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HomeMy WebLinkAbout0655 IYANNOUGH ROAD/RTE132 - HAZMAT (� II�GY�nON�i �-/�e13Z� �/ I►ETowti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 ' BA MAT%.IE. 200 Main Street• Hyannis, MA 02601 MASS. ,6 �M TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT �f0 AC Business Name: df t 4' Trez Anp Date: Location/Mailing Address: 3 Tga aQAK REZ6 v Contact Name/Phone: SDI-774 �Sn Inventory Total Amount: _ MSDS: m 04, License#: fd� Tier II : _ Labeling: ReA 4 Spill Plan: .S Oil/WaterSeparator: Floor Drains: - o Emergency Numbers: Storage Areas/Tanks: k4i,� ' Emergency/Containment Equipment: d 4 a Waste Generator ID: CA Waste Product: fhj5C&MccxjC &15d- Date&Amount of Last Sh6ment/Frequency: Licensed Waste Hauler&Destination: V 9q 9 Other Waste Disposal Methods: L 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 ry 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: Al Inspector: Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS ptME TO Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 RaRMASS. 200 Main Street• Hyannis, MA 02601 f639 M TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rF0 A'S Business Name: 6atig 0 Date: 713 Location/Mailing Address: 6 5S i` A '. lo Ak U ; J o7bg3 Contact Name/Phone: r6 Inventory Total Amount: `"3�O u� SDS: C0,11 License#: 119d Tier II : AJ 0 Labeling:N Spill Plan: Oil/WaterSeparator: Floor Drains: tj Emergency Numbers: eS Storage Areas/Tanks: e ,kQVI ih Vemkd Emergency/Containment Equipment: CL IS Waste Generator ID: G 9 Waste Product: Q40MS Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: U o P rc &v Other Waste Disposal Methods: :LE Con oars ��. LIST OF TOXIC AND HAZARDOUS MATERIALS No fy�()r C�0 4t n hV�Mat N y� NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardousal use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. CA✓ 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) V Windshield wash J 6 Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants C p Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries So 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 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) )0 Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/R OMMENDATI S: ` *i`OhS ; �n L e - Inspector: Facility Representativ . WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS f K�E wti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-7s0-6304 B^RM�`E ' 200 Main Street• Hyannis, MA 02601 1659 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: C I-1 Sk11�t lr.-.e, 5 Date: 8 2 S Location/Mailing Address: `S wvv. YR va-YVA1 Contact Name/Phone: o .4- 6-tore. r,A �_{Ca o8��7$ Inventory Total Amount: 'L 3S0 a MSDS: C& 11A "'m License#: ���- � C'��2- Tier II : Jam— _ Labeling: gome Spill Plan: Yes-(w V?e I Wa s Oil/WaterSeparator: Floor Drains: Ili o Emergency Numbers: Storage Areas/Tanks: Qk,5 c 4-(e0t, ILA-A ®Y4an i-ea3 b.,,,'S Emergency/Containment Equipment: S 1 t 'k,k vW, k1n, Waste Generator ID: MiA 3 O Waste Product: M I ►~ � ���r'�S Date&Amount of Last Shipment/Frequency: 32-1 b ti 2X Z Xr Licensed Waste Hauler&Destination: RZ P2 101 CKV S s 7 o t H V IIrorirwe e„I {ova -6c, RZ Other Waste Disposal Methods: (LIST OF TOXIC AND HAZARDOUS MATERIALS /v° vela I°r QtNAV-, C ,5 Ivy I VtJ-0\,1*41, S4KC�c-lay}' rK7Pee-+%&*4_• 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 5.) (��es Hydraulic fluid (including brake fluid) Windshield wash \C� 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: 01 INFORMATION/RECOMMENDATIONS: f2coMv%(¢ ,onS i ► ct-• Inspector: Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS TOWN OF BARNSTABLE BAR—W 5069 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager 46Ai,j e- J � Address of Offender MV/MB Reg.# Village/State/Zip f Business Name ( h_ C CC 5 �C�. _ bR am/p, on /� 20f� Business Address Signature of/Enforcing Officer Village/State/Zip 0,14 vN 1's , Location of Offense ��t�;�' tti1�r�, 1 t'�.t'.• ���a� ��'�� �� - - i Enforcing Dept/Division Offense T %1\ (-R- A rk3A �v— P'�1� ,�► Z r3 Facts [,-)t j `n � min-+"1. t,tv1����� t?. �.. '� ^, fy- 1 j�,. v 4y • 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. L TOWN./OF BARNSTABLE BAR-W " Ordinance or Regulation WARNING NOTICE Name of Offender/Manager t f`y �. Address of Offender MV/MB Reg.# Village/State/Zip Business Name f am/pm, on .° + 20 t' r 1 ' Business Addressc..