Loading...
HomeMy WebLinkAbout0279 YARMOUTH ROAD - HAZMAT A-r Number Fee 540 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Robies Refrigeration, Inc. 279.Yarmouth Road, Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS.. -------------------------------------------------------------------------------------------------- ----------------------------------------------------------- ---------------------------------------------------------------------------------- ------------------- --------------- ---------------------------- ---------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2010 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER, M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2009 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of.Public Health AW Town of Barnstable Barnstable � > r regulatory Services Department bcftd • �S� Public Health Division 200 Main Street,Hyannis NIA 02601 TfD�iA�A 2007 Office: 508-8624644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. O `�J DATE l APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS. OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT eo G� $ fy-�Cy �6LG i ADDRESS OF ESTABLISHMENT 2-� LLt' `'aC 4 e S i TELEPHONE NUMBER 5O �' �•- ,v SOLE OWNER: YES ENO C= x IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS 0 ALL G PARTNERS: 12.� r�i �- rn IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.-011` G(PSraZcS® STATE OF INCORPORATION FULL NAME AND HOME ADDRf SS OF: PRESIDENT j ttuL r TREASURER .07 CLERK �czw��S �v �ieG�ctL ti • GNATURE OF APPLICANT. RESTRICTIONS: HOME ADDRESS HOME TELEPHONE # Q:\Hazmat\Haz Mat Application2008.DOC • SPILL CONTINGENCY PLAN 1) Evacuate the immediate area, if necessary. 2) Shut off valves, pumps and electrical equipment as appropriate. 3) Remove or restrict any potential ignition source from the area if the material is flammable. 4) Cover or dike storm drain. 5) The following is a list of the spill materials on site: a) Five Hazardous Material 5 Gallon Buckets (located in Hot Room) b) An adequate amount of gloves and absorbent material (located in Hot Room) c) First aid kit with eye wash (located in Sheet Metal Shop) d) Fire extinguishers (located through — out the building) 6) Contain the spill by use of absorbent rags. Apply appropriate absorbent material. If you cannot contain the spill or the spill is over 25 gallons, Contact the spill response firm, Clean Harbors at 1-800-645-8265. 7) Remove all absorbed material or contained liquid and package in Hazardous Material containers. Used absorbent materials should be packaged separately from liquids. 8) Once the spill has been controlled and materials collected and secured, inspect the area for cleanliness and clean all equipment used in the clean up. 9) Label all containers with the type of waste and the start date of accumulation. 10)Restock all used materials from clean up. 11)Manage and dispose of collected absorbents and liquid in accordance with Federal and State environmental regulations. • Number Fee 540 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Robies Refrigeration,Inc. .-------------------------------------------------------------------------------------------------------------------------------- 279 Yarmouth 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 Town of BarnstableftAl �! Inspectional Services BARNS LE - �4.rs WN:TRBLE-ahMtI a-COTUR•FYAjs • V' Public Health Division 1639-]SN'i15. 39-2LL2YFSi e?NIIS7:4BLE 014 575 ,nxtsr,►srE Thomas McKean,DirectorMAM fR 39. 200 Main Street, Hyannis,MA 02601 u Office: 508-862-4644 Fax: 508-790-630f. APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE X, Ck HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, IN 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 ' CATEGOW3 PERMIT 500 or more Gallons: $i 50.00 El *A late charge of$10 00 will be assessed if payment is not received by July 1st. U 1. ASSESSOR'S MAP AND PARCEL NO. 3 Z.S " 139 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: JU H N 1e0f31CHAUD 5. NAME OF ESTABLISHMENT: QQ B 1 eS H E R11 N e t COCA L,I tN(5 6. ADDRESS OF ESTABLISHMENT: 2-I Q YOIA rY10\Ar) ed • H qg nru S 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 501r6 "-115" 3083 -9. EMAIL-ADDRESS-JOH�N Ca Ie0F51e S. COM jAMES 1201510inUD 10. SOLEOWNER: YES 4 NO IF NO,NAME OF PARTNER: CU12T DO N E LIA N 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME P-C)h 1 P.S 12-0-fnO1 Q,r '1 on. 1 n a . PRESIDENT TREASURER c,C11rY1 CLERK Ci()I I(YlC I t 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS J EMAIL: SIGNATURE OF APPLICA Q:Wpplication FormsU Iaz Mat Appli Draft Jan201 .docx I Number Fee 540 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Rohies Refrigeration, Inc. 279 Yarmouth 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 DO.NALD A.GUADAGNOLI,M.D. 07/01/2019 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health I "r Town of Barnstable Inspectional Services BARNSTABI,E O�t MRNSTAB:E•CPiiERlM1tl'_'.�IIR•.fratiNl_ Public Health Division mCs r< as*awue+r]eaNr.:»se ::,,5(�911-7014 . BARN "LE, Y Thomas McKean, Director ;. 6 59. 200 Main Street, Hyannis,MA 02601 M Office: 508-862-4644 Fax: 5*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 1st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 -499 Gallons: $125:00 CATEGORY � GhK- 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. �� t 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: V ; I01 Ll= C - 5. NAME OF ESTABLISHMENT: �� ID, -cc, 6. ADDRESS OF ESTABLISHMENT: 2,79 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: S-0 9` ? "?9- *3 O S r3 9. EMAIL ADDRESS: ( ® ��- V-0 b tS, .—� Tc w%_,es (Zo.6' k4L,,-d 10. SOLEOWNER: YES VINO IF NO,NAME OF PARTNER: C.u-rt 1tso ,,e_t 4^-% . 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME VZo to i CS PRESIDENT TREASURER S CLERK S - 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICAN � /C--• � S-Z® �- l - Q:Wpplication Forms\I-laz Mat App Revised 09 10- .docx 00 Number Fee 540 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Robies Refrigeration, Inc. 279 Yarmouth 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 10of w Unstable eg atory ervices �t"e Richard V. Scali,Director ' Public Health Division BARNSTABLE + •ARNSI'ABI.E. ' PAUMaet LLS-OMRV31-W-W HSW.TU Thomas McKean Director „ �5"'�1639 2014 �'�� MAS. ) 1639-2014 E3L 9. p`°� 200 Main Street, Hyannis,MA 02601 �17� 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-NNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 X V. S CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 3 Z8-- t3 2. IS THIS A PERMIT RENEWAL? "S NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: �- 0 I,w o 10 P e k 5. NAME OF ESTABLISHMENT: ev b c e s 14 ec A-m t c"0 0 6. ADDRESS OF ESTABLISHMENT: 2- 7� Yacw-o"A� /2 r 9ya it 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 909— US- 3 0 8 - 9. EMAIL ADDRESS: c ( ��v`, �_ rofoi ees. co {44— :Tmwes YLm la4-C- ct 10. SOLEOWNER: YES ENO IF NO,NAME OF PARTNER: C..cLv f Dom/c .� 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME 12-G,es 9 e -Fr s 5 c PRESIDENT j o k l2-,- , lot c TREASURER S c-A .0 CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT � � Q: �Application Forms\HAZMAT APP 2017 REVISE .docx Number Fee 540 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Robies Refrigeration, Inc. 279 Yarmouth 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 6 DONALD A.GUADAGNOLI,M.D. y 07/01/2017 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health TRowr of hmstable eg atory ervices Richard V. Scah, Director o� Public Health Division BARNSTABLE % BP0.XS 5W•iEN rEItYILLE -vr r H msro * BARNSTABLE, t rugsnns Htus•osr9-201 rrsr en?nsrsa:r: H[ass. Thomas McKean, Director 1639-2014 Orfn �s`0� 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 r���_a Fax: 508-790-6304 f APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE i 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—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 -499 Gallons: i$125 0-07 0 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. l 2. IS THIS A PERMIT RENEWAL? V 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: Inn. b 1 5. NAME OF ESTABLISHMENT: b b I S eCA---DA n�j +- 6. ADDRESS OF ESTABLISHMENT: 2-7 ArMpy,4,tt 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE:^ 8. TELEPHONE NUMBER OF ESTABLISHMENT: J O 7 75— 3 Q 9 9. EMAIL ADDRESS: i 1 01&K, b 10. SOLEOWNER: YES�40 IF NO,NAME OF PARTNER: A-vt,t'S /00 b r �� 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME 4 b ?is �"'r' PRESIDENT TREASURER CLERK r 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLIC J�, TE `" `f 7 Q:W.pplication Forms\HAZMAT APP 2017 REVIS .docx r 1 INE rokti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 96ARMAq .9! 