Loading...
HomeMy WebLinkAbout0145 BARNSTABLE ROAD - HAZMAT lol 00-i Number Fee 1323 THE COMMONWEALTH OF MASSACHUSETTS $so.00 Town of Barnstable Board of Health This is to Certify that Procuts 145 Barnstable Road, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 26 - 110 gallons of Hazardous Materials. ----------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2018 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2017 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health �1:60W LTO-Z VO 91 W 6K c, Number Fee 1323 THE COMMONWEALTH OF MASSACHUSETTS $5o.00 Town of Barnstable Board of Health This is to Certify that ProCuts 145 Barnstable Road, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 26 - 100 gallons of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------ This license is granted in conformity with the Statutes and ordinances relating there to,and And expires 06/30/2018 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2017 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health ecn'= OWd v, Z CT Nil~ f TRowaof B4rnstable p&� $S00 � -4114GPf eg atory Services Richard V. Scali, Director A o Public Health Division BARNSTABLE � • BPRYStAtllE•iNIfF}:VILE•CONIT•NY4M1Y.IS MASS. 1639- LE, Thomas McKean, Director XRRS.U`:S MI S• ILLE•e Sf?5?n5f 0£ A 39-2015 y y '°ren 39.E p`0 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 e,?o/-7_a0l9 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,E 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 V,S 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. 2. IS THIS A PERMIT RENEWAL?_Le!,<S_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: C, 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: l-'K-8arng-i2II h1e )&Iw-d f'I Cal f'1✓�l s 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: r✓ S. TELEPHONE NUMBER OF ESTABLISHMENT: X)e-- 7 7 8 13 /3 � 9. EMAIL ADDRESS: 10. SOLEOWNER:__LZY-ES_NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADD SS,AND TELEPHO7 #OF: CORPORATION NAME �j G ,D 6 6-} PRESIDENT TREASURER / CLERK Q 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE QAApplication Forms\I-IAZMAT APP 2017 REVI .do a► Number Fee 1173 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Brothers Enterprises Painting LLC 145 B Barnstable Road, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2016 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 03/07/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable • °pIHE►o Regulatory Services ti Richard V. Scali, Director ` MASS �' ' Public Health Division BARNSTABLE . v OARST011S E•CENi5T-U CONR•i.IYL•:h:5 16Jq. �0 � NhRSi0M5 MRLS-OSTERV;LLE•WST 2AfiN5TA81 Area M0�A Thomas McKean, Director '6 Dg 4 6 1 Pub 200 Main Street, Hyannis, MA 02601 05 office: 508-862-4644 Fax: 508-790-6304 ►�.. w R7 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS DULY 1 st-JUNE 30th). APPLICATION FEES CATEGORY I PERMIT 26- 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 �L ' CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ • A late charge of$10.00 will be assessed if payment is not received by July 1st. ASSESSORS MAP AND PARCEL NO. �" / y DATE 7 FULL NAME OF APPLICANT: 11<11 e�e r- Go,"->a f-a CAS NAME OF ESTABLISHMENT: 6 ra-" rs C'nee ref,S0S Xa�"�A n q � G ADDRESS OF ESTABLISHMENT: iS 6 �Q�ns a�al� Kc+L d UanYI LS /`l - 0- 60 I MAILING ADDRESS (IF DIFFERENT): TELEPHONE NUMBER OF ESTABLISHMENT: So$ - 719-rZ�Z J EMAIL ADDRESS: �1 �' by-oAers Pnter4.rI gee-r ''u'-t SOLE OWNER: YES ENO IF NO,NAME OF PARTNER: P SS e r kocA o- FULL NAME,HOME ADDRESS,AND TELEPHONE #OF: CORPORATION NAME PRESIDENT TREASURER CLERK IF PREPARED BY OUTSIDE PARTY: SI TU F APPLICANT Name: Company Address Telephone#: J• Email: QAApplication FormMAZZAPP Revl6.docx Page 1 of 2 • Town of Barnstable Office: 508-862-4644 Fax: 508-790-6304 Regulatory Services Department +� Public Health Division * aA 7rntiM • MASS, Thomas A.McKean,CHO o 200 Main Street, Hyannis,MA 02601 Payment Receipt ,Hazardous Materials Payment received: $125.00 (Check) on 3/7/2016 'Check number: 9384 Check amount: $125.00 Name on check: Brothers Enterprises .Business: Brothers Enterprises Painting LLC Owner: RICHARD K TR CORSINI ;Address: 145 BARNSTABLE ROAD, Hyannis I ----- _ _ .. _.......... ................................... . ...................... .. ................................. ......... _.....