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0661 OAK STREET (CENT./W.BARN) - Health (2)
aZ�� >�S���t � � _ f � �� c Number Fee 351 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Eversource Energy 661 Oak Street, Station 920 and 921, West Barnstable, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. Restrictions: -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and expires 06/30/2021 unless sooner suspended or revoked. ---------------------------------------- JOHN NORMAN DONALD A.GUADAGNOLI,M.D. 07/01/2020 PAUL J.CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable Inspectional Services BARNSTABLE Public Health Division 0, 0,BMIMM 1639-2010 VAMMBU& = Thomas McKean, Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 1, 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 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT. 500 or more Gallons: $150.00 "z PCA GhV,_1F *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. M I--- Od_"1 2. IS THIS A PERMIT RENEWAL?�C 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 QU'A/NTITIES(25 GALLONS)? YES NO. , 4. FULL NAME OF APPLICANT: ` /-SOLD t-re- 5. NAME OF ESTABLISHMENT: f7 D in 6. ADDRESS OF ESTABLISHMENT: to k S�� 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: Yr- e S , ✓V 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: iMdTl1 y• /Y'I opy� -g u� 2Ve rSOt-t r'Ce, c4vYl 10. SOLEOWNER: __YES_NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION.NAME ST eC1Y1C- albs &''✓e-SO a g00 -66d -��6`f PRESIDENT Jim 1 900 Qo S fi.70 _T - 96S i0y7 TREASURER ba CLERK 6 r2 a &f l e,i 1 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS EMAIL: *SIGNATURE OF APPLICAN DATE CAUsers\trippv\Desktop\Renewal Applicatio r 2020 Save or ST uick 1 ookupUiaz Mat App Revised 09-10-18.docx Number Fee 351 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Eversource Energy 661 Oak Street, Station 920 and 921, West Barnstable, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2020 unless sooner suspended or revoked. ------- ------ --- -------------------- PAUL J.CANNIFF, D.M.D,CHAIRMAN DONALD A.GUADAGNOLI, M.D. 07/01/2019 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health F Town of Barnstable °PIKE roy Regulatory Services r Richard V. Scali,Director 0,1 BA AS,q- a, Public Health Division BARNSTABI E '_' MASS. a Cam"} 1 39. Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 w' Office: 508-862-4644 Tax: 508-790-6304 l:�x 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— 1 l0 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY PERMIT 500 or more Gallons: $150.00 IN P. C T (I l� A late charge of$10.00 will be assessed if payment is not received by July 1st."�p u� L / �5 3�1�as3 • ASSESSORS MAP AND PARCEL NO. 19 5-02 9 DATE 6/2 6/19 FULL NAME OF APPLICANT: Eversource Energy NAME OF ESTABLISHMENT: Station 920 and 921 ADDRESS OF ESTABLISHMENT: 661 Oak Street MAILING ADDRESS(IF DIFFERENT): 1165 Massachusetts Ave MA-5 Dorchester TELEPHONE NUMBER OF ESTABLISHMENT: 1-617-5 41-7 8 5 8 EMAIL ADDRESS: timothy.montague@eversaurce .com SOLE OWNER: X YES NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME NSTAR Electric (dba Eversource Energy) , 800-662-7764 PRESIDENT Jim Judge, 800 Boylston St, Boston, MA 02199 TREASURER Phillip Lembo, 800 Boylston St, Boston, MA 02199 CLERK Greg Butler, 800 Boylston St, Boston, MA 02199 IF PREPARED BY OUTSIDE PARTY: SI �T,URE OF PPLICANT Name: Company Address Telephone#: Email: C:\Temp\HAZZAPP Rev I6.docx Page 1 of 06/28/2019 FRI 14: 23 FAX 617 629 3245 EVER60URCE U001/002 r �w 1165 Massachusetts Avenue,MA-5 h.? • E VE RS�'U RC E Dorchester,Massachusetts 02125 �4 i-L Thomas McKean r Director Public Health Division June 28, 2019 ry Town of Barnstable W-1 "D 200 Main Street N) Barnstable, Massachusetts 02601 Re: Application for Permit to Store and/or Use Hazardous Materials Station 920 and 921 661 Oak Street West Barnstable, Massachusetts Dear Dr, McKean: Pursuant to Town of Barnstable General Ordinance, Chapter 108,NSTAR Electric(dba Eversource Energy) is herewith submitting the completed permit applications for the storage and/or use of hazardous materials at the above referenced locations. Included with this submittal is a check in the amount of$150 to cover fees associated with the two permits, If after the review of this pen-nit application the Town of Barnstable is satisfied with this Submittal, I • respectfully request that a Permit to Store and/or Use Hazardous Materials be issued to Eversource Energy for the above referenced property. The permit may be sent to my attention at the address listed in the letterhead above or via email at timothy.montague@eversource.com, If you have any questions or concerns about this matter, please feel free to contact me at 617-541- 6240. Sincerely, 0 Timothy Montague Environmental Coordinator Eversource Energy ,4 r C-L 1165 Massachusetts Avenue,MA-5 EVE SEm"'URCE Dorchester,Massachusetts 02125 Thomas McKean Director Public Health Division June 28, 2019 Town of Barnstable 200 Main Street Barnstable, Massachusetts 02601 Re: Application for Permit to Store and/or Use Hazardous Materials Station 920 and 921 661 Oak Street West Barnstable, Massachusetts Dear Dr. McKean: Pursuant to Town of Barnstable General Ordinance, Chapter 108, NSTAR Electric (dba Eversource Energy) is herewith submitting the completed permit applications for the storage and/or use of hazardous materials at the above referenced locations. Included with this submittal is a check in the amount of$150 to cover fees associated with the two permits. If after the review of this permit application the Town of Barnstable is satisfied with this submittal, I • respectfully request that a Permit to Store and/or Use Hazardous Materials be issued to Eversource Energy for the above referenced property. The permit may be sent to my attention at the address listed in the letterhead above or via email at timothy.montague@eversource.com. If you have any questions or concerns about this matter,please feel free to contact me at 617-541- 6240. Sincerely, 0 Timothy Montague Environmental Coordinator Eversource Energy . s • ATTACHMENTS • i Number Fee 351 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Eversource Energy 661 Oak Street, West Barnstable, ALL Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2019 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2018 JUNICHI SAWAYANAGI - THOMAS A.MCKEAN,R.S.,CHO Director of Public Health eq f /SoC-hV-* Town of Barnstable �oFTHME T Regulatory Services ti Richard V. Scali,Director a QR"RNST"B " Public Health Division BARN1STAREE O 16 3 Q `0m ,;uE. c x szfcas:. A'fD N1°�A Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 , Office: 508-862-4644 Fax: 508-79046304 to t-0 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 IN A late charge of$10.00 will be assessed if payment is not received by July 1st. • ASSESSORS MAP AND PARCEL NO. 19 5-02 9 DATE 6/2 6/18 FULL NAME OF APPLICANT: Eversource Energy NAME OF ESTABLISHMENT: Station 920 and 921 ADDRESS OF ESTABLISHMENT: 661 Oak Street MAILING ADDRESS(IF DIFFERENT): 1165 Massachusetts Ave, MA-5, Dorchester TELEPHONE NUMBER OF ESTABLISHMENT: 1-617-5 41-7 8 5 8 EMAIL ADDRESS: - -timothy.montague@eversource.com SOLE OWNER: X YES NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME NSTAR Electric (dba Eversource Energy) , 800-662-7764 PRESIDENT Jim Judge, 800 Boylston St, Boston, MA 02199 TREASURER Phillip Lembo, 800 Boylston St, Boston, MA 02199 CLERK Greg Butler, 800 Boylston St, Boston, , MA 02199 IF PREPARED BY OUTSIDE PARTY: jU F APPLICANT Name: Company Address • Telephone#: Email: C:\Temp\HAZZAPP Revl6.docx Page 1 of 1165 Massachusetts Avenue, MA-5 EVERSIE".URCE Dorchester,Massachusetts 02125 Thomas McKean Director Public Health Division June 26, 2018 Town of Barnstable 200 Main Street Barnstable, Massachusetts 02601 Re: Application for Permit to Store and/or Use Hazardous Materials Station 920 and 921 661 Oak Street West Barnstable, Massachusetts Dear Dr. McKean: Pursuant to Town of Barnstable General Ordinance, Chapter 108, NSTAR Electric (dba Eversource Energy) is herewith submitting the completed permit applications for the storage and/or use of hazardous materials at the above referenced locations. Included with this submittal is a check in the amount of$150 to cover fees associated with the two permits. If after the review of this permit application the Town of Barnstable is satisfied with this submittal, I respectfully request that a Permit to Store and/or Use Hazardous Materials be issued to Eversource Energy for the above referenced property. The permit may be sent to my attention at the address listed in the letterhead above or via email at timothy.montague@eversource.com. If you have any questions or concerns about this matter,please feel free to contact me at 617-541- 6240. Sincerely, Timothy Montague Environmental Coordinator Eversource Energy Number Fee 351 THE COMMONWEALTH OF MASSACHUSETTS $15o.00 Town of Barnstable Board of Health This is to Certify that Eversource Energy 661 Oak Street, West Barnstable, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. ---------------------------------------------------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------- ----------------------------------------------------- 1�1 This license is granted in conformity with the Statutes and ordinances relating there to, and [T 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 Z_ THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Pf y a B oil k4. i OCO Town of Barnstable Regulatory Services Richard V. Scali,Director BMMSYABLE. _ BAMST LEMAC. $ Public Health Division i63q. �0 v0001u;14111 s`i1'.n`i x fGA v:r °'en►,�x� Thomas McKean Director "'a""4 200 Main Strcet,Hyannis,MA 02601 Office: 508-862-4644 �/--p py o is Fax. 508-790-6304 APPLICATION FOR PERMIT TOe�STORE AND/OR UTILIZE h 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). i APPLICATION FEES CATEGORY I PERMIT 26—110 Gallons: $ 50.00 ❑ ` CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ 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. 19 5-0 2 9 DATE 6/21/17 FULL NAME OF APPLICANT: Eversource Energy NAME OF ESTABLISHME NT:- Station 920 and 921 ADDRESS OF ESTABLISHMENT: 661 Oak Street MAILING ADDRESS(IF DIFFERENT): 1165 Massachusetts Ave MA-5; Dorchester TELEPHONE NUMBER OF ESTABLISHMENT: 1-617-5 41-7 8 5 8 EMAIL ADDRESS: timothy.montague@eversource.com SOLE OWNER: X YES—NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME NSTAR Electric (dba Eversource Energy) , 800-662-7764 PRESIDENT_ Jim Judge, 800 Boylston St, Boston, MA 02199 TREASURER_ Phillip Lembo, 800 Boylston St, Boston, MA 02199 CLERK Greg Butler, 800 Boylston St, Boston, MA 02199 IF PREPARED BY OUTSIDE PARTY: SIGnTUPdT QF APPLICANT Name: Company Address : • Telephone#: Email: CATemp\HAZZAPPRevl6.docx Page 1 of • a E'VE RS U RC E Dor ,Massachusetts Avenue, 5 r qd M ' Dorchester,Massachusetts 02122125 h�7 Thomas McKean Director Public Health Division June 20, 2017 —a Town of Barnstable , 200 Main Street `•° ` Barnstable, Massachusetts 02601 Re: Application for Permit to Store and/or Use Hazardous Materials Station 920 and 921 661 Oak Street West Barnstable, Massachusetts Dear Dr. McKean: Pursuant to Town of Barnstable General Ordinance, Chapter 108,NSTAR Electric(dba Eversource Energy) is herewith submitting the completed permit applications for the storage and/or use of hazardous materials at the above referenced locations. Included with this submittal is a check in the amount of$150 to cover fees associated with the two permits. If after the review of this permit application the Town of Barnstable is satisfied with this submittal, I . respectfully request that a Permit to Store and/or Use Hazardous Materials be issued to Eversource Energy for the above referenced property. The permit may be sent to my attention at the address listed in the letterhead above or via email at timothy.montague@eversource.com. If you have any questions or concerns about this matter,please feel free to contact me at 617-541- 6240. Sincerely, 0 Timothy Montague Environmental Coordinator Eversource Energy e Number Fee 351 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Eversource Energy 661 Oak Street, West Barnstable, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2017 unless sooner suspended or revoked. --------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/2016 JUNICHI SAWAYANAGI THOMAS A. MCKEAN, R.S.,CHO Director of Public Health r IV Y" Town of Barnstable afrgy Regulatory Services `d Richard V. Scali Director �r iwsabrae. � B Public Health Division LE .� t634. `q._• `_� Thomas McKean,Director 200 Main Street,Hvannis,.MA 02601 Office: 508-862-4644 ` Fax: .790 6304 i` APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE R HAZARDOUS MATERIALS f 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 El i CATEGORY 2 PERMI.T 111 -499 Gallons: $125.00 ❑ i i CATEGORY 3 PERMIT 500 or more Gallons: $150.00 IN A late"char.. e cat S (lgl}will-:.lie assc xsed i.f' avrrtnt=is.nt,t rec eivecl:ly In1�.1 st,. ASSESSORS MAP AND PARCEL NO 19 5-0 2 9 DATE 6/21/16 FULL NAME OF APPLICANT: Eversource Energy NAME OF ESTABLISHMENT: Station 920 and 921 1 - _ b ADDRESS OF ESTABLISHMENT: 661 Oak Street..... MAILING ADDRESS(IF DIFFERENT): 1165 .MaGsachusett::s Ave M_A-..5:; Dorchester ¢' TELEPHONE NUMBER OF ESTABLISHMENT:...,. 1-6 1.7-5 4 1-7 8. .8 1 EMAIL ADDRESS:, timothy.montague@eversource.com SOLE OWNER: ...X YES.. NO IF NO,NAME OF PARTNER: .... FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: k CORPORATION NAME._ NSTAR Electric (dba Eversource Energy) , 800-662-7764 PRESIDENT Jim Judge, 800 Boylston St, Boston, MA 02199 TREASURER Phillip Lembo,,_ 800" Bo lston. St, Boston MA 02199 s CLERK . _ Greg Butler, 800 Boylston St, Boston, MA 02199 IF PREPARED BY OUTSIDE PARTY: 'I" OF APPLICANT Name: .. _� �. Company Address i Telephone# Email• HI C.Vr nrp%11AZZAPP Rev i5 docx Page t or2 a a t s Mob v,b °pIKEroh4 Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARN�LE.A 200 Main Street•Hyannis, MA 02601 ;6,9 s,0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT RFD MA'S Business Name: �Sk&:< Date: 2 Location/Mailing Address: 661 Orde- 6+ 94<vts+,,W2.. Contact Name/Phone: Inventory Total Amount: MSDS: License#: Tier II : Labeling: Spill Plan: Oil/WaterSeparator: Floor Drains: Emergency Numbers: Storage Areaslfanks: 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: 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: o � %e>vAA.,-1 ovl 5. X4 4ov Q1 Inspector: Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS _ •e b 1 q °FzaE►ok Town of Barnstable Office:508-862-4644 i Public Health Division Fax:50ea90-6304 B"aM�`E ' 200 Main Street• Hyannis, MA 02601 "fFOM9. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: !� { � — Su�o1INCIA,n1'— Date: Location/Mailing Address: 66! Z>,L 54 1J• Contact Name/Phone: 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 11�1 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, hgrbicides,rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink - r. Car waxes and polishes Wood preservatives(creosote) a . - 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: )4a tyz�s�.