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Home My WebLink About0186 BREED'S HILL ROAD - HAZMAT �iL�II v2y� `S -�A-7" a. ,. ff 1 , a t r - a fe s Number Fee 1161 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that LANSING BUILDING PRODUCTS .-------------------------------------------------------------------------------------------------------------------------------- 186 BREEDS HILL ROAD, HYANNIS, MA .------------------------------------------------------------------------------------------- --------------------------------------------------------------------------- Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. ------------- ------------------------------------------ ----------------------------------------------------------------------------------------------------------- Restrictions: .------------------------------------------------------------------------------------------------------------------------------------------------------------------. This license is granted in conformity with the Statutes and ordinances relating there to, and expires 06/30/2021 unless sooner suspended or revoked. ---------------------------------------- JOHN NORMAN DONALD A.GUADAGNOLI,M.D. 07/01/2020 PAUL J.CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town .of Barnstable. Inspectional Service BLE .. MRMSTa&f.[4NTE5YNfettUlfW4td'IS • N3iSNiN6%LLS OS'PRYhtE.fESflWlSMfE Public Health Divls!on 1� < Thomas McKean,Director .` 200 Main Stteet,Hyannis,MA 02601 Office: .508-862-4644 Faxa 508-79,0-6304 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,HAZARDOIJS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE'RE`QUIRED TO OBTAIN AN ANNUAL_PERMIT(RUNS JULY 1 st-JUNE 30th). ,APPLICATION FEES CATEGORY 1 PERMIT 26 110 Gallons $ 50.00 De CATEG.QRY.2.PERMIT__1n_11 .494 GallorLs m$125 04,,_.._ m CATEGORY 3 PERMIT -5 0 or more-Gallons: $154.00 *A late charge of$10.00 will be assessed if payment is not received by July 1st. ( d 1. ASSESSOR'S.MAP AND PARCEL NO 2. IS THIS A PERMIT RENEWAL?ZYES_NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHERBUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS S MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? YES NO. 4.. FULL NAME OF APPLICANT;; 1- 1 w D is 5. NAME OF ESTABLISHMENT: Ili go Mkpj R.L2� T WE 6. ADDRESS OF ESTABLISHMENT; 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE; 8. TELEPHONE NUMBER OF ESTABLISHMENT: o 775~ ( o 9. EMAIL ADDRESS11 K 4 'EILJL�k LAWS W COY► 10. SOLEOWNER: YES NO IF NO,N AME 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: ZO SIGNATURE OF APPLI DATE �� 0:\Appl cat 0n Forms\Hea Mat Appli Draftlan20_.Mdom Number Fee 1161 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that HARVEYBUILDING PRODUCTS 186 BREEDS HILL ROAD,HYANNIS, MA Is Hereby Granted a License For: Storing or Handling 111 -499 gallons of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2020 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2019 JUNICHI SAWAYANAGI THOMAS A. MCKEAN,R.S.,CHO Director of Public Health we Town of Barnstable Inspectional Services BARNSTABLE Public Health Division t 7f.1 I j �. BARNSTABLE, I MASS, Thomas McKean, Director ArF0N1e,�� 200 Main Street, Hyannis, MA 02601 > Office: 508-862-4644 Fax: 508-790-6.304 :c APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE �y HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108. HAZARDOUS MATERIALS, ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1st JUNE 30th), APPLICATION FEES CATEGORY I PERMIT 26— 1 10 Gallons: $ 50:00 O - CATEGORY 2 PERMIT 111 499 Gallons: .. $125..0.0 j�1► S{ c;�d r—�� d. CATEGORY 3 PERMIT 50Q or more Gallons: $150,00 0 "A late charge of$10.00 will be assessed if payment is not received by July .l St. t 2 Z02D 1. ASSESSOR'S MAP AND PARCEL.NO. OR — 00s 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: nlCkf�E�L,�� 5. NAME OF ESTABLISHMENT: A2V Ea U 6, ADDRESS OF ESTABLISHMENT: 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: ,,.