__� Number Fee 1323 THE COMMONWEALTH OF MASSACHUSETTS . $5o.00 Town of Barnstable Board of Health This is to Certify that Procuts 145 Barnstable Road, Hyannis, MA -1 Is Hereby Granted a License \ For: Storing or Handling 26 - 100 gallons of Hazardous Materials. ------------------------------------ ------------------------------------ This license is granted in conformity with the Statutes and ordinances relating there to, and s and expires 06/30/2017 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,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 BARNSTABL 4 MAM = Public Health Division 20M te o. o►�' Thomas McKean, Director � 200 Main Street,Hyannis,MA 02601 ' Office: 508-862-4644 �r0%,_�/ Fax: 508-790-6* s' APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS M.A.TERXALS 1N 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 MY 1 st-JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 '� CATEGORY 2 PERNIIT 111 -•499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ • A late charge of$1 00 will ho as ssed ifpaymenl is not received by July 1st, ASSESSORS MAP AND PARCEL NO. DATE j :-S O 7 FULL NAME OF APPLICANT: A-)/y n NAME OF ESTABLISHMENT: kJ /6 1A C0 G U ADDRESS OF ESTABLISHMENT: � s /'l S /,✓�J G�- �c� ���h I S MAILING ADDRESS(IF DIFFERENT): / L r- zj 0- TELEPHONE NUMBER OF ESTABLISHMENT: 13 EMAIL ADDRESS: n � SOLE OWNER:_s.Z&S_NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRFSS,AND TELEPHONE# F: CORPORATION NAME 4J L PRESIDENT ' TREASURER CLERK l_ ,r n ✓� ice! ✓z w�0 IF PREPARED BY OUTSIDE PARTY: SIG TATURE OF APPLYC Name: Company Address : Telephone#: Email: Q\Application FoMISWAZZAPP Revl6.docx pogc 1 afz TOWN OF BARNSTABLE BAR-W �•" Ordinance or Regulation WARNING NOTICE Name of Offender/Manager JJ ✓ �' ���t!ru $ Address of Offender MV/MB Reg.# Village/State/Zip Business Name U�f '^ w� .� t'�a� (gym?/pm, on P01-7 20 '6, Business Address Signature of/Eriforcing Officer Village/State/Zip �`�� � '� ' �, � � ���a 1 Location of Offense �ro-f"1c.,e,..rl�, �, ttit� ! c�•�� '.,-c,.�� ��^ Enforcing Dept/Division Offense toItt � '„%A a� lbfn` - r, -�v r �- rt'' `�*`� 7'f�r,►t- a75"jA//A'y15 C) j ) J Facts kG-le"(S")o� If cz t ti/J t-VLQ.•� > / Gj ',j r This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. TOWN OF BARNSTABLE BAR-W 5149 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager . � - ', r Address of Offender MV/MB Reg.# Village/State/Zip Business Name ..yr ^ +�"" t �'. �x j a ``> am/pm, on -; i'7 20 � Business Address I c) L; . �tf '.� �,��..,�., # � F�f "�„�•'"� ft �;'`�9..'. � " Signature of/Enforcing Officer Village/State/Zip ` ' �}`� ' i , r �» " o t Location of Offense 9j'n#t s_,r •, ih s:off , ..�. {► 11 t ) Enforcing Dept/Division Offense � 6t I �.a Ai?'ll` 4� 1 r 1t: I rr 4. .R �'t. Facts This will serve only as a warning: At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. . TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS: � ' ""/"""` ' Board of Health MAILING ADDRESS: 13s ` `'� ® y Town of Barnstable .TELEPHONE NUMBER_ : 721 2 5/ P.O. Box 534 CONTACT PERSON: Hyannis, MA 02601 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in qua (ties 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: SreA TELEPHONE: s 4 —� , 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 ' Please put a check beside each product that you store: Antifreeze (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, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, 1 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, varnishes, stains, dyes 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 617 771-2391 x Free Delivery 4 Auto Paint&Body Shop Supplies 135 Barnstable Road ANTHONY G.RUGGIERI Hyannis,Mass.02601 r ' V TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops 0 unsatisfactory- 4.Manufacturers COMPANY (see"Orders") 5.Retail Stores D f/��1�y�t ��1 C Tr t�✓� �R/o 6.Fuel Suppliers ADDRESS Class: 7.Miscellaneous 771—,",y?f /5*/'-?VjUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel(A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil(C) transmission/hydraulic Synthetic Organic degrr.— seers 6 e jv— Miscellaneous: �,( L: 21, �t3 0 v DISPOSALlRECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply Town Sewer A,ublic b On-site ,- OPrivate 3. Indoor Floor Drains YES NO y 0 Holding tank: MDC O Catch basin/Dry well 0 On-site system 4. Outdoor Surface drains:YES VNO ORDERS: O Holding tank:MDC f Catch basin/Dry well 0 On-site system 5.Waste Transporter Name of Hauler Destination Waste Product Licensed? YES NO 1. 2. erson(s) Interviewed Inspector Date y PROV. LACQUER CAPE 135 BARNSTABLE ROAD HYANNIS, MASS. 02601 M A T E R I A L S A F E T Y D A T A S H E E T Manufacturer: Date: 01-01-90 Synthetic Labs, Inc. Ref. No. : MSDS 6382 Victory Lane Emergency Phone: 508-957-2919 Dracut, MA 01826 Preparer: David P. Miller *** SECTION I - PRODUCT IDENTIFICATION ******************** Trade Name: WHITE WALL TIRE CLEANER Chemical name / synonyms: Alkaline water base detergent Formula: Mixture *** SECTION II - HAZARDOUS INGREDIENTS ******************** substance $ composition TLV Diproplylene Glycol Methyl Ether 2 100 ppm CAS# 34590-94-8 Sodium Hydroxide CAS# 1310-73-2 4 2mg/m3 *** SECTION III - PHYSICAL DATA *************************** Boiling Pt (F) : 212 Specific Gravity: 1. 