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Home My WebLink About0624 IYANNOUGH ROAD/RTE132 - HAZMAT ��h�� 3 !!_�f3 _ - ------ Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 (: BARMASS. • 200 Main Street• Hyannis, MA 02601 prFOMP'�p`�� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT ,Business Name: cld6r 1 4 Date: OVAU22. Location/Mailing Address: ou Contact Name/Phone: b� Inventory Total Amount: �� MSDS: ®n1i►�•�PO11 Up 4S teQ License#: Iay'{ Tier II : �� Labelin : LAM Spill Plan: Oil/WaterSeparator: Floor Drains: /V _ Emerclency Numbers: Storage Areas/Tanks: Y'n 6 tt 0 e° Tdw Emergency/Containment Equipment: Dr Waste Generator ID: Waste Product: mMlanPG�lS 1.�raSle Plv�`S' Date&Amount of Last Shipment/Frequency: I — Licensed Waste Hauler&Destination: 1 Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS 00 Q Laws nNOTE: Under the provisions of Ch. 111, Section 31, of the Gerldral 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, 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: Inspector: Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS IKE*ok� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMASSBLE,9" 200 Main Street• Hyannis, MA 02601 ,b,q 14 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT CEO MA'S Business Name: 0"6r Date:OltZa Location/Mailing Address: T Contact Name/Phone: Inventory Total Amount: MSDS: License#: la®� Tier II : AfQ Labelina: iAet Spill Plan: Oil/WaterSeparator: Floor rai s: Emergency Numbers: nj � Storage Areas/Tanks: Emer enc /Containment ui ment: Waste Generator ID: MR Doo- Waste Product: Date&Amount of Last Shi ment/Fre uenc : nuly unki Licensed Waste Hauler&Destination:, e, 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�qd disposal of 111 gallons or more requires a license from the Public Health Division. V 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 Y Motor oils ,/ Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners iesel fuel, kerosene, #2 heating oil Disinfectants iscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: aulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) � Car wash detergents Printing ink `V Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes oEye or caustic soda cquer thinners Miscellaneous Combustible aint&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: T Inspector: Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS Number Fee 1204 THE COMMONWEALTH OF MASSACHUSETTS $5o.00 Town of Barnstable Board of Health This is to Certify that Harbor Freight Tools USA, INC. 624 Iyannough Road, Hyannis, MA ...--------------------------------------------------------------------------------------------------------------------------------------------------------------------- Is Hereby Granted a License For: Storing or Handling 26 - 110 gallons of Hazardous Materials. ------------- ------------------------------------------------------------------------------------------------------------------------------------------------------ Restrictions: .------------------------------------------------------------------------------------------------------------------------------------------------------------------. This license is granted in conformity with the Statutes and ordinances relating there to, and expires 06/30/2021 unless sooner suspended or revoked. ---------------------------------------- JOHN NORMAN DONALD A.GUADAGNOLI,M.D. 07/01/2020 PAUL J.CANNIFF, D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barftstable AAA inspectional .