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Home My WebLink About1336 PHINNEY'S LANE - Health . P Town of Barnstable 4640 Department of Public Works Permit Number Sewer Connection 8t Trench Opening Permit Connection Disconnect Mod or Repair X Map Et Parcel# : 274 - 18 Water Supplier DPW - Hyannis Water Dept Street 1336 Phinneys Lane Sewer Account# Village Barnstable Permit Fee Et Check# : Chck # 1. Residential Bldg Fee-$420.00 ; Commercial/Industrial Bldg Fee-$875.00 Septic Abandonment Permit# N/A 2. Surcharge for Each Additional Bldg on Same Service-$200.00 3. Surcharge for Pump Station-$300.00 4. Minor Repair or Disconnect of Existing Service-$50.00 Project Contact Information Contractor Name Bortolotti Constr Inc Owner Name : T Marcus Contact Name : Mike Leone Mailing Address : 1336 Phinneys Lane Business Address : 45 Industry Road Barnstable , Mas Martsons Mills , Mass 02648 Contact Phone : 508 - 771 - 9399 Telephone : 774 - 836 - 2121 Contact Fax : 508 - 428 - 9399 Property Use Information Residential Commercial ❑X Commercial Use commercial warehouses Industrial Standard Industrial Code ; Number of Bldgs 2 Size of Parcel (acres) 4 1/3 Acres Pipe Dia Et Material 4" Sch40 Pipe Length 60 ft Before excavating in a Town Way or on,Town owned property, the sewer installer must obtain a Road Opening/Trench Permit and comply with the Construction Standards Et Specifications outlined therein. Applicant must notify DPW 48 hours prior to installation. Failure to comply with the regulations shall be grounds to revoke this permit. The Sewer Et Trench Permit is valid for 180 calendar days from DPW approval and the installation must be completed within that time period. Engineered drawings must be submitted, with this application form, to the DPW for all commercial or industrial installations. The drawings must be approved before a permit will be issued. Contractor Signature Et Date Mike Leone DPW Approval Signature&.Date : DJ Anderson 2/19/2013 Sewer Permit Expires : Aug , 2013 Sewer Connection Form (Rev; 2010) Page 1 of 4 I' TOWN OF BARNSTABLE Date: 02/19/1 3 DEPARTMENT OF PUBLIC WORKS Permit: 4640 SEWER CONNECTION COMPLIANCE Installer: Bortolotti Constr Inc Property Owner: T Marcus - Cape Cod Beer Property Location: 1336 Phinneys Lane Village: Barnstable Map t3 Parcel : 274 - 18 Pipe Length: 40 ft Pipe Dia&Material: 4" Sch40 The work has been done in conformance with the Rules and Regulations of the Department of Public Works Signature : DJ Anderson Date : 16-Feb-17 Department of Public Works See Attached Sheet for Sketch Sewer Connection Form (Rev; 2010) Page 1 of 4 Date:/Z I I o It 3 TOWN OF BARNSTABLE --r5 ,bK, TOXIC AND HAZARDOUS MATERIALS FORM NAME OF BUSINESS: `�ar5 PCOIXG 5Z4%1tce.S BUSINESS LOCATION: I33(o �P��vt+ticy�5 Laro'e-�lt&A� yo§k, INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: 0$ -1� c11 oZ�(v CONTACT PERSON: �av 1 c of oLe�tu EMERGENCY CONTACT TELEPHONE NUVBER: M DS ON SITE? TYPE OF BUSINESS: INFORMATION I RECOMMENDATI\O S: K�.e.,p td uj�p_ kc,)w.S r � Fire District: W�rc,h n0 w J�t C le a h, V C,Ay r t wrx.s c LIA ,A.ks �6 �7eU.P�a or3�: W64y5 A 00V0 `$p01/ ° }tdvhi Waste T MV<b�'?9o�f511° rk�n Ja Last shipment of hazardous waste: I o -ZI i3 - 60�q( Name of Hauler: Sa��-.� -}�le.�t�. Destination: Waste Product: ujas+z 0,1 soll Licensed? l NoIV _ fQ 1�©o4-SoZo�)Z NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. , Observed I Maximum Observed I Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils `,/ Pesticides ❑ NEW °h �l USED too / V, 's yr (insecticides, herbicides, rodenticides) a �y� Photochemicals (Fixers) 10 Gasoline, Jet fuel,Aviation gas I,d Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): i� Metal polishes Laundry soil &stain removers (including bleach) Spot removers&cleaning fluids (dry cleaners) e,( k 4 S z�-\ I Other cleaning solvents 4 4 t Bug and tar removers t�e� t 5 CvCt�t Windshield wash 1 WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials w IL t Town of Barnstable oFIME t Regulatory Services Thomas F. Geiler,Director Public Health Division sAENSTABLE, * Thomas McKean,Director �o0 63; `�� 200 Main Street, Hyannis,MA 02601 ATFD MA'S A t � , Phone: 508-862-4644 Email: health ,town.barnstable.ma.us ' Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 April 2, 2007 Mr. Ronald Bolduc Auto Diagnostics t 1336 Phinney's Lane S Hyannis,MA 02601 RE: Hazardous Materials Permit 2006-2007 Dear Mr. Bolduc: On December 18, 2006 a letter was sent to you regarding the site visit from the Hazardous Materials Specialist that occurred at your place of business on that date. At that time you were ordered to submit an application to obtain a Hazardous Materials Permit for 2006-2007. (Excerpt from December 18, 2006 letter). As of today,our records indicate that an application or payment has not been submitted to the Town of Barnstable Health Division to obtain the permit. PROBLEM(December 18, 2006): • The new business will need to register for the 2006-2007 Hazardous Materials Permit. ORDER(December 18,2006): • Please submit an application to obtain a Hazardous Materials Permit for 2006-2007. The Toxic and Hazardous Materials On-Site Inventory from December 18, 2006 shows that you have approximately 398 gallons of toxic and hazardous materials being used, stored, generated and disposed of at Auto Diagnostics, 1336 Phinney's Lane,Hyannis,MA(Please see enclosed copy of the Toxic and Hazardous Materials On Site Inventory sheet). At that time you were given 30 days to obtain the hazardous materials permit. You are required to obtain the permit within seven(7)business days after receipt of this letter. Failure to comply will result in a non-criminal citation. A representative from the Public Health Division will re-visit your business during the next 30 days as a follow up to further advise you on your compliance. If you have any questions about these problems, the orders and recommendations, or you need further information, guidance or assistance,please do not hesitate to contact the Public Health Division. t r , Sincerely, Alisha L. Parker Hazardous Materials Specialist All orders to correct violations of Chapter 108 of the Town of Barnstable Ordinance: Hazardous Materials shall be completed upon receipt of this letter. f59 ma�s A. McKean,RS, CHO Director of Public Health Enc. December 18, 2006 Letter(copy) On-Site inventory(copy) Application thh V _ TOWN OF BARNSTABLE Date: 0-4 / �,�� vy,�p� � TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: /�T�-� 0 BUSINESS LOCATION: 3 INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: ID 7 21 " tAl!) Illy Ito-0 CONTACT PERSON: P rR ald, EMERGENCY CONTACT TELEPHONE NUMBER: C �I — �C�D—D MSDS ON SITE? TYPE OF BUSINESS: All D INFORMATION/RECOMMEN ATIONS: P111211i dull Fire District: f - c� Y,I'f t' ��t' Waste Transportation: Last shipment of hazardous.waste: -- Name of Haulers AJO Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Obs rved/Maximum Observed/Maximum Anti reeze (for gasoline or coolant systems) Misc. Corrosive NEW Ild USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides NEW 0 VUSED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ' NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED Any other products with."poison"-labels -- Paint &varnish removers, deglossers (including chloroform, formaldehyde, J 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 Date: % D -i 5 / TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY 9 NAME OF BUSINESS: BUSINESS LOCATION: 3 L J-2 1 L INVENTORY MAILING ADDRESS: 8d A©sC /3,12 , 1n jk ffl_L Milb 0042�11 TOTAL AMOUNT: TELEPHONE NUMBER: 1OR— -21 _ 1211 Q CONTACT PERSON: k" EMERGENCY CONTACT TELEPHONE NUMBER:_ 7,L 9!�7 — 11a et) er'�1'f MSDS ON SITE? TYPE OF BUSINESS: INFORMATION/RECOMMENDATIONS: Fire District: © c Waste Transportation: Last shipment of hazardous,waste: Name of Hauler: Zed Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic �S or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor & furniture strippers Other products not listed which you feel Metal polishes may be zar lease 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 r YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates(cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1"FL.,367 Main Street, Hyannis,MA 02601 (Town Hall) DATE:Id Fill in please: nn APPLICANT'S YOUR NAME: �o v�akk BUSINESSELE YOUR HOME ADDRESS�,J� sou FsY�/boaf/I r/c'[le PHDoggo Home Telephone Number NAME OF NEW BUSINI=SS a �L c` PE QF BUSIN.ESS IS THIS A HOME OCCUPATlQI11ti YES O �t Have ydu been given approval front �bui�d�lnod; � ion. YfS NO . A17DRES5(]F BUSINESS G v n MAP/PARCEL,NUMBER When starting anew business there are several things you must do in order to be in compliance with the r. ' P rules and regulations of the Town of Barnstable. This form is intended to assi st you in obtaining the information you may need. You MUST GO TO 20D Main St. - (corner of Yarmouth Rd.&Main Street) to make sure you have the appropriate permits and licenses required to legally y operate rate ou r business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has been informed of any permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 2. BOARD OF HEALTH This individual has e n infor e e per it requirements that pertain to this type of business. Authorized Signature** COMMENTS: o �P 4� ut i 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS- y` Town of Barnstable OF THE t Regulatory ervices Thomas F. Geiler,Director Public Health Division * BARNSTABLE, * Thomas McKean,Director 90� 63. 200 Main Street, Hyannis,MA 02601 ArFD MA'S A Phone: 508-862-4644 Email: health@town.bamstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 December 18, 2006 Mr. Ronald Bolduc Auto Diagnostics 1336 Phinney's Lane. Hyannis,MA 02601 Dear Mr.Bolduc: Thank you for your time and cooperation during the hazardous materials inventory and site visit at 1336 Phinney's Lane,Hyannis,MA. This letter contains information from that visit that will help you become compliant with Chapter 108 of the Town of Barnstable Ordinance: Hazardous Materials. Enclosed are a copy of the Toxic and Hazardous Materials On-Site Inventory form from the visit to your business, and a copy of a sample contingency plan. Please note the issues identified at your place of business during the hazardous materials inspection and their corresponding orders or recommendations listed below. Due to the opening of anew business,these issues-will be completed PROBLEM: • The new business will need to register for the 2006-2007 Hazardous Materials Permit. ORDER: • Please submit an application to obtain a Hazardous Materials Permit for 2006-2007. PROBLEM: • No contingency plan posted. ORDER: • A contingency plan shall be submitted with the application before issuance of the hazardous materials permit. (see enclosed example) PROBLEM: • No MSDS on site. ORDER: • Please obtain an MSDS for all products kept on site. RECOMMENDATIONS: • Once waste disposal begins,please maintain manifests on site with a signature and date of all waste removal. • Please obtain a spill kit for the facility in the event of an emergency. Its contents should include; speedy dry, gloves, absorbent pads, garbage bags, and a dust pan and broom minimally. • Ensure all waste containers are labeled properly with"Waste(Used) Oil", "Waste(Used) Antifreeze". • Store the waste drums on proper secondary containment. On Site Inventory Total The Toxic and Hazardous Materials On-Site Inventory from December 18, 2006 shows that you have approximately 398 gallons of toxic and hazardous materials being used, stored, generated and disposed of at Auto Diagnostics, 1336 Phinney's Lane, Hyannis,MA(Please see enclosed Toxic and Hazardous Materials On Site Inventory sheet). The Board of Health has determined that the using, storing, generating and disposing of over 111 gallons of hazardous materials per month requires businesses in the Town of Barnstable to obtain an annual Hazardous Materials License. This license should be purchased within the next 30 days from the Town of Barnstable Town Offices,200 Main Street,Hyannis,MA 02601. Please refer to the Town of Barnstable General Ordinance: Chapter 108, Section 6(A-H). A Contingency Plan must be submitted with your license application. Reviewing your contingency plan for hazardous materials spills and related emergencies (and its location throughout the store) is highly recommended at this time. A representative from the Public Health Division will re-visit your business during the next 30 days as a follow up to further advise you on your compliance. If you have any questions about these problems,the orders and recommendations, or you need further information, guidance or assistance,please do not hesitate to contact the Public Health Division. Sin erely, Alisha L. Parker Hazardous Materials Specialist All orders to correct violations of Chapter 108 of the Town of Barnstable Ordinance: Hazardous. Materials shall be completed upon receipt of this letter. Tho s . an,R , Director of Public Health Enc. On-Site Inventory(copy) Contingency Plan(copy) I�- b fx tt b a1 ern No. � 58Z Fee THE COKMONOEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZIpprication for Miopozar bpztem Conttructiou Permit Application for a Permit to Construct( . )Repair( )Upgrade( )Abandon(Yi/O Complete System O Individual Components Af Location Address or Lot No.1mw j?� Owner's Name,Address anj Tell.Ko., Assessor's Map/Parcel Installer's Name,Address,and T 1.No. % ,7)�_�J ,s Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been is y this B of 1 Signed a Date f, Application Approved by Date Application Disapproved for the following reasons Permit No. Zl�O 3— 2 Date Issued ZS 03 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS h Certificate of Compliance THIS IS TO CE that t On-site wage D' osal Stem Constructed( )Repaired( )Upgraded( ) Abandoned )by at has been construciphy accordance with the provisions of Title 5 d the for Disposal Sys m Construction Permit No. d3—571- dated ( S 3 Installer Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector No. �\ �/,Z Fee �e,, �a i THE COIIWiON4EALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZIPPficatibn for M000l *pgtem Cong;truce oh Permit - Application for a Permit to`Construct( )Repair( )Upgrade( j Abandon(YO Complete System D Individual Components Al Location Address or Lot No.f � Ow.neer's Name,Address and Tel. o. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. �j0�77S Designer's Name,Address and Tel.No. •C �4 t''e�r ?.fi f ' 1 • Type of Building: . ,- Dwelling ,.•No.ofBedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building - —No:-of Persons Showers( ) Cafeteria( ) Other Fixtures • Design Flow r - - gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title * -a. Size of Septic Tank " ""``TYpe of S.A.S. - s ,Description of Soil, Nature of Repairs or Alterations(Answer when applicable) Date last inspected: _. Agreement: k The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued � � o als Signed � 4/ Date ��.•�—'S Application Approved by (. a . Date Application Disapproved for the following reasons t_ i t Permit No. VO k:. _+ Date Issued /l 2 516 — --------------------------- THE` f— ---- -� ----- COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS ISS TO CE that t On-site wage D' osal Systeirt Constructed( )Repaired( )Upgraded( ) Abandoned( )by ./ 4 at / ifd14 4,,e has been construe d iglaccordance _» fi with the provisions of Title 5 d the for Disposal Syst m Construction Permit No. GC�G�?- � dated f ( 3 Installer Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector 2aQ � — ------------- ---------------- No. Fee r'. THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE} MASSACHUSETTS Mioozaf *Pztem Conotruction Permit Permission is hereby granted to Co tract( )Repair( )Upgrade,( )Abandon( 1 System located at Aet and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. 1 Provided:Construe on must be•completed within three years of the date of this pe it. Date: � � !� � U Approved by \ HYANNIS HONDA AUTO BODY 1336 Phinney's Lane sa000 P.O.Box 977 HYANNIS,MA 02601 + Accord • Civic • Pilot • CR-V• Odyssey• Element TOM GOULART Bus.Phone(508)771-1780 Body Shop Manager FAX(508)778-1750 te: -7 / ,S /09' TOWN OF N ABLE �• TOXIC AND HAZARDOUS MA ERIALS ON-SITE IN V NTORY NAME OF BUSINESS: a 6 BUSINESS LOCATION: ` P�l.c"y�vt �s C—R�n� INVENTORY MAILING ADDRESS: AD 6 °I`7-7 O Z6o 1 TOTAL AMOUNT- TELEPHONE NUMBER: '9 _ 0 'a 7'-?,S" e�oUAa-vi5 CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE?. TYPE OF BUSINESS: 6!9� 51 �. INFORMATION/RECOMMENDATIONS: Fire District: Gw'✓h4--*" 3 dl s — a.�,�1,�(�.ate,'crn 4-Ar� s�. Waste Transportation: LA Last shipment of hazardous.waste: (o Name of Hauler; estination: Waste Product: wca icensed? es 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) zeLl Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (HaliteV=C V 0U.A* Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides LW NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED tA 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 s Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, V Lacquer thinners (inc. carbon tetrachloride) (P.5 (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 rem overs&cleaning fluids (dry cleaners) zA Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS - �N Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS DBA: Xiphias Enterprises,Inc (Honda Body Shop) Fax Corp Name: Mailing Address Location: 1336 Phinney's Lane,Hyannis Street: 1336 Phinney's Lane mappar: City: Hyannis Contact: :Tom Goulart State: Ma Telephone: 508-771-1780 Zip: 02601 Emergency: Person Interviewed: "Fa Business Contact Letter Date: 7/1/2004 Category: Vehicle Maintenance Inventory Site Visit Date 7/8/2004 Type: Auto Body 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 - - ❑ on-site sewage ❑ indoor on-site syste ❑ outdoor onsite system date: ...... ........__............................. Second address: 860 West Main Street,Hyannis,02601 508-778-7888 compliance: incomplete ca :::Lj l 7-1 2-0�10 �� e4--._ v6WL7C S� 09,( '30) �� l.