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0551 YARMOUTH ROAD - HAZMAT (2)
52 l Va(MOUA Date: 4�"/ /0 / �7 TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: AUK 847W o,C &PE' &/> BUSINESS LOCATION: VAIQ-140-12 RI), Z&AX1ti`/1 d'4-6°/ INVENTORY MAILING ADDRESS: ©X Z64 �:5-rj& A/ xSPaRT .0t6 7z. TOTAL AMOUNT- TELEPHONE NUMBER: ✓ � _ �— 291,r 3 V/ 6A-1-16AIS CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER:,u//A/6&?-4- MSDS ON SITE? TYPE OF BUSINESS: 6,4P k/A-s,4 INFORMATION/RECOMMENDATIONS: eMs.'o E is P6s Fire District: A iI A 11.Ai3CE 6ld 5/TE 0 FL1 N p dU 14FCoo-pS Alj Al L A A AlAl,s b3L6 ra4i-t 06ck,35 l b c Scv nc T►i E i? s s oc cLr_., FGAVAtLA6L6 D A s 1 TE.® m6rp U K ems A-R-E Pos T6A A LhN i= Co yr Il ws a'lj n-to w,+s PRE v 1 b ep Tv H2 KUHN 1=vf- 'POST( & 0 n!�'' ,ppAY of rH-6 JtJ.4 Vez-noo-a. Waste Transportation: k/As VASHWAT��Last shipment of hazardous,waste: Name of Hauler: Oc-k0Si6E 36P77c$2a-4s estination: Waste Product: W451 WVq 1-IUM Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) a40aA 8ut� ,cu Hydraulic fluid +ae+f iRg WATE-Y Refrigerants �xlL) Motor Oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED 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 C2/0 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 yt-uo l f/ kC,5 +N b 3CUC- PoL-15H FoA K (including bleach) 11,46 A- i2N O c ,I-- /,-.p 6Ai,"AJS Spot removers & cleaning fluids -rHt5 WAS FI?oqr7�Eb gV A,- (dry cleaners) UkOGE_ 10 50510tQS 4WI1EfF-SHiP .fit-_ Other cleaning solvents p E-� 50,ijLESS A.G-17V1 IM if6RA•i�_j1Ub Bug and tar removers -n4 C 5A-a,C Windshield wash -?ir COHPLl kl,�C W t TN WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS S A<�1S F/k4C-Tt Number Fee 354 THE COMMONWEALTH OF MASSACHUSETTS $110.00 Town of Barnstable Board of Health This is to Certify that Auto Bath of Cape Cod 551 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 r Town of Barnstable Regulatory Services Thomas F. Geiler,Director '"R AS& Public Health Division 639. " 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. �5` -OXA-OO/DATE7, APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT Q`cr --i TELEPHONE NUMBER SOLE OWNER: S, NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF L PARTNERS: ru F' rrn IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. y� Z STATE OF INCORPORATION FULL NAM HOME ADD SS OF: c PRESIDENT TREASURER CLERK SIG 'AT OF APPLICANT i RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# 0 -- '0 Ojj r` I Number Fee 354 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that Auto Bath of Cape Cod 551 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. January 4, 2007 PAUL J. CANNIFF,D.M.D. THOMAS A. MCKEAN,R.S.,CHO Director of Public Health r, Town of Barnstable 1Al Ta,. Regulatory Services Thomas F. Geiler, Director w BABNSfABLE, * • • • 9�A A : Ate, Public Health Division 3. rEn '� Thomas McKean, Director , 20.0 Main Street, Hyannis, MA 02601, Office: 508-862-4644 Wayne.Miller,M.D. Fax: 508-790-6304 Sumner Kaufman,M.S.P.H. SIDI Paul J. Canniff,D.M.D. REMINDER TO ALL BUSINESS OPERATORS WITH HAZARDOUS MATERIALS IN BARNSTABLE The Town of Barnstable Town Council adopted, Chapter 108: Hazardous= =: Materials, a requirement for each business operator to obtain an annual hermit and to remit a fee of$100.00 if-one-hundred and eleven (11I) gallons or morel of hazardous materials are stored, transported, utilized, and/or disposed of a aCD particular site. A late charge of$10.00 