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Home My WebLink About0239 BARNSTABLE ROAD - HAZMAT a-313�-Av-i +�n�s 7 "Ic m� . 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 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 06/30/2016 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/2015 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health Sl CO c 6 ! Town of Barnstable %' ; "• ' Barnstable �INEri regulatory Services Department i ericaC i • Public Health Division O � EARNSfAHLE. 9 `""3 i639. 200 Main Street, Hyannis MA 02601 `� a FaA 2007 Office: 508-862-4644 7 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO d Application Fee: $100.00 ifH �3 ASSESSORS MAP AND PARCEL NO. (0,;Z 911 DATE f APPLICATION FOR PERMIT TO STORE AND/QR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT y D IJ d1r ADDRESS OF ESTABLISHMENT o�� `� ✓ls;fL�'� • TELEPHONE NUMBER SOLE OWNER: YES if'NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. � �j � � STATE OF INCORPORATION S'A-r',L 13.S'e, FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER �W, CLERK vv � SIGNA M O APP CANT • RESTRICTIONS: HOME ADDRESS , HOME TELEPHONE # - JAinspection handouts\Haz Mat Application2008.DOC Number Fee 1152 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that CARPETS OF CAPE COD 239 BARNSTABLE ROAD, HYANNIS, HA Is Hereby Granted a License For: Storing or Handling 111 -499 gallons of Hazardous Materials. ----------------------------- -------------- ------- ------------------------------------------ ------------------------ -------------- ------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2020 unless sooner suspended or revoked. ------------------- - ------ ------ PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2019 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health r t t r Town of Barnstable Office:508-862-4644 1. Fax: 508-790-6304 Regulatory Services Department • ansitv [n ::� Public Health Division MAS& Thomas A.McKean,CHO ` 200 Main Street, Hyannis, MA 02601 Payment Receipt Hazardous Materials Payment received: $125.00 (Check) on 6/25/2019 Permit number:f2019-2020 U Check number: 12269 Check amount: $125.00 Name on check: Cote Crothers Flooring Contractors Inc. Business: Carpets of Cape Cod Owner: BETA HOLDING CORP Address: 235 BARNSTABLE ROAD, Hyannis Note: "239 Barnstable Road, Hyannis" Category II Permit ......- ............. _ _._. • `pf f►�TDrY,i, Town of Barnstable Office:508-862-4644 Public Health Division Fax:508a90-6304 a""MASS. 200 Main Street• Hyannis, MA 02601 �pIEDMP�e�O TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT • Business Name: CO Date: Location/Mailing Address: q c Contact Name/Phone: TA 77S - 42�,6 Inventory Total Amount: SDS: License#: Tier II : Labeling: Spill Plan: Oil/Water Separator: _ Floor Drains: L' 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 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, deglossersrW 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: arw i Inspector: r. Facility Representativ WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS Number Fee 1152 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that CARPETS OF CAPE COD .-------------------------------------------------------------------------------------------------------------------------------- 239 Barnstable Road, HYANNIS, MA ....-------------------------------------------------------------------------------------------------------------------------------------------------------------------- Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. ------------- ------------------------------------------------------------------------------------------------------------------------------------------------------ Restrictions: -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and expires 06/30/2021 unless sooner suspended or revoked. ---------------------------------------- JOHN NORMAN DONALD A.GUADAGNOLI,M.D. 07/01/2020 PAUL J.CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health i Town of Barnstable Inspectional Services BAMSTABLE • „�'� ''�, Public Health Division .sTKp ]E]9-)01a BAMEMAB IX ' Thomas McKean,Director MAWL 0ie019.e 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 lst—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 0 pot Gh V� CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ 1 V3 5 S I *A late charge of$10.00 will be assessed if payment is not received by JOY 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL?_X._YES _NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONINGBUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: Michael D Cote 5. NAME OF ESTABLISHMENT: Cote Brothers Flooring Contractors, Inc dba Carpets of Cape Cod 6. ADDRESS OF ESTABLISHMENT: 239 Barnstable Road, Hyannis, MA 02601 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 508-775-4266 9. EMAIL ADDRESS: billing@carpetsofcapecod.com 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: Joseph E. Cote 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME Cote Brothers Flooring Contractors, Inn dhn Ca rpptc of Cape Cnr1 PRESIDENT Joseph F Cote TREASURER Michael D Cnte CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICAN DATE QAApplication Forms\Haz Mat App Revised 09-10-I8.docx Number Fee 1152 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that CARPETS OF CAPE COD 239 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 Lf Vowegiaatoryof rnstable ��- K Services Richard V. Scali,Director Public Health Division BARNSTABLE • i fA=NSTtn.F.. s PUhSf015M•OS 9-2014 •5 TAME ria �. Thomas McKean,Director �,9_Zo„ r.�� 16;q- .._-._.. ._.. -- - _ _ ... .. --._—..2M.._-- --- - -- - - -- --�' - . 2001VIain Scree- H-at]nts MA D2Ci01____ ._.__....-_-.. _..__. ��. �r Office: 508-862-4644 Fax: 508-790-63041 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS '} a IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, r0' HAZARDOUS MATERIALS,ALL BUSINESSES.THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 3 0th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ if ATF,Gi IRY 2- FTi'RMTT 111 —499 Gradlims: ")5.00 RV'S CATEGORY 3 F'Eic HT ) 0-or m6rC GallailS: $ 50.00 *A late charge of$10.00 will be assessed if payment is not received by July 1st. S 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? X 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)? YES NO. 4. FULL NAME OF APPLICANT: Joseph E Cote 5. NAME OF ESTABLISHMENT: Cote Brothers Flooring Contractors, Inc. DBA Carpets of Cape Cod 6. ADDRESS OF ESTABLISHMENT: 239 Barnstable Road, Hyannis, MA 02601 :• 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 5087775-4266 9. EMALI.ADDRESS: joec@carpetsofcapecod.com 10. SOLEOWNER: YES X NO IF NO,NAME OF PARTNER: Michael Cote 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME Cote Brothers Flooring Contractors, Inc. PRESIDENT Joseph E. Cote TREASURER Joseph E. Cote CLERK Michael D. Cote 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS -EMAIL: SIGNATURE OF APPLI Q: ATE �Application Fonns\HAZMAT APP 2017 VISED. ;1_ • W3.. A) 0 Number Fee 1152 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that CARPETS OF CAPE COD 239 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 06/30/2018 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 I -A r Tr -n 'TRovvn�of Barnstable eg atory ervices Richard V. Scah,Director of t�rqy, Public Health Division BABSTABLE BPAk ,-Zt-aNrfANLLE•CO1Ufi•NYetiI:15 BARN3TABLE, • wirs :s U.en: Thomas McKeananue=narea^n;reo;t ,Director 1639-2014 FUl ,� 200 Main Street, Hyannis,MA 02601 ��Ig Office: 508-862-4644 � Fax: 508-790-6304 -� X APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE �ry HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108," HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS DULY 1st—JUNE 30th). APPLICATION FEES CATEGORY i PERMIT 26— 110 Gallons: $ 50.00 ❑. CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 .� vs. CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? YES_NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: cp�� G�csB '�oo.2-c✓1� �o✓►��"Rc�c✓BtiS��',1,c� 5. NAME OF ESTABLISHMENT: JAA tMQ j--r OF pe— COD 6. ADDRESS OF ESTABLISHMENT: 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE,NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: 10. SOLEOWNER: YES /, IF NO,NAME OF PARTNER: l z(p 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: _ CORPORATIO NAME 0 ble � �6 d2C, PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPL DATE 00, �Application FormsWAZMAT APP Q: 017 RE OFTFIE Tp� * BARNSTABLE, 9 MASS. g 1639. �0 Town of Barnstable Inspectional Services Public Health Division Thomas McKean,Director 200 Main Street Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Carpets of Cape Cod 2-27-20 Mike, This is the letter I told you I would get off to you ASAP. A few things that need to be done at the store: 1. SDS sheets for all products in store must be made available le to employees if needed. Usually people put these in a binder so marked.These sheets can be downloaded on line, but it is easier to contact your supplier and they will send them to you for free. 2. Spill Plan and Contingency plan has to be posted near storage of products.Again samples of these are on-line. 3. You should have a small spill kit with absorbent pads available just in case of a spill. 