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0080 KIDD'S HILL ROAD - Health
80 K dd's Hill Ruail 'r B arnstable A = 297 003 4 V�t6ri n of s L.andsca�i n IIII���IlIID®�TL �'IE kqIDIIILIL ®I�T�III�T�IE1�T�� T�IL�T LOCATION. SO K IDDS HILL RD BARNSTABLE��' FIRE DEPARTMENT: 911 - BARNSTABLE FIRE DEP 24 HOUR SPILL HOTLINE: 888-304-1133 BARNSTABLE HEALTH DEPT: 508-862-4644 Actions to be taken to control spill or release,and.preventing it from reaching catch basin, sewer system or ground: -Spread copious amounts of absorbent material necessary to absorb spill. W�sC-E �L i/\1\.1 L 7 If the spill or leak cannot be stopped,catch the flowing liquid using a pan, pail, hubcap,shovel or whatever is available.Spreadingsorbent material-S - eed Dri sand p Y round corncobs straw, g , taw,sawdust, wood chips, peat,synthetic sorbent pads,or dirt from the roadside can stop the flow and soak up the petroleum on pavement.Sorbents do not make petroleum nonflammable. Brooms can be used to sweep up the sorbent material and put it into buckets,garbage cans or barrels or. on top of plastic sheeting. Remember to control ignition sources. Fresh granular sorbent such as sand can then be re-spread on a roadway to control the residual slipperiness. a spill or leak occurs,stop the oil from flowing at the source. If a leak from a container or tank can't be stopped, put the oil in another holding container or tank. Contain spilled oil. For example,containment can be accomplished by erecting sorbent berms or by. spreading a sorbent over the oil and ` Clean up the oil and recycle the used oil as you would have before it was spilled. If recycling is not possible,you first must make sure the used oil is not a hazardous waste and dispose of it appropriately. All used cleanup materials,from rags to sorbent booms,that contain free-flowing used oil also must be handled according to the'used oil management standards. Remember,all leaked and spilled oil collected during cleanup must be handled as used oil. If you are a used oil handler,you should become familiar with these cleanup methods.They may also be part of a spill response action plan. Remove, repair,or replace the defective tank or container immediately. Town of Barnstable Hazardous Materials On-Site Inventory and Inspection FACILITY INFORMATION: Business Name: V4 d XlAxo5 Z-AN'b5c.4 Pr AA/P 1-79R 16A-170� Business Location: 13AAA1,S iA-(3CC- Mailing Address: Telephone Number: ^IV S_ " J 4 Z - Contact Person: �/-/ ETd� /1l Sr W� VE7ZIK1N® Emergency Contact Telephone Number: J Type of Business: 1_,A1b5C 4-PC_ *AJ,,N ARXk'77,04 51)SM-C be S/40 A iVD /AISr+144-4-770k3 HAZARDOUS MATERIALS (CHAPTER 108) Virgin Product Total Quantity Container Size(s) Storage Location Major Materials Gallons or Pounds Quarts, gallons, Shed,retail store, `� drums,tank,etc... cabinet,closet,etc 11A-5TC (0) A7,0 A60� C,Ae-o� C% 0/4- iZ?C�C,�ZZ.c�,�s 44_0vA�b INK 0 15 X'a.�4 MI5 CCU-A AJCVUS VA'q/ous /xil 1m CihV-4eE f - 1 - Misc. Combustibles Misc. Corrosives Misc.Reactive Misc.Toxics Inventory Total Amount: `T, OV 7610-) hs AtAfb C3A-t,1-o.uS Hazardous Materials License Posted?Yes Contingency Plan Posted? Yes 6) Fire District: Fire Extinguisher Service Date: 9 Z00 Metal Covered Rag Bin: Yes No Absorbent Material Available?( Y� No Type of Absorbent• Speedy D Pads Pigs Other: T-S MSDS on site? Yes No Hard Copy Computer Access Hazardous Waste Handling Hazardous Waste Generator Identification Number: Ald AIUA/ a OM `1/,- Type(s) of hazardous waste product(s): WA-57Y OIL. Date of last hazardous waste shipment,type of waste and quantity: Hazardous Waste Transporter(s): Designated Hazardous Waste Facility: Hazardous Waste Storage Area Description: A&IfE C,&-od" 377946t 7wAJ& Is hazardous waste storage area labeled: Yes Are tanks/drums/containers labeled with the words "Hazardous Waste",the type of waste and the associated hazard (i.e. ignitable,corrosive,reactive or toxic) Yes If hazardous waste is stored out of doors is it covered from the elements? Yes No Is it in 110% containment? Yes No If hazardous waste is stored indoors is it on an impervious floorilp No - 2 - Y FLOOR DRAINS (Chapter 381) Town Sewer Account Number: ''V . f C ' / �' ,At �'f'��� ���C" sys�� Indoor floor drains: Ve No If yes,circle one,does it discharge to a: holding tank dry well on site septic. Z�®1-"� D 'got Outdoor surface drains: Yes No If yes,circle one,does it discharge to a: holding tank dry well on site septic. FUEL AND CHEMICAL STORAGE TANKS (Chapter 326) Underground Storage Tank(s) on site? Yes �T Age: Is removal required? Yes No If yes,when? Is testing required? Yes No If yes,when? Out of doors above ground storage tank on site? Yes 00' If yes,is it protected from the elements? Yes No If yes,how? Is it on a foundation larger in size than the tank? Yes No CrOMMENTS/RECOMMENDATIONS/CORRECTIVE ACTIONS //lam ex77d6,01 M/ W S AXE Tb 13C- Q,+1A1?A-1N&-0 UP TZ) PA-7r. EEAtIPLO`/eEs aAJ S/7 r, 9- /S-// /1.5,Ds 0,0 S/7r 1n) Bin!DF�-AAM 11V Feu ( S/Ott._ AA-6 !