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0426 YARMOUTH ROAD - HAZMAT
3L4(4 - v� gay ��,r� �. ►- w��s i-�az�a� i s MEAD KEEPING YOU ORGANIZED No.10334 2-153L MADE IN USA t Number Fee 534 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that Mid Cape Tire & Auto Services Center, Inc. 426 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 Town of Barnstable Barnstable Regulatory Services Department hiNna • - Public Health Division MA-ca 9A , 200 Main Street,Hyannis MA 02601 2007 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. " 4 ` DATE (0 ' 09 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT r U(b0 YSC,L— NAME OF ESTABLISHMENT On D " 1V lLe- ADDRESS OF ESTABLISHMENT �a(0 YAa(' n I`I h PQa n r)j,"' cA- 02-tQO� TELEPHONE NUMBER SOLE OWNER: YES VNO Jn IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDR-]�§-8 OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. nq-3l51X6 7 STATE OF INCORPORATION FULL NAME AND HONE ADDRESS OF: PRESIDENT ( -/ --- TREASURER CLERK . SI ATURE PPL ANT. RESTRICTIONS: HOM ADDRESS I 12YdS � 0.(t4— �C35} HOME TELEPHONE iq lS Q:\HazmatlHaz viat Application2008.D0�C Number t"eo 534 THE COMMONWEALTH OF MASSACHUSETTS , $1f30,OQ Town of Barnstable � z Beard of Health a This is to Certify that Mid Cape Tire & Auto Services ('ente,-, Inc. � 426 Yarmouth Road, Hyannis MA 02601 6s 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, 2(}09 unless sooner suspended or revoked. } d WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNBFF,D.M.D. 07101i08 JUNBCHl SAWAYANAGI THOMAS A MCKEAN,R.S.,CHQ, - Director of Public Health i w ) 1 Number Fee 534 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Mid Cape Tire&Auto Services Center, Inc. p 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, 2007 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. May 24, 2006 PAUL J. CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable °FTHE lq� Regulatory Services Gill° 5�2,�`Q6 ti Thomas F. Geiler,Director BA MASS.LE. : Public Health Division� MASS. � . �ArFO MA'S 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 N� / DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS /�/� FULL NAME OF APPLICANT I "16 ( _ T< CJ>?/(� i�i�J7� �e✓7/l Ge, (f�e NAME OF ESTABLISHMENT 14) !Q f_ �X ADDRESS OF ESTABLISHMENT /',pY? O a ✓'1 TELEPHONE NUMBER ��U 7�D SOLE OWNER: YES_kNO z _ IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: ' t � t IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION /Y)46 . FULL NAME AND HOME ADDRESS OF: PRESIDENT L44,0K TREASURER A A.-k m KJPee c D r- t 47��C uq CLERK v /' DY✓ SI TITRE OF APPLICANT / RESTRICTIONS: HOMEADDRESSZ',Owq�09-7' HOME TELEPHONE# Q:\Application Forms\HAZAPP.DOC J' I t I MAIL-IN REQUESTS Please mail the completed application form to the address below. Also include a copy of your contingency plan (to handle 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. i For further assistance on any item above, call (508) 862-4644 Back to Main Public Health Division Page Q:\Application Forms\HAZAPP.DOC A to Number Fee 534 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Mid Cape Tire &Auto Services Center, Inc. ................................................................................................................................. 426 Yarmouth Road, Hyannis, MA ........................................................................................................................................................................ Is Hereby Granted a License For: Storing or Handling 500 gallons or more 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 f 408/30/2019 12:OOPM FAX @J 0001/0001 Town of Barnstable Iizspectional Services BARNSTABLEF Public Health Division - MASKp Thomas McKean,Director .6�q 200 Main Street,I3yannis,MA 02601 �y Off= 508.862.4644 Fax: 508-790.6304 APPLI CATION FOR PERMIT TO STORE AND/OR UTILIZE ` HAZARDOUS MATERIALS 1N ACCORDANCE WITH'I'HE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 109, HAZARDOUS MATERIAL.5,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY I st-DUNE 30th). APPLICATION FEES CATEGORY I PERMIT 26-110 Gallons: $ 50.00 ❑ CATI'sGORY 2 PERMIT l l 1 -499 Gallons: $125.00 CATRGORY 3 PERMIT 500 or more Gallons: $150.00 A late chargii:of$10.00 will be assessed if oavment is not received by Jul IIlat. 1. ASSESSOR'S MAP AND PARCEL NO. 1 t� k- tiles gtG 2. IS THIS A PERMIT PJVNEWAL? YES_NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGEMSE OF GREATER THAN H011.ISEHOLD QUANTITIES(25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: C S. NAME OF ESTABLISE MENT: t'I> C4 +ettSewlq { 6. ADDRESS OFESTABI.ISHMENT: LIZ6 Aw,3 l�h AZ6G/ 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 1 l 8. TELEPHONE NUMBER OF ESTABLISS1ViENT: G 9. EMAIL ADDRESS: um#. !� 01-1 r� - 10. SOLEOWNER: Yl s 0 IF NO,NAME OF PARTNER: ` - 11. FULL NAME,HOME ADDRESS,AND TELEPHONE F.- CORPORATi0: �O! AAb PRESIDENT J I TREASURER CLERK .F 12. IF PREPARED BY OUTSIDE PARTY: 1 NAME: TELEPHONE#: 1 COMPANY ADDRESS EMAIL: SIGNATURE OF AIPPLICAN ATE Z Q:1Appiicetion FormMaz Mot Appli Draft Jan2o I, I ff l' Fee Number 534 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Mid Cape Tire &Auto Services Center, Inc. 426 Yarmouth Road, Hyannis, MA v Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. ------------------------------ ------------------------------------- ------------------------------ This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2020 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. _ 07/01/2019 JUNICHI SAWAYANAGI THOMAS A. MCKEAN,R.S.,CHO Director of Public Health fi .r Town of Barnstable Inspectional Services BARNSTABLE FTHETn,� wcso�"uiu��i'FL.c'�LE�+�a�BW'�SiIE Public Health Division 2 7, 9 BARNSTABLE,$ Thomas McKean, Director1659. ti `l'Atfo �a`0 200 Main Street, Hyannis, MA 02601 T.r Office: 508-862-4644 Fax: 508-790:6304 t.,. APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st-JUNE 3 Oth). 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 L1/Srch *A late charize of$10.00 will be assessed if payment is not received by July 1st. 02 b 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? AES_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: 1 dt C � 6 Se u�,CeAAeA ID 6. ADDRESS OF ESTABLISHMENT: 6 S 6 61 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: G� 8. TELEPHONE NUMBER OF ESTABLISHMENT: � !0 c 7V7 d 9. EMAIL ADDRESS: — ��_ V ��1/S���MG! I•CD4 10. SOLEOWNER: YES ENO IF NO,NAME OF PARTNER: Y.