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HomeMy WebLinkAbout0425 ATTUCKS LANE - Health a = u � JYD - L i IKE►ok� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 g"MAq E.$ 200 Main Street• Hyannis, MA 02601 MPS bM TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rF0 Business Name: `' Date:wr o Location/Mailing Address: 1 iy' w ' Contact Name/Phone: Inventory Total Amount: SDS: 3�-online L..0 K License#: _ Tier II : Labelina: Spill Plan: 0K Oi[/WaterSeparator: Floor Drains: e- Emergency Numbers: M_%E 4 Storage Areas/7anks: bl l d Emergency/Containment Equipment: c WrPv Waste Generator ID: IACLC 061 r)0L7A Waste Product: As Date&Amount of Last Shipment/Frequency: OCaSnrteed aE Licensed Waste Hauler&Destination: wepd6rr emtl c$ V Other Waste Disposal Methods: ` LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid. Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants V Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides/ Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons took Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: Inspec or: Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS ( � W&E SfoP CA v 5�oe 6.45 co► l b;he�. °FINE►°w Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-7s0-6304 9 BARMARS . . � 200 Main Street• Hyannis, MA 02601 �'DlFOMP'��`0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: Sop NV 06 Date: Location/Mailing Address: Q, 13 MA 03,10- v m o0. Contact Name/Phone: 6�Jc 7�70-VoCA Inventory Total Amount: 5 d 0 SDS: �es'P�'p� License#: Ins Tier II : FV b Labeling: Spill Plan: Oil/WaterSeparator: 41A Floor Drains: At 0 Emergency Numbers:tf- Storacle Areas/Tanks: 40 &US Makf, [S & S Emergency/Containment E ui ment: i �L� `f o DEC Waste Generator ID: oa 100070 Waste Product: V i dus b 'cl($ Date&Amount of Last Shipment/Frequency: 6VI J19 Licensed Waste Hauler&Destination: ReABtc GaV S Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents.&spot removers -5 "'gine and radiator flushes Bug and tar removers \/Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil V/ Disinfectants 10 V Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants / Degreasers for engines&garages Pesticides: ✓ �/ aulk/Grout insecticides, herbicides, rodenticides ✓ Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners V*�- Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers �0� (including carbon tetrachloride) (including bleach) �U Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: VW C & ( U i Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS f tK�E►ok� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • &1RMAq . • 200 Main Street• Hyannis, MA 02601 �0'FOreA+�`0� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: Sfo o o�� Lf D 6 Date: S/b ;S--Location/Mailing Addre s: 444,jc LS a,w.t- ar�lt Contact Name/Phone: O - -7 - 0 C,b1M��L�tMGL C- F<MnG� 2N w�a- or ez t Kt nq Inventory Total hmount: 'a MSDS: n��� �it"Ke WOW, - Li ense#:�`? cz-+3 Tier II : 0 Labeling: 6 ` %1 k4\a-4 t` J Spill Plan: 6k1t vA-+Mm t Oil/WaterSeparator: Floor Drains: q 6; - Emergency Numbers: -le-S �g Storage Areas/Tanks: K10 S e a-C�ti 5�c a.�, Emer enc /Containment E ui ment: S �, av 6-t 1 a b'l� Waste Generator ID: bv�- Waste Product: ,r\/115(- Date&Amount of Last Shipment/Frequency: 0 t k5 0\4- e re"V Licensed Waste Hauler&Destination: y c. ,c. ,? X5 0 t Other Waste Disposal Methods: IZ--off ra,n �Itd &5 Vr& LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash 1 Motor oils Miscellaneous Corrosives �6clol� Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants -- �Jrµ, Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages / Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes �- Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables `Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil&stain removers (including carbon tetrachloride) (including bleach) �� Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: 0. Inspect L 4y?