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Home My WebLink About0030 PERSEVERANCE WAY - HAZMAT in �K js�w Number Fee 162 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Jeff Bacon Auto Service Center _ ---------------------------•--- . 30 Pre everaWay Unit#1, Hyannis, MA --------------------•---------------......-•-------------------.......----•----------...-•-------------...-------------•-•--------------------......-------------------- Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. ------------------------------------•---•----------------------.......---------------...-------------•-•---•----------•---------------------••.......--------------- Restrictions: ------•-•-•------------------------------------------•---------------------.....---------......----------------...------------.....-•----------------------......... This license is granted in conformity with the Statutes and ordinances relating there to, and expires 06/30/2021 unless sooner suspended or revoked. --------------------------------------- JOHN NORMAN DONALD A.GUADAGNOLI,M.D. 07/01/2020 PAUL J.CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health I a �- Town of Barnstable yyy Inspectional Services BARNSTABLE QF P 4.TABLE-CEAM1WLU-00N9-FYAAK15 Public Health Division uiS01tSM'1i3.63 fi3990. LE iF5 BPAN$46 -2034 &AmerMAS& = Thomas McKean, Director Dg . 200 Main Street' Hyannis,MA 02601 CFO NIA+' Office: 508-862-4644 Fax: 508-790-6304 T: :T' APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT .111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 �/v'sr G *A late charge of$10.00 will be assessed if payment is not received by July 1st. -tt (rP Lt 1. ASSESSOR'S MAP AND PARCEL NO. 2f- `- Od 7' l�0-,4 2. IS THIS A PERMIT RENEWAL? it YES_NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: Z Z. A c-0 r7 5. NAME OF ESTABLISHMENT: Y&—Xp 6. ADDRESS OF ESTABLISHMENT: 3® /��•SYC�'ig�CE /�� 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: 10. SOLEOWNER: V YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: • NAME: TELEPHONE#: • COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICAN DATE I Q\Application Forms\Haz Mat Appli Draft Jan2019.docx t Number Fee 162 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Jeff Bacon Auto Service Center 30 Preseverance Way Unit#1, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. ----------------------------------- -------------..--------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2020 unless sooner suspended or revoked. PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI, M.D. _ 07/01/2019 JUNICHI SAWAYANAGI THOMAS A. MCKEAN, R.S.,CHO Director of Public Health Town of Barnstable Inspectional Services Bf MSTABLE pFt�rbk, Ennwsrnn:e•cesr+s:i•cmrtr•,nxve Public Health Division '°�"` BARNSTABLE, Thomas McKean, DirectorMASK �M i°lec 059. 0. 200 Main Street, Hyannis,MA 02601 co Office: 508-862-4644 Fax: 508-790-6304 -ti APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE 1 61 � HAZARDOUS MATERIALS ' IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 .5(vsr q. *A late charize of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. ZY,5—ad ZOD 2. IS THIS A PERMIT RENEWAL? V YES NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS, INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF • GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: �� / �ZeOAI 5. NAME OF ESTABLISHMENT: ,,/ � C'DN° r¢LC7_n 6. ADDRESS OF ESTABLISHMENT: 0 �� '��f/1 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: .AJ/rI 10. SOLEOWNER: /YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE Q:\Application Forms\Haz Mat App Revised 09-10-18.docx Number Fee 162 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Jeff Bacon Auto Service Center 30 Preseverance Way Unit#1, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. --------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2019 unless sooner suspended or revoked. ---------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2018 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health �r wwof BrnsxableVoeg8atory Services �t Richard V. Scah,Director y " "o Public Health Division BABSTABLE f OM13e L- S•8 MS is AM • BAuvsrABLE. Thomas McKean,Director 1639-20. — 1 61 200 Main Street Hyannis,MA 02601 �77g Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS DULY lst—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 - ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 % V.S . *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. `�� 7z,9M 2. IS THIS A PERMIT RENEWAL? I/ YES NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: 5. NAME OF ESTABLISHMENT: J2i�i� 6. ADDRESS OF ESTABLISHMENT: 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 'T 7/ i /6 9. EMAIL ADDRESS: 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT; �ra,ed DATE S Q: Application FormsUTAZMAT APP 2017 REVIS ocx Number Fee 162 THE COMMONWEALTH OF MASSACHUSETTS $15o.00 Town of Barnstable Board of Health This is to Certify that Jeff Bacon Auto Service Center 30 Preseverance Way Unit#1, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials -------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2018 unless sooner suspended or revoked. --------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2017 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health i`� Tow1� of B nstable / ROewp%atorylervices �T Richard V. Scali,Director Public Health Division BABSTABLE * r a"n:s ••++rerpue•conirt•muri< BARNBTABLE. ` Thomas McKean)Director MASS. 1639-2014 200 Main Street,Hyannis,MA 02601 �%Ig F- Office: 508-862-4644 oCv/ '0?D� Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS � a IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS, ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 30th). APPLICATION FEES . CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ® V S *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. a?9S e)6 ZoeD A 2. IS THIS A PERMIT RENEWAL? '!/ YES_NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF • GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: �x�/ y 5. NAME OF ESTABLISHMENT: 06F /9�/� /}Lem �S'c 1J1C� 6. ADDRESS OF ESTABLISHMENT: go 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: SPt— �771- ��-16-� 9. EMAIL ADDRESS: 10. SOLEOWNER: ✓ YES_NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE -20 - /7 Q:\Application FormsViAZMAT APP 2017 REVVtDr.609K \\ Number Fee 162 THE COMMONWEALTH OF MASSACHUSETTS 1o0.00 Town of Barnstable Board of Health This is to Certify that Jeff Bacon Auto Service Center 30 Preseverance Way Unit#1, Hyannis, MA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. --------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------ This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2016 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/2015 JUNICHI SAWAYANAGI THOMAS A. MCKEAN, R.S.,CHO Director of Public Health r� '4 Town of Barnstable Regulatory Services Richard V. Scab,Director MAN Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. Kdb 70 A DATE 410 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT �— ,o�e-l134 2 0 A-' NAME OF ESTABLISHMENT �� / '�A/ �� S&e ili • ADDRESS OF ESTABLISHMENT .30-p6PZ-5'CV&?41j CC , TELEPHONE NUMBER' 7 7/` SOLE OWNER:'✓ YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS r'O(I��spbi l.�,�ieeQAS7`di+S fr 1(S HOME TELEPHONE# Mwche\Temporary Internet Files\OLKD30AZAPP Rev2015.D0C Alb Y � • Sp1Il Contingency!lain I. Evacuate the immediate area,if necessarY• 2. Shut off valves,Pumps,and electrical equipment as appropriate. 3. Remove or restrict any potential ignition source frvn the area if the mateds its flammable. 4. Cover or d&c all emstmg swnps,and dam drains if not already covered. 5. Contain the spill by use of absotbout socks!wms,dm aeply ate absorbent material or additional absorbent sockdboo -,aCm'�� firms if nay,to rill inthese 6. Remove all absorbed material or embinedl ligaidd and package in DOT app�v� container. Used absorbent materials should be packaged se:paratnly fg'�►liquids. 