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HomeMy WebLinkAbout0040 COMMUNICATION WAY - HAZMAT (3) �I� -��� - G�-/liZdO -� �. f .W Number Fee 356 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Cape Cod Times (Location I) 40 Communication Way -Mail: 319 Main St-Mike Fabia, Barnstable -MAIL to: Hyannis, MA 02601,MA 02630 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. 6/30/20.09 JUNICHI SAWAYANAGI THOMAS A. MCKEAN,R.S.,CHO Director of Public Health i Town Off' Barnstable JUL 01-2009 Barnstable 1 Regulatory- Services Department AMtI4 I Public Health Division q � ' 1 A 200 Main Street,Hyannis MA 02601 2007 Office: 508-862 4644 RETURN PAYMENT gape Cod Times 319 MAIN STREET Thomas F.Geiler,Director FAX: 508-790 6304 TO SITE HYANNIS,MAW 0=1 Thomas A.McKean;CHO Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE_,' O�J APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN I II GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT Pled • ADDRESS OF ESTABLISHMENT �D Cd MMcsiwl L47 ie#,,tj c�i4-fir 1hANKtS B�?,'9. TELEPHONE NummiR 7a+ � SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAN,1E AND HOME ADDRESS OF ALL PARTNERS: 42258846 IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. �S l 3 13 k STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK b Rv 11-b bT IQ URE OF APPLICANT • RESTRICTIONS: DOME DRESS 3 tZ0 -s Lz� �r�nrcrl c,r! HOME TELEPHONE#_ 4136- Q:UHazmat\Haz Mat Application2008.DOC >w REMOVE DOCUMENT ALONG THIS PERFORATION C o0 / a r j 't,•.� ,j,.. (/fit H,I //'��V1p�o s hs • . .• �QWY tl - \S ,�-\,. Iv�,"�I�I, 'V.tl l - "... .\ :. \ N �.\\� L.;I i�. ,.,.,i I, V ,. _ a� �?<.:. ,t n'k. -4+� I \ .,.\\\sp:,,\,'P..4,„, N ` a( hilUdlM1::.eo,pldl. dlelil L,Ix.4d ASEMA t a \..,\,\,rOTTAWAYN I 111 61 y11 HA:.:AN.BANK \I ,\ .Z,26 r 4 \ •::\\\: \I \\ Tm,APER IINC IL._ I 1-1 USA,N A a ey,� \. 1\,\,,, ° U,\, \, \ �, ii l IIII II II IIII I I II I III, t., \\, \ , ,. I .¢IIII .$s I I WI ING... .,\ .III TDEV1960.1 ,I \,. . 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Ip i,._ IJu In .„II,�_, I� I„lu 3Fe, ......_Q,l:-��.: .� .. .� �\�\G \ .r.Q .: �971 , r , -i,ll I I �I�•si .*� •� ,, .0 `�'+� �'..�, ,YI I II �._III L:. ,L,I,,`,. ��, �.. ., '� : �\�a+ .��\ �.\ � i,r �.. .��dl Ir �41111 'J I:,• Ulwx.'uIl ..I`"3`'��* ,:'t-, +s � - �:II,II'III.. .,IIIGIIV„I�6 IIy61'III���IIIi IIIII�Y� �s.�' � ��� �'>_Y•� a�- '•are :� a�� .��� a�a:,� � ,�°�, J' r I�I ,II,�...I Ili��lll��l�p .il�ll,I�IC+3x,'sl,p II=F >{: �, ;i tees 00004 16098o 1:0 3 1 100 26 71: P. 30 153 14 7 5 509u■ Number Fee 356 THE COMMONWEALTH OF.MASSACHUSETTS 100.00 Town of Barnstable Board of Health This is to Certify that Cape Cod Times 40 Communication Way, Barnstable, MA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 6/30/2015 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2014 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health �a " Town of Barnstable ] 4 °F1HE r°,,ti Regulatory Services Richard V. Scali, Director '" MA&S. Public Health. Division i639• Ar p fo�np. 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 'n / V FULL NAME OF APPLICANT LO Q C C— NAME OF ESTABLISHMENT �/�PE cod Ti n'1 is ADDRESS OF ESTABLISHMENT 240 COM OVI GA !I AS TELEPHONE NUMBER 570 O ' SOLE OWNERJ�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 �l A�' r';a TREASURER CLERK SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# Q:\Application Forms\HAZAPP.DOC Number Fee 356 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that Cape Cod Times (Location I) 40 Communication Way, MA 02630 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ----------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2007 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. June 27, 2006 PAUL J. CANNIFF,D.M.D. THOMAS A. MCKEAN,R.S.,CHO Director of Public Health F7092 TOWN OF BARNSTABLE- CHECK NUMBER 9910.08825 DATE 05/31/06 INVOICE INVOICE DISCOUNT NUMBER DESCRIPTION INVOICE DATE..:: PO NUMBER:: NET AMOUNT ,: .... AMOUNT _..AMOUNT 052406HAZ parcel 327102 05/24/06 100.00 100.00 a TOTAL $100.00 $100.00 a ii A g 1, a>r a a 4 k 9 A �E A-9 a 0-� ems.- I a 1.a " ; -I a 00000 C) Cl; 0 0 fl) C) 0 1=3 =:=,a -Z--= 9 Fiji M M no m rVi M 14. M *Jr) 1517�vl Pill iv; ;El p -r4l Ni J� M vil M et, 0 o 0 a rEl w VJ I MA I K! t Lr,A i P-1 9 1 PF-1 L"!J- i ll,-J j il V O f7it71 F. e - -3 ♦7,7 O-V F" j <v" 1�I C) 40, (4-41 Town of4arnstable ,� too roy Regulatory Services Q (Atx Thomas F. Geiler,Director Public Health Division i639. Thomas McKean,Director 200 Main Street Hyannis,y MA 026 Q � _. . Office: 508-862-4644 'i L i � Fax: 508-790-6304 Application Fe $100.00 ii MAY 3 1 2006 Y-r O ASSESSORS MAP AND PARCEL NO. A�� O DATE `7 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANTkA NAME OF ESTABLISHMENT S ADDRESS OF ESTABLISHMENT 19 W1 &I ID 6L+ TELEPHONE NUMBER '" " SOLE OWNER: ✓YES NO iv'U. DATE i APPROVED ------- IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME 6DRESS� T CHARNO. GED PARTNERS: �1Q. . NO. $ CVO. IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION t - FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER 'tee CLERK c SIGNATURE OF APPLI ANT ' RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# Q\Application FormsMAZAPP.DOC °PINE►o Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARMASSe`E'$ 200 Main Street• Hyannis, MA 02601 .639. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT RFD MPy A Business Name: Ga , s Pro ,,e,+,a,ti:Vic+I,k-- Date: 2 t 6 Location/Mailing Addr ss: D w.w�uv�• +�� sct4ylt,� �►r5 Contact Name/Phone: 7 3 7- -L Al 114C F'a.10- W4,vL 64 Inventory Total Amount: > 10, 1 MSDS: le,s License#: Tier ll : 9 Labelin : 6,vm � � Spill Plan: Y&e, Oil/WaterSe arator: A Floor Drains: tJo Emergency Numbers: S Storage AreaslTanks: ink 0&vu aV%1tb 0'11 K1V'1' ,C,I I- }' W zM f 14 ,r,1 ce�, kVvni +wcg Emergency/Containment Equipment: nwyt� a t E� ow5 Tt4n fr o-r-t.S Waste Generator ID: See, Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives (creosote) Asphalt&roofing tar Swimming pool chlorine ,/ Paints, varnishes, stains, dyes,�fwv5 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: kA swta JC4 w S Je— 1 s M, a L Iw 5 .. 