HomeMy WebLinkAbout0235 BARNSTABLE ROAD - HAZMAT 3�®-1��1� - ��,U .�l 1 s
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Number Fee
1152 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00
Town of Barnstable
Board of Health
This is to Certify that CARPETS OF CAPE COD
235 BARNSTABLE ROAD (aka 239), HYANNIS, MA
Is Hereby Granted a License
FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS.
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This license is granted in conformity with the Statutes and ordinances relating there to, and
and expires 6/30/2015 unless sooner suspended or revoked.
----------------------------------------
WAYNE MILLER,M.D.,CHAIRMAN
PAUL J.CANNIFF, D.M.D.
6/30/2014 JUNICHI SAWAYANAGI
THOMAS A.MCKEAN,R.S.,CHO
Director of Public Health
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d arnstabie
b�\a� Regulatory Services Dear ,— ca„
Public Health Division
9 " 1-00 Main Street, Hyamils MA 02 0 11
39.
2007
1
Office: 503-861-4644 "Thomas F.Geiler,Director
-'A2<: 503-790 6+ Thomas.k McKean,CHO
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Application Fee: $100.00
ASSESSORS NiLkP AN I3 PARCEL NO DATA:
APPLICATION FOR PFR_N- 11T TO STORE AND/OR UTILIZE
MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS
FULL NAME OF APPL.ICA INT
NAME OF ESTABLISI1Mt ENT V-Cm:���� dt
ADDRESS OF ESTABLISHMENT
TELEPHONE NUMBEIt -4°__pw r f 1
SOLE OWNER: Y-ES i,� NO
IF APPLICANT IS A PARTNERSHIP,Ft�LI,NA IF- AND HOME ADDRESS OF ALL:- ,s
PARTNERS.
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IF APPLICANT IS A CORPORATION: FEDERAL,IDENTIFICATION NO. _✓06 to r
.STATE OF LNCOr'RPORATION'_
FULL NAME AND HOME ADDRESS OF: ss _
PRESIDENT Al(( &l
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T�RE�A E SURR
EItK .,�� n r f -.�.u.° EP^li✓ `�. � \c. �.vj,�. /,-- 4 V
SIGMA _ FMY APP : CAAT -
RESTRICTIOlVS: H®IVIE ADDRESS .J a r✓"� Ct` ° is� '` 'r~ �L°-' �`J
HOME TELEPHONE #,"A
i:`.inspection'ilmdouts�Hu.R4at apolication2008.—CGC
SPILL CONTINGENCY PLAN
Emergency Coordinator., Name:
Address:
Daytime Phone:
Evening Phone: &-�773
Fire Department:
Barnstable Public Health Division: 508-862-4644
DEP224 Hour Spill Hot Line: 888-304-1 i')3
ff
Waste Hauler: Name: D c:
Phone:
Building diagram Indicating hazardous material/waste storage area, location
of absorbent scavenger materials, fire extinguishers., fire alarms (if present.),
and evacuation route (if applicable).
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67_
7
Actions to be taken to control a spill or release, and preventing it from
reaching a catch basin, sewer system or the ground.
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'77 '97
Number Fee
1152 " THE COMMONWEALTH OF MASSACHUSETTS $1oo.00
Town of Barnstable
Board of Health
This is to Certify that CARPETS OF CAPE COD
239 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.
5/6/2013 JUNICHI SAWAYANAGI
THOMAS A.MCKEAN,R.S.,CHO
Director of Public Health
I6
�1
i Town of Barnstable
Barnstable
Regulatory Services Department
�- Public Health Division
1ARNSTABM
9 "M 200 Main Street, Hyannis MA 02601
i
2007
Office: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
-,J
Application Fee: $100.00
ASSESSORS MAP AND PARCEL NO. (O 9 9 J/ DATE f'
_:b0C
APPLICATION FOR PE tIWIT TO STORE AND/OR UTILIZE
MORE THAN III GALLONS OF HAZARDOUS MATERIALS
FULL NAME OF APPLICANT j;bs
NAME OF ESTABLISHMENT —.a f .r"S 6 C— Od� ��^ . dileX.
ADDRESS OF ESTABLISHMENT � �
TELEPHONE NUMBER__ ��
SOLE OWNER: YES t/NO
IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL.
PARTNERS:
IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. vCJD ,3
STATE OF INCORPORATION A&5j,/• aL 1 is koniz
FULL NAME AND HOME ADDRESS OF:
PRESIDENT - 'Gd
TREASURER ��� ,� -
CLERK `,
SIGNA O APPLTCANT
RESTRICTIONS: HOME ADDRESS L t►
' e
HOME TELEPHONE#
JAinspection handouts\Haz Mat Application2008.DOC
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SPILL CONTINGENCY PLAN
Emergency Coordinator, Naive:
Address:
A`
DaytimePrOne:
.._ ✓��
�� a
Evening Phone: �o P 77
Fire Department: j 6^�
3arnstable Public Health Division: 508-862-4644
DEP 24 Hour Spill Hot Line: 888-304-1133
Waste Hauler: Name:
Phone: 3-6 �' 7L�
Building diagram indicating hazardous material/waste storage area, location
of absorbent scavenger materials, fire extinguishers, fire alarms (if present),
and evacuation route (if applicable).
a
Actions to be taken to control a spill or release, and preventing it from
reaching a catch basin, sewer system or the ground.
' a
77