��t , vIJ w 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 descnptlon" qty „and of measure,.,,' _......_.__.......__..........__ __ ... __ 0 Waste Transpo er: Fire District: ;Hyannis Last HW Shipm t Date: 1(6 Waste Hauler Licensed: S Date: TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: )LIU441,01S 17 ,VbA ,0! BUSINESS LOCATION.: / H/ S L rtfE INVENTORY MAILING ADDRESS: 7 0. /36k 977 . 1 ti*N a)is 0 z.G0/ TOTAL AMOUNT: TELEPHONE NUMBER: CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: ��' ��' '51,f 77 TvH_0#°Hc MSDS ON SITE? TYPE OF BUSINESS: Au?y 302V 86-P.4f& / "S INFORMATION/RECOMMENDATIONS: B&zA MwAIRz- A-A/d Fire District: ylfA ?/FiiyT iPP-e-/S IN 5_,1'PZQ5iQAJ 6iLLi 5-Anr2Ad E (3ii n_,�sTil�C /44e.4 Yausr5 Ne o e3s0ZU&_b. T A--u v C011J77 JCl&-X_J Z AJ-h-,CJ ya s ram. All l�r eokM�ND�rrlc�,¢T MIS �rtic� Waste Transportation: Last shipment of hazardous.waste: Name of Hauler:Awv&hye,% E F_aoy�Destination: Waste Product: WA 27K PA-iAlT Licensed? Ces No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, ' storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) Misc. Corrosive NEW USED Cesspool cleaners 3 Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes 1'hi►.rTs y�r� Car waxes and polishes IM �-xP��SeoN'p�� Fertilizers Asphalt & roofing tar ROOK, � aur+nr PCB's ® � ND GktCFN tiuS ® Paints, varnishes, stains, dyes�u Other chlorinated hydrocarbons, - qq Laeq+w thinners 's o,vE - (inc. carbon tetrachloride) ---- . --- NEW USED g��Kr�s, Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, �- /Aj 13AY 5 ra2h4c• Misc. Flammables t5P"y C4,,t5 hydrochloric acid, other acids) Floor &furniture strippers Other products not listed which you feel Metal polishes may Ve oxic 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 ' V col BD occo � m 0 0 ,00 _ . . .......E ................_........:...... € E f€[ f € ....._.._.X._. _.. ...._................._..._......._____.......... ._._..........�...........�.... .... .� i 0 E i 3 1 j { I cc € I i ( 0000 E 01 asseet ,Date: TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SIT N�NTORY NAME OF BUSINESS: tfTk� BUSINESS LOCATION: U La�?2( INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: — MSDS ON SITE? TYPE OF BUSINESS: ffi JJ INFORMATION/RECOMMENDATIONS: Fire Dis rict: Waste ransportation: S Last shipment of hazardous waste: to Name of Hauler- ' Destination: Waste Product: Licensed?&3.s�)No NOTE: Under the pr visions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum _ Antifreeze (for gasoline or coolant systems) Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts(Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides NEW USED.. (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels Paint &varnish removers, deglossers (including 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 removersa-ul— - AID (including bleach) Spot removers &cleaning fluids (dry cleaners) ' Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS f b` OIL WASTE OIL OIL FILTERS ANTIFREEZE WASTE ANITFREEZE GASOLINE WASTE GAS DIESEL FUEL W UID ATF HYDRAULIC/ MISC. MISC. MISC. MISC. BRAKE FLUID COMMBUSTIBLE FLAMMABLE CORROSIVE PETROLEUM 2� f� (GEAR OIL/GREASE/ LUBRICANTS) FREON ACETYLENE CAR WASH CAR WASH /PAINTS/ WAX DETERGENTS fi HINNERS i3 a 1 �c o 95 SEALANT CLEANING BATTERIES/ POISION/TOXIC CAULK/GROUT SOLVENTS BATTERY ACID FERTALIZERS WASTESOLNENT MSDS Yes.*. x� MANIFESTS Town of Barnstable �ZIME A Regulatory Services 'b Thomas F. Geiler,Director yam? '� Ore► Public Health Division * BARNSTABLE, * Thomas McKean,Director R MASS. 200 Main Street, Hyannis,MA 02601 prfD MA'S a . Phone: 508-862-4644 Email: health(a)town bamstable ma us Fax: 508-790-6304 Office Hours: M-F 8:00—5:00 November 21,2006 Ms.Kathy Ryan - Sears Product Services _ • 1336 Phinney's Lane Hyannis, MA 02601 Dear Ms. Ryan: Thank you for your time and cooperation during the hazardous materials inventory and site visit at the Sears Product Service building on October 23, 2006. This letter contains information from that visit that will help you become compliant with Chapter 108 of the Town of Barnstable Code: Hazardous Materials. Enclosed is a copy of the Toxic and Hazardous Materials On-Site Inventory form from the visit to your business. Please note the observations identified at your place of business during the hazardous materials inspection and their corresponding recommendations listed below: OBSERVATIONS: • Spill kits are available on site and are readily accessible • Rag can with lid is on site and utilized • All fire extinguishers have been serviced • Facility is very clean and organized On Site Inventory Total The Toxic and Hazardous Materials On-Site Inventory from October 23, 2006 shows that you have approximately 199 gallons of toxic and hazardous materials being used, stored, generated and disposed of at the Sears Product Services, 1336 Phinney's Lane,Hyannis(Please see enclosed Toxic and Hazardous Materials On Site Inventory sheet). The Board of Health has determined that the using, storing, generating and disposing of over 111 gallons of hazardous materials per month requires businesses in the Town of Barnstable to obtain an annual Hazardous Materials License. This license has been obtained from the Town of Barnstable for the fiscal year 2006-2007 and will expire on June 30, 2007. Reviewing your contingency plan for hazardous materials spills and related emergencies(and its location throughout the store) is highly recommended at this time. If you have any questions about these problems, the orders and recommendations, or you need further information, guidance or assistance,please do not hesitate to contact the Public Health Division. Sincerely, 4Aislha L. Parker Hazardous Materials Specialist Enc. On-Site Inventory(copy) i�6 Number Fee 632 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that Sears #7223 (Product Service) Center) Route 1336 Phinneys Lane, 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 TRANSACTION CODES p/� p `, SEARS HOLDINGS 1.REGULAR INVOICE B.FREIGHT REMITTANCE ADVICE 33A ESTATESBEVERLY RD., L 2.OUR MEMO BILLS HOFFMAN ESTATES,IL 60179 3.YOUR MEMO 9.FRT.CUT 4.RETURNED GOODS DOWN IF THIS REMITTANCE APPEARS TO BE INCORRECT S.ERROR ON INVOICE WRITE AT ONCE TO OUR DEPARTMENT AT ADDRESS AT RIGHT MENTIONING THE CHECK NO.&DATE 6.TRANSPORTATION CHARGES 7.YOUR LETTER OR BAL DUE MO DAY YR C STORE NO. oFDAY E DOCUMENTNO. AMOUNT DEPT SUPPLEMENTAL INFORMATION 1 09952 6 5 6 1506 700 0 206 I � I � � I � I � I • I � � I ' I � I � � I I � I I 06/16/06 0777083 1 20000 000476317 DATE CONTROL NUMBER 589 CHECK NUMBER CHECK AMOUNT DUNS NO.(OR VENDOR NO.) Town of Barnstable 7 Regulatory Services Thomas F. Geiler, Director g Public' Health Division 3 16 98 A - te` �cc 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. 274-018 DATE 06/05/2006 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 1 1 1 GALLONS OF HAZARDOUS MATERIALS , FULL NAME OF APPLICANT Michael Olsen,Manager,Environmental Compliance,Sears,Roebuck and Co.. NAME OF ESTABLISHMENT Sears#7223 ADDRESS OF ESTABLISHMENT 1335 Phirineys Lane,Hyannis,MA 02601 TELEPHONE NUMBER508-790-4911 �= SOLE OWNER: 'YES ZNO IF APPLICANT IS A PARTNERSHIP, FULL NAME AND HOME ADDRESS.OF ALL PARTNERS: N/A IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.36-175-068o STATE OF INCORPORATION New York. FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER k. CLERK f. SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE # r F� EMERGENCY RESPONSE AND CONTINGENCY PLAN Business Name SEARS #7223 -Product Service Center ° Date June 5, 2006 Business Site Address 1336 Phinneys Lane, Hyannis, MA 02601 Business Owner Sears, Roebuck & Co. ` Owner Address 3333 Beverly Road, A2-262A, Hoffinan Estates, IL 60179 r. Owner Phone 847-286-8220 , Primary Contact Person Kathy Ryan, Service Center.Manager Business Phone 508-790-4911 a Spill Prevention: This facility stores and uses chemicals including but not limited to lead acid batteries(corrosives),misc. flammable materials,combustible liquids(motor oils and misc.petroleum products),and products that are irritants or that present other health hazards.Batteries are stored on a designated rack or on a shrink- wrapped pallet in a well-ventilated room away from drains and sources of electricity.Flammable materials not for retail sale are stored in a flammables cabinet.Used materials are.stored in properly labeled drums, and are also kept away from drains and sources of electricity. Labeling& Marking: Employees shall not label or mark waste containers: If a situation arises wherein employees are required to label and mark waste containers,only authorized labeling and marking materials,found in the Hazardous Materials Spill Kit,may be used. Spill& Leak Procedures: If the spill is larger than 1 gallon,do not attempt to clean it. 4Al • Call 911 in order to notify the local fire department(Hyannis Fire Department 508-775-1300) • Call the Sears Environmental Health Line(888-36877327)to report the spill: , • Notify Town of Barnstable Health Department within one hour of detection(508-862-4644). • Notify Massachusetts Department of Environmental Protection(888-304-1133) In the event of a spill or leak less than 1 gallon: • Immediate report the spill or leak to the supervisor. • Retrieve the Hazardous Materials Spill Kit. -' • Put on white safety gloves,green gloves,an apron and safety glasses.- Shut off any electrical equipment as appropriate. • Remove or restrict any potential ignition source from the area. • Block the flow of liquid„to any nearby drain using the spill boom provided in the Hazardous Material Spill Kit. • Sprinkle oil absorbent material on the affected area,work the absorbent into the material until it is solid enough'to cleanup using the dustpan and brush provided in your Hazardous Materials Spill Kit, WARNING: Do not use metal objects to clean this spill,,the generation of sparks could ignite vapors . from the spill. •« Place absorbed material,green_gloves'and apron in Sears authorized 5-gallon'pla"tic bucket and seal: ,• Return safety glasses,dustpan and-brush to the Hazardous Materials Spill Kit. Replace all us materials and ensure all equipment is in good working condition. 9 Remove and throw white safety-gloves into the garbage. • Wash hands with soap and water. r •' Refer to the Sears Waste Management Guide located in the Sears Environmental Operations Manual for additional instructions. • Notify the appropriate agencies and Sears corporate contacts as listed above. • Consult with housekeeping or maintenance for assistance with restoring surfaces after hazardous material cleanup is complete. - A log documenting any accidental spills shall be maintained at the facility. The log shall document how such spills were handled. The log also documents the inspection'results.and maintenance of emergency equipment. , Notification/Alarm Procedures: In the event of a fire or other emergency requiring off-site emergency response;the de signated_'emergency contacts will do the following: A. Call 911 in order to notify the local fire department(Hyannis Fire Department 508-775-1300) B. Notify Town of Barnstable Health Department within one hour of detection(508-862-4644) C. Notify Massachusetts Department of Environmental Protection(888-304-1133) Containment and Emergency Response Equipment The following equipment is available on site: Safety glasses . . White safety gloves { Green rubber gloves Chemical apron . Eye Wash . . ,. First Aid Kit Absorbents("Safety Sorbent") - Spill Boom Dustpan with Brushy Plastic bags 5 Gallon Safety Buckets Labels and Markers Fire Extinguishers Containment and emergency response equipment shall be.inspected'every three months by the facility manager. Employee Training Employees receive a training guide that covers the handling of hazardous materials,environmental management procedures and risks and hazards of each chemical in the workplace. New employees are trained on the proper storage and handling methods of hazardous materials using MSDS information and they are made aware of the location and content.of the facility emergency response plan during their orientation period. All employees are trained in the isolation of spills and how to prevent spilled materials from entering storm and sewer systems. In addition,employees are trained on the following topics:proper fitting and use of PPE;use of absorbent materials and neutralizers to control and clean up spills-and leaks; proper labeling,marking,disposal and recording of hazardous wastes; fire prevention and response; response to medical emergencies;evacuation and re-entry procedures. Annual refresher trainings are conducted,and safety meetings are held on an as needed basis. - Management personnel are trained in the following:procedures for internal alarms and on-site notification, rt procedures for agency notification off-site,emergency response,and evacuation notification. EMERGENCY RESPONSE AND CONTINGENCY PLAN Local Fire Department 911 or 508-775-1300 . Local Police Department 911 or 508-775-0387 Local Ambulance Service 911 or 508-778-6665. Town of Barnstable Health Department 508-862-4644_. Massachusetts Department of Environmental Protection 888-304-1133 Sears Environmental Health Line w 888-368-7327 F t r €� .,,.,,sH ,u .,;✓3.,, .,..,, :,. �oa.�ci3Q,e,. a.M,nc A . ,a�,",,.,,,. . s...,.v SO ��` '.�I'i& RIiiAYAC �4S9AP1lA�Fi�$tY9CE8 June 5, 2006 Michael Olsen Sears Roebuck& Co. 3333 Beverly Road A2-262A Hoffman Estates, IL 60179 RE: Hazardous Material Permit Applications Sears #2323—Auto Center, Cape Cod Mall,Rte. 132 It Sears#7223 ,Product Service Center, 1336 Phinneys.Lane A Hyannis;MA 02601 P Deat Mr. Olsen. a§ Based upon the Town of Barnstable Department of Public Health's hazardous materials reporting requirements, please find enelosWthe 2006 permit applications for the above- referenced sites. Please sign these applications where indicated and,forward, along with a permit fee check for$:IOO.00Ffor each permicappli&dfi6nIo,th0°fbflo wing Agency, no later than June 30;2006 Please make cheks payable fo Town'of Barnstable z � Town of Barnstable Public Health Division 200 Main Street Hyannis;MA 02`601 In'additiori;'the Public Health,Division will "return the`application to be posted at thee; storage facility. PShould you have any further questions or concerns, please do not hesitate to contact me - =- l= directly at(760) 602-8741. Sincerely, y; 3E OMPAN Alison C. Millard ^ Regulatory Compliance Coordinator B enc. e FIT, ON h porat� d�ju8rtrs �8280 Grrn>r1v, ti>fl 1Ex�e�yzrre6u�8.rd�1 ly'rt ?Jii,3 i9i Asti, `Awt�rum ?axCi.danj 2'it,02 ILtT�i 3fi ifl flK 73 �t ti9#A 11 �I2T198t�4 isQulsW,CA9260B T 76 G83 44flfl '- Ki t tN 76tsJ 7�4 7t�`Y2 i 70` t 760 602 OO F 7fl3 289; T 423 981219 R,44i 39.j5 82 6". 78UII2 SMt 1235 P �yies`..,�` �,,,..:a,.:��:„� ',.,,.M�z-5,. „, .,...' .,.. ..u: ..>;' s, ,>..i. .�„ rea•Pov.n, ..m_u�, �Il.�», ,u,,.. Y9��ht, ._w a z, ps�b,� .c,m?,e,,. . ,wd. ry;'�3 �. ate: I / A, /0 f TOWN OF BARNSTABLEo�j TOXIC AND HAZARDOUS MATERIALS ON-SI E INVENT RY NAME OF BUSINESS: � dGd BUSINESS LOCATION: l33(o Phi'AMU`S l ,l/Ipr YiGti.i' 'IJS INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: "529— I qo - /* CONTACT PERSON: KG: u' u4JA EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS:AM/l LP, -.17j�5 ---=- I INFORMATION/RECOMMENDATIONS: �� ®rd�i� �.e. �e itri5 all Fire District: D 0 L I T�lCYY15GJ� (Af 1 o Yl6 SfiDC� i li �l1`j�.1A'&ktr l D D�'9 I,ISe Y 1aGVt-�'S DA �`d� Df �� ec�V cue.e Waste Transportat'in: C� Last shipment of hazardous.waste: a0 Name of Hauler• Destination: Waste Product: Licensed? eD No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use,: storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. ' LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) _ Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) /E rh6lt Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides Rl) NEW USED (insecticides, herbicides, rodenticides) Gasoline, del, Avia4e+-,ems(,�Sed 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 4LBattery 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 y p "poison", n .ot er_ ro products with 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 5 - . (including bleach) Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS f i f n Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS DBA: Sears-Product Services Fax: ........... ... _._ Corp Name: Mailing Address A ...__..... ._........ ....... Location: 1336 Phinney's Lane,Lane Street: 1336 Phinney's Lane ......__.... .. ......._.... ......... mappar, City: Hyannis Contact: :Kathy Ryan State: MA Telephone: 508-790-4912 Zip: 02601' Emergency: Person Interviewed: Vicki Doolin .......................................................__......__.._..__... Business Contact Letter Date: Category: Miscellaneous Inventory.Site Visit Date: 12/15/2004 Type: Auto Body Follow Up/Inspection Date: 0 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: Waste oil,gas cans,compressor oil srered in 1 room compliance: w/ber. Drums were grounded,V.S.,oil Co.trades fresh for waste Satisfactory oil. 12/15/2004-alp-REMARKS:eyewash station not readily available, metal rags container full,oily rags found on floor and on top of barrels, . oil soaked box onto of barrel,puddle of gasoline waste left on lid of r:•,..: ;,:+: :,_ ,_,:; ,,.=' waste barrel,waste barrel not labled"toxic"or"hazardous waste", MS,DS are on site,used batteries found outside on.ground and not covered,fire ext not serviced near office.RECOMMENDATIONS: use absorbent to catch spills on lids of waste barrels,label all haz waste barrels"toxic"or"hazardous waste",keep gasoline lid closed on waste barrel at all times,emptyoil rag can regularly,eye wash station should be in working order,dispose of all batteries properly-keep inside,post :. contingency plan nearsatellight accumulation and gas and oil storage .,• ,. f room,empty propane cylinders should be stored away from the bldg c 3 and locked up.(spoke with barnstable fire dept.)fire ext.must be r r- serviced near office. Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ Zero Toxic Waste Materials ❑ gty's>25 lbs dry or 50 gals liquid but less than 111 gals ❑ gty's 111 gals or more motor oil 80gallons Used Gasolne j 55gallons Batteries ; 18.gallons 1� _ Detergent 82 gallons ___..___...._....____.___......_..__ ....... ..... .. household cleaners I 31gallons Ice Melt 2 gallons Misc.Corrosive ______V_..____v.__ _ _0.5gallons 1T degreasers for driveways and garages0.25 gallons _._._-----......_...._._.__..._.__.._.___._._..__ _ ........_......._..__... ...-_....___ Misc.Combustible 1gallons Misc.Flammable 0.25 gallons __. .........._.._-------- ______ ._ _...... ......._............. _--------_ Sealant 2.5;gallons misa petroleum products:grease,lubricants 8.5gall _....�____....._..........__._. ons �_____. 0: 0 Waste Transporter: :Safety Kleen' i -' Fire District: barnstable Last HW Shipment Date: 8/20/2004' W,aste,Hauler Licensed: Yes Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS ; . DBA: Sears-Product Services Fax. — Corp Name: Mailing Address .... Location: I1336 Phinney's Lane,Lane Street: 1336 Phinney's Lane .. .... . ._.. .......... .... ............ _ mappar: City: Hyannis \ Cenc 9 Yontact: E v� DOO l State: MAI- TY&elephone: Q ' Zip: 02601 j ' Y` R C \ mer : o Person Interviewed: \ U n Business Contact Letter Date: V_ ....... ....... __... _ Category: Miscellaneous Inventory Site Visit Date: 6� �T✓V" _.._ _ _ 3 Type: Auto Body Follow.Up/Inspection Date: R public water ❑ indoor floor drains ❑ outdoor surface drains licen required ❑ private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc ❑ currently licensed fa Eviown sewage ❑ indoor catch basin/drywell ❑ outdoor catch basin/drywell expir - - - ❑ on-site sewage ❑ indoor on-site syste ❑ outdoor onsite system date: .... ......................... REMARKS: Waste oil, as cans,compressor oil srered in 1 room g p compii nce: w/ber. Drums were grounded,V.S.,oil Co.trades fresh for waste oil. Satisfa tory tV),X1 a _ Q Vim,_ ��a 16� 1° p pan p b� /(9t --`Cjwr Sd �� ate. 9 ZC; Icy aQ q05 bo b n Ave - 44+ . �� ►�. pIZ O g j cc,rti 4I YIrn�CA� IZ i ✓ Il GJ-a z kw,-Ai'cki yeti t 1%JC ( G wvvt,� �nA r i cv�t o d G�'- o�i C�,ta�►P o w �:Q.im, ? 41P u I'- e. 1`� r� 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 � descnpton_ � unitof measure, ` motor oil 0 ............. _.._.___---- _... .._..�___..__._.._ new lacquer thinner 0 acquer thinners 500 gallons H Waste Transporter: Fire District: t' Last HW Shipment Date Waste Hauler Licensed: No ............ -0 \4.3 �y at a I o LAA a�ti - P � In. �S w�+ Icy, w� �(�CIG �� 6 I 4' �°r - Dil sbake.c't I. xvAboa�J C7r Oj Y9 -U - WA -h QMOX, i Nt WCO,W M—V1 bt YP- o,wgo� W- 4e i4p care o - - -N M 0� -� LV-tk^ CAS \l b- Vj lvtf u N.-f'�� [k - v� ,�t� t�c� ��u—zr5 ' c+ -fyX5-M • .� �,fib- �w� Sa�o.��t� V �. ? �.��--- -- 6� s �.� yit� r % 128 EIM Street Bridgewater, CIA 02324 Phone- 508-697-4667, Fox- 5080279-1452 ROTA% ) r��,�d�'- DATE AGES w/co er, ' t i - _......... �..�...- —- -- i12/15/2004 13:03 5082791452 SAFETY KLEEN PAGE 03 SVAO C3B5 HISTORY DETAIL 2004-12-15 P7 10.42.35 OUST NO: 0000-0489-16 DOCUMENT: 0026668339 SVC DATE. ZO 04 NAME: SEARS P/S SLSH: 7893 T�OCATION: 202203 IN`B FiTE: 09/23/04 ADDL REP: UPDATED: K70431. TOTAL: 642.50 SERVICE SERIAL ASSOCIATED DP /PROD /SAMPLE PART NUM UNIT CHARGE QUANTITY SALES AMOUNT CC TRM FT 00 3230 2.0000 TAX: .00 / TOT: .00 LOB: 24 MKT: PW STDPRC: .00 DO 3345 45.0000 2.0000 90.00 TAX: 4.50 J TOT: 94.50 LOB: 24 MKT: PW STDPRC: 43.00 00 3627 45.0000 2.0000 90.00 A'X:`� .00 1 TOT: 90.00 LOB: 35 MKT: PW STDPRC: 45.00 Op 22665 700107 890590 229.0000 2.0000 458.00 12 A-. .00 J TOT: 459.00 LOB: 24 MKT: PW STDPRC: P29.00 PFI=HELP P1"2=PREY PF3-EXIT PF5-RFSH PF7=5WD VFS-WD PFIO=PR.F,V DOC PFII=NEXT DOC P1522-FIRST DOC PF23-LAST DOC E f ' y12/15/2004 13: 03 5082791452 SAFETY KLEEN PAGE 02 SVAO C3B5 HISTORY DETAIL 2004-12-15 P7 C5 ,20 1G.43.26 CUST Nit 0000-0489-3.6 DOCUMENT: P001091975 SVC DATE: 0 - NAME: SEARS F S 7223 SLSM: 9604 LOCATION: 202203 Ta''1 BA ATE: 05121/04 ADDL REP: UPDATED: BRNW08 TOTAL: 50.DO SERVICE SERIAL ASSOCIATED pP /P SAMPLE PART NUM UNIT CHARGE QUANTITY SALES AMOUNT' GC TRM FT 00 66661 50,0000 1,2$.0000 50.00 52 T .00 / 'TOT: 50.00 LOB: 29 MKT: OR STDPAC: 50.00 PFI-KELP PF2=PREY PF3=EXIT PF5=RFSH PF7=BWD PF8=FWD PF10=PREV DOC PF11=NEXT DOC PF22=FIRST DOC PE'23^1,AST DOC �L r Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS DBA: Sears-Product Services Fax _.. Corp Name: Mailing Address Location: 1336 Phinney's Lane,Hyannis Street: 1336 Phinney's Lane mappar: City: Hyannis Contact: `.Kathy Ryan State: MA Telephone: 508-790-4912 Zip: 02601 Emergency: Person Interviewed: Vicki Doolin ..............._........_. Business Contact Letter Date: Category: Miscellaneous Inventory Site Visit Date: 12/15/2004 ......_..._..... ......... Type: .Auto Body Follow.Up/Inspection Date: 1/6/2005 public water ❑ indoor floor drains ❑ outdoor surface drains ❑d license required ❑ private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc ❑ currently licensed ❑d town sewage ❑ indoor catch basin/drywell ❑ outdoor catch basin/drywell expir - - - - - ❑ on-site sewage ❑ indoor on-site syste ❑ outdoor onsite system date: . ........................... ..._......_ REMARKS: Waste oil,gas cans,compressor oil srered in 1 room compliance:. w/ber. Drums were grounded,V.S.,oil Co.trades fresh for waste Satisfactory oil. 12/15/2004-alp-RE MARKS:eyewash station not readily available, metal rags container full,oily rags found on floor and on top of barrels, oil soaked box onto of barrel,puddle of gasoline waste left on lid of waste barrel,waste barrel not labled"toxic"or"hazardous waste", MSDS are on site,used batteries found outside on ground and not' covered,fire ext not serviced near office.RECOMMENDATIONS: use absorbent to catch spills,on lids of waste barrels,label all haz waste barrels"toxic"or"hazardous waste",keep gasoline lid closed on waste : barrel at all times,empty oil rag can regularly,eye wash station should be in working order,dispose of all batteries properly-keep inside,post contingency plan near satellight accumulation and gas and oil storage room,empty propane cylinders should be stored away from the bldg and locked up.(spoke with barnstable fire dept.)fire ext.must be serviced near office.1/6/05:-alp-follow up visit,lid on waste gasoline ' ' .." was closed,drums have been fabled,no batteries or empty gas cylinder „a,a : zr tanks found outside,eyewash station is accessible,all shop rags were in metal bin with the lid on tight,no contingency plan yet(responsibility of 3E).They are removing 3 55 gallon drums and 25 gallon drum of waste oil filters to remian under the 111 gallons per month. Will have to go and re-invnetorr f Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ Zero Toxic Waste Materials ❑ gty's>25 lbs dry or 50 gals liquid but less than 111 gals ❑ gty's 111 gals or more ' " umt�of measur°e descri ton motor oil 80 gallons _._......_...._...._. ._.__..._m__...___.__._____._..___._.__._....... _........._._.._....._...__—.__........................_..........._....... ._. Used Gasolne 55 gallons Batteries 18gallons — Detergent 82gallons .........._...__.__....__......._. ......_..._.._._.____........_...._..._.._..__._..__....._.............__._.._._.._ _.................___.................- ......._....._._.._...._.._.__.___._._.._.___...._.._._._.. household cleaners 3 allons Ice Melt _2gallons _ Misc.Corrosive 0.5 gallons degreasers for driveways and garages 0.25gallons __.._..._._.._.____.__._ ....___----._._.._..._.._. _._.._.___....._._._._.........__._._..._.._..___..__....._..___.. _.__..........._.......g..._......-__.........._._.........__..__.___..._.._...._._. Misc.Combustible 1 allons Misc.Flammable 0.25gallons ____.......___..._._.__ ___.....__._...F_.......... .........................._._..... ._........_._. Sealant _ 2.5gallons misc.petroleum products:grease,lubricants 8.5gallons �..--- ...... _. ._.....__._.._...._........__.._...___ 0 0 0 _ Waste Transporter: :Safety Kleen Fire'Distnct'«barri'table Last HW Shipment Date: 8/20/2004 Waste Hauler Licensed k'+ Yes l TOWN OF BARNSTABLE MPLIANCE: CLASS: 1.Marine,Gas Stations,Repair 2.Printers BOARD OF HEALTH satisfactory 3.Auto Body Shops O unsatisfactory- 4.Manufacturers (see"Orders") 5.Retail Stores COMPANY 6.Fuel Suppliers ADDRESS Class: 7.Miscellaneous 11 46&iJ6ES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR ERIALS in � / IN OUT IN OUT IN OUT #&gallons Age Test ` F is. I u GasoleeJet Fuel ( e p'W'~ Q4 -- Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) � new motor oil(C) transmission/hydraulic ,•� Synthetic Organics: degreasers Miscellgcneo s: t' �4 a4, A . 4/ �e_ L DISPOSAL/RECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply _ O Town Sewer OPublic O On-site OPrivate a 3.Indoor Floor Drains YES NO O Holding tank:MDC O Catch basin/Dry well O On-site system t. 4. Outdoor Surface drains:YES NO ORDERS. O Holding tank:MDC P^ O Catch basin/Dry well O On-site system 5.Waste Transporter , v nie of Hauler "W" j!ja ion License P 2. ��' IS Pe o s) Interviewed nspector Date • 'ILIANCE: CLASS: 1.Marine,Gas Stations,Repair i ��' ' !i • • Body Shops / r unsatisfactory-• • Stores Suppliers6.Fuel " • a / �' Miscellaneous Ila ILI)' VITITM018110mro•• • ' �' Case lots Drums Above Tanks Underground Tanks MEN SEEMEMEN E EMSEEMEMEN Niglio 1011011M WMA 1Delp of too WWII I Name of Hauler Destination Waste Product Licensed? ►mac Oro .. t n .,. TOWN- OF BARNSTABLE BAR_W 1137 Ordinance or Regulation .8 WARNING NOTICE /N Name of Offender/Manager �S P �—Seey/C6 Address of Offender /UC- �Cj MV/MB Reg.# Village/State/Zip PVA/y oVa( Business Name am/pm; on KVT9 a Business Address , ignature of orcirkg Officer Village/State/Zip Location of Offense J© E orcinnj�g ep/`t}J/DDi`vision Offense I �C t /8 7Z�F ! LLY�V(�V Facts A Eng m �' ` v This will serve .onl as a .w.arnin At this ':tim no 'le al action has. been t Y g g ak s *;: It it ' the goal of. : Town' agencies: to achieve :.voluntary . compliance . of ':Town Ordinance s,.,2ules and Regulations. Education efforts and warning notices, are attempts'. to: gain voluntary compliance. Subsequent violations 'wi1L result in appropriate legal action by the Town. TOWN OF BARNSTABLE BAR-W 1137 d Ordinanc_e, or Regulation 1 l V t � WARNING NOTICE W Name of` Offender/Manager � � , � - .. Address Hof Offender �. . �� YN6V ! MV/MB Reg.# VAlage-/State/Zip Vk"flN1\3 � tom.•? (./1 Business Name , am/pm, on 19 Business Address ,'t S'nature of Enforcing Officer Village/State/Zip f ` Location of Offense. SA Me, T . G o Eriforcing Ap prt/Divisionell �� Offense I �f, 1 � / ,{ icz— Np-� ('t , Facts filo OF S/� This will serve only: as a. warnin At. this." time .no le al: "action has been tak n'! * gg It is the ;goal; ; of. Town agencies *fo achieve . voluntary compliance of Town h Ord nances, ,Rules� and- Regulat bns Education efforts and'.warning notices are " ,Fv.: , attempts to. `gairi voluntary .compliance Subsequent .violations will result in appropriate-`legal- action by the,To n 'S _. „ .�... ... . . __.., .... ._ ... .,.". ..,..... ... .. TOWN OF BARNSTABLE BAR-W 1137 " r Ordinance or Regulation r Name of ;Offender/Manager _ : y �� , Address of Offender w ( , MV/MB Reg.# Vi\llageYState/Zip V 3 + MIA � _�t� �h V+�..�� Business Name �w� am/pm; on 19 Business Address w- ". .. d3 Pfi " t .. , S`i:gnature of Enforcing Officer Village/State/Zip Location of Offense _,. )P . Enforcing iDept/Divisiony Offense Facts t '.� �, f, /i ° '�� f� '��f R [[J � � � 1 �.s xw..+�L✓;�`+w it'i ` °'.! ��1 b"t �F'�� 6. � c; }fgy This will..serve only .as a warning.. At this time' no legal action has been/tak-... It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances;, Rules'- :and Regulations. Education efforts and warning notices are p attempts to gain voluntary compliance.. Subsequent violations will result in appropriate legal action' by the Town. Town of Barnstable QF�THET Regulatory Services Thomas F. Geiler,Director Public Health Division COP"� susri3 Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 f,�'OrE��Mp2l A.d Phone: 508-862-4644 Email: healthAtown.barnstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 March 10,2005 Ms.Kathy Ryan Sears Product Services 1336 Phinney's Lane Hyannis,MA 02601 Dear Ms.Ryan: Enclosed you will find the Emergency:Response and Contingency Plan that was submitted for the, :'. business located at Phinney's Lane,Hyannis;MA. Please postthis plan in the appropriate areas• throughout the facility to ensure all associates have access to and.understand these procedures. Please refer to the Town of Barnstable General Ordinance: Article 39, Section 6-5 (A-B-C-D'-E) regarding the Contingency Plan. If you have any questions,please do not hesitate to contact the Public Health Division. Sincerely, Alisha L. Parker Hazardous Materials Specialist Enc. Emergency Response and Contingency Plan(copy) EMERGENCY RESPONSE AND CONTINGENCY PLAN Business Name SEARS 97223 —Product Service Center Date; January 25, 2005 ' Business Site Address 1335 Phinneys Lane, Hyannis, MA 02601 ' Business Owner Sears, Roebuck & Co. Owner'Address 3333 Beverly Road, A2-238A, Hoffman Estates, IL 60179 Owner Phone 847-286-8220 Primary Contact Person Kathy R Business Phone 508-790-4911 Spill Prevention: This facility stores and uses chemicals including but not limited to lead acid batteries(corrosives),misc. flammable materials,combustible liquids(motor oils and misc.petroleum products),and products that are irritants or that present other health hazards. Batteries are stored on a designated rack or on a shrink- wrapped pallet in a well-ventilated room away from drains and sources of electricity. Flammable materials not for retail sale are stored in a flammables cabinet. Used materials are stored in properly labeled drums, and are also kept away from drains and sources of electricity. Labeling & Marking: Employees shall not label or mark waste containers. If a situation arises wherein employees are required to label and mark waste containers,only authorized labeling and marking materials,found in the Hazardous Materials Spill Kit,may be used. Spill & Leak Procedures: If the spill is larger than 1 gallon,do not attempt to clean it. •' Call 911 in order to notify the local fire department(Hyannis Fire Department 508-775-1300) • Call the Sears Environmental Health Line(888-368-7327)to report the spill. • Notify Town of Barnstable Health Department within one hour of detection(508-862-4644) • Notify Massachusetts Department of Environmental Protection(888-304-1133) In the event of a spill or leak less than 1 gallon: • Immediate report-the spill or leak to the supervisor.' • Retrieve the Hazardous Materials Spill Kit. • Put on white safety gloves,green gloves,an apron and safety glasses. • Shut off any electrical equipment as appropriate. • Remove or restrict any potential ignition source from the area. • Block the flow of liquid to any nearby drain using the spill boom provided in the Hazardous Material Spill Kit. • Sprinkle oil absorbent material on the affected area,work the absorbent into the material until it is solid enough to clean up using the dustpan and brush provided in your Hazardous Materials Spill Kit. WARNING: Do not use metal objects to clean this spill,the generation of sparks could ignite vapors from the spill. • Place absorbed material,green gloves and apron in Sears authorized 5-gallon plastic bucket and seal. ' • Return safety glasses, dustpan and brush to the Hazardous Materials Spill Kit. Replace'all used materials and ensure all equipment is in good working condition. • Remove and throw white safety gloves into the garbage. • Wash hands with soap and water. • Refer to the Sears Waste Management Guide located in the Sears,Environmental Operations Manual for additional instructions. • Notify the appropriate agencies and Sears corporate contacts as listed above. • Consult with housekeeping or maintenance for assistance with restoring surfaces after hazardous material cleanup is complete. A log documenting any accidental spills shall be maintained at the facility. The log shall document how such spills were handled. The log also documents the inspection results and maintenance of emergency equipment. f Notification/Alarm Procedures: In the event of a fire or other emergency requiring off-site emergency response,the designated emergency contacts will do the following: A. Call 911 in order to notify the local fire department(Hyannis Fire Department 508-775-1300) B. Notify Town of Barnstable Health Department within one hour of detection(508-862-4644) C. Notify Massachusetts Department of Environmental Protection(888-304-1133) Containment and Emergency Response Equipment The following equipment is available on site: Safety glasses White safety gloves Green rubber gloves Chemical apron Eye Wash First Aid Kit ; Absorbents("Safety Sorbent") Spill Boom Dustpan with Brush Plastic bags' 5 Gallon Safety Buckets Labels and Markers Fire Extinguishers - Containment and emergency response equipment shall be inspected every three months by the facility manager. Employee Training Employees receive a training guide that covers the handling of hazardous materials,environmental management procedures and risks and hazards of each chemical in the workplace..New employees are trained on the proper storage and handling methods of hazardous materials using MSDS information and they are made aware of the location and content of the facility emergency response plan during their orientation period: All employees are trained in the isolation of spills and how to prevent spilled materials from entering storm and sewer systems. In addition,employees are trained on the following topics:proper fitting and use of PPE;use of absorbent materials and neutralizers to control and clean up spills and leaks; proper labeling,marking,disposal and recording of hazardous wastes; fire prevention and response; response to medical emergencies;evacuation and re-entry procedures. Annual refresher trainings are conducted,and safety meetings are held on an as needed basis. Management personnel are trained in the following:procedures for internal alarms and on-site notification, procedures for agency notification off-site,emergency response,and evacuation notification. EMERGENCY RESPONSE AND CONTINGENCY PLAN Local Fire Department 911 or 508-775-1300 Local Police Department 911 or 508-775-0387 Local Ambulance Service 911 or 508-778-6665 Town of Barnstable Health Department .508-862-4644 Massachusetts Department of Environmental Protection 888-304-1133 ` Sears Environmental Health Line '888-368-7327 f = Town of Barnstable P�pIME do , Regulatory Services- - U. � Thomas F. GeHer,Director BARNSrABLE• - . 