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0112 BARNSTABLE ROAD - HAZMAT
c� II r � Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 + BARMA�BLE.g! 200 Main Street• Hyannis, MA 02601 039• TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rED MP'� Business Name: it Date: 0 /V• Location/Mailing Address: 61hotbk oa Mkm-,' 6o Contact Name/Phone: MQr1 Inventory Total Amount: MSDS: License#: Tier II : 0 Labeling: Spill Plan: Oil/WaterSeparator: Floor Drains: Emergency Numbers: Storage Areas/Tanks: Emergency/Containment Equipment: Waste Generator ID: Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids '-n 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: 1 r C Inspector: Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS i THE rok1• ' Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMAN,% • 200 Main Street• Hyannis, MA 02601 1659. p'FDMP+s?0� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: cc 1 �Q c + i2e Qo,;y- Date:a" Location/Mailing Address: l Y3L?,,n y4,,ble ar�.� U-L6�°1 Contact Name/Phone: ; S g G A 7 7,9- 9 70 -Sl 2(o Inventory Total Amount:-, SDS: 21 License#: Tier II : JVI A Labeling: ' Spill Plan: ? Oil/WaterSeparator: Jr1/J A Floor Drains: s 1 Emergency Numbers:7 Storage Areas/Tanks: -3 60 9 q ON7 S Ats 3 i Emergency/Containment Equipment: 7. Waste Generator ID: M I/ �7q Y76 Waste Product: o i I - S,,,, ,)I Aifi Date&Amount of Last Shipment/Frequency: I h Ynoy-'h Licensed Waste Hauler&Destination: Yn ry-1 ,�l�l �onw„ .� 06, rQ, 1 ,/ 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. i/ Antifreeze/-aaJ JVew 6���9LJ�, � �J 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 K-1-136 SGOW076nWW 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 P-'- Miscellaneous Combustible/' C J,0,,., C,, 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: e4r'r 4,o yrc d 46 rna, ra _2-13'9L6 r—;`x q n rr Pq ;v- q ,-m sc,— 1rC O'1"sln�'-►-�� ORDERS: INFORMATION/RECOMMENDATIONS: all Zleei_ _ - Inspector: C, Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS `pf THE►ok� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARMAN Le.$ 200 Main Street• Hyannis, MA 02601 preDMP+a,O TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: JCG� S �� 04 a 1 l Date: Location/Mailing Address: t(Z Ig�c r,a S-I�a h l Y +1 5 Contact Name/Phone: ze-(e�, K I�ro J 1 - T- - 6� L Inventory Total Amount: 1" ?0_&� SDS:� License#: Tier II : k-'0111-L I Labeling: �u-a ,-4,G Spill Plan: }- Oil/Water Separator: PJJA Floor Drains: - 0 luq Emergency Numbers: " Storage Areas/Tanks: *;L C,s 1) xl Sr,c,,I Vj-e�k-va e.\�30p yaL: 01 5-C �, p Emergency/Containment Equipment: SF •dY i t cu�S Waste Generator ID: V IZb Waste Product: Date&Amount of Last Shipment/Frequency: 10 1 2 15'0 10,1 0, /V Ix vA o. Licensed Waste Hauler&Destination: tAku<' , hc,v l 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 gallors or more requires a license from the Public Health Division. 1�1-v Antifreeze Io�SS �" Dry cleaning fluids ?L Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers 3 Hydraulic fluid (including bake fluid) air Windshield wash SS Motor oils '1!4 3.00 0tJ#A4c- Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil -1.1 Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides 1-1 Battery acid (electrolyte)/batteries 11 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 2 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: ct eVAC to INFORMATION/ ECOMME DATIONS: Inspector. Facility Representative: WHITE COPY-HEALTH DEPARTMENT;CANARY COPY-BUSINESS • X Number Fee 1289 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable o Board of Health This is to Certify that Excel Gas and Repair 112 Barnstable Road, Hyannis, 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 Town of Barnstable Regulatory Services _ _Richard V.Scali,Director %` R BARNSTABLE ' N ' r -lic Health Division comas McKean,Director ain Street Hyannis,MA 02601 Fax: 508-790-6304 `►R PERMIT TO STORE AND/OR UTILIZE •' / - AZARDOUS MATERIALS 71 WN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, P BUSINESSES THAT HANDLE OR STORE HAZARDOUS Aa 1 )USEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN c , - st—JUNE 30th). I _ J 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 'w'r L.' 1 pp ` l A late cha a of 10.00 will be assessed ifRayment is not received by.July 1st. ASSESSORS MAP AND PARCEL NO. DATE FULL NAME OF APPLICANT: iP(r_ NAME OF ESTABLISHMENT: a 1 6�� and ;,221 4 y� ADDRESS OF ESTABLISHMENT: MAILING ADDRESS(IF DIFFERENT): TELEPHONE NUMBER OF ESTABLISHMENT: TC3 S Z� EMAIL ADDRESS: ' ' SOLE OWNER: YE No IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME e i. PRESIDENT TREASURER b4iYtc CLERK IF PREPARED BY OUTSIDE PARTY: SIGNA OF PLICANT Name: Company Address Telephone#: Email: QQVspplinfion Foms\HAZZAPP Revl&do" Page I of 2 5V 4 ��h n S 1 lR I Town of Barnstable • WE Regulatory Services Richard V. Scali, Director ` '"R"AM Public Health Division BA�NSTABI,E 1639. ��� �orue�miit�r'eu"n�iat �ED � Thomas McKean, Director 1639-2014 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1st—JUNE 30th). APPLICATION FEES • CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00IN � . A late charge of$10.00 will be assessed if payment is not received by July 1st.. ASSESSORS MAP AND PARCEL NO. DATE FULL NAME OF APPLICANT: ) %('( — ,a►'1-e9V Z- NAME OF ESTABLISHMENT: o ADDRESS OF ESTABLISHMENT: MAILING ADDRESS(IF DIFFERENT): y y TELEPHONE NUMBER OF ESTABLISHMENT: EMAIL ADDRESS: %P/�c/Z�t �i C Oily SOLE OWNER: YE NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPJIONE#OF: CORPORATION NAME m r e i °- C— PRESIDENT TREASURER CLERK • IF PREPARED BY OUTSIDE PARTY: SIGNATU ?OFPPLICANT Name: Company Address Telephone#: Email: Q:\Application Forms�HAZZAPP Rev16.doex Page 1 of 2 IB rog� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMS�LE. • 200 Main Street• Hyannis, MA 02601 1639. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: 9 a ��1 ��S Re Date: Location/Mailin Addres 1 2 y a Contact Name/Phone: 6a\so v I-- Inventory Tot I Amount: ^" 4 4SDS: 4e, ( 04t,v\, License Tier II : 0 Labeling: 04--k \A1x1 WA&Veo+l Spill Plan: `fie o-s Oil/WaterSeparator: N��\ Floor Drains: `!es- \Q\oe,4,ctEmergency Numbers: Storage Areas/Tanks: MA, 9.50 A,5 , %&a w�sir. o,I AS�f, Emergency/Containment Equipment. 0 4-tr.� L— Ao ob-k4 — Waste Generator ID: a ct. V-c-4/ Waste Product: ©8 Date&Amount of Last Shipme t/Frequency: Licensed Waste Hauler&Destinati'on: 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. lsl Antifreeze � SS Dry cleaning fluids Ot Automatic transmission fluid Other cleaning solvents&spot removers I Engine and radiator flushes Bug and tar removers q- Hydraulic fluid (including brake fluid)V to3 Windshield wash 3 {-!�' 4 S� SS'1- Motor oils 1.r Zo +SS 41.15 4,2,00 o Miscellaneous Corrosives Gasoline,jet fuel, aviation gas w Cesspool cleaners Diesel fuel, kerosene, #2 heating oil 21S Disinfectants Miscellaneous petroleum pro uc s: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents 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/R COMMENDATIONS: a\►1 $ ks r A ovt R ot, o f.%%,o0 0 , A a -1 0, I aka r s Dots a-To sfi�! F`P_rg 1 ..a �Inspector: i'2C 1 % • Cmiw `e,�� SA,t� A:0, A- Facility Representative: S re os•(-�v���• �l Svb�l� `ice e� {� ���a�},oti- a. -cc ,��.�,� r� G�an)�LHITE COPY-H LTH DEPARTMENT/CANARY COPY-BUSINESS YOU WISH TO OPEN A BUSINESS? For Your Information: 'Business certificates [cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town [which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on thi5'form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office,.1 st Fl., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. .Ik�391�' 4YiEa DATE: ��� Fill in please: APPLICANT'S YOUR NAME/S: BUSINESS YOUR HOME ADDRESS: ZT �Rs �.. TEI EPHONE # Home Telephone Number IV1N BUSINESS ;$,a +t..::: ::..,` T' TYP.E OF'BL[51NE55 IS'- 15 A'HOIVI .OLC! PAf i. .N :, - t `•Sl�'i 1, ACIDRESS;.QF BUSI ES �''•.r._,., :........ .... i........._..�1.....,.rS �... ... ��. ..`. ' ' .. .. �°� :�11/IAF!%PARCEL�IUIViQER.�: �' JAssessl•ti • • When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. 6 Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM SIDN 'S OFFICE This individu I ha bbe infatm d �eritire e_ry� nts that pertain to this type of business. Aut o ' Signatur 0SMM TS: U 2. BOARD OF HEALTH This individual has be form d �peritrements that pertain to this type of business. mutt do -LY UIIFYFI ALA -'Authorized Signature** HAZARDOUS.MA COMMENTS: TERIALS REGUUITIEV$. B. CONSUMER AFFAIR [LICENSING`AU RITY] This individual hjj)rgV f I' requirements that pertain to this type of business. COMMENTS- � . ���� �g I S2. 16�2� YOU WIS14 TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to"operate:]--You um st first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st A., 367 Main St., Hyannis,.MA 02601. (Town Hall) and get the Business Certificate that is required by law. DATE: - Fill in please: . APPLICANT'S YOUR NAME/S: y �.> ✓ , ' BUSINESS YOUR HOME ADD ESS: ✓'.> > L _ ta. TELEPHONE 0 Home Telephone Number k- d9s•i�lJivi�J_fst"d '! l'` E-MAIL: . �'Y' wY„dV:'. u,'fit:bi'•e+i� OR EIN #: err✓ `� � ��yLyl� NAME OF CORPORATION: NAME OF-NEW BUSINESS 3T2_�`� & �' TYPE OF BUSINESS C�fu� z f •�.- ,o�.%� IS THIS A HOME OCCUPATIbN? YES NO ' — — -- — 2 ADDRESS OF BUSINESS. .- �'.� 1 ::.-;y�. _ .� �< �( MAP/PARCEL NUMBER .3oZT d � � [Assessing) When starting a new business these are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to'assist you in obtaining the information you may need. You MUST GO TO 200.Main St. (corner of Yarmouth ' Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM SIO ER'S OFFICE This individu I ha e infarm o rmi requirements that pertain to this type of business. Aut orized Signature** COMMENTS: 2. BOARD OF HEALTH This individual has been inform e e�pit r quirement�t�at pertain to this type of business. MUSTCOMPLY WrMALL, HAZARDOUS MATERIALS REGULATIONS Authorized Signature** COMMENTS: 3. CONSUMER A'FFAI S (LICENSIN&HRCI This individual ng..requirements that pertain to this type of business. t d COMMENTS: . Aiv TOWN OF BARNSTABLE Date:Of TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: U4444.j �� � ,� zr� BUSINESS LOCATION: //.;Z INVENTORY MAILING ADDRESS: 5/,'�r�Q,,,,,�, ram, 6' )V, ©,S; TOTAL MOUNT: TELEPHONE NUMBER: S09- CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: 6-0A MSDS ON SITE? TYPE OF BUSINESS: � ,�,,,� INFORMATION / RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ 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) u asoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene,#2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED - Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives(creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt&roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform,formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes Laundry soil &stain removers (including bleach) y Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials Number Fee 1289 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable ' Board of Health This is to Certify that Excel Gas and Repair 112 Barnstable Road, Hyannis, 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 ♦r 1 Public Health Division 3079.701. _ Thomas McKean,Director 573 639. 200 Main Street,Hyannis,MA 02601 y Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE ram- 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 O CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 O� � CATEGORY 3 PERMIT 500 or more Gallons: $150.00 Pa( C, *A late charge of$10.00 will be assessed if payment is not received by July1st. � 1. ASSESSOR'S MAP AND PARCEL NO. Z 616 2. IS THIS A PERMIT RENEWAL? _NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGEMSE OF GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: f e/ 1 e-p v2 5. NAME OF ESTABLISHMENT: i1 6. ADDRESS OF ESTABLISHMENT: f 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: y 8. TELEPHONE NUMBER OF ESTABLISHMENT: '�( l S l 26 9. EMAIL ADDRESS: M�2Ir 0 10. SOLEOWNER:�_NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: 1 CORPORATION NAME PRESIDENT TREASURER CLERKS 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS, EMAIL: *SIGNATURE OF APPLICANT DATE C:1Users1trippv\Desktop\Rcncwa1 Applicatio r avc for VST Quick Lookup\Maz Mat App Revised 09-10-18.docx MAIL-IN REQUESTS Please mail the completed application form to the address below. ' In addition, please include the required fee. 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. In addition, please mail the required fee amount. Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. Allow up to four days for in-house processing. For further assistance on any item above, call (508) 8624644 C:\Users\trippv\Desktop\Rennval Applications for 2020 Save for VST Quick Lookup\Haz Mat App Revised 09-10-18.docx Number Fee 1289 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Excel Gas and Repair 112 Barnstable Road, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. ----------------------------------------------------------------------------------------- ------------------------------------------------------------------ ------------------------------------------------------------- -------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2019 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2018 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health e`o� Voewgulatoryof B ns able 06460CA 105�Services / Richard V. Scah, Director " THE . Public Health Division p BARNS TABLE anaNsrne • nrmnuE•mrun•yrarws Thomas McKean, Director " TONS""L iOSM o;"��BN5f.LE Argo ram+° _ --200 Main Street Hpan�-MA 02G01----" Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 IDd V-S . *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. I 1 Z //2 SL"qWt ad 2. IS THIS A PERMIT RENEWAL?