�dV/4ED 7D 06)-7t/AJ A AIA 7AXA6us Aeh-T-r-x1AZ S �-/CZ?J S C / Su Eb 6 Td W-I1 Or A ae.A5 r"X-t3 t 8(-,+.A& jPPZ4,CA77d ?1fo"46-h 77 Au4 t6i/r,.7.0/j IW6- w%s7-r/dle -rA-7uk-- hS Ty 'or Z/�i3�ZE7� �./�'�7t lJ�•f i�7� �z�CL'+Bzs' itfA-i t�/,4-L . VS E� D/L.. ":"Zt EL A-nJ D ?V A . ra-zr Aw A-aNvw- L-oc- or- 4-LL u/gsrb oiL ENS%V), ,l-�S�EPRto oF'�SiTE hmlee "zwN GfF 51rr *,v© ,4ee uR ur fr Date: /x; ze// Public Health Inspecto A) 5 PA C-C 17*?A-'a7e�" Facility Representative: ��"T !'4�6°� �%� Ya 6 A- HAZARbdUS WA-STE- 4&M&WA76JT >'pgv IeAn0 - 3 - A,',47E?C/s-Z AIJ0 f5 ',7716?t'�FOR" A/0"oT 5f) Z Town of Barnstable Hazardous Materials On-Site Inventory and Inspection FACILITY INFORMATION: Business Name: VIA vA16- Business Location: /kJ, ®S Mailing Address: S Telephone Number: Contact Person: 1A/A VA/C Si��ff'IJS Emergency Contact Telephone Number: Type of Business: HAZARDOUS MATERIALS (CHAPTER 108) Virgin Product Total Quantity Container Size(s) Storage Location Major Materials Gallons or Pounds Quarts,gallons, Shed,retail store, drums,tank,etc... cabinet,closet,etc G� -SC e., AJ' A Ste" C7�-L��NS C !L 13A* - 1 - Misc. Combustibles Misc. Corrosives Misc.Reactive Misc.TOxlcs Inventory Total Amount: Hazardous Materials License Posted?Yes No Al Contingency Plan Posted? Yes No Fire District: �4A,<A S A-6 IZ' Fire Extinguisher Service Date: `% Metal Covered Rag Bin: Yes No Absorbent Material Available?0 No Type of Absorbent: peedy D Pads Pigs Other: MSDS on site? Yes Hard Copy Computer Access Hazardous Waste Handling Hazardous Waste Generator Identification Number: /a VC Type(s) of hazardous waste product(s): WA-57-C- QI - Date of last hazardous waste shipment,type of waste and quantity: UA111-'W6 KI J 6)4,�d77 7Y 6 R 0 u GNT /YEX r z cpo ft) V eTvp-/Al® C 14-,116A-17bd v � �� /N� i ��sr� OR- 5 FA�/1C—c'• Hazardous Waste Transporter(s): Designated Hazardous Waste Facility: Hazardous Waste Storage Area Description: 57V VE,d /AI ,:We A-"A r-i V E 6 x}--1,L.yA/ Is hazardous waste storage area labeled: Yes No Are tanks/drums/containers labeled with the words "Hazardous Waste",the type of waste and the associated hazard(i.e. ignitable,corrosive,reactive or toxic) Yes (9 If hazardous waste is stored out of doors is it covered from the elements? Yes No Is it in 110% containment? Yes No If hazardous waste is stored indoors is it on an impervious floor? es No - 2 - FLOOR DRAINS (Chapter 381) Town Sewer Account Number: �� ff/15 01V S S�pnL D�S Indoor floor drains: 62 No If yes,circle one,does it discharge to a: holding tank dry well on site septic. 14,V V1-'W,41 Outdoor surface drains: Yes No If yes,circle one,does it discharge to a: holding tank dry well on site septic. FUEL AND CHEMICAL STORAGE TANKS (Chapter 326) Underground Storage Tank(s) on site? Yes e Age: Is removal required? Yes No If yes,when? Is testing required? Yes No If yes,when? Out of doors above ground storage tank on site? Yes & If yes,is it protected from the elements? Yes No If yes,how? Is it on a foundation larger in size than the tank? Yes No COMMENTS/RECOMMENDATIONS/CORRECTIVE ACTIONS 0''tA- 114"241ehov s WASI- 1bC)U 77jC-"iCA-77®AJ ,t XVtgt"X.✓s IV AC e;61*1Af€Z�, ZW,0- ,54clz Vl � 67&2J6XA7Z--5 VEr-, V _5,4-tA-ZL ':V.VAW;r77-1&5 0,C W."F57r-6,1_ /b&-AJTZr-1C- 776d ZJA 4(s WA-SIT ' tr//--1CW /1'� 70 MOO. Date: Public H lth Inspector: Facility Representative: - 9A/ - 3 - ■Complete items 1 and/or 2 for additional services. I also wish to receive the 0 ■Complete items 3,4a,and 4b. following services(for`an 0 ■Print your name and address on the reverse of this forth so that we can return this z 2 card to you, extra fee): L° ' ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address permit. E "Write'Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery c "The Return Receipt will show to whom the article was delivered and the date 4= .. c delivered. Consult postmaster for fee. 3.1rA+rticle Addressed to f 4a.Article Number CL E Gt/I s :. 4b.Service Type 4 ❑ Registered Certified ❑ Express Mail ❑ Insured ❑ Return Receipt for Merchandise ❑ COD � 7.Date of slivery t' 5.Bec ived By:(Print N me) 8.Addressee's Address(Only if requested s - �� and fee is paid)6.S n t ( ddressee o To) `e r p11 PS F 3811, December 1994 "1ii25s5-s�'e°ois DdmestiCieturn Receipt ® MA First-Class Mail UNITED'.STATES POSTAL SERVICE -postage•&Fees Paid i ' �o °�4,.' z P 339. 578 680 P I,;I Jn, LISPS o a Permit No G-10 US Postal Service ® Print your name, l ss, and ZIP Code in this box® Re for Certified Matt - No Insurance Coverage Provided. Do not use for International Mail See revers- _ Sent too Str P 1 r _ Town Post late, ZIP P.O.ON W4 � Postage MCI I Certified Fee Special Delivery Fee Restricted Delivery Fee ;n Retum Receipt Showing to r Whom&Date Delivered Q Return Receipt Showing to Whom, -'^^^= ,.t ~"`, `" Q Date,&Addressee's Address TOTAL Postage&Fees t � V) Postmark or Date o L / i Town of Barnstable 0 Department of Health, Safety, and Environmental Services * IAMSPABM « MASS. 1639. Public Health Division ♦0 P.O. Box 534, Hyannis MA 02601 Office: 508-862-4644 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health November 19, 1999 Mr. Thomas F. Vetorino Vetorino's Excavating 80 Kidds Hill Rd. Barnstable,MA 02630 ORDER TO COMPLY WITH THE BOARD OF HEALTH FLOOR DRAIN REGULATION,PART U,SECTION 1.00 You are hereby notified on September 28, 1999, the Town of Barnstable Board of Health adopted the attached Floor Drain Regulation. All owners/operators of facilities with floor drains connected into a leaching structure are required to comply with this regulations you have three options: 1. Connect the floor drain to a holding tank. The tank will need DEP approval. The DEP approves two types of holding tanks for this waste: new installations and conversions of existing structures (e.g. oil/water separators). These tanks are for non-hazardous, industrial wastewater. If solvents, antifreeze, oil and other fluids are washed down the drain,the waste is likely to be hazardous. 