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HomeMy WebLinkAbout3180 MAIN ST./RTE 6A(BARN.) - Health (3) 3180 Main Street Salon 6-A Barnstable A= 300 - 048 i o i YOU WISH TO OPEN A BUSINESS? el, For Your Information: Business Certificates cost $40.00 for 4 years. A Business Certificate ONLY REGISTERS THE BUSINESS NAME in town (which you.must do by M.G.L.- it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200.Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) and get the Business Certificate th t is required by law. y Fill in please: Date: Zo i ` APPLICANT'S NAME: YOU H^ME ADD ,n S: ��'2 G�orVS5 - �t AO BUSINESS TELEPHONE # _S HOME TELELPHONE #: EIN.ORSSN: NAME OF CORPORATION: _A FFD # NAME OF NEW BUSINESS C TA a TYPE OF BUSINESS � I 4 IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS 31d ,� �[l S% �i� �. A�� SwMAP/PARCEL NUMBEb* (Assessing), t � When starting a new business there are several things you must do to be in compliance with the rules and regulations of the Town of Barnstable. This form is to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. (corner of Yarmouth Rd. & Main Street) to make sure you have the, appropriate permits and licenses required to legally operate your + business in town. , .1 BUILDING COMMISSIONER'S OFFICE This individual has'been informed of any permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: �..� 2. BOARD OF HEALTH This individual has b n in rmed of the permit requirements that pertain to this type of business. MUSTAuthorized Si nature** ,, ALL g uh7ARr)O[Jq NnATERW.:S P.1 i! COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the Licensing requirements that pertain to this type of business. Authorized Signature** TOWN OF BARNSTABLE Date(//lq /M TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: /,,�o ,r5 9) 4�� BUSINESS LOCATION: - �31fo yT INVENTORY MAILING ADDRESS: ee 1/,7,3 TOTAL AMOUNT: TELEPHONE NUMBER: �� �% �� CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: ?6Z MSDS ON SITE? TYPE OF BUSINESS: INFORMATION/RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month re uires 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) 1 Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) 6 ,gaulk/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 2 Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, -Paint&-varnish-removers, deglossers., - . hydrochloric_acid,_other.:acids). Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes Laundry soil &stain removers (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS A litany; ignature' Staff's Initials YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates(cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.- it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall_) and get the Business Certificate that is required by law. DATE: 5k•-Lq �7� Z�I Fill in please: r►-APPLICANT'S YOUR NAME/S: WAWAi12 F4 oK�A ND " 14 BUSINESS YOUR HOME ADDRESS:_ cohinn AV-4— J ; '?-S�$d �- JLI l l K4 A -0 2-to 3 : _ TELEPHONE # Home Telephone Number Git) $ - ? 19 NAME OF CORPORATION: NAME OF:NEW BUSINESS Ctvl qe Li:e- So 44-l-1 Dyt S TYPE OF.BUSINESS c-G:i a-L- SA3A d la IS THIS A HOME OCCUPATION? YES NO 7 . ADDRESS OF BUSINESS 3)g0 ► Sfc� MAP/PARCEL NUMBER 0 y' $ (Assessing) When starting a new business there are several things you must do in order to be in compliance with the.rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has been informed of any permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 2. BOARD OF HEALTH This individual has ppeen �tf_rm the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS:__ 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: it se lljnA re lziii - WNj)I nfed +U116 eItt Vel'd6cs if W11,—V cd hmm _ YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates cost$30.00 for 4-years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L. - it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1st FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) kii� DATE: 7-29—®& Fill in please: 6 l APPLICANT'S YOUR NAME:_ �0 _ e- I pr 1 1V r_uN uV 00 x BUSINESS YQUR HOME ADDRESS:— �1_2 b l V�� s, TELEPHONE # HomeTellphone Number_$p F� NAME OF NEW BUSINESS 5Wom 6-A TYPE OF BUSINESS Sal IS THIS A HOME OCCUPATION? YES N.O._&Z Have you been given approval from the building division? YES NO i &1P.4 3��4ADDRESS OF BUSINESS D fO40 6T W` 40b7e I/i 1� RCEL N.UMB:ER When starting a new business there are several things you must do in order to be in compliance with the rules.and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St.