�1�� 8. TELEPHONE NUMBER OF ESTABLISHMENT 7� � �d 9 F,MAIL AUI)RESS: iC�l + `z� .ILJ�� . CO✓ . 10. SOLEOWNF,R: YES NO IF NO,NAME OF PARTNER: . 11. FULL NAME-, HOME ADDRESS,AND TELEPHONE# OF: CORPORATION NAME PRESIDENT TREASURER CLERK 11 IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS -_, EMAIL: *,SIGNATURE OF APPLICA _ DATE U:'Anplication FornisMia2 Mitt AppRevised(t9-1V8.docs ` 1 IKE T°� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 9B""MASSS. 200 Main Street• Hyannis, MA 02601 oMA+ TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: 4A-< W- gJ l l 5- 1%-CS Date: 9117118 Location/Mailing Address: S 1 1 t2 �nH Contact Name/Phone: oo Inventory Total mount: '"�`-A SDS: Y&eo O'Kj''cf-ly-A-c'"t License#: I C`t' 2 Tier II : 0 Labeling: <+��a` t Spill Plan: !t? Oil/Water Separator: No Floor Drains: tj a Emer ency Numbers: Storage Areas/Tanks: <4 1 0r\e- kw 40V 4k oor�4�R Emergency/Containment E ui ment: 3 �l� 1e1t+ti o b ovL 5 Waste Generator ID: Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: 1 LIST OF TOXIC AND HAZARDOUS MATERIALS 5 �v�V�w`�aVaterial ioJ%>*e NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous use, 1 Z o storage and disposal of 111 gallons or more requires a license from the Public Health Division. ' ,JLL Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers f r e fines&garages Pesticides: Caulk/Grout 1 V41)1 '!;, 1kAS 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: k S 0vt- oe 'C-QGb NAME 0kA , Inspector: .- Facility Repres WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS °.IKE A Town of Barnstable Office:508-862-4644 Public Health Division' Fax:508-790-6304 • "MASS. 200 Main Street• Hyannis, MA 02601 Eo +'�0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: awe 18v,1oe1 Date: 8 / Location/Mailing Address: 1 St 6 e.&002 1// lu , a w.�► Contact Name/Phone: 1M,k-e 2i,�woo� .So8-77- �-7-718g SOS-7-qE -01-/22 Inventory Total mount: 'L3 1 MSDS: 7f 044- 4YS41c� License#: Tier II : a Labeling: '*hu1k4)6e-�''`m Spill Plan: 27 e Oil/Water Separator: NNA Floor Drains: o Emergency Numbers: Yes Storage Areas/Tanks: S'4a/ la�cl�FS gne_ max• Size- co.t�a •��rs Emer enc /Containment E ui ment: `JPiI) Sorlo-e-wts e+ti- g I+If-- Waste Generator ID: Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid vl Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: CaulWGrout/a4&-1-mot s 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/RECOMMENDATION : ow t5SVO-VI.G2— a 1-7 .ram o-V- �e►�/ Inspector: Facility Representativ WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS `°F�►,e►okti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BpRMA Bq • 200 Main Street• Hyannis, MA 02601 %639. � TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: 4qf4X-y 601( , 5'� ,�S Date: 2► �� Location/Mailing Address: / S ► / h Contact Name/Phone: . - _'17 22 Inventory Total Amount: ^ J v MSDS: W Cope-. 4lv-e- License#:Aual—ck+ Tier II : Labeling:.lf tit ,I labolV11 Spill Plan: Ye-5- Oil/Water Separator: MIA Floor Drains: N o Emergency Numbers: "/eS Storage Areas/Tanks: aI) col 4Lk-- Emergency/Containment E i ment: 5 , ) io-oa A4.5 7 S f eYL :5 2 Waste Generator ID: Waste Prod ct: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: I LIST OF TOXIC AND HAZARDOUS MATERIALS D Vtta1o,( G V1 v es iyt 1 v1ven v/ -51mC2- tK cyt— NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, y ;Z1S// storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers f r e ines&garages Pesticides: Caulk/Grout q-due insecticides, herbicides, rodenticides Batteryaci�electrol a/batteries Photochemicals Fixers ( Yt ) (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: CAV 9 5al OIAK -5:ro�Q o VLS Ve L W\!AA l D QJ Inspector: 'e— Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS Date: `{ /ZS TOWN OF BARNSTABLE-- V1g `+,o,- TOXIC AND HAZARDOUS MATERIALS FORM NAME OF BUSINESS: BUSINESS LOCATION: Ma 9v"Is all, 99 , flan Is INVENTORY MAILING ADDRESS: TOTAL AMOUNT- TELEPHONE NUMBER: A r/ CONTACT PERSON: IDI.v� oo -I-. %o l �s l 1� v� cQ fee.S¢ IO►L I-, n- EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: 6j%k6LvA 6,;DQ\izS S INFORMATION / RECOMMEND TIONS: +,, �}cvl.K�.