2. Connect the floor drain to a municipal sewer system, if available. An oil/water separator is required to be installed under this option. This requires a permit from DEP and the Town of Barnstable Department of Public Works along with the sewer connection application. The amount of discharge shall not exceed ten parts per million(10 PPM). 3. Seal the floor drain. Contact your local plumbing inspector for the appropriate filing form. If choosing this option, all previous discharges to the drain must be eliminated at their source. For example, cars should no longer be washed and floors should no longer be hosed down. Therefore, you are directed to comply with this Board of Health Floor Drain Regulation by informing this Division in writing of what your intentions are to comply with this regulation within ten (10) days of receipt of this notice and by completing the work within ninety (90) days. You may request a hearing if written petition requesting same is received within ten(10)days of your receipt of this order letter. • Failure to comply with an order of the Board of Health may result in a fine of not less than$200, nor more than$1,000.00. Each day's failure to comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH Tho c9 Director of Public Health Enc. Board of Health Floor Drain Regulation cc: Ed Jenkins, Town of Barnstable Plumbing Inspector l_ TOWN OF BARNSTABLE OMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY �` d�` ' (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS lass: 7.Miscellaneous ANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: GasWine,jet ) Di4-yp1 u��- -^tea, #2 (B) Heavy Oils: waste motor oil (C) 726 new motor,oil(C) transmi sion/hydraulic Synthetic Organics: degreasers Q Missclla s: 1 DISPOSAL/REC,LAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply •/�Zcf- < O Town Sewer Oublic Von-site O Private 3. Indoor Floor Drains YES Y NO O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES N0'V ORDERS: O Holding tank:MDC s O Catch basin/Dry well - -- _ O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product •d 1. t J � �/ 2. Person (s) Interviewed Inspector Date ��i �l/V V TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY / (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS d AY'tfdcty W41ass: 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: /A0V Gasoline,Jet Fuel(A) Diesel, Kerosene, #2(B) Heavy Oils: waste motor oil (C) new motor oil(C) � transmission/hydraulic Synthetic Organics: degreasers Misce neous: -14 DISPOSAL/REt;LAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply C ` O Town Sewer Public ( On-site OPrivate 3. Indoor Floor Drains YESYNO A 0Holding tank:MDC Catch �basin/Dry well l O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC - O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product 1. 2. erson(s) Inte wed Inspector Date TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH O satisfactory 3.Printers y Shops unsatisfacto - 4.Manufacturers COMPANY LCJ 4��5 �- d CIp� (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS R ('44 . `/( Class: 7.Miscellaneous UANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots / , Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: �✓S5 D� waste motor oil(C) new motor oil(C) lcS transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: (� IU ur' DISPOSA RECLAMATION REMARKS:1. Sanitary Sewage 2.Water Supply /-1 Nt us-er1 e O Town Sewer Public (Jo i Y-t c j- S v v'i 4Vt.-- On-site OPrivate / � B i In yr @ e�7'Q.q.(ia••u-.. d- 3. Indoor Floor Drains YES_J"�, NO O Holding tank:MDC C�2e > 1e dam./ e„c e�y/iRef�'A 1 �(ec C O Catch basin/Dry well d rdri►� i- 1A 0 ctv ov O On-site system i(/O MS 1 4. Outdoor Surface drains:YES N4 ORDERS: O Holding tank:MDC e- -440 .I k 11 PvZ j Q-v( b6ago ✓eai r O Catch basin/Dry well Ica i(Ablpa ./t Ivi A40,4. _ at.,.45 O On-site system 5.Waste Transporter Name of Hauler 1 Product 1 /V j, ,,, YES NO 2. , . f �p t V, er Inspedor D to TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: cr 4 U © Mail To: - BUSINESS LOCATION: 60 i S - f Board of Health Town of Barnstable MAILING ADDRESS: wG P.O. Box 534 TELEPHONE NUMBER: Hyannis, MA 02601 CONTACT PERSON: 6 f/y EMERGENCY CONTACT TEynNE NUMBER: 'o 3 vl Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, 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 character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store: Quantity/Case Quantity/Case Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid : Toilet cleaners .Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochernicals (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 ��AI-Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes ,Paints varnishes, stains, dyes Fertilizers (if stored outdoors) V9_9aj Paint & lacquer thinners PCB s Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business TOWN OF BARNSTABLE MPLIANCE: CLASS: 1.Marine,Gas Stations,Repair [ satisfactory 2.PrintersBOARD OF HEALTH3.Auto Body shops satisfactory- 4.Manufacturers COMPANY (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS CiSSS' 7.Miscellaneous WJ��QUANTITIES STORAGE (IN= indoors;OUT=outdoors) MAJOR MATERIALSUndergroundove IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: Da - c �RIX I DISPOSAURECLAMATION REMARKS' 1. Sanitary Sewage 2. ater Supply (_l �La �% Q O Town Sewer Nublic �' & On-site QPr' ate IIIP4�D 0 (IJOA16— fr& . 