—(corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING C0I14M' ER'S. FFICE This individ al hiis Yeea inf ed of any permit•req irements that pertain to this type of business. el a AA Au on Sig atu e _ M NTS: cc,d r le.. r 2. BOARD OF HEALTH nL "�'lh. P�✓. This individual has inf r e h er 't requirements that pertain to this type of business. . Auth rized Signature�"`r , COMMENTS: exwuJ1� .cel i' � 3, CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature'" COMMENTS: t� TOWN OF BARNST Date: Z /ZS/ p( ;r 4�'IC AND HAZARDOUS MATERIALS ERIALS ON-SITE INVE Y c OF BUSINESS: SINESS LOCATION: TAILING ADDRESS: d (, INVENTORY TELEPHONE NUMBEI;PJ�Yag— � N TOTAL AMOUNT- us CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: TYPE OF BUSINESS: `v� jp _ MSDS ON SITE? INFORMATION/RECOMMENDATIONS: S' �' W���_� P•t� ) Fir istric : � OC Waste Transportation: � � Name of Hauler-, Last shipment of hazardous waste: "— Waste Product: Destination: NOTE: Under the provisions of Ch. 111 Licensed? Yes . No storage and disposal of 111 gallons or more ca month oret ui es a license from the Public General Laws of MA, Hhazardous materials use, LIST OF TOXIC AND HAZARDOUS MATERIALS ubllc Health Division. The Board of Health and the Public Health Division have determined that the following products e or hazardous characteristics and must be registered regardless of volume. p xhlbit toxic Observed/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) NEW USED Misc. Corrosive Cesspool cleaners Automatic transmission.fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils NEW USED Pesticides (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas —7 Diesel Fuel, kerosene, #2 heating oil Photochemicals (Fixers) Misc. petroleum products: grease, NEW USED Photochemicals (Developer) lubricants, gear oil Degreasers for engines and metal NEW USED Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Battery acid (electrolyte)/Batteries Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Misc. Combustible Leather dyes Car waxes and polishes Asphalt & roofing tar Fertilizers PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, ' Lacquer thinners NEW USED (inc. carbon tetrachloride) Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables _—F!ccr& furniture'stripper s � -hydrochloric acid; other acids) Metal polishes -~�- Other products not listed which you feel may be toxic or hazardous (please list): Laundry soil & stain removers (including bleach) (' Spot removers &cleaning-fluids J (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS `\`[u YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town which you ( Y ) ( must do by M.G.L. - it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, "Is' FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) DATE: wmg,��c� �'�` Fill in please: tt fi � w APPLICANT'S YOUR NAME: C)Y_4- e BUSINESS YOUR HOME ADDRESS: `_a ' �-sb TELEPHONE # Home Telephone Number NAME OF NEW BUSINESS a4t0tJ 6-A TYPE OF BUSINESS 5A(um IS THIS A HOME OCCUPATION? YES N.O._&,..'- Have you been given approval from the building division? YES NO � ADDRESS OF BUSINESS" ®d fo,dJ ` ArA 6T j�40b f/i Ig sm /PARCEL NUMBER 3M> -040 When starting'a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. -(corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMA ER'S FICE This individ�al h s er,in ed of any permitreq irements that pertain to this type of business. M A ae _ �cu on Sig NTS: � r- G-V 2. BOARD OF HEALTH ` This individual has irtf rme ;Ter�Ot requirements that pertain to this type of business. A:c� + 3 . Auth rized Signature"�"r " COMMENTS: 0- ttrLtJ1�Signature" �• r A I -C i 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature"" COMMENTS: t Date: TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVE Y NAME OF BUSINESS:��e/0�/ BUSINESS LOCATION: 3190 V6II'&I + v I`ll INVENTORY MAILING ADDRESS: _ L �' TOTAL AMOUNT: ,-TELEPHONE NUMBE00— p' us ham° /.) ice/ CIV ONTACTPERSON: L©ri (scIlc r . EMERGENCY CONTACT TELEPHONE NUMBER: l` Cal rC ���`� MSDS ON SITE? TYPE OF BUSINESS: 5czlv — AA 6�?�Pilc INFORMATION/RECOMMENDATIONS: Fir istric QC f'Vl s' i . JV Waste Transportation: _AAq 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 materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) _ Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides . NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED ,Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroforrim,-formaldehyde, - 3._ Misc. Flammables hydrochloric acid, other acids) Floor & furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers J (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS i' COMMONWEALTH OF MASSACHUSETTS F EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS A d DEPARTMENT OF ENVIRONMENTAL PROTECTION SOUTHEAST REGIONAL OFFICE r �r Otin)�p^ fib.Qi• S?