Loading...
HomeMy WebLinkAbout3675 MAIN ST./RTE 6A(BARN.) - Health 3675 Main StreeVRte 6A (Barn) j Barnstable - - - A = 317 035 I o t V 4 { o r�°f �tis Page: , of CERTIFICATE OF ANALYSIS ' vY M Barnstable County Health Laboratory (M-MA009) Report Prepared For: Report Dated: 4/29/2016 Mike Maguire Order No.: G1692699 -C PO Box 367 cn Barnstable, MA Laboratory ID#: 1692699-01 Description: Water-Drinking Water Sample#: Sample Location: 3675 Main St., Barnstable Collected: 04/27/2016 ' Collected by: Customer m 317 p 038 Received: 04/27/2016 . Routine ITEM RESULT UNITS RL MCL METHOD# ANALYST TESTED NOTE Nitrate as Nitrogen 0.52 mg/L 0.10 10 EPA 300.0 LAP 4/28/2016 j Copper ND mg/L 0.10 1.3 SM 3111B LAP 4/29/2016 Iron ND mg/L 0.10 0.3 SM 3111E LAP 4/29/2016 pH 8.1 PH AT 25C NA 6.5-8.5 SM 4500-H-B DCB 4/27/2016 Sodium 38 mg/L 2.5 20 SM 3111 B LAP 4/29/2016 Total Coliform Absent P/A 0 0 SM 9223 RG 4/27/2016 Conductance 410 umohs/cm 2.0 EPA 120.1 DCB 4/27/2016 Sodium level is above the maxium contaminant level. Those on a low sodium diet may wish to consult a physician. Attached please find the laboratory certified parameter list. Approved By: (Lab Director) l� ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level 3195 Main Street, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 F„E ro TOWN OF BARNSTABLE HEALTH INSPECTOR'S Establishment Name: c j d` Cc-✓- Date: f / Page:_�of _ .� h1 OFFICE HOURS �- enRNsrAe�eoi PUBLIC 0 HEALTH N ST DIVISION 8:00-9:30 A.M. 3:30-a:3o P.M. Item Code C-Critical Item DESCRIPTION OF VIOLATION/PLAN OF CORRECTION Date Verified mnss. l HYANNIS,MA 02601 08-8MON -FRI. �A tE39•A 0 5os-as2-asaa No Reference R-Red Item PLEASE PRINT CLEARLY 'EDN1P' FOOD ESTABLISHMENT INSPECTION REPORT Name / t Date ) /,/ T e o T ec ion I l Operation(s) outine 0 - d o21 Address Risk Food Service Re-inspection 40, A 2 Level a ai Previous Inspection Telephone ential Kitchen Date: \ Mobile Pre-operation Owner HACCP Y/N Temporary Suspect Illness Caterer General Complaint Person in Charge(PIC) Time Bed&Breakfast HACCP In: Other Inspector J� �S' Out: evl Each violation checked requires an.explanation on the narrative page(s)and a citation of specific provision(s)violated. Violations Related to Foodborne Illness Interventions and Risk Factors(Red Items) Anti-Choking 590.009(E) ❑ Violations marked may pose an imminent health hazard and require immediate corrective Tobacco 590.009(F) ❑ Action as determined by the Board of Health. Allergen Awareness 590.009(G) ❑ FOOD PROTECTION MANAGEMENT ❑ 12.Prevention of Contamination from Hands ❑ 1.PIC Assigned/Knowledgeable/Duties ❑ 13.Handwash Facilities EMPLOYEE HEALTH PROTECTION FROM CHEMICALS ❑2.Reporting of Diseases by Food Employees and PIC ❑ 14.Approved Food or Color Additives ❑3.Personnel with Infectious Restricted/Excluded ❑ 15. Toxic Chemicals FOOD FROM APPROVED SOURCE TIMEITEMPERATURE CONTROLS(Potentially Hazardous Foods) ❑4.Food and Water from Approved Source ❑ 16.Cooking Temperatures ❑ 5.Receiving/Condition ❑ 17.Reheating ❑6.Tags/Records/Accuracy of Ingredient Statements ❑ 18.Cooling ❑ 7.Conformance with Approved Procedures/HACCP Plans ❑ 19.Hot and Cold Holding PROTECTION FROM CONTAMINATION ❑20.Time As a Public Health Control ❑ 8.Separation/Segregation/Protection REQUIREMENTS FOR HIGHLY SUSCEPTIBLE POPULATIONS(HSP) ❑9.Food Contact Surfaces Cleaning and Sanitizing ❑21.Food and Food Preparation for HSP ❑ 10.Proper Adequate Handwashing CONSUMER ADVISORY ❑ 11.Good Hygienic Practices ❑22.Posting of Consumer Advisories Violations Related to Good Retail Practices(Blue Items) Total Number of Critical Violations Critical(C)violations marked must be corrected immediately. (blue 8 red items) Non-critical(N)violations must be corrected immediately or Corrective Action Required: No ❑ Yes within 90 days as determined b the Board of Health. Overall Rating Y Y ❑ Voluntary Compliance ❑ Employee Restriction/Exclusion ❑ Re-inspection Scheduled ❑ Emergency Suspension C N Official Order for Correction:Based on an inspection today,the'te s checked indicate violations of 105 CMR 590.000/Federal Food Code. ❑ Embargo ❑ Emergency Closure ❑ Voluntary Disposal ❑ Other: 23.Management and Personnel (FC-2)(590.003) This report,when signed below by a Board of Health member or its agent 24.Food and Food Preparation (FC-3)(590.004) constitutes an order of the Board of Health. Failure to correct violations A=Zero critical violations and no more than 3 non-critical violations. F=3 or more critical violations. If no critical violations observed, 25.Equipment and Utensils (FC-4)(590.005) cited in this report may result in suspension or revocation of the food B=One critical violation and less than 4 non-critical violations 9 or more non-critical violations=F. 26.Water,Plumbing and Waste (FC-5)(590.006) establishment permit and cessation of food establishment operations. If if no critical violations observed,4 to 6 non-critical violations=B. Seriously Critical Violation=F is scored automatically if: no hot 27.Physical Facility (FC-6)(590.007) aggrieved by this order,you have a right to a hearing. Your request must C=2 critical violations d less than 4 non-critical. If no critical water,sewage back-up,infestation of rodents or insects,or lack of 28.Poisonous or Toxic Materials (FC-7)(590.008) be in writing and submitted to the Board of Health at the above address violations obse d,7 8 n -critical violations=C. refrigeration. 29.Special Requirements (590.009) within 10 days of receipt of this order. 30.Other DATE OF RE-INSPECTION: Inspector's Signat re Pr 31.Dumpster screened from public view G V 1 Permit Posted? Y N Grease Trap Previous Pumping Date Grease Rendered Y N #Seats Observed Frozen Dessert Machines: Outside Dining Y N PIC's Si nature VW Print: . Self Service Wait Service Provided Grease Trap Size Variance Letter Posted Y N C Dumpster Screen? Y N >__��. ,.y .+�� .;,••-„ r'y w+-�,-.._++---,--s-..�....-.,t..r-•�'._ ..-"'r"c:i=,�__.-iT�+:.v-r'iFu-`•.� :;FRS'r-.:.-"„YIY.:+�.G7..d'�7+nir�.+��mow--..� .'.--.y.,.,.^�+�Y�_.�"-«.--"-v.v'-`--v.,�a.4,f`.ti"�y,..a„,.;-+i-,.�,......�+y.-,-..s+w .vwr--ram.--. �- .._ ..- --"--•`fir ....,. - �{.,��.�,,.,,c,.:.a9r-.e'y',....- ��"" ... , Violation related to Foodborne Illness Violations Related to Foodborne Illness Interventions Interventions and Risk Factors(Red Items 1-22) and Risk Factors(Red Items 1-22) (Cont.) FOOD PROTECTION MANAGEMENT PROTECTION FROM CONTAMINATION PROTECTION FROM CHEMICALS 3-501.14(C) PHFs Received at Temperatures According to 1 590.003(A) Assignment of Responsibility* 8 Cross-contamination 14 Food or Color Additives Law Cooled to 41°F/45°F Within 4 Hours* 590.003(B) Demonstration of Knowledge* 3-302.11(A)(1) Raw Animal Foods Separated from 3-202.12 Additives* 3-501.15 Cooling Methods for PHFs 2-103.11 Person-in-Charge Duties Cooked and RTE Foods.* 3-302.14 Protection from Unapproved Additives* 19 PHF Hot and Cold Holding Contamination from Raw Ingredients 15 Poisonous or Toxic Substances 3-501.16(B) Cold PHFs Maintained At or Below 41°F/45°F n. 590.004(F) EMPLOYEE HEALTH 3-302.11(A)(2) Raw Animal Foods Separated from Each 7-101.11 Identifying Information-Original Containers* 2 590.003(C) . Responsibility of the Person-in-Charge to Other* * 3-501.16(A) Hot PHFs Maintained At or Above 140'F* 7-102.11 Common Name-Working Containers * Require Reporting by Food Employees and Contamination from the Environment 3-501.16(A) Roasts Held At or Above 130°F 3-302.11(A) Food Protection 7-201.11 Separation-Storage* Applicants* * p g 2p Time as a Public Health Control 590.003(F) Responsibility of A Food Employee or An 3-302.15 Washing Fruits and Vegetables 7-202.11 Restriction-Presence and Use* Tim e me as a Public Health Control* * Applicant To Report To The Person In Charge* * 7.202.12 Conditions of Use 3-304.11 Food Contact with Equipment and Utensils 590.004(11) Variance Requirements 590.003(G) Reporting by Person in Charge* 7-203.11 Toxic Containers-Prohibitions* Contamination from the Consumer 3 590.003(D) Exclusions and Restrictions* 7-204.11 Sanitizers,Criteria-Chemicals* REQUIREMENTS FOR 3-306:14(A)(B)Resumed Food and Rrated or of Food* 7-204.12 Chemicals for WashingProduce,Criteria* HIGHLY SUSCEPTIBLE POPULATIONS HSP 590.003(E) Removal of Exclusions and Restrictions Disposition of Adulterated or Contaminated ( ) Food 7.204.14 Drying Agents,Criteria* 21 3-801.11(A) Unpasteurized Pre-Packaged Juices and FOOD FROM APPROVED SOURCE 3-701.11 Discarding or Reconditioning Unsafe Food* 7-205.11 Incidental Food Contact,Lubricants* Beverages with Warning Labels* 4 Food and Water From Regulated Sources g Food Contact Surfaces 7-206.11 Restricted Use Pesticides,Criteria* 3-801.11(B) Use of Pasteurized Eggs* 590.004(A-B) Compliance with Food Law* 4-501.111 Manual Warewashing-Hot Water 7.206.12 Rodent Bait Stations* 3-801.11(D) Raw or Partially Cooked Animal Food and 3-201.12 Food in a Hermetically Sealed Container* Sanitization Temperatures* 7-206.13 Tracking Powders,Pest Control and Raw Seed Sprouts Not Served* 3-201.13 Fluid Milk and Milk Products* 4-501.112 Mechanical Warewashing-Hot Water Monitoring* 3-801.11(C) Unopened Food Package Not Re-Served* 3-202.13 Shell Eggs* Sanitization Temperatures* TIME/TEMPERATURE CONTROLS 3-202.14 Eggs and Milk Products,Pasteurized* 4-501.114 Chemical Sanitization-Temp.,pH. 16 Proper Cooking Temperatures for PHFs CONSUMER ADVISORY 3-202.16 Ice Made From Potable Drinking Water* Concentration and Hardness* 3-401.11A(1)(2) Eggs-155°F 15 sec 22 3-603.11 Consumer Advisory Posted for Consumption of 4-601.11(A) Clean Utensils and Food Contact Surfaces of Eggs-Immediate Service 145°F 15 sec* Animal Foods That are Raw,Undercooked or 5-101.11 Drinking Water from an Approved System* * gg Not Otherwise Processed to Eliminate 590.006(A) Bottled Drinking Water* Equipment 3-401.11(A)(2) Comminuted Fish,Meats&Game Pathogens* Effective iitrzooi 4-602.11 Cleaning Frequency of Utensils and Food Animals-155°F 15 sec* 590.006(B) Water Meets Standards in 310 CMR 22.0* Contact Surfaces of Equipment* 3-302.13 Pasteurized Eggs Substitute for Raw Shell Shellfish and Fish From an Approved Source 3-401.11(B)(1)(2) Pork,and Beef Roast-130°F 121 min* Eggs* 4-702.11 Frequency of Sanitization of Utensils and Food 3-401.11(A)(2) Ratites,Injected Meats-155°F 15 sec* 3-201.14 Fish and Recreationally Caught Molluscan Contact Surfaces of Equipment* Shellfish* 4-703.11 Methods of Sanitization-Hot Water and 3-401.11(A)(3) Poultry,Wild Game,Stuffed PHFs SPECIAL REQUIREMENTS 3-201.15 Molluscan Shellfish from NSSP Listed Stuffing Containing Fish,Meat,Poultry or Chemical* 590.009(A)-(D) Violations of Section 590.009(A)-(D)in cater- Ratites-165°F 15 sec* Sources* 10 Proper,Adequate Handwashing ing,mobile food,temporary and residential Game and Wild Mushrooms Approved By 3-401.11(C)(3) Whole-muscle,Intact Beef Steaks 145°F* kitchen operations should be debited under Regulatory Authority 2-301.11 Clean Condition-Hands and Arms* 3-401.12 Raw Animal Foods Cooked in a Microwave the appropriate sections above if related to 3-202.18 Shellstock Identification Present* 2-301.12 Cleaning Procedure* 165°F* foodbome illness interventions and risk factors. 590.004(C) Wild Mushrooms * 2-301.14 When to Wash* 3-401.11(A)(1)(b) All Other PHFs-145°F 15 sec* Other 590.009 violations relating to good retail 3-201.17 Game Animals* 11 Good Hygienic Practices 1 Reheating for Hot Holding practices should be debited under#29-Special 2-401.11 Eating,Drinking or Using Tobacco* * Requirements. 5 Receiving/Condition g, g g 3-403.11(A)&(D) PHFs 165°F 15 sec 3-202.11 PHF's Received at Proper Temperatures* 2-401.12 Discharges From the Eyes,Nose and Mouth* 3-403.11(B) Microwave-165°F 2 Minute Standing Time* VIOLATIONS RELATED TO GOOD RETAIL PRACTICES 3-301.12 Preventing Contamination When Tasting* 3-403.11(C) Commercial) Processed RTE Food-140°F* (Blue Items 23-30) 3-202.15 Package Integrity* y Critical and non-critical violations,which do not relate to the foodbome * 12 Prevention of Contamination from Hands 3-403.11(E) Remaining illness interventions and risk factors listed above,can be found in the 3-101.11 Food Safe and Unadulterated g Unsliced Portions of Beef Roasts* 6 Tags/Records:Shellstock 590.004(E) Preventing Contamination from Employees* 18 Proper Cooling of PHFs following sections of the Food Code and 105 CMR 590.000 3-202.18 Shellstock Identification* 13 Handwashing Facilities 3-501.14(A) Cooling Cooked PHFs from 140°F to 70°F * Conveniently Located and Accessible Within 2 Hours and From 70'F to 41°F/45°F Item Good Retail Practices FC 590.000 3-203.12 Shellstock Identification Maintained Tags/Records:Fish Products 5-203.11 Numbers and Capacities* Within 4 Hours* 23. Management and Personnel FC-2 .003 5-204.11 Location and Placement* 3-501.14(B) Cooling PHFs Made from Ambient 24. Food and Food Protection FC-3 .004 3-402.11 Parasite Destruction* Temperature Ingredients to 41°F/45°F 25. Equipment and Utensils FC-4 .005 3-402.12 Records,Creation and Retention* 5-205.11 Accessibility,Operation and Maintenance Within 4 Hours* 26. Water,Plumbing and Waste FC-5 .006 590.004(J) Labeling of Ingredients' Supplied with Soap and hand Drying Devices 27. Physical Facility FC-6 .007 7 Conformance with Approved Procedures/ 6-301.11 Handwashing Cleanser,Availability 28. Poisonous or Toxic Materials I FC-7 1.008 HACCP Plans 6-301.12 Hand Drying Provision 29. Special Requirements 1.009 3-502.11 Specialized Processing Methods* 30. Other 3-502.12 Reduced-Oxygen Packaging Criteria* 8-103.12 Conformance with Approved Procedures* S:590Formback6-2doc 'Denotes critical item in the federal 1999 Food Code or 105 CMR 590.000. 'Denotes critical item in the federal 1999 Food Code or 105 CMR 590.000. W Massachusetts Department of Environmental Protection Y�Y Bureau of Resource Protection 4 WELL DRILLER Please specify work performed: Address at well location: New Well Street Number: Street Name: 3675 ROUfE6A-� Please specify well type: Building Lot#: Assessor's Map#: Irrigation I Assessor's Lot#: ZIP Code: Number Of Wells: 102WO flown:� t Well Location BARNSTABLE In publicright-of-way: .._. .G\k_ 7�tYes j�i.No North: West: 141.71028 170.25333 Subdivision/Property/Description: CAPE COD ORGANIC FA Mailing Address: c click here if Same as well location addres Property Owner: Street Number: Street Name: T1M FRIARY 93 PO BOX City/Town: State: Engineering Finn: IBARNSTABLE MASSACHUSETTS ZIP Code: 02630 Board of health permit obtained: sal Yes 3Ji Not Required Permit Number: Date Issued: 013 009 6/18/2013 a �t a i r 9t Massachusetts Department of Environmental Protection Bureau of Resource Protection—Well Driller Program Well Completion Reports(General) Well Driller - General Well Form DRIWNG METHOD Overburden Bedrock Auger --Choose Bedrock—� WELL LOG OVERBURDEN LITHOLOGY From Drop In Extra fast or slow Loss or addition of To(ft) Code Color Comment (it) drill stem drill rate 'fluid 0� F20-7 jFineTocoarseiand 113rown Ye r,)a Fast :rya Slow r)a Loss o)q.Addition � � �� . 