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HomeMy WebLinkAbout0600 YARMOUTH ROAD - HAZMAT la60 (farmUuA -- \ Number Fee THE COMMONWEALTH OF MASSACHUSETTS 143 100.00 Town of Barnstable Board of Health This is to Certify that Buick GMC Cadillac Saab of Cape Cod 600 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 • • r4 'ocz i th Town of Barnstable ti Regulatory Services ° Richard V. Scab,Director ` BARNSTA33M Public Health Division Ec ram'' Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee:$100.0.0 ASSESSORS MAP AND PARCEL NO. —v/-0DAATE g'( APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT!�i I�C -� e_5 A NAME OF ESTABLISHMENT 6L_ \L)L vrLC C,d- �CDc� • ADDRESS OF ESTABLISHMENT n�-0 • j-�— aa1 n t ( W TELEPHONE NUMBER C) SOLE OWNER: YES_ZNO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.D` '- u�o'� CC) 1 STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT • r=u- TREASIaZER CLERK I, S � �a b 30l r rr' SIG OF APPL RESTRICTIONS: HOPA ADDRESS qQ� Jf b `) HOME TELEPHONE# `;5.D 3 $D- L+L e; ` Mcache\Temporary Internet Files\OLKD3\HAZAPP Rev2015.DOC I Horsley Witten Group - Sustainable Environmental Solutions 90 Route 6A • Sandwich, MA • 02563 Phone-508-833-6600 Fax-508-833-3150 www.horsleywitten.com March 29, 2011 VIA US MAIL Mr. Winthrop Wilbur 26 Forest Gate Yarmouthport; MA 02675 Re: Remedy Operation Status Report#16 Airport Motors Site, Hyannis, Massachusetts (RTN 4-0873,) Dear Mr. Wilbur: The Horsley Witten Group,Inc., (HW) has completed the attached Phase V Operations Status Inspection and Monitoring Report Number 16 describing remedial activities and,response actions from September 2010 through March 2011 at the Airport Motors site located at 556 Yarmouth 'Road, Hyannis, MA 02601: This report was submitted on March 26, 201.1,.to the.Massachusetts Department of Environmental Protection (MA DEP)via the eDEP electronic submittal system. During this reporting period, groundwater sampling was conducted on.March 16; 2011, Laboratory results indicate an isolated area of contaminants of concern at concentrations above applicable DEP standards. If you have any questions,.please contact meat (508) 833-6600. Sincerely, HORSLEY WITT GROUP, INC. . Joseph E. Longo Associate Principal ' - - µ. •• Enclosures t ti a cc: James Begley, LSP_(via email) Barnstable Board of Health(cover letter only)' Barnstable Town.Administrator (cover letter only) Sandwich 'Newbu'ryport Providence Smart Growth + Integrated Water Management •. Wastewater Management Stormwater Management Civil&Environmental Engineering Wetlands Assessment Hydrogeology&Water Supply Coastal Management •. Site Assessment 8 Remediation Land Use Planning Graphic Services Education.&Outreach H zardous Materials Inventory Sheet Checklist Date Physical Street Address-Check database to ensure it exists _T Working Phone Number Actual Amounts -( ie. gas being used to fuel machines, thinner to / clean brushes all count as hazardous materials-no blanks) �)V Storage Information -location of storage, how long is storage for? Y)b1A W / If none, note that. L` JC 'Its V Disposal Information -where and who? If none, note that. Oy 16 I�f Applicant Signature - understand what is listed and noted �/�l �VtAV1 -�` 16( Staff Initial -any questions, know who to ask Vehicle Washing/Rinsing? -give a vehicle washing policy and V1 by�� u explain it ✓ Attach the Business Certificate with your sign off and comments _ 'I V� "The inventory form should explain what the business consists of and the procedures,�Y� (i11� �" they are doing. Notes need to be left to explain what you discussed with them. 00' 1a j�� YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates cost $30.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in town .(which you must do by M.G.L. - it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, Vt FL., 367 Main Street, Hyannis, MA 02601 (Town Hall). F DATE: - 3- / Fill in please: R„ APPLICANT'S YOUR NAME: rZl . AJ BUSINESS YOUR HOME ADDRESS: TELEPHONE # Home Telephone Number: EW,,I3USINErSS .I �h .... 1,!t :1 -..1 I'1.. ?:1''' .� I r. ,i 'rl,' :. YY`,�r+.-r.r--!.—rr•.u. :::.:.... n,r.:. � ,....,r.,. ..� •, r :'., .. ,ir.,u!::!��i�ia;l r,: I:.,.I.,,. ,,Ir. I ... .....r.._„.1., .r.. �1 II .E.QG. U,p �O.:r.....r ,,.�.. , ,.. r.. ... ..........._...r:, ......,......... ..._..............n, .r.lv.!. .,,`:,..r 1,.1!!:f!„.. , ...,r,. ., ..,,.,rc!.-r.L..r!], .,r.. ..,......... .. .,r..•.. ..,. _:.1..!.__.. ,, {•�� ,:I,TRf� !.�..... .,.��:A,...!._.,:f. .,.....-.. ..... 1.....::... ...... r......r.....,�...... ..d .,'. , .... .... u. I.. r ! t. ..,a..........._......:r...r.„_..rr...a,.._r,....r....:�. j ....:.r!. .....I. :. !. .... !....1,..... 7 _ .....r... .....,..r, .... .,.r.....r,....,........._,ter. ._l.. .�.,,. ,? ... „d,...; .,,_ar.,-„�!.:;,..,rr..:a::!d!::�,rrr!._,-:I!,rr:,w•r�!r. r.r„., .��„_ ... _. ..M When starting a new business ther are several things you Wst do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. —.(corner of Yarmouth Rd, & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has been informed of any permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 2. BOARD OF HEALTH �' t Ito This individual has beep�informed of the permit requirements that pertain to this type of busirlss. c: ,a—Z-U - -7 I � MUST COMPLY WITH ALL COMMENTS: Authorized Signature** HAZARDOUS MATERIALS REGULATIONS 3. CONSUMER AFFAIRS kC SING AUTHORITY) This individual ha en n o d of the licensing requirements that pertain to this type of business. A&thori!ziignature** COMMENTS: tiQ�t, C� - - .► , ;., 2l � l � I TOWN OF BARNSTABLE Date: TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: COE ot&d eu pie. "D6A L. ww� CAp* 44 PR WO" BUSINESS LOCATION: Sri. VAKAotJ3:f,, P11 024o I INVENTORYC'4y'6r— MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: 902- 1 5--1 Lf Ld H -- CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: 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) 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 Applicant's Signature Staff's Initials (. Hazardous Materials Inventory Sheet Checklist Date Physical Street Address-Check database to ensure it exists Working Phone Number Actual Amounts -( ie. gas being-used to fuel machines, thinner to clean brushes all count as hazardous materials-no blanks) Storage Information -location of storage, how long is storage for? If none, note that. Disposal Information -where and who? If none, note that. 1__-- Applicant Signature-understand what is listed and noted r Staff Initial -any questions, know who to ask Vehicle Washing/Rinsing? -give a vehicle washing policy and explain it 1­�tach the Business Certificate with your sign off and comments "The inventory form should explain what the business consists of and the procedures - the are doing. Notes need to be left to explain what you discussed with them. ' YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates COST $30.00 for, 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in the Town (WHICH YOU MUST DO BY M.G.L. - it does not give you permission to operate). You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1" Fl., 367 Main St., Hyannis, MA 02601(Town Hall) and get the Business Certificate that is required by law. t�^ DATE: Fill in please: APPLICANT'S YOUR NAME: BUSINESS YOUR HOME ADDRESS: TELEPHONE # Home Telephone Number: NAME OF NEW BUSINESS 8�j;.«.�� yv1 L C.4.,p LLA+ 5 4 � TYPE OF BUSINESS IS THIS A HOME OCCUPATION? YES b E D Have you been given approval from the building division. NO ADDRESS OF BUSINESS MAP/PARCEL NUMBER 3Lf When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has been informed of any permit requirements that pertain to this type of business. Authorized Signature" COMMENTS: 2. BOARD OF HEALTH This individual ha e n info 5m th epmit re uirements that pertain to this type of business. Authorized gnature** COMMENTS: MUST ;.,., 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: r TOWN OF BARNSTABLE Date: :� ' TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS:RQ -6 AJMC- C'A•1 IUA-C_ . Al G 4& CAPE C� BUSINESS LOCATION: 600 i'!S�Sv1.O1-yr4 Rb 4"ea�,JIW S ' IN MAILINGADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: CONTACT PERSON:__fxA%\,_ �)-eA,-g&l0 EMERGENCY CONTACT TELEPHONE NUMBER:•S�-Zcsqz�--24 MSDS ON SITE? TYPE OF BUSINESS:. M cS -&r—g: INFORMATION/RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous waste: MA'J 20' a Name of Hauler: C.aA--) 4AC-3n 5 'CAJ/. Destination: IMurt i c O&L A GJ163 cY?,,-) VIA Waste Product: e of� «ram Licensed? es 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 2® Antifreeze (for gasoline or coolant systems) Misc. Corrosive NEW BUSED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides NEW IMbUSED (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 I 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 i Town of Barnstable oFSHe T Regulatory Services Thomas F. Geiler,Director Public Health Division BARNSTABLE, Thomas McKean,Director 9 MASS. g 1639. 200 Main Street, Hyannis,MA 02601 Phone: 508-862-4644 Email: health@town.bamstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 April 29,2008 ` Mr. Michael Sturtevant RE: Toxic and Hazardous Materials Parts Manager On-Site Inventory and Inspection, Cape Cod Lincoln-Mercury Cape Cod Lincoln-Mercury, 556 Yarmouth Road 556 Yarmouth Road, Hyannis,MA 02601 Hyannis Dear Mr. Sturtevant: On April 17 2008 a Toxic and Hazardous Materials On-Site Inventory and Inspection of the v p ry p above referenced site was conducted by the Public Health Division(PHD).An On-Site Inventory and Inspection is a review of the sites storage,transport,utilization and/or disposal of toxic and hazardous materials as it relates to the Town of Barnstable Ordinance,Chapter 108:Hazardous Materials. This Ordinance was adopted to protect the public health and welfare,especially as it pertains to the public drinking water supply. The following is a description of the results of the Inventory(enclosed)and Inspection. MATERIALS INVENTORY AMOUNT AND PURPOSE: The Inventory of this site indicates the use or storage of approximately two-thousand,one-hundred, thirty-five and one half(2,135.5)gallons of toxic and hazardous material.This material is used in vehicle repair and maintenance. Please be aware that the Town of Barnstable has determined that a minimum of one-hundred and eleven(111)gallons of toxic and hazardous materials requires an annual license. GENERAL STORAGE AREAS AND CONDITIONS: • The Service Garage consists of eleven repair bays with lifts.The individual repair bays have a work bench where small amounts of hazardous materials(oil,antifreeze,etc...)are kept and used on an as need basis. The Service Garage houses a parts cleaner,drain buckets for waste oil and oil filters,an air conditioner machine,an acetylene kit,a dirty rag barrel and a waste oil tank with an estimated capacity of four-hundred(400)gallons.The waste oil is burned in the garages' space heater. The drained oil filters are placed in a covered dumpster in the rear of the property. • The Store Room is the storage location for retail sized containers of various hazardous material used in auto repair.The material is used by the service technicians and sold to customers.The new batteries are also stored in this area. • A storage room adjacent to the Store Room is the location of an oil tank with an estimated capacity of three-hundred and fifty(350)gallons and a waste antifreeze tank,with an estimated capacity of two-hundred and seventy-five(275)gallons. Used batteries are also stored here. -2- • A separate service garage,located in the rear of the property is typically used for tire mounting and balancing.When business warrants,this garage is also used for oil change service.A five- hundred(500)gallon oil tank and a two-hundred, fifty(250)gallon waste oil tank are stored in this garage.The waste oil is used in the garages space heater. SAFETY AND DOCUMENTATION: The Material Safety Data Sheets are available on line. Cape Cod Lincoln-Mercury was not in receipt of a License for Storing or Handling of 111 Gallons or More of Hazardous Materials,Contingency Plan or Spill Kit. The approval status of the waste oil burning space heaters was unknown at the time of the inspection. Manifest sheets for the transport of hazardous materials were provided upon request; Safety Kleen is the licensed hauler of record. SITE FACILITIES: The drainage trench in the Service Garage floor is reportedly capped. The site building is served by an on septic system. Any deficiencies which were discovered in the course of this inspection with regards to the Hazardous Materials Ordinance are described below. CORRECTIVE ACTIONS TO BE TAKEN: The oil under the waste oil tank in the room adjacent to the Store Room and the oil in the tray under the waste oil tank in the rear service garage is to be cleaned up and disposed of appropriately. All containers, including all drain buckets,the oil filter drainage barrel and the used waste oil tanks shall be clearly marked with the words"Regulated Recyclable Material", "Used Fuel Oil"and"Toxic". The waste antifreeze tank is to be labeled"Antifreeze"and"Toxic". Oily rags are to be kept in a covered bin. The parts cleaner is to be kept closed when not is use. A 2007-2008 Application for permit to store and/or utilize more than 111 gallons of hazardous materials(enclosed),the associated fee and Contingency Plan are to be completed and submitted to the Town. (Please refer to Chapter 108-6 License and contingency plan,enclosed.) The PHD appreciates your cooperation and acknowledges your intent to maintain compliance with the Hazardous Materials Ordinance.This office will conduct a follow-up inspection within four weeks to verify that all corrective actions have been taken.Please contact me at the above telephone number should you have any questions or comments regarding the Inspection of your site. Very ly yours, Cyn a A. Martin Hazardous Materials Specialist -3 - All orders to correct viol tions of Chapter 108 of the Town of Barnstable Ordinance: Hazardous Materials. shall be com leted upon r ceipt of this letter Thomas A.McKean,RS,CHO Director of Public Health Enclosures: Toxic and Hazardous Materials On-Site Inventory Application for permit to store and/or utilize more than 111 gallons of hazardous materials Copy of Chapter 108 HAZARDOUS MATERIALS —j7�� �AV Date: TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: �'�'°`'��aD 1-/,0"L u - /-16)ee x BUSINESS LOCATION: .4-fk V.4�r+Z�G.Oy17f d a f-0 94/ IJIS INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: ��� �s" ���� - /35:.- CONTACT PERSON: 1/i6�f!/EZ S rv�T'b�yh�Jr PRE /e(.c/L,. EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPEOFBUSINESS: 4ry AW-A fe-Ek )t INFORMATION/RECOMMENDATIONS: SE�- A-77-1K#t_b 1,V5FEe-770� Fire District: I-EWE-r- aAnb AakIL99. _-Loaf' Waste Transportation: Last shipment of hazardous waste: J Name of Hauler- Destination: cenj Waste Product: D// %iLM!Ks15o1-VEW , All7f ensed? es o 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 �-KUSED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants "3V F/2t�it/ Motor Oils Pesticides 80 NEW &Q 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 f3N Swimming pool chlorine Battery acid (electrolyt / atteries Jr 115Eb 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 f Town of Barnstable rKE Regulatory Services ' g 0 Thomas F. Geiler,Directoy MAn a Public Health Division 7� 1639. ,0e 1 . a A,Fo►��° Thomas McKean,Directory �xn 2.00 Main Street, ee Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 j � Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AN /OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS ' FULL NAME OF APPLICANT C -6i t I'V t L L NAME OF ESTABLISHMENT r S 1 t, ADDRESS OF ESTABLISHMENT �p S ��d l�rt"V�.T t1 u n n I 0 TELEPHONE NUMBER 7 J - y 2L4 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.OH�M5X3 STATE OF INCORPORATION G FULL NAME AND HOME ADDRESS OF: PRESIDENT r- PI i TREASURER � CLERK S SIGNATURE OF APPLICANT .RESTRICTIONS: HOME ADDRESS � i Ic4 S HOME TELEPHONE # •T"l t- i i CHECK L CAPE COD AUTOMOTIVE,LLC CONTROL NO. 26302 ISSUED BY: KATHY_HANSEN HYANNIS,MA 02601 PAGE 1C INVOICE INVf?ICE P>*tRGHASE DIS.CCUNTI NET: STOCtC NO DATE RISER NO ACCOl1NT NQ M4„U,NT CONINtEN. V I AMOUNT _...:.... . .. .. . .__.... _ . . _. ........ _... .... _.. .. ....... . ...:. :. . :.: A :.:::: 042308 LICENSE 100 . 00 26302 20200 —100 .00 LICENSE 32511 100 . 00 e� w TOTALI 20200 100 . 00 DETACH AT PERFORATION BEFORE DEPOSITING CHECK REMITTANCE ADVICE ✓� _ � off' ale �,tom' 2`� Town of Barnstable i� �' �,3 P �d moo.. to sHE Tow; Regulatory Services, � s� j S Thomas F. Geiler,Director �y0 ���� j� 9°"MASS. 0p Public Health Division p'Fo 39. ° Thomas McKean,Directo i f 200 Main Street, Hyannis,MA 012601 Office: 508-862 4644 Fax: 508-790-6304 j Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE 7 j� �-7 Zwe- APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE rp e. THAN 111 GALLONS OF HAZARDOUjS MATERIALS G ov ,�bip 1 _I FULL NAME OF APPLICANT _1 p, COG �U T� M r7�I V L L.C, 4j NAME OF ESTABLISHMENT —:L_c4n ICU S� ,1 ] t ADDRESS OF ESTABLISHMENT C, D o � � 0 TELEPHONE NUMBER ' () ' 'I 1 _ y IL SOLE OWNER: YES ✓NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: i i I IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. ,5 STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT i A.P r• TlnrirL TREASURER I 1 CLERK S 1 SIGNATURE OF APPLICANT I t RESTRICTIONS: HOME ADDRESS a 1 HOME TELEPHONE # •?7�- I CHECK CAPE COD AUTOMOTIVE,LLC CONTROL NO. C26302 �'"� ISSUED BY: KATHY_HANSEN HYANNIS,MA 02601 PAGE 1C �NVQICE INC3fEEURCHASE " DISC�2tJNT/ NET 5TOC;K N0 D,4T Sty » NQ COMMENfi/V I [; AMUUNT ACGOUTVT�0 A1VlOUNT �> ... ... 042308 LICENSE 100 . 00 26302 20200 -100 .00 LICENSE 32511 100 .00 .. TOTAL 20200 100 . 00 DETACH AT PERFORATION BEFORE DEPOSITING CHECK REMITTANCE ADVICE I A Town of Barnstable OF THE T Regulatory Services Thomas F.Geiler,Director Public Health Division INSTABLE, Thomas McKean,Director MASS. tb 1639. 200 Main Street, Hyannis,MA 02601. ArFD MA'1�' Phone: 508-862-4644 Email: health@town.barnstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 April 15,2008 Mr. Paul Larsen, RE: Toxic and Hazardous Materials Parts&Service Director On-Site Inventory and Inspection, Cape Cod Chrysler/Dodge Cape Cod Chrysler/Dodge, P.O.Box 2157 60..0 Yarmouth Road, Hyannis,MA 02601 Hyannis Dear Mr.Larsen: On April 3,2008,a Toxic and Hazardous Materials On-Site Inventory and Inspection of the above referenced site was conducted by the Public Health Division(PHD).An On-Site Inventory and Inspection is a review of the sites storage,transport,utilization and/or disposal of toxic and hazardous materials as it relates to the Town of Barnstable Ordinance,Chapter 108:Hazardous Materials. This Ordinance was adopted to protect the public health and welfare,especially as it pertains to the public drinking water supply. The following is a description of the results of the Inventory(enclosed)and Inspection. MATERIALS INVENTORY AMOUNT AND PURPOSE: The Inventory of this site indicates the use or storage of approximately two thousand and fifty(2,050) gallons of toxic and hazardous material.This material is used in vehicle repair and maintenance. Please be aware that the Town of Barnstable has determined that a minimum of one-hundred and eleven(111) gallons of toxic and hazardous materials requires an annual license. GENERAL STORAGE AREAS AND CONDITIONS: • The Machine.Shop houses an Enviro Clean parts cleaner,and an oil filter drain barrel and crusher. Although they were all appropriately labeled,the area around the oil filter drain barrel was oily and the containment device was nearly full.This Shop also houses empty oil,gasoline and diesel satellite drain buckets. • The Main Shop consists of a garage with several bays. This area houses a two-hundred and fifty (250)gallon windshield washer fluid tank,a two-hundred and seventy-five(275)gallon waste antifreeze tank,a two-hundred twenty(220)automatic transmission fluid tank, and two waste oil tanks,one is a three-hundred and thirty(330)gallon tank and one is a two-hundred and seventy- five(275)gallon tank.This waste oil fuels the waste oil heater.There were four drums also stored in this area,two were empty and reportedly not used,one held used antifreeze and the fourth barrel held oily water.They were not labeled correctly. In addition this storage area is adjacent to a garage bay door immediately uphill of a catch basin;this storage location lends itself to the potential for accidental spillage reaching the catch basin. 2 � -2 • The Parts Department houses retail stock.This area was neat and orderly. • The Shipping and Receiving Room housed limited retail stock and a five-hundred(500)gallon motor oil tank. • Trailer#1,which is located in the parking lot,contained twelve thirty pound tanks of 111 2- Tetrafluroethan,snow melt and cases of oil. • The"Kia"Trailer,located adjacent to Trailer 41,contained several cases of miscellaneous retail sized,vehicle maintenance materials and fifteen used batteries. • A covered dumpster for the used oil filters is located in the rear of the parking lot. SAFETY AND DOCUMENTATION: The Material Safety Data Sheets were available and in a binder in the Parts Department office.There are separate binders for the"Kia"Trailer and Cape Cod Chrysler/Dodge. A Contingency Plan with a list of telephone numbers was available. Manifest sheets for the transport of hazardous materials were provided upon request,Safety Kleen is the licensed hauler of record. Cape Cod Chrysler/Dodge was not in receipt of a License for Storing or Handling of 111 Gallons or More of Hazardous Materials. SITE FACILITIES: The floor drains in the garage are capped,and the associated underground injection well was removed in 1999. The site building is served by an on septic system. Any deficiencies which were discovered in the course of this inspection with regards to the Hazardous Materials Ordinance are described below. CORRECTIVE ACTIONS TO BE TAKEN: The oil on the Maintenance Shop floor.is to be cleaned up and the oil crusher containment device is to be emptied. Waste oil should be transferred to the waste oil tank. All containers of hazardous waste shall be clearly marked with the name of the hazardous waste being stored and the hazard associated with the waste. Each container shall also be marked with the words "Hazardous Waste". The hazardous waste,and bulk windshield washer fluid and transmission fluids that are stored adjacent to the garage bay door uphill of the catch basin are to be stored in a 110%containment device,moved to a safer interior location,or you may choose to berm the garage bay entrance Trailer#1 is to be labeled appropriately for the storage of 111 2-Tetrafluroethan. The used batteries in the Kia Trailer are to be properly disposed of/recycled.. The Contingency Plan is to be expanded to include the actions to be taken in the event of a spill,and the location of the"Spill Kit". A 2007-2008 Application for permit to store and/or utilize more than 111 gallons of hazardous materials"(enclosed)and associated fee into be completed and submitted to the Town. i -3 - The PHD appreciates your cooperation and acknowledges your intent to maintain compliance with the Hazardous Materials Ordinance.This office will conduct a follow-up inspection within four weeks to verify that all corrective actions have been taken.Please contact me at the above telephone number should you have any questions or comments regarding the Inspection of your site. Very ly yours, ynt 'a A. Martin Hazardous Materials Specialist All orders to correct vio4#tions of Chapter 108 of the Town of Barnstable Ordinance: Hazardous.Materials. shall be completed upon eceipt of this letter Tho .McKean,RS,CHO Director of Public Health Enclosures: Toxic and Hazardous Materials On-Site Inventory Application for permit to store and/or utilize more than 11 I gallons of hazardous materials TOWN OF BARNSTABLE Date: TOXIC AND HAZARD/SOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS:_ ���g �D dl-freV3L,7Q Aamig- BUSINESS LOCATION: V4j&-_AfDa."7/ 41,0" VVX_Ax INVENTORY MAILING ADDRESS: R 0. Aax 2/"5"iz TOTAL AMOUNT: TELEPHONE NUMBER: CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: !//Td b�c-E - AV77 INFORMATION/RECOMME DATIONS: 5425-AWZVtt-fib Fire District: Waste Transportation: Last shipment of hazardous waste: 5 �� Name of Hauler. .5,4 Destination: Waste Product: Licensed?(9� 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 3r NEW USED Cesspool cleaners S Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides M NEW 0�' 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 (electrol e atteries 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 / JO POUNp ;41,ef — (including bleach) t ,�FLlJ�2di� Spot removers &cleaning fluids (dry cleaners) 36 �� ��i ,pay)ja 3Aes or— Other cleaning solvents Bug and tar removers " Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ Zero Toxic Waste Materials ❑ gty's>25 Ibs dry or 50 gals liquid but less than 111 gals ❑d gty's 111 gals or more antifreeze(for gasoline or coolant systems) €.............____. 395 gallons mm ____.__.._...._............... __.. .......__..............._.___...__.._._.._._.._.___.._..._._...................._......._...__._.__.__..__._�.. automatic transmission fluid 26 gallons _motor oil 737 gallons waste oil 558 gallons ............___._.__._. _._.......__._._.__..__.._. ..__._._..__....__. __.____.___.._.........___ _._....._......._._._... _________................_.._.........___ ..._._ batteries/battery acid 57 gallons misc.petroleum products:grease,lubricants 38 gallons waste antifreeze _ 250 gallons Windshield Wash 4 gallons __.....____..._............___ ....... ._._._ __.__..__.__._._..._._......._.........................._._____._ __._.__...__................_.___.._._.__._._._.._____._.__ __.... Misc.Flammable 6 gallons Acetylene 9 gallons _ ...._____......__ Freon 6.5 gallons Ice Melt 5 gallons __.._...._._________.___......_.._._.._........ ...._._____ .__ ___...__._..._...._____..............____ _ _.._ _.____.__.................._._.__ gasoline 35 gallons oil filters 35 gallons Waste solvent ( 60 gallons Waste Transporter: Safety Kleen Fire District: ;Hyannis Last HW Shipment Date: Waste Hauler Licensed: Yes Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS DBA: Cape Cod Lincoln Mercury Mazda Fax: _ Corp Name: Mailing Address _._... Location: 556 Yarmouth Road,Hyannis Street: P.O.Box 980 _..__.. _.... ......._.._.. mappar: '344-076-001-000 City: Hyannis Contact: 'Tom Fitzgerald State: Ma Telephone: (508)775-1444 Zip: 02601, Emergency: (508)775-1444 Person Interviewed: Mike/Pete ....... Business Contact Letter Date: 5/31/2005 Category: Inventory Site Visit Date: 7/21/2005 Type: :Automobile Dealers Follow Up/Inspection Date: ......... .._..__. ❑� public water ❑ indoor floor drains ❑ outdoor surface drains ❑d license required ❑ private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc W currently licensed ❑ town sewage ❑ indoor catch basin/drywell W outdoor catch basin/drywell expir -- -- on-site sewage Elindoor on-site syste ❑ date: 6/30/2006 outdoor onsite system ------- ------------------- Remarks: 1/31/97 Recycle oil filters. Recycle anti freeze. Dry mulch for compliance: spills&pads. Floor drain has been blocked. MSDS sheets on site. Satisfactory Cleaner-laundry-Unifirst Co. 2/6/98-no violations found. 513/04 Follow up hazmat inventory. No license purchased. Need to obtain license a.s.a.p. MSDS,Eye wash, spill response kit and satellite containment for hazmat all on site. Most hazmat like gas,oil and antifreeze is taken out and/or put directly into vehicles. Very little large quantity storage. Oil tanks hold new motor oil that is put into vehicles by hose. Floor drain still blocked off. Rags in covered container. Very little spill and there was absorbent on that. Safety Kleen comes for waste oil/antifreeze pick up weekly. Unifirst comes for rags/uniforms/fendercovers. They NEED A LICENSE,that is the only recommendation. 6/10/04 Over 30 days. No Hazmat license purchased. No compliance. Sent warning,license application,and license letter to general manager and Tom Fitzgerald, who was responsible for obtaining this license.I 2/28/04-alp-paid fee 6/21/04. 7/21/2005 Onsite visit performed. Observations:Two separate garages.Main garage has chained tanks,1 of 2 brake washer lids were closed,temp eyewash station in place,oil filters are drained and placed outside in covered and contained dumpster,containers are labeled with contents,haz waste oil in main garage is labeled,signage of haz waste station.Orders: obtain a metal can with lid for rags,label waste oil tank in separate garage,re label waste antifreeze,many rags laying around, better housekeeping,use absorbent pads,not cardboard to soak up spilled oil,empty oil catchments immediately,clean up spilled or leaked oil from separate garage waste oil tank. w r u tt .'su.wpLr A V Pre lv - 'V 0 a 1 �� a 1�, �' •Ir , � : a Y� •v- ,x c w a � y i a: o d.y 1 •f f ♦_ r� t G 7�� i r N.•, it j y*.�"�yyr•� x h .�} ,�'� � Y:� �5 •�� .Lµ 'titl'�*Y'Y fir,` 0 a Y g� s !� a L..: •"�„ M � w � x Mg Fyn .,'��i M' " Ilf'Y��iR �•, � �• 90 q, Ate ,. k>e wr. i4 a ,�"�` .a•�'� n t'�b!> � #' ��'�+� � r= �. �¢�'�� y�y^��r���� `�4b ate, d > !r ` • . f a $ 4 1 rLa " �"UU .r�y�"j �F ys/lL JJJJ �*, r..� „s'" ( '(�f}_ • ++f, r•+:> s }r S`t1'$( v �fi, " ,y�«^ ,"t 'I ,.&° • -rr�.. r f�' 4 ,;,�„ r v ��'� J�� •I� s �.x _.�� .'�`�, }}- } � *"s7, rg ct: ,. *t ACK 1 , Ap lap e x � I—o '{} j e, 3 f/ . ,Q , ,. ��, � � � �� x #,A- . ��} `, _ ��. �-�+ P y �.,- � P nY f ��N - Oo r'd �.1i� r, ��YM� ... � ,� } � �` 1 n tw gait��~ _ _ a ... � ��'" �, �5 �.. ;� r'' -� . . � to � � ..' �,� ,• � .�� f'.Qt�`.'�' _`°wry„� r. ..;, e �. � � �, � �� { .«�� � m t �. > '� `i�'. �, S� ..a . sr :� � .3 +� F � S o a e� a � �vas.'• � ��� b��o - ��'i�, ` S j �%i.� tl,•"���MjY �'}���x a it 4 � � r2 p ��.: ,tl .� •1} .-r a'"'Ar jF�{` fn�'l F�'fy��C nd .t p Q '`y�` .Av ra� �.ti •� "• i.� �»rj Ytt�l•�a,`��`. a ,emu, ' x x�cC 67 n 4rA �+.'i;.�t�7 tls'd��.�.: f•Ifs • �� t � •��" $Ft" � `I� d t� W..Rib .4. Town of Barnstable oF ' ti Regulatory Services Pf 0 Thomas F. Geiler, Director # sARNSTABM 9�ArMA A,�� Public Health Division 1 N9. 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. �1*0 706"001 DATE ` /a -D� APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT CAPE Cd D l-1A)4e)1,V X16ACI)AY NAME OF ESTABLISHMENT PAJU 6W C0,0 Zi VeV1iV XiOA&WAY I-1AP24 ADDRESS OF ESTABLISHMENT �� �l7jRNjOV TELEPHONE NUMBER 529 go -IqV 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. 0 V-3/h J0,;t 70 STATE OF INCORPORATION N-6-5.4 CW 05X77S FULL NAME AND HOME ADDRESS OF: PRESIDENT ._A146_S "Aje,1•¢ �s RRP/� V le DST�RtIi TREASURER --TAHjF-S 44W9W4 g fit CLERK SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# Haz.doc/wp/q btt&4 � a � Q krA �� � SwF � 9 r Town of Barnstable_-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS DBA: Cape Cod Lincoln Mercury Mazda Fax: Corp Name: Mailing Address Location: .556 Yarmouth Road,Hyannis Street: P.O.Box 980 mappar. 