�wa o,� 5 �p_ e 1 -(i,r D(}�r, I &,4 rLv-� II at 2 s+ F, �s , �r ,_�v� AJ �i�r t�)eeyI Inspector: • Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-,BUSINESS V)oyt-+ox,c— / I �st�� ���•GQ Sit a`s��'' Date: /_�;rO7 TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: A/Si�id2 GECTelC_ BUSINESS LOCATION: 6Z 0,4,Y,�,_h&,5T 6,49AJS7461E INVENTORY MAILING ADDRESS: 4' Sr 5 E ZSD loG IV,4 0.L4 O TOTAL AMOUNT. TELEPHONE NUMBER: LIB- ����- �n /• �' rs/f�e'ti`r CONTACT PERSON: 1���1%rWE7GH �( Poc(x/aS EMERGENCY CONTACT TELEPHONE NUMBER: 49/ _ 5YI" 912 �r�15P�1Zt�) MSDS ON SITE? TYPE OF BUSINESS: t2,t,Z772lL <SGl S r,-t-T 7C)AJ INFORMATION/RECOMMENDAT N - Fire Distri t: ice . • Waste Transportation:: 1111,4 -ti4 Last shipment of hazardous.waste: Name of Hauler:/Iy AU- Destination: Waste Product:` u_4it� OIL X itL, Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31 , of the General Laws of MA, hazardous materials use, storage and disposal of 11, 1 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages - Wood preservatives (creosote) Caulk/Grout 4,hi e�t.. Swimming pool chlorine ,ey�cle r(e 7� :Zev-S /fit lug Battery acid (electrolyte)/Batteries-149i, ' �u- Lye or caustic soda — ..Pru.f-4�-��- .tea-�--�cam- i�Z° Rustproofers���.��c.e,e Misc. Combustible Car wash detergent5,,,,Wjt;(,,•e,,, tvuferlev Leather dyes Car waxes and polishes 40mosrc7t�Cvr-4 Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor &furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers (including bleach) Spot removers &cleaning fluids (dry cleaners) `- c-r�. aU .IA�Z�/L( C?e�tZCun��cec,:(=-• Other cleaning solvents S�rzFtf2 4 FI-U 0,C7 5r, Bug and tar removers -cE � Ja��ti rnt ,�,� �•, c n-'�" "e e Windshield wash WHITE COPY-HEALTH DEP TMENT/CANARY COPY-BUSINESS Trans-X Mineral Oil Dielectric Fluid Eei H MATERIAL SAFETY DATA SHEET Revised: January 21,2014 page i of 3 MSDS #: 1864 i. Product and Company Identification PRODUCT IDENTIFIER: Trans-X Mineral Oil Dielectric Fluid CHEMICAL NAME: Re-refined Mineral Oil CHEMICAL FAMILY: Hydrocarbon MANUFACTURER: Environmental Protection Services,Inc. 4 Industrial Park Drive Wheeling,WV 26003 (304)232-1590 24 Hour Emergency Response 1-800-642-1311 2. Composition/Information on Ingredients CAS # Component Concentration 6 2-53-6 Hydro treated na hthenic mineral oil 128-3 -0 Butylated h dro oluene(2,6-ditertia -butul ara-cresol or DBPC) o.3% This product is NOT HAZARDOUS according to OSHA 29 CFR 1910.1200. 3. Hazards Identification 99.7%Petroleum Hydrocarbons Oral LD5o,Rats >5g/Kg Dermal LD50,Rabbits >2g/Kg 0.3%Phenolic Oxidation Inhibitor EMERGENCY OVERVIEW: Mineral oil may cause allergic reactions. Primary Routes of Entry: Eye and skin contact,inhalation Target Organs: Eyes,skin,respiratory tract Medical Conditions GenerallRecognized as Aggravated by Exposure: Persons with preexisting skin and respiratory conditions may be more susceptible to the effects of this product. Carcinogenicity: Mineral oil is not listed in the National Toxicology Program(NTP)Annual Report on Carcinogens and not listed as OSHA carcinogens. Highly refined mineral oils are classified as IARC_Group 3(not classifiable as to its carcinogenicity). 4. First Aid Measures Inhalation: Remove victim to fresh air and provide oxygen if breathing is difficult.Seek medical attention. Stan: Remove contaminated clothing and wipe off excess.Wash with soap and water or with waterless hand cleaner, followed by soap and water.Do not reuse clothing until cleaned. Ingestion: If swallowed,do not induce vomiting. In general,no treatment is required unless large quantities are ingested. Seek medical attention. Eves: Flush with water for 15 minutes while holding eyelids open.Seek medical attention. 5. Fire Fighting Measures FLAMMABLE PROPERTIES: Flashpoint 2750F Flammable Limits: No information Autoignition Temperature: No information EXTINGUISHING MEDIA: Water with foam,CO2 or Dry Chemical. Trans-X Mineral Oil Dielectric Fluid page 2 of 3 FIRE FIGHTING PROCEDURES: Wear full protective clothing,including protective gloves and boots. For respiratory protection,wear a NIOSH approved self-contained breathing apparatus with full face piece operated in a positive-pressure mode. Work upwind if possible. Cool fire exposed containers,surrounding equipment and structures with water. NATIONAL FIRE PROTECTION ASSOCIATION RATING: KEY 4=EXTREME,3=HIGH, 2=MODERATE, 1=SLIGHT,o=MINIMUM FIRE HEALTH REACTIVITY 1 1 O 6.Accidental Release Measures PROCEDURES FOR CLEANUP: Wear recommended personal protective equipment. Shut off source of leak,if safe to do so.Dike and contain.Remove with vacuum truck or pump to storage vessels.Soak up residues with absorbent.Dispose of waste at an appropriate disposal facility in compliance with Federal and local regulations.This product is an oil under the Clean Water Act.Keep out of surface waters and any water courses or sewers entering or leading to surface waters. 7. Handling And Storage HYGIENIC PRACTICES: Do not get in eyes,on skin,or on clothing. Wash thoroughly after handling. Wear recommended personal protective equipment. STORAGE: Keep away from heat,sparks,and flame.Keep container tightly closed. EXPLOSION HAZARD: Prolonged exposure to oxygen can create a potentially explosive condition. WORK PRACTICES: Keep away from oxygen.Keep away from heat,sparks,and flame. Keep container tightly closed. Use appropriate valves and piping. Maintain a leak proof system.Use non-sparking tools when opening or closing containers. Bond and ground all systems when handling. PROTECTIVE MEASURES DURING REPAIR AND MAINTENANCE OF CONTAMINATED EQUIPMENT: See Section 8. 8. Exposure Controls/Personal Protection ENGINEERING CONTROLS: Ventilation: Provide adequate local exhaust ventilation to minimize worker exposure as described in ACGIH Industrial Ventilation Manual. EXPOSURE CONTROLS: None established for the product. For oil mist,mineral: ACGIH TLV-TWA: 5 mg/m3 ACGIH TLV-C: 10 mg/m3(ceiling) OSHA PEL-TWA: 5 mg/m3 NIOSH REL-TWA: 5 mg/m3 NIOSH REL-ST: to mg.m3 The IDLH for oil mist(mineral)is 2500 mg/m3. PERSONAL PROTECTIVE EQUIPMENT: Respiratory Protection: Use NIOSH approved respirator for overexposure. Protective Gloves:Yes Eye Protection:Safety Glasses Other Protective Clothing or Equipment: Minimize skin contact. 9. Physical And Chemical Properties Appearance: Clear to Light Yellow Pour Point: <-4o°F(-40°C) Odor: Petroleum—Mild Solubility in Water: Negligible Physical State: Liquid Vapor Pressure: <o.1 mmHg Boiling Point: >4821 F(2500 C) Vapor Density(air=1): N/A Melting Point: -59.80 F(-510 C) H:N/A Specific Gravity: o.88 Viscosi @ 40°C: 12 cSt max Trans-X Mineral Oil Dielectric Fluid page 3 of 3 10. Stability And Reactivity STABILITY(CONDITIONS TO AVOID): Stable. Keep away from heat,sparks,and flame. INCOMPATIBILITY(SPECIFIC MATERIALS TO AVOID): Pure oxygen-This could form an explosive mixture. HAZARDOUS DECOMPOSITION PRODUCTS: Carbon monoxide and unidentified organic compounds may be formed during combustion HAZARDOUS POLYMERIZATION: Will not occur. 11. Toxicological Information Mineral oil mist is irritating to the eyes,skin,and respiratory tract. Oral toxicity is low;however,mineral oil is an aspiration hazard. While mineral oil is ingested orally for use as a laxative,ingestion of excessive amounts may result in nausea,vomiting,and diarrhea. Mineral oil has produced tumors in animal studies and has caused allergic skin reactions. Highly refined mineral oils are classified as IARC Group 3 (not classifiable as to its carcinogenicity). TOXICITY DATA: No information found for the product. 