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HomeMy WebLinkAbout0050 AIRPORT ROAD - HAZMAT (2) i-�avi v�rs Number Fee 620 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Davis Towing and Auto Repair 50 Airport Road, Hyannis, MA ---------------------------------------------------------------------------------------------------------------------------------------------------------------•--.--... Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. -----------------------------------------------------------------------------------------------------------------•....-----------........----------------------..... Restrictions: .------------------------------------------------------------------------------------------------------------------------------------------------------------------. This license is granted in conformity with the Statutes and ordinances relating there to, and expires 06/30/2021 unless sooner suspended or revoked. ----------------------------------------- JOHN NORMAN DONALD A.GUADAGNOLI,M.D. 07/01/2020 PAUL J.CANNIFF, D.M.D. THOMAS A.MCKEAN, R.S.,CHO Director of Public Health Town of Barnstable Inspectional Services BARNSTABLE • fL�tiS'(iliYEi15�"1'�RYRI«.FSrtf&1PN^ST18LE Public Health Division 1639-2014 1 Thomas McKean,Director r� F% 9. s` 200 Main Street, Hyannis,MA 02601 ray Office: 508-862-4644 Fax: 508-790=6304 D APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE ` HAZARDOUS MATERIALS �- IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, k 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 PER.MIT 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. 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:. KC v l YN � ny 5. NAME OF ESTABLISHMENT: 1 6. ADDRESS OF ESTABLISHMENT: �h 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: ( , 9 o- i 9. EMAIL ADDRESS: (A ")-4 G1.0 10. SOLEOWNER: YES VN'O IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS, ND TELEPHONE#OF: CORPORATIO NAME , PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE Q0 I 2-0 Q:Wpplication Forms\Haz Mat Appli Draft Jan2019.docx Number Fee 620 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Davis Towing and Auto Repair 50 Airport Road, Hyannis,MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. ------------------------- ------ ------------------------------------------------------------------------- -------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------.--------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2020 unless sooner suspended or revoked. --------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2019 JUNICHI SAWAYANAGI THOMAS A. MCKEAN,R.S.,CHO Director of Public Health r s Town of Barnstable Inspectional Services BARNSTABLE Public Health Division Enawsne=•ce+rvL•cnm•runr rw' � awsrc s uru5•e.^xru=•+[n artaas,�.[::39_2,< MASS. Thomas McKean Director OjEOtA 200 Main Street, Hyannis, MA 02601 % rt7 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 3 Oth). APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 .® VS�Fd 4P* 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. Rq " 61 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: �-1 e V(n A • DAJ 1S 5. NAME OF ESTABLISHMENT: D—AJI-S 1 O uJ nq 0wrA V-�, 40 6. ADDRESS OF ESTABLISHMENT: 50 AOrpol•� V2,d �o,",-,is MIS 0a(00 f 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 50 ' -1 90 r 3ol,3 9. EMAIL ADDRESS: A CA-"t5 0-0-�0 � (rp- 6QM GAa},ryN-e " 10. SOLEOWNER: 1/YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRE S,AND TELEPHONE#OF: CORPORATION NAME n e- CSL1�-"Iga PRESIDENT tow 3� TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE Aac /--b 1 Q:\Application Forms\Haz Mat App Revised 09-10-18.docx Number Fee 620 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Davis Towing and Auto Repair 50 Airport Road, Hyannis, 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 fir gun, 0, zui0 [: 10rM No, 0965 P. i Ion Of Bmsrable / leg, atory Services Richard V. Scali, Director 44 f 2f Public Health Division « 2s l 1 � . . BARNSTABLE � f & •""MAS& a Thomas McKean,Director 16M-201 �a ,es� •` 200 Main Street,Hyannis, MA 02601 575 r, Office: 508-862-4644 Fax; 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE _n HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, c,a HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS 00 MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS RXY 1 st—I UNE 30th), APPLICATION FEES CATEGORY 1 PERMIT 26--- 110 Gallons. $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons; $125.00 m--- CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by Ju!xlst, 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: 1 ecw n A DAv�S S, NAME OF ESTABLISHMENT; �l(� �d � ��'s �`v 6, ADDRESS OF ESTABLISHMENT: 50 ��r,�.r- � �� �-��q n n�S 0 a 601 7, MAILING ADDRESS(IF DIFFERENT FROM ABOVE; Sla,rn