344-076-001-000 City: Hyannis Contact: Tom Fitzgerald 3( State: Ma Telephone: (508)775-1444 Zip: 02601 jiEmergency: (508)775-1444 Person Interviewed: Mike/Pete / Business Contact Letter Date: � �-f/ D Category: Inventory Site Visit Date Type: Automobile Dealers Follow Up/Inspection.Date public water ❑ indoor floor drains ❑ outdoor surface drains ❑Q license required ` ❑ private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc 0 currently licensed ❑ town sewage ❑ indoor catch basin/drywell d❑ outdoor catch basin/drywell expir - - ----- .... ❑� on-site sewage El indoor on-site syste El outdoor outdoor onsite system ... ......6/3/30/2006 - Remarks: 1/31/97 Recycle oil filters. Recycle antifreeze. Dry mulch for compliance: iZ hydMA6'� lit'- spills&pads. Floor drain has been blocked. MSDS sheets on site. Satisfactory Cleaner-laundry-Unifirst Co. 2/6/98-no violations MU� found. 5/3/04 Follow up hazmat inventory. No -. license purchased. Need to obtain license a.s.a.p. MSDS,Eye wash, spill response kit and satellite containment for hazmat all on site. Most hazmat like gas,oil and antifreeze is taken out and/or put directly into vehicles. Very little large quantity storage. Oil tanks hold new motor oil that is put into vehicles by hose. Floor drain still blocked off. Rags in coveted.container•:Very liitie s�iU sc�tt►era w�sal�sefiwat eiwtt►af.. _! Safety Kleen comes for waste oll/antifreeze pick up weekly. Unifirst comes for rags/uniforms/fendercovers. They NEED A LICENSE,that is the only recommendation. 6/10/04 Over 30 days. No Hazmat license purchased. No compliance. Sent warning,license application,and license letter to general manager and Tom Fitzgerald, who was responsible for obtaining this license.I 2/28/04-alp-paid fee f f 6121/04 tea.=� � � �,-� � �vfi��✓ c�c�-f`. �as�.,�. 3 o A WAZU aAkTIAQK wee � �o am �mh I j 4 VI/ 1cln od I ' ra I b?en 5 to -YYI `� ,OUJ 4 1 Of A Page 2 Town of Barnstable-Health Department ,HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ Zero Toxic Waste Materials ❑ gty's>25 Ibs dry or 50 gals liquid but less than 111 gals gty's 111 gals or more f, ,` descn tinAAAWIX qun►t of measure antifreeze(for gasoline or coolant systems) 29 gallons _._...__....._........................._._.._._..._............_.....__...._._._..._......_.__......._._..__..._.._........._....__..__._.__.._........_................_....._........_.__.........._,_,.__....._._......__......_-_._.........._..._........... automatic transmission fluid 14.5 gallons motor oil � 543.5"gallons _.__._.. aste iF 330 gallons _.__._..._......._.........................................._..............._..._.._......._.........__.._..--.........................._-_. I.._.........................__...................-............................. ....._............_................ ' Qn ^ � � (�� � l gear oil 1 gallons batteries/battery acid I 21 units ' r„L zo-),�j,( _ ctr"� misc.petroleum products:grease,lubricants 9 gallons hydraulic fluids(including break fluid) i 12 gallons h her cleaning solvents 4 gallons waste antifreeze 177 gallons ___ .. ._. _.___. ____..__ ____. . _. _. _._. ___ rr►er� nb�- aint,varnishes,stains,d es ( 37 gallons Windshield Wash 5 a t� p, P Y Ilons ('fl'Y���{'( —�1+11 ' Off Sim: ........ �.__ _.._.._..__._ acquer thinners [ 0.5 gallons ( � propane E 5 gallons U J __._._ _.____ ___._. Lacquer/Sealer 0 25 gallons .............. __ ._. ._........ .___ ..._.. _..__._....._. '( V- Misc.Combustible 0.25igallons Misc.Corrosive 1 gallons Misc.Flammable 0.25 gallons Waste Transporter: :Safety Kleen Fire District: Hyannis Last HW Shipment Date: 4/26/2004 Waste Hauler Licensed: Yes ; __..... _.._ . V)0'*W,*&y not lalx d (80(n,nq off ✓C a/c- 9 'ytu C,V) v G �r� �Q --�;,P�.� c�-�- ►�-e� sir, �c�r� ��e.�e.�- � 0��..�-�d�. �,� - VV jjyi4oar ®�� 1 � 1 ©�,-rdc °� W40 cn wl Ind ✓ � 1K I(I &r-ea wk&r w dJA �cds 4a �0 t�' Of ass ids ��� - CA o Ski �a fGf �asuq Date: 7 J/ l TOWN OF BARNSTABLE ((%S�ec4eA TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: 61& d dlt 161 U&I a J'U 1"R BUSINESS LOCATION: b INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: e . - a CONTACT PERSON: 'L EMERGENCY CONTACTTELEPHONE BER: MSDS ON SITE? TYPE OF BUSINESS: INF RMATION/RECOMMENDATIONS: Fire District: if" "A did�L4 rbka o Zf it . IlY i Waste Transportation: J" Last shipment of hazardous waste: Name of Hauler: JAOA Destination: Waste Product: 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) 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 1 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 I r Town of Barnstable °pTME 1pk, Regulatory Services Thomas F. Geiler,Director V0�,��AB . 'NULASMS. Public Health Division �` s63q. �0 A�f1639. A Thomas McKean,Director !!! 200 Main Street, Hyannis,MA 02601 Office: 508--862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT T\ n NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT S ({-fP Mo 1 ' ' _ 1 Z TELEPHONE NUMBER �jt��j-`Z�j �- t LktA --n � � w SOLE OWNER: YESXNO i IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: r C a rn IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 316827,9 STATE OF INCORPORATION i�,SSigd/-/VSA-77-9 FULL NAME AND HOME ADDRESS OF: PRESIDENT �`3��� �-t7 L L1Cly Jl- 3. �5IAAAIJ) W,4y W•ffi9ieW14)q IW4 OA71 TREASURER CLERK SIGNATURE OF APi'LICXNT RESTRICTIONS: HOME ADDRESS !)S' w#9 W. MIA"'l C 4 - HOME TELEPHONE# Haz.doc/wp/q r Town of Barnstable Regulatory Services } d Thomas F.Geiler,Director p� Public Health Division uRxsraBLE. Thomas McKean Director 200 Main Street Hyannis,MA 02601 Phone: 508-862-4644 Email: health(@town.barnstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—5:00 Cape Cod Lincoln Mercury Mazda Attention: Tom Fitzgerald June 2,2004 556 Yarmouth Road Hyannis,MA 02601 RE: Hazardous Materials License Required Dear Mr. Fitzgerald: Thank you for your time and cooperation during the Toxic and Hazardous Materials On Site Inventory at Cape Cod Lincoln Mercury.Mazda. The inventory total from May 3, 2004 shows that you have approximately 1,174.25 gallons of toxic and hazardous materials being used/stored/generated/disposed of at your place of business (Please refer to the Toxic and Hazardous Materials On Site Inventory sheet). The Town of Barnstable Board of Health has determined that using, storing, generating and/or disposing of over I I I gallons of hazardous materials per month requires businesses in the Town of Barnstable to obtain an annual Hazardous Materials License. This license should be purchased by your business as soon as possible from: Town of Barnstable Town Offices Public Division of Health 200 Main Street,Hyannis Passing your Hazardous Materials Inspection and obtaining your license will keep your business compliant with the Control of Toxic and Hazardous Materials ordinance(Article 39). Following the recommendations given after your annual inventory can prevent contamination of Barnstable's existing and future drinking water supply,prevent environmental contamination which can bankrupt site owners, lead to future regulatory, and possibly;legal problems,lower or destroy land values, drive out residents and industry, depress local economies and endanger public health. You will receive your Hazardous Materials License certificate after you have passed your inspection and paid the license fee. Your continued cooperation is greatly appreciated. If you have any questions or need further information,please do not hesitate to contact the Public Health Division. Thank you, �7 Thomas A. McKean,RS,CHO Director of Public Health r Town of Barnstable Q ,tIE r Regulatory Services Thomas F. Geiler,Director " * Public Health Division C� * y Thomas McKean,Director �,z x IV, 1 200 Main Street, Hyannis,MA 02601 F�MA'1� fi 8 Phone: 508-862-4644 Email: health(a,town.bamstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—5:00 Cape Cod Lincoln Mercury Mazda Attention: Manager June 2, 2004 556 Yarmouth Road Hyannis,MA 02601 RE: Hazardous Materials License Required Good Morning: Thank you for your time and cooperation during the Toxic and Hazardous Materials On Site .Inventory at Cape Cod Lincoln Mercury Mazda. The inventory total from May 3, 2004 shows. that you have approximately 1,174.25 gallons of toxic and hazardous materials being used/.stored/generated/disposed of at your place of business(Please refer to the Toxic and Hazardous Materials On Site Inventory sheet). The Town of Barnstable Board of Health has determined that using, storing, generating and/or' ' disposing..of over..l.1 l gallons of hazardous materials per month requires businesses in the Town of Barnstable to obtain an annual Hazardous Materials License. 4 it This license should be purchased by your business as soon as possible from: Town of Barnstable Town Offices Public Division of Health 200 Main Street,Hyannis Passing your Hazardous Materials Inspection and obtaining your license will keep your business compliant with the Control of Toxic and Hazardous Materials ordinance(Article 39). Following the recommendations.given after your annual inventory can prevent contamination of Barnstable's existing and future drinking water supply,prevent environmental contamination which can bankrupt site owners,lead to future regulatory, and possibly, legal problems,lower or destroy land values, drive out residents and industry,depress local economies and endanger public health.. You will receive your Hazardous Materials License certificate after you have passed your inspection and paid the license fee. Your continued cooperation is greatly appreciated. If you. have any questions or need further information,please do not hesitate to contact the Public Health Division. :; u; ­yo7 _ -. ....,.,.,... Thomas A. McKean,RS,CHO Director of Public Health TOWN OF BARNSTABLE BAR-W 0(2 3380 < �f. '''• Ordinance or Regulation WARNING NOTICE Name of Offender/Manager • `, , �. Address of Offender MV/MB 'Reg.# Village/State/Zip ,r c 4 R�+. IVA t Business Nam p Aa.A-�2 0 Aq. e_ ����, ,/` �,er��s,�3..,«A�� f�'"l+�r'rl�.��,,� �''��q�z, ,. �r�:�p am/ m on Business Address J"� a ,+c�wx Signaturejof Enforcing Officer Village/State/Zip �►a t. x. t:� /`J 7 .?.t"-" Location of Offense `L� ., "s ,; ca�lcr , Enforcing Dept/Division Offense Facts « r x�a s � � t.►a `» k� i cam, i x x- �4 -�- r' ., 't. ! �f716 4'"' +'L R .$,+ ea-ra. vsir�.•r ;r, ctr � >0644-&O �ao�l'r�r.:�ie3e This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. Date: TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: La' BUSINESS LOCATION: 's .MAILING ADDRESS: " INVENTORY TOTAL AMOUNT: TELEPHONE NUMBER: Tog ?•Z 5— J c/t/4/ CONTACT PERSON: %crV-4i �' / �, . EMERGENCY CONTACT TELEPHONE NUMBER: TYPEOFBUSINESS: alXaAR_A_ / 5e,z , ce— .5 FIRE U(57�ICT OTHER INFORMATION: AXA7'is- n 3 C/ Tox cry 1 etc z u /�a�E P.�'u.0 s cryewlM S�5" 00 .5rhn- a u aA- ��' PYl�crn , .c i� a. a .s. a.�. Waste Transportation: Wa.,;x�e Mr7 A/'4o Name of Hauler: Destination: Waste Product: �c Licensed? es No �a�S �`�� s LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. . NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Observed (gallons): Antifreeze(forgasoline or coolant systems) Drain cleaners ,,gcI ,NEW 177 USED Cesspool cleaners 2&AUtomatic trans Mission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) � 4at Hydraulic fluid (including brake fluid) Refrigerants _ Motor oils Pesticides GeEW 3— 0 USED (insecticides, herbicides, rodenticides) ne Jet Fuel Pho tochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil - NEW USED _LD U other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink - ' Degreasers for driveways & garages Wood preservatives (creosote) 5- Battery acid(electrolyte)/bg, Swimming pool chlorine Rustproofers _Lye-or caustic-soda Car wash detergents Jewelry cleaners Car wakes and polishes Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc, carbon tetrachloride)- Paint &varnish removers, deglossers An other roducts with " Paint brush cleaners Y P poison labels Floor'&furniture strippers (including chloroform,formaldehyde, Metal polishes hydrochloric acid, other acids) Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or.hazardous (please list): Spot removers & cleaning fluids Misc.' l�' i'4- �-,'mct c�lWato�s9,�, (dry cleaners) 6- Other cleaning solvents 7 0� Bug and tar removers l 'kiS C. z s CICA ° 5 c Chairman's Award winner For Customer Satisfaction PETE MAYER Service Manager CAPE COD LINCOLN-MERCURY-MAZDA 556 Yarmouth Rd. (exit 7) Hyannis,MA 02601 Tel. 508-775-1444 Fax 508-790-0533 TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1. Marine,Gas Stations,Repair satisfactory 2. Printers BOARD OF HEALTH 3.Auto Body Shops ` r , ,n O unsatisfactory- 4. Manufacturers COMPANYdUi'1Ct\�r�. \� � y `W-4 (see"Orders") 5.Retail Stores 6. Fuel Suppliers ADDRESS aS � FAQ lA(w` ' Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN= indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground 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) �.tan�smissi�oydraulic Synthetic Organics: degreasers Miscellaneous: DISPOSAURECLAMATION REMARKS: 1., anitary Sewage 2.Water Supply ` �C-`��LS �. Town Sewer Public O On-site OPrivate 3. Indoor Floor Drains YES NO '_ 77 O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES N04 ORDERS: O Holding tank:MDC a431 0 0l. O Catch basin/Dry well - O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product LicensedT �( YES NO 2. 6( X Person(s) nterview0d Inspector Date Chairman's Award Winner For Customer Satisfaction aPETE MAYER Service Manager .CAPE COD LINCOLN-MERCURY-MAZDA 556 Yarmouth Rd.(exit 7) Hyannis,MA 02601 Tel..508-775-1444 'Fax 568-790-0533 TOWN OF BARNSTABLE OMPLIANCE: CLASS: 1. Marine,Gas Stations,Repai satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops 0 unsatisfactory- 4.Manufacturers COMPANY y •� (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS 4 vr`-1*-A*YC,4' Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MATERIALU -inks S IN OUTI IN OUT IN OUT #&gallons Age Test i Fuels: Gasoline Jet Fuel (A) ,Die (B) Heavy Oils: waste motor oil (C) new motor oil (C) jf transmission/hydraulic Synthetic Organics: degreasers Mis ellAw DISPOSAI./RECLAMATION REMARKS: 1.,Saanitary Sewage 2.sW ter Supply � �- 1�Town Sewer ZPublic 0 On-site OPrivate 3. Indoor Floor Drains YES NO 0 Holding tank:MDC 0 Catch basin/Dry well d, t R r 0 On-site system 4. Outdoor Surface drains:YES_k_1NO ORDERS: 0 Holding tank:MDC S Z7 G _ e -- vCatch basin/Dry well I 11 — y ,4 On-site system 5.Waste TransporterA�--��// 'r�oFT Name of Hauler Destination Waste Product <� . ti, YES NO l . 2.Ll Person(s) In •ewed ���� ,��C���� spector Da t k COVIMONWEALTH OF 1MASSACHUSETTS a EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF Eia VIIRONINIENTAI., PR Wo 20 RIVERSIDE DRIVE, LAKEVILLE, MA 02347 508-946- 7 ARGEO PAUL CELLUCCI Governor BOB DURAI�ID Secretary JANE SWIFT LAUREN A.LISS Lieutenant Governor Commissioner December 5,2000 Mr. Winthrop Wilbur RE: BARNSTABLE--BWSC/SMP 4-0873 26 Forest Gate Road Airport Motors,Inc. Yarmouthport,MA 02647 ; 556 Yarmouth Road Immediate Response Action Plan Modifications Approval and Phase II Scope of Work Approval M.G.L.c.21E&310 CMR40.0000 Dear Mr.Wilbur: The Department of Environmental Protection, Bureau of Waste Site Cleanup (the "Department"), has received an Immediate Response Action Plan Modification Proposal(IRA Modification Plan)together with a Phase II - Comprehensive Site Assessment Scope of Work (Phase II SOW) for the Airport Motors, Inc. Site, dated September 12, 2000, prepared on your behalf by Horsley & Witten, Inc. The IRA Plan Modification proposes to enhance the existing Air Sparging and Soil Vapor Extraction (AS/SVE) system currently being operated to contain and prevent downgradient migration of groundwater impacted by volatile organic compounds (VOCs) from the above-referenced disposal site. The original IRA Plan, also prepared by Horsley and Witten, Inc. was designed to address a condition of Substantial Release Migration.The Department approved the original IRA Plan on March 19, 1998. The IRA Plan Modifications have been designed to address the consistent presence of contamination located in an area under Rosary Lane,between the former underground storage tank(UST)location and monitoring wells P-5A and P-613. Proposed modifications include the installation of two new monitoring wells and the design and installation of three new biosparging treatment zones to be located in the source area and the `'hot spot" area under Rosary Lane. The new treatment zones will be connected to and controlled by the existing on-site treatment system. The Phase II SOW has been designed to collect sufficient additional information necessary to evaluate and reach conclusions regarding: the nature and extent of contamination, the risk posed by the site, and the need to conduct further remedial actions at the site. The investigation and sampling activities are outlined in the Phase II SOW in four tasks. Task 1 - Source Area Assessment includes review of existing data and collection and analyses of soil samples from soil borings. Task 2 - Groundwater Assessment includes review of existing data,preparation of a site specific groundwater contour map, preparation of current plume maps, and predictive modeling of contaminant fate and transport in groundwater. Task 3 -Risk Assessment includes identification of contaminants of concern, soil and groundwater categorization, comparison to applicable soil and groundwater standards, identification of exposure points and exposure point concentrations, development of site-specific groundwater standards (if necessary), identification of downgradient private water supply wells, and characterization of risks. Task 4 - Phase II Report Preparation includes summarizing the results of all tasks in a report as required in 310 CMR 40.0835. 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 ��«9 Printed on Recycled Paper a -2- The Department hereby approves the IRA Plan Modifications and the Phase II SOW with the following conditions: 1. Pursuant to 310 CMR 40.0049, point source atmospheric emissions shall be treated by control devices prior to their discharge to the ambient air. Treatment shall remove at least 95% of the emitted oil and/or hazardous materials, on a weight basis. Atmospheric emissions generated should be reevaluated based upon the amount of contaminants added by the AS/SVE system expansion. If it can be shown that untreated air emission would be at or below a level of No Significant Risk to health, safety,public welfare, and the environment, and such LSP Opinion is submitted prior to commencement of the remedial action, treatment of air emissions shall not be required. 2. Soil samples collected from soil borings during construction of IRA wells at the source area and groundwater samples collected from each of the newly installed monitoring wells should be submitted for analysis of volatile petroleum hydrocarbons(VPH). The VPH analyses should include methyl tertiary butyl ether and the other target analytes as well as the three (3) hydrocarbon fractions. Refer to the Department's VPH/EPH Policy for additional information on the collection and analysis of these samples. 3. The next IRA Status Report should include as-built diagrams and figures depicting the location of the new biosparging treatment zones,the connection of new zones to the treatment system and the location of new monitoring wells as they relate to existing on-site features. The IRA Status Report should also include a schedule for conducting future quarterly and comprehensive sampling rounds. 4. Future quarterly and comprehensive sampling rounds should include the two proposed monitoring wells to be installed in the source area to help to demonstrate the effectiveness of the expanded AS/SVE system. 5. All monitoring wells should be surveyed to the same benchmark and an adequate number of wells should be gauged to determine the groundwater flow direction (both horizontal and vertical). The groundwater flow direction should be depicted on a site map that has been modified to include the newly installed monitoring wells. In addition,the site map should contain an appropriate scale,pertinent site features and a north arrow. 6. An appropriate number of cross-sections should be prepared to evaluate and depict the hydraulic relationship between the site and the Maher Municipal Wellfield and/or to the wetlands west of Mill Pond. At a minimum, one cross-section should be constructed through the source area extending to the Wellfield and/or to the wetlands west of Mill Pond. A second cross-section should be prepared perpendicular to the first, extending from the source area to 92 Rosary Lane. Both cross-sections should include the monitoring well screen intervals, groundwater quality data and piezometric head measurements. If possible, equipotential lines should be depicted on the cross-sections. 7. The Department should be notified 72 hours in advance of all site fieldwork so that the Department has the opportunity to inspect the work as it is performed. 8. Response Action Performance Standards (RAPS) should be employed during the performance of all response actions conducted on site and should be protective of health, safety, public welfare and the environment. 9. Analytical results should be forwarded to the Department at 20 Riverside Drive, Lakeville, MA 02347 within seven days of receipt. 10. In the event of an unscheduled system shut-down due to mechanical failure or for any other reason or if the treatment system does not meet proposed standards for a period of 24 hours, the Department should be notified in writing within 72 hours. 11. Any future modifications to this IRA Plan should not be conducted without approval by the Department. 12. The Department reserves the right to request that the IRA Plan be modified should analytical results or new information become available. -3- If you have any questions relative to this notice, please contact Cynthia Baran at the letterhead address or by calling (508) 946-2887. All future communications regarding this release should reference the site number 4- 0873. Sincerely, Verard M.R.Martin,Chief Site Management&Permitting Section Cc: James Begley,LSP Senior Environmental Engineer Horsley&Witten,Inc. 90 Route 6A Sextant Hill,Unit 1 Sandwich,MA 02563 Barnstable Board of Health Post Office Box 534 Hyannis,MA 02601 Barnstable Board of Selectmen 367 Main Street Hyannis,MA 02601 DEP-SERO-Legal ATTN:Daniel d'Hedouville DEP-SERO-Data Entry TO AL NEW BUSINESS OWNERS Please Fill in. �. APPLICANT'S AME: �or�:N(�v L;WC, N �ep-cvj._� I N� HOME ADDR S S/-Aarr"o ad TELEPHONE NUMB ()k — 77S Ill L/y (Please give us a numb e where you can be reached) NAME OF NEW BUSINESS F oil A TYPE OF BUSINESS (- � 4- e IS-THIS A HOME OCCUPATION? iN C? : ADDRESS OF BUSINESS S5(o. A 12 0 12c'� . �-� u rwNi MAP/PARCEL. NUMBER U.'7 (�. v r; When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable- This form is intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, listed below, you may apply for a business certificate at the Town'Clerk's Office (Ist floor- Town Hall). 1. GO TO BUILDING INSPECTO FICE (4TH FLOOR TOWN HALL) This individual has_4qpFMfori of ny permit requirements that pertain to this type of business. Authorized Signature COMMENTS: cyF 2. GO TO BOARD OF HEALTH (3RD FLOOR TOWN HALL) This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature COMMENTS: 3. GO TO CONSUMER AFFAIRS (LICENSING AUTHORITY) - (3RD FLOOR SCHOOL ADMINISTRATION BUILDING) This individual has been informed of.the licensing requirements that pertain to this type of business. Authorized Signature COMMENTS: After obtaining the required signatures you must return to the Town Clerk's Office to obtain your business certificate (cost $20.00 for 4 years). A business certificate ONLY registers your name in the town of Barnstable - it does not give you permission to operate - you must get that through completion of the processes from the various departments involved. f ' SEP 15 '00 16:09 FR SAFETY KLEEN CORP. 508 279 1452 TO�,15087753822 P.02 ' a:r.:�57%r;,ti•" r:i11:71," :!:ti:';ui•:' :!i':: <i2zi,: •-'L:% MEOW t September 15.2000 /K�0,0 �� -91 cew i�e4706 Nicholas Milione Central Cape Dodge 49A 600 Yarmouth Rd. /� AZ64a Hyannis, MA 02601 06'1W7a& OU Dear Nicholas Milione, We appreciate your interest in Safety-Kleen's waste management services_ Safety-Kleen bases all disposal pricing on chemical analysis of a representative sample of each waste stream as well as your generator knowledge.All price quotations are estimates until pmqualification analysis results are evaluated. Price quotations based on Safety-Kleen analysis are valid for(30)thirty days. Please keep in mind that our service includes the preparation of all labels, manifests, land bans, and regularly scheduled pick-ups. There are no minimum quantities and no additional charges such as transportation, mileage charges, labor,or demurrage. Safety-Kleen assumes total control of your waste.We offer our"Certificate of Assurance and Indemnification"at no additional charge to our customers.Safety-Kleen supports our customers with(4)four billion dollars in assets as indemnification against any costs incurred while their waste is in our control.The peace of mind that our"Certificate of Assurance and Indemnification" provides ensures your company's financial assets are completely protected. Safety-Kleen Systems provides the world's largest volume of chemical.treatment services and site service project management. Safety-Kleen-enjoys the reputation,within the chemical treatment industry,as the leader in environmentally beneficial technology and unsurpassed customer service. Once again,thank you for your interest in our service and I am looking forward to the future relationship between your company and Safety-Kleen. If you need any further assistance or desire any additional information, please feel free to contact me at 508 697-4648 . Sincerely, ; Jim Ginley Branch Industrial Services Manager , :L•4 F ..., .::: . "�`...... ..:.... ..: . . . . :.:' - : ........ .. ,..:....,.c:.:.t✓,....,..•,..... ...d.r,....,.,...Jon...:;.-ti{. •la:. ..�i. t, i 1 I 10 11ANDALL ROAD ; d ELGIN ILLINOIS 60123-7857' PLACEMENT FORM FOR SERVICE CALL TRANSPORTER DOC. 00 N. Al 5 8-697-4648 'TEVE HUZYK DUNS NO 05106-M8 FED ID NO.39 6090019NAME TITLE SIGN GENERATOR LOCATION,, BILL (IF DIFFERENT FROM LOCATION) i . .:: ,> _. B NAME _ _ x r. 's 1 I 2. 'DELIVERY ADDRESS,',": MA • ,;,w A, f :INFO MATIowA..ENTIo >uN BRANCH NO SIC CODE 1 1, 2 c STATE CITY.BSTATE. OCIATION SVC.P/C PROD.P/C W -0 2 3 _. . " S I g. ...e "•. -,.. ....e'w rr., _...= -:TAX.CODE;'a. e. .}, BusYl CHAIN ASS a TAX CODE., nP ". $ALES TAX EXEMPTION NUMBER HANDLING CREDIT DAT PLA ED SALES REP O. ❑BLANKET ❑.TEMPORARY CUSTOMER PHONE NO. CODE CODE. SERVICE TAX C.O.M.S.TAX PRODUCT TAX U �.-.., - CUSTOMERS. • .. : . Z 0 ' P.O.NUMBER Z 1 SERVICE/ SERIAL SALES TOTAL S w t, OLVENT/DRUMS SERVICE SCHEDULE cooeT FREE wv. PROMO RELEASE s t'. MSD DEFT. REMARKS/UNIT PRICE QUAN. CHARGE aor CC TERM DATE SEE rnaL CODE NO. '►.JO,' GIVE PRODUCT NUMBER TAX CHARGE CLFAN SPENT Nr. SK DOT YY WWI BELOW vz 2 00. ❑ El .5 ❑ 7 TO flEFUSED SERVICE EXPLAIN z < y ;h �. t NEW APPDCATION, r �a ❑ I ; ,'; :q y„ EPLACE DEFECTIYE'MACHINE r c LACEMENT�s)REPweI COMPETm MA�twE - .a�<.. • _, _._, ...,. . ,,.., . ....,"a... �„ ., .. ,. a >�.: e, <.GENERAT.OR ST E O,NO F NO. �..., , USEP TRANSPORTE ID .«>z...,....."..< .. .e.,, .., <.. I Y.«.�«.ten. ,....,:.-§ _ _r.�,«�; .-,..r.,a.. ,_,.:F,u.n 3._;s:. ..a.- a .-.;7�i .As �'�- •�" f ,.z �T I CERTIFY THAT� My,TOTAL 11 US DOT DESCRIPTION (INCLUDING ROP S I ING NAME,HAZARD CLASS,AND ID) ENO. TYPEINES ' MQUANTITY tWT4.0 SK DOT NUMBER NO WASTE STREAMS;RE WITHIN - - . ;. ONE OF THE FOLLOWING 3« � CATEGORIES. A. - '' .. .. 0 TO 220 LBS./MONTH I INITIALS , B. :. 220 LBS.TO 2.200 LBSJMONTH INITIALS C: ,- .. - .. GREATER THAN 2,200 LB.SJMONTH .. ,. D. INITIALS DESIGNATED FACILITY NAME AND ADDRESS USA EPA ID NO. I ,�I SAFETY-KLEEN .SYSTEMS., INC. STATE ID NO. CASH ❑ TOTAL RECEIVED APPLY PAYMENT TO: I AGREE TO PAY THE ABOVE CHARGES AND TO BE BOUND BY THE.TERMS.AND TOTAL CHARGE - CONDITIONS SET FORTH ABOVE AND ON THE REVERSE SIDE OF THIS.DOCUMENT. _(FROM ABOVE) "�zA -� vt.)br�;;;;, f CHECK NUMBER TODAY SERVICE/SALE PLEASE CHARGE'MY ACCOUNT FOR THIS TRANSACTION UNLESS OTHERWISE t, INDICATED IN THE PAYMENT RECEIVED SECTION.THE INDIVIDUAL SIGNING THIS TOTAL DUE ❑ PREVIOUS BALANCE AS FOLLOWS LDR MESSAGE DOCUMENT IS DULY AUTHORIZED TO SIGN AND BIND CUSTOMER TO ITS TERMS. } INVOICE# AMOUNT$ INVOICE# 'AMOUNT$ 'mp Is to eennr Mal ns aMflo namad11 to tla are Prmady°IaasiHad,pacf ffie Dea, 1 o a ni labelae,and ere,b , 1 .,. .. r o al e n anon. .I r. Groper bn b aenaporlaH aoCordin to th epplbebla regWalbrm b Deparone l of Tranaporl PREVIOUS MANIFEST CODE SEQ# CREDIT 0307 0 Print ustomer Name P00 947 r., sic ..:AMEX•- ' VISA IN THE EVENT OF � ` 1 MC B � 008626 V-1-1—INGY CALLCUSTOMER REFERENCE CUB Omer's Au horized Represent tive INFORMATIQtJ "' '' THIS AGREEMENT CONTINUES ON THE REVERSE SIDE r ♦ � eh aele�rNleen y :MATERIAL PROFILE Safety-Kleen If a�pllcable,Intercompany Customer SK Line Of Facility 1 (SK)Use Only BillingFacility# - Number: _ Business#. I Profile#. - y A. GENERATOR INFORMATIP N ❑Check if Billing Information is same as Generator Information�'ce n l ca o Generator Name ra D o(. e Billing Company Facility Address(No P.O.Box) :Billing Address City/State/Zip y A V► 11 1 S 'IM A City/State/Zip Technical Contact . Billing Contact Phone Sid "7�S'�yLy F Phone r Fax Generator Location(If different from Facility Address) SIC Code: ❑ CESQG ❑SQG US EPA ID# State Generating ID# B.SHIPPING INFORMATION DOT Assistance Requested d Check if SK Transportation Services are requested US DOT Proper Shipping Name Hazard Class/Division# ID#(UN/NA) Packing Group(PG) RQ Non-Bulk Shipping Containers Bulk Shipping Containers Size Steel Poly Fiber. Quantity Frequency Container Type Quantity&Size Frequency Gal ❑ ❑ O m C ❑ Yd.'Box or ❑Super Sack ❑ Hard To Gal ..❑ ❑ ❑ p or ❑Tarped Bin Gal ❑ ❑ .. ❑ ❑ End Dump(Tarped)Trailer Gal ❑ ❑ ❑ ❑ Tank or ❑ Vacuum Trailer C. GENERAL MATERIAL&REGULAT RY INFORMATION L Name of Material re O i C.OQ/G1 n`T Process Generating The Material v'e , o L k Q h t S Odor: ❑None 21 iviild ❑ Strong;Describe C jetG C P/f 1 Al C MYes No Yes No , O ' I Regulated or Licensed Radioactive Waste ❑ _ Meets LDR Standards or❑Partially Meets(Foi Lanactll only) a I ❑ Regulated Medical/Infectious Waste ❑. Commingled Waste(Iwo or more hazardous wastes mixed as one) 1 r .::Waste Subject To Benzene NESHAP Regulations ❑ Sorbent Added If Yes,is sorbent biodegradable?❑Yes❑No ❑ TSCA Regulated PCB Waste(List any PCB level in Sec.D) ❑ ❑ Exempt Waste;If Yes,list reference 40 CFR ❑ _ .Regulated Subpart CC Waste(VOs>_500 ppm) ❑ State Hazardous Waste State Code 1� 01 ❑ Regulated Ozone Depleting Substance ❑ ❑ . EPA Hazardous Waste r-_? I ❑ CERCLA Regulated(Superfund)Waste EPA Waste Codes(including any LDR subcategories,e.g.,D003 Water Reactive): ❑ Hazardous Debris(Subject to alternative LDR treatment standards) ❑ �. Waste Contains UHCs/Constituents of Concern l If Yes,list in ❑Sec.D or❑Constituent Addendum { EPA Haz Waste Only Origin Code: e❑2 ❑3 ❑4 ❑5 Source Code:A Form Code:B System Code:M D. MATERIAL COMPOSITION. 1.Chemical/Physical Constituents List all detectable.components by chemical name,including physical material,e.g sorbent debris. JEa T27 Chemical Constituents&Composition ppm o Chemical Constituents&Composition ppm ❑vol% Q vol q. F � _ Section D_conhinues on the next page for elemental Constituents' r Range Total>100% , DWALKER$KMAI'ERIALPROFILE Rev.0201.99 -.n .i?�,. ^"r'�' Page 1 of 2 —T — --- 17 7-- % K REFERENCE NO. }` Note Complehon of Sections D.2&F is optional for.