�a,l �/ per,r►�,k �'��,�w�evt�s Fire District: IG I vl, cj P� 41 P,G vv\004s, k l tx l'S • �f�iKN�S r,i U4 Iv14- eaQl le,,kn Waste Transportation: A 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 ova- ke_ Laundry soil &stain removers (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash f WHITE COPY-HEALTH DEPARTMENT I CANARY COPY-BUSINESS Applicant's Signature Staff's Initials (� - essage Page 1 of 1 Lavelle, Timothy From: Lavelle, Timothy Sent: Tuesday, April 29, 2014 9:54 AM To: 'mike.denwood@harveybp.com' Subject: Town of Barnstable Hazardous Materials License Mike, Thanks for meeting with me yesterday. The Town of Barnstable Board of Health has determined that using, storing, generating and/or disposing of 111 gallons or more of hazardous materials requires businesses in the Town of Barnstable to obtain an annual Hazardous Materials License. The Hazardous Materials ordinance can be found online at http://wviw.townofbarnstable.us/TownCierk/TownCode.Ddf. As we discussed, requirements for the license include submittal of the application (http://www.townofbarnstable.us/HealthDivision/Applications/hazapp.pdf and fee, an inventory of the typical types and quantities of hazardous materials stored on site, and a spill contingency plan. Please post a copy of the spill plan on site as well as sending in a copy with the application. Please don't hesitate to contact me with any questions. Tim Timothy J. Lavelle Hazardous Materials Specialist Town of Barnstable Public Health Division 200 Main Street, Hyannis, VIA 02601 508-862-4645 tim.iavelle@town.barnstable.ma.us 4/29/2014 Number Fee 1161 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that HAR VEY BUILDING PRODUCTS, INC. f ^ 186 BREEDS HILL ROAD, HYANNIS, MA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ---------------------------------------------------------------------------------------------------------------- N --- ----------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2015 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2014 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health Town of Barnstable �n+e Regulatory Services Thomas F. Geiler,Director ' B"R&"& Public Health Division 639.�� Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 I I 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 . 1 NAME OF ESTABLISHMENT / X, ADDRESS OF ESTABLISHMENT 0 6 dza LU FV TELEPHONE NUMBER SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP, FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.® �Z STATE OF INCORPORATION ��i FULL NAME AND HOME ADDRESS OF: PRESIDENT 0 Q TREASU R CLERKdu A HARV-EY INDUSTRIES, INC. SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# Haz.doc/wp/q MAIL-IN REQUESTS Please mail the completed application form to the address below. Also include a copy of your contingency plan (to handle hazardous waste spills, etc). In addition, please include the required fee of $100. Make check payable to: Town of Barnstable. Allow five to seven (7) working days for in-house . processing. Our mailing address is: Town of Barnstable Public Health Division 200 Main Street Hyannis,MA 02601 FOR FAXED REQUESTS Our fax number is (508) 790-6304. Please fax a completed application form. Also,please fax us a copy of your contingency plan(to handle hazardous waste spills, etc). In addition, please mail the required fee amount of$100.00. Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. Allow up to four days for in-house processing. For further assistance on any item above, call(508) 862-4644 Back to Main Public Health Division Page „! HARVEY � � •u��No.aoourrs HARVEY BUILDING PRODUCTS - WHOLESALE DIVISON EMERGENCY RESPONSE AND HAZARDOUS MATERIALS CONTINGENCY PLAN This site-specific Contingency Plan is the facility's plan for dealing with emergencies and must be implemented immediately whenever there is an imminent or actual fire, explosion, or release of hazardous materials which could threaten human health and/or the environment. At least one copy of the plan must be maintained at the facility for use in the event of an emergency and for inspection by the local agency. A copy of the plan and any revisions will be provided to any contractor, hospital, or agency with whom special (i.e., contractual) emergency services arrangements have been made. A. Facility Information: BUSINESS NAME BUSINESS PHONE. HARVEY BUILDING PRODUCTS 508 775-7788 SITE ADDRESS CITY STATE&ZIP CODE 186 BREEDS HILL ROAD HYANNIS MA 02153 B. Emergency Coordinators: Prima Emergency Coordinator Secondary Emergency Coordinator NAME NAME MIKE DENWOOD ANNE MARIE PASQUALE TITLE TITLE BRANCH MANAGER BRANCH OFFICE SUPERVISOR BUSINESS PHONE BUSINESS PHONE 508 775-7788 (508) 775-7788 24-HOUR PHONE (508) 243-8422 C. Evacuation Plan: In the event of a fire or other emergencies,ALL employees must evacuate immediately. 1. The following alarm signal(s)will be used to begin evacuation of the facility ® Intercom; ®Horns/Sirens; ®Verbal 2. ®Evacuation map is prominently displayed throughout the facility. D. Emergency and Post-Incident Contacts: 1. Emergency Contacts: CALL 911 FOR ALL EMERGENCIES BARNSTABLE POLICE (MAIN)508-775-0387 BARNSTABLE FIRE(DISPATCHER)508-362-3131 BARNSTABLE FIRE(MAIN)508-362-3312 ELECTRICAL DYNAMICS(SPRINKLER SYSTEM)978-664-1050 MINUTE MAN ALARM 508-655-7510 WAYNE ALARM INC.(ALARM MONITORING) 800-933-6543 HARVEY BUILDING PRODUCTS—WHOLESALE DIVISION 1/6-Rev.4/30/14 Hazardous Materials Contingency Plan-Page 2 of 6 2. Post-Incident Contacts:* Leon Lackiram,Safety Engineer Harvey Phone No.: (603)216-8342 Building Products, Londonderry,NH 3. Emergency Resources: Nearest Hospital: Name: CAPE COD HOSPITAL Phone No.: (508)771-1800 Address: 27 PARK STREET, HYANNIS, MA 02601 1. IN THE EVENT OF EMERGENCY THAT REQUIRES THE BUILDING TO BE EVACUATED ALL EMPLOYEES AND VISITORS MUST EXIT THE BUILDING AND ASSEMBLE AT THE COMPANY SIGN NEAR THE ROAD. 2. THE BRANCH MANANAGER WILL ACCOUNT FOR ALL EMPLOYEES AND VISITORS IN THE WAREHOUSE AT THE TIME OF THE EMERGENCY HARVEY BUILDING PRODUCTS HAS CONTRACTED WITH THE FOLLOWING COMPANIES TO PROVIDE EMEREGENCY REPSONSE AND HAZARDDOUS MATERIALS DISPOSAL: 1. CLEAN VENTURES INC : Nick Foote @ 978.852.5794; 800-347 -7672; 2. VEOLIA ENTERPRISES : Stephanie Gaudette @ 508-804-4806 HARVEY BUILDING PRODUCTS—WHOLESALE DIVISION 2/6-Rev.4/30/14 Hazardous Materials Contingency Plan-Page 3 of 6 F. Emergency Procedures: . Emergency Coordinator Responsibilities: 1. Whenever there is an imminent or actual emergency situation such as a explosion, fire, or release,the emergency coordinator(or his/her designee)mus: a. Notify appropriate local authorities(call 911). b. Activate internal facility alarms or communications systems,where applicable,to notify all facility personnel b. Assess possible hazards to human health or the environment that may result from the explosion,fire,or release. c. Identify the character,exact source,amount,and areal extent of any released hazardous materials. d. Monitor for leaks,pressure build-up,gas generation,or ruptures in valves,pipes,or other equipment shut down in response to the incident. e. Take all reasonable measures necessary to ensure that fires, explosions, and releases do not occur, recur, or spread to other hazardous materials at the facility. f. Notify the Safety Engineer Leon Lackiram 603-216-8342 2. Before facility operations are resumed in areas of the facility affected by the incident,the emergency coordinator will: a. Provide for proper storage and disposal of recovered waste, contaminated soil or surface water, or any other material that results from a explosion,fire,or release at the facility. b. Ensure that no material that is incompatible with the released material is transferred, stored, or disposed of in areas of the facility affected by the incident until cleanup procedures are completed. c. Ensure that all emergency equipment is cleaned,fit for its intended use,and available for use. d. Notify