e 8, .TELEPHONE NUMBER OF ESTABLISHMENT: 50 -7'-� 1- 3 a (4 9. EMAIL ADDRESS; ) rv�a ,,.r, CkLn 10. SOLEOWNER: ES NO IF NO,NAME OF PARTNER: 11. FULL NAME,ROME ADDRESS,AND TELEPHONE#OF; CORPORATION AME � "�rt-,c, 41 OZn 91JCLTnNS PRESIDENT*\ v TREASURER 2 CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE 4: • COMPANY ADDRESS EMAIL; SIGNATURE OF APPLIC DATE_ 1 Q;Appf!00011 PomuWAZMAT APP 2017 REVISED,docx --'�' Number Fee 620 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Davis Towing and Auto Repair ------------------------------- SO Airport Road, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 -499 gallons of Hazardous Materials. This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2018 unless sooner suspended or revoked. --------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2017 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Ke i%a oB rvlcble Richard V. Scah, Director �o oAm Public Health Division BARN STABLE o� :D sauwsroU•itxrrJ;vjue•corvrtDA—T 1ARNSfABLE. Thomas McKean, Director ����1639`204Yi'Sr a:Xsr40:F - 7 MASS. 0 `bArFo ,�s` 55 � 200 Main Street, Hyannis, MA 02601 C� Office: 508-862-464 m4 4�//-7 Fax: 508-790-6304 n 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 DULY 1st-NNE 3Oth). APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00 El CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 9 VIS 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: l n 2)A 1 S D ivi Zv,s iEai rs 5. NAME OF ESTABLISHMENT: tJ &Aa (h 6. ADDRESS OF ESTABLISHMENT: 5o (r . hat S 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: ? 8. TELEPHONE NUMBER OF ESTABLISHMENT: -7-2S 9. EMAIL ADDRESS: YY1 r-7 . K et 10. SOLEOWNER: S NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME 4-qv' !v1 PRESIDENT TREASURpk CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE rI -n I J00 Q\Application Forms\HAZMAT APP 2017 REVISED.docx Number Fee 620 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Davis Towing and Auto Repair 50 Airport Road, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. ------------------------------------------------------------------------------------------------------------------------------------------------------------------ 1 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 l� PAUL J.CANNIFF,D.M.D. 07/01/2016 JUNICHI SAWAYANAGI THOMAS A. MCKEAN,R.S.,CHO ' Director of Public Health fiF r Town of Barnstable Regulatory Services Richard V. Scali,Director :*: E '"` M Public Health Division lypgg � a659. �� oxeThomas McKean,Director 200 Main Street, Hyannis,MA 02601 f� n a Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE ` HAZARDOUS MATERIALS IN ACCORDANCEVITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERLALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS G TER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN P T(RUNS JULY 1st-JUNE 3 0th). APPLICATION FEES CATEGORY 1 PERNIIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.001 GORY 3 PERMIT 500 or more Gallons: $150.00 ❑ will be assessed ifpay—ent is not received b Jul 1st. ASSESSORS MAP AND PARCEL NO. DATE it If FULL NAME OF APPLICANT: *Lon NAME OF ESTABLISHMENT: ADDRESS OF ESTABLISHMENT: �� t��`�'fb�" N ua n n i s �A A d Z 6C R MAILING ADDRESS (IF DIFFERENT): f TELEPHONE NUMBER OF ESTABLISHMENT: _!!50 c6• 7-7 f` EMAIL ADDRESS SOLE OWNER: "�,YES_NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT 1S TREASURER CLERK IF PREPARED BY OUTSIDE PARTY: SIGNATURE OF APPLICANT Name: ` Company Address Telephone#: Email: Q:\Application FormsUiAZZAPP Rev I6.docx Page 1 of 2 Number Fee 620 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that Davis Towing and Auto Repair 50 Airport Road, Hyannis, 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 r Town of Barnstable �t �oyy Regulatory Services ti Richard V. Scali,Director 4 } a" MASS.�A} Public Health Division Y MASS. 0 039• ♦� 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. 294/11 DATE 06/30/2014 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT: Kevin A Davis NAME OF ESTABLISHMENT: Mashuee Rotary,Inc. ADDRESS OF ESTABLISHMENT: 50 Airport Road,Hyannis,MA 02601 TELEPHONE NUMBER: (508)775-8823 SOLE OWNER: X YES NO ;ryyI.D., s e IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OFALL a� -a PARTNERS: ,a-1 c� r 0 IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.: 043155770 STATE OF INCORPORATION: Massachusetts FULL NAME AND HOME ADDRESS OF: PRESIDENT: Kevin A.Davis .268 Main St. .Centerville.MA .02632 TREASURER: Kevin A.Davis .268 Main St. . Centerville . M .02632 CLERK: Kevin A.Davis.268 Main St. . Centerville. MA 26 P SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS: 268 Main Street,Centerville,MA 02632 HOME TELEPHONE#(508) 790-3238 C:\Users\Administrative\Documents\Tax Forms.pdt\Barnst Hazmat App.DOC HAZMAT SPILL CONTINGENCY PLAN 1. Evacuate the immediate area,if necessary 2. Shut off valves,pumps,and electrical equipment as appropriate. 