�lQi Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Number Fee 1252 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Stop & Shop Store #406 ti 425 Attucks Lane, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------------------------------------- Cj This license is granted in conformity with the Statutes and ordinances relating there to, and —C- and expires 06/30/2017 unless sooner suspended or revoked. S ---------------------------------------- A- X WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. _ 07/01/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health er Town of Barnstable • °FINE*oy, Regulatory Services ti Richard V. Scali, Director ' B MASS. ` Public Health Division BARNSTABI MASS. , 9�A 1639. A�O� MA.RS ONSNNIEST OSTEiVi1E•ST3uN5TP5` TFO MA't Thomas McKean, Director 1639-20 4 q 200 Main Street, Hyannis, MA 0260 �� y D Office: 508-862-4644 Fax: 508-790-634 r APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS, ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 �1 A late charge of$10.00 will be assessed if payment is not received by July 1st. ASSESSORS MAP AND PARCEL NO. DATE FULL NAME OF APPLICANT: NAME OF ESTABLISHMENT: ADDRESS OF ESTABLISHMENT: 1 CS C-�A' `:1 MAILING ADDRESS (IF DIFFERENT): TELEPHONE NUMBER OF ESTABLISHMENT: EMAIL ADDRESS: SOLE OWNER: YES `'NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE# OF: ( _ CORPORATION NAME � �� I l-j ��\7C �j �� �7y� `(� 37 QUi PRESIDENT TREASURER l �(J 0 —76 J l CLERK IF PREPARED BY OUTSIDE PARTY: SI TURE F PPLICANT Name: _ Company Address : Telephone#: Email: Q:\Application Forms\HAZZAPP Revl6.docx Page 1 of 2 Date: Y lzy l�� TOWN OF BARN STAB TOXIC AND HAZARDOUS MATERIALS REMSTkATiON FORM NAME OF BUSINESS: BUSINESS LOCATION: 42,5- ,>q-1-�„e�-s (�•�, t-�U4YNA % INVENTORY MAILING ADDRESS: Sg-v-- TOTAL AMOUNT: TELEPHONE NUMBER: So6-1'71 — o7o 9 e rove CONTACT PERSON: '�e�:� C'oba,lL, s-Fot� w1i� Iri4p. w��'1� IM�Her 7111 9a.11oxs EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: Yes - otiJ?V- - - INFORMATION / RECOMMENDATIONS: ' ,9,4-14,r4os Ate0er►a.ls &:fvWi+ 15 Fire District: Ceavir4Zk,bV4,+ �Crm,'-aQI,r- r ,4.,t 'fa 4!w1Zs off' Shre--�,Qez►(?,e- \/a0»I., ,,I rm a l a/ - et /� k a&,r/M,0t, er,a,ls lh�re►ti-lor. f I gf,ra o* 3� b o,r6e-x-- a va 4ILvt gl la6� IS lEAIVt-U I V L b 4*Z 00 1#V1 t c Ylv ,rO t)re 5 A ov5 ��}2 571Z,1-re I/LLZ*k5 to b-p— f2¢.cv1-.mn5-�'o,r lLQ ►•4-g f�fS to he resSe�ll a•r lab-�/-�-d�T r�f/ Waste Transportation: , Last shipment of hazardous waste: Name of Hauler: NO 'Ic.�Ksc��s asp l�©wc- Destination: Waste Product: Ai5 l Ac4tfr rL - rlta rests Licensed? Yesa No ,ffC %Cv ioC V— O/, I 's 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) Photochemicals (Fixers) Gasoline, Jet fuel,Aviation gas Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine 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 1 Mr Co l0e& otts noa Ave,,Wote— deur, Laundry soil &stain removers (including bleach) �vtS��' �t..• e��e.-�'o o��ow-�.ap Spot removers&cleaning fluids (dry cleaners) � - �� ..I.a JiScus5 reau r r'crticc�}S. Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials Town of Barnstable i Sally Russell oF"E Regulatory Services 3 617-770-8708 Thomas F. Geiler,Director L385 Hancock Street uincy, MA 02169. i BARNMASSMp Public Health Division ' "lFa Nwy" 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 III GALLONS OF HAZARDOUS MATERIALS�_ FULL NAME OF APPLICANT _ A, NAME OF ESTABLISHMENT - _ 406V ADDRESS OF ESTABLISHMENT Nuaoni-5 TELEPHONE NUMBER IO(1 7 0 70 A SOLE OWNER: X' YES''r ENO IF APPLICANT IS A PARTNERSHIP, FULL NAME AND HOME ADDRESS OF ALL PARTNERS: c� 1 cf:=� APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. `-'!-30691 `1 j STATE OF'1*N ORPORATION FRL NAME AND HOME ADDRESS OF E PRESIDENT 144a -!T 0 • 7 TREASURER zAml -�' SIGNATURE OF APPLICANT RESTRICTIONS: I30ME ADDRESS 23 F5 f6 oaz- H9*ff TELEPHONE# b 1-) - 7 - 0 - -` 3+�S t Number Fee 1252 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Stop & Shop Store #406 •-------------------------------------------------------------------------------------------------------------------------------- 425 Attucks Lane, Hyannis, MA •----------------------------------------------------------------------------------------------------------------------------------------------------------------------- Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. ------------- ------------------------------------------------------------------------------------------------------------------------------------------------------ Restrictions: .-------------------------------------------------------------------------------------------------------------------------------------------- ------------------. This license is granted in conformity with the Statutes and ordinances relating there to, and expires 06/30/2021 - unless sooner suspended or revoked. ---------------------------------------- JOHN NORMAN DONALD A.GUADAGNOLI,M.D. 07/01/2020 PAUL J.CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable Inspectional Services BARNSTABLE �TME, Public Health Division 6ARY'TAB E-RN639V 2_CONR•FYAAWS MAMISp1t5.051WLLIe,!F AWi rE -. 