3./'I`ndoor Floor Dr YES NO V c-- Holding tar C-- l.� Catch basic/B4f L wel• _ O O On-site system 4. Outdoor Surface drains:YES)( ES NO ERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5. Waste Transporter Name of Hauler Destination Waste Product YES NO 1. 2. erso (s) Interviewed Inspect r at TOXIC AND HAZARDOUS MATERIAL r ISTRATION FORM NAME OF BUSINESS: WalYlve, - c e Mail To: BUSINESS LOCATION: G [ " Board of Health MAILING ADDRESS: SCe.�[� Town of Barnstable P.O. Box 534 - TELEPHONE NUMBER: l , H annis MA 02601 Hyannis, CONTACT PERSON: ` Q.26L`/y,A e__ :v re-u S EMERGENCY CONTACT TELEPHONE NUMBER: V11"� � Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, ' 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 character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store: Quantity/Case Quantity/Case Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils _ _ Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda', Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's f Paint & varnish removers, deglossers Other chlorinated hydrocarbons, " Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) — Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners I White Copy- Health Department/ Canary Copy-Business TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair 2.Printers BOARD OF HEALTH 3.O isfact0ry Auto Body shops Ef unsatisfactory- 4.Manufacturers COMPANY owu_ (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS c Class' 7.Miscellaneous � _ UANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums, ,. . , IN OUT IN OUTI IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) (ew(' motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: look t4fy I OA� DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply D O Town Sewer ublic - ..P © l On-site Priv to ff G 6' 44 — 3. Indoor Floor Dr. S NO Holding tan(.- MDQ- 1 Catch basin/ e 1 O On-site system 4. utdoor u ace drains:YES NO O D R Holding tank: l� Cacop tc basin/Dry well " O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product NO 2. - Pefr on (s) Intery ed Inspecto _. Date � R TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM c NAME OF BUSINESS: L �S �LJ�7 / Mail To: BUSINESS LOCATION: 50_ 4t,"�.j 4&-ff 4d" Board of Health Town of Barnstable MAILING ADDRESS: P.O. Box 534 TELEPHONE NUMBER: . Hyannis, MA 02601 CONTACT PERSON: 61X A5_ 0-10411610 EMERGENCY CONTACT TELEPHONE NUMBER: 3��- 3Gbi� Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in Vuntities 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 character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store: Quantity/Case Quantity/Case /03 Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners /Q Hydraulic fluid (including brake fluid) Disinfectants 5R)qil Vlotor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink �Q!r 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 6,( Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (Inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy Business TOWN OF BARNSTABLE OMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfacto 2.Printers BOARD OF HEALTH 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY Iv�s (?AQ 7U1/ (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS o Class: 7.Miscellaneous L QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MATERIALSCase lots Drums Above tanks Underground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Pne Iotor oil w motor oil (C transmission/hydraulic Synthetic Organics: . degreasers Miscellaneous: 0 ® o `/ 00 DISPOSAURECLAMATION I REMARKS. A 1. Sanitary Sewage 2. ater Supply LDPA0 b orlz� z cs O_Town Sewer Inublic 6 On-site OPri ate 3. I door Floor DnMDC�� ' YESTNO Holding tan Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5. Waste Transporter Name of Hauler Destination Waste Product 1 XES N00 2. Pe o (V Interviewed Inspec r at i i '` a i s _� 7 '3 i i ': a .6 9 i A °F tME)°k� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARNSTABLE. 7 MASS. $ 200 Main Street• Hyannis, MA 02601 foMP+ TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: V&+4 '+r+o` s04 a ��, Date: 1 -/ 7 �® Location/Mailing Address: g� 1Cidas R��grr-�t�J� Contact Name/Phone: --`T-kr"'a.g Veer,' !sOK - 3tu 7'19p, 9,Udr— 36,9-9JyL? Inventory Total Amount: MSDS:Y�s j,,-,VCA, A-,J -/ License#: Tier II : Labeling: JQ(!-tgi I Spill Plan: Yea ?6AeJ Oil/Water Separator: T Floor Drains: 011/15 Emergency Numbers: Yes � cd Storage Areas/Tanks: `-�)7a' W90. P;I U'l V-CS 5q It W&,i(-qiJ - f--Tb-d zJ- Emergency/Containment Equipment: _ v`1�. or �,�ee 3;r DitY. - r3)-,'kP" W ft(J$ Waste Generator ID: - r_/ Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: �s ,s L � F 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 4 Hydraulic fluid (including brake fluid) Windshield wash i' g Motor oils-+,:PS9))►,,s (0 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: Oub ' 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:616 �S5Un,5 E°i�e5 c►�)G�, -aa'►w1, 1 ORDERS: INFORMATION/RECOMMENDATIONS: A& �.sa/r�s ice c�a�„`,s s c�,o�f��`�P a eo► e.h cow Inspector: !✓ Facility Representative WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS 1HE Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BAR..Qq E. • 200 Main Street• Hyannis, MA 02601 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: V�Ta v� 05 L.a,n dcSc w� .o Date: 7f Sl�� Location/Mailing Address: 00 t<XASI a<!A5+ Contact Name/Phone: So 1&-3(0 2-Q/ 1,.awu. : Spa-3162-7114 -Inventory Tot 1 Amount. `�o Cie, MSDS: S License#: Tier II : N 0 Labeling: Spill Plan: OK Oil/WaterSeparator: Floor Drains: Emergency Numbers: 2 Storage Areas/Tanks: D D ,Q.