3. Remove or restrict any potential ignition source if material is flammable. .4. Covet or dike all drains in the immediate area 5. Contain the spill using absorbent socks/pads,and apply appropriate absorbent material. 6. Remove all absorbed material or contained liquid and package in DOT approved container(s). Used absorbent materials should be packaged separately from liquids. 7. Label all containers with the type of waste and start date of accumulation. 8. Notify the General Manager. 9. Notify the Massachusetts D.E.P.if the spill is 10 gallons or over. 10. Once the spill has been controlled and materials collected and secured,inspect the area for cleanliness and decontaminate all equipment used in clean up. 11. Manage and dispose of collected absorbents and liquid in accordance with Federal and State Environmental Regulations. 12. Records of any spill shall be kept on site. 13. Spill clean up equipment is located in the storage trailer. 14. All used spill equipment must be replaced. 15. The following is a list of spill equipment on site: A. Spill response kits(2),each capable of containing a spill of 5 gallons. These kits include absorbent pads,socks,5 gal container,storage bags,and gloves. B. First Aid Kit.(Located in Men's Bathroom) C. Eye Wash.(Located in First Aid Kit) D. Fire Extinguishers.(Located.Throughout the building) 1 < r HAZMAT SPILL CONTINGENCY PLAN Emergency Telephone Numbers: Local Fire Department:................................................................911 Local Police Department:.............................................................911 Local Ambulance Service:...........................................................911 Massachusetts Dept.of Environmental Protection Main#.................(508)946-2700 Mass.D.E.P.Spill Hotline.........................................................(508)946-2850 General Manager.........................................................................(508)367.6969 N.E.Environmental Services(Antifreeze)............................ ......... 231-3831 rite Oil paint Chemicals (508)697.4648 Safety-Kleen Systems(w ' + )....................... 2 Number Fee 620 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Davis Towing and Auto Repair 50 Airport Road, Hyannis,MA 02601 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 4 • Town of Barnstable Regulatory Services cf Thomas Y Gefler,Diredar 3 Public Health I)lvisiol. MASS. Thomas McKean,DireztDr 200 Main Stream, Hyannis, MA 02601 Fes: 508-790-6304 Officz: 508-$62-4644 Appfica icn Fee: $100-Do AssEssORs�AND ra.�.cT No. DATE �/1L APPLICATIOt d FOR PERMIT TO STORE A�/nR�1I7�E MORE THAN OF HA 77 0178 MATERIALS 111 GALLONS I+rIILI,NAME OF APPLICANT r V I A NA--Na OF ESTABI X4EM NT T' I �}�UI4 b Afl Ly���C 034 ,4laS�WV#67 ADDRESS OF EST-ABLL503M NT '- �o TELEPHONE NU�YSBER (S� 1 -775 SOLE OWNER: D YES 1�i0 IF APPLICANT IS A PAB' NERS�P'FLU NA- AND Ho + ADDRESS OF ALL P ARTAIYRS: 1'APPLICANT IS A CORPORATION: FEDERAL IDENTIKCATION NO. � STATE OF INCORPORATION SCi�1't� TL NAME AND H011a ADDRESS OF: PRESIDENT V . vi I _ - 0- I TIRE OF APPUCANT RESTRICTIONS: HOB ADDRESS _ I E0h TEI.XPHONE# Faz�ochvQ/q , HAZMAT SPILL CONTINGENCY PLAN 1. Evacuate the immediate area,if necessary 2. Shut off valves,pumps,and electrical equipment as appropriate. 3. Remove or restrict any potential ignition source if material is flammable. 4. Cover or dike all drains in the immediate area 5. Contain the spill using absorbent sacks)pads,and apply appropriate absorbent material. 6. Remove all absorbed material or commined liquid and package in DOT approved captain r(s). Used absorbent materials should be packaged separately from liquids. 7. Label all containers with the type of waste and start date of accumulation. S. Notify the General Manager. 9. Notify the Massachusetts D.E.P.if the spill is 10 gallons or over. 10. Once the spill has been controlled and materials collected and secured,inspect the area for cleanliness and decontaminate all equipment used in clean up. 11. Manage and dispose of collected absorbents and liquid in accordance with Federal and State Environmental Regulations. 12. Records of any spill shall be kept on site. 13. Spill clean up equipment is located in the storage trailer. 14. All used spill equipment must be replaced. 15. The following is a list of spill equipment on site: A. Spill response kits(2),each capable of containing a spill of 5 gallons. These kits include absorbent pads,socks,5 gal container,storage bags,and gloves. B. First Aid Kit.(Located in Men's Bathroom) C. Eye Wash.(Located in First Aid Kit) D. Fire Extinguishers.