� cep BARN TABLE pFZHF Pn..�'. .e v , Hips"*"aaiu,I�� eAvur%ie.E Public .Health DIVISIOn. + SAItNST'ABL$� '� b1 ., '> Thomas McKean, r3'irector w, 200 Main Street,Hyannis,MA. .0260.1 l,a Office: 508-862 4644 Fax: 508J90-6304 5 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE a HAZARDOUS MATERIALS � IN ACCORDANCE WITH THE TOWN DF BARNSTABLE GENERAL ORDINANCE,CHAPTER I;0$, HAZARDOUS MATERIALS,ALL BUSINESSES THAT"HANDLE OR:STORE HAZARDOIIs,MATERIALS GREATER THAN_HOUSEHOLD=QUANTITIES ARE REQUIRED TO OBTAIN:AN ANNUAL PERMIT(RUNS 7ULY l st—'DUNE 3 Ot4l APPLICATION FEES CATEGORY 1'PERMIT 26=11O Gallons: $5 .,GO . V CATEGORY 2 PERMIT 1;11 —499 Gall'0ns: " 125.00 El CATEGORY 3 PERMIT 500 or more Gallons: $150.00 El *A Tate charge of$10 00 will be assessed if Payment is not received by.Jul�y 10. 1 , ASSESS0iVS MAP AND PARCELAO. 311013 / 311012 2. IS,THI SA.PERMIT:RENEWAL? X YES NO. IF YES;SKIP QUESTION 3, S. FOR ALL NEW PERMIT APPLICATIONS,IN- ICATE WHETHER BUSINESS HAS: ZONING/BUILDING APPROVAL FOR M HAZARDOUS ATERIALS ST.ORAGE/I7SE OF GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? YES: NQ: 4. FULL NAME OF APPLICANT; .Harbor Freight Tools USA, Inc. 5. NAME OFESTABLISIEVIENT: Harbor Freight Tools Store 6. :ADDRESS OF ESTABLISHMENT. 624 lyannough Rd. Hyannis,.MA 02601 Attn: Legal Compliance HIDE, 26541 Agoura Rd. 7. 1MAILING ADDRESS;;(IF DIFFERENT FROM ABOVE Calabasas, CA 91302-2093 8. TELEPHONE NUMBER OF ESTABLISHMENT; 508-775-3104 9, EMAIL ADDRESS: legal@harborfreight.com 10. SOLEOWNER: X "YES NO'IF NO NAME OF PARTNER: 11. FULL NAME,HOME AI IDRESS,,AND TELEPHONE#OF: CORPORATION NAME Harbor Freight Tools USA, Inc Attn: Legal Compliance HIDE CEO Eric Smidt 26541 Agoura Rd. XXXXX Calabasas, CA 91302-2093 Secretary Iharc Friedman - -500 12. 1F PREPARED BY OUTSIDE PARTY:; NAME:• TELEPHONE#- COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT' Z�'.6wr4 DATE 6-23-2020 Q 1Applicaf on,F6rms\Haz Mat'App'Revised 69-16-18:docx BarnsdWroperty MaPg • Pagof T w ' : F m Parcel DetaiIS, Y 1 Location a `•ti , ( # 4 : Parcel': 3I1013 , Address 624IYANN6U.GM # 2 `' � �_ a Y = ROAD/RTE132 - Village: H'( ti q Acreage: 2.48' `` : .._... ' th Full Property Info ; z e .g CC Property Photo ^ ?^ 3 6f r s c Owner&Mailing Address E S 4.l^ Owner;` MDIvIIHYA_NNIS' ``B.' E r x ' PROPERTY LLC f fS ! <t a r. . e C/O KELLER. E � l 4: x COMPANY INC #707 ROAD Mail Address: 1436 IYANNOUGFI;. �' t R: t _ 4E r HYANNIS Q Ali 7 MA 02601 . Basemap Parcel... Parcel:., 200fi$Hare „ Layers ; ......... .............................................. ..............,. _.. httpsi//gis town.of arnstable us/H.tml5Viewer/Index htinl?viewer=propertymaps&run=F ridParcel&propertyID=311013&mapparb... b/6/2019 Number Fee 1204 THE COMMONWEALTH OF MASSACHUSETTS $50.00 Town of Barnstable Board of Health This is to Certify that Harbor Freight Tools USA, INC. 640 Iyannough 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 06/30/2020 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 x • `�r r• Town of Barnstable 1 PHI F Inspectional Services BARNSTABLE Of Public Health Division '"p "� waSlClS LrS.rtSReALLE•5S13I4YA+i:E ISO 1u19-701 �4, BARNSI'ABr.E. ' Thomas McKean, Director orEo�,v A 200 Main Street,Hyannis,MA 02601 ; Office: 508-862 4644 Fax: 508-790-6304 " CP 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—JUNE30th). APPLICATION FEES CATEGORY 1 PERMIT 26.; 110 Gallons: $ 50.00 X vc-r CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ Pd CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late ehariee of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 3) 013 / 31101 2. IS THIS A PERMIT RENEWAL? X 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: HARBOR FREIGHT TOOLS USA 5. NAME OF ESTABLISHMENT: HARBOR FREIGHT TOOLS, STORE 6. ADDRESS OF ESTABLISHMENT: 624 IYANNOUGH RD., HYANNIS, MA 02601 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 26541 AGOURA RD, CALABASAS, CA 91301 S. TELEPHONE NUMBER OF ESTABLISHMENT: 508-775-3104 9. EMAIL ADDRESS: RIWANICKI@HARBORFREIGHT.COM 10. SOLEOWNER: X YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME HARBOR FREIGHT TOOLS, USA PREP CF-o — ee« 5M% + as ornn i4nce � CFo — -j,v,omcaS #<elc ko 265'f o ultq IQ `.LED..:. Specvze+ct?,!.j - Ha+-c TiapacimzLn CA14 tit S CA 11302 0.13 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE 0: COMPANY ADDRESS EMAIL: • SIGNATURE OF APPLICAN � DATE 6/5/2019 QA1Application FormsViaz Mat App Revised 09- - 8.docx Barns Properly Maps Pao,of I 01 P s t e r u t% BAI ��- #�30 Parcel Details _ L-1a11 wl To s Location - t # Parcel: 311013 � �� /• Address: 624 IYANNOUGH #7 2 ��: —» `.�_— r ,'i f'l s ROAD/RTE132 x ---_ 686 Village: HY Acreage: 2.48 Full Property Info 61 EZZ 71 Property Photo ` f Owner& Mailing Address Owner: MDM/HYANNIS ..f{st`i PROPERTY LLC C/O KELLER COMPANY INC a l r #a0 � ° ` Mail Address: 1436IYANNOUGHI #;62I ti ROAD It all � s 1� r l►,' .�. HYANNIS i' ...I r f#,5 5,MA L 02601 I ' Basemap Home + Layers Parcel..: Parcel... µ 200ft https://gis.townofbarnstable.us/Html5 V iewer/Index.html?viewer=propertymaps&run=FindParcel&propertyID=311013&mapparb... 6/6/2019 Town of Barnstable Inspectional Services sw�srast.s. Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 May 10, 2019 NOTICE HAZARDOUS MATERIALS RENEWALS All businesses that handle and/or store hazardous materials greater than household quantities are required to obtain an annual permit with the Public Health Division. Your current permit to store and/or utilize hazardous materials will expire on June 30, 2019. The fees are outlined below based on Category. A $10 late fee will be assessed if payment is received after July lst. 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 If you have any questions or concerns, please contact Public Health Division at 508-862-4644. Thank you. Sincerely, r P D twanick anne i �ascKean, R.S., CHO Agent of the Board of Health QAHazmatWotice Letter for Renewals 2019-2020.docx Number Fee 1204 THE COMMONWEALTH OF MASSACHUSETTS $50.00 Town of Barnstable Board of Health This is to Certify that Harbor Freight Tools USA, INC. 640Iyannough Road, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 26 - 110 gallons of Hazardous Materials. ------------------------------------------------------------ ------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------- --------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2019 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2018 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health t a ' ern ce.s. Richard V Scali,Director I ®� Public e'gl i BARN 'T I E _ eaarvs'aeie.cerrt[nvni�e0turcnvarc:ais: �: + SnRNSFA$FE, ! T'ho:rnag McKean