12. Ecological Information ECOLOGICAL DATA: No environmental toxicity data for the product. 13. Disposal Considerations WASTE DISPOSAL: Do not flush to sewer. Dispose in compliance with all local,state,and federal laws and regulations. 14. Transport Information HAZARDOUS MATERIALS/DANGEROUS GOODS CLASSIFICATION: Not Applicable 15. Regulatory Information TSCA: Mineral oil is listed on the TSCA Public Inventory. SARA 313 INFORMATION: Mineral oil does not contain a toxic chemical or chemicals subject to the reporting requirements of section 313 of Title III of the Superfund Amendments and Reauthorization Act of 1986 and 40 CFR 372. EINECS: 232-455-8 for mineral oil(CASRN: 8042-47-5) 16. Other Information WARNING: By following the directions and warnings provided with this product,the dangers associated with the use of this product can be greatly reduced but never entirely eliminated. Manufacturer makes no warranties,expressed or implied,with respect to this product and EXPRESSLY DISCLAIMS THE WARRANTY OF MERCHANTABILITY AND ANY WARRANTY OF FITNESS FOR A PARTICULAR PURPOSE. Users assume all risks in handling,using or storing this product. Dun & Bradstreet, N/A, Dun & Bradstreet, 042037148,tax id Other, 5086480142, 24 hr contact REGULATORY INFORMATION Subject to Emergency Planning under Section 302 of EPCRA(40 CFR part 355)? [x] Yes [ ] No Subject to Chem.Accident Prevention under Section 112(r)of CAA(40 CFR part 68, Risk Mgmt. Pgm.)? [ ]Yes [x] No Is the facility manned? [x] Manned [ ] Unmanned Maximum No. of Occupants: 6 STATE FIELDS No additional state fields are required by Massachusetts in the facility module. Requested Contacts: Carrier Information INCIDENTS No Incident data available. MAP DATA Latitude:41.706898 Longitude: -70.298759 [ ] Record is linked to MARPLOT object SCREENING &SCENARIOS No Screening&Scenarios data available. LOCATIONS Location:Tank is to the right, at lot entrance from Millway and stored in boats on lot. Chemical: Unleaded Gasoline Amount: 3750 gallons Type:Above ground tank Pressure:Ambient pressure Temperature:Ambient temperature Location: Boats stored in lots and storage racks Chemical: Unleaded Gasoline Amount: 67500 pounds Type:Other Pressure:Ambient pressure Temperature:Ambient temperature Location: Stored in batteries in boats and retail area. Chemical: SULFURIC ACID Amount: 1150 pounds Type: Other Pressure:Ambient pressure Temperature:Ambient temperature NOTES None available. NSTAR Station 920-Oak St. 115kV Sub Street Address: Oak Street Barnstable MA 02601 USA County: Barnstable Fire District: West Barnstable Cross Street: PHONES (Type& Phone Number) No Phone data available. CONTACTS NSTAR Emergency Dispatch, Phone: 24-hour: 617-541-7888 Phone: Mobile-Cell: 617-541-7855 LaMontagne, Eric, Environmental Coordinator Phone:Work: 781-441-3803 Phone: Mobile-Cell: 339-987-7018 Phone: 24-hour: 339-987-7018 NSTAR Electric Company, 9 Phone: 24-hour: 800-592-2000 Phone: 24-hour: 800-541-7888 CHEMICAL INVENTORY 7664-93-9 Sulfuric Acid (in batteries) 64742-53-6 MODF CHECKLIST [x] Submitted general site plan of facility to the state and local emergency planners (Sections 301-303 of ERCRA,40 CFR sections 300 and 355). [] MSDS received with Tier II forms [] All facility info(not including chemical info) is identical to last year's submission [J Are dikes or other safeguard measures employed? [] Site coordinate abbreviations submitted [x] Chemicals in Inventory records for facility [x] EHS Chemicals in Inventory records for facility [] Screening&Scenarios records for facility [] Incident records for facility [] Facility plotted in MARPLOT Date Tier II Signed: 2/21/2014 Signature: Eric E. LaMontagne, Environmental Coordinator ID CODES SIC,4911, ELECTRICAL SERVICES Dun & Bradstreet,006951552, NAICS, 221122, Electric Power Distribution REGULATORY INFORMATION Subject to Emergency Planning under Section 302 of EPCRA(40 CFR part 355)? [ ]Yes [x] No Subject to Chem.Accident Prevention under Section 112(r) of CAA(40 CFR part 68, Risk Mgmt. Pgm.)? [ ]Yes [x] No Is the facility manned? [ ] Manned [x] Unmanned Maximum No. of Occupants:0 STATE FIELDS No additional state fields are required by Massachusetts in the facility module. Requested Contacts: Carrier Information INCIDENTS No Incident data available. MAP DATA Latitude:41.6869 Longitude:-70.3499 ( ] Record is linked to MARPLOT object SCREENING &SCENARIOS No Screening&Scenarios data available. V p LOCATIONS 100 Location:Transformer 637401-BSJ,Outdoor Chemical: MODF Amount: 9126 gallons Type: Other Pressure:Ambient pressure Temperature:Ambient temperature i./ 00 Y Location: Battery Room Chemical: Sulfuric Acid (in batteries) Amou 00 pounds I ] a)►�16/,)�2i1 G,I Type:Other Pressure:Ambient pressure Temperature:Ambient tem erature NOTES No Notes data available. p� 10 NSTAR Station 921 Street Address: Service Road Barnstable Barnstable, MA 02601 USA County: Barnstable Fire District: Barnstable Cross Street: PHONES (Type& Phone Number) No Phone data available. CONTACTS LaMontagne, Eric, Environmental Coordinator Phone:Work: 781-441-3803 Phone: Mobile-Cell: 339-987-7018 Phone: 24-hour:339-987-7018 NSTAR Electric Company, Phone: 24-hour: 800-5 92-2000 Phone: 24-hour: 800-541-7888 NSTAR Emergency Dispatch, Phone: 24-hour: 617-541-7888 Phone: Mobile-Cell: 617-541-7855 CHEMICAL INVENTORY 7664-93-9 Sulfuric Acid (In Batteries) 64742-53-6 MODF CHECKLIST [x] Submitted general site plan of facility to the state and local emergency planners (Sections 301-303 of ERCRA,40 CFR sections 300 and 355). [] MSDS received with Tier II forms [] All facility info(not including chemical info) is identical to last year's submission (] Are dikes or other safeguard measures employed? [] Site coordinate abbreviations submitted [x] Chemicals in Inventory records for facility [x] EHS Chemicals in Inventory records for facility [] Screening&Scenarios records for facility [] Incident records for facility [] Facility plotted in MARPLOT Date Tier II Signed: 2/21/2014 Signature: Eric E. LaMontagne, Environmental Coordinator ID CODES NAICS, 221122, Electric Power Distribution Dun & Bradstreet,006953665, SIC,4911, ELECTRICAL SERVICES REGULATORY INFORMATION Subject to Emergency Planning under Section 302 of EPCRA(40 CFR part 355)? [x]Yes [ ] No Subject to Chem.Accident Prevention under Section 112(r) of CAA(40 CFR part 68, Risk Mgmt. Pgm.)