the Safety Engineer Leon Lackiram 603-216-8342 G. Post-Incident Reporting/Recording: The time,date, and details of any hazardous materials incident that requires implementation of this plan shall be noted in the facility's operating record. Within 7 days of any hazardous materials emergency incident or threatened hazardous materials emergency incident which triggers implementation of this plan, a written Emergency Incident Report, including, but not limited to a description of the incident and the facility's response to the incident,must be submitted to the Safety Engineer, Leon Lackiram. The report shall include: 1. Name,address,and telephone number of the facility; 2. Date,time,and type of incident(e.g.,fire, explosion, etc.); 3. Name and quantity of material(s)involved; 4. The extent of injuries, if any; 5. An assessment of actual or potential hazards to human health or the environment,where this is applicable; 6. Estimated quantity and disposition of recovered material that resulted from the incident; 7. Cause(es)of the incident; 8. Actions taken in response to the incident; 9. Administrative or engineering controls designed to prevent such incidents in the future. HARVEY BUILDING PRODUCTS—WHOLESALE DIVISION 3/6-Rev.4/30/14 _t Hazardous Materials Contingency Plan-Page 4 of 6 H. Emergency Equipment: EMERGENCY EQUIPMENT INVENTORY TABLE Personal Protective Equipment,Safety Equipment,and First Aid Equipment 1. Gloves 2. Safety Glasses/Splash Goggles 3. Face Shields 4. First Aid Kits 5. Portable Eye Wash Kits 6. Safety Glasses/Splash Goggles 7. Hard Hats Fire Extinguishing and Detection Systems 1. Automatic Fire Sprinkler Systems 2. Fire Alarm Boxes/Stations 3. Portable Fire Extinguishers 4. Smoke/Heat Detectors Spill Control Equipment and Decontamination Equipment 1. Absorbents 2. Spill Kits Communication and Alarm Systems 1. Intercoms/PA Systems 2. Telephones HARVEY BUILDING PRODUCTS—WHOLESALE DIVISION 4/6-Rev.4/30/14 Hazardous Materials Contingency Plan-Page 5 of 6 I. Training: 1. Personnel are trained in the following procedures: • Internal alarm/notification • Evacuation/re-entry procedures&assembly point locations • Emergency incident reporting • Location(s)and contents of Emergency Response/Contingency Plan • Facility evacuation drills,which are conducted at least annually 2. Chemical Handlers are additionally trained in the following: • Safe methods for handling and storage of hazardous materials • Location(s)and proper use of fire and spill control equipment • Spill procedures/emergency procedures • Proper use of personal protective equipment 3. Emergency Response Team Members are capable of and engaged in the following: • Shutdown of operations • Liaison with responding agencies • Use,maintenance,and replacement of emergency response equipment • Refresher training J. Recordkeeping: • Current employees'training records • Training Program(s) • Current copy of this Emergency Response/Contingency Plan • Record of recordable/reportable hazardous material/waste releases K. Amendment of Contingency Plan: This plan must be reviewed,and immediately amended,if necessary,whenever: a. Applicable regulations are revised b. The plan fails in an emergency c. The facility changes its design, construction, operation, maintenance, or other circumstances in a way that materially increases the potential for fires, explosions, or releases of hazardous waste or hazardous waste constituents, or changes the response necessary in an emergency. d. The list of emergency coordinators changes. e. The list of emergency equipment changes. L. Hazardous Materials List: 1. RPI contact cement 5-gal 50 pails 250- al 2. RPI splice adhesive 1-gal 40 gallons 3. RPI seam primer 1-gal 30 gallons 4. RPI splice cleaner 1-gal 30 2allons 5. Polyglass roof cement 3-gal 5-pails 15 al HARVEY BUILDING PRODUCTS—WHOLESALE DIVISION 5/6-Rev.4/30/14 Hazardous Materials Contingency Plan-Page 6 of 6 FACILITY EVACUATION MAP Site Address: Harvey Building Products, 186 Breeds Hill Road,Hyannis,Ma 