200 Main Street• Hyannis, MA 02601 1659. MA a,0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT g1111t7 lE0 'S Business Name: ►t�o� (-P 's t��-rr. t vv%- Date: Location/Mailing Address: .At, R,9 , S Contact Name/Phone: GL. V S'o . --»5-- 3yd3 Ce.t1-17y-836-0135' Inventory Total Amount 130 q&A y 40o SDS: ova.�V~k Z<v4- License#: Tier II : Labeling: Spill Plan: l2S Oil/WaterSeparator: Floor Drains: is), — Emergency Numbers: If s Storage Areas/Tanks: 20 \\a <n&C-e%Ase4v k 4,L c4_a P�M d1�, e°a 5;. .��� e-\•¢. $ 1 IAA51�e— o. Emergency/Containment Equipment: Waste Generator ID: 0951-125SM'3 Waste Product: o I �4 -�rKosks Date&Amount of Last Shipment/Frequency: -Z ;P,0 f'7 19 qnJ 2x r Licensed Waste Hauler&Destination: 2'1 sQ.,r 1' 40 �e- Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS No y AkG'Icd eV-&�-�10-A kvO�vrCo( NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use,e storage and disposal of 111 gallons or more requires a license from the Public Health Division. A" t- ; 0 Antifreeze Dry cleaning fluids y Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) V Windshield wash Motor oils -rw&,skk ✓ 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 CombustibleA-e-Cosols 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, Q hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: NO %SS"S o< C,e !LA % 5 � Inspector Facility Representative: l 6t,..__ gzs-�— WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMA-A. E. ` 200 Main Street• Hyannis, MA 02601 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT gl ,I l� 1 `n Business Name: moles Ice << s o.ti Date: Location/Mailing Address: Z71 L�Mo,>-� Q4Q an t S Contact Name/Phone: oko. u D --7-7,11­7- 3v83 Gel1 77 -83�, - o13S 12sI' o I +- l� p Inventory Total A unt: � 0o It MSDS:�4d<'�f S�or License#: _ Tier II : Labelina: oo _ Spill Plan: Y�S Oil/Water Separator: A Floor Drains: a Emergency Numbers: 2 5 Storage Areas/Tanks: Z° IbEmergency/Containment Equipment: "bt>k k S Waste Generator ID: Waste Product: 01 Date&Amount of Last Shipment/Frequency: 2b 1 b a 2-3 e Licensed Waste Hauler&Destination: Other Waste Disposal Methods: 2 LIST OF TOXIC AND HAZARDOUS MATERIALS ct 6)4 -', 2-C /J e 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 10 Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers S Engine and radiator flushes Bug a -tar removers Hydraulic fluid (including brake fluid) Windshield wash 5 Motor oils 50-v1S I Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants I Miscellaneous petroleum products: Road salts (b �ypl �{yD2-A grease, lubricants, gear oil Ib DO Refrigerants N 4� J�-22 10 Degreasers for engines&garaggAs Pesticides: )R 04A)A qk2 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 \a Paints, varnishes, stains, dyes t 0 Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, de lossers 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" -k x,G (including chloroform,formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: a "-C A-1tn�-2 . Inspect : I , 14—u- �-o--, Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS °F IME row Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMASS. BLE.$` 200 Main Street• Hyannis, MA 02601 Fo3+ TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT 2/� ►� Business Name: v`o e's �e�t� s�T`aK- Date: Location/Mailing Address: a•rM Aril S Contact Name/Phone: --17 - 368 e-11 -7-1 -$3k,-213 Inventory Total Amount: /"/;w gtl4-1oo1b MSDS: �I�S License#: S l Tier II : o T Labelina: 6r't5cJ Spill Plan: Ye-5 Oil/Water Separator: tJ I 1A Floor Drains: d o Emergency Numbers: YZ5 Storage Areas/Tanks: O 141 was \ a\ ovt oo! Emergency/Containment Eau, ment: �-e- Waste Generator ID: 1 t7 Waste Product: 191 Date&Amount of Last Shipment/Frequency: W pa.l c-zo l+ Licensed Waste Hauler&Destination: Other Waste Disposal Methods: del f-6,x�por-I�+o ucets, SCE �d� - -ew_�9 lay_�5 ti4.,p k av( s�+�- .II I' -r K t-ar` er c�.2. LIST OF TOXIC AND HAZARDOUS MATERIALS Flo "Iv< e-Y vt ,rL Ivt V.P-yL ,0 f 5114 �4<-� 1K-5wiovL. NOTE: Under the provisions of Ch. 111, Section 31, of the General LFws of MA, hazard6us 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 V 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 (Poo 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/R OMM NDATIONS: ' etiv%- ©, e{ o<- A- PAS} 2 0« 0, 1 . Inspector:� " Le'LV��l2s- Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Date: �I y TOWN OF BARNSTABLE�Ns �,,,,,_, TOXIC AND HAZARDOUS MATERIALS FORM NAME OF BUSINESS: 0l0l.e15 I -e,f c, ",aK BUSINESS LOCATION: 2-71 )Lkcf OL.' , R,,j2 jj AAy f INVENTORY MAILING ADDRESS: Sa.w-r— TOTAL AMOUNT: TELEPHONE NUMBER: ,S00- 7'75= 3083 boo IL CONTACT PERSON: - eo61 e,1^a, 12 EMERGENCY CONTACT TELEPHONE NUMBER: Cell 77y -BA,-ol3sr MSDS ON SITE? TYPE OF BUSINESS: 14 L INFORMATIION / RECOMMENDATIONS: MA 4 svce_ o,I- berg act Fire District: 6,g i.n�i� To<a I�stS ��1 t S U-e64;r- cC!�s QDS�>� Z� VD�il�� ✓�u� 5 P01A( � s 4 n S To c O.Vt%J yt_lt) f yd nJ .5 � if 4..Z."-0U6 Ida 3 67e-v ¢X14,9 r--ris o be C4.-<Coe Q I YI.+Je.l�►�(� -�r�n�oor��~� jjes-F_ ,0 0 Waste Transportation: Last shipment of hazardous waste: le. -2,ot3 Name of Hauler: Destination: Bucklers Waste Product: +o Cae-,1 ! -Pac 5'kee "+tr Licensed? Yes No gecorJls &Vf.5d— 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 S Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ZNEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts(Halite) Hydraulic fluid (including brake fluid) 400 b Refrigerants �8 Mot Oils Pesticides C� NEW O 2 USED I$ (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemlcals(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 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 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) /0 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 Initials --------------- Number Fee THE COMMONWEALTH OF MASSACHUSETTS 540 $125.00 Town of Barnstable Board of Health This is to Certify that Robies Refrigeration, Inc. 279 Yarmouth 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 06/30/2017 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 i Town of Barnstable �t r Regulatory Services Richard V. Scali,Director �AS& ' Public Health Division BARNSTABLE 1639. �0� n�+xs"roi s°ws�"nruiCDw's°�nnsnt Thomas McKean,Director �� 1539-201 4 200 Main Street, Hyannis,MA 02601 J Office: 508-862-4644 Fax: 508-790-630 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—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallon . $125.00 . � .VAS CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ A late charge of$10.00 will be assessed if payment is not received by July 1st. ASSESSORS MAP AND PARCEL NO. J 2 0-' 1 3 DATE e 1�1 � . FULL NAME OF APPLICANT: '1 0 �► ' �-�^�' - NAME OF ESTABLISHMENT: kove5 �\ ADDRESS OF ESTABLISHMENT: MAILING ADDRESS (IF DIFFERENT): �^ TELEPHONE NUMBER OF ESTABLISHMENT: EMAIL ADDRESS: ` o kt'v rn b l e5 ' C'A, larnlQ$ Idi SOLE OWNER: YES �O IF NO,NAME OF PARTNER: rf FULL NAME,HOME ADDRESS,AND TELEPHONE# F: CORPORATION NAME Rob;eS -ez(v-(t'j PRESIDENT J o(oc.� ,(�;c (-cc...�d CW TREASURER CLERK • IF PREPARED 13Y OUTSIDE PARTY: SIGNATU + OF.APPLI T Name: sue- . Company Address P,,,e fT, ,44 Telephone#: Email: QAApphcation FormsUiAZZAPP Revl6.docx Page 1 of 2 al r Number Fee 540 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that Robies Refrigeration, Inc. 279 Yarmouth 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 i Town of Barnstable Regulatory Services • °� Richard V. Scali, Director MAE& ' Public Health Division .�� Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 X` Office: 508-862-4644 :Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. 32-�-1 3 DATE 6� APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT V O k NAME OF ESTABLISHMENT t C S CT ea/ n ; .