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0972 MAIN ST./RTE 6A(W.BARN.) - Health (2)
//OZM 4000LW 017A °a IKE►ok, Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 B"aMASS. 200 Main Street• Hyannis, MA 02601 Fo39 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: �yk"f"akievt�-s yb 6d Date: Location/Mailing Addr—es� 9-12 megiw s{ U). 6 rNSa'cwp- D ;K 1�6� Co ntact Name/Phone: Nc Inventory Total Amount: tab aw( MSDS: License#:--re 1> / Tier II : 14 I Labeling: OK 4E 0.1)A.\all Spill Plan: Oil/WaterSeparator: Floor Drains: iyo Emergency Numbers: Storage Areas/Tanks: t a waste- b, ar.. 1 Emer enc /Containment E ui ment: S ova.5 Waste Generator ID: WDDDD mN4Waste Product: 00t14 41A,V%we.f Date&Amount of Last Shipmeht/Frequency: Mo . �� 5 tv�,c-e, Z-0cif Licensed Waste Hauler&Destinati n: Other Waste Disposal Methods: WOLSkI,011 111, kv, f 1-,i `a Vf-k\1 c, — bVC1%5 01 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 11' 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 ti 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: V Caulk/Grout/X,tlres 2 insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes a� Wood preservatives(creosote) Asphalt&roofing tar �s Swimming pool chlorine Paints, varnishes, stains, dyes �.�� Lye or caustic soda Lacquer thinners 1�-4 Sy Jrtb,V�` A'\1k¢, Miscellaneous Combustible Paint&varnish removers,%glossers �°' 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) n t VIOLATIONS: (VOL 32b -S ©�k�� �V21 Skota _`E aw�C-w�e6Z5 *, lam ovt.. s6 t,DC A, 0 av, I L W <co-t-12�--V-a Q �5. 30 s A-o Q- 1 ORDERS: o o GC a tvj2 o . S �-o Sc ce,e ro,v` I FORMATION/RECORA KApKi ATiONS: U b ok I S Ald S1 v ac. Vk, e, 15 4-<'�• Inspector: e— C'a�e q a.r 2. �►�1�t c S .fie -AS 1,Loe ul c- 1 So\0+"t• ��.�1,��-,ox Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS °a�►+E►oq Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BAR.s.'gg'E�► 200 Main Street• Hyannis, MA 02601 "rFor5�9n+'�0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT �+ 7 8 !y Business Name: � �n4.v�,�.5 .sfo fgo� Date: Location/Mailin Address: 97 Z V44 S arms &4e- PO x qb Contact Name/Phone: Inventory Total Amount: MSDS: qv5 License#: t 4 Tier II : 0 0 Labeling: Spill Plan: Oil/WaterSeparator: Floor Drains: Emergency Numbers: Ye-5 Storage Areas/Tanks: o aw Emergency/Containment Equipment: 4 6!AL Waste Generator ID: 1M,Aq0DOO 119) Waste Product: �a�v k -��.�►u`,( Date&Amount of Last Shipment/Frequency: Apo q - 7 sti 0 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 V 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 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: u VJL44,5 V,ML .1 ORDERS: o a,Jk Qe,0 04 �r,w, D+I S�Ot�fSL-I'9Kk INFORMATION/RECOMMENDATIONS: 15 0-x-,5 to-via 4W b 1 Inspector: 'e, Facility Representative: \kJ WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS ' Date:/0/ 7 TOWN OF BARNSTABLE Date:lD/ 7 / 13 �s +o,� TOXIC AND HAZARDOUS /MATERIALS FORM NAME OF BUSINESS: -YA+ ayl,y,_/ f 66c BUSINESS LOCATION: �72- /1 4i&t S frk.s�- �yls�'a �le. INVENTORY MAILING ADDRESS: P D• 156U N;Z668 TOTAL AMOUNT: TELEPHONE NUMBER: .S08 - 362_- `f q3D s CONTACT PERSON: A) , I -}-, ee e EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: 6"a4 ,56.0 yes INFORMATION / RECOMMENDATIO S: v Fire District: �0 �l o ,otL Ste n&4- bzj&o--r e44*cG�.��C'>o' x �1) • 2 , l.