7. Label all couWnesrs with the type of waste. • $. Notify the appropriate agencies. M1 9. Once the spill has beencntrollod and materials coUected andffi e �ifl spect the area for clianliness and decontaminate all equipment 10. Replace all used materials and ensure all response equipment is is good working edition. 11. !!male and dispose of collertod abets and liquid in accordance with Federal and State envir6nmental regulations. 12. For any spill grcabx titan the reportable quantity or 25 lons, wt:ic haver is fees,tlu's plan sb be implinuntled and proper records of motion shall be kept on-situ 13. Spilt clean up equipment is located is the lower level of the building. 14. The following is a list of the spill equipment an site. Spill response teat capable of containing a ssppi�ll of at least 25 gallon& This inc ludes cludes absorbent spilt pads,socks,andlor booms. First aid kit Eye wash Fire extinguishers Town of Barnstable Office. 508-862-4644 Fax: 508-790-6304 Regulatory Services Department "* shxNsrnaL Public Health Division Mom, Thomas A. McKean, CHO Fo 30. n`� 200 Main Street, Hyannis, MA 02601 Payment Receipt ;Hazardous Materials Payment received: $100.00 (Check) on 6/24/2015 Permit number: 162 1 'Check number: 5002 Check amount: $100.00 Name on check: Jeff Bacon Auto Service i IBusiness: Jeff Bacon Auto Service Center Owner: JEFFREY L& M CONNIE Address: 30 PERSEVERANCE WAY, Barnstable Number Fee 162 THE COMMONWEALTH OF MASSACHUSETTS 100.00 Town of Barnstable Board of Health This is to Certify that Jeff Bacon Auto Service Center 30 Preseverance Way Unit#J, Hyannis, MA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------------------------------------------------------------------------------------------------------------------ ----------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2015 unless sooner suspended or revoked. --------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2014 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable °FINE row Regulatory Services ti Richard V. Scali, Director Y ; Y MASS* g. Public Health Division i6;q qj �0 °Tfa 39 Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. oZ 9-s 00*700A DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT �F �, Z3,4,e1A1 NAME OF ESTABLISHMENT '. IL ,� C9p�'1 66"1 �2 r ADDRESS OF ESTABLISHMENT 36 F_,lJ ! Qdtet-cO TELEPHONE NUMBER SOLE OWNER: V YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK SICNA RE OF APPLICANT ,A�► RESTRICTIONS: HOME ADDRESS Ohs bW,,cooAS�/�S HOME TELEPHONE# V Q:1Application Forms\HAZAPFDOC ik - +L : Spill Contingency Plan 1. Evacuate the imme&ate area,if n y I Shut off vanlves,pumps, and electrical equipment as appropriate. 3. Remove or restrict any potential ignition source from the am if the material'�hs fiWn sable. 4. Cover or dike all existing sumps,and storm drains if not already covered. 5. Contain the spill by use of absorbent sockstbQoahs,t>m�appau absorbent material or additional absorbent socks/booms- tact a1n TeSpOM firms if necessary,to amid m these activities. kage in DOT b. Remove all �r�t materials dould be packaenvdcri;d or contained liquid and ad se Y fsonha liquids. vOtOved contemner. Used 7. Label all containers with the type of waste, $. Notify the appropriate agencies 9. Once the spill has been controlled and materials collected and secured, inspect the area for cleanliness and decontaminate all equipment used in the clears up. 10. Replace all used materials and ensure all use equipment is in good working condition. 11. Manage and dispose of collected absorbents and hgifid in accordance with Federal and State envir6 nmental regulations. 12. For any spill t than the , ble quantity or 25 gallons, whichever is f�,this plan sI?hmplimentrd and proper racomds of action shall be kept on-site 13. Spill clean up equipment is located in the lower level of the building. 14. The following is a list of the spill equipment on situ: Spill response let capable of containing a ssppi�ll of at least 25 gallons. This inc ludes cludes absorbent spill pads,socks,andlor booms. First aid kit Eye wash Fite extinguishers Number Fee 162 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that Jeff Bacon Auto Service Center 30 Preseverance Way Unit#1, Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS -------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 6/30/2012 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2011 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health 1P 7 i Number Fee 162 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health r. This is to Certify that Jeff Bacon Auto Service Center 30 Preseverance Way Unit#1, Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING:111 GALLONS OR MORE OF HAZARDOUS MATERIALS. This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2011 unless sooner suspended or revoked. WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2010 JUNICHI SAWAYANAGI MCKEAN, R.S„CHO Director of Public Health --�--- ----- -- . =, Town of Barnstable EVE r Regulatory Services ti NAP ° Thomas F. Geiler, Director BA MASS. aASS. k 9 hf Public Health Division pTEDM A Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO.24?,5'D0 7M4 DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS r FULL NAME OF APPLICANT `/E�i2E=Y 3y&* NAME OF ESTABLISHMENT JE� ?A40N ,l&,k SC:Xr le' c ADDRESS OF ESTABLISHMENT SO 16CS&-1/oe-o cc- TELEPHONE NUMBER SOLE OWNER: li YES NO IF APPLICANT IS A PARTNERSHIP, FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK • S/I�GNATU/1RE OF APPLICANT / RESTRICTIONS: HOME ADDRESS HOME TELEPHONE # Haz.doc-%%P/y r:Y guS Spol'Contingency I. Evacuate the immediate area,if ne Y. 2. Shut off valves,pum;%and electrical equipment as appropriate. 3. Remove or restrict any potential ignition source fivm the area if the matnsiaMis flamnmbic 4. Cover or d&c all existing sumps,and st nn drains if not already covered. S. Contain die spill by use of absorbent socksA*onL%dm apply appropriate absorbent material or additional absorbent sockdbooms. Contact RAU respOnse firms if necessary,to assist in these activities. 6. Rmove all absorbed material or contained ligaid and package in Da,r amwed. container. Used absorbent materials sbould be wed separately from squids. 7. Label all containers with the type of waste. $. Notify the appropriate agencies. 9. Once the spill has been-controlled and materials collected and secured,inspect the area for cleanliness and decontaminate all equipment used in the clean up. 14.. Replace all used materials and ensure all use Kuipment is in good woddng coiAtimi.. 11. Manage and dispose of collected absorbents and liquid:in accordance with Federal I nd State environmental regalations. 12. For nay spill fW than the r,epa ble quantity or 25 gallons, whidicvtr is fees,this plan shall beeiimple rnnenW and proper aexx�ds of action shall be kept on-site 13. Spill clean up equipment is located in the lower level of the building. 