4. You currently have a valid license for 111-499 gallons that expires in June 2020. 5. Make sure that your business license is valid thru clerk's office and have both haz-mat and business license ,posted. Business license are good for 4 years haz-mat is good for 1 year If I can help in any way, please contact me directly. PLEASE HAVE THESE PROBLEMS RECTIFIED ASAP. 1 WILL BE BACK THE WEEK OF MARCH 23RD 2020 C. Gus Johnson _Hazardous Waste Specialist Enclosed is my business card with contact information °FIB rokti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 RaRMASSBLE.g` 200 Main Street• Hyannis, MA 02601 �prFDMP� TOXIC AND HAZARDOUS MATERIA,LS�INSPECTION REPORT Business Name: CO- As CA- t Dater Location/Mailing Address: r�j 144 V V-V, 026C Contact Name/Phone: 22 9.2� m Inventory Total Amount>-//I su)6,5 MSDS: ON-) F.•1-e License#: y0 s Tier II : Labeling: 3K4_4 Spill Plan: Oil/WaterSeparator: /)/JA Floor Drains: IIVO Emergency Numbers: Storage Areas/Tanks:)6,43 w: � et.Q5sbAca �j_sp,�s��e .Hel '� �>��, Emergency/Containment Equipment: Waste Generator ID: _yh) Waste Product: 91/owe:7 Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, de loss s Leather dyes Miscellaneous Flammables a,,� 5+, Fertilizers Floor&furniture strippers J5 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-rslos 5�� j ��cv, i S��1 IBC;} ,(kr,�,;�� ORDERS: U P w � � acribi s INFORMATION/RECOMMENDATIONS: Inspector: l Facility Representativ WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS no 6we e-oolh °F iME fp Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-7s0-6304 BA MAT% LE. MA55 • 200 Main Street• Hyannis, MA 02601 . �!. t639. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORTS ' bo^ Business Name: 0 CO Date: Location/Mailing Address: 9 ( g�� 4/ 19 Contact Name/Phone: TA 77i- ` ), 6 Inventory Total Amount: >al iV' SIDS: a License#: Tier II : Labeling: Spill Plan: Oil/Water Separator: 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 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, deglossersMA Leather dyes Miscellaneous Flammables ig(11C 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: - i Inspector: Facility Representativ : WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS °F THE►, - Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARN STAB`E'g 200 Main Street• Hyannis, MA 02601 Fo39. '�0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: Ca- Ca Date: Location/Mailing Address: Z39 .crvmt"[�e- Ay4n ?S ., Contact Name/Phone: Inventory Total Amount: �_=3�`"�� Q�e'�� MSDS: �S �W��'�o S8j'j License#: () Z �a "2 Tier II : o �- I Labeling: Spill Plan: Oil/Water Separator:�i Floor Drains: No Emergency Numbers: " Storage Areas/Tanks: S I&I D�V5 AtAx -5 iR-c- CeV.ka 1--9-V 5 Emer enc /Containme t ui ment: _bCobnti5 Waste Generator ID: 0 1 A Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: Ayc- eTa.l ,k4p Gn(�Qc��on aA V LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid —� Other cleaning solvents&spot removers j Engine and radiator flushes Bug and tar removers iC> Hydraulic fluid (including brake fluid) y Windshield wash I- Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil ?- Disinfectants 2 T— Miscellaneous petroleum products: Road salts grease, lubricants, gear oil ti %(L Refrigerants Degreasers for engines&g rages k Pesticides: Caulk/Grout/��-4--•s UTA �i X insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries 2 p 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 t 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/RECOMMENDATI G.