+-- �p t r t� ADDRESS OF ESTABLISHMENT roz TELEPHONE NUMBER ,-0 W 7 7. -— 3® �S 2a SOLE OWNER: YES '-�O IF APPLICANT IS A PARTNERSHIP,FULL NA/ME AND HOME ADDRESS OF ALL PARTNERS: �I i�.t/� I�V�►G�cc--� �� �t�(e�.J S`�: �e �GtRc,�, Cam-r IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. - Zuo SZ S� STATE OF INCORPORATION d�J FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER 5 CLERK S 1 • SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS 7 tl c--� Xoe .S 41 HOME TELEPHONE# C:\cache\Temporary Intemet Fi1es\0LKD3IHAZAPP Rev2015.D0C Town of Barnstable Office: 508-862-4644 Fax: 508-790-6304. Regulatory Services Department *11 MRNnABLK ' Public Health Division MASS. Thomas A. McKean, CHO 200 Main Street, Hyannis, MA 02601 �Fo Mph Payment Receipt Hazardous Materials Payment received: $100.00 (Check) on 6/9/2015 i Check number: 1925 Check amount: $100.00 Name on check: Robie's Refrigeration, Inc. I Business: Robie's Heating &Cooling Owner: VIRGINIA K ROBICHAUD Address: 279 YARMOUTH ROAD, Hyannis r, Number Fee 540 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that Robies Refrigeration, Inc. 279 Yarmouth 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 Town of Barnstable �ppTHE rOh� Regulatory Services Richard V. Scali, Director M&rABLE. Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application.Fee: $100.00 ASSESSORS MAP AND PARCEL NO. 32-49 DATE t 3 1 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS ., i� n FULL NAME OF APPLICANT �J O ` 'A—. �1 t NAME OF ESTABLISHMENT Ce-0 b) e S o f7l' er&, c , ADDRESS OF ESTABLISHMENT fie.l� fY1.0 U,4� NU Ce 14 4-�' TELEPHONE NUMBER SO g— g 3 SOLE OWNER: YES '`ENO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A O CORPORATION: FEDERAL IDENTIFICATION NO. 2Z(p�Z STATE OF INCORPORATION M FULL NAME AND HOME ADDRESS OF: PRESIDENT 61 c -�i TREASURER CLERK S SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS..�j ff Ag/ rq, r�S HOME TELEPHONE# Q Application FormsViAZAPRDOC -y +r Committed to Service&Quality bleating & Cooling Since 1959 turn to the experts' SPILL CONTINGENCY PLAN 1) Evacuate the immediate area, if necessary. 2) Shut off valves, pumps and electrical equipment as appropriate. 3) Remove or restrict any potential ignition source from the area if the material is flammable. 4) Cover or dike storm drain. 5) The following is a list of the spill materials on site: a) Five Hazardous Material 5 Gallon Buckets (located in Hot Room) b) An adequate amount of gloves and absorbent material (located in Hot Room) c) First aid kit with eye wash (located in Sheet Metal Shop) d) Fire extinguishers (located through—out the building) I 6) Contain the spill by use of absorbent rags. Apply appropriate absorbent material. If you cannot contain the spill or the spill is over 25 gallons, Contact the spill response firm, Clean Harbors at 1-800- 645-8265. 7) Remove all absorbed material or contained liquid and package in Hazardous Material containers. Used absorbent materials should be packaged separately from liquids. 8) Once the spill has been controlled and materials collected and secured, inspect the area for cleanliness and clean all equipment used in the clean up. 9) Label all containers with the type of waste and the start date of accumulation. 10)Restock all used materials from clean up. 11)Manage and dispose of collected absorbents and liquid in accordance with Federal and State environmental regulations. 100% Satisfaction Guaranteed 279 Yarmouth Road,Hyannis,Massachusetts 02601 508-775-3083 . 800-698-4522* Fax 508-790-0939 • www.robies.com Number Fee 540 THE COMMONWEALTH OF MASSACHUSETTS $100.0o Town of Barnstable Board of Health This is to Certify that Robies Refrigeration,"Inc. 279 Yarmouth Road, Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ----------------------------------------- - ---- --- - ------------ ----------------------------------------------- ------------------- ----------- .------------ ------------------ -- -------------------------- ------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2011 unless sooner suspended or revoked. WAYNE MILLER,M.D.,CHAIRMAN PAUL J.C_ANNIFF,D.M.D_. 6/30/2010 JUNICHI SAWAYANAGI THOMAS A. MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable IHE rro Regulatory Services �``� w• ° Thomas F. Geiler, Director t BARNSTABLE, " MASS. a Public Health Division 9�p i639 ♦��' ATFDMA�A Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. 32-"� r 3 5 DATE �� C APPLICATION'FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL-NAME OF APPLICANT <l -, k, (2. NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT TELEPHONE NUMBER � 1 SOLE OWNER: YES C-' O IF APPLICANT IS A PARTNERSHIP, FULL NAME AND HOME ADDRESS OF ALL PARTNERS: /J 10/ 'Q.�. d'�-�✓� ,`� �l�G�iGtiu_� e�� C G/s�vy� /� �� �{�7y�4�'4'7� IJ IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. V Pl)-(La rJLS—® STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: n PRESIDENT v, (2vb c f,cc..r_d/ TREASURER CLERK- I-rA 7 e- • SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS , �Ju. szt — HOME TELEPHONE # C 0 8 -Sol- 5lyS— Haz.doc,a P/q SPILL CONTINGENCY PLAN 1) Evacuate the immediate area, if necessary. 2) Shut off valves, pumps and electrical equipment as appropriate. 3) Remove or restrict any potential ignition source from the area if the material is flammable. 4) Cover or dike storm drain. 5) The following is a list of the spill materials on site: a) Five Hazardous Material 5 Gallon Buckets (located in Hot Room) b) An adequate amount of gloves and absorbent material (located in Hot Room) c) First aid kit with eye wash (located in Sheet Metal Shop) d) Fire extinguishers (located through —out the building) • 6) Contain the spill by use of absorbent rags. Apply appropriate absorbent material. If you cannot contain the spill or the spill is over 25 gallons, Contact the spill response firm, Clean Harbors at 1-800-645-8265. 7) Remove all absorbed material or contained liquid and package in Hazardous Material containers. Used absorbent materials should be packaged separately from liquids.. 8) Once the spill has been controlled and materials collected and secured, inspect the area for cleanliness and clean all equipment used in the clean up. 9) Label all containers with the type of waste and the start date of accumulation. 10)Restock all used materials from clean up. 11)Manage and dispose of collected absorbents and liquid in accordance with Federal and State environmental regulations. Number Fee 540 THE COMMONWEALTH OF MASSACHUSETTS $10o.00 Town of Barnstable Board of Health This is to Certify that Robies Refrigeration, Inc. 279 Yarmouth Road, Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 6/30/2012 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2011 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health i f low &Iz2 r.?1-b 11 c . Town of Barnstable c0c'ro q55('0 �ZZ �tHE Regulatory Services ti Thomas F. Geiler, Director MASS. ' Public Health Division ptFD.39. Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-8624644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. (32f3 — 13 - DATE 20 - C APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT �J o k v, (Zo b ' c- NAME OF ESTABLISHMENT Qfa %f S ADDRESS OF ESTABLISHMENT �� / 7Ce.4'Wta2- t11q,I.5 TELEPHONE NUMBER Sd g ' 7 d SOLE OWNER: YES ANO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OFL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. s ma S-2-� STATE OF INCORPORATION MA— FULL NAME AND HOME ADDRESS OF: PRESIDENT J d(tiv�, 20 bi eticc�.� TREASURER SAAV-4 � CLERK SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS flay,b t e YU. 6a^44s l-z� HOME TELEPHONE# Haz.doc/wp/q A Number Fee 540 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that Robies Refrigeration, Inc. 279 Yarmouth Road, Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------ This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2014 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2013 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable of Regulatory Services °-� Thomas F. Gei3er,Director } a- MASS.AAAN!. SA ,e�� Public Health Division 1 - ,fib A naa►�a ThomA McKean Dindar 201Nfain Strut, Eya=is, MA 02601 Off= 508462-4644 F= 50&790-6304 AppilCaton Fee: $100.DC S 6 ?