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Home My WebLink About0269 MILLWAY - Health 269 Millway, Barnstable A= Mil lwa arina c n Date: TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE IN ENTORY NAME OF BUSINESS: BUSINESS LOCATION: INVENTORY MAILING ADDRESS: / 3a' Qr 02b TOTAL AMOUNT: TELEPHONE NUMBER: �g'3�� CONTACT PERSON: /�'1`: ntUi� i fs (� end f 1149EQAQ!�: EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS:_�l/� /i2Q INFORMATION/RECOMMENDATION A LAUy W Wl) Fire Distri tMA fi PA LMM i' G1(,tMI AA I elunslak WW6 0-r4fe �(rel'VLD V�'fVIfYVf /� (.tom. f' aste Transportation: Last shipment of hazardous.waste: Name of Hauler, hVfrb Destination: Waste Product: W.OSL DU Licensed? 9 No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) 3 Misc. Corrosive �L NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides �n Orl1 NEW 1Y9USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels j Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor &furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers (including bleach) Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS a Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS ..__ DBA: Millway Manna Inc Fax .. __..._. ... Corp Name: Mailing Address jQo ; _.. ..__ ......._ _..... .... . .........._ Location: 269 Millway,Barnstable Street: P.O.Box 322 ......... _ ._ ............. mappar: City: Barnstable Contact: :Jack Hill or Mr.Dana Bassett Gen Mgr State: Ma Telephone: 508-362-4904 Zip: 02630 Emergency: '508-362-4904 Person Interviewed: Business Contact Letter Date: 8/24/2005 Category: .Boats/Marinas Inventory Site Visit Date: 9/8/2005 .........._.._..._. .......... _...... Type: Follow Up/Inspection Date: ❑ public water ❑ indoor floor drains ❑ outdoor surface drains d❑ license required ❑ private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc ❑ currently licensed ❑ town sewage ❑ indoor catch basin/drywell ❑ outdoor catch basin/drywell expir ---- ❑ on-site sewage ❑ indoor on-site syste ❑ outdoor onsite system date: .......................................................... _._.. REMARKS: 3/6198-No antifreeze-outboard only. MV5083644904 8000 compliance: g UST,tag#1034. Batteries,Inc.trades batteries. Cyne rag serice. Satisfactory W.O.from Whale water boats go to veterinos Garage. Oil filters drained and tossed. Very linited use on repair.ORDERS: Obtain MSDS for all products. Maintain central and working files. 9/8/05 alp DEP visit June 16,2005 with violations listed in street file.All said violations have been corrected per DEP.OBSERVATIONS: MSDS on site,waste is labeled, waste oil outdoors is covered and has 110%containment,need more absorbent pads under the waste oil located inside the building, PROBLEMS:smoking outside the building near maintenance of boats (applying bottom paint with strong fumes-combustible,and an open container of acetone present),all containers shall be covered with a lid or capped off,empty barrel shall be removed or placed inside the waste oil containment enclosure,temporary eyewash station is empty. Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ Zero Toxic Waste Materials ❑ gty's>25 Ibs dry or 50 gals liquid but less than 111 gals d❑ gty's 111 gals or more f ... elescnpt�on 3, _ nit measu of, re ,,W,... ....,�.�qh'=..,�•� a gasoline ( 2030 gallons motor oil _ _ 217 gallons t/ antifreeze(for gasoline or coolant systems) 8�gallons�/ automatic transmission fluid I 3�gallons V ...._.............._...... Misc.Flammable 20 gallons✓ misc.petroleum products:grease,lubricants 25 gallons✓__� Misc.Combustible 44 ga11 ns Toxic _.__....._........ ..___..._._........_.__s....._....._.____..._..__._: Batteries 51 gallons✓ Windshield Wash 2 gallons _. _._._........,....... ..... waste oil 125 gallons Misc.Corrosive 3gallons paint,varnishes,stains,dyes 1°gallons . any product with the word"POISON"on label 21gallons caulk/grout 1 Igallons Waste Transporter: Envirosafe Fire District: !Barnstable Last HW Shipment Date: 8/23/2005 Waste Hauler Licensed: Yes Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS ..__ DBA: Millway Marina Inc Fax. - ...... _ .. Corp Name: Mailing Address Location: 269 Millway,Barnstable Street: P.O Box 322 mappar: Y City: Barnstable Contact: :Brad St.Coeur or Jack Hill VIA ate: Ma Telephone: '362-4904 'll (�, v � Zip: 02630 Emergency: 362-4904 �f Person Intervi wed: Business Contact Letter Date: Category: VehicleMaintenance Inventory Site Visit Date: � _9 I Type: Follow Up/Inspection Date: ❑ public water ❑ indoor floor drains ❑ outdoor surface drains ❑ license required ❑ private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc ❑ currently licensed ❑ town sewage ❑ indoor catch basin/drywell ❑ outdoor catch basin/drywell expir r ❑ on-site sewage ❑ indoor on-site syste ❑ outdoor onsite system date �ln pn' jp n REMARKS: 316198-No antifreeze-outboard only. MV5083644904 8000 compliance: g UST,tag#1034. Batteries,Inc.trades batteries. Cyne rag serice. Satisfactory ` W.O.from Whale water boats go to veterinos Garage. Oil filters drained V, ' v sa_A and tossed. Very linited use on repair.ORDERS: Obtain MSDS for all products. Maintain central and working files. IW 2000 ® 6 �mo1 w wF 13 ✓® K '-� PeLV P V5 0�ePcb�_44,9 UJ6-&1!Z Ca- - , wI rob V co AYr ,P kk z to wa-sk Y ' Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ zero Toxic Waste Materials d❑ gty's>25 lbs dry or 50 gals liquid but less than 111 gals ❑ gty's 111 gals or more descnpton c�<>x, ,<+"Y .gry llrllt t- Qf'measure gasoline I 5000 gallons^mmT ___.........._..._...._._._._._._............_ .......... motor oil _.