? [ ]Yes [x] No Is the facility manned? [ ] Manned [x] Unmanned Maximum No. of Occupants: 0 STATE FIELDS No additional state fields are required by Massachusetts in the facility module. Requested Contacts: 11 Carrier Information INCIDENTS No Incident data available. MAP DATA Latitude:41.6870729 Longitude: -70.3498365 [ I Record is linked to MARPLOT object SCREENING &SCENARIOS No Screening&Scenarios data available. LOCATIONS (yd� Location: Station House, 2GT-9, Bank 1 Chemical:Sulfuric Acid (In Batteries) Amount: 1203.6 pounds g Type: Other Pressure:Ambient pressure Temperature:Ambient temperature Location:Station House, 2GT-9, Bank 2 Chemical:Sulfuric Acid (In Batteries) Amount: 1203.6 pounds Type:Other Pressure:.Ambient pressure Temperature:Ambient temperature Location: Station Yard,Transformer Chemical: MODF Amount: 37350 gallons Type: Other Pressure:Ambient pressure Temperature:Ambient temperature Location:Station Yard,Transformer Chemical: MODF Amount: 300 gallons Type: Other Pressure:Ambient pressure Temperature:Ambient temperature Location:Station Yard,Transformer Chemical: MODF Amount:300 gallons Type:Other Pressure:Ambient pressure Temperature:Ambient temperature NOTES No Notes data available. NSTAR Station 958-Barnstable 115 kV Switch Station Street Address: 52 Communication Way Barnstable MA 02630 USA County: Barnstable Fire District: Barnstable Cross Street: PHONES (Type &Phone Number) No Phone data available. CONTACTS LaMontagne, Eric, Environmental Coordinator Phone:Work: 781-441-3803 Phone: Mobile-Cell: 339-987-7018 Phone: 24-hour:339-987-7018 NSTAR Emergency Dispatch, Phone: 24-hour: 617-541-7888 Phone: Mobile-Cell: 617-541-7855 NSTAR Electric Company, Phone: 24-hou r:.800-592-2000 Phone: 24-hour: 800-541-7,888 CHEMICAL INVENTORY 7664-93-9 Sulfuric Acid (in batteries) 64742-53-6 MODF. CHECKLIST 12 [x] Submitted general site plan of facility to the state and local emergency planners (Sections 301-303 of ERCRA,40 CFR sections 300 and 355). [] MSDS received with Tier II forms [] All facility info (not including chemical info) is identical to last year's submission [] Are dikes or other safeguard measures employed? [] Site coordinate abbreviations submitted [x] Chemicals in Inventory records for facility [x] EHS Chemicals in Inventory records for facility [] Screening&Scenarios records for facility [] Incident records for facility [] Facility plotted in MARPLOT Date Tier II Signed: 2/21/2014 Signature: Eric E. LaMontagne, Environmental Coordinator ID CODES NAICS, 221122, Electric Power Distribution Dun & Bradstreet,006951552, SIC,4911, ELECTRICAL SERVICES REGULATORY INFORMATION Subject to Emergency Planning under Section 302 of EPCRA(40 CFR part 355)? [x]Yes [ ] No Subject to Chem.Accident Prevention under Section 112(r) of CAA(40 CFR part 68, Risk Mgmt. Pgm.)? [ J Yes [x] No Is the facility manned? [ ] Manned [x] Unmanned Maximum No. of Occupants:0 STATE FIELDS No additional state fields are required by Massachusetts in the facility module. Requested Contacts: Carrier Information . INCIDENTS No Incident data available. MAP DATA Latitude:41.6863 Longitude: -70.2846 [ ] Record is linked to MARPLOT object SCREENING &SCENARIOS No Screening&Scenarios data available. l�I LOCATIONS l Location: Battery Room Chemical: Sulfuric Acid (in batteries) Amount: 1136.4 pounds— 1 l Type: Other Pressure:Ambient pressure Temperature:Ambient temperature Location:Transformer 1 Chemical: MODF Amount:9044 gallons Type:Other Pressure:Ambient pressure Temperature:Ambient temperature Location:Transformer 2 Chemical: MODF Amount:9044 gallons Type: Other Pressure:Ambient pressure Temperature:Ambient temperature Location: Capacitor Bank Chemical: MODF Amount: 162 gallons Type: Other Pressure:Ambient pressure Temperature:Ambient temperature NOTES No Notes data available. NSTAR Station 961-Hyannis Junction 115 kV Sub Street Address: 13 105 Airport Road, Hyannis Barnstable MA 02601 USA County: Barnstable Fire District: Barnstable Cross Street: PHONES (Type& Phone Number) No Phone data available. CONTACTS LaMontagne, Eric, Environmental Coordinator Phone:Work: 781-441-3803 Phone: Mobile-Cell: 339-987-7018 Phone: 24-hour: 339-987-7018 NSTAR Electric Company, Phone: 24-hour: 800-592-2000 Phone: 24-hour: 800-541-7888 NSTAR Emergency Dispatch, Phone: 24-hour: 617-541-7888 Phone: Mobile-Cell: 617-541-7855 CHEMICAL INVENTORY 7664-93-9 Sulfuric Acid (in batteries) 64742-53-6 MODF CHECKLIST [x] Submitted general site plan of facility to the state and local emergency planners (Sections 301-303 of ERCRA,40 CFR sections 300 and 355). [] MSDS received with Tier II forms [] All facility info(not including chemical info) is identical to last year's submission [J Are dikes or other safeguard measures employed? [] Site coordinate abbreviations submitted [x] Chemicals in Inventory records for facility [x] EHS Chemicals in Inventory records for facility [] Screening& Scenarios records for facility (J Incident records for facility [] Facility plotted in MARPLOT Date Tier II Signed: 2/21/2014 Signature: Eric E. LaMontagne, Environmental Coordinator ID CODES SIC,4911, ELECTRICAL SERVICES Dun & Bradstreet,006951552, NAICS, 221122, Electric Power Distribution REGULATORY INFORMATION Subject to Emergency Planning under Section 302 of EPCRA(40 CFR part 355)? [ ]Yes [x] No Subject to Chem. Accident Prevention under Section 112(r)of CAA(40 CFR part 68, Risk Mgmt. Pgm.)? [ ]Yes [x] No Is the facility manned? [ ] Manned [x] Unmanned Maximum No. of Occupants:0 STATE FIELDS No additional state fields are required by Massachusetts in the facility module. Requested Contacts: Carrier Information INCIDENTS 14 No Incident data available. MAP DATA Latitude:41.67192 Longitude: -70.29682 [ ] Record is linked to MARPLOT object SCREENING &SCENARIOS No Screening&Scenarios data available. LOCATIONS I Location: Battery Room Chemical: Sulfuric Acid (in batteries) Amount: 568.4 pounds Type: Other Pressure:Ambient pressure Temperature:Ambient temperature l Location:Transformer XFMR 1, Outdoor Chemical: MODF Amount: 8825 gallons Type: Other Pressure:Ambient pressure Temperature:Ambient temperature Location:Transformer XMFR2, Outdoor Chemical: MODF Amount:9640 gallons Type: Other Pressure:Ambient pressure Temperature:Ambient temperature Location: OCBs Chemical: MODF Amount:436 gallons Type: Other Pressure:Ambient pressure Temperature:Ambient temperature Location: Capacitor Banks Chemical: MODF Amount: 330 gallons Type: Other Pressure:Ambient pressure Temperature:Ambient temperature NOTES No Notes data available. Treatment Facility 2 Barnstable Fire District Water Department Street Address: 223 Breeds Hill Road Barnstable MA 02630 USA County: Barnstable Fire District: Barnstable Cross Street: Mailing Address: P.O. Box 546 Barnstable MA 02630 USA PHONES (Type& Phone Number) 24-hour 508-362-6498 CONTACTS Rooney,Thomas,Superintendent Phone: Emergency: 508-362-6498 Phone:.24-hour: 508-362-6498 Marshall, Richard, Senior Operator Phone: Emergency: 508-362-6498 Phone: 24-hour: 508-362-6498 & Remington, Borden, Carrier Phone: 24-hour:800-424-9300 CHEMICAL INVENTORY 1310-53-8 POTASSIUM HYDROXIDE CHECKLIST [x] Submitted general site plan of facility to the state and local emergency planners (Sections 301-303 of ERCRA,40 CFR sections 300 and 355). [] IVISDS received with Tier II forms 15 SCREENING &SCENARIOS No Screening&Scenarios data available. LOCATIONS Location:treatment building Chemical: POTASSIUM HYDROXIDE Amount: 36000 pounds Type:Above ground tank Pressure:Ambient pressure Temperature:Ambient temperature NOTES The "manned" pump stations means there is a daily service check at each of these facility locations. NSTAR Station 911-Centerville 23 kV Sub Street Address: Old Stage Road Centerville MA 02632 USA County: Barnstable Fire District: COMM Cross Street: PHONES (Type& Phone Number) No Phone data available. CONTACTS NSTAR Emergency Dispatch, Phone: 24-hour: 617-541-7888 Phone: Mobile-Cell: 617-541-7855 LaMontagne, Eric, Environmental Coordinator Phone:Work: 781-441-3803 Phone: Mobile-Cell: 339-987-7018 Phone: 24-hour: 339-987-7018 NSTAR Electric Company, Phone: 24-hour: 800-592-2000 Phone: 24-hour: 800-541-7888 CHEMICAL INVENTORY 64742-53-6 MODF CHECKLIST [x] Submitted general site plan of facility to the state and local emergency planners (Sections 301-303 of ERCRA,40 CFR sections 300 and 355). [] MSDS received with Tier II forms [] All facility info(not including chemical info) is identical to last year's submission [] Are dikes or other safeguard measures employed? [] Site coordinate abbreviations submitted [x] Chemicals in Inventory records for facility (] EHS Chemicals in Inventory records for facility [] Screening&Scenarios records for facility [] Incident records for facility [] Facility plotted in MARPLOT Date Tier II Signed: 2/21/2014 Signature: Eric E. LaMontagne, Environmental Coordinator ID CODES SIC,4911, ELECTRICAL SERVICES Dun & Bradstreet,006951552, NAICS, 221122, Electric Power Distribution 83 REGULATORY INFORMATION Subject to Emergency Planning under Section 302 of EPCRA(40 CFR part 355)? [ ] Yes [x] No Subject to Chem. Accident Prevention under Section 112(r) of CAA(40 CFR part 68, Risk Mgmt. Pgm.)