20 40 Fine To Coarse Sand Brown �; e<Ye � q Fast r a Slow pj,t Loss n a Addition F407F607 Fine To Coarse Sand Brown ' Ye r�q Fast J01 Slow jq Loss ij4i Addition WELL LOG BEDROCK LfTHOLOGY From Drop in Extra fast or slow Loss or addition of Visible Extra ' To(ft) Code Comment Rust Large (it) drill stem drill rate fluid Staining 'Chips Choose Code Ye Sjq Fast r]a Slow rijq Loss tat Addition ADDITIONAL WELL INFORMATION Developed rr Yes rJr No Disinfected rr Yes tJr No Total Well Depth 160 Depth to Bedrock Fracture --- Surface Seal Type None Enhancement r�r Yes rr No CASING b is Casing above ground. From: 1' To: 10 From To Type Thickness Diameter Driveshoe u 56 Polyvinyl Chloride Schedule 40 SCREEN[— No Scree From To Type Slot Size Diameter 56 60 Stainless Steel Well Point 0.010 0 WATER-BEARING ZONES C DRY WEL From To Yield(gpm) l� 60 15 PERMANENT PUMP(IF AVAILABLE) --- Pump Description Choose Pump Choose Horsepower a Horsepower -- Description--- Pump Intake Depth(ft) Nominal Pump Capacity(gpm) r Massachusetts Department of Environmental Protection t Bureau of Resource Protection—Well Driller Program I Well Completion Reports(General) ANNULAR SEAL/FILTER PACK Water :, �. From -To Material 1 WeightMaterial2 Weight Batches Method Of Placement .(gal). . Choose Material Choose Material --Choose One WELL TEST DATA W Time Pumping Time;To Date_; Method Yield (gpm) Pumped' Level(ft Recover Recovery (ft'. '.(HH:MM) BGS) -.(HH:MM) ' BGS) 7/2I2013 Constant Rate Pump 15 1;30 39 0:01 1 WATER LEVEL Date Measured S'tatic Depth BGS (ft) ,Flowing.Rate (gpm) 7/2/2013 34 �� 16 COMMENTS WELL DRILLERS STATEMENT This well was drilled or altered under my direct supervision,according to the applicable rules and regulations,and this report is complete a knowledge. Driller THOMAS E DESMOND II Registration# 764 Monitoring[M] Supervising Drill Firm . JDESMONDWELLDRII Rig Permit# 1023 Date Job Compl NOTE:Well Completion Reports must be filed by the registered well driller within 30 days of well completion. .�' �, J� ���` �� �� ��; ��� Q� �- _ �� ��, .. �� .-R � 1 > CERTIFICATE OF ANALYSIS Page_ 1 of 1 Barnstable County Health Laboratory (M-MA0.09) 3'ss.�cH�ct^ Report Prepared For: Report Dated: 7/3/2013 Sally Desmond Desmond Well Drilling Order No.: G1374849 P O Box 2783 Orleans, MA 02653 Laboratory ID#: 1374849-01 Description: Water-Drinking Water Sample#: Sample Location: 3675 Main St.W.Barnstable, MA Collected: 07/02/2013 Collected by: Customer Received: 07/02/2013 Routine M ITEM RESULT UNITS RL MCL METHOD# TESTED Nitrate as Nitrogen 1.3 mg/L 0.10 10, EPA 300.0 7/3/2013 Iron 0.15 mg/L 0.10 0.3 SM 3111 B 7/3/2013 Manganese ND mg/L 0.10 SM 3111 B 7/3/2013 pH 6.3 PH AT 25C NA 6.5-8.5 SM 4500-H-13 7/2/2013 Sodium 6.5 mg/L 2.5 20 SM 3111E 7/3/2013 Total Coliform Absent P/A 0 0 SM9223 7/2/2013 Conductance 92 umohs/cm 2.0 EPA 120.1 7/2/2013 Water sample meets the recommended limits for drinking water of all the above tested parameters. Attached please find the laboratory certified parameter list. Approved By: 4-Q-1 (Lab Director) 3 ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 i> No. Fee BOARD OF HEALTH TOWN OF BARNSTABLE 01ppYication _for Yell Construction 3permit Application is hereby made for a permit to Construct(i/3, Alter( ), or Repair( ) an individual well at: Location-Address �Asss`essors Map and Parcel Co►�'fL CApc5 �ni" �-Orvr+15cialtN � b•�©`l.q`�► 1.�"`�ns �.�1M A 02b"Its Owner Address 2Smc %\& \ %c%,h .1r` P 0 zx 2'1g3,Orwrs W 02653 Installer-Driller �� Address Type of Building Dwelling Other-Type of Building No. of Persons Type of Well 4' SUk�gb\N(, Capacity Purpose of Well `C'ti%an Agreement: The undersigned agrees to install the afore described individual well in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation-The undersigned further agrees not to place the well in operation until a Cert' cate of Compliance has been issued by the Board of Health. Signed dW 13 j D Application Approved B PP PP Y J U Date 3 Application Disapproved for the following reasons: Date Permit No. Issued Date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY,that the individual well Constructed( ), Altered( ), or Repaired( by Installer at has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector No. Fee BOARD OF HEALTH TOWN OF BARNSTABLE ZIpprtcation jfor Vern Con5tructton Permit Application is hereby made for a permit to Construct(�, Alter( ), or Repair( ) an individual well at: o3s \ Location-Address Assessors Map and Parcel Gl CAA QCcy r L_ `-ecrn'cS- g rQ owner Address Installer-Driller Address Type of Building Dwelling Other-Type of Building No. of Persons Type of Well 1A" C C- ��e j L. Capacity Purpose of Well J .., > Agreement: The undersigned agrees to install the afore described individual well in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation-The undersigned further agrees not to place the well in operation until a Certificate of Compliance has been issued by the Board of Health. Signed 7a, (? Application Approved By / f bate Application Disapproved for the following reas ns: Date Permit No. Issued Da .xt - .. BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY,that the individual well Constructed( ), Altered( ), or ' 'Repaired( ) by Installer at has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector BOARD OF HEALTH TOWN OF BARNSTABLE Yell Congtructton Permit No. J (,� Fee, Permission is hereby granted to ( e? IJ ( 1 ' -"Installer to Constr ruuct ), Alter( ), , or Repair( a individual well at: No. 1- 1��1 ! � _ 1 � Street �,/']/� r as shown on t e application for a Well Construction Permit No. r 1V/l1// D ed Date Approved By AJ 41.695755,-70.284596 - Google Maps Page I of 1 To see all the details that are visible on the GO sic screen, use the"Print'link next to the map. t, • http://maps.google.com/ 6/18/2013 r .. :. R �, /1 3 ,4z,.. y,w f4 .z; -•:_' '�. ; * ,c,. ,,; .po-' n: s ryY 4$ .uw"�..,,=n A: �vn+:}e ,h'1„ :�: :Pr 4 V�`..' �A „- Y'de f tl.....•. ,.,,:.:.�,. : �., l",fid: i.k .. .: '...+n �4"4e�ur 'S'l�.irt � 'A .'�"?'.�P •�'�:..f�•W, 'hx, �✓� /il� ,:,y✓� +•, r yE.y.•s.:aras- &-.na�scs+ ,earaoR4.�.s.. r • '. x�" .`#��,, :'�° tz`X'a^+t;°;:::'�nk,. 4s r.7(`9'r. y?'>. t. .. .3•;st!• � �y _; P ..% y <.:,*,.+�r�*f v ,:a,. ..r-TM�.• ...,a, �CC�,., >;.., vfi'. ....i.. '-#' . rv^. :,:a_ .Jr. � ,9R',z.'t'mr .: �..,w.:. c�,- a �_ ,. _:-...:,... ..a..- ,-+. „ ,;;.:,,. .rn rr,r w�v -fir,. +«...,, a .w:asF - -EW;tl }'�. +°L ku� .,•.�s ♦ ,.>i�%•wp,.' •"�^?k� �^ .Fit�r �a't�,,r...w; i+e^ -+� "t+i^:: •x +!' k9fi,'r'rFx a;sc�+.y rr w;.;a..w a..Cy. .zES, .z �:.�.+� �, - �."�"'�'•tv. f;At„'-�el'!'t"iv::i".*'A' :,.�d .;r, x.aey a.� ,:y- "•�4 .kA ''zkz-f:_ y.y��." '' p .t�t.1� -''�'•j�: � ?9` :$ �' .i.r•. +K' ' y -.i;,er��d,� �r•.w'-�.'. ,,. ,_lea. + �r�s�•. •..•fiiA�,,�.'�'° •/ti^`.. -, �3s""' } `.A:c ,2+.. *'`�.',-aa�.. s :..«ve, r a m.'� �f' ��, � � f ,".:5 x . e" SERVICE'ESTABLl3HMBilr: -;,.p �.: ,.-r. -,��'.e35±er:_.�'µ -:°'"'+ •+a,+,�.n 3„ziy�'"o'ad�T,p...s9,„.. a» .. _ �x:.., .- �`:-.,^ } ��,,,,, 5 o-•t::?u. R+l�. '.G.;..?a*c:3� - u�'.:<!1-:t,ff,r+:.: A�'a:n�:::..e... .,. .... .,.�.-� .':�'" .sY.�:.. .:-:;^ c nw:.„�:"3x+.+.#!'1 ,�{,:v k .a"'t-'? .'-,r KITCHEN fOR'RElAIL::SALE5 k . �r;..�,+.ix... ,,.- . ._.. '.' :... .ae�•:: ;�.•r». ..<•.. ��+ ;�•,r+.^� .�, .::,�+. >p ,fir+x -, .;;","�,x, „�. �; :RESIDENTWLQTCHEN FOR'BED ,BREAKFAST. u SEATING.. '_ � x: -,•, aru' � -~ f, a `_ ' MOBILE FOODUNR.< TMa. 3ws ' ! ...R>„5y �,. 6:k yvSr•. .:�,,.,;.�'.� ",�' 1-^,�..'»' s.+-.k}. -_.a+�-+� _ -.� Wt!t�^ln:-•a:6a' .y.,, '•s,+y' -yy� '•,s! ��L'a �.;es p, ANNUAL. -AYES , :_ ? -. .,, _ R� « T : . TOBACCO SALES:3 - g yt4�*- "'?.h 'y`"t'"''': 'F3w•:�, r,J ^ :» _ .. GCS ==' s. y'+, H, �`^f.y�.3Z.ig.�- ny �� - $`�` «.yy� '�. SEASONAL: wE •`• ;- rs: s ,r'•. 'r. 3:'�..� *: �: .v, a� t.y ;tea.-r:- GITERER:.;� ..e.�; r,"�;.�u +o r .r: (ai •� .:>� ..a,„"-'.,y'�Y,;-�i'•'K.k.`r;xS."`t,.A.!:.fi Xtx'.,f„:'f;�'.f%"i;,3�-'y+,*„','i'..'+5--,1:�.;.�,,,.r-:+.^e,,�:.`s.:>°s.Y»u,.Y.�-i w-rf«}°8as:::;t:omr-.,:...-`-r.am.3. �=.a*,t.,�^a.:'.l.,;'-r".i 5'4'r4.si'c.sur`'v.,s-,,_>Y*w_.",.-.^`�:+F<'..;:,x;..,.,'•=.,-.+:`,-;-,a.,.a;sr.v!:tr#-:...i..:a?.r..-.x.,.:..->•..+,' 4,+,;y.,» DESSERT-` a•_ ...FROZEN DE'emR3sM1T-a:'ETEMPORARY 'a5 P"Gr #,. ' x_.7.y�•...b+ss°+,..�o:*.t atnk:�y.. ->x A Y3"asa.>�'y•'.W.-vv*f�-.}'6-`X.w_,.ps.. N;ue.c rtt�a ;7 ,"r7N, RM ta.c: .'• *+?^v•rshn"c"y'.4y-e.>r".rytfw:i�..�,.rCa`f s�cT1.- ;e?.^ 3 '�" YES i`'v .3 +..< ��,z_ �, b w .. V ? - �s,. a ' -;"`�•F t S. 4'�t -c a...t,,�-' r ,,,.•�; �4 pF+. y?",>^ � ,a^�c:�'� -•S.s-3.;,.� r;v-.;it Q Le.t•. � e i },ak - ^ .1 f� ttY"e W+•a,•S s.. �"#'ff,...w t� d f'w.%zJ+' a .,x s ` - •a�. r? z-,>+,.r: .� ..�.> .;', ,rt OA P OF Z.- �E `. PE ' T T FO�?fl L ENT �-' �fzc�Yy �.:fi•s ..:;�'"G,Y-.•�':•x v.,d`t'.,R .a _ _ :x' .vim ,'x' >.3Lt �"`�� # :PERMIT NO. �.•� 34 JANUARY 1 199T � � r. • w. . k 3} In accordance gulatiAcP om nder a o _Chapter 94, � . Section.3651 an hapter a Gener I: aws, permit is Y , hereby g ranted to. y t u r D/B/A: BARNSTABLE COUN'` Y A Y Al: Whose place of business is RT.6A,P O.B(7 3 T ,F ,OARNSTABLE,^ D! 30 1. Type of business and any restm ores: FOOD SERVICE ESTABLIS�hENT' To operate a food establishment n e�,JO INEOFM�WNSTAB 4E., Permit expires: December31, s BOARD OF HEALTH Susan G. Rask, R.S., Chairperson Brian R. Grady, R.S. RESTRICTIONS IF ANY: Ralph A. Murphy, M.D. Thomas A. McKean, R.S., CHO Director of Public Health i FEES RETAIL FOOD STORE: FOOD SERVICE ESTABLISHMENT: $.00 RESIDENTIAL KITCHEN FOR RETAIL SALE: SEATING: RESIDENTIAL KITCHEN FOR BED+BREAKFAST: MOBILE FOOD UNIT: ANNUAL: Yes TEMPORARY FOOD ESTABLISHMENT: SEASONAL: CATERER: TEMPORARY: FROZEN DESSERT: MILK: TOWN OF BARNSTABLE BOARD OF HEALTH PERMIT TO OPERATE A FOOD ESTABLISHMENT PERMIT,NO: 34 JANUARY 1, 1996 In accordance with regulations promulgated under authority of Chapter 94, Section 395A and Chapter 111, Section 5 of the General Laws, a permit is hereby granted to: D/B/A: BARNSTABLE COUNTY FARM Whose place of business is: RT.6A,P.O.BOX 397 , BARNSTABLE, MA 02630 Type of business and any restrictions: FOOD SERVICE ESTABLISHMENT To operate a food establishment in the TOWN OF BARNSTABLE Permit expires: December 31, 1996 BOARD OF HEALTH Susan G. Rask, R.S., Chairperson Brian R. Grady, R.S. RESTRICTIONS IF ANY: Ralph A. Murphy, M.D. Thomas A. McKean, R.S.,CHO Director of Public Health r r u� . 0 �ea William F. Weld ✓� Cr9f�C" .. Governor �iuz v% try Charles D. Baker -2 ll6'77� 7_7 - 67D Secretary David H. Mulligan Commissioner October 24, 1994 Ray St. Germain Barnstable County Farm Main St. 6-A Box 397 Barnstable, MA 02630 Dear Mr. St. Germain: our plant by the Division of Food September , 1994 milk and/or milk products were collected from y On Sep 20 inhibitor and phosphatase results are on thC�R 541a180 and Section 7'lk and of the & Drugs. The bacteriological, inhi permitted by 105 the maximum standard plate count p is three hundred thousand (300,000) raw milk products, 1993 Recommendations (PMO) USPHS Pasteurized Milk Ordinance, pro milk). colonies per cubic centimeter, (100,000 for individual p ical counts permitted by 105 CMR pasteurized milk and milk products, the maximum bacteriological For graded p COLI_F 541.000 and the PMO are as follows: STAB COUNT PLATE COUNT GRADED MILK & MILK PRODUCTS 10 20,000 10 Whole, Lowfat & Skim Milk 20,000 10 Flavored Whole, Lowfat & Skim Milk 20,000 10 Cream, Half & Half 20,000 10 Egg Nog NIA 10 Cultured Milk and Milk Products NIA Yogurt an asterisk(*) on the attached are s of the sending of this notice. and milk products in violation of the above standardsrod ts within 21dd Y questions concerning these Milk le violative p If you have any laboratory report. The Division will resam al action may follow. If subsequent samples are in violation, leg lease call me at (617) 727-2670• S' erely yours, results, p � i Ile AJS/ Alfred Scog lio, / gGpervisory Food & Drug,fnspector 206Adairylet cc: Barnstable Board of Health 'LE REPORT FORM FOR DAIRY PRODUCTS SACHUSETTS DIVISION OF FOODEDATE OR COLLECTION: ATE LABORATORY INSTITUTE FOOD & MICRO LABORATORY ra✓�,OS SOUTH STREET AMAICA PLAIN, A. 02130 INSPECTOR'S SIG U ; OLLECTION -Z�"9y PRODUCT TEMPERATURE AT TIME OF PICK-UP : i TIME IN: D Ile TIME OUT: 30 o � � RAW � FINISHED 2 plant _� 1�l�j PERSON SEEN & SIGNATURE -r-`-�---__��-ram.._ I Address: _-- - -- City/Town = _ � cs-� /� RECEIVED IN LAB BY: rag Zip Phorle �07_ 3 Z, DATE & TIME C/_ 1_?q 5.O� r Ry Sample Numbers _ "' �} qk,4 — 7 TEMPERATURE : Inspector's Lab. Product RAW �� FINSHED 3' number number Container Sell- by Coliform SPC Inhibi- Phosph- Size & Dateper ml. per tors atase THER Type or gm. ml. or ug Phenol M. ml. )osk) �fflC, — 1100 N 0 L ,G �o fl�� L LzSc NF G L REMARKS: �Q19 C DATE REPORTED - REVIEWED REVIEWED BY: PACE OF AGES I J !9 7 William F. Weld Governor Charles D. Baker Secretary /'eI7/ 727-2670 David H. Mulligan Commissioner March 17, 1994 Ray St. Germain Barnstable County Farm Main St. 6-A Box 397 Barnstable, MA 02630 Dear Mr. St. Germain: On January 5, 1994 milk and/or milk products were collected from your.plant by the Division of Food & Drugs. The bacteriological, inhibitor and phosphatase results are on the attached sheet. For raw milk and raw milk products, the maximum standard plate count permitted by-105 CMR 541.170 is two hundred thousand.- (200,000) colonies per cubic centimeter. For graded pasteurized,milk and milk products, the maximum bacteriological counts permitted by 105 CMR 541.000 are as follows: STANDARD COLIFORM GRADED MILK & MILK PRODUCTS PLATE COUNT. COUNT" Yogurt 10 Milk, pasteurized 10,000 3 7': Lowfat Milk, pasteurized 10;000 3-Z Skim/Nonfat Milk, pasteurized_. 10,000 3--: Flavored Milk, Flavored Lowfat Milk, pasteurized 10,000. 10- � r Half & Half, pasteurized 40,000 10 N Crezm, pasteurized 40;000 Egg Nog 50,000 10- Milk and milk products in violation of the above standards are indicated by an asterisk(`) on the-attached, laboratory report. The-Division will resample violative products within 21 days of the sending of this-notice-, If subsequent samples are in violation, legal action may follow. If you have any questions concerningathew, results, please call me=at-(617) 727-2670. ; Sincerely yours, AJS/ 206Adairylet Allred-Scoglio, = Supervisory Foo & Drug Inspector cc: Barnstable Board of Health SAMPLE REPORT FORM FOR DAIRY PRODUCTS !jam REASON FOR COLLECTION:- MASSACHUSETTS DIVISION OF FOOD & DRUGS & STATE LABORATORY INSTITUTE FOOD & MICRO LABORATORY ��vTJ 305 SOUTH STREET AMAICA PLAIN MA. 02130 DATE OF COLLECTION : INSPECTOR'S SIGNATURE: PRODUCT TEMPERATURE AT TIME OF PICK-UP: ' TIME IN: Ti FINISHED Q r� ME OUT: RAW � . � PERSON SEED•& SIGNATURE�Slk plant off Address: L111.�1 RECEIVED IN LAB BY: City/Town —P0 �d d-� /7 . ����.`�`2 `P — Zip 2 Phone �g .36°� - �. DATE.&TIME /�3 /2��00 TEMPERATURE :Sample Numbers `x a'� " RAW O~C FINSHED"/0 o C_ Inspector's Lab. Product Container Sell- by Coliform SPC Inhibi- Phosph - number number Size & Date per mi. per, tors atase- OTHER Type. or gm. mi. or ug Phenol m: mi. 111 X XXY A5-y� C4342 o Z -I -. ETr 0434 3 �'� cJ�o 131 c 434 +REMARKS: rej iz- A � � DATE REPORTED REVIEWED BY: PAGE 1 OF-1 PAGES TOWN OF BARNSTABLE OFFICE, HOURS: oF�Krp 8:15 9:30 A.M. Item No. In the space below describe all violations checked page of BOARD OF HEALTH 12:4� - 2:00 F.M. _ tee 367 MAIN STREET 0)p e ` �E°""'� f HYANNIS; MASS. o26ot 790-6265 EXT.265, ' FOOD EST�►BLISHMENT " ,INSPECTION REPORT �� ' • � 0!4 If Ax Nam e DateEstabllahmet srsam .^ i' -J Address 0a Out r' "' 3Z `� type of Establishment: f Telephone YP / Purpose: Food Service Owner's Name Retail Food Routine , ,,,G,l Residential Kitchen Follow-up Person in Charge Mobile Unit Complaint ` t*., tt� Investigation Temporary Food Service Other Inspectors Name r Caterer a Based on an inspection today,the items chic 'a•-b low indicate the violated provisions of 106 CMR 590.000. Each item is _ followed by the applicable section of the lidassach'psetts regulation."Non-critical violations are marked under column"N"and critical violations are marked under coiurTin'wC" 'Descriptions'of each item ippear on the back of this form. Each violation �A checked requires an explanation on the narrative page(s). This report serves as official notice of violated provisions and official notice to correct said violations. op i r N C WT. N C WT. Food nit Facilities r Sanitary a rY r 1. Food Supply r 1 .002 4 29. Watei Source .015 4 / i 2. F od Containers 002 1 30. Sewage�`I .016 4 AIA 31. Cross-Connections .017 4 Food Protection 32. Toilets/Ila ndwash ing .018&.019 4 3. PHF Temperatures r f .004 4 33. Insects/Rodents 021 2 4. Facilities. Hot&Cold Storage .004 . 