\ W m t-c, v\ \ f� I.I k<,?*C5 WAS b o"(, \r cis Emergency/Containment ui ment: Q,Va-•\ado\!c. ah S 4k t v-< ( Waste Generator ID: Waste Product: Wa ,(, 0 \ c eyCS Date&Amount of Last Ship ment/Frequency: Licensed Waste Hauler&Destinatiorx Other Waste Disposal Methods: C&O- S G,<I-k- m 1P LIST OF TOXIC AND HAZARDOUS MATERIALS v CIA S I vt vl�Zw�v� - � NOTE: Under the provisions of Ch. 111, Section 31, of the Gen ral Laws of MA, hazar ous 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 -*w onyx a. Miscellaneous Corrosives Gam,jet fuel, aviation gas Cesspool cleaners ZDiesel 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 Z 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: O t �� Ow(2- 1 G A VW1JoJ� Inspect Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS Date: 31 l Z-11 4 TOWN OF BARNSTABLEGfio,,` TOXIC AND HAZARDOUS MATERIALS REORPRARM FORM NAME OF BUSINESS: 44 c% '3 -� Lave sca aw �cen etc, y BUSINESS LOCATION: go ,44 44,1 INVENTORY / MAILING ADDRESS: S4wt-cam TOTAL AMOUNT: TELEPHONE NUMBER: <pf3 —3(02 -9/y$ �•340 .�//°ns �- CONTACT PERSON: .S+r.O U��I,'nr.�a /�►aM is l/.er-{-e r,.�a /b(saas EMERGENCY CONTACT TELEPHONE NUMBER: l�ow,.�/°,ASS 3b2�f/y8 MSDS ONSITE? TYPE OF BUSINESS: I4hAcap.0-,�,<r�4"�,�,�. Al 9f040 jAh`lt fr..ei�►Mg�wf. 44r�� �5 INFORMATION / RECOMMENDATIONS: ,Pese 4 a!VY 64-734r-" nl,4eralsFire District: 446t444 14,010nqAr 9r AAXkjf 01t toy, r ,/ ,Q a 8a�„is�4b1� 4 �eLOM►+�rirK -Ck�xOI r1 i�.. I�kCr1."�a.�o��iGG �. aw� u o� Cs+.<'G�bocc�-F 541� a� �,��e���f' 5..• W ste Transportation kkLsk ,*d t.6 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 ,zoo 1b Road salts(Halite) - sc44^-w4 v,.— Hydraulic fluid (including brake fluid) Refrigerants oZ7 Motor Oils Pesticides / sO(Al �° "I flit Insecticides, herbicides, rodenticides C� NEW,Ie�O USED s f'r� "'',w}��"� ( ) 4� Photochemicals(Fixers) Gasoline, Jet fuel,AviatA gas Diesel Fuel, kerosene,#2 heating oil ❑ NEW ❑ USED 3 / Miscellaneous petroleum products: grease, Photochemicals(Developer) s lubricants, gear oil ❑ NEW ❑ USED ,s 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 n /� ° Ntd O�a�tr rD Car waxes and polishes Fertilizers v 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) / 5 Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous(please list): Metal polishes I�-t-�oot��a i,.�. rw �u.�QG��i��1 t,•�1.5 Kdto�OStf�C Laundry soil &stain removers (including bleach) pl� Spot removers&cleaning fluids (dry cleaners) o Other cleaning solvents (1 I Bug and tar removers C �c 54, 5 7 V /,/ o/ zta i ki-,,e n-- Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staffs Initials_� Number Fee 238 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that VETORINOS LANDSCAPING .-------------------------------------------------------------------------------------------------------------------------------- 80 KIDDS HILL ROAD, BARNSTABLE, 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 '•I .z • j, L Town of Barnstable oFt"e r Inspectional Services BARNSTABLE Public Health Division RARNRTnRLE•R1639-F.C�V •FYR6N,5 IkMOM.4'll5.95�RVILL%•VM VViR4ELE 1639-I014 ° BARNSTABLE, Thomas McKean, Director i639 ♦� 0 A ,or fo 200 Main Street, Hyannis,M .02601 Office: 508-862-4644 " Fax: 508-790-6304 " . 1 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE ` t HAZARDOUS MATERIALS 1N ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE;CHAPTER 108, i HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 � � CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by July 1st 1. ASSESSOR'S MAP AND PARCEL NO. CI 7 /0, (1 2. IS THIS A PERMIT RENEWAL?_X 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: / 14 L`I/' v t I—D RZI N 5. NAME OF ESTABLISHMENT: VWUZINO° 5 Lr\jQ5W1tj6- i 1RRj04-17Q f; LLe. 6. ADDRESS OF ESTABLISHMENT: 3 �f�� �� a �` ��lZIL�.�I b 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: JQ-J 30- 914 Ti 9. EMAIL'ADDRESS: J 10. SOLEOWNER:Y—YES_NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT ) r TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLI6i-a=T - DATE Q\Application FormsUHaz Mat Appli Draft Jan20l9.docx ' L Fee Number 238 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable- Board of Health This is to Certify that VETORINOS LANDSCAPING 80 KIDDS HILL ROAD, BARNSTABLE, AM Is Hereby Granted a License ', For: Storing or Handling 1.11 - 499 gallons.of Hazardous Materials. . .__ _______ _____________ ___ _____..___.i .____ _____._ _________ ____ J__s___ __ _ _____. 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 J �f Town of Barnstable THE Inspectional Services BARNSTABLE F TfL_ � w u,rne=•4:a+r�i;;L•cmm•nruixi= Public Health Division +�BARNSTABLE, •• MASS. $ Thomas McKean, Director 1639. 200 Main Street, Hyannis,MA 02601 • l� t�1 Office: 508-862 4644 Fax: 508-790.6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZEun 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 3 Oth). APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 -499"Gallons: $125.00 xvesr 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? X 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: SIEPHEN I V L—TZ�JZ l/�PD 5. NAME OF ESTABLISHMENT: VLTbp-i,mo,5 Lansmamc-, 6. ADDRESS OF ESTABLISHMENT: S h DDS H i i l r 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: S. TELEPHONE NUMBER OF ESTABLISHMENT: 605 -:Noz 9 l 4 S 9. EMAIL ADDRESS: . r1Cx�b-i)C1CLCdd) Love .