(�- 'yA Q- �5`J G� M Q_ G� R vt ge-ewI T �l s /TT 2 �2TTt f c, i WoJI Cfca,-{e v -('erIm V o Q�Y+ o cS�"rr�a dQoor5 e a{ol3.D Waste Transpertatiew, /VI AV 000 01 1 82q- Last shipment of hazardous waste: a'I.OD - L,5,e. r' Name of Hauler: Sa�'� ee.,� Destination: 194 Waste Product: Licensed? a No ✓j,0008 y60 6& 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 .n, hazardous characteristics and must be registered regardless of volume. P Observed / Maximum Observed / Maximum ! Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive CANEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts(Halite) Hydraulic fluid (including brake fluid) Refrigerants 1 Motor Oils Pesticides AEW ❑ 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 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 3 Car waxes and polishes + r�l���wy_ � S Fertilizers Asphalt& roofing tar PCB's q 7 Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, 32- Lacquer thinners., r-eJ,,ctes, ti1r/P*-A6'rs (including carbon tetrachloride) NEW t7 FUSED 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 polishesSQ,Q� a' -GG � epovd� �1' � 11T Laundry soil &stain removers (including bleach) l0wo— c& 32(o . SAs) , '00 / Spot removers &cleaning fluids(dry cleaners) e&r-Coe,1 s �aK L YM.as k4ye,4, Other cleaning solvents y I_ Bug and tar removersloy(, p�L� {�/to�s A�i'(er,il l Windshield wash �� �- ioIML" /ky,4-fk ek wr"i WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials � j' Town of Barnstable, MA Page 1 of 1 § 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-i988] http://ecode360.com/printBA2043?guid=6561433&children=true 10/10/2013 ca, C Moo- le- ��v 00 D � Date:,J�✓S�-.d` TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: 3 BUSINESS LOCATION: Z aet) �Q MAILING ADDRESS: INVENTORY k TELEPHONE NUMBER: og � �lv� - . ,�6 TOTAL AMOUNT:6,6AA CONTACTPERSON: �t uJ a ; -Z5- avf 7.. EMERGENCY CONTACT TELEPHONE NUMBER: FINE pcsicT TYPEOFBUSINESS: OTHER INFORMATION: G: i-icc-e� - ` , �-e �`• - - ry1 i/esGu'ct e. ,/ VI k e2 Ajaaui. ,M S V 5 oh 5ik �r opt czc�4s aC2 �" was Waste Transportation: 001 � ''�-0)<IC_ "H� pus CJ«-4-�`. ✓ � j Name of Hauler: S Destinatio - 0� S!0� ,cam C S s/ Waste Product: Licensed Ye No ,� pa lea�Q a�NL1A5L�ck�. ,\a&h.A geck e.,a ooA �0�4 ,e_N�M�v % S— p Q ST OF TOXIC AND HAZARDOUS IL... The Board of Health has determined that the following products. sIT. s istics and must be registered regardless of volume. . r 2 NOTE: LIST IN TOTAL LIQUID.VOLUME OR POUNC17. Quantity Observed (gallons): ntifreeze for gasoline or coolants stems Di. NEW USED C,; Automatic transmission fluid Di -: Engine and radiator flushes RC r �` Hydraulic fluid (including brake fluid) RE. Motor oils PE:: i✓ � � -- _ y a a NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) :qi Diesel.fuel, kerosene, 42 heating oil NEW USED °`` 5`k+- �• Other petroleum products: grease, Photochemicals (Developer)(c. r,ee Tk lubricants, gear oil NEW USED d-ke-JDegreasers for engines and metal Printing ink��. - - -fit lJ" Degreasers for driveways & garages. Wood preservatives (creosote)P �( ) e attery.acid (electrolyte k Swimming pool chlorine Rustproofers �( � L o ,9 ye r caustic soda Car wash detergents Vwl -tt � t Jewelry cleaners ✓ Car wakes and polishes U �� Leather dyes v Asphalt& roofing tar r x Fertilizers Paints, varnishes, stains, dyes ��.�� pCg�s Lacquer t inners50 '.��J1� 5 (lthcr rhlnrin�+nrl k+irlr,,...