will be assessed if payment is not received by July 1, 2006. This is a reminder that you have not obtained your Hazardous Materials Permit for the fiscal year 2006-2007. At this time, Checks should be made payable to the: Town of Barnstable in the amount of$110.00. Upon receipt of the fee and a completed application form, an inspection will be performed by the Hazardous Materials Specialist to complete the Hazardous Materials On-Site Inventory. A permit will be issued once the inspection is completed and has passed. Please feel free to view the above Code, Chapter 108: Hazardous Materials on the Town Website, www.town.barnstable.ma.us, which is located under the E-Code section if you should have any questions or concerns. Q:\Hazmat\Haz Mat Permit Reminder Letter.DOC e nn Crocker, Sharon , From: McKean, Thomas Sent: Monday, November 20, 2006 4:52 PM To: Crocker, Sharon Subject: RE: Phone Call-Atlantic Design Engineers y 1 No permit needed from us -----Original Message----- From: Crocker,Sharon Sent: Monday, November 20,2006 2:09 PM To: McKean,Thomas Subject: Phone Call-Atlantic Design Engineers Linda at Atlantic Design Engineers}508-888--ikW with a question re: client at 551 Yarmouth Rd, Hyannis (auto wash company) The client has an Industrial Waste Holding Tank Permit(from DEP which states compliance needed from Health Dept.) They may be selling property. What procedure new owners must follow to repair/replace fittings or pipes for the tank? 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'3 S ti:'i.�>ti•,a,rr� w��' S 4•. ��'� IW�iA��a �r�i � iY��! tky r.,•�,r� g�',1 3�,•� P'�!e �' �t �"4>,�"� , �yx `; ,� �.aao ir�>b to t'Lt..�r�,rc$ r''s .'d tSys`�.�s.:• _xi§!t3'.�r6� �' "�<ss.ax '�} `.3'.� tom.r.�• FA�,: �-r. 3: C} s e- -,,, .t tt,,'.,z h;_'t _;Y tTiyyr. i s +n43i�y Yk.. 4�y's+ "..E sir yr "'ri ° ,`' •2�fy '.r` t r.' d L.:., C'4i ?l 3m, {a(c q i �'� ''. •1'`� .7f k a}rf';5' �7 f r ' t{� c'"- t� +.Y , ltt l+r a ✓"'rF tl ^✓'`+ aaly tp�`tF }t f t 'e� s.;� '�z of i hot 4 t { "., to J•t 5ak A r tkll ��c /`k ail.'. `,✓ r t M. . L "".2 as K. t" 1 bill - s Town of Barnstable ems ,, Regulatory Services ti °. Thomas F. Geiler,Director f Ha MAS S* ` Public Health Division y Mass. � 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. DATE o� APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT � I f ADDRESS OF ESTABLISHMENT 10� &- \ � 'f� � �I J �''�I®r✓ TELEPHONE NUMBER ���- ��O pe? 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. STATE OF.INCORPORATION FULL NAME AND OME AD RE OF: , PRESIDENT 4GA' L 04YreLj TREASURER CLERK 7A SSIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS 3 / /9O HOME TELEPHONE# Haz.doc/wp/q 7 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. For further assistance on any item above, call(508) 862-4644 d Date: TOWN OF BARNSTABLE � 100 TOXIC AND HAZARDOUS MATERIALS ON-SITE I11§6 1P ORY NAME OF BUSINESS: C�7 a-vak Co BUSINESS LOCATION: �5�� .S INVENTORY MAILING ADDRESS: " ' TOTAL AMOUNT: TELEPHONE NUMBER: 6-0 8 ' —7-78 Z- S 1 4-I/. gt�t,Gf�-!s CONTACT PERSON: &1i,1Za4*A-11 C EMERGENCY CONTACT TELEPHON UMBER: MSDS ON SITE? Ciet TYPE OF BUSINESS: Cai- ?7/ea-as_ u ACL . INFORMATION/RECOMMENDATIONS: Fire District: 1�11,,�. . ( (.1.I�e� g, 5 �-cit-t- _!