9 MASS. a Public Health Division ,639, �w r �� Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 " Office: 508-862-4644 Fax: 508-790-6304 'Application 176e: $100.00 ASSESSORS MAP AND PARCEL NO. DATE 1/25/05 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT Nadine Lajeune NAME OF ESTABLISHMENT Sears#7223 (Product Service Center) ADDRESS OF ESTABLISHMENT 1336 Phinneys.Lane,Hyannis,MA TELEPHONE NUMBER(508)790-4911 SOLE OWNER: YES X NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: N/A IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION No.36-175-0680 STATE OF INCORPORATION'New York FULL NAME AND HOME ADDRESS OF: ' PRESIDENT Nadine Lajeune-Manager,Hazardous Materials&Environmental(Corporate) TREASURER N/A CLERK N/A SIGNA URE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE # - Fa ' t ?+> 1 y t �' :a r i i a �z r " t r. ` -� `r A �.Nu00h .-- ' 4 x -' t l Fee r T 9 -///{��. , ^.r r _TIR OF e C C/yam C C ,L r t. a° .Y ,Q ft c .r T .y 'T' - _ - - -�{QQ. .s .s s _ ti T'j -�- +S. P r' _ - - w i- `-.�, t - _; S -t.y a .D 6s ` y Y L 3} _ }f ` _ _.t _ - - '4 _ oa+vn o `Ea� sa �e _ - 1. _ _ t �11 _ _ : - �3oar of # ealh::� Y �` '.-- 1. 1 ♦ 5 t i j _ ,:. y _ . .; . . -_._ _ - - - r . , - 1"i Is AA tcKiod.It haX ears# 22 xoduet I Qrvice.�enter _ v. ', .ti,+-' r} _. _r -ram - a} .c.r< _ _ 4._ _ - r- - �: Nt } _ r.: Y �� 't - � - '� x d a Route1. . _ htni� sl1�11I. 0I!0o -. ' , - S _. _ t ., .t, w r L, e.�;# - ��` `�_ x ...r_ ti ,H. granteda icons - - - - x7. s .� - �± y PTO�I. �+ 3 NDti'INC� 'i'-CA Lt�N aR Of E.Of i p tJ 'MATERI , - , Q� : rn'ti��i,.. 1 rA .3. " l,- M_ �Q►11, - .1 - v n '' h �_ - _,.""�'"c;`_-'."� "-.�-C_..^j. � ..'ter -a. ..�_�.�."•-.7.,�. :-. -i, .}.s.— r �- y}. _ t a.� 1 -_ "4 �iL / a s '' ? ;:Thisicernse is rttt coornu wif the Stat e ' nd ordin ces'reatin there#o`and r. - +�I; ul+ ty` h. S an g t x. . 2•a� �. Y -' s_ ,aj4 fires. -J Tie 30='2005 um,6W-'soo i6j tits e4&d_of f e o>ced =x -.~ice." x~'T ,,.r y-ice 9= 7 ••__F3�.�P ryr. ,I:r _ ,i -v'._ + - - - - - 1, i - W. < t y,- = •> _ - Y9+ .ems e ti x t - - r - A'7. '`�t ` a ,l :St1SAN�a RA 15,R.S. .. L T Ct' ` t� c -Lam- `^`,t ,-1 i :+ t~ - a' - 1. `• y e '> - 'y, .j .r ,p s_ •c `" '' 1NG1Y d1AtL—t .D: ;CHAIRMAN r F „F.Fan at 25,2t 0 _ = si►MNER,kA6�ng�AN r��.H., 1. ` --�-•- ` } :- -,.,'�``° n �, tit i 2 t ��:y._,�+, �i- - r>w u -1 _i j, ,�"'� ',r.. , _ :`1. ' �} Y ' L •`„j: ',.MCKE4IY;R.S yc - TlfQMA�a`A t.' A _ D11EGfOF Of:Pd�bllc f{9�Itf} ` _ ; -s - _\ to _scar �+ ~ t - `} = a >, t r'_ - -� �� - 4 -q.. S .Z - i } - M . _ '_. 'fir __ .kI,I,,I"' v - a r ^'x}L d -v + -- r - - -4 ., Town of Barnstable, °FZHE ti Regulatory Services ��°� Thomas F. Geiler,Director ( �I BARNS'CA6LE,I") Public Health Division Thomas McKean,Director l(' 200 Main Street, Hyannis, MA 02601 Office: 508-862-4044 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE 9/19/05 .:APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE-MORE.- THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT Nadine Lajeune NAME OF ESTABLISHMENT Sears#7223 (Product Service Center) ADDRESS OF ESTABLISHMENT 1336 Phinneys Lane,Hyannis;MA - i TELEPHONE NUMBER(508)790-4911 !� SOLE OW NEW _YES..XmNO—._._._._."� IF,APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRES&0F ALL—: PARTNERS: _ .f N/A IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.36-175-0680 STATE OF INCORPORATION New York FULL NAME AND•HOME ADDRESS OF: ' PRESIDENTNadine Lajeune-Manager,Hazardous Materials&Environmental(Corporate) f TREASURER N/A ,CLERK N/A ' ' 1{200", Ii? i. SIGN TUBE OF APPLICANT `RESTRICTIONS: HOME ADDRESS � HOME TELEPHONE # EMERGENCY RESPONSE AND CONTINGENCY PLAN - Business Name SEARS #7223 —Product Service Center Date September 19, 2005 Business Site Address 1335 Phinneys Lane, Hyannis, MA 02601 Business Owner Sears, Roebuck & Co. Owner Address 3333 Beverly Road, A2-238A, Hoffman Estates, IL 60179 Owner Phone 847-286-8220 Primary Contact Person Kathy Rom, Business Phone 508-790-4911 Spill Prevention: y This facility stores and uses chemicals including but not limited to lead acid batteries(corrosives), misc. flammable materials,combustible liquids(motor oils and misc.petroleum products), and products that are irritants or that present other health hazards. Batteries are stored on a designated rack or on a shrink- wrapped pallet in a well-ventilated room away from drains and sources of electricity. Flammable materials not for retail sale are stored in a flammables cabinet. Used materials are stored in properly labeled drums, and are also kept away from drains and sources of electricity. Labeling & Marking: Employees shall not label or mark waste containers. If a situation arises wherein employees are required to label and mark waste containers,only authorized labeling and marking materials, found in the Hazardous Materials Spill Kit,may be used. Spill & Leak Procedures: f If the spill is larger than 1 gallon,do not attempt to clean it. • Call 911 in order to notify the local fire department(Hyannis Fire Department 508-775-1300) • Call the Sears Environmental Health Line(888-368-7327)to report the spill. • Notify Town of Barnstable Health Department within one hour of detection(508-862-4644) • Notify Massachusetts Department of Environmental Protection(888-304-1133). In the event of a spill or leak less than 1 gallon: • Immediate report the spill or leak to the supervisor. • Retrieve the Hazardous Materials Spill Kit. • Put on white safety gloves,green gloves,an apron and safety glasses. • Shut off any electrical equipment as appropriate. • Remove or restrict any potential ignition source from the area. • Block the flow of liquid to any nearby drain using the spill boom provided in the Hazardous Material Spill Kit. • Sprinkle oil absorbent material on the affected area,work the absorbent into the material until it is solid enough to clean up using the dustpan and brush provided in your Hazardous Materials Spill Kit. WARNING: Do not use metal objects to clean this spill,the generation of sparks could ignite vapors . from the spill. • Place absorbed material, green gloves and apron in Sears authorized,5-gallon plastic bucket and seal. • Return safety glasses,dustpan and brush to the Hazardous Materials Spill Kit. Replace all used materials and ensure all equipment is in good working condition. • Remove and throw white safety gloves into the garbage. • Wash hands with soap and water. Refer to the Sears Waste Management Guide located in the Sears Environmental Operations Manual for additional instructions. • Notify the appropriate agencies and Sears corporate contacts as listed above. • Consult with housekeeping or maintenance for assistance with restoring surfaces after hazardous material cleanup is complete. A log documenting any accidental spills shall be maintained at the facility. The log shall document how such spills were handled. The log also documents the inspection results and maintenance of emergency equipment. Notification/Alarm Procedures: In the event of a fire or other emergency requiring off-site emergency response,the designated emergency. contacts will do the following: A. Call 911 in order to notify the local fire department(Hyannis Fire Department 508-775-1300) B. Notify Town of Barnstable Health Department within one hour of detection(508-862-4644) C. Notify Massachusetts Department of Environmental Protection(888-304-1133) Containment and Emergency Response Equipment The following equipment is available on site: Safety glasses White safety gloves Green rubber gloves Chemical apron Eye Wash First Aid Kit Absorbents("Safety Sorbent") Spill Boom Dustpan with Brush Plastic bags - 5 Gallon Safety Buckets Labels and Markers Fire Extinguishers ' Containment and emergency response equipment shall be inspected every three months by the facility manager. ' Employee Training Employees receive a training guide that covers the handling of hazardous materials, environmental' management.procedures and risks and hazards of each chemical in the morkp'lace. New employees are' trained on the proper storage and handling methods of hazardous materials using MSDS information and they are made aware of the location and content of the facility emergency response plan during their orientation period. All employees are trained in the isolation of spills and how to prevent spilled materials from entering storm and sewer systems: In addition,employees are trained on the following topics:proper fitting and use of PPE;use of absorbent materials and neutralizers to control and clean up spills and leaks;' proper labeling,marking,disposal and recording of hazardous wastes; fire prevention and response; response to medical emergencies;evacuation and re-entry procedures. Annual refresher trainings are conducted, and safety meetings are held on an as needed basis. Management personnel are trained in the following:procedures for internal alarms and on-site notification, procedures for agency notification off-site, emergency response, and evacuation notification. r EMERGENCY RESPONSE AND CONTINGENCY PLAN Local Fire Department 911 or 508-775-1300 Local Police Department 911 or 508-775-0387 Local Ambulance Service 911 or 508-778-6665 Town of Barnstable Health Department 508-862-4644 Massachusetts Department of Environmental Protection 888-304-1133' Sears Environmental Health Line 888-368-7327 E • I ITown of Barnstable Regulatory L/ g ory SeI-v�ces � Thomas F.Geilcr,Director ` Public Health Division ok OLA Thomas McKean,Director M ' 200 Main Street, Hyannis,MA 02601 /, $•'L Office: 508-962-4644 Fax: 508-790-6304 Application Foe:$100.00 ASSESSORS MAP AND PARCEL NO. DATE o l l I 1 d PL CATIO I OR PE T STORE ANA/O U IZ .III, ;ALL0N$,QrHAzARjpouSMATERL4LS FULL NAME OF APPLICANT u l Pl4 I l9 S L"'AJ I(:4 Pk l 3C;S 1 Iv L. NAME OF ESTABLISHMENT l4'1 A tJ IJ I S d W b ll [S o Lb Y SI4 D p ADDRESS OF ESTABLISHMENT 3 3 Ply I N N y L/9 n1 L+ /4\IA.N.lU I TELEPDONE NUMER D D 771 17 g d ,SOLE OWNER: x/YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME PARTNERS: ADDRESS OF ALL IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. ,gTATE OF INCORI'oRATION M 176 S (2 -1!) FULL NAP+dE n HOME AD RI PRESIDENT ISL 'Ii� J-1 ' DO u��ti1 PD s30 S( �1 '77 /�`l/� nPl�l!� NA I)aGO l TREASURER - — CLERK SIG NATME OF 110WX6RESTRICTIONS: HOME ADDRESSIPI L14 ts NA HOME TELEPHONE -h A N 4 ou_3'11 Hnzdoc/wplq Number Fee 148 THE COMMONWEALTH OF MASSACHUSETTS $100.0o Town of Barnstable Board of Health This is to Certify that Hyannis Auto Body 332 Falmouth Rd., 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, 2005 unless sooner suspended or revoked. ---------------------------------------- SUSAN G.RASK,R.S. WAYNE MILLER,M.D.,CHAIRMAN August 18, 2004 SUMNER KAUFMAN,M.S.P.H. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Date: TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: 3E11A25 1-?12 1&eC7- BUSINESS LOCATION: / 33(� �N/.+1�(/t�rS Z-,O, Yy s INVENTORY MAILING ADDRESS: /f5 Ae°v TOTAL AMOUNT: TELEPHONE NUMBER: _� Da 790 � CONTACT PERSON: Elf" (!"ELtZ) EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: 14ferX/4- .S/t LE5 SAe,14C CN41�c lzo� oF! citirjr //'o INFORMATION/RECOMMENDATIONS: eeAlfw6tIJ_�Z PL,22 �� Fire District: 56/44 Kir 6 t C a,-) s/rF. .16 le4coA7 A 0fA.u,r 6IY st56Lv&;0 8 A AJA)I s s� TAG�LiT`1 7a O,P r'i IA) a l4� -cam/% Z-1GENSC61/'l�cicA-7-70,LJ LC,— 01j S/ T�' I3u2iy� 11J5Aee_noA )I-*'i4A?_h2poU5 ( )h57'E- -5TLP-46L iE�ZE✓E��RoOK rZ) OC L-/ 664-&b 45 s Waste Transportation: Last shipment of hazardous waste�: Name of Hauler- S4F � -NE Destination: .,S ��%�� UA?A v5f,1J 4- Waste Product: U/fS'W J1SOL'A'E K1h5' '`- Licensed Ye No NOTE: Under the provisions of Ch. 111 , Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid autiDs Disinfectants c �C2T Engine and radiator flushes �� Road Salts (Halite) L '� r Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides /s NEW -3O USED (insecticides, herbicides, rodenticides) 'f Gasoline, Jet fuel, Aviation asiFA51-r �K 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 /4f OL6 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): �y /Po � 7 Laundry soil & stain removers Spot removers &cleaning fluids (dry cleaners) i Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Date: A TOWN OF BARNSTA LE (ireIN - J TOXIC AND HAZARDOUS MATERIALS ON-SIT VENTORY NAME OF BUSINESS: barQ 'PwAa 4,7�xyl CP/S BUSINESS LOCATION: j2hi,t� A;11 (slap. -i ,i4A44 INVENTORY MAILING ADDRESS: it 0 ''�1 TOTAL AMOUNT: TELEPHONE NUMBER: CONTACT PERSON: EMERGENCY CONTACT TELEP NE UMBER: MSDS ON SITE? TYPE OF BUSINESS: - I ` S—p SQ fPd__, INFORMATION/RECOMMENDATIONS: Fire District: Ski - Waste Transportatio Last shipment of hazardous waste: Name of Hauler-( � Destination: — Waste Product: Zd Ij Licensed Yes No NOTE: Under the pro isions of Ch. 111, Section 31, of the Gene aws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. I UST OF TOXIC AND HAZARDOUS MATERIALS i I, The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides G _a NEW % USED (insecticides, herbicides, rodenticides) 15 Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED 6 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 I Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels Paint &varnish removers, deglossers (including 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 OIL WASTE OIL OIL FILTERS ANTIFREEZE WASTE ANITFREEZE cf-) ASOLINE WASTE GAS DIESEL FUEL W/W FLUID ATF r15 �3ro 30 �b HYDRAULIC/ MISC. MISC. MISC. MISC. BRAKE FLUID COMMBUSTIBLE FLAMMABLE CORROSIVE PETROLEUM I _ (GEAR OIL/GREASE/ LUBRICANTS) I � FREON ACETYLENE CAR WASH CAR WASH PAINTS/ WAX DETERGENTS THINNERS SEALANT CLEANING BATTERIES/ POISION/TOXIC CAULK/GROUT SOLVENTS BATTERY / ACID D oZ FERTALIZERS WASTE SOLVENT �� , MSDS 3 MANIFESTS Sa 813IN d"w 6ts b P SIR 1(3 Kqc r, )-did Town of Barnstable �t T Regulatory Services Thomas F. Geiler,Director d� + sARNSfABLE, • • • • • r 9 Public Health Division fn Mop°i�� Thomas McKean, Director . 200 Main Street, Hyannis,MA 02601 ' Office: 508-862-4644 _ _ Fax:�508 790 6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE r r � APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT u 1 P�� r L N i � c 5 J nJ L NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT /336 P14)N n1 E` I� CANS 1jgAm N!� N P Oaf 0r TELEPHONE NUMBER 5 b$ 77 7$d SOLE OWNER: AYES 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 N Y�SS A C al 6�i iS FULL NAME AND HOME ADDRESS OF: PRESIDENT GDD �W►,,3 PD t��X q q7 /4qA 0jjS M/) 0abol TREASURER CLERK '�A�SIGNATURE OF APPLICANT RESTRICTIONS: HOME A RESS HOME TELEPHONE# Haz.doc/wp/q r, T F BARNSTABLE COMPLIANCE: 1.Marine Gas Stations We pair OWN O cLAss. , p satisfactory 2.Printers BOARD OF HEALTH 13.3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANYWq��W' -A a (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS Class: _� 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test r Fuels: Gasoline,Jet Fuel(A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil(C) transmission/hydraulic Synthetic Organics: ,f degreasers ti Miscellaneous: a-SS� X We w 4%,,,-u Ka— %s�" K rid sZztiy�lca-wf 's 7c, 1 DISPOSAL/RECLAMATION REMARKS: Cvy�,tdG M 1. Sanitary Sewage 2.Water Supply (9S • e . Pa)� 0i r'e�".oU // O Town Sewer OPublic M_I �,,,� XOn-site OPrivate 3 1 rye Z 3. Indoor Floor Drains YES NO X O Holding tank:MDC 0acne `�" fi C✓'ret'�"" �a lea( C G O Catch basin/Dry well A s 0I s et,J r* To it c, G 4if 6C, dox4 e 7-A' O On-site system i a(y -Ate-2 r l 4. Outdoor Surface drains:YES_,� NO 6RDER O Holding tank:MDC .:�6 v O Catch basin/Dry well XOn-site system 5.Waste Transporter Name of Hauler 1 • ' old , NO 1. G c..��trs 7 Md tv. pa-4, -y- 2. VJet, 1 9 144�Z.9- Person(s) Interviewed Inspector Date TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH O satisfactory 2.Printers 3.Auto Body Shops j unsatisfactory- 4.Manufacturers COMPANY �004 'b (see"Orders") 5.Retail Stores Q 6.Fuel Suppliers ADDRESS / Fla'SS: 7.Miscellaneous (�Aef8ft_6 QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR TERIALSoveUnderground Tanks 1, IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: 22 L i DISPOSAIJRECI.AMATION REM#RK :&jff I � 1. Sanitary Sewage 2. 'Water Supply ON �� r O Town Sewer Public On-site OPri .ate OStj A 5? 900Zjd_ 1f*A1r-j-' 3. door Floor Drains YES NO'Ik Holding tank:MDC C Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDE O Holding tank:MDC (�� J O Catch basin/Dry well O On-site system / 5.Waste Transporter PUMPED 1�&ffl I Name of Hauler Destination Waste Product YE 7�,7-1 1. 0 6f, &IAL�'C__LWAS-7� 2. Person (s) n e ewed Inspedo a e TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: ri �Mall To: BUSINESS LOCATION: Board of Health MAILING ADDRESS: Town of Barnstable P.O. Box 534 : TELEPHONE NUMBER: C 121l O Hyannis, MA 02601 , CONTACT PERSON: - uf EMERGENCY CONTACT TELEPHONE NUMBER: Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO I This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: �✓ - TELEPHONE: / 2 LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store: Quantity/Case Quantity/Case Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels- Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) M A�-G( l DATA �,. blI , l �0� '6t :�_. PRESS HARD-YOU ARE WRITING THROUGH EIGHT COPIES.SEE REVERSE SIDE FOR.DIRECTIONS- e•. -COMMONWEALTH OF MASSACHUSETTS- DEPARTMENT OF ENVIRONMENTAL PROTECTION DIVISION OF HAZARDOUS WASTE-., One Winter Street P Boston, Massachusetts 02108 ` Pieese print or type.