5 0 2vv S At,tl.1�0 b4— CI.ea%-- X) av`et +awk5;- IIW-S lc-el gK&Ve14 �1t�o rw� �� It •l�e + �u c�,.L o�►,t. 4k ko �&-K r•� spec r: V1/I t X f+� �ari�L t�n..�a_St vL �'oovti. , c o rn SDAQLc ,Wte e-�za+�vp �- Av-Facility Representative: aw 'C L +0 `�44 V.."�>ti ���k t v`��w.e,�o see, ► It e,¢,A.c e, s+1 WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS yOF IME�ok4• .�.. ✓ Town of Barnstable , r Office:508-862-4644 Public Health Division Fax:508-790-6304 + BARNSTABLE. may•" MASS. a,.. 200 Main Street• Hyannis, MA 02601 MP� Y'TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT ,, ,,'Business Name: �G Co trots �'�o /r-+l�� fir- t Date: / (0 Location/Mailing Addr ss: 0 (1>,m v %,jvt �. 1 v✓t t.)"2�j a o el r S Contact Name/Phone: 1k2 F'a1�lk • s,��trv�s�r�r. vvl l� $4 , F � Inventory Total Amount: a ►J,voo Q MSDS: -le License#: 3S� Tier II : 1),, ,AV 4 b.R}icy z�, r Labelina: &eO4— Spill Plan: ye'7 Oil/WaterSeparator: t��rrk Floor Drains: !Jo Emergency Numbers: y�4 Storage Areas/Tanks ink <r�ow. �� n��5 5},18v,kly ��I) . �� IQc fwp}, ,j� ,� c.� ��J�tS 11 �v� {/ ,�•/! �k fw 1?'A G.lh I Kf.7 Emergency/Containment Equipment: SVA k I.i n,A `b, �. . u n i,i w;J ?.r t) 0 Waste Generator ID: See- Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage,and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers / Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) j Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming � p g f g pool chlorine f Paints, varnishes, stains, dyes4,A 7 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) V (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, , hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION RECOMMENDATIONS: t1h Cat6, 7rutti� iP. rw- S,� : S k �41t_ lk�lr AISCps I1:1Iti + Q, k iw p� S5f .//jj"'srAy+y� ��►n�,��►�� -�� �r ,�gwtI��'I.��e Eve �>�,.=�rte_v� ' jir~s � 0,VI +A%Ak� 4 iVIA-S CZ v+nfJV ,p �tlza iux�c 1It 1.�1: f �c �.vt a,�c vt, J r' spector: rv+. �.,��� , �skS vDCJ��cc S trtt� clzaIVP � ��K-FacilityRepresentative: r --TL +o 44 v�,k .�Ga-�� t,�"S�ue � SCE �� 1�Gtiut.' - 5+, tl re v set•' WHITE COPY HEALTH DEPARTMENT/CANARY COPY-BUSINESS 1 G)V*OLiA 1�1�1l��111���18 ENVIRONMENTAL SCRVICES SHIPPING 1.Generator @ Number J4 Page 1 of 3.Emergency Response Phone 14.ShWrkg Do me�Tre 345432 00C111 NT eneraUors Name and Mailing Address Gene s Sile Address ererrt thenigFing address) C,.APV COD TfMES CAPE COD xxaAS P.O.SOX 550 40 00tWI MCATIONS WAY ATTN;MR3LP M FA'D)k Generator's Phone: sdf t HYANMS,MA, 0260I HYANMB•ASH, 0=1 B.Transporter Company Name U.S.EPA ID Number VEOLM ES T&h-MCAL SOLLMOM N J D 0 8 0 6 .3 1 3 6 9 7."Oansporter2Comparry are U.S.EPA ID Number FREEHOLD QWCAGE INC W 3 n 0 5 4 t 2 5 I 6 4 8.DeSIgnaled Fad%M—a—rn—a—an—PZ Address U.S.EPA ID Number VEQ1 IA V3 MWCAL WM•JTk-DNS I25 FACTORY LAVE Fadll s Phone: 7A2 669ZIOC, UMLESE}..NJ OW4 IN J D 0 0 2 4 4 4 5 4 d ga, ft U.S.DOT Description(rock ding Proper$hipping Name,Hazard Class,ID Number, 10.Containers 11.Total 12.Unit 13,Codes KM and Pad"Group(if any)) No. Type ouant y Wi1V01. 1• O IAJ993�CQMEi138TI1�Gtt LItJ[D,n 4.s..�i,iTEit]INfG. NONE LU 2. 3. 4. M.Special Handling Instru0ona and Addillorml Information Eft Service r..arltd0t94tsyVfs9T9 I)bR0,129VIt:S7554I 15. GENERATOR SICFFEROR S CERTIFICATION: I hereby dedars that the cordents of 8r19 consignment are fully and accurately described above by tt.e proper shipping name,and am dasslfied,packaged, marked and l9We it Wxded,and ate In all respects in proper condllton for pansport amording to apple�ftmational and nadonel govammental regulations. Me Ypa Offeroes P gn o ay ear K—S -� 1q.IrrtamatianEd Sftlprnents ❑Impat to U.S. ❑Export from U.S. Port of entrylea Transporlerst nature(for only,); Date kming U.S.; 17.Transporter Acknowledgment Of of Shipment . Day "Ibw Tra YP�Name rintediT ___�Bna re --. _ Month.. ._ ) . _... . ILUffT War i i Tragsporler2Prin Name ;76 18.DismWcy Ilk Discrepancy Indcadon Space ❑ Guantdy ❑Type LJ Residue ❑Partial Rejedion ❑Full Rejection Shipping Document Tracking Number: tom.Alternate Facility(or Generator) U.S.EPA ID NUMber C3 Fads 's Phone: 1&.Si rgture of Alternate Faaiar or Generator) Month eY Year IS.Repot Management Mebrod Codes(i.e.,codes for dlspoesl,and reryyddng system9) 1 2. 4. 20.DeiignatBdFaeflity0wrierarOper&rqergWonGfroc,eipt of shornent exceAtas noted in Itom 18a PfiritaclffypedName Sighaiure Month Day Year CP-Vo DESIGNATED FACILITYTO GENERATMR (I)vEOLiA Ilfllflll��ll�illllll�llf ENVIRONMENTAL SERVICES l o go SHIPPING 1.Generator ID Number 2.Pqe 101 3,Emergency Resgonge Rhone 4.Shipping Dournunl Traaking Number DOCUMENT 4 'Me 00345433 5.Generators Name and M9Ing Ad ees Generator's Sita Address(if different than mWing address C"E COD TIMES CAPE-"OD TMG9 P,O,BOAC 550 40 U%a&L NCATiONB WAY ATTN.WCUA9L FAVJIA Generetor'a P WE S09 I KYAWSI,MA 02601 :RYAWF,,MA 0=1 nurisporter I campany Name U.S.EPA ID Number (]LMES T£L`EWC-AL SO.LLITIC I 17 Q $ 4 5 3 I b 9 7,Transpmler 2 Company Name U.S.EPA ID Number >~REEKOLD CARTAQE IN J D 0 5 4 1 2 b 1 6 4 $.Designated Fadlity Name and Site Addreas U.S.EPA ID Number VEIULYA ES TEC;M4CAL SOUMOM 125 FACTORY LAIC FadUN's phone: 732 449L5100 I'')DLHA�7,PiJ 08946 114. 3 D 0 0 2 4 5 4 5. 4 4 9, 0b.U.S.DOT Description(including Proper SNpping Name,Hazard Class,ID Number, 10,Containera 11.Total V.Unit HM and Packing Group(if any)) No. Type Quantity VAJV01. 13.Cedes O 1, 1903,CORTi13V13 $Ll t,IQilIpp if.D,9„GiallEiGr D NONE LU M 's ; 50 P LU 2. 3. 4, 14.