_ _NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONINGBUILDING APPROVAL FOR HAZARDOUS MATERIALS ST GEIUSE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? NO. 4. FULL NAME OF APPLICANT: pi-e"f re J&dlPr� 5. NAME OF ESTABLISHMENT: r (� 6. ADDRESS OF ESTABLISHMENT: 2n pZ� �/) �� C'�ab/ 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: ►- 8. TELEPHONE NUMBER OF ESTABLISHMENT: �( Z' �{� ! 2� 9. EMAIL ADDRESS: . f j 10. SOLEOWNER: NO IF NO,NAME OF PA YERTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPH,POiV#OF: n CORPORATION NAME /n /��� C ,C— PRESIDENT l TREASURER CLERK ii 12. IF NAMEME PARED BY OUTSIDE PARTY: TELEPHONE#: G I �b2—� COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE Q:Wpplication Forms\IIAZMAT APP 2017 REVIS . o 4L J Number Fee 1289 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Excel Gas and Repair 112 Barnstable Road, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. --------- ------------------------------------------------------------------------------------------------------- ------------------------------------ ------------------------------- -----------------------------L 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 � TRown. of Unstableegu atoervices UC #i Richard V. Scah,Director Ift A gm A 2 8to` ti Public Health Division BARNSTABLE r enrtxs:.ws•:txre[nut•conrt•xra.ris BARNSTABLE, = Thomas McKean, Director 1639 2014v.s engnsT<eE ry ArE �>``� 200 Main Street,Hyannis,M 02601 �Dg A Office: 508-862-4644 ✓'�/ �� �v/ v Fax: 508-790-6304 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 TITAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ 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. 112 o 26D 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: K1114OZZ 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: 2 �� �� �s� '9/z� 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: `� J 8. TELEPHONE NUMBER-OF ESTABLISHMENT:( 9. EMAIL ADDRESS: 121 1 w- /Y9 I. O,-vi 10. SOLEOWNER: YES_ IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELE ONE#OF: 117 CORPORATION NAW PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS i-° EMAIL: SIGNATURE OF APPLICANT 4 � DATE ,-t7, 2v Q:\Application FormsViAZMAT APP 2017 RE docx Number Fee 1086 THE COMMONWEALTH OF MASSACHUSETTS $100.0o Town of Barnstable Board of Health This is to Certify that KAMBERI FAMILYLLC 112 BARNSTABLE 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 Town ©f Barnstable of,H Regulatory Services Thames Y Giier,Director ��aarF xA Public Heal-�b Di i ss. a`9� Thom2s McKean,DindDr NO Main Hyannis,MA 02601 ' F= 508-790-6304 OfEcz: 5084624644 Appfl aeon F.Ea: 10�.fl0 Y ASSESSORS MAP A�IiE ACEL N+ �Zq�()Q DATE �PPLICATIO FOR PERMIT TO STORE AND/OR � MORE TEAM 111 GALIJONS OF g�®US MATERIALS lei � I+=NAASE OF APPLICANT NAB, OF ESTABT 7 H NT ADDRESS OF ESTABLaE ENT TELEPHONE SOLE OWNS. YES NO IF APPLICANT IS A PARTNZRSHIF,FULL_NAya AND HOME ADDRESS OF AILL P ARTII�ERS: I IF APPLICANT IS A CORPORATION: Pam=-A-L IDEN'TiFICATION No. STATE OF INCORPORATION yL N_AINa AND HONK ADDRESS OF: -PRESIDENT T TREASURER '.CLERK SIGNATURE OF APFIJCA.NU PFSTRICTIO�iS: HONSE ADDRESS i HONIE TE + HONE# i IF27-dachvp/q MAIL-IN REQUESTS Please mail the completed application form to the address below. In addition, please include the required fee amount. Make check payable to: Town of Barnstable. Our mailing address is: Town of Barnstable Public Heaa Division 200 fain Street Hyannis, MA 02601 FOR FAXED REQUESTS Oun fax number is (508) 790-b304. Please fax a completed application fog. In addition, you must mail the required fee amount (see fees at bottom of this page). Please make the check payable to: Town of Barnstable. The check must be mailed to the aridness listed above. Foa-Rlzther assistance on any item above, call (508). 862-4b44 i I I II i i i � I � Number Fee 1086 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that KAMBERI FAMILYLLC 112 BARNSTABLE 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 l� s to.Do - q"'Townarnstable Regulatory Services ti Thomas F. Geiler,Director » BMMSTABLE. 9� ��� Public Health Division �EDNIe'�1639. 0, Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS &srtp, kA I"3E 2i L FULL NAME OF APPLICANTV 1 L / / �, _e NAME OF ESTABLISHMENT M J ; I`'�'t�'! �-Y L ADDRESS OF ESTABLISHMENT Ift. t. , TELEPHONE NU ER so ��� O S SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS O`. `�..A'LL B',.. PARTNERS: C) -n W W IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. q STATE OF INCORPORATION FULL NAME AND OME ADDRE S OF: PRESIDENT .S A" A M 3 E R-i TREASURER CLERK 04u^ -i SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS C(9(f'lP'sS Cl Q HOME TELEPHONE# W61 Haz.doc/wp/q e� Number Fee :153 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Barnstable Road Getty 112 Barnstable Rd., 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 r �a �f Town of Barnstable � Barnstable o&VeT s Regulatory ,Services Department Aarnstabl Cft Public Health Division 9 MA—S& �� 200 Main Street, Hyannis MA 02601 �pPf>7 ram'�A, 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. DATE I � ) APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS In FULL NAME OF APPLICANT __Le5 Q► eo-AAI� 4 c NAME OF ESTABLISHMENT A 1� 2 �A INt< L LLB ADDRESS OF ESTABLISHMENT ([Z l c T • TELEPHONE NUMBER .5 09 7-).g SOLE OWNER: VYES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS-,OF ALL —p PARTNERS: ZIP- (ID ;._ O n G3 5�1 IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.2!© Q � ~ STATE OF INCORPORATION k P FULL NAME AND HOME ADDRESS OF: PRESIDENT `R E-5 A i TREASURER CLERK G A RE APPLICANT • RESTRICTIONS: HOME ADDRE S 14 CpacPAs5 6 Q, j4aA,,-16 HOME TELEPHONE# f o R 6 9 SS I k 6 o Q:\Hazmat\Haz Mat Application2008.DOC rr • It 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 time 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 of$100. Please make the check payable to: Town • of Barnstable. The check must be mailed to the address listed above. Allow time for in- house processing. For further assistance on any item above, call (508) 862-4644 Back to Main Public Health Division Page t � • Q:\Hazmat\Haz Mat Application2008.DOC Number Fee 153 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Five Star Fuel 112 Barnstable Rd.,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, 2008 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. 7/1/2UU7 PAUL J. CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health 1 Town of Barnstable z r �oF owl Regulatory Services °* Thomas F.Geiler,Director MASS.nARNSTAF� Public Health Division Thomas McKean Direct or 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE `� t APPLICATION FOR PERMIT TO STORE AND/OR UTILI*M0`RE _ THAN III GALLONS OF HAZARDO S MATERIA,I�' � n cis s �J e- 5�V� ! t1 L,./�/� < A' . %C— c ® M-7 FULL NAME OF APPLICANT �:.. NAME OF ESTABLISHMENT Am`gl,eR.i ADDRESS OF ESTABLISHMENT ($8� �CQ ,,, D�6f�� TELEPHONE NUMBER e e# �0 7 L� 6 SOLE OWNER: XYES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A — qq q CORPORATION: FEDERAL IDENTIFICATION NO. 2,� J J 0 STATE OF INCORPORATION HA FULL NAME AND HOME AV RESS OE: PRESIDENT C S A P. N y c�rSc V-I co rvc P 455, C t R •�" Q�6 p c TREASURER CLERK IGNATURE OF APPL RESTRICTIONS: HO SS �50 6 85 7 y o�® HOME TELEPHONE Number Fee 153 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that Barnstable Road Getty 112 Barnstable Rd., 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, 2008 unless sooner suspended or revoked. ------------------------- ------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. 7/1/2007 PAUL J. CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.;CHO Director of Public Health Number Fee 153 THE COMMONWEALTH OF MASSACHUSETTS $100.00 �o b Town of Barnstable Board of Health This is to Certify that Barnstable Road Getty 112 Barnstable Rd., 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 PAUL J.CANNIFF,D.M.D. 07/01/08 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health Town of Barnstable Barnstable THE Regulatory Services Department o ;ericaC"i Public Health Division + BARNSrABM 9� " � 200 Main Street, Hyannis MA 02601 prfO �s 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE ?()0g APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT C-5 0 e T 4M 26(?, NAME OF ESTABLISHMENT18 !LP�lAg( PC^t P� a4-ta ADDRESS OF ESTABLISHMENT �IZ Qij � G( C� r , dA4 S TELEPHONE NUMBER ,��� 9 V 33 I SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALt PARTNERS: W oa Sys .. ca c3 r- IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION K A5$ FULL NAME AND HOME ADDRESS OF: PRESIDENT �4 CCiMOAe5 C�e 1,4`'lCl4 4 at�5 014 C9rY�a1 TREASURER `4 CLERK I A APPLICANT RESTRICTIONS: HO ADDRESS I C,� PA S S `� ( e IL HOME TELEPHONE# 20S 719 0317 Q:\Hazmat\Haz Mat Application2008.DOC t i� Number Fee 153 THE COMMONWEALTH O, F MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that Five Star Fuel 112 Barnstable Rd., 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, 2007 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. June 19, 2006 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 ✓ y r sA i Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-8624644 Fax:.508-790-6304 . Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT ~ NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT TELEPHONE NUMBER -SOLE OwNER:_)4�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 `tom FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK (JIGNATURE OF AP LICANT RESTRICTIONS: H®ME ADDRESS HOME TELEPHONE# FIa`.dow'wp(� u 9 MAIL-IN REQUESTS Please mail the completed application form to the address below. Also include copies of your employees food sanitation training certificates. In addition, please include the required fee amount (see fees at bottom of this page). 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 FANS REQUESTS Our fax number is (508) 790-6304. Please fax a completed application form. Also, please fax copies of your employees food sanitation training certificates. In addition, you must mail the required fee amount (see fees at bottom of this page). Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. Allow up to four days for in- house processing. 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T. ,g4. l �,,. : : �r`F „F:. .a,. .tE rt �.4.,• , i 5, nK Y� ;}:� r t +` ,-..n fi,C.r« ! ..,,,, ,. y'.:<-�.. 1 ..i... ) 3:i,v.t:! _ :. f .:q,'. :• `,,"rz 7 J-'. ::W ,. ))._. «.,,.. ,. '::C , t _ .. „, n, u„.. .z f>. " -S• Id:' .3 d i `q..r., al.� cf 3 -cL y, :'.�" -.4 ,,:,.,..f i e.i F :::,,.. n, d 'j '::::t i.. ... F:1'ui �:r'u:r4 I' u:i1}pr rN ,,_. }1?'q , � 1.. t 4 ,., j .rC 5(', 1`.. f U, 1 t tE .A f, '1 p:'h ::S S i � Y Town of Barnstable °p114E Tp� Regulatory Services v ti Thomas F. Geiler, Director BA MASS. * Public Health DT" Oi BARNS 039. y MASS. ArFOMA�A' Thomas McKean, 11414',RT y p(q 1 35 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: -508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATF4 l APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT /X �� �• � 0-t r(,`( ADDRESS OF ESTABLISHMENT RiltL/�TAIII"Lo Q4j,4-j t TELEPHONE NUMBER SRO Q 2 SOLE OWNERVYES NO IF APPLICANT IS A PARTNERSHIP, FULL NAME AND HOME.,ADDRESS OF ALL PARTNERS: 4 IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION I l`,�] S. FULL NAME AND OME ADD SS OF: I @ 9 PRESIDENT e3 m T a- C-- i /� Cotk 0gsos C t et Cw►,r ti� TREASURER CLERK S t f IGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS /�/ ro1At/• g HOME TELEPHONE# MASSACHUSETTS FIRE INCIDENT REPORT ' A 1 FD I D# DEPARTMENT Revised Form 1..9.2.2........ H annis Fire Department Report arm Inciden If E Date Da Al Aruva In Service 0. 1. Fire 002/26/97 Y Wednesday 18:52 19 :00 19:20 ai TOUND JACTION TAKEN MUTUAL AID e No I g n ;;'4 1 Investigation Only I OPERTY USE (OCCUPANZY) >> IGNITION FACTOR C lic Service Station OCORRECT ADDRESS ZIP CODE CENSUS TRACT D 112 BARNSTABLE ROAD 02601 40 O 11 OCCUPANT NAME (LAST, FIRST, MI) TELEPHONE ROOM or APT. GILMAR, FELER 508 775-9783 O/S G12OWNER NAME (LAST, FIRST, MI) ADDRESS TELEPHONE LOUMOTIS, PETER BARNSTABLE, MA. 02632 508 775-9783 G 13 METHOD OF ALARM CO. DIST. PERSONNEL ENG RESP. AERIALS RESP. 101RESP. l El �.. 1 SHIFT HAZ MAT PRESENT? TANK. RESP. OTHER RESP. B 1... Telephone (Direct) NO. SUBSTANCE 0 0 1 SPEC. EQUIP. USED? O 20 FIRE SERVICE 0 » 0 OTHER 0 00 » 0 O MOBILE PROPERTY TYPE VEHICLE STOLEN? ESTIMATED TOTAL INSURANCE CO. DOLLAR LOSS TOTAL INS. 0 CLAIM PD 30 YEAR MAKE MODEL COLOR LICENSE NO. VIN# 40 IF EQUIP INVOL. YEAR MAKE MODEL SERIAL NO. IN IGNITION O COMPLEX AREA OF EQUIP INVOLVED IN IGN. .. ORIGIN FORM OF HEAT IGNITION MATERIAL FORM ........:>; TYPE © « IGNITED METHOD OF LEVEL OF ORIGIN Number of Stories CONSTRUCTION TYPE OEXTINGUISHMENT .......... I �j Ld EXTENT OF DAMAGE Flame ......... Smoke DETECTOR PERFORMANCE SPRINKLER PERFORMANCE =1 O Material generating FORM TYPE ® most smoke AVENUE OF SMOKE TRAVEL R WEATHER CONDITIONS Officer in Charge: Date FARRENKOPF, C. CAPTAIN 2/2 6/9 7 • Comments for this incident have been printed on an additional comments page. 4C YComments for Incident: 97 970181 Exposure: 00 Date: 2/26/97 RECEIVEb A CALL FROM A PAST FEMALE CUSTOMER OF 112 BARNSTABLE ROAD,GETTY GASOLINE STATION, RE°ORTING A FUEL SPILL CALLER[CAR PHONE/PAGER 638-55871 REPORTED THAT WHILE HER CAR WAS BEING FILLED, ATTENTANT MAKING OUT CREDIT CARD INSIDE, NOZZLE FAILED TO SHUT-OFF. SHE TOLD FIRE ALARM THAT ABOUT TEN [10]GALLONS HAD SPILT ON THE GROUND PRIOR TO THE ATTENANT SHUTTING IT OFF. ARRIVING ON SCENE,PUMPING AREA, I FOUND A MINOR WET AREA[GASOLINE/WATER]NEAR THE LAST PUMPS OUT. INVESTIGATING ATTENTANT TOLD ME JUST ABOUT THE SAME STORY. I ADVISED HIM TO BE ATTENDANCE WHILE PUMPING FUEL, NOT TO WASH FUEL'SPILLS DOWN WITH WATER,TO NOTIFY THE FIRE DEPARTMENT AND WE WILL CORRECT THE PROBLEM. SPILL APPEAR TO BE LESS THAT ONE GALLON????? BUSINESS OWNER ARRIVED ON SCENE AND WAS ADVISED SAME REGARDING FUEL SPILLS. HE TESTED PUMP[NOZZLE] EVERYTHING APPEARED TO BE O.K. MINOR SPILL; ATTENTANT: MR. FELER GILMAR 250 SEA STREET APT. 9 HYANNIS MA. 02601, SS 22269479. BUSINESS OWNER: MR. PETER LOUMOTIS, BARNSTABLE, 508-775-9783. WEATHER CONDITION:CLOUDY, COOL,WIND OUT OF THE WEST ABOUT 13 MPH,T 41°F. FARRENKOPF, C. CAPT. 02/26/97. a TOWN OF BARNSTABLE BAR-W !Q. 3393 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager 494mi. Alueo siA '!i Address of Offender MV/MB Reg.