(Form designed for use on elite(12-pitch) writer.) rt UNIFOOtM-HAZARDOUS 1.Generator US EPA ID No. Manifest P 811, Information inthe shaded areas WASTE P AWIFEST �Do uf�n ut .soS,�epuired by Federal law. S.Generator%Name and Mailing Address A.State RHonlfont Document iUttr�i6et ——' �o MA M+fZ5305 � S to .IQ > .=GorioieiornPhonewl ft - 6:Transporter 1 Company Name, 8, US EPA ID Wumber C.Strttp trnn J.it➢ t A t?ttfbifAiat 2 Co!*n Aleftr� 6 m r8 ,. USfPAiD 4 umbe�� D.Trcriepgr4or's Prt (4� �C tote rang. _ ;U .,Designate -Fbcility Name and Site.Address-•• 10. •US EPA ID Number,, -�.__I 4renoaorto►'s Phone f r vtr _ - - wry, 9 :i ='9 - ' .� .•, Q.Stm6FWHty'0D Atneglaired !� F t� �i 4 0f.tiarility'v Phano fa1 i` n�ir�'�t 12.C nere 73:. 14.. 1. i 5� -Us DqT oescirloon Unc%uding Proper Sh/pping Name,Hazard Class,and ID Number) Totei Unit Waota Na. b i A 7r Type Quantity. WtNoll -- �d+fi",%: ��i �, _ _ - w-_- i=. � v5. .i>1, .:.1 .,,.:. .`, �• r4 l_%e G,- ' - � - �. %t„Z E b. Er _ a' y' )',_44r ,'r,..q' A c. T _ C '0 R d. _ r - w ° i ; > `?I i Above flncluda physlttal steto cad hosardcada./ K.Handling CorJea forvVeeteu Listed Above C a. c. r d. b, d 16.tpealil Hendluiatnatructlons and Additional Information v. C T > 16.O�NERATOFV6,,CMFICATION:I hereby decla•e that the contents of this consignment are fully and accurately described above by , v proper ehpplrig name and are Geasified,packed,marked,and labeled,and are in all respects in proper condition for transport by highway „ „Q act oryllitg t0 applicable international and national government regulations. �4' IH am glarge quantitygdnerator,I certify that I have aprogram in place to reduce the fume and toxicity of waste generatedtd'the degre9-litave'determined toba economically pragticabla'-- r And that►haveseleoted the practicable method of treatment,storage,or disposal currently available tome which minimizes the present and-future threat to human health and the environ- rr hienic OR, Y F J can afford.f I afn a sale►►quantity generator,►have made a good faith effort to minimize my waste generation and select the beet waste management Tothod that is available to Oro and that 1 F( Date Prfirted/T Name Y: Si lure Mgnth. `Day ear C. vls� 'T R Trene rt r 9 -Acknowled errant of Recei t of ItAatenels Date -'A Prfnted/lypsd/Varite gnat ro f�41J[s3ir:,_1, 9 ¢�J ' . . Pofonth -Day Y er p IS,,Trans er'-,2 Acknowledgement of Receipt of Materials Date, E Pitrirt04q paBNariro Signature Month .Day. Yoer QIBFrepaocylnNicattOnSpece --- .....................................I �,t u' L 29 Facility OwnerprOperetor.Celtificatioi of receipt of of hazardous materials covered by this manifest except as noted in Item 18. ^. �y `rPifnted/7ypeJNome' , Signature Date r t naturena.- I -1t �'��r�p� -{ SiJ T < Df ulV IY�l.]f A� Her .V.r't �1 �7Y1Vf-1 o�.7k :4i t�IMFENTAI PPIOTEC71-10114 �f9g WIr1t®P�'.Ys��98t B6Eipn, MaSSaclioofts 021O ;ri _r.t,�tYry7,trrtrtr;dFngd iorus'I ortaltte(12• ;tch wrter9: �l i td � � ._.....;,.� 1: , Gfine is U Et'1A �tVo. / ' f rMani ment! �w P InSorl7atton In tn�Flu 3a ,.a t u 'tr i.a r, _ -iV / .. "' .i Oy Gr •. Ot.,� S oot r iBd 4 •`""G J ISl".'- t )y a•� t .'ilifl''`' r'+1r.H C,rt �19 . �(B i 1. f .�• UYt r41t 153 j tf, i AG 'i Ll �.�- �:b�,—. .6r imp�n9�1 0 � ��— � 6•s t-Sia CEO ��Ek i d r I t f,t 14 ar%Gamp�nryfip ,8 V t�P i� r i Cc+ Fel PJ 7 dSIti)AQlire 2� 14 S£' I ti:� _- 11 ` � q � `]� V � tlp+F}F5p{nt��l� !W'Y,r�, ,Ogr;~1� p��(�. 1� � n �: ,,T�->��,,•Trib/�`7�h(��, �'9 -f��. �17 E',C�..'�..�.,�yr ?I.3' 4'.' `� �1 �. KI yy$al�l9: '✓�f' IS�ot -^I �r tom, � 7 •l`� z•,i ' r 1 !,,{�. wfi{al��°" [i.y.. * t -� -. _ �' � boa hors ' �. >rarc5'ptt¢h InclUf9irrg H'ropr Shlppih NameI�tal Mess artd i�}Nurt}t3¢�) n r a', 1'otat nit f ter. to i �7 a q PIO ?y�o- Quest, �A/OJ 57: > K{r ; C `li c! 1 VIP 41i tz T/.xi t t w• "st if l rt ra t i x. .- �.,,.c�1►=wva-iJ--'-'-'t�ri.--^' ' ~ swi•.-.u-.r.._ -�.....�l.r..w...- ..� .-- 11 vc(Includo phynloaI atct'oen hoard coda. K. Handl'na. gad t!;o:}1E £ ,,9,�0?.fi,., C. ,. c --r•-!T—•-r --sy '�'r , 1 y I�-�r'-„r—+- •...•.. �'r J -,,.-� d. tr. s� at 11 klan ;Iraq Insttiuctto dd'� al,fo(nR��+ n��`�" � Eft C -�` �Y�aM, L�t3 s 8b ''� �"��ICai�9 LlibE. gy v9 ®J r C Y �4"rt�AT{1 bt t.FtTII OTIO I he�shy C16 re t the Ontots ul this conolgnme M are fatty and ticcuretptyves0;itad above by I hrt;c , .g r:rr-L and GG��de 9e�,lAck MarI�d angiabdiad,una ere In fill respects in proper cbnditlotfifq[tr ort by highway - t n,t to§•pK .`a�fs trrteblaUon a intlor �efYrment eguotlons. r nd3 j, a;7tor,I�enYty�FF that R ile a¢rogrer{in ce lol( duce F7e voltir7e anifloxici o1 wa5t' entrrai d to the dog"t hap a ftU mine d to!r,tcano7r!S�Hy pIJ4-.btu :. dI112 A�GiIt blr74 ethed t>f n9aEt_7ent, rep,or dgposel+,UrrenUV evella�ite to;�whlc�'r�n h the present lnd lutU h�)et to#e n i h^alth c}td»a pc r�rmr79 gdhMity jrtcr or 71 y4me�o a g, tr�iih sto m mir m7ze riay wastagoryer�iun arttl s jo best tvasYa plarra t and c ° ;a: nw�� ,:'•• --1`!`p 7 a rJ t �t J� t Ua,,.,�j, Si lure t ``. �' t rf�¢j+•h 4s Y,aY.= s3 y l n o"tar tic pled of R t Mat jialg " '� ! z ate-_ •. 'ri nyira �x ,: Slg i �F (ItIollfrs Katy .Year• rr tlelle�' . - ii ` rar,-�Yg- a erriiof R di t dl Met"fal I Pnded�ly,4AdNa/n4 c+' r Sl�mfure 1a, :'ry f .(� l i V ar , T� L k3t.IJA�•4L�'illdlCStlott$ 9a ;! j) P ii ' �r- e• � -- l;� u� i � t �t ,.`, rI'` `.I - f .LI '! l i'• ° ra = •i y 7 •}li ' r? . S ,� w J• '4,i �� i1a l i ti ;`i ', 1•' 7. 1 •gr 'h. : t.iy L�.;t r 4Neta1 ficatibl>ft r5 slpt Ctf haaatd tenals Ibov- d b .this mat11 t pt as note In t x Lft i nx t tl - _ .. S rtetule ° <t• i N,osua (gay Agar.!' ted'tsro•"NsmQ 7 I s rY r ..rr v:'t odYyA GENERA-0 RETAINS i s 01/17/1995 14:53 40 1 4;, CVN EhJ'.rL .i _ IALRI PA GE 01 . Post-it'"brand fax tranemittal memo 7671 Not'pegee ToFrog" a. CO. opt. Fax N ,t ODE d MA97 CER'T IF i C.}; i E OF ANALYc3IS m.-morromr-"Fz NAME._ k-IYFII\JWI S I.{ONDA LOG(.)T ION,. HYr'-)W" ;iAIMffL,I NG WYTE„ (M 4AMFIL I NG PELF{SC)N., C:HLJE"k aAMPLIE1 NO. 1 MATRIX IL.Y w(;TFFt REPORT DATE; r►1I t :Iy�.: ORY PARAML"'FEF' Mp!_ ' T' F'A;-,S/r'AIL_ T,cvreAL HALOGENSe� 35. 0 ppin J000 p lam PAI:S FLfitaak'iF'OINT >140 4 C.) F C>D F" FI At,yc> Pki b. I.--14 n a PA5317 Tca•I"(M LEAD 3. a PPP '_"I TOTAL C;!-ROM3;ul"l 2:,6 i . � ppfn (® ph:)Ill F'A8CS r't:J"rF71._ AI"i iI :NIC': 'f 1.� (•, v)r.:)rn 5 r pin pV-'.l;a TO'TAIL CADMIUM 'e,0.� ®.� prim pp(Ii h'lf.::'I"k'dCJI14)L_C.3La`P PAWWE'TER ME,'THOI) 1"CJ..L,FaI kI(iLt.Jf3fCN i EPA 9076 PCE( IN f.:lll__ E:F•1 .1 TRAC_'E ME::'TFtI__ GIN ;I,..'r:.. E_:NE kt3Y D:C:.' t_ , ;='t`t ;SPFHJ,"(Ftt)t.;C:'C1PY ANAL.Y'S T a ,,, r � NN11 �s F t � ,. - • h ✓ 4 F�'��J,A ,may —9p u c e Y CL 3 z s Un �h`�' _a i• o o -'-'_;L Q,a O tv *�JI�'ETc�'VA ��1'I 'q a L—q_T" _+-��7t�., I�•.7,s- . - 1 7y coo ` !� .`lam`T//�],; j ^—/K. --_ ___.-- - J.f•V/ V_.- ... _.r-_. vio v 4 h� fur7 0 14 tT ,Q 57.•I 1.1 R C.�,J" � }�a tiro, �.,}r�w,�,�r ,,5. �T, /�. - • - '* 3 rf - a� �,. . 13 .90 PIT --_A—3• DIY w` O a a fel Aj off ,y g' _%:.—_-'------.. _ . �. �..�•—Sa---- .— s. ct .r, f R r � a PPS. X � F f ' _ ��-•---Gal- ---�-J . 7 O d Lot Ve 00 - 01 pFL . �Z, p0.. is t„ " • t • pig• � � ��- __ - —— .__ ._�_. __ .. `Hyannis `Hyannis oNMITSUBISM Divisions of Xiphias Enterprises, Inc. I -Hyannis Honda 508-778-7878 • Hyannis Mitsubishi 508-778-7888 Body Shop 508-771-1780 • FAX 508-775-6855 P.O. Box 977, 830-860, West Main Street Hyannis, MA 02601 ' Floor Plan—Barnstable Early Learning Center t 1336 Phinney's Lane fence on boundary per codes fire egress at doors ^^ EXTS ^A^^ _ New HP ramp New door door ru F 6° F 6 F s #2 E- 17' #3 Remove Office s ft A new > AT Electric door > re move Heat and 10 ' x r1 I,^ Add wall room A Add oil 12 ' Tile tile Half- s A Wall > tile 1110 Railing Railing n! fZ�.f�t the 2"x 4" > #5 n " court. #4 Add oil 4 1 44 rug the > #j 35 heat XXX #2 I-,I the tile tile tile tile tile Tile tile r"Ll� XXX rug rug rug new door XXX A Enin R try A I #I IIq, .id. door L HP L .r X 36" ;% HP ramp R New R R New R park A door A A door A 1 #3 I 1 #4 1 L L L L General Plan 1. Replace all 5 doors.(in blue) Main door #1 and playground egress #2 are HP accessible, front entrances also have ramps/rails #3,#4 • All doors ogre 36" doors with crash-bars exiting out. Construction will match existing structure. • Single exterior light by each door • Self-eliminating exit signs interior over each door, fire extinguishers next to each door and in kitchen area. 2. Bathrooms—replace/repair handicapped rails ADA code. • add new door as marked into bathroom in room#1. 2" X 4" construction to match existing wall • add wall to seal off bathroom/closet in room #1. 2" X 4" construction to match existing wall Slop sink loser - add \. ?' slc,ll sink in a. =#' X 4' at,sc t ancf ?�? "alle:,n hr,t :� !t. r ill game closet. 4. Half-wall around kitchen area. 42"high 6' 6" from interior wall encase 13' in room#2 2X 4 construction 5. Add interior railings on HP ramp between# 4 and #2 per ADA code 6. Add oil hot water heat in rooms # 3 and#4 after removing electric heat. 7. Add bubbler on aide of water heater/slop sink X ---bubbler - Date: '7 / 8 / O V TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: a ate 60 BUSINESS LOCATION: 1 PGoa`voa�s C-c�.n�-. T INVENTORY MAILING ADDRESS: A b& 01-7-7 0 1Z60 ll TOTAL AMOUNT: TELEPHONE NUMBER: '$— _ ® �"-7P705" o�d�o-n5 CONTACT PERSON: `��'�'� G_aLAtQL0C , EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: 6!2� 5 Pa- INFORMATION/RECOMMENDATIONS: Fire District: a-z.�5 P�t.�' ram'✓Y�c.� �'vl (.. . sue._ Waste Transportation: LA eg-%- Last shipment of hazardous.waste: Name of Hauler: estination: Waste Product: -4 icensed? es No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, j 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) ZA Misc. Corrosive Ll NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite)`-sue. / Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides I #NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED LA 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 f Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) (oEW USED Any other products with "poison" labels Paint & varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor& furniture strippers I Other products not listed which you feel. Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers V (including bleach) I62CLZ1rL* Spot removers &cleaning fluids (dry cleaners) t Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair nters BOARD OF HEALTH satisfactory 3.2.A to Body Shops O unsatisfactory- 4.Manufacturers COMPANY �7`�� - (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS Class: 7.Miscellaneous �SQUANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MATERIALS IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline Jet Fuel(A) Diesel, Kerosene, #2 (B) 4 Heavy Oils: waste motor oil (C) r new/motor oil (C) i fiansmission/hydraulic Synthetic Organics: degreasers Miscellaneous: A- 3 - � C-� DISPOSAL/RECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply Town Sewer Public un O On-site OPrivate t 3. Indoor Floor Drains YES NO2<— O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES N0_�Z ORDERS: 0 Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter uc p YES NO 2. Person(s) Interviewed Inspector ate r HYANNIS HYANNIS HONDA MITSUBISHI Tom Goulart ' Body Shop Manager I Rte.132&Phinney's Lane P.O.Box 977 Office(508)771-1780 Hyannis,MA.02601 Fax(508)778-1750 TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD E 3.Auto Body Shops ��' unsatisfactory- 4.Manufacturers COMPANY s&X,-�j � ^/. ' (s e"Orders") 5.Retail Stores _., , 6.Fuel Suppliers IV 7.Miscellaneous `ADDRESS .ww Class: = QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR NATERIAL§,. 'case lots Drums Above Tanks Underground Tanks W x '� IN OUT IN OUT IN OUT #&gallons Age Test Fuels: v Heavy Oils: o or ' transmission/hydraulic L Synthetic Organics: degreasers Miscellaneo s: Q, vy DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply v .Town Sewer Public ,1 ZA n-site O Private 3. Indoor Floor Drains YES NOZ O Holding tank:MDC G� O Catch basin/Dry well -~ O On-site system 4. Outdoor Surface drains:YES NO—Z O E S• O Holding tank:MDC R�� o2-Av� O Catch basin/Dry well O On-site system a 5.Waste Transporter 4 Nameo 1 • Product � © �I 1 I'ag 2. 014 -f AWZ Person(s) InTerviewed Inspector Date t 4j TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALT H O satisfactory 3.Auto Body Shops ' O unsatisfactory- 4.Manufacturers COMPANY p (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS ! 'lass: 7.Miscellaneous �j�Q UANTITIES AND STORAGE (IN= indoors; OUT=outdoors) MAJOR MATERIALSUnderground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: m a G6 DISPOSAIJRECLAMATION REMARKS: o 1. Sanitary Sewage 2� ater Supply F� /V OA IC Town Sewer JkPublic �Qn-site QPrivate ° 3. Indoor Floor Drains YES NO O Holding tank: MDC Q Catch basin/Dry well O On-site system D S 4. Outdoor Surface drains:YES NO !' ) Q Holding tank:MDC A es ©o ' O Catch basin/Dry well O On-site system 5.Waste Transporter Nam el of Hauler Destination Waste ' YES NO 1. 2. 410 Person (s) Interviewed Insp r a e ti000� TOXIC AND HAZARDOUS /MATERIALS REGISTRATION FORM NAME OF BUSINESS: v 1 Mail To: BUSINESS LOCATION: oard of Health ' own of Barnstable MAILING ADDRESS: . P.O. Box 534 TELEPHONE NUMBER: _ Hyannis, MA02601. CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store: Quantity/Case Quantity/Case Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants i" "`" ' Nlotor'oits/waste"oils- - - •Road Salt (Halite) - Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products:grease, lubricants rodenticides) Degreasers for engines and metal Photochernicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda 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 a Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids, be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: =C)C e6A lr4(1 Mail To: BUSINESS LOCATION: / '� p � 613oard of Health �.�. � �/'�.�/�, (, MAILING ADDRESS: > �. ' r , Town of Barnstable P.O. Box 534 TELEPHONE NUMBER: /�PGIr� Hyannis, MA 02601 CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: i Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store: Quantity/Case Quantity/Case _ Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt(Halite) Gasoline, Jet fuel Refrigerants 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) J Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents "`' Lye or caustic soda Car waxes and polishes Jewelry cleaners s Asphalt & roofing tar Leather dyes !� r Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) j Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, I Paint brush cleaners (inc. carbon tetrachloride) j Floor & furniture strippers Any other products with "Poison" labels I 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) ��,� ,,�� 'j j��'�, V, Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: 4-s Mail To: BUSINESS LOCATION: h ��//1/,�/.�� /_ Board of Health own of Barnstable MAILING ADDRESS:/3 /� dr P.O. Box 534 TELEPHONE NUMBER(L:7G" ) 7�' Hyannis, MA 02601 CONTACT PERSON: T,*)/ OV 0 EMERGENCY CONTACT TELEPHONE NUMBER: M101 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for J your own use, ' YES rNO 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, ple se ndicate if the mates s are stored at a site other than your mailing address: ADDRESS: 1 TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store: Quantity/Case Quantity/Case Antifreeze (for gasoline or coolant systems) Drain cleaners PQS,� #Qk� 7 Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners ' Hydraulic fluid (including brake fluid) Disinfectants el_�O� motor oils/waste oils Road Salt (Halite) '7 � Gasoline, Jet fuel efrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: Mail To: BUSINESS LOCATION: Board of Health MAILING ADDRESS: /5 7/ A41,11ZI� own of Barnstable P.O. Box 534 TELEPHONE NUMBERG cal , I1 — - /. Hyannis, MA 02601 _ CONTACT PERSON: ® :2)o11/JV r - / EMERGENCY CONTACT TELEPHONE NUMBER: OW I Does.your firm store any of the toxic or hazardous materials listed below, either_foyr sale or for yourow.n.use, � �, I �.... n - "YESiK N'O �. Thislform r ust be returned to the Board of Health regardless of a yes or no answer. Use the r enclosed envelope for your convenience. If you answered fYES abov,e,.please jindicate if the materials are.stored at a site other than your mailing address: ' �% ;',.`' ; - '` J r' ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board'of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that t you store: Quantity/Case Quantity/Case t Antifreeze _(for.gasollne or coolant systems) iDraln cleaners _ ""Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants r' ��iE>�Ez �r�Motor oils/waste oils Road Salt (Halite) Gasoline,,Jet fuelRefrigerants Diesel fuel, kerosene, #2 heating oil ! Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides,) ' Degreasers for engines and metal P-hotochemicals (fixers.and developers) Degreasers for driveways & garages Printing Ink f Battery acid (electrolyte) Wood preservatives (creosote) ' Rustproofers Swimming pool chlorine Car wash:detergents Lye or caustic soda _ Car waxes,and polishes. Jewelry cleaners „Asphalt toofing tar' .4 Leather}dyes< &'� ~ 4 Paints,,varhishes, stains; dyes Fertilizers (if stored outdoors) r Paint & lad' thinners PCB s Paint & varnish removers, deglossers Other chlorinated hydrocarbons, 4 Paint brush cleaners (inc. carbon.:tetrachloride) Floor & furniture strippers Any,other products with-"Poison" labels t' Metal polishes (including chloroform,_formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) /) (including bleach) ` Other products not listed which you feel may �t;�;' ,Spot removers & cleaning fluids be toxic or hazardous (please list): i (dry cleaners) r Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners ' White Copy-Health Department/ Canary Copy-Business Health Complaints 04-Oct-96 Time: 3:05:00 PM Date: 10/4/96 Complaint Number: 475 Referred To: DONNA MIORANDI Taken By: BARBARA SULLIVAN Complaint Type: ARTICLE XXXIX HAZARDOUS WASTE Article X Detail: i Business Name: Cape Cod Potato Chips storage Number: 1336 Street: Phinneys Lane Village: BARNSTABLE Assessors Map_Parcel: Complaint Description: Woodworking/finishing operation, workers spraying wooden materials with flammable polyurethane. Ventilation system inadequate. Workers from House of Correction. Actions Taken/Results: Investigation Date: Investigation Time: 1 OCT 03 '96 14:16 BARNSTABLE FIRE DEPT P.2 BARNSTABLE FIRE DEPARTMENT 3249 Main Street-P.O.Box 94 �e 1927 ' Barnstable,Massachusetts 02630 s�; Cxo 508-362-3312 lM418IR � FAX,508-362.8444 WILLIAM A.JONES III,CHIEF GLENN B.COFFIN,CAPTAIN FIRE PREVENTION October 3, 1996 Mr. Thomas McKean Town of Barnstable; Health Department 367 Main Street Hyannis, MA 02601 Dear Thomas: Yesterday, October 2, 1996, I made a routine fire prevention inspection of one of the properties located at 1336 Phinney's Lane. This building is a warehouse that previously housed the Cape Cod Potato Chips storage. At present, a woodworking/finishing operation appears to occupy the building. During my Iinspection, I noted three workers (inmates from the House of Correction) spraying wooden materials with flammable polyurethane. The were working in a non-conforming spray booth constructed of polyethylene plastic and two-by-three wooden studs. The walls were also constructed of plywood. All interior finishes of this "booth" were coated with urethane overspray. The ventilation system was inadequate and was being projected into a tractor/trailer unit to avoid spray being distributed to the air. The workers in the "booth" were wearing dust type masks and were not wearing respirators of any kind. In addition, I witnessed one of the workmen in the act of spraying and he was smoking a cigarette. When questioned, the workers seemed unfamiliar with the flammable characteristics of the urethane and appeared genuinely surprised at my concern. I have subsequently ordered the operation ceased and I have contacted the Building Department. OCT 03 '96 14:16 BARNSTABLE FIRE DEPT P.3 I am notifying you because I feel that a significant health and life safety danger exists there. The owner plans to utilize a non-flammable paint in the future and I feel that adequate ventilation issues should be addressed. As workers are allegedly from the House of Correction, I will be forwarding a copy of this letter to Sheriff DeMello. I respectfidly request that you investigate this situation as soon as possible. Sincerely, Glenn B. Co C�aptain_� cc: Sheriff DeMello • 3 OCT 03 '96 14:17 BARNSTABLE FIRE DEPT P.4 Barnstable Fire Department 3249 Main Street y P.O. Box 94 Barnstable, MA 02630 508-362-3312 FIRE PREVENTION INSPECTION REPORT October 3,1996 Anderson Warehouse 1336 Phinney's Lane Barnstable, MA 02630 An inspection of your facility on October 2, 1996 revealed the violations listed below. ORDER TO COMPLY: Since these conditions are contrary to law, you must correct them.upon receipt of this notice. An inspection to determine compliance with this Notice will be conducted on October 8, 1996 This department appreciates your prompt compliance with the results of our inspection. Please contact our Fire Prevention office if you have any questions or concerns. Code Article Division Pag 10.02 Fire Extinguishers 10. 0 Fire extinguishers present in the building, but some are not accessable. Fire extinguishers shall be keptup to date and accessable at all times. Objects obstructing access shall be removed. 10.03 General Provisions 10. 0 Inspection of paint spraying warehouse and delivery of violation order. "Booth" is polyethyline plastic and does not meet current codes for spray booths. Ventilation system is poor and interior of the building is saturated with urethane overspray. All urethane soaked/coverd wood finish and floor boards shall be properly disposed of. Truck/trailer used to collect overspray l shall be cleaned and urethane residue removed. 4 Page.1 f OCT 03 '96 14:18 BARNSTABLE FIRE DEPT P.S Barnstable Fire Department 3249 Main Street P.O. Box 94 - Barnstable, MA 02630 508-362-3312 28A Head of fire dept. to rpt. viol. St. Bldg. Code MGL 0 Building and Health Departments in Town of Barnstable noted. nspecto Page 2 OCT 03 '96 14:15 BARNSTABLE FIRE DEPT P. 1 .AO WUKC • lop f ONarnstabtr fire - Facsimile Transmission on Sheet TO . FROM*- SUBJECT, PAGE.-.,- _OF i �P��FTHETp�� tJ� c(A W.4la7 • 11 RNSTAEL1639. IIAEE. �MAY k i�rson�� ✓iCaQdtto�iuJeud 02601 COMMISSIONERS: (617) 775-I120 Ext. 123 KEVIN O'NEIL, CHAIRMAN JOHN J. ROSARIO. VICE CHAIRMAN ROBERT L. O•BRIEN THOMAS J. MULLEN SUPERINTENDENT PHILIP C. MCCARTIN F. SHELDON BUCKINGHAM December 9, 1986 Mr Michael Fandel Century 21 250 Barnstable Road Hyannis, MA 02601 re: Sewer Connection Request, Building Committee, DAV Chapter 96 Cape Cod Dear Mr Fandel: The DPW Commission and staff have reviewed your request for a sewer connection to the force main in the vicinity of Phinney's Lane and Old Route 132. The DPW Commission voted unanimously to deny your request, upon recommendation from the Town Engineer that it is poor design practice to connect to a force main. The Commission also wishes to inform you that, although the location for your proposed building is within Contract Area 20 of the Wastewater Management Plan for construction of gravity mains, there is no guarantee that sewers will ever be extended to that area. At best, it is likely to be a number of years before such construction might take place and at worst, construction may not ever occur due to insufficient capacity at the wastewater treatment plant. Sincerely, R RIEN t Sueprintendent RLO/bw ___cc_:_Board of Health s i f f { 11 1 PROFESSIO AL 1 I I E. 2508arnslabi Fc,a Hyannis(Ca;, Cud; "'assachusetts 02601 Business(F,17 77' --21/1 3' Resiaence(61i,' -3734 -800-462-2023 MIKE FANDEL REALTORO G Each Office is Independently Owned and Operated Superintendent of the Depaxt ..e of Put�i�c Works "- Dear Sir: My name is Michael Fandel and I am, the Chairman of the Building Committee for the Disabled American -Veterans; Recently we purchased land from the State of Massachusetts On Pbinnevs Lane. On this site we propose to erect a building approximately 60 x 130' for the Disabled American Veterans Cape Cod Chapter #96, This land is in a water recharge area No. II. From talking to the Board of Health, we are under the opinion that we cannot build the size building we wish. At this time we would like to request from the D.P.W. permission to hook up to thepresurized sewer line that runs along Phinneys Lane. We realize that if this is accepted by the D.P.W. we would comply with any and all requirements needed to obtain this hook up. Sincerely, ^Iichael Fandel Chairman of Building Committee D.A.V. Chapter 96 Cape Cod C �P�OF THE i BARN3T • y MABB. i639. ` D MAY nns3� .�radd«o�udt 02601 <s COMMISSIONERS: (617) 775-1120 Ext. 123 1 19$6 KEVIN O'NEIL. CHAIRMAN DEC ROBERT L. O'BRIEN JOHN J. ROSARIO, VICE CHAIRMAN SUPERINTENDENT THOMAS J. MULLEN PHILIP C. MCCARTIN F. SHELDON BUCKINGHAM December 1, 1986 TO: Robert L. O'Brien Superintendent FROM: Frank Lambert, P. E. Town Engineer SUBJECT: Proposed Disabled American Veterans Building Sewer Connection Ref: Letter from Michael Fandel D. A. V. Attached The subject letter requests permission to connect the proposed D. A. V. Building to the existing Barnstable Village force Main. It is my recommendation that this request be denied since it falls outside the scope of the Master Plan and is poor design practice. Contract 20 does provide for Sewering the location of the proposed building and I recommend that approval be given D.A.V. to connect to that Sewer System if and when it is constructed. Frank Lambert, P. E. FL/mdl i P i a ' ( —---------- Map & Parcel co & wye 274 — 19 \ ® 3 ft deep / e, 1364 Phinneys Lane Barr stable village 41 . N 182 3 tied — in — ft Feb 21 , 99 -- o' 268 feet -� 149 feet �. from MH to MH 6s from MH to Wye Wye and bend \ 45 deg vert bend 00 ® 7 ft deep ^ @ 3 ft deep f, tel 0 ytel pole 94 3/4 ft 20 ft. pole tel el poleh clean—out tied — in 25 Jan 19, 0 Map 274 18 Parcel brewery A CA clean—out 100 3/4 ft /� . . . . . -- � 1336 Phinneys Lane — -- Hyannis _7s 48 3/_ ft 4 ft 85 3/4 ft \. tied — in March 10, 99 141 r I IN II A 3 ! s o X wo ! fl �Q its* c � r I\ � / 1 and band J C 7 Ft deep ;g2 31 X _ :LL I%L . . . . . . . . . . . . . . . . . X27b feet . _ / .f4 t:'O:`7i 45 dea bend w \ 140. feet w ay \ Vert frorn i114 to Nye 45 a e9 bend t ES s C. 7 ft deep tr fdeep Lei - / LG dea Ord j' nrc:r� ----- te. —hk Lei O'\ c14 3/4 ft 2G c� oie pole n r C 5 deep � ct clear.-out -out -tied - in- dr , r �On 19, 0� Mapp 4 Parcel C ! ft deep 274 - IS 1 1 brewery 1336 Phinneys Lane /�. w I N annis Y ` Ma t Parcel 3! fL—. � ' \ 1336 Phinneys Lane connected �74 {S Hyonn15 Nov .25 , 03 45 /�•� j e5 air tied - in March 10, 99 141 t \f� \ 55 , ft.\`- Wye C 8 ft deep ft 1 i nyd—t i%4 ft' r DIVISION OF PROFESSIONAL LICENSURE OFFICE OF INVESTIGATIONS Application for Complaint tl 617-727-7406 www.mass.gov/dpl Date Received(stamp): Entered into the Database(Date): / / Docket#: - - Acknowledgement letter sent(Date): / / Signature: ----------------------------------------------------------------------------------------------------------------------------------------------- Please complete this form as fully as possible.(PLEASE DO NOT WRITE ABOVE LINE.)Please type or print legibly in ink. SUBMITTED BY: Name: S4-G,(1�yl bmVI Last Name First Name M.I. Address: laiI'd S4cPP 6 Number Street Daytime Phone City State Zip Code �Evening Phone Best way to reach you: ❑Evening Phone Daytime Phone DBE-mail: �14 y1'G/e ST�OPI /W P4W40 f°�fTh*(F,✓h��of LICENSEE SEEKING COMPLAINT AGAINST(use separate form for each licensed individual/business): Name: al,ryl'?Z A, `" Last Name First Name M.I. Address: Number Street Daytime Phone Z . ` ; .,�,-qI City State Zip Code License Nu er/Type Class Ni'Mwl rpf-oRLA-1 Ve r;,e- r L Business Name Business Address T Daytime Phone &c-^ 6 30 City tState Zip Code Business'License#/Type Class Please check the trade or profession that this application for complaint pertains to Accountant Funeral Director Optometrist Aesthetician Gas Fitter Physical Therapist Architect Hair Salon Physical Therapist Assistant Athletic Trainer Hair Stylist Plumber Audiologist/Speech Language Health Officer Podiatrist Pathologist Hearing Aid/Instrument Psychologist Barber Radio/TV Tech. Barber Shop Home Inspector Real Estate Agent/ Chiropractor Land Surveyor Broker/Salesperson Architect Dietitian/Nutritionist LandscapeReal Estate Appraiser Dispensing Optician Manicure Salon Rehab.Counselor Drinking Water Manicurist Sanitarian Ed. Psychologist Marriage&Family Therapist - Social Worker Electrician Mental Health Counselor Veterinarian Electrologist Occupational Therapist Engineer Occupational Therapist Fire or Burglar Alarm Assistant Page 1 of 2 Description of the incident(s): Briefly describe the incident(s) that led to your application for complaint and note the times and dates that events occurred.List the names of all individuals involved.Please attach additional pages if needed. I 0.; OA 0 rouV.v Vv'dka 61110,w-dr- 7 �i, 1 et J r J ' -^ C.1► Gr-4 it'd ' CA If )a--, CA d ti a - (Please use a separate sheet if necessary.Do not write in the margins.) Additional information or materials attached ❑Yes Xi No To speed up the application for complaint process,submit legible copies(not the originals)of all relative documents supporting your application(e.g.contracts,medical records,cancelled checks,etc.).You will receive an acknowledgement letter notifying you if a complaint is issued based on your application.If a complaint is not issued, YOU will receive information on additional resources that may be available to you. AUTHORIZATION FOR RELEASE OF RECORDS AND FORM REFERRAL My signature to this form,or a photocopy thereof,authorizes the Division of Professional Licensure to: (1)receive copies of all medical,dental and mental health records relating to my application for complaint,and(2)to refer my application for complaint to other appropriate law enforcement authorities to investigate and/or prosecute. Please note that all applications for complaints are examined to determine their factual basis. The act of filing an application for complaint does not assure or imply that disciplinary action will be taken against the licensee. t th t he in ation provided is true,correct and complete to the best of my knowled e. Wv` S -2D� S ature Dat Mail this form to: Division of Professional Licensure,Office of Investigations 239 Causeway St.,Suite 500 Boston,MA 02114 Page 2 of 2 BARNSrrABLE FIRE DEPARTMENT r^i/ pR�lt d ;�i w..: •�° �= 3249, Main Strccl --1'.U.Box 84 j$ar11stn1)l.C, rAnss:l.chusctts 026.30 5.08-362-3312 I�AX: 508-362-8144 WILLIAM A,JONES III, CHIEF GLENN B.COFFIN,CAPTAIN FIRE PREVENTION May 6, 1992 i . I MEMORANDUM TO: Albert' Martin, Assistant Building Inspector`' John Newton► Wiring Inspector Thomas McKean, Health Department FROM: Glenn B. Coffin, Captain SUBJECT: Screencraft, Inc. 1336 Phinney' s Lane Hyanniso MA 02601 Please note the attached inspection report for .the occupancy known as Screencraft, Inc_ This business is owned by a person named Mr. Gary Lippard. This morning , I conducted a fire prevention inspection at the business. I have noted several significant problems that affect life safety and health issues. I respectfully request an immediate joint inspection of the property within the next twenty-four hours. During a second inspection of this site this morning, Chief Jones and I agreed that joint. participation is necessary by all departments . We are quite concerned concerning this situation. Please contact ;mp.--. a soon as possible regarding this matter. Glenn B. Co in, . a aa. ['I"[ ✓o 7G 17•Gl omm'1:iIh9DLL f imc- wr-r1 y- FIREB � � NFRP � lM 'GRT SUSiNESS' NAME $CREENCRAFT -----. --------------- ---- -..----- --- -------__---_-___--. --- -------__--_---- INSPECTION DATE 05/06/92 ; ADDRESS 1336 PHINNEY'S LANE , I INSPECTION TIME 11 :35:00 CITY HYANNIa STATE MA ZIP 02601 I QUARTERLY DATE 00/00/00 ------_- ---------_---- -_-___..----- ----_ _-.,._--- ----W.. --------y-- PROPERTY REP OL PERSONNEL IN SHOP VIOLATION BUILD 1 .0 VIOLATION ELECT 1 . 0 VIOLATION HEALTH 1 .0 VIOLATION CAS HAZARDS GENERAL INSPECTION : 1 . REAR EGRESS ROUTE IS BLOCKED BY DOOR BEING WIRED SHUT, THIS IS NOT ACCEPTABLE UNDER ANY CIRCUMSTANCES AS IT -IMPEDES PROPER EGRESS FROM THE BUILDING . 2 . AS NOTED IN PREVIOUS INSPECTIONS , THERE ARE SEVERAL CANS AND QR CONTAINERS OF FLAMMABLE MATERIALS IN THE ESTABLISHMENT. THESE DO NOT APPEAR TO BE STORED IN FLAMMABLE MATERIALS STORAGE CABINETS. THESE CHEMICALS (IE: TOLUENE) ARE VERY DANGEROUS AND REPRESENT SIGNIFICANT HAZARD TO THE OCCUPANTS AND THE STRUCTURE . THESE ITEMS HAVE BEEN NOTED REPEATEDLY IN PREVIOUS INSPECTIONS . DURING THIS INSPECTION, THE ODOR OF CHEMICAL/SOLVENT WAS SO SEVERE THAT MY EYES AND THOSE OF CHIEF 'ONES WERE STINGING, THE ODOR OF THE FUMES IS EXCESSIVE AND THE ROOM IS WITHOUT PROPER VENTILATION . COMMENTS 3. THE KILN UNIT HAS OPEN WIRING EXTENDING FROM IT (THIS MAY FOR A THERMOMETER) IF IT IS ELECTRICAL WIRING, IT REPRESENTS CONSIDERABLE ELECTRICAL HAZARD AND AN IGNITION SOURCE, 4. IN THE REAR CLOSET , THERE IS AN ELECTRICAL DEVICE OF SOME TYPE THAT SEEMS TO BE IN A DARK ROOM ARRANGEMENT . THIS DEVICE SHOULD BE CHECKED AS TO IT'S POSSIBILITY OF PROVIDING AN IGNITION SOURCE. NOTE : I AM VERY CONCERNED ABOUT THE HEALTH AND ENVIRONMENTAL HAZARD IN THIS. OCCUPANCY. THE CHEMICALS APPEAR QUITE TOXIC AND EXTREMELY VOLATILE, BASED UPON THIS , I REQUESTED CHIEF JONES TO ACCOMPANY ME ON A SECOND INSPECTION , WE FEEL A VENTILATION SYSTEM IS REQUIRED AND THAT THE SYSTEM SHOULD BE CONSTRUCTED TO INCLUDE A WORK SPACE WHEN UTILIZING THE SOLVENTS/CHEMICALS. A JOINT INSPECTION IS REQUESTED TO INCLUDE THE, BUILDING, HEALTH AND ELECTRICAL TNSPECTOR(S) . i GFF ER FIL NC CAPTAIP F { tt , The Town of Barnstable i 1MI1619. L : Inspection Department ep� 1070 `�O �CMA7'' 367 Main Street, Hyannis; MA 02601 508-790-6227 Joseph D.DaLuz Building Commissioner CEASE AND DESIST ORDER DATE: May 7, 1992 TO: Audrey P. Anderson RE: A=274 023 1336 Phinney's Lane, Barnstable (SCREENCRAFT) On the morning of May 7 , 1992 an inspection was made of your property located at 1336 Phinney's Lane, Barnstable by personnel of the Barnstable Fire Department, Health Department and the Building Inspection Department. inspection revealed an activitythat is p The bited under Paragraph 6) B) n) of Section 3=5 . 2 entitled 1Groundwater Protection Overlay Districts of the Town of Barnstable Zoning Ordinance. You are hereby ORDERED to CEASE AND DESIST the operation known as SCREENCRAFT, INC. located at 1336 Phinney's Lane, Barnstable. Joe� pph',• DaLu z Building Commi sinner Copy to: Health. Department . Barnstable Fire Department Delivered in hand: Received by: TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS: dt:!2 Board of Health MAILING ADDRESS: , `e Town of Barnstable TELEPHONE NUMBER: R Yeir 4'Zd ;7 P.O. Box 534 CONTACT PERSON: 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 totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO_ This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous 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 Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes _ Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) !l Paint & Ia tx 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) D►Z, Other cleaning solvents 12th,,�e- Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business F • R •♦ � .,ol r l • • .. �.. . ..o•/w••'. _ s . ... - .}s` ..4. .a. . yi.•1 :M-• .- ^s`e'� .-+in' .l``. .. TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM j Mail To: NAME OF BUSINESS: -5'z'jLe,'z Board of Health MAILING ADDRESS: =� �' .