[�alytical Profile(representative sample submitted;test results used to cornplete'D.2&F) Completion of Sections D 2,E&F is optional for:❑Standard Industry T'rofile(Safety-Kleen.Corp.historical data utilized to completeD 2,E,&F) D. MATERIAL COMPOSITION(Continued) 1 k 2 Elemental Constituents ❑Check if this waste contains No Detectable Elements/Metals,unless listed below: _. Check either, ❑Total Analysis or ❑TCLP Method or ❑Generator Knowled e,then enter data below. Constituent ppm Constituent ppm Constituent ppm - Constituent ppm - Constituent ppm f Aluminum Cadmium Fluorine Nickel Sodium Antimony - Chlorine Lead Phosphorous Sulfur Arsenic Chromium Lithium ,Potassium Thallium Barium Cobalt Manganese Selenium Titanium pp Mercury Silicon Vanadium Beryllium Co Copper. I Bromine -. Iodine Molybdenum Silver Zinc E. REACTIVE CHARACTERISTICS Check if this waste exhibits No Reactive Characteristics Yes No Yes No Yes No ❑ ❑ Explosive ❑ ❑ Oxidizer ❑ ❑ Reactive Cyanide ppm ❑ ❑ .Shock Sensitive ❑ ❑ . Water Reactive ❑ ❑ Reactive Sulfide ppm ❑ ❑ - Pyrophoric ❑ ❑ Air Reactive ❑ ❑ Polymerizable ❑ ❑ Other Incompatibles;Describe F. MATERIAL PHYSICAL CHARACTERISTICS @ 70°F. r #of Phases Color Flash Point- °F(if<73°F) PH ❑Liquids>20%H2O .or pH❑Non-Aqueous Liquid% Specific Gravity ❑ 73-<100°F ❑ 100-141°F ❑ <2'pH ❑ >2 4 pH ❑-.>4-lO.pH Sludge% Viscosity cps ❑ 142°F-<200°F ❑ >_200°.F ❑ >10-<12.5 pH . ❑ >_12,5 pH I f s Solid% Density Boiling Point(if<130°F) BTU's/lb:or Range f Powder% ❑'lbs./gal: ❑ Ibs/cu.ft. Ash%.(Bridgeport Only) l Gas% -Comments t G. GENERATOR PROFILE CERTIFICATION `I hereby certify.that I am an authorized agent of the generator,and warrant on behalf of the generator ffiat.the tnformahon.supplied on this form and ' on any attachments or supplements hereto is complete and accurate,and that all known or suspected hazards of the material(s)described herein have been disclosed.I agree that if sample test results indicate a discrepancy with any information supplied on this form that either Safety-Kleen or the. 4 generator.may initiate further testing and evaluation in accordance with the terms and conditions.of the contract between Safety-Kleen and the I enerator and t this ofd ert' a' nriiay be amended accordingly. 40 JU/C� - Generator's Authorized Signature Name&Title Printed or Typed) ' (� / .,^,nn /D/ate Comments t �1/0�1Z �'pr' VYI / CWr �?' Z- OZZ -D� (� HOC. lY/Q✓/%a#10 . Safety,-Meen Use Only ❑SKOS ❑SKVS O'Non haz Evaluatio�?n7❑/lStandard Industry Profile SIP Index f SK Sales Rep.Name �).� I✓}l('. Re # ,b Temto ranc # � - p ryB h j Process Approval# _'. Produ Code or Part# TRI Flowpath# Pncmg Waste Approval&Certification _ I.cerufy acceptability of this waste stream and that all appropriate permits have been olitamed,as indicated:by Safety Kleen's facility approval below 4 z ------- Safety-Kleen's Authorized: Signature Name.&Title Printed or T ed v ::-IIate I ©.1999 Alt Rights Resen+ed.Safety Kleen Page 2 of 2 a s. r l r GENERATOR SEP 15 '00 16:09 FR SAFETY KLEEN CORP. 508 279 1452 T0,1508??53822 P.01 fit:... . (-'!' .t�,•F:�,�9 �I.R�, ..1.. ..•.• M+: safety-Ween 128 Elm St Bridgewater.Massachusetts 0232 Phone: 508 6974648 N Fax: 508 279-1452 To: Nicholas Milione From: Jim Ginley Fax#: 508 775-3822 Pages: J jO Phone! 508 77"424 Date: September 15, 2000 Re: Waste CC: Comments: /fie . is f'ltie, �y�tca re u /# �vr '�jiw•� s-�"P d rN w• Pa cj es 3 a n/- S h.0 0✓ p�3�✓O JC vl� '� # Pl y 5 y .. r>navt 14"J d S c r o vt . ko -c- 4-0 Z;f 0ut waifk- b.,tIf +fl-&t S I vo 1%Idyl ' - tn�-e�IL aj v YVLX-j '01�c ka v< a-,,j,7 orLA.1 S . ++ _ •.r .r. _^t''''t`. r?.�c-• .'y:;a, r?gi':i!Y':ii' ':'.:4�,:;,e,.:`h.: `.':C'i:•>'�;' T". i. J COMMONWEALTH OF MASSACHUSETTS _ DEPARTMENT OF ENVIRONMENTAL PROTECTION DIVISION OF HAZARDOUS MATERIALS lug One Winter Street Boston, Massachusetts 02108 2-022-'03 Please print or type. Form designed for use on elite 12 itchtypewriter.) UNIFORM HAZARDOUS If. Generator's US EPA ID No. Manifest Document No, 2. Page 1 Information in the shaded areas WASTE MANIFEST MAD 982198210 oft is not required by Federal law. .r 3. Generator's Name and Mailing Address A."State Manifest Document''Number«�° CENTRAL CAPE DODOSr��i� .v 600 YARMOUTH ROAD B. StateGen.ID y r 4. HNeW MA 02601 HK hone( ) C State Trans ID 3 5. Transporter 1 Company N me 6. US EPA ID Number I der D.Trans porter's Phone rp ' E.State TranS:aD E 9. Designated Facility Name and Site Address 10. US EPA ID Number M> W N 202203 F,Trans orter's.Phone 00 SAFETY—KLEEN SYSTEMS, INC. p ( ) 1,28 ELM STREET a,state NOT REQUIRED o � BRIDGEWATERt MA 02324 MAD 000846006 � H.Facility's Phone(. .i ) V 12.Containers 13. 14 I Q, 0 11. US DOT Description(Including Proper Shipping Name,Hazard Class and ID Number) Total Unit Waste No q0 No. Tvoe Quantity WWoI a. HAZARDOUS "WASTE. LIQUID, N, 0. S. D008 M c ( LEAD) 9 NA3062 PG$ZI ( EIRG4171 ) DID � P m U GX. , E b. C E a R v) A o it1 T c. M O h (t1 R aq i s t H p Z Z d .v N Z � Y 14 c6 J Adddwnal Descriptions for Materials Listed Above(ihclude physical state and hazard code.) K Handling Codes for Wastes Listed Above 341a >, a-s:WATE1449 aRE`SI)JEIE I9�6 "`5 c S , t? 1 �y < " B N w e c � t0 g- �, E 15. Special Handling Instructions and Additional Information E MFST R/T#099620317 00012-4593-28 ENERCENCY RESP 800-468-1760( 24 HR). IF UNDELIVERABLE RETURN TO GENERATOR. a FOR RECYCLE. y L 16. GENERATOR'S CERTIFICATION:I hereby declare that the contents o this consignment are fully A accurately descried above by p 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. If I am a large quantity generator,I certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined to be economically practicable a) and that I 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- ment;OR,if I am a small quantity generator,I 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 can afford. E 0) . DATE Printed/Typed Name Sin lure t — ¢ 9 Month Day Year Cl) a 17. Transporter 1 Acknowledgemerit of Receipt o1�Materials ( DATE " U A Printed/Typed Name C N t Signature t Month Day Year F 0 18. Transporter 2 Acknowledgemerif of Receipt of Materials ? DATE R E Printed/Typed Name Signature Month Day Year R 19. Discrepancy Indication Space F A C 1 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.OM N 0 0- 039 EPA Form 8700-22( evii ��� I7 'a, S L A 0002142027 1 COPY>8: GENERATOR RETAINS 1301 Gcrvais Sheet-Suite 300 i DUNS NO. 05-397-6551 FED.ID NO. 75-2178928 SCHEDULED .SCHEDULED I Columbia,South Carolina 29201 ` FOR SERVICE CALL BRANCH MANAGER DOC.EX SERVICE WEEK TERRITORY, '. YI{I�lIC11" •:r CUSTOMER NO. . 5 REDI 004337334 CODE PREVI BALANCE BAL.OVER 60 DAYS U FYt D BUSINESS OUTER SVC.P/C PROD.P/C T ENTRAL'',CAPE DODGE p COUNTY TYPE COu M 00�fi.YARMOUTH 'ROAD 0 L A I N TAX TIO N E YANNIS MA'"02.601 :., . R HANDLING ASSOC. SERVICE DATE SALES REP N0. CUSTOMER P.O.NUMBER CUSTOMER PHONE# TAX CODE CODE CODE SE C C.O.M.S.TAX PRODUCT TAX IQ 5 SERVICE/ SALES TOTAL WASTE" SOLVENT/DRUMS SERVICE CHANGE' CHANGE INV. PROMO 1 ` ' MSC ' DEPT .: E R I AL " E MAR K S/ QUAN. CHARGE a OF cc TERM SERVICE TERM sCH.DATE CODE NO. PRODUCT * >, TAX CHARGE MIN. CLEAN SPENT CoNr. SK DOT (INITIAL) m GIVE Yp T' • , 3 4 cot fitff%.z 3 a 7 10 11 .I,FCHECK - GOOD POOR. DECALS IN PLACE , YES NO MACHINE PROPERLY GROUNDED �; YES -NO TOTAL—SERVICE/PRODUCTS APPROPRIATE MACHINE CONDITION ❑ AND LEGIBLE LOCAL PHONE NO.STICKER :1 1 O Z i BOXES CLEANLINESS F N ;? �� - FUSIBLE - B CLEA L 'AFFIXED TO MACHINE W W5EPA�TRANSPORTER i ID;NO. USEPA TRANSPORTEiR 2 ID NO GENERATOR lJ3EPA I NO x „ GENERATOR STATE ID NO LAMP ASSEMBLY SPENT SOLVENT MEETS .., ION EMERGENCY CLOSING CRITERIA. THAT ": .CONDIT OF LID UNOBSTRUCTED, ACCEPTANCEC ITE IA .. .Ds., 0 12.CONTAINERS 13. TOTAL - 14.UNIT SK DOT NUMBER 1 CERTIFY AT MV DOTALW11 US DOT DESCRIPTION (INCLUDING PROPER SHIPPING NAME,HAZARD CLASS,AND ID.) N . TYP UANTI OL WASTE STREAMS ARE RHIN J• ' ONE.'OF HE.;FOLL )N1N(i� ,M1L\.►IV' CATEGORIES I a3� 0 A.. , _ J.^T{'1 j^ I O TO 220 LBSJMONTH ,{y T <: { (J l.\t l: .. INITIALS B. 220 LBS.TO 2,200.LBSJMONTH Q N INI ILLI :C• - - GREATER THAN 2,200 LB r!TH..: J cn D. :. INITIALS Q D IGNATED,FACILITY NAME AND ADDRESS: I CERTIFY THAT NO MATERIAL CHANGE HAS OCCURRED USA EPA ID NO. (�(x�'7 Z y EITHER IN HE CHARACTERISTICS OF HE WASTE c - Q rINATE. MATERIALS OR IN THE PROCESS;GENERATING THE STATE ID NW, ' LLJWASE MATERIALS. 0": REE TO PAY THE ABOVE CHARGES AND TO BE BOUND BY HE TERMS AND. TOTAL CHARGE +TOTAL RECEIVED APPLY PAYMENT TO: Ri MANIFEST NO s3 :' DITIONS SET FORH ABOVE AND ON THE REYERSE SIDE OF HIS DOCUMENT. (FROM ABOVE) '�fit f t' ag,i CHECK NUMBER TODAYS SERVICEISALESE CHARGE MY ACCOUNT FOR THIS TRANSACTION UNLESS OTHERWISE- LDRMESSAGEDOCUMENTCATED N THE PAYMENT RECEIVED ISDULY AUTHORIZED ZED TO SIGN ANDION.THE CUSTOMER UAL TOITS ERING MS.HIS WASTE(FROM ABOVN.E) N'..' t. PREVIOUS BALANCE AS FOLLOWS ?. INVOICE# AMOUNT$ - INVOICE# AMOUNT$ sore g m cenip me,me ebwe.,amad materials am proptMy aaaainee,packaged,marked rw I I�alae kp ere m I,,•� - �'� proper oane,tlon th, tian ecoaOing M the applicable regulations of M Deperenera of T poneuan LDR NOT RE D TOTAL DUE tF _ .. 'i MANIFEST CODE SE7]# t 4.S PREVIOUS�,� / t . „{„ � �� DO NOT WRITE IN TH BELOW, ;i.l CREDIT''' , I _ FIT int Cust er me AMEX 1 0004337334 r'. =T�h sk VISA OFAN 'MC By... 0002-4593-28,EMERG�NCY CALL s omer'lt jIIIUth0dz1IcJ RepresentAiv,4b CUSTOMER REFERENCE INFORMATION '" '' THIS AGR MENT CONTINUES ON THE AEVER:SF SIDE 3--R47A.7 SAFETY--1,(L-E:-F-P--! CCHRF. P A G7'T-' 1 CJ F L&D R N 0 1 F I C ATFION FORM ,v'N'ERATOR NAME CENIFRAL CAPE' DI-IDGE MAIN I FEST NO. MANIFEST PAG C p -7 j. B Y NC-IT TH,A­r H 1 PMEN `CINTP,I S "I !RER r -$-DE . 40 Ci-i PPP 262 L.At--(D D.[-3F-OSAL- REs-HRICTIICNS (LDR ) .WA SI ! A. G .-FRAL WASI'Tr-' NNOTTFTCATION T r: tL...D R G li is -E- 01,R'll I iE 13 3 T NONMA, T A 'E'R, J-N 1 i-n- 1-L E T-11 fli T E 's- A"j"T' & (PRINTED OF" TYP 0 F L 7- F -F-L' R Eifli C N U i'll BE q 2 1 1 2027 2 0-17 5-5 CONTPOL NUMTBER SEP 15 '00 16:10 FR SAFETY KLEEN CORP. 508 279 1452 TO 15087753822 P.04 4'.-1-1 PPVIGUALIFICATION EVA'_UAT F E L3 09"A oc, RECOV! ERv AA-.!: ACk"r"" F-Jr-, SHIPMENT CONTROL 0: 2022203 LAC RI E WA TE;!, PROFILE REF " --------------------------------------------------------- EMEr"N'"'TOR iNFOR7,11ATION: CUSTOMER NUMBER: 660 VARMOUTH ROAD HYANNI ' MA '02601 ATTIQI� MILMNE '(F 1, � (ANCH: 2".D22403 - l;RJDGE-t-j,-,,,rn 77717M1 'ZIPM-7 T MIA ! ION: %ENEKATOR NAM'-! FA'-ILITY ADDRESS' BILLING COMPAN'q ADDRESS' CFN7'PAL CAPE UOnGt c"'Cif.) VARMOUTH ROAD H'Y'ANNIG VA C;26C-1 PHONE: 508-775-8424 c-3HIPPINC, INFORMATION: DOT ASSISTANCE REQUESTED SK TRANSPORATION SERVICES REQUESTED Hl',Z CLASS/DIVISION: XX ID# (UNMA). NA3092 PACK CRP: III NOW-PULK SHIPPING 'CONTAINERS 55 STEEL. QTY7 I FREG; 52 WEEKS ACCEPT FOR SHIPMENT C0j\lTIl\lUErj ON NEXT PAGE SEP 15 100 16:10 FR SAFETY KLEEN CORP. 506 279 1452 TO 15087753822 P.05 FRi�C,.1;.)A L IF'IC AT I ON EVALU A I GN G E 2 OF ");lPT�"" WA"HE rays t_Ull) RECOVEpy G ..'I C EE,' ri.& 0 c. ACCEPT FOR SHTPl'lE!'QT R JN: 12 0C, 3RAWrH!6QM!Q OR: 202203' CONTROL JV 2050475—.7, KIDGEWATER mms ---------- - MATT-.:-rl!AL &, REGULATORY INFORMATION: nAME OF MA7E:N.t.4,L PROCESS DESCRIPTION: AUT0mb*j _'-V2 rLUITn r.HANGES ODOR: STRONG Ks MCI X REGULATEL OR LICENSED RADIOACTIVE WASTE X REGULATED MEDICAL / INFECTIOUS WASTE X WASTE SUDOECT TO fsZN:-:Er4i KIESHAP REGULATIONS X TSCA REGULATED F,,-'rs WASTE RZGULATED SUBPART CC WASTE (VOC 'S :::­ 500 FPM) X REGUL4JED OZONE DEPLEETING' SUBSTANCE Y. CERCLp, PEQULt.;TED i.SUPERFUND) WASTE X HAZARC�OUS DEBRIS X WASTE CONTAINS OF CONCERN (CES05) x uHC." 11114 SFCT.101rli D X UHC IN ADDENDUM X MEETS LDR STANDAPDS X PART I MEETS_ ( FOP. LANDFILL ONLY) X CQMMINGL=rj Wk.S"i'm X SORBENT ADDED X B I ODEGR ADABLE'? EXEMPT WASTE; 11F YES, LIST REFERENCE 40 CTR 279 x STATE HAZARDOUS WASTE - X EPA HAIARDOUS WASTE StAtF WASTE CODFS:. CTRY: EPA WASTE COD7S: D-308 iflifillf CID: C, SOURCE rTY FORM CD: SYSTEM CD:* ACCEPT FOR SHIPMENT CONTTNUlZD ON NEXT FAGE SEP 15 '00 16:11 FR SAFETY KLEEN CORP. 508 279 1452 TO 15087753822 P.06 BA FIFEt70JALI Tl CAT I ON D 1 S r-D: -,,}9/ I RUN: 0�?.,` CON"POL tim, 21 0 5 C) 2-0, 2203 t-,A73 #: W., ANA -'7 i 7'CAL P!"F "O�;F-DONID WITH is 3L. I'D C Ili' 19. 00 WT% T. ENT�-',- CON5T ITIJENT , AS-0C IATED WITH THE RE NION-D21' T HE T14E. ,7j."--poVrir4Z--. L-1,M 1 T, MONY 2E- 00 11G/KG 1 C;I. rl)0 MG/KG 7 00 MG/KG v-5 MG/KG 17C. ci 0 MG/KG ADM Ull (D006) 5. 70 MG/KG A L C.I UM 150. 00 MG/KG HROMIUM D 0 G- 3. E(O l"pWKG : 7- -.. ­ 10 MG/KG ; .D F P 4J0 MG/KG L;7 RON 28E. 00 MG/KG DOCIE4 600 110/KG MAGNESIUM 47. 00 MG/KG MAW;ANEGE 3. Sri MG,/KG' R C J R Y DOO IF") IT. CIO MG/KG 15. 00 MG/KG til C K r-L KG- i::HD3PH0RUS 690. 00 MG/KG RDTASSIUM 1700 00 MG/KG GV-Lzl'-JIUM 'D()IC)) < 3e. 00 MG/KG SYDL7CON 2)50. n.O llG/KG SILVER (Doli 1. qO MG/KG SDDium 1300- 00 MG/KG "-H A' LIUM 57. 00 MG/KG 7.1 Ir W .. 13. 00 MG/KG -' 4'TAN.IUM 3. 80 MG/KG 70TAL BROMINE 10 WT% TOTA-1 CHLORINE I -"-UTAL FLUORTNE .10 WT% 10 WT% ~;LOYAL SULFUR 10 WT% --'ANADIUM . so MG/KG :39. 00 MG/KG ACCEPT FOR -jHlPMENT CONTINUEb ON NEXT PALE SEP 15 '00 16:11 FR SAFETY KLEEN CORP. 508 279 1452 TO 15087753822 P.O? 3 L) PfEG!JALIFICAT101\1 !•VALUATION 07 i 1 0 0 COMP_' T U �D RE-COVER'," i;-1 E S E D: 0 •il /oo ' ^_"!--,Py RUN I? C011TROL 4: LAB 4t' I C-F u W R A 7' , PROi"ILL. r"EF REACTIVE WASTE EYHIBITF NO IREACTI'VE. Cilt-4RP:CTE:'=11STICS X FL Lj-1 7 T T X FYR OF(-101,.1 c: 1 • • X WATER T,T ur oc; i-A C,T 1.V E Si I. c I oc, I-TICS 70F l': iTl'R' AL CHAF.ACTE/f i cl.)i D 1-1 L I:) % 1. 0 0 L U iR DK. ERN, GREEN, EROLMY .50 EML I y 05 ' FM FLASH AT 140. 0 F 'kSH LIf. 1 1. 0 W T OUIDS "-r2(',% H20 7. FJ S TU 'G, / LB. OR RM%ICIE 4B20. 0 PiTU/L]3 7'L-)H! 'ENTS; PULK APPR'DVE FOR 13PIDGEWATER 2 0,22-03 AND MARLEJOPO 2-02'2­02 SALES P.I�P. NAME! -JIM (;INLEY AC---FFT FOP '-3HIPMFNT CONTINUEH) ON NEXT PAGE SEP 15 '00 16:11 FR SAFETY KLEEN CORP. 508 279 1452 TO 15087753822 P.08 • 01 PREC-)VALIFICATIOki --5 OF E -.P 1- W R Q 1 0 R C 0 11 F L T- 8 0 0 RUN 0 0 FOP' i"HIPMENIT CONT'r,CL 210 i"cl 4 C-22r?Tt -AB 44: c- o L;RIP"(! I'F W A T FE R PROFILE REF 4i;: :�Dr'PDRATF 1,z--.-POSITION: 4.,-r-,Er-T FOR '83 11-P PART NUMBER� OP9066C, OR t4/.NTt C L 1.Q LA.-JW1 L�-rij DAl E. Z..l.4 - -- I.ry- I I PEVIEWEPS: A- 'NE INC. 2 S`AFET'►-KLZEN (ARAGONITI-) CANAL ST 1. 1600 NORTH AFTJS RDAD LAWRENCE, MA 01 11114-0 ARAGONITE, UT F;4G'-,',? 1� FED Epot:0"m: Mr;D 0 0 601 jz:44- U T D'Z`G'i 5 5 177 7E! FPHOIIE: 5-76 E-1'100:= 0 1 c- AUTH.- S. MILES c,- OF MILE POST 49 4 SAFETY-KLEEN INC. 0 F OF i--Go 21027 BATTLFGRbuwf, rDAD CL-1VE, UT C4029 DEER PARK, TX 77536 D EPAf,: TYDC-5514 1-270 F EPA#. E--EPHONE: 'STA'72 AIJ-f*H: Tr'lcin"FZT-lT5T-- SH I r;p I r",G TIN- 72324 DRUM OR BULK HAA.ARDOUS WASTE, LIGUID, N. L. G. (LEAD) 9 NA7jQB2 PGIII 'rERP4#171 ) USA. r( .71TW-110RRMIM: THIS WASTE MUST BE SHIPPED IN "X, Y OR.. Z11 DOT RATED CONTAINERS, -PA WASTE CODES HAVE CHANGED FROM THE ORIGINAL PROFILE. DO NOT SHIP *TFrI S WASTE DIRE A TSDF. --W-AST-F--Mt7ST BE--SH I P-P E D I'D THE SER V ICE CENTER 'FIRST. OIL 1IT""ED WITH ANTIFREEZE - (ETHYLENE GLYCOL) - 277 EXEMPTION DOES NOT A!"'PLY. 09/1 'L/00 AS WITH LOW BTU. 4!:4 7HIS SERVES AS NOTICE PER FEDERAL AND STATE REGULATIONS THAT EACH r'ACTLITY ' N'L'ITU-T ABOVE HAS THE APPROPRIATE PERMITS CAPABILITIES, CAPACITYi AND IS WILLING TO ACCEPT THE MATERIAL AS DESCRIBED IN THE APPROVAL SECTION. 7-f 'S THE RESPONSIBILITY OF THE GENERATOR TO NOTIFY SAFE TV-KLEEN -Df--�P. 0;:- ANY CHANGES IN THE PROCESS GENERATING THIS WASTE STREAM. 4** ACCEPT FOR SHIPMENT CON7111JUED ON NFXT PAGE SEP 15 '00 16:12 FR SAFETY KLEEN CORP. 508 279 1452 TO 15087753822 P.09 UF WA, HLR' GSRVICE 70031 RWOVERN' ST:RV1C% R vI SEE': 09 k.)c) RUN: 09/ 12/00 202203 2 C? 4 7!-.-,� #: 2050475-D F&OFIL2 REF W 1142027 --------------------------------------------------------------------------- r-J)DITIDNAL. ANALYTICAL DFSCRlP710N/ELEMEN'i" REEUL7 NONE PC8 AMOUNT OTHER, MGIKG MIUA&TIVITY NONE DETECTED i-Jig.TER CONTEN7 49 !HE ANALYSIS CONTAINED HEREIN ARE PERFORMED SOLELY FOR TH2: FURPOSE OF TiALIFYING THE AWALY.-�.ED MATZRIALS FOR ACCEPTANCE BY SAFE TY-KL.-,'-.Er,.' CORE. IN WI TH ITS PER`','-r*', S r-NE) PROCESSING CAPAB 7 LIT TT--*L:),. NOTICE Olt LAND DISPOSAL RESTRICilur-d OF WASTE IS REWIRED, ACCEPT FOR SHIPMEN'r END OF DOCUMENT / ^ ` � � � � C-'E!l-7riATQR 'S AUTHOR I ZED NAME & TITLE DATE SIGNATURE (PRINTED OR TYPED) F-K F'FDF!LF REFERENCE NUMBER: 2050475-3 | � TOTAL PAGE'10 ** cn or M Organk Liquid - Low BTU Low Halogen �' ' (e.g. - various solvents, gasoline, diesel, oil, paints, fuels, solvents) CD CD MOO 60 • Waste testing and analysis *All transportation (otherwise noted) Ln :D •Preparation of waste labels * Provide Information for reporting requirements n • Preparation of manifest documents * Regularly scheduled pick-up of waste • Preparation of land-ban notices * Local Facilities M M Z 0 WSWO BTU ;U -410%halogens No odNedfamus (Ch1Wft*.M1OdW,brOMbV) Ming be pun**b19 CS) CO VlseWty w409 cps N a No pan Uddes tD LA organic Liquid-Low 0 TU Low Halogen S 459.00 155 gallon drum 0 Transportation........ $0.00 155 gallon drum a) Waste prequaOddlon analysis 1proffle for treatment................ $490.00 Prequallfication Analysis U CO I per waste stream N ru CD These treatment prices are merely estimates. A representative sample must be analyzed before a final waste disposition can be determined. Prioe quotations based on Safety-Kleen analysis are valid for(30) thirty days. Sweet 2M a ardous Materials Inventory Sheet Checklist 0 Date G�rBhysical Street Address-Check database to ensure it exists �corking Phone Number y Actual Amounts—(i.e.gas being used to fuel machines,thinner to clean brushes all count as hazardous materials)JI' i Storage Information—location of storage,how long is storage for? If none,note that. jCDisposal Information—where and who? If none,note that. Applicant Signature—understand what is listed and noted. Staff Initial—any questions,know who to ask. ehicle Washing/Rinsing?—provide a vehicle washing policy and explain it—note that it was given. k�Attach the Business Certificate with your sign-off and comments. "The Inventory form should explain what the business consists of and the procedures they are doing. Notes need to be left to explain what you discussed with them YOU WISH TO OPEN A BUSINESS? " For Your Information: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, I'FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) 5 9 rgrA� DATE: C 2� F'I in lease: aa, qmi eign APPLICANT'S YOUR NAME S: VL I� � )� Z'= MG; BUSINESS YOUR HO ADDR SS:2-70(2 745 0 e w y TELEPHONE # Home Telephone Number ® - NAME.OF CORPORATION:. v /. NAME OF NEW BUSINESS l C C.. — �:; - IS THIS:A HOME`OCCUPATION7 YES: NO USINESS ADDRESS OF:BUSINESS 'L. MAP/PARCEL NUMBER gti (Ass:essingJ,. When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner pf Yar puth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this to 1.. BUILDING CO ONER'S OFFICE This inc ivid al ee f of any permit requirements that pertain to this type of business. A horized_ na ure** COMMEV S: 2. BOARD OF HEALTH This individual h V4uzd infor e e per i resuir en at pertain to this type of business. S' ure*.* COMMENTS: 3. CONSUMER AFFAIRS LICENSING AUTHO, ITY This individual h s en infor d-of theft r' -in q�eents that pertain to this type of business. Alitboriged Signature*,`* - � aul-0 00MMENTS: � �( Q�- � i � / TOWN OF BARNSTABLE Date: 7 /0$ TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS:_6410 i`-LA C, ` ).AACi Cif CAP i BUSINESS LOCATION: 600 ` Ar1vMUJ M1 Rb 4*eA•J/JU n_ INVENTORY MAILING ADDRESS: -SA.n111�' TOTAL AMOUNT: TELEPHONE NUMBER: � -- -7W- 27 6-b CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER:_2:9- Z 8Q�-7 4 ` MSDS ON SITE? TYPE OF BUSINESS: A)Q CA4, INFORMATION/RECOMMENDATIONS: Fire District: Waste Transportation: S 144ARc11s Last shipment of hazardous waste: Name of Hauler: AiAo 4,jLe t!�, f2Ez--4c_ .\Afb Destination: Waste Product: ,4j t1;R — _Licensed? Ye 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 SO Antifreeze (for gasoline or coolant systems) _ Misc. Corrosive -. NEW BUSED Cesspool cleaners 2s Automatic transmission fluid Disinfectants Engine and radiator flushes Q Road Salts (Halite) �S Hydraulic fluid (including brake fluid) 6D �S Refrigerants ;?600 Motor Oils © Pesticides NEW 13MUSED (insecticides, herbicides, rodenticides) yr Gasoline, Jet fuel, Aviation gas ® Photochemicals (Fixers) Cj Diesel Fuel, kerosene, #2 heating oil NEW USED 2S- Misc. petroleum products: grease, ® Photochemicals (Developer) lubricants, gear oil NEW USED O Degreasers for engines and metal Printing ink ® Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine v Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes 61 Car waxes and polishes © Fertilizers Asphalt & roofing tar PCBs ® Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Z Lacquer thinners (inc. carbon tetrachloride) Z NEW D USED Any other products with "poison" labels C? Paint &varnish removers, deglossers (including chloroform, formaldehyde, 2- Misc. Flammables hydrochloric acid, other acids) Floor&furniture strippers Other produc .sted which you feel Metal polishes may b oxic azard ease list): Laundry soil & stain removers (including bleach) Spot removers & cleaning fluids (dry cleaners) 2- Other cleaning solvents D. 1 Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS -3- cc: DEP - Div. of Water Supply - SERO ATTN: Larry Dayian K-V Associates, Inc. 281 Main Street Falmouth, MA 02540 ATTN: Dr. William Kerfoot Airport Motors, Inc. 556 Yarmouth Road BOX 980 Hyannis, MA 02601 ATTN: David Wilbur, Manager Murphy & Murphy 243 South Street P.O. Box M Hyannis, MA 02601 ATTN: J. Douglas Murphy, Esq. ;1 � I Cha,'rman's Award Winner For Customer Satisfaction Z Ilk PETE MAYER Service Manager CAPE COD LINCOLN-MERCURY-MAZDA 556 Yarmouth Rd. (exit 7) Hyannis,MA 02601 Tel. 508-775-1444 Free Rental Car With Fax 508-790-0533 Each Service Appointment TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair 2. nters BOARD OF HEALTH O satisfactory 3.Auto Body Shops O/ unsatisfactory- 4.Manufacturers(see"Orders") 5.Retail Stores COMPANY �� �`L / '�•:fi '� 6.Fuel Suppliers ADDRESS y��5`3� i��� asS: Ab, 7.Miscellaneous UANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATE6N, TA Case lots Drums Above Tanks Under&n-ound IN OUT IN OUT IN OUT #&gallons Age Test Fuels: 4 Gasoline*'J t tm1-(A) Diesel, Kap ene, #2 ) Heavy Oils: waste motor oil (C) new motor oil(C) transmissjv n_ ydraulic v<�, .; Synthetic Organics: degreasers o47 All1 L Misce neous: A P3u4/5' -4.s 4fX* t r' DISPOSAIJRECLAMATION RE=S: r.r 1. Sanitary Sewage 2.Water Supply JV �� �GL/ O Town Sewer Public , y'On-site It�' 't OPrivate 3. Indoor oor rains YES____No O Holding tank:MDC ,4,,,v� qa7wli O Catch basin/Dry well • O On-site system '� ``��"° � 4. Outdoor Surface drains:YES L NO ORDERS: ' O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste ProductLicensed? NO 1. �. 2. Gr Person Interviewed Inspector Date TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH 09 satisfactory 2.Printers 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY .4,c�&,. �y %oo (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS .S S'( ya.r o vV4L FZ 0 Class: 1 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underg-round IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) i Diesel, Kerosene, #2 (B) Heavy Oils: SAS 13— �K waste motor oil (C) i new motor oil(C) 1 transmission/hydraulic Synthetic Organics: degreasers MAv4i cellaneous:��� z.Z.S_ 9C e.t' I t R-ts J ZIcs p� DISPOSALIRECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply AQ ( ta Aj4ovi1 i O Town Sewer Public On-site OPrivate 3. Indoor Floor Drains YES NO O Holding tank: MDC 0 Catch basin/Dry well 0 On-site system 4. Outdoor Surface drains:YES__y__ NO ORDERS: 0 Holding tank:MDC O Catch basin/Dry well )9,0n-site system 5.Waste Transporter Name of Hauler Destination Waste Product Licensed?i a 1. iw;ol —1* YES NO 2. A&j CAA.w- t1V e n s) n ewed Inspe for Date � _ 1 "''--J' /t4D C S dL_'( TO 1 e l J C. 04-06-1998 03:48PM FROM Horsley & Witten, Inc. TO 15087753344 P.02 The Town of Barnstable APR - 61598 Health Department 367 Main Street, Hyannis, MA 02601 Office 508-79"165 Thomas A. McKean 1-4X 50$-775-3J44 Director of Public Health I ; ` ! DATE: MARCH 31, 1998 i to: JIM BEGLEY IORSLEY & WITTEN j J=DWICH,T. 6A MA 02563 + RE: RESPONSES TO YOUR REQUEST FOR SITE INFORMATION a IN f-OMPL,jANCE WITH MGL 21E. . ... I:: I _ �he H allt4 06partment 'files were searched for information iegar 34ng the 'property at _55_6 600 Y'ARMOUTH RD. , HYANNYs & 3 0 R SARY LANE, HY. l liste¢� las: Parcel number 2.3 on Assessor's map 344-345 $nd a jacerit properties listed in the application form qlubmi t,ed by ,you on MARCH 30, 1998 I s i I 4he fol'.lowing items, if checked, apply to the property or adjacent properties: i l There .are no records on file concerning underground del and chemical storage tanks found concerning this I . roperty or any of the adjacent properties. ' x he attached underground fuel and chemical storage +nlforniation concerns the tank(s) located at: 6561600 YARMOUTH ROAD, HYANNIS (ALL REMOVED) i I i H Ao Hazardous material releases were reported to the kealth Department regarding the subject property or any of the adjacent properties. :x �h�e attached release information concerns the l Orioperties located at: 1556 YARMO'UT13 ROAD, HYANNIS — AIRPOR MOTORS 1 92 ROSARY LANE, HYANNIS 04-06-1998 03:48PM FROM Horsley & Witten, Inc. TO 15087753344 P.03 I I , I I ' ! I ( ' X there is no as-built card record on file regarding the i existing onsite sewage disposal system. NOTHING ON EITHER PARCEL the property is connected to Town sewer. The attached onsite sewage disposal system. information ' ebclosed. l ' X The Health Department has no record of the private 4ater supply well location onsite, if there is a well onsite at this property. It is suggested you contact the appropriate Water Department to determine whether i he.. building is connected to Town water. i he .Health Department records indicate there are i 1zivate water supply wells at the following locations; I I i I I P � I Please forward me a copy of the 21E report after your �ompl-4-tion of the report. My mailing address is: i ! Barnstable health Dept. P.O. Box 534 iHyannis, MA 02601 1 i } Sincetely Yours, Thoma A.1 McKean lirec or of Public Health I ( � ' I i f TOTAL P.03 IMar-16-89 11 : 30A BARNSTABLE HEALTH DEPT 5087606304 P . 02 The Town of Barnstable Sol 33_ C6 Health Department 367 Main Street, Hyannis, MA 02601 Office 509-790-6265 Thomas A. McKean FAX 508-775-3344 Director of Public Health "�� DATE: 3 39/55 900. 6A RE: RESPONSE TO YOUR REQUEST FOR SITE INFORMATION 07� IN COMPLIANCE WITH MOL 21E 3 1' The Health Department files were searched for informationsn regarding the property at ,-6 QU &Ka d1v ES listed as Parcel number of 3 on Asa sor's map Esc and adjacent properties 1 sted i,4,,the application or submitted by you on Li/ R) . The following items, if checked, apply to the property or adjacent properties: There are no records on file concerning underground fuel and chemical storage tanks found concerning this property or any of the adjacent properties. The attached underground fuel and chemical store e 9 information concerns the tank(s) located at: No hazardous material releases were reported to the Health Department regarding the subject property or any of the adjacent properties. The attached release information concerns the properties located at: 22 9 f -3 -76 r1V h;ar-16-89 1 1 : 30A BARNSTABLE HEALTH DEPT 5087606304 P _ 03 There is no as-built card record on file regarding the existing onsite sewage disposal system. The property is connected to Town sewer. The attached onsite sewage disposal system information is enclosed. The Health Department has no record of the private water supply well location onsite, if there is a well onsite at this property. It is suggested you contact the appropriate Water Department to determine whether the building is connected to Town water. The Health Department records indicate there are private water supply wells at the following locations: Please forward me a copy of the 21E report after your completion of the report. My mailing address is: Barnstable Health Dept. P.O. Box 534 Hyannis, HA 02601 Sincerely Yours, Thomas A. McKean Director of Public Health COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION SOUTHEAST REGIONAL OFFICE ARGEO PAUL CELLUCCI TRUDY COXE Governor • _�� /'/ Secretary 0 DAVID B. STRUHS Commissioner March 19, 1998 -Airport Motors, Inc. RE: BARNSTABLE--WSC/SMP 4-0873 556 Yarmouth Road Airport Motors, Inc. Hyannis, Massachusetts 556 Yarmouth Road 02601 IMMEDIATE RESPONSE ACTION PLAN CONDITIONAL APPROVAL Attn: Mr. Winthrop Wilbur, President MGL c. 21E & 310 CMR 40 . 0000 Dear Mr. Wilbur: The Department of Environmental Protection, Bureau of Waste Site Cleanup (the Department) , received an Immediate Response Action (IRA) Plan for the above-referenced disposal site on February 19, 1998 . The IRA Plan was submitted by Horsley & Witten, Inc . (H&W) on behalf of Winthrop Wilbur, President, Airport Motors, Inc. The IRA Plan proposes a Groundwater •Aeration/Soil Vapor Extraction (GWA/SVE) designed to contain the contaminated groundwater, prevent downgradient migration, and to remediate areas of higher concentrations of groundwater contamination ("hot spots" ) to address a condition of Substantial Release Migration. The IRA Plan proposes that the two IRAs required to be conducted at the Site be implemented concurrently. The plan includes a GWA/SVE fence of air sparging wells to contain the plume. This system was designed to replace the existing groundwater recovery and treatment system. On Thursday, February 26, 1998 , the Department verbally approved H&W' s proposal to shut down the existing groundwater and recovery system because it has effectively remediated the portion of the plume influenced by the operating recovery well (RW-2) . GWA/SVE is also proposed to treat residual source areas where groundwater contamination exceeds the category GW-1 Standards published in 310 CMR 40 . 0000 (the Massachusetts Contingency Plan) . The conceptual design for the proposed'-,treatment system includes : an air compressor and air sparging injection system; a vacuum blower -and soil vapor extraction trench system; and a central,'vapor phase carbon treatment facility for off-gas collected by the soil vapor extraction system. 20 Riverside Drive • Lakeville, Massachusetts 02347 0 FAX(508) 947-6557 0 Telephone (508) 946-2700 Airport Motors, IRA Conditional Approval Page 2 The Department hereby approves the IRA plan with the following conditions/modifications : H&W 'should submit the final .design, .GWA/SVE layout site plans and equipment specification documents to the Department for review and approval - prior to beginning construction of the system. 2 . A specific schedule for off-gas monitoring, soil-gas monitoring and system site checks should be submitted to the Department for approval with the final design of the GWA/SVE. 3 . H&W should submit an as-built plan for the GWA/SVE system upon completion of construction of the system. 4 . The Soil Vapor Extraction system should be appropriately sized to capture all of the vapors generated from the Groundwater Aeration System to remove Volatile Organic Compounds (VOCs) in a controlled manner and prevent migration of vapors to nearby buildings and residences . 5 . H&W should, notify the Department{ at least 48 hours in advance of all Zite field work to provide the. Department the opportunity to observe the work .as it is, performed. 