# Village/State/Zip Business Name t,e�4t./..+!° ` riS CrVAUA 'A 4i /pm; on — 1;4,.'20r Business Addresstw�t ,� `6� „� ,� ,.lr, ,� Signatdr f' Enforcing Officer Village/State/Zip Location of Offense Enforcinq"ODept/Divil6ion Offense '" "`b +L a.a. p.. -.444.4 le _?A1 is �^t y a Facts O ram) ,19-. �' ,. r�,� � ^�,� ..�� r � r'� ,i I I A rat.�.�. � •�r'��Sd�x.�r�a...�r� 4ter. ... This will as'erve only a0a warning. At this time no legal actio-n has"--been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will„result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. TOWN OF BARNSTABLEJ- UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION MAP NO. 327 .. PARCEL NO. 55 "ADDRESS OF TANK: U2 Barbstable Raod VILLAGE: IVanniS Number �tr��! GettyP� Co MAILING ADDRESS ( IF DIFFERENT FROM ABOVE) : Ia5Sa: ,u AVe & Dex Rd, East Pro denee OWNER NAME: Getty Petxolem Corp PHONE: (401) 434-1322 INSTALLATION DATE: 1966 BY: Unknown INSTALLER ADDRESS: CERT.NO. *TANK LOCATION: West sum Of blildinq #1 (OMOCRIOK TANK LOCATION WITH RKMPWCT TO NUIt_OINW) CAPACITY 6000 TYPE OF' TANK StSe1 AGE 23 YRS. FUEL/CHEMICAL Unleaded Gasoline TESTING CERTIFICATION [XI PASS [ l FAIL DATE November 30.1988 LEAK DETECTION [ XI CHECK IF N/A TYPE/BRAND ZONE OF CONTRIBUTION [ I YES [ NO DATE TO BE REMOVED %, FIRE DEPT. PERMIT ISSUED [ I YES [ I NO DATE CONSERVATION [ ] CHECK IF N/A DATE BOARD OF HEALTH TAG NO. [ ' I DATE * PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD r Getty Getty Petroleum Corp. I Massasoit Ave. & Dexter Road, E. Providence, R.I. 02914 • (401)434-1322 February 20, 1989 Town of Barnstable Office of Board of Health 367 Main Street Hyannis, Mass 02601 Dear Sir, In response to your letter dated February 10, 1989, Enclosed are four registration forms for the existing underground storage tanks at our location at 112 Barnstable Road, Hyannis. Due to a recent move of the Engineering Department at our East Providence terminal, I have been unable to locate the existing Fire Department Permits. I will forward copies of the permit when located,and, or the new permit when received. If you have any questions or comments regarding this matter, please contact me at 1-800-556-6926. Very Truly Yours, Getty Petroleum Corp., - a \ , Mark R. Smith Maintenance Supervisor •, tt i f Z, GETTY PETROLEUM CORP. / DEXTER ROAD & MASSASOIT AVENUE/- E. PROVIDENCE, RI 02914 i _Y *IRE p TOWN OF BARNSTABLE y 4 0 OFFICE OF ]BARNSTAIM M MI1eR BOARD OF HEALTH y 2639 367 MAIN STREET OM M' HYANNIS, MASS. 02601 March 7, 1989 Mr. Mark R. Smith Getty Petroleum Company Massasoit Ave. & Dexter Road East Providence, RI 02914 Dear Mr. Smith, Enclosed are four brass valve tags to be attached to the fill caps of the three gasoline underground storage tanks and the one underground waste oil tank. As per our conversation on March 7, you are required to have all four tanks tested and to provide to the Health Department all the. test data results. Due to the age of the tanks you are required to have them tested annually and-have them.removed by the year 1996. If you have further questions please feel free to call me at (508)- 775-1120, Extension 182. Sincerely, Donna Z. Mio zndi Health Agent I I Data Chart for Tank System Tightness Vest USING PETRO-TITE CORPORATION TANK TIGHTNESS TESTER MODEL 1000 • Copyright©Kent-Moore Corporation 1977 PLEASE PRINT 1. OWNER Property �B Getty Petroleum Corp. , Dexter Road & Massasoit Avenue E. Providence RI Name Address Representative Telephone Tank(s) Name Address Representative Telephone z. OPERATOR Getty Station 112 Barnstable Road Hyannis, MA Name. - Address Telephone 3. REASON FOR Problem in area. TEST (Explain Fully) 4. WHO REQUESTED Mark Smith Engineer Weer Gett Petroleum Corp. - TEST AND WHEN Name Title Company or Affiliation Date Address Telephone 5. WHO IS PAYING GettyPetroleum Corp. Mark Smith Engineer 401-434-1322 a FOR THIS PAYING Company.Agency or Individual Person Authorizing Title Telephone Billing Address City State ZIP Attention of: Order No. Other Instructions Identify by Direction Capacity Brand/Supplier Grade Approx.Aga Steol/Flberg!sss. 6. TANK(S) INVOLVED # 1 6000 Pre. Unl . From the office # 2 & 3 5000/5000 Unleaded Location Cover Fills Vents Siphons Pumps 7. INSTALLATION DATA North Inside driveway, Concrete,Black Top, Size,Tltefill make.Drop Suction.Remote, Rear of station,etc. Earth,etc. tubes,Remote Fills Size,Manifolded Which tanks? Make if known 8. UNDERGROUND is the water over the tank? WATER Depth to the Water table below tank bottom ,r Yes No Tanks to be filled hr. Date Arranged by 9. PILE UP Name Telephone ARRANGEMENTS Extra product to"top off'and run TSTT. How and who to provide? Consider NO Lead. • j Terminal or other contact for notice or inquiry Company Name Telephone a i 10. CONTRACTOR, Sure-Test Corp. , 333 Washington Hwy. , Smithfield RI 02917 MECHANICS, any other contractor involved 11. OTHER Water INFORMATION Lines tested se aratel --lines ti ht. 11-15-88 OR REMARKS Additional information on any items above.Officials or others to be advised when testing is in progress or completed.Visitors or observers present during test etc. i y Tests were made on the above tank systems in accordance with test procedures prescribed for Petro-Tits Tank Systems Tightness Tester 12. TEST RESULTS Model 1000 as detailed on attached test charts with results as follows: Tank Identification Tight Leakage Indicated Date Tested # 1 Yes +.026 1-30- 8 2 & 3 Yes -.024 - -88 This Is to certify that these tank systems were tested on the data(s)shown.Those Indicated as"Tight"meet the critaria established by 13. CERTIFICATION the National Fire Protection Asociation Pamphlet 329. <. November 30, 1988 David Moreau Sure-Test Cor ��/��. D�nn "�- Date Testing Contractdr or Company: '-By: Signature ..1852, 515, 1095 333 Washington Hwy. , Smithfield, RI 02917 Serial No.of Thermal Technicians Address Sensor TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION MAP NO. 327 PARCEL NO. 55 ADDRESS OF TANK: 112 Barnstable Pmd VILLAGE: Hvarmi.s Numbmr mtr�mt Getty Pqtroleum Co - MAILING ADDRESS ( IF DIFFERENT FROM ABOVE) : Mass 2t aye. & Dexter eta. F,.Proyideme.Rt OWNER NAME: Gmy PE=LE M Ocap PHONE: (401) 434-1322 INSTALLATION DATE: 1966 BY: Unk awn I":GTALLER ADDRESS: CERT.NO. *TANK LOCATION: West side of building #2 (0=0ORIH` TANK LOCATION WITH A6iPP.CT TO SUILDINO) CAPAC I TY 5000 TYPE OF TANK Steel AGE 23 YRS. FUEL/CHEM I CALUnleaded Gasoline TESTING CERTIFICATION [X] PASS [ ] FAIL DATE Novevtx r 30.1988 LEAK DETECTION [ X] CHECK IF N/A TYPE/BRAND ZONE OF CONTRIBUTION [ ] YES [�] NO DATE TO BE REMOVED R(49 FIRE DEPT. PERMIT ISSUED [ ] YES [ ] NO DATE CONSERVATION [ ] CHECK IF N/A DATE BOARD OF HEALTH TAG NO. [ ?V6 -] DATE �l C1 / 7 r * PLEASE PROVIDE .A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION #3 MAP NO. 327 PARCEL NO. 55 ADDRESS OF TANK: ].1_.2 Ilv1MstF_ka1c:k Rewl VILLAGE: HyanniS Numb•r 0tr4wmt Getty Petroleum COrp. MAILING ADDRESS ( I F D I FFERENT FROM .ABOVE) : kq I+' "1saF;t7it, Ave & 1)p-v.fp-r RT) vas-_t Prrmri eience OWNER NAME: Getty Peter Corti. . '` PHONE: INSTALLATION DATE: 1966 BY: ibkrxwm INSTALLER ADDRESS: CERT.NO. *TANK LOCATION: WeSt Side Of the bUild&W #3 (DaBORZOM TANK LOCATION WITH MZS"GCT TO 0UIL0IN0) CAPAC I TY5000 TYPE OF TANK St 7. AGE 23 YRS. FUEL/CHEM I CAL t,Itajeadad. (tagol inra TESTING CERTIFICATION CX ] PASS C ] FAIL DATE N yenber 30 ,1988 LEAK DETECTION [X] CHECK IF N/A TYPE/BRAND ,`ZONE OF CONTRIBUTION [ ] YES [ . ] NO DATE TO BE REMOVED FIRE DEPT. PERMIT ISSUED [ ] YES . [ ] NO DATE CONSERVATION [ ] CHECK IF N/A DATE / 1 BOARD OF HEALTH TAG NO. C 4�, } DATE� 7 l) r` * PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD L. TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION 4' MAP NO. 327 PARCEL NO. �F ADDRESS OF TANK: 112 Banistable Road V I L L A G E Qyanni s Nu m b r O t r•w t Getty Petxoleum COrp MAILING ADDRESS ( I F DIFFERENT FROM ABOVE) : Massasoit Ave & dexter Rd, East Providenoe OWNER NAME: Getty Petroleum Corp PHONE: (401) 434-1322 INSTALLATION DATE: 1966 BY: Unkmm I"!GTALLER ADDRESS: CERT.NO. *TANK LOCATION: Swt)i Side of the bAlclim #4 (DWOCRZOU TANK "OCATION WITH MWORMCT TO HUILDINW) CAPACITY 550 TYPE OF TANK Steel AGE 23 YRS. FUEL/CHEMICAL WastQ Oil TESTING CERTIFICATION [ ] PASS [ ] FAIL DATE LEAK DETECTION [ XI CHECK IF N/A TYPE/BRAND G� ZONE OF CONTRIBUTION [ ] YES [A NO DATE TO BE REMOVED lqf(k2 FIRE DEPT. PERMIT ISSUED [ ] YES [ ] NO DATE CONSERVATION [ ] CHECK IF N/A DATE f �. BOARD OF HEALTH TAG N0. [ ?v 0 ] DATE r 11 ` ` PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD n0 smy Getty Petroleum Corp. Massasoit Ave. & Dexter Road, E. Providence, R.I. 02914 • (401) 434-1322 February 20, 1989 Town of Barnstable Office of Board of Health 367 Main Street Hyannis, Mass 02601 Dear Sir, In response to your letter dated February 10, 1989, Enclosed are four registration forms for the existing underground storage tanks at our location at 112 Barnstable Road, Hyannis. Due to a recent move of the Engineering Department at our East Providence terminal., I have been unable to locate the existing Fire Departtrnent Permits. I will forward copies of the permit when located and, or the new permit when received. If you have any questions or comments regarding-this matter, please contact me at 1-800-556-6926. Very Truly Yours, Getty Petroleum Corp.. R. Smith Maintenance Supervisor ol I. W � L-Cb o 55' '' tJ TOWN OF BARNSTABLE 1 v UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS NAME ADDRESS -PY � d SS4 S�/ VILLAGE 6dit 10rJ1,' rr 09- 9 ft LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE: /fi ,S/)._ l� 0 OR CHEMICAL V A11y1 dr7l s�d b / At 4sa/►gip ® r < < e < < .5' M Octsa/ens ` . Y.��s 57��. 4t125AlPle A2Q1 16 Ce-n �er KIN 4is l 6 M 46a�rn t � %• � . � � � � �� �7 ®l/biro � Y ,�rS �` � (Give same information for any additional tanks on reverse side of card) DATE OF PURCHASE OF EACH: 1. 114`7a 2. a " 3. 4. 'S^� DATE OF FIRE DEPARTMENT PERMIT: -/ �� q /I �( 9 G G .TESTING CERTIFICATION SUBMITTED: =zQ472 PASSED DID NOT PASS F E. F. Babington• I MAINTENANCE SUPERVISOR i 9� IGetty Oil Company(Eastern Operations),Inc: Dexter Rd—and Massasoit Ave. East Providence,R.I.02914 " Telephone:(4.01)434-1322 NAME, i LOCATION Picts 5e1"icr£ationT 4Gor. Barnstable, Rd. & Centsr St --Meter- Pt Nesarah M Ovmer Hyannis r 112 &-unstable Rd Hyannis., Mass. ' BOOK & PAGE DP rr GRANTED AMOUNT' STORED Back of Licenses, P. 484 5/24126 5 000 (under) < , 77/161 3/30/66 (12,100 addfl. ( 1,:560 a6oe) DATA' PA-D Total s 18,660'. . �--- MAR 11 197 - 1979 May 2 WA �- ) ,� F Y MAR 1 ! 1g75 - /'/o MAR 11 19'S y IyAM� LOCATION, South Side Main St. Getty Refining & Marketing '!�. Co, �� Bams able, lviass. Dexter Road & Massasoit Ave. East Providence, RI BOOK & PAGE--DATE GPji11ED AMOUNT STORED 3,000 gallons 3 j/106 Auiz"st 112, 1931 8;000 gallons 77/M April 21 , 1`6C) Above .--35C1 gallons j j/`227 a 9 7�% Under-.-2,000 A.dd'l. ]L"u y ' Jul.y`11 , 1�a,''<� 5,000 gallons DATE PAID 1973--March 29 7/11/73 (view license) 1974--Maz'ch 25 A4P:s 1979 - 4-60-79 APR 171975 _ MA - ,N ti ^R 1 7 lgqf , FORM 77-1000A 3 � Data Chart for Tank System Tightness Test W 21103-364) USING KENT-MOORE CORPORATION TANK TIGHTNESS TESTER MODEL 1000 For Packet PLEASE PRINT Copyright©Kent-Moore Corporation 1977 of 50 Charts Order J 23396-A 1. OWNER Property ❑ _Getty Refining and Marketing Company Name ,A�pdress Representative Telephone Tank(s) ❑x 1 Waterman Avenue E. Yrov, , R.I. . 02914 Name Address Representative Telephone 2. OPERATOR Name Address Telephone 3. REASON FOR + I TEST Periodic test required by local officials. (Explain Fully) 4. WHO REQUESTED Mr, E. F. Babin ton Eng. Super-visor Getty TEST AND WHEN Name Title Company or Affiliation Date Address Telephone 5. WHO IS PAYING Getty Refining and Marketing Company FOR THIS TEST? o y,Agency or Individ I Person Auth mg ,Liao I. Waterman avenue Providence 11� fVY Md T, dfs F. Babin g ton City State Zip Attention of: Order No. 'Other Instructions Identify by Direction Capacity Brand/Supplier Grade Approx.Age Steel/Fiberglass 6. TANK(S) INVOLVED #1 north 6000 Getty premium steel #2 north 5000 Getty unleaded steel #3 north 5000 Getty unleaded steel Location Cover Fills Vents Siphones Pumps 7. INSTALLATION south side #2 & #3 remote DATA blacktop All 411 All 211 of station no valve tokheim W/tubes North inside driveway, Concrete,Black Top, Size,Titefill make,Drop - Suction,Remote, Rear of station,etc.' Earth,etc. tubes,Remote Fills Size,Manifolded Which tanks? Make if known„_ 8. UNDERGROUND Is the water over the tank WATER Depth to the Water table ❑ Yes ❑ No Tanks to be filled hr. 3/23/81 Date Arranged by Mr, E. F. Babing;ton 401 -434-2321 9. FILL-UP Name Telephone ARRANGEMENTS Extra product to"top off"and run TSTT. How and who to provide 7 Consider NO Lead. Terminalr other contact for notice or inquiry Getty Refining and Marketing Company 401-434-2321 Company Name Telephone 10. CONTRACTOR, MECHANICS, E. Almstrom L. Coulombe K. Crabtree any other contractor involved 11. OTHER INFORMATION Fire Chief present during tank #3 test and required five 5) hour test. OR REMARKS Additional information on any items above.Officials or others to be advised when testing is in progress or completed.Visitors or observers present during test etc. Tests were made on the above tank systems in accordance with test procedures prescribed for Kent-Moore Tank Systems Tightness 12. TEST RESULTS Tester Model 1000 as detailed on attached test"charts with results as follows: Tank Identification Tight Leakage Indicated Date Tested #1 north tight 3 24 81 nort tight 3 24 81 3 north tight 3/25/81 This is to certify that thes tank systems were tested on the date(s)shown.Those indicated as"Tight'meet the criteria established by d, the yet at Prote on Asociation Pamphlet M. Greenblatt Elec & Const Co, Testing Contractor or Company. By filature v 1 Waterman Ave. , E. Prov , R� I 02914 No.of Thermal Tec icians Address - "7-ensor - f • S my Getty Refining and Marketing Company Dexter Rd. & Massasoit Ave., E. Prov., RI 02914 • 401/434-1322 May 220 1980 Town of Barnstable Office of Board of Health 397 Main Street Hyannis, Mass. 02601 Atta: Mr. John M. Kelly Degr Sir; Regarding your letter of March 11, 1980, The attached form lists all underground storage tanks located in your area. Yours truly, E.F. Babington E FB/l Attachments SKELLY �$�e/qas Getty Refining and Marketing Company Dexter Rd. & Massasoit Ave., E. Prov., RI 02914 • 401/434-1322 March 30 , 1981 RE : Getty SS .