-K e Z 11. FULL NAME,HOME ADDRESS,AND TELEPHONE# F: CORPORATION NAME 1 i - IN vtr PRESIDENT � Va- TREASURE N I 6 CLERK . jc3 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS_ EMAIL: SIGNATURE OF APPLICANT VDATE f Q:\Application Forms\Haz Mat App Revised 09-10 8. ocx Number Fee 534 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Mid Cape Tire &Auto Services Center, Inc. 426 Yarmouth Road, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. ---------------------------------------------------------------------------------------------------------- ------------------------------------------------------ This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2019 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 ' owr of B4rnstable eg atory Semces Richard V. Scali,Director Public Health Division BARNSTABLE �STABL Thomas McKean,Director -' 59. Mass .y Fc 200 Main Street, Hyannis,MA 02601 110 a v/s on Office: 508-862-4644 Fax: 508-790-6304" APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE N h+M,l l HAZARDOUS MATERIALS zi, IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108f, 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 El CATEGORY 2 PERMIT 111 =499 Gallons: $125.00 O CATEGORY 3 PERMIT 500 or more Gallons: $150.00 /%V,5 , *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 34 � 01) 2. IS THIS A PERMIT RENEWAL? V/ YES_NO. IF YES, SHIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS • ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: '�cy..,.j k fY 1 p 5. NAME OF ESTABLISHMENT: T(1`� /tU U _ 6. ADDRESS OF ESTABLISHMENT: ZI 0 V-S Q 0� 6 %S 4 UZ 66 f 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 5-0 9. EMAIL ADDRESS: ceysel4 �,tC,1, , C&-1 10. SOLEOWNER: YES INO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME 1> ` -&JNU 9AU W_ PRESIDENT jr-&,)V K1U(Aj TREASURER Sl��✓1�_ CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE Q:\Application FormsUAZMAT APP 2017 REVISED.docx � . Date: TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: MID „a ne 111f t; 's Q1 x�n Se"f(_- Ge 1 !n r BUSINESS LOCATION: rPn/Mifi-) V_bA'n 1Ai.iAr\nLS ]nR 0a6n I INVENTORY MAILING ADDRESS: y'�,y Yn m nn r:� YY1a ro e)I TOTAL AMOUNT: TELEPHONE NUMBER: 92 :7 6 4 qoo CONTACT PERSON: Ein QV_ u P EMERGENCY CONTACT TELEPHONE NUMBER: 9- i 14-76- MSDS ON SITE? TYPE OF BUSINESS: kh'' SffV (r(Z +-7ire INFORMATION/RECOMMENDATIONS: Fire District: 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 materials use LLO— storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. 1 -�- LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the 9 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) _ Misc. Corrosive to NEW BUSED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides I0© NEW I00 USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED (D Cj2t I 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 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 (including bleach) Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers • Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS �;_�Sy► ►-Cal � '�-��V I(L,�N.L-�...5� i-,' t-39 (A v� COMMONWEALTH OF MASSACHUTT S F EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS " A DEPARTMENT OF ENVIRONMENTAL PROTECTION e� SOUTHEAST REGIONAL OFFICE S 0 20 RIVERSIDE DRIVE, LAKEVILLE, MA 02347 508-946-2700 JANE SWIFT BOB DURAND Governor Secretary LAUREN A.LISS Commissioner p URGENT LEGAL MATTER:PROMPT ACTION NECESSARY oCERTIFIED MAIL:RETURN RECEIPT REOUESTED August 17,2001 RECEIVED Cape Cod Express RE: BARNSTABLE-BWS JUL 2 9 200, 44 Tobey Road Diesel Release TOWN Wareham„Massachusetts 02571 — ., "Route-6'West afExit 6}�N HE�LT gRNSTgg« RTN# 44-16401: H DEFT' NOTICE OF RESPONSIBILITY M.G.L. G 21E,310 CMR 40.0000 ATTENTION: Mr.Vincent Greene On August 12, 2001 at 4:40 p.m. the Department of Environmental Protection (the "Department") received oral notification of a release and/or threat of release of oil and/or hazardous material at the above referenced property which requires one or more response actions. An estimated twenty(20)gallons of diesel fuel was released from the saddletanks of a tractor trailer unit that rolled over on the exit ramp. The diesel fuel impacted the surrounding soils.Frank Corp.was retained to perform the required response actions. The Massachusetts Oil and ligzgdous Material Release Prevention and Response Act, M.G.L. c.21E,and the Massachusetts Contingency Plan(the"MCP"),310 CMR 40.0000,require the performance of response actions to prevent harm to health,safety,public welfare and the environment which may result from this release and/or threat of release and govern the conduct of such actions. The purpose of this notice is to infOrrn---u of yot,r"legal responsibilities under State law for assessing and/or remediating the release at this property. For purposes of this Notice of Responsibility, the terms and phrases used herein shall have the meaning ascribed to such terms and phrases by the MCP unless the context clearly indicates otherwise. The Department has reason to believe that the release and/or threat of release which has been reported is or may be a disposal site as defined by the The Department also has reason to believe that you(as used in this letter, "you" refers to Cape Cod Express) are a Potentially Responsible Party(a "PRP") with liability under M.G.L.c.;1-E §5,for response action costs. This liability is"strict",meaning that it is not based on fault, but solely on your status as owner, operator, generator, transporter, disposer or other person specified in M.G.L.c.21E §5. This liability is also"joint and several",meaning that you may be liable for all response action costs incurred at a disposal site regardless of the existence of any other liable parties. This information is available in alternate format by calling our ADA Coordinator at(617)574-6872. DEP on the World Wide Web: http://www.state.ma.us/dep Z�� Printed on Recycled Paper 2 The Department encourages parties with liabilities under M.G.L. c.21E to take prompt and appropriate actions in response to releases and threats of release of oil and/or hazardous materials. By taking prompt action,you may significantly lower your assessment and cleanup costs and/or avoid liability for costs incurred by the Department in taking such actions. You may also avoid the imposition of,the amount of or reduce certain permit and/or