�.h...... qm 5-r 4 3 ti i ,�►kt t5 mil V COoy"G01 V_ r V u,c� .vas 4,e, a-r�i.r'n M Sl�S 005r'k ('�rr�t-crc�n•Ie�- �( tir�,t� e•z�14�icCe.. ��e�l was Waste Transportation: 001 -7. e C (4 I cc.o -Name of Hauler: _ S Destinatio Waste Product: L Licensed Ye No LIST OF TOXIC AND HAZARDOUS The Board of Health has determined that the following products'. _ L� S istics and must be registered regardless of volume. . NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNC q Quantity Observed (gallons): c/Antifreeze gasoline asoline or coolants )stems Dig ( Y ,Vt.NEW USED CI _ �- � � w ;�••/ * Automatic transmission fluid Dik t ; 6t JEe 7q,' d 7 ? Engine and radiator flushes Rc Hydraulic fluid (including brake fluid) RE Motor oils Pe_ NEW USED (insecticides, herbicides, rodenticides) Z oat Gasoline, Jet Fuel Photochemicals (Fixers) Lj Diespi fuel, kerosene, #2 heating oil NEW USED �•Z`"' .Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ' NEW USED _ DeDreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) .Zo attery acid(electrolytev p- Swimming pool chlorine )Rustproofers Y C � L e 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, YLg NEW USED (inc. carbon tetrachloride)- ,3®aa�. Paint &varnish removers., deglossers � Any other products with "poison" labels Paintbrush cleaners (including chloroform, formaldehyde, Floor&furniture strippers Metal polishes hydrochloric acid, other acids) 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.: F/ '��7 - (dry cleaners) Q Other cleaning solvents C � Bug and tar removers i Date: /8-d� TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAMEOFBUSINESS: 3 BUSINESS LOCATION: Z MAILINGADDRESS: `� '� ���� INVENTORY TOTAL AMOUNT: TELEPHONE NUMBER: CONTACT PERSON: bLA e T/)4 A-Irl ® , 0 EMERGENCY CONTACT TELEPHONE NUMBER: )Fli�E pI s7 I TYPEOFBUSINESS: Aj&2jn &ad-4,6— OTHER INFORMATION: eierYv -6 sc-" o s &m r/e.4�"c l e. M - - u.c� g � az�34aicC� . �e..1 was-� Waste Transportation: �a'1� -e«� s/--o�cr c'' � 1-4 r.o�wlo Name of Hauler: _5a Destinatio Waste Product: 75adak Licensed Ye 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 zwt.NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants L,,'l Motor oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, 42 heating oil NEW USED �•Z`� .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) attery acid (electrolytevba- , Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's ✓ Lacquer thinners Other chlorinated hydrocarbons, .? NEW USED (inc. carbon tetrachloride)- Paint &varnish removers, deglossers Any other products with "poison" labels y Paint brush cleaners Floor&furniture strippers (including chloroform, formaldehyde, Metal polishes hydrochloric acid, other acids) 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.: F_7 (dry cleaners) Other cleaning solvents Bug and tar removers Town of Barnstable-Health Department Page 1 i HAZARDOUS MATERIALS INVENTORY SITE VISITS Corpeme: Huhtanen's Auto Body _ Mailing P 9 Location: 9721Main St. Street: mappar: City: W Barnstable Contact: State: Ma Telephone: �nterviewed: Zip: 02668. Emergency: / v�i( ( /—C I W 0 a / rs Business Contact Letter Date: Category: Inventory Site Visit Date: Type: Follow Up/Inspection Date: ❑ public water ❑ indoor floor drains ❑ outdoor surface drains 71t1 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 --- ❑d on-site sewage ❑ indoor on-site syste ❑ outdoor onsite system date: Clean up outside-Excess drums and scrap metal. PPE available. compliance: MSDS available. Need secondary containment for oil tank outside. Satisfactory r r t f y 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 gty's 111 gals or more 9Y description: � t;; „' a unitof measure,_ diesel fuel,kerosene,#2 heating oil 275 gallons ._..