(Located Throughout the building) 1 HAZMAT SPILL CONTINGENCY PLAN Emergency Telephone Numbers: Local Fire Department:.......................................................I........911 Local Police Department:........................................ ....911 Local Ambulance Sw ice:...........................................................911 Massachusetts Dept.of Environmental Protection Main#................. 508 946-2700 Mass.D.E.P.Spill Hotline........................................................(50)946-2850 GeneralMr.........................................................................(508)367.6969 N.E.Environmental Services(Anti&ee).....................................(401)231-3931 =Item Systems(Waste Oil+Faint Chemicals).......................(508)697.4648 2 Number Fee 620 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that Davis Towing and Auto Repair Q 50 Airport Road, Hyannis,MA 02601 Is Hereby Granted a License �- FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------- ------------------------------------------------------------------------------------------ --------------------------------------------------- -------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 6/30/2012 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2011 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstabl Regulatory Services Thomas F. Geiler, Director MAR MA &LE, Public Health Division 1°rEn 39. Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. q [ l I DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT Is,V OA iA- 0-41/1 S NAME OF ESTABLISHMENT >; ,li c_ DIdSk 04VJ. �0[n/inJG ADDRESS OF ESTABLISHMENT 0 TELEPHONE NUMBER F , - Q SOLE OWNER:_X YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: 00 IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. IV3 tS57?© STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT I)/.1111 Si- C&rAVI Uk /M- Q,% TREASURER CLERK AWF— SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS C - jkAVlGut, HOME TELEPHONE# (2M) 7q0 3-43� Haz.doc/wp/q HAZMAT SPILL CONTINGENCY PLAN 1. Evacuate the immediate area,if necessary 2. Shut off valves,pumps,and electrical equipment as appropriate. 3. Remove or restrict any potential ignition source if material is flammable. 4. Cover or dike all drains in the immediate area. 5. Contain the spill using absorbent sockstpads,and apply appropriate absorbent material. 6. Remove all absorbed material or contained liquid and package in DOT approved container(s). Used absorbent materials should be packaged separately from liquids. 7. Label all containers with the type of waste and start date of accumulation. 8. Notify the General Manager. 9. Notify the Massachusetts D.E.P.if the spill is 10 gallons or over. 10. Once the spill has been controlled and materials collected and secured,inspect the area for cleanliness and decontaminate all equipment used in clean up. 11. Manage and dispose of collected absorbents and liquid in accordance with Federal and State Environmental Regulations. 12. Records of any spill shall be kept on site. 13. Spill clean up equipment is located in the storage trailer. 14. All used spill equipment must be replaced. 15. The following is a list of spill equipment on site: A. Spill response kits(2),each capable of containing a spill of 5 gallons. These kits include absorbent pads,socks,5 gal container,storage bags,and gloves. B. First Aid Kit.(Located in Men's Bathroom) C. Eye Wash. (Located in First Aid Kit) D. Fire Extinguishers.(Located Throughout the building) 1 r HAZMAT SPILL CONTINGENCY PLAN Emergency Telephone Numbers: Local Fire Department:......................................................... Local police Department:............................................................. 11 Local Ambulance Service:...........................................................911 Massachusetts Dept.of Environmental Protection Main#.................(508)946-2700 Mass.D.E.P.Spill Hotline.........................................................(508)946-2850 General Manager.........................................................................(508)367-6969 N.E.Environmental Services(Antifreeze).....................................(401)231-3831 Safetyaleen Systems{Waste Oil+Paint Chemicals).......................(508)697.4648 2 Number Fee 620 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that Davis Towing and Auto Repair 50 Airport Road, Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2011 unless sooner suspended or revoked. -.__..- -----._ ---- --- ---- . WAYNE MILLER,M.D.,CHAIRMAN PA_UL J.CA_NNIFF, D.M._D. 6/30/2010 JUNICHI SAWAYANAGI ' THOMAS A. MCKEAN, R.S.,CHO Director of Public Health I Town of Barnstable `E °F1HE Tp Regulatory Services P Thomas F. Geiler, Director • BARNSTABLE, y MASS_ �a Public Health,Division 1639. MA�A Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. a VI DATE 6 /��I2 0 o APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT - KF-V I AJ D4 V IS NAME OF ESTABLISHMENT 1VjA5 2or/�2y. TA)c4V1S Tb I�11�t1� ADDRESS OF ESTABLISHMENT 150 (amy pmO o a o0 C TELEPHONE NUMBER SOO 1 -775 SOLE OWNER:OYES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OFALL PARTNERS: - -= IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 0Y 31 S-S-7-7 D STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT [( V(� S - !