— Signature of/Enforcing—Officer g / / p t' 1' '� %'Villa a State Zi ! Location of Offense i Enforcing Dept/Division Offense �i Facts �, i..— fi t "� �. mot• • F;4' `��` � _ � 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. F WHITE:OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. r Number Fee 1121 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that CHRISTMAS TREE SHOPS 655 IYANNO UGH 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 t /' la Town of Barnstable • � > Regulatory Services Thomas F. Geiler,Director ` ' `'ST"$' Public Health Division iOTEa rya+" Thomas McKean,Director * 200 Main Street, Hyannis,MA 02601 Q1 Office: 508-862-4644 Fax: 508-790-6304 r Application Fee: $100.00 r„^3 ASSESSORS MAP AND PARCEL NO. MAR311,PACEL:008 DATE SEPTEMBER 11, 2015 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT BED BATH AND BEYOND, INCORPORATED • NAME OF ESTABLISHMENT CHRISTMAS TREE SHOP#7002 ADDRESS OF ESTABLISHMENT 655 IYANNOUGH ROAD,ROUTE 132, HYANNIS, MA 02601 TELEPHONE NUMBER 508-778-5521 SOLE OWNER: X YES NO IF APPLICANT IS A PARTNERSHIP, FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.22-3612362 STATE OF INCORPORATION NEW JERSEY FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK KATHERINE RITCHIE, 650 LIBERTY AVENUE, UNION, NJ 07083 • SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS 650 LIBERTY AVENUE, UNION, NJ 07083 HOME TELEPHONE # 908-613-5821 IH�E►ors Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 8ARM�`E• ' 200 Main Street• Hyannis, MA 02601 ArFO MA+0. TOXIC AND--HAZARDOUS MATERIALS INSPECTION REPORT Business Name: vlt, Date: Location/Mailing Address: Va n 04+5 Contact Name/Phone: w4L_ o s-)-a rc r aA1 fe. C(J 7- Inventory Total mount: ^' 5'0 qk MSDS: �� 1 - �" O%k IA&kve �\ License#: 112 Tier II : Labelino: y'ro Spill Plan: e S Oil/WaterSeparator: MIA Floor Drains: MD Emergency Numbers: eS Storage Areas/Tanks: ��j\ G<`akeS Q-o! �.�c�eks --k ky peS �nA DWG 5{� Emer enc /Containment Equipment: k Waste Generator ID: No ► -%d 3 k. Waste Product: Date&Amount of Last Ship ent/Frequency: M 1 Licensed Waste Hauler&Destination: Other Waste Disposal Methods:LIST OF TOXIC AND HAZARDOUS MATERIALS 00 OAX, '< 6 I W kvn-.�nl Si va-e- (,5-' 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 41 Degreasers for engines&garages Pesticides: Caulk/Grout inks�des, 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 POD SInmck. (4-C. 0 Paints, varnishes, stains, dyes Lye or caustic soda "— LtOlb Lacquer thinners V— Miscellaneous Combustible 4e-coso(S 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, pp `' hydrochloric acid, other acids) VIOLATIONS: ` �`M 4--Y�I C4_ ORDERS: v1L4> t o7S INFORMATION/RECOMMENI ATIONS: C- a Inspector: Facility Representativ WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS I Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • enRMASS. .g! 200 Main Street• Hyannis, MA 02601 16'q. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rE0 MAC s Business Name: 6�- Date: 8,117,114 Location/Mailing Address: SS- ar`.�.� �. 4 KA, s Contact Name/Phone: 71- ,,- c oe om ^1l"r NAA e. 5-0 -"17 -5��k Inventory Total Amount: "'360 MSDS:CLkk v,-+ ow-31k4V�a License#: '�1 Tier II : �p Labeling: &oo Spill Plan: Q-g Oil/WaterSeparator: K)JA Floor Drains: 00 \- Emergency Numbers: �g Storage Areas/Tanks: ,�i 'owlVik5 MA'e. Emergency/Containment Equiomen oVL a +� Waste Generator ID: MAC 000 I(v5 q 11 Waste Product: M15e- 'f��C��/ANI, f'Cc gr. t-oX, Date&Amount of Last Shipment/Frequency: l b I 301,6 b r Licensed Waste Hauler&Destination: K , M, > . "V. obi 0T,, fi�:r Other Waste Disposal Methods: bo!� o98352- LIST OF TOXIC AND HAZARDOUS MATERIALS N o � of Can avS w ��� ory 5 "� -�-�qgt v�i >�• NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, ` " I storage and disposal of 111 gallons or more requires a license from the Public Health Division. �p ° Antifreeze Dry cleaning fluids Automatic transmission fluid V Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) V— 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 aj Degreasers for engines&garages Pesticides: r-V Caulk/Grout insecticides, her� les, 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 6e�fo501 s) Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables $o oltvr�^- 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:�&eft gk-00S XdDr�ed� ORDERS: Cy," aw doctev-�r � a �eevlye, INFORMATION/RECOMMENDATIONS: pA ovtx, d ° a aJ s a - (gcan�\Q �vol 51�ec�Ci�:y o I� CaCt c7� at��Inspect Facility Representative: ` """k��✓1'��' WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS Date: TOWN OF BARNSTABLE �s aVt., /lal�`t TOXIC AND HAZARDOUS MATERIALS N FORM NAME OF BUSINESS: �►<��1n^a s`�e.a. 6� BUSINESS LOCATION: INVENTORY MAILING ADDRESS: `o kvv - TOTAL AMOUNT: TELEPHONE NUMBER: S - ` -7 1� -5 Lio CONTACT PERSON: N�a e, EMERGENCY CONTACT TEL PHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: kckktI 5 INFORMATION / RECOMMENDATIONS: LAW NlwtAc OeA- Q� k%W. FiTlouk District: eec ��Ov+�,�( .