6 . Operation and maintenance of the GWA/SVE system should be performed in accordance with the manufacturer' s recommendations for the components of this system. 7 . The central vapor phase carbon treatment facility for off-gas should be sized appropriately for the anticipated flow and contaminant concentration. The off-gas monitoring plan should include mid-point system sampling to better anticipate breakthrough of VOCs. In accordance with. Waste Site Cleanup Policy WSC-94-1.50, titled "Off- gas Treatment of Point-Source Remedial Air Emissions off-gas sampling should occur, at a minimum, on a monthly basis . Off-gas monitoring should occur while the GWA/SVE system is in operation. Detection of any VOCs in the off-gas effluent stream requires Department notification within 72 hours and may require additional off-gas controls . All testing results should be recorded and presented to the Department . 8'. • The GWA/SVE treatment * , system - should be sized appropriately and- the flow rates should be set to ensure that the entire width of the plume`-is.treated"by the well fence . 7i 1 _ Airport Motors, IRA Conditional Approval Page 3 9 . Any additional information collected,on the system (e.g. - system start-up data, data to monitor system effects on the contaminant . plume,: . operation � maintenance activities) should be submitted to the Department. Data submittals should be included in the IRA status reports . 10 . Should the data collected indicate that the GWA/SVE treatment system, as designed, is not adequate to contain the plume, modifications will be required to ensure that the plume is contained. - 11 . The treatment system should be in. a secured setting and inspected on a regular basis for proper operation. This inspection, along with all maintenance and any other pertinent notes, should be recorded in a log established for the treatment system. This log should be made available to the Department upon request . 12 . Initial system start-up will require prior Department notification and a field inspection prior to, or at the time of, the initial start-up. 13 Verbal notification- should be made to the Department Within `72 hours for :both temporary stoppage of the treatment system for maintenance or due- to technical problems, and its subsequent restart . If the system is not going to. be operational for a period greater than one week, the Department must be notified in writing. This written notification must include a description of the problem that caused the shutdown, the actions necessary to correct the problem and a schedule for conducting such actions and re-starting the system. 14 . Any waste products generated as a result of installing or operating this groundwater remediation system shall be collected, stored and disposed of in strict accordance with applicable regulatory requirements, including 310 CMR 40 . 0030 . Failure to do so may result in the initiation of enforcement action .by the Department . Transportation of remediation waste from this site to any other location in Massachusetts must be in accordance with 310 CMR 40 . 0000 and policies pursuant thereto. Improper off-site disposition, including treatment, reuse or disposal, may . constitute a "release" of oil or hazardous material . Proposals to treat, reuse or dispose of oil or hazardous materials outside of ' Massachusetts must conform to all applicable in-State and out-of-State regulatory requirements . Airport Motors, IRA Conditional Approval Page 4 15 . All necessary federal, state, or local permits, licenses, approvals, and any necessary agreements for the construction and operation of this remedial system shall be obtained. 16 . It is recognized that the operation of this GWA/SVE system is a dynamic process and this IRA, as specified, may change as additional information is obtained. You should notify the Department of any changes or deviations from this approved plan. Significant changes will require Department approval prior to implementation. -lf. you have any questions, please contact me at the letterhead address or by telephone at (508) 946-2799 . Since ly, rard M.R. Martin, Chief Site Management & Permits Section M/CB/ss CERTIFIED MAIL NO. Z333 585 442 RETURN RECEIPT REQUESTED cc : Mr. James Begley, Sr. Environmental Engineer, Horsley & Witten, Inc. Sextant Hill, 90 Route 6A Sandwich, Massachusetts 02563 Winthrop and Nancy Wilbur, 125 Cedar Tree Neck Road Marstons Mills, MA 02648 Arthur P. Kreiger, Anderson & Kreiger, Attorneys at Law The Bullfinch Building, 47 Thorndike- Street Cambridge, Massachusetts 02141 Barnstable Board of Health, Post Office Box 534 Hyannis, MA 02601 Barnstable Board of Selectmen, 367 Main Street Hyannis, MA 02601 Commonwealth of Massachusetts, Office of *the Attorney General 200 Portland Street, Boston, MA 02114 ATTN: Michelle O'Brien DEP-SERO-Legal, ATTN: Daniel d'Hedouville DEP-SERO-Data Entry ` � �•� �-� Date: b IT7 TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: t4q /a C at6- & a�� BUSINESS LOCATION: S5S(,o MAILINGADDRESS: t��0 . d yC kt y "'o'-b S Y10-t2Ga f Mail To: TELEPHONE NUMBER: S-bg Board of Health -� T Town of Barnstable CONTACT PERSON: E).�y t W 6 i3u p` P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: SD8 -`� �V�'-6 u'� Hyannis, MA 02601 TYPEOFBUSINESS: hXA-J c GZef�4;S1 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for you own use? YES ✓ NO This form must be returned to the Board of Health Y a regardless of es or no answer. Use the enclosed 9 envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity Antifreeze(for gasoline or coolant systems) Drain cleaners NEW =ja USED (SAL tkA**/ Cesspool cleaners (113 GM Automatic transmission fluid / Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor oils Pesticides 7o2C5NEW a6D USED G�clS�1AnA�� (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, Photochemicals (Developer) g ( P ) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery ) Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents g is Jewelry cleaners Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers Any other products with "poison" labels Paint brush cleaners (including chloroform, formaldehyde, Floor & furniture strippers hydrochloric.acid, other acids) Metal polishes Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS 1 TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD F -HEALTH � satisfactory 2.Printers 3.Auto Body Shops CD� (� r��ez � O unsatisfactory- 4.Manufacturers Al�Y Nj{-�y �- � U� (see"Orders") 5.Retail Stores P�"" 6.Fuel Suppliers ADDRESS GIo^ - Class: l-7 1 7.Miscellaneous 12eY QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks f IN OUT IN OUT IN OUT #&gallons Age fTest Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) `v � x new motor oil (C), 39d transmission/hydraulic X Synthetic Organics: degreasers 164 Z _ iscellaneou 1 x // 4p ` - x dYa azbk/Lt,,.e -4e _ (; 'o U( 2- kLl !a r 3 &hill DISPOSAL/RECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply 6 1 O Town Sewer ')Wublic t;�COn-site OPrivate 3. Indoor Floor Drains YES N0- O Holding tank:MDC ' e� O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES X NO ORDERS: O Holding tank:MDC O Catch basin/Dry well C f O On-site system 5. Waste Transporter Name of Hauler Destination Waste Product ? L YES NO / V 2. rr/ r v erson s me Mewed Inspector Date TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM , — Mail To: NAME OF BUSINESS: ! i'�a�Lz c��� ' � � Board of Health MAILING ADDRESS: ?!;6X ZA /-12,442N<s' 4-4 a2-6;v-j Town of Barnstable TELEPHONE NUMBER: � '- 'T'K5--111V/l P.O. Box 534 CONTACT PERSON: Hyannis, MA 02601 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES ✓ NO _ This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: eo 4-.-,.Aov i`F RO �l�lo��usut s TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous v+characteristics and must be registered st l at tie t idgMIrf riC q * � drra Please put-a-check beside each product that you store: y Antifreeze (for gasoline or coolant systems) Drain cleaners _ Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel �� Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides;herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels ti Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business Commonwealth of Massachusetts Executive Office of Environmental Affairsr�..'. Department of Environmental Protection ` ,. Southeast Regional Office �� �c William F.Weld ri r Governor l'�b' _ Trudy Coxe Secretary,EOEA4; , David B.Struhs commhaioner 9 August 7, 1996 Arthur P. Kreiger RE: BARNSTABLE--WSC/SA-4-0873 Anderson & Kreiger Airport Motors, Inc. Attorneys at Law 556 Yarmouth Road The Bullfinch Building MODIFICATION CATION OF NOTICE OF 47 Thorndike Street RESPONSE ACTION INTERIM Cambridge, Massachusetts 02141 DEADLINE, M.G.L. Ch. 21E and 310 CMR 40.0000 Dear Attorney Kreiger: The Department of Environmental Protection, Bureau of Waste Site Cleanup, (the Department) is in receipt of your June 28, 1996 response, on behalf of Winthrop and Nancy Wilbur, to the Department's Notice of Response Action dated June 14, 1996 (the NORA) . The Department has reviewed your request for the Department to extend the Interim Deadline set in the NORA through Friday, August 30, 1996. Pursuant to 310 CMR 40.0167 (2) , the Department hereby modifies the Interim Deadline established in the NORA to 5 p.m. on September 3, 1996. As stated in the pepartment's previous correspondence, the Department has determined that there is or has been a release of oil and/or hazardous material at the above-referenced property. Further, the Department has determined that response actions were and continue to be necessary to abate the threat to public health posed by the release and continuing threat of release of oil and/or hazardous materials at and from the Site. Said release has resulted in off-site migration of volatile organic compounds in the groundwater that may potentially impact other downgradient receptors. The NORA provided notice to Winthrop and Nancy Wilbur (the Wilburs) that the Department intends to conduct additional response actions at the subject site unless the Wilburs agree to do so in accordance with the terms and conditions of the NORA. These response actions include, but are not limited to, the following: *0 Riverside Drive a Lakeville,Massachusetts 02347 a FAX(508)947-6557 a Telephone`(508) 946-2700 f -2- (1) Construction/installation of the Subsurface Volatization and Ventilation System (SVVS) . (2) Collection and analysis of groundwater samples from all . existing site-related monitoring wells prior to SVVS installation and/or SVVS system start-up. (3) Treatment system start-up activities. (4) Operation and Maintenance of the SVVS until cleanup objectives have been met and a Response Action Outcome Statement has been reviewed and approved by the Department. (5) Operation and Maintenance of existing groundwater recovery and treatment system until cleanup and/or containment objectives have been met. (6) Installation of additional monitoring wells at or near the site to monitor groundwater quality and treatment system(s) effectiveness. (7) Collection of groundwater elevation data, collection and analysis of groundwater samples and any other information necessary to determine the extent of contaminant migration. (8) Submission of an Immediate Response Action Completion Report in accordance with 310 CMR 40.0427 and, ultimately, a Response Action Outcome Statement in accordance with 310 CMR 40. 1000. The grant of extension of the Interim Deadline in no way absolves the Wilburs of their responsibilities under M.G.L. Ch. 21E and the Massachusetts Contingency Plan (MCP' - 310 CMR 40.0000) . The. Department will begin initiating the response actions described in (1) through (8) above unless the Wilburs submit to the Department the following by 5:00 p.m. on Tuesday, September . 3, 1996: (A) Written notification to the Department that you intend to conduct the required response actions at the site. (B) A conceptual work plan to conduct the necessary response actions. (C) A signed agreement and contract with a Licensed Site Professional (LSP) and an environmental clean-up contractor experienced in conducting response actions under M.G.L. c. 21E, assurance of sufficient financial resources (in the form of an escrow account, performance r -3- bond or through other means) to perform the required response actions and a strict timetable for conducting the response actions. Should the Wilburs fail to voluntarily undertake the required response actions and provide the Department with the submittals required in (A) through (C) by September 3, 1996 (the date of the extension of the Interim Deadline previously established in the Notice of . Response Action dated June 14, 1996) , or should they provide submittals that are determined by the Department to be unacceptable, the Department will initiate these response actions and will initiate appropriate cost recovery and/or enforcement actions as described above. If at any time the Wilburs wish to. ' assume responsibility for these response actions after the Department has initiated them, they may do so only with the written permission of the Department. Please note, the Department in no way concurs with- your assertion that the Wilburs have paid for their portion of the cleanup costs. Be advised that in addition to the specific response action requirements outlined above, the Wilburs are responsible for conducting all response actions which may be necessary to complete the cleanup of this site in accordance with the MCP. The subject 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 site have been eliminated and a level of No Significant Risk exists or has been achieved in compliance with M.G.L. Ch. 21E and the MCP. These response actions may include, but are not limited to, Comprehensive Response Actions and additional Immediate Response Actions. Should you have any questions regarding. this notice, please contact Cynthia Baran at the letterhead , address or at (508) 946- 2887. In any correspondence to this office, please refer to Site WSC/SA 4-0707. Sincerely, erard M.R. Martin, Acting Chief Site Management and Permits Section M/CAB/cb CERTIFIED MAIL NO. P 256 391 780 . RETURN RECEIPT REQUESTED cc: Winthrop and Nancy Wilbur 125 Cedar Tree Neck Road Marstons Mills, MA 02648 -4- cc: Barnstable Board of Health Post Office Box 534 Hyannis, MA 02601 ATTN: Thomas McKean, Director of Public Health Town of Barnstable 367 Main Street Hyannis, MA 02601 ATTN: Warren Rutherford, Town Manager Commonwealth of Massachusetts Office of the Attorney General 200 Portland Street Boston, MA 02114 ATTN: Michelle O'Brien DEP-OGC-Boston ATTN: Stephen Winslow DEP-BWSC/Cost Recovery-Boston ATTN: Robert Kalaghan DEP-BWSC/CPM-Boston ATTN: Michael Whiteside DEP-SERO-Operations ATTN: Andrea Papadopoulos, Deputy Regional Director DEP-SERO-Legal ATTN: Daniel d'Hedouville DEP-SERO-Data Entry Commonwealth of Massachusetts Executive Office of Environmental Affairs Department of Environmental Protection ' Southeast Regional Office Willlam F.Weld Trudy Coxe Govemor glary Ar eo�ul Mucci David B.Struhs Lt.Gmerndr� © commieabner I i October 18, 1996 Arthur P. Kreiger RE: BARNSTABLE--WSC/SMP 4-0873 Anderson & Kreiger Airport Motors, Inc. Attorneys at Law 556 Yarmouth Road The Bullfinch Building MODIFICATION OF NOTICE OF 47 Thorndike Street RESPONSE ACTION INTERIM Cambridge, Massachusetts 02141 DEADLINE, M.G.L. Ch. 21E and 310 CMR 40.0000 Dear Attorney Kreiger: The Department of Environmental Protection, Bureau of Waste Site Cleanup, (the Department) is in receipt of your October 3, 1996 letter, prepared on behalf of Winthrop and Nancy Wilbur, regarding the Department's Notice of Response Action dated June 14, 1996 (the NORA) . In this letter you requested a third extension to the Interim Deadline established in the NORA to allow the Wilburs to collect additional data their Licensed Site Professional (LSP) feels is necessary to estimate the cleanup costs. As stated in j your October 3, 1996 letter, a more precise estimate of cleanup costs will allow the Wilburs to decide whether to resume responsibility for the cleanup. Pursuant to your first and second requests, the Department had granted two extensions to the Interim Deadline established in the NORA, until September 3, 1996 and October 3, 1996, respectively. The Department has reviewed your third request to extend the Interim Deadline for an additional sixty days, to Monday, December 3, 1996. Pursuant to 310 CMR 40. 0167 (2) , the Department hereby modifies the Interim Deadline established in the NORA to 5,_p.m. on December 3, 1996 to give the. Wilburs the opportunity to obtain current site data as requested. Mark Nelson, from Horsley & Witten, contacted. Cynthia Baran on October 4, 1996 to request access to conduct a comprehensive water quality assessment at the site. Ms. Baran gave him verbal approval to proceed with the proposed work at that time. She requested that ,she be notified, with as much advance notice as. possible, of the date(s) of the sampling event so that she may be present. To date, she has not been notified of the proposed schedule. Please consider this letter written confirmation of the „ Department's grant of access to the site-related monitoring wells for the purpose of collecting current groundwater data. The Wilburs, or their contractor, are responsible to request and obtain 20 Riverside Drive • Lakeville,Massachusetts 02347 • FAX(508)947-6557 • Telephone (508) 946-2700 i 400 Printed on Recycled Paper -2- access to monitoring wells located on private property not owned or operated by the Wilburs. Please note, that this and any additional work must follow the operational protocol which the Department has established for work conducted on this site. The Wilburs were apprised of this protocol by letter dated January 3, 1994 to Airport Motors, Inc. A copy of the letter is enclosed for your information.. As you know, the NORA provided notice to Winthrop and Nancy Wilbur (the Wilburs) that the Department intends- to conduct additional response actions at the subject site unless the Wilburs agree to do so in accordance with the terms and conditions of the NORA. The Department has been very accommodating to your requests, however; this is the final extension to the Interim Deadline that the Department will grant. The Department will begin initiating the response actions described in the NORA unless the Wilburs submit to the Department the following by 5:00 p.m. on Monday, December 3, 1996: (A) Written notification to the Department that the Wilburs intend to conduct the required response actions at the site. (B) A conceptual work plan to conduct the necessary response actions. (C) A signed agreement and contract with a Licensed Site Professional (LSP) and an environmental clean-up contractor experienced in conducting response actions under M.G.L. c. 21E, assurance of sufficient financial resources (in the form of an escrow account, performance bond or through other means) to perform the required response actions and a strict timetable for conducting the response actions. Should the Wilburs fail to voluntarily undertake the required response actions and provide the Department with the submittals required in (A) through (C) by December 3, 1996, or should they provide submittals that are determined by the Department to be unacceptable, the Department will initiate these response actions and will initiate appropriate cost recovery and/or enforcement actions. If at any time the Wilburs wish to assume responsibility for these response actions after the Department has initiated them, they may do so only with the written permission of the Department. I -3- Should you have any questions regarding this notice, please contact Cynthia Baran at the letterhead address or at (508) 946- 2887. In any correspondence to this office,- please refer to Site WSC/SA 4-0873 . Sinc ly, Gerard M.R. Marti , Acting Chief Site Management and Permits Section M/CAB/re Enclosure CERTIFIED MAIL NO. P256 393 413 RETURN RECEIPT REQUESTED cc: Winthrop and Nancy Wilbur 125 Cedar Tree Neck Road Marstons Mills, MA 02648 Barnstable Board of Health Post Office Box 534 Hyannis, MA 02601 Town of Barnstable 367 Main Street Hyannis, MA 02601 Commonwealth of Massachusetts Office of the Attorney General 200 Portland Street Boston, MA 02114 ATTN: Michelle O'Brien DEP-OGC-Boston ATTN: Stephen Winslow DEP-BWSC/Cost Recovery-Boston ATTN: Robert Kalaghan DEP-BWSC/CPM-Boston ATTN: Michael Whiteside DEP-SERO-Operations ATTN: Andrea Papadopoulos, Deputy Regional Director Jonathan Hobill, Acting Regional Engineer II C J -4- cc: DEP-SERO-Legal ATTN: Daniel d'Hedouville DEP-SERO-Data Entry can Commonwealth of Massachusetts Executive Office of Environmental Affairs Department of Environmental Protection Southeast Regional Office William F.Weld ✓�A' ��j(j/j�� Governor D /V j `e Trudy Coxe O -C Secretary,EOFJ1 ,r�s� : David i lonerStru �zt�,_ Commissioner URGENT LEGAL. MATTER: PROMPT ACTION NECESS CERTIFIED MAIL: RETURN .RECEIPT REQUESTED a C June 14 , 1996 Central Cape Dodge RE: BARNSTABLE--WSC/SMP-4-0873 600 Yarmouth Road Airport Motors, Inc . Hyannis, Massachusetts 02601 556 Yarmouth Road NOTICE OF RESPONSE ACTION AND INTERIM DEADLINE, M.G.L. Ch. 21E and 310 CMR 40 . 0000 . ATTENTION: Mr. Russ Frayre General Sales Director Dear Mr. Frayre : The Department of Environmental Protection (the Department) has determined- that there, i_s or,-,has been a release -of oil and/or hazardous.,material at the- above-referenced property. Further, the Department has determined that response actions were and continue to be necessary .to abate the threat to. public health posed by the release and continuing threat of release of oil and/or hazardous materials at and from the Site. Said release has resulted in off- site migration of volatile organic compound in the groundwater that may potentially impact other downgradient receptors . On June 23 , 1995, a Notice of Responsibility/Notice of Response Action was issued to you (as used in this letter, "you" and "your" refers to Central Cape Dodge) explaining your liability and responsibility to conduct response actions at the site . This letter also notified. you of the Department' s intent to perform additional response actions at the site and offered you the opportunity to perform the necessary actions in lieu of the Department . Beginning on or after July 1, 1996 , the Department intends to conduct additional response actions at the site in order to abate conditions that constitute a Substantial Release Migration and may . pose .an - Imminent Hazard -to health, public safety, welfare or the environment These response. actions are outlined below. 20 Riverside Drive • Lakeville, Massachusetts 02347 • FAX(508)947-6557 • Telephone (508) 946-2700 i -2- In accordance with 310 CMR 40 . 0160 , this notice is to provide you with the opportunity to agree to take the response actions described in this notification by the Interim. Deadline established herein. STATUTORY LIABILITIES The following is a summary of your responsibility and liability under M.G.L. c. 21E. You are hereby advised that the Department has reason to believe that you are a Potentially Responsible Party (PRP) with liability under M.G.L. c . 21E, § 5, for response action costs . Section 5 makes the following parties liable to the Commonwealth of Massachusetts : current owners or operators of a site from or at which there is or has been a release/threat of release of oil or hazardous material; any person who owned or operated a site at the time hazardous material was stored or disposed of; any person who arranged for the transport, disposal , storage or treatment of hazardous material to or at a site; any person who transported hazardous material to a transport, disposal , storage or treatment site from which there is or has been a release/threat of release of such material; and any person who otherwise caused or is legally responsible for a release/threat of release of oil or hazardous material at a site. i This liability is "strict" , meaning it is not based on fault, but solely on your status as an owner, operator, generator, transporter or disposer. . It is also joint and several, meaning that you may be liable for all response action costs incurred at the site, regardless of the existence of any other liable parties . The Massachusetts Contingency Plan (MCP) requires responsible parties to take necessary response actions at properties where there is or has been a release or threat of release of oil and/or hazardous material . If you do not take the necessary response actions, or fail to perform them in an appropriate and timely manner, the Department is authorized by M.G.L. c. 21E §4 to have the work performed by its contractors, and, by M.G.L. c . 21E §8 to enter any site and areas proximate thereto at reasonable times, and upon reasonable notice, to undertake assessment, containment and removal actions in order to address the subject release . Should you take the necessary response actions at the subject site, you can avoid liability for response action costs incurred by the Department and its contractors in performing these actions_ , and any sanctions which may be imposed for failure to perform response actions under the MCP. You may be liable . for up to three (3) times all response action costs incurred by the Department . Response action costs include, without limitation, the cost of direct hours spent by - Department employees arranging for response actions or overseeing -3- work performed by persons other than the Department. or their contractors, expenses incurred by the Department in support of those direct hours, and payments to the Department' s contractors . (For more detail on cost liability, see 310 CMR 40 . 1200 . ) The Department may also assess interest on costs incurred at the rate of twelve percent (12a) , compounded annually. To secure payment of this debt, the Commonwealth may place liens on all of your property in the Commonwealth. To recover the debt, the Commonwealth may foreclose on these liens or the Attorney General may bring legal action against you. In addition to your liability for up to three (3) times all response action costs incurred by the Department, you may also be liable to' the Commonwealth for damages to natural resources caused by the release . Civil and criminal liability may also be imposed under M.G.L. c. 21E, § 11, and civil administrative penalties may be imposed under M.G.L. c. 21A, § 1.6 for each violation of M.G.L. C . 21E, the MCP, or any order, permit or approval issued thereunder. ACTIONS TAKEN TO DATE AT THE SITE The Department has conducted the following response actions, some of which are ongoing, at the subject site : (1) Operation & Maintenance of the existing groundwater recovery and treatment system since July 1, 1993 . (2) Collection of groundwater elevation data, collection and analysis of groundwater samples from existing monitoring wells. (3) Execution of nineteen soil borings and collection and analysis of associated soil samples . (4) Installation of eleven monitoring wells, including well development activities, survey of horizontal and vertical location of monitoring wells and collection and analysis of groundwater samples from the new monitoring wells . (5) Design of a Subsurface Volatization and Ventilation System (SVVS) . INTERIM DEADLINE FOR NOTIFICATION OF YOUR INTENT TO CONDUCT RESPONSE ACTIONS As stated above, this letter provides notice to you that the Department intends to conduct the following additional response -4- actions at the subject site unless you agree to .do so in accordance with the terms and conditions of this notice . (1) Construction/installation of the Subsurface Volatization and Ventilation System (SVVS) . (2) Collection and analysis of groundwater samples from all existing site-related monitoring wells prior to SVVS installation and/or SVVS system start-up. (3) Treatment system start-up activities . (4) Operation and Maintenance of the SVVS until cleanup objectives have been met and a Response Action Outcome Statement has been reviewed and approved by the Department . (5) Operation and Maintenance of existing. groundwater recovery and treatment system until cleanup and/or containment objectives have been met . (6). Installation of additional monitoring wells at or near the site to monitor groundwater quality and treatment system(s) effectiveness . (7) Collection of groundwater elevation data, collection and analysis of groundwater samples and any other information necessary to determine the extent of contaminant migration. (8) Submission of an Immediate Response Action Completion Report in accordance with 310 CMR 40 . 0427 and, ultimately, a Response Action Outcome Statement in accordance with 310 CMR 40 . 1000 . The Department will begin initiating the response actions described in (1) through (8) above unless you submit to the Department the following by 5: 00 p.m. on Friday, June 28, 1996 : (A) Written notification to the Department that you intend to conduct the required response actions at the site . . (B) A conceptual work plan to conduct the necessary response actions . (C) A signed agreement and contract with a Licensed Site Professional (LSP) and an environmental clean-up contractor experienced in conducting response actions under M.G.L. c. 21E, assurance of sufficient financial I f -5- resources (in the form of an escrow account, performance bond or through other means) to perform the required response actions and a strict timetable for conducting the response actions . The date and .time established for this submittal is an Interim Deadline established pursuant to 310 CMR 40 ..0167 . The Department' s decision to establish one or more Interim Deadlines in accordance with 310 CMR 40 . 0167 is not subject to M.G.L. c . 30A or any other law governing adjudicatory proceedings. Should you fail to voluntarily undertake the required response actions and provide the Department with the submittals required in (A) through (C) by the Interim Deadline established above, or should you provide submittals that are determined by the Department to be unacceptable, the Department will initiate these response actions and will initiate appropriate cost recovery and/or enforcement actions as described above. If at 'any time you wish to assume responsibility for these response actions after the Department has initiated them, you may do so only with the permission of the Department . Be advised that in addition to the specific response action requirements mentioned in this notification, you are responsible for conducting all additional 21E response actions which may be necessary to complete the cleanup of this site in accordance with the MCP. The subject 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 site 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. These response action may include but are not limited to Comprehensive Response Actions and additional Immediate Response Actions . IDENTIFICATION OF OTHER POTENTIALLY RESPONSIBLE PARTIES The Department has identified several other Potentially Responsible Parties (PRPs) associated with this site . As mentioned above, M.G.L. c. 21E liability is "strict" , meaning it is not based on fault, but solely on a person' s status as an owner, operator, generator, transporter or disposer. It is also joint and several, meaning that a person may be liable for all response action costs incurred at the site, regardless of the existence of any other liable parties . In light of this, a similar Notice of Response Action and Interim Deadline letter has been sent to each of the following companies or persons : Winthrop and Nancy Wilbur 125 Cedar Tree Neck Road Marston Mills, Massachusetts 02648 f -6- Mr. Edward Leslie 226 Main Street Centerville, Massachusetts 02632 The Department encourages all parties listed here to contact one another in order to respond to this notification. A joint response action plan, if approved, would be acceptable to the Department . The Department encourages PRPs to take prompt action in response to releases and threats of release of oil and/or hazardous material . By taking prompt action, PRPs may significantly lower their assessment and cleanup costs and avoid the imposition of, or reduce the amount of, certain permit and annual compliance fees for response actions payable under 310 CMR 4 . 