� s i 21l1 -A'�' 32-- TREASURER S&M CLERKSAME- SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS a($AU 1AJ-S I • -C (LV I Ub HOME TELEPHONE # (SOBI-7R 0 3aW Haz.docAk P.'q HAZMAT.SPILL CONTINGENCY PLAN 1. Evacuate the immediate area,if necessary 2. Shut off valves,pumps,and electrical equipment as appropriate. 3. Remove or restrict any potential ignition source U material is flammable: 4. Cover or dike all drains in the immediate area. 5. Contain the spill using absorbent socks/pads,and apply appropriate absorbent material. 6. Remove all absorbed material or contained liquid and package in DOT approved container(s). Used absorbent materials should be packaged separately from liquids. 7. Label all containers with the type of waste and start date of accumulation. 8. Notify the General Manager. 9. Notify the Massachusetts D.E.P.if the spill is 10 gallons or over. 10. Once the spill has been controlled and materials collected and secured,inspect the area for cleanliness and decontaminate all equipment used in.clean up. • 11. Manage and dispose of collected absorbents and liquid in accordance with Federal and State Environmental Regulations. 12. Records of any spill shall be kept on site. 13. . Spill clean up equipment is located in the storage trailer. 14. All used spill equipment must be replaced.. 15. The following is a list of spill equipment on site: A. Spill response kits(2),each capable of c6ntaining a spill of 5 gallons. These kits include absorbent pads,socks,5 gal container,storage bags,and gloves. B. First Aid Kit. (Located in Men's Bathroom) C. Eye Wash. (Located in First Aid Kit) D. Fire Extinguishers.(Located Throughout the building) • l .f< HAZMAT SPILL CONTINGENCY PLAN Emergency Telephone Numbers: Local Fire Department:................................................................911 Local Police Department:.............................................................911 Local Ambulance Service:...........................................................911 Massachusetts Dept.of Environmental Protection Main#.................(508)946-2700 Mass.D.E.P. Spill Hotline.................................:.......................(508)946-2850 General Manager.........................................................................(509)367-6969 N.E.Environmental Services(Antifreeze)......................................(401)231-3831 Safety-Kleen Systems(Waste Oil+Paint Chemicals).............. ........(508)6914648 2 Number Fee 620 :THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Davis Towing and Auto Repair 50 Airport Road, Hyannis,MA 02601 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 f 6- • • • V Town Of Barnstable Barnstable oFt T Regulatory Services Department Public Health DivisionBAMIMATILK 9p 200 Main Street, Hyannis MA 02601 TfD MA'S� 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. GI DATE to1,41b�0 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT ' S , A 4AS D.w�S NAME OF ESTABLISHMENT r ay Txc OGo- • ADDRESS OF ESTABLISHMENT '�i) j- fRp .- OVAAIAS, A41- 09&6/ TELEPHONE NUMBER (M ) SOLE OWNER:_XYES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRE; ,$1OF ALL�'w' o PARTNERS: c = -n IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.0 STATE OF INCORPORATION � SG tJ 5�2i1T 4 FULL NAME AND HOME ADDRESS OF: PRESIDENT -U f J&)tA.DAV9S TREASURER S CLERK S✓a/YI SIGNATURE OF APPLICANT • RESTRICTIONS: HOME ADDRESS )AX/M R1 5;T • (f-E&MIZViCF HOME TELEPHONE # (1dg)'790-33-39_ Q:\Hazmat\Haz Mat Application2008.DOC HAZMAT SPILL CONTINGENCY PLAN • i 1. Evacuate the immediate area,if necessary 2. Shut off valves,pumps,and electrical equipment as appropriate. 3. Remove or restrict any potential ignition source if material is flammable. 4. Cover or dike all drains in the immediate area. 5. Contain the spill using absorbent socks/pads,and apply appropriate absorbent material. 6. Remove all absorbed material or contained liquid and package in DOT approved conm=r(s). Used absorbent materials should be packaged separately from liquids. 7. Label all containers with the type of waste and start date of accumulation. 8. Notify the General Manager. 9. Notify the Massachusetts D.E.P.if the spill is 10 gallons or over. 10. Once the spill has been controlled and materials collected and secured,inspect the area for cleanliness and decontaminate all equipment used in clean up. • 11. Manage and dispose of collected absorbents and liquid in accordance with Federal and State Environmental Regulations. 