? [ ] Yes [x] No Is the facility manned? [ ] Manned [x] Unmanned Maximum No. of Occupants:0 STATE FIELDS No additional state fields are required by Massachusetts in the facility module. Requested Contacts: Carrier Information INCIDENTS No Incident data available. MAP DATA Latitude:41.6628 Longitude: -70.3551 [ ] Record is linked to MARPLOT object SCREENING &SCENARIOS No Screening&Scenarios data available. LOCATIONS , 5 Location:Transformer 2-2441,Outdoor Chemical: MODF Amount: 1365 gallons a Type:Other Pressure:Ambient pressure Temperature:Ambient temperature Location:Circit Breaker,Outdoor Chemical: MODF Amount: 50 gallons Type: Other Pressure:Ambient pressure Temperature:Ambient temperature Location: Regulators-3 Chemical: MODF Amount: 213 gallons Type: Other Pressure:Ambient pressure Temperature:Ambient temperature NOTES No data available. COMM WATER 3&4 Street Address: Main St Osterville MA 02655 USA County: Barnstable Fire District: COMM Cross Street: Mailing Address: PO Box 369 OSTERVILLE MA 02655 USA PHONES (Type& Phone Number) No Phone data available. CONTACTS CROCKER, CRAIG,SUPT. Phone:Work: 508 428 6691 Phone: 24-hour: 508-367-9405 Snell, Glenn,Asst. supt. Phone:Work: 508 428 6691 P 4- - - 4 Phone: 2 hour• 508 367 9 04 & Remmington Corp., Borden,Chemical Hauler Phone: Emergency: (508) 675-0096, Ext. 272 84 Location:330 WEST BAY ROAD,stored in boat batteries. Chemical: BATTERY ACID Amount: 60 pounds Type: Other Pressure:Ambient pressure Temperature:Ambient temperature Location: 330 WEST BAY ROAD Chemical: HEATING OIL, LIGHT Amount: 1750 pounds Type:Above ground tank Pressure:Ambient pressure Temperature:Ambient temperature NOTES CROSBY YACHT HAS TWO ADDRESSES,THE FACILITY IS"KNOWN"AS 72 CROSBY CIRCLE.THE FIRE DEPARTMENT RECOGNIZES CROSBY YACHT YARD AS 330 WEST BAY ROAD.THE MAIN BUILDING IS KNOWN AS 330A. NSTAR Station 913 Street Address: Off Old Mill Road Osterville MA 02655 USA County: Barnstable Fire District: COMM Cross Street: PHONES (Type& Phone Number) No Phone data available. CONTACTS LaMontagne, Eric, Environmental Coordinator Phone:Work: 781-441-3803 Phone: Mobile-Cell: 339-987-7018 Phone: 24-hour: 339-987-7018 NSTAR Electric Company, Phone: 24-hour: 800-592-2000 Phone: 24-hour: 800-541-7888 NSTAR Emergency Dispatch, Phone: 24-hour: 617-541-7888 Phone: Mobile-Cell: 617-541-7855 CHEMICAL INVENTORY 7664-93-9 Sulfuric Acid (in batteries) 64742-53-6 MODF CHECKLIST [x] Submitted general site plan of facility to the state and local emergency planners (Sections 301-303 of ERCRA,40 CFR sections 300 and 355). [] MSDS received with Tier II forms [] All facility info(not including chemical info) is identical to last year's submission [] Are dikes or other safeguard measures employed? [] Site coordinate abbreviations submitted [x] Chemicals in Inventory records for facility [x] EHS Chemicals in Inventory records for facility [] Screening&Scenarios records for facility [] Incident records for facility [] Facility plotted in MARPLOT Date Tier II Signed: 2/21/2014 Signature: Eric E. LaMontagne, Environmental Coordinator ID CODES SIC,4911, ELECTRICAL SERVICES NAICS, 221122, Electric Power Distribution 90 Dun & Bradstreet,006951552, REGULATORY INFORMATION Subject to Emergency Planning under Section 302 of EPCRA(40 CFR part 355)? [ ] Yes [x] No Subject to Chem.Accident Prevention under Section 112(r)of CAA(40 CFR part 68, Risk Mgmt. Pgm.)? [ ]Yes [x] No Is the facility manned? ( ] Manned [x] Unmanned Maximum No. of Occupants:0 STATE FIELDS No additional state fields are required by Massachusetts in the facility module. Requested Contacts: Carrier Information INCIDENTS No Incident data available. MAP DATA Latitude:41.6286 Longitude:70.3788 [ ] Record is linked to MARPLOT object SCREENING &SCENARIOS No Screening&Scenarios data available. LOCATIONS Location:Transformer 1 Chemical: MODF Amount: 1947 gallons Type: Other Pressure:Ambient pressure Temperature:Ambient temperature I Location: Batteries Chemical:Sulfuric Acid (in batteries) Amount: 607 pounds b� Type:Other Pressure:Ambient pressure Temperature:Ambient temperature NOTES No Notes data available. Oyster Harbors Marine Street Address: 122 Bridge Street Osterville ma 02655 USA County: Barnstable Fire District: COMM Cross Street: PHONES (Type& Phone Number) 24-hour 508 367 9999 CONTACTS Carstensen, Matt, Dock Master Phone: 24-hour: 508 367 9999 Phone: Emergency: 508 428 8497 Curtis, Craig,Yard foreman Phone: Emergency: 508 428 2017 Phone: 24-hour: 508 843 2759 Donnelly,John, GM Phone: Mobile-Cell: 781 315 1478 Phone:Work: 508 428 2017 x 118 CHEMTREC, Phone: 24-hour: 18004249300 Santa Energy Transport, Bill Boggs Phone:24-hour: 1 401 413 1239 91 Number Fee 351 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that NSTAR Electric 661 Oak Street, West Barnstable MAIL: Westwood, MA 02090, 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 1 3 too,,-- NSTAROne NSTAR Way,SUMNE250 E1 fCT/I/C Westwood,Massachusetts 02090 AS June 27, 2014 . . Thomas McKean Director, Public Health Division Town of Barnstable 200 Main Street Hyannis, MA 02601 Re: 661 Oak Street, West Barnstable Stations 920 and 921 Toxic and Hazardous Materials On-Site Inventory Dear Mr. McKean: NSTAR is herewith submitting a check for$100, along with a permit renewal application for the above referenced facilities. Upon your review and approval of the completed form,please mail the permit to my attention at the address referenced at the top of the letterhead. Please note that there are now two operating substations on the property; Station 920 and Station 921. Both stations maintain a Spill Prevention Control and Countermeasure (SPCC) Master-Plan for Stations throughout our southern service territory. A SPCC short form is attached to this Master-Plan for each Station. A copy of the SPCC short form for both stations is enclosed for your records. If you have any questions regarding the application or SPCC forms submitted,please contact me at (781)441-3807. Sincerely, Jonathan E. Reich Senior Environmental Specialist Enclosures _ II t , o "era , Town of Barnstable °^ Regulatory Services * BAWWrABLE, MASS. Richard V, &all: Director T Public Health Division 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. 195-029 DATE June 27,2014 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT_ NSTAR Electric NAME OF ESTABLISHMENT_ Station 920, Station 921 ADD 661 Oak Street ADDRESS OF ESTABLISHMENT fitJ TELEPHONE NUMBER (781)441-3807 SOLE OWNER: X YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 04-1278810 STATE OF INCORPORATION Massachusetts FULL NAME AND HOME ADDRESS OF: PRESIDENT Thomas J.May,NSTAR, 800 Boylston Street,Boston,MA 02199-8003 TREASURER Phillip J. Lembo, NSTAR, 800 Boylston Street,Boston,MA 02199-8003 CLERK Greg Butler, NSTAR, 800 Boylston Street,Boston, MA 02199-8003 C. SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS NSTAR,ONE NSTAR Way,NE250,Westwood,MA 02199 HOME TELEPHONE# (781) 441-3807 -ONSTAR EL EC TR/C GAS SPCC Plan Short Form(40 CFR Part 112) 1. Facility Name&Location: NSTAR Station 920-Oak Street 115 kV Sub Oak Street Barnstable,MA 2.Facility Description: Electric power distribution substation with one(1)transformer 3.Facility Setting: ❑Residential ❑Commercial❑Industrial®Rural 4.SPCC Applicability: ®Aboveground storage in excess of 1,320-gallons. ❑Underground storage in excess of 42,000-gallons. ®Reasonable potential for surface water-body discharge. 