-i P�%� B'( . ARGEO PAUL CELLUCCI TRUDY CORE Governor Secretary ��'r`„►s{�bC�...I G�v'e,�ea you. DAVID B.STRUHS ° Commissioner URGENT LEGAL MATTER: PROMPT ACTION NECESSARY CERTIFIED MAIL: RETURN RECEIPT REOUESTED Y/ May 27, 1998 C (DP .- Commonwealth Electric RE: BARNSTABLE-BWSC 484 Willow Street 3180 Main Street Hyannis, Massachusetts 02601 RTN 4-13875 NOTICE OF RESPONSIBiLITY "- M.G.L. c 21E, 310 CMR 40 . 0000 ATTENTION: Jim Dugan On "May 13 , 1998 at 4 :40 PM the Department of Environmental Protection (the "Department") received oral `- notification of a release and/or thre4t of -release of oil and/or hazardous material at the above referenced property which requires one or more response actions . Approximately , twenty (20) gallons of transformer fluid was released after a pad-mounted transformer was moved off its base mount . The Massachusetts Oil and Hazardous , Material Release Prevention and Response Act, M.G.L: c . 21E, . and, the Massachusetts Contingency Plan (the ttMCP.11 ) , . 310 CMR -40 . 0000, require the performance of response actions to prevent harm to health, safety, public welfare and the environment which .may result from this release and/or threat of release and " govern the conduct 'of such 20 Riverside Drive • Lakeville, Massachusetts 02347 • FAX (508) 947-6557 • Telephone (508) 946 2700 This information is available in alternate format by calling our ADA Coordinator at (617) 574-6872. DEP on the World Wide Web: http:/Awww.magnet.state.ma.us/dep Printed on Recycled Paper 2 actions. The purpose of this notice is to inform you (as used in this letter, "you" and "your" refers to- Commonwealth Electric) of your legal responsibilities under State law for, assessing and/or remediating the release at this property. . For—purposes - of. this Notice of Responsibility, the terms and phrases used herein shall have the meaning ascribed to such terms and phrases by the MCP unless the context clearly indicates otherwise . The Department has reason to believe that the release and/or threat of release which has been reported is or may be .a disposal site as ,defined by the M.C.P. The Department also has. reason to believe that you are a Potentially Responsible Party (a "PRP" ) with liability under M.G.L. c .21E §5, for response , action. costs . This liability is "strict" , meaning that it is. not based on fault, but solely on your status , as owner, operator, generator, transporter, disposer or other person specified in M.G.L. c.;21E,_ §5 . This liability is also "joint and several" , , meaning that you may be liable for all response action costs incurred at a,disposa,l site regardless „of the existence of any other liable parties . • The Department encourages parties with liabilities . under M.G.L. c.21E to take prompt and appropriate actions in response. to releases and threats of release of oil and/or hazardous materials . By taking prompt action, you , . may, significantly lower your assessment and cleanup costs and/or .avoid liability for costs incurred by the Department in taking such actions . You may also avoid the imposition of, the amount of or reduce certain permit and/or annual compliance assurance fees payable under. 310 CMR 4 . 00 . Please refer to M-.G.L-. -c.21E for a complete description- of , potential liability. For your convenience, a summary of liability under M.G.L. c.21E is attached to this notice. You should be aware that you may- have claims against third parties for damages, including claims for . contribution or reimbursement for the costs of cleanup. Such claims do not exist indefinitely but are governed by laws which establish the time allowed for bringing litigation. The Department encourages . you to take any action necessary to protect any such'' claims you may have against third parties At the time of oral -notification. ,to the Department, the x following response actions were, approved as an Immediate Response Action (IRA) : Excavation and disposal of up to 10 cubic yards of contaminated soil .— r% • All Remediation Waste must be properly stored/handled and disposed of , within 120 - days from the , date of generation per 310 CMR 40 . 0030 ACTIONS REQUIRED Additional submittals are necessary with regard to this notification including, but' not limited to, ,.. the . filing of a written IRA Plan, IRA Completion Statement and/or an RAO statement . The MCP requires that a fee of $750 .00 be submitted to the Department when an RAO statement is filed greater than 120 days from the date of initial notification. Specific approval is required from the Department for the 'implementation of all IRAs and Release Abatement Measures (RAMs),. Assessment activities, the construction of a fence and/or the posting of signs are actions that are exempt from this approval requirement . In addition to oral -.notification, 310 CMR 40 . 