34, .Plumbing .01 7 1 5. PHF Re-service .006 35. Toilet Rooms .018 2 6. Spoiled/Damaged Foods .003 ,4 36. Handwashing Areas. 019 2 ` 7. Food Protected .003 37. Garbage/Refuse .020 2 8. Food Thermometers .004 238 Outside Disposal .020 1 0 5 2 0 rContamination oss nin 1 9. C9. r 2 3 Outer Openings 0 2 10. PHFs thawed,cooked&cooled .005 2 40. Pesticide/Rode nticide Application .021 1 11. Food Handling .005 2 12. Dispensing Utensils .006 1 Physical Facilities 41. Floors .022 2 ` Personnel 42 Walls,Ceiling .022 2 13. Employee Infections .008 4 41 Lighting .023 1 Y9 ' 14. EmployeeH iene .009 4 44. Ventilation .024 2 15. Employee Clothing .010�,1 45. Dressing Rooms 025 1 Equipment& Utensils Other 16. Equipment/Utensil Clean& Sanitized .013 MD2 46. Toxics .026 4 17. Food Contact Surfaces .013 '1 47. Premises .027 1 18, Non-Food Contact Surfaces .013 1 48. Living Areas .027 1 19. Food Contact Surfaces Clean .013 2 49. Linen .027 1 Discussion with Management 20. "Non-Food Contact Surfaces Clean .013 1 50_ Pets .027 1 / 21. Wiping Cloths .013 1 51. Bulk Foods .031 1 r 22. Dish/Warewashing Facilities .013 1 52 Salad Bars .032 1 I 23. Pre-Scraped,Soaked .013 24 Wash/Rinse Water .013 1 No. of t 3 Critical Items Violated _ N 25. Thermometers/Test Kits 013 1 These,•items require immediate attention. 26. Equipment/Utensil Storage .014 1 r 27 Single Service Articles .014 1 28. Single Service Re-Uae' .012 1 --- Grease Trap: In(around: In Line: Capacity: 7" SCORE. Inspected by- r'"` �2E��'+"v/ Received by " "^�- Dessert Machines: Pumped:7 Seating: Frozen 9 :r. 13 CRITICAL FOOD HANDLING VIOLATIONS Full Item Descriptions 1. Food from an unapproved or unknolm source or food which is or may be Food- adulterated, contaminated or otherwise unfit for human consumption CI Food Source, approved, wholesome is found in a food establishment. 2 Containers. properly labelled Food Protection 2. Potentially hazardous food that is held longer than necessary for C3 Potentially hazardous foods at proper temperatures: 140OF or above. 450E or below. ODF; rapid cooling of cooked foods within 4 hours preparation or service at a temperature which is greater than 450 F Ce Facilities to maintain product temperature (-70 C) (in the case Of cold food) or less than 1400 F (600C) (in C5 Unwrapped end potentially hazardous foods not re-served t►.` _oSe nf• hnft f:^.A)• 6 Damaged, spoiled, returned foods segregated 7 Food protected during storage, preparation, display, dispensing, service, transportation g Thermometers provided, conspicuous, accurate No cross-contamination 3. The food establishment's facilities are insufficient to maintain 10 Potentially hazardous foods properly thawed, cooked, and cooled product temperature. it Food handling minimized 12 Dispensing utensils stored 4. Potentially hazardous food or unwrapped food that has been served to Personnel customers is re—served unless such re—service is allowed under C13 Employees with Infections restricted section 105 CMR 590.006(G). G15 Clean clothes, clean:14 Hands washed and hairrestrain hygienic practices restraints 5 A person infected with a communicable disease that can be C16lpEqui g Utensils • Equipment, utensils sanitized (automatic and wanudl methods) transmitted by food is working as a food handler in a food 17 Food contact surfaces: design, constructed, Installed, maintained, located establishment. 1g Non-food contact surfscest design, constructed. Installed, maintained, located 19 Food contact surfaces clean, free of all cleansers 20 Non-food contact surfaces clean, free of all cleansers 21 Wiping cloths; clean, use restricted 6. A person not practicing strict standards of cleanliness and personal 22 Dish/Warpwashing facilities: designed, constructed, maintained, installed, located, hygiene which may result in the potential transmission of illness operated through food is employed in a food establishment. 23 Pre-flushed, scraped, soaked 24 Wash/Rinse water clean, temperature 25 Accurate thermometers, chemical test kits provided; instructions posted 7. Equipment, utensils and food—contact surfaces are not cleaned and 26 Storage, handling or clean equipment/utensils sanitized effectively and may contaminate food during preparation, 27 Single service articles, storage, dispensing 2a No re-use of single service articles storage or service. Sanitary f■c111tiu C29 Water source; approved, hot&cold under pressure 8. Sewage or liquid waste is not dispoezd of in 1n approved and C30 Sewage and waste water dleoosal sanitary manner, or the sewage or liquid waste contaminates 'or may C31 No cross-connections, back siphonege, backrlow Y C32 Toilets g Handweshingt number, accessible, design. installed contaminate any food areas used to store or prepare food, or any c33 No insects or rodents; harborage prevented areas frequented by customers or employees. 34 Plumbing; Installed, maintained 35 Toilet rooms enclosed, self-closing doors, fixtures good repair, clean, signs 36 Handwashing areas supplied with sosp,and towel dispensers, proper Waste receptacles 9. Toilets and facilities for washing hands are not provided, properly 37 Garbage and refuse: containers covered, adequate numberg insect/rodent resistant, frequency, clean installed or designed, accessible or convenient. 36 outside area: dumpster covered, construction, clean 39 Outer openings protected e0 Pesticides and rodenticides, proper application 10. The supply of water is not from an approved source or is not under pressure and the food establishment does not, use single service Pbysical Facilities articles and/or bottled water from an approved source. et Floors constructed, maintained, clean r2 Walls, ceiling, attached equipment; construeted, maintained, clean 43 Lighting provided es required, fixtures shielded stem supplyingotable water that m8 �4 Rooms and equipment vented as required 11. A defect exists in the system p y :5 Dressing, locker areas provided used, clean result in the contamination of the water. Other 12. Insects, rodents or other animals are present on the premises C46 Toxlce properly stored, labelled, -,sed ( Y 5 590.027(F)(3)) 47 Premises litter-free* unnecessarl articles, cleaning maintenance equipment properly stored. unless allowed b Section 10 CMR Authorized personnel 45 Living/sleeping quarters and laundry separate 13. Toxic items are improperly labeled, stored or used. e9 Linen properly stored 50 No pets or other live animals except guide dogs 51 Bulk foods stored, labelled, dlsprnsed Note: In addition to the items listed above, any other violation of the 5i Salad bar operations prepared, refrigerated, displayed, protected Massachusetts Food Establishment Regulations determined by local health officials to have the potential to seriously affect the public health shall aftet written notice to the permit holder constitute a critical violation. SEATING: FEE SEASONAL: NO RETAIL: FOOD: $.00 MILK: DESSERT: TOWN OF BARNSTABLE BOARD OF HEALTH PERMIT TO OPERATE A FOOD ESTABLISHMENT PERMIT NO. 34 JANUARY 1. 1995 In accordance with regulations promulgated under authority of Chapter 94, Section 305A and Chapter 111, Section 5 of the General laws, a Permit is hereby granted to: D/B/A: BARNSTABLE COUNTY FARM Whose place of business is: RT.6A P.O.BOX 397 BARNSTABLE MA 02630 Type of business and any restrictions: FOOD SERVICE ESTABLISHMENT To operate a food establishment in the TOWN OF BARNSTABLE Permit Expires: December 31, 1995. BOARD OF HEALTH Brian R. Grady, RS, Chairman Susan G. Rask, RS Joseph C. Snow, MD Thomas sA.MMc.Kean Director of Public Health p. SEATING: FEE F RETAIL• FOOD• MILK• TOWN OF BARNSTABLE BOARD OF HEALTH PERMIT TO OPERATE A FOOD ESTABLISHMENT PERMIT NO. 35 JANUARY 1, 1994 In accordance with Regulations promulgated under authority of Chapter 94, Section 305A and Chapter 111, Section 5 of the General Laws a Permit is hereby granted to: D/B/A BARNSTABLE COUNTY FARM Whose place of' business is at RT.6A,P.O.BO% 397, BARNSTABLE, MA Type of business and any restrictions FOOD SERVICE ESTABLISHMENT To operate a food establishment in the TOWN OF BARNSTABLE Permit Expires- DECEMBER 31, 1994 BOARD OF HEALTH Brian R. Grady, RS, Chairman Susan G. Rask, RS Joseph C. Snow, M.D. Thomas A. McKean Director of Public Health THE> The'^Town of Barnstable " Health Department 019 F 367 Main Street, Hyannis, MA 02601 Office 508-790-6265 Thomas A. McKean FAX 508-775-3344 Director of Public Health November 1st, 1993 BARNSTABLE COUNTY FARM § _ RT.6A,P.O.BOX 397 BARNSTABLE, MA 02630 4 Dear Owner/Manager: Your food permit(s) will- be invalid after, December. 31, 1993. Therefore, we ask that -you'.remit the following amount prior to December 15, 1993: ESTABLISHMENT FEE TOTAL DUE ,. $0.00 ,g _ After your establishment- is inspected with satisfactory compliance and after receipt of your payment in full, you will be sent, via mail, the food permit(s) . If there has been any change in owner's name, address, telephone number or FID number, please send 'a representative into the Health Department Office to update and to .sign an application form. Thank you. Sincerely yours, Thomas A. McKean, u* Director of' Public Health " SEATING: FEE RETAIL: FOOD: MILK: TOWN OF BARNSTABLE BOARD OF HEALTH PERMIT TO OPERATE A FOOD ESTABLISHMENT PERMIT NO. 42 JANUARY 1, 1993 In accordance with Regulations promulgated under authority of Chapter 94, Section 305A and Chapter 111, Section 5 of the General Laws a Permit is hereby granted to: D/B/A BARNSTABLE COUNTY FARM Whose place of business is at RT.6A,P.O.BOR 397, BARNSTABLE, MA Type of business and any restrictions FOOD SERVICE ESTABLISHMENT To operate a food establishment in the TOWN OF BARNSTABLE . Permit Expires DECEMBER 31, . 1993 BOARD OF HEALTH Susan G. Rask, Chairman Joseph C. Snow, M.D. Brian R. Grady Thomas A. McKean Director of Public Health - . �� � w NUMBER FEE 29 THE COMMONWEALTH OF MASSACHUSETTS 50.00 TOWN BARNSTABLE ---------------------------------- of ........-----------------------------------..................--- Board of Health This is to Certify that.----BARNSTABLE COUNTY FARM -------------------------------------------------------------------------------------------------- ..................ATE-.---6A,... Q.X...3919---EXANNIS-9---MA..------------------------------------.....-----------.....---...------........--- LOCATION OF THE PREMISES IS HEREBY GRANTED A LICENSE FOR THE MANUFACTURING OF FROZEN DESSERTS AND/OR ICE CREAM MIX J For the year commencing withAM rst1,19..93-- This License is subject to the. Rules and Regulations of the Massachusetts Department of Public Health Relative to the Manufacturing of FROZEN DESSERTS and ICE CREAM MIX, to the Rules and Regulations of the Board of Health granting this License, and to the provision of the General Laws Chapter 94 as amended by Chapter 373 of the Acts of 1934, and may be revoked or suspended in accordance with the provisions of Section 651 said Chapter. ---SUSAN... ..-RASK,--.CHA.>:li� N THE. BOARD OF HEALTH OF ...JQ-S.}''PI.-C....-SN OR,MD................................................ ..BRIAN---R----GRJUY------------------------------------------------------ ...TOWN.OF..BARNSTABLl ------------ - --- -- --- - ------- -------- --------------------------------- EXPIRES: -12/31/93 ...AGENT-:---- ---..A. -: .............. --------------------- FORM 538 HOBBS& WARREN, INC. NUMBER FEE THE COMMONWEALTH OF MASSACHUSETTS 320 NO FEE p TOWN of BAI.NSTARLE U Board of Health of Q u PERMIT TO OPERATE A FOOD ESTABLISHMENT Permit No. 12 n .3ANUAR 1, 19 ' In accordance with Regulations promulgated under authority of Chapter 94,Section 305A and Chapter 111, Section 5 of the General Laws a Permit is hereby granted to: RAP,*aS ARi.F. r011-fda! VAUM Whose place of business is ROUTZ 6A, BARNNSTAP," Type of business and any restrictions FOOD SERVICE ESTABLISHMENT To operate a food establishment in $OWN OF BARNSTART.FW (City or Town) , Permit:Expires �y Board \a of Health t FORM M Re,1986 AGENT TOWN OF BARNSTABLE OFFICE HOURS: 8:30 • 9:30 A.M. BOARD OF HEALTH 12:45 - 2:00 P.M. Item No. In the space below describe all violations checked t I urn-rnei.r 367 MAIN STREET V .. HYANNIS, MASS. 02601 790-6265 EXT 265; FOOD ESTABLISHMENT ; INSPECTION REPORT Establishment Name �/.�+� /J �✓ /� /'� A111 1, �10 l._-.ir':�.s ( J" �Js � Date «.� _ � .� h�'/' / Addressra +' Tlme- In Out U A Telephone ?f`i -- 2 Type of Establishment: Food Service Owners Name Routine" Retail Food X , Follow-up �.�/'t' l rX - 3-, Residential Kitchen Person In Charge Complaint / Mobile Unit Investigation J Temporary Food Service Inspectors Name �+ p � Caterer Other Based on an inspection today,the items checked below indicate the violated provisions of 105 CMR 590.000. Each item is followed by the applicable section of the Massachusetts regulation. Non-critical violations are marked under column"N"and critical violations are marked under column"C". Descriptions of each item appear on the back of this form. Each violation checked requires an explanation on the narrative page(s). This report serves as official notice of violated provisions and official notice to correct said violations. Food N C WT.Sanitary Facilities N C WT. 1. Food Supply .002 4 29. Water Source 015 ` 4 2. Food Containers .002ffl 30. Sewage .016 4 31. Cross-Connections .017 4 Food Protection 32. Toilets/Handwashing .018&.019 2 L'� /,-.-� .1 f ,/ C�, 3. PHF Temperatures .004 4 33. Insects/Rodents .021 2 H Id Storage .004 4 _ 4. Facilities. of 8 Co S g 34. Plumbing .01 7 1 5. PHF Re-serviclz .006 4 35. Toilet Rooms .018 1 ` 6. Spoiled/Damaged Foods .003 1 36. Handwashing Areas .019 2 ~� 7. Food Protected .003 4 37. Garbage/Refuse .020 2 8. Food Thermometers .004 1 38. Outside Disposal .020 2 9. Cross Contamination .005 2 39. Outer Openings .021 1 10. PHF's thawed,cooked&cooled .005 4 40. Pest icide/Rodenticide Application .021 1 11. Food Handling .005 2 12. Dispensing Utensils .006 1 Physical Facilities 41. Floors .022 1 Personnel 42. Walls,Ceiling .022 1 13. Employee Infections 008 4 43. Lighting .023 1 14. Employee Hygiene 009 4 44. Ventilation .024 1 15. Employee Clothing O10 1 45. Dressing Rooms .025 1 a> i S .+y / 10 Equipment&Utensils Other 16. Equipment/Utensil Clean& Sanitized .013 ' 4 46. Toxics .026 4 17, Food Contact Surfaces .013 1 47. Premises .027 1 18, Non-Food Contact Surfaces .013 1 48. Living Areas .027 1 Discussion with Management 19. Food Contact Surfaces Clean .013 2 49. Linen .027 1 / 20. Non-Food Contact Surfaces Clean .013 1 56. Pets .027 21, Wiping Cloths .013 1 51. Bulk Foods .031 22. Dish/Warewashin Facilities .013 1 g 52. Salad Bars 032 2 �r 23. Pre-Scraped, Soaked .013 1 24. Wash/Rinse Water .013 1 No.of 13 Critical Items Violated 25. Thermometers/Test Kits .013 1 These items require immediate attention. 