-.....--......_._............._... ......._...._.._.......f._...._.....---___..__..__._......_.._..._........-..__.-........_........ new lacquer thinner _ 1. ._.25 gallons Y - W paint,varnishes,stains,dyes 40gallons Waste Transporter: Safety Kleen Fire District: Last HW Shipment Date: —I"7-11% Waste Hauler Licensed: tS�__ �2 a ( � o N o . �Da N®-1r 0o i Hazardous Materials On-Site Inventory/Inspection For ALL Shops and Businesses: DBA: J`n��-i'ieM Location: c;;'1.`7 c>_� 54- Date: .�-l o-d Physical Features to Inspect. 1. Hazardous waste generation sites (production/manufacturing areas): 2. Waste storage areas: 3. Satellite accumulation points throughout: 4. HazMat stored outdoors - CHECK OUTSIDE: 5. Shipping and receiving areas: fy4A 8 6. Run down of shop activities: / 7. Housekeeping practices: / a t r HazMat On-Site Inventory/Inspection: Records to Review for SQGs and CESQGs DBA: Location: Site visit date: • Hazardous Waste Manifests: • Employee training documentation (if required): 816 o�A • Hazardous substance spill control and contingency plan: • MSDS on site? p� . • HazMat Inventory records (if applicable): • HazMat Waste Shipping documentation: • Spill records (if applicable): • � • C V'A 4� Number Fee 1274 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Huhtanens Auto Body 972 Main Street, West Barnstable, 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 rTeo � w of B nsxable Roegiaatory Services Richard V. Scah, Director of t"e • �, Public Health Division BARNSTABLE f1 r WsTonmlu- ERVLLtF•Ni11R•NYAISt15 BAMMB . ; Thomas McKean, Director "�°�""�1�`o;" -- - --- - .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 1st-JUNE 30th). APPLICATION FEES CATEGORY i PERMIT 26- 110 Gallons: $ 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 Ist. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL?A-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. 4. FULL NAME OF APPLICANT: A2 I / l -A� 4u&od 5. NAME OF ESTABLISHMENT: Ll u A -�q pe S 4-,,k r:,7.& 6. ADDRESS OF ESTABLISHMENT: 92J t'46FI 9/ 1 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: "q� 8. TELEPHONE NUMBER OF ESTABLISHMENT: _ -q� 9. EMAIL ADDRESS: 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE y� Q:\Application Forms\HAZNIAT APP 2017 REVISED. ocx a�1 - a1� Number Fee 1274 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Huhtan ens Auto Body 972 Main Street, West Barnstable, 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. r --------------------------------------- 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 ZZ:T Wd LTOZ 6T NPf r Town, of Unstable Regulatoervices �T r Richard V. Scah, Director 01639--2014 : Public Health Division :0: E15BAR'NSCABLE, a� MASS Thomas McKean, Director 1639. ` 200 Main Street H annis MA 02601 'Hyannis, 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 I PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 JO V,6. 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. 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. 