06 Vapor Pressure(mm Hg) : NA Percent Volatile: 2 Vapor Density (air=1) : NA Evaporation Rate (water=l) : 1 Solubility in water: complete Appearance and Odor: Characteristic odor, turquoise liquid *** SECTION IV - FIRE AND EXPLOSION HAZARD DATA *********** Flash Pt (F) : None Flammable limits in air (volt) test method: NA Upper: NA Lower: NA Extinguishing Media: As necessary for surrounding fire. Special fire fighting procedures: NA Unusual fire and explosion hazard: NA *** SECTION V - HEALTH HAZARD DATA ROUTES OF ENTRY ******** Threshold Limit Value: See Section II Acute Effects Of Overexposure: EYES- irritation, SKIN- irritation, dermatitis. INHALATION- irritation. INGESTION- nausea, dizziness, harmful if swallowed. Chronic Effects Of Overexposure: not known. Emergency And First Aid Procedures: EYES- flush with plenty of cool water for at least 15 minutes. If irritation persists, obtain medical. attention. SKIN- remove contaminated clothing and launder before reuse. . Wash skin with soap and water. INHALATION- remove person to fresh air. Administer artificial respiration if indicated. Obtain immediate medical assistance. INGESTION- Give vinegar or juice of lemon, grapefruit or oranges freely. Follow with olive oil . Do not induce vomiting. Call physician or poison center immediately. I -88-13 11: 17 SYNTHETIC LABS, INC. t page two Ref. No. : MSDS 6382 *** SECTION VI - REACTIVITY DATA ************************** Stability: stable Conditions to avoid: Avoid mixing concentrate with strong acids. Hazardous decomposition products: carbon monoxide and unidentified organic compounds may be formed during combustion. Hazardous polymerization products: Will not occur. Conditions to avoid: Mixing with strong acids. *** SECTION VII - SPILL OR LEAK PROCEDURE ***************** Steps to be taken if material is released or spilled: Large spills: Dike and contain. Place in nonleaking containers for disposal agency. Small spills: soak or mop up. Small spills may be flushed to sewer. Waste disposal method: Small quantities will evaporate readily. Large amounts should be given to licensed disposal agency. *** SECTION VIII - SPECIAL PROTECTION INFORMATION ********** Respiratory Protection: NIOSH approved respirator for alkaline solutions if product is to be sprayed. Ventilation -local exhaust: recommended -mechanical exhaust: recommended Protective gloves: rubber Eye protection: chemical goggles if contact is likely. Other protective equipment: none *** SECTION IX - SPECIAL PRECAUTIONS ********************** Precautions to be taken in handling and storage: Store above 35 F. Keep container tightly closed when not in use. Other precautions: KEEP OUT OF REACH OF CHILDREN. NA means NOT APPLICABLE on this form. The information on this Material Safety Data Sheet reflects the latest information and data that we have on hazards, properties, and handling of this product under the recommended conditions of use. Any use of this product or method of application -which is not described on the label or in the Product Data Sheet is the responsibility of the user. This Material Safety Data Sheet was prepared to comply with the OSHA Hazard Communications Regulation and Massachusetts Right to Know Law. t .-'90-08-13 11: 19 SYNTHETIC LABS, INC. PROV. LACQUER CAP ; 135 BARNSTABLE ROAD HYANNIS, MASS. 02601 M A T E R I A L S A F E T Y D A T A S H E E T Manufacturer: Date: 01-01-90 Synthetic Labs, Inc. Ref. No. : MSDS 6384 Victory Lane Emergency Phone: 508-957-2919 Dracut, MA 01826 Preparers David P. Miller *** SECTION I - PRODUCT IDENTIFICATION ****************************** Trade Name: MOTOR WASH Chemical name / synonyms: Emulsifiable Mineral Spirits Formula: Mixture D.O.T. Class: Solvent N.O.S. , Combustible Liquid, NA 1993 *** SECTION II - HAZARDOUS INGREDIENTS ****************************** substance IL composition TTLV Stoddard Solvent CAS# 8052-41-3 89 100 ppm *** SECTION III - PHYSICAL OATA ************************************* Boiling Pt (F) : 313 Specific Gravity: o. 80 Vapor Pressure(mm Hg) : 16 Percent Volatile: 89 Vapor Density(air=1) : 4 . 8 Evaporation Rate Solubility in water: Emulsifies (n-Butyl Acetate=l) : 0. 1 Appearance and Odor: Tan clear liquid with petroleum odor. *** SECTION IV - FIRE AND EXPLOSION HAZARD DATA ********************* Flash Pt (F) : 108 Flammable limits in air (volt) test method: (cc) Upper: 6.0 Lower: 0. 9 Extinguishing Media: Carbon dioxide, water foam, dry chemical . Special fire fighting, procedures: Use air supplied respiratory equipment. Unusual fire and explosion hazard: Do not mix with strong oxidants. combustible liquid. Cool exposed containers with water. *** SECTION V - HEALTH HAZARD DATA - ROUTES OF ENTRY ****************** Threshold Limit Value: See ,Section II Acute Effects Of Overexposure: EYES- liquid is minimally irritating. High Vapor concentrations may cause irritation. SKIN- liquid is slightly irritating. Prolonged or repeated contact can result in defatting and drying which may result in irritation and dermatitis. INHALATION- vapors may be irritating to the nose, throat and respiratory tract. High vapor concentrations may cause depression. INGESTION- ingestion of these products