______ 13 cases_ antifreeze(for gasoline or coolant systems) 1 drums automatic transmission fluid 1 cases Waste Transporter: Fire District: Last HW Shipment Date: Waste Hauler Licensed: � Number Fee 892 THE COMMONWEALTH OF MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that Millway Marina Inc. 253 Millway, MA 02630 Is Hereby Granted a License `FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. - ---------------- -------- ------ ------- ------- ------ -------- ------- -------- ------ -------- ------- ---- ------------------------ This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2005 unless sooner suspended or revoked. ---------------------------------------- SUSAN G.RASK,R.S. WAYNE MILLER,M.D.,CHAIRMAN October 21, 2005 SUMNER KAUFMAN,M.S.P.H. THOMAS A. MCKEAN,R.S.,CHO i Director of Public Health Town of Barnstable '� �►+E Regulatory Services / Thomas F. Geiler,DirectorJM Q ' Public Health Division n I, d� Eosr Thomas McKean,Director U 200 Main Street, Hyannis,MA 02601 ----- ----------Office 508=862-4644------..-.-.-. Fax: 508-790-6304 Application Fee:$100.00 r ASSESSORS MAP AND PARCEL NO. j0D02(o DATE `1/Z IPS APPLICATION.FOR PERMIT.TO STORE.AND/OR UTILIZE MORE THAN. 111 GALLONS.OF.HAZARDOUS MATERIALS FULL NAME OF APPLICANT ,I•PD(-gt-a— 1 NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT 253 Mi LLU3 8 Y R�691CST19'E LC � (p TELEPHONE NUMBER SO 9^ SOLE OWNER:t/YES NO `# IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL� INI) z PARTNERS: ;: Co CL, r IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION PC )c EM FULL NAME AND HOME DRESS OF: PRESIDENT )O b TREASURER CLERK GNATURE OF XPPLICANT RESTRICTIONS: HOME ADDRESS �W,11�S a is �5►A gLC HOME TELEPHONE# g-n -q�q-4O�5_ Hazdoc/wp/q COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AF DEPARTMENT OF ENVIRONMENTAL PROT COPY SOUTHEAST REGIONAL OFFICE 20 RIVERSIDE DRIVE, LAKEVILLE, MA 02347 508-946-2700 MITT ROMNEY STEPHEN R.PRITCHARD Governor Secretary KERRY HEALEY ROBERT W.GOLLEDGE,Jr. Lieutenant Governor Commissioner August 24, 2005 Mr. Jack Hill,President RE: BARNSTABLE--BWP Millway Marina,Inc. P.O. Box 322 310 CMR 30.00 Barnstable,Massachusetts 02630 DEP Facility ID#382174 NON-SE-05-2008 Return to Compliance Dear Mr. Hill: The Department of Environmental Protection,Bureau of Waste Prevention personnel conducted a follow-up inspection on August 18, 2005 at Millway Marina,Inc., 269 Millway, Barnstable,Massachusetts. The purpose of the follow-up inspection was to verify that the violations cited in the above referenced NON had been satisfactorily corrected. In addition,the Department is in receipt of your written response, dated 7/21/2005. The follow-up inspection and a review of the written response revealed that the facility has corrected the cited violations relative. to the Department's Hazardous Waste Regulations and has therefore complied with the above referenced NON which was issued on July 8, 2005. Should you have any questions relative to the Department's Bureau of Waste Prevention programs.as they apply to your company,please contact Eric Johnson at(508)946-2820. Vgy truly yours, Gregg M. unt, Chief : . BAT Compliance and Enforcement Section H/EJ/re This information is available in alternate format.Call Donald M.Gomes,ADA Coordinator at 617-556-1057.TDD Service-1-800-298-2207. DEP on the World Wide Web: http://www.mass.gov/dep i�a Printed on Recycled Paper 2 cc: DEP-SERO ATTN: Carl Natho Regional Enforcement Office-2 Barnstable Board of Health 200 Main St. Hyannis,MA 02601 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION SOUTHEAST REGIONAL OFFICE 20 RIVERSIDE DRIVE, LAKEVILLE,MA 02347 508-946-2700 MITT ROMNEY ELLEN ROY HERZFELDER Governor. Secretary FERRY HEALEY ROBERT W.GOLLEDGE,Jr. Lieutenant Governor s' € Commissioner , July 8,2005 Jack Hill,President Millway Marina,Inc. 269 Millway Barnstable,MA 02630 Re: NOTICE OF NONCOMPLIANCE: NON-SE-05-2008 Noncompliance with M.G.L. Chapters 21C and 310 CMR 30.000 11 DEP Facility ID#3821174 :=E At: Millway Marina, Inc. 269 Millway Barnstable,MA 02630 1:" -11 n ca sue: Dear Mr.Hill: cn r Enclosed please find a Notice of Noncompliance, an important legal document. Department personnel conducted a BWP single media inspection and have observed or determined that on June 16,2005, activity occurred at Millway Marina, Inc. in noncompliance with one or more laws,regulations, orders,licenses,permits,or approvals enforced by the Department. OPPORTUNITIES FOR REDUCING THE FACILITY'S ENVIRONMENTAL IMPACT By modifying the facility's processes and/or waste generation practices, you may be able to reduce or eliminate the environmental regulatory requirements and fees that apply to this facility. These can include requirements to notify DEP, obtain DEP permits or other approvals, manage wastes in specific ways, and file reports on your operations with the agency. In addition, these options may improve your product quality and/or process efficiency, and save money. Implementing these options may assist or contribute to correcting the violations described above. This information is available in alternate format.Call Donald M.Gomes,ADA Coordinator at 617-556-1057.TDD Service-1-800-298-2207. DEP on the World Wide Web: http://www.mass.gov/dep Za Printed on Recycled Paper 2 In addition, tracking the facility's use of hazardous substances and reviewing that data. periodically may lead to the identification of additional opportunities to reduce the quantity and toxicity of materials used, and of hazardous wastes generated. For information on reducing hazardous chemical use and/or waste generated,you may contact: • The Office of Technical Assistance(617-626-1060) for free, CONFIDENTIAL technical assistance including on-site assessments, financial evaluations,the handbook"The Practical Guide to Toxics Use Reduction", and other resources. • The Toxics Use Reduction Institute(978-934-3275) for courses for certified "Toxics Use Reduction.Planners". • DEP's Toxics Use Reduction Program (617-292-5982) for guidance material on the Toxics Use Reduction Act requirements. If you have any questions regarding this matter,please contact Eric Johnson of this office at(508) 946-2820. Very truly yours, Date: -10 ' • Gregg M.Hunt, Chief BWP Compliance