00.. Should you have any questions regarding this notice, please contact Cynthia Baran at the letterhead address or at, (508) 946- 2887 . In any correspondence to this office, please refer to Site WSC/SA 4-0707 . The Department looks forward. to your cooperation in this matter. 4iSicn rely, r M.R. Ma ard rtin, Acting Chief te Management and Permits Section M/CAB/cb CERTIFIED MAIL NO. Z 169 751 095 RETURN RECEIPT REQUESTED CC : Barnstable Board of Health Post Office Box 534 Hyannis, MA 02601 ATTN: Thomas McKean, Director of Public Health Town of Barnstable 367 Main Street Hyannis, MA 02601 ATTN: Warren Rutherford, Town Manager Commonwealth of Massachusetts Office of the Attorney General 200 Portland Street Boston, MA 02114 ATTN: Michelle O'Brien I a • i 4 - / - DEP - OGC - Boston ATTN: Stephen Winslow DEP - BWSC/Cost Recovery - Boston ATTN: Robert Kalaghan DEP - BWSC/CPM - Boston ATTN: Michael Whiteside DEP - SERO - Operations ATTN: Andrea Papadopoulos, Deputy Regional Director DEP - SERO - Legal ATTN: Daniel d'Hedouville DEP - SERO - Data Entry ` i i r ' Commonwealth of Massachusetts Executive Office of Environmental Affairs Department of Environmental Protection Southeast Regional Office William F. Weld Governor - Daniel S.Greenbaum Commissioner P ? - January 13, 1994 Airport Motors RE: BARNSTABLE--WSC/4-0873 556 Yarmouth Road Airport Motors, Inc. , P.O. Box 980 556 Yarmouth Road Hyannis, Massachusetts 02601. Tier ILA Si- ktL-. "Sitell) , M.G.L. , Chapter 21E & ATTENTION: David Wilbur, 310 CMR 40. 0000 Manager Dear Mr. Wilbur: The Department of Environmental Protection (hereinafter "the Department") , has determined that there is or has been a release of oil and/or hazardous material at the above referenced property (hereinafter "the Site") which requires a response action. The Site was listed as a "priority disposal" site on April 15, 1990. The Department is currently performing response actions at this Site pursuant to its authority under M.G.L. c. 21E. The purpose of this letter is to advise you of the safety and operational protocol which the Department has established for this work. The following safety and operational protocol must be followed with respect to the Site. Any person desiring access to any of the remediation equipment at the Site must obtain prior approval from the Department. Request(s) for access to any of the remediation equipment at the Site may be oral or written and must be directed A. Cyr~,t:iiu Baran, the Department'c Project Manager.. Said request(s) shall be made with reasonable notice to the Department. The Department's response to such request(s) may be oral, but shall be followed by written confirmation. The Department's Project Manager will make reasonable, appropriate arrangements for site visits by others when both the Department's contractor and the owner of the Site are present. (Such protocol shall not prevent the owner of the Site from entering the Site provided that the owner of the Site complies with the safety and operational protocol and that such entrance does not interfere with the Department's response actions) . Pursuant to 310 CMR 40. 0021 it is unlawful to falsify, tamper with, alter, destroy, disturb or otherwise interfere with any response action, including, but not limited to, any recovery or control mechanism or system, and any monitoring device or method. 20 Riverside Drive 9 Lakeville,Massachusetts 02347 a FAX(508)947-6557 9 Telephone (508) 946-2700 •i t' -2- Failure to follow the foregoing safety and operational protocol shall be deemed by the Department to be a violation 310 CMR 40. 0021. Please contact Cynthia Baran at the above address or by telephone at (508) 946-2887, if you have any questions with respect to this letter or if you would like to request an appointment for access to the remediation equipment at the Site. Thank you in advance for your anticipated cooperation. Sincerely, Andrea Pa ado oulos P P Deputy Regional Director P/MS/rr cc: Winthrop & Nancy Wilbur Prince Road Marston Mills, MA 02648 . Town of Barnstable Town Hall Hyannis, MA 02601 ATTN: Warren Rutherford, Town Manager Hazardous Waste Coordinator P.O. Box 534 Hyannis, MA 02601 ATTN: Thomas McKean K-V Associates Inc. 281 Main Street P. O. Box 574 Falmouth, MA 02541 ATTN: William B. Kerfoot Clean Harbors Environmental Services, Inc. 325 Wood Road Braintree, MA 02184 ATTN: Gary Neault -3- cc: DEP - OGS - Boston ATTN: Margaret Stolfa DEP - BWSC - Boston ATTN: Michael Whiteside DEP - SERO ATTN: George Crombie, Regional Director Gregg Hunt, Acting Regional Engineer, BWSC Mark Begley, Chief, Site 'Remediation Section DEP - SERO - Data Entry TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS. Board of Health MAILING ADDRESS: Town of Barnstable f TELEPHONE NUMBER: �c7 $` `"' 2��=- ��� P.O. Box 534Hyannis, MA 02601 CONTACT PERSON: Q� a. � Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in qua ities totalling, at an time, more than 50 gallons liquid volume or 25 pounds 9 Y 9 q p dry weight? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered when stored in quantities totalling more than 50 gallons liquid volume or 25 pounds dry weight. Please put a check beside each product that you store: I� Antifreeze (for gasoline or coolant systems) Drain cleaners l� Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants i� Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, (� Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) _V Other clearing solvents Bug and tar removers Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH O satisfactory 23..PrintersBody Shops O unsatisfactory- 4.Manufacturers COMPANY (see"Orders") 5.Retail Stores �— 6.Fuel Suppliers ADDRESS Z, �1°l°! Class.• 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERiS Case lots Drurns Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons 7,77 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: DISPOSAIJRECLAMATI0N REMARKS: 1. Sanitary Sewage 2. Water SuPP1Y 4-OrL .���t� l✓ O Town Sewer Public ron-site /OPrivate 3. Indoor Floor Drains YES NO ' 9 , O Holding tank: MDC AW (/ „ O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES PINO ORDERS: O Holding tank: MDC -� O Catch basin/Dry well E, V O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product 1• � ,per `� �., YES NO 2. L� Persony Interviewed Inspector Date R 97ze Commonwea" o o Daniel S. Greenbaum one ft?t�1f&W111 Commissioner �i p ffa&wVi&oe&&OTIO& August 29 , 1990 Re: Barnstable, UIC Inspection 310 CMR 27 . 00 Airport Motors 556 Yarmouth Rd Hyannis, MA 02601 Dear Sirs; On July 13 , 1990 the Barnstable Board of Health and the Department of Environmental Protection visited Airport Motors at 556 Yarmouth Road, Hyannis. At the time of inspection it was noted that your garage has a floor drain discharging to a leaching pit. Leaching pits are class V injection wells and are regulated by the Massachusetts Department of Environmental Protection Underground Injection Control Program. An injection well in your facility runs a high risk of .contaminating public groundwater aquifers by the direct injection of waste oils, cleaning solvents, antifreeze, transmission fluids, and other hazardous waste products. This could result in the temporary or permanent closure of your public water supply. Please refer to the enclosed regulation notice which outlines options to you for fulfilling your compliance requirements. If you have any questions regarding this call Hilary Snook or Carey Kling at (617) 292-5859 or 556-1070 . If you have questions regarding a holding tank approval please call Brett Rowe of the Division of Water Pollution Control, DEP, SE Region at (508) 946-2750. Sincerely, Hila4 Snook CC: Dave DeLorenzo, DWS, SE Regional Office Maria Ramirez, DHW, SE Regional Office Jeff Gould, DWPC, SE Regional Office 100%Recycled Paper IF 4"-f q, 97w, Oomljz���� a' Daniel S. Greenbaum Commissioner 0210d' August 29, 1990 Re: Barnstable, UIC Inspection 310 CMR 27. 00 Central Cape Dodge 556 Yarmouth Rd Hyannis, MA 02601 Dear Sirs; On July 13 , 1990 the Barnstable Board of Health and the Department of Environmental Protection visited Central Cape Dodge at 556 Yarmout h o R ad r Hyannis.nnis At the time of inspection it was noted that your garage has a floor drain discharging to a leaching pit. Leaching pits are class V injection wells and are regulated by the Massachusetts Department of Environmental Protection Underground Injection Control Program. An injection well in your facility runs a high risk of contaminating public groundwater aquifers by the direct injection of waste oils, cleaning solvents, antifreeze, transmission fluids, and other hazardous waste products. This could result in the temporary or permanent closure of your public water supply. Please refer to the enclosed regulation notice which outlines options to you for fulfilling your compliance requirements. If you have any questions regarding this call Hilary Snook or Carey Kling at (617) 292-5859 or 556-1070 . If you have questions regarding a holding tank approval please call Brett Rowe of the Division of Water Pollution Control, DEP, SE Region at (508) 946-2750. Sincerely, H y Snook CC: Dave DeLorenzo, DWS, SE Regional Office Maria Ramirez, DHW, SE Regional Office Jeff Gould, DWPC, SE Regional Office 100%Recycled Paper r 0 97,&, Commonwea" 4 a •�' 1��U of�ater� JuIhIS� Daniel S. Greenbaum Commissionercf&V&, 00&4' " 0210& UNDERGROUND INJECTION CONTROL PROGRAM REGULATION NOTICE The Massachusetts Department of Environmental Protection, as well as local and federal agencies, regulates discharges to protect ground and surface sources of drinking water. The Underground Injection Control (UIC) Program regulates subsurface discharges of industrial and commercial wastes and wastewaters (310 CMR 27 . 00) . Discharges to the ground are also regulated by Division of Water Pollution Control (310 CMR 15. 00, 314 CMR 5. 00 & 6. 00) and Division of Hazardous Waste (310 CMR 30. 0) . +Storm water dry wells, septic systems and leaching pits are examples of common "injection wells" which are regulated by the UIC , s o floordrains sinks or other points of Program. All discharge t P disposal, which are plumbed to "injection wells" must meet water quality discharge standards (310 CMR 15. 00 and 314 CMR 5. 00) . MDC traps or separators do not sufficiently remove wastes for discharges to meet required ground water quality discharge standards. Facilities which handle .hazardous . materials or wastes and have points of disposal which receive or could receive those wastes must: 1. be connected to a sewer system after treatment, 2 . be plumbed to a holding tank which is pumped and hauled by a lisenced hauler to a •municipal waste water treatment plant or hazardous disposal facility, or 3 . have an approved discharge permit. If your facility does have points of disposal which receive or could receive hazardous wastes but does not comply with 1, 2, or 3 , then your facility is in violation of the regulations mentioned above. You must take action to comply by applying to DEP, Division of Water Pollution Control, for one of the above. A copy of your application must be sent to the UIC program within 30 days of today's date. Completion of one of these actions must be within 6 months of today's date. Failure to take action will result in further legal action, possible penalties, and referral to the Bureau of Waste Site Cleanup. If you have a floor drain which is determined not to be necessary and you prefer"to close it, you must consult- your Board of Health to determine if you need a variance from the Plumbing Board. If you have any questions, please call 617-556-1070. Send a copy of your application to: UIC Program, Division of Water Supply, DEP, One Winter Street, BostoB,,gMA, on recycled Paper s �oFTpEto� TOWN OF BARNSTABLE fO�P y� OFFICE OF = Bea a,mug. BOARD OF HEALTH � MAOY. � _ . 367 MAIN STREET HYANNIS, MASS. 02601 ' August 14, 1987 � PA Airport Motors Inc. Cy I 556 Yarmouth Road Hyannis , MA 02601 Dear Mr. Aitchison: 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 $200 . 00 daily under the Town of Barnstable Toxic and Hazardous Waste By-law. Very Truly Yours , Jhn M. Kelly Director Barnstable Health Department V � ..fn ' r �OFTHE TO TOWN OF BARNSTABLE w OFFICE OF t eAaaeTes>:$, =NutBOARD OF HEALTH 9�o 1639. �MAY 367 MAIN STREET � �'` HYANNIS, MASS. 02601 August 14, 1987 Airport Motors Inc . 556 Yarmouth Road Hyannis , MA 02601 Dear Mr. Aitchison: You are reminded that State regulations require periodic pumping and or cleaning of all MDC traps (Metropolitan Didtrict 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. Very Truly Yours , hn M. Kelly Director Barnstable Health Department 1 � INVOICE NO: 39933 1771 WASHINGTON ST.,STOUGHTON,MA 02072•617-344-0265• 1-800-242-5818 (Mass.) COS. INVOICE I SOLD TO: SHIP TO: Airport Motors Airport Motors 556 Yarmouth Rod 556 Yarmouth Rod ( Hyannis, MA 02601 Hyannis, MA 02601 l_ \CCCUNT NO. EMPLOYEE NO.. PURCHASE ORDER NO. `SHIP VIA COL PPD DATE SHIPPED TERMS INVOICE DATE PAGE 39933 368 Verbal Cyn Truck X 09/03/87 Net 15 09/16/87 CITY. OTY. BACK ITEM NO r IRDERED SHIPPED ORDERED DESCRIPTION UN DISC IT PRICE , IS EXTENDED PRICE 1.0 1.0 0.0 LIQUO031 Separator Cleaning 1,000.00 1000.00 I i )ecial Instructions: SALE AMOUNT $1000.00 .)drum oily solids and 150 gal— MISC.CHARGES $0.00 )ns oily water for disposal at SALES TAX $0.00 > charge. SURCHARGE $0.00 ` ORIGINAL THANK YOU • $1000.00 4 FOR YOUR BUSINESS y�FTHE TO� TOWN OF BARNSTABLE OFFICE OF = aAaasTasts BOARD OF HEALTH '00 1639 1639. ` 367 MAIN STREET �Fp pp�(k ET HYANNIS, MASS. o26o1 August 14, 1987 n ore �: }eel Central Cape Dodge 600 Yarmouth Road Hyannis , MA 02601 Dear Mr. Aitchison: 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. Very Truly Yours, John M. Kelly Director Barnstable Health Department r wam INVOICE NO: 39934 0 CORP 1771 WASHINGTON ST.,STOUGHTON, MA 02072•617-344-0265• 1-800-242-5818 (Mass.) INVOICE SCLD TO: F SHIP TO: Airport Motors Central Cape Dodge 556 Yarmouth Road 600 Yarmouth Road Hyannis , MA 02601 Hyannis, MA 02601 PLOYEE L— ACCOUNT NO. EMNO PURCHASE ORDER NO. SHIP VIA COL PPD ; DATE SHIPPED.' TERMS INVOICE DATE > PAC 039934 1368 Verbal Cyn Truck X 09/07/87 Net 15 09/16/87 QTY. QTY. BACK. t ORDERED SHIPPED ORDERED + ITEM NO ;a sDESCRIPTION x ` Ty~+ UNIT PRICE DISC. ,*; EXTENDED PRICE a % 1.0 1.0 0.0 LIQU0031 Separator Cleaning 1,000. 00 1000.00 i Special Instructions: SALE AMOUNT $1000.00 ( 1) drum oily solids and 150 gal - 1 MISC.CHARGES $0.00 lons oily water for disposal at -SALES TAx $0.00 no charge. SURCHARGE $0.00 ORIGINAL THANK YOU • $1000.00 FOR YOUR BUSINESS '�IVVIIYY/lr/Nr BH� �LF"�'NSTAUL - 1,.- 2• Printers satisfactory BOAR O HEALTH 3. Auto 4. MBodyanufacturers Shops p L.- unsatisfactory- �� S. Retail Stores ��n1" _ (see Orders ) C7.COMPANY 6. Fuel Suppliers ADDRESS Class: Miscellaneous �P��®pr A QUANTITIES AND STORAGE (IN=indoors; OUT=outdoor: MAJOR MATERIALS ase lots Drums AboveTanks Undetground Tanks IN 1KODUT IN IOUT IN IOUT # & ullons A2e frest Fuet��et Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: ; waste motor oil (C)_ 4iA ' new motor oil (C) transmission/hydraulic Synthetic Organics: 13 degreasers I I i Miscellaneous: DISPOSAL RECLAMATION REWORKS: 1. San' Sewage - 2. Wat Supply Ao wn Sewer // ublic v i a ... IV /91� KLT-site / �' Private (m 3. Indoor Floor Drains: Y 0 _ O Holding tank: MDC 61111 - _ O Catch basin/Dry well ORDERS- On-site system d. Outdoor Surface drains:YES NO O Holding tank: MDC O Catch basin/Dry well OOn-site system J(Waste Transporter o Licensed? ��� ✓ D 5 9�� (1 xr- I �. o � Z. ... 32 .23 81 Person(s) Interviewed Inspector Date ape wictru S7 /CIA 3//.2A2- ' , ,«... .......o...r rr.r. ...... ft......W.l c," TANK TO TEST CAPACITY /(' Iaw..eaew ..•.w w...�� M�'�c.r.rr_3!r 3:1_� ro+n�rrJIL� [ Tw ww/.a�..r•ow W arm. L: Cw..q l.aw.r,a D.. P. (7 C 1.V..,ow a.r Tow Cea.... G �) Caw NMI".rya TSTT «• +.. See S.anr romRatlavNp tAN[WaC1TY- pay. RLL40 FOR TEST O SPROF AP,...lr. Taw0.4n. ow. �K�.�t�.�Aw d- M . e*ST=500111 4W0 ARTS MCA CQY7MITa1INT ONO►ON 4CN NETIRIO 011.114RY QUANTITY Tart Qwmow U Y Ho"1a nr two(wp fa a wy SP IX CONDITIONS AND PROCEDURES TO TEST THUS TANK 10"RECOVERY SYSTEM Sw'"d aam...Wb9@ a Caer t.I.+w weoa roed..I.ly(Zq. C Ybr M lart .air taM.M tat atea.all.n 0 TEMPERATUREIVOLUME FACTOR(a)TO TEST THIS TANK (Sln.JlJtu r T•d1 Wm-1 C cowl Q_F leoma■t,�.r�_•r��ii/�O hwo aam�h.e•1�.•�xF Eoscw Cww(•a-H - 7TrraatSarr Ia.erq dl.riroitl.le IL.L=• �rt !IM'S PUMP a TANK SERVICE` 01°e~'�nop°�e'0K'�'�"', FEATURNQ 1cutT+10oRc TUTti10 EQUV. ro x 0 00i c 6;6 _3.`6 0;-7%7 ,�„. 1 Raw*Army ineach M at agw1m"4 a r .aYa rJlaeP in Tab trt RIM w a(1S or171 b.ar.a/rlawe M'/ r11t cwast wNW4 tP. w Ono '3.1 0; � >�t�� . � _ • o /�t4ot5 TTe1a11 - ._. ..aaaa e.I.ep.M'>*PV ago per 7 t•tat Yay.o1 0 Pr r/t be ROW Ceap b o 4 balaet i WWL ft r to ISi a � an S R11 St i��cmp� Cuff VKM111=1 �Rli9 - tiaTt IQ RC;11r WI NI#OIti _ III rm" sl.r�ter Te�.rw a.1 �ErR(W.Irk �� err. �a 40 oli Ty.r nw 6pn.1l. a4W_ t weir~ 1r/►Il it i q.ilt) ` ,�� .�ir� 4r= r w„r (••• 4••K• Ear`Ire: •I.u�.qr a a. - . bean t✓a rr.0 berg beer(•1 �� M fra.ra- taaa 1-1 a ow a a=Nq-•m taw�0 P S1C qk'"i 6 r NlP PQ,., r-! S �' Oa osd 0 ! 0.4 t. , 7D .tiara .o�a y! -to K. �s6 oo�G y3y '4+i .� • o 1.f)o .of4 y 6 */q I S' Lo y • Sao a Gao .c8� ilia , o�fb *oo 4y �' y7.:) y �' • oD . b;to f• �✓ y�� ill I . oil ' I vp �+ q0 . 04 ti$ �9 .o 90 3.e �► . ftoleb60 . o8d v7 $ rot , b /� . �/ � .a d• �• 330 Sa y�9 oB� . oo� I I71 I I 1 Number Fee 143 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Cadillac Saab of Hyannis, 600 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 Town of Barnstable QF1HE t Regulatory Services Thomas F. Geiler, Director ' BARNSTABLE, y MASS. a Public Health Division Q i639 ATFDM A' Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN I II GALLONS OF HAZARDOUS MATERIALS y FULL NAME OF APPLICANT NAME OF ESTABLISHMENT Q� QQ`,, J ADDRESS OF ESTABLISHMENT TELEPHONE NUMBER Ecl— 9 (,, n D O� - lco SOLE OWNER: YES /NO IF APPLICANT IS A PARTNERSHIP, FULL NAME AND HOME ADDRESS OF ALL PARTNERS: " ' CD a e, IF APPLICANT IS CORPORATION: F ERAL IDENTIFICATION NO. eSTATE OF INCORPORATION w r FULL NAME"AND HOME ADDRES�OF: PRESIDENT .;2u1.Q 5 L� TREASU R CLERK . SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE # 5b�-�$p. �w,cj' ✓I�f� Haz.doch+p/y r y i Y EMERGENCY ACTION (EVACUATION) and CONTINGENCY PLAN with DRAWINGS CADILLAC SAAB OF CAPE COD Cadillac Saab of Cape Cod 600 Yarmouth Road Hyannis, MA 02601 508-760-2700 EPA IN MAD982198210 SIC Code 5511 March 2009 to - r y t• Table of Contents Page Number Table of Contents Facility Description 1 Building Layout Emergency Coordinator 1 Hours of Operation 1 Potentially Hazardous Materials 2 Heat 2 Fire Protection 2 Training 3 Emergency Response 3 Procedure 4 Purpose 4 Planning/Training 4 Chain of Command 5 Communication 5 Evacuation 5 Site Security 7 Emergency Shut Down Procedures 7 Medical Treatment 7 Response Material 7 Decontamination g Post Evaluation g Attachments List of Attachments Attachment.1. Site Plans A##achment 2. Product Description Attachment 3. Emergency Response Telephone Numbers Attachment 4. Emergency Procedures Attachment 5. Personal Protective Equipment ii f` + CADILLAC SAAB OF CAPE COD 600 Yarmouth Road Hyannis, MA 02601 508-760-2700 FACILITY DESCRIPTION - Cadillac Saab of Cape Cod is engaged in the sale and service of automobiles. In connection with this activity quantities of antifreeze, motor oil, waste oil and solvents are used and stored on site. Oxygen/Acetylene cutting torches are also used. In addition, there is a Recon operation at this site. Although there is no gasoline storage, there is fuel in the tanks of the vehicles under repair in the service area. A list of these materials and others used and stored on site can be found in the front of the Material Safety Data Sheet Books located in the Parts Department. A layout of the facility and building is provided in Attachment 1 which includes the location of personnel work areas, communications equipment, hazardous material storage, floor and storm drains, emergency exits and emergency response equipment. This drawing should be used as a prime source of information for this Emergency Response Plan. The Emergency Coordinator for Cadillac Saab of Cape Cod is: Philip Denesha Off Hours Telephone# 508-280-7415 The alternate Emergency Coordinator is: Jeff Denesha Off Hours Telephone# 508-280-7411 In the event of an incident The Emergency Coordinator will contact the public or private emergency support organizations listed in Attachment 3. HOURS OF OPERATION Parts and Service: Monday thru Friday from: 8:00 AM to: 5:00 PM No. of Employees 12 Showroom: Monday-Friday from: 8:00 AM to: 7:00 PM No. of Employees 4 Saturday from: 9:00 AM to: 4:00 PM No. of Employees 4 Office: Monday-Friday from: 8:00 AM to: 5:00 PM No. of Employees 2 1 ' i • POTENTIALLY HAZARDOUS MATERIALS -Potentially hazardous materials located as shown on the Site Plan in Attachment 1 include the following: Underground storage: None Above ground storage, located as shown on Attachment 1, consists of the following: 4cetylen= two (2) cylinders Motor Oi one (1) 330 gallon tank Oxygen two (2) cylinders Used An ifreeze one (1) 275 gallon tank Used Oil Filters one (1) dumpster Waste 01 one (1) 350 gallon tank one (1) 200 gallon tank Aqueous Parts Washer one (1) 25 gallon container Natural Gas service to building outside - Parts Department wall Battery S-orage Area Parts Department by stairs HEAT Heat is provided through overhead gas burners and a waste oil burner for the shop as well as forced hot air by gas for the Showroom, Parts Department and Offices. FIRE PROTECTION Fire extinguishers are located throughout the facility. There is a PA System throughout the facility. There are smoke detectors throughout the facility. The alarm!sounds locally and at the alarm company. The alarm company is: Cape Cod Alarm t 204 Old Town House Road i West Yarmouth, MA 02664 1-800-468-8300 2 :' c TRAINING The Emergency Coordinators shall be trained to HAZWOPER First Responder Operations Level. All employees have received: Worker HAZ COM / Right-To-Know Training HAZWOPER Training General Awareness Level Lock Out/Tag Out Procedures Training in the use of fire fighting equipment Training in evacuation procedures Training on special or occasional job tasks Refresher training is conducted on an annual basis. New employees are trained in: Job Requirements Emergency Evacuation Worker HAZ COM / Right-To-Know Drills are to be conducted regularly. EMERGENCY RESPONSE Emergency telephone numbers are to be posted at each telephone. These numbers, which are provided in Attachment 3, include: A. Fire Department B. Ambulance C. Local Police D. State Police E. Hospital F. Spill Control G. Emergency Coordinators H. National Response Center f r � l CADILLAC SAAB OF CAPE COD - 600 Yarmouth Road Hyannis, MA 02601 508-760-2700 PROCEDURE PURPOSE To provide an effective work place safety and health program. To prevent and to minimize hazards to employees, public health, safety and the environment from fires, explosions, spills or any other unplanned sudden or non-sudden release of a hazardous material to air, soil, surface or ground water. This plan shall be carried out immediately whenever public health, safety or the environment is a- risk. PLANNING/TRAINING r, A. The effectiveness of a response during an emergency depends on the amount of planning and training performed in advance. All employees are to be informed of tneir responsibilities under this plan as follows: - When the plan is developed. - When the employees' responsibilities or designated actions under the plan change. - Whenever the plan is changed. - Annually in conjunction with Right-To-Know Training. B. The actions that shall be taken in the event of an emergency are outlined below. See Attachment 4 for a flow chart of the Emergency Response Plan. - Verbal notification will be given to the Emergency Coordinator or his alternate either personally or by telephone using the numbers provided above. - The Emergency Coordinator will evaluate the situation and initiate appropriate action(s) as outlined below: * Notification of Response Team r, * Notification of on site personnel * Determination of Personal Protective Equipment(PPE) required. (See Attachment 5) * Direction of trained personnel to respond to the emergency * Evacuation of all personnel not involved in emergency response * Securing of ignition sources such as heating systems and automatic equipment * Notification of outside agencies listed on Attachment 3 * Notification of private contractors to assist in remediation C. Assistance and direction for disabled and non-english speaking employees. - Establish a"Buddy System"for each impaired employee; assign buddy - Review necessary assistance for each situation .; 4A 4 c CHAIN OF COMMAND A. In the event of an emergency, personnel must know exactly who is in charge, as well as the proper authorities to be notified. The Emergency Coordinator for Cadillac Saab of Cape Cod is: Philip Denesha Off Hours Telephone # 508-280-7415 Alternate Emergency Coordinator is: Jeff Denesha Off Hours Telephone # 508-280-7411 B. These personnel are on call and available to respond in an emergency. As required, one of them must be able to reach the facility within one hour. COMMUNICATIONS A. All communications will be routed through the Emergency Coordinator or his designated representative. B. Emergency communications equipment, such as the telephone or PA system, shall be utilized for notifying employees of an emergency and for contacting local authorities. C. Arrangements shall be made to familiarize police and fire departments with: - The layout of the facility (See Attachment 1) - Properties of the hazardous materials (See Attachment 2) - Places where facility personnel would normally be working (See Attachment 1) - Entrances to the facility and possible evacuation routes (See Attachment 1) D. Communications with the news media is to be limited to a single point of contact designated by Philip Denesha. EVACUATION • 'A. In the event of a fire or other emergency; Employees are to leave by the exit nearest their work area in an orderly fashion. They are to assemble at the sign in front of the building, as shown in Attachment 1. Once the evacuation is completed, the Emergency Coordinator or his alternate will take a head count of all employees. B. In the event of an uncontrolled release of a gas; 1. Employees are to exit and assemble at the sign in front of the building, as shown in Attachment 1. Based upon the Emergency Coordinator's assessment it may be necessary to relocate personnel to a position 300 feet to 1/4 mile up wind of the facility. Once the evacuation is completed the Emergency Coordinator or his alternate will take a head count of all employees. 5 r� 2. Evacuation of surrounding areas, if necessary, will be conducted by the Fire Department. C. In the event of a tornado: 1. The formation and approach of a tornado is rapid and unpredictable. The lead-time on a warning is, therefore, limited. The Emergency Coordinator will cause the warning to be announced on the public address system as soon as it comes to his attention. Personnel will stay _ sheltered inside the building. 2. If the building is struck, personnel should evacuate as soon as the storm has passed and assemble at the sign in front of the building, as shown in Attachment 1. Once the evacuation described above is completed, the Emergency Coordinator or his alternate will take a head count of all employees. D. In the event of a snowstorm, hurricane, flood or other severe weather: The Emergency Coordinator will monitor weather reports. When a warning is issued, he shall pass the word to employees on the public address system or other means of communication. All employees except emergency response personnel shall be dismissed from work with enough time to seek proper shelter. i. E. In the event of a bomb threat: 1. If the facility receives a bomb threat, the threat shall be considered real. 2. The person receiving the threat should try to remain calm and try to gain as much information about the threat as possible: • Caller's identity- sex, age, etc. " Voice characteristics -tone, impediments, accent, etc. • Manner-calm, angry, emotional, etc. " Background noises - street noise, aircraft, animals, quiet, etc. " Bomb facts-type, size, location, time of detonation, etc. 3. At the conclusion of the conversation, the person receiving a telephone threat should try to use the *69 or*57 feature of the telephone to trace the source of the call. 4. The Emergency Coordinator will be notified immediately. He will in turn relay the information to the emergency responders listed in Attachment k 3. 5. Employees will be notified and instructed not to touch or move any unusual packages, boxes, brief cases or other containers. Employees are to leave by the exit nearest to their work area in an orderly fashion and at the sign in front of the building, as shown in Attachment 1. Once the evacuation is completed the Emergency Coordinator or his alternate will take a head count of all employees. Based upon the Emergency Coordinator's assessment it may be necessary to relocate personnel to a position 300 feet to 1/4 mile up wind of the facility. ` F. The drawing provided in Attachment 1 shows locations where personnel may be working; exit and entry routes; telephones and communications equipment; fire extinguishers; the main electrical panel; water faucets; paint, flammable and hazardous waste storage areas; and emergency response and clean up equipment(e.g. shovels, boots, booms, pads). 