#30488 Hyannis , Mass-. Hyannis Fire Department 95 High School Road Hyannis , Massachusetts 02601 ATTENTION: Fire Chief -- Richard Farrenkopf Dear Sir : Attached please find copy of Kent-Moore test results from the subject location. Sincerely yours , GETTY REFINING & MARKETING CO. E. F. Babington Maintenance Supervisor EFB :dmm attachment Getty Slzellb Skelgas Y 0 SUN�J Getty Petroleum Corp. I Massasoit Ave. & Dexter Road, E. Providence, R.I. 02914 • (401)434-1322 March 14 , 1987 Chief Fire Department Re : Getty Property No. 3o4- 88d I/Z BARn/S-rA PgLE RD. HYANNIS ., MA. Dear Sir : Tightness test of underground storage tanks required by 527 CMR 9 . 00 were performed at our facility being within your jurisdiction . Copy of the certified test results performed by a qualified tester is attached hereto . Should you have any questions regarding this .most important matter feel free to contact me at 1-800-556- 6926 . Very truly yours , GETTY PETROLEUM CORP . R. H. Smith Group Field Engineer RHS/mg .. cc: John H. Kelly, Board of Health. Enclosure Data Chart for Tank System Tightness Test , Petro Tits PLEASE PRINT TANK TESTER an 1. OWNER Property (�'r TT /-7e i X o ,fit° U /1 C'O R /? Name _ /� n U�Qdress n Representative Tele hone Tanks) ® /9C l P /� /C'�, E, P/?O t/, /t 1 oa 9 / D Name Address Representative Telephone 2. OPERATOR Pe 7-e. 4 o v /oT,'S //d 13i9 s T AB c e RD,, HXi9N,ui Name Address Telephone 3. REASON FOR TEST 4 o U j/•N e- P e- ,'o o /' C 76 s i (Explain Fully) 4. WHO REQUESTED rIR• i9,L �1 QED D D e i T y TEST AND WHEN NaC X Te 17 . /= ��"p V. �' acom�ny or Affiliation Date Address Telephone 5. WHO IS PAYING. St9 M -5l30 ✓e- FOR THIS TEST? Company.Agency or Individual Person Authorizing Title Telephone Billing Address City State 21p Attention or: Order No. Other Instructions Identify by Direction Capacity Brand/Supplier Grade Approx.Age Steel/Fiberglass 6. TANK(S) INVOLVED E A S T 60 D o Cr;i / pP,e f, -O/j•, S 7_e e L y� irRs r so o o C L- 7 r J),,) - 9e6, .5 519s SO 00 L. — a60, _SrGe L Location Cover Fills Vents Siphones Pumps 7. INSTALLATION we A T S i Pe- 1/ " �0-a 7- DATA o y s i�y i'o 6 C/9 P e 7-6 1.) � /L/ F j /)o v,1 A-V e . TO K N e i M _ North Inside driveway, Concrete,Block Top, Size,Titellll make,Drop Suction,Remote, Rear of station,etc. Earth,etc. tubes,Remote Fills Size.Menlfolded Which Jenks 7 IMake II known 8. UNDERGROUND / Is the water over the tank? WATER Depth to the Water table 13 P 1- o (n / Iq)N N` S yes ® No Tanks to be filled 70 0 hr. / ` Data Arranged by 9. PILE-UP Name Telephone ARRANGEMENTS Extra product to-top off"and run TSTT. How and who to provide 7 Consider NO Lead. iAKeN 6,P011 o 7_He iA,v,E' S - Terminal or other contact for notice or inquiry Company Name Telephone 10. CONTRACTOR, MECHANICS, any other contractor — involved 11. OTHER INFORMATION OR REMARKS _ Additional information on any items above.011icials or others to he advised when testing is in progress or completed.Visitors or observers present during test etc. Tests were made on the above tank systems In accordance with test procedures prescribed for PPtrO j11P 12. TEST RESULTS as detailed on attached test charts with results as follows: — Tank Identification Tight Leakage Indicated Date Tested 6 s7 Ye 5 t, or?s Pe 46 #a ? FRs7 Ps _ f, 03l 9-/Y 46 This Is to certify that these tank systems were tested on the date(s)shown.Those Indicated as"Tight"meet the crl rla establls by 13. CERTIFICATION the Nat n Fire P otecilon soclVon Pamphlet 329. Date `�� c.Y/ C /� 7 �L e C�4//C too. �) '�7�� G( Testing Contractor or Company. By: Sign,ture , 7Gif/CcP �JeoO GfJNe,, w/�RW� eK, �,1, D�pFb Serial No.of Thermal T tic hnictens 'Address Name Location (formerly Barr.. Rose Getty) Getty Refining & Marketing Co. Barnstable Road Getty Dexter Rd. & Massasoit Ave. c/o Peter T. Loumiotis ,A East Providence, RI 112 Barn. Rd. , Hyannis (cur, barn Rd & Center St mok & .Page - Date Granted AJgr. STORED Book of P. 484 5--24=26 5,000 (under) 77/16 :t- 6 142,100 addl. 1,560 (above) DATE PAID 18,66E total 1979 ® 4--n-75 4 „,,,,�+:�:•""”`"'�`;�:x ram;. � •-" ,�.,�; yx, Daniel S.Greenbaum -904 U Commissioner Gilbert T.Joly Regional Director� 947-129/, (Ge 680-68d< COPY February 8, 1989 Getty Petroleum Corp. RE: BARNSTABLE-OIR/ERB-SE-88-833 Massasoit Ave. & Dexter Rd. Threat of a Release of E. Providence, Rhode Island 02914 Gasoline, Getty Service Sta. , Barnstable Rd. , NOTICE OF ATTENTION: Kenneth R. Mason RESPONSIBILITY, M.G.L. , Chapter 11E and 310 CMR 40.00a (Massachusetts Contingency Plan) Gentlemen: The Department of Environmental Quality Engineering, on October 18 1988 , received notification from Warren Buick Co. that a release of . gasoline may have occurred at the above referenced location. Warren Buick Co. , 100 Barnstable Road, Hyannis, has operated a petroleum recovery/ground water treatment. system on its property for approximately three (3) years. From March 1986 - March 1987 , free phase petroleum product, resulting from an underground storge tank leak, was recovered from the ground. No free phase petroleum was present on site after March 1987. On September 30, 1988 , free phase petroleum was observed in site monitoring wells by the Warren Buick consultant. This location no longer maintains underground fuel storage. The above referenced service station abuts the property of Warren Buick Co. and according to hydrogeological data collected is located hydraulically upgradient of the property. Getty Petroleum Corp. maintains, on the subject property, underground fuel storage tanks and lines which are a potential source of the released gasoline. These conditions constitute a threat of release of oil or hazardous material .at or from the site. The prevention and/or mitigation of such a release is governed by M.G.L. , Chapter 21E, the "Massachusetts Oil and Hazardous Material Release, . Prevention and Response Act, " and 310 CMR 40.000, "Massachusetts Contingency Plan" (MCP) . On January 13, 1989, at approximately 9:00 A.M. , a Department representative verbally notified Kenneth Mason of Getty Petroleum Corp. Is responsibility for the threat of release. At that time, the Department requested that Getty Petroleum take the following investigative actions: w - 2 - I 1. Install and check for the presence of free phase petroleum a minimum of three (3) ground water monitoring wells. 2. Provide this office with copies of hydrostatic tank tests conducted during the first week of December 1988 . This letter is to inform you that: 1. Based on information available to the Department of Environmental Quality Engineering, the Department has reason to believe that Getty Petroleum Corp. is a responsible party with liability under M.G.'L. , Chapter 21E, Section 5 (a) (1) . The nature of this liability is joint and several without regard to fault; and 2. The Department is authorized, pursuant to M.G.L. , Chapter 21E, Section 4, and 310 CMR 40.171, MCP, to arrange for or to take actions which it deems necessary to respond to the release should you fail to perform response actions in an appropriate and timely manner. Your liability noted i.^. one (1) above may include: a. Administrative costs incurred by the Department in handling this matter (in simple spill cases, administrative costs incurred by the Department prior to formal legal action are at least $1, 000) ; b. Interest charges on the total liability at the statutory rate of 12% compounded annually; c. Treble costs - (i.e. , three (3) times the total amount of response costs the Department incurs) ; and d. All damages for the injury, destruction or loss of natural resources due to the release. The liability constitutes a debt to the Commonwealth. The debt, together with interest, creates a lien on all of your property in the Commonwealth. In addition to the foreclosure remedy provided by the lien, the Attorney General of the Commonwealth may recover that debt or any part of it in an action against you. You may also be liable under M.G.L. , Chapter 21E, Section 11, for up to $100,000 in fines or penalties for each violation of Chapter 21E as well as for additional penalties or damages pursuant to other statutes or common law. k _ - 3 - The Department requires a written response within fourteen- (14) days of your receipt of this letter indicating whether you intend to take the necessary response actions in lieu of the Department. The Department also requires that (should evidence of a release of gasoline be found on the site) you contract with a consultant knowledgeable in the area of hydrogeological investigation and uncontrolled hazardous waste site assessment and abatement. The consultant must submit to the Department a Phase I Limited Site Investigation Report and a Preliminary Assessment Report form (copy attached) which must be completed and returned with the Phase I site investigation report within sixty (60) days of your receipt of this letter. Please refer to 310 CMR 40.000, MCP for guidance on the purpose and scope of Phase I activities, a synopsis of which is attached for immediate reference. If the Department does not hear from you within the times specified above, or if persons acting in your behalf fail to act within the prescribed times, the Department will commence response actions and expect to recover from you to the extent of liability set forth above. Please direct all correspondence and questions to Richard F. Packard referring to DEQE File #SE-88-833. Very truly yours, L� Theodoy,6 /J. K el , ;Jr. , Chief Emergency Res se ection K/RFP/kd Enclosure CERTIFIED MAIL #P806655076 RETURN RECEIPT REQUESTED cc: OIR - Boston ATTN: Frank Sciannameo ? --=:,stable Board of Health Main Street Hyannis, MA 02601 Barnstable Board of Selectmen Main Street Hyannis, MA 02601 Barnstable Fire Department 3249 Main Street Barnstable, MA 02630 Police Department Main Street Hyannis, MA 02601 i ❑ GROUNDWATER ❑❑❑ TECHNOLOGY, INC. 220 Norwood Park South,Norwood,MA 02062 U.S.A.(617)769-7600 lex: 420 ' x•( 171769-7785 April 4, 1989 Refer: 1��- Mr. Ken Mason Getty Petroleum Corporation. Massasoit Avenue & Dexter Road E. Providence, RI 02914 Subject: Subsurface Investigation Getty Service Station 112 Barnstable Road Hyannis , Massachusetts Dear Ken: The purpose of this letter is to provide you with the results of our subsurface investigation which was performed at the above- referenced service station. The investigation was performed in order to comply with the Notice of Responsibility (NOR) #SE-88-833 that was issued to the Getty Petroleum Corporation on February 8, 1989 by the Massachusetts Department of Environmental Quality Engineering (DEQE) , Southeast Region. The NOR requested that Getty Petroleum "Install and check for the presence of free phase petroleum in (sic) a minimum of three (3 ) groundwater monitoring wells" . In order to comply with the NOR, the following tasks were performed: • Four 2-inch diameter PVC groundwater monitoring wells were installed. • Soil samples were collected every five feet during the installation of the monitoring wells and screened with a portable photoionization detector (PID) to quantify petroleum related volatile organic compounds (VOC ) in each sample. • The monitoring wells were developed by surging and bailing with an ORS-EE surface sampler. • Each monitoring well was surveyed to determine well location and top-of-casing elevation. • Each well was gauged with an ORS-EE Interface Probe to determine depth to water and the presence of separate-phase petroleum ( if any) . • Well logs were produced detailing subsurface. strati- graphy, monitoring well construction and PID screen- ing results, and a site map was produced illustrating the monitoring well locations and relative water table elevations. Offices throughout the U.S.,Canada and Overseas Mr. Ken Mason Getty Petroleum Corporation Page 2 Monitoring Well Installation On March 9 and 10, 1989, a Groundwater Technology geologist supervised the installation of four groundwater monitoring wells. The wells were installed by Desmond Drilling Company to depths ranging from 30 to 35 feet. The locations of the wells are illustrated on the attached site map. Running sands hampered the installation of the well materials as well as the collection of split-spoon soil samples. Each of these wells was constructed utilizing two-inch diameter PVC casing and 0. 