°��-r✓I A P�t�-cam/�1art� . Waste Transportation: AJ/,6 Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: -Licensed? .Yes No _-UCIIE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a licen from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS eet,aQ 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) 20 Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED 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 2 ny 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): WJ 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 Date:- TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: Au-Ay _�c,'1! 27 CAA?ak C� BUSINESS LOCATION:_5.�� ��� LT' INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: CONTACT PERSON: EM ERG ENCY CO NTACT TE LE PH ON UMBER: MSDS ON SITE? �PS. TYPE OF BUSINESS: Ca- L44244t- INFORMATION/RECOMMENDATIONS: Fire District: .ei. .S Waste Transportation: A I,6 Last shipment of hazardous.waste: Name of Hauler: Destination: Waste Product: Licensed? .Yes No w l NDIE Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a licenp from the Public Health Division. �f ee�..a.e_ wr`f'l+�i� to LIST OF TOXIC AND HAZARDOUS MATERIALS 111 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) 20 ozdMisc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED 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) Caul 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 2- ny 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 {"a Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS DBA: �1ut�o B of Cage Fax: — Corp Name: Mailing Address Location: Z51 Yarmouth Rd.,Hyannis Street: 551 Yarmouth Rd. mappar: City: Hyannis Contact:_AnthonyCarsallini/ �!� State: Ma Telephone 778-2818 Zip: 02601 Emergency: (508)737-0040 Person Interviewed: Business Contact Letter Date: 7/28/2004 Category: VehicleMaintenance Inventory Site Visit Date: 8/6/2004 Type: :Car Wash Follow Up/Inspection Date: ❑ public water ❑ indoor floor drains ❑ outdoor surface drains license required ❑ private water ❑d indoor holding tank mdc ❑ outdoor holding tank mdc ❑ currently licensed ❑ town sewage ❑ indoor catch basin/drywell ❑ outdoor catch basin/drywell expir -- - - 91 on-site sewage ❑ indoor on-site syste ❑ outdoor onsite system date: ............_....._..... ........ 100%closed loop system. 5000 gal pumped 12/27/94 by Macomber to compliance: Treatment Plant. ke sene for hea a y.Title V 7 yrs.ago. Satisfactory Monitoring wells on site. Must store acids separate from bases. Remarks: 1/28197 MSDS sheets on site. 100%closed loop system. Monitoring weel on site. Orders: 1/28/97 Drums unlabeled. e: See 1/28/97 Inspection Report for details. •REMARKS: G2y/1/21/98-MSDS on site. 100% :loged loop-Macomber pumps as , ,needed. s� tgo I © 5 2� t� 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 t ' unitof measure degreasers engines and metal 1gallons _._.._. _._.,_........__._...._..__..._.__..__........_......._..._._ ____-_.._.___.. ___..._ .....;...._.._...__....._.._..._._.......... ..._._......._...._........._. hydraulic fluids(inc u ak fluff 385gallons _ _ _-_..._.W_.. _._..._._ car waxes and polishes 5gallons lye or caustic 55gallons _.__...__._....