*ctal Handhg Iltstructbns and AMdonal Information ER$88 j0e CMb'acWdby VESTS A- I)ERO:17.8 W:575541 15. GENERATOR SIOFFEROR$CERTIFICATION! I hereby declare that the contenta of thb consignment are fuUy and accurately described above by the proper shipping name,and are dassified,packaged, marked and labelectplacarded,and are in all respects in proper condition for transport according to applloable International and rat mal governmental regulatlans. GenT—Znm� 1 3 � r a e y Zpad New* -S7gnatura ay ear 1 ,Internatlonad ShIpwro ❑Import to U.S. ❑Export from U.S. „ Port of entrylaxit' Transporter signswre fa exports only): % Date10* U,S„ �= 17.Transporter AdmowledgmantofR 'tofShipment Trap rt Prinbdlfyped Name . .. . .. >an .. .,_ .._. __... ._. .. .. _. . . ...._ on.._ ear ..._, . Traruppwrter22 Printecgy_pe�d(Name . .X D a 4.� 18.Discrepancy 18a Dlscrepancy IndltWon Space Quantity [:]Type ❑Residua 1-1-Partial Rejection ❑Full R4edon Shippirur Documerd Traddrin Number. 18b.Alternate Faofity(or 0anerehor) U,&EPA ID Number 7 V d Fadlws Phone. 1 Be.Signabae cfAltemab Facility(or Generabr) Month Day Year 19.Report Mamgvwe Method Codes(i.e.,codes for treatment diaposd,and recycling systems) 1, r 2. 3, 4, 20.Daaignsled Fwflk DNnar of dpe .Cerfifirabon celpt of shipment except as noted In kem 18a n e erne Signature nth Day Year DESIGNATED FACIUTYTO GENERATOR Please Ml t ur-,type,(Form doolmied for use'tl}r Ra 12 pitch�;typewriter. . Form Approved.t7W No.2050-0U39 UNIFORM HAZAROOUe; 1.Generator ID Number 12.Pee'1 of3:Emergency Res . ponse Phone 4.Manifest hacking WA$T);MANIFESY 5 3 , "C S 5,Qenbrabors Nam®and Meifmg Address•' Gen�ata°s Site Address(ff dMerent then mai4ng address) Y C r7 R:AFJ31 Cate 06D"t`.IIr= Ad BOX 550 40 COMMTMCATIOM WAY ATM,190HAM F ABYA Generator's phmw:' H'lrG1I 0201 H?ANKS,WA QMJ 6.Transpart9r 1 Compwry Nsme," ' US.EPA ID Number _JLtA IM MONOAL SOJ< O Ys J D 0 (i< J? 6 3 1 3 0. 9 7•Transporter 2 Compeny Name U.S.EPA 10 Number 8:'D igq ed adllty �t1i9'indSksAidress U.S.EPAIDNumbBr SEA E8 T CAL SOL1{9�'1tJiln3$ 4301 ENFUWARTi•RGAD Fadli s phone; T C Rk0L.T 0AY $5449.. .9a 9b.U.S.AOT Daacdptlon(Including Proper ShlppW Name,Hazrd Class,ID Number, 10.Cordaners 11.Total HM ...and Pad"Group(iEany)) Na Type c>vantlpl 12 12,UniUnit13.Waste Codes 2 J A >td 010 F 1x9. C�t1 "' :A Oli r, 4 D m 9 is 00 P. WW h:MTJ IAL.` UAW 1 D k 40b p R. 14,'Speoi8lHandBng Ina4yttlons andAdditionef Infamatlonj'l1(r;575343-3)11f: ' V212 9'4)WlL*ji401,g2E3Q 1S. C+E W 6lOFpERpR'S CJATIFICATIbW: I hereby declare that the contents bf this consignmarh are fdly and acwrafely deamlhed aboVs b he ahi marl®d and Iabei6rril F4 Y Rt?t i._.Ppin9 name,Arid are d®ar6ed,packaged, p C6lded Aridere In all respects m.proper cnndlgon for transport b000rong td applIcable international arid nallonal gavemmentsl regal 61i ff export ehiprrient and;I ern the Prim . exporter I certify,thal4Ne oonteft of Brie tlbrraignment conform to hre term of the attached EPAAcknixwedgment of consent. / I certify that the washy murimas6on statement iderrti$ed in 40 CFR 262.27(e)(rf r am a Isrge quantlty generator)or(b)(If I am a small quanUty generator)Is true. Generalorsiolfarces Mirdwyoda a._:r, :�;.� 5� Mon Day Yebr � 1s.bniemadorre Ship�errta ❑,Import to U.S. ❑Expert from U.S. port of entry/emt Transparterslgndium(forsxpons anlyk bate leaving U.S.: W 1�:TransporhEirAclmowfedgrnentofR�iptoF ride T PrbrtWrUped Name Signature Mnmhr A Year 4 8n1poftr2 Printed m Signahs MoPth 1.9;fharxeperuyi... .. ._ _.._..... . ...... . ... ..... .. . •... < .. ; .... ._ . 18a.DisaapsncyA.01calion Space �( ❑ ❑Type ❑Residue E I PAW Rgscban ❑Full Rejection 16b.Alternate Facility(or Generator) Mardfeat Reference Number: U.S.EPAID Number u�.. Fadllty's Phone: W &.S n afAhemate FecUtty or Generator). Month Day Year U319,14a2ardoss Waste Rewrt'NanagamerA Methad Codes(I.e.,codasior hazardous waft treatrttertl dapo9af,and fBcyding ayahgm9} w , NT 20.Deaf FasJlty Owner or Opsrgtnr:Certf flcatlon of niWq t of hezweaug Materfatscovered by the rwillest.fteeptas rmf in Item 1 tja ` Prfida[VTNaM6 Signs F -month-Day Yesr EPA Farm 970 - .(Rev.H5) Pravio4 edlgons are at> ate. DESIGNATE AGChY TO OENERATOR ;• pt8aS9' 0.11�lt' .:< . .�des�gn��.us• p :�lite..(12LP.... swrit�L,„:.,�. •;,.;;-;:: . " U ttttetion Sheet • ' a�...<. " ,.� e•r':FnnArov DI t IFE nfest.Tratdig NumD 24.Geno OAdB N0,'2050-003.9.,,25.Transporter Company Name U.S.EPA ID Number 26.TransporEeP'� ; CoRlPany Name' U.S.EPA 10 Number 2ZL T p !(in �inq,PfQpetSh,Pph9. .MU?rd n ,Llase,-ID..N� 28.Cgt7j NM ,. ddlvy�8taup(rf anY71f,.:. .s4.,Zotel... .:.31:Wsata Etida No. Tyre Quanit, Wi1Val. 3400 � � II c . ' �•. OOP 1 32,Spedel Handling tnshuc6oM and AddltlorW Inforiristion 5y W:B21287,82128p ' r `33-T�porber AOkn mentof ofM3wriale w PdnteglTyped Name• Signature ' 3 Month Day. Yerr y, 34.Transpo or Admov*d mant of Receipt of Mate& Prlr3WTyped Name 319natuns . Month Day ..Ysat 35.D rid apency v , i 3t3.Hamrdous• ' M egeatent Method Codes"I a,and 4 " : (: �forfaieYdouaweata.tre8tm disposal reCyding•systerna - '6ritr ,end EPA Form 8700 22A(Rev-3 05) Ptevious'ediffonsdy obsNefe. DESIGNATED FAGiLITY TO GENERATOR _ i,• pF'IKE Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 B • ARNSTABLE. MASS. 200 Main Street• Hyannis, MA 02601 F1639. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: C L 1+w x-S Pr S a-,o-A- C-1 I I Date: 10 Location/Mailing Address: wt4•(: �/9 „c 5q Contact Name/Phone: .Sco`f� (=ce�r vim- �'o�-"1'1 S- 6 S� c�/l SqB-73'7- 3 Sl N� &,- ., a�K4 RAJ¢, �t;C-t - �lau,�.•w..,�. 