12. Records of any spill shall be kept on site. 13. Spill clean up equipment is located in the storage trailer. 14. All used spill equipment must be replaced. 15. The following is a list of spill equipment on site: A. Spill response kits(2),each capable of containing a spill of 5 gallons. These kits include absorbent pads,socks,5 gal container,storage bags,and gloves. B. First Aid Kit.(Located in Men's Bathroom) C. Eye wash. (Located in First Aid Kit) D. Fire Extinguishers.(Located Throughout the building) • • 1 HAzmAT SPILL CONTINGENCY PLAN • Emergency Telephone Numbers: Local Fire Department:................................................................911 Local Police Department:.............................................................911 Local Ambulance Service:................................ 911 Massachusetts Dept.of Environmental Protection Main 0.................(508)946-2700 Mass.D.E.P. Spill Hotline......................................................... (508)946-2850 GeneralManager.........................................................I...............(508)367-6969 N.E.Environmental Services(Antifreeze)...................***"*'***- ...—(401)231-3831 • Safety-YAeen Systems(Waste Oil+Paint Chemicals).......................(508)697-4648 2 ROCKLAND TRUST COMPANY 09906 RYA INC• ROCKLAND,MA 02370. AVIS TOWI 53 44711 i 3 . 50 A RP ROAD. HYANNIS,MA 02601 6/29/2009' - Y (508)775-8823 m —100 AY TO THE 00 P o ORDER OF Tnwn ***** DOLLARS LLA B n. Town of Barnstable Public-Health Division 200 Main Street , Hyannis, MA 02601 MEMO_ nm AUTHORIZED SIGNATURE ' n'009906ii' -1:0 1. 130,4478�: 94 L769 1IBG4 ' Number Fee 141 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Dip & Strip 32 Baxter Rd. Unit 2, Hyannis,MA 02601 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 t it � • • _ r ' Town ®f Barnstable Barnstable oYz»T Regulatory Services Department AHm Public Health Division �ca Cfty • L.RNITr1BLE 111 9 200 Main Street,Hyannis MA 02601 �pTFfl Jr1A�A, 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO } Application Fee: $100.00 Y`• - ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF.APPLICANT NAME OF ESTABLISHMENT �` � ADDRESS OF ESTABLISHMENT \25 e/ C-A—V TELEPHONE NU MBE Ve -'77SP?Q G Y yw..a�a SOLE OWNER: YES NO _ -n IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS�OF ALL' PARTNERS: - i n IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. IU� STATE OF°INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK • _ . SI F AP T Q , ( RESTRICTIONS: HOME ADDRESS �C w CI•-"1;��\ HOME TELEPHONE # Q:\Hazmat\Haz Mat Application2008.DOC • Dip N' Strip 32 Baxter Road Hyannis MA 02601 Spill Contingency Plan: Shop # 508-775-7044 Contact People Dudley Scott 508--3.62-6935 Alex Bowyer 781-740-1647 • All of our chemicals are either stored in a fire-proof chemical storage room or a fire-proof stripping room. • • Both rooms have built-in ability to contain any spills. • We have,a large spill kit which we keep handy in case of a small spill such as a drum delivery. • In case of a large spill we would use Envirosafe: 508-888-5478. �l � 30 Number Fee 620 THE COMMONWEALTH OF MASSACHUSETTS $10o.00 Town of Barnstable Board of Health This is to Certify that Davis Towing and Auto Repair 50 Airport Road,Hyannis,MA 02601 Is Hereby.Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------------------------------- ----- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2009 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN i PAUL J.CANNIFF,D.M.D. 07/01/08 JUNICHI SAWAYANAGI THOMAS A. MCKEAN,R.S.,CHO Director of Public Health J Town of Barnstable ` Barnstable sME rti Regulatory Services Department o� Al!-AmerisaCity BARN SfABLE. Public Health Division • r `"^3.e39• 200 Main Street, Hyannis MA 02601 �m ,• 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. �L )-DATE /'o 4 l gx Y- APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS l FULL NAME OF APPLICANT /�J DAVIS �r�v �4- �,� t eD93 . NAME OF ESTABLISHMENT 5hQF'- 2aTIony_ T./UG- U 1 S<-In M) ADDRESS OF ESTABLISHMENT TELEPHONE NUMBER ('S-O t> `7 7 SOLE OWNER:_'�,_YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADISS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATI N NO.4 l r �31 SS 770 CA tD STATE OF INCORPORATION 55AC 0 Sli,715 00 FULL NAME AND HOME ADDRESS OF: PRESIDENT U i S'T C&V—iEn V)U-;F- •M d �— TREASURERSAME- CLERK 5,010JE— AGNATURtrF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# ?0,0 - 30 3 Q:\Hazmat\Haz Mat Application2008.DOC r HAZMAT SPILL CONTINGENCY PLAN 1. Evacuate the immediate area,if necessary 2. Shut off valves,pumps,and electrical equipment as appropriate. 3. Remove or restrict any potential ignition source if material is flammable. 