1639-2014 BAMMBM Thomas McKean, Director ) MAR& JN o_.`� 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st-JUNE 30th). . APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 Rosr CATEGORY 3 PERMIT 500 or more Gallons: $150.00 *A late charge of$10.00-will be assessed if payment is not received by July 1st. oo?,i& -a 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? /. YES NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF • GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT:® Lu ,4-3hoa k loe_cmao- ( pi tt e 5. NAME OF ESTABLISHMENT: �5 �- i�reOh 6. ADDRESS OF ESTABLISHMENT: , � �VLane- 1u ct 10 n i s 1 A 0,;26 0/ 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: 10. SOLEOWNER: 't,YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: / CORPORATION NAME a 2 PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: _ TELEPHONE#: • COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICAN DATE w 1919 O Q:\Application FormsU3az Mat Appli Draft Jan20l9.docx Number Fee 1252 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Stop & Shop Store #406 425 Attucks Lane, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. ---------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------- -------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2019 unless sooner suspended or revoked. ------------------------------------ PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2018 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) Im ^ACC DATA kgulatory%ervwr of Brnsxable ices Richard V. Scali,Director " Public Health Division BARNSTABLE T Thomas McKean, Director °�""�1639 pqMA ���"ST�� z6 9. a`0� 200 Main Street, Hyannis,MA 02601 �Dg Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 [g✓s *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? v/YES NO. IF YES,SHIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF • GREATER THAN HOUSEHOLD QU,': :'. .. 4. FULL NAME OF APPLICANT: STOP & SHOP STORE #406- 425 ATTUCKS LANE 5. NAME OF ESTABLISHMENT: HYANNIS,,MA 02601 6. ADDRESS OF ESTABLISHMENT: ' 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: (.3 g 5 No vncoc*- 5 T" INC- M A C)a l bc( 8. TELEPHONE NUMBER OF ESTABLISHMENT: %o i 'Z- -7 U— S-TO 9. EMAIL ADDRESS: 9'v.5c-0 -ru w Q.,� Vc�l buSinfss 5e�-v1c,-es . ccr-Y> 10. SOLEOWNER:RYES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT (p DATE ICP r�I Q:Wpplication FormMAZMAT APP 2017 REVI D. ocx - 1 a 1 - The Stop & Shop Supermarket Company LLC fficers and Managers Title Name President Mark J. McGowan Treasurer Derk-Jan Terhorst Secretary Mark Messier Assistant Secretary Maria Silvestri Managers: Mark J. McGowan t AK even Kienzle erk-Jan Terhorst Stacy Wiggins Robert Yager All Officers & Managers of The Stop & Shop Supermarket Company LLC have the following business address: Stop & Shop Supermarket Company 1385 Hancock Street Quincy, MA 02169 617-770-8708 °Ft►,eroh Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARM.�,% Eg` 200 Main Street• Hyannis, MA 02601 1639. 'D'EDMP+p`0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT i Business Name: AQ P Me A0P Date: �� j Location/Mailing Address: G LVl Contact Name/Phone: YO --7 T I - 0 Inventory Total Amount: <.�06 MSDS: ► License#: 4 Tier II : Labelina: UR,S Spill Plan: 'a Oil/WaterSeparator: dMI Floor Drains: NO Emergency Numbers: . , Storage Areas/Tanks: In d e 0 q,' 16.OJ 462hd A4-r Emergency/Containment Equipment: 4 { i , a`' Waste Generator ID: L r �� Waste Product: Q66s 5 I cmm&% s Date&Amount of Last Shipment/Frequency: 1.211'1110, 4 i, Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storagnd disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluids Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid Windshield wash Y ( 9 ) Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides Caulk/Grout Vinsecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's � Metal polishes Other chlorinated hydrocarbons \7 Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: n �m+ Ptif1 5' ;tom'; InspectA- ll Facility Representa WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS —`f { (137771 QaYnS�bl,z =. = any-jog X SMEA® KEEPING YOU ORGANIZED No. 10334 2453L MADE W USA GET ORGANIZED AT SMEAD.COM POF 14a z � � f"