02601 OUTSIDE STORAGE overhead door COLDSTORAGE exit rack FEED Ffire overhead hazmat material storage I rack I lexit loverhead door Itfire Ifire door rack rack rack fire4 overhead door rack MAIN WAREHOUSE rack rack overhead irey Iwater shutoff Icloor exit �Cfire electric room V re'N GAS SHUT OFF OUTSIDE exit 1OFFICE overhead overhead overhead overhei—Lfire___ fire GATE door door door door exit MAIN ENTRANCE BRANCH#14 HYANNIS 186 BREEDS HILL ROAD HYANNIS,MA.02601 E PARKING AREA ire Hydra t FFE FF E-FFF BREEDS HILL ROAD HARVEY BUILDING PRODUCTS—WHOLESALE DIVISION 6/6-Rev.4/30/14 Number Fee 1161 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that HAR VEY B UILDING PROD UCTS 186 BREEDS HILL ROAD, HYANNIS, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2019 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2018 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health Vwor of B4,rnsxable eg atory ervices Richard V. Scali, Director , Teti T� Public Health Division BARNSTABLEBARN K; • NMStONS MILL$QSfE4YtlF•8"sfT 6tCM5fKE�`-`' STABLE Thomas McKean, Director 1639-2014 7 200 M=' Street;Hyannis;MA 02601_.. Office: 508-862-4644 Fax: 508-790-63041 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE 7� 01 HAZARDOUS MATERIALS Cn 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 R V, CATEGORY 3 PERMIT 500 or more Gallons: $150.00 O *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, 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. • I 4. FULL NAME OF APPLICANT: M IA4c( 5. NAME OF ESTABLISHMENT: T I A i Ey y 1 �C�l i�i ". d'o 6. ADDRESS OF ESTABLISHMENT: Ci2 T l it KC1 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: �� 775 �7 ZY 1 A A C Hof 9. EMAIL ADDRESS: tim � " 10. SOLEOWNER: ` 'ES NO IF NO,NAME OF PARTNER: Cttm� 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 APPLICAAASED. DATE. Q\Application Forms\HAZMAT APP 20 .&� docx r /► - '�+ �� i • f � � � Number Fee 1161 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that HAR VEY BUILDING PRODUCTS �. 186 BREEDS HILL ROAD, HYANNIS, MA _— Is Hereby Granted a License `4 For: Storing or Handling 111 - 499 gallons of Hazardous Materials. ` --------------------------------------------------------------- ----------------------------------------------------------------- ------------------ ------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2018 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2017 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health •� TRowrl of Barnstable eg atory ervlces Richard V. Scali,Director dF�r � Public Health Division BARNSTABLE u[wsreBie, 1 Thomas McKean,Director .wsnusxuu 3,'.Zp o.f.e..s„e.e ass. 200 Main Street,Hyannis,MA 02601 -o Office: 508-862-4644 Fax: 508-790-6304s 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—NNE 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 ❑ *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? YES_NO. IF YES,SHIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN'HOUSEHOLD QUANTITIES`(255 GALLONS)? YES NO. • 4. FULL NAME OF APPLICANT: A,`L'E !✓L�i��IN�' �, tr�.�S 5. NAME OF ESTABLISHMENT: �,r1� 6. ADDRESS OF ESTABLISHMENT: `- ,i I 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 71 �c 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: I C g ,ln\;!w�:OC` s ti r`c e, CCw VA 10. SOLEOWNER: BYES) NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME AD SS,AND TELEJPH NE#O : s CORPORATIQ,DLNAME PRESIDENT TREASURER CLERK — 12. IF PREPARED BY OUTSID ACR Y: NAME: TELEPHONE#: COMPANY ADDRESS PAMOCANT V IINOf SIGNATURE DATE �O Q:\Application Forms\HAZMAT APP 2017 REVISED.docx Number Fee 1161 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable a Board of Health This is to Certify that HAR VEY BUILDING PRODUCTS 186 BREEDS HILL ROAD, HYANNIS, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2017 unless sooner suspended or revoked. ----------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF, D.M.D. 07/01/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health I � Town of Barnstable �TME Regulatory Services Richard V. Scah, Director MASS " Public Health Division Jq i#�- V639 1 \� {5"v Y IGIIIIABIFThomas McKean, Director 200 Main StYeet, Hyannis,MA 02601 V Office: 508-862-4644 � Fax: 508-790 04 .p. 