� / ASSESSORS�S1.kP AND PAR=NO; ���' 3 1 DATE APPLICATION FOR PERIMHT TO ,STORE AND/QR UTU= MORE THAN III GALLONS OF HA2AR OUS MATERIALS TL NAME OF APPLICANT J O k( GIs` NAME OF ESTABT, g�7'T' Cob 1 e `a-YL , �CA G— ADDRESS OF ESTABLISH3= *4,tiLyt TE=EONE NUT MR —<p 8' - ? '?I-- le 7-3 SOLE OWNER: YES ,�,o IF APPLICANT IS A PAATNKR=, F=NAYS,AND HOMI ADDRESS OF ALL PARTNERS: 6�e GtJ &.1 S� ficJ,tsa�u E,4'APPLICANT IS A CORPORATION: FEDERAT IDENTIFICATION NO. 0 2-2�, Z�® STA= OF INCORPORATION .k=NAME AND H0MI ADDRESS OF: PRESIDENT 70 V2. 1 � �iVIn.P Ci-,= SIGNATURE OF A 2 IU2N RESTRICTIONS, HOB ADDRESS 27 � H0MF, T=EONE # Eazdadwp/q I i Number Fee 540 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that Robies Refrigeration, Inc. 279 Yarmouth Road, Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ---------------------------------------------------------------------------------------------------------------------------------------------------------- �— ---------------------------------------------- ---------------- \� � This license is granted in conformity with the Statutes and ordinances relating there to and —p and expires 6/30/2013 unless sooner suspended or revoked. V WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2012 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health r� Town of Barnstable �p1HE Regulatory Services Thomas F. Geiler,Director MASS. g Public Health Division . i639� �� iDTFa 59 Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. 4329—13 DATE e I S"— 1 1-- APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT To t" 6--S n � NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT rw�o is rti TELEPHONE NUMBER �4 � ( O %J1 SOLE OtiVNER: YES `-NO n� IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: � b�� /I � V � r iC.c�"�l WJ 2..1� ��i.✓ r �/ T 14,t e &7e"kCuC-Cf IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. Q STATE OF INCORPORATION A" FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS 2-7 M&A4 �s HOME TELEPHONE# Haz.doc/wp/q Number Fee 540 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town. of Barnstable ® Board of Health � This is to Certify that Robies Refrigeration, Inc. 279 Yarmouth Road, Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2009 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/08 JUNICHI SAWAYANAGI THOMAS A. MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable y V ' N 0t' BARNSTABLE Barnstable SHF r ti Regulatory Services Department � aFamericaciv • �'� Public HeaR Wld • '+ antuvsrABi.e. ' " 200 Main Street, Hyannis MA 02601 639. Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. 13 1 DATE v - 2,o 08-- APPLICATIONTOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS r I., M FULL NAME OF APPLICANT V a r10- o i ck c� NAME OF ESTABLISHMENT P'o f CS Re 1-1�0-1- ADDRESS OF ESTABLISHMENT ?,75 Yarryw( R06 A - ('(V a k Pt rS TELEPHONE NUMBER 90 7 5 • 30 S � v SOLE OWNER: YES Ll- O IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: /4jeq#- A4Vpp a ;7&L4,�* bl'e La&e,X 66 k)N(cLJ IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION MAY FULL NAME AND HOME ADDRESS OF: t.�aD�tc PRESIDENT o�v� ?—vb ( TREASURER a.w..e. CLERK /2 IGNATURE OF APPLICANT RESTRICTIONS: HOMEADDRESS 1-7 Harb(e 8ccrxy�r-ke HOME TELEPHONE# S90 8 • .3�a Z • 510 Q:\Hazmat\Haz Mat Application2008.DOC i.Y Number Fee 540 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that Robies Refrigeration, Inc. 279 Yarmouth Road, MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2008 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. 7/1/2007 PAUL J. CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable Regulatory Services Thomas F.Geiler,Director NAM.RARNSMBU, ' Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 ;=• Office: 508-8624644 Fax:3b8-790 6304 Application Fee: $100.00 tv • Ln -10 2 ASSESSORS MAP AND PARCEL NO. 32S 13� DATE "ZZ' co � rn co APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT 70 V1 Vl k0 6 1 C IA-a '- nn 0 i NAME OF ESTABLISHMENT 4ZO b I -eS � eras Ova Z ADDRESS OF ESTABLISHMENT �-�cl Y��WL-o i. -L� R iti/S TELEPHONE NUMBER 30 8 S SOLE OWNER: YES ✓NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. d 5219-0 STATE OF INCORPORATION FULL NAME AND HOME ADDRESS PRESIDENT <,J 0 tu— h;c TREASURER �7-o kw CLERK 7a-m-e� k-b,'C""41 i 5 SIGNATURE OF APPLICAN r RESTRICTIONS: HOME ADDRESS �7 ��rb(e Rom, 25/ bl e HOME TELEPHONE# ,Soy - 367.5-M-5- V R[s Committed toROBIES Service&Quality Since 1959 Heating- Cooling- Refrigeration Tamm the rts SPILL CONTINGENCY PLAN 1) Evacuate the immediate area, if necessary. 2) Shut off valves, pumps and electrical equipment as appropriate. 3) Remove or restrict any potential ignition source from the area if the material is flammable. 4) Cover or dike storm drain. 5) The following is a list of the spill materials on site: a) Five Hazardous Material 5 Gallon Buckets (located in Hot Room) b) An adequate amount of gloves and absorbent material (located in Hot Room) c) First aid kit with eye wash(located in Sheet Metal Shop) d) Fire extinguishers (located through —out the building) 6) Contain the spill by use of absorbent rags. Apply appropriate absorbent material. If you cannot contain the spill or the spill is over 25 gallons, Contact the spill response firm, Clean Harbors at 1-800-645-8265. 7) Remove all absorbed material or contained liquid and package in Hazardous Material containers. Used absorbent materials should be packaged separately from liquids. 8) Once the spill has been controlled and materials collected and secured, inspect the area for cleanliness and clean all equipment used in the clean up. 9) Label all containers with the type of waste and the start date of accumulation. 10)Restock all used materials from clean up. 11)Manage and dispose of collected absorbents and liquid in accordance with Federal and State environmental regulations. 100%Satisfaction Guaranteed 279 Yarmouth Road,Hyannis,Massachusetts 02601 508-775-3083-800-698-4522-Fax 508.790-0939-www.robies.com �I , ,, ,,; ;> _,. a� � . g a .. s a. ,r" ,m,',`q xr4 6 'rf A ' :Me k� '4:,F-r za a �r, ,. z .w, t t r t - �yy<�y t',y - & rHH�C b } } qt!� 7 k t`{Tx i RYy r r G. v' e - a {•. f' l i L T a'•p= Y�5., a . F Y i K,}`.➢ Y 4 g yC"V y-- 4 Y+.>-^F t 3. f R. q}"i d < t*$ j ,rY #+ tR{ Po irs. 5k.�r<£ s c{'l: " .L xh l :,f�rkg'y,a f1,1' f .,s'r'- s�$Gv,: li'* k_ 1 y°•f 4. �,._ R S'I+4'`" -� ? F W.L'X '°! 'rf Si' i'3y 1 k4tir t 1 J 4 d v+•'S13 x'*Nri,q Iv, r{3'-a ''�+ {'`�'@ ka .: 5 ` 4 } t- sM14'�. � V at f zz s5 .- n;"„• {,.5`r a',�.r -r -Y �Viz. ��, ,.,4 ; .?x-k +C"" "u :!`+( t +bx * ., }t�A�',>a t � e r ,,{t - _� .. t s = q µ„t, as ! t �.F r'!, i'""«� aiY ''`,�'>.v y v.-.,• XI r. :yzlr�t t r` +.t s i .`T!Ar!p s t e!'`m'[ r'+'` ,O ^_ lr d >4?,� 'ayFq• '7!`1 r:;d`b �. N�"''a° a '''�r 4 Sv``�.',..rY„lt t`ia j .Rt I:' i�' +�Y Y�yt ux Ylfir..; ..�11 p :"_ - .:,_-,r E x_-, a-.U�'-''$qx .k,a az a1if[, 2' z 4 +:'• „FCyrp C t 1 .>rs ,y- ..tib ,• 'S`2e�a 3..--r+ *a '4'< 'k # 7 -' t. .. x°,}', #r. k v' t °+ 'I r 7 ji t'} ,,d�S br d<ry�.7.sw b' 1''i ^w$�:^1 `r"�:a.l J;.:x'.T 'af ,'frY } -:q fix.' y rCd4 -y i ,i" gd-,' <,� {g::&•`q'Y- �'x qr !! ' y"1a" S..y "� ao-t. r^'«" *.z�'r �"?t a: ,} f"�._ 4 ,r`rc rrP. Y,':. 2 n nds 1 ( I "� rqR ( .41W r 5' �.,^ l +i<`x'% i 1 8 " ,<,: 3 ;i„ ar i^'t, 1 'u r .y "u , - ";s° h• tea MY{i�h. J - ''ttizzz> xk �a ' " € b..•, x._ K' .'y .. kR• u. .3 e ss ,. at ti x4 " !aa c 2 rn x• ...;ti C., - q y' _.._ Mc ,{g�arn'g -�.St t`.t:x, a ...t. m,, I t : ,, i. L. 4• / �' «'r✓.�`-r}h'�` d•:t,+'�!Z r"`:k�' 'Y+ , ..,.. ,,,.:._. N. 'da,a ,t >IXt ,r�`yr,L.. d, .r„^w r ..%q 'b;{ r.: <dy�r ', �. -'..,.�„, 't'jn, ,,'at"'�:�6'V. x„ , �� £c'.,,t'S� b y '1'':t 'N..a � t'A`...Y a q ; 'a y.� ti M "i fit' >%`.'-; f1t� aw I.sra.'r: x.#'" `P b4-:" ?',,' t�,�s t w w:;:r 'd'"rI' n v.+s 7+k,,�N ri { Fti:•.+ 'C ..�:54� �, }�r ,,!'> y; ;;a .�c�; 1 �' 1 �� :.n ,r..,};u q� .tiF k`' J Y i E•--r < t* '` •# ,a b .: t .}'. ^.�,., '°Y, :, P S�,e< - ... •m .+ ` }y ,qr, ,I s '. a :r- .,. ,e a + r >r.. :6"�'ti;�'.. ;; xk�w ,�.0 t. s ^,J Y i ,.�:' 9Si 5 r t i, n� z»- �. 'r 1; sey ..� �u 1 r r.-R.I.t , �s a y w, { f: r f ` l �� g np� #. A x t i ,1%, ;r�i x.. t =. �-Y° q;C'Es'''4�,ti!y, a 4,vI- ,, �S " ' i�•, �,.b+s°� '�.xa'?,*C+A 6. wa :'-JA:. q 4 s s s•'' .s a' ,",4 r✓1 '"' -:,h e x..,:+, Y,a t ,.:„, `>:;,;atku r 1` ..•'t••. .per. e nF`.:'r".'. r,Farr.+ S Ya:",'t`S" tr'S, .:t-,e ,7@ :. * `, �? _ F*e :1., o,'.;r, y,• "1', '6 d+-p,w „?r 4, t ! ,+>' ' C �I':.:', 'E �l:: •r Vr �:,::'fie u r'srga,:{ -1 .r l 9�F !` r�1 S F:f iw r4 y . a s s 11 a p �"... -,>:� z''"„s y -..• r s,7fi t.