�� c 10. SOLEOWNER: Y-YES_NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT1440 H U a n A.LS r C)5 TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: • SIGNATURE OF APPLIC �- ATE 5I 16I2O1 Q:\Application Fonns\Haz Mat App Revised 09-10-18.docx i T"(WMIVOEMCU INUl V LOCATION. 80. SIDDS HILL RD BARNSTABLE FIRE DEPARTMENT: 91 BARNSTABLE AFIRE DEP 24 HOUR SPILL HOTLINE; 8881304-1131 BARNST"LK HEALTH,'DEPT 50:8-862'-464 . Actions to be taken to control spill or:release,and.preventing it from reaching:catch basin, sewer system or ground: -Spread copious amounts of absorbent:material-necessary to absorb spill. -'47I QG 9Cn N.C-5ul-5N E -S CN:L i1�N IL 4C -Air Clocr D If the spill or leak cannot be stopped,catch the flowing liquid using a pan,pail,hubcap,shovel or whatever is available.Spreading sorbent material-Speedy-Dri,sand,ground corncobs,straw,sawdust, wood chips,peat,synthetic sorbent pads,or dirt from the roadside can stop the flow and soak up the petroleum on pavement.Sorbents do not make petroleum nonflammable. Brooms can be used to sweep up the sorbent material and put it into buckets,garbage cans or barrels or on top of plastic sheeting.Remember to control ignition sources.Fresh granular sorbent such as sand can then be re-spread on a roadway to control the residual slipperiness. a spill or leak occurs,stop the oil from flowing at the source. If a leak from a container or tank can't be stopped,put the oil in another holding container or tank. Contain spilled oil.For example,containment can be accomplished by erecting sorbent berms or by spreading a sorbent over the oil and Clean up the oil and recycle the used oil as you would have before it was spilled.If recycling is not possible,you first must make sure the used oil is not a hazardous waste and dispose of it appropriately. All used cleanup materials,from rags to sorbent booms,that contain free-flowing used oil also must be handled according to the used oil management standards.Remember,all leaked and spilled oil collected • during cleanup must be handled as used oil.If you are a used oil handler,you should become familiar with these cleanup methods.They may also be part of a spill response action plan. Remove,repair,or replace the defective tank or container immediately. • Number Fee 238 THE COMMONWEALTH OF MASSACHUSETTS $125.00 ' Town of Barnstable Board of Health This is to Certify that - VETORINOS LANDSCAPING 80 KIDDS HILL ROAD, BARNSTABLE, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2019 unless sooner suspended or revoked. ------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2018 JUNICHI SAWAYANAGI THOMAS A. MCKEAN,R.S.,CHO Director of Public Health ,1 V0weg8atoryVrvjcesof Bns able . Richard V. Scali,Director d- IHME r Public Health Division BARNSTABLE Y i BANNSiABtE.fWERVILL-CDMi•XYlJ.'NIS ��AB�. Thomas McKeanMA MS& , Director N.usTasNns� o4RseaN$Tne iOTe1 a6 9. ``� 200 Main Street, Hyannis,MA 02601 575 Office: 508-862-4644 CQ0 9 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS DULY 1 st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26 110 Gallons: $ 50.00 ❑. CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 4q'1 /COOS . s/��laD/g 2. IS THIS A PERMIT RENEWAL? X 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 (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: V/ CV/1CjD - Vz°�Drl'nn ' 5. NAME OF ESTABLISHMENT: rl'nOS 6. ADDRESS OF ESTABLISHMENT: �® ,s /�/nL{ � as G�- 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 5� `� ` Sr . 9. EMAIL,ADDRESS: 10. SOLEOWNER: � YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT — TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: • NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLIC DA .fl/ ,5�o?0 /f" Q: Application FormSUHAZMAT APP 2017 REVISED.docx l ' i 1H1Ri,&PuM1IDCDU9.- 'VYjA�3U 1E 51PHILIL (■`//,111 y,-' 11�``yT1I 11�,,17�11{■r`/1111,Ty,•T1�•�� /{/`/1+11 y,-•�,,1[�7l/7 �I��/",}^,►' 11T�``yT11 LOCATION: 80 KIDDS HILL RD BARNSTABLE FIRE DEPARTMENT: 911 , - BARNSTABLE FIRE DEP 24 HOUR SPILL HOTLINE: 888-304-1133 BARNSTABLE HEALTH DEPT: 508-862-4644 Actions to be taken to control spill or release,and preventing it from reaching catch basin, sewer system or ground: -Spread copious amounts of absorbent material necessary to absorb spill. • 471QG :OCn N&ULS HEI�ZS W DISC E C. T/�J lL. ° docr t _ D If the spill or leak cannot be stopped,catch the flowing liquid using a pan,pail; hubcap,shovel or . • whatever is available.Spreading sorbent material-Speedy-Dri,sand,ground corncobs,straw,sawdust, wood chips, peat,synthetic sorbent pads,or dirt from the roadside can stop the flow and soak up the petroleum on pavement.Sorbents do not make petroleum nonflammable. Brooms can be used to sweep up the sorbent material and put it into buckets,garbage cans or barrels or on top of plastic sheeting. Remember to control ignition sources. Fresh granular sorbent such as sand can then be re-spread on a roadway to control the residual slipperiness. a spill or leak occurs,stop the oil from flowing at the source. If a leak from a container or tank can't be stopped, put the oil in another holding container or tank. Contain spilled oil. For example,containment can be accomplished by erecting sorbent berms or by spreading a sorbent over the oil and Clean up the oil and recycle the used oil as you would have before it was spilled. If recycling is not possible,you first