annual compliance assurance fees payable under 310 CMR 4.00. Please refer to M.G.L. c.21E for a complete description of potential liability. For your convenience, a summary of liability under M.G.L.c.21E is attached to this notice. You should be aware that you may have claims against third parties for damages, including claims for contribution or reimbursement for the costs of cleanup. Such claims do not exist indefinitely but are governed by laws that establish the time allowed for bringing litigation. The Department encourages you to take any action necessary to protect any such claims you may have against third parties. The Department approved the following response actions as an Immediate Response Action(IRA): • Deploy absorbent material as needed to remove the oil from the road service. • Remove up to forty(40)cubic yards of impacted soil... • All remediation waste must be properly stored/handled and disposed of within 120 days from.the date of generation per 310 CMR 40.0030. ACTIONS REQUIRED Additional submittals are necessary with regard to this notification including, but not limited to,the filing of a written IRA Plan,IRA Completion Statement and/or an RAO statement. The MCP requires that a fee of$750.00 be submitted to the Department when an RAO statement is filed greater than 120 days from the. date of initial notification. Specific approval is required from the Department for the implementation of all IRAs, and Release Abatement Measures (RAMS) pursuant to 310 CMR 40.0420 and 310 CMR 40.0443, respectively. Assessment activities, the construction of a fence and/or the posting of signs are actions that are exempt from this approval requirement. In addition to oral notification, 310 CMR 40.0333 requires that a completed Release Notification Form (BWSC-103,attached)be submitted to the Department within sixty(60)calendar days of August 12,2001. You must employ or engage a Licensed Site Professional (LSP) to manage, supervise or actually perform the necessary response actions at this site. The Department has Nathaniel L.Finsness with Finsness Environmental as the LSP of record for this release. Unless otherwise provided by the Department, potentially responsible parties ("PRP's") have one year from the initial date of notification to the Department of a release or threat of a release, pursuant to 310 CMR 40.0300, or from the date the Department issues a Notice of Responsibility,whichever occurs earlier, to file with the Department on, of the following submittals: (1)a completed Tier Classification Submittal;(2) a Response Action Outcome Statement or, if applicable, (3) a Downgradient Property Status. The deadline for either of the first two submittals for this disposal site is August 12, 2002. If required by the MCP, a completed Tier I Permit Application must also accompany a Tier Classification Submittal. This site shall not be deemed to have had all the necessary and required response actions taken unless and until all substantial hazards presented by the release and/or threat of release have been eliminated and a level of No Significant Risk exists or has been achieved in compliance with M.G.L.c.21E and the MCP. { f 3 If you have any questions relative to this Notice, please contact Julie J. Hutcheson at the letterhead address or at(508)946-2852. All future communications regarding this release must reference the following Release Tracking Number 4-16491. Very truly yours, Richard F.Packard,Chief Emergency Response Release Notification Section P/JJH/re CERTIFIED MAIL#7099 3220 0002 0275 0167 RETURN RECEIPT REQUESTED — Attachments: Release Notification Form;BWSC-103 and Instructions . Summary of Liability under M.G.L:c.21E cc: Board of Selectmen P.O.Box 34 Hyannis,MA 02601 Board of Health P.O.Box 34 Hyannis,MA 02601 Fire Department 95 High School Road Hyannis,MA 02601 Finsness Environmental 140 Longbill Avenue Somerset,MA 02726 ATTN: Nathaniel L.Finsness,LSP ( ;� DEPARTMENT OF ENVIRONMENTAL QUALITY;.ENGINEERING + DIVISION OF SOLID AND HAZARDOUS WASTE -One WinteiSfreet. ;Boston, Massachusetts 02108 Please print of type.(form designed for use on elite 11 2_.pitchf typewriter.1' UNIFORM-HAZARDOUS "1:;Generator Us EPA ID No. Manifest. 2.Page 1 Information in the shaded areas: Document No. _ WASTE MANIFEST zT of is not required by Federal law. -:: - 3YAn Name a M II ddress f` �� �'/�/�j�; � A State Manifest Document Number 8 State Gen ID n i-4.Generator's Phone( 1 `4 ' ;t f1J X.EffEr. 5.Transporter>i Company Name'`. 8 US EPA°ID Number .`C.State Trans.ib s �- -Z. Cr 7.Transporter 2" Company Name 8. US EPA ID Number 'D,Tr .anspoitrer''s Phone( ) N E.State Trans.l L. 00 9.Designated Facility Name and Site Address 10.-= US EPA ID Number tD ZECC0,1W F ATransporter's Phone,( C14 345 W �iw1 STa r;:,stateFacirty'sID ; Not:Retawred W1014 R0 MA 01532 f} .610101 t5l 21914. 9151 H.�Facility's Phone 1 12.Containers 13. 14, L (.' Ir 1.US COT Description(Including Prooer Shipping Name,Hazard Ciass,and ID Number) Total Unit Waste No. •• No. Type Quantity Wti oi. 'OF 0r a. r- P / C d C G b' M C E Na N H m A C O T 4 LI O coR Z Z d• N m � t D --1 U J.Additional Descriptions tor-Materials Listed Above(include physical state and hazard code.) = K.Handling Codes for W astes Listed Above - rl Y _ IT7 b. I b. d. t7 E 15.Special Handling Instructions and Additional Information C0 - G1 CL m y Z `� - 16.GENERATOR'S CERTIFICATION:I hereby declare that the contents o1 this consignment are fully and accurately described above by IT'I ? proper shipping name and are classified,packed,marked,and labeled,and are in all respects in proper condition for transport by highway (� according to applicable international and national government regulations. D C Q If I am a large quantity generator,I certify that 1 have a program in place to reduce the volume and toxicity o waste generated to the degree I have determined to be eco omicall tT ro m f 9 e y practicable O and that 1 have selected the practicable method of treatment,storage,or disposal currently available to me which minimizes the present and future threat to human health and the environ- ;13 Q) ment;OR,if I am a small quantity generator,1 have made a good faith effort to minimize my waste generation and select the best waste management method that is available to me and that I E can afford. d Date p Printed/Typed Name Signature Month Day Year SA m T 17.Transpo er 1 Acknowledgement of Receipt Materials. Date U q _ e A P re yped Na a Si �tu /� Month Day YearN s P 0 18. Transporter 2 Ack wledgement of R eipt of Materials` . Date R E Printed/Typed Name. Signature Month Day Year R F 19.Discrepancy Indication Space A G . I L -.20.Facility.Owner or Operator:Certification of receipt of hazardous materials covered by this manifest except as noted in Item 19. I T Date Y Printed/Typed Name' Signature Month Day Year Form Approved OMB No,2050-0039,Expires 9-30-88 EPA Form 8700-22(Rev.9-86)Previous editions are obsolete. .. . COPY IS:, DESTINATION,STATE•MAILED BY GENERATOR I yoFTNETo� TOWN OF BARNSTABLE OFFICE OF BAHII9Tssn� MABL BOARD OF HEALTH . . 367 MAIN STREET �0 MAY k' HYANNIS, MASS. 02601 August 14, 1987 Saeed Chaudry Gulf Station Routes 132 & 6 W. Barnstable, MA 02668 Dear Mr. Chaudry: You are reminded that State regulations require periodic pumping and or cleaning of all MDC traps (Metropolitan District Commission, gas and oil separator tanks) . You are directed to contract with a licensed hazardous waste transporter\contractor to perform the required pumping and or cleaning of your MDC trap by September 11 , 1987 , or provide proof of such maintenance performed within the past three months . You are further directed to have your MDC trap inspected and cleaned if necessary, by a licensed hazardous waste contractor every three months . Written proof from a licensed contractor will be required. Inspections will follow by the Health Department to verify compliance. You are reminded that failure to comply could result in a fine of $200 . 00 daily under the Town of Barnstable Toxic and Hazardous Waste By-law. V .ry Truly Yours , ohn M. Kelly Director Barnstable Health Department lowVI 4 wt - k r ti F "fie} � ',b• } - r . 4 -'� �ia �, y .. ;`�'* � ^" �r•c�,►r"�" ..� jam± d , r� {. A �07 � :. *L .�a A � �`,�D rtl �, � ►1 tt AD - ,fir -. .}so � r'.r r Y" L.•� :.{�. . ,� r€ [� i s s l9lJ W r F r d �py� ,`a' d' p r � x� �W �J I y4 , ,��k �`. E.t� dj Yam"�� , •�A �-. �A a b _ k i 4a , "At "� p .ja r K ti A1CR0 'a;- T > 4' k I AA ��"�Y fit'.RR`c t>f"� L 7 �'�' x•�, — .....� . 4Ad4, Air •� of � � ... �. 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[3`. w r. tr rW{p,.♦� ' 'n"F,,)„ t ['�►' �e Ft}.�� 7y"' {'� -� s d..,,� � i.N .»tk° y.[7 � ,4"s ^ 3� f� °•.�.�lr r (S ff"r` f�q' �� �1 � �'t--.. ��� b zs ( r r • � " Y � F 3 p 47 f"`�r�fi1 �}-} t �'!a #.� ,• Y �: r Y v L �ry `C - °& _� a".@! re ,�: at y,�.'. *i��. .f MIN, .; . � � � .� -C "+�i art', fi �•. �'-. � f., "--S y 'C'*n s_ � ,.r 4.,- , t a tti r'>�f « }"���4 r• � t,1 h q A _� x��' sY .� x -°, aS d).��. �`�•�' `� mow,' n � � x �- € + + y j� SSyy: I It t' i fs. 1t�71 j r�� lia r ti 4 .: •'�.yY� �:, f'„•a. f, !`�.,e a'.t`i& '" Y x '" `;�S^'" $� r`, 61 lie, �: a.r IKE Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 B"Mn,'; E. 200 Main Street• Hyannis, MA 02601 9 .MASS. �A'FOMP'�N TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: z 9 I rz AA0 15 rvt 6-e- Date: Location/Mailing Address: 2.(, a M,,> R a n n S Contact Name/Phone: -ZT-e>ky%. SD 7 S- 9o -Zyoo Inventory Total Amount: '` I— I SDS: kv ` 6121uk Q- License#: 5"3 L) Tier II : !`� o 1 Labeling: X " vw-kz Spill Plan: +,, P&S� Oil/WaterSeparator: N 0 Floor Drains: eo0^p+Q-as—? Emergency Numbers: % Storage Areas/Tanks:2'Kw.o. ask, 33o ,ncO©. A5 As, -L&()v�s ,n.c-,A> 1 Z 04V4Ks Baas+e a,F. Emergency/Containment Equipment: softu--A -� gaa(5�gP4.e14c", U'l) k.} Waste Generator ID: M 30 Z Waste Product: 01 ) Date&Amount of Last Shipment/Frequency: t i t o0 ,0,. Licensed Waste Hauler&Destination: C vt 9)1 1 Stc�' In, o,, Other Waste Disposal Methods: Dac*S 06Lz-e CIeA� Wac+•P-- %s 'tal-1- was+L e 1 LIST OF TOXIC AND HAZARDOUS MATERIALS N o OAa�v-! C�w1n�c, vL tv1� �ty 5�h�,C I k5 j-1Vt5�p o� NOTE: Under the provisions of Ch. 111, Section 31, of the eneral Laws of MA, hazardo s 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 �L Engine and radiator flushes Bug and tar removers L Hydraulic fluid (including brake fluid) -�— Windshield wash Motor oils {- ,a&0.e, 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 6 Refrigerants Degreasers for engines&garages Q W s`r''� Pesticides: Caulk/Grout +r1N44,A,1 insecticides, herbicides, rodenticides Batteryelectrol /batteries 5 ,c�ks acid ( yta) Q 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: LZL CIAdo Copt. a% e„ .¢ os uw off. 1 A lo... o.rt S 4 W C o GQ s S ef- INFORMAIYON/RECOMMENDATIONS: MG. } .�c�a�t0t'�D �S Inspector'`--T-"L.V-f-11-0— Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS Number Fee 534 THE COMMONWEALTH OF MASSACHUSETTS $15o.00 Town of Barnstable Board of Health This is to Certify that Mid Cape Tire &Auto Services Center, Inc. 426 Yarmouth Road, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2017 - 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 ly�T '3 Town of Barnstable �t rq,,ti Regulatory Services Richard V. Scah,Director 'A MAS B Public Health Division BARNSTABLE z 1639. 10� raw�sms'x"ser�v�i-`•°w'sIIrs%e� • �fD MAt a 1639-2014 Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 ~. APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE.WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS DULY 1 st-JUNE 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 b • A late char a of$10.00 will be assessed if 12@Ment is not received by July 1st. ASSESSORS MAP AND PARCEL NO. 3q Lj o I 1 DATE 41 A FULL NAME OF APPLICANT: NAME OF ESTABLISHMENT: 0 ,t-p- "1_ AJb ADDRESS OF ESTABLISHMENT: ARA a of 'S '"�I MAILING ADDRESS (IF DIFFERENT): S 11 TELEPHONE NUMBER OF ESTABLISHMENT: Se-o 9 -7 f 0- Z�n EMAIL ADDRESS: K1UCeVS�I C���i \•�'OM SOLE OWNER: YES --NO IF NO,NAME OF PARTNER: ",�&Q FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER 2>A&AIC CLERK SDrll • IF PREPARED BY OUTSIDE PARTY: SIG U ANT Name: 1� Company Address Telephone#: Email: QA Application Forms\HAZZAPP Rev 16.docx Page 1 of 2 °F� lob Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 eA MASS` 200 Main Street• Hyannis, MA 02601 039. 39 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rF0 MA'S Business Name: MI 62 •e. 11 re. 0 Date: Location/Mailing Address: lql 49L,+i-.- f&e ari, Contact Name/Phone: SSaB --7 4 -24 00 Inventory Total Amount: �'( ( MSDS: e5 License#: S3� Tier II : jQ1A Labelina: w'7- Spill Plan: 05 Oil/WaterSeparator: l� Floor Drains: o Emergency Numbers: ye-5 Storage Areas/Tanks:Pey� 2o0ja,l ,Ls , I vL")a W.n Emergency/Containment Equipment: AJ g. :50,N112 ��/bov 5 Waste Generator ID: C30D 9°I 7� Waste Product: of I vtt%4 e Date&Amount of Last Shi ment/Fre ue c : 312a(t b Zoo led pi j I a.S Licensed Waste Hauler&Destination: 7 Qd CK-,<2yRetaver olh A)t-� Other Waste Disposal Methods: bt( oc" o L Aor, 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. ki!( Antifreeze 14-t5s+110("Itf, Dry cleaning fluids 34 Automatic transmission fluid 9*25 Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid)q Z Windshield wash 1p +S c, tow Motor oils$3A-boo Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants 41, Miscellaneous petroleum products: Road salts grease, lubricants, gear oil 101- Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides _5 Battery acid (electrolyte)/batteries<b 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: vi S ova ®o �ti L1�4n, 0 0 Inspector.— I " L---"2II-e Facility Representative: A L4� -- WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS i Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 B""M SS. 200 Main Street• Hyannis, MA 02601 1639. M a,0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT FO PS Business Name: 144 i^a A -O— I AU to 5 CZ Date: 9 1 f Location/Mailing Address: '� aw,�� YU a H riI S Contact Name/Phone: 'A I ��-�tE :5 0 -11 0 - 2`t 00 Inventory Total Amount: �- l a S MSDS: k✓es _ License#: S3`F Tawk Tier II : n a Label inas o * PA- Spill Plan: V45 Oil/WaterSeparator: P � Floor Drains: No -Emergency Numbers: A5 Storage Areas/Tanks:9.0� 31>fl6-r kPt ay_w 0,1. 310 Ate[-2AL-Ay---1 .tSSekl ww 6%1 , !5' 41 a +2-5s -1 Emergency/Containment Equipment: 50ta,%kv &AS Q-J&%Iabl'e- ®w Waste Generator ID: MV So87 90 240 Waste Product: o Date&Amount of Last Shipment/Frequency: ;9>Ii2I14 , 300 Ao, l J.we, .tea Licensed Waste Hauler&Destination: o o n, lYl #IAt>9$ vo3- Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS Na wvc �od a�av" >e.S Ih��-&CCJ b�v�ce (it5k, ,?tc-k,-K�,1�18 l�{ NOTE: Under the provisions of Ch. 111, Section 31, of the eneral Laws of MA, hazadrdous material use, M6V-Q-a4c storage and disposal of 111 gallons or more requires a license from the Public Health Division. t��zo 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 Gaso'ne,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants — V Miscellaneous petroleum products: Road salts grease, lubricants, gear oil V 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. 0,AA 411 6vvt441AA-C S Cf{�C�t�� wkA.VL 1nID4' 14 1L - 1 Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS Date: 1 l-�bl l TOWN OF BARNSTABLE �g �c-t TOXIC AND HAZARDOUS MATERIALS FORM NAME OF BUSINESS: MI i Ck - I re- 4 A 5-e-r-4iee- C2n ;---r BUSINESS LOCATION: y2jo `�Cct yrloy'E-�- 1� f?ya►n r�, s INVENTORY MAILING ADDRESS: sarK-e_ TOTAL AMOUNT: TELEPHONE NUMBER: Sob -- 7,70 -7,Lfo0 125'�callo�s CONTACT PERSON: I,-,v,- f I EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: INFORMATION / RECOMMENDATIONS: N�al� s�c� �1�-e,�g a�> Fire,District: C',on�+pte,i-�1•� ��'� o`er �e.,Oos��'�� a r,. ©y�dZoo r �Qv w�.�Ds-�2t �� yk n�l`'J C Waste T MV5W710,2W Last shipment of hazardous waste: , Name of Hauler: C,,Iw Destination: Cyv<, ©, 6-tv%1 t' t;, M300 fa, f Waste Product: waste of 1/�',Iters tan- ,,Geeye—Licensed?(� No MAJ>60 3o3777 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 8 Antifreeze (for ga line or coolant systems) Miscellaneous Corrosive Cati NEW 73" ZSED Cesspool cleaners b0 Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants ZMo or Oils �t,e� Pesticides NEW1 o"I USED 2-rSAs*r (insecticides, herbicides, rodenticides) SS�Caw• +s Photochemi I Fix 4 . ca s (Fixers) Gasoline, Jet fuel,Aviation gas ( ) 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 Z j O 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 Je C �ivL 5 51 K �io vt� Laundry soil &stain removers (including bleach) Spot removers &cleaning fluids (dry cleaners) 9 q 4o Other cleaning solvents Bug and tar removers �ot pct,5-1'2 a P411�e—,'e-. TO Windshield wash WHITE COPY-HEALTH DEPARTMENT I CANARY COPY-BUSINESS Applicant's Signature Staff's Initia s l- Number Fee 534 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Mid Cape Tire &Auto Services Center, Inc. 426 Yarmouth Road, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. �q ------------------------------------------------------- -------------------------------------------------------- ------------------------------------------------ �' -- -----------------------------------------------------------------------------------------------------------------------------------------. This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2018 unless sooner suspended or revoked. --------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2017 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health a I 0 C�ie--,� Tower of B nstable N Regulatorylervices Richard V. Scah, Director oFTK�E rqk, � ti a Public Health Division BAISTABLE # * eaan—s VB.L[«re:vi�•conrt•xru�a5 . BARNSTABLE, - Thomas McKean, Director ��� ib gn201gmar wn;reat MASS. ,may• Arent a`� 200 Main Street, Hyannis,MA 02601 �11 -n Office: 508-862-4644 F 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st-JUNE 30th). C2,08 APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00 El CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 El CATEGORY 3 PERMIT 500 or more Gallons: $150.00 N� Vs . *A late charge of$10.00 will be assessed if payment is not received bey(July 1st. ,C 1. ASSESSOR'S MAP AND PARCEL NO. P�c(.l Yr� 3 oil MAPS 1325 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: '"lrcie ('"e HIV awl 6. ADDRESS OF ESTABLISHMENT: '1 QJ Gt���s 04.d.Dv) 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: Q 10-,=�qy ) L6? n 9. EMAIL ADDRESS: y F� y Ce%~ 10. SOLEOWNER: YES /NO IF NO,NAME OF PARTNER: Q 11. FULL NAME,HOME ADDRESS,AND TELEPHONE it OF: CORPORATION NAME C PRESIDENT r&w u cpA TREASURER 0\.,, CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICAN .ATE Q:\Application Forms\HAZMAT APP 2017 RE V' t`\ Number Fee 534 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that Mid Cape Tire & Auto Services Center, Inc. 426 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. Sca.%Director ... MAM ` Public Health Division i639' �� nrm Thomas McKean,Director y 200 Main Street, Hyannis,MA 02601 :T' Office: 508-862-4644 Fax:,�508-790-6304 Application Fee: $100.00 iy jj ASSESSORS MAP AND PARCEL NO. 3�7 o f DATE CQ �� APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT IT, 41rt4 cetje • ADDRESS OF ESTABLISHMENT 12 04 P4-J 61 TELEPHONE NUMBER �0 S'77 U— 2 SOLE OWNER:j YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. U / 3 STATE OF INCORPORATION FULL NAME AND HOME ADDRESS PRESIDENT v TREASURE /YL CLE 3Z> • --' ,'§1GKXTURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHO # Mcache\Temporary Internet Files\0LKD3U1AZAPP Rev2015.DOC Town of Barnstable Office: 508-862-4644 JL Fax: 508 790-6304 Regulatory Services Department ` Public Health Division MASS. Thomas A. McKean,CHO s�597 a`� 200 Main Street, Hyannis, MA 02601 Payment Receipt 'Hazardous Materials Payment received: $100.00 (Check) on 6/9/2015 Permit number: 534 ICheck number: 17691 Check amount: $100.00 Name on check: Mid Cape Tire &Auto Business: Mid Cape Tire &Auto Services Center, Inc. Owner: FRANK& KMETZ,I TRS !Address: 426 YARMOUTH ROAD, Hyannis i II Number Fee 534 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that Mid Cape Tire &Auto Services Center, Inc. 426 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 B arsta b1 e of Regal.atory Services Thomas F. Geiierj DirzdDr s a RAMS. Public Health Division k1A`� ro Thous 1MLKean,Dina r 200 Main.Strut, E7=iB, MA 02601 Ofuka: 5G&M24644 F= 50&790-6304 Appikafan Fen: $100,00 ?ySSISSORS /SAP AND PAR=NGL-_ 5 N -- 'l� 7 DATE APPLICATION FOR PERMIT TO STORE Aim/OR UTI=MORE THAN III GALLONS OF HAZARDOUS MATERIALS Y=NANSE OF APPLICANT V P-P ct-I U MANSE OF ESTABr,r,;� r (� AP C l ADDRESS`OF ESTA= vr ,7•rr TELEPHONE NUN3ER � L v SOLE oti�Ti ER: S �To IF APPILICANT IS A PARTNER=,FULL NAYJ7,AND HONE ADDRESS OF ALL PARTNERS: J • ZF APPIIICAN-T.� A CflRPOB.ATION; FEDE AL IDP=CATION TNO. 6.LI-3Zg—L.j STATE OF CORPORATION _F71L IN_A-ATE AND HOME AD SS OF:� � �. I � -'r�� �DC1�w� :PRESIDENT I L SIGNA OF APPLICANT i PIE,STRICTIONS: HOAU ADDRESS How TELEPHONE a - ,_�j ) LL 7 4 Fazdo / �'P g i Number Fee 534 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that Mid Cape Tire & Auto Services Center, Inc. 426 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.CANNIFF,_D.M.D_. 6/30/2010 JUNICHI SAWAYANAGI ._,.THOMAS,A. MCKEAN, R.S.,CHO Director of Public Health a P„ F4 Jun_ 14 10 08: 57a p. 1 Town of Barnstable Hof-[HE r Regulatory Services NAP ° Thomas F. Geiler, Director BAR" "H`E' ' Public Health Division y MASS. �w O i639, `m �plFOMA��' 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. 5 3 1 DATE (P/141 (D APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN I II GALLONS OF HAZARDOUS MATERIALS • FULL NAME OF APPLICANT ���1 Y� N� V\\Ue.ENjSe-V-- 1 NAME OF ESTABLISHMENT �A kC� C1 119 AD- _e,1 Lre nc ADDRESS OF ESTABLISHMENT -G Q lC t�f'� �'} C'� 'fit C'Y11,--, t TELEPHONE NUMBER SOLE OWNER: YES V NO IF APPLICANT IS A PARTNERSHIP, FULL NAME AND HOME ADDRESS OF ALL PARTNERS: s IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. G` :.5 f.S J J C' STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT _ JZ 41 TREASURER r CLERK �r�Ce � tiC 1SF 1 -k-D1(C-Q �I ,,,N TURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE ' Hazdoc- '}'y Number Fee 534 THE COMMONWEALTH OF MASSACHUSETTS 1oo.0o Town of Barnstable Board of Health This is to Certify that Mid Cape Tire & Auto Services Center, Inc. 426 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 FTHE T Regulatory Services Richard V. Scali,Director _ 'ARMA S.LE, ' Public Health Division ono. 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. 6 ` DATE / L/ APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT jj'\� NAME OF ESTABLISHMENT (�tD C T��: "� AJ6) ADDRESS OF ESTABLISHMENT TELEPHONE NUMBER 2 SOLE OWNER: YES INO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 0�1315 / a67 STATE OF INCORPORATION M(A 5561 C A'152 FULL NAME AND HOME ADDRESS OF: 11 PRESIDENT :fC ,.kz _PJ IBC `� LUNG �acnT ��� S �,f46i TREASURER �S pAt CLERK K"Z S GNAT RE OF APPLICANT RESTRICTIONS: HOME ADDRESS , ,- S55 � HOME TELEPHONE# Q:\Application.FoffnsU-IAZAPP.DOC - I MID CAPE TIRE & AUTO Kcur -OQ 9o.WpFRW SERVICE CE TER < < ' ",NIGH PERFORMANCE FOR LESS" 521 NORTH STREET 426 YARMOUTH ROAD NEW BEDFORD, MA 02740 HYANNIS, MA 02801 (508) 999-3900 (508) 790-2400 SPILL ONTINGE CY PLAN 1. If necessary, evacuate area and contact emergeq services 2. Turn off all equipment(valves,etc)and contain spill with speedy dry and absorbent pads 3. Remove all contaminated materials and dispose Df according to DOT regulations 4. Label all containers used for waste and mark wi h date and type of waste from incident 5. After cleanup,inspect area and equipment used or cleanliness and make sure all equipment is in good working order. 6. Contact appropriate agencies and keep proper re Dords on file of incident EMERGENCY E UIP E RGENCY SERVICES .� red at all phones) spin 1K 911 mcrgency spay dry loca fire dept. 509-775-2323 gloves loca palice dept. 508-775-0912 first aid kit I ambulance 509-775-2323 eyewash am not. respon� 800-424-8802 fireextinguislzers throughout building ! DEP office 509-946-2850 cl harbors 617-949-1800 cyn 4 it corporation 791-341-5108 (24h dot emergency spill response) ne ai vhuwnentd 800-442-5668 Chem Itrec 900-654-6078 (win 1wardpetro.product emergency) Number Fee 534 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that Mid Cape Tire & Auto Services Center, Inc. 426 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 Barnstable � INMEr°wti Regulatory Services Department p ;ericaC-i • Public Health Division BARNSTABLE. 9� 639 � 200 Main Street,Hyannis MA 02601 2007 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. 3q4—6G_�01 DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT 4,26 L. NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT l j �J/Y}I"1'►'i� '/''2, /��� -�Z' f `� f1,' TELEPHONE NUMBER "S o SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: crx, -cy o Cn IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION 114-S�, FULL NAME AND HOME ADDRESS OF: PRESIDENT Fk Qn62& M , k k i P t<s�/4 &2/44 4 6 i TREASURER Fz4i „J An CLERK SIGNAfit FA LICANT / RESTRICTIONS: HOME ADDRESS� �3�i �4 i I� C✓ J�Z.tl.^ls /,j HOME TELEPHONE# `5�� '`- , °2 �%7.- i ✓j � V,e ti� Number Fee s � Town Of Barnstable Board Of Health F ■ This is to Certify that Mini Cape Tire &Auto Services Center, Ine. C Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. I This license is granted in conformity avid': the statutes and ordinances relating there to, and � t and expires June 31, 2008 sunless sooner suspended or revoked. '-.'R°AYNE MILLER,M.D.,CHAIRMAN '. SUMNER KAUFA9AN,M.S.P.H. 5/31/2007 -- -- - PAUL J. CANNIFF,D.M.D. ' THOMAS A. MCKEAN.R.S.,CHO - -- - - e Director of Public Health b n r THIS HAZARD COMMUNICATION PROGRAM MEETS OSHA REQUIREMENTS AND ALSO ENSURES THAT MID CAPE TIRE&AUTO EMPLOYEES ARE EFFECTIVELY INFORMED CONCERNING POTENTIAL AND EXISTING CHEMICAL HAZARDS. MANAGEMENT COMMITMENT Mid Cape Tire is committed to the health and occupational safety of all its employees. Any questions should be directed to John Kmetz. PURPOSE The purpose of this Hazard Communication Program is to inform our employees of all potential or existing chemical hazards. APPROACH The method used to inform employees include: ♦Container labeling for warnings ♦ Material Safety Data Sheets(MSDS's) ♦ Employee education APPLICATION This hazard communication program applies to ♦ Known occupational safety and health hazards ♦ Chemicals known to be present in the workplace in such a manner those employees may be exposed under normal conditions of use or in a foreseeable emergency MATERIAL SAFETY DATA SHEETS(MSDS's) MSDS's are prepared and distributed by manufacturers and distributors of hazardous materials.All chemical manufacturer and distributors must obtain or develop a MSDS for each hazardous material they produce or import.A hazardous material is one that is either a physical hazard(i.e.,flammable,oxidizer;etc.)or a health hazard(i.e.,causes acute or chronic health effects). John Kmetz maintains the MSDS file for all hazardous materials used or handled in the company workplace.He reviews each data sheet to make sure it is complete and that there are not obvious errors,and replaces old data sheets with the new ones that accompany shipments of materials. h MSDS's are in English and contain the following information:, ♦ identity of the chemical ♦ physical and chemical characteristics ♦ physical and health hazards ♦ primary routes of entry ♦ exposure limits ♦ precautions for safe handling ♦controls to limit exposure ' ♦ emergency and first aid procedures ♦ name of manufacturer or distributor Copies of all MSDS's for each hazardous material in the workplace is readily accessible to all employees.Employees may review the MSDS's for the materials they work with at any time.They also may request a copy of an MSDS if they wish. Copies of MSDS's for materials used in each work area are maintained during all shifts. Upon request,the National Institute for Occupational Safety and Health NOSH)and OSHA may have access to our MSDS's. EMPLOYEE INFORMATION,EDUCATION&TRAINING Any information,education or training is provided by Mid Cape Tire&Auto to make sure employees know about hazardous chemicals in the workplace and the appropriate control measures to reduce exposure to them. New employees receive appropriate safety and health information,education and training during their initial assignment.This training is through the use of printed labels,MSDS's and oral instruction from their immediate supervisor. PROGRAM AVAILABILITY Mid Cape Tire&Auto's Hazard Communication Program is available upon request to: ♦ all employees ♦ OSHA Representatives ♦ NIOSH Representatives Number Fee 534 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that Mid Cape Tire &Auto Services Center, Inc. 426 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 r f C0.0D Town of Barnstable �tHE Regulatory Services ti Thomas F. Geiler, Director ' '" MAS&ISB` Public Health Division 039.iOrEo ray° 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. 3q%I i DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT rr Y y- 1tze-VSe-r NAME OF ESTABLISHMENT M 1 t CA po i i re + Auto 5�f-Y I(-,2 Cm ADDRESS OF ESTABLISHMENT qc)I0 � � 17� 1 RcaC--- EU106 M,4 TELEPHONE NUMBER 5iU® ' -i I o '0900 SOLE OWNER: YES 'yNO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: LOrqbo� /2d,"-6LA=vds ma. A.,- °�- IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.Uy 3 c 51,-6-7 STATE OF INCORPORATION M Pr SS r� rn FULL NAME AND HOME ADDRESS OF: V PRESIDENT r nIC_ UCe-Y ' -- /Y CGN 'I! Ck 81. '&za Dyu Apj 6 h 0 6a a- TREASURER CLERK Nf SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS L1N6 t-Pd HOME TELEPHONE# Haz.doc/wp/q l MID CAPE TIRE & AUTO =�J=� K EILY� L )� SEq.NaF,Eo SERVICE CENTER "HIGH PERFORMANCE FOR LESS" 521 NORTH STREET 426 YARMOUTH ROAD NEW BEDFORD, MA 02740 HYANNIS, MA 02601 (508) 999-3900 (508) 790-2400 SPILL CONTINGENCY PLAN 1. If necessary, evacuate area and contact emergency services 2. Turn off all equipment (valves, etc) and contain spill with speedy dry and absorbent pads 3. Remove all contaminated materials and dispose of according to DOT regulations 4. Label all containers used for waste and mark with date and type of waste from incident 5. After cleanup, inspect area and equipment used for cleanliness and make sure all equipment is in good working order. 6. Contact appropriate agencies and keep proper records on file of incident EMERGENCY EQUIPMENT EMERGENCY SERVICES (posted at all phones) spill pads 911 emergency speedy dry local fire dept. 508-775-2323 gloves local police dept. 508-775-0812 first aid kit local ambulance 508-775-2323 eye wash area national response 800-424-8802 fire extinguishers throughout building local DEP office 508-946-2850 clean harbors 617-849-1800 cyn oil corporation 781-341-5108 (24hr dot emergency spill response) ne environmental 800-442-5668 chemtrec 800-654-6078 (windward petro.product emergency) Number Fee 534 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that Mid Cape Tire& Auto Services Center, Inc. 424 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 31, 2008 unless sooner suspended or revoked. WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. 5/31/2007 PAUL J. CANNIFF,D.M.D. THOMAS A. MCKEAN,R.S.,CHO Director of Public Health Ir Town of Barnstable Regulatory Services Thomas F. Geiler,Director swxrvsrns . : . $ Public Health Division a639, ♦0 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 4 4-D L l DATE � 6 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT S-- k)V6 16'ys -e f/ w NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT .TELEPHONE NUMBERLn ~. SOLE OWNER: YES—)�N.O IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF LL ' PARTNERS: 61 , IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. coy STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: / PRESIDENT �}r►��� U�'YS L' L TREASURER G L << CLERK I NATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS 1 � Wr , oCJ0rt_+(2c4 6btrru- a HOME TELEPHONE #?ja n f SHARWICH CONCRETE BLOCK CORP. MAIN STREET, NORTH HARWICH, MA 02645 0.(617)-43E-6"Q-.y-j-l_'1 100 PATRICIA A. WOODS, Administrative Assistant / Z ��!� o t t tir'`'�{'var' Y'fi�•rk>js��' � r, �:- " �i�"'Y',4, iC„'K.y y`e rY r ARa^j�'R�'�'Sl�'. a'n`rrq P r�/u j',5�ir`,'YwS..::.?-�4r'r si� tadov T a` yL�, ; - auy'. vks.�'F `, ^tk T+ 4 tiro pd7S+. +F y.ir`. ♦. ,„. '"�' `{ -..+,, s -,rrf ,v a, ri-a.s ,•i..:..ka�* r;v.�` `"'f L"`rst45: .�t'T• � * jr,�r�" d »a€ tY `:'r as"kF1 �.Y . .,`� ',+.'`�+�.,'�rx .y4">� t„'e .`w.' {t+'•v�•ry .„. .. 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'•`. a�;`� i k; `. r TOWN OF BARNSTABLE UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS NAME V,, 7 Ae ocl ADDRESS ��ti S ��° �p " VILLAGE J LOCATION OF T4NKS: c CAPACITY: TYPE OF FUEL AGE: TYPE: CLFFOrpD wiCK5rlCom /f{A/�U1iCN coacieffE awc R CHEMICAL 7 Gil (Give same information for any additional tanks on reverse side of card) DATE OF PURCHASE OF EACH: 1. 2. 3. 4. DATE OF FIRE DEPARTMENT PERMIT: TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS February 23, �"1981 Manager, Fiist ,National Bank A of Cap® Cad Main Street.4 x' Orlaans M� .,. ` RIOO Your property'° aty426 Yarmouth goad, Hyanai s ' M Assessors.-Map and Lot No, .3444-11 Dears Sir: 4 We have;. been ,notified' that you now.own the undewround duel storage tanks located at 426 Yarmouth Road, Hyannis. Enclosed is a dopy of a Board of Health regal anon, effective February 140 1980, governing 'underground fuel and chemical storage. - .. • . . Please fill out the enclosed card and`returw it to us listing . any underground storage tanks .located on ttais propvt y Any tanks fifteen of gears of age:,. "or,_older.:xith'.capa.cities ' -greater,-thaw.. 500 gall,ons,.:must be- tented using the;Kent«-Moore' Pressure Test. An empty tank maybe tested .bys'a SPSI Air Pressure test. , This testing should be done •i'mmediatel.y. Veryatruly yours a'ohn Mr Kelly Director .of Public Health 4 i TOB EY I COMPLETE SOLID WASTE SERVICE/SINCE 1865 583 B MAIN STREET • HYANNIS, MA 02601 I (617) 775-0697 1 . February 20 , 1981 Mr. John M. Kelly Director of Public Health Board of Health 367 Main Street - 'Hyannis-, l,� .r02>6 0.1� Re: Underground fuel storage tanks located at 426 Yarmouth Road Hyannis , MA 02601 Dear Sir: This letter is in response to your letter dated February 17 , 1981 and my follow-up conversation with your office. As I had stated, we are no longer the title holders of the property in 'question. The present title holder is the First National Bunk of Cape Cod. Please contact them as it relates. to the matter in question. I am returning the card you enclosed. If . I can be of any further assist- ance please contact me. (Sincerely, George T. Tobey 'r Vice President GTT/cc TOWN OF BARNSTABLE OFFICE OF _ • ��; i BARN MAE& ,BOARD OF HEALTH .1 � t639-k�04i 367 MAIN STREET NAB HYANNIS, MASS. 02601 February 17, 1981 THIRD REQUEST Mr. Lawrence Tobey Lawrence Tobey & Sons 583B Main St. Hyannis, Ma. Re: Your underground fuel storage .tanks located at 426 Yarmouth Road, Hyannis Dear Sir: On 'March 11, and September 30, 1980, you were sent a copy of the Board of Health Regulation for Underground Fuel Storage . and a card to fill out and return listing information concerning your underground tanks. You have not returned the card nor acknowledged our letter. Town records indicate that you have received' a permit to store fuel underground. Please be advised that if you do not return the enclosed card within five (5) days, steps will be taken to revoke your permit. Appropriate action will then be taken to have your tanks neutralized or removed. You are also reminded that any tank fifteen years of age or older must be tested by the Kent-Moore Pressure Test. An empty tank may be tested by a 5PSI Air Pressure Test. This testing must be done immediately. The enclosed card must be filled out and returned immediately. Very truly yours, M 171 erector of PuicHealth JMK/mm encl. 1 i i f " s.,. � A�r'� — , •''°v t T' .. iY-� .. r t ii � �.��+'ems ��4.. t !� �' � .�~ -. r'' r - • ,. S ,r` ' ;',a '- `,�. t . ... - i a V,* d +'�`, �"r ..+° .. ' ICI Mr.Y Lawrehc 'lobe e Lawrence., Tobey- 5 B M St .. , �¢ r 'S. I3�3 � r W:� Hyanx ig,.7 Mai, ._ 426 Yarmouth Road axis, * fi i Hy a a '�..a 'M ¢-T�]~.et ia••' _ f'°twL '�,rf �' r, 'Yi '�n a Toy_ �` '"r� y,.,� •'1. r r S - • - .. a Ti•. ` a - ' � � �. -ti A'' .l �':.' ,� �''.� �sfi - Y �'! �lyp" Y « •T4 � '.' r�'y A `.W! i. T��Yn « e - . « y• /r s .. •« .ear rs • t - .. a ,f r - .. h - i " 5 NA14E LOCATION TOBEX a 426 Yarmouth Rd. 426 YXIIrmouth Rd. Tiyannis. Hyanni S W a BOOK & f- W E AAoun STORED OWN". 77/165 5/6/66 2 000 0 gals. _ DATE PAF5,^ „h 1969 u .July 10 1976 197a 'mNr 1974 1972 t 197' / Vyr> IM a...... x r ..-_.- 3 m ., -•ram _ .4 �. �. � .• � `e"er'- ���L� 'Jp set Z.k .a'` � r ME r F w s` v die x MECHANICAL CONTRACTORS 950'MAM STR[[T TEL.:275.2092 WEST YARMOUtm. MAss. 02678 March 26 1 ,81 9 PlutnbinH t Installation &LSers•ice € z" Heating. . Installation-&`"Service ,,5 -- - a - - - =l First National Bank :of Cape "Cod Heating oil j ;North Street Automaric 'Deliver• � f' Hyannis, .Ma. 02601 ��„;end ce Pro ram - Attenti-en: Mr. Paul Talbot \4aintenance�.Program� -�.�. � - LEcense No..266.5 - Re.: -Property. - .co:rn:er Yarmouth Rd. G Joaquin Lane, Hyanni -= -- Installation &.Service ; Dear -Paul: a.athrao;n xiett,en ` Conf ^ming our `telephone :discussion of `ther work performed Madergizan°° at "-Toby Garage, we report the following: Fuel storage, tank +has p.00l ;&_ Leaching Field_ - g " passed-.an air -test-.of. five lesign.•& 3nsailanon ; lbs. for 8 .hours; the tank has been -filled to . capacity with water ;and cape"ed as required by the -Local 'Fire Department Regulations. �npool-. :Sept-c-Tank - -' - - 'amping & .Cleaning + - The updating of'•the permit must be done upon renewal dates otherwise the tank must be removed. .6zomatic'.Sprinr!er t ;Fire Protection Vbry .truly yours.., • � r Air:Conditioning a•cential--•Commercial Richard K.' "Cannon lX'inter .izing"Homes ' "`RKC.y.me _ Jn:A.Off 6service E cc: Barnstable .Town-•Board .of ,Health >-.:Plumber:s"License A. � 7: e• ,Co. 5713 ,lo.^L86C, j la,;er.Pipe Fitter nse No..M8703 3 v. p �,..'r.r„r.. :- FIRST NATIONAL SARX, Off' � „CAPE COD-426 YarmnuVfl-i.RW- _.___w-------- ---- �. ���ICA codC T C 6Loel� �. i