771 26. Equipment/Utensil Storage 014 ] - 27. Single Service Articles .014 28 Single Service ce Re-Use .012 Ll 1 SCORE Inspected by � � Received by 13 CRITICAL FOOD HANDLING VIOLATIONS Full Item Descriptions 1. Food from an unapproved or unknown source or food which is or may be Food• adulterated, contaminated or otherwise unfit for human consumption C1 Food Source, approved, wholesome 2 Containers, properly labelled is found in a food establishment. Food Protection 2. Potentially hazardous food that is held longer than necessary for C3 Potentially hazardous foods it proper temperatures: 140°F or above. 450F or below, 0°F; y_ g Y rapid cooling of cooked foods within 4 hours preparation or service at a temperature which is greeter than 450 F c4 Facilities to maintain product temperature 0 C) (in the case of cold food) Or less than 1400 F (600C) (in cs Unwrapped and potentially hazardous foods not re-served the case r,f het 'fcad 6 Damaged, spoiled, returned foods segregated 0-7 T Food protected during storage, preparation, display, dispensing, service, transportation 8 Thermometers provided, conspicuous, accurate 9 No cross-contamination 3 The food establishment's facilities are insufficient to maintain 10 Potentially hazardous roods properly thawed, cooked, and cooled product temperature. 11 Food handling minimized 12 Dispensing utensils stored 4. Potentially hazardous food or unwrapped food that has been served to Personnel C13 Employees with infections restricted customers is re—served unless such re—service is allowed under C14 Hands washed and clean; good hygienic practices section 105 CMR 590.006(G). 15 Clean clothes, hair restraints Equipment i Utensils 5. A person infected with a communicable disease that can be C16 Equipment, utensils sanitized (automatic and manudl methods) food is working as a food handler in a food 17 Food contact surfaces: design, constructed, a, maintained, located transmitted by � 18 Non-food contact 'surfaces: design, constructeded,, installed, maintained, located establishment. 19 Food contact surfaces clean, free of all cleansers 20 Non-food contact surfaces clean, free of all cleansers 21 Wiping cloths; clean, use restricted 6. A person not practicing strict standards of cleanliness and personal 22 Diah/Warpwashing facilltiess designed, constructed, maintained, installed. located, hygiene which may result in the potential transmission of illness operated through food is employed in a food establishment. 23 Pre-flushed, teracle . temperature g24 Wash/Rinse water clean, tam 25 Accurate thermometers, chemical test kits provided; instructions posted Equipment, utensils and food—contact surfaces are not cleaned and 26 Storage, handling of es, s oragegequipmedi/utensils 7• 27 Single service articles, storage, dispensing sanitized effectively and may contaminate food during preparation, 28 No re-uae or single service articles storage or service. sanitary Facilities C29 Water source; approved, hotLcold under pressure 8. Sewage or liquid waste is not disposed of in Stl approved and C30 Sewage end waste water disposalC31 No cross-connections, back siphonage. backflow sanitary manner, or the sewage or liquid waste contaminates or may C32 Toilets 8 Handwashing: number. accessible, design, installed contaminate any food areas used to store or prepare food, or any C33 No insects or rodents; harborage prevented 34 Plumbing;.installed, maintained areas frequented by customers or employees. 35 Toilet rooms enclosed, self-closing doors, fixtures good repair, clean, signs 36 Handwashing areas supplied with soap and towel dispensers, proper waste receptacles 37 Garbage and refuse: containers covered, adequate number. insect/rodent resistant, frequency, 9. Toilets and facilities for washing hands are not provided, properly clean installed or designed, accessible or convenient. 36 outside area: dumpater covered, construction, clean 39 outer openings protected 40 Pesticides and rodentieides. proper application 10. The supply of water is not from an approved source or is not under pressure and the food establishment does not. use single service fbyalc.l Faciliti.8 41 Floors constructed, maintained, clean articles and/or bottled water from an approved source. 42 Walls, ceiling, attached equipment; constructed, maintained. clean 43 Lighting provided as required, fixtures shielded 44 Rooms and equipment vented as required 11. A defect exists in the system supplying potable water that may 45 Dressing. locker areas provided used, clean result in the contamination of the water. Other C46 Taxies properly stored. labelled, -:sed 12. Insects, rodents or other animals are present on the premises 4T Premises litter-free. unnecesser) articles. cleaning maintenance equipment properly stored. (unless allowed by Section 105 CMR 590.027(F)(3)). Authorized personnel 48 Living/sleeping quarters and laundry separate 49 Linen properly stored 13. Toxic items are improperly labeled, stored or used. So No pets or other live animals except guide dogs 51 Bulk foods stored, labelled. dispenses Note: In addition to the items listed above, any other violation of the 5? Salad bar operations prepared, refrigerated, displayed, protected Massachusetts Food Establishment Regulations determined by local health officials to have the potential to seriously affect the public health shall aftef written notice to the permit holder constitute a critical violation. p _ TOWN OF BARNSTABLE OFFICE HOURS: / O 0�.;. A 8:30 - 9:30 A.M. W ' n OARD OF HEALTH 12:as . 2:0o F.M. SI Item No. In the space below describe all violations checked l:9 HARNAn�.r:. •/ ,639- , J 367 MAIN STREET vv n \-- HYANNIS, MASS. 02601 775-1120. EXT. 182 FOOD ESTABLISHMENT INSPECTION REPORT �� �'�.K1 �r � �� � ' '� AI Establishment Name Date Address ��L� / /� v. �Y(� r ��,// Time: In Out 2 1/ . /r,A Z)Y/' /) /1 L Telephone �� Type of Establishment: Purpose: Food Service owners Name � � etail Food Routine r % R � Residential Kitchen Follow-up s Person In Charge Mobile Unit Complaint t r, 1,Temporary Food Service Investigation v Inspectors Name F .� � �'�n Caterer Other , JJ _ //1 Based on an inspect'n toda t e items checke�d below indicate the violated provisions of 105 CMR 590.000. Each item is followed by the applicable section of the Massachusetts regulation. Non-critical violations are marked under column"N"and critical violations are marked under column"C". Descriptions of each item appear on the back of this form. Each violation checked requires an explanation on the narrative page(s). This report serves as official notice of violated provisions and official notice to correct said violations. Food N C WT.Sanitary Facilities N C 1. Food Supply .002� 4 29. Water Source .015 4 2. Food Containers .002 30. Sewage .016 31. Cross-Connections .017 4 Food Protection 32. Toilets/Handwashing .018 8 .019 2 3. PHF Temperatures .004 4 33. Insects/Rodents .021 2 4. Facilities, Hot 8 Cold Storage .004 4 34. Plumbing 017 1 5. PHF Re-service .006 T 4 35. Toilet Rooms .018 1 6. Spoiled/Damaged Foods .0031 36• Handwashing Areas .019 27. Food Protected .0034 37. Garbage/Refuse .020 2 8. Food Thermometers .0041 38. Outside Disposal .020 2 9. Cross Contamination .0052 39. Outer Openings .021 1 10. PHFs thawed,cooked 8 cooled 0054 40. Pesticide/Rodenticide Application .021 1 it. Food Handling .005212. Dispensing Utensils .0061 Physical Facilities 41. Floors .022 1 Personnel 42. Walls, Ceiling .022 1 13. Employee Infections 008 4 43. Lighting- .023 1 14. Employee Hygiene 009 4 44. Ventilation .024 1 15. Employee Clothing 010 1 45. Dressing Rooms .025 1 Equipment 3 Utensils Other 16. Equipment/Utensil Clean 8 Sanitized .01,3 4 46. Toxics .026 4 17. Food Contact Surfaces .013 1 47. Premises .027 1 18. Non-Food Contact Surfaces .013 1 48. Living Areas .027 1 Discussion with Management 19. Food Contact Surfaces Clean .013 2 49. Linen .027 1 20. Non-Food Contact Surfaces Clean .013 1 50. Pets 027 1 21. Wiping Cloths .013 1 51. Bulk Foods _03.1. 4 4C 1 22. Dish/Warewashing Facilities .013 1 52. Salad Bars .032 2 23. Pre-Scraped. Soaked .013 1 = 24. Wash/Rinse Water .013 1 No.of 13 Critical Items Violated _ 25. Thermometers/Test Kits .013 1 These items require immediate attention. 26. Equipment/Utensil Storage 014 1 27. Single Service Articles .014 1 t 28. Single Service Re-Use .012 1 SCORE +� !1 / //l.G( // jQ� Received by •// Inspected by � � � �•�� - � 13 CRITICAL FOOD HANDLING VIOLATIONS : Full Item Descriptions 1. Food from an unapproved or` unknown source or food which is or may be Food- ' adulterated, contaminated or otherwise unfit for human consumption C1 Food Source, approved, wholesome is found in a food establishment. 2 Containers, properly labelled Food Protection 2. Potentially hazardous food that is held longer than necessary for C3 Potentially hazardous foods proper temperatures: 140°F or above, 450F or below, 0°F; $ y rapid cooling of cooked foods within hin 4 hours preparation or service at a temperature_ which is greater than 450 F C4 Facilities to maintain product temperature (=7o 0 (in the case of cold food) or less than 1400 F (600C) (in c5 Unwrapped and potentially hazardous ragas not re-served case of hot f��a 6 Damaged, spoiled, returned foods segregated thed%. T Food protected during storage, preparation, display, dispensing, service, transportation 8 Thermometers provided, conspicuous, accurate 9 No cross-contamination 3. The food establishment's facilities are insufficient to maintain 10 Potentially hazardous roods properly.thawed, cooked, and cooled product temperature. 11 Food handling minimized 12 Dispensing utensils stored 4. Potentially hazardous food or unwrapped food that has been served to Personnel ' C1; Employees with infections restricted customers is re-served unless such re-service is allowed under C14 Hands washed and clean; good hygienic practises section 105 CMR 590.006(G). 15 Clean clothes, hair restraints Equipment i Utensils 1 5.- A person infected with a communicable disease that can -be C16 Equipment, utensils sanitized (automatic and manuAl methods) transmitted b food is working as a food handler in a food 17 Food contact surfaces: design, constructed, installed, maintained, located y $ 1B Non-food contact surfaces: design, constructed, installed, maintained, located establishment. 19 Food contact surfaces clean, free of all cleansers 20 Non=food contact surfaces clean, free of all cleansers 6. A person not practicing strict standards of cleanliness and personal 21 Wiping cloths; clean, use restricted p p $ P 22 Disp/War washing facilities: designed, constructed, maintained, installed, located, hygiene which may result in the potential transmission of illness operated through food is employed in a food establishment. 23 Pre-flushed, scraped, soaked $ 24 Mash/Rinse water clean. temperature 25 Accurate thermometers, chemical test kits provided; instructions posted 7. Equipment, utensils and food-contact surfaces are not cleaned and 26 Storage, handling or clean stoequrage, 27 Single service articles, store e, dispensing sanitized effectively and may contaminate food during preparation, 28 No reuse or single service articles storage or service. Sanitary Facilities C29 Water source; approved, hot&cold under pressure 8. Sewage or liquid waste is not uiopoadd of in an approved and C30 Sewage .nd waste water disD°sal ? C31 No cross-connections, back 31phonageo backflow sanitary manner, or the sewage or liquid waste contaminates or may C32 Toilets A Handwashing: number, accessible, design, installed contaminate any food areas used to store or prepare food, or any C33 No insects or rodents; harborage prevented 34 Plumbing; installed, maintained areas frequented by customers or employees. 35 Toilet rooms enclosed, self-closing doors, fixtures good repair, clean, signs 36 Handwashing areas supplied with soap and towel dispensers, proper waste receptacles 37 Garbage and refuse: containers covered, adequate number, insect/rodent resistant, frequency. 9. Toilets and facilities for washing hands are not provided, properly clean installed or designed, accessible or convenient. 38 outside area: dumpster covered, construction, clean 39 outer openings protected 40 Pesticides and rodenticides, proper application 10. The supply of water is not from an approved source or is not under pressure and the food establishment does not, use single service PhysicalFacilities p $ 41 Floorrssconstructed. maintained, clean articles and/or bottled water from an approved source. 42 Walls, ceiling, attached equipment; constructed, maintained, clean 43 Lighting provided as required, fixtures shielded 44 Rooms and equipment vented as required 11. A defect exists in the system supplying potable water that may 4s Dressing, locker areas provided used, clean result in the contamination of the water. Other C46 Toxics properly stored, labelled, used 12. Insects, rodents or other animals are present on- the premises 41 Premises litter-free, unneceasarl articles, cleaning maintenance equipment properly stored. (unless allowed by Section 105 CMR 590.027(F)(3)). ,;�^� Authorized personnel 48 LSvin6!31eeping quarters and laundry separate 49 Linen properly Stored 13. ' Toxic items are improperly labeled, stored or used. 50 No pets or other live animals except guide dogs 51 Bulk foods stored, labelled, dispensed 52 Salad bar operations prepared, refrigerated, displayed, protected Note: In addition to the items listed above, any other violation of the Massachusetts Food Establishment Regulations determined by local health officials to have the potential to seriously affect the public health ahall aftet written notice to the permit holder constitute a critical violation. `r ( � f Item No. In the space below describe all violations checked Page_oi FOOD ESTABLISHMENT INSPECTION REPORT I `� 14 Establishment Name Date I J r f3�sC c l nu.�t z v =4 E2 1 2 211, Address / Time: In Out > (�-1-G Cry v1-N Fvl6 C.,-f �a v .- �., - �Y-}i _� c `� .>n �� �� �n Telephone Type of Establishment ) c �P� ,E'r �..� �-> �� ti` �I i ,n �- ar A Food Service Owners Name \ .� Retail Food Rout Follow ine up Residential Kitchen Person In Charge I Mobile Unit Complaint �� Investigation v Inspectors Name '-` r Temporary Food Service Other 1n�r,a 01r1�u .., ��en,�< I�� Caterer d' i Based on an inspection today,the items checked below indicate the violated provisions of 105 CMR 590.000. Each item is followed by the applicable section of the Massachusetts regulation. Non-critical violations are marked under column"N"and critical violations"are marked under column"C". Descriptions of each item appear on the back of this form. Each violation checked requires an explanation on the narrative page(s). This report serves as official notice of violated provisions and official notice to correct said violations. Food N C Sanitary Facilities N C 1. Food Supply .002 29. Water Source 015 2. Food Containers .002F 30. Sewage .016 31. Cross-Connections Food Protection 32. Toilets/Handwashing .018&.019 >. 3. PHF Temperatures .004 33. Insects/Rodents .021 4. Facilities-Hot&Cold Storage .004 34. Plumbing .017 5. PHF Re-service .006 ''" 35. Toilet Rooms .018 " 6. Spoiled/Damaged Foods .003 36. Handwashing Areas .019 X 7. Food Protected .003 37. Garbage/Refuse .020 8. Food Thermometers .004 38. Outside Disposal .020 9. Cross Contamination .005 39. Outer Openings .021 10. PHFs thawed,cooked&cooled .005 40. Pesticide/Rodenticide Application .021 11. Food Handling .005 12. Dispensing Utensils .006 Physical Facilities 41. Floors .022 u Personnel 42. Walls,Ceiling .022 1" 13. Employee Infections 008 43. •Lighting .023 14. Employee Hygiene 009 '" 44. Ventilation .024 15. Employee Clothing 010 45. Dressing Rooms .025 Equipment& Utensils Other 16. Equipment/Utensil Clean& Sanitized .013 46. Toxics .026 ° 17. Food Contact Surfaces .013 47. Premises .027 18. Non-Food Contact Surfaces .013 48. Living Areas .027 Discussion with Management 19. Food Contact Surfaces Clean .013 49. Linen .027 20. Non-Food Contact Surfaces Clean .013 50. Pets .027 21. Wiping Cloths .013 511. Bulk Foods .031 / 1 22. Dish/Warewashing Facilities .013 52. Salad Bars 032 \7 x� ! n Y� •^_ +c` ^� ^ 23. Pre-Scraped, Soaked .013 �) 24. Wash/Rinse Water .013 No.of 13 Critical Items Violated 25. Thermometers/Test Kits .013 These items require immediate attention. 