14. The following is a list of the spill equipment on site. Spill response kit capable of containing a sill of at least 25 gallons. This let includes absorbent spill pads,socks,andlor booms. First aid kit Eye wash • Fire extinguishers Number Fee 162 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Jeff Bacon Auto Service Center 30 Preseverance Way Unit#1, Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------------------------------------- ------------------------------------------ -------------------------- -------------------------------------------------------- ------------------------- -- -------------------------------------------- ---------------- ----------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2010 unless sooner suspended or revoked. ------------- ----- ------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2009 JUNICHI SAWAYANAGI THOMAS A. MCKEAN,R.S.,CHO Director of Public Health i o Town ®f Barnstable p Barnstable �o4z> ro Regulatory Services Department kxftd ,� T ,. A1Q-Ilm�icaG�y A� Public Health Division ] • 10� 200 Main Street, Hyannis MA 02601 2007 m Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO Application Fee: $100.00 ASSESSORS MAP.AND PARCEL NO. o�?5;-00 7t,00A DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT t NAME OF ESTABLISHMENT t�� F / DIU ADDRESS OF ESTABLISHMENT e3V' ��/�S��/�i7C 'A,�, /7`C,/Q ,•I /S'' • TELEPHONE NUMBER /— 96 IS SOLE OWNER: V YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRE 'S OF 4I6L PARTNERS: c_ m IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. _ t1s STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK SI NA RE OF APPLICANT ff • RESTRICTIONS: HOME ADDRESS 40 HOME TELEPHONE # CcTF Q:\Hazmat\Haz Mat Application2008.DOC Spin contingency Plan I. Evacuate the immediate area,if necessary. 2. Shut off,dl'vM pumps,and electrical equipment as appropriate. 3. Remove or restrict any potential ignition source from the area if the matnrialIs flammable. 4_ Cover or dike all existing sumps,and storm drains if not already c ovemd. 5. Contain dw spill by use of absorbent soeksAvom,Ifien.apply�Pr�nate absorbent material or additional absorbent sods- Contact spillTcRMM firms if necessary,to assist in.thew activities 6. Remove all absorbed material or contained liquid and package in DOT approved container. Used absorbent materials s]iculd be packaged separately fiomi liquids. 7. Label all containers with&C type of waste S. Natify the appropriate agencies. 9. Once the spill has beeti controlled and materials collected and secured, inspect the area for cleanliness and decontaminate all equipment used in the clean up. 10. Replace all used materials and ensure all response equipment is in good working condition. 11. Manage and dispose of colleted absorbents.and liquid in accordance with Federal and State environmental regulations. 12. For ill" than the reportable quantity or 25 gallons,any sp whichever is=tahi plan snail be a implemented and proper recordS of action shall be kept on-site 13. Spill clean UP equipment is located in the lower level of the building. 14. The following is a list of the spill equipment an site: Spill response kit capable of containing a ssppi�ll of at lent 25 gallons. This Iat includes absorbent spill pads,socks,:Tor booms. First aid kit Eye wash • Fire extinguishers . t Number Fee 162 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Jeff Bacon Auto Service Center 30 Preseverance Way Unit#1, Hyannis,MA 02601 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 ! i and expires June 30, 2009 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/08 JUNICHI SAWAYANAGI THOMAS A. MCKEAN,R.S.,CHO Director of Public Health - Town of Barnstable Barnstable �� Towti Regulatory Services Department ;eficaCft ; • BARNSI'ABLE, Public Health Division I r� MfiXE a �0� 200 Main Street, Hyannis MA 02601 ,,20017-. e Office: 508-862-4644 Thomag=Geiler,�Director FAX: 508-790-6304 ThomaN McKean,CHO to Q� T* �7 Application Fee: $100.00 c-n r— ASSESSORS MAP AND PARCEL NO. X f 5'eO 700,4 DATE - - 0 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT ��G2� Z � o NAME OF ESTABLISHMENT 134o&7 ADDRESS OF ESTABLISHMENT e30 46e-56Vn0: Qy 4?-,e �6I1i1GLc:4 TELEPHONE NUMBER S1 1- 7 7I- SOLE OWNER:I Y S NO C IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF AIs 4 PARTNERS: c `$ CD Cn > 0 N r-- IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. co M STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK oA SIGNAtlmt, OF APPLICANT RESTRICTIONS: HOME ADDRESS 60 HOME TELEPHONE# Q:\Hazmat\Haz Mat Application2008.DOC Spill Cgntingii14 plan I. Evacuate the ixnme diate area,if necessary. 2. Shut off valves,pumps, and electrical equipment as appropriate. 3. Remove or restrict any potential ignition source from the area if the material-is flammable. 4. Cover or dike all existing sumps,and storm drains if not already covered. S. Contain the spill by use of absorbent socks/booms,then apply appropriate absorbent material or additional absorbent socks/booms. Contact spill response firms if necessary,to assist in these activities. 6. Remove all absorbent material or contained liquid and package in DOT apwved container. Used absorbent materials should be packaged separately f8orr liquids. 7. Label all containers with the type of waste S. Notify the appropriate agencies c e ' 1 as been controlled and materials collected and secured, inspect the 9. ®n a th sprl h area for cleanliness and&contaxninate all equipment i ied'iu the clean up. 18.. Replace all used materials and ensure all response equipment is in good working canidition. 11. Manage and dispose of collected absorbents and liquid in accordance with Federal and State environmental regulations. 12. Porgy spill g tet than the .reportable quantity or.25 gallons, whiches-er is Tess,this plan shall be implemented and proper records-of.action shall be kept on-site 13. Spill clean up equipment is located in the lower level of the building. 14. The following is a list of the spill equipment an site: Spill response lit capable of containing aspIll of at least 25 gallons. This kit includes absorbent spill pads, socks,andlor booms. First aid kit Eye wash Fite ektingtishers J k Number Fee 162 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that Jeff Bacon Auto Service Center 30 Preseverance Way Unit V, MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2007 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. June 27, 2006 PAUL J. CANNIFF,D.M.D. .' THOMAS'A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable =1�� THE Regulatory Services (k�Z� CF 1p� c„ Thomas F. Geiler,Director MASS. ' Public Health Division 039.ATEo�.ip Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 /U2 ASSESSORS MAP AND PARCEL NO. ,x'9S-2V)74)dA DATE /y -Zl`® APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT r— NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT TELEPHONE NUMBE SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL s PARTNERS: ' v� ra IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK M IGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS i �d HOME TELEPHONE# Q:\Application FonnMAZAPP.DOC MAIL-IN REQUESTS Please mail the completed application form to the address below. Also include a copy of your contingency plan (to handle hazardous waste spills, etc). In addition, please include the required fee of$100. Make check payable to: Town of Barnstable. Allow five to seven (7) working days for in-house processing. Our mailing address is: Town of Barnstable Public Health Division 200 Main Street Hyannis,MA 02601 FOR FAXED REQUESTS Our fax number is (508) 790-6304. Please fax a completed application form. Also, please fax us a copy of your contingency plan (to handle hazardous waste spills, etc). In addition, please mail the required fee amount of$100.00.,Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. Allow up to four days for in-house processing. For further assistance on any item above, call (508) 862-4644 Back to Main Public Health Division Page Q:\Application Forms\HAZAPP.DOC Ada ate: g/ 10/v 5 TOWN OF BARNSTABLE 0; ;�a TOXIC AND H�(A[Z�Ai�R, DOU Au - .M�ATERIALS ON-SITE INVENTORY NAME OF BUSINESS: Jeff bcm ,�D Service BUSINESS LOCATION: alftlAJILA INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: 5_1 ff �� CONTACT PERSON EMERGENCY CONTACT TEL�PHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: ftirU Q W47f_,Ka _ty_� INFORMATION/RECOMMENDATION Fire District: P Waste Transportation: ( Last shipment of hazardous waster Name of Hauler• W Destination: Waste Product: U&i Licensed? No NOTE: Under the provisions of Ch. 11 , 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. UST 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 ga oline or coolant systems) Misc. Corrosive " NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides 3 JA&NEW 6Uh USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Battey Ties Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels Paint &varnish removers, deglossers (including 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 Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS e DBA: Jeff Bacon Auto Service Fax: ...... Corp Name: Mailing Address y Location: '30 Perserverance Way,Hyannis Street: 30 Perseverance Way _...._. _ ......._ _ __.......... ...._...... mappar: City: Hyannis Contact: Jeff and Connie Bacon State: Ma Telephone: 508-771-9515 Zip: 02601' Emergency: Person Interviewed: _...._............................ Business Contact Letter Date: 7/20/2005 Category: ':Vehicle Maintenance Inventory Site Visit Date: 8/10/2005 Type: ;Auto Repair Follow Up/Inspection Date: ❑ public water ❑ indoor floor drains ❑ outdoor surface drains W license required ❑ private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc 0 currently licensed ❑ town sewage d❑ indoor catch basin/drywell ❑ outdoor catch basin/drywell expir ---- ❑�I on-site sewage ❑ indoor on-site syste ❑ outdoor onsite system date: 6/30/2005 5/31/2002-Oil waste burner.Parts cleaner serviced by Cyclesolve, compliance: Cranston RI. Sand used for small spills. Disposal rags used. Oil filter Satisfactory cutter-used for filters. Tires recycled with Town Fair.Anti Freeze-N.E Environmental,Smithfield,RI EPA#MV5087719515 8/21/2002- W.O.heater w/250 tank. Recycled antifreaze to be used. Cycle Solv parts washer. Interstate does batteries.Coyne stil does rags service. Tag bucket w/cover present,4 cars to be moved. Town fair tire,R.I.trades tires MV 5087719515. 613104 Has spill contingency plan. Hazmat inventory done onsite. Batteries recycled through Interstate. Manifests and MSDS onsite. Town Fare Tire,RI still takes tires. Shop is a mess but inspected annually by fire dept. Cleans it once a year. Knowledgeable about spill clean up and recycling of hazmat. ORDERS: bag and dispose of disposable shop rags daily. Cardboard on floor can be a fire hazard if continually used as absorbant/floor cover. Renew annual HazMat license. 8/10/2005 alp- Burns waste oil for heat{only 250 used for heating,MSDS on site,have flammables cabines,don't use the parts washer machine,waste oil is labeled,fire extinguishers ok. a 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 aescnptfot ,. .. 'A `` d .; ` g ,.._ s_. Unitof?..,2aSure antifreeze(for gasoline or coolant systems) 82 gallons ._._ .......__.__...._. .. ....___ .____.....____. _ Windshield Wash 65 gallons waste antifreeze 55 gallons Misc.Flammable 4 gallons Batteries 38 gallons �� motor oil 246 gallons automatic transmission fluid 5 gallons i� gear oil 25 gallons _ ...._._...__.....____...---_._....._._..-_._...__..._ _._.__...____. �.. __...__..... _ .__.. ... waste oil 550 gallons gasoline 13 gallons Waste solvent 15 gallons _ .......... Waste Transporter: NE Environmental Services Fire District: Barnstable __... ........ Last HW Shipment Date: 6/23/2005 Waste Hauler Licensed: Yes Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS , DBA: Bacon,Jeff-Auto Service Fax: Corp Name: Mailing Address „ Location: 30 Perseverance Dr.-BW"15tVM-&, Street: 30 Perseverance Way mappar. v�V V1 `xL -r• City: Hyannis Contact: Jeff Bacon State: Ma Telephone: 771-9515 Zip: 02601 Emergency: 420-1007 Person Interviewed: Business Contact Letter Date: •LOA Category: VehicleMaintenance Inventory Site Visit Date: ®�„' Type: Follow Up/Inspection Date: 'f ❑d public water ❑ indoor floor drains 0 outdoor surface drains license required ❑ private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc ❑d currently licensed ❑ town sewage ❑ indoor catch basin/drywell outdoor catch basin/drywell expir91 - -- - on-site sewage ❑ date: RECYCLES on-site syste ❑ outdoor onsite system ------- RECYCLES BATTERIES WITH INTERSTATE. DRAINS(PUNCTURES) compliance: OIL FILTERS. -TRASH. 1 HYDRAULIC/ELECTRIC LIFT. METAL CAN Satisfactory FOR RAGS. DZM ALSO 4 CASES BRAK CLEANER,4 CASES CARB CLEANER,SAFETY CLEAN SOLVENT. 55 GALLONS WASTE �j Q ANTIFREEZE. Remarks:4/24/97 Waste oil burner,2 hydraulic electric of lifts,spill-rags-Coyne Laundry,Rags in metal container with cover, MSDS sheets on site. Orders: Label waste products. Note: See 97 i specti report for c rrent l f chem. 0� Q t ol�.+�eumM W W F � 2 �� 1 �a il ro• � � a , r � � 03 5 CO 0 q a mr c0.1 bi iii4 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 ❑ gty's 111 gals or more descn tion ' � -r .�_ .11—1,„ ,.. .... :•qh': ;unitpfineasure antifreeze for gasoline or coolant sY stems 12 Gallons i�_--._ .______.___.__...._.___.._....__..._..._.......__..___. ._...._._.._._..__.._....___._..._ automatic transmission fluid 12 Gallons _ _._ _. _.__.._.__._.._... ____.___.._. hydraulic fluids(including break fluid) -— 10 Gallons motor oil 12 Gallons ..._...... ____�____ . _......__...__...._......_..___._._._.�._�....._._._...__..__._..___.___---__................. _---.._.__ misc.petroleum products:grease,lubricants 10 Gallons car waxes and polishes 1 Gallons paint,varnishes,stains,dyes 1 Gallons acquer thinners 3 Gallons varnish removers,deglossers 1 Gallons household cleaners 1 Gallons __......._____-_.._.......____._.._.__.....__......................__._..._.._......_.___..__._. .-....__.__._ ._. _._._ __ .._.._._._—__..__._____._..._._..._......_._ toilet cleaners 1 Gallons Waste Transporter: Cycle Solve /no�� Fire District: Lt� Last HW Shipment Date: fu�W to Hauler Licensed: No w a i Town of Barnstable °F'THE Regulatory Services ti Thomas F. Geiler,Director '" ASS.Mn93. ' Public Health Division, y g' '°rfnMa�°i Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. 2 9'.S©D 7,014 DAB APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT �/�`K31�&Al NAME OF ESTABLISHMENT 340610V Id u_._Y') ADDRESS OF ESTABLISHMENT 3d Lf Z-iT!!k TELEPHONE NUMBER D - 7/' l��S� i =. SOLE OWNER: YES NO o Z IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF L co PARTNERS: un r' � rn IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: . PRESIDENT TREASURER CLERK SSIIGNATU11RE OF APPLICANT RESTRICTIONS: HOME ADDRESS fOD Aa0 4,el'0 q-e �(S HOME TELEPHONE# /�i-2f7,57 Haz.dodwp/q i r Number Fee 162 THE COMMONWEALTH OF MASSACHUSETTS $10o.00 Town of Barnstable Board of Health This is.to.Certify that Jeff Bacon Auto Service Center ----------- 30 Preseverance Way Unit#1, MA 02601 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, 2008 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. 7/1/2007 PAULJ. CANNIFF,D.M.D. THOMAS A. MCKEAN,R.S.,CHO Director of Public Health I� h Town of Barnstable Regulatory Services ILIA Thomas F. Geiler,Director W" . Public Health Division Thomas McKean,Director Hyannis, 200 Main Street Hy is,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NOS,;UD7D6A DATE -:2�—.0 7 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIAL$ C- FULL NAME OF APPLICANTCo NAME OF ESTABLISHMENT Lri ADDRESS OF ESTABLISHMENT'?'o w w � .TELEPHONE NUMBER .� ��—�� rn� SOLE OWNER: r/ YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK SIGNATURE OF APPLIcAN-r RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# ii I I i SpM contingency Flan 1. Evacuate the in mediate area,if n 2. Shut off valves,pumps, and electrical equipment as appropriate. 3. Remove or restrict any potential ignition source from the area if the Vial is flammable. 4. Cover or dice all odsting sumps, and storm drains if not already cOvuv& S. Contidn the spill by use of absorbent sec tk�booms s. Contu°t sp��Il a n sely absorbent m terial or additional absorber ponse rMs _ if necessary,to assist in theae activities. b. Itemove all absorbed material or contained liquid and paclesge in DOT approved container. Used absorbent materials should be packaged Y frmn fiqui& 7. babel all containers with the type of waste. S. Nodfy the appropriate agencies 9. Once the spill has been controlled and materials collected and secured, inspe►ot the am for cleanliness and decoa rminate all equipment used in the clean up. 10. Replace all used materials and ensure all response equipment is in good working condition. 