'C Inventory t = �N MSDS: ��7 License#: "o- Tier II : JeA7 �v.1� ► hot-t«.s5 �f„5oµ� Labeling: oo Spill Plan:- y 5 Oil/Water Separator 014 Floor Drains: IJ o Emergency Numbers: Storage AreaslTanks: V00,n1 J cQ.a �, O�( v otS �,��{ o \WKw ce,& Emergency/Containment Equipment: 11 IG.tS a S ca S — 1- w�• °�� cJ S 3-� � ,Klcl v� Waste Generator ID: 5 Waste Product: Date&Amount of Last Shipment/Frequency: 5-`{X l v C Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid(including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink 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: C0VI ea, S-k- vv, er KA-K Inspector: 1 .k) .1 (f -7— �I-��� 1 Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Please;print or type.(Form designed for use on elite(12-pitch)typewnter.) Form Approved:OMB No..2050-0039- .UNIFORM•HAZARDOUS 1.Generator I]Number ?+ A Fw. 2.Page 1 of 3 Emergency Response Phone { 4 Manifest Tracking Number WASTE MANIFEST #,'U-X'ViQ'Zl 10 0 0•f 2 4 .4 � i������ �.,., g�s��u.l rr 0, ;`,V ES 5.Generatoes.Name and Mailing Address, r �tt -Generatoes7Site Address(if different than mailing°address)aa- aw-, rF w•:>+,.',=T �L`3:1;"d,atea S� c+ fv"" ���da',k���1�5ty�-ua'9•�r��;�, _ IMF Generator's Phone: - 4 6.Transporter 1 Company Name ;t 'xa U.S;:EPA ID Number f +. ,e• > - - ;..,+.sx.v >.a•.-. s tuz+• .. ,,, r 7.Transporter 2 Company Name #r. E+a s,c: , .. +>�U.S.EPA ID:Number + 8 Designated Facility Name and Site Address �r d�a U.S.EPA ID Number t 1+a T-B5 0 Ik' 7 4 :5 � Facility's Phone r ga o9b'U S DOT Description(including Proper.Shipping Name Hazard Class,ID Number 10:,Containers i:, :'W Total. _ 12 Unit- #} ,. t F r HM and Packing'Group(if any)) " ` ' 13.Waste Codes No. Type Quantity Wt.Nol. 1.=HAILS Lr%f ffiftf Ss „r„ I `ta M+ 1 fi o Yoil LU F y 3.` , v .✓ft;. e4 Y *t1Sf F'Y.7,j TF 4S i1 :..r i trtj it-or rT!;Z, -}+1i. s > h - 14 Special Handling'lnstructions and Additional Information � q ,* fq R �r �} ,*' may,? ; , 4 k £ t r 4 LLLL U. 15.•-''GENERATOR'.SIOFFEROR'S"CERTIFICATION:-'I'hereby declare'that"the contents ofahis•consignment�are fully,and accurately descdbediabove bythe prope3.shippmg.name and are dassfied packaged +} marked and labeled/placarded,and are in all respects in proper condition for transport according to applicable-international antl nahonalrgovemmental regulations.If export st 1pment antl-1 am the.Primary t °: 'IExportegl+certifyttiefthe'codtenfsiofthisrcon"sigfinenhconform?to-thetermsofahe±attached EPAAcknowledgmentoftConseot. ` ` `1 "'€^ F �"t 'kk' �' 't" lil=c60ifyIhat the;waste:minimizationistatementridenffied m 40 0FR;26227(a)(ifM am a large quanfity generator).,or,1(b)(ifl am:a.smalhquantity,generator)rs;true). rator s/Offerods Pnnte ilfypedppppppName > > „;: r� Sig ature= y , t " , Month Day Year :�Y �°""'_�x r.,,a �� � ��"'� i ai� y p Ar Intemational,Shipments_, �. „w! i « x•fl ,f.. Umportb U:S. P�' "" Export from WS IPort ofentry//exit r e + z Transporter signature(for:exports only): Dt r'' fr1Date leaving U`.S..r' C`E I' ft� °" r t• s s .. - • w 17;TransporterAcknowledgment of Receip'i�of Materials { ensgo er 1 Pnntedl�yped�Name' - n Signatur0"" fs ,- + "Month Day Year t" . .z Transporter 2 Pr ntedlTyped.Name v Signature +Mj.onth Day Y ai' Ti�� fl,n)+1:.,Es�;Ufk..t I �h I"Y - i•' .. Irrqo- 9,4 18`Discrepancy f t 18a.Disc repancy.Indication;Spaeel i , 0 Quantity. v El Type O Residue ❑Partial Rejection 0 Full Rejection r # I E4�.:,;+,"..;. r. I. tt • _..,.-. - 1.., .. $«.s. r f Manifest Reference.Number. ------------------ 18b Altemate Facility(or Generator) U.S.-EPA ID Number --11119 k al.�i q -Facility's Phone: • `W 18c`Signature ofAltemate Facility`l(orGenerator) �fp , ?�r:• , tru., • „ tl Mo th Day, ,Year " Q �. �; p f>. ,i �+_Y., ., .. . ;•..: s:iw 'n.;_, .,.. ,. _:• :. +,zrx.'�"„>� � n z . 19.Hazardous.Waste Report Management Method Codes(i.e.,codes.for:hazardous•waste.treatment,disposal,and recycling systems) W :0 1. ! 2. z:: 3. gb r•, 20.Designated Facility Owner or Operator:Certification of receipt of hazardous materials covere8'by the manifest ezceptas:ncted'th'Item 1'Ba= ? ` >.- a b f' `-' e *•": z:'` !# Frinted/Typed Name I Signature17.t*-j-t *Month; 'Day Year !# 4- --+ . '.UC • (+"rfi -, t Mir :=ag, � k EPA Form 8700 22(Rev.3 05) Previous editions are obsolete. GENERATOR'S INITIAL COPY r i [' Q V EOUA ENVIRONMENTAL SERVICES SHIPPING 1.Generator ID Number 2.Page 1 of 3.Emergency Response Ph hipping Document Tracking Number DOCUMENT ? , ' ff Q 0 0 0 6 2 4 F I 0 i r2���a one 4.S Z Z00317351 ., 5.Generator's Name and Mailing Address Generators Site Address(if different than mailing address) C�hm co D� TBAW ctVE cis. Y;ff ? Fes. Generators Phone:50P ti ?2 f ENA16M,WA Wz*0J1 6.Transporter 1 Company Name U.S.EPA ID Number buad�k.:.''f'.� nm+e.M1�'�ul..�%.[w'a.�:d'v.F 6s�I.4Fa! �.� 1�- E i-' R' . • .. a t' 7.Transporter 2 Company Name U.S.EPA ID Number > 8.Designated Facility Name and Site Address ems_MDUC U.S.EPA ID Number t 179 Facility's Phone: WES" '*MA m -A C 3 0 G G I 7 � 9 S ., i ga 9b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 10.Containers 11.Total 12,Unit. 13.Codes HM and Packing Group('rf any)) No. Type Quantity Wt.Nol. O f i � z. &11,0428=1AT LAMM C8W7 FOR YC1,M k�r O F 20 P � [ 3. 4. ! 14.Special Handling Instructions and Additional Information 15. GENERATORS/OFFEROR S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping,name,and are classified,packagedv',�, fmarked and labeled/placarded,and are in all respects in proper condition for transport according to applicable intemationaWnd national governmental regulations; i. �^ Gener tor's/Offeror's,Pnn}ed/Typed Name Signature k f`; on ay ear r" 1 f�l �. I 16.International Shipments Import to U.S. ❑Export from U.S. Port of entry/exit: r Transporter signature for exports only): Date leaving U.S.: t�. w 17.Transp rterAcknowledgmentof Receipt of Shipment .