5.Topography&Drainage: Generally flat trap-rock covered yard with multiple potential migration routes 6.Nearby Wetlands: ®No ❑Yes 7.Potential Discharge Point: ❑River/Stream ❑Lake/Pond ❑Wetland ®POTW 8.Nearest Water Body: Garretts Pond 9.Facility Spill Controls: ® Secondary Containment (Capacity: 100 Percent) ❑Berms (Capacity: ®Low-Oil Alarm ®Trap Rock ®Contingency Plan 10.AST or PTC Reservoir-Tank: ®No ❑Yes(If yes,describe volume and containment) 11.Facility Spill History: (See Master Plan-Appendix B) 12. Potential Migration Pathway: ® Surface Runoff ® Storm Drain ® Groundwater ❑ Subsurface Utility Conduits/Lines ®Drainage Swale ❑Other(describe: ) 13.Facility Security: Locked 6-foot high chain-link fence with lighting Alston Potts May 7,2013 EAD Inspector Name(type name) Date a NSTAR Station 920 Oak Street, Barnstable SPCC Locus, Site Drawing & Photos Updated June 26, 2014 NSTAR b S�. Station 920 tk1u, a N NEE N Hard=c� ar�y,: _r r . ' " Oil Volumes n is c006 —— Via° T1 =9126-Gal Total Oil=9126-Gal Flow Direction Full Secondary Containment Catch ........... ...................................................... Basins Transformer Control 9126 Gallons House v� ... ......................................................... O Isolated Vacuum Retention ❑ ❑ ❑ Breakers Area= Fence Line. This is an electric power distribution substation with one (1) transformer. The yard is trap-rock covered and mostly.flat with multiple potential migration routes via surface runoff, a storm.drain, groundwater, or a drainage swale. There is full secondary containment arounc T1. The closest catch basin is near the entrance to the access road_ on Oak Stre t, west of the station. Garretts Pond is north of the station. � s �3 3" Photo shows an aerial view of station 920. r y� r � . µ ✓AS .' � 5 Photo shows(from left to right)a vacuum breaker,the transformer and control house,looking north. r O NSTAR EL EC rR/C GAS SPCC Plan Short Form(40 CFR Part 112) - 1.Facility Name&Location: NSTAR Station 9217 Oak Street 345 kV Sub , Oak Street Barnstable,MA 2.Facility Description: Electric power distribution substation with one(1)transformer 3.Facility Setting: ❑Residential ❑ Commercial❑ Industrial®Rural 4.SPCC Applicability: ®Aboveground storage in excess of 1,320-gallons. ❑Underground storage in excess of 42,000-gallons.. ®Reasonable potential for surface water-body discharge. 5.Topography&Drainage: Generally flat trap-rock covered yard with multiple potential migration routes 6.Nearby Wetlands: ®No ❑Yes 7.Potential Discharge Point: ❑River/Stream ,❑Lake/Pond ❑Wetland ®POTW . 8.Nearest Water Body: Garretts Pond 9.Facility Spill Controls: ® Secondary Containment (Capacity: 100 Percent) ❑Berms (Capacity: ) ®Low-Oil Alarm ®Trap Rock ® Contingency Plan 10.AST or PTC Reservoir-Tank: ®No ❑ Yes(If yes,describe volume and containment) 11.Facility Spill History: (See Master Plan-Appendix B) 12. Potential Migration Pathway: ® Surface Runoff ® Storm Drain ® Groundwater ❑ Subsurface Utility Conduits/Lines ®Drainage Swale ❑Other(describe: ) 13.Facility Security: Locked 6-foot high chain-link fence with lighting Brandon Hornak June 20,2014 EAD Inspector Name(type name) Date NSTAR Station 921 661 Oak Street, Barnstable SPCC Locus, Site Drawings & Photos n, ira!Ac Station 921 9 1 GATE ❑ •I Station 920 ITransformer I Two station Q #1 Service Pad C I Transformers 37,350 gal 0 N (300 gal each) O I R O I 1 L . IEl F H O Oil Volumes: Fence Elu Line .. S Transformer#1 =37,350 GCB E I Breakers Station Service T 1 =300 Station Service T2=300 I Total Oil on Site.=37,950 L • _ . _ _ . This is an electric power distribution substation with one (1) transformer and two (2) station service pad mounted transformers. The yard is trap-rock covered and mostly flat with multiple potential migration routes via surface runoff,'a storm drain, groundwater, or a drainage swale. There is full secondary containment around Transformer#1. The closest catch basin is near the entrance to the'access road on Oak Street, northwest of the station. Garretts Pond is north of the station. Cape Cod Bay is located north as well, beyond Garretts Pond. Station 920 is located on the same property and is north of the station. NOW" G a ¢ 4; P as Photo shows the one 345 kV transformer in Station 921 along with full containment, looking northeast. y: N. of 1 3 � S4 t -1 t'' P JF i3 ram" .fir i Photo shows.several of nine (9) GCB breakers in Station 921, looking southeast. Number Fee 351 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that NSTAR Electric 661 Oak Street-MAIL: I NSTAR Way, NE250, West Barnstable MAIL: Westwood, MA 02090,MA 02668 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 PAUL J.CANNIFF,D.M.D. 6/30/2013 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health N4One NSTAR Way,SUMNE250 E�EC Tf �C. Westwood,Massachusetts 02090 GAS. June 25, 2013 Thomas McKean Director, Public Health Division' Town of Barnstable 200 Main Street Hyannis, MA 02601 - Re: 661 Oak Street, West Barnstable Toxic and Hazardous Materials On-Site Inventory Dear Mr. McKean: NSTAR is herewith submitting a check for$100, along with a permit renewal application for the above referenced facility. Upon your review and approval of the completed application form,please mail the permit to my attention at the address referenced at the top of this letterhead. NSTAR does not possess a contingency plan for•this facility. However, as we previously indicated, NSTAR does maintain a Spill Prevention Control and Countermeasure (SPCC) Master-Plan for Stations throughout our southern service territory. -A SPCC short form is attached to this Master-Plan for each Station. A copy of the SPCC short form for Station 920 is enclosed for your records'. If you have any questions regarding the application or,SPCC forms submitted,please contact meat (781) 441-3807. Sincerely, onathan E. Reich Senior Environmental Specialist Enclosures v } 7 ® . o B '� 'fl c�1 Regulatory Senices 'somas F, GeEer,Dir-adur i Public 1 I I 2X Main Stz�-,t, Hyam S, 'A 02601 F= 50S-790-6304 0 cz: 50�4 2 4644 Applic4Ijan Fee: O .Dt3 A SSfl �/i��A�t17�FAL.CEL NO, 195-029 DATE June":.25, 2013 AT-,D I AIIG� FOR ' 'T R PERT* O STTfl� �ND/QR UM=-MOB TEL�T 1 � G_A— LLO S OF EAZARD01jS MA.T RLALLS ,T7 A OF A7FLIC_Ai�T NSTAR Electric ice+ EST AST T " Station 920 OF DDBESS OF EST ,7 ' " fn T 661 Oak Street ® o (781) 441-380 . X YES Nt0 , ?� AFFLICAN'T IS Aj�H01� _DDRFSS 0� AID �► k can 59 .� M i - �. CATIOO. 04-1278810 Eli,ATTI JCrNT IS A CORFG-RATION; I`� ID j ST,A OF ItICO�POR,, TnON Massachusetts _Z1�L ETAj FgTiS== Thomas J. May, NSTAR - 003 Phillip J. Lembo NSTAR 8 199-8003 -8003 SIIA1ffA� �FA-pP � JonathanE. Reich; NSTAR 6Np. NSTAR 1 v NE250 4e-&twood, MA 021919 F�EON! ;T - i i dnc wp/q 0Nsr.� w EL EC TA/b GA Sy SPCC Plan Short Form(40 CFR Part 112) 1.Facility Name&Location: NSTAR Station 920-Oak Street 115 kV Sub Oak Street Barnstable,MA_ 2.Facility Description: Electric power distribution substation with one(1)transformer 3.Facility Setting: ❑Residential❑Commercial❑Industrial®Rural 4.SPCC Applicability: ®Aboveground storage in excess of 1,320-gallons. ❑Underground storage in excess of 42,000-gallons. ®Reasonable potential for surface water-body discharge. 5.Topography&Drainage: Generally flat trap-rock covered yard with multiple potential migration routes 6.Nearby Wetlands: ®No ❑Yes 7.Potential Discharge Point: ❑River/Stream ❑ Lake/Pond ❑Wetland E POTW. 8.Nearest Water Body: Garretts Pond 9.Facility Spill Controls: ® Secondary Containment (Capacity: 100 Percent) ❑Berms (Capacity: ) ®Low-Oil Alarm Trap Rock ®Contingency Plan 10.AST or PTC Reservoir-Tank: ®No ❑Yes(If yes,describe volume and containment) 11.Facility Spill History: (See Master Plan-Appendix B) 12. Potential Migration Pathway: ®;Surface Runoff N Storm Drain ® Groundwater . ❑ Subsurface Utility Conduits/Lines ®Drainage Swale .Other(describe: ) 13.Facility Security: Locked 6-foot high chain-link fence with lighting Alston Potts May 7;2013 EAD Inspector.Name(type name), Date • NSTAR Station 920 Oak Street, Barnstable SPCC Locus, Site Drawing& Photos Updated May 7, 2013 , i -NSTAR ti t S a on 920 i :0A 5eT^0�Rd � -. fib. •. Oil Volumes " MiB=Cape'W o 6 �r� T1 9126-Gal id Total Oil=9126-Gal S1'4►t To ©qk uq��� Qnaker5. . { 'dtq �I(il1�t C4Qgeiter". llil lipgtl � l3ar,� � _ I . !V u This is an electric power distribution substation with one (1)transformer. The yard is trap-rock covered and mostly flat with multiple potential migration routes via surface runoff,a storm drain, groundwater, or a drainage swale. There is full secondary containment around TL The closest catch basin is near the entrance to the access road on Oak Street, west of the station. Garretts Pond is north of the station. aI µx• y pv s s � ad I�JF M �! , _!►_ice �� s I � �' n w lit [IRA fir, �I i II tit I x_ @ 4 .'3 ,.�"" "'x' i +� rf t� •ly` ,�� r�r{n��'�,�� �x� r �' .i: � 'gyp.. W 'NA � S - :4.v rr_4'"E '• n i i+T�Y 'r` 7', r4 .'3:(.e>•: � sii E P' �'., 1wYt Num ber Fee 351 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that NSTAR Electric-Jonathan Reich 661 Oak Street-MAIL: 1 NSTAR Way, NE250, West Barnstable MAIL: Westwood, MA 02090,MA 02668 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. --------------- -------------------------------------------------------------------- -------------------------------------- --------------------------------------------------------- --------------------------------- ----------- ---------------------------- This license is`granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2010 unless sooner suspended or revoked. WAYNE MILLER,M.D.,CHAIRMAN . PAUL J.CANNIFF,D.M.D. 6/30/2009 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health NS TAR One NSTAR Way,SUMNE250 EL EC TR/C Westwood,Massachusetts 02090 SAS August 14, 2009 Cynthia Martin Hazardous Material Specialist Town of Barnstable Public Health Division 200 Main Street Hyannis, MA 02601 Re: Station 920, 661 Oak Street, West Barnstable Toxic and Hazardous Materials Permit Application Dear Ms. Martin: NSTAR is herewith submitting a check for$100, along with a permit renewal application for the above referenced facility. Upon your review and approval of the completed application form,please mail the permit to my attention at the address referenced at the top of this letterhead. • NSTAR does not possess a contingency plan for this facility. However, as we previously discussed, NSTAR does maintain a Spill Prevention Control and Countermeasure (SPCC)Master-Plan for Stations throughout our southern service territory. A SPCC short form is attached to this Master-Plan for each Station. A copy of the SPCC short form for Station 920 is enclosed for yW records o If you have any questions regarding the application or SPCC forms submitted,pleAi t,'ontact at o (781) 441-3807. -- -" Sincerely, Jonathan E. Reich Principal Environmental Engineer Enclosures • Town of Barnstable t,. Regulatory Services Thomas F. Geiler,Director a ' Public Health Division r! Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Applicatron Fee:$100:00 ASSESSORS MAP AND PARCEL NO. 195-029 DATE August 14, 2009 APPLICATION.FOR PERMIT.TO.STORE.AND/OR UTILIZE.MORE.THAN. 111.GALLONS.OF.HAZARDOUS MATERIALS FULL NAME OF APPLICANT NSTAR Electric NAME OF ESTABLISHMENT Station 920• ADDRESS OF ESTABLISHMENT 661 Onk Strpet TELEPHONE NUMBER (781) 441-3807 t, , * SOLE OWNER: X YES NO !' . IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 04-1278810 STATE OF INCORPORATION Massachusetts FULL NAME ANDIROW ADDRESS OF: PRESIDENT Thomas J. May, NSTAR, 800 Boylston Street, Boston, MA 02199-8003 TREASURER JAmes„J. Judge, NSTAR, 800 Boylston Street, Boston, MA 02199-8003 CLERK Douglas S. Horan, NSTAR 800 Bo lston Street Boston MA 02199-8003 SIGNATURE OF-APPLICANT NSTAR, ONE NSTAR Way.,. NE250 - ,•• RESTRICTIONS:, TRY ADDRESS TG1act�.Tnnrj 1 A 090911-Q230L- -*WWTELEPHONE# (7Ri,) '441--ARQ7" r MAIL,-IN REQUESTS • Please mail the completed application form to the address below. Also include a copy of your contingency plan(to handle hazardous waste spills, etc). In addition,please include the required fee of$100. Make check payable to: Town of Barnstable. Allow five to seven(7)working days for in- house processing. Our mailing address is: Town of Barnstable Public Health Division 200 Main Street Hyannis,MA 02601 FOR FAXED REQUESTS Our fax number is (508) 790-6304. Please fax a completed application form. Also,please fax us a copy of your contingency plan (to handle hazardous waste spills, etc). In addition, please mail the required fee amount of$100.00. Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. Allow up to four days for in-house processing. For further assistance on an item above call 508 862-4644 F y ( ) J NSTAR EL EC rR/C GAS SPCC Plan Short Form(40 CFR Part 112) 1.Facility Name&Location: NSTAR Station 920-Oak Street 115 kV Sub Oak Street Barnstable,MA 2.Facility Description: Electric power distribution substation with one(1)transformer 3.Facility Setting: ❑Residential❑ Commercial❑ Industrial®Rural 4.SPCC Applicability: ®Aboveground storage in excess of 1,320-gallons. ❑Underground storage in excess of 42,000-gallons. ®Reasonable potential for surface water-body discharge. 5.Topography&Drainage: Generally flat trap-rock covered yard with multiple potential migration routes 6.Nearby Wetlands: E No ❑Yes 7.Potential Discharge Point: ❑River/Stream ❑Lake/Pond ❑Wetland ® POTW 8.Nearest Water Body: Garretts Pond 9.Facility Spill Controls: ® Secondary Containment (Capacity: 100 Percent) ❑Berms (Capacity: ) ®Low-Oil Alarm ®Trap Rock ® Contingency Plan 10.AST or PTC Reservoir-Tank: ®No ❑Yes(If yes,describe volume and containment) 11.Facility Spill History: (See Master Plan-Appendix B) 12. Potential Migration Pathway: ® Surface Runoff ® Storm Drain ® Groundwater ❑ Subsurface Utility Conduits/Lines ®Drainage Swale ❑Other(describe: ) 13.Facility Security: Locked 6-foot high chain-link fence with lighting Andy Crawford August 4,2008 i EAD Inspector Name(type name) Date • NSTAR Station 920 Oak Street, Barnstable SPCC Locus,Site Drawing & Photos 5X=NSTAR 3g SIP t, �- Midmiio'papq, -ce: wy Oil Volumes 6ser T1 =9126-Gal iwy- --_. Total Oil=9126-Gal To ©,k U Q i)11 Iill{Il) .0 i �L � i l x w ®dip i'���•� � if`,•,�'� �� i asp '3- ..� � � • �i �� �;+ � p.. .-x.. a 3 V r' y f � SHARON J COOPER ° 5015470868929 ` s ' `NSTAR,ELECTRIC& GAS CORP 053�0 NE ,250 , PO BOX 9230 4 ^� R° PAV.TO THE ORDER OF= �3 t rA �:six, �, ✓r A �y �y _ Yy,. rr:� ., 4 $• _ <r 'w t �° r -a it're s L'V i POLLARS} - j �.lF>MorganChase i NOTVALID FOR OVER $2 500 QQ 4 - m .,CHICAGO ILLINOIS}�16�0{J6170/� , € s � r { 0530 t K