•K. - a r ' 4 %rf �'zygrXP* .".,4,} �F'' .d°n;f�-.k�`;,.e t3 1 r 4 � 4 �- �Ys, t a < r ,fps Q? dam.- a NAM f1 a 3� Sa Y c .5 � sFa,1- f4, tsr r s a s.x n ,,d "x"x" "u'' 'w „y' -.vs 7 :. tF�.-'�' �'> 4£:'y'•rf`'S ':r �1 - _'f[l�.. Y '3 ;t:"�,�rs �,'.y„a• ;' g.t k� 4.n ''� eC. prj ICe' n kr,. 4. x4� s r1 e sc. ` ,'sd.�ara '�ta �. '}Az. �s 'xv:r r ,�'3 ;Ifr ,.fc;. 5>< t 1 `: ti ur� J".=. b f ar t rt _:,u<�` 'a- m. ta�2`+;,' 'z v't•t ''Axe G, d<.,, 3"r.- r k r �k a t 4 a i v S'Y,w$. '# > A v H?'.. �: t y ypm 3 c :`'j fide �'4:�)r *L tzt1' t -, YPC , 1 rry,A' d I 1 a ._ f 4, b .,�yYlI v, �-t ?,i get '•� Tv�v'r ti 4} 4•'' .�1'{,k`-•,, , IA}4r t7.1 dl r +r' �?,'IE .'i! s.1-K .i� l d:,7A r.r:.p}y�`.. sr'� 6�-''_yc _� r,f.s w :. �elD�. .cr, '`^it," "` :'ii >z r >r; ..� yY�,..r ., :r;< tt a :9t, `s x.; ,iA' '" :'a z- °�' -siut,ss x � :• t?' 1' t 2 ae`r Y i F w 4 .tRA _j x c 1 :y, a r �'a , :` " S e r akK`w e nr r° tin t Yt; ha k , u � c ,,r, tia��< a5}'r. a„ § Ufa � 3 { k :, ,, ,�1 1x IaWggq,.9 a 4 , r, ,, q _ 3 , ✓ s• „_ I"Iy 4 4 b,"'r t 94 3?d ! Sr Sq kp lr hp 3 t r e {�#a >y rr k Y h J a 8 4 d A .,x.�. 3 t#� •-s�j�;r,•ft r Ga-3t�r'©n `a•^t' a-�i e,€,;, f Snk& ,,'i,2 t'i•„ •fie, r.. 11,vr{g Lk , '.-a. � i _.-,I-,"--gzt �F>.,::: +� _.tea , 4}�;r. ,' r nz .. d•. 3ha -<?i i 'r r - '�'etSc 'r� maw.x �An:t. . +�j�.:4 1rN't.- .x� rs rsr.k,�..;4,<- d ai" i..•. y -q,N1:.�- Y a3�Yc'.q�°x X 'ft>txelz t?'' a a P, " a#° r�a a x t.- 't't o "{ ,'{ ,�kr k k } ,r#` ' Y'>( + rw. ' �+A ,w' ` 'a+'t.y a A^i S"'.''#+,.. ,¢Y q { t l, W Fs # te,2,. .S + "x `';v,$ r y: t.j— $4 >F r^,-,natc 40 � P.,�ea�X'.'�'a],, 2, +P „r< az .A�' as-'-✓iiu�l-.:: "x�-.�r�IY- at4'�xL ,.:.e$ss 1' ;{4 £" 1., v. #.,I s x-eu r !SL d i_ t <.>,�,s,, ".n a vA .S ". r r °v .r 3'a iS9Mr 'k #F 1 ;.`-i, � i _a,f s L - ,� `-aso` ;Y.lY.. -, "�t�JQ t!' I. .; c u tL�� 'a 4 tm a F;, 17.Y` fix, �1. - i+ ;.",+• ca w x e?i ;`f�'+t- ra.i Z-Y xis' 4 ;r`lu � -1 t ar Rib' t'�l� N 4. y ), a ,� ;:P ,..,,x K k--# ` �, ti., �,st, _ ,nc�t��r` r. s' r ..i $ h r?,.•q k y �r4-1 �y".,, s ¢f i ;�,ry y va'rZ .',' S., ?,S F ct< r:•'•�` ,'C n;i '- a ' ma x i s R'?�, x r y � b S� s F t' { s �w <x ,;. �,, . ! J, i 4 i. b'AF' ,fkR7.`. $1r.L` i'2�R^5.x. ,n i'x.`i' J{ MO. f 1 s r?: s f 4 Y 3 t• = z:'-;a ,hk ,+ti' 'k i -;:�k ~11 #•' '`aX ,k:- 'a•• try t` s� a,':: A a'.,, r'. �,r, .-.. ., fi t..,.n„ .h q t. ` t,, fin= ;C�„ z 6 .I�f q.. a�;�.,;.r a.r i. 'fir, °. r _ i, ''s'q ^ 'k s sqi. h La F`..i�C;) '�, + ,� :a - .,t roM.{SA �, ' arr4 N �13, a4, qu Rtjv. :, # ax 3ic ti .q,. ¢.-t.. #a, w ivy 'yd rw?, r.:,r a ,, ' r �."p�;-t r;2' Cf :'# !"9F t -Fs^ �r i�:,tkRR -' a r rV^.1 ''A ml fit.^^+ �s,1 4d z ! _ ,''�•.zYrt4Y' v M .`�h 3 �1}'. ; •+rr .�xy-, >, Ya,r a ,.'W"y'u t +S'(,#"r '_'. '' rf - C'r' -te_1, ,8,•'. r+' ' ,M'``'t,7 'Y?nz "r�'er�:� >"< isr.A,k5,1 rr j .1` .,r." �'� ,t.ri.4 t"� �`u,^ f-"•`s'`s'c°„��s' `-a ux>i. S' -]'.<'. a w ,.v,.. ,s :< ,,p�.,,y,;,r y :S�,C s•. n .�. inr ` rtX,•�" d YY ��j zx �. "+tir4t ; x M't x.. a, .�'�4 r4„ w]� 4'+ y'2 t',d �' r # :..r 'e +yam-',M 'tYiti�� °"'S,rS y .r 'r Ik d^ r.y F.. k, i K +..� A f Jv, l....t ^ L q ,{ pi - ,m ,e, i ,, .;s, '. ' i .a r e. i - 1 x;.s d°rd:,. } `.yrz ,;,, r` d <•:4` ,.x '1'- G a ti 1 �' 'i F411 " }.. _yr°t," = �' .`r�r._ r -i., i , -W"ti 'k'#aq,, •Y.,, �y+y• *,- _#�.^'k F - v' "'', .> ,g g r� c _.y '.;�# v ,aa'{x :d ' ''v � r li� 7)7` �61 'fi'4. :� `• k a r r d -'r+. V t Y"YA j tc ta' •r v.`r 2T."+'.c x � Ar t,,. 5,.,y .�5 y t ti ,�, 5 :h- # $.f.'. fs,J#'� 'A�1.,'1 J /.f:`,t, Ur'- afrst /'A8 y1 "1" r y p.r':; 't4'L ' nyA.+P q fly 4, s.,. 4 �t $ >s + ; k.3 w I b`f ` e;s5 �s m .S��� k�at 4b ra rr'�,.��.ror > k<: s :'a# gy • „ 'y}f 5 fzu u , ?::,, >'`�... L , v'N' W � '•."�,t, '�5 A ,.#. v �y 7 Tf '+i 1� d C A` ;-'f.` wry , t:, z �A .,-:^£ ' �,, t .:;{a '-a',t :'x } �- LEI y�P c.ra P- :. .,?' ... .,� 'y�..���._ S�,ss "_`�lyd e,�,t '§,x. °I, ''tr; '� `'t-",'`a`..' . 71 -?`� - s` i +v FRr:art�7., a - ►.INr<; t; zr';. r '',- n ,tsk:St t;v s k fir' :.,:` °,,?+�-i�F t;x, p a,X,,4:111, -.. 1. ;r 1,A'"<.'vs :L'F a y'.agy" r „'�S a j I�,G': '^v�i� x r.'!'�" .�r'$,r.4,5'r .'3'r<#x+� { d-i y. �•r k.;: ,,y#.' ,: k r,C "t", ,' "` ' y S s<..&f^,p4 ., _ ��,1„kr x1. r ,e : �+ tK ��wlr ° t. :'4°�'Si��p� '5 'P:.t i Ci h' :. -;I-,F��`f�C.± 3 IA :,.!.da .'i .�.L`"rl• rtl %. ;R� 4LF tTr� �y�4r.f ., "5y�xht4}2: �^3Z r� �ti'.l i 'T� #- '+}:f4k'�yvflj.J '9 +ac.aM +•' f S x +.k h..,— ri TtY �,'i�M y q7�i ,lk 5i J�:xj t�Y" .. .'„r.114-k.. ((y x5"_ E .:9 c��j.:,:21f�•. ;tyYAf__"yyy:.�,,j �1 .'{1,ir� ,s 'i. W if., u x • �fy3$ FA Y7 4. .`:i}1„ 1.'T� h'�' Y:{` s! �1.'3,9 ;� ' ,Y ::,{.,7Y, Rt F ^ "" ,t- .•yu's.9 _`" + ¢ 'S: 9 '�"' ,a¢ :..';` ,x. 'ds5!'' y,..r6a s< c l x s. y. ''::, ' �' a o7 +�d .i< aivx,a _.i} A ,a2.,.r �Sv.. ,�{'b.�aSr.'` ,ya ..�,.,. t .'t% x tS � t�" l�. r* .; , 1+'.aw-g w,� ,Te Y. ,'4`+ Y+ 9�'yf wk � '+A p R a> %"S. Y 3`q y�-,— y�.Iv XT m<c� �.4.,r z',J W �u.. n) y .5S" y r �1 t Vr 4 ,• ' f y,n, g y'.S r d L'`R d' '+'W .3 k > .. m � A u #�` - i�•Fq,°i"' `. vl.n <j.... yi. y,a- #a..'d `yu^xy�v�. -. ?'" 4 ,v 3. D`' gl L= �C r 54 fr F k •• ;ikk^' ,� } �,z '�"�x.;"t. '`.,#',.y •sI,a,K ..:.^,S ix•„ f°`;:.. ''e-ar. Yi.p�, rz4>` 7 A` Ftt I^'�_. qd ,ry..�►s �+,�" b y.,. 'nf ti�a-' w s.. £, t sY;1N .s .•:.., 75 .„,-:- <. r.. Jr �; 4-�,T� ;Y 'a{ t"ir• .}�, !# ^�.y,',:a4r ss ."'t '7 , .w1, i> tk 5 f� °f.. a K, 7 x.' `'',T, iy 1 N .'"�-r` {.�{,yi�/,54^' `` '1s — , :-:,T.�ie; k yak �r4v -yi i...,r. r' ?y'3e -,�"��� Y'�4, c'.:!wF ::b`s- i i @ h ,�p:u t,[` a5:7t •;W ! Lrt 't ' A ` t 4 F 1 Y•:.�Sq E * 7: A : 'F"` k ">'7�, v,i 7 r.%fY..� ,q m .:t x .ty.'ZjK rs.,•� a h: y��. t-xx F > 'h7.:Yr+. ,•m'`� <`i4 AC ;fir' ""' 'x, -V �`r{}Y' jj f ..Ri 7T a11;1 ed"s 4?tP.,' {fit .p�F — «, 'k ¢ qx b d" � yS� ^4`bfr•4,,v�rg E,- C 'f`a,;,,'},a,� ,,d+r5,-aE a 4 3 d yb r1 r - yx .:F ^.^i pp F \.. j�.'` tu:�'' p-,"°"''1"#, �>}or ,..�,,f"{. . nSe ;.;.F k3.-i� *iY.'�1 n a'�,1:..3 rryy,q at 'd,,"{..-�`.f` It ,7'.1 5 "Ill ,i vp rr u yyj M' fV! .LR• S� i-+, ,,,tea}'Z "a+- i. 'r Yf i.. ua» s� '�sf t� -? •' A# a - i6 b�Eyyi•"E 'ter,�`"}'r2^ o, �e y'�a'C fib, m..3a iY+#� gti� , , a-`I "" w llz-h i --.:.' SA�� y �x*"R+ �r'�k><'' ti+° it M,� sys.:, .ps`7".F' s".`,,L ,�R .✓j "s a„ Q s.1c „!!! ', - r i,;�' ais' �H•Y':FGr-d... a�. s ..r« r, ; ,5 :rg xr z ::,, -r.i/)d,,k, �w tx 1.i,� �'�3 Y '3•t. m t`1 r..r ,�, v y ., a3,'L.!„ > X _ gip ` x' .. h c4s.�.3.•• • k.: t � LYmy .£ t s b-11 � .s4kazp I47 :Pfir s �: z$ ( T�l`".M�^A. r V'ati. iTµ.: y'" �. d. JY y� R••- ►.��.. i�`as', �p,� 4t�1�,rztom. ykt� i`Y' j r..ty.,,.F i'.� C 'N+ - lNg1F ia'..i� y1'".�'S inn - AY � /`Ei, .rv'.t r "�L+ .T.-:1:t'�F i dw Y��:'''�'. '.'V �.ri Y1 w�3"• F-.�'SeR'Y 4 A"ji.?..f fhr =:T "'' Yt} L'r rF i-« { V'h ,,�x+ .:r�iw' ..,dta�^ ,; U'V ;Ar x�P ' s ; - �' '+�C. x'e" '�',%,°,'Y�tr gs '� t , .n,.. r -.;; ,� °'a_,i 5 ",ice S .:.b r .. 't`l r'2-- z ic, F ;l M +,-• 4 �' r`,r., $J S `t :t '.. ! ,.',.:fit r :�.': 2�+. d..;: -. a,p .r,. ;. ,... �. �5..,i`�^Aij51t-e,..11`w� r�a°f°-'°?w` ,x r,x ..fit`+ .,aA? •tt; r}yr:n. >{ " hF t wP k � t• s �ri1-'�"."r r ;vim �:'5:yC i".',� ";'�6;^VZ s�Y l'�n'�'.:t. va `�„!'ts..xays,P � 1 # ;sv.l Yt�: " f -,y1 a7' ra'y '.. `r t ti.,r,' avt'�„ t _, w , '�s ! ''� t,a ft r a r$ i t t+' �..c` a 3'bI. f qA;,:Psi -g ,.r '., '{S d °t>� ".rX, .`t"w. '' :t i,,t'r ,''1',,,Y:; ,w s, '+'I-p, ;'s b t _., a, °'i�? an c,'��;;yr ;, ,,star,, i"t.'^` I a „ -`S y:'J`C t tiler {""' _. 'Yt..< `' ";Tr"r'z°,r' '' 5?R'�5 ° s;: 3{t Viz.-•w..nr �;T '' '+'S �• p7" ,3')wa ,'klr ,R a Ti:.. r=,..;-S Y; ' r `.fliQ 111:..�• zv ti �.+ ':hN"� sF 1Y.S .�.'. ,r q ,q+k �.rv�, H'rs`y •'k ••t.'r - ,� ,r: '� '-. a c ? 4 11! -�� N MM$,.�,+y t {k 4S 'i :v. ,.,�,S•xa yy 'g ,,A ? t d £ ��t a f a z t .0 Rt ,,t,cr !'!j;, _ 'f �.�, w� '.t.4rC -Ff5 t r :• ,� '7q{ L..,: e r� v '� f K n ra s 4 r ram..:} t r s X' .�� Q <: c" rt, 3"f?. pi 'Aq M+ s , t rt<' (�j } 7�' 1- :1r, `k sz}t.a _5,� -- �$U. Y},t L ,c•' r `$ `"' ...,.. ;:-i:•� < e•rti d`W "I i::1v;,", t,;,. t , -tit,,..1ta;# n,..',. ^f'ti. .` ,'." a "'. y., t.,,',c'.;.�xi s? '.a f a,7j!. Y `t: y-,n .+n,,'k:<.y_ �+,:; w� '� P=�.d" `, i v a a A X r e s -1111 +• ti k s %,`�i$ h'�'•. py; 4 ''`: 7 ',i f ti� x..�i..7 .Y"k _4 +- b.f k• ?ry S i 7; c '� itj*�'�r 'J` �4"t �!x y 3 '•�krFs'�y T-u P S, ° �'' o0' ?>r t°'W Y"-'-'; .tr ,0�. t"..pe 7" ' :.I ,r' -"r' s -:'v X ,.k:; t,;i,r y !.