� A \tt � �k V ,ors 0 S Waste Traansp n: MAL300DI[,5,g1 Last shipment of hazardous waste: 13 Name of Hauler: Af+anf cj -+J (4g*t+ PC (tL Destination:��nv'�{o►tnte�-�,� .�y�,nse, Waste Product: �s� �'1���cosr, x��s,, ox��1 . Licensed(S� No NOTE: Under 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 5'x Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners / Automatic transmission fluid Disinfectants Engine and radiator flushes yoib 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) Caulk/Grout Swimming pool chlorine 30 CA.0 Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform,formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes +OX:,G lg.wt LOA,+ 6e,,:4 z5'14.l Laundry soil &stain removers q0k 40 (including bleach) ���,�.�,� �� _ $ ga 1 Spot removers&cleaning fluids (dry cleaners) 3 O Other cleaning solvents 0 �O Bug and tar removers I p Q Windshield wash Ip0 WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initial Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 Y BARMA�BLE.$ 200 Main Street• Hyannis, MA 02601 EoiaP+ TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: GL (� , Date:,. 0610,3 ill Location/Mailing Address: b4ii 1 U Contact Name/Phone: Inventory Total Amount: �,�5 MSDS: 3 —C 'I' License#: Tier II : d Labeling: 4is Spill Plan: Oil/Water Separator: II ` Floor Drains: A)0 Emergency Numbers: Storage Areas/Tanks: Emergency/Containment Equipm t: 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, deglossers Leather dyes VI'Miscellaneous Flammables VL � , 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: III Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS °FtHE f°� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMABLE. ` 200 Main Street• Hyannis, MA 02601 O�FOMP�a,O� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: fabn ':; Date: 181241 cc Location/Mailing Address: 9AS DonfooebZ:. Contact Name/Phone: Inventory Total Amount: 7 6 MSDS: License#: Tier II : P V Labeling: _ Spill Plan: Oil/WaterSeparator: Floor Drains: Emergency Numbers: Storage Areas/7anks: -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 V 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: n1 Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Number Fee 1121 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that CHRISTMAS TREE SHOPS .-------------------------------------------------------------------------------------------------------------------------------- 655 Iyannough 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 r e } Town of Barnstable y Inspectional Services BARNSI.ABLE RFR4.TaBLEK4NTElV[LLf•COTUR•FY4A'NIS Q, Public Health Division M;.iSTONS M'LS•639-LL•P!'.4 BPNtlY1A8LE 1639-2014 1 � 1 Thomas McKean, Director t6g9. A�� 200 Main Street, Hyannis,MA 02601 4 _ RFD r?"h Office: 508-862-4644 Fax: 508-790-63;Q4 ,Pr APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, µ 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 UV- 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? 11 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: n f I 5. NAME OF ESTABLISHMENT: l Ins i51-rr16�s, 'ram SIB C � 44` __1 00 a 6. ADDRESS OF ESTABLISHMENT: 655 1'S o Ae, 13,2,2 H G Q In i 5l, H n n o`� 83 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 650 Un 1()n 8. TELEPHONE NUMBER OF ESTABLISHMENT: Soo"'ME " 5521 9'. EMAIL ADDRESS: �-AUR H o SE&P-EETV B E_,h,6 H'7N'GpM 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK . 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICAN DATE C��J R L2!z Q:\Application Forms\liaz Mat Appli Draft Jan2019.docx Number Fee 1121 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that CHRISTMAS TREE SHOPS 655 IYANNOUGH 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 rf- r - ti s . Town of Barnstable Inspectional Services BARNSTABLE F THE� w sicvieui�s��`cs"ar • Public Health Division 1139-2014 BARNSTABLE, ' Thomas McKean, Director 059. 