020-inch machine slotted well screen. The annulus between the borehole wall and the screened interval of each well was partially filled with native soils of loose consistency. The native soils consisted of medium sands, that ran up into the hollow auger when the center bit was removed prior to installation of the well material . As a , result, only the top portion of the screening interval was backfilled with sand pack. Two bentonite seals were installed above the screened interval to prevent surface water from directly entering the wells. In addition, a protective locking steel roadbox with a concrete collar was installed at the top of each well to offer well head protection and to prevent surface run-off from entering directly into the wells . Each well was developed by surging and bailing with an ORS-EE surface sampler. The wells were developed in order to remove the finest portion of the aquifer and to enhance the hydraulic connection between the well screen and the aquifer. Soil Sample Screening Soil samples were collected from the auger flights or utilizing a split-spoon sampler every five feet during the installation of the monitoring wells. These samples were screened for VOC in accordance with Massachusetts DEQE guidelines. The PID utilized during this investigation is designed to detect VOC in the head space above the soil samples with a detection limit of 1 part per million (ppm) . The PID, HNU model PI-101 , utilized by Groundwater Technology was calibrated specifically for benzene, a VOC found in most petroleum products. Soil samples were trans- ferred from the split-spoon sampler, to a 16-ounce glass jar. The jar was half-filled with sample , covered with a sheet of aluminum foil and sealed with a screw lid. Each sample was allowed to equilibrate within the sample jar for a minimum of ten minutes. The maximum PID response was then recorded as the total VOC concentration. Data collected in this manner is presented in Table I . Monitoring well logs detailing subsurface stratigraphy, PID results and well construction are attached. GROUNDWATER TECHNOLOGY, INC. I Mr. Ken Mason Getty Petroleum Corporation Page 3 TABLE I Photoionization Detector Soil Screening Volatile Organic Compounds (VOC) in parts per million (ppm) Location Sample ID Depth (ft) Concentration MW-1 S-1 1 . 0 - 2. 0 BDL MW-1 SS-1 4 . 5 - 6. 0 BDL MW-1 SS-2 9. 5 - 11 . 0 ND MW-1 SS-3 19.0 - 20. 5 ND MW-1 SS-4 24 .0 - 25. 5 ND MW-2 S-1 1 .0 - 2 . 0 ND MW-2 SS-1 4. 0 5. 5 ND MW-2 SS-2 9. 0 - 10. 5 ND MW-2 SS-3 14 . 0 - 15. 5 ND MW-2 SS-4 19. 0 - 20. 5 ND MW-3 S-1 1 . 0 - 2. 0 ND MW-3 SS-1 4. 0 - 5. 5 ND MW-3 SS-2 9 . 0 - 10. 5 ND MW-3 SS-3 14 .0 - 15. 5 ND MW-3 SS-4 19. 0 - 20 . 5 ND MW-3 SS-5 24. 0 - 25. 5 ND MW-4 S-1 1. 0 - 2. 0 BDL MW-4 SS-1 4. 0 - 5. 5 ND MW-4 SS-2 9 . 0 - 10 . 5 BDL MW-4 SS-3 14 .0 - 15. 5 BDL MW-4 SS-4 19 .0 - 20. 5 3. 6 MW-4 S-5 24 .0 - 25. 0 135. 0 Notes: BDL = Below Detection Limit ND = None Detected S = Grab sample from auger flight SS = Split spoon samples Detection limit of PID is 1 ppm Monitoring Well Survey and Well Gauging A survey to determine the location and top-of-casing (TOC) elevations of the monitoring wells was conducted on . March 15, 1989 . The TOC elevations were determined relative to a bench GROUNDWATER TECHNOLOGY, INC. Mr. Ken Mason Getty Petroleum Corporation Page 4 mark of 35. 02 feet located on the top of a fire hydrant located on Center Street. Groundwater Technology gauged all monitoring wells on March 15, 1989 with an ORS-EE Interface Probe to determine the depth to water and Petroleum ( if any) . No separate phase petroleum was detected in the monitoring wells on this date. The monitoring well gauging form is attached. If you have any questions of require additional information, please feel free to call us at (617 ) 769-7600 . Sincerely, GROUNDWATER TECHNOLOGY, INC. N d W• ;z William M. Lines Geologist Elliot S. Werk Hydrogeologist Territory Manager WML/ESW/dmm SJ13 : 42 Enclosure GROUNDWATER TECHNOLOGY,INC. GROUNDWATER Well Number MW- 1 ❑a 0�� TECHNOLOGY, INC. Project Number 141-009-2009 Project: Getty/Hyannis / 112 Barnstable Road � Data Drilled 3/9/89 T.D. of Hole 35 ' Diameter 61f T.O.C. 35.64 Water Depth, Initial 20.17' I Screen: Diam. 211 Length 15 ' Slot Size 0.020" °MW-1 I Casing: Diam. 2 11 Length 18 Type PVC Drilling Co. Desmond Drilling Method Hollow-stem Auger I / Driller Rob, Kevin , John Lag by Bill Lines Sampling Method Split-Spoon I � Description/Sol Classification E-2a, (Color, Texture, Structures) voo 0L. Dv 3U:: Z U1 m C9J 0 Ras°Box ASPHALT ' Cot,1Ge�1E 1 S 1 Brown, dry, medium to fine SAND, trace coarse sand, fine gravel 2 ,A uA�y PID = BDL �N 3 ,� t 4 ;. 5 SS-1 Light brown , dry, medium SAND 6 C.�S�►sC•, 2'Z'1 � ' PID = BDL 7 9 10 - S .Z Yellow, dry, coarse to fine SAND (0812 • PID = ND 11 12 _ 13 14 Same as above 15 = BE�ro"1C'c �oJq� Z _ PID = ND 16 _ 17 18 19 SS-4 • - Same as above 20 PID = ND 21 22 P� 23 24 Yellow, wet, coarse to fine SAND PID = ND Page 1 of 2 GROUNDWATER Well Number MW- 1 ❑ 000 TECHNOLOGY, INC. Project Number 141-009-2009 Project: Getty/Hyannis / 112 Barnstable Road Date Drilled T.D. of Hole Diameter T.O.C. Water Depth, Initial Screen: Diam. Length Slot Size Casing: Diam. Length Type .Drilling Co. Drilling Method filler Log by Bill Lines Scmpling Method I s^ ? m n 3 s Description/Sol Classification c c ° o c o, (Color, Texture, Structures) o 0 0 0 0 �.�v 3.U�. Z (n m (jJ i 2 5 �' 13,15,17 . ,.. 2 6 SC2I;EN 27 _ 2 8 Ve 29 �I S7'co ;t Yellow, wet, coarse to fine SAND 30 '7211I(2 PID = ND 31 ` 32 33 ,c. 34 35 ` Bottom of exploration at 35' Page 2 of 2 DFAN GROUNDWATER Well Number MW-2 1:1❑1:1 TECHNOLOGY, INC. Project Number 141-009-2009 Project: Getty/Hyannis / 112 Barnstable Road Date Drilled 3/9/89 T.D. of Hole 30' Diameter 610 T.O.C. 34.75 Water Depth, Initlol 19.48' Q�� Q Q W- 2 15 2Q M z Screen: Diam. Length Slot Size • , Casing: Diam. 2" Length 15' Type PVCQ� Dr(lling Co. Desmond Drilling Method Hollow-stem Auger Driller Rob, Kevi n , John Log by Bill Lines Sampling Method Split-Spoon I M: U' .. 2 • o a Description/Sol Classification a — c ° E rn (Color, Texture, Structures) c a� oa 0 03 D v Z (n m U J 0 °50K ASPHALT 1 Nc� SI Brown, dry, coarse to fine SAND, trace fine gravel 2 iz- 14A-7�.w PID = ND t UZE Iagwakrrc` 3 ` 4 AnuE S"I J�..:�' Brown , dry, medium SAND, trace gravel 5 FrU- PID = ND 6 b Cr�INta 8 10 Yellow, dry, medium SAND, little coarse, fine sand 5�1�g PID = ND 11 " . 12 �c E Eeorwrr 13 � 14 Same as above 15 - �16 PID = ND S lo,l3 17 18 19 20 Yellow, wet, medium SAND 7 PID = ND 21 GAD - 22 Pik • 23 24 Same as above SS-5 .-No recovery-running sands Page_of_ 141 Well Number MW-2 GROUNDWATER 0 TECHNOLOGY, INC. Project Number 141-009-2009 Project: Getty/Hyannis / 112 Barnstable Road Date Drilled T.O. of Hole Diameter T.O.C. Water Depth, Initial Screen: D(am. Length Slot Size Casing: Diam. Length Type milling Co. Drilling Method puler Log by Bill Lines Sampling Method U r P w n 3 ° Description/Soil Classification n o c c E o 0 a, (Color, Texture, Structures) m � 0 0 0 Q v 3 L) Z in m C.9 J 2 5 5G1 4 713 11 l ' 26 NAnv. Running sands 27 2 8 :} 29 30 31 Bottom of exploration at 30' 32 33 34 35 Page 2 of 2 ❑a GROUNDWATER Well Number Mw-3 0❑0 TECHNOLOGY, INC. Project Number 141-004-2009 Project: Getty/Hyannis / 112 Barnstable Road PUMPS Date Drilled 3/9/89 T.D. of Hole 34' 6 i�Diameter —� T.O.C. 35.95 Water Depth, Initial 22.5 Screen: Dlam. 211 Length 15, Slot Size 0.020" O MW-3 Casing: Diem. 2" Length 15' Type PVC Drilling Co. Desmond Dulling Method Hollow-stem Auger Driller Rob, Kevin , John Log by Bill Lines Sampling Method Split-Spoon I � u ° Description/Sol Classification Q. n — c c ° o Q. 0, (Color, Texture, Structures) v00 0 z �n° m U 0 god ASPHALT d 2 NA-nF;U, S a ' Brown, dry, coarse to fine. SAND, trace fine gravel Niou� PID = ND 3 r 4 5>- 5 Same as above UA11VE ����6 PID = ND 6 ply 7 8 �AswC, 9 � sand, fine Yellow, dry, medium SAND, trace coarse 10 , $ o sand , fine gravel 11 ' 1 PID = ND 12 .j e • 13 14 SS,3 15 G�A�D Same as above paoC (Q�i@JI� PID = ND 16 17 18 - 19 SS" ° White, moist, medium to fine SAND, trace fine gravel , 20 '5A7 a coarse sand 21 PID = ND 22 a . 23 = ' 24 Yellow, wet , coarse to fine SAND PID = ND Pagel of 2 Well Number MW-3 ❑ GROUND WATER 77 TECHNOLOGY, INC. Project Number 141-009-2009 Project: Getty/Hyannis 112 Barnstable Road Date Drilled T.D. of Hole Diameter T.O.C. Water Depth, Initial Screen: Dfom. Length Slot Size Casing: Diam. Length Type filling Co. Dulling Method Driller Log by Bill Lines Sampling Method I � 0 L 2 n 3 r Description/Sol Classification m — c a o 0 0 o a+ (Color, Texture, Structures) Z En m C7 J 2 5 fie ! Cgs I Z 26 ,, .• . No samples taken (running sandsl 27 28 �JA7iur: r,L 29 30 r 31 32 , 33 34 v 35 Bottom of exploration at 34' Page—Loth GROUNDWATER Well Number Mw- 4 ❑ 0D0 TECHNOLOGY, INC. Project Number 141-009-2009 Project: Getty/Hyannis / 112 Barnstable Road i Date Dulled 3/10/89 T.D. of Hole 351 Diameter 611 \, TANK T.o.C. 36.40 Water Depth, Initial 21.25 I AREA Screen: Dlam. 211 Q•020" I0 VW-4 Slot Size 11 Casing: Diam. 2 Length 15' Type PVC Drilling Co. Desmond Drlling Method Hollow-stem Auger Drill or Rob, Kevin , John Lag by Bill Lines Sampling Method Split-Spoon I � U Description/Sol Classification a — c c ° E c o 01 (Color, Texture, Structures) ° � a 0 0 0 3 cJ z Ln° m 0 P.oAD? 0 n ASPHALT 1 NA-nV5 1 ' Brown , dry, coarse to fine SAND, trace silt, fine 2 ' FILL gravel Nta�r ,a PID = BDL 3 , 4 55-I 5 CpsING Yellow, dry, coarse to fine. SAND PID = BDL 6 r, 7 NATIVE •• •' ' 9 SS•2 Same as above 10 PID = BDL 11 12 F_wow r% 13 14 15 SAuA c' 3 Same as above 4A PID = BDL 16 17 18 19 Yellow, dry, rust-stained, coarse to fine SAND, trace 2 1 fine gravel PID = ' 3.6ppm 22 23 24 t N11 -1uC No recovery (running sands) Page 1 of 2 El❑ GROUNDWATER Well Number MW-4 00 TECHNOLOGY, INC. Project Number 141-009-2009 Project: Getty/Hyannis / 112 Barnstable Road Date Drilled 3/10/89 T.D. of Hole Diameter T.O.C. Water Depth, Initial Screen: Dlam. Length Slot Size Casing: Diam. Length Type filling Co. Drilling Method Driller Log by. Bill Lines Sampling Method I � U L 2 a; s Description/Sol Classification a ° a E o c a, (Color, Texture, Structures) m p 0 3 U Z U7 m C7 J 2 5 i l � 26 2 7 UATwE Fil L 28 </ 29 30 SFj Yellow, wet, coarse to fine SAND (.petroleum odor). 31 PID = 135ppm 32 33 34 35 Bottom of exploration at 35' Page 2—of Z SJTE MAP 8 A P, N S T A B L E R 0 A. D PROJECT: GETTY/HYANN!S, MA. o MH LOCATION: 112 SARNSTAB = ROAD JOB NO.: 141-009-2009 MONITORING DATE: 3/15/89 • MONITORING WELL -�, Ex.: WW-1 - WELL IDENTIFlCAnON 15.14 - WATER TABLE ELEVATION (FEET) . MH - MANHOLE TANK ( ELEVATIONS RELATIVE TO BENCHMARK: ` AREA PUMPS \` MH HYDRANT (B-M.) - 35.C2' SOURCE-- BASED ON PLANS PROVIDED BY GETTY, •\MW-4 i1 DWG. #1486-66-RH-1, (2/17/66) 15.14 •MWI-3 I 0 20 ✓ 15.2E MW-1 I HYDRANT �� • 15.45 SCA_- IN FEET cAw*h'ar E zn-v B4 APRL' 4, 1989 Na: 002 STAT10N Y \ � Mvw-2Al • 3 I 15.2� oee`s/ -4. \ / G<L, j / ;-_IE]L GROUNDWATER n—��TFciNoIAG1i'. INC.. Project: Getty/Hyannis # 141-009-2009 Location: Hyannis, MA Date: 03-15-89 Operator: Bitt Lines Method: I.P. Equipment #: 021 DEPTH DEPTH WELL WELL T.O.C. to to PETRO PETRO HYDRO CORR CORR ID DEPTH ELEV. WATER PETRO THICK GRAV EQUIV DTW WAT ELEV (feet) (feet) (feet) (feet) (feet) (feet) (feet) (feet) NW-1 31.35 35.64 20.19 NA NA NA 20.19 15.45 MW-2 29.40 34.75 19.50 NA NA NA 19.50 15.25 MW-3 28.00 35.95 20.67 NA NA NA 20.67 15.28 MW-4 33.75 36.40 21.26 NA NA NA 21.26 15.14 ------------------------------------------------------------------------------------------------------------------- Cortments: Y Getty Petroleum Corp. Massasoit Ave. & Dexter Road, E. Providence, R.I. 02914 (401) 434-1322 4/ 10/89 Mr. Richard F. Packard Massachusetts Department of Environmental Quality Engineering Lakeville Hospital Lakeville, Mass 02347 RE: DEQE File # SE-88-833 Getty Service Station 112 Barnstable Road Hyannis, Mass Dear Mr. Packard: As required per your Notice of Responsibility dated 2/8/89, enclosed, please find one copy of the subsurface investigation performed by Groundwater Technology Inc. As stated in the report, no separate phase Petroleum was det- ected in any of the Groundwater Monitoring wells. Due to the results of this report, Getty does not believe that we are a contributor to the problem at the Warren Buick Co. location. Getty plans to take no futher action concering this Notice of .Responsibility. If ynu have anv question concerning the above, please do not hesitate to contact me. Sincerely Kenneth R. Mason Regional Engineer cc: Groundwater Technology Inc. tBarnstable Board—of—Health Main Street Hyannis, Mass 02601 KRM/lak TOWN �OF -BARNSTABLE COMPLIANCE: - - CLASS: 1. Nlarine,Gas Stations,Re'pai.ri O satisfactory 2. Printers BOARD_ F HEALTH 3. Auto Body Shops unsatisfactory- 4. Manufacturers COMPANY �-' _ Q S. Retail Stores (see Orders ) 6. Fuel- Suppliers ADDRESS Class: 7. Miscellaneous / QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums AboveTanks Underground Tanks IN IDUT IIN IOUT IN IOUT # allon Age es ? Fuels: 72 } sD1,i.ne, Jet Fuel (A) el. Kerosene, #2 (B)— j Heavy Oils: ; waste motor oil (C) . new motor oil (C) fU t�ansmi-meson/hydraulic i Synthetic Organics: degreasers psi s c. 1 n pus: I y DTSPOSAL•, RECLAMATION 1. Spits ewage 2. Water Sub Town Sewer Public " �, NJPA tA5.-�unc�,�.cv+�� 0 On-site ® Private — — 3: Indoor Floor Drains: YE NO ® Holding tank: MDC Catch basin/Dry® On-.