may result in vomiting; aspiration (breathing) of vomitus into the lungs must be avoided as even small quantities may result in aspiration pneumonitus. Chronic Signs And Symptoms-irritation as noted above. Early to moderate Central Nervous .System Depression may be evidenced by giddiness, headache, dizziness and nausea. In extreme cases, unconsciousness and death may occur. Aspiration Pneumonitis may be evidenced by coughing, labored breathing and cyanosis (blush skin) . In severe cases death may occur.. Emergency And First Aid Procedures: EYES- flush under eye-shields with plenty of cool water for at least 5 minutes. If irritation persists, obtain medical attention. SKIN- remove contaminated clothing and launder before reuse. Wash skin with soap and water. INHALATION-- . :8-13 11:19 SYNTHETIC LABS, INC. page two Ref. No. : MSDS 6384 remove person to fresh air. Administer artificial respiration if indicated. Obtain immediate medical assistance. INGESTION- do not induce vomiting. Call physician or poison center immediately. If vomiting occurs spontaneously, keep head below hips to prevent aspiration of liquid into the lungs. *** SECTION VI - REACTIVITY DATA ************************************ Stability: stable Conditions to avoid: Heat, sparks, open flame and contact with strong oxidizing agents like liquid chlorine or concentrated oxygen. Hazardous decomposition products: carbon monoxide, carbon dioxide. Hazardous polymerization products: Will not occur. *** SECTION VII - SPILL OR LEAK PROCEDURE *************************** Steps to be taken if material is released or spilled: Eliminate all sources of ignition. Large spills: evacuate area. Dike and contain. Place in nonleaking containers for disposal agency. Small spills: soak or mop up. Remove to out of doors. Evaporates leaving little if any residue. Waste disposal method: Small quantities will evaporate readily. Large amounts should be given to licensed disposal agency. *** SECTION VIII - SPECIAL PROTECTION INFORMATION ******************** Respiratory Protection: None normally needed. NIOSH approved respirator if TLV in Section II will be exceeded. Use only with adequate ventilation. Ventilation -local exhaust: recommended -mechanical exhaust: recommended to keep TLV levels within those set in Section II. Protective gloves: rubber Eye protection: chemical goggles Other protective equipment: Emergency shower and eye wash. *** SECTION IX - SPECIAL PRECAUTIONS ******************************** Precautions to be taken in handling and storage: Store in a cool dry place, away from heat, spark, or open flame. Keep container tightly closed when not in use. Empty containers may retain hazardous residue. Do not cut or weld empty containers. Other precautions: KEEP OUT OF REACH OF CHILDREN. NA on this form means NOT APPLICABLE. The information on this Material Safety Data Sheet reflects the latest information and data that we have on hazards, properties, and handling of this product under the recommended conditions of use. Any use of this product or method of application which is not described in the Product Data Sheet or on the Product Label is the responsibility of the user. This Material Safety Data Sheet was prepared to comply with the OSHA Hazard Communication Regulations and Massachusetts Right to Know Law. 1 . PROV. LACQUER CAPE --� 135 BARNSTABLE ROAD HYANNIS, MASS. 02601 M A T E R I A L S A F E T Y D A T A S H E E T Manufacturer: Date: 01-01-90 Synthetic Labs, Inc. Ref. No. : MSDS 6383 Victory Lane Emergency Phone: 508-957-2919 Dracut, MA 01826 Preparer: David P. Miller *** SECTION I -- PRODUCT IDENTIFICATION ******************** Trade Name: WASH & SHINE Chemical name / synonyms: Water base detergent Formula: Mixture *** SECTION II - HAZARDOUS INGREDIENTS ******************** substance 1 .1 Composition Dipropylene Glycol Methyl Ether 2 100 ppm CAS# 34590-94-8 *** SECTION III - PHYSICAL DATA ************************** Boiling Pt (F) : 212 Specific Gravity: 1. 01 Vapor Pressure(mm Hg) : NA Percent ,Volatile: 2 Vapor Density (air=1) : NA Evaporation Rate (water=l) : 1 solubility in water: complete Appearance and Odor: Water white liquid unless dyed, faint odor unless perfumed. *** SECTION IV - FIRE AND EXPLOSION HAZARD DATA *********** Flash Pt (F) : None Flammable limits in air (volt) test method: NA Upper: NA Lower: NA Extinguishing Media: As necessary for surrounding fire. Special fire fighting procedures: NA Unusual fire and explosion hazard: NA *** SECTION V' -- HEALTH HAZARD DATA - ROUTES OF ENTRY ******** Threshold Limit Value: See Section II Acute Effects of Overexposure: EYES- irritation. SKIN- irritation, dermatitis. INHALATION- irritation. INGESTION- nausea, dizziness, harmful if swallowed. Chronic Effects Of Overexposure: not known. _ Emergency And First Aid Procedures: EYES- flush with plenty of cool water for at least 15 minutes. If irritation persists, obtain medical attention. SKIN- remove contaminated