� cti ONS: a �lvl av-L�� 0- Inspector: P, Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS IME ro Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMASS , . • 200 Main Street• Hyannis, MA 02601 M 01 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: a� S aQ CA C.o Date: Location/Mailing Address: ;2:31 Ans*Xli— art n is Contact Name/Phone: o e-- C 0 2, 52>5--77<'-- 7.6 Inventory Total Amount: p0 qtJ MSDS: eg License#: I I S2 Tier II : 00 Labeling: f �x\ mill Plan: V -' Oil/WaterSeparator: 0 Ilk Floor Drains: 00 Emergency Numbers: OK Storage Areas/Tanks: 4-0 1Vwc a, o Emer enc /Containment E ui me t: Waste Generator ID: Waste Product: Date&Amount of Last Ship ent/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: ,,11 LIST OF TOXIC AND HAZARDOUS MATERIALS l 0 NOTE: Under the provisions of Ch. 111, Section 31, of the General Laves of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout -J-P- 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: IN ORMATION/RECOMMENDATIONS: +c> 1WcA Vq AA 0t;5V t Inspector: Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS Date: t TOWN OF BARNSTABLE 31.4II1y TOXIC AND HAZARDOUS MATERIALS �6`11M NAME OF BUSINESS: BUSINESS LOCATION: a�� 1 '�Z� I-I �,n� INVENTORY le-1 MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: 5-0F3-1-75-- A- �Lzp CONTACT PERSON: 7:10e, C'07V�e- EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: �-\00` ca ec, 'Ye,5 INFORMATION / RECOMMENDATIONS: '� �2rw�i-� c-�e v rrc i) S.,IoM, F,i�e District: Ol CO ,I�, �av�, W I <vKi a e� i Dom. t a v J tt v UL Proat"C'1Vou tti�o( 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) Gasoline, 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) p p Caulk/Grout/AXA wa.5 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) �p 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) 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 Initial I Date: TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: BUSINESS LOCATION: INVENTORY MAILING ADDRESS: IwS' - (��/ TOTAL AMOUNT: TELEPHONE NUMBER: 5'D ' S� M avo -220 CONTACT PERSON: < v4 n �-->-r— 0 <r 11 EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: 1 24 INFORMATION / RECOMMENDATIONS: o iA\k;ykoc4 Fi a District: lrjoMoA5 to hn .nn%k OLki / 5 Waste Transportation: IA 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 re uires 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 11171 Antifreeze (for gasoline or coolant systems) (D Miscellaneous Corrosive D ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts(Halite) Hydraulic fluid (including brake fluid) Refrigerants G Motor Oils Pesticides C� ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals(Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, 40 Photochemicals (Developer) lubricants, gear oil 0 ❑ 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 (5 Lye or caustic soda p Rustproofers Miscellaneous Combustible C) Car wash detergents Leather dyes Car waxes and polishes �'j 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) Spot removers&cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT I CANARY COPY-BUSINESS Applicant's Signature Staff's Initial L TOWN OF BARNSTABLE Date: TOXIC,AND.-HAZARDOUS MATERIALS REGISTRATION FORM 4 NAME OF BUSINESS: fA Oa BUSINESSIOCATION: INVENTORY MAILING ADDRESS: /�// ,;,�, �' ,� /��' s TOTAL AMOUNT- TELEPHONE NUMBER: CONTACT PERSON: -Io ccea- Cfl1 EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: INFORMATION / RECOMMENDATI.ON.S� '..�o ''c 't� { k•�nc.l 1�,� s,. Fire District: 111 G1`nV� 'So I V\- 'jai 3 PAD K4 P IA/�C �C ��G U 1 � � 5 S T I�! ��l �t' Waste Transportation: jj I A Last shipment of hazardous waste: Name of Hauler: I Destination: Waste Product: Licensed? Yes No A 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) n Miscellaneous Corrosive p ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Rcad salts (Halite) Hydraulic fluid (including brake;;fluid) Refrigerants Motor Oils Pesticides �J ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, 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) f Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries a Lye or caustic soda Rustproofers Miscellaneous Combustible ( Car wash detergents Leatnerdyes' Car waxes and polishes ] Fertilizers Asphalt& roofing tar PCB'sw - 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 l: hydrochloric acid, other acids) i 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) Spot•.removers&cleaning fluids~ d cleaners \ �-7 �ti�. Other cleaning solvents / Bug and tar removers x Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials f. i