200 Main Street, Hyannis,MA 02601 w Office: 508-862-4644 Fax: 508-790-6304 Z. :r APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE 1 4 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 1 PERMIT 26- 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 499 Gallons: $125.00 WET- CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ �4a *A late charge of$10.00 will be assessed if payment is not received by July 1st. 8t)69)gFf— L 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: 5. NAME OF ESTABLISHMENT: '_)Y 15q�!—J y) D s 6.. ADDRESS OF ESTABLISHMENT: ��-C� �0�-c _ �3 � ' - `_ = V44441J , MA 7., MAILING ADDRESS (IF DIFFERENT FROM ABOVE: _�-<a �r: ��, 8. TELEPHONE NUMBER OF ESTABLISHMENT: so i-aq 9. EMAIL ADDRESS: 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE QAApplication Forms\Haz Mat App Revised 09-10-18.docx }t Number Fee 1121 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that CHRISTMAS TREE SHOPS 655 IYANNO UGH 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 - � 0 Regina orgy env ic ble a8 t� Richard V. Scali, Director � r Public Health Division BAMSTABLE X • ` ~ BArN6TAElE.CHREIMLLF.OJiUR.NYAM1R115 BA NgrABM Thomas McKean Director N""5TM.1�'°5'E°,'°'t' -� p 1639-2014 ti prFo s — 200 Main Street,,Hyannis Office: 508-862-4644 Fax: 508-790-6304X. �- APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS �r 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 � 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 July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? v1 YES_NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGEIUSE OF • GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: 1_5. NAME OF ESTABLISHMENT: �V 1V l ,S 1T xe- S kpfo 6. ADDRESS OF ESTABLISHMENT: (g 3Z dy!�*)n i,3 M 4 U"U4 j 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: VC) �-� y J1sV. C.lnw✓1,�'1 et 1 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: - �CL�plc✓�Ct.G��C,te,ty Q��2�L✓�a��l L�� 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: • NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE Q\Application Forms\I-IAZMAT APP 2017 REVISEDA i CHMSTMAS TREE SROpSq INC. CORPORATE OF14CERS 8,DJURECTORS LISrII1TG OF DI UWMRS Warren Eisenberg Leonard Feinsteiii Steven Tenjam • LISMGOFOFFICERS ToddJohnsonEd 'dent �� Vice President-Stores Summ E° Latumann AssistantTreasurer &Secrete, Albm N. Ran Vice 'dent F�ne�Mgnzt. AssistantAlm M. Freeman Semetary Seth ASSiStantSewetary Mahler Assistant A Me�U ,NJ 07083( Offim) Number Fee 1121 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that CHRISTMAS TREE SHOPS 655 IYANNOUGH ROAD, HYANNIS, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- C� ------------------------------------------------------------------------------------------------------------------------------------------------------------ This license is granted in conformity with the Statutes and ordinances relating there to,and f� and expires 06/30/2018 unless sooner suspended or revoked. --------------------------------------- �p� PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2017 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health r' Town Of$ nstable Regulatory Services J Richard V. Seali,Director. a. MA SHE T Public Health Division LE • w r,u.e•u.*.,±,;..,caw+•.., .:L • twerasrnet r ' Thomas McKean Director '�''"`""'9.014 egg• , l570.201i cb�9• �� � �fn►�a<a 200 Main Street,Hyannis,MA 02601 Office: 50$-$62 4644 Fax: 5087790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WI'TH 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 I st-JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 -499 Gallons: $125 AO [31 V CATEGORY 3 PERMIT 500 or more Gallons: $150.00 CD *A late charge of$1.0.00 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: 5. NAME OF ESTABLISHMENT: C ���s�vvi�s 'j—t xL J ��,,o -ft' -706 2 6. ADDRESS OF ESTABLISHMENT: C@ 'S ��u - 62, 7. MAI.LING ADDRESS(IF DIFFERENT FROM ABOVE: -70IJ L' ��d" �� �'✓� i�c 0✓1 �t,7 07 ��3 8. TELEPHONE NUMBER OF ESTABLISHMENT-. K- -j 7 F 9. EMAILADDRESS: 10. SOLEOWNER: /YES NO IF NO,NAME OF PARTNER- 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS A A EMAIL: • SIGNATURE OF APPLICANT DATE Q.IApplication rorms\HAZMAT APP 2017 REVISED.docz xf MAIL-IN REQUESTS Please mail the completed application