-s-ir'sys t em 4. Outdoor Surface drains:YES �`yt fl gd�fu+dLr—) O Holdint tank: MDC --- - ® Catch basin/Dry well On-site system Y lAY,JC S. Waste Transporter Licensed? N o . Destination Waste Product r s za 9, Person(s) Int.erviewed Inspector Date TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS: Board of Health MAILING ADDRESS: / Town of Barnstable TELEPHONE NUMBER: 77,5-- g7ey P.O. Box 534 CONTACT PERSON: ,�pU , Qcf� Hyannis, MA P.O. 02601 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered when stored ' t. Please put a check beside each product that you store: T --IAZAntifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid _�Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) _(,Gasoline, et4uel , Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, _ Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car Wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, yas,s#airfs,ems-' Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach} Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business TOWN OF BARNSTABLE OMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory BOARD OF HEALTH 3.Auto Body Shops2.Printers _ KO unsatisfactory- 4.Manufacturers COMPANY�tj � ` (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS / �Cja 7.Miscellaneous A�Y ' UANTITIES AND STORAGE (IN= indoors;OUT-outdoors) MAJOR MATERUMS Case lots Drums Above Tanks Underground Tanks IN OUT IN OUTI IN OUT #&gallons 777 Test Fuels: , Gasoline, TeF ° #2 (B) ,>�"�6 ✓� Heavy Oils: waste motor oil (C) g new motor oil (C) transmission/hydraulic 7 e Synthetic Organics: degreasers Miscellaneous: /GAS IV- a � - DISPOSALIRECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply Q'Town Sewer A:Iublic O On-site OPrivate 3. Indoor Floor Drains YES V NO ✓� G .Holding tank: MDC p7q,.e &4k O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO k/ ORD RS: , O Holding.tank: MDC - > O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES 1171 2. P rson (s) Irkterviewea Inspector Date ,- ;'` TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF FIRM: '1B6JgA4S7_ggC.l RQA 0 GVT ry MAILING ADDRESS: 1 1 -4 ISAaAA STA Uer R D TELEPHONE NUMBER: -1-I S " 97 a3 / CONTACT PERSON: Per-to, T Lo v M,o TsS Does your firm store any of the toxic or hazardous materials li:.sted below; either for sale or for your own use, in quantities totalling, at .any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO This form must be returned to the Board of Health regardless of a YES or NO answer. Use the enclosed envelope .for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered when stored in quantities totalling more than 50 gallons liquid volume or 25 pounds.dry weight. Please put a check beside each product that you store: Antifreeze (for gasline or coolant systems) Refrigerants Automatic transmission fluid Pesticides (insecticides, Engine and Radiator flushes herbicides,rodenticides) Hydraulic fluid (including brake fluid) Photochemicals Motor oils/waste oils Printing Ink Gasoline, Jet fuel Wood preservatives Diesel fuel, Kerosene, #2 heating oil (creosote) Other petroleum products: grease, Swimming Pool chlorine lubricants I Lye or caustic soda Degreasers for engines and metal Jewelry cleaners Degreasers for driveways & garages Leather dyes Battery acid (electrolyte) Fertilizers (if stored Rustproofers outdoors) Car wash detergents PCB' s Car waxes and polishes Other chlorinated hydro- Asphalt & roofing tar carbons, (inc.carbon Paints, varnishes, stains, dyes tetrachloride) Paint and lacquer thinners Any other products with Paint & Varnish removers, deglossers "Poison" labels (including Paint brush cleaners chloroform, formaldehyde, Floor & Furniture strippers hydrochloric acid, other _ Metal polishes acids) Laundry soil & stain removers(including bleach) Other products not listed which you feel may be (dry cleaners)Spot removers & cleaning fluiWE� C E IV E ® toxic or hazardous (please HEALTH DEPT, list) Other cleaning solvents TOWN OF BARNSTABLE Bug and tar removers Household cleansers, oven cleaners _ Drain cleaners Toilet cleaners Cesspool cleaners Disinfectants MAY 1 5 1981 Road Salt (Halite) - TOWN OF BARNSTABLE - BOARD OF HEALTH �RQ,L F AND HAZARDOUS MATERIALS - INSPECTION SHEET FIRM F(� ADDRESS Major types of materials: 1) ®� 2) 3) 4) n : 5) 6) I. Description of material(s) use: II. Storage (denote product by number listed above) A. Containers metal ass paper plastic cans,bottles,jars L= ter/ drums,barrels IAt aboveground tanl underground tanks bags,boxes open,loose,uncovered inadequate labelling B. Storage. Facility Vor.# Remarks/Recommendations 1. Indoor a) separate, contained room b) stored in general work area i) inadequate- ventilation ii) floor drains' i iii) inadequate fire protection 2. Outdoor a) uncovered, exposed to weather b) pervious surface/catch basins ® /� III. Disposal A. Reclamation/Recycling unit B. On-site disposal 1. Town. sewer 2. Regular septic system 3. Separate holding tank C. Off-site disposal 1. hauled by own- firm / "cVJ ` v 2, hired hauler a) name of hauler b) address or disposal site . r Perso s Interviewed Ins ect�or Date / / TOnIL .ti"�t7 �i? A-P.D )?,S h1,4*j nI ALS RF_G1STRA�liJ1 F�1R"✓ NAJME OF FIRM: MAILING ADDRESS: R j1_ ) -:0 4- _Pt6 �� TELEPHONE NUMBER: 3 6,a - 3 aU a7 a CONTACT PERSON: , 2 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO This form must be returned to the Board of Health regardless of a YES or NO answer. Use the. enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: i ADDRESS: l TELEPHONE: a LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic „ or hazardous characteristics and must be registered when stored 'in quantities ' totalling more than 50 gallons liquid volume or 25 -pounds dry weight. Please put a check beside each product that you store: Antifreeze (for gasl ne or coolant systems)w Refrigerants _ Automatic transmission fluid Pesticides (insecticides, Engine and Radiator-flushes herbicides,rodenticides ) ', Hydraulic fluid (including brake fluid) Photochemicals Motor oils/waste oils Printing Ink � Gasoline, Jet fuel Wood preservatives esel fuel , Kerosene, #2 heating oil (creosote) Other petroleum products: grease, Swimming Pool chlorine 1 lubricants Lye or caustic soda Degreasers for engines and metal Jewelry cleaners Degreasers for driveways & garages Leather dyes ' ,I Battery acid (electrolyte) Fertilizers (if stored . Rustproofers outdoors) Y Car wash detergents PCB' s Car- waxes and polishes Other chlorinated hydro- Asphalt & roofing tar - carbons,' q(inc.carbon' 4 _: Paints, varnishes, stains, dyes tetrachloride) .- Paint and lacquer thinners Any other products"with „ j Paint & Varnish removers, deglossers "Poison" labels (including , Paint brush cleaners :chloroform, formaldehyde, .' Floor, & Furniture strippers hydrochloric acid " "other Metal 'polishes a cids) Laundry soil & stain removers J ,. ) .. : - .. . Other products not listed (including bleach which you feel'may4be' ?' Spot removers & -cleaning fluids = t (dry cleaners) toxic or hazardous (please list) : y a Other cleaning -solvents . -{ Bug and tar removers Household cleansers, oven cleaners r Drain cleaners^ '_, . ,�. r �� ya , Toilet cleaners ' ` e Cesspool cleaners raY �z Disinfectants ` `, .' ,. Road Salt (Halite) s Vf t ta-�xk rY�..'-., � F .�T�� _ ... _ ., r .: y�g+�e�n-ram'..�"�5n+!i�i •. -''.TTR.'o,^'KYfi'.e.,..- ��". '.R'�Fy L tC�WN GF BARNSTABLE COMPLIANCE: . Marine,Gas Stations,RFpai.r satisfactory : Printers BOARD OF HEALTH — . Auto Body Shops 0 unsatisfactory- . Manufacturers COMPANY (see"Orders . Retail Stores . Fuel Suppliers ADDRESS Class: . Miscellaneous QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors' MAJOR MATERIALS Case lots Drums AboveTanks Undetground Tanks IN UT IN IOUTIN T # 6 izallonseTest? Fuels: Gasoline, Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) -transmission/hydraulic Synthetic Organics: . - degreasers Miscellaneous: DISPOSAL RECLAMATION REWRKS: 1. Sanitary Sewage 2. Water Supply OTown Sewer :,O Public OOn-site 0 Private 3. Indoor .Floor Drains: YES NO Q Holding tank: MDC O Catch basin/Dry well OOn-site system ORDERS: 4. Outdoor Surface drains:YES NO - O Holding tank: MDC � Q Catch basin/Dry well OOn-site system 5. Waste Transporter Licensed? Nam of Hauler_ Des in ion laste Product YES NO 23 81 Persons Intervieweg Inspector Date TOWN OF -BARNSTABLE° Ordinance or Regulation BAR -W 60.62 WARNING NOTICE . Name of Offender/Manager 1AM' O �aO� Address.of Offender 1), 1 a(AOA\le PA , `L �t CIu��,hfnl�,�`�J�1, d). l MV/MB Reg..# Village/State/Zip t1�i riW1i /�'t� , 0`1601 Business Name �W SEf V-C,P (rac!a n am/pm; .on 20_ Business Address III 1 of riSi�A.�_� IA , 4A .+r nkS ,N A '14 Sig'na'ture of Enforcing Officer Village/State/Zip t Location of Offense Ekel Ton wrvir P fras Enforcing Dept/Division Offense 10S4 A ).iCenSe aOA corA,lgem Onn Facts 1 Q55 Awn0f, �VlS nooho -G" Ax �IHGrs P'- ra(AY x rnei4nt;K PermA �o Q C 6xn&' S69 �Ds w Sob 4ullons a WarMy McJer,(cl� This will serve-only as a warning. At this time no legal action'Kas been taken.. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORDJREG.-PROG. PINK-ENFORCING OFFER GOLD-ENFORCING DEPT. TOWN OF BARNSTABLE BAR -W � Ordinance or Regulation 62 WARNING NOTICE Name of Offender/Manager 'mcwtC a Address of Offender III. (n0Il3.X e N(Aht)rS^A, C)bQf MV/MB Reg. # l .r Village/State/Zip ��gam1►5. Business Name FI(CA }� Sef�t ce &Q' am/pm; on 20_ (� i Business Address 11-1 1 hAaWf 1� . r nn,S MA ' i" S gnalture of Enforcing Officer Village/State/Zip- 6-as L_ocation of Offense Ekel U) �.rv+ Q Pt � Enforcing Dept/Division Offense 1094 3 11'UnSe aj)� (or)1-ogetxq Plan Facts f6xf-.');(V65 dwripf A,k tYul4,r;oK Pe(rml J _ �o e a Kunkle. S109 0AS 6 6"afkv C` Juler.,tAK This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result inappropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK- ENFORCING OFFER GOLD- ENFORCING DEPT. TOWN OF BARNSTABLE Ordinance or Regulation BAR -W 6062 WARNING NOTICE .Name of Offender/Manager 1 t U sAa� & _Address of Offender i0, 05\ t! ="C� , 6,iuhnis,A'`tt1. PUUI MV/MB Reg. # _ J . . Village/State/Zip tu, Ul.60I Business Name F4CA kil SNf 11,Cp (roc, am/pm;.,on 20_ Business Address 11 1 00* !N� , LnnA /AA `` Signdture of Enforcing Officer Village/State/Zip Location of Offense Ekt <wtv.c F t, Irm ( 1 Enforcing Dept/Division Offense IUS- li(-��nSe (Ate (oA4►4etN4 Alin j ' Facts ►Ales cwnpl S1B Q ,f"� \Vvs S Nazc.Cc xx ninkednic, �� She �l �ui��e . 5�� ��.� �- 3ob �u�lc�� {� �,��►������' �������.�?� This will serve only as a warning. At this time no legal action Chas been taken. It is the goal of Town agencies to achieve . voluntary compliance of Town Ordinances; Rules and Regulations. Education.efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK- ENFORCING OFFER GOLD - ENFORCING DEPT. Horsley Witten Group Sustahta W Enviromttastal Sail aorta eo Roble eA-Unt 1-Seirdwkh,MA 02563 5ae413345 o- April 1, 2022 Mr. Mark S. Ells Town of Barnstable Manager 367 Main Street Hyannis, MA 02601 Re: DRAFT Phase III Identification, Evaluation and Selection of Comprehensive Remedial Action Alternatives 480 Barnstable Road Hyannis, Massachusetts MassDEP RTN 4-26347 Dear Mr. Ells: On behalf of the Cape Cod Gateway Airport (the "Airport"), the Horsley Witten Group, Inc. (HW) is notifying you as the Chief Municipal Officer for the Town of Barnstable of the submittal of a DRAFT Phase III Identification, Evaluation and Selection of Comprehensive Remedial Action Alternatives (the "DRAFT Phase III Report")to the Commonwealth of Massachusetts Department of Environmental Protection pursuant to 310 CMR 40.0830. The release is related to the detection of 1,4-doxane and per and poly fluoroalkyl substances (PFAS) in soil and/or groundwater at the Cape Cod Gateway Airport. Information regarding the release is available for public review at the Commonwealth of Massachusetts Department of Environmental Protection ("MassDEP") Southeastern regional office, located in Lakeville, Massachusetts or at: https://eeaonline.eea.state.ma.us/EEA/fileviewer/Rtn.aspx?rtn=4-0026347 A copy of a disposal site map and the conclusions section from the Draft Phase III Report is attached. Pursuant to 310 CMR 40.1403(3)(h)(1)(b), the Town of Barnstable has the right to request additional Public Involvement Activities under 310 CMR 1403 and upon Tier Classification under 310 CMR 40.1404. This notification is being sent to you to comply with the Public Involvement requirements of the Massachusetts Contingency Plan, 310 CMR 40.1403. i Mr. Mark Ells April 1,2022 Page 2of2 If you have any questions, please contact Bryan Massa at 508-833-6600. Sincerely, HORSLEY WITTEN GROUP, INC. Bryan Massa, LSP Senior Environmental Professional cc:Town of Barnstable Health Department Attachments: Attachment A—Disposal Site Map Attachment B—DRAFT Phase III Conclusions Attachment A Disposal Site Map Airport GP MD �'' Barnstable `� MD-4 Pond Barnstable Fire Training Flint --Fir raining t „! ! •• Monitoring t• iii��� l c Rock # •• / Academy Pond • MD-30 Soil Samples xis± Off-Site BFTA PEAS Plume Impacting t {' GP-5 \tj ` /Airport�an�thers ; Surface Water Samples •• Completed by Airport - / •• w► i r ` Z8 Drinking Water Wells 1 k••••.-Runway15/33 3S + ri/ a —�-- Runway, In 6/24r b Municipal wy <a` ID4p 1 Mary w A -.-, Airport Property Off-Site PEAS Plume_ ' ;.'.'� My '" '^ Boundary a~ t' Po Id Impacting Airport and Others ~ � - ! : �,' , Groundwater Contours r ` - 1981 Clash Sne ;lt, rEstimated Extent of Forliier ARFFF/SRE.� �' t � i�� "� ♦ x Airport AFFF PFAS Plume s ;�J,9 61II rea " • r rCa •♦ ` _ ,' <.. l'A�r �' Y,*.: a �}i �` �,. • • 1 � <«� Extent of � f� >~` � �•" � M � III Estimated "- Q° Fiist4rrc Deicing S , Atr°1 , .. f,.., sew •«' • BFTA Plume An j Upper Lewis ec�= r r•�F F _)i �s � � and F .: ! , w 7 tent of Gate Pond ''`-` .: .rG 'l ♦ .P3 ' Off-Site-• ' ioxane Plume •�� '' `��' A A �. rf North Ramp v ; � �y � @ , * _ Estimated Extent of `��� • * .c� s � - � 6,a �� � �� Deployment Are ' a , • w'� .� ���t • D . xane Plume •ar•HistOn, D ang3;k ,..'..�•i t♦'• •<ni! .�� ! r -- - a ry, hi j�Y r {,l u n • �••ja �•i r/ • ,3r !yr ice_.. ._r ••MZ • Aif M �'' 1 'a.'Mi 1 F7a" '} 4 ,.1\�i ;z� b` _ ;. \ !r t��, t•,'fL""'r �`~ �'�i ��"r � � r ARFF%S_RE Bulltling r F i �e f} -•r 750 ,rF �SQ�6;Cra to > r 1 fr, I Current Deicln A a .... , _ y1♦? , I"" 011 �ate_<!, �� ,`�j�, •. �1.1 _ 7r s7i(.i ++.yS' ",a Of'FzN to:,;4-D inxan e?Itiiner:d 11`~ A�' —®8eparator t.. ' ��� .• <� ;i�P. rF. - , ,yq:�iw. t i • - • • '{• M. Ctlnc_g Irwt dYitF r)t'�lef5tj ti i-.;"':;!,♦,F:r}� _ 1 • �.�* •. • ' "� ♦ +�' ��?(t��S�i�y .,r Pat '},'a- i ' .t.�'r4` J is°o rfi{i ` �� ' I � .r \ ♦,.,!''- .• - 'fib ? (,� �y-.�;.4>�r Cape •• ,Airport Hyannis,MA '1_;y�.T ' yya_ Yfi�/ .'Y ig ' �` .� .. !' �;3 1 t; { ♦. `�'T\�•d�, l i.1T ,,.' '„ 1 � ,.�. /• �, �?7`A' y� - ,",i?Fi j f� �'; � i iv' yy scV �•r;• ,103 a `r g�G ;sr P«� i ss� �.vIVIEr`3.. , � ,,J i � y, .d� � �..r ^!fi *i1,[� `µ4 J �.A..T 1 Y-,` t��^•}1'.� � ', . '.