clothing and launder before reuse. Wash skin with soap and water. INHALATION- remove person to fresh air. Administer artificial respiration if indicated. Obtain immediate medical assistance. INGESTION- Give vinegar or juice of lemon, grapefruit or oranges freely. Follow with olive oil. Do not induce vomiting. Call physician or poison center immediately. f j8-13 11:18 SYNTHETIC LABS, INC. P.S page two Ref. No. : MSDS 6383 *** SECTION VI - REACTIVITY DATA ************************** Stability: stable Conditions to avoid: Avoid mixing concentrate with strong acids. Hazardous decomposition products: carbon monoxide and unidentified organic compounds may be formed during combustion. Hazardous polymerization products: Will not occur. Conditions to avoid: Mixing with strong acids. *** SECTION VII - SPILL OR LEAK PROCEDURE ***************** Steps to be taken if material is released or spilled: Large spills: Dike and contain. Place in nonleaking containers for disposal agency. Small spills: soak or mop up. Small spills may be flushed to sewer. Waste disposal method: Small quantities will evaporate readily. Large amounts should be given to licensed disposal agency. *** SECTION VIII -- SPECIAL PROTECTION INFORMATION ********** Respiratory Protection: NIOSH approved respirator for alkaline solutions if product is to be sprayed. Ventilation -local exhaust: recommended -mechanical exhaust: recommended Protective gloves: rubber Eye protection: chemical goggles if contact is likely. Other protective equipment: none *** SECTION IX - SPECIAL PRECAUTIONS ********************** Precautions to be taken in handling and storage: Store above 35 F. Keep container tightly closed when not in use. Other precautions: KEEP OUT OF REACH OF CHILDREN. NA means NOT APPLICABLE on this form. The information on this Material Safety Data Sheet reflects the latest information and data that we have on hazards, properties, and handling of this product under the recommended conditions of use. Any use of this product or method of application which is not described on the label or in the Product Data Sheet is the responsibility of the user. This Material Safety Data Sheet was prepared to comply with the OSHA Hazard Communications Regulation and Massachusetts - Right to Know Law. 135 BARNS TABLE ROAD HYANNIS, LASS. 02601 M A T E R I A L S A F E T Y D A T A S H E E T Manufacturer: Date: 01-01-90 Synthetic Labs, Inc. Ref. No. : MSDS 6385 Victory Lane Emergency Phone: 508-957-2919 Dracut, MA 01826 Preparer: David P. Miller *** SECTION I - PRODUCT IDENTIFICATION Trade Name: SC-1 CLEANER DEGREASER Chemical name / synonyms: Water base alkaline detergent Formula: Mixture *** SECTION II - HAZARDOUS INGREDIENTS ******************* substance -1 composition - T IV Dipropylene Glycol Methyl Ether 3 100 ppm CAS# 74590-94-8 *** SECTION III - PHYSICAL DATA ************************** Boiling Pt (F) : 212 Specific Gravity: 1. 02 Vapor Pressure(mm Hg) : NA Percent Volatile: 3 Vapor Density (air=1) : NA Evaporation Rate Solubility in water! complete ( water =1) : i Appearance and Odor: Characteristic odor, water white unless dyed *** SECTION IV - FIRE AND EXPLOSION HAZARD DATA ********** Flash Pt (F) : None Flammable limits in air (volt) test method: NA Upper: NA Lower; NA Extinguishing Media: As necessary for surrounding fire. -� Special fire fighting procedures: NA Unusual fire and explosion hazard: NA *** SECTION V - HEALTH HAZARD DATA - ROUTES OF ENTRY ******** Threshold Limit Value: See Section II Acute Effects Of Overexposure: EYES- irritation. SKIN- irritation, dermatitis. INHALATION- irritation. a - INGESTION- nausea, dizziness, harmful if swallowed. Chronic Effects Of Overexposure: not known. Emergency And First Aid Procedures: EYES- flush with plenty of cool water for at least 15 minutes. If irritation persists, obtain medical attention. SKIN- remove contaminated clothing and launder before reuse. Wash skin with soap and water. INHALATION- remove person to fresh air. Administer artificial respiration if indicated. Obtain immediate medical assistance. INGESTION- Give vinegar or juice of lemon, grapefruit or oranges freely. Follow with olive oil . Do not induce vomiting. Call physician or poison center immediately. .8-1.3 11:21 S`rNTHETIC LABS, INC. i i page two Ref. No. : MSDS 6385 *** SECTION VI .. REACTIVITY DATA ************************* Stability: stable Conditions to avoid: Avoid mixing concentrate with strong acids. Hazardous decomposition products: carbon monoxide and un- identified organic compounds may be formed during com- bustion. Hazardous polymerization products: Will not occur. Conditions to avoid: Mixing with strong acids. *** SECTION VII - SPILL OR LEAK PROCEDURE **************** Steps to be taken if material is released or spilled: Large spills: Dike and contain. Place in non--leaking containers for disposal agency. small spills: soak or mop up. Small spills may be flushed to sewer. Waste disposal method: Small quantities will evaporate readily. Large amounts should be given to licensed disposal agency. *** SECTION VIII - SPECIAL PROTECTION INFORMATION ********** Respiratory Protection: NIOSH approved respirator for alkaline solutions if product is to be sprayed. Ventilation -local exhaust: recommended -mechanical exhaust: recommended Protective gloves: rubber Eye protection: chemical goggles if contact is likely. Other protective equipment: none *** SECTION IX -SPECIAL PRECAUTIONS ********************** Precautions to be taken in handling and storage: Store above 35 F. Keep container tightly closed when not in use. Other precautions: KEEP OUT OF REACH OF CHILDREN. NA means NOT APPLICABLE on this form. The information on this Material Safety Data Sheet reflects the latest information and data that we have on hazards, properties, and handling of this product under the recommended conditions of use. Any use of this product or method of application which is not described on the label or in the Product Data Sheet is the responsibility of the user. i This Material Safety Data Sheet was prepared to comply with the OSHA Hazard Communications Regulation and Massachusetts Right to Know Law. +� PROV. LACQUER CAPE 135 BARNSTABLE ROAD HYANNIS, MASS. 026.1 M A T E R I A L S A F E T Y D A T A S H E E T Manufacturer: Date: 01-01-90 Synthetic Labs, Inc. Ref. No. : MSDS CD-3 Victory Lane Emergency Phone: 508-957-2919 Dracut, MA 01826 Preparer: David P. Miller *** SECTION I —PRODUCT IDENTIFICATION Trade Name: KON & SC-12 chemical name / synonyms: Water base alkaline detergent Formula: Mixture *** SECTION II - HAZARDOUS INGREDIENTS substance I compositionTIL Dipropylene Glycol Methyl Ether 2 100 ppm CAS# 34590-94-8 *** SECTION III - PHYSICAL DATA Boiling Pt (F)-: 212 Specific Gravity: 1. 02 Vapor Pressure(mm Hg) : NA Percent volatile: 2 vapor Density (air=1) : NA Evaporation Rate (water=l) : 1 Solubility in water: complete Appearance and Odor: Characteristic odor, water white unless dyed. *** SEC'S ON IV - FIRE AND EXPLOSION HAZARD DATA *********** Flash Pt `(F) : None Flammable limits in air (volt) test method: NA Upper: NA Lower: NA Extinguishing Media: As necessary for surrounding fire. Special fire fighting procedures: NA Unusual fire and explosion hazard: NA *** SECTION V - HEALTH HAZARD DATA - ROUTES OF ENTRY ******** Threshold Limit Value:. See Section II Acute Effects Of Overexposure: EYES-corrosive to eyes - may casue eye damage. SKIN-irritation, dermatitis. INHALATION- irritation. INGESTION-nausea, dizziness, harmful if swallowed. Chronic Effects Of Overexposure: not known. Emergency And First Aid Procedures: EYES-flush with plenty of cool water for at least 15 minutes. If irritation persists, obtain medical attention. SKIN-remove contaminated clothing and launder before reuse. Wash skin with soap and water. INHALATION-remove person to fresh air. Administer artificial respiration if indicated. Obtain immediate medical assistance. INGESTION-give vinegar or juice of lemon, grapefruit or oranges freely. Follow with olive oil. Do not induce vomiting. Call physician or poison center immediately. r 90-08-13 11:22 SYNTHETIC LABS, INC:. i page two Ref. No. : MSDS CD-3 *** SECTION VI - REACTIVITY DATA ************************** Stability: stable Conditions to avoid: Avoid mixing concentrate with strong acids. Hazardous decomposition products: carbon monoxide and unidentified organic compounds may be formed during combustion. Hazardous polymerization products: Will not occur. Conditions to avoid: Mixing with strong acids. *** SECTION VII - SPILL OR LEAK PROCEDURE ***************** Steps to be taken if material is released or spilled: Large spills: Dike and contain. Place in nonleaking containers for disposal agency. Small spills: soak or mop up. Small spills may be flushed to sewer. Waste disposal method: Small quantities will evaporate readily. Large amounts should be given to licensed disposal agency. *** SECTION VIII - SPECIAL PROTECTION INFORMATION ********** Respiratory Protection: NIOSH approved respirator for alkaline solutions if product is to be sprayed. Ventilation -local exhaust: recommended -mechanical exhaust: recommended Protective gloves: rubber Eye protection: chemical goggles if contact is likely. Other protective equipment: none *** SECTION IX - SPECIAL PRECAUTIONS ********************** Precautions to be taken in handling and storage: Store above 35 F. Keep container tightly closed when not in use. i Other precautions: KEEP OUT OF REACH OF CHILDREN. NA means NOT APPLICABLE on this form. The information on this Material Safety Data Sheet reflects the latest information and data that we have on hazards, properties, and handling of this product under the recommended conditions of use. Any use of this product or method of application which is not described on the label or in the Product Data Sheet is the responsibility of the user. This Material Safety Data Sheet was prepared