and Enforcement Section H/EJ/ltm CERTIFIED MAIL#70041160000621381338 cc: DEP-SERO ATTN: Carl Natho Regional Enforcement Office(2 copies), fc: Barnstable Board of Health ec: DEP—Boston ATTN: William McGowan, MA Office of Technical Assistance NOTICE OF NONCOMPLIANCE THIS IS AN IMPORTANT NOTICE, FAILURE TO TAKE ADEQUATE ACTION IN RESPONSE TO THIS NOTICE COULD RESULT IN SERIOUS LEGAL CONSEQUENCES. Based on the Department's investigation on June 16,2005,noncompliance occurred or was observed at Millway Marina, Inc. in noncompliance with one or more laws,regulations, orders, licenses,permits or approvals_enforced by the Department. This Notice of Noncompliance describes (1)the requirement violated, (2)the date and place the Department asserts the requirement was violated, (3) either the specific actions which must be taken in order to return to compliance or direction to submit a written proposal describing how and when you plan to return to compliance, and(4)the deadline for taking such actions or submitting such a proposal. If the required actions are not completed by the deadlines specified below,an administrative penalty - may be assessed for every day after the date of this Notice that the noncompliance occurs or continues. The Department reserves its rights to exercise the full extent of its legal authority in order to obtain full compliance with all applicable requirements, including,but not limited to, criminal prosecution, civil action including court-imposed civil penalties, or administrative action,including administrative penalties imposed by the Department. NAME OF ENTITY(S)IN NONCOMPLIANCE: Millway Marina,Inc.,Facility ID#382174 LOCATIONS)WHERE NONCOMPLIANCE OCCURRED OR WAS OBSERVED: 269 Millway Barnstable,MA 02630 DATE(S)WHEN NONCOMPLIANCE OCCURRED OR WAS OBSERVED: J June 16,2005 2 DESCRIPTION OF NONCOMPLIANCE: The Department's investigation shows that your company violated the following requirements: A. Hazardous Waste: 1. Millway Marina is a Very Small Quantity Generator (VSQG) of waste oil from the maintenance of marina equipment and boat engines. The waste oil is accumulating inside a maintenance building in five (5) five gallon containers that were not properly labeled in violation of 310 CMR 30.253(6)(c), 30.353(6)(g) and 30.682. The regulation states: (3) "Throughout the period of storage, the side of each container of hazardous waste shall be clearly marked and labeled in a manner which clearly identifies, in words, the hazardous waste(s)being stored (e.g., acetone, toluene) and the hazard(s) associated with the hazardous waste (e.g., ignitable, toxic, dangerous when wet). Each container shall also be marked clearly with the words "Hazardous Waste"." 2. The accumulation area for.the containers of waste oil was not designated by tape or line on the floor in violation of 310 CMR 30. 253(6)(c), 30.353(6)(h) and 30.341(5). The regulation states: (5) "All areas where wastes are accumulated for purposes of complying with 310 CMR 30.000 generally shall be clearly marked (e.g., by a clearly visible line or piece of tape on the floor, or by a gate or fence, or by a sign at the boundary of a clearly distinguishable area) so that they are clearly distinguishable at all times from all specific points of generation where wastes are initially accumulated solely for purposes of 310 CMR 30.340(6), and from all areas at the site of generation where wastes are not accumulated". 3. The accumulation area for the containers of waste oil was not posted with a sign in violation of 310 CMR 30.253(6)(c). The regulation states: (c) "All Very Small Quantity Generators of waste oil and/or used oil fuel shall comply with 310 CMR 30.353, including all other regulations referred to therein, except that a Very Small Quantity Generator of waste oil and/or used oil fuel need not comply with the signage requirement of 310 CMR 30.341(4) referenced in 310 CMR 30.353(6)(h). Instead, all areas where waste oil and/or used oil fuel is accumulated or stored, except for satellite accumulation areas, shall have posted at all times a sign with the words "WASTE OIL" in capital letters at least one inch high. Each sign shall meet the guidelines set forth in the National Fire Protection Association's Code No. 704". 4. Millway Marina is also a Very Small Quantity Generator (VSQG) of waste gasoline/water. The company was accumulating one drum of said waste outside in an area that did not meet accumulation area standards in violation of 310 CMR 30. 353(6)(h) and 30.341(4&5). The regulations state: (4) "All areas where wastes are accumulated shall have posted at all times a sign with the words "HAZARDOUS WASTE" in capital letters at least one inch high. Each such sign shall meet the guidelines set forth in the National Fire Protection Association's Code No. 704" and (5) "All areas where wastes are accumulated for purposes of complying with 310 CMR 30.000 generally shall be clearly marked (e.g., by a clearly visible line or piece of tape on the floor, or by a gate or fence, or by a sign at the boundary of a clearly distinguishable area) so that they are clearly distinguishable at all times from all specific points of generation where wastes are initially accumulated solely for purposes of 310 CMR 30.340(6), and from all areas at the site of generation where wastes are not accumulated". 5. The drum of waste gasoline/water referenced in item 4. above was not properly labeled in violation of 310 CMR 30.353(6)(g) and 30.682. The regulation states: "Throughout the period of storage,the side of each container of hazardous waste shall be clearly labeled and marked in a manner which identifies, in words,the hazardous waste(s)being stored in the container(e.g., acetone, toluene) and the hazard(s) associated with the waste(e.g.,ignitable,toxic, dangerous when wet). Each container shall also be marked with the words "Hazardous Waste"." 