form,to the address below. In addition, please include the required fee. Make check payable to: Town of Barnstable. Allow five to seven (7) working days for in-house processing, Our mailing address is: Town of Barnstable Public Health Division 200 Main Street Hyannis,MA 02601 FOR FAXED REQUESTS Our fax number is (508) 790-6304. Please fax a completed application form. In addition, please mail the required fee amount. Please make the check payable to: Town of Barnstable. The check must be mailed to the.address listed above. Allow up to four days for in-house processing. For further assistance on any item above,call (508) 862-4644 QAApplication Forms\14AZMAT APP 2017 REVISED.docx i IB ro Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 B`M�`E ' 200 Main Street• Hyannis, MA 02601 '�FOMP�a10� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: �octv�.��s �4�ol�cg S CcV&4 Sll&ce- Date: Location/Mailing Address: tab S a.H,n Contact Name/Phone: C7'e Inventory Total Amount: /- MSDS: 'Yeey Go,�ori914G Vw License#: Tier II : 13v Labeling: ce,'4,\ l���u� �S Spill Plan: Oil/WaterSeparator: Floor Drains: N)o Emergency Numbers: QK Storage Areas/7anks: No w4a 4.<- S,+R, Emergency/Containment Equipment: s ok& s ke- Waste Generator ID: N Waste Product: Date&Amount of Last S ipment/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: y- Ca6lk/Groutl4S,\J**-g 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 FORMATION/RECOMMENDATIONS: 1>° V,-k 1i-o�.5 o,4 VA-1XA,<A" -e ,rvts S +w (� J�� CQ4 �. ©r „uw GQ��. •n S aaC Cml�.ec�"� � S�•v+-+t., S -- Inspector: Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS TOWN OF BARNSTABLE , Date: 1 � TOXIC AND HAZARDOUS MATERIALS N FORM NAME OF BUSINESS: 0.w,%'5 BUSINESS LOCATION: c,y%.nov '(2, ON Avk1j , S INVENTORY MAILING ADDRESS: I I TOTAL AMOUNT: TELEPHONE NUMBER: -"I'll -1. 4 50 a,Jlbv,5 CONTACT PERSON: +Ntt<k Al EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: k T-�, oI- INFORMATION / RECOMMENDATIONS: '� 5 0� k���� i uric t t�2�' ' c, L Q '��- �- Fire District:���l� D 7 J �ef Cb CX5 o — �� ,S�1�C (JL�� kv) �t7 b t Yl R�S<Q.5 s ,1l 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 1- Degreasers for driveways &garages Wood preservatives (creosote) CauIk/Grout IaAA5,vZ5 ;--Y t 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 to 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 mVosA53 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 1- jan s �Qi�S Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials Number Fee 1121 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that CHRISTMAS TREE SHOPS 655 IYANNOUGH ROAD, HYANNIS, MA i 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 06/30/2017 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 r • Town of Barnstable Tay Regulatory Services d °� Richard V. Scali,Director '�`"B'� ' Public Health Division BARNSTABL ►� r i639 10 w�io."-.ii�lewnus. Thomas McKean,Director 36)9.039 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 e Fax: 508-790-630P APPLICATION FOR PERMIT TO STORE ANT)/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 Iate char a of$10.00 will be assessed if payment is not received by July 1st. ASSESSORS MAP AND PARCEL NO. DATE FULL NAME OF APPLICANT: C°Y 1 Yl_Avy\A S Y e 'L SILO S T C� NAME OF ESTABLISHMENT: ADDRESS OF ESTABLISHMENT: (�"S jRrr�,t _ I3a •N�jg vt',t.S fM A O foo MAILING ADDRESS(IF DIFFERENT): �5(� �tY { � ��►'�iU� TELEPHONE NUMBER OF ESTABLISHMENT: SM- 7-77- SS a EMAIL ADDRESS: e C.>` Qgk-c 1_ (&(y la'', Otd 6e,, LL C yz-� SOLE OWNER: V YES_NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK IF PREPARED BY OUTSIDE PARTY: • SIG M OF APPLICANT Name: -7 1 v1 Company Address Telephone#: Email:. Q:IApplicationForms\HAZZAPP Rev I6.docx Page I oft r Town of Barnstable Office: 508-862-4644 ., Fax: 508-790-6304 • Regulatory Services Department am = Public Health Division MAW, Thomas A.McKean,CHO ►a3�. ` 200 Main Street, Hyannis, MA 02601 b�A Payment Receipt Hazardous Materials Payment received: $125.00 (Check) on 6/17/2016 Permit number: 1121 LCheck number: 3053886 Check amount: $125.00 Name on check: Christmas Tree Shops ;Business: Christmas Tree Shops .Address: 655 I"NNOUGH ROAD/RTE132, Hyannis • i Number Fee 1121 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that CHRISTMAS TREE SHOPS, INC. #7002 655 IYANNOUGH 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 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 .r AUG-14-2014 11.d09. Froin:SARNST 'HEALTH 15087906304 To:7742136099 P.4/4 Town.af Barnsta ble, �r Regulatory.ScIrvxccs Rithard`V. Sca4i iffiet.06r 9 51ASS Fub��c Health D vi I i6j4 am� `'i'liomas: Y1cKeav;1)irector 2t)U Main Strzi~t, Hyannis;MA Q?601 Fax, 508.