must make sure the used oil is not a hazardous waste andAispose of it appropriately. • All used cleanup materials,from rags to sorbent booms,that contain free-flowing used oil also must be handled according to the used oil management standards. Remember,all leaked and spilled oil collected during cleanup must be handled as used oil. If you are a used oil handler,you should become familiar with these cleanup methods.They may also be part of a spill response action plan. Remove, repair,or replace the defective tank or container immediately. i of Number Fee 238 THE COMMONWEALTH OF MASSACHUSETTS �$125.00 . y Town of Barnstable Board of Health This is to Certify that VETORINOS LANDSCAPING 80 KIDDS HILL ROAD, BARNSTABLE, 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 06/30/2018 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 ZZ:I OWd v s OZ 6 Niff TRowr of hmstable eg atory ervlces Richard V. Scali, Director �,t►+e r Public Health Division BARNSTABLE • • IUgSlrrT H(LLS• IUF•MSIpV.4ilR0'.E &ARNSMBLr., �. Thomas McKean, Director >639-639-zo>, iOrEe �s`0� 200 Main Street, Hyannis,M.A 02601 Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: $ 50:00 CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 A V's 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. oc`'�" ►/b D�� (� I �pL2l'7 2. IS THIS A PERMIT RENEWAL? V1 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: V V1 5. NAME OF ESTABLISHMENT: V&v o!5 Umd 4 I r GlU I 6. ADDRESS OF ESTABLISHMENT: 6© yjidc S aw Rd . E�"Sk� 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE:S. TELEPHONE NUMBER OF ESTABLISHMENT: � $� 362-9 lit//'' 8 9. EMAIL ADDRESS: yetK`v-)o5•--LAAdLL, (a) L `con j 10. SOLEOWNER: �( YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT 14 D A in nn IS-` - - - n TREASURER CLERK , 12. IF PREPARED.BY OUTSIDE PARTY- NAME:', TELEPHONE#: COMPANY ADDRESS EMAIL: • SIGNATURE OF APPLICANT— DATE LD Y QAApplication Forms\HAZMAT APP 2017 REVISED.docx Number - Fee 238 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that -VETORINOS LANDSCAPING 80 KIDDS HILL ROAD, BARNSTABLE, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. v ---------------------------------------------------------------------------------------------------------------- -------------------------------------------------- ---------------------------------------- ---------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and C� and expires 06/30/2017 unless sooner suspended or revoked. ---------------------------------------- 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 r ;j L Town of Barnstable ' a �'THE► Regulatory Services Richard V. Scali, Director , RAMSrABM MASS. Public Health Division BARNSTABLE 1639• ,0� .. B""wusaarusr -`nrwsie nxs4 Thomas McKean,Director 1 639-201" . ° 200 Main Street;.Hyannis,MA.02601 Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE -a f 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 PERIVIIT(RUNS JULY'l stJUNE 3 0th): APPLICATION FEES CATEGORY I PERMIT 26 1'10 Gallons:'; $ 50.00,' ` ❑ CATEGORY 2 PERMIT . 111 -499 Gallons:-$125.00 •S CATEGORY'3 PERMIT• 500 or more Gallons: $150:00 . : ❑ ` r- paym A late charge of$10.00 will be assessed if ent is not received by July 1st. ASSESSORS MAP AND PARCEL NO.�'3q/0 0 3 DATE (O f 4 4 12-6 10 FULL NAME OF APPLICANT: z)TE-p H-E�1~ I V P—I I\j NAME OF ESTABLISHMENT VIN©0S L_�,No5C4PI ne t_ 1 M L( ADDRESS OF ESTABLISHMENT:q 0 b D o-s H I LL� kb 5A]W STA 1 MAILING ADDRESS(IF DIFFERENT): TELEPHONE NUMBER OF ESTABLISHMENT: 15D& 51.o Z g 14 8 EMAIL ADDRESS: . V6D V V D's'-' L n CLGk- Ue C'C�YYj SOLE OWNER:' T. YES -- NO IF NO,NAME OF PARTNER: FULL-NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME f PRESIDENT 144,® R l a d Yl n f S"j?Sa TREASURER CLERK ; IF.PREPARED BY OUTSIDE PARTY: .. r SIGNATURE OF ! ` � Name: t Company Address Telephone#: ` Email: Q':\Application Fonns\HAZZAPP Rev I6.docx Page 1 of 2 y Town of Barnstable Office: 508-862-4644 Fax: 508-790-6304 • Regulatory Services Department Public Health Division Thomas A.McKean,CHO 200 Main Street, Hyannis,MA 02601 ''moo Payment Receipt Hazardous Materials Payment received: $125.00 (Check) on 6/21/2016 Permit number: 238 .Check number: 4125 Check amount: $125.00 Name on check: Vetorino's Landscaping &Irrigations LLC ;Business: VETORINO'S LANDSCAPING Owner: THOMAS F&KAREN P TRS .Address: 80 KIDD'S HILL ROAD, Barnstable • { J 7 r \ Number Fee 238 THE COMMONWEALTH OF MASSACHUSETTS 100.00 Town of Barnstable Board of Health This is to Certify that VETORINO'S LANDSCAPING 80 KIDDS HILL ROAD, 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 Town of Barnstable �VE� Regulatory Services ti • °� Richard V.Scali,Director .. Public Health Division "gip i639' �m Thomas McKean,Director, `200 Main Stxeet;, Hyannis,MA 02601 y :r r Office: 508-862-4644 F= 'Fax: 508-790-6304 'Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. o� DATE [ f APPLICATION FOR PERMIT TO STORE"AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT V&0 A d s ADDRESS OF ESTABLISHMENT 00 ;�ns' �J TELEPHONE NUMBER c50 2 136 Z 9, n i SOLE OWNER: K YES IF"APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF-ALL : , PARTNERS: i IF APPLICANT IS,,A CORPORATION:''FEDERAL IDENTIFICATION NO: Z7 Z , STATE OF INCORPORATION FULL NAME AND UOME ADDRESS OF:PRESIDENT f 44 0 H Y4N A1I_S 8ARAJZ1 V P—b' BA P_1V,5M6, L _ 1 SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS j qqQ HUTzV1Y O --13Cl1i.t l HOME TELEPHONE# ��'31oZ9/�� Mcache\Temporary