6 v. Location drawings are posted throughout the facility to direct employees to the 9 P 9 Y exit nearest their work area. SITE SECURITY It is often necessary during an emergency to secure the area to prevent access of unauthorized personnel and to protect vital records and equipment. An off-limits area must be established by cordoning off the area with temporary barriers and warning tape. The Emergency Coordinator will notify local law enforcement to help secure the area if _ required. EMERGENCY SHUT DOWN PROCEDURES A. Activate the warning system and the emergency plan. If the situation is imminent, notify the appropriate responders. (see Attachments 3 and 4). ` B. If the emergency involves the release of a flammable liquid, gas leak or heater malfunction, the Emergency Coordinator must initiate the following actions. - Shut off electrical service at the main electrical service disconnect located . in the Parts Dept, as shown in Attachment 1. - Reset thermostats to their lowest setting. - Shut off the "Emergency Shut Off Switch", for the heating units, located: in the Service Lobby, as shown in Attachment 1. - Secure gas supply if this can be done safely, located outside Parts Northeast wall, as shown in Attachment 1. MEDICAL TREATMENT The Emergency Response Personnel from the Medical Facility listed in Attachment 3 will perform medical duties, other than minor first aid. During extreme emergencies, Company Policy is to provide assistance and assessment of a medical emergency while awaiting the arrival of professional responders. RESPONSE MATERIALS A. The proposed response materials, including those listed below, are to be maintained in the Service Area, as shown in the plan provided in Attachment 1. , - Disposable Bags - Absorbent Pads - Recovery Drum - Boots - Broom and Dust Pan - Tyvek Suits - Temporary Barriers and Warning Tape - Splash Goggles - Fire Extinguishers - Neoprene Gloves - Mop and Pail Rain Gear - Shovels(non-sparking) - Plastic Sheets - Containment Booms B. See Attachment 5 regarding Personal Protective Equipment(PPE). ti DECONTAMINATION A. Decontamination procedures may need to be implemented before personnel are allowed out of the area to avoid spread of the spilled material. To accomplish this, a separate area should be set up adjacent to the spill area. Decontamination procedures involve the physical removal and/or neutralization of harmful contaminants. The extent of decontamination necessarily depends on the type of hazard and the quantities of the contaminant. B. Basic decontamination should primarily consist of washing and rinsing with soap and water to remove contaminants from the exterior of protective gear. This is " followed by doffing the gear (see Attachment 5). Coveralls and gloves shall be -emoved by turning the clothing inside out. Most protective gear such as boots and gloves can be cleaned and reused. Other equipment, such as Tyvek suits, are disposable. Disposal of contaminated protective equipment is to be in accordance with statutes governing disposal of contaminated solid waste. The complexity of decontamination will vary with the size of the release and the toxicity of the material being dealt with. Large operations involving very toxic material may require additional steps. C. Equipment for decontamination of PPE and clothing should include the following: - Drop cloths or plastic tarps - Collection containers such as drums or lined trash cans - Wading pool to hold wash and rinse solutions - Long handled, soft bristled brushes - Hand pumps or pistol grip bottles for washing and rinsing - Paper or cloth towels for drying equipment POST EVALUATION A. A.post incident evaluation shall be accomplished to document the cause of the emergency, the response and to evaluate methods to prevent recurrence and improve future response. All personnel who were involved in the incident should be interviewed either separately or in a meeting set up for this purpose. The questions that should be discussed are as follows: 1. What actually happened? 2. How was it reported? 3. Was the product involved properly identified and clearly understood? 4. What was the timeliness of the response? How soon did help arrive? 5. Was it properly coordinated? . ' 6. Was the Chain of Command followed properly? .' 7. Were the roles of EMS, FIRE, and POLICE appropriate? 8. If private contractors were involved, how did they work? 9. Was evacuation, if any, conducted in an orderly fashion? 10. Was the media involved? Was there a single point of contact? 11. Was the ALL CLEAR communicated? 12. Was waste disposal effective? 13. Was the spill reported on time? 8 i B. As each of the questions stated above is addressed, have the individual or group ,consider the following: What did we do rioht? Review the positive aspects of the incident. - What did we do wrong? Try to find out what caused the problem without placing blame. - What would we do differently? Try to learn from the incident so that another occurrence can be prevented or a future response improved. • i i. ray i� i 9 P Fes,: Cadillac Saab of Cape Cod Emergency Action (Evacuation) and Contingency Plan List of Attachments 6 Attachment 1. Site Plans Attachment 2. Product Description Attachment 3. Emergency Response Telephone Numbers Attachment 4. Emergency Procedure 9 Y A. Emergency Response Flow Chart B. Notification Priorities Attachment 5. Personal Protective Equipment 9 1 ,a a SITE PLANS J Attachment 1 r— 6 m ' Del-orme Street Atlas USA®2009 f, OAKMONT OESER BOULDER RU Cadillac Saab of Cape Cod _`L'N`R°CYRD 600 Yarmouth Road MIEN Hyannis, MA 02601 � =- 508-760-2700 m V y o 3y Po 2 '.i.,n•.nm.l cr SON q ve qrk m O COCHESET PATH �-'RT Wq y ON r 600 Yarmouth Rd t{V4 c • IAacsorl AVE qsPy g NEW HO LANO RD Bametable REAGAN AVE 9Or Fuld BoardmaNPolando rr f� u� PO F o AIR 'oRTZ C ROTgRY � 0 z pe ♦5 6G u J�� ors Little m ��p SnnCA Pond g WALNUT SAl T ST�A 3 T9 2 S`y �0 v Or" 3 00.pOY ao QR � erg' h D ZB ..: 1•liil PondFVfRCRBEfyR p oQ F J UgRT ST S y Bii"ers Mill ��• r O t�ppypP,�f o BIRQ1�5�y 1'2...(A� T� 9,P�. --` S. inLU ?Q RP IJ y: ¢!y r �5 a y 9 3 ROGIA RD M �� 1O _MAIN,ST<< y �� 0< +tysa. t ?Q `y'' ; y = T MIDDLE RD Tr 7 In r a in Afi, 17 Hyannis N g a CepeCodHosdtal < �" © �m o TRENTON ST ME1A�.y °Rga``oti • �02:= 2 BOND CT f-P O Oyy e4y�r' z 2ND RD �LSH W SANG 1 9 q 3 Colonial Acres LT... + Data use subject to license. ,N Scale 1:20,800 f em i�oo ,e Nw mm n ©DeLorme.Delon fi Street Atlas USA®2009. rN Harm I M www.delorme.com v 1°=1,733.3 it Data Zoom 13-3 Attachment 1 A t• Rosary Lane • • • • • . • • • • . , , , , • • • • " • • . • • • • ' ' ' ' • Cadillac Saab of Cape Cod • • • ' ' ' Chain Link Fence 600 Yarmouth Road Hyannis, MA 02601 508-760-2700 - H L.egend HTR ES Emergency Shut Off PW Pars Washer �) Eye Wash PP Power Panel Fins Blanket ♦R Restroorrr SE Spill Equipment C Fire Extinguisher ® 2nd Floor ' © First Aid Kit , * Gas MainUsed Antifreeze • Service pp Motor Oil Waste O(I ® ovedread Doors F Omtex Waste On Burner ! • TR deed Hemmer i. h • PW Tool Room NTR Trailer Trailer . lP ES SWAM Lobtiy �• Parts� Parking MS�ti : New Cars • c Show Room • N New Cars New Cars • 4T F 2 New Cars Evact (on 4 zr..tY ..r L. Lociadon{u,_ Yarmouth Road K, Attachment I PRODUCT DESCRIPTION Attachment 2 `Note: Further information on these products can be found on the Material Safety Data Sheets which are located in the Parts Department. Product: Acetylene* Appearance/Odor:' Colorless gas, garlic like odor. Health Hazards: Asphyxiant, moderate concentrations may cause headache, drowsiness, dizziness, nausea, vomiting, excess salivation, unconsciousness. Vapor may cause eye irritation. Fire/Explosion: Extremely Flammable! Forms explosive mixture with air. Evacuate all personnel. Containers may rupture due to heat or fire. Cool container with water spray. DO NOT EXTINGUISH FLAME due to possible explosive reignition. Stop leak, if possible without risk or allow fire to burn out. Reactive, contact with copper, silver, mercury or their alloys as well as halogens can cause explosion. Spill Response: Shut off ignition sources. Provide ventilation with explosion proof equipment. Stop leak, if possible without risk. Flammable vapors may spread from leak. Explosive atmosphere may linger. Before entering area, especially a confined space, check for Oxygen level and explosive atmosphere with an approved meter. PPE to be Worn: Remove all ignition sources. Check atmosphere before entering area. Use self-contained breathing apparatus where needed. Product: Gasoline(Unleaded)* Appearance/Odor: Light straw color to clear liquid with a hydrocarbon odor. • Health Hazards: Slight to moderate eye and skin irritation, dizziness, irritation of eyes, nose and throat, vomiting, bluish color of the skin and effects central nervous system. Fire/Explosion: Class 1 B Flammable liquid. Spill Response: Shut off ignition sources. Provide ventilation with explosion proof equipment. Stop leak, if possible without risk. Take up with sand or other non combustible absorbent and place into containers for later disposal. PPE to be Worn: Gloves, chemical type safety goggles. Protective coveralls. Use respirator with approved cartridges for oil or mist. SCBA or supplied air when making confined space entries. Product: Immersion Cleaner(mineral spirits)* Appearance/Odor: Clear green liquid with characteristic hydrocarbon odor. Health Hazards: Severe eye irritant. Inhalation can cause headache, dizziness and nausea. n Contact can cause drying of skin. r f'�Fire/Explosion: Combustible liquid. Reactive with strong oxidizing agents. Spill Response: Shut off ignition sources. Provide ventilation, Stop leak, if possible without risk. Take up with sand or other non-combustible absorbent and place into - containers for later disposal. PPE to be Worn: Gloves, chemical type safety goggles. Protective coveralls. Use respirator with approved cartridges for oil or mist. SCBA or supplied air when above TLV or making confined space entries. Attachment 2 Page 1 of 3 k r � ,r Product: Isopropyl Alcohol (Glass Cleaner)* � Appearance/Odor: Colorless liquid with odor of rubbing alcohol. Health Hazards: Mild irritant to eyes and nose, concentrations can cause narcosis and respiratory distress. Fire/Explosion: Class 1 B Flammable liquid. Spill Response: Shut off ignition sources. Provide ventilation with explosion proof equipment. Stop leak, if possible without risk. Take up with sand or other non-combustible absorbent and place into containers for later disposal. PPE to be Worn: Wear impervious clothing, eye protection. Use full-face cartridge type respirator with organic vapor cartridge. - Product: Methyl Alcohol (Glass Cleaner Concentrate)* _Appearance/Odor.- Colorless liquid with a characteristic pungent odor. Health Hazards: Eye irritant, causes headache, nausea, vomiting. Will absorb thru skin, attack central nervous system and cause blindness. Fire/Explosion: Class 16 Flammable liquid. Spill Response: Shut off ignition sources. Provide ventilation with explosion proof equipment. Stop leak, if possible without risk. Take up with sand or other non-combustible absorbent and place into containers for later disposal. PPE to be Worn: Wear fully encapsulated suit. Use supplied air or SCBA. Product: Motor Oil* Appearance/Odor: Thick brown liquid with a hydrocarbon odor. Health Hazards: Slight to moderate eye and skin irritation. Fire/Explosion: Combustible liquid. Spill Response: Stop leak, transfer product into another container. Take up with sand or other non-combustible absorbent and place into containers for later disposal. PPE to be Worn: Neoprene gloves, chemical type safety goggles. Use respirator with approved organic vapor cartridges. � J , .a° l Attachment 2 Page 2 of 3 I f• Product: Natural Gas` • Appearance/Odor: Colorless odorless gas. A foul smelling odorant is added for leak detection. Health Hazards: Vapors may cause dizziness or suffocation. Fire may produce irritating or poisonous gases. Fire/Explosion: Extremely Flammable! Forms explosive mixture with air. Vapors may travel to source of ignition and flask back. Evacuate all personnel. DO NOT EXTINGUISH FLAME due to possible explosive re-ignition. Stop leak, if possible without risk or allow fire to burn out. Spill Response: Shut off ignition sources. _ Stop leak, if possible without risk. Flammable vapors may spread from leak. Provide ventilation with explosion proof equipment. Water spray may reduce vapor but may not prevent ignition in enclosed spaces. Explosive atmosphere may linger. Before entering area, especially a confined space, check for Oxygen level and explosive atmosphere with an approved meter. PPE to be Worn: Remove all ignition sources. ` Check atmosphere before entering area. Use self-contained breathing apparatus where needed. Product: Oxygen` Appearance/Odor: Colorless odorless gas. Health Hazards: None. (See MSDS) Fire/Explosion: Vigorously accelerates combustion. Evacuate personnel from area. Cool containers with water spray. Reactive with flammable and combustible materials especially oils and greases. Spill Response: Stop leak, if possible without risk. Shut off ignition sources, remove flammable materials from area. Ventilate area or move container to well ventilated area. PPE to be Worn: Gloves and proper shoes for handling cylinders. Product: Sulfuric Acid (Battery Acid)" Appearance/Odor: Colorless to dark brown, oily odorless liquid. Health Hazards: Contact causes burns to skin and eyes. If inhaled may be harmful. Runoff may cause pollution. Fire/Explosion: Non Combustible, but capable of igniting finely divided combustible materials. Readily reacts with organic materials, chlorates, carbides, fulminates, water and powdered metals. NOTE: Reacts violently with water causing heat. Corrosive to metals. _Spill Response: Do not touch or walk through spilled material. Stop leaks if you can do so without risk. Use water spray to reduce vapors, DO NOT put water directly on spill or in container. PPE to be Worn: Use approved respiratory protection, powered air purifying respirator with acid cartridge, (See NIOSH guide). Fully encapsulated vapor protective clothing should be worn. ` Attachment 2 Page 3 of 3 r t` EMERGENCY RESPONSE TELEPHONE NUMBERS s ` Attachment 3 EMERGENCY RESPONSE AND NOTIFICATION Cadillac Saab of Cape Cod 600 Yarmouth Road Hyannis, MA 02601 508-760-2700 The Emergency Coordinator for Cadillac Saab of Cape Cod is: Philip Denesha Off Hours Telephone# 508-280-7415 The alternate emergency coordinator is: Jeff Denesha Off Hours Telephone# 508-280-7411 DEP (Southeast Regional Office) 508-946-2700 DEP (24 hr Spill Reporting) 888-304-1133 MA State Police 508-398-2323 Local Police 911 Local Fire Dept. 911 Local Ambulance 911 Medical Center Cape Cod Hospital 508-771-1800 27 Park Street, Hyannis, MA 02601 Yarmouth Medical Center 508-760-2054 23F Whites Path, S. Yarmouth, MA 02664 NATIONAL Response Center 800-424-8802 EPA Identification Number MAD982198210 EMERGENCY RESPONDERS/TRANSPORTERS: Clean Harbors 800-OIL-TANK (800-645-8265) or 781-849-1800 Cyn Environmental 800-899-1038 When reporting a spill to DEP, the following information must be provided: A. Location &time of release B. Material released C. Amount released D. Impact of spill on catch basins, homes, water bodies, etc. E. Actions taken by FD, DPW(contained with speedi-dri or sand, evacuated building, etc.) F. Name of Responsible Party, address, &telephone number Attachment 3 F EMERGENCY RESPONSE FLOW CHART J' Attachment 4 EMERGENCY RESPONSE FLOW CHART Notice Received by Emergency Coordinator Size-Up Situation Notify Outside Notify On-Site Notify Clean-Up Z Agencies Personnel Contractors i` Q X Direct a w Personnel to X Respond a • Assess Assess Casualties Hazards W Stabilize N Victims Z 0 Remove Decontaminate n' Victims Victims N Evacuate W Evacuate Residents Contain Extinguish Employees Hazard Hazard Transportlrreat t Victims a - Clean-Up, Replace Damaged Equipment 3 p Post Evaluation & IL Documentation Attachment 4A 1J i • NOTIFICATION PRIORITIES �• Incident Reporting Source Emergency Coordinator Police, Flre or Alternate Employees Ambulance 11 DEP National Response Emergency Center 24 hr. Spill Reporting Response 800-424-8802 888-304-1133 Contractors Note: Telephone numbers for emergency response and notification are provided in Attachment 3. Attachment 4B } PERSONAL PROTECTIVE EQUIPMENT r. b t Attachment 5 I c• GUIDE TO PERSONAL PROTECTION EQUIPMENT INSPECTION CHECK LIST Selection: Be sure you are using the correct level of protection for the task to be done. " Be sure you are using the correct materials for the task to be done. Consult MSDS and NIOSH Guide. Gloves: Before use, check for pinholes. Blow into glove and squeeze air into fingers. No air should escape. , Clothing: Before use: Be sure that the material is correct for the job. Visually Inspect for tears, defective seams, defective zippers, etc. Hold up to the light and check for pinholes. Look for cracks or other signs of deterioration. Look for signs of chemical attack from any previous use. Verify proper fit of wrists, ankles, and neck. It equipped with face shield, check for fogginess, cracks or crazing. • During use: Check for tears, punctures, seam or zipper failure. Check for signs of chemical attack. P l m Attachnt 5 e Page 1 of 6 GUIDE TO PERSONAL PROTECTIVE EQUIPMENT Donning Procedure 1. Inspect the clothing and respirator equipment for donning. - 2. Adjust hard hat. 3. Standing or sitting, step into the legs of the suit. Be sure feet are placed properly, then gather the suit around the waist. 4. Put on the chemical resistant boots and tape the leg cuff over the top of the boot. 5. Put on the respirator, if required. Perform negative and positive pressure tests on the respirator. ; 6. Put on inner gloves (surgical gloves). 7. Put sleeves of suit over your arms and pull up over shoulders. - 8. Put on hard hat, if needed. 9. Raise hood over head and adjust to comfortable position. 10. Close up suit and adjust belts, arms and leg bands. • 11. Put on outer gloves. 12. Have assistance check all closures and observe the wearer fora period of time to be sure the wearer is comfortable and equipment is functioning properly. Doffing Procedure 1. Decontaminate outer clothing. 2. Remove outer clothing such as outer boots, boot covers, tape, etc. 3. Remove disposable clothing. - Remove one arm at a time. -Avoid any contact between the outside of the suit and the wearers body. r ' - Lay the suit out behind the wearer. - Leave internal gloves on. 4. Have the wearer sit down and remove both legs from the suit. 5. Remove internal gloves by rolling inside out. 6. Remove internal clothing and wash thoroughly. Attachment 5 Page 2 of 6 GUIDE TO PERSONAL PROTECTIVE EQUIPMENT Level of Eauinment ` , Protection Should be used when: Limitina criteria Protection _ Provided A RECOMMENDED: The highest avail- The chemical substance has been Fully-encapsulating suit Pressure-demand, full able level of respir- identified and requires the highest must be compatible facepiece SCBA or atory, skin, and eye level of protection for skin, eyes, with the substances involved. pressure-demand protection. and the respiratory system based supplied air respirator on either: with escape SCBA. measured (or potential for) Fully-encapsulating, high concentration of chemical-resistant atmospheric vapors, gases suit. or particulates Inner chemical OR resistant gloves. Chemical-resistant site operations and work safety boots/shoes. functions involving a high potential for splash, immer- Two-way radio sion, or exposure to unex- communications. pected vapors, gases or particulates of materials that OPTIONAL: are harmful to skin or capable of being absorbed through Cooling units. the intact skin. Coveralls. Long cotton underwear. Substances with a high degree of Hard hat. hazard to the skin are known or Disposable gloves and suspected to be present and skin boot covers. contact is possible. Operations must be conducted in confined, poorly ventilated areas until the absence of conditions requiring Level A - protection is determined. Attachment 5 Page 3 of 6 GUIDE TO PERSONAL PROTECTIVE EQUIPMENT Leyet'of Eauiument Protection Should be used when; L,imitina criteria Protection Provided B RECOMMENDED:~ The same level of The type and atmospheric concen Use only when the vapor or Pressure-demand, tull respiratory protec- itration of substances have been gases present are not sus- facepiece SCBA or pres- tion, but less skin identified and require a high level of pected of containing high sure-demand supplied protection than respiratory protection, but with less concentrations of chemicals air respirator with escape Level A. skin protection This involves that are harmful to skin or SCBA. atmospheres: capableof being absorbed It is the minimum through the intact skin. Chemical-resistant clothing level recommend- with IDLH concentrations (overalls and long-sleeved ed for initial site of specific substances Use only when it is highly jacket, hooded, one- or entries until the that do not represent a unlikely that the work being two piece chemical splash hazards have been severe skin hazard; done will generate either high suit; disposable chemical- further identified. concentrations of vapors, resistant one-piece suit) OR gases, or particulates or splashes of material that will Inner and outer chemical- that do not meet the affect exposed skin. resistant gloves. criteria for use of air Chemical-resistant safety purifying respirators. boots/shoes. Atmosphere contains less than Hard hat. 19.5 percent oxygen. Presence of incompletely identified Two-way radio communi- vapors or gases is indicated by cations. direct-reading organic vapor detec- tion instrument, but vapors and OPTIONAL: gases are not suspected of con- taining high levels of chemicals Coveralls. harmful to skin or capable of being Disposable boot covers. absorbed through the intact skin. Face shield. Attachment 5 - Long cotton underwear. Page 4 of 6 GUIDE TO PERSONAL PROTECTIVE EQUIPMENT Level of Eauiament Protection Should be used when: Limitina criteria Protection Provided C RECOMMENDED: The same level of The type atmospheric contamin- Atmospheric concentration Full facepiece, air- skin protection as ants, liquid splashes, or other of chemicals must not exceed purifying, canister- Level B, but a lower direct contact will not adversely IDLH levels. The atmosphere equipped respirator. level of respiratory affect any exposed skin. must contain at least 19.5 protection. percent oxygen. Chemical-resistant cloth- The types of air contaminants ing (overalls and long- have been identified, concen sleeved jacket; hooded, trations measured, and a one-or two-piece chemical canister is available that can splash suit;disposable remove the contaminant. chemical-resistant one piece suit.) All criteria for the use of air Inner and outer chemical purifying respirators are met. resistant gloves. Chemical-resistant safety boots/shoes . Hard hat. Two-way radio communi- cations. OPTIONAL: Coveralls. Disposable boot covers. Face shield. Escape mask. Attachment 5 Long cotton underwear. Page 5 of 6 GUIDE TO PERSONAL PROTECTIVE EQUIPMENT Level of Eauiament Protection Should be used when; Limiting criteria Protection Provided - D RECOMMENDED: No respiratory pro- The atmosphere contains no This level should not be worn Coveralls. tection. Minimal known hazard. in the Exclusion Zone Safety boots/shoes. Work functions preclude splashes, The atmosphere must contain Safety glasses or immersion, or the potential for at least 19.5 percent oxygen. chemical splash unexpected inhalation of or con- goggles. tact with hazardous levels of any Hard hat. chemicals. OPTIONAL: Gloves. Escape mask. Face shield. Based on EPA protective ensembles. Atbchment 5 - Page 6 of 6 JOHN W. FURRH ASSOCIATES, INC. Industrial Consultants 645 County Street ' Marine Safety - Loss Prevention - EPA Suite 66 Transportation Taunton, MA 02780 508-824-4939 - FAX 508-822-8608 F M customer_service@johnwfurrhassociates.com P MFPA MEMBER LNG April 6,2009 Mr. Phil Denesha Cadillac Saab of Cape Cod 600 Yarmouth Road Hyannis, MA 02601 Dear Phi I: Enclosed you will find the following plans for your facility' Emergency Action/Contingency Plan* Fire Prevention Plan * There is one bound copy and one clipped copy of the procedure(to enable you to make additional copies as needed). These plans were compiled based on the information that was provided to us. Please review and note any corrections,and forward them to us as soon as possible, if needed,so that we may make the corrections. After the plans have been reviewed and approved by both coordinators one copy of each, (Emergency Action/Contingency Plan and Fire Prevention Plan)should be given to your local Fire Department. In some cases the town or state may also request a copy. In addition, please note,there are some concerns we are listing to assist you: 1) Please review with your receptionist(or who answers the phone)"In the Event of a Bomb Threat". 2) Make copies of the additional floor plan of your facility and post in several locations,when posting mark with arrows showing the nearest exits. 3) Make extra copies for your coordinators of the"Post Evaluation"sheet,to be used later in the event of an incident. 4) During the training we did at your facility we reviewed your evacuation location with the class, it is still a good idea to put a note in everyone's paycheck outlining the exact location. And include the information with all new hirees orientation packet. If you have any questions or if we may be of further assistance,please do not hesitate to contact this office directly. Sincerely, _ • Kristin L.Perkins 'IL enclosures Department of Labor and Industries Reg. #MA 09-106 Si e- Number Fee 143 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Buick GMC Cadillac of Cape Cod 600 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 t Town of BainStable after Regulatory ,Services °- Thomas F. Ge3er,Director 9� MASS.TA j Public Health Divisio-n a Thomas McKean, DrEetor 20O Main Street, Hyannis, MA 02601 Offica: 5084624644 Fax 508-790-6304 Application Fee: $100.00 ASSESSORS MSAP AND PARCEL NO, DATE �.Q `+ L 3 APPLICATION FOR PER MU.TO STORE AND/OR UTU= MORE THAN 111 GAI1LONS OF H ZA�QUS MATERIALS T=NAME OF APPLICANT NA + OF ES A IMIS NT J Yl C-- ADDRESS OF ESTA=9111�i F,N'I' Cp L10 CAR -�t'I�-OLL gd.) �(aA R S TELEPHONE NITN3ZR �g s C(j - W J SOLE OWR: YES i✓No IF APPLICANT IS A PARTNER=,FULL N- Pi AND HOME ADDRESS OF ALL PARTNERS: ZZ "j IF APPLICANT IS A�CORPORATION: FEDERAL IDEN=CATION No. ,STATE OF INCORPORATION NA FULL NAME AND H ADDRESS OF: PRESTO E' CL= l AC4- TUR o �, CANT VV RESTRICUONS. HOMI ADDRESS I to I 4-P- L,4 qO rWu por-�/ ht HOB TEZ.EPHoNI # ,�d 8'- OR gb - Y �Ll r s Table of Contents Page Number Table of Contents Facility Description Building Layout Emergency Coordinator Hours of Operation Potentially Hazardous Materials 2 Heat 2 Fire Protection 2 Training 3 Emergency Response 3 Procedure 4 Purpose 4 Planning/Training 4 Chain of Command 5 Communication 5 Evacuation 5 Site Security 7 Emergency Shur. Down Procedures 7 Medical Treatment 7 Response Material 7 Decontamination 8 Post Evaluation 8 Attachments List of Attachments Attachment 1. Site Plans Attachment 2. Product Description Attachment 3. Emergency Response Telephone Numbers Attachment 4. Emergency Procedures Attachment 5. Personal Protective Equipment ii CADILLAC SAAB OF CAPE COD 600 Yarmouth Road Hyannis, MA 02601 508-760-2700 FACILITY DESCRIPTION Cadillac Saab of Cape Cod is engaged in the sale and service of automobiles. In connection with this activity quantities of antifreeze, motor oil, waste oil and solvents are used and stored on site. Oxygen/Acetylene cutting torches are also used. In addition, there is a Recon operation at this site. Although there is no gasoline storage, there is fuel in the tanks of the vehicles under repair in the service area. A list of these materials and others used and stored on site can be found in the front of the Material Safety Data Sheet Books located in the Parts Department. A layout of the facility and building is provided in Attachment 1 which includes the location of personnel work areas, communications equipment, hazardous material storage, floor and storm drains, emergency exits and emergency response equipment. This drawing should be used as a prime source of information for this Emergency Response Plan. The Emergency Coordinator for Cadillac Saab of Cape Cod is: Philip Denesha Off Hours Telephone# 508-280-7415 The alternate Emergency Coordinator is: Jeff Denesha Off Hours Telephone# 508-280-7411 In the event of an incident The Emergency Coordinator will contact the public or private emergency support organizations listed in Attachment 3. HOURS OF OPERATION Parts and Service: Monday thru Friday from: 8:00 AM to: 5:00 PM No. of Employees 12 Showroom: Monday-Friday from: 8.-00 AM to: 7:00 PM No. of Employees 4 Saturday from: 9:00 AM to: 4:00 PM No. of Employees 4 - Office: Monday-Friday from: 8:00 AM to: 5:00 PM No. of Employees 2 1 POTENTIALLY HAZARDOUS MATERIALS Potentially hazardous materials located as shown on the Site Plan in Attachment 1 include the following: Underground storage: None Above ground storage, located as shown on Attachment 1, consists of the following: Acetylene two (2) cylinders Motor Oil one (1) 330. gallon tank Oxygen two (2) cylinders Used Antifreeze one (1) 275 gallon tank Used Oil Filters one (1) dumpster Waste Oil one (1) 350 gallon tank one (1) 200 gallon tank Aqueous Parts Washer one (1) 25 gallon container Natural Gas service to building outside- Parts Department wall Battery Storage Area Parts Department by stairs i HEAT Heat is provided through overhead gas burners and a waste oil burner for the shop as well as forced hot air by gas for the Showroom, Parts Department and Offices. FIRE PROTECTION Fire extinguishers are located throughout the facility. There is a PA System throughout the facility. There are smoke detectors throughout the facility. The alarm sounds locally and at the alarm company. The alarm company is: Cape Cod Alarm 204 Old Town House Road West Yarmouth, MA 02664 1-800-468-8300 2 TRAINING The Emergency g .,y Coordinators shall be trained to HAZWOPER First Responder Operations Level. All employees have received: Worker HAZ_ COM / Right-To-Know Training HAZWOPER Training General Awareness Level Lock Out/Tag Out Procedures Training in the use of fire fighting equipment Training in evacuation procedures Training on special or occasional job tasks Refresher training is conducted on an annual basis. New employees are .rained in.