26. Equipment/Utensil Storage .014 27. Single Service Articles .014 28. Single Service Re-Use .012 f ,�ml\y Inspected by \A-��'r +ram- -- Received by // [LICENSE FOR THE PASTEURIZATION OF MILK] Elie C101111110titku"Cald) of JVaq;!5adJU5ett'5 .110WN _ BARNSTABLE Board of Health INS iS tO CUtilp that a LICENSE is Hereby Granted BARNSTABLE CXXRM FARM OF_ -R.WTE 6ABARNSTAELE -------- To maintain an establishment for the PeA,STV4,UR1ZAT1ON OF MILK AT-- ROUTE 6A BMUUrARE for a period of twelve calendar months from this date, subject to the Rules and Regulations of the Massachusetts Department of Public Health Relative to Establishments for the Pasteurization of Milk, and to the provisions of the General Laws Chapter 94, Section 48A, of the General Laws and Amendments thereto. Provisional license Will expire if Bacteriological ANN JANE ESIMUGH, CMURMAN ------------ Test exceed prescribed limits and or on December 31, 1991. SUSAN RASK February 21, 91 j0SEPH C. SNOW, M.D. TWMAS A. MCKEAN, AGENT Number_ BOARD OF HEALTH OF--.-(H-Y-AN-NIS)---..-.---..---.—------ TOM OF BARNSTABLE H013139 & WARREN, INC. PUBLISHERS BOSTON FORM 536 B^ BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT Z SUPERIOR COURT HOUSE 0 U BARNSTABLE, MASSACHUSETTS 02630 SAS a PHONE: 362-251 1 EXr. 331 Clients _ Barnstable County Farm Collector: B. Pires Mailing Address: P. 0. Box 397 Time & Date of Barnstable, MA 02630 Collection: 5%13/91 4:30 a.m. Date of Analysis: p.m. Telephone: 362-3242 ext. 1 Sample Location: Barnstable County Farm Barnsta6le, MA Sample Code -L emp.- Total Cdlifo�m, Standard Plate Meets Recon needed Count/ml Count/ml Limits YES NO Mil-k - Raw 4800 . XXXX Milk - Pasteurized <1 0 XXXX The bacteriological maximum allowable limits for milk and cream are as followsi Coliform.•..••..........••..•..••.•••• Pasteurized Whole Milk 3/ml Pasteurized Chocolate Milk, Cream 10/ml Standard Plate Count .;...,..... Pasteurized Whole, Chocolate Milk 10,000/ Cream 40,000/ml Raw Milk <_ 200,000/ml If you wish further information regarding these tests, please contact this office at the Superior Court House, Barnstable, MA, and we will be glad to assist you in any way possible. Barnstable Board of Health Analyst: I MassachusettsFood & Drugs . Massachusetts Food& Agriculture cc-: . J Bq Y BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT Z SUPERIOR COURT HOUSE' 7 G BARN STABLE, MASSACHUSETTS 02630 A56 PHONE: 362-231 1 I EXT. 331 Client: Barnstcbie County Farm Collector: _ Engel Mailing Address: Box 397 Time & Date of Barnstable, MA 02630 Collection: 3/6/91 8:50 a.m. ' Date of Analysis: 3/6/91 2:30 p.m. Telephone: 362-3252 ext. 16 Sample Location: arnstabl.e County Farm arnsta M e, M I Sample Code Temp. } Total Coliform'' Standard. Plate Meets Recommended Count/ml Count/ml Limits YES N0 Milk - Raw 2400. ' XXXXX Milk - Pasteurized <1 10 XXXXX E I The bacteriological maximum allowable limits for milk and cream are as follows: Coliform...... .................... Pasteurized Whole Milk,3/ml Pasteurized Chocolate Milk, Cream 10/ml I' Standard. Plate Count... .............. Paste}=ized Whole, .Chocolate Milk 10,000/r ' Cream 40,000/ml I. ' Raw Milk < 200,000/ml 'i If you wish further information regarding these tests, please contact this office at the Superior Court Hause,_Barnstable, MA, and we will be glad to. assist you in any way possible. Analyst8 I`h� cc: Barnstable Board of Health t Massachusetts Food & Agriculture Division of Food & Drugs BARNSTABLE COUNTY' HEALTH AND ENVIRONMENTAL DEPARTMENT Z SUPERIOR COURT HOUSE. O BARNSTABLE, MASSACHUSETTS 02630 J� PHONE: 362-25 EXT. 3 Client: Barnstable County Farm Collector: B. Pires Mailing Address: P. U. Box--=, Time & Date of Barnstable, RA 02630 Collection: 2/13 91 5:55 a.m. Date of Analysis: /13/91 . 3:10 p.m. Telephone: 3b2-3252 , ext. 16 Sample Location: _ Barnstable County Farm Barnstable, MA Sample Code Temp. Total Coliform Standard Plate Meets Recommended Count/ml Count/ml Limits YES NO Milk - Raw 24,200 XXXX Milk - Pasteurizel <10 <100 XXXX The bacteriological maximum-allowable limits for milk and cream are as follows: Coliform........... . ................ Pasteurized Whole Milk 3/ml Pasteurized Chocolate-Milk, Cream 10/ml Standard Plate Count.................. Pasteprized Wholev '.Chocolate Milk 10906 . Cream 40,000/ml Raw Milk 1 230,000/ml If you wish further information regarding these tests, please contact this office at. the Superior Court House, Barnstable, b1A,' and we .will be glad,to assist you in any way possible. Analyst:, Lo" Barnstable Board of Health Massachusetts Food & Agriculture cc: Division of Food & Drugs BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT Z SUPERIOR COURT HOUSE 7 � BARNSTABLE, MASSACHUSETTS 02630 J o • ' 'NIA S 6 PHONE: 362-251 1 EXT. 331 i Client: BarnstableCounty Farm Collector: B Pires Mailing Address: P. . Box 397 Time & Date of 1/23/91 5�'55 a.m. Barnstable, MA 02630 Collection: . Date of Analysis: 1/25/91 Telephone: 3627,3252 ext. 16 Sample Location: Barnstable County . a.rm Barnstable MA Sample Code Tempe Total Coliform Standard Plate , Meets Recommended —"- Count/ml Count/ml Limits YES N0 Milk - Raw 42,000 XXXX Milk-Pasteurized <1 400 XXXX The bacteriological maximum allowable limits for milk and cream are as follows: Coliform....'.......................... Pasteurized Whole Milk 3/ml- Pasteurized Chocolate Milk, Cream 10/ml - - Standard Plate Count.. Pasteprized Whole, Chocolate Milk 10,000/ Cream 40,000/ml Raw Milk < 200,000/ml. e If you wish further information regarding these tests, please contact this office at the Superior Court House, Barnstable, MA, and we will be glad to assist you in any way possible. Analyst: .o Barnstable Board of Health cc: Massachusetts Food & Agriculture 3 Division of Food & Drugs BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT SUPERIOR COURT HOUSE C�Q) J j BARNSTABLE. MASSACHUSETTS 02630 o • A SO PHONE1 362-231 1 EXT. 331 Client: Barnstable County Farm Collector: B. Pires Mailing Address: P. 0. Box 39Z Time & Date of Barnstable; MA 02630 Collection: 12/10/90 11 :10 a.m. Date of Analysis: 12/11/90 Telephone: 362-3252 ext. 16 Sample Location: Barnstable County Lab Barnstable, MA Sample Code Temp. Total Coliform Standard Plate Meets Recommended . Count/ml Count/ml. Limits YES NO Milk-Raw 34,000 XXX Milk-Pasteurized <1 280 XXX The bacteriological maximwn allowable limits for milk and cream are as follows: Coliform.............. ................ Pasteurized Whole Milk 3/ml Pasteurized Chocolate Milk, Cream 10/ml Standard Plate Count...... ..... . ...... Pasteurized Whole, Chocolate Milk 10,000/ml. Cream 40,000/ml Raw.Milk <_ Z)0,000/ml If you wish further information regarding these tests, please contact this office at the Superior Court House, Barnstable, MA, and we will be glad. to assist you in any way possible. Analyst: Barnstable Board of Health cc: Massachusetts Food & Agriculture Division of Food & Drugs BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT x � SUPERIOR COURT HOUSE C BARNSTABLE, MASSACHUSETTS 0.2630 J ASf� PHONEt 362.2511 EXT. 331 Client: BarnstableCounty Farm Collector: B Pires Mailing Address: Barnstable County House of Time & Date .of Correction, P.O. box 3.97 Collection: 11/26/90 845a.m. arnstab e, MA 02630 Date of Analysis: 11/26/90 11:55a.m. Telephones - Sample Location: Barnstable CountX Farm Barnstable, M Sample Code Temp. Total Coliform, Standard Plate Meets Recommended Count/ml Count/ml Limits YES NO Milk-Raw 39,600. XXXX Milk-Pasteurized <1 20 XXXX he bacteriological maximum allowable limits for milk and cream are as follows: Coliform••.'.. 0900 **•o . .••..••.•....•. Pasteurized Whole Milk 3/ml Pasteurized Chocolate .Milk, Cream 10/ml Standard' Plate Count..•, .. . . .,,..., Pasteurized Whole, Chocolate Milk 10,000/ml Cream 40,000/ml Raw Milk <_ 200 9 000/ml f you wish f�irther information regarding these tests, please contact this office at the perior Court House, Barnstable, MA, and we will be glad to assist you in any way ossible. Analyst: Barnstable Board of Health' , c. Massachusetts Food & Agriculture Division of Food & Drugs • �, O� BAR BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT Z SUPERIOR COURT HOUSE a BARNSTABLE, MASSACHUSETTS 02630 '1A3a r U PHONE: 362-2511 EXT. 331 Clients Barnstable County Farm Collector: B. Pires Mailing Address: Barnstable Cnlni, Hniise, of Time & Date of 10/29/90 9:07 a.m. Correction P O' Box 397 Collection: Barnstable, MA 02630 Date of Analysis: 10/29/90 Telephone: 362-3252 X31 Sample Location: Barnstable County Farm Barnstable , MA Sample Code Temp. Total Coliform Standard Plate Meets Recommended Count/ml Count/ml Limits YES NO Milk-Pasteurized <1 410 XXXX The bacteriological maxdm=- allowable limits for milk and cream are as follows: I Coliform..... .... ... .. ............ .... Pasteurized Whole Milk 3/ml Pasteurized Chocolate Milk, Cream 10/ml Standard Plate Count-, • , .• . ,. PasteArized Wh61e, Chocolate Milk 10,000/ Cream 40,000/ml j Raw Milk < 2)0,000/ml If you wish further information regarding these tests, please contact this office at the Superior Court House, Barnstable, MA, and we will be-glad to assist you in any way possible. Analyst: Barnstable Board of Health r ec: Mass,achusettsFood & Agriculture Division of Food &. Drugs i o f gA4 v BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT E! _ SUPERIOR COURT HOUSE i BARNSTABLE, MASSACHUSETTS 02630 V A 88 PHONE: 362-251 1 EXT. 331 Client: Barnstable County Farm Collector: B. Pires Mailing Address: Barnstable House of Correction Time & Date of P. 0. Box 397 Collection: 10/22 90 9:35 a.m. Barnstable, MA 02630 Date of Analysis: 10 23/90 Telephone: 362-3252 X31 j Sample Location: Barnstable Count/ Farm i . Barnstable,. MA Sample Code Temp. Total Coliform Standard Plate Meets Recommended Count/ml Count/ml Limits YES NO Milk-Raw N/A 17,800 XXXX The bacteriological max m= allowable limits for milk and cream are as follows: Coliform.............................. Pasteurized Whole Milk 3/m1 Pasteurized Chocolate Milk, Cream 10/ml Standard Plate Count.,..'....... . . ..... Pasteurized Whole, Chocolate Milk 10,000/ Cream 40,000/ml Raw Milk <- ,TO t O00/ml t If you wish further information regarding these tests, please contact this office at the Superior Court House, Barnstable, MA, and we will be glad to assist you in any way possible. { Analysts Barnstable Board of Health ~ cc: Barnstable Food & Agriculture Division of Food & Drugs n^ BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT SUPERIOR COURT HOUSE J BARNSTABLE, MASSACHUSETTS 02630 . a hlA S PHONE: 382-251 E%r. 331 Client: Barnstable County Farm Collectori B. Pires Mailing Address: Barnstable House of Correction Time & Date 'of 9/24/90 8:30 a.m. Box 197 Collection.: 9/25J90 10:50 a.m. Barnstable, MA 02630Date of Analysis: gJ25Zgjj Telephone: 362-3252 x Sample Location: Barnstable County Farm Barnstable, MA Sample Code Temp, Total Ooliform Standard Plate Meets Recommended Count/ml Count/ml Limits YES NO Mli 1 k Raw 52,000 XXXX Milk - Pasteurized <1 100 XXXX The bacteriological maximums allowable limits for milk and cream are as follows: Coliformseees **0* too .. . 0 00&.00 46 0 0 Pasteurized Whole Milk 3/ml Pasteurized Chocolate Milk, Cream 10/ml Standard Plate County. . . . . , , . Pasteurized Whole, Chocolate, Milk 10,000/ Cream 409000/ml Raw Milk 2D0,000/ml If you wish further information regarding these tests, please contact this office at the Superior Court House, Barnstable, MA, and vie will be glad to assist you in any way possible. II Analyst: Barnstable Board of Health cc: Barnstable Food & Agriculture Division of Food & Drugs o^R+s, BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL• DEPARTMENT �y SUPERIOR COURT HOUSE � ©ARNSTA©LE, h1ASSACFIUSETTS 02630 V VV PHONE: 362-2511 EXT. 331 Client: Barnstable County Farm Collector: B. Pires Mailing Address: arns a e ouse ot CorrecFion Time & Date of P. . Box 397 Collection: 8/29/90 8:45 a.m. Barnstable, MA 02630 Date of Analysis: 8/29/90 Telephone: 62-3 75-2 X 3 1 Sample Location: Barnstable County Farm —Ra-r—n-sfale, MA Sample Code Temp. Total Coliform Standard Plate Meets Recommended Count/-1 Count/m? Limits YES NO Milk - Raw 147,000 XXXX Milk - Pasteurized <1 480 XXXX The bacteriological maxirmun allowable limits for milk and cream are as follows: Coliformsess, ... ... .,. ...... . . . .. . . . . Pasteurized Whole Milk 3/m1 Pasteurized Chocolate Milk, Cream 10/ml Standard Plate Counts . . . .. . . . . . . . . . . . . Pasteurized Whole, Chocolate Milk 10,000/ Cream 110,000/ml _ Raw Milk 9)09000/ml If you wish further information regarding these tests, please contact .this office at the Superior Court House, Barnstable, IIA, and are will be glad to assist you in any wary possible. pnal.yst: �1 i, 1 c:! . �`. : :• cc: Barnstable Board of Health Barnstable Food & Agriculture Division of Food & Drugs BA RYAy BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT ` CA SUPERIOR COURT HOUSE a � BARNSTABLE, MASSACHUSETTS 02630 J o • PHONE: 362-251 1 + EXT. 331 Clients _ Barnstable County Farm Collectort B. Pires Mailing Address: Barnstable HOuse of Correction Time & Date of P. 0. Box 397 Collection: 7/18/90 9:30.a.m. Barnstable, MA 02630 Date of Analysis: Telephoner - Sample Location: Barnstable County Farm Barnstable, MA Sample Code Temp. Total Coliform Standard Plate Meets Recommended Count/ml Count/ml Limits YES NO Milk - Raw 14,300 XXXX Milk - Pasteurized <1 30 XXXX The bacteriological maximum allowable limits for milk and cream are as follows: Coliform.............. .. ...... •... ..•. Pasteurized Whole Milk 3/ml Pasteurized Chocolate Milk, Cream 10/ml Standard Plate Count.. ,' . 0 G's 0 0 0 a e e Pasteurized Whole, Chocolate Milk 10,000/ Cream 40,000/ml Raw Milk <_ 2)0,000/ml If you wish further information regarding these tests, please contact this office at the Superior Court House, Barnstable, blA, and we will be glad to assist you in any way possible. Analyst: cc: Barnstable Board of Health Barnstable Food & Agriculture Division of Food & Drugs 1 - e^ / � ?ts, BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT 0 �p SUPERIOR COURT HOUSE J BARNSTABLE, MASSACHUSETTS 02630 o � Ala'g a PHONE:.362-251 1 a EXT..931 Clients Barnstable County Farm Collector: B. Pires Mailing Address: Barnstable House of Correction Time & Date of P. 0. Box 397 Collection: 6/27/90 8:35 am. Barnstable. MA 02630 Date of Analysis: p.m. Telephone: 362-3252 X31 Sample Location: Barnstable County Farm Barnstable, MA Sample Code Temp. Total Coliform Standard Plate Meets Recommended Count/ml Count/ml Limits YES NO Milk - Raw F 82,000 XXXX Milk-Pasteurized <1 50 XXXX The bacteriological maxirmun allowable limits for milk and cream are as follows: t Coliform.. „.. ............ . ... Pasteurized Whole Milk 3/ml Pasteurized Chocolate Milk, Cream 10/ml Standard Plate Count.. . . Pasteurized Whole, Chocolate Milk 10,000/ml Cream 40,000/ml Raw Milk 5 2)0,000/ml Ifyouu wish further information regarding these tests, please contact this office at the Superior-Court House, Barnstable, MA, and we will be glad° to assist you in any way possible. Analyst: r. Barnstable Board of .Health cc: Divison of Food & Agriculture Division of Food & Drugs pt ® ? BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT a SUPERIOR COURT HOUSE V 7 ©ARNSTA©LE, MASSACHUSETTS 02630 LJ� �IAsa - PHONE: 362-2511 EXr. 331 Client: Barnstable County Farm collector: Geoffrey Ahearn Mailing Address: Barnstable House 'of Correction Ti1ne & Date of Box 397 Collection: 5/9/90 9:43am. Barnstable, Date of .Analysis: 5/9/90 Telephone: 362-3252 X31 Sample Location: Barnstable County Farm Barnstable, MA Sample Code Temp, Total Coliform Standard Plate Meets Recommended Coiui t/rnl Count/ml Limits YES No Milk - .Raw 43700 . XXXX Milk - Pasteurized <1 120 XXXX The bacteriological ma.;dnim. alloarable limits fir milk and cream are as fol-lows: Coliform. soOW0 .. . . .. .. . ..`. . . . . . Pasteurized Whole Milk 3/ml Pasteurized Chocolate 11ilk, Cream 10/ml' Standard Plate Count. , . .. . . . . . . . . . . Paste4rized Uncle, Chocolate Milk 100000 Cream 110,�00/ml Rain Milk 200,000/ml If you wish further information regarding these tests, please- contact this office at the Superior Court House, Barnstable, 1,11,, and we will. be glad to assist you in any way possible. i Barnstable Board of Health cc: Division of Food & Agriculture Division of Food & Drugs his,, BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT Z SUPERIOR COURT HOUSE O = V61 BARNSTABLE, MASSACHUSETTS 02630 o • A s PHONE: 362-251 1 EXT. 331 Client: Barnstable County Farm Collectors B. Pires Mailing Address: Barnstable House of Correction Time & Date of P. 0. Box397 Collection: 4/9/90 8:20 a.m. Barnstable, MA 02630 Date of Analysis: 4/9/90 Telephone: 362-3252 Sample Locations Barnstable County Farm —7—arnstable, MA Sample Code Temp, Tot�Ll Coiiform Standard Plate Meets Recommended- Corm t/ml Count/ml Limits Y S NO Milk - Raw 5,200 XXX Milk - Pasteurized <1 2,500 XXX The bacteriological maximum allowable limits- for mill-, and cream are as follows: Coliform.......... .. . . . . ..... ... .. . . . . Pasteurized Whole Milk 3/ml Pasteurized Chocolate Milk, Cream 10/ml Standard Plate Count, Pasteprized Whole, Chocolate Milk 109000/ Cream 40,000/ml Raw Milk <_ 2Q0,000/ml If you wish further information. regarding these tests, please contact this office at the Superior Court House, Barnstable, MA, and we will be glad ;to assist you in any way possible. d. Ana1.y o f Barnstable Board of Health cc: Division of Food & Agriculture Division of Food & Drugs ,pf Un'?l, s� BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT Dar` SUPERIOR COURT HOUSE C J BARNSTABLE, MASSACHUSETTS 02630 o • �1q$8 PHONES 362-2311 EXr. 331 Client: Barnstable County Farm Collector: B. Pires Mailing Address:Barnstable House of Correcflon Time & Date of Box 397 Collection: 2/20/90 6:00 a.m. Barnstable, MA M30 Date of Analysis- 2/21190 :30 P.M. Telephone: 362-3252 Sample Location:Barns tab I e County Farm Barnstable, MA Sample Code Temp. Total Coliform Standard Plate Meets Recommended Count/ml Count/ML Limits YES NO Milk - Raw 4,100 XXX Milk - Pasteurized <1 10 XXX Sweet Water <1 The bacteriological maximum allowable limits for milk and cream are as follows: Col iform......... ..... .....••......... Pasteurized hole Milk 3/ml Pasteurized Chocolate Milk, Cream 10/ml Standard Plate Count... 0 0 0 0 0 0 0 0 0 a 0 0 0. Pasteprized Whole, Chocolate Milk 100000/ml Cream 40,000/ml Raw I-ilk <_ 2Q0,000/ml If you wish further information regarding these tests, please, contact this office-at the Superior Court House, Barnstable, MA, and we will be glad to assist you in any way possible. Anal.yr;t: cc: BarnstableBoard of Health Division of Food & Agriculture Divison of Food & Drugs BA BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT 7 SUPERIOR COURT HOUSE Q t) BARNSTABLE, MASSACHUSETTS 02630 A S a PHONE: 362-251 1 EXr. 331 Client: Barnstable County Farm Collectors B. Pires Mailing Address:Barnstable House of Correction Time & Date of Box 397 Collection: 2/20/90 6:00 a.m. Barnstable, MA 02630 Date of Analysis: 2121/90 2:30 p.m. Telephone: 362-3252 Sample Location:barns tab I e County Farm Barnstable, MA Sample Code Temp. Total Coliferm Standard Plate Meets Recommended Count/ml Count/ml Limits YES NO Milk - Raw 4,100 XXX { Milk - Pasteurized <1 10 XXX Sweet Water <1 The bacteriological maximum allowable limits for,milk and cream are as follows: Coliforrn.......... ..... . ............... Pasteurized Whole Milk 3/ml Pasteurized Chocolate Milk, Cream 10/ml Standard Plate Count. ... . . . .. .. Pasteprized Whole, Chocolate Milk 109000/ Cream 40,000/ml Raw Milk .< 300,000/ml If you wish further information regarding these tests, please, contact this office-at the Superior Court House, Barnstable, MA, and we will be glad to. assist you in any way possible. ,1 Analyst: y cc: BarnstableBoard of Health Division of Food & Agriculture Divison of Food & Drugs BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT Z SUPERIOR COURT HOUSE 0 BARNSTABLE, MASSACHUSETTS 02630 J o • A$a PHONE: 362-26I t EXT. 331 Client: Barnstable County Farm Collector: B. Pires Mailing Address: Barnstable House of Corregth n Time & Date of P. 0. Box 397 Collection: 1/9/90 10:00 a.m. Barnstable. MA 02630 Date of Analysis: 1 1 9 Telephone: 362-3252 Sample Location: Barnstable County Farm Barnstable, MA Sample Code Temp. Total Coliform Standard Plate Meets Recommended Count/ml Count/mt Limits YES NO Milk- RAW 2,600 XXXX Milk-Pasteurized <1 150 XXXX The bacteriological ma inun allowable limits for milk and cream are as follows: Coliform..... ... . .... . . . . . . . . ... . . . . . . Pasteurized Whole Milk 3/ml P--3teiirized Chocolate Milk, Cream 10/ml Standard Plate Count.. . . . . . .. . . . . . . . . . Pasteurized Whole, Chocolate Milk 109000/ Cream 40,000/ml Raw Milk 2D0,000/ml If you wish further information regarding these tests, please contact this office at the Superior Court Hrnise, Barnstable, MA, and we will be glad to assist you in any way possible. r� Anal.y:3t: Barnstable Board of Health cc: Division of Food. & Agriculture Division of Food & Drugs OF BA i? is,, BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT . "Z SUPERIOR COURT HOUSE 0 G v BARNSTABLE, MASSACHUSETTS 02630 o • A S PHONE: 362-251 1 EXT. 331 Client: Barnstable County Farm Collector: G. Ahern Mailing Address: Barnstable House of Correctjon Time & Date of P. 0. Box 39.7 Collection: 12/19/89 12:35 p.m. BarnstaBle, MA 02630 Date of An'Alysis: 12/19/89 Telephone: 362-3252 Sample Location: Barnstable County Farm arns t a M e , Sample Code Temp. Total Coliform Standard Plate Meets Recommended Count/ml Count/Mi. Limits YES NO Milk-Raw 10,300 XXXX ' III The bacteriological maximum allowable .limits for milk and cream, are as follows. Coliform....... .. .... . . . ........ .... Pasteurized Whole Milk 3/ml Pasteurized Chocolate Milk, Cream 10/ml Standard Plate Count.. . . . . . . . . . . . . . . . Paste}=ized ?dY:ole, Chocolate Milk 10,000/ml Cream 40,000/ml R`to Milk 2p0,000/ml If you wish farther information regarding these tests, please contact this office at the Superior Court House, Barnstable, 14A, and we will be glad to asnist you in any way possible. Analyst: �v 0 ') cc: Division of Food & Agriculture Barnstable Board of Health i BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT GSUPERIOR COURT HOUSE V isL BARNSTABLE, MASSACHUSETTS 02630 o . '?IA 9 a PHONE: 362-251 1 EXT. 331 Client: Barnstable County Farm Collector: Brian Pires Mailing Address: Barnstable House of Correction Time & Date of BOX Collection: 12/11/89 . 9:30 a.m. Barnstable, MA 02630 Date of Analysis: 1 /1 /89 1O: o a-m_ . Telephones362-3252 - Sample Location: Barnstable county Farm Barnstable, MA Sample Code Temp. Total Coliform Standard Plate Meets Recommended Count/ml Count/ml Limits YES NO Milk - Raw 1 ,184,000 XXX Milk-pasteurized <1 250 XXX The bacteriological maxirmim allowable limits for milk and cream are as follows: Coliform..... .... ..... .. .......... .... Pasteurized Whole Milk 3/ml Pasteurized Chocolate Milk, Cream 10/ml 'Standard Plate Count.. . Pasteurized Whole, Chocolate Milk 10,000/ml Cream 40,000/ml Raw Milk <_ 3000000/ml If you wish further information regarding these tests, please contact this office' at the Superior Court House, Barnstable, RA, and we will be glad to assist you in any way possible. Analyst: I Barnstable Board of Health ee: Division of Food & Agriculture Division of Food & Drugs O� BA J? BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT Z SUPERIOR COURT HOUSE v BARNSTABLE, MASSACHUSETTS 02630 0 1A-- • 'IA S$ PHONE: 362-251 1 EXT. 331 Client: Barnstable County Farm Collector: Brian Pires Mailing Address: Barnstable House of Correct74tyft- & Date of P . O . Box 397 Collection: 10 : 49 a .m . * 10/14/89 Barnstable , MA 02630 Date of Analysis: 11,114/89 Telephone: 362-3292 Sample Location: Barnstable ounty arm Barnstable , -MA Sample Code Temp. Total Coliform Standard Plate Meets Recommended Count/ml Count/nil Limits YES NO Milk - Raw 553000 XXXX Milk-Pasteurize < 1' 28 XXXX The bacteriological maximum allowable limits for mill-, and cream are as follows: Coliform......... ................. .... Pasteurized Whole Milk 3/ml Pasteurized.Chocolate Milk, Cream 10/ml Standard Plate Count. . . . . . . . . .. . . . . . .. Pasteurized Whole, Chocolate Milk 100000/ml Cream 40,000/ml Raw Milk 2)0,000/ml If you wish farther information regarding these tests, please contact this office at the Superior Court House, Barnstable, MA, and vie grill be glad to assist you in any way possible. Analyst: 611u.� Barnstable Board of Health cc: Division of Food & Agriculture D.ivision of Food & Drugs 8^�1 BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT Z t0 SUPERIOR COURT HOUSE G BARNSTABLE, MASSACHUSETTS 02630 J A Sa PHONE: 362-251 1 EXr. 331 Client: Barnstable County Farm Collector: Brian Pires Mailing Address:Barnstable House of Correction Time & Date of P. 0. Box 397 Collection: 10/23/89 8:35 a.m. Barnstable, MA 02630 Date of Analysis: p•m- Telephone: 362-3252 Sample Location: Barnstable County Farm Barnstable, MA Sample Code Temp. Total Coliform Standard Plate Meets Recommended Count/ml Count/ml Limits YES NO Milk - Raw 50,000 XXXX Milk-Pasteurized 1 117 XXXX I The bacteriological ma.xinnun allowable limits for milk and cream are as follows: Coliform..... .... ..... ....•.••.•..•..• Pasteurized Whole Milk 3/ml Pasteurized Chocolate Milk, Cream 10/ml Standard Plate Cotant•..... . . . . .. . .. .,. Pasteurized Whole, Chocolate Milk 10,000/m Cream 40,000/ml Raw Milk <_ 200,000/ml If you wish further information regarding these tests, please contact this office at the Superior Court House, Barnstable, DIA, and we will be glad to assist you in any way possible. Analyst: 1 Barnstable Board of Health cc: Division of Food & Agriculture Divisbn of Food & Drugs a� °f 2t�� BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT Cf SUPERIOR COURT HOUSE 0j BARNSTABLE, MASSACHUSETTS 02630 v �1A s a PHONE: 36 2-2 51 1 EXT. 33l Client: _ Barnstable County Farm Collector: Geoffrey Ahern Mailing Address: P.O. Box 397 Time & Date of Barnstable, MA 02630 Collection: 8/9/89 8-:45 a.m. Date of Analysis: 8/9/89 Telephone: 362-2511 X31 Sample Location: a rnstable County Farm Barnstable , MA Sample Code Temp. Total Coliform Standard Plate Meets Recommended Count/ml Count/,,a Limits YES NO Raw Milk 54,000 Pasteurized Milk <1 240 XXXX The bacteriological ma.xirmun allowable limits for milk and cream are as follows: Coliform......... ..... .. .....•..... ... Pasteurized Whole Milk 3/ml Pasteurized Chocolate Milk, Cream 10/ml Standard Plate . . . . ,.• Pasteurized Wholes Chocolate Milk 100000/n Cream 40,000/ml Raw Milk < 2)01000/ml If you wish further information regarding these tests, please contact this office at the Superior Court House, Barnstable, MA, and we will be glad to assist you in any way possible. Analyst: Barnstable Board of Health cc: Division of Food & Agriculture Division of Food & Drugs �r OF $^R .� ems;, BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT Z SUPERIOR COURT HOUSE 7 � V kj BARNSTABLE, MASSACHUSETTS 02630 o • A SO PHONE: 362-231 1 EXT. 331 Client: Barnstable County Farm Collector: Brian Pires Mailing Address: Barnstable House of Correction Time & Date of ox 397 Collection: 9/11/89 11 :25 a.m. Barnstable. MA 02630 Date of Analysis: p.m. Telephone: 362-3252 Sample Location: Rarnstable County Farm arnsta e, MA Sample Code Temp. Total Coliform Standard Plate Meets Recommended Count/ml Count/mL Limits ` E'S NO' Milk - Raw 159,000 Milk - Pasteurized <1 100 XXXX The bacteriological maximum allowable limits for milk and cream are as follows: Coliform......... .... . ............ . . .. Pasteurized Whole Milk 3/ml Pasteurized Chocolate Milk, Cream 10/ml Standard Plate Count... . .. . . . . . . . . . . . . Pasteurized Whole, Chocolate Milk 10,000/ml Cream 110,000/ml Raw Milk ! 2909 000/ml If you wish further information regarding these tests, please contact this office at the Superior Court House, Barnstable, MA, and we will be glad to assist you in any way possible. Analyst: Barnstable Board of Health cc: Division of Food & Agriculture Division of Food & Drugs TOWN OF BARNSTABLE CF THE T� OFFICE OF HARISTAM _ BOARD OF HEALTH. s PAS& 367 MAIN STREET pp 1639. aINI HYANNIS, MASS. 02601 January 12 , 1989 Mr. Barry Johnson, County Administrator Superior Court House Barnstable, MA 02630 Dear Mr. Johnson: The Health Department recently received a complaint about the deteriorating condition of an above ground 275 gallon diesel tank located at the County Farm for the purpose of fueling the farm tractors . It is registered and tagged as #405 with the Town of Barnstable Board of Health. The tank is indicated to be twenty (20) years old and due to the exposure of the elements the steel tank is rusting. There is evidence of spillage of diesel fuel on the ground around the tank which may be partly due to the open.= ended polypropylene hose of the hand pump used to dispense '._ _� mi tai-i the pr�uu� �. 111E �atiK is also unsecure on pervious concrete footings placed on the ground.( Accidental spills and discharges of petroleum products and other toxic and hazardous materials have threatened the quality of such groundwater supplies and related water resources on Cape Cod posing potential public health and safety hazards to the affected community. You are hereby directed to do the following as required by the Above Ground Fuel and Chemical Storage Requirements adopted July 5, 1988 within thirty (30) days upon receipt of this letter: 1 ) . Securely anchor tank on a concrete pad that is longer and wider than the tank itself to prevent spillage and leakage onto pervious surfaces . 2) . Provisions must be made to protect the tank from the elements . Rust-proofing must be applied to the tank surfaces . 