-r9o-b1 O jTjct: 508=861-4644 Applicaf-ton Foe `,$100.00 Aar:!!;yS 0RS MAP.A.",I'A1tCFL NU. DkfF. APPLICATION : 'OR P T2NUT T4" '1'ORF ANDIOR UT1:L1ZFf IVT.ORE TIIAiN �111 GALLONS'<Oi+'HA ARDOl1S-y1ATERI.ALS FU' L NAAfT;OF "I'T.TGO T`. lL � In- Q ©IJvL NAME,OF ESTABLISHMENT AnAt>•;SS 4F I~;STABiISM'IEiV r. TTLEPRONE IVUiNB1±: c ey S(?I:E OWIVl�;R:� 'YES a w r IF APPUC;AN' -S A I'ARTNE,RSE I�ULL N:t i;'AND HOyTE.ADDRr 55 Ok ',ILL PARTIVEWS: Pill �F AI'PL ICc,W. IS A C ORPt�CtA'!'ION: FEDERAL WEN.11 ICAITION NO.N'` -,5'I'ATE OF Z''CORPORA9'1'(N (�1A F!TIT,I.NAM L 41vD H0ME ADDRESS 0Fi. PRESIDENT TREASURER CT:,F.RR: Si(YtvaTURE QC APPLICANT Sx'RfGTTONS RO.MEADDRESS: f•I)NF, ). fjivlE TE.�.,I�.PHQM #.an ,�';O. Y ��► � QAAppiication FounskH ZAPP.DOC 01-28-'14 16:20< FRQ1-CTS':Hyannis, CIA 1-508-790-5770 T-719 P003/005 F-991 SPILL CONTINGENCY PLAM Emergency Coordinator,.Name• }_ u Address: I'(� U 60 I7aytimie i?horiec Evening lPhone Vire Departmetit 4, r1{ S •� � 7�a / ` Barnstable,Public.Heal. 'Division: 508-862-4644 DEP'24 Hour�Spi l Hot Line: 888'304.-1133 , a� r - 'Was#e Hauler: Naazne . � r v , Building diagram indicating hazardous material/waste storage azea, Iota, on of absorbent scavenger materials, fire extinguishers, fire alarms (if present), and evacuation route.(if applicable). Actions to be taken Ito control a"' pill or release, and prey eritirig it from reaching a catch basisi, sewer system or the ground. i AUG-14--2014 11:09 From:BARNST `HEALTH 15087906304 Ta::7742136099 P.2w,4. Town.. of Barnstable ( ° Richard V, Stali,Director 1 l r Public � I ��isiol r�D ✓ Thomiis'':McKc.un, T)ir6dO 200M.. MIA 02601 Offic,V 5084(2-4644 Wayne IVUIer,M-IT". a: 54E Pau) Canrii-: 7:h: . Junichi sawayallkgi TO-ALL YIITJSINNESS: OPERA-T Oki, .WITHIAZARD01 I IS MATERIALS I3A�R1tTSTABLF '1°��w�� o f F3�; table � ''Cauz ;i,l adc>p�zci,-Cl�a�ter l } .' Ha?aIelous he Matcrials, a re�uireinent r1or:e,,ioh.business op.—raWr to obtain,art;annual pet-n3it.,and to rerlit a.fcc of:S.100:40 if one,-hugdred acid LJoven (1 ; 1) gal ons:oE mare of baTardous materials are stare; transported; utilized, and/ori. c)S d«f`at particulat site. STEPC i —2— : . PlcasI� complete the attached application farm ?: Include:a copy ofyour contingency plats tto Handle h?z macs was' shills;:rt�:.) SLbr v the-fee Uf S3 DOM ;savable to he: 1 u�wrp of rc rzs�able. �IA.IL;;all Uf tlh above t6 this tyfiice;&n<or,befOM;lunc 30, '2;014 , late char.ae cif S�10.00 will tie assessed if pavineni is not received'.'by Jul; 30? 10-1 4. Pleas4 fccl uet te`view the alixive C o&i , C ha ter l qr.the Town webs te, utvw��r ic?v�'t�.l)3"Z.STat�l'c.;1a.us s wluclt is'loc�ted.and r the 1, Cade. S�'Gtiovl if.vc u show Il��'..E"anY Q[l:ariPt35 or c stl�a�"Tl i',r-. I �i aLTV'I•-"VIm iaermii t eict AUG-14-2014. 31:09 From BARNST HEALTH 15087906304 To 774c136099 P.3%4 i1dA-M N REC)UFSTS Please mail (lie 661npleted appUcatton #urns to the addrescq below: :Also include a copy of your t ontingcn�y plan (to handle hazardous waste spills, etc). Ti).addition,,please include the required::fee rye check pay4ble-10: Town of Barnstable. Uow five tv;sevci1(7),working-days fvr ia; house pTpc'essiii&. Our mailing addre.W s Town of Barnst..Me, t'uhlu'k;icalth Division, 200 Main Street'' lfyan6is, NIA 0260:1 FOR FA_XFD REQUESTS ()ur tvt nurnher is (50%'7904304". "Ple, 1'ax a completed appItcat t Lori».. Also-..ieatsc tax us a copy of yottr'contingcttcy"Plan {to handle ha pill V.arclous waste s �,, etc). In addition, ple.iti mail the required tee amourii of$100 00. ,1 lease make th4 check payable w To)vn-of B.atnsta le. The check must be.mailod"to 1e address l Aed able Ye. Allow up to fi)ur days For'III.b.ousc processing.. Foe further assistance un any item above,call{St)4) 862-4644 Back to Maiii Public Health Division Taos. f�;tApplicsuiin i•oiuuVitlLAY1'•l?