•`^,+;,k fit`-try' 42..: yst .s� Y < .,,:-`s .._'x ft W,- r a.' t CKF Y "my �+ E ? `CD'' ,,4 a'• 1,ri. 1„�ffr 'ia s' f�, to h Ys w' <F 't`t d`Su2. s ' a' r� `�w t� fz*. •u > , ....a'~„ �'e+ h k...',:. s ry fir, ` '62 s- S :x ,- .r x,µ {4 Y iR d +sh..r�'� i �� w`4�i 1 �,. , >t: '_K t r ••,,,.yy' �'h ° i•' ")}1.�4I f fl.: rrz' iy Y*+5 n {,.. sr••y.. OE i+ v � t ..e t,ry*3'e5`Yt r <� 'A,�Y �. r. d Y 4'r{Yz r a 2:"`rsw ;Y r^- V �"3+ ] ,As i "ry �'=.;-a< E 'L. sJ k u,�$�-., '�q;::.` ' 1 <l 'd, b - 1 .L0.,., � :'�Y , ''r.iyI, 4.:.ivfs7•a,�r 4v", „n.d .1 ix s"` t v .. r L^ '* u a t x '� d s.+rt S y '"v'K. z�"w< ..�'"'r r, ! .A::S' !, >"` , �. a `� ��;yt ib ,., r+''rez3,' "4 + .r x a ya„ c,c 4e- hx .>.0 � a" t,. .5 a I : S r Yti f 3t 5,5 h,,.*' ;, dda.Xr't i�?ax w,�k x �,- :k r 2 a- � ...�,;,_-� :. t?�a h .by 40F, 1"Ys : %~ a.- 1„'r. 1.?.,-, -t.n y ' ."p n, �', A to i-. w.,a ,$--- r ' c , r>•a. �, n :'t.-�,r ...,a-�ti < .. y v;:•r -^' ,{:.:::..rl;w':"�+ .:.� +Yc r+ •s i ta' ,.�: r.,*f f�,s`* t l - • ,v.,ty.'r y>F -. e g° r r�.m," arc `�W'""? w _y y iice�}++'' ..: t� �i�:"� "� �� e '�t'<, r-k , r . t •;,�>,r '"., ,K, .t...:': i 1,1Cxe ,r'.,:., 3t ?ti S�ra�?s r<} ,Y,ik n "f °;sT rra Y E,-. ti• ,;,.' ix,. k,i -v ,,- bd :� 9 �n.:^, +t 4• �f o i, .u. r ia,k...::°" ..` , .,:tiad. ;�.r'' '`, J2x A•- ',v. ".-',;... 4;,,sr t ".. "' h �,,.}° r=ty, a ` rrq _f - ,�. ,q-;k i ,kK , x' ?f. `' y a �rA":, a ax at` '5.. •#„ 4Z. y. 1'�:r; "�' M a 5"" f� 't',,, '^r r'i"':.: 5, :..-� f?a 7( sc .,r -'. +�,. y.:.. ^'ts.�r�.: ,f i.,.• ''3§ s• 11-R ,, a ..v�l ,r "} '� to ,.r3- t AF,j, 4# 1r- eta` t',-.: s 'a Sfe 4, r-: . . I Ft rt]ry d rr ..e Y,',,bm"�,1'i`'+`.4 a #, i : .p' x .:��'%"w - �'.,y '+r,sA,� ki. z r-�"afi-st; , ;rl l' v .i,: a ra t w r t i e TNy }r..:. r♦ i;a .rf"►ad,o 91dgy.,.t -v y��i 11v" r.d„• t'tart; 'k's t w 4 <a9w, '`+�` Ei us/�,I. s'', ,i' 'x g W` A'kj.. r, tk : + �`d `t'yisa < r t xy �, •. .;?t,{t, 0 '{ t qt,,, r v t.! L F #al u^ x"h ,a'. s r a:;�' Fa a. r P S y�t+ i.:.a rt ,;,akr >' ,'a"5 l h+ t a r y I'l,.s 5 a mh`r,t,,, ,r :s� �" 1 wa,..{,�,• 4 y� °F Kr.-..: -7+�-�^rf :a.a _;11-.3 :r )KC'd. i... i z�,.,.'-,,»' S' , r x a.- `' ; .ar `^.. '�, x :.v•5 <bi "9i s ;.rs.vi '�; K�.t ;;r .fi f :j37r c5-; 2 $ �`a. .. q`;- ,,yy „4 i #'- '' N &.w-' i .e., , f...;;,+r .7_ a Ah .?.., w `fir..h 'k �$'S:? `'sT` %'"'- 57 d...aiY 5$ N5 ! `et, r+a'.elt, •i yY a+�.1' ,!t',•+e,'wi 73Er 'Y`F S.^ I`E' `.- .f b Y? rq", y,1 F .�, S " �11 •t, x c ti',.( t x% .,tp f R t ' .r t i .t f ;:'�r-�'+Qj".`s k{ `�` s,_�' `E`r °,:�r/�t`°"ktl' fx C ti f x.` ^+A';'@'rx `,'Y xa�a,f ??"� v;.i? � cvs ,. ;. ;�`Ist a t"-'r'a .L :j-#S S'.1";3 ':.�a fYY4 q3 - r.75� ,°,.dkJY,Z k S; ax*a.-.'X`.v-Kyr 'g �'xy{ v.Y -l.F-r-'; x .41 � L.: j; t 2 ;S :; is -"tea ew�F"f.' "3 _ t i S r 5 4 <pp n,y s a } u x "a :.ta"tr {n ,, Oi :`Z''C'.vd' y,7 `- ,Sk.r .$ ,fi x K.- s< x ✓,rT ,2 u{'r� ly s i r Wt !�v N �, Tra z Y,' t _i� r^Y,' is "U�aI,W. `r,::r,Cm c r. 'L '$s 'v'�ff; x�. L ;i: Ixi:.t T: 3,.�{:.''Lp tiS`r:{fit r.+ yY. � �I::�s'7 'S}�, -,,< '�ry¢q �'rr';.rq -11""i5€f.t•.k `�'t.Yx,i'�"K ..0 _c ri, --I4.I,..;. } I c d#` Fr i r 1 .y 4 �'> 44Ar�,&+,h x h # iv`F ram , o y ~ k fit- Y' t. ' ' i 'h. �.I T M...# - `?" /_, `sf, rd ! x: �§ Sir., �- «„ silt - wy. n- a �•, , - t r s ' r. - `' a a r 6"` *wr,ax.+ tr " '� ,,,r t,� �w 5. ,�'t <t,.k'+"«e A -'* Y •R;r .y b;;1 ka.11 e� v Sa 5` 5 ^�C ,.,`,;" k t;'g ✓...y '.i a i y S :'$" S t' 9 t,r-. ° 4 !� r ,' :,,i dt"i`a , k ? g " a '� , a 1 :P ar M , a `x,a l>' _ '` t # ,l+x`d "ry o 3y` ai ,$+ , p 5 -,,v I I -i ;� a s i.. L' c ha + YY ty 5y,"5R rr 1TS r 4 4 n fl 9S•r Y3 a a } '-§.. K' o CA a.•5: + ,„sr4:;y I'p, 3 r:, „+,*<aH' a,, F' .. •t.,4r%s.S. \fir'..:-:.�.il` ?6' ;.a,-Z' •:q1. '�k+..n,+��, '�".' }.a�y „t?w,e3 > �.ri Ir ,Z4:�,:A T K t... �n<v kgh°t�" +..,y ' y- ¢` 4-`""4 cEHcc'y,+ 'x'� c ,a .r c- } ..7'X 5 f t 'lir t a` `a t,r "I hr -„5 k h F " o- x r rtY Iq� # ? " 1 - X,F,t y � .} s�i 4 '' t 3'+ 4r ry k.+?n via" s '+,z x °` �. s's'}¢. i'' ar +c k a ash �» a t n - i :; .5 :.� t.C¢i. r e d$x Zy f "A i #.,": r _ u F .y £ *f" 4 1. �.d Y '� - :dx r M�� Y :. a,E,u,H, ,5^ i 2 •.N r ,; � tw,}Ar3ir I :t,w.^q` 7yt�aq,},,Akk tgCA`t L':. arxak utt}yr' Atj ,Ip ,J. a} Af 5 :{;' Se;] y{j�•x f ? ttS,t}N§>.k r `nc 3 4 ! .n. r:-' .;yam` t� - '{ WY, pp f..,r ,,A C w{., .1F:$F)✓T '5..i .. ;F:x'r v n Y 1 i Av f s > t r: v: x : �' y r �< } rf,p r ,'jr.a dry - y+ 'r gsi ,s r �.� r ° , W r - d S``w:° 5 :.+ 1 M' it*� x Y Y ek s h ,� „4-i r: dry.A + rt, Nff r ^(c 6a,, .,r `d .. 4< S?>< h J f ,.".. � err e A a.k '# 2 Ili. d + > b 1 a r 4, > ,r SG s t t '' ,Ms L p'i rfrS rP A a s ,,,Fk JY r y r ?r{{ Ud. .r 1 i? s 4 's'! x`r,�.✓,yy, 3j k'a� tir'*< -.t A ?r�. ^ f Y n r'rn r"d y`itr rt f ;: ,,, I t t' -q '.. ,, Y n d S^' of W ,iq , , i y a yF r i.. .1.. ,_ - { t c r f J� - f "'htR, Y. :' rJ r r t - 5. 2 i. br 'f. { 7$x: a } i`r ?a w a f 1 xi % F A - e S �y i 5 ``r` �v�+� `i J x T a x s 5 ! kl k 1 a yb sty, PsfiFly * h-", r i:, x } ,+i , i .R.r3• ,fir, 111. •.,: :. :3 r; h :.s` 9~ ,?s - r ✓ f i is y',,,. ?y� a !-' .'t r ,-Y,+ ,,, A,�, a IY rs y 1. I. p ti p,... ..` Y t t Fi "\%d §x, 'S7 .f t�'xi� 1"t X S r .k'i 1 d . w .�. *� - x.. ., . .. .....,,..,- .. a.,, ... ,.: �_ .. .. - Town of Barnstable , Regulatory Services 0.0 Thomas F. Geiler,Director 9BMWSTABLE, MA93. Public Health Divisionl� s639• $ ATED 39. a Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. 3 Z V - 13 / DATE ` / Z 0 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT J C A K t `o b �G(A NAME OF ESTABLISHMENT Ro b I-e$ e tV .- .Lylrir ADDRESS OF ESTABLISHMENT 271 Y rmog:k RoO ya"fti S TELEPHONE NUMBER Sw S ?79=- 3 b 8 3 SOLE OWNER: YES ✓NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: �tr�i,cv�.a� �6%cGcc�� 5"�Car✓ter /Zv� Gl�- yCL�,�2ou�- �l Ate.rx�7�e �e IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. ® 7 - 2-Z&S"Z-S-io STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF:p PRESIDENT 7'#A K no c 11 ce u oC TREASURER CLERK a b ' Ck SIGNATURE OF APPLICANT RESTRICTIONS: n HOME ADDRESS Z? h lard(e Pa'gf , HOME TELEPHONE# 5-0 8 - 36 2 -S<aS' Haz.doc/wp/q i MAIL-IN REQUESTS Please mail the`completed application form to the address below. Also include a copy of your I 'a contingency plan-(tohandle hazardous waste spills, etc). In addition, please include the required fee of`$100. 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. Also, please fax us a copy of your contingency plan (to handle hazardous. waste spills, etc). In addition, please mail the required fee amount of$100.00. 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. e i For further assistance on any item abov ,,call(508) 862-4644 �I 279 Yarmouth Rd.", Hyannis,MA 02601 L<\ IES- H a Cooling Refrigeration .� - L Committed to Serviee,and Quality Since 1959' ., c' �� ;>� �;-,`', �� �' +•: r '{ s ' ;(508)775=3083 ,F.., ;'° JOHN ROBICHAUD � xV'� '' Y 1-800-69874522:Y. email:john@robies.biz ( ` Fax (508)790-0939 - y Date: TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: �' ��=�' , -�°° �' • BUSINESS LOCATION: ; _72 �A- 1c L*h 00d , 176CI vu-5 INVENTORY MAILING ADDRESS: �� `� TOTAL AMOUNT: TELEPHONE NUMBER: CONTACTPERSON: ` e-TaAm 6 C,141aIICA EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? � TYPE OF BUSINESS: v a% It - �. -� � 4 '>11 "( INFORMATION/RECOMMENDATIONS: ofc-�L�- v6 � &tea" rrf ire istrict: " .p0X:A !MOXtC!P GTm fv Waste Transportation: - Last shipment of hazardous waste: Name of Hauler: — h —Destination: Ne -as Product: Licensed? Yes No NOTE: nder the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, s Ora and disposal of 111 gallons or more a month requires a license from the Public.Health Divisi n. UST OF TOXIC AND HAZARDOUS MATERIALS �`ay � q 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) 3 gaMisc. Corrosive IWUSED Cesspool cleaners ter' 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) I Gasoline Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED 22EY Misc. 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 Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. 