—x Wnspo -r'l PrintedlTyped Name Signature on ay ear t ' Q Transporter 2 Pritttod/Typed Name / Signature Month Day ear 18.Discrepancy 18a.Discrepancy Indication Space. ❑ ❑Type Quantity yp ❑Residue ❑Partial Rejection ❑Full Rejection t� Shipping Document Tracking Number: 18b.Alternate Facility(or Generator) U.S.EPA ID Number .C4 LL- Facility's Phone: w 18c.Signature of Alternate Facility j(or Generator) Month Day Year z i Z I 19.Report Management Method God es(i.e.,codes for treatment,disposal,and recycling systems) f w 12. 1- 4.• g 1 20.Designated Facility Owner or Operator:Certification of receipt of shipment except as noted in Item 18a Printed/Typed Name Signature Month Day Year GENERATOR I SHIPPER'S INITIAL COPY is Number Fee 356 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable- Board of Health This is to Certify that Cape Cod Times 40 Communication Way, Barnstable, MA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------------- ----------------------------------------- ------------------- ----------------------=---------- ------------------------------------------------------------------------------------------- -------------- -------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2015 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2014 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R-S.,CHO Director of Public Health Ink &Petroleum Storage Tank Systems �.- The following ink and oil products are stored at this plant. All containers with a capacity of 55 gallons or more are included. Ink ASTs Storage Year Hazard Maximum Location Use Aggregate Type Installed Class al Black Ink ASTs(2) 1987 Combustible 4,000 Ink Tank Room Printing Operations Color Ink ASTs 3 1987 Combustible 3,000 Ink Tank Room Printing Operations Diesel Fuel Fir-- 1987 Combustible 250 Fire Pump Room Sprinklers Pump AST Total 7,250 Container Storage Storage Type Hazard Maximum Location Use/Source Aggregate Class (gal) Color Ink Kits/Drums Combustible 220 Ink Room Press Blanket Wash Combustible 220 Ink Room .Press Cleaning Drum Storage, Combustible 220 Ink Room Press Virgin Oils Drum Storage, Combustible 100 Ink Room Press Grease Drum Storage, Combustible 220 Ink Room Press Cleaning Waste Ink Drum Storage, Combustible 165 Reelroom Press Waste Oils Total 1,145 Oil Filled Equip ment Stora eT e Qt ( al) Location Hydraulic Units 300 Pressroom. 10 units x 30 al.) Pad Transformer 250 Behind Building Total 550 The total facility capacity for petroleum and petroleum-containing products is: • 7,220 gallons of ink(virgin and waste); • 785 gallons of lubricating oil,hydraulic oil&grease(virgin and waste); • 250 gallons of diesel fuel; • 220 gallons of blanket wash(virgin); and • 250 gallons of transformer oil. -- Local Media Group Tank Specifications Tank ID Tank Material Instrumentation Black Ink ASTs Painted vertical,conical steel tank High Level Alarm,Pressure Gauges,Tank Gauge, Shutoff Valve, Check Valve,Vent Pipe Color Ink ASTs Painted vertical,conical-steel tank High Level Alarm,Pressure Gauges,Tank Gauge, Shutoff Valve, Check Valve,Vent Pipe Diesel Fuel Fire Pump AST Painted horizontal,steel tank Tank Gauge Tank Secondary Containment The Ink Tank Room is a below grade containment pit. It has a capacity of. 24 feet x 30.5 feet x 3.3 feet - (4.67 feet x 11.3 feet x 3.3 feet) _—2,389 ft3 2,389 ft3 x 7.48 gal/ft3 =—17,869 gal or—255 % of aggregate AST capacity The Fire Pump AST Containment Area has a capacity of: 13.3 feet x 6.7 feet x 1 feet= —88 ft3 88 ft3 x 7.48 gaUft3 =—662 gal or—265 % of aggregate AST capacity Container Secondary Containment Drums stored in the Ink Room`and are situated on secondary containment pallets capable of containing 55 gallons. The Ink Room is also bermed and has a capacity o£ 32 feet x 22.5 feet x 0.5 feet - (5 feet x 9 feet x 0.5 feet) _—338 ft3 338 ft3 x 7.48 gal/ft3 =—2,528 gal or—220 % of aggregate drum capacity Product Secondary Containment Volume Blanket Wash Secondary Containment Pallet Lubricating Oil Secondary Containment Pallet Waste Ink& Solvent Secondary Containment Pallet Waste Oil Secondary Containment Pallet at Media Group Inventory of Chemical Products Complete chemical listings are maintained at the facility as part of the Material Safety Data Sheet(MSDS/HAZCOM)Program. Typical chemicals stored on site are listed below: Storage Type Qty Hazard Location_ Flow Controls (gal) Class Black Ink ASTs 4,000 Combustible Ink Tank 1.Impervious floor. 1.Weekly inspections. Room 2.Would be contained in 2. Spill kit. immediate area. Color Ink ASTs 3,000 Combustible Ink Tank 1.Impervious floor. 1.Weekly inspections. Room 2.Would be contained in 2. Spill kit. immediate area. Diesel Fuel Fire 250 Combustible Fire Pump 1.Impervious floor. 1.Weekly inspections. Pump AST _ f Room 2.Would be contained in 2. Spill kit. immediate area. Portable 825 None Ink/Solvent 1. Secondary containment 1.Weekly inspections. containers, Storage pallets. 2. Spill kit. Virgin Color Ink Room 2.Would be contained in immediate area. Drum Storage, 110 None Ink/Solvent 1. Secondary containment 1.Weekly inspections. Waste Ink Storage pallets. 2. Spill kit. Room 2.Would be contained in immediate area. Containers, 80 Combustible Press Parts 1. Secondary containment 1.Weekly inspections. Greases Room pallets. 2..Spill kit. 2.Would be contained in immediate area. Drum Storage, 440 Combustible Reelroom 1.Secondary containment 1.Weekly inspections. Virgin&Waste pallets. 2. Spill kit. Oil 2.Would be contained in immediate area. Drum Storage, 220 Flammable/ Ink/Solvent 1. Secondary containment ..1.Weekly inspections. Virgin Solvent Combustible Storage pallets. 2. Spill kit. Room 2.Would be contained in immediate area. Plate Processing 110 None Plateroom 1.Impervious floor 1.Daily monitoring by Developer 2.Would be contained in operators. immediate area 2. Spill kit. Plate Processing 110 None Plateroom 1.Impervious floor. 1.Daily monitoring by Finisher 2.Would be contained in operators. immediate area. 2. Spill kit. Drum Storage, 220 None Reelroom 1.Impervious floor. 