4. Cover or dike all drains in the immediate area. 5. Contain the spill using absorbent socks/pads,and apply appropriate absorbent material. 6. Remove all absorbed material or contained liquid and package in DOT approved container(s). Used absorbent materials should be packaged separately from liquids. 7. Label all containers with the type of waste and start date of accumulation. 8. Notify the General Manager. 9. Notify the Massachusetts D.E.P. if the spill is 10 gallons or over. 10. Once the spill has been controlled and materials collected and secured,inspect the area for cleanliness and decontaminate all equipment used in clean up. 11. Manage and dispose of collected absorbents and liquid in accordance with Federal and State Environmental Regulations. 12. Records of any spill shall be kept on site. 13. Spill clean up equipment is located in the storage trailer. 14. All used spill equipment must be replaced. 15. The following is a list of spill equipment on site: A. Spill response kits(2),each capable of containing a spill of 5 gallons. These kits include absorbent pads,socks,5 gal container,storage bags,and gloves. B. First Aid Kit. (Located in Men's Bathroom) C. Eye Wash. (Located in First Aid Kit) D. Fire Extinguishers. (Located Throughout the building) 1 HAZMAT SPILL CONTINGENCY PLAN Emergency Telephone Numbers: Local Fire Department:................................................................911 Local Police Department:.............................................................911 Local Ambulance Service:...........................................................911 Massachusetts Dept. of Environmental Protection Main#.................(508)946-2700 Mass.D.E.P. Spill,Hotline.........................................................(508)946-2850 General Manager.........................................................................(508)367-6969 N.E.Environmental Services(Antifreeze).....................................(401)231-3831 Safety-Kleen Systems(Waste Oil+Paint Chemicals).......................(508)697-4648 2 Number Fee 620 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Davis Towing and Auto Repair 50 Airport Road,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING Ill GALLONS OR MORE OF HAZARDOUS MATERIALS. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------ ----------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2008 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. 7/l/2007 PAUL J. CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable Regulatory Services Thomas F. Geiler,Director 1 MASS, Y Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 509-862-4644 Fax: 508-790-6304 Application Fee: $100-00 ASSESSORS MAP AND PARCEL NO. ! 1 I DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN Ill GALLONS OF HAZARDOUS MATERIALS Cu.1�S FULL NAME OF APPLICANT A, DAyi NAME OF ESTABLISHMENT T C - ADDRESS OF ESTABLISHMENT ,v CJ .TELEPHONE NUMBER L010 I:ZJr-- �a SOLE OWNER: /YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION -SS,9' �fS �l S FULL NAME AND HOME ADDRESS OF: PRESIDENT (C`-VW AQ iJ►S �2 6!K:4W la j S-r CrALT'6.rt 1114E NW TREASURER CLERIC SIGNATURE OF APpY,ICANT RESTRICTIONS: HOME ADDRESS 261CgQO� ST - - HOME TELEPHONE# —?q0— -S if- 1 ' d 16Lti ' ON 81Vd3d OiAV SIAVa N1d0Z : 1 LOOZ ' 9G ' Un0 r MASHPEE ROTARY INC d/b/a DAVIS TOWING 50 AIRPORT ROAD HYANNIS, MA 02601 (508)-775-8823 Send To:Town of Barnstable From: Andrew Hunt, Office Manager ATTN: Public Health Division DATE: 6/26/2007 Fax: 508-790-6304 Fax: 508-790-3577 ❑ Urgent 0 Rgply ASAP ❑ lease comment C� Please R2vlew O For your Information Total pages, including cover: 4 Comments: � r� RE: Hazmat Permit. Check has been Mailed, :X,, L I ' d OE ' ON 31dd3d OlNH SIAVC NdSl : l LOOG ' H ' Unr f Town of Barnstable Regulatory Services Thomas F.Geiler,Director XAMPublic Health Division Thomas McKean,Director 200 Main Szeet, Hyannis,MA 02601 Office: 508-862-4644 I'ax7 508-790.6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. 1 ( DATE tp(a'D0� APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT K''g yi d A NAME OF ESTABLISHMENT � S 'T G- \ ADDRESS OF ESTABLISHMENT -5-6 At rM— f2O 11,1. �I�- 0 01 TELEPHONE NUMBER ! 0�� �` �— g�a� SOLE OWNER: v YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO, Oq 15�7-10 STATE OF INCORPORATION� $SSA' US'EI7'-S FULL NAME AND HOME ADDRESS OF: PRESIDENT ytA/ C U►S .�6S:4Z►al S kAs`�s coca TREASURER CLERK < �n�� SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS 96f /M SP - C VIA HOME TELEPHONE# 29 —7g0— —&2-3� ti H O d S N l ' l Z ' d 06L N al dad 1N InHa d0 L00Z ' 9Z r HAZMAT SPILL CONTINGENCY PLAN 1. Evacuate the immediate.atea,if necessary 2. Shut off valves,pumps,and electrical equipment as appropriate. 3. Remove or restrict any potential ignition source if material is flammable. 