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 (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels J Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor&furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers : , ^� U (including bleach L Spot removers &cleanineg fluids Other cleaning solvents Bug and tar removers f Windshield wash WHITE COPY-HEALTH DEPARTMENT%CANARY COPY-BUSINESS t Hazardous Materials On-Site Inventory/Inspection For ALL Shops and Businesses in the Town of Barnstabl v' DBA: -Si�- Location: 9 Date: -- 0 Physical Features to Inspect: Hazardous waste generation sites (production/manufacturing areas): �I -Awl b � Waste storage areas: �' . Satellite accumulation points throughout: LA A)0 HazMat stored outdoors — CHECK OUTSIDE: /U0 Shi in and r eiving areas: v Shipp in! f Run down of shop activities: ' Housekeeping practices: 10 l Z r HaWat On-Site Inventory/Inspection: Records to Review for SQGs and CESQGs DBA: 63 Location: Site visit date: • Hazardous Waste Manifests: lvfh • Employee training documentation (if required): • Hazardous substance spill control and contingency pl n: • MSDS on site? 14 2i G-YL ii,e- /_5,111 ,, > F • HazMat Inventory records (if applicable): 5,`;iL<- • HazMat Waste Shipping documentation: Aj • Spill records (if applicable): L.A— r Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS DBA: Robies Refrigeration,Inc. Fax: Corp Name: Mailing Address Location: .279 Yarmouth Road,Hyannis Street: 279 Yarmouth Road mappar: City: Hyannis Contact: :John Robichaud State: Ma Telephone: 1508-775-3083 Zip: 02601 Emergency: 508-362-5105 Person Interviewed: Business Contact Letter Date: 8/20/2004 Category: Appliance Repair Inventory Site Visit Date 84742004- Type: Follow Up/Inspection Date: .................................................................. ........_._.. ..... public water ❑ indoor floor drains ❑ outdoor surface drains ❑ license required ❑ private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc ❑ currently licensed ❑ town sewage ❑ indoor catch basin/drywell ❑ outdoor catch basin/drywell expir - W on-site sewage ❑ indoor on-site syste ❑ outdoor onsite system date: ..____. _ ................... _. Also on site,1 case ice machine cleaners,1 case spray adhesive,2 compliance: cases aceylene&oxygen&propane tanks,2 gallons WD-40 and 1 case Satisfactory refrigeration oil. Remarks: 1/28/97 MSDS sheets on file. Note: See 1/28/97 Inspection Report for details. Remarks: 1/29/97 See 97 inspection report for list of toxic&haz. mat. REMARKS: Speedi dry on-site. Numerous serface stins and rear of bids from compressors. Freon recycled @ shop and on tracks. Bulk galvantized steel sheetings,comressors,hot water heates. Bulk steel at rear of the building. MSDS on-site in shop and on trucks. ORDERS: Obtain storage container for compressors to prevent spilling/staining in 30 days. Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ zero Toxic Waste Materials 0 gty's>25 Ibs dry or 50 gals liquid but less than 111 gals ❑ gty's 111 gals or more descnptton ._ _.W . ' .,qtq; urtltofrmeasure antifreeze(for gasoline or coolant systems) ( 10gallons __... _....._.__. __.___._..__.._.__ ___...._...._._._......._.__._ ...._.___._.._-___.___..;. .___..................._...._..__.._..._._m..__.-__-_ motor oil 1 allons diesel fuel,kerosene,#2 heating oil j 10gallons asphalt&roofing tar 1 gallons .___........................._......._....__.._.............__ ........_....__..__... _ __._._.........___._......._....._..__..__.............. ;...................._....._................_..............___............ .......... paint,varnishes,stains,dyes 5gallons other cleaning solvents 1gallons Household cleaners,oven cleaners 1 gallons refrigerants .............__...__...__800 pounds......._..._.........................__.............._ _.. ..... .__ .... _ ..._..___..__...___..______..__.._. wood preservatives(creosote) I 1gallons _._.. ....... __.. _._...__......._. . _.. Waste Transporter: Fire District ,/ _.. __. / i Last HW Shipment Date: Waste Hauler Licensed: 171Z� TOXIC AN =HAZ RDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS:_�1'..,111,oeT' ,Z?�461n_rrs Board of Health MAILING ADDRESS: -,7 J!! / 2U2 Town of Barnstable TELEPHONE NUMBER: P.O. Box 534 CONTACT PERSON: Hyannis, MA 02601 f��T�orJ'�G, �/...Ptvs�9� Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered when stored Please put a check beside each product that you store: ✓ Antifreeze (for gasoline or coolant systems) Drain cleaners ✓ Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners ✓' Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may p Y Y Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business TOWN OF BARNSTABLE OMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops y�,, OFunsatisfactory- 4.Manufacturers COMPANY J /`/ (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS 7�%T, la / (;laSS: 7.Miscellaneous QUANTITIES AND STORAGE (IN= indoors; OUT-outdoors) MAJOR MATER S Drums Above Tanks Underground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: 29 waste motor oil (C) 1/ new motor oil (C) /C !::z transmissioZydr�aulic' Synthetic Organics: degreasers Miscellaneous: 121V,U,012 DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2. W ter Supply J� .P/1iL�� < O Town Sewer Public . �On-site OPrivate 3. Indoor Floor Drains YES NO 0 Holding tank: MDC 0 Catch basin/Dry well 0 On-site system 4. Outdoor Surface drains:YES NO ORDERS: 0 Holding tank:MDC O Catch basin/Dry well 0 On-site system 5.Waste Transporter Name of Hauler Destination Waste Product QV YES NO 2. lu Person (s) Interviewed Inspector Date TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: ` NAME OF BUSINESS: � oard of Health MAILING ADDRESS: ��� own of Barnstable TELEPHONE NUMBER: ���'�/�/� P.O. Box 534 Hyannis, MA 02601 CONTACT PERSON: 'I �i A 7 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for r own use in ua ities totallin at"an time more than 50 gallons liquid volume or 25 pounds you o q g, Y , 9 q p dry weight? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed Y envelope for our convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered von twid- Please put a check beside each product that you store: ✓ Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners I Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants t- Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car,wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes - Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) 0,g- � y �� � Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners r White Copy- Health Department/ Canary Copy-Business 1 N 1 3a p TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair - satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops � O unsatisfactory- 4.Manufacturers COMPANY - so��7-G� — (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS �74// y Class: /�' 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATE Case lots Drums IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: '7 waste motor oil (C) n motor new oto oil(C) trasmiesivn/hydraulic Synthetic Organics: degreasers Miscellaneous: � , DISPOSAL/RECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply `� !J i �tr�G�•`t��✓ O Town Sewer ;1'6Public On-site VPrivatefyr 3. Indoor Floor Drains YES NO O Holding tank:MDC c O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES_____NO P" ORDERS: 0 Holding tank:MDC 0 Catch basin/Dry well 0 On-site system 5.Waste Transporter Name of Hauler Destination Waste Product �`• �, - YES NO ' ;lam --, _ . ' G�L'•2 Person (s to ewed Inspector Dat . . i Number um THE COMMONWEALTH.O Fee F MASSACHUSETTS $ Fee 00.00 Town of Barnstable Board of Health This is to Certify that Robies Refrigeration, Inc. 279 Yarmouth Road, MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING Ill GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------ This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2007 unless sooner suspended or revoked. ------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. June 27, 2006 PAUL J. CANNIFF,D.M.D. THOMAS A. MCKEAN,R.S.,CHO Director of Public Health ROBIE'S REFRIGERATION,INC. 38503 TOWN OF BARNSTABLE 6/16/2006 Date Type Reference Original Amt. Balance Due Discount Payment 6/13/2006 Bill 100.00 100.00 100.00 Check Amount 100.00 i. i E u I E Citizen's Bank Operati RE: PERMIT HAZARDOUS MAT. 100.00 Town of Barnstable swE r Regulatory ServicesP� lr�2(�o(, g y Thomas F. Geiler, Director T. Public Health Division i639 �� iOFFc�+°i Thomas McKean,Director � 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 0 Fax:.508-790-6304 . Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. 