< Number Fee 1121 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that CHRISTMAS TREE SHOPS, INC. #7002 655 IYANNOUGH ROAD, HYANNIS,MA 02601 Is Hereby Granted a License C FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. --------------------------------------------------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------- ------------------------------------------------------ This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 6/30/2014 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2013 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health ` 01-28-'14 16:20 FROM-CTS:Hyannis, MA 1-508-790-5770 T-719 P002/005 F-991 Town of Barnstable Barnsfable �*ff Regulatory Services Department . AlAnWWO11 Public Health Division 200 Main Street Hyannis MA 02601 7 Office: 508-862-4644 ` Thomas F.Geiler,Director FAX: 508-740-6304 �r Thomas A.McKean,CHO Application tree: $100.00 ASSESSORS MAP AND PARCEL NO, DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAIV1E OF APPLICANT 6ajQ X-S J �� �Yl�as NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT Ac 132 1 C� M a TELEPHONE NUMBER $ — SOLE OWNER: ( YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS F ALL� PARTNERS,- IT APPLICANT IS A CORPORATION; FEDERAL IDENTIFICATION NO. qX-)C� STATE OF INCORPORATION (� FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK SIGNATURE OF APPLICANT � RESTRICTIONS: ?:TOME ADDRESS U ;D HOME TELEPHONE# — — O a v7V? P\inspectiort handoutstHaz Mat Application2008.DOC L r f `01-28-'14 16:20 FROM-CTS.Hyannis, MA 1-508-790-5770 T-719 P003/005 F-991 .4�. SPILL CONTINGENCY PLAM Emergency Coordinator,.Name: . (ic�. ._ Address: Daytimie;Phone: 5O S"-7 Evening Phone: Fire Department: Barnstable Public Heal Division: 508-8624644 DEP 24 Dour Spill Hot Line: 888-304-1133 Waste Hauler: Name: S'�C OIV �V: I_J /�r_ Phone: _ �%C) ( — 7 S`(SU (03c/,D W Building diagram indicating hazardous material/waste storage area, location of absorbent scavenger materials, fire extinguishers, fire alarms (if present), and evacuation route (if applicable). Actions to be taken to control a'spill or release, and preventing it from reaching a catch basin, severer system or the ground. � 3 101-287'14 16:20 FROM-CTS:Hyannis, MA 1-508-790-5770 T-719 P004/005 F-991 Date: TOWN OF BARNSTABLE .,,...... .., _14. 7 L TOXIC AND HAZARDOUS MATERIALS RE-G19,T AAT10N FORM NAME OF BUSINESS: 41- BUSINESS LOCATION: 7, INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: -j­) CONTACT PERSON: EMERGENCY CONTACT,7EL12PHONE NUMBER: MSDS SITE? TYPE OF BUSINESS: INFORMATION i RECOMMENDATIONS: Firg- District: �41 C_ v%. Waste T4W ti6n: "I Last shipment of hazardous waste- 0)7), 7.1) , Name of Hauler: 4,y-v Destination: 7 Waste Product: Licensed?' 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 I Maximum Observed Maximum Antifreeze(for gasoline or coolant systems) Miscellaneous Corrosive 0 NEW El USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts(Halite) Hydraulic fluid(including brake fluid) Refrigerants Motor Oils Pesticides U NEW U USED i (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene,#2 heating oil Q NEW U USED Miscellaneous petroleum products: grease, Photochernicals(Developer) lubricants, gear oil U NEW 0 USED Degreasers for engines and metal Printing ink Degreasers for.driveways&garages Wood preservatives(creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt&roofing tar PCB*s Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) Anv nthAr mrnflimicz with "nrviQe%n'1pholQ '01-28-'14 16:20 FROM-CTS:Hyannis, MA 1-508-790-5770 T-719 P005/005 F-991 Waste Ttah;-; o- flon: Last shipment of hazardous waste- Name of Hauler: Destination: Waste Product; Licensed? No NOTE: Under the provisions of Ch. I 11, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of ill gallons or more a month reguires 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 Q NEW 0 USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oft Pesticides I Q NEW Q USED (insecticides, herbicides, rodenticides) Gasoline,Jet fuel,Aviation gas Photochemicals(Fixers) Diesel Fuel, kerosene,#2 heating oil Q NEW Q USED Miscellaneous petroleum products: grease,. Photochomicals(Developer) lubricants, gear oil U NEW Q USED Degreasers for engines and metal Printing ink Degreasers,for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt&roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinders (including carbon tetrachloride) L) NEW Ll 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 1nitiaIs""i.