1.Weekly inspections. Fountain Solution 2.Would be contained in 2.Spill kit. immediate area. Total 9,365 } � TOWN OF BARNSTABLE Date: S/ 21 / 13 TOXIC AND HAZARDOUS MATERIALS REGI AT FORM NAME OF BUSINESS: Ca49.2 �a� s � ,C&- ve-k'.dw t aX BUSINESS LOCATION: D C'o,M mvvt ^. oy,— 1JAV . Vqnn► INVENTORY MAILING ADDRESS: 31q 4►rt ,-� 91v4mrils . )414 : ► TOTAL AMOUNT. TELEPHONE NUMBER: _-'*8 _-/-ice 76S.t— '�' SSo C7 9cc CONTACT PERSON: 5cro-14 F(y-R-mow ce.11 S�)8-737-13Sb EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: INFORMATION / RECOMME ATI S- 0 ,P14 o1D}�"ti Gvccev�,`� Fire District: Lw.;irk,�d�s �rvl,a,-��.{,al s I,�e,�����'ll �►�.�-�i s �fore�Q►vL. �crr� , .�tfrt stab J� a A-% Accesol6le, -hah4- 44,jk-.3)SP�1(k,+,5 f--bsdr}acrt}s6,4 �r411a hl�fo �a►n twiPla�eGs, � o�� Waste �a ier�: /� 1/o00a(76 2'f q Last shipment of hazardous waste: 7 ,21 I 3 Name of Hauler: Veol► vf.o,Ns Destination: Ve.ol►&- Waste Product: 0k5k- Licensed No AriB002.99-y 5-qq GISa C'Wa(, boO1I44q-I� c� NOTE: Under the provisions of Ch. 111, Section 31, of the Geddral Laws �f MA,yhazardous 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) f(, lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal 70o0 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 q45121 11 C&H-h a aK. 15 Q QI'Itibl-e— Laundry soil &stain removers (including bleach) Spot removers&cleaning fluids (dry cleaners) p®Sttc2 S-) 411 &2"L)6 Las& ►s s- -o ire-V 6GO Other cleaning solvents I Bug and tar removers 2 ct ►5 Ofc�C o�1 ¢dam o r� Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials Tier Two Reporting Period: January 1 to December 31,2012 Emergency and Hazardous Chemical Inventory Page 1 Specific Information by Chemical Printed: February 21,2013 Facility Name: Cape Cod Times FACILITY IDENTIFICATION: Cape Cod Times Dept:Operations 40 Comunications Way Hyannis, MA 02601 USA County:Barnstable Number of employees:200 Latitude:41.68413 Longitude:-70.28585 Method:Z4-Zip+4 Code Description: CE-Center of Facility MAILING ADDRESS:319 Main Street Hyannis,MA 02601 USA IDENTIFICATION NUMBERS: Dun&Bradstreet:019413368(Newspaper: Publishing&Printing) NAICS:51111 (Newspaper Publishers) SIC:2711 (NEWSPAPERS: PUBLISHING&PRINT) CONTACT INFORMATION: Veolia Environmental Services,Sidi Title: Acct Manager Contact Type 1:Other Address: 398 Cedar Hill Street,Marlboro, MA,01752 Phones:Work:508-804-4806 Mobile-Cell:508-965-0148 FAX:508-804-4836 Emergency:877-818-0087 Fabia,Michael Title: Operations Director Contact Type 1: Regulatory Point of Contact Contact Type 2: Emergency Contact Contact Type 3:Submitter Address: 40 Communications Way, Hyannis, MA,02601 USA Phones:24-hour:508-776-2604 Work:508-862-1281 Home:5084300270 Email: mfabia@capecodonline.com Meyer, Peter Title: Publisher Contact Type 1: Owner/Operator Address: 319 Main Street, Hyannis, MA,02601 USA Phones:Work:508-862-1111 Email: pmeyer@capecodonline.com Coward, Peter Title: Territory Mgr Contact Type 1: Carrier Address: Brodie Toyota 10 Ballard Road, Lawrence,MA,01843 USA Phones:Work:800-828-2804 Email: pcoward@brodiecompanies.com CHEMICAL DESCRIPTIONS: [x] All chemicals in inventory are identical to last year's submission ------------------------------------------------------------ CHEM NAME:Lead Acid Batteries CAS: [ ] Identical to previous year [ ]TRADE SECRET [ ] Pure [x]Mix [x]Solid [x]Liquid [ ]Gas [x] EHS CHEMICAL COMPONENTS: [x] EHS, CAS:7664-93-9,Component:Sulfuric acid, 15%Wt [x] EHS,CAS:7439-92-1, Component: Lead,80%Wt PHYSICAL&HEALTH HAZARDS: Tier Two _ Reporting Period: January 1 to December 31,2012 Emergency and Hazardous Chemical Inventory Page 2 Specific Information by Chemical Printed: February 21,2013 Facility Name: Cape Cod Times [x] Fire [ ]Sudden Release of Pressure [x]Reactivity [x] Immediate(acute) [x] Delayed(chronic) INVENTORY: Max Amt: 12,000 pounds Max Daily Amt code:04(10,000-99,999 pounds) Avg Amt: 12,000 pounds Avg Daily Amt code:04(10,000-99,999 pounds) Max quantity in largest container:3,000 pounds No.of days on-site:365 STORAGE CODES&STORAGE LOCATIONS: Container Type: R Pressure: 1 Temp:4 Location:Warehouse Amount: 12000 pounds CHEMICALS IN INVENTORY STATE FIELDS: Massachusetts requests the following: Mode of Shipment: [x]Trucks [ ]Tank Trucks [ ] Rail Car [ ]Tank Car [ ] Pipeline [ ] Barge [ ]Other(Specify) Specify other: Frequency of Shipment:2 per Year Maximum capacity per single vessel:3000 Max Shipment Qty(lbs):3000 Ave Qty(lbs):3000 Physical State in Transit:Solid Comments(please provide both the preplanned and usual routes of travel): Lawrence, Bollard Street north to left on Andover Street to 1-93S to Route 3 South to Route 6 East. Exit 6 to Route 132 South. Left on Attucks Lane.Left on Indepednence Drive. Left on Communications Way. Carrier: Brodie Toyoto-Lift ------------------------------------------------------------ CHEM N . rinti�Ink CAS: [x] Identical to previous year [ ]TRADE SECRET [ ] Pure [x] Mix [ )Solid [x]Liquid [ ]Gas [ ) EHS CHEMICAL COMPONENTS: [ ] EHS,CAS: ,Component:Carbon Black, 15%Wt [ ] EHS,CAS:8001-22-7, Component:Soybean oil,43%Wt [ ] EHS,CAS: ,Component: Hydrotreated Heavy Naphthenic Distillates,40%Wt [ J EHS,CAS: 12002-43-6,Component:Gilsonite,2%Wt PHYSICAL&HEALTH HAZARDS: [x] Fire [ ]Sudden Release of Pressure [ ] Reactivity mmediate(acute [ ] Delayed(chronic) INVENTORY: — Max Amt: 17000 pounds Max Daily Amt code:04(10,000-99,999 pounds) Avg Amt: 12000 pounds Avg Daily Amt code:04(10,000-99,999 pounds) Max quantity in largest container: 17000 pounds O o I No.of days on-site:365 11e6 f'l 2'Zoop STORAGE CODES&STORAGE LOCATIONS: Container Type:C Pressure: 1 Temp:4 Location:5 ASTs in ink storage room Amount:56000 pounds CHEMICALS IN INVENTORY STATE FIELDS: 1— Massachusetts requests the following: Mode of Shipment: [ ]Trucks [ ]Tank Trucks [ ]Rail Car ( ]Tank Car [ ] Pipeline [ ]Barge [x]Other(Specify) Specify other:N/A Frequency of Shipment:0 per N/A Maximum capacity per single vessel:0 Max Shipment Qty(lbs):0 Ave Qty(lbs):0 Physical State in Transit:N/A Comments(please provide both the preplanned and usual routes of travel): N/A Carrier: N/A ------------------------------------------------------------ FACILITY STATE FIELDS: Massachusetts requires some information located under other tabs. Requested Contact:Carrier Information STATE/LOCAL FEES: None. Tier Two Reporting Period: January 1 to December 31,2012 Emergency and Hazardous Chemical Inventory Page 3 Specific Information by Chemical Printed: February 21,2013 Facility Name: Cape Cod Times [x] I have attached a site plan [ ] I have attached a list of site coordinate abbreviations [ ] I have attached a description of dikes and other safeguard measures Certification(Read and sign after completing all sections) I certlfv under cenalty of law that 1 have personally examined and am familiar with the Information submitted In canes one throuah 3. and that based on my Inquiry of those Individuals responsible for obtaining this Information,I believe that the submitted Information Is true,accurate,and complete. Michael J Fabia Operations Director 02/21/2013 Name and official title of owner/operator OR eivrwr/onamtaes anthnrlmd mnmmntaHvw Signature Date signed �\ Number Fee 356 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that Cape Cod Times 40 Communication Way, Barnstable, 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 7 Town of Barnstable ` i oFTME>w,, Regulatory Services Richard V.. Scali, Director MAS& E, Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application F t $100.00 ASSESSORS MAP AND PARCEL NO. Zkl- DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT C>CA�\ t NAME OF ESTABLISHMENT'.Q C- (be& ADDRESS OF ESTABLISHMENT ` TELEPHONE NUMBER SOLE OWNER:JYES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. - r- STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT Ak TREASURER CLERK • SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# C:\cache\Temporary Intemet Fi1es\0LKD3\HAZAPP ReQOBDOC TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To:. NAME OF BUSINESS: eAw &Z4 Board of Health MAILING ADDRESS: !�"Q' ,*J*VWtC.*;Z7 Town of Barnstable TELEPHONE NUMBER: -7-7 e-2s P.O. Box 534 CONTACT PERSON: c�'� Hyannis, MA 02601 Does your fir store any of the toxic or hazardous materials listed below, either for sale or for your own use, in u ntities 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: 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 Please put a check beside each product that you store: 6■ Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid L/ Toilet cleaners Engine and radiator flushes Cesspool cleaners H draulic fluid (including brake fluid) Disinfectants _ 4 �ils/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) •I/' 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 toxi r hazardous (please list): (dry cleaners) Other cleaning solvents l/4 S® c✓7/� a~., 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 Satisfactory 23..Printers Body Shops unsatisfactory- 4.Manufacturers COMPANYf�y� O (see"Orders") 5.Retail Stores ADDRESS ; ° ea/*A1o,�� C,#Yli w 6.Fuel Suppliers S. � 7.Miscellaneous 'A—^VQ TANTITIE AND STORAGE (IN=indoors;OUT-outdoors) MAJOR MATERLA LS Case Tanks lots Drums Above Tanks Underground Ls� IN OUT IN I OUTI IN OUT #&gallons Age Test Fuels:A_-3 AAw. Gasoline,Jet Fuel(A) Diesel, Kero� ) Heavy Oils: waste motor oil (C) &CL transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: COP DISPOS ECLAMATION. REMARKS: 1. Sanitary Sewage 2.Water Supply �' � � .� e3 O Town Sewer Public _ ef On-site ivate 3. Indoor Floor Drains YES Y ; NO JVHolding tank: MDC �a : O Catch basin/Dry well O On-site system. 4. Outdoor Surface drains:YES VNO ORDERS: . Q Holding tank: MDC Catch basin/Dry well O On-site system 5. Waste Transporter Name of Hauler Destination Waste Product 74 YES NO 1. 2. Person (s)'In erview Inspector Date r L ! cape Cod Tim6s "THE CAPE AND ISLANDS' DAILY NEWSPAPER" 319 Main Street, Hyannis, Mass. 02601 Telephone(508) 775-1200 BUREAUS: Falmouth, Orleans, Bourne, Provincetown d� August 15 , 1990 To: Ed Barry Barnstable Health Inspector From: Peter Meyer - Cape Cod Times Production Mgr. Attached are the two material safety data sheets you requested during your visit to our production center yesterday. Please let me know if you need more information or have any questions . Regards , MATERIAL SAFETY DATA SHEET DEINTIFIER�I PRIME lb <- _ — .. N 1— 0— 4 90 ^24�R__ E:S,S.A.G.E,—CeEN_TER 1-800-438-2647 SUMMER TTMESM+ - _-- a _ _ a �-� EMERGENCY PHONE NO. N DIV. OF CAFE COD TIMES A 3630 E. KEMPER ROW_ A 40 COMMUNICATION WAY A SHARONVILLEt OHIO 45241 513-554-4200 HYANNISt MA 02601 T PREPARED BY: M. ANTOSIAK REFSII��ENCE E E ON 10/31/89 B L# 260227 INV# 07-71095 • ..C-CEILING..MP-MAXIMUM PEAK..N/A-NOT APPLICABLE..N/K-NOT KNOWN..P-POTENTIAL..PEL-PERMISSIBLE EXPOSURE LIM- IT..PM-PENSKY MARTENS..S-SKIN..ST-SHORT TERM..TLV-THRESHOLD LIMIT VALUE..TWA-TIME WEIGHTED AVERAGE.. COMMON NAME USED ON LABEL CODE IL CHEMICAL FAMILY ALMALINt PRINCIPAL HAZARDOUS COMPONENT(S)CHEMICAL&COMMON NAME IN) EXPOSURE LIMITS(TWA 8 HOUR UNLESS OTHERWISE SPECIFIED) UNITS 11 2—BUTOXYETHANOL ( 111-76-2 ) <5 TLV. 120 Ss PEL 120 S MG/M3 = 1 1 'II g, • °F G I P ESSUR .. mmHg@ 2 0 °c BOy v ILh E $o _ _ % NONE APPEAFI4NCE$ODOR � E,) 9 N U UUUK FLASH FLAME { FLAMMABLE LIMITS LOWER UPPER AUTO IGNITION ,. POINT NONE -F _EXTENSION' N A in. IN AIR BY VOLUME NONE NONE TEMPERATURE A °F 11 EXTINGUISHER MEDIA t A N t L. t I• FIREFIGHTING L)l t 'P SPECIAL PROCEDURES UNUSUAL FIRE AND 19 UNt EXPLOSION HAZARDS .Ii STABILITY POLYMERIZATION STABLE NONE INCOMPATIBLE.. L VEINTS AND CONCtIqrKAIEDt i. WITH DECOMPOSITION COp Sde W11H INCUMPLEIII: PRODUCTS COMBUST.IOIN. • PRIMARY ROUTES OF ENTRY INHALATION Y t SKIN Y E S INGESTION - ( 1.ACUTE SNKIAlt IRIMAILS • S INILKLASEU BLOOD �., SIGNS FRAGILITY/EXPOSURE AGGRAVATES HEMATOP.CIETIC SYSTEM. AND SYMPTOMS 2.CHRONIC LABORATORY STUDIES INDICATE THAT PROLONGED OVEREXPOSURE 'OF TO 2—BUTOXYETHANOL AT LEVELS SUBSTANTIALLY ABOVE THE OSHA PEL LIMIT MAY CAUSE ADVERSE EFFECTS ON MATERNAL OVEREXPOSURE AND EMBRYONIC RATS AND RAiBBIT-S. THERE IS PRESENTLY NO x POSITIVE EVIDENCE OF SIMILAR EFFECTS IN HUMANS. ` MEDICAL CONDITIONS GENERALLY SENSITIVL SKIN AGGRAVATED BY EXPOSURE LISTED CARCINOGEN NONE E NTP IARC OSHA EMERGENCY 1. ANDFI tAdf PT&Ef�RgJH AIR f� FLUSH THOROUGHLY WITH FRESH WATERt FOR AT LEAST 15 MINUTES. < : 2. EYES GET MEDICAL ATTENTION. 