6. The drum of waste gasoline/water referenced in item 4. above was not located on an impervious surface and was without containment in violation'of 310 CMR 30.353(6)(h) and 30.342(1)(e). The regulation states: (e) 310 CMR 30.687: "Containment; except that a generator shall comply with the following in lieu of 310 CMR 30.687(1) and(2): 1. Underlying all containers shall be a base which is free of cracks and gaps and is sufficiently impervious to contain leaks, spills, and accumulated precipitation until the collected material is detected and removed. 2. All outdoor containers shall be provided with a containment system that has the capacity to contain either 10% of the total possible contained volume of the containers, or 110% of the volume of the largest container, whichever is greater". 7. The drum of waste gasoline/water referenced in item 4. above was not located in an area that is secured from unauthorized entry in violation of 310 CMR 30.353(6)(h) and 30.341(3). The regulation states: (3) "All areas where wastes are accumulated shall be operated with appropriate security measures at all times to prevent the unknowing entry of persons, reduce as much as possible the unauthorized entry of persons, and prevent the entry of livestock into such areas". 8. The company registered their hazardous waste generation activity with the Department on May 22, 2003 and was issued the permanent hazardous waste IN W5083624904. However, the company is using a temporary hazardous waste IN on the hazardous waste manifests in violation of 310 CMR 30.311(1). The regulation states: (1) "A generator who transports, or offers for transportation, hazardous waste for off-site treatment, storage, disposal or use, shall ensure that all required information has been provided in a complete and accurate manner and in compliance with 310 CMR 30.310 before the waste is transported off-site. Failure to complete any applicable portion of the manifest in compliance with 310 CMR 3 0.000 and the directions on the manifest shall be a violation of M.G.L. c. 21 C and of 310 CMR 30.000". ACTIONS)TO BE TAKEN AND THE DEADLINE FOR TAKING SUCH ACTION(S): The following action(s)to be taken have individual deadlines associated with them. Your company shall take the necessary steps to correct the violations within the specified deadlines as noted and shall return to compliance with the requirements described below. The Department's regulations at 310 CMR 5.09 presume receipt of this Notice of Noncompliance,if delivered by regular mail,three business days after its date of issuance. Furthermore,your company shall submit a written response within fifteen (15) days of receipt of this Notice, acknowledging receipt of this Notice, describing the actions already taken, and describing actions intended to be taken in order to achieve and maintain compliance with the Regulations. A. Hazardous Waste 1. Effective immediately, comply with 310 CMR 30.682 with respect to proper labeling of the waste oil containers. 2. Effective immediately,comply with 310 CMR 30.341(5)with respect to designating the waste oil accumulation area. 3. Effective immediately,comply with 310 CMR 30.253(6)(c)with respect to posting the waste oil accumulation area.. 4. Effective immediately, comply with 310 CMR 30.341(4&5)with respect to the hazardous waste accumulation area standards. 5. Effective immediately, comply with 310 CMR 30. 682 with respect to proper labeling of the hazardous waste drum. 6. Within seven days of receipt of this Notice;comply with 310 CMR 30.342(1)(e)with :respect to providing the drum of hazardous waste with an impervious surface and containment. 7. Effective immediately, comply with 310 CMR 30. 341(3)with respect to maintaining a .secure hazardous waste accumulation area. .8. Effective immediately,comply with 310 CMR 30.311(1)with respect to using the company permanent hazardous waste ID#on all hazardous waste manifest shipments. In addition, a company representative indicated that during the fall boat haul out process, Millway Marina washes the bottoms of some boats to remove accumulated marine growth. Enclosed with this Notice,please find section 4.1 of the "Massachusetts Clean Marina Guide"that pertains to this activity. This guide is a publication of the Massachusetts Office of Coastal Zone Management(CZM). For questions relative to the enclosed information and to obtain a copy of the complete guide,please contact CZM at (617) 626-1200 or visit their web site at www.state.ma.us/czm/. Please address your reply to this Notice of Noncompliance to Gregg M.Hunt at this office. Date: 9 � � By; Gregg M.Hunt, Chief BWP Compliance and Enforcement Section EMERG ENCY ACTION PLAN Millway Marina Inc 1 . Emergency escape procedures and routes . The escapes routes are in the front , rear and south side of building . r 2 • Procedures to be followed by employees who may be required to remain in the facility to operate critical plant operations prior to evacuation , In the event of an emergency if there is a fire or chemical spill , evacuate the building and notify the proper authorities and the supervisor (Jack Hill) . In the event of a medical emergency call 911 and stay with the victim till help arrives . w 3 . Procedures to account for all employees after evacuation is completed . All employees must meet at the front gate and physically count the employees and report the count to the supervisor (Jack Hill). ' 4 . Rescue and medical duties for employees who may be required to perform them, _No medical duties are 'not to be performed by employees other then to call for help or comfort the victim, 5 • Procedures for reporting . fire and emergencies . The supervisor in charge will evacuate the building and call 911 , and then meet other employee at the front for a head count . 