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 Be-**' CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ A late charge of$10.00 will be assessed if payment is not received by 1st ASSESSORS MAP AND PARCEL NO. DATE Y/ FULL NAME OF APPLICANT: 14(,".Q J.A 7,�F ) NAME OF ESTABLISHMENT: hVJIsAIA ADDRESS OF ESTABLISHMENT: _ Ir 2c /4 Qa(p Q MAILING ADDRESS(IF DIFFERENT): TELEPHONE NUMBER OF ESTABLISHMENT: RM--A 6`1"2 EMAIL ADDRESS: OUAUwd 19 ha2( be,0AI-ri SOLE OWNER: YES NO IF NO,NAME OF PARTNER: FULL NAME,HOME ESS,AND TE P ONE#OF: CORPORATIO ME PRESIDENT e TREAS R CLERKri 1 AD ,-PJA Pk • IF PREPARED BY OUTSIDE PARTY: SIGNATURE OF APPLICANT Name: Hal INC. Company Address Telephone#: C:\Users\rmaWppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.0ut1ook\KXRDZGEAHAZZAPP Rev 16.docx Page 1 of 2 Number Fee 1161 THE COMMONWEALTH OF MASSACHUSETTS 100.00 Town of Barnstable Board of Health This is to Certify that HAR VEY BUILDING PRODUCTS 186 BREEDS HILL 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 1 . I Town of Barnstable Regulatory Services • ° Richard V. Scali,Director f ASS. Public Health Division Thomas McKean,Director r',q 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 " Fax: 508-790-6304 :U Application Fee:$100.00 ASSESSORS MAP AND PARCEL NO. -O� -1 DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT I TELEPHONE NUMBER 9C)O 1A 01 ""-e?q SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.- STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF; PRESIDENT - Ah TREAS CLERK m HARVEY INDUSTRIES; INC. . SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS - HOME TELEPHONE# C:\cache\Temporary Intemet Files\01,KD3\HAZAPP Rev2015.DOC Town of Barnstable Office: 508-862-4644 Fax: 508-790-6304 a. Regulatory Services Department • snluv �na Public Health Division y Mtinss. Thomas A. McKean,CHO 200 Main Street, Hyannis, MA 02601 Payment Receipt ,Hazardous Materials Payment received: $100.00 (Check) on 8/27/2015 !Check number: 438866 Check amount: $100.00 Name on check: Harvey Building Products i iBusiness: Harvey Industries, Inc. Owner: HARVEY INDUSTRIES INC Address: 186 BREED'S HILL ROAD, Barnstable I PAUL T. ANDERSON loada,/, Reran Regional Environmental Engineer 02346 l l 9/�7 123)', Lt 680-6?4 0 m March 22, 1985 ep Daigle & Company, General Contractors RE: BARNSTABLE—Subsurface Sewage 404 Main Street Disposal--Pumping Prior to the Barnstable, Massachusetts 02632 Septic Tank for Robert M. Shields, Lot 19, Lakeside Drive ATTENTION: Bill_ Liimatainen Gentlemen: In accordance with 310 Dn 15.09(1) of Title 5 of The State &Ivlronmental Code, the Department of Environmental Quality Engineering has had an engineer review your request for prior approval to install a sewage ejector at the subject location. The Department does not recommend pumping into the septic tank, but whereas the sewage flow being pumped is a small percentage of the total daily flow and should not cause a major disturbance; the Department hereby approves the proposal with the following provisions: 1 . The installation meet the requirements of all other State and local agencies. 2. The sewage ejector shall be a low flow (15-25 gallons per minute) , non- grinding pump. Please be advised that the installation of a sewage ejector constitutes an alteration to your subsurface sewage disposal system and therefore, the appropriate permits for such an alteration must be obtained from the Barnstable Board of Health in .accordance with 310 CMR 15.02 of Title 5. If you have any questions or need additional informatics:, please contact Fran Mezzacappa at the above telephone number. Very truly yours, For the Commissioner Robert P. Fagan Deputy Regional Environmental Engineer r F/N/re cc: Board of Health Hyannis, MA 02601 Plumbing Insector Hyannis, MA 02601 II