��-- -� ' '—�' '' Town of Barnstable r TELEPHONE NUMBER: `�/ i ' �fC }� '�� "= %*f�-� ;�' P.O. Box 534 CONTACT PERSON: " �, ' 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 totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO l� This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous 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 Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes If Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) u Paint & Lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers - Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) " Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair O satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY �7'C'p�ro�y�/?' (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS /5' �i��ivzis �lr✓�Class: 7.Miscellaneous 1 QUANTITIES AND STORAGE (IN=indoors;OUT-outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: f DISPOSAL/RECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply / O Town Sewer OPublic ' O On-site OPrivate 3. Indoor Floor Drains YES NO O Holding tank: MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank: MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Namel of Hauler Destination Waste Product YES NO 1. 2. Person (s) Interviewed Inspector Date r �• TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair Q satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops O unsatisfactory- 4.Manufacturers �_�r'rr'.t,��r' ,�,-7..j� (see"Orders") 5.Retail Stores COMPANY 6.Fuel Suppliers ADDRESS Z1 ?rf ,��,r,str ,��r,4/ ,,� Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground IN OUT IN OUTI IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) ' Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: J ' DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply 4 4171- ,.�. -�. l,� SIC-7,. O Town Sewer OPublic r- -- r O On-site OPrivate 3:,Indoor:Floor Drains, YES - NO O Holding tank: MDC O 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. Person (s) Interviewed Inspector Date fJTdN O6 '91 13:21 BARNSTABLE FIRE DEPT P. 1 A mEPARTMENT BARNSTABLE FIRE u . f . - FACSIMILE TRANSMISSION Sri ti L-4 I TO: FROM. .��.�.....�.�, .��... . . SUBJECT. PAGE: OF: F �ele JUN 06 '91 13:21 BARNSTABLE FIRE DEPT P.2 A� BARNSTABLE FIRE DEPARTMENT FIRE PREVENTION INSPECTION REPORT .ASS NAME SCREENCRAFT t __---------------------------+---------------------------- -------- ---- jPECTION DATE 06/06/91 ; ADDRESS 1336 PHINNEY ' S LANE INSPECTION TIME 11 : 25 : 00 CITY HYANNIS STATE MA ZIP 02601 QUARTERLY DATE 00/00/00 ; -- -------------------------------�+-_--- -------------_----------_----------_--- -.----- PROPERTY REP OL GERRY LIPPARD VIOLATION BUILD VIOLATION ELECT VIOLATION HEALTH VIOLATION GAS (COO Py HAZARDS GENERAL INSPECTION : ~ 1 . FIRE EXTINGUISHERS IN OCCUPANCY ARE NOT UP TO DATE RELATIVE TO RECHARGE/SERVICE; ADDITIONALLY , THE EXTINGUISHERS ARE NOT HUNG ON THE WALLS AT THE APPROPRIATE HEIGHT . THERE ARE NO INDICATING SIGNS ABOVE EACH EXTINGUISHER EITHER . THIS HAS BEEN NOTED PREVIOUSLY 2 . FLAMMABLE PAINTS AND SOLVENTS (TOLUENE ) ARE ON SHELVES OPEN TO THE AIR. THESE REPRESENT CONSIDERABLE HAZARD, WHERE ARE SEVERAL ONE GALLON EMPTY , CONTAINERS OF TOLUENE IN VARIOUS PLACES IN THE OCCUPANCY. THESE ALL REPRESENT HAZARDS AND SHALL BE STORED IN FLAMMABLE CABINETS . THIS ITEM HAS BEEN NOTED BEFORE IN PREVIOUS INSPECTIONS AND HAS NOT SEEN DEALT WITH . 3. ONE EXTENSION CORD WAS UTILIZED TO OPERATE SEVERAL ELECTRICAL APPLIANCES THROUGH THE USE OF AN EXTENDER . THREE APPt..IANCES WERE USED FROM THIS ONE EXTENSION CORD. THIS REPRESENTS CONGIDERABLE HAZARD. IN ADDITION COMMENTS CONTINUED; THE ELECTRICAL CONNECTION NOTED ABOVE IS IIN CLOSE PROXIMITY TO THE EMPTY CONTAINERS OF TOLUENE , THIS SHALL BE REMEDIED AND HAS BEEN NOTED PREVIOUSLY . CONTAINERS SHALL BE PROPERLY DISPOSED OF AND ELECTRICAL PROBLEMS REMEDIED. 4. AN OPEN ELECTRICAL JUNCTION BOX IS ALSO LOCATED IN THE K,ILilJ ROOM, THIS SHALL BE REMEDIED AS WELL , ALL ABOVE ITEMS SHALL BE REMEDIEp AND RE-INSPECTION WILL BE SCHEOULED FOR JUNE 19 , 1991 . CC: MR. ANDERSON , BUILDING OWNER ALFRED MARTIN , BUILDING INSPECTOR✓�� JOHN NEWTON , WIRING INSPECTOR U SINGVpt�� IN —Lll� TOWN OF BARNSTABLE COMPLIANCE CLASS: 1.Marine,Gas Stations,Repair 2.Printers BOARD OF HEALTH O satisfactory 3.Auto Body Shops �A' O unsatisfactory- 4.Manufacturers COMPANY �YJ?4 WK (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRES:IRL4JS ) O Class• 7-Miscellaneous Q ANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR Drums IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) - - Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: A aU)r� co tqj iAj6�5 O1 07(_-,ffia�: DISPOSALlRECLAMATION RE S: P G 1. Sanitary Sewage 2. Water Supply ICU M MAA Y,5'S 0, A 10) O Town Sewer OPublic O On-site OPrivate 3. Indoor Floor Drains YES—NO- 0 Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste ' YES NO 1. i ( 2. I I Person (s) Interviewed- a ff Ins Dcto ® ® to f7 )r) / /w .r ',��.�lY. s � .. ._. . .�..-at=� i-K•sNl.TlsFK. i' n .. .r • >. !. y:A1 ^••i . TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH O satisfactory 2.Printers ��• r/ ('1/ 3.Auto Body Shops COMPANY � 9�#" �-l � �I r �0 unsatisfactory- 4.Manufacturers (see Orders ) 5:Retail Stores - 6.Fuel-Suppliers rf r ADDRESS I��/_., �1^a 1 AIAV V /IQ Ol ass: _7.tikliscellaneous QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MATERIALS • _ , _, IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) - - Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: C � L ,M Cq DISPOSAURECCLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply O Town Sewer OPuhlic O On-site QPrivate -`-4 - ,3. Indoor Floor Drains YES-NO- 0 Holding'tank:MDC O Catch basin/Dry well �` ��/ � ��l'" 1 ��F•��,I ' f O On-site system 4. Outdoor Surface drains:YES NO 0A6EAS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Name 'of Hauler Destination Waste ' ,.. YES NO 1. 2. Person (s) Interviewe&- Inspector Date TOWN OF BARNSTABLE ' COMPLIANCE: CLASS: 1. Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH O 3.Auto Body Shops unsatisfactory- 4.Manufacturers j COMPANY / � � � .� (see"Orders") 5.Retail Stores e2;l�— 6.Fuel Suppliers ADDRESS . .� Class' 7.Miscellaneous /!V 0., �bt!✓ �l�FITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MATERIALS � tq IN OUT IN OUT IN OUT #&gallons Age Test Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers 4zde 4 «..�.. Miscellaneo �, L_7M 14 4 4 "4004'-U V_tl i. 1 DISPOSAVRECLAMATION REMARKS: 1. S itary Sewage 2. ter Supply �� own Sewer ublic O On-site OPrivate �. 3. Indoor Floor Drains YES NO hf .. + O Holding tank:MDC O Catch basin/Dry well`` �- O On-site system 4. Outdoor Surface drains:YES�NO ORDERS: _ olding tank:MDC `z � � Catch basin/Dry well On-site system 5.Waste Transporter es ina ion cense Nanie� -of Hauler 2. Person(s) Interviewed Inspector Date Coventry West Four Wheel Alignment, Jaguar Repair Brakes,Shocks - All Makes ANDERSON BROTHERS MOTOR CAR CO., INC. 1336 Phinney's Lane ELLIOTT D.ANDERSON Hyannis, MA 02601 Master Jaguar Tech. 508-790-1071 President In Mass. 1-800-649-1071 TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH P 3.Auto Body Shops COMPANY Q unsatisfactory- 4.Manufacturers , � ` (see"Orders") 5.Retail Stores ads nos ✓l�lovR-Ca- 6.Fuel Suppliers ADDRESS 1334 �i�k fs. ✓� �' C18SS: 7.Miscellaneous F/l-&" '4"tdf-rj'P'" QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MATERIALS Case lots 1Underground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: l o44W Z7 5 waste motor oil (C) new motor oil(C) I C'S 1C ransmiss' n/hydraulic Synthetic Organics: degreasers Miscellaneous: 3-15 DISPOSALIRE(;LAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply O Town Sewer APublic o Id- a ti (KOn-site OPrivate , 3. Indoor Floor Drains YES N0_x_ O Holding tank:MDC CCPat, O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES-_�_- NO ORDERS: O Holding tank: MDC 6&4- d e) , AlX-V. f of J O Catch basin/Dry well G� OOn-site system 5.Waste Transporter Namel of Hauler Destinatio Prod 7 NO 2. r e Z 9 �� G✓.0 Person(s) Interviewed Inspector Date Coventry West Four Wheel Alignment, Jaguar Repair Brakes, Shocks All Makes ANDERSON BROTHERS MOTOR CAR CO., INC. 1336 Phinney's Lane ELLIOTT D. ANDERSON Hyannis, MA 02601 Master Jaguar Tech. 508-790-1071 President In Mass. 1-800-649-1071 L TOWN OF BARNSTABLE MPLIANCE: CLASS: 1.Marine,Gas Stations,Repair 2.BOARD OF HEALTH nters satisfactory 3.Auto Body Shops ` O unsatisfactory- 4.Manufacturers COMPANY -llyi (see"Orders") 6.Fuel Suppl ers ADDRESS - Class: 7.Miscellaneous / UANTITIES AND STORAGE (IN=indoors;OUT=outdoors) , MAJOR MATE Case lots Drums !!Fuels: : � 6_ IN OUT IN OUT IN OUT #&gallons Age Test Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil(C) ,4 S transmission/hydraulic— ''j� t Synthetic Organics: degreasers -Pf Mi cell aneous: DISPOSALIRECLAMATION REMARKS:�} I- 1.Panitary Sewage 2.Water Supply •`^� G Town Sewer Public O On-site OPrivate 3. Indoor Floor Drains YES—No O Holding tank:MDC O Catch basin/Dry well O On-site system J 4. Outdoor Surface drains:YES NO ORDERS. O Holding tank:MDC 1 �i� -_ 4�e�. O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product '/ YES NO 2. z � Person(s) Interviewed Inspector Date { TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH satisfactory 2.Printers 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY 41A, r�4vk j d4kZW (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS 1376 PI- -TiALlS LePIP Class: 7 7.Miscellaneous QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drurnsi Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) +z,6c2W-r-ill 3Sj 7� Diesel, erose , #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: b wi-e.ct. DISPOSAI✓RECLAMATION' REMARKS: 1. Sanitary Sewage 2.Water Supply -s E0 d 0(11, ��toofit O Town Sewer )Mblic C� - f — � 9 5' I&Qn-site O Private � ro clar re. c��f ,C Z G-aJ A 3. Indoor Floor Drains YES NO W a44 I 4), O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES_�(_NO ORDERS: O Holding tank:MDC - O Catch basin/Dry well �4 �- I J U", 0 < )&On-site system 5.Waste Transporter Name,of Hauler Destination Waste Product' YES NO 1. 2. 12 Person(s) Interviewed nspe or Date TOWN OF BARNSTABLE OMPIUANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY �112e (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS /�. � lv zti&s• 7.Miscellaneous H;k4 • A-&4e"4CQ1ANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel(A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil(C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: f2,6c10' DISPOSALIRE(;LAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply ,*Town Sewer COPublic O On-site OPrivate ekl 3. Indoor Floor Drains YES N0� O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5. Waste Transporter Name of Hauler Destination Waste Product YES N0 1. 2. -Pe Non(s) Interviewed Inspector Date TOWN OF BARN TABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.A Muto Body Shops unsatisfactory- 4. anufacturers COMPANY (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS ; Class: 7.Miscellaneous AIJ QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel(A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil(C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous- �riq 2,4 /c.s DISPOSALRECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply _ O Town Sewer OPublic O On-site OPrivate �� 3. Indoor Floor Drains YES NO- 0 Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5. Waste Transporter Name of Hauler Destination, Waste Product Licensed? YES NO 1. 2. rson TO InTe r_vie-wel Inspector Date 274_02 TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM I NAME OF BUSINESS: �WQea�n.i Italla12tJAM nojA .. Mail To: BUSINESS LOCATION: (3-5(p �� i`� L. Board of Health Town of Barnstable MAILING ADDRESS: &AH 14—:1 P.O. Box 534 TELEPHONE NUMBER: 6 - -7-75 - ()Dq Co Hyannis, MA 02601 CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, i7NOies tota g, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YE This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store: Quantity/Case Quantity/Case Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene,.#2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business 4 TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH O satisfactory 3.A'to Body Shops O unsatisfactory- 4.Manufacturers COMPANY (see"Orders") 5.Retail Stores ADDRESS 3 6.Fuel Suppliers Class: OD(;U� 7.Miscellaneous fi UANTITIES AN16 STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground IN OUT IN OUTI IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: YDLOV; on X DISPOSAL/RECLAMATION REMARKS: 1. Sanitary Sewage 2. W ter Supply �%S14_ ` Town Sewer Public On-site OPrivate 3. Indoor Floor Drains YES NOx /1-P O Holding tank:MDC O Catch basin/Dry well 0 On-site system UJ 4. Outdoor Surface drains:YES NO M�,(� �}f,�) ,) J/�0 Holding tank:MDC O 4A9XV 05 w��6 / VIVO76V 0 Catch basin/Dry well 0 On-site system 5. Waste Transporter Name of Hauler Destination Waste Product NO 1. 77" 2. YES leO6Ge-r A A&I?Sod C Person (s) Interviewed Ins e for ate The H*DROCOTE ®Company, Inc. Health Emergency: 908.257-4344 P.O. Box 160 Spill Emergency: 908-257.4344 Tennent, NJ 07763 Other Information: 800-424-9300 CHEMTREC: 800-424-9300 ta,& ` ° ��TE�R6< L�S,�A�E�l'�l( DAT��+ , �. � E <N Date of Preparation: July 1, 1991 Prepared by: Erick Kasner, Ph.0 � ai ETIOII �PR r �3UCT� HMIS RATING SCALE PRODUCT NAME: HYDROCOTE®CLEAR WOOD FINISH -GLOSS PRODUCT-NUMBER: 94600,94601, 94605,94655 Health: 1 4= Extreme 0 3= High PRODUCT CLASS:Water-Based Wood Finish Flammability: 2= Moderate PRODUCT USE: Wood Coating Reactivity: 0 1=Slight DOT PROPER SHIPPING NAME: Paint Personal Protection: I 0= Inslgnificai DOT HAZARD CLASSIFICATION: Not Regulated DOT ID NUMBER: NOS _yr- .�5�.-.,, Yr.�`9.tn-r iNlPar .:1:� ,r._ m �4 tt>. k«. _-T ,M1SCTIQNII �HAZARQQUSNGREDIN� !S:: .. . r x ..: d — EXPOSURE LIMITS AND TOXICITY INFORMATION VAPOR INGREDIENT OSHA ACGIH LD,(Oraq LD,,(Dermal) LC50 PRESSURE (CAS NUMBER) % PEL(PPK STEL PP TLV PP STEL(PP /kg Vkgmin H Water (7732-18-5) 60-70 N/A N/A N/A N/A N/A N/A N/A 760 @ 77 Acrylic Copolymer(Not Hazardous) 15-20 N/A N/A N/A N/A N/A N/A N/A N/A Acrylic Copolymer(Not Hazardous) 15-20 N/A N/A N/A N/A N/A N/A N/A N/A Dipropylene Glycol Methyl Ether 3-5 100 100 150 5500 10,000-14,000 NAV 10.9 @ 77 (34590-94-8) 2-Butoxy Ethanol' (111-76-2) 3.8 25 25 50 470 220 2900 mg/m' Negligible Key: N/A= Not Applicable NAV= Not Available NE= Not Established Items indicated by an 'are subject to the reporting requirements of section 313 of the Emergency Planning and Community Right-To-Know Act of 1980 and of 40CFR 372. §SECTION t 1C=�YSICA Ar_ -_ SECT� N IUIREEEXPLQ 10� /�RDDA Appearance: Milky white Flash Point(TCC): None State: Liquid LEL: None Odor Characteristics: Very mild Extinguishing Media: Foam CO2, Dry Chemical Water Fog pH: 8-9 Viscosity(#4 Ford Cup): 18-20 seconds Specific Gravity(Water=1): 1.037 Unusual Fire and Explosion Hazards:This material will not Vapor Density(Air=1): >1 support combustion unless the water has evaporated. Polyme Vapor Pressure(mm Hg): Not Established film can burn. Melting Point: N/A Boiling Point: 212-343OF Solubility in Water: Dilutable Special Firefighting Procedures: Water may be used to coc Percent Voiatiles by Volume: 65% closed containers,to prevent pressure build up. Evaporation Rate(BAc=1): <1 SECTIQN:U ` :HEALTH HAZARD DATA~ � A r - EFFECTS OF OVEREXPOSURE EMERGENCY AND FIRST AID PROCEDURES Eye Contact: May cause severe irritation Splash (eyes): Flush immediately with copious quantities of Skin: May cause irritation running water for at least 15 minutes. Consult physician. Ingestion: May be harmful if swallowed Splash (skin): Wash affected areas with soap and water. Inhilation: May cause irritation of nose,throat or lungs Ingestion: DO NOT INDUCE VOMITTING-consult physician immediately. MEDICAL CONDITIONS PRONE TO AGGRAVATION Inhalation: Remove to fresh air. BY EXPOSURE:None Known PRIMARY ROUTE(s) OF ENTRY: Dermal, eye contact TOXICITY INFORMATION: None of the constituents given on the reverse are listed as carcinogens by NTP, IARC or OSHA. 11- � E:GT14tV1REAGTi�VtlI DATA; ,� z _ - - _ - - -- - CHEMICAL STABILITY: Stable HAZARDOUS POLYMERIZATION:Will not HAZARDOUS DECOMPOSITION PRODUCTS:At ambient temperatures no decomposition will occur. Normal combustion products including carbon dioxide,carbon monoxide, and oxides of nitrogen. CONDITIONS TO AVOID: Keep from freezing. INCOMPATIBILITY WITH OTHER MATERIALS: Strong Oxidizers. EGT��N SPfLLOiR ° A_$ ROC EDRLS - .. rx STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED:Absorb with sand, earth or other innert materials ant dispose of in an approved manner. Dike area with sand or other innert materials to contain spilled liquid.Wear protective clothing. CAUTION: Keep spills and cleaning run off out of municipal sewers and open bodies of water. WASTE DISPOSAL: Dispose in accordance with local, state and federal regulations. This product is not a hazardous waste under RCRA regulation (40 CFR 261). ` ETLQN1lIio SAFEHANDL! NDUSEfNFQRMATCC�3 RESPIRATORY PROTECTION: Wear NIOSH approved organic vapor respirator. VENTILATION: Normal good ventilation. EYE PROTECTION: Chemical splash goggles and/or face shield PROTECTIVE GLOVES: Neoptene, butyl rubber OTHER PROTECTIVE EQUIPMENT: Use chemical resistant apron or other impervious clothing to avoid prolonged or repeated skin contac HYGIENE PRACTICES: Wash hands thoroughly before eating, smoking or using a bathroom. °� S dCTIONIXSP CtAIPRECA UTLONS u s Keep material from freezing. Do not get in eyes. Avoid prolonged or repeated contact with skin. Do not take internally. Keep containers closed when not in us Keep out of the reach of children. Disposal of containers should be in accordance with applicable laws and regulations. "EMPTY"containers should not be given tc individuals. Serious accidents have resulted from the misuse of"Emptied"containers (drums, pails, etc.). } SECT OIy DDITIONAL4RECzULAT4RYtNFORMATC .. -c {A•� � s�i�- itBFsica.ka.