6 . Lisa DiMichele , can be contacted for further information or explanation of duties under the plan , Number Fee 892 THE COMMONWEALTH OFMASSACHUSETTS' $100.00- , Town. of Barnstable Board of Health This is toCti# . . MillyY at Marina In 253 Milliway, MA 102636 Is=Hetdby.Granted a>Ucense FOR: STORING Oft.HANDLING,III GALLONS.:O.l2 MORE OF.HAZARDOUS MATERIALS: This license is granted in,conformity with the Statutes;apd ordinances-relating there to, and and expires :.J Line>30 2066 unless sooner suspended'or revoked ,,SUSM 0.RASK-,Fi S. WAYNEaM1LLER,M.D.,-CHAIRMAN October 21 2005,.. SUMNEIt KAUFMAN,M.SP.H. r THOMAS;A.MCK EAN,R.S:,CHO- ''Director,of Public Health._ .. Sent By: OFFICE; 5083621732; Sep-8-05 12:25PM; Page 3/3 COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF ENVIRONMENTAL PROTECTION. a DIVISION OF HAZARDOUS MATERIALS .: One Winter Street - ' Boston, Massachusetts 02108 b . Pleeee print or type,.:(forth for use o� a 112-pRatt) pewrleer.l re � AjD e• nlfeet GegO 1 Information in the shaded areas UNIFORM.HAZARDOUS �° • of i i$not required by Federal law. WASTE MANIFEST 3 3.Generator's Name and Mailing AQdrsa > 3Z]. -.36�!•�9� l Er 4..Gerteratp%s Phorta l 1 ivrkrlb�ta a 11i► �5�� 8, us EPA ID Number L1 S.Transporter 1 Company Name C ; Q 1 i O _fie q ti4 L-A US EPA ID Number 7,Transporter 2 Compsi v Name g• p 10. US EPA ID Number N p i I� ICI 4 lil�i�l �' � VIA o 0 i1�LYa 4 5 7 a 1w v N..: 12.Cottlektsn 1 S. 14. W Total Unit 1 0 . . DOT Description f*l1I oGtARoper ShOP'g Nams Hazard Casa,end/0 Nuntberl No. Type. Quantity WtNol. OOD a.last i.1lO�t. 3e 1�2@3a MIX _ G b • n I U G b Fi �. 1E r 1--1 N � m R c• 3 A.::- A . T " O O'1 V 1'1 i - X M. b C 16.SpetaM Htntdlirt9lnetructlene and Addkionel Infame[kln 7[ E 11 uses �Q>•-�tA- 7d a. n 18.OENEAATOR'6 CUM w 1 heapy declare mat the Contents of this Cnnsiprlmant are tudy tad aCorwetety deaCADad atgW W hwav CL proper shipping hems and era rleealllad.Decked,marked,and labeled,and ere In ad respe is in proper COntlititMl for trartapprt by left accOtdlrtg to applicable Internatl0na)and national Optremmant requlahone. rma`141v be.Tn'e'.�JrtY_1C oily wtAd"a One" t� N I am a large Quantity OonerahN.I certify that I M arm we n in storCe to age,Or dlspoueal curce the rently volume ailaD and tlP to me wnl0`101y of arh rninYnt�a tht6,presan rand 1u(,Ut4 r�hroBt tD hasten rre�at end thq!lent ro!t: G dnd that I heva selected the practicable od faith eflort to minimite my w9ata gnteration and aslecl-thv at waste menegement method that is wuitable to me and that I meta;OR,if I sm a small Quantity generator•1 hew made a 0^ Dart tliford. Date Y E PlfiMad/fYPad r►►a lao S,f—Tr Dan p T Ref 1 ACknawled erlteM of Reoelpt of Nk[erlale ........... .. .. ...._ - fd' R .. . . .... .v. ... . Aj G Data 0 18.T napOrtlir 2 Ackn mart of Refew of Materials A+fanfh pay Year 7 signa— Plfnted/lypedName E R 1 a.Dinrepwwy Indication SPIN F A C I this me 04110t ettcept M noted M Item 1 B. L "Own0fat :etion el teoeipt of hezerdous mautlNs by J Dine IY Form Art.vvad.OMH No:zeeP o EPA rm 870D-22(Rau.9-94) Prevtous additions are ohadete FACILITY M A I L S TO GENERATOR COPY>3; THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I m ^�c� C DATA Sent By: OFFICE; 5083621732; Sep-8-05 12:24PM; Page 2/3 • . �,_. 4.S{ ,.,:...:.••�t-: .,.'r' . ,.. I ., it-• . .... . pit �oiot '� ] f1 A Q b 4 5 Q 1[1 a $ -363• Ba><^sttrt��Pe; !�► ash" � Er *�� go xm- M 243, V4 1 12 • J, �a } , r : ......... ............. . ....... . ... ... .. � 1' V.�"iS:E(:f'.�i PI-t;5...P N•. .r1�, � ' f ' r-.a i' �,r�• ".....:.. .'�f'3tt;�r.:.:-; rt':' .ra(':5.,.hlz. ....:;r� J • i ..•. .. (� fir { t::c+n�:nrr:•nri,mat-Nn.' i11"+3 �.�-`... .C'I•�i '?�.�Jf! _...(i�i. ,. 'i�.. ;:'.,:I' ,ii Ll;:•C!.; .J�'J l.:..�.... COPY>5: TRANSPORTERIRETAINS Sent By: OFFICE; 5083621732; Sep-8-05 12:24PM; Page 1 tTo: MV!LWAY MARINA At: 5083624926 Enviro-Safe Corporation Invoice No. 6558 14B Jan Sebastian Way Sandwich,MA 0256 508-888-5478fax 508-888-9093 INVOICE — Customer Name Miltway Marine Date 08/31105 Address PO Box 322 PO# City Barnstable_ State MA ZIP 02630 Rep Heather Atwood ATT Accounts Payable FID# 04-3023355, _ Qt�_ Description I Unit Price TOTAL - - PROJECT LOCATION DATE 269 Millway Aug 23 �Bernstable,..MA I 3.5 Vacuum Truck&OSHA Operator $85.00 ; $297.50 155 disposal of gasoline & water $1.50 / $232.50 i 155 MASS HAZ FEE $0.29 $44.95 SubTotal _$574.95 Payment Details Insurance Fuel Surcharge $23.00 O Cash Q Check Q Visa Mastercard TOTAL $597.95 Name CC# `.Office Use Only Expires Thank you! .l lk COMMONWEALTH OF MASSACHUSETTS . g f EXECUTIVE OFFICE'OF'ENVIRONMENTAL AFFAIRS DEPARTMENT OF'ENVIRONMENTAL PROTECTION SOUTHEAST REGIONAL OFFICE ARGEO PAUL CELLUCCI TRUDY CORE Governor • D Secretary DAVID B.STRUHS Commissioner URGENT LEGAL MATTER: PROMPT ACTION NECESSARY CERTIFIED MAIL• RETURN RECEIPT REQUESTED October 13, 1998 Millway Marina ,. RE BARNSTABLE'-.BWSC 253 Millway Road Millway Marina ; Barnstable, Massachusetts• 0'2601 253' Millway Road RTN# 4-14016 . . NOTICE OF REfSPONSIBILITY", C . 21E, 310 •CMR140 O'000 .. • _ ... :".. - ., ky. 6 .F-..,. ..a C✓ �- �t Vic;-t z*, _• . ATTENTION: Jack- Hill' ;, ..,, On June 26; 1998 'the Department, of Environmental- �rotection (the "Department") received -*a Release Notification Form", ("RNF" )' which indicates that a release.* of oil` and/or ` hazardous '.material has occurred at the location referenced:above.: The Massachusetts ` 'Oil and Hazardous Material , Release Prevention and Response Act, , M.G.-L. c.21E, and the Massachusetts Contingency Plan (the "MCP',' ) ,: , 310 CMR 40. 0000, require the performance of response actions to ,prevent harm to health, safety, - public welfare and the environment which. may result from this release and/or threat of release and govern the conduct of such actions . The purpose of this r 'notice is . to .inform you of., your -legal, responsibilities under State _ law for assessing ,and/or` remediating the release -at this property. , For epurposes 'of this ` - Notice of Responsib lity,,,the .terms,,.and phrases used herein shall have the meaning ascribed,_tb _ such terms`'and' phrases -by- the MCP' unless. the context clearly indicates otherwise. 