3) . A plug or shut-off valve must be inserted on the end of the polypropylene hose to prevent spillage onto the ground. If you have any further questions please feel free to contact Donna Miorandi or Thomas McKean at 775-1120 , Extension 182 . Very Truly Yours , Thomas A. McKean Director of Public Health cc : Robert O'Leary, County Commissioner Donald Reynolds , Superintendent of County Farm Chief William Jones , Barnstable Fire Department r - TOWN OF BARNSTABLE yp OFFICE OF ® BOARD OF HEALTH B9HBSTABLE, i 9po 6 9 367 MAIN STREET OAIPYp'` HYANNIS, MASS. 02601 anuary 12 , 1989 - Mr. Barry Johnson County Administrator Superior Court House Barnstable, 'MA 02630 Dear Mr.' Johnson: The Health Department the deteriorating condition of an above ground 275 gallon diesel tank located at the County Farm for the purpose of fueling the farm tractors . It is registered and tagged as #405 with the Town of Barnstable.YSg�,� - << The tank is indicated to be twenty (20) years old and due to the exposure of the elements the steel tank is rusting. There, is evidence of spillage of diesel fuel on the ground around the tank whichsartly due to the open-ended polypropylene hose of the hand pump used to dispense the product . The tank is also unsecure on pervious concrete footings placed on the ground. Accidental spills and discharges of petroleum products and other toxic and hazardous materials have threatened the quality of -@AUh groundwater supplies and related water 5�= resources on Cape Cod posing potential public health and kya safety hazards to the affected community. reZ b� .ate You are hereby directed to do the follo ngAwit . �,.e.L thirty (30) days upon receipt of this lette : 1) . H tank on a concrete pad that is longer and wider than the tank itself to prevent spillage and leakage S kor ' onto pervious surfaces . 2) . Provisions must be m °r protect the tank from the elements . Rust-pr 1ng must be applied to the tank surfaces . 3) 0} A plug.'= ust be inserted on. the end of the polypropylene hose to prevent spillage onto the ground If you have any further questions please feel free to contact Donna Miorandi or Thomas McKean at 775-1120,. Extension 182 . Very Truly Yours , Thomas A,.--McKean Director of Public Health cc : Robert O'Leary, County Commissioner Donald Reynolds , Superintendent of County Farm Chief Wi-lliam {Jones , Barnstable Fire Department /ti OF HArfilrS ' CERTIFICATE OF ANALYSTe i� Z Barnstable County Health Laboratory �s'�!#Clil it Report Prepared For: Report Dated: 4/8/2003 APR Barnstable County Farm Order NumOV�f ffSgt.EllisHE P 0 Box 397 Barnstable, MA 02630 Laboratory ID#: 0319317-01 Description: Water-Drinking Water Sample#: 19317 Sampling Location: Barnstable County Farm,Barnstable `' Collected 4/3/2003 Collected by: Sgt.Ellis Received 4/3/2003 Routine ITEM RESULT LNITS MCL Method# Tested LAB: IC Lab Nitrates 0.2 mg/L 10 EPA 300.0 4/3/2003 LAB: Metals Copper <0.1 mg/L 1.3 sM 3111E 4/8/2003 Iron <0.1 mg/L 0.3 SM 311113 4/8/2003 Sodium 14 mg2 F 20 SM 3111B 4/8/2003 LAB: Microbiology Total Coliform Absent ' y P/A Absent 309 4/3/2003 LAB: Physical Chemistry r Conductance 205 umohs/cm' EPA 120.1 4/3/2003 pH 7.5 pH-units t, EPA 150.1 4/3/2003 Note: Water sample meets the recommended limits for drinking water of all above tested parameters. Approved By Y (N (Lab Director) V;5 Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 4' �ZaIZ — Ol� / L 5-cu --------- Fee BOARD OF HEALTH TOWN OF BARNSTABLE Zippticat ion-for Vell Con0ruct ion J)ermit Application is hereby ade Eor a permit to Construct (✓), Alter ( ), oor� ReDair ( )an individual Well at: 2 6� Ms in _ - '�}c�b�- — -— - -- LI --- Location — Address Assessors Map and Parcel O er Address Installer — Iler Address Type of Building Dwelling -- -- - ------- -- Other - Type of Building-=---__--____ No. of Persons--- Type of Well— I t Liu a NC Ca acit Purpose of Well--- It- 03b-a `NJ _— -- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until a Certificate .of Compliance has been issued by the Board of Health. Signed - — --------- - � 2�]Z- ate Application Approved B - — ___—___— If date Application Disapproved or the following reasons: ----------_--_--_____—_— __ date �`�1Z� 1 Permit No. _— Issued-- -� -_ date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( `�), Altered ( ), or Repaired ( ) by�m" �_L ^, z---- ---- - ---- ---------- insta{ler at-�­�-, enl tk�_n t�a rY�S�a►:�0 --- -— -- --- -------- -- - has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. Z�P!y-Dated 41k�2_QfZ- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE _— __ Inspector--_____---------__ P Zo i-L L/5-cu .' No.—---------- Fee BOARD OF HEALTH TOWN OF BARNSTABLE Zipptication-forVelr Contruct ion Permit Application is hereby made for a permit to Construct (�), Alter ( ), or��Rerair ( )an individual Well,at: 0 Main►Sk q �o�. — -—— -- � � -- Location — Address — Assessors Map and Parcel 0fj c`c�15�a�1u A11/a oz.63v — _—t__— _ ---- O er Address Installer — Dfiller Address Type of Building Dwelling Other - Type of Building—=---__--__— No. of Persons--- _--_.____—_ Type of Well t+SC���a P�C Ca acit —_—_ Purpose of Well------ i-r`�- P Y------------------ o 1 br_—_-----— Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Certificate .of Compliance has been issued by the Board of Health. Signed ate Application Approved B ✓, -�--_— � Z date Application Disapproved or the following reasons: date �- —� L --------- Issued-- l -�-Z___—_____ Permit No. _— �_— date --- — ------- -------------------- —•---_---- --- ------------- BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed Altered ( ), or Repaired ( ) i .." li-yv__--- --------------------------------------------------- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No J2q!z ol4 Dated 29fZ- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE _ _ Inspector --- __------•--__ —_�--- BOARD OF HEALTH TOWN OF BARNSTABLE Ivell ContructionPermit No. I Fee Permission is hereby granted to Construct (AJ), Alter ( ), or Repair ( ) an Individual Well at: ------------ Street as shown on the application for a Well Construction Permit % No.- — Date/d—� -_._ _ _--------�--�------------ ------- DATE Bo d of Health No. ---- *Y BOARD OF HEALTH Fee-------------- -- TOWN OF BARNSTABLE Applicat ion-*r Vell Con.5tructioni3ermit Applicati n is hereby made for a permit to Construct Alter ( . ), or Re air (, ,)an individu 1 11 at Location — Address •- Assessors Map and Parcel Owner Address A? �liaotl _ _�i_rV _ Installer — Driller Address Type of Building Dwelling--------------------------------------------------------- Other - Type of Building No. of Persons--------------------------______ T e of Well--—'�' �¢ ----��-- ��-- Capacity Purpose of Well--- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to- place the well in operation until a C rtificate .of Compliance been issued by the Board_ of Health. Signed z ate Application Approved B _ date ---% ----- °— �� d6-- Application Disapproved for the following reasons: --- --_ ----------- — - --------- ---------------- ------------------ date Permit No. _ __ Issued---�✓-- --'�Z �L' -------------- --- ---- date BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed (/), Altered ( ), or Repaired ( ) �� / /[ In aller of at has been installed in accordance with-the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction PeifmitV '--Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE Inspector------------_-- _ BOARD OF HEALTH TOWN OF BARNST,AB LE i .. z x ` Certif irate Of com,tiance THIS IS TO CERTIFY, That the Individual Well Constructed (/) Altered ( ) or Repaired by--- ------- -- ---- ------,-�--/— --- at has been installed in accordance with the provisions of the.Town of Barnstable Board of Health Private,Well Protection ��6a Regulation,as described in the application for Well Construction Pelt N � Y- Dated - THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE.CONSTRUED AS A GUARANTEE THAT THE'WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE--- � 6 E In - - - , -- — — �E.'+��ap�aicrkaa�saQ�rrira4neaQ�sa.Qiaa4aGarx�..i.•.,i-QcaMiaeQrae.s�i:cQ !3sioren!6Q..wssirioa.aeseaQ QiliQiHiQi@i116 EaPWG9E43 .�.4 r? Ww^6?.2.rh94'FiSt._if`v steo?iTi!�•�L..=.ins. BOARD :OF HEALTH TOWN OF BARNSTABLE I j " . ell Construct ion permit Fee ��" 1, %/ ,,�i✓fir✓ � Permission is hereby granted, to Construct Alter ( ), or Re air ( ) an"In vidual Well at 1 Street as shown oYhe application fora Well Construction Permit No. — � �—--- Dated— _ `,� L3�- --------- Board of Health DATE No. '� +�4 aa� r'� ----'� 1.Fee------ 1 BOARD OF HEALTH, , � TOWN , tOF BARNS ,TAB LE a iication i'or VeC -Con�trurtio.Permit 1 Application is hereby made for a permit to Construct C/), Alter ( �; or R air ( <in in idual.Well at - r � Loeahon -Address--_—_---�-'----- -- f Assessors Map and Parcel' r j "+'• - a Owner �.. . - — Address,— - ---- �N _ - ----- ---- - - ---- ------- Installer Driller Address Type of Building Dwelling — -- - ------------------------------ Other.- Type of Building R ----- --- No.:=of Persons- ------- -------- YP g --- --- Type of Well— d �'�—����- — ---- -- — — —Capacity—- Purpose of Well--- -- i Agreement: The undersigned agrees to...install.the afore'described individual well in'accordance .with the provisions of The Town of Barnstable Board of Health Private Well Protection'Regulation - The. undersigned further,agrees not to place the well in operation until a.Certificate .of Compliance has been issued by the Board,of Health. - S><gned 4 -- .' ate Application Approved By — Cfa to Application Disapproved for the following reasons: ---------=---- ----- --= _ --_ ' 1 date — Permit No.. /Y 00 OY Issued --��_i��'�•9'Z��7—--- date e �' i of aq�� BARNSTABLE COUNTY DEPARTMENT OF HEALTH AND THE ENVIRONMENT SUPERIOR COURT HOUSE ! J POST OFFICE BOX 427 1 BARNSTABLE, MASSACHUSETTS 02630 • • Phone:(508)362-2511 Ext.330 q 5'5 t Public Health Administration 333 t; 4 - Environmental Health 383 Water Quality Analysis 337 TDD 362-5885 RECEIVED q � NOV 7 I990 - k 14M��'uq� I•&AI.iNDER co/ DATE: October 31, 1995 ORDER TO CORRECT VIOLATION(S) _ Mr. John Blaisdell County of Barnstable Barnstable, MA 02630 Owner or agent of the property-located.at. (3-67-5 Main Street Barnstable- —MA Be advised that an agent of the Director of the Childhood Lead Poisoning Prevention Program has determined certain portions of the aforementioned residential property to be in violation of the following: Massachusetts General Laws(MGL), Chapter 111, Section 197; the Regulations for Lead Poisoning Prevention and Control, 105 Code of Massachusetts Regulations (CMR) 460.000; and the State Sanitary Code. The specific areas of violation are detailed in the accompanying "Lead Inspection/Surface Assessment Report." Conditions exist in this residence which 'may endanger and/or materially impair the health of the occupants of these premises. DECLARATION OF EMERGENCY The Director of the Childhood Lead Poisoning Prevention Program declares that the presence of the aforementioned violation presents an immediate danger of lead poisoning to one or more occupants of the premises and that this constitutes an emergency pursuant to the Lead Law, MGL Chapter 111, Section 198, within the meaning of the Sanitary Code, Chapter 1, Section 400.200 (B). l CORRECTION OF LEAD VIOLATION(S) The Lead Law,MGL c. 111, ss. 189A-199B, and the Department of Public Health's Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000, require that residential premises or dwelling units built before 1978 have lead paint violations either abated and contained for full compliance or brought under interim control when a child under the age of six lives in the residential to deleadin for full compliance b using the premises or dwellingunit. You may proceed directly g p Y g enclosed inspection report. If you are interested in interim control, then you must hire a licensed private risk assessor to perform a risk assessment and issue a complete "Lead Inspection/Risk Assessment Report" before you proceed. The Lead Law,the Department of Labor and Industries'Deleading Regulations, 454 CMR 22.00, as well as- the Regulations for Lead Poisoning Prevention and Control require that any high-risk residential lead abatement and containment activities, including making loose paint, plaster or putty intact,be performed by licensed deleading contractors—whether in the context of achieving interim meeting the training requirements of 105 control or full compliance. An owner or owners agent, after g g q i CMR 460.175,may perform certain low-risk abatement and containment activities in accordance with these regulations without a deleader's license—again,whether in the context of achieving interim control or full compliance. These specific low-risk abatement and,containment activities are the following: applying encapsulants; applying such coverings as carpet, vinyl, aluminum, plywood, plexiglass, and acrylic, to surfaces, including siding of exterior surfaces; removing doors, cabinet doors and shutters; and capping baseboards. In addition,.an owner or owner's agent may perform structural repairs, as defined in 105 CMR 460.020, and cleaning of leaded dust, as may be required for interim controls, except that the final clean-up required after the completion of high-risk abatement and containment work by a licensed deleader must be performed by a licensed deleader. ORDER You are hereby ordered to remedy all violations of MGL c. 111, s. 197 and 105 CMR 460.000 as identified in the enclosed inspection report, or, if you wish to pursue interim control, you must remedy all urgent lead hazards identified by a licensed private risk assessor. Whether you pursue full compliance or interim control, you must correct the relevant violations in-accordance with the following schedule: Within sixty(60) days of your receipt of this Order, you must provide to this agency a copy of a signed contract with a licensed deleader, if any high-risk abatement and containment work, including makipg-leaded paint, putty or plaster intact, is required. If you or your agent is doing- owner/agent low-risk abatement and containment and/or interim control work, you must also provide within sixty (60) days a signed and completed CLPPP form entitled, "Documentation of Training to Perform Owner/Agent Low-Risk Abatement and Containment and Deadlines by Which Owner/Agent Low-Risk Work and/or Interim Control Work Will Be Completed." The contract must specify, and if you or your agent will be performing low-risk abatement and containment work or interim control work,then you or your agent will attest in the CLPPP form described above, that the work will be completed according to the following schedule: (a) violations of the interior of the dwelling unit and interior common areas must be abated or contained for full compliance, or,as required for interim control, within ninety(90) uh have a total of one hundr ed and However, you t days of your receipt of this Order.the Order to complete the following activities: � twenty (120) days from receiving an low-risk abatement and containment work you or your agent perform, as long E (i) y ent or containment work, including surface as all dust-generating aba tement preparation, required to be done by a licensed deleader da s of your rs been eeceip of ted, and am doors removed have been replaced, within ninety( Y this Order; - ii application of encapsulants by licensed Level II dele�aderes, as longs9dust- work, ( ) P generating abatement or containment including preparation,leted within ninety (90) days s of to be done by a licensed deleader, has been comp your receipt this Order; you can demonstrate that new (iii) installation of replacement windows, e l090 as of your receipt this Order. windows have been ordered within ninety ( ) Y Violations on the exterior of the residential premises and exterior common mcontrols, eas must (b) Viol fiance or as require for be abated and/or contained for full compliance da P of our receipt of this Order. - within one hundred and twenty ( ) Y Y contract with a deleading contractor must also specify that the unit will meet acceptable lead �Y C0 sampling done by the licensed code enforcement lead dust levels, as determined by the results of same g inspector,in full compliance cases, or the licensed private risk assessor, in interim control cases, �P ection, if one is necessary. Should any of the dust samples at the time of the reoccupancy r�sP ' to meet acceptable standards, the contractor will be i i terrii cm controls in which no unit until fail all dust samples meet acceptable levels. In cases involving an re ection is necessary and no deleading contractor involved because no high-risk reoccup cyP leaded paint, plaster or putty intact,were abatement and containment activities,including making then you or your agent who performed required work will be responsible for cleaning necessary, y the results of sampling done by the the unit to meet acceptable.dust levels, as determined by ection.