____.. Waste Transporter: :Clean Harbors Fire District: Last HW Shipment Date: Waste Hauler Licensed: No r 2 Hazardous Materials On-Site Inventory/Inspection For ALL Shops and Businesses in the Town of Barnstable : Location: 5�51 Date: - v Ll Physical Features to Inspect: Hazardous waste generation sites (production/manufacturing areas): Waste storage areas: Satellite accumulation points throughout: HazMat stored outdoors — CHECK OUTSIDE: Shipping and receiving areas: Run down of shop activities: Housekeeping practices: HazMat On-Site Inventory/Inspection: Records to Review for SQGs and CESQGs DBA: Location: ,_J% OA�o-use_A�j Site visit date: c �( i Hazardous Waste Manifests: Employee training documentation (if required): Hazardous substance spill control and contingency plan: MSDS on site? d HazMat Inventory records (if applicable): HazMat Waste Shipping documentation: Spill records (if applicable): _� TOWN OF BARNSTABLE C MPLIANCE: CLASS: 1.Marine,Gas Stations,Repair -gatisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops „Q O unsatisfactory- 4.Manufacturers COMPANY (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS ` � _ Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR M4 Case 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) new motor oil (C) ydraulic � Synthetic Organics: degreasers Miscellaneous: ap, DI5 SALIR CLAMA ION REMARKS: 1. Sanitary Sewage 2. ter Supply C O Town Sewer Sublic (I -site OPrivate 3. Indoor Floor Drains YES NO G/ O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO O ERS: O Holding tank:MDC - O Catch basin/Dry well O On-site system 5.Waste Transporter Nam-- of Haulei Destination Waste Product O YES NO d� Person(s) Interviewed Inspector Date a 74/ TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repai BOARD OF HEALTH satisfactory 2.Printers 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY/ (�✓�0O (see"Orders") 5.Retail Stores /� 6.Fuel Suppliers ADDRESS 3-4-1 Y a�(U Class: 7•Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underign-ound IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel =erosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil(C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: ra ST DISPOSAL/RECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply `l�s �'''� Q0%O C O Town Sewer OfPublic f C-f 14-V , %On-site OPrivate 3. Indoor Floor Drains YES__?C NO O 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 O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES NO 2. - r Person (s) Interviewed Inspec or Date TOWN OF BARNSTABLE Dater'/22/ /,S TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: r-4tr &j VS T�j BUSINESS LOCATION: .ram (ED Vl-t4- INVENTORY MAILING ADDRESS: TOTA AM UNT: TELEPHONE NUMBER: CONTACT PERSON: EMERGENCY CONTACT TE EPHONE NUMBER: SZF- MSDS ON SITE? TYPE OF BUSINESS: 4 0 / eh-(g-& 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 material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) p P 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 Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) " ❑ NEW ❑ USED Any other products with "poison" labels •_ (including chloroform,formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes Laundry soil &stain removers (including bleach) Spot removers&cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applic s Sign Staff's Initials Date: I Y TOWN OF BARNSTABLE � TOXIC AND HAZARDOUS MATERIALS FORM NAME OF BUSINESS: V40 18AA .4 a co� BUSINESS LOCATION: SSl 'yaVfA� iQ H ye.Y%-,-„5 INVENTORY MAILING ADDRESS: PD ox 20 , ozL,-72 TOTAL AMOUNT: TELEPHONE NUMBER: Sob --778- 2d1 I D fOoKs CONTACT PERSON: rct-lk Yq.6ecA- c Jd h Mora tow•n- -1r EMERGENCY CONTACT TELEPHONE NU BER: 9-'77(6-1 7-1(o MSDS ON SITE? TYPE OF BUSINESS: !Coto v► --,+,G c.ar WA.gt ,- ye.S INFORMATION / RECOMMENDATIONS: ') cS,fJrI/ 214r4- a Fire District: Ila a,wI)- Ope&I'd and :evwt0 a ka.ce_ hnl S Waste Transportation: M dfA,4 ke�to; Last shipment of hazardous waste: Name of Hauler: oX tlfkt 