Director wumurns•es,eavv•xae rsret.: NlA9&: 7 '1639-2014 2Q0;1vlainkStreet;Hyainnis,lVIA"":02�i01 a. COffice: 08 8Ci2-4644 Fax 50$790-6304; z APPLTCATION'FOR PERART TO°STORE." uman OUS I ATERLI. S IN ACCORDANCE"WITH THE TOWN OF BA RNSTABLE GENERAL ORDINANCE, CHAPTER;108 ll" HAZARDQUS IVIATERIALS, ALL BUSINESSES.IHAT HANDLE ORSTORE HA;ZARDC?US. MATERIALS GREATER THAN HOUSEHOLD QCJAN TZTIES"ARE.REQUIRED` 0 OBTAIN AN' ANNUAI;;PERMIT(RUNS.JUI,Y 1st—JC1NE APPLICATION FEES' CATEGORY I-`PERIWIIT 26 110 Gallons: CATEGORY 2='Pl✓ T 411 =499 Gallons $125 Q0 C❑ CMIGOIRY: .,PE T 5`00'or more Gallons $150.Q0 *A late eharz of$10.00 will be.assessed if pOineiit""is h6t received bjjuly I: t::. EssR�s._ AND PARCEL0. 2 p 2.. ISTHISAJE. NE 'W YES NO. IF YES.,.S �QIJESTION,3 3.. FOR ALL.NEWPE APPLIC.ATT,ONgS ICATE BUSINESS, S' DINCF,APPAbVAi,FOR OUS MATERIALS STORAGE/USE,.OI+'-. GREATER THAN HOUSEHOLD QUANTITIES(25 GA IONS)l YES- NO; 4. FULL N..` OF APPLICANT VS UL 5: WAYMOYESTABLIS l T 6 AI DRES OE t§TABIIAS NT: 7. TNG S(IF D RENT OM 0 8. "�ELEP ONE: ER-.OF ESTABLIS 1 . r i 5. EMAILADDREss. r174- 10.:SOL;EO: IE S_10'O `1VO,:l '0F PART'li: 1. T+'IIL,L N ' IOlYIE ADI)RE S,AND TET.Ek'IIOI #,OF CORPOI2A.TIOI�IN �Ci ht l06O SA Ins. PIs=lvT _ - _ TIAS R e _ouALA p CURK. t\s CA 12 IF PI2EPAIZED> '.OTSIDE PAR 411 N.: TELEPHONE t. COWAI 'ADDRESS. E SIGNAT OF Al?nZC _ ATE _V4 q..App4caiion FbrmsIHAZMAT AFP 20.17 RE docx: �r ti Number Fee 1204 THE COMMONWEALTH OF MASSACHUSETTS $so.00 Town of Barnstable Board of Health This is to Certify that Harbor Freight Tools USA, INC. 640Iyannough Road, Hyannis, MA J Is Hereby Granted a License For: Storing or Handling 26 - 110 gallons of Hazardous Materials. AZ ---------------------------------------------------- -------------------------------------------------------------------------------- ------------------- ---- 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 w1� of Unstable Co & C Ke Mato Services Richard V. Scali, Director ' " '� Public Health Division_ BARNSTABLE i BPVRasia s euls esieav ut� I. Ms BARNSTABLE, BARNSTABLE, Thomas McKean, Director 1639-2014 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 v/� —dole) 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: $ 50.00v. CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ :r *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 311 `' © 13 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 1Q11UANTITIES (25 GALLONS.))?� YES NO. t� 4. FULL NAME OF APPLICANT: V_$3 o 2 I SIC'. 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: y 0 Gi v\v\o G.S�\ 'R`Q TT '��\ , U� �2�01 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: SV S- — 77 S — 3 i o`f 9. EMAIL ADDRESS: 'M -(� 'f L�p c I� 2 '�— R€�G� C® ►^� 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: I 11. FULL NAME,HOME ADDRES ,AND TELEPHONE#OF: CORPORATION NAME ft p R©y C PRESIDENT 4�_V_ x C S M \ �� TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICAN DATE/ 3 /0-01 7 Q:\Applicabon Forms\HAZMAT APP 2017 REVISED.docx i fy Number Fee 1204 THE COMMONWEALTH OF MASSACHUSETTS $so.00 s P Town of Barnstable s S Board of Health This is to Certify that Harbor Freight Tools USA, INC. 640Iyannough 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 06/30/2017 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 • �tHWE� Regulatory Services ti Richard V. Scali, Director ` °"'MAE& Public Health Division WNSTABLE P 059 ,�V BRRNSTMLC YMST0.6 i.liS•OSRMLE VIUEMWn WST•BA(UISPBtf I T ° Thomas McKean, Director 16.3 2 200 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 DULY 1 st-JUNE 3 Oth). 