-Any room or interior licensed private risk assessor at the time of the risk assessment reu�sp ' which one or more surfaces does not meet acceptable dust levels must be recleaned by area ul you or your agent in its entirety. PROSECUTION AND im PUNITIVE DAMAGES ' to initiate any of the deadlines stipulated above will require this agency , Failure to comply-withworking days. Compliance with this Order criminal or civil proceedings age You"`nth seven(pr specified b this agency' receipt of the appropriate documentation within the will be determined y S deadlines and/or by on reinspection. The documentation consists of the following: risk abatement and containment work is necessary, including making lead-painted a) if any �' contract with a licensed deleader; surfaces intact, a copy of a signed and dated deleading h work or such work as structural repairs b) if you oryour agent will be doing low-risk deleading of the CLPPP form L' for interim controls,a completed and signed copy and lead-dust cleaning . .ram be "Documentation of Training to perform Owner/Agent Low-Risk Abatement and Containment ' and Deadlines by Which Owner/Agent Low-Risk Work and/or Interim Contro Completed"; ) action Certification issued by a licensed code c a Letter of Lead paint(Re)occupancy(Re)�ins P lead ins actor or licensed private risk assessor, in cases in which high-risk enforcement P loose lead paint, plaster or putty intact, is abatement and containment work, such as making necessary,thus requiring occupants to be relocated from the unit for the duration of the work; the licensed code enforcement lead inspector in d) copies of results of all dust samples taken by , full compliance cases or the licensed private risk assessor in interim control cases; er of Full Deleading Compliance issued by a licensed code enforcement lead inspector e) a Lett or a Letter of Interim Control issued by a licensed private risk assessor. this agency at least ten (10) co of the deleading notification must be received bthisb a deleader t you 0) n a performedY ,In addition, PY ant of deleading, whether or business days prior to any commencem full compliance or interim control. The law your agent, and whether in the context of achieving you may become liable of non-compliance. In addition,y a provides penalties of up to$500 for each day actual damages for failure to comply unitive damages equal to three times the amount of any ,. for civil p with this Order. CT'ON OF VIOLATION BY CODE ENFORCEMENT AGENCY CORRE t into •off stipulated above the aforementioned residential property is not brought �v�thui the time � this agency may contract with a licensed deleader to correct the full compliance or interim ntror of F Interim Control, and bill Full Deleading Compliance or a Letter of violation(s)and obtain a the owner, or initiate court action to reimburse itself. Director ctor Massachusetts Department of Public Health e Crowley C2829 ChUdhoodLeadPoisonuigpr�e 1OnProgram (DPH/CLPPP) ' �,i.w� c:\wesani.EEw1�sacErZxni. • 3 jj BARNSTABLE COUNTY DEPARTMENT OF HEALTH AND THE ENVIRONMENT SUPERIOR COURT HOUSE J „ POST OFFICE BOX 427 . BARNSTABLE, MASSACHUSETTS 02630 AA-- Phone:(508)362-2511 Ext.330 •7A 55 Public Health Administration 333 Environmental Health 383 Water Quality Analysis 337 TDD 362-5885 October 31, 1995 Mr. John Blaisdell County of Barnstable Barnstable, MA 02630 Dear Mr. Blaisdell-,-: I have inspected the property at 3675 Main Street in Barnstable owned by vou, and I have found lead paint in -violation of the Lead Law, Massachusetts General Laws, Chapter i 11, section 197, and the Department of Public Health's (DPH's) Lead Poisoning Prevention and Control Regulations, 10; Cede of Nfassachuserts Regaations 460.000. The Lead Law and DPH Regulations require that residential premises or dwelling units built before 1973 have lead ;taint violations either abated and contained for full compiiarc-- or brought under interim control wizen a chiid under the age of six lives in the residential premises or dwelling unit. I have detailed the spec::c areas of violations in my"Lead Inspectien,,Sur:ace Assessment Re:1 with w'rich you may proceed to deleadirg for full compliance. a licensed private risk assessor must pe::crm a risk assessment and issue a "Lead Inscecrcrv:Zisk assessment Re car," be ere vou can crcceed with interim control. The Massachusetts Department of Public Health (DPH's) Lead Poisoning Prevention and Control Regulations require that you provide to me, within sixty (60) days of your receipt of this letter, a contract with a licensed deleader, signed by both you and the deleader, if any high-risk abatement and containment work, including making leaded paint, putty or plaster intact, is required. also, if you or your agent is plaruzing to do any low-risk abatement and containment work or other work such as structural repairs or cleaning of lead dust that may be necessary for interim control, within sixty (60) days of your receipt or this leer you must provide this office with a signed and completed Childhood Lead Poisoning Prevention Program(CLPPP) form entitled, "Documentation of Training to Perform Owner/Agent Low-Risk abatement and Containment and Deadlines by Which Owner/Agent Low- Risk Work and/or Interim Control Work Will be Completed." l The contract with the licensed deleader must specify, and if you or your agent will be performing low- risk abatement and containment work or other work necessary for interim control, then you or your agent will attest in the CLPPP owner/agent form described above, that the work will be completed by the deadlines described in this paragraph. All violations on the interior and interior common areas must be deleaded, or the identified urgent lead hazards brought under interim control, within.ninety (90) days from your receipt of this letter. However, you have one-hundred and twenty(120) days to complete the following; any low-risk deleading work you or your agent perform, as long as all dust-generating abatement and containment work, including surface preparation, required to be done by a licensed deleader has been completed, and any doors that were removed have been replaced, within ninety (90) days; application of encapsulants by Level II deleaders, as long as all dust- generating abatement or containment work, including surface preparation, has been completed within ninety (90) days; and installation of replacement windows, as long as you can document that new windows have been ordered within ninety (90) days. All exterior violations must be deleaded or brought under interim control within one hundred and twenty(120) days. The contract must also specify that the unit will meet acceptable lead dust levels, determined by the sampling which I, in the case of full compliance, or a licensed private risk assessor, in the case of interim control,will conduct at the time of the reoccupancy reinspection, if one is necessary, and that the deleader will be required to reclean the unit if necessary until it meets acceptable standards for dust. In interim control cases in which no reoccupancy reinspection is necessary and no deleading contractor involved because no high-risk abatement and containment activities, including making leaded paint, plaster or putty intact,were necessary, then you or your agent who performed required work will be responsible for cleaning the unit to meet acceptable dust levels. In these interim control cases, dust levels will be determined by the results of sampling done by the licensed private risk assessor at the time of the risk assessment reinspection. Any room or interior area in which one or more surfaces does not meet acceptable dust levels must be recleaned by you or your agent in its entirety. If I do not receive the required documents by the 61 st day, I must by law file a criminal complaint against you in court. You may be fined by the court up to $500 for each day of non-compliance. Under the law,only deleading contractors licensed by the Department of Labor'and Industries (DLI) may engage in any high-risk residential lead abatement and containment activities, including making loose paint, plaster or putty intact---whether in the context of achieving interim control or full compliance. After completing the required training, you or your agent may perform certain low-risk abatement and containment activities in accordance with 105 CUR 460.175 without a deleader's license—again,whether in the context of achieving interim control or full compliance. These specific low-risk abatement and containment activities are the following: applying encapsulants; applying such coverings as carpet, vinyl, aluminum, plywood, plexiglass, and acrylic, to surfaces, including siding of exterior surfaces; removing doors, cabinet doors and shutters; and capping baseboards. In addition,you or your agent may perform any other work that may be necessary for interim control, such as structural repairs, as defined in 105 CMR 460.020, and cleaning of leaded dust, except that the final clean-up required after the completion of high-risk abatement and containment work by a licensed deleader must be performed by a licensed deleader. e Before you or your agent may perform low-risk abatement and containment work, whether for full compliance or interim control,you or your agent must read the Childhood Lead Poisoning Prevention Program(CLPPP)'s educational booklet, view the CLPPP encapsulation video, if encapsulation will be performed, and take a self-corrected exam that must be submitted to CLPPP. I have enclosed a copy of the booklet, "Low-Risk Deleading Work by Homeowners and Their Agents." To receive a free copy of the complete owner/agent abatement and containment package, including the encapsulation video,-eall the CLPPP Central Office at 1-800-532-9571. If you or your agent will be performing other work for interim control, such as structural repairs and cleaning;nf leaded dust, you or your agent must take safety precautions and perform cleanup in accordance with procedures described in the CLPPP educational booklet"Interim Control of Lead Paint Hazards: a Step-by-Step Guide." I have also enclosed a copy of this booklet. I have also enclosed two brochures explaining the options of encapsulation and interim control. If after reading"Deciding Whether to Encapsulate"you decide you would like to have an assessment for encapsulation performed, you must hire a licensed private lead inspector to perform this assessment. Results of the assessment shall be recorded on the initial "Lead Inspection/Surface Assessment Report Form" and a copy should be sent to me. I have enclosed a copy of a list of licensed private lead inspectors. Only those surfaces approved by the licensed inspector will be eligible for encapsulation, no matter who actually applies the encapsulant----a licensed Level II deleader or you or your agent. As noted above, if after reading "Interim Control of Lead Paint Hazards: A New Option for Property Owners,"you decide you would like to have a risk assessment performed,you must hire a licensed private risk assessor to perform this assessment. Results of the assessment will be recorded on a"Lead Inspection/Risk Assessment Report Form" and a copy should be sent to me: I have enclosed a copy of a list of licensed private risk assessors. At least 10 business days before any necessary deleading work begins, whether in the context of full compliance or interim control, the deleader must provide written notification to DLI, all residential occupants, the local board of health, and CLPPP. It is your responsibility, as the owner of the premises,to make sure the contractor sends the completed forms to all parties. If you or your agent will be performing low-risk abatement and containment work, you are responsible for providing the written notice of deleading to DLI, the residential occupants, the local board of health, and CLPPP, and for also writing on the form which low-risk abatement and containment activities you or your agent will be performing. All occupants and pets must be relocated from the dwelling unit for the entire time that interior deleading work performed by the licensed deleader is in progress. Occupants and pets must stay out of the work area while you or your agent perform low-risk abatement and containment work, structural repairs, or cleaning of lead dust, but may return after you or your agent has cleaned up following completion of the work. However, occupants and pets must be out of the dwelling unit for the dgy while you or your agent apply coverings to a surface with peeling, chipping or cracking lead paint or plaster,or during spray application of encapsulants, but may return upon completion of the owner's or owner's agent's cleanup and need not be out of the unit overnight. Occupants and pets who have been relocated from the unit may not return until I, in full compliance cases, or a licensed private risk assessor,in interim control cases, approve reoccupancy by conducting an on-site reiaspection of the unit,including taking dust samples to assure that lead dust levels meet approved standards. This reinspection will be done at-least 25 hours after deleading work is done: the inspector or risk assessor must wait at least one_hour after the deleader performs a final clean-up, and the deleader must wait at least 24 hours after the completion of deleading work to perform that final clean-up. Deeeaded surfaces are not to be repainted until after reinspection. All work is to be done in a workmanlike manner, and the property must be returned to a condition that meets the requirements of Chapter II of the State Sanitary Code. If any surfaces were scraped, they must be feathered, made smooth and repainted. (Repaint only after reinspection.) If any windows and doom-were deleaded or replaced, they must have all panes of glass intact and must be weathertight. You are required to send a copy of my"Lead Inspection/Surface Assessment Report," or any"Lead Inspection/Risk Assessment Report," and any risk assessment reinspection report to all mortgagees and lienholders of record. Questions regarding the Department of Public Health's Lead Poisoning Prevention and Control Regulations should be addressed to the CLPPP central office (1-800-532-9571 or 617-983-6900) or to me. Questions regarding Department of Labor and Industries Regulations should be addressed to the DLI central office(617-727-1933) or regional offices. I urge you to contact me as soon as possible to discuss your responsibilities in this case, the violations included in this inspection report and the other material enclosed. You may reach me by calling eO0 362-2511 x371. Sincerely, or achusetts Department of Public Health Childhood Lead Poisoning Prevention Program (DPH/CLPPP) ' C.kWPSO\LEAD 199rGENERAL\COVP2Ll.wP6