to comply with the OSHA Hazard Communications Regulation and Massachusetts Right to Know Law. n Free Delivery 17-n1-2391 r �S MATERIALS,REGISTRATION FORM n 4 Mail To: /Ds0U1cl!EnaE Yaa9uEa &#F-j e-4, i. "A� Board of Health Auto Paint&Body Shop Supplies Al Town of Barnstable 135 Barnstable Road P.O. Box 534 Hyannis,Mass.02601 �� ` , Hyannis, MA 02601 ►NTHONY G.RUGGIERI Does your firm store any of the toxic or hazardous materials listed below, either for sale n r fo dr your own use, in qua (ties totalling, at any time, more than 50�allons liquid volume Or 25. aou weight? YES t/NO ry ; _ 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 s`�/h ADDRESS: TELEPHONE: S 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 ' - Please put a check beside each product that you store: Antifreeze (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, Jet fuel 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 C Lye or caustic soda Car wash detergents Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Other chlorinated hydrocarbons, Paint & varnish removers, deglossers 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 .. i, WN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH O 3.Auto Body Shops unsatisfactory- 4.Manufacturers (see"Orders") 5.Retail Stores COMPANY 13-am dfy.,-4, 14eGy✓-7- A C 6.Fuel Suppliers ADDRESS l /9 *9�v-s���Zr�G lass; 7.Miscellaneous 7 /•"��}/ 1y/'/V;-"`4UANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MATERIALS Case lots Dr"ms Above Tanks Vpdergroun4TaP4S'_ IN OUT IN OUT IN OUT #&gallons 1 Age 1Test Fuels: Gasoline Jet Fuel(A) Diesel, Kerosene, #2(13) Heavy Oils: waste motor oil(C) new motor oil(C) transmission/hydraulic Synthetic Organic de easers j1AI .! e Miscellaneous: L: 4 9; GCS or 42 �s L� eTvi 2rao. pa,�J4 DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply Town Sewer ublic b On-site OPrivate 3. Indoor Floor Drains YES NO O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES I f No ORDERS: O Holding tank:MDC ,°Catch basin/Dry well / GO On-site system 5. Waste Transporter Product. YES NO 2. Date erson(s) Interviewed Inspector TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS: i ~ z A 4 C 9LM Board of Health MAILING ADDRESS: / S- Town of Barnstable TELEPHONE NUMBER: S 3 7-7 t 3 1 / P.O. Box 534 CONTACT PERSON: 6-1,a4 Hyannis, MA 02601 if 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 V 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: 3y"A 1 TELEPHONE: S / 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 i Please put a check beside each product that you store: Antifreeze (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, Jet fuel 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, varnishes, stains, dyes 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) l Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH 0 satisfactory g. Body Shops O unsatisfactory- 4.Manufacturers COMPANY Q (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS `- Class: 7.Miscellaneous ,�ANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIAL Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: ' degreasers ,��� s� Miscellaneous: 0" io n SC � DISPOSAL/RECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply '�`' Town Sewer Public O On-site OPrivate 3. Indoor Floor Drains YES NO L O Holding tank: MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES VNO ORDERS: O Holding tank:MDC 'OCatch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product /� YES NO 1. 2. rs (s I to erviewed Inspector Date TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF FIRM: ��/1�/�( ,LAU de-re e- MAILING ADDRESS: TELEPHONE NUMBER: Y CONTACT PERSON: Doesyour firm store any of.--the--toxic o.r. hazardous-material-s_ 1.1-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)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 Diesel fuel, Kerosene, #2 heating oil (creosote) Other petroleum products: grease, Swimming Pool chlorine lubricants 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 Other products not listed (including bleach) which you feel may be Spot removers & cleaning fluids toxic or hazardous (please (dry cleaners) RECEIVED list)': Other cleaning solvents HEALTH DEPT. Bug and tar removers TOWN OF BARNSTABLE Household cleansers, oven cleaners Drain cleaners Toilet cleaners Cesspool cleaners 8 1981 Disinfectants MAY 1 Road Salt (Halite) Number Fee 1218 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Toby Leary Fine Woodworking 135 Barnstable Road,Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 -499 gallons of Hazardous Materials. --------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2020 unless sooner suspended or revoked. PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI, M.D. 07/01/2019 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health 6� 5; Town of Barnstable Inspectional Services BARNSTABLE J`j STC.f:F•srF4":.1'_.CCWUl HvpN-1 STCNS SSt:3<Ci'Eci^LL:•R.l 3la'is.fi:E