Mtemet Fi1es\0LKD3\HAZAPP Rev2015.D0C Town of Barnstable � 1HE Regulatory Services • Richard V. Scali, Director �B` r Public Health Division 039. �• iOrEc '�' Thomas McKean, Director .200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Wayne Miller;M.D. Fax: 508-790-6304„ Paul J.Canniff,D.M.D. - Junichi Sawayanagi NOTICE TO ALL BUSINESS OPERATORS WITH HAZARDOUS MATERIALS IN BARNSTABLE The Town of Barnstable Town Council adopted, Chapter 108: Hazardous Materials, a requirement for each business operator to obtain an annual permit and to remit a fee of$100.00 if one-hundred and eleven (111) gallons or more of hazardous materials are stored, transported, utilized, and/or disposed of at a particular site. STEPS 1 - 2: 1. Please complete the attached application form 2. Submit the fee of$100.00 payable to the: Town of Barnstable. MAIL all of the above to this office on or before June 30, 2015. A late charge of$10:00 will be assessed if payment is-riot received'by July 109 2015. Please feel free to view the above Code, Chapter 108: Hazardous Materials on the Town Website, www.town.barnstable.ma.us , which.is located under the E-Code section if you should have any questions or concerns. . 6 Q:\Hazmat\Haz Mat Permit Letter.DOC 1 y� Town of Barnstable' . : Office: 508-862-4644 � Fax: .� Regulatory Services Department Fax: 508-790-6304 • BA ot Public Health Division Mnss. Thomas A. McKean, CHO 200 Main Street, Hyannis, MA 02601 Payment Receipt Hazardous Materials Payment received: $100.00 (Check) on 6/9/2015 Permit number: 238 (C Check number: 3199 Check amount: 100.00 Name on check:,Vetorino's Landscaping &Irrigations I �LLC Business: VETORINO'S LANDSCAPING MA Own r: TH e O S F &KAREN P TRS Address: 80 KIDWS HILL ROAD, Barnstable I . H • • Number Fee 238 THE COMMONWEALTH OF MASSACHUSETTS 100.00 Town of Barnstable Board of Health This is to Certify that VETORINO'S LANDSCAPING 80 KIDDS HILL ROAD, 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 Town of Barnstable °FtHE T Regulatory Services. -Richard V. Scali,Director B" MASS. MS. ' Public Health Division 9 MASS s63q• �� 'Orft6yq Thomas McKean, Director 2.00 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $.100.00 ASSESSORS MAP AND PARCEL NO., P7/0 03 DATE LO I l APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT -) T VETb121 p\J NAME OF ESTABLISHMENT UFir k9jVbS LI&ND 2LP(K)6 ADDRESS OF ESTABLISHMENT e-er V1 1.V5 H L L:L Rb TELEPHONE NUMBER. .�(p`Z CI l C4 R SOLE OWNER: X-YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME.ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION:. FEDERAL IDENTIFICATION N.O. 4 b )_7 2-_7 Z- STATE OF INCORPORATION. LLC� Hk f FULL.NAME.AND HOME ADD r�O,F�:I PRESIDENT U� IMI& y N IS TREASURER CLTHRIC— _-7-,�-�_ ATURE OF APPLICAN,T�,( I, RESTRICTIONS: HOME ADDRESS t L4LA() "Ctr)Vjj4f�Jtx �J �IJ HOME TELEPHONE# ?v(p2 Q\Application FormsEAZAPP.DOC �L71L.l�Cl� ��.W.►;y V.V. &l U DEJLJL LOCATION: 80 KIDDS HILL RD BARNSTABLE FIRE BARNSTABLE FIRE. DEP 24 HOUR-SPILL HOTLINE:. 888=304-1133 BARNSTABLE_HEALTH:DEPT: 508-862=4644 Actions to be taken to control spill or release,and preventing it from reaching catch basin, sewer system or ground: -Spread copious amounts of absorbent material necessary to absorb spill. Number Fee 238 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that VETORINO'S LANDSCAPING 80 KIDDS HILL ROAD, BARNSTABLEXA 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 6/30/2014 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2013 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health rw✓ To O Banistable o�,HE Re tar Senic-e Thomas F, Gefle ,I)i�etor 3 a� Public Health DI�ME a? � Lomas maxfan,Dina# 2X Nfaia.St -e-, Rya±i , MA 02601 F= 5oS-790.6304 Officz: 50S4 24b �SESSfl13S i�.�P ABD P A.RCTL 50, / D() DAB �2- �ZJD I 13P �ATI��d FAR PE-PN) fTT TO STORE AND/��I7�I� 'T M9 TEA- 11� G_�I�LaT� OF IHAZ ApD 101 1AraIZIUS OF A�PIc_Ar 'f�P �N T 1l�`TZD12. INC) tN0 �- OF ESTABT,7t-'iTT I g 0_Nj NUMBER2 914 S OI�E 0 �: YES No � 3' Z 7 A� HOMSE A_.DDRESS OF All L�'A�PLICA.�1-T IS A'PAAT�lE=RSA, c5 i m . t r A�PPI�CA i IS A CD PORA=ON; FEDII A L ID iCATIO�i i O. 4ln_ S'TAZE 0-F J�TCORPORA=ON �" A A_D Hots+ ADDRESS OF; _ IUUD NY1NtS a� s � s of APB cA -T a Nit - tom c�oS: goy ADDRESS 29 l4 r_'dnclwplq .i/11 1LL - 1 REQUESTS 1 S Please mail -the co=lete-d application,farm to tie a��n8s below. In addition, please include the i-cquizzd fer amoum 361?, checkpayable to: Tb-7,n of Baznstable.' Our snail ig.address is: Town of Baxstabl F-ablic Health Division 2DO Ma±a S#r-ee# Hyana-is, NLA 026�1 FOR FA�L�D REQUESTS Our fa_number is (508) 790-63d4. Please fax-a co=plet�d applicz�on fo i;'In addition, you nLst rn�;l the regiizd fee c ount (see fors at bottom of this page). Please nako the check payable to: Tovv71 of Bible. The check must be nailed to the address Estzd above. For further.ass&Lmcr on any item above, call (508): 862-4644 I i i i i - I I I � i I HAZARDOUS WASTE SPILL CONTINGENCY PLAN LOCATION: 80 SIDDS HILL RD BARNSTABLE FIRE DEPARTMENT: 911 - BARNSTABLE FIRE DEP 24 HOUR SPILL HOTLINE: 888-304-1133 BARNSTABLE HEALTH DEPT: 508-862-4644 Actions to be taken to control spill or release,and preventing it from reaching catch basin, sewer system or ground: -Spread copious amounts of absorbent material necessary to absorb spill. -;k�:7i Q 0M tvGAu,[-sH E_--rzs wa�s-t—E �L " x S =EA KEEPING YOU ORGANIZED No. 10334 2453L MADE IN USA GET ORGANIZED AT SMEAD.COM