0333 requires that a completed Release Notification Form (BWSC-103', attached) be submitted to the Department within sixty (60) calendar days of May 13, 1998 . You must employ or engage a Licensed Site Professional (LSP) _ to manage, supervise or- actually perform" the' necessary. response actions at this site. You may obtain a list of the names and addresses of these licensed professionals from the Board of Registration of Hazardous Waste Site Cleanup Professionals 'at (617) 556-1145 . Unless otherwise' provided by the Department, potentially responsible parties ( 11PRP' s11 ) have one year from the initial date of notification to . the Department of a release or.. threat of a release, pursuant to . 310 , CMR 40 . 0300, or from the date the Department issues a Notice of Responsibility, whichever occurs earlier, to file with the Department one of the following submittals : (1) a completed Tier Classification Submittal; (2) a Response Action Outcome . Statement or, if applicable, (3) a Downgradient Property Status . The 'deadline for either of the first two submittals for this disposal site is. May 13, , 1999 . If required by the MCP, . a completed Tier I , Permit Application must also accompany a Tier Classification Submittal . This site shall not be deemed to have had all the necessary and required response actions taken unless and until all substantial hazards presented by the release and/or threat of release have been eliminated and a level of No Significant Risk exists or 'has been achieved in compliance with M.G.L. c .21E and the MCP. 49, 4 r f ' If you have any questions relative to ;this notice, please contact Michael Moran at the letterhead address or ,at 508-946- 2855 . All future communications regarding ..this release must reference the following 'Release Tracking Number:4-13875 . Very truly yours, L� Richard F. Packard, Chief Emergency Response, / Release Notification Section P/MM/re CERTIFIED MAIL Z 33.3 584 , 392 RETURN RECEIPT REQUESTED I Attachments : Release Notification Form; BWSC-103 and Instructions Summary of Liability under M.G.L. c .21E CC : Board of Selectmen Town Hall, 367 Main St'. Hyannis, MA 02601, r Board of Health Town Hall, 367 Main St . Hyannis, MA 02601 Fire Dept 95 High School Road Hyannis, MA.02601 r lean � -Harbor ENVIRONMENTAL SERVICES, INC. 1501 WASHINGTON STREET,P.O. BOX 850327•BRAINTREE,MA 02185-0327 (781)849-1800 Visit our Website at www.cleanharbors.com June 16, 1998 Town Manager Town of Barnstable 367 Main Street RECEIVED Hyannis, MA 02601 Re: Response Action Outcome Statement JUN 2 6 1998 Commonwealth Electric Company 3180 Main Street TOWN OF BrP'-'o—TABLE Barnstable, Massachusetts WEIGHTS AND MEASURES DEP Release Tracking Number: 4-13875 LICENSING/ PARKING Dear Sir/Madam; The report of a release of a quantity of transformer oil at the above mentioned location has resulted in Immediate Response Actions being undertaken. These actions are documented in a Response Action Outcome Statement dated June 16, 1998. This letter has been prepared, in accordance with the public notification requirements of 310 CMR 40.1403 to provide notification to your office of the release and the availability of the Response Action Outcome Statement at the Commonwealth Electric Co. office (2421 Cranberry Highway, Wareham, MA 02571) or at the Southeast Regional office of the Massachusetts Department of Environmental Protection (P.O. Box 1320, Lakeville, MA 02346). No action other than receipt of this letter is necessary by your office. Sincerely, 2 Richard E. Mac by Project Engineer cc: Town of Barnstable-Health,Safety Environmental Services Department ;230 South Street Hyannis,MA 0260ir Kevin F.McCune-COMELEC Project File EN-1505 "People and Technology Protecting and Restoring America's Environment" L COMMONWEALTH OF MASSACHUSETTS n y EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS n' DEPARTMENT OF ENVIRONMENT SOUTHEAST .REGIONAL' OFFICE COPY r Ye ARGEO PAUL CELLUCCI BOB DURAND Governor Secretary JANE SWIFT EDWARD P.KUNCE Lieutenant Governor Acting Commissioner May 11, 1999 Mr.Kevin McCune Commonwealth Electric RE: BARNSTABLE--BWSC/ASM-4-13875 2421 Cranberry Highway 3180 Main Street )6 Gg � Wareham,Massachusetts 02571 NOTICE OF AUDIT/REQUEST FOR SITE INSPECTION NOTICE OF AUDIT This is an important Notice. Promptly respond to any requests contained herein. Dear Mr.McCune: 1 Massachusetts General Law Chapter 21E requires the Massachusetts Department of Environmental Protection, Bureau of Waste Site Cleanup ("the Department"), to audit response actions not overseen or conducted by the