4. FULL NAME OF APPLICANT: Ne, wj A j L"ncc 5. NAME OF ESTABLISHMENT: �/v k ft �P.V yim ucjr/ 6. ADDRESS OF ESTABLISHMENT: 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 561 zg ig 0 V g '%ll 9. EMAIL ADDRESS: 10. SOLEOWNER: �YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT q. h DATE Q:\Application Forms\HAZMAT APP 2017 REVISED.do x r.: Number Fee 1274 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Huhtanens Auto Body 972 Main Street, West Barnstable, Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. ------------------------------------------------------------------------- ----------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------- --------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2017 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable Regulatory Services Richard V. Scali, Director MAN&` T E Public Health Division BARNS 'OrEa Mpr s 1639-2019 T Thomas McKean;Director, 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-79W04 W A APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1st—JUNE 30th). APPLICATION FEES I I� CATEGORY 1 PERMIT 26— 110 Gallons: '$ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 1' CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ A late charge of$10.00 will be assessed if poMent is not received by July 1st. ASSESSORS MAP AND PARCEL NO. DATE FULL NAME OF APPLICANT: ALC / At ', NAME OF ESTABLISHMENT: +q ou Q u4p ADDRESS OF ESTABLISHMENT: 922 muAi S: tv, 9 r3q r u S' 4C f t 9,6 6� MAILING ADDRESS(IF DIFFERENT): TELEPHONE NUMBER OF ESTABLISHMENT: EMAIL ADDRESS: SOLE OWNER: AYES NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE# OF: CORPORATION NAME PRESIDENT TREASURER CLERK IF PREPARED BY OUTSIDE PARTY: SIGNATWO A PLICANT Name: Company Address : Telephone#: Email: QApplication Fonns\HAZZAPP Rev I6.docx Page 1 of 2 Town of Barnstable Inspectional Services BARNSr LE "� � `.t�Tf1..I MRNSfABi c.QfiLE I'I:L..WR•nxAHrcl' Public Health Division 9-2014 ` BARNSCABLE• Thomas McKean Director ec 59. 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 �eS y: APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS +y,'k :tan 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 3 Oth). APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00 ❑ . CATEGORY-2 PERMIT- -TI1 `499-Gallons'-' - $125.00' -X vs�l '~ 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. 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 4. FULL NAME OF APPLICANT: Y ' UYzJ � 5. NAME OF ESTABLISHMENT: 7 6. ADDRESS OF ESTABLISHMENT: ) Wl-60 t fp U?q Y tA,s b 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE QAApplication Forms\Haz Mat App Revised 09-10-18.docx IB*okti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BA MAKS.S.LE.p' 200 Main Street• Hyannis, MA 02601 MAS0 p 039.p�0 rFOM TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: Pi allat4q (r)[1,'Kion Date: �7 Location/Mailing Address: ° c Contact Name/Phone: S03-I A A- `6� Inventory Total Amount: a5 MSDS: up License#: Tier II :_ Labeling: 00 Spill Plan: Oil/Water Separator:_ Floor Drains: Emergency Numbers: Storage Areas/Tanks: 1 ® P `R Emergency/Containment Equipm orbmts aste Generator ID: Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS n® in AV}I p(y�— NOTE: Under the provisions of Ch. 111, Section 31, of the Ge eral Laws of MA_,9 azardous 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 Swimmin" pool chlorine Paints, varnishes, stains, dyes Lye o caustic soda Lacquer thinners Miel laneous Combustible Paint&varnish removers, deglossers Le ther 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/RECOMMENDAT ONS: St Inspector: Facility Representative. WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS TOWN OF BARNSTABLE BAR_W Ordinance or Regulation WARNING NOTICE Name of Offender/Manager r ./i� { "f�-x�r.��r^�! V ��� .�s..�.�x� � .,�* Address of Offender �1« .'�.,,„ ,� ,, x MV/MB Reg.# Village/State f ,�"+' rI t .