3. SKIN FLUSH WITH FRESH WATERt WASH WITH SOAP AND WATER REMOVE CONTAMINATED CLOTHES AND SHOES GIVE MILK OR WATERt INDUCE VOMITING. GET MEDICAL ATTENTION. a. INGESTION NEVER GIVE ANYTHING BY MOUTH TO AN UNCONSCIOUS PERSON. • RESPIRATORY PROTECTION NONE VENTILATION LOCAL NO "1 1 VENTILATION MECHANICAL PKUUULt NURMAL AIR UILUJIUN SPECIAL 1 I PROTECTIVE GLOVES . , EYE PROTECTION k:LU OTHER PROTECTIVE NUNt CLOTHING/EQUIPMENT HANDLINGDO Nul fKt t: LUNIAINEK IU _ . KELP E K FREEZING; KEEP t `- AND BUNGS N CONTAINERS IF FROZENt RETURN TO PRODUCING PLANT. .' STORAGE PRECAUTIONS OTHER N a LAUIIUNS UN LUNIAINEK LAt3EL* Ow PRECAUTIONS 1 IF MATERIAL IS WIPE UP SMALL AMOUNTS OR FLUSH TO DRAIN; T—CiLLECT AND RETURN LARGE RELEASED/SPILLED AMOUNTS TO CONTAINER. i 1 WASTE FH AUJUSIMENI ; NU PHURUS DISPOSALUSE UNTILLtSS THAN 1S.INCH REMAINS .IN CONTAINERt EMPTY CONTAINER METHODS TRIPLE RI dSE WITH WATERt ADD TO OPERATION REMOVE OR DEFACE LABEL BEFORE SELLING CONTAINER OR DISPOSAL HMIS RATING HEALTH FLAMMABILITY REACTIVITY 0 PERSONAL PROTECTION C FORMULATION THIS INGREDIENT IS REPORTABLE6AS A GLYCOL ETHER F •71 COMPOUND* IA Rg • 9 d"7 A I„ Ya 1 1' I U.S. DEPARTMENT OF LABOR F11JS H/F/R=2/0/0 .OcCu.pational Safety and Health Administration Fee - o Il..oeM„ MATERIAL' SAFETY DATA SHEET"... 2 0 NFPA soww Required under USDL Safe and Health..ty Regulations for Ship Repairing, r 1 Shipbuilding, and Shipbreaking (29 CFR 1915, 1916, 1917) ` 1 SECTION I Date of Issue: 6-13-86 - �-- MANUFACTURER'S NAME EMERGENCY TELEPHONE NO. Rochester Midland 716-266-2283 AooaEss/Number,Stner,City.Start,and ZIP Code 333 Hollenbeck Street Rochester NY 14621 CHEMICAL NAME AND SYNONYMS TRADE NAME AND SYNONYMS " None REPEEL CHEMICAL F—AWIL-7 FORMULA Mop-On, Suuee ee-Off Floor Finish Remover Mixture M -SECTION If - HAZARDOUS INGREDIENTS --••^ PAINTS,PRESERVATIVES,&SOLVENTS % TL ALLOYS AND METALLIC COATINGS % T _V-- _ PIGMENTS BASE METAL CATALYST ALLOYS "EHICL.E NOT APPLICABLE METALLIC COATINGS NOT APPLICABL ` SOLVENTS FILLER METAL PLUS COATING OjP60RE FLUX AOO1TIV OTHERS O RS HAZARDOUS MIXTURES OF OTHER LIGUIOS, SOLIDS. OR GASES % I TLV IUnitsl Sodium metasilicate (6834-92-0) - irritant as mist in air Ic1ol NA Ethanolamine (141-43-5) 10 3 pal 2-Butoxyethanol (111-76-2) - skin jt25�25 m Carcinogens: none under OSHA, IARC or NTP SECTION III - PHYSICAL DATA _., BOILING POINT (*F.) 212 SPECIFIC GRAVITY (H20■1) 1 .002 VAPOR PRESSURE (mm Hq.) PERCENT,VOLATILE as water BY VOLUME (!1.) 95 VAPOR DENSITY (Al Ref) EVAPORATION.HATE -.- as water... I ,1) as water SOLUBILITY IN WATER ... complete ... .. APPEARANCE AND ODOR Blue liquid, glycol ether odor SECTION IV - FIRE AND EXPLOSION HAZARD DATA FLASH POINT (Metnad used) FLAMMABLE LIMITS Leo Ue1 - " None to boiling " None EXTINGUISHING MEDIA As for surrounding fire SPECIAL FIRE FIGHTING PROCEDURES Use NIOSH/MSHA self-contained breathing apparatus. UNUSUAL FIRE AND EXPLOSION HAZARDS • None MSDS Form # 163A X3673 . PAGE 111 (Continued on reverse side) SECTION V . HEALTH HAZARD DATA ' THRESHOLD LIMIT VALUE See Section II EFFECTS OF OVEREXPOSURE routes of ent Inhalation of vapors, eye, skin or In estion: irritation; possible headache nausea and voniting. Chronic: possible liver and kidney da-mage. EMERGENCY AMC FIRST AIO PROCEDURES Inhalation: renove to fresh air, Eye and skin: flush with 13lentv of water for 15 In all cases, get medical attention as required. Medical conditions aq ravated by exposure: SECTION VI .- REACTIVITY DATA STABILITY UNSTABLECONOITIONS TO AVOIO STABLE X None INCOMPATABILITY (me-feriar to arwAcid solutions precipitate active ingredients. HAZAROOUS DECOMPOSITION PROOUCTS None HAZARDOUS MAY OCCUR CONOITIONS TO AVOW POLYMERIZATION WILL NOT OCCUR X None SECTION VI SPILL OR LEAK PROCEDURES STEPS TO 9E TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED Small spills: rinse down drain. Large spills: dike to contain reclaim all possibl Absorb with inert materials. Flush away residue with water. WASTE OISPOSAL METHOO Dispose of in accordance with Federal State and local recrulation's. SECTION V111 . SPECIAL PROTECTION INFORMATION RESPIRATORY PROTECTION (SPeafy type) Wear NIOSH SHA approved respirator VENTILATION LOCAL EXHAUST SPECIAL As recruired to keen NA MECHANICAL/Generdlf NA OTHER NA PROTECTIVE GLOVES EYE PROTECTION Rubber or plastic Goggles to prevent accidentals lashes. OTHER PROTECTIVE EQUIPMENT As needed to prevent skin contact. SECTION IX - SPECIAL PRECAUTIONS PRECAUTIONS TO BE TAKEN IN HANDLING ANO STORING Avoid Contact with eyes, skin and clothing, s with' V7ash thoroughly after handling. OTHER PRECAUTIONS clash contaminated clothing before reuse. lead and follow label directions. Keep out of reach of children. PAGE MY This information was compiled from current.reliable sources and is believed to be X3673 correct As data and/or regulations change,and conditions of use and handling are beyond our control, no warranty, expressed or implied, is made as to complete- ness or continuing accuracy of this information.