- Job Requirements Emergency Evacuation Worker HAZ COM / Right-To-Know Drills are to be conducted regularly. EMERGENCY RESPONSE Emergency telephone numbers are to be posted at each telephone. These numbers, which are provided in Attachment 3, include: A. Fire Department B. AmbLlance C. Local Police D. State Police E. Hospital F. Spill Control G. Emergency Coordinators H. National Response Center CADILLAC SAAB OF CAPE COD 600 Yarmouth Road Hyannis, MA 02601 506-760-2700 PROCEDURE PURPOSE To provide an effective work place safety and health program. To prevent and to minimize hazards to employees, public health, safety and the environment from fires, explosions, spills or any other unplanned sudden or non-sudden release of a hazardous material to air, soil, surface or ground water. This plan shall be carried out immediately whenever public health, safety or the environment is at risk. PLANNING/TRAINING A. The effectiveness of a response during an emergency depends on the amount of planning and training performed in advance. All employees are to be informed of their responsibilities under this plan as follows: - When the plan is developed. - When the employees' responsibilities or designated actions under the plan change. - Whenever the plan is changed. - Annually in conjunction with Right-To-Know Training. B. The actions that shall be taken in the event of an emergency are outlined below. See Attachment 4 for a flow chart of the Emergency Response Plan. Verbal notification will be given to the Emergency Coordinator or his alternate either personally or by telephone using the numbers provided above. - The Emergency Coordinator will evaluate the situation and initiate appropriate action(s) as outlined below: Notification of Response Team * Notification of on site personnel " Determination of Personal Protective Equipment(PPE) required. (See Attachment 5) Direction of trained personnel to respond to the emergency * Evacuation of all personnel not involved in emergency response * Securing of ignition sources such as heating systems and automatic equipment * Notification of outside agencies listed on Attachment 3 * Notification of private contractors to assist in remediation C. Assistance and direction for disabled and non-english speaking employees. - Establish a 'Buddy System"for each impaired employee; assign buddy - Review necessary assistance for each situation 4 CHAIN OF COMMAND A. In the event of an emergency, personnel must know exactly who is in charge, as well as the proper authorities to be notified. The Emergency Coordinator for Cadillac Saab of Cape Cod is: Philip Denesha Off Hours Telephone # 508-280-7415 Alternate Emergency Coordinator is: Jeff Denesha Off Hours Telephone # 508-280-7411 B. These personnel are on call and available to respond in an emergency. As required, one of them must be able to reach the facility within one hour. COMMUNICATIONS A. All cormunications will be routed through the Emergency Coordinator or his designated representative. B. Emergency communications equipment, such as the telephone or PA system, shall be utilized for notifying employees of an emergency and for contacting local authorities. C. Arrangements shall be made to familiarize police and fire departments with: The layout of the facility (See Attachment 1) - Properties of the hazardous materials (See Attachment 2) - Places where facility personnel would normally be working (See Attachment 1) - Entrances to the facility and possible evacuation routes (See Attachment 1) D. Communications with the news media is to be limited to a single point of contact designated by Philip Denesha. EVACUATION A., In the event of a fire or other emergency; Employees are to leave by the exit nearest their work area in an orderly fashion. They are to assemble at the sign in front of the building, as shown in Attachment 1. Once the evacuation is completed, the Emergency Coordinator or his alternate will take a head count of all employees. B. In the event of an uncontrolled release of a gas; 1. Employees are to exit and assemble at the sign in front of the building, as shown in Attachment 1. Based upon the Emergency Coordinator's assessment it may be necessary to.relocate personnel to a position 300 feet to 1/4 mile up wind of the facility. Once the evacuation is completed the Emergency Coordinator or his alternate will take a head count of all employees. 5 2. Evacuation of surrounding areas, if necessary, will be conducted by the Fire Department, C. In the event of a tornado: 1. The formation and approach of a tornado is rapid and unpredictable. The lead-time on a warning is, therefore, limited. The Emergency Coordinator will cause the warning to be announced on the public address system as soon as it comes to his attention. Personnel will stay sheltered inside the building. 2. If the building is struck, personnel should evacuate as soon as the storm has passed and assemble at the sign in front of the building, as shown in Attachment 1. Once the evacuation described above is completed, the Emergency Coordinator or his alternate will take a head count of all employees. D. In the event of a snowstorm, hurricane, flood or other severe weather: The Emergency Coordinator will monitor weather reports. When a warning is issued, he shall pass the word to employees on the public address system or other means of communication. All employees except emergency response personnel shall be dismissed from work with enough time to seek proper shelter. E. In the event of a bomb threat: 1. If the facility receives a bomb threat, the threat shall be considered real 2. The person receiving the threat should try to remain calm and try to gain as much information about the threat as possible: * Caller's identity- sex, age, etc. *Voice characteristics - tone, impediments, accent, etc. * Manner- calm, angry, emotional, etc. * Background noises - street noise, aircraft, animals, quiet, etc. * Bomb facts - type, size, location, time of detonation, etc. 3. At the conclusion of the conversation, the person receiving a telephone threat should try to use the *69 or *57 feature of the telephone to trace the source of the call. 4. The Emergency Coordinator will be notified immediately. He will in turn relay the information to the emergency responders listed in Attachment 3. 5. Employees will be notified and instructed not to touch or move any unusual packages, boxes, brief cases or other containers. Employees are to leave by the exit nearest to their work area in an orderly fashion and at the sign in front of the building, as shown in Attachment 1. Once the evacuation is completed the Emergency Coordinator or his alternate will take a head count of all employees. Based upon the Emergency Coordinator's assessment it may be necessary to relocate personnel to a position 300 feet to 1/4 mile up wind of the facility. F. The drawing provided in Attachment 1 shows locations where personnel may be working; exit and entry routes; telephones and communications equipment; fire extinguishers; the main electrical panel; water faucets; paint, flammable and hazardous waste storage areas; and emergency response and clean up equipment(e.g. shovels, boots, booms, pads). 6 G. Location drawings are posted throughout the facility to direct employees to the exit nearest their work area. SITE SECURITY It is often necessary during an emergency to secure the area to prevent access of unauthorized personnel and to protect vital records and equipment. An off-limits area must be established by cordoning off the area with temporary barriers and warning tape. The Emergency Coordinator will notify local law enforcement to help secure the area if required. EMERGENCY SHUT DOWN PROCEDURES A. Activate the warning system and the emergency plan. If the situation is imminent, notify the appropriate responders, (see Attachments 3 and 4). B. If the emergency involves the release of a flammable liquid, gas leak or heater malfunction, the Emergency Coordinator must initiate the following actions. - Shut off electrical service at the main electrical service disconnect located in the Parts Dept, as shown in Attachment 1. - Reset thermostats to their lowest setting. - Shut off the "Emergency Shut Off Switch", for the heating units, located: in the Service Lobby, as shown in Attachment 1. - Secure gas supply if this can be done safely, located outside Parts Northeast wall, as shown in Attachment 1. MEDICAL TREATMENT The Emergency Response Personnel from the Medical Facility listed in Attachment 3 will perform medical duties, other than minor first aid. During extreme emergencies, Company Policy is to provide assistance and assessment of a medical emergency while awaiting the arrival of professional responders. RESPONSE MATERIALS A. The proposed response materials, including those listed below, are to be maintained in the Service Area, as shown in the plan provided in Attachment 1. - Disposable Bags - Absorbent Pads Recovery Drum - Boots Broom and Dust Pan - Tyvek Suits - Temporary Barriers and Warning Tape Splash Goggles - Fire Extinguishers - Neoprene Gloves - Mop and Pail Rain Gear - Shovels (non-sparking) - Plastic Sheets - Containment Booms B. See Attachment 5 regarding Personal Protective Equipment(PPE). 7 m DECONTAMINATION A. Decontamination procedures may need to be implemented before personnel are allowed out of the area to avoid spread of the spilled material. To accomplish this, a separate area should be set up adjacent to the spill area. Decontamination procedures involve the physical removal and/or neutralization of harmful contaminants. The extent of decontamination necessarily depends on the type of hazard and the quantities of the contaminant. B. Basic decontamination should primarily consist of washing and rinsing with soap and water to remove contaminants from the exterior of protective gear. This is followed by doffing the gear(see Attachment 5). Coveralls and gloves shall be removed by turning the clothing inside out. Most protective gear such as boots and gloves can be cleaned and reused. Other equipment, such as Tyvek suits, are disposable. Disposal of contaminated protective equipment is to be in accordance with statutes governing disposal of contaminated solid waste. The complexity of decontamination will vary with the size of the release and the toxicity of the material being dealt with. Large operations involving very toxic material may require additional steps. C. Equipment for decontamination of PPE and clothing should include the following: - Drop cloths or plastic tarps = Collection containers such as drums or lined trash cans - Wading pool to hold wash and rinse solutions - tong handled, soft bristled brushes - Hand pumps or pistol grip bottles for washing and rinsing - Paper or cloth towels for drying equipment POST EVALUATION A. A post incident evaluation shall be accomplished to document the cause of the emergency, the response and to evaluate methods to prevent recurrence and improve future response. All personnel who were involved in the incident should be interviewed either separately or in a meeting set up for this purpose. The questions that should be discussed are as follows.- 1. What actually happened? 2. How was it reported? 3. Was the product involved properly identified and clearly understood? 4. What was the timeliness of the response? How soon did help arrive? 5. Was it properly coordinated? 6. Was the Chain of Command followed properly? 7. Were the roles of EMS, FIRE, and POLICE appropriate? 8. If private contractors were involved, how did they work? 9. Was evacuation, if any, conducted in an orderly fashion? 10. Was the media involved? Was there a single point of contact? 11. Was the ALL CLEAR communicated? 12. Was waste disposal effective? 13. Was the spill reported on time? i^ 8 l B. As each of the questions stated above is addressed, have the individual or group consider the following: - What did we do right? Review the positive aspects of the incident. - What did we do wrong? Try to find out what caused the problem without placing blame. - What would we do differently? Try to learn from the incident so that another occurrence can be prevented or a future response improved. i 9 Cadillac Saab of Cape Cod Emergency Action (Evacuation) and Contingency Plan List of Attachments Attachment 1. Site Plans Attachment 2. Product Description Attachment 3. Emergency Response Telephone Numbers Attachment 4. Emergency Procedure A. Emergency g cy Response Flow Chart B. Notification Priorities Attachment 5. Personal Protective Equipment SITE PLANS I Attachment 1 DeLorme Street Atlas USA®2009 0AKh10Nr UR DESERT c•an, _ BOULDER RD Cadillac Saab 0f 0 600 FLINTROCK RD-^ Yarmouth d MTD_CAPc_HW'/ _----- van ! 1508-760-2700 7 in m Z i5r2oei b r Turd r� 1�711C;.OL.IC KRo Pr G .Q n a v. FF>?SC AV 3 rn aIRPCR7'KrgY O COCHBS�'pgTH OSS PEE V z0 r. (600Yarmouth it i�N11y'� rn l IACKSC)N IaJE y TM Q�N1P161NWt P D P y ND RD Bamstatric NEW HOLLF RFAGAN AVE Y 9 h4uni-Boardman/Polando Field _ a a 90r a � 132 F �C ROROTti•4y t� �p 0 zs. o �oJ � o� rs Lillie 03 o�4ti �9,�pRo WAW Al �oRE sT m sue¢ a O j���C> , O DPK " Q.All 0(iOO��p ¢ �,lg UT ST x ��ti �e: � 3 SA o Q STU R O 28 UQ: l rr/F r r + veRCReeN R0 \ LES m T ST O j Mplt4 5�..> a S? .... . E c�;;•,,-!r,;. �a�e U O CHAR, ,p..C`F� N, .c ....j;� ST .y � � qp .. r y LOLItSS` n S 9 3-1ROGIARD n h c m MA ifa z n A ri �. qrr ! S)••pc PO �j c ? Vm..Cc z M1DD1_E RD ��� N m O -To D y `ON 01 Hyannis NN Cape Cod4ospital - G �P� s n !I R y m r G TRENTOy ST Mg�P y C O o 9� F y y� 00` y9` 0l P P m yf�T fipR TFR NA t10k, ° ny4,SS, oryROo?O 002 2 BOND CT TSA 1ST RD tRIPlCF..RD SSOlTR� m� G�05yyt &arST 7ND RD STPNDISH VJAY GL., OOD DP (AN FN p Data use subject to license. TN Scale 1 :20,800 EW. IJ90 1900 i<W 9999 ©DeLorme.DeLorme Street Atlas USA®2009. -0 r,N,,,.,•m www.delorme.com 1"=1,733.3 ft Data Zoom 13.3 Attachment 1A Rosary Lane . • . • . • , • . , . . • • ' ' ' • • • • • ° • . ' • • • • ' ' ' ' • • • Cadillac Saab of Cape Cod • • • ' Chain Link Fence 600 Yarmouth Road Hyannis; MA 02601 508-760-2700 . HD Legend HTR ES Emergency Shut Off PW Parts Washer Eye Wash PP Power Panel Fire Blanket IR Restrt m SE Spill Equipment r Fire Extinguisher pr-77 2nd Floor • ® First Aid Kit Or Gas Main Used Antifreeze ` Service Nq Motor Oil ® Waste oil ® Overhead Doors oHD Overhead Waste Oil Burner FH DI HTR Overhead Heater •• u DH rW Tool Room off - HTR Com SE� � Trailer Trailer Corn LP ES ® Lobby Parts Parking �. S�ryeg New Cars Office * C • RZ Show Room ' N • New Cars New Cars New Cars Evacuation ti Location Yarmouth Road Attachment 1 B PRODUCT DESCRIPTION Attachment 2 'Note: Further information on these products can be found on the Material Safety Data Sheets which are located in the Parts Department. Product: Acetylene* Appearance/Odor: Colorless gas, garlic like odor. Health Hazards: Asphyxiant, moderate concentrations may cause headache, drowsiness, dizziness, nausea, vomiting, excess salivation, unconsciousness. Vapor may cause eye irritation. Fire/Explosion: Extremely Flammable! Forms explosive mixture with air. Evacuate all personnel. Containers may rupture due to heat or fire. Cool container with water spray. DO NOT EXTINGUISH FLAME due to possible explosive reignition. Stop leak, if possible without risk or allow fire to burn out. Reactive, contact with copper, silver, mercury or their alloys as well as halogens can cause explosion. Spill Response: Shut off ignition sources. Provide ventilation with explosion proof equipment. Stop leak, if possible without risk. Flammable vapors may spread from leak. Explosive atmosphere may linger. Before entering area, especially a confined space, check for Oxygen level and explosive atmosphere with an approved meter. PPE to be Worn: Remove all ignition sources. Check atmosphere before entering area. Use self-contained breathing apparatus where needed. Product: Gasoline(Unleaded)* Appearance/Odor: Light straw color to clear liquid with a hydrocarbon odor. r Health Hazards: Slight to moderate eye and skin irritation, dizziness, irritation of eyes, nose and throat, vomiting, bluish color of the skin and effects central nervous system. Fire/Explosion: Class 1 B Flammable liquid. Spill Response: Shut off ignition sources. Provide ventilation with explosion proof equipment. Stop leak, if possible without risk. Take up with sand or other non combustible absorbent and place into containers for later disposal. PPE to be Worn: Gloves, chemical type safety goggles. Protective coveralls. Use respirator with approved cartridges for oil or mist. SCBA or supplied air when making confined space entries. Product: Immersion Cleaner(mineral spirits)* Appearance/Odor: Clear green liquid with characteristic hydrocarbon odor. Health Hazards: Severe eye irritant. Inhalation can cause headache, dizziness and nausea. Contact can cause drying of skin. Fire/Explosion: Combustible liquid. Reactive with strong oxidizing agents. Spill Response: Shut off ignition sources. Provide ventilation, Stop leak, if possible without risk. Take up with sand or other non-combustible absorbent and place into containers for later disposal. PPE to be Worn: Gloves, chemical type safety goggles. Protective coveralls. Use respirator with approved cartridges for oil or mist. SCBA or supplied air when above TLV or making confined space entries. Attachment 2 Page 1 of 3 Product: Isopropyl Alcohol (Glass Cleaner)* Appearance/Odor: Colorless liquid with odor of rubbing alcohol. Health Hazards: Mild irritant to eyes and nose, concentrations can cause narcosis and respiratory distress. Fire/Explosion: Class 1 B Flammable liquid. Spill Response: Shut off ignition sources. Provide ventilation with explosion proof equipment. Stop leak, if possible without risk. Take up with sand or other non- combustible absorbent and place into containers for later disposal. PPE to be Worn: Wear impervious clothing, eye protection. Use full-face cartridge type respirator with organic vapor cartridge. Product: Methyl Alcohol (Glass Cleaner Concentrate)* Appearance/Odor: Colorless liquid with a characteristic pungent odor. Health Hazards: Eye irritant, causes headache, nausea, vomiting. Will absorb thru skin, attack central nervous system and cause blindness. Fire/Explosion: Class 1 B Flammable liquid. Spill Response: Shut off ignition sources. Provide ventilation with explosion proof equipment. Stop leak, if possible without risk. Take up with sand or other non-combustible absorbent and place into containers for later disposal. PPE to be Worn: Wear fully encapsulated suit. Use supplied air or SCBA. Product: Motor Oil* Appearance/Odor: Thick brown liquid with a hydrocarbon odor. Health Hazards: Slight to moderate eye and skin irritation. Fire/Explosion: Combustible liquid. Spill Response: Stop leak, transfer product into another container. Take up with sand or other non-combustible absorbent and place into containers for later disposal. PPE to be Worn: Neoprene gloves, chemical type safety goggles. Use respirator with approved organic vapor cartridges. Attachment 2 Page 2of3 Product: Natural Gas* Appearance/Odor: Colorless odorless gas. A foul smelling odorant is added for leak detection. Health Hazards: Vapors may cause dizziness or suffocation. Fire may produce irritating or poisonous gases. Fire/Explosion: Extremely Flammable! Forms explosive mixture with air. Vapors may travel to source of ignition and flask back. Evacuate all personnel. DO NOT EXTINGUISH FLAME due to possible explosive re-ignition. Stop leak, if possible without risk or allow fire to burn out. Spill Response: Shut off ignition sources. Stop leak, if possible without risk. Flammable vapors may spread from leak. Provide ventilation with explosion proof equipment. Water spray may reduce vapor but may not prevent ignition in enclosed spaces. Explosive atmosphere may linger. Before entering area, especially a confined space, check for Oxygen level and explosive atmosphere with an approved meter. PPE to be Worn: Remove all ignition sources. Check atmosphere before entering area. Use self-contained breathing apparatus where needed. Product: Oxygen* Appearance/Odor: Colorless odorless gas. Health Hazards: None. (See MSDS) - Fire/Explosion: Vigorously accelerates combustion. Evacuate personnel from area. Cool containers with water spray. Reactive with flammable and combustible materials especially oils and greases. Spill Response: Stop leak, if possible without risk. Shut off ignition sources, remove flammable materials from area. Ventilate area or move container to well ventilated area. PPE to be Worn: Gloves and proper shoes for handling cylinders. Product: Sulfuric Acid (Battery Acid)* Appearance/Odor: Colorless to dark brown, oily odorless liquid. Health Hazards: Contact causes burns to skin and eyes. If inhaled may be harmful. Runoff may cause pollution. Fire/Explosion: Non Combustible, but capable of igniting finely divided combustible materials. Readily reacts with organic materials, chlorates, carbides, fulminates, water and powdered metals. NOTE: Reacts violently with water causing heat. Corrosive to metals. Spill Response: Do not touch or walk through spilled material. Stop leaks if you can do so without risk. Use water spray to reduce vapors, DO NOT put water directly on spill or in container. PPE to be Worn: Use approved respiratory protection, powered air purifying respirator with acid cartridge, (See NIOSH guide). Fully encapsulated vapor protective clothing should be worn. Attachment 2 Page 3 of 3 EMERGENCY RESPONSE TELEPHONE NUMBER �` Attachment 3 EMERGENCY RESPONSE AND NOTIFICATION Cadillac Saab of Cape Cod 600 Yarmouth Road Hyannis, NIA 02601 508-760-2700 The Emergency Coordinator for Cadillac Saab of Cape Cod is.- Philip Denesha Off Hours Telephone# 508-280-7415 The alternate emergency coordinator is: Jeff Denesha Off Hours Telephone# 508-280-7411 DEP (Southeast Regional Office) 508-946-2700 DEP (24 hr Spill Reporting) 888-304-1133 MA State Police 508-398-2323 Local Police 911 Local Fire Dept. 911 Local Ambulance 911 Medical Center Cape Cod Hospital 508471-1800 27. Park Street, Hyannis, MA 02601 Yarmouth Medical Center 508-760-2054 23F Whites Path, S. Yarmouth, MA 02664 NATIONAL Response Center 800-424-8802 EPA Identification Number MAD982198210 EMERGENCY RESPONDERS/TRANSPORTERS: Clean Harbors 800-OIL-TANK (800-645-8265) or 781-849-1800 Cyn Environmental 800-899-1038 When reporting a spill to DEP, the following information must be provided: A. Location &time of release B. Material released C. Amount released D. Impact of spill on catch basins, homes, water bodies, etc. E. Actions taken by FD, DPW (contained with speedi-dri or sand, evacuated building, etc.) F. Name of Responsible Party, address, &telephone number Attachment 3 EMERGENCY RESPONSE FLOW CHART Attachment 4 EMERGENCY RESPONSE FLOW CHART Notice Received by Emergency Coordinator Size-Up Situation Notify Outside Notify On-Site Notify Clean-Up z Agencies Personnel Contractors O Direct a. Personnel to X Respond CL Assess Assess Casualties Hazards W Stabilize V) Victims Z ® Remove Decontaminate (L Victims Victims � 6U Evacuate Evacuate ContainContain Extinguish Employees Hazard Hazard Transport/Treat Victims (L Clean-Up, Replace Damaged Equipment O _j !~ ® Past Evaluation Documentation Attachment 4A NOTIFICATION PRIORITIES Incident Reporting Source Emergency Coordinator Ponce, Fire or Alternate Ambulance Employees 11 DEP National Response Emergency Center 24 hr. Spill Reporting Response 800-424-8802 888-304-1133 Contractors Note: Telephone numbers for emergency response and notification are provided in Attachment 3. Attachment 4B PERSONAL PROTECTIVE EQUIPMENT Attachment 5 GUIDE TO PERSONAL PROTECTION EQUIPMENT INSPECTION CHECK LIST Selection: Be sure you are using the correct level of protection for the task to be done. Be sure you are using the correct materials for the task to be done. Consult MSDS and NIOSH Guide. Cloves: Before use, check for pinholes. Blow into glove and squeeze air into fingers. No air should escape. Clothing: Before use: Be sure that the material is correct for the job. Visually inspect for tears, defective seams, defective zippers, etc. Hold up to the light and check for pinholes. Look for cracks or other signs of deterioration. Look for signs of chemical attack from any previous use. Verify proper fit of wrists, ankles, and neck. If equipped with face shield, check for fogginess, cracks or crazing. During use: Check for tears, punctures, seam or zipper failure. Check for signs of chemical attack. Attachment 5 Page 1 of 6 I� GUIDE TO PERSONAL PROTECTIVE EQUIPMENT Donning Procedure 1. Inspect the clothing and respirator equipment for donning. 2. Adjust hard hat. 3. Standing or sitting, step into the legs of the suit. Be sure feet are placed properly, then gather the suit around the waist. 4. Put on the chemical resistant boots and tape the leg cuff over the top of the boot. 5. Put on the respirator, if required. Perform negative and positive pressure tests on the respirator. 6. Put on inner gloves (surgical gloves). 7. Put sleeves of suit over your arms and pull up over shoulders. 8. Put on hard hat, if needed. 9. Raise hood over head and adjust to comfortable position. 10. Close up suit and adjust belts, arms and leg bands. 11. Put on outer gloves. 12. Have assistance check all closures and observe the wearer for a period of time to be sure the wearer is comfortable and equipment is functioning properly. Doffing Procedure 1. Decontaminate outer clothing. 2. Remove outer clothing such as outer boots, boot covers, tape, etc. 3. Remove disposable clothing. - Remove one arm at a time. - Avoid any contact between the outside of the suit and the wearers body. - Lay the suit out behind the wearer. - Leave internal gloves on. 4. Have the wearer sit down and remove both legs from the suit. 5. Remove internal gloves by rolling inside out. 6. Remove internal clothing and wash thoroughly. Attachment 5 Page 2 of 6 GUIDE TO PERSONAL PROTECTIVE EQUIPMENT Leve9 of Equipment Protection Should be used when: Limiting criteria Protection Provided A RECOMMENDED: The highest avail- The chemical substance has been Fully-encapsulating suit Pressure-demand, full able level of respir- identified and requires the highest must be compatible facepiece SCBA or atory, skin, and eye level of protection for skin, eyes, with the substances involved. pressure-demand protection. and the respiratory system based supplied air respirator on either: with escape SCBA. measured (or potential for) Fully-encapsulating, high concentration of chemical-resistant atmospheric vapors, gases suit. or particulates Inner chemical OR resistant gloves. Chemical-resistant site operations and work safety boots/shoes. functions involving a high potential for splash, immer- Two-way radio sion, or exposure to unex- communications. pected vapors, gases or particulates of materials that OPTIONAL: are harmful to skin or capable of being absorbed through Cooling units. the intact skin. Coveralls. Long cotton underwear. Substances with a high degree of Hard hat. hazard to the skin are known or Disposable gloves and suspected to be present and skin boot covers. contact is possible. Operations must be conducted in confined, poorly ventilated areas until the absence of conditions requiring Level A protection is determined. Attachment 5 Page 3 of 6 GUIDE TO PERSONAL PROTECTIVE EQUIPMENT I o Eauioment Protection Should be used when_ Limitina criteria Protection r v B RECOMMENDED: The same level of The type and atmospheric concen- Use only when the vapor or Pressure-demand, tull respiratory protec- itration of substances have been gases present are not sus- facepiece SCBA or pres- tion, but less skin identified and require a high level of pected of containing high sure-demand supplied protection than respiratory protection, but with less concentrations of chemicals air respirator with escape Level A. skin protection. This involves that are harmful to skin or SCBA. atmospheres: capableof being absorbed It is the minimum through the intact skin. Chemical-resistant clothing level recommend- with IDLH concentrations (overalls and long-sleeved ed for initial site of specific substances Use only when it is highly jacket; hooded, one- or entries until the that do not represent a unlikely that the work being chemical two-piece p m cal splash hazards have been severe skin hazard; done will os - generate either high suit; dis posable able chemical .further identified. concentrations of vapors, resistant one-piece suit) OR gases, or particulates or s lashes of material that will P Inner and outer chemical- that do not meet the affect exposed skin. resistant gloves. criteria for use of air purifying respirators. Chemical-resistant safety boots/shoes. Atmosphere contains less than Hard hat. 19.5 percent oxygen. Presence of incompletely identified Two-way radio communi- vapors or gases is indicated by cations. direct-reading organic vapor detec- tion instrument, but vapors and OPTIONAL: gases are not suspected of con- taining high levels of chemicals Coveralls. harmful to skin or capable of being Disposable boot covers. absorbed through the intact skin. Face shield. Attachment 5 Lone cotton underwear. Page 4 of 6 f GUIDE TO PERSONAL SONAL PROTECTIVE EQUIPMENT Level f Eauil2ment Protection Should be used when: Limiting criteria Protection Provided C RECOMMENDED: The same level of The type atmospheric contamin- Atmospheric concentration Full facepiece, air- skin protection as ants, liquid splashes, or other of chemicals must not exceed purifying, canister- Level S, but a lower direct contact will not adversely IDLH levels. The atmosphere equipped respirator. level of respiratory affect any exposed skin. must contain at least 19.5 protection. percent oxygen. Chemical-resistant cloth- The types of air contaminants ing (overalls and long- have been identified, concen sleeved jacket; hooded, trations measured, and a one-or two-piece chemical canister is available that can splash suit;disposable remove the contaminant. chemical-resistant one piece suit.) All criteria for the use of air purifying respirators are met. Inner and outer chemical resistant gloves. Chemical-resistant safety boots/shoes . Hard hat. Two-way radio cornmuni- cations. OPTIONAL: Coveralls. Disposable boot covers. Face shield. Escape mask. Attachment 5 Long cotton underwear. Page 5 of 6 J GUIDE TO PERSONAL PROTECTIVE EQUIPMENT Level of i t Pr®tection Should be used when: Protection Limitinw Grit i ftoyI D RECOMMENDED: No respiratory pro- The atmosphere contains no This level should not be worn Coveralls. tection. Minimal known hazard. in the Exclusion Zone Safety boots/shoes. Work functions preclude splashes, The atmosphere must contain Safety glasses or immersion, or the potential for at least 19.5 percent oxygen. chemical splash unexpected inhalation of or con- goggles. tact with hazardous levels of any chemicals. Hard hat. OPTIONAL: Gloves. Escape mask. Face shield. Based on EPA protective ensembles. Attschmeffl 6 Page 6 of 6 Number Fee 143 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Cadillac Saab of Hyannis 600 Yarmouth Road, Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. --------------------------------------------------------------------- ------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------- ----------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2010 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2009 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable t Regulatory Services Thomas.F. Geiler,Director Public Health Division "j. Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 AppI catron Fee:$-I-OQ.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 ZOLA-V 1`t1kt_,1'p NAME OF ESTABLISHMENT b�- ] C 6Z J GZ ADDRESS OF ESTABLISHMENT QP1 l S . M(oD TELEPHONE NUMBER (PO" 9 UO t... •SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT CORPORATION: DERAL IDENTIFICATION NO. ti 4-�0�3 otoc� STATE OF INCORPORATION FULL NAME ,HRDRESS OF: PRESIDENT AIM it J TREASURER CLERK 0Fr-� n NA F APPLICAN�� RESTRICTIONS: HO ADDRESS qa*YV.Q O1-� J - HOME TELEPHONE# - Q •1h7_doc/wp/q MAIL-IN REQUESTS • Please mail the completed application form to the ad P PP dress 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 / �`on,,CI �Q Public Health Division An?""E-xi r 3 Q_ 200 Main Street �N � (.'mac'L' Ac 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 EMERGENCY RESPONSE AND NOTIFICATION Cadillac Saab of Cape Cod 600 Yarmouth Road Hyannis, MA 02601 508-760-2700 The Emergency Coordinator for Cadillac Saab of Cape Cod is: Philip Denesha Off Hours Telephone# 508-280-7415 The alternate Emergency Coordinator is: Y Jeff Denesha Off Hours Telephone# 508-280-7411 DEP(Southeast Regional Office) 508-946-2700 DEP(24 hr Spill Reporting) 888-304-1133 . MA State Police 508-398-2323 Local Police 911 Local Fire Dept. 911 Local Ambulance 911 Medical Center Cape Cod Hospital 508-771-1800 27 Park Street,Hyannis,MA 02601 Yarmouth Medical Center 508-760-2054 23F Whites Path,S.Yarmouth,MA 02664 NATIONAL Response Center 800-424-8802 EPA ID NUMBER M A D98219821 O EMERGENCY RESPONDERS/TRANSPORTERS: Clean Harbors 800-645-8265 Or781-849-1800 s Cyn Environmental 800-899-1038 When reporting a spill to DEP,the following information must be provided: A. Location&time of release B. Material released C. Amount released D. Impact of spill on catch basins,homes,water bodies,etc. E. Actions taken by FD,DPW(contained with speedi-dri or sand,evacuated building,etc.) F. Name of responsible party,address,&telephone number TOWN' OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION �* N St i1 £ C.kI MAP NO. ��� PARCEL NO. ADDRESS OF TANK: �3 end ! �� VILLAGE: `.L MA I L I NG ADDRESS ( IF DIFFERENT FROM ABOVE) : OWNER NAME: �XIWIWoP V 691113ur' F lilAMVK (W119qHONE: `? �5 19 `'1 2`'1 � p t INSTALLATION DATE: G i ? BY: ," NSTALLER ADDRESS: 'Cl-ERS} .14U. , TANK LOCATION: recir V (DGmOf9 Z aCl/TANK LOQAT Z 2]N W Z TH RQOPQ T TO mtJ 2 I•.D I NO) CAPACITY -TYPE OF TANK AGE YRS. FUEL/CHEMICAL U TESTING CERTIFICATION C ] PASS C ] FAILr DATE'� `-' �!