�' °; Y Business Name I-J.co am/pm; on �� /20�/ ` t Business Address 4 -71 r Signature of Enforcing Officer Village/State/Zip !� . « ►s +! r ✓ t /' ';i 4146 9' Location of Offense j ;2 Enforcing Dept/Division Offense -rogg w i g �.t-nil ra..3 ? Mrs � t t-tsar A _T Facts / " i, "L ' t«rf. 7arrariaRgP*!i+w " 1-+ra rI�,�t rl . � i•► k-� "` ✓a1/,t, a -.e' 7�J �', ,9�'".44y'r;Z" s to E This will serve only as 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. —cowl Date:.J.�/8 d TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: �3 BUSINESS LOCATION: 2 aer) MAILING ADDRESS: INVENTORY TOTAL AMOUNT: 'TELEPHONE NUMBER: 09 - -.56 .�6 CONTACTPERSON: AZ � [scar-y7ee^/ ,r o �- EMERGENCY CONTACT TELEPHONE NUMBER: FIDE pt 5'7�ICT TYPEOFBUSINESS: OTHER INFORMATION: -Z pute. ar�i.r' M 5L7S CIO 54e—, f2W5 Caw "Q-L.� Z�71�1 MAW Cc�tvt`cr.��n,v�vt- �%t .�' azcs4ScC2 . �-�.�( visas Waste Transportation: 001 1C, it ,1H ZaAVA0tk_T (C)C44% ' Name of Hauler: Destinatio Waste Product: Licensed Ye 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): c,�Antifreeze(for gasoline or coolant systems) Drain cleaners .NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants ✓ Motor oils Pesticides � NEW USED (insecticides, herbicides, rodenticides) 2-Oat Gasoline, Jet Fuel Photochemicals (Fixers) Diese.G fuel, kerosene, #2 heating oil NEW USED �•Z`� .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) �oaftery acid (electrolytey 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)- .3®gal.Paint &varnish removers, deglossers Any other products with "poison" labels Paint brush cleaners Floor&furniture strippers (including chloroform, formaldehyde,- Metal polishes hydrochloric acid, other acids) 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.: F_ / ice ._ (dry cleaners) Other cleaning solvents Bug and tar removers .....: .,.r .f`..al^,_.. .;...h-..n....�"- +.'+..t-+../u"`-...ram .,..;r+�."°+-.^.fl�".+•."-.-.+...^.'tb..riW'_'._.wa..w^.....;1�.'.`-�^..✓''4•.r'4.•w..^.,^^r._.i"*,,,` .,`:1,.y.r'.^ TOWN OF BARNSTABLE BAR-W 5171 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager A)zi A ool Address of Offender MV/MB Reg.# Village/State/Zip J Business Name k1vk ,,w 2t� A,;+o_ >1141 17•'04) �°/pm, on fit'/0 20 Business Address 9 72- M6, 4- , t x �� '7 Signature of/ Enforcing Officer 0,e5+ Village/State/Zip &(— 7jAUe__ a 0;?64;9 Location of Offense UA ^.vt." 5 A,AU ea 1 1 Enforcing Dept/Division Offense V ©�li�+vv� to(? try . �C� „-.ft��� tsk � �t�a�ef nk,t o2.`i�� �l�vt ', " Facts 0'4('C-J� a- VaI+j 11f.0-,4-'�e_ . a�V'� o�?�c{►vt- This will serve only as 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. .... ..�._ ...-.. ..... .-.,y.-- ^v-..�.ry^,...,..r�.-f✓.kFt.-..,ry.,'.n.+.,•-4-*-.e..wr'^•:�-...�.,...:-�.: -^v.---r ---^ .+....^r-.r-.-�..^.v-....e.,^•=w+a,.•..--....�-.. -i-Y..,,Y...N......•. w*�....v. -,- . TOWN OF BARNSTABLE BAR-W 5171 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager IV , f p �'�t,; `' Address of Offender MV/MB Reg.# Village/State/Zip Business Named 1 + s.' 1+ ,.k1 „ x sr"�' ri^`°4 am/pm, Ong} f , 20 f ^ ' f Business Address � Signature o.f' Enforcing Officer Village/State/Zip ' _� t �` ', �, r11r4 o k, -2 ! , Location of Offense ��:"'� ��t�}� �,, �F«� ` Enforcing Dept/Division Offense `V► fi l f A, �� , t e . {r -fir 4, � s i r, _. � .. ,: ,�t /40 Facts �� �t �' tlr�y> y`r '� i � t� •: t > L..��' 1^¢^r 'L tf: i + tr 21'sE 11V1` ►Jr. t2'E This will serve only as 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.