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. ASSESSORS MAP AND PARCEL NO. I m 013 DATE �l I-)-h90 FULL NAME OF APPLICANT: ��,(j�'l` rL IGr 6'� c�1�5 U. S A NAME OF ESTABLISHMENT: Dyl-` QZ. G�`k r--T^CJ o k 5 ADDRESS OF ESTABLISHMENT: '1�1(A "OUSjkl?-D ' kj&VtMl% MAILING ADDRESS(IF DIFFERENT): S AIM IL TELEPHONE NUMBER OF ESTABLISHMENT: ,% _-17! -- 31 64 EMAIL ADDRESS: Iyl W?--WPT LA 0C1 (--') AF t VL lG`t C'd SOLE OWNER: ✓ YES NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: A6�vul4� li"A-vo CORPORATION NAME h �'(1- I Gf �T �yQ�� [ 1v1�'• C'AL1 K K A& , C A C1130�- PRESIDENT !!C!tLk C Vti 1 Qa TREASURER CLERK • IF PREPARED BY OUTSIDE PARTY: S ANT Name: Company Address Telephone#: Email: Q\Application Forms\HAZZAPP Revl6.docx Page 1 of 2 04 Town of Barnstable Office: 508-862-4644 }, Fax: 508-790-6304 • s � Regulatory Services Department HA Public Health Division Thomas A.McKean,CHO 200 Main Street, Hyannis, MA 02601 Payment Receipt 'Hazardous Materials Payment received: $50.00 (Cash) on 6/6/2016 Permit number: 1204 ;Business: Harbor Freight Tools USA, INC. 'Address: 624 I"NNOUGH ROAD/RTE132, Hyannis ;Note: Category I Permit 2017 �__._. .. .......___.._ .. .. .......... ............... _...... .... ................. ........___..... _...__..__._ .. ......__...._...-_.._.__ ___ .� Number Fee 1204 THE COMMONWEALTH OF MASSACHUSETTS $50.0o Town of Barnstable Board of Health This is to Certify that Harbor Freight Tools USA, INC. 640Iyannough 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 06/30/2016 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 02/25/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO• Director of Public Health rf $ !r 4 f ° Town of Barnstable OFIKE►op, Regulatory Services � Richard V. Scali, Director ftAA, - eAiNS`"B`E' ` Public Health Division BARNSTABLE m MASS. R1 - wins o�srslis�osiErue"w�iauixsr'nes SV�+1 A'fo�a+°i Thomas McKean, Director 1639D 4 ; 200 Main Street, Hyannis, M_A 02601 s 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 ❑ A late charge of$10.00 will be assessed if payment is not received by July 1st. • ASSESSORS MAP AND PARCEL NO. "�1 (9 1 3 DATE a �� FULL NAME OF APPLICANT: 47P'130rL 1:Ef4-4&tkT 1VaL 3 V S A NAME OF ESTABLISHMENT: }t�}(L�1'l `}�c�,1.� T T� STVnt- Ll Q �l ADDRESS OF ESTABLISHMENT: 440 `� _� vt o u�L�. `n, UV1_�I�M1 - 260 MAILING ADDRESS (IF DIFFERENT): E TELEPHONE NUMBER OF ESTABLISHMENT: Urdu' .3I ®y EMAIL ADDRESS: WF—Xq 00i a 0030 MCI CTi Wes- l_.Q M SOLE Oft: V YES NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE# OF: CORPORATION NAME �)DrZISyrL 1CTVJ-- •jyot-s 6'&P" cAra(3oa- PRESIDENT `R l G 5 M I 0^�- TREASURER CLERK IF PREPARED BY OUTSIDE PARTY: • S NATU A LICANT Name: Company Address S;.Yv 1I-k. P 4M Telephone#: Email: Q:\Application Forms\HAZZAPP Revl6.docx Page I of 2 1 Town of Barnstable Office: 508-862-4644 Fax: 508-790-6304 Regulatory Services Department Public Health Division Mom, Thomas A.McKean,CHO i 200 Main Street, Hyannis,MA 02601 '°lFD Payment Receipt Hazardous Materials Payment received: $50.00 (Cash) on 2/25/2016 Permit number: 1204 ;Business: Harbor Freight Tools USA, INC. Address: 640 Iyannough Road , Hyannis Note: Category I