+rYs _--Ca +R+_ 1MAT TSCA:All compounds of this material are included on the TSCA inventory of chemical substances. The information contained herein relates only to the specific material identified.The HYDROCOTE'Co.,Inc.believes that such information is accurate and reliable as of the date of this material safety data sheet,but no representation,guarantee orwarranty,express or implied,is made as to the accuracy,reliability, or completeness of the information.The HYDROCOTE'Co.,urges persons receiving this information to make their own determination as to the information's suitability and completeness for their particular application. 1 y The 6hromallne Corporation MATERIAL SAFETY DATA SHEET © (Approved by U.S. Department of Labor"Essentially Similar" to Form OSHA-20) =hr!Ta' fina The Information contained herein Is based on data available to us and Is believed to be correct. Since this information may have been obtained In part from Independent laboratories or other sources not under our direct supervision, no representation is made that the Information is accurate,reliable, complete or representative and Buyer may rely thereon only at Buyer's risk. We make no guarantee that the health and safety precautions we have suggested will be adequate for all Individuals and/or situations involving its handling and use. No warranty Is expressed or Implied regarding the accuracy of this data or the results to be obtained from the use thereof. Vendor assumes no responsibility for injury to vendee or third person proximately caused by the material if reasonable safety procedures are not adhered to as stipulated In the data sheet. Section MANUFACTURER'S NAME NFPA 704 OESIGNATIC THE CHROMALINE CORPORATION STREET ADDRESS CITY, STATE AND ZIP CODE <*> 4832 Grand Avenue Duluth, MN 55807 EMERGENCY TELEPHONE NO. 218-628-2217 PRODUCT CLASS CHEMICAL :NAME (CAST) Water Based Emulsion N/A TRADE NAME FORMULA Chroma/Tech PL N/A N/A = Not Applicable Section II - HAZARDOUS INGREDIENTS TLV VAPOR PRESSURE INGREDIENT PERCENT PPM mg/M3 LEL mm Hg. 20°C There are no hazardous ingredients by reference to the O.S.H.A. Hazard Communications Standard N/A------ - ------- --------- ------ ------------------ (29 CFR 1910.1200) All ingredients are of listed chemicals in the TSCA registry. Section III - PHYSICAL DATA Aqua colored liquid emulsion BOILING RANGE 212-F VAPOR DENSITY ®HEAVIER ❑ LIGHTER, THAN AI EVAPORATION RATE ❑ FASTER (!] SLOWER THAN WATER PERCENT VOLATILE WEIGHT PER SOLUBILITY IN WATER Miscible BY WEIGHT 48% GALLON 9.08 lbs. Section IV - FIRE AND EXPLOSION HAZARD DATA DOT CATEGORY FLASH POINT N/A Not regulated by D.O.T. EXTINGUISHING MEDIA "Class B" Fire extinguishers JNUSUAL FIRE AND EXPLOSION HAZARDS Under high heat decomposition products may present a hazard. SPECIAL FIRE FIGHTING PROCEDURES : For full protection, fire fighters are recommended to wear NIOSH-MSHA approved self-contained breathing apparatus and chemical resistant clothing. Section V - HEALTH HAZARD DATA THRESHOLD LIMIT VALUE N/A EFFECTS OF OVEREXPOSURE Not established for product; however, irritation may occur with prolonged contact to skin. EMERGENCY AND FIRST A10 PROCEDURES Ingestion: Drink water, do not induce vomiting. Consult Physician or poison control center. ea symptomatically. Skin: Wash with soap and water. Remove contaminated clothing. Should irritation persist, get m-e ical help. Eyes: Flush with water extensively for 15 minutes. Get medical help. Note to physician: Ther�is. no antidote Treat symptomatically. Section VI - REACTIVITY DATA STABILITY ❑ UNSTABLE ® STABLE CONDITIONS TO AVOID Strong light and high heat. INCOMPATIBILITY (Materials to avoid) Light, heat, oxidizers HAZARDOUS DECOMPOSITION PRODUCTS If burned, will give off oxides of nitrogen, CO2, and CO. HAZARDOUS POLYMERIZATION ❑ MAY OCCUR ® WLLL NOT OCCUR CONDITIONS TO AVOID (See above) Section VII - SPILL OR LEAK PROCEDURES STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED Wash with copious amounts of water. Absorb diluted spill and dispose. WASTE DISPOSAL METHOD Either: A) Incinerate at authorized facility or B) Landfill in authorized facility in accordance with federal, state, and local regulations. We make no guarantee or warranty of any kind that the use or disposal of this product is in compliance with all federal, state or local laws. It is the obligation of each user of the product mentioned herein �o determine and comply with the requirements of all applicable statuates. Section VIII - SPECIAL PROTECTION INFORMATION RESPIRATORY PROTECTION uo not breathe vapors or mists. Wear O.S.H.A. (29 CFR 1910.134) protection as necessary. Contaminant level will vary dependent on the operation. VENTILATION Provide adequate ventilation as necessary. PROTECTIVE GLOVES Recommended EYE PROTECTION Recommended OTHER PROTECTIVE EQUIPMENT Apron and safety boots recommended. -- Section IX - SPECIAL PRECAUTIONS PRECAUTIONS TO BE TAKEN IN HANDLING AND STORING Store between 50°F - 80°F for maximum storage life. OTHER PRECAUTIONS None Name Toshifumi Komatsu p c rQr>maIina Title Director of Research & Develo m t Signature d i i f Usfbim Display;Racks t. CNC Routing Screenprmtmg r. Designer Packaging,. t 18o0-548-39A9 5MV5 0296•Fax 508,-775-18.95.. Pager.508-280-8088 ' Email bill @anderson'int com s„ I VVebsite'www and@rsonirit:com 11336.Phinneys;Lane Hyannis;MA'02601 ,. TOWN OF BARNSTABLE C PUANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH Satisfactory 2.Printers 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY�i� p (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS �a Owl Class: 7.Miscellaneous 1 �� AND STORAGE (IN= indoors;OUT=outdoors) MAJO TERIALS, IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline Jet Fuel (A) Bies�l;�Kternse #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: YA DISPOSAIJRECLAMATION REMARKS. r 1.Ppitary Sewage 2.Water Supply Town Sewer ublic On-site ste OPrivate 3.Indoor Floor Drains YES NOtl— O Holding tank:MDC_ O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES-t'."' NO ORD S: O Holding tank:MDC Catch basin/Dry well O On-site system 5.Waste Transporter 1. 1'0 YES N0 2. ' Person(s) Interviewed pector Date ERO,THEf0The Town of BarnstablHealth Department 2 3 2003 �u,n�, 367 Main Street, Hyannis, MA 02601f g ARNSTggLE TH DEPT, Office 508-790-6265 Thomas A. McKean FAX 508-775-3344 Director of Public Health 21E# : APPLICATION FOR 21E INFORMATION SEARCH FEE $30-.00 DATE: / NAME OF PERSON 0 V\ 1^�Qe cam- Wc e�Gv�J�Y1 REQUESTING INFORMATION: ENGINEERING FIRM: ADDRESS:. l�lc, u�' S,. 170 X �G 7 Sy,,, 5hr,M�ol63 I TELEPHONE ADDRESS OF / 7�j SITE LOCATION: ( to S c�� `� S Nl ®2r�o 1 ASSESSORS MAP ' NO. : S, 2-7+ PARCEL NO. : pG 1 S . 1 5 t Z� PRESENT BUSINESS NAME: GROUNDWATER DIRECTION FLOW: SPECIFIC SITES YOU WISH TO RECEIVE RELEASE INFORMATION: ASSESSORS MAP NO. : PARCEL NO. : r ASSESSORS MAP NO. : PARCEL NO. : ASSESSORS MAP NO. : PARCEL NO. : ASSESSORS MAP NO. : PARCEL NO. : i -.--u-,r �,..-,san.;rm6•sss;.." '.xi:;,n'.�.,W1.:rrro-aa A:tLaa Yvw3?7s ^'•m.=rsa�,aui�ztiie....o.�.L.�efaS$GiGt •1yi,Y3.z� 'a...=.v�.�`�k.A�eP' ti,,.:�1.,. :..-:f ,..<..,.r. •iCgiivt�iirdivAxiCF£le4cke:""�.rra�a.�.La.Yt&n•33�'•,.amv"eetto.,tr:.�si;�enld.�.u `�'��.-.-.,�.�,§:".o`•�,trav��m:eLL.53�:�"u'u•hrdie+:.?F_.�m:SE'�.ak.+Pan'.u'vnt_.-..o-�,......,........ns.€....:.5.��v�o�-3eliY'�ai Number Fee 334 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certifythat Hyannis Honda Body h Shop y y P 1336 Phinney's Lane, 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 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 INKE Regulatory Services Department p ;erieaC'i • ": Public Health Division DAMSrABM 9� ` � 200 Main Street, Hyannis MA 02601 i°rEn rya+" 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT X I LP141 AS C.N !L g PRi S L S YAL NAME OF ESTABLISHMENT «y A N N 1 S 14 DN A (S6 D y S 14 6 P ADDRESS OF ESTABLISHMENT PallnrNLg 'S C/-)NL 140 N.N ISr I``� O�roo f TELEPHONE NUMBER 50S T)1 1190 SOLE OWNER: YYES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: N D n1C+ IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION M✓a 5�C 1� l 1 S FULL NAME AND HOME ADDRESS OF: PRESIDENT .J 611 S L G66 6&)/l TREASURER . CLERK IGNATU PLICANT RESTRICTIONS: HOME ADDRESS a l SC 0 t Q t� W 1)Y L✓�51 HOME TELEPHONE# 50$ ` 3: qT1 R 4AW Q:\Hazmat\Haz Mat Application2008.DOC L JUN-19-2008 03:34 PM hyannishondabodyshop 915087781750 P, 1 HYANNIS HONDA BODYSHOP'SPTLL CONTINGENCY PLAN: In the event of a hazardous spill,managers and associates must use common sense and good judgement in proceeding with the list below. It's our responsibility to collect all _ spilled material before.it reachesthe surface or ground water, or into any sewage drain. The material safety data sheets (MSDS)binder.is located in the safety data room off of the showroom. Evacuate the immediate area if necessary. Shut-off valves,pumps; and electrical equipment as appropriate. Remove or restrict any potential ignition source from the area if the material is flammable. Cover or dike all existing sumps and storm drains if not,already covered, Contain the spill by use of absorbent socks/booms. Contact spill response firms if necessary, as listed below,to assist in those activities. Remove all.absorbed material or-contained liquid and package in DOT approved P' containerUsed absorbent materials should be packaged separately from liquids. Label all containers with the type of waste and the start date of accumulation. Notify the appropriate agencies and corporate contacts as prescribed below. Once the spill has.been controlled and materials collected and secured, inspect the area for cleanliness.aad decontaminate all equipment used in the cleanup. Replace all materials and ensure all response equipment is in:good working condition. Manage and dispose of all collected absorbents and liquids in accordance with Federal and State environmental"regulations. For any spill greater than the reportable quantity or 25 gallons, whichever is less,this plan shall.be implemented and proper records of action shall be kept on-site. Emergency collection spill devices are located in the parts room. Fire extinguishers are located in the office as well as one in each work area and are clearly marked:. First aid kit is located in material safety data room, and eye wash station is in the mens room_ out back off the break room: All employees are to meet out front of the bodyshop,up.on the hill, This:is mandatory, to ensure that everyone has made it out of the building. I JUN-19-2008 D3;35 PM hyannishondabodyshop 915087781750 P. 2 F-Fire Extinguisher,PS-Fire Alarm Pull Station,SE-Spill Equipment Emergency Coordinators: Tone Goulart 508-896-8477 (h) 774-722-1109 0- Gary Stobbart 508-771-5442 SpIn'Eduipment Location Vesper Room Fire Department 508-775-1300 Local Police 508-775-0387 State Police 508-398-2323 Ambulance 800-352-7141 Hospital . 509-771-1800 Spill Control 800-439-8283 National Response Center 800424-8802 JUN-19-2008 03:35 PM hyannishondabodyshoP 915087781750 P. 3 HYANNIS HONDA BODYSHOP 1336 Phinney's Lane TRyannis,Ma.'02601 EMERGENCY TELEPHONE CALL LIST: Local Police (Hyannis) 508-775-0387 or,911 Hyannis Fire Dept. 508-775-1300 CYN Environmental Services Inc. 800-242-5818 . Clean Harbors Environmental 800-645-8265 Town.Of Barnstable Public Health 508,862-4644 Massachusetts State Police 508-398-2323` Ambulance(Barnstable) 800`352-7141 Poison Control 800-222.1222 Cape Cod Hospital 508.771-1800 EMERGENCY EMPLOYEE CALL LIST: Jay Goodwin (General Manager) 508=725-4778 Thomas Goulart(Body Shop Manager) 508-896-8477 Gary Stobbart(Assistant Manager) 508-771-5142 j JUN-19-2008 03:36 PM hyannish.ondabodyshop 915087781750 P. 4 EVAC:.UATION ItUT ,m :e-cTtNA l�►2�1� F � cl� a � �„)T4 Off VC F - Fire E�ctingulsher, Ps Fire Alarm �Pul Station, 5'.E -Split, Equipment -I Emeraindv Coordinate z Name: 'Tel: L ; (:�-4 Name. e : Fire Alsrml Pull. Station (PS): S ill E ' ui m®nt Location: p p ire D rtment: 6�� 1 ., 150 F p . Local. Iolice: State Ool ce: Ambulance: 56,2 - ' Hospital: n� 1- i l�Q 1601 Control: -8802 Nationial Response Center: 1-800424 f1 . JUN-19-2008 03:36 PM hy.annishondabodyshop 915087781750 P. 5 3 HYANNIS HONDA ADDRESS 860 WEST MAIN Sr r HY 60 (so -787 T# I EMERGENCY TELEPHONE' CALL LIST LOCAL POLICE (HYANNIS) (508) 775-0387 OR 911 FIRE DEPT. OF HY.ANNIS (508) 775-1300 CYN ENVIORMENTAL SERVICES INC, (800.) 242-5818 CLEAN HARBORS ENVIORMENTAL (800) 645-8265 TOWN OF BARNSTABLE (PUBLIC HEALTH) (508) 862-4644 MASSACHUSETTS STATE POLICE . (508) 398-2323 AMBULANCE (BARNSTABLE) . (800)'352-7141 POISON CONTROL (800) 222-1222 CAPE COD HOSPITAL (508) 771-1800 EMERGENCY EMPLOYEE CALL LIST JAY GOODWIN (GENERAL MANAGER) (508 725-4778 , � ! �w 'd j MANAGER) 4 ( LART 8 MANAGER) ( 1 _ ) JUN-19-2008 03:37 PM hyannishondabodyshop 915087781750 P. 6 HYANNIS 'HONDA SPILL, CONTINGENCY PLAN • In the event of a hazardous spill,managers and associates must use common sense and good judgment in proceeding with the list below.,It's our responsibility to collect all spilled material before it reaches and surface or ground water or into any sewage drain. •. The material safety data sheets (MSDS) binder is located in the w A� r —0.AT V-tt l�on+� ua • Evacuate the.immediate area,if necessary. • Shut off valves, pumps, and electrical equipment as appropriate • Remove or restrict and potential ignition source from the area if the material is flam mable: • `Cover of dike all existing sumps.and ystorm.drains if not already covered. • Contain the spill by use of absorbent socks/booms, and then.apply appropriate absorbent material or additional absorbent socks/boons, Contact spill response firms if necessary, as listed below, to assist in those activities. • Remove all absorbed material or contained liquid and package in DOT approved container. Used absorbent materials should be.packaged separately,from liquids. • Label all containers with the type of waste and the start date of accutnulation. • Notify the appropriate agencies and corporate contacts as prescribed below, • 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. • Replace all used materials and ensue.all.response equipment is in,good working condition, • Manage and dispose of collected absorbents and liquids in accordance with Federal and State environmental regulations. • Y For-any spill greater then the reportable quantity or 25 gallons, whichever is less, this plan shall be implemented and proper records'of action shall be kept on-site. Emergency collection spill devices are located at the east wall,by the state inspection machine.' • Fire extinguishes are on each wall and labeled. • First aid kit and eye wash located on the'south wall,by the tech stairway. All.employees are required to.meet across the street from the service dept, in the event of an'emergency, .S hcp _ Page 1 of 2 I S M E A D k KEEPING YOU ORGANIZED No. 10334 2-153L ASMAMM FORESIRY MIN.RECYCLED Ank INRIATNE CONTENT 10%f �o POS.WMMER; "am MADE IN USA GET ORGAN D AT SUM-CAM i CLIENT—Harborside Realty 8552 . JONES • EFERENCES GENERAL LAIN 36 SECTION 13 A CONDOMINIUMS N/F ALLAN HAkBO I D EA.�'ENT 1 CERTIFY THAT THIS PLAN CONFORMS WITH BOOK 549 PAGE -:59 Of ASG 9 E ,/� THE RULES AND REGULATIONS OF THE REGISTERS ,� BARNSTABLE CO., MA. HYANN S 609 OF DEEDS. ++1` ry >t 2 2 1398 1744 6 ZZ EY : "A. AA BUILDING LAYOUT PLAN �O S 9Ac• 1998 145 LReiiter�ed Pro essional Land Surveyor MUNROE N _ 2164 91 st "o '54 SCALE: I"= 20' NOVEMBER 1987 4 O lop '�'crsrE� 084 271 ✓�'' 46958 . © - J tibbetts engineering Corp. New Bedford ,Fall River 81 �\ cP THIS SURVEY AND PLAN WERE PREPARED IN ACCORDANCE. Taunton , Massachusetts o WITH THE PROCEDURAL AND TECHNICAL STANDARDS FOR THE PRACTICE OF LAND SURVEYING IN THE COMMONWEALTH OF , .9s MASSACHUSETTS. y P.K.nail PLAN; REFERENCES: (fnd) Date Registered Professional Land Surveyor k, \� ' LEGEND-' PLAN BOOK 2615 PAGE 91 h� 280 . 14 0 M.H.B.------------- MASS. HIGHWAY BOUND ., . 385 . 58 L ti,�„ _--------CONCRETE BOUND L.C. PLAN NO. 30063 Ilk h I STK. It TK.---------.STAKE a TACK ! CHAPTER 380 ACTS OF 1966 V� I hereby certify that the property Lines i • S x i .� ,k shown on.this plan are the lines dividing existing NOTES owneships,and the lines of the streets and way., 1) PLAN REFERENCES" ARE RECORDED AT THE BARNSTABLE COUNTY V` shown are those of public or private streets or ways already established,and that no new lines REGISTRY OF DEEDS for division of existing ownership or for new 2) PROPERTY LINE INFORMATION TAKEN FROM A PLAN ENTITLED" PLAN OF ways are shown. LAND IN BARNSTABLE,MASS. ,FOR 1NILLIAM ANOERSON" SCALE:I"= 50' DATED JUNE 20,1984 BY ATLANTIC ENGINEERING a SURVEY• CONSULTANTS, �p ,r Al '' NC., RECORDED AT THE BARNSTABLE COUNTY REGISTRY OF DEEDS; PLAN ►� �� _ J�,,� tered Professional Land Surveyor . BOOK 95 PAGE 58. ` Date �'B 3), LOCATION OF RIGHTS OF WAYS LINES ARE APPROXIMATE ONLY AND WERE •9 `-� NO, ��, ip�' DETERMINED BY DEED INTERPRETATION AND ACTUAL PAVED SURFACE — .... X� o LOCATIONS. 4) FOR TITLE TO SUBJECT PREMISES SEE THE FALLOWING DEED REFERENCES: BOOK 41 PAGE 18 CHAPMAN TO HIN,CKLEY a Al \1 , 1377 5 � 1103 JERAULD TO LORUSSO COMMONWEALTH �' , � , J , . a' 1728 34�3 LORUSSO TO ANDERSON �� N/F ROBERT H. GOODWIN � ,\ 7 O` ,' �. 140 LORUSSO TO BLANCHARD C� � � 1998 \ \v0 L \ 3412 111 LORU`SSO TO ANDERSON 3687 " 63-67 HINCKLEY HEIRS TO ANDERSON EL EMUC 4122 , 10 BLANCHARD TO GOODWIN \,h �O \ N/F ' COMPANY N , pQ` j i Bid, ROBERT H. GOODININ PCK EASEMENT 1 ,o oti ti �� °�s �oN O 00 NF �'1'OBTATNA EN cox ° ro AREA - 5.5r Acres k 'Z , � .- o \O I CERTIFY THAT THIS PLAN FULLY AND ACCURATELY r � CA DEPICTS THE LAYOUT LOCATION BUILDING DESIGNATIONS �7 O C0 AND DIMENSIONS OF THE BUILDING AS BUILT AND FULLY LISTS THE UNITS CON ED THEREIN. S Date Registered Professional Land.-Survey" - j ..� , 'C.B. (fad) 9 9� ' u' G O A PH S I 6�T6 pol EP 19 o q �, �? o BI 'TUMIN OfI S CONCRETE O# nl �\ (fnd_) 0.40' N4 S i � 0=3!'�53" yy '`4 M.H.B. r ° \ n n DETAIL A Not To Scale too- 2c x, ` _T. IN iiiiiiiiiiiiiiiiiis STK. a TK.(fnd.) O _. 00 0 295.56' 09 R � T , 2 O ,. �Y 400-31 w TA E hfrA y 596.66' IA�'o41r (� - 301.10' � . 20 10 0 20 40 60 FT: ' r a .B p 5 10 15 20 M !,© ( SE' DETAIL j.j.rn.