4_�Puwy!!4 o(Y-fife Destination: Waste Product: -6061-e L)aA- Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) s� Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals(Fixers) Diesel Fuel, kerosene,#2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals(Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents \ Spp 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 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 354 THE COMMONWEALTH OF MASSACHUSETTS $110.00 Town of Barnstable Board of Health This is to Certify that Auto Bath of Cape Cod 551 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 PAU_L J.CANNIFF,D.M.D. 6/30/2010 JUNICHI SAWAYANAGI THOMAS A. MCKEAN,R.S.,CHO Director of Public Health .5 rip I Town of Barnstable °FTHe ro,,, Regulatory Services ti yP °� Thomas F. Geiler, Director + BA MASS. p= Public Health Division 9 MASS. 0 i639• ♦0 °TE1639. ' 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. 116 002001 DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT C/'7 p-(;s AA-7X P, ` .-kI, NAME OF ESTABLISHMENT tiuT10 BA'IftL d r CI&PE Cy ADDRESS OF ESTABLISHMENT/ 1�� ����"ti Rel, . Nc."( uNl'� 11A 02E4 TELEPHONE NUMBER 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.,*80 --0, 02 63 3 STATE OF INCORPORATION QC41) M %: zuC FULL NAME AND HOME ADDRESS OF: PRESIDENT5v� ,�✓ ; 23 t ;AVd9P=s Lv..� TREASURER GG��'is y.,( I1+�,1�a: .1y wiZ4V4'--' A44. CLERK 5A-A110 �NV-Av 2-3 t-41--Jsr s 44 SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE # 5� �5�y—M36 Haz.doc/wp/q 3261 Main Street Route 6A Barnstable Village MA ` 02630 S C December 10, 1986 Barnstable Board of Health 617 362 8133 Town Hall 367 Main Street Hyannis, MA 02601 RE: Subsurface Sewage Disposal System Lots 1, -2, 3 - -Yarmouth Rd. , Hyannis, MA 5 �� Our File No. 3-1738.01 Members of the Board: This is to inform you that the subsurface sewage disposal system has been inspected by this office at the above referenced site. The- system--has been installed substantially as per plans prepared by this office for Matthew Cavallini dated February 28, 1986. If there are any questions, please do not hesitate to call. Very truly yours, BSC/CAPE COD SURVEY CONSULTANTS Engineers e-9p" Surveyors - Stephen A. -Haas, E.I .T. Scientists Project Manager Architects Landscape cc: Hardwick Homes Architects Matthew Cavallini Planners Robert George 1SAH39/aac Cape Cod Survey Consultants Fee Number THE COMMONWEALTH OF MASSACHUSETTS $11o.00 354 -- -- Town of-Barnstable Board of Health This is to Certify that Auto Bath of Cape Cod _ _ — 551 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 rf L w Town of Barnstable Barnstable �Q�zrti Regulatory Services Department > medcaQdy BAttNWAB } Public Health Division 9� vASM . 200 Main Street, Hyannis MA 02601 ArE,�MAC p 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 DATE ., APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT I\ 0 e r \ e P1 r NAME OF ESTABLISHMENT 4jto ADDRESS OF ESTABLISHMENT 651 Y Q (- M6 y1N1 R' A • TELEPHONE NUMBER SOLE OWNER: (/YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS Off'ALL PARTNERS: Ln IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. _ g STATE OF INCORPORATION r qA ANIDENTS CLERK SIGNATURE bF A ANT • RESTRICTIONS: HOME ADDRESS 0�� t .c 148L"' 4 Ak 0a'gl HOME TELEPHONE # 40/9 0 a 5/— / 3 9 Q:\Hazmat\Haz Mat Application2008.DOC °F1MeroN Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 YB,RMA�LE Op, 200 Main Street• Hyannis, MA 02601 �iDtEO MP'�a`� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: ar vVs ale-r3 0Date: �71 Location/Mailing Address- SI Contact Name/Phone: ce -7 A( Inventory Total Amount: L SDS: '�C�1�L2 5�-P-O[DuMicense#: N 1� Tier II : JQ o Labelin : Spill Plan: �� Oil/Water Separator: 0 JA Floor Drains: 5A,kk-ctk Emergency Numbers: 04C, Storage Areas/Tanks:. D -!AknAAA. H A 4,1 Emergency/Containment Equip ent: '�1�. Waste Generator ID: Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. I Antifreeze 1 Dry cleaning fluids N Ial Irkrv—cltqwl�e, Automatic transmission fluid �— Other cleaning solvents&spot removers / Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) I Windshield wash \ Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum,products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Ito Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes J, -\ Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda I Lacquer thinners \ Miscellaneous Combustible , +1 � �S Paint&varnish removers, deglossers Leather dyes 5 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: 15kg<c � W�`�t� Cov``4a�v�,�•�i • ORDERS: a\ a wc, Go k&\v.AA S ,(•e_ )a.,- o INFORMATION/RECOMMENDATIONS: o s i !, Inspector: 'l V IV�k�arc r�b W c��•e- e��,��-1�,o,n. t�a a' av� ��.� g+� aFacility Representative: C\-eAv,, -e � Cev�A-AI WA-rs c�v�-s��-e- 4- 5C_-m �J y do WHITE COPY-NEALTH DEPARTMENT/CANARY COPY- BUSINESS °Ft ►op Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 e"RM�`E'g 200 Main Street• Hyannis, MA 02601 �bsq TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: r u Date: / Location/Mailing Address: 5�51 kM Yi�,�-) 15 ar;5—1 Contact Name/Phone: tej t v R, e. -z9q- Inventory TotalAmount: G MSDS: DY-- Ao o—V 5 License#: >� Tier II : Labeling: 0 Spill Plan: 41 Oil/WaterSeparator: V. 0&J;t-,Floor Drains: Emergency Numbers:-At�6 — Storage Areas/Tanks: kt AZb s o Emergency/Containment quipment: Waste Generator ID: ISO Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid �— Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink J Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS r RECEIVED 04/10/2017 03:10PM Auto Scents Inc. Fire 107 Sin Nembre QL NE Albuquerque,NM 87113 Heafi React 0=Insigaific=t ght MATERIAL SAFETY DATA SHEET z=M 4W " F'gh Emergency Phone Number 1 - 800— 535-r 5053 a--Extrama The information la this MSDS was oblitred from current and reputable sources, however,tbhe data is provided without arty war- ranty,express or implied,regarding its eorrecmess or accuracy_ it is the tiw's responsibility both to determint safe conditions for use of this product and to assame liability for]on,injury,damage,or skpsm resulting from improper use of tWs praduct. salon 01—jdpotfeetlon Date Issued Tate Revised Prepared by Wipe Out odor Eliminator System NO R&Part B 3/05/09 03/05/09 C.Hawes Product Na=> ,Auto Scems SECTION 02—HAZARDOUS MATERIALS Hazardous % CAS No. LD of Mate- 1<C of CARCItVOGEN Ingredients rw Material 1-'1A-Y OSHA dirt 6 $- 2 90 3 No Ng D[o Chkrioe Dioxide NE 10049-09-4 292 N/A No No �Yo SEgUON,03—M31CAL DATA Physical State Odor and Appearance OdorThreshold Gas( ) Liquid (x) (PPM)N/A 3011d ( ) COLORLt38S L QUJ0 CHLOP1NS ODOR Vapor Pressure Vapor Density (Air-1) EvapmiatloA Boiling Poimt Pteering Point NF- KXe (dal C) NE >1 NE 1�C �a Volatile Solubility in water pH TI- Mc Gravity Coefficient watedoil 60 (20 degC) Soluble NA 3.5 .03 Diat N/A, SECTION 04--FIRE AND EXPLOSION DATA, 'Flammability Yes ( ) if year Under wbich conditions? No (x) Means of Extinction Water,CO2.Foam Specie]Procedures STAY UP%TM WHEN F GHTNG FIRE Autoigoition hazardous Combustion produera Temperature(4eg C) NE Carbon Monoxide and Carbon niPXid$ Mashpolat(deg C)and Upper Explosion Lower]explosion Limit Method Non flarhmable Limit(% by Volume) QUA (%by Volume) N/A Explosion Sensitivity to Rate of Burning lrxplosive Power sensitivity to Impact None None None Static UnknowD RECEIVED 04/10/2017 03-10PM Product Name: ACTION 05— ATA Chemical St8bility If No,andec which conditions: yes ( ) No (X ) SLOWLY RELEASES CHLORINE DIOXIDB GAS r 11Y with Other If yes,which ones: Yet ( ) No(x } I=UCING AMNTS,ACIDS.ORGAi�ICS nd nader what conditions---PART A&PART aX I#I.1YN LzD l?I�ODUCCS SLOWLY RBI BASE CI ORINB DIOMDE eCOMPOSWOO Pmdnars: Oxides of Carbon SECHW4 06 TONICOLOGXCAL PROIXRTM Route of Entry Sian Contact (z ) Skin Absorption (x) Eye Contact ( ) Inhalation Acute ( ) Xrthalation C%ronie (X) Ingestion ( ) Sly,ecrs of Acute Fxposura to Matetiak Can bG corrosive to skis and eyes Bffectc of Chronic Expos=to Material None Known LD of Material LC of lVlaterial ftposnre Limit of Matertal irritancy of Nblerw- (Specify Species and (Specify Species) Irti to Skin/eyes Route) 8600 mg1kz rugestton Not avai:lahlc Not Known +"+—� Seosulzarion'Property of Cartimogenotic of Material Reproductive Effects of Matrrial Synergisde Materials Material Not available . - Not available Not available Not available SECUON 07—PREVENTIVE MEASURES Personal Protective Equipment:Go=les.Rubber gloves, Gloves(Sperm Dubber Respirator(Specify)Norte Eye(Specify) Gogglas l?aatweu(Specify) Norte Clothing(Speciry) Novo Other(Specify) None l3ngiAeerytg Controls(Specify,e.g.Ventilation,enclosed Proem)., None Necessary Leak and spilt Procedure: Treat as non hezardoua waste Waste Disposal: Follow Local.State and Federal Regulations, 1'Idildlltte Procedurot and Equipment: Matra sure to air out vehicle after use Storage kieguisei ots: Store SA vebicleaway f'romaclds,reducing agents Special Sldpp4Informatiou,None SEC'X'XON 08 41TRST AID N ASURES Skin Contact: Flush from Skin and clothing with 18tge amounts of fresh water. If iaitatiao persists,oonsnli Physician. Wash eloW49 Byes: Movo away from exposure. Flush immediately from eyes;for 15 minutes with fresh water. Contact physician immediately Ingestian: If swallowed,do NOT Induce vomiting. Get IMMEbIA 9 medieal attention BreetltlAgt Move person to fresh aa. Administer oxygen if needed. Call physician immediately Addldo"In€orrm4on: Norte EMERGENCY PHONE W,M.BER 1-800- 535-5053 TOWN OF BARNSTABLE c MPI.lANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH satisfactory 2.Printers 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY P (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS _"' '� ,�4 21 �c��2 '' Class: 7.Miscellaneous 77f— 2140' QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground IN OUT IN OUT IN OUT #&gallonPAge Test Fuels: Gasoline,Jet Fuel(A) ,' Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil(C) new motor oil(C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: DISPOSAIJRECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply O Town Sewer Public XOn-site OPrivate 3. Indoor Floor Drains YES—LI NO 'Holding tank:MDC----V O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES-NO ORDERS: O Holding tank:MDC �atch basin/Dry well V On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES NO 1. 2. Person(s) Interviewed Inspector Date � t1