20 Riverside Drive•Lakeville,Massachusetts 02347• FAX(508)947-6557•Telephone(508)946-2700 This information is available in alternate format by calling our ADA Coordinator at(617)57"872. - t DEP on the World Wide Web: http:/twww.magnet.state.ma.us/dep Printed on Recycled Ged Paper 2 The Department has . reason `to� believe that .the ',release - and/or threat of release which has been reported is or ,may -be 'a 'disposal site as defined by the M-C.P The Department also has reason to believe that you (as used in this letter, "you" refers to :Millway Marina) are a Potentially` Responsible Party (a° , !'PRP")' with liability under M.G.L. c.21E §5 for response action costs, This liability is "strict." , meaning that- it is not based on .fault, but solely on your status as owner, operator,, generator, transporter, disposer or other person specified-° in M.G.L. ' c.21E §5 .-` This ' liability is also "joint, and several" , meaning that , you may be liable for all .response, action.-costs,, incurred at. a disposal site . regardless of the existence of any other 'liable', parties.. The Department encourages parties '; with : liabilities under- M.G.L. c.21E to_ take. prompt` and :appropriate', actions in" response, to releases and threats bf 'release -of oil and/or hazardous materials. By taking prompt action, you; may -significantly - lower, your assessment " and" cleanup. costs and/or. avoid ,'liability °fora costs .. .` 1 incurred by the Department in taking such actions You may also .- avoid the imposition ,of, the amount -of,` . or., reduce certain permit, and/or annual compliance "assurance fees payable under - 310 - CMR_ 4 . 00 . Please , refer to M G.L, ' c.21E for ,a. complete description of, potential liability. For your' convenience, a. summary of liability` under M.G.L. c.21E is attached to this not-ice,: You should be-. aware that you may have claims `'against third' parties for damages, including claims for contribution. or. reimbursement .for the costs .of cleanup. Such claims do not e`xi"stn indefinitely but are. governed ;by laws which_ establish the time, allowed for bringing litigation. ; The Departmentencourages you to, , take any action necessary to protect , any such claims you may have against third _parties . SITE INFORMATION Information on -file . -with, the Department . ' indicates the following contaminant (s) were -detected 'in a, soil sample: collected from the site at a concentration which` exceeded .the :Reportable Concentrations for Soil Category 1 per 310 CMR 40 . 1600 CHEMICAL CONCENTRATION RCS-1 t C9-C12 Aliphatic Hydrocarbons 390 PPM 100 PPM Specific approval is ' required from the Department for the implementation of all Immediate Response Actions ` ("IRA") , and Release Abatement Measures (RAMs) pursuant to 310 CMR 40 . 0420 and 310 CMR 40 . 0443, respectively. Assessment - -activities, the construction of a fence and/or the posting ..of signs are actions _ I that are exempt from this approval requirement ; This site shall not be deemed* to have had 'all the necessary and required response actions taken unless `. and until all substantial Hazards presented by the. release and/or .threat of release have been eliminated and `a level' of .No 'Significant Risk exists or 'has been achieved; `in compliance. with M.G:L. c.:2 E and the MCP. j Unless otherwise provided by the -Department,,.,., , potentially responsible parties. (°PRP' s-:' )._ have one year from .the initial date of notification to the Department of a release or- threat of a _ release,_ . pursuant to 310 CMR:, 40 .,0300, or, from the date. the . Department issues a'' Notice of . Responsibility, whichever occurs.. earlier, to . -file "with the Department .one of ,the following .submittals : '(1) a"completed Tier Classi.f cation; Submi=ttal, " (2) . a Response Action Outcome <-Statement or, if applicable;: 4 - Downgradient Property Status ., The deadline for ::either of -the first. two submittals for. this i-disposal::`site.,i.s June 26-1 1999 required by the MCP, :a`.`completed .Tier �I Permit Application must. also accompany ,a Tier Classification :Submit.tal.. The MCP requires that a fee of $750 . 00 - be 'submitted- to ;the Department when a Response Action Outcome ("RAO") statement if filed, -greater than 120 days from the- date of notification. ; You must employ or engage_ a Licensed Site Professional ( "LSP"). .to manage, supervise7or- actually perform the necessary response actions at, this *, site. . . 'The Department has Thomas Williamson, Jr. of Envirotrac` LTD. listed as the LSP-'of Record. If you have any questions' relative to this, '.notice, please contact Robert Kearns at, the letterhead address or.. at . (508) 946-. 2865 . All future communications ` regarding this" release must reference the following Release Tracking Number: _ 4-14016. very truly yours, Richard F. Packard, Chief , Emergency ,Response / Release Notification Section P/RJK/re -'. . CERTIFIED MAIL Z 598 884 .140 RETURN RECEIPT. REQUESTED 4 4 a ': Attachments : Release Notification Form; BWSC-103 and Instructions Summary of Liability under M.G.L.- c.21E [OPTIONAL - Department' s guide to hiring"a Licensed Site Professional . ] CC : Board of Selectmen Town Hall, 367 Main St ' . Hyannis, MA 02601 . R. Board of Health Town Hall, 367 Main St Hyannis, MA 02601 Fire Dept . .95 High School Road, Hyannis, MA 02601 DEP - SERO �. . . ATTN: Data Entry41 o f . �''!/l."TR-H'f S'a[ [ G.�aSS dr-►..W q,�vtn/..`c.� Se-�+,.F (Nv✓�` / 1Y� dv r»-7 III TOWN OF BARNSTABLE , COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair 2. nters BOARD OF HEALTH satisfactory 3.Auto Body Shops71- ; O unsatisfactory- 4.Manufacturers COMPANY � , (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS Class: ,` 7.Miscellaneous . . Q ANTITIES AND STORAGE (IN= indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums' IN OUT IN OUTI IN OUT #&gallons 77M Test Fuels: Gasoline, aeKA) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) , f � new motor oil (C) 4 t transmission/hydraulic , Synthetic Organics: degreasers Miscellaneous: 7 ` 15_131Wf DISPOSAI✓RECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply Town Sewer ublic O On-site OPrivate 3. Indoor Floor Drains YES VNO O Holding tank: MDC O Catch basin/Dry well O On-site system —1-A 'Af 4. Outdoor Surface drains:YES NO V ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES NO 2. P rson (s) Interviewed Inspector Date t TOWN OF BARNSTABLE O PLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEA TH 3.Auto Body Shops 0 unsatisfactory- 4.Manufacturers COMPANY (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS, Class: 7.Miscellaneous ANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MARJOR Adlfi S k Case lots Drums. , Tanks IN OUT IN OUT IN JOUTI#&gallonslAge Test Fuels: Gasoline,Jet Fuel(A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil(C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: r e,4 Of LN DISPOSAURECLAMATION REMARKS: 1. S it Sewage 2. W ter Supply Town Sewer ublic Q On-site Private 3. Indoor Floor Drains YES NO O Holding tank:MDC Q Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: Q Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product' YES NO 1. 2. er (s) Interviewed nspect Date I P 33.9 578. 695 US Pos�al Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse Sent t Stre urn/ ✓,��N/(// rz c ' Certified Fee Special Delivery Fee Restricted Delivery Fee to 0 Return Receipt Showing to Whom&Date Delivered Q Return Receipt Showing to Whom, Q Date,&Addressee's Address 0 TOTAL Postage&Fees $ 2 %J 0 Postmark or Date Stick postage stamps to article to cover First-Class postage,certlf led mall fee,and charges for any selected optional services(See front). 1. It you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service m window or hand it to your rural carrier(no extra charge). m 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the return address of the article,date,detach,and retain the receipt,and mail the article. u� 3. If you want a return receipt,write the certified mail number and your name and address CO on a return receipt card,Form 3811,and attach it to the front of the article by means of the _ gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. 4. If you want delivery restricted to the addressee, or to an authorized agent of the C addressee,endorse RESTRICTED DELIVERY on the front of the article. M 5. Enter fees for the services requested in the appropriate spaces on the front of thi ) receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. li 6. Save this receipt and present it if you make an inquiry. 4 a SENDER: I also wish to receive the ,v_ ■Complete items 1 and/or 2 for additional services. w ■Complete items 3,4a,and 4b. following services(for an d ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. f` ■Attach this forth to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address -- 0 permit. d ■Write'Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery N ■The Return Receipt will show to whom the article was delivered and the date fl C delivered. Consult postmaster for fee. 0 3.Article Addressed to: 4a.Article Number m P3 3 q S-73 6 C/S 4b.Service Type c0 ❑ Registered ertified W ❑ Express Mail ❑ Insured LU �,p N W / /� U/ ❑ Return Receipt for Merchandise ❑ COD c z �� / 1 7.Date f D ivg�y 11M Oz E3v � o n 5. ceiv d By (P Ef.Addr see's Add r s if requested W and fee is paid) _ 2 t— g 6.Signat (Addres ee or Agent) 0 `X - w PS Form 3811, December 1994 Domestic Return Receipt t p UNITED STATES POSTAL SERVICE First-Class MailPostage&Fees Paid LISPS Permit No.G-10 Print your name, address, and ZIP Code in this box I I I I I Public Health Division i Town of Barnstable P 0.Box 534 Hyannis. Massachusetts 0260' i I ill Ii,ill 11 fill ill fill 111illel„I ill Itil11111111111111111 ill ill oF�� Town of Barnstable Department of Health, Safety, and Environmental Services • sAMSeABL& 9� '� 0� Public Health Division �FD1A°�A P.O. Box 534, Hyannis MA 02601 Office: 508-862-4644 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health December 17, 1999 Mr.Jack Hill Mill Way Marina 269 Mill Way Road Barnstable, MA 02630 r ORDER TO COMPLY WITH THE BOARD OF HEALTH FLOOR DRAIN REGULATION,PART H,SECTION 1.00 You are hereby notified on September 28, 1999,the Town of Barnstable Board of Health adopted the attached Floor Drain Regulation. All owners/operators of facilities with floor drains connected into a leaching structure have three options: 1. Connect the floor drain to a holding tank. The tank will need DEP approval. The DEP approves two types of holding tanks for this waste: new installations and conversions of existing structures (e.g. oil/water separators). These tanks are for non-hazardous, industrial wastewater. If solvents, antifreeze, oil and other fluids are washed down the drain,the waste is likely to be hazardous. 2. Connect the floor drain to a municipal sewer system, if available. An oil/water separator is required to be installed under this option. This requires a permit from DEP and the Town of Barnstable Department of Public Works along with the sewer connection application. The amount of discharge shall not exceed ten parts per million(10 PPM). 3. Seal the floor drain. Contact your local plumbing inspector for the appropriate filing form. If choosing this option, all previous discharges to the drain must be eliminated at their source. For example, cars should no longer be washed and floors should no longer be hosed down. Therefore, you are directed to comply with the Board of Health Floor Drain Regulations by informing this department in writing of what your intentions are to comply with the regulation within ten (10) days of receipt of this notice and by completing the work within ninety (90) days. You may request a hearing if written petition requesting same is received within ten(10)days I� i your receipt of this order letter. Failure to comply with an order of the Board of Health may result in a fee of not less than$200, nor more than$1,000.00. Each day of failure to comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH _ Thomas A. McKean Director of Public Health Enc. Board of Health Floor Drain Regulation cc: Ed Jenkins, Town of Barnstable Plumbing Inspector or i your receipt of this order letter. Failure to comply with an order of the Board of Health may result in a fee of not less than$200, nor more than$1,000.00. Each day of failure to comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean Director of Public Health Enc. Board of Health Floor Drain Regulation cc: Ed Jenkins, Town of Barnstable Plumbing Inspector IZi0 -M1 Town of Barnstable srnB Department of Health, Safety, and Environmental Services BAM 9� ' �� Public Health Division �FD1A°�A P.O. Box 534, Hyannis MA 02601 Office: 508-862-4644 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health December 17, 1999 Mr.Jack Hill Mill Way Marina 269 Mill Way Road Barnstable, MA 02630 . ORDER TO COMPLY WITH THE BOARD OF HEALTH FLOOR DRAIN REGULATION,PART H,SECTION 1.00 You are hereby notified on September 28, 1999,the Town of Barnstable Board of Health adopted the attached Floor Drain Regulation. All owners/operators of facilities;with floor drains connected into a leaching structure have three options: 1. Connect the floor drain to a holding tank. The tank will need DEP approval. The DEP approves two types of holding tanks for this waste: new installations and conversions of existing structures (e.g. oil/water separators). These tanks are for non-hazardous, industrial wastewater. If solvents, antifreeze, oil and other fluids are washed down the drain,the waste is likely to be hazardous. 2. Connect the floor drain to a municipal sewer system, if available. An oil/water separator is required to be installed under this option. This requires a permit from DEP and the Town of Barnstable Department of Public Works along with the sewer connection application. The amount of discharge shall not exceed ten parts per million(10 PPM). 3. Seal the floor drain. Contact your local plumbing inspector for the appropriate filing form. If choosing this option, all previous discharges to the drain must be eliminated at their source. For example, cars should no longer be washed and floors should no longer be hosed down. Therefore, you are directed to comply with the Board of Health Floor,Drain Regulations by informing this department in writing of what your intentions are to comply with the regulation within ten (10) days of receipt of this notice and by completing the work within ninety (90) days. You may request a hearing if written petition requesting same is received within ten(10)days r TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION MAP NO. 4)0 PARCEL NO. CP ADDRESS OF TANK: �fi * ' ''� - � ' V I LLAGE: � A i t t S T A T-,L ` NumbWr £7trsMRt MAILING ADDRESS ( IF DIFFERENT FROM ABOVE) : T 4 Y OWNER NAME: E R(E �! l� - 7 PHONE: 7 - t_ n INSTALLATION DATE: BY: I"!STALLER ADDRESS: CERT.NO. *TANK LOCATION: EoCr C>i (� C} 12 00 of4, L. C....) VA"t kD . (0Q60RIDQ TANK LOCATION WITH A6OPKCT TO =UILDINW) CAPACITY `/L' TYPE OF TANK C AGE YRS. FUEL/CHEMICAL TESTING CERTIFICATION ["] PASS [ ] FAIL DATE I LEAK DETECTION [ ] CHECK IF N/A TYPE/BRAND ZONE OF CONTRIBUTION [ ] YES NO DATE TO BE REMOVED FIRE DEPT. PERMIT ISSUED [ -1" YES [ ] NO DATE ` is o CONSERVATION [ CHECK IF N/A DATE BOARD OF HEALTH TAG NO. [ / ray ] DATE Itl �' /'y ' ;P4' PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) m ^AC C DATA TOWN OF BARNSTABLE - UNDERGRUUND FUEL AND CHEMICAL STORAGE REGISTRATION MAP NO. PARCEL NO. ADDRESS OF TANK: VILLAGE: Nv mbar Ylr0.40t MAILING ADDRESS ( IF DIFFERENT FROM ABOVE ) : OWNER NAME: PHONE: INSTALLATION DATE: BY: INSTALLER ADDRESS: -CERT.i4O. *TANK LOCATION: (owso4IDC TANK LOCATION WITH R¢OPQCT TO nuxL-DING) CAPACITY TYPE OF TANK AGE YRS. FUEL/CHEMICAL TESTING CERTIFICATION [ ] PASS [ ] FAIL DATE LEAK DETECTION C I CHECK IF N/A TYPE/BRAND ZONE OF CONTRIBUTION C ] YES C ] NO DATE TO BE REMOVED FIRE DEPT. PERMIT ISSUED C ] YES [ ] NO DATE CONSERVATION C ] CHECK IF N/A DATE BOARD OF HEALTH TAG NO. C ] DATE * PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD r 1� �� J M� 1 /! i +P 1 ' —a�. � ' T 4 (C � � ..( ++ 1' 1 Mi/� VYa/ ��-- � �� t`� oFte�To TOWN OF BARNSTABLE �1 OFFICE OF nARa9T. BOARD OF HEALTH, 2639. \�b 367 MAIN STREET • A�0 MAY k' HYANNIS, MASS. 02601 1989 -�>b eA, Dear Enclosed is brass valve tag # Please attach to . the fill pipe of your underground tank. You must do the following as Indicate d: ---- Remove your tank. I have enclosed information for you regarding tank removal . vvHave your tank tested starting NO_____ . You must test during the 10th, 13th, 15th, 17th and 19th e r and annually thereafter. Removal in the year I have enclosed information regarding tank testing . ** In order to have your tank tested you must first contact an engineering company (see attached) to have a monitoring - -well installed ...Once the monitoring well has been Installed you can then call 362•-2511 , Ext.334 and ask for Charlotte Stiefel or George Heufelder at the Barnstable County Health Department, to have your tank tested via the Soil Vapor Analysis Test. Currently, the test is done free of charge under the auspices of an EPA grant. Due to the unknown age of your tank we must presume it is twenty (20) years of age. You must have it tested every year and remove it by the year 1993 . To have it tested please follow the procedure as indicated above from the ** (asterisk) on. If you have any questions please feel free to call me at 775- 1120, Extension 183 . Thank you, Donna Miorandi Health Inspector