11. boY ge and dispose of collected absorbents and liquid in accordance with Fedual and State environmental regulation's. 12. For�Y spill thazE the reportable quantity or 2S gallons, whichever is fees,this plea sludl bo impinted and proper a+eeords of LC don shall be kept on-situ 13. Spill clean up equipment is located in the lower level of the building. 14. The following is a list of the spill equipment on site: Sill response kit capable of containing a ssppill of at least 2S gallons. This lest includes absorbent spill pads, socks, andtor booms. First aid kit Eye awash Fire extinguishers T . O BARNSTABLELounsat NCE: CLASS: 1. Marine,Gas Stations,Repai.r factory 2. Printers BOARD OF HEALTH 3. Auto Body Shops sfactory- 4. Manufacturers COMPANY �� vr) ee"Orders") S. Retail Stores �� ;> 6. Fuel Suppliers ADDRESS a Pr 1=—V vC r -e v" e_ Class: 7. Miscellaneous ry ;u QUATN ITIES AND STORAGE (IN=indocrs; OUT=outdoors) MAJOR MATERIALS _ Case lots Drums AbdveTanks Underground Tanks IN 193LIT IIN IOUT I IN tOUT # Eallons Asze 'rest? Fuels: Gasoline, Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) ri new motor oil (C) transmission/hydraulic Synthetic Organics: I c. degreasers 2 1)(2,_vv,5 > I Misce//llaneous/` S J �..1/� I >C c,/\R&oo,,+e P�i'R Mb<-w w,PcIY'v- ,l'd Dk DISPOSAL RECLAMATION JJ REMP.R, S: 1. Sanitary Sewage 2. %aex Supply C_hv,s .�,�,`ry — n��r�l-��G,�e�� OT,own Sewer Public �d ""'te fv\5b - L�S�S ho��1��31� fir, ti OOn-site ' . O Private �`FI('loy P .Ch\ ,5 �tl�o svvs i NC I7Y� �1�(i5 3. Indoor, Floor Drains: YES NOS OHolding tank• MDC g� r� v w _C,d V 00tA 1 ,C is'e A6j w (I � NO ecv� N� h� 0 Ca_ ch basin/Dry well -DERSi- site system ��1 V -l1 1=+1 V t tJ\v1 4. Outdoor Surface drains:-YES NC ��v w�v�� I,S,c�S, �!-,��c-1 � vet ►�� {�� e �a O Holding• tank: MDC o Catch basin/Dr well Z M S fl)5 f �� 1.S �o5e6 O On-site systeM t i -io x: �att�cis -;------- ,S i S. Waste Transporter RS eq.,,�e�i i�Ar'4 P�/ yo U }�,y� icensed? Name of Hauler) rJ -10-14 -Destination WasteProduct l. _y L y C V✓, Q y L A 1N CU/1 d r ©f L- i} 1 O W< 1 r i •t'r\ t!�t I1 i2 van (&ti v �D o 12 23 81 Person(s)' Interviewed t• Inspector Dat ��rr-�' --"G�TIRPT,7WYG'�: '. rLtz � �J ' ~u satisi'acto ! 2• Printers f BOARD OF HEALTH -� r'' 3. Auto Body Shops Q unsatisfactory- 4. Manufacturers �� „ S. Retail Stores COMPANY VS:C.I � � �1�EtArl�t� (see Orders ) 6. Fuel SupF•liers ADDRESS r'j�it�.t.,. r-� i z �,,� Class: 7. Miscellaneous QUANTITIES AND STORAGE (IN=indocrs; OUT=outdoor hW,IOR MATERIALS Case lots Drums AbdveTanks Underground Tanks IN UT IN IOUT IN OUT N gEllonse fresi Fuels: Gasoline, Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: t degreasers `_,', �Cam- .. .� �..�- 1, •l,�" "� � f i r Miscellaneous: DISPOSAL RECLAMATION REMI.RKS 1. Sanitary Sewage 2. Water Supply O Town Sewer 0 Public V ® On-site 0 Private 3. Indoor Floor Drains: YES N0i Q Holding tank: MDC _ OCatch basin/Dry well ..------._._...._ ..----- -- - -- ----- 0 On-site system ' , r 4. Outdoor Surface drains:YES NC_ - O Holding. tank: MDC Catch basin/Dry well _#. OOn-site system' ._ r— _+—^ --------- `-- 5. Waste Transporter Licensed? Name of Hauler_ destination_ -1Ste Product YES NO 1. a3 ei;f Person(s) Interviewed �� }� Inspector ` Data COMPLIANCE: CLASS: 1. Marine,Gas Stations,Repai.r OWN OF BA R N STA BL E Osatisfactory 2,.,,Printers BOARD OF HEALTH, .6 3. Auto4. Body Shops /�. Ounsatisfactory- COMPANY !�j+ _ �.� ers (see"Orders") 5. Retail Stores �1 6. Fuel Suppliers ADDRESS (f()4.tAA WJA41f, ��ut Class: 7. Miscellaneous QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums AboveTanks Undetground Tanks f I N 10D UT IN IOUT IN IOUT # & Lyallons ALyerest? Fuels: Gasoline, Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) j new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers a 1 lu Miscellaneous: r DISPOSAL RECLAMATION REW RKS: � 1. Sanitary Sewage 2. Water Supply . 0 Town Sewer Public �4-To_ Y_<, t.. OOn-site Private . 3. Indoor Floor Drains: YES NO _ _ _+- 4 Holding tank: MDC OCatch basin/Dry well �_.______..__.__..... .__ ,._.._...,.__.__...__....._....__....— ._,._ OOn-site system 4. Outdoor Surface drains-.YES NO - _- O Holding tank: MDC — - O Catch basin/Dry well 0 On-site system S. Waste Transporter Licensed? ,Namg of Hauler in Lion -NaSte Produ 1. !� 2. za ei PerSon ,s Interviewed / Inspector Date v- 4 rr ' / I } • •1. L _J rOWfF BARNSF1A + 33: T^7°i$rSTtL^Otts �Tasatisfacto 2. Printers BOARD OF HEALTH . ry3. Auto Body Shops unsatisfactory- 4. Manufacturers S. Retail Stores COMPANY � ,' C;Pf-'� t ° 1� (see"Orders") 6. Fuel Suppliers ADDRESS f J1,-` Fe�"��1L�i��- -1i�11 Class: 7. Miscellaneous ( / QU TITIES AND STORAGE (IN=indoors; OUT=outdoo MAJOR MATERIALS Case lots Drums AboveTanks Underground Tanks IN UT IN IOUTIN IOUT q ggllons Reg fresi 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: Dl£PnSAL RECLAN=ATION REWORKS: 1. Sanitary Sewage 2, Water Supply 0 Town Sewer O Public ,i, On-site Private ' 3. Indoor Floor Drains: YES NO , , �_ .• _ ,:, j t, , Q Holding tank: MDC i �/ , f , 1- -17 O Catch basin/Dry well 0 On-site system t . 4. Outdoor Surface drains-YES NO O Holding• tank: MCC O Catch basin/Dry well OOn-site system S. Waste Transporter Licensed? Name of Hauler_ .11as ination -Waste Product YES NO 2. 10 'LA, it a� ei .. ^Person s) Interviewed ' JInspector �Dat' SENTINEL COMPUTER PRODUCTS Manufacturers of Division of Packaging Industries Group, Inc. SENTINEL DISKETTES February 8, 1985 Mr. John M. Kelly Director of Public' Health Town of Barnstable Board of Health 367 Main Street Hyannis, Ma 02601 Dear Mr. Kelly: This letter is in response to your directive of February 6, 1985 and a. follow up of our conversation of today. Immediately after the inspection of February 5, 1985 by Mr. Thomas McKean of your office, we made the necessary changes required and ceased the discharge noted on his inspection. This item has been taken care of and we would welcome your inspection to confirm that fact. As we discussed today, we have a hard time complyinn with the other tiwr items due to the fact that the ground is now well frozen and as agreed upon between yourself and me we will remove the barrel and the snil .in nuestion per your directive as soon as the ground thaws sufficiently to do sr. I would futher like to inform you that this matter has been brought to the attention of Mr. Donald Boynton, Manager of Manufacturing and Mr. Jack Rose, Vice President of Operations. You can be assurred that every effort .will be taken to comply with the town health regulations in this respect. Sincerely yours, /ffrey D. Howard cc: Mr. Donald Boynton-Sentinel Computer Products Mr. Jack Rose-Sentinel Computer Products Mr. Dick Venuti-Packaging Industries NORTH STREET - HYANNIS, MASS. 02601 - TEL: 617-775-5220 - TELEX: 94-0350 O�P� FtNEtO��o� TOWN OF BARNSTABLE _ OFFICE OF BA AM BOARD OF HEALTH MAR& 1m OYAY ` 367 MAIN STREET 'E �'� HYANNIS, MASS, 02601 February 6, 1985 Mr. Jeffrey Howard Packaging Industries Perseverance Road Independence Park Hyannis, Ma. 02601 NOTICE TO CORRECT VIOLATIONS OF THE TOWN OF BARNSTABLE HEALTH REGULA- TION TO PREVENT LEAKING OF UNDERGROUND FUEL AND CHEMICAL STORAGE SYS- TEMS, ARTICLE XXXIX, SECTION 4, CONTROL. OF TOXIC AND HAZARDOUS MATERIALS, AND 314 CMR 5.00 GROUND WATER PERMIT PROGRAM The property occupied by you located on Perseverance Road, Independence Park, Hyannis, was inspected on February 5, 1985, by Thomas McKean, Health Inspector for the Town of Barn- stable, because of a complaint. The following violation of Paragraph 5, of the Town of Barn- stable Health Regulation governing underground storage was found: Underground chemical storage barrel located in zone of contribution is not enclosed in a liner constructed of material that is puncture resistant. Storage barrel does not meet Town specifications. The following violation of Article XXXIX, Section 4, Control of Toxic and Hazardous Ma- terials, Charter and General By-laws was observed: Industrial waste discharged upon the ground - water carried resulting from process of industry carried through.metal piping to outdoors where water is allowed to drip onto ground. The following violation of 314 CMR 5.00, Ground Water Permit Program was observed: Industrial waste discharged onto the land surface without a valid permit issued by the Division of Water Pollution Control under General Law 21,§43+Discharge of pollutants, without such a permit is a violation of G.L. Chapter 21,§4-2, which makes the discharger subject to a civil penalty of $10,000, per day, of violation; or a criminal fine of $2,500 to $25,000, per day of violation, or one year imprisonment or both. You are directed to remove the barrel from the ground and to cease the discharge of industrial water and oil to the outdoors within twenty-four (24) hours. Any contaminated soil must be removed by a licensed hazardous waste transporter. You may request a hearing before the Board of Health if written .petition requesting same is received within seven (7) days after the order received. PER ORDER OF THE BOARD OF HEALTH ino-a hnM. Kellyrector of Public Health JMK/mm t�� COMPLIANCE: CLASS: 1. Marine,Gas Stations,kpai.r �� ' ��`�� 2. Printers BOARD ® F EALTH satisfactory 3. Auto P.ody Shops Ounsatisfactory- 4. Manufacturers COMPANY G (see"Orders") S. Retail Stores 6. Fuel Suppliers ADDRESS Class: 7. Miscellaneous QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR-MATERIALS Case lots YDrums AboveTanks Undergrauad Tanks IN UT IN OUT IN # 21 e s ? Fuels: Gasoline, Jet Fuel (A) Diesel, Kerosene, #2 (B) . Heavy Oils: romm a _ waste -motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: - ' degreasers Miscellaneous: DISPOSAL RECLAMATION RE KS• [( I 1. Sanitary Sewage 2. Water.Supply '- �l11C�`C� ` Ca'K re Town Sewer ` . ..o, Public �� _ �� - C ref �On-site Priva alc�, ^� ,^ 3: Indoor Floor Drains: YES NO D tr C( Holding tank: MDC Catch basin/Dry well _ _ C On ite system u 3,.. 4. 'Outd r Surface drains-.YES NO Holding tank: MDC Catch basin/Dry well �. O On-site system ;s.d•. — — -- -- 5. "Waste Transporter 3 Licensed? `.*_. Name 1 Destination Wa'qte Product -�M- jA4t -� .h Person(s) Interviewed - '. Inspector D to -- _: T ®SENDER:Complete items 1,2,3,and 4. Add your address in the"RETURN TO"space bn reverse. (CONSULT POSTMASTER FOR FEES) z8 i.The following service is requested(check one). XShow to whom and date delivered.................... _0 ❑ Show to whom,date,and address of delivery.. —0 2.❑ RESTRICTED DELIVERY —d (The restricted delivery fee is charged in addition to the return receipt fee.) TOTAL S 3.ARTICLE ADDRESSED TO: - Mr. Jeffrey Howard Packaging Industries - Independeni?'Tar z HYANNIS MA 02601 m 4. TYPE OF SERVICE: ARTICLE NUMBER m ❑REGISTERED ❑INSURED 0 y p XYMCERTIFIED COD P522 462 800' '� ❑EXPRESS MAIL m m (Always obtain signature of addressee or agent) a I haver ived the article described above. mSIGNAT E ❑ Addressee ❑ Authorized adgcnti I z �1k G S. ME LIVERY 'POSTMARKS M m I Z 6.ADDRESSEE'S ADDRESS(Only if requested). {� G n f R; m7. UNABLE TO DELIVER BECAUSE: 7a.`EMPLOYEE'S` 2 ® INITIALS d e ° D � f i= UNITED STATES POSTAL SERVICE OFFICIAL BUSINESS PENALTY FOR PRIVATE SENDER INSTRUCTIONS USE TD AVOID PAYMENT $300 u Print your name,address,and ZIP Code in the space below, OF POSTAGE, u® • Complete Items 1,2,3,and a on the reverse. Attach to front of article if space permits, t otherwise aft to back of artcle. • Endorse artiels"Return Receipt Requested" adjacent to number. RETURN TO i BOARD OF HEALTH (Name of Sender) 1 TOWN OF BARNSTABLE P_ O_Rnx S34 (Street or P.O. Box) C HYANNIS MA 02601 0534 l� (City, State,and ZIP Code) 1 I P . 5,22 462 800 REMPT FOR-CERTIFIED MAIL NO INSJURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) sW Jeffrey Howard y Street and No. M m W P.O.,State and ZIP Code O d t7 Postage $ (q * Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt Showing to whom and Date Delivered a Return receipt showing to whom, Date,and Address of Delivery TOTAL Postage and Fees $ 1.55 tL 11 g Postmark or Date E E Mailed 2/6/85 0 U. 0 a STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES.(see front) 1. I�you vant this receipt postmarked,stick the gummed stub on the left portion of the address side of the article leaving`the receipt attached and present the article at a post office service window or hand it to your rural carrier. (no extra charge) 2`. If�ou do not want this receipt postmarked,stick the gummed stub on the left portion of the address side of the article.date,detach and retain the receipt,and mail the article. 3. If you want a return receipt,write the certified mail number and your name and address 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 artile RETURN RECEIPT REQUESTED adjacent to the number. 4. If you want delivery restricted to the addressee, or to an authorized agent of the addressee, endorse RESTRICTED DELIVERY on the front of the article. 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt.If return receipt is re- quested,check the applicable blocks in item 1 of Form 3811. 6. 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C?F°TOXIC ANDRI�'AZARD0 ivtATER1AQ I �kx, 0 11 y -' � xRA 1Dx314 Dt1R'S:UO Gr'RC)US�TD WATLR P1 1tbtTT, 'RQGRAM,iI 'k�:`".t ,"°. " 1. S } ` `�'"' k: . `E' � L `t }1 �' { fr sT ! ': •k'"• �+ dst :' _[;.y "'�a , ' ':r,'i v {' ' r'in,�d,; ,'a'[ a ! +^ r• L °r x�'. v+i- t� r'`°''•� a 's rtV.`� The .r ro ert ' occu i'cl b a vu' Iocated:'on"a'P6 iseverance,Road Z I id nd n<c Par�C'r§ �dallis ""i "�? P .P.Z , Y P.4. q `Y . r . W ,-. t - r.r. -1 a �,,3" . . �, ,r , ! _ was'inspected'onF®bruary°5 t985, 1%Y;'Phomasj�eKeam,:HealtlInspectr.or�fQrthaTow.n'of;Barn ,Z dr , r;'ir t r, - f t t`,, s:5 f' {t a vet F "' �:. s,+t=, .{u. :<�<ti a ¢'i... .5 r a: , r t' .W r ; a n '"i a ,,.`stable„because!?of a 'complaint d' lie.folio 'in' viciiation ofasParagrapha 5, of'the TowmyI. Barm, y: d};&ta 71e Health Regulatiot g11 overning uni eig%citind"sto rage has found• °., � �0* ti :� `` # :u yc f iA, .6� it s. y r:, # yss.:5 r a.,.» '�t t O" . e .kr t , r� k , _ 6 ! iwr * �y�,- , 1s a '�'. v45q� A 'tir""`,4F, 't= d': r! y y yY r,.` r 1 'ti r.'rd'w .._r r a `�i�i• 3.' f a P ';r 5;.' a F t.k'l4'Y f :2,X" 4. 1 "E°# a »' * Xr• .�+<. i?"f,�. .s '`.� r ;.x `, ry pp ,.. r a:;�, ,=' �, t rti.�T*.< Lam. F ,` t f•t*:✓, f' „ 1"�, S, « I�, t 7. a t"1.#• t '� .'sA 4•• 4 . �}. .1, ^ Underground t.chemical 'st orage#,barrel"located ,in}done` of contribution, s of enclosed'*inr ;€ti{., ,,:; ';; liner construeted�of�niater 1:_'tll,nat$ s:puncture r sistant �Stacage"nl arrel.gdoes,notsrneet lTown d. #N.r"'✓ f f',�a„ 'wtr »K " .: , .. w - {.r. ad s,,--_m rs. :. �tj 'a..'- '� ".riifi 'r B °. y;a . �� epecific'ations r{ , , aR t n7� �t r� j a w*. ^ 4 h i ,.{" k °a' '"4s. fi xk Yc.: = F a'y Y ,c�, ♦'S ,j, `^ dy,,. ,} ! ,�"'w q x "FF +t;F'r a- w .� Y ax g � t 6 a" [- < a, ao '9--.. a � 4 Y! < Y., c `^S; E x, r.<.. Yr s,..: y : 31.' y f'Yyt j' r`*sr,-,i .r �4-kl-<r• uI + xt ^tz..,j "t'.,Yro )/ *tr+k f-�s'a "yr d ;•.t a.<g. ''u#'r , ., '--� �.�`'` jZw r'.,tk'' d:Y,y d`'?I "^�I. $ �', �r'"'�II __ Thee following violation,of Article=<XXXI -,,Section 4,:•Control .. �T .,iO md=Ha.�arabus -Ma ;��,;i.��A�r' * ,. aerials, Charter an LL d General:Bq rows ryas (ibserved. '�'41, s r " " t �` n 4 "* *' 4 ''vr . i' ,` t r. ,t s• ie,*` k'',K''¢. .0 „:.. t 3 >-"v,•a.t € a4"cr,fy a ,` a .,�,-.a,a,;L y>,Y'-x./.t,r'g$$q,'€ 'air'tt�. w.:�s,x '�•+ .Sti`,' ?. �;� 9 Jf �'.. y'.'f'x :, 1 , s . ' ''ak d ii fi5.f ° t '$ Y",1'$ n tGJ¢ s ':a x! }t'�:;`,'� ya. r..'t a x ati.:. # 't', ' '}r#� �• it "_} ' '`& 1r }',: � �..'�c 4a. x F <•,• ';- !`'t•,. .{a?tl• d£.,;Sa 4.�,F' r,W i E+:,"s. t ,»..:'."Y'`r�` - 'A''.1 r,« "+cwo.-.' ; t.v;'� ':p' +1 s. t ;At �k indt�sttrial waeta di.O h., ged•� pon;�ther'ground'�- water car1.tied;r sulting.ftom prQeess of industry Ya ;` - t ' ,r carried.through meCal piping to©utd4ors jvtere,water�is allovr�ed to'drip o tip rounQ`. , `^ r s�7» ;pi< A i` a P+;,', 2 +•�< v•= f. .°Y:.ad 'r' a ».»AP #» .{L.;. Y, t }r r W. t } a ,e t `4. s .. t .,_ _ 3 ,.•kr tf:: •x•..r, x ,, { •'`�°*.$ {" �y�• Y f,x A ...+r3 ,,1a's f ` ' �'� ' #y ''•" }F. Ns$'d,.•.r4 Si ' b;y€ kyi.. c >".+x "s} i!'Lt�1t .; p.a+-t3..r",>j <+*, ., ee.. a wrtk •' eta :is✓ b F;}< t rtk r sr. '' t' a-._ „"'rds•'r .. 's.a , 4 '� %�'fo $ r� t x.,K:':=e F . 1• e+, , t tt The follow ng4"violatic n.of3314` bI ' SHOO ,Clront�d; `ate�r. Fermit'Progran► was observed r .1�4_ {� ° e * t 4t� fi r yr-,z 1% -.,a/,.R _ ,.� 4 � 4 q a f. w. . r #� Y;s iy'k�{w N, �.f: zS�w` •. yr. ,t- n avr"ry a !^1'"..r' ,ry`ir' Lk ' s:$a" � �.`( a f r,. �` 't 'i,.{. 3 d`'a"".v*a J " f • r ' w s , - • : k.r, v P' y rti q * sT` ,t Y ,r .w S `�•. t , r, 'a •{•q r .<.."-twya �3.r» tr"y rl, :. `t a F x lnclustrial Wst�e dischargeaTontottie`land surface;without a valid'Yperthit issued:bq tlie'Divlsion ,{� . 's, : Hof VWater#Pal ut ou�.Control?-undery eneral Law`�1,§43;-b!-eaarge Of pollutnnts; without such'" -,. , ,i;. 77l ` *1. ray:permi i11 e a�uic latlon of-G L.'Chapter 21 . 5 which'makes:che rlis�hargei subject ;to a c vil w �'e_,"'. 2},4�a;i. .. J '. r,.r ,'. r• t,•: p, .,. r r .. . .: z e. .a"• va dr. �, !„ v '.'s' a?e. v " ,, .,penalty'...:of $10;000;,-per day,.Ibf violation;?=or n`criminal fine fl, ,2.V- , U .t4 2 ,OQQ per:.tiny �'#` >~ {, I ;.Y . ;. _ 1 k t. ,r F I '""' yr:.. tin ndt w:7f+ti i -wv Tw! r, - I�•,.sr ,. --b r �'rf";z ." *r :.-'''S. >i =ate'r� t•r, a ©f violation ov,one yeat imprisonment or both Y4} ' .r , ` ":; � /r 'x :a r ' r g r N.. !x. t r -ty�s s 4 + . r tom. "� r x i e r 1 aer r ,k•e>Y ; ,Ay ?.. a» ,,:: p { 'S �„; ,., :•. t ax';4 ..w'x ~t '..� 1 ' "d r, ti. , �' i�.`i�«"F ' a ,G t:'. 't rSd,• ..a'a t: 4 s «r '3' -+, ,q.rc: M Z;sky Y :F• k �., i+.t C fC' ,y-s rt, j; ¢.a` t -c v` "}; s ,. t;.�.`p��r�..i. ', •.',, +k•. •6 :t„g ;,,S.r �}•• .a r' 'Sy,s� ,�,1+,., "x - t`-s- r'A '° _^ ',f'"tr "t t'k .''i ;.�iku ^t _i,!• . 'rf•' �S" i c[�a,„i ��'MY `�Y,bu,are directed t4 remove the�.barrel°.from the ground and to,cease�the,discbaige4of� ncius[ al 1 '� kIt.i:� -'water, and :oil tp the�outdoors``within twenty `fo ry'(24) _ co to f " ° ' ' �." u ours :Any n minatedx soil.;=must;�be r`#•� ur, psi' ar ^•• s., '� <' -; je itri": ,t .. yJ*t*'.st,[' ,,r:*r'•� t ,.i _ �O%,.<-y };,'•,,ask'+ 'e, �t art. nr removed by a licensed hazardous ►ante Etansporter, ;,! : > u :wt ,: . ,a . .iltf.p.�W �'r'''a.'t- f f r..t t4 tisa.� s r ... 5" <4[dq.y ^.,�,^ �.._' r,F ' a .tom f`.,!• r ,*.iI' 4t Y r,,; d` {rt�,1 j t..d it ,� ia" k' .,i G'L. 4.1 L. * Ta.,.t" A rYF' 'Ca i, y x 9M Y x S id a. �" A.:SW`} 6I. � ,( 'Y f f Y ry`�.'d9 ,. i. . � �` °�; :,;,-",,You ifid ''renuuEetfa hd4r n " �,bbfore:�the Board of-i ealth if'w.titte ' t tll ionI�re - g r,{ y f+ .:.if -Gr'. Y t�. ;� ';is received within leaven (7)ydays°after,the order received r, �' f$ t " �'�'r ` aq; i<Mr"' £; 4' 5 ¢ "a a F�+ o4.k- � ri. Y� r` ",. �`" 't s 4J f1'-GG r�� - �f ',r.t% 0 ','f d. t <9aJ r .,r,, '. ,a '.. �'t4. Ay '�+ e 2C..` d.y.' `'s_ , ,..�. `n,� "' e� S r E as - r , 5 .. » r'''-Y LrGG' k 'i? i ,. xFBR ©RDERx®FTE: 3C►A�tD t�F;118ALTH° d r �=` ' « ' r "`"^ ' '<f `, , '� r� .' <-}s # a.. -y s -,_f �t ,,}'' �T,�t U .». .s• •,,,� 'i x '_, +frm fir:s. 94,s t •i 2 Y q !' �+h�4 ,td S '.+`"r t r- °f _. , i:,4 Lyt r;,.�at '"= ' '✓ C 4 ; '° ., 1. y z3 f t,_ ''�v' s ,t. 4a! L} n# " J^` WC /!lfiL .L 3,, „rYr : F a,.?4 ,a w<_ sr "`' p t r*. E ?' s z ,�a M1 .. G'f/ �! L.;. ry R ti.f% I'f s ; .,s <4 's+ 4F� a „ yy `#' #}. T .7�t,` ds f re.s t",y �� S " to [^. of +, .Y�'M 4.k .�8,/'C � v a :a: ,+fit ",w +r fiw a'r�T" :4,,, yr f,.J o�n 07 ill i Y4, * fr K1. S" `.# r�•S/-l:..G r} �t'r"-/!/7Cs.4,frY.t Sax a. .�, `<'S4; ti x u 4A Tr' # nr I.Y y e J •Sy fia.`� Y s�G 4�JGG t 9� hr aS"Y♦ �., s w ^xa7 tt.3 �,S y Director of:Public Health . 4 ,,v%i� ;` ^ ,, ��u,s{ � li •1� ;�� g � F7 xi +ag td a_ Yp J3�, a' t, ..3i 7 �' t 1 4 `� 2d bid' q t 0Mrt, s is St a4?._ y F NL" /� �r r a M=. •u.'CC` ,qft+, °t{lxa� "}p rt �'� ��, - ��r•.' •'f �.` ;t� !rt<,,w= � �a. • V ya`•�„ �""'� � r. srtK ,s trt7'.rr'Gy .s•'1,jj' 1. ry'*�y �� .,yF $ ` �exY "`a4'� �' C%V.M /�i.i1.m5 �•�Y t r,�"�'" f�; ,»{ !t . r;. �T,$ .A.' 4,� t. 1*� k "��4. �•( �'F y 1, °. ^ g�{, "� F•'tY s ," w "' ,r ri aa 4 a kJL i a r' '" ..,. a - s�r. 'q,' ' ; r - < a 1, xa ,t•t4 rP'" ;.• 4•''s r . 3-, *ft t= '. �.G.J•y:.. x "y,.k .,'r,•`d 4, .»J... }'y'• ,, A .ai #�¢ +a 8 .< 4 r;'�' r4 it` X.a "ro , , r ,v st -# t , i' ,a.te +r. r �`�r , ' • r`: "4"+x„`,f + ;,, Y,,,.a�'7'.•a3 'K,`,v'd !,t: y - "fir R�' r: =..:t tt ,. i,. .tr t. ,4 _ y"'} Viz 5 yx ?�i .�, �!' f .�.},- { r �. COA4PLIMNCE: -CLASS 1. Marine Gas Stations Re air t -OWN OF B 'IRNSTABLE P Osatisfactory 2• Printers BOARD O � EALTH 3.' Auto Body Shops _ ' r 0 unsatisfactory- 4. Manufacturers COMPANY} r G (see"Orders") S. Retail Stores ( 6. Fuel Suppliers ADDRESS �1�� Class: 7. Miscellaneous QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums AboveTanks Undetgrau$d Tanks IN UT IN IOUT I IN OUT gElIonse s ? Fuels: 'Gasoline, Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) 1 . transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: DISPOSAL RECLAMATION RE KS. .1. Sanitary Sewage 2. Water apply ' �. o;,�iwn Sewer �bIic C0 �e 8 �� C� �_ �1r-nn� C ,essor -site Q Priva G` �� '� �L:l� �n —� �� •1 �(c� ^Cc� 3. Indoor Floor Drains: YES NO ' a4 If . `� c1 c` +'0 Holding tank: MDC v u r„-,�,L y �`�,� �j � , (-7 yr c r�oA, Catch basin/Dry well _ On- to system ` t�'^�t,�5 z` 0 4. Outdo Surface drains-.YES NC Holding tank: MDC ® Catch basin/Dry well ® On-site system ° 5. Waste Transporter Licensed? Name a Destination Wacte -pro-duct- YES1 NO 32 23 81 Person(s) Interviewed - Inspector Date ; LL 1 V Y Y 1 V V1r1 11� _� "LL7!°fYGI IZirVtlS—�tacrvrra��ccpaci. BOARD OF HEALT� atisfactory a • 2. Printers i 3. Auto Body Shops ( unsatisfactory- 4. Manufacturers ® ' il-{ ,t ' see"Orders" S. Retail Stores COMPANY 'l dW�y :'�' ( ) - 6. Fuel Suppliers ADDRES 1'�z�1'�+.��-•c U"'.'��'�` Class: 7. Miscellaneous QUANTITIES AND STORAGE (IN=indoors; OUT=outdoo MAJOR MATERIALS Case lots Drums AboveTanks Underground Tanks IN OUr IN JOUT IN OUT N gallons Age ffes,. Gasoline, Jet Fuel (A) •Di.esel, Kerosene, 02 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers , 1 1 - �- r Miscellaneous: DISPOSAL RECLAMATION REWORKS: / I. Sanitary Sewage 2. Water Supply `r OTown Sewer 0 Public /O On-site O Private 3. Indoor Floor Drains: YES NO O Holding tank: MDC `— O Catch basin/Dry well'} , OOn-site system ` 4. Outdoor Surface drains:YES NO_ O Holdinb• tank: MDC 4 / O Catch basin/Dry well � _._•__. _ ____�.—_ __._.__ OOn-site system ._ ___- ------_---- `-- 5. Waste Transporter Licensed? aste Product ,Name .of Hauled + 1lectination_ }�(, YES NO ._._..... ._$jam,,. Person(s}" Int.erviewe j Inspector Date O o'T .- o QC` oFTHE rc TOWN OF BARNSTABLE OFFICE OF = B�STAnBOARD OF HEALTH °°ems 1639' `em 167 MAIN STREET 'FO MAY k' HYANNIS, MASS.02601 30 July 15, 1991 Mr. Dana L. Woodman 1720 Old Stage Rd. West Barnstable, MA 02668 Dear Mr. Woodman: The Board of Health unanimously voted to grant you permission to utilize the building unit #13, Perseverance Drive, Barnstable, for cleaning automobiles with the following conditions: ( 1) You shall receive the approval of the Zoning Enforcement Officer, Joseph Daluz. (2 ) The flooring in the area to be utilized for automobile cleaning shall be bermed to prevent wastewater effluent from entering the ground. (3) Hazardous waste and hazardous materials cannot be stored outdoors. Hazardous materials shall be stored indoors onto impervious surfaces. The permission is granted because the applicant proposed to utilized a "Hanna" closed-loop (recycled) washing system. Every precaution will be made to ensure hazardous materials are stored properly and hazardous waste is disposed of properly. Very truly yours, Jane Eshbaugh,Chairman BOARD OF HEALTH TOWN OF BARNSTABLE AJE/lls } July 15, 1991 Mr. Dana L.Woodman 1720 Old Stage Rd. West Barnstable, MA 02668 Dear Mr. Woodman: The Board of Health unanimously voted to grant you permission to utilize the building unit #13, � Perseverance Drive, Barnstable, for cleaning automobiles with the following conditions: ( 1) You shall receive the approval of the Zoning Enforcement Officer, Joseph Dal (2) The flooring in the area to be utilized for automobile cleaning shall be bermed to prevent wastewater effluent from entering the ground. (3) Hazardous waste and hazardous materials cannot be stored outdoors. Hazardous materials shall be stored indoors onto impervious surfaces. The permission is granted because the applicant proposed to utilize a "Hanna" closed-loop (recycled) washing system. ery precaution will be made to ensure hazardous materials are stored azardous waste is disposed of properly. P �' Jane Eshbaugh,Chairman --—��`r--�-^"�--- woman•, - - -- --— - -- _ - - - � -- - - --- _ 1 i lab AA y re E!_ 0-8 _(OLI�Jfrf rp-z <_ ag _-c", 6 . s �. r j� �� I �. � , f ..�� .. L 1.1 ,, �a a . � _ _... ______ f_ ` i� �.�___�. �ti 4� � f .-.-� - - •� t - e.... �...h,. i r � � - '. — J For office use only THE T TOWN OF BARNSTABLE Received by OFFICE OF B,Ba9TABL : BOARD OF HEALTH Date MMd.� o 39.MAR 367 MAIN STREET C �� HYANNIS.MASS.02601 A% A REQUEST FORM All v&%44ffE-e requests must be submitted fifteen (15) days prior to the scheduled Board of Health Meeting. r NAME OF APPLICANT TEL. c� 7 ADDRESS OF APPLICANT 1242=0 e�yd L NAME OF OWNER OF PROPERTY SUBDIVISION NAME �� ATE 1.213Z84 4o. ASSESSORS MAP & PARCEL NU BER LOT. SIZE LOCATION OF REQUEST / '03 VARIANCE FROM REGULATION (List Regulation) REASON FOR VARIANCE (May attach letter if more space is needed) PLAN - `WAD/COPIES OF PLAN MUST BE SUBMITTED CLEARLY OUTLINING VARIANCE REQUEST. VARIANCE APPROVED NOT APPROVED REASON FOR DISAPROVAL t A Ann Jane Eshbaugh, Chairman b4 7 Susan G. Rask Joseph C. Snow, M.D. BOARD OF HEALTH TOWN OF BARNSTABLE • =�n�'-f.. uT«:�ya�' 'rR�+M't�`��-4 as'fLtE` tiF�T,�ry. �I��]t!"FrPY''"rcS f�� '+�`�'.In 4( $ryC i ;_?y+.�klr�'Srt3�t t-f.• r' at. ix ,�'@c� �, r• e� '4 E t. +, t#, a y - ? 9 r.ti ,,� s- a} r y 2 di •,p9 ,1'Gww., 6�sPOP � 4ai�s t•at'�'i�,'{;'}a*.1�1{i+l,{ �I : �,. vA A iye '..�JS ' c . t r"iCC••x�� ,i�r � t 1 s x `+o..`? '} r4`j,T s>rrs .rR''Ffj.i 3t,F X , 4� h y I,b � !t rS'�p¢ �' r A•tra] f 4Ey .�� 995� r}i'�1. 2'f 4'"�,"'w i�'�.s.t(1+1 '.r 4. i+ctaa`r py�i Tli yd rda�v+9+r y 5 v ly J st r5u .d P I' a +" Wet t 4( r f +�dta ,a ir). +,t am a r " a •'S f e 1d �:N C }� (t.. fil; C'+�i t 3 t r 4'S r a f.x �. l'; ° P� t �'ifi 71R •erf 5 ! ryt S iy t at }� sagkss� 3(¢ lr #R '�a"y Fez Y] r a t'a rxt Lti a k t _r.l d. 't2Sd2.rn G t`v�t r;r�'trJ tr+V'*" ififma? �G.,{a r �� 'x�? . 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T' -h..- �. •wXi '- �'.: :..agZ�`1J�s�:"' 3'Y?i�,�:°'-":. it-`-,. �.�� 'GW'^ .. -" ;<�.;Y'•+'C' �`'a � "� � � !"S�.� 4 = - 'tx.` it,: :.C^. i � _ �3 �•��r+.'�k�.�.'�L.: do - d•^a 8r- ..z_ �-�t�' y'.F�:• a i i, r :iw': •T.'li '4� '�•t t �r ,RECLAIMIL , I RC V. THE FINAL- FINAL RINSE PROCESS AND COMPONENTS ARE SIMILAR TO RC IlI WITH THE ADDITION OF CARBON FILTER ` AND FINAL RINSE PUMP AND HOLDING TANK. � k PRE-FINAL RINSE RC FINAL- FINAL RINSE I , 2 FINAL ' RINSE i 4 i 5 y' � 6 ' 6 + I 3 I �. I r--- I LEGEND �Q I. . CARBON . FILTER 2. TURBIDITY FILTER 3. CENTRIFUGAL FILTER ��7 4. FILTERIPRE-FINAL RINSE PUMP. 5HP 5. FINAL RINSE PUMP. 1 1/2 HP. 6. RINSE WATER RETURN PIT 7. TREATED WATER .RINSE PIT PUMP (4) SUCTION IS TAKEN FROM RINSE WATER RETURN (6) AND IS PASSED THROUGH CENTRIFUGAL FILTER (3) WHICH REMOVES PARTICLES DOWN TO 70 MICRONS. THEN THROUGH TURBIDITY FILTER (2) WHICH REMOVES PARTICLES DOWN TO 10 MICRONS. THIS WATER IS THAN DIRECTED TO THE PRE-FINAL RINSE AND ALSO THROUGH THE CARBON FILTER (1) WHICH REMOVES DETERGENTS, AND INTO A TREATED WATER RINSE PIT (7). FINAL RINSE WATER IS TAKEN FROM THIS PIT AND APPLIED TO THE VEHICLE WITH PUMP (5). A LOW VOLUME CITY WATER FINAL-FINAL RINSE AIDS RINSING AND PROVIDES MAKEUP WATER. PRICE 40S P97 •PuMP I V2 -1' i ��P :+ � -d'b�v'�v�!-`.. ,+ - "'t.` ..':r �L.f. �:�� fl•�S£T�+S.;ua �:t� "vW � '� � :a•- '-'` i3Fr►:.z'%. .n•t rt _ r:t 'F. �6..:. t. xr'ri,i :,• ti � �'> GLP IS°..+ ..v.• e}. �'. .' 5':S; 2" 22 30 RwSE-WATER ''-- DETAIL B I WASH WATER i - �:: 21 t 12 a4 \ 4 41 At n,f .I; SEE DETAIL B - 1S 5 14 .. "v 20 19 21 19 12 I t �� 10 16 13 IIN 25 1 22 23 �`` I 31 4 32 . 1 ,I 1 f 6 24 1 26 22 `41 s Orgy 1 1 I fRS I 1 I 3/8 TUBIN6 \I I i SEE OLTAIL A to. ,Y•12 1 TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM 1 Mail To: NAME OF BUSINESS: filv aV2!K1Z" , Board of Health MAILING ADDRESS: 4 6` Town of Barnstable TELEPHONE NUMBER: " �r'�' �77 lq1-41 P.O. Box 534 CONTACT PERSON: /f✓i=`� GZ,hodloxlol Hyannis, MA 02601 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalli , at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: 17a6F �� /u E' � •��S/q ,� G�� TELEPHONE: - 3 ?�7 �a LIST OF TOXIC AND HAZARDOUS MATERIALS5'l�t . The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered when stored in quantities totalling more than 50 gallons liquid volume or 25 pounds dry weight. Please put a check beside each product that you store: Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine _Z��_ Car wash detergents Lye or caustic soda _Z��Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels _&!!�-'Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) .Sew ji Other cleaning solvents 054q-,;1ke!7S4 �-" Bug and tar removers 4�V Z f` Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business W ID, (508) 888-9282 SHEET N0, I OF .,.,.. . EVIGN ENGINEERS,INC. P.O.Box 1051 •Sandwiph.MA 02553 CALCULATED BY J r �..... .., . .. DATE CHECKtD BY _ DATE _,._..... SCALE �UrL/'4SE • Dk, 7t"ra r.;r n� .U� M14-7-6'-A�'r? � � e0ile CN (�Z f1 r OW-T F-?�%z, { i •f --. ., � O F se"77 ��°°�,�t/ 'It2t^} iZ(N t'�4�'/ci.7y 7z) I��1-�oDocO�►y tit pt' CAJ�f COP 14A te-)Z, f2C'3c r2(( ' Orrje� or r 1� �{.,.. ��c�-'r�(►c��, � �>>�.k � `r°��r �'l=r�®,l ,' . ��y,'l /fir/. IU.,si � I I o e o !Sr po i ` 'dOU `3� i I I?Qot uc'c. P H'w A 1 Ins /l uw 5►=, ! tr) "T/. f cc•t ��,►, I l fin/7n -I 1 rr t 7:nnnr nu VLI.I I II111611 LU UniNu -1 11711 -111 I Irlanr�c (u�BJ 888 9282 SuEETNO. . I _.. OF , ...... DESIGN ENGINEEPS.INC. P.O Box 1054 •Sandwich,MA 02W6 CALCULATED BY ...._�2�° — DATE— CHECKED 8Y__.. DATE SCALE WA I I I I ' i 110 9 3,1 M ;S' 1 Ib�e, 'g M C6 4 4'5"m/t) �r I Istu AT p; 31�V Ala �+ t� Akil 4 I I 1w �,�? Z Y V t `v /�/� fyf l �/7� t� fa h l ( I �rrfinwa^'t�y'sa IPA'J '` . 1 1 '�'f j 1 {I a 41 II2q 11500 I I V I I I II I i o _ (508) $88-9282 SHfE7Np, �� OF .. DESIGN ENGINEERS.INC P,O_Box 1051 •Sandwich,MA 02-563 CALOULATED By _ DATE�...._, . .. _— CHECKED BY _— SCALE __ --- 'I I i I I , I 1 A � eL»,.til... ..y..,r+.l.—. .,,�.....��.•....i.,+«..w��e....a'r.�.�e�r'�+^+" �. Nu�uro,'uu�rur'w,i�br,u..�.�rminbhb I I ' L.gvw.�.,.1...•lT.i.l.Ilt 'n`1.t1... 4l, IY'Y.Y�':.Y .:�: \^:t' X.a.b" i„"lV�r I i r ' A , ' I I 1 v ' I I ' I 1 I I , I I -7 �7� TOWN OF BARNSTABLE Permit Granted UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS P/28/75 Book 109/30 NAME INDEPENDENCE PARK, INC. MAP 295/Lot 8 Permit says 2 ,000 Perserverance Way - Building o ADDRESS Box 1776 VILLAGE HYANNIS LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE: OR CHEMICAL Rear of building 1,000 Gas 1975_ �iPPi (Give same information for any additional tanks on reverse side of card) DATE OF PURCHASE OF EACH: 1. 2. 3. 4. DATE OF FIRE DEPARTMENT PERMIT: TESTING CERTIFICATION SUBMITTED: PASSED DID,NOT PASS �� ;� y� U /� �� ' � � �,�� ` �� !�' � ''