Department at sites of releases of oil or hazardous material to ensure that these actions are being conducted according to M.G.L. c. 21E,the Massachusetts Contingency Plan (the "MCP"), and other relevant laws and regulations. The MCP at 310 CMR 40.1100 establishes procedures for conducting such audits. The site referenced above has been randomly selected by the Department for an audit. -The audit will be conducted by Department staff of the Southeast Regional Office in Lakeville. The audit will initially focus on the Class A-2 Response Action Outcome Statement (RAO) prepared on your behalf by Dana A. Simpson,LSP#3497, of Clean Harbors Environmental Services,Inc. Additional response actions may also .be evaluated as appropriate. This Notice describes the scope of the audit and the type of audit activities the Department initially intends to perform along with your responsibilities and relevant deadlines. A fact sheet and flow chart, included in this Notice as enclosures one and two, describe the audit process. Please note that, during an audit, response actions can proceed as planned unless you are otherwise notified by the Department. 20 Riverside.Drive•Lakeville,Massachusetts 02347• FAX(508)947-6557•Telephone(508)946-2700 This information is available in alternate format by calling our ADA Coordinator at(617)574-6872. DEP on the World WideWeb: http://www.magnet.state.ma.us/dep `�Printed on Recycled Paper 2 r. REQUEST FOR SITE INSPECTION Pursuant to M.G.L. c.-21 E §§ 2, 4, and 8, 310 CMR 40.0166,and 310 CMR, Afovey agents, and contractors of the Department may enter any site or vessel to investigate, sample, or inspect any documents, conditions, equipment, practice, or property as part.of the audit. The Department requests an appointment to inspect the site on Tuesday,May 25, 1999, at 1:00 p.m.,to discuss issues relevant to this audit. The inspection will be conducted by Mary Ellen Smith and Bob Murphy of the Audit and Site Management Section. Your LSP is requested to attend. Please call Bob Murphy within seven (7) days of receipt of this Notice at(508)946-2788 if you will need to arrange an alternative date or time. Please submit any additional documentation associated with the response actions performed at the site not previously submitted to the Department which you would like to be included as part of the audit. Any submittal made in response to this Notice must contain the enclosed certification of submittal per 310 CMR40.0009. At the completion of this phase of the audit,the Department may: (1) Issue a Notice of Audit Findings that may include a statement of violations or deficiencies and steps to correct those violations or deficiencies. (2) Request a meeting with you,and if you choose,a representative,to discuss response actions and other supporting evidence to demonstrate compliance and then issue a Notice of Audit Findings. (3) Conduct further site investigations and then issue a NotEe of Audit Findings. (4) Issue a Notice of Audit Findings that sets an Interim Deadline to correct violations or deficiencies or to prepare an Audit Follow-up Plan. (5) Initiate enforcement actions listed at 310 CMR 40.1140(2) if violations of M.G.L c.21E or the MCP have been identified. If you have any questions regarding this Notice or any of the requirements contained in it,or believe that you cannot comply with its requirements, please contact Bob Murphy at (508) 946-2788. The Department appreciates your anticipated cooperation in this matter. Very truly yours, Joseph F.Kowal,Chief Audit and Site Management Section SBM/ka CERTIFIED MAIL NO.Z 539 134 168 RETURN RECEIPT REQUESTED Enclosures: (1) Fact Sheet (2) Flow Chart (3) Certification of Submittal I f 3 . cc: Board of Selectmen COPY Town Hall 367 Main Street Hyannis,Massachusetts 02601 ` Barnstable Board of Health _ a Post Office Box 534 Hyannis,Massachusetts 02601 Clean Harbors Environmental Services,Inc. 1051 Washington Street Post Office Box 0327 Braintree,Massachusetts 02185-0327 ATTN: Dana A. Simpson,LSP DEP-SERO ATTN: Data Entry DEP-Boston _ ATTN: Tom Potter C 7�TOXXI�CCAAND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: v ak `N�� Mail To: BUSINESS LOCATION:` t_6b +�FaVw 6A" '� vv�.s-� / Board of Health MAILING ADDRESS: 'Q� o , �S- 0�v wSASL� Town of Barnstable P.O. Box 534 TELEPHONE NUMBER: Hyannis, MA 02601 CONTACT PERSON: EMERGENCY CONTACT TELEPH NE NUMBER: Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: 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 F _ Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels �} Metal polishes (including chloroform, formaldehyde, o� undr s ' & stain r ver ���� W �� 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