__1-�" STAMP: LJ O 0 Concrete Loading Dock N 00 co co w 00 CV N N Mop Sink -- MOP HOOKS Lf 00 00 0 0 a � to FEMALE EMPLOYEE O TOILET MALE EMPLOYEE U TOILET � o w U L F/ 4— A� 5 6 7 8 9 16 11 12 13 14 15� i i i i i i Z U QLO\PUBLIC MEN S _ WORK AREA WALK-IN w W ro RESTROOM- REFRIGERATOR z 0 U) - - --- / ICE CREAM MACHINE L / Q I - (3) BOWEL SINK °° Q o STAINLESS STEEL f CARTS - - ■h 0 i O 3 0 ■ � I � ■o pc / / _ FL�] IL-------j 11 CD 7wpouEN IS ---- ®a00000 o RESTROOM _ __ HOT FUDGE _COLD TOPPING _- WHIPPED_ Z I 1_ � - -,-,- --- - --- CREAM a � ADA DRINKING DISPLAY EQUIP. � REACH INBLAST W i FOUNTAIN FREEZER MENU BOARDS ON WALL FREEZER 36"WIDE CASED Q ICE CREAM DISPLAY OPENING Q T -- — - G"DIAM HOLE ABOVE FREEZERS COOLER (~f� _ 3G x84 DOOR TRASH BARREL TRASH BARREL - - -- EMPLOYEE HAND z2 _N w - — BELOW COUNTER W BELOW COUNTER -- - O _ - 000�00000000 - - o WASH SINK W I� o o 0 - O O '- z 2 A7.03 1 F Q O O 112 WALL BELOW COUNTER W1 3/8"TEMPERED GLA55 WAFFLE CONE PRESS 0 - - P I ABOVE COUNTER f U C/> W w -- STANCHION W1 EXTENSION - I — w - 1 ROPES - I Storage 0 Lou Ly N I i r Freezer O U Cy C� I 20 30"COUNTER OVER HALF LU U U r C J L - WALL CABINETS — I 23 INDOOR SEATS I — LU — I - - - -- - - -- - - - SODA FOUNTAIN F— I I LO HOT DIPPING SAUCE EQUIP. ( O `J r EE _F 0 23"x 34" SOFT SERVE - _ v ------ — I- U I MACHINE DISPENSER r_ OO - - F . O -- --- �_ - UNDER COUNTER MODEM ~" REFRIGERATOR � = � _ � � _ BELOW I i . . _ I T Z - f LU REGISTER 0 `'` 1 � EQUIPMENTS TITLE: ALL COUNTER TOPS TO BE SOLID --- I SURFACE, SILVERSTONE OR EQUAL I = 3'-O"WIDE TRASH FIRST FLOOR f I FOLDING GATE /j BARREL PLAN - BOH HAIRS BY - - " SEATING OWN ER TYP. -- 23 INDOOR - -- - - 22 PORCH - - - - -- _ --- - 29 PATIO DATE ISSUED: -- 22 PORCH SEATS REVISIONS: _ WOOD DECK I _ --1 rl -- ---- -- ---- - -� - I � - - - 1 T - - - : [ I .. 1 - . I I I I 0 —. - 29 PATIO SEATS DRAWN BY: Author STONE PATI PROJECT #: DRAWING NO.: LD v U 0 U_ d O ih w 12 First Floor Plan A 1 ' m N 1/4„ _ 1 _011 �' Y STAMP: N 00 00 00 c7 00 w 00 N m N CN Q O 10 c+7 c+) 00 00 1HL 66 a:00 a Q O U 1,—]F-IEIEII IL IFIFIF. IF—]=] U 0 W U LL cf) � z � C� o v; zP U Q � w wN z � o � _ � O U Q w � ry w coQ � � ■o o Fr �o J o ch � 04 OL } \ i \ J Q \\ \\ F- < < \ /i z2 Sim L ::D w Sim I G A7.03 � Qo O LLJ z i - U Q 7j -- -- Q w w LU >: CIO Lu OLN N Elevation 1�j - D Elevation 1 - C U 4 3 Uw / co Q LU 2 Q CCU L() U O Lo so �]EFEI �HL IFIFIF IFIE]EI 11 IFIE]EII FFJ i TITLE: - ----- Interior Elevations DATE ISSUED: 07 . 26 . 2013 REVISIONS: 7 � A7.03 m � 5 6 Sim L:1 A7.03 o A7.03 6 DRAWN BY: � � o A7.03 yM Author c PROJECT #: o I I DRAWING NO.: 7T m I � I U I I i I o a EP � A7 , 02 Elevation 1 - B �� Elevation 1 - A N O M C 3/8" _ 11_011 3/8" = 11_011 M Ui N STAMP: 3/6"TEMPERED GLASS c� g STAINLESS STEEL GLA55 TRACK w = w 2'- 9 7/45" L w SOLID SURFACE ~ 2'- I" co SOLID SURFACE 3/8"ROUND EDGE 3/8"ROUND EDGE 3/8" ROUND EDGE 3/5"ROUND EDGE SOLID SURFACE I x4 HORIZONTAL I x4 HORIZONTAL BOARD, PAINTED - -- - - BOARD, PAINTED N 00 00 N lL/ co 00 w OO N BASE OPEN CABINET, 10 PAINTED WHITE W/ADJA, BASE OPEN CABINET, `? `? SHELF 2X4 WALL STUD @ 16"O.C.W/ PAINTED WHITE W/ADJA. 0 0 5/8"GWB TYPE"X"EACH SIDE, SHELF 66 a = TYP. O I x4 VERTICAL BEADED c9 U BOARD, PAINTED LU o p O BOARDRPAINTEDADED C LU BASE CABINET, PAINTED WHITE m z m W/ADJ.5HELF t DRAWER �_ 60 z ° 73 LU 2x4 5TUD5 W/51LL t - -- T DOUBLE TOP PLATE 2x4 5TUD5 W/SILL t 2'-0" z DOUBLE TOP PLATE _ 1/2"GWB. SHEATHING Q C/5 1/2"GWB. SHEATHING J U QLO zLLI w ° 1 x4 HORIZONTAL N O BOARD, PAINTED I x4 HORIZONTAL O U Q / - BOARD, PAINTED Ly Lv w OO Q N C O ■o J O SECTION SERVICE COUNTER & BASE COUNTER & OPEN BASE ■� co � ■� 7 COUNTER 6 CASEWORK BELOW 5 CASEWORK BELOW ,� ,� _ ,� _ 1 1/2 - 1 -0 1 1/2 - 1 -0 1 1/2 - 14 w � "' z � Q Uz ° w _, C�f z � a- < < U w ,,.I, > 2ofw = w Cv ^, MENU DISPAAY WALL-- O rV ` V GLASS FRONT U CIO DISPLAY FREZZER LU U U � v/�, Sim 7 wLU 7 $2fVIC@ Area ^ A7.03 A7.03 CIL 13 � :D � U LO LO _ `O I I I I I I -' I I I '- I I I 111 t==F= L—L 24B 486 TITLE: POWER THRU LOOP , R Elevation 3 - B AS REQUIRED Elevation 3 - A 4 3 3/8" = 1 '-011 Interior - - --- -- ---- - - -- - -- - - Elevation y DATE ISSUED: 07 . 26 . 2013 REVISIONS: U TWO DEDICATED ISA CIRCUITS 220V/3 ��, Sim FOR WAFFLE CONE MACHINE 0 6 S m PHASE DRAWN BY: Author A 15-J`.., — 7.03 -- f o 8 8 0 o S 8 0 0 8 N . PROJECT #; - - - `0 DRAWING NO.: i I J m TELEPHONE t El��atio AD 42B 48B 48B 39B 36B 366 366 366 GLASS FRONT 366 24DR CABLE OULET� -E e 2 - A RPFRIGERATOR A7 , 03 a U 3/8" _ 1 '-0if 3/8" _ 1 ,_0„ � U N