3a '— DATE 6' /6 ^O 6 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT D A B g L r c k � NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT c l J YCc rryLotA -1-7"(/G'-,C4_Pt L5 TELEPHONE NUMBER So '7'?S'— 3o U SOLE OWNER: YES cXO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: n G e rl,�a k%s �o�(C ko-LA s- C&�kye r k c� 1 ) Q , yQ r in w'A� IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. V `�2� 0 C!'. STATE OF INCORPORATION Zy FULL NAME AND HOME ADDRESS OF: PRESIDENT 2-7 Marti( � • e $arws+a.b I� � '= • �� �, 't TREASLRER CLERK Cafe w r l(okJ S f i 1JJ. L2)a rVt g+0_ le SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE-# Haz.doc/wplq MAIL-IN REQUESTS Please mail the completed application form to the address below. Also include copies of your employees food sanitation training certificates. In addition, please include the required fee amount (see fees at bottom of this page). 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. Also, please fax . copies of your employees food sanitation training•certificates. In addition, you must mail the required fee amount (see fees at bottom of this page).. Please make the check payable to: Town of Barnstable. The-check=st 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 r Back to Main Public Health Division Page J i TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS: Jr Board of Health MAILING ADDRESS: Town of Barnstable 61 TELEPHONE NUMBER: 5�& � �7 � ' �"� o �.3 P.O. Box 534 CONTACT PERSON: Gr-2� u 1�44 Hyannis, MA 02601 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered when stored ' Please put a check beside each product that you store: V Antifreeze (for gasoline or ) coolants stems Drain cleaners systems) Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants metffimfls/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Dt.1., Kerosene, ##2-heathtl-ut Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, Fertilizers (if stored outdoors) _- Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paintbrush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business TOWN OF BARNSTABLE OMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair 0satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY" (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS 2 Class: 7.Miscellaneous I QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATEfWSCase lots Drums IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2.(B) Heavy Oils: waste motor oil C , d h I ' new motor oil (C)'Ot ransmission/hydraulic Synthetic Organics: degreasers _511165 Miscellaneous: w DISPOSAL EC IO REMARKS: 1. Sanitary Sewage 2. Water Supply 0 Town Sewer Public /VOn-site OPrivate 3. Indoor Floor Drains YES k'NO O Holding tank: MDC "Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: 0 Holding tank:MDC O Catch basin/Dry well 0 On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES NO 2. Person (s) Interviewed Inspector Date TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMg OF F I RM: ?" -0 G ,=--.�5, PC �YL� G�22. ���IwC. MAILING ADDRESS: 0 79 1Y�l7av � ,1, � , />�L O..&o TELEPHONE NUMBER: 77(3-_,3063 CONTACT PERSON: Does.-your firm-_store--any..-of-thy toxic or hazardous.-materials -lis-ted-'b'elow, n either for sale or for your own use, in quantities totalling, at aany tiMe, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO This form must be returned to the Board of Health regardless of a YES or NO answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered when stored in quantities totalling more than 50 gallons liquid volume or 25 pounds dry weight. Please put a check beside each product that.you store: j Antifreeze (for gasline or coolant systems)\#Refrigerants 4 Automatic transmission fluid Pesticides (insecticides, h Engine and Radiator flushes herbicides,rodenticides) i� Hydraulic fluid (including brake fluid) photochemicals —/ Motor oils/waste oils --- ,� Gasoline, Jet fuel Printing Ink Diesel fuel, Kerosene, #2 heating oil >� Wood preservatives ,, Other petroleum products: grease, (creosote) it Swimming Pool chlorine lubricants Lye or caustic soda ! -�� Degreasers for engines and metal �` s „ Degreasers for driveways & garages 'i Jewelry cleaners ri Leather dyes Battery acid (electrolyte) Fertilizers (if stored j Rustproofers Car wash detergents PCB' outdoors) g p, s i� Car waxes and polishes Other chlorinated hydro- „ Asphalt & roofing tar i o� Paints, varnishes carbons (inc.carbon , stains, dyes tetrachloride) Paint and lacquer thinners �_ Any other products with Paint & Varnish removers, deglossers "Poison" labels (including Paint brush cleaners >i Floor & Furniture strippers chloroform, formaldehyde, hydrochloric acid, other Metal polishes acids) ji Laundry soil. & stain removers �/,� Other products not listed (including bleach) which you feel may be ;, Spot removers & cleaning fluids E ®toxic or hazardous (please (dry cleaners) - HEALTH DEPT. list..;: �> Other cleaning solvents TOWN OF BARNSTABLE ,i Bug and tar removers Household cleansers, oven cleaners Drain cleaners Toilet cleaners » Cesspool cleaners Disinfectants MAY 1. 4 1981 >, Road Salt (Halite) TOWN OF BARNSTABLE BOARD OF HEALTH CONTROL OF TOXIC AND HAZARDOUS MATERIALS - INSPECTION SHEET FIRM ADDRESS Major types of materials: 1) 2/ 2) 3) 4) 5) 6) I. Description of material(s) use: , II. Storage (denote product by number listed above) A. Containers metal glass paper plastic cans,bottles,jars drums,barrels O aboveground tanks underground tanks bags,boxes open,loose,uncovered inadequate labelling B. Storage Facility -/or # Remarks/RecommenU- J_ons 1. Indoor a) separate, contained room b) stored in general work area i) inadequate ventilation ii) floor drains--" iii) inadequate fire protection 2. Outdoor a) uncovered, exposed to weather b) pervious surface/catch basins III. Disposal A. Reclamation/Recycling unit B. On-site disposal 1. Town sewer } > 2. Regular septic system 3. Separate holding tank C. Off-site disposal 1. hauled by own firm 2. hired hauler a) name of hauler b) address or disposal site Persons) Interviewed — — Inspector _ � - - - - - - - - - 6 30 81 - - TOWN OF BA R N STA B L E COMPLIANCE: CLASS: 1. Marine,Gas Stations,Repair -_` , 2. Printers B4OA R Q OF HEALTH W- 3. Auto Body Shops O unsatisfactory- 4. Manufacturers (see"Orders") 5, Retail Stores COMPANY 6. Fuel Suppliers ADDRESS �, ,, , Class: 7. Miscellaneous QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors} MAJOR MATERIALS Case lots Drums AboveTanks Underground Tanks IN L(I IIN IOUT IN tOUT Lallons Aize rest? Fuels: Gasoline, Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: I � k I waste motor oil (C) 0 new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: DISPOSAL RECLAMATION REWtRKS: 1. Sanitary Sewage 2, Wa&Zlicic Sup O Town Sewer « ..�_. On-site ® Private 3. Indoor Floor Drains: YES NO O Holding tank: MDC 1'Z Catch basin/Dry well 0 On-site system 4. Outdoor Surface drains:YFS NO O Holding, tank Catch basin/Dry well OOn-site system _..___._r S. Waste Transporter Licensed? Name of Hauler Destination Waste Product r 12 ei P r on s) In .e ewed ' Inspector Date i2. printers Lv Qrsatisfactory + B:QAR D OF HEA''-L'�'I—I � � 3. . Auto .Body stops 4. 1anufacturers Qunsatisfactory- i� ' '" (see"Orders") S. .Retal.1 Stores COMPANY, + ";6�;- %> ,� � ,c., �;Ei�. ` ^, 6. Fuel Suppliers . J V ADDRESS ( " �_i fi b,` , Class: 7. Misc llaneous QUAN�S! AND'SIORAGE 0`N=indoors; OUT=outdoor !' Case lots Drums AboveTanks Undetgrouad Tanks WOR MMERIALS IN )UT IN iour INJOUt N, 6 ge 1 Ions ALej Uest Fuels Gasoline, Jet Fuel (A) Diesel, Kerosene, 12 (B) Heavy Oils! waste motor oil (Cj -- - 1 new motor oil (C) • transmission/hydraulic Synthetic Organics: i degreasers r �' �1 � ,i��.�-•��1�'+...ti, ; 1+ I � �"..`... )�,./P 11 f ,,,•� '"�i�i1'L.F '„!-'`�(1 V ilk 4' �liscellanevyg: ._ q _ _ .. �,, k ,, .. • F � 1 41 C r r Ui p Al, .REC '�t'I'I N IRKS: ; 1. Sanitary Sewage. 2. Water Supjr.ly ,x.r, �; ,;.� :t' <<� may,, r� 't�.�✓ u ,=% .4-=:k Town Sewer Pub i'c �jOn-site Private 1 � ! ; 3. Indoor Floor Drains: YES r Q Holding tankt, MUC 1 O Catch basin/Dry 'well on-site system t ,a -i3BERM� 4. Outdoor Surface drains:YES No `Hulding• tank: MUC - Catch basin/Dry well %�•t: -���i� - --',; _ O QOn-site system S. Waste Transporter Licensed? Name of Hauler_ _ 1lestination -Waste Product FS_ NO 1 • 1 t Li u dt arson .a ` nt.e v ewe ,Inspector ,l Uate % f e