Public Health Division -���< BARNSTABLE. Thomas McKean, Director 4 1659- p`0 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 } tl APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE co HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS DULY 1 st—JUNE 3 Oth). APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00 El CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 zvs�h y,;�o S CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ 0 *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 3,2 _ a�`1'-(� aV �G n e� &9 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:-C6 5. NAME OF ESTABLISHMENT:�p �'I � 6. ADDRESS OF ESTABLISHMENT: eax S q�a� r Y\-�s 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 5� � 1• 1� 9. EMAIL ADDRESS: l� �'��"� • C�JV�/� 10. SOLEOWNER: V YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATI AME PRESIDENT Ob—A 01601l TREASURER O -1 \'L CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE I q I Q:\Application Forms\Haz Mat App Revised 09-10-18.docx Number Fee 1218 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Toby Leary Fine Woodworking 135 Barnstable Road, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. ----------------------------------------------------------------------------------------------------- ------------------------------------------------------------ This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2019 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF, D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2018 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health Vowr� of Unstable egu atory ervices Richard V. Scali,Director ' Public Health Division BAMSTABLEI BAM �� LE.A Thomas McKean, 1639-1639-Director ""�° ""� °E'W��""5tpW KAS& 0 2014 iOrEc ,�A�0 200 Main Street, Hyannis,MA 02601Sl7g p ha} Office: 508-862-4644 Fax: 508-790-63'04 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE C> HAZARDOUS MATERIALS tj bi IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTERNM8, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st-JUNE 30th). APPLICATION FEES CATEGORY I PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 x V'S CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by JuIY 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? V YES_NO. IF YES, SHIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? V YES NO. 4. FULL NAME OF APPLICANT: Woo eu© f �w!� 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: "baMNck� q_Vxny\\_1S 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 50 9. EMAIL ADDRESS: I t)p �0 V A [e_a - �A coyy,_ 10. SOLEOWNER: \/ YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS AND TELEPHONE#OF: h CORPORATION NAME W. , ksb. Q&Q002-A PRESIDENT a '0 TREASURER'% CLERK—" 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE Q:\Application FormsUiAZMAT APP 2017 REVISE . ocx TOWN OF BARNSTABLE BOARD OF HEALTH CONTROL OF TOXIC AND HAZARDOUS MATERIALS - INSPECTION SHEET FIRM r ADDRESS :: Major types of materials: 1) 2) 3) 4) 5) 6) I. Description of material(s) use: II. Storage (denote product by number-listed above). A. Containers meAti*al g ss paper plastic cAl. ans,bottles,jars j t / /or-7&` drums,barrelsl aboveground tanks underground tanks bags,boxes I open,loose,uncovered inadequate labelling B. Storage Facility ✓or # Remarks/Recommendations 1. Indoor - - a) separate, contained room b) stored in general work area i) inadequate ventilation ii) floor drains iii) inadequate fire protection 2. Outdoor a) uncovered, exposed to weather b) pervious surface/catch basins III. Disposal i A. Reclamation/Recycling unit i B. On-site disposal 1. Town. sewer 3 2. Regular septic system 3. Separate holding tank C. Off-site disposal , 1: hauled by own firm 2. hired hauler aJ- name of haul er- b) 'address or disposal site t a ii ' z! Person .(s) Interviewed — — — _ — — — — Inspect r � Date L\' - " TOWN OF BARNSTABLE BAR-w 4798 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager VIAL/ C Art r Address of Offender MV/MB Reg.# Village/State/Zip ..a -a 1-7 Business Name .Pry �v ; 'ov t �/pm, on � �Z '' 20 Business Address 1"� S� FYYI '}�ilJl-� Y �'` ' /�% r• . t,3 Signature of—Enforcing Officer Village/State/Zip fl\p-Avty(' %Y1 t~2 Location of Offense 4 `�• �v� > f f Enforcing Dept/Division Offense Vlb� `� `c'+t r� t7j-� . �I���(r� j u;<4L. C/ I/ elf It,f / NYC /1kf4S y Facts � '� f/L''r,»a �'Y}t1� �+t. s� 1cuT 4- �A i1 (� f ►1 ' - � � Vj`� d toll, 1pj This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. TOWN OF BARNSTABLE BAR-w 1,1793 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager Address of Offender MV/MB Reg.# Village/State/Zip Business Name t ` - am/pm, on 1 '` 20 ! Business Address �,.� :" t r t .;! "t ,r, ' _ •+�F ,'/r F Signature of Enforcing Officer Village/State/Zip Location of Offense Enforcing Dept/Division Offenses Facts This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING.OFFICER ""GOLD-ENFORCING DEPT.