• LEAK DETECTION C ] CHECK IF N/A TYPE/BRAND ZONE OF CONTRIBUTION C ] YES C ] NO DO T'ET`O'"H"E"RE:MOVE FIRE DEPT. PERMIT ISSUED C 'V! YES C ] NO DATE;�6 3 _ CONS'ERVAT'ION [ ] CHECK IF N/A DATE I " 1 BOARD OF HEALTH TAG NO. E[ ' C.\ DA` -� PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION .ON THE BACK OF THIS CARD . o a J Sit r� cf f��N� M y�P�pFTHEr TOWN OF BARNSTABLE OFFICE OF Baaa9T BOARD OF HEALTH MASS. 9�0 2639 .- 367 MAIN STREET p�a MAY h HYANNIS, MASS. 02601 1989 . ® ✓�� � Dear P'6 .�� Enclosed brass valve tags#%0 _W Please attach to the fill pipe of your underground tank . You must do the following as indicated- ---- Remove your tank. I have enclosed information for you regarding tank removal . P IlI vl� our tank tested starting g �0 - Have _ W__ . You must test during the loth, 13th, 15th, 17th and 19th r and annually thereafter. Removal in the year q 9 _ . I have enclosed information regarding tank test ng. **En� -erde-r-to---have-your--tarr' oedi you-must f i rot r ont a-- an R'LTV—S tt-OV—VVS'l-Ocsv��.. eng a tieerina-compaxi-►'--(see--attached.)--te-ha-v�--a-...coonitor-fng -oe —ln tal-ied O9nee-the-.monitoring-well ha-s be-en lns-teled--you-sEan-t n-dal 362-2511,rY+ ` RA and ask_ for Charlotte Svi-efel or George- H ---Id-- att=e -Darns-t--abl-e- ,out"enl4Ii--Bepar.men t, to have your to k tested via the Sol! Vapor Analysis Test_ --Gurrent y-, th-e t i s der�f ree-of-eelr>t g�rrt. Due to the unknown age of your tank we must presume it is twenty (20) years of age . You must have it tested every year and remove it by the` year 1993 . To have it tested please follow the procedure as indicated above from the ** (asterisk) on. If you have any questions please feel free to call me at 775- 1120, Extension 183 . Thank you, Donna Miorandi Health Inspector A X4r T i &t i s 1w=rah4 of MusarflimftH DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION PERMIT done 5 19 ,91 Date TO MAINTAIN AN EXISTING/NEW UNDERGROUND STORAGE FACILITY In accordance with the provisions of 527CMR9.24 this permit to maintain an existing/new underground storage facility is granted to: Location of property:—(c2o ��rmooth PrJ Cie -I ) Ca22 Ln cae) Street address Owner of property: HrZt+-z. ( Jtnthry� GU<< hc1� Full name of person, firm or corporation Restrictions: Hole rc,Irnynd 2 - 4nnr-) QC-D11nn Fee Paid:$ 10 — (M.G.L.A. Chapt. 148 Sec. IDA) Form F.P. 290 Part a This permit will expire IJ 19 - 171 LEIN vet)t (k. ate Signature f Head Of Fire Dept. or appointed designee (Owner' s Copy to be posted at the storage facility with F.P.290 Part 3) Nil FIRE DEPT. Em f IRE DEPT. STATE USE ONLY CERTIFICATION Copy to be certified by local fire department LO.Number ZZ N 2n r and: . POSTED AT STORAGE FACILITY Date Received 3 Notification is required by Federal law for all underground tanks that have been 4. pipeline facilities (including gathering lines) regulated under the '.Natural Gas used to store regulated substances since January 1,1974,that are in the ground as of Pipeline Safety Act of 1968,or the Hazardous Liquid Pipeline Safety Act of 1979.or May 8,1986,or that are brought into use after May 8,1986.The information requested w'hichis ail intrastate pipeline facilitcrcgul:ucd under State Ltµs: is required by Section 9002of(he Resource Conservation and Recovery Act,(K(:RA), 5.surface impoundntcnts.pits.ponds,orlagoons: as amended. 6.sturm'µatcr or%Saute water c%illection systems: The primary',purpose of this notification program is to locate and evaluate under- 7.1lo%y-through process tanks: ground tanks that store or have stored petroleum or harardous substances. It is 8.liquid traps or associated gathering linesdiicctl\related to()if orgas production and expected that the information you provide will be based on rcasonabh mailable gathering operations; records,or,in the absence of such records.your knoHiedge,belief.or recollection. 9. storage tanks situated in an underground area (such as a basement, cellar. min %yo erking,drift,shaft.or tunnel)if the storage tank is situated upon or above the Who Must Notify? Section 9002 of RCRA. as amended, requires that, unless surface of the floor. exempted,owners of underground tanks that store regulated substances must notify designated State or local agencies of the existence of their tanks. Owner means— What Substances Are Covered? The notification requirements apply to under- (a) in the case of an underground storage tank in use on No%'ember 8. 1984.or ground storage tanks that contain regulated substances.This includes any substance brought into use alter that date,an% person who owns an underground storage lank defined as hazardous in section 101 (14) of the Comprehensive F.ncirunmental used for the storage,use,or dispensing of regulated substances,and Response,Compensation and I.iability Act of 1980(CERCLA).%kith the exception of (b) in the case of any underground storage tank in use before November 8, 1984, those substances regulated as hazardous waste under Subtitle C of RCRA. It also but no longer in use on that date,any person who owned such tank immediately before includes petroleum,e.g..crude oil or any fraction thereof'%yhich is liquid at standard the discontinuation of its use. conditions of temperature and pressure(60 degrees Fahrenheit and 14.7 pounds per What Tanks Are Included? Underground storage tank is delined as any one or' square inch absolute). combination of tanks that(1)is used to contain an accumulation of"regulated sub- Where To Notify'? Completed notification firms should be sent to the address stances.-and(2)whose volume(including connected underground piping)is 10ri or giycn at the top of this page. more beneath the ground.Some examples are underground tanks storing:1.gasoli ne. used oil,or diesel fuel,and 2,industrial sol%cnts,pesticides.herbicides or fumigants. When To Notify? 1.1 Tiers of underground storage tanks in use or that ha%c been What Tanks Are Excluded? Tanks remo%ed from the ground are not subject ut taken out of operation after.fanuar% 1. 1974.but still in the ground,must notify i br Ma% 8. 1986.2.O%yners%%ho ing underground storage tanks into use after notification.Other tanks excluded from notification are: Mac 8. 1.farm or residential tanks of 1,100 gallons or less capacity used lorsuxing rnutor fuel 1986.nuut notilc within?0 dacs of bringing the lanky into use. for noncommercial purposes: Penalties: Any owner who knowingly fails to notify or submits false information 2.tanks used forstoring heating oil for consumptike use on the premises\%here stored: shall be subject to a civil penalty not to exceed $10,000 for each tank for which 3.septic tanks: notification is not given or for which false information is submitted. • Please type or print in ink all items except"signature"in Section V.This form must by completed for Indicate number of each location containing underground storage tanks.If more than 5 tanks are owned at this location, � continuation sheets photocopy the reverse side,and staple continuation sheets to this form. attached Owner Name(Corporation,Individual,Public Agency,or Other Entity) (If same as Section 1,mark box here❑) M r / h rs k)fn-l-h L4 W I l bU J' Facility Name or Company Site Identifier,as applicable Street Address PSInce io YarMoCJth Pal ( GerT+ral Cape�bodge) County Street Address or State Road,as applicable H e City State ZIP Code County H?ir�,-,I-n ns I--1 I I 1 H►4 Ha r)n ll- o I Area Code Phone Number City(nearest) State ZIP Code Type of Owner (Mark aff that apply®) ❑ Current State or Local Gov't Private or Indicate Mark box here if tank(s) ❑ � Corporate number of are located on land within +� Federal Gov't Ownership tanks at this an Indian reservation or ❑ ❑ Former ❑ (GSA facility I.D.no. ❑ uncertain location on other Indian trust lands ) Name(If same as Section I,mark box here ❑) Job Title Area Code Phone Number G?W[,�Ut WN4 11Z 7"75 ❑ Mark box here only if this is an amended or subsequent notification for this location. • I certify under penalty of law that I have personally examined and am familiar with the information submitted in this and all attached documents,and that based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the submitted information is true,accurate,and complete. Name and official title of owner or owner's authorized representative ignature ' Date Signed MA ME 0 .. Form F.P. 290 Part 3 Page Owner Name(from Section[)_`mil i I � e �-Location(from Section II) 600 Page No. of—:1-Pages 7AbitMraytAssitgned Idenificaion No.(e.g.,ABC-123),or Tan l�No. Tank No. Tank No. Tank No. Tank No. ril Sequential Number(e.g.,1,2,3...) I -z 1.Status of Tank Currently in Use On [ 0 0 (Mark all that apply®) Temporarily Out of Use Permanently Out of Use Brought into Use after 5/8/86 2.Estimated Age(Years) (� 3.Estimated Total Capacity(Gallons) oc 4.Material of Construction Steel (Mark one®) Concrete 0 0 0 0 Fiberglass Reinforced Plastic 0 0 0 Unknown 0 0 0 Other,Please Specify 5.Internal Protection Cathodic Protection 0 0 (Mark all that apply®) Interior Lining(e.g.,epoxy resins) 0 0 None 0 Unknown ® ® 0 0 Other,Please Specify 6.External Protection Cathodic Protection (Mark all that apply M) Painted(e.g.,asphaltic) 0 0 Fiberglass Reinforced Plastic Coated 0 None 0 0 I 0 0 Unknown EF-1: 0 Other,Please Specify 7.Piping Bare Steel 0 0 (Mark all that apply®) Galvanized Steel 0 0 0 Fiberglass Reinforced Plastic 0 Cathodically,Protected Unknown ® ® 0 0 Other,Please Specify 8.Substance Currently or Last Stored a. Empty 0 in Greatest Quantity by Volume b. Petroleum (Mark all that aPP1Y®) Diesel Kerosene 0 0 0 Gasoline(including alcohol blends) ® 0 Used Oil 0 0 0 0 Other,Please Specify c. Hazardous Substance 0 0 Please Indicate Name of Principal CERCLA Substance OR Chemical Abstract Service(CAS) No. Mark box®if tank stores a mixture of substances 0 0 0 0 d. Unknown 9.Additional Information(for tanks permanently taken,out of service) a. Estimated date last used (mo/yr) b. Estimated quantity of substance remaining (gal.) c. Mark box®if tank was filled with inert material ' (e.g.,sand,concrete) 0 0 Rage 2 ' r� /I B' RIGGS 361 Hanover Street, Portsmouth, NH 03801 s Telephone (603) 431-2870 September 8, 1989 Job No. 91725 Mr. Alan Lane Airport Motors 600 Yarmouth Road Hyannis, MA 02601 RE: Petro-Tite Underground Tank Testing Central Cape Dodge Hyannis,Massachusetts Dear Mr. Lane: On August 24,1989, Briggs Associates, Inc. performed Petro-Tite Leak Detection tank tests on the 2-4,000 gallon underground storage tanks at the above site in Hyannis, MA. The tests were conducted by certified technicians in conformance with the National Fire Protection Association Pamphlet 329. ' The results of the test indicates that the leakage rate of 1- 4,000 gallon tank system was - .213 Gph (gallons per hour) and the leakage rate of the other 4,000 gallon tank was -.236 Gph which exceeds the maximum allowable NFPA criteria of .05 gph in order to be considered a "tight" tank. The tanks are therefore not acceptable. In order to determine whether the leak is in the tank or in the supply piping, it is necessary to partially excavate and isolate the piping and test the tank separately. If the tank is still leaking, Massachusetts.Law requires that the tank must be pumped free of product and then removed. If the tank retests as tight, the repair or replacement of the piping is necessary. A copy of this report and the letter have been sent to the Hyannis Fire Department. Very Truly Yours, BRIGGS ASSOCIATES, INC. Dolores M. Branco Supervisor, Geotechnical Department tTightness . Data Chart for Tank System Test EASE PRINT 1. OWNER Property❑ Name ij Address Re esent tiv _ lephone Tanks)❑ - Name Address Representative Telephone 12. OPERATOR - Name Address Telephone 3. REASON FOR TEST (Explain Fully) 4. WHO REQUESTED U_ `a TEST AND WHEN Name Tie '\ mpariy or ti O _ Dater—�' ',r I Address V Telephone. Identify by Direction Capacity Brand/Supplier Grade Approx.Age Steel/Fiberglass 5. TANK INVOLVEDIle C1 Use additional lines / for manifolded tanks Qkt Location cover Fills it Vents Siphones` ...M Pumps 6. INSTALLATION qKfYl � V (�I,�/ 4 F DATA �h "� '✓lW-� I �tt — SuG �n _rho � � North inside driveway, Concrete,Black Top, Size;Titefill make.Drop Suction,Remote, Rear of station,etc. Earth,etc. tubes,Remote Fills Size,Manifolded Which tanks? Make it known 7. UNDERGROUND Is the water ove�tetank? WATER Depth to the Water tableu " l Y�1 " YesNo Tanks to be filled hr. Date Arranged by a. FILL-UP � Name Telephone ARRANGEMENTS Extra product to'lop off"and run tank tester. How and who to provide? Consider NO Lead. Terminal or other contact for notice or Inquiry - Company Name Telephone I CONTRACTOR, MECHANICS, any other contractor involved 10. OTHER INFORMATION OR REMARKS Additional information on any items above.Officials or others to be advised when testing is in progress or completed.Visitors or observers present during test,etc. Tests were made on the above tank systems In accordance with test procedures prescribed for 1. TEST RESULTS as detailed on attached test charts with results as follows: Tank Identification Tight Leakage Indicated Date Tested c 2. SENSOR 13.This Is to certify that these tank systems were tested on the date(s)shown.Those Indicated as"Tight"meet the criteria established by the CE TIFICATION National Fire Protection Assodation Pamphlet 32a Technicians (� Date �J�(lM ('f 1..1 _,Z2 -, Testing Contractor or Company. By: Signature ' I Serial No.of Thermal Certification M / rJ((�/�1 (1 I/ St I�/�/\n I2 t_d1 Sensor ` �Y-3 L�.J�YYY111 1 2 i Address , I G 1 Certification M L 31 a s 4_ PN6627 27. 30. HYDROSTATIC 31. 34. 38.NET VOLUME 39. Sensor Calibration PRESSURE VOLUME MEASUREMENTS TEMPERATURE COMPENSATION CHANGING ACCUMULATED LOG OF TEST PROCEDURES CONTROL RECORD TO.001 GAL. USE FACTOR(a) EACH READING CHANGE Temperature 28. Record details of setting up 29• Standpipe level 32 Product in 33•Product ' 35. 36.- 37. Adjustment ATE and running test.(Use full Reading in Inches Graduate Replaced(-) Change Computation F No. Thermal Higher• (c)x(a)= Volume Minus length of line if needed.) Beginning Level to At Low Level compute of which Before After Product Sensor Lower- Expansion Expansion()or Change per Hour 4 h Reading Restored Reading Reading Recovered(�) Reading (c) Contraction- Contraction() (NFPA criteria) (24 hr. R33(V)—k37(T) Iobd S S c ,i b l am lQ ISYAO aid adidC 1557 ' [-IAMDr I d r, IM PLOW LWA Wci&r tag] 13t)s Leu i li 1 0 0 525 � 4 tt -. - 07-5 Nb a ±Ldxld Ar & + 4-C� ' 3 1 - v I D fi b1�5I 6ca t G 1 3 l� 0 tok,5 6,7 o 1 -7 Ila. I JA - +oo b 1 0 ) I p D t- o f I Le t b o —. 15 o too fio 5 5 Pa too 6,qo to :b1 -,b .l . abI C) -doti U 13 I .a ti bb ;lLi l b c� e a b �e DO .b t) 1 �v ' r doa oSN tot 7 0 t05 J lab p p L4 -r U � - - A76 4qb t 5 7 01 u � 5 ,A- t 2 . . r qcib .5 [-,ow TS1 P-T Tank Test Data Chart 2. Statement: It is the responsibility of the owner and/or operator of this ❑ Tank and product handling system has been tested tight system to immediately advise state and local authorities of any Additional Info according to the Precision Test Criteria as established by implied hazard and the possibility of any reportable pollution to N.F.P.A. publication 329. This is not intended to indicate the environment as a result of the indicated failure of this permission of a leak. j system.Heath Consultants Incorporated does not assume any hh /I� ����/� responsibility or liability for any loss of product to the 1. Net Volume Change at Conclusi r ci on T ph N `�/ environment. ❑ Tank and product handling system has failed the tank tightness Signature of Tester: test according to the Precision Test Criteria as established by N.F.P.A.publication 329. Tank Owner/Operator Date: Date ,4n s1 _( ,w, i 41� Name of Supplier,Owner or Dea r Address No.and Street(s) City State Date of Test 15. TANK TO TEST K� 5a. ANK FIELD 16. CAPACITY From tc �E ��1 T ❑ Station Chart �, Q- K �ppoj ���� �//.JP Nominal Capacity (j�� ❑ Tank Manufacturer's Chart BL Ide t b position P V Gallons Company Engineering Data VVVVx//// with ❑ Charts supplied w a PP B most accurate/^� Y Brand and Grade T capacity chart available ❑ Other L P Y la,,C �- Gallons Total Gallons 17. FILL-UP FOR TEST Gallons ea.Reading Stick Water Bottom )l I) � D before Fill-up � in. � � in. � Inventory "p"'� to I/V Gallons Tank Diameter Tat, 18, SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ElWater In tank ❑ Line(s)being tested with LVLLT � �— See manual sections applicable.Check below and record procedure in log(27). ❑High water table in tank excavation4 Llse maximum allowable lest pressure for all tests. 19. TANK MEASUREMENTS FOR Transfer total to line-25a ' Four pound rule does not apply to doublewalled tanks. TSTT ASSEMBLY 21. VAPOR RECOVERY SYSTEM ❑Stage I ❑Stage u Complete section below: Bottom of tank to grade' ........:................... in. Add 30"for"T probe easy........................... 30 in. 24b. COEFFICIENT OF EXPANSION 1. Is four pound rule required? Yes ❑ No I�1 Total tubing to assemble—approximate............. in. RECIPROCAL METHOD � Type of Product ............................ 5A 20. EXTENSION HOSE SETTING f 2. Height to 12"mark from bottom of tank in. Tank top to grade'.................................. J In. Hydrometer Employed .................................. ...................4(j; H , C/ Extend hose on suction tube 6"or more Temperature In Tank r r 3. Pressure at bottom of tank r P.S.I. After Circulation........................................ ' F belowtank top...................................... In. Temperature of Sample................................. /.-�_LL°F 4. Pressure at top of tank P.1, 'If Fill pipe extends above grade,use top of fill. 22. Thermal-Sensor reading after circulation Difference(+/-)......................................... °F n rJddiiigits /'�Depth o1 burial in. /! ��I °F Observed A.P.I.Gravity ................................. (� L Belwee t s 23. Digits per°F in range of expected change Reciprocal Page If digits - ;( Tank dia. In. COEFFICIENT OF EXPANSION (Complete after circulation) 24a. Corrected A.P.I.Gravity Total quantity In Reciprocal Volume change In /t Water table _in. /1 //_ full tank(16 or 17) this tank per°F Observed A.P.I.Gravity................................... ( -/� Transfer to Line 26a. NOTES: Hydrometeremployed................................... H 24c. FOR TESTING WITH WATER see Table C&D Observed Sample Temperature ......................... °F ti Corrected A.P.I.Gravity Water Temperature after Circulation @ 60°F.From Table A..................................... Table C................................................ °F Coefficient of Expansion Coefficient of Water The above calculations are to be used for dry soil conditions to for Involved Product lyTable D ................................................ establish a positive pressure advantag9,or when usingthefourpound From Table B............................................ rule to compensate for the presence of subsurface water In the tank Transfer COE to Line 25b. Added Surfactant? ❑Yes ❑No Transfer COE to Line 25b. area. Refer to N.F.P.A. 30, Sections 2-3.2.4 and 2-7.2 and the tank 25. (a) / /T/ - x (b) Y /% _ (C) !'i/�I gallons manufacturer regarding allowable system test pressures. Total quantity In Coefficient of expansion for Volume change In this tank full tank(16 or 17) involved product per°F 26. (a)���35����� + 3f ' _ _ ��.OZ� /�/ This is t20�'3 Volume change per°F(25 or 24b) Digits per°F in test Volume change per digit lest Ranoe 123) Compute to 4 decimal places. factor(a) A Data Chart for Tank System Tightness Test PLEASE PRINT 1. OWNER Property❑ T /�! Uo D�� v� D. A/i r9. O Z n IIC�II e resentative Tanks) Name Address R YSJ - P - Telephone' 7Z5 Name Address Representative- Telephone 2. OPERATOR Name - Address - Telephone 3. REASON FOR TEST (Explain Fully) . 4. WHO REQUESTED �> Name _ Title Company Date TEST AND WHEN n `� p y or Affiliation 411 i t A- 0_60/ Address ' Telephone t Identify by Direction Capacity Brand/Supplier Grade Approx.Age Steel/Fiberglass 5. TANK INVOLVED l,T C oa s� v.✓/L sTE� Use additional lines tt' for manifolded tanks n i f Location Cover Fills Vents Siphanes Pumps 6 DATA INSTALLATION �v�t R o f ge.T P 4" ^if GAaAyE '/ d -- SucTtpN t Lie;FT rAN/� Wt�D?0� T'r�C SSr North inside driveway, Concrete.Black Top, Size,Titelill make.Drop Suction,Remote. A Rear of station,etc. Earth,etc. tubes,Remote Fills Size.Manifolded which tanks? Make if known 7. UNDERGROUND , Is the water over the tank? } WATER Depth to the water table ❑yes ®No 8. FILL-UP Tanks to be filled hr. Date Arranged by Name Telephone . ARRANGEMENTS Extra product to'lop off'and run tank tester. How and who to provide? Consider NO Lead. Terminal or other contact ' for notice or inquiry _ Company Name Telephone 9. CONTRACTOR, MECHANICS, any other contractor involved i } 10. OTHER = INFORMATION OR REMARKS Additional information on any,items above.Officials or others to be advised when testing is in progress or completed.Visitors or observers present during test,etc. Tests were made on the above tank systems in accordance with teat procedures prescribed for 11. TEST RESULTS as detailed on attached test charts with results as follows: Tank Identification Tight Leakage Indicated Date Tested n T�sT 12. SENSOR 13.This Is to CWHY that these tank Systems ware tested on the date(s)shown.Those Indicated as'nghr meet the criteria established by the CERTIFICATION National Fire Protection Association Pamphlet 32& 1� o Technicians Date. 1. /1'/��gR ,l�iwd= �� ZJ• /1/C� sSOC. Testing Contractor or Company. By: SiVature . Serial NoenofThermal Certification M /l0 PO L_ O G'//�j�NOy`,� S'T'Sr by 2 Address ,. Certification 0 PN6827 r Rio 91,2,11 + +/YiS Ia Y o o + 6y y �6 O/S y 03 301 �Oo?o , 0/ 31 /Y3n /�7, O oo f f0" / 3.2 19 ,1. '0/ /5 4 T0J-3 iyyo f iS el-7-5- �Oo2 S fy �033 0/ yYs f /z �0/s- ,� �y �0 3 3' 7 /ys .2 3 2- y7o oi.s /C� / 03 O/ /goo A Tsk,,tr �y JI/ S "03 'Oil '" 0 5 0 = yo2 S ell A,/", X ' 12, N P-T Tank Test Data Chart 2. Statement: it is the responsibility of the owner and/or operator of this ❑ Tank and product handling system has been tested tight system to immediately advise state and loca!a�!horities of any Additional Info according to the Precision Test Criteria as established by implied hazard and the possibility of any reportable poilution to N.F.P.A. publication 329. This is not intended to indicate the environment as a result of the indicated failure of this permission of a leak. system.Heath Consultants Incorporated does not assume any / �v.L responsibility or liability for any loss of product to the 7(3 TG.ST�i 61Al G � environment. 1. Net Volume Change at Conclusion of Precision Test-gph Tank and product handling system has failed the tank tightness Signature of Tester: _ --� test according to the Precision Test Criteria as established by Tank Owner/Operator N.F.P.A. publication 329. Date: o? y/>' y c,r Date 27. Sensor Calibration / 3�. HYDROSTAT IC 31. 34, 38.NEI VOLUME 39. PRESSURE VOLUME MEASUREMENTSIV) TEMPERATURE COMPENSATION CHANGING ACCUMULATED CONTROL RECORD TO.001GAL. USE FACTOR(a) EACH READING CHANGE LOG OF TEST PROCEDURES ' Product Temperature 28. Record details of settingu 29. Standpipe Level 32. Product in 33. 35. 36. 37. Adjustment P in Inches Graduate Replaced(-) Change Computation DATE Reading Higher• (c)•(a)= Volume Minus and running test.(Use full No Thermal 9 Beginning Level to Sensor Lower- Expansion• Expansion(•)or At Low Level compute length of line if needed.) Before After Product Contraction 1-) Change per Hour �_ ,S ' of which Reading (e) Contraction- INFPA criteria) TIME Reading Restored Reading Reading Recovered(•) N33(V)—N37(T) (24 hr.) %SOD /�RRivE o TAn� -v e / L lt- � -5 / O Q O 06 1911 A. 0jQ s' -112 // D f1 dFi E n 6�1 t/c• �o y , + f /i �' ' 0 060 -/SO /?00 f /1 3 l . 400 -0 0.7-6 / _. C. /Z 7o s — / 42 T� .2 ! i� + t l l !O' �E�EC. ST r O 6 / D,N s 3 i /2 a + 0 �1 !a 13os /�E .;� �; s 1 12. 095 , liS o20 0 +3 . " Oo5 " oos f + + - - - o/�' 1 Oi , o _ r 2 _ I` 3 ia, !a , i 30 + a 8 +S + y t s _ 0 4 ia. s- S + IS +3 +0 ,01 S 13 s 5 s O +S 0100 7 ia. 0 4-O 0 + 7 t p -01(7 7622 +OiS Ito + S +04 - 1750 �s poi + + - o O 1355 It a. �o +0 +5 +• 041 D jr oo l l� 7, �90 +0 !�3 +S + Oy O.2 a3 a + I S + O — 5 Qy © ,OI 1 Name of Supplier,Owner or Dealer ` Adtlress No.and Street(s) � - City State Date of Test 15. TANK TO TEST 15a. BRIEF DIAGRAM OF TANK FIE D 16. CAPACITY From ❑ station Chart E R R,_t-�t Q_E�[�a,r� L T 7 n G n a A E Identity b -T----- N l0�T TANK Nominal Capacity_ 7OOC� ❑ Tank Manufacturers Chart Y y Position Gallons ® Company Engineering Data —� Brand and Grade By most accurate j ❑❑ Charts supplied with U L`� capacity chart available OeO Other Cm I Gallons 17. FILL-UP FOR TEST Total Gallons - - Gallons ea.Reading Slick Water Bottom �r y 'A" in / before Fill-up _ to " Gallons In. Inventory y/JO O TanDiameter 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ❑Water in tank ❑ Line(.)being tested with LVLLT See manual sections applicable.Check below and record procedure in log(27). ❑High water table In tank excavation T 7A L rQOJ F u maximum allowable test pressure for all tests. 19. TANK MEASUREMENTS FOR Transfer total to line 25a Four pound rule does not apply to doublewalled tanks. TSTT ASSEMBLY 21. VAPOR RECOVERY SYSTEM ❑ ❑ Complete section below: � Stage I Stage II Bottom of tank to grade' ............................ 191 In. Add 30"for'T'probe easy........................... — 30 In. 24b. COEFFICIENT OF EXPANSION 1. Is lour pound rule required? Yes ❑ N0 ® Total tubingto assemble—e RECIPROCAL METHOD approximate............. In. /? 20. EXTENSION HOSE SETTING Type of Product ........................................ _ (/A S 2.Height to 12"mark from bottom of tank in. .., • Tank top to grade'.................................. 27 In. Hydrometer Employed.................................. H Extend hose on suction tube 6"or more Temperature In Tank 3. Pressure el bottom of tank P.S.I. �._' After Circulation........................................ �•0 °F belowtank top....................................... In. 4. Pressure at top of tank PSI 'll FIII pipe extends above grade,use top of fill. Temperature of Sample ................................. 78 O O°F 22. Thermal-Sensor reading alter circulation Difference(+/-)...:..................................... °F digits Depth of burial _in. 77- 7R °F - Observed A.P.I.Gravity ................................. Between r a 23. Digits per IF in range of expected change 3121 Reciprocal 17 Page 0 Tank dia. in digits COEFFICIENT OF EXPANSION (Complete after circulation) �/OD _ . /.si 7 = o? /3S 760 711 24a. Corrected A.P.J.Gravity Total quantity in Reciprocal Volume change In Water table full tank 16 or 1 In. -- //A•� ( 7) this tank per°F Observed A.P.I.Gravity................................... /V�/ Transfer to Line 26a. NOTES: Hydrometer employed................................... H Observed Sample Temperature ......................... °F 24c. FOR TESTING WITH WATER see Table C 6 D- Corrected A.P.I.Grivlty Water Temperature after Circulation @ 60°F,From Table A.................................... Table C ................................................ /� F Coefficient of Expansion Coefficient of Water The above calculations are to be used for dry soil conditions to for Involved Product Table D ................................................ establish a positive pressure advantage,or when using the four pound From Table ............................................ . rule to compensate for the presence of subsurface water in the tank Transfer COE to Line 25b. Added Surfactant? ❑Yes ❑No Transfer COE to Line 25b. area. Q p Refer to N.F.P.A. 30, Sections 2-3.2.4 and 2-7.2 and the tank 25• (a) �// x (b) ��— _ (c) �j/ — gallons manufacturer regarding allowable system test pressures. Total quantity In Coefficient of expansion for Volume change In this tank full tank(16 or 17) Involved product per°F 26. (a)eZ 6 FP a O 7// 3,21 O. 0O Z,2 D 5112 This Is Volume change per IF(25 or.24b) Digits per°F in test Volume change per digit test ,OO p� ` -. _ Range(23) Compute to 4 decimal places. factor(a) 0 TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION G�I�-rkfl L bid - T'OD(�CMAP NO. ���.� PARCEL No. '':` DRESS OF TANK: 600 //I �V Y ROAD VILLAGE: H MANl .� Numbmr Qtrlowt Q l.✓0 7�01fi14MAILING ADDRESS ( IF DIFFERENT FROM ABOVE) : � OWNER NAME: (010leoP GPI bX� Is I 41VCY ( I�L Ue-PHONE: 77..'.) —o-t— / INSTALLATION DATE: BY: INSTALLER ADDRESS: -CERT.idO. *TANK LOCATION: j�/� (ouocm:aC TANK l_OQAT Z ON W 2 TH mammmoT TO mU I LD 2 NO_) CAPACITY / (lDO TYPE OF TANK t r AGE YRS. FUEL/CHEMICAL TESTING CERTIFICATION [ ] PASS [ ] FAIL DATE LEAK DETECTION C ] CHECK IF N/A TYPE/BRAND /� )�jf ZONE OF CONTR I HUT I ON Ex YES [ ] NO DATE TO BE REMO ED 8 Y'/ ��(J/V t.... P FIRE DEPT. PERMIT ISSUED [ Vf YES C ] NO DATE �! J CONSERVATION [ ] CHECK IF N/A DATE BOARD OF HEALTH TAG NO. [ 61 ] DATE //7 wg� A Z, * PLEASE PROVIDE A SKETCH .SH,OWING THE TANK LOCATION ON THE BACK OF THIS CARD i OFTHE T0 TOWN OF BARNSTABLE OFFICE OF s BaassT°BZE, " NamBOARD OF HEALTH i639. 367 MAIN STREET a MIRY k. HYANNIS, MASS. 02601 May 26 , 1989 Mr. Winthrop Wilbur Ms . Nancy Wilbur Prince Avenue Marstons Mills , MA 02648 Be: Underground Fuel Storage Systems located at 600 Yarmouth Road, Hyannis and listed as Assessor's Map 345, Parcel 021-002 Dear Mr. & Mrs . Wilbur: You are now required by the "Health Regulation Regarding Fuel and Chemical Storage Systems" published in the December 17 , 1987 issue of the Barnstable Patriot , to register your underground tank(s) with the Board of Health. Please complete the enclosed. Registration card(s) . Include any evidence of the date of purchase and installation, a copy of the permit from the Fire Chief,' and a sketch map showing the location of such tank(s) on the property. Upon entire completion of the Registration card(s) , you will be issued a brass valve tag(s) by the Board of Health. These valve tags shall be picked up by you or your representative at the Health Department located in the Barnstable Town Hall . The tag(s) shall then be attached to the filler pipe/cap of the underground tank(s) . Please return completed Registration card(s) to : Town of Barnstable Health Department, P. O. , Box 534 , Hyannis , MA 02601 , as soon as possible . You are required to comply with this regulation by June 8, 1989. If you have any questions , please telephone 508 (775- 1120 , extension 182) Donna Miorandi or myself during office hours . Office hours are Monday through Friday from 8 : 30-9 : 30 a.m. and 12 : 45-2 : 00 p.m. . PER ORDER OF THE. BOARD OF HEALTH Thomas A. McKean Director of Public Health cc : Nancy Lepri , Hyannis Fire Department