• a �n Y� ,I/ ' - Ir _ J ► <YiY i s�.s�_litaaa_ •� 7t' ._t i I 'ME.2 G Attachment B DRAFT Phase III Conclusions Remedial Action Alternatives for Soil Two remedial action alternatives for soil were identified. These options included: Soil capping with a low permeable barrier such as geomembrane liner, asphalt, concrete and/or buildings and the implementation of an activity and use limitation (AUL); and • Soil excavation With disposal at a Subtitle C Landfill. A detailed evaluation of each option is presented below. Soil Coping The concentration of the six regulated PFAS compounds in soil is considerably less that than the Method 2 Direct Contact exposure-based soil concentrations for each of the regulated Per- and Poly-Fluoroalkyl Substances (PFAS) analytes (300 micrograms per kilogram [ug/kg]). This indicates that direct contact with the PFAS impacted soil at the Airport is not a significant concern. However, select soil samples as indicated on Figure 3 in the Draft Phase III Report exceed the Method 1 S-1/GW-1 standard that is protective of groundwater. As such, the objective of soil capping is to reduce leaching of PFAS from soil into the underlying groundwater. Tabulated soil analytical data is included on Table 3 in the Draft Phase III Report. The Airport has already implemented this technology at the request of the Massachusetts Department of Environmental Protection (MassDEP) to contain a majority of its sources of PFAS in soil relating to the historic deployment of fluorotelomer based AFFF via the installation of two impermeable caps (as indicated on Figure 3 in the Draft Phase III Report). The two capped areas total approximately 94,100-square feet and represent a majority of the PFAS source areas. Areas of PFAS in soil remaining above the applicable Method 1 S-1/GW-1 soil standard located outside of the caped area are indicated on Figure 3 in the Draft Phase III Report. Evaluation of these areas will be included in future response actions (i.e., capping and/or excavation) and/or included as part of a future risk assessment. The current caps are constructed from geomembrane liner(Deployment Area) and asphalt (ARFF/SRE Area). The current cap installations were completed in the Fall of 2020, and additional details are included in the report titled "Immediate Response Action Plan Status Report 8" dated October 2020 which is available for direct download from the MassDEP Searchable Sites Database using RTN 4-26347. As indicated on Table 1 in the Draft Phase III Report, the installation of the two caps have resulted in a significant decrease in the concentration of PFAS in the shallow groundwater. The percent decrease for the six regulated compounds ranges from approximately 80 to 99 percent and total PFAS decreases have ranged from 79 percent to 96 percent over the last two years. The effectiveness of the two soil caps will continue to be evaluated with the collection of groundwater samples every six months. The results of this testing will be included in future IRA Status Reports submitted to the MassDEP. U As indicated above, the Airport may extend the Deployment Area cap (Figure 3, Draft Phase III Report) within the wooded portion of the Disposal Site boundary during future development of this area with aircraft hangers. The Airport may also cap and/or consolidate soils (i.e., place under a cap in the Deployment Area) from the area adjacent to the ARFF/SRE Building area (Figure 3, Draft Phase III Report). Future capping may include geomembrane liner, asphalt, concrete, and/or building foundations. Institutional controls in the form of an AUL-will be implemented in -the future to assure maintenance and prevent damage to the cap areas. The cost for engineering design and construction of the existing 94,100 square foot cap area was approximately$525,000. This cost does not include investigation, on-going environmental monitoring and regulatory reporting. It is assumed that future capping and soil grading/consolidation in the Deployment Area and/or ARFF/SRE Building Area will be a moderate additional cost when incorporated into a future development project such as hanger construction in the Deployment Area. Capping is an appropriate alternative and will be further evaluated below. Soil Excavation and Disposal As indicated above, the concentration of the six regulated PFAS compounds in soil is considerably less that than the Method 2 Direct Contact exposure-based soil concentrations for each of the regulated PFAS analytes. This indicates that direct contact with the PFAS impacted soil is not a concern. However, select soil samples as indicated on Figure 3 in the Draft Phase III Report exceed the Method 1 S-1/GW-1 standard that is protective of groundwater. As such, the objective of soil excavation is to remove impacted soils to reduce leaching of PFAS from soil into the underlying groundwater. Tabulated soil analytical data is included on Table 3 in the Draft Phase III Report. Areas of PFAS in soil remaining above the applicable Method 1 S-1/GW-1 soil standard located outside of the caped area are indicated on Figure 3 in the Draft Phase III Report. Evaluation of these areas will be included in future response actions (i.e., capping and/or excavation) and/or included as part of a future risk assessment. 'If necessary, soil excavation and off-site disposal of PFAS impacted soil from areas outside of the caps would involve the excavation, management, and disposal of soil at a Subtitle C landfill located in Michigan or another approved location. This option may be employed in the future to remove small quantities of soil that cannot be accommodated under a future cap. The construction of a cap is a preferred alternative to soil excavation when possible. Soil.excavation with landfill disposal would involve trucks leaving the airport with a likely destination to the Worcester railway system. Soil would then be consolidated into rail cars for transport to Michigan. This is a feasible option for small quantities of soil. For example, the excavation of PFAS contaminated soils currently located below the two capped areas would result in approximately 3,000 trucks transporting approximately 105,000 tons of soil with an estimated transportation and disposal costs in excess of 75 million dollars. As such, large scale excavation is not justified by the benefits according to the Massachusetts. Contingency Plan. The estimated cost for off-site disposal off 100 cubic yards of PFAS impacted J I soil at a Subtitle C landfill is $71,500. This cost is for transportation and disposal only and does not include engineering, contractor fees, environmental monitoring and regulatory reporting. Small scale soil excavation with Subtitle C Landfill disposal is an appropriate alternative for small quantities of soil and will be further evaluated below. Remedial Action Alternatives for Groundwater Three remedial action alternatives for groundwater were identified. These options included: -4 Management of PFAS migration in groundwater by application of absorption remedial additives; Groundwater extraction with treatment using activated carbon and/or ion exchange resins with groundwater reinjection; and "Treatment of the groundwater plume at the existing Maher Wells treatment facility; A detailed evaluation of each option is presented below. PFAS Absorption PFAS absorption in groundwater is a remedial technique that involves injection of a carbon based material (i.e., Regenesis PlumeStop or Bioavailable Absorbent Media by Orin) into the aquifer downgradient of the edge of the PFAS plume.The injection involves a liquid slurry of the absorbent material being pumped into the aquifer from multiple injection wells to form a permeable barrier wall in the subsurface saturated soil zone. The carbon-based particles adhere to the saturated aquifer soils and bind the PFAS analytes as they pass through the permeable barrier wall.The effective binding time of the permeable barrier wall is uncertain but is likely in the 15 to 20 years or more time frame. After the absorption compacity of the permeable barrier wall is exhausted, PFAS would resume migration through it. The application of this technology would involve the installation of hundreds of injection wells along multiple municipal and private owned properties. It is estimated that approximately 2,500 to 3,000 linear feet of injection wall would be required with an approximate cost estimate of one million dollars. This cost is for installation only and does not include access agreements, future environmental monitoring and regulatory reporting. Due to the proximity of the public water supply wells at the downgradient Maher Well Field, injection is not considered to be a viable option. It is unclear if the carbon slurry injected into the aquifer would migrate downgradient to the wells and affect drinking water quality. It is also unclear if the pumping of the wells would accelerate the flow of groundwater through the slurry and therefore reduce the level of treatment it provides. The potential risks to the public supply wells suggest that this is not an appropriate remedial option. PFAS absorption is not considered an appropriate alternative and will not be further evaluated at this time. Groundwater Extraction with Treatment and Reiniection Groundwater extraction with treatment and reinjection is a remedial technique that first involves removing groundwater from the subsurface. The groundwater is then pumped through a series of treatment vessels to remove the PFAS from groundwater. The PFAS adheres to the activated carbon and/or ion exchange resins in the treatment system. The material within the treatment vessels is replaced as necessary and then disposed of as a PFAS waste.The treated groundwater-is then reinjected into the subsurface downgradient of the PFAS plume. The application of this technology would involve the installation of multiple large extraction and reinjection wells along multiple municipal and private owned properties. It is estimated that the cost of this system would be similar to or greater than the cost for the PFAS adsorption option discussed above. This cost is for installation only and does not include future environmental monitoring, access agreements, and regulatory reporting. Due to the proximity of the Maher Well Fields from the edge of the PFAS plume, implementing this technology would be repetitive since this technology is already being applied for treatment at the public supply wells. In addition, it would be difficult to find an appropriate site to discharge the treated groundwater in the area that would not impact other PFAS plumes not associated with the Airport. Groundwater extraction, treatment and reinjection is not considered an appropriate alternative and will not be further evaluated at this time. Treatment at the Maher Wells The Maher Wells are already implementing PFAS treatment and providing safe drinking water to the residents of Hyannis. By allowing the plume to continue to migrate to the Maher Wells, the PFAS related to the Airports release (along with other multiple sources) will be effectively treated. Additionally, since a majority of the PFAS impacted soil at the Airport has been capped, it is expected that the concentrations in groundwater will continue to decline over time until they are below the applicable Method 1 standard. The cost to implement this technology will be evaluated in the future based on discussions between the Town of Barnstable and the Airport. In addition, research of the properties located within the Airports PFAS plume has determined that the affected properties are serviced by municipal water. Conclusion Based upon the Phase II investigation and the evaluation of remediation technologies set forth above, treatment at the Maher Wells is the most technologically and economically feasible remedial alternative to achieve a Permanent Solution with respect to groundwater. As set forth above, implementation of soil caps and soil cap maintenance managed under an AUL will achieve a Permanent Solution with respect to soil. Some small amounts of soil may also be disposed of off-site in the event excess soil cannot be managed under a cap. Y #2 a , 14. SS #30488 stable Rd. & Center St. Hyannis, Mass. 3 /24/81 N n,�i ul:.uppnm,rlwnoi„ AJdiue:, Nu.and$Irunl(s) City -- State Dale of Test 15. TANK TO TEST 5 16. CAPACITY From ® Station Chart ~ #2 north capacity most accurate Nominal Capacity capacity chart available 5022 Tank Manufacturer's Chart CIdentity by position Gallons Gallons El Company Engineering Data G e_tty unleaded Is there doubt as to True Capacity? .Charts supplied with TSTT +( Brand and Grade See Section"DETERMINING TANK CAPACITY" Other 17. FILL-UP FOR TEST Stick Readings Total Gallons O (D to Ye in. Gallons ea.Reading 0 Stick Water Bottom 1 r e before Fill-up a 9 Inventory 84 . 5022 to%in. Gallons C wate -9 0 Fill up.STICK BEFORE AND AFTER EACH COMPARTMENT DROP OR EACH METERED DELIVERY QUANTITY cD top off.. +10 O Tank Diameter 84'' X 1 7'8'' Product in full tank(up to fill pipe) 84 5023 Z 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK VAPOR RECOVERY SYSTEM -{N fD � ccSee manual sections applicable.Check below and record procedure in log(26). o Q Stage 1 m 0 Water in tank High water table in tank excavation Line(s)being tested with LVLLT Stage II wr �m W> 21. TEMPERATURE/VOLUME FACTOR (a)TO TEST THIS TANK X 19. TANK MEASUREMENTS FOR - o ' TSTT ASSEMBLY Is Today Warmer?❑ Colder?❑-°F Product in Tank-°F Fill-up Product on Truck_°F Expected Change( + or - ) 0 0 106 � Bottom of tank to Grade*. ' "" 22. Thermal-Sensor reading after circulation 06482 41 -42 °F X < Add 30"for 4"L 30 digits Nearest N m or air sea .......Add 24"for 3"L il w- 23• Digits per IF in range of expected change 323 nTotal tubing to assemble Approximate .... 1 3 6 " digits .... 24. 5023 00068 3. 41564 ) 20. EXTENSION HOSE SETTING x = gallons W total quantity in - coefficient of expansion for volume change in this tank 22 rn Tank top to grade ............................ full tank(16 or 17) involved product per°F Extend hose on suctiontion t tube 6"or more - belowtanktop ..................................... 25. 3. 41564 - 323 . 0105747 This is volume change per-F(24) Digits per°F in test Volume change per,digit. test 'If Fill pipe extends above grade,use top of fill. Range(23) Compute to 4 decimal places. factor(a) f 16. 30. HYDROSTATIC 31. 34. 38.NET VOLUME 39. LOG OF TEST PROCEDURES PRESSURE VOLUME MEASUREMENTS(V) TEMPERATURE COMPENSATION ACCUMULATED RECORD TO.001 GAL. USE FACTOR(a) CHANGES CONTROL EACH READING CHANGE 21, 28. 29. Standpipe Level 32, 35. 36. 37. Temperature At High level record Product in Product Adjustment DATE Record details of settingu in Inches Change Computation I Total End Deflection P Reading Graduate Replaced(-) Thermal Hi + c x a = and running test.(Use full No. Higher 1 I 1 ) volume Minus Beginning Level to Sensor lower- Ex ansion+ At Low feral Compute {1MF length of line if needed.) - of which Before After Product Readingp Expansion(+)or Change per Hour (c) Contraction- Contraction(-) (20 hr.) Reading Restored Reading Reading Recovered(+) #33(V)-#37(T) (NFPA criteria) f _ - t 1030 Disconnected syphon between tank 2 and tank 3, 3/25 81 1325 Removed fill cap, adapter,. and drcp tube. SS# 3048E 1330 Begin transfering gas from tan k #3 into tank # 1400 T:)p off complete. 1420 Closed under pump crash valve. 1450 Pump primed and running. 1505 Checked vents and pumps for l aka le. 06 Test Factor (a) (. 0106) Unl 1515 First Sensor Reading. 1 42 482 1530 High Level Test 2 41. 7 42 [465 . 445 -. 020 488 +6 +. 064 -. 184 1545 " 3 41. 6 42 . 445 . 430 -. 015 495 +7 +. 074 -. 089 1600 " " 4 42. 4 42 . 430 . 445 +. 015 504 +9 +. 095 . -, 080 1615 " " 5 40. 8 42 . 445 . 380 -. 065 510 +6 +. 064 .16201 Found bladder loose, tightened wit more, air. 1630 Resumed High Level Test 6 43. 0 42 . 380 . 440 +, 060 519 +9 +. 095 -. 035 1645 High Level Test 7 42. 8 42 . 440 . 490 +. 050 525 +6 +. 064 -. 014 1 700 " 8 43. 1 42 . 490 1 . 550 +. 060 532 +7 +, 074 -. 014 I 1702 Dripped to Low Level Test 12 532 1715 Low Level Test 9 13, 1 12 , 550 . 620 +. 070 53:7 +5 +. 053 +, 017 1730 If " " 10 13. 0 12 . 620 . 685 +. 065 544 +7 +. 074 -. 009 1745 " " 11 1112. 9 12 685 740 + 055 551 +7 074 - O1 1800 " 12 12. 9 12 . 740 800 +. 060 555 +4 +. 042 -, 018 1802 Tank tested tight. Last four (4) totat• -. 029 9 5•"4° _ , 75 I L� r ` :1 I t� t TANK DATA 0 0 TANK OWNER: Power Test Realty Company TYPE DATE w tj TANK CAPACITY PRODUCT MATERIAL INSTALLED �* Limited Partnership °' I.• #1 G o-0-v v/z s rr-FL c/o Getty Petroleum Corp. • #2 S`o-0 p-r y. 1114. s�►r�� /q t ADDRESS: Massasoit Avenue & Dexter Road #3 xe- vA I #4 -0 4 s c I -v East Providence, RI 02914 S� w/o S 'srva ! #5 0 TELEPHONE DAY: (800) 556-6926 #6 I tv NIGHT: (401) 434-1322 rt OPERATOR: PETS � LouMyOTl •I --- ---- �- • ,�. 00 ADDRESS: //,Z RAkAlsTA 20, ELEVATION 1 DIAMETER, Hi Low NOTES Cn ,cal N YA [V IV s fi-IA. _ i TELEPHON 4�1 `� -3t %-A o PIPING: ST" ��L E DAY. (�1� 7��`'�1 8-a #2 1-4" s j z #3 MONITORING WELL: -- r.; NIGHT: lvl '/ 3(ea 9'Cnq/ ' #4 LEAK,(DETECTORS:Fri Z ( h 4l5 YEAR LAST TESTED: A4%9•r 1 #7 p i #8 I . t P . ;sr ,7 la- 1 TANK DATA w. TANK OWNER: Power Test Realty Company TYPE DATE w I� Limited Partnership TANK CAPACITY PRODUCT MATERIAL INSTALLED o #1 v/Z ;s'Tco 4 Jr c/o Getty Petroleum Corp. ADDRESS: Massasoit Avenue & Dexter Road #3 R,c ��4 Fro w o s..`s 4r vA. !4 s t East Providence, RI 02914 / q #5 Z TELEPHONE DAY: (800) 556-6926 #6 if6l I tv � NIGHT: (401) 434-1322 ��7 D, 5 #8 '�I > ! OPERATOR: PETe�2 7 L.OUMJOTI S " I .. ADDRESS : ELEVATION Z; /�� RAiPN STA Q LE RD, DIAMETER Hi Low NOTES col i�j N YA �y N S mr9. PIPING: ST0-d'L i TELEPHONE DAY: 7SS`—c/7 MONTT.ORING WELL It 3 !�' ... NIGHT: #4 ¢y —3 8-4" LEAK DETECTORS: 2 !I j #6 YEAR LAST TESTED: /fkvFr #8 • i f \` P N (/ E Y o OC a I TANK DATA o f0• TANK OWNER: Power Test Realty Company TYPE DATE w ~I -TANK. . CAPACITY PRODUCT MATERIAL INSTALLED r* Limited Partnership 1 c/o Getty Petroleum Corp.' #2 S s I� " ADDRESS:( Massasoit~Avenue & Dexter Road #3 �o.ti.b ,��y, v/�, s.��'`�� /� < a ` East Providence RI 02914 #4 #5 TELEPHONE DAY: (800) 556-6926 #6 NIGHT: (401) 434-1322 #7 #8- Ft �i OPERATOR: PETEip 2 Gou/Yi10n S ADDRESS:•(,) � //� R,9�PrvsTA BLE 2D, ELEVATION --� Z DIAMETER Hi Low NOTES NYAIVNI9 h'Jf►, .. GIN -3a•f - /7c0" PIPING: s70-d-L _ TELEPHONE DAY: �2[�� 7SS'-Ct/`7 $'o? #2 7-4 -3 s" 1 MONITORING WELL; NIGHT: _ (o/ 7 3�aa -� 9f(ay/ �3 Sqp �,3Fff .. �-so" : 2„ �� ••` #4" �y�� 73If - 8q" 'r LEAK ,DETECTORS: �.,. #5 YEAR LAST TESTED: #7 j p i0o` #8 I c" { • �v 0i Lo -��� � ,OHO •':'• / y I I i TANK.DATA o 0 TANK OWNER: Power Test Realty Company TYPE DATE w w Limited Partnership TANK CAPACITY PRODUCT MATERIAL INSTALLED •, . c/o Getty Petroleum Corp. ADDRESS: Massasoit Avenue & Dexter Road #3 *&-e-L /9 < < East Providence RI 02914 #4 SS'o In.�o #5 TELEPHONE DAY: (800) 556-6926 4E6 . d NIGHT: (401) 434-1322 IOPERATOR: PETE�p 40u 101-/ S 1 ELEVATION z` ADDRESS : //� R.9�P/y tT.9 l�LE ' RD, Z I DIAMETER, ,Hi 'Low NOTES CSJ Y a 1V nl I S m�9, 1 -3-c - Ito+ . PIPING: s' > O TELEPHONE DAY: (�_/'Z 7S _y7 g-a #2 Y4" -3s" .. ♦z�` pp z MONITORING WELL #3 ' TZ `< I NIGHT: _(oL �(oa - 9(py/ k4s„ zoN n-� #4 ¢Y•• -3!- - a-4 LEAK.,OETECTORS: � #5.' >1 #6' . YEAR LAST TESTED: A4%9-bc, 7� 01%<0 #7 /9 re �X #8 #3a 3/25/81 14• SS #30488 _ Barnstable R•d. & Center St.-,. Hyannis, Mass, 3 /25/81 Nsme M S,- ei Owner Of Dealer Address No.and Street(s) - - City State Date of Test 15. TANK TO TEST 16. CAPACITY From 4 ® Station Chart #3 north 5 0 0 0 By most accurate 5 0 2 2 ❑ Tank Manufacturer's Chart Nominal Capacity capacity chart available C Identity by position Gallons Gallons Company Engineering Data Getty Unleaded Is there doubt as to True Capacity? Charts supplied with TSTT Brand and Grade See Section"DETERMINING TANK CAPACITY" Other 17. FILL-UP FOR TEST Stick Readings Total Gallons to 1/e in. Gallons ea.Reading 0 � Stick Water Bottom 1 84 5022 . I before Fill-up 1 1 2 Inventory .1 r I to ye in. Gallons 0 water -12 0 Fill up.STICK BEFORE AND AFTER EACH COMPARTMENT DROP OR EACH METERED DELIVERY QUANTITY - -1 top off +10 O Tank Diameter Product full tank(up to fill pipe) 84 5020 Z 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK VAPOR RECOVERY SYSTEM C ID N ID i m See manual sections applicable."Check below and record procedure in log(26). ® Stage I 7 co o r aWater in tank High water table in tank excavation RLine(s)being tested with LVLLT Stage II wr �m D 21. TEMPERATURE/VOLUME.FACTOR (a)TO TEST THIS TANK 19. TANK MEASUREMENTS FOR Is Today Warmer?❑ Colder?❑_°F Product in Tank_°F Fill-up Product on Truck_°F Expected Change( + or - ) Ln TSTT ASSEMBLY O Bottom of tank to Grade*.................... 114 06620 41-42 m cn 22. Thermal-Sensor reading after circulation IF Add 30"for 4"L ............ 3 O _rr digits Nearest ..... N Fn Add 24"for 3"L or air seal ....... 144 " 23. Digits per IF•in range of expected change 323 w'- digits Total tubing to assemble Approximate 5020 00068 _ 3. 4136 L. - A 20. EXTENSION HOSE SETTING 24. - X. - change -t gallons o total quantity in coefficient of expansion for. volume change in this tank m Tank top to grade'.................................. 3 0 " full tank•(16 or 17) involved product per IF " Extend hose on suction tube 6"or more 3. 41-36: 323 0105726 • below tank top ..................................... _" 25. This IS volume change per°F(24). Digits per IF in test Volume change per digit. test 'If Fill pipe extends above grade,use top of fill. Range(23) Compute to 4 decimal places. factor(a) 30. HYDROSTATIC 31. 34. 38.NET VOLUME 39• VOLUME MEASUREMENTS IV) TEMPERATURE COMPENSATION ACCUMULATED 26 LOG OF TEST PROCEDURES PRESSURE CHANGES +§ O CONTROL RECORD TO.001 GAL. USE FACTOR(a) EACH READING CHANGE ty' Temperature At Hi Level record 21 28. 29. Standpipe Level 32. Product in Product 35. 36. 31. Adjustment d"r GATE Record details of settingU Reading in Inches Graduate Replaced Change Computation I Total End Deflection P (-) Thermal Higher+ (c) ■ (a)= Volume Minus -T and running test.(Use full No. Beginning Level to Sensor Lower- Expansion+ Expansion(+)or At Lev Level compute TIME length of line if needed.) of which Before After Product Reading (c) Contraction- Contraction(-) Change per Hour(NFPAcrAeria) IN Reading Restored Reading Reading Recovered(+) Ar33(V)_#3?(T) r. It`3 a - 3/25` 0830 Arrived at station. 81 SS # 0845 Removed fill cap, adapter, and dr tube. �- 30488 0910 Begin transfering gas from tank #2 into tank # . 0955 "Top off complete ,u T 1000 Closed under pump crash valve. 1020 Pump primed and running. i 1030 Checked vents and pumps for leakaze. 06 Test Factor a 0106 Unl 1045 First Sensor Reading 1 42 620 1 1 11i 1100 High Level. Test 2 40. 6 42 . 600 . 520 -. 080 623 +3 +. 032 -. 112 1115 " " 3 41. 5 42 520 . 485 -, 035 627 +4 +. 042 -. 077 1130 4 42. 0 42 . 485 . 485 000 632 +5 053 053 1145 " 5 42. 3 42 . 485 500 +. 015 636 +4 + 042 - 027 I 12001 6 42. 4 42 . 500 520 +. 020 639 +3 +. 032 =. 012 I 1215 i' 7 42. 5 42 . 520 550 +. 030 645 +6 +. 064 -. 034 1230 " 8 1142. 6 42 . 550 b . 585 +. 035 648 +3 +. 032 +. 003 1245 9 42 6 650 +2 +. 021 +. 01 1300 " 10 42. 7 •42 625 . 665 +, 040 6.54 +4 +. 042 -. 002 1305 Tank tested tight but continued test on request f fire c1hief. 1315 Low Level Test 11 13, 8 1 12 665 . 715 +. 050 656 +2 +. 021 +. 02 1330 " 12 13. 8 12 . 715 . 770 +. 055. 660 +4 +. 042 +. 013 1345 13 12. 7 12 . 770 810 +. 040 663 +3 + 032 + 00811 1400 " " 14 12. 8 1.2 250 . 300 +. 050 664 +1 + 011 + 03 1415 15 12. 7 12 , 300 . 350 +. 050 668 +4 +. 042 +. 008 I 1430 " " 16 12. 6 12. . 350 . 390 +. 040 671 +3 + 032 + 008 1445 " " 17 12 6 12 - 13-1 #3a 1500 " " 18 12. 8 12 430 . 480 +. 050 680 +4 +, 042 +: 008 3/25/ 81 1515 19 12. 6 12 480 . 520 +. 040 682 +2 +. 021 +, 019 S3# 1530 20 12. 6 12 520 560 +. 040 687 +5 +, 053 -. 013 30488 1545 " 21 12. 6 12 . 560 600 +. 040 688 +1 +..011 +, 029 - I - 1547 Tank tested tight. Last fo r 4 total: +. 043 i i I • i # la 14. SS #30488 Barnstable* Rd. F, C e,.ntt•r St-. , Hyannis, Ma"lti. 3/?..4/81 Nmeo of bu Ppllui.Uwnm Addwss No.and Struut(s) City Stale Date of Test ! 15. TANK TO TEST 16. CAPACITY From \ By most accurate Station Chart #1 north Nominal Capacity 6000 6044 ❑ Tank Manufacturer's Chart P Y capacity chart available C - Identity by position Gallons Gallons ❑ Company Engineering Data, Getty premium Is there doubt as to True Capacity? ❑ ❑ Charts supplied with TSTT Brand and Grade See Section"DETERMINING TANK CAPACITY" ❑ Other O 17. FILL-UP FOR TEST Stick Readings Total Gallons to Ve in. Gallons ea.Reading 3 O Stick Water Bottom 0 0 re* before Fill-up Inventory 84 6044 r to'/a in. Gallons v o 0 Fill up.STICK BEFORE AND AFTER EACH COMPARTMENT DROP OR EACH METERED DELIVERY QUANTITY N CD top off +10 Z Tank Diameter 84'' X 22' Product in full tank(up to fill pipe) 84 6054 ' 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK VAPOR RECOVERY SYSTEM aSee manual sections applicable.Check below and record procedure in log(26). ® Stage o r m' ❑ Water in tank ❑ High water table in tank excavation ❑ Line(s)being tested with LVLLT ❑ Stage II c r- �m ti D 21. TEMPERATURENOLUME FACTOR (a)TO TEST THIS TANK 7, 19. TANK MEASUREMENTS FOR Is Today Warmer?0 Colder?0_°F Product in Tank_°F• Fill-up Product on Truck_°F Expected Change( + or - ) TSTT ASSEMBLY O Bottom of tank to Grade'''.................... 10 2 " U' 22• Thermal-Sensor reading after circulation 06439 40-41 °F R rn , X < Add 30"for 4"L ................. 30 _" digits Nearest N-m Add 24"for 3"L or air seal ....... 132 23, Digits per OF in range of expected change 3 18 ra Wn Total tubing to assemble Approximate digits v= P4• 6054 x , 00068 4. 11672 20. EXTENSION HOSE SETTING gallons o total quantity in coefficient of expansion for volume change in this tank Tank top to grade*.................................. 1 full tank(16 or 17) involved product per OF , Extend hose on suction tube 6"or more below tank top ..................................... 25. .4. 11672 _ 3 1 8 0129456 This is volume change per OF(24) Digits per OF in test Volume change per digit. test If Fill pipe extends above grade,use top of fill. Range(23) Compute to 4 decimal places. factor(a) 26. 30. HYDROSTATIC 31. VOLUME MEASUREMENTS(Y) 34. TEMPERATURE COMPENSATION 38•NET VOLUME 39• ACCUMULATED LOG OF TEST PROCEDURES PRESSURE CHANGES CONTROL RECORD TO.001 GAL USE FACTOR(a) CHANGE EACH READING 27. 28. 29. Standpipe Level 32. 35. 36. 37. Temperature At High Level record Product in Product U in Inches Change (C) X (atidn Adjustment Total End Deflection DATE Record details of setting P Reading Graduate Replaced(-) Thermal Higher+ (a)= Volume Minus and running test. (Use full No. Beginning Level to Sensor Lower- Ex ansion At Low Level compute length of line if needed.) P Expansion(+)or TIME of Which Befcre After Product Reading (c) Contraction+- Contraction(-) Change per Hour (24 hr.) Reading Restored Readmg Heading Recovered(+) #33(V)-#37(T) (NFPA criteria) • � 1 #la' 3/24 0930 Arrived at station. 81 SS# 0945 Removed fill cap, adapter, and drcp tube. 30488 0950 Top off complete. 1000 Closed under pump crash valve. 1045 Pump primed and running. 1100 Checked vents and pumps for 1 aka e. I 6 Test Fa for a . 012 pren 1115 First Sensor Readin . 1 42. 439 1130 High Level Test 2 40. 7 1 42 690 625 -, 065 445 +6 +. 077 -, 142 1145 " tl 3 41, 7 42 , 625 . 605 -, 020 452 +7 +. 090 -. 110 1200 " " 4. 42„3 42 . 605 , 615 +. 010 459 +7 1 +, 090 -. 080 1215 " 5 42. 5 42 615 , 640 +. 025 463 +4 +. 052 -. 027 1230 " 6 142. 8 42 640 690 +, 050 472 +9 +. 116 -.. 066 - 1245 " if 7 42. 8 42 . 690 , 740 +. 050 478 +6 +. 077 -, 027 1 "illtl I ,• II Ir 1i I.:, '1 -I.'. 'i:ItT r'1'� � r 1315 if " 9 43. 1 42 , 795 , 855 +. 060 487 +3 +. 039 +, 021 1330 " 10 43. 0 42 . 855 910 +. 055 490 +3 +, 03 +. 016 - 13.15 " " _ 11 43, 3 42 910 985 +. 075 497 +7 +. 090 -. 015 1347 Tank test tight. Last f ur (4) total: 000 Bar -- ----- :r- 0 4 :l •4,