4. Cover or dice all drains in the immediate area. 5. Contain the spill using absorbent socks/pads,and apply appropriate absorbent material 6. Remove all absorbed material or contained liquid and package in DOT approved contamer(s)- Used absorbent materials should be packaged separately from liquids. 7. Label all containers with the type of waste and start date of accumulation. 8. No*the General Manager- 9. Notify the Massachusetts D.E.P.if the spill is 10 gallons or over. 10. Once the spill has been controlled and materials collected and secured,inspect the area for cleanliness and decontaminate all equipment used in clean up. .' 11. Manage and dispose of collected absorbents and liquid in accordance with Federal and State Environmental Regulations. 12, Records of any spill shall be kept on site. 13. Spill clean up equipment is locate in the storage trailer. 14. All used spill equipment must be replaced. 15. The following is a list of spill equipment on site: A. Spill response kits(2),each capable of containing a spill of S gallons. These kits include absorbent pads,socks,5 gal container,storage bugs,and gloves. 13. First Aid Kit.(Located in Men's.Bathroom) C- Eye Wash.(Located in First Aid Kit) D. Fire Extinguishers.(Located Throughout the building) 1 E ' d 060 ' 0N Odh OinV 61AdO INd0l : l L00Z AZ ' Unr HAZMAT SPELL CONTINGENCY PLAN Emergency Telephone Numbers: Local Fire Department:................................................................911 Local Police Department:.............................................................911 Local Ambulance Service............................................................911 Massachusetts Dept.of Environmental Pfowction Main#.................(508)946-2700 Mass.D.E-P.Spill Hotline.........................................................(508)9462950 General Manager.........................................................................(508)367-6969 N.E.Environmental Semices(An if ......................................(Wl)231-3831 Safety-Meen,Systems(Waste Oil+PaftA Chemicals).......................(508)697-4648 2 06Lt, ON Odld MV SIAVO Ndgl : l LOH ' E ' unr "✓1 r A. Town of Barnstable 01 sad Regulatory Services PPµd Thomas F.Geiler,Director Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: $08-862-4644 Fax- 508-7904304 Application Fee.$'i -00 ASSESSORS MAP AND PARCEL NO. 247Ll �l DATE I ' �O✓�oaS APPLICATION.FOR PERMIT.TO.STORE.AND/OR UTILIZE.MORE.THAN. ill.GALLONS.OF.HAZARDOUS MATERIALS FULL NAME OF APPLICANT DAV 15, -- NAME OF ESTABLISHMENT „"gag. �A'T� V C, �/ n�91 ADDRESS OF ESTABLISHMENT ��5'0 1E ! , AQ - ft i//�✓ !S: �' :'`' TELEPHONE NUMBER—I �0�� 775 -89,23 SOLE OWNER: ✓ YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAPE AND HONM ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 6 N-3l S S 770 STATE OF INCORPORATION� w�-�1d`y5�1T� FULL,NAME AND HOME ADDRESS OF: PRESIDENT V`! - 26f g&2 .5-r VIA - r 0.16 3 TREASURER di CLERK o r SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS 96SST - Cf�IfTk���E< HOME TELEPHONE# M 73 7-7`I3 xazdalwp✓q l ' d LM ' ON Odh 01Ad S lllda W t: l SON Number Fee 620 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Davis Auto Sales 50 Airport Road, MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2005 unless sooner suspended or revoked. ---------------------------------------- SUSAN G.RASK,R.S. WAYNE MILLER,M.D.,CHAIRMAN January 10, 2005 SUMNER KAUFMAN,M:S.P.H. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable Regulatory Services g Y Thomas F. Geiier,Director � a B RN"S TABk � MASS.'E Public Health Division i6 205U 30 �, � 1 ; S8 39 ArFDiV►p'�A Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 _ Office: 508-862-4644 S�e8a 7 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. ;zq C I DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT /►�/�Sld�n T �.. �1,11 C. NAME OF ESTABLISHMENT_ a J/1 S :M/„f/ j6 ADDRESS OF ESTABLISHMENT 'S r"I'o-o r TELEPHONE NUMBER �6 �7�5^- �3 ' SOLE OWNER:-'Z�S NO C) IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF L ` PARTNERS: w z t-n IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. l2-1-3I5,S776 STATE OF INCORPORATION FULL NAME HOME ADDRESS OF: PRESIDENT aVIAZ��Q�IIS -� �6� tit/S'T' C"fA�_Aej1 . ,Fj A14 e":n 3?— TREASURER It It CLERK e i SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS CW'0.1-mi S'-1 Giivrrayim-r. HOME TELEPHONE# C OF 2 ?q4= 3� Haz.doc/wp/q 1 Number Fee 620 THE COMMONWEALTH OF MASSACHUSETTS $100.0o Town of Barnstable Board of Health This is to Certify that Davis Towing and Auto Repair 50 Airport Road, MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING Ill GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------ ---------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2007 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. June 27, 2006 PAUL J. CANNIFF, D.M.D. THOMAS A.MCKEAN,R.S.,CHO _ Director of Public Health