE? TYPE OF BUSINESS: vwt,a,vJ-,evtG.vj c k `e- S INFORMATION / RECOMMENDATIONS: Fire District: Ma e r,A 1s 1,ceK -, /a.+A. a dO 1,ca }-, s f o v r r, Comm Q�Sor }S ►M �1� nvW, �o (2 ,IA der k .�Z ,< ,s m.*.,c,^AS V :CA4L Waste Tra�spot# ieA: /VIV�oB `fz�?11 I Last shipment of hazardous waste: Name of Hauler: .�� '2�y -r(�ee+�.. Destination: ,e x Cansf„� Waste Product: I X6+e. 01 Licensed? es o ieLt b,6S i3oZ.F 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 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 10 An ' eeze (for gasolineor coolant systems) Miscellaneous Corrosive NEW S�r ltl USED`T� Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts(Halite) 1- Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides 110 LitNEW oo C2'USED S5- (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous 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 Miscellaneous 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 (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes Laundry soil &stain removers (including bleach) Spot removers&cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials t TOWN OF BARNSTABLE BAR-W 4524 Ordinance or Regulation WARNING--NOTICE Name of Offender/Managerr� ,vt -.Jtvt 'ac�h Address of Offender MV/MB Reg.# Village/State/Zip Business Name k6t� A.-A o 10 ,a'/pm, on 1017 20 13 Business Address '40 717 ,,, .ai r j i kf 00 - r u Signature .of" E•nfo`rcing Officer Village/State/Zip Location of Offenset-) +r�,� y Enforcing Dept/Division Offense "t+�yt r� f.3{� s�„�. tlW( 7rc Facts This will serve only hsra warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. TOWN OF BARNSTABLE BAR_W ' UM Ordinance or Regulation WARNING NOTICE Name of Of f ender/Manager Address of Offender MV/MB Reg.# Village/State/Zip �` ' � ; am/ m on t� F`T 20 +i Business Name � r,,� r�ti. : ;.,�,x t �t P � —� Business Address ' _ „ ;4 Signature .of Enforcing Officer Village/State/Zip : . Location of Offense :<r rt._+ i Enforcing Dept/Division Offense ',;I # ;. 4 t 0. Facts i t This will serve only `asl a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFEND�R CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. °rISErow� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 B"M `E$ 200 Main Street• Hyannis, MA 02601 �"'FD►ea'�°�0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: Y IS Date: ®2 --2 Location/Mailing Address: 1 -- Contact Name/Phone: a � CVGS Inventory Total Amount: ' SIDS:62j,,;, License#: AIM Tier II : `i Labeling: i Spill Plan: Oil/Water Separator: A/) Floor Drains: Emergency Numbers: Storage Areaslranks: Emergency/Containment Equipment: Waste Generator ID: )Y A Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) windshield wash Motor oils i/ 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: P 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: A.aVie ORDERS: 1'j/' J A.-a 4, !'llisiAt�S — '►a 'ism INFORMATION RECOMMENDATIONS: 5" 1 J - Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS oFIME rod Town of Barnstable Office:5087862-4644 Public Health Division Fax:508-790-6304 BARNSTABLE. ` 200 Main Street• Hyannis, MA 02601 �°'FDeu:h TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: 5 r,&A'� &A C9` Q-e^" W Date: Location/Mailing Address: R hn 4' V5 Contact Name/Phone: .5r,o4-;- e4coe-VC og-LJ2,% --II,6'r-> Inventory Total Amount: � � MSDS:-�V 56.+4- License#: Tier II : No Labeling: t't ati k Spill Plan: Oil/WaterSeparator: Floor Drains: o Emergency Numbers: Storage Areas/Tanks: S k 0 Emer enc /Containment E ui m nt. Waste Generator ID: Waste Product: �r Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA,.hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers ti Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils 11, Miscellaneous Corrosives Z 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 3